农村合作医疗制度绩效的比较研究

从覆盖丰、公平性、可及性、人口健康、医疗卫生费用五个指标考察不同历史时期的农村合作医疗制度绩效,可以发现:正在实施的新型农村合作医疗制度的绩效虽尚未完全显现,但部分主要指标较高;计划经济时期的农村合作医疗制度缋效次之;而转轨时期的农村合作医疗制度绩效最低.导致不同时期农村合作医疗制度绩效差异的主要原因是政府与农民的不同行为方式.今后要进一步提高新型农村合作医疗制度的绩效,应该着力引导医疗卫生费源向农村配置;完善农村三级医疗卫生服务体系;规范政府财政投入机制;做好城乡一体化的医疗保障制度的有效衔接.     

网络及多媒体环境下的学生英语自主学习

同传统的书本咖黑板、以教师为主体的教学方式相比,自主学习以其强调学习者在学习过程中的主体地位而越来越受到国内外教育界专家、学者的赏识．网络环境下的教学资源为自主学习提供了诸多可能和便利,因而,探讨网络及多媒体环境下外语学习中学生自主学习机制及其自主学习能力的培养对外语的教与学都有积极意义．     

艺术教育与艺术创造活动

艺术教育是教育的一个重要组成部分,艺术创造活动则是和艺术教育紧密相关的一个概念,弄清楚艺术教育、艺术创造活动的概念内涵对教育理论和教育实践都有着重要的指导意义。该文章着重从艺术教育与艺术创造活动的本质、实施过程、目的和任务等几个方面作了比较分析,以期能把艺术教育的概念内涵解释清楚。在指出艺术教育与艺术创造活动的区别的同时,文章也深刻分析了艺术教育与艺术创造活动的相互联系。     

克州地区新冠肺炎流行期发热门诊管理模式探讨

探究在新冠肺炎流行期克州人民医院发热门诊管理模式优化及效果。对1 950例（2020年1—3月）在发热门诊就诊的患者,依据是否具有流行病学史分为对照组（无流行病学史）和观察组（有流行病学史）,给予患者分区治疗,为所有患者行高质量的门诊管理服务工作,优化门诊管理模式并进行相关评价。结果显示,观察组患者发病年龄较低、候诊时间较短、发热患者数量较少,CT检查比例、CT检查显示病毒性肺炎比例、核酸检测比例、入院率等较高,与对照组比较差异均有统计学意义（P<0.05）,且两组患者均未发生交叉感染;两组患者的管理质量评分、满意度等差异无统计学意义。门诊管理流程优化前后,门诊护理人员的护理技能水平、护理态度均有所提高,但相比于管理流程优化前,差异无统计学意义。在新冠肺炎疫情期间,发热门诊应不断调整运行模式,提升医务工作人员的专业技能以及突发事件应对能力,依据患者流行病学史实现患者的分区管理,进而加强患者分区预防管理力度,预防患者出现交叉感染。     

蒙药壮西灰剂治疗慢性浅表性胃炎60例分析

为观察蒙药治疗慢性浅表性胃炎的临床疗效,随机选择60例慢性浅表性胃炎患者,用蒙药壮西灰剂进行治疗。结果,60例中痊愈43例(71.6%),好转15例(25.0%),无效2例(3.3%),总有效率达到了96.6%。     

现代性中信任问题论衡——基于吉登斯信任理论的思考

基于脱域机制,现代社会的信任关系体现为对抽象系统的信任,这一信任关系通过对缺场予以确信的行为不断地将未来纳入到当下的视域中,极具风险性.在现代性条件下,抽象系统因其反思性和专业性可以作为评估和应对风险的依据,同时,为了保障抽象系统的合法性和权威性,就要对抽象系统的运行和保障进行制度化规范.而现代社会出现的信任危机就源于抽象系统运行所需的制度性程序和制度性保障机制出现问题.     

探析铜陵市传统村落的发展现状及存在的问题

对传统村落保护与发展,既是矛盾,又是机遇.不恰当的改造有可能会破坏千百年来遗留下来的乡土风貌和文化景观,因此需要寻找适合的保护与传承的方式,不能以牺牲文化生态价值换取眼前的经济发展,应从整体上对传统村落文化生态环境进行保护.本文为了探析出更适合铜陵市地方传统村落保护的出路,对铜陵市传统村落的发展现状进行考察、调研.     

