Transsexualism: Some Theological and Ethical Perspectives

Abstract : The debates in church and theological circles regarding sexuality have been dominated by the subject of homosexuality. There has been far less theological discussion and ethical reflection regarding transgendered people and transsexualism in particular. This article introduces readers to some basic facts about transsexualism and to a selection of theological and ethical responses to this phenomenon with particular attention to how the notion of “disordered sexuality” is a factor in both the debate over the ethical status of transsexualism and homosexual unions.     

海绵窦区病变外科处理策略

为探讨海绵窦区病变的外科治疗策略,回顾性分析了58例不同性质的海绵窦病变病例的临床资料、治疗方法和治疗效果,发现根据病变的不同性质和不同的生长方式个性化地采用不同的治疗方法可在最大限度治愈病变的同时,保护颅神经的功能,获得良好的治疗效果。     

腹腔镜在盆腔炎中的应用

急性盆腔炎发病率高,并发症多,是常见妇科急腹症之一,而早期明确诊断和及时处理是治疗成功的关键。本文初步探讨了腹腔镜作为一种检查和治疗的手段在急性盆腔炎的应用价值,结果提示其具有较好的临床应用价值。     

The influence of perceived family support on post surgery recovery

The objective of this work was to investigate the possible relationship between perceived family support, levels of cortisol and post surgery recovery. The study sample comprised 42 patients that were due to undergo open cholecystectomy surgery in a Regional Health Authority Reference Centre of the Autonomous Community of Extremadura in Spain. The FACES-II questionnaire was used for the evaluation of perceived family support and to measure the three fundamental dimensions of perceived family behaviour: cohesion, adaptability and family type. The day before surgery, a sample of saliva was taken from each subject in order to determine the level of cortisol. Results showed a clear relationship between family support and recovery. Patients with higher scores on the Cohesion Scale demonstrated better post surgery recovery (F = 8.8; gl = 40; p = .005). A relationship between levels of cortisol, perceived family support and recovery was also revealed. Patients with lower scores on the Cohesion scale and higher cortisol levels demonstrated poorer post surgery recovery (F = 10.96; gl = 40; p = .006). These results are coherent with other studies that have highlighted the beneficial effects of perceived family support on mental and physical health.     

Morphological and morphometric changes in the faces of female-to-male (FtM) transsexual people

Facial changes associated with the administration of exogenous testosterone and bilateral oophorectomy in female-to-male (FtM) transsexual people (trans men; trans males) has not been previously documented. This study aimed to describe the qualitative and quantitative transformation from a female to a male facial appearance and to identify predictable patterns of change. Twenty-five trans men were studied using morphological and morphometrical analysis of pre-transition 2-D images and post-transition 3-D scan models. The mean subject age was 39 years and all subjects had been taking testosterone for at least 3 years, with a mean duration of therapy of 8.6 years. While 32% of subjects were classified by a majority of observers as male appearing in pre-transition photographs, this rose to 95.5% in post-transition images. Eighty-six percent of subjects demonstrated an increase in male classification after transition. Morphometrically, 44% of subjects became wider in the face overall and 100% of subjects measured demonstrated a narrower nose after transition. Testosterone virilizes adult female faces and will cause widening of the face. The most consistent facial change was the production of a narrower nasal width at the alae, which may be a result of fat re-deposition not related to ageing effects or body mass index (BMI).     

患者自控镇痛技术防治开胸手术后胃肠道功能紊乱的临床思考

胃肠道功能紊乱是开胸手术后一种常见而严重的并发症,本文指出了它的危害,探讨了它产生的原因,并阐述了患者自控镇痛技术对开胸手术后胃肠道功能紊乱的防治作用及其局限性,为防治该并发症提出新的临床思路。     

重视手术委托知情同意 预防小儿外科医疗纠纷

造成小儿外科医疗纠纷的重要因素是医患沟通不够、缺乏信任和理解。知情同意是加强医患沟通和信任的重要方式。深入理解并实现患儿及家属的知情同意权,重视和做好手术委托知情同意书的签署,合理履行告知说明义务,让家属在充分知情基础上做出自主的理性的选择,可缓解紧张的医患关系,减少医疗纠纷的发生。     

人工椎间盘置换术中的循证医学证据

循证医学（evidence—based medicine,EBM）作为一门新兴的交叉学科越来越广泛地被用来进行临床评估和决策。人工椎间盘置换技术的发展为椎间盘退行性病变的治疗提供了符合现代医学模式的新方法。循证医学在人工椎间盘置换研究中的应用不仅有助于为其提供可信、有力的临床证据,而且有丰富的哲学内涵。     

NICE帕金森病指南与循证医学的人文精神

循证医学是一种人性化的医学实践方法,最近发布的英国国家临床最优化研究所(NICE)帕金森病(PD)指南,即<帕金森病诊断与管理指南--第二次咨询稿>,充分体现了PD诊疗决策中的人文关怀和循证医学的人文精神.作者从NICE指南的指导思想、医患交流及姑息护理阐述了PD诊治中的人文思想和循证医学对医学人文精神的不断追求.     

我国肢体残疾病人矫形治疗的现状分析

我国肢体残疾病人的发病率、病种分类、病情特点、医疗需求的实际情况如何?矫形外科医生队伍的建设与学术研究现状怎样?众多的肢体残疾者是否得到正确的矫形外科治疗?骨科学术界缺乏这样的分析。作者实施了2万多例各种肢体残疾的矫形手术,对其中16678例病人进行了统计分析,结果发现,近10余年来我国大医院进入以市场为主导的发展阶段,外科治疗下肢畸形与残疾的矫形外科专业,由于缺乏强大的市场推动、治疗过程较复杂等原因,而被忽视。我国矫形外科医师严重缺乏,某些下肢残缺的矫形手术治疗甚至人才断档。从而出现数以百万计的各种肢体残疾病人,因为缺少经济能力和矫形外科医师,没有得到正确的矫形外科治疗。作者分析了我国肢体残疾病人的发生率、病种、病情特点、年龄分布、经济状况和医疗需求,提出了解决这一问题的对策和建议