Surgery is a science to study the occurrence, development, clinical manifestation, diagnosis, prevention and treatment of surgical diseases. It is a professional department with surgical resection and repair as the main treatment means. Surgical diseases are divided into five categories: trauma, infection, tumor, deformity and dysfunction. These diseases often need to be treated by surgery or manual treatment as the main means. Therefore, surgery has become a unique surgical treatment. People also often regard the need for surgical treatment as the standard to distinguish internal medicine from surgical diseases. But the surgical science is not equal to surgery, surgery is only one of the treatment methods of surgical diseases.
There are many kinds of surgery, especially the corresponding nursing techniques and methods. But the surgery that people usually understand is the visible wound. The surgical nursing technology that we are familiar with is the disinfection, bandaging and dressing change of the wound. In fact, the surgical nursing process is also related to the internal trauma of the patient or the surgical nursing of the invisible wound. In addition, the treatment of the patient is based on the premise of nursing treatment. Before the treatment, the nursing personnel need to carry out relevant nursing preparation, and after the treatment, they need to carry out daily rehabilitation care and observation. Therefore, from the medical point of view, nursing is closely related to treatment, and neither side can exist independently. It can be said that the work of surgical nursing plays an important role in the process of surgical treatment, so the development and innovation of its technology, whether for medical staff or patients, is very important.
Combined with the author’s working experience, this book introduces the nursing standards of surgical system diseases in detail, and provides theoretical guidance for the majority of medical nursing workers.
前 言
外科是研究外科疾病的发生,发展规律及其临床表现,诊断,预防和治疗的科学,是以手术切除、修补为主要治病手段的专业科室。外科疾病分为五大类:创伤,感染,肿瘤,畸形和功能障碍。这些疾病往往需要以手术或手法处理作为主要手段来治疗。因此,手术就成为外科所特有的一种治疗方法。人们也往往把是否需要手术治疗作为区别内科还是外科疾病的标准。但外科学并不等于手术学,手术只是外科疾病治疗方法中的一种。
外科其实分类很多,相应的护理技术和方法也尤为繁多,但是人们通常理解的外科多为可见的伤痕或者伤口, 大家所熟悉的外科护理技术就是伤口的消毒、 包扎、换药等,其实不然,外科的护理过程中也关乎到患者身体内部的创伤或者不可见伤口的外科护理,加上对病患的治疗是建立在护理处理的前提下的,在治疗前需要护理人员进行相关的护理准备, 在治疗后需要对其进行日常的康复护理和观察, 所以,从医学的角度来讲,护理是和治疗息息相关的,任何一方都不能脱离而独立存在。可以说,外科护理的工作在外科治疗的过程中有着举足轻重的作用,所以对其技术的发展与创新就,不论是对医护人员还是对患者,都是非常重要的。
本书结合作者工作经验, 详细介绍了外科系统疾病的护理规范,为广大医务护理工作者提供外科护理理论指导。
For thousands of years, infectious diseases have been threatening human health, not only bringing great disasters to human beings, but also changing the process of human history. For example, plague, influenza and smallpox have occurred many times in the world. The incidence of infectious diseases is closely related to climate, geographical environment and social factors. With the development of society, the development of prevention and evidence-based medicine has made great progress. Some infectious diseases have been effectively controlled, for example, smallpox has been eliminated, and polio and leprosy are about to be eliminated. However, due to population growth, urbanization and changes in human behavior, the pattern of infectious diseases is also changing. Gonorrhea and syphilis have revived, and some new infectious diseases have emerged, such as AIDS, dengue, Bovine Spongiform Encephali-tis, Ebola hemorrhagic fever, SARS, influenza in birds, influenza A ( H1N1 ), etc. In some areas, measles, rubella, HFMD and hemorrhagic fever are increasing. This not only brings new threats to human health, but also causes great losses to the global economy. In recent years, the resistance of community bacteria has increased, especially tuberculosis, gonorrhoeae, shigella, salmonella and streptococcus pneumococcus, which also poses a new threat to human health. Apart from the fact that most of the original infectious diseases are still spreading or re raging, newly discovered, multi variant or infectious diseases without vaccine may also cause outbreaks at any time, threatening human health and social stability. Infectious diseases will continue for a long time in the future, and the struggle between human beings and infectious diseases is not over.
