“Carea”——日本养老新构想

日本拥有完善的养老保障系统,文章介绍了日本“Secomfort”品牌的两家养老院蓟野养老院和六甲养老院提出的名为“Carea”的新构想,以解决老人复杂的生理和心理在生命发展变化过程中产生矛盾的问题,为社会养老系统的发展趋势输入了新的理念和提示。     

肾移植术后重症肺部感染的护理

目的探讨肾移植术后重症肺部感染的护理。方法对45例肾移植术后发生重症肺部感染患者采取专科护理、心理疏导,同时加强药物管理及综合治疗。结果肾移植术后重症肺部感染患者45例,治愈32例,总治愈率71．1％,死亡13例（其中6例放弃治疗）,总死亡率28．9％。结论肾移植术后肺部感染多发生于术后6个月内,病原体呈多样性,合并症出现较多,病情进展快,死亡率较高,对此类患者需在基本护理基础上强化无菌操作和消毒隔离。     

Ozone treatment process for the removal of pharmaceuticals and personal care products in wastewater

This study investigated the degradability of pharmaceuticals and personal care products (PPCPs) by ozonation for the treatment of secondary effluent of a municipal wastewater treatment plant. A set of experiments were conducted in a laboratory using a pilot-scale process consisting of three flow-through reactors in series, by varying the ozone dose (1–9 mg L^?1), the hydraulic retention time (5–15 min), and the concentration of ozone injected into the reactors (14–42 mg L^?1). Thirty-seven PPCPs were detected in the secondary effluent, which belongs to the use categories of antibiotics, analgesics, antiarrhythmic agents, anticonvulsants, vasodilators, lipid modifying agents, anti-itch drugs, anti-psychotic drugs, insect repellents, bronchodilators, diuretics, peptic ulcer drugs, NMDA receptor antagonists, antifungal drugs, antimicrobial drugs, and antineoplastic agents. These PPCPs were broadly classified into five groups ranging from “sensitive” to ozone (O₃) or “unstable” in the ozonation process, to the group of “insensitive” to O₃ or “very stable” in the ozonation process. These groups are based on the PPCP concentrations after the ozone treatment and their limit of detection (LOD). Furthermore, this study examined comparatively the effects of the ozone dose, the retention (reaction) time, and the concentration of O₃ supplied to the reactors on the degradability of the PPCPs.     

Correction to McCartney et al. (2010).

Reports an error in "Testing a series of causal propositions relating time in child care to children’s externalizing behavior" by Kathleen McCartney, Margaret Burchinal, Aliso Clarke-Stewart, Kristen L. Bub, Margaret T. Owen and Jay Belsky (Developmental Psychology, 2010[Jan], Vol 46[1], 1-17). On the first page of the article “Testing a Series of Causal Propositions Relating Time in Child Care to Children’s Externalizing Behavior,” by Kathleen McCartney, Margaret Burchinal, Alison Clarke- Stewart, Kristen L. Bub, Margaret T. Owen, Jay Belsky, and the NICHD Early Child Care Research Network (Developmental Psychology, 2010, Vol. 46, No. 1, pp. 1–17), author Alison Clarke- Stewart’s name was misspelled as Aliso Clarke-Stewart. In addition, the e-mail address listed for the corresponding author Kathleen McCartney is incorrect. The correct e-mail address is: kathleen_mccartney@gse.harvard.edu. The online versions of this article have been corrected. (The following abstract of the original article appeared in record 2009-24671-001.) Prior research has documented associations between hours in child care and children’s externalizing behavior. A series of longitudinal analyses were conducted to address 5 propositions, each testing the hypothesis that child care hours causes externalizing behavior. Data from the National Institute of Child Health and Human Development Early Child Care Research Network (NICHD) Study of Early Child Care and Youth Development were used in this investigation because they include repeated measures of child care experiences, externalizing behavior, and family characteristics. There were 3 main findings. First, the evidence linking child care hours with externalizing behavior was equivocal in that results varied across model specifications. Second, the association between child care hours and externalizing behavior was not due to a child effect. Third, child care quality and proportion of time spent with a large group of peers moderated the effects of child care hours on externalizing behavior. The number of hours spent in child care was more strongly related to externalizing behavior when children were in low-quality child care and when children spent a greater proportion of time with a large group of peers. The magnitude of associations between child care hours and externalizing behavior was modest. Implications are that parents and policymakers must take into account that externalizing behavior is predicted from a constellation of variables in multiple contexts. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

