芦荟联合康复新治疗Ⅱ期压疮水疱疗效观察

我科2007—02—2010—02对Ⅱ期压疮水疱形成的患者,采用芦荟联合康复新进行治疗,取得良好疗效,现报告如下。     

不孕症电视腹腔镜手术296例分析

对我院2002—02～2004—02腹腔镜诊治不孕症296例分析如下。     

全血细胞减少86例分析

对我院2001—02-2005—02全血细胞减少86例分析如下。     

上颌骨骨折97例分析

对我科2001—02～2004—02收治上颌骨骨折97例分析如下。     

多西他赛致过敏反应低血压抢救1例

1病历摘要 男,59岁。胃癌ⅡB期,于2009—02—09确诊为胃癌,2009-11-04确诊为胃癌肺转移,已化疗3次。2010—02—04入院行5Fu500mg、亚叶酸钙200mg静脉化疗,2010—02—09加多西他赛20mg加入5％葡萄糖氯化钠注射液500ml静脉化疗,     

脑卒中患者粪嵌塞误诊12例分析

对我院2002—02-2004—02脑卒中患粪嵌塞误诊12例分析如下。     

疏血通注射液治疗高龄脑梗死疗效观察

对我院2004—02～2005—02急性脑梗死患者应用疏血通注射液治疗临床观察总结如下。     

轻微症状脑出血82例分析

对我院1997—02～2006—02经头颅CT或MRI证实的不典型脑出血82例分析如下。     

热性惊厥46例脑电图及临床分析

对我院2000—02-2005—02收治热性惊厥患儿46例的脑电图（EEG）结果分析如下。     

治疗不当致脑梗塞加重52例分析

对我科2000—02～2004—02因治疗不当使脑梗塞症状体征加重52例分析如下。     

Integrative Medicine in Family Medicine Residency

Background

As specialists who care for families and communities, family physicians have a responsibility to respond to evolving views of healthcare among their patients. Americans are using complementary and alternative medicine (CAM) with increasing frequency and family physicians are well suited to becoming the guides for ensuring the safe and effective integration of conventional and complementary approaches to healthcare.

Methods

US National Institutes of Health National Centers for Complementary and Alternative Medicine funding was used to design, implement and evaluate an educational intervention for residents and faculty members in our family medicine residency programme at the Maine Medical Center (Portland, ME, USA). Key components of the project were a series of half-day workshops, faculty development and a resident curriculum. The resident curriculum includes experiences designed to address physician Wellness, communication with patients and coordination of care with community CAM providers. The project engaged community CAM practitioners as teachers and in patient care.

Results

Faculty members and residents reported an increase in knowledge and confidence in discussing and utilising CAM modalities. They reported improvement in their ability to find reliable information on CAM and a dramatic increase in level of comfort discussing CAM with patients.

Conclusions

Our experience suggests that family physicians are well suited to becoming patient guides for the safe and effective integration of conventional and complementary approaches to healthcare.     

牛人

有了网络,便有了无穷尽的鲜活语言。 最早让我一头雾水的是女儿告诉我的“好郁闷”这个词儿。而如今,当我有了解不开或做不好的某件事时,也情不自禁的发出感叹,“好郁闷呐!”     

牛人

有了网络,便有了无穷尽的鲜活语言。 最早让我一头雾水的是女儿告诉我的“好郁闷”这个词儿。而如今,当我有了解不开或做不好的某件事时,也情不自禁的发出感叹,“好郁闷呐!”     

关于循证医学的问题与思考

本文阐述了对循证医学的"三原则"和实践循证医学的"五程式"的理解;循证医学是人类数千年形成的道德准则和公理在医学上的体现,是先进的临床医学模式和临床实践的方法论,其产生的基础是临床科研方法学的发展和完善、最佳证据数据库的产生以及信息技术的发展,归根结底是一切为了人类健康的需要.本文还就中医现代化与循证医学的关系进行了探讨,认为中医现代化的定义就是科学化和国际化,科学化的前提是标准化,中医临床实践的科学化首先就要探索诊断技术的标准化;中医理论主要是临床医学的实践理论而不是基础医学理论,循证医学是临床医学模式,循证医学模式应成为中医临床实践的标准化模式,由此推动中医诊断治疗的标准化;沟通中医与西医之桥不在于使中医的传统理论"现代化",而在于共同的疗效评价标准,由此,中医的疗效就能得到国际认可,而实现中医的国际化.     

Men of Medicine

The five-year survival rate for resection of carcinoma of the colon is now 50 per cent. The rate is higher for carcinoma of the right colon than for that of the left colon due to more radical excision of the right colon and mesocolon, heft hemicolectomy with ligation of the inferior mesenteric artery and anastomosis of the transverse colon to the rectal ampulla is the preferred procedure. Carcinoma at or below the peritoneal reflection is treated by abdominoperineal resection plus left hemicolectomy.     

Observation Medicine in Emergency Medicine Residency Programs

OBJECTIVE: To evaluate observation unit (OU) prevalence, emergency medicine (EM) resident exposure in observation medicine (OM), EM faculty/residency director (RD) OM training, and RD attitudes toward OM. METHODS: Information was obtained from residency programs by telephone during a four-month period. RESULTS: Survey respondents indicated that 36.1% have OUs and 44.9% plan to have an OU. Observation medicine resources include textbooks 32.0%, articles 45.9%, lectures 36.9%, fellowships 2.5%, and research 26.2%. Observation medicine patient care occurs: 1) during residency: 25.4% of RDs, 11.3% of entire faculty; 2) as an attending: 45.1% of RDs. CONCLUSIONS: Nearly two-thirds of EM programs have or are planning an OU. Resources are lagging behind. This survey describes current OM education strategies to teach OM.