基于网络的毕业生就业信息管理系统的设计与开发

针对目前一些高校使用的《全国高校毕业生就业信息管理系统1.1版》存在的不足,构建基于网络的高校毕业生就业信息管理系统,以提高毕业生就业管理的工作效率,构建一个毕业生、毕业生所在学院（系）和学校就业管理部门多方信息沟通的综合管理网络平台,将其设计、开发过程进行简要介绍。     

Effects of educational intervention on nurses’ knowledge, attitudes, and behavioral intentions toward supplying artificial nutrition and hydration to terminal cancer patients

Introduction  This study aimed to investigate the effects of educational intervention on nurses’ knowledge, attitudes, and behavioral intentions regarding supplying artificial nutrition and hydration (ANH) to terminal cancer patients. Materials and methods  A quasi-experimental design was adopted. A structured questionnaire evaluated the effects of educational intervention. From April to June 2005, 88 nurses were enrolled in the gastroenterology, general surgery, and intensive care unit of Taipei Veterans General Hospital in Taiwan. The nurses were randomly assigned into experimental and control groups in equal numbers (44 nurses in each group). After the experimental and control groups completed the pretest, the experimental group participated in a 50-min lecture. Both groups received a post-test 2 weeks after the lecture. Results  This study showed that prior to educational intervention, nurses have possessed experiences of ANH use in routine caring for terminal cancer patients. However, due to the lack of knowledge about supplying ANH to terminal cancer patients, the nurses trended toward the negative behavioral intention, although they realized the burdens of ANH in these patients. After educational intervention, mean scores of knowledge, attitudes and behavioral intentions of the experimental group increased significantly (z = −5.255, p < 0.001; t = −5.191, p < 0.001; z = −3.274, p ≦ 0.001). Mean score changes of knowledge and attitude between these two groups reached significant differences (t = −7.306, p < 0.001; t = −4.165, p < 0.001), but no significant difference was observed in the mean score change of behavioral intention (z = −1.943, p > 0.05). Conclusion  The educational intervention remarkably improved nurses’ knowledge and attitudes regarding supplying terminal cancer patients with ANH. As for the changes in the behavioral intentions, it requires long-term moral and ethical training and communication. The results of this research emphasized the importance of educational interventions, which should be considered seriously in future reference nursing education program.     

护理学专业毕业生就业趋势比较研究与对策

目的调查护理专业毕业生的就业现状,以促进学校完善办学理念,改革教学模式,加强毕业生就业指导和服务工作。方法采用问卷调查的方法进行资料收集,以FOXPRO 6.0建立数据库,使用SPSS 10.0软件进行统计处理。结果高职班与中专班毕业生的就业率、就业单位的所有制形式及就业医院的等级有显著性差异,2种类型的毕业生在用工性质、医院的种类、用人单位的地点及对就业的满意度方面无显著性差异。结论学校在办学理念上,必须准确定位,突出特色。加强就业指导工作,建立职业化的就业指导队伍。转变就业指导观念、模式、内容和方法。毕业生应树立6个意识,即准确定位、自力更生、敬业爱岗、终身学习、团队合作、诚信守约。     

Piloting an email-based resource package for job seekers with multiple sclerosis

Purpose: Media-based rehabilitation provides a powerful opportunity to examine vocational behaviors in the disability sector. However, this research is preliminary at best. This paper reports pilot data. Method: Eighteen adults with multiple sclerosis (MS) accessed an email-delivered, resource-based package, Work and MS. Pre- and post-access vocational self-efficacy and identity (Job-Procurement Self Efficacy Scale, My Vocational Situation Scale- primary outcomes), life orientation and depressed mood (Life Orientation Test – revised and Patient Health Questionnaire-9 – secondary outcomes) were assessed. Pre- and post-change scores were examined with Wilcoxon signed ranks tests and Hedges g effect sizes with associated 95% confidence intervals. Reliable change analyses were additionally calculated to determine the clinical significance of individual change scores. Results: Significant and positive effects were reported for vocational self-efficacy, identity, and optimism. Reliable change scores in one or more of these key outcomes were reported by 30% of the sample. Satisfaction with the content and delivery of the email-based intervention was also noted. Conclusions: Preliminary evidence suggests that Work and MS can help to promote vocational goals, interests and strengths among job seekers with a disability by providing a set of tools, information and linkages relating to vocational pursuits and career development. Replication with a randomized control design is indicated.

• Implications for Rehabilitation

• Research indicates a high unemployment rate among working-age adults with MS.

