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提高《护理伦理学》教学效果探析 总被引:2,自引:1,他引:1
护理伦理学有利于加强护理学生道德修养和沟通协调能力,对建立良好的护患关系有着重要作用。增强该课程的教学效果,可以促进学生的评判性思维能力的形成。采用案例教学、影视教学、角色扮演的教学模式,改变教学办法,能够增强《护理伦理学》的教学效果,可以促进学生的评判性思维能力的形成。笔者就提高护理伦理学教学效果进行了有益的尝试,提高了学生的学习兴趣。 相似文献
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Lisa Feldmann Charlotte E. Piechaczek Barbara D. Grünewald Verena Pehl Jürgen Bartling Michael Frey Gerd Schulte-Körne Ellen Greimel 《Clinical neurophysiology》2018,129(12):2577-2585
Objective
Greater relative right- than left-frontal cortical activity has been frequently found in adults with major depression (MD). As the few studies in adolescents with MD have been inconclusive, the aim of this study was to assess frontal alpha asymmetry (FAA) in an adolescent sample with MD whilst taking into account possible confounding variables such as disease state and comorbid anxiety disorder.Methods
An 8-minute resting frontal EEG was assessed in 34 healthy controls (HCs), 16 adolescents with MD in remission without comorbid anxiety disorder (rMDa?), 22 adolescents with acute depression without comorbid anxiety disorder (MDa?), and 23 adolescents with acute depression and comorbid anxiety disorder (MDa+). Alpha power was analyzed over corresponding frontal Regions of Interests.Results
Compared to HCs, MDa+ adolescents demonstrated more left- than right-sided EEG alpha power, indicating greater right-than left-frontal cortical activity. No other group differences emerged.Conclusions
The results suggest that greater relative right-frontal cortical activity in adolescent MD is not a result of disease state but can be attributed to comorbid anxiety disorder.Significance
Results suggest that FAA is not linked to adolescent depression per se and highlight the importance of considering comorbid disorders when examining asymmetry patterns in adolescent MD. 相似文献45.
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Legionnaires’ disease is now routinely discussed as an ‘emerging infectious disease’ (EID) and is said to be one of the earliest such diseases to be recognised. It first appeared in 1976 and its cause was identified in 1977, the same year that Ebola fever, Hantaan virus and Campylobacter jejuni arrived. The designation of Legionnaires’ disease as an EID was retrospective; it was not and could not be otherwise as the category only gained currency in the early 1990s. In this article we reflect on the changing medical understanding and social profile of Legionnaires’ disease in the decade or so from its recognition to the creation of EIDs, especially its ambivalent position between public health and clinical medicine. However, we question any simple opposition, between public health experts who approached Legionnaires’ disease as a new and worrying environmental threat that could be prevented, and clinicians who saw it as another cause of pneumonia that could be managed by improved diagnosis and treatment. We argue that in the British context of public spending cuts and the reform of public health, the category of ‘new’ diseases, in which Legionnaires’ disease was central, was mobilised ahead of the EID lobby of the early 1990s, by interested groups in medicine to defend infectious diseases services. 相似文献
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Yvonne van Nes Jos Bloemers Rob Kessels Peter G.M. van der Heijden Kim van Rooij Jeroen Gerritsen Leonard DeRogatis Adriaan Tuiten 《The journal of sexual medicine》2018,15(5):722-731
Background
Efficacy of on-demand drugs for women with hypoactive sexual desire disorder or female sexual interest/arousal disorder (FSIAD) should be assessed using a validated instrument that assesses the discrete sexual events during which the on-demand drug is taken, because this type of assessment is more proximate to an on-demand drug's efficacy compared to instruments that assess sexual function over longer periods of time.Aim
The aim of this study was to assess the psychometric properties of the Dutch translation of the previously validated 11-item Sexual Event Diary (SED) for measuring sexual satisfaction and sexual functioning during discrete sexual events.Methods
Psychometric assessment was performed on data of 1,840 SEDs from 139 women with hypoactive sexual desire disorder/FSIAD, collected during a randomized clinical cross-over trial conducted in the Netherlands.Outcomes
Item scores of the SED at the event level, and at subject level, summarized item scores during the placebo run-in period (PRI) and active treatment period, and score changes from PRI to active treatment period.Results
Reliability and convergent validity were confirmed. All item scores showed the ability to discriminate between known groups. Larger mean score changes from PRI were observed in groups with known benefit from the medication, as compared to those with no benefit. Guyatt effect sizes ranged from 0.51–1.02, thereby demonstrating ability to detect change.Clinical Translation
The Dutch version of the SED is an excellent instrument for assessing female sexual functioning and sexual satisfaction during discrete sexual events and for assessing these concepts over longer periods of time.Conclusions
Data were collected in a randomized, well-controlled trial. The large number of data points gave high statistical power, and the results confirmed previous findings. However, care is needed when generalizing the SED's validity to other areas of research, eg, recreational drug use and sexual risky behaviors, since the current validation study has not used such data. Consistent with the US-English version, the Dutch version of the SED is a reliable, valid, and responsive instrument, and suitable for use in evaluating effects of on-demand drugs in women with FSIAD.van Nes Y, Bloemers J, Kessels R, et al. Psychometric Properties of the Sexual Event Diary in a Sample of Dutch Women With Female Sexual Interest/Arousal Disorder. J Sex Med 2018;15:722–731. 相似文献48.
49.
目的 探讨暴力犯对社会暴力信息的认知加工方式.方法 选取32名青少年暴力犯,采用Eyelink I型眼动仪记录实验组对社会暴力信息的眼动数据.结果 青少年暴力犯在暴力图片兴趣区第一个点开始时同显著快于中性图片(t=3.06,P<0.05),对暴力图片在兴趣区第一个点注视时间显著长于中性图片(t=6.37,P<0.001),暴力犯对暴力图片和中性图片在兴趣区注视点总数,兴趣区注视点比率和兴趣区最大瞳孔直径均有显著差异(P<0.05);进一步因素分析发现,暴力犯对中性信息的注意偏向成分可分为2个因子,而对暴力信息的注意偏向成分可分为4个因子.结论 暴力犯对中性信息和社会暴力信息注意偏向有很大的差别,暴力犯对社会暴力信息有其独特的认知加工模式. 相似文献
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根据个人数字图书馆的分散性特征,将P2P(Peer to Peer)技术应用于个人数字图书馆系统,提出一种基于P2P技术的个人数字图书馆共享模型-MIPDLM,以提高个人数字图书馆共享水平。在该模型中,个人数字图书馆可根据兴趣分簇,探讨拓扑重构的过程,其基于多兴趣的搜索机制,可将搜索消息不断向兴趣相似度较高的个人数字图书馆转发,因此能大大缩小搜索范围。仿真结果表明,与随机漫步(Random Walk)机制相比,MIPDLM模型可在一定程度上提高个人数字图书馆搜索成功率,减少平均路径长度,提高资源定位效率。 相似文献