Spirituality "importance for care"

The causes of red eye range from trivial to life-threatening, and many general practitioners are uncertain of their ability to diagnose them with the aid of an ophthalmoscope. We tested the hypothesis that, in the assessment of a patient with red eye, a doctor using a slit lamp biomicroscope would not differ in diagnostic accuracy from a doctor using a direct ophthalmoscope. A cross-over study was conducted in 98 patients newly attending an eye casualty department. 71% of diagnoses agreed exactly, and all potentially sight-threatening lesions were either diagnosed correctly or managed appropriately by doctors using an ophthalmoscope. We conclude that the initial diagnosis and management of patients with an acute red eye is not prejudiced by the lack of a slit lamp biomicroscope.     

The differential indication for "open" or "endoscopic" carpal tunnel release

Carpal tunnel syndrome is one of the most common nerve compression syndromes. Nocturnal paresthesia and pain are early symptoms, and hypesthesia and thenar atrophy are late symptoms. These days endoscopic and open operation techniques are available. Minimal trauma after endoscopic release allows early return to work. The endoscopic technique should be performed by experienced surgeons to avoid severe complications.     

A growth supplement for "fastidious germs"

A growth supplement for "fastidious germs" was produced at the Laboratory of Acute Respiratory Infections of "Pedro Kourí" Institute of Tropical Medicine. This supplement was studied by computerized optic spectrophotometry, and chemical composition was determined. The efficacy of this supplement for the culture of Haemophilus influenzae type b, was evidenced using 100 strains, and it was proven that it can be used in concentrations raging from 1 to 10%.     

Bromocriptine therapy for "nonfunctioning" pituitary tumors

Bromocriptine therapy may cause regression of prolactinomas, but its effect on nonsecretory pituitary tumors is uncertain. Conventional treatment for such "functionless" tumors is surgery and/or radiotherapy, but recurrences pose a therapeutic dilemma. We describe a patient with such a tumor treated by surgery and radiotherapy who presented with recurrent disease 14 days later. On treatment with bromocriptine, 20 mg daily for 25 months, the intrasellar tumor recurrence had diminished in size and a suprasellar extension had almost disappeared. Bromocriptine therapy may therefore benefit some patients with nonsecretory pituitary tumors considered unsuitable for surgery or radiotherapy.     

“三违”根源及对策

绝大多数工伤事故主要原因是“三违”（违章指挥、违章操作、违反劳动纪律）。“三违”根源可概括为：企业领导重生产，安全意识淡薄；职工安全知识贫乏，安全技能、安全意识差；安全规章制度有漏洞，安全管理执法队伍素质不高；习惯性违章作业；在不理智心理状态下，明知故犯地“三违”；身体不适，作业环境不良。减少、根除“三违”的主要对策有：提高企业领导的安全意识；通过形式多样的教育和培训，提高从业人员的安全技能；完善规章制度，建立一支高素质安全执法队伍；改善作业环境；对身体不适者合理安排工作；加大工伤考核、赔偿力度。反“三违”任重而道远，需党政工团齐抓共管。