检索结果-南通市图书馆

The Effect of a Single Passive Intervention to Improve Patient Satisfaction in an Orthopaedic Service

丛书名： materials for language practice

1980年

作者： by ian Dunlop and Heinrich Schrand edited by G.m

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

Open Journal of Orthopedics 2012年第2期2卷 30-33页

作者： manit Arora ian A. Harris Lynette mcEvoy Rajat mittal Justine m. Naylor South Western Sydney Clinical School University of New South Wales Sydney Australia Whitlam Orthopaedic Research Centre Liverpool Hospital Sydney Australia.

Patient satisfaction is a goal of effective health care delivery and its assessment is important to the improvement of health care, especially in the context of a more consumerist culture. Patient education and information has been shown to improve patient satisfaction with care. Lack of sufficient patient information (specifically related to post-discharge care) was identified in our patient population by means of a broad ranging post-discharge satisfaction survey. Targeted intervention, in the form of a discharge information sheet for patients, was trialled with the aim of improving specific satisfaction parameters related to post-discharge care, and overall patient satisfaction. Patient satisfaction was measured for six months before and after the intervention, and data from both groups compared. There was no statistically significant difference in patient satisfaction directly related to the provision of the additional discharge information or overall patient satisfaction between the two groups. Providing patients with specific information alone at discharge is not sufficient to improve overall or discharge-specific patient satisfaction. more active interventions may be required.

关键词： Orthopaedics Patient Satisfaction Intervention

mORPHOLOGICAL AND mICROSTRUCTURAL CHANGES DURING THE HEATING OF SPHERICAL CALCIUm ORTHOPHOSPHATE AGGLOmERATES PREPARED BY SPRAY PYROLYSIS

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

China Particuology 2004年第5期2卷 200-206页

作者： Kiyoshi Itatani mari Abe Tomohiro Umeda ian J. Davies Seiichiro Koda Department of Chemistry Sophia University 7-1 Kioi-cho Chiyoda-ku Tokyo 102-8554 JapanDepartment of Chemistry Sophia University 7-1 Kioi-cho Chiyoda-ku Tokyo 102-8554 JapanBiomaterial Business Center Mitsubishi Materials Corporation 2270 Yokoze Chichibu Saitama Prefecture 368-8501 JapanDepartment of Mechanical Engineering Curtin University of Technology GPO Box U1987 Perth WA 6845 AustraliaDepartment of Chemistry Sophia University 7-1 Kioi-cho Chiyoda-ku Tokyo 102-8554 Japan

The microstructural changes taking place during heating of calcium orthophosphate (Ca3(PO4)2) agglom- erates were examined in this study. The starting powder was prepared by the spray-pyrolysis of calcium phosphate (Ca/P ratio=1.50) solution containing 1.8 mol·L-1 Ca(NO3)2, 1.2 mol·L-1 (NH4)2HPO4 and concentrated HNO3 at 600 C, using an o air-liquid nozzle. The spray-pyrolyzed powder was found to be composed of dense spherical agglomerates with a mean diameter of 1.3 μm. This powder was further heat-treated at a temperature between 800 and 1400 C for 10 min. When o the spray-pyrolyzed powder was heated up to 900 C, only β-Ca3(PO4)2 was detected, and the mean pore size of the o spherical agglomerates increased via the (i) elimination of residual water and nitrates, (ii) rearrangement of primary par- ticles within the agglomerates, (iii) coalescence of small pores (below 0.1 μm), and (iv) coalescence of agglomerates with diameters below 1 μm into the larger agglomerates. Among the heat-treated powders, pore sizes within the spherical agglomerates were observed to be the largest (mean diameter: 1.8 μm) for the powder heat-treated at 900 C for 10 min. o With an increase in heat-treatment temperature up to 1000 C, the spherical agglomerates were composed of dense o shells. Upon further heating up to 1400 C, the hollow spherical agglomerates collapsed as a result of sintering via the o phase transformation from β- to α-Ca3(PO4)2 (1150 C), thus leading to the

关键词： spray-pyrolysis calcium orthophosphate hollow spherical agglomerates heat-treatment morphology microstructure

Pyrolysis behaviour and kinetic analysis of waste polylactic acid composite reinforced with reed straw processing residue

