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  • 1
    Online Resource
    Online Resource
    Validation of the confusion assessment method in the palliative care setting
    SAGE Publications ; 2009
    In:  Palliative Medicine Vol. 23, No. 1 ( 2009-01), p. 40-45
    Details
    In: Palliative Medicine, SAGE Publications, Vol. 23, No. 1 ( 2009-01), p. 40-45
    Abstract: The Confusion Assessment Method (CAM) is widely used in the palliative care setting despite the fact that its performance in this population has not been validated. The aim of the study was to determine the sensitivity and specificity of the CAM when used by Non-Consultant Hospital Doctors (NCHDs) working in a specialist palliative care unit. A pilot phase was performed in which NCHDs received a 1-hour training session based on the original CAM training manual. 32 patients underwent 33 assessments in the pilot phase but the sensitivity of the CAM was only 0.5 (0.22–0.78) and specificity was 1.0 (0.81–1.0). An 'enhanced' training programme was devised that took place over two 1-hour sessions and involved case-based learning focused on the areas where the NCHDs were experiencing difficulty. 52 patients underwent 54 assessments in the main phase of the study and the performance of the CAM improved significantly. Sensitivity was 0.88 (0.62–0.98) and specificity was 1.0 (0.88–1.0). The results suggest that the CAM is a valid screening tool for delirium in the palliative care setting but its performance is dependent on the skill of the operator. NCHDs require a certain standard of training before becoming proficient in its use.
    Type of Medium: Online Resource
    ISSN: 0269-2163 , 1477-030X
    URL: Article
    DOI: 10.1177/0269216308099210
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2009
    detail.hit.zdb_id: 2027566-3
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  • 2
    Online Resource
    Online Resource
    Polysaccharide Storage Myopathy in Cob Normand Draft Horses
    SAGE Publications ; 2008
    In:  Veterinary Pathology Vol. 45, No. 2 ( 2008-03), p. 154-158
    Details
    In: Veterinary Pathology, SAGE Publications, Vol. 45, No. 2 ( 2008-03), p. 154-158
    Abstract: Gluteus medius muscle was sampled from 53 Cob Normand horses for histologic evaluation. Twenty horses (38%) exhibited amylase-resistant material in myocytes consistent with polysaccharide storage myopathy. Diameter of affected type II fibers was increased (67.7 ± 21.4 μm) compared with normal ones (57.3 ± 19.7 μm). Two groups were distinguished by quantitative study. The first group (n = 14; 26%) was characterized by a low percentage of fibers (m = 0.98%) containing aggregates occurring singly or in perifascicular clusters without myopathic changes. The second group (n = 6; 11%) was characterized by a high percentage (m = 18.1%) of fibers containing aggregates scattered in biopsy with chronic myopathic changes. Rebiopsy of 4 horses showed an increase with time in the number of aggregate-containing fibers for horses of the first group only. In 1 necropsied horse, aggregates were observed in a wide range of muscles including smooth muscles. Ultrastructurally, granular material was found interspersed among arrays of filamentous material.
    Type of Medium: Online Resource
    ISSN: 0300-9858 , 1544-2217
    URL: Article
    DOI: 10.1354/vp.45-2-154
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2008
    detail.hit.zdb_id: 2106608-5
    SSG: 22
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  • 3
    Online Resource
    Online Resource
    A Simple Tissue Culture Maintenance Medium Utilizing Egg White
    SAGE Publications ; 1960
    In:  Experimental Biology and Medicine Vol. 104, No. 3 ( 1960-07-01), p. 496-498
    Details
    In: Experimental Biology and Medicine, SAGE Publications, Vol. 104, No. 3 ( 1960-07-01), p. 496-498
    Type of Medium: Online Resource
    ISSN: 1535-3702 , 1535-3699
    URL: Article
    DOI: 10.3181/00379727-104-25887
    Language: English
    Publisher: SAGE Publications
    Publication Date: 1960
    detail.hit.zdb_id: 2020856-X
    SSG: 12
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  • 4
    Online Resource
    Online Resource
    The Career Cycle Approach to Defining the Interior Design Profession's Body of Knowledge
    SAGE Publications ; 2004
    In:  Journal of Interior Design Vol. 30, No. 1 ( 2004-01), p. 1-22
    Details
    In: Journal of Interior Design, SAGE Publications, Vol. 30, No. 1 ( 2004-01), p. 1-22
    Abstract: The purpose of this study was to define and document the interior design profession's body of knowledge at a single point in time. This was done using a career cycle approach and a health, safety, and welfare framework. The method and framework used to define the body of knowledge are presented in the article. The body of knowledge was defined from a career cycle approach using the four stages of a professional interior designer's career cycle: education, experience, examination, and legal regulation (NCIDQa, 2003). A content analysis was conducted of the written documents of the organizations that represent each stage in the cycle. Eighty–one knowledge areas were identified from this content analysis and placed into one of seven categories: Codes; Communication; Design; Furnishings, Fixtures, and Equipment; Human Needs; Interior Building Construction; and Professional Practice. These categories and knowledge areas are what defined the interior design profession's body of knowledge based on this approach. Next, each knowledge area was analyzed using a health, safety, and welfare framework to determine its benefit to the public. Finally, a review of literature was conducted to document that the knowledge areas comprise the specialized knowledge necessary for the professional interior designer to protect the public's health, safety, and welfare. The method used to define the interior design profession's body of knowledge assessed several limited bodies of knowledge that had been developed for a specific purpose, such as education or examination. While this comprehensive body of knowledge reflects a single point in time, it provides a venue for dialogue from which revision can occur and updating can continue, leading to further development of the profession.
