公共场所火灾伤员转运护理应急资源评估

为保障伤员生命与健康,提升火灾伤员救治率,该文研究公共场所火灾伤员转运护理应急资源评估方法.以火灾伤员转运护理应急资源需求分析为基础,从应急人员、应急设备、应急环境信息与应急管理四个方面出发,共选取15个评估指标,构建公共场所火灾伤员转运护理应急资源评估指标体系,根据各指标采集相关数据并对数据实施量纲标准化处理.构建基...     

Effectiveness of a physical activity program on weight,physical fitness,occupational stress,job satisfaction and quality of life of overweight employees in high-tech industries: a randomized controlled study

Introduction. This study aimed to examine the effectiveness of a physical activity (PA) program on weight control, physical fitness, occupational stress, job satisfaction and quality of life of overweight and sedentary employees in high-tech industries. Methods. Participants in the intervention group (n?=?37) were instructed to carry out a PA program at moderate intensity for 60?min/session, 3 sessions/week for 12 weeks. Those in the control group (n?=?38) received no PA program and were asked to continue their routine lifestyle. Evaluations were performed at baseline and at the end of the intervention. Results of structured questionnaires and blood biochemistry tests and evaluations of physical fitness were analyzed. Results. The PA program effectively reduced the number of risk factors for metabolic syndrome and body fat percentage, and improved physical fitness such as flexibility, muscular strength and endurance and cardiorespiratory endurance. The intervention also significantly decreased levels of serum triglyceride, total cholesterol and low-density lipoprotein cholesterol. Significant positive effects on work control, interpersonal relationships at work, global job satisfaction and quality of life were also demonstrated. Conclusion. This study showed that a PA program can be helpful in improving physical, physiological and psychological outcomes for overweight and sedentary employees in high-tech industries.     

上消化道出血的常见诱因分析及护理对策

本文对上消化道出血的常见诱因进行了分析,并对临床护理方法进行了实践探讨,以求对上消化道出血的护理工作提供参考.     

Sensitivity evaluation of the visual,tactile, and auditory detection response task method while driving

Objectives: In this article, we evaluate the sensitivity to cognitive load of 3 versions of the Detection Response Task method (DRT), proposed in ISO Draft Standard DIS-17488.

Methods: We present a user study with 30 participants in which we compared the sensitivity to cognitive load of visual, audio, and tactile DRT in a simulated driving environment. The amount of cognitive load was manipulated with secondary n-back tasks at 2 levels of difficulty (0-back and 1-back). We also explored whether the DRT method is least sensitive to cognitive load when the stimuli and secondary task are of the same modality. For this purpose, we used 3 forms to present the n-back task stimuli: visual, audio, and tactile. Responses to the task were always vocal. The experiment was based on a between-subject design (the DRT modalities) with 2 levels of within-subject design study (modalities and difficulty of the secondary n-back tasks). The participants' primary task in the study was to drive safely, and a second priority was to answer to DRT stimuli and perform secondary tasks.

Results: The results indicate that all 3 versions of the DRT tested were sensitive to detecting the difference in cognitive load between the reference driving period and driving and engaging in the secondary tasks. Only the visual DRT discriminated between the 0-back and 1-back conditions on mean response time. Contrary to expectations, no interaction was observed between DRT modality and the stimuli modality used for presentation of the secondary tasks.

Conclusions: None of the 3 methods of presenting DRT stimuli showed a consistent advantage in sensitivity in differentiating multiple levels of cognitive load if all response times, hit rates, and secondary task performance are considered. If only response time is considered, the visual presentation of the DRT stimulus used in this study showed some advantages. In interpreting these data, it should be noted that the methods of DRT stimulus presentation varied somewhat from the currently proposed draft ISO standard and it is possible that the relative salience level of the visual DRT stimulus influenced the findings. It is further suggested that more than 2 levels of difficulty of the n-back task should be considered for further investigation of the relative sensitivity of different DRT stimuli modalities. Parameters that indicate change in cognitive load (response time, hit rate, task performance) should be analyzed together in assessing the overall impact on the driver and not individually, in order to obtain a fuller insight of the assessed cognitive load.     

