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An intervention study of medical records in an emergency medicine unitMotara, Feroza 20 March 2014 (has links)
Thesis (M.Fam. Med.)--University of the Witwatersrand, Faculty of Health Sciences, 2013.
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Statistical review of radiology registrars after hours computed tomography reporting accuracyTerreblanche, Owen Dale January 2012 (has links)
A Research report submitted to the Faculty of Health Sciences, University of the
Witwatersrand, Johannesburg, in partial fulfillment of the requirements for the
degree of Master of Medicine in Diagnostic Radiology.
Johannesburg, 2012 / Background:
There is a heavy reliance on registrars for afterhours CT reporting with a resultant unavoidable error rate. This study was done to determine this error rate.
Material and Methods:
A 2 month prospective study was undertaken. Provisional CT reports issued by the registrar on call were reviewed information relating to the errors made during the call were recorded and analyzed.
Results:
1477 CT scans were performed with an overall error rate of 17.1%. A significant difference was found between trauma (15.8%) compared to non-trauma scans (19.2%). The difference between emergency scans (16.9%) and elective scans (22.6%) was not significant. Abdominopelvic scans elicited the highest error rate (33.9%). Increasing workload resulted in a significant increase in error rate. Missed findings were the most frequent errors (57.3%). Error rate decreased with increasing year of training.
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Illness management of psychiatric out-patients in Hong Kong: a case study of 13 anxiety disordered married women.January 1991 (has links)
by Au Kit Ling. / Thesis (M.Phil.)--Chinese University of Hong Kong, 1991. / Bibliography: leaves 138-142. / Abstract / Acknowledgements / Chapter / Chapter 1 --- Introduction --- p.1 / Chapter 2 --- Literature Review --- p.16 / Chapter 3 --- Theoretical Perspective and Research Procedure --- p.38 / Chapter 4 --- Definition of Health Situation and Action Employed --- p.54 / Chapter 5 --- Managing the Label of Attending Psychiatric Out-patient Clinic --- p.96 / Chapter 6 --- Conclusion and Discussion --- p.118 / Bibliography --- p.138 / Appendix --- p.143
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Mutations of the low density lipoprotein receptor gene in familial hypercholesterolaemia in the Hong Kong Chinese.January 1996 (has links)
by Ying Tat Mak. / Thesis (Ph.D.)--Chinese University of Hong Kong, 1996. / Includes bibliographical references (leaves 178-198). / Title --- p.1 / Abstract --- p.2 / Acknowledgments --- p.5 / Contents --- p.6 / Abbreviations --- p.9 / List of Tables --- p.11 / List of Figures --- p.13 / Chapter Chapter 1: --- Introduction / Chapter 1.1 --- Cholesterol Metabolism and Atherosclerosis --- p.15 / Chapter 1.1.1 --- Cholesterol and Cholesterol Metabolism --- p.17 / Chapter 1.1.2 --- Cholesterol Transport: Apolipoprotein and Lipoprotein --- p.23 / Chapter 1.1.3 --- Cholesterol and Atherosclerosis --- p.26 / Chapter 1.2 --- Hyperlipidaemia --- p.30 / Chapter 1.2.1 --- Primary and Secondary Hyperlipidaemia --- p.31 / Chapter 1.2.2 --- Mutations leading to Primary Hypercholesterolaemia --- p.36 / Chapter 1.3 --- Familial Hypercholesterolaemia --- p.38 / Chapter 1.3.1 --- Historical Aspects --- p.38 / Chapter 1.3.2 --- Clinical Features - Diagnosis and Consequences --- p.39 / Chapter 1.3.3 --- Population Prevalence --- p.40 / Chapter 1.3.4 --- Mutations in the Low Density Lipoprotein Receptor Gene --- p.41 / Chapter 1.4 --- Methods for Detecting Mutations in LDL Receptor Gene --- p.51 / Chapter 1.4.1 --- Southern Blotting Based Methods --- p.51 / Chapter 1.4.2 --- Polymerase Chain Reaction Based Methods --- p.52 / Chapter 1.4.3 --- Screening Methods for Unknown Mutations in LDL Receptor Gene --- p.56 / Chapter 1.5 --- Mutations of the LDL receptor gene in Chinese --- p.58 / Chapter Chapter 2: --- Objectives --- p.63 / Chapter Chapter 3: --- Materials and Methods / Chapter 3.1 --- Subjects / Chapter 3.1.1 --- Familial Hypercholesterolaemia Patients --- p.65 / Chapter 3.1.2 --- Normocholesterolaemia Subjects --- p.67 / Chapter 3.2 --- Materials / Chapter 3.2.1 --- Enzymes --- p.67 / Chapter 3.2.2 --- DNA Markers --- p.68 / Chapter 3.2.3 --- Reagents Kits --- p.68 / Chapter 3.2.4 --- Primers for PCR --- p.68 / Chapter 3.2.5 --- Chemicals and Reagents --- p.69 / Chapter 3.2.6 --- Radioisotopes --- p.70 / Chapter 3.2.7 --- Solutions and Buffers --- p.70 / Chapter 3.3 --- Methods / Chapter 3.3.1 --- Blood Collection --- p.71 / Chapter 3.3.2 --- General Biochemistry Tests --- p.72 / Chapter 3.3.3 --- DNA Extraction --- p.72 / Chapter 3.3.4 --- RNA Extraction --- p.73 / Chapter 3.3.5 --- Polymerase