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本文针对当前临床用药存在的问题,分析了临床药师的职责和任务,阐述了开展药学监护的意义和药师参与药学监护、深入临床的重要性. 相似文献
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医学模拟教学是当前医学教学改革的热点之一,具有形象直观,可重复性、纠错性强,操作安全等优势,临床技能培训中心的建立,为医学生提供了可以进行反复实践操作场所。通过对临床实习前医学生进行集中强化训练,激发了医学生的学习兴趣,规范了操作流程、操作步骤,使学生在实习前就对临床常用基本技能操作非常熟练,增强了自信心,缩短了从基础理论到临床具体操作的适应期,加快其从医学生-实习医生-医生的角色转换。为进入临床实习,也为学生毕业后能顺利通过国家执业医师考试,成为一名高素质的临床医师奠定了坚实基础。 相似文献
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本文简单的介绍了猪繁殖与呼吸障碍综合征,具体的分析了该病的流行特点、临床症状、病理变化及如何诊断,并提出了预防措施及临床治疗方法。 相似文献
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临床实习是培养合格临床医师的重要阶段,是培养医学生向临床医生过渡转变的重要过程,文章通过对临床思维的重要性以及医学生临床思维存在误区分析,对在后期临床教学过程中如何引导、启发和指导医学生建立科学合理的临床思维进行了探索。 相似文献
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中医临床疗效评价研究的现状与展望 总被引：2，自引：0，他引：2
现代临床流行病学的设计、测量与评价方法在中医药临床评价研究中得到了广泛的应用,但并没有完全解决中医在"真实世界"研究的方法学问题。在中医临床诊疗实际条件下开展临床研究,给临床流行病学提出了挑战,也给中医临床疗效评价方法的创新带来了机遇。本文在对中医临床疗效评价现状回顾的基础上,提出了充分利用临床流行病学和循证医学研究成果,以人为核心,以建立临床"实际条件下"疗效评价的方法和评价指标,构建临床科研信息一体化技术体系,形成"阶梯递进"的"证据链",并与高质量的"理想条件下"验证研究相结合,两条腿走路,解决中医临床疗效评价的瓶颈问题,提出国内外"公认"与"认可"的高质量的临床证据的建议。 相似文献
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为更好地培养高校临床专业学生的综合能力,探索适合高校临床专业的教学方法,针对临床课理论、见习教学过程脱节的问题,对其进行了改进和实践,采用院校结合教学模式,结果表明学生对院校结合教学模式表现出较大的兴趣,并肯定了这种教学方法的积极作用。特别是院校结合教学模式不但有助于提高学生临床思维能力,临床动手能力和医患沟通能力,提高其临床创新意识和探索精神,而且有助于提高临床教师的综合素质。 相似文献
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为保存因外伤所致的伴有部分冠折的离体脱位牙,在对患儿体外根管充填治疗后,用螺纹钉加光因化复合树脂修复其缺损的牙冠,同时用ＰＨ为１．０的枸椽酸处理牙根表面,对１８例２１只患牙进行了即刻再植,结果表明,以往常被扫弃的伴有冠折的完全性脱位牙,在经过适当的治疗处理后可以再植成功。 相似文献
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Mukhopadhyay M Sinha R Pal M Bhattacharyya S Dan A Roy MM 《Indian journal of clinical biochemistry : IJCB》2011,26(3):274-278
The progress of fracture union requires close monitoring. Whereas, clinical examination and radiographic studies assess the
outcome, biochemical markers like serum alkaline phosphatase and urinary hydroxyproline reflect the actual status of bone
resorption and bone formation over a short time frame. 36 patients of long bone fracture were randomly allocated for the study.
