提高医学期刊利用率的措施

医学期刊是传递医学信息的主要渠道之一，它能充分反映医学科学发展的前沿动态和趋势，是医院临床、科研和教学的主要信息来源，也是医学图书馆开展医学信息服务的物质基础。积极开发医学信息资源，努力提高医学期刊利用率，更好地为医院临床、科教研服务，是值得医院图书馆探讨的重要课题。     

医学图书馆建设应瞄准医学前沿信息

通过简要分析医学图书馆的职能，提出医学图书馆建设应瞄准医学前沿信息，主动为医院的临床和科研提供服务。摒弃传统思想观念，加强自身软硬件建设，提高综合评判医学前沿信息能力，强调医学图书馆的信息服务要与医学科研有机结合，这不仅有利于医院医疗质量和科研水平的提高，也有利于把医学图书馆建设成为临床和科研服务的重要基地，从而进一步强化医学图书馆的地位和作用。     

医学高校图书馆学科服务策略调查研究

以25所医学高校图书馆为调查对象，从学科服务的组织模式、服务形式及服务内容3个维度进行调查分析，总结服务现状及存在的问题，提出面向医学学科服务策略，包括"高校+医院"医学图书馆联盟、"教学+科研+临床+图书馆"的学科服务团队、嵌入"医教科研"的学科服务形式等，阐述基于医学特点的学科服务内容。     

医院图书馆在循证医学中的作用

近年来，循证医学在临床医学领域得到迅速发展。医院图书馆作为循证医学最佳证据的提供者之一，应主动为临床循证医学实践提供服务。全面介绍了医学图书馆为临床循证医学实践服务的内容和形式。     

浅谈医院图书馆的信息服务

医院图书馆作为医院重要的文献信息中心,对于开展医学信息服务具有重要意义。本文探讨了医院图书馆信息服务的主要内容和特点,以及如何做好医学信息服务而更好地为临床一线服务。     

办好信息时代的医学图书馆

作认为办好信息进代的医学图书馆，首先应该建设数字图书馆，将信息服务扩大，办好具有特色的医学网站；其次，根据图书馆所属机构的临床和科研需要，办好电子阅览室；再，还要打破医学图书馆之间的分割现象，建设好医学局域网，使医学信息得到共享。此外，提高医学图书馆信息服务人员的素质也非常重要。     

循证医学与信息服务

随着临床医学的发展，以往的经验医学已经满足不了临床上出现的各种问题。20世纪90年代诞生的以证据为基础的医学即“循证医学”，就是要求医务人员要以科学的证据来决策自己的医疗行为，而这些在临床上行之有效的科学证据大多是来自于大量的医学资料，从而要求图书馆信息人员要做到快速、准确、完整地查找文献资料，以提供并应用于临床实践，这也是图书馆信息服务与循证医学的新结合点。     

医学图书馆建设与读者心理的关系

读者是图书馆服务工作的主体，医学图书馆馆员了解读者心理变化过程，掌握读者心理活动规律，对于满足读者需求，高质量、高效率地做好读者服务工作，更好地为医疗、教学、科研人员服务，具有十分重要的意义。研究图书馆读者心理，有利于馆员抓住读者求知欲，进一步激发渎者在医学专业领域里勤奋钻研的热情，充分发挥医学图书馆的教育职能和情报职能。研究医学图书馆读者心理，还有助于馆员与读者之间沟通感情，传递信息，改善馆员与读者之间的关系，变被动服务为主动服务，用科学的方法帮助读者在医学信息的浩瀚海洋中自由遨游。     

美国国家医学图书馆简介

美国国家医学图书馆简介刘先玉编译（河南中医学院图书馆，郑州４５０００３）主题词国立医学图书馆（美国），图书馆技术服务美国国会颁布有国家医疗卫生和图书馆法令，而且对法令的实施采取始终如一的支持态度，正是在此前提下。美国国家医学图书馆才得以稳步地发展、扩...     

强化服务意识提高医学图书馆利用率

图书馆是搜集、整理、保存、传播和利用文献的科学、文化、教育机构。医学图书馆承担着为临床医疗、教学和科研等各项工作收集、存贮、加工、传递信息的任务。医学图书馆服务工作的实质是通过宣传、推荐和提供书刊满足读者多方面的需要,传递医学科学情报和文化知识。众所周知,图书馆服务水平的高低不仅直接体现了医学图书馆的形象、职能和任务,同时也反映了图书馆的工作质量。因此,作为专业性较强的医学院校图书馆,只有想方设法提高图书馆的利用率,使读者尽可能充分地利用丰富的馆藏资源,才能体现出医学图书馆存在的价值。1树立服务意识,转…     

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…     

Dr.Zhang Ren''''s Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

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.     

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.     

猪肺磷脂注射液联合经鼻持续气道正压通气对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性的影响

目的 探讨猪肺磷脂注射液联合经鼻持续气道正压通气(NCPAP)对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性(CK-MB)的影响.方法 选取呼吸衰竭早产儿80例,分为观察组和对照组各40例.对照组采用NCPAP给氧治疗,观察组给予NCPAP给氧联合猪肺磷脂气管内给药.观察两组患儿治疗前及治疗12h、24 h后PaO2、PaCO2、血氧饱和度(SaO2)、pH的变化情况,检测治疗前及治疗5d后血清CK-MB水平;评估两组患儿的临床治疗效果.结果 两组患儿PaO2、PaCO2、SaO2、pH比较,差异均有统计学意义(P＜0.05),其中观察组治疗后的PaO2、SaO2、pH均高于对照组,PaCO2则低于对照组.两组的PaO2、SaO2、pH均随观察时间延长而升高(P＜0.05),PaCO2均随观察时间的延长而降低(P＜0.05).观察组治疗有效率为87.5％,显著高于对照组的70.0％ (P ＜0.05).治疗5d后两组患儿血清CK-MB水平均较前降低(P＜0.05),且观察组明显低于对照组(P＜0.05).结论 猪肺磷脂注射液气管内给药联合NCPAP可以显著降低呼吸衰竭早产儿CK-MB的含量,提高治疗有效率,起到很好的呼吸循环支持作用.     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.