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Objective:To analyze the current situation and problems of cross-provincial medical treatment for children in Shandong province, and put forward corresponding countermeasures.Methods:The FUTang Updating medical REcords(FUTURE)database established by Futang Children′s Medical Development Research Center was selected to extract the data of 0-14 years old children who were discharged outside Shandong province from January 1, 2019 to December 31, 2020 and whose current address was in Shandong province, and the data of hospitalized children in a children′s hospital in Shandong province during the same period were selected for comparison. The SPSS 22.0 software was used to establish the database, and statistics and analysis were made on the number of cases, main flow direction, departments, types of diseases and hospitalization cost of children.Results:A total of 13 071 cases accepted cross-provincial medical treatment were included, and the main flow of medical treatment was Beijing Children′s Hospital. The data of 87 742 children admitted to a children′s hospital in Shandong province at the same time were included. The proportion of female and school-age children in children accepted cross-provincial medical treatment was higher than that of local patients, and the hospitalization cost was higher than that of local patients. The main diseases for children seeking medical treatment outside the province were tumors, immune diseases and other serious diseases or chronic diseases, while the main diseases for children seeking medical treatment in the province were respiratory diseases such as pneumonia.Conclusions:The proportion of tumors and immune diseases among children aged 0-14 years accepted cross-provincial medical treatment is relatively high. Hospitals in Shandong province should pay attention to the construction of key specialties, actively develop new technologies and new businesses, and enhance the core competitiveness of hospitals. At the same time, we should improve the medical service system and guide patients to seek medical care reasonably through policies.
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OBJECTIVE: To summarize the experience of bariatric and metabolic surgery in a single center from 2009 to2017 and explore the methods of the specialty construction of bariatric and metabolic surgery. METHODS: The clinical data of 1139 cases of bariatric and metabolic procedures performed from October 2009 to December 2017 in Department of Bariatric and Metabolic Surgery,the First Affiliated Hospital of Nanjing Medical University were analyzed retrospectively. RESULTS: The case numbers increased annually after the foundation of bariatric and metabolic surgery with the annual growth rate of 40.1%. Bleeding and leakage were the main postoperative complications. Among them,there was one case of postoperative death,6 cases of re-operations within the 30-day after discharge,and 21 cases of 30-day postoperative readmission. The learning curve analysis indicated that learning time was 23 cases for laparoscopic gastric bypass and 25 cases for sleeve gastrectomy. The rates of 1-year excessive weight loss were 83.0% for gastric bypass,72.4% for sleeve gastrectomy,and 82.3% for sleeve gastrectomy plus jejunal bypass. The rates of 1,3 and 5-year follow-up were around 95.0%,67.0% and 52.0%. CONCLUSION: The foundation of bariatric and metabolic specialty is the key reason for the massive increase of surgical cases. The learning curve of laparoscopic bariatric and metabolic surgery can be shortened though systemic specialty training. The collaboration of multi-disciplinary team and the perioperative process management are the key points for the construction of an excellent center.
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Objective To investigate the current situation of nursing specialty construction at department level in Shanghai tertiary hospitals.Methods Totally 92 nursing specialties in 6 hospitals were investigated using a selfdesigned questionnaire of evaluation indicator system for nursing specialty construction at department level in tertiary hospitals.Results The score rate of 92 nursing specialties was between 27.75％～75.10％.There were 6 departments with a score of 70％ to 79.9％,accounting for 6.52％.There were 18 departments with a score of 60％ to 69.9％,accounting for 19.57％.There were 68 departments with a score less than 60％,accounting for 73.91％.For the first-level indicator,the score rate of "nursing practice" was the highest,followed by "teaching level""specialized training base construction""talent echelon construction" and "scientific research".Conclusion The overall level of nursing specialty construction at department level in Shanghai tertiary hospitals is relatively low.Hospitals should pay attention to "talent echelon construction","scientific research" and "training base construction" to increase the level of nursing specialist construction.
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Reproductive medicine,studying reproductive health of the gender,is an important branch of modern medical science.The reproductive medical education about undergraduate degree started late in China.Compared with the reproductive medical research,education has lagged apparently.The article discussed the specialty construction of reproductive medicine from necessity,construction of reproductive medicine curriculum,establishing a scientific and reasonable training plan,implementing innovative education and preparation of series of materials for reproductive medicine specialty.
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Exploring the educational model and highlighting its medical characteristics are principal issues of the Applied Psychology specialty in medical institutions.The construction of the applied Psychology specialty in medical institutions,should make the clear training objectives,set optimal curriculum and textbooks,improve the practice ability of students,and improve the interdisciplinary qualities of teachers.
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Assuring the meaning of public administration and establishing the training objectives are the foundation in curriculum management.The curriculum management of the public administration specialty includes five big modules:thought politics theory and public basic course group,specialty fundamental course group,professional course group,specialty direction class group as well as special lectures and practice teaching.
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Eight-year medical education has been run in some of the unversities in China,which has made some effective trials in personnel training mode according to the training purposes sent by Ministry of Education,but there still exists weaknesses in curriculum provision and reasearch training.This article briefly analyzed the major construction of the eight-year medical education and displayed several views.