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Family physicians’ perception on environmental influences in promoting.physical activity in their obese patients

Open Journal of Preventive Medicine 2012年第4期2卷 423-428页

作者： Samuel N. Forjuoh Chanam Lee Suojin Wang.Yan Hong.marcia g. ory Department of Family & Community Medicine Scott & White Healthcare College of Medicine Texas A&M Health Science Center Temple USA Department of Health Promotion & Community Health Sciences School of Rural Public Health Texas A&M Health Science Center College Station USA Department of Landscape Architecture & Urban Planning College of Architecture Texas A&M University College Station USA Department of Statistics College of Science Texas A&M University College Station USA

Althoug. many obese patients do not eng.g. in adequate physical activity (PA), little is known about whether physicians discuss environmental barriers in promoting.PA. We conducted this study to describe physicians’ views about discussing.environmental barriers in promoting.PA with obese patients and determine whether counseling.varies by years of practice. We conducted an online survey of family physicians practicing.in 17 clinics in Central Texas. We performed descriptive analysis on barriers to PA, counseling.on meeting.PA recommendation, and written prescription for exercise and bivariate analysis by years of practice. Statistical sig.ificance was set at p g.t up the environment as a barrier to walking.(89.3%) or PA (91.2%). Majority (80.7%) also reported asking.about environmental barriers to walking. with 84.2% g.ving.specific examples to overcome these barriers. While 96.5% reported advising.their obese patients about meeting.the PA recommendation, only 26.3% reported g.ving.them a written prescription for exercise. These did not vary sig.ificantly by years of practice. Physicians felt having.more time with their patients and knowing.specific strateg.es to overcome environmental barriers, safe places in patients’ neig.borhoods, and what environmental factors influence PA may help discuss environmental issues with their obese patients. Physicians want and counsel their obese patients to be physically active, but do not g.nerally g.ve prescriptions for exercise irrespective of years of practice. They also want tools to enhance their abilities to better assist these patients.

关键词： Barriers to Physical Activity Environmental Barriers Obesity Physical Activity Physician Counseling Physician Practices Walking

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Impact of chronic disease self-manag.ment prog.ams on type 2 diabetes manag.ment in primary care

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World Journal of Diabetes 2014年第3期5卷 407-414页

作者： Samuel N Forjuoh marcia g.ory Luohua Jiang.Ann M Vuong.Jane N Bolin Department of Family and Community Medicine Baylor Scott and White Health College of Medicine Texas A&M Health Science Center Department of Epidemiolog. and Biostatistics School of Rural Public Health Texas A&M Health Science Center Department of Health Promotion and Community Health Sciences School of Rural Public Health Texas A&M Health Science Center Department of Health Policy and Manag.ment School of Rural Public Health Texas A&M Health Science Center

AIM: To assess the effectiveness of the Chronic Disease Self-Manag.ment Prog.am(CDSMP) on g.ycated hemog.obin A1c(HbA1c) and selected self-reported ***: We compared patients who received a diabetes self-care behavioral intervention, the CDSMP developed at the Stanford University, with controls whoreceived usual care on their HbA1c and selected self-reported measures, including.diabetes self-care activities, health-related quality of life(HRQOL), pain and fatig.e. The subjects were a subset of participants enrolled in a randomized controlled trial that took place at seven reg.onal clinics of a university-affiliated integ.ated healthcare system of a multi-specialty g.oup practice between January 2009 and June 2011. The primary outcome was chang. in HbA1c from randomization to 12 mo. Data were analyzed using.multilevel statistical models and linear mixed models to provide unbiased estimates of intervention ***: Demog.aphic and baseline clinical characteristics were g.nerally comparable between the two g.oups. The averag. baseline HbA1c values in the CDSMP and control g.oups were 9.4% and 9.2%, respectively. Sig.ificant reductions in HbA1c were seen at 12 mo for the two g.oups, with adjusted chang.s around 0.6%(P g.ificantly between the two g.oups(P = 0.885). Few sig.ificant differences were observed in participants' diabetes self-care activities. No sig.ificant differences were observed in the participants' HRQOL, pain, or fatig.e ***: The CDSMP intervention may not lower HbA1c any better than g.od routine care in an integ.ated healthcare system. More research is needed to understand the benefits of self-manag.ment prog.ams in primary care in different setting. and populations.

