Obstetric Emergencies at the Kara University Hospital Maternity Ward: Sociodemographic, Etiological and Prognostic Aspects

Introduction: Obstetric emergencies are common throughout the world and more particularly in developing countries where they are responsible for high maternal-fetal mortality and morbidity. Objective: Study obstetric emergencies in the maternity ward of Kara University Hospital. Method: Retrospective and descriptive study from April 1, 2022 to March 30, 2023, carried out in the Obstetrics and Gynecology Department of Kara University Hospital. Results: Eight hundred and thirty-five (835) obstetric emergencies were recorded out of 2215 admissions, i.e. a frequency of 37.7%. The average age of the patients was 26.7 with a range of 14 and 45 years. They were primigravidas (36.7%) and nulliparous (38.7%), referred (84.7%) and came from rural areas (72%). Emergencies occurred in the 3rd trimester in 74.1% and in parturients (54.1%). Preeclampsia (27%), cessation of progression of labor due to feto-pelvic disproportion (12.4%), postpartum hemorrhage (7.5%) constituted the main obstetric emergencies. In 44.8%, the delivery was carried out vaginally. Magnesium sulfate was the most used drug, i.e. 30.1%;followed by antihypertensive medications in 28.1%. Blood transfusion was performed in 24.3%. The evolution was simple in 90.9%. The maternal fatality rate was 1.6%. The perinatal case fatality rate was 12.3%. Conclusion: Obstetric emergencies are common, dominated by preeclampsia, stopping progress of labor and postpartum hemorrhages. They are responsible for high morbidity and mortality.

Current Situation and Implementation Paths of International Understanding Education in Local Application-oriented Universities

It is urgent and necessary to implement international understanding education in local application-oriented colleges and universities.Improving the international competitiveness of talents and cultivating global citizens is one of the goals of higher education.This paper discussed the problems of international understanding education in local application-oriented colleges and universities,including weak policy orientation,insufficient practical exploration,aphasia of national culture,etc.It is recommended to implement the international understanding education from two ways:subject penetration and project-based professional courses.In addition,the introduction of Chinese culture cannot be ignored to prevent the absence of national culture in cross-cultural communication.

Delirium Severity and Correlates among Medical Inpatients Admitted through Accident and Emergency Unit of Jos University Teaching Hospital

Background: Delirium is one of the most common medical emergencies and is associated with poor outcomes including: mortality, prolonged length of stay and poor functional outcome. The more severe delirium is the worst the clinical outcomes of medical illness. Despite the obvious, not much has been documented on delirium severity and its associated factors among medical inpatients in low income countries including Nigeria. Objectives: This study was conducted to examine the severity of delirium among medical inpatients admitted through the Accident and Emergency unit of Jos University Teaching Hospital as well as to assess its associated Sociodemographic and Clinical characteristics. Method: This was a cross-sectional study that employed a consecutive sampling technique to select 290 eligible subjects from medical inpatients that presented to Accident and Emergency unit of Jos University Teaching Hospital. On admission, patients were assessed for delirium using Confusion Assessment Method and severity of delirium was evaluated using Delirium Rating Scale-Revised-98. Results: Of the 105 delirious medical inpatients, 48 (45.7%) had severe delirium, 41 (39.1%) developed less severe delirium while 16 (15.2) presented with no severe delirium. Sociodemographic characteristics found to be significantly associated with less to more severe delirium include male gender (P = 0.001), nonprofessionals (P = 0.003), income range of N20,000 - N49,000 (P Conclusion: This study demonstrates that delirium is often associated with higher severity in Accident and Emergency unit admission and there are strongly associated clinical characteristics to watch out for in high risk medical inpatients.

Research on the Training Mode of "Three-quality Talents" in Application-oriented Universities Based on OBE

Based on the concept of outcome-based education (OBE) and the existing OBE training mode, this paper puts forward the training mode of "three-quality talents" as a supplement. This mode effectively helps Chinese application-oriented colleges and universities to improve the training quality of application-oriented talents, is an effective way to train application-oriented undergraduate professionals, and has a certain promotion and application value.