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

Carbon Resources Conversion 2024年第3期7卷 74-83页

作者： Bo Chen Sen ma Sachin Kumar Zhitong Yao Wanqi Feng Jianbo Zhao Xu Zhang Di Cai Hui Cao ian Watson Systems Power and Energy Research DivisionJames Watts School of EngineeringCollege of Science and EngineeringJames Watt SouthUniversity of GlasgowGlasgow G128QQUnited Kingdom College of Life Science and Technology Beijing University of Chemical TechnologyBeijing 100029PR China College of Energy State Key Laboratory of Physical Chemistry of Solid SurfacesXiamen UniversityXiamen 361102PR China Department of Energy Engineering Centre of Excellence-Green and Efficient Energy Technology(CoE-GEET)Central University of JharkhandRanchi 835205India College of materials Science and Environmental Engineering Hangzhou Dianzi UniversityHangzhou 310018PR China College of Chemistry and Chemical Engineering Tarim UniversityAlarXinjiang 843300PR China National Energy R&D Center for Biorefinery Beijing University of Chemical TechnologyBeijing 100029PR China

The lignocellulose reinforced composites are commonly used sustainable materials with good mechanical and physical *** to properly dispose and recover the potential value of discarded lignocellulose reinforced composites,the pyrolysis behaviour and kinetics of reed straw processing residual/polylactic acid(RSPR/PLA)composites,a typical 3D printing material,was *** on the TG-FTIR results,the synergistic effects between RSPR and PLA during the pyrolysis process were *** with the FTIR spectra of PLA,the absorption peaks of CO and CO_(2)disappear in the FTIR spectra of RSPR/PLA composite,which indicates RSPR provides additional free radicals for the free radical reaction of PLA,and further promoting the *** apparent activation energy of the RSPR/PLA composite pyrolysis was calculated by two iso-conversional methods including Flynn-Wall-Ozawa(FWO)and Kissinger-Akahira-Sunose(KAS).The average Ea of the RSPR/PLA composite(122.6 kJ mol^(-1)(FWO)and 117.9 kJ mol^(-1)(KAS))was lower than that of solo pyrolysis of RSPR(138.5 kJ mol^(-1)(FWO)and 135.4 kJ mol^(-1)(KAS))and the pure PLA(197.0 kJ mol^(-1)(FWO)and 196.6 kJ mol^(-1)(KAS)).The master plot method results suggested the pyrolysis of RSPR/PLA composite followed the one-dimensional(D1)diffusion *** work provides an environmentally friendly strategy to effective thermo-chemical upgrading of the value of discarded lignocellulose reinforced composite material.

关键词： Biobased composite Pyrolysis conversion Synergy Bio-oil Reaction kinetics

Giant hepatic extra-gastrointestinal stromal tumor treated with cytoreductive surgery and adjuvant systemic therapy:A case report and review of literature

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Surgery 2021年第3期13卷 315-322页

作者： michel Ribeiro Fernandes Caroline Lorenzoni Almeida Ghezzi Tomaz J m Grezzana-Filho Flávia Heinz Feier ian Leipnitz Aljamir Duarte Chedid Carlos Thadeu Schmidt Cerski marcio Fernandes Chedid Cléber RositoPinto Kruel Department of Gastrointestinal Surgery and Transplantation Hospital de Clínicas de Porto AlegrePorto Alegre 90035-007RSBrazil Division of Radiology Hospital de Clínicas de Porto AlegrePorto Alegre 90035-903RSBrazil Department of Pathology Hospital de Clínicas de Porto AlegrePorto Alegre 90035-007RSBrazil

BACKGROUND Primary extra-gastrointestinal stromal tumors(E-GIST)of the liver are *** clinical presentation may range from asymptomatic to bleeding or manifestations of mass *** surgery followed by adjuvant therapy with imatinib is the standard of ***,under specific circumstances,a cytoreductive approach may represent a therapeutic *** describe herein the case of an 84-year-old woman who presented with a tender,protruding epigastric *** computed tomography scan revealed a large,heterogeneous mass located across segments III,IV,V,and VIII of the *** initial approach was transarterial embolization of the tumor,which elicited no appreciable *** the large size and central location of the tumor and the advanced age of the patient,non-anatomic complete resection was *** to substantial intraoperative bleeding and hemodynamic instability,only a near-complete resection could be *** and immunohistochemical staining confirmed the diagnosis of primary E-GIST of the *** the risk/benefit ratio for therapeutic options,debulking surgery may represent a strategy to control pain and prolong *** SUmmARY Here,we present a case report of a patient diagnosed with E-GIST primary of the liver,which was indicated a cytoreductive surgery and adjuvant therapy with *** E-GIST primary of the liver is a rare conditional,the treatment is with systemic therapy and total resection ***,a cytoreductive surgery will be necessary when a complete resection is no possible.

