Wednesday, November 29, 2006

Does Sun Exposure Really Related to Malignant Melanoma?

Chinese

Based on their study,Christina M. Ambros-Rudolph and colleagues reported medical risks with marathon running,due to increased sun exposure.They said that they observed 8 malignant melanoma cases in marathon runners,and they are confident that marathon runners presented with increased risk with malignant melanoma and nonmelanoma skin cancer.

I concerned about this conclusion a lot because I like swimming,and I have sunbath every summer to have a darker appearance.If there is clear evidence between excess sun exposure and malignant meloma,I have to do something to protect my skin.

But when I read the detail of this report,I learned that their conclusion is not very clear.The statistical data of their research showed that marathon runners presented with more atypical melanocytic nevi,solar lentigines,and lesions suggestive of nonmelanoma skin cancer.These are not conclusive to say that excess sun exposure is related to malignant melanoma,which is most concerned by me.

Anyway, from this study,I learned the risk,and I will decrease my time in sunlight,prevention is better than medication.

I hope this kind research could give us a clearly conclusion in the near future.Maybe at last they would say,over UV exposure is not related to malignant melanoma,and then I can swim in the sunshine freely again.

Do You Wear Artificial Nails or Nail Polish at Work,Sister Nurses?

Chinese

Though I have never seen a nurse wear artificial nails or nail polish at work,but as cosmetics surge into every corner of our life,I think it's not impossible.

In Medscape's Experts and Viewpoints section,professor Rothrock told us the current guidelines about this:"do not wear artificial fingernails or extenders when having direct contact with patients at high risk",and "do not operate with artificial nails".

From this article,I learned that artificial nails have higher risk to transfer gram-negative pathogens,and most bacterial growth occurs within 1 mm nail adjacent to subungual skin.Nail polish and plastic or acrylic nails trap moisture and fungi,so it's highly possible to transfer fungi to patients at high risks.Wearing acrylic nails can contribute to hands remaining contaminated with pathogens after use of soap or alcohol-based hand gels.

In my living circle,people deem women wearing artificial nails lazy ones,because they can't do things efficiently.Although it's a bit arbitrary,and I don't quite agree with it.

So,sister nurses,what do you think and what will you do after message.

Tuesday, November 28, 2006

My Favorite TV shows

Chinese
24

Angela's Eyes

Battlestar Galactica
Bones

Close to Home
Cold Case
Criminal Minds
CSI Miami
CSI:New York
Criminal Minds

Day Break
Desperate Housewives
Dexter
Dr.House

ER
Everybody Hates Chris

Friday Night Lights

Grey's Anatomy
Ghost Whisper
Gilmore Girls

Happy Hour
Heroes
How I Met Your Mother

Jericho
Justice

Kidnapped

Las Vegas
Lois & Clark: The New Adventures Of Superman
Lost

Medium
Millennium
Mission: Impossible
Monk
My Name Is Earl

NCIS
Nip/Tuck
Numb3rs

One Tree Hill

Prison Break

Saved
Shark
Six Degrees
Six Feet Under
Smallville
Standoff
Stargate Atlantis
Stargate SG-1
Studio 60 on the Sunset Strip
Supernatural

The 4400
The Closer
The Nine
The Office
The Shield
The Unit
The War at Home
Two And A Half Man

Vanished
Veronica Mars

What About Brian
Without a Trace

Monday, November 27, 2006

Quantitative Inconsistency and Configurative Inconsistency In Chinese Employment

"Students that graduated from universities should be highly educated intellectuals,but more and more university man are entering employment training activities,contesting with students graduated from junior colleges or vocational schools.Is this the outlook of university man,and what's your opinion when you see all of these happening?"

A student threw out this radical question before the press could open their mouths.TianChengping,the minister of Chinese Ministry of Labor and Social Security,was the one who was confronted to this question.He had just given a report on the 50th seminar hold by the postgraduate research institute of Chinese Academy of Science(CAS),the subject is "Science and Human studies of China".Most of the audience was students from the postgraduate research institute,as they were concerned about situation of employment.

