微整形注射美容感染并发症预测及处理

当今时代，微整形越来越受到广大女性的追捧。由此，由微整形引发的各类并发症状也随之暴露在群众视线之下。微整形注射美容液被广大女性关注。本文以注射填充美容为关注焦点，集中调研出注射美容这一类微整形的相关感染并发症，并根据依据给予科学的处理建议。希望对广大患者给予帮助。     

5大误区困扰周围血管病患者

周围血管疾病是一类疑难病症，众多患者对此类疾病尚不太了解，因此受尽病痛的折磨，很多患者四处求医问药，却很难得到满意效果。究其原因，主要是广大患者对周围血管疾病存在着认识上的误区。     

“克粥求健”——糖尿病患者的喝粥之道

很多人告诉糖尿病患者：喝粥会升高血糖。这使得广大糖尿病患者对粥望而却步。其实，并非所有的粥都会导致糖尿病患者血糖升高。下面让我们来听听，专家是如何说的。     

蚂蚁王与您对话

为了帮助广大类风湿、强脊炎、乙肝和糖尿病患者早日康复，著名蚂蚁药疗专家、全国著名特色医师、南京金陵蚂蚁研究治疗中心主任吴志成和他领导下的蚂蚁治疗类风湿病、肝病、糖尿病专科资深医师们特为类风湿、乙肝(乙肝病毒携带者、丙肝)、糖尿病患者编写《蚂蚁防治疾病手册》，数量6000本，相广大类风湿病、乙肝、糖尿病患者免费赠送。     

包头第六医院举办精神病患者家属护理培训班

为提高广大人民群众防病治病意识和普及精神卫生知识，帮助患者和患者家属增强战胜疾病的信心，日前，包头市第六医院举办了重性精神疾病管理治疗项目家属护理教育培训班，共有56名患者家属参加了培训。     

高血压防治问答

高血压是一种常见病，也是一个可能带来很严重临床后果的疾病，有人将它称为“无声的杀手”——高血压通常没有太特异的临床症状，容易被患者忽略，直到出现严重的靶器官损害时才开始接受治疗。流行病学调查资料显示，目前我国高血压的知晓率、治疗率、控制率都很低，因此需要广大医生、广大患者相互配合，更好地治疗高血压，     

ACEI“护心”又降糖

在导致糖尿病患者死亡的诸多原因中，心血管疾病已成为糖尿病的主要并发症和”头号杀手”。广大糖尿病患者要重视对自身心血管系统的保护，从而远离生命危险。     

糖尿病患者不要拒绝生食

在导致糖尿病患者死亡的诸多原因中，心血管疾病已成为主要并发症和“头号杀手”。专家呼吁广大糖尿病患者尤其要注意对自身心血管的保护，从而远离生命危险。     

腹腔镜手术配合体会

腹腔镜手术突出的优点是手术创伤小，患者痛苦少，术后康复快，恢复工作早，且能达到与传统剖腹手术一样甚至更好的疗效，所以它日益受到广大患者的欢迎。现将手术配合体会总结如下。     

夏日良药保济丸

“北有六神丸，南有保济丸”，中成药“保济丸”以其价格低廉、疗效肯定而深受广大患者的喜爱，有夏日良药之称。     

Cultivating a worldly repose: the contribution of Sally Gadow's work to interpretive inquiry

This paper discusses the contribution that the work of Sally Gadow makes to understandings of interpretive inquiry and it's potential to inform and influence nursing practice, research, and education. The discussion draws on several of Gadow's published works that make explicit her understandings of what it means to be interpretive, to be open to multiple truths, to hear multiple voices, to have a history, to be experienced, and to recognize agency in language. Situating this discussion of Gadow's contribution in opposition to a metaphysics of genius is intended to move our understanding of particular work past the subjectivity that produced it, past the subjectivized responses to the work, past the reporting on myself – my thoughts, my perspectives, my experiences – to explore, to see the worthwhileness or even the possibilities of exploring the work itself and the worlds it evokes. This paper is a deliberate attempt to disrupt the call to the author to save us from the task of interpreting the questions that the work itself places us under. Gadow's work itself points us away from a valorization of the voice of the author of the work, a single voice, and towards a cultivation of a worldly repose where each interpretive account points us to some longstanding whole to which the work belongs and from which it gains its sense and significance.     

