宫腔积脓1例临床分析

目的探讨绝经妇女宫腔积脓的原因、诊断及治疗方法。方法对牡丹江医学院红旗医院收治的1例绝经妇女宫腔积脓的临床表现及辅助检查进行回顾性分析。结果引起绝经妇女宫腔积脓的原因与老年性阴道炎和子宫内膜炎、绝经后不及时取出节育器及合并子宫内膜癌有关。临床表现为腹痛、发热、阴道排液(阴道出血),经过详细的询问病史、妇科检查、适当的实验室检查可明确诊断。结论绝经妇女宫腔积脓病程进展缓慢,临床表现不典型,易误诊,有时可引起严重的并发症,应针对原因进行预防,早期诊断,及时治疗。     

Gender equality's impact on female directors’ efficacy: A multi-country study

This paper studies the role of gender equality in female directors’ efficacy and its subsequent effects on firms. Female directors in more gender equal societies should possess greater skills and exert more influence due to better access to educational/professional opportunities and more amicable boardroom dynamics. Therefore, we hypothesize that gender equality serves as an important moderator in the relation between female board representation and firm outcomes. Using a multi-national panel comprising 1986 public firms from 24 countries or areas spanning from 2007 to 2016, we obtain results that firms with higher female board representation exhibit higher overall performance, less earnings management, and less excessive risk taking, in which all three relations are stronger in countries with greater gender equality. Taken together, our paper implies that the impact of female directors on firm outcomes depends on a country's overall level of gender equality.     

中药方剂浸浴联合外用钙泊三醇倍他米松软膏治疗寻常性银屑病患者的临床效果

目的探讨中药方剂浸浴联合外用钙泊三醇倍他米松软膏治疗寻常性银屑病患者的临床效果。方法选取2018年2月至2019年4月于沈阳市第七人民医院就诊的寻常性银屑病患者114例作为研究对象,以随机数字表法将其分为观察组和对照组,每组57例。对照组患者外用钙泊三醇倍他米松软膏进行治疗,观察组患者通过中药方剂浸浴联合外用钙泊三醇倍他米松软膏治疗。比较两组患者临床疗效、银屑病面积严重程度指数(PASI)评分以及不良反应发生率。结果观察组患者治疗有效率为82.46%,显著高于对照组的63.16%(P<0.05)。两组患者治疗2周、4周后的PASI评分均显著低于治疗前(P<0.05);观察组患者治疗2周、4周后的PASI评分均显著低于对照组(P<0.05)。观察组患者的不良反应发生率为14.04%,低于对照组的21.05%,但差异无统计学意义(P>0.05)。结论中药方剂浸浴联合外用钙泊三醇倍他米松软膏治疗寻常性银屑病能有效改善患者的临床症状,效果显著,且不良反应少。     

瑞舒伐他汀与替格瑞洛联合用药方案治疗非ST段抬高型急性冠脉综合征患者的临床效果及不良反应

目的探讨瑞舒伐他汀与替格瑞洛联合用药方案治疗非ST段抬高型急性冠脉综合征(ACS)患者的临床效果及不良反应。方法选取2018年1月至2019年7月沈阳积水潭医院收治的70例非ST段抬高型ACS患者作为研究对象,依据随机数字表法分为对照组和观察组,每组35例。对照组采用替格瑞洛治疗,观察组采用瑞舒伐他汀与替格瑞洛联合用药方案治疗,比较两组临床疗效、心肌损伤指标、炎症介质水平、不良反应发生率。结果观察组治疗有效率高于对照组,差异有统计学意义(P<0.05);观察组肌酸激酶同工酶、肌钙蛋白水平低于对照组,差异有统计学意义(P<0.05);观察组炎症介质水平、不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论瑞舒伐他汀与替格瑞洛联合用药方案治疗非ST段抬高型ACS临床效果显著,不仅可以改善临床相关指标、心肌损伤,还可减轻炎症反应,且不良反应发生率低。     

