摘要 :
This report contains tabulations of responses from the 2015 Workplace and Gender Relations Survey of Reserve Component Members (2015 WGRR) conducted from August 7 to October 19, 2015. The 2015 WGRR continues a line of military sex...
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This report contains tabulations of responses from the 2015 Workplace and Gender Relations Survey of Reserve Component Members (2015 WGRR) conducted from August 7 to October 19, 2015. The 2015 WGRR continues a line of military sexual assault and sexual harassment research begun in 1988. DMDC conducted Joint Service surveys of active duty members on gender issues in 1988, 1995, 2002, 2006, 2010, and 2012. DMDC expanded this line of research to the Reserve Components in 2004, 2008, and 2012 and to the Service Academies in 2005, 2006, 2008, 2010, 2012, and 2014. Historically, DMDC gender relations surveys have been designed to estimate the perceived level of sexual harassment and sexual assault in the Services and to provide new information on a variety of consequences of sexual harassment and sexual assault experiences.
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摘要 :
Hypothesis : Early risk factors for hepatic-related morbidity in patients undergoing initial nonoperative management of complex blunt hepatic injuries can be accurately identified. Design : Multicenter historical cohort. Setting :...
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Hypothesis : Early risk factors for hepatic-related morbidity in patients undergoing initial nonoperative management of complex blunt hepatic injuries can be accurately identified. Design : Multicenter historical cohort. Setting : Seven urban level I trauma centers. Patients : Patients from January 2000 through May 2003 with complex (grades 3-5) blunt hepatic injuries not requiring laparotomy in the first 24 hours. Intervention : Nonoperative treatment of complex blunt hepatic injuries. Main Outcome Measures : Complications and treatment strategies. Results : Of 699 patients with complex blunt hepatic injuries, 453 (65%) were treated nonoperatively. Overall, 61 patients (13%) developed 87 hepatic complications including bleeding (38), biliary (bile peritonitis, 7; bile leak, 9; biloma, 11; biliary-venous fistula, 1: and bile duct injury, 1) , abdominal compartment syndrome (5), and infections (abscess, 7 ; necrosis, 2; and suspected abdmonial sepsis, 6), which required 86 multimodality treatments (angioembolization, 32; endoscopic retrograde cholangiopancreatography and stenting, 9; intreventional radiology drainage, 16; paracentesis, 1; lasprotomy, 24; and laparoscopy, 4). Hepactic complications developed in 5% (13 of 264) of patients with grade 3 injuries, 22% (36 of 166) of patients with grade 4 injuries, and 52% (12 of 23) of patients with grade 5 injuries.
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