关键词： Extra-gastrointestinal stromal tumor Primary gastrointestinal stromal tumor of the liver Cytoreductive surgery Debulking surgery Case report

Radiation-Induced Spinal Glioblastoma multiforme: A Rare Complication in the management of Head and Neck 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

International Journal of Otolaryngology and Head & Neck Surgery 2016年第6期5卷 233-241页

作者： Andrew W. Ju H. ian Robins m. Shahriar Salamat Allison m. Grayev Steven P. Howard Department of Radiation Oncology Brody School of Medicine East Carolina University Greenville NC USA Department of Human Oncology School of Medicine and Public Health University of Wisconsin Madison WI USA Department of medicine School of Medicine and Public Health University of Wisconsin Madison WI USA Department of Neurology School of Medicine and Public Health University of Wisconsin Madison WI USA Department of Pathology School of Medicine and Public Health University of Wisconsin Madison WI USA Department of Radiology School of Medicine and Public Health University of Wisconsin Madison WI USA

Background: Radiation-induced gliomas of the spinal cord are rare late complications of spinal cord irradiation that typically occur in patients treated at younger ages. Aim: Raise awareness of radiation induced high grade gliomas with a case presentation and a review of the literature. Case Presentation: A 50-year-old male with Stage IVA squamous cell carcinoma of the oropharynx was treated with external beam radiotherapy with a complete response. Seven years later, he presented with a cervical spinal cord mass on mRI. An open biopsy was performed. Pathology revealed an intramedullary WHO grade IV astrocytoma, (i.e., glioblastoma multiforme) of the cervical spine that fulfilled the criteria for a radiation-induced malignancy. Conclusions : Review of the literature suggests that radiation-induced gliomas tend to be high grade and may occur at the periphery of an irradiated field. Radiation-induced gliomas of the spinal cord are a serious complication of radiotherapy that may occur in older patients with head and neck cancers, but are so rare that it should not affect treatment decisions.

关键词： Central Nervous System Spinal Cord Glioblastoma multiforme Radiation Induced Head and Neck Cancer

饮酒期望的衡量以及中国青少年饮酒期望量表的开发

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

中国卫生统计 2006年第5期23卷 426-429,432页

作者： ian m.Newman 钱玲 Duane F.Shell 曲明张莹美国内布拉斯加-林肯大学酒精和药物滥用预防中心中国疾病预防控制中心健康教育所 100011

目前，人们已经越来越认识到人类行为在健康和疾病模式中的重要性，研究已经证实包括戒烟、改变馀食、使用安全带、实行儿童免疫接种、使用安全套和增加运动锻炼在内的行为因素对降低死忘和疾病、促进健康有着重要作用。那么，如何对影... 详细信息

目前，人们已经越来越认识到人类行为在健康和疾病模式中的重要性，研究已经证实包括戒烟、改变馀食、使用安全带、实行儿童免疫接种、使用安全套和增加运动锻炼在内的行为因素对降低死忘和疾病、促进健康有着重要作用。那么，如何对影响健康行为的心理社会因素进行衡量，也是卫行规划者、流行病学家和生物统计学家常常被问及的一个问题。

关键词：饮酒期望中国青少年量表心理社会因素生物统计学家疾病模式促进健康人类行为

Functional Electrical Stimulation of Peroneal muscles on Balance in Healthy Females

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

Cyborg and Bionic Systems 2021年第1期2021卷 79-86页

作者： Zoe A.Bamber Wei Sun Rhea S.menon Patrick C.Wheeler ian D.Swain Daniel T.P.Fong National Centre for Sport and Exercise medicine School of SportExercise and Health SciencesLoughborough UniversityLoughboroughUK Division of Orthopaedics Trauma and Sports MedicineSchool of MedicineFaculty of Medicine and Health SciencesUniversity of NottinghamNottinghamUK Shandong Sport University JinanShandongChina Department of Sport and Exercise medicine University Hospitals of Leicester NHS TrustLeicesterUK The Faculty of Science and Technology Bournemouth UniversityPooleDorsetUK

Balance improvement could contribute to ankle stability for the prevention of ankle *** electrical stimulation(FES)is an effective way of augmenting muscle activity and improving *** study investigated the effect of FES of peroneal muscles on single-and double-leg *** healthy females(age=23:1±1:6 years,height=1:63±0:07m,and weight=63:7±9:9 kg)performed single-and double-leg standing balance tests with eyes open and closed before and after 15-minute FES intervention during treadmill running at a comfortable,self-selected *** of peroneal muscles was provided bilaterally,using an Odstock Dropped Foot *** total excursion of the centre of pressure(COP)was calculated to assess the standing balance control *** total excursion of COP in single-and double-leg stance with eyes open reduced significantly after FES intervention by 14.7%(p0:05).Limb preference did not account for balance *** significant difference in total excursion of COP was found between preferred and less preferred limbs with both visual conditions(p>0:05).FES of peroneal muscles improved standing balance control with eyes open in double-leg and single-leg stance and with eyes closed in double-leg *** improvements in balance control with FES treatment did not vary concerning limb preference.

