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Transitions in health service use among women with poor mental health:a 7-year follow-up

Family Medicine and Community Health 2022年第2期10卷 1-10页

作者： Xenia Dolja-Gore deborah Loxton Catherine D'Este Julie E Byles Research Centre of Gender Health and AgeingThe University of NewcastleCallaghanNew South WalesAustralia The Australian Longitudinal Study on Women's Health The University of NewcastleCallaghanNew South WalesAustralia National Centre for Epidemiology and Population Health(NCEPH) Australian National UniversityCanberraAustralian Capital TerritoryAustralia

Objective Women suffering from mental health problems require varied needs of mental health service *** between general practitioner and mental health services use are available through the Better Access Scheme initiative,for those in need of *** study’s aim was to identify trajectories of mental health service utilisation by Australian *** The Australian Longitudinal Study on Women’s Health data linked to the administrative medical claims dataset were used to identify subgroups of women profiled by their mental health service use from 2006 to *** growth mixture model is a statistical method to profile subgroups of individuals based on their responses to a set of observed variables allowing for changes over *** class groups were identified,and used to examine predisposing factors associated with patterns of mental health service use change over *** This study was conducted in *** National representative sample of women of born in 1973-1978,who were aged between 28 and 33 years at the start of our study *** Six latent class trajectories of women’s mental health service use were identified over the period ***,one-quarter of the sample were classified as the most recent users,while approximate equal proportions were identified as either early users,late/low user or late-high ***,subgroups were defined as the consistent-reduced user and the late-high users,over *** 7.2%of the sample was classified as consistent high users who potentially used the services each *** These findings suggest that use of the Better Access Scheme mental health services through primary care was varied over time and may be tailored to each individual’s needs for the treatment of depressive symptoms.

关键词： service services Transition

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Joining the Trans-Pacific Partnership (TPP) Round 2

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国际贸易法论丛 2014年第1期 132-138页

作者： deborah Kay Elms Temasek Foundation Centre for Trade & Negotiations (TFCTN) S. Rajaratnam School of International Studies Nanyang Technological University

Getting the Deal Done with the TPP12The Trans-Pacific Partnership(TPP)trade negotiations are currently nearing completion with twelve countries:Australia,Brunei,Canada,Chile,Japan,Malaysia,Mexico,New Zealand,Peru,Sing... 详细信息

关键词： Trans-Pacific commitments agreement

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Constrained fixed-fulcrum reverse shoulder arthroplasty improves functional outcome in epileptic patients with recurrent shoulder instability

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World Journal of Orthopedics 2016年第7期7卷 434-441页

作者： Tanujan Thangarajah deborah Higgs J I L Bayley Simon M Lambert the Shoulder and Elbow Service the Royal National Orthopaedic Hospital

AIM: To report the results of fixed-fulcrum fully constrained reverse shoulder arthroplasty for the treatment of recurrent shoulder instability in patients with epilepsy. METHODS: A retrospective review was conducted at a single facility. Cases were identified using a com-puterized database and all clinic notes and operative reports were reviewed. All patients with epilepsy and recurrent shoulder instability were included for study. Between July 2003 and August 2011 five shoulders in five consecutive patients with epilepsy underwent fixed-fulcrum fully constrained reverse shoulder arthroplasty for recurrent anterior shoulder instability. The mean duration of epilepsy in the cohort was 21 years(range, 5-51) and all patients suffered from grand mal seizures. RESULTS: Mean age at the time of surgery was 47 years(range, 32-64). The cohort consisted of four males and one female. Mean follow-up was 4.7 years(range, 4.3-5 years). There were no further episodes of instability, and no further stabilisation or revision procedures were performed. The mean Oxford shoulder instability score improved from 8 preoperatively(range, 5-15) to 30 postoperatively(range, 16-37)(P = 0.015) and the mean subjective shoulder value improved from 20(range, 0-50) preoperatively to 60(range, 50-70) postoperatively(P = 0.016). Mean active forward elevation improved from 71° preoperatively(range,45°-130°) to 100° postoperatively(range, 80°-90°) and mean active external rotation improved from 15° preoperatively(range, 0°-30°) to 40°(20°-70°) postoperatively. No cases of scapular notching or loosening were noted. CONCLUSION: Fixed-fulcrum fully constrained reverse shoulder arthroplasty should be considered for the treatment of recurrent shoulder instability in patients with epilepsy.

