持续灌流与非灌流切换结合模式的耳内镜下中耳胆脂瘤手术

目的 本文旨在探索持续灌流模式在耳内镜手术中应用的最佳方式,以及尝试建立持续灌流与非灌流模式切换结合的耳内镜中耳胆脂瘤手术流程.方法 回顾性分析在2019年1月至2020年12月间收治的73名单侧的中耳胆脂瘤患者,术中确定为中上鼓室胆脂瘤患者,年龄为10-68岁,其中女性患者34名,男性患者39名.其中33名患者采用持...     

药学类本科毕业实践环节推行校企双导师制模式探讨

文章通过分析传统药学毕业实践环节存在的各种弊端，提出在毕业环节中实行校企双导师制模式。文中还阐述了该模式的几个优点。通过对校企双导师制的探讨，文章认为在药学类毕业环节中实行校企双导师制是非常有必要的和非常可行的。     

网络环境下教师指导性活动的设计

网络教学为学生的学习提供了丰富的资源，拓延了教学时空的维度，对现有的教学内容、教学手段和教学方法提出了挑战。本文探讨了在此环境下教师指导活动的内容，设计原则及其设计方法等问题。     

康复科护理人员对残疾人态度、工作成就感与人性化护理能力的关系

目的 了解康复科护理人员人性化护理能力的现状,并探讨其与对残疾人的态度和工作成就感间的关系。方法 2020年12月至2021年3月,便利抽取锦州市、盘锦市、营口市和抚顺市8所综合性三甲医院的196例康复科护理人员,采用医护人员对残疾人态度量表、工作成就感量表、护士人性化护理能力量表进行调查。结果 康复科护理人员人性化护理能力总分为(73.39±10.75),总条目均分(3.86±0.57);康复科护理人员人性化护理能力与对残疾人态度和工作成就感均呈正相关(r=0.208～0.774, P <0.01);工作成就感在康复科护理人员对残疾人态度和人性化护理能力间起部分中介作用,中介效应为0.420,占总效应的52.83%。结论 康复科护理人员人性化护理能力较差。对残疾人态度越好,工作成就感越高,人性化护理能力会越强。康复科护理人员对残疾人态度不仅可以直接作用于人性化护理能力,也可以通过工作成就感间接影响人性化护理能力。     

PBL联合PDG在临床医学系高年级医学生中的应用

目的 研究以问题为导向的教学方法 (PBL)联合问题—讨论—指导(PDG)教学模式在临床医学系高年级医学生培养中的应用效果.方法 选取2018年1月—2019年1月临床医学系高年级医学生134例,按随机数字表分为对照组(67例)与研究组(67例),对照组学生采用传统的教学模式,研究组学生采用PBL联合PDG教学模式,比...     

医院发展 思想先行

随着医改的推进,对基层医院思想政治工作提出了更高的要求。首先要认识想想政治工作的重要性与必要性,只有加强思想政治教育,加强自身学习,才能推动全院各项工作更好的开展。通过党、政、工、团齐抓共管,把思想政治工作纳入医院全方面目标管理,采取各种方法进行综合性教育,树立典型、以点带面,保证全院工作的稳捷、可持续发展。     

Investigating Student Pharmacist Perceptions of Professional Engagement Using a Modified Delphi Process

Objective. To develop a definition of professional engagement, a list of professionally engaging and disengaging activities, and characteristics of those activities.Methods. A 2-round modified Delphi process was conducted using student pharmacists. The first round captured input while the second assessed agreement using a 5-point Likert scale.Results. A definition was created using the 3 items that reached consensus. All engaging characteristics reached consensus, and 25% (3/12) of the disengaging characteristics reached consensus. Lower rates of consensus were observed for activities, with 78% (7/9) of the professionally engaging and none of the disengaging activities reaching consensus.Conclusion. The findings of this study have implications for creating professionally engaging learning experiences for student pharmacists and suggest that ensuring activities contain certain professionally engaging characteristics may be more important than the activities themselves.     

高校图书馆随书光盘管理探析

分析随书光盘的特点,介绍高校图书馆随书光盘的几种管理模式,对如何科学管理随书光盘提出几点建议,具体包括合理利用存储空间、引进智能光盘管理库、为随书光盘镜像服务器建立云存储架构等方面。     

Evaluating an Activity Intervention with Hemodialysis Patients in Israel

ABSTRACT

As a life-threatening and potentially disabling disease, End Stage Renal Disease and its treatment cause stress as well as other psychosocial problems for patients and their families. This paper examines the results of an innovative activity-based intervention aimed at reducing some of the psychosocial repercussions of hemodialysis. A modified withdrawal/reversal design was employed to compare patients participating in the intervention and those who did not, at two points in time. The findings confirmed that dialysis patients in general have relatively high levels of psychological distress, difficulty adhering to the treatment regimen and poor self-rated health. Patients participating in the group activity were more anxious and had lower levels of interdialytic weight gain than the non-participants. After the intervention was terminated, levels of psychological distress, hostility and phobic anxiety among patients in the treatment group dropped, while their weight gain continued to be less than that of non-participating patients. The implications of these findings as well as the methodological difficulties entailed in this type of study are examined.     

The Mental Health Status and Long Term Care Needs of the Chinese Elderly in Hong Kong

ABSTRACT

This paper examines the mental health status of 945 Chinese older people who are in need of long term care services in Hong Kong. It was found that for those aged respondents who are already waiting for admission to infirmary, over 59.3% were already living in private aged homes, and only as few as 17.8% of these applicants were still living in their own homes. Besides, it was found that the mean SPMSQ score was lowest amongst those living in medical infirmary (1.52) and highest for those living in their own residences (5.99). Analysis of the relationship between GDS scores and residential types reveals that there were higher proportion of respondents residing in their own residences that fell into the highly depressed category. There is a need for the overall revamp of the planning, provision and financing for long term care and psychogeriatric services for Chinese older people in Hong Kong.