浅谈手术室护理中的人文关怀

加强护理人员对人文关怀的理解和认识,要求在基础护理和专科护理中渗透人文精神.人文关怀是现代护理倡导的理念,是以尊重病人的生命价值、人格尊严及个人隐私为核心,其目的 是使病人在心理、生理、社会精神上处于满足而舒适的状态,减少或降低不适程度,达到使患者早日康复的治疗目的,发挥人文关怀在护理学中的重要意义.     

人文关怀在老年人生活中的作用

人文关怀人性化护理的范畴,是基本科学的人性化基础上的以人为本的管理,重视老年人的要求,挖掘医生的潜质,充分发挥主观能动性,运用人性化的管理的理念,重视对老年人的人文关怀,为其创造宽松的人际环境.改善不健康的行为,有效的提高老年人的满意度.     

现代高校图书馆人文关怀的思考

本文对现代高校图书馆在网络环境下通过努力营造良好的服务环境，以读者为核心，提供人性化服务、充分体现人文关怀等八个方面进行了阐述。     

对精神病患者应给予人文关怀

我们对精神病患者应给予人文关怀,而不应歧视甚至仇视他们。因为精神病患者只是思维、情绪、行为方面发生了异常,这些异常源于大脑功能的改变,我们应当像对待心肺、胃肠、肝肾疾病的患者一样对待大脑患病的人。     

论加强当代医学生人文关怀精神的教育

医学是一门自然科学与人文社会科学高度结合的综合性学科,其本质特点是人文关怀。本文分析了当前医学教育中人文关怀精神的缺失问题,并阐述了通过转变医学教育观念、强化医学生的人文关怀意识及营造良好的校园文化氛围等方式,来加强对医学生人文关怀精神的教育。     

人文关怀在护理中的作用

倡导病人是护理服务的中心,树立以人为本,人文关怀的整体护理服务理念,尽一切力量满足病人的需求,是实现护理服务的宗旨.人文关怀是护理工作的核心内容,推行护理人文关怀对临床护理质量的提高和整体护理的发展有着非常重要的作用.     

人文关怀在整体护理中的应用

整体护理是护理人员专业知识、技术水平和关爱之心结合的体现，如何提高整体护理的质量，已经引起护理界的广泛关注。本文就我们运用沟通技巧，给予病人人文关怀，提高了病人满意度的体会报告如下。     

人文关怀在康复科实践中的应用

医学的人文精神决定了医疗服务必须体现人文关怀,这是高质量医疗服务和医学模式转换的必然要求,也有助于改善医疗医患关系,减少医疗纠纷.本文旨在讨论实行人性化服务的必要性,及落实各项人性化服务的具体措施,以满足人民对健康服务的需要,促进康复科的长远发展.     

人文关怀在医患关系中的作用

和谐的医患关系是和谐社会的重要内容。构建和谐的医患关系,关键是对患者实行有效的人性化关怀服务,彻底转变服务模式,改善服务态度;患方应科学认识就医行为,理性对待医疗事故,从而营造和谐医院的氛围。     

对围手术期患者实施系列人文关怀护理的探讨

目的:探讨人文关怀对围手术期患者的护理效果。方法:对围手术期患者实施微笑服务,加强术前访视、术中护理、术后指导等系列人文关怀护理措施。结果:通过实施人文关怀,实验组、对照组患者对护理的满意度及心理压力大小进行比较,P<0.05,差异显著。结论:对围手术期的患者实施系列人文关怀护理,能够提高患者的满意度,减轻患者的心理压力。     

Semen quality of fertile US males in relation to their mothers' beef consumption during pregnancy

BACKGROUND To look at possible long-term risks from anabolic steroids and other xenobiotics in beef, we examined men's semen quality in relation to their mother's self-reported beef consumption during pregnancy. METHODS: The study was carried out in five US cities between 1999 and 2005. We used regression analyses to examine semen parameters in 387 partners of pregnant women in relation to the amount of beef their mothers reported eating while pregnant. Mothers' beef consumption was also analysed in relation to the son's history of previous subfertility. RESULTS Sperm concentration was inversely related to mothers' beef meals per week (P = 0.041). In sons of "high beef consumers" (>7 beef meals/week), sperm concentration was 24.3% lower (P = 0.014) and the proportion of men with sperm concentration below 20 x 10(6)/ml was three times higher (17.7 versus 5.7%, P = 0.002) than in men whose mothers ate less beef. A history of previous subfertility was also more frequent among sons of "high beef consumers" (P = 0.015). Sperm concentration was not significantly related to mother's consumption of other meat or to the man's consumption of any meat. CONCLUSIONS These data suggest that maternal beef consumption, and possibly xenobiotics in beef, may alter a man's testicular development in utero and adversely affect his reproductive capacity.     

