Hospital Managers Ought to Attach Importance to the Application of Hospital Management Ethics

医院管理伦理不同于医院管理道德,其具备独特的管理属性、内涵、功能、任务和目的。笔者探讨了医院管理与医院管理伦理之间的关系。当前医院管理面临诸多挑战,加强医院管理伦理建设具有重大意义。笔者就医院管理伦理在医院管理中的应用作了初步探讨,提出改进方法。Hospital management ethics is not hospital management moral,it has distinctive management attribute, connotation, function, tasks and goals.We discuss the relationship between hospital management and hospital management ethics.Because of facing a number of challenges, strengthening hospital management ethics is of great weight.We offer a preliminary account of the application of hospital management ethics in hospital management.福建省省属公益类科研院所基本科研专项项目(2014R1036-3

Discussion of Innovative Path on Cost Accounting in Modern Hospital

降低医疗成本、提高服务质量,是公立医院经营永恒的目标。成本核算是实现医院经营目标的重要手段。笔者阐述了医院成本核算的复杂性与特殊性,包括医疗服务的自身特点、国家政策和社会环境使医院成本核算基础差,不易比较和控制等特点。当前医院管理面临诸多挑战,加强医院成本核算具有重大意义。本研究就医院成本核算在医院管理中的应用做了初步探讨,并提出改进方法。The goals of hospital operation are decreasing medical cost and increasing quality of medical services.Cost accounting is an important method to achieve these goals.Including factors like the specific features of medical services,state policies and social environment lead to the fact that hospital cost have a weak basis and hard to compare and control,we illustrate the complexity and particularity of cost accounting.Facing a number of challenges,strengthening cost accounting is of great weight.We offer a preliminary account of the application of cost accounting in hospital management.福建省省属公益类科研院所基本科研专项项目(2014R1036-3

Clinical effect of damage-control orthopedics in the treatment of severe pelvic fracture

目的探讨骨科损伤控制(dCO)治疗严重骨盆骨折的临床效果。方法回顾性分析本院2010年1月~2014年1月收治的201例严重骨盆骨折患者临床资料,其中采用dCO治疗的患者为试验组(n=104),未采用dCO治疗的患者为对照组(n=97),观察两组的院内死亡率、手术时间、术中失血量、术中输液总量、术后并发症发生率和6 H乳酸清除率。结果试验组、对照组分别有7例(6.7%)和22例(22.7%)死亡,死亡原因均为失血性休克和多器官功能不全综合征,两组院内死亡率比较差异有统计学意义(P=0.003)。试验组的手术时间显著短于对照组[(55.7±11.2)MIn VS(121.5±21.3)MIn,P=0.012);试验组的术中出血量、术中输液总量均显著少于对照组[(250.3±54.3)Ml VS(612.5±56.7)Ml,(4613.9±1135.4)Ml VS(8821.3±2030.4)Ml,P=0.008、0.006)]。试验组、对照组术后并发症发生率分别为17.3%和24.7%,两组比较,差异无统计学意义(P=0.262)。试验组的急性呼吸窘迫综合征发生率显著低于对照组(P=0.038)。试验组、对照组术后6 H乳酸清除率分别为21.3%和11.2%,两组比较,差异有统计学意义(P=0.004)。结论 dCO有助于提高严重骨盆骨折患者的生存率、降低急性呼吸窘迫综合征发生率。Objective To explore the clinical effect of damage-control orthopedics(DCO) in the treatment of severe pelvic fracture.Methods Clinical data from 201 patients with severe pelvic fracture from January 2010 to January 2014 were retrospectively analyzed.Patients applied DCO was classified into experimental group(n=104),and those who didn′t were categorized into control group(n=97).The hospital mortality,operative time,intraoperative amount of bleeding,intraoperative amount of transfusion,incidence rate of postoperative complication,and lactate clearance rate of 6-hour in two groups was observed respectively.Results There were 7(6.7%) and 22(22.7%) dead cases in experimental group and control group And the causes of death were hemorrhagic shock and multiple organ dysfunction syndrome.The hospital mortality between two groups displayed a statistical difference(P =0.003).The operative time in experimental group[(55.7±11.2) min] was obviously shorter than that in control group [(121.5±21.3) min](P=0.012).In experimental group,the intraoperative amount of bleeding and amount of transfusion during surgery [(250.3 ±54.3) ml and(4613.9±1135.4)ml] in control group,and it was(612.5±56.7) ml and(8821.3±2030.4) ml respectively.After comparison,the two indexes in experimental group was obviously less than that in control group(P=0.00,0.006).The incidence rate of postoperative complication in experimental group and control group was 17.3% and 24.7% respectively,which didn′t display a statistical difference(P=0.262).The incidence rate of acute respiratory distress syndrome(ARDS) in experimental group was obviously lower than that in control group(P=0.038).The lactate clearance rate of 6-hour after surgery was 21.3% and11.2% in the experimental group and control group with a statistical difference(P=0.004).Conclusion DCO is beneficial to improve the survival rate of patients with severe pelvic fracture and reduce the incidence of ARDS

