共查询到20条相似文献,搜索用时 15 毫秒
1.
1. Extending cultural care beyond language enhances the use of mental health services and fosters a mutually agreed-on plan of care. 2. Understanding cultural characteristics facilitates an understanding of behavior, family and social dynamics, and adaptation patterns to stress that can empower clients to work toward their goals and validate the impact of emotions and behaviors on others. 3. Culturally appropriate mental health care reflects a synthesis among communication, space, social organization, time, environmental control, and biological variables. 相似文献
2.
When the Texas Legislature convenes in January 1999, managed care certainly will be among its leading issues. And the people and organizations that will influence that debate will come from a wide spectrum of interests including medicine, the insurance industry, business, large employers, and many others. Here is a brief analysis of the key players in the managed care debate. 相似文献
3.
GN Ponomarenko 《Canadian Metallurgical Quarterly》1998,32(6):6-11
The paper deals with the milestones of the space biomedicine advancement, its integration in the system of sciences and the life of humanity, and the role of Oleg G. Gazenko in its evolution. 相似文献
4.
5.
6.
IT Leonov 《Canadian Metallurgical Quarterly》1998,157(5):157-162
BACKGROUND: To examine the prevalence of atrial fibrillation (AF) in cardiopathic patients with hyperthyroidism. METHODS: The data concerning the patients had been derived from registers of the Laboratory of Radioimmunoassay where cardiopathic patients' blood samples were referred from the Cardiology Unit to evaluate thyroid function, consecutively from January 1992 to December 1997. Of the 443 patients, 303 (68.4%) were classified as being euthyroid, 23 (5.2%) hypothyroid, 117 (26.4%) hyperthyroid. Thyroid function was diagnosed clinically and confirmed by serum TSH and free thyroid hormone (FT3, FT4), levels. RESULTS: Among hyperthyroid patients, the more frequent arrhythmia was AF (54.7%). After excluding from the study those hyperthyroid patients with rheumatic disease, hypertension, myocardial infarction, 37 hyperthyroid patients were selected; 18 (48.6%), (mean age 63.4 +/- 10.8 yrs), showed sinus rhythm and 19 (51.4%), (mean age 66.0 +/- 12.1 yrs), showed AF. FT3 and FT4 were higher in patients with AF than in those without AF, whereas TSH was not significantly different between the groups. Left ventricular (LV) mass index was significantly increased in hyperthyroid women with AF compared with hyperthyroid women without AF (109.80 +/- 22.33 g/m2 vs 84.50 +/- 6.20 g/m2; p < 0.005). A significant correlation was found between FT3 levels and LV mass index in the hyperthyroid women with and without AF (r = 0.77; p < 0.001). CONCLUSIONS: In this study the prevalence of AF is 51.4% in hyperthyroid patients. FT3 is higher in patients with AF than in those without AF. Finally, the correlation between FT3 and LV mass index suggests that cardiac hypertrophy is associated with thyroid hyperfunction. 相似文献
7.
8.
9.
EV Gembitski? 《Canadian Metallurgical Quarterly》1996,317(2):68-70
The relationship between dose intensity of cytotoxic agents and therapeutic results was examined in a retrospective analysis of 32 patients with non-metastatic high-grade osteosarcoma of the extremities. The average dose intensities of individual agents were 9.8 mg/m2/week for doxorubicin, 1.2 g/m2/week for methotrexate, and 10.5 mg/m2/week for cisplatinum. The dose intensities of doxorubicin and methotrexate were significantly correlated with the clinical results, while that of cisplatinum was not. These results indicate that maximal dose intensification of doxorubicin and methotrexate is an important determinant of treatment outcome for patients with osteosarcoma. 相似文献
10.
H Stevens 《Canadian Metallurgical Quarterly》1976,6(5):440-445
Modern laboratory technology has spawned a plethora of techniques for measuring and monitoring drug concentrations and body constituents; but the availability and frequent over-use of these determinations, some of which are exotic and require specialized personnel and expensive apparatus have further escalated the already high cost of medical care in several ways. The specter of medical malpractice suits has compelled the physician to practice defensive medicine including ordering unnecessary monitoring procedures, particularly for drug levels. Further impetus has been superadded by the courts and state legislatures; for example, phenylketonuria (PKU) determinations are mandatory in almost all states. Court rulings have held that "common knowledge" not expert testimony, may be all that is necessary to hold the doctor culpable for not ordering a test; nor is expert testimony necessarily required if the Physicians Desk Reference (PDR) or drug company insert recommends that certain tests or monitoring procedures be performed and the doctor fails to comply. (PSRO) programs will force further conformity, leave less to the discretion of the physician and place the government in an ever more regulatory role. Professional societies should take cognizance of the impropriety and danger of the government dictating diagnosis and treatment and should launch a vigorous program to scrutinize pending regulatory legislation and to make official and informed representations to appropriate legislators. 相似文献
11.
