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Evaluation of Clinician Training in Autism Screening, Care Management, and Patient Education

Open Journal of Pediatrics 2024年第3期14卷 488-513页

作者： Belinda O’Hagan Julie White Ilana Hardesty Rachel Amgott candice Bangham Xinyang Liu Alyson Codner Amy Ursitti Alana Chandler Sarah Foster Marilyn Augustyn Jacey Greece Division of Developmental and Behavioral Pediatrics Department of Pediatrics Boston Medical Center Boston United States of America Boston University Chobanian & Avedisian School of Medicine Boston United States of America Department of Community Health Sciences Boston University School of Public Health Boston United States of America

Objective: The demand for pediatric developmental evaluations has far exceeded the workforce available to perform them, which creates long significant wait times for services. A year-long clinician training using the Extension for Community Healthcare Outcomes (ECHO®) model with monthly meetings was conducted and evaluated for its impact on primary care clinicians’ self-reported self-efficacy, ability to administer autism screening and counsel families, professional fulfillment, and burnout. Methods: Participants represented six community health centers and a hospital-based practice. Data collection was informed by participant feedback and the Normalization Process Theory via online surveys and focus groups/interviews. Twelve virtual monthly trainings were delivered between November 2020 and October 2021. Results: 30 clinicians participated in data collection. Matched analyses (n = 9) indicated statistically significant increase in self-rated ability to counsel families about autism (Pre-test Mean = 3.00, Post-test Mean = 3.89, p = 0.0313), manage autistic patients’ care (Pre-test Mean = 2.56, Post-test Mean = 4.11, p = 0.0078), empathy toward patients (Pre-test Mean = 2.11, Post-test Mean = 1.22, p = 0.0156) and colleagues (Pre-test Mean = 2.33, Post-test Mean = 1.22, respectively, p = 0.0391). Unmatched analysis revealed increases in participants confident about educating patients about autism (70.59%, post-test n = 12 vs. 3.33%, pre-test n = 1, p = 0.0019). Focus groups found increased confidence in using the term “autism”. Conclusion: Participants reported increases in ability and confidence to care for autistic patients, as well as empathy toward patients and colleagues. Future research should explore long-term outcomes in participants’ knowledge retention, confidence in practice, and improvements to autism evaluations and care.

关键词： Autism Spectrum Disorder Program Evaluation Case-Based Training Provider Burnout Continuing Medical Education

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Sexual Function in Pregnant Women in the Public Health System

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Open Journal of Obstetrics and Gynecology 2019年第6期9卷 764-774页

作者： candice Cezimbra Miranda Amanda Vilaverde Perez Bruno Ribeiro Bossardi Luiza Cabreira Brust Fernanda Santos Grossi Edimárlei Gonsales Valério Janete Vettorazzi Maria Celeste Osório Wender PostgraduationProgram in Health Sciences: Gynecology and Obstetrics Universidade Federal do Rio Grande do Sul (UFRGS). Rua Ramiro Barcelos Santa Cecilia Porto Alegre RS Brazil FAMED UFRGS Rua Ramiro Barcelos Santa Cecilia Porto Alegre RS Brazil Department of Gynecology and Obstetrics Faculty of Medicine (FAMED) UFRGS Rua Ramiro Barcelos Santa Cecilia Porto Alegre RS Brazil Service of Obstetrics and Gynecology Hospital de Clínicas de Porto Alegre (HCPA) Rua Ramiro Barcelos Santa Cecília Porto Alegre RS Brazil

Introduction: Pregnancy is a unique situation and involves changes in sexuality. The aim is to evaluate sexual function and satisfaction in pregnant women under prenatal care provided by the public health system. Method: Cross-sectional study with pregnant women receiving ambulatory care in the public health system in the Southern region of Brazil conducted between November 2014 and September 2015. Results: 283 pregnant women were studied. The mean age was 27.7 ± 6.3 years;64% were white and 31.1% were nulliparous. In the total sample, 8.50% were in the first trimester of pregnancy, 37.4% were in the second trimester, and 54.1% were in the third trimester. The rate of global sexual dysfunction (score 26 points) was 55.5%, following the application of The Female Sexual Function Index (FSFI). Sexual dysfunction was significantly more prevalent in the third trimester (62%) compared to the first (33.3%) and second (50.9%) trimesters (p = 0.015). There was a significant difference in all domains, except in the desired domain, according to the trimester. Pregnant women in the third trimester showed significantly lower scores compared to those in the first trimester in the domains with significance. Conclusion: The prevalence of sexual dysfunction among pregnant women in the public system was high. Knowing that more than 50% of the pregnant women presented sexual dysfunction, it is essential to approach sexuality during prenatal care involving the couple.

