Disclosing recent drinking after alcohol has been cleared from the body

There are increasing numbers of cancer prevention and control investigator trainees. On the basis of experience as research proposal reviewers and on reviews of a large number of current trainees, we offer some perspectives on the discipline and important aspects of optimal training programs. The historical importance of public health activities, the significant differences between prevention and treatment, and the breadth and public interest in prevention all have significant implications for trainees. In training, the need to focus efforts and to have active mentoring are critical. More attention to data analysis and complete development of a specific research proposal are also key elements of high-quality training. Although the need for cancer prevention and control investigators is great, more attention to the quality of their training is warranted.     

Corynebacterium macginleyi has to date been isolated exclusively from conjunctival swabs

Fifteen strains of Corynebacterium macginleyi were exclusively isolated from conjunctival swabs of patients with either conjunctivitis or corneal ulcers. Up to now, only three C. macginleyi strains had been described in the literature. The characteristics of the 15 patients from whom C. macginleyi was isolated are outlined, characteristics useful for the identification of C. macginleyi are described, and the antimicrobial susceptibility pattern of the species is provided. C. macginleyi is uniformly susceptible to penicillins, quinolones, and aminoglycosides. Although considered to be of rather low pathogenicity C. macginleyi seems to have the potential to cause superinfections in selected patients with ocular surface problems.     

Cognitive therapy has been shown to be effective in panic disorder

Cognitive therapists suggest panic disorder to result from 'catastrophic' misinterpretation of bodily sensations. The patient suffering from panic disorder consistently misinterprets normal anxiety responses, such as racing heart, breathlessness or dizziness, as indicating impending disaster. Cognitive therapists, who challenge the traditional view of anxiety as 'free-floating' and irrational, argue that the patient's anxiety is an understandable response to their misinterpretations, and advocate a treatment method based on the patient's specific cognitive make-up and on the principle of collaborative empiricism. The patient is gently guided to identify and challenge idiosyncratic cognitions, and to consider alternative interpretations of danger signs. The article provides an outline of the treatment method and its empirical support.     

Lower limb amputation 2: once the decision to amputate has been made

This is the second of four articles on lower limb amputation. The first article (Vol 6(17): 970-7) discussed the indications for amputation and briefly outlined the treatment options that may be tried before the amputation stage is reached. This second article examines the factors that need to be addressed once the decision to amputate has been made. It stresses the importance of preparing the patient and his/her family both psychologically and physiologically for the operation. The techniques and rationale for selecting the optimum level of amputation are then discussed. Finally, the specific levels of lower limb amputation are outlined. The next article in this series will explore the nurse's role in preparing the patient for an amputation, and the final article will address the issues raised when a patient decides that death is preferable to living as an amputee.     

建设攀钢金山耐材基地的时机已经成熟

中国加入WTO后，一向竞争激烈的国内钢铁市场还将向世界打开大门。而对国际国内的强劲对手，攀钢按照国家经贸委要求，整合西南钢铁市场，壮大自己的实力，把自己也变成强者，才能沉着应对复杂、多变的竞争局面。攀钢整合西南钢铁市场给耐火材料产业重组带来的机遇和希望，为金山耐材基地的发展提供了机遇和市场。     

Postoperative pain management in children has been improved, but can be further optimized

BACKGROUND: The aim of the study was to investigate the potential and difference of pure tone audiogram, TEOAE and DPOAE in the detection of temporary threshold shift. METHODS: 46 disco visitors who were exposed to disco music at an average intensity of 105 dB (A) for 1, 1 1/2 and 2 hours respectively underwent audiological examination before and after noise exposure. Audiological measurements performed were an audiogram and measurements of the TEOAE and DPOAE using the system ILO 92 (Otodynamics). RESULTS: The frequency range where the threshold shift occurred was around 4000 Hz in the 1 hour group and spread over all frequencies when the exposure time increased. The average threshold shift over all frequencies and probands was 6.2 dB for the 1 hour group, 7.1 dB for the 1 1/2 hour group and 10.1 dB after 2 hours of noise exposure. TEOAE amplitudes showed significant reduction only at 2000 and 3000 Hz. Even at threshold shifts exceeding 15 dB, however not in all cases, a reduction of TEOAE amplitudes occurred. Similar results were obtained regarding the DPOAE measurements. CONCLUSIONS: We conclude that TEOAE and DPOAE are not ideal instruments in the detection of temporary threshold shift after noise exposure.     

A 500 Million Yuan of the Aluminum Production Project in Inner Mongolia has been Made

Jarud Banner,Tongliao,Inner Mongolia has recently signed a cooperation agreement on the aluminum hub production project with Zhejiang Jinfei Kaida Wheel Co.,Ltd.The project will be implemented in two phases with a total investment of 500 million yuan,of which 200 million yuan is for the Phase I project to be put     

125 million Yuan has been In-vested in the Aluminium Fluoride Project in Mianchi County,He-nan Province

In May this year,Orient Shaoxing Salt Fluoride Co.,Ltd.under China Nonferrous Metals Min- ing Co.,Ltd.launched its 60,000-ton dry- process aluminium fluoride project.Currently, a total of 125 million Yuan has been invested in this project.It is reported that the project,lo-     

Systemic nursing intervention in couples in which one member has cardiac insufficiency

Chronic heart failure is a family affair since the spouse's quality of life is affected as much as that of the patient. This article deals with three clinical cases exploring the couple's perceptions of how the illness affected their marital relationship and how helpful the family systems nursing interventions have been. Three themes emerged from the analysis of the relationship between the evolution of the illness and the marital dynamics, and these are: a search for a balance between protectiveness/overprotectiveness, a reassessment of the marital relationship, and the adoption of new coping strategies. The family systems nursing interventions that were perceived as the most helpful were the systemic questionf1p4++ and the exploration of the couple's strengths and resources. These interventions allowed the couple to: 1) share their illness experience; 2) increase their understanding of the relationship between the illness and their marital dynamics, and 3) reflect on different ways to enhance their competence and resources in meeting with the challenges of this type of cardiac health problem.     

Child custody evaluations when one divorcing parent has a physical disability.

Objective: To explore how parents' physical disability status might impact the process of divorce-related child custody evaluations and custody decisions, the level of training received by psychologists regarding assessment of parents with physical disabilities, and whether psychologists recognize that testing persons with physical disabilities requires specialized knowledge. Study Design: Survey mailed in 4 waves. Participants: 206 child custody evaluators (31% response rate). Outcome Measures: A survey regarding custody evaluations, a custody questionnaire, evaluation practices, education and training regarding disability, demographics, and a question about the purpose of the study. Results: Almost 70% had performed ≥1 child custody evaluation involving a parent with a physical disability. Over 85% of participants reported no training with regard to such evaluations, and 49% reported no training regarding any disability issues. 65% stated they would use the same tests without modifications, regardless of disability status of the parent. Conclusions: Recommendations include mandated training on disability for child custody evaluators, graduate training on disability accommodations in assessment, specifying conditions when evaluating parents with disabilities, more information regarding accommodations in custody evaluations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)