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Appropriateness of unscheduled hospital admissions from care homes. 疗养院非计划入院的适当性。
IF 4.4 Pub Date : 2016-04-01 DOI: 10.7861/clinmedicine.16-2-103
Jennifer K Harrison, Iona K McKay, Patrick Grant, Jean Hannah, Terence J Quinn

Unscheduled hospital admissions from care homes are common and potentially avoidable but little guidance is available as to what constitutes an appropriate hospital admission. We surveyed healthcare professionals' opinions on a range of common scenarios affecting care-home residents. We developed seven clinical vignettes and an accompanying questionnaire. We used purposive sampling to obtain opinions from relevant primary care and secondary care teams. We asked assessors to comment on whether they would favour hospital admission and to justify their response using pre-selected options and/or free text. Admission to hospital was judged inappropriate in 54.6% of responses. Opinion on admission varied according to the case, with fewer than half of respondents agreeing for three of the seven cases. Recurring themes were uncertainty around services available to care homes and anticipatory care planning. The lack of consensus suggests that concepts surrounding inappropriate care-home admission are not shared by staff who provide care for this patient group.

从护理院非计划入院的情况很常见,而且有可能是可以避免的,但对于什么才是适当的入院,目前几乎没有任何指导。我们调查了医护人员对一系列影响护理院居民的常见情况的看法。我们编制了七个临床案例和一份配套的调查问卷。我们采用有目的的抽样调查,从相关的初级护理和二级护理团队中获取意见。我们要求评估者就是否赞成入院发表意见,并使用预选选项和/或自由文本说明其回答的理由。在 54.6% 的回复中,入院治疗被认为是不恰当的。对于入院治疗的意见因病例而异,在七个病例中,有三个病例只有不到一半的受访者表示同意。反复出现的主题是护理院可用服务的不确定性和预期护理规划。缺乏共识表明,为这一患者群体提供护理服务的工作人员并不认同有关不适当入住护理院的概念。
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引用次数: 0
Separation of structurally related peptides by open-tubular capillary electrochromatography using (metallo)porphyrins as the adsorbed stationary phase 以(金属)卟啉为吸附固定相的开管毛细管电色谱分离结构相关肽
Pub Date : 2016-01-17 DOI: 10.1135/CSS200306007
J. Charvátová, V. Kašička, T. Barth, Z. Deyl, I. Mikšík, V. Král
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引用次数: 1
Ligand binding to tetra-end-linked (TGGGGT) 4 G-quadruplexes: an electrospray mass spectrometry study 配体结合四端连接(TGGGGT) 4 g四联体:电喷雾质谱研究
Pub Date : 2015-10-30 DOI: 10.1135/CSS200810333
G. Oliviero, Jussara Amato, S. D’Errico, G. Piccialli, P. Mailliet, F. Rosu, E. Pauw, V. Gabélica
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引用次数: 1
Synthesis and evaluation of 5-substituted-2'-deoxyuridine monophosphate analogues as inhibitors of flavin-dependent thymidylate synthase in Mycobacterium tuberculosis 结核分枝杆菌黄素依赖性胸苷酸合成酶抑制剂5-取代-2'-脱氧尿苷单磷酸类似物的合成与评价
Pub Date : 2015-08-20 DOI: 10.1135/CSS201112364
Martin Kögler, Bart Vanderhoydonck, S. D. Jonghe, Jean Herman, T. Louat, K. V. Belle, J. Rozenski, P. Herdewijn
Synthesis and Evaluation of 5-Substituted 20-deoxyuridine Monophosphate Analogues As Inhibitors of Flavin-Dependent Thymidylate Synthase in Mycobacterium tuberculosis Martin K€ogler, Bart Vanderhoydonck, Steven De Jonghe, Jef Rozenski, Kristien Van Belle, Jean Herman, Thierry Louat, Anastasia Parchina, Carol Sibley, Eveline Lescrinier, and Piet Herdewijn* Katholieke Universiteit Leuven, Rega Institute for Medical Research, Laboratory of Medicinal Chemistry, Minderbroedersstraat 10, 3000 Leuven, Belgium Katholieke Universiteit Leuven, Interface Valorisation Platform (IVAP), Kapucijnenvoer 33, 3000 Leuven, Belgium Department of Genome Sciences, University of Washington, Seattle, Washington, United States
Martin K€ogler, Bart Vanderhoydonck, Steven De Jonghe, Jef Rozenski, Kristien Van Belle, Jean Herman, Thierry Louat, Anastasia Parchina, Carol Sibley, Eveline Lescrinier,和Piet Herdewijn*天主教鲁芬大学,Rega医学研究所,药物化学实验室,minderbroederstraat 103000 Leuven,比利时天主教鲁汶大学,界面评估平台(IVAP), Kapucijnenvoer 33,3000 Leuven,比利时,华盛顿大学基因组科学系,西雅图,华盛顿,美国
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引用次数: 12
Novel fluorescent pyrimidine nucleosides containing 2,1,3-benzoxadiazole and naphtho-[1,2,3-cd]indole-6 (2h)-one fragments 含有2,1,3-苯并恶二唑和萘-[1,2,3-cd]吲哚-6 (2h)- 1片段的新型荧光嘧啶核苷
Pub Date : 2015-07-06 DOI: 10.1135/css201414396
S. Vasilyeva, A. S. Kuznetsova, Juliya G. Khalyavina, V. Glazunova, A. Shtil, L. M. Gornostaev, V. Silnikov
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引用次数: 0
Towards a DNA based asymmetric catalyst based on a tetraaza crown ether macrocycle 基于四氮冠醚大环的DNA不对称催化剂的研究
Pub Date : 2014-12-02 DOI: 10.1135/css201414242
M. Dalager, S. Vogel
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引用次数: 0
Modified nucleoside triphosphates in rolling circle amplification 三磷酸核苷在滚圈扩增中的修饰
Pub Date : 2014-06-10 DOI: 10.1135/CSS201414103
M. Hollenstein
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引用次数: 0
Antiviral activity of 5-halofuropyrimidine nucleosides 5-卤代呋喃嘧啶核苷的抗病毒活性
Pub Date : 2014-01-01 DOI: 10.1135/CSS201414209
Craig D. Sergeant, J. Balzarini, R. Dembinski
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引用次数: 0
A study of characteristics of silica or glass surfaces to increase efficiency of nucleic acid synthesis using the solid phase approach 利用固相法研究提高核酸合成效率的二氧化硅或玻璃表面的特性
Pub Date : 2014-01-01 DOI: 10.1135/CSS201414227
Sandra Bałabańska, R. Przekop, M. Chmielewski
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引用次数: 0
Redox labeling and redox coding of nucleic acids 核酸的氧化还原标记和氧化还原编码
Pub Date : 2014-01-01 DOI: 10.1135/CSS201414229
Jana Balintová, M. Brázdová, L. Havran, M. Fojta, Michal Hocek
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引用次数: 1
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Collection of Czechoslovak Chemical Communications
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