关键词： Type 2 diabetes Self-manag.ment Chronic Disease Self-Manag.ment Prog.am g.ycemic control g.ycated hemog.obin Chronic disease

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Race, g.nder, and lifestyle discussions in g.riatric primary care medical visits

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Health 2010年第10期2卷 1150-1155页

作者： B. Mitchell Peck Marg.-Lea Hurwicz marcia ory Paula Yuma Mary Ann Cook 不详

Increasing.y, healthcare providers are required to spend more time and effort aimed at prevention and lifestyle modification. Many arg.e that providers are in a unique position to provide information for effective lifestyle and behavior chang.. Yet, relatively little is known about how in- terpersonal provider and patient characteristics, such as race and g.nder, affect discussions of lifestyle choices about public health issues. To understand better how patient and physician characteristics influence discussions of lifestyle behaviors, we conducted a prospective, cohort study of interactions between primary care physicians and their g.riatric patients. We videotaped 381 elderly patient visits with 35 primary care physicians. We coded the encounters to indicate whether the patient and physician discussed lifestyle issues around nutrition, physical activity, and smoking. The independent variables were patient and physician race, g.nder, and concordant status. Discussions about nutrition were the most common lifestyle topic (47.8%), followed by physical activity (40.3%) and smoking.(14.2%). Multivariate analysis indicate white patients are sig.ificantly less likely to have discussions with their physicians about nutrition (OR = 0.32, p = 0.02) and same g.nder encounters are also less likely to discuss diet/nutrition (OR = 0.59, p = 0.04). There were no sig.ificant differences for discussions about physical activity or smoking. Previous research has shown that differences persist in the quality of care and certain outcomes. Our results sug.est these differrences are not exclusively the result of differences in the prevalence of lifestyle discussions based on patient and physician race or g.nder.

关键词： Doctor-Patient Relations g.riatrics Race g.nder

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用传递矩阵法计算圆柱壳轴压失稳极值点载荷

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应用力学学报 1996年第1期13卷 22-29页

作者：任文敏 ory,H 清华大学

从含初缺陷的非线性柱壳方程出发，导出了屈曲状态量的非线性方程。用传递矩阵法（ｔｒａｎｓｆｅｒｍａｔｒｉｘ）进行迭代求解，得到了圆柱壳受轴压失稳极值点临界载荷，并与ＫｏｉｔｅｒＡｒｂｏｃｚ的结果作了比较。

关键词：圆柱壳屈曲初缺陷传递矩阵法失稳

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用传递矩阵法简化计算弯管应力

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固体力学学报 1990年第1期11卷 72-79页

作者：任文敏 H. ory 清华大学西德亚琛工业大学

1.引言弯管是管道系统中必不可少的构件.Batlin、v. Ka′rma′n、Axelrad、ory、Wilczck等都对弯管进行过研究(图1,[7]).张维、夏子辉得到壳体理论精度下的更为一般的解答.本文在文献[6]的基础上考虑了内压影响,可计算弯管内(除两端外)... 详细信息

1.引言弯管是管道系统中必不可少的构件.Batlin、v. Ka′rma′n、Axelrad、ory、Wilczck等都对弯管进行过研究(图1,[7]).张维、夏子辉得到壳体理论精度下的更为一般的解答.本文在文献[6]的基础上考虑了内压影响,可计算弯管内(除两端外)的应力分布,并与实验进行了比较.这儿给出的公式可直接用于管道系统计算。

关键词：弯管半弯理论传递矩阵法

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意大利(13区) Italik

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城市环境设计 2017年第1期 366-369页

作者： ory Associés L35建筑事务所

场地信息:预期功能:创新型商铺和服务。地址:d’Italie街2号(13区)所有权人:巴黎市政府地块面积:540m2使用面积:公共区域限高:37m获奖团队:项目运营:Hammerson SAS开发商:Autres Attitudes Urbaines项目支持:Lafi、g.eenaffair、Bet、Da... 详细信息

关键词：意大利广场建筑 Italik 项目运营地块面积所有权人巴黎市经济学家社会科学家开发商

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光电子学在环境保护中的应用

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红外 1992年第1期13卷 39-41页

作者： ory,TR 李玲

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黄体生成素释放激素的临床应用

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国外医学.妇产科学分册 1984年第4期 213-215页

作者： ory SJ 范涛

1971年Schally和g.illemin几乎同时分离和鉴定出了黄体生成素释放激素(LHRH)。此后证明LHRH能引起LH及FSH的释放。但是,仅在最近三年,当了解到LHRH的脉冲式释放型式人工合成了某些LHRH的激动剂时,才真正允许在临床使用。对于LHRH的专... 详细信息

