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Clinical anesthesia最新文献

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The initiation of labor. 劳动的开始。
Clinical anesthesia
Pub Date : 1974-01-01
J E Martin, C J Pauerstein
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引用次数: 0
The health care industry: current issues and concerns. 医疗保健行业:当前的问题和关注。
Clinical anesthesia
Pub Date : 1974-01-01
T E Terrill

In order to meet growing demands for health service with improved access, cost controls, and increased productivity, it will be necessary to reorder the current system of providing these services. It should be remembered that: (1) Health must remain high on the scale of social, political, and economic priorities. (2) New money alone will not guarantee either capacity or effectiveness of the current health system. (3) Health care is too often delivered at the time and place and in a way convenient to the provider rather than the consumer. (4) Man power production for the health industry must adapt new modes of training and licensure in order to provide more flexible use of valuable human resources. (5) Resourse allocation should be the central responsibility of areawide and state comprehensive health planning agencies. (6) The consumer must play a stronger role in decision making and be provided a greater range of choices among alternative forms of health services. This decision-making power together with enough information to make the purchase of health care a maningful decision may lead to some new questions pertaining to health care.

为了满足对卫生服务日益增长的需求，改善获取机会，控制成本，提高生产力，将有必要重新安排目前提供这些服务的系统。应当记住:(1)卫生必须保持在社会、政治和经济优先事项的高度。仅靠新的资金并不能保证现有卫生系统的能力或有效性。(3)卫生保健往往是按时间和地点提供的，而且以一种方便提供者而不是方便消费者的方式提供。(4)卫生行业的人力生产必须采用新的培训和许可模式，以便更灵活地利用宝贵的人力资源。(5)资源分配应是地区和国家综合卫生规划机构的中心责任。(6)消费者必须在决策中发挥更大的作用，并在各种保健服务形式中提供更广泛的选择。这种决策权加上足够的信息，使购买医疗保健成为一个有意义的决定，可能会导致一些与医疗保健有关的新问题。
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引用次数: 0
Steroids. 类固醇。
Clinical anesthesia
Pub Date : 1974-01-01
B F Bass
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引用次数: 0
Surgical and anesthesia workloads in the United States and abroad. 美国和国外的手术和麻醉工作量。
Clinical anesthesia
Pub Date : 1974-01-01
J P Bunker
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引用次数: 0
Thiobarbiturates in obstetric anesthesia. 硫巴比妥类药物在产科麻醉中的应用。
Clinical anesthesia
Pub Date : 1974-01-01
M Finster, L C Mark
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引用次数: 0
Maternal respiratory changes during pregnancy and parturition. 妊娠和分娩期间产妇的呼吸变化。
Clinical anesthesia
Pub Date : 1974-01-01
J J Bonica
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引用次数: 0
Ecbolic agents. 催生的代理。
Clinical anesthesia
Pub Date : 1974-01-01
C J Pauerstein
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引用次数: 0
Hypoglycemic drugs. 低血糖症的药物。
Clinical anesthesia
Pub Date : 1974-01-01
L Stehling
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引用次数: 0
Anesthesia mortality. 麻醉死亡率。
Clinical anesthesia
Pub Date : 1974-01-01
O C Phillips, L S Capizzi

Since the first report in 1846 on the use of anesthesia for a surgical procedure, deaths have occurred with practically every agent and technique used. Those mishaps of which we are aware are probably just a small segment of those that have actually occurred, since presently there is no widely used method for identifying anesthesia-associated deaths. Several sources of information are available, including the United States National Center for Health Statistics and articles in the medical literature. Neither of these encompasses more than a fraction of the total experience; in addition, the population upon which most reports are based and the number of anesthesias involved are usually not available as a denominator in determining the incidence of mishaps and the magnitude of the problem. Extrapolating from data from community anesthesia study committees and from population and operative figures, we can estimate that there are over 5,000 deaths associated with anesthesia in this country each year. This is 3 times as many as are caused by muscular dystrophy and multiple sclerosis, 15 times as many as with sickle cell anemia, 20 times as many as with myasthenia gravis and 40 times as many with poliomyelitis. We thus must recognize that anesthesia is an iatrogenic disease that deserves serious attention as a public health problem.

自从1846年第一份关于在外科手术中使用麻醉的报告以来，几乎每一种使用的药物和技术都造成了死亡。我们所知道的这些事故可能只是实际发生的事故的一小部分，因为目前还没有广泛使用的方法来确定麻醉相关的死亡。有几个信息来源，包括美国国家卫生统计中心和医学文献中的文章。这两种方法所包含的内容都只占总体验的一小部分;此外，大多数报告所依据的人口和所涉及的麻醉数量通常不能作为确定事故发生率和问题严重性的分母。根据社区麻醉研究委员会的数据以及人口和手术数据推断，我们可以估计，在这个国家，每年有超过5000人死于麻醉。这是肌肉萎缩症和多发性硬化症的3倍，是镰状细胞性贫血的15倍，是重症肌无力的20倍，是脊髓灰质炎的40倍。因此，我们必须认识到麻醉是一种医源性疾病，作为一个公共卫生问题值得认真关注。
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引用次数: 0
The role of the dentist in anesthesiology. 牙医在麻醉学中的作用
Clinical anesthesia
Pub Date : 1974-01-01
C R Bennett
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引用次数: 0
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