Therapeutic Efficacy Observation on ‘Setting Fire on the Mountain’ Manipulation by Lu Shou-yan for Cervical Radiculopathy

Objective: To observe the clinical effect of ‘setting fire on the mountain' manipulation by Lu Shou-yan for cervical radiculopathy as well as the infrared thermographic changes of the cervical area before and after treatment. Methods: A total of 120 eligible cases with cervical radiculopathy were randomly allocated into an observation group and a control group, 60 in each group. Cases in the observation group were treated with Lu Shou-yan's ‘setting fire on the mountain' manipulation, whereas cases in the control group were treated with even reinforcing-reducing manipulation. After two courses of treatment, the infrared thermographic changes and overall therapeutic efficacies in the two groups were compared. Results: The recovery rate and total effective rate in the observation group were 68.3% and 98.3% respectively, versus 28.3% and 81.7% in the control group, showing statistical differences in recovery rate and total effective rate(both P 0.01). There was between-group statistical significance in comparing the infrared thermography after treatment(P0.01). Conclusion: ‘Setting fire on the mountain' manipulation by Lu Shou-yan is better than even reinforcing-reducing manipulation for cervical radiculopathy.     

多个参数灵活设置满足医院统计数据在统计时间及统计范围变化的探讨

在医院普及信息化建设中,医院对信息化的要求更高、更完善,信息系统在满足医院不断变化的需求的同时,也带来了一些医院目前很难管理和控制的问题,比如在住院管理中信息系统可通过多个参数灵活设置实现新时期住院患者的更高要求,但同时引起住院部分相关统计数据的期限统计变化。     

Characteristics of Meaningful Occupations from the Perspective of Mentally Ill People

In recent decades there has been a trend to integrate persons with mental illness into society. One goal in this rocess has been to support a satisfying everyday life for the individual. However, there is limited research identifying what this group of persons experience as meaningful everyday occupations. The aim of the current phenomenological study was therefore to explore and understand the characteristics of the occupations experienced as meaningful by eight long-term mentally ill individuals living in the community. Informants participated in in-depth individual interviews, inspired by a narrative approach. A modified form of the Empirical, Phenomenological, Psychological method (EPP method) was used to analyse and interpret the data. Validity was examined in relation to "horizontal consistency" and peer debriefing. Findings stress that characteristics of occupations experienced as meaningful were closely related to feelings of being supported in living a life approaching normality, and as creating a natural arena of social interaction facilitating the identity of the individual and a sense of well-being. The essential relation between creating meaning and coherence and the development of identity through engagement in meaningful occupations were issues of the discussion. Further, the similarity of meaningful occupations to work or work-related occupations was addressed from a societal perspective.     

贵州省医院感染管理部门设置现状调查分析

目的 了解贵州省医疗机构医院感染管理部门设置的现状,为提高医院感染管理水平提供依据.方法 设置调查表对贵州省医疗机构医院感染管理部门设置情况进行调查,资料采用SPSS 13.0进行统计分析.结果 共有102所医院参加并完成了调查,63.73％的医院设立了医院感染管理科,79.42％的医院感染管理部门的直接上级是院长或分管院长,94.12％的医院有医院感染管理小组,61.79％医院感染管理工作人员专业为护理.结论 贵州省医院感染管理专业正处在良好发展的关键时期,但仍有部分医院的医院感染管理部门在医院感染管理中的作用未得到充分体现,必须给予科室职能、专业队伍的建设等方面足够的重视,使贵州省医院感染管理基本状况更加完善.     

Effect of CPP-ACP addition on physical properties of zinc oxide non-eugenol temporary cements

Objectives

Casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) is a milk derivative which holds nanoclusters of calcium and phosphate ions. The presence of CPP-ACP has been found to reduce demineralization and enhance remineralization in subsurface enamel and in dentin. Incorporation of CPP-ACP into luting cements has not been investigated. The aim of this study was to determine the effect on the physical properties of two commercially available zinc oxide non-eugenol temporary luting cements with incorporation of up to 8% (w/w) CPP-ACP.

