Effects of different storage and transportation devices on the temperatures of “internet plus drug delivery”in hospital under high-temperature conditions in summer / 中国药房

OBJECTIVE To explore suitable storage and transportation conditions for “internet plus drug delivery” under high- temperature conditions. METHODS A survey on high-temperature conditions in summer in Beijing was conducted； a retrospective analysis was conducted on “internet plus drug delivery” orders in our hospital from July 2021 to June 2022， summarizing the proportion and delivery range of drugs under different storage and transportation conditions. Additionally， simulation and validation experiments were performed to investigate optimal drug storage and transportation devices for “internet plus drug delivery” in Beijing under high-temperature conditions in summer. RESULTS The monthly average temperature in Beijing from June to August consistently exceeded 25.0 ℃ between 1991 and 2022. From July 2021 to June 2022， a total of 104 drugs were required to be stored below 25.0 ℃， accounting for 31.23% of the 333 drugs listed in our hospital’s “internet plus drug delivery” catalog in Beijing. These drugs were delivered 1 058 times， accounting for 19.63% of the total deliveries. Simulation and validation experiments demonstrated that the average maximum temperature during the next-day delivery process of “carton + foam box + composite aluminum film pearl cotton + 500 g ice bag×2 + gas column bag” was 9.6 ℃， the average minimum temperature was 2.7 ℃， and all the temperatures remained below 15.0 ℃， which could effectively ensure the quality of drugs. CONCLUSIONS Under the high-temperature conditions in summer in Beijing， the storage and transportation device of “carton + foam box + composite aluminum film pearl cotton + 500 g ice bag×2 + gas column bag” can meet the temperature requirements specified in the drug storage instructions for Beijing intra-city drug delivery.

Aprendizaje recorridos: educación virtual y acceso a la tecnología / Learning paths: virtual education and access to technology

El presente escrito es una recopilación de experiencias de tutores, que han recorrido diferentes rutas de aprendizaje desde sus saberes científicos y sus experiencias. Cabe señalar que las experiencias de los tutores se construyeron en diferentes cursos y con participantes de distintas latitudes del territorio nicaragüense, construyendo un mosaico de relatos que narran cómo se desarrolló esta experiencia de educación virtual con sus oportunidades y desafíos en cuanto al acceso a internet y los niveles de alfabetización digital. Al transitar por estas rutas de aprendizajes el lector encontrará una diversidad de escenarios y perspectivas diferentes y en ocasiones antagónicas, de la misma manera en que un paseo por la playa es un espacio de recreación o de sufrir insolación. Con esta mirada holística, el camino andado no pretende ser un viaje perfecto en la educación virtual, sino las lecciones y desafíos de un grupo multidisciplinar de profesionales que colaboró como tutores en el CVSP/OPS ­ nodo Nicaragua en el año 2022. El presente libro es parte de la serie Salud & Centroamérica a cuyos coordinadores agradecemos por esta tarea encomendada. Esta serie editorial se asoció con la "Red Internacional de Enseñanza e Investigación sobre Educación y Trabajo en Sistemas y Servicios de Salud (RED SALUD UNICA)", involucrando a la Universidad Católica Redemptoris Mater, la Organización Panamericana de Salud (OPS) y el núcleo centroamericano de la Associação Rede Unida. La serie Salud y Centroamérica tiene la función de compartir pensamientos, conceptos e iniciativas producidas en diferentes territorios. Es en este marco que presentamos el aprendizaje recorrido por este grupo de profesionales que comparten su experiencia en educación virtual en territorios diversos con particularidades al acceso a la tecnología y desde cuyas experiencias se construye el mosaico antes mencionados.

Survey on job satisfaction and analysis of influencing factors of online contracted nurses / 中华医院管理杂志

Objective:To survey the job satisfaction of online contracted nurses who provide " Internet plus nursing services" for reference of hospital managers in improving their management mechanism in this regard.Methods:Based on the two-factor theory, a questionnaire was designed and a purposive sampling method was used to survey the online contracted nurses in Anhui province in April and May 2022. The motivational factors included such five dimensions as workload, work content, colleague relationship, doctor-patient relationship, and their own development, and the healthcare factors included such three dimensions as salary, job recognition and social status. The questionnaire data and job satisfaction scores were analyzed descriptively, and the correlation between the overall job satisfaction of the online contracted nurses, while each dimension was analyzed by Pearson correlation analysis, and the influence of each dimension on job satisfaction was analyzed by stepwise regression analysis.Results:A total of 335 valid questionnaires were recovered. The mean score of job satisfaction of online contracted nurses was (2.26±0.38), with the highest score of (2.56±0.53) for salary satisfaction and the lowest score of (1.78±0.67) for job recognition, and each dimension was positively correlated with job satisfaction ( r=0.34-0.88, P<0.01). Regression analysis showed that workload ( B=0.07), salary ( B=0.11), job content ( B=0.23), social status ( B=0.12), and self-development ( B=0.15) were the main factors affecting their job satisfaction ( P<0.01). Conclusions:The job satisfaction of online contracted nurses was at a medium level, mainly influenced by workload, salary, job content, social status and their own development. It is recommended that hospitals implement multiple targeted measures to improve the job satisfaction of online contracted nurses and promote the healthy development of " Internet plus nursing services" .

Practice of refined management of anti-tumor drugs based on value healthcare / 中华医院管理杂志

In recent years, the rapid increase in cancer treatment costs in China had brought a huge economic burden to society, and it was urgent to standardize the rational application of anti-tumor drugs. In the context of the reform of group payment related to disease diagnosis, a tertiary first-class hospital focused on the needs of patients and guided by value-based healthcare, established a professional and normalized refined anti-tumor drug management system, setted up a multidisciplinary diagnosis and treatment team, and promoted " Internet plus pharmaceutical services" in December 2018.From 2019 to 2021, the proportion of hospital drugs were 30.8%, 30.1%, and 27.3%, respectively. The amount of money spent on anti-tumor drugs were 83.25 million yuan, 76.41 million yuan, and 62.48 million yuan, respectively, showing a decreasing trend year by year. The practice of refined management of anti-tumor drugs fully reflected the core concept of value based healthcare, achieving closed-loop management of the entire process of drugs, improving the level of rational drug use, reducing the economic burden on patients, and providing reference for improving the level of rational use of anti-tumor drugs in public hospitals.

