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Objective:To understand the current situation of clinical application and management of food for special medical purpose (FSMP) in China's medical institutions.Methods:A questionnaire was developed based on literature review, consultation with experts and multiple discussions to investigate the application and management of FSMP in hospitals. The survey was conducted in secondary and tertiary general or specialized hospitals in China. The accountable person of Clinical Nutrition Department in each hospital filled in the questionnaire with the guidance from provincial quality control center.Results:A total of 592 hospitals across 30 provinces/municipalities participated in the survey. The majority (40.5%) of prescription for FSMP with approved batch number was given by clinical nutrition departments, nutritional risk screening was conducted before using FSMP as enteral nutrition in 64.0% of the hospitals, consent from patients or their families prior to initial FSMP use was required in 94.8% of the hospitals, follow-up after FSMP use was carried out in 86.5% of the hospitals, 79.2% of the hospitals maintained electronic or paper documentation of the clinical application of enteral nutrition preparations, 41.6% of the hospitals had no organization or institution to supervise the standardized application of FSMP.Conclusion:In the future, we should strengthen the construction of FSMP professional team, establish convenient and efficient nutrition diagnosis and treatment information module, and set up special institutions to implement FSMP standardized management.
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Objective:To explore the application value of enhanced recovery after surgery (ERAS) in laparoscopic radical resection of bladder cancer and ileal bladder surgery under modular operation procedures.Methods:A retrospective selection of 42 cases of laparoscopic radical radical resection of bladder cancer and ileal bladder surgery performed by the Department of Urology, General Hospital of Southern Theater Command from January 2017 to December 2019 were divided into two groups according to the different management methods adopted during the perioperative period: ERAS management group and conventional management group, each with 21 cases. Among them, patients in the ERAS management group were managed by ERAS during the perioperative period, and patients in the conventional management group were managed by conventional management during the perioperative period. The postoperative hospital stay, first exhaust time, first defecation time, first time to get out of bed, first liquid food time, postoperative visual analogue scale (VAS) score, as well as transferrin, upper arm circumference, body mass index, plasma albumin, total protein, and total protein were compared between the two groups of patients after surgery. The measurement data conforming to the normal distribution were expressed as mean±standard deviation ( Mean± SD), and the in dependent t-test was used for comparison between groups; the measurement data of non-normal distribution were expressed as the median (interquartile range) [ M( P25, P75)], the independent sample Mann-Whitney U test was used for comparison between groups; the Chi-square test was used for comparison of enumeration data between groups. Results:The postoperative hospital stay in the ERAS group was (8.9±1.8) d, the first exhaust time was (33.4±3.2) h, the first defecation time was (60.3±7.8) h, the first time to get out of bed was (23.1±6.7) h, the first liquid food time was (82.7±18.5) h and postoperative VAS was (1.3±0.6), that were significantly reduced compared with the conventional treatment group [(12.3±2.3) d, (51.4±5.2) h, (73.0±8.1) h, (34.7±8.2) h, (109.7±21.6) h, (3.6±0.8)], the difference were statistically significant ( P<0.05). In the ERAS group, the decreased value of transferrin was [0.8 (-0.4, 2.2) g/L], the decreased value of body mass index was[1.61±0.73], the decreased value of plasma albumin was [3.5±1.5 g/L], the decrease value of total protein was[10.1±5.6 g/L] and the decrease value of prealbumin was [90.5±11.3 mg/L] were significantly lower than those of the conventional management group[(1.9(0.9, 3.6) g/L, (2.32±1.05) kg/m 2, (9.6±2.0) g/L, (16.3±4.9) g/L, (131.3±7.4) g/L], and the difference were statistically significant ( P<0.05). Conclusion:Modular laparoscopic precision resection of bladder cancer and ERAS concept after ileal bladder surgery is beneficial to shorten the hospital stay, reduce postoperative pain, have less impact on the patient′s body loss and immune function, and can speed up the patient′s postoperative recovery.
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As a kind of new technology, ethical issues are inevitable in medical and non-medical gene en-hancement application. It is unrealistic to unilaterally support or object to the research and application of medical and non -medical gene enhancement. Based on standardizing the ethical principle of gene enhancement tech-niques, we should build management measures of the research, development and application that adapted to ethi-cal, social and legal standards, so that we can draw on the advantages and avoid the disadvantages, and use gene enhancement reasonably and bring benefits to mankind and society.
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This paper aims to elucidate the great impact of Latin, one of the most ancient languages, on the formation and development of English for Medical Purpose(EMP)from the historical point of view, and meanwhile provides it with detailed evidence in phonetic, lexical and grammatical respects.
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This paper discuss thinking of socialist ethical problem and medical purpose and pregnantless. From analyzes of 6300 letter to professor Li ZhuZhang, famous expert in human reproductive techniques. Medical purpose is quality of life and health.
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This paper enumerate embody of rise of healthy worth. From interpreting meaning of healthy worth and clarify his view on medical purpose.
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This paper investigate and analyse four problems of choosing of medical purpose, medical purpose and quality of life. medical purpose and death, and medical research and medical serve.
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Medical purpose is a concept of viewing the situation as a whole, development and perpetuity. It is important that how to realize the medical purpose but not define itself.There are similar main conten of medical purpose extending directly from various stages and existing between eastern and western countries, and this is determined by characteristics of mde-icine. However, the fommer concept of medical purpose will show relative partial deficiency, and its intension will enlarge in the new stage of social, ecconomic and medical development. It also brings us new methods, ideas of thought, and make them fit for the requirement of society to medicine and the non-fungible function of medicine to human health. So the central content of medical purpose is running after the health of person and human based on elevating life quality, maintain and enhance social productive forces. This is extreme purpose of medicine and common adimission of world medicine.The realization of medical purpose is guided and restricted by the concept of humanistic ethics. So, understanding and discussion of medical bepose must be carried out guided by it and its theory frame. The centre of mordern medical humanism is the respection to the human valuation related to medicine, including that of person, group and society. Primarily, the valuation is emphasized on the human life quality and health valuvation, which are directly and first reflected not only in mordern medical humanism, but also in medical purpose.In this sense, the intension of medical humanism is equivalent to the central content of medical prupose defined above all, and the medical humanism is medical purpose. The focus reflection of medical purpose is the thought of medical humanism, one is objective of medical developmant another is the thought and principle defined for achieving the objective.