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1.
目的:探讨术前量化训练方法对腰椎间盘突出患者术后锻炼依从性及康复效果的影响。方法:将84 例腰椎间盘突出患者随 机分为观察组及对照组各42 例,对照组围手术期间实施常规性护理,观察组围手术期间实施术前量化训练,对比分析两组患者 负性情绪、术后锻炼依从性及康复情况。结果:观察组干预后汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分 低于对照组(P<0.05)。观察组术后锻炼依从率、满意率高于对照组(P<0.05),而并发症发生率低于对照组(P<0.05)。观察组术后疼 痛评分低于对照组(P<0.05),观察组术后下床活动时间及平均住院时间短于对照组(P<0.05)。结论:对腰椎间盘突出患者术前进 行适应手术训练可有效改善患者负性情绪,提高患者术后锻炼依从性,有利于患者术后康复,提高患者康复效果。  相似文献   
2.
目的:了解坦克部队官兵在野外驻训期间的膳食营养状况,为指导合理膳食提供参考依据。方法:膳食调查采用称重法,能量消耗采用生活观察法,体格检查指标包括体重和皮褶厚度。结果:每日人均禽肉、鱼虾、蔬菜等摄入水平未达到"军人食物定量"标准,而植物油摄入量则超过军标要求;VB1、VC、铁、锌、硒、碘等摄入量未达到"军人营养素供给量"标准要求;三大产能营养素供能比例不合理,脂肪摄入偏高,碳水化合物偏低;多数官兵野外驻训7 d后体重和皮褶厚度降低。结论:该部队在野外驻训期间膳食结构不够合理,部分营养素摄入量未达到军标要求,应调整膳食结构,改善官兵的营养状况。  相似文献   
3.
目的:调查我国西北地区康复治疗师的现状,为规范康复治疗师培养的改革提供依据。方法:采用抽样调查的方法,向西北五个省区部分康复医疗单位发放调查问卷共200份,由单位负责人填写,调查内容包括该单位康复治疗师的数量、专业、学历、从业时间、职称、持证情况和对培训的需求情况等,填写完成后进行数据统计分析。结果:康复治疗师中从事神经康复方向的治疗师比例最高,约为45.04%。大部分的治疗师从业时间都在5年以内,从业时间大于5年的比例只占13.68%。77.60%的治疗师为医学相关专业毕业,多数治疗师为本科以下学历,硕士和博士学历仅占0.48%,而获得康复治疗师资格证书的人员比例仅为39.35%。治疗师的职称也大多为初、中级(92.49%),高级职称治疗师仅占7.51%,78.81%的治疗师希望得到高水平的培训或进修。结论:西北地区康复治疗师整体从业时间较短,学历较低,缺乏高职称的治疗师,康复治疗师人才队伍培养体系亟待改善。  相似文献   
4.
目的:本研究基于艾宾浩斯学习理论,制定一套量化的骨科护理临床教学管理纲要,对临床实习内容进行整理和评估,为实 习人员规范化培训提供参考。方法:通过中国知网数据库检索实习护理人员培训所涵盖的护理操作、心理、教育等方面的内容。采 用德尔菲(Delphi)法进行专家咨询,依据专家意见评估并筛选教学量表内容。基于艾宾浩斯学习理论确定不同科目的权重与频 次,建立临床带教管理量表。结果:临床带教管理量表包括3 项一级项目:基础操作、专科操作和健康宣教;43 项二级项目:静脉输 液、卧换、轴线翻身等。结论:临床带教管理量表的制定为实习人员规范化培训提供了可借鉴的方法,为提升临床带教效果奠定了基础。  相似文献   
5.
MaleHeliothis virescens (F.) (Lepidoptera: Noctuidae) were made to fly into a uniformly white and translucent tube within a large wind tunnel while responding to sex pheromone. Different visual patterns placed within the tube greatly affected the ability of the male moths to maintain upwind progress or remain oriented to the wind while in contact with the plume. Over 89% of males attempting to fly through a blank tube, lacking visual patterns, became disoriented, the males gaining or losing altitude and repeatedly hitting the sides of the tube. Patterns of 20–40 dots placed on the sides of the tube at or slightly above plume level resulted in high levels of sustained upwind flight (47–74%) relative to patterns placed directly below (30–40%), directly above (35%), or slightly below the level of the flight path (26–44%). Optimal upwind progression in pheromone-responding males occurred when image motion could be resolved both transversely (T), orthogonally to the longitudinal axis of the body relative to the horizontal plane of the environment, and longitudinally (L), along the body axis. Even very sparse patterns (single rows of dots) could elicit high levels of sustained upwind flight (53–63%) when positioned within the tube such that the males' movements would create both L and T image motion. However, successful negotiation of the tube was also unexpectedly facilitated by patterns apparently providing no horizontal transverse component for flying males but providing longitudinal flow while centering the moth in the plume through a symmetrical left-right input (4–40%).  相似文献   
6.
Abiotic stress is a major force of selection that organisms are constantly facing. While the evolutionary effects of various stressors have been broadly studied, it is only more recently that the relevance of interactions between evolution and underlying ecological conditions, that is, eco-evolutionary feedbacks, have been highlighted. Here, we experimentally investigated how populations adapt to pH-stress under high population densities. Using the protist species Tetrahymena thermophila, we studied how four different genotypes evolved in response to stressfully low pH conditions and high population densities. We found that genotypes underwent evolutionary changes, some shifting up and others shifting down their intrinsic rates of increase (r0). Overall, evolution at low pH led to the convergence of r0 and intraspecific competitive ability (α) across the four genotypes. Given the strong correlation between r0 and α, we argue that this convergence was a consequence of selection for increased density-dependent fitness at low pH under the experienced high density conditions. Increased density-dependent fitness was either attained through increase in r0, or decrease of α, depending on the genetic background. In conclusion, we show that demography can influence the direction of evolution under abiotic stress.  相似文献   
7.
国家对住院医师规范化培训项目越来越重视,芜湖市第二人民医院紧随政策导向,贯彻实施住院医师规范化培训。通过以芜湖市第二人民医院住院医师规范化培训管理实践为例,介绍住院医师规范化培训背景、现状及管理实践,为持续改进培训管理工作提供参考。  相似文献   
8.
Ghana, a developing country in West Africa, has major medical burdens in taking care of a large population with limited resources. Its three medical schools produce more than 200 graduates per year, but most emigrate to developed lands after training. Ghana is working to educate and retain locally trained physicians, but it is difficult to get them to work in rural settings where the need is greatest. This article details the establishment of a General Medicine residency at a 150-bed hospital in rural Ghana. Early training comprises 6 months each in Medicine, Surgery, OB/GYN, and Pediatrics; the hospital in Techiman also has a Surgery residency. House officers choose the program for more hands-on experience than they can get in larger centers. They perform many tasks, including surgery, sooner and more independently than do residents in developed countries. The training program includes a morning report, clinical teaching rounds, and rotations on in-patient wards and in the Emergency Department and clinics. Teaching focuses on history, physical examination, good communication, and proper follow-up, with rigorous training in the OR and some clinical research projects pertinent to Ghana. Trainees work hard and learn from one another, from a dedicated faculty, and by evaluating and treating very sick patients. Ghana’s rural residencies offer rigorous and attractive training, but it is too soon to tell whether this will help stem the “brain drain” of young physicians out of West Africa.  相似文献   
9.
本文研究了浙江省生猪供给系统变量间的线性与非线性回归函数关系,确定了系统反馈结构.  相似文献   
10.
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