This book is based on the clinical practice of infectious diseases and arranged by the way of transmission. It has the functions of teaching of the modern infectious disease and popular science, and is convenient for medical staff, staff and residents to use for reference. We should focus on popularizing the knowledge of prevention and control of infectious diseases, and maximize the ability of residents to recognize and prevent infectious diseases. Once infectious diseases occur, community residents should be able to protect and isolate as early as possible, and come to designated hospitals for treatment, so as to fundamentally control the epidemic of infectious diseases.
前 言
千百年来,传染病一直威胁着人类健康,不断给人类带来重大的灾难,甚至改变了人类历史的进程,例如,鼠疫、流感和天花等均曾多次发生世界性的大流行。传染病的发病与气候、地理环境、社会因素密切相关。随着社会的发展,预防和循证医学的发展取得了长足进步,一些传染病得到了有效控制,如天花已被消灭,脊髓灰质炎、麻风也即将被消灭。但是,由于人口的增长和城市化以及人类行为的改变,传染病的格局也在发生着变化,淋病、梅毒又死灰复燃,并且出现了一些新的传染病,如艾滋病、登革热、疯牛病、埃博拉出血热、传染性非典型肺炎(SARS)、人感染高致病性禽流感、甲型 H1N1 流感等;在部分地区,麻疹、风疹、手足口病、流行性出血热有增多趋势。这不仅给人类的健康带来了新的威胁,而且也给全球经济造成了巨大的损失。近年来,社区性细菌耐药性增强,结核病菌、淋球菌、志贺菌、沙门氏菌和肺炎球菌等细菌的耐药性最为明显,这也给人类健康造成了新的威胁。除大多数原有的传染病还在蔓延或重新肆虐外,新发现、多变异或尚无疫苗预防的传染病也随时会引起疫情暴发,威胁人类健康,影响社会稳定。传染病仍会在未来持续较长的时间,人类与传染病的斗争还未结束。
本书以传染病临床实践为基础,以传播途径为编排体例,具备现代传染病教学及科普功能,便于医务人员、工作人员、居民参考使用。我们应重点普及传染病防治知识,最大限度地提高居民认识及预防传染病的能力。一旦发生传染病,社区居民应能及早防护、隔离,并尽早到指定医院救治,从根本上控制传染病的流行。
With the rapid development of science and technology in China, various new technologies and processes have been widely used in the construction industry, which has promoted technological innovation in the construction industry and greatly driven the rapid development of China’s construction industry. The technology of China’s construction industry has begun to develop from the original extensive type to the trend of intensive, intelligent and scientific!
This book discusses the nine aspects of modern architecture, green construction, environmental protection and energy saving construction, low-carbon construction, intelligent construction, lean construction, prefabricated construction, the application of BIM technology in prefabricated buildings and the construction of Internet of Things technology. In terms of content setting and arrangement, it highlights practicality, innovation, and characteristics of the times, and truly conforms to the actual construction of building engineering.
前 言
随着我国科学技术的飞速发展,各种新技术、新工艺在建筑行业得到了广泛运用,推动了建筑行业的技术革新,极大地带动了我国建筑行业的高速发展。我国建筑行业技术开始由原来的粗放型向集约化、智能化、科学化的趋势发展。
本书从现代建筑、绿色建造、环保节能型建造、低碳建造、智慧建造、精益建造、装配式建造、 BIM 技术在装配式建筑中的应用与物联网技术建造这九个方面进行了论述,在内容设置和安排上突出了实用、创新和时代特色,真正做到贴合建筑工程施工实际。
With the gradual improvement of national health institutions’ emphasis on rehabilitation, rehabilitation medicine and nursing have developed rapidly in China, and rehabilitation nursing has also changed significantly in concept, content and technology. Rehabilitation nursing and health care is an indispensable part of rehabilitation medicine. The establishment of the concept of rehabilitation nursing, the basic knowledge of rehabilitation medicine and the mastery of rehabilitation nursing methods are all the necessary knowledge of modern nursing. The establishment of the concept of rehabilitation nursing, the basic knowledge of rehabilitation medicine and the mastery of rehabilitation nursing methods are all the necessary knowledge of modern nursing.