Implication practice of “Internet Plus” new technology in chronic diseases management in community / 公共卫生与预防医学

Objective  To introduce and evaluate the practice of “Internet Plus” new technology for health management of chronic diseases in community in Yichang, and to provide reference for chronic disease patients' health management in community. Methods  Data of hypertensive patients were collected from the national basic public health service system, the big data intelligent sorting system for chronic disease patients in Yichang City, and the basic public health service system in urban areas in Yichang from 2016 to 2020. Data on the discovery, sorting and filing, standardized management rate and blood pressure control of urban hypertension patients were analyzed. The application effect of “Internet Plus” new technology in chronic disease community health management was evaluated. Results  From 2016 to 2020, 15 934 patients with hypertension were found and their health records were established through big and intelligent data in Yichang City, accounting for 93.54% (15 934 / 17 035) of the total. The rate of standardized management in each district increased year by year, with an increase of 8.71% in 2020 compared with 2016, and the difference was statistically significant (χ2=1273.30, P2=867.14, P<0.001). Conclusion  Data exchange and sharing among medical institutions at all levels can strengthen the health management of chronic diseases in the community. The “Internet Plus” new technology, integrating the Internet, big data, cloud computing and intelligent terminal technology, can effectively improve the detection, management and treatment rate of chronic diseases, and provide a new direction for the health management of chronic diseases.

Analysis on Modernization Strategy of Traditional Chinese Medicine Culture Communication in the Perspective of Digital China / 中国医学伦理学

In the context of global digitalization, the digitalization development of Traditional Chinese Medicine (TCM) is inevitable. The construction of digital China should comply with the development trend of the information age and the general situation of domestic and international development, be forward-looking, scientifically planned, and coordinated to promote. The "14th Five Year Plan" also clearly pointed out that "Internet plus TCM" should be elevated to the level of national development strategy, and the digitalization transformation of TCM will definitely become a consensus for the transformation and development of TCM disciplines in the new era and new period. Based on the materials, this paper analyzed the dilemmas faced by the modernization of TCM culture dissemination, and put forward corresponding countermeasures, with a view to contributing to the power of TCM to promote the construction of digital China.

Efectos de la exposición de adultos mayores peruanos a la infodemia sobre COVID-19: um estudio transversal / Efeitos da exposição de idosos à infodemia sobre COVID-19: um estudo transversal / Effects of the exposure of peruvian older adults to the infodemic on COVID-19: a cross-sectional study

Resumen Objetivo Examinar la asociación entre la exposición a la información sobre COVID-19 y la presencia de síntomas fisiológicos, emocionales y el uso de sustancias en adultos mayores. Métodos Investigación cuantitativa y transversal con 387 adultos mayores que respondieron al web-based survey. Se utilizaron los instrumentos de perfil demográfico, cuestionario de exposición a noticias e información relacionada con la pandemia y el Cuestionario de Identificación de Frecuencia de Signos y Síntomas físicos, emocionales y uso de sustancias. Todas las pruebas estadísticas tuvieron una significancia de p<0.05. Resultados Predominaron participantes del sexo femenino con media de edad de 70.1 años, viven con pareja, con acceso a los servicios de salud gratuitos y quienes disminuyeron sus ingresos económicos durante la pandemia. Existe relación significativa entre el tiempo de exposición a internet y medios de comunicación con las manifestaciones psicofisiológicos; la radio se relacionó con problemas digestivos y nutricionales, y el contacto con personas del entorno provocó dolores musculares. Conclusiones e implicaciones para la práctica Información exagerada sobre COVID-19 provocó síntomas fisiológicos, emocionales y comportamientos nocivos; se sugiere implementar intervenciones sociales post-pandemia para los problemas de salud; utilizar herramientas virtuales y telemedicina en el cuidado; mejorar los programas de acompañamiento intergeneracional.

Resumo Objetivo Examinar a associação entre exposição a informações sobre COVID-19 e a presença de sintomas fisiológicos e emocionais e uso de substâncias em idosos. Métodos Pesquisa quantitativa e transversal com 387 idosos que responderam ao web-based survey. Foram utilizados os instrumentos de perfil demográfico, o questionário sobre exposição a notícias e informações relacionadas à pandemia e o Questionário para Identificação da Frequência de Sinais e Sintomas físicos e emocionais e uso de substâncias. Todos os testes estatísticos tiveram significância de p<0,05. Resultados Predominaram participantes do sexo feminino com média de idade de 70,1 anos, vivendo com companheiro, com acesso a serviços de saúde gratuitos e que diminuíram sua renda econômica durante a pandemia. Existe uma relação significativa entre o tempo de exposição à internet e outros meios de comunicação com manifestações psicofisiológicas; o rádio estava relacionado a problemas digestivos e nutricionais; e o contato com pessoas ao redor causava dores musculares. Conclusões e implicações para a prática Informações exageradas sobre a COVID-19 levaram a sintomas e comportamentos fisiológicos e emocionais nocivos; sugere-se a implementação de intervenções sociais pós-pandemia para problemas de saúde; utilizar ferramentas virtuais e telemedicina no atendimento; melhorar os programas de apoio intergeracional.

