Cong Cuobai he Chenggong Jingyan zhong Chengzhang-Si Jihulixi Xuesheng Canyu Jizhongzheng Jiuye Xuecheng de Xuexi Jingyan

結合學校教學與臨床實習的整合性課程被認為是培養學生的臨床實作能力以求未來與職場無縫銜接的有效策略之一，然其成效與評價仍待檢驗。本研究目的在於了解學生參與急重症就業學程的學習經驗，本研究採取質性研究法，運用主題分析法，分析102學年中部某科技大學護理系參與急重症就業學程的參訓四技21位學生所撰寫的學習心得與反思記錄。研究結果發現三個主題，分別為主題一：職場的震撼與體認；主題二：聽、看、做的學習歷程以及主題三：從挫敗與成功中成長，整體而言，學生對於參與急重症學程的學習經驗的評價正向，急重症專業知識、臨床環境的工作形態及學習經驗，有助學生思考及確認後續個人在急重症單位工作所需努力的方向

Population-based study of birth prevalence and factors associated with cleft lip and/or palate in Taiwan 2002-2009.

BACKGROUND: Facial cleft deformities, including cleft lip with or without cleft palate (CL/P) and cleft palate (CP), are common congenital birth anomalies, especially in Asia. This study aimed to analyze the prevalence of CL/P and CP and to identify associated factors in Taiwan. METHODS: This population-based epidemiological study retrospectively analyzed birth data obtained from the Department of Health in Taiwan for years 2002-2009. Frequency distribution, percentages and related predictors were investigated, and findings were presented by types of cleft deformities. Logistic regression analysis was performed to identify factors associated with cleft deformities. RESULTS: Overall prevalence of cleft deformities among 1,705,192 births was 0.1% for CL/P and 0.04% for CP over the 8-year study period. Higher prevalence of CL/P or CP was observed with multiple pregnancies, being male for CL/P, being female for CP, gestational age ≤37 weeks and lower birth weight (<1.5 kg). Both CL/P and CP were significantly associated with gestational age <37 weeks and birth weight<1.5 kg (all P <0.0001). CL/P was significantly associated with multiple parities (P = 0.0004-0.002). Male newborns and female newborns were significantly associated with CL/P and CP, respectively (both P<0.0001). CONCLUSIONS: Overall prevalence for congenital cleft deformities in study subjects was 0.1%, in keeping with high rates in Asia. Results suggest the need for awareness and early identification of those at high risk for cleft deformities, including newborns with gestational age <37 weeks, weighing <1.5 kg at birth and women with multiple parities, as a potential strategy to counter long-term adverse effects on speech and language in this population

Personal History and Physical Examination in Judgment of Urinary Tract Infection in Children Aged 3 Months to 2 Years

Pediatricians ubiquitously rely on urine analysis for diagnosing urinary tract infection (UTI) in young febrile children due to discrepancies in symptom presentation. This study aimed to identify the determinants of physical examination and personal history for diagnosing UTI. Methods: Four hundred and ten patients aged between 3 months and 2 years presenting with a tympanic temperature of >38°C for >24 hours were requested to undergo urinary tests. Pediatricians completed patient record charts before the test results were generated, examined the final results of the tests, and compared the results with those reported in the medical records. Multivariate logistic regression analysis was performed to detect potential confounding factors. Results: An age of 3 times/day. Conclusion: For febrile patients in the age group examined, the absence of throat redness and female sex were independent predictors of UTI. Moreover, the risk of UTI was higher in younger patients

The distribution of cleft lip with or without cleft palate (CL/P) and cleft palate (CP) in newborns in Taiwan during 2002–2005 and 2006–2009.

<p>The distribution of cleft lip with or without cleft palate (CL/P) and cleft palate (CP) in newborns in Taiwan during 2002–2005 and 2006–2009.</p

Logistic regression analysis of the distribution of cleft lip with or without cleft palate (CL/P) and cleft palate (CP) in newborns in Taiwan during 2002–2009 after adjusting for time.

*<p>indicates statistical significance.</p

Demographic and clinical characteristics of mothers and newborns.

<p>Demographic and clinical characteristics of mothers and newborns.</p