影响医院建设PPP项目融资因素分析

以金乡县人民医院新院区项目为例,梳理医院PPP建设项目准备阶段影响融资工作的诸多要素,分析可能出现的问题,并且有效加以规范,为相关PPP项目融资运作提供参考.     

护理专案改善在减少住院患者跌倒中的应用

目的了解护理专案改善在降低住院患者跌倒发生率中的应用效果。方法将医院2016年1月—2018年12月的80例住院患者随机分组,传统护理组对于住院患者给予传统护理,护理专案模式组对于住院患者采取护理专案模式。比较两组满意评分;护理人员工作积极性评分;护理前后住院患者对跌倒危险因素的掌握水平、住院患者遵医行为;跌倒的发生率。结果护理专案模式组满意评分、住院患者对跌倒危险因素的掌握水平、住院患者遵医行为、护理人员工作积极性评分、跌倒的发生率对比传统护理组有优势,P<0.05。结论住院患者实施护理专案模式效果确切,可提高护理服务质量和住院患者自我防护能力,降低跌倒的发生率。     

HIV感染者/AIDS患者生产救助项目效果评价

目的 了解陕南3个项目县人类免疫缺陷病毒(HIV)感染者/艾滋病(AIDS)患者生产救助项目现状,评价其效果,为改进艾滋病防治工作提供政策建议。方法 设计调查问卷和访谈提纲了解生产救助项目现况,对3个项目县全部HIV感染者/AIDS患者共18户19人进行问卷调查,对项目县相关人员共73人进行深度访谈。结果 山阳县HIV感染者/AIDS患者家庭有9户参加生产救助项目,镇安县和商南县HIV感染者/AIDS患者家庭未参加;参加项目的家庭中,有8户的家庭生产救助收入占其家庭总收入的58%以上,1户的家庭收入全部来自生产救助项目;项目实施后HIV感染者/AIDS患者家庭的收入提高了80.78%;参加项目的家庭中,88.89%对项目表示非常满意;在生存质量量表10个维度中,参加生产救助者有7个维度的得分高于未参加者,躯体健康总分和心理健康总分高出8.94分和11.42分(P<0.05)。结论 生产救助项目有利于改善HIV感染者/AIDS患者的经济状况,提高其生存质量,增加其生活信心,得到患者家庭好评;3个项目县生产救助项目实施情况不平衡。     

化工工艺设计过程中几种决策方法的应用

催化裂化汽油通过加氢处理可有效降低硫含量,是清洁汽油或清洁汽油调和油生产的重要过程。随着环保标准的日益严格,汽油加氢技术的研发和使用正日益受到重视,在技术开发、工艺设计、项目投资的过程中要面临诸多决策问题,从管理学角度对不同级别决策问题适用的决策方法和模型进行了介绍,并对定量决策方法、定性决策方法以及定量与定性相结合的决策方法使用场合提出了一些建议。     

社会性别视角下陕西省改厕满意度因子分析

目的 了解陕西省农村居民对改厕现状的满意度,探讨不同性别居民对满意度的影响,为提高改厕质量提供参考.方法 采用问卷调查的方法,结合因子分析对陕西省448位农村居民改厕满意度进行测评,得出农户对改厕各方面的满意度评价.结果 大多数农村村民对改厕项目是满意的;女性在便利性和控制疾病方面的满意度低于男性,而在对于厕所本身的客观因素的满意度高于男性.结论 在制定政策时应兼顾两种不同人群的需求,有重点、有针对地推进,对症下药.     

The Short-Term Effect of Lumbar Positional Distraction

Abstract

The purpose of this study was to test the hypothesis that positional distraction provides immediate relief of unilateral leg pain suspected to be caused by lumbar-nerve root irritation. Thirty subjects with true neurological signs were randomly assigned to a treatment group or control group. The treatment group received positional distraction for five minutes and the control group lay in side-lying for the same amount of time. Pain intensity, pain location, and SLR test height data was taken pre- and post-test. Statistical analysis was completed with the Wilcoxin-signed rank test for the data of pain intensity and with the paired sample t-test for the SLR height. The treatment group was found to have significantly less pain, more centralization of pain, and an increase in SLR test height (p-values of 0.001, 0.006, and 0.005 respectively). The control group showed no significant change (p-values of 0.506, 0.480, 0.884).     

Children at birth,children growing up. Integration between healthcare and family educational care

This research is based on the assumption that in order to improve the quality of life of children with major health problems in the early stage of their life, especially in the case of disability, it is necessary to ensure the continuity and proper two-way integration of early childhood educational planning and health care, both provided by the adults involved, that is parents and professionals. Therefore, we tried to explore and piece together the complex set of family support experiences, both in the process of forming an attachment and affiliation to the newborn and in the construction of a common evolutionary history, aimed at the well-being of the entire family unit. We considered the context and actors of the first few days and months in the lives of children with a difficult life course, in a city of Northern Italy. By means of qualitative investigation, we carried out observations in the neonatal intensive care units of hospitals over a period of 10 months. Our observations continued in the local healthcare, social, and educational services, entrusted with providing care to children and support to parents after hospital discharge. We also carried out observations in nursery schools, in order to highlight early forms of individualised educational planning, drawn up by the educators together with the family.     

Enhancing the nursing discipline and developing nursing science in China

To improve our health care services, promote balanced development of inter-regional and inter-disciplinary medical care skills, and effectively implement public hospital reform, the former Ministry of Health, State Chinese Medicine Administration Bureau and the Ministry of Finance allocated state funds in 2010 to support a National Clinical Key Specialty Construction Project. The project supports the acquisition of key equipment, personnel training and development of clinical diagnosis technology in order to develop high-quality medical resources and improve clinical services. Because of the important role nursing plays, clinical nursing and specialty care were also included in the project. The Chinese Nursing Association was commissioned to oversee this project, which awarded 211 million RMB to nursing disciplines in 86 hospitals representing all regions of China. This funding has supported the rapid development of nursing disciplines, the results of which are outlined and described in this review.