请尊重消费者的选择权

都在讲“一切以消费者需求为导向”,从工业、商业到零售,无一例外。尤其是零售,因为在终端界面与消费者直接接触,更有“视顾客为上帝”的口号。以药店终端销售药品为例,我们可以来看看“视顾客为上帝”的口号是如何被扭曲的。关于药店与厂商或代理商联合搞驻店营业员销售为主的终端拦截或反拦截。大家知道,在“多方面、多层次满足消费者需求”导向下,药店经营——尤其是一些中、大型药店,都会在终端界面陈列一些不同价位、档次的同类(名)产品。顾客进店,往往是还未来得及专业咨询,终端拦截营业员即径直上前推荐自己的产品。往往是顾客想要的…     

社区医疗保健服务需求调查分析与改进对策

通过对市民进行社区医疗保健服务的有关调查，了解市民对社区医疗保健服务的需求以及谊市开展系统性社区医疗保健服务的现况，分析开展社区医疗保健服务存在的问题，提出进一步做好社区医疗保健服务建议和改进措施。     

合同制护士的管理探讨

随着社会经济的不断发展，护理模式的转变，新业务、新技术的开展，人们对高品质的护理服务需求也日益增高，很多医院仅靠在编职工越来越难以满足临床需要。近8年来我院陆续通过人才市场经过面试、笔试、护理操作等考试，择优录取合同制护士以充实临床，从而更好地为患者提供优质的护理服务。现从以下几个方面进行探讨。     

果子狸染色体Giemsa带分析

本文以果子狸外周血淋巴细胞离体培养,制备染色体标本,分析染色体G带带型,结果显示每对染色体的G带带型特征及分布情况,可识别同源染色体对,达到准确地配对。     

保留冠状动脉的猪心螺旋形心室肌带的解剖

Objective Based on the Helical Ventricular Myocardial Band (HVMB) theory proposed by Torrent-Guasp,the ventricular myocardial hand extends from the root of the pulmonary artery to the root of the aorta with two helical coils.This new theory is considered as a revolutionary concept for further understanding the global, three-dimensional and functional architecture of the ven- tricular myocardium. No repot had described techniques for disecting HVMB while keepin～ the integrity of the coronmy artery sys- tern. We explored techniques for dissecting HVMB in swine.Methads 33 fresh swine hearts were randomly divided intoll groups, 3 bearts in each. 160% barium sulfate (type I)suspmmion was injected into the coronary artery system. The coronary arteries were li- gated. The strial tissue was removed following puuing the hearts in boiling water then cooling for several hours. The superficial coro- nary vessels and fat tissue around the atrio-ventricular taxi inter-ventricular sulcus we～'e preserved. Some branches of the left anterior descending artery, distal segment, of posterior descending branch, and middle and distal segment of obtuse marginal branches were mu- tilated appropriately. HVMB dissection was completed with fingers in accordnce with Torrent Guasp' s technique. Results A contin- ued bundle of muscle, originated at the root of pulmonary artery and ended at the root of aorta, was unwrapped along the major dire- tion of the cardiac muscle fiber in all of the 33 hearts with spating of the coronary artery. The swine hearts' ventricular myocandium was cumosed of two loops, with basal loop firm the root of the pulmonart artery to the anterior papillary muscle and apical from the beginning of the anterior papillary muscle to the root tithe aorta. Each loop consisted of two segments: the right segment-coincid- ing with the right ventricular free wall and the left segment-coinciding with the basal d the left ventricular free wall. Posterior papillary muscle, which belongs to the descendant segment, denmrcated the border between the descendent and the ascendant of the HVMB's apical loop. Conclusion Although controversies about the theory of the HVMB remain, we have dissected the HVMB in the swine hearts' ventricular myocardium successfully with sparing of the coronary artery systems. This dissection procedure provides technical information for the studies of associated diseases based on the theory of HVMB.     

Super-chrged带蒂TRAM皮瓣乳房再造一例

患者女，43岁。8年前，因左乳肿物曾行纤维腺瘤切除术，术后4年，因左乳瘢痕增大变硬行左侧乳房切除术，病理示黏液型低度恶性纤维组织细胞瘤，术后未行放射及化疗。检查：一般状况好，无手术禁忌证。患侧乳房缺损，无锁骨下凹陷，腋前襞丰满，胸大肌发育正常。对侧乳房基本正常，体积不大。入院诊断：手术后左侧乳房缺失。治疗过程：患者在全麻下行Super-charged TRAM皮瓣左侧乳房再造术。术中形成以右侧为肌蒂的TRAM皮瓣，同时尽可能长地留取右侧腹壁下动静脉系统备用，左侧腹壁下动静脉予以结扎。     

带锁髓内钉治疗股骨干粉碎性骨折

髓内钉治疗长骨骨折，属髓内轴心性固定，具有手术切口小，对软组织损伤少，固定牢固防旋转并适时改为弹性固定，便于早期进行功能锻炼，并发症少等优点，已得到公认。自1999年11月～2003年10月，笔者采取小切口骨折复位．扩髓带锁髓内钉治疗股骨干粉碎骨折22例，取得了良好的效果，报告如下。     

营养需求男女老少各不同

按照中国人的传统习惯，一家人每天都是同桌吃饭。摄取的营养基本上都是一样的。可是，你知道吗？在营养需求方面，男女老少是存在差异的。[第一段]     

带器妊娠行药物流产117例临床观察

本中心2003年1月～2004年12月共行药物流产1000多例,其中带器妊娠117例,经临床观察,效果良好,现报告如下。一、资料与方法1.一般资料以2003年1月～2004年12月在本中心就诊的带器妊娠者117例(其中有剖腹产史者23例)为观察组,均无其它药物流产禁忌证,愿意接受药物流产且就诊方便,     

加强医院感染管理的体会

随着经济的持续较快发展,人们的健康需求和卫生消费也在快速增长,对卫生服务需求的种类也相应地发生改变,广大群众普遍希望得到高质量的医疗保健服务,医疗知识水平也不断提高,因此将医院感染管理作为医疗质量管理的重要组成部分,已受到管理者和医务人员的高度重视。1加强医院感