57,863 research outputs found
A pre-post test evaluation of the impact of the PELICAN MDT-TME Development Programme on the working lives of colorectal cancer team members
No full textBackground: the PELICAN Multidisciplinary Team Total Mesorectal Excision (MDT-TME) Development Programme aimed to improve clinical outcomes for rectal cancer by educating colorectal cancer teams in precision surgery and related aspects of multidisciplinary care. The Programme reached almost all colorectal cancer teams across England. We took the opportunity to assess the impact of participating in this novel team-based Development Programme on the working lives of colorectal cancer team members.Methods: the impact of participating in the programme on team members' self-reported job stress, job satisfaction and team performance was assessed in a pre-post course study. 333/568 (59%) team members, from the 75 multidisciplinary teams who attended the final year of the Programme, completed questionnaires pre-course, and 6-8 weeks post-course.Results: across all team members, the main sources of job satisfaction related to working in multidisciplinary teams; whilst feeling overloaded was the main source of job stress. Surgeons and clinical nurse specialists reported higher levels of job satisfaction than team members who do not provide direct patient care, whilst MDT coordinators reported the lowest levels of job satisfaction and job stress. Both job stress and satisfaction decreased after participating in the Programme for all team members. There was a small improvement in team performance.Conclusions: participation in the Development Programme had a mixed impact on the working lives of team members in the immediate aftermath of attending. The decrease in team members' job stress may reflect the improved knowledge and skills conferred by the Programme. The decrease in job satisfaction may be the consequence of being unable to apply these skills immediately in clinical practice because of a lack of required infrastructure and/or equipment. In addition, whilst the Programme raised awareness of the challenges of teamworking, a greater focus on tackling these issues may have improved working lives furthe
Erratum to: Effect of moderate red wine intake on cardiac prognosis after recent acute myocardial infarction of subjects with Type 2 diabetes mellitus (Diabetic Medicine, (2006), 23, 9, (974-981), 10.1111/j.1464-5491.2006.01886.x)
No full textIn an article by Marfella et al, the author name C. Saron is incorrect and should be listed as C. Sardu. Therefore the correct author list is: R. Marfella, F. Cacciapuoti, M. Siniscalchi, F. C. Sasso, F. Marchese, F. Cinone, E. Musacchio, M. A. Marfella, L. Ruggiero, G. Chiorazzo, D. Liberti, G. Chiorazzo, G. F. Nicoletti, C. Sardu, F. D'Andrea, C. Ammendola, M. Verza and L. Coppola.In an article by Marfella et al, the author name C. Saron is incorrect and should be listed as C. Sardu. Therefore the correct author list is: R. Marfella, F. Cacciapuoti, M. Siniscalchi, F. C. Sasso, F. Marchese, F. Cinone, E. Musacchio, M. A. Marfella, L. Ruggiero, G. Chiorazzo, D. Liberti, G. Chiorazzo, G. F. Nicoletti, C. Sardu, F. D'Andrea, C. Ammendola, M. Verza and L. Coppola
Colors 1981
No full textCONTENTS
Untitled, John I. C. Ramirez 2;
Love will fly, Tim Furness 3;
Untitled, Palmer Hoovestal 4;
The wave, Jerome Lightbourne 6;
The land*lord, R. Lea 7;
Song of the newborn, Heidi Muller 8;
Untitled, Mary Ostervold 9;
Good crops, Gina Larson 10;
Come, challenge the sea, Paula Schafer 12;
Untitled, Pat Dooris 14;
Untitled, Eric Peterson 16;
A flight of fancy, Tony Schaan 17;
Ode upon a london tube, Kit Warfield 18;
Sponge, Debbie Court 19;
Untitled, Debbie Court 20;
Untitled, John I. C. Ramirez 21;
Untitled, Joyce Lowry 21;
Untitled, Mary Taft 22;
Thank you, Lord [unidentified author] 23;
From generation to generation, Denise Marsh 24;
Untitled, S. M. 25;
Untitled, M. F. 26;
Brain Cramp, Francine Bergeron 27;
Untitled, Pat Dooris 28;
Untitled, Tom Mertes 30;
Untitled, John I. C. Ramirez 31;
Untitled, Dolores Bock 31;
Untitled, Christopher Perez 32;
Untitled, Pat Dooris 33;
Echoes of Innocence, Kelly Cosgrove 35;
Beloved, M. Bowen 36;
Untitled, Mary Ostervold 36
Autonomic cardiovascular function in high-altitude Andean natives with chronic mountain sickness
No full textAutonomic cardiovascular function in high-altitude Andean natives with chronic mountain sickness.
