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931.
徐柏郁 《医学与哲学(人文社会医学版)》2008,29(9):24-25
子宫肌瘤是妇科最常见的良性肿瘤,发病率高、恶变率低,目前治疗方法较多,但各有利弊;众多子宫肌瘤患者从医心理复杂,甚至难以配合治疗,医生应针对不同部位、大小、症状的肌瘤及患者的不同年龄、生育需求和心理状态,制定出个体化、人性化治疗方案,以期取得患者机体和心理均满意的和谐疗效。 相似文献
932.
安民兵 《医学与哲学(人文社会医学版)》2008,29(8):60-61
儿童抑郁症的比例近年来有逐渐上升趋势,但是却未受到充分的重视,解决方式也容易陷入误区。儿童抑郁症,临床表现为生理、行为、情绪、认知等多个方面,病因则涉及到生理遗传、家庭环境、学校教育、社会变迁等因素。因而,其治疗手段也应是整体性的,包括家庭、心理、药物、行为等方面。 相似文献
933.
新辅助化疗作为治疗宫颈癌的一种新的辅助手段,尽管在各期治疗中都取得了很好的效果,但是尚处在临床研究阶段,对其化疗方案、给药途径、治疗的长期疗效等仍存在很大的争议,矛盾无处不在,无时不有,只要我们抓住治疗中的主要矛盾,把握矛盾的主要方面,趋利避害,就能有效治疗宫颈癌。 相似文献
934.
股骨头坏死治疗方案的比较及选择 总被引:1,自引:0,他引:1
股骨头坏死是骨科领域常见且难治性疾病,其治疗方式多种多样,目前尚无一种方法能治愈不同类型、不同分期的FHN。本文依据比较治疗学原理,通过比较股骨头坏死常用的各类治疗方法,得出对于不同的患者,应综合考虑患者的年龄、病情、预期寿命、活动量的大小、及经济条件等多种因素,制定最有效、最适宜患者个体的治疗方案。 相似文献
935.
从微创到肝移植巨创治疗肝癌的辩证思维 总被引:1,自引:0,他引:1
周俭 《医学与哲学(人文社会医学版)》2008,29(10):67-68
肝癌和患者机体是矛盾的对立统一体,要从全身总体的角度去看“肝癌”这一局部病变的问题。针对不同的肝癌患者、肝癌患者不同的发展时期,要辩证地选择和运用现有的“从微创到肝移植巨创”治疗肝癌的诸多方法,以减少、减轻或彻底解除肝癌对患者的伤害和痛苦。 相似文献
936.
近年来体外循环技术已经不仅仅用于心脏手术,还广泛应用于非心脏手术。应用体外循环技术切除气管内肿瘤比常规气管插管全身麻醉扩大了手术适应征,但是也附加了相应的手术并发症。临床医生应有系统的观点,以循证医学模式为指导,坚持以人为本,个性化地将这项技术应用于患者。 相似文献
937.
成瘾严重危害个体的心身健康,造成许多家庭和社会问题。成瘾与应激有着密切的关系。最新研究发现下丘脑-垂体-肾上腺(HPA)轴、促肾上腺皮质激素调节因子(CRF)和糖皮质激素在成瘾与应激中发挥重要作用。由于对成瘾和应激的机制尚未完全阐明,目前无特效治疗。采取缓解应激源、预防精神活性物质的使用、预防复发、让患者回归社会等综合措施使复发率明显降低。 相似文献
938.
Christina M. Rodriguez 《Journal of child and family studies》2008,17(3):336-352
Recent attention to multicultural issues has sparked recognition that parenting is also a culturally construed phenomenon.
The present study involved a diverse sample of 90 Anglo-American and Hispanic parents examining predictors based on distal/proximal
levels as conceptualized in the ecological model. The study examined background characteristics (e.g., minority status, educational
level, income), intrapersonal (anger, parenting competence, parenting satisfaction), and extrapersonal (social support) factors
in the prediction of child abuse potential and dysfunctional disciplinary style. Parents participated anonymously in an in-home
assessment. Neither minority status nor income predicted abuse potential or parenting style beyond what was accounted for
by educational level. The pattern of findings for the sample suggests the relative importance of anger expression, parenting
self-efficacy, and social support satisfaction in both abuse potential and disciplinary style for both Hispanic and Anglo-American
parents. Future research directions with diverse samples are considered, including the need for measures specifically designed
to assess parenting issues in diverse cultural groups. 相似文献
939.
Ashley P. Turner 《Sexuality & culture》2008,12(1):38-44
Our ability to critically analyze the effect of incestuous activity on society is complicated by the fact that such activity
may take place in several different types of relationships, each of which play somewhat different roles within the family
and community. Thus, if we are to analyze this effect in any meaningful manner, we must first take care to differentiate the
various forms of incest from one another, and to study their consequences separately so that any effects due to relationship
status, rather than to incest per se, can be taken into account. We must also ensure that we separate our definition of incest
from that of non-consensual sex—that is, incest that occurs in couples in which one partner is too young to legally consent
should be distinguished from incest that occurs between two consenting adults (i.e. incest per se), and the effects of these
two variants of incest should as well be assessed separately. Using these careful definitions, it can be logically argued
that incest on its own should not be prohibited in modern North American society, as the damage to our freedom that such a
prohibition would entail cannot be justified by what little unambiguous evidence there is to support its case.
相似文献
Ashley P. TurnerEmail: |
940.
BACKGROUND: The effectiveness of a combined methylphenidate/behavioural treatment (BT) versus methylphenidate-only for Chinese children with Attention-Deficit/Hyperactivity Disorder (ADHD) was tested in routine clinical practice in Hong Kong. METHODS: A randomized group comparison design was adopted with two treatment conditions (methylphenidate-only; methylphenidate/BT), which lasted for 6 months. There were four assessment time points (pre-treatment, post-treatment, and 6-month and 12-month follow-ups), using the Strengths and Weaknesses of ADHD Symptoms and Normal Behaviours (SWAN) Rating Scale. Parental attitude toward different treatment options of ADHD was also assessed at pre-treatment and post-treatment. Participants included 90 Chinese ADHD children (mean age=8 years, SD=.95). RESULTS: The combination of BT and a low-dose methylphenidate was significantly more effective than methylphenidate-only in reducing ADHD and ODD symptoms at post-treatment. At follow-ups, the benefits of the combined treatment were maintained, while the methylphenidate-only group caught up in improvement in ADHD symptoms. Parents in both treatment conditions showed improved attitude toward medication after the 6-month treatment phase, while their attitude toward BT was positive all along. CONCLUSIONS: This study supported the added benefits of BT, on top of medication, for Chinese ADHD children in routine practice with treatments conducted by regular medical and paramedical staffs. 相似文献