简介：目的探讨当前医改新形式下可行的白内障防盲治盲干预策略,解决大量积存的白内障致盲患者。方法成立白内障筛查工作队伍,以社区（村）居委会为单位,为50岁以上的村民进行免费白内障筛查,并专车接送分批组织患者来院接受手术,依托基本医疗保险,医院给予全免（选择硬性人工晶状体的患者）或部分免除（选择不同软性人工晶状体的患者）患者自付、自费这一部分的费用。结果中山市2008年8月16日率先在沙溪镇圣狮村建立了白内障无障碍示范村,中山市白内障无障碍市的创建工作由此以圣狮村为模式拉开了序幕,2009年9月中山市通过了全国白内障无障碍市的验收。结论在医改新形式下依托基本医疗保险,医院给予全免或部分免除患者自付、自费这一部分费用的白内障防盲治盲干预策略有助于解决我国目前各地区积存的大量白内障患者,在初期的实践过程中取得了良好的社会效益。另一方面也间接推动了社会基本医疗保险的普及,使广大患者实实在在的享受到了社会福利的好处。

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简介：安徽省立医院前身为合肥基督医院，始建于1898年，历经风雨洗礼，已发展成为一所设备先进、专科齐全、技术力量雄厚，集医疗、教学、科研、预防、保健、康复、急救为一体的省级大型三级甲等综合性医院。

简介：目的探讨电话回访、微信等方式对闭角型青光眼患者出院后进行延伸护理服务,以提高患者遵医行为和改善护患关系的影响。方法将160例闭角型青光眼患者随机分为对照组和观察组各80例,对观察组患者于出院后第一周开始电话回访,以后分别于两周、一月、三月、六月、一年回访。对照组采用常规方法。一年后对2组患者遵医行为和再入院人数及满意度进行评价。结果观察组患者在随访期间遵医行为人数及满意度调查,明显好于对照组,再入院人数明显少于对照组（P〈0.01）。结论延伸护理服务有利于患者掌握闭角型青光眼相关的健康教育知识,增强患者遵医行为,调动患者的主观能动性,对延缓病情进展、预防并发症、减少再入院次数、减轻经济负担、提高生活质量起到了促进作用。

简介：<正>在20世纪,耳鼻喉科不仅发展很快,而且对整个医学作出重大贡献:本世纪初气管食管窥镜的成功应用,创建了气管食管学;40年代双目手术显微镜问世导致耳显微外科的诞生;60年代初发现电刺激耳蜗神经引起听觉,发明人工耳蜗植入,至80年代引入微机处理,数字信息技术,产生多道程控人工

简介：AIM:Anaerobicbacteriacancauseocularinfections.WetestedtheOxyPlateTMAnaerobicSystem(OXY)toisolatepertinentanaerobicbacteriathatcancauseoculardisease.METHODS:OXY,whichdoesnotrequiredirectanaerobicconditions(i.e.bags,jars),wascomparedtoconventionalisolationofincubatingculturemediainanaerobicbags.Standardcoloniescountswereperformedonanaerobicocularbacterialisolatesunderaerobicandanaerobicconditions(anaerobicbags)usingagarmedia:1)OXY(aerobiconly),2)5%sheepblood(SB),3)Chocolate,and4)Schaedler.Thebacteriatestedwerede-identifiedocularisolatesculturedfromendophthalmitisanddacryocystitisthatinclude10Propionibacteriumacnesand3Actinomycesspecies.Thecolonycountsforeachbacteriaisolate,oneachculturingcondition,wererankedfromlargesttosmallest,andnon-parametricallycomparedtodeterminethebestculturingcondition.RESULTS:Allanaerobicconditionswerepositiveforalloftheanaerobicisolates.SBandSchaedler’sagarunderaerobicconditionsdidnotsupportthegrowthofanaerobicbacteria.SparsegrowthwasnotedonchocolateagarwithPropionibacteriumacnes.Asananaerobicsystem,SBinananaerobicbagisolatedhighercolonycountsthanOXY(P=0.0028)andchocolateagar(P=0.0028).CONCLUSION:AlthoughOXYdidnottesttobemoreefficientthanotheranaerobicsystems,itappearstobeareasonablealternativeforisolatinganaerobicbacteriafromocularsites.Theuseofanagarmediuminaspeciallydesignedplate,withouttherequirementofananaerobicbag,renderedOXYasanadvantageoverotheranaerobicsystems.

简介：AIM:ToIntroduceanewspecializedvisualacuitychartforamblyopicchildrenaged3-5yearsoldanditsclinicalapplications.METHODS:ThenewvisualacuitychartandnotationsweredesignedbasedonWeber-Fechnerlaw.Theoptotypeswereredagainstawhitebackgroundandwerespeciallyshapedfourbasicgeometricsymbols:circle,square,triangle,andcross.Aregulargeometricprogressionoftheoptotypesizesanddistributionwasemployedtoarrangein14lines.Theprogressionrateoftheoptotypesizebetweentwolineswas1.2589andthetestingdistancewas3m.VisualacuityscorecouldberecordedaslogMARnotationordecimalnotation.Agestratifieddiagnosticcriteriaforamblyopiaestablishedbyconsensusstatementondiagnosisofamblyopia(2011)amongmembersoftheStrabismusandPediatricOphthalmologyGroup,OphthalmologySociety,ChineseMedicalAssociation(SPOGOSCMA)wereillustratedinthenewvisualacuitychart.RESULTS:Whenassessingvisualacuityinchildrenaged3-5yearsold,thisnewvisualacuitychartthatconsistsoffoursymmetricalshapes(triangle,square,cross,andcircle)overcameaninabilitytorecognizethelettersofthealphabetanddifficultiesindesignatingthedirectionofblackabstractsymbolssuchasthetumbling’E’orLandolt’C’,whichthesubjectswerepronetoloseinterestin.Thevisualacuityscoremayberecordedindifferentnotations:decimalacuityandlogMAR.Thesetwonotationscanbeeasilyconvertedeachotherintheneweyechart.Themeasurementsofthisnewchartnotonlyshowedasignificantcorrelationandagoodconsistencywiththeinternationalstandardlogarithmicvisualacuitychart(r=0.932,P<0.01),butalsoindicatedahightest-retestreliability(89%ofretestscoreswerewithin0.1logMARunitsoftheinitialtestscore).CONCLUSION:Theresultsofthisstudysupportthevalidityandreliabilityofdistancevisualacuitymeasurementsusingtheneweyechartinchildrenaged3to5yearsoverawiderangeofvisualacuities,andtheneweyechartisgreatforearl