Based on his investigation of several provinces,TianChengping thought that the answer to this question involved many deep problems of Chinese labor and education system.He first announced some result from his investigation,that the imployment rate of vocational schools is above 95%,students from junior high school and then receive 3 years of vocationas education,or
students from high school and then receive 2 years of vocational education have optimistic opportunities of employment.Some students of famous vocational schools can even get their jobs before graduation.This made people to think about how to link up our need of talents and our labor system and our educational system.He thought that branches of labor and education
should try harder to find ways out of this.TianChengping said that he can only give such a limited answer,although he know this could not satisfy the audience.

He also emphasized that the quantitative inconsistency and configurative inconsistency in Chinese employment are unprecedented,no other countries have ever met such a big and complicated problem,so there is a long way to go before we can resolve it.

His investigation showed that only 70% graduates can find job in the same year of graduation.And there will be 4,130,000 graduates in 2006,so according to this employment rate,about 1,240,000 graduates cannot find their jobs this year.

TianChengping said that the government has launched a ministerial level joint eeting,conducted by the Ministry of Education and the Ministry of Labor and Social Security,and assisted by many other related ministries,they are working hard to establish new policies to solves these problems.The government planned to increase 9,000,000 employment opportunities,and
has achieved 10,210,000 by October.There is hope to achieve 12,000,000 by the end of 2006,this is the result of great effort.At the same time,related branches of labor will establish a registration sytem,and offer employment direction,employment education and employment service to those college students who have not find jobs by the year of graduation.

The minister also pointed out that the government encourage graduates to work in the grass roots and underdeveloped regions,because they are most needed there.And as highly educated students,they should have sensible viewpoints and expectations of their employment,to guide themselves to reasonable choices of jobs.

We also see effectiveness from the figures given by the minister:between the year 2000 and 2005,Chinese total employment raised from 720,000,000 to 760,000,000;during 1998 and 2005,unimployed men from the reform of the stateowned enterprises found new jobs through various methods;and the total employment of stateowned enterprises decreased from 71,000,000 to 40,000,000,The government has successfully settled this remained problem from the reform and structural readjustment of the stateowned enterprises.

TianChengping concluded that the situation of employment will remain tough for a long time.He said that in the coming years,there will be about 24,000,000 job requirement per year,but there will only be about 11,000,000 new positions or reinforcement of the natural spontaneous reduction of staffs members,so 13,000,000 more jobs are needed per year,the conflict is obvious.About 10,000,000 work force will enter cities and towns each year,at the same time, 100,000,000 spare work force are transfering from countryside to cities or other nonagricultural areas.

Yiding translated from Science Times ,WangLiping and RenXiaopeng reported

Novel Gynecologic Oncology Procedures

Today,I took about an hour to watch "Novel Genecologic Oncology Procedures" from or-live.
In this webcast,Doctors Pedro T. Ramirez and David M. Kushner introduced a new surgery procedure called Radical Trachelectomy.Compared with radical Hysterectomy,radical trachelectomy removed patient's diseased cervix and surrounding ligaments and preserved her uterus for future child-bearing.Both procedures performed completed pelvic lymphadenectomy.
Though we don't know whether the patient can really preserve her fertility,radical trachelectomy leave us the hope of it.And doctors will keep on studying datas of oncology,fertility and obstetrics from these surgical procedures,at least there is a
light of it.
In additon,laparoscopes makes these surgical procedures more easy and least invasive.In China,surgeons make it a fashion of introducing endoscope into almost every kind of surgery operations,but they are too expensive,usually 4 to 5 times the prices of traditional operations.Maybe one day,there are endoscopes with a "Made In China" tag,and endoscopies will cost much less.

