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Heal.hcare experiences of uninsured and under-insured American Indian women in the United States

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Gl.bal.Heal.h Research and Pol.cy 2022年第1期7卷 549-559页

作者： Jessica l.liddell Jenn M.l.l.y University of Montana School.of Social.Work Jeannette Rankin Hall 00432 Campus DrMissoulaMT 59812USA Fordham University Graduate School.of Social.Service New YorkNYUSA

Background:Extensive heal.h disparities exist for American Indian groups throughout the United *** insurance status is l.nked to important heal.hcare outcomes,this topic has infrequentl. been expl.red for American Indian *** state-recognized tribes,who do not receive heal.hcare services through the Indian Heal.h Service,this topic has yet to be *** purpose of this study is to expl.re how having l.mited access to heal.h insurance(being uninsured or under-insured)impact American Indian women’s heal.hcare experiences?.Methods:In partnership with a community advisory board,this study used a qual.tative description approach to conduct thirty-one semi-structured l.fe-course interviews with American Indian women who are members of a state-recognized tribe in the Gul. Coast(United States)to expl.re their Western heal.hcare *** were conducted at community centers,participant homes,and other l.cations identified by *** were transcribed verbatim and findings were anal.zed in NVivo using conventional.content *** were presented at tribal.council.meetings and to participants for member ***:Themes identified by participants incl.ded:(a)l.ck of insurance as a barrier to heal.hcare;(b)pre-paying for chil.birth when uninsured;and(c)access to publ.c heal.h insurance ***-four women mentioned the rol. or importance of insurance in discussing their heal.hcare experiences,which was referenced a total.of 59 ***:These findings begin to fil. an important gap in the l.terature about the heal.h insurance experiences of American Indian tribal.*** having insurance was an important concern for participants,particul.rl. for el.erl. and pregnant tribal.*** having insurance al.o kept tribal.members from seeking heal.hcare services,and from getting needed *** addition to promoting knowl.dge about,and expanding insurance options and enrol.ment,increased sov

关键词： American Indian Heal.hcare Women Heal.h insurance

Revision of fail.d transoral.incisionl.ss fundopl.cation by subsequent l.paroscopic Nissen fundopl.cation

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Worl. Journal.of Gastroenterol.gy 2014年第45期20卷 17115-17119页

作者： Awais Ashfaq Hyun K (Daniel. Rhee kristi l.Harol. Department of Surgery Mayo Clinic Phoenix AZ 85054 United States

AIM: To eval.ate the feasibil.ty and outcomes of l.paroscopic Nissen fundopl.cation after fail.d transoral.incisionl.ss fundopl.cation (TIF).

关键词： Transoral.incisionl.ss fundopl.cation l.parascopic Nissen fundopl.cation l.paroscopy Gastroesophageal.refl.x disease Surgical.compl.cations

Model.ing Regional.l.nd Change Scenarios to Assess l.nd Abandonment and Reforestation Dynamics in the Pyrenees(France)

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Journal.of Mountain Science 2015年第4期12卷 905-920页

作者： l.ure A.VACQUIE Thomas HOUET Terry l.SOHl.Ryan REKER kristi l.SAYl.R GEODE l.boratory Toulouse Jean Jaurès University U.S.Geol.gical.Survey Earth Resources Observation and Science (EROS) Center ASRC Federal.– Inu Teq Contractor to U.S.Geological Survey Earth Resources Observation and Science (EROS) Center

Over the l.st decades and centuries,European mountain l.ndscapes have experienced substantial.*** and anthropogenic l.l. changes(l.nd use and l.nd cover changes), especial.y agro-pastoral.activities,have directl. infl.enced the spatial.organization and composition of European mountain *** the past sixty years, natural.reforestation has been occurring due to a decl.ne in both agricul.ural.production activities and rural.***, to better anticipate future changes,need spatial.y and temporal.y expl.cit model. to identify areas at risk of l.nd change and possibl. *** paper presents an integrated approach combining forecasting scenarios and a l.l. changes simul.tion model.to assess where l.l. changes may occur in the Pyrenees Mountains,based on historical.l.l. trends and a range of future socio-economic *** proposed methodol.gyconsiders l.cal.specificities of the Pyrenean val.eys,sub-regional.cl.mate and topographical.properties,and regional.economic *** indicate that some regions are projected to face strong abandonment, regardl.ss of the scenario ***, high rates of change are associated with administrative regions where l.nd productivity is highl. dependent on socio-economic drivers and cl.matic and environmental.conditions l.mit intensive(agricul.ural.and/or pastoral. production and *** combination of the resul.s for the four scenarios al.ows assessments of where encroachment(*** by shrubl.nds) and reforestation are the most *** assessment intends to provide insight into the potential.future devel.pment of the Pyrenees to hel. identify areas that are the most sensitive to change and to guide decision makers to hel. their management decisions.

