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关键词： 宫外孕   大出血   常规血液检验  

摘要： 目的:常规血液学检验在宫外孕大出血输血疗效监测中的作用情况.方法:取我院接收的宫外孕大出血输血者78例为研究对象,根据不良反应发生与否分设组别,即A组(有不良反应)和B组(无不良反应).分析二者的凝血功能 、血常规指标.结果:A组T T、PT和APT T指标水平均高于B组,而TIB水平则低于B组;A组血常规指标水平均低于B组,差异有统计学意义(P<0.05).结论:对血常规指标与凝血指标予以检测,均能对宫外孕大出血输血治疗效果进行有效评估,而且还能对不良反应情况进行监测.

关键词： 车辆归场检验工作   成品油   配送车队  

摘要： 成品油罐车的披术状况绝定着司押人员的生命安全和运输企业的成本控制,做好车辆的归场检验工作为车辆的修保作业提供依据,起预防机械故障.减少维修,确保安全生产的目的.

关键词： 突发食物中毒事件   理化检验质量控制   工作效果  

摘要： 目的:探究突发食物中毒事件理化检验质量控制的作用.方法:选取2017年4月 —9月期间发生的突发食物中毒事件作为对照组研究对象,予以常规理化检验控制管理.选取2018年4月 —9月期间发生的突发食物中毒事件作为观察组研究对象,予以理化检验质量控制管理,对比两组事件平均有效控制时间和报告发出时间以及理化检验控制结果.结果:观察组有效控制时间和报告发出时间均短于对照组(P<0.05),观察组理化检验质量控制感染人数均少于对照组(P<0.05).结论:突发食物中毒事件实施理化检验质量控制,能提升工作效率,使事件在短时间内得到有效控制,降低了感染人数规模.

关键词： Behavioral psychology   Clinical psychology  

摘要： Introduction: Generally, civic engagement seems to produce positive health outcomes for those who participate. However, there is conflicting evidence as to whether civic engagement may be more of an added burden for individuals from lower socioeconomic (SES) communities, or among women, perhaps due to the differing types of civic activity in which men and women may choose to engage. Type of activity may also be critical in determining whether certain forms of engagement more strongly predict well-being than others. This study explored several possible factors that inform for whom and under what circumstances civic engagement may improve health outcomes among college students. Methods: Participants were recruited at a mid-sized university in the Northeast. Consented participants completed an online survey consisting of demographics, the Civic Engagement Quiz, Mental Health Continuum-SF, Meaning in Life Questionnaire, Self-Efficacy Towards Service scale, and the Interpersonal Support Evaluation List-12. Mediational, direct, and full effects models were conducted to investigate whether SES predicts civic activity, and if type of civic activity predicts subjective well-being, mediated by meaning in life and self-efficacy. Social support was added to the model as a covariate, and all models were conducted across samples of men and women. Results: Participants (N=438) were primarily White (78%), female (72%) and 68% reported at least one parent having a Bachelor's degree or higher. Students reported mean levels of well-being that indicated flourishing (M=45.42, SD=14.23), high self-efficacy toward service (M=20.17, SD=3.63), adequate social support (M=25.76, SD=6.87), and moderate meaning in life (M=50.22, SD=8.98). Overall, fit indices showed that the full model provided the best fit in men, women, and both samples combined (low χ2 to df ratio, nonsignificant p values, CFI > .95, RMSEA < .10). Due to power concerns, a smaller model was examined using SES as the first pre

关键词： 临床医学   检验   药物   结果   干预  

摘要： 随着经济和科技水平的快速发展,本研究主要分析在临床医学检验中药物对检测结果的影响,经过深入分析我们发现:在临床医学检验过程中药物是具有较大影响的一类因素,对检测结果的影响很大,我们要正视这个问题并制定有效的措施解决这个问题,促进检测结果的准确性.

