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The WeChat service provided at present in 14 hospitals directly under the Yunnan Health and Family Planning Commission was surveyed with suggestions proposed for providing active Wechat service in hospitals in order to alleviate the difficulty to see a doctor and the tense relationship between doctors and patients.
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Objective To survey and analyze medical postgraduates' ideological and political awareness to provide evidence for improvement of ideological and political education.Methods By using the self-made questionnaire a survey was conducted among 1 199 medical postgraduates from April 1,2013 to April 10.The questionnaire included general condition,politics status,religion,collective consciousness,learning goals,the view about the construction of ideological and political education counselor team,etc.Advice and suggestions were given according to the analysis of the results.Results A total of 1 169 valid questionnaires were collected.Among all the members,the communist party members and league members account for 33.7％ and 47.6％,respectively; 92.5％ of the students had no religious beliefs; 15.1％ served as departments cadres,6.4％ served as universitylevel cadres; 41.3％ of the students thought their tutors care for them very much,and 66.9％ of the students could communicate with tutors weekly; 38.9％ of the students complained the main pressure came from family,while 24.2％ thought the main pressure came from the employment pressure; 47.5％ thought it was very necessary to establish a professional counselor team.Conclusions The survey is scientific and reasonable,providing a reliable basis to improve our postgraduate education.Most medical postgraduates have a firm and correct political position,and their world oudook and outlook on life are basically stable.However,there are many problems needed to be solved immediately.Considering the particularity of graduate education,it is necessary to reinforce the professional counselor and tutor team and further explore the medical postgraduates' ideological and political awareness education to promote the development of postgraduate education.
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Objective To evaluate the training quality of junior college graduates of clinical medicine based on the feedback from the graduates and their employers.Methods Totally 112 junior college graduates tailored to rural areas among all the three years' graduates were selected.These graduates and their employers were asked to do the questionnaire and discussion.Results The overall evaluation from the graduates on the school curriculum and teachers was good,with satisfactory rate being above 95％.The employers had nice impression on the graduates and spoke highly of them,with satisfactory rate reaching 97.4％.Of all the three years' graduates,one-time passing rate in the qualification examination for assistant practitioners came to 41.0％,much higher than the average passing rate of 20.12％ in the same area and at the same time.Conclusion The teaching effect for junior college graduates of clinical medicine tailored to rural areas is satisfactory and the reform on teaching is worka ble and effective,however,it needs further practice.
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To carry out the teaching of hospital management in-depth and improve teaching quality, the group of teaching hospital management in 2010, through questionnaires, discussion and other forms, found out and analyzed the teaching situation, including the nature of this course, start time and hours, teacher team, teaching content, teaching methods, evaluation form, and so on. The result was that most students thought it not necessary to open so many courses. Then the article put forward some suggestions and countermeasures to further improve the management course.
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OBJECTIVE To survey the knowledge about the prevention by hepatitis B vaccination among vaccine recipients and inquiry persons,and formulate the measure of health education on prevention of HBV. METHODS 349 cases of hepatitis vaccines and inquiry persons in infirmary from Oct 2006 to Feb 2008 were selected,and making questionaire investigation for the understanding of HBV infection. RESULTS The initiative consciousness of prevention to HBV was manily focused on young people. The 20 to 40 years old people were 81%,3% below 20 years and 16% over 40 years among the investegatees. The correct rate of cognition was 36.4%. CONCLUSIONS To propagandize the knowledge about HBV and make the people to understanding the HVB,and increase the consciousness for prevention. To reduce the mistake cognition for HBV infection and encourage the high-risk people to receive the hepatitis vaccination.
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OBJECTIVE:To investigate medical staff’s awareness and knowledge level on the rational use and management of antibacterials in our hospital.METHODS:A questionnaire survey was conducted on the spot among medical staff in our hospital,and the results of survey were recorded in Excel electronic form and subjected to data analysis and processing.RESU-LTS & CONCLUSION:The medical staff had a good mastering about the general knowledge about antibacterials(such as definitions,classifications and so on).However,their answers to the questions such as reasonable antibacterial drug use,bacterial resistance,safety and expertise were relatively concentrated(tended to tick the same answer).Therefore,it is advisable to develop different forms of training through different ways among hospital medical staff to enhance their knowledge level on antibacterials and strengthen their awareness of correct and rational use of antibacterials meanwhile setting related measures and management norms.
