基层医院麻醉恢复室的创建和管理模式

目的探讨基层医院麻醉恢复室的创建及管理模式。方法在洁净手术室创建麻醉恢复室,配置1名麻醉医生,1名固定恢复室护士,2名轮转专职护士,对麻醉后恢复期患者实施监护治疗。结果 2011年全年对2 521例手术患者实施了麻醉后恢复期护理,及时发现和处理了186例麻醉后的并发症,全部安全出室。结论麻醉恢复室的创建和有效的运作,保障了手术患者麻醉恢复期的安全,提高手术室护理质量。     

Fear of falling and falls self‐efficacy and their relationship to higher‐level competence among community‐dwelling senior men and women in Japan

Aim: This cross‐sectional study examined the relationships of fear of falling and falls self‐efficacy with higher‐level competence among community‐dwelling senior citizens in Japan. Methods: Of the 822 registered senior citizens, 731 (89%) community dwellers were requested to participate in the survey using a mailed self‐accomplished questionnaire. Data from 648 respondents with duly accomplished questionnaires were analyzed using R², the coefficient of determination, based on a multivariate regression analysis. Results: Fear of falling, low falls self‐efficacy and higher‐level functional disability were observed among respondents. Of the hypothesized relationships examined by sex, fear of falling was significantly associated with disability among male respondents and low falls self‐efficacy among both sexes. Several confounding variables were strongly associated with competence. Conclusion: While the data underscore the strategic importance of promoting higher‐level competence among the senior citizens, there is much to suggest that their competence is likely to be maintained if their fear of falling and falls self‐efficacy were modified. Programs must also consider a wide array of intervening factors. Geriatr Gerontol Int 2011; 11: 282–289.     

Crevicular fluid elastase levels in relation to periodontitis and metabolic control of diabetes

The purpose of this study was to investigate the associations between gingival crevicular fluid (GCF) elastase levels, clinical measures of periodontal status, and metabolic control of diabetes in insulin dependent (type 1) diabetes (IDDM) and non-insulin dependent (type 2) diabetes (NIDDM) patients. Sixty patients were recruited from the Diabetes Center at the University of California in San Francisco. Thirty subjects were type 1 diabetics and 30 subjects were type 2 diabetics. Metabolic control was evaluated by glycosylatted hemoglobin (HbA1c) levels. Demographic information was obtained using a structured interview with the subjects. Clinical measurements and GCF samples were taken from the mesio-buccal surfaces of 2 premolars and 2 molars from the most diseased sextant. GCF elastase was determined by measurement of p-Nitroanalide resulting from hydrolysis of elastase specific peptide. Crevicular fluid elastase levels were significantly correlated with gingival index, bleeding index, probing depth and attachment level in both type 1 and type 2 diabetes groups (0.01

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