不同入路路径人工髋关节置换对老年股骨颈骨折效果影响

目的 分析不同入路路径人工髋关节置换治疗老年股骨颈骨折的效果.方法 选取2019年1月至2021年1月本院诊治的老年股骨颈骨折患者80例资料,按随机数表分两组,均给予人工髋关节置换术治疗,对照组40例采取后外侧入路,研究组40例采取前外侧入路,观察两组治疗效果.结果 治疗后,研究组出血量、住院时间均比对照组少,且切口长...     

创新型城市建设的企业路径——具有竞争优势的深圳企业自主创新模式分析

建立企业自主创新能力持续提升机制、形成具有竞争优势的企业自主创新路径是创新型国家和创新型城市建设的基本条件.而作为创新型城市建设的主要创新微观主体,企业自主创新路径及其绩效高低直接决定着创新型城市的建设水平.企业自主创新能力的竞争优势形成模式是深圳创新型城市的重要来源,是深圳创新型城市自主创新能力持续提升的核心和基础.深圳创新型城市建设的主要经验就是因为初步成功建立起了具有竞争优势的企业自主创新路径与制度安排.     

Current treatment options in follicular lymphoma: science and bias

Follicular lymphoma is a disease usually characterized by sensitivity to treatment but a pattern of multiple recurrences. Over the last decades, a single optimal therapeutic approach could not be identified and agreed upon. As a result, the selection of the treatment employed for a given patient was both a result of clinical science and bias. The outcomes have been recently improved substantially with the implementation of rituximab, an antiCD20 antibody. Randomized studies have documented repeatedly the clinical benefit conferred by its use, both in combination with chemotherapy, as well as monotherapy applied after remission induction. Although such studies have resulted in important conclusions that help formulate a widely accepted model of treatment sequences for patients with follicular lymphoma, there still remains a considerable area of uncertainty, open for speculation and biased choices. The current review intends to describe the current status of follicular lymphoma treatment, making also an effort to distinguished firm knowledge from reasonable speculation.     

5 A's Smoking Cessation with Recovering Women in Treatment

Smoking rates for addicted persons are estimated at greater than 70% and the health risks for women are well documented. This article describes interdisciplinary collaboration in the adoption of behavioral counseling, the 5A's smoking cessation intervention, for women in addictions treatment. Funded by the South Carolina March of Dimes, the program focused on changing the smoking culture of the treatment center; training treatment staff and nursing students in the 5 A's approach; implementing 5 A's activities and groups; implementing assessment of nicotine dependence; and including smoking cessation in treatment plans. System and client outcomes are described, along with limitations and implications.     

Supporting the mother tongue: pedagogical approaches

This paper reports on the development and evaluation of a project to support the learning of the mother tongue by children aged 4-8 years. The aim of the project was to: actively involve and engage children with learning their mother tongue for functional use; involve parents in the learning process and support them in doing so; and increase children's regular attendance at the educational setting where formal teaching of the mother tongue takes place. A program entitled 'Learning Together' was developed, drawing on the principles of socio-cultural theory and developmentally appropriate practice that underpin the pedagogical praxis in early childhood. The program was implemented in a Greek community school located in England. The project followed an ethnographic case-study methodology. Its findings are discussed in terms of the implications for pedagogical approaches and practices that might be applicable in similar contexts and situations.     

Determination of diosmin in pharmaceutical formulations using Fourier transform infrared spectrophotometry

A Fourier transform infrared (FT-IR) spectrometric method was developed for the rapid, direct measurement of diosmin in different pharmaceutical drugs. Conventional KBr-spectra were compared for best determination of active substance in commercial preparations. The Beer–Lambert law and two chemometric approaches, partial least squares (PLS) and principal component regression (PCR+) methods, were tried in data processing.     

A National Health Service Hospital's cardiac rehabilitation programme: a qualitative analysis of provision

Aim. This paper reports a study examining the effectiveness of a London National Health Service Trust Hospital's cardiac rehabilitation programme, from the perspectives of healthcare professionals and patients. Background. Cardiovascular disease is the world's leading cause of death and disability. Substantial research has reported that, following a cardiac event, cardiac rehabilitation can promote recovery, improve exercise capacity and patient health, reduce various coronary artery disease risk factors and subsequently reduce hospitalization costs. Despite these findings and the introduction of the National Service Framework for Coronary Heart Disease, there is wide variation in the practice, management and organization of cardiac rehabilitation services. Methods. A purposeful sample of three postmyocardial infarction patients registered on the selected hospital's cardiac rehabilitation programme, coupled with 11 healthcare professionals were selected. The patients acted as individual case studies. The authors followed all three patients through phase III of their cardiac rehabilitation programme. The research attempted to explore the roles and procedures of a London hospital's cardiac rehabilitation programme through an interpretative framework involving qualitative research methods. Participant observation and in‐depth semi‐structured interviews were the instruments used to collect data. Findings. Whilst the healthcare professionals were enthusiastic about coronary heart disease prevention, the London NHS trust hospital's cardiac rehabilitation programme had several barriers, which reduced the programme's success and prevented it from achieving National Service Framework targets. The barriers were complex and mainly included service‐related factors, such as lack of professional training, weak communication between primary and secondary care and confused roles and identities. Conclusion. Although the study has immediate relevance for the local area, it highlighted issues of more general relevance to cardiac rehabilitation and secondary prevention programme development, such as communication and role and identity perceptions in a multi‐professional working environment and the need to develop a formal training programme for cardiac rehabilitation healthcare professionals. Relevance to clinical practice. The results of this study highlight the need for increased investment, improved planning and the introduction of a comprehensive training programme for healthcare practitioners in cardiac rehabilitation. Implementation of these actions may reduce many of the service limitations and barriers that currently surround cardiac rehabilitation programmes.     

Treatment Preferences for CAM in children with chronic pain

CAM therapies have become increasingly popular in pediatric populations. Yet, little is known about children's preferences for CAM. This study examined treatment preferences in chronic pediatric pain patients offered a choice of CAM therapies for their pain. Participants were 129 children (94 girls) (mean age = 14.5 years +/- 2.4; range = 8-18 years) presenting at a multidisciplinary, tertiary clinic specializing in pediatric chronic pain. Bivariate and multivariate analyses were used to examine the relationships between CAM treatment preferences and patient's sociodemographic and clinical characteristics, as well as their self-reported level of functioning. Over 60% of patients elected to try at least one CAM approach for pain. The most popular CAM therapies were biofeedback, yoga and hypnosis; the least popular were art therapy and energy healing, with craniosacral, acupuncture and massage being intermediate. Patients with a diagnosis of fibromyalgia (80%) were the most likely to try CAM versus those with other pain diagnoses. In multivariate analyses, pain duration emerged as a significant predictor of CAM preferences. For mind-based approaches (i.e. hypnosis, biofeedback and art therapy), pain duration and limitations in family activities were both significant predictors. When given a choice of CAM therapies, this sample of children with chronic pain, irrespective of pain diagnosis, preferred non-invasive approaches that enhanced relaxation and increased somatic control. Longer duration of pain and greater impairment in functioning, particularly during family activities increased the likelihood that such patients agreed to engage in CAM treatments, especially those that were categorized as mind-based modalities.