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| 1 | 香港华人妇女产后抑郁危险因素的前瞻性研究显示文摘目的:产后抑郁是一种常见的精神障碍,对产妇、新生儿和其它家庭成员导致广泛的伤害。产后抑郁的病因学研究大多是基于西方样本,对其中的社会文化原因也缺乏实证研究。本研究从人口学、心理社会及种族文化因素等方面探讨中国妇女产后抑郁症状学的决定因素。方法:在大学附属综合医院产前门诊连续收集登记的中国孕妇959例,从她们第一次产前检查开始评估(基线),以后分别在孕期的最后3个月、产后即刻和产后3个月时评估。调查涉及的危险因素分6个方面:人口学和社会经济背景,躯体疾病及精神疾病病史, 产前抑郁情绪,围生期应激源,人际关系,和种族文化环境。采用等级回归进行分析。因变量是产后3个月时的抑郁评分。结果:决定产后抑郁症状学的因素有:目前的生活事件,缺乏社会支持,婚姻不满意,既往有故意自伤史,以及产前存在抑郁情绪。婆媳关系不好和没有陪月在产后阶段也与抑郁评分高有关联。结论:西方研究所确立的产后抑郁危险因素大体适用于中国妇女。产褥期的社会文化特点同样对产妇情绪有影响。 | Dominic TS Lee Alexander SK Yip Sandra SM Chan Fiona FY Lee Tony YS Leung Tony KH Chung | 2005 | 中国心理卫生杂志2005，19，9： | 50 |
| 2 | Lean techniques for the improvement of patients' flow in emergency department显示文摘BACKGROUND: Emergency departments(EDs) face problems with overcrowding, access block, cost containment, and increasing demand from patients. In order to resolve these problems, there is rising interest to an approach called 'lean' management. This study aims to(1) evaluate the current patient flow in ED,(2) to identify and eliminate the non-valued added process, and(3) to modify the existing process.METHODS: It was a quantitative, pre- and post-lean design study with a series of lean management work implemented to improve the admission and blood result waiting time. These included structured re-design process, priority admission triage(PAT) program, enhanced communication with medical department, and use of new high sensitivity troponin-T(hsTnT) blood test. Triage waiting time, consultation waiting time, blood result time, admission waiting time, total processing time and ED length of stay were compared.RESULTS: Among all the processes carried out in ED, the most time consuming processes were to wait for an admission bed(38.24 minutes; SD 66.35) and blood testing result(mean 52.73 minutes, SD 24.03). The triage waiting time and end waiting time for consultation were significantly decreased. The admission waiting time of emergency medical ward(EMW) was significantly decreased from 54.76 minutes to 24.45 minutes after implementation of PAT program(P<0.05).CONCLUSION: The application of lean management can improve the patient flow in ED. Acquiescence to the principle of lean is crucial to enhance high quality emergency care and patient satisfaction. | HY Chan SM Lo LLY Lee WYL Lo WC Yu YF Wu ST Ho RSD Yeung JTS Chan | 2014 | World Journal of Emergency Medicine2014，5，1： | 6 |
| 3 | Isolation and Characterization of Marine Bacterial Strain Degrading Fucoidan from Korean Undaria pinnatifida Sporophylls 显示文摘 | Kim WJ Kim SM Lee YH | 2008 | Microbiology and Biotechnology2008，18，4： | 1 |
| 4 | Randomized double-blind placebo-controlled trial of thalidomide in combination with gemcitabine and carboplatin in advanced non-small-cell lung cancer 显示文摘 | Lee SM Rudd R Woll PJ | 2009 | J Clin Oncol2009，27，31： | 1 |
| 5 | Kupffer cell ablation attenuates cyclooxygenase-2 expression after trauma and sepsis 显示文摘 | Keller SA Paxian M Lee SM | 2005 | J Surg Res2005，124，1： | 1 |
| 6 | The measurements ofplasma cytokines in radiation-induced pneumonitis in lungcancer patients显示文摘 | Hur WJ Yoon SM Lee HS | 2000 | J Korean Soc Ther Oncol2000，18，4： | 1 |
| 7 | Immunostimulating activity and characterization of polysaccharides from mycelium of Phellinus linteus显示文摘 | Lee JH Cho SM Song KS et a1 | 1996 | Microbiol Biotechnol1996，3，： | 1 |
| 8 | MDCT evaluation of acute aortic syndrome显示文摘 | Yoo SM Lee HY White CS | 2010 | Radiol Clin North Am2010，48，1： | 1 |
| 9 | Prevalence of occult HBV infection among subjects with normal serum ALT levels in Korea 显示文摘 | Kim SM Lee KS Park CJ | 2007 | J Infect2007，54，2： | 1 |
| 10 | Determination of distal fusion level with segmental pedicle screw fixation in single thoracic idiopathic scoliosis显示文摘 | Suk SI Lee SM Chung ER | | 0，，1976： | 1 |
| 11 | Searching for pathogenic gene functions to cervical cancer显示文摘 | Ahn WS Bae SM Lee JM | 2004 | Gynecol Oncol2004，93，1： | 1 |
| 12 | Dietary Patterns and theMetabolic Syndrome in Korean Adolescents 2001 KoreanNational Health and Nutrition Survey 显示文摘 | Kim JA Kim SM Lee JS | 2007 | Diabetes Care2007，30，7： | 1 |
| 13 | The Toll-Like receptor 2 path- way establishes colonization by a commensal of the human mi-crobiota显示文摘 | Round JL Lee SM Li J | 2011 | Science2011，332，6032： | 1 |
| 14 | Instrumented Impact and Static Indentation of Com- posites显示文摘 | Lee SM Zahuta P | 1991 | Journal of Composite Materials1991，25，2： | 1 |
| 15 | Feasibility of robot-assisted neck dissections via a transaxillary and retroauricular ('TARA') approach in head and neck cancer: preliminary results 显示文摘 | Kim WS Lee HS Kang SM | 2012 | Ann Surg Oncol2012，19，3： | 1 |
| 16 | Adipogenic differentiation of adipose tissue derived adult stem cells in nude mouse 显示文摘 | Choi YS Cha SM Lee YY | 2006 | Biochem Biophys Res Commun2006，345，2： | 1 |
| 17 | A comparison of the systemic toxicity of lidocaine versus its quaternary derivative QX-314 in mice显示文摘 | Cheung HM Lee SM Macleod BA | 2011 | Can ] Anaesth2011，58，5： | 1 |
| 18 | Normal kinematics of the neck :the in- terplay between the cervical and thoracic spines显示文摘 | Tsang SM Szeto GP Lee RY | 2013 | Man Ther2013，18，5： | 1 |
| 19 | Effect of prostaglandin F2 alpha on aqueous humor dynamics of rabbit,cat and monkey显示文摘 | Lee PY Pods SM Severin C | 1984 | Invest Ophthalmol Vis Sci1984，25，： | 1 |
| 20 | Anti-complementary activity of protostane-type tfiterpenes from Alismatis rizome显示文摘 | Lee SM Kim JH Zhang Y | 2003 | Arch Pharm Res2003，26，6： | 1 |
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