新疆民营医院法定代表人职业背景及融资特点分析调查

通过对新疆46家民营医院法定代表人职业背景、融资情况及新疆民营医院管理模式的调研,发现新疆民营医院法定代表人存在年纪轻,少数民族少,新疆本地法定代表人占半;医疗专业为主,学历、专业素质、职业化程度较低;缺乏专业化培训等特点,新疆民营医院管理模式以院长负责制为主,融资以民间借贷为主,融资风险自担,融资目的单一,缺乏软实力投入。     

374名县医院医务人员吸烟行为及控烟态度调查

目的了解河南省某县医院医务人员吸烟行为及控烟态度现状,为实施控烟干预提供依据。方法采用分层随机抽样的方法问卷调查河南省某县医院医务人员吸烟行为及控烟现状。结果共调查374名在职员工,其中临床医生94人,医技人员43人,行政后勤人员39人,护理及其他人员198人,总吸烟率14.71%,男性吸烟率55.67%,高于女性（χ2=175.21,P〈0.001）。按性别分层分析显示,不同受教育程度和工作岗位的男性医务人员吸烟率差异无统计学意义（P〉0.05）。吸烟者中临床医生与其他医务人员相比,工作时吸烟率差异无统计学意义（χ2=2.01,P=0.156）,休息时吸烟率较低（χ2=9.33,P=0.002）;在室外、洗手间吸烟率较低（P〈0.05）;在患者/家属面前吸烟、接受患者/家属敬烟、给别人敬烟等行为差异无统计学意义（P〉0.05）,在同事面前吸烟率较低（χ2=6.17,P=0.013）。临床医生及护士赞成医生工作时间不应吸烟的比例尚低于其他医务人员（χ2=5.38,P=0.020）。结论县级医院男性医务人员吸烟比例较高,对吸烟危害的认识普遍不足,主动戒烟比例较低,应在加强吸烟危害宣传的同时,在医务人员中开展强制戒烟     

医患关系影响下医学生职业认知现状及其影响因素分析

目的:调查当前医患关系影响下医学生的职业认知情况,并分析其影响因素。方法:使用自制问卷,对蚌埠医学院临床医学专业一至五年级的1000名医学生进行调查。结果:当前医患关系影响下,医学生职业认知水平普遍不高。其中,男生的就业信心水平明显高于女生(P<0.01);低年级医学生的沟通能力水平、就业信心水平、职业道德水平、职业信心水平均高于高年级医学生(P<0.01);独生子女医学生的就业信心水平高于非独生医学生(P<0.05);班干部的专业知识水平、沟通能力水平、就业信心水平和职业素质水平均高于非班干部(P<0.05~P<0.01)。结论:当前不良的医患关系已经通过多种途径对医学生的职业认知水平造成了负面影响,需要通过政府、社会、医院、学校和医学生的共同努力解决。     

积极发挥大学班主任专业特长 提升专业人才素质培养——以药学专业人才培养为例

大学阶段是人生的飞跃,是成才道路上的重要阶段。拥有较强专业背景的大学班主任,通过多元化创新管理可以加强教师与学生的深层次交流以及拓展考研和就业途径,进而提升专业人才的素质培养。     

产科新生儿安全信息系统的研制

本文阐述了产科新生儿安全信息系统的研制过程。该系统主要由床边安全信息采集平台和中央监护系统组成,可实现床边母婴身份识别、床边母婴信息显示、床边母婴信息发送/接收、护士站中央监护等功能。临床测试结果表明,该系统机动性好,性能稳定,通过一系列可预见性的管理功能提高了新生儿的安全管理水平。     

在职护理硕士设置专业学位研究生教育的调查

目的：调查护理在职研究生培养类型增设＂专业学位＂的必要性、可行性,并提出培养策略。方法：问卷调查450名在职护理人员。结果：＂专业学位＂是在职护理硕士的最佳培养方式;报考＂专业学位＂硕士研究生要有临床实践经历;＂工作紧张,学习时间少＂是在职人员报考＂专业学位＂的主要困难。结论：开展在职护理硕士专业学位研究生教育,可以有效提高临床护理人员的整体水平,完善护理教育体系,促进护理学科的发展。     

Facial transplantation: adding to the reconstructive options after severe facial injury and disease

The ability to reconstruct complex facial injuries is still a considerable challenge despite the development of microsurgical techniques. The reconstructive options for conditions such as panfacial burns are severely limited. The result after multiple surgical procedures in this group is often poor in terms of function and cosmesis. Facial transplantation provides a potential solution, but opinion is currently divided about the extent to which the potential benefits to the quality of life can be justified when weighed against the technical, psychological and immunological risks. This paper reviews the current status of the debate and argues that a rigorous research strategy is the only logical basis for countering the ethical objections to a procedure that offers considerable benefits over existing reconstructive options.     

“I Am What You Make Me. I Am Who I Am”

The growing accessibility of digital technologies has led to an increase in media projects enabling young people to connect and communicate with international peers. These projects are often uncritically celebrated as opportunities for young people to learn something about a cultural “Other” and, in so doing, enhance their tolerance of difference, their consciousness of global issues, and their appreciation of diversity. Projects conceptualised in this way, however, risk reinforcing problematic notions of multiculturalism. This article describes the Durban Plymouth Story Exchange, a youth media project facilitated by the author. The project attempted to use the creation and exchange of audio recordings between young people in Durban, South Africa and Plymouth, UK to encourage self-reflection, self-expression and cultural learning. By putting knowledge of self rather than knowledge of the Other at the centre of this project, the author/facilitator hoped the project would avoid some of the pitfalls of conventional multiculturalism.     

Using Psychomotor to Treat Dissociative Identity Disorder

Abstract

Pesso Boyden System Psychomotor Therapy (Psycho-motor) is offered as a useful approach to treating Dissociative Identity Disorder. Originally developed for group work, this therapy can be modified so that the alters can learn to play roles for one another that promote resolution of childhood injury, enhance internal communication and cooperation, and ultimately support the prospect of integration. Psycho-motor is unique in that it helps in the creation of synthesizing memories that provide antidotes for early traumas; not only can childhood abuse and neglect be metabolized, but also images of needs being met can be added. Moreover, Psychomotor develops the “Pilot” or adult functioning so that there is less likelihood of regression or dependence on the therapist. A four-stage progression of treatment is outlined: development of the “Pilot,” teaching the system's adults to engage in parenting the child alters, healing the wounds and the defensiveness of the “Protector/Controller,” and the internalization of the image of “Ideal Parents” so that the client can continue to resolve any surfacing memories of trauma or inadequate rearing.