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Organizational commitment and turnover intention among rural nurses in the Philippines: Implications for nursing management

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International Journal of Nursing Sciences 2018年第4期5卷 403-408页

作者： Leodoro J.Labrague denise m.mcEnroe-Petitte Konstantinos Tsaras Jonas P.Cruz Paolo C.Colet Donna S.Gloe Sultan Qaboos University MuscatOman Kent State University Tuscarawas USA Technological Educational Institute of Thessaly LarissaGreece Shaqra University Saudi Arabia Nazarbayev University Kazakhstan Southwest Baptist University USA

Objectives:The unrelenting migration trend of Filipino nurses to other countries has threatened the quality of patient care services in the *** study explored the extent of nurses'organizational commitment and turnover intention in the ***,predictors of nurses'organizational commitment and turnover intention were ***:A cross-sectional research design was adopted for this *** hundred nurses from nine rural hospitals in the Central Philippines were asked to participate in the study and 166 nurses responded(an 83%response rate).Two standardized instruments were used:the Organizational Commitment Questionnaire and the Six-item Turnover Intention Inventory ***:Findings revealed that Philippine nurses were moderately committed(3.13±0.24)to and were undecided(2.42±0.67)whether or not to leave their ***'age(P=0.006),gender,(t=-2.25,P=0.026),education(t=2.38,Pmmitment,while nurses'age(P=0.028)and education(t=1.99,P=0.048)correlated significantly with turnover *** inverse relationship was identified between the organizational commitment and turnover intention(r=-0.22,P=0.005).Conclusion:The findings of this study highlight the need for formulation and implementation of interventions to promote life-long commitment in nurses and to reduce turnover rates.

关键词： Hospitals Rural Nurses Organizational commitment Philippines Turnover intention

Combined antrum and corpus biopsy protocol improves Helicobacter pylori culture success

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World Journal of Gastrointestinal Pathophysiology 2022年第1期13卷 34-40页

作者： denise E Brennan Colm O'morain Deirdre mcNamara Sinead m Smith Department of Clinical medicine Trinity College DublinTrinity CentreTallaght University HospitalDublin D24Ireland

BACKGROUND Helicobacter pylori(***)causes chronic gastritis,peptic ulcer disease,gastric adenocarcinoma and mucosa-associated lymphoid tissue *** rates have fallen,mainly due to antimicrobial *** guidelines recommend that first-line treatment is based on the local prevalence of antimicrobial resistance and that rescue therapies are guided by antimicrobial susceptibility testing(AST).However,*** culture is challenging and culture-based AST is not routinely performed in the majority of *** of *** culture from clinical specimens will enable more widespread AST to determine the most appropriate antimicrobials for *** *** To determine whether dual antrum and corpus biopsy sampling is superior to single antrum biopsy sampling for *** *** The study received ethical approval from the joint research ethics committee of Tallaght University Hospital and ***’s *** referred for upper gastrointestinal endoscopy were invited to *** were collected in tubes containing Dent’s transport medium and patient demographics were *** were used to inoculate Colombia blood agar *** were incubated under microaerobic conditions and evaluated for the presence of *** analyses were performed using Graphpad *** variables were compared using the two-tailed independent *** variables were compared using the two-tailed Fisher exact *** all cases,a P value less than 0.05 was considered *** In all,samples from 219 ***-infected patients were analysed in the *** mean age of recruited patients was 48±14.9 years and 50.7%(n=111)were *** most common endoscopic finding was gastritis(58.9%;n=129).Gastric ulcer was diagnosed in 4.6%(n=10)of patients,while duodenal ulcer was diagnosed in 2.7%(n=6).Single antrum biopsies were collected from 73 patients,whereas combined antrum

关键词： Helicobacter pylori Culture Antimicrobial susceptibility testing Antimicrobial Antrum Corpus

