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简介：ＩＤｅｐａｒｔｍｅｎｔｏｆＴｈｏｒａｃｉｃ＆ＣａｒｄｉｏｖａｓｃｕｌａｒＳｕｒｇｅｒｙ，ＦｉｒｓｔＵｎｉｖｅｒｓｉｔｙＨｏｓｐｉｔａｌ，ＷｅｓｔＣｈｉｎａＵｎｉｖｅｒｓｉｔｙｏｆＭｅｄｉｃａｌＳｃｉｅｎｃｅｓ，Ｃｈｅｎｇｄｕ，Ｓｉｃｈｕａｎ６１００４...

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简介：Atotalof62papershavebeenpublishedintheChineseJournalofTraumatology(EnglishEdition)(CJT),coveringscopeofbothbasicscientificandclinicalstudyoftraffic,craniocerebral,thoracic,extremity,spinalandspinalcordinjuries.MostofthemhaverevealedthelatestfindingsofbasicscientificresearchorclinicaltreatmentontraumatologyinChina,which,atthesametime,playanindispensableroleincommunicationwiththeforeignresearchers.

简介：Theyear2002witnessesthegreatchangesoftheJournal.Inthisyear,theJournalchangestheissuefromquarterlypublicationtobimonthlypublicationanditgainsthecreditinenteringintotheAmericanIndexMedicus/MEDLINE.Atotalof86papershavebeenpublishedintheJournal,coveringscopesofbothbasicscientificresearchesandclinicalstudiesofcraniocerebral,thoracic,extremity,spinalcordandtrafficinjuries.TheyrevealedthelatestfindingsofbasicscientificresearchorclinicaltreatmentontraumatologyinChina,which,atthesametime,playsanimportantroleincommunicationwiththeforeignresearchersandclinicians.

简介：Objective:Toexploretheepidemiology,clinicalpresentation,radiologyandsurgicaltreatmentoutcomeinChinesepatientswithmyelopathycausedbycontiguousmultilevelossificationofligamentumflavum.Methods:Medicalnotesandimagingdataof18Chinesepatients(14malesand4females,aged43-72years,mean:57years)withmyelopathycausedbycontiguousmultilevelossificationofligamentumflavumwerestudiedretrospectivelyinthisarticle.Thediagnosiswasbasedonclinicalexamination,X-rayfilms,computerizedtomography(CT)andmagneticresonanceimaging(MRI)scanningresultsandpathologicalresults.Sixteenpatientsweretreatedbylaminectomyandtwobylaminoplasty.Theaveragefollow-updurationwas34months(range,28-49months).TheoutcomewasevaluatedbyJapaneseOrthopaedicsAssociation(JOA)scope.Results:Theaveragetimeforoccurringclinicalsymptomswas7.5months(range,2days-16months).Allthe18casespresentedwithclinicalevidencesofchronicandprogressivethoracicspinalcordcompression,whichincludedbilaterallegweakness,spasticgait,numbnessinlowerlimbs,paresthesiainterminalandperineum,andurinaryincontinence.Neurologicalexaminationrevealedseverespasticparaparesis,absenceofabdominalreflexes,andreductionofthesensoryfunctionbelowthecompressionlevel.ThemeanJOAscorebeforeoperationwas3.6(range,0-6).MRIandCTscansofthethoracicspineconfirmedthepresenceofcontiguousmultilevelossificationoftheligamentumflavum.ThemeanrecoveryrateaftersurgeryintermsofJOAscorewas66.3%(range,33.3%-100%),withameanfinalJOAscoreof8.3.Thoracicdecompressionlaminectomyorlaminoplastycouldresultinagoodpostoperativeoutcome.Conclusions:ContiguousmultilevelossificationoftheligamentumflavumisnotacommoncauseofmyelopathyinChinesepopulationandshouldbetreatedasearlyaspossible.MRIandCTscanexaminationsmaydiagnosethepresenceofthoracicossificationofligamentumflavum(OLF).Posteriordecompression,especiallywit

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简介：Objective:Toassesstheincidence,typesandriskfactorsofmilitarytraining-relatedinjuriesinrecruitsofChinesePeople'sArmedPoliceForces(CPAPF).Methods:Acohortstudywasmadeontheriskfactorsofinjuriesin805malerecruitsduringthemilitarytrainingfromDecember25,1999toDecember25,2000.Results:Atotalof111recruits(14%)experiencedoneormoreinjuries,andthecumulativeincidencewas16.1injuries,andthecumulativeincidencewas16.1inujriesper100soldiersinayear.And77.7%oftheinjuriesbelongedtooveruseinjuriesoftheskeletalandmuscularsystems,themostcommontypeofwhichwasstressfractures.Mostinjuriesoccurredinthe3rdmonthoftraining.Univariateanalysisandlogisticregressionanalysisofpossibleriskfactorsforoveruseinjurieswerecarriedout,andanumberofriskfactorswereidentified:historyofagriculturallabor,historyoflowerlimbinjury,flatfootandlessrunningexercisebeforeentryintothearmy.Butasuitablebodymassindex(BMI)wasaprotectivefactor.Examinationofage,bodyheight,smoking,bodyflexibilityandfrequencyof2-milerunningrevealednosignificantassociationwiththeinjuries.Conclusions:Historyofagriculturallabor,historyoflowerlimbinjury,flatfoot,lessrunningexercisebeforeentryintothearmyandlowerBMIwereriskfactorsoftheoveruseinjuries.Inordertodecreasetheincidenceofoveruseinjuries,theyoungpeoplewithgoodphysicalabilityandshapelybodytypeshouldbeselectedduringconscription.Duringthetraining,nutritionshouldbeimprovedsoastodecreasetheincidenceofinjuries.

简介：【摘要】带教老师具有双重身份，服务病人和带教学生，作为一名有责任有担当的药师，不仅做好本质工作还要为学生授业解惑，老师作为一个引导，以学生为主体，给学生一种想学的理念，激发兴趣点，引导他们的思路，说出心中的想法。对实习生和规培医师受教育程度和专业的不同，采用分层带教模式。对于工作环境和学业的繁重，应正视他们面对的实际状况，老师应多给于人文关怀，理解学生，把共同的目标展现出来，化解潜在的矛盾。耐心培养学生的责任意识、质量意识和服务意识，老师注重讲处理事情的思路和思考方向，最终让学生能够独立思考，正确的应对和处理问题，对于以后独立执业多一份保障。

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