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71.
中国传统社会政治文明中存在“官民相得”的优良传统 ,其赖以存在的思想基础和价值取向是“道”与“德” ,其表现形式是“公”的系统与“私”的系统的相互配合 ,其实现途径是“民助官治”和“官、民的联结与交融”。道德对社会具有积极的规范、教育、导向作用 ,所以 ,道德历来成为人们修身养性、完善自我乃至治国安邦的重要工具 ,同时也成为官民联系的基本纽带。道德可以与法律相辅相承 ,自律可以与他律互为补充 ,法律和道德实际上相互为用、相互包容。江泽民所倡导的“以德治国”是对传统政治文明中的“官民相得”历史传统的积极传承 ,体现了我们党吸收古今中外一切优秀文化精神的博大胸襟。  相似文献   
72.
党的十六大所提出的全面建设小康社会,是一个包括政治、经济、文化、环境乃至国民素质的综合概念。它特别要求国民具有健全的环境意识,良好的环境伦理道德和高尚的环境道德行为。作为担负着提高全体国民环境素质和培养中小学环境教育教师和地方环境建设服务三重使命的高师地理学科,面临着其环境教育的课程设置、教材建设和教师队伍建设等不可回避的课题,有必要进行深入探索。  相似文献   
73.
This article suggests that the United States educational system needs significant changes. The goal of the article is to present a basic educational philosophy that would facilitate this reform. Specifically, education should be viewed as not only a means to an end that teaches basic skills for employment, but also as a process that enhances social development and self-actualization. Recommendations are offered to achieve this important goal.  相似文献   
74.

Background

Leukocyte esterase (LE) was recently reported to be an accurate marker for diagnosing periprosthetic joint infection (PJI) as defined by the Musculoskeletal Infection Society (MSIS) criteria. However, the diagnostic value of the LE test for PJI after total knee arthroplasty (TKA), the reliability of the subjective visual interpretation of the LE test, and the correlation between the LE test results and the current MSIS criteria remain unclear.

Methods

This study prospectively enrolled 60 patients undergoing revision TKA for either PJI or aseptic failure. Serological marker, synovial fluid, and histological analyses were performed in all cases. The PJI group comprised 38 cases that met the MSIS criteria and the other 22 cases formed the aseptic group. All the LE tests were interpreted using both visual judgment and automated colorimetric reader.

Results

When “++” results were considered to indicate a positive PJI, the sensitivity, specificity, positive and negative predictive value, and diagnostic accuracy were 84, 100, 100, 79, and 90%, respectively. The visual interpretation agreed with the automated colorimetric reader in 90% of cases (Cronbach α = 0.894). The grade of the LE test was strongly correlated with the synovial white blood cell count (ρ = 0.695) and polymorphonuclear leukocyte percentage (ρ = 0.638) and moderately correlated with the serum C-reactive protein and erythrocyte sedimentation rate.

Conclusion

The LE test has high diagnostic value for diagnosing PJI after TKA. Subjective visual interpretation of the LE test was reliable and valid for the current battery of PJI diagnostic tests according to the MSIS criteria.  相似文献   
75.
PurposeTo understand the reasons behind current low utilization of brachytherapy for locally advanced cervical cancer in the United States.Methods and MaterialsA 17-item survey was e-mailed to the American Brachytherapy Society (ABS) listserv of active members in 2018. Responses of attending physicians in the United States were included in the analysis.ResultsAmong a total of 135 respondents, 81 completed the survey. Eighty-four percent agree/strongly agree that cervical brachytherapy is underutilized, and 46.9% disagree/strongly disagree that residents are receiving adequate training for brachytherapy; 75.3% agree/strongly agree that inadequate maintenance of brachytherapy skills is a major obstacle to brachytherapy use; and 71.6% agree/strongly agree that increased time requirement constitutes a major obstacle. Over 97% will recommend brachytherapy for most patients with cervical cancer if given access/time; 72.8% always perform their own brachytherapy, whereas 29.6% reported some type of barrier exists in performing brachytherapy themselves, with time required to perform brachytherapy (9.9%) being a leading factor. A quarter (24.7%) routinely refer to other radiation oncologists for brachytherapy. Even among ABS members, 37.0% reported that they would perform an intensity-modulated radiation therapy or stereotactic body radiation therapy boost in specific scenarios in potentially curable patients. The most common scenario is inability to place a uterine tandem (56.7%).ConclusionsThe underutilization of brachytherapy in cervical cancer is widely recognized by ABS members with inadequate training during residency and inadequate maintenance of skills being possible major contributing factors. Even among ABS members, there are identifiable barriers. Continued advocacy and future initiatives in enhancing access to brachytherapy training and efficiency are needed.  相似文献   
76.
构建和谐团队打造诚信医院   总被引:1,自引:1,他引:0  
探讨医院管理、发展问题.通过综合分析医疗和医院管理工作的实际,提出构建和谐团队,打造诚信医院.  相似文献   
77.
网络和现实社会交互环境对网民的健康效应及卫生策略   总被引:1,自引:1,他引:0  
网络社会对人类社会活动和生活方式带来了极大的影响,对人群健康的作用也存在双重效应。网络成瘾、网络孤独以及生理损伤成为网络社会的主要健康问题,但提高网民社会化程度、提供虚拟支持、增加健康信息供给的途径也给网民带来了诸多的健康效益。目前,要积极制定网络社会卫生策略,以促进网络社会化、虚拟支持和网络健康赋权对网民健康的贡献。  相似文献   
78.
朱丹 《中医教育》2009,28(6):36-39
通过对高等职业教育发展不和谐现状分析,提出了高等职业教育适应地方经济发展应转变传统观念,彰显高职院校办学特色;建立有效机制,科学合理设置专业;构建多元化模式,深入产学教育改革。以政策导向、专业设置、产学结合等为切入点,探讨高等教育服务地方经济和谐发展的对策。  相似文献   
79.
开展电话回访搭建医患沟通桥梁   总被引:16,自引:2,他引:14  
通过对3 500余人次的有效电话回访,实施健康教育、健康指导3000余人次,受理健康咨询500余人次,协调和化解各类医疗纠纷20余起。电话回访搭起了和谐医患关系的桥梁。  相似文献   
80.
Reviewing the definition of "elderly"   总被引:1,自引:0,他引:1  
Conventionally, "elderly" has been defined as a chronological age of 65 years old or older, while those from 65 through 74 years old are referred to as "early elderly" and those over 75 years old as "late elderly." However, the evidence on which this definition is based is unknown. We have attempted to review the definition of elderly by analyzing data from long-term longitudinal epidemiological studies, and clinical and pathological studies that have been accumulated at the Tokyo Metropolitan Geriatric Hospital and the Tokyo Metropolitan Institute of Gerontology. Our recommendation might be a starting point in developing a strategy for a successful society by reviewing the definition of elderly based on comprehensive evidence in all aspects of social, cultural and medical sciences.  相似文献   
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