检索结果-南通市图书馆

2005年

作者： Robert m. Rauber John E. Walsh and donna J. Charl

来源：畅想之星图书光盘版（南... 评论

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爱书者的旅行

空中英语教室（高级版．彭蒙惠英语） 2015年第4期 22-23,44页

作者： donna m. Owens 马励

卡拉·海登是巴尔的摩最知名的爱书人之一。她有21年的时间主掌该市伊诺克·普莱特免费图书馆。这位忙碌的爱书人旅游时，喜欢那些把书纳入住宿体验的旅馆。“我最喜欢的旅馆之一是纽约市的图书馆旅馆，”美国图书馆协会荣誉会长海登说... 详细信息

卡拉·海登是巴尔的摩最知名的爱书人之一。她有21年的时间主掌该市伊诺克·普莱特免费图书馆。这位忙碌的爱书人旅游时，喜欢那些把书纳入住宿体验的旅馆。“我最喜欢的旅馆之一是纽约市的图书馆旅馆，”美国图书馆协会荣誉会长海登说：“下榻此处绝不只是住一间旅馆，而是一段文学体验。”

关键词：爱书美国图书馆协会旅行旅馆纽约市

The influence of treatment modality on illness perception and secondary prevention outcomes among patients with acute myocardial infarction

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International Journal of Nursing Sciences 2017年第3期4卷 271-277页

作者： Ahmed mohammad Al-Smadi Loai Issa Tawalbeh Ala Ashour Issa m.Hweidi Besher Gharaibeh Paul Slater donna Fitzsimons Faculty of Nursing American University of MadabaAmman Jordan Faculty of Nursing Al-AlBayt UniversityP.O.Box:130040Al-Mafraq 25113Jordan Faculty of Nursing The Hashemite UniversityAl-ZarqaJordan Jordan University of Science and Technology IrbidJordan University of Ulster School of NursingUnited Kingdom Queen's University of Belfast United Kingdom

Objectives:This study aims to determine if patients with acute myocardial infarction differ in illness perception and secondary prevention outcomes depending on the treatment they ***:A repeated measures design was used to compare patients with acute myocardial infarction receiving three different treatment modalities:ST-elevation myocardial infarction treated by primary percutaneous coronary intervention,ST-elevation myocardial infarction treated by thrombolytic therapy,and non ST-elevation myocardial infarction treated by medication.A convenient sampling technique was used to recruit 206 patients with acute myocardial infarction who agreed to participate in the current ***'illness perception,physical activity,and demographical and clinical data were collected during hospital admission and again at 6 ***:A total of 186 patients completed the *** showed that the primary percutaneous coronary intervention group perceived their illness as acute rather than chronic(P=0.034)and has lower personal control(P=0.032),higher treatment control(P=0.025),and higher perception of illness coherence(P=0.022)compared with patients receiving thrombolytic therapy and treated after non-ST segment ***,they report low control of their blood pressure(P=0.013)and less physical activity(P=0.001).Conclusion:The results of this study revealed that patients'treated with primary percutaneous coronary intervention had negative illness perception and limited behavioral changes 6 months after hospitalization in comparison with other treatment modalities such as percutaneous coronary intervention and thrombolytic *** research is recommended to confirm this association with longer follow-up study and among different cultures.

关键词： Acute myocardial infarction Illness perception Primary percutaneous coronary intervention Secondary prevention

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Liver cancer understaging in liver transplantation in the current era of radiologic imaging and newer generation locoregional therapies

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Hepatoma Research 2022年第1期8卷 233-247页

作者： Hannah m.Lee donna mcClish Binu V.John Sarah Winks Ryan Clayton Somaya Albhaisi Allawy Allawy Samarth Patel Emma C.Fields Scott matherly Brian Strife Chandra Bhati Amit Sharma Richard K.Sterling Division of Gastroenterology Hepatologyand NutritionDepartment of MedicineVirginia Commonwealth UniversityRichmondVA 23298USA Department of Biostatistics Virginia Commonwealth UniversityRichmondVA 23298USA Division of Digestive Health and Liver Disease University of Miamiand Division of Gastroenterology and HepatologyMiami VA Health SystemMiamiFL 33125USA Department of Radiology Virginia Commonwealth UniversityRichmondVA 23298USA Department of Internal medicine Virginia Commonwealth UniversityRichmondVA 23298USA Central Virginia Veterans Health Care System RichmondVA 23249USA Department of Radiation Oncology Virginia Commonwealth UniversityRichmondVA 23298USA Division of Interventional Radiology Department of RadiologyVirginia Commonwealth UniversityRichmondVA 23298USA Hume-Lee Transplant Center Virginia Commonwealth UniversityRichmondVA 23298USA

