以学科馆员为基础设立医院兼职临床馆员

借鉴国外医院图书馆"基于知识的信息"服务理念,提出在医院图书馆建立"学科馆员"、"临床馆员"和"在临床科室设立兼职临床馆员",可为临床用户提供"基于知识的信息服务".     

网络化数字化环境下医院图书馆知识服务的探索

从服务模式、服务内容、服务队伍三个方面,对网络化数字化环境下医院图书馆积极开展知识服务的问题进行了探讨,提出有条件的医院图书馆可实行学科馆员制度,并充分利用导航库、信息推送和智能代理等现代信息技术手段,为临床医教研提供基于专业化、个性化的知识服务.     

医学学科馆员与医院学科建设

医学学科馆员制度是基于信息时代知识管理和医院学科建设的需要而提出的,是目前最贴近医院学科建设的一种创新型服务模式。尽管我国医院图书馆的发展面临诸多难点和困境,但为临床服务、为学科建设服务是医院图书馆永恒的主题,因此实施学科馆员制度十分必要。     

中国中医科学院图书馆学科馆员能力建设浅析

中国中医科学院图书馆在开展创新服务,为医院临床、科研及教学提供优质学科化服务的同时,对学科馆员的综合能力提出了更高的要求。笔者从提升学科馆员个人综合素质、发扬学科馆员团队合作精神、塑造核心价值、开拓创新发展及逐步完善机制、促进能力建设等四个方面,全面阐述了只有提升学科馆员的能力,才能更好地提供全方位、高质量、深层次的学科化知识服务。     

医院图书馆在建立学科馆员制度中如何利用好医院科(室)秘书的作用

探讨医院图书馆员如果能充分利用好医院科（室）秘书的桥梁作用及其学科专业知识等，利用他们充当图情教授和部分学科馆员的角色，则可以提升医院图书馆系统化、个性化、专业化的对口服务，加快医院图书馆学科馆员制度的早日形成，促进医院图书馆的进一步发展。     

医院图书馆学科馆员制度与个性化服务模式

概述了我国医院图书馆开展学科馆员制度的现状,阐述了医院图书馆学科馆员制度建立的必要性,提出了建立医务人员信息个性化服务系统、开展个性化的深层次文献服务、充分发挥学科馆员在建设适应读者个性化需求的馆藏文献资源中的作用、为医务人员提供信息检索技能指导和培训等学科馆员开展个性化服务的几项措施.     

医院图书馆开展学科馆员服务的现状及对策

针对目前医院图书馆开展学科馆员服务的现状与面临的问题,提出加强学科馆员服务宣传力度、构建切合实际的医院图书馆学科馆员服务模式、明确并细化学科馆员工作职责、加强学科馆员人才培养等有效对策。     

大数据时代医院图书馆的角色转换与读者需求

大数据时代医院读者群体获取知识的途径与方式发生很大变化,对实体图书馆文献资源和馆员的依赖度大为降低,致使医院图书馆角色发生转变,医院图书馆只有加强医学文献资源体系研究,分析读者需求,结合医院发展实际,调整定位,转换角色,才能提供更好的信息服务,提出现阶段医院图书馆满足读者信息需求的具体策略。     

医院图书馆馆员职与责小议

医院图书馆馆员职与责小议刘均，刘永玲关键词：医院；图书馆馆员医院图书馆是专业图书馆，其主要任务是为医疗、教学、科研和领导决策提供文献信息的保障。医院图书馆输入输出的全过程是十分复杂的，不仅有着多方面的知识、技术要求，而且要有勤奋奉献、忠于职守、高度负...     

加强素质教育提高服务质量

1 馆员素质决定服务质量 医院图书馆的职能是为临床、教学、科研和领导决策提供文献情报服务.馆员素质的高低,直接影响服务的质量.如果一个医院图书馆具有丰富的馆藏,又有一批求知欲强的读者,而没有热爱图书馆事业和有一定专业知识及工作能力的馆员来管理,图书馆又怎么可能发挥其作用呢?一个合格的馆员应热爱自己的事业,具有较高的思想素质,加强各方面专业知识的学习,努力提高业务水平,才能为临床提供全方位的文献信息服务.     

