Hard at Death's Door

No abstract available for this article.     

Abstract

The reuse of subjects in clinical studies to answer specific research questions is a common practice. This reuse can take many forms and is at least partly related to study efficiency. It is much easier to reuse known subjects who know the system(s) or are easy to find than to recruit new ones. A hypothetical question is: Are there instances when such practices may not be scientifically valid? This question will be addressed from the perspective of the case‐control and experimental study design.     

Countertransference Reactions Toward Older Adults Facing HIV and AIDS

Abstract

This article will provide a technique designed to identify and explore areas of countertransference when working with older adults facing HIV/AIDS. It offers instructors and supervisors a way to teach about countertransference toward older adults facing HIV and AIDS. This technique can be utilized in a variety of gerontological settings such as mental health clinics, multipurpose centers for older adults, as well as classrooms and private practice.     

One-year clinical results with actarit—a preliminary report

Abstract

The effectiveness and safety of 1-year treatment with actarit were evaluated in patients with rheumatoid arthritis. Treatment was continued for 1 year or longer in 18 of the 34 patients. Early improvement in morning stiffness, grip strength, joint score and the Lansbury’s index were observed. Improvement in 1-h eythrocyte sedimentation rate was observed at the 12-month assessment. IgG was decreased at the 12-month assessment. Obvious improvement in C-reactive protein was not seen through the trial. No abnormal findings were noted in routine blood tests. Adverse reactions of special note were skin eruption in one patient and digestive symptom in one patient. However, no serious adverse reactions were observed.     

肺功能测定的临床应用

本文通过论述肺功能检测的意义,重点阐述了肺功能在呼吸内科及外科等临床上的应用,使大家充分了解在临床上应该如何应用肺功能,以及应用肺功能的临床应用范围。     

临床科室医疗设备使用管理探讨

医疗设备的临床使用是当前医疗设备管理链条上的薄弱环节;为保障医疗安全和医疗质量,本文从制度建设、记录方法、管理员设置和质量考核等方面,阐述强化医疗设备临床使用管理的措施。     

原发性肝癌切除术后高胆红素血症临床分析

目的探究分析原发性肝癌切除术之后导致高胆红素血症临床因素。方法选自我院2011—2013年原发性肝癌切除术患者共50例,以手术之后血清总胆红素水平划分组别,为高胆红素组(14例)和胆红素正常组(36例)。对患者术后胆红素变化特点进行观察且分析导致患者术后出现高胆红素血症的临床因素。结果胆红素正常组术后的血清总胆红素4d之后达到峰值(21.5μmol/L),术后14d恢复正常水平;高胆红素血症组患者在术后7d血清总胆红素达到峰值(36.1μmol/L),术后14d高于正常数值2倍左右。对临床单因素进行Logistic进行分析,认为术后出现高胆红素血症主要和术中肝血流阻断方式、输血情况、出血方式还有肝功能Child有关系;进行多因素Logistic进行分析则表明原发性肝癌切除术之后高胆红素血症独立预测指标为术前胆红素水平。结论进行动态监测血清胆红素水平,对于原发性肝癌切除术后来说是非常重要的程序。     

护理干预对老年高血压患者自我管理行为的影响

目的 提高老年高血压患者临床康复疗效.方法 将90例老年高血压病患者随机分为干预组与对照组,其中对照组患者予以用药指导护理,而干预组则采取全面性护理干预.结果 干预组患者自我管理行为及血压控制显著优于对照组.结论 全面的护理干预能提高老年高血压患者自我管理行为能力,确保远期治疗效果,临床价值显著     

Clinical research and global health: Mentoring the next generation of health care students

Abstract

Interest in global health and opportunities to conduct clinical research at international sites have increased markedly for health profession trainees. With this increase in demand comes an increase in the need for mentors at international and home institutions to provide guidance with designing, implementing and analysing clinical research projects that benefit both the trainees and the research site. In this article, we provide an overview of our insights gained through mentoring in the international setting and suggest a series of key points to help ensure an enjoyable and productive international clinical research experience for both trainees and mentors.