医院项目开发意识的设计转化

把业主的开发意识有效地转化为成功的设计方案,是建筑师设计服务的核心价值.在整个设计转化过程中,从开发意识到开发策略的转化过程是业主与建筑师相互作用的关键环节,建筑师在项目前期阶段的介入是把握设计转化的最佳良机.文章以河南洛阳正骨医院传统疗法中心的前期策划及概念设计为例,阐述了这一理念在设计实践中的具体运用.     

A Historical View of the Stress Field

Abstract

An analysis is presented of selected aspects of stress theory and research in biology and medicine, both before and after the introduction of Selye's stress formulations, which have been of major importance in the development and popularity of this research area. An attempt is made to explore some possible sources of present confusion and controversy in the stress field, with a view to the development of new research strategies that may enable us to clarify, update, and revise stress concepts and to facilitate future progress. In particular, it is suggested that an experimental re-evaluation of the concept of the non-specificity of pituitary-adrenal cortical response is a matter of particular strategic importance, if we are to move out of the present prolonged period of stalemate and confusion over stress theory and terminology. Recent experimental studies which suggest that the nonspecificity concept may have been applied erroneously to lower level physiological mechanisms, rather than to higher level psychological processes, are reviewed. The possible implications of this development are discussed in terms of clarifying current concepts and providing guidelines for future lines of approach in stress research.     

以智慧化献血服务改善献血者体验

献血服务全过程从数据化向智慧化发展是大势所趋。献血服务始终围绕献血者展开，以献血者为中心的特点，决定了科学技术手段应用的终极目标为人的体验和感受。借助智慧管理精准识别献血者需求，是提升献血服务水平的首要任务。以武汉血液中心智慧化献血服务为例，阐述了智慧化为献血者带来的全新体验。     

广州市某中学高二文、理科学生性行为及性观念差异的研究

目的：研究高二文理科学生性行为及性观念差异。方法：抽取343名文科学生，450名理科学生进行性行为及性观念调查。结果：文理科学生在性冲动、恋爱、接吻、性交等性相关行为方面存在显著差异，婚前性行为、婚姻恋爱关系、贞操等性观念也存在显著差异。结论：文理科学生的婚恋观、性观念有显著差异；性别的比例对性相关行为有影响；有同性恋倾向的男生更偏向选择文科。     

Defining a Bobath clinical framework – A modified e-Delphi study

Objective: To gain consensus within the expert International Bobath Instructors Training Association (IBITA) on a Bobath clinical framework on which future efficacy studies can be based. Methods: A three-round modified e-Delphi approach was used with 204 full members of the IBITA. Twenty-one initial statements were generated from the literature. Consensus was defined a priori as at least 80% of the respondents with a level of agreement on a Likert scale of 4 or 5. The Delphi questionnaire for each round was available online for two weeks. Summary reports and subsequent questionnaires were posted within four weeks. Results: Ninety-four IBITA members responded, forming the Delphi panel, of which 68 and 66 responded to Rounds Two and Three, respectively. The 21 initial statements were revised to 17 statements and five new statements in Round Two in which eight statements were accepted and two statements were eliminated. Round Three presented 12 revised statements, all reaching consensus. Conclusion: The Delphi was successful in gaining consensus on a Bobath clinical framework in a geographically diverse expert association, identifying the unique components of Bobath clinical practice. Discussion throughout all three Rounds revolved primarily around the terminology of atypical and compensatory motor behavior and balance.