基于移动IPv6的选播路由协议研究

提出了一个简洁的基于IPv6的报文结构模型，该模型通过对现有IPv6中ICMP路由器发现报文的改进，实现了对网络性能的改善。在该模型中，移动节点到达一个新的子网时，获得转交地址和申请选播服务的实现不必经过以往的两次报文发送—接收过程，而只需一次。该模型对网络性能的改善体现在：缩短转交地址获得和选播服务确定的时间，简化ICMP报文的类型，节约网络带宽资源。     

基于IEEE 11073标准的脉搏信息远程监测系统实现

随着医疗科技的迅猛进步,病人可以在家中进行重点监护.医疗器械种类繁多,各自有不同的连接方式.为了改善此状沉ISO、IEEE及CEN等标准组织分别对医疗器械提出标准.本研究遵循医疗仪器间的互相通讯的标准ISO/IEEE11073-20601,致力于实现遵循统一标准的远程医疗监测系统.     

浅谈在油田搬迁单位人文关怀的实施

中国石化江汉油田分公司采油工艺研究院在搬迁到了武汉后,部分职工出现了缺乏危机意识、心理焦虑等问题。而人文关怀是维护队伍稳定的基础、调解职工心理的手段、企业顺利发展的保证。企业实施人文关怀,就必须加强心理健康教育、构建和谐人际关系、做好细致心理疏导、解决职工实际问题、关注员工价值取向。     

Validating the Primary Care Posttraumatic Stress Disorder Screen and the Posttraumatic Stress Disorder Checklist with soldiers returning from combat.

The purpose of the research was to assess the diagnostic efficiency of the Primary Care Posttraumatic Stress Disorder Screen (PC-PTSD) and the Posttraumatic Stress Disorder Checklist (PCL) as clinical screening tools for active duty soldiers recently returned from a combat deployment. A secondary goal was to examine the item-level characteristics of both the PC-PTSD and the PCL. A validation study conducted with a sample of 352 service members showed that both the PC-PTSD and PCL had good diagnostic efficiency. The overall diagnostic efficiency assessed by the area under the curve (AUC) was virtually the same for both the PC-PTSD and PCL. The most efficient cutoff values for the PC-PTSD were either 2 or 3 "yes" responses with the latter favoring specificity. For the PCL, the most efficient cutoff values were between 30 and 34, mirroring recommended PCL cutoff values from some studies in primary care settings. The examination of item characteristics suggested a 4-item PCL with an AUC virtually identical to that of the full PCL. Item analyses also identified that the most discriminate item in both scales pertained to symptoms of avoidance. Implications and limitations are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

40例儿童晚期神经母细胞瘤化疗的护理

目的探索晚期神经母细胞瘤患儿长期大剂量化疗的护理特点。方法选择40例神经母细胞瘤患儿,男26例,女14例,7-9岁15例,2-6岁25例;Ⅲ期19例,Ⅳ期21例。化疗方案CDV4个疗程、GiE2个疗程。留置PICC管,化疗药物以连续静脉滴注48～72h为主,并持续水化、碱化,同时进行心理、化疗副作用的护理。结果通过对患儿全面评估,仔细观察病情,对化疗副作用如胃肠道反应、骨髓抑制、出血性膀胱炎进行及时讲解及处理,对患儿及其家长有效的进行心理护理,降低了并发症及死亡率,顺利完成整个化疗,未发生静脉炎,并完成水化、碱化：结论PICC管可以减轻反复静脉穿刺的疼痛及静脉炎的发生;细致周到的护理,可增强患儿接受化疗、战胜疾病的信心,保证治疗效果.     

