排序方式： 共有20条查询结果，搜索用时 31 毫秒
1.
Case management is widely recognized as an important component of an effective model for delivering health and social services in the community. In Canada, case management is increasingly being adopted as a method of providing long‐term services to older clients. Professionals working in community‐based, long‐term care require training specific to their roles as case managers for seniors. Gerontology educators can respond to case managers’ learning needs by developing and providing innovative programs. This article reports on an assessment of the training needs of health and social service personnel who perform case management functions on a long‐term basis with elderly clients in Canada, the extent and type of case management training currently provided by Canadian agencies, and an outline of curriculum options designed to address case manager training needs. 相似文献
2.
Indian ethnicity by itself is a strong risk factor for development of CAD in Indian postmenopausal women due to lower HDL
levels as compared to Whites and women of oriental origin. We evaluated and compared the short-term effects of menopause,
estrogen replacement therapy and combined estrogen and progestin replacement therapy on various atherogenic indices. 40 postmenopausal
women, both surgical and natural (20 each) were selected. 10 surgical postmenopausal women were given 0.625 mg conjugated
estrogens daily for 6 months and 10 natural postmenopausal women were given 0.625 mg conjugated estrogen with 2.5 mg medroxyprogesterone
acetate daily. 20 women were included in the control group and given placebo. Fasting venous blood samples were analyzed for
extended lipid profile and calculated atherogenic indices before starting the therapy and after 1,3 and 6 months. LDL and
Apolipoprotein B increased (p<0.05) and those of Apolipoprotein A1 and HDL decreased in the control groups. In both the study
groups levels of serum cholesterol and LDL decreased (p<0.05) and those of HDL and Apolipoprotein A1 increased (p<0.01). LDL/HDL,
Apo B/ApoA1, Total Cholesterol/HDL decreased significantly (p<0.05) in both the study groups compared to the control groups.
The effect of estrogen alone was more significant as compared to combination therapy. Log Triglycerides (TG)/HDL ratio showed
a decrease in women on estrogen alone but the difference was not significant. Our study confirms that short term HRT has a
favorable effect on atherogenic indices in Indian postmenopausal women. 相似文献
3.
中医药信息资源共享与网络化建设 总被引：1，自引：0，他引：1
中医药信息资源共享与计算机网络化建设是时代发展的要求,本文就实现中医药信息资源共享与网络化建设面临的问题及有效途径进行了探讨. 相似文献
4.
The authors examined internalizing behavior problems at middle childhood, adolescence, and young adulthood and brain-based measures of stress vulnerability in 154 right-handed, nonimpaired young adults ( M age = 23 years): 71 (30 males, 41 females) born at extremely low birth weight (ELBW; < 1,000 g) and 83 (35 males, 48 females) controls born at normal birth weight (NBW). Internalizing behavior problems increased from adolescence to young adulthood among ELBW individuals. ELBW adults exhibited greater relative right frontal electroencephalogram activity at rest and more concurrent internalizing behavior problems than NBW controls. Being born at ELBW may have subtle influences on brain–behavior relations even in survivors without major impairments and evidence of these influences may not emerge until young adulthood. 相似文献
5.
TD-SCDMA的成功产业化是我国电信产业发展的重大问题.对电信产业而言,技术创新和服务创新都有不可忽视的影响,二者在互动中推动产业发展.从"技术一服务"联动的视角提出了促进我国电信标准产业化的分析框架,并以日本3G发展为标杆,探讨了技术要素与服务要素互动的具体模式.最后,从"技术-服务"联动创新的角度为我国TD-SCDMA标准的发展提出了具体的建议. 相似文献
6.
Jain A 《Indian journal of clinical biochemistry : IJCB》2011,26(3):269-273
Tuberculosis remains a major public health problem globally, with India being one of the high burden countries. The common
causative agent is Mycobacterium tuberculosis but in developing countries M. bovis is reported as a potential human pathogen. Almost 20% of all reported cases of tuberculosis are of extra pulmonary form of
disease. Diagnosis of extra pulmonary tuberculosis (EPTB) is not always possible with conventional methods, due to the long
time required and the paucibacillary nature of samples; hence the need of rapid molecular methods. A prospective study was
conducted on 300 patients of EPTB over a period of 5 years. These patients were suspected cases of tubercular meningitis,
tubercular ascites and tubercular lymphadenitis. Samples analyzed were cerebrospinal fluid, ascitic fluid and lymph node fine
needle aspirate. A two step PCR targeting hup B gene was used. Clinical response to anti tubercular therapy (ATT) was taken as positive (gold standard). PCR for hup B gene was positive in 147 samples out of 155 ATT responders. Of these 85.71% were infected with M. tuberculosis, 9.52% with M. bovis alone and 4.76% showed co infection with both M.tb and M. bovis. The sensitivity and specificity of PCR was 90.32 and 94.48% respectively. 相似文献
7.
