Gerencia de Enfermería durante la pandemia de COVID-19 en un hospital público de Honduras / Nursing Management at a Honduran Public Hospital during the COVID-19 Pandemic

Introducción: El modelo de gestión hospitalaria es el conjunto de políticas y procesos que permiten tomar decisiones asertivas. Durante la pandemia de COVID-19, los sistemas de salud a nivel global necesitaron reorganización para responder a las necesidades presentadas. Sin embargo, no se tiene registro de dicho proceso en Honduras. Objetivo: Explorar las experiencias de profesionales de Enfermería relacionadas con la gerencia de servicios del Hospital "Mario Catarino Rivas" durante la pandemia de COVID-19. Métodos: Se realizó un estudio fenomenológico interpretativo sobre las experiencias de profesionales de Enfermería relacionadas con la gerencia de servicios del Hospital "Mario Catarino Rivas", durante la pandemia de COVID-19. La colecta de datos fue mediante entrevistas semiestructuradas a 20 profesionales de Enfermería en cargos de jefatura, como resultado de un muestreo deliberado. Los datos se analizaron con el método temático, con agrupación de las narraciones, se siguieron los siete pasos de la perspectiva de Colaizzi. Resultados: Se hallaron tres temas, siete subtemas y 30 conceptos, se encontró la calidad total el modelo gerencial utilizado para dar respuestas a las dificultades presentadas durante la pandemia COVID-19. Dentro de los principales desafíos se encontró "falta de recursos humanos" para dar respuesta a la demanda de pacientes. Conclusiones: Durante la COVID-19, se evidencia el importante rol del profesional de Enfermería en cargos gerenciales para mitigar el impacto económico en el sistema de salud hondureño, y garantizar la calidad de vida de los pacientes. Es necesario la apertura de espacios con mayor responsabilidad, con respaldo legal que fortalezca la práctica avanzada(AU)

Introduction: A hospital management model is the set of policies and processes that allow assertive decision making. During the COVID-19 pandemic, health systems worldwide required reorganization to respond to the emerging needs. However, there is no record of such process in Honduras. Objective: To explore the experiences of nursing professionals concerning the management of services at Hospital Mario Catarino Rivas during the COVID-19 pandemic. Methods: An interpretative phenomenological study was conducted on the experiences of nursing professionals concerning the management of services at Hospital Mario Catarino Rivas during the COVID-19 pandemic. The data were collected using semistructured interviews with 20 nursing professionals in head positions, as a result of a deliberate sampling. The data were analyzed using the thematic method, with clustering of narratives and following the seven steps of Colaizzi's perspective. Results: Three themes, 7 subthemes and 30 concepts were found. In addition, the overall quality of the management model used to respond to the difficulties presented during the COVID-19 pandemic was found. Among the main challenges, "lack of human resources" to respond to patient demand was found. Conclusions: During COVID-19, the important role of the nursing professional in managerial positions to mitigate the economic impact on the Honduran health system and to guarantee the quality of life of patients is evident. It is necessary to open spaces with greater responsibility, with legal support to strengthen advanced practice(AU)

The overall quality control of xianling gubao capsules based on hplc-uvd-elsd fingerprint and simultaneous determination of main representative components / 中国药学杂志

OBJECTIVE: To establish the fingerprint of Xianling Gubao Capsules (XLGB) by multi-wavelength HPLC-UVD-ELSD and determine the main representative components simultaneously, in order to provide reference for the overall quality control of XLGB.METHODS: The separation was developed on Poroshell 120 EC-C18 column (4.6 mm×100 mm, 2.7 μm) by gradient elution with methanol-water at 240, 270 and 334 nm, the temperature of drift tube was maintained at 105 ℃ and the carrier gas flow rate was 2.0 L•min-1. An HPLC-UVD-ELSD fingerprint of XLGB was set up, and 15 batches of XLGB were evaluated by similarity assay. Furthermore, the contents of the main representative components were determined on the premise of small disparities between batches. RESULTS: The multi-wavelength HPLC-UVD-ELSD fingerprint of XLGB was established with good separation, and six chemical components were determined simultaneously. Thirty-one main characteristic peaks from six herbs of XLGB were chemically identified and 26 main characteristic peaks were assigned to individual herbs. The similarity of 15 batches of XLGB was about 0.943 to 0.997. Moreover, good linear relationships were found (r=0.999 0-0.999 6), and the average recovery rates were 98.5%-104.9%. CONCLUSION: The method can be used for the overall quality control of XLGB with good specificity and high efficiency and is close to the actual production, which is promising to be further improved to be used as an industry internal control standard.

Research on Medical Quality Control Management in Continuous Improvement of Hospital Quality / 中国医院管理

The quality control centers of the city level supervise and manage the medical quality of related clinical and technical specialties of medical institutions.The paper researches the comprehensive control and management of various professional subjects according to the standard of quality control,improving the medical quality of the Department,improving the level of discipline development,promoting the continuous improvement of medical quality in hospitals.

Effects of boiling duration in processing of White Paeony Root on its overall quality evaluated by ultra-high performance liquid chromatography quadrupole/time-of-flight mass spectrometry based metabolomics analysis and high performance liquid chromatography quantification / 中国天然药物

Boiling processing is commonly used in post-harvest handling of White Paeony Root (WPR), in order to whiten the herbal materials and preserve the bright color, since such WPR is empirically considered to possess a higher quality. The present study was designed to investigate whether and how the boiling processing affects overall quality of WPR. First, an ultra-high performance liquid chromatography quadrupole/time-of-flight mass spectrometry-based metabolomics approach coupled with multivariate statistical analysis was developed to compare the holistic quality of boiled and un-boiled WPR samples. Second, ten major components in WPR samples boiled for different durations were quantitatively determined using high performance liquid chromatography to further explore the effects of boiling time on the holistic quality of WPR, meanwhile the appearance of the processed herbal materials was observed. The results suggested that the boiling processing conspicuously affected the holistic quality of WPR by simultaneously and inconsistently altering the chemical compositions and that short-time boiling processing between 2 and 10 min could both make the WPR bright-colored and improve the contents of major bioactive components, which were not achieved either without boiling or with prolonged boiling. In conclusion, short-term boiling (2-10 min) is recommended for post-harvest handling of WPR.

Practice and reflection of the implementation of quality development training to enhance students' overall quality / 中华医学教育探索杂志

In order to improve students' overall quality,Biomedical Engineering College of Chongqing Medical University has carried out quality development training in the 6 session of the 450 students.The content includes development projects,the queue training,humanities lectures,inspirational film etc.; the objective is to develop the students' mind,develop their team spirit and interpersonal communication skills.College has recruited and assisted professional instructors in the whole training.The centralized training in specific situations gives students a strong spiritual shock and strong positive energy.Before and after the training we use the same questionnaire to students,the results of which have shown that their comprehensive ability,EQ,and cohesion of the class have been improved.

New mode of literature reading - an effective method to enhance the overall ability of postgraduates / 中华医学教育探索杂志

We changed the form of literature reading from simple reading and translation to comprehensive lecture,analysis,discussion and exchange under the guidance of teachers in order to promote postgraduates' capability of learning professional English and to enhance their overall quality.The new form not only improves students' English proficiency but also enhances their overall quality,such as literature quality,teaching ability,competitive consciousness,psychological quality,etc.At the same time,it is also beneficial for teachers.