高职院校社区护理实践基地建设初探

加强社区护理实践基地建设,既是深化医学高职教育教学改革的紧迫任务,也是顺应国家卫生改革形势发展的客观需要.目前,实践基地建设面临着教学力量较薄弱,实践内容不系统,评估体系尚缺乏,共建机制未建立等问题.为此,建议开展标准化建设,完善教学实践内容,构建科学评估体系,建立共建共赢机制.     

长春中医药大学附属医院

长春中医药大学附属医院(吉林省中医院)创建于1958年,是吉林省唯一一所集中医医疗、教学、科研、预防、保健、康复于一体的综合性三级甲等中医院,是国家中医临床研究基地、国家药物临床试验机构(GCP)、国家中医师资格认证基地、国家中医药国际合作基地、国家中医药标准化建设基地、全国中医中风急症医疗中心、全国中医医院信息化示范单位、全国中医医院中医药文化建设试点单位、全国中医"治未病"试点单位、省直工伤保险定点医疗机构、市公安伤害和交通肇事诊疗中心。近年来医院荣获了全国卫生系统先进集体、全国医药卫生系统先进集体、全国援外医疗工作先进集体、全国中医护理先进集体、全国中医医院总务后勤管理先进单位、全国职工职业道德建设标兵单位、全国"五一"劳动奖状、吉林省群众满意医疗卫生机构、吉林省高工委先进基层党组织标兵、全国卫生系统先进基层党组织等荣誉称号。     

山东省高校图书馆CALIS联机合作编目工作研究

从组织管理、系统模式选择、系统设计,网络系统标准化、规范化建设,特色数据库的建设等方面对山东省高校图书馆联机合作编目系统的建设提出了建议。     

加强临床医学院建设 提高教学管理水平

加强临床医学院的建设,是保证教学大纲、实习大纲的圆满完成的必要条件,也是抓好临床医学院及教学基地建设,进行制度化、规范化、科学化管理,落实并健全教学管理机构,理顺教学管理体制的关键,现就加强临床医学院的建设、加强教学工作的标准化及规范化管理等方面浅谈一下工作体会。     

高等医学院校临床教学基地内涵建设

临床教学基地是临床教学的重要场所,是医学院校的重要组成部分。文章结合我校临床教学基地建设的实践,通过健全和完善组织机构与管理制度、加强教学管理队伍和师资队伍建设、完善教学基本条件、加强临床教学质量监控等方面来优化临床教学基地内涵建设,为临床教学搭建系统、优质的教学平台,从而不断提高临床教学质量。     

医学术语标准化研究的思考

介绍国内外医学术语标准化研究现状,分析医学术语系统建设流程和术语标准化研究中的关键问题,采用系统分析方法对医学术语系统构建框架和流程进行探讨,指出医学术语系统构建应着重解决医学术语遴选和素材库建设、概念体系建立和术语标准化、开放发布及应用维护问题。     

国家医师资格考试评估试点工作的实践与思考

国家医师资格考试工作已历经7年,积累了丰富经验。为了进一步提高考务管理水平,国家医学考试中心制订了考区和考点评估指标体系并对辽宁等5省进行了试评估。结果表明,评估工作对加强考务管理具有积极意义。评估中也发现,考官培训、考生资格审定、临床考试基地建设等是做好考务工作的关键,需要很好地进行研究;同时,还要积极完善和落实考务管理制度,加强基地的标准化建设,建立高质量的考试题库,努力使我国的医师资格考试逐步与国际接轨。     

全流程标准化健康管理平台的建设思路

目的：利用信息化技术构建全流程标准化健康管理平台。方法：针对健康管理服务信息化背景和面临的问题提出了全流程标准化健康管理平台的建设思路,重点阐述了包括系统功能、技术和业务框架、网络架构等方面的建设方案,总结了该平台的建设特点以及存在的问题。结果：健康管理平台的建设以核心业务为中心,以标准化为基础,可以实现服务与管理全流程的规范化、个性化、精细化,提升健康管理效率和受检者的体验。结论：该建设思路能改变健康管理服务模式和管理模式,有利于全流程标准化健康管理平台的建设,值得推广。     

电子标准化病人教学与提高诊断学的教学质量

电子标准化病人教学系统由多媒体教学软件和电子标准化病人两部分组成。该系统包括心肺听触诊和腹部触诊电子标准化病人，实现了电子标准化病人与多媒体技术相结合的教学新模式，在一定程度上解决了教学资源缺乏的问题，建立了可供学生反复练习的基地，为诊断学教学开辟了一个新的领域。     

湖南中医药大学第一附属医院国家中医临床研究大楼顺利投入运营

正2016年4月1日,国家"十一五"重大专项、湖南省重点工程——湖南中医药大学第一附属医院国家中医临床研究大楼正式投入运营。作为国家重点扶持建设的16家国家中医临床研究基地(肝病)之一,国家中医临床研究大楼的建成将为湖南中医药大学第一附属医院进一步整合人才和技术优势,打造基础研究、临床研究、信息化标准化和中医药特色技术推广等四大公共技术创新平台,为推进临床科研一体化,构建国内一流的肝病中医药防治研究基地和学术团队,圆满完成"国家中医临床研究基地"建设任务提供了强有力的硬件保障。     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

Development on Adjustable Calibration Marker for Shock Wave Focus

Shock wave lithotripsy （SWL） is a treatment of choice for upper urinary stones. However, this procedure is inappropriate for obese patients because the focus is often unable to reach the target owing to the limited focal distance in shock wave source. Although treating such patients in a blast path may increase the application length of shock wave source, it＇s difficult to find this path on the lithotripter monitor. For this reason, we invented an adjustable calibration marker in order to set an effective focus in the shock wave hath.     

Study on the TCM Pathogenesis of Angiopathic Complications of Type II Diabetes

Excess production of reactive oxygen species(ROS)of mitochondrion mediated by hyperglycemia is the common pathogenesis of angiopathic complications of diabetes.TCM holds that the damp from the dysfunction of spleen.kidney and liver is the causative factor of complications of diabetes.This is similar to the mechanism of Ros resulting in angiopathic complications of diabetes.When the angiopathic complications of type II diabetes mellitus(T2DM)are difierentiated as caused by turbid damp in TCM can be explained as ROS.Since the obstruction of pathogenic damp in channels and collaterals is said to be the main pathogenesis,the treating principle should be dissolving the damp to remove the obstruction.     

Leptin, Ghrelin and TNF-α before and after Hypo-caloric Traditional Chinese Diet and Auricular Acupuncture

INTRODUCTION Obesity is a complex emergent problem, which can be possibly solved not only by the diet but also by the life style and promotion of a constant physical exercise. 1, 2 No doubt careful attentions must be given to the nutritional condition of obese people, the dietary habits, the somatic build (i.e. distribution of fat mass) and the organic functions linked to formation of the fat mass. All the parameters should be constantly monitored before, during and after a diet treatment. 3, 4, 5     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

Relationship between Dysglycemia and Carotid Atherosclerosis in Tibetan Population

People with dysglycemia are at high risk for atherosclerotic diseases. This study aims at investigating the atherosclerotic vascular damage in dysglycemia and its metabolic origin in Tibetan population.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

Luo Lingjie's Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.