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Endothelial progenitor cells and burn injury–exploring the relationship

Burns & Trauma 2016年第1期4卷 27-33页

作者： Derek A.Banyard Blake O.Adnani Satenik Melkumyan cheryl ann araniego Alan D.Widgerow Department of Plastic Surgery Center for Tissue EngineeringUniversity of CaliforniaIrvine200S Manchester AveSte 650OrangeCA 92868USA

Burn wounds result in varying degrees of soft tissue damage that are typically graded *** a key participant in neovascularization,the endothelial progenitor cel,has been the subject of intense cardiovascular research to explore whether it can serve as a biomarker for vascular *** this review,we examine the identity of the endothelial progenitor cell as well as the evidence that support its role as a key responder after burn *** there is conflicting evidence with regards to the delta of endothelial progenitor cell mobilization and burn severity,it is clear that they play an important role in wound *** and controlled studies are needed to clarify this relationship,and whether this population can serve as a biomarker for burn severity.

关键词： Endothelial progenitor cells Burn depth Circulating angiogenic cells Burn biomarker

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Practising insight mediation

Practising insight mediation

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作者： (author.)Picard cheryl ann

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It’s for the Greater Good: Perspectives on Maltreatment during Labor and Delivery in Rural Ghana

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Open Journal of Obstetrics and Gynecology 2014年第7期4卷 383-390页

作者： Jamila Yakubu Dana Benyas Sarah Vandy Emil Ebenezer Amekah Richard Adanu cheryl A. Moyer Ghana Health Service Central Region Accra Ghana University of Ghana School of Public Health Accra Ghana University of Michigan Medical School Global REACH Ann Arbor USA University of Michigan School of Public Health Ann Arbor USA

Aim: Encouraging women to deliver in facility settings is one strategy to improve maternal and neonatal outcomes in the developing world. However, in much of sub-Saharan Africa, fewer than half of pregnant women deliver in health facilities. Fear of maltreatment during labor and delivery has been shown to be one barrier to facility delivery, yet previous studies have focused solely on reports from women, rarely seeking insights from practicing midwives. Method: All seven practicing midwives from a rural hospital in Ghana and ten pregnant women seeking antenatal care from the same hospital were recruited to participate in in-depth interviews regarding their perceptions of care during labor and delivery. A semi-structured interview tool and qualitative field interviewing approach were utilized. All interviews were audio taped, transcribed, and analyzed using NVivo 9.0. Results: Respondents described situations that precipitate abuse during facility deliveries, yet not all abuse was seen as acceptable. Two overarching themes emerged: 1) The interaction between midwives and their patients is analogous to a mother/daughter relationship, including both a knowledge imbalance and the need for disciplinary action when necessary;and 2) Midwives feel a strong sense of responsibility for the delivery outcomes and as a result, they will do whatever it takes to deliver a live baby to a healthy mother. Hitting, yelling, and neglecting women were reported as common occurrences in the labor and delivery ward. However, each was undertaken to encourage women to do what was needed to deliver safely. Conclusion: These findings suggest that the issue of patient maltreatment in low-resource labor and delivery settings is complex and may be undertaken in what is perceived to be the laboring woman’s best interest. The exploration of alternative strategies to facilitate labor and delivery is warranted, as well as the provision of adequate support and resources for practicing midwives in rura

关键词： Maltreatment Midwives Pregnancy West Africa Delivery Care Developing Countries

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