睾丸发育不良患者精液特征分析

目的观察睾丸发育不良患者的临床特征与精液检测结果的关系。方法克氏征10例,睾丸下降不全34例和非克氏综合征睾丸发育不良93例被纳入,采集精液进行精液分析。对3组病例的睾丸体积、精液分析参数进行比较和相关分析。结果无精子发生率在克氏征为100%,在双睾发育不良为66.7%,而在单侧发育不良中仅19.1%;在隐睾无精发生率为26.5%,大部分为单侧下降不全。除睾丸体积外,小睾丸和隐睾的精液分析参数差异无显著性。在有精子的患者中,单侧睾丸病变的快速前向运动精子、VCL和VSL这几项指标显著地优于双侧病变。发育不良的睾丸体积与精子密度、快速前向运动精子、以及CASA的主要运动参数均呈显著正相关。结论无论是生精功能全面衰竭还是生精功能的部分损害,双侧睾丸发育不良都大于单侧病变。一侧睾丸下降不全也有可能对生精功能造成全面损害。不良发育的睾丸大小可能反映排出的精子数量和质量。     

Semen production in adolescent cancer patients

BACKGROUND: The influence of an accompanying person (parent, guardian or nurse) on the ability of an adolescent (post-pubescent, <20 years of age) to produce a semen sample for cryopreservation, is undetermined, as is the potential for use of urine samples to retrieve sperm in those adolescents that are unable to produce a semen sample. METHODS: The records from 1991-2000 inclusive were reviewed to derive those adolescent patients who were unable to produce semen for cryopreservation prior to undergoing treatment for a malignant condition. RESULTS: During the study period 238 adolescents attended our unit of whom 205 (86.1%) banked semen ('producers'). The remaining 33 adolescents (13.9%) were initially unable to produce a sample ('non-producers'), four of these provided a urine specimen for analysis (12.1%) and of these one had sufficient sperm for cryopreservation. Of the 'accompanied' patients 29.7% (19/64) were non-producers while in the 'unaccompanied' patients only 8.0% (14/174) were non-producers (chi(2) = 16.58, P < 0.001). The relative risk (RR) of not producing a semen sample for the accompanied group of patients was greater than that for the unaccompanied group (RR = 3.689, 95% confidence interval: 2.0-6.9). One patient returning alone successfully provided a semen sample for storage. CONCLUSION: Units should consider the effect of the presence of an accompanying person when an adolescent is unable to produce a semen sample and should consider requesting urine to retrieve sperm.     

Semen evaluation: technic of study

Sampling precautions are particularly important in the study of sperm: the length of sexual abstinence, complete collection of the ejaculate, sampling by masturbation in the laboratory. The examination of sperm consists of different steps: measurement of the ejaculate volume, evaluation of the mobility, speed, and propulsion direction of the spermatozoa, study of spermatozoon concentration, estimation of the percentage of live spermatozoa, morphological examination of the spermatozoa, including an enumeration of the abnormal forms, evaluation of spermatozoon survival in vitro for 24 h by monitoring the percentage of mobility every 2 h. This examination can be complemented by biochemical and enzymatic assays of: fructose, zinc, carnitine, citric acid, acid phosphatase, alpha glucosidase, which serve as tracers of associated secretions.     

尿游离甲氧基肾上腺素和甲氧基去甲肾上腺素检测标本前处理的尿液酸化研究

目的 检测24小时尿游离甲氧基肾上腺素(MN)和甲氧基去甲肾上腺素(NMN)是诊断嗜铬细胞瘤的首选筛查方法之一,需寻求24小时尿液收集和游离NMN、MN获得这两个前处理过程中尿液酸化处理的安全可控方式.方法 随机尿标本用于本研究,观察在添加或不添加浓盐酸及在室温或较高温(34℃)存放24小时和在不同酸性条件下(pH值为2、3、4)进行酸水解对尿游离NMN/MN水平的影响.结果 首先发现尿液在室温或较高温条件下不添加盐酸进行酸化存放24小时游离NMN/MN并没有显著降解.之后统计发现不同患者24小时尿量存在较大变化,常规方法留尿过程加入固定剂量的酸会引起pH值的波动(pH值2～4).通过调节尿液pH值,发现在不同酸性条件进行酸水解尿游离NMN的检测,其水平存在显著差异,pH值大于等于4不能达到酸水解的目的.最后利用40份随机尿标本验证发现尿液不加酸存放24小时但水解时酸化至pH 2为更可控的尿液酸化方式.结论 24小时尿留取过程不必添加盐酸但水解前用盐酸调节pH值到2是尿游离NMN、MN检测更加安全可控的前处理方式.     

What is Humanistic Psychotherapy?

ABSTRACT . This paper attempts to outline the identity of the humanistic approach to psychotherapy. It does this by laying out certain characteristic themes of humanistic psychology as background, and then going on to discuss the person-centred approach, psychodrama and Gestalt therapy, experiential psychotherapy, body work, catharsis, the transpersonal, integration and training and development. It ends by stating the boundaries with neighbouring disciplines.