骨巨细胞瘤外科治疗几个问题的思考

骨巨细胞瘤是临床上常见的骨肿瘤,其治疗方式由以前的截肢术发展到保肢术,一直到现在的多种局部切除与功能重建方式,透过其治疗理念的更新,以及手术技术的转变,不难看出临床医生应重视循证医学实践,不断更新观念,坚持个体化治疗,明确切除范围、切除方式与重建方法及肢体功能之间的关系,不断改善患者的生活质量。     

Spiritual Maturity and Wholeness in the Later Years

SUMMARY

Nuturing spiritual wellness is a prominent goal of most religious groups and is central to wholistic health. Although spirituality is very important to most older people and spiritual well-being and maturity are relevant to gerontological theories, consensus on criteria for evaluating them is not yet complete, and mainstream gerontology tends to ignore the subject. Two paradigmatic orientations are dominant; one extrinsically seeks self-gratification; the other is intrinsic, self-denying, and self-centered. It is important to face the divergent values about this and related topics like death and dying, the afterlife, the “new ageism” in services with and for the aging, the value-denying compromises of alleged neutrality, the danger of reification, and the tendency to ignore spirituality by meeting only empirically observable human needs.