心绞痛患者的护理及健康教育

目的：探讨心绞痛患者进行护理及健康教育的策略。方法将我院2011年3月至2013年7月收治的心绞痛患者进行入院宣教、心绞痛知识教育、心前区疼痛时的护理、用药护理、输液护理、保护血管护理、出院指导等健康教育方式进行回顾性分析。结果42例患者中,有39例患者能尽快适应医院的环境,改善了认知偏差;3例患者仍有精神负担,尚未消除顾虑,由家属代替患者增强预防能力。结论采用多种方式对心绞痛患者施以有计划的健康教育,能改善其焦虑情绪,激发护士继续做好优质护理服务的积极性,明显提高护理质量。     

应用PDCA循环管理模式持续病房护理质量改进

目的应用PDCA循环,持续、有效改进护理质量。方法应用PDCA(计划、执行、检查、处理)循环管理模式对临床护理工作进行分析,并制定整改措施既效果评价。结果既提高了护理专业知识和业务素质,又提高了病房护理管理质量。结论科学管理方法能有效发挥团队精神,完分发挥各人所能,满足患者的需要,使患者能够得到高品质的护理服务。     

优质护理服务对肿瘤患者护理质量管理的影响

目的通过对比优质护理和常规护理对肿瘤患者的护理效果,探讨优质护理对肿瘤患者护理质量的影响,将优质护理更好地应用于临床护理中。方法选择2012年12月至2013年12月在我院接受治疗的肿瘤患者90例,平均分成两组,对照组采用传统护理方式,研究组采用优质护理方式对患者进行护理,比较两组患者治疗有效率、不良反应发生率、生活质量评分,同时评价研究组优质护理前后护理质量考评指标的变化情况。结果对照组患者治疗有效率为40.0%,研究组患者治疗有效率为55.6%,研究组有效率显著高于对照组,且不良反应发生率显著低于对照组;研究组患者生活质量评分显著高于对照组,差异有统计学意义(P<0.05);同时优质护理后护理质量考评指标中基础护理、特级护理、病室管理、安全管理考评得分均有显著提升,差异有统计学意义P<0.05。结论优质护理服务能显著提高肿瘤患者的护理质量,改善患者的生活质量,同时能增加治疗有效率,减少不良反应发生率。     

浅谈对病人家属的心理护理

只有通过家属的积极配合，通过家属与患者之间的亲密关系和熟悉的表达方式，使病员的心理护理取得事半功倍的效果，使护理计划得以顺利实施，既有利于病员的康复，又能减少医患纠纷的发生。     

癌症晚期患者身心满足的护理

目的探讨癌症晚期患者获得身心满足护理模式。方法采用姑息护理模式实施控制症状、支持患者、支持家属,获得身心舒适。结果与结论患者通过姑息护理方式获得了身心满足。     

急救护理流程在创伤性休克中的应用体会

目的为创伤性休克患者赢得抢救时间,提高医疗护理质量。方法对48例创伤性休克患者实施规范化的急救护理流程,急救护理流程包括入院伤情评估流程、恢复有效循环流程、病情动态监测流程、术前准备流程、组织协调流程和实施心理护理流程等,流程的实施和护士长的协调管理,流程各个环节密切配合,积极救治为挽救患者的生命赢得时间,提高了医疗护理质量。结果应用急救护理模式后,除2例患者因创伤严重死亡外,其余患者均治愈成功。结论规范的急救护理流程是提高急救成功率的保证。     

亲情化护理在颅脑损伤烦躁患者康复中的应用

目的探讨亲情化护理在颅脑损伤烦躁患者康复中的意义。方法将80例颅脑损伤烦躁患者分为观察组及对照组各40例,对照组采用传统护理模式,观察组采用亲情化护理模式。结果颅脑损伤烦躁患者的康复效果观察组优于对照组(P<0.05)。结论通过开展亲情化护理,调节大脑的精神紧张、缓解疼痛、提高睡眠质量、树立信心,积极配合治疗,极大增加了患者的康复率。     

