attribution of problems to mental illness

... able to undertake optional audits in their own ASU if they wish to monitor local implementation of the FeSS clinical treatment protocols To support this optional activity, we will provide audit tools ... Flow diagram of the progress through the phases of the trial (part 2) [26] to the local context [34,38,39]; and involvement of staff in evaluating the success of local adoption of intervention ... and support To ensure complete coverage of clinical personnel, each ASU will be offered two identical education sessions to be scheduled at different times The aim of these sessions is to educate...

Ngày tải lên: 11/08/2014, 16:20

... histological features of HBeAg-negative CHB patients with or without hepatic steatosis, so as to evaluate the predictors of clinical and pathological characteristics in these patients with steatosis ... hematoxylin-eosin-safran and Masson's trichrome Hepatic steatosis, stage of fibrosis and grade of disease activity were determined according to the Guidelines for the assessment and management of ... steatosis was also graded as: F0 (75% hepatocytes...

Ngày tải lên: 25/10/2012, 11:48

... a clear cultural answer to the question of how to be a good patient is partly what brings you to me today We seem to be moving toward a collaborative picture of the doctor– patient relationship, ... territory of illness, and that it’s part of their job to accept and respond to their patients’ emotional state in the course of treatment So, without ignoring the fact that doctors are people too, ... the symptoms v The setting in which the symptoms occur vi How often the symptoms occur vii Factors that make the symptoms worse viii Factors that make the symptoms better ix Associated symptoms...

Ngày tải lên: 07/03/2014, 10:20

... his description of the LE, or lupus erythematosus, cell was one of the landmark developments in the history of rheumatology This cell was representative of the systemic inflammatory process; its ... in lupus), the evolution of this line of thinking led to our contemporary classification of lupus as an ‘‘autoimmune disorder,’’ based on the presence of ANA and other autoantibodies The first arthritis ... INDEX, 281 Foreword to the First Edition by Henrietta Aladjem Cofounder, Lupus Foundation of America Editor, Lupus World Watertown, Massachusetts As someone once said, the story of lupus is one that...

Ngày tải lên: 11/06/2014, 00:38

... Obviously, the usefulness of a proxy-approach to PROassessment depends strongly on the reliability of the rating in terms of agreement with the patient's self-rating Therefore it is of interest whether ... were summed to generate a novel subscale called the Taste Alterations subscale For collection of proxy-ratings the items were altered to refer to the patient in the third person, instead of the first ... indicator of good rater agreement As an additional measure of agreement between patients and significant others we calculated the percentage of ratings with differences ≤5 points for each scale To...

Ngày tải lên: 18/06/2014, 19:20

... version to be published JK contributed to the conception and design of the review, the analysis and interpretation of data, drafting of the manuscript and has given final approval of the version to ... Requires a minimum of year of clinical experience and hours of training to administer [17] The Clinical Outcomes Variable Scale Approximately 30 minutes to administer [17] The General Motor Function ... Assessment Scale Average time to administer of 18 mins (range to 40 mins) [23] Physical Disability Index Average time to administer of 60+/-21 minutes (range 46 – 83) [28] Page of 15 (page number not...

Ngày tải lên: 18/06/2014, 22:20

... healthrelated quality of life amongst a population of older adults[16] This investigation highlighted the need to take recall bias into account during investigations of patients' perception of change in ... likely to require a period of subacute in-hospital rehabilitation prior to discharge (with a length of stay greater than two weeks) Patients with moderate to severe cognitive deficits (e.g MiniMental ... influenced retrospective assessments of change, such as use of the then-test, to evaluate the magnitude and direction of response shift observed[12,13,15] Along this line of investigation, a recently...

Ngày tải lên: 20/06/2014, 16:20

... into malignant ulcers is limited The purpose of this study was to collect and review the various theories on Marjolin’s ulcers, the different prognostic factors, with a view to applying these to ... presentations of the Marjolin’s ulcers is more difficult to explain The extent to which the congenital immobility, incontinence and lack of sensation, (factors that predispose to pressure ulcer ... the process of the evolution of Marjolin’s ulcers [2-9] The immunologically privileged site theory, which has a large number of proponents, attempts to explain the poor prognosis of Marjolin’s...

Ngày tải lên: 09/08/2014, 03:23

... tumour-associated trypsin inhibitor (TATI), also called pancreatic secretory trypsin inhibitor (PSTI) and serine protease inhibitor Kazal type (SPINK1), is a biomarker of poor prognosis in colorectal ... growth factor receptor beta (TGF-ß1), matrix metalloproteinase (MMP-2) and MMP-9 [7] Urokinase-type plasminogen activator (uPA), and other members of the serpin family like plasminogen activator inhibitor ... is a trypsin inhibitor that balances concentrations of trypsin and also functions as a weak inhibitor of other serine proteinases [10,11] In addition, TATI has been found to be involved in tissue...

Ngày tải lên: 09/08/2014, 09:21

... best predictor of rectal complications, including late rectal bleeding Nor has such a result been obtained to determine which length of the contoured rectum provides the best predictor of complications ... manifest thereafter Rectal toxicities were graded according to the Radiation Therapy Oncology Group (RTOG) toxicity scores [20] The rectal toxicity grades are: grade = minor symptoms requiring no treatment; ... Methods Patient Data A total of 118patients with histological proof of prostate adenocarcinoma was treated with 3D-CRT between January 2007 and February 2008 in the Department of Radiation Oncology...

