Analysis on key aspects of cultural integration for cross-region specialists alliances of closed cooperation / 中华医院管理杂志

Objective:To analyze key aspects in cultural integration for cross-region specialists alliances of closed cooperation, for promoting such integration and identifying efficient operation of the practice.Methods:Quantitative and qualitative methods were used. 192 employees of primary hospitals participated in a questionnaire survey about their personal information and hospital culture self-evaluation on 18th February, 2019. Data so collected were subject to descriptive analysis. On February 21, 2019, the deans of the hospitals were invited for in-depth interviews, and focus group discussions were arranged for 7 doctors from the center hospital who had provided medical support for the primary hospital for more than half and a year, and for 5 doctors and 2 head nurses from the obstetric and neonatal department of the primary hospital respectively. The purpose is to understand the direction, key aspects, achievements and challenges of cultural integration between the two hospitals. Content analysis method was used to study recordings and interview documentation.Results:Employees of the primary hospital had a high satisfaction with indicators of organizational citizenship behavior, and the quality of medical care and team orientation, with the self-rated original scoring for the elements of hospital culture being 3.755, 3.754 and 3.698 respectively. On the other hand, they found insufficiencies in the innovation, poor orientation and incentive mechanism, with the self-rated original scoring for the elements of hospital culture being 3.469, 3.391 and 3.297 respectively. The self-rated total scoring was lower among medical technicians and those with bachelor′s degree or above, which were 3.029 and 3.202 respectively. Hospital culture integration is designed to strengthen technical guidance and care for doctors and patients, and to strengthen cooperation and support in HR training, scientific research innovation and spiritual culture construction. The key to integration is acceptance. The current roadblocks for efficient operation of this model come from medical insurance policy, material resources policy, logistics support, informationization management, personnel training and support and performance management.Conclusions:The cultural integration of cross-region specialists alliances of closed cooperation should be realized through the interactions of values, systems, behaviors and material resources dimensions. Government should play a leading and coordinating role and improve supporting measures.

Effect of psychological intervention combined with differenttherapeutic doses of methylprednisolone on acute exacerbation of bronchial asthma / 中国生化药物杂志

Objective To discuss the treatment of psychological intervention combined with different doses of methylprednisolone in treating bronchial asthma with acute onset treatment. Methods Randomly selected from January 2015 to March 2016 in our hospital with acute onset of bronchial asthma in 74 patients, divided into experimental group 37 cases and control group 37 cases, control group was given intravenous injection of methylprednisolone 40 mg/ times, two times a day, given routine nursing; the experimental group patients were treated with intravenous infusion of methylprednisolone 80 mg every time. Psychological intervention on the basis of the control group, the treatment of the two groups of patients with effective rate comparison. Results The effective rate of the treatment group was 94.59％, the effective rate of treatment group was 91.89％, the effective rate of treatment group is two level, the differences between groups was not statistically significant; the experimental group of patients with asthma duration and hospitalization time was significantly lower than the control group, the differences between groups was statistically significant (P<0.05). Conclusion For patients with acute onset of bronchial asthma treated in different doses of methylprednisolone treatment effect, but the duration of asthma patients after psychological intervention and hospitalization time was shortened, the clinical effect is good, worthy of promotion and application.

Protective role of ERp46 in palmitic acid-induced endoplasmic reticulum stress / 中华内分泌代谢杂志

Detection of the possible role of ERp46,new endoplasmic reticulum protein,on palmitic acid-inducedendoplasmic reticulum stress-apoptosis pathway in βTC6 cells for the new treatment of type 2 diabetes.Results showed that ERp46 played a protective role in palnutic acid-induced cell apoptosis by decreasing the endoplasmic reticulum stress response through three pathway.