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1.
Data from 2907 transcervical CVS cases performed on singleton pregnancies were reviewed retrospectively and villus sample size was correlated with cytogenetic results, placental location, maternal age at the expected date of confinement (EDC), gestational age at the time of sampling, birth weight, gestational age at the time of delivery, and pregnancy outcome. No correlation was noted between villus sample size and maternal age, gestational age at sampling, gestational age at delivery, birth weight, or pregnancy outcome. An inverse correlation between villus sample size and percentage of abnormal cytogenetic findings was statistically significant (X2 = 8·53, p <0·01). The percentage of small samples was greater when the placenta was anterior, lateral, or fundal than when the placenta was posterior. 相似文献
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Ibrahim Adham Taib Andrew Stuart McIntosh Carlo Caponecchia Melissa T. Baysari 《Safety Science》2011,49(5):607-615
Although a large number of medical error taxonomies have been published, there is little evidence to suggest that these taxonomies have been systematically compared. This paper describes a study comparing 26 medical error taxonomies using a human factors perspective. The taxonomies were examined to determine if they classified systemic factors of medical errors and if they utilized theoretical error concepts in their classifications. Scope of classification was also examined. It was found that two-thirds of the taxonomies classified systemic factors of medical errors and only a third utilized theoretical error concepts. Medical error taxonomies based on theoretical error concepts were more likely to be generic in applicability and also more likely to classify systemic factors and psychological error mechanisms of medical errors. In addition to terminology, the medical error taxonomies also varied in terms of domain-specificity, granularity, and developmental process. Different medical error taxonomies provide different information; how these differences affect medical error management needs to be investigated. 相似文献
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Ibrahim Adham Taib Andrew S McIntosh Carlo Caponecchia Melissa T. Baysari 《Safety Science》2012,50(9):1801-1805
Medical error taxonomies are used to report and analyse patient safety incidents. Medical error taxonomies can be generic or domain-specific. In comparing generic and domain-specific medical error taxonomies, the literature compares the information both type of taxonomies classify. There is little evidence the taxonomies have been compared in terms of usability and reliability. Twenty nurses and 21 pharmacists participated in a study comparing the usability and reliability of a generic medical error taxonomy and a medication error taxonomy. The medical error taxonomies utilized were the Patient Safety Event Taxonomy and the NCC MERP Taxonomy of Medication Error. The study found no significant difference in the usability ratings of both taxonomies. The taxonomies required different amount of time to classify patient safety incidents and had significantly different reliability levels. The reliability of the NCC MERP Taxonomy of Medication Error was significantly different when used by nurses and pharmacists. The taxonomy was also preferred by the majority of participants. Some recommendations are made about the design of future medical error taxonomies. 相似文献
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Nancy J. McIntosh 《组织行为杂志》1991,12(3):201-217
In response to the charge by House and Kahn (1985) that there is lack of specificity in conceptualization and measurement of the social support construct, this paper suggests the need to identify and specifically measure discrete properties of the previously identified dimensions (type and source) of social support. Properties are defined as what it is about combinations of source and type that needs to be measured. Based on literature reviews it is suggested that the relevant properties are amount of support, adequacy of support and number of providers of support. Measures are developed for each property. Data from 186 nurses were used to assess main and moderating effects of social support properties, workload and dying patients on emotional exhaustion and physical symptoms. As predicted, support adequacy was related to perceptions of lower workload. As single predictors, amount and adequacy of support reduced physical symptoms and emotional exhaustion. With amount and adequacy controlled, number of providers increased emotional exhaustion. Amount buffered the relationship between death and emotional exhaustion. Moderate levels of adequacy and number buffered the relationship between workload and exhaustion. Both adequacy and amount of support assisted in coping with patient death. In addition, a number of ‘reverse’ buffering and coping relationships were found. It was concluded that examination of different properties of social support increases our understanding of the impact of social support, and that further research needs to examine the simultaneous effects of various combinations of property, type and source of social support. 相似文献
