The application of MOOC combined with peer mutual assistance in cardiopulmonary resuscitation teaching / 中华医学教育探索杂志

Objective:To explore the application effect of massive open online course (MOOC) combined with peer mutual assistance in cardiopulmonary resuscitation teaching.Methods:A total of 140 students in the same class of Batch 2015 were divided into the experimental group and the control group. In the teaching of cardiopulmonary resuscitation, the experimental group was based on the MOOC teaching platform, watched videos and topic tests before class, and used the peer mutual assistance in class. While the control group adopted traditional classroom teaching mode. The teaching effect of the two groups were evaluated by comparing the operation assessment scores and questionnaire survey of students' satisfaction with teaching. SPSS 22.0 was used for t-test and Chi-square test. Results:The operating assessment score of the experimental group was (82.20±2.31), and the operating assessment score of the control group was (75.80±1.72). The difference was statistically significant ( t=3.27, P<0.05). The questionnaire survey showed that the course satisfaction and learning motivation of the experimental group were better than those of the control group. In learning burden, the two groups had similar results ( P=0.739). Conclusion:MOOC combined with peer mutual assistance in cardiopulmonary resuscitation teaching can help students better master skills, improve students' course satisfaction and learning motivation, without increasing their learning burden.

On the Cultivation and Promotion of the Concept of "Mutual Assistance" during the COVID-19 Prevention and Control Period / 中国医学伦理学

"Mutual assistance" with profound moral significance, is a traditional social moral code and way of life, inherits the essence of ancient philosophers, is gradually regarded as a principle of dealing with neighborhood and social relations, which embodies the organic unity of social value and individual value. Actively carrying forward the ethical idea of "mutual assistance" is of great practical significance for preventing and controlling COVID-19, winning the prevention and control war, and promoting the construction of community of human health. Therefore, it is necessary to cultivate and practice "mutual assistance" vigorously to strengthen the moral consciousness of "life first", stimulate individual moral consciousness, and construct social benign moral relations.

Reconsideration on "Mutual Assistance" under the Public Health Emergencies / 中国医学伦理学

With increasingly being used in the field of public health, "mutual assistance" is in line with the realistic ethical demands of public health, and has become a new safety product provided by China for global public health security governance. To ensure "mutual assistance" under public health emergencies, it is crucial to fundamentally follow "protecting the lives and health of the people", take "building a community of health for mankind" as a long-term version, and take "solidarity and mutual assistance" as the action direction. "Mutual assistance" is of great practical value, and it is important to seek common ground while reserving differences in resolving the practical dilemma of public health emergencies.

Research on the awareness of disaster prevention and the ability of self-rescue and mutual aid among children in Mianyang Area / 中国小儿急救医学

Objective:To investigate the current situation of children′s awareness of disaster prevention and self-rescue ability in Mianyang area, provide reference for the development of scientific training programs on children′s disaster knowledge, and improve children′s survival ability during the disaster occurence.Methods:Through literature review and expert consultation, the questionnaire was designed by ourselves.Multi-stage sampling method was used to investigate 2 162 cases from county (city) high school, junior high school and primary school in Mianyang area.Results:8.3% of children had weak disaster awareness.Children had a good understanding of disaster related knowledge, with the highest alarm call awareness rate of 91.8%, fire, flood, earthquake escape and earthquake warning score of 86.5%, 84.2%, 84.2%, 83.0%.Cardiopulmonary resuscitation and fire hydrant operation awareness rate was very low (58.8%, 57.4%). Even some children still chose improper escape behavior.The scores of early warning knowledge and first aid skill were correlated with gender and age.In knowledge of disaster precursors, using of fire extinguishers and hydrants, and first aid skills, the scores of boys were significantly higher than those of girls ( P<0.001). Except for fire-related knowledge, gas leakage escape and shelter awareness rate, the older the children were, the higher the scores were ( P<0.05). The scores of early warning, escape knowledge and first aid skills were correlated with the location of home, and the differences were significant ( P>0.001). More than 80.0% of children chose flashlights, food and water, and emergency kits, while 65.0% to 75.0% children thought it was not necessary to prepare a radio, telephone directory, and cash. Conclusion:Children′s awareness of disaster reduction and self-rescue ability are generally good, but there are still insufficient first-aid skills and improper choice of escape behavior.The education of disaster awareness and self-rescue ability should be strengthened in children′s basic education so as to reduce the casualties of children caused by disasters.

Investigation of Requirements for Living in a Local Community on an Isolated Island in Shimane Prefecture / 日本プライマリ・ケア連合学会誌

<p><b>Introduction: </b>To determine the requirement (s) that enables the elderly living on an isolated island to continue living on their familiar island. </p><p><b>Methods: </b>The annual reports on the internal migration in Japan derived from the basic resident registers of the Ministry of Internal Affairs were organized. A questionnaire survey and interviews were conducted with members of the resident welfare division of the village office of Chibu Village, Oki-gun, Shimane Prefecture, and the answers were qualitatively analyzed.</p><p><b>Results: </b>A large number of persons of advanced age have moved out from Oki Island. The destinations have varied by year and included places outside Shimane Prefecture. There were no hospitalization facilities or nursing homes in Chibu Village. The only establishment that provided nursing services was the social welfare council. Available home care services were only home-visit care and visiting care. The most common place of death was hospitals outside the island. The communities were characterized by strong ties and mutual assistance among people in the neighborhood, which supported the lives of aged members.</p><p><b>Conclusions: </b>For persons of advanced age living on an isolated island to continue living in their familiar area, it was found necessary to improve the system for receiving people of advanced age who require nursing, and enhance the link between the government and residents to maintain mutual assistance activities among residents.</p>