医学检验技术专业特色建设的思考

为探讨高职高专检验专业特色建设的思路和措施。分析中原经济建设的发展对检验行业的人才需求和检验工作岗位现状,从完善教学模式、健全制度、优化师资结构、合理配置教学资源等方面提出医学检验专业特色建设相应措施。检验专业特色建设重在提高教学质量,提高系部的内涵建设,培养适应河南医疗卫生事业发展的高素质技能型检验专门人才。     

以胜任力为核心的“二经四纬”医学类研究生培养模式构建及实践——以滨州医学院为例

“大健康”背景下，对医学人才提出了更高的要求，为提高医学研究生岗位胜任力，滨州医学院紧紧围绕“岗位胜任力”的核心，从研究生导师队伍建设和研究生培养两个“经度”入手，在创新能力、实践能力、学科交叉思维和国际视野4个“纬度”，实施培养模式改革。在研究生导师队伍建设经度，建立健全研究生导师分类遴选考核体系，构建“四位一体” +“思政贯通”的导师培训体系，开展“医学+X”交叉融合工程，组建国际化导师队伍，全面提高研究生导师岗位胜任力。在研究生培养经度，构建科学学位科研素养全周期覆盖、专业学位 “产学研”一体化的研究生分类培养体系，建立“医学+X”医学研究生交叉培养体系和“S-P-R-I国际化培养模式”，提高研究生学科交叉能力，拓宽国际视野，提升研究生岗位胜任力。自新模式实施以来，切实提升了研究生的创新能力、实践能力、学科交叉思维和国际视野，岗位胜任力显著提高，深受就业单位欢迎，就业率近100%，均从事医学科研或临床工作。     

新形势下建设平安社区医院的思考

党的十八大提出要提高人民健康水平,为群众提供安全、有效、方便、价廉的公共卫生和基本医疗服务的目标,新形势下如何将建设平安社区医院推向更高科学化水平成为重大实践性课题。从建设平安社区医院现实意义进行分析,重点阐述建设平安社区医院要围绕民生问题入手,最终强调建设平安社区医院必须提升科学化管理水平是关键。     

转化医学实验平台建设与共享机制探讨

转化医学实验平台是突破基础研究与临床平台建设壁垒、将实际问题得以科学解决或转化为技术的依托。根据上海及国内其他地区转化医学建设发展的实际情况,针对目前大部分医院转化医学实验平台建设尚无统一模式、多学科交叉力度不大、资源分配不均等现状,探讨从战略定位、硬件建设、软件建设、人才队伍4个维度进行转化医学平台建设布局。基于提高科研设备使用效益、提高实验效率、保障安全性等共享目的,以需求为导向优化科研共享平台服务策略,从资源共享、服务共享、数据共享、特殊危险试剂共享等方面突出共享机制。实现院内医学转化多课题、多学科,甚至是跨院区、院内外、国际性合作平台的扩展。为优化资源配置、加强协同创新、样本库信息共享、托举人才培养、提高设备使用率、提升科研实际转化奠定基础。有利于基础科学研究转化成临床疗效的平台构建设置,有利于临床疗效转化成临床效果的平台实力展现,有利于临床效果转化成医疗保健措施的平台成果绽放。     

Building community as social action: An art therapy group with adolescent males

One way to facilitate social change as an art therapist is within the context of group art therapy, utilizing the group as a social microcosm for the world at large. The overarching goal is to engage the group in meaningful and prosocial experience that mirrors community experiences many clients have lacked. For a group of adolescent males who had suffered the effects of some of our worst social problems—rampant community and domestic violence, racial and ethnic conflict, child abuse and neglect, parental substance abuse and criminality, poverty, and untreated mental illness in families—this task is complex. The impact of disrupted attachment and complex trauma is discussed, and implications are presented for connecting with traumatized youth through witnessing their creative work. The therapeutic relationship and the art media used are discussed in relation to multicultural issues, the specific psycho-social problems experienced by the individual group members, and the capacity of this group to engage in the construction and ultimate articulation of its own community in a visual manner. The product of this group art therapy experience is exhibited in a mixed-construction miniature city that was built over a period of 9 weeks.     

