自我保健运动 除了给我们已经不堪重负的保健制度增加额外成本之外，每种新定义的疾病都进一步巩固了我们所习得的知觉，即我们在生存斗争中脆弱而无力。幸运的是，人们已经开始从他们那暗示着脆弱的神话之中觉醒了。在高风险的医源性疾病或暴涨的医疗费用的推动下，越来越多的个人正在收回对自己医疗命运的控制权。 在 1980 年代早期，玛丽莲·弗格森的那本突破性的著作《 宝瓶座的阴谋 》，探索了将新的科学引入社会制度的后果。弗格森考虑的是这样的问题，“如果我们完全理解了无形能量操控物质的爱因斯坦宇宙的含义会怎么样呢”？还有，“如果让这种觉悟在教育、经济、政治、商业和健康领域充分发挥出来将意味着什么”？ 弗格森预测了一种迫切的根本性转变——某种进化的觉醒——将通过某种更加合作的社会和新的人性的议程而产生。她的话支持了那个长期存在的精神格言，即我们相信什么，就会去证明什么——信者得见。 这本书于 1980 年出版时，弗格森乐观地认为各种社会制度都会拥抱这种变化。然而，绝大多数社会制度都抵制它，并且仍然停留在它们的物质目的上。不过，有一个领域中整体性观念占据了主导，这就是我们自己的个人健康领域。 为什么呢？因为个人健康，好吧，是自己的事，而医疗体系的功能障碍的影响过于切身，无论是在我们自己的身上，还是在我们所爱的人身上都是如此。那些被医疗体系所抛弃和辜负了的人——无保户和诊断为终末期的患者——转而另寻出路，并且在此过程中，成为自己健康积极管理者。 其结果是，目前超过一半的美国人拜访过替代医学治疗师。原因很简单：在许多情况下，已经证明替代医学的治疗方式明显比对抗医学所提供的保健服务更有效、更廉价、而且更安全。 认识到这一点来得正是时候。我们将需要动用我们所能够集结起来的全部觉知力来面对那条最后的战线，也就是在我们的头脑这个无形的领域中所进行的战争。金钱和物质的力量已经在那里建立了前哨阵地。 The Self-Health Movement Inaddition to adding costs to our already-overburdened healthcare system, eachnewly defined disorder reinforces our acquired perception of being vulnerableand powerless in the struggle for survival. Fortunately, people are beginningto awaken to the myth of their implied frailty. Whether propelled by the highrisk of iatrogenic illness or the skyrocketing cost of healthcare, more andmore individuals are reclaiming control of their medical destiny. In the early 1980s, the breakthroughbook The Aquarian Conspiracy, by Marilyn Ferguson, explored theramifications of introducing new science into society’s institutions. Fergusonconsidered such questions as, “What if we fully understood the implications ofan Einsteinian Universe wherein invisible energy governs matter?” and “Whatwould it mean to have this realization played out in education, economics,politics, business and health?” 52 Ferguson predicted an impendingradical change—an evolutionary awakening—by means of a more cooperative societyand a new human agenda. Her message supported the long-standing spiritual maximthat what we believe, we manifest—believing is seeing. When thebook came out in 1980, Ferguson was optimistic that institutions would embracethis change. However, most have resisted and remained stuck in their materialagenda. Yet, the one area where holistic ideas have taken hold is our ownpersonal health. Why? Becausepersonal health is, well, personal, and dysfunctions within the medical systemhit close to home, either within our own bodies or the bodies of our lovedones. The many people discarded and failed by the medical system—the uninsuredand those diagnosed as terminal—have sought alternatives and, in the process,have become proactive managers of their own health. Theresult is that currently more than half the population of the U.S. visitscomplementary practitioners. The reasons are quite simple: in many cases,alternative healing modalities have proven to be effective, less expensive, andsignificantly safer than the healthcare provided by allopathic medicine. Thisrealization comes not a moment too soon. We will need all the awareness we canmuster to face the final frontier where the power of money and matter havealready established an “in-post” in the invisible domain of our minds.
