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

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

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

语言的文化内涵及其教学意义思考

在语言与文化关系的探讨上，各家的论述不是偏重语言的结构特征就是侧重文化的整体综合性特点，根据外语教学在新世纪的实际需要，外语教学应注意发掘语言文化内涵实践意义的可行途征

表层结构与深层结构范畴的翻译学意义

表层结构与深层结构范畴的构建是结构主义哲学思维方式在语言研究上进一步精细化、综合化的表现，尽管这对范畴富有争议，但其在翻译学科建设上的借鉴作用，其合理的科学内涵对语言研究的深化以及相关学科的建设仍有其理论和实践价值

结构功能语言研究方法论的人文主义取向

传统的按流派观点对语言进行研究容易模糊语言作为整体存在的特性以及语言与文化之间的内在联系。语言研究中的结构功能二位一体的方法论视角体现了当代学科的发展趋势 ,因此文中涉及的众多人物不具有所谓的结构主义或功能主义语言学代表的含义。他们的成果共同体现了当代语言学研究中的人文主义的价值取向 ,同时也预示出未来的发展前

Comment on the linguistic orientation of conversational implicature

原本作为哲学范畴提出的会话含义理论,在语言学界得到了某种程度的阐发,对这一理论的语言学研究倾向的认识论基础进行分析,并探讨其在语言学研究中可能具有的前景

企业危机处理中的跨组织协作

企业应对危机离不开跨组织协作,跨组织协作可带来成本、信息和行业方面的便利,但也会对相关利益形成冲击。要从知识、规则、技能角度构建协作框架,需将技能与渴望、规制与谈判、知识与SMDS关联,协作实现要考虑依存性、协作机制、信息沟通和工具选择等因素

formal software specification generation approach based on problem patterns

精确的形式化软件规格说明是软件描述、开发与验证的基础,而工业界普遍使用非(半)形式化的表示定义与描述用户需求,如何由非(半)形式化的用户需求生成形式化软件规格说明是需求工程的难点之一.将设计模式的概念进行扩展,定义了问题模式,提出了一种基于问题模式形式化软件规格说明生成方法.该方法从结构化自然语言SNL描述的高层问题需求出发,通过选择知识库中的问题模式逐步精化得到各个新的子问题对应的形式化规格说明,之后对各个子问题组合并进行优化以得到最终的形式化规格说明.进一步,使用模型精化演算的原理与概念给出了该生成方法的理论基础.采用算法程序领域作为研究对象并使用Radl语言作为形式化规格说明语言.通过算法程序领域中的典型实例对这一方法进行了详细的描述,实际效果表明该方法能有效地生成高质量形式化规格说明.江西省自然科学基金项目(20122BAB211030

新生中子星的性质与三体核力效应

在Brueckner-Hartree-Fock理论框架内,研究了新生中子星的状态方程和性质,计算了新生中子星的最大质量和新生中子星中质子占总核子数的丰度,特别是讨论了三体核力和中微子束缚效应的影响以及三体核力和中微子束缚效应的相互影响．结果表明,无论是否考虑三体核力,中微子束缚对新生中子星的状态方程和质子丰度均有明显影响．中微子束缚导致新生中子星物质中的质子丰度显著增大．三体核力的贡献是使新生中子星的状态方程变硬并导致新生中子星中质子丰度明显增大．束缚在中子星物质中的中微子显著减弱了三体核力对于中子星物质中质子丰度的影响