子宫内膜异位症的药物治疗评价

目的：本文探讨了药物治疗子宫内膜异位症的进展。方法：回顾近期国内外文献资料并进行归纳分析。结果：药物治疗子宫内膜异位症后患者的总主观症状评分均明显下降,临床症状均明显改善。结论：药物疗法仍是治疗轻中型子宫内膜异位症及预防重型子宫内膜异位症术后复发的重要方法,但现有的药物仍存在着各种程度的不良反应。     

超声诊断急性肺栓塞及溶栓疗效评价中的应用

目的探讨超声在诊断急性肺栓塞（PTE）及其对溶栓后疗效的评价。方法临床疑似PTE的35例患者进行超声心动图和下肢深静脉超声检查。经临床表现、心电图、超声、核素、螺旋CT、肺动脉造影综合检查后确诊的较大面积肺栓塞的25例接受溶栓抗凝治疗。比较溶栓前、溶栓后2周、溶栓后3个月心脏及下肢深静脉血栓的变化情况。结果超声心动图诊断PTE的直接征象（肺动脉血栓）2例,间接征象23例,无异常变化10例。溶栓后2周超声相关的主要监测指标（右室舒张末前后径RVEDD,右房舒张末上下径RADD,肺动脉主干内径MPA,肺动脉血流峰值速度VPA,肺动脉血流加速时间AT,三尖瓣反流峰值速度Vp,肺动脉收缩压PASP）与溶栓前参数比较明显好转（P〈0．05）,具有统计学意义。3个月后有8例超声的各项指标正常,其余与溶栓后2周的参数值比较无统计学差异。下肢深静脉检查18例32条血管内血栓。溶栓治疗后12例有效,管腔大部分再通,6例无效。结论超声诊断急性肺栓塞安全、无创、可靠,并且可作为溶栓疗效评价和长期随诊的工具。     

医院传染病报告信息化对疫情报告质量影响的评价分析

目的 评价传染病报告信息化对医院内部传染病报告质量的影响,探讨医院传染病报告信息系统的优势和存在问题.方法 比较医院传染病报告信息化前、后,传染病漏报、迟报、报告卡填写质量情况.结果 传染病报告信息化后,传染病漏报率、迟报率、报告卡完整率和准确率分别为0.6%、2.0%、99.3%和99.3%,漏报率比信息化前降低了15.9%(χ~2=436.997,P<0.001),迟报率比信息化前降低了9.3%(χ~2=185.984,P<0.001),报告卡完整率比信息化前升高了26.0%(χ~2=599.704,P<0.001),准确率比信息化前升高了46.7%(χ~2=1266.333,P<0.001).结论 医院传染病报告实行信息化,能有效控制医院传染病迟报、漏报,提高报告卡填写质量.     

南海健康村评价指标体系的构建

文章遵循健康村的理念,确立构建健康村评价指标体系的构建原则,建立健康村评价指标体系,为促进和提高健康村绩效评价工作提供参考。     

产业化类医学科技成果转化评价体系研究

在分析了目前制约医学科技成果转化因素的基础上,提出了一种定量与定性相结合的评价产业化类医学科技成果转化的方法,建立了产业化类医学科技成果转化评价体系及模型。     

剖宫产术患者风险评估及预见性护理

目的评估剖宫产术患者风险及相光因素,实施预见性护理,降低手术风险,确保母婴安全。方法对352例剖宫产术患者列为对照组,524例剖宫产术患者列为观察组,进行风险评估,实施预见性护理,观察两组新生儿窒息发生和抢救成功率,产后出血、切口感染的发生情况。结果对照组新生儿窒息Ⅰ度窒息有14例,Ⅱ度窒息7例,产后出血7例,切口感染12例,观察组新生儿窒息Ⅰ度窒息有6例,Ⅱ度窒息2例,产后出血2例,切口感染5例。两组比较有差异性,P〈0．05。结论通过对剖宫产术患者进行风险评估．针对性地实施预见性护理,可有效降低新生儿窒息发生率,减少产后出血、切口感染发生率。     

吸毒人群预防艾滋病健康教育材料宣传效果快速评价

目的评价吸毒人群对《吸毒与艾滋病》折页信息传播的效果和材料本身的可接受性,指导今后折页制作时的图文取舍。方法用拦截法调查前来接受美沙酮治疗的吸毒者艾滋病相关知识以及对折页可接受性的看法。结果吸毒人群对艾滋病的3条传播途径知晓率达90%,对材料评价总得分为89.5±9.5分。结论折页在针对吸毒人群传播吸毒与艾滋病防治相关知识和技能方面是一种较好的载体,邀请目标人群全程参与宣传材料设计全过程,更能保证宣传材料的传播效果。     

TOPSIS法在医院绩效评价中的应用

通过应用TOPSIS法从医院的规模、质量、效率、社会效益等方面对被调查医院2007年绩效情况进行综合评价和分析,指出TOPSIS法具有计算简便、结果合理、应用灵活等特点,适宜在不同级别、不同层次的医院推广应用。     

Calculating the costs of work-based training: the case of NHS Cadet Schemes

BACKGROUND: The worldwide shortage of registered nurses [Buchan, J., Calman, L., 2004. The Global Shortage of Registered Nurses: An Overview of Issues And Actions. International Council of Nurses, Geneva] points to the need for initiatives which increase access to the profession, in particular, to those sections of the population who traditionally do not enter nursing. This paper reports findings on the costs associated with one such initiative, the British National Health Service (NHS) Cadet Scheme, designed to provide a mechanism for entry into nurse training for young people without conventional academic qualifications. The paper illustrates an approach to costing work-based learning interventions which offsets the value attributed to trainees' work against their training costs. OBJECTIVE: To provide a preliminary evaluation of the cost of the NHS Cadet Scheme initiative. DATA SOURCE: Questionnaire survey of the leaders of all cadet schemes in England (n=62, 100% response) in December 2002 to collect financial information and data on progression of cadets through the scheme, and a follow-up questionnaire survey of the same scheme leaders to improve the quality of information, which was completed in January 2004 (n=56, 59% response). PRINCIPAL FINDINGS: The mean cost of producing a cadet to progress successfully through the scheme and onto a pre-registration nursing programme depends substantially on the value of their contribution to healthcare work during training and the progression rate of students through the scheme. The findings from this evaluation suggest that these factors varied very widely across the 62 schemes. Established schemes have, on average, lower attrition and higher progression rates than more recently established schemes. Using these rates, we estimate that on maturity, a cadet scheme will progress approximately 60% of students into pre-registration nurse training. CONCLUSIONS: As comparative information was not available from similar initiatives that provide access to nurse training, it was not possible to calculate the cost effectiveness of NHS Cadet Schemes. However, this study does show that those cadet schemes which have the potential to offer better value for money, are those where the progression rates are good and where the practical training of cadets is organised such that cadets meet the needs of patients which might otherwise have to be met by non-professionally qualified staff.     

抑菌足浴泡腾片制备工艺及质量评价研究

目的:探究抑菌足浴泡腾片的提取工艺和制备工艺.方法:采用超声波提取法,研究纯净水和40％、50％、60％和70％的不同浓度乙醇对复方足浴泡腾片的超声提取工艺的考察,以浸膏提取率最高为指标;采用单因素和正交试验通过湿法制粒对泡腾片制备工艺进行考察,确定足浴泡腾片最佳制备工艺,并对该工艺所得复方泡腾片进行质量检查.结果:最...