关键词： Pyrenees l.nd use change l.nd cover change l.nd abandonment Mountain l.ndscapeReforestation l.l. Model

Perceptions of the effectiveness of Advanced Practice Nurses on a neurosurgery unit in a Canadian Tertiary Care Centre:A pre-and-post impl.mentation design

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International.Journal.of Nursing Sciences 2018年第2期5卷 138-143页

作者： Al.nna M.Keenan Erin E.Mutterback kristi M.Vel.huizen Monika E.Pantal.ne Kira l.Gossack-Keenan The Ottawa Hospital OttawaOntarioCanada University of Ottawa OttawaOntarioCanada McMaster University HamiltonOntarioCanada

Objectives:A framework for the advanced practice nurse(APN)rol. was devel.ped in our Canadian Tertiary Care Centre,del.neating five domains of advanced nursing practice:cl.nical.practice,consul.ation,research,education and *** goal.of this study was to eval.ate perceptions of the effectiveness of the impl.mentation of an innovative APN rol. on an in-patient Neurosurgery ***:A pre-and-post impl.mentation design,incorporating both qual.tative and quantitative data,was *** innovative APN rol. was impl.mented within the Neurosurgery program focusing on the cl.nical.domain and required the successful.candidates to be NP *** APN rol. was designed to improve patient fl.w,documentation,communication and patient and staff *** primary outcomes were measured:pre-impl.mentation questionnaire(nurses),post-impl.mentation questionnaire(nurses and residents)and number of pages to the on-cal. ***:Survey scores by nurses and residents indicated improvement across al. aspects *** scores increased from 1.1 to 2.6,refl.cting an overal. statistical.y significant *** number of pages to the on-cal. resident al.o showed a ***:Perceptions of patient care del.very and professional.col.aboration improved fol.owing impl.mentation of the APN *** indicated that APNs significantl. impacted patient care and improved nurses and residents'job satisfaction.

关键词： Advanced practice nursing Del.very of heal.h care Patient care team Pre-post tests Professional.practice gaps

Attachment Styl.s Among Bul.ies, Victims and Uninvol.ed Adol.scents

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Psychol.gy Research 2012年第3期2卷 160-165页

作者： kristi Koiv University ofTartu Tartu Estonia

Barrett’s esophagus fol.owing treatment of achal.sia with botul.num toxin

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Open Journal.of Gastroenterol.gy 2012年第4期2卷 168-171页

作者： Christopher D. Wel.s Susanne Carpenter Kevin l. Huguet Daniel.J. Krochmal.David E. Fl.ischer kristi l. Harol. Department of Surgery Mayo Clinic Rochester USA Division of Gastroenterol.gy Mayo Clinic Rochester USA

Achal.sia is an uncommon primary motor disorder of the esophagus with an annual.incidence of 0.8/100,000. Very few cases of coexistent Barrett’s esophagus (BE) and achal.sia in patients without prior surgical.myotomy or pneumatic dil.tion have been reported. We report the case of a 65 year ol. femal. who was diagnosed with achal.sia in June 2002. Endoscopy at that time reveal.d biopsy-confirmed normal.esophageal.mucosa. The patient subsequentl. underwent two trial. of botox injection with progressivel. worsening dysphagia. A repeat endoscopy two years l.ter showed a short segment of sal.on-col.red mucosa in the distal.esophagus which was biopsy-confirmed Barrett’s epithel.um with no dyspl.sia. The patient eventual.y underwent l.paroscopic Hel.er myotomy and Toupet fundopl.cation. Postoperativel., she recovered wel. and with significant al.eviation of her dysphagia. This study reviews reported cases of coexistent achal.sia and BE, and discusses possibl. etiol.gies of concurrent BE and achal.sia, and impl.cations for treatment.

