检索结果-南通市图书馆

出生体重<1.5kg的婴儿是否需要额外长期眼科随访

在线全文

学校读者我要写书评

暂无评论

世界核心医学期刊文摘（眼科学分册） 2006年第9期2卷 34-35页

作者： o'connor A. R. Stewart C. E. Singh J. Fielder A. R. 刘瑛(译) Division of orthoptics Thompson Yates Building University of Liverpool Liverpool L69 3GB United Kingdom 不详

Aim:To survey existing ophthalmic fol.ow up protocols in the United Kingdom for very low birth weight(VlBW)*** addition,relative risk analysis was performed using data from a cohort study to assess which factors(birth weight,gestational age,retinopathy of prematurity(RoP)status)led to a high risk of developing ambl.ogenic ***:Questionnaires were sent to every orthoptic department in the United Kingdom(n=288)for information on their policy on the fol.ow up of VlBW ***:Responses were received from 125 departments(43%).There was a large variation in criteria used for fol.ow up;21% of respondents using birth weight(BW)and gestational age(GA),22% using stage 3 or treated RoP,the remainder using a combination of these *** was no consensus regarding when fol.ow up should commence(from 3 months to 3 years)or cease(1-8 years).Relative risk analysis revealed that birth weight under 1500 g,GA under 33 weeks,and the presence of severe RoP were significant risk factors for developing one or more ambl.ogenic ***:There is no consensus on whether VlBW children need to be *** is a greatly increased risk of ophthalmic deficits in those with severe RoP or severe neurological disorders,and al.o in those with mild or no *** in the latter group who are not routinely fol.owed up,have a high risk of developing treatable refractive errors and *** raises the question of whether an additional screening examination is merited.

关键词：极低出生体重儿定期随访婴儿眼科早产儿视网膜病变相对危险度队列研究方法 VlBW

Efficacy of equine-assisted psychotherapy in veterans with posttraumatic stress disorder

在线全文

学校读者我要写书评

暂无评论

Journal.of Integrative Medicine 2019年第1期17卷 14-19页

作者： l.Elisabeth Burton Fares Qeadan Mark R.Burge College of Nursing University of New Mexico Health Sciences Center Department of Internal Medicine/Epidemiology Biostatistics & Preventive Medicine University of New Mexico Health Sciences Center Department of Internal Medicine/Endocrinology University of New Mexico Health Sciences Center

Background: Posttraumatic stress disorder(PTSD) is a common and debilitating disorder among war veterans. Although complementary and alternative therapies are gaining acceptance in the treatment of PTSD, the efficacy of animal-based therapies in this disorder is unknown. The goal.of equine-assisted psychotherapy(EAP) is to improve the social, emotional, and/or cognitive functions of individuals with ***: This study aims to explore the effects of EAP on PTSD symptoms. We hypothesized that veterans with PTSD who participate in a standardized EAP program for 1 h per week for 6 weeks would experience decreased PTSD symptoms and would demonstrate increased resilience as compared with individuals who do not receive EAP ***, setting, participants and interventions: We conducted a sequentially assigned, two-arm parallel group trial comparing 6 weeks of EAP with standard, previously established, ongoing PTSD *** was conducted at a community EAP facility in conjunction with an academic University Hospital. Twenty adult veterans with symptomatic PTSD completed the study. Ten adult veterans with previously diagnosed PTSD were assigned to EAP and received directed interaction with trained horses for one hour a week in groups of 3 or 4 individuals, while al.o continuing their previously established therapies. A certified therapist supervised the sessions, and a professional horse handler was al.o *** were compared with those from 10 adult veterans who only received their standard previously established PTSD care as prescribed by their *** outcome measures: Changes in salivary cortisol, scores for the PTSD Check list-Military Version(PCl-M) and the connor-Davidson Resilience Scale(CD-RISC) after 6 weeks of study were ***: of the 20 enrolled patients, 10 served in Afghanistan, 5 served in Iraq, and 3 served in Vietnam. Subjects were(47 ± 14) years old, were predominantly male, and had a body mass index of(29

关键词： Posttraumatic stress disorder Military veterans Alternative therapy Equine-assisted psychotherapy Clinical trial

