现代护理教育的发展趋势

通过护理人员学历改革现状、课程设置、教材与授课、课堂教学的形式等几个方面分析了护理教育的现状,提出了现代护理教育的发展趋势：即多元化发展、突出护理专业课程设置的特色、加强师资力量的培养、培养临床护理专家、重视现代护理教育教材的建设、改革教学方法,注重学生能力的培养、完善继续教育制度,建立终身教育体系,以探讨新形势下护理教育发展的办学模式和运行机制。     

我国循证护理教育现状与展望

综述了我国循证护理教育发展现状,从加强师资、改革课程设置、改革教学方法、规范教材等方面提出循证护理教育发展方向与展望。     

我国循证护理教育现状与展望

综述了我国循证护理教育发展现状，从加强师资、改革课程设置、改革教学方法、规范教材等方面提出循证护理教育发展方向与展望。     

循证护理教育国内现状及展望

综述了国内循证护理教育的现状,从改变教学观念、改善课程设置、加强师资培养、改革教学方法4个方面提出循证护理教育的发展与展望.     

中西医结合护理专科教育课程设置的改革

通过对当前中西医结合护理人才需求与培养现状的分析,提示中西医结合护理教育的重要性。围绕目前中西医结合护理专科教育课程设置中存在问题展开讨论,认为主要问题是缺乏中西医结合护理专业特色,教材体系建设滞后,教学内容不合理,缺乏专业的师资队伍及实践教学体系不完善等。针对问题提出课程设置改革的建议与措施,为培养高素质的中西医结合护理人才提供借鉴。     

创新教育在高等护理教育中的应用

为了改变我国高等护理教育现状,培养高层次的护理人才,促进学科发展,本文主张高等护理教育应实施创新教育,并着重从更新教育思想和教育观念、改革学校管理系统、改革传统的课程设置、改进教学方法和手段,改革现有评价系统等五个方面展开讨论。     

辽宁省5所高职院校护理专业教学计划现状比较分析

高职护理教育是以社会需要为导向的护理教育。培养出掌握现代护理工作方法,满足逐渐增长的社会需求的实用型护理人才。我国高职护理教育从1995年以来后得到了迅速的发展．在21世纪初各高职院校不断进行护理专业的课程改革。而教学计划是课程设置的具体体现,是根据各级各类学校的教育目的、培养目标和教学任务,对一定教学阶段的课程设置、教学时数、先后顺序、教学形式等进行全面科学安排是学校组织教学和教育工作的主要依据。因此,为了了解辽宁省高职护理专业课程设置的现状,现对辽宁省5所高职院校高职护理专业的教学计划进行比较分析。为今后的课程改革提供参考依据。     

护理实验教学的设计与实施

护理教育已经步入了改革与发展的21世纪。广大护理教育工作者都在为发展我国护理教育、促进护理教育的现代化、培养高素质的护理人才而积极探索。护理专业课程设置也已由医学模式转向以人为本，且突出护理专业特色。在院校护理教学课程改革后的课程设置中，公共和人文素养课、专业基础课、专业课比例为0．47：0．33：1，理论课与实践课比例为1：1．93，实践课占总学时43％，已达到我国现代护理教育的需要。现代护理教育的特征是以培养具有创新精神和实践能力为重点，以全面提高护生的素质为根本。现将在护理实验教学中进行的创新与改革介绍如下。     

我国老年护理教育发展现状及趋势

随着人口老龄化的发展,我国老年护理服务的需求增加,但老年护理教育发展严重滞后,老年护理人才缺乏成为突出问题。从专业设置、教材编写、课程设置、教学条件、从业规范等方面综述了我国老年护理教育的发展现状和趋势,并为其发展提供参考和依据。     

我国护理本科教育课程设置的现状分析

结合国外先进护理本科教育的现状,总结我国目前护理本科教育课程设置体系在课程目标、课程设置模式、课程总体特征、课程结构、人文社科课程设置5方面的现状,并分析其存在的问题,为我国护理本科教育课程设置体系的改革发展提供参考依据。     

Guns and Knives in New Mexico: Patterns of Penetrating Trauma, 1978–1993

Objective: To identify patterns of nonfatal and fatal penetrating trauma among children and adults in New Mexico using ED and medical examiner data.
Methods: The authors retrospectively sampled in 5-year intervals all victims of penetrating trauma who presented to either the state Level-1 trauma center or the state medical examiner from a 16-year period (1978–1993). Rates of nonfatal and fatal firearm and stabbing injury were compared for children and adults.
Results: Rates of nonfatal injury were similar (firearm, 34.3 per 100,000 person-years; stabbing, 35.1). However, rates of fatal injury were significantly different (firearm, 21.9; stabbing, 2.7; relative risk: 8.2; 95% confidence interval: 5.4, 12.5). From 1978 to 1993, nonfatal injury rates increased for children (p = 0.0043) and adults (p < 0.0001), while fatal penetrating injury remained constant. The increase in nonfatal injury in children resulted from increased firearm injury rates. In adults, both stabbing and firearm nonfatal injury rates increased.
Conclusions: Nonfatal injury data suggest that nonfatal violence has increased; fatal injury data suggest that violent death rates have remained constant. Injury patterns vary by age, mechanism of trauma, and data source. These results suggest that ED and medical examiner data differ and that both are needed to guide injury prevention programs.     

