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Journal of chronic diseases最新文献

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On the coordination of care. 关于护理的协调。
Pub Date : 2020-05-01 DOI: 10.1891/9780826174116.0007
A. R. Finestein
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引用次数: 0
Polyuria. 多尿症。
Pub Date : 2020-02-02 DOI: 10.32388/ggug3y
H. D. de Wardener
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引用次数: 0
Which 5-ASA? Variation in colonic mucosal concentration of different pharmaceutical mesalamine formulations 5-ASA ?不同药物美沙拉胺制剂结肠黏膜浓度的变化
Pub Date : 2008-01-01 DOI: 10.1016/S1873-9954(08)70105-8
R. D'Incà, M. Paccagnella, R. Cardin, S. Voltan, V. Baldo, G. Sturniolo
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引用次数: 0
Author's reply 作者回复
Pub Date : 2000-01-01 DOI: 10.1016/0021-9681(83)90161-3
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引用次数: 0
Author's reply 作者回复
Pub Date : 2000-01-01 DOI: 10.1016/0021-9681(84)90096-1
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引用次数: 0
A comparative cost analysis of terminal cancer care in home hospice patients and controls 家庭安宁疗护末期癌症病人与对照组之成本比较分析
Pub Date : 1987-01-01 DOI: 10.1016/0021-9681(87)90132-9
Dennis Gray , Douglas MacAdam , Duncan Boldy

A comparison is made between the expenditure during the last 90 days of life on 98 terminal cancer patients cared for by a home based hospice service and that on matched patients dying without the home hospice service. The control patients were matched for site of primary cancer, age and sex. The individual records of both groups of patients were analyzed and costed. It was found that the costs of providing 24 hour comprehensive medical and nursing care at home to those dying of cancer and support for their families was no more expensive than traditional institutional care.

我们比较了98名接受居家安宁疗护服务的晚期癌症病人与未接受居家安宁疗护服务的病人在生命最后90天的开支。对照患者的原发癌部位、年龄和性别相匹配。对两组患者的个人记录进行分析和计算。研究发现,在家中为癌症患者提供24小时全面医疗和护理并为其家庭提供支助的费用并不比传统的机构护理费用高。
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引用次数: 42
Health status and utility measurement viewed from the right brain: Experience from the rheumatic diseases 右脑视角下的健康状况与效用测量:风湿病的经验
Pub Date : 1987-01-01 DOI: 10.1016/0021-9681(87)90017-8
Matthew H. Liang, Celeste Robb-Nicholson

Questionnaires for measuring function, health status, and quality of life have been developed for the rheumatic and musculoskeletal disorders. These new measures are as valid and as reliable as traditional measures of clinical status in clinical trials and health services research and add a valuable dimension to outcome assessment. However, they have limitations for use in patient care. Questionnaires cannot determine the etiologic basis of functional disability; nor cover any one function in enough depth; nor deal with the relative nature of function; nor account for the differences in functional priorities. Questionnaires are statistical approaches and based on normative model; patient care is humanistic emphasizing differences. Nevertheless, the interaction between psychometric approaches and concerns of patient care is a necessary and desirable goal for all we seek to accomplish with clinical investigation.

用于测量功能、健康状况和生活质量的调查问卷已被开发用于风湿病和肌肉骨骼疾病。这些新措施与临床试验和卫生服务研究中临床状况的传统措施一样有效和可靠,并为结果评估增加了一个有价值的方面。然而,它们在病人护理中的应用有局限性。问卷调查不能确定功能性残疾的病因基础;没有足够深入地涵盖任何一个功能;也不处理功能的相对性质;也没有考虑到功能优先级的差异。问卷调查是基于规范模型的统计方法;病人护理是强调差异的人文关怀。尽管如此,心理测量方法与患者护理之间的相互作用是我们寻求完成临床研究的必要和理想目标。
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引用次数: 8
Mortality in the beta blocker heart attack trial: Circumstances surrounding death -受体阻滞剂心脏病发作试验中的死亡率:死亡周围环境
Pub Date : 1987-01-01 DOI: 10.1016/0021-9681(87)90098-1
Robert W. Peters , Robert Byington , Daniel Arensberg , Lawrence M. Friedman , Donald W. Romhilt , Allan Barker , Charles Laubach , Gary W. Wilner , Sidney Goldstein

In the Beta Blocker Heart Attack Trial, a double blind, randomized, controlled study, patients taking propranolol (180 or 240 mg/day) initiated 5–21 days post myocardial infarction had 26% fewer deaths than those taking placebo over a 25 month (mean) followup. Detailed analysis of the circumstances surrounding the BHAT deaths failed to reveal any striking difference between propranolol and placebo in the type of clinical event preceding death, the incidence and type of acute and prodromal signs and symptoms, the location of death, the activity preceding death or the percentage of deaths that were sudden or instantaneous, suggesting that propranolol may exert an “across the board” effect and improve survival by a combination of mechanisms. An unexpected finding was that the protective effect of propranolol appeared to occur during the hours of 10 p.m. to 7 a.m.

在β受体阻滞剂心脏病发作试验(一项双盲、随机对照研究)中,心肌梗死后5-21天开始服用心得安(180或240毫克/天)的患者在25个月(平均)随访期间的死亡率比服用安慰剂的患者低26%。对BHAT死亡情况的详细分析未能揭示心得安与安慰剂在死亡前的临床事件类型、急性和前期体征和症状的发生率和类型、死亡地点、死亡前的活动或突然或瞬间死亡的百分比方面有任何显著差异,这表明心得安可能发挥"全面"效应,并通过多种机制提高生存率。一个意想不到的发现是,心得安的保护作用似乎发生在晚上10点到早上7点之间。
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引用次数: 9
The prognostic significance of psychosocial factors in women with breast cancer 心理社会因素对乳腺癌患者预后的影响
Pub Date : 1987-01-01 DOI: 10.1016/0021-9681(87)90110-X
T. Gregory Hislop , Nancy E. Waxler , Andrew J. Coldman , J. Mark Elwood , Lisa Kan

One hundred and thirty three recently diagnosed breast cancer patients completed a self-administered questionnaire which measured 16 psychosocial variables. After 4 years, three variables (expressive activities at home, extroversion, low anger) were significant prognostic factors for overall survival independent of clinical and other psychosocial factors; likewise three variables (expressive activities at home, expressive activities away from home, low cognitive disturbance) were significant independent prognostic factors for disease-free survival. These findings support the prognostic importance of the social emotional network.

133名最近确诊的乳腺癌患者完成了一份自我管理的问卷,测量了16个社会心理变量。4年后,三个变量(家庭表达活动,外向性,低愤怒)是独立于临床和其他社会心理因素的总体生存的重要预后因素;同样,三个变量(在家表达活动、离家表达活动、低认知障碍)是无病生存的重要独立预后因素。这些发现支持了社会情感网络对预后的重要性。
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引用次数: 157
Sample size determination in case-control studies 病例对照研究中样本量的确定
Pub Date : 1987-01-01 DOI: 10.1016/0021-9681(87)90082-8
Stan Becker
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引用次数: 6
期刊
Journal of chronic diseases
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