格言·幽默

今年上半年，某研究小组报告说，与传统的心肌梗死后经皮冠状动脉介入治疗（percutaneous coronary intervention,PCI）相比，将凝血块从闭塞的冠状动脉中抽吸出来更有助于改善心脏病患者心肌的早期灌注。最近，该研究小组拥有了1年后的研究结果，即接受抽吸技术治疗的患者心源性死亡和全因死亡的危险均低于传统治疗组。     

格言·幽默

最近1项对病情不稳定的精神分裂症成年患者的研究表明,抗精神病药物利培酮（risperidone）的长效针剂没有比传统口服片剂更有效。由精神科医生谨慎处方,每月注射2次25～50mg利培酮并与口服片剂比较。注射剂没有改善治疗依从性、社会功能、生活质量和临床症状。长效针剂也没有减少患者住院。在仅1年的随访中,39％（72／187）针剂治疗的患者和45％（81／182）片剂治疗的患者均曾住院治疗（风险比为0．87,     

格言·幽默

互相学习没有眼泪的年轻人是个野蛮人,没有笑容的老年人是个痴呆人。     

格言·幽默

无知是福不知道怎样做香肠和搞政治的人睡得更香。Ignorance is blissPeople will sleep better not knowing how theirsausages and politics are made.Attributed to Otto von Bismark(1815-98),GermanchancellorFred Chartan,retired geriatric physician,Florida满意至少反驳自己三次,才能对自己已经完成的课题感到满意。SatisfactionI amnever satisfied that I have handled a subject properlyuntil I have contradicted myself at least three ti mes.John Ruskin,英国作家,评论家格言·幽默…     

格言·幽默

知者良也,愚者邪也。There 15 ouly one good,knowledge,and one evil,igno邝n沈.470一399 BC格言·幽默@Zameer Shah$research fellow,London @钱寿初     

格言·幽默

转变在宗教强盛而科学无力的从前,人们误将神的力量当成药物;在科学强大而宗教势弱的今天,人们又误将药物看作神力。     

格言·幽默

外科的艺术　　　　英文的“外科”一向是从拉丁语演变来的,意思是“努力工作”。外科医生不仅仅是用手工作,正如意大利阿西西的所说:用手工作的人是工人;用手和脑工作的人是匠人;用手、脑和心工作的人是艺术家。格言·幽默     

格言·幽默

你可以做一个没有人讨厌也没有人会记得的人,也可以做一个为一些人不喜欢但为其他人爱戴的人。     

格言·幽默

成功出生的时候你身边的每个人都在笑,只有你在哭,死去的时候你身边的每个人都在哭,只有你在笑。Success     

格言·幽默

现实人们宁可被蒙骗,也不愿意接受令人担忧的真相。     

Effectiveness of case management and post-acute services in older people after hospital discharge

OBJECTIVE: To evaluate the benefits of coordinating community services through the Post-Acute Care (PAC) program in older patients after discharge from hospital. DESIGN: Prospective multicentre, randomised controlled trial with six months of follow-up with blinded outcome measurement. SETTING: Four university-affiliated metropolitan general hospitals in Victoria. PARTICIPANTS: All patients aged 65 years and over who were discharged between August 1998 and October 1999 and required community services after discharge. INTERVENTIONS: Participants were randomly allocated to receive services of a Post-Acute Care (PAC) coordinator (intervention) versus usual discharge planning (control). MAIN OUTCOME MEASURES: Comparison of quality of life and carer stress at one-month post-discharge, mortality, hospital readmissions, use of community services and community and hospital costs over the six months post-discharge. RESULTS: 654 patients were randomised, and 598 were included in the analysis (311 in the PAC group and 287 in the control group). There was no difference in mortality between the groups (both 6%), but significantly greater overall quality-of-life scores at one-month follow-up in the PAC group. There was no difference in unplanned readmissions, but PAC patients used significantly fewer hospital bed-days in the six months after discharge (mean, 3.0 days; 95% CI, 2.1-3.9) than control patients (5.2 days; 95% CI, 3.8-6.7). Total costs (including hospitalisation, community services and the intervention) were lower in the PAC than the control group (mean difference, $1545; 95% CI, $11-$3078). CONCLUSIONS: The PAC program is beneficial in the transition from hospital to the community in older patients.