AV Pivnik TN Moiseeva EV Domracheva LS al-Radi GA Broun IV Karpova AM Kremenetskaia ER Maslova NE Shklovski?-Kordi AI Vorob'ev 《Canadian Metallurgical Quarterly》1996,68(7):73-77
Clinicohematological investigations and cytogenetic analysis of blood lymphocytes were made 5-7 years after the Chernobyl accident in 201 liquidators who had worked in the radionuclide-contaminated zone. Among the somatic diseases found in the examinees statistically more prevalent were cardiovascular and gastrointestinal affections, asthenic syndrome, thyroid disorders. Hemograms presented a rise in hemoglobin, red cell and eosinophil content, a drop in the number of neutrophils. A tendency to erythrocytosis was observed in 20.3% of the wreckers. Dicenters and rings were abundant in the lymphocytes of 69% of the cytogenetically examined examinees 5-7 years after the exposure to radiation. 相似文献
12.
NG Guseva 《Canadian Metallurgical Quarterly》1998,(12):27-31
The basic stages and the results of 40-year studies of systemic scleroderma (SSD) at the Institute of Rheumatology, Russia Academy of Medical Sciences, are given. The goal-oriented studies of the systemic, peripheral, and visceral manifestations of the disease, which were undertaken in the 1960s basically altered our insight into the disease. Subsequently the diagnostic signs of the disease were developed, which substantially improved the diagnosis of SSD. Long-term studies examined the evolution of SSD and identified three major types of its course: acute, subacute, and chronic, which differ in the rapidity of progression of a pathological process, the pattern of clinical and morphological manifestations and prognosis, as evidenced by survival rates. The identified types of the course (n = 3) and clinical forms (n = 5) formed the basis for the Russia classification of SSD. Studying the pathogenesis of the disease mainly in the context of the mechanisms of formation of fibrosis and impaired microcirculation, as well as its clinical heterogeneity served as the basis for developing pathogenetic therapy regimens by differentially using disease-modifying agents and other therapeutical complexes. At present, the Institute of Rheumatology has accumulated unique experience in studying and following over 1500 patients with SSD and related diseases. There is a rise in the sclerodermal group of diseases, cross-over and combined forms of SSD along with great progress in the diagnosis and treatment, which enhances the quality of life of patients with SSD and prognosis in them. 相似文献
13.
VA Verbenko 《Canadian Metallurgical Quarterly》1998,(5):126-129
Features were studied of brain organization of mental processes in schizophrenic patients during the period of aggravation of the condition, using methods common in neuropsychological diagnosis. Faulty mental functions are analyzed in connection with clinical manifestations. Groups have been identified of patients having particular neuropsychological and clinical characteristics. 相似文献
14.
Under the assumption of unchanged liability after the occurrence of an accident, the distributions of accident liability in groups can be broken up into probable component distributions of liability for subgroups with different accident records. It is shown that the component distributions have the same form as the total distribution if the latter is of Type III. Accident records have some validity as indicators of accident liability, but relative certainty that particular persons have high accident liability can be achieved only for that small number of cases whose accident records include a large number of accidents. Quantitative examples are given. (PsycINFO Database Record (c) 2010 APA, all rights reserved) 相似文献
15.
G Cserni 《Canadian Metallurgical Quarterly》1998,139(47):2819-2827
A model program for breast cancer screening has been initiated in Hungary. This paper evaluates the distribution of tumours on the basis of histopathological parameters in order to describe the baseline situation before the nation-wide introduction of screening. All pathology departments were asked to contribute to the study by sending in the complete anonymous reports of the last 10 breast cancer cases reported in 1997. Reports of different completeness on 419 tumours from 42 institutions (53% participation rate) were analysed. The mean age of the patients was 61.2 years (range 28-89). The mean tumour diameter was 2.64 cm (range 0.3-13). The prognostic profile (histological type, grade, lymph node involvement) of the tumours was generally poor. The information content of the reports is variable. Reports evaluable for the given factor involved prognostic information in the following proportions: tumour size: 87%; histological type: 100%; grade: 59%; skin involvement: 52%; pTNM categories; 40%; oestrogen and progesterone receptors: 37 and 29%, respectively; margins: 53%; (lymph)vascular invasion: 39%; peritumoral lymphocytic reaction: 36%; necrosis; 31%. Investigation of other prognostic markers was rare. Smaller city hospitals tended to document less prognostic factors and mostly from the less costly ones. Short and long reports showed no differences between their information content. Typewritten reports are still very common in Hungary, while computer based reporting systems requiring the filling out of prognostic markers fields are rare. The prognostic information content of these latter is generally higher. The estimated poor prognostic profile demonstrated by this report also urges the introduction of a nation-wide screening program, which should improve the observed parameters. Some degree of standardisation in pathology reporting seems also justified. 相似文献
16.
17.
18.
19.
OA Levada 《Canadian Metallurgical Quarterly》1997,(6):134-137
Overall eighty-eight patients with hemispheric stroke were examined 3 months following the outset of the disease. Clinical findings and computerized tomography scans showed the cerebral hemispheric cysts to be in posterocapsulolenticular, anterocapsulocaudal, lenticular, thalamic, lobar, frontal, combined, multiple positions. Locations of hemispheric cysts were found out to be associated with polymorphous structure of motor deficit. 相似文献
20.
An analysis of the relation among the quantity of focuses of Aedes aegypti, the rains and the temperatures in rainy and dry periods from 1982 to 1992 in 10 de Octubre municipe, at City of Havana, was carried out. No correlation was found between the number of focuses and the rains occurred in both seasons, and it was just the same between the number of focuses and temperatures. Thus, emphasis is made in the need for a strong surveillance along all year. 相似文献