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1.
Case management is widely recognized as an important component of an effective model for delivering health and social services in the community. In Canada, case management is increasingly being adopted as a method of providing long‐term services to older clients. Professionals working in community‐based, long‐term care require training specific to their roles as case managers for seniors. Gerontology educators can respond to case managers’ learning needs by developing and providing innovative programs. This article reports on an assessment of the training needs of health and social service personnel who perform case management functions on a long‐term basis with elderly clients in Canada, the extent and type of case management training currently provided by Canadian agencies, and an outline of curriculum options designed to address case manager training needs. 相似文献
2.
R. Shukia S. B. Sharma D. Puri K. M. Prabhu P. S. Murthy 《Indian journal of clinical biochemistry : IJCB》2000,15(1):169-177
Many plants have been used for the treatment of diabetes mellitus in Indian system of medicine and in other ancient systems of the world. Out of these only a few have been evaluated as per modern system of medicine. From many such plants only extracts have been prepared and their usefulness evaluated in experimental diabetes in animals. In some plants likeAllium cepa, Allium sativum, Ficus bengalensis, Gymnema sylvestre, Pterocarpus marsupium etc. active hypoglycemic principles have been isolated and their mechanism of action studied. Most of them seem to act directly on pancreas (pancreatic effect) and stimulate insulin level in blood. Some have extra pancreatic effect also by acting directly on tissues like liver, muscle etc. and alter favourably the activities of the regulatory enzymes of glycolysis, gluconeogenesis and other pathways. Since the plant products have less side effects, they have the potential as good hypoglycemic drugs. They may also provide clues for the development of new and better oral drugs for diabetes. 相似文献
3.
Indian ethnicity by itself is a strong risk factor for development of CAD in Indian postmenopausal women due to lower HDL
levels as compared to Whites and women of oriental origin. We evaluated and compared the short-term effects of menopause,
estrogen replacement therapy and combined estrogen and progestin replacement therapy on various atherogenic indices. 40 postmenopausal
women, both surgical and natural (20 each) were selected. 10 surgical postmenopausal women were given 0.625 mg conjugated
estrogens daily for 6 months and 10 natural postmenopausal women were given 0.625 mg conjugated estrogen with 2.5 mg medroxyprogesterone
acetate daily. 20 women were included in the control group and given placebo. Fasting venous blood samples were analyzed for
extended lipid profile and calculated atherogenic indices before starting the therapy and after 1,3 and 6 months. LDL and
Apolipoprotein B increased (p<0.05) and those of Apolipoprotein A1 and HDL decreased in the control groups. In both the study
groups levels of serum cholesterol and LDL decreased (p<0.05) and those of HDL and Apolipoprotein A1 increased (p<0.01). LDL/HDL,
Apo B/ApoA1, Total Cholesterol/HDL decreased significantly (p<0.05) in both the study groups compared to the control groups.
The effect of estrogen alone was more significant as compared to combination therapy. Log Triglycerides (TG)/HDL ratio showed
a decrease in women on estrogen alone but the difference was not significant. Our study confirms that short term HRT has a
favorable effect on atherogenic indices in Indian postmenopausal women. 相似文献
4.
Studies on serum arginase have shown that it is having the least unexplained variation and its activity is closely related with the severity of jaundice. Arginase is thus stable, consistent, efficient, specific and sensitive to changes. It is a better indicator of hepatocellular damage. 相似文献
5.
D. Puri K. M. Prabhu G. Dev S. Agarwal P. S. Murthy 《Indian journal of clinical biochemistry : IJCB》2011,26(4):335-346
To study the mechanism of action of water soluble compound GII purified from fenugreek (Trigonella foenum graecum) seeds which was shown earlier to have antidiabetic effect in the subdiabetic, moderately and severely diabetic rabbits.
