Association of Health-related Quality of Life with Health Examination and Lifestyles of Government Managers in China

In order to study the association of each item of a health examination and lifestyles with health-related quality of life (HRQoL), a cross-sectional survey by a self-administered questionnaire using the 12-Item Short Form Health Survey (SF-12, version 1) was conducted on 145 government managers that took health examinations in Tongji Hospital, Wuhan, China during 2005. The results showed that the determinations of organic functions including BMI, hemoglobin, blood platelet count, urine protein, urine WBC and lipid metabolism (LDL) were associated with HRQoL. The lifestyle items including age, sex, life satisfaction, drinking alcohol and kind of alcohol drunk, drinking tea, sleep quality and adhering to bedtime, working overtime, work stress were associated with HRQoL in the multiple regression models. Sex, age and life satisfaction were the lifestyle items most closely associated with HRQoL, while LDL, hemoglobin and urine protein were the health examination items most closely associated HRQoL. This study revealed that both lifestyle and health examination items were associated with HRQoL.

The quality examination of observative data at Geomagnetic observatories

The basic task of geomagnetic observatory is .to produce accurate, relaible,continuous and complete observative data. The aim of examination is to judge the quality status of data. According to the operative principle of geomagnetic instruments and its operative status that should be achieved, geomagnetic activity and spread characteristics in time domain and location domain, authers proposed a complete set of data quality examination. The paper discusses respectively physical basement, examination method and the result about scalevalues, base-line values, monthly mean values, daily mean values, maximum and minimum values in daily range, magnetic storm and K index. The practice has proved that this set of examination is feasible and useful to raise and to guarantee the quality of observative data.

Analysis on Factors Influencing Sustainable Development of Self-study Examination of Agricultural Science Disciplines

Based on existing problems in the course of development of self-study examination of agricultural science disciplines, this paper analyzes logical conditions for its sustainable development. Major logical conditions include requirement for free and comprehensive development of individuals; requirement for social institutional evolution and change; requirement for fairness and justice of education and development; as well as requirement for better-established organization system and higher social reputation. Finally, it presents basic measures for sustainable development of self-study examination of agricultural science disciplines, including carrying on reasonable core elements of self-study examination system, adjusting structure of discipline, improving social assistance system, and expanding service space.

Improving testicular examinations on paediatric patients in the emergency department:A quality improvement study to improve early diagnosis of testicular torsion

Objective:Male paediatric patients presenting with abdominal and/or testicular pain are common in the emergency department.As a time-sensitive diagnosis,the importance of early recognition,referral,and definitive management is critical.Missed or delayed diagnoses and management of testicular torsion can result in significant long-term sequelae including impaired fertility and psychological burden.In this quality improvement study,we utilised educational posters aiming to improve awareness of testicular torsion as a differential for abdominal pain and therefore,improve the quality of testicular examinations performed in the emergency department.Methods:Observational pre-and post-intervention study was conducted at a tertiary hospital emergency department.A pre-interventional retrospective review of the electronic medical records was conducted.All male patients under 16-years-old presenting with“abdominal pain”or“testicular problem”were included.We assessed the rate of testicular examination and the quality of the examination based on four domains:Cremasteric reflex,lie,swelling,and hardness.Educational posters targeting both patients and clinicians were placed around the emergency department.Subsequent review of the electronic medical records post-intervention was performed assessing the same domains.Results:A total of 235 presentations were analysed with 124 in the pre-intervention group and 111 in the post-intervention group.Overall rate of documented testicular examinations increased by 14%(p=0.032).The quality of testicular examinations also improved from an average of 0.85 domains documented to 2.29 post-intervention(p<0.001).Subgroup analysis found doctors in training had a greater improvement in both rate and quality of documented testicular examination.Conclusion:Our study demonstrated the value of continuing education in promoting awareness of testicular torsion in the emergency department.We found a clear improvement in the quality of clinical documentation of a time-sensitive condition which may infer a decreased risk of missed and delayed diagnosis of testicular torsion.

