如何面对失败的隆胸手术

成功的隆胸手术能够让女性更美丽,但手术失败势必给患者的生理和心理带来巨大的打击.如何正确面对失败的隆胸手术是摆在医患面前的一个严肃的课题.本文详细列举了隆胸手术失败的危害,系统分析了造成隆胸手术失败的原因,积极思索了隆胸手术失败时如何有效的补救.     

两种麻醉方式在门诊隆胸手术中的应用比较

为了比较瑞芬太尼-丙泊酚静脉麻醉与利多卡因硬膜外神经阻滞在门诊隆胸手术中的应用效果,选取ASAⅠ级行门诊隆胸手术患者80例,随机等分为瑞芬太尼-丙泊酚静脉麻醉组(A组)和利多卡因硬膜外神经阻滞组(B组)。观察两组患者围手术期的麻醉效果和术后2h内不良反应发生情况。结果显示,A组麻醉效果显著优于B组,且术后2h内发生的不良反应明显少于B组。     

两种麻醉方式在门诊隆胸手术中的应用比较

为了比较瑞芬太尼-丙泊酚静脉麻醉与利多卡因硬膜外神经阻滞在门诊隆胸手术中的应用效果,选取ASA I级行门诊隆胸手术患者80例,随机等分为瑞芬太尼-丙泊酚静脉麻醉组(A组)和利多卡因硬膜外神经阻滞组(B组).观察两组患者围手术期的麻醉效果和术后2h内不良反应发生情况.结果显示,A组麻醉效果显著优于B组,且术后2h内发生的不良反应明显少于B组.     

失败与复兴

一旦软弱失败,要真诚悔改,重得灵性的复兴。经文:诗51:10、17;代下7:14;王上15:5圣经记载:“大卫除了赫人乌利亚那件事,都是行耶和华眼中看为正的事,一生没有违背耶和华一切所吩咐的。”(王上15:5)大卫有许多优点,但也有严重的失败,今天我们一起来看大卫如何失败,以及他在失败中怎样忧伤痛悔、接受神的管教,并重新得到复兴。大卫犯罪失败,使他的家遭祸患,导     

学习困难儿童学业失败自我归因特点研究

自我归因指的是人们如何对自己的行为进行解释及成因推论.有关学习困难儿童的研究,涉及到外部特征及学校、家庭、社会对他们的影响的较多,而对内部因素,尤其是他们如何看待、解释自己的学业失败,即对他们学业失败的自我归因研究较少.自我归因作为主体意识,无论其正确与否,一旦形成都会对个体的情绪、态度、行为及未来的预期产生重大影响,本研究试图探讨学习困难儿童学业失败自我归因的特点.     

从一起医疗纠纷看医务人员如何面对知情不同意

案情摘要：患者张某,女,45岁,因“咽痛反复发作六年余”入院,初步诊断：慢性扁桃体炎。某日行双侧扁桃体摘除术,术后2小时患者出现出血需二次手术止血。医师向患者及家属告知病情,签署手术同意书,患者家属认为是医院第一次手术失败,不愿意再次签署同意书,医患双方发生纠纷。     

腰椎间盘突出症手术失败的原因分析与思考

腰椎间盘突出症是骨科临床中的常见病,腰椎间盘切除术已成为治疗该病的重要手段而被广泛应用。然而,诸如定位错误、神经根损伤、椎间盘炎、腰椎失稳等严重手术失误与并发症时有出现,成为骨科医师的一大困扰。分析腰椎间盘手术失败的原因及再手术问题,辩证思考腰椎间盘切除术的必要性与合理性,为临床实践和进一步研究提供思路。     

当代低年级大学生人际交往心理

当代大学生渴求交往，并且有强烈的交往意识，大学生人际交往能力已成为社会适应能力的标志之一。但在交往过程中，许多大学生并不能很好地处理好人际交往关系从而导致交往失败。本文将着重分析大学生中人际交往失败的原因以及如何进行人际交往。     

