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  • 1
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    Online Resource
    Needs, supply and demand for health care by elderly people in the NHS
    Cambridge University Press (CUP) ; 2002
    In:  Reviews in Clinical Gerontology Vol. 12, No. 4 ( 2002-11), p. 375-380
    Details
    In: Reviews in Clinical Gerontology, Cambridge University Press (CUP), Vol. 12, No. 4 ( 2002-11), p. 375-380
    Abstract: It is often said that the demand for health care is growing inexorably in the UK, so that the NHS is constantly struggling to keep up. The dilemma was most famously put by Enoch Powell, who said that any health service faces the problem of infinite demand meeting finite resources. This was an economist's view, which suggests that anything that is free will be demanded infinitely.
    Type of Medium: Online Resource
    ISSN: 0959-2598 , 1469-9036
    URL: Article
    DOI: 10.1017/S0959259802012480
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2002
    detail.hit.zdb_id: 2000041-8
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  • 2
    Online Resource
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    Rehabilitation for disability
    Cambridge University Press (CUP) ; 2005
    In:  Reviews in Clinical Gerontology Vol. 14, No. 03 ( 2005-7-1), p. 167-
    Details
    In: Reviews in Clinical Gerontology, Cambridge University Press (CUP), Vol. 14, No. 03 ( 2005-7-1), p. 167-
    Type of Medium: Online Resource
    ISSN: 0959-2598 , 1469-9036
    URL: Article
    DOI: 10.1017/S0959259805001589
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2005
    detail.hit.zdb_id: 2000041-8
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  • 3
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    Online Resource
    Research on language teaching and learning in Austria (2004–2009)
    Cambridge University Press (CUP) ; 2011
    In:  Language Teaching Vol. 44, No. 2 ( 2011-04), p. 181-211
    Details
    In: Language Teaching, Cambridge University Press (CUP), Vol. 44, No. 2 ( 2011-04), p. 181-211
    Abstract: This overview of six years of research on language learning and teaching in Austria covers a period of dynamic development in the field. While all the studies reviewed here illustrate research driven by a combination of local and global concerns and theoretical frameworks, some specific clusters of research interest emerge. The first of these focuses on issues connected with multilingualism in present-day society in terms of language policy, theory development and, importantly, the critical scrutiny of dominant discursive practices in connection with minority and migrant languages. In combination with this focus, there is a concern with German as a second or foreign language in a number of contexts. A second cluster concerns the area of language testing and assessment, which has gained political import due to changes in national education policy and the introduction of standardized tests. Finally, a third cluster of research concerns the diverse types of specialized language instruction, including the introduction of foreign language instruction from age six onwards, the rise of academic writing instruction, English-medium education and, as a final more general issue, the role of English as a dominant language in the canon of all foreign and second languages in Austria.
    Type of Medium: Online Resource
    ISSN: 0261-4448 , 1475-3049
    URL: Article
    DOI: 10.1017/S0261444810000418
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2011
    detail.hit.zdb_id: 2079708-4
    SSG: 7,20
    SSG: 7,11
    SSG: 5,3
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  • 4
    Online Resource
    Online Resource
    The impact of smoking in elderly people
    Cambridge University Press (CUP) ; 1999
    In:  Reviews in Clinical Gerontology Vol. 9, No. 3 ( 1999-08), p. 273-280
    Details
    In: Reviews in Clinical Gerontology, Cambridge University Press (CUP), Vol. 9, No. 3 ( 1999-08), p. 273-280
    Abstract: Smoking has been closely implicated in many cardiovascular, lung and other diseases which are prevalent in the elderly, but most prevention programmes tend to be aimed at younger age groups. The prevention of smoking in retired people is a subject which is not yet fully researched, but there is a little information which suggests that it may be a worthwhile pursuit. Certainly, work has shown that longevity can be improved even in older people by stopping smoking. Coronary heart disease death rates for 65-74 year olds who have recently given up are similar to non-smokers. For other causes of death, especially lung cancer and bronchitis, the benefits of stopping smoking take up to five years to appear. In terms of morbidity, there are suggestions that ex-smokers move reasonably quickly towards the state of non-smokers for bone density, pulmonary function and muscle strength.
    Type of Medium: Online Resource
    ISSN: 0959-2598 , 1469-9036
    URL: Article
    DOI: 10.1017/S0959259899009387
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 1999
    detail.hit.zdb_id: 2000041-8
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  • 5
    Online Resource
    Online Resource
    Nucleoside triphosphate-binding proteins: different scaffolds to achieve phosphoryl transfer
    Cambridge University Press (CUP) ; 1999
    In:  Quarterly Reviews of Biophysics Vol. 32, No. 1 ( 1999-02), p. 1-56
    Details
    In: Quarterly Reviews of Biophysics, Cambridge University Press (CUP), Vol. 32, No. 1 ( 1999-02), p. 1-56
    Abstract: Nucleoside triphosphates are crucial mediators of life. The high energy phosphoanhydride bond of (usually) ATP is used to drive unfavorable chemical reactions, to fuel biological machines, and to regulate a vast number of processes via phosphorylation of proteins. GTP, in turn, is used almost exclusively for the regulation of signal transduction and transport processes, whereas the other nucleotides play a less important role, except in synthesis pathways involving sugars (UTP) and phospholipids (CTP) and as building blocks of polynucleotides such as RNA and DNA. Proteins that bind and use these nucleotides for enzymatic reaction and regulation are very diverse. Although some of them constitute the largest protein superfamilies known (e.g. protein kinases), others seem to be far less conserved in evolution.