腹盆部低剂量CT三维重建对克罗恩病的前瞻性可行性研究

在线全文

学校读者我要写书评

暂无评论

国际医学放射学杂志 2013年第6期 597-597页

作者： S.B.o'Neill P.D.Mc laughlin l.Crush o.J.o'connor S.R.M.Williams o.Craig 卢暄 Department of Radiology Cork University HospitalWiltonCork Ireland

摘要目的在CT成像中应用迭代重建(IR)比滤波反投影(FBP)法对病人的辐射更少。通过研究IR腹盆部低剂量CT(lDCTAP)成像方案,旨在探讨将对克罗恩病(CD)病人成

关键词： CT 克罗恩病自适应统计迭代重建炎症性肠病

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

收缩功能尚存的心力衰竭患者中的贫血

世界核心医学期刊文摘（心脏病学分册） 2006年第6期2卷 20-20页

作者： Felker G.M. Shaw l.K. Stough W.G. o' connor C.M. 高登峰 Department of Medicine Duke Clinical Research Institute 2400 Pratt St Durham NC 27705 United States Dr.

Background: Anemia has been shown to be a predictor of mortality in patients with heart failure and impaired left ventricular systolic function(ISF). Although heart failure in the setting of preserved systolic function(PSF) is an important clinical problem, the relationship between anemia and outcomes in patients with PSF has not been carefully evaluated. Methods: Patients undergoing diagnostic angiography from 1995 to 2003 with symptomatic heart failure(New York Heart Association class II or greater) were studied(N=4951). Patients with primary valvular or congenital heart disease were excluded. Patients with ejection fraction ≤ 0.40(N=1858) were considered the ISF group, and patients with ejection fraction>0.40(N=3093) were classified as the PSF group. Anemia was defined by the World Health organization criteria(hemoglobin l for men andl for women). Multivariable Cox proportional hazards models were used to adjust for baseline differences. The possibility of a differential effect of anemia by systolic function was tested using an interaction term in the multivariable model. Results: Anemia was independently associated with adverse outcomes across the study cohort(adjusted hazard ratio=1.53, Po interaction between anemia and systolic function(ISF vs PSF) in the multivariable model(P=.31 for interaction). The hazard ratio for anemia was 1.61 for PSF patients and 1.45 for ISF patients. Conclusions: Anemia is an independent predictor of mortality in heart failure, regardless of whether patients have preserved or impaired systolic function. This is the first report of an association between anemia and increased mortality in patients with heart failure and PSF. Future investigations of therapies for anemia in heart failure should consider including patients with PSF.

关键词：左室收缩功能受损心力衰竭患者贫血 Cox比例风险模型多变量模型先天性心脏病世界卫生组织射血分数血红蛋白预测因素

脊椎关节炎病人的跟腱成像:超声与增强前、后的常规以及短和超短回波时间MRI的比较

在线全文

学校读者我要写书评

暂无评论

国际医学放射学杂志 2011年第4期 401-401页

作者： R.J.Hodgson A.J.Grainger P.J.o'connor R.Evans l.Coates H.Marzo-ortega 陈娇 leeds Musculoskeletal Biomedical Research Centre University of Leeds

目的比较常规、超短回波时间MRI和超声评估脊椎关节炎病人跟腱病变的范围。方法应用MRI和超声研究25例脊椎关节炎并有跟腱症状的病人。静脉注射对比剂前后分别使用T1加权自旋回波、梯度回波和超短回波时间序列(TE选择0.07～16ms)来获得... 详细信息

目的比较常规、超短回波时间MRI和超声评估脊椎关节炎病人跟腱病变的范围。方法应用MRI和超声研究25例脊椎关节炎并有跟腱症状的病人。静脉注射对比剂前后分别使用T1加权自旋回波、梯度回波和超短回波时间序列(TE选择0.07～16ms)来获得跟腱的MR影像。同时也进行