以人为本理念在妇产科护理管理中的应用效果

目的探讨以人为本理念在妇产科护理管理中的应用效果。方法随机选取120例在阳高县人民医院进行治疗的妇产科患者,随机将其分为观察组和对照组,各60例,入院后对照组患者给予常规护理管理,观察组患者在此基础上增加以人为本护理管理,对两组患者满意度、产后并发症、平均住院时间进行比较。结果观察组患者总满意度为96.7%,明显高于对照组的71.7%,;观察组患者平均住院时间为(7.7±1.0)d,对照组为(11.0±1.5)d,观察组住院时间明显短于对照组;观察组患者产后并发症发生率为13.3%,对照组为38.3%,观察组发生率明显低于对照组,差异均有统计学意义(均P<0.05)。结论在妇产科护理管理中引入以人为本的理念能有效提高患者的护理满意度,缩短住院时间,减轻患者经济负担,同时还能大大降低产妇产后并发症的发生率。     

自身免疫性肝炎的护理

目的：探讨自身免疫性肝炎的护理方法。方法选取我院2011年11月至2013年12月收治的自身免疫性肝炎患者60例，对其进行针对性的护理干预。结果本组60例自身免疫性肝炎患者经过系统的护理，护理效果较佳，总有效率高达98.3%，其焦虑、恐惧情绪明显消除，大大改善了患者的生活和睡眠质量，增强其战胜疾病的信心，使其能够更加积极、主动地配合医护人员进行治疗。结论应遵循个体化、系统化的原则对自身免疫性肝炎患者进行护理，可减轻其痛苦，提高生活质量，最大限度地恢复患者的各项功能，使其能够尽快痊愈。     

临床护理路径在肺结核大咯血患者护理中的探讨

目的探讨临床护理路径在肺结核大咯血患者护理中的应用及效果。方法以2007年1月～2011年12月期间本院收治的62例肺结核大咯血患者为研究对象,随机分为观察组和对照组,对照组给予一般常规护理,观察组应用临床护理路径,观察并比较两组患者的止血效果、住院时间、再次出血例数、疾病相关知识的掌握、护理满意度等方面的差异。结果观察组患者的止血有效率显著高于对照组,住院时间比对照组短,再出血发生率低,疾病相关知识的掌握率及护理满意度评分高于对照组,差异具有统计学意义,P<0.05。结论临床护理路径应用于肺结核大咯血患者的护理,可有效提高止血成功率,缩短住院天数,增强患者对疾病相关知识的掌握,增加患者对护理的满意度,提高护理工作质量。     

John Stuart Mill's Theories of Wealth and Income Distribution

Although he was much influenced by David Ricardo when he wrote the classical part of his Principles , John Stuart Mill was not a Ricardian when he penned his theories of wealth and distribution. They are based on a triple foundation. First, a belief that economics is a moral discipline. Second a theory of custom-driven human behavior. Third, an empirically formed conviction that the institutions of state, education and business cooperate to structure the distribution of income. On the basis of these presuppositions, Mill formulated 1) an institutional theory of the formation of human and non-human wealth and 2) an even more institutional theory of distribution demonstrating how the aforementioned institutions malignantly skew the distribution of income to the advantage of the propertied classes and to the extreme disadvantage of the working class. As a social economist, Mill recommended institutional reforms designed to eradicate the poverty of the working class.     

Information infrastructure: Who builds broadband networks?

This paper examines the essential difference between the U.S. and Japan, when one considers information infrastructure. There are seven perception gaps between the U.S. and Japan concerning Information Infrastructure policies. These gaps must be understood in order to compare the countries' governmental policies in this area. In looking at the present circumstances, the essential question to answer concerns who is to build, own and operate the network(s) of the infrastructure. Liberalization is certain to be a central factor in the ongoing telecommunications debates. Now that customers have had a taste of the liberalized market-place, the movement toward more open markets will be difficult to stop. When considering options, it is necessary to pay close attention to standardized network access and the increasingly important role software plays. These issues are causing us to take a new approach to the traditional role played by regulators. They also force a closer look at the appropriate structure of utility companies. This paper addresses the above issues in hopes of stimulating dialog on the new telecommunications infrastructure paradigm.     