Effect of Order of Contribution in a Sequential Public Goods Dilemma

This study examined how order of contribution in a sequential public goods dilemma affected cooperation. Under a sequential protocol of play, players of different levels of efficacy made decisions one after another. We contrasted a High-to-low versus Low-to-high Efficacy order in a nine-person game. Under a High-to-low order, high-efficacy players made decisions in positions 1–3, medium-efficacy players in positions 4–6, and low-efficacy players in positions 7–9. Under a Low-to-high order, the positions of high- and low-efficacy players were reversed. We hypothesized that cooperation rates would be higher in the High-to-low order that high-efficacy players (assigned in early positions), who would likely cooperate, would induce subsequent players to cooperate also. We found the anticipated effect that cooperation rate was higher in the High-to-low than the Low-to-high efficacy order. The efficacy order effect was the most prominent when people perceived that their group was becoming uncooperative. This study illustrates a new type of structural solution to social dilemmas that by systematically assigning people to different sequential positions, a group can be made more or less cooperative.     

Assessing Gender Differences in Computer Professionals’ Self-Regulatory Efficacy Concerning Information Privacy Practices

Concerns with improper collection and usage of personal information by businesses or governments have been seen as critical to the success of the emerging electronic commerce. In this regard, computer professionals have the oversight responsibility for information privacy because they have the most extensive knowledge of their organization’s systems and programs, as well as an intimate understanding of the data. Thus, the competence of these professionals in ensuring sound practice of information privacy is of great importance to both researchers and practitioners. This research addresses the question of whether male computer professionals differ from their female counterparts in their self-regulatory efficacy to protect personal information privacy. A total of 103 male and 65 female subjects surveyed in Taiwan responded to a 10-item questionnaire that includes three measures: protection (protecting privacy information), non-distribution (not distributing privacy information to others), and non-acquisition (not acquiring privacy information). The findings show (1) significant gender differences exist in the subjects’ overall self-regulatory efficacy for information privacy, and, in particular, (2) that female subjects in this study exhibited a higher level of self-regulatory efficacy than males for the protection and non-acquisition of personal privacy information. The identification of the factorial structure of the self-regulatory efficacy concerning information privacy may contribute to future research directed to examining the links between privacy efficacy and psychological variables, such as ethical attitude, ethical intention, and self-esteem. Studies can also be extended to investigate how different cultural practices of morality and computer use in men and women may shape the different development patterns of privacy self-efficacy. Understanding the different cultural practices may then shed light on the social sources of privacy competence and the appropriate remedies that can be provided to improve the situation. Feng-Yang Kuo holds a B.S. degree in Management Science from Chiao-Tung University, Taiwan and a Ph.D.degree in Information Systems from University of Arizona. He was a faculty of Information Systems at University of Colorado at Denver from 1985 to 1997 and is currently an associate professor of Information Management in Sun Yat-Sen University, Taiwan. He has published articles in Communications of ACM, MIS Quarterly, Communications of AIS, Journal of Business Ethics, Information & Management, Journal of Systems and Software, Decision Support Systems, and Sun Yat-Sen Management Review. Among his current interests are information ethics, managerial cognition, and human-computer interfaces. Cathy S.Lin Professor Cathy S.Lin is an assistant professor of Information Management at National University of Kaohsiung, Taiwan. Her Ph.D.is in Management Information Systems from National Sun Yat-Sen University. She has published articles in the Information & Management, Journal of Information Management, and Sun Yat-Sen Management Review. Among her current interests are information ethics, ethical decision making, electronic commerce, and information management. Meng-Hsiang Hsu Professor Meng-Hsiang Hsu is a professor of information management at National Kaohsiung of First University of Science and Technology. His Ph.D. is in Management Information Systems from National Sun Yat-Sen University. He has published articles in the J. of Business Ethics, Behavior & information Technology, Decision Support System, and Industrial Management and Data Systems. Among his current interests are knowledge management, information ethics, strategic information systems, and electronic commerce.     

