Discussion of Innovative Path on Cost Accounting in Modern Hospital

降低医疗成本、提高服务质量,是公立医院经营永恒的目标。成本核算是实现医院经营目标的重要手段。笔者阐述了医院成本核算的复杂性与特殊性,包括医疗服务的自身特点、国家政策和社会环境使医院成本核算基础差,不易比较和控制等特点。当前医院管理面临诸多挑战,加强医院成本核算具有重大意义。本研究就医院成本核算在医院管理中的应用做了初步探讨,并提出改进方法。The goals of hospital operation are decreasing medical cost and increasing quality of medical services.Cost accounting is an important method to achieve these goals.Including factors like the specific features of medical services,state policies and social environment lead to the fact that hospital cost have a weak basis and hard to compare and control,we illustrate the complexity and particularity of cost accounting.Facing a number of challenges,strengthening cost accounting is of great weight.We offer a preliminary account of the application of cost accounting in hospital management.福建省省属公益类科研院所基本科研专项项目(2014R1036-3

Hospital Managers Ought to Attach Importance to the Application of Hospital Management Ethics

医院管理伦理不同于医院管理道德,其具备独特的管理属性、内涵、功能、任务和目的。笔者探讨了医院管理与医院管理伦理之间的关系。当前医院管理面临诸多挑战,加强医院管理伦理建设具有重大意义。笔者就医院管理伦理在医院管理中的应用作了初步探讨,提出改进方法。Hospital management ethics is not hospital management moral,it has distinctive management attribute, connotation, function, tasks and goals.We discuss the relationship between hospital management and hospital management ethics.Because of facing a number of challenges, strengthening hospital management ethics is of great weight.We offer a preliminary account of the application of hospital management ethics in hospital management.福建省省属公益类科研院所基本科研专项项目(2014R1036-3

Clinical effect of damage-control orthopedics in the treatment of severe pelvic fracture

目的探讨骨科损伤控制(dCO)治疗严重骨盆骨折的临床效果。方法回顾性分析本院2010年1月~2014年1月收治的201例严重骨盆骨折患者临床资料,其中采用dCO治疗的患者为试验组(n=104),未采用dCO治疗的患者为对照组(n=97),观察两组的院内死亡率、手术时间、术中失血量、术中输液总量、术后并发症发生率和6 H乳酸清除率。结果试验组、对照组分别有7例(6.7%)和22例(22.7%)死亡,死亡原因均为失血性休克和多器官功能不全综合征,两组院内死亡率比较差异有统计学意义(P=0.003)。试验组的手术时间显著短于对照组[(55.7±11.2)MIn VS(121.5±21.3)MIn,P=0.012);试验组的术中出血量、术中输液总量均显著少于对照组[(250.3±54.3)Ml VS(612.5±56.7)Ml,(4613.9±1135.4)Ml VS(8821.3±2030.4)Ml,P=0.008、0.006)]。试验组、对照组术后并发症发生率分别为17.3%和24.7%,两组比较,差异无统计学意义(P=0.262)。试验组的急性呼吸窘迫综合征发生率显著低于对照组(P=0.038)。试验组、对照组术后6 H乳酸清除率分别为21.3%和11.2%,两组比较,差异有统计学意义(P=0.004)。结论 dCO有助于提高严重骨盆骨折患者的生存率、降低急性呼吸窘迫综合征发生率。Objective To explore the clinical effect of damage-control orthopedics(DCO) in the treatment of severe pelvic fracture.Methods Clinical data from 201 patients with severe pelvic fracture from January 2010 to January 2014 were retrospectively analyzed.Patients applied DCO was classified into experimental group(n=104),and those who didn′t were categorized into control group(n=97).The hospital mortality,operative time,intraoperative amount of bleeding,intraoperative amount of transfusion,incidence rate of postoperative complication,and lactate clearance rate of 6-hour in two groups was observed respectively.Results There were 7(6.7%) and 22(22.7%) dead cases in experimental group and control group And the causes of death were hemorrhagic shock and multiple organ dysfunction syndrome.The hospital mortality between two groups displayed a statistical difference(P =0.003).The operative time in experimental group[(55.7±11.2) min] was obviously shorter than that in control group [(121.5±21.3) min](P=0.012).In experimental group,the intraoperative amount of bleeding and amount of transfusion during surgery [(250.3 ±54.3) ml and(4613.9±1135.4)ml] in control group,and it was(612.5±56.7) ml and(8821.3±2030.4) ml respectively.After comparison,the two indexes in experimental group was obviously less than that in control group(P=0.00,0.006).The incidence rate of postoperative complication in experimental group and control group was 17.3% and 24.7% respectively,which didn′t display a statistical difference(P=0.262).The incidence rate of acute respiratory distress syndrome(ARDS) in experimental group was obviously lower than that in control group(P=0.038).The lactate clearance rate of 6-hour after surgery was 21.3% and11.2% in the experimental group and control group with a statistical difference(P=0.004).Conclusion DCO is beneficial to improve the survival rate of patients with severe pelvic fracture and reduce the incidence of ARDS

以课题式实验教学提高学生科研兴趣和科研能力的探索——以“遗传学实验”为例

传统的实验教学多为验证性实验,实验结果可预测且大同小异,缺乏新意和挑战,对于拔尖学生来说如同鸡肋,因此在经典传统的实验教学中进行内容改革,提高难度势在必行。本文以遗传学实验中的经典实验模式生物果蝇为例,开展了课题式实验教学改革,以果蝇诱变为命题,大大激发了学生的科研兴趣,同时拓展了科学思维,培养了科研能力,体现了研究性学习的创造性和挑战性,是生物学实验教学改革的有益探索。“基础学科拔尖学生培养计划”研究课题(20180214,20170606

全国野生动物、野生植物保护协会工作会议在北京召开

2005年4月25日,全国野生动物、野生植物保护协会工作会议在北京召开。会议提出,全国野生动物、野生植物保护协会要动员全社会力量,特别是要广泛发动群众,进一步推动野生动植物保护事业发展。国家林业局副局长赵学敏,中国野生动物保护协会会长王志宝,中国野生植物保护协会会长马福,中国作家协会副主席、书记处书记陈建功,中国作家协会书记处书记吉狄马加出席