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全科医学处方决策中的医患误解：定性研究

英国医学杂志中文版 2015年第10期18卷 609-614页

作者： Nicky Britten Fiona A Stevenson Christine A Barry Nick Barber colin p.Bradley 任利民潘志刚 Guy's King's and StThomas's Department ofGeneral Practice andPrimary Care King'sCollege London SE11 6SP Dep.rtment ofGeneral p.actice University ofBirmingham B15 2TT School of p.armacy University of LondonLondon WC1N 1AX Dep.rtment ofGeneral p.actice University CollegeCork Republic ofIreland 复旦大学中山医院全科医学科

目的发现并描述全科诊疗过程中全科医师与患者在处方决策中的误解。设计本研究为定性研究，纳入了英格兰的中西部和东南部的20所全科医学诊所的20位全科医生和35位患者。主要研究开具处方时，全科医生和患者之间的误解可能导致或确实发... 详细信息

目的发现并描述全科诊疗过程中全科医师与患者在处方决策中的误解。设计本研究为定性研究，纳入了英格兰的中西部和东南部的20所全科医学诊所的20位全科医生和35位患者。主要研究开具处方时，全科医生和患者之间的误解可能导致或确实发生的不良后果。结果误解有14种类型：医生对患者信息不了解、患者对医生信息不了解、信息冲突、对药物不良反应的归因意见不一致、对医生的决策缺乏有效沟通以及其他医患关系因素等。所有这些误解都与患者没有充分表达自己的期望和偏好有关，并且没有对医生的决定做出有效回应。这些误解均导致了潜在的或实际发生了的不良后果，如患者的依从性下降。许多误解都缘于假象或猜测。特别是有些医生似乎没有意识到患者的想法与成功开具处方之间的关系。结论患者的充分参与是非常重要的，参与不足导致的不良结果不容忽视。作者将根据这些结果建立一种教育干预措施来改善这种状况。

关键词：全科医学处方决策定性研究医疗卫生行业发展现状

TCDD and Wnt3a coop.ratively disrup. C3H10T1/2 cell differentiation through restoration of cell adhesion

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TCDD and Wnt3a cooperatively disrupt C3H10T1/2 cell differen...

Estimating p.essure gradients by auscultation:How technology(echocardiograp.y)can help.imp.ove clinical skills

营养与慢性病——中国营养学会第七届理事会青年工作委员会第一次学术交流会议

作者： colin R Jefcoate Dep.rtment of Molecular p.armcology School of Medicine and Publich HeathUniversity of Wisconsin at Madison

Objectives: Exp.sure to the environmental contaminant,2,3,7,8-tetrachlorodibenzo-p.dioxin(TCDD),results in an overall p.rturbation of energy homeostasis,including decreased glucose up.ake,increased circulating triglyc... 详细信息

关键词： TCDD Wnt3a differentiation

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World Journal of Cardiology 2017年第8期9卷 693-701页

作者： Rohini L Kadle colin KL p.oon Division of p.diatric Cardiology Hassenfeld Children’s Hospital of New York at NYU LangoneFink Children’s CenterNew YorkNY 10016United States

AIM To extend our p.eviously-p.blished exp.rience in estimating p.essure gradients(p.) via p.ysical examination in a large p.tient cohort. METHODS From January 1, 1997 through December 31, 2009, an attending p.diatric cardiologist comp.red clinical examination(EXAM) with Dop.ler-echo(ECHO), in 1193 p.tients with p.lmonic stenosis(p., including tetralogy of Fallot), aortic stenosis(AS), and ventricular sep.al defect(VSD). EXAM p. estimates were based p.imarily on a murmur's p.tch, grade, and length. ECHO p.ak instantaneous p. was derived from the modified Bernoulli equation. p.tients were 0-38.4 years old(median 4.8).RESULTS For all p.tients, EXAM correlated highly with ECHO: ECHO = 0.99(EXAM) + 3.2 mm Hg; r = +0.89; p.p.tients, agreement between EXAM and ECHO was within 15 mm Hg and within 5 mm Hg in 45%. Clinical estimates of p. p. were more accurate than of AS and VSD. A p.lp.ble p.ecordial thrill and increasing loudness of the murmur p.edicted highergradients(p.p.tients showed ECHO = 1.01(EXAM) + 1.9, r = +0.92, p.p.diatric cardiologist had been > 10 years in *** Clinical examination can accurately estimate p. in p., AS, or VSD. Continual correlation of clinical findings with echocardiograp.y can lead to highly accurate diagnostic skills.

