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排序方式: 共有10000条查询结果,搜索用时 15 毫秒
61.
62.
A recent large increase in Caesarean section (CS) in Italy was the initial stimulus for a study to identify risk factors for CS and, if possible, to suggest strategies to counteract the rise. The study was conducted in three hospitals where a wide range of individual variables was collected from the clinical records and from personal interviews. Crude CS rates and odds ratios were evaluated for each single variable while logistic regression has been used to investigate possible confounding factors. The study involved 1316 consecutive deliveries. Crude CS rates were 29.4%, 15.7% and 16.1%. Variables identified as high risk factors were pre-eclampsia, previous CS, breech and other non-vertex presentations. Antenatal care under an obstetrician working in the same hospital, a low number of antenatal consultations, previous miscarriages, offer (by obstetrician) and request (by women) for CS showed significantly high odds ratios (ORs). Previous live births was strongly negatively associated with CS. No relationship between type of delivery and social status was observed while a physician factor was detected in all three hospitals where rates for different physicians ranged from 0% to 52.8%. Apart from the main medical indications for Caesarean section (previous CS, breech presentation), the results seem to indicate that individual practice style may be an important determinant of the wide variation in the rates of Caesarean delivery. While this may have been suspected before this study, these results are the first hard data to indicate that, in Italy, CS is widely performed for non-medical reasons. 相似文献
63.
大型医院病案信息化的管理与实践 总被引:3,自引:0,他引:3
病案作为医学临床信息的重要载体,只有将其进行海量存储、快速查阅、远程传输,使之活跃起来,才能真正地满足医疗、教学、科研和管理的需要。将传统的纸质病案进行扫描后保存为光盘,并存入光盘镜像服务器中,实现了网上实时访问、检索、查询、浏览和传输功能,并可以利用病案管理软件进行相应的统计和分析。为医疗信息资源进一步开发和利用,探索了一条大型医院病案信息化管理的有效途径。 相似文献
64.
东南大学医学影像学专业(本科五年制)教学计划的构思 总被引:3,自引:1,他引:2
修订东南大学医学影像学专业本科五年制教学计划:坚持遵循教育教学的基本规律,坚持知识、能力、素质协调发展和综合提高的原则和方法。打通公共基础,建立通识教育基础平台:拓宽学科基础课,增加基础学科选修课;凝炼专业主干课程,加强临床实践环节;前期趋同,宽口径专业培养,后期分流灵活专业方向,实现专才向通才、教学向教育和传授向学习的转变。培养和造就高层次医学影像学专业人才,以适应影像设备迅猛发展的需要,适应影像学科建设的需要,适应培养新世纪医学影像学专业人才的需要。 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.
Martin V. Pusic MD George S. Pachev PhD Wendy A. MacDonald MD 《Academic emergency medicine》2007,14(2):138-148
Objectives
To explore medical students' use of computer tutorials embedded in a busy clinical setting; to demonstrate that such tutorials can increase knowledge gain over and above that attributable to the clinical rotation itself.
Methods
Six tutorials were installed on a computer placed in a central area in an emergency department. Each tutorial was made up of between 33 and 85 screens of information that include text, graphics, animations, and questions. They were designed to be brief (10 minutes), focused, interactive, and immediately relevant. The authors evaluated the intervention using quantitative research methods, including usage tracking, surveys of faculty and students, and a randomized pretest-posttest study.
Results
Over 46 weeks, 95 medical students used the tutorials 544 times, for an overall average of 1.7 times a day. The median time spent on completed tutorials was 11 minutes (average [SD], 14 [±12] minutes). Seventy-four students completed the randomized study. They completed 65% of the assigned tutorials, resulting in improved examination scores compared with the control (effect size, 0.39; 95% confidence interval = 0.15 to 0.62). Students were positively disposed to the tutorials, ranking them as "valuable." Fifty-four percent preferred the tutorials to small group teaching sessions with a preceptor. The faculty was also positive about the tutorials, although they did not appear to integrate the tutorials directly into their teaching.
Conclusions
Medical students on rotation in a busy clinical setting can and will use appropriately presented computer tutorials. The tutorials are effective in raising examination scores. 相似文献
To explore medical students' use of computer tutorials embedded in a busy clinical setting; to demonstrate that such tutorials can increase knowledge gain over and above that attributable to the clinical rotation itself.
Methods
Six tutorials were installed on a computer placed in a central area in an emergency department. Each tutorial was made up of between 33 and 85 screens of information that include text, graphics, animations, and questions. They were designed to be brief (10 minutes), focused, interactive, and immediately relevant. The authors evaluated the intervention using quantitative research methods, including usage tracking, surveys of faculty and students, and a randomized pretest-posttest study.
Results
Over 46 weeks, 95 medical students used the tutorials 544 times, for an overall average of 1.7 times a day. The median time spent on completed tutorials was 11 minutes (average [SD], 14 [±12] minutes). Seventy-four students completed the randomized study. They completed 65% of the assigned tutorials, resulting in improved examination scores compared with the control (effect size, 0.39; 95% confidence interval = 0.15 to 0.62). Students were positively disposed to the tutorials, ranking them as "valuable." Fifty-four percent preferred the tutorials to small group teaching sessions with a preceptor. The faculty was also positive about the tutorials, although they did not appear to integrate the tutorials directly into their teaching.
Conclusions
Medical students on rotation in a busy clinical setting can and will use appropriately presented computer tutorials. The tutorials are effective in raising examination scores. 相似文献
67.
以限题检索为手段,以收录期刊所载论文为指标,比较分析了国内常用的4种医学电子文献数据库收录医学期刊的质量。结果表明4种医学电子文献数据库均存在收录“非法医学期刊”之瑕疵,但各数据库的收录量有差异。提示广大读者和电子文献数据库使用者注意,并针对此问题提出了相应的对策和建议。
相似文献68.
69.
[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
70.
了解北京市农村居民医疗费用情况。方法:分4个季度调查农村居民医疗卫生服务需要及利用情况,同时调查三级医疗机构门诊及住院病人的医疗功用。结果:农村居民年人均医疗费用80.95元,其中老年人为166.01元,居民年人均医疗费用最高的疾病为感冒及心脑血管病。结论:建议加强农村老年保健工作,发展和完善农村合作医疗制度。 相似文献