    Type of Medium: Online Resource
    ISSN: 1071-7641 , 1939-1668
    URL: Article
    DOI: 10.1111/j.1939-1668.2004.tb00396.x
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2004
    detail.hit.zdb_id: 2460906-7
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  • 5
    Online Resource
    Online Resource
    Properties of the Fibrous Structures of the Wrist
    SAGE Publications ; 1990
    In:  Journal of Hand Surgery Vol. 15, No. 3 ( 1990-06), p. 335-341
    Details
    In: Journal of Hand Surgery, SAGE Publications, Vol. 15, No. 3 ( 1990-06), p. 335-341
    Abstract: Every fibrous structure of ten wrists of fresh cadavers has been the object of an elastometric study. The opposite wrists have been studied surgically and then histologically with the optical microscope. Comparison between the two shows a close relationship between the mechanical features and the morphology of the bundles, which proved also to be perfectly measurable. It also displays the great differences between ligaments and tendons. Histological study of the tendons and ligaments of four other wrists subjected to manoeuvres of axial loading, rupture and bending, reinforces these statements. The therapeutic consequences are considered.
    Type of Medium: Online Resource
    ISSN: 0266-7681
    URL: Article
    DOI: 10.1016/0266-7681_90_90014-U
    Language: English
    Publisher: SAGE Publications
    Publication Date: 1990
    detail.hit.zdb_id: 2376920-8
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  • 6
    Online Resource
    Online Resource
    Rapidly Progressive Paraplegia in an 11-Year-Old Girl: A Case of Spinal Cord Infarction and Expected Imaging Findings
    SAGE Publications ; 2020
    In:  Child Neurology Open Vol. 7 ( 2020-01-01), p. 2329048X2098129-
    Details
    In: Child Neurology Open, SAGE Publications, Vol. 7 ( 2020-01-01), p. 2329048X2098129-
    Abstract: Rapidly progressive non-traumatic paraplegia in a child is uncommonly encountered in clinical practice, but is an important presentation to consider given the potential for significant morbidity. We present the case of an 11-year-old girl who was found to have hyperacute paraplegia due to spinal cord infarction. We discuss the appropriate workup, differential diagnosis in children and how this relates to adults; and describe the prognosis and current state of management options for spinal cord infarction.
    Type of Medium: Online Resource
    ISSN: 2329-048X , 2329-048X
    URL: Article
    DOI: 10.1177/2329048X20981295
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2020
    detail.hit.zdb_id: 2785453-X
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  • 7
    Online Resource
    Online Resource
    Fan tonal noise from aircraft aeroengines with short intake: A study at approach
    SAGE Publications ; 2018
    In:  International Journal of Aeroacoustics Vol. 17, No. 6-8 ( 2018-11), p. 600-623
    Details
    In: International Journal of Aeroacoustics, SAGE Publications, Vol. 17, No. 6-8 ( 2018-11), p. 600-623
    Abstract: This work assesses the risks of increased fan noise for high bypass ratio aeroengines with short intakes. The close proximity between the fan and inlet contributes to the increase in radiation of the rotor-alone tones and reinforces the interaction of the inflow distortion with the fan. Thus, the closer the fan is to the inlet, the higher the risk for noise generation. This article discusses the results of Harmonic Balance simulations performed on a conceptual turbofan operated at the approach condition. The inflow distortion created by the nacelle incidence is dominated by the circumferential component [Formula: see text]  = 1. Its presence is visible throughout the nacelle. A thorough analysis of the unsteady pressure and velocity fields shows that the new acoustic source created by the periodic unsteady loading of the rotor cutting the inflow distortion is negligible compared to the rotor–stator interaction. But the amplitude of the rotor–stator interaction tones is affected by the unsteadiness of the rotor wake shape, particularly in the tip region where a pronounced flow separation on the rotor blade is created at a certain range of azimuthal position. The variations of the flow incidence at the rotor leading edge, due to the axial and tangential components of the mean velocity, cannot explain that flow separation. Instead, the origin is attributed to the azimuthal variations of the radial component of the mean flow velocity near the casing which slightly points inward to the spinner, i.e. in the opposite direction of the casing contour line. The flow separation induces a pronounced scattering of the wake azimuthal components m w  =  hB into [Formula: see text] in the tip region, whereas the same effect is rather limited on the rest of the blade height. This leads to a moderate increase of the tonal sound power level compared to the case with clean inflow. The azimuthal scattering due to the propagation of the sound waves through the distortion is found to be weak in the bypass duct. However, this effect is very important in the inlet lip vicinity, where the strong asymmetry of the flow modifies the path of the sound waves up to the far field.
