Home oxygen therapy: re-thinking the role of devices

Introduction: A range of devices are available for delivering and monitoring home oxygen therapy (HOT). Guidelines do not give indications for the choice of the delivery device but recommend the use of an ambulatory system in subjects on HOT whilst walking.

Areas covered: We provide a clinical overview of HOT and review traditional and newer delivery and monitoring devices for HOT. Despite relevant technology advancements, clinicians, faced with many challenges when they prescribe oxygen therapy, often remain familiar to traditional devices and continuous flow delivery of oxygen. Some self-filling delivery-less devices could increase the users’ level of independence with ecological advantage and, perhaps, reduced cost. Some newer portable oxygen concentrators are being available, but more work is needed to understand their performances in different diseases and clinical settings. Pulse oximetry has gained large diffusion worldwide and some models permit long-term monitoring. Some closed-loop portable monitoring devices are also able to adjust oxygen flow automatically in accordance with the different needs of everyday life. This might help to improve adherence and the practice of proper oxygen titration that has often been omitted because difficult to perform and time-consuming.

Expert commentary: The prescribing physicians should know the characteristics of newer devices and use technological advancements to improve the practice of HOT.     

泛在学习时代的医学教师教学发展中心:价值证成、模式转型与路径创新

信息技术的快速发展、泛在技术在教育中的广泛应用,为医学教师教学发展中心的建设和发展奠定了新的基础,正深刻改变着医学教师教学发展的未来。医学教师教学发展中心应指向教育智慧,回归以学习为中心,最终在跨界协同中赋能医学教育的未来。     

基于五行理论分析企业家对企业药品研发能力的影响

随着经济全球化的发展和国际竞争环境的日趋复杂,药品研发已成为制药企业应对竞争环境不确定性的最有力武器。笔者以制药行业为研究视角,立足于五行理论,运用取象比类思维,进行五行理论与企业家类型系统的取象比类研究。在企业家类型系统和企业管理系统的基础上,嵌入企业高层管理团队系统,将企业家纳入系统并根据企业家的不同特征属性为其分配角色,通过对不同企业家与研发负责人的“生克乘侮”关系的分析,阐述不同类型企业家对企业药品研发环节（立项、过程及结果）的影响。旨在为不同类型的企业家提供药品研发创新及内部协同的管理思路,以利于企业家基于自身特征进行利弊分析,有效提升企业内部资源整合能力和药品研发自主创新能力。     

Innovations in indwelling urethral catheterisation

The indwelling urethral catheter remains an integral part of contemporary medical care, despite its significant design shortcomings. Urethral catheterisation is responsible for well-recognised complications including catheter-associated urinary tract infection (CAUTI), catheter-associated urethral injury (CAUI), catheter blockage, and bladder mucosal irritation. In this narrative review, we provide an update on current innovations in urethral catheter design, aimed at safeguarding against these complications. There is an obvious need to improve catheter technology and urologists should support the translation of innovations into clinical practice.     

构建药学教育创新体系 多层面培养创新人才

围绕创新人才培养目标,结合多年对创新教育的探索,在课程体系设置、教学方法改革、人才创新培养平台建设等方面推进药学教育创新体系实施,多层面培养学生的创新能力。     

The use of Google Glass for airway assessment and management

Currently, information about airway assessment and tracheal intubation is communicated verbally or in writing. Google Glass can record this information in real time with minimal disruption to work flow, using standard operating room lighting.     

Factors Affecting Hospital Employees' Knowledge Sharing Intention and Behavior,and Innovation Behavior

Objectives

To investigate the factors affecting employees'' knowledge sharing intention, knowledge sharing behavior, and innovation behavior of the four top-ranked university hospitals in South Korea.

Methods

Data were collected from employees at three university hospitals in Seoul, Korea and one university hospital in Gyeonggi-Do, Korea through self-administered questionnaires. The survey was conducted from May 29, 2013 to July 17, 2013. A total of 779 questionnaires were analyzed by SPSS version 18.0 and AMOS version 18.0.

Results

Factors affecting hospital employees'' knowledge sharing intention, knowledge sharing behavior, and innovation behavior are reciprocity, behavioral control, and trust.

Conclusion

It is important to select employees who have a propensity for innovation and continuously educate them about knowledge management based on trust.