On the stability of stigmatization: The case of ex-homosexual males

We undertook to empirically identify variables that influence the stigmatization of ex-homosexuals by analyzing the relationship between stigmatization and seven variables held to influence negative attitudes toward members of other ex-deviant groups: the stimatizer's age, highest achieved educational level, amount of interaction the stigmatizer has had with an ex-homosexual, degree of effectiveness attributed to treatment in changing the homosexual to a heterosexual orientation, degree of responsibility that the stigmatizer attributes to ex-homosexuals for their prior homosexual behavior, degree of dangerousness attributed to ex-homosexuals, and degree of seriousness attributed to homosexuality. Analysis of data obtained by questionnaire from 281 respondents showed that the variable most strongly related to stigmatization of ex-homosexuals was the degree of dangerousness attributed to them. There was a profound direct relationship between these variables. Further, educational level, belief in the effectiveness of treatment, and amount of interaction with ex-homosexuals were inversely related to stigmatization, while degree of seriousness attributed to homosexuality was directly related to stigmatization. Respondents' tendency to stigmatize was not found to be related to age or to their attribution of responsibility to the ex-homosexual for his previous sexual orientation.Paper presented at the 1979 Annual Meeting of the Southern Sociological Society, Atlanta, Georgia.     

医疗质量考评体系改革的方法和策略

介绍了在医院等级评审全面展开的背景下,参照医院评审标准要义,进行医院医疗质量考评体系改革,即以建立健全2个体系、全面加强2项管理、持续改进4项质量、保障患者安全为目标,设置关键指标考评模块,构建医疗质量考评三级网络,设置关键指标考评模块,突出质量,兼顾效率,向服务倾斜,注重消费和成本控制,成立医疗质量与安全管理基金,实行奖惩两条线等.     

脉搏血氧饱和度监测在EICU中的应用

目的：总结脉搏血氧饱和度（SpO2）监测在危重病人救护中的应用效果,为临床救护提供依据。方法：对EICU病房81例患者,连续进行SpO2监测,了解机体氧合功能,指导调整吸氧流量,及时给予气管插管、气管切开,选择合适的呼吸机工作条件,为撤机提供参考,以及转运病人时评估患者的呼吸循环功能。结果：SpO2监测能及早发现低氧血症,早期给予人为干预,为危重患者抢救赢得时间。结论：SpO2监测能为EICU患者的救治及护理提供科学依据。     

矽肺病危害的严重性与可防性

矽肺病是我国发病最多、危害最严重的职业病,至今无特殊治疗药物,一旦患病,受累终生。从我国,我省近几年治理矽尘危害的经验来看,矽肺病是完全可以预防的。但为何从总体来看,我国矽肺发病率仍没有得到有效控制呢？主要有如下几个方面：执行力度不够;企业经营管理者对矽尘危害认识的滞后;职工自身对矽尘危害认识不够;职业卫生工作近年来出现“重治轻防”“重研轻防”的误导现象。要控制、消除矽肺病发生,建议尽快解决好以下     

Competence in Mental Health Care: A Hermeneutic Perspective

In this paper we develop a hermeneutic approach to the concept of competence. Patient competence, according to a hermeneutic approach, is not primarily a matter of being able to reason, but of being able to interpret the world and respond to it. Capacity should then not be seen as theoretical, but as practical. From the perspective of practical rationality, competence and capacity are two sides of the same coin. If a person has the capacity to understand the world and give meaning to the situation, he or she is able to make decisions, and is thus competent. People can fail in the area of practical rationality. They can feel ill at ease, uncomfortable or not at home in the situation. Under such conditions, they appear as incompetent, and urge caregivers to respond in such a way that their competence can be raised. The issue is not how to measure their incompetence, but how to help them to become more competent, that is to get a practical grip on their situation and to be able to live out their lives in such a way that they develop their identity in relations with others. From a hermeneutic point of view, assessing a patient's capacity implies focusing on the patient's way of meaning making and regarding her behavior from the perspective of practical rationality. The focus should not be on the assessment as a matter of fact, but on improving capacity. This requires allowing the patient to experience the world meaningfully and affording her, in the context of a supportive and trustful institutional environment, the possibility of developing a personal narrative where her choices are expressed verbally or non-verbally.     

