传染病病人转运管理册的设计与应用

传染病病人转运管理册的设计由两部分组成,即前面的理论指导和后面的法律记录。从传染病病人转运管理册的设计理念、内容、使用和管理方法几方面入手,做到规范医务人员转运流程的管理,提供举证倒置的法律依据和体现人性化管理理念,达到科学规范管理传染病病人的转运工作。     

优缺点记录本在大内科细节管理中的应用

目的 探讨优缺点记录本在大内科细节管理中的应用.方法 大内科总护士长建立一个优缺点记录本,用于记录内科10个病区护理工作的优点与缺点.1次优点可以抵消1次缺点.当优缺点相互抵消后,仍有多余的缺点,且≥3件次时,考核病区护士长5分,该病区进入下一个记录周期;当优缺点相互抵消后,有多余的优点时,则该病区的优点事件可以继续使用,不进入下一个记录周期.结果 护士工作的积极性得到了极大的发挥,建立优缺点记录本后一年,10个病区在大内科的护理质控检查项目全年的月平均分均不同程度地高于建立记录本前的一年,病人对护理工作的满意度也显著提高.结论 优缺点记录本在大内科细节管理中具有良好的作用.

Abstract：

Objective To explore the application of advantage and disadvantage record book in great medical details management. Methods Large internal medicine charge nurse established a record book to record the advantages and disadvantages of ten internal medicine wards. One advantage was offsetted by a drawback. When the advantages and disadvantages were cancelled each other out, there were still shortcomings in excess, and was equal to greater than three times, assessed ward charge nurse five points, the record of the ward into the next cycle; when the advantages and disadvantages were cancelled each other out, there were extra advantages, the ward should be continued to use the advantages, not into the next cycle. Results The enthusiasm of nurses had been a great play, after the establishment of the advantages and disadvantages for one year, the average monthly sub - projects'scores were better than those of last year, and patients'satisfaction with nursing work was increased significantly. Conclusions The advantage and disadvantsge record book has a good effect in great medical details management.     

Digby Leigh

Digby Leigh was a pioneer of Canadian pediatric anesthesia. He was an outstanding man - once met, never forgotten. My only contact with him was at the First Paediatric Anaesthesia Workshop at HSC in Toronto organized by Alan Conn in 1964. He chaired a panel with Jackson Rees from Liverpool and Bob Cope, a gentlemanly senior anesthetist at the Hospital for Sick Children, Great Ormond Street in London. The introduction was followed by 'We are all enemies,' a sure start for a vigorous debate. Digby Leigh was born in Jersey, grew up in British Columbia where he attended the University of British Columbia. He moved to Montreal to attend McGill University because there was no medical school in Vancouver. He graduated in 1932 and, like many others, began surgical training at Montreal Children's before Wesley Bourne, Chief of Anaesthesia, persuaded him to change to Anaesthesia. He went to Madison, Wisconsin, and trained with one of the great pioneer teachers, Ralph Waters, for 3 years.     

Purple Sweet Potato Color Alleviates D‐galactose‐induced Brain Aging in Old Mice by Promoting Survival of Neurons via PI3K Pathway and Inhibiting Cytochrome C‐mediated Apoptosis

Purple sweet potato color (PSPC), a class of naturally occurring anthocyanins, protects brain function against oxidative stress induced by D‐galactose (D‐gal) (Sigma‐Aldrich, St. Louis, MO, USA). Our data showed that PSPC enhanced open‐field activity, decreased step‐through latency, and improved spatial learning and memory ability in D‐gal‐treated old mice by decreasing advanced glycation end‐products'' (AGEs) formation and the AGE receptor (RAGE) expression, and by elevating Cu,Zn‐superoxide dismutase (Cu,Zn‐SOD) (Sigma‐Aldrich) and catalase (CAT) expression and activity. Cleavage of caspase‐3 and increased terminal deoxynucleotidyl transferase (TdT)‐mediated deoxyuridine triphosphate (dUTP) nick‐end‐labeling (TUNEL)‐positive cells in D‐gal‐treated old mice were inhibited by PSPC, which might be attributed to its antioxidant property. PSPC also suppressed the activation of c‐Jun NH₂‐terminal kinase (JNK) and the release of cytochrome c from mitochondria that counteracted the onset of neuronal apoptosis in D‐gal‐treated old mice. Furthermore, it was demonstrated that phosphoinositide 3‐kinase (PI3K) activation was required for PSPC to promote the neuronal survival accompanied with phosphorylation and activation of Akt and p44/42 mitogen‐activated protein kinase (MAPK) by using PI3K inhibitor LY294002 (Cell Signaling Technology, Inc., Beverly, MA, USA), implicating a neuronal survival mechanism. The present results suggest that neuronal survival promoted by PSPC may be a potentially effective method to enhance resistance of neurons to age‐related disease.     