关键词： prevention stimulation Functional

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

青少年饮酒:多种研究方法的综合应用

广西民族学院学报（哲学社会科学版） 2006年第3期28卷 21-28页

作者： ian m.Newman Duane F.Shell 曲明薛建平 michelle R.maas University of Nebraska- Lincoln USA University of Nebraska- Lincoln USA University of Nebraska- Lincoln USABA

描述了综合运用定性和定量方法对中国青少年饮酒问题所进行的研究。使用文化人类学中的定量方法对三个已知可预测行为的心理学变量进行初步的小样本研究。这三个心理学变量是:青少年对饮酒行为后果的期望(饮酒期望),青少年对中国传统文... 详细信息

描述了综合运用定性和定量方法对中国青少年饮酒问题所进行的研究。使用文化人类学中的定量方法对三个已知可预测行为的心理学变量进行初步的小样本研究。这三个心理学变量是:青少年对饮酒行为后果的期望(饮酒期望),青少年对中国传统文化和西方文化所持的观点(文化取向),以及青少年在处理饮酒压力方面所表现的信心(自我效能)。定性研究所获得的资料被用来设计问卷,测量饮酒期望,文化取向和自我效能。定量数据的调查在大样本青少年人群中进行。统计分析表明,这些问卷能够发现饮酒者和不饮酒者在饮酒期望、文化取向、自我效能方面的差别。对于调查数据进行深入分析的结果,将为政策的制订和健康教育项目的设计指明方向,降低青少年的饮酒风险。

关键词：文化取向饮酒期望自我效能医学人类学

Dysregulation of innate immunity in ulcerative colitis patients who fail anti-tumor necrosis factor therapy

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

World Journal of Gastroenterology 2016年第41期22卷 9104-9116页

作者： Angela C Baird Dominic mallon Graham Radford-Smith Julien Boyer Thierry Piche Susan L Prescott ian C Lawrance meri K Tulic Faculty of medicine and Dentistry School of Medicine and Pharmacology University of Western Australia Perth WA 6009 Australia Department of Immunology Fremantle Hospital Royal Brisbane and Women’s Hospital Perth WA 6160 Australia Royal Brisbane Queensland 4006 Australia University of Nice Sophia-Antipolis EA6302 06202 Nice France Department of Gastroenterology and Nutrition l’Archet Hospital 2 06202 Nice France School of Paediatrics and Child Health University of Western Australia Subiaco WA 6008 Australia International Inflammation network (in-FLAmE) of the World Universities Network University of Western Australia Subiaco WA 6008 Australia Centre for Inflammatory Bowel Diseases St John of God Subiaco Hospital Perth WA 6009 Australia mediterranean Center for molecular medicine (C3m)-INSERm U1065 Team 12 06204 Nice France

AIm To study the innate immune function in ulcerative colitis(UC) patients who fail to respond to anti-tumor necrosis factor(TNF) *** Effects of anti-TNF therapy, inflammation and medications on innate immune function were assessed by measuring peripheral blood mononuclear cell(PBmC) cytokine expression from 18 inflammatory bowel disease patients pre- and 3 mo post-anti-TNF therapy. Toll-like receptor(TLR) expression and cytokine production post TLR stimulation was assessed in UC "responders"(n = 12) and "non-responders"(n = 12) and compared to healthy controls(n = 12). Erythrocyte sedimentation rate(ESR) and C-reactive protein(CRP) levels were measured in blood to assess disease severity/activity and inflammation. Pro-inflammatory(TNF, IL-1β, IL-6), immuno-regulatory(IL-10), Th1(IL-12, IFNγ) and Th2(IL-9, IL-13, IL-17A) cytokine expression was measured with enzyme-linked immunosorbent assay while TLR cellular composition and intracellular signalling was assessed with *** Prior to anti-TNF therapy, responders and nonresponders had similar level of disease severity and activity. PBmC's ability to respond to TLR stimulation was not affected by TNF therapy, patient's severity of the disease and inflammation or their medication use. At baseline, non-responders had elevated innate but not adaptive immune responses compared to responders(P mulation, nonresponders had consistently reduced innate cytokine responses to all TLRs compared to healthy controls(P minished TNF(P mpared to responders. This innate immune dysfunction was associated with reduced number of circulating plasmacytoid dendritic cells(p DCs)(P mber of CD4+ regulatory T cells(Tregs)(P = 0.03) as well as intracellular accumulation of IRAK4 in non-responders following TLR-2,-4 and-7 activation(P mmunity in non-responders may explain reduced efficacy

关键词： Ulcerative colitis Innate immunity Antitumor necrosis factor therapy Toll-like receptor IRAK4 Inflammatory bowel disease