剖宫产手术弥散性血管内凝血的临床应对策略

弥散性血管内凝血(disseminated intravascular coagulation,DIC)是剖宫产手术期间一种严重且处理困难的并发症,本文剖析了剖宫产手术期间DIC的诸多危害,讨论了医务人员如何才能有效地应对这种情形的DIC。最后,针对如何提高剖宫产手术期间DIC的处理能力,作者进行了深入的思考。     

创业失败与再创业意向的作用机制

近年来, 我国政府对创业支持力度不断加强, 创业活动日益活跃, 但失败率却居高不下。如何让创业者在遭遇失败后仍能保持再创业的意向是当前亟待解决的现实问题。拟综合采取横向问卷调查、纵向时间对比以及情景模拟实验的方法, 一方面探讨成就目标导向和社会比较在创业失败和创业失败学习之间的有中介的调节作用; 另一方面分析创业失败学习、创业自我效能感在创业失败和再创业意向之间的链式多重中介作用机制, 寻求由创业失败到再创业意向的不同路径, 这种探讨具有理论创新价值。依据实证研究的结论在实践中指导创业者通过上行比较, 锁定学习目标, 激发再创业意向; 通过提高自我怜悯水平, 使创业者摆脱消极情绪的困扰, 激发掌握性学习动机, 确立再创业的意向, 对于创业者具有重要指导意义。社会比较和自我怜悯的干预研究具有鲜明的中国文化特色。     

隆乳术的演变与进步

隆乳术不仅可以重塑女性的形体美,而且可以增强女性的自信心,在当前具有广阔的市场。纵观隆乳术的发展演变史,从最初的注射隆乳术到自体组织隆乳术,再到当前的假体隆乳术和自体脂肪移植隆乳术,经历了“实践、认识、再实践、再认识”的多次反复。各种隆乳方式各具特色,其间既有成功的经验,又有失败的教训。针对隆乳术安全性的改进推动了隆乳术的不断向前发展。寻找一种安全有效的隆乳方式和理想的隆乳材料成为当前隆乳术发展的关键和整形外科医师关注的重点。     

To Learn the World Again: Examining the Impact of Elective Breast Surgery on Body Schema

This paper comprises a feminist phenomenological exploration of women’s experiences with breast augmentation and breast reduction. Situating the results of semi-structured interviews in the context of body schema, this study discloses how women perceive, think, feel and respond to bodily change created by elective breast surgery. Women’s narratives express that breast augmentation and reduction shifted their conception of the lived body and its possibilities by provoking bodily reorientations and adjustments as well as changes in bodily sensations. In contrast with body image studies that emphasize elective breast surgery as transforming attitudes towards the body, this phenomenological investigation reveals that elective breast surgery also galvanizes a relearning of the world and a rearticulation of embodied doing.     

Reflex modification by acoustic signals in newborn infants and in adults

This research asked whether the reflexive eyeblink elicited by a tap to the glabella (the flat region of skin between the eyebrows) is modified by acoustic signals which either precede or accompany the tap. Five experiments employing identical reflex modification procedures on neonates and adults suggest developmental differences in processing auditory stimuli. Neonates failed to exhibit reflex inhibition by either prior acoustic or tactile stimuli. Adults exhibited robust reflex inhibition to these same stimuli. Neonates, however, exhibited reliable reflex augmentation when mild (70 dB re: 0.0002 dyne/cm2) tones were presented simultaneously with the tap. For adults, tone intensities of at least 90 dB were necessary to obtain reliable reflex augmentation. The developmental processes implied by these findings are discussed.     

Negotiating control: Patients’ experiences of unsuccessful weight-loss surgery

Interviews were carried out with 10 men and women who had undergone weight-loss surgery (WLS) up to 10 years ago and felt that it had failed. Seven had had a further successful procedure. Data were analysed using Interpretative Phenomenological Analysis. Weight regain following surgery was explained in terms of either the mechanics of the operation or with participants describing ways to ‘cheat’ as food continued to be used for emotional regulation. Everyone spoke of how surgery neglected their mind. Following the second successful surgery, participants described changes in both their eating behaviour and cognitions emphasising how their mind had been brought ‘in gear’ through the investment of two invasive procedures. Transcending all accounts was the mind/body relationship and the issue of control with attributions for both failed and successful surgery shifting from the self to the surgical mechanism as the participants negotiated the pathway between self-blame and responsibility and utilised conflicting frameworks in which the mind and body were either divided or united. Whereas failed surgery is characterised by a battle for control, successful surgery involves handing control over to their restricted stomachs or considering WLS as a tool to be worked with.     

