妇科腹腔镜手术患者的术后护理

目的：将妇科腹腔镜手术与传统经腹手术对比,总结妇科腹腔镜手术患的术后护理经验。方法：将妇科手术患随机分为腹腔镜手术组（观察组）和传统经腹手术组（对照组）各４０例,比较术后患的疼痛程度,拔除尿管时间及自主排尿情况,开始下床活动时间及肛门排气时间。结果：上述４项指标,观察组均优于对照组,差异有高度显性（Ｐ〈０．００１,Ｐ〈０．０１）。结论：妇科腹腔镜手术后患疼痛程度轻,下床活动早,胃肠功能恢     

Development of a sexual assault evidence collection kit – The need for standardization in Turkey

Sexual offences are recognized to be one of the most critical of crimes throughout the world. In Turkey, forcible rapes show, in the sexual crime rates, an increase of approximately 3% every year. It becomes even more critical, when realizing that less than half of all rapes, which are believed to occur, are reported to law enforcement, and of those few assailants who are arrested even fewer are convicted of rape. Often, little or no knowledge of the correct methods of locating, recovering, packaging, and preserving evidence specimens are the causes for compromising the forensic examination in court. This problem occurs when medical personnel are not adequately trained or properly advised in the evidentiary aspects and medical features of treating a victim.     

(i) Clinical assessment of the shoulder

Clinical assessment of the shoulder involves an interview with the patient during which a history is taken relevant not only to the presenting complaint, but also to factors that might impact on treatment such as a past history of similar complaints and a review of the medical history of the patient which may impact on the management plan. This is followed by clinical examination which refines the differential diagnosis suggested by the history and is used to direct the choice of subsequent investigations. This article considers the salient components of the history and clinical examination of a patient presenting with shoulder problems. Subsequent articles in the mini-symposium will look at the imaging of shoulder problems as well as the capabilities of shoulder arthroscopy, which started as a technology to supplement available imaging modalities but now presents increasingly exciting prospects for minimally invasive treatment of many of the conditions detected by our clinical assessment.     

超高倍显微镜系统支原体活体镜验法与培养法实验结果比较

目的 建立超高倍显微镜分析系统在动态、活体观察性传播性疾病的主要病原体─支原体的实验方法,探讨其临床应用价值.方法 应用超高倍显微镜分析系统直接镜检动态观察支原体并与培养法对照.结果 超高倍显微镜分析系统可以清晰的观察支原体,镜检法与培养法结果高度一致.结论 镜检法采取直接取样涂片,无需染色,可快速、准确的观察支原体,做出正确诊断,该方法的建立及使用可为临床试验室病原体检测提供一个全新的检测技术,展示有广阔的应用前景.