关键词：脊柱关节炎跟腱 MRI 超声检查多普勒肌腱疾病

围手术期输注红细胞可降低心脏手术术后远期存活率

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

麻醉与镇痛 2010年第5期6卷 81-88页

作者： Stephen D. Surgenor, MD Robert S. Kramer, MD Elaine M. olmstead, BA Cathy S. Ross, MS Frank W. Sellke, MD Donald S. likosky, PhD Charles A. S. Martin, MBBS Robert E. Helm, Jr., mD Bruce J. leavitt, MD Jeremy R. Morton, MD David C. Charlesworth, MD Robert A. Clough, MD Felix Hernandez, MD Carmine Frumiento, MD Arnold Benak, CCP Christian DioData, CCP Gerald T. o'connor, PhD, DSc 周全红(译) 江伟(校) Dartmouth-Hitchcock Medical Center Lebanon New Hampshire Maine Medical Center Portland Maine Dartmouth Medical School Hanover New Hampshire Beth Israel Deaconess Medical Center Boston Massachusetts Portsmouth Regional Hospital Portsmouth New Hampshire Fletcher Allen Health Care Burlington Vermont New England Heart Institute Catholic Medical Center Manchester New Hampshire Eastern Maine Medical Center Bangor Maine Central Maine Medical Center Lewiston Maine Concord Hospital Concord New Hampshire The Dartmouth Institute for Health Policy and Clinical Practice Dartmouth College Lebanon New Hampshire 不详

背景输注红细胞（RBC）与心脏手术后死亡率升高有关。我们分析了在住院期间接受了1或2个单位RBC输注的心脏手术患者的长期生存情况。方法将2001年至2004年期间9079例，在新英格兰北部地区8个医疗中心中接受了冠状动脉旁路移植术、瓣膜... 详细信息

背景输注红细胞（RBC）与心脏手术后死亡率升高有关。我们分析了在住院期间接受了1或2个单位RBC输注的心脏手术患者的长期生存情况。方法将2001年至2004年期间9079例，在新英格兰北部地区8个医疗中心中接受了冠状动脉旁路移植术、瓣膜手术或同时进行了冠状动脉旁路移植术和瓣膜手术的患者纳入本研究。研究将纳入地区与2006年6月30日社会保障署死亡档案确定的死亡率进行概率性配对。调整的风险比采用Cox比例风险和倾向评分法进行计算。结果36％的患者（n=3254）接受过1或2个单位的RBC。43％的RBCs是在手术中被输注的，分别有56％和1％的RBCs是在手术后和手术前输注的。输血的患者更可能是贫血、高龄、体表面积小、女性和同时患多种疾病的患者。那些在心脏手术住院期间接受了1或2个单位RBCs的患者的存活率显著低于未接受过RBCs的患者（P〈0．001）。调整了患者和疾病特征之后，接受1或2个单位RBCs仍使远期死亡风险提高16％（调整的风险比=1．16，95％CI：1．01—1．34，P=0．035）。结论输注1或2个单位的RBCs可使心脏手术术后存活率降低的风险提高16％。

关键词：术后死亡率心脏手术远期存活率红细胞输注围手术期冠状动脉旁路移植术 RBCs

本土化压力管理与心身增弹训练(SMART-C)对提升教师心理弹性与睡眠质量的作用研究

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

世界睡眠医学杂志 2018年第7期5卷 808-812页

作者：王芳冯帆 John W.Denniger Herbert Benson Gregory l.Fricchione 中国中医科学院广安门医院睡眠心理科北京100053 哈佛大学医学院麻省总医院本森亨利心身医学研究所波士顿02114

目的:探索本土化压力管理心身增弹训练(SMART-C)对于教师群体的应对压力能力以及睡眠质量的改善作用,为进一步完善压力情绪管理应用于教育方案(RS-C)提供依据。方法:通过本土化压力管理心身增弹训练(SMART-C)对北京市东城区38位教师进... 详细信息

目的:探索本土化压力管理心身增弹训练(SMART-C)对于教师群体的应对压力能力以及睡眠质量的改善作用,为进一步完善压力情绪管理应用于教育方案(RS-C)提供依据。方法:通过本土化压力管理心身增弹训练(SMART-C)对北京市东城区38位教师进行干预,采用心理弹性量表、匹兹堡睡眠质量指数判定效果。结果:参与团体的教师在心理弹性的忍受消极情感和精神影响方面有所改善,睡眠方面在睡眠质量、入睡时间、睡眠时间、睡眠效率、日间功能等方面所有改善。结论:本土化压力管理心身增弹训练(SMART-C)对于教师群体的应对压力能力以及睡眠质量有改善作用。

关键词：本土化压力管理与心身增弹训练教师心身弹性睡眠质量

心理弹性在工作相关因素与护士抑郁关系中的作用

在线全文

学校读者我要写书评

暂无评论

环境与职业医学 2017年第9期34卷 785-791页

作者：苑杰郭鑫庞静娟路月英贾娜娜吕少博王静华北理工大学精神卫生研究所河北唐山063000 华北理工大学研究生学院河北唐山063000 华北理工大学心理学院河北唐山063000 唐山职业技术学院河北唐山063000

