肥胖症患者的行为治疗与干预

行为疗法是治疗肥胖症常用、有效地一种方法。国外行为治疗一般有评估阶段、实际治疗阶段、治疗过渡阶段和治疗保持阶段,包括认识行为改变的准备动机、认知重组、目标确定、自我监督、刺激控制、应激处理、社会支持、反弹干预等组成成份。行为治疗需和其他方法整合有效治疗肥胖症。     

Joseph and His Brothers: A Biblical Paradigm for the Optimal Handling of Traumatic Stress

The long-lasting effects of emotional trauma and the important role of unconscious emotional defenses have become increasingly recognized only in the past century. Yet their role is actually manifest, although still overlooked, in one of the most well-known of biblical stories. This paper presents the story of Joseph and his brothers, and the important lessons it teaches about unconscious defenses and the optimal handling of emotional trauma.     

Conducting clinical research in Polish conditions

This paper comments on Polish legal guarantees for diseased persons with reference to the hazards that accompany experimental treatment. While acknowledging that participation in a clinical research program provides patients with additional opportunities for advanced treatment, the paper also points out that systems for monitoring patients participating in experimental treatment require improvement. This paper was presented at the 6th International Bioethics Conference on the subject of ‘The Responsible Conduct of Basic and Clinical Research’, held in Warsaw, Poland, 3–4 June 2005.     

高血压个体化治疗的哲学思考

高血压病是全球范围内最常见的心血管系统疾病,其发病率,死亡率和致残率高,是严重危害人们健康的疾病之一。高血压个体化治疗是根据患者的具体情况,选择适宜的药物和治疗方案,从而达到最有利于患者的治疗效果。从哲学的角度对高血压个体化治疗的依据。目的和措施进行综合分析。     

‘Only connect’ – a sexually abused girl's rediscovery of memory and meaning as she works towards the transition from a therapeutic community to a foster-family

This paper looks at the role of individual psychotherapy with a severely sexually abused girl in a therapeutic community, and the place of this work as she makes the transition into foster-care. It emphasizes the importance, not only of the individual work, but also of the drawing together of the work around the child, particularly at such a critical time. There is discussion of the ideas of ‘deadness’ versus ‘aliveness’ in the therapy, and detailed case material is used.     

Assessment of Parental Acceptability and Preference for Behavioral Interventions for Childhood Problem Behavior in Saudi Arabia

Abstract

The present study assessed the treatment acceptability and preference for common behavior management strategies with parents of children with Autism Spectrum Disorder in Saudi Arabia. Specifically, parents were asked to evaluate medication, positive reinforcement, response cost, spanking, and timeout using a treatment acceptability measure. Results indicated that positive reinforcement had the highest average acceptability score, and that spanking had the lowest acceptability score. Treatment preference rankings corresponded to treatment acceptability ratings for all interventions assessed. Implications for working with diverse families and contexts are highlighted, and potential avenues for further research are described.     

合理使用抗茵药物的伦理决策

中国是世界上滥用抗菌药物最为严重的国家之一,抗菌药物滥用会导致耐药菌株形成、不良反应发生、加重社会和患者经济负担三个主要问题。人类合理使用抗菌药物成为当今社会关注的热点问题,从临床角度阐述了合理使用抗茵药物中若干医学伦理问题,医疗政策、医院管理对抗菌药物合理使用影响的不可替代性;合理使用抗菌药物是良好医患关系的注释;合理使用抗菌药物是医患关系伦理要求。抗菌药物合理使用要求医生必须要有相应的伦理决策能力;抗菌药物合理使用要求医生要主动参与社会伦理讨论;抗菌药物合理使用是多方面共同努力的结果。     

高血压中等量脑出血微创抽吸与内科治疗的对比研究

对比研究微创穿刺血肿吸除与内科保守治疗中等量高血压脑出血患者的临床效果.对82例高血压中等量脑出血患者行回顾性分析,随机分为研究组(微创穿刺吸除)和对照组(内科保守),对比两组患者的临床疗效、并发症及死亡情况.研究组临床有效率(92.68％)明显优于对照组(70.73％)(P＜0.05);研究组在并发症发生率(7.32％)与病死率(2.43％)方面显著低于对照组(29.27％,14.53％) (P＜0.05).微创穿刺血肿吸除治疗高血压中等量脑出血可提高疗效、降低并发症发生率及病死率.     

肺癌防治三层一体整合医疗体系的建立

探索建立肺癌防治整合医疗模式的具体实施方案并对其效果进行评估.在大港医院建立肺癌防治整合医疗模式：由通科人才管理治疗患者、专科人才会诊治疗患者、健康管理师追踪管理患者的管理方式.把肺癌患者的诊断治疗分为三个层次,即对肺癌患者的癌症诊断治疗、宿主管理、危险因素调控三个层面的关注、管理和治疗,三个层面成为统一整体同时或序贯实施,即建立＂肺癌防治三层一体整合医疗体系＂.新的肺癌防治整合医疗模式作为整合医疗模式的具体体现,设计完整,已经形成体系.＂肺癌防治三层一体整合医疗体系＂设计合理,容易实施,可以推广.