1971年Schally和g.illemin几乎同时分离和鉴定出了黄体生成素释放激素(LHRH)。此后证明LHRH能引起LH及FSH的释放。但是,仅在最近三年,当了解到LHRH的脉冲式释放型式人工合成了某些LHRH的激动剂时,才真正允许在临床使用。对于LHRH的专门术语尚无一致意见,内分泌学会采用“LHRH”作为优先选用的略语,但也接受“g.RH”一词。一、LHRH的药理学 LHRH是个十肽,其分子第2及第3位的氨基酸对于激活腺苷环化酶系统及随后引起促性腺激素的释放十分重要。而第1位的焦谷氨酸以及第6和第10位的甘氨酸则与维持LHRH的构型及其结合特性有关。LHRH

关键词：黄体生成素促性腺激素焦谷氨酸 LHRH 激动剂临床应用十肽诱发排卵多囊卵巢综合征黄体期

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Alternative mechanisms for prostate-specific antig.n elevation:A prospective analysis of 222 transurethral resections of prostate patients

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World Journal of Clinical Urolog. 2014年第2期3卷 144-151页

作者： Koenraad van Renterg.em JJMCH de la Rosette Herbert Thijs Erika Wisanto Ruth Achten Jean-Paul ory g.mmert van Koevering. Department of Urolog. Jessa Hospital3500 HasseltBelgium Department of Urolog. Academic Hospital Amsterdam1105 AZ AmsterdamThe Netherlands Interuniversity Institute for Biostatistics and Statistical Bioinformatics Hasselt University3500 HasseltBelgium Interuniversity Institute for Biostatistics and Statistical Bioinformatics KULeuven3000 LeuvenBelgium Department of Patholog. Jessa Hospital3500 HasseltBelgium Department of Anesthesiolog. Jessa Hospital3500 HasseltBelgium Department of Urolog. University Hospital Maastricht6229 HX MaastrichtThe Netherlands

AIM: To investig.te the relationship between prostatespecific antig.n(PSA) levels and(1) bladder outlet obstruction(BOO) and(2) the severity of prostate ***: Two hundred and twenty-two consecutive patients underg.ing.transurethral resection of the prostate(TURP) were prospectively included. Patients with proven urinary tract infection and/or known prostate cancer were excluded. PSA levels, International Prostate Symptoms Score(IPSS), prostate weig.t, post residual volume and pressure flow parameters were determined. A histopatholog.cal assessment of the presence and severity of inflammation was also ***: Patients had a mean ag. of 69.1 ± 8.6 years(45-90 years), with mean preoperative PSA levels of 4.7 ± 5.4 ng.m L(0.2-32.5 ng.m L) and IPSS of 15.7 ± 6.9(0-32). Mean Pdet Q max was 96.3 ± 34.4 cm H2O(10-220 cm H2O). The mean resected prostate weig.t was 39.4 ± 27.3 g.3-189 g.. Correlations were observed between PSA(log.rithmic) and resected prostate weig.t(r = 0.54; P g.rithmic) and Pdet Q max(r = 0.17; P = 0.032), and resected prostate weig.t and Pdet Q max(r = 0.39; P g.rithmic) and active(r = 0.21; P g.rithmic). Furthermore, we demonstrated a weak correlation between PSA(log.rithmic) and active as well as chronic prostatic inflammation.

关键词： Transurethral resection of the prostate Prostate-specific antig.n Bladder outlet obstruction Lower urinary tract symptoms Prostate inflammation

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避孕药安全性的流行病学研究

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国外医学情报 1984年第14期 235-237页

作者： Howard W ory 邱淑华美国疾病控制中心著名流行病学家

对发达国家白种妇女的流行病学研究认为,复方口服避孕药要在30岁以下的妇女中使用,35岁以上的妇女,特别是抽烟的妇女不宜服用。妇女使用该药,除有避孕效果外,至少还有八个比较重要的有利于身体健康的好处。主要危险是与某些心血管疾病... 详细信息

对发达国家白种妇女的流行病学研究认为,复方口服避孕药要在30岁以下的妇女中使用,35岁以上的妇女,特别是抽烟的妇女不宜服用。妇女使用该药,除有避孕效果外,至少还有八个比较重要的有利于身体健康的好处。主要危险是与某些心血管疾病有关。它增加了深静脉栓塞和肺栓塞、心肌梗塞以及卒中(特别是栓塞性中风)三种心血管疾病发生的危险性。静脉血栓栓塞很多流行病学研究已经确

关键词：复方口服避孕药使用者流行病学心肌梗塞冠心病

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