建设项目环境影响后评价

建设项目环境影响后评价是一个新生事物,它的发生和发展需要人员的关注和支持。《中华人民共和国环境影响评价法》是建设项目环境影响后评价的法律依据,建设项目环境影响后评价分为主动后评价和责成后评价,应当在建设项目正常运行阶段,运行负荷会达到设计符合的75%以上进行。建设项目环境影响后评价的主要程序分为准备阶段、评价阶段和报告编制阶段,各阶段均有后评价独特的工作内容和技术要求。据此以污水处理厂后评价为例,沿着评价程序的这一主线,详细介绍了建设项目环境影响后评价各阶段的主要工作内容和技术要求,为规范建设项目环境影响后评价提供思路。     

Validation of Methods for Determination of Metabolic Rate in the Edholm Scale and ISO 8996

The aim of this study was to validate the Edholm scale (Edholm, 1966) and the ISO 8996 standard (International Organization for Standardization [ISO], 1990) by comparing the metabolic rates estimated for both methods with the actual measured metabolic rate (M_Meas) in 6 manual material handling tasks simulated under laboratory conditions. The metabolic rate was calculated from oxygen consumption VO₂ (19 participants) according to Standard No. ISO 8996 (ISO, 1990). Additionally, the participants estimated perceived exertion using the Borg scale. The metabolic rates derived from the Edholm scale (M_Edh) overestimated 5 of 6 activities by 34-50% (α = .05). The metabolic rates derived from ISO 8996 (M_ISO) overestimated all activities by 7-38% (α =.05).     

Electric Versus Hydraulic Hospital Beds: Differences in Use During Basic Nursing Tasks

Biomechanical, postural and ergonomic aspects during real patient-assisting tasks performed by nurses using an electric versus a hydraulic hospital bed were observed. While there were no differences in the flexed postures the nurses adopted, longer performance times were recorded when electric beds were used. Subjective effort, force exertion and lumbar shear forces exceeding safety limits proved electric beds were superior. Patients’ dependency level seemed to influence the type of nurses’ intervention (duration and force actions), irrespective of the bed used. The nurses greatly appreciated the electric bed. Its use seemed to reduce the level of effort perceived during care giving and the postural load during critical subtasks. Ergonomics and organizational problems related to adopting electric beds in hospital wards should be addressed further to make their use more efficient.     

You want me to do what? Two daily diary studies of illegitimate tasks and employee well‐being

Illegitimate tasks, a recently introduced occupational stressor, are tasks that violate norms about what an employee can reasonably be expected to do. Because they are considered a threat to one's professional identity, we expected that the daily experience of illegitimate tasks would be linked to a drop in self‐esteem and to impaired well‐being. We report results of two daily diary studies, one in which 57 Swiss employees were assessed twice/day and one in which 90 Americans were assessed three times/day. Both studies showed that illegitimate tasks were associated with lowered state self‐esteem. Study 1 demonstrated that high trait self‐esteem mitigated that relationship. Study 2 showed that illegitimate tasks were associated with not only lowered state self‐esteem but also lower job satisfaction and higher anger and depressive mood, but not anger or job satisfaction remained elevated until the following morning. Copyright © 2015 John Wiley & Sons, Ltd.     

重症胰腺炎手术治疗的护理

本文对我院2001年以来收治的54例重症胰腺炎患者手术治疗的护理进行总结，以求对重症胰腺炎患者手术治疗中的护理工作提供参考．     

Extension of TACOM to the complexity of tasks designed for abnormal situations in nuclear power plants

TACOM (TAsk COMplexity) is a measure for evaluating the complexity of tasks prescribed for emergency situations in nuclear power plants. Five sub-measures constituting TACOM represent five different aspects of the task complexity exhibited in operating procedures for emergency situations. The practicality of TACOM has been verified through a series of empirical studies. However, tasks designed for abnormal situations that can significantly affect the safety of nuclear power plants, also need a proper measure for evaluating their complexity. TACOM provides a process, a systematic cognitive task analysis method and a set of guidelines to support its application. Therefore, although the characteristics of abnormal task situations are not the same as those of emergency situations, TACOM seems to be reasonably applied to abnormal situations or at least to offer meaningful insights for developing a measure for evaluating the complexity of tasks in abnormal situations. Thus this study examined the applicability of TACOM to abnormal situations through case studies. Particular attention was paid to the sufficiency and appropriateness of the three methodological tools, which are the process, the cognitive task analysis method and the set of guidelines. Collective consideration of the case studies and the characteristics of tasks prescribed for abnormal situations led us to draw the conclusion that TACOM could be reliably used for abnormal situations as well. This paper reports the process of how to apply TACOM to the tasks of abnormal situations and discusses some lessons learned through this application.