The Role of the Examination Management for Medical Students in Humanities Education and Training Professional Quality

It has been proved by years of research that if the function of examination management cannot be fully understood or be used effectively, the humanities education and train of professional quality for medical students will not make a fundamental achievement. Because it is not only an academic training but also the examination management and the humanities cultivation have a close connection. The humanities cultivation which is based on the core of virtue requires a good campus environment. Therefore, we should adjust to the medical students＇ humanities quality training requirements, making the targeted reform and innovation of examination management.

Method of effective evaluation for examination of chloride ion in concrete

The chloride ion contained in reinforced concrete seriously corrodes the steel surface and damages concrete, resulting in inferior reinforced concrete that strength seriously compromises the entire structure’s safety. Consequently, the examination of chloride ions contained in reinforced concrete becomes an important part of a complete quality control procedure. To effectively check the concentration of chloride ions in concrete, the evaluation process should be accurate and precise. Laboratory data ob- tained using existing evaluation methods for the examination of chloride ion are not sufficiently objective to yield reliable results with accuracy and consistency for each sample. An evaluation algorithm with capability to define indices of precision degree (Ep) and accuracy degree (Ea) is presented in this paper. The authors established a statistically reliable index of unbiased estimators and equations to critically examine the laboratory methods’ precision, accuracy degrees and application value for measuring chlorine ion concentration in reinforced concrete.

Orientation and Function of Examination Evaluation in the Reform of College Entrance Examination

With the aim of deepening the college entrance examination reform,this paper analyzes the orientation and role of examination evaluation in the reform of college entrance examination.Firstly,the paper expounds the implementation of the college entrance examination reform and affirms the necessity of several related educational reforms.Secondly,it expoxmds the orientation of examination evaluation.Finally,it summarizes the function of examination evaluation from four aspects:guiding the development of students*comprehensive quality,supervising teaching work,promoting the progress of teaching work,and guiding examination propositions.The advantages of examination evaluation are emphasized to promote the reform of college entrance examination and further drive the progress of the education reform in China.

Sex differences in the association between the muscle quality index and the incidence of depression: A cross-sectional study

BACKGROUND Depression presents significant challenges to mental health care.Although phy-sical activity is highly beneficial to mental and physical health,relatively few stu-dies have conducted on the relationship between them.AIM To investigate the association between muscle quality index(MQI)and incidence of depression.METHODS The data used in this cross-sectional study were obtained from the 2011-2014 National Health and Nutritional Examination Survey,which included informa-tion on MQI,depression,and confounding factors.Multivariable logistic regre-ssion models were employed,while taking into account the complex multi-stage sampling design.A restricted cubic spline model was utilized to investigate the non-linear relationship between the MQI and depression.Additionally,subgroup analyses were performed to identify influential factors.RESULTS The prevalence of depression in this population was 8.44%.With the adjusted model,the MQI was associated with depression in females(odds ratio=0.68,95%confidence interval:0.49-0.95)but not in males(odds ratio=1.08,95%confidence interval:0.77-1.52).Restricted cubic spline adjustment of all covariates showed a significant negative non-linear relationship between depression and the MQI in females.The observed trend indicated an 80%decrease in the risk of depression for each unit increase in MQI,until a value of 2.2.Subsequently,when the MQI exceeded 2.2,the prevalence of depression increased by 20%for every unit increase in the MQI.Subgroup analyses further confirmed that the MQI was negatively associated with de-pression.CONCLUSION The MQI was inversely correlated with depression in females but not males,suggesting that females with a higher MQI might decrease the risk of depression.

