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Dissertations / Theses on the topic 'Tertiary care Centre'

Author: Grafiati

Published: 2 June 2025

Last updated: 31 July 2025

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1

Wasserman, Sean. "Early outcomes of thrombolysis for acute ischaemic stroke in a South African tertiary care centre." Master's thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/3493.

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Includes abstract.<br>Includes bibliographical references.<br>Stroke is an important cause of death and disability in sub-Saharan Africa. Recombinant tissue plasminogen activator (tPA) thrombolysis is effective in treating acute ischaemic stroke, but may not be a viable option in developing countries. This prospective observational study was designed to assess the short-termoutcomes and safety of tPA for the treatment of stroke at Groote Schuur Hospital.Data was collected from January 2000 to February 2012, and included patients witha clinical diagnosis of acute stroke with onset of stroke sym

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2

Shah, Ruby. "Naloxone Utilization in a Tertiary Care Medical Center." Thesis, The University of Arizona, 2013. http://hdl.handle.net/10150/281779.

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A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine.<br>The purpose of this research project was to review the use of naloxone for oversedation events from 2008-2011 at the Mayo Clinic Hospital in Phoenix, Arizona. Opiates are generally an accepted form of acute and chronic pain management. Opiate analgesic use has increased in past decades due to several factors including cultural and healthcare ideas on the importance of pain management, as well as the availability, cost, and marketing

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3

Kuschel, Franziska. "Die medizinische Versorgung erwachsener Patienten mit Muskelerkrankungen." Doctoral thesis, Humboldt-Universität zu Berlin, Medizinische Fakultät - Universitätsklinikum Charité, 2006. http://dx.doi.org/10.18452/15466.

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Im Frühjahr/Sommer 2002 wurde eine Befragung von 51 erwachsenen Patienten im Raum Berlin-Brandenburg mit seltenen Muskelerkrankungen bzw. neuromuskulären Erkrankungen zu verschiedenen Aspekten der medizinischen Versorgung durchgeführt. Angewandte Methoden waren ein standardisierter Fragebogen sowie ein Leitfadeninterview. Vom ersten Arztbesuch bis zur in 59% der Fälle im Krankenhaus erfolgten Diagnosestellung einer Muskelerkrankung vergingen durchschnittlich 4,1 Jahre (Median: 1 Jahr). Es fanden sich eine unzureichende Anamneseerhebung und körperliche Untersuchung sowie eine mangelnde Überweis

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4

Rohard, Dominique. "Le centre ville du Caire : émergence d'un centre d'affaires dans un cadre hérité." Phd thesis, Université François Rabelais - Tours, 1995. http://tel.archives-ouvertes.fr/tel-00503158.

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Durant la deuxième moitié du XIXème siècle, la ville du Caire se dédouble sous l'impulsion urbanistique du Khédive Ismaïl. Ce cadre haussmannien a pu accueillir l'essentiel des fonctions du tertiaire supérieur jusqu'à la veille de la Seconde guerre mondiale. Depuis, il est devenu trop étroit pour répondre aux besoins d'espace sans cesse accrus de ces fonctions. La ville s'est très vite développée horizontalement d'une manière tentaculaire. La multiplicité des sites tertiaires a abouti à un polycentrisme. Le centre ville ne perd cependant pas sa primauté à l'échelle du Grand Caire. La dualité e

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5

Tanguay, Kimberly Ellen. "Sharing clinical wisdom, orienting new nurses to a tertiary care hospital center." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape3/PQDD_0018/MQ54250.pdf.

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6

Weakley, Kate. "Juvenile idiopathic arthritis in two tertiary centres in the Western Cape, South Africa." Master's thesis, University of Cape Town, 2011. http://hdl.handle.net/11427/10744.

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Juvenile idiopathic arthritis (JIA) is defined as arthritis of unknown aetiology that begins before the 16th birthday and persists for at least 6 weeks, other conditions being excluded. As JIA is a disease with serious functional implications, a descriptive study would not be complete without reviewing both the functional and clinical parameters of the disease. There has been very little African data on this subject. The objective of this study is to describe the functional disability and clinical disease characteristics in a sample of children diagnosed with JIA in Cape Town, South Africa.

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7

James, Alison. "High Dependency Care provision in Obstetric Units remote from tertiary referral centres and factors influencing care escalation : a mixed methods study." Thesis, University of Plymouth, 2017. http://hdl.handle.net/10026.1/9487.

