Assessment of Time Management Skills (ATMS): A Practice-Based Outcome Questionnaire

This study assessed test–retest reliability and internal consistency of the Assessment of Time Management Skills (ATMS), a self-report questionnaire designed to assess awareness and use time management strategies to plan and manage daily life tasks. Participants included 18 to 65 year-old people (N = 241) from the general population. The questionnaire's content validity was established. The tool demonstrated good internal consistency (α = 0.86). Test–retest reliability for the score revealed a Pearson Coefficient of Correlation (PCC) r = 0.89. The ATMS may be a useful tool for evaluating the effectiveness of rehabilitation designed to improve time management skills.     

动态颅内压监测技术的进展

动态颅内压（ICP）监测是重危颅脑疾病病人脑功能的监测技术之一,对颅高压病人的临床诊断、指导治疗和判断预后都有着重要的意义。多种颅内压监测方法被使用于临床。本文综述近年来颅内压监测方法的进展,着重介绍创伤性和非创伤性颅内压监测法,比较其优缺点,评价其临床价值及发展方向。     

A Comparison of Constant Time Delay and Simultaneous Prompting Within Embedded Instruction in General Education Classes with Students with Moderate to Severe Disabilities

An adapted alternating treatment design was used to measure the effectiveness of constant time delay and simultaneous prompting procedures within an embedded instruction format on the acquisition of academic skills. Four middle school students with moderate to severe disabilities and the paraprofessionals who supported these students in their general education classes participated in the study. The results of the study indicated that both procedures were effective in promoting the acquisition of the target skills. However, the constant time delay procedure was more effective for two of the students and the simultaneous prompting procedure was more effective for the remaining students. Results are discussed in terms of future research and implications for supporting the inclusion of students with moderate and severe disabilities in general education classes.     

Personalized Occupational Transformations: Narratives from Two Occupational Therapists’ Experiences with Complex Therapeutic Processes

Recovery and occupation-centered practices with persons with severe psychiatric disabilities involve many dynamic issues and processes. This study aimed to develop an understanding of how the therapeutic process unfolds in occupational therapy among persons with severe psychiatric disabilities living in sheltered or supported housing. Repeated interviews were conducted with two occupational therapists working in sheltered and supported housing facilities. Narrative analysis was used to analyze their stories. The findings reveal “personalized occupational transformations” describing significant events of interaction establishing therapeutic processes to promote personal agency and social recovery while targeting meaningful activities based on each resident’s wishes.     

从SARS看突发公共卫生事件的政策管理

在调研国外应对突发公共卫生事件政策管理经验的基础上,结合我国应对传染性非典型肺炎的措施,初步探讨了我们在应对突发公共卫生事件政策管理方面的不足,并就改进对策也进行了初步研究。     

诱导排尿反射对急性酒精性意识障碍患者催醒作用的研究

为了观察以呋塞米注射液诱导排尿反射对急性酒精性意识障碍患者促醒的作用,将30例急性重度酒精中毒患者纳入观察,随机分为2组,每组15例.两组患者均予补液,营养支持,纠正水电解质、酸碱平衡等对症处理.对照组予注射用纳洛酮2mg,加入5％葡萄糖溶液中静滴,纳洛酮日总用量不超过4.0mg.观察组在对照组基础上,加用呋塞米注射液20mg静脉推注,1次/日.对照组治疗后平均苏醒时间为1.85h±0.26h,观察组治疗后平均苏醒时间为1.28h±0.22h,经t检验,t=6.481 7,P＜0.01,提示观察组疗效优于对照组.笔者认为,以呋塞米注射液诱导排尿反射对急性酒精性意识障碍患者有较好的促醒作用,不仅与促进酒精代谢有关,兴奋觉醒中枢亦是其可能的机制.     

Post-stroke depression as a predictor of caregivers burden of acute ischemic stroke patients in China

Our aim was to explore the independent attribution of Post-stroke depression (PSD) to caregiver burden of acute ischemic stroke patients. A cross-sectional survey was performed with 271 acute ischemic stroke patients in the Huai-He Hospital and First People’s Hospital of Kaifeng City in China. PSD was assessed by Self-rating Depressive Scale, and caregiver burden was assessed by Zarit Caregiver Burden Interview. Clustered logistic regression was applied to identify the impact of PSD on caregiver burden. As results, female patients, normal muscle strength and PSD were associated with caregiver burden. PSD correlated with an independent influence of 17.2% on the risk of caregiver burden, The independent influence of PSD on caregiver burden was smaller than that of social-demographics of caregivers and clinical factors of stroke patients This study suggests that PSD may have a modest influence on caregiver burden.     

医学对急性呼吸窘迫综合征（ARDS）的认识

ARDS是一个临床综合征,其特征是炎症性肺水肿,严重的低氧血症,僵硬肺和弥漫性内皮和上皮损伤。既往50年中,特别是SARS在全球暴发以来,对ARDS病因、生理学、组织学和管理上有了重大的进展。然而,尽管围绕ARDS的研究显著增加,依然有许多重要问题亟待解决。