WordNet

not open to doubt; "she wanted to go; that was for sure"
physically secure or dependable; "a sure footing"; "was on sure ground"
(of persons) worthy of trust or confidence; "a sure (or trusted) friend" (同)trusted
certain not to fail; "a sure hand on the throttle"
infallible or unfailing; "a sure (or true) sign of ones commitment"
cross a river where its shallow
the act of crossing a stream or river by wading or in a car or on a horse (同)fording
a shallow area in a stream that can be forded (同)crossing

PrepTutorEJDIC

《時間・距離》『…の間』 / 《利益・貢献》『…のために』 / 《適応・用途》『…向きの(に);』…用の(に);…のための(に) / 《目的・意向》『…のために,』に / 《敬意・記念》『…のために;』…を記念して / 《獲得・追求》『…を得るために』,を求めて / 《行く先・方向》『…あてに;』…[方面]行きの,に向けて / 《交換・報償など》『…に対して』;…と引き換えに;…のお返しに / 《原因・理由》『…のために』,なので / 《代理・代表》『…の代わりに;』…を代表して / 《形容詞の後に用いて》『…にとって,』には / 《比較級の後に用いて》『…の結果として,』…のために / 《対比》『…としては,』のわりには / 《関連》『…について,』の点では / 《資格・属性》『…として』 / 《賛成・支持》…『に賛成して』,を支持して / 《傾向・好み》…『に対する』,には / 《模倣》《おもに米》《英文》…の名を取って(after) / 《割合》…に対して / 《『for』+『名』〈人〉+『to』 doの形で,〈人〉が不定詞to doの意味上の主語を表して》…が(…することは,…するために) / […というのは]…だから
《補語にのみ用いて》(人が)『確信して』,自信をもって / 《補語にのみ用いて》(物事が)『確実な』 / (修事が)『確固とした』,確実な / (人が)『信頼のおける』,安心のできる / 確かに,全く / (返答で)いいとも,もちろん(certainly)
(川などの)浅瀬 / 〈川〉‘の'浅瀬を渡る
farad / forte

UpToDate Contents

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1. エトノゲストレル避妊インプラント etonogestrel contraceptive implant
2. 患者教育：長期間有効な避妊法（詳細） long acting methods of birth control beyond the basics
3. 成人における選択的脊椎手術のための麻酔 anesthesia for elective spine surgery in adults
4. 手術時や麻酔時の成人の体位 patient positioning for surgery and anesthesia in adults
5. Suspected Staphylococcus aureus and streptococcal skin and soft tissue infections in neonates: Evaluation and management

English Journal

Family caregivers' experiences of relinquishing the care of a person with dementia to a nursing home: insights from a meta-ethnographic study.

Graneheim UH1, Johansson A, Lindgren BM.Author information 1Department of Nursing, Umeå University, Umeå, Sweden.AbstractMany people with dementia are cared for in their homes by family caregivers. As the dementia progresses, admission of the family member to a nursing home becomes inevitable. The aim of this meta-ethnographic study was to describe caregivers' experiences of relinquishing the care of a family member with dementia to a nursing home. A systematic literature search of PubMed, Cinahl and PsychInfo, between the years 1992 and 2012, was performed, and 10 qualitative articles, based on 180 family caregivers' experiences, were included. The family caregivers' described their experiences as a process that went from being responsible for the decision, through living with the decision, adjusting to a new caring role and having changed relationships. They felt unprepared and lonely with these changes. They experienced loss, guilt and shame, but also feelings of relief. Their roles in the nursing home environment were to make sure that the individual needs of the person with dementia were respected and to monitor the quality of care. They wished to maintain their relationship with the person with dementia and to establish meaningful relationships with caring staff. The process of relinquishing care is similar to a crisis process, which starts with a turning point, followed by a coping face and finally the outcome of the process. The adaption to the new situation can be facilitated if the family caregivers are recognised as partners in the care of the person with dementia. The family caregivers' unique knowledge of their relatives' previous life story should be acknowledged in both care planning and daily care. Welcoming family caregivers to regular meetings with staff can contribute to increase the feeling of partnership. Offering staff clinical supervision could be one way of preparing them to deal with the emotional strain reported by family caregivers.
Scandinavian journal of caring sciences.Scand J Caring Sci.2014 Jun;28(2):215-24. doi: 10.1111/scs.12046. Epub 2013 Apr 12.
Many people with dementia are cared for in their homes by family caregivers. As the dementia progresses, admission of the family member to a nursing home becomes inevitable. The aim of this meta-ethnographic study was to describe caregivers' experiences of relinquishing the care of a family member w
PMID 23578033

Potential impacts of the Affordable Care Act on the clinical practice of hepatology.

Talwalkar JA.Author information Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN; Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN; William J. von Liebig Transplant Center, Mayo Clinic, Rochester, MN.AbstractThe Patient Protection and Affordable Care Act (ACA), along with the Health Care and Education Reconciliation Act, was signed into law and upheld by the Supreme Court earlier this year. The ACA contains a variety of reforms that, if implemented, will significantly affect current models of healthcare delivery for patients with acute and chronic hepatobiliary diseases. One of the Act's central reforms is the creation of accountable care organizations (ACOs) whose mission will be to integrate different levels of care to improve the quality of services delivered and outcomes among populations while maintaining, or preferably reducing, the overall costs of care. Currently, there are clinical practice areas within hepatology, such as liver transplantation, that already have many of the desired features attributed to ACOs. The ACA is sure to affect all fields of medicine, including the practice of clinical hepatology. This article describes the components of the ACA that have the greatest potential to influence the clinical practice of hepatology. Conclusion: Ultimately, it will be the responsibility of our profession to identify optimal healthcare delivery models for providing high-value, patient-centered care. (Hepatology 2014;59:1681-1687).
Hepatology (Baltimore, Md.).Hepatology.2014 May;59(5):1681-7. doi: 10.1002/hep.27071. Epub 2014 Mar 31.
The Patient Protection and Affordable Care Act (ACA), along with the Health Care and Education Reconciliation Act, was signed into law and upheld by the Supreme Court earlier this year. The ACA contains a variety of reforms that, if implemented, will significantly affect current models of healthcare
PMID 24700278

Are we sure that Mobile Health is really mobile? An examination of mobile device use during two remotely-delivered weight loss interventions.

Turner-McGrievy GM1, Tate DF2.Author information 1Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, United States. Electronic address: brie@sc.edu.2Departments of Nutrition and Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, United States.AbstractBACKGROUND: The "m" in mHealth is often thought of as the ability to receive health information and monitor behaviors on the go. Little is known about how people actually use mobile vs. traditional access methods and if access method affects engagement and health outcomes.
International journal of medical informatics.Int J Med Inform.2014 May;83(5):313-9. doi: 10.1016/j.ijmedinf.2014.01.002. Epub 2014 Feb 2.
BACKGROUND: The "m" in mHealth is often thought of as the ability to receive health information and monitor behaviors on the go. Little is known about how people actually use mobile vs. traditional access methods and if access method affects engagement and health outcomes.METHODS: This study examine
PMID 24556530