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…     

Dr.Zhang Ren''''s Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

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.     

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.     

猪肺磷脂注射液联合经鼻持续气道正压通气对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性的影响

目的 探讨猪肺磷脂注射液联合经鼻持续气道正压通气(NCPAP)对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性(CK-MB)的影响.方法 选取呼吸衰竭早产儿80例,分为观察组和对照组各40例.对照组采用NCPAP给氧治疗,观察组给予NCPAP给氧联合猪肺磷脂气管内给药.观察两组患儿治疗前及治疗12h、24 h后PaO2、PaCO2、血氧饱和度(SaO2)、pH的变化情况,检测治疗前及治疗5d后血清CK-MB水平;评估两组患儿的临床治疗效果.结果 两组患儿PaO2、PaCO2、SaO2、pH比较,差异均有统计学意义(P＜0.05),其中观察组治疗后的PaO2、SaO2、pH均高于对照组,PaCO2则低于对照组.两组的PaO2、SaO2、pH均随观察时间延长而升高(P＜0.05),PaCO2均随观察时间的延长而降低(P＜0.05).观察组治疗有效率为87.5％,显著高于对照组的70.0％ (P ＜0.05).治疗5d后两组患儿血清CK-MB水平均较前降低(P＜0.05),且观察组明显低于对照组(P＜0.05).结论 猪肺磷脂注射液气管内给药联合NCPAP可以显著降低呼吸衰竭早产儿CK-MB的含量,提高治疗有效率,起到很好的呼吸循环支持作用.     

Survey and practice of reporting quality of randomized controlled clinical trials on traditional Chinese medicine

Evidence obtained from randomized controlled trials （RCTs） has been generally accepted as the gold standard in the evaluation of clinical effectiveness. Readers need to understand the trial design, implementation, results, analysis and interpretation, so as to fully Jnderstand the results of RCTs. Thus, the investigators of RCTs have to report these items in a complete, accurate and clear manner. Since 1998, we have conducted several evaluations on the reporting quality of RCTs published in Chinese journals on traditional Chinese medicine （TCM） and results have shown that there is an urgent need for higher quality RCTs on TCM.     

TCM Treatment of Ankylosing Spondylitis by Tonifying the Kidney and Strengthening the Governor Vessel

Ankylosing spondylitis is a chronic and progressive disorder with inflammation mainly involving the central axis joints. It mainly affects the cervical spine and the lumbosacral area, with the pathogenesis closely related to the kidney and the Governor Vessel (GV). TCM holds that the syndrome is deficiency in origin and excess in superficiality, which is due to insufficiency of the kidney, deficiency of GV, and blocking of the channels with the invasion of exogenous evil, leading to poor circulation of qi and blood and malnutrition of the bones, muscles and joints. The TCM method of tonifying the kidney and strengthening GV to regulate circulation of qi and blood and check the arthralgia pain should be adopted, with the Kidney-Tonifying and GV Strengthening Decoction (益肾强督汤) prescribed.     

IMPROVING P-gp EXPRESSION IN HUMAN MONONUCLEAR CELLS IN VITRO TRANSFECTED BY MULTIDRUG RESISTANCE-1 mRNA

CHEMOTHERAPY playsa greatrolein the treat- ment of malignanttumors,especiallyingynecolo- gicalones.But inanticancerchemotherapy,leuko-cytopeniaisfrequentlytheprimarydose-limitingsideeffect factor.Moreover,cancersarefrequentlychemoresistantbe-causeof overexpressionof P-glycoprotein(P-gp), which isencodedby multidrugresistancegene (MDR1 ) and detectableinup to50% ofhuman cancersand renderscellsresistancetoanticancerdrugs.The safetyand potentialtherapeuticbenefitof mdr1 gene transferredto h…