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Objective To explore a new approach of operating room (OR) management to ensure quality of care for surgical patients in a general public hospital with wholly-owned campuses. Methods The three-grade manageri-al structure for operating room was established,unified quality management was conducted in three campuses. Uni-fied training system was established to ensure the same level of professional competence among nurses. Highly flex-ible human resources allocation plan was performed for better staff rotation arrangement. Depending on information integration system,operation schedules of surgeons at all campuses were taken into consideration. Through instruments linkage among campuses,cost control was accomplished via scientific performance allocation mechanism. Results There was no statistically significant difference both in nursing quality scores and work satisfaction level of sur-geons for OR nurses among three campuses (P>0.05). The acquisition cost of instruments was reduced by 1.7048 million Yuan. Conclusion The new approach of operating room management guaranteed the quality of nursing care for surgical patients in three campuses,saved labor and financial cost in OR.
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This paper reviewed the key periods in 30 years'development of community-based rehabilitation(CBR)for persons with dis-abilities in China.The measures for CBR development were discussed forward,including to implement the Regulations of Disability Preven-tion and Rehabilitation for Persons with Disabilities for pushing the legal development of CBR, to explore ways of multi-supplying for CBR sustainable development, to integrate CBR into general situations for realizing rehabilitation for all persons with disabilities, to strengthen institutions building and talents training for improving CBR capabilities,to standard the CBR actions for providing safe,effective and precise rehabilitation services,to promote the gaining sense of persons with disabilities from CBR services through balanced develop-ment of CBR in urban and rural areas.
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Objective To investigate the characteristics about the prevalence of thyroid nodules detected on color Doppler uhrasonography(US) in people residing in Dalian City who undergo regular physical examinations, as well as its relative factors. Methods All thyroid sonographic and questionair procedures were performed in the 6020 people above 18-year-old living in the four districts of Dalian City for at least 5 years, who were examined at the department of health medical center of Dalian Municipal Central Hospital from May 2006 to March 2007. Urinary iodine concentration was measured in 2039 healthy adults selected by age layers in our study population. Moreover, urinary iodine concentrations were determined in 220 children aged 8-10 years old who were randomly chosen from four communities (55 children per elementary school from each community). The analysis of logistic regression was conducted for the risk factors linked to thyroid nodules. Results The prevalence of thyroid nodules in the 6020 adults was 38.5%(2319/6020), in which nodules sized between 0.3 and up to 0.5 cm were found in 17.1% (1030/6020), and those above 0.5 cm in 21.4% (1289/6020). Ultrsonography revealed solitary nodules in 17.2% (1036/6020), multinodular goiter in 21.3% (1283/6020). Fifty-four point nine percent (1272/2319) thyroid nodules showed solid internal echographic structures, 30.2%(701/2319) mixed and 14.9%(346/2319). The thyroid nodule detected rate in female individuals was 46.1% (1102/2393), among whom multinodular goiter [59.1% (651/1102)] was more than solitary nodules[40.9(451/1102)] in female; while only 33.6%(1217/3627) of male were detected to have thyroid nodule, there was a difference between the genders (χ2=95,079,P<0.01). The mediam urinary iodine concentration(MUI) was 184.32 μg/L in children and 216.75 μg/L in the health adults, moreover, it was 216.55 μg/L and 217.00 μg/L in the people with thyroid nodules and those without nodules without a significant difference (P>0.05). The rate of thyroid nodules gradually increased with age(χ2=344.998, P<0.01). The occurance of thyroid nodules was significant associated with gender and age(P<0.01). Conclusions The nutritional iodine intake in the four communities of Dalian City are adequate. The prevalence of thyroid incidentalomas is relatively high in this group of people receiving medical examination.
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Objective To develop a PDA-based wireless electrocardiographic monitoring system meeting the requirements of doctors in mobile work.Methods ECG signals were received from hospital monitor center through mobile network,and then were analyzed with digital signal processing technology and electrocardiographic information processing technology.The results were sent to patients as soon as the data were diagnosed by doctors,thus realizing the real-time monitoring.Results PDA-based wireless electrocardiographic monitoring system applied many advanced technologies such as mobile communication technology,blue-tooth technology,embedded database technology,etc.so that doctors could examine patients' records and electrocardiogram at any place and in any time.Conclusion Clinical experimental results show that the system fulfils doctors' requirements and improves their work greatly.