RESUMEN
Objective:Through retrospective analysis of the admission and treatment of patients in the department of critical care medicine of the Affiliated Hospital of Guizhou Medical University over the past 5 years, it provides a basis for the construction of the subspecialty of intensive care medicine.Methods:Collect clinical data of patients admitted to the department of critical care medicine of the Affiliated Hospital of Guizhou Medical University from January 1, 2016 to December 31, 2020, including gender, age, first consultation department, intensive care unit (ICU) hospitalization time, ventilator use time, main diagnosis, acute physiology and chronic health evaluationⅡ(APACHEⅡ) when transferred into and out of ICU, treatment results, whether to give mechanical ventilation, whether to use a non-invasive ventilator to assist breathing, whether to die in 24 hours, rescue times and success rate, etc. Changes in the above indicators during the 5 years were analyzed.Results:In the past 5 years, our hospital has treated 2 668 patients in the comprehensive ICU with severe neurological, severe circulation, and severe trauma as the main treatment area, including 1 648 males and 1 020 females; aged 6 months to 94 years old, the average age (53.49±19.03) years old. Neurosurgery (907 cases) was the most frequently diagnosed department, the top 3 diseases were cerebral hemorrhage (539 cases), septic shock (214 cases), and hypovolemic shock (200 cases); ICU hospitalization time was 126 (52, 253) hours, ventilator time was 65 (17, 145) hours, APACHE Ⅱ scores were 23.29±8.12 and 12.99±6.37 when transferred into and out of ICU. The proportion of receiving mechanical ventilation was 92.94% (2 147/2 310), and 314 cases used non-invasive ventilators. 84 cases died within 24 hours (mortality was 3.15%). A total of 2 585 rescues were performed, and the rescue success rate was 92.84% (2 400/2 585). From 2016 to 2020, the 5-year cure rates were 65.92%, 65.83%, 61.53%, 65.64%, 69.06%, respectively, and the 5-year mortality were 13.13%, 14.29%, 18.89%, 16.69%, 13.38%, respectively.Conclusions:With the continuous expansion of critical care medicine, the establishment of classified subspecialties can focus on the admission of patients, so that treatment can be professionalized and standardized, improve the cure rate, and reduce mortality. At the same time, medical staff can focus on management and learning related expertise to master the disease, it is also more in-depth, which is helpful for doctors to improve themselves, and is conducive to the proficiency of related sub-specialties, and lays a good foundation for the development of the department.
RESUMEN
A Análise do Comportamento (AC) tem-se beneficiado de uma determinada modalidade de interpretação operacional de termos/expressões desenvolvido(a)s em outros sistemas da Psicologia e áreas afins. O modelo skinneriano de interpretação operacional de termos de outras teorias constitui-se da análise do contexto em que teóricos e pesquisadores emitem os termos/expressões analisados. Trata-se, portanto, da análise do comportamento verbal de psicólogos. Inúmeros exemplos dessa prática podem ser encontrados na obra de Skinner e são recorrentes nos diversos periódicos da AC. Neste artigo, discutem-se as implicações dessas análises para a sobrevivência da AC enquanto prática cultural, para o aperfeiçoamento conceitual, teórico e tecnológico da AC e para o ensino da AC. Com base nessas análises, propõe-se que a interpretação de termos de outras teorias seja considerada um programa de pesquisa importante e receba maior atenção dos analistas do comportamento.
The Behavior Analysis (BA) has benefited in the past and continues to benefit from a specific kind of operational interpretations of terms/expressions developed in other systems of Psychology and similar areas. The Skinnerian model of the operational interpretation of terms of other theories consists of the analysis of the context where theoreticians and researchers emit the analyzed terms/expressions. Therefore, these interpretations are analysis of the verbal behavior of psychologists. Innumerable examples of this practice can be found in the workmanship of Skinner and are recurrent in diverse periodics of the BA. In this article we argue the implications of these analyses for the survival of the BA as a cultural practice, for the conceptual, theoretical, and technological perfectioning of the BA and for teaching BA. Based on these analyses, it can be argued that the interpretation of terms of other theories should be considered an important program of research and should receive greater attention from the behavior analysts.