Learning rehabilitation nursing and health care can enable nurses to have standardized rehabilitation nursing ability, use rehabilitation knowledge and skills to care for patients, so as to achieve the purpose of overall nursing, comprehensive nursing and improving the quality of life of patients, and make nursing technology and nursing level to a new stage. In order to enable the majority of nursing staff to learn more advanced rehabilitation nursing concept, content and technology, better train rehabilitation nursing professionals, guide clinical rehabilitation nursing work, and facilitate readers to consult, we have organized nurses with rich clinical experience to compile this book.
This book strives to be concise, and rehabilitation nursing and health care theory is closely combined with clinical practice. The content of this book emphasizes the clinical practicability, strengthens the rehabilitation and nursing content of common specialized diseases, and has strong guidance. In the course of compiling the book, we have extensively looked up and consulted the newly published books and magazines on rehabilitation nursing at home and abroad, as well as the compilation of papers of some academic conferences. This book pays more attention to the new theory, new method and new viewpoint of rehabilitation nursing and health care. Through induction and summary, the content of this book is further enriched.
前 言
随着国家卫生机构对康复的重视程度逐渐提高,康复医学和护理学在国内得到了飞速的发展,康复护理在理念、内容、技术方面也发生了明显的变化。康复护理与保健是康复医学工作中不可缺少的重要组成部分。康复护理概念的确立、康复医学基础知识及康复护理方法的掌握等,都是现代护理必备的知识。
学习康复护理与保健可以使护理人员具有规范的康复护理能力,运用康复知识和技能护理患者,从而达到整体护理、全面护理及提高患者生活质量的目的,使护理技术和护理水平再上一个新的台阶。为了让广大护理人员能够学习到更多先进的康复护理理念、内容、技术,更好地培养康复护理专科人才,指导临床康复护理工作,方便读者查阅,我们组织了临床经验丰富的护理人员编写了本书。本书力求简洁,康复护理与保健理论和临床实践紧密结合。本书内容重点强调临床实用性,强化了常见专科疾病的康复护理内容,重点突出,具有很强的指导性。
本书在编写过程中,广泛查阅和参考了国内外新近出版的有关康复护理的书籍、杂志,以及某些学术会议的论文汇编等,从中汲取精华。尤其对康复护理与保健的新理论、新方法、新观点更加重视,由此及彼进行归纳及总结,进一步丰富了本书的内容。
Project management is a branch of management. It refers to the use of specialized knowledge, skills, tools and methods in project activities, so that the project can achieve or exceed the set needs and expectations under the limited resources. It is of great theoretical significance for the study of the management of public bidding in the way of government procurement. Bidding procurement is a fair and democratic way, which is widely used in government procurement. Most of the government invested projects in our country adopt the way of “self built and self managed” bidding procurement to manage government projects, which has many insurmountable disadvantages. Developed countries and regions regard government investment projects as a part of government procurement, and adopt systems such as setting up specialized agencies, strengthening government supervision, contractor access, special contract conditions, project guarantee to manage government projects. Beijing has carried out the pilot and exploration on the bidding and procurement mode of government invested projects, and put forward the bidding and procurement management mode of public institutions and enterprise government invested projects. In fact, the bidding method encouraged in government procurement is the competitive bidding method. According to the competitive bidding method and the competitive, fair and just principles of government procurement, this book studies the bidding and procurement management of the project, so it has important theoretical significance.
前 言
项目管理是一个管理学分支的学科,指在项目活动中运用专门的知识、技能、工具和方法,使项目能够在有限资源限定条件下,实现或超过设定的需求和期望。对于政府采购方式的公开招标投标管理的研究是有重要的理论意义的。招标采购方式是一种公平民主的方式, 在政府采购中广泛应用。 我国大多政府投资项目采用“自建自管”招标采购方式管理政府项目,此种方式存在许多不可克服的弊端。发达国家和地区将政府投资项目列为政府采购的一部分,采取设立专门机构、加强政府监管、承包商准入、特殊合同条件、工程担保等制度管理政府项目。北京市对政府投资项目招标采购模式进行了试点和探索,提出事业单位型和企业型政府投资项目招标采购管理模式。政府采购中鼓励的招标方式实际上就是竞争性的招标方式,根据竞争性招标方式和政府采购的竞争性原则、公平原则、公正原则,本书研究项目的招标投标和采购管理,因此有着重要的理论意义。