Lebensentwürfe junger Frauen

Initially, data are presented which describe the difficulties which young women have in obtaining economic independence and earning their own living. Next, the vocational orientation of young women will be described. We hope to make clear that young women are more oriented towards grounding a family, in addition to making a career, than young men. The difficulties of having both children and a career will be discussed. Until now, an egalitarian responsibility of mother and father has not been reached. Mothers have the main responsibility in almost all cases. Finally, the article will list some urgent measures required to give women equal opportunities in work and to ease a young couple’s decision to have children.     

组织工程化表皮膜片构建及其在供皮区的应用研究

目的构建组织工程化表皮细胞膜片并应用于供皮区创面治疗。方法利用患者少量自体或同种异体正常皮肤分离、培养、扩增的表皮细胞,接种于壳聚糖明胶膜构建成表皮细胞膜片;将膜片移植于治疗组供皮区创面、适度加压,同时设立对照组:空白材料对照以及传统油纱布对照覆盖创面。于术后5～10d、30d、90d行大体观察、组织学检查、广谱角蛋白、外皮蛋白、层粘连蛋白、免疫组织化学检测以及Ⅰ、Ⅲ型胶原比值测定(偏光显微镜、RTPCR)。结果利用自体及异体表皮细胞和壳聚糖明胶膜能够构建出人表皮细胞膜片,应用于临床供皮区创面治疗15例,经过3个月随访,疗效肯定。移植膜片创面愈合时间(8.1±1.3)d,空白材料对照区为(16.2±3.8)d,空白油纱布对照区为(23.0±5.8)d。移植膜片存活良好,结构较完整、术后30d及90d观察:12例无明显增生,3例有轻度增生(20.0%),而空白油纱布对照区11例遗留增生性瘢痕(74.4%,χ2=8.127,P<0.01)。结论表皮细胞-壳聚糖明胶膜片能促进供皮区创面早期愈合并减少后期瘢痕增生,具有良好治疗效果。     

浅议中医理论的科学美

科学美是美学形态分类中的一种 ,它从本质上反映事物运动的内在联系 ,属于美的深层形式。中医理论中存在简明、对称、新奇等科学美     

Pharmacy customers’ views and experiences of using pharmacies which provide needle exchange services in Aberdeen and Glasgow, Scotland

Community pharmacists contribution to the management of drug problems is considerable. As the use of illicit drugs has increased, pharmacists have come under increasing pressure to offer services to problem drug users. However, there is concern among some pharmacists that offering such services may deter other customers. There is particular concern among some pharmacists about needle exchange services. Only 9.5% of Scottish pharmacies offer needle exchange services compared to 69% which are dispensing methadone (57% of which supervise methadone consumption). Qualitative interviews were used in a purposive sample of 10 pharmacies in Scotland. Eight customers were interviewed in each pharmacy to ascertain pharmacy customers’ views on these services. The majority of customers were supportive of these services. Customers were often unaware that the pharmacy they were interviewed in was offering services for people with drug problems. Pharmacy customers were more knowledgeable about, and more supportive, of needle exchange services than they were of methadone. This was because they believed needle exchange services helped to reduce the amount of discarded needles in public places. Pharmacy customers also recognised that needle exchange helped reduce the spread of disease. These findings should be used to encourage more pharmacists to offer needle exchange services.     

遗传性神经肿瘤综合征的影像学表现

遗传性神经肿瘤综合征是一组以伴发神经系统肿瘤为特征．累及多胚层、多器官、多系统且组织病理学类型复杂多样的家族遗传性疾病．主要包括神经纤维瘤病、结节性硬化复征、yon Hippel—Lindau病、Li—Franmeni综合征、Cowden病、Turcot综合征以及Gorlin综合征等。近年来，随着分子遗传学和医学影像学的进展对此类疾病的认识更加深入和全面，特别是CT和MRI诊断技术的出现对此类疾病所致中枢神经系统疾患的检出率大大提高。[第一段]     

适应政府集中采购的医疗设备管理方式的探讨

政府采购逐渐成为医疗设备的重要采购方法,针对采购中出现的问题,本文介绍了采取的管理措施,并介绍了采用证件配套管理的作用、方法及管理的具体内容.     

加强大型医疗设备的购置管理势在必行

通过对大型医疗设备购置管理现状的分析和思考,介绍了几种投资评价方法,阐述了加强大型医疗设备购置论证,完善论证管理制度,采用科学的论证方法和事后监督评价措施的重要性.