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BA Elliott 《Canadian Metallurgical Quarterly》1993,20(2):277-288
Primary care physicians can easily incorporate efforts toward the primary and secondary prevention of family violence into their practices. By designing a preventive effort using the phases of the family life cycle, a developmentally appropriate system of prevention is created. The anticipatory guidance at each (annual) visit acknowledges family transitions and assures the family that abuse is a health issue and that the physician is a resource for issues of violence prevention. Using the FLC, the first phase is Coupling, when there is a risk of partner violence that continues as long as there is a partnership. Pregnancy and childbirth bring concerns of child neglect and battery. Older children are at additional risk for child sexual abuse. As families age, risks develop for elder abuse, too. The regular discussion of these issues raises the awareness that the potential for family violence continues over the life span and allows the physician opportunities to assess the risk of violence in that family and make appropriate preventive referrals. Primary care physicians are optimally positioned to address violence and its prevention in the office: they know and care for family units over time. Physicians are respected and trusted advisors who can become effective in preventing violence. 相似文献
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Charles George Clare Rowland France Gerard Heiko Balzter 《Remote sensing of environment》2006,104(3):346-359
The boreal forest contains almost half the total carbon pool of world forest ecosystems, and so has a very significant role in global biogeochemical cycles. The flux of greenhouse gases in and out of these forests is influenced strongly by disturbances such as diseases, logging and predominantly fire. It is important to quantify these disturbances to enable the modelling of major greenhouse gases. However, because of the remoteness and vastness of the boreal forest, little data is available on the type, extent, frequency and severity of these disturbances in Siberia. For burnt areas, two of the more responsive wavelengths are the short wave infra-red (SWIR) and the near infra-red (NIR). These produce a vegetation index, the normalised difference SWIR (NDSWIR) capable of detecting retrospective disturbances. Here we combine the NDSWIR from MODIS imagery acquired in the summer of 2003 with thermal anomaly data from 1992 to 2003 to detect and date areas which burnt at some point between 1992 and 2003. The semi-automated method is called SWIR and Thermal ANomalies for Detecting Disturbances (STANDD) and is complemented by an Normalised Difference Vegetation Index (NDVI) differencing method using MODIS 2002 and 2003 imagery to ensure reliable detection of area burnt in the year of image acquisition (i.e. 2003). The area of this study covers approximately 3 million km2 stretching from Lake Baikal in the south to the Laptev Sea in the north, above the Arctic Circle. Landsat ETM+ images were used to validate the shape and areal extent of the burnt areas resulting in an 81% overall accuracy with a kappa coefficient of agreement of 0.63. 相似文献
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MJ de Gortari BA Freking SM Kappes KA Leymaster AM Crawford RT Stone CW Beattie 《Canadian Metallurgical Quarterly》1997,28(4):274-290
We report the evaluation of 1036 bovine microsatellite primer pairs for their suitability as linkage markers in sheep. Approximately 58% (605/1036) of bovine primer pairs amplified a locus in sheep. Sixty-seven per cent (409/605) of amplified loci were detected as polymorphic. Marker heterozygosity, allele number and range of allele sizes were significantly lower in sheep than cattle sampled in this study. However, median fragment size was similar. These data suggest that high-resolution comparative linkage maps between closely related species can be constructed relatively efficiently. 相似文献
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OBJECTIVE: To examine the association between sexual abuse in childhood and adult depression in women. DESIGN: Two stage, case detection and case identification design, using the 30-item general health questionnaire and the Beck depression inventory for screening and the affective items relating to current functioning on the schizophrenia and affective disorders schedule to identify depressed cases. Details of sexual abuse in childhood were elicited retrospectively by semistructured interview, and social problems by the social problems questionnaire. SETTING: Three general practices, in middle class suburban, deprived inner city, and rural areas. SUBJECTS: 1189 women were screened and 237 subsequently interviewed; 132 were depressed. RESULTS: 49 (37%) of the depressed interviews and 24 (23%) of the non-depressed interviews reported experience of sexual abuse when they were aged under 16 years. A positive association existed between the more severe abuse and depression--all those who had experienced penetration were depressed as adults. A relation was also found between sexual abuse in childhood and sexual problems, housing problems, and problems with their children at school. CONCLUSION: A positive association between child sexual abuse and depression was confirmed, but this was confined to more severe abuse (penetration or attempted penetration). 相似文献
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The Chiari type II malformation is the leading cause of death in infants with myelomeningocele. The authors report 17 cases of symptomatic Chiari type II malformation occurring in two distinct age dependent population. In Group I, 13 neonates and infants in the first year of life presented with cranial nerve and brain stem dysfunction characterized by vocal cord paralysis, apnea, dysphagia and laryngeal stridor. In Group II, 4 patients developed signs and symptoms after the first year of life. In this group, the presentation was more insidious and included neck pain and cerebellar manifestations. The surgical treatment consisted initially in shunt implantation or revision and when there was no improvement, posterior fossa decompression was performed. The response to the surgical treatment differed considerably between the two groups: older patients improved promptly after surgery and there was no casualties; in newborn and infants, especially those under 6 months of age, the mortality rate was 46.1%. The authors stress that prompt diagnosis and surgical intervention should be performed in order to produce a favorable outcome. 相似文献