When the patient reported to the Department of Orthopedics after fracture, serum and urinary samples were collected and X-ray
of the affected part were taken. Subsequent samples were collected and X-ray taken just after management (either operative
or conservative), after 3rd, 5th, 8th and 12th week, respectively after onset of fracture. According to the course of callus
formation the patients were divided into two groups that progressed to proper union or malunion. The levels of serum alkaline
phosphatase, urinary total and free hydroxyproline levels were measured and statistically analysed and compared. A statistically
significant positive correlation between total urinary hydroxyproline excretion and serum alkaline phosphatase indicate progress
towards satisfactory union. Thus, serial monitoring of biochemical markers of bone turnover can be used as an adjunct to clinical
and radiological evidence of fracture healing. 相似文献
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观察和分析磨牙完全折裂全冠保存治疗的临床疗效，采用根管治疗后冠用金属全冠修复法治疗磨牙完全折裂，共计112例，121颗患牙，对牙折在一周内，根分叉没有明显炎症病例，在短期内进行有效的治疗，随访5年以上，取得了满意的疗效，优64．5％，良23．1％，合计87．5％。 相似文献
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[目的]探讨经皮椎体成形术的临床应用。[方法]回顾性分析椎体压缩骨折患者56例80椎接受椎体成形术治疗后的临床疗效。[结果]术后患者疼痛症状明显减轻,术后3 d及1年的VAS评分较术前差异均有统计学意义(P<0.05);椎体高度恢复明显。[结论]经皮椎体成形术治疗椎体压缩骨折简单快捷、安全有效、疗效显著,临床应用前景良好。 相似文献
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Surupa Basu Monjori Mitra Apurba Ghosh 《Indian journal of clinical biochemistry : IJCB》2013,28(4):433-435
Ectodermal dysplasia (ED) is a genetic disorder affecting the skin, hair, nails, teeth and sweat glands. The clinical presentation is heterogenous; however, hypohidrotic (reduced sweat) ectodermal dysplasia (HED) being the commonest. Also known as anhidrotic ED, sweat glands are sparse or rudimentary, leading to dysregulation of body temperature and episodes of uncontrolled hyperthermia due to reduced sweating. Of the many aids to document hypohidrosis in HED, we present here the technique of pilocarpine iontophoresis to induce, collect and measure sweat. Evaluation of sweat generated (against normally obtained values) is a non-invasive alternative to establish hypohidrosis in disorders such as HED. This augments clinical decision levels to plan skin biopsy for confirmation of diagnosis and facilitates patient management and early discharge. We present two cases of HED that were primarily diagnosed with sweat gland dysplasia using pilocarpine iontophoresis, and later confirmed with skin biopsy findings. 相似文献
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急性白血病的特殊临床表现及误诊分析 总被引：2，自引：0，他引：2
报告了以髓外浸润为特殊临床表现的小儿急性白血病１３例，首发症状为：骨关节、肌肉肿痛，骨折，脊柱畸形，眼球突出，黄疸，腮腺肿大．分析了引起误诊的主要原因及如何减少及避免误诊的体会，强调了早期诊断对改善小儿急性白血病预后的重要性 相似文献
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Jean Chaline 《Endeavour》1977,1(2):44-51
The rodents, especially voles, evolved very rapidly during the Quaternary era. Their remains, particularly the teeth, were fossilised by the thousand in prehistoric deposits. The sites can be dated from the degree of evolution attained by the teeth. Since rodents are closely adapted to their biotopes and live under well defined climatic conditions, they are extremely valuable for reconstructing the landscapes and climates of prehistory. In many cases, a single rodent tooth can be used to assess the age of a human skull or a prehistoric settlement, and throw light on the environment and climate of the time. 相似文献
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Shanmugasundaram Kumaravel 《Indian journal of clinical biochemistry : IJCB》2012,27(4):422-425
Criterion for patient selection and demographic comparison between the two groups, the numbers in individual groups (normal union or defective union) how the observers were blinded for the samples and control group measurements in the graphs were not mentioned. No data on actual measurement levels is given. No where it is mentioned like it is an average of all normal union or defective union in tables or diagrams. The treatment methodology maybe still focused including either conservative or surgical treatment since a displaced fracture cannot be compared with an osteotomy. The cases shall be followed up for a longer period. Some suggestions on how to blind the observers is given. In the one year period there was neither mention of the failure of treatment or complications of any of neither these 36 cases nor any drop out for follow-ups. There was also no mention of any case which initially put on conservation was changed to surgical management. The authors could have one group of patients taking this food stuff and another group who refused this food stuff. The statistical test used to compare the levels of factor is not mentioned. Mere statement that ‘p’ values were significant will not benefit the reader. Failure to produce X-rays even for a single case weakens the study. X-rays are needed to confirm the diagnosis of a fracture and confirm the position of implants and fracture fragments. The remaining period after confirming the fracture/implant position the case shall be followed only with marker estimation. Once the desired levels of increase or tapering of marker level achieved then X-rays can be taken to correlate with clinical findings and radiology. Union as one group and the second group shall be called as non-union or delayed union. The second group (the poor callus group) is mentioned as malunion possibly by over-sight. Probably they were meaning the non union or delayed union group or defective union as malunion. This should be preferably be written non union or delayed union. Malunion means the fracture actually unites and union process is completed. In a group of fractures (hypertrophic non unions) the callus formation is excessive, still the fracture is ununited. Thus the enzyme or markers alone cannot disclose the details of the completion of union they can herald bone formation. 相似文献
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口腔局部用药SrCl2与NaF的电化学研究 总被引：3，自引：0，他引：3
利用电化学的原理以及牙体生物电测量的结果,计算并分析SrCl_2和NaF这两种口腔临床牙体病常用的药物,结果显示,Sr~(2+)由于带正电荷,很难透入活体牙而达到治疗目的,作为口腔内局部用药是值得商榷的;F~-则相反,能够透入牙体而达到治疗的目的,作为口腔内局部用药是可行的,但使用方法有待进一步改进. 相似文献