The Decline in American Children's Fitness Levels

Abstract

Three anthropometric and eight physical performance measures selected by the author were related by correlational methods to the performance of 87 secondary school boys in the running hop, step, and jump. All variables showed a significant relationship with the criterion beyond the .05 level of confidence. The criterion could be employed as a measure of motor ability since three of the highest single-variable correlations with the criterion were measures that are known predictors of motor ability: the running broad jump (r = .859), 50-yd. dash (r = .815), and standing broad jump (r = .778). Three selected combinations of measures yielded multiple correlations with the criterion which were significant beyond the .01 level of confidence. A regression equation developed from the optimal set of variables that was considered to be feasible for administration in school systems consisted of two items from the Youth Fitness Test Manual: the standing broad jump and the 50-yd. dash.     

Treatment of Bipolar Disorder in the University Student Population

University counseling centers are faced with the challenge of effectively treating bipolar students while also utilizing brief treatment frameworks and managing high patient volumes. Potential destabilization, particularly within the elevated mood phase, poses significant behavioral management issues for university clinicians and administrators, though for many years the common default position for university counseling centers has been to refer students with bipolar disorder to off-campus resources for longer-term treatment. The author argues against this and instead poses a four-point rationale for treating most bipolar students on campus. The recommended treatment approach includes the integration of brief individual psychotherapy, psychiatric medication, and a bipolar student support group. An important additional component entails lifestyle modifications which include healthy sleep hygiene, the application of stable life patterns, effective stress management, and abstinence from the use of psychoactive substances. Normative strivings toward independence, identification with contemporary group norms, and fears of the long-term implications of bipolar disorder predictably give rise to defensive denial and resistance to the diagnosis. Such should be an essential focus of the early phase of treatment, with particular attention given to students' narcissistic injury reflecting loss of the ideal self they are striving to become. Participation in an ongoing student support group will provide important support in relation to this loss—a place to feel accurately perceived and understood and an alternate source of group identification. The potential benefit from support group involvement will also be instrumental in sustaining healthy treatment compliance.     

老年脑卒中患者生活质量的现状与康复护理干预

采用随机抽样法获取老年脑卒中患者80例作为研究对象,将其随机分为干预组与对照组。探讨老年脑卒中患者生活质量的现状与康复护理干预。结果表明,康复护理干预方法优于传统护理方法,有助于提高老年脑卒中患者本人和家属对健康的认识及健康价值水平,促进老年脑卒中患者掌握有效的康复训练方法,改善老年脑卒中患者的运动、语言、认知和其它受损的功能,使其在精神、心理和社会上再适应,提高生活质量。     

医患关系的定性分析

对医患关系的法律定位直接关系到医疗纠纷的处理机制。目前学界主要有三种观点：一是行政法律关系，适用各种行政法规范；二是民事法律关系，适用民法规范；三是消费关系，适用消法。笔者认为，医患关系是以民事法律关系为主导的复合型法律关系。定性准确，才能更好地处理医患纠纷。     

舒芬太尼在老年腹腔镜胆囊切除术中的应用

目的：探讨舒芬太尼在老年患者腹腔镜胆囊切除术中的麻醉效果。方法：180例接受腹腔镜胆囊切除术的老年患者随机分为3组：芬太尼组（F组芬太尼用量20μg/kg）,舒芬太尼1组（S1组舒芬太尼用量为0.5μg/kg）,舒芬太尼2组（S2组舒芬太尼用量为1μg/kg）。比较3组患者镇静后10 min时、麻醉诱导即时、气管插管后3 min、二氧化碳气腹、二氧化碳气腹15 min、手术结束时的SBP、DBP。推算MBP、HR、ECG、SpO2。观察患者手术结束时到自主呼吸恢复时间、初醒时间,气导管拔出的时间及拔管时患者SBP、DBP。推算MBP、HR、ECG、SpO2和并发症发生情况。结果：S1组和S2组两组患者在气管插管,二氧化碳气腹前后血流动力学波动较小,而F组患者的波动相对较大。S1,S2组间比较,差异无统计学意义;S1组与F组比较自主呼吸恢复时间、苏醒时间、气导管拔出的时间,差异无统计学意义。拔管时患者SBP、DBP、MBP、HR,S1组血流动力学更加平稳,且术后并发症明显减少,与F组比较,差异有统计学意义;但S2组自主呼吸恢复时间明显延长,部分患者需要加用阿片类药物拮抗药,使用拮抗药后部分患者有烦躁、不自主体动等并发症,与其他两组比较,差异有统计学意义。结论：老年患者腹腔镜胆囊切除术采用舒芬太尼0.5μg/kg,能良好的控制因气管插管,二氧化碳气腹导致的应急反应,维护血流动力学的平稳,同时不影响患者术后的苏醒。     

