检索结果-南通市图书馆

Implementation of a Pediatric Emergency Triage System in Xiamen, China

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Chinese Medical Journal 2016年第20期129卷 2416-2421页

作者： Gang-Xi Lin Yin-Ling Yang Denise Kudirka colleen Church Collin K K Yong Fiona Reilly Qi-Yi Zeng Department of Pediatrics Southern Medical UniversityGuangzhouGuangdong 510515China Department of Emergency Medicine First Affiliated Hospital of Xiamen UniversityXiamenFujian 361003China Department of Emergency Medicine First Affiliated Hospital of Xiamen University Xiamen Fujian 361003 China Department of Emergency Medicine Montreal Children's HospitalTupper V5L 2N1Canada Department of Emergency Medicine British-Columbia Children's HospitalVancouverBC V5L 2N1Canada Department of Emergency Medicine Mater Children's HospitalPaddingtonQueensland 4101Australia

Background：Pediatric emergency rooms （PERs） in Chinese hospitals are perpetually full of sick and injured children because of the lack of sufficiently developed community hospitals and low access to family *** aim of this study was to evaluate the clinical value of a new five-level Chinese pediatric emergency triage system （CPETS）,modeled after the Canadian Triage System and Acuity ***：In this study,we compared CPETS outcomes in our PER relative to those of the prior two-level *** who visited our PER before （January 2013-June 2013） and after （January 2014-June 2014） the CPETS was implemented served as the control and experimental group,*** flow,triage rates,triage accuracy,wait times （overall and for severe patients）,and patient/family satisfaction were compared between the two ***：Relative to the performance of the former system experienced by the control group,the CPETS experienced by the experimental group was associated with a reduced patient flow through the PER （Cox-Stuart test,t =0,P 〈 0.05）,a higher triage rate （93.40% vs.90.75%;χ^2 =801.546,P 〈 0.001）,better triage accuracy （96.32% vs.85.09%;χ^2 =710.904,P 〈 0.001）,shorter overall wait times （37.30 ± 13.80 min vs.41.60 ± 15.40 min;t =11.27,P 〈 0.001）,markedly shorter wait times for severe patients （2.07 [0.65,4.11] min vs.3.23 [1.90,4.36] min;z =-2.057,P =0.040）,and higher family satisfaction rates （94.23% vs.92.21%;x2 =321.528,P 〈 0.001）.Conclusions：Implementing the CPETS improved nurses＇ abilities to triage severe patients and,thus,to deliver the urgent treatments more *** system shunted nonurgent patients to outpatient care effectively,resulting in improved efficiency of PER health-care delivery.

关键词： Clinical Application Emergency Care Patient Satisfaction Wait Time

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

10位最会穿衣的CEo

经营者(汽车商业评论) 2015年第2期 182-183页

作者： colleen Kane

他们是美国顶尖CEo里最会穿衣服的,可惜的是没有汽车公司老总上榜,看来大家还得学着点儿有钱不一定等于有品位。对大公司CEo来说,在考虑自我形象时,得穿得像个领导者,时尚不时尚有时候倒是其次的。如果一位CEo穿衣风格上佳,可以给外界... 详细信息

他们是美国顶尖CEo里最会穿衣服的,可惜的是没有汽车公司老总上榜,看来大家还得学着点儿有钱不一定等于有品位。对大公司CEo来说,在考虑自我形象时,得穿得像个领导者,时尚不时尚有时候倒是其次的。如果一位CEo穿衣风格上佳,可以给外界传递一种正面信息。时尚

关键词： CEo 普兰克埃里森梅耶尔休闲装舒尔茨

Body mass index and blood pressure in rural, low socioeconomic children

同方期刊数据库评论

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

Health 2013年第8期5卷 91-95页

作者： Leah E. Robinson colleen M. Daly Danielle D. Wadsworth School of Kinesiology Auburn University Auburn USA

Background: Young children who are overweight and obese may be at a greater risk of hypertension, and those from rural and low socio-economic areas may also exhibit a prevalence of metabolic dysfunction and cardiovascular risk. This study evaluated the relationship of body mass index (BMI) and blood pressure in children from a rural, low socioeconomic community in Alabama. Methods: This cross-sectional study was comprised of young children (aged 5-9 years). BMI (normal, overweight, obese) was assessed using standardized procedures and classified based on the Centers for Disease Control Growth Charts. Blood pressure status (normal, pre-hypertension, hypertension;stage 1 and stage 2) was defined by percentiles of the 2nd and 3rd reading on a single occasion. A MANoVA was used to determine the relationship of BMI to mean blood pressure (i.e., systolic and diastolic). Results: of the 134 participants (78% non-Hispanic Black), 10 (7.5%) were overweight and 25 (18.7%) were obese. Pre-hypertension and hypertension were detected in 9 (6.7%) and 20 (14.9%) children, respectively. Results indicate that mean systolic and diastolic blood pressure significantly increased with BMI, P P = 0.028. Conclusion: Hypertension was strongly associated with an unhealthy BMI in these young children from a rural and low-socio-economic community. The findings raise concerns about the growing epidemic of childhood obesity and hypertension in young children and warrant the need to investigate lifestyle behavioral interventions on BMI and blood pressure.