试论药品使用规范的标准界定

目的厘清使用药品的各种规范标准,以利于药品的合理使用。方法应用法学、组织学、管理学的理论对各种资料进行分析。结果与结论《中国药典临床用药须知》是一个权威性的法律文件,药物使用与《中国药典临床用药须知》相符合是最基本的要求。药品说明书覆盖的范围广于参考书和《中国药典临床用药须知》,药品说明书更适用于药物的使用,有重要的参考价值。多版次专业书籍和其他资料亦可供临床用药时参考。     

小儿哮咳症见气池青紫与免疫球蛋白的关系

目的观察小儿哮咳症见"气池"青紫与免疫球蛋白(IgG、IgA、IgM)关系的临床研究,探寻小儿哮咳发病的影响因素,为预防、治疗小儿哮咳提供依据,"气池"变化的观察为儿科望诊新增添的内容。方法收集小儿病例资料90例,选择症见"气池"青紫的哮咳患儿30例为观察组、单纯哮咳而未见"气池"青紫患儿30例为对照A组及健康体检小儿30例为对照B组,检测其免疫球蛋白(IgG、IgA、IgM)指标,进行观察、研究、总结。结果症见"气池"青紫哮咳患儿的IgG、IgA、IgM水平较单纯哮咳而未见"气池"青紫患儿及健康体检小儿均有不同程度降低,并且以IgA、IgM降低为主;少数患儿存在免疫球蛋白IgG、IgA、IgM在正常范围内偏高的现象。结论免疫力低下是症见"气池"青紫哮咳患儿反复发作的病因之一,故对临床症见"气池"青紫的哮咳患儿应常规检查免疫球蛋白(IgG、IgA、IgM)指标,以便调节机体的免疫力及为系统、规范化诊疗提供新的诊断依据。"气池"改变与免疫球蛋白指标变化关系的研究为儿科望诊新增添的内容。     

中医药古籍孤本文献的保护与数字化建设

结合成都中医药大学中医药古籍孤本保护与数字化建设的研究与实践,对中医药古籍孤本进行保护和数字化建设的意义、中医药古籍孤本数字化建设的内容、数据库检索功能的实现以及共建共享等目前存在的问题进行探讨。     

Living Library及其在中国的发展

简要介绍了Living Library产生的背景与发展,结合国内开展Living Library活动的实际情况和特点,提出了拓展活动领域、加强资源建设、规范和完善借阅制度、重视读者的需求与评价等开展Living Library活动的建议.     

高校图书馆与图书供应商在中文图书采购中的博弈与合作

通过探讨高校图书馆与图书供应商在中文图书采购中的选择博弈、价格博弈、服务与成本博弈以及双方的合作本质,提出了馆配过程中重视服务与信誉、遵循市场规律、优势互补、蓝海战略的策略.     

紫甘薯花青素对LPS致炎小鼠学习记忆能力的保护作用

目的探讨紫甘薯花青素对小鼠学习记忆能力的影响。方法建立小鼠脑组织慢性炎症模型,紫甘薯花青素连续灌喂,对照组灌喂生理盐水,通过开场测试、一次性被动回避测试两种行为学模型观察小鼠学习记忆能力的变化。结果通过灌喂PSPC后,PSPC+LPS组的小鼠与LPS组的小鼠相比,在总路程、速度、理毛、贴壁和站立等4个方面的能力都有显著的升高(P<0.001);记忆保持潜伏期显著增高(P<0.001)。结论紫甘薯花青素对LPS致炎小鼠学习记忆能力具有保护作用。