Factors related to outcome following a work hardening program

The purpose of this study was to determine factors related to a return to work following the completion of a work hardening program. Data from the Workers' Compensation Board of Alberta Millard Rehabilitation Centre for 1527 discharges, collected over 22 months, were examined retrospectively. Factors related to return to work were compared bivariately using logistic regression procedures. A multiple logistic regression model for return to work was also determined. The principle predictor of return to work was job-attached status to the pre-injury employer. Other factors related to return to work were education, primary diagnosis, injury to admission time, job attachment to the pre-accident employer, employer's annual payroll, and vocational direction. Due to the strength of the association between job-attached status to the pre-injury employer and a return to work, it was concluded that attempts to maintain this relationship should be a priority for rehabilitation providers and insurance carriers.     

Working ‘off the record’: polio eradication and state immunity in Chad

The reappearance of polio in Chad generates anxieties about governance as well as public health. Since Chad was declared polio-free in 2003, at least 180 cases of paralytic polio have been linked to importations of wild poliovirus from Nigeria. In efforts to eradicate polio through house-to-house vaccination campaigns, international agencies have aggressively implicated political leaders, placing those authorities in a bind. On the one hand, governments are required to demonstrate compliance in the form of universal vaccination. On the other hand, the legitimacy of political leaders and of local authorities in particular depends upon their ability to show compassion for their populations and to be responsive to individual circumstances and concerns about the drops. This article looks at how the obligation of the African state to adopt global public health policy as its own becomes problematic when the goals and protocols of international agencies rely on the assumption that the state controls its population. Under pressure to render account to international agencies, state officials deploy high-level politicians to enforce vaccination mandates at critical moments, create administrative forms to record campaign progress that conceal difficulties in vaccinating children, and use statistics to portray the campaigns as success stories. Local authorities, who feel the bind most acutely, grant exceptions to the mandate of universal vaccination to certain subjects and work with local vaccinators and supervisors to keep cases of unvaccinated children ‘off the record’. These efforts allow the vaccination campaigns to be carried out without incident even as they work against the goal of polio eradication.     

L’hyponatrémie hypotonique du sportif d’endurance

Rehydration during prolonged exercise is essential to replace the fluid losses, principally induced by sweating, which can, sometimes importantly, disturb the fluid and electrolyte balance with unfavourable effects on the well-being. However, as far back as 1985, the first cases of symptomatic hyponatremia have been described during ultraendurance events, due to the ingestion of excessive volumes of water compared to sodium intakes. Since then, with the success of such ultradistance events, further cases have been reported. The current data allow to better know the symptomatologic and epidemiologic aspects, and the physiopathological mechanisms of hyponatremia induced by the pratice of sports. Thus, the present paper, purposes to show the important role of the sodium to well understand the conditions of the appearance of hyponatremia, to take stock on the hyponatremia in the ultraendurance athletes, and to give recommendations of fluid and salt intakes in the practice of sports.     

Medical practice and anthropological bias

The purpose of this article is twofold: to describe some of the biases common to anthropological investigations of healing, particularly Biomedical healing; and to suggest that the physician-anthropologist is uniquely positioned to avoid some of these biases and to make valid contributions to the understanding of the practice of healing. Biases described are methodological (the tendency to formal-symbolic analyses rather than practical-instrumental understandings of behavior, transference and the observer effect), ontological (due to the estrangement of the anthropologist from his culture, other disciplines and his subjects, romanticization of the Other and celebration of the exotic over the mundane), and conventional or stylistic (the minimal importance given to emotional or psychological aspects of behavior, the emphasis on visual and linguistic understanding over other forms of investigation, unsophisticated use of medical texts as an indicator of clinical practice, a characteristic mode of reductionism, and the failure to elicit the responses of the subjects to interpretations made by anthropologists). As native-ethnographer, the M.D./Ph.D. physician-anthropologist may avoid some of these biases and offer complementary interpretations of healing.