声画同步幻灯制作实践

在自动播放幻灯中,报奖幻灯对时间的要求是最严格的.它的特点是声画同步,必须在规定的时间里把要汇报的内容呈述完,并且在异地、异机播放时不会出现延时、卡壳、咬字等现象.该文结合报奖幻灯的制作特点,介绍声画同步的细节和技巧,以供初次制作此类幻灯的同行借鉴,从而少走弯路.     

The impact of information and communications technology and broadcasting on YouTube for improving attitude toward organ donation in secondary education with the creation of short films

ObjectiveThere is a lack of awareness about organ donation among teenagers, a fact that could decrease future donation rates. The objective is to analyze the impact of an educational proposal based on the creation of short films.MethodsFifteen schools were randomly selected: ten for the experimental group (EG), and five for the control group (CG). In both groups all students from the selected classes participated (EG: n = 543, CG: n = 320).An intervention was undertaken in the EG, providing a website to make a short film about organ donation and transplantation (ODT) to be broadcast on YouTube. The students completed a questionnaire before and after the proposal.StatisticsMann-Whitney test was conducted to compare the pre-test data, McNemar test compare the pre and post test results of each group, and Chi-square test to compare the change in responses between the two groups.ResultsThe change to a more favorable response was greater in the EG in all variables. The YouTube channel received 104,912 viewings.ConclusionsAn innovative educational intervention has a positive influence on teenage attitude and knowledge about ODT; it also has important social repercussions.Practice ImplicationsImplementing this educational proposal about ODT could help improve future donation rates.     

口腔颌面外科手术在新型冠状病毒感染流行期管理的专家意见

由湖北省武汉市首先发现并蔓延至全国乃至世界多个国家的2019新型冠状病毒肺炎（2019-nCoV）主要通过呼吸道飞沫、分泌物或接触传播,具有极强的传染性。口腔颌面外科医师在诊疗过程中,无可避免地需接触患者的口腔、上呼吸道及其他分泌物,极易造成感染,属于高危医务工作者群体。如何提高口腔颌面外科医师的防护意识,在规范或合理建议下开展口腔颌面外科急诊或择期手术的相关工作,是疫情期间亟须解决的问题。为此,口腔颌面外科专业委员会特组织部分专家,撰写了口腔颌面外科手术在新型冠状病毒感染流行期管理的专家建议,为口腔颌面外科临床医师的诊疗提供参考。     

改进继续医学教育工作的问卷调查

为进一步改进继续医学教育工作，不断适应新形势下发展的需要，对吉林市的市县(区)卫生局有关医教行政管理人员进行问卷调查，对调查结果进行分析，提出合理化建议。     

Population pharmacokinetics of chloroquine and sulfadoxine and treatment response in children with malaria: suggestions for an improved dose regimen

AIMS

To describe the pharmacokinetics of chloroquine (CQ) and sulfadoxine (SDx), and to identify predictors of treatment response in children with malaria given the CQ + SDx and pyrimethamine (PYR) combination.

METHODS

Eighty-six Ugandan children with uncomplicated falciparum malaria, 6 months to 5 years old, were randomly treated with prepacked fixed-dose CQ + SDx/PYR. The youngest children (<24 months) received half strength and the older (>24 months) full strength treatment. The reported day 14 failure rates were 48% and 18%, respectively. Capillary blood (100 μl) applied on to filter paper was collected on eight occasions during 28 days of follow up. Concentrations of CQ and SDx were determined. A population approach was used for the pharmacokinetic analysis.

RESULTS

A two-compartment model adequately described the data for both CQ and SDx. For CQ, the typical apparent clearance (CL/F) and volume of distribution (V_C/F) values were estimated to be 2.84 l h⁻¹ and 230 l. The typical CL/F for SDx was 0.023 l h⁻¹, while the factor relating its V_C/F to normalized body weight was 1.6 l kg⁻¹. Post hoc parameter estimates for both drugs showed lower maximum concentrations (C_max) and concentration-time curve areas (AUC(0,336 h)) in younger children. The AUC(0,336 h) for SDx and CQ were independently significant factors for prediction of cure. Simulations suggest that giving the higher dose to the youngest children would result in higher CQ and SDx concentrations and improved outcome.

CONCLUSIONS

The study results suggest that full-strength combination to all children would improve the cure rate.

WHAT IS ALREADY KNOWN ABOUT THIS SUBJECT

• Both chloroquine (CQ) and sulfadoxine/ pyrimethamine (SDx/PYR) remain important drugs in the control of malaria.
• The available data on CQ, SDx and PYR are summary pharmacokinetic parameters based on classical/traditional methods, mostly in adults.
• No study has described the population pharmacokinetics of a fixed-dose CQ + SDx/PYR combination in children with falciparum malaria.

WHAT THIS STUDY ADDS

• This study presents population pharmacokinetic data on CQ and SDx in children with uncomplicated falciparum malaria.
• The study demonstrates that in age-based fixed-dose regimens with CQ and SDx, drug exposures and outcomes may be correctly predicted, although correlation with body weight is poor.
• The study proposes dose modification to improve response with the CQ + SDx/PYR combination.

     

实现基本医疗保险制度城乡统筹初探

文章分析了我国现行基本医疗保险制度城乡统筹方面存在的主要问题,如管理效率不高、统筹层次较低、公平性有待提升等,并对实现基本医疗保险制度城乡统筹提出若干建议。     

商业健康保险公司介入社会医疗保险的可行性以及模式探讨

目前,商业健康保险公司已经进入到社会医疗保险的多个领域?本研究在分析商业保险公司介入社会医疗保险可行性的基础上,探讨了目前实践中的三种介入模式,并提出了完善商保介入社保的建议?     

我国黄芪药材资源现状与分析

通过对我国黄芪药材资源的考察调研,探明了黄芪药材资源现状为:主要依赖人工栽培,蒙古黄芪为主流商品,甘肃和山东分别成为栽培蒙古黄芪与膜荚黄芪的新主产区,山西北部半野生种植模式保持了传统道地黄芪药材的特征,但产量有限,目前已形成传统芪与栽培芪并存的资源格局.发现膜荚黄芪的栽培选址、黄芪根腐病以及传统芪采刨难是制约黄芪药材生产的主要技术问题,并从我国黄芪种植区域的合理布局、标准体系建立、生产技术研究与规范化建设等方面提出了若干建议.     

组织护理本科生毕业论文开题的启示与思考

目的:了解护理本科生毕业论文开题存在的问题,有针对性地对护生毕业论文进行指导。方法:按文献内容分析法分析医院2006-2009年护理本科生论文开题的一般资料。结果:护生论文开题存在选题、查新、设计和报告等方面问题。结论:应加强护生论文开题指导,确保护生论文质量。