Managing children's and adolescents' medical complaints amid parent conflict: Strategies and tools for professionals

Children and adolescents who are having difficulty coping with stress often present with complaints of physical discomfort. Effective treatment approaches exist for many of these issues. Among high-conflict parents, however, children's medical issues can become another canvas for conflict, with parents focused more on blaming one another for the child's distress than on options for assisting the child. Professionals can be drawn into the conflict to such a degree that they overlook essential steps for addressing and managing these issues. The authors present a research-informed model for managing medical and psychophysiological issues amid parental conflict.     

Why We Need Postmortem Analysis of Cardiac Implantable Electronic Devices

The prevalence of cardiac implantable electronic devices (CIEDs), pacemakers and implantable cardioverter defibrillators (ICDs) is increasing. However, postmortem analysis of CIEDs is not performed routinely. Fourteen consecutive CIEDs were analyzed. The indication for and date of implantation, technical data, CIED reprogramming, heart rhythm disturbances, patient demographics and medical consultations were investigated. Death during the first year after implantation was seen in 54%, whereof 71% consulted a physician within 10 days before death. The time of death was attributed to a particular day in 29%. There was a relationship between CIEDs and cause/manner of death in 50%. Although limited by a small sample size, this study advocates the routine postmortem CIED analysis for forensic and clinical purposes in selected cases. Patients with CIEDs seem to show an increased risk of death during the first year after implantation. The analysis of CIEDs can be helpful in evaluating the time/cause/manner of death.     

原发性脑干损伤及其研究进展

本文综述了原发性脑干损伤的原因、临床表现、诊断与检测 ,重点介绍了其死亡原因和病理形态学 ,尤其是在细胞和分子水平上的改变 ,并对原发性脑干损伤的进一步研究方向进行了展望     

医学生公民意识与医德认知状况调查报告简

医德教育是医学教育的重要组成部分,在我国公民社会积极发育的大背景下,传统医德教育面临现代转型的课题。通过对医学生公民意识、医德及医患关系认知状况的调查,对医学院校医德教育进行评估,初步提出实现公民教育与医德教育有机契合,建构医德教育新模式的建议。     

《北京市院前医疗急救服务条例》修订前后对比分析

《北京市院前医疗急救服务条例》是北京市地方性法规,于2017年3月1日正式实施.2021年5月27日,北京市十五届人大常委会第三十一次会议表决通过了修改后的《北京市院前医疗急救服务条例》.     

THE WAY WALKED WITH CHILDREN: MEDICAL TREATMENT AND REHABILITATION

Due to obstacles in expression and communication, as well as a societal lack of humanitarian spirit and deficiencies in system design, children with intellectual disabilities are confronted with various problems when seeking medical treatment. The dilemma of medical treatment seriously restricts the survival and development of disabled groups. By reviewing the way in which a mother accompanied her disabled child for 28 years together, this article analyzed the reasons for the dilemmas of medical treatment, and appealed to improve the living conditions of persons with intellectual disabilities to guarantee their rights for rehabilitation. In addition, by introducing the recreational and sports activities that parents’ spontaneous organization created for children with intellectual disabilities, it put forward the proposal to prevent in advance the possible deterioration of conditions caused by social isolation, which is definitely a preferable remedy for persons with disabilities.     

对甘肃省农村以土地为核心的社会医疗保障的现实调查和反思

本文通过对甘肃省农村几地社会医疗保障现状及土地医疗保障能力的抽样调查与分析,揭示了西部农村土地在有效防范农民医疗风险方面能力有限,且有逐渐弱化趋势的问题。且就该问题从国家制度缺失、财政投入不足、医疗救助手段的匮乏等方面进行了深入反思。指出在当前甘肃农村,正确认识土地医疗保障能力,将对广大农户参加合作医疗产生积极的影响,有助于甘肃农村合作医疗制度的推广。同时,就如何建设适合甘肃农村的合作医疗制度的新机制,笔者从模式类型的选择、资金筹集与管理、非正式安排、地方立法安排等方面提出了对策。     

俄罗斯人口健康问题初探

20世纪90年代至今,俄罗斯出现了严重的人口危机,不仅人口数量下降,人口的健康状况也存在很多问题,如居民的卫生条件差、饮食营养结构缺乏科学性、日常生活习惯不健康等。俄罗斯联邦政府努力加大医生的培养力度、增加医疗卫生拨款、提高社会福利待遇、改善人民生活、倡导健康生活方式、努力延长人口平均寿命。     

胎儿畸形医疗纠纷法医学鉴定12例分析

目的 探讨因胎儿畸形产生医疗纠纷的主要原因,分析法医学鉴定的切入点以及鉴定思路.方法 参照相关法律、法规与临床诊疗规范,分析本组因胎儿畸形所致12例医疗纠纷法医学鉴定案例中的医疗过错及其参与度划分.结果 本组案例中,存在医疗过错的为5例,其中未履行告知义务的2例,对异常结果未进行综合分析的2例,医疗技术水平有限并报告表...     

我国医疗机构分类管理制度探讨

我国的医疗机构分类管理制度已实施10年,在医改背景下对其进行系统分析具有重要意义。本文通过分析医疗机构分类管理制度的构成、内容和实施现状,指出该制度在法律基础、分类方法、配套制度等方面存在的问题,并从法律规范的建设、政府职能的转变、行政管理方式的改变等方面提出了政策建议。