Background:Discordance in hepatocellular carcinoma(HCC)staging between pre-transplant imaging and explant pathology is associated with an increased risk of recurrence and *** aim was to evaluate variables that predicted concordance/discordance in the era of new generation locoregional therapies(LRT)and improved radiologic technology in ***:A single-center retrospective study was performed on patients who received a liver transplant for HCC between ***-and post-LT variables,including type of LRT,downstaging(DS),transplant time period,and radiologic response to LRT,were analyzed for concordance/***-meier analysis was used to assess post-LT ***:Of 146 patients transplanted within milan Criteria(mC),discordance rates(understaged)were 45%.Discordance was associated with≥3 HCC lesions at diagnosis but not newer generation LRT(transarterial radioembolization/stereotactic body radiation therapy),traditional LRT or *** differences in discordance were seen between transplant periods(2008-2013 vs.2014-2019),but those within mC in the earlier period had higher concordance rates.A trend was observed between DS and ***:HCC stage discordance remains common and poorly *** was associated with three or more HCC lesions at the time of *** within mC transplanted between 2008-2013 was associated with concordance,while a trend was noted between DS and *** other pre-or post-LT variables predicted discordance/*** was associated with decreased survival.

关键词： Hepatocellular carcinoma understaging liver transplant radioembolization stereotactic body radiation therapy(SBRT)

Barriers and facilitators to an outreach rehabilitation program delivered in nursing homes after hip fracture surgical repair

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Advances in Aging Research 2013年第1期2卷 43-50页

作者： donna m. Wilson Sandra L. Robertson C. Allyson Jones D. W. C. Johnston Lauren A. Beaupre Department of Physical Therapy Faculty of Rehabilitative Medicine University of Alberta Edmonton Canada Department of Surgery Faculty of Medicine and Dentistry University of Alberta Edmonton Canada Faculty of Nursing University of Alberta Edmonton Canada

Objective: To identify and understand facilitators and barriers to implementing an Outreach rehabilitation program designed to improve post-operative recovery following hip fracture in long-term care residents. Residents of nursing home facilities are at considerable risk of hip fracture and minimal recovery following a hip fracture. methods: Data were gathered over June-August, 2012 through semi-structured interviews or focus groups. Fifteen persons (n = 15) who were members of the Outreach rehabilitation team (n = 8) or relevant nursing home staff (n = 7) were interviewed. Data analysis was guided by principles of grounded theory method. Findings: Three major themes that contributed to or hindered the Outreach rehabilitation program emerged, namely, 1) the division, the separate operation and delivery of rehabilitation services;2) building bridges, or negotiating ways to communicate and work together, and 3) strength in the structure, the acceptance of the program and the perceived benefits of the program. One main challenge to program implementation con- cerned coordinating additional rehabilitation with the rehabilitation provided within the nursing homes. Facility staff was largely unaware of the program and were unprepared to work with Outreach team members. As the program progressed, the facility staff and Outreach team were able to collaborate to overcome resident health issues impeding recovery such as cognitive impairment, language barriers and post-surgical pain control needs. Facilitators included the consistency of Outreach team members and accessible facility staff, which contributed to effective communication and trust between the Outreach team and facility staff. Facilitators also included support for the program by the Outreach team and facility staff, as well as the potential benefits of improved mobility and functional status among some program recipients. Conclusion: Although planning, implementation, and delivery of an Outreach rehabilitation pr

关键词： Hip Fracture Rehabilitation Qualitative Research Nursing Homes Continuing Care

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热点的分布

地球物理学进展 1986年第1期 112-120页

作者： michael Stefanick ,donna m.Jurdr ,陈之荣

在地球表面,热点的分布是不规则的。由于热点数目（40—100）有限,这种不规则性是明显的;然而,其分布似乎也并不完全随机。本文对以下两个已公布热点数据组的统计分布结果进行了比较,其一是42个热点数的最小数据组,其二是117个热点数的... 详细信息

在地球表面,热点的分布是不规则的。由于热点数目（40—100）有限,这种不规则性是明显的;然而,其分布似乎也并不完全随机。本文对以下两个已公布热点数据组的统计分布结果进行了比较,其一是42个热点数的最小数据组,其二是117个热点数的较大数据集合。采用了三种方法:（1）相等面积单元的x2检验;（2）主轴周围的累积分布;和（3）建立密度函数。所有这些方法都表明热点的不规则分布,甚至当考虑统计起伏之后,情况也是一样。作为一级处理,热点集中在半个地球表面,在地表的这一部分,热点分布是均匀的。热点密度的预测,是根据热点数与板块速度相关的经验模型得出。对照预测密度函数和由两个数据组建立的热点密度函数,给出某些相似性;然而,所观测到的热点密度都不能单独用板块速度来解释。

关键词：数组累积分布函数地球表面地表单元的密度函数数据组板块断块主轴传动轴随机变量概率论脆弱性

Integrated computer applications. microsoft Office 2007

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Integrated computer applications. Microsoft Office 2007

Treatment with analgesics after mouse sciatic nerve injury does not alter expression of wound healingassociated genes

1000年

作者： Susie H. VanHuss Connie m. Forde donna L. Woo.