Abstract Objective To examine the association between exposure to information about Covid-19 and the presence of physiological and emotional symptoms and substance use in older adults. Methods Quantitative and cross-sectional research with 387 older adults who responded to the web-based survey. Were used the instruments of demographic profile, the questionnaire of exposure to news and information related to the pandemic and, the Questionnaire for the Identification of Frequency of Physical and Emotional signs and symptoms and substance use. All statistical tests had a significance of p<0.05. Results There was a predominance of female participants with an average age of 70.1 years, living with a partner, with access to free health services and had a decrease in their economic income during the pandemic. There is a significant relationship between the time of exposure to the Internet and the media with the psychophysiological manifestations; the radio was related to digestive and nutritional problems and, talking to people around caused muscle pain. Conclusions and implications for practice exaggerated information about Covid-19 led to harmful physiological and emotional symptoms and behaviors; it is suggested to implement post-pandemic social interventions for health problems; use virtual tools and telemedicine in care; improve intergenerational support programs.

O que dizem os pais sobre o uso de internet por parte de seus filhos adolescentes? / What do parents say about their adolescent child's internet use? / ¿Qué dicen los padres sobre el uso de Internet por sus hijos adolescentes? / Que disent les parents de l'utilisation d'Internet par leurs adolescents?

Este estudo teve por objetivo compreender quais são as percepções e experiências de pais e mães de adolescentes brasileiros acerca do uso da internet por parte dos seus filhos. Trata-se de um estudo qualitativo do qual participaram 12 genitores com idades entre 29 e 49 anos, sendo de 14 anos a média de idade dos seus filhos. Foram empregados dois roteiros de entrevista. Detectaram-se cinco modalidades de mediação parental: regras, restrição, observação, monitoramento e comunicação aberta. Esta última foi considerada a mais positiva pelos pais. Uma das maiores preocupações foi a facilidade com que a internet tem influenciado os adolescentes, demandando a necessidade de revisão das orientações parentais. Os pais se sentem angustiados e sem referências quanto ao manejo adequado do uso de internet pelos filhos, demonstrando dificuldade de ruptura com os padrões tanto de parentalidade quanto de mediação anteriormente aprendidos

This study reports on the perceptions and experiences of Brazilian parents regarding their adolescent children's internet use. A total of 12 parents aged 29 to 49, with children around 14 years old, participated in this qualitative study by answering two interview scripts. We identified five modalities of parental mediation: rules, restriction, observation, monitoring and open communication, with the latter being considered the most positive by the parents. A main concern was the ease with which the Internet has influenced their children, leading to revised parental guidelines. Parents feel distressed and lack references as to how to adequately manage children's internet use, demonstrating difficulty in breaking with previous patterns of both parenting and mediation

Este estudio tuvo como objetivo comprender las percepciones y experiencias de padres y madres brasileños sobre el uso de Internet por parte de sus hijos adolescentes. Se trata de un estudio cualitativo en el que participaron 12 padres de entre 29 y 49 años, siendo 14 años la edad media de sus hijos. Se utilizaron dos guiones de entrevistas. Se detectaron cinco tipos de mediación parental: reglas, restricción, observación, seguimiento y comunicación abierta. Esta última fue considerada la más positiva por los padres. Una de las mayores preocupaciones fue la facilidad con la que la Internet ha influido en los adolescentes, exigiendo la necesidad de revisar las pautas de los padres. Los padres se sienten angustiados y sin referencias en cuanto al manejo adecuado del uso de Internet por sus hijos, lo que muestra dificultad de romper con los patrones tanto de crianza como de mediación aprendidos previamente

Cette étude visait à comprendre les perceptions et les expériences des pères et des mères d'adolescents brésiliens sur l'utilisation d'Internet par leurs enfants. Il s'agit d'une étude qualitative à laquelle ont participé 12 parents âgés entre 29 et 49 ans, l'âge moyen de leurs enfants étant de 14 ans. Deux scripts d'entrevue ont été utilisés. Cinq types de médiation parentale ont été détectés: règles, restriction, observation, surveillance et communication ouverte. Ce dernier était considéré comme le plus positif par les parents. L'une des plus grandes préoccupations était la facilité avec laquelle l'Internet a influencé les adolescents, exigeant la nécessité de revoir les directives parentales. Les parents se sentent en détresse et sans références quant à la bonne gestion de l'utilisation d'Internet de leurs enfants, montrant des difficultés à rompre avec les schémas de parentalité et de médiation appris précédemment

Infodemia de COVID-19 e estresse percebido em idosos que utilizam as mídias sociais / COVID-19 infodemic and perceived stress in elderly people who use social media

Objetivo: Analisar a relação entre infodemia de COVID-19 e estresse percebido em idosos que utilizam as mídias sociais. Métodos: Estudo transversal por web-based survey, 470 idosos respondentes a questões sociodemográficas, de exposição a informações sobre COVID-19, e sinais e sintomas associados ao sofrimento psíquico. Variável de desfecho avaliada pela Escala de Estresse Percebido e pontuação média segundo variáveis independentes comparada por teste t, análise de variância ou correlação de Pearson e construído modelo final por regressão linear múltipla. Resultados: As variáveis significativas no modelo final (p < 0,05) foram: exposição pela TV (β = -0,144; IC95 porcent= -11,195 - -1,609); exposição pelas redes sociais (β = -0,175; IC95 porcent= -8,117 - -0,837); rastreio positivo para sofrimento psíquico devido à exposição a informações sobre COVID-19 (β = -0,380; IC95 porcent= -16,033 - -8,975). Conclusão: A infodemia pode potencializar o estresse em idosos, demandando cuidados específicos para essa população e o fortalecimento de sua rede social(AU)

Objective: To analyze the relationship between COVID-19 infodemic and perceived stress in elderly people who use social media. Methods: Cross-sectional study using a web-based survey, 470 aged respondents to sociodemographic questions, exposure to information about COVID-19, and signs and symptoms associated with psychological distress. Outcome variable evaluated by the Perceived Stress Scale and mean score according to independent variables compared by t-test, analysis of variance or Pearson's correlation and final model constructed by multiple linear regression. Results: The significant variables in the final model (p < 0.05) were: TV exposure (β = -0.144; 95percentCI= -11.195 - -1.609); exposure through social networks (β = -0.175; CI95percent = -8.117 - -0.837); positive screening for psychological distress due to exposure to information about COVID-19 (β = -0.380; 95percentCI= -16.033 - -8.975). Conclusion: infodemic can increase stress in the elderly, demanding specific care for this population and the strengthening of their social network(AU)

