![旅行醫(yī)學(xué)-課件(英文版)_第1頁](http://file4.renrendoc.com/view/37c959a6958b6ed490d3ab2ac938a204/37c959a6958b6ed490d3ab2ac938a2041.gif)
![旅行醫(yī)學(xué)-課件(英文版)_第2頁](http://file4.renrendoc.com/view/37c959a6958b6ed490d3ab2ac938a204/37c959a6958b6ed490d3ab2ac938a2042.gif)
![旅行醫(yī)學(xué)-課件(英文版)_第3頁](http://file4.renrendoc.com/view/37c959a6958b6ed490d3ab2ac938a204/37c959a6958b6ed490d3ab2ac938a2043.gif)
![旅行醫(yī)學(xué)-課件(英文版)_第4頁](http://file4.renrendoc.com/view/37c959a6958b6ed490d3ab2ac938a204/37c959a6958b6ed490d3ab2ac938a2044.gif)
![旅行醫(yī)學(xué)-課件(英文版)_第5頁](http://file4.renrendoc.com/view/37c959a6958b6ed490d3ab2ac938a204/37c959a6958b6ed490d3ab2ac938a2045.gif)
版權(quán)說明:本文檔由用戶提供并上傳,收益歸屬內(nèi)容提供方,若內(nèi)容存在侵權(quán),請進(jìn)行舉報或認(rèn)領(lǐng)
文檔簡介
IntroductiontotravelmedicineIntroductiontotravelmedicin1AbouttheauthorDrPeterLeggathasco-ordinatedtheAustralianpostgraduatecourseintravelmedicinesince1993.HehasalsobeenonthefacultyoftheSouthAfricantravelmedicinecourse,conductedsince2000,andtheWorldwiseNewZealandTravelHealthupdateprogramssince1998.DrLeggathasassistedinthedevelopmentoftravelmedicineprogramsinseveralcountriesandalsotheCertificateofKnowledgeexaminationfortheInternationalSocietyofTravelMedicine.AbouttheauthorDrPeterLegga2ObjectivesInthissessionDefinetravelmedicineExaminesomefiguresforglobalandlocalmigrationHopefullygainanappreciationoftheimportanceofgivingtravelhealthadviceDiscusssomeofcomponentsthatareneededinordertogivecorrectadvicetotravellerObjectivesInthissession3Whatistravelmedicine?ItisascienceandanartWhatistravelmedicine?Itis4Whatistravelmedicine?Itisthatpartofhealthprofessionalpracticethat:seekstopreventillnessesandinjuriesoccurringtotravellersgoingabroadmanagesproblemsarisingintravellerscomingbackorcomingfromabroadisconcernedabouttheimpactoftourismonhealthandalsoadvocatesforimprovedhealthandsafetyservicesfortourists
isincreasingconcernedaboutrefugeeandmigranthealth (PrimerofTravelMedicine3rdEd)Whatistravelmedicine?Itis5“theartoftravelmedicineisselectingthenecessarypreventionstrategywithoutunnecessaryadverseevents,costorinconvenience” (Steffen,1994)“theartoftravelmedicineis6ChallengeoftravelmedicineSeaofglobalmigrationofpeopleMorepeopletravellingPeopletravellingfurtherafieldRapidmovementoftravellersChallengeoftravelmedicineSe7USA/Canada35.2millionEurope25.0millionJapan11.4mioAUS/NZ3.3millionTravellersfromindustrialisedareas
todevelopingareas1999(WTO)2.82.3Total:nmilliontravelers0.2-1milliontravelers~80milliontravelers1.2USA/CanadaEuropeJapanAUS/N8GlobalizationofhealthandsafetyAffectsHealthoflocalpopulationsHealthdeterminantsSafetyandsecurityResultsinGlobalimpactsEmergingandre-emerginginfectiousdiseaseCommerceandHealthPathogenstravelasfastastransportation:bordersarenotrespectedTsunamiSARSInfluenzaTerrorismGlobalizationofhealthands9TravellersareexposedtoavarietyofhazardsTravellersareexposedtoava10TheImportanceofTravelHealthMeasures100,000travelerstothedevelopingworldfor1month…..50,000willbecomeill8,000willseeaphysician5,000willstayinbed1willdieSteffen,1994TheImportanceofTravelHealt11TheImportanceofTravelHealthMeasuresPer100,000travellersthathavetravelinsurance…..8000willmakeaclaim(8%)2000willuseemergencyassistance(2%)400ERorclinicreferrals(0.4%)200Hospitaladmissions(0.2%)50Aeromedicalevacuations(0.05%)Leggatetal.TravelMedInfDis2005;3:9-17.TheImportanceofTravelHealt12TheImportanceofTravelHealthMeasuresMortalityCardiovascularDisease(50to70%)Accidents/Trauma(20-25%),esp.MVAsInfectiousdiseases(2.8-4%)
(ReidandCossar,BMBull.1993;257-268;Prociv,MJA.1995;163:27-30;Bakeretal.,PHR1992;107:155-159;MacPhersonetal,JTM.2000;2000:227-233;Steffen,TransRSTM&H1991;85:156-162)TheImportanceofTravelHealt13TravelmedicineisacontinuumTravellersdogetsickorinjuredabroadorwhentheycomebackThecommitmenttotravelhealthcanthereforeberegardedasacontinuumTravelmedicineisacontinuum14TheContinuumofTravelMedicineDuringTravelPreventiveMedicineContingencyPlanningTreatment&RehabilitationVisitorsPre-TravelPost-TravelTheContinuumofTravelMedici15Whatdoweneedtodoinordertobegivingthecorrectadvicetotravellers?Whatdoweneedtodoinorder16TravelHealthAdviceneedsInformation“InformationispowerinTravelMedicine”TravelHealthAdviceneedsInf17TravelHealthAdviceneeds
TrainingTraininggivesyouaframeworkforusingthatinformationTravelHealthAdviceneeds
Tra18TravelHealthAdviceneeds
ExperienceExperiencehelpsputtheinformationandtraininginperspectiveTravelHealthAdviceneeds
Exp19TravelHealthAdviceneeds
tobeDocumentedDocumentationisimportantforQualityassuranceandreinforcingtravelhealthadviceTravelHealthAdviceneeds
to20TravelHealthAdviceneeds
TravellersMarketingisessentialintravelhealth,whetheringeneralpracticeorinspecialisttravelclinicsTravelHealthAdviceneeds
Tra21GivingthecorrectadvicetotravellersGivingthecorrecthealthadvicetotravellersneeds:InformationTrainingExperienceDocumentationTravellersGivingthecorrectadvicetot22TravelHealthAdviceneedsInformationGuidelinesPoliciesTextbooks,includinganWorldAtlasJournalsProfessionalorganisationsStaff/colleaguesElectronicDatabasesWWWTravelHealthAdviceneedsInf23InternationalGuidelinesWHOInternationalHealthRegulationsInternationalTravelandHealth/ithYellowfeverrequirementsInternationalGuidelinesWHO24“NationalGuidelines”TravelHealthGuidelinesMalariaGuidelinesImmunisationGuidelinesAntibioticGuidelinesJournalsSeminars“NationalGuidelines”TravelHe25Youneedaccesstowww-sitesInternationalSocietyofTravelMedicine
USCentersforDiseaseControlandPrevention/travel/travelUSGuidelinesSimilargovernmentsitesforUKandCanadaWorldHealthOrganization/ith
