《护理信息技术》课程建设与教学反思

《护理信息技术》课程建设必须厘清3个基本问题：一是必要性;二是可行性;三是实效性。关于必要性的争议,主要集中于对“护理信息技术”概念的理解。有人认为,“护理信息技术”就是护理技术融合信息技术;更多人认为,是信息技术在护理工作中的应用。现在的认识是,护理信息技术是集护理、管理和信息三方技术有机合成的新兴职业技术,它能促进护理服务的多样化和个性化,提高服务的质量与效率,改变传统的服务模式,拓宽服务的范围领域,给人体康复带来便利和实惠。关于可行性的焦点,主要集中于教材、教师和实训条件三方面,即解决课程教学的内容、传授和装备等现实问题。至于实效性问题,主要集中于教学效应和学习效果方面。课程建设所追求的理想效应和效果,经过医院、学校和企业三方教师的共同努力、临床的实训操作和教学的反思调研等,已初见成效。     

腹腔镜下肝血管瘤切除术的配合1例

腹腔镜技术是近年来国内外开展的新技术，已广泛应用于外科手术，它具有高效安全、损伤小、恢复快、手术资料易于保存等优点。我院于2006年11月9日成功实施山西省第1例腹腔镜下肝血管瘤切除术，手术过程顺利。现将护理配合报告如下。     

Relationship between levels of inflammatory cytokines in the genital tract and CD4+ cell counts in women with acute HIV-1 infection

Inflammatory responses at mucosal surfaces after human immunodeficiency virus type 1 (HIV-1) transmission may influence disease outcome. We evaluated levels of interleukin (IL)-1beta, IL-6, tumor necrosis factor-alpha, IL-8, IL-10, and IL-12 in genital tract and plasma specimens from 44 women with acute HIV infection and 29 HIV-negative control women (13 of whom were women in the acute HIV infection cohort who had preinfection samples available for analysis). Women with acute HIV infection had significantly elevated levels of IL-6, IL-10, and IL-12 in genital tract specimens and elevated levels of IL-1beta, IL-8, and IL-10 in plasma specimens, compared with HIV-negative control women. Levels of IL-1beta, IL-6, and IL-8 in cervicovaginal specimens from women with acute HIV infection showed a significant inverse correlation with systemic CD4(+) cell counts, suggesting that mucosal inflammation is associated with low CD4(+) cell counts during acute HIV infection.