Objetivo: Analizar la relación entre la infodemia de COVID-19 y el estrés percibido en ancianos usuarios de redes sociales. Métodos: Estudio transversal mediante una encuesta basada en la web; 470 ancianos que respondieron preguntas sociodemográficas, exposición a la información sobre la COVID-19 y los signos y síntomas asociados con la angustia psicológica. La variable se evaluó por la escala de estrés percibido y la puntuación media según las variables independientes, comparadas por t-test, análisis de variación o correlación de Pearson y el modelo final construido por regresión lineal múltiple. Resultados: Las variables significativas en el modelo final (p < 0,05) fueron: exposición a la televisión (β = -0,144; IC95 por ciento = -11,195 - -1,609); exposición a través de redes sociales (β = -0,175; IC95 por ciento = -8,117 - -0,837); cribado positivo de malestar psicológico por exposición a información sobre la COVID-19 (β = -0,380; IC95 por ciento= -16,033 - -8,975). Conclusiones: La infodemia puede aumentar el estrés en los ancianos, lo que exige cuidados específicos para esa población y el fortalecimiento de su red social(AU)

Development of shared traditional Chinese medicine pharmacy from the perspective of primary medical care / 中国药房

In order to make the shared traditional Chinese medicine （TCM） pharmacy develop more efficiently and normatively at the grass-roots level， using the “shared TCM pharmacy” as the retrieval word， this paper uses the literature research method to retrieve the reports， documents and policies from CNKI， the websites of people’s governments at all levels， the official websites of the State Administration of Traditional Chinese Medicine， people.com， China News Network， Xinhua News and other platforms before May 20， 2022， sort out the development mode and history of two “Internet plus” TCM pharmacies， namely “shared TCM pharmacies” and “smart TCM pharmacies”， and compare them with each other. Combined with the actual work of community hospitals and community service centers （stations）， the necessity and advantages （such as reducing the costs of the intermediate links of drug circulation and standardizing the grass-roots drug use process） of the development of “shared TCM pharmacy” are obtained from the perspective of primary medical care. Combined with the current situation of the promotion and application of shared TCM pharmacy in county medical communities， it is concluded that the shared TCM pharmacy should be further constructed from four aspects： improving the work process of drug centralized procurement under the background of normalization， improving the compatibility and synchronization of the whole process dispensing information system module， unifying pharmaceutical services and personnel training， defining the authority of data query and clarifying the boundaries of patient privacy to further build a shared TCM pharmacy. Finally， it integrates information technology， summarizes the definition of shared TCM pharmacy and its future construction direction， and provides reference for the next development of shared TCM pharmacy at the grass-roots level.

Analysis of the current situation of internet plus nursing service for the elderly and promotion effect of the pilot policy in Ningbo / 中华医院管理杂志

Objective:To investigate the current situation of the " Internet plus nursing services" for the elderly in Ningbo, and evaluate the promotion effect of the pilot policy, for reference to further optimize such service policy of China nationwide.Methods:The data came from the orders for " Internet plus nursing services" by elderly users over 60 years on the " cloud hospital" platform in Ningbo from 2016 to 2021. Descriptive analysis was used to study major demographic information, types of service items and number of person-times of the elderly users; The promotion effect of the pilot policy on " Internet plus nursing services" for the elderly in 2019 was analysed by Chow test.Results:The number of elderly users increased from 76 person-times in 2016 to 5 923 person-times in 2021, accumulating up to 12 209 person-times. The number of nursing service items increased from 18 in 2016 to 36 in 2021. The person-times of users of common clinical nursing and specialized nursing service items were 11 850 and 359 respectively. After the pilot policy was issued, the number of service items and the number of users were significantly increased in 2020( P<0.05). Conclusions:The development of " Internet plus nursing services" for the elderly in Ningbo had achieved certain results, especially with the promotion of the pilot policy in 2019, the types of service items and the number of elderly users had increased year by year. In the future, we should continue to focus on the elderly living alone and other special elderly groups with the support of relevant policies, further expand the scale of elderly users, improve the types of service items, and optimize the charging standards to help China′s healthy aging process.

Construction and practice of early clinical research management system based on SaaS / 中华医院管理杂志

The " Internet plus" development approach for early phase clinical study management is of great significance to improve the implementation quality and management effectiveness of clinical trials. In December 2020, a tertiary hospital used the internet platform SaaS mode to build its early clinical study management system, with the design concepts of simplicity, convenience and adaptability. Based on cloud computing and multi-level data flow mode, the system formed a simple and feasible system architecture, real-time follow-up system process and dynamic visual project information through the adaptive design of mobile terminal application link and system user interface, with the advantages of low cost, high flexibility, strong specificity and multi-party interoperability.Since its launched in January 2021, as of May 2022, the system had included 56 early clinical trial projects of the hospital, effectively improving the implementation progress and quality of early clinical trials, strengthening the risk control in the trial, so as to provide reference for the digital development of hospital clinical research.