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弱视

英国医学杂志中文版 2016年第3期19卷 142-147页

作者： Joanna m Jefferis Alan J connor michael P Clarke 马楠李树宁 Department ofOphthalmology Royal Hallamshire Hospital. Sheffield.UK Department of Ophthahnology Hospital for Sick Children TorontoCanada Newcastle Eye Centre Newcastleupon Tyne Hospitals NHS Foundation Trust Royal Victoria Infirmary Newcastle Upon Tyne NE1 4LPUK 首都医科大学附属北京同仁医院眼科

什么是弱视？弱视一种视皮质功能受损的疾病。它是由于儿童时期视觉发育异常所致，继发于另一个病理过程，可以导致单眼永久的视力下降。弱视会导致一系列的视功能受损（表1）。我们常用“懒惰眼”来指代弱视，但是该病需与斜视相区分... 详细信息

什么是弱视？弱视一种视皮质功能受损的疾病。它是由于儿童时期视觉发育异常所致，继发于另一个病理过程，可以导致单眼永久的视力下降。弱视会导致一系列的视功能受损（表1）。我们常用“懒惰眼”来指代弱视，但是该病需与斜视相区分。斜视与弱视有可能同时存在，但是治疗必须分别进行。

关键词：视皮质功能受损儿童时期视觉发育异常视功能受损

Wavefront-optimized surface retreatments of refractive error following previous laser refractive surgery: a retrospective study

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Eye and Vision 2016年第1期3卷 22-28页

作者： Kevin m.Broderick Rose K Sia denise S.Ryan Richard D.Stutzman michael J.mines Travis C.Frazier mark F.Torres Kraig S.Bower Ophthalmology Service Walter Reed National Military Medical Center8901 Wisconsin AvenueBethesdaMD 20814USA Warfighter Refractive Eye Surgery Program and Research Center Ft.BelvoirVAUSA Ophthalmology Service Madigan Army Medical CenterTacomaWAUSA The Wilmer Eye Institute Johns Hopkins UniversityBaltimoreMDUSA

Background:Retreatments are sometimes necessary to correct residual or induced refractive errors following refractive *** different combinations of primary treatment methods and retreatment techniques have been studied,however,few studies have investigated wavefront-optimized(WFO)technology for retreatment following primary refractive *** study aimed to report the outcomes of WFO photorefractive keratectomy(PRK)retreatments of refractive error following previous laser refractive surgery with PRK,laser in situ keratomileusis(LASIK),or laser-assisted subepithelial keratectomy(LASEK).methods:We reviewed records of patients who underwent WFO PRK retreatments using the Allegretto Wave Eye-Q 400 Hz Excimer Laser System(Alcon Surgical)between January 2008 and April 2011 at Walter Reed Army medical Center and madigan Army medical *** were recorded in terms of uncorrected distance visual acuity(UDVA),manifest refraction spherical equivalent(mRSE),corrected distance visual acuity(CDVA),and complications at 1 month(m),3 m,and 6 m ***:Seventy-eight patients(120 eyes)underwent WFO PRK retreatment during the study *** surgery was surface ablation in 87 eyes(78 PRK,9 LASEK)and LASIK in 33 *** mean spherical equivalent before retreatment was−0.79±0.94 D(−3.00 to 1.88 D).UDVA was≥20/20 in 69 eyes(60.0%)at 1 m,54 eyes(71.1%)at 3 m,and 27 eyes(73.0%)at 6 m *** was within±0.50 D of emmetropia in 78 eyes(67.8%)at 1 m,59 eyes(77.6%)at 3 m,and 25 eyes(67.6%)at 6 m *** was maintained within±1 line of pre-op in 113 of 115 eyes(98.3%)at 1 m,74 of 76 eyes(97.4%)at 3 m,and 37 eyes(100%)at 6 m ***:Although follow-up was limited beyond 3 m,WFO PRK retreatments in patients with residual refractive error may be a safe and effective *** studies are necessary to determine the long-term safety and stability of outcomes.

