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11.
OBJECTIVE: To characterize the magnitude and patterns of visits to the emergency department (ED) for problems related to the eye and ocular adnexa. METHODS: The National Hospital Ambulatory Medical Care Survey was used to obtain information on ED visits in the United States for conditions of the eye and ocular adnexa in 1993. Patients were identified by International Classification of Diseases, Ninth Revision, Clinical Modification, codes. National projections were based on a staged probability design. RESULTS: There were 2.32 million projected ED visits for problems of the eye and ocular adnexa in 1993. Forty-nine percent of visits were for injuries, two thirds of which occurred in males. Thirty-five percent of injuries occurred in the home and 18% occurred in the workplace. Only 3% of patients required hospitalization. Most patients had private insurance, but substantial variations in coverage existed for patients who used the ED for injury- vs non-injury-related care. CONCLUSIONS: Emergency departments in the United States provide a large amount of eye care, much of which is for conditions other than trauma. Differences in insurance coverage for injury- and non-injury-related eye care indicate that factors other than medical urgency are involved in the decision to use ED services. Further studies are needed to determine the cost-effectiveness and quality of ocular-related ED visits. 相似文献
12.
Manic (n?=?22) and schizophrenic (n?=?28) patients were examined with clinical and linguistic measures of language performance at an acute admission and at a follow-up. It was found that the frequency of incompetent references and the severity of negative thought disorder were stable independent traits of schizophrenics. Furthermore, low levels of verbal productivity, indexed both clinically and linguistically, predicted the likelihood that schizophrenic subjects would be psychotic at follow-up. The language performance of manic patients was not temporally stable, although high levels of reference failures at index predicted psychosis at follow-up. These results are evaluated in terms of their implications for differentiating state-specific aspects of speech competence from potential vulnerability markers in these two types of patients. (PsycINFO Database Record (c) 2010 APA, all rights reserved) 相似文献
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Monteith Margo J.; Devine Patricia G.; Zuwerink Julia R. 《Canadian Metallurgical Quarterly》1993,64(2):198
Personal standards for responding toward gay males and affective reactions to discrepancies were examined for low prejudiced (LP) and high prejudiced (HP) Ss in 2 studies. These standards and discrepancies involved responses varying in controllability and acceptability. Results indicated that LP Ss experienced negative self-directed affect in connection with transgressions from their nonprejudiced and well-internalized standards, regardless of the type of response. HP Ss' personal standards were quite nonprejudiced and well internalized for relatively controllable and unacceptable prejudiced responses. Nevertheless, HP Ss' transgressions from their standards produced negative affect directed toward others but not toward the self, regardless of the type of response. The findings supported E. T. Higgins's (1987) argument that the standpoint of standards determines affective reactions to discrepancies. Apparently, LP Ss' standards are based on the own standpoint, but HP Ss' standards are based on the other standpoint. (PsycINFO Database Record (c) 2010 APA, all rights reserved) 相似文献
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C. H. Wouters H. K. Koerten J. Bonnet W. Th. Daems J. S. Ploem 《Journal of microscopy》1986,141(1):41-53
An instrument for combined scanning electron microscopy (SEM) and light microscopy (LM) to which a photometer unit is attached is described. A special stage in the vacuum chamber of a scanning electron microscope incorporates light microscope optics (objective and condenser) designed for transmission and epi-illumination fluorescence LM. An optical bridge connects these optics to a light microscope, without objective and condenser. The possibility of performing quantitative DNA measurements in this combined microscope (the LM/SEM) was tested using preparations of either chicken erythrocytes, human lymphocytes, or mouse liver cells. The cells were fixed, brought on a cover-glass, quantitatively stained for DNA, dehydrated, and critical point dried (CPD). After mounting the cells were coated with gold. The specimens were brought into the vacuum chamber of the combined microscope and individual cells were studied with SEM and LM. Simultaneously DNA measurements were performed by means of the photometer unit attached to the microscope. It is shown in this study that DNA measurements of cells in the combined microscope give similar results when compared to DNA measurements of embedded cells performed with a conventional fluorescence microscope. Furthermore, it is shown that although the gold layer covering the LM/SEM specimens weakens the fluorescence signal, it does not interfere with the DNA measurements. 相似文献
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LD Ormerod JA Larkin CA Margo PR Pavan MM Menosky DO Haight JP Nadler BG Yangco SM Friedman R Schwartz JT Sinnott 《Canadian Metallurgical Quarterly》1998,26(1):34-45; discussion 46-7
Eleven patients with rapidly progressive herpetic retinal necrosis (RPHRN) complicating AIDS were investigated retrospectively to study the disease spectrum, systemic involvement, and therapy. The mean CD4 cell count was 24/microL. There was a characteristic disease pattern with rapid progression, 82% bilaterality, relative resistance to intravenous antiviral therapy, and 70% retinal detachment. Varicella-zoster virus was the probable cause in 10 patients (detected by polymerase chain reaction in two eyes investigated), and herpes simplex virus was the probable cause in one. Cutaneous zoster occurred previously in 73% but was not concurrent. Seventy-three percent had central nervous system disease, possibly virus-related. RPHRN may be a local herpetic recrudescence in an immune-privileged site with transneural spread. Only four of 20 affected eyes retained useful vision. Poor ocular bioavailability, retinal ischemia, acquired drug resistance, and strain pathogenicity may underlie treatment failure. Acyclovir therapy appears relatively ineffective. Combined intravenous and intravitreal therapy with foscarnet and ganciclovir may be the best current management. Research advances are needed urgently. 相似文献
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CE Margo 《Canadian Metallurgical Quarterly》1998,29(8):692-694
Microscopic examination of the surgical margins of an en bloc resection of an intraocular tumor is difficult because of the small size of the specimen. A technique to study the surgical margins of en bloc resections is described that minimizes gross handling of the tissue in the laboratory. Step sections at 1/8-mm intervals along the anteroposterior axis of the eye provide sufficient sampling to detect involvement of the surgical margin. They also allow easy anatomic reconstruction of the tumor with glass slides. 相似文献
20.
Veit Debra T.; Scruggs Thomas E.; Mastropieri Margo A. 《Canadian Metallurgical Quarterly》1986,78(4):300
Divided 64 learning disabled (LD) 6th-, 7th-, and 8th-grade students into 24 instructional groups that were assigned at random to mnemonic and control conditions. Instructional groups were administered 3 daily lessons on dinosaurs in counterbalanced order. The lessons involved vocabulary on dinosaurs, attributes of dinosaurs, and reasons for dinosaur extinction. Mnemonic groups were taught the information using keyword and pegword techniques. Control instructional groups were taught the same information using the principles of direct instruction, including teacher-directed questioning, choral group responding, fast instructional pacing, and cumulative review. A test was given after each lesson on that lesson's content. On the 4th day, all Ss were given production and identification tests on the content of all 3 lessons. Results indicate that mnemonic groups outperformed control groups on the immediate and delayed tests. In addition, control Ss' responses revealed significantly more intralist intrusions than did those of mnemonic Ss. No meaningful trend across days of instruction was observed for either condition. Findings suggest that mnemonic instruction is a versatile and effective instructional technique for LD students. (23 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved) 相似文献