Effect of “Internet plus Healthcare” platform on the bowel preparation quality for colonoscopy / 中华全科医师杂志

Objective:To investigate the effect of “Internet+Healthcare” combined with traditional education on the quality of bowel preparation for colonoscopy.Methods:A double-blind randomized parallel controlled trial was conducted. A total of 660 patients who underwent colonoscopy from August 2020 to August 2021 were enrolled. The patients were randomly assigned to receive “Internet+Healthcare” education combined with traditional education (study group, n=330 cases) or the traditional education alone (control group, n=330).The Boston bowel preparation scale, the qualified rate of bowel preparation and the adenoma detection rate of the two groups were compared. The factors affecting bowel preparation were determined by multivariate logistic regression analysis. Results:The Boston bowel preparation scale (6.1±1.1 vs. 5.3±1.2, t=-9.18, P<0.001), the qualified rate of bowel preparation [93.5% (300/321) vs. 75.8% (244/322), χ2=38.58, P<0.001], and the adenoma detection rate [39.3%(126/321) vs. 30.4%(98/322), χ2=5.51, P=0.019] in the study group were significantly higher than those in the control group. The factors related to qualified bowel preparation were female gender ( OR=2.19, 95 %CI:1.33-3.59, P=0.002), no hypertension ( OR=1.91, 95 %CI:1.17-3.12, P=0.010), diarrhea ( OR=4.84, 95 %CI:1.22-19.24, P=0.025), and “Internet+Healthcare” combined with traditional education ( OR=4.79, 95 %CI:2.81-8.16, P<0.001).The factors related to unqualified bowel preparation were no colonoscopy history ( OR=0.34, 95 %CI:0.20-0.56, P<0.001) and no diabetes ( OR=0.44, 95 %CI:0.24-0.80, P=0.008). Conclusions:Compared with traditional education, patients who received “Internet+Healthcare” education combined with traditional education have high quality of bowel preparation and high adenoma detection rate in colonoscopy. To obtain qualified bowel preparation for colonoscopy attention should be paid to factors affecting bowel preparation quality.

Teaching design and implementation of "maker-oriented flipped classroom" based on WeChat Official Platform—Taking "Med Show" as an example / 中华医学教育探索杂志

Drawing experience from the theory and practice of flipped classroom, this paper proposes a new concept of "maker-oriented flipped classroom", differentiates it from the orthodox flipped classroom teaching, and expounds its teaching design and actual implementation in details through the example of WeChat Official Platform "Med Show". By adopting the 5-point Likert Scale, a survey was conducted on students' satisfaction degree about the effectiveness of "Med Show". The results reveal that students have made considerable progress in terms of medical English proficiency, awareness of medical humanities, and abilities of self-regulated learning and innovation. In conclusion, "Med Show" has made achievements in optimizing conventional teaching approaches, refining evaluation methods of teaching and learning, and redefining the role of teachers, and thus it provides some enlightenments for college English teaching in the era of Internet Plus.

Exploration on teaching and experiment reform of medical imaging technology course from the perspective of "Internet Plus-based teaching diagnosis and reform" / 中华医学教育探索杂志

Medical imaging technology course has the characteristics of strong professionalism, complicated content to understand, and quickly updated knowledge. In traditional teaching mode, it takes teachers a lot of time to prepare lessons, and the teaching tools are limited like only taking use of blackboard, model and wall maps, which not only makes teaching content boring but also hardly stimulates students' initiative. Teaching reform of medical imaging technology courses from the perspective of "Internet Plus-based teaching and diagnosis reform" involves teaching content, teaching concept, teaching mode, teaching evaluation and experiments, etc., in which computer-aided teaching, flipped classroom, micro-course and high-quality resource-sharing course are used to increase experimental content, reform experimental teaching methods, and create "real-situation" experimental environment as well as other teaching diagnosis and reform measures, aiming to explore a new teaching pattern that meets the development of students majoring in medical imaging technology and the demand for social talents.

Study on the current situation and influencing factors of unmet needs of patients after radical gastrectomy for gastric cancer based on mixed-methods approach / 中国实用护理杂志

Objective:To investigate the status quo and influencing factors of unsatisfied needs of patients after radical gastrectomy for gastric cancer through quantitative and qualitative mixed research methods, and to provide reference for the development of effective health management programs in the future.Methods:A total of 297 patients who were hospitalized in Tianjin Medical University Cancer Hospital from January to December 2021 after radical gastretomy were selected as subjects by convenient sampling method. The general data questionnaire and Short-Form Survivor Unmet Needs Survey (SF-SUNS) were used to investigate. Selected 12 patients with gastric cancer by objective sampling method for semi-structured in-depth interview and collate data by Colaizzi 7-step analysis method.Results:The total average score of 297 subjects who did not meet the requirements was (60.91 ± 16.00), which was in the middle level. The average score of each dimension from high to low was: continuous care unmet needs (2.37 ± 0.75) points, work economy unmet needs (2.22 ± 0.65) points, information unmet needs (2.20 ± 0.92) points, emotion unmet needs (1.72 ± 0.60) points. Educational background, main economic source of family and working state were the influencing factors of unmet demand ( t=5.32, -3.59, -3.28, all P<0.05). Qualitative research had extracted four themes: unmet needs for symptom network recognition and accurate symptom management, unmet needs for shared decision participation and disease perception trajectory, unmet needs for dignity maintenance and reconstruction of psychological stress mechanism, and unmet needs for "Internet plus" mobile medical continuous care. Conclusions:The problem of unmet needs of patients after radical gastritis is still prevalent and affected by a variety of factors. It is suggested that medical workers build an effective supportive care system based on the status quo of unmet needs of patients, promote the whole process of multidimensional health management services for patients with gastric cancer, and improve the quality of life.

