多学科全期司职协作护理模式在老年慢性阻塞性肺疾病患者中的应用

目的 观察多学科全期司职协作护理模式在老年慢性阻塞性肺疾病患者中的应用效果。 方法 选取2017年5 -11月我院收治的49例老年慢性阻塞性肺疾病患者为对照组,选取2017年12月-2018年6月收治的49例老年慢性阻塞性肺疾病患者为观察组,对照组接受常规护理,观察组接受多学科全期司职协作模式管理,比较2组干预后焦虑抑郁情绪、肺功能及生活质量。 结果 干预后,观察组焦虑、抑郁和生活质量评分均低于对照组(t=-7.186,P<0.001;t=-10.713,P<0.001;t=-12.890,P<0.001),肺功能各项评定指标均优于对照组(P＜0.05)。 结论 以多学科全期司职协作护理模式对老年慢性阻塞性肺病例施加干预,能改善其负性情绪、肺功能及生活质量。     

Defining Laterality of the Descending Thoracic Aorta in a 4‐Chamber View of the Heart

Objective. Right descending aortas have been correlated with an increased risk of congenital heart disease. Nevertheless, the aortic position remains a largely overlooked diagnostic tool in second‐trimester sonography because no formal system for assessing the position exists. By developing a method of assigning the position of the aorta relative to the thoracic midline, diagnostic use of the descending aorta's position might be implemented more easily. Methods. The method of assessing the position relative to the midline was tested by comparing the analysis of 2 independent observers, who showed a 94.4% concordance rate. Results. Comparison of the percentages of aortic positions between the gestational ages (GAs) of 18 and 21 weeks showed no significant correlation between the aortic position and GA. Conclusions. We suggest simply paying attention to the aortic position in an already standard view. The extra effort is minimal, and it has the potential to improve the diagnostic accuracy of the 4‐chamber view.     

The role of Aflibercept in the management of age-related macular degeneration

ABSTRACT

Introduction: During the past decade, significant advances have occurred in the management of neovascular age-related macular degeneration (NV-AMD). The advent of anti-vascular endothelial growth factor (anti-VEGF) therapy has shifted the treatment goal of NV-AMD from merely salvaging vision to improving visual acuity and maintaining a good quality of life. Aflibercept (AFL) is a significant addition to the arsenal of anti-VEGF therapies against the NV-AMD. In the index review, pharmacology and efficacy of AFL has been reviewed.

Areas Covered: An extensive literature search was performed to identify preclinical and clinical studies performed to illustrate the role of AFL in NV-AMD. Randomized clinical trials evaluating other anti-VEGF agents were also included for comparison. Additionally, studies where AFL was employed to treat anti-VEGF-resistant cases agents have been reviewed.

Expert Opinion: AFL is an effective agent in the management of NV-AMD and its efficacy has been found to be comparable to ranibizumab (RBZ). Additionally, AFL is a good alternative agent in patients with NV-AMD resistant to RBZ and bevacizumab (BVZ), and can potentially lessen the treatment burden. As more research is conducted, the role of AFL in varying dosing regimens, as monotherapy and in combination with other agents, will become further defined.     

呼吸内科重症患者的整体护理模式的研究

目的:观察整体护理模式在呼吸内科重症患者的应用效果。方法:选择88例呼吸内科重症患者为研究对象,将其随机分为对照组与观察组,每组44例。对照组遵循常规程序进行护理,观察组则以整体护理模式为指导进行干预,然后将两组患者的有效率、无效率、死亡率、患者满意程度及干预前后的SGRQ量表评分进行比较。结果:观察组的有效率与患者满意程度均高于对照组,无效率与死亡率均低于对照组,干预后的SGRQ量表评分好于对照组,差异均有统计学意义(P<0.05)。结论:整体护理模式在呼吸内科重症患者的应用效果较好,对于患者疾病状态与生存质量的改善均有积极的作用。     

Whole not hole: Expert face recognition requires holistic perception

Face recognition is an important ability of the human brain, yet its underlying mechanisms are still poorly understood. Two opposite views have been proposed to account for human face recognition expertise: the ability to extract the most diagnostic local information, feature-by feature (analytical view), or the ability to process all features at once over the whole face (holistic view). To help clarifying this debate, we used an original gaze-contingent stimulus presentation method to compare normal observers and a brain-damaged patient specifically impaired at face recognition (prosopagnosia). When a single central facial feature was revealed at a time through a gaze-contingent window, normal observers’ performance at an individual face matching task decreased to the patient level. However, when only the central feature was masked, forcing normal observers to rely on the whole face but the fixated feature, their performance was almost not affected. In contrast, the prosopagnosic patient's performance decreased dramatically in this latter condition. These results were independent of the absolute size of the face and window/mask. This dissociation indicates that expertise in face recognition does not rest on the ability to analyze diagnostic local detailed features sequentially but rather on the ability to see the individual features of a face all at once, a function that is critically impaired in acquired prosopagnosia.     

运用中医整体观综合治疗代谢综合征的探讨

整体观念是中医学的基本特点之一。通过西医、中医对代谢综合征的认识及其异同,明确代谢综合征的诊断,提出预防八法、综合治疗三大原则及五种方法。     

坚持科学发展观 创建节约型医院

“看病难、看病贵”问题已成为社会反响强烈的热点问题。医院成为矛盾的聚集地，但不是问题的发源地。医院只有坚持科学发展观，从自身出发，通过挖掘潜力、强化管理等措施创建节约型医院，来缓解“看病难、看病贵”的问题。     

坚持科学发展观努力构建节约型医院

在新的世纪,节约有了新的时代内涵。节约已不是过去贫穷时的捉襟见肘和窘迫无奈,而是在相对富足条件下的自我节制和自主追求,是一种在科学发展观指导下的崭新的文明境界与道德风尚。节约型医院中的"节约",一是指医院采取各种有效措施,科学高效地管理、利用有限的医疗卫生资源;二是行医过程中,坚持合理用药、合理检查、合理收费,在不影响医院合理收入的情况下,尽量降低病人费用,减轻病人负担,创造社会效益。     

以科学发展观创建医院先进文化

本文探讨了医院文化在医院建设中的作用,强调医院文化建设是现代医院管理的重要组成部分,创建医院先进文化对医院全面发展有着重要的意义。提出了深刻理解科学发展观的内涵,才能建设先进的医院文化观念;积极适应科学发展观的要求,才能理清医院文化建设的思路。