把鱼竿给你的员工

给她吃鱼还是给她钓鱼的鱼竿？这个问题现在似乎不用再争论了，因为效果就清清楚楚摆在我们面前。     

使员工成为工作的主角

上司只要有机会就可以告诫部下：“相信自己，不论是在工作、学习，还是在生活中，都让你成为主角。”给部下以自信，让他们成为工作中的主角，是领导的高瞻远瞩。     

常教授说养生系列之：把情绪揉进健康里（上）

常教授在之前的文章中已经从肝的养生解读了五脏养生,也讲述了肝脏的消化功能、情绪管理功能和代偿功能。既然肝脏具有强大的情绪管理功能,那么人的情绪对身体会产生什么样的影响呢？本期常教授将为大家讲述情绪与身体的关系。     

员工职业现状报告终极范本

这是我们联合北京凝聚力管理顾问公司为您奉上的一份企业员工职业现状报告终极范本,或许它也是行业很多企业的一个缩影。     

不识庐山真面目

一位解差押解一位和尚去府城，住店的时候和尚将他灌醉，并剃光他的头发后逃走了。解差醒来时发现少了一个人，大吃一惊，继而一摸光头转惊为喜：“幸而和尚还。”可随之又困惑不已，“我在哪里呢？”     

不同角度修复大鼠坐骨神经损伤的组织学研究

目的观察比较不同角度吻合对大鼠坐骨神经损伤再生的促进作用。方法健康成年雄性SD大鼠72只,体重250～300 g,随机分为A、B、C、D 4组(n=18)。A、B、C、D组分别以30、45、60、90°切断大鼠右侧坐骨神经中段并吻合。术后1、2、3个月,分别行大体观察、腓肠肌湿重恢复率测量、神经电生理检查及组织学观测。结果术后3个月,腓肠肌湿重恢复率、坐骨神经运动传导速度和复合动作电位波幅、轴突直径、髓鞘厚度以及有髓神经纤维计数,A、B组间比较差异无统计学意义(P>0.05),但均明显优于C、D组,差异有统计学意义(P<0.01);C、D组间各指标比较差异无统计学意义(P>0.05)。结论小角度端端吻合修复神经有利于神经再生,30～45°吻合神经再生效果最佳。     

INCARCERATED SIGMOID BOTTLE

A 67-year-old man presented to Casualty approximately 12 hours after the insertion of a bottle into his rectum. An attempt was made to deliver the bottle through the rectum but because of perirectal oedema and a coathanger wire around the internal end of the bottle, this proved impossible. Laparotomy was performed and the bottle was removed through a longitudinal colotomy.     

WHERE THE SUN NEVER SHINES: ANORECTAL MELANOMA

Background: Melanoma occurring in the anorectal region is recognized to be an uncommon tumour with a poor prognosis. Queensland has the highest incidence rate of cutaneous melanoma in the world. The purpose of the present study was to determine if the very high incidence of cutaneous melanoma in Queensland has any bearing on the incidence of anorectal melanoma, and to compare this with published studies from other parts of the world. An assessment of the authors' results in the treatment of anorectal melanoma was made by a review of patients presenting during the last decade throughout Queensland. Methods : All cases of melanoma occurring in Queensland are accumulated in the Melanoma Register, administered by the Queensland Melanoma Project, and data from this were used to derive the results in the present study. Queensland population data were provided by the Australian Bureau of Statistics. Results: During the study period 1985–95 in Queensland there were 21 391 cases of cutaneous melanoma which occurred in an average population, during that time, of 2.89 million. During the same time there were nine cases of anorectal melanoma, giving a relative incidence therefore of 0.04%. This contrasts with published relative incidences of 0.2% for white people in North America, 11% for Southwestern Native Americans, and 14.2% for Northern Pakistan (P < 0.0001). However, the population-based incidence rates of anorectal melanoma for Queensland, United States white people, Southwestern Native Americans and Northern Pakistan are not significantly different from each other. All patients in the present series presented with large tumours, and none survived beyond 25 months despite standard surgical and adjuvant therapy. Conclusions : The protection against cutaneous melanoma afforded by skin pigmentation is not apparent in the anal area. Anorectal melanoma is no more or less frequent in Queensland, even with the very high incidence rate of cutaneous melanoma. Sun exposure appears to be neither protective nor a risk factor. The outcome of therapy for this condition remains disappointing in the authors' experience.     

"PUT NOT YOUR TRUST IN TUBES": A Case Report of Cerebral Irritation following Respiratory Obstruction

A case is described of cerebral irritation following respiratoryobstruction during anaesthesia, caused by occlusion of an endotrachealtube by overinflation of the cuff. The patient made a full recoveryafter prompt dehydration therapy combined with hypothermia.     

POSTMASTECTOMY RADIATION THERAPY: BETTER LATE THAN NEVER

The value of radiotherapy as an adjunct to surgery, in the management of breast cancer, has been proclaimed by some workers, condemned by others and doubted by many.¹     

PLFT在良性前列腺增生中的临床研究进展

本文主要综述经尿道反馈式微波热疗(PLFT)在良性前列腺增生中的临床研究进展.     

ANAESTHESIA IN A LEPROSARIUM

The approach of the anaesthetist to the leprosy patient is discussedand the pathology of the disease in this context is brieflydescribed. Pre-operative examination should include an assessmentof the degree of sensation present at the site of operation.Involvement of the larynx by the disease may complicate endotrachealintubation. Steroid therapy is frequently used in the treatmentof leprosy reactions and patients coming for operation mustbe appropriately prepared.