Brecha digital y tecnologías de comunicación e información en un telecentro de la Amazonia Peruana: Hacia el control de la pandemia COVID-19 2021 / Digital divide and communication and information technologies in a telecentre in the Peruvian Amazon: Towards the control of the COVID-19 2021 pandemic

La crisis sanitaria provocada por el COVID-19 generó la aplicación de medidas de distanciamiento social y confinamiento por largo tiempo, menoscabando la participación en el activismo comunitario y promoviendo el uso de las Tecnologías de Información y Comunicación (TIC) para el control y prevención de le enfermedad; no obstante, existe una gran distancia entre quienes tienen acceso a internet y quienes no, y la propagación de COVID-19 solo ha profundizado esta brecha. Se realizó un estudio descriptivo y correlacional con el fin de determinar la relación entre la brecha digital y las TIC para el control de la pandemia COVID-19, en 119 usuarios que acuden a un telecentro de la Amazonia Peruana. Se aplicó un cuestionario conformado por 37 items relacionados con la brecha digital y las TIC, evaluados mediante una escala de Likert. Asimismo, se aplicó un instrumento con 15 items para evaluar la búsqueda de información acerca del COVID-19. Para el análisis de datos se empleó estadística descriptiva e inferencial. Se encontró diferencias entre lo que se sabe y lo que debe saberse acerca del COVID-19, generando una brecha informativa acerca de la enfermedad; además se obtuvo una correlación entre la brecha digital y las TIC. Se requiere la implementación de programas de inclusión digital, políticas para el acceso y conectividad digital, establecimiento de otros telecentros y desarrollo de una infraestructura adecuada, que aminoren la brecha digital y promuevan el control y prevención del COVID-19(AU)

The health crisis caused by COVID-19 generated the application of social distancing and confinement measures for a long time, undermining participation in community activism and promoting the use of Information and Communication Technologies (ICT) for the control and prevention of the disease; however, there is a wide gap between those who have access to the internet and those who do not, and the spread of COVID-19 has only deepened this gap. A descriptive and correlational study was carried out in order to determine the relationship between the digital divide and ICTs for the control of the COVID-19 pandemic, in 119 users who attend a telecenter in the Peruvian Amazon. A questionnaire made up of 37 items related to the digital divide and ICTs, evaluated using a Likert scale, was applied. Likewise, an instrument with 15 items was applied to evaluate the search for information about COVID-19. Descriptive and inferential statistics were used for data analysis. Differences were found between what is known and what should be known about COVID-19, generating an information gap about the disease; In addition, a correlation between the digital divide and ICT was obtained. The implementation of digital inclusion programs, policies for digital access and connectivity, establishment of other telecenters and development of adequate infrastructure are required, which reduce the digital divide and promote the control and prevention of COVID-19(AU)

A Universidade Federal Fluminense promotora da saúde: um processo transformador / The Fluminense Federal University promoting health: a transforming process

Introdução: Estudo sobre ações de promoção da saúde desenvolvidas pelos projetos e programas cadastrados na Pró-Reitoria de Extensão da Universidade Federal Fluminense (PROEX-UFF), em 2019 e 2020. As universidades podem tornar-se ambientes de Promoção da Saúde e bem-estar para a comunidade universitária e seu entorno, mesmo em tempo de isolamento social. O objetivo geral: Analisar a consolidação das Políticas de Promoção da Saúde na UFF, tendo em vista sua afiliação à Rede Iberoamericana de Universidades Promotoras da Saúde (RIUPS). Objetivos específicos: 1) Descrever projetos e programas cadastrados na PROEX-UFF que desenvolveram ações de Promoção da Saúde com a comunidade universitária e seu entorno no período de 2019-2020. 2) Mapear políticas e ações de Promoção da Saúde desenvolvidas por instituições de ensino superior com a comunidade universitária e seu entorno no contexto da pandemia da COVID-19. 3) Discutir a visão de coordenadores de projetos e programas cadastrados na PROEX-UFF sobre a Promoção da Saúde na Universidade articulados a elementos conceituais freirianos. Metodologia: Estudo de natureza qualitativa, do tipo descritivo e documental. Inicialmente foi realizado um levantamento dos registros documentais das ações de extensão disponibilizadas no site da Pró-Reitoria de Extensão da UFF. Em seguida, foram realizados uma revisão de escopo e um estudo qualitativo com coordenadores dos projetos e programas com foco na Promoção da Saúde. A produção de dados do estudo documental se deu por meio do site da UFF utilizando tabela em planilha Excel. Os dados qualitativos foram obtidos por meio de formulário autopreenchível, contendo perguntas relativas à Promoção da Saúde na UFF. As técnicas de análise de dados utilizadas foram: Análise de Conteúdo e Análise do Discurso do Sujeito Coletivo. A aprovação no CEP/UFF recebeu o número 48714621.1.0000.5243. Tese de partida: Ações de Promoção da Saúde devem ser fomentadas pelas universidades, visando à saúde individual e coletiva, numa concepção ampliada. Tais ações devem reforçar parcerias com a comunidade e seu entorno. Resultados:Foram identificadas 244 ações com foco na Promoção da Saúde divididas em cinco categorias: "Reforço e visibilidade das ações comunitárias", "Aprimoramento de habilidades pessoais", "Criação de ambientes favoráveis no trabalho e estudo", "Reorientação dos serviços de saúde" e "Fortalecimento de políticas públicas saudáveis". A análise temática dos 38 estudos da revisão de escopo revelou três categorias: (1) Ações e estratégias de enfrentamento da COVID-19 nas universidades; (2) Ações e estratégias inclusivas e de Proteção social a grupos vulneráveis ao COVID-19 nas universidades; (3) Ações e estratégias de Educação em Saúde e Bem-Estar em face da COVID-19 nas universidades.Na análise do Discurso do Sujeito Coletivo emergiram três categorias: 1- Repercussão das ações de Promoção da Saúde na comunidade universitária e seu entorno, 2-Ações e serviços de Promoção da Saúde necessários na Universidade Federal Fluminense Promotora da Saúde, 3- A Universidade Federal Fluminense como Universidade Promotora da Saúde. Produtos da tese: certificação de afiliação da UFF na RIUPS, relatório aprovado e publicado no periódico Educapes e dois artigos científicos publicados.Considerações finais: Ações de Promoção da Saúde realizadas na UFF devem ser fortalecidas e ter maior visibilidade, reafirmando o compromisso social das universidades como centros de formação transformadora e participativa, fomentando políticas saudáveis e planejamento sustentável,mobilizando e envolvendo a comunidade acadêmica e seu entorno.