Theformer“yellowbook”isnowpublishedasthe“bluebook”onlineYouneedaccesstowww-sitesIn26ItisveryusefultohaveaccesstoamulticountrytravelmedicaladvisoryserviceCDCTravelHealth,see/travel/index.htmMASTA,seeTRAVAX,seehttp://www.travax.nhs.ukShorelands,seeItisveryusefultohaveacce27ProfessionalOrganisationsLocalprofessionalgroupsandTHEISTMProfessionalOrganisationsLoca28ISTMInternationalSocietyofTravelMedicineInternationalNetworkInternationalClinicDirectoryUsefulformarketing/recognitionListserveOutbreakalertsJournalGeosentinelCertificateofTravelHealthGreatConferences!!ISTMInternationalSocietyofT29JournalsWeighingtheEvidenceJournalsWeighingtheEvidence30Weighingtheevidence“Travelmedicinepreventionshouldbebasedonepidemiologicaldata.” RobertSteffen,1991Whatarethelikelyrisksofapersontravellingtoparticulardestinations?Whatarethelikelybenefitsofintervention? Weighingtheevidence“Travelm31GivingthecorrectadvicetotravellersGivingthecorrecthealthadvicetotravellersneeds:InformationTrainingExperienceDocumentationTravellersGivingthecorrectadvicetot32Pre-TravelHealthAdviceneedsTrainingHelpsgivestructureandconsistencyProvidesaframeworkforpracticeDiscussesevidenceforpracticePolicyandProceduresManualConsistentapproachtotravelhealthPre-TravelHealthAdviceneeds33PartofthecommitmentistoalsohaveaconsistentandstructuredapproachtotravelhealthadviceWHOChecklist(/ith)InformationonlocalconditionsPreventionAccidentavoidanceMedicalanddentalcheck-upNZPHR-PreventionVaccinationsHealthAdvicePrescriptionSource:/ithPartofthecommitmentistoa34VACCINATE(IHC)Always NationalscheduleOften hepatitisASometimes Japaneseencephalitis meningococcaldisease polio rabies yellowfever Influenza Pneumococcaldisease Othervaccines (adapted*fromNZPHR;1996;3(8):57-59)VACCINATE(IHC)Always Nationa35ADVISEANDDISCUSSInsects repellents,nets,permethrinIngestions carewithfoodandwater diet/teeth(including airlines/jetlag/DVT)*Indiscretions STI’s,HIVInjuries accidentavoidance,personal safetyImmersion schistosomiasisInsurance* healthandtravelinsurance* findingmedicalassistanceo/s*
(adapted*fromNZPHR;1996;3(8):57-59)ADVISEANDDISCUSSInsects rep36PRESCRIBE
(Script/Dr’sletter/bracelet)Always regularmedication medicalkit(firstaid)*Sometimes antimalarialmedication diarrhealself-treatment condoms (NZPHR;1996;3(8):57-59)PRESCRIBE37CoursesIncreasingnumberoftravelmedicineacademicprogramsglobally(seeeducationalopportunitiesat)GetrelevantendorsementsAviationmedicalexaminerDivingmedicalcertification(SPUMS)CertificateofTravelHealth(ISTM)OccupationalhealthtrainingCoursesIncreasingnumberoftr38CoursesWeighingtheevidenceContributingtothedisciplinethroughresearch(alsothroughGeoSentinel)Despitetraining,stillneedtokeepuptodateandtokeepseeingtravellerstohelpbuildexperienceCoursesWeighingtheevidence39GivingthecorrectadvicetotravellersGivingthecorrecthealthadvicetotravellersneeds:InformationTrainingExperienceDocumentationTravellersGivingthecorrectadvicetot40TravelhealthadviceneedsexperienceLet’sjustdoit!AffiliationwithagroupwithexperiencecanbeusefulTravelclinicgroupTravelmedicaladvisorygroup(egMASTA,Worldwise,Travaxetc)UniversityThoseNZGPsthatwereinterestedintravelmedicineweresignificantlymorelikelytohavehadtropicalmedicine/developingcountryexperience (Leggatetal.JTM1999;7:55-58.)Travelhealthadviceneedsexp41TravelispartofexperienceTravelispartofexperience42TravelispartofexperienceProfessionalsworkingintravelmedicineneedtotravelandhavethatpersonalexperiencetocommunicatetotravellersHelpstoputtravelhealthadviceincontextandhelpstobuildapositivetravelexperienceTravelispartofexperiencePr43GivingthecorrectadvicetotravellersGivingthecorrecthealthadvicetotravellersneeds:InformationTrainingExperienceDocumentationTravellersGivingthecorrectadvicetot44TravelhealthadviceneedstobedocumentedStandardisedforms/questionnairesInformedconsentInternationalHealthCertificate/VaccinationrecordDoctor’sletter/copyofprescription/medialertbraceletWrittenadvice/videos/Books/HealthadvisorydocumentsTravelhealthadviceneedsto45CorrectadviceisevenbetteriftheadviceisactuallyfollowedbythetravellerDocumentationFollow-upUsestaffresourcesReinforcehealthadviceCorrectadviceisevenbetter46GivingthecorrectadvicetotravellersGivingthecorrecthealthadvicetotravellersneeds:InformationTrainingExperienceDocumentationTravellersGivingthecorrectadvicetot47TravelHealthAdviceneedsTravellersInformownpatientsconcerningtheneedforseekingtravelhealthadvice,andseekingthisadviceearlyMarkettravelhealthadviceDirect,ifpossibleJoingroup/affiliateLinks/promotionwithtravellergroups,travelagents,travelinsurance,consulatesetcJointravellershealthnetworks,suchasISTM,IAMATetcTravelHealthAdviceneedsTra48旅行醫(yī)學(xué)--課件(英文版)49TakehomepointsMorepeoplearetravelingtomoredestinations,becomingexposedtothehealthandsafetyofthatdestinationandalsohavingthepotentialtoimpactonthehealthandsafetyofthatdestination,especiallythroughemerginginfectiousdiseaseTravelers’healthisacontinuumandincludesthepre-travelhealth,contingencyplanningwhileabroadandcaringthetraveleraftertravelTravelhealthadviceneedsinformation(includingacapacitytoundertakeariskassessment),training,experience,documentationandtravelersTakehomepointsMorepeoplear50IntroductiontotravelmedicineIntroductiontotravelmedicin51AbouttheauthorDrPeterLeggathasco-ordinatedtheAustralianpostgraduatecourseintravelmedicinesince1993.HehasalsobeenonthefacultyoftheSouthAfricantravelmedicinecourse,conductedsince2000,andtheWorldwiseNewZealandTravelHealthupdateprogramssince1998.DrLeggathasassistedinthedevelopmentoftravelmedicineprogramsinseveralcountriesandalsotheCertificateofKnowledgeexaminationfortheInternationalSocietyofTravelMedicine.AbouttheauthorDrPeterLegga52ObjectivesInthissessionDefinetravelmedicineExaminesomefiguresforglobalandlocalmigrationHopefullygainanappreciationoftheimportanceofgivingtravelhealthadviceDiscusssomeofcomponentsthatareneededinordertogivecorrectadvicetotravellerObjectivesInthissession53Whatistravelmedicine?ItisascienceandanartWhatistravelmedicine?Itis54Whatistravelmedicine?Itisthatpartofhealthprofessionalpracticethat:seekstopreventillnessesandinjuriesoccurringtotravellersgoingabroadmanagesproblemsarisingintravellerscomingbackorcomingfromabroadisconcernedabouttheimpactoftourismonhealthandalsoadvocatesforimprovedhealthandsafetyservicesfortourists
