昆明医学院病原生物学实验教学中心建设思路

在借鉴国内兄弟院校病原生物学实验教学中心建设经验的基础上，结合我院实际，从三方面提出了我院病原生物学实验教学中心建设的思路，即指导思想与建设目标，实验教学体系、内容及方法改革的思路，实验教学体制及管理改革思路，供有关部门参考．     

口腔正畸学实验课教学改革的探索

总结了以往我们口腔正畸教研室实验室教学中存在的一些问题，并做出了一些教改探索．旨在提高教学质量，全面培养学生的综合素质．     

大众教育背景下中医人才培养的实践与思考

在我国高等教育大众化的阶段,中医教育自身发展规律决定了中医人才培养的精英特征;而中医学的文化属性又决定了在培养中医精英人才的同时,通识教育的重要性和必要性。以此思想为指导,笔者对现有的中医专业的人才培养模式进行了改革尝试,以期培养符合中医规律、具有中医思维,具备文化底蕴的高素质的中医人才。     

临床医生对医学信息的认知情况分析

对四川省三级医院、二级医院、基层医疗卫生机构610名临床医生进行问卷调查,结果显示四川省临床医生对医学信息的认知不足、学习时间较少、学习途径仍以教科书为主、不同职称医生对医学信息掌握有差异。对此需加强信息素质教育,增强其主动获取医学信息的意识。     

Childhood polybrominated diphenyl ether (PBDE) exposure and executive function in children in the HOME Study

Prenatal exposure to polybrominated diphenyl ethers (PBDEs) have been reported to impair executive function in children, but little is known whether childhood PBDE exposures play a role. Using the Health Outcomes and Measures of the Environment (HOME) Study, a prospective birth cohort in the greater Cincinnati area, we investigated the association between repeated measures of PBDEs during childhood and executive function at 8 years in 208 children and whether effect modification by child sex was present. We used child serum collected at 1, 2, 3, 5, and 8 years to measure PBDEs. The Behavior Rating Inventory of Executive Function was completed by parents to assess executive function at 8 years. We used multiple informant models to examine childhood PBDEs during several exposure windows. Null associations were observed between early childhood PBDEs and executive function. However, we observed significant adverse associations between a 10-fold increase in concurrent concentrations of BDE-28 (β = 4.6, 95% CI 0.5, 8.7) and BDE-153 (β = 4.8, 95% CI 0.8, 8.8) with behavioral regulation. In addition, PBDEs at 8 years were significantly associated with poorer emotional and impulse control. No associations were noted between childhood PBDEs and metacognition or global executive function. However, child sex significantly modified the associations, with significantly poorer executive function among males with higher concurrent BDE-153, and null associations in females. Our study findings suggest that concurrent PBDE exposures during childhood may be associated with poorer executive function, specifically behavior regulation. Males may also be more sensitive to adverse associations of concurrent PBDEs on executive function.     

The Alcoholics Anonymous Affiliation Scale: Development, Reliability, and Norms for Diverse Treated and Untreated Populations

Affiliation with Alcoholics Anonymous (AA) is an important variable to measure in many clinical and research activities. This paper reports on the development of an AA affiliation scale, and demonstrates its utility in a sample of 927 alcohol treatment seekers and 674 untreated problem drinkers. The scale is short (9 items), covers a range of AA experiences, and is internally consistent across diverse demographic groups, multiple health services settings, and treated and untreated populations. The validity of the scale is supported by the findings that treatment seekers report significantly higher AA affiliation than do untreated problem drinkers, and inpatients report higher affiliation than outpatients. Potential clinical and research applications of the scale are proposed.     

实施新医院会计制度的挑战及其对策分析

随着医改的逐步深入和我国经济的发展,医院的业务水平和管理水平都有了长足的进步.新出台的《医院会计制度》一方面是弥补旧制度中的不足,另一方面是适应改革发展的需要.本文介绍了新医院会计制度主要的内容变化,对其当前实施过程中存在的问题做了分析,并提出了一些有效实施的对策.     

消化科患者跌倒风险因素评估及护理干预分析

目的：分析消化科患者跌倒风险因素,并提出相应的护理干预措施。方法收集我院2011年10月~2013年10月发生跌倒的消化科患者22例作为研究对象,采用回顾性的方式分析患者的临床资料,总结跌倒风险因素和护理干预措施。结果导致患者发生摔倒的因素主要包括环境因素、疾病因素等等,其中发生跌倒例数最多的是胃肠镜检查前和消化道出血患者,导致患者跌倒最主要的原因是缺乏安全意识以及环境因素。结论消化科患者很容易因为各种因素发生跌倒,对患者的治疗效果和康复都造成了严重的影响,因此护理人员要掌握跌倒风险因素,采取有效的护理措施,降低跌倒发生率,确保患者的健康。