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Background Due to technological and medical advances, increasing numbers of pregnant and post natal women require higher levels of care, including maternity high dependency care (MHDC). Up to 5% of women in the UK will receive MHDC, although there are varying opinions as to the defining features and definition of this care. Furthermore, limited evidence suggests that the size and type of obstetric unit (OU) influences the way MHDC is provided. There is robust evidence indicating that healthcare professionals must be able to recognise when higher levels of care are required and escalate care ap

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8

Jeftha, Anthea. "A descriptive analysis of oral lichen planus from tertiary diagnostic centres in the Western Cape." Thesis, University of Western Cape, 2009. http://hdl.handle.net/11394/3282.

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Magister Scientiae Dentium - MSc(Dent)<br>Lichen planus is a systemic disease that follows a chronic course. The exact aetiology remains unknown but an immune mediated pathogenesis has been implicated. Oral lichen planus is a common form of this disease and can occur in isolation or it may include the skin, genitalia and lesions involving the scalp and hair follicles. Epidemiological studies on oral lichen planus are few. Those that have been conducted have been in developed nations such as North America and Europe as well as Asia and the Middle East. Few African studies report on the demograp

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9

Richards-Edwards, William H. "Factors influencing pneumothorax rates of transthoracic CT-guided lung biopsies in a Tertiary centre in Cape Town, South Africa." Master's thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/33903.

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Background: Histological sampling of pulmonary lesions is important in diagnosis of lung carcinoma and affects subsequent decisions on specific management. Transthoracic CT-guided lung biopsy is considered an effective option to obtain tissue with low rates of complications, with pneumothorax being the most common. Objectives: To determine the pneumothorax rate of transthoracic CT-guided lung biopsies of focal lung lesions at Groote Schuur Hospital, and assess how procedural, patient and lesion factors influence these results. Methods: A retrospective review of 237 CT-guided lung biopsies perf

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10

Jorgensen, Ashley. "Comparison of poractant versus beractant in the treatment of respiratory distress syndrome in premature neonates in a tertiary academic medical center." The University of Arizona, 2012. http://hdl.handle.net/10150/623645.

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Class of 2012 Abstract<br>Specific Aims: The objective of this study is to evaluate and compare clinical outcomes and economic impact involved with the use of beractant (B) compared to poractant (P) for the treatment of respiratory distress syndrome (RDS) in premature neonates admitted to a neonatal intensive care unit. Methods: Patients were included if they were less than 35 weeks gestational age at birth, survived at least 48 hours, and admitted to the neonatal intensive care unit and treated with P or B for RDS. The primary outcome of this study is the change in the fraction of inspired o

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11

Abraham, Gallane Dabela. "Descriptive Study of Frequent Geriatric Emergency Department Patients Presenting to a Tertiary Care Academic Medical Center| Characteristics and Emergency Department Utilization Patterns of Frequent Users." Thesis, Icahn School of Medicine at Mount Sinai, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1603988.

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<p> <b>Objective:</b> To describe the characteristics of frequent geriatric users of Mount Sinai’ Emergency Department (ED). <b>Methods:</b> Patients aged ≥65 yo with >1 ED visit between February-April 2012 were included. Data was analyzed for demographics, disposition, revisit frequency, primary care provider, and insurance. This study was approved by the Mount Sinai Institutional Review Board. <b>Results:</b> A total of 95 out of 1,077 were frequent geriatric ED users. These patients demonstrated a lower index visit (30%) and 72 hour (15%), a higher 3-7 day (54%), 8-30 day (40%) an

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12

Nasrollah, Kimia. "Comparison of poractant versus beractant in the treatment of respiratory distress syndrome in premature neonates in a tertiary academic medical center." The University of Arizona, 2012. http://hdl.handle.net/10150/623606.

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Class of 2012 Abstract<br>Specific Aims: The purpose of this study is to evaluate and compare clinical outcomes and cost involved with use of poractant versus beractant for the treatment of respiratory distress syndrome (RDS) in a level III, neonatal intensive care unit (NICU) within an academic medical center. Methods: This retrospective cohort study included patients if they were admitted to the NICU for RDS between April 1, 2010 to November 30, 2010 and December 1, 2010 to June 30, 2011 treated with beractant and poractant respectively. Patients were excluded from the study if they were gr

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13

Nasrollah, Kimia, and Hanna Phan. "Comparison of Poractant Versus Beractant in the Treatment of Respiratory Distress Syndrome in Premature Neonates in a Tertiary Academic Medical Center." The University of Arizona, 2012. http://hdl.handle.net/10150/614483.