• A combination of disease-specific, psychological, programmatic and societal variables contribute to employment instability in this group.

• This pilot study demonstrates that an e-mail-based resource package, Work and MS, provides an innovative and feasible option for promoting consumer engagement with vocational services and, potentially, improving vocational outcomes.

• Work and MS has potential applicability to other disability groups.

     

男护生就业思想状况与社会认同情况的比较分析

目的让男护士了解当今社会对其认同程度，做出适当调整，同时给学校和医院在培养护理人才方面提供参考。方法采用问卷调查法，对某校63名男护生进行了就业思想状况的调查，对157名社会人员进行了对男护士认同度的调查。结果56．36％的男护生认为医院对男护士的需求程度可有可无，而78．98％的社会大众则认为医院需要男护士。其次，男护生选择毕业后从事护理工作的仅10．91％，但社会大众愿意接受的有68．15％。结论社会对男护士认同度良好，需求度较大，但男护生对自身专业认同度低。建议医院在接受男护士时应针对其优势用人所长，医学院校应结合医院的需求注重男护生综合素质的培养，男护生应准确定位作好职业规划，社会应关注并接受男护士。     

Cognitive deficits are associated with unemployment in adults with sickle cell anemia

An estimated 25–60% of adults with sickle cell disease (SCD) are unemployed. Factors contributing to the high unemployment rate in this population are not well studied. With the known risk of cognitive deficits associated with SCD, we tested the hypothesis that unemployment is related to decrements in intellectual functioning. We conducted a retrospective chart review of 50 adults with sickle cell anemia who completed cognitive testing, including the Wechsler Adult Intelligence Scale–IV, as part of standard care. Employment status was recorded at the time of testing. Medical variables examined as possible risk factors for unemployment included disease phenotype, cerebral infarction, and pain frequency. The mean age of the sample was 30.7 years (range = 19–59); 56% were women. Almost half of the cohort (44%) were unemployed. In a multivariate logistic regression model, lower IQ scores (odds ratio = 0.88; p = .002, 95% confidence interval, CI [0.82, 0.96]) and lower educational attainment (odds ratio = 0.13; p = .012, 95% CI [0.03, 0.65]) were associated with increasing odds of unemployment. The results suggest that cognitive impairment in adults with sickle cell anemia may contribute to the risk of unemployment. Helping these individuals access vocational rehabilitation services may be an important component of multidisciplinary care.     

逐瘀通脉胶囊对糖尿病早期肾病患者胱抑素C和D二聚体的影响

目的观察逐瘀通脉胶囊佐治糖尿病早期肾病的疗效,以及对胱抑素C和D二聚体的影响,并探讨其机制。方法选择78例糖尿病早期肾病患者为研究对象,均予以糖尿病饮食、运动疗法、胰岛素或(和)口服降糖药物、抗栓、调脂、ACEI或ARB制剂等常规治疗。入选后随机分为观察组和对照组,每组39例。观察组予以逐瘀通脉胶囊0.4g,3次/日,口服;对照组加服复方丹参片,3片,3次/日。疗程为12周。分别检测两组患者治疗前、后尿微量白蛋白排泄率(UAER),血清胱抑素C(CysC)和血浆D二聚体水平,并予以比较。结果①两组患者治疗后UAER、CysC、D二聚体均较前降低,差异经检验,具有统计学意义(P<0.01,P<0.05)。②观察组上述指标较之对照组降幅更甚,差异经检验,亦具有统计学意义(P<0.05)。结论逐瘀通脉胶囊对糖尿病早期肾病有一定的治疗效果,可能是通过提高肾小球滤过率,抗凝血等机制来实现的。     

Predicting drug court outcome among amphetamine-using participants

Amphetamine use and abuse carry with it substantial social costs. Although there is a perception that amphetamine users are more difficult to treat than other substance users, drug courts have been used to effectively address drug-related crimes and hold the potential to lessen the impact of amphetamine abuse through efficacious treatment and rehabilitation. The objective of this study was to identify predictors of drug court outcome among amphetamine-using participants. A drug court database was obtained (N = 540) and amphetamine-using participants (n= 341) identified. Multivariate binary regression models run for the amphetamine-using participants identified being employed and being a parent as predictive of successful completion of the program, whereas being sanctioned to jail during the program was inversely related to program completion.     

新疆中药民族药应用型人才培养模式研究

对新疆医科大学药学院药学专业用人单位进行调研,介绍项目调查的研究方法、过程及主要结果,找出现有人才培养模式的问题与不足,为新疆高素质药学应用型人才培养模式研究奠定基础。