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21.
伽玛刀的医学技术评估 总被引:9,自引:0,他引:9
伽玛刀是世界上最昂贵的医疗设备之一,我国从1992年开始引进。1995年卫生部等联合发文暂缓装备。为了规范提供方和患方的行为,以及为卫生行政部门提供决策依据,我们开展了伽玛刀的技术评估。在评估前拟定评估步骤,然后确定评估内容与方法。评估结果,国外1994年有56台伽玛刀,平均每台治疗190例,治疗病种是:动静脉畸型病人占32%,肿瘤病人占65%,功能性疾病占2%。我国13台伽玛刀到1995年底共治病人7000例,前6位病种是转移瘤等,虽然比例和顺位与世界有差异,但病例分析结果完全一致。 相似文献
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Edward C. Ditkoff Jennifer Plumb Amy Selick Mark V. Sauer 《Journal of assisted reproduction and genetics》1997,14(3):145-147
Purpose: Our purpose was to characterize and describe anesthesia practice in programs performing IVF in the United States.
Methods: We used a telephone survey requiring respondents to be either the program director, a physician, or a nurse familiar with
the practice. Two hundred seven (78%) Society of Assisted Reproductive Technology (SART) registered programs agreed to participate.
Programs were divided by geographic region and type of practice (academic versus private).
Results: Ninety-one private (68%) and 41 academic (56%) programs used personnel provided by the Department of Anesthesiology. Conscious
sedation was performed most commonly (95%). The remaining 5% used primarily either general, regional, or local anesthesia.
Typical recovery times were 90 to 120 min. Average costs of anesthetic administration were $300–$400 and were similar among
groups except for the Eastern academic programs, with a higher mean cost of $543. Programs using personnel from anesthesiology
reported higher costs compared to programs utilizing their own staff ($391±15 vs $157±11; P<0.05). Complications were infrequent
(<10%); no hospitalizations or serious life-threatening incidents were reported.
Conclusions: A large number of programs safely used their own trained personnel to deliver anesthesia, and realized a significant reduction
in cost. 相似文献
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With few exceptions the interventional rooms of the present are either imaging suites or sterile operating rooms. Their users
are restricted to either percutaneous procedures or to two-staged image-guided surgery without intra-operative imaging control.
Since interventional therapy of the future will be minimally invasive and since minimally invasive therapy is essentially
image-guided therapy, a new physical place for these activities has to be devised: the multifunctional therapy room of the
future integrates sophisticated imaging and image guidance modalities together with advanced surgical and life-support equipment
in a sterile environment [1, 2, 3]. Even given a high degree of integration, this will be a complex and costly piece of medical
technology. These two factors – complexity and cost – require interdisciplinary technological and medical collaboration to
bring it into existence, distribute its cost and maximize usage and medical benefit. Yet another dimension of multifunctionality
will be introduced and a significant impact on the care of vitally threatened patients will be exerted by using this room
not only for elective image-guided therapy but also for emergent one-stop diagnosis and treatment. Motivation, technology,
implementation strategies and funding of this image-guided, integrated and interdisciplinary therapy room, as well as a comprehensive
approach combining emergency care and elective computer-assisted therapy (CAT), are discussed in this paper.
Received: 28 October 1999; Revised: 18 February 2000; Accepted: 6 April 2000 相似文献
25.
Teachers for the twenty-first century for the global world need to be proficient in technology and skilled as reflective practitioners. They need to be able to reflect on diversity in myriad ways: learning styles, special needs, cultural differences, racial differences, developmentally appropriate differences, teaching styles and personality differences of children, teachers, parents, community members and administrators. The paradigni shift of the twenty-first century is that teachers need to be team players who are skilled at operating in a variety of collaborative partnerships.