高效液相色谱法测定保健品水飞蓟片中水飞蓟宾的不确定度评定

目的 按照《中国华人民共共和国药典》一部2015版规定的高效液相色谱法对保健品水飞蓟片中水飞蓟宾含量进行测定,根据CNAS-GL006：2019要求以及JJF1059.1-2012对测定过程中影响检验结果的各个分量进行评估。方法 通过对测量重复性、标准品溶液配制、样品溶液的配制、高效液相色谱仪以及标准曲线拟合测量偏差这5个方面引入的不确定度进行分析,并确定各个不确定度分量,得到扩展不确定度。结果 经测定,保健品水飞蓟片中水飞蓟宾含量为(2.44±0.118)g/100g,P=95%,(k=2)结论 样品溶液配制和标准曲线拟合因素对测量不确定度影响显著,由检验方法重复测量和标准品溶液配制以及高效液相色谱仪体现。     

Design and evaluation of a device worn for fall detection and localization: Application for the continuous monitoring of risks incurred by dependents in an Alzheimer’s care unit

The Homecare project, which is part of a research project funded by the French National Research Agency (ANR), aims to define a new multi-sensor monitoring system for the elderly with cognitive disabilities in a care unit. Two subjects were recruited to participate to experimental trials. The main objective of this project is to design and test a complete monitoring system at a real site. It is a new clinical and technical approach which is complex to implement: Homecare is intended to propose a possible technical solution, demonstrate its feasibility and illustrate its use working at a protected site. The system consists of a motion sensor network deployed on the ceiling to monitor motion and an electronic patch worn by the subjects to identify them and detect falls. In order to locate tagged subjects inside the care unit, a network of anchor points is used. From these positions and movement data, an analysis algorithm detects an abnormal situation and alerts the nursing staff in real time. A Web application allows the medical staff to access movements and alarms. The complete monitoring system has been functioning for several months and continuously monitors two patients around the clock. In this paper, we present the implementation of the system, the method of localization inside the care unit, and the characterization of the fall detector, and we show certain results relating to activity data.     

随班就读综合学校设计

从讨论随班就读综合学校的概念及国内外发展现状入手,总结了随读学校的设计原则,重点论述了随读学校的教学空间设计,提出了一种“Care Unit”特殊教学单元,并建立了该单元的空间模型及与之相对应的教学模式,以供参考。     

关于企业医院改制工作的几点思考

企业医院改制是卫生体制改革的重要组成部分,是所有企业医院面临的重要课题。在实施企业医院改制中,要把握好医疗市场拓展、富余人员分流安置、改善内部资产结构等关键性问题,认真做好经营能力的预测分析,选择适合自我生存和发展的改制模式。要坚持党的领导、从实际出发、依法依规和有情操作的原则,坚持依靠职工群众,加强组织领导,确保医院改制工作的顺利推进。改制医院要妥善处理内部股权结构问题,理顺内部管理关系。政府和母体企业对改制医院要给予关心和扶持,把改制医院纳入整体卫生管理规划,建立改制医院承担公共卫生服务职能的补偿机制,确保改制医院的长远发展。     

浅谈教师队伍建设

教师是教育活动直接的组织者和实施者,是教育最基本的力量和保证。确保教育质量,要从加强师德教育、提高教师职业道德水平、运用激励机制调动激发教师工作热情、实施人文关怀、营造温馨工作生活环境等方面出发,培养一支师德优、素质高、爱岗敬业的教师队伍。     

Sustainable thermal technologies and care homes: Productive alignment or risky investment?

The use of more sustainable thermal technologies is a policy imperative across the UK building stock. However, not all building uses provide the same opportunities for technology uptake as others. Care homes for older people have characteristics which in technical and economic terms suggest that they might be particularly appropriate for the implementation of more sustainable thermal technologies. They have comparatively high demands for space heating and hot water often sustained on a 24/7 basis. However there are many considerations, both generic and contextual, that will typically play into processes of technology uptake. Through qualitative research in six case study homes, focused on management and staff perspectives and experiences, we explore the degree to which there might be a productive alignment between care home operation and the use of sustainable thermal technologies. Two key themes emerge focused on business considerations and the importance of avoiding risk and damage to reputation; and the ways in which different thermal technologies are relevant to and can potentially impact on care practices. We conclude that despite potential benefits the sector could remain rather resistant to sustainability innovations. We suggest therefore areas in which productive action and further research could be undertaken.