维普中文期刊产品整合服务
3篇 您的检索式:作者名="Elizabeth Cottrell"
    题名 作者 年代 出处 被引量
1Medication beliefs predict medication adherence in ambulatory patients with decompensated cirrhosis显示文摘AIM To investigate the impact of medication beliefs, illness perceptions and quality of life on medication adherence in people with decompensated cirrhosis.METHODS One hundred adults with decompensated cirrhosis completed a structured questionnaire when they attended for routine outpatient hepatology review. Measures of self-reported medication adherence(Morisky Medication Adherence Scale), beliefs surrounding medications(Beliefs about Medicines Questionnaire), perceptions of illness and medicines(Brief Illness Perception Questionnaire), and quality of life(Chronic Liver Disease Questionnaire) were examined. Clinical data were obtained via patient history and review of medical records. Least absolute shrinkage and selection operator and stepwise backwards regression techniques were used to construct the multivariable logistic regression model. Statistical significance was set at alpha = 0.05.RESULTS Medication adherence was ' High ' in 42 % o f participants, 'Medium' in 37%, and 'Low' in 21%. Compared to patients with 'High' adherence, those with 'Medium' or 'Low' adherence were more likely to report difficulty affording their medications(P < 0.001), lower perception of treatment helpfulness(P = 0.003) and stronger medication concerns relative to medication necessity beliefs(P = 0.003). People with 'Low' adherence also experienced greater symptom burden and poorer quality of life, including more frequent abdominal pain(P = 0.023), shortness of breath(P = 0.030), and emotional disturbances(P = 0.050). Multivariable analysis identified having stronger medication concerns relative to necessity beliefs(Necessity-Concerns Differential ≤ 5, OR = 3.66, 95%CI: 1.18-11.40) and more frequent shortness of breath(shortness of breath score ≤ 3, OR = 3.87,95%CI: 1.22-12.25) as independent predictors of 'Low'adherence.CONCLUSION The association between 'Low' adherence and patients having strong concerns or doubting the necessity or helpfulness of their medications should be explored further given the clinical relevance.Kelly L Hayward Patricia C Valery Jennifer H Martin Antara Karmakar Preya J Patel Leigh U Horsfall Caroline J Tallis Katherine A Stuart Penny L Wright David D Smith Katharine M Irvine Elizabeth E Powell W Neil Cottrell 2017World Journal of Gastroenterology2017,23,40:1
2热的氧化板片限制了地表氮进入地幔的效率显示文摘N是生命和气候的关键元素。根据地质样品记录的大气成分信息,30亿年以来大气中的氮气(N2)含量一直保持在较高水平。因此,俯冲沉积物中大量的N应该不能有效进入地幔,否则会造成大气中的N在地质时间尺度的快速降低。另外,俯冲带中的N也可能以NH+4等形式在矿物、熔体和流体中赋存,而N在不同载体之间的分配系数缺乏制约,导致目前无法判断是哪些因素决定了俯冲带中N的命运。夏群科(编译) Colin Jackson Elizabeth Cottrell Ben Andrews 2021矿物岩石地球化学通报2021,40,2:0
3硅酸盐玻璃中铁的性质研究以及对行星岩浆海氧化还原环境的影响显示文摘铁是硅酸盐熔体中最重要的变价元素,对岩浆的物理和化学性质起着重要作用。三价铁和总铁的比例(Fe3+/ΣFe)反映了岩浆过程中的氧化还原状态。Fe3+/ΣFe不仅直接受氧逸度控制,而且还受化学成分、温度和压力的影响。本研究通过实验岩石学的方法探讨硅酸盐熔体中铁的结构变化以及Fe3+/ΣFe与压力之间的关系,进而对早期岩浆海的氧化还原环境进行模拟,从而对早期大气的组成进行制约。Fe3+/ΣFe比值可以通过穆斯堡尔谱以及X-射线吸收近边结构(XANES)进行测量。张宏罗 Marc Hirschmann Elizabeth Cottrell 黄方 2015矿物学报2015,35,S1:0
返回顶部 每页显示:
共1页 首页 上一页 第1页 下一页 末页 /1 跳转

网站首页 | 关于我们 | 联系我们 | 产品服务 | 客服中心 | 广告服务 | 版权声明 | 网站联盟 | 友情链接 | 售卡网点

版权所有© 渝B2-20050021-1 渝公网安备 50019002500403号 违法和不良信息举报中心

互联网出版许可证 新出网证(渝)字10号 全国400电话 - 免长途话费