关键词： Sexual Dysfunction Pregnancy Female Sexual Function Index Sexuality Sexual Function

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PORTRAIT OF CHINA

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城市漫步（上海版、英文） 2016年第3期 36-36页

作者： ZOEY ZHA MARIANNA CERINI candice SHEN(图) 不详

I'm from Wenzhou,in Zhejiang,but my family and I moved to *** I'm helping dad out with his kuaidi work.I am just waiting for him.

关键词： helping Today moved

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增加白色子象素

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现代显示 2005年第8期 29-33页

作者： candice H.Brown Elliott Thomas L.Credelle Michael F.Higgins 徐丽华 Clairvoyante公司美国加里福尼亚95014 天马微电子公司

增加一个白色子象素到RGB彩色显示屏,结合子象素再生技术,可制造出具有高有效象素密度和显著增大了色阈的显示屏。

关键词：子象素色彩显示色阈映像算法

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月亮月亮，请回话

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天天爱学习（四年级） 2017年第19期 32-32页

作者： candice

你从哪里来？小鸡瞧瞧蛋壳，浪花钻进大海，袋鼠指指妈妈的育儿袋。只有月亮不吭声。拼命地扯过云朵遮住脸。原来，月亮的身世是个谜，关于它的来由，有一箩筐的猜想。为了找到真相，让我们一起对着夜空大声喊：“月亮月亮，请回话——”

关键词：月亮小学教育语文阅读理解

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我的“劫机”经历

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网球 2010年第11期 159-159页

作者： candice

去年是中网升级的第一年,看到参赛名单的那一刻,我就下定决心要按照中网提供的球员航班号去机场蹲守。因为有了准确的信息,很多球迷都选择了与我相同的方式。尤其是大牌球员如纳达尔、德约科维奇、小威廉姆斯和莎拉波拉抵达首都机场时,... 详细信息

去年是中网升级的第一年,看到参赛名单的那一刻,我就下定决心要按照中网提供的球员航班号去机场蹲守。因为有了准确的信息,很多球迷都选择了与我相同的方式。尤其是大牌球员如纳达尔、德约科维奇、小威廉姆斯和莎拉波拉抵达首都机场时,媒体和球迷蜂拥而至,场面也确实壮观。

关键词：网球体育运动运动员中国

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Aberrant cholesterol metabolic signaling impairs antitumor immunosurveillance through natural killer T cell dysfunction in obese liver

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Cellular & Molecular Immunology 2022年第7期19卷 834-847页

作者： Wenshu Tang Jingying Zhou Weiqin Yang Yu Feng Haoran Wu Myth T.S.Mok Lingyun Zhang Zhixian Liang Xiaoyu Liu Zhewen Xiong Xuezhen Zeng Jing Wang Jiahuan Lu Jingqing Li Hanyong Sun Xiaoyu Tian Philip Chun Yeung Yong Hou Heung Man Lee candice C.H.Lam Howard H.W.Leung Anthony W.H.Chan Ka Fai To John Wong Paul B.S.Lai Kelvin K.C.Ng Simon K.H.Wong Vincent W.S.Wong Alice P.S.Kong Joseph J.Y.Sung Alfred S.L.Cheng school of Biomedical Sciences The Chinese University of Hong KongHong Kong SAR 999077China Department of Anatomical and Cellular Pathology The Chinese University of Hong KongHong Kong SAR 999077China Department of Liver Surgery Ren Ji HospitalSchool of MedicineShanghai Jiao Tong UniversityShanghai 200127China Department of Surgery The Chinese University of Hong KongHong Kong SAR 999077China Department of Medicine and Therapeutics The Chinese University of Hong Kong.Hong Kong SAR 999077China State Key Laboratory of Digestive Disease The Chinese University of Hong KongHong Kong SAR 999077China Lee Kong Chian School of Medicine Nanyang Technological UniversitySingapore 639798Singapore Institute of Precision Medicine The First Affliated HospitalSun Yat-sen UniversityGuangzhou 510080China

