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总结了８１例房间隔缺损（ＡＳＤ）手术治疗体会,治愈率达９８．８％,无１例死亡．ＡＳＤ占同期先心病手术总数的３６％,ＡＳＤ合并心内其它畸形的占ＡＳＤ总数的２５．９％．本文就ＡＳＤ的修补方法和合并畸形的处理方法,及手术注意事项进行了探讨．从而得出这样的结论,ＡＳＤ手术疗效是肯定的,但要根据ＡＳＤ的不同类型,大小采取不同的修补方法,并正确诊断及纠正心内合并畸形,防止并发症发生是手术成功的关键． 相似文献
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夜磨牙症可以引起颞下颌关节紊乱综合征，我们通过临床检查发现 干扰是夜磨牙症的一个主要因素，采用 垫治疗，５７例患者痊愈３０例，占５２．６３％；显效１３例，占２２．８１％；有效１０例，占１７．５４；无效４例，占７．０２％．总有效率８２．９８％．认为 垫有助于改善 关系，对于治疗夜磨牙症有肯定的效果． 相似文献
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自拟胰康汤治疗慢性胰腺炎45例 总被引：1，自引：0，他引：1
目的：观察自拟胰康汤治疗慢性胰腺炎的临床疗效。方法：对45例慢性胰腺炎患者采用自拟胰康汤随证加减治疗。结果：治愈23例，占51．1％；好转20例，占44．4％；无效2例，占4．4％；总有效率为95．5％。结论：自拟胰康汤随证加减治疗慢性胰腺炎疗效显著，值得推广。 相似文献
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杨秀萍 《泰州职业技术学院学报》2004,4(4):75-76
目的研究氢氧化钙根尖诱导术对保存年轻恒牙的作用。方法观察67例牙进行牙根尖诱导治疗的疗效。结果成功57例，占85．07％；显效7例，占10．45％；失败3例，占4．48％。结论显示用氢氧化钙进行根尖诱导是一种有效、可靠的治疗方法。 相似文献
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高校教师队伍建设的现状分析与对策 总被引：22，自引：0，他引：22
教育部人事司教师队伍建设研究课题组 《中国高等教育》1999,(11)
高校教师队伍的现状和问题教师队伍总量和宏观结构１９９７年底,全国１０３２所普通高校共有专任教师４０．４５万人,其中教授３．５９万人,副教授１１．４万人,分别占教师总人数的８．９％和２８．３％。与１９９０年相比,教授、副教授的人数分别增长了１２１％和３２％。专任教师队伍中,具有研究生毕业学历的１０．６６万人,占教师总数的２８．２％,与１９９０年相比,具有研究生毕业学历的教师比例增长了６．９个百分点。中国科学院院士中的３８％,中国工程院院士中的３０．８％为高校教师。学历层次和高职比例从主管部门看,教… 相似文献
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发达国家农村成人教育现状及特点西南师大张传燧在发达国家，直接从事农业的劳动力在社会总劳动力中所占的比重越来越小，如美国为２．４％，英国为２％，法国为５．５％，加拿大为３．５％．丹麦为４．９％，日本为５．２％，澳大利亚为５．２％，前苏联也只占１３．６％... 相似文献
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膝关节损伤是各种运动项目中运动创伤发病率最高的，经统计占25．82％[1]。应用推拿加平衡针疗法，治疗膝关节运动损伤32例，其中痊愈22例，占68．76％，显效8例占25％，进步2例，占6．25％。膝关节运动损伤的原因与专项技术特殊要求、忽视放松活动及动作不正确有关。 相似文献
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朱遂银 《荆门职业技术学院学报》2002,17(3):78-79
采用针刺结合T．D．P多功能治疗仪照射治疗周围性面瘫22例，结果痊愈率为86．3％，显效者占9％，好转者占417％，总有效率为100％，优于其它疗法． 相似文献
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目的：探讨门脉高压性胃病并发上消化道出血的护理方法。方法：选择2012午1月-2013年lO月内科治疗的门脉高压性胃病并发上消化道出血58例患者予早期科学的护埋干预并评估其效果。结果：58例患者中好转出院52例,占89．7％;死亡4例,占6．9％;自动出院2例,占3．4％;上消化道再出血3例,占5．2％。结论：通过早期护理干预积极配合临束治疗,可解除患者的心理压力,减轻出血和预防再出血,降低死亡率。值得临床推广。 相似文献
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目的：研究乳腺肿瘤组织印片细胞学检查与组织病理学定性诊断符合率,探讨印片细胞学检查在临床病理学诊断中的应用价值。方法：回顾性分析2004-01—2008-01月采用印片法观察123例新鲜离体乳腺包块,与组织病理切片诊断结果对照分析。结果：总体定性诊断符合率95．93％（118／123）,其中恶性肿瘤96．3％,良性肿瘤为95．2％,误诊率为2．44％。结论：组织印片细胞学检查是组织病理学诊断一种有效的补充,也是对术中切除组织筛检定性的一种快捷方法。 相似文献
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Three hundred forty-two anonymous surveys regarding unwanted sexual experiences (USE) were filled out in three clinic sites: a pediatric sexual abuse clinic, family practice clinic, and family planning clinic. In the latter two clinics, 40% of females and 16% of males had at least one unwanted sexual experience prior to turning 18 years old. Only 91% of the sexual abuse clinic patients indicated their experience was unwanted. In addition, 27% of the subjects had wanted sexual experiences that were illegal and underreported: These experiences involved a partner at least 4 years older or younger. While feelings of victimization were most common, self-blame and naivete about the abuse were also frequently reported, especially in those who had an USE with a peer. Ambivalence, self-blame, and peer pressure were associated with a lower tendency to disclose one's USE. Although unwanted and illegal sexual experiences were less common in Hispanic females, feelings of self-blame and ambivalence regarding their USE were more frequent in comparison with White females. These findings have important investigative and therapeutic implications for professionals who encounter victims of sexual abuse. 相似文献
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Kenneth W. Feldman Carol Jenkins Tyler Laney Kristy Seidel 《Child abuse & neglect》2009,33(10):709-716
