现代化医院呼唤现代服务模式

当前我们正在向建设基本现代化医院迈进,在注意硬件建设的同时,不要忽略软件建设。硬件建设需要大量投入,较易见成果;而后者无需大量财力投入,只需转变医院人的思想观念,就能使医院明显改观。     

教师心理健康影响因素探微

目的 从微观层面探讨归因、自我效能感、教育观念、人格因素对教师心理健康的影响。方法 使用《教师心理健康问卷》和CPSQ人格问卷》进行问卷调查。结果 能力和努力归因对教师心理健康有正向的预测作用；任务难度和运气归因对教师心理健康有负向的预测作用。工作效能和创造效能对教师心理健康都有正向的预测作用。成功教育、挫折教育和主动探索的教育观念对教师的心理健康都是正向的预测作用。神经质分数低的教师出现心理问题的几率不大；趋向于外向、开放、随和以及尽职尽责的教师，心理健康水平较高。结论 归因、自我效能感、教育观念、人格因素对教师心理健康都有程度不同的影响。     

Psychological and neuropsychological aspects of COPD

A review of the literature dealing with the effects of chronic obstructive pulmonary disease (COPD) on psychological and neuropsychological functioning indicates that significant emotional and adaptive deficits characterize this patient population. Psychiatric consultation can provide valuable assistance to the primary care physician by reducing emotional distress and correcting dysfunctional attitudes and beliefs. Neuropsychological assessment can elucidate an individual's neurobehavioral resources and deficits.     

Glomerular matrix proteins in nodular glomerulosclerosis in association with light chain deposition disease and diabetes mellitus

The diagnosis of light chain deposition nephropathy is based on the immunohistochemical demonstration of monoclonal light chain deposits within connective tissue matrix and on the presence at the ultrastructural level of electron-dense granular deposits along glomerular and tubular basement membranes. A nodular glomerulopathy characterized by amorphous periodic acid-Schiff-positive and argyrophilic widened mesangium and nodules is described in three patients with light chain deposition nephropathy. Light microscopic examination did not allow discrimination between the glomerular changes found in these specimens and the nodular glomerulosclerosis described in four patients with well-documented diabetes mellitus. Electron microscopic examination revealed microtubular fibrils 10 to 12 nm thick in mesangial areas in both groups. Such microfibrils could be glycoproteins. Immunofluorescence localization of matrix proteins, by staining with affinity-purified antibodies to types I, III, IV, and V (A, B) collagens, fibronectin, laminin, and heparan sulfate-containing proteoglycans, showed similar distributions in the two conditions. The mechanism of this abnormal accumulation of mesangial and glomerular basement membrane matrix proteins in two different conditions remains unknown.     

Ecotropic and dualtropic mink cell focus-inducing murine leukemia viruses can induce a wide spectrum of H-2 controlled lymphoma types

Neonatal infection of C57BL and BALB/c mice by cloned ecotropic and dualtropic mink cell focus-inducing (MCF) murine leukemia viruses (MuLV) induces a wide spectrum of different lymphomas of T, B, and non-T/non-B cell types. Oncogenic dualtropic MCF viruses and poorly oncogenic ecotropic MuLV act synergistically in lymphomagenesis. Within one mouse strain virus-induced T-cell lymphomas arise earlier than B-cell lymphomas after neonatal inoculation of a single-cloned MuLV. The host genetic constitution, notably the H-2 complex has a marked influence on lymphoma type. This H-2 influence can be explained by an H-2-linked difference in penetration of the thymus early in life by oncogenic thymotropic MuLV, which in turn is correlated with, but not necessarily due to the magnitude of the anti-MuLV antibody response.     

Karyotyping chromosomes by electron microscopy. Condensation-inhibition of G bands in human and Chinese hamster chromosomes by a BrdU-Hoechst 33258 treatment

A BrdU-Hoechst 33258 treatment of living cells, which selectively induced condensation-inhibition of G-band chromatin in human and Chinese hamster chromosomes, is presented. As a consequence mitotic chromosomes showed high resolution R-banding patterns when examined by light and electron microscopy. Besides each whole chromosome identification, this procedure also permitted the electron microscopic study of specific structures, such as satellites, secondary constrictions, telomeres, centromeres, as well as G and R bands, some of them not visible by light microscopy. We have also observed that the chromatin of G and R bands behave as blocks of chromatin condensation and that G-band chromatin develops condensation along G₂. Under the BrdU-Hoechst 33258 treatment, chromatin fibers seem to invert their spontaneous pattern of condensation within the chromosomes.     

Ejaculatory incompetence: a theoretical formulation and case illustration

Three theoretical formulations of ejaculatory incompetence have been proposed in the literature. They include: (1) aversive conditioned inhibition of the ejaculatory reflex, (2) an "autosexual" orientation associated with discrepant levels in the cognitive and physiological dimensions of sexual arousal, and (3) a discriminative learning model. These three models are discussed in relation to their theoretical and therapeutic implications. Clinical data supporting the discriminative view is presented.     

我国移动医疗APP服务质量与用户满意度关系研究

目的探讨移动医疗APP服务质量各维度与用户满意度的关系,提出针对性建议,为提高移动医疗APP服务质量提供参考。方法根据更新的信息系统成功理论（UDMISS）,结合移动医疗服务质量模型,建立了移动医疗服务质量与用户满意度关系模型。通过问卷调查,使用PLS-SEM法对模型及假设进行验证。结果移动医疗APP系统质量中的可靠性、效率性、隐私性以及信息质量中的功利效益对用户使用满意度有积极影响,而交互质量对用户使用满意度影响不显著。结论重视应用便利性和患者隐私保护,提高移动医疗APP系统质量;提供个性化服务和心理咨询服务,提高移动医疗APP交互针对性;在确保移动医疗APP信息质量的同时提供适度信息数量,以改善患者使用体验。     

互联网医患功能沟通质量综合评价研究

在前期研究基础上,参考TOPSIS综合评价法,对我国互联网医患功能沟通质量进行综合评价。比较了不同患者主动程度组、不同医院级别组、不同医生职称组的沟通质量水平差异,认为在互联网医患沟通中,提升患者主动程度、选择高级别的医院和高职称的医生,对于促进互联网医患功能沟通质量水平提升具有重要意义。     

基于分级诊疗的“互联网+护理服务”模式探索

“互联网+护理服务”是满足居家患者服务需求的主要形式之一。以分级诊疗为基础,依托“互联网医院”平台,初步探索构建了医联体内“互联网+护理服务”模式。认为基于分级诊疗的“互联网+护理服务”模式能够满足患者延续性护理服务需求,保障患者享受同质化护理服务,促使护理资源合理分配和有效利用。