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1.
The Postoperative Short Course Content Study group 《Anaesthesia》2022,77(5):570-579
Most surgical and anaesthetic mortality and morbidity occurs postoperatively, disproportionately affecting low- and middle-income countries. Various short courses have been developed to improve patient outcomes in low- and middle-income countries, but none specifically to address postoperative care and complications. We aimed to identify key features of a proposed short-course addressing this topic using a Delphi process with low- and middle-income country anaesthesia providers trained as short-course facilitators. An initial questionnaire was co-developed from literature review and exploratory workshops to include 108 potential course features. Features included content; teaching method; appropriate participants; and appropriate faculty. Over three Delphi rounds (panellists numbered 86, 64 and 35 in successive cycles), panellists indicated which features they considered most important. Responses were analysed by geographical regions: Africa, the Americas, south-east Asia and Western Pacific. Ultimately, panellists identified 60, 40 and 54 core features for the proposed course in each region, respectively. There were high levels of consensus within regions on what constituted core course content, but not between regions. All panellists preferred the small group workshop teaching method irrespective of region. All regions considered anaesthetists to be key facilitators, while all agreed that both anaesthetists and operating theatre nurses were key participants. The African and Americas regional panels recommended more multidisciplinary healthcare professionals for participant roles. Faculty from high-income countries were not considered high priority. Our study highlights variability between geographical regions as to which course features were perceived as most locally relevant, supporting regional adaptation of short-course design rather than a one-size-fits-all model. 相似文献
2.
New Zealand Emergency Medicine Network: A collaboration for acute care research in New Zealand
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![点击此处可从《Emergency medicine Australasia : EMA》网站下载免费的PDF全文](/ch/ext_images/free.gif)
The specialty of emergency medicine in Australasia is coming of age. As part of this maturation there is a need for high‐quality evidence to inform practice. This article describes the development of the New Zealand Emergency Medicine Network, a collaboration of committed emergency care researchers who share the vision that New Zealand/Aotearoa will have a world‐leading, patient‐centred emergency care research network, which will improve emergency care for all, so that people coming to any ED in the country will have access to the same world‐class emergency care. 相似文献
3.
Comparative safety study on severe anemia by simeprevir versus telaprevir‐based triple therapy for chronic hepatitis C
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![点击此处可从《Journal of gastroenterology and hepatology》网站下载免费的PDF全文](/ch/ext_images/free.gif)
Eiichi Ogawa Norihiro Furusyo Eiji Kajiwara Hideyuki Nomura Akira Kawano Kazuhiro Takahashi Kazufumi Dohmen Takeaki Satoh Koichi Azuma Makoto Nakamuta Toshimasa Koyanagi Kazuhiro Kotoh Shinji Shimoda Jun Hayashi The Kyushu University Liver Disease Study Group 《Journal of gastroenterology and hepatology》2015,30(8):1309-1316
4.
M. Masson Regnault J. Castañeda-Sanabria M.H.T. Diep Tran M. Beylot-Barry H. Bachelez N. Beneton O. Chosidow A. Dupuy P. Joly D. Jullien E. Mahé M.-A. Richard M. Viguier F. Tubach E. Sbidian C. Paul The PsoBioTeq Study Group 《Journal of the European Academy of Dermatology and Venereology》2020,34(2):293-300
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目的艾滋病(AIDS),是严重危害人类健康的疾病,临床上症状多变,应提高对AIDS的认识。现将作者在西非工作期间收治的142例AIDS病例的临床表现作一介绍。方法病例均为当地黑人居民,男性89例,女性53例,年龄14~45岁,平均年龄27.65岁。用酶联免疫吸附法和快速法检测患者血清中HIV—1和 HIV—2抗体。结果 HIV—1型25例(35.00%);HIV-2型74例(52.11%);混合型32例(22.53%)。临床表现为脑膜脑炎或脑炎7例(4.93%);肺型27例(19.01%);胃肠道感染84例(59.15%):包括急性48例(33.80%),慢性24例(16.90%),急腹症12例(8.45%);皮肤粘膜损害18例(12.68%):卡波齐肉瘤6例(4.23%),带状疱疹2例(1.41%),皮炎10例(7.04%),病死率19.72%(28/142)。其传播途径以性传播为主,高达78.87%(112/142),其次是密切生活接触,未发现吸毒或输血者。结论艾滋病病死率高,病情复杂,且目前尚无特效药物,必须引起医护人员高度重视。 相似文献
8.
Birth weight on 12,644 singleton infants from 6,196 sibships born in Maryland between 1980 and 1984 were used to estimate the effects of nine maternal and infant covariates on the sibship correlation in birth weight. Assuming a homogeneous correlation across all families, the estimated intraclass correlation was 0.4664 (+/- 0.0099). This high sibship correlation makes it possible to predict, with reasonable accuracy, the birth weight of a child given information on previous sibs, as well as covariates on the mother and/or infant pertinent to a given pregnancy. The reduction in variance associated with incorporating information on the nine covariates used here was approximately equal to that obtained by conditioning on a single previous sib. Testing for heterogeneity in correlation among different groups of families showed that a crude measure of parity (first live birth vs. other), time between births, mother's marital status, and maternal age at the birth of the last child significantly influenced the sibship correlation in birth weight. 相似文献
9.
HPLC法测定小柴胡颗粒剂中黄芩苷的含量 总被引:2,自引:1,他引:1
目的 :建立小柴胡颗粒剂中黄芩苷的含量测定方法。方法 :采用反相高效液相色谱法。色谱柱 :Inertsil ODS- 3(5 μm,4 .6× 2 5 0 mm)柱 ;流动相 :甲醇 -水 -磷酸 (45∶ 5 5∶ 0 .2 ) ;检测波长 :315 nm。结果 :黄芩苷在 0 .2 4 2 9~ 1.2 14 4 μg/ml范围内呈现良好的线性关系 (r=0 .9999) ,回收率 10 0 .0 % ,RSD=0 .96 %。结论 :本法可用于测定小柴胡颗粒剂中黄芩苷的含量。 相似文献
10.
以结核菌素纯蛋白衍生物(PPD)为丝裂源作淋巴细胞转化试验,检测结核性(17例)和非结核性(14例)胸膜炎患者的外周血淋巴细胞(PBL)和胸腔积液淋巴细胞(PEL)对PPD 的反应性。结果显示:结核性胸膜炎患者无论PPD 皮试是阳性还是阴性,其PEL 的PPD 刺激指数(PPD-SI)都显著高于PBL(P 分别<0.001与<0.01);结核性PEL 的PPD-SI 显著高于非结核性PEL(P<0.001)。提示PPD 胸腔积液淋巴细胞转化试验可作为诊断结核性胸膜炎的有效方法。 相似文献