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Search Results: 1 - 10 of 4008 matches for " Caroline "
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Application of “Swanson’s Middle Range Caring Theory” in Sweden after miscarriage  [PDF]
Caroline Jansson, Annsofie Adolfsson
International Journal of Clinical Medicine (IJCM) , 2011, DOI: 10.4236/ijcm.2011.22021
Abstract: Objective: The aim of this study was to apply Swanson’s Middle Range Caring Theory to the follow-up visit with a midwife for Swedish women who have suffered early miscarriage or received care for late missed miscarriage in preg-nancy week 18-20. Methods: Twenty-five tape recorded interviews with women four weeks after their early miscarriages and thirteen tape recorded semi-structured interviews with midwives and nurses who had the experience of caring for women who have been diagnosed with a missed miscarriage during a routine ultrasound scan. The interviews were transcribed verbatim and interpreted deductively from the text using the theory. Results: Each woman described her personal experience of miscarriage in the relative terms of a human experience. The midwives and nurses described their experiences with women who received care for missed miscarriage. The interviews included information about the treatment provided by the caregivers during the period afterward of the diagnosis. The caregiver attitude was formed from Swanson’s caring categories: “Maintaining belief”, “knowing”, “being with”, “doing for”, “enabling”. Conclusions: Swanson’s Middle Range Caring Theory as applied to the caregiver includes being emotionally present, giving support with respect for the woman’s dignity, being competent, meeting each woman’s own individual needs. Given the proper care after a miscarriage every woman has the power within herself to improve their wellbeing.
Finding Optimal Allocation of Constrained Cloud Capacity Using Hyperbolic Voronoi Diagrams on the Sphere  [PDF]
Shanthi Shanmugam, Caroline Shouraboura
Intelligent Information Management (IIM) , 2012, DOI: 10.4236/iim.2012.425035
Abstract: We consider a network of computer data centers on the earth surface delivering computing as a service to a big number of users. The problem is to assign users to data centers to minimize the total communication distance between compu-ting resources and their users in the face of capacity constrained datacenters. In this paper, we extend the classical pla-nar Voronoi Diagram to a hyperbolic Voronoi Diagram on the sphere. We show that a solution to the distance minimi-zation problem under capacity constraints is given by a hyperbolic spherical Voronoi Diagram of data centers. We also present numerical algorithms, computer implementation and results of simulations illustrating our solution. We note applicability of our solution to other important assignment problems, including the assignment of population to regional trauma centers, location of airbases, the distribution of the telecommunication centers for mobile telephones in global telephone companies, and others.
Elderly patients with very late-onset schizophrenia-like psychosis and early-onset schizophrenia: Cross-sectional and retrospective clinical findings  [PDF]
Caroline Girard, Martine Simard
Open Journal of Psychiatry (OJPsych) , 2012, DOI: 10.4236/ojpsych.2012.24043
Abstract: Objectives: The aim of this study was to characterize the symptoms at onset/past and current symptoms of patients with Very Late-Onset Schizophrenia-Like Psychosis (VLOSLP; first onset of psychotic symptoms at/or after 60 years old) with those of elderly patients diagnosed with schizophrenia before the age of 40 years old (Early-Onset Schizophrenia—EOS) in order to validate the clinical nosology proposed by the International Late-Onset Schizophrenia Group. Methods: This is a between-patient comparison study with retrospective and current data taken from an historical cohort that was conducted from May/2005 to August/2008. Seventeen VLOSLP and 17 EOS were included. Schizophrenia and schizophrenia-like psychotic disorders were initially diagnosed by board-certified psychiatrists with the Diagnostic and Statistical Manual Criteria at use at onset of the disorders. Patients’ symptoms were assessed with the Scale for the Assessment of Positive Symptoms (SAPS) and the Scale for the Assessment of Negative Symptoms (SANS). The general scores on the SAPS/SANS were the primary outcomes. Results: Both groups had hallucinations and delusions at onset of the disease, but the following symptoms were more present and severe in EOS than in VLOSLP: hallucinations (p = 0.001); assiduity loss (p < 0.001); grandiosity (p = 0.001), reference (p < 0.001) and influence (p = 0.001) delusions. VLOSLP had mostly persecutory delusions. At current evaluation (follow-up of cohort), most patients in the two groups presented residual symptoms of anhedonia and apathy, but EOS, presented more symptoms of friendship poverty (d = 1.42, large effect size) than VLOSLP. The neuroimaging studies (when available) at follow-up demonstrated greater vascular cerebral lesions/vulnerability in VLOSLP than in EOS patients. Conclusion: This study showed that both VLOSLP and EOS had positive and negative symptoms in the past/at onset of the disease, but they were more severe in EOS than in VLOSLP. However, the positive symptoms of both groups at follow-up of the cohort (current evaluation) responded relatively well to neuroleptics.
