运用木桶定律指导对口支援工作

将“木桶定律”结合乡镇卫生院特点,运用到城市对口支援工作中:木桶中最短的那块木板决定桶的容量,对口支援应抓住薄弱环节。木桶是否有缝隙是能否装水的关键,要加强受援单位职工的凝聚力。木桶是否有坚实的底板是能否装水的基础,支援医院和受援单位都要关注乡镇卫生院的制度建设和环境卫生改造。     

对口支援推动绿洲学府建设

2001年6月教育部启动了“对口支援西部地区高等学校计划”，确定北京大学对口支援石河子大学。对口支援工作的开展，推动了石河子大学在人才培养、学科建设、文化学术交流等方面的建设。     

城市医院对口支援乡镇卫生院的实践与思考

农村需要医疗,农民呼唤健康,没有农民的健康,就没有农民的小康。2001年10月广西卫生厅组织部分城市医院到边境地区乡镇卫生院开展对口支援,取得了阶段性的成果[1]。2002年10月底颁布的《中共中央国务院关于进一步加强农村卫生工作的决定》,明确提出了农村卫生工作发展的具体任务和目标。2003年广西卫生厅继续组织对乡镇卫生院的对口支援工作。现就2003年3月至2004年12月年广西壮族自治区肿瘤医院对口支援乡镇卫生院的实践经验,对对口支援工作如何持续健康发展作初步探讨。1主要措施和方法1.1强化教育,统一认识:2003年3月,广西卫生厅发出《关于开展乡镇卫生院对口支援工作的通知》,明确了我院对口支援的乡镇卫生院为巴马县甲篆中心卫生院和西山乡卫生院。医院党政领导高度重视此项工作,多次召开院办公会,反复学习讨论《中共中央国务院关于进一步加强农村卫生工作的决定》、《关于城市卫生支援农村卫生工作的意见》等关于加强农村卫生工作的一系列指示精神,统一认识,充分领会到“对口支援”工作是自治区人民政府、区卫生厅实施的为民办实事的一项“德政工程”,是落实江泽民总书记“三个代表”重要思想的具体行动,把对口支援作为一项经常性的任务,...     

我院对口支援工作对提高受援医院综合实力影响因素分析

三级医院对口支援县医院是新医改政策中的关键内容,目的是提高农村医疗卫生条件,保障农村医疗卫生建设[1],对口支援充分依托三级医院的优势,对医疗水平普遍不高、基础设施较差的地区进行支援建设[2,3].近年来,三级医院对口支援工作取得了阶段性的成果,对于县级医院医疗水平和医院实力的发展起到了积极的推动作用[4,5].作为委直属三级综合医院,我院认真按照国家卫生计生委统一安排,对口支援（帮扶）了内蒙古、陕西4家县医院.本文通过比较支援前后县医院实力的影响,分析对口支援工作的效果和影响因素.     

加强"对口招生"档案管理的思考

近几年，随着教育体制改革的深入发展，招生制度、招生办法也相应作了调整。为推进中、高等职业教育的衔接，加快完善职教体系，国家在中专、职专、职高应届毕业生中，选拔政治思想好、身体健康、专业思想牢固、专业技能考核合格的优秀生，申报对口专业或同类专业，参加“对口招生”，达到录取分数线，直接录取到普通高等学校。此举，促进中等职业教育和高等教育的沟通，构建起人才培养的“立交桥”。“对口招生”是一件新事物，由于考生均为中专毕业生，个人学籍档案已转走，学校未对这些学生建立有关档案。据笔者了解，前几年我校“对口招…     

“对口帮扶”和“医生下基层”工作有效缓解“看病贵、看病难”

通过开展“对口支援”和“千医”活动，有计划地组织大中型医疗卫生机构对口支援基层医疗卫生机构和安排医疗卫生人员进入部分乡镇卫生院和社区卫生服务中心开展工作，不断提高基层医疗卫生机构的医疗卫生服务水平，为广大人民群众提供方便、优质、低廉的医疗卫生服务，缓解群众“看病难、看病贵”的矛盾，促进全市经济社会和谐发展。     

“对口帮扶“和“医生下基层“工作有效缓解“看病贵、看病难“

通过开展“对口支援”和“千医”活动,有计划地组织大中型医疗卫生机构对口支援基层医疗卫生机构和安排医疗卫生人员进入部分乡镇卫生院和社区卫生服务中心开展工作,不断提高基层医疗卫生机构的医疗卫生服务水平,为广大人民群众提供方便、优质、低廉的医疗卫生服务,缓解群众“看病难、看病贵”的矛盾,促进全市经济社会和谐发展。     

公立医院对口支援民营医院院前急救建设的管理探讨

目的探讨民营医院院前急救建设的方法与效果。方法公立医院选派专家蹲点对口支援民营医院院前急救建设,重点完善院前急救相关制度、流程,加强培训、技术支持与督导。结果对口支援后民营医院院前急救成功运行,无1例投诉和纠纷,提高了医院知名度、美誉度,提升了经济效益和社会效益。结论公立医院对口支援民营医院院前急救建设,有利于保障并快速提升急救质量,促进民营医院健康发展。     

突破瓶颈——论木桶效应与对口支援工作

运用“木桶原理”，结合乡镇卫生院特点，将此原理运用到城市对口支援工作中：①木桶中最短的那块木板是装水的瓶颈，突破瓶颈主要靠长板带动自我提升；②木桶是否有缝隙是能否装水的关键，要加强受援单位职工的凝聚力；③木桶是否有坚实的底板是能否装水的基础，支援医院和受援单位都要关注乡镇卫生院的制度建设和环境卫生改造。     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

Development on Adjustable Calibration Marker for Shock Wave Focus

Shock wave lithotripsy （SWL） is a treatment of choice for upper urinary stones. However, this procedure is inappropriate for obese patients because the focus is often unable to reach the target owing to the limited focal distance in shock wave source. Although treating such patients in a blast path may increase the application length of shock wave source, it＇s difficult to find this path on the lithotripter monitor. For this reason, we invented an adjustable calibration marker in order to set an effective focus in the shock wave hath.     

Study on the TCM Pathogenesis of Angiopathic Complications of Type II Diabetes

Excess production of reactive oxygen species(ROS)of mitochondrion mediated by hyperglycemia is the common pathogenesis of angiopathic complications of diabetes.TCM holds that the damp from the dysfunction of spleen.kidney and liver is the causative factor of complications of diabetes.This is similar to the mechanism of Ros resulting in angiopathic complications of diabetes.When the angiopathic complications of type II diabetes mellitus(T2DM)are difierentiated as caused by turbid damp in TCM can be explained as ROS.Since the obstruction of pathogenic damp in channels and collaterals is said to be the main pathogenesis,the treating principle should be dissolving the damp to remove the obstruction.     

Leptin, Ghrelin and TNF-α before and after Hypo-caloric Traditional Chinese Diet and Auricular Acupuncture

INTRODUCTION Obesity is a complex emergent problem, which can be possibly solved not only by the diet but also by the life style and promotion of a constant physical exercise. 1, 2 No doubt careful attentions must be given to the nutritional condition of obese people, the dietary habits, the somatic build (i.e. distribution of fat mass) and the organic functions linked to formation of the fat mass. All the parameters should be constantly monitored before, during and after a diet treatment. 3, 4, 5     

Relationship between Dysglycemia and Carotid Atherosclerosis in Tibetan Population

People with dysglycemia are at high risk for atherosclerotic diseases. This study aims at investigating the atherosclerotic vascular damage in dysglycemia and its metabolic origin in Tibetan population.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

Luo Lingjie's Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.