PCT as a Prognostic Marker in Cardiac Patients with Neutropenic Sepsis: Two Case Reports

Procalcitonin (PCT) is an innovative and highly specific marker for diagnosis of clinically relevant bacterial infection and sepsis. PCT supports early diagnosis and Clinical decision making. A retrospective study of two classical cases of neutropenic sepsis with elevated PCT levels in cardiac ICU was done. PCT was analyzed using Elecsys Brahms PCT kit. Serum PCT levels <0.5 ng/ml and ANC <1,000/mm³ was taken as cutoff. The first patient had initial high levels of PCT 100 ng/ml, TLC 13,600/mm³ and ANC 12,250/mm³. It was followed by drop with subsequent rise in PCT levels and drop in TLC 1,000/mm³ and ANC 70/mm³. The second patient had normal PCT 0.116 ng/ml, TLC 5,600/mm³ and ANC 4,420/mm³ levels followed with sharp increase in all the values with subsequent drop in TLC 2,000/mm³ and ANC 880 cells/mm³. Both the patients died of neutropenic sepsis with multiorgan failure. The case reports showed the correlation of PCT with TLC and ANC levels in predicting the mortality of patients with neutropenic sepsis in cardiac ICU.     

标准化病人在《口腔粘膜病学》临床见习教学中的应用

口腔黏膜病学是一门理论性、实践性很强的口腔临床课程,相对于牙体牙髓病来说,口腔黏膜病病种多,临床表现复杂多变,病损形态多样,是口腔临床医学教学中的难题.通过尝试把标准化病人引入口腔粘膜病学临床见习教学工作中,摸索一种新培养模式来提高学生的临床实践能力和创新能力,以期达到有效培养合格口腔临床医学生的目的.     

浅析“医师体”现象中的法律问题

"医师体"现象并不鲜见,病患对其苦不堪言的同时,也带来了一些法学理论上的讨论和司法实务中的问题。本文从该现象入手进行分析,剖析了"医疗病历"这一常见文书所具有的的法律特征,着重解释了"医师体"现象所反应出的法律问题,并对我国医疗现状进行了相关思考。     

论我国强制医疗制度之完善

统计表明,精神病人犯罪已成为我国不可回避的社会问题.为有效地预防已经造成危害结果的精神病人继续危害社会,有必要对其强制医疗.我国的相关立法却过于宽泛,缺乏可操作性.在比较、借鉴外国(或地区)立法例的基础上,我国的强制医疗制度应该完善起来.     

学生标准化病人教学法在“基础护理技术”课程教学中的应用

为探究学生标准化病人教学法在"基础护理技术"课程教学中的应用效果,本研究采取便利抽样法,随机选取40名2018级护理专业学生作为对照组,采用理实一体方式教学;随机选取40名学生作为观察组,采用学生标准化病人进行理实一体化教学。针对两组学生1学年的技能考核成绩和静脉输液技术的随机操作考核成绩进行评价分析。结果发现,观察组的技能考核成绩优于对照组,差异有统计学意义(P<0.05);对于静脉输液单项技能考核成绩,观察组实施过程、实施后处理与效果总评项目评分高于对照组,差异有统计学意义(P<0.05),观察组学生对SSP教学法的评价,设定的评价项目总体满意度在90%。因此,将学生标准化病人方法应用于"基础护理技术"课程教学中,既提高了学生的学习积极性、主动性和对临床护理工作情境的体验度,又提升了其人文关怀能力和课程学习效率,同时促进了教师教学能力的提高。