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1.
We sought to examine the prevalence of self-reported multiple cardiovascular disease (CVD) risk factors (hypertension, high blood cholesterol, diabetes, overweight, and current smoking) among women in 1992 and 1995 in the United States using data from the Behavioral Risk Factor Surveillance System. In 1992, 37.5%, 34.4%, and 28.1% of women had zero, one, and two or more of the five risk factors, respectively. In 1995, the respective estimates were 35.5%, 34.3%, and 30%. In both years, the prevalence of two or more risk factors increased with age, decreased with educational level, was higher among black women (lowest among Hispanic women and women of other ethnic groups), and higher among women reporting cost as a barrier to healthcare. The percentage of women with two or more risk factors was higher in 1995 than in 1992 for 35 of 48 states, being statistically significant for 7 states. The percentage of women with at least two risk factors was not significantly lower in 1995 than in 1992 for any state. A higher percentage of women reported having multiple CVD risk factors in 1995 compared with 1992. A multifactorial approach to primary prevention and risk factor reduction should be encouraged to help reduce the prevalence and burden of CVD among women.  相似文献   
2.
PURPOSE: To examine the feasibility and reliability of ratings completed by hospital-based registered nurses of the humanistic qualities, communication skills, and selected aspects of the clinical skills of practicing internists. METHOD: In 1988-1989, registered nurses who worked in the same 175 hospitals as 232 internists with admitting privileges at these hospitals rated the internists' performances. The nurses were selected from medicine floors, specialty floors, and intensive care units and/or critical care units, using lists provided by head nurses. A total of 1,877 rating questionnaires with 13 performance categories were collected (with a mean of 8.01 nurses per internist). The ratings were analyzed to determine measurement characteristics and the relationships of the nurses' demographic characteristics to the ratings. In addition, for each of ten performance categories for 152 of the internists, the average rating each internist received from nurses was compared with the average rating each internist received from peer physicians. Statistical analysis used Pearson correlations, canonical correlations, factor analyses, Student's t-tests, analysis of variance, and stepwise multiple regression. Finally, the internists themselves, including physicians who were not actually rated by the nurses, were asked to complete a brief questionnaire that included questions about their opinions of the use of nurses' ratings. RESULTS: The nurses' ratings correlated moderately strongly with the peer physicians' ratings and had a common structure. However, the nurses' ratings were lower for several humanistic qualities, including respect, integrity, and responsibility, and their ratings were higher for medical knowledge and verbal communications. Across the 13 performance categories, approximately 10-15 ratings from nurses were needed to obtain a reliable assessment of an internist's humanistic qualities and communication skills. Many internists felt that nurses' ratings should be used equally with, or at least as a lesser contribution to, ratings by peer physicians of humanistic qualities and communication skills. CONCLUSION: Nurses' ratings appear to provide a feasible and reliable method of evaluating the internists' communication skills and humanistic qualities, when used in conjunction with ratings by peer physicians.  相似文献   
3.
The synthesis of azo dyes via a conventional aqueous-based diazotisation and coupling reaction requires the use of relatively high concentrations of mineral acids, which leads to high electrolyte concentrations in wastewater. Reported in this paper is an environmentally benign one-pot method for the synthesis of a nonionic azo dye, N,N -diethyl- N -{4-[( E )-(4-nitrophenyl)diazenyl]phenyl}amine, in supercritical carbon dioxide without using a mineral acid. The product yield increased significantly with temperature, with 91% theoretical yield afforded at 80 °C. The pressure of the system had little influence on product yield.  相似文献   
4.
Author describes one case of septic metrothrombophlebitis and acute renal failure in pregnant woman as a result of spontaneous abortion. He discusses some clinical criteria of developing complications and proposes adequate therapeutic line of behaviour.  相似文献   
5.
6.
The author documents her experiences as she researched homosexual men. She discusses the adverse conditions that potentially threatened her achieving her research goals, including the demand of university officials that the research be conducted at the university. As confidentiality was imperative, the author insisted on conducting interviews at her home office. Starting in 1953 she received grants from the National Institute of Mental Health (NIMH) to research male homosexuality and in 1969 proposed an agenda outlining research and policy issues at NIMH. Hooker recently received a trust fund for almost a half million dollars from a gay man she had interviewed in the late 1950s to conduct research for the understanding of gay men and lesbians. The funds are now in the American Psychological Foundation under control of selected officers of Division 44. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
7.
Isocyanate-based materials have been used for decades as the basis for high performance adhesives, coatings, and primers. The origin of the excellent adhesion of these materials to metals such as steel has been generally assumed to derive from the condensation of isocyanates with metal hydroxyls to form metal oxide-cyanate esters analogous to urethanes. In this work Fourier transform infrared reflection (FTIR) was used to demonstrate that these esters do indeed form, but that the esterification is preceded by the formation of carbamate salts between the isocyanate and the hydrated metal oxide.

Isocyanate pMDI Polyurethane Steel Adhesion Interface  相似文献   
8.
Oligoesters present in poly(ethylene terephthalate) fibers are commonly extracted from the fiber during processing, such as aqueous‐based dyeing. Aqueous, insoluble oligoesters, particularly cyclic trimers that precipitate on processing machinery and on the fiber surface are difficult to remove under benign conditions. Reported is a new method for the efficient removal of cyclic trimer by enzyme‐catalyzed hydrolysis. Almost complete hydrolysis of trimer was accomplished at pH 8 and 60°C. Effects of time, agitation, surfactant, and enzyme and trimer concentrations on the efficiency of hydrolysis are reported. © 2003 Wiley Periodicals, Inc. J Appl Polym Sci 89: 2545–2552, 2003  相似文献   
9.
The goal of this investigation was to determine the effects of allelochemicals on plant respiration that thereby may be responsible for their role in growth inhibition. We have tested the effects of juglone, quercetin, cinnamic acid, and-pinene on respiration rates, and electron partitioning through the cytochrome and alternative respiratory pathways, by measuring on-line oxygen consumption and oxygen isotope fractionation in soybean cotyledon tissue. Cinnamic acid and-pinene decreased the oxygen consumption rate and increased the relative partitioning of electron transport to the alternative pathway. Possible biochemical mechanisms of these effects are discussed.  相似文献   
10.
The viscoelasticity of blood is quantified by studying the oscillatory flow of suspensions of RBC in plasma in 218 μm and 400 μm glass capillary tubes. The flow conditions are chosen to reflect normal physiological flow in small arterial vessels. Data are obtained for suspension hematocrits between 35 and 80 percent, and at physiological temperature (37°C) The results indicate that the elastic component of the viscoelasticity of blood is effectively negligible for the conditions of this study; the measured pressure gradient-flowrate relationship is dominated by the viscous component of blood viscoelasticity.  相似文献   
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