    Type of Medium: Online Resource
    ISSN: 1475-472X , 2048-4003
    URL: Article
    DOI: 10.1177/1475472X18789001
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2018
    detail.hit.zdb_id: 2085156-X
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  • 8
    Online Resource
    Online Resource
    SIMPOP: a multiagent system for the study of urbanism
    SAGE Publications ; 1997
    In:  Environment and Planning B: Planning and Design Vol. 24, No. 2 ( 1997), p. 287-305
    Details
    In: Environment and Planning B: Planning and Design, SAGE Publications, Vol. 24, No. 2 ( 1997), p. 287-305
    Type of Medium: Online Resource
    ISSN: 0265-8135 , 1472-3417
    URL: Article
    DOI: 10.1068/b240287
    Language: English
    Publisher: SAGE Publications
    Publication Date: 1997
    detail.hit.zdb_id: 2039719-7
    detail.hit.zdb_id: 199345-8
    detail.hit.zdb_id: 2879402-3
    SSG: 3,4
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  • 9
    Online Resource
    Online Resource
    The cerebrofacial metameric syndromes: An embryological review and proposal of a novel classification scheme
    SAGE Publications ; 2022
    In:  Interventional Neuroradiology Vol. 28, No. 5 ( 2022-10), p. 595-603
    Details
    In: Interventional Neuroradiology, SAGE Publications, Vol. 28, No. 5 ( 2022-10), p. 595-603
    Abstract: The cerebrofacial metameric syndromes are a group of congenital syndromes that result in vascular malformations throughout specific anatomical distributions of the brain, cranium and face. Multiple reports of patients with high-flow or low-flow vascular malformations following a metameric distribution have supported this idea. There has been much advancement in understanding of segmental organization and cell migration since the concept of metameric vascular syndromes was first proposed. We aim to give an updated review of these embryological considerations and then propose a more detailed classification system for these syndromes, predominately incorporating the contribution of neural crest cells and somitomeres to the pharyngeal arches.
    Type of Medium: Online Resource
    ISSN: 1591-0199 , 2385-2011
    URL: Article
    DOI: 10.1177/15910199211044938
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2022
    detail.hit.zdb_id: 2571161-1
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  • 10
    Online Resource
    Online Resource
    Improving Outcomes from Acute Kidney Injury (AKI): Report on an Initiative
    SAGE Publications ; 2007
    In:  The International Journal of Artificial Organs Vol. 30, No. 5 ( 2007-05), p. 373-376
    Details
    In: The International Journal of Artificial Organs, SAGE Publications, Vol. 30, No. 5 ( 2007-05), p. 373-376
    Abstract: Acute Kidney Injury (AKI) is a complex disorder for which currently there is no accepted definition. We describe an initiative to develop uniform standards for defining and classifying AKI and establish a forum for multidisciplinary interaction to improve care for patients with, or at risk for AKI. Members representing key societies in critical care and nephrology along with additional experts in adult and pediatric AKI participated in a 2-day conference in Amsterdam in September 2005 to draft consensus recommendations for diagnosing and staging AKI. This report describes the proposed diagnostic and staging criteria for AKI and the formation of a multidisciplinary collaborative network (Acute Kidney Injury Network (AKIN) focused on improving outcomes from AKI.
    Type of Medium: Online Resource
    ISSN: 0391-3988 , 1724-6040
    URL: Article
    DOI: 10.1177/039139880703000503
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2007
    detail.hit.zdb_id: 1474999-3
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