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Class of 2012 Abstract<br>Specific Aims: The purpose of this study is to evaluate and compare clinical outcomes and cost involved with use of poractant versus beractant for the treatment of respiratory distress syndrome (RDS) in a level III, neonatal intensive care unit (NICU) within an academic medical center. Methods: This retrospective cohort study included patients if they were admitted to the NICU for RDS between April 1, 2010 to November 30, 2010 and December 1, 2010 to June 30, 2011 treated with beractant and poractant respectively. Patients were excluded from the study if they were

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14

Luk, Ho-ming. "The epidemiology of central nervous system complications in rotavirus and norwalk virus gastroenteritis infection in a tertiary care paediatric center of Hong Kong." Click to view the E-thesis via HKUTO, 2008. http://sunzi.lib.hku.hk/hkuto/record/B4171149X.

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15

Kidanto, Hussein L. "Improving quality of perinatal care through clinical audit a study from a tertiary hospital in Dar es Salaam, Tanzania /." Doctoral thesis, Umeå : Epidemiology & Global Health, Umeå university, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-27638.

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16

Kriel, Magdalena. "Clinical-pathological characterisation of children with B-cell non-Hodgkin lymphoma over a ten year period at a tertiary centre in Cape Town." Master's thesis, Faculty of Health Sciences, 2020. http://hdl.handle.net/11427/32711.

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Background: We characterized B-cell non-Hodgkin lymphoma (NHL) cases over ten years at a tertiary children's hospital to contribute to the body of knowledge on pediatric lymphoma in developing countries with a high human immunodeficiency virus (HIV) burden. Methods: A retrospective cohort study using clinical and laboratory records of children newly diagnosed with B-cell NHL from January 2005 to December 2014. Results: Seventy-five children ≤ 15 years were included. The majority had Burkitt lymphoma (n = 61). Twenty-five percent (n = 19) were HIV positive and 16% (n = 12) had concurrent active

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17

Agarwal, Rishi. "Advanced Biliary Tract Cancer: Clinical Outcomes with ABC-02 Regimen and Analysis of Prognostic Factors in a Tertiary Care Center in the United States." University of Cincinnati / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1470757699.

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18

Ellitt, Glena R. "CONTINUITY OF INTEGRATED PATIENT CARE: A patient centred study of medication management." Thesis, The University of Sydney, 2012. http://hdl.handle.net/2123/8780.

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This research is about enhancing the continuity of patient care. It focuses on medication management at the time of patient discharge from a cardiology unit in an Australian acute care hospital. That is, during the time of the patients’ transition from tertiary to primary care. The philosophical concept underpinning the research is centred on continuity of patient care which is defined, and then described, in the context of each chapter study undertaken. The main aim of the overall research was to conduct an original, empirical research project to identify, characterise, and investigate

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19

Chilwesa, Paul Mambwe. "Comparison of 18F-Fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (18F-FDG PET/CT) and conventional imaging (CI) for locally advanced breast cancer staging: a prospective study from a tertiary hospital cancer centre in Western Cape." Master's thesis, Faculty of Health Sciences, 2019. http://hdl.handle.net/11427/31433.

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Background: Breast cancer is the second most common cancer in adults and the most frequent cancer diagnosed in women. In South Africa, breast cancer accounts for 38.5% of cancers diagnosed in women. Since the presence, extent and location of distant metastases is one important prognostic factor in locally advanced breast cancer (LABC), accurate staging at diagnosis is crucial to ensure patients receive the appropriate treatment. Increasing evidence shows that the use of 18F-FDG PET/CT for disease staging of LABC may improve diagnostic sensitivity. Aim: To prospectively assess the difference

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20

Souza, Mariah Theodoro de. "A autopercepção de comportamentos relacionados à atenção plena em profissionais da saúde." Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/5/5137/tde-09082016-153137/.

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INTRODUÇÃO: As intervenções de promoção da saúde mental avançam e atividades não medicamentosas ganham espaço. Neste sentido, estudos apontam a atenção plena (mindfulness) como estratégia integrativa para o enfrentamento do estresse e de transtornos mentais comuns, bem como para obtenção do autocuidado. Mindfulness é referido no contexto laico contemporâneo como um estado mental presente em todos os indivíduos em maior ou menor intensidade que pode ser cultivado diariamente através de práticas meditativas. OBJETIVO: Descrever o nível da autopercepção de comportamentos relacionados à Mindfulnes

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21

Breau, Genevieve. "Depression Screening and Management Practices at a Tertiary Care Cancer Centre." 2011. http://hdl.handle.net/10222/14101.

