Anabolic androgenic steroid use in recreational gym users: a regional sample of the Mid-Glamorgan area

The aim of this study was to examine the extent of anabolic androgenic steroid (AAS) use in a sample of recrational gym users in the Mid-Glamorgan area in South Wales, UK. Further aims were to investigate: &#148 the types of substances being used &#148 consequences of use. Introduction : Previous literature pertaining to AAS use tends to use samples of athletes and competitive sports people. A minority of studies have used recreational gym users. Method : A previously validated questionnaire (Korkia and Stimson 1993) was administered to recreational gym users in the Mid-Glamorgan area. The three gymnasia included in this survey were reported to be popular with bodybuilding and AAS-using clientele. Results : From the distribution of 170 questionnaires, the response rate was 63%. AAS users were from all areas of society and reported various physiological and psychological side effects from AAS use. The most worrying discovery was the extent of AAS users reporting syringe sharing (20%).     

Patients' experiences across the trajectory of atrial fibrillation: A qualitative systematic review

AimThis study aimed to synthesize qualitative evidence on experiences of patients with atrial fibrillation (AF) during the course of diagnosis and treatment. We addressed three main questions: (a) What were the experiences of patients with AF during the course of diagnosis and treatment? (b) How did they respond to and cope with the disease? (c) What were the requirements during disease management?DesignIn this study, qualitative evidence synthesis was performed using the Thomas and Harden method.Data SourcesElectronic databases, including PubMed, the Cochrane Library, Embase, Web of Science, Cumulative Index to Nursing and Allied Health Literature, the China Biomedical Database, the WanFang Database, Chinese National Knowledge Infrastructure and VIP, were searched. The databases were searched from inception to August 2021.Review MethodsTwo researchers independently selected studies using qualitative assessment and review instruments for quality evaluation and thematic synthesis for the data analysis.ResultsA total of 2627 studies were identified in the initial search and 15 studies were included. Five analytical themes were generated: ‘Diagnosing AF’; ‘The impact of AF on the patients’; ‘Self‐reorientation in the therapeutic process’; ‘Living with AF and QoL’; and ‘External support to facilitate coping strategies.’ConclusionsOur findings point out unique experiences of patients across the trajectory of AF related to delayed diagnosis, feelings of nonsupport, disappointment of repeated treatment failure and multiple distress associated with unpredictable symptoms. Future research and clinical practice are expected to improve the quality of medical diagnosis and treatment, optimize administrative strategy and provide diverse health support for patients with AF.ImpactUnderstanding the experiences and needs of patients with AF in the entire disease process will inform future clinical practice in AF integrated management, which would be helpful in improving the professionalism and confidence of healthcare providers. In addition, our findings have implications for improving the effectiveness of AF diagnostic and treatment services.Patient or Public ContributionThis paper presents a review of previous studies and did not involve patients or the public.     

MOOC环境下医学高校图书馆的应对策略

在调查分析山西医科大学师生及附属医院医护人员对MOOC的认知程度、学习需求、学习障碍及图书馆MOOC服务需求的基础上,探讨了MOOC环境下医学高校图书馆的应对策略：加大MOOC宣传力度,加强MOOC及相关资源的储备,提供MOOC资源服务,以医学信息素养建设为切入点开展MOOC创建服务,重构图书馆共享空间开辟MOOC学习场所。     

南通城区高龄老人社区卫生服务需求调查

目的:探讨高龄老人社区卫生服务需求状况及影响因素。方法:通过对社区卫生服务站定点的4个社区,110名80岁以上的老人问卷调查。分析高龄老人社区卫生服务需求的影响因素。结果:被调查高龄老人有26.2%愿意建立社区健康档案;25.3%的老人愿意医务人员上门服务;14.5%的老人愿意在生病出院后,在家中继续接受医疗康复服务;21.7%的老人愿意在社区接受健康教育;32.6%的老人愿意在社区定期进行体检。11.8%的老人选择热线电话健康咨询服务;9.1%的老人愿意接受居家护理服务;67.3%的老人选择在家中养老。结论:城区高龄老人社区卫生服务需求还应加大对社区卫生服务的宣传力度,提高高龄老人对社区卫生服务的认知度和接受程度。     

引文分析在用户文献信息需求研究中的应用——中国医学科学院科研人员近10年引文数据分析

以SCIE为工具采集并分析中国医学科学院及其下属院所近10年(1998～2007)发表文献的引文文献,了解用户对于医学文献信息需求的年代分布、文献类型、学科特点和文献离散情况,为资源订购调整提供依据,以不断完善"面向用户需求"的馆藏资源体系.     

面向用户需求的移动图书馆功能

通过问卷调查,分析牡丹江医学院用户对移动图书馆功能需求,指出设计移动图书馆时应注意其功能的实用性、操作性和方便性,用户隐私的安全性和资费政策的优惠力度。     

住院患者护理需求的调查与分析

目的了解患者对住院期间护理服务的需求,为改进护理质量提供切实可行的依据。方法2005年6月随机对30例住院患者进行问卷调查,并对结果进行分析。结果护士主动服务意识较强,在与住院患者的沟通、健康教育、护士学历层次和护士人力配置方面存在不足,患者在陪护方面存在较强需求倾向。结论医院管理者应科学地安排护理人力资源;护士在护理中应积极加强与患者的沟通;在健康宣教中应着重康复知识、药物、心理保健和饮食指导;进一步规范护工管理;从而提高护理服务满意度。     

农村基层卫生单位对卫生技术人才评价及对基层卫生人才素质要求调查

目的：了解农村基层卫生单位对不同层次卫生技术人才评价和对卫生技术人才的素质要求。方法：对120名乡镇卫生院院长或卫生管理人员进行问卷调查。结果：中心乡卫生院院长对本科学历的医疗专业人员的满意率高于普通乡,中心乡和普通乡卫生院院长对具有专科学历的医疗人员的满意率均较高,满意率分别为72．09％,94．59％;乡镇卫生院需求甘愿献身农村卫生事业具有医学专科学历的大夫和具有正规学历的护理,药剂,医护人员,结论：调整医学教育方向,充分利用高,中等医学院校培养符合农村需求的卫生技术人才。