关键词： Wavefront-optimized PRK LASIK LASEK Retreatment Enhancement

Electrophysiology and genetic testing in the precision medicine of congenital deafness:A review

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Journal of Otology 2021年第1期16卷 40-46页

作者： Kevin Y.Zhan Oliver F.Adunka Adrien Eshraghi William J.Riggs Sandra m.Prentiss denise Yan Fred F.Telischi Xuezhong Liu Shuman He Department of Otolaryngology e Head&Neck Surgery The Ohio State University Wexner Medical CenterColumbusOHUSA Department of Audiology Nationwide Children’s HospitalColumbusOHUSA Department of Otolaryngology e Head&Neck Surgery University of Miami Miller School of MedicineMiamiFLUSA Dr.John T.macDonald Foundation Department of Human GeneticsUniversity of Miami Miller School of MedicineMiamiFLUSA

Background:Congenital hearing loss is remarkably heterogeneous,with over 130 deafness genes and thousands of variants,making for innumerable genotype/phenotype *** both the pathophysiology of hearing loss and molecular site of lesion along the auditory pathway permits for significantly individualized *** techniques such as electrocochleography(ECochG)and electrically-evoked compound action potentials(eCAP)are being studied to localize pathology and estimate residual cochlear *** *** review describes the expanding roles of genetic and electrophysiologic evaluation in the precision medicine of congenital hearing *** basics of genetic mutations in hearing loss and electrophysiologic testing(ECochG and eCAP)are reviewed,and how they complement each other in the diagnostics and prognostication of hearing *** together,these measures improve the understanding of insults to the auditory system,allowing for individualized counseling for CI candidacy/outcomes or other habilitation ***:Despite tremendous discovery in deafness genes,the effects of individual genes on neural function remain poorly *** the understanding between molecular genotype and neural and functional phenotype is paramount to interpreting genetic results in clinical *** future hearing healthcare provider must consolidate an ever-increasing amount of genetic and phenotypic information in the precision medicine of hearing loss.

关键词： Electrophysiology Genetics Hearing loss ECAP ECocHG

Smith, Aminda m., Thought Reform and China＇s Dangerous Classes Reeducation, Resistance, and the People

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Frontiers of History in China 2014年第2期9卷 317-321页

作者： denise Y. Ho The Chinese University of Hong Kong

Aminda m. Smith＇s bold and thought-provoking first book examines the reeducation of China＇s ＂dangerous classes＂ in the 1950s, using the process of thought reform to study how the new party-state answered the following question ＂What makes a vast population of heterogeneous individuals into the Chinese People？＂（p. 11）. With an array of primary source materials including government documents from the Beijing municipal Archive,

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Low yield of routine duodenal biopsies for evaluation of abdominal pain

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World Journal of Gastroenterology 2015年第24期21卷 7495-7499页

作者： Sterling m Dubin Wilson T Kwong denise Kalmaz Thomas J Savides Department of medicine Division of Gastroenterology University of California San Diego La Jolla

AIm: To determine the yield of biopsying normal duodenal mucosa for investigation of abdominal ***: This is a retrospective chart review of consecutive patients who underwent esophagogastroduodenoscopy(EGD) with duodenal biopsies of normal appearing duodenal mucosa for an indication that included abdominal pain. All the patients in this study were identified from an electronic endoscopy database at a single academic medical center and had an EGD with duodenal biopsies performed over a 4-year period. New diagnoses that were made as a direct result of duodenal biopsies were identified. All duodenal pathology reports and endoscopy records were reviewed for indications to perform the examination as well as the findings; all the medical records were reviewed. Exclusion criteria included age less than 18 years, duodenal mass, nodule, or polyp, endoscopic duodenitis, duodenal scalloping, known celiac disease, positive celiac serology, Crohns disease, or history of bone marrow transplant. Information was collected in a de-identified database with pertinent demographic information including human immunodeficiency virus(HIV) status, and descriptive statistics were ***: About 300 patients underwent EGD with biopsies of benign appearing or normal appearing duodenal mucosa. The mean age of patients was 44.1 ± 16.8 years; 189 of 300(63%) were female. A mean of 4.3 duodenal biopsies were performed in eachpatient. In the subgroup of patients with abdominal pain without anemia, diarrhea, or weight loss the mean age was 43.4 ± 16.3 years. Duodenal biopsies performed for an indication that included abdominal pain resulting in 4 new diagnoses(3 celiac disease and 1 giardiasis) for an overall yield of 1.3%. 183 patients with abdominal pain without anemia, diarrhea, or weight loss(out of the total 300 patients) underwent duodenal biopsy of duodenal mucosa resulting in three new diagnoses(two cases of celiac disease and one giardiasis) for a yield of 1.6%. Duodenal

