Standardization and phytochemical investigation of antilithiatic polyphyto dispersible tablets

ObjectiveTo deals with the characterization, phytochemical determination of antilithiatic polyphyto dispersible tablet.Methodsan attempt has been made to standardize polyphyto dispersible tablet by using macroscopy and microscopic characters, powder microscopy, fluorescence analysis, quantitative and physicochemical values.ResultsThe polyphyto combinations were subjected to macroscopical examination and observations were recorded. The proper examination of the polyphyto combinations was carried out under sun light and artificial source similar to day light.ConclusionsData reveals that phytotherapeutic agents could be useful as either an alternative or a complementary therapy in the management of urolithiasis.     

Health programs struggling with complexity: a case study of the Dutch 'PreCare' project

This article aims to understand the effects of rationalized health programs (the basic components of which are efficiency, calculability, predictability and control) on local practices. We discuss how a successful U.S. intervention in preventive youth health care (the Nurse Family Partnership) has been translated and adapted within a Dutch setting. The Dutch version of the program is called 'PreCare'. The empirical analysis highlights the effects of rationalized health programs on local practices, in terms of the amount of work required, how local practices are disciplined, how these programs (re)draw boundaries, the 'travel expenditures' involved (and developed 'coping strategies'), and how local practices (try to) reshape the program. Our empirical analysis builds on a combination of qualitative methods. We conducted 16 semi-structured interviews with 19 people involved in the PreCare program. The majority of the interviews were conducted between July and November 2008. We also conducted an analysis of relevant documents related to the PreCare intervention and protocol. Furthermore, we observed at several meetings, including case conferences and management intervision meetings. The article makes a theoretical and practical contribution to the field. Theoretically, we show how the rationalization process is linked to a broader development of quantification and how both developments are based on a particularly modern ontology and epistemology in which what is considered 'real' and 'knowledgeable' becomes closely tied to what is measurable. The article offers a different conceptualization of rationalized health programs, one that acknowledges the need to standardize some elements, but also recognizes the need to be open and flexible toward local practices. We specifically focus on the tools that are able to deal with both the need to standardize and the need to be open toward local practices. We suggest that '(re)writing devices' are a fruitful category of tools for this purpose.     

神经外科监护室标准化交接班流程的设计与应用

目的:探讨标准化流程在神经外科ICU护士床边交接班中的应用效果。方法:2012年7~12月采用标准化床边交接班流程,规范神经外科重症监护室患者交接班过程。将实施后的交接班问题发生率、护士交接班满意度与实施前进行回顾性对比分析。结果:应用标准化床边交接班流程后,危重患者交接班的问题发生率由原来的20.09%降低至5.26%,交接双方护理人员的满意度平均得分由原来的(86.83±3.90)分提高到(95.25±3.28)分,经比较均有统计学意义(P0.05)。结论:标准化床边交接班流程避免了交接班遗漏,规范了患者转出交接流程,提高了护理工作效率,保证了重症患者连续性护理质量,保证了患者安全,促进了团队协作。     

医院内规范化流产后服务模式探讨

目的:探讨医院内规范化流产后服务模式。方法:选择2009年10月～2010年10月到本院妇科门诊进行人工流产妇女为研究对象,随机分为研究组和对照组,对照组为常规的流产服务模式,研究组则设有专门的场所和经过专门培训的医护人员,在原流产服务模式基础上增加了对妇女及其伴侣的一对一咨询服务,同时进行集体宣教,术后在对象知情同意、自愿选择的前提下即时落实避孕措施,在干预后1年内调查随访。结果:研究组与对照组的随访率分别为89.33%和75.63%,立即落实避孕措施的比率为97.3%和1.6%,差异有统计学意义(P<0.05)。流产后1年研究组有效避孕措施的采用率明显高于对照组(90.8%和57.7%),而再次意外妊娠、重复流产及重复流产后并发症的发生率明显低于对照组(3.2%和21.3%、3.0%和16.4%、1.4%和5.6%),差异有统计学意义(P均<0.05)。结论:一对一咨询-集体宣教-落实避孕措施-电话预约随访的规范化医院内流产后服务模式可有效降低重复流产率,改善女性生殖健康,是一种行之有效的方法。     

对医院后勤标准化管理的认识与探析

该文结合医院后勤管理的实践,分析了医院后勤标准化管理与一般物业管理的区别,指出了医院后勤标准化管理过程中存在的问题,提出了相应的对策措施.     

医疗体检机构规范化健康管理模式的进展研究

对我国健康管理模式现状及存在问题进行了分析,阐述了医疗体检机构应用自身人才、技术、硬件的优势,通过对体检人群健康信息采集建档、风险因素评估、个性化健康干预和动态跟踪等手段,以达到未病先防、初病早治、慢病控制的目的.     

糖化血红蛋白的研究进展

糖化血红蛋白(HbA1c)作为反映长期血糖水平的金标准,是监测糖尿病治疗的重要指标.近年来有关HbA1c检测的标准化问题越来越引起人们关注.本文对HbA1c的基本概念、主要检测方法、干扰测定的因素、临床应用,特别是有关标准化问题作一综述.     

Overexpansion of the SAPIEN 3 Transcatheter Heart Valve: An Ex Vivo Bench Study

Objectives

This study assessed the effect of overexpansion beyond labeled size (diameter) of transcatheter heart valves through an ex vivo bench study.

男性性病诊疗服务体系的完善及规范化服务

目的通过完善男男性行为人群（MSM）的性病诊疗服务体系,促进男性性病诊疗服务的规范化。方法完善MSM的性病转介体系和性病服务内容,形成性病、艾滋病检测阳性者的服务机构、组织之间的顺畅转介关系,开展医务人员主动提供艾滋病病毒（HIV）检测咨询（PITC）促进。对服务日志进行统计并分析。结果自2011年4月至10月15日期间,MSM社区组织向性病门诊转介疑似性病患者156例;HIV感染者组织转介的性病患者诊治17例;性病门诊求诊者中453人接受了PITC服务,完成转介初筛HIV阳性25例。性病转介诊疗服务满意度和HIV阳性转介咨询服务满意度均很高。结论社区组织和医疗机构的合作是促进规范化性病服务的重要策略,医疗机构与成熟的社区组织开展进一步实质性合作可以促进服务质量提高。     

Primitive reflexes in healthy,adult volunteers and neurological patients: methodological issues

A study was made to determine whether two experienced clinicians elicited and scored primitive reflexes (PR) differently and whether reliability could be improved by standardization. Three studies were carried out, using a protocol for the examination of 14 PR. In the first study with 31 healthy young subjects, two investigators found virtually no difference in the routine neurological examination. However, the interobserver agreement was very poor, indicating the need for a further improvement of the PR protocol. In the second study, 30 neurological patients were examined with an improved, more explicit and standardized protocol, in which the amplitude and the persistence of the reflex were scored separately. Interobserver agreement improved considerably, and was high for amplitude as well as persistence. In the third study, 36 neurological patients were examined twice by one investigator within 2 weeks. Good to excellent intraobserver agreement was found. No pathognomonic or strictly localizing reflex could be distinguished.