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Depression is a serious problem affecting cancer patients. The current study examined depression screening and management behaviour at a tertiary care cancer centre. Ten oncologists and ten nurses took part in this study, and were interviewed. The interview covered clinician’s current depression screening and management practices, and the Theory of Planned Behaviour was applied to better understand screening behaviour. The Theory of Planned Behaviour was used in this study because it is useful in conceptualizing individual’s behaviour. Results indicated clinicians screened for depressed mood.

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22

Wood, Bradley Ryan. "The prevalence of the metabolic syndrome in men presenting with erectile dysfunction at a South African tertiary care centre." Thesis, 2010. http://hdl.handle.net/10539/8841.

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MMed (Urology), Faculty of Health Sciences, University of the Witwatersrand<br>The metabolic syndrome has recently become one of the major public health challenges and results from the increasing prevalence of obesity. Erectile dysfunction (ED) affects up to half of men over the age of forty. Men with co-morbid disease and risk factors including cardiovascular disease, hypertension, dyslipidaemia and depression all report a higher prevalence of ED. The current study investigated the prevalence of the metabolic syndrome in one hundred men with (ED) presenting to the Male Sexual Dysfunction Clin

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23

Pimentel, Miguel Ângelo Apóstolo. "Genomic profile and genotype-phenotype correlations in patients with non-syndromic retinitis pigmentosa in a tertiary care centre in portugal." Master's thesis, 2020. http://hdl.handle.net/10316/97749.

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Trabalho Final do Mestrado Integrado em Medicina apresentado à Faculdade de Medicina<br>Introduction: Retinitis Pigmentosa (RP) is the most frequent inherited retinal dystrophy and a major cause of visual impairment and blindness worldwide. In Portugal, the genomic profile of patients with non-syndromic RP has never been reported. This study aimed to characterize the genomic landscape of Portuguese patients with non-syndromic RP and to establish possible genotype-phenotype correlations.Methods: Cross-sectional, single-centre study conducted in 50 consecutive patients (from 39 families) with

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24

Ngwezi, Deliwe Precious. "Outcomes of surgical repair of Tetralogy of Fallot in an African tertiary care centre with emphasis on post-operative pulmonary regurgitation." Thesis, 2012. http://hdl.handle.net/10539/11032.

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BACKGROUND: Despite the advances in the surgical treatment of Tetralogy of Fallot(TOF), pulmonary regurgitation (PR) remains as a possible complication with detrimental impact on right ventricular function (RV) in the long term. If these effects are not reversed timeously by replacing the pulmonary valve, serious morbidity and even mortality may occur. AIM: The aim of the study was to assess the outcomes in children who had complete repair of TOF at Charlotte Maxeke Johannesburg Academic Hospital (CMJAH) with or without a RV outflow conduit with emphasis on the development of PR, as well as s

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25

Purdy, Mark Richard. "The predictive value of the NMP22 bladdercheck test for bladder carcinoma in patients presenting with haematuria to a South African tertiary care centre." Thesis, 2014. http://hdl.handle.net/10539/15309.

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Thesis (MSc.Med.(Urology))--University of the Witwatersrand, Faculty of Health Sciences, 2014.<br>Bladder cancer is the second commonest urological malignancy and haematuria is the commonest symptom. Cystoscopy and urine cytology are integral for the investigation of haematuria, while the role of molecular markers such as the NMP22 BladderChek test is still being defined. The BladderChek is a qualitative point of care test developed for the detection of the elevated urinary levels of NMP22 associated with bladder cancer. No studies have been performed in South Africa using the BladderChe

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26

Hermann, Lukasz Pawel. "Epidemiology of uveitis in a tertiary care center in Portugal." Master's thesis, 2018. https://hdl.handle.net/10216/112421.

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27

Hermann, Lukasz Pawel. "Epidemiology of uveitis in a tertiary care center in Portugal." Dissertação, 2018. https://hdl.handle.net/10216/112421.

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28

Tanguay, Kimberley Ellen. "Sharing clinical wisdom : orienting new nurses to a tertiary care hospital center." Thesis, 2000. http://spectrum.library.concordia.ca/1206/1/MQ54250.pdf.

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29

Karunanayake, Mihiran. "Breast Reconstruction Post-Mastectomy : an Assessment of Rates, Limiting Factors and Attitudes at a Tertiary Care Center in Quebec." Thèse, 2017. http://hdl.handle.net/1866/19436.