关键词： Duodenum Celiac disease Esophagogastroduodenoscopy Abdominal pain Anemia Iron deficiencyanemia Diarrhea

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利用DEm提取地貌指数的方法述评

水科学进展 2002年第6期13卷 775-780页

作者：熊立华郭生练 Kieran m.O connor 武汉大学水利水电学院湖北武汉430072 Department of Engineering Hydrology National University of Ireland

介绍了几个广泛应用于水文科学的流域地貌指数(包括地表坡度、流量分配系数、单宽集水面积、集水面积以及湿度指数)的计算方法,阐述了这些地貌指数在水文科学中所代表的物理意义和对流域水文过程空间分布的描述能力。对了解流域地貌对... 详细信息

介绍了几个广泛应用于水文科学的流域地貌指数(包括地表坡度、流量分配系数、单宽集水面积、集水面积以及湿度指数)的计算方法,阐述了这些地貌指数在水文科学中所代表的物理意义和对流域水文过程空间分布的描述能力。对了解流域地貌对降雨径流的影响,揭示产汇流过程的物理机制,研制和开发分布式水文物理模型均有重要意义。

关键词：地理信息系统数字高程模型流域地貌物理指数

Lipocalin 2 stimulates bone fibroblast growth factor 23 production in chronic kidney disease

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Bone Research 2021年第3期9卷 385-395页

作者： Guillaume Courbon connor Francis Claire Gerber Samantha Neuburg Xueyan Wang Emily Lynch Tamara Isakova Jodie LBabitt myles Wolf Aline martin Valentin David Division of Nephrology and Hypertension Department of Medicineand Center for Translational Metabolism and HealthInstitute for Public Health and MedicineNorthwestern University Feinberg School of MedicineChicagoILUSA Nephrology Division Program in Membrane BiologyMassachusetts General HospitalHarvard Medical SchoolBostonMAUSA Division of Nephrology Department of Medicineand Duke Clinical Research InstituteDuke University School of MedicineDurhamNCUSA

Bone-produced fibroblast growth factor 23(FGF23)increases in response to inflammation and iron deficiency and contributes to cardiovascular mortality in chronic kidney disease(CKD).Neutrophil gelatinase-associated lipocalin(NGAL or lipocalin 2;LCN2 the murine homolog)is a pro-inflammatory and iron-shuttling molecule that is secreted in response to kidney injury and may promote CKD *** investigated bone FGF23 regulation by circulating *** 23 weeks,Col4a3KO mice showed impaired kidney function,increased levels of kidney and serum LCN2,increased bone and serum FGF23,anemia,and left ventricular hypertrophy(LVH).Deletion of Lcn2 in CKD mice did not improve kidney function or anemia but prevented the development of LVH and improved survival in association with marked reductions in serum ***2 deletion specifically prevented FGF23 elevations in response to inflammation,but not iron deficiency or phosphate,and administration of LCN2 increased serum FGF23 in healthy and CKD mice by stimulating Fgf23 transcription via activation of cAmP-mediated signaling in bone *** results show that kidney-produced LCN2 is an important mediator of increased FGF23 production by bone in response to inflammation and in ***2 inhibition might represent a potential therapeutic approach to lower FGF23 and improve outcomes in CKD.

关键词： FGF23 kidney inflammation