海岛地区产业演替及资源基础分析--以舟山群岛为例

改革开放以来,舟山市产业构成发生了显著变化,其经济发展过程可以划分为三个阶段。1992年前,是以产业结构渔业占绝对地位的单一结构阶段;1993—1998年,以旅游业为主的第三产业快速发展阶段;上世纪末以来,又进入了新一轮的经济发展时期,即工业产值比重快速增加阶段。根据海岛的自然资源基础和特点,在新世纪的经济发展过程中,舟山市应定位为生态型的港口旅游城市。以港口及临港工业为主导,以海岛旅游和海洋经济为特色,大力发展第二产业和第三产业。海岛地区的主导产业应体现海岛资源优势及区位优势,以集群性环保型产业为主。同时由于海岛地区淡水资源缺乏,主导产业也应着重选择低耗水型产业。     

风险视角下企业治理结构和研发创新——基于委托代理模型的研究

本文基于委托代理模型,从风险的视角研究企业治理结构对研发创新能力的影响。本文构建了一个包含创新活动的委托代理模型进行理论分析,利用动态DEA 模型测算创新能力,并使用2015-2018年我国上市制造业企业数据进行实证检验。实证部分检验了理论结论:委托代理问题不利于企业提升研发创新能力,且客观风险和主观风险厌恶会加剧该负面影响。基于此,本文认为上市企业应根据企业自身研发活动特点有针对性地改善企业治理结构,提出了适当延长代理人任期、推动股权激励计划、提升代理人的风险承担能力等建议。     

生物群落结构原型的仿生学模拟

模拟生命系统管理规律的科学即管理仿生学,是知识时代仿生学研究的新领域与前沿.基于模拟生物群落结构规律的研究目的,采用仿生学模拟的研究方法,以生物群落结构为原型,建立了仿生群落结构模型.结论为:垂直结构、水平结构、时间结构与交错区结构是支持生物群落生命活动的结构规律,以该规律为原型,推理建立了仿生分层结构、仿生优化结构、仿生动态结构与仿生相邻结构,四种仿生结构分别侧重于管理资源的分层管理、局部优化管理、动态过程管理、相邻关系管理,该模型为建立类似生物群落的人造管理系统即仿生群落管理系统提供了仿生结构模型.可以预测,该模型具有广泛的应用价值,能够推动管理仿生学的发展.     

Why rationality may be a consequence of Hume's theory of choice

Facing R. Sugden's criticism of our interpretation, it is shown in this paper that rationality appears as a possible consequence of Hume's theory of choice. We first argue that Sugden's dismissal of the preference relation from the type of rationality through which Hume's theory is apprehended, is highly disputable, from the point of view of both standard choice theory and Hume's theory of passions. Nonetheless, Sugden's criterion of rationality might be restated in Humean terms as a condition of non-revision of preferences in the dynamics of passions. But, since the process of choice that we have described explicitly takes into account the revision of preferences, and shows that, when this last is no longer required, rationality occurs as an outcome of this process, it is not really concerned by Sugden's criticism.     

Team Dynamics Where Followers Have Illusion about Guide

A team is assigned to accomplish a task in each infinitely-repeated period. The guide of the team and his followers are allowed to have asymmetric productivity; also the followers have either a hostile or favorable illusion toward the guide. Respective efforts and the followers’ illusion are private information. At the end of each period, the output of the joint task emerges and the followers evaluate the guide. The analysis shows (1) that potential for an unreasonable evaluation suppresses the guide’s effort down to an average level; (2) letting the followers inform the guide of their illusion in advance increases both sides’ payoffs; (3) abolishing the evaluation reduces both sides’ payoffs in general; and (4) however, if the magnitude of the followers’ hostile illusion weighted by its relative probability is enormous, abolishing the evaluation increases the output and the guide’s payoff.     

US Hegemony and the Origins of Japanese Nuclear Power: The Politics of Consent

This paper deploys the Gramscian concepts of hegemony and consent in order to explore the process whereby nuclear power was brought to Japan. The core argument is that nuclear power was brought to Japan as a consequence of US hegemony. Rather than a simple manifestation of one state exerting material ‘power over' another, bringing nuclear power to Japan involved a series of compromises worked out within and between state and civil society in both Japan and the USA. Ideologies of nationalism, imperialism and modernity underpinned the process, coalescing in post-war debates about the future trajectory of Japanese society, Japan's Cold War alliance with the USA and the role of nuclear power in both. Consent to nuclear power was secured through the generation of a psychological state in the public mind combining the fear of nuclear attack and the hope of unlimited consumption in a nuclear-fuelled post-modern world.