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OBJECTIVE: To promote the rational use of antibiotics.METHODS: A retrospectively analysis was conducted on the application of antibiotics in 4 186 discharge case histories in 2005.RESULTS: Of the total 4 186 cases,the application rate of antibiotics was 64.48%,among which,56.17% were prophylactic use of antibiotics and 5.89% used antibiotics without indication.The consumption of antibiotics occupied 45.90% of the total medicines consumed.The nosocomial infection rate was 4.16%,of which,23.56% were fungous infections.The incidence of adverse drug reactions was 2.56%.CONCLUSION: The rate for the prophylactic use of antibiotics in our hospital is on the high side,which may result in high incidences of drug resistant strains and nosocomial infections,therefore,measures should taken to tight the control of the administration of antibiotics.
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OBJECTIVE To find out the situation of antimicrobial usage in cardiac surgical perioperative period.METHODS The use of antimicrobials in cardiac surgical perioperative patients during Jan-Jun 2007,and the data of reasonable use of antibacterial were surveyed and evaluated.RESULTS Of the 276 patients,100.00% of them had received antimicrobials involving 12 kinds,59.78% of them used one kind only and 34.78% used two kinds antibiotics and 5.43% used more three kinds.CONCLUSIONS The use of antimicrobials in cardiac surgical perioperative period is reasonable and scientific.
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OBJECTIVE To investigate the clinical application of antimicrobial agents and give corresponding analysis.METHODS Totally 1453 cases from Dec 2005 to Jan 2006 were investigated retrospectively according to questionaire,and the usage of antibiotics was analyzed according to the standards.RESULTS Among 1453 cases,1155 cases used antibiotic and accounted for 79.5%,of which 47.3% cases were for single-drug therapy,44.1% cases for dual-drug therapy,7.4% cases were for tri-drug therapy and 1.2% cases for more than four kinds drugs.The top five departments in usage amount of antibiotics were stomatology,burn,surgery,pediatrics and respiratory departments.The most common antibiotics were cephalosporins,nitromidazole and catastaltica containing enzymes.The main irrational application of antibiotics included medication without indication,using high standard medicine and illogicality course of treatment and so on.CONCLUSIONS The application of antibiotics in internal medicine still has some irrational phenomenon,therefore,the training of correlated knowledge and regulations should be strengthened.
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OBJECTIVE To standardize the classification,collection and transportation of the medical wastes in our hospital. METHODS A Manual of Administrative Measures for Medical Wastes was set according to the Regulations on Medical Waste Management stipulated by State Council.Field investigation,supervision,management and adjustment had been carried out.RESULTS The medical waste was strictly collected and separated in clinical departments.The dispensable sharp wastes should be collected in a special container.We adopted medical wastes preservation management in our hospital and records should be made when the staff exchange.The mixed medical wastes have been solved.While transporting the medical wastes,closed vans should be used in order to avoid wastes left on the road.After our measures were put in place good achievement was made.CONCLUSIONS Standardized training on separation,collection,transportation,preservation and settlement of medical wastes should be carried out among medical staff at all levels.The facilities for medical wastes settlement should be improved.Investigation,supervision and adjustment in this regard should be strengthened.
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OBJECTIVE To investigate and analyze the application of prophylactic antibiotics in perioperation period in our hospital.METHODS According to the designed table with unified contents and standards,a retrospective investigation was made in 325 patients who had been discharged from our hospital.RESULTS Of the 325 patients in our study,antimicrobials use in 281 patients was rational,44 patients had irrational antimicrobials use.CONCLUSIONS The results show that it is very important to strengthen and improve the management of the antimicrobials use in a normal and standard way in our hospital.
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OBJECTIVE To understand the situation of application of antibacterials in perioperative period in Department of Orthopedics,in order to find evidence for strengthening the rational use and standard management of antibacterial.METHODS A total of 308 cases with orthopedic clean-operations were randomly selected for the analysis of rationality of application of antibiotic prophylaxis in perioperative period.RESULTS All of the 308 patients were given antibiotics in perioperative period.And 18 kinds of drugs from 7 categories were used,the average kinds used were(2.07?0.75).The patients started antibiotic administration within 0.5-2 hours before operation accounted for 84.74%.The average time of antibiotic using was(6.07?2.64) days.72.40% patients in medication period used more than one kind drugs.CONCLUSIONS There are some problems in application of antibacterials in orthopedic clean-operations during perioperative period,such as too long-term use of antibiotics,frequent changes and so on.It is necessary to strengthen the management and improve the rationality of application of antibacterials.
