目的:讨论规范急诊科仪器设备的管理，提高护士抢救患者的质量和效率。方法:对监护室的急救仪器设备定点定位放置，规范管理；设计操作保养维修流程图，规范护士的行为；加强培训考核力度，使护士熟练掌握急救技能。结果:急救仪器设备地完好率、患者抢救的成功率、医生对护士的满意度均有所提高。结论:规范了急救设备的管理，有效的提高了护理质量，及时杜绝了护理隐患的发生。
Objective To explore a new rotation training mode suitable for residency standardized non-professional radiological trainees in radiology department, so as to improve the training quality. Methods The residency standardized non-professional radiological trainees who rotated in the Department of Radiology, West China Hospital, Sichuan University between June 2021 and January 2022 were retrospectively included as the research objects. According to the training mode, they were divided into traditional training mode group and innovative training mode group. The training results of the two groups were compared by taking process assessment, final examination and final score as evaluation indicators. Results Finally, 122 residents were included, including 45 in the traditional training model group and 77 in the innovative training model group. There was no significant difference in gender, major, identity and grade between the two groups (P>0.05). There was no significant difference between the two groups in the first film reading skill examination and their usual homework performance (P>0.05). The score of the second film reading skill examination [15 (14, 16) vs. 12 (11, 13)], the score of the final examination [34 (31, 36) vs. 29 (25, 31)] and the final score [80 (76, 83) vs. 71 (67, 74)] in the innovative training mode group were better than those in the traditional training mode group (P<0.05). Conclusion The innovative training mode of online teaching platform combined with offline teaching can improve the training effect of residency standardized non-professional radiological trainees in radiology department.
The surgical case report（SCARE）statement is the report checklist made by European researchers in 2016, which is specialized for surgical case report. As a reference for enhancing the research quality and transparency, the SCARE statement provides a fundamental framework for surgical case reports. The last SCARE statement was revised in 2020, and this paper interprets it to provide a practical tool for domestic researchers in surgical case report.
Medical ethic and publication ethic was more and more and important with the development of trial registration and systematic review registration promoted by the World Health Organization and the Cochrane Collaboration. Chinese Trial Registration and Publication Collaboration (ChiCTRPC) published the first statement to implement trial registration in China. We suggested that trial registration should be combined with ethic review and described the new definition of publication ethic in the second meeting by ChiCTRPC in 2010. In the the third meeting of ChiCTRPC in 2011, Experts from many fields communicated adequately and reached consensus. We summarized the experiences and lessons in the 5 years after the first statement of ChiCTRPC was published. Based on the latest progress of research ethic, publication ethic, trial registration, and systematic review registration, we drafted this explanation document for the second statement of ChiCTRPC to realize good research practice (RGP), good publication practice (GPP), and good translation practice (GTP) by implementing research ethic and publication ethic.
(承2007年第6期) 6.2 盆腹膜重建的种类和方法 6.2.1 盆底隔离法如前所述,因超低位直肠/肛管癌浸润会阴直肠隔、盆侧壁及肛周扩约肌群而实施了新腹会阴局部扩大切除术,因T4期直肠癌浸润子宫阴道或膀胱前列腺部分组织而实施了盆腔脏器局部扩大切除术,因局部复发性直肠癌而实施了腹会阴联合再切除术,因各种原因对中晚期直肠癌实施了Hartmann手术,以及因技术不确定性而实施了传统腹会阴联合切除术,无论手术切除范围或术者的操作技巧如何,由于病变性质决定了这类手术只能定位于根治性(R0)与姑息性(R2)之间的程度.因此,初次切除只是获得治愈或延长生存期的第一步,接下来是盆腔放疗或局部内放射治疗,最后,尚存在局部复发的高风险,若发生,可经会阴骶尾部再次甚至多次对复发癌行局部姑息性切除.因而预先有效的盆底隔离就可避免再手术时的小肠损伤,这就是盆底重建术的主要功能和适应证之一.……