Falls in older people

Thirty per cent of people aged over 65 fall each year in the UK. This number increases to more than 60% in those in care homes, illustrating the contextual nature of falls. The social consequences (apart from any injury) are considerable, with fear of falling among the most common. Fear of falls reduces the patient's quality of life and increases dependency. This has a significant knock-on effect for social and community care. For GPs, the frequency of falls presenting depends on the nature of the practice and the environment. But if you ask patients, you will find falls. As a consequence, they form part of the single assessment process (SAP) introduced in the national service framework for older people, which is used to determine a patient's health and social care needs. To manage falls more effectively, this contribution assesses how Southwark and Lambeth Integrated care pathway for older people with falls (SLIPS Project) has been developed as a fully integrated pathway linking acute care with primary, community and social care.     

肥胖人群前列腺体积比较分析

目的探讨肥胖与男性良性前列腺增生（BPH）的关系。方法入选253例40岁以上健康体检男性,经询问病史,测身高、体重、腰围、体脂肪率、血压、空腹血糖、血脂及前列腺B超,排除肥胖相关性疾病,按体质指数（BMI）分为正常组（18．5～23．9kg／m^2）、超重组（24．0～27．9kg／m^2）及肥胖组（≥28kg／m^2）,按腰围分为正常组（〈85cm）及腹型肥胖组（≥85cm）,按体脂肪率分为正常组（≤25％）及超标组（〉25％）,分析各组前列腺体积的差异,组间比较使用t检验及χ2检验。结果BMI正常组前列腺体积为（18．2±6．1）ml,超重组为（21．6±6．3）ml,肥胖组为（24．9±7．6）ml,正常组与超重组、肥胖组比较,差异有统计学意义。腰围正常组前列腺体积为（20．65．6）ml,腹型肥胖组为（23．5±6．2）ml,两组比较差异有统计学意义。体脂肪率正常组前列腺体积为（19．6±6．5）ml,超标组为（23．9±5．3）ml,两组比较前列腺体积差异有统计学意义。BMI、腰围及体脂肪率高的人群前列腺体积更大。BMI≥24kg／m^2人群中腰围正常或者体脂肪率正常人群,BPH发生率并无明显增高。结论肥胖是BPH的危险因素;腰围及体脂率超标者,发生BPH危险性更高。     

普通人为何也涉及兴奋剂

每年在体育院校招生考试过程中,个别药品零售企业违反国家有关规定,不凭处方随意销售含有兴奋剂的处方药品;也有个别药店违规销售终止妊娠药品。在网上,你也可以看到这样的帖子:训练用药、考试用药,价格低廉,童叟无欺。山东考生请联系QQ:39113××××。     

Creutzfeldt-Jakob disease in young people

Three neuropathologically confirmed cases of Creutzfeldt-Jakob disease in young people (19, 23, and 27 years of age) are described. None had received pituitary hormone therapy. At the onset of illness all patients were suspected of having SSPE or other viral encephalitis, because of the similarity of clinical symptomatology and the shift towards older age of SSPE onsets observed in Poland in recent years.     

Successful people selection in action

As a people-intensive industry, the health care service should invest both time and resource in attracting, selecting and retaining its staff. Highlights the fact that the traditional interview is a poor selection tool. Outlines a systematic approach to hiring people and describes the structured behaviour interview tool. Explains the tool using a recent recruitment exercise in the health-care setting. Concludes that line management should play an active role in staff selection and organizations should look for better approach and tools to improve their hiring effectiveness.