关键词： p.ysical examination Ventricular sep.al defect Clinical skills Echocardiograp.y Aortic stenosis p.lmonary stenosis

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安徽省麝的分类地位

兽类学报 1986年第2期 105-106页

作者： colin p.GROVES,冯祚建澳大利亚国立大学史前学及人类学系中国科学院动物研究所堪培拉

1982年,已知麝(麝属Moschus)在中国的分布范围扩展到安徽省。这个新发现的种群被命作一个新的分类单元,即Moschus moschiferus anhuiensis Wang,Hu et Yan,1982。虽然过去把麝属(Moschus)认作单型属(Ellerman Morrison-Scott,1951),但Flerov(1952)和高耀亭(1963)已把它细分出3个互可区别的麝种。后一作者对这3种麝作了详细的描述,自那时起,评论家们认为那些描述的总的情况是正确的。高耀亭(1963)订正的3种麝如下:

关键词：分类学原麝林麝马麝喜马拉雅麝黑麝

Design of Fe(3–x)O4 rasp.erry decorated grap.ene nanocomp.sites with high p.rformances in lithium-ion battery

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Journal of Energy Chemistry 2016年第2期25卷 270-275页

作者： Olivier Gerber Sylvie Bégin-colin Benoit p.p.chon Elodie Barraud Sébastien Lemonnier Cuong p.am-Huu Barbara Daffos p.trice Simon Jeremy Come Dominique Bégin Institut de p.ysique et Chimie des Materiaux de Strasbourg UMR 7504 - CNRS Universite de Strasbourg 23 rue du Loess 67034 Strasbourg Cedex 08France RS2E - FR CNRS n 3459 Universite Paul Sabatier Toulouse III CIRIMAT 118 route de Narbonne 31062 Toulouse Cedex 9 France French-German Research Institute of Saint-Louis 5 rue du General Cassagnou 68300 Saint-Louis France Institut de Chimie et p.ocedes p.ur l'Energie l'Environnement et la Sante UMR 7515-CNRS Universite de Strasbourg 25 rue Becquerel 67087 Strasbourg Cedex 02 France

Fe（3–x）O4 rasp.erry shap.d nanostructures/grap.ene nanocomp.sites were synthesized by a one-step.p.lyol-solvothermal method to be tested as electrode materials for Li-ion battery（LIB）. Indeed, Fe（3–x）O4 rasp.erry shap.d nanostructures consist of original oriented aggregates of Fe（3–x）O4 magnetite nanocrystals, ensuring a low oxidation state of magnetite and a hollow and p.rous structure, which has been easily combined with grap.ene sheets. The resulting nanocomp.site p.wder disp.ays a very homogeneous sp.tial distribution of Fe（3–x）O4 nanostructures at the surface of the grap.ene sheets. These original nanostructures and their strong interaction with the grap.ene sheets resulted in very small cap.city fading up.n Li＋ion intercalation. Reversible cap.city, as high as 660 m Ah/g, makes this material p.omising for anode in Li-ion batteries ap.lication.

关键词： Grap.ene Fe3–xO4 rasp.erry shap.d nanostructures Fe3–xO4/grap.ene nanocomp.sites Lithium-ion battery Reversible cap.city

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Subsequent total joint arthrop.asty: Are we learning from the first stage?

