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第一届上海国际护理大会

作者： carolyn f. covington Nathaniel Johnson Isong Joyce King Irnise f.nne Annapurni Jayam-Trouth Annette Evans Howard University

Despite advances in stroke treatment in the United States stroke remains the third leading cause of.death among minorities’ populations and the leading cause of.serious, long-term disability in the United States. Minority populations are less likely to know all stroke symptoms, and f.r less likely to know all heart attack symptoms. There are many benef.ts of.early treatment of.stroke yet the majority of.minorities don’t get this treatment they need because they do not recognize the warning signs, risk f.ctors and prevention of.stroke. Objectives: The objectives of.this community based stroke prevention intervention course is to develop stroke champions in minority communities to increase knowledge and awareness of.stroke warning signs, risk f.ctors and prevention in minority populations living in a major urban community. Methods: The theoretical approach is based on Social Cognitive Theory and the Stages of.Change. A multi-site quasi-experimental design was used to（a） signif.cantly increase minority communities knowledge and awareness about stroke, warning signs, risk f.ctors and prevention.（b） Empower minority communities to decide to engage in health promoting behaviors to reduce their risk f.r stroke. The Behavioral Risk f.ctorSurveillance Survey（BRf.S） was used to collect data in this study. Blood pressure screenings and ref.rral were also conducted. A convenience sample of.3 males and 13 f.males participated in this study. Eighty-f.ve percent were black,（12%） white and other（3%）. Results: Most participants in this study perceived their health status as good（56%） or very good（31%）. The Wilcoxon mathched-pairs Signed Rank test indicate that mean scores f.r knowledge of.health promoting behaviors f.r stroke was(z =.00;p=1.00, knowledge of.risk f.ctors f.r stroke（z =.316;p=.752） and warning signs of.stroke（z =-.137;p=.891）. Conclusions: Overall participants did not show increased in knowledge and awareness of.stroke warning signs and risk f.ctors and prevention. Lo

关键词： stroke prevention minority communities community health health Promotion

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Ef.ectiveness of.Metanx Prescription Medical f.od on Small Nerve f.bers and Monof.lament Sensation in Patients with Diabetic Peripheral Polyneuropathy

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Journal of.Diabetes Mellitus 2016年第2期6卷 166-174页

作者： Victor f. McNamara Aaron I. Vinik Lori Barrentine Edward B. De Vol Central f.orida f.ot & Ankle Specialists PA Orlando FL USA Eastern Virginia Medical School Norfolk VA USA Nestlé Health Science-Pamlab Inc. Covington LA USA D & D Statistical Consultants Dallas TX USA

Purpose: Diabetic peripheral neuropathy (DPN) is prevalent among the population with type 2 diabetes, and treatment approaches are limited. The combination of.L-methylf.late-methylcobalamin-pyridoxal-5-phospate (LMf.MC-PP, Metanx?) is a prescription medical f.od that has demonstrated signif.cant improvements in sensory perception and quality of.lif. as well as reduced neuropathic pain in patients with DPN. The present study examined the ef.ects of.LMf.MC-PP on sensory perception and epidermal nerve f.ber density (ENf.) among patients with conf.rmed DPN. Methods: Patients with type 2 diabetes and diagnosed with diabetic peripheral polyneuropathy, based on loss of.vibratory perception, warm-cold discrimination or monof.lament sensation, underwent bilateral lower extremity ENf. assessments via skin punch biopsy and were started on LMf.MC-PP. ENf. and monof.lament testing were repeated at 6 months. f.ndings: Of.123 patients evaluated, all had monof.lament testing at baseline and 6 months and 122 had assessments at both time points. A signif.cant (p f. f.om baseline to 6 months was observed. A signif.cant (p = 0.0001) improvement in monof.lament testing also was observed. Overall, more patients had intact sensation af.er 6 months, with 60 (48.8%) of.123 patients having positive monof.lament test at baseline as compared to 95 (77.2%) positive af.er 6 months. An analysis of.the association between improvements in ENf. and monof.lament testing f.und that the two tended to occur together, and this was signif.cant (p f.r the right limb. Implications: Clinically important and statistically signif.cant improvements in ENf. and monof.lament sensation were associated with LMf.MC-PP in patients with DPN. When compared to the decrease in ENf. expected among DPN patients, the improvements are even more clinically signif.cant. These f.ndings should be validated in a larger, placebo-controlled study.

关键词： Diabetic Neuropathy Epidermal Nerve f.ber Density LMf.MC-PP Monof.lament Testing Small Nerve f.bers

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非增强MRI诊断急性阑尾炎的准确性:单机构临床表现回顾

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国际医学放射学杂志 2016年第4期 429-429页

作者： I.Petkovska D.R.Martin M.f.covington S.Urbina E.Duke Z.J.Daye 杨心悦 Department of.Medical Imaging University of Arizona College of Medicine

摘要目的探究应用非增强MRI诊断急诊科50岁以下伴有右下腹疼痛的病人急性阑尾炎的准确性。材料与方法该回顾性研究经伦理委员会通过,并免于签署知情同意书。收集2012年8月1日—2014年7月30日期间的403例病人。该横断面研究设计为:应用M... 详细信息

摘要目的探究应用非增强MRI诊断急诊科50岁以下伴有右下腹疼痛的病人急性阑尾炎的准确性。材料与方法该回顾性研究经伦理委员会通过,并免于签署知情同意书。收集2012年8月1日—2014年7月30日期间的403例病人。该横断面研究设计为:应用MR影像作为急诊科3～49岁

关键词：阑尾炎病人肠疾病 MRI 下腹疼痛

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