Treatment of base of tongue cancer,stage III and stage IV with primary surgery: survival and functional outcomes     

Khaled Al-Qahtani  Jen Rieger  Jeffery R. Harris  Alex Mlynarek  David Williams  Tahera Islam  Hadi Seikaly 《European archives of oto-rhino-laryngology》2015,272(8):2027-2033

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What effect do different 200 μm laser fibres have on deflection and irrigation flow rates in a flexible ureterorenoscope?     

Anna E. Wright  Kevin Williams  Nicholas J. Rukin 《Lasers in medical science》2015,30(5):1565-1568

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Outcome of isolated posterior cruciate ligament reconstruction at mean 6.3-year follow up: a consecutive case series     

Ryan C. Rauck  Benedict U. Nwachukwu  Answorth A. Allen  Russell F. Warren  David W. Altchek  Riley J. Williams 《The Physician and sportsmedicine》2019,47(1):60-64

Objectives: There is a paucity of reporting on surgical outcomes of isolated posterior cruciate ligament reconstruction (PCLR). We hypothesize that isolated PCL injuries failing nonoperative treatment achieve good outcomes and are able to return to sport following PCLR.

Methods: A retrospective analysis was performed to identify patients with isolated PCL injuries that underwent reconstruction between 2001 and 2014. Patients with multi-ligamentous injury or another concomitant knee pathology were excluded. Medical records were reviewed for demographic, clinical and operative data. Patients were contacted for administration of a telephone-based questionnaire which included the International Knee Documentation Committee (IKDC) Subjective Knee Evaluation form, Lysholm-Tegner scales, Marx activity scale (MAS), return to sport status, and patient satisfaction instruments.

Results: A total of 15 isolated PCL reconstructions in 14 patients with a mean age of 27.5 years (range 17–43) met the study inclusion criteria; mean follow up was 6.3 years (range 1.4–15.2). Pre-operatively, the primary complaint was knee instability in all patients; on physical examination, lack of a firm end point during posterior drawer testing was found in 93% (14/15) of the knees. In total, 12 of 15 knees underwent transtibial, single-bundle PCLR and three of 15 underwent tibial inlay, double bundle PCLR. Graft types included: quadriceps autograft (7/15), Achilles allograft (6/15), and hamstring autograft (2/15). There were no graft failures in our patient cohort. At most recent follow up the mean scores respectively on the IKDC form, Lysholm-Tegner scales and MAS were (standard deviation): 77.3 (16.5), 83.1 (17.9), 6.13 (2.6), and 7.1 (6.0). All fourteen patients were athletes prior to their injury and 79% (11/14) returned to sport and overall patient satisfaction was 9.2/10.

Conclusions: Isolated PCLR provides good outcomes at mean medium-term follow up with restoration of function, high rate of return to sport and overall patient satisfaction.  相似文献   

An Evaluation of Inter-coder and Intra-coder Reliability for 24-Hour Dietary Recall Data Entered in WebNEERS     

Carla J. Moore  Tiffany N. Williams  Alison C. Berg  Carrie M. Durward 《Journal of nutrition education and behavior》2019,51(4):432-439

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Improving the safety of neuromuscular blocking agents: a statement from the USP Safe Medication Use Expert Committee.     

Marjorie Shaw Phillips  Roger L Williams 《American journal of health-system pharmacy》2006,63(2):139-142

PURPOSE: Recommendations of the interdisciplinary Safe Medication Use Expert Committee of the United States Pharmacopeia (USP) to assist health care professionals, manufacturers, and organizations in handling neuromuscular blocking agents (NMBAs) safely and effectively are discussed. SUMMARY: Review and analysis of the USP Medication Errors Reporting Program and MEDMARX program databases showed a continuing risk of patient harm or death due to errors with NMBAs. Medication errors involving wrong concentrations, wrong doses, wrong drugs, look-alike packaging, and sound-alike names, combined with lack of monitoring and communication, have been associated with the use of NMBAs in health care institutions. Serious adverse events occur when NMBAs are used without adequate safeguards. Recommendations for improving safety were developed through review and discussion of root causes and areas of concern with these medications. CONCLUSION: Medical errors with NMBAs continue to result in patient morbidity and mortality. Increased awareness and action on the part of all parties involved are needed to improve the safety of this class of medications.  相似文献   

Scientific Inquiry     

Barbara S. Edson  RN  MBA  MHA  Marguerite C. Williams  RN  MBA  MHA 《Journal for specialists in pediatric nursing》2006,11(2):138-142

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WHO: reaching out to all     

G Williams 《World health forum》1988,9(2):185-199

This article explains how the concept of health for all developed within the context of the history of the World Health Organization (WHO). By the early 1970s a new idea was taking shape in WHO. Medical services were failing to reach vast numbers. Health would have to emerge from the people themselves. In the heat of discussion the new strategy was clarified and given a name--primary health care (PHC). An ambitious target was set for it--no less than health for all by the year 2000. It was decided that the community itself had to be involved in planning and implementing its own health care. A new type of health worker was called for, chosen by the people from among themselves and responsible to the community but supported by the entire health system. In virtually all countries, the emphasis on curative care would have to be balanced by an equal emphasis on prevention. Almost 90% of WHO's Member States were prepared to share with one another detailed information about the problems facing their health systems. Industrial countries were beginning to realize that sophisticated medical technology was no guarantee of good health and that health for all through PHC offered an alternative. Millions of health workers have been trained, extending services to low-income groups that had no access to modern health care. Among health professionals, lack of understanding of the PHC concept and insufficient concern for social equity remain the principal constraints. Another problem is that expenditure on health care tends to be viewed as a drain on scarce resources rather than as an investment in the nation's future. The mommentum of health for all can be sustained only by governments implementing at home the policies they have collectively agreed on at The World Health Assembly in Geneva.  相似文献   

Compensated autoimmune adrenocortical insufficiency.          下载免费PDF全文

D Feig  G E Williams    R Volpé 《Journal of the Royal Society of Medicine》1988,81(1):46-47

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Ruptured globe after radial keratotomy     

E S Pearlstein  P J Agapitos  H L Cantrill  E J Holland  P Williams  R L Lindstrom 《American journal of ophthalmology》1988,106(6):755-756

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Proposed new GP contract.          下载免费PDF全文

Andrew Williams 《The British journal of general practice》2002,52(484):940-941

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