Negotiating control: patients' experiences of unsuccessful weight-loss surgery

Interviews were carried out with 10 men and women who had undergone weight-loss surgery (WLS) up to 10 years ago and felt that it had failed. Seven had had a further successful procedure. Data were analysed using Interpretative Phenomenological Analysis. Weight regain following surgery was explained in terms of either the mechanics of the operation or with participants describing ways to 'cheat' as food continued to be used for emotional regulation. Everyone spoke of how surgery neglected their mind. Following the second successful surgery, participants described changes in both their eating behaviour and cognitions emphasising how their mind had been brought 'in gear' through the investment of two invasive procedures. Transcending all accounts was the mind/body relationship and the issue of control with attributions for both failed and successful surgery shifting from the self to the surgical mechanism as the participants negotiated the pathway between self-blame and responsibility and utilised conflicting frameworks in which the mind and body were either divided or united. Whereas failed surgery is characterised by a battle for control, successful surgery involves handing control over to their restricted stomachs or considering WLS as a tool to be worked with.     

Using Sexual Appeals in Advertising to Sell Cosmetic Surgery: A Content Analysis from 1986 to 2007

This study provides an account of how sexual appeals are used to promote cosmetic surgery. A content analysis of advertisements appearing between 1986 and 2007 in large city magazines reveals that advertisements position surgery as a means of boosting sex-esteem, and enhancing one’s sexual attractiveness, a pattern different from that of branded consumer products and services. Invasive procedures such as liposuction and breast augmentation are the top procedures advertised with sexual appeals and most advertisements feature nude or partially-nude white female models. The findings help expand knowledge about cosmetic surgery advertising, how sex is used to sell an ideal beauty standard attainable through invasive medical services, and the use of sexual content in a new context, that of medical-related advertising for cosmetic surgery.     

ICU长期机械通气患者撤机困难的因素分析

为探讨ICU长期机械通气患者撤机困难的原因,回顾性分析大连医科大学附属第一医院重症医学科的62例长期机械通气患者的临床资料,回顾撤机过程,分析其撤机成功或失败的原因。结果显示,62例长期机械通气患者,34例成功撤机;10例死亡;18例因各种原因出现撤机困难,其中运动神经元病1例,脑外术后2例,间质性肺病4例,慢性阻塞性...     

Bouncing Back: How Salesperson Optimism and Self-Efficacy Influence Attributions and Behaviors Following Failure

Previous research reports a relationship between attributions and specific behaviors following a failed sales call. This study investigates the influence of individual differences on both the attribution process and the relationship between attribution and the behavioral intentions of sales representatives following a failure using a sample of financial services salespeople. This research reveals the important roles that optimism and self-efficacy play in shaping salespeople’s attributions for failed sales calls and in their behavioral responses to attributions for failure. Implications for managers and future research are discussed.     

Social justice, federal paternalism, and feminism: breast implants in the cultural context of female beauty.

In April 1992 the Food and Drug Administration (FDA) announced it was restricting the availability of silicone gel-filled breast implants to women enrolled in clinical trials. All candidates for breast reconstruction, but only a "very limited" number of augmentation candidates, would have access to the implants. This policy has been criticized as paternalistic, sexist, and unjustified by scientific data. I examine these charges and conclude that controversy surrounding the scientific data weakens the FDA's paternalistic mandate and that its policy of treating reconstruction and augmentation candidates differently results in increased social injustice and perpetuates cultural biases concerning female beauty and women's rights to control their bodies. I also argue that these cultural biases shape women's subjective experience of their physical selves and should not, contrary to some feminist arguments, be viewed as precluding their giving informed consent to breast surgery.