对温病血瘀的理论探讨

血瘀是温病过程中重要的病理变化之一,其形成与热、毒、痰、虚关系密切.5方面病理因素相互影响,相互转化,更加重了瘀血的程度.结合有关文献,就温病血瘀的形成原因、证候特征和理法方药进行理论探讨,旨在更加深刻地认识其发生发展规律,以便更好地指导临床,提高疗效.     

超声引导穿刺注射硬化剂治疗卵巢囊肿

目的:探讨超声引导穿刺注射硬化剂治疗卵巢囊肿的疗效。方法:应用超声引导穿刺卵巢囊肿,行负压抽吸囊液后,随后注入无水酒精,定期动态观察,检测囊肿变化并准确记录。结果:37例卵巢囊肿中,治愈32例(86.48%),显效3例(8.11%),有效1例(2.70%),无效1例(2.70%),总有效率(97.30%)。结论:超声引导穿刺注射硬化剂治疗卵巢囊肿疗效显著,成为卵巢囊肿的首选治疗方法。     

坚持科学发展观创建现代化品牌医院

世纪坛医院从管理、服务、技术三方面进行品牌建设,以科学发展观为指导进行了创建现代化品牌医院的理论与实践探索.创新管理机制,打造管理品牌;建设医院文化,实施细节、增值服务,打造服务品牌;以"专"立足,以"特"取胜,打造技术品牌,取得了显著成效.     

我国发展电子健康的伦理原则和管理建议

电子健康作为一种全新的医疗保健模式，不仅提高了医疗效率，而且为更多疑难杂症的治疗带来了福音和希望，代表了医疗保健发展的未来。但是，它的发展也会面临许多问题与挑战，如电子健康信息储存的安全性问题、隐私保护问题和卫生资源的分配问题等等。因此，电子健康的研究与发展应遵循一定的规范。我国发展电子健康应该遵循知情同意、安全性、公正、风险一收益以及逐步发展的伦理原则，并从审查、信息储存与信息安全、医患关系、信息传播与隐私保护、效用评估、监督、培训与教育、法律法规等方面提出了管理建议。     

The cause and prevention of human birth defects: What have we learned in the past 50 years?

ABSTRACT This review article dealig with the subject of “The Cause and Prevention of Human Birth Defects” was prepared in celebration of the 40th anniversary of the Japanese Teratology Society. It begins with recollections of some of the important contributions of Japanese scientists in the fields of teratology and embryology and a summary of the many scientific and medical accomplishments of the past 50 years in the fields of teratology, genetics, developmental biology, epidemiology and genetics. The review includes a summary of the drugs, chemicals and physical agents that have been documented to result in congenital malformations and reproductive effects when pregnant women are exposed during pregnancy. The principles of teratology were also summarized and emphasize that 1) no teratogenic agent can be described qualitatively as a teratogen, since a teratogenic exposure must include not only the agent, but also the dose and the time in pregnancy when the exposure occurs. 2) Even agents that have been demonstrated to result in malformatins cannot produce every type of malformation. 3) Known teratogens can be presumptively identified by the spectrum of malformations they produce. 4) It is easier to exclude an agent as a cause of birth defects than to definitively conclude that it was responsible for birth defects. 5) When evaluating the risk of exposures, the dose is a crucial component in determining the risk. 6) Teratogenic agents follow a toxicological dose response curve. This means that each teratogen has a threshold dose, below which, there is no risk of teratogenensis, no matter when in pregnancy the exposure occurred. 7) The evaluation of a child with congenital malformations connot be adequately performed unless it is approached with the same scholarship and detail, as is any other complicated medical problem. 8) Each physician must recognize the consequences of providing erroneous reproductive risks to pregnant women exposed to drugs and chemicals during pregnancy or alleging that a child's malformations are due to an environmental agent without performing a complete and scholarly evaluation.     

Knowledge and practice of behavioral management principles among dentists treating adults with learning disabilities

This study investigated U.K. dentists’ knowledge and practice of behavioral management principles (BMPs) as applied to adults with learning disabilities (AWLD). A postal questionnaire enquired into the dentists’ experience in managing AWLD, utilization of behavioral management techniques, and knowledge of BMPs. The response rate was 41% (N = 53). Two groups were investigated: specialists (dentists registered on the Special Care Dentistry specialists’ list, n = 37) and nonspecialists (dentists not on the list, n = 16). Although specialists treated more AWLD than nonspecialists, both groups of dentists reported they felt highly confident in managing AWLD. However, all dentists’ knowledge of the principles of nonpharmacological BMPs was low. Specialists had a tendency to use a greater range of nonpharmacological behavioral management techniques compared to non‐specialists. These results suggest that dental team members need more training in the theory and practice of BMPs, which might lead to less reliance on costly pharmacological interventions and a clinical experience that is more respectful of the dignity and independence of AWLD.     

Resolving Ethical Challenges for Psychological Practice in Long-Term Care

Psychological practice in geriatric long-term care settings, which range from community-based services to skilled nursing facilities, can present ethical dilemmas. The context for practice in long-term care consists of a complicated structure of clients, services, payers, and disciplines, and as a result is extremely complex. Ethical codes and principles are useful in resolving dilemmas. In addition, familiarity with recent legal reform such as the patient self-determination movement and the guardianship reform movement, and attention to issues of race and ethnicity are important in guiding practice.     

经口食管腔内置管术34例临床应用

目的：介绍经口非手术食管腔内置管术的临床应用。方法 应用国产带膜不锈钢支架，通过胃镜定位，在Ｘ线电视导引下经口置入食管支架，结果；本组３４例，３２例经口腔放置成功，２例因支架管位置不佳重新放置，食管狭窄由术前的０－２级转为术后的３－４级，结论：胃镜定位Ｘ线电视导向经口食管腔内置管术，是治疗食管狭窄，食管气管瘘和吻合口瘘的一种简单，安全和有效的方法。     

The differentiation of visually guided and anticipatory saccades in gap and overlap paradigms

Summary Saslow and others have shown that the latency of foveating saccades can be altered by changing the offset time of the current fixation point relative to the onset of the peripheral target. Whether anticipatory saccades contributed to these results was not known. By the criteria of direction error and amplitude error the minimum latency for visually guided saccades is 110–130 ms for three subjects and 160 ms for a longer latency subject. Excluding anticipatory responses did not eliminate offset-onset effects. The genesis of express saccades and the role of higher neural levels is discussed.     

经皮椎体穿刺定位导向装置的临床应用研究

目的评价临床应用经皮椎体定位导向装置的效果。方法对13例骨质疏松性椎体压缩骨折病人行球囊扩张椎体后凸成形术时应用经皮椎体穿刺定位导向装置，其中男性5例，女性8例，T8 1例，T9 1例，T12 3例，L1 4例，L2 1例，L3、L4、L5各1例。椎体均压缩1／2以上。结果球囊扩张椎体后凸成形术应用经皮椎体穿刺定位导向装置可明显缩短手术时间，提高穿刺准确率，明显减少C型臂X线机的投照次数。结论经皮椎体穿刺定位导向装置是经皮椎体穿刺操作的有益辅助手段。