Mentorship experiences during registrar training: reflections of Black African specialists in the Western Cape

In order to meet the significant staffing challenges to health care provision in South Africa, the need to support the training and retention of Black medical specialists has been identified. This small qualitative study aimed to explore experiences of mentorship among a group of Black medical specialists in hopes of understanding the value and potential challenges that these relationships raise. Ten Black medical specialists were interviewed about their experiences of being mentored during their registrar training. The interview data was analysed using discourse analysis, and the results comprise of three main themes, namely: Difficulty accessing mentorship, a lack of Black and/or female role models and finally, experiences of feeling excluded from soft networks. The experiences explored in this study indicate the need for open dialogue within the mentorship dyad regarding certain taken-for-granted assumptions surrounding race, so as to aid the provision of more effective and satisfying mentorship outcomes.     

Vaginal births after caesarean: What does Google think about it?

AimVaginal birth after caesarean (VBAC) is a relatively safe alternative to repeat caesarean birth in the proper context. This important decision to undergo an elective caesarean versus VBAC is ultimately a decision of the mother. The purpose of our study was to assess the quality of online information in relation to VBAC collected using the most common search engine: Google.MethodsThe 10 most common hit sites for the keywords “VBAC” and “Vaginal birth after caesarean” were evaluated using the search engine Google. The quality of websites was rated based on the Silberg scale for accountability, the modified Abbott's criteria for presentation and the SMOG index for readability. The content of each website was compared to the Society of Obstetricians and Gynecologists of Canada (SOGC) guidelines for VBAC.Findings13 out of 20 identified websites met the adequate criteria for accountability, with 85% of the websites indicating authorship. 11 websites were deemed aesthetically agreeable. The target audience, assessed by the readability score, was notably above the non-medical population with an average SMOG index score of 14.75. Only half of the websites contained recommendations, as detailed by the SOGC guidelines.ConclusionAlmost all sites target a higher academic level, making it beyond the comprehension of the general population. Woman friendly web-assessment tools should be provided to enable pregnant women to take an active role in their decision making.     

重大公共卫生事件中应如何作为:来自医学人类学哈佛学派的启示

聚焦人类学者在针对重大公共卫生事件的跨学科研究中应该有何作为这一议题,通过借鉴来自医学人类学哈佛学派的民族志洞见和研究经验,为当下2019新型冠状病毒疫情危机中所进行的田野观察和分析,以期获得灵感和启示,并探索有可行性和操作性的研究策略和方法。     

用科学发展观指导医学教育改革和创新

科学发展观为高等医学教育的改革和发展提供了全新的思路。以科学发展观为指导,根据医学教育事业的发展,按照国际医学教育标准,全方位推进医学教育的改革和创新,强化素质教育,构建新的教学体系、管理监控体系以及教学保障体系,对于提高医学教学质量,培养高层次医学人才,实现国际标准本土化,具有重要的意义。     

液-气喷射器在电厂炉烟水处理中的应用研究

本文通过对液－气喷射器的结构及工作原理进行分析，针对呼和浩特市发电厂中50MW容量机组，并提出将该喷射器用于循环冷却水处理系统中，从而有效防止凝汽器铜管表面结垢，不但可以节省费用，减轻环境污染，而且可以提高机组热交换效率，降低煤耗。     

我校医学影像专业实施素质教育的实践与探索

三峡大学医学院开办医学影像专业有 16年历史 ,经历了从专科向本科转型过度。在素质教育和创新意识培养方面经过了多年的探索实践。大专层次的教育为社会培养了一批临床应用型专业人才 ,缓解了市场需求的压力 ,但部分学生客观上存在着知识面较窄小 ,缺乏后劲的问题。实施本科教育全面提高学生的综合素质需要在多方面下工夫 :转变教育思想 ,更新教育观念 ;转变培养模式 ;优化组合构建新的课程体系 ;强化科研 ,以科研促教学 ;通才教育与专才教育并举。探索本科生素质教育 6年 ,取得了可喜成绩 ,积累了一些经验     

《TRIPS协议》中的国民待遇原则适用对象之分析

在《TRIPS协议》中适用国民待遇原则 ,既要遵守《WTO协定》的规定 ,又要遵守《TRIPS协议》框架下各条约的规定。《TRIPS协议》中国民待遇原则适用对象的标准有国籍标准、居所标准和实质关联标准。《TRIPS协议》适应了世界贸易和经济的发展     

Robustness of a Class of Partial Diallel Cross Designs to the Unavailability of a Complete Block of Observations

Complete and partial diallel cross designs are examined as to their construction and robustness against the loss of a block of observations. A simple generalized inverse is found for the information matrix of the line effects, which allows evaluation of expressions for the variances of the line-effect differences with and without the missing block. A-efficiencies, based on average variances of the elementary contrasts of the line-effects, suggest that these designs are fairly robust. The loss of efficiency is generally less than 10%, but it is shown that specific comparisons might suffer a loss of efficiency of as much as 40%.     

论建设农村全面小康社会的途径

文章将建设农村全面小康社会作为一项系统工程进行研究，既指出建设农村全面小康社会要依靠农业自身的发展，又阐述了从其他途径建设农村全面小康的可能性、必要性。     

农村居民看病难、看病贵原因实证分析

利用扩展的线性支出系统模型(ELES),采用最小二乘法估计计算了我国农村居民的短期医疗服务需求价格弹性。研究结果表明:农村居民的短期医疗服务需求价格缺乏弹性。由于农村居民的短期医疗服务需求价格缺乏弹性,加上我国目前医疗体制存在的以药养医和医疗机构的逐利行为以及医疗市场缺乏有效的监管等问题,导致农村居民看病难、看病贵。解决这个问题,需要国家增加对卫生领域的投入,降低农民看病时自费的比例,增强卫生市场的竞争性,适当使医疗卫生资源向农村地区倾斜,并逐渐把医疗机构办成非盈利机构。