关键词： Arthroplasty Dislocation Epilepsy Instability Shoulder

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Sclerostin activity plays a key role in the negative effect of glucocorticoid signaling on osteoblast function in mice

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Bone Research 2017年第2期5卷 95-108页

作者： Eric E Beier Tzong-Jen Sheu Emily A Resseguie Masahiko Takahata Hani A Awad deborah A Cory-Slechta J Edward Puzas Department of Environmental Medicine University of Rochester School of Medicine and Dentistry Rochester NY USA Department of Environmental and Occupational Medicine Rutgers University Piscataway NJ USA and Center for Musculoskeletal Research University of Rochester School of Medicine and Dentistry Rochester NY USA

Stress during prenatal development is correlated with detrimental cognitive and behavioral outcomes in offspring. However, the long-term impact of prenatal stress(PS) and disrupted glucocorticoid signaling on bone mass and strength is not understood. In contrast, the detrimental effect of lead(Pb) on skeletal health is well documented. As stress and Pb act on common biological targets via glucocorticoid signaling pathways and co-occur in the environment, this study first sought to assess the combined effect of stress and Pb on bone quality in association with alterations in glucocorticoid signaling. Bone parameters were evaluated using microCT, histomorphometry, and strength determination in 8-month-old male mouse offspring subjected to PS on gestational days 16 and 17, lifetime Pb exposure(100 p.p.m. Pb in drinking water), or to both. Pb reduced trabecular bone mass and, when combined with PS, Pb unmasked an exaggerated decrement in bone mass and tensile strength. Next, to characterize a mechanism of glucocorticoid effect on bone, prednisolone was implanted subcutaneously(controlled-release pellet, 5 mg·kg^(-1) per day) in 5-month-old mice that decreased osteoblastic activity and increased sclerostin and leptin levels. Furthermore, the synthetic glucocorticoid dexamethasone alters the anabolic Wnt signaling pathway. The Wnt pathway inhibitor sclerostin has several glucocorticoid response elements, and dexamethasone administration to osteoblastic cells induces sclerostin expression. Dexamethasone treatment of isolated bone marrow cells decreased bone nodule formation, whereas removal of sclerostin protected against this decrement in ***, these findings suggest that bone loss associated with steroid-induced osteoporosis is a consequence of sclerostin-mediated restriction of Wnt signaling, which may mechanistically facilitate glucocorticoid toxicity in bone.

关键词： Sclerostin prenatal negative

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DON＇T THROW AWAY YOU IDENTITY

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空中英语教室（高级版．彭蒙惠英语） 2013年第2期 24-25,43,44页

作者： deborah Netburn

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Pancreaticoduodenectomy in the Middle East: Achieving optimal results through specialization and standardization

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Hepatobiliary & Pancreatic Diseases International 2019年第5期18卷 478-483页

作者： Walid Faraj Hussein Nassar Ahmad Zaghal deborah Mukherji Ali Shamseddine Mariam Kanso Rola F. Jaafar Mohamad Khalife Liver Transplantation and Hepatopancreaticobiliary Surgery Department of General SurgeryAmerican University of Beirut Medical CenterBeirutLebanon Department of Oncology American University of Beirut Medical CenterBeirutLebanon