The Early Childhood Program Faculty, at NEIU, with the help of a Teacher Quality Education grant, developed with six universities in Illinois called Illinois Professionals Learning Partnerships (IPLP), set out to adapt the NEIU/ECED program for the twenty-first century in a global world by focusing on four goals: (1) increasing technology and writing skills across the curriculum, (2) developing reflective skills and understanding of diversity (special needs, multicultural/international cultures), (3) developing student experience working in collaborative partnerships and (4) increasing clinical experiences.
The IPLP grant enabled the ECED program to: (1) spend intensive time on changing the curriculum in two retreats a year, (2) develop a faculty cohort including tenure track faculty, visiting lecturers and adjuncts, (3) develop a combined program of research and program development, (4) recruit and hire three new tenure track international faculty, (5) develop professional development schools and intensive field experiences, (6) combine resources for many grants, (7) develop short-term international experiences and faculty exchange programs and (8) increase technology skills of students and faculty through action laboratories on using video technology, digital cameras, reflective email discussions and videography. 相似文献
The Early Childhood Program Faculty, at NEIU, with the help of a Teacher Quality Education grant, developed with six universities in Illinois called Illinois Professionals Learning Partnerships (IPLP), set out to adapt the NEIU/ECED program for the twenty-first century in a global world by focusing on four goals: (1) increasing technology and writing skills across the curriculum, (2) developing reflective skills and understanding of diversity (special needs, multicultural/international cultures), (3) developing student experience working in collaborative partnerships and (4) increasing clinical experiences.
The IPLP grant enabled the ECED program to: (1) spend intensive time on changing the curriculum in two retreats a year, (2) develop a faculty cohort including tenure track faculty, visiting lecturers and adjuncts, (3) develop a combined program of research and program development, (4) recruit and hire three new tenure track international faculty, (5) develop professional development schools and intensive field experiences, (6) combine resources for many grants, (7) develop short-term international experiences and faculty exchange programs and (8) increase technology skills of students and faculty through action laboratories on using video technology, digital cameras, reflective email discussions and videography. 相似文献
26.
农村卫生适宜技术推广应用的影响因素及对策探讨 总被引:8,自引:0,他引:8
在浙江省农村卫生适宜技术的基层推广研究工作基础上,从决策管理、技术项目、推广主体和受体等多个角度,对现阶段影响农村卫生适宜技术推广应用的因素进行初步分析,并提出若干对策建议,为进一步开展农村卫生适宜技术基层推广应用提供决策参考。 相似文献
27.
通过对全球10家杰出的从事药物释放系统研究的制药公司,包括公司主要技术平台、专利技术、已上市药物和研发中的新药等进行分析,总结国外DDS的研究现状及研究开发热点。 相似文献
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ObjectivesThe purpose of this study was to educate on the moderating effects of demographic (i.e., educational level and age) and individual characteristics (i.e., years of nursing experience and computer knowledge) on nurses’ acceptance of information systems (IS). The technology acceptance model (TAM) with its constituent variables such as perceived usefulness (PUSS) and perceived ease of use (PEOU) was the theoretical framework used for this study.MethodsA cross-sectional study was conducted in Nova Scotia, Canada. Usable data was collected from 197 registered nurses (RNs). Relevant hypotheses were formulated and the partial least squares (PLS) technique was used for data analysis.ResultsThe results of the hypothesized relationships showed that education and computer knowledge have positive moderating effects on the influences of PEOU and PUSS on nurses’ attitudes toward IS (ATTI). The factors of nurses’ years of nursing experience and age did not yield meaningful results. ATTI impacted behavioral intentions to use IS, which positively impacted nurses’ use of IS. The nurses sampled in the study have positive IS use behaviors.ConclusionsThis study demonstrates that relevant demographic factors and individual characteristics, if incorporated into frameworks used for investigating nurses’ acceptance of IS, could permit the emergence of useful insights for practitioners and researchers. Specifically, this study showed that nurses with higher educational attainments and more basic computer knowledge readily accept implemented IS at work. Hospital administrators benefit from insights such as the one presented in this study. 相似文献