Chain Reaction --- p.74 / Chapter 3.3.6 --- Agarose Gel Electrophoresis --- p.76 / Chapter 3.3.7 --- Polyacrylamide Gel Electrophoresis --- p.78 / Chapter 3.3.8 --- Single Strand Conformation Polymorphism --- p.79 / Chapter 3.3.9 --- Reverse Transcription - Polymerase Chain Reaction --- p.79 / Chapter 3.3.10 --- Direct DNA Sequencing --- p.81 / Chapter 3.3.11 --- Haplotyping of the LDL receptor gene --- p.83 / Chapter 3.3.12 --- Restriction Enzyme Digestion --- p.84 / Chapter Chapter 4: --- Results / Chapter 4.1 --- Patients Investigations --- p.88 / Chapter 4.1.1 --- Normal Control Subjects --- p.88 / Chapter 4.1.2 --- Patients --- p.88 / Chapter 4.2 --- PCR-SSCP Analysis of LDL Receptor Gene --- p.90 / Chapter 4.3 --- Summary of Mutations Identified --- p.92 / Chapter 4.4 --- Novel Mutations --- p.94 / Chapter 4.5 --- Previously Reported Mutations --- p.97 / Chapter 4.6 --- Polymorphisms and Silent Mutation --- p.100 / Chapter 4.6.1 --- New Polymorphism --- p.100 / Chapter 4.6.2 --- New Silent Mutation --- p.102 / Chapter 4.6.3 --- Reported Polymorphisms --- p.103 / Chapter 4.7 --- Southern Blotting --- p.103 / Chapter 4.8 --- Haplotypes --- p.104 / (All Figures for Chapter 4) --- p.106 / Chapter Chapter 5: --- Discussions / Chapter 5.1 --- Use of SSCP in Screening for Mutations and Polymorphisms --- p.158 / Chapter 5.2 --- Novel and Reported Mutations --- p.160 / Chapter 5.3 --- Novel Polymorphism and Silent Mutation --- p.170 / Chapter 5.4 --- Common Polymorphisms --- p.171 / Chapter 5.5 --- Possible Common Mutations of the LDL Receptor Gene in Chinese --- p.172 / Chapter 5.6 --- Pattern of LDL Receptor Gene Mutations in Chinese --- p.173 / References --- p.178
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Perception of palliative care practice of health care professionals in a mental institution : a descriptive studyTanner, Carolyn A. January 1991 (has links)
The purpose of this descriptive study is to investigate the perception of practice of health care professionals at a mental institution, as it pertains to their work with dying patients, and also to identify areas of change. The conceptual framework is constructed of six factors important to palliative care that have been identified from the literature. These are personal death anxiety, organizational structure of the hospital system, role expectations of professionals, teamwork, education and training for care of the dying, and conveyance and exchange of diagnostic information. The sample surveyed by a written questionnaire included physicians, psychiatrists, health care workers, social workers and pastoral care workers from the Geriatric Division of Riverview Hospital, Port Coquitlam. The findings indicate that age, sex, marital status and length of working experience at Riverview Hospital had no significant association with personal death anxiety. Informal education such as workshops and in-services had a significant correlation with personal death anxiety, as did perception of being competent and/or confident about working with the dying. The study also raised concerns that not all was being done for the dying patients and their families at this institution. Suggestions such as education and training, support mechanisms, and less stereotyping of professional roles were
offered to improve this situation. As well, findings indicated that there was a need for palliative care service either in the form of a team or separate unit, or simply the practicing of the palliative care philosophy. / Arts, Faculty of / Social Work, School of / Graduate
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Examining the Educational Depth of Medical Case Reports and Radiology with Text MiningCollinsworth, Amy L. 12 1900 (has links)
The purpose of this dissertation was to use the technology of text mining and topic modeling to explore unobserved themes of medical case reports that involve medical imaging. Case reports have a valuable place in medical research because they provide educational benefits, offer evidence, and encourage discussions. Their form has evolved throughout the years, but they have remained a key staple in providing important information to the medical communities around the world with educational context and illuminating visuals. Examining medical case reports that have been published throughout the years on multiple medical subjects can be challenging, therefore text mining and topic modeling methods were used to analyze a large set of abstracts from medical case reports involving radiology. The total number of abstracts used for the data analysis was 68,845 that were published between the years 1975 to 2022. The findings indicate that text mining and topic modeling can offer a unique and reproducible approach to examine a large quantity of abstracts for theme analysis.
