颜面畸形整形患者的心理行为特点及护理

当一个人遭受到丧失正常器官功能，尤其是丧失娇好的面容，其精神上的创伤远超过肉体的创伤，在“生与死”“丑与美”的心理矛盾冲突中，表现出一些特殊的心理行为。１资料与方法１．１资料　根据文献［１］在临床护理中对６２例１８～４９岁烧伤后遣畸形的住院患者，随机提问观察交谈或向家属交谈了解等，大致有以下几种心理行为特点，见表１。 统计处理：χ～２检验结果：χ～２＝０．３１：Ｐ＝ ０．９６表明患者的心理行为特点和性别无关。１．２病人的心理行为特点及护理方法（１）迫切手术心理［１］这一类的患者大多数是第１次住院接…     

第三讲 行为危险因素监测系统的管理（续）

第三讲行为危险因素监测系统的管理（续）杨功焕２）中国行为危险因素监测系统的机构及人员配置：（１）中国预防医学科学院成立行为危险因素监测中心，负责设计，抽样、培训、资料管理、核心调查表分析和结果反馈。由负责人（１人），现场管理（１人），资料管理（１人）...     

同种异体颈椎间盘移植治疗颈椎病的康复护理

自２０００年采用同种异体椎间盘移植治疗颈椎病５例（此方法目前国际尚未报导）。由于采用有效的早期康复护理，未发现护理并发症，取效满意，现报告如下。１对象与方法１．１对象本组共５例，男４例，女１例；年龄４１～６３岁，平均年龄４８．２岁。病种：退行性颈椎间盘突出４例；外伤性颈椎间盘突出合并四肢不全截瘫１例。１．２方法采用分阶段康复护理计划：（１）第１阶段（术前）：①选择合适的颈椎围领，要求并指导病人在术前１d带围领适应，并宣教和示范使用方法注意事项：②讲解术前需检查及配合的内容，行为训练方法讲解并演示…     

原发于骨的腺泡状肉瘤2例

原发于骨的腺泡状肉瘤是一种不常见的恶性肿瘤。英文文献仅有少量报告〔１〕，自１９８３年以来，国内已有２７例报告（包括本组）〔２〕。就我们所知，原发于髂骨的病例尚未见报告。本文的目的是报告２例分别累及尺骨和髂骨的腺泡状肉瘤，并复习总结国内已报告的病例，讨论该肿瘤的临床，Ｘ光，病理特征及诊断，鉴别诊断和生物学行为，试图对国内的发病情况作一概括，以共同提高对本病的认识。病例报告　例１男性，５１岁，右前臂肿胀，疼痛２个月。Ｘ光示右尺骨中下１／３段偏心溶骨性病变。诊断：骨肉瘤。行尺骨远端１／３切除。大体所见…     

PCR—SSP法检测A^1,2BO^1,2血型基因型

目的：为了建立Ａ＾１，２ＢＯ＾１，２血型系统基因分型的方法，以检测人群中Ａ＾１，Ａ＾２，Ｏ＾１，Ｏ＾２基因的频率。方法 采用盐析法进行样品ＤＮＡ的抽提，采取ＰＣＲ－ＳＳＰ法进行Ａ＾１，２ＢＯ＾１，２血型基因分型。结果 １５８例中Ａ＾１，２ＢＯ＾１，２系统基因频率分别是Ａ＾１为１８．７％，Ａ＾２为０．６％，Ｂ为１７．４％，Ｏ＾１为６２．３％，Ｏ＾２为６２．３％，Ｏ＾２为０．９％。结论：该方法可鉴定出     

献血员手臂消毒效果检测的实验报告

搞好献血员手臂消毒是防止血液污染及献血员感染的重要措施。２０００年１月至６月，我们对１００名无偿献血员手臂进行细菌监测和消毒效果对比观察，现报道如下：１材料和方法１．１材料１．１．１普通肥皂、流动自来水、０．２％过氧乙酸、１：２００的“８４”消毒液、１：５００的“８４”液。１．１．２１％Na２S２O３、３％吐温８０１．２方法１．２．１分组方法：第一组，献血员手臂未清洗采样；第二组，献血员用肥皂流动水洗手３分钟，洗至肘部１０厘米以上，３分钟后采样；第三组，用肥皂流动水洗手３分钟后，用０．２％过氧乙酸…     

大叶性肺炎并中毒性休克病人的护理

护理评估１．１一般资料：李某某，男，５６岁，已婚，干部。１．２活动运动型态：１．２．１全身皮肤湿冷，肢体末梢紫绀，烦躁不安，血压１１／６ｋＰａ。１．２．２端坐呼吸。血气分析：氧分压降低，二氧化碳分压上升，氧饱和度下降。１．２．３由于吸氧、发热及机械通...     

腹部卒中2例

腹部卒中２例秦贤举，王贤元腹部卒中又称腹部中风，是指自发性腹内血管破裂出血，是一种很少见的急腹症。该病诊断困难，危险性大，病死率高。我们经治２例，报告如下。１病历简介１．１例１．男，６８岁，因急性腹痛２ｈ，１９９３年２月２９日入院治疗。入院前２ｈ，患...     

