Phony treatment

Tim Themy-Kotronakis is in criminal contempt of court for promoting a device to cure AIDS. After U.S. District Judge J. Thomas Greene of Utah ordered Themy-Kotronakis to stop selling and promoting the fraudulent device and ordered injunctions against its marketing, Themy-Kotronakis continued to do so. The defendant faces a fine and jail sentence.     

夏果巧治病

色彩缤纷的季节,我们习惯性的每天吃水果,你吃对水果了吗?想知道吃什么水果,是你身体最需要的呢?一个身体健康建议,让你的身体告诉你现在该吃哪种水果……     

Dermatological treatment

Dermatologists have the good fortune to work on the most accessible organ of the body. This gives them numerous advantages and greatly facilitates not only the diagnosis but also the treatment of the skin disease. While systemic administration of drugs is often necessary in dermatology, many inflammatory and neoplastic conditions can be effectively managed using the wide range of externally applied physical or pharmacological modalities that are available. The general principles for the treatment of skin diseases are essentially the same as for other branches of medicine. There are however important aspects and details peculiar to dermatology that readily escape the non-specialist, attention to which may make so much difference to the success of the therapy. In particular, topical therapy in many situations may be in danger of being relegated to an unimportant role. The author in this paper summarizes the most important general details of the local and systemic treatment, and discusses in the treatment locally and systemically common applied drugs.     

Community orientated treatment compared to psychiatric hospital orientated treatment

One hundred and twenty patients presenting for admission to a state psychiatric hospital were randomly allocated into two groups. Control patients received standard hospital care and after-care. Experimental patients were not admitted if this could be avoided; instead they and their relatives were provided with comprehensive community treatment and a 24-hour crisis service. Patients with a primary diagnosis of alcohol or drug dependence, organic brain disorder or mental retardation were excluded. Most patients were suffering from psychotic disorders—more than half specifically from schizophrenia. During the 12 months study period 96% of the control patients were admitted—51% more than once. Of the experimental patients 60% were not admitted at all and only 8% were admitted more than once. Control patients spent an average of 53.5 days in psychiatric hospital, experimental patients spent an average of 8.4 days. Community treatment did not increase the burden upon the community, was considered to be significantly more satisfactory and helpful by patients and their relatives, achieved a clinically superior outcome, and cost less than standard care and after-care. The ingredients differentiating comprehensive community-based care from prevailing methods of psychiatric care are discussed.     

Interim treatment: Bridging delays to opioid treatment access

ObjectiveDespite the undisputed effectiveness of agonist maintenance for opioid dependence, individuals can remain on waitlists for months, during which they are at significant risk for morbidity and mortality. To mitigate these risks, the Food and Drug Administration in 1993 approved interim treatment, involving daily medication + emergency counseling only, when only a waitlist is otherwise available. We review the published research in the 20 years since the approval of interim opioid treatment.MethodsA literature search was conducted to identify all randomized trials evaluating the efficacy of interim treatment for opioid-dependent patients awaiting comprehensive treatment.ResultsInterim opioid treatment has been evaluated in four controlled trials to date. In three, interim treatment was compared to waitlist or placebo control conditions and produced greater outcomes on measures of illicit opioid use, retention, criminality, and likelihood of entry into comprehensive treatment. In the fourth, interim treatment was compared to standard methadone maintenance and produced comparable outcomes in illicit opioid use, retention, and criminal activity.ConclusionsInterim treatment significantly reduces patient and societal risks when conventional treatment is unavailable. Further research is needed to examine the generality of these findings, further enhance outcomes, and identify the patient characteristics which predict treatment response.     

重症急性胰腺炎行手术治疗与非手术治疗的效果

目的 :探讨重症急性胰腺炎行手术治疗与非手术治疗的效果.方法 :选取我院2013年9月-2015年10月接收的重症急性胰腺炎患者90例,采用区组分组法分为对照组与观察组,对照组患者给予手术治疗,观察组患者采用非手术方法治疗,对比两组患者治疗情况及并发症发生率.结果 :观察组患者死亡率17.78%与对照组26.67%相比差异不显著(P>0.05);观察组并发症发生率24.44%低于对照组51.11%(P<0.05);观察组患者住院时间与对照组相比无明显差异(P>0.05).结论 :重症急性胰腺炎患者行非手术治疗的效果较好,并发症发生率明显降低,具有一定临床推广价值.     

政府够买社区卫生服务的现状、问题与推进策略：以深圳市为例

分级诊疗制度的建立将有利于调节病人流向、降低医疗总费用以及解决大医院“看病难,挂号难”等问题。本文以贵州省数据为例,对住院人次、住院费用及报销费用进行分析,对比实际发生费用与理论发生费用进行对比,为分级诊疗政策的实施提供建议。     

神经纤维瘤的整形外科治疗

目的对神经纤维瘤进行全面分析研究,并探讨如何更好的应用整形外科治疗原则及方法对神经纤维瘤患者进行有效的手术治疗。方法随机抽取我科自2010年1月—2012年12月期间收治的15例神经纤维瘤患者的临床病例资料。结果瘤体全部切除患者8例,瘤体大部切除患者4例,进行瘤体扩大切除患者3例。切除后通过整形外接治疗方法对创口原位缝合5例,4例进行皮片移植的,通过进行瘤体表面皮片、超薄皮瓣回植术后,其中3例患者发生扩张皮瓣转移,1例患者发生邻近皮瓣转移。术后对8例患者进行1～2年的跟踪随访,其中有2例患者在手术后又出现了复发,需要再次进行手术切除,其余的6例患者的手术效果良好,没有出现复发的状况。结论对神经纤维瘤患者应用整形外科方法对肿瘤进行切除和修复,可以彻底切除创面,对创口进行良好的修复塑形。