The Policy and Procedure Manual

This article outlines the differences between policies and procedures and why a manual for both is essential for the smooth and effective management of an information services department. A sample outline of typical areas covered in such a manual is also presented.     

论诊所法律教育的可持续发展

中国诊所法律教育经过近十年的实践与发展,取得了引人瞩目的成绩。但是,在成绩的背后,诊所法律教育在本土化过程中也面临着能否可持续发展的危机,亟需解决。     

推拿手法治疗腰椎间盘突出症临床观察

腰椎间盘突出是一类老年性常见疾病,多由于年龄增长产生生理性改变以及长期腰部负重、腰姿不当、腰部外伤或职业因素等诱因引起,一般男性多于女性。选择50例腰椎间盘突出患者,运用牵引和推拿手法治疗,40例明显见效,5例症状缓解,5例无明显改变而转其他医院治疗,有效率90.9%。通过本组病例观察,牵引、推拿治疗腰椎间盘突出的治疗效果是肯定的。临床证明其疗效与发病部位、年龄以及自身机体防御功能有关。     

2000年中国女排参加奥运会资格赛一攻战术的统计与分析

采用文献资料、录像观察、数理统计等研究方法 ,对中国女排参加 2 0 0 0年奥运资格赛的一攻战术进行统计与分析 ,结果发现 :与世界各队相比 ,中国女队的强攻成功率低 ,失误率高 ,快攻的成功率则相对较高     

眼科影像系统在肾内科实习带教中的应用

在肾内科实习带教过程中,眼科影像系统PACS的引入,提供了大量的原始图片资料,为教师建立详细的病例数据库提供了更好的途径,改进了教师的实习教学方法,更利于学生在临床实习过程中教师与学生之间的互动和交流,激发学生的学习兴趣,提高了学生自主学习的能力,使学生对疾病有了更深入、系统地认识与理解,更好地将理论知识与临床实践相结...     

The concurrence of the current postanalytical phase management with the national recommendations: a survey of the Working Group for Postanalytics of the Croatian Society of Medical Biochemistry and Laboratory Medicine

IntroductionThe detection and prevention of errors in the postanalytical phase can be done through the harmonization and standardization of constituent parts of this phase of laboratory work. The aim was to investigate how well the ongoing management of the postanalytical phase corresponds to the document “Post-analytical laboratory work: national recommendations” in Croatian medical biochemistry laboratories (MBLs).Materials and methodsAll 195 MBLs participating in the national external quality assessment scheme, were invited to undertake a part in a survey. Through 23 questions the participants were asked about management of the reference intervals (RI), delta check, reflex/reflective testing, postanalytical quality indicators and other parts of the postanalytical phase recommended in the national recommendations. The results are presented in numbers and percentages.ResultsOut of 195 MBLs, 119 participated in the survey, giving a response rate of 61%. Not all of the respondents provided answers to all the questions. Delta check has not been used in 59% (70/118) of the laboratories. Only 22/113 (20%) laboratories use reflex and/or reflective testing. In 53% of the laboratories, critical results were reported within 30 minutes of the confirmation of the results. In 34% (40/118) of the laboratories, turnaround time and reporting of critical results are two most often monitored postanalytical quality indicators.ConclusionThe results showed the critical results reporting and monitoring of postanalytical quality indicators are in the line with the recommendations. However, the management of RI verification, the use of delta check and reflex/reflective testing still must be harmonized among Croatian MBLs.     

类比教学法结合问题教学模式在壮医临床教学中的实践与评价

探讨评估ABL结合PBL教学模式在壮医临床教学中的效果。将壮医本科班学生84人,随机分为实验组和对照组各42人,实验组采用ABL结合PBL,对照组采用LBL,观察比较两组教学效果。实验组学生基础知识和病例分析考核成绩均高于对照组（P〈0．01）,而学习兴趣、学习效率、自学能力、思考能力、壮医理论和临床思维能力也显著优于对照组（P〈0．01）。     

针灸治疗网球肘126例临床观察

观察针灸治疗网球肘的疗效；应用齐刺温针灸治疗74例和单一使用针刺治疗52例相比较，前者总有效率为75．7％、治愈率为98．7％，后者25％和78．8％，经统计处理（P＜0．01）。提示齐刺温针治疗该病的临床疗效优于单一的针刺疗法。     

基于国际临床指南引用论文的中国研究影响力评价--以呼吸病学为例

[目的/意义]学术成果被国际临床指南引用,作为追踪学术成果应用到临床实践的一种重要指标,已用于多个国家科技评价中衡量医学研究影响力。但我国尚未有研究探讨医学领域研究成果被临床指南引用情况及论文特征。[方法/过程]本研究以呼吸病学领域为例,采用专家咨询法确定国际临床指南,通过背对背方式对论文被指南引用性质和研究类型进行注释,应用文献计量法对引用情感、引用论文的年龄、研究类型等被引论文特征进行分析。[局限]本研究仅分析了成功被临床指南引用的论文,而已经发表的与分析指南所涵盖的主题潜在相关但未在临床指南中引用的论文数量尚未得知。[结果/结论]结果发现临床指南引用的论文知识周期中值时间为4年,93.55%为临床研究,100%为正面引用和中性引用,13.86%发表在影响因子在10分以上的期刊,51.49%被基金资助,63.89%为国内合作。本研究所揭示的指南引用论文特征将为提高我国临床医学研究影响力提供一定的参考依据。     

中药材蔓荆子研究现状与展望

概述了近年来蔓荆子原植物生物学特性、栽培试验、生态环境保护、化学成分、药理实验和临床医疗等研究现状．并分析目前研究中存在的问题及展望今后的研究开发趋势．