Hospital-Acquired Anaemia Secondary to Phlebotomy in Elderly Patients  [PDF]
Divya Tiwari, Caroline Rance
Advances in Aging Research (AAR) , 2014, DOI: 10.4236/aar.2014.32012

Introduction: Anaemia contributes to increased morbidity and mortality in hospitalised patients, yet unnecessary blood tests from inpatients may actually induce a “hospital acquired anaemia” (HAA). This study examines the incidence of phlebotomy-induced anaemia during a hospital admission. Methods: Patients admitted to the Royal Bournemouth Hospital between 2009 and 2011 for a period of more than two weeks were identified. Those with normal haemoglobins on admission (Hb > 130 g/dL in men; Hb > 120 g/dL in women) were selected to be included in the study. One hundred and sixty two patients were randomly selected from this group and their admission and discharge haemoglobin was recorded, and the change in Hb was calculated. The number of blood tests taken during admission was calculated from each patient from which volume of blood lost was determined. Age, sex and co-morbidities, bleeding complications and blood transfusions were noted. T-test for unequal variance was used for analysis. Results: Of the 162 patients, 69 (42.5%) developed a HAA (defined as haemoglobin drop from normal to <110 g/dL). The average number of blood tests taken in the anaemia group was 37, compared to only 23 in the “no-anaemia” group. i.e. 132 mls in the anaemia group vs. only 80.2 mls in no-anaemia group. Further analysis of the anaemia group revealed that 40 patients developed a “mild anaemia” (defined as drop in Hb from normal to <110 g/dL) and 29 developed a moderate/severe anaemia (drop from a normal Hb at admission to <100 g/dL). Significantly higher volume of blood was withdrawn from this moderate/severe anaemia group compared to those that developed a mild anaemia 177.9 mls vs. 121.34 mls (p-Value 0.007, F = 0.001) 95% CI 2.08 to 9.22. Conclusion: This study suggests that patients admitted for inpatient stays of more than two weeks may be at high risk of HAA as a consequence of diagnostic blood loss. This anaemia in turn may have detrimental consequences, especially in patients with pre-existing cardio-respiratory disease. There needs to be increased awareness of the risk posed to patients as a result of diagnostic phlebotomy and further studies are required to study its impact on LOS, morbidity and mortality outcomes.

A Step Closer to Local Carbon Calculations: Growth Timescales and Linear Relationships for Sand Forest and Woodland Tree Species in Maputaland, South Africa  [PDF]
Jerome Gaugris, Caroline A. Vasicek
Open Journal of Forestry (OJF) , 2014, DOI: 10.4236/ojf.2014.43029

In Africa, information on time required for plants to develop from seed to mean size and maximum size is scarce. There is also a lack of information regarding accurate relationships between stem diameter, height and canopy dimensions. This type of information is however becoming a real necessity to allow the accurate measurement of carbon stocks and carbon stocks change to qualify for the UNFCCC’s REDD+ mechanism. We evaluated these parameters for 22 Sand Forest and woodland tree species of South Africa’s Maputaland. Results indicated that it takes approximately 66 and 35 years for current dynamics of Sand Forests and woodlands to occur respectively. Based on diameter and growth rates, larger trees of the forests can be older than 600 years, while large woodland trees can reach ages of 900 years. Our evaluation of linear relationships between stem diameter, height and canopy dimensions showed extremely robust results allowing the use of stem diameter to calculate height and canopy dimensions. The results are of interest for carbon related investigations and reconstructing stands dynamics.