C. KEYL, 1 A. SCHNEIDER, 1 A. GAMBOA, 2 L. SPICUZZA, 3 N. CASIRAGHI, 4 ́ N-VELARDE, 2 AND L. BERNARDI 4, A. MORI, 5 R. TAPIA RAMIREZ, 2 F. LEO
1 Department of Anesthesiology, University Medical Center, 93042 Regensburg, Germany; 2 Department of Physiological Sciences, Universidad Cayetano Heredia, Lima 700, Peru; 3 Institute of Respiratory Diseases, University of Catania, 95124 Catania, Italy; 4 Department of Internal Medicine and Institute of Hematology, and 5 Department of Pathology, University of Pavia and Istituto di Ricovero e Cura a Carattere Scientifico San Matteo, 27100 Pavia, Italy
We evaluated autonomic cardiovascular regulation in subjects with polycythemia and chronic mountain sickness (CMS) and tested the hypothesis that an increase in arterial oxygen saturation has a beneficial effect on arterial baroreflex sensitivity in these subjects. Ten Andean natives with a Hct >65% and 10 natives with a Hct 65% showed an increased incidence of CMS compared with subjects with Hct <60%. Spontaneous baroreflex sensitivity was significantly lower in subjects with high Hct compared with the control group. The effects of supplemental oxygen or modification of the breathing pattern on autonomic function were as follows: 1) heart rate decreased significantly after both maneuvers in both groups, and 2) spontaneous baroreflex sensitivity increased significantly in subjects with high Hct and did not differ from subjects with low Hct. Temporary slow-frequency breathing may provide a beneficial effect on the autonomic cardiovascular function in high-altitude natives with CMS
Sergio Ramirez (in striped shirt) and Daniel Ortega (in uniform) walk through the crowd at a Sandinista campaign rally, Matagalpa, Nicaragua
No full textRamirez, Ortega; C. WM. F. Gentile Picture Grou
Mitomycin C in highly myopic eyes - Author reply
No full textOphthalmology. 2005 Feb;112(2):208-18; discussion 219.
Mitomycin C modulation of corneal wound healing after photorefractive keratectomy in highly myopic eyes.
Gambato C, Ghirlando A, Moretto E, Busato F, Midena E.
SourceRefractive Surgery Service and Antimetabolite Therapy Research Unit, Department of Ophthalmology, University of Padova, Padova, Italy.
Abstract
PURPOSE: To evaluate the role of topical mitomycin C in corneal wound healing (CWH) after photorefractive keratectomy (PRK) in highly myopic eyes.
DESIGN: Prospective, double-masked, randomized clinical trial.
PARTICIPANTS: Seventy-two eyes of 36 patients affected by high (>7 diopters) myopia.
METHODS: In each patient, one eye was randomly assigned to PRK with intraoperative topical 0.02% mitomycin C application, and the fellow eye was treated with a placebo. Postoperatively, mitomycin C-treated eyes received artificial tears (3 times daily, tapered in 3 months), whereas the fellow eye was treated with fluorometholone sodium 2% and artificial tears (3 times daily, tapered in 3 months).
MAIN OUTCOME MEASURES: Uncorrected visual acuity (UCVA) and best-corrected visual acuity (BCVA), contrast sensitivity, manifest refraction, and biomicroscopy. Contrast sensitivity was determined using the Pelli-Robson chart. Corneal confocal microscopy documented CWH.