    Type of Medium: Online Resource
    ISSN: 0033-5835 , 1469-8994
    URL: Article
    DOI: 10.1017/S0033583599003480
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 1999
    detail.hit.zdb_id: 1474559-8
    SSG: 12
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  • 6
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    Online Resource
    Somatic growth failure after the Fontan operation
    Cambridge University Press (CUP) ; 2000
    In:  Cardiology in the Young Vol. 10, No. 5 ( 2000-09), p. 447-457
    Details
    In: Cardiology in the Young, Cambridge University Press (CUP), Vol. 10, No. 5 ( 2000-09), p. 447-457
    Abstract: Our study was designed to characterize the patterns of growth, in the medium term, of children with functionally univentricular hearts managed with a hemi-Fontan procedure in infancy, followed by a modified Fontan operation in early childhood. Failure of growth is common in patients with congenital cardiac malformations, and may be related to congestive heart failure and hypoxia. Repair of simple lesions appears to reverse the retardation in growth. Palliation of the functionally single ventricular physiology with a staged Fontan operation reduces the adverse effects of hypoxemia and prolonged ventricular volume overload. The impact of this approach on somatic growth is unknown. Retrospectively, we reviewed the parameters of growth of all children with functionally univentricular hearts followed primarily at our institution who had completed a staged construction of the Fontan circulation between January 1990 and December 1995. Measurements were available on all children prior to surgery, and annually for three years following the Fontan operation. Data was obtained on siblings and parents for comparative purposes. The criterions of eligibility for inclusion were satisfied by 65 patients. The mean Z score for weight was-1·5± 1·2 at the time of the hemi-Fontan operation. Weight improved by the time of completion of the Fontan circulation (−0·91 ±0·99), and for the first two years following the Fontan operation, but never normalized. The mean Z scores for height at the hemi-Fontan and Fontan operations were −0·67 ±1·1 and −0·89±1·2 respectively. At most recent follow-up, with a mean age of 6·1 ± 1·3 years, and a mean time from the Fontan operation of 4·4±1·4 years, the mean Z score for height was −1·15 ±1·2, and was significantly less than comparable Z scores for parents and siblings. In our experience, children with functionally univentricular hearts who have been palliated with a Fontan operation are significantly underweight and shorter than the general population and their siblings
    Type of Medium: Online Resource
    ISSN: 1047-9511 , 1467-1107
    URL: Article
    DOI: 10.1017/S1047951100008118
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2000
    detail.hit.zdb_id: 2060876-7
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  • 7
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    Online Resource
    Report from the Task Force of the European Society of Cardiology for the interpretation of the neonatal electrocardiogram
    Cambridge University Press (CUP) ; 2002
    In:  Cardiology in the Young Vol. 12, No. 6 ( 2002-12), p. 592-608
    Details
    In: Cardiology in the Young, Cambridge University Press (CUP), Vol. 12, No. 6 ( 2002-12), p. 592-608
    Abstract: The prevention of unexpected cardiac events in the young remains elusive. Among them, some are lethal. Early identification of life-threatening arrhythmogenic disorders which often manifest in infancy, childhood or even later, may allow initiation of effective preventive therapies. A large prospective study has indicated that some infants with prolongation of the QT interval in the first week of life died suddenly, and would have previously been labelled as victims of the sudden infant death syndrome. Furthermore, in infants with this diagnosis, post-mortem molecular screening has revealed the presence of the long QT syndrome. As an evolution of this background, some European countries have begun to consider the possibility of introducing in their National Health Services the performance of an electrocardiogram during the first month of life in all newborns, as part of a programme for cardiovascular screening. Most adult cardiologists, however, have no or minimal experience with electrocardiograms recorded in infants. Accordingly, the European Society of Cardiology has instituted a Task Force with the objective of creating guidelines for the interpretation of the neonatal electrocardiogram, focusing on the most clinically relevant abnormalities and on the ensuing options for management and referral. The main objective of the present document is to provide adult cardiologists with a practical approach to neonatal electrocardiography, and paediatricians and neonatologists with a tool that should facilitate medical interaction on cardiologic issues. There are important differences between neonatal and adult electrocardiograms. When a cardiologist examines the electrocardiogram of an apparently normal and healthy infant, the focus has to be on distinguishing between patterns that should cause no alarm, and those that require action or additional investigations. To provide clues for this distinction has been the main objective of the members of this Task Force. Whenever possible or appropriate, we have also suggested steps in management.