Study on Full English Teaching of Hospitality Management in Application-oriented Undergraduate Universities

With the emergence of development of international integration,the domestic education also attaches great importance to English discipline.The hospitality management of application-oriented undergraduate universities demands high standard for English.The hospitality management of some domestic undergraduate universities has reformed the traditional English teaching mode and adopted the Full English Teaching mode.However,due to the lack of high-quality English teachers,the single teaching methods,and the lack of support from university for Full English Teaching,the actual effect of Full English Teaching is not ideal.Through investigation and analysis of an undergraduate university,this paper finally puts forward countermeasures against the deficiencies in the Full English Teaching mode so as to improve the professional quality of the teaching staff,adopt diversified teaching means and enhance the school’s support for English teaching.

Exploration on the Reform of English Teaching in Universities and Colleges under the Application-oriented Talent Training Mode

With the rapid development of the economy,China’s economic form has also undergone significant changes.In this case,the requirements for talents are getting higher and higher.In the process of cultivating talents,schools must constantly change their educational concepts and cultivate more application-oriented talents for the society.In this context,the reform of university and college English is of great necessity.Based on the importance of application-oriented talent training,this paper analyzes the current situation of English teaching in universities and colleges under the application-oriented talent training mode,and puts forward some specific measures for the reform of English teaching in universities and colleges.

Difficulties and Breakthrough Strategies in the Team Construction of Part-time Teachers in Application-oriented Universities

Strengthening the team construction of part-time teachers is required by the transformation and development of the universities,the realization of their goals of being developed into an application-oriented universities and their talent cultivation and long-term development.The existing problem regarding the part-time teachers in current application-oriented universities are the low proportion of part-time teachers,a shortage of high level parttime teachers,the absence of relevant laws and regulations,a lack of systematic policies or financial support for part-time teachers as well as the unsound management mechanism with insufficient scientific and reasonable employment scheme for part-time teachers.To strengthen the team construction of the part-time teachers in application-oriented universities,firstly we should improve the existing laws,regulations and policies and broaden the financial support channels.Secondly,we should develop the recruitment channels for part-time teachers and pay attention to introducing high-tech and highly-skilled talents.Thirdly,we should improve the management over part-time teachers and promote their value.Fourthly,it should adopt a people-oriented management concept and establish an effective evaluation and incentive mechanism for part-time teachers.

基于情景构建的高校实验室爆炸事故应急演练与实践

应急演练在提高实验室应对突发事件能力方面发挥着重要作用,应急演练脚本是实施应急演练的重要依据,该文提出利用情景构建技术开展应急演练脚本设计。结合对以往演练的梳理、经验总结和实际案例分析,基于情景构建技术提出高校实验室爆炸事故应急演练场景规划构思与构建设计的具体内容,梳理总结出高校实验室应急演练的组织架构和分工,具体描述了高校实验室爆炸事故的演变过程,生成了基于实际案例的实验室爆炸事故应急演练脚本。实验室应急演练脚本提供了实验室爆炸事故的应急场景,可用于实际模拟演练或虚拟演练,并可结合不同案例形成实验室应急演练脚本库,为实验室应急演练提供支持。

新型研究型大学的兴起与可持续发展策略

全球大学发展阶段呈现出的趋同性表明,进入21世纪第一个十年以来,大学已逐步走出“洪堡模式”,加速向“后洪堡模式”的转换。新型研究型大学的兴起是一个“全球性事件”,是基于传统研究型大学迭代升级的产物,某种意义上是一场深刻的高等教育模式革命和范式重构。新型研究型大学在我国的实践探索是新时代发展高质量高等教育,深入实施科教兴国战略、人才强国战略、创新驱动发展战略的抉择,它赋予建设世界一流大学新动能,开辟高水平研究型大学新赛道。通过对新型研究型大学的本质特征的比较分析发现,新型研究型大学之“新”突出表现为:服务国家创新驱动发展战略的定位新,推动学科交叉、加强有组织科研的学术架构新,国家、企业和社会力量办大学的多元办学主体新。作为新型高等教育机构,它在资源配置、评价体系和相关支持政策上还面临诸多困境和挑战。应进一步加强顶层设计,加速相关政策改革,制定与创新型国家建设需要相适应的高等教育布局规划,改进高校分类体系、优化高校空间布局、构建高校设置新型评价审核体系、调整学科专业结构、促进高等教育资源跨区域跨部门合理流动和资源共享以推动区域融通、产教融合和科教融汇。