Tests to measure the quality of spermatozoa at spermiation

This commentary is to critique the revised World Health Organization （WHO） semen analysis manual as it pertains to characteristics of a spermatozoon at spermiation. The aims of the revised WHO manual include improving the ＇quality of semen analysis＇ without any restriction to clinical use. Furthermore, the manual states that semen analysis may be useful for （a） ＇investigating male fertility status＇ and （b） ＇monitoring spermatogenesis during and following male fertility regula- tion.＇ However, if the analysis of ejaculated spermatozoa is intended for the purposes described in （b）, then cells that are abnormal at spermiation must be identified. This paper takes the position that the manual does not identify methods to estimate the quality of spermatozoa at spermiation. Instead, it uses a ＇gold standard＇ of sperm passing through the cervical mucus or arriving near the site of fertilization. Although this standard is appropriate for drawing conclusions regarding the probability that an individual could impregnate his partner, it is not appropriate for studying illness of the testes per se. Herein, the measures of sperm quality presented in the WHO manual are critiqued with respect to the detection of spermatozoa that were abnormal at spermiation vs. those that became abnormal subsequently. Quality assessments based on the percentage of motile or ＇viable＇ spermatozoa are meaningless. Alternative quality attributes defining spermatozoa at spermiation are presented in this paper. In conclusion, assessment of spermatozoal quality at spermiation, on the basis of quality attributes of individual ejaculated spermatozoa, is best achieved through application of （a） a new paradigm for the morphological evaluation of sperm quality and （b） modern analytical techniques to evaluate, in an adequate sample, several appropriate independent attributes in each spermatozoon in order to more accurately identify the proportion of abnormal spermatozoa.

Effects of Dual-Perspective Nursing Intervention Based on Safety and Comfort Needs on Psychological Status and Safety Quality of MRI Patients

Objective:To investigate the effect of dualperspective nursing intervention based on safety and comfort needs on the psychological status and safety quality of patients undergoing magnetic resonance imaging(MRI).Methods:A total of 100 patients who received MRI in our hospital from October 2017 to December 2019 were selected and randomly divided into two groups,50 cases for each group.Routine nursing intervention was performed in the control group,and double-perspective nursing intervention based on safety and comfort needs in addition to routine nursing was performed in the observation group.Psychological status and examination of safety quality were observed and compared between the two groups.Results:The scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the observation group were lower than those in the control group after intervention.Meanwhile,the scores of early treatment of dangerous conditions,implementation of safety measures,prevention of accidental injuries,communication of safety information,education of safety knowledge,standardized examination and awareness of self-safety management in the observation group were higher than those in the control group after intervention,and the differences were statistically significant(P<0.05).Conclusion:Dual-perspective nursing intervention based on safety and comfort needs is effective for patients undergoing MRI examination,which can improve the psychological status of patients and improve the quality of examination safety.

Health-Related Quality of Life of Experts Who Worked in Air Disasters in Sao Paulo, Brazil

Aim: To evaluate the influence of identifying victims of air disasters in S&atilde;o Paulo on experts’ quality of life (QoL). Methods: QoL was evaluated using the abbreviated version of the World Health Organization (WHO) quality of life questionnaire (WHOQOL-bref). We assessed 29 forensic experts who worked in air disasters in S&atilde;o Paulo and 29 experts who have not worked. The results were analyzed with Student’s t-tests;we compared the QoL scores of individuals at the time of the accident with their current QoL scores, and the scores of the control group were compared with the current scores of the disaster group. Results: Statistical analyses revealed a significant decrease in forensic expert QoL when they worked at the accident site, and this result was evident in all WHOQOL-bref domains. No significant difference was observed between the experts’ current QoL scores and those of the control group. Conclusions: The identification of air disaster victims in the city of S&atilde;o Paulo significantly decreased expert health-related QoL (HRQoL) with regard to physical and psychological aspects, social relationships and environment domains. This disturbance on the QoL was not persistent over the years.

高校大规模招生应用综合素质评价的困境与对策

综合素质评价纳入高校招生是新高考改革的重要内容,然而除了部分试点高校对综合评价招生进行积极探索以外,在高校大规模招生中尚未有效应用,影响到新高考改革的整体成效。从高校主体视角看,综合素质评价在高校大规模招生中的应用困境主要表现为“不能用”“不愿用”“不会用”“不敢用”的“四大困境”。实现高校在大规模招生中对综合素质评价“能用”“愿用”“会用”“敢用”,需要提升综合素质评价质量,扩大综合素质评价使用空间;树立正确的招生理念,控制招生录取工作成本;加强相关研究与探索,提升高校招生能力;加快构建社会诚信体系,提供包容的改革环境。