RESULTS: Mean follow-up was 18 months (range, 12-36). No side effects or toxic effects were documented. At 12-month follow-up examination, UCVAs (logarithm of the minimum angle of resolution) were 0.4+/-0.48 and 0.5+/-0.53 (P = .03) in mitomycin C-treated eyes and corticosteroid-treated eyes, respectively. At 1 year, corneal haze developed in 20% of corticosteroid-treated eyes, versus 0% of mitomycin C-treated eyes. At 12, 24, and 36 months, corneal confocal microscopy showed activated keratocytes and extracellular matrix significantly more evident in untreated eyes (Ps = 0.004, 0.024, and 0.046, respectively).
CONCLUSION: Topical intraoperative application of 0.02% mitomycin C can reduce haze formation in highly myopic eyes undergoing PRK.
Comment in
Ophthalmology. 2006 Feb;113(2):357; author reply 357-8
Six Overtures Composed by C. F. Abel. Adapted for the Harpsichord or Piano Forte : being Opera First / By the Author
No full textSIX OVERTURES COMPOSED BY C. F. ABEL. ADAPTED FOR THE HARPSICHORD OR PIANO FORTE : BEING OPERA FIRST / BY THE AUTHOR
Six Overtures Composed by C. F. Abel. Adapted for the Harpsichord or Piano Forte : being Opera First / By the Author (1)
Cover (1)
Titelseite (2)
Overture I. (3)
Overture II. (8)
Overture III. (12)
Overture IV. (16)
Overture V. (20)
Overture VI. (24
Sustitución de agregado reciclado grueso al 10%, 20% y 50% en el comportamiento mecánico de un concreto f´ c=280kg/cm2, Huaraz,2021
No full textEl crecimiento de la construcción de infraestructura demanda cada año una mayor
cantidad de recursos naturales, es así que los agregados requeridos para la
producción de concreto suman una voluminosa cantidad, por lo que existe la
necesidad de reutilizar los desechos sólidos generados de las demoliciones de
construcciones antiguas, es por ello que el agregado reciclado grueso son vistas
como una opción de remplazo del agregado grueso natural
La presente investigación tuvo como objetivo determinar el efecto del
comportamiento mecánico del concreto f´c=280kg/cm2
, con la sustitución del
agregado reciclado grueso al 10%, 20% y 50% y comparar sus resultados con
concreto patrón, para ello la investigación fue de tipo aplicada con enfoque
cuantitativo y el diseño de investigación fue experimental. La población y muestra
del presente proyecto fueron 36 probetas de concreto, para ello se planteó la
hipótesis que habría un efecto favorable en la sustitución de agregado reciclado
grueso en el comportamiento mecánico de un concreto f´c=280 kg/cm2
, por lo que
se determinó que la resistencia a la compresión a los 28 días de edad del concreto
patrón fue de 427.98 kg/cm2
, y reduce a 426.96 kg/cm2
, 370.85 kg/cm2 y a 275.34
kg/cm2 por la sustitución de 10%, 20% y 50% de agredo reciclado grueso
respectivamente, de lo que se concluyó que la el efecto del agregado reciclado
grueso es perjudicial en la resistencia a la compresión del concreto, sin embargo,
la sustitución de 10% no reduce la resistencia en gran magnitud, siendo la
sustitución más viable a su uso
Lympha technique for primary and early secondary prevention of lymphedema following cancer treatment
No full textLYMPHA proved to be an effective preventive procedure that contributes in giving our oncological patients a good quality of life. In this presentation, the author will report indications, technical aspects and benefits of LYMPHA technique
QUASI PARTICLE ENERGY OF 4f-STATES IN THE RAMIREZ-FALICOV-KIMBALL (RFK) MODEL : MEMORY FUNCTION FORMALISM
No full textA new formalism is developed, based on the memory function approach, to treat many particle systems. The formalism is applied to the Ramirez-Falicov-Kimball (RFK) Hamiltonian, suitable to describe photoemission spectra in many light rare earth intermetallics. We obtain a quasi particle 4f-energy in the weak correlation regime and we discuss the bimodal structure of the f-f propagator in this regime comparing with the Hubbard-type structure in the strong correlation regime
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