立体视锐度与发样十五种元素关系初探

本文采用X－射线荧光分析法测定抚州市区152名健康中小学生（其中立体视锐度异常29人）的头发中Ca、Cr、Mn、Fe、Co、Ni、Cu、Zn、As、Mg、Pb、Cd、Mo、Se和Ge等15种元素的含量。结果表明立体视锐度异常儿童头发中Se元素含量较正常组低（P＜0．05），而Zn／Cu比值则明显高于正常组（P＜0．05），提示给予富含硒元素的食物，提高体内硒含量，调整Zn／Cu比值．对防治立体视税度导常发生具有重要作用。     

University and Community Hospital Medical Student Emergency Medicine Clerkship Experiences

Objective : To determine whether there is a significant difference between educational opportunities for fourth-year medical students rotating at a university hospital (UH) compared with several community hospitals (CHs) during a mandatory emergency medicine (EM) clerkship.
Methods : A self-reported clinical tool was completed in real time by each student rotating for 2 weeks at the UH and 2 weeks at 1 of 4 CHs (3 affiliated and 1 unaffiliated). Students are required to document the number of patients seen and the number of procedures performed on each of 20 six-hour shifts. They rated the EM attending clinical teaching by site using a 5-point scale at the end of the clerkship.
Results : Most (95%) of the 87 students in the 7 clerkship blocks of the 1996–97 academic year rotated at the UH and a CH. Most (71%) students rated both the UH and the CH for the quality of teaching by attendings. There was a significant difference in the mean number of patients evaluated/shift (2.2 ± 0.10 vs 2.8 ± 0.10, UH vs CH; p < 0.001) and the mean number of procedures performed/shift (0.36 ± 0.04 vs 0.56 ± 0.05, UH vs CH; p < 0.001). Attending clinical teaching scores were significantly higher (p = 0.03) at the CHs.
Conclusions : The educational opportunities for students in an EM clerkship to evaluate patients and perform procedures were significantly greater at the community hospitals. Inclusion of community hospital settings in a medical student EM clerkship may optimize the clinical experience.     

Some issues in the assessment of clinical practice: a review of the literature

? This paper focuses on some issues in the assessment of clinical practice of particular interest to the author. ? The assessment of students of nursing in clinical practice is acknowledged as a long-standing and difficult problem. ? There is little consensus as to what is meant by the term competence when applied to clinical nursing practice, making the assessment of clinical practice a mainly subjective process. ? The English National Board (1989) has distinguished the term mentor as meaning counsellor and guide, nevertheless the roles of mentor and assessor are frequently confused. ? It is suggested that nurses are equally accountable for the accurate assessment of student nurses' clinical skills as they are for their own practice. ? The validity and reliability of tools used to assess clinical practice are difficult to establish, making objective assessment complex at best, and impossible at worst. ? The assessment of the reflective process has been suggested as one way out of the dilemma, but the ability to think and to write does not necessarily translate into competent clinical practice.     

大学生手淫的危害、原因与预防

当代大学生手淫行为比较普遍,很多大学生在上大学之前就养成了难以自控的手淫习惯。大学生手淫既影响了他们的身心健康,对他们在校园里健康成长成材也构成了严重的威胁。从思想与心里教育角度引导大学生正确对待手淫,促使他们养成积极健康的生活习惯,对他们将来人生的健康发展及营造和谐的校园风气具有重要的作用。文章论述了当代大学生手淫的根源、手淫危害、诱发因素、手淫动机及预防、矫治措施。     

大学英语教学现状分析与改进策略

文章分析了当前大学英语教学工作中存在的问题，提出了改进策略及需要正确处理的几个关系。     

广州港1997～2002年中小学生营养状况分析

目的 了解广州港中小学生的营养状况。方法 收集1997-2002年广州港4所中小学生的体检资料。结果 广州港4所中小学生平均营养不良发病率为23．39％，肥胖发病率为6．34％。营养不良发病率有逐年下降的趋势，而肥胖发病率则有逐年上升的趋势。男女性别间差异有显性意义(P＜0．01)。结论 中小学生营养不良与肥胖同时存在。今后的学生营养工作应防治中小学生营养不良与肥胖并举，全面推行以学校为中心的全民营养教育。     

1090例高校新生卡介苗接种普及情况和PPD试验结果调查分析

为了解江西省卡介苗实施情况并为高校防治结核提供依据。本文调查江西财院九江分院１０９０名新生的卡痕和ＰＰＤ试验。结果：总卡痕率７２．９４％，城、乡间无显著性差异；ＰＰＤ试验阴性率６０．４６％，阳性率３９．５４％、其中强阳性率３．１２％，乡村生强阳率显著高于城市生；ＰＰＤ阳性率在城、乡之间以及有、无卡痕者均无显著性差异。有卡痕者ＰＰＤ阳性率４０．５０％，提示近６０％种卡后未阳转或又复转阴。作者认为高校新生入学时进行ＰＰＤ试验并对阴性和强阳性采取进一步防治措施是非常必要的。     

呼和浩特地区11070名中,小学生视力调查分析

本文共测试了１１０７０名呼和浩特市城区和在区中、小学生的视力。结果是：引起学生视力低下的主要原因为近视，且近视的检出率和重度近视随年龄增长而增加，特别是在１３～１８岁年龄组更为明显；近视检出率城区学生明显高于农区学生（μ＞２．５８，ｐ＜０．０１），但是，无论城区学生或农区学生，女生的检出率分别都明显高于男生（μ＞２．５８，Ｐ＜０．０１）。     

大学生应对方式研究

介绍了大学生应对方式研究现状．重点阐述了大学生常用的应对方式、影响因素及应对方式对大学生心理健康的影响。     

306名大学生错失恐惧与社交媒体倦怠的关系:睡眠质量和负性情绪的链式中介作用

目的 探讨大学生睡眠质量、负性情绪在错失恐惧与社交媒体倦怠间的中介作用。 方法 采用错失恐惧量表、社交媒体倦怠量表、匹兹堡睡眠质量指数量表、抑郁-焦虑-压力量表简体中文版对306名大学生进行调查。 结果 错失恐惧、社交媒体倦怠、睡眠质量和负性情绪之间呈两两正相关;错失恐惧能正向预测社交媒体倦怠;睡眠质量和负性情绪在错失恐惧和社交媒体倦怠之间起单独中介作用,且睡眠质量和负性情绪在错失恐惧与社交媒体倦怠之间起链式中介作用,负性情绪各维度效应皆成立。 结论 睡眠质量和负性情绪能够为错失恐惧对社交媒体倦怠的影响提供一个解释机制,大学生的错失恐惧既可以直接影响其社交媒体倦怠水平,也可以通过睡眠质量、负性情绪的独立中介效应以及睡眠质量-负性情绪的链式中介效应间接影响。