慢性乙型肝炎患者血清角蛋白18裂解片段及其应用研究进展

近年来,血清角蛋白18及其裂解片段在肝病诊断方面的应用潜力引起了国内外研究者的强烈兴趣,但其在慢性乙型肝炎方面的应用研究较少。该文总结和探讨了循环血角蛋白18裂解片段M30及M65水平变化在慢性乙型肝炎中的意义以及应用前景。     

实习护生常见问题的探析

目的探讨实习护生的常见问题和解决对策。方法创建护理案例论坛并将其分为临床决策、伦理道德、护理技术、师生关系、护患关系和职业防护6个板块；从江西省3所大专院校中招募护生77名，邀请护生将实习过程中遇到的问题以案例的形式发送至论坛；定期登录论坛与辅导老师共同探讨这些问题的解决方法。结果护生实习期间向各板块发送的案例数量排序依次为师生关系、护患关系、职业防护、临床决策、伦理道德和护理技术。结论护生临床实习期间遇到的主要问题存在于师生关系、护患关系和职业防护方面，护理教育工作者应对护生加强相关知识和技能的教育，以提高他们在实习期间对这些问题的应对能力。     

‘Am I normal?’ Teenagers,sexual health and the internet

The development of new communication technologies has created a wide variety of new fields in which human beings can construct identities. The past decade has seen a proliferation of opportunities to use the internet for health related advice and information and many new sites have been created where participants can construct identities, formulate problems and seek solutions concerning health related issues. This paper will report on a study of emails written in to a UK-based website concerned with health issues for young people. Our analysis was driven by corpus linguistics, a computational methodology for interrogating extensive datasets, and we have combined both quantitative and qualitative approaches to the study of language. We interrogated a 400,000 word dataset of messages and were able to identify terms whose usage was elevated compared to the English language as a whole. As well as personal pronouns, these included many terms related to sexual health and bodily development, as well as terms such as 'normal' and 'worried' which were identified for further exploration. Whereas previous research on sexual health has discovered the use of vague terms and euphemisms, here, young people described themselves, their anatomy and their identities in meticulous detail. This study enables us to define the role of health topics raised, the presentation of health concerns, and contributes towards the discovery of a distinctive 'genre' of health messages concerning sexual health which differs from that found by other researchers concentrating on face to face encounters. In conclusion we suggest that for researchers and practitioners working in health with young people in the medium of English there could be valuable lessons in communication to be learned from examination of corpora of the health care language concerned.     

Nursing keypal exchange: an effective acculturation strategy to prepare for an international experience

Aim: The aim of this paper is to provide arguments for incorporating keypal exchanges prior to an international exchange. Background: At Rotterdam University of Applied Science in the Netherlands, the Master's in Advanced Nursing Practice Program/Nurse Practitioner Program focuses on the role of the nurse practitioner and places emphasis on internationalization within the curriculum. The students must complete a short‐term immersion experience to the USA during the 2‐year programme. Conclusion: An effective teaching strategy to acculturate students to the American culture, healthcare and nursing system differences was utilized by incorporating keypal communication within the international preparation programme.     

医学信息活动中E-mail的应用

在论述了E-mail在医学信息网络化建设中应用范围十分广泛的基础上,介绍了3种E-mail在医学信息活动中的使用方法,指出利用E-mail同样可以得到Internet浩翰的医学资源。     

实习护生常见问题的探析

目的 探讨实习护生的常见问题和解决对策.方法 创建护理案例论坛并将其分为临床决策、伦理道德、护理技术、师生关系、护患关系和职业防护6个板块;从江西省3所大专院校中招募护生77名,邀请护生将实习过程中遇到的问题以案例的形式发送至论坛;定期登录论坛与辅导老师共同探讨这些问题的解决方法.结果 护生实习期间向各板块发送的案例数量排序依次为师生关系、护患关系、职业防护、临床决策、伦理道德和护理技术.结论 护生临床实习期间遇到的主要问题存在于师生关系、护患关系和职业防护方面,护理教育工作者应对护生加强相关知识和技能的教育,以提高他们在实习期间对这些问题的应对能力.     

Government chief nursing officers' perceptions of barriers to using research on staffing

BACKGROUND: Current global healthcare problems include nursing shortages contributing to low nurse staffing. Low nurse staffing is associated with poor patient and nurse outcomes, but research utilization using these findings especially at the policy level remains slow. RESEARCH OBJECTIVE: To assess high-ranking government nurses' perceptions of barriers to using research on nurse staffing. METHODS: An electronic information message about the impact of nurse staffing was presented to government chief nursing officers (CNOs) from 110 countries. The CNOs' perceptions of local barriers to utilizing these research findings were then assessed in an electronic survey. The four factors that influence the first two stages of Rogers's five-stage model of diffusion were examined. The factors, characteristics of the adopter, organization, innovation and communication, were measured using an adapted version of the BARRIERS scale. RESULTS: Barriers were present in all four characteristics. The top barrier was lack of reports and studies in one place. Other barriers were lack of cooperation within the organization and lack of awareness of the research findings. Differences according to Gross National Income were also noted. CONCLUSIONS: The CNOs and other health policy advisors can use the findings in planning for adequate nurse staffing. Development of electronic newsletters with summaries of pertinent research for CNOs and other policy advisors is needed. Future studies on nurse staffing are warranted. They should focus on other settings and how best to share research findings with policymakers.