护理人员薪酬管理体系的构建

目的构建护理人员薪酬管理体系。方法应用文献研究、专家访谈、Delphi、层次分析法、调查性研究、因子分析、信息化等技术研究方法,共分为5个阶段9个步骤构建了护理人员薪酬管理体系。结果薪酬管理体系由基本工资、绩效、福利津贴3部分构成,其中的绩效工资以护理单元为考核单位从3个方面进行量化考核。结论护理人员薪酬管理体系的构成合理,研究方法适用,研究结果可信度高,充分激发了护理人员的积极性,实现了效益最大化的管理理念。     

Beyond “Media Panics”:

This paper presents a critical review of the use of “moral panics” theory as a means of understanding public debates about children and media, and specifically of the notion of “media panics.” Following a brief presentation of the origins and key aspects of media panics theory, it focuses on six key issues that are at stake. It argues that there are some problems with the epistemology of media panics theory, with its account of intentionality, and with its claim to rationality. It further suggests that media panics theory tends to provide a “presentist” view of history, and a rather oversimplified account of cultural and generational politics; and that it neglects the positive positions that are also often rehearsed in public debate. The final section of the article provides brief discussions of two approaches that might provide productive alternatives to media panics theory: social constructionism and new cultural history.     

以患者为中心的智慧医疗应用模式研究与实践

阐述医院信息化与智慧医疗的关系，对国内外医院信息化与智慧医疗发展状况进行分析。结合武汉市中心医院智慧医疗创新应用的实践经验，从关键技术、应用效果等方面提出一种以患者为中心的智慧医疗应用模式。     

The gearing function of running shoe longitudinal bending stiffness

The purpose of the present study was to investigate whether altered longitudinal bending stiffness (LBS) levels of the midsole of a running shoe lead to a systematic change in lower extremity joint lever arms of the ground reaction force (GRF). Joint moments and GRF lever arms in the sagittal plane were determined from 19 male subjects running at 3.5 m/s using inverse dynamics procedures. LBS was manipulated using carbon fiber insoles of 1.9 mm and 3.2 mm thickness. Increasing LBS led to a significant shift of joint lever arms to a more anterior position. Effects were more pronounced at distal joints. Ankle joint moments were not significantly increased in the presence of higher GRF lever arms when averaged over all subjects. Still, two individual strategies (1: increase ankle joint moments while keeping push-off times almost constant, 2: decrease ankle joint moments and increase push-off times) could be identified in response to increased ankle joint lever arms that might reflect individual differences between subjects with respect to strength capacities or anthropometric characteristics. The results of the present study indicate that LBS systematically influences GRF lever arms of lower extremity joints during the push-off phase in running. Further, individual responses to altered LBS levels could be identified that could aid in finding optimum LBS values for a given individual.     

军队医院护理良性职业环境的构建及应用效果

目的构建医院护理良性职业环境,分析其应用效果。方法 2014年3月开始,解放军第251医院构建了护理良性职业环境,主要包括修订保障生理需求的管理制度、制定保障安全需求的相关预案、创新满足社会交往需求的预备役部队管理模式、塑造满足精神文化需求的人文环境、完善满足被尊重需求的环境对新聘人员进行测评、满足职业规划达到自我实现等。构建护理良性职业环境前后,采用症状自评量表(symptom checklist-90,SCL-90)对该院203名聘用制护士进行问卷调查。结果护理良性职业环境构建后,护士除偏执、精神病性等2项评分外,其余各项因子评分均低于良性职业环境构建前,差异均有统计学意义(均P0.05)。结论构建护理良性职业环境对心理健康状况的改善有一定影响。