THE non-public economy has played an important role in China’s economic reforms over the past two decades, bringing about great changes to the economy and soci-
The aim is to examine the multiple meanings of creativity in creative economy.The meanings which reinforce the individual aspect stress that personal characteristics may unlock the wealth that lies within people.The d...The aim is to examine the multiple meanings of creativity in creative economy.The meanings which reinforce the individual aspect stress that personal characteristics may unlock the wealth that lies within people.The definitions that reinforce the organizational and social aspects understand creativity as a process,which requires knowledge,networks,and technologies that interconnect novel ideas and contexts.The perspectives which reinforce the political aspect see that creativity took the status of a doctrine to secure collaboration between government and industry.However,these notions of creativity stress its instrumental utility and undermine fantasy,play,or uselessness.展开更多
目的:探讨营养支持药师在个体化营养药物治疗中的作用。方法:营养支持药师参与1例食管癌患者的治疗过程。该患者由于病情进展,需改行放疗,营养支持药师根据其病情、外周静脉输注要求和经济状况,建议在原营养支持方案的基础上改行肠外肠...目的:探讨营养支持药师在个体化营养药物治疗中的作用。方法:营养支持药师参与1例食管癌患者的治疗过程。该患者由于病情进展,需改行放疗,营养支持药师根据其病情、外周静脉输注要求和经济状况,建议在原营养支持方案的基础上改行肠外肠内联合营养:肠外营养采用"全合一"营养液[含5%葡萄糖注射液250 m L、50%葡萄糖注射液100 m L、20%中/长链脂肪乳注射液(C6～24)250 m L、8.5%复方氨基酸注射液(18AA-Ⅱ)250 m L、10%氯化钾注射液10 m L、注射用水溶性维生素1支和脂溶性维生素注射液(Ⅱ)10 m L,渗透压为750 m Osm/L]870 m L,外周静脉输注,每日1次;肠内营养为肠内营养粉剂55.8 g加温水250m L冲泡,口服,每日2～3次。根据患者身体状况及进食量,建议将肠内营养粉剂的用药频次增至每日4～5次,并逐渐停用"全合一"肠外营养液。结果:医师采纳营养支持药师的建议,患者营养状况良好,共顺利完成17次放疗,于入院第37天出院。结论:营养支持药师作为临床治疗团队中的一员,从患者的实际需要和诉求出发,发挥自身药学优势,从营养支持途径、输液方式、营养液配比等方面对营养方案进行了优化和调整,在遵循医疗实践客观规律的前提下,充分尊重了患者的个人意愿,为改善其营养状态、保证抗肿瘤治疗的顺利完成奠定了基础。展开更多
文摘THE non-public economy has played an important role in China’s economic reforms over the past two decades, bringing about great changes to the economy and soci-
文摘The aim is to examine the multiple meanings of creativity in creative economy.The meanings which reinforce the individual aspect stress that personal characteristics may unlock the wealth that lies within people.The definitions that reinforce the organizational and social aspects understand creativity as a process,which requires knowledge,networks,and technologies that interconnect novel ideas and contexts.The perspectives which reinforce the political aspect see that creativity took the status of a doctrine to secure collaboration between government and industry.However,these notions of creativity stress its instrumental utility and undermine fantasy,play,or uselessness.
文摘目的:探讨营养支持药师在个体化营养药物治疗中的作用。方法:营养支持药师参与1例食管癌患者的治疗过程。该患者由于病情进展,需改行放疗,营养支持药师根据其病情、外周静脉输注要求和经济状况,建议在原营养支持方案的基础上改行肠外肠内联合营养:肠外营养采用"全合一"营养液[含5%葡萄糖注射液250 m L、50%葡萄糖注射液100 m L、20%中/长链脂肪乳注射液(C6～24)250 m L、8.5%复方氨基酸注射液(18AA-Ⅱ)250 m L、10%氯化钾注射液10 m L、注射用水溶性维生素1支和脂溶性维生素注射液(Ⅱ)10 m L,渗透压为750 m Osm/L]870 m L,外周静脉输注,每日1次;肠内营养为肠内营养粉剂55.8 g加温水250m L冲泡,口服,每日2～3次。根据患者身体状况及进食量,建议将肠内营养粉剂的用药频次增至每日4～5次,并逐渐停用"全合一"肠外营养液。结果:医师采纳营养支持药师的建议,患者营养状况良好,共顺利完成17次放疗,于入院第37天出院。结论:营养支持药师作为临床治疗团队中的一员,从患者的实际需要和诉求出发,发挥自身药学优势,从营养支持途径、输液方式、营养液配比等方面对营养方案进行了优化和调整,在遵循医疗实践客观规律的前提下,充分尊重了患者的个人意愿,为改善其营养状态、保证抗肿瘤治疗的顺利完成奠定了基础。
