Running on empty: families, time, and workplace injuries

Over the past 5 decades, more women have entered the labor force, and more households have been headed by single parents. Both trends have substantially reduced parents' free time, creating added strain in the event of family health problems, including work-related injuries and illnesses. This commentary presents evidence about the impact of occupational injuries on today's families. In addition to losing considerable income, injured parents are less able to do household work, and other family members are often called on to care for them. Family members cut back on their paid, school, and household work to fill in for the injured parent. This suggests the importance of policies to help today's time-strapped families cope with major family health events.     

"海归"办院——记哈尔滨千叶免疫专科医院

在哈尔滨市南岗区长江路极具时代气息的现代广场上,有一所造型别致的新楼.如果不看牌匾上的字,人们很难把它与医院联系起来.玉石塑雕、音乐喷泉、法式布局,加上小楼木本色的牌匾格外醒目.这就是由海外学子归国创办的全国第一家免疫治疗医院--哈尔滨千叶免疫专科医院.     

Running a group

Self-help groups, e.g. for breast-feeding support or postnatal depression, can be an effective resource for clients. They can also be an effective use of professionals'time in primary care. A health visitor offers practical suggestions for starting and guiding a new group, including the need for professionals to think creatively and flexibly about group structures. The advice is to keep these simple, audit regularly and allow the groups to evolve.     

抢答＆抢跑

智力竞猜时“抢答”的考生，面临的可能是失去下一次的答题机会——最终丢掉大奖!     

抢跑医改

“十一五”规划《建议》在中共十六届五中全会获得通过。在这份具有纲领性意义的规划建议中,“必须不断深化改革开放”的原则被着重提出。那么未来5年中国医改将向何处去?生于斯,长于斯,关注中国,关注医改,我们责无旁贷。《建议》明确提出“要深化医疗卫生体制改革,合理配置医疗卫生资源,解决群众看病难看病贵问题”。     

Running the Medicaid Bureau

Christine Nye brings 14 years of solid experience in health policy to her new job as federal Medicaid director. She also brings strong feelings about providing maternal and child care, the result of a personal loss.     

发热门诊运作模式设想

目的探讨医院发热门诊存在的必要性及运作模式。方法通过部分驻京军队医院发热门诊的调研结合在发热门诊工作的实际进行总结。结果目前发热门诊存在的问题:重视程度不够;设置不规范、设施不配套;编制、人员不固定;任务不饱满,随季节变化、疫情发展波动大;学科优势未形成,作用难发挥。运作模式设想:成立发热疾病科,固定人员、编制;设置独立诊区,完善配套设施;不同时期采取不同运作模式;加强学科建设,尽早实现学科优势。结论发热门诊应长期设置,并有相对固定的运作模式,形成学科优势才能进一步发展。     

Fluid Ingestion During Distance Running

Four highly trained marathon runners were studied 10 determine the influence of fluid loss and replacement on selected physiological variables. Each runner performed three two-hour treadmill runs at about 70% of his aerobic capacity 10 assess the value of drinking a glucose-electrolyte (GE) solution or water ingestion (WI) during exhaustive work. When fluids were ingested during the treadmill runs, a leveling of rectal temperature was observed after about 45 minutes of exercise. Glucose-electrolyte feedings maintained the serum electrolytes near the pre-exercise level, elevated the blood glucose, and maintained carbohydrate metabolism during the final 60 minutes of running. Measurements of the gastric residue after exercise showed no significant difference between the GE and WI volumes. The rate of gastric emptying, fluid loss, and international rules reduce the effectiveness of drinking fluids during marathon competition.