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Disorders of the sustentaculum tali and the medial trochlear ridge of the talus in horses: Novel findings and surgical management of five casesTommasa, Simone Della, Scharner, Doreen, Brehm, Walter, Troillet, Antonia 05 June 2024 (has links)
The sustentaculum tali (ST) is located at the medial aspect of the tarsus and is considered
a rare anatomic location for diseases. This retrospective case series describes
the management of five horses with septic and non-septic ST injuries. All horses were
treated surgically with tenovaginoscopy, ST fragment and exostosis removal. In two
cases, lameness was caused by an exostosis involving the ST and the plantar aspect of
the medial trochlear ridge (MTR). There are no reports of exostosis involving ST and
MTR causing lameness. In four horses, the long-termoutcome was considered good and
the horses were able to return to the previous level; one horse developed a recurrence
of ST and MTR exostosis leading to recurrence of lameness. Curettage of the ST and
MTR exostosis, removal of fragments and tarsal sheath adhesions play a pivotal role in
increasing prognosis and long-termoutcome. Poor prognosis is correlated with exostosis
recurrence.
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厭食症患者心理治療動機的影響因素及其過程: 以深圳為例的中國大陸質性研究. / Factors and processes influencing motivation for psychotherapy of anorexia nervosa sufferers in mainland China: a qualitative research in case of Shenzhen / CUHK electronic theses & dissertations collection / Yan shi zheng huan zhe xin li zhi liao dong ji de ying xiang yin su ji qi guo cheng: yi Shenzhen wei li de Zhongguo da lu zhi xing yan jiu.January 2007 (has links)
徐文艷. / Thesis (doctoral)--Chinese University of Hong Kong, 2007. / Includes bibliographical references (p. 259-278). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstracts in Chinese and English. / Xu Wenyan.
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Spolupráce mezi učitelem a rodiči na počátku školní docházky / Cooperation between teacher and parents at the beginning of the school attendanceMendová, Monika January 2015 (has links)
This diploma thesis deals with forms of cooperation between family - school, their meaning at the beginning of the school attendance, the benefit of the individualization of the child's needs and the educational progress. Action research seeking to answer the question under what conditions the cooperation with parents has a positive impact on the learning progress of the child and in the individual case reports we describe the effective forms of the cooperation which contribute to the principle of the individualization in the education of children. Other methods in the context of the action research are: interview, e-mail correspondence, observation, recording, tripartite meetings, performances, evaluation. During our research we managed to establish cooperation with all parents of the pupils of the language course and also individualize their needs with regard to their cognitive abilities and home background. We have found that the parents are willing to cooperate if the teacher is able to create conditions for that not only at school but also whether he or she can choose appropriate strategies and forms of cooperation with regard to domestic conditions of the pupil. The contribution of this study is to implement an approach focused on the child and its individual development and to verify the...
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Do imperativo ético à demonstração empírica: o Projeto Letras e Livros no Embu das Artes / Fighting illeteracy at school: from ethic imperativ to realityPinto, Laura Dantas de Souza 12 December 2008 (has links)
O objetivo desta investigação foi responder à seguinte questão: o que as escolas devem fazer para realizar completamente sua tarefa de formar leitores? Eu relatei e analisei os procedimentos do projeto Letras e Livros na cidade de Embu das Artes/SP, entre os anos 2002 e 2006, que produziram uma redução substancial do número de crianças não alfabetizadas após quatro anos de escola. Os efeitos positivos desta ação fortaleceram nossa suposição, de que o apoio individual para crianças, social e cognitivamente vulneráveis, foi efetivo. Eles confirmaram também a hipótese de base psicogenética do valor das consignas de interesse pessoal e leitura cooperativa. A ampliação do repertório literário através de leitura em voz alta também foi decisiva. Os estudos de caso, produzidos durante o projeto, usados para análise e como modelo inspiradores no processo de formação, mostraram-se úteis para o aperfeiçoamento profissional da equipe. / The main purpose of this investigation was to answer the following question: what must schools do to fulfill completely their task of forming readers? I have related and analysed the procedures of the project Letras e Livros in the city of Embu das Artes/SP during the years 2002 to 2006, which produced a substantial reduction in the number of children who were not able read after four years of school. Positive effects of these actions suport our assumption, that individual personalysed help offered to socially and cognitinely vulnerable children were effective. They suported also the psychogenetically based hypothesis of the value of personally significant tasks and cooperative reading. Enlarging literary konowledge through oral readings was decisive too.The best case reports produced during the project were used for analysis and inspiring model prooving useful to improvement of professional skills.
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