来源：畅想之星图书光盘版（南... 评论

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Neural Regeneration Research 2016年第1期11卷 144-149页

作者： matt C.Danzi Dario motti donna L.Avison John L.Bixby Vance P.Lemmon The miami Project to Cure Paralysis University of MiamiLois Pope LIFE Center Department of Surgery Leonard M. Miller School of Medicine University of Miami Department of Neurological Surgery University of Miami Department of molecular and Cellular Pharmacology University of Miami

Animal models of sciatic nerve injury are commonly used to study neuropathic pain as well as axon regeneration. Administration of post-surgical analgesics is an important consideration for animal welfare, but the actions of the analgesic must not interfere with the scientific goals of the experiment. In this study, we show that treatment with either buprenorphine or acetaminophen following a bilateral sciatic nerve crush surgery does not alter the expression in dorsal root ganglion（DRG） sensory neurons of a panel of genes associated with wound healing. These findings indicate that the post-operative use of buprenorphine or acetaminophen at doses commonly suggested by Institutional Animal Care and Use Committees does not change the intrinsic gene expression response of DRG neurons to a sciatic nerve crush injury, for many wound healing-associated genes. Therefore, administration of post-operative analgesics may not confound the results of transcriptomic studies employing this injury model.

关键词： acetaminophen analgesics axon buprenorphine dorsal root ganglia gene expression peripheral nerve injuries regeneration sciatic nerve wound healing

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Room for improvement: Patterns of referral misdiagnosis to a vascular anomalies center

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Open Journal of Pediatrics 2013年第4期3卷 331-336页

作者： Daniel E. Levin Allison L. Speer James R. Pierce donna Nowicki Alex Arkader Philip Stanley Andre Panossian Dean m. Anselmo Vascular Anomalies Center Children’s Hospital Los Angeles University of Southern California Los Angeles USA

Objective: Vascular anomalies are a diagnostic and therapeutic challenge. Errors in diagnosis lead to treatment delay, inappropriate interventions and prolonged suffering. The aim of this study was to analyze patterns of misdiagnosis among patients referred to a vascular anomalies center (VAC). This will better define the problem and may be used to refine and improve referral guidelines for patients with vascular anomalies. Patients and methods: After IRB approval, we performed a single-center retrospective review of all patients referred to a vascular anomaly between January 1, 2008 and December 15, 2011. Evaluation of both referral and final diagnosis was made. Data regarding accuracy of diagnosis were determined and compared for both vascular tumors and malformations. Results: mean age was 7.9 ± 7.7 (13 days - 66 years). 42% had a correct diagnosis at the time of referral. Vascular tumors were correctly diagnosed more often than vascular malformations (58% vs 38%). The most common misdiagnosis for infantile hemangioma (IH) was venous malformation (Vm). The most common misdiagnosis for Vm was IH. Nonspecific and historical terms such as “mass”, “lymphangioma”, and “cavernous hemangioma” frequently appear as the referral diagnosis. Conclusion: Referral misdiagnosis is common. IH and Vm are frequently confused and if there is any uncertainty in the diagnosis, these patients should also be referred to a VAC, in addition to the more complicated anomalies. Outdated nomenclature remains prevalent and continued efforts should be made to adhere to International Society for the Study of Vascular Anomalies (ISSVA) classification. Improvements in diagnostic accuracy are likely to greatly improve patients’ care.

关键词： Vascular Anomaly misdiagnosis Venous malformation Infantile Hemangioma Arteriovenous malformation Vascular Anomalies Center

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七个诊断牛群营养性问题的有效工具

新疆畜牧业 2013年第5期28卷 20-23页

作者： donna m. Amaral-phillips 韩松(摘译) 乌日金(摘译) 内蒙古天和荷斯坦牧业有限公司内蒙古呼和浩特011500 不详

奶牛养殖技术／管理人员能利用一些诊断工具来发现可疑营养性问题的病因，更重要的是可以将其作为日粮配方调整的参考，以使牛群发挥最佳生产性能。牧场通过综合运用这些工具来确定某个营养／管理方面的问题，这个问题可能导致了牛群产... 详细信息

奶牛养殖技术／管理人员能利用一些诊断工具来发现可疑营养性问题的病因，更重要的是可以将其作为日粮配方调整的参考，以使牛群发挥最佳生产性能。牧场通过综合运用这些工具来确定某个营养／管理方面的问题，这个问题可能导致了牛群产奶量不高、繁殖率低或者代谢病的发生。

关键词：有效工具诊断工具营养性牛群日粮配方调整管理人员养殖技术生产性能

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