中医药高校研究生职业生涯规划调查研究

对343名中医药高校研究生进行了考研动机、职业成熟度、择业要求、职业生涯的认识与需求等职业生涯规划相关内容进行了调查,为做好中医药高校研究生职业生涯规划指导工作提供参考。     

高校大学生职业生涯规划体系建设研究

职业生涯规划对于大学生人生道路的选择具有战略意义,对在校大学生进行职业生涯规划教育是高校就业指导的一项重要内容。本文针对我国高校大学生职业生涯规划的现状,提出了构建大学生职业生涯规划体系建设的可行性建议。     

高校职业生涯规划教育现状与对策思考

随着社会经济的发展和社会对不同类型人才的需求,大学生职业生涯规划教育越来越凸现出其重要作用,并逐步成为大学生职业指导工作的主流。文章通过了解大学生职业生涯规划教育的产生和发展历史,分析当前我国高校职业生涯规划教育中存在的主要问题,在此基础上,提出相应的对策。     

论大学生职业生涯指导与高校思想政治教育的有机结合

马克思主义的“人的全面发展理论”是大学生职业生涯指导与高校思想政治教育有机结合的理论基础?大学生职业生涯指导与高校思想政治教育在教育理念?教育内容和服务目标等方面存在的内在关联性是二者之间有机结合的契机;以职业生涯规划为载体,加强课程建设,优化教师素质结构,开展教育实践活动是二者实现有机结合的主要路径?     

科研选题与高等院校青年教师成才初探

要建设研究型大学,就必须重视青年教师的科研选题。现结合亲身体会就科研选题对高校青年教师成才的重要性以及如何面对国家"十一五"规划搞好青年教师的科研选题进行探讨,最后提出科研选题正确性的验证方法。     

高校海归青年教师党员发展对策及建议

高校海归青年教师党员发展是党的先进性的必然要求,是高校党建的重要内容,是高校建设和发展的需要,是统一主流意识形态和人才培养的需要,是高校海归青年教师自身发展的需要。高校海归青年教师党员发展存在的问题:高校对海归青年教师党员发展重视不够;党建工作内容枯燥,形式单一;海归青年教师对党的认识存在偏差。解决高校海归青年教师党员发展存在的问题的措施:高校各级党组织要提高对海归青年教师党员发展的重视度;丰富教育内容、形式;充分发挥海归青年教师的作用,满足其合理的生存、发展诉求;主动出击,加强对党的宣传和对海归青年教师的入党引导。     

论医学院校青年教师的培养途径

在医学教育中,高校青年教师的素质直接影响高等教育的水平和质量,对青年教师的培养是高校师资队伍建设的重要内容。针对目前青年教师在专业素质方面存在的问题,高校要从教学科研能力等途径入手,加强对青年教师的培养和教育,从而构建高素质的青年教师队伍。     

论大学生职业生涯规划教育

近几年,随着高校毕业生就业体制的转变,大学生就业压力变得越来越大。大学生职业生涯规划教育在学生就业中起着非常重要的作用,加强对大学生职业生涯规划教育势在必行。目前,我国大部分高校尚未进行职业生涯规划方面的指导和教育,有的甚至还是空白。本文着重从我国大学生职业生涯教育的现状、意义及作用等方面对大学生职业生涯规划教育进行分析和阐述。     

护理专业学生职业生涯问题的调查与思考

近年来,职业生涯规划理念在国内高校广泛传播,越来越多的职业院校为了解决当前就业难题,都在加强职业生涯规划的探索和研究[1]。如何提高高职学生的就业竞争力,已经成为学生、家长、学校和社会关注的焦点。关注学生职业生涯动态,开展切合护理专业实际的职业生涯教育和指导工作,使学生的校园生活趋向“职业化”,增强职业规划意识,这是我们进行相关职业生涯问题调查的出发点。此调查从不同角度分析了护理专业学生职业生涯规划的基本情况,并对职业生涯规划教育和就业指导工作提出了对策和建议。     

高职院校医学营养专业学生职业生涯规划探讨

职业生涯规划理论于20世纪90年代从欧美传入我国,在我国高校引起广泛关注.以医学营养专业学生为例,从我校医学营养专业学生参加省级职业生涯规划大赛获奖经验出发,通过借鉴西方职业生涯辅导思想的最新理论成果,进行医学营养专业学生职业生涯规划的探讨,提出专业在大学职业生涯辅导体系中所起到的内涵建设作用,以期对大学生的职业生涯规划有所启发.     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

Luo Lingjie's Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.     

Dr.Zhang Ren's Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

安心颗粒对急诊经皮冠状动脉介入术后生活质量影响的研究

目的：评价使用安心颗粒对急诊经皮冠状动脉介入术（PPCI）术后生活质量的影响.方法：将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组（术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次）和对照组（仅接受基础药物治疗）.所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表（MIDAS）、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果：入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异（P＞0.05）;出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低（P＜0.05）;组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低（P＜0.05）.两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血（P＞0.05）.两组发生轻度血小板减少症的患者数比较无差异（P＞0.05）.结论：PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.     

The comparative studies of the influences of Urapidil and Nicardipine on sino-atrial node function, atrio-ventricular node function and hemodynamics

Objective:To investigate the influences of urapidil and nicardipine on rabbit sinus function,atrio-ventricular node function and hemodynamics.Methods:Thirty-two Angora's rabbits were selected and randomly divided into four groups.U1 group:urapidil 0.25 mg/kg;U2 group:urapidil 0.5 mg/kg;N1 group:nicardipine 10 μg/kg;N2 group:nicardipine 20 μg/kg.All these medicine were administrated within 30 seconds.Measurements were taken before and after the administration of urapidil or nicardipine for the following data:mean blood pressure(MAP),heart rate(HR),sino-atrial conduction time(SACT),maximal sinoatrial recovery time(SNRTmax)corrected sinus node recovery time(CSNRT),index of sinus node recovery time(SNRTI),Wenckebach A-V conduction frequency (WB),and P-R interval.Results:Significant MAP and HR changes were identified in all of the four groups before and after administration of both urapidil and nicardipine.No significant changes could be found in the rest of the parameters.Intergroup analysis showed that SACT and CSNRT of N1 and N2 groups were shorter than those of the U2 group(P＜0.01);the MAP decreased(P＜0.01)and the HR increased drastically(P＜0.01).Conclusions:Neither urapidil(0.25 mg/kg,0.5 mg/kg)nor nicardipine(10μg/kg,20μg/kg)has any significant influence on rabbit sinus function or rabbit atrio-ventricular node function.Nicardipine could be a better choice than urapidil for parafunctional sinus node patients.