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981.
Ryan M. Jeffery Laura Dickinson Nicholas D. Ng Lindsey M. DeGeorge 《Journal of American college health : J of ACH》2017,65(3):212-216
Opioid abuse is a growing and significant public health concern in the United States. Naloxone is an opioid antagonist that can rapidly reverse the respiratory depression associated with opioid toxicity. Georgetown University's collegiate-based emergency medical services (EMS) agency recently adopted a protocol, allowing providers to administer intranasal naloxone for patients with suspected opioid overdose. While normally not within the scope of practice of basic life support prehospital agencies, the recognition of an increasing epidemic of opioid abuse has led many states, including the District of Columbia, to expand access to naloxone for prehospital providers of all levels of training. In particular, intranasal naloxone is a method of administering this medication that potentially avoids needlestick injuries among EMS providers. Universities with collegiate-based EMS agencies are well positioned to provide life-saving treatments for patients acutely ill from opioid overdose. 相似文献
982.
Raquel Ajo Ana Segura Laura Mira María-del-Mar Inda Rocío Alfayate Angel Sánchez-Barbie 《The aging male》2017,20(1):1-8
Background: Opioids are an effective treatment for chronic non-malignant pain (CNP). Long-term use risks and side effects such as opioid-induced androgen deficiency (OPIAD) exist. This could be measured by saliva testosterone (Sal-T).Objectives: To evaluate OPIAD in long-term opioid use in CNP patients.Methods: A cross-sectional study included CNP male outpatients under opioid treatment. Total-Testosterone (Total-T), Free-Testosterone (Free-T), Bio-Testosterone (Bio-T) and Sal-T were measured. Correlations were calculated by Spearman’s rho (SPSS 20).Results: From 2012 to 2014, 134 from 249 (54%) consecutive male outpatients reported erectile dysfunction (ED), 37% of them related to opioids and 19% evidenced OPIAD. A total of 120 subjects (94 cases and 26 matched-controls) were included. A significantly lower luteinizing hormone, Total-T and Free-T were found, as well as, a significant correlation between Sal-T and Total-T (r?=?0.234, p?=?0.039), Bio-T (r?=?0.241, p?=?0.039), IIEF (r?=?0.363, p?=?0.003) and HAD-anxiety (r =??0.414, p?=?0.012) in OPIAD patients. Sal-T levels were significantly lower in patients with severe–moderate ED versus mild ED (p?=?0.045) and in patients with severe ED versus moderate–mild ED (p?=?0.036).Conclusions: These data demonstrate the high prevalence of ED in long-term use of opioids, part of this is associated to OPIAD, which can be tested by Sal-T as a non-invasive approach. 相似文献
983.
Home Environment,But Not Socioeconomic Status,is Linked to Differences in Early Phonetic Perception Ability 下载免费PDF全文
Samantha A. Melvin Natalie H. Brito Luke J. Mack Laura E. Engelhardt William P. Fifer Amy J. Elliott Kimberly G. Noble 《Infancy》2017,22(1):42-55
Infants perceptually tune to the phonemes of their native languages in the first year of life, thereby losing the ability to discriminate non‐native phonemes. Infants who perceptually tune earlier have been shown to develop stronger language skills later in childhood. We hypothesized that socioeconomic disparities, which have been associated with differences in the quality and quantity of language in the home, would contribute to individual differences in phonetic discrimination. Seventy‐five infants were assessed on measures of phonetic discrimination at 9 months, on the quality of the home environment at 15 months, and on language abilities at both ages. Phonetic discrimination did not vary according to socioeconomic status (SES), but was significantly associated with the quality of the home environment. This association persisted when controlling for 9‐month expressive language abilities, rendering it less likely that infants with better expressive language skills were simply engendering higher quality home interactions. This suggests that infants from linguistically richer home environments may be more tuned to their native language and therefore less able to discriminate non‐native contrasts at 9 months relative to infants whose home environments are less responsive. These findings indicate that home language environments may be more critical than SES in contributing to early language perception, with possible implications for language development more broadly. 相似文献
984.
