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| 1 | 全科住院医生以患者为中心使用电子病历的干预前后比较研究显示文摘目的目前,临床接诊时常用到电子病历(EHR)。由于使用EHR能给医患关系带来不利影响,因此就'以患者为中心'使用HER已发表了相关推荐方案。然而,当前培训对提高临床接诊EHR应用率的效果尚不明确。本研究旨在调查培训对全科住院医生使用EHR时与患者沟通技巧的影响,并探究其沟通技巧是否因接诊内容而变化。方法本研究在瑞士日内瓦大学医院全科医学科进行,研究对象为全科住院医生。干预措施为为期3个月的培训,包括基于观看接诊录像进行的2个大型的小组培训以及2~4个个性化辅导培训。使用自填式问卷调查全科住院医生对使用EHR的态度。使用Roter沟通互动分析系统以及EHR具体项目评估干预前后全科住院医生执业的情况。干预效果以全科住院医生对使用EHR的态度和在接诊过程前10 min内客观需要使用EHR的情况进行评价。结果招募的27名全科住院医生有17名参与了本研究。研究对象在约30%的接诊里应用了EHR。干预后,认为使用EHR使医患关系变差的全科住院医生数量减少,而且其能够更加放松地使用EHR。全科住院医生使用光标定位EHR的比例在干预后有所增加[干预前:0.77(SD=1.69);干预后:1.80(SD=3.35),P=0.035]。当接诊社会心理疾病的患者时,全科住院医生使用EHR的比例下降(干预前:24.5%,干预后:9.76%,P<0.001)。结论本研究表明,培训可提高全科住院医生接诊时使用EHR的沟通技巧,与敏感的社会心理疾病患者的沟通改善尤其显著。今后,相关的研究可侧重于以患者视角探讨全科医生沟通技巧与其关联性,以及这些沟通技巧的有效性。 | LANIER C DOMINIC DAO M HUDELSON P 本刊编辑部 | 2017 | 中国全科医学2017,20,26: | 2 |
| 2 | Surface plasmon enhanced infrared photodetection显示文摘Infrared photodetectors have been used extensively in biomedicine, surveillance, communication and astronomy. However, state of the art technology based on III-V and II-VI compounds still lacks excellent performance for high-temperature operation. Surface plasmon polaritons (SPPs) have demonstrated their capability in improving the light detection from visible to infrared wave range due to their light confinement in subwavelength scale. Advanced fabrication techniques such as electron-beam lithography (EBL) and focused ion-beam (FIB), and commercially available numerical design tool like Finite-Difference Time-Domain (FDTD) have enabled rapid development of surface plasmon (SP) enhanced photodetectors. In this review article, the basic mechanisms behind the SP-enhanced photodetection, the different type of plasmonic nanostructures utilized for enhancement, and the reported SP-enhanced infrared photodetectors will be discussed. | Jinchao Tong Fei Suo Junhuizhi Ma Landobasa Y. M Tobing Li Qian Dao Hua Zhang | 2019 | Opto-Electronic Advances2019,2,1: | 2 |
| 3 | The Raman laser fiber optics (RLFO) method and its applications显示文摘 | Dao N Q Jouan M | 1993 | Sensors and Actuators B:Chemical1993,3,: | 1 |
| 4 | Intake limitation,feeding behavior,and rumen function of cows challenged with rumen fill from dietary fiber of inert bulk显示文摘 | DAO R G ALLEN M S | 1995 | J Dairy Sci1995,78,: | 1 |
| 5 | Computational modeling of the forward and reverse problems in instrumented sharp indentation显示文摘 | Dao M Chollacoop N Van Vliet K J | 2001 | Acta Mater2001,49,19: | 1 |
| 6 | Recti- fying diodes from asymmetrically functionalized single-wall carbon nanotubes显示文摘 | Wei Zhong Kondratenko M Dao Le H | 2006 | Journal of the American Chemical Society2006,128,10: | 1 |
| 7 | Distribution of glycoalkaloids in potato plants and commercial potato products显示文摘 | Friedman M Dao L | 1992 | J Agric Food Chem1992,40,: | 1 |
| 8 | Shape memory polyurethane nanocomposites with functionalized graphene显示文摘 | CHOI J T DAO T D OH K M | 2012 | Smart Materials & Structures2012,21,: | 1 |
| 9 | Selective main- tenance for multi-state series-parallel systems under economic dependence显示文摘 | DAO C D ZUO M J PANDEY M | 2014 | Reliability Engineering and System Safety2014,121,: | 1 |
| 10 | Toward a quantitative understanding of mechanical behavior of nanocrystaltine metals 显示文摘 | Dao M Lu L Asaro R J | 2007 | Acta Mater2007,55,: | 1 |
| 11 | Computational modeling of the forward and reverse problems in instrumented sharp indentation显示文摘 | Dao M Chollacoop K J | 2001 | Acta Mater2001,49,: | 1 |
| 12 | Simultaneous bilateral breast and high-resolution axillary MRI of patients with breast cancer: Preliminary results 显示文摘 | Luciani A Dao TH Lapeyre M | 2004 | A JR Am J Roentgenol2004,182,4: | 1 |
| 13 | Dynamic analysis of the beat-up process 显示文摘 | DAO D ARTUR B MANSOUR M | 1991 | Textile Research Journal1991,6,12: | 1 |
| 14 | Hypoxic preconditioning results in increased motility and improved therapeutic potential of human mesenchymal stem cells显示文摘 | Rosova I Dao M Capoccia B | 2008 | Stem Cells2008,26,8: | 1 |
| 15 | Weak sharp solutions of variational inequalities显示文摘 | PATRICE M DAO L ZH | | 0,,09: | 1 |
| 16 | The Role of Rainfall in the Landslide Hazard: the Case of the Avigliano Urban area ( Southern Apennines, Italy ) 显示文摘 | POLEMIO M DAO F S | 1999 | Engineering Geology1999,53,34: | 1 |
| 17 | Synthesis and characterization of poly ( alkylanilines ) 显示文摘 | LECLERC M GUAY J DAO L H | 1989 | Macro- molecules1989,22,: | 1 |
| 18 | Deformation,structural changes and damage evolution in nanotwinned copper under repeated frictional contact sliding显示文摘 | Singh A Dao M Lu L | 2011 | Acta Materialia2011,59,19: | 1 |
| 19 | Plant Antifungal Proteins显示文摘 | 3,Dao J Y Ray A B Paul M H | 1996 | Plant Breeding Reviews1996,14,: | 1 |
| 20 | Effects of chilling on the expression of ethylene biosynthetic genes in Pase-Craesan pear fruits显示文摘 | LELIEVRE J M TICHIT L DAO P | 1997 | Plant Mol Biol1997,33,: | 1 |