Introduction: Study on health promotion actions developed by projects and programs registered in the Dean of Extension of the Universidade Federal Fluminense (PROEX-UFF), in 2019 and 2020. Universities can become environments for Health Promotion and well-being to be for the university community and its surroundings, even in times of social isolation. The general objective: To analyze the consolidation of Health Promotion Policies at UFF, in view of its affiliation to the Iberoamerican Network of Health Promoting Universities (RIUPS). Specific Objectives: 1) To describe projects and programs registered at PROEX-UFF that developed Health Promotion actions with the university community and its surroundings in the period 2019-2020. 2) Map Health Promotion policies and actions developed by higher education institutions with the university community and its surroundings in the context of the COVID-19 pandemic. 3) Discuss the vision of project and program coordinators registered at PROEX-UFF on Health Promotion at the University articulated to Freirean conceptual elements. Methodology: This is a qualitative, descriptive and documentary study. Initially, a survey was carried out of the documentary records of the extension actions available on the website of the ProRectory of Extension of the UFF. Then, a scope review and a qualitative study were carried out with coordinators of projects and programs focused on Health Promotion. The production of data from the documentary study took place through the UFF website using a table in an Excel spreadsheet. Qualitative data were obtained through a self-completed form, containing questions related to Health Promotion at UFF. The data analysis techniques used were: Content Analysis and Collective Subject Discourse Analysis. The approval at CEP/UFF received the number 48714621.1.0000.5243. Starting thesis: Health Promotion Actions should be promoted by universities, aiming at individual and collective health, in an expanded concept. Such actions should reinforce partnerships with the community and its surroundings. Results: 244 actions focused on Health Promotion were identified, divided into five categories: "Reinforcement and visibility of community actions", "Improvement of personal skills", "Creation of favorable environments at work and study", "Reorientation of health services " and "Strengthening healthy public policies". The thematic analysis of the 38 studies of the scoping review revealed three categories: (1) Actions and strategies for coping with COVID-19 in universities; (2) Inclusive and Social Protection actions and strategies for groups vulnerable to COVID-19 in universities; (3) Health and Wellness Education actions and strategies in the face of COVID-19 in universities.In the analysis of the Discourse of the Collective Subject, three categories emerged: 1- Repercussion of Health Promotion actions in the university community and its surroundings, 2- Actions and services of Health Promotion necessary at the Universidade Federal Fluminense Health Promotion, 3- The Federal University Fluminense as a Health Promoting University. Thesis products: certification of UFF's affiliation with RIUPS, report approved and published in the journal Educapes and two published scientific articles. Final considerations: Health Promotion Actions carried out at UFF should be strengthened and have greater visibility, reaffirming the social commitment of universities as transforming and participatory training centers, promoting healthy policies and sustainable planning, mobilizing and involving the academic community and its surroundings.

Introduction : Étude sur les actions de promotion de la santé développées par les projets et programmes inscrits au Doyen de l'extension de l'Université fédérale Fluminense (PROEX-UFF), en 2019 et 2020. Les universités peuvent devenir des environnements de promotion de la santé et de bien-être pour l'université communauté et son environnement, même en période d'isolement social. L'objectif général: Analyser la consolidation des politiques de promotion de la santé à l'UFF, en vue de son affiliation au Réseau ibéro-américain des universités de promotion de la santé (RIUPS). Objectifs spécifiques : 1) Décrire les projets et programmes inscrits au PROEX-UFF qui ont développé des actions de promotion de la santé avec la communauté universitaire et ses environs au cours de la période 2019-2020. 2) Cartographier les politiques et actions de promotion de la santé développées par les établissements d'enseignement supérieur avec la communauté universitaire et son environnement dans le contexte de la pandémie COVID-19. 3) Discuter de la vision des coordonnateurs de projets et de programmes inscrits au PROEX-UFF sur la promotion de la santé à l'Université articulée aux éléments conceptuels freiriens. Méthodologie : Il s'agit d'une étude qualitative, descriptive et documentaire. Dans un premier temps, une enquête a été menée sur les fiches documentaires des actions d'extension disponibles sur le site internet du Pro-Rectorat d'Extension de l'UFF. Ensuite, un examen de la portée et une étude qualitative ont été réalisés auprès des coordonnateurs de projets et de programmes axés sur la promotion de la santé. La production des données de l'étude documentaire s'est faite via le site internet de l'UFF à partir d'un tableau dans un tableur Excel. Les données qualitatives ont été obtenues à l'aide d'un formulaire à remplir soi-même, contenant des questions liées à la promotion de la santé à l'UFF. Les techniques d'analyse de données utilisées étaient : l'analyse de contenu et l'analyse collective du discours du sujet. L'approbation au CEP/UFF a reçu le numéro 48714621.1.0000.5243. Thèse de départ : Les actions de promotion de la santé doivent être promues par les universités, visant la santé individuelle et collective, dans un concept élargi. De telles actions devraient renforcer les partenariats avec la communauté et son environnement. Résultats : 244 actions axées sur la promotion de la santé ont été identifiées, réparties en cinq catégories : « Renforcement et visibilité des actions communautaires ¼, « Amélioration des compétences personnelles ¼, « Création d'environnements favorables au travail et aux études ¼, « Réorientation des services de santé ¼ et « Renforcer les politiques publiques de santé ¼. L'analyse thématique des 38 études de l'examen de cadrage a révélé trois catégories : (1) Actions et stratégies pour faire face à la COVID-19 dans les universités ; (2) Actions et stratégies inclusives et de protection sociale pour les groupes vulnérables au COVID19 dans les universités ; (3) Actions et stratégies d'éducation à la santé et au bienêtre face à la COVID-19 dans les universités. Dans l'analyse du Discours du Sujet Collectif, trois catégories ont émergé : 1- Répercussion des actions de Promotion de la Santé dans la communauté universitaire et ses environs, 2- Actions et services de Promotion de la Santé nécessaires à l'Université Fédérale Fluminense Promotion de la Santé, 3- La Université fédérale Fluminense en tant qu'université de promotion de la santé. Produits de thèse : certification de l'affiliation de l'UFF au RIUPS, rapport approuvé et publié dans la revue Educapes et deux articles scientifiques publiés. Considérations finales : Les actions de promotion de la santé menées à l'UFF doivent être renforcées et avoir une plus grande visibilité, réaffirmant l'engagement social des universités comme et des centres de formation participatifs, promouvant des politiques saines et une planification durable, mobilisant et impliquant la communauté académique et son environnement.

