1例射频消融术后并发肺栓塞的抢救配合及护理

总结1例射频消融术后并发肺栓塞的抢救配合及护理体会，认为肺栓塞患者一旦发生晕厥，应立即行心肺复苏，以确保有效的循环和呼吸，尽早溶栓，改善临床症状。积极的抢救、熟练的配合、良好的护理是此患者康复的关键，同时术后早期生命体征的监测、并发症的预防、合理饮食、适当活动及休息对预防肺栓塞的发生也是很重要的。     

Women's access to modern methods of fertility regulation.

Preventing unintended pregnancies through access to modern family planning could avert 20-35% of maternal deaths, saving the lives of more than 100,000 women each year. Obstacles to wider access still exist, but they may be overcome by overt policy commitment to reproductive health services, partnership between stakeholders, community involvement and quality programs.     

Making clinical decisions for dental care: concepts to consider

Clinical decisions are often made with incomplete information, yet patient care decisions are made every day. Patients vary clinically, uncertainty exists in diagnostic and prognostic information, and many preventive and treatment alternatives have not been formally assessed for their effectiveness. Because scientific information will never answer all clinical questions, clinical decisions are partially based on probabilistic information.
This paper describes how to apply clinical decision making to diagnosing and managing dental caries and periodontal diseases. By using explicit information to quantify probabilities and outcomes, clinical decision making analyzes decisions made under uncertain conditions and the uncertain impact of clinical information.
Clinical decision making incorporates concepts for preventing, diagnosing and treating dental caries and periodontal diseases: risk assessment, evidence-based dentistry, and multiple oral health outcomes. This information can serve as a tool for clinicians to augment clinical judgment and expertise.     

疾病对心理的影响和心理护理对策刍议

疾病是人体对外界事物与环境变化的反应过程，而此过程对机体造成了生理和心理上的重大影响，使机体的正常生理和心理出现失衡状态。要恢复机体的平衡必需要通过相应的措施，特别是针对心理变化的改善对策。良好的心理护理会使疾病的恢复“事半功倍”。     

剖宫产术后并发下肢静脉栓塞的护理及预防

通过对20例剖宫产术后并发下肢静脉栓塞病人的观察,分析了发生静脉栓塞的原因,提出了相应的护理、观察、预防等一系列措施.     

大学生龋病发病情况调查结果分析

目的了解高校大学生龋病的发病情况,为进一步搞好龋病的预防保健工作提供依据。方法通过整群随机抽样的方法选择在校大学生850名作为调查对象,进行现况调查,主要通过问诊、视诊、探诊等方法做检查,并做统计学分析。结果受检者850人中,患龋者430人,患龋率50.59%,其中女生患龋率63.64%,男生患龋率42.31%,男女生比较差异有统计学意义(p<0.01)。结论高校大学生患龋率较高,女生患龋率明显高于男生。应及时采取预防保健措施,以预防和减少龋病的发生。     

社区干预对老年慢性支气管炎独居患者生活质量的影响

目的提高社区老年慢性支气管炎独居患者的生活质量.方法将70例老年慢性支气管炎独居患者随机分为对照组和干预组各35例.干预组采取社区健康干预,如疾病防治知识讲解、自我保健训练及干预人员(志愿者)与患者结对提供帮助与督促等;对照组未采取社区健康干预.于6个月后采用生活质量(QOL)测评表进行评估.结果干预组日常生活能力、社会活动能力、抑郁心理状态、焦虑心理状态及QOL总分显著优于对照组(均P<0.01).结论通过充分利用社区卫生资源为老年慢性支气管炎独居患者进行疾病防治的健康教育,可提高其生活质量.     

Public and private prenatal care providers in urban Mexico: how does their quality compare?

OBJECTIVE: To evaluate variations in prenatal care quality by public and private clinical settings and by household wealth. DESIGN: The study uses 2003 data detailing retrospective reports of 12 prenatal care procedures received that correspond to clinical guidelines. The 12 procedures are summed up, and prenatal care quality is described as the average procedures received by clinical setting, provider qualifications, and household wealth. SETTING: Low-income communities in 17 states in urban Mexico. PARTICIPANTS: A total of 1253 women of reproductive age who received prenatal care within 1 year of the survey. MAIN OUTCOME MEASURE: The mean of the 12 prenatal care procedures received, reported as unadjusted and adjusted for individual, household, and community characteristics. RESULTS: Women received significantly more procedures in public clinical settings [80.7, 95% confidence interval (CI) = 79.3-82.1; P < or = 0.05] compared with private (60.2, 95% CI = 57.8-62.7; P < or = 0.05). Within private clinical settings, an increase in household wealth is associated with an increase in procedures received. Care from medical doctors is associated with significantly more procedures (78.8, 95% CI = 77.5-80.1; P < or = 0.05) compared with non-medical doctors (50.3, 95% CI = 46.7-53.9; P < or = 0.05). These differences are independent of individual, household, and community characteristics that affect health-seeking behavior. CONCLUSIONS: Significant differences in prenatal care quality exist across clinical settings, provider qualifications, and household wealth in urban Mexico. Strategies to improve quality include quality reporting, training, accreditation, regulation, and franchising.     

生化修饰疗法对晚期恶性肿瘤病人的治疗与护理观察

目的：探讨生化修饰疗法对晚期恶性肿瘤病人的治疗效果。方法：对57例晚期恶性肿瘤病人采用置管经输注泵输注化疗药物治疗与护理。结果：此法较全身化疗疗效高，毒副作用小。尤其适用于一般状况差又难于耐受全身化疗的晚期消化系统恶性肿瘤病人。结论：生化修饰疗法安全、有效、方便、费用低，值得推广。     

'A good person does not feel envy': envy in a nursing community

The definition of envy is commonly based on psychoanalytical views of organizational culture. The purpose of this paper is to describe envy in a nursing community. The population study consisted of random sample of 120 subjects drawn from among the employees of one central hospital in Finland. The study material consisted of data collected by questionnaires (response rate 65%). The data were processed by various statistical methods. Open-ended questions were analysed by inductive content analysis. The results of this study indicated that the employee's view of his/her official position in the nursing community, his/her relationships with his/her fellow workers and the management as well as relationships with other nursing communities are all related to envy. The employee's view of his/her official position intensified his/her feelings of envy, if he/she had other negative feelings, anxiety, dissatisfaction with him/herself, and negative feelings towards fellow workers. The major object of envy was fellow workers' salaries. Envy towards other nursing communities was generated by alleged differences in the amount of labour, or by the charge nurse's greater interest in other sections. Employees coped with envy by hiding these feelings and being modest. Women coped with envy by being silent, while men denied the value of the object of envy.