Johan Vanderfaeillie Frank Van Holen Skrallan De Maeyer Laurence Belenger Laura Gypen 《Child & Family Social Work》2017,22(1):503-514
Until recently, Flemish family foster care was a temporary measure with as its most important goal, the reunification of the foster child with the birth parents. To date, nothing is known on the number of reunifications, nor has any study been undertaken into the factors (child, parent, foster parent and foster care process) associated with reunification. Case files of 127 foster children who exited foster care in 2007 were analysed. Dependent variables were type of foster care placement outcome (reunification, successful placement without reunification or breakdown) and place of residence after placement ending (with birth parents, extended family, foster family, residential care or living independently). After placement ending, only 40% of foster children went living with their parents, including foster children who were reunified (26%) and foster children who moved to their parents after a placement breakdown (14%). Characteristics of the foster children, and in particular absence of problem behaviour, were associated mainly with a return home. This may indicate that too much attention is paid to the functioning of the foster child and too little to improving the competencies of the parents and the (future) home environment. 相似文献
985.
通过对清帝国所绘制的多个版本的<百苗图>的绘制缘由、分类体系、构图方式、人物呈现、风俗描绘、宗教信仰的描述等多方面进行细致的分析解读,说明这一图绘所折射的乃是清帝国关于"他者"的认识与想像.在近代早期进程中,即大约于1500年至1800年之间,不同类型的扩张性国家与帝国,在或经由征讨、或直接殖民、或借助外交而扩张时,收集并记录了即将与之往来互动的人群的信息;并且,对他者的民族志兴趣并非是一个"西方独有的"现象,而是更广泛的近代早期时期的国家建构过程的一部分. 相似文献
986.
The problem of nonparametric drift estimation for ergodic diffusions is studied from a Bayesian perspective. In particular, Gaussian process priors are exhibited that yield optimal contraction rates if the drift function belongs to a smoothness class. 相似文献
987.
Kristin Anderson Moore Sharon Vandivere Laura Lippman Cameron McPhee Margot Bloch 《Social indicators research》2007,84(3):291-331
This paper uses recent data on U.S. children from the National Survey of America’s Families (NSAF) to create indices that
tally the number of problems or risks that individual children experience. We compare results with those from indices developed
elsewhere that assess the change across sets of population-level indicators. While the two types of indices show similar trends
over time, specific changes, as well as trends, depend on the specific domain of well-being or context examined, highlighting
the importance of the distinction between well-being and context. Children with problems in multiple domains tend to be socio-economically
and demographically disadvantaged compared with other children. We preface this work by providing an overview of the history
of child well-being indicators and distinguish indices of child well-being from indices of the condition of children.
相似文献
Laura LippmanEmail: |
988.
Laura N. Rickard 《Risk analysis》2014,34(3):514-528
Accidents, one often hears, “happen”; we accept, and even expect, that they will be part of daily life. But in situations in which injury or death result, judgments of responsibility become critical. How might our perceptions of risk influence the ways in which we allocate responsibility for an accident? Drawing from attribution and risk perception theory, this study investigates how perceived controllability and desirability of risk, in addition to perceived danger and recreational risk‐taking, relate to attributions of responsibility for the cause of unintentional injury in a unique setting: U.S. national parks. Three parks, Mount Rainier, Olympic, and Delaware Water Gap, provide the setting for this survey‐based study, which considers how park visitors (N = 447) attribute responsibility for the cause of a hypothetical visitor accident. Results suggest that respondents tended to make more internal (i.e., related to characteristics of the victim), rather than external (i.e., related to characteristics of the park, or park management) attributions. As respondents viewed park‐related risk as controllable, they were more likely to attribute the cause of the accident to the victim. Moreover, among other significant variables, having experienced a similar accident predicted lower internal causal attribution. Opportunities for future research linking risk perception and attribution variables, as well as practical implications for the management of public outdoor settings, are presented. 相似文献
989.
In the spring of 2013 a British feminist campaign sought to have men’s magazines, such as Zoo, Nuts, and Loaded, removed from the shelves of major retailers, arguing that they are sexist and objectify women. The campaign—known as Lose the Lads’ Mags (LTLM)—received extensive media coverage and was the topic of considerable public debate. Working with a data corpus comprising 5,140 reader comments posted on news websites in response to reporting of LTLM, this paper explores the repeated focus on men and masculinity as “attacked,” “under threat,” “victimised,” or “demonised” in what is depicted as a sinister new gender order. Drawing on a poststructuralist feminist discursive analysis, we show how these broad claims are underpinned by four interpretative repertoires that centre around: (i) gendered double standards; (ii) male (hetero)sexuality under threat; (iii) the war on the “normal bloke”; and (iv) the notion of feminism as unconcerned with equality but rather “out to get men.” This paper contributes to an understanding of (online) popular misogyny and changing modes of sexism. 相似文献
990.