Saturday, November 25, 2006

Videos of Surgery Procedures I Found in Internet Chapter 8

In China,doctors want to learn and practice medical terminology,then,they can study medicine more sufficiently from the internet.
Maybe for people from English speaking countries,this is nonsense and not important,but Chinese doctors like this kind of messages,and I was one of them.
I found some videos of surgery procedures a few days ago,and now,I will paste their links in my blog,hope them can be helpful for those who are fond of learning medical terminology or surgery procedures.
Also,the copyrights of these videos belong to their authors,never forget this.

Chapter 8:
Kidneys and Urinary System


    Kidney Diseases

  • Live Donor Kidney Translpant (University of Maryland Medical Center, Baltimore, MD, 5/3/2006)

  • Living Donor Kidney Transplant (Methodist University Hospital, Memphis, TN , 04/20/2005)










    • Lungs and Breathing






      Men's Health





      Metabolic Disorders






      Mouth and Teeth





      Pregnancy and Reproduction








      Skin, Hair and Nails






      Transplantation and Donation







      Women's Health









      Videos of Surgery Procedures I Found in Internet Chapter 7

      In China,doctors want to learn and practice medical terminology,then,they can study medicine more sufficiently from the internet.
      Maybe for people from English speaking countries,this is nonsense and not important,but Chinese doctors like this kind of messages,and I was one of them.
      I found some videos of surgery procedures a few days ago,and now,I will paste their links in my blog,hope them can be helpful for those who are fond of learning medical terminology or surgery procedures.
      Also,the copyrights of these videos belong to their authors,never forget this.

      Chapter 7: Heart and Circulation





































      Videos of Surgery Procedures I Found in Internet Chapter 6

      In China,doctors want to learn and practice medical terminology,then,they can study medicine more sufficiently from the internet.
      Maybe for people from English speaking countries,this is nonsense and not important,but Chinese doctors like this kind of messages,and I was one of them.
      I found some videos of surgery procedures a few days ago,and now,I will paste their links in my blog,hope them can be helpful for those who are fond of learning medical terminology or surgery procedures.
      Also,the copyrights of these videos belong to their authors,never forget this.

      Chapter 6:

      Ear, Nose, and Throat









      Endocrine System (Hormones)












      Eyes and Vision










      Genetics/Birth Defects






      Videos of Surgery Procedures I Found in Internet Chapter 5

      In China,doctors want to learn and practice medical terminology,then,they can study medicine more sufficiently from the internet.
      Maybe for people from English speaking countries,this is nonsense and not important,but Chinese doctors like this kind of messages,and I was one of them.
      I found some videos of surgery procedures a few days ago,and now,I will paste their links in my blog,hope them can be helpful for those who are fond of learning medical terminology or surgery procedures.
      Also,the copyrights of these videos belong to their authors,never forget this.

      Chapter 5: Digestive System

























      Videos of Surgery Procedures I Found in Internet Chapter 4

      In China,doctors want to learn and practice medical terminology,then,they can study medicine more sufficiently from the internet.
      Maybe for people from English speaking countries,this is nonsense and not important,but Chinese doctors like this kind of messages,and I was one of them.
      I found some videos of surgery procedures a few days ago,and now,I will paste their links in my blog,hope them can be helpful for those who are fond of learning medical terminology or surgery procedures.
      Also,the copyrights of these videos belong to their authors,never forget this.

      Chapter 4:Child and Teen Health










        Lung Diseases


    • Titanium Rib Procedure (Children's Hospital Boston, Boston, MA, 11/10/2005)

    • Video Assisted Thoracoscopy Lung Resection (Presbyterian St. Luke's Medical Center, Denver, CO, 10/06/2005)









      • Videos of Surgery Procedures I Found in Internet Chapter3

        In China,doctors want to learn and practice medical terminology,then,they can study medicine more sufficiently from the internet.
        Maybe for people from English speaking countries,this is nonsense and not important,but Chinese doctors like this kind of messages,and I was one of them.
        I found some videos of surgery procedures a few days ago,and now,I will paste their links in my blog,hope them can be helpful for those who are fond of learning medical terminology or surgery procedures.
        Also,the copyrights of these videos belong to their authors,never forget this.