[目的]分析护士抑郁与工作相关因素及心理弹性间的关系,并探讨心理弹性在其中的作用。[方法]采用整群抽样法,在唐山市4所医院中抽取535名护士,运用中国护士工作压力源量表、工作家庭冲突量表、工作资源量表、心理弹性量表及流调中心用... 详细信息

[目的]分析护士抑郁与工作相关因素及心理弹性间的关系,并探讨心理弹性在其中的作用。[方法]采用整群抽样法,在唐山市4所医院中抽取535名护士,运用中国护士工作压力源量表、工作家庭冲突量表、工作资源量表、心理弹性量表及流调中心用抑郁量表对其进行调查,并通过SPSS 22.0软件对数据进行分析,不同亚组抑郁得分比较采用独立样本t检验或单因素方差分析,多组间两两比较采用SNK(s)法;采用Pearson相关分析护士抑郁与工作相关因素的相关性;采用分层回归分析心理弹性与工作相关因素的交互作用对护士抑郁的调节效应进行检验,并对心理弹性在护士抑郁与工作相关因素中的中介效应进行检验。[结果]不同年龄、学历、每周工作时间、职务、用工性质、月收入及健康状况的护士抑郁量表得分比较,差异有统计学意义(P<0.05);护士抑郁与工作压力源、工作家庭冲突量表得分均呈正相关(r=0.281、0.461,P<0.05),而与工作资源、心理弹性量表得分均呈负相关(r=-0.253、-0.340,P<0.05);心理弹性在护士抑郁与工作压力源间具有调节作用(b=0.109,P<0.01);心理弹性在护士抑郁与工作家庭冲突及工作资源间的中介效应显著(P<0.05),中介效应值分别为0.044 6、-0.079 4,分别占总效应的11.36%、48.30%。[结论]护士抑郁水平与工作压力源、工作家庭冲突、工作资源及心理弹性密切相关,工作压力源、工作家庭冲突及工作资源不仅可以直接影响护士抑郁,而且还可以通过心理弹性对其产生间接影响。

关键词：工作压力源工作家庭冲突工作资源心理弹性抑郁护士

心理弹性在军队人员睡眠质量与自杀意念之间的调节作用

在线全文

学校读者我要写书评

暂无评论

第二军医大学学报 2021年第12期42卷 1419-1423页

作者：周佳楠曾文峰魏存张婷余鸿璋吕伟王云霞海军军医大学(第二军医大学)心理系航海心理学教研室上海200433

目的评估军队人员的睡眠质量、自杀意念与心理弹性水平,探讨心理弹性在睡眠质量和自杀意念之间的调节作用。方法于2020年5月整群抽取某部官兵进行问卷调查,采用匹兹堡睡眠质量指数(PSQI)量表、自杀意念自评量表(SIoSS)和connor-Davidso... 详细信息

目的评估军队人员的睡眠质量、自杀意念与心理弹性水平,探讨心理弹性在睡眠质量和自杀意念之间的调节作用。方法于2020年5月整群抽取某部官兵进行问卷调查,采用匹兹堡睡眠质量指数(PSQI)量表、自杀意念自评量表(SIoSS)和connor-Davidson心理弹性量表评估官兵的睡眠质量、自杀意念和心理弹性水平。结果共回收问卷13831份,其中有效问卷10367份,有效率为74.95%。某部官兵的PSQI量表总分为(5.04±3.60)分,睡眠质量差检出率为21.13%(2191/10367);SIoSS总分为(2.84±3.33)分,自杀意念检出率为3.30%(342/10367);心理弹性量表总分为(70.54±15.32)分。不同性别、学历的官兵睡眠质量、自杀意念和心理弹性水平差异均有统计学意义(P均<0.05)。控制社会人口学变量后,睡眠质量(β=0.46,P<0.01)、心理弹性(β=-0.31,P<0.01)及两者交互项(β=-0.20,P<0.01)均对自杀意念有显著的预测作用。结论心理弹性在睡眠质量与自杀意念之间起到负向调节作用。建议开发适合军队的心理弹性训练,通过训练提升官兵的心理弹性来缓冲睡眠质量差等危险性因素对官兵的不利影响。

关键词：军事人员睡眠质量自杀意念心理弹性调节作用