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OBJECTIVE To find out the situation of the use of preventive application of antimicrobial in orthopedic perioperative patients and to evaluate the rationality of use. METHODS To make a survey of the use of antimicrobials in orthopedic perioperative patients during Apr-Jun 2004 and to evaluate the kinds,frequency,combined administration,course,effectiveness,etc. RESULTS 99.2% patients had received antimicrobials involving 14 kinds.62.8% from them used one.34.5% used two and 2.7% used three. CONCLUSIONS It is necessary to strengthen the management of preventive antimicrobial in orthopedic patients during perioperative period.
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In recent years the pressure on the employment of college graduates has been increasing,therefore it is necessary to get some knowledge of employment situation.In order to know the employment situation of the medical college graduates,we made a survey on our 2008 batch medical graduates of China Three Gorges University,and also made further analysis and re-flections according to the survey results.We hope our reflections can provide some supports and assistances to the medical graduates in certain aspects.
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OBJECTIVE:To keep abreast of the situation and trend of patent Chinese materia medica used in our hospital METHODS:To collect the amount of consumption and sum of money of patent Chinese materia medica used in our hospital in 2000～2001 and to analyse the frequency of drug use RESULTS:The consumption of part of drugs decreased by 7%～17% Those drugs with increasing tendency in consumption kept stable in increase The DDDs of compound red sage tablet increased by 22% CONCLUSION:For supply and management of patent Chinese materia medica,it is very important to analyse and understand the sum of money of consumption and frequency of drug use
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OBJECTIVE:To study influence factors of medical students’rational drug use in clinical practice and to provide references for improvement of medical educations and rational drug use. METHODS:The information was obtained by 325 designed questionnaire"questionnaire for prescription behaviors of medical students’rational drug use"performed by students in two medical colleges of Jiangxi Province and was inputted using Epidata3.0 software. SPSS13.0 software was adopted to analyze data by means of descriptive statistical analysis and multiple linear regression analysis methods. RESULTS & CONCLUSIONS:The level of medical students’rational drug use was just a little below the average level. It was positive correlated to the self-evaluation on instructors’conducting frequency and the achievements in medical course,but with negative correlation to the performances of rational drug use knowledeg. The achievements in medical course in self-evaluation has great impact on rational drug use behaviors while the performances of rational drug use knowledge has little impact on it.
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A questionnaire survey aimed to explore the ECs'current status is conducted in three-level hospitals of Tianjin, the existing questions and reasons of ECs in China are analyzed.
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After the survey in in-school students and interns,it reflects that the medical students have more or less recognized the disharmony situation on doctor-patient relationship.Meanwhile it also influences their medical profession mind because the high risk of medicine occupations,One-sided public opinions,the gap between the ideals and the reality led to the idea of change their careers.Strengthen the ideological and professional education of medical students,so that they enhance immunity,the ability to distinguish right from wrong,and response capabilities.
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OBJECTIVE To investigate and analyze the application of antibiotics in non-surgical departments in our hospital.METHODS To make a survey of the use of antimicrobials in non-surgical departments from a total of 548 randomly selected medical records during Jan-Mar 2007,the data of reasonable use of antibacterials were obtained after evaluation and analysis.RESULTS Of the 548 patients in our study,229(41.79%)used antimicrobials.The use of antimicrobials for infection prevention was in 46 cases(20.09%),for infection treatment was in 183 cases(79.91%).From them 95 cases(41.48%)used a combination of two and more antimicrobials.The most widely used antibacterials were penicillins,cephalosporins,and quinolones.CONCLUSIONS The use of antimicrobials is generally reasonable,and meets the safe,effective,and economical goal in our hospital.
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OBJECTIVE:To probe into the situation of drug use that goes beyond the scope of package inserts in pediatrics of our hospital and to promote clinical rational drug use.METHODS:A total of 3 142 prescriptions between Mar.and Apr.2006 collected from the pediatric out-patient department of our hospital were analyzed in accordance with the contents of the related drug package inserts.RESULTS:Of the total 3 142 prescriptions,345(11.0%) involved drug use that goes beyond the scope of package inserts,leading the list were prescriptions of infants,accounting for 71.3% of the total.The problems such as age(52.2%) and indication(36.5%) were the main type;respiration system drugs(48.4%) and the antibiotics(40.6%) were the main drug kinds involved.CONCLUSIONS:It's widespread for drug use that goes beyond the package inserts in the pe-diatrics,which conforms to evidence-based medicine and the spirit of philosophy and ethics,but against the principle of law,which thus should be given fully attention in the clinic.