影像检查规范化及管理体系建设与实施

基于“健康中国”战略的正式实施,为响应我国“十四五”时期党中央以及国务院对于人民群众医疗高质量发展的要求,通过优化医疗资源的利用效率,降低就医负担,并保障医疗质量以及安全;其内容包括影像检查规范化。本研究基于文献查阅以及江苏省影像规范化执行现状提出建设性意见和建议;影像检查规范化需要行政部门和医疗机构的体系支撑,同时还要有行业以及设备厂家的技术保障;行政主管部门制定和定期更新符合我国国情的影像指南以及具体实施细则,加强影像平台数据库建设,建立影像检查管理与评估体系,加大影像质控覆盖范围。医疗机构基于影像检查指南以及相关制度,强化培训并严格落实考核制度,执行影像检查和报告的智能质控和评价系统;开设独立的影像门诊或多科室联合门诊,提高临床诊疗的科学性和精准性。医务人员加强学习和执行相关检查指南以及实施细则,基于多学科诊疗平台提高规范化影像检查水平,积极开展影像新技术的研发和应用,提高影像检查的高效性和诊断的精准性。通过制定统一的符合我国国情和时代的影像指南以及影像工作实施细则,执行具体规范措施和方案,大力推进影像检查规范化。

基于OSCE考试成绩的临床基本技能教学同质化分析

目的:查找和改进临床医学专业学生临床实践教学中的薄弱环节,提高实践教学质量。方法:以沈阳某医学院校在12个实践教学基地实习的2016级临床医学专业参加毕业技能考试的291名实习学生作为研究对象,采用单因素方差分析和Kruskal-Wallis检验分析其客观结构化临床考试(objective structured clinical examination,OSCE)的临床基本技能成绩。结果:在标准化病人问诊及查体成绩中,H实践教学基地的及格率和平均分均最低,其实习学生的平均分与A、B、F、G、K、L实践教学基地实习学生比较差异有统计学意义(P<0.01)。在技能操作成绩中,H实践教学基地及格率和平均分最低,其实习学生的平均分与A、D、E、F、G、I、J、K实践教学基地实习学生比较差异有统计学意义(P<0.01)。在辅助检查结果判读成绩中,H实践教学基地及格率和平均分最低,A、H基地实习学生的平均分与B、J基地实习学生的平均分比较差异有统计学意义(P<0.01)。结论:不同实践教学基地的学生实习效果存在较大差异,医学院校要加强对实践教学基地的管理,确保临床实践教学质量同质化。

公平而高质量的中考分流:价值向度、实践样态及路径选择

追求公平而高质量的中考分流,应坚持按教育“内适”规律、“外适”规律和“个适”规律办好人民满意的教育,用合适的高质量教育塑造合适的人,让不同的学生流向不同的高质量学校,使每个独特的天性都得到自由生长。由于各地执行标准不一及“双减”政策落实情况参差不齐,中考分流的适应性不强,成为普通高中与中等职业学校分化、中产以上家庭子女与中产以下家庭子女学业分化学业分化、优生与差生分化的“催化剂”,成为不同受教育者机会不均、地位悬殊、能力分化的“助燃剂”,成为天性教育的梗阻。坚持教育分流政策,实现公平而高质量的中考分流,必须因情、因地、因人制宜,建立普职平等的发展机制、需求导向的调节机制和减负增效的评价机制。

护患沟通技巧联合心理护理在肺功能检查患者中的应用

目的:探讨护患沟通技巧联合心理护理在肺功能检查患者中的应用效果。方法:选取2020年1月1日~2022年12月1日109例行肺功能检查患者为研究对象,随机分为对照组54例和研究组55例,对照组实施常规护理,研究组实施护患沟通技巧联合心理护理;比较两组检查时间、肺通气完成情况,护理前后心理状态[采用焦虑自评量表(SAS)、抑郁自评量表(SDS)]、肺功能[包括第一秒用力呼气容积(FEV_(1))、FEV_(1)/FVC%]、生活质量[采用生命质量测定量表(QLQ-C30)]及护理满意度。结果:研究组检查时间、肺通气完成率优于对照组(P<0.01);护理后,两组SAS、SDS评分低于护理前(P<0.05),且研究组低于对照组(P<0.01);护理后,两组FEV_(1)、FEV_(1)/FVC%、QLQ-C30评分均优于护理前(P<0.05,P<0.01),且研究组优于对照组(P<0.05);研究组护理满意度高于对照组(P<0.05)。结论:将护患沟通技巧联合心理护理应用于肺功能检查患者中,可有效缩短检查时间,提高肺通气完成率,改善患者负性情绪和肺功能,从而提高生活质量和护理满意度。