Background: Pancreaticoduodenectomy is a challenging surgical intervention that remains the cornerstone in the treatment of localized peri-ampullary pathologies. The concept of treatment standardization has been well-established in many high-volume centers in the world. Here, we present our experience in pancreaticoduodenectomy from 1994 to 2015. Methods: We performed a retrospective review of the medical charts of patients who underwent pancreaticoduodenectomy at our institution. Data was entered to SPSS statistical software and analyzed. The Mann-Whitney U and Fisher’s exact tests were used to report statistical differences between groups. Results: Of the 370 patients who underwent pacreaticoduodenectomy, 300 were analyzed. The 1-, 3-, 5- and 10-year survival rates were 85%, 35%, 15%, and 7%, respectively with a 30-day mortality rate of 5.0%(15 patients). The median age of the patients was 61 (13-84) years, with 193 (64.3%) males and 107 (35.7%) females. The median operative time was 300 (130-570) min. The median postoperative length of hospital stay was 12 (5-76) days. Thirty-two patients required re-laparotomies;10 for pancreatic leak, 7 for biliary leak and 15 for control of bleeding. Seventy-five (25.0%) patients developed pancreatic fistulae. Delayed gastric emptying was present in 31 (10.3%) patients. A significant improvement in surgical outcome was observed in cases done after 2008 which indicates the important role of specialized team in surgical management. Conclusions: The number of patients undergoing pancreaticoduodenectomy has been increasing annually over the past twenty-two years in our institution with results comparable to published series from high-volume centers. Through standardization of surgical techniques and perioperative management carried out by a specialist team, our results continue to improve despite the increasing complexity of cases referred to our unit.

关键词： Pancreatic cancer Pancreaticoduodenectomy Middle East

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Vegetative propagation of Apuleia leiocarpa(Vogel)***

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Journal of Forestry Research 2022年第2期33卷 455-462页

作者： JoséGabriel de Souza Silva Diêgo Faustolo Alves Bispo David Pessanha Siqueira Giovanna Campos Mamede Weiss de Carvalho deborah Guerra Barroso Laboratório de Fitotecnia Universidade Estadual do Norte Fluminense Darcy RibeiroAvenida Alberto LamegoCampos dos GoytacazesRJ 2000Brazil

Apuleia leiocarpa is an environmentally and economically significant Atlantic Forest species threat-ened by ongoing *** vegetative propagation of the species could be a step forward to enable implanta-tion of clonal seed orchards and multiplication of selected trees but remains unknown to *** study assessed the mini-cutting technique for propagation of *** and determined the time required for rooting and viable mini-cutting type and *** results show that it is possible to propagate *** with mini-cuttings derived from mini-stumps produced with seeds;the mini-stumps pre-sented regrowth capacity and remained constantly produc-tive for 1 year;10-cm *** mini-cuttings should remain under misting conditions for at least 40 days,and the vegetative propagation of *** with intermediate 7-to 10-cm mini-cuttings resulted in more vigorous clonal seedlings than smaller mini-cuttings.

关键词： Mini-cutting Tropical woody species Adventitious rooting Fabaceae

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Book Review of Machine Scoring of Student Essays： Truth and Consequences

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英语考试研究 2011年第5期 47-49页

作者： deborah Crusan Wright State University Dayton OH

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Rrog-Sleep

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英语沙龙（高中） 2015年第12期 36-39,61页

作者： deborah walker

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Poised And Composed, Lewinsky Makes TV Debut

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当代外语研究 1999年第3期 44-46,33页

作者： deborah Zabarenko

Wearing a string of pearls and an earnest expression, Monica Lewinsky made her television debut (初次登场) Saturday, looking at least as comfortable under questioning as the president, his golfing buddy(打高尔夫球的伙伴) and his aide (助手). From the moment she lifted one hand and said, "I do," during her swearing-in, the 25-year old former White House intern appeared confident, composed and utterly prepared for her starring role in the U. S. Senate impeachment trial of President Clinton. Lewinsky’s responses to her questioner,

关键词：修辞格 Poised And Composed Lewinsky Makes TV Debut 高尔夫球 TV

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