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61.
江门市乡镇集中式供水卫生现状分析 总被引:1,自引:0,他引:1
为加强乡镇集中式供水卫生管理,进一步普及与提高农村的改水工作,我们按统一的调查方案,于1994 ̄1995年在全国范围内开展乡镇自来水厂调查登记和水质监测工作。据统计全市建成投产乡镇水厂68座,普及率77.3%,受益人口149.09万,占农村总人口62.5%,调查结果显示,水源总污染率为8.82%,在监测项目中主查细菌学指标合格率不高,丰、枯水期水源水平均合格率分别为40.0%和88.9%,而出厂水 相似文献
62.
Eric M Cheng Andrew Siderowf Kari Swarztrauber Mahmood Eisa Martin Lee Barbara G Vickrey 《Movement disorders》2004,19(2):136-150
Parkinson's disease (PD) is a major cause of disability. To date, there have been no large-scale efforts to measure the quality of PD care because of a lack of quality indicators for conducting an explicit review of PD care processes. We present a set of quality indicators for PD care. Based on a structured review of the medical literature, 79 potential indicators were drafted. Through a two-round modified Delphi process, an expert panel of seven movement disorders specialists rated each indicator on criteria of validity, feasibility, impact on outcomes, room for improvement, and overall utility. Seventy-one quality indicators met validity and feasibility thresholds. Applying thresholds for impact on outcomes, room for improvement, and overall utility, a subset of 29 indicators was identified, spanning dopaminergic therapy, assessment of functional status, assessment and treatment of depression, coordination of care, and medication use. Multivariable analysis showed that overall utility ratings were driven by validity and impact on outcomes (P < 0.01). An expert panel can reach consensus on a set of highly rated quality indicators for PD care, which can be used to assess quality of PD care and guide the design of quality improvement projects. 相似文献
63.
浅谈多媒体教学中存在的问题及对策 总被引:17,自引:2,他引:15
分析了目前多媒体教学中存在的一些问题,提出了一些提高多媒体教学质量的途径和方法。 相似文献
64.
This study was designed to evaluate the reproducibility, validity and responsiveness of a health-related quality of life (HRQOL) battery that was assembled for the evaluation of antidepressant therapy. The Montgomery-Asberg Depression Rating Scale was used to measure severity of depression. The HRQOL battery contained measures of energy and fatigue, social behaviour, cognitive function, home and work role function, and general well-being (i.e., health perceptions, life satisfaction) selected from previously developed and validated instruments. The clinical investigators and research nurses reported on difficulty in using the HRQOL battery. Most patients were able to complete the questionnaire without problems within 10 min. Reproducibility was very good with intraclass correlation coefficients ranging from 0.74 to 0.97. The HRQOL scales showed evidence of good concurrent validity. The scales were moderately correlated with MADRS scores (r=0.30–0.62). The magnitude of these correlations indicate that HRQOL scales are related to depression measures, but they are not alternative measures of depression. Changes in MADRS scores were associated with changes in all scales, except for work behaviour, indicating that improvements in depression ratings also resulted in improvements in health status and well-being. The HRQOL scales included in this study were found to be reliable, reproducible, and valid and no appreciable burden was placed on patients or investigators participating in the study. With the exception of the Work Behaviour scale, the HRQOL scales were very responsive to changes in depression severity. This brief HRQOL instrument can provide a comprehensive assessment of the outcomes of antidepressant treatment.This research was supported by a grant from Pfizer International. 相似文献
65.
重视患者知情同意权提高医疗服务质量 总被引:12,自引:0,他引:12
为了提高医院的医疗服务质量,保证医疗安全,避免和减少医疗纠纷,医院必须严格遵守患者知情同意原则。作者着重讨论知情同意的意义,如何规范知情同意书的范围、格式和内容,以及填写注意事项等问题。 相似文献
66.
The issue of the preparation of effective teachers becomes more critical for teachers of early childhood programs. It has been hypothesized that better program quality depends on better-educated teachers. The purpose of this investigation was to explore the importance of a high level of education for all early childhood education teachers. This issue has intrigued early childhood researchers and has prompted a large amount of research studies over the past decades. In order to assess the status of this line of inquiry and to provide guidance for future research, a critical analysis of 40 studies on the preparation of early childhood education teachers and the quality of their educational programs that were published within a 15-year (1989-2004) period is presented here. The analysis consisted of literal and allegorical critical analysis and interpretative critical analyses, which generated results in three main areas that focused on the professional development of the teachers, including teachers' professional development, the importance of a Bachelor's Degree and educational standards for early childhood education teachers. 相似文献
67.
目的应用结构方程分析研究应激相关因素对护士生活质量的影响机制。方法通过随机抽样,采用生活质量综合评定问卷、压力反应问卷、生活事件量表、特质应对方式问卷、领悟社会支持量表、艾森克人格问卷对405名护士进行调查,并应用结构方程分析方法对其作用机制进行探索。结果在5个理论可行的竞争模型中获取了最佳模型(CMINDF2.344;GFI0.928;AGFI0.891;CFI0.945;RMSEA0.060),即应激相关5因素(压力反应、生活事件、社会支持、应对方式和个性特征)中除应对方式外均能直接影响生活质量,而应对方式则以其他应激相关因素为中介对生活质量产生间接影响,这5个因素均可互为中介对护士生活质量产生间接作用。结论结构方程分析方法证实应激对护士生活质量的影响是一个交叉作用系统,在干预应激对护士生活质量的影响时应综合运用直接和间接方法。 相似文献
68.
[目的]探讨不同起搏模式对病人生存质量(QOL)的影响。[方法]以健康调查问卷(SF一36量表)对112例不同起搏模式病人进行问卷调查,比较3种起搏模式下病人的QOL水平。[结果]除机体疼痛、角色情绪2个维度外其余6个维度(生理功能、角色限制、活力、社会功能、精神健康、总体健康)3种起搏模式间比较差异有统计学意义(P〈0.05)。[结论]应用AAI型、DDD型起搏器的病人生存质量优于VVI型起搏。 相似文献
69.
颅面部的 CT扫描检查主要包括颅脑面部上、下颌骨、中耳、内耳、鼻窦、眼眍、眼球及颞骨茎突等部位的扫描检查 ,上述部位的扫描检查的位置的摆法 ,层面的厚度、间距 ,扫描时间及螺距等参数的选择及扫描后图像的后处理工作对检查结果的诊断至关重要。上述参数任意一个选择不当及 相似文献
70.
The progesterone production of the granulosa cells of the cumulus oocyte complex correlates very well with the cleavagepotential of embryos in an IVF system. The method is simpleand can be easily performed by any laboratory associated withIVF. Furthermore, high intratubal progesterone levels in theimmediate post-ovulatory period are probably important in prolongingthe intra-ampullary residence of the oocyte or embryo untilthe uterine endometnum is optimal for implantation. 相似文献