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

基于亲景度、竞争态的新疆入境旅游客源市场定位研究

对新疆入境旅游客源市场的准确分析,是新疆国际旅游业可持续发展的前提。本文运用亲景度指标和市场竞争态指标,定量分析2000-2005年新疆入境旅游客源市场亲景度和竞争态的时空演替特征,据此将新疆入境旅游市场定位为3类市场:基础市场、重点市场和拓展市场,并提出开拓新疆入境旅游客源市场的针对性对策

焦化二甲苯残液的分离工艺研究

针对苯加氢过程中产生的二甲苯残液进行分离，通过减压精馏实验并结合化工模拟软件PRO II 9.0建立的二甲苯残液分离模型对其工艺进行研究。研究表明：通过高效精馏，可以实现焦化二甲苯残液中组分的分离；在理论板为60，压力为10kPa，回流比为15时，可以获得w〉99.0%的茚满，回流比为20时，可获得w〉99.0%的四氢化萘，单程收率可以达到95%以上。实验与模拟结果为实现工业化分离二甲苯残液制备茚满和四氢化萘产品提供了必要的基础数据

克拉玛依新绿洲休闲农业开发模式初探

对干旱区新绿洲休闲农业开发模式的探讨,是休闲农业深度开发战略在时空推进上的具体落实。克拉玛依是新绿洲的典型代表,其休闲农业发展条件和发展模式具有特殊性。通过国内休闲农业开发地的对比分析,总结了我国休闲农业发展的三种模式:阶段模式、地域模式和功能模式,并以此为视点,对克拉玛依现代农业科技园旅游资源空间结构和层次结构分析的基础上,提出克拉玛依新绿洲的休闲农业开发的五种模式:绿洲原生态旅游模式、高新科技农业示范旅游模式、农业产业化与产业庄园旅游模式、庭院经济旅游模式和文体节日旅游模式。以求对新绿洲休闲农业的可持续发展有所启益

一种集流体及其制备方法

本发明提供了一种集流体，所述集流体箔材至少一面具有含石墨烯和粘结剂的涂层。本发明还提供了集流体的制备方法，包括步骤：将石墨烯和粘结剂分散于溶剂中，形成浆料；将所述浆料涂敷于集流体箔材的至少一个表面上，然后进行干燥。本发明制备的涂层中的石墨烯的二维片层状结构，使得石墨烯在集流体箔材表面形成均匀、致密的涂层，大大提高了石墨烯在集流体表面的接触面积，增强活性材料与集流体之间的导电接触，有效地降低集流体与活性材料之间的界面电阻，降低电池内阻；平铺于集流体表面的石墨烯片层之间及其与集流体之间的接触面积大，相互作用力强，不易脱落，粘着力强，在充放电的过程中不会发生活性材料与集流体间的脱离，有利于降低内阻

Ferrihydrite reduction and vivianite biomineralization mediated by iron reducing bacterium Shewanella oneidensis MR-4

[Objective] To explore the mineralogical,chemical and microscopic properties of extracellular vivianite formation induced by iron-reducing bacteria Shewanella oneidensis MR-4.[Methods] MR-4 cells grown with 30 mmol/L of lactate and 10 mmol/L of amorphous ferrihydrite,which were used as electron donor and electron acceptor,respectively.The medium was buffered with 30 mmol/L [HCO_3~–] and 5 mmol/L [PO_4~(3–)],and the culture was incubated at 30 oC.The headspace of serum bottle flushed with N_2/CO_2 (V/V,80/20).The pH,biomass and [Fe(II)] of the culture were measured by sampling at different time points.Meanwhile,the combination of X-ray diffraction,scanning electron microscope,laser Raman and transmission electron microscope approaches were applied to characterize the mineralogical,chemical and morphological properties of products produced within the culture.[Results] MR-4 could couple the reduction of Fe(III) with the oxidation of lactate for their cell growth and mineral transformation of Ferrihydrite.Specifically,ferrihydrite was initially transformed to nanometer-sized magnetite particles and majorly to micrometer-sized vivianite with bladed and fibrous morphologies finally.[Conclusion] The biomineralization process and products by MR-4 were strongly affected by environmental conditions such as the types and concentration of anions.In this case with relatively high [PO_4~(3–)] within the culture,ferrihydrite was initially converted to nanometer-sized magnetite,and was transformed into vivianite dominantly at the end of the culture.The result of this paper provides a new insight for comprehensive understanding of the microbial induced biomineralization of iron-reducing bacteria and its role in the iron element biogeochemical cycle

默读汉字词的脑功能偏侧化成像研究

采用读词名的方法 ,对 12名正常大学生 ,运用功能性磁共振成像技术 (fMRI) ,研究了汉字词及假词视觉识别时的脑功能偏侧化现象。实验结果表明 ,汉字词激活左下额区 (BA45)以及右颞叶 (BA21、22)、右枕叶 (BA18) ,而假词除额区外表现出广泛的激活。此结果显示除左脑半球与汉字词加工密切相关外 ,右脑半球在汉字词加工中有一定参与但其确切作用有待进一步研究

THE LATERALITY OF BRAIN FUNCTION IN SILENT READING OF CHINESE WORDS REVEALED BY FMRI

采用读词名的方法 ,对 12名正常大学生 ,运用功能性磁共振成像技术 (fMRI) ,研究了汉字词及假词视觉识别时的脑功能偏侧化现象。实验结果表明 ,汉字词激活左下额区 (BA45)以及右颞叶 (BA21、22)、右枕叶 (BA18) ,而假词除额区外表现出广泛的激活。此结果显示除左脑半球与汉字词加工密切相关外 ,右脑半球在汉字词加工中有一定参与但其确切作用有待进一步研究。</p