In rabbits (1–1.5 kg bw) diabetes was induced by intravenous injection of 80 mg/kg bw of alloxan. They were fed with GII at
a dose of 50 mg/kg bw daily once in the morning for 15 days in the subdiabetic and moderately diabetic and 30 days in the
severely diabetic rabbits. Serum total cholesterol (TC), triglycerides (TG), LDL + VLDL cholesterol [(LDL + VLDL)C], HDL cholesterol
[(HDL)C], total tissue lipids, glycogen and enzymes of carbohydrate metabolism (glycolysis, gluconeogenesis, polyol pathway)
hexokinase, glucokinase, pyruvate kinase, malic enzyme, glucose-6-phosphatase, glucose-6-phosphate dehydrogenase, aldose reductase
and sorbitol dehydrogenase and antioxidant enzymes glutathione peroxidase, glutathione reductase and superoxide dismutase
were estimated. Liver and kidney function parameters were also estimated. Treatment with GII for 15 days in the subdiabetic
and moderately diabetic rabbits and for 30 days in the severely diabetic rabbits (i) decreased the elevated lipids TC, TG,
(LDL + VLDL)C and increased the decreased (HDL)C, (ii) decreased the elevated liver and heart total lipids, TC and TG, (iii)
increased the decreased liver and muscle glycogen, (iv) increased the decreased hexokinase, glucokinase, pyruvate kinase,
malic enzyme, glucose-6-phosphate dehydrogenase, superoxide dismutase, glutathione peroxidase, (v) decreased the increased
glucose-6-phosphatase, sorbitol dehydrogenase, aldose reductase. Results thus show that treatment with GII compound purified
from fenugreek seeds for 15 days in the subdiabetic and moderately diabetic and 30 days in the severely diabetic rabbits corrects
the altered serum lipids, tissue lipids, glycogen, enzymes of glycolysis, gluconeogenesis, glycogen metabolism, polyol pathway
and antioxidant enzymes. Histopathological abnormalities (fatty infiltration and other cellular changes) seen in the pancreas,
liver, heart and kidneys were repaired after treatment with GII. In fact partially damaged pancreas was repaired. Liver and
kidney function test results were normal in the GII treated animals indicating that GII treatment is safe and free from any
side effects. 相似文献
6.
中医药信息资源共享与网络化建设 总被引：1，自引：0，他引：1
中医药信息资源共享与计算机网络化建设是时代发展的要求,本文就实现中医药信息资源共享与网络化建设面临的问题及有效途径进行了探讨. 相似文献
7.
TD-SCDMA的成功产业化是我国电信产业发展的重大问题.对电信产业而言,技术创新和服务创新都有不可忽视的影响,二者在互动中推动产业发展.从"技术一服务"联动的视角提出了促进我国电信标准产业化的分析框架,并以日本3G发展为标杆,探讨了技术要素与服务要素互动的具体模式.最后,从"技术-服务"联动创新的角度为我国TD-SCDMA标准的发展提出了具体的建议. 相似文献
Aroon Puri 《传媒》2010,(11)
数字革新是机遇目前,在数字化方面,美国是发展最快的一个国家,联盟组织预计2014年在互动期刊方面会产生30亿美元的销售,其中14亿美元是增量的收入,即来自于现有期刊数字化带来的额 相似文献
9.
Jain A 《Indian journal of clinical biochemistry : IJCB》2011,26(3):269-273
Tuberculosis remains a major public health problem globally, with India being one of the high burden countries. The common
causative agent is Mycobacterium tuberculosis but in developing countries M. bovis is reported as a potential human pathogen. Almost 20% of all reported cases of tuberculosis are of extra pulmonary form of
disease. Diagnosis of extra pulmonary tuberculosis (EPTB) is not always possible with conventional methods, due to the long
time required and the paucibacillary nature of samples; hence the need of rapid molecular methods. A prospective study was
conducted on 300 patients of EPTB over a period of 5 years. These patients were suspected cases of tubercular meningitis,
tubercular ascites and tubercular lymphadenitis. Samples analyzed were cerebrospinal fluid, ascitic fluid and lymph node fine
needle aspirate. A two step PCR targeting hup B gene was used. Clinical response to anti tubercular therapy (ATT) was taken as positive (gold standard). PCR for hup B gene was positive in 147 samples out of 155 ATT responders. Of these 85.71% were infected with M. tuberculosis, 9.52% with M. bovis alone and 4.76% showed co infection with both M.tb and M. bovis. The sensitivity and specificity of PCR was 90.32 and 94.48% respectively. 相似文献
10.