一种超临界流体注入装置

本发明公开了一种超临界流体注入装置，由气体冷却预压部分，超临界流体形成部分，以及压力温度流量反馈部分与控制部分组成，压力流量温度反馈部分由两个压力传感器、两个温度传感器和一个计数器组成，压力温度流量控制部分由微控制器和固态继电器组成。待注气体经制冷机冷却后通过两个增压泵进行二级增压，然后通过加热器加热，形成超临界流体注入到待注气物体中。压力温度流量反馈部分将检测到的流体的压力、温度、流量信号输入到微控制器，由微控制器控制固态继电器调节两个空压机、制冷机以及加热器，完成压力、温度、流量的精确控制，从而实现超临界流体的恒压恒流量注入，可应用于如聚合物CO2超临界发泡等对气体注入有严格要求的系统中

同位旋非对称核物质状态方程

为了确定同位旋非对称核物质状态方程,利用同位旋有关的量子分子动力学理论计算和寻找实验上对于中能重离子碰撞中核子-核子碰撞截面或者对称势非常灵敏的物理观测量——探针.结果发现了几种分别对于核子-核子碰撞截面或者对称势非常灵敏的物理观测量.并对这些探针的机理进行了仔细研究,对以上研究结果进行小结和讨论,并为今后继续深入研究工作提出展望

核子-核子碰撞截面对同位素标度参数α的同位旋效应

对两对重离子中心碰撞系统40C+40Ca和60Ca+40Ca以及112Sn+112Sn和124Sn+124Sn反应中就同位素标度参数α对于核子-核子碰撞截面的同位旋效应进行了研究.计算结果表明α对同位旋相关核子-核子碰撞截面σNmNed(αm)相对于同位旋无关核子-核子碰撞截面σN1N(αm)的同位旋效应很明显,然而α对σNmeNd(αm)相对于同位旋无关核子-核子碰撞截面σ2NN(αm)的同位旋效应是较小的.对以上两种条件下α同位旋效应的机理进行了仔细研究

自旋极化的同位旋非对称核物质性质

利用Skyrme有效相互作用 ,采用核子 -核子相互作用参数SKM 和SⅢ对自旋极化的同位旋非对称核物质的特性和状态方程进行了研究 ,讨论了非对称核物质的磁化率随密度的变化关系及其同位旋依赖性 .结果表明 :在Skyrme Hartree Fock框架内 ,同位旋非对称核物质会发生从非极化态到极化态的相变 ,而且发生相变的临界密度随同位旋非对称度增大而降低 .另外 ,还与微观BHF (Brueckner Hartree Fock)的理论预言进行了比较和讨

自旋极化的对称核物质和中子物质的性质

利用Skyrme有效相互作用对自旋极化的同位旋对称核物质和中子物质的特性进行了研究 .用 4种核子 -核子相互作用参数SⅢ ,SKM ,SLy2 30a和SLy2 30b ,分别描绘了核物质状态方程曲线 .可以发现不论使用哪一种参数 ,在自旋极化的同位旋对称核物质和中子物质中都存在着磁化相变转换点 .另外还对磁化系数进行了计算 ,给出了磁化系数比率随密度的变化关系 ,由于无限不连续点的存在 ,进一步肯定了在Skyrme Hartree Fock理论框架内两种物质会出现磁化相变转换

训练机器人及控制方法

本发明公开了一种训练机器人及控制方法，其中训练机器人包括第一连杆机构、第二连杆机构、基座、中央处理器和控制装置，第一连杆机构的结构与第二连杆机构的结构相同，且对称设置在基座两侧；中央处理器包括信号接收模块、存储模块、调用模块和控制模块；信号接收模块，用于接收控制装置发送的命令信号；存储模块，用于存储第一连杆机构的运动轨迹和第二连杆机构的运动轨迹；调用模块，用于根据接收到的命令信号，调用存储模块中存储的相应第一连杆机构的运动轨迹和第二连杆机构的运动轨迹；控制模块，用于控制第一连杆机构和第二连杆机构分别按照调用模块调用的第一连杆机构的运动轨迹和第二连杆机构的运动轨迹进行运动；其有效提升了训练效果