isincreasingconcernedaboutrefugeeandmigranthealth (PrimerofTravelMedicine3rdEd)Whatistravelmedicine?Itis55“theartoftravelmedicineisselectingthenecessarypreventionstrategywithoutunnecessaryadverseevents,costorinconvenience” (Steffen,1994)“theartoftravelmedicineis56ChallengeoftravelmedicineSeaofglobalmigrationofpeopleMorepeopletravellingPeopletravellingfurtherafieldRapidmovementoftravellersChallengeoftravelmedicineSe57USA/Canada35.2millionEurope25.0millionJapan11.4mioAUS/NZ3.3millionTravellersfromindustrialisedareas
todevelopingareas1999(WTO)2.82.3Total:nmilliontravelers0.2-1milliontravelers~80milliontravelers1.2USA/CanadaEuropeJapanAUS/N58GlobalizationofhealthandsafetyAffectsHealthoflocalpopulationsHealthdeterminantsSafetyandsecurityResultsinGlobalimpactsEmergingandre-emerginginfectiousdiseaseCommerceandHealthPathogenstravelasfastastransportation:bordersarenotrespectedTsunamiSARSInfluenzaTerrorismGlobalizationofhealthands59TravellersareexposedtoavarietyofhazardsTravellersareexposedtoava60TheImportanceofTravelHealthMeasures100,000travelerstothedevelopingworldfor1month…..50,000willbecomeill8,000willseeaphysician5,000willstayinbed1willdieSteffen,1994TheImportanceofTravelHealt61TheImportanceofTravelHealthMeasuresPer100,000travellersthathavetravelinsurance…..8000willmakeaclaim(8%)2000willuseemergencyassistance(2%)400ERorclinicreferrals(0.4%)200Hospitaladmissions(0.2%)50Aeromedicalevacuations(0.05%)Leggatetal.TravelMedInfDis2005;3:9-17.TheImportanceofTravelHealt62TheImportanceofTravelHealthMeasuresMortalityCardiovascularDisease(50to70%)Accidents/Trauma(20-25%),esp.MVAsInfectiousdiseases(2.8-4%)
(ReidandCossar,BMBull.1993;257-268;Prociv,MJA.1995;163:27-30;Bakeretal.,PHR1992;107:155-159;MacPhersonetal,JTM.2000;2000:227-233;Steffen,TransRSTM&H1991;85:156-162)TheImportanceofTravelHealt63TravelmedicineisacontinuumTravellersdogetsickorinjuredabroadorwhentheycomebackThecommitmenttotravelhealthcanthereforeberegardedasacontinuumTravelmedicineisacontinuum64TheContinuumofTravelMedicineDuringTravelPreventiveMedicineContingencyPlanningTreatment&RehabilitationVisitorsPre-TravelPost-TravelTheContinuumofTravelMedici65Whatdoweneedtodoinordertobegivingthecorrectadvicetotravellers?Whatdoweneedtodoinorder66TravelHealthAdviceneedsInformation“InformationispowerinTravelMedicine”TravelHealthAdviceneedsInf67TravelHealthAdviceneeds
TrainingTraininggivesyouaframeworkforusingthatinformationTravelHealthAdviceneeds