认知行为治疗在２型糖尿病患者健康教育中的应用

摘要：目的 探讨认知行为治疗在２型糖尿病患者健康教育中的应用效果。方法 将１２０例２型糖尿病患者随机分为观察组和对照组各６０例，对照组行常规糖尿病健康教育，观察组采用认知行为治疗的方法，对患者进行认知矫正、情绪干预和行为塑造。比较两组患者入院前、出院３个月、出院１年的空腹血糖、餐后血糖、糖化血红蛋白、体重指数、每周运动次数及血糖监测次数。结果 出院３个月后两组患者各项指标与入院前比较均有不同程度的改善（均Ｐ＜０．０５），出院１年后，观察组的血糖控制情况和有关行为指标的改善显著优于对照组（均Ｐ＜０．０５）。结论 应用认知行为治疗能帮助患者建立较长期的健康行为，且行为的改变能促进患者更好的进行血糖控制。关键词：２型糖尿病；　认知行为治疗；　健康教育；　行为改变中图分类号：Ｒ４７３．５；Ｃ１９３　　文献标识码：Ｂ　　文章编号：１００１-４１５２（２００７）１３-００６８-０２     

实施社区护士岗前培训初探

我院近年来为地方实施社区护士上岗前培训教育取得了较好的效果，介绍如下。１　培训对象及特点１－１　对象：为本地区市内各家医院推荐准备进入社区工作的护士５０名，其中包括兼职人员１２名，最大年龄４６岁，最小年龄２１岁，主管护师职称２６名，护师１５名，护士９名，中专毕业生６名，大专毕业生４４名。１－２　培训对象特点１－２－１　自愿到社区开展护理工作，喜欢挑战性工作。１－２－２　热爱护理工作，刻苦学习精神佳。１－２－３　９６％来自于临床一线的护理工作者。２　培训时间及内容２－１　时间：培训１期为４个月，每…     

Patellar hypomobility and the flexibility of the iliotibial band and the femoral quadriceps

Background. The aim of our study was to determine whether or not the flexibility of the iliotibial band and femoral quadriceps have an impact on patellar hypomobility, due to their connections with the patellar stabilizers. Material and methods. We examined 62 patients (44 females, 18 males) with a median age of 15 years (range 9-19). All these patients had patellofemoral dysfunction in the tested knees (101). The medial and distal glide of the patella were tested with a manual test according to Kaltenborn's scale. Ober's test was performed to test the tightness of the iliotibial band. The flexibility of the quadriceps femoris was tested while the patient was lying prone with the tested leg on the couch and the other beside it. Results. Statistical analysis based on the c2 test (P=0.05) found no dependence between the flexibility parameters of the iliotibial band or the femoral quadriceps and the parameters of patellar hypomobility. Of the tested joints, 37.6% showed hypomobile patella and positive Ober's test, while 34.7% had hypomobile patella and a positive test for femoral quadriceps flexibility. Conclusions. The flexibility of the iliotibial band and femoral quadriceps has no direct influence on passive patellar hypomobility, but can affect the biomechanics of the patellofemoral joint and the location of the point of contact on articular surfaces during dynamic knee work. The flexibility of these muscles should be a diagnostic factor in patients with patellofemoral dysfunction.     

Berson, Yalow, and the JCI: the agony and the ecstasy

The isolation of insulin in 1921 by Banting, Best, Collip, and Macleod stands as one of the most dramatic stories in modern medical investigation. Only two years passed between the initial experiments in dogs to widespread human application to the awarding of the Nobel Prize in 1923. Insulin-related research has also served as a focus, at least in part, for the work of three other Nobel Prize recipients: determination of the chemical structure of insulin by Frederick Sanger in 1958; determination of the three-dimensional structures of insulin and vitamin B12 by Dorothy Hodgkin in 1964; and finally, the development of immunoassay by Solomon Berson and Rosalyn Yalow in 1959-1960, which led to a Nobel Prize for Yalow in 1977 (five years after the untimely death of Berson). The history of Yalow and Berson's discovery and its impact on the field is an illustration of the adage that every story has two sides.     

Tibetan Buddhism and the resolution of grief: the Bardo-thodol for the dying and the grieving

This article is a contribution to the cross-cultural study of grief. The Bardo thodol (sometimes translated the Tibetan Book of the Dead ) and the ritual associated with it provides a way to understand how Buddhism in Tibetan culture manages the issues associated with what is called grief in Western psychology. The resolution of grief in the survivors is intertwined with the journey to rebirth of the deceased. The present article describes (a) the progression of the deceased, (b) the rituals by which survivors separate from the physical incarnation of the deceased, (c) how, by channeling the feelings of grief to support the progress of the deceased, grief is brought to a positive resolution, and (d) the continuing bond survivors maintain with the dead even though the dead has moved on to the next life.