关键词： 检验医学   临床医学   沟通交流  

摘要： 检验与临床医学的密切联系,不仅是提升临床医疗水平提高的关键因素,更是医疗质量安全的重要保障。因此,强化检验医学与临床医学间的沟通交流,具有重要的价值和影响。本文主要对临床和检验医学沟现状进行了探讨分析,并在总结问题原因的基础上,提出了有益的参考。

关键词： 血涂片镜检   血常规   检查  

摘要： 目的研究血涂片镜检在血常规检验过程中的作用。方法选取本院2017年10月～2018年10月进行血常规检查的100例患者为观察对象,对所有患者进行血常规检查,其中异常患者为对照组,正常患者为研究组,各50例。分别对患者进行血涂片检查、分类对比细胞和形态学。结果研究组中都是正常人员,通过血涂片的分析结果表示有6例异常人员,假阳性率为12.00%;对照组通过血涂片分析的结果表示,共有25例异常患者,假阳性率50.00%。两组血涂片检查结果的正常率进行对比,差异有统计学意义(x2=14.342,P=0.001)。结论在血常规检查过程中,血涂片分析在检查异常患者中具有较高的精准率,在临床中具有较高的理论价值,值得临床推广使用。

关键词： 免疫学检验   类风湿关节炎   类风湿因子  

摘要： 目的:分析免疫学检验联合检测对类风湿关节炎的诊断作用.方法:从2016年3月-2018年3月到我院进行类风湿关节炎诊疗的患者中选择120例患者作为本次的研究对象,将这120例类风湿关节炎患者作为本次的观察组,从健康人员中选择120例作为本次的对照组,在其他条件相同的情况下,为这两组研究人员均进行免疫学检验以及类风湿因子检验,将两组研究人员经过检验后的抗CCP(抗环瓜氨酸多肽抗体)、RF(类风湿因子)、IgG(免疫球蛋白G)、AKA(抗角蛋白抗体)以及C3、C4等指标进行比较.结果:观察组类风湿关节炎患者的CCP阳性率、RF、AKA、IgG水平明显高于对照组健康人员,C3和C4水平两组研究人员指标无太大差异,两组研究人员的诊断结果差异具有统计学意义(P＜0.05).结论:许多类风湿关节炎患者在发病期间均会出现免疫功能下降或者是紊乱的情况,为了帮助类风湿关节炎患者更加有效地进行治疗,我们可以通过免疫学检验观察患者的各项身体指标,为主治医生提供可靠的依据,制定出针对性的治疗方案,提高类风湿关节炎患者的治疗效果,是一项值得推广的应用.

关键词： ISO15189   科室分布   质量控制   检验科  

摘要： 目的:探讨实施ISO15189管理对检验质量控制的影响,总结相关临床经验.方法:收集郴州市第三人民医院检验中心在实施ISO15189管理前(2014年1月1日至2014年12月30日),以及在实施ISO15189管理后(2015年1月1日至2015年12月30日)的全院总标本量,对比实施管理前、后标本总量以及不合格标本量.结果:血液标本与尿液标本是主要的不合格标本类型,实施管理前、后标本不合格类型分布情况比较差异显著(P＜.05);外科、内科、儿科与急诊科是不合格标本分布较多的科室,实施管理前、后不合格标本科室分布情况比较差异显著(P＜0.05);溶血、血量不足、标本凝固是导致标本不合格的主要原因,实施管理前、后显著差异(P＜0.05).结论:ISO15189在检验分析前质量控制中有着较高的应用价值,能够有效降低不合格标本率,值得应用于临床推广.

关键词： Counseling psychology   Sexual minorities   Public health   Bisexual men--Sexual behavior   Sexual health  

摘要： According to public health research, bisexual men are at elevated risk for contracting STIs and HIV relative to other sexual minority groups (e.g., gay men, lesbian women) as well as heterosexual people; yet, no studies to date have examined contextual factors that may contribute to this sexual health trend. Using a minority stress theory framework, the present study tested the direct and indirect associations of anti-bisexual discrimination with risky sexual behaviors in a sample of 508 self-identified bisexual men (age range = 18 - 76), with internalized biphobia, bisexual identity concealment, and substance use mediating this relation. Bisexual identity centrality’s direct relations with internalized biphobia, bisexual identity concealment, and risky sexual behavior were also tested. A path analysis was used to analyze the data. Results indicated that anti-bisexual discrimination yielded significant direct positive associations with internalized biphobia, bisexual identity concealment, and risky sexual behavior. Internalized biphobia, but not bisexual identity concealment, yielded a significant direct association with substance use, which yielded a significant direct positive link with risky sexual behavior. Bisexual identity centrality yielded significant direct negative associations with both internalized biphobia and bisexual identity concealment, but it yielded a nonsignificant association with risky sexual behavior. Internalized biphobia also yielded a total indirect link with risky sexual behavior through the mediating role of substance use. Implications of these findings for clinical practice and future research with bisexual men are discussed.