ObjectivesWe sought to evaluate child, parent and medical provider preferences for chaperones for outpatient encounters and to evaluate the acceptability and frequency of utilization following institution of a chaperone policy. Secondarily, we sought to understand what medical history and examinations teens consider “sensitive.”DesignWe conducted an observational study 1 month before and 1 month after institution of outpatient clinic chaperone policy. Post clinic questionnaires were used for patients ≥12 years old, parents, and clinicians. A research assistant observed chaperone use.SettingAdolescent Medicine, Urology, and Rehabilitation Clinics at a regional, tertiary-care pediatric hospital, in a major metropolitan area were studied.ParticipantsConvenience sample: 117 clinic patients during control period and 119 after policy implementation.Main outcome measuresPreferences for and satisfaction with chaperone use were documented.ResultsAlthough non-parent chaperones were usually declined (99.6%), offers were appreciated. Non-parent chaperone use increased modestly (5.3–18.1%).Most patients preferred not to have non-parent chaperones. This preference was greater among older patients (88%), than early teens (52%). After experiencing sensitive examinations, more young adolescent patients (89%) wished their parent had been present than older patients (38%). Patients’ opinions about what constitutes “sensitive” questions and examinations and chaperone preferences varied widely. Providers often did not recognize issues patients and parents considered sensitive questioning (21% agreement), but recognized sensitive physical examinations better (74% agreement). Providers felt chaperones had been a detriment to examination and exams would have gone better without one only 1% of the time.ConclusionsAlthough usually declined, offers of chaperones were appreciated and use of non-parent chaperones increased modestly. Offering chaperones for sensitive examinations may remind providers about appropriate, respectful patient encounters. Implications for children's hospitals’ patient safety and satisfaction, and institutional staff protection and costs are significant.Practice implicationsQuestions and examinations which patients consider sensitive vary widely. Asking patients for their preferences for examination chaperones may reassure them about the appropriateness of examinations, remind staff to conduct respectful examinations and protect providers from accusations of impropriety. Since most chaperone offers are declined, the cost of asking is likely to be minimal. 相似文献
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目的:结合文献探讨骨旁脂肪瘤的命名、病因、临床病理表现和影像学特点.方法:将国内文献的15例一起列入临床资料分析,本病发生于任何年龄,成人多见,以四肢长管状骨为好发,右侧多于左侧,其次发生于扁平骨(骨盆、肩岬骨、肋骨)、不规则骨(腰椎、骶尾椎)、短管状骨和跗骨;本文22例术前均行X线摄片,7例行CT检查,2例行MRI检查.结果:本病临床误诊率为40.91%,X线误诊率27.27%,CT及MRI诊断率100%;22例均手术切除,病理报告为脂肪瘤,有2例低度恶变;随访2年5例,3年2例(包括恶变1例),4年2例,无一例复发.结论:骨旁脂肪瘤是最佳的命名,病因未明,但与遗传、先天因素、创伤和炎症因素有关;病理表现为带骨蒂的脂肪瘤,细胞学形态为脂肪组织;影像学具有特征性表现;包膜外边缘切除加基底部骨突切除是治疗和防止本病复发的可靠方法. 相似文献
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Solveig Danielsen Eric Boa Moses Mafabi Emmanuel Mutebi Robert Reeder Flavia Kabeere 《The Journal of Agricultural Education and Extension》2013,19(2):183-201
Abstract Purpose: This study developed a framework for quality assessment of diagnoses and advice given at plant clinics. Design/methodology/approach: Clinic registers from five plant clinics in Uganda (2006–2010) were used to develop quality assessment protocols for diagnoses and advice given by plant doctors. Assessment of quality of diagnoses was based on five validation criteria applied on the ten most common crops. Quality of advice was assessed for the four major problems considering efficacy and feasibility. Findings: The quality of diagnoses varied between crops, from 68% completely validated in maize to 1% in tomato. Complete and partially validated diagnoses were 44% of all queries. The remaining 56% were rejected. Several basic weaknesses were found in data recording and symptom recognition. A greater