Objectives:Intensive health services'utilization is common in older individuals affected by chronic diseases.This study assessed whether a structured family nurse-led educational intervention would be effective in...Objectives:Intensive health services'utilization is common in older individuals affected by chronic diseases.This study assessed whether a structured family nurse-led educational intervention would be effective in reducing health services'use(readmissions and/or emergency service access)among older people affected by chronic conditions.Methods:This is a non-randomized before-after pilot study.A sample of 78 patients was recruited from two general practices in Italy and 70 among them were followed for 8 months.Standard home care was provided during the first four months'period(months 1-4),followed by the educational intervention until the end of the study(months 5-8).The intervention,based on the teach-back method,consisted of by-weekly 60-min home sessions targeting aspects of the disease and its treatment,potential complications,medication adherence,and health behaviours.Rates of health services'use were collected immediately before(T0),and after the interventions(T1).Differences in utilization rates were examined by the McNemar's test.Potential factors associated with the risk of health services'use were explored with a Cox proportional hazard regression model.Results:The sample(n=78)was predominantly female(n=50,64.1%),and had a mean age of 76.2(SD=4.8)years.Diabetes mellitus was the most frequent disease(n=27,34.6%).McNemar's test indicated a significant reduction in health services'use at T1(McNemar χ^(2)==28.03,P<0.001).Cox regressions indicated that time and patient education,as well as their interaction,were the only variables positively associated with the probability of health services'use.Conclusion:A teach-back intervention led by a family nurse practitioner has the potential to reduce health services'use in older patients with chronic diseases.展开更多
Social Services ethical behavior is the norm university college norms and values of social service selection. The current lot of negative factors that exist in society, leading to social service ethic universities fac...Social Services ethical behavior is the norm university college norms and values of social service selection. The current lot of negative factors that exist in society, leading to social service ethic universities face many practical difficulties： for guiding spirit of paranoia shaken ethical orientation of social services for the blind t,argets deep extension of the apparent deviation ethics of social services, the service Preference object affects the ethical tone of social services for their properties to accommodate non-independent eroding the foundation of ethics established by the social services. Therefore, the identification of good ethical order, to call college cultural consciousness, lifting universities utilitarian development difficulties, reasonably determine the role of university social services, the ability to face the limits of educational services, social services, colleges and universities to guide ethical behavior.展开更多
This paper analyzes of the bottleneck to influence the running efficiency of educational administration system in universities and colleges,and from the system deployment architecture, server configuration, database S...This paper analyzes of the bottleneck to influence the running efficiency of educational administration system in universities and colleges,and from the system deployment architecture, server configuration, database SQL statement optimization and other aspects, it puts forwards the optimization scheme.展开更多
The goal of this paper is to analyze and propose a reconstruction of functional possibilities and database requirements of a Web based Educational Information system. For the research the Information system of the Tec...The goal of this paper is to analyze and propose a reconstruction of functional possibilities and database requirements of a Web based Educational Information system. For the research the Information system of the Technology School ＂electronic Systems＂ （TUES） associated with the Technical University of Sofia is on focus. The modules for admission of students, specialty classification, and graduation of students, management of the student＇s work in computer classrooms and lecturers＇ data management have been analyzed, developed and implemented. The additionally developed modules concern mainly the management of educational process and do not affect the e-learning or the official part modules. That led to the idea that the functionality for managing educational process has to be organized in a separate module defined as module for administrative services of educational process. Such restructuring of the system will bring flexibility in further growth of the system--for example students＇ admission or selection for different purposes.展开更多
文摘Objectives:Intensive health services'utilization is common in older individuals affected by chronic diseases.This study assessed whether a structured family nurse-led educational intervention would be effective in reducing health services'use(readmissions and/or emergency service access)among older people affected by chronic conditions.Methods:This is a non-randomized before-after pilot study.A sample of 78 patients was recruited from two general practices in Italy and 70 among them were followed for 8 months.Standard home care was provided during the first four months'period(months 1-4),followed by the educational intervention until the end of the study(months 5-8).The intervention,based on the teach-back method,consisted of by-weekly 60-min home sessions targeting aspects of the disease and its treatment,potential complications,medication adherence,and health behaviours.Rates of health services'use were collected immediately before(T0),and after the interventions(T1).Differences in utilization rates were examined by the McNemar's test.Potential factors associated with the risk of health services'use were explored with a Cox proportional hazard regression model.Results:The sample(n=78)was predominantly female(n=50,64.1%),and had a mean age of 76.2(SD=4.8)years.Diabetes mellitus was the most frequent disease(n=27,34.6%).McNemar's test indicated a significant reduction in health services'use at T1(McNemar χ^(2)==28.03,P<0.001).Cox regressions indicated that time and patient education,as well as their interaction,were the only variables positively associated with the probability of health services'use.Conclusion:A teach-back intervention led by a family nurse practitioner has the potential to reduce health services'use in older patients with chronic diseases.
文摘Social Services ethical behavior is the norm university college norms and values of social service selection. The current lot of negative factors that exist in society, leading to social service ethic universities face many practical difficulties： for guiding spirit of paranoia shaken ethical orientation of social services for the blind t,argets deep extension of the apparent deviation ethics of social services, the service Preference object affects the ethical tone of social services for their properties to accommodate non-independent eroding the foundation of ethics established by the social services. Therefore, the identification of good ethical order, to call college cultural consciousness, lifting universities utilitarian development difficulties, reasonably determine the role of university social services, the ability to face the limits of educational services, social services, colleges and universities to guide ethical behavior.
基金Acknowledgement Research of the nature science foundation of Shandong province has a triangular surface modeling and control display representation（No. ZR2012FL05）
文摘This paper analyzes of the bottleneck to influence the running efficiency of educational administration system in universities and colleges,and from the system deployment architecture, server configuration, database SQL statement optimization and other aspects, it puts forwards the optimization scheme.
文摘The goal of this paper is to analyze and propose a reconstruction of functional possibilities and database requirements of a Web based Educational Information system. For the research the Information system of the Technology School ＂electronic Systems＂ （TUES） associated with the Technical University of Sofia is on focus. The modules for admission of students, specialty classification, and graduation of students, management of the student＇s work in computer classrooms and lecturers＇ data management have been analyzed, developed and implemented. The additionally developed modules concern mainly the management of educational process and do not affect the e-learning or the official part modules. That led to the idea that the functionality for managing educational process has to be organized in a separate module defined as module for administrative services of educational process. Such restructuring of the system will bring flexibility in further growth of the system--for example students＇ admission or selection for different purposes.
