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师以下卫生机构信息化建设的做法和体会 总被引:1,自引:0,他引:1
本文着重阐述了师以下部队卫生信息化建设的主要做法.一是提高认识,增强使命感和紧迫感;二是加强领导,加大推动力度;三是完善设施,创造有利环境;从而使部队全面实现卫生工作网络化管理,卫生工作管理水平迈上一个新台阶. 相似文献
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Estimates of maternal mortality by the sisterhood method in rural nothern Tanzania: a household sample and an antenatal clinic sample 总被引:2,自引:0,他引:2
Olsen BE Hinderaker SG Kazaura M Lie RT Bergsjø P Gasheka P Kvåle G 《BJOG : an international journal of obstetrics and gynaecology》2000,107(10):1290-1297
Objective To estimate maternal mortality in two samples of a population in northern Tanzania.
Setting Rural communities and antenatal clinics, Mbulu and Hanang districts, Arusha region, Tanzania.
Population From a household survey 2043 men and women aged 15–60, and from an antenatal clinic survey 4172 women aged 15–59.
Method The indirect sisterhood method.
Main outcome measures The risk of maternal deaths per 100,000 live births (maternal mortality ratio), and the lifetime risk of a maternal death.
Results The risk of a maternal death per 100,000 live births was 362 (95% CI 269–456) and 444 (95% CI 371–517) for the household and antenatal clinic surveys, respectively. The lifetime risk of maternal death was 1 in 38 and 1 in 31, respectively, for the two surveys. A significantly lower risk of maternal death was observed for the respondents attending antenatal clinics closer to the hospital than for those attending clinics further away: 325 (95% CI 237–413) compared with 561 (95% CI 446–677) per 100,000 live births. Lifetime risk of maternal death was 1 in 42 and 1 in 25, respectively.
Conclusions The risk of maternal death per 100,000 live births in this area were comparatively high, but in our survey substantially lower than in previous surveys in Tanzania. Increasing distance from the antenatal clinics to the hospital was associated with higher maternal mortality. There was no significant difference between results based on household and antenatal clinic data, suggesting that accessible health facility data using the sisterhood method may provide a basis for local assessment of maternal mortality in developing countries. 相似文献
Setting Rural communities and antenatal clinics, Mbulu and Hanang districts, Arusha region, Tanzania.
Population From a household survey 2043 men and women aged 15–60, and from an antenatal clinic survey 4172 women aged 15–59.
Method The indirect sisterhood method.
Main outcome measures The risk of maternal deaths per 100,000 live births (maternal mortality ratio), and the lifetime risk of a maternal death.
Results The risk of a maternal death per 100,000 live births was 362 (95% CI 269–456) and 444 (95% CI 371–517) for the household and antenatal clinic surveys, respectively. The lifetime risk of maternal death was 1 in 38 and 1 in 31, respectively, for the two surveys. A significantly lower risk of maternal death was observed for the respondents attending antenatal clinics closer to the hospital than for those attending clinics further away: 325 (95% CI 237–413) compared with 561 (95% CI 446–677) per 100,000 live births. Lifetime risk of maternal death was 1 in 42 and 1 in 25, respectively.
Conclusions The risk of maternal death per 100,000 live births in this area were comparatively high, but in our survey substantially lower than in previous surveys in Tanzania. Increasing distance from the antenatal clinics to the hospital was associated with higher maternal mortality. There was no significant difference between results based on household and antenatal clinic data, suggesting that accessible health facility data using the sisterhood method may provide a basis for local assessment of maternal mortality in developing countries. 相似文献
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Background
Although the magnitude of obstetric fistulae (OF) is reported to have decreased in industrialized countries, it is still a major problem in developing countries. While the main cause of OF is prolonged obstructed labour without prompt medical attention, misconceptions about OF exist.Objective
To determine awareness and perceived causes of OF in rural areas of southern Tanzania.Methods
A cross-sectional survey was conducted among women of reproductive age, men, health personnel, birth attendants, community leaders and OF cases using qualitative and quantitative approaches.Results
More than 60% of interviewees reported to be aware of OF with a connotation of urine in the names. Perceived causes of OF include sorcery, prolonged labour, delivering by operation where doctors/nurses make mistakes perforate the urinary bladder, physique of the expecting mother, poor skills of doctors/nurses to conduct caesarean section, young or old age of an expecting mother and having sex before recovering from the operation.Conclusion
Although OF is not reported to exist, most of the interviewees were aware of them. However, were few respondents are able to mention the main cause of OF. Maternal health education is important as a strategy to minimize the spread of misconceptions about causes of OF. 相似文献39.
Michael Dietrich Method Kabelitz Claudio Dora Patrick O. Zingg 《The Journal of arthroplasty》2018,33(2):548-554
Background
The direct minimally invasive anterior approach (DMIAA) and the use of uncemented stems demonstrated an increase in intraoperative fractures in recent literature. Whether the different design of the stems additionally influences the incidence of perioperative local complications, was the goal of this study.Methods
From January 2008 until June 2010, all patients undergoing primary cementless total hip arthroplasty, using a DMIAA, were consecutively included. The choice of the implant was defined by the day of operation. Age, gender, body mass index, type of prosthesis, and the practical experience of the performing surgeon were retrospectively analyzed. Of main interest were intraoperative fractures, postoperative hematoma, and wound healing.Results
Six hundred forty consecutive patients (64 years [18-94], 339 female, 53%, body mass index 26) have been included. A Quadra-H stem (Medacta) was used in 457 patients (71%). In 183 (29%) patients, a short stem designed for the DMIAA (130 Fitmore, Zimmer and 53 AMIStem, Medacta) was used. We counted 34 (5.3%) intraoperative fractures (16 at the greater trochanter, 18 proximal shaft fractures), 20 (4%) hematomas, and 8 (2%) wound healing problems. The standard length stem showed more local complications (11.8% vs 4.4%) (P = .014, odds ratio 1.63, confidence interval 1.1-2.4) and significantly more (6.8% vs 1.6%) intraoperative fractures (P = .027, odds ratio 1.98, confidence interval 1.1-3.6).Conclusion
The standard length stem showed more perioperative complications, especially periprosthetic fractures. It seems that these implants not only put more stress to proximal osseous structures, but there might also be more traction and irritation to the soft tissue while preparing, resulting in more hematomas and wound healing problems. 相似文献40.
Management of the vast majority of vulvar hematomas is conservative. Most resolve spontaneously when simple measures are taken. Serial examinations are necessary to distinguish uncomplicated hematomas from those requiring surgery. The clinician must also be vigilant for the possibility of sexual abuse and respond with appropriate workup and referral if this situation is suspected. 相似文献