Systematic Reviews Published in the January 2011 Issue of The Cochrane Library

ABSTRACT

The Cochrane Library of Systematic Reviews is published quarterly as a DVD and monthly online. The January 2011 issue (first quarterly DVD for 2011) contains 4515 complete reviews, 1985 protocols for reviews in production, and 13,521 one-page summaries of systematic reviews published in the general medical literature. In addition, there are citations of 641,000 randomized controlled trials, and 14,018 cited papers in the Cochrane methodology register. The health technology assessment database contains over 9300 citations. One hundred and seven new reviews have been published in the last 3 months, of which five have potential relevance for practitioners in pain and palliative medicine.     

Prise en charge des entorses externes de cheville : étude clinique préliminaire sur l’efficacité du dispositif Myolux™

Ankle sprains are the most common injury of the musculoskeletal system and are associated with significant societal and economic impacts. It has been proven that classical therapeutic strategies may not be effective in preventing recurrent injuries: the recurrence rates reported in the literature can reach 73%. In order to provide an effective rehabilitation solution, a destabilizing orthosis was developed. This device is equipped with a mechanical articulator reproducing the subtalar mechanics and placed under the heel. In this paper, we present the main results of a preliminary clinical study conducted between 2004 and 2007. All subjects included in this study were treated with the abovementioned orthosis during 10 rehabilitation sessions of 30 minutes each. Data show a relatively low recurrence rate of 12% for the overall population. Moreover, it's of primary importance to note that this satisfactory ratio is largely reduced (3% of recurrence rate) for the 29 patients who performed one training session per month after the 10th initial rehabilitation sessions. Hence, the destabilizing orthosis appears to be an effective solution to prevent recurrent ankle sprains. However, joint protection requires long-term and regular training sessions. This result has motivated the development of a similar device allowing patients to perform training sessions at home. Finally, data obtained in this study are promising awaiting the final results of the comparative, multicentric and independent clinical trials currently managed by the Hospices Civils de Lyon.     

Interprofessional approaches to creating safe,high quality health care

Three supplementary perspectives are presented arguing that interprofessional collaboration is both necessary and desirable. Nonetheless, there are often too many serious intra-professional barriers and obstacles to interprofessional collaboration to make it successful. Some of these barriers, it is argued and illustrated, are found in the multiple ways in which professional identity is tacitly acquired and embodied in the practitioners' habitual, everyday practice. The paper then explores ways in which reflection, especially Second order reflection, can help to elucidate and overcome these obstacles, as well as increasing professional adaptability and competence.     

Clinical Trial Updates and Hotline Sessions presented at the European Society of Cardiology Congress 2007

This article provides information and commentaries on trials which were presented at the Hotline and Clinical Trial Update Sessions at the European Society of Cardiology Congress 2007 in Vienna. The key presentations were performed by leading experts in the field with relevant positions in the trials or registries. It is important to note that unpublished reports should be considered as preliminary data, as the analysis may change in the final publications. The comprehensive summaries have been generated from the oral presentation and the webcasts of the European Society of Cardiology and should provide the readers with the most comprehensive information of relevant publications.     

Balance and Boundaries in Grief Counseling: An Intervention Framework for Volunteer Training

Volunteers or paraprofessional counselors are commonly used to provide supportive care to the bereaved. These counselors generally are trained in basic listening skills, providing a generic, nonspecific approach to intervention that remains to be proven effective. The present paper outlines a framework that provides paraprofessionals with a broader model for intervention with the bereaved. Attention to boundaries as a helper and balance in the grief recovery are central to the model. Interventions are described that provide the paraprofessional counselor with more options for tailoring their counseling strategy to the individual. These include techniques that are presumed to be more specific to the enhancement of grief recovery.     

A new method for the simultaneous analysis of unmodified and modified urinary nucleosides and nucleobases by high performance liquid chromatography

Details are given of a new, rapid and simple pre-fractionation method and an isocratic high performance liquid chromatography system suitable for parallel analysis of nucleosides and nucleobases from urine and other biological fluids. The quantitative recovery and excellent reproducibility of the method is demonstrated by analysis of representative standard RNA catabolites. The advantage of this new method for application to biological samples is discussed.     

Adsorption of Charged Non-albumin Bound Drugs by Amorphous Silica

We investigated the in vitro drug adsorption of PQ 10150 sodium silicate gel (AIS, Santa Clara, CA) with particle size of 230 um and surface area of 400 nr/g. We observed 99% to 88% adsorption of gentamicin; a mean 91 % of disopyramide; a mean 89% of quinidine at low concentration, falling to 75% at higher concentration. Insulin was 88% adsorbed at low concentrations but less so (65%) at higher concentrations. We observed a mean 83 % adsorption of procainamide, a mean 84% of N-acetyl procainamide, 74% oflidocaine, 73% of amitriptyline; and 44% of desipramine. We found an average 14% reduction of total digoxin concentration when serum containing digoxin (2 to 33 ng/mL) was exposed to sodium silicate, while the reduction in free digoxin concentration was 16%. Five percent ethosuximide was also removed. The adsorption of theophylline, phenobarbital, acetaminophen, phenytoin, ethylene glycol, methotrexate, salicylate, thiocyanate and diazepam was minimal and not significant. We conclude that significant amounts of charged, non-albumin bound drugs can be removed by PQ 10150 sodium silicate gel.