        Chapter 3: Cancers

        Brain Cancer























        Videos of Surgery Procedures I Found in Internet Chapter2

        In China,doctors want to learn and practice medical terminology,then,they can study medicine more sufficiently from the internet.
        Maybe for people from English speaking countries,this is nonsense and not important,but Chinese doctors like this kind of messages,and I was one of them.
        I found some videos of surgery procedures a few days ago,and now,I will paste their links in my blog,hope them can be helpful for those who are fond of learning medical terminology or surgery procedures.
        Also,the copyrights of these videos belong to their authors,never forget this.

        Chapter 2: Brain and Nervous System












        Videos of Surgery Procedures I Found in Internet Chapter 1

        In China,doctors want to learn and practice medical terminology,then,they can study medicine more sufficiently from the internet.
        Maybe for people from English speaking countries,this is nonsense and not important,but Chinese doctors like this kind of messages,and I was one of them.
        I found some videos of surgery procedures a few days ago,and now,I will paste their links in my blog,hope them can be helpful for those who are fond of learning medical terminology or surgery procedures.
        Also,the copyrights of these videos belong to their authors,never forget this.

        Chapter 1:Bones, Joints and Muscles


        Ankle Injuries and Disorders






























        Thursday, November 23, 2006

        Is Chiropractic Therapy Safe for Neck Pain?

        In Medscape CME,I have learned that"Chiropractic therapy for neck pain has a high rate of adverse reactions, according to the results of a randomized study published in the July 1 issue of Spine. The investigators suggest that if chiropractic treatment is needed, mobilization is better than manipulation.
        According to Dr. Hurwitz,only several hours after the treatment,nearly a third to a half patients complained of transient pain exacerbation,stiffness,radiating symptoms,headache,tireness,and other uncomfortableness.336 patients were chosen to this investigation,and 280 of them replied.85 patients reported a total 212 adverse symptoms,the most common symptoms were neck pain and stiffness,headache and radiating pain were less common."given the possible higher risk of adverse reactions and lack of demonstrated effectiveness of manipulation over mobilization,chiropractors should consider a conservative approach for applying manipulation to their patients,especially those with severe neck pain."
        The Health Resource and Service Administration and the National Chiropractic Mutual Insurance Company supported this study(NCMIC),and Dr.Hurwitz was supported by a grant from the National Center for Complementary and Alternative Medicine.He also claimed that no Benefits in any form have been or will be received from a commercial party related directly or indirectly to this study.But I doubt that National Chiropractic Mutual Insurance Company may have direct or indirect benefits from this study.Cause the result of it and further study may greatly reduce or even cancel the NCMIC's compensate for chiropractic therapy.And also,reports from the media of this result could make a considerable number of patients give up chiropractic therapy,and this will bring indirect benefits to the insurance company,or even underwriting.Additionally,there were no evidences to prove whether "no benefits in and form have been or will be received from a commercial party",guess who will make effort to inquiry it?
        Medscape CME indicated that "Study limitations include potential outcome misclassfication,confounding,lack of generalizability,and the imprecision of estimates.
        We are disappointed that the study lasted only two weeks,how can we know whether or not the reported adverse symptoms are transient? Maybe they could disappear in longer thiropractic therapy,or on the contrary,worsening.(The author admitted that the majority of symptoms disappeared with 24 hours of onset and did not impair activities.
        Theoretically speaking,chiropractic therapy for neck pain have strict indications and contraindications.Some complicated therapeutic applications of chiropratic are not allowed to be performed by jackaroos.Patients ought to prefer those reliable chiropractors.First of all,you should consult you doctor for whether or what kind or chiropractic therapy you shall take.