Obesity is a major risk factor for cancers including hepatocellular carcinoma(HCC)that develops from a background of non-alcoholic fatty liver disease(NAFLD).Hypercholesterolemia is a common comorbidity of *** cholesterol biosynthesis mainly occurs in the liver,its role in HCC development of obese people remains *** high-fat high-carbohydrate diet-associated orthotopic and spontaneous NAFLD-HCC mouse models,we found that hepatic cholesterol accumulation in obesity selectively suppressed natural killer T(NKT)cell-mediated antitumor *** analysis of human liver revealed aberrant cholesterol metabolism and NKT cell dysfunction in NAFLD ***,cholesterol-lowering rosuvastatin restored NKT expansion and cytotoxicity to prevent obesogenic diet-promoted HCC ***,suppression of hepatic cholesterol biosynthesis by a mammalian target of rapamycin(mTOR)inhibitor vistusertib preceded tumor regression,which was abolished by NKT inactivation but not CD8^(+)T cell ***,sterol regulatory element-binding protein 2(SREBP2)-driven excessive cholesterol production from hepatocytes induced lipid peroxide accumulation and deficient cytotoxicity in NKT cells,which were supported by findings in people with obesity,NAFLD and *** study highlights mTORC1/SREBP2/cholesterol-mediated NKT dysfunction in the tumor-promoting NAFLD liver microenvironment,providing intervention strategies that invigorating NKT cells to control HCC in the obesity epidemic.

关键词： Cancer microenvironment Cancer models Tumour immunology

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CRM不是跨国企业的专利中小企业也可以应用CRM

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中国计算机用户 2005年第38期 38-38页

作者： candice Ng-Chee GCCRM

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使用微透析及自动化血液取样法和高效液相色谱化学及质谱检测法研究药物对神经介质的作用

使用微透析及自动化血液取样法和高效液相色谱化学及质谱检测法研...

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第九届中国神经药理学术会议

作者：谢福明外山英和田斐斐朱永新吉风和晃 Meloney Cregor candice B.Kissinger Peter T.Kissinger Bioanalytical Systems Inc. 2701 kent Avenue West Lafayette IN 47906USA Tokyo Metropolitan Institute for Neuroscience 2-6 Musashidai Fuchu Tokyo 183-8526Japan

监测动物体内与神经系统相关的药物对中枢神经系统中神经介质的影响及探索血药浓度与脑内神经介质变化的关系是研究药物的药理作用和研制新药的重要课题。按照传统的方法,测定药物对某些特定神经介质的影响时,必须将服用的各组动物按照...

监测动物体内与神经系统相关的药物对中枢神经系统中神经介质的影响及探索血药浓度与脑内神经介质变化的关系是研究药物的药理作用和研制新药的重要课题。按照传统的方法,测定药物对某些特定神经介质的影响时,必须将服用的各组动物按照设定的

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不同类型抗精神病药物及草药抗精神忧郁提取物对大鼠脑内神经介质的影响

不同类型抗精神病药物及草药抗精神忧郁提取物对大鼠脑内神经介质...

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中国药理学会第十届全国神经学术会议暨浙江省药理学会2002年年会

作者：谢福明外山英和周勤朱永新 Craig Bruntlett James Gitzen Meloney Cregor Elsa Janle candice B Kissinger Peter T Kissinger Bioanalytical Systems Inc.2701 Kent AvenueWest LafayetteIN 47906 USA

近年来,随着对各种抗精神病药物药理作用的研究,大大推动了这些药物的研究和开发。由于精神性疾病与患者体内的神经介质的平衡密切相关,一旦这种平衡受到破坏,相应的疾病就会发生,另一方面如果药物能够恢复患者体内神经介质的平衡,就能...

近年来,随着对各种抗精神病药物药理作用的研究,大大推动了这些药物的研究和开发。由于精神性疾病与患者体内的神经介质的平衡密切相关,一旦这种平衡受到破坏,相应的疾病就会发生,另一方面如果药物能够恢复患者体内神经介质的平衡,就能够治疗或改善患者的疾病,因此测定患者体内神

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