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101.
Femoral and lateral cutaneous nerve of the thigh blocks have been performed in a group of 50 children; the method has not previously been described in paediatric practice. The technique was judged to have been successful in 48 (96%) of the children. There were no early or late complications. It is concluded that these blocks are easy to perform, even in small children and infants, and that they can produce reliable postoperative analgesia for a variety of orthopaedic and plastic procedures. 相似文献
102.
通过具体的实验数据,讨论在药代动力学实验中如何加入曲线下面积(AUC)的计算,以帮助学生理解并掌握这一概念;在实验室设置不同剂量组,给药后比较剂量与浓度是否呈等比例关系,以此加深学生对于一级动力学消除及其临床意义的理解。 相似文献
103.
目的探讨群体损伤院前急救转运存在的风险与防范对策。方法通过547例群体损伤转运,分析影响安全转运存在的风险,正确评估和判断风险,制定有效的防范措施和对策。结果 547例伤员安全转运入院治疗,入院率100%。结论预见转运存在风险,采取有效防范对策,是确保成功转运的关键因素。 相似文献
104.
105.
In this study we consider the process of the clinical encounter, and present exemplars of how assumptions of both clinicians and their patients can shift or transform in the course of a diagnostic interview. We examine the process as it is recalled, and further elaborated, in post-diagnostic interviews as part of a collaborative inquiry during reflections with clinicians and patients in the northeastern United States. Rather than treating assumptions by patients and providers as a fixed attribute of an individual, we treat them as occurring between people within a particular social context, the diagnostic interview. We explore the diagnostic interview as a landscape in which assumptions occur (and can shift), navigate the features of this landscape, and suggest that our examination can best be achieved by the systematic comparison of views of the multiple actors in an experience-near manner. We describe what might be gained by this shift in assumptions and how it can make visible what is at stake for clinician and patient in their local moral worlds—for patients, acknowledgment of social suffering, for clinicians how assumptions are a barrier to engagement with minority patients. It is crucial for clinicians to develop this capacity for reflection when navigating the interactions with patients from different cultures, to recognize and transform assumptions, to notice ‘surprises’, and to elicit what really matters to patients in their care. 相似文献
106.
目的探索一种适合ICU护理工作特点的管理模式,提高管理效应。方法用护理工作量、ICU护理质量标准奖惩考核、职称系数三部分综合考评护理工时,与护士的绩效工资分配直接挂钩。结果护理工时量化法实施后,护理质量考核评分,患者?医生对护理质量满意率显著高于实施前(P〈0.05,P〈0.01)。结论护理工时量化绩效分配克服了经验式管理的弊端,建立了有效的激励机制,体现了多劳多得、优劳优得的分配原则,挖掘了护理人员的自身潜力,提高了护理质量。 相似文献
107.
108.
This paper proposes that an individual's self-assessed health (SAH) does not only suffer from systematic reporting bias and adaptation bias but is also biased owing to confounding health norm effects. Using 13 waves of the British Household Panel Survey covering the period 1991–2005, I show that, while there is a negative and statistically significant correlation between SAH and individuals' own health problem index, this negative effect reduces with the average number of health problems per (other) family member. The relative health bias is small, however, which implies that measures of SAH may not suffer seriously from systematic health norm bias. This is an important finding for researchers working with SAH data as it indicates that we do not have to worry too much about controlling for confounding influences from the health of other household members when estimating SAH regression equations. 相似文献
109.
E. Drakaki E. Borisova M. Makropoulou L. Avramov A. A. Serafetinides I. Angelov 《Skin research and technology》2007,13(4):350-359
BACKGROUND/PURPOSE: Laser-induced autofluorescence spectroscopy provides excellent possibilities for medical diagnostics of different tissue pathologies including cancer. However, to create the whole picture of pathological changes, investigators collect spectral information from patients in vivo or they study different tumor models to obtain objective information for fluorescent properties of every kind of healthy and diseased tissue. Therefore, it is very important to find the most appropriate, and close to the human skin, animal samples from the fluorescence point of view, which will allow the extrapolation of the animal data to human spectroscopic diagnostics. METHODS: In the present work, we examined the autofluorescence properties of different animal skin tissues, which are considered as the most common skin models. A nitrogen laser was used as an excitation source. Samples of healthy mouse, chicken and pig skin in vivo and/or ex vivo were studied and were compared with results obtained from investigations of healthy human skin in vivo. RESULTS AND CONCLUSION: Specific features of the recorded spectra are discussed and the possible origin of the obtained fluorescence signals is proposed. Quantitative evaluation of data extrapolation for each skin type is also depicted. 相似文献
110.
潘翠英 《菏泽医学专科学校学报》2003,15(2):74-75
目的 探讨护理干预在2型糖尿病患康复中的作用。方法 对80例2型糖尿病患,随机分成干预组和对照组,干预组实施全程护理干预,对照组实施常规的治疗护理。结果 干预组血糖控制良好,并发症发生率明显降低。结论 护理干预是2型糖尿病康复治疗的有效方法。 相似文献