慢加急性肝衰竭不同转归患者体温变化特点及护理对策

目的:明确慢加急性肝衰竭不同转归患者体温变化特点,并制定相应的护理对策。方法:收集11例慢加急性肝衰竭患者,死亡患者5例,出院患者6例,采用重复测量方差分析比较不同转归患者体温随住院时间的特点。结果:在住院第8天左右,死亡组患者体温升高,与出院患者比较差异有统计学意义(F=17.451,P0.05)。护理对策:要进一步提高护理级别,加强基础护理,严格执行无菌操作,将陪护人员作为预防感染宣教对象。     

Tailoring an information skills programme for Trainee Nursing Associates

This feature describes the tailored information skills programme which was delivered for the second cohort of Trainee Nursing Associates (TNAs) at Barnsley Hospital NHS Foundation Trust and presents the results of the evaluation which was undertaken. Literature searching and critical appraisal were offered to the first cohort. Feedback was collated, and sessions were refined and tailored to better meet the information needs of the second cohort of TNAs. A comparison of confidence ratings before and after the programme ascertained whether the information skills programme had a positive benefit in confidence levels of attendees. D.I.     

Librarians collaborate successfully with nursing faculty and a writing centre to support nursing students doing professional doctorates

This study explores how a three‐way collaboration between a University library, writing centre and faculty created avenues of training and support for students within a Doctor of Nursing Practice (DNP) program in an American University. The role of each partner involved in the collaboration is discussed alongside the profile of the DNP students. Lesson planning and classroom techniques for DNP information literacy classes are described and feedback from the partners and the students are discussed. The study confirms that collaboration is effective in improving research and writing skills. D.I.     

“三位一体”大学生心理危机干预体系初探

大学生心理危机干预是新时期高校思想政治教育工作的一个重要组成部分。结合近年来国内外危机干预的理论与实践,提出"学校-院(系)-班级、公寓"三位一体的大学生心理危机干预体系,并探索通过三级危机干预中心的运作实施大学生心理危机干预,即危机的预防性干预、危机的咨询与治疗性干预和危机的应急干预。     

Effect of a distal protection device on epicardial blood flow and myocardial perfusion in primary percutaneous coronary intervention

Objective: The beneficial effect of percutaneous coronary intervention (PCI) in patients with acute myocardial infarction (AMI) has been well established, but there is the problem of no-reflow phenomenon which is an adverse prognostic factor in primary PCI. In the present study the effect of a distal protection device (PercuSurge GuardWire; GW) on epicardial blood flow and myocardial perfusion was evaluated. Methods and Results: Patients with AMI were randomly divided into 2 groups, the GW and the control groups. The GW group included 52 patients with AMI who underwent primary PCI with GW protection and the control group included 60 patients who underwent primary PCI without GW protection. Epicardial blood flow in the infarct-related artery (IRA) and myocardial perfusion were evaluated according to the thrombolysis in myocardial infarction (TIMI) flow grade and the myocardial blush grade (MBG). We found TIMI score of 3 was obtained significantly more frequently in the GW group (96%) than in the control group (80%). The MBG score of 3 was obtained also significantly greater in the GW group (65%) than in the control group (33%). Conclusion: Primary PCI with GW protection can significantly improve epicardial blood flow and myocardial perfusion.     

电子束辐照法在水处理中的应用

介绍了电子束辐照机理,概述了电子束辐照降解有毒有害和难降解的有机污染物、去除重金属离子等方面在水处理中的研究和应用现状,最后对电子束辐照和其他的水处理工艺进行了比较,指出了其操作方便、安全的特点,并对其在水处理中的应用前景进行了展望.     

关于"交互研究"的定量、定性分析——虚拟学习社区中交互结构研究的必然性论证

交互问题从来都是远程教育研究的核心问题,随着虚拟学习社区的悄然显现,这一问题变的更加突出。本文在对国内外交互研究现状的定量和定性分析的基础上,提出了目前有关交互问题研究中存在的问题。笔者认为,虚拟学习社区交互系统本质上是个人造信息控制系统,虚拟学习社区中交互结构研究应该进一步研究交互的突破口。     

基于学校的儿童多动症综合干预

多动症是学龄儿童发病率最高的心理行为问题之一.基于学校的综合干预是由临床心理医生、心理教育研究人员、学校教师和家长分工合作,共同参与,主要在学校和家庭实施的,以认知行为辅导为主、药物干预为辅的干预模式.由于充分发挥了医、教两方面的优势,这一模式不仅能有效改善多动症的核心症状,还能对儿童各方面产生了良性引导,并能够建起较...     

社区音乐文化活动现状调查与分析——以五家渠市社区为例

城市社区是居民生活、娱乐、交往、健身益心等多种需求融为一体的生活共同体。社区文化一定程度上决定了社区的结构,社区音乐文化是社区文化构成中的重要组成部分,它对提高居民生活质量、普及传承群众音乐文化、促进社会和谐稳定等方面都发挥着重要作用。五家渠市有着丰富多彩的社区音乐文化生活,它充分反映出城市社区的文化氛围和音乐文化特色。文章以五家渠市社区音乐文化发展现状为研究对象,搜集、整理了大量翔实的资料,分析其音乐文化特点,发现问题并提出解决方案,客观地展现音乐文化特色,为今后五家渠市社区音乐文化发展提供可参考的理论依据,这对总结和发展社区文化具有现实意义。     

试论在场主义散文的创作特征

在场主义散文是20世纪90年代以来不可忽视的散文流派。文章通过在场主义理论的几个关键词＂介入＂、＂本真＂、＂后现代主义＂来探讨其散文创作的主要特征,从而就如何看待这一文学现象提出思考。