发展微创外科技术方略的探讨

现代微创外科技术是最近20多年发展起来的一个新技术领域,代表了外科的发展方向,为传统外科技术注入了新的活力,具有广阔的发展前景。一个新技术的出现必然面临一系列新的问题,从医院管理的角度出发,对微创外科的发展策略、人才培养、资源配置、医疗安全管理和技术创新进行宏观管理是十分必要的。     

驳《告别中医中药》

张功耀<告别中医中药>,在<医学与哲学>2006年第4期刊出前后,许多网站以"废除中医中药"为主题词,大肆传播,已是满城风雨.     

外科脓毒症：从科学认识到合理防治

脓毒症(sepsis)是一种严重威胁患者生命的外科危重症,也是诱发脓毒性休克(septic shock)、多器官功能障碍综合征(MODS)的重要原因。基于对脓毒症的病理生理的认识正不断深入,脓毒症的防治水平业已取得重要的进展。深入认识脓毒症,研究新的防治策略,实施正确的治疗,将有助于提高脓毒症的临床治疗水平。     

试论金州区新型农村合作医疗管理模式

建立和完善新型农村合作医疗制度是新时期农村卫生工作的重要内容。金州区在新型农村合作医疗管理中,探索出一条自己的模式。这种模式既有可资借鉴的地方,如管理与监督分离、多方参与、服务方便快捷等;也存在着不少问题,如群众对农村合作医疗仍存在认识上的误区、用药品种太少、报销比例太低;经办人员的编制等。建议政府制定政策要有持续性和稳定性,广泛宣传,提高参合农民健康意识;增加基本药物目录的范围,适当情况下,可采取二次救助;确定合适编制,建立一支稳定、高效的新型农村合作医疗管理队伍。     

医疗过失行为的思维根源

思维活动始终影响着临床医生的诊疗行为并贯穿于整个诊疗过程。正确良好的思维方式能使疾病获得及时正确诊断与治疗,而错误不当的思维方式则会导致疾病诊断的贻误及治疗的错误,是临床医生发生医疗过失行为的重要原因。分析临床医生不当思维方式的表现及产生原因,有助于减少医疗过失的发生,并有利于医疗质量的提高。     

心理咨询与治疗中的领悟

不管哪种心理咨询和治疗流派,其最终目的都是促进来访者领悟,而领悟能不能出现,是治疗成功与否的关键。心理咨询师应该为了领悟的出现,作好充分的准备,促进领悟的出现,巩固领悟的成果,取得心理治疗的圆满成功。     

Comparing the Effects of Unknown-Known Ratios on Word Reading Learning Versus Learning Rates

An extension of G. L. Cates et al. (2003) investigation was conducted to determine if students’ cumulative learning rates would be superior for words read under a traditional drill and practice condition (as they were for spelling in the previous study) than under interspersal conditions of varying ratios of unknown to known words. Participants consisted of three intermediate grade students who were delayed readers. They received a less challenging ratio of unknown to known word (High-P sequencing) interspersal procedure, a more challenging ratio of unknown to known word interspersal training procedure, and a traditional drill and practice procedure in an alternating fashion across several tutoring sessions. Cumulative words read with mastery and cumulative rates of words read with mastery were measured across sessions for each participant under each instructional condition. Findings were consistent with the Cates et al., study revealing that children learn more words per minute of instructional time under the traditional drill and practice condition. These results further support examining instructional efficiency as well as effectiveness when making decisions about selecting and implementing interventions.     

Family Involvement in Residential Treatment: Staff, Parent, and Adolescent Perspectives

We conducted interviews with staff members, parents, and adolescents at a residential treatment center to examine the frequency, nature, and satisfaction with contact between parents and adolescents and parents and staff. We also assessed perceived barriers to family involvement and possible solutions for improving this involvement. Results indicated that there is more contact between parents and adolescents than in previous studies. In addition, contact between parents and staff occurred frequently, although there were discrepancies regarding their reasons for the contact. Most parents and adolescents reported that the amount of contact was adequate, but the majority of staff members perceived there to be not enough contact. Adolescents reported that there was not enough contact with secondary sources of support, most often other family members. Barriers to family involvement included transportation, parent responsibilities and personal problems, and legal issues. In addition, parents reported that strained family relationships and problematic adolescent behavior interfered with their involvement. The need for residential treatment centers to broaden services to include parents as well as members of the larger support network is discussed.     

Counselling children and young people: A review of the evidence for its effectiveness

This paper summarises and presents the results of a BACP commissioned systematic scoping review on the research evidence on counselling children and young people. The methodology was based on a structured, hierarchical, systematic approach to searching and reviewing the research literature. Inclusion criteria defined the scope of the review in relation to a range of issues in counselling children and young people: behavioural problems and conduct disorders; emotional problems including anxiety, depression and post‐traumatic stress; medical illness; school‐related issues; self‐harming practices and sexual abuse. Four groups of counselling approaches were examined: cognitive‐behavioural; psychoanalytic; humanistic; and creative therapies. The findings indicate that the four therapeutic approaches are effective to a greater or lesser degree in relation to the range of issues. Although the findings show that there is little or no evidence for the effectiveness of some therapies for particular issues, this may not reflect the lived experience of children and young people engaged in counselling in a range of community and institutional settings. Instead, the absence of evidence is likely to reflect a lack of published studies that fit the inclusion criteria for this review.     

Resource orchestration and dynamic managerial capabilities: focusing on sales managers as effective resource orchestrators

Resource-based theory (RBT) posits that firms gain competitive advantage through bundles of valuable and rare resources and sustain that advantage over time when such resources are difficult to imitate or nonsubstitutable by competitors. Recent applications of RBT emphasize the role of managers in mobilizing and leveraging organizational resources and capabilities for achieving business objectives. The purpose of this research is to advance the sales literature by applying learning from two specific perspectives based on RBT that focus explicitly on managerial actions pertaining to resources and capabilities: resource orchestration and dynamic managerial capabilities. These perspectives provide insights into the role of sales managers as orchestrators of sales and nonsales resources for achieving sales, organizational, and customer outcomes. Consistent with the stated purpose, this research provides (1) a review of research on resources and capabilities in the sales literature, (2) an overview of resource orchestration and related research, (3) an overview of dynamic managerial capabilities and related research, (4) a research agenda and propositions based on research orchestration and dynamic managerial capabilities for further investigation on the role of sales managers as effective resource orchestrators in sales organizations.