The Shifting Sands for Applicants to Maternal and Child Health Training Programs

Objective: Anecdotal evidence suggests that fewer students today than in decades past are applying to maternal and child health (MCH) graduate training programs with previous clinical degrees. The purpose of this study was to determine the extent to which applicants accepted to an MCH training program demonstrated a shift away from the tradition of having a prior health professional degree and discuss options needed to provide responsive training. Methods: Twenty years of demographic face sheet data (1983 through 2002) for admitted applicants to the MCH training program at the University of South Florida College of Public Health were examined. Results: Quantitative analysis of admission records confirmed the anecdotal data. Today's applicants are more likely to possess undergraduate nonclinical backgrounds rather than clinical health professional training. Statistically significant differences were found between the students with clinical and without clinical degrees for ethnicity, GRE score, GPA, and the length of time needed to complete the MPH degree. Conclusion: Adjustments in MCH curricula may be necessary to be responsive to the shifting sands of clinical and public health work experience among program applicants. However, curriculum modifications need to be ones that maintain the zeal of the new generation of MCH students without diluting the rigor of traditional professional preparation. Some possible responses of training programs are suggested.     

The Shifting Locus of Risk-Reduction

Summary

This article discusses the shifting locus of control over risk-reduction and examines its implications for the care and support of HIV-positive individuals. We begin by presenting a brief history of the continuum of HIV related risk, illustrating the ways in which advances in risk-assessment and intervention have led to this important shift. Second, we discuss the current state of risk assessment and intervention as it relates to three factors: (a) the point along the continuum of risk at which risk assessment and intervention occurs; (b) the locus of control over risk reduction; and (c) the distinction between primary and secondary risk reduction efforts. Finally, we discuss the meaning of HIV risk and the role of HIV-positive individuals in the new geometry of care that integrates treatment and prevention. How is HIV-risk defined and understood? Who is of risk to whom? Who is responsible for reducing risk?     

背部测温法在ICU患者中的应用

目的探讨重症监护病房（ICU）患者腋窝体温与同侧背部肩胛间体温（简称背温）是否存在差异,探讨临床上测量背温的可行性。方法随机抽取2010年7月-2011年5月入住ICU病房的患者86例进行体温测量试验。每例患者同时测量10分钟腋窝体温与同侧背部体温。结果腋窝体温与同侧背部体温差异无统计学意义（P〉0.05）。结论为了既提高护理工作效率,又能准确地反映出患者的体温,且尽可能地减少患者的不适,背部测温法可作为ICU患者测温的常规方法之一,测量时间应为10分钟。     

背部测温法在ICU 患者中的应用

目的 探讨重症监护病房(ICU)患者腋窝体温与同侧背部肩胛间体温( 简称背温) 是否存在差异,探讨临床上测量背温的可行性.方法 随机抽取2010 年7 月-2011 年5 月入住ICU 病房的患者86 例进行体温测量试验.每例患者同时测量10 分钟腋窝体温与同侧背部体温.结果 腋窝体温与同侧背部体温差异无统计学意义(P>0.05).结论 为了既提高护理工作效率,又能准确地反映出患者的体温,且尽可能地减少患者的不适,背部测温法可作为ICU 患者测温的常规方法之一,测量时间应为10 分钟.     

重症监护的基本数据集探讨

本文分析了目前医院信息化建设的现状,重点分析了重症监护室基本数据的提取方法,并提出了重症监护的基本数据集。     

Shifting the Paradigm:

Agricultural safety and health issues affecting producers and their families are complicated, requiring equally complex solutions that address underlying factors. Furthermore, these efforts must involve all in the community who provide information, services, and products to the agricultural industry. This paper suggests that we need to shift our paradigm of thinking about how rural leaders and professionals address these problems. We believe that professionals including health providers, educators, producers, rural agribusinesses, and others with a stake in the field of agromedicine must work together through community coalitions and other similar groups in their efforts to protect farmers and their families.     

标识在ICU安全管理中的应用

ICU危重病人常携带管道繁多,保证病人安全十分重要。指出缺乏有效的管道标识是导致差错事故的重要因素,加强管道标识化管理可有效预防差错。