    Type of Medium: Online Resource
    ISSN: 1047-9511 , 1467-1107
    URL: Article
    DOI: 10.1017/S1047951102001087
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2002
    detail.hit.zdb_id: 2060876-7
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  • 8
    Online Resource
    Online Resource
    Acute Polyhydramnios Complicating Twin Pregnancies
    Cambridge University Press (CUP) ; 1985
    In:  Acta geneticae medicae et gemellologiae: twin research Vol. 34, No. 3-4 ( 1985-10), p. 179-184
    Details
    In: Acta geneticae medicae et gemellologiae: twin research, Cambridge University Press (CUP), Vol. 34, No. 3-4 ( 1985-10), p. 179-184
    Abstract: Acute polyhydramnios in the second trimestr is a typical complication in monozygous twin pregnancies. It is caused by a feto-fetal transfusion with anemia on the donor and polycytemia on the recipient twin. Contrary to the chronic hydramnios, there is no increase in malformations. In view of the high mortality rate (100%, according to most authors), the clinical management has to be reconsidered. During the years 1979 to 1983, 10 cases of acute polyhydramnios have been observed at the University Hospital in Zurich. This corresponds to an incidence of 9% in our twin population. All cases investigated were MZ twin pregnancies. With the exception of one patient, who underwent an abortion, all women were hospitalized, had bed rest and received recurrent removals of amniotic fluid and prophylactic tocolysis. The mean gestational age at the time of diagnosis was 23 4/7 weeks and at delivery 30 3/7 weeks. In two cases – one of which is presented in detail – with an unintentional puncture of a placental vessel, the recurrence of the hydramnios did not appear. Eight of 18 newborns survived. No malformations were found. Bed rest, tocolysis and recurrent amniocenteses seem to have a positive influence on the prolongation and outcome of the gestation in acute polyhydramnios.
    Type of Medium: Online Resource
    ISSN: 0001-5660 , 2059-6324
    URL: Article
    DOI: 10.1017/S0001566000004700
    RVK:
    XA 10000
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 1985
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  • 9
    Online Resource
    Online Resource
    Utilization of homecare support systems as a function of the burden on caregiving relatives: Alzheimer's disease versus vascular dementia
    Cambridge University Press (CUP) ; 1996
    In:  European Psychiatry Vol. 11 ( 1996-1), p. 264s-
    Details
    In: European Psychiatry, Cambridge University Press (CUP), Vol. 11 ( 1996-1), p. 264s-
    Type of Medium: Online Resource
    ISSN: 0924-9338
    URL: Article
    DOI: 10.1016/0924-9338(96)88794-3
    RVK:
    XA 10000
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 1996
    detail.hit.zdb_id: 2005377-0
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  • 10
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    Online Resource
    Exploration of the link between clinical judgments and subjective perceptions of clinical change in patients treated for schizophrenia
    Cambridge University Press (CUP) ; 2016
    In:  European Psychiatry Vol. 33, No. S1 ( 2016-03), p. s247-s247
    Details
    In: European Psychiatry, Cambridge University Press (CUP), Vol. 33, No. S1 ( 2016-03), p. s247-s247
    Abstract: Subjective perceptions of clinical change in patients with schizophrenia are often not congruent to the objective evidence of the same, especially since a lack of insight is part of the symptomatology. However, the exploration of the relationship between clinical judgments from mental health experts and the patients’ perception of symptom change is fairly understudied. Aims and objectives This study aimed to investigate the performance of the Positive and Negative Syndrome Scale (PANSS) as a tool for clinical outcome monitoring in schizophrenia in concordance with the change of self-reported psychopathology assessed with the Frankfurt Complaint Questionnaire (FCQ) in patients with a schizophrenia. Methods A consecutive sample of patients admitted to a Swiss psychiatric hospital for schizophrenia was assessed with the FCQ at admission and discharge. The PANSS was rated by the responsible clinicians at admission and discharge. Complete data of admission and discharge were available from approximately 60 cases. Reliable change index (RCI) was calculated to determine a clinically meaningful change based on the PANSS scores. Logistic regression models were conducted to explore the link between RCI levels and the change of self-reported perceptions of psychopathology. Results and xonclusions Our study found no relationship between the change of PANSS and FCQ from admission to discharge in a sample of patients treated for schizophrenia. Therefore, our findings provide evidence for a large discrepancy between the observed clinical severity and the subjective perception of symptoms in individuals with schizophrenia. Disclosure of interest The authors have not supplied their declaration of competing interest.
    Type of Medium: Online Resource
    ISSN: 0924-9338 , 1778-3585
    URL: Article
    DOI: 10.1016/j.eurpsy.2016.01.626
    RVK:
    XA 10000
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2016
    detail.hit.zdb_id: 2005377-0
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