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21.
标杆管理及其在医院管理中的应用 总被引:9,自引:0,他引:9
标杆管理为20世纪90年代三大管理方法之一,被西方现代企业认为是改善经营绩效、提高全球竞争力最有用的一个管理工具。本文借用标杆管理的方法,结合医院工作实际,阐述了在医院开展标杆管理的标杆类型、标杆项目、实施步骤及注意问题。 相似文献
22.
实验采用正弦摆动模式的前庭刺激方法,对8名健康男性青年吸烟者吸烟前后视前庭眼动各参数进行观察。结果表明:吸烟后即刻视网膜电位降低非常显著(P<0.01),慢相速度及增益增大非常显著(P<0.01),快相速度增大显著(P<0.05);在吸烟后30min时均未完全恢复,但已无显著差异(P>0.05)。提示:吸烟可 以导致空中盲距增大、夜间视力降低及空晕病、前庭本体性错觉的发生,对飞行安全构成严重威胁。 相似文献
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目的 探讨模拟失重膳食 Fe摄入量及蛋白质含量的变化 .方法 受试者 - 6°头低位卧床 2 1d,用称量法观察其营养素及 Fe摄入量的变化 ,并于卧床前 2 d,卧床 1,11和 2 1d测定血红蛋白 (Hb) ;用双缩脲法及溴甲酚绿法分别测定血清总蛋白及白蛋白含量 .结果 膳食 Fe摄入量 2 wk开始降低 16 % ,3wk后基本恢复 ,血清总蛋白也在 2 wk降低 5 % (P<0 .0 5 ) ,3wk回升 ,Hb不受影响 .结论 模拟失重对膳食Fe摄入量及总蛋白含量有短期影响 ,经过适应期后可恢复到正常范围 相似文献
24.
采用6种不同溶剂-非溶剂制备诺氟沙星微囊,并测定包囊率和收率.结果表明,选用二氯甲烷-正已烷制备诺氟沙星微囊其包囊率在6种溶剂-非溶剂组成中最高,达90.90%,收率也较高为87.27%. 相似文献
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Bossi P Tegnell A Baka A Van Loock F Hendriks J Werner A Maidhof H Gouvras G;Task Force on Biological Chemical Agent Threats Public Health Directorate European Commission Luxembourg 《Euro surveillance : bulletin européen sur les maladies transmissibles = European communicable disease bulletin》2004,9(12):E15-E16
Interest in Brucella species as a biological weapon stems from the fact that airborne transmission of the agent is possible. It is highly contagious and enters through mucous membranes such as the conjunctiva, oropharynx, respiratory tract and skin abrasions. It has been estimated that 10-100 organisms only are sufficient to constitute an infectious aerosol dose for humans. Signs and symptoms are similar in patients whatever the route of transmission and are mostly non-specific. Symptoms of patients infected by aerosol are indistinguishable from those of patients infected by other routes. Regimens containing doxycycline plus streptomycin or doxycycline plus rifampin are effective for most forms of brucellosis. Isolation of patients is not necessary. Trimethoprim-sulfamethoxazole and fluoroquinolones also have good results against Brucella, but are associated with high relapse rates when used as monotherapy. The combination of ofloxacin plus rifampicin is associated with good results. Even if there is little evidence to support its utility for post-exposure prophylaxis, doxycycline plus rifampicin is recommended for 3 to 6 weeks. 相似文献
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The model of the clinical practice of emergency medicine 总被引:13,自引:0,他引:13
Hockberger RS Binder LS Graber MA Hoffman GL Perina DG Schneider SM Sklar DP Strauss RW Viravec DR Koenig WJ Augustine JJ Burdick WP Henderson WV Lawrence LL Levy DB McCall J Parnell MA Shoji KT;American College of Emergency Physicians Core Content Task Force II 《Annals of emergency medicine》2001,37(6):745-770
30.
Eavan McGovern MD Tamara Pringsheim MD Alex Medina MD Carlos Cosentino MD Ali Shalash MD Zomer Sardar FCPS Victor S.C. Fung PhD FRACP Manju A. Kurian PhD Emmanuel Roze MD MDS Task Force on Pediatrics 《Movement disorders》2021,36(6):1316-1324
Childhood-onset movement disorders represent a heterogenous group of conditions. Given the complexity of these disorders, the transition of care from pediatric to adult medicine is an important consideration. We performed a scoping review of the literature on transitional care in chronic neurological disease, exploring key transitional issues and proposed transitional care models. Our aim was to describe the current knowledge and gaps about the transition process of young adults with chronic neurological disorders, paying special attention to childhood onset movement disorders. A total of 64 articles were included in the qualitative synthesis; 56 articles reported on transitional care issues, and 8 articles reported on transitional care models. Only 2 articles included patients with movement disorders. The following 4 main transitional issues were identified following synthesis of the available literature: (1) inadequate preparation for the transition process, (2) inappropriate and inconsistent transition practices, (3) inadequate adult services, and (4) heightened emotional response surrounding transition. Of the reported transitional care models, multidisciplinary ambulatory care was the most common approach. In studies evaluating patient-related outcomes, positive health, educational, and vocational outcomes were found. The available literature provides insights on issues that can arise during transition that should be addressed to improve patient and caregiver comfort and satisfaction with care. Further research is needed to evaluate how transitional care programs affect outcomes and their cost effectiveness. More studies are required to determine the needs and outcomes specific to patients with childhood onset movement disorders. © 2020 International Parkinson and Movement Disorder Society 相似文献