你的真正年龄是多少？ 高金华 编译 谈到年龄人们一般指出生年龄，即英语世界的人们所说的“日历年龄”。但对一个人寿命长短有决定意义的是他的心理年龄和生理年龄。心理年龄即心理的衰老程度。有人出生年龄不大却老气横秋，有人出生年龄较大，却朝气蓬勃。生理年龄即身体器官、组织的衰老程度。从医学的角度来看，人的“真正年龄”应该是指人们的生理年龄。美国医学博士麦克尔·罗伊增在《真正的年龄》一书中向人们介绍了测量生理年龄的基本方法。 我的朋友西蒙（为了保护个人权利，我隐去了他的真实姓名）是一个意志坚强的人，他靠个人奋斗取得了很多成就。但他有个旅游计划却一直未能成行。他有严重的动脉疾病和可怕的血液循环障碍。 我为西蒙担心，这位长期吸烟的朋友恐怕日子不多了。一天，我问他：“西蒙，你多大年纪？” “麦克”，他不太高兴地说，“你早就知道我今年49岁。” “难道你不知道吸烟使你加速衰老吗？坦白地说，你的真正年龄是57岁。” 我的话令西蒙感到震惊，因为在他的家族史上没有人能活过57岁。 我认为，人的出生年龄和真正年龄是有区别的，这种真正年龄在很大程度上取决于你的某些影响健康的行为。通过以出生年龄为基准增减一些特定的数值，可以计算出你和历法意义上的同龄人相比较的生理年龄。 我利用统计技术设计了一个涉及 125种健康因素的测评系统。通过回答一些问题而得出的一个总数再乘以一个不同年龄段的系数，你就能够确定自己的生理年龄，或者说“真正的”年龄。 如果你回答下面一些问题，可以得出一个大致的结论，这就是与同龄人相比较，你是老得快还是老得慢。（如果你想更精确一些，可查阅我书中的最完整的问卷。）因为在这里仅仅用10个问题就能够大致测定真正的年龄，我建议你不妨测试一番。在你回答问题时，请用加号或减号来计分，比如“增加２年”就记为＋2。 １、你的血压是多少？ a. 90／65到120／81之间：减３年； b. 131／87到140／90之间：加１年， c. 141／91到150／95：加２； d.如果高于151／96：加３。 ２、坐下来好好吃顿早饭（即不是随便对付几口）的频率如何？ a.每周多于５次：减５年； b. 每周２到３次：加0.5； c. 每周少于２次：加１。 ３、每天晚上的平均睡眠时间有多少？ a. 6.5至7小时：减１年； b. 7.5至8.5小时：减５； c.少于6.5小时：加１； d. 多于8.5小时：加1.5年。 ４、在过去的３年中，你每天进行体育活动（例如散步）的平均时间有多少？ a. 多于1.5小时：减1.5年； b. 多于１小时：减１； c. 多于20分钟：减0.5； d. ５分钟到10分钟：加0.5； e. 少于５分钟：加１； f. 无任何活动：加1.5。 ５、每天喝多少酒？（一个统计单位定为：４盎司葡萄酒；或12盎司啤酒；或２盎司白酒。１盎司≈28.3克，约等于中国的市制重量单位半两。） a. １至２：超过40岁的男人和超过40岁的女人减１年； b. 0.5至１：超过40岁的男人和超过50岁的女人减0.5； c.０至0.5或２至2.5：40岁以下的男人加１； d.０至0.5或１至2.5：50岁以下的女人加１； e. 多于３：均加1.5。 在饮酒过量或太少之间有一个适当的限度，而酒类对你的心脏有好处。 ６、每天吃多少水果？ a. ４个或多于４个：减１年； b.不吃水果：加１。 ７、你的父母活了多长时间？ a. 两人都超过75岁：减1.5年； b. 只有母亲超过75岁：减１年； c. 只有父亲超过75岁：减0.5年 d. 俩人都没有超过75岁：加1.5年。 ８、你的婚姻状况怎样？ a. 婚姻美满：男人减1.5年，女人减0.5年； b. 离过婚的男人或守寡的女人：加１年； c. 离过婚的女人：加２年； d. 单身男人：加３年。 ９、每月至少见一次面的亲戚或朋友有多少？ a. ６人：减1.5年； b.３至５人：减１年； c. ２人：减0.5年； d. 一个也没有：加２年。 10.你是否养了一支狗？ a. 是：减0.5年。 根据你的答案统计出一个总年数，再乘以一个下面所列出的不同出生年龄段的系数，即如果你小于40岁则乘以0.3；40几岁乘以0.4；50几岁乘以0.5；60几岁乘以0.6；70几岁乘以0.5；80几岁乘以0.4；90几岁乘以0.3。 最后，用得出的正数或负数与你的出生年龄相加减，得出的答案大体上就是你的“真正的”年龄或者说生理年龄。 这个数字令你高兴吗？如果不满意，也不必沮丧。你可以通过更好地保养身体来改变这一数字。 ●如果你是一个成年人，而且服用阿斯匹林也没有不适反应，你每天可以服用 80～325毫克的阿斯匹林药片，它有助于你防止动脉硬化和减少某些癌症的发生。 ●每天刷牙。引起牙周疾病的细菌可以触发全身（包括动脉）性炎症。 ●看来维生素Ｅ和Ｃ都有助于动脉畅通。每天服用400国际单位维生素药丸（具体吃多少粒请遵循医生的嘱咐）。一日三餐都应有含有维生素Ｃ的食品。 ●保持正常的性生活。它能减少压力和有助于增强夫妻感情。 ●每天吃早餐。研究表明长寿与早餐质量有关。 ●养只狗。养狗的人保持青春活力的时间要长一些，可能是他在每天牵着宠物快走几步的过程中得到了锻炼。养猫的人显然没有这种收获。 在14年前我们那次谈话之后，西蒙彻底戒烟了，开始锻炼身体并认真地吃好每一顿饭。柳暗花明又一村。 两年前的一天，他给我打电话。“麦克，”他声情并茂地喊到：“我当爷爷了。” “西蒙”，我笑着说，“看来你还不到当爷爷的年龄。” 原载美国《读者文摘》2000年第１期第33～36页。 原载：《中国体育报》2000年12月13日第７版。（编辑：于红）
我的保健医生 ---- 陈东福大夫 她是一位肿瘤医生，管我的身体健康，已三十多年了，万分感谢她。 我为她提供肿瘤诊治技术文献和科研动态信息。 合作很愉快。 一个好大夫后面必定有个好情报员。 医生指南网站很好，医生必看的。 http://www.docguide.com/general-practice/popular/popularnew 乳腺癌、肠癌、胃癌、头颈癌、宫颈癌、白血病、肺癌、卵巢癌、胰腺癌、前列腺癌、甲状腺癌。。。。。。 前50个肿瘤名词标签就可以看详细信息。 Top 50 Tags AIDS and HIV bevacizumab Bladder Cancer bortezomib Brain Tumours Breast Cancer capecitabine Cirrhosis cisplatin Colorectal Cancer cyclophosphamide Diabetes docetaxel doxorubicin erlotinib fluorouracil Gastric Cancer gemcitabine GIST Head and Neck Cancer Hepatitis HPV/ Cervical Cancer imatinib Immunisation Interventional Radiology irinotecan leucovorin Leukaemias Liver Cancer Lung Cancer Lymphomas Melanoma Menopause Myeloma Obesity Ovarian Cancer oxaliplatin paclitaxel Pain Management Pancreatic Cancer Pregnancy Prostate Cancer Renal Cancer rituximab sorafenib Thrombosis Thyroid Disorders trastuzumab Vascular Disorders Viral Infections http://www.docguide.com/oncology/popular/30days?hash=d81987cbeid=29833alrhash=30a6ac- 71dddf8b33b12bb34f01f85aa65be2cc 肿瘤医生必看的医学教育资源和国际学术交流信息 Thank you for using OpenCME. OpenCME is dedicated to providing you with an unparalleled, “always-at-hand” choice of relevant medical education from the world’s most highly regarded academic institutions, medical societies and opinion