Yoga com histórias para crianças com transtorno do espectro autista: regulação emocional mediada pela internet / Yoga with stories for kids with autism spectrum disorder: internet mediated emotion regulation / Yoga avec des histoires pour les enfants atteints de troubles du spectre autistique: régulation des émotions via internet / Yoga con historias para niños con trastorno del espectro autista: regulación de las emociones mediada por internet

Este estudo de caso mediado pela internet objetivou avaliar possíveis relações entre contação de histórias associada a exercícios de yoga e autorregulação de crianças com transtorno do espectro autista. Para tanto, pais e cuidadores foram instruídos a utilizar vídeos de contação de histórias, vídeos com demonstração de rotinas de exercícios de yoga e formulários de avaliação, totalizando três encontros. Relações entre controle por contingências e governo por regras foram investigadas. Verificamos resultados positivos nos dois casos estudados, um deles mediado pelos pais da criança e outro pela acompanhante terapêutica. Em conclusão, o envolvimento de pessoas de referência no treino de autorregulação demonstrou gerar efeitos positivos no comportamento das crianças e nas relações interpessoais estabelecidas. Estudos futuros poderão se valer do delineamento testado e do material interventivo para alcançar um maior número de crianças com desenvolvimento atípico e típico

This internet-mediated case study aimed to evaluate possible relationships between storytelling associated with yoga exercises and self-regulation of children with Autism Spectrum Disorder. To this end, parents and caregivers were instructed to use storytelling videos, videos with demonstration of yoga exercise routines and evaluation forms in a total of three meetings. Relationships between contingency-shaped and rule-governed behavior were investigated. We found positive results in the two cases studied, one mediated by the child's parents and the other by the therapeutic companion. In conclusion, the involvement of relevant people in self-regulation training has been shown to generate positive effects on children's behavior and also on established interpersonal relationships. Future studies may use the tested design and intervention material to reach a greater number of children with atypical and typical development

Cette étude de cas médiatisée par Internet visait à évaluer les relations possibles entre la narration associée aux exercices de yoga et l'autorégulation d'enfants atteints de troubles du spectre autistique. À cette fin, les parents et les soignants ont été invités à utiliser des vidéos de narration, des vidéos avec démonstration de routines d'exercices de yoga et des formulaires d'évaluation dans un total de trois réunions. Les relations entre les comportements contingents et régis par des règles ont été étudiées. Nous avons trouvé des résultats positifs dans les deux cas étudiés, l'un médiatisé par les parents de l'enfant et l'autre par le compagnon thérapeutique. En conclusion, il a été démontré que l'implication des personnes concernées dans la formation à l'autorégulation a des effets positifs sur le comportement des enfants et sur les relations interpersonnelles établies. Les études futures peuvent utiliser la conception testée et le matériel d'intervention pour atteindre un plus grand nombre d'enfants au développement atypique et typique

Este estudio de caso mediado por Internet tuvo como objetivo evaluar las posibles relaciones entre la narración asociada con los ejercicios de yoga y la autorregulación de los niños con trastorno del espectro autista. Con este fin, se instruyó a los padres y cuidadores a utilizar videos narrativos, videos con demostración de rutinas de ejercicios de yoga y formularios de evaluación en un total de tres reuniones. Se investigaron las relaciones entre el comportamiento en forma de contingencia y el regido por reglas. Encontramos resultados positivos en los dos casos estudiados, uno mediado por los padres del niño y otro por el acompañante terapéutico. En conclusión, se ha demostrado que la participación de personas relevantes en la formación de autorregulación genera efectos positivos en el comportamiento de los niños y también en las relaciones interpersonales establecidas. Los estudios futuros pueden utilizar el diseño probado y el material de intervención para llegar a un mayor número de niños con un desarrollo típico y atípico

Chinese medicinal materials industry during the 14th Five-Year Plan period: trends and development suggestions / 中国中药杂志

This study steps through the future perspectives and gives the development suggestions of Chinese medicinal materials(CMM) industry by presenting the characteristics and open problems during the 13 th Five-Year Plan period. The development of CMM industry presents the following trends:(1)the development of Dao-di herbs speeds up with the increasing demand for high-quality CMM;(2)the mismatch between supply and demand is aggravating, which presses for supply-side structural reform;(3)ecological planting will become the core mode of production and bolster rural revitalization;(4)the demand for CMM with both medical and edible values keeps growing, and the antibiotic-free feed policy brings significant opportunities;(5)the "Internet Plus CMM" wave emerges, which promotes the construction of traceability system. Finally, we put forward the following suggestions for the sustainable development of CMM industry:(1)optimizing the layout for the production of Dao-di herbs according to local conditions;(2)strengthening the commercialization of the seeds and the breeding, multiplication, and extension of CMM to accelerate the realization of specialized seed production, mechanized seed processing, localized variety layout, and county-based unified seed supply;(3)ensuring the safety of pesticide use and accelerating the registration of special pesticides;(4)promoting both theoretical and practical research on ecological production of CMM;(5)publicizing the demonstration and popularization of CMM traceability system. Overall, significant progress has been achieved in the CMM industry during the 13 th Five-Year Plan period, and this industry is in a critical stage of high-quality development, facing both challenges and opportunities.