Tra68TravelHealthAdviceneeds
ExperienceExperiencehelpsputtheinformationandtraininginperspectiveTravelHealthAdviceneeds
Exp69TravelHealthAdviceneeds
tobeDocumentedDocumentationisimportantforQualityassuranceandreinforcingtravelhealthadviceTravelHealthAdviceneeds
to70TravelHealthAdviceneeds
TravellersMarketingisessentialintravelhealth,whetheringeneralpracticeorinspecialisttravelclinicsTravelHealthAdviceneeds
Tra71GivingthecorrectadvicetotravellersGivingthecorrecthealthadvicetotravellersneeds:InformationTrainingExperienceDocumentationTravellersGivingthecorrectadvicetot72TravelHealthAdviceneedsInformationGuidelinesPoliciesTextbooks,includinganWorldAtlasJournalsProfessionalorganisationsStaff/colleaguesElectronicDatabasesWWWTravelHealthAdviceneedsInf73InternationalGuidelinesWHOInternationalHealthRegulationsInternationalTravelandHealth/ithYellowfeverrequirementsInternationalGuidelinesWHO74“NationalGuidelines”TravelHealthGuidelinesMalariaGuidelinesImmunisationGuidelinesAntibioticGuidelinesJournalsSeminars“NationalGuidelines”TravelHe75Youneedaccesstowww-sitesInternationalSocietyofTravelMedicine
USCentersforDiseaseControlandPrevention/travel/travelUSGuidelinesSimilargovernmentsitesforUKandCanadaWorldHealthOrganization/ith
Theformer“yellowbook”isnowpublishedasthe“bluebook”onlineYouneedaccesstowww-sitesIn76ItisveryusefultohaveaccesstoamulticountrytravelmedicaladvisoryserviceCDCTravelHealth,see/travel/index.htmMASTA,seeTRAVAX,seehttp://www.travax.nhs.ukShorelands,seeItisveryusefultohaveacce77ProfessionalOrganisationsLocalprofessionalgroupsandTHEISTMProfessionalOrganisationsLoca78ISTMInternationalSocietyofTravelMedicineInternationalNetworkInternationalClinicDirectoryUsefulformarketing/recognitionListserveOutbreakalertsJournalGeosentinelCertificateofTravelHealthGreatConferences!!ISTMInternationalSocietyofT79JournalsWeighingtheEvidenceJournalsWeighingtheEvidence80Weighingtheevidence“Travelmedicinepreventionshouldbebasedonepidemiologicaldata.” RobertSteffen,1991Whatarethelikelyrisksofapersontravellingtoparticulardestinations?Whatarethelikelybenefitsofintervention? Weighingtheevidence“Travelm81GivingthecorrectadvicetotravellersGivingthecorrecthealthadvicetotravellersneeds:InformationTrainingExperienceDocumentationTravellersGivingthecorrectadvicetot82Pre-TravelHealthAdviceneedsTrainingHelpsgivestructureandconsistencyProvidesaframeworkforpracticeDiscussesevidenceforpracticePolicyandProceduresManualConsistentapproachtotravelhealthPre-TravelHealthAdviceneeds83PartofthecommitmentistoalsohaveaconsistentandstructuredapproachtotravelhealthadviceWHOChecklist(/ith)InformationonlocalconditionsPreventionAccidentavoidanceMedicalanddentalcheck-upNZPHR-PreventionVaccinationsHealthAdvicePrescriptionSource:/ithPartofthecommitmentistoa84VACCINATE(IHC)Always NationalscheduleOften hepatitisASometimes Japaneseencephalitis meningococcaldisease polio rabies yellowfever Influenza Pneumococcaldisease Othervaccines (adapted*fromNZPHR;1996;3(8):57-59)VACCINATE(IHC)Always Nationa85ADVISEANDDISCUSSInsects repellents,nets,permethrinIngestions carewithfoodandwater diet/teeth(including airlines/jetlag/DVT)*Indiscretions STI’s,HIVInjuries accidentavoidance,personal safetyImmersion schistosomiasisInsurance* healthandtravelinsurance* findingmedicalassistanceo/s*