Methods

Setting time, compressive strength, diametral tensile strength, film thickness and solubility tests were investigated for 0, 0.5, 1.0, 2.0, 3.0, 4.0 and 8.0% (w/w) CPP-ACP incorporated into Freegenol™ and Temp-Bond^® NE. Tests were carried out based on ISO 3107 requirements.

Results

Compressive and diametral tensile strengths progressively decreased with increasing concentrations of up to 8.0% (w/w) CPP-ACP incorporated into both Freegenol™ and Temp-Bond^® NE. Setting time was delayed beyond ISO requirements. Film thickness was not adversely affected. Increased solubility of Temp-Bond^® NE with 8.0% (w/w) CPP-ACP incorporation suggested an effect of the CPP-ACP on this property for this cement.

Significance

The incorporation of up to 8.0% (w/w) CPP-ACP into two zinc oxide non-eugenol luting cements has no adverse effects on the film thickness, compressive strength and diametral tensile strength of the cements investigated. Solubility investigations suggest that CPP-ACP leaches out of the zinc oxide non-eugenol luting cements into an aqueous environment.     

专科护士专职工作岗位的设立及实践

为了更好地发挥专科护士的工作积极性,推动专科护理的发展,2009年5月,护理部设立了2个专科护士专职岗位,制订一系列工作制度和管理方法,明确了专科护士的隶属关系、考勤方法、每月工作量及考核方法,给予护士长待遇,即管理津贴、奖金系数与护士长相同,参与护士长会议等.专科护士根据设定的工作量面向全院开展工作,护理部每月核定其工作量完成情况.实施1年来,2名专科护士制仃了16项专科指引,会诊1412人次,专科查房38次,为临床解决了近200个专科护理问题,院内医护人员对他们的认同度显著提高,专科影响力越来越大,有效地推动了医院专科护理的发展.     

Depression in older adults: exploring the relationship between goal setting and physical health

Depression in older adults is associated with a decreased quality of life, increased physical and emotional suffering and an increased risk of death and is often associated with declining physical health. Older people with physical illness have higher rates of depression and studies have also noted the particularly high rate of co-morbidity between depressive disorder and general medical conditions. However, other studies have shown those suffering from poor physical health do not necessarily become depressed and, in particular, the goal setting style of the individual impacts on the relationship between poor physical health and depression. This study argues that those who are conditional goal setters and suffer from poorer physical health will be more prone to depression as their perceived ability to achieve their goals is negatively impacted. One hundred and eighty-seven participants were recruited for this study. The participants completed the Centre for Epidemiological Studies Depression Inventory and the physical health subscale of the SF-12 Health Survey. Participants were asked to rank their three most important goals and to give the main reason for setting each of their top three goals. The results showed that poorer physical health is associated with higher depression scores. Correlations revealed significant negative associations between physical health and depression, physical health and progress towards goal and progress towards goal and depression. A partial correlation between physical health and depression scores controlling for progress demonstrated that the relationship between physical health and depression is mediated through perceived progress. Implications for clinical practice are highlighted.     

论高校岗位设置与聘用管理制度改革

岗位设置与聘用管理工作是当前高校人事制度改革的核心内容。根据工作实际,结合岗位设置与聘用管理工作的内涵与作用、面临的困难和问题,介绍中国药科大学岗位设置与聘用管理工作的基本理念及实施过程,探讨深化岗位设置与聘用管理制度改革的经验。     

旋后掌屈法复位巴通氏掌侧缘骨折12例

我科自2000年至今采用前臂旋后位牵引，腕关节掌屈位固定治疗巴通氏掌侧缘骨折12例，效果满意，现报告如下。     

关于心理咨询中时间设置的思考

目的　分析和探讨心理咨询中有关时间设置的内容 ,研究时间设置及相关现象所具有的心理意义。方法　利用心理动力学理论对时间设置及其相关现象进行分析。结果　时间设置主要涉及时长、期长、频率等内容 ,时间对于来访者常意味着爱和关注 ,时间设置为来访者提供安全感和现实感 ,是观察与理解来访者心理的重要线索之一。结论　稳定和清晰的时间设置促进咨访关系的建立与维持 ,有助于观察和理解来访者的内心世界 ,因此 ,心理咨询工作者应对时间设置的重要性给以足够的关注