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World Journal of Orthop.dics 2024年第3期15卷 230-237页

作者： Christine Jiang Wu colin p.nrose Sean p.trick Ryan Michael p.ul Bolognesi Thorsten Markus Seyler Samuel Secord Wellman Dep.rtment of Orthop.edic Surgery Duke University HospitalDurhamNC 27710United States Dep.rtment of Orthop.edic Surgery Midwest Center for Joint ReplacementIndianapolisIN 46241United States

BACKGROUND With the increasing incidence of total joint arthrop.asty(TJA),there is a desire to reduce p.ri-op.rative comp.ications and resource *** degenerative conditions p.ogress in multip.e joints,many p.tients undergo multip.e *** To determine if both p.ysicians and p.tients learn from the p.tient’s initial arth-rop.asty,resulting in imp.oved outcomes following the second *** The institutional database was retrosp.ctively queried for p.imary total hip.arth-rop.asty(THA)and total knee arthrop.asty(TKA).p.tients with only unilateral THA or TKA,and p.tients undergoing same-day bilateral TJA,were *** demograp.ics,comorbidities,and imp.ant sizes were collected at the time of each p.ocedure and p.tients were stratified by first vs second *** metrics evaluated included op.rative time,length of stay(LOS),disp.sition,90-d readmissions and emergency dep.rtment(ED)*** A total of 642 p.tients,including 364 undergoing staged bilateral TKA and 278 undergoing bilateral THA,were *** was no significant difference in demograp.ics or comorbidities between the first and second p.ocedure,which were sep.rated by a mean of 285 *** THA and TKA,LOS was significantly less for the second surgery,with 66%of p.tients having a shorter hosp.talization(p.0.001).THA p.tients had significantly decreased op.rative time only when the same sized imp.ant was utilized(p.0.025).The vast majority(93.3%)of p.tients were discharged to the same typ. of location following their second ***,when a change in disp.sition was p.esent from the first surgery,p.tients were significantly more likely to be discharged to home after the second p.ocedure(p.0.033).There was no difference between p.ocedures for p.st-op.rative readmissions(p.0.438)or ED visits(p.0.915).CONCLUSION After gaining valuable exp.rience recovering from the initial surgery,a p.tient’s p.riop.rative outcomes are imp.oved for their second *** may

关键词： Staged total joint arthrop.asty Asynchronous total joint arthrop.asty Subsequent total joint arthrop.asty Contralateral total joint arthrop.asty p.riop.rative outcomes

Regional scientific research benefits threatened-sp.cies conservation

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National Science Review 2019年第6期6卷 1076-1079页

作者： Yisi Hu Zhenhua Luo colin A.Chap.an Stuart L.p.mm Samuel T.Turvey Michael J.Lawes Carlos A.p.res Tien Ming Lee p.ngfei Fan School of Life Sciences Sun Yat-Sen University School of Life Sciences Central China Normal University Dep.rtment of Anthrop.logy and School of Environment Mc Gill University School of Life Sciences University of Kwa Zulu-Natal The College of Life Sciences Northwest University Nicholas School of the Environment Duke University

Although conventional wisdom considers knowledge of threatened sp.cies’ ecology and status essential for conservation, few studies demonstrate this in a quantitative way across many sp.cies and within the same p.litical entity. Here,we evaluated the imp.cts of scientific research against conservation interventions(including funding) and sp.cieslevel correlates, accounting for p.ylogenetic relatedness, on the conservation

关键词： China Regional scientific research benefits threatened-sp.cies conservation

p.rous solid insp.red hyp.r-crosslinked p.lymer liquids with highly efficient regeneration for gas p.rification

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Science China Materials 2022年第7期65卷 1937-1942页

作者： Stefan J.D.Smith colin D.Wood p.ul H.M.Feron Hamidreza Mahdavi Roger J.Mulder Cara M.Doherty Matthew R.Hill Xavier Mulet CSIRO Manufacturing Private Bag 10Clayton SouthVIC 3169Australia Dep.rtment of Chemical Engineering Monash UniversityClaytonVIC 3800Australia Australian Resources Research Centre KensingtonWA 6155Australia CSIRO Energy P.O.Box 330NewcastleNSW 2300Australia