(adapted*fromNZPHR;1996;3(8):57-59)ADVISEANDDISCUSSInsects rep86PRESCRIBE
(Script/Dr’sletter/bracelet)Always regularmedication medicalkit(firstaid)*Sometimes antimalarialmedication diarrhealself-treatment condoms (NZPHR;1996;3(8):57-59)PRESCRIBE87CoursesIncreasingnumberoftravelmedicineacademicprogramsglobally(seeeducationalopportunitiesat)GetrelevantendorsementsAviationmedicalexaminerDivingmedicalcertification(SPUMS)CertificateofTravelHealth(ISTM)OccupationalhealthtrainingCoursesIncreasingnumberoftr88CoursesWeighingtheevidenceContributingtothedisciplinethroughresearch(alsothroughGeoSentinel)Despitetraining,stillneedtokeepuptodateandtokeepseeingtravellerstohelpbuildexperienceCoursesWeighingtheevidence89GivingthecorrectadvicetotravellersGivingthecorrecthealthadvicetotravellersneeds:InformationTrainingExperienceDocumentationTravellersGivingthecorrectadvicetot90TravelhealthadviceneedsexperienceLet’sjustdoit!AffiliationwithagroupwithexperiencecanbeusefulTravelclinicgroupTravelmedicaladvisorygroup(egMASTA,Worldwise,Travaxetc)UniversityThos
溫馨提示
- 1. 本站所有資源如無特殊說明,都需要本地電腦安裝OFFICE2007和PDF閱讀器。圖紙軟件為CAD,CAXA,PROE,UG,SolidWorks等.壓縮文件請下載最新的WinRAR軟件解壓。
- 2. 本站的文檔不包含任何第三方提供的附件圖紙等,如果需要附件,請聯(lián)系上傳者。文件的所有權(quán)益歸上傳用戶所有。
- 3. 本站RAR壓縮包中若帶圖紙,網(wǎng)頁內(nèi)容里面會有圖紙預(yù)覽,若沒有圖紙預(yù)覽就沒有圖紙。
- 4. 未經(jīng)權(quán)益所有人同意不得將文件中的內(nèi)容挪作商業(yè)或盈利用途。
- 5. 人人文庫網(wǎng)僅提供信息存儲空間,僅對用戶上傳內(nèi)容的表現(xiàn)方式做保護(hù)處理,對用戶上傳分享的文檔內(nèi)容本身不做任何修改或編輯,并不能對任何下載內(nèi)容負(fù)責(zé)。
- 6. 下載文件中如有侵權(quán)或不適當(dāng)內(nèi)容,請與我們聯(lián)系,我們立即糾正。
- 7. 本站不保證下載資源的準(zhǔn)確性、安全性和完整性, 同時也不承擔(dān)用戶因使用這些下載資源對自己和他人造成任何形式的傷害或損失。
最新文檔
- 五年級數(shù)學(xué)口算題
- 青島版數(shù)學(xué)七年級上冊5.2《代數(shù)式》聽評課記錄
- 魯教版地理六年級下冊6.2《自然環(huán)境》聽課評課記錄3
- 蘇教版三年級下冊《兩位數(shù)乘整十?dāng)?shù)的口算》教案
- 委托經(jīng)營管理協(xié)議書范本
- 蘇州蘇教版三年級數(shù)學(xué)上冊《周長是多少》聽評課記錄
- 產(chǎn)品銷售合作協(xié)議書范本(代理商版本)
- 書稿專用版權(quán)合同范本
- 酒店房屋出租辦公經(jīng)營協(xié)議書范本
- 部編版道德與法治九年級下冊《1.2復(fù)雜多變的關(guān)系》聽課評課記錄
- 2024年海南文昌市事業(yè)單位招聘工作人員148人筆試高頻考題難、易錯點模擬試題(共500題)附帶答案詳解
- 義務(wù)教育數(shù)學(xué)新課標(biāo)課程標(biāo)準(zhǔn)2022年版考試真題與答案
- 英語語法基礎(chǔ)知識大全
- 河南省安陽市2024年中考一模語文試卷(含答案)
- TD/T 1044-2014 生產(chǎn)項目土地復(fù)墾驗收規(guī)程(正式版)
- 2024年湖南現(xiàn)代物流職業(yè)技術(shù)學(xué)院單招職業(yè)適應(yīng)性測試題庫及答案1套
- (正式版)JTT 1499-2024 公路水運工程臨時用電技術(shù)規(guī)程
- 2024年職業(yè)技能測試題庫500道【基礎(chǔ)題】
- 垃圾桶創(chuàng)新設(shè)計說明書
- 《游戲界面設(shè)計專題實踐》課件-知識點1:游戲圖標(biāo)設(shè)計定義、分類與設(shè)計原則
- 病案信息技術(shù)(中級)考試真題及答案5篇
評論
0/150
提交評論