Developing a Documentation System That Works

A documentation system that facilitates accurate and complete recording is needed by every obstetric/neonatal nursing service. Developing an individualized system is a major undertaking. However, specific steps can be taken to ease the process. These steps are described, beginning with the assessment phase and concluding with evaluation.     

Signs of oral dryness in relation to salivary flow rate,pH, buffering capacity and dry mouth complaints

Background  

This study aimed to investigate the signs of oral dryness in relation to different salivary variables and to correlate subjective complaints of oral dryness with salivary flow rate.     

颅内脑池显微解剖研究

目的通过对国人脑池显微解剖的研究,以指导显微神经外科手术和进一步理解影像学解剖的重要临床意义和应用价值。方法对15具经福尔马林固定的国人成年头颅标本的颅内各个脑池进行显微解剖研究,测量和描述各脑池的位置、大小、形态及结构。结果颅内重要的脑池有(1)嗅池:长度为(32.68±2.97)mm,宽度为(7.18±1.82)mm,深度为(7.20±1.27)mm;(2)视交叉池:侧壁长度为(14.88±3.07)mm,上表面前壁长(14.20±1.47)mm,后壁长(10.37±1.59)mm;(3)颈内动脉池:长度为(15.06±3.07)mm,宽度为(12.01±1.32)mm;(4)终板池:底边左侧长度为(8.99±1.15)mm,右侧长度为(21.00±1.09)mm,最大宽径为(16.42±2.58)mm;(5)脚间池:最大深度为(19.47±2.28)mm,池顶宽度为(11.35±2.85)mm;(6)脚池:为三角形,三边长度分别为(10.48±2.56)mm,(9.64±1.78)mm,(3.58±0.25)mm;(7)外侧裂池:上部长度为(18.63±2.02)mm,基底部长度为(38.08±3.22)mm,宽度为(5.65±0.92)mm,深度为(7.02±2.28)mm;(8)胼胝体池:平均最大宽径为(3.44±0.40)mm;(9)四叠体池:最大长径为(19.37±3.38)mm,最大宽径为(15.24±2.37)mm,最大前后径为(3.65±0.57)mm;(10)环池:为环形,最大宽度为(3.16±0.37)mm;(11)小脑延髓池:最大长度为(18.77±1.77)mm,最大宽度为(32.4     

Evaluation of renal transplant dysfunction by duplex Doppler sonography: a prospective study and review of the literature

A disconcertingly wide variation exists in the literature as to the accuracy of duplex Doppler sonography in the detection of acute renal transplant rejection. Sensitivities range from 9% to 76%. In an attempt to explain the disparity of results, we undertook a double-blind prospective study of the accuracy of duplex Doppler ultrasound in the detection of acute rejection in renal transplants. We scanned 49 consecutive patients with a total of 65 biopsies; 46 biopsies in 33 consecutive patients were included in our study. In our population, the prevalence of acute rejection was 61% (28/46). Using a resistive index (RI) cutoff of greater than 0.90 based on the main renal artery flow pattern, the sensitivity of our test was 43%, with a 67% specificity. The positive predictive value was 67%. Our results are contrasted and compared with the published data from other groups in a critical survey of the literature. We conclude that duplex Doppler sonography alone is inadequate to evaluate acute rejection in renal transplants.     

Family system test (FAST): Are parents' and children's family constructs either different or similar,or both?

Perceptions of family cohesion and hierarchy structures were assessed by theFamily System Test (FAST), a clinically-derived figure placement technique. Parents (N=140) and their preadolescent offspring (N=70) completed typical and conflict representations in individual as well as group settings. Typical representations were characterized by balanced family structures (i.e. cohesive and moderately hierarchical) and those displaying conflict situations showed predominantly unbalanced patterns. FAST portrayals were related to respondent (mother vs. father vs. child). Fathers represented typical family relations as balanced more often than mothers. Regarding conflict representations, children were more likely than fathers to portray the family as unbalanced. However, analyses of representations of the same family (i.e. intra-family comparisons) indicated that all respondents differed in their perceptions and, that fathers' typical portrayals showed most often the same structure as those done by the family members as a group.     

神经系统功能磁共振联合应用研究进展

随着磁共振功能成像技术的发展,尤其是弥散张量成像(d iffusion tensor,DTI)及血氧依赖水平磁共振成像(b lood ox-ygenation level dependent,BOLD)技术的日臻完善,在活体状态下显示活动的皮质区并无创跟踪脑内白质纤维,反映解剖连通性已成为可能。本文就功能磁共振BOLD、DTI联     

对青海省海西州绒山羊业发展的思考和建议

绒山羊是青海海西州经济社会发展的基础性产业,本文从海西州资源、社会、经济等方面出发,结合绒山羊生物学特点,对当地绒山羊业发展提出一些问题和建议。     

头孢噻肟钠聚合物测定实验条件的改进

目的:对中国药典收载的头孢噻肟钠聚合物测定条件进行改进。 方法 :采用高效液相色谱法 ,以Sephadex G- 10色谱柱 4 2 cm× 1.3cm对 6批样品进行分析 ,分别进样 5 0μl和 2 0 0μl,按外标法计算聚合物的量。结果:头孢噻肟钠在 10～ 6 0 μg/m l范围内线性关系良好 (r=0 .9995 ) ,高中低浓度的加样回收率分别为 10 0 .2 %、10 0 .4 %、99.7% ;RSD分别为 1.7%、1.5 %、1.9% (n =3)。该方法与药典方法比较 ,差异无统计学意义 (P >0 .0 5 )。 结论:本方法简便、快速、可行 ,具有实用价值     

668颗后牙镍铬合金PFM边缘适合性的临床观察

目的：观察采用2种边缘形式的后牙烤瓷熔附金属全冠边缘适合性和对牙龈健康的影响.方法：对668颗后牙,分别采用2种边缘形式的后牙烤瓷熔附金属全冠（单冠或桥的基牙）在修复2年后进行复查,检测其边缘适合性及牙龈指数（GI）和牙周探诊深度（PD）,用统计学方法分析修复体边缘形式与牙龈病变间的关系.结果：采用羽状边缘360°金属脚边的PFM边缘适合性明显优于凹面肩台型边缘PFM,凹面肩台型边缘的PFM的牙龈病变发生率,明显高于羽状边缘360°金属脚边的PFM,而边缘适合性差者较适合性好者牙龈病变发生率显著增高.结论：后牙PFM的边缘采用羽状边缘360°金属脚边是一种好的选择.