leaders. OpenCME is also dedicated to becoming the ideal place for these highly-respected CME providers to offer their courses and activities to one of the largest communities of knowledge-seeking physicians and health professionals. It is with their collaboration, and your contribution, that OpenCME intends to become the best place to find medical education, online or offline. Pursuing an “always-at-hand” mantra, OpenCME will also strive to make CME available on channels and in formats that suit your circumstances wherever and whenever you have a moment to partake in continuing medical education. That means making CME available to you in different formats, accessible using different devices and/or media, and of a duration that fits the time you can devote to the activity. 详细信息见 http://opencme.org/oncology 陈大夫，辛苦啦，请欣赏。
Associations Between State Economic and Health Systems Capacities and Service Use by Children With Special Health Care Needs Abstract To examine the relationship between measures of state economic, political, health services, and Title V capacity and individual level measures of the well-being of CSHCN. We selected five measures of Title V capacity from the Title V Information System and 13 state capacity measures from a variety of data sources, and eight indicators of intermediate health outcomes from the National Survey of Children with Special Health Care Needs. To assess the associations between Title V capacity and health services outcomes, we used stepwise regression to identify significant capacity measures while accounting for the survey design and clustering of observations by state. To assess the associations between economic, political and health systems capacity and health outcomes we fit weighted logistic regression models for each outcome, using a stepwise procedure to reduce the models. Using statistically significant capacity measures from the stepwise models, we fit reduced random effects logistic regression models to account for clustering of observations by state. Few measures of Title V and state capacity were associated with health services outcomes. For health systems measures, a higher percentage of uninsured children was associated with decreased odds of receipt of early intervention services, decreased odds of receipt of professional care coordination, and increased odds of delayed or missed care. Parents in states with higher per capita Medicaid expenditures on children were more likely to report receipt of special education services. Only two state capacity measures were associated explicitly with Title V: states with higher generalist physician to population ratios were associated with a greater likelihood of parent report of having heard of Title V and states with higher per capita gross state product were less likely to be associated with a report of using Title V services, conditional on having heard of Title V. The state level measure of family participation in Title V governance was negatively associated with receipt of care coordination and having used Title V services. The measures of state economic, political, health systems, and Title V capacity that we have analyzed are only weakly associated with the well-being of children with special health care needs. If Congress and other policymakers increase the expectations of the states in assuring that the needs of CSHCN and their families are addressed, it is essential to be cognizant of the capacities of the states to undertake that role. 来源： http://www.medscape.com/viewarticle/746465
标签: 保健
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