多元化教学模式在大学附属教学医院卒中绿色通道培训中的应用

目的本文以大学附属教学医院的卒中急救绿色通道培训医师为主要研究对象,旨在提高新进医疗岗位医师的学习效率,改善临床工作的多种质控指标。方法设计多元化教学方法,包括临床案例式协作教学法、基于问题教学法、翻转课堂、一带一学习、情景模拟及临床疗效反馈等,以一家教学医院区域性高级卒中中心的绿色通道患者和医师为调查对象,收集多环节时间点的质控指标以及教学互评反馈来评价教学效果。结果纳入2021年6月—2023年7月急诊卒中绿色通道诊疗环节中符合条件的患者194例,其中接受单纯静脉溶栓治疗者171例(88.14%),桥接治疗或者直接机械取栓者23例(11.86%),纳入观察学员为低年资住院医师10名,高年资住院医师5名。培训前收治患者88例(45.36%),培训后收治患者106例(54.64%),人口学基线特征差异无统计学意义。中位入院至静脉溶栓时间(door-to-needle time,DNT)缩短了4 min(44 min vs.48 min,P=0.150),DNT≤60 min比例分别为73.86%、65.09%(P=0.188)。培训后,中位知情同意谈话时间缩短了3.5 min(6.5 mi n vs.10 min,P=0.001);溶栓相关出血事件减少(培训前:牙龈出血1例,硬膜下血肿1例,消化道出血1例;培训后:无相关事件);大血管闭塞患者血管内治疗比例提升(16.98%vs.5.68%,P=0.015)。高年资与低年资住院医师对多元化教学模式绿色通道教学方法的认可度、对绿色通道学习方式的兴趣程度、病例质控环节提升满意度、影像库对解决问题适配度、文献指南库对解决问题适配度和自我学习能力提升6个方面的满意度相当,差异均无统计学意义。结论多元化培训方案可以提高绿色通道医师的卒中急救应对能力、谈话沟通技能及诊疗水平,改善工作质量和教学满意度,而且对低年资和高年资住院医师的临床学习均有帮助。

“双一流”大学图书馆应急服务研究——以新冠肺炎疫情流行期间为例

在对“双一流”大学图书馆应急服务进行文献研究的基础上,对42所“双一流”大学图书馆应对新型冠状病毒肺炎(COVID-19)疫情开展的应急服务进行调研,包括疫情响应时间、疫情期间纸质与电子资源使用、新冠肺炎专题信息服务等方面。在调研的基础上,剖析大学图书馆在重大公共安全事件中的定位与作用,并针对大学图书馆应急服务与管理提出意见与建议。

“新医科”背景下大学化学实验课程改革的探索与实践

聚焦“新医科”人才培养目标,针对医学院校传统大学化学实验课程教学普遍存在的问题,从教育理念、教学内容、教学模式和评价体系四个方面对实验课程进行改革实践,创建学生主动学习、合作学习和探究学习的新模式,强调课堂内外的深度融合,探索建立中国特色的大学化学基础课程支持医学人才培养的新模式。

思政教育下高校应急管理能力现状分析——以陕西省某高校为例

基于思政教育视角了解高校应急管理能力现状,探索高校提升应急管理能力的路径。以陕西省某高校学生为调研对象,采用问卷调研法获取数据信息并对数据进行处理分析。结果显示,思政教育视角下学生对高校的应急管理能力评价较高,主要体现在事中控制能力及原因分析、信息采集与传递等方面,但其事后分析能力维度还有待进一步提升。不同年级学生感知下高校应急管理能力的事后分析能力维度存在显著性差异。为此高校应强化应急管理能力事后分析过程的公开性,强化学生参与的主体地位,不断提升学生的安全责任意识,以提高高校整体的应急管理能力,保障学生生命财产安全。