学校教育中传承民族文化存在的问题及对策——以北川羌族自治县的学校教育为例

The Qiang are one of the most ancient ethnic groups in China, and their rich cul-ture is an important part of Chinese culture. Bei-chuan Qiang Autonomous County, in Sichuan province, is a unique Qiang Autonomous County in China, which has an exceptional foundation for transmitting Qiang ethnic culture through school education. However, the county’s transmission of Qiang ethnic culture through school education still faces some problems, such as lack of educational investment, poor teacher resources, lack of ethnic cultural inheritors, and students’ lack of ethnic self-confidence. In view of series dilemmas faced by Beichuan Qiang Autonomous County in trans-mitting Qiang ethnic culture through school educa-tion, this article proposes the following suggestions based on our investigations:1 . Increase the investment in school educa-tion In view of the lack of educational investment, we suggest the following measure be adopted: 1 ) increase educational investment from various levels of the government, especially increasing special in-vestment in transmitting Qiang ethnic culture through school education;2 ) raise funds from the public;3 ) have the schools engage in their own fundraising, and 5 ) make efforts to get foreign aid. 2 . Strengthen the investment in improving teacher resources In view of the problem of poor teacher re-sources, we suggest the following measures: 1 ) strengthen policy support from the national level, and solve the problem of poor teacher resources through training teachers in universities for nation-alities. 2 ) invite Qiang cultural inheritors to be teachers; 3 ) strengthen the technical training of the school teachers, and improve the teachers’ skills;4) add more teacher positions, and improve the treatment of teachers;5 ) encourage teachers to devote their life to the education and inheritance of Qiang culture. 3 . To promote the motivation for studying eth-nic culture In view of the students’ lack of motivation for studying ethnic culture, and the lack of people who go on to inherit the ethnic cultural heritage, we suggest the following: 1 ) Beichuan Autonomous County should help the young Qiang people to be locally employed through developing ethnic econo-mies, and to inherit ethnic culture via developing tourism with ethnic characteristics. 2) Family edu-cation should be closely connected with school edu-cation;3 ) to include an exam on Qiang ethic cul-ture in school entrance examinations in order to re-flect the importance of ethnic culture study;4 ) to add some ethnic culture courses in schools for na-tionalities. 4 . To strengthen the ethnic pride and confi-dence of Qiang students In view of the issue of Qiang students’ lack of ethnic confidence and pride, we suggest the follow-ing:1 ) open Qiang language courses in schools in Qiang areas; 2 ) enlarge the usage range of the Qiang language; 3 ) help students to understand the charm of Qiang culture, and let them feel eth-nic pride. 5 . To standardize and promote a common Qiang language In view of the issue that Qiang have no written language, their spoken language is too complicat-ed, and there are too many dialects, we suggest that the National Languages and Scripts Work Committee should work with Qiang scholars and ex-perts to create a basic dialect of the Qiang-a com-mon Qiang language, which should be promoted in school education, just like mandarin Chinese in school education.     

明代中后期川西北地区的军防系统与军事改革

明代中后期川西北地区的军防系统改革,是理解地方社会权力格局和地缘意义的关键视角。十五世纪中后期,川西北地区的军防体制在文武关系、官员职级、官员职务、防务分配四个方面发生变化,地方“番”汉势力失衡,军士生计维艰,边区军防渐趋废弛。十六世纪前期,因为南下蒙古势力威胁蜀边,区域的地缘功能为之一变。明廷因之重整川西北防务,并于嘉、万年间发起系统性军事改革,通过加派高阶官员、整饬军防设施、提升军队战力等方式应对“番蒙合流”带来的军事威胁。明代中后期川西北地区的防御体系演变,在地方社会发展脉络中具有分水岭式的重要意义。     

以章程建设为核心推进高职院校制度建设 ——试论常州信息职业技术学院章程建设实践

一、以章程建设助推高职院校制度建设 我国高等职业教育自20世纪80年代起步,发展至今已逾三十年.自2000年起,得益于我国制造业的高速发展,高等职业教育也迎来了新一轮发展热潮,在相关教育从业者的努力下,高等职业教育在相当长的一个时期内与普通高等教育平分秋色,取得了令人瞩目的成就.但是,相较于其他方面的建设发展,高等职业教育在制度建设方面所取得的进展仍旧与现代大学制度的要求存在着相当大的距离.2010年由国务院发布的《国家中长期教育改革和发展规划纲要2010—2020年》,明确提出要建立现代职业教育体系.而现代职业教育体系的核心主旨即职业院校需遵循系统完善的制度体系,依法自主办学、实施管理及履行公共职能.高职院校要实现现代化的转型发展,完善法人治理结构,推进自身制度建设,已成为必然选择.