规范化体检管理流程对健康体检人群满意度及不良事件的影响

目的 探讨规范化体检管理流程对健康体检人群满意度及不良事件的影响。方法 选取2021年8月—2022年8月到佛山市中医院健康管理中心体检的74名健康人群为研究对象,依据随机数字表法分为2组,各37名。对照组采用常规体检流程,观察组采用规范化体检管理流程。比较2组体检时间及健康知识掌握评分、满意度评分及不良事件发生率。结果 观察组健康知识掌握评分高于对照组,体检时间短于对照组(P<0.05);观察组满意度评分包括健康宣教(8.36±0.65)分、沟通能力(8.21±0.92)分、主动服务(9.16±0.21)分、护理礼仪(9.18±0.32)分,高于对照组的(6.62±1.21)、(6.45±1.35)、(8.26±0.56)、(8.05±0.45)分,差异有统计学意义(P<0.05)。观察组不良事件总发生率低于对照组(P<0.05)。结论 规范化体检管理流程应用在健康体检人群体检中效果明显,可缩短体检时间,提高体检满意度,减少不良事件发生率。

新高考改革的历史成就、现实审思与发展愿景

高考招生制度不仅是我国一项基本的教育制度,而且也是选拔人才和保障教育公平的重要举措。当前,新一轮高考改革已推行多年,成效显著,逐步从局部试点走向全国布局,选拔标准也从分数优先转向倚重学生综合素质评价,逐渐突破传统分层分批录取的束缚,进一步保证学生的录取机会,改变学校教育的培育模式,从传统的文理分科转向了选科自由的新样态。同时,审视新高考改革的进程,发现政策鼓励与执行过程的偏差、科学选才与考试负担的冲突、个性发展与职业选择的博弈以及普通教育与生涯教育的对冲在一定程度上阻碍了新高考改革的推进。纵然如此,对新高考这种具有全局性的系统改革,必须坚持系统性的思维模式,稳步推进,在目标层面、主体层面、技术层面与治理层面都将找准关键点,阐明关键目标与价值主体,把握教育综合性改革的未来方向与技术路线。未来,新高考改革展现新的发展愿景:锚定发展目标,保障选拔体系的公平性;观照学生的主体需求,尊重学生选择的自主性;实现数字赋能,凸显高考改革的科技性;实现科学治理,增强“教、考、招”的联结性。

CICARE沟通模式在提升冠状动脉CTA检查患者认知水平和图像质量中的作用分析

目的:分析CICARE沟通模式在提升冠状动脉CT血管造影(CTA)检查患者认知水平和图像质量中的作用。方法:选取2022年3月—2023年3月于南昌大学第二附属医院行冠状动脉CTA检查的96例患者,2022年3—8月收治的患者为常规组(n=47),2022年9月—2023年3月收治的患者为研究组(n=49)。常规组采用常规的沟通模式,研究组采用标准化的CICARE沟通模式。比较两组CTA检查认知水平、检查时间、图像质量、满意度及心理状态。结果:研究组CTA检查目的、检查流程、检查时正确体位、检查时正确呼吸、注意事项、配合度评分均高于常规组(P<0.05);研究组检查前准备时间、实际检查时间均短于常规组,抑郁自评量表(SDS)评分和焦虑自评量表(SAS)评分均低于常规组(P<0.05);研究组1、2级图像质量比例均明显高于常规组(P<0.05);研究组非常满意的比例明显高于常规组(P<0.05)。结论:CICARE沟通模式可明显提升患者对冠状动脉CTA检查的认知水平,有效提高图像质量,缓解患者的不良情绪,提升患者的就医体验。