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Herring (Clupea harengus L.) and rainbow trout (Salmo gairdnerii) fed frozen-thawed zooplankton for 7 days assimilated more than 90% of the dry matter in the zooplankton consumed. Less than 5% of the total lipid ingested, largely wax esters, was excreted in the faeces. Faecal lipids from both the herring and the trout, especially the latter, were rich in wax esters and free fatty alcohols. Faecal fatty alcohols were enriched in 22:1 and deficient in 16:0 and 16:1 alcohols compared to zooplankton fatty alcohols. The growth of rainbow trout fed frozen-thawed zooplankton over 3 months was about one-half of that of trout fed commercial pellets. The fish fed on zooplankton appeared normal and were more pigmented than the fish fed on commercial pellets. 相似文献
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This study addressed some conceptual issues central to understanding human reactions to dangerous settings and empirically explored the meaning of physically dangerous work in three different occupational groups (street patrol officers, n=96; investigators, n=21; and clerical and support service workers, n=60) practicing in the same organizational setting (city police department). Objective hazards, estimated with occupational risk statistics, explained 56 per cent of the variation in experienced physical danger which, in turn, significantly heightened emotional exhaustion, dissatisfaction with pay, and disaffection from the employing organization, in the street patrol officer group only, perceived physical danger significantly correlated with task variety, task significance and feedback. The data are interpreted to mean that for street patrol officers, experienced physical danger adds a modicum of enrichment and significance to the work itself. One theme of the analysis is that potentially stigmatic features of the work can be transformed into socially meaningful illusions that enhance the personal dignity of the performer (cf. Hughes, 1958). However, the dominant theme is that physically dangerous work produces fear and related affective distress. Further research on this topic is recommended because of the affective and behavioral consequences of perceived physical danger and also because definitions and meanings of dangerous work are socially, politically and morally important. 相似文献
9.
Henry L. Garie Alan McIntosh 《Journal of the American Water Resources Association》1986,22(3):447-455
ABSTRACT: A study of benthic macroinvertebrate community composition was conducted at eight sites along Shabakunk Creek, a small stream in Mercer County, New Jersey, which receives urban runoff. The relationship between changes in substrate composition and the nature of the benthic macroinvertebrate community has been examined. Organisms were collected seasonally from natural substrates in riffles. Attempts to employ artificial substrates for invertebrate collection proved unsuccessful, as the population on the samplers was not representative of that in the stream bed. Number of total benthic macroinvertebrate taxa collected declined from 13 in relatively undeveloped upstream areas to four below heavily developed areas, while population density decreased simultaneously in the same areas. Periphyton samples collected from natural substrates were analyzed for selected heavy metals. Significantly higher heavy metal concentrations are reported from substrates sampled below heavily developed areas, and changes in these values are discussed with regard to changes in benthic macroinvertebrate distribution. 相似文献
10.
Webster L Russell M Phillips L McIntosh A Walsham P Packer G Dalgarno E McKenzie M Moffat C 《Journal of environmental monitoring : JEM》2007,9(6):616-629
Concentrations of organic contaminants were determined in sediment and fish collected annually at six sites around Scotland between 1999 and 2005, as part of the UK National Marine Monitoring Programme. Polycyclic aromatic hydrocarbons (PAHs) and chlorobiphenyls (CBs) were measured in sediment, while CBs and ethoxyresorufin-O-deethylase (EROD) activities were measured in the fish. Highest PAH concentrations in sediment were found at sites where higher coastal influences would be expected (e.g., Clyde and Solway) and four of the six sites gave PAH concentrations above OSPAR background assessment concentrations (BACs). A significant downward trend in the median total PAH concentrations, normalised to total organic carbon (TOC), was found at one of the six sites (Minches). The PAH profiles at all sites were consistent over the 6 year period, indicating that the sites are relatively stable and PAH sources are not changing. There was an indication of a greater petrogenic input on the west coast, with sediment from the Clyde, Solway and Minches having a greater proportion of 2- and 3-ring PAHs and a lower proportion of 5-ring PAHs. CB concentrations at all sites were low compared with UK estuarine sites and similar to sediment from more remote areas: however, BACs were exceeded. No significant trends were detected in either the sediment CB concentrations or patterns at any of the six sites. CB concentrations were significantly higher in fish liver collected from the Clyde. Concentrations at the other five sites were low, with the majority of samples having concentrations for the ICES7 CBs of <500 microg kg(-1) lipid weight. However, individual CB concentrations were still above the BACs. Hepatic EROD activities were measured in male plaice from 2002-2005 and were generally low (<10 pmol min(-1) mg protein(-1)). No temporal trends were detected in either CB concentrations or the EROD activity. 相似文献