期刊论文详细信息
IJU Case Reports
Possible abscopal effect after discontinuation of nivolumab in metastatic renal cell carcinoma
article
Nobuyuki Nakajima1  Tatsuo Kano2  Kazuya Oda3  Takato Uchida1  Tatsuya Otaki1  Kentaro Nagao1  Yuki Shimizu1  Masayoshi Kawakami1  Hakushi Kim1  Masahiro Nitta1  Masanori Hasegawa1  Yoshiaki Kawamura1  Akira Miyajima1 
[1] Department of Urology, Tokai University Graduate School of Medicine;Department of Urology, Tokai University Hachioji Hospital;Isehara Kyodo Hospital
关键词: abscopal effect;    immune checkpoint inhibitor;    programmed cell death-1;    radiotherapy;    renal cell carcinoma.;   
DOI  :  10.1002/iju5.12195
学科分类:社会科学、人文和艺术(综合)
来源: Wiley
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【 摘 要 】

Background: It cannot be denied that the dependence of pregnant women on the knowledge, knowledge and experience of traditional birth attendant is still very high. Traditional birth attendants are considered as figures who have abilities related to local culture. On the other hand midwives are the most well-known health care workers to rural areas, have medical knowledge, knowledge and technology, on average young, but have not fully gained public trust. Subjects and Method: This was a qualitative study with case study approach. The study was conducted in North Klaten District, Klaten Regency, Central Java. Results: Traditional birth attendants were people who were trusted by the community to have knowledge and experience in the health of pregnancy. Partnership Guidelines for Midwives and traditional birth attendant issued by the Ministry of Health are divided into stages of pregnancy, and childbirth. Conclusion: The implementation of midwive and TBA partnership in accordance with govern­ment guidelines can begin with regional regulations that stipulate the implementation of the WB, followed by providing physiotherapy training to traditional birth attendants in postpartum maternal massage and baby massage, so that the competency of the traditional birth attendant is more targeted.

【 授权许可】

CC BY|CC BY-NC|CC BY-NC-ND   

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