Dietitians should possess basic qualities and related capacities, professional knowledge and skills, but also strive to become better educated and specialized members of the nutritional medical team. Nutritionists must become an indispensable part of the entire healthcare system by changing roles and functions, becoming more than just nutrition experts. Medical and nursing professionals must have a full understanding; this is the only way to promote nutritional medicine toward profound and sophisticated development.
3. Keep track of development. As humanity enters the 21st century, the updates in cultural knowledge and the development of science and technology continue to accelerate. Science not only promotes social progress but also leads to profound social changes in people’s lifestyles, including eating habits, entertainment, and leisure, making a huge difference. Nutritional medicine, closely related to its professional disciplines with the whole community and people's daily lives, requires dietitians to have the ability to track developments and pay close attention to changes in all sectors of society to ensure that the development of nutritional medicine meets the requirements of the times. The development of nutritional medicine and social development should occur simultaneously to better serve the majority of patients.
Second, the abilities are as follows:
1. Promotional development capacity. Nutrition is closely related to people's daily lives. Whether nutrients are adequate or lacking, it is necessary to understand the nutritional value of food and form reasonable dietary structures. Both nutritional deficiency and excess adversely affect human health. However, most people's mindset on nutrition is merely about eating without knowing or understanding the actual role of nutrition and its significance. Deeply informing the public about the role and significance of nutrition within the healthcare system is particularly important for expanding the impact of nutrition in both the healthcare system and society. The target audience is not only patients and the community but also leadership who must realize that only through understanding can there be concern, and only through concern can there be support. Simultaneously, focus on communication and clinical aspects. Strong support from all sides is essential for career development. With all possible means and power, accelerate the pace of the development of nutritional medicine.
Two. Coordination of public relations capacity. Nutrition work in the healthcare system covers a wide range and involves various clinical departments, and dietitians’ interactions with doctors and nurses are closely linked and influence each other. Therefore, to ensure the smooth progress of nutrition work, coordinating public relations holds significant and far-reaching implications for nutritionists. Nutritionists must possess this capacity to adapt to the needs of dealing with people, foreign exchange, and efforts, ensuring that doctors, nurses, dietitians trust, understand, cooperate, and progress together in the new situation.
3. Realistic and innovative capacity. Nutritional medicine is a practical science, with practice and realism serving as the basic guidelines for the development of the nutritional medicine cause. Innovation based on realism, pragmatism being the foundation for development requirements, and innovation being fundamental. Nutritionists should possess strong innovation capabilities, having lofty ideals while staying grounded, especially being able to create something new with bold vision and courage, striving to become pioneers of science.
4. Emergency response capabilities: Nutrition work, although having certain regularities, also faces various patients and unexpected situations, along with all kinds of difficult and complex problems. Therefore, nutritionists must have strong emergency response capabilities to adapt to the nature of work and job responsibilities.
In short, with the deepening of reform and rapid advances in science, competition is increasingly fierce. Nutritionists bear not only material responsibility but also a duty-bound mission. In their place, the interest of their mission and responsibilities lies in studying hard and continuously improving themselves and enhancing their overall quality to solve practical problems, continuously developing innovatively, and making their own efforts for the development of medicine and human health.
Not typical Kawasaki disease 5 cases of mistaken diagnosis and treatment at Bole, Xinjiang People’s Hospital (833400). Qing Zhu department treated five non-typical Kawasaki disease cases between 2000 and 2004, as follows.
Clinical data, general information: four out of the five cases were male, one female patient, aged three years in one case, three-year-old in three cases, nine-year-old in one case, three Han cases, Kazak, Hui one case.
Second, clinical manifestations: All five cases had fever, lasting from the shortest nine days up to 17 days, averaging 14.4 days, maximum temperature of 41°C, minimum temperature of 37.5°C. Five cases showed coughing, one case of diarrhea, conjunctival hyperemia, loganberry tongue in one case, dry lips in two cases, rash in one case, three ECG cases showing sinus tachycardia, ESR>100 in one case, liver damage (AI0u/L, 1 case AST123u/L), platelets>300×10/L in three cases, WBC>10×10^9/L in three cases. Chest tip pneumonia.