consistency and precision in naming diseases would increase the number of completely validated diagnoses. The majority of recommendations (82%) were assessed ‘partially effective’. ‘Best practice’ was recommended for 10% and ineffective advice was given in 8% of the cases with considerable variation between diseases. Practical implications: Plant doctors need more training in symptom recognition, pest management and record keeping as well as better technical backstopping to solve unknown problems. Common standards and procedures for clinic data collection and analysis should be established, and roles and responsibilities clearly defined. Originality/value: This is the first time plant clinic registers have been used to systematically assess quality of plant clinic services. Apart from being a valuable tool for quality assessment of extension, the plant clinic registers constitute a novel source of regular information about pests, diseases and farmer demand that can help improve decision-making of extension service providers, researchers, plant health authorities as well as information and technology providers. 相似文献
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W G Wagner 《Child abuse & neglect》1991,15(1-2):99-104
A total of 104 mothers whose children were receiving a psychological evaluation at a university outpatient clinic completed the Beck Depression Inventory (BDI) as part of their child's evaluation. Of these, 32 (31%) mothers were seeking treatment for children who were victims of intrafamilial sexual abuse, 26 (25%) were requesting help for child victims of extrafamilial sexual abuse, and 46 (44%) were seeking counseling services for nonabused children who were exhibiting a variety of common childhood problems. Although there was no significant group difference for BDI raw scores or BDI score categories (i.e., Normal Functioning, Moderate Depression, Moderate-Severe Depression, Extremely Severe Depression), results revealed that 16 (50%) of the intrafamilial abuse mothers, 18 (69%) of the extrafamilial mothers, and 23 (50%) of the mothers of nonabused children reported experiencing at least a moderate degree of depression. Results are discussed relative to their clinical significance, and recommendations are provided for future research with mothers of sexually abused children. 相似文献
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Clinical and psychoeducational data were analyzed for 119 children ages 8 to 16 years who were evaluated in a child diagnostic clinic. A learning disability (LD) was present in 70% of the children with attention-deficit/hyperactivity disorder (ADHD), with a learning disability in written expression two times more common (65%) than a learning disability in reading, math, or spelling. Children with LD and ADHD had more severe learning problems than children who had LD but no ADHD, and the former also had more severe attention problems than children who had ADHD but no LD. Further, children with ADHD but no LD had some degree of learning problem, and children with LD but no ADHD had some degree of attention problem. Results suggest that learning and attention problems are on a continuum, are interrelated, and usually coexist. 相似文献
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目的:探究社区健康教育在腰椎间盘突出症(LDH)患者治疗中的应用。方法:随机选取112例腰椎间盘突出症患者,均分为对照组与观察组,对照组门诊治疗时、住院治疗给予常规健康教育,观察组在对照组基础治疗上,出院后继续给予社区健康教育。观察并比较两组患者疗效、掌握健康知识测评得分、JOA得分、随访后健康教育结果。结果:观察组总有效率100%显著高于对照组83.93%,χ2=9.061,P=0.000;观察组基本治愈36例(64.29%)显著高于对照组28例(50.00%),观察组无效0例(0.00%)显著低于对照组9例(16.07%),P<0.05;观察组健康知识测评得分(8土1.27)分显著高于对照组(4±1.10)分,P<0.05;健康教育后,观察组JOA得分(22.54±3.57)分显著高于对照组(18.54±2.68)分,P<0.01;健康教育满意度观察组54例(96.43%)、复发率3例(5.37%)显著优于对照组,P<0.01;结论:社区健康教育应用于防治LDH,防治效果显著,复发率低,安全性高,具有较高的应用价值,值得推广应用。 相似文献
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吴家钏 《泰州职业技术学院学报》2002,2(3):50-51
应用国产环孢素联合治疗难治性特发性血小板紫癜(ITP)20例。总有效率85％。该方案治疗难治性ITP疗效好，不良反应轻，安全可靠，值得推广。 相似文献