基于WSR方法论的高校突发事件应急管理能力评价研究

基于WSR(Wuli-Shili-Renli)理论和物元可拓评价模型构建高校突发事件应急管理能力的指标体系,为完善高校突发事件应急管理提供有针对性的参考依据。选取长春市某高校建立评价模型进行实例评价,采用G1法和熵权法分别确定主客观权重,最后通过计算关联度来确定高校应急管理能力的等级。研究结果显示:该高校突发事件的应急管理能力综合评价结果属于良好等级,该结果基本符合实际。结论:根据WSR方法论和物元可拓评价模型构建的高校突发事件应急管理能力评价指标体系具有较高的有效性和可信度,为评价高校突发事件应急管理能力提供了依据。

材料化学辅修英语专业新工科型创新实验的探索

针对目前地方高校教育存在大学生实践能力和创新创业能力较弱等问题,以材料化学辅修英语专业为例,进行地方高校材料类专业大学生新工科型创新实验的构建与实施。以可生物降解的高分子材料——聚乳酸为对象,以材料的“原料制备—高分子合成—结构表征—理化性能测试—3D打印与加工工程—机械性能测试—产品设计—老化降解”等全链条环节为主线,建立以学生为中心的创新实践教学体系,全面贯彻党的教育方针,实施素质教育,以培养符合未来新兴产业与新经济需要的、多样化、实践能力与创新能力强、具备国际竞争力的高素质复合型现代化新工科人才,为我国产业发展和国际竞争提供智力及人才支持。

地方高校新工科国际化人才培养模式探索与实践

通过分析地方高校国际化人才培养的必要性,提出了在新工科背景下提升人才培养质量与国际竞争力的对策。从更新教育理念,构建人才培养体系,强化课程建设,加强校企合作,扩大对外开放,加强师资队伍建设,推进资源建设,提高管理效能等方面给出了具体的措施。最后通过应用实践检验了教师的国际化教育教学能力,学生的创新实践能力、跨文化交流能力均得到有效提升。

新工科背景下地方性院校本硕博贯通培养模式探究

国家发展战略对创新型人才提出了新的需求,新工科推进驱动着高校人才培养模式的不断革新。本硕博贯通的创新人才培养模式正是适应高层次人才培养工作新要求而提出的。分析了国内现有本硕博贯通培养的现状,阐述了目前存在的问题,针对地方性院校进一步提出了如何做好本硕博教育贯通培养,从明确培养目标、优化培养机制与课程管理、加大科研引导、关注国际视野等方面提出了改进措施。

高校实验室应急能力评估指标体系构建与应用

为科学评估高校实验室事故应急处置能力,文章基于霍尔三维模型,构建了高校实验室应急能力评估指标体系;采用G1序关系法和熵权法组合赋权确定各级指标权重,并提出了高校实验室应急能力评估组合赋权云模型。以某高校为研究对象,应用组合赋权云模型对该校实验室事故应急处置能力进行综合评估的结果表明,该方法能较好地解决评估过程模糊性与随机性强的问题,客观评估高校实验室应急能力水平,为提升高校实验室应急能力提供科学参考。

行业背景高校工科开放式创新教学模式构建与实践

为响应国家发展战略新需求,响应国家对创新型人才与卓越工程师的时代需要,构建一种符合我国国情的开放式创新教学模式,通过教学方式开放化、教学资源多样化、课程案例库工程实用化、课程考核评价体系多元化“四化”体系,促进本科生学习以科技发展需求为导向,紧跟国家发展战略和学科发展前沿热点,切实提升学生的自主创新能力与工程实践水平,在行业背景高校工科专业实践中取得良好的成效,从而促进新工科复合型人才培养,应对未来新一轮科技革命。

高校应急队伍建设的实践与思考

分析了高校应急队伍建设的重要性,突出了有效的应急队伍对保障高校教学、科研活动和师生人身财产安全的重要作用,在详细剖析应急队伍建设的现状和存在问题的基础上提出了一些针对性的思考和建议,包括加强顶层设计、深化专业化建设、引入科技手段提高应对能力、加强实战演练,以及建立全体师生参与的应急管理体系。高校应急队伍建设是一项系统工程,需要全校上下的共同参与和努力,以实现有效应对各种安全风险,为高校发展提供坚实的安全保障。