关键词： Hypertension Rural Health Pediatrics obesity overweight

Treatment resource manual for speech-language pathology

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

optomechanical Design for Precision Lens Positioning and Mounting

2011年

作者： Froma P. Roth colleen K Worthington

来源：畅想之星图书光盘版（南... 评论

在线全文

畅想之星图书光盘版（南通市图书馆镜像）

学校读者我要写书评

暂无评论

optics and Photonics Journal 2016年第8期6卷 1-7页

作者： Shuping Wang Chi Zhang Mark Alt colleen Davis Michael L. Gardner Zheng Ji College of Engineering University of North Texas Denton TX USA Sanmina Corporation Carrollton TX USA Bosch Automotive Products Co. Ltd. Suzhou China

The proper choice of optomechanical components along with alignment techniques is vital to the successful implementation of lens positioning and mounting. In general, there is a trade-off between lens positioning accuracy and manufacturing cost. In order to achieve optimal precision- to-cost ratio, a careful optomechanical design together with accurate alignment and assembly is necessary. This paper presents a lens positioning and mounting in a few microns accuracy using a kinematic mount module. The optomechanical design of the kinematic mount module and the associated fixtures based on the simulation study of components sensitivity are presented. The processes for alignment and assembly, which separate decenter from tip-tilt, are developed and presented. Finally, the prototypes are created and testing results are presented. The optomechanical design that allows the separation of decenter from tip-tilt considerably simplifies the positioning and assembly process and reduces the cost for mass production.

关键词： optomechanical Design Lens Mount Lens Positioning

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

因为深爱，所以放手

作者： (美)科林·胡佛(colleen Hoover)

来源：南通市图书馆图书评论

学校读者我要写书评

暂无评论

荆棘鸟(节选)

疯狂英语（阅读版） 2010年第10期 56-61页

作者： colleen Mccullough 一茗

有一个传说，说的是有那么一只鸟儿，它一生只唱一次歌，那歌声比世上任何其他生灵的歌声都更加优美动听。从离开巢窝的那一刻起，它就在寻找着荆棘树，直到如愿以偿，才肯歇息下来。然后，它把自己的身体扎进最长、最尖的荆棘，在尖锐... 详细信息

有一个传说，说的是有那么一只鸟儿，它一生只唱一次歌，那歌声比世上任何其他生灵的歌声都更加优美动听。从离开巢窝的那一刻起，它就在寻找着荆棘树，直到如愿以偿，才肯歇息下来。然后，它把自己的身体扎进最长、最尖的荆棘，在尖锐的枝条间放开了歌喉。

关键词：荆棘鸟节选歌声传说

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

英美儿童文学有何不同

英语学习 2019年第12期 8-14页

作者： colleen Gillard 卢青亮(译注) 不详

如果哈利•波特和哈克贝利•费恩分别代表了英国和美国的儿童文学,一种令人玩味的动态情况就出现了:在一场蠃得儿童心灵与思想的文学对决中,一个是在苏格兰高地一所寄宿学校里学习的巫师,而另一个则是顺着密西西比河漂流而下,被骗子、奴... 详细信息

如果哈利•波特和哈克贝利•费恩分别代表了英国和美国的儿童文学,一种令人玩味的动态情况就出现了:在一场蠃得儿童心灵与思想的文学对决中,一个是在苏格兰高地一所寄宿学校里学习的巫师,而另一个则是顺着密西西比河漂流而下,被骗子、奴隶贩子和盗贼侵扰的赤脚男孩。一个用魔杖战胜邪恶,另一个则乘着木筏纠正社会问题。两个孤儿都征服了英语儿童文学的世界,但他们的故事却是以截然不同的方式展现的。

关键词：儿童文学儿童心灵密西西比河寄宿学校英国和美国苏格兰

Robotic Assisted, Total Laparoscopic, and Total Abdominal Hysterectomy for Management of Uterine Cancer

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Cancer Therapy 2012年第2期3卷 162-166页

作者： Nevadunsky Nicole Clark Rachel Muto Michael Berkowitz Ross Ghosh Sue Vitonis Allison Feltmate colleen Department of obstetrics and Gynecology Division of Gynecologic Oncology Brigham and Women’s Hospital Harvard Medical School Boston USA

objectives: The purpose was to compare robotic assisted total laparoscopic hysterectomy (TRH), laparoscopic assisted hysterectomy (TLH) and total abdominal hysterectomy (TAH) with surgical staging +/- lymphadenectomy for the management of uterine cancer. Methods: Institutional review board approval was obtained and patient characteristics, pathologic data, and data related to the surgical procedure were collected from chart review. Data were analyzed with SAS statistical software. Results: A total of 102 TRHs were compared to 115 TLHs and 79 TAHs. There were more grade I and endometrial intraepithelial (EIN) lesions in the preoperative pathology of TLHs (P P P P P P P onclusion: Despite longer surgical times, benefits of minimally invasive technology included shortened length of stay, decreased wound infections, transfusions, and blood loss. In our population, procedure selection for TLH versus TRH may have been influenced by lower preoperative grade, with reservation of robotic technology for cases anticipated to be more complex, and therefore justifying increased technology costs and operating times.

关键词： Robotics Laparoscopy Endometrial Cancer