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La reconstruction mammaire post-mastectomie améliore le bien-être psychosocial, et l’image corporelle des patientes. Parcontre, la reconstruction mammaire demeure faiblement utilisée et même inaccessible à des patients dû à des facteurs limitants. Les taux de reconstruction et les facteurs qui influencent l’accès à la reconstruction n’ont pas été évalués dans la province du Québec. Avec une revue de dossier rétrospective, l’objectif de notre étude est d’identifier les taux de reconstruction mammaire dans un centre tertiaire à Montréal et les facteurs qui influencent l’accès à la reconstructi

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30

Duarte, Miguel Verissimo Carvalho Lince. "Clinical Features and Genetical Analysis in Chronic Granulomatous Disease: a 25-Year Experience from a Regional Tertiary Care Center." Master's thesis, 2021. http://hdl.handle.net/10316/98445.

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Trabalho Final do Mestrado Integrado em Medicina apresentado à Faculdade de Medicina<br>Introduction: Chronic granulomatous disease (CGD) is a rare primary immunodeficiency characterized by recurrent, life-threatening bacterial and fungal infections and inflammatory and autoimmune events. Prevention of infectious complications involves targeted prophylaxis. Knowledge of local genetic, clinical and microbiological patterns may be of interest in the tailoring of prophylaxis and treatment.Material and Methods: A 25-year retrospective longitudinal study was conducted with analysis of clinical and

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31

Tung-Lin and 崔東霖. "A Study of Prognosis Comparison among Patients with Definitely Diagnosed and Possibly Diagnosed Infective Endocarditis at a Tertiary Care Center." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/87086647964475323080.

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碩士<br>中山醫學大學<br>醫學研究所<br>95<br>Background: Infective endocarditis is a microbial infection of the endocardial surface of the heart. The vegetation, the characteristic lesion, is composed of a collection of platelets, fibrin, microorganisms, and inflammatory cells. The incidence is 1.7 to 6.2 cases per 100,000 person-years in the United States and Europe. The ratio between male and female was 1.7 to 1. Mostly, it involves heart valves as well as the site of a septal defect, the chordae tendineae, and the mural endocardium. Clinical diagnostic criteria include von Reyn criteria (1981) and Duke c

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32

Lopes, Ana Helena Correia dos Santos Pinheiro. "Atraso diagnóstico de artrite psoriática num centro terciário." Master's thesis, 2020. http://hdl.handle.net/10316/97713.

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Trabalho Final do Mestrado Integrado em Medicina apresentado à Faculdade de Medicina<br>Introdução: A artrite psoriática (PsA) é uma doença inflamatória crónica, cuja evolução progressiva pode culminar em dano substancial se não existir um diagnóstico precoce. Este é essencial de forma a reduzir o dano, as comorbilidades e a melhorar os outcomes a longo prazo. Objetivos: Determinar o atraso diagnóstico no centro de referenciação terciário do Centro Hospitalar e Universitário de Coimbra e relacioná-lo com o tipo de referenciação e às características clínicas, radiológicas, laboratoriais e soci

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Stoewen, Debbie Lynn. "Clients' Service Expectations and Practitioners' Treatment Recommendations in Veterinary Oncology." Thesis, 2012. http://hdl.handle.net/10214/3671.

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Service provision in veterinary oncology in Ontario was examined using a mixed methods approach. First, an interview-based qualitative study explored the service expectations of oncology clients at a tertiary referral centre. Next, a survey-based quantitative study established an understanding of oncology service in primary care practice and investigated the treatment recommendations of practitioners for dogs diagnosed with cancer. The first study, which involved 30 individual and dyadic interviews, identified “uncertainty” (attributable to the unpredictable nature of cancer and its treatment

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34

Espinoza, Carolina Ostrosky Luis Brown Eric Slomka Jacquelyn. "Prevalence and risk factors of methicillin-resistant Staphylococcus aureus in critically-ill hospitalized patients in a tertiary care center in Houston, Texas : an active surveillance pilot project." 2008. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:1454487.

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Lin, Chiung-Tsung, and 林炯璁. "A Study of The Emergency Department of a Tertiary Care Medical Center in Central Taiwan Adult Patients Diagnostic Values of Procalcitonin, Lactate and High-sensitivity C-reactive Protein with Blood Cultures." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/x2526v.

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博士<br>亞洲大學<br>生物資訊與醫學工程學系<br>106<br>Sepsis has a high mortality rate that can be effectively decreased with early treatment, but the initial diagnosis is difficult. Blood culture is the diagnostic standard for bacterial sepsis, however, blood culture, including identification and antibiotic sensitivity test, requires at least 12- 48 h; hence the development of early-stage diagnosis is critical. C-reactive protein (CRP) or white blood cell (WBC) values are commonly used as a basis for diagnosis, but since they have low specificity, other new markers are needed. In the past decade, procalcitonin

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