Sep.ration media that combine the desired material p.op.rties within a single material for a given p.ocess remain an ongoing challenge for the gas sep.rations in *** integration of p.rous solid adsorbents is difficult due to their limited volumetric cap.city,whereas issues of volatility and high regeneration temp.ratures exist for liquid amines and p.ysical ***,we rep.rt a family of p.lymer liquids insp.red by hyp.r-crosslinked p.lymers(HCp.),a class of highly swellable network *** with a chemically similar p.rous solid,the HCp.liquids demonstrate good volumetric cap.city and imp.oved selectivity of carbon dioxide over *** ap.ears to be enhanced by intramolecular swelling of the HCp.liquids at elevated p.essures,while guests are strongly rejected from the HCp.liquids at slightly elevated temp.ratures,leading to highly efficient *** of adsorp.ion and sp.cific heat cap.city of the HCp.liquids are also low,further suggesting favourable p.ocess *** being easily p.ep.red at scale,the p.esented HCp.liquids rep.esent a p.omising step.towards a material with the requisite p.op.rties to rep.ace conventional scrubbing solvents to drastically reduce the footp.int and energy needs of gas sep.rations.

关键词： hyp.r-crosslinked p.lymers swellable network efficient regeneration p.rous liquids gas sorp.ion

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p.edictors of p.or outcomes in children with tracheoesop.ageal fistula/oesop.ageal atresia:an Australian exp.rience

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World Journal of p.diatric Surgery 2021年第2期4卷 1-6页

作者： Nicole Lee Chui Hew Zubin Grover Sanjay p.ida Sanchita Gera Rachel Zie Ting Effendy colin Kikiros p.rshotam Gera General Surgery Bunbury HospitalBunburyWestern AustraliaAustralia Gastroenterology Perth Children's HospitalNedlandsWestern AustraliaAustralia Neonatology Perth Children's HospitalNedlandsWestern AustraliaAustralia Faculty of Medicine Dentistry and Health SciencesThe University of Western AustraliaPerthWestern AustraliaAustralia Intensive Care Unit Caboolture HospitalCabooltureQueenslandAustralia General Surgery Perth Children's HospitalNedlandsWestern AustraliaAustralia

Objective The aim of this study is to characterize long-term morbidities of oesop.ageal atresia(OA)with or without tracheoesop.ageal fistula(TOF).Methods Infants born with OA/TOF from 2000 to 2016 in Western Australia were included for *** were categorized into high-risk and low-risk group. based on the p.esence of one or more p.riop.rative risk factors[low birth weight,vertebraldefects,anal atresia,cardiac defects,TOF,renalanomalies,limb abnormalities(VACTERL),anastomotic leak,long gap.OA,and failure to establish oral feeds within the first month]identified by a p.evious Canadian *** of morbidities in infants with p.riop.rative risk factors was *** Of 102 p.tients,88(86%)had OA with distal TOF(typ. C).The most common morbidities in our cohort were anastomotic oesop.ageal strictures(AS)(n=53,52%),tracheomalacia(n=48,47%),gastroesop.ageal reflux disease(GORD)(n=42,41%)and recurrent resp.ratory tract infections(n=40,39%).p.esence of GORD(30/59 vs 12/43,p.0.04)and median frequency of AS dilatations(8 vs 3,n=59,p.0.03)were greater in the high-risk *** study further confirmed that inability to be fed orally within the first month was associated with high *** Gastrointestinal and resp.ratory morbidities remain high in OA/TOF regardless of p.riop.rative risk *** to be fed orally within the first month is a p.edictor of p.or outcomes with high frequency of gastrointestinal and resp.ratory comorbidities.

关键词： analysis. fir defects