折叠带蒂髂腹股沟皮瓣修复手掌洞穿性缺损的围手术期护理

目的探讨带蒂髂腹股沟皮瓣折叠修复手掌洞穿性缺损的围手术期护理。方法2004～2008年,12例手掌洞穿性缺损应用带蒂髂腹股沟皮瓣折叠修复,采取心理护理、皮瓣受区、皮瓣供区准备、皮瓣血运监测、皮瓣固定护理、体位护理、饮食控制等围手术期护理。结果皮瓣全部成活,康复顺利,无并发症发生。结论该围手术期系统护理策略对带蒂髂腹股沟皮瓣折叠修复方法修复手掌洞穿性缺护理是安全有效的护理方法。     

Cultivating more-than-human care: Exploring bird watching as a landscaping practice on the example of sand martins and flooded gravel pits

The environmental crisis has created a demand for practices that build awareness about the interconnections of diverse forms of life, allowing humans to understand complex earthly relationships and reconnect with the land they inhabit. This paper contributes to this debate by investigating bird watching activities and their relevance for architects and landscape architects. Drawing upon multispecies studies and the notion of landscape thinking, it examines the potential of birding as a caring landscaping practice. It analyzes the relationship between birders and sand martins in two case studies and probes how birders develop attentiveness for the birds and their shared environment. The investigation suggests that birding fosters care beyond the observed species. It can trigger a landscaping practice comparable to landscape thinking that helps humans reconnect with the land, fostering response-able spatial design practices.     

日本社区嵌入型养老设施配置发展经验对中国的启示

随着中国人口老龄化程度日益加深,养老设施的普及配置已刻不容缓。然而由于部分相关概念未能明确统一、设施体系尚不完善、配置标准灵活性不足等问题,导致中国在发展过程中一味追求养老床位数量达标,却忽略了老年人的实际养老需求,造成大量社区存在设施供给与服务需求脱节的现象。世界上率先进入超老龄社会的日本,从2006年开始构建社区统合照料体系。在设施配置规划上,从原有设施体系中独立出小规模的社区嵌入型设施体系,两个体系并存互补,使设施配置更具弹性,有助于灵活应对老年人的多样化需求,在年老人熟悉的社区中实现高质量养老服务的精准配送。通过推动小型化设施的普及配置,实现了设施在既有社区内的渗透发展。本文以日本的官方开放数据为基础,通过梳理其社区嵌入型养老设施的配置和发展状况,揭示了这一规划举措对日本在高度城市化地区实现"在地养老"制度理念的关键意义。在借鉴相关经验的基础上,结合中国的发展现状,提出了完善设施体系、因地制宜确定配建指标和设施规模、充分发挥设施区域协同作用等对中国具有现实意义的启示。     

The foundations of a policy for the use of social robots in care

Should we deploy social robots in care settings? This question, asked from a policy standpoint, requires that we understand the potential benefits and downsides of deploying social robots in care situations. Potential benefits could include increased efficiency, increased welfare, physiological and psychological benefits, and experienced satisfaction. There are, however, important objections to the use of social robots in care. These include the possibility that relations with robots can potentially displace human contact, that these relations could be harmful, that robot care is undignified and disrespectful, and that social robots are deceptive. I propose a framework for evaluating all these arguments in terms of three aspects of care: structure, process, and outcome. I then highlight the main ethical considerations that have to be made in order to untangle the web of pros and cons of social robots in care as these pros and cons are related the trade-offs regarding quantity and quality of care, process and outcome, and objective and subjective outcomes.     

社区首诊制下定点基层医疗机构门诊服务利用水平分析

珠海市基本医疗保险普通门诊统筹自2009年7月1日实施以来,与社区首诊制同步推进,发挥了方便群众就医、减轻患者负担、合理使用基金和强基层的积极作用。珠海市参保人社区医疗机构签约率、就诊率明显上升,医疗费用合理。本研究采集2008年8月至2012年7月珠海市基本医疗保险的全部参保人的相关数据,采用间断时间序列分析法,并利用分段回归模型对间断时间序列数据进行定量分析,分析实施社区首诊制后,珠海市参保人对社区门诊服务利用水平的变化。