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Avery JK 《The Journal of the Arkansas Medical Society》2005,102(4):105-106
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何某,15岁,学生,1987年4月10日以“右下腹阵发性痛疼四天,加重4小时”入院。近一年常感右下腹痛,多次被按“阑尾炎”诊治。本次发病初为小腹不适,后局限于右下腹。抗炎三天,腹痛反加剧,伴明显恶心呕吐,以“阑尾炎”急诊收住院。月经史:86·3 4-6/30-50,末次月经87·4·6,原发痛经,半年后加重,1986年12月住院时查右下腹约有3厘米直径包块。查体:右下腹麦氏点肌紧张,压痛、反跳痛明显,可触及直径约8厘米的包块,边界不清。 相似文献
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2013年国家提出健康服务业,2016年国家又提出了健康中国的宏伟蓝图。健康中国的实现要求有健康的社区和健康的家庭。但是健康中国、健康社区、健康家庭理念和实践还没有家喻户晓,鉴于此,本文从健康中国、健康社区、健康家庭3个方面表述观点,以便能起到纲举目张的作用。在健康中国方面,首先给出了健康中国的概念,描述了健康中国的重要内容:普及健康生活、优化健康服务、完善健康保障、建设健康环境、发展健康产业。其次论述了健康中国的重大意义。最后从15个方面进行实施:实施健康知识普及行动、实施合理膳食行动、全民健身行动、实施控烟行动、实施健康环境促进行动、实施心理健康促进行动、实施妇幼健康促进行动、实施中小学健康促进行动、实施职业健康保护行动、实施老年健康促进行动、实施心脑血管疾病防治行动、实施癌症防治行动等。在健康社区方面,给出健康社区的概念,描述健康社区的重大内容和重大意义。在健康家庭方面给出了健康家庭的概念,描述了健康家庭的重大内容和重大意义。健康中国是健康社区和健康家庭的战略纲要,健康社区是健康中国的平台和资源,健康家庭是健康中国实现的基本元素。 相似文献
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Kirschenbaum CB Woolhandler S 《Journal of the American Medical Women's Association (1972)》2000,55(1):37-8, 46
US health care costs are the highest in the world and are again rising. A reopening of debate on health care reform is imminent. More than 44 million Americans have no health insurance, an increase of 11 million people since 1989. Although women have been slightly more likely to have health insurance than men, recent declines in Medicaid enrollment resulting from welfare reform are eroding this slim advantage. Being uninsured is associated with compromised access to primary care and an increased risk of dying. At least 29 million Americans are underinsured; although they have some insurance, they would nonetheless be bankrupted by a major illness. A single-payer national health insurance system would cover all Americans in a non-profit, tax-funded system similar to Social Security. It would simplify health administration, saving at least $100 billion annually on paperwork and redirecting that money to patient care. 相似文献
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