医学院校留学生是来华留学生群体中的特殊群体,他们承担着留学生和医学生双重角色,在许多方面都面临较大的压力.这些压力主要来自人际关系紧张、学习困难、生活环境复杂以及就业前景不明确等方面.学校应从建立社会支持网络、建设第二课堂和网络课堂、构建校外住宿留学生管理体系及积极推动医学学历认证进程等方面着力,缓解医学院校留学生的学业压力.

Objective To compare the models of receiving overseas exchange students for shortterm clinical rotation in China and other countries,exam Peking University Health Science Center (PUHSC)'s program for receiving oversea exchange students for short-term clinical rotation by using international experiences as a reference,and put forward improving approaches.Methods The data is collected through examination of work-related documents and interview of relevant people;the data is then used to compare the similarities and differences between the models of receiving exchange students for short term clinical rotation in PUHSC and its 22 oversea partner universities.Results PUHSC's program for receiving oversea exchange students for short-term clinical rotation made a good achievement overall,but there are still issues related to program scale,teaching arrangement,application process,program administration,evaluation and accreditation,accommodation arrangement,health and safety etc.PUHSC can learn from international experiences and improve the program through strategies such as set up clinical rotation blocks or terms,clarify application requirements and regulations,establish online application system,include exchange students in the university's students and staffs administration system,improve evaluation and accreditation system,provide more humanistic care,request and exam immunization and health insurance documents so as to strengthen safety management.Conclusions Receiving oversea exchange students for short-term clinical rotation is an important component of medical education internationalization,PUHSC can improve the quality and scale of the program by referencing international experiences.

Objective By analyzing the trend of the inpatient expenses composition of patients with appendicitis in the hospital, the author aims at finding out the cause of the change.Methods To analyze the inpatient data of patients with appendicitis from 2008 to 2012 in the hospital using descriptive analysis and statistical analysis with SPSS 13.0. Results The diagnosis and treatment fee as well as the examination fee, is increasing in the three years. While care services fee and the drug fee are decreasing in the same time. Other fees are fluctuating with time. Conclusion New ways of medical expenses control should be further developed.Furthermore, the style of hospital management has a direct influence on medical expenses as well as its composition.

Objective To observe the effect of the occupational therapy (OT) on people with mental disability in community of Beijing and analyze its related factors. Methods 180 mentally disabled persons from 15 disabled persons' centers (DPCs) in a district of Beijing were studied with a self-developed questionnaire. They were investigated twice with a 6-month interval, and the results were compared. Re-sults 160 questionnaires were valid for analysis. The score of OT improved (P<0.05) in 103 (64.38%) respondents. The main factors related with the effectiveness of the OT included OT categories, age and vocational assessment. Conclusion OT is effective on people with mental disability in the DPCs, and could be improved in some aspects, such as regular vocational assessment.

In recent years, more and more nurses have suffered from hospital violence, which has evolved into serious medical industry and even social problems. This article described the hazards and concept of hospital violence, showed the current status of hospital violence among domestic and foreign nurses, analyzed the causes and characteristics of the hospital violence among nurses, and proposed corresponding countermeasures.

Objective Through the comparative analysis of stroke patients satisfaction to rehabilitation service of second grade general hospitals in cities of different levels,to explore the management problems in rehabilitation department of general hospital.Methods Two second grade general hospital,separately in a county level city and a municipality city,were selected to conduct a self-designed questionnaire survey of 229 stroke patients,which measured the stroke patient satisfaction to rehabilitation service.Results The patients’ evaluation of the stroke rehabilitation service on the three attributes,which are empathy,tangibility and responsiveness,differs significantly.Both two hospitals patients gave low evaluation on the economics attribute of the service.Conclusion The quality of the stroke rehabilitation service in second grade general hospitals of different cities could be improved in three ways: improving the behavior of medical staff,the management level of hospitals,and the construction of the rehabilitation service system.

Objective:To understand the current situation of early stage rehabilitation to stroke patients and to explore how the sociology,economy,health insurance,and cognitive factors of the stroke patients influence the utility of early rehabilitation services.Methods:Two general hospitals which could provide rehabilitation services were selected to conduct a self-designed questionnaire survey of 229 stroke patients.Results:89.1% of stroke patients received the early stage rehabilitation in the acute phase of hospitalization;Different places of residence,insurance types,ways of payments for medical therapy and rehabilitation,source of income,as well as the different understandings towards the ways of determination for rehabilitation therapy were the influencing factors for the stroke patients whether or not receiving the early rehabilitation.Conclusion:The mode of early rehabilitation provided for the stroke patients needs to be improved;economy,health insurance and cognitive factors were the most important factors for the early rehabilitation utilization of stroke patients.