Ngày tải lên: 09/08/2014, 09:22

... Institutes of Health Research is gratefully acknowledged Page of Author details Research Institute, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada 2University of Calgary, ... London, UK 6Stollery Children’s Hospital, University of Alberta, Edmonton, Alberta, Canada 7SickKids Transplant Centre, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, ... from others [19] In order to achieve this normalcy a perception of wellness appears to be maintained, at times to the detriment of treatment adherence and in the hope of not being viewed as abnormal...

Ngày tải lên: 12/08/2014, 01:22

... the help of chiropractors These, however, may be different to patients in the public sector and we have no systematic knowledge of which patients who consult chiropractors are at risk of poor ... while returnto-work may be that of the employer and cost -of- care that of the insurer Research has identified risk factors with predictive value for chronicity in various public sector settings ... emotional factors influence pain syndromes However, less than half said they were able to evaluate these factors while just one-third felt able to treat them Failure to improve as expected leads to disappointment...

Ngày tải lên: 13/08/2014, 14:20

... 4.9% to 6.6% of the total population since 1970 to 1980 to1 990.11,16 and is expected to be 20.0 % of the total population by 203016 An important factor responsible for the graying of the population ... subjects of more than 75 years of age with no sign or history of stroke found that the incidence of stroke was 26.8 per 1000 person years Subjects with mild dementia had a relative risk of 2.6 of developing ... been found to be correlated with recurrence of stroke History of TIA, male gender, atrial fibrillation and hypertension have been found to be significantly correlated to recurrence of stroke ...

Ngày tải lên: 04/10/2015, 10:24

... hijacking uses spoofing, which is the act of pretending to be the legitimate owner • One particular type of spoofing is Address Resolution Protocol (ARP) spoofing • In ARP spoofing, each computer ... Script Kiddies • Break into computers to create damage • Are unskilled users • Download automated hacking software from Web sites and use it to break into computers • Tend to be young computer users ... • Software exploitation: takes advantage of any weakness in software to bypass security requiring a password – Buffer overflow: occurs when a computer program attempts to stuff more data into...

Ngày tải lên: 17/09/2012, 10:43

... Reproduced with permission of the copyright owner Further reproduction prohibited without permission Reproduced with permission of the copyright owner Further reproduction prohibited ... without permission Reproduced with permission of the copyright owner Further reproduction prohibited without permission Reproduced with permission of the copyright owner Further reproduction prohibited ... without permission Reproduced with permission of the copyright owner Further reproduction prohibited without permission Reproduced with permission of the copyright owner Further reproduction prohibited...

Ngày tải lên: 07/02/2013, 09:23

... ejaculation volume (VOL), spermatozoon motility (MO), sperm concentration (CO) and total number of spermatozoon in ejaculate (NT), rate of abnormal spermatozoon (R) and pH of semen (pH) VOL was determined ... 2008) However, far too little attention has been paid to genetic constitution of PiDu boars The objectives of this study were to evaluate the growth performance and semen quality of pure Piétrain ... by using photocolorimetry (Photometer SDM5, Minitube) MO was estimated visually with a microscope Total number of spermatozoon in ejaculate (NT) was calculated through the product of CO, MO and...

Ngày tải lên: 28/08/2013, 11:59

... to late November We paid special consideration to the frequency of our routine observation and the transverse distribution of water quality in broad area of flow (about 240 m) The frequency of ... of official routine water quality monitoring program in Japan This frequency means that the observation day of the week shifts successively, thus, allowing us to observe changes in patterns of ... loads of runoff pollutants during the observation period could be evaluated precisely by considering the transverse distribution of water quality concentrations and storm runoff loads The total...

Ngày tải lên: 05/09/2013, 09:38

... area Restoration effort We performed a U pinnatifida restoration effort to reduce the effects of grazing pressure of sea urchins in the barren grounds adjacent to Line (Fig 1A) Two sets of artificial ... distribution of U pinnatifida: -0.2 to -9.3 m relative to MLWL in 2003 +0.6 to -6.2 m relative to MLWL in 2004 20 Water velocity (cm sec-1) Fig – Effect of water velocity on the density of Undaria ... abundance of herbivorous sea urchin in the outer areas of the bay Here, we studied the biological and physical characteristics of these areas to elucidate factors responsible for the deterioration of...

Ngày tải lên: 05/09/2013, 09:38

... [g/g], wr,tot is the total weight of the rice roots [g/m2], fabove is the above-ground fraction of rice (0.7) [g/g] (based on the measurement in this study), wtot is the total weight of the rice ... are calculated as - 255 - Journal of Water and Environment Technology, Vol 7, No 4, 2009 wr,i = ζ i ⋅ wr , tot (8) wr , tot = (1 − f above ) ⋅ wtot (9) wtot = wr ,tot + wa = N rice f Nw,rice (10) ... the top surface of the pot, and it penetrated into the soil zone and flowed out from the bottom of the pot Soil water samplers (DIK-8391, Daiki Rika Kogyo, Japan) were installed at depths of 10...

Ngày tải lên: 05/09/2013, 09:38

... range of 0.002 to 0.46 mg-P/L The main component of phosphorus was phosphate, and the mechanisms of the phenomena were considered to be biological uptake and transition to the bottom due to the ... cultivation and the ratio of the increased amount of SS to the increased amount of Chl.a was higher than that of the algae Increased amount of SS were higher in the cases of high nitrate concentration ... area of Matsuyama, which occupy more than 14% of the whole area Therefore, it is considered that citrus groves are one of the largest non-point sources of pollutants from this region into the Seto...

Ngày tải lên: 05/09/2013, 10:17