柴胡舒肝散和乌及散治疗胆汁反流性胃炎肝胃不和患者的临床疗效

目的：探究柴胡舒肝散和乌及散治疗胆汁反流性胃炎肝胃不和患者的临床疗效。方法收集河北平泉县中医院2006年4月至2012年12月收治的96例胆汁反流性胃炎肝胃不和患者的临床资料,按随机数字表法将患者分为观察组与对照组,各48例。对照组患者给予多潘立酮和奥美拉唑胶囊治疗,观察组患者采用柴胡疏肝散和乌及散治疗,比较两组患者的临床疗效。结果观察组患者临床治疗的总有效率明显高于对照组,差异有统计学意义（P＜0.05）。结论柴胡舒肝散和乌及散治疗胆汁反流性胃炎肝胃不和型患者的临床疗效明显。     

腰-硬联合麻醉在老年人股骨头置换术中的临床疗效

目的探讨腰-硬联合麻醉在老年人股骨头置换术中的临床疗效。方法回顾性分析2013年11月至2014年11月我院行股骨头置换术的59例老年患者,观察患者麻醉前、麻醉后5、10、30 min心率(HR)、收缩压(SBP)、舒张压(DBP)、动脉血氧分压(Sp O2)变化,术后并随访3 d,记录并发症情况。结果麻醉后患者的5、10、30 min的SBP、DBP与麻醉前比较均降低(P<0.05);各时点HR及Sp O2比较差异均无统计学意义(P>0.05)。优良率为98.3%,术后无恶心呕吐、头痛等麻醉相关并发症。结论腰-硬联合阻滞在老年人股骨头置换术中的麻醉效果明显,安全可靠。     

Process innovation capability and subsequent collaborative team performance in travel planning: a knowledge exchange platform perspective

Purpose: Backpacker tourism is flourishing in this century as the high development of Internet technology which enables travellers to search for resources they need easier. The research goal of this study was to exam how virtual skill and collective efficacy affect process innovation capability and subsequent team performance of collaborative design team in a virtual community. Design/methodology/approach: In this study, we formulated the virtual team model from the perspectives of open innovation paradigm and virtual competence, and we collected virtual community participation samples from the online communities. Invitation emails were delivered to numerous trip plan initiators in two well-known online travel communities for filling survey questionnaires for this study. In total, 3000 invitation messages were mailed, of which 373 were returned completed. The model and hypotheses were tested by structural equation modelling. Findings: Virtual competence, including collective efficacy and virtual media skill, is the essential key to facilitate process innovation capability and subsequent team performance success. Besides, knowledge sharing significantly moderates the relationship between process innovation capability and the team performance. Originality/value: Backpackers in the online travel communities have to have not only the willingness to collaborate, but also the abilities of using the correct tool to help with their tasks. When a self-efficacy gets into collective efficacy, it enables the collaborative team to develop with good virtual competencies. Accordingly, trip plan initiator and participants of a virtual team are as expertise contributors between conformity in online communities and online compulsive control tendencies.     

Government and social trust vs. hotel response efficacy: A protection motivation perspective on hotel stay intention during the COVID-19 pandemic

Based on protection motivation theory (PMT), this study conceptualizes a research framework to explain and examine customer intentions regarding hotel stays during the COVID-19 pandemic. Data were collected from 700 U.S. consumers via a crowdsourcing website in July 2020. Structural equation modeling was used to analyze the collected data for testing proposed hypotheses. The analytical results showed that the level of threat perceived by customers significantly reduced their intention to stay at a hotel. On the contrary, individual customer response efficacy significantly enhanced their intention to stay at a hotel. Additionally, both government and social trust, as well as hotel response efficacy, were found to significantly increase hotel stay intention by mediating the effects of threat perception and individual response efficacy. To the best of our knowledge, this study is one of the first attempts to apply PMT to explain customer hotel stay intentions during the COVID-19 pandemic.