住院医师

As a trauma chief resident or trauma surgeon, cental lines or chest tubes should be done in 1-2 minutes, tracheostomy should be within 5 minutes.

作为一名创伤住院总医师或创伤医师，中央动静脉置管术和胸腔置管术应该在1-2分钟内完成，气管造口术应该在5分钟内完成。

Doctor-patient time to go through a rigorous uation, which is a clinician at the professional and experience of a test.

住院的时机需要经过医师审慎的评估，而这是对临床医师在专业上和经验上的一项考验。

A retrospective study design was conducted by using chart reviews to choose patients who received unilateral primary total hip and knee replacement (International Classification of Diseases, Ninth Revision, Clinical Modification procedure code of 81.51 and 81.54) in two medical centers between 2001 and 2004. Patients were excluded from the study if they had had a bilateral in the same admission, fractures, previous arthroplasty surgery complication, bone cancer, pathological fractures, infection and hemophiliac.

采回溯性病历审查方式，选择台湾地区两家医学中心施行全人工髋及膝关节置换术的全部医师作为研究医师，以ICD-9-CM中之主手术码为81.51及81.54，排除符合同次住院施行双侧、骨折、先前手术的并发症、骨癌、病理性骨折、感染、血友病条件后，分别为716名及1，498名接受初次全人工髋及膝关节置换的病患。

If he is a graduate student, in school period, although passed practicing physician to take a test, but must after the graduation participated in house physician 3+X system's to rotate, if his Unit of work could not give him in the administrative offices very good training, he needed to rotate for 3 years in the outer court.

如果他是一位研究生，在校期间虽然通过了执业医师考试，但必须在毕业之后参加3＋X制度的住院医生轮转，如果他工作单位的所在科室不能给予他很好的培训，他就需要在外院轮转3年。

AMI patients admitted on weekends had higher mortality than those admitted during weekdays. Higher physician volume is associated with lower in-hospital AMI mortality. Furthermore, patients cared for by cardiologists have lower mortality than those cared for by non-internists. Additionally, patients admitted to teaching hospitals have lower mortality than those admitted to nonteaching hospitals.

急性心肌梗塞病患周末住院较平常日住院有较高的住院死亡风险，较高的医师服务量与较低的急性心肌梗塞住院死亡风险有关，心脏专科医师治疗的住院死亡风险相较其他非内科医师为低，教学医院治疗的住院死亡风险亦较非教学医院为低。

Elderly patients with conservative treatment of femoral neck fracture in the bone unhealing rate, avascular necrosis rate and bed incidence of complications are very high, often need surgical treatment, Currently Artificial arthroplasty better able to load the early running, and significantly improved the quality of life. Orthopedist has been universally acknowledged, which was also hemiarthroplasty for and hip arthroplasty mainly, But these indications of operation and the pros and cons of surviving in numerous disputes, By comparing our double-action Hemiarthroplasty with total hip arthroplasty for femoral neck fracture in the elderly average operative time, The average blood transfusion, the average length of stay, average hospital charges, early complications, Harris score, Oxford hip score standards evaluation discussion bipola Femeral Head placement with total hip arthroplasty in the treatment of femoral neck fracture in the elderly: the advantages and disadvantages.

老年患者股骨颈骨折保守治疗的骨不愈合率、股骨头缺血坏死率及卧床并发症发生率很高，常需要行手术治疗，目前应用人工关节置换疗效较好，能早期负重行走，生活质量明显提高，已得到骨科医师的普遍认同，其中又以人工股骨头置换术和人工髋关节置换术为主，但这些术式的适应证及利弊尚存在诸多争议，我们通过比较双动人工股骨头置换与全髋关节置换治疗老年人股骨颈骨折的平均手术时间、平均输血量、平均住院时间、平均住院费用、早期并发症、Harris评分、牛津髋关节评分标准评价来探讨双动人工股骨头置换与全髋关节置换在老年人股骨颈骨折治疗中的优势与劣势。

"The take-home message of this study for clinicians is that obese people with asthma need to be followed more carefully because it's harder to control their asthma, so they are more likely to end up in the hospital," said study coauthor Michael Schatz, MD, chief of allergy at Kaiser Permanente San Diego Medical Center, California."My advice for obese asthmatics is: be vigilant to keep your asthma symptoms in check, make sure you know what to do when your symptoms worsen, and do whatever you can to lose weight."

研究共同作者、加州圣地牙哥Kaiser Permanente医学中心过敏科主任Michael Schatz医师表示，本研究提供给医师们的重点是，肥胖气喘患者需要仔细地追踪，因为会比较难控制他们的气喘，所以他们比较可能住院；我对于肥胖气喘患者的建议是，对于自己的气喘症状要有所警惕，确保知道当症状恶化时应该如何处置，且尽可能减重。

In the era of hospitalist medicine, the doctor caring for patients in-house is seldom the one who will follow them after discharge.

在住院医师时代，在院内管病人的医生通常不是那个病人出院后对他们进行随访的人。

The physician specialty of hospitalist is specifically intended to help proide continuity of care without relying on the traditional approach: sporadic attention from an office-based MD who lacks the latest info on hospital-based care and its unique issues.

内科住院医师专门持续提供医疗服务而不用依靠传统方式：刚从实验室毕业出来的医学博士只能提供少量医疗服务，他们不了解最新医护知识及其独特性。

This study collected data from 1650 patients, retrospectively from a surgical intensive care unit at a teaching hospital from July, 2002 to June, 2004 to determine whether the presence of an on-site, organized, intensivist critical care service improved care and decreased resource utilization.

这篇研究的目的是对一所教学医院外科加护病房实施专责重症医师照护前后，对於病患照护成效，以加护病房住院天数以及死亡率的变化作了实施专责重症医师照护前后的成效评估。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。