Allozyme variation in natural populations of Lymantria dispar (Lepidoptera)
Caroline George
Genetics Selection Evolution , 1984, DOI: 10.1186/1297-9686-16-1-1
Highlights from the 37th Annual Meeting of the American Society of Clinical Oncology, San Francisco, USA, 12-15 May 2001
Caroline Lohrisch
Breast Cancer Research , 2001, DOI: 10.1186/bcr320
Abstract: The goals of the ASCO annual meeting are to disseminate the latest and most worthwhile research data emerging from the fields of cancer prevention, detection, diagnosis, prognosis and therapy. The majority of these topics were covered to variable degrees in the field of breast cancer, with educational sessions focusing on current controversies and future directions, and scientific sessions filling in the gaps between our current standards and the active thrusts of research.In the following text numbers in parentheses, in the format '(#XX)', indicate the number of the abstract in the proceedings book for the meeting [1].Several randomized studies of standard versus high-dose chemotherapy with stem cell support for either high-risk adjuvant or metastatic therapy were presented. Three studies in the adjuvant setting (#80, #81, #148) failed to show a disease-free survival or overall survival advantage at 5 years for high-dose chemotherapy compared with standard or somewhat dose-escalated chemotherapy in women with multiple positive nodes. One trial (Pegase 01; #102) reported better relapse-free survival for the high-dose arm than the standard dose arm (71% versus 55%; P < 0.003), suggesting that longer follow-up of overall survival is required (the overall survival rates were equivalent in the two arms at 3 years follow-up). In the metastatic setting, the MA.16 study (#82) reported equivalent overall survi-val for the 219 patients who were randomly assigned to 2-4 additional cycles of anthracycline or taxane-based chemotherapy or to high-dose chemotherapy after an objective response to standard chemotherapy. In the same theme, several studies that compared standard with increased dose intensity anthracycline therapy (#146, #127) failed to show an advantage for the latter strategy.The prognostic and predictive role of HER2 continues to be a hot topic in breast cancer.Several studies (#85, #86) reported that benefit from trastuzumab is confined to women with HER2 (c-erbB2
Benefits of complementary therapies
Caroline Hoffman
Breast Cancer Research , 2007, DOI: 10.1186/bcr1807
Abstract: The benefits of complementary therapies to help with the side effects of conventional breast cancer treatment are examined in the following areas: pain and surgery, chemotherapy, radiotherapy, hormonal treatments, and psychoemotional and survival issues. Potential interactions between nonprescription medicines and cancer treatments and cost-effectiveness is also touched upon.Although it is recognized in many of these areas larger and more rigorous trials must be performed, this paper hopes to give some indication of areas in which further research is warranted.Pain, particularly postoperatively, may be ameliorated with complementary therapies. Reiki has been found to be helpful in pain control (1 to 4 days) in cancer patients [1], whereas acupuncture increases pain relief and improves arm movement after surgery [2]. Massage and acupuncture can help to decrease pain and depressive mood [3], and ear acupuncture decreases pain intensity [4]. Hypnotic-type methods involving relaxation, suggestion and imagery, as well as support groups and healing touch, have some impact on cancer pain [5,6], and hypnosis decreases pain intensity, unpleasantness, discomfort, nausea, fatigue and emotional upset after surgery for breast cancer [7].Chemotherapy's unpleasant short-term and long-term side-effects may be ameliorated by using complementary therapies. Nausea and vomiting is eased by stimulation to the P6 point using acupuncture [8] and acupressure when self-administered [9], but not as well by wrist bands applied to that point [10,11]. Pain, mood disturbance and fatigue were improved by massage and healing touch [12], whereas reflexology lessened anxiety regarding chemotherapy [13].Group relaxation with guided imagery reduced fatigue and improved sleep difficulties, whereas cognitive behavioural group intervention reduced external health locus of control [14]. Anthroposophic mistletoe extracts can improve quality of life and reduce side-effects of chemotherapy [15]. Mucositis ca
Les révisions bibliques carolingiennes
Temas medievales , 2006,
Abstract: the author of this article analyzes the history of the vulgata bible within the general context of cultural renovation and religious reform which took place during the carolingian renaissance when, so she explains, one of the main problems was the difficulty to possess a reliable version of the bible. after briefly examining the biblical revisions of maudramne, the manuscripts known as group of ada, as well as the one by angilram, she procedes to an in depth analysis of the important revisions by alcuin and theodulf.
CLP activities and control in Ireland
Annali dell'Istituto Superiore di Sanità , 2011, DOI: 10.4415/ANN_11_02_08
Abstract: the 10th december 2010 marked a new beginning for regulation (ec) no. 1272/2008 on the classification, labelling and packaging of substances and mixtures (clp) in ireland with the start of its operational phase. it was on this date that the administrative and enforcement provisions for clp were encompassed in the new chemicals amendment act, 2010. in this act, the health and safety authority, known as the "the authority" is named as competent authority (ca) for clp, along with the minister for agriculture, fisheries and food, in respect of pesticides and plant protection products and the beaumont hospital board with responsibility for receiving information relating to emergency health response. in practice, the authority has been de facto ca for clp since its publication on the 31st december 2008, given its role in existing classification and labelling regimes. this article focuses on the work undertaken by the authority on clp at a national, european and international level including its implementation, training, helpdesk, guidance, enforcement and awareness raising activities.
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