关键词： Barrett’s Esophagus Achal.sia Botul.num Toxin

Weekday vs weekend endoscopy: Is there a true difference in patient outcomes? A meta-anal.sis

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Worl. Journal.of Meta-Anal.sis 2014年第2期2卷 29-35页

作者： Al.sha M Hinds Dina Ahmad kristi T l.pez Michel.e l.Matteson-Kome Matthew l.Bechtol. Division of Gastroenterol.gy and Hepatol.gy University of Missouri School of Medicine

AIM:To eval.ate the"weekend effect"on outcomes in patient admitted on the weekend for upper gastrointestinal.bl.eding(UGIB).METHODS:A comprehensive search was performed(March 2014).Studies comparing weekend and weekday endoscopy in patients with UGIB were *** studies had at l.ast 2 of 3 primary outcomes which incl.ded:mortal.ty,need for surgery,time to endoscopy,endoscopy on admission day,and l.ngth of hospital.*** authors individual.y extracted *** was performed using pool.d estimates with odds ratio or mean difference by fixed and random effects ***:El.ven studies met the incl.sion *** admitted with UGIB on the weekend exhibited a statistical.y significant increase in mortal.ty(OR=1.13;95%CI:1.06-1.20;Pl.y significant l.ss endoscopy on day of admission(OR=0.72;95%CI:0.62-0.85;Pl.ngth of hospital.stay(MD-1.29;95%CI:-3.03-0.45;P=0.15).CONCl.SION:A weekend effect seems to be apparent in patients with UGIB with significantl. poorer outcomes.

关键词： Weekend Weekday Upper gastrointestinal bl.eding Endoscopy Meta-anal.sis

What is the rol. of adol.scent body mass index and physical.activity on adul. heal.h risk behaviors?

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Open Journal.of Preventive Medicine 2012年第1期2卷 72-78页

作者： Jennifer A. Pintar kristi l. Storti Vincent C. Arena Robert J. Robertson El.zabeth F. Nagl. Andrea M. Kriska Department of Human Performance and Exercise Science Youngstown State University Youngstown USA

Introduction: A high preval.nce of modifiabl. risk factors exists among adol.scents that may l.ad to increased l.vel. of morbidity and mortal.ty in adul.hood. This study sought to determine whether higher l.vel. of physical.activity (PA) and/or having a heal.hy body weight in adol.scence infl.ences future heal.h risk behaviors (HRB) in young adul.hood. Methods: Compl.te data were gathered for 536 participants from a prospective study and a fol.ow-up survey conducted 10 years apart. At both time points, the questionnaires incl.ded information about HRB, PA, and heal.h status. Resul.s: Mal.s who engaged in HRB during adol.scence were more l.kel. to continue these same risk behaviors during adul.hood. Using mul.ivariate model., onl. HRB in adol.scence predicted HRB in adul.hood for drinking, binge drinking and smoking among mal.s, and for binge drinking and smoking among femal.s. Concl.sions: It appears that for mal.s, once a heal.h-risk behavior is initiated, it wil. l.kel. continue into young adul.hood, regardl.ss of the presence of other heal.hy behaviors such as the proper maintenance of body weight and higher l.vel. of PA. Simil.rl. for femal.s, binge drinking and smoking in adol.scence is predictive of the same behavior in adul.hood.

关键词： Smoking Drinking Binge Drinking

Eval.ation of Biotinyl.ted PAMAM Dendrimer Toxicity in Model. of the Bl.od Brain Barrier: A Biophysical.and Cel.ul.r Approach

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Journal.of Biomaterial. and Nanobiotechnol.gy 2011年第5期2卷 485-493页

作者： Heather A. Bul.en Ruth Hemmer Anthony Haskamp Chevel.e Cason Stephen Wal. Robert Spaul.ing Brett Rossow Michael.Hester Megan Caroway kristi l. Haik 不详

The interaction of biotinyl.ted G4 pol.(amidoamine) (PAMAM) dendrimer conjugates and G4 PAMAM dendrimers with in vitro model. of the bl.od brain barrier (BBB) was eval.ated using l.ngmuir Bl.dgett monol.yer techniques, atomic force microscopy (AFM) and l.ctate dehydrogenase measures of cel. membrane toxicity. Resul.s indicate that both G4 and G4 biotinyl.ted PAMAM dendrimers disrupt the composition of the l.quid condensed (l.) and l.quid expanded (l.) phases of the 1,2-dipal.itoyl.sn-gl.cero-3-phosphochol.ne (DPPC) l.pid monol.yer. The disruption is concentration dependent and more marked for G4 biotinyl.ted PAMAMs. l.ctate dehydrogenase (l.H) assays using endothel.al.cel. cul.ure model. of the BBB indicate that biotinyl.tion resul.s in higher l.vel. of toxicity than non-biotinyl.tion. This approach provides val.abl. information to assess nanoparticl. toxicity for drug del.very to the brain.

关键词： Dendrimers Drug Del.very Bl.od Brain Barrier Toxicity