Research an exciting journey and a career statement: a means to an end, putting rurality on the nursing research agenda

Two issues were of importance to nurses in rural areas considering postgraduate studies. The first was the need for part-time study and what this entails. The second was a request that there be no research component within the postgraduate courses they identified. It is this second issue that I wish to address. I was a nonbeliever in the merit of research studies being integrated into nursing specialist programs. Following a long career in rural clinical nursing and management I have come full circle and now acknowledge the need to understand the role to base practice evidence that is generated through empirical research.     

我国生活饮用水安全的现状与对策

生活饮用水安全是影响人民生命健康和社会经济可持续发展的重要因素，我国越来越重视饮水安全问题。通过我国生活饮用水安全的现状分析，包括水资源、城市供水、农村供水的状况，从水质污染、水型地方病、血吸虫病、水处理能力、季节性缺水等5个方面探讨了饮水安全存在的问题，提出了保障饮用水安全的对策建议。     

对医疗卫生体制改革的思考及建议

医疗卫生体制改革是一个非常复杂的世界性难题。本文结合医疗卫生行业存在的突出性问题，并就实现当前医疗卫生体制改革目标和任务，提出医疗卫生体制改革的前提、保障、人手、重点等建议，保证其改革的科学性、整体性和可行性。     

一个含量均匀度检查的新方案

目的：评估含量均匀度现行检查法的风险,提出含量均匀度检查法新方案。方法：通过分析含量均匀度计算公式中的各参数物理意义,比较中关国现行药典的含量均匀度检查法的差异,探究含量均匀度质量控制的实质。结果：分析过程简明清楚,逻辑性强,根据分析结果,提出了新方案。结论：含量均匀度检查法新方案的判断结果更为真实,标准更为严格,方法更为合理,新方案减少了复试工作量。     

我国实验室生物安全防护装备发展现状及展望

实验室生物安全防护装备是高等级生物安全实验室的硬件基础和关键防护屏障。本文较详细介绍了实验室生物安全防护装备的分类、防护功能及应用,概述了发达国家和我国实验室生物安全防护装备的发展历程和发展现状,分析了我国目前存在的主要问题,并针对性地提出了发展建议,以供相关政府部门、研发机构和企业参考。     

我国医药冷链体系的现状及其发展建议

目的:为我国医药冷链体系的发展与规范提供参考。方法:通过文献研究,对我国医药冷链体系发展现状及存在的问题进行分析。结果:我国冷藏药品城市市场需求大,农村市场前景广阔;政府与媒体已开始关注医药冷链体系的发展。但冷链体系发展过程中仍存在诸如"药品冷冻过度"和"中药冷链"问题不受重视、"药品冷链末端配送"让人担忧、第三方医药物流不被信任、硬件设施与冷链管理理念落后、相关人员素质不高等问题。结论:建议引导各方关注"药品冷冻过度"和"中药冷链"等问题,成立统一配送中心,改善道路交通,不断完善医药冷链末端配送体系;通过完备相关法律政策,加大对于第三方医药物流的扶持;通过自筹资金、引进国外先进管理理念促进冷链体系发展;从企业和政府两个方面共同加强人员的专业培训等。     

我院2015-2016年门诊用药咨询情况分析

目的：提高医院药事服务的质量,增强患者用药的依从性,促进医院临床药学的发展。方法：采用回顾性研究方法,对我院2015年2月至2016年10月的门诊用药咨询记录资料进行分类统计、总结分析,并提出质量改进建议。结果：共收集信息完整的用药咨询记录2 654条（咨询人员2 410例次）,其中,专业性问题记录2 295条（86.5％）,非专业性问题记录359条（13.5％）;咨询药品用法用量的记录最多（901条,33.9％）,其次为咨询药物相互作用的记录（496条,18.7％）;2 654条用药咨询记录共登记3 199例次药品,其中,中成药比例最大（28.0％）,其次是感冒药（12.2％）和消化系统用药（10.8％）。咨询方式以取药当天窗口咨询为主（1 853例次,76.9％）。结论：医院开展门诊用药咨询工作,应从药物用法用量、药物相互作用、药物不良反应等方面着手;应不断提高药师专业水平,增强医患沟通,以促进患者安全、有效、合理用药。     

浅议军队医院参与公立医院改革

军队医院参与公立医院改革面临难于公平参与、医疗市场形势严峻、医院发展受限等问题。医院应积极参与,建立军地沟通常态机制、提升医院的核心竞争力、制定合理的战略发展目标、深刻领会医保政策,更好地服务民众。     

Detection of Cervical Cancer Cells in Whole Slide Images Using Deformable and Global Context Aware Faster RCNN-FPN

Cervical cancer is a worldwide public health problem with a high rate of illness and mortality among women. In this study, we proposed a novel framework based on Faster RCNN-FPN architecture for the detection of abnormal cervical cells in cytology images from a cancer screening test. We extended the Faster RCNN-FPN model by infusing deformable convolution layers into the feature pyramid network (FPN) to improve scalability. Furthermore, we introduced a global contextual aware module alongside the Region Proposal Network (RPN) to enhance the spatial correlation between the background and the foreground. Extensive experimentations with the proposed deformable and global context aware (DGCA) RCNN were carried out using the cervical image dataset of “Digital Human Body” Vision Challenge from the Alibaba Cloud TianChi Company. Performance evaluation based on the mean average precision (mAP) and receiver operating characteristic (ROC) curve has demonstrated considerable advantages of the proposed framework. Particularly, when combined with tagging of the negative image samples using traditional computer-vision techniques, 6–9% increase in mAP has been achieved. The proposed DGCA-RCNN model has potential to become a clinically useful AI tool for automated detection of cervical cancer cells in whole slide images of Pap smear.     

Writing a good research grant proposal

Research is becoming increasingly important in the delivery of paediatric care and in the training of healthcare professionals. Many young clinicians are now looking for some way of becoming involved in research during their training, and some will wish to develop a more formal academic component to their career and/or study for a higher degree in research. Research funding is essential to enable high quality research, but training in how to apply for such funding is relatively limited. This article aims to provide guidance for new researchers setting out to write a research grant proposal. It highlights the importance, at the outset, of selecting the correct research environment, ensuring adequate support and supervision and identifying the necessary knowledge and expertise needed to deliver the project efficiently and effectively. It also covers the important practical steps involved in developing the proposal, writing and submitting the application, and provides suggestions for maximizing chances of success.