Huma Nasrat Surajeet K. Patra Binita Goswami Anju Jain Chitra Raghunandan 《Indian journal of clinical biochemistry : IJCB》2016,31(1):104-107
Polycystic ovary syndrome (PCOS) is a common endocrinological disorder among women of the reproductive age group with long term sequelae which include diabetes mellitus, hypertension and CAD. The present study was conducted to evaluate the association of leptin—an adipokine playing an important role in carbohydrate metabolism and markers of insulin resistance among women with PCOS. Sixty diagnosed cases of PCOS as per Rotterdam criteria were enrolled in this study after informed written consent. Insulin resistance was estimated using the homeostatic model assessment-insulin resistance (HOMA-IR). HOMA-IR was calculated as the product of the fasting plasma insulin value (mU/ml) and the fasting plasma glucose value (mg/dl), divided by 405 and HOMA β was calculated as 360 × [insulin]/([glucose] − 63) % (glucose in mg/dl). Estimation of serum leptin levels was done by ELISA using leptin ELISA kit from (DRG). A positive correlation of serum leptin levels was observed with markers of insulin resistance. Multiple regression analysis with HOMA-IR as dependent variable demonstrated a statistically significant contribution of fasting insulin levels. This study highlights the role of leptin in alterations in carbohydrate metabolism in patients with PCOS. 相似文献
8.
Patra SK Jain A Sherwal BL Khanna A 《Indian journal of clinical biochemistry : IJCB》2010,25(3):315-318
To detect the site of mutation in RRDR of rpo B gene for rifampicin resistance in MDR-TB by DNA sequencing. 50 MDR-TB patients
were enrolled in our study after informed written consent. Mycobacterial DNA was extracted from sputum samples by Universal
Sample Processing (USP) method and RRDR of rpo B gene was amplified by PCR using primers RP4T and RP8T and then sequenced
by automated DNA sequencing. The nucleotide sequences of RRDR of rpo B gene were compared with the reference sequence. We
observed three different types of mutation in the RRDR of rpo B gene. The frequency of mutation in codon 531 (TCG → TTG),
526 (CAC → TAC) and 516 (GAC → GTC) are 60, 26.6 and 6.6% respectively. Of the total cases studied, 6.6% cases, although resistant
to rifampicin, did not show any mutation in the RRDR of rpo B gene. Codon 531 (TCG → TTG) is the most common site of mutation
in RRDR of rpo B gene for rifampicin resistance in MDR-pulmonary tuberculosis followed by codon 526 (CAC → TAC) and codon
516 (GAC → GTC). 相似文献
9.
Jain A Mal J Mehndiratta V Chander R Patra SK 《Indian journal of clinical biochemistry : IJCB》2011,26(1):78-81
Vitiligo is an idiopathic, acquired, circumscribed, hypomelanotic skin disorder, characterized by milky white patches of different
sizes and shapes. It is due to the destruction of melanocytes resulting in the absence of pigment production of the skin and
mucosal surfaces. Oxidative stress has been implicated in pathophysiology of vitiligo. To study the activity of blood Superoxide
dismutase (SOD) and Glutathione peroxidase (GPx) in vitiligo patients. A case–control study was conducted in which 100 patients
were enrolled after written consent. 50 cases were of active vitiligo and 50 served as control (25 healthy control and 25
with stable vitiligo). SOD—In our study, among the active vitiligo cases 90% had high level of SOD and 10% had normal level
of SOD. Among the stable vitiligo controls, 92% had normal level of SOD and 8% had low levels of SOD.The difference between
active vitiligo cases and stable vitiligo control as well as with healthy control was statistically significant (P value < 0.05). GPx—Among the active vitiligo cases 74% had normal GPx levels, 22% had low and only 4% had high levels of
GPx. Among the stable vitiligo controls, 64% had normal GPx levels, 16% had low, and 20% had high levels of GPx. The difference
between active vitiligo cases and stable vitiligo control as well as with healthy control was statistically not significant
(P value > 0.05). Our study shows that oxidative stress is involved in the pathophysiology of vitiligo, as indicated by the
high levels of serum superoxide dismutase activity. 相似文献
10.
Anju Relan 《Research in Science & Technological Education》2013,31(2):213-214
This study investigated the effects of a visual advance organizer on a biology concept learning task among fifth graders. The following hypotheses were tested: (1) a visual advance organizer will facilitate the acquisition of concepts, especially when the material to be learned has visual components; (2) the organizer will be more effective in enhancing transfer than facilitating acquisition of verbal information; and (3) the organizer will produce greater benefits over long‐term retention of content. Three treatments were administered to 48 fifth graders, ranging from 10 to 11 years. In two of the treatments, subjects were exposed to a visual organizer either before or after the completion of a self‐instructional unit on ‘Fungi’. In the third treatment (control group), students were not given any organizer. Two parallel‐form post‐tests‐‐immediate and delayed‐‐were administered, consisting of three levels of learning outcomes: knowledge, comprehension and application. Results of MANCOVA on performance showed a slight but non‐significant difference in delayed post‐test scores. An interaction between the levels of learning and time of test factor also emerged. Findings of the study are discussed in terms of the assimilation theory, and aptitude‐treatment interactions observed between prior knowledge and level of instructional support. 相似文献