2014河南省主任医师评审要求之科研论文篇--kankan.docx

河南省主任医师、护师、药师职称（卫生类）评审要求之科研论文篇河南省的晋升正高的科研要求如下：具备下列三条中的一条一在中国科学技术协会主管且中华医学会主办的中华学术期刊上发表本专业有较高学术水平的论文3篇。二 1.省属医疗卫生单位:省级以上论文6篇以上(其中至少有4篇国家级或国内核心)。2.省辖市以下医疗卫生单位:省级以上论文6篇以上(其中至少有1篇是国家级或国内核心)。三同时具备下列条件中的2条以上（其中第条为必备条件）。1.（1）省属医疗卫生单位:省级以上论文5篇以上(其中至少有3篇国家级或国内核心)。（2）.省辖市以下医疗卫生单位：省级以上论文4篇以上（其中至少有1篇国家级或国内核心）。2.正式出版过本专业有较高价值的专著（编委以上，本人编写有关章节，字数3万字以上。在省级医疗卫生单位工作的人员限副主编以上,字数5万字以上）。3.获本专业省辖市（厅）级二等以上科技进步奖、科技成果奖（限前5名），或省级三等以上科技进步奖（限前7名）说到论文发表这一块，我的感想最多，因为走了很多的弯路，浪费了很多的时间。刚开始我自己写了几篇所谓的文章就去投稿了，过了大约一个月有一个杂志社回信说稿件不符合发表要求，退稿了。其余的杂志社一直就是没有回信，又过了几个月打电话问，人家说早就退稿了，就这样科研论文没有，一年的时间被耽误了，第二年有人说可以找人帮忙发表文章，我就找了一家中介发了几篇，杂志到手后才知道，有一块砖头那么厚，人家评委根本不认可，说杂志的质量不合格，我当时真是欲哭无泪，就这样我只能再等一年。这一次我有经验了，我找晋升成功的同事讨经验，我的同事介绍了一家金诚论文辅导中心给我，说这家比较好，文章、期刊的质量都很好，他的职称论文就是这家帮的忙，才通过评审的，我也找了这家，还真没有让我失望，金诚论文辅导中心的刘老师人很好，负责、讲信用，不管文章质量还是期刊质量都很好，而且发表时间也很准确，在她的帮助下我的论文顺利过关，我还特意打电话向她致谢，有需要发表文章的朋友也可以找她帮忙，她的联系方式是1 the followingpathological changes inwhichaccord withportal cirrhosis of the liver()A.wide range ofnecrosis of liver celldegenerationDestroy the B.normallobular architectureC.connective tissueproliferationD.intrahepatic vascularnetworkreconstructionGenerate E.regenerative nodulesand falselobuleAnswer: EAnalysis:in patients with earlysymptoms of livervolume is normal orslightly increased,texture and slightlyhard.Laterthe liversize,liver bodyweightsizeslightlyequalnodules,diameternot exceeding 1.0cm.Sectionintertubercularfibrous tissueinterval,intervalof uniform thickness.Lobulestructure was destroyedunder microscope,replaced by apseudo lobule,false lobuleis byextensive proliferation of fibrous tissueoftheliver cell regenerationnodule segmentationwrappedinto sizes,round or ovallivercells.Falselobuleof livercells arranged in disorder,the regeneration of liver cells,centrilobular veinagenesis,deviationor have more than two,visiblechronicinflammatory cell infiltrationpseudo lobule,small bile ductsandcholestasisoftenhyperplasia,degeneration and necrosis oflivercellsvisible.In2.10 months,female,fever andcough for 3 days,half a daytodrowsiness,convulsionscomafor4 hours toemergency.A temperature of 38.4 DEG C,anterior fontanellebulge.The respiratoryrate of 44,double lungscattered in thefine rales,heart rate 140 beats / min,liver costal2cm,white blood cell:22 * 109/L,N 75%.(1-3 commonquestions)1 first of allshould be giventoemergency treatmentA.slow intravenousinjection of diazepam,intravenous calcium supplementB. intramuscular injectionof AntongdingandstabilityC.slow intravenousinjection of diazepam,rapidintravenous infusion of20% mannitolD.intramuscular injection ofRumisodium andvitamin DE.slow intravenousinjectionof cedilanidand calciumAnswer: CAnalysis: thefirsttheconvulsionand brain edemawere treated,anti convulsionpreferred stability,reducing intracranial pressure,intravenous injection of20% mannitolevery 1 1.5g/kg,according to the needs ofdaily injections of4,not more than 3 days.Mannitolcan alsoanddiureticdehydration.The 2most in need ofwhatcheckA.examination of cerebrospinal fluid B.head CTC.chest X-rayD.calciumE. ECGAnswer: AAnalysis:identification ofcerebrospinal fluidexamination is helpful to thevariousencephalopathy.3cerebrospinal fluid pressure2058Pa(210mmH2O),white blood cell:10 106 /L,arelymphocytes,thechildren should bediagnosedA. bronchialpneumonia complicated withpurulent meningitisB.bronchial pneumonia withheart failureand low calciumconvulsionC. bronchialpneumonia withfebrile convulsionD. bronchialpneumonia with toxic encephalopathyE. bronchialpneumonia complicated withviral meningitisAnswer: DAnalytic:toxic encephalopathyissimilar toencephalitisperformancecan refer to anacute infection,infectionofvirusandpoisoning,allergies,human hypoxia,cerebral edema,vascularintimalcell swellingcaused bybrainischemia associatednecrosis.Bronchialpneumonia ofmild hypoxianerve system symptomsmanifested as irritabilityandlethargy.Cerebral edemacan havesleepiness,lethargy,stupor,gaze,repeated seizures,conjunctivaledema,anterior fontanellebulge,ameni