BACKGROUND： Demanding profession has been associated with poor psychological health due to multiple factors such as overworking hours and night shifts. This study is to determine prevalence and associated factors of ...BACKGROUND： Demanding profession has been associated with poor psychological health due to multiple factors such as overworking hours and night shifts. This study is to determine prevalence and associated factors of depression, anxiety and stress among medical officers working at emergency department in Malaysian hospitals.METHODS： A cross-sectional study was conducted on 140 emergency department medical officers working at general hospitals from seven Malaysia regions. They were randomly selected and their depression, anxiety and stress level were measured by the 21-item Depression, Anxiety, Stress Scale. RESULTS： The highest prevalence was anxiety （28.6%） followed by depression （10.7%） and stress （7.9%）. Depression, anxiety and stress between seven hospitals were not significantly different （P〉0.05）. Male medical officers significantly experienced more anxiety symptoms than female medical officers （P=0.0022）, however depression and stress symptoms between male and female medical officers were not signi？ cantly different （P〉0.05）. Depression, anxiety and stress were not associated with age, working experience, ethnicity, marital status, number of shifts and type of system adopted in different hospitals （P〉0.05）. CONCLUSION： The prevalence of anxiety was high, whereas for depression and stress were considerably low. Gender was the only factor significantly associated with anxiety. Other factors were not associated with depression, anxiety and stress. Future research should aim to gain better understanding on unique factors that affect female and male medical officers’ anxiety level in emergency setting, thus guide authorities to chart strategic plans to remedy this condition.展开更多
Based on the theory of“demand analysis”,this paper investigates and analyzes the motivation,and demand of non-commissioned officers for ESMP(English for Specific Military Purposes)by means of questionnaire and inter...Based on the theory of“demand analysis”,this paper investigates and analyzes the motivation,and demand of non-commissioned officers for ESMP(English for Specific Military Purposes)by means of questionnaire and interview,in an attempt to construct the framework of ESMP teaching design for non-commissioned officers.The study points out that the design of ESMP for non-commissioned officers should be oriented by“demand analysis”theory,explore the effective integration of professional knowledge and language acquisition,and promote the cultivation of non-commissioned officers’practical ability of professional English application.展开更多
This article begins with three problems of ＂dual loyalties＂ in medicine, the supposed fact that military physicians are, as medical officers, sometimes required to do what violates ordinary medical ethics--for examp...This article begins with three problems of ＂dual loyalties＂ in medicine, the supposed fact that military physicians are, as medical officers, sometimes required to do what violates ordinary medical ethics--for example, ignore medical need in order to treat their own wounded before civilians or wounded enemy, help make chemical or biological weapons more deadly, or assist at a rough interrogation. These problems are analyzed as special cases of a problem that could arise in any profession, a problem easily resolved using a theory of professional ethics （more or less） absent from medical ethics until now though common outside. Employing a physician--rather than an ordinary officer, some other kind of healer, or scientist--is to enter a sort of ＂Ulysses contract＂ requiring the physician＇s professional standards to preempt obligations otherwise applying to an employee. In this way, the article also illustrates the benefits that might accrue to medical ethics from drawing （more than is now common） on other fields of practical ethics.展开更多
Developing the catastrophic medical insurance for urban and rural residents positively is the key action to keep the new round of reform for medical system into deep. However this insurance is the ＇shortage＇ of the ...Developing the catastrophic medical insurance for urban and rural residents positively is the key action to keep the new round of reform for medical system into deep. However this insurance is the ＇shortage＇ of the national health system, so the Shanghai government carries out The Trial Measures for Catastrophic Medical Insurance of urban and rural residents in 2014. In this thesis, we will describe the current situation of the catastrophic medical insurance in Shanghai from aspects of financing, level of compensation, the way to undertake and regulatory. What＇s more, we expect to explore the weakness of catastrophic medical insurance in actual motion, and offer proposals for progressively realizing the integration of urban and rural in medical insurance, improving the basic health care directory, enhancing cooperation with commercial medical insurance.展开更多
文摘BACKGROUND： Demanding profession has been associated with poor psychological health due to multiple factors such as overworking hours and night shifts. This study is to determine prevalence and associated factors of depression, anxiety and stress among medical officers working at emergency department in Malaysian hospitals.METHODS： A cross-sectional study was conducted on 140 emergency department medical officers working at general hospitals from seven Malaysia regions. They were randomly selected and their depression, anxiety and stress level were measured by the 21-item Depression, Anxiety, Stress Scale. RESULTS： The highest prevalence was anxiety （28.6%） followed by depression （10.7%） and stress （7.9%）. Depression, anxiety and stress between seven hospitals were not significantly different （P〉0.05）. Male medical officers significantly experienced more anxiety symptoms than female medical officers （P=0.0022）, however depression and stress symptoms between male and female medical officers were not signi？ cantly different （P〉0.05）. Depression, anxiety and stress were not associated with age, working experience, ethnicity, marital status, number of shifts and type of system adopted in different hospitals （P〉0.05）. CONCLUSION： The prevalence of anxiety was high, whereas for depression and stress were considerably low. Gender was the only factor significantly associated with anxiety. Other factors were not associated with depression, anxiety and stress. Future research should aim to gain better understanding on unique factors that affect female and male medical officers’ anxiety level in emergency setting, thus guide authorities to chart strategic plans to remedy this condition.
文摘Based on the theory of“demand analysis”,this paper investigates and analyzes the motivation,and demand of non-commissioned officers for ESMP(English for Specific Military Purposes)by means of questionnaire and interview,in an attempt to construct the framework of ESMP teaching design for non-commissioned officers.The study points out that the design of ESMP for non-commissioned officers should be oriented by“demand analysis”theory,explore the effective integration of professional knowledge and language acquisition,and promote the cultivation of non-commissioned officers’practical ability of professional English application.
文摘This article begins with three problems of ＂dual loyalties＂ in medicine, the supposed fact that military physicians are, as medical officers, sometimes required to do what violates ordinary medical ethics--for example, ignore medical need in order to treat their own wounded before civilians or wounded enemy, help make chemical or biological weapons more deadly, or assist at a rough interrogation. These problems are analyzed as special cases of a problem that could arise in any profession, a problem easily resolved using a theory of professional ethics （more or less） absent from medical ethics until now though common outside. Employing a physician--rather than an ordinary officer, some other kind of healer, or scientist--is to enter a sort of ＂Ulysses contract＂ requiring the physician＇s professional standards to preempt obligations otherwise applying to an employee. In this way, the article also illustrates the benefits that might accrue to medical ethics from drawing （more than is now common） on other fields of practical ethics.
文摘Developing the catastrophic medical insurance for urban and rural residents positively is the key action to keep the new round of reform for medical system into deep. However this insurance is the ＇shortage＇ of the national health system, so the Shanghai government carries out The Trial Measures for Catastrophic Medical Insurance of urban and rural residents in 2014. In this thesis, we will describe the current situation of the catastrophic medical insurance in Shanghai from aspects of financing, level of compensation, the way to undertake and regulatory. What＇s more, we expect to explore the weakness of catastrophic medical insurance in actual motion, and offer proposals for progressively realizing the integration of urban and rural in medical insurance, improving the basic health care directory, enhancing cooperation with commercial medical insurance.
