Search

目的 探讨混合式教学模式在《介入放射学》教学中的应用。方法 前瞻性选取2020-2021 学年授课的齐齐哈尔医学院2017级医学影像学专业学生184人为研究对象均采取混合式教学模式,分析考核 成绩、与学生对教学模式评价。结果 184名学生考核成绩:常规理论成绩(41.07±2.47)分、技能操作成绩 (45.89±2.75)分与总分(89.39±5.54)分,其中总分优秀101例,良好77例,中等6例,差0例。优良率为 96.74%(178/184)。184名学生对教学模式评价:知识记忆理解提高率为79.89%(147/184)、操作能力提高率 为75.00%(138/184)、介入治疗设计能力提高率为76.63%(141/184)、分析解决问题能力提高率为71.74% (132/184)、学习热情增加率为83.15%(153/184)。结论 混合教学法应用于《介入放射学》教学中可有效提高 带教质量与教学效果,提高学生学习热情,从而有效提高学生对于课程内容的理解和掌握,鼓励学生更积极地 参与学习和练习,还能提高学生的学习兴趣和自主学习能力,使学生能够更好地应用所学知识。 [ABSTRACT FROM AUTHOR]

目的 探讨对现有的毒理学实验课程体系进行改革,以提升学生的实践技能和创新能力。方 法 深入贯彻“以学生为中心”的教学理念,通过优化课程内容、增加实践技能的培训和考核、开设综合实验和 创新性实验、开展全方位的毒理学实验课程体系探索,最后通过问卷星进行问卷调查,了解学生对毒理学实验 课程的认知和接受毒理学课程体系改革的意愿。结果 通过改革,完善了课程体系,增加了综合实验和创新实 验,制作了实验动物染毒和处置操作视频库;通过对学生进行问卷调查,对教学改革效果进行评价,学生对课程 内容满意度达到85%以上,提高了学生学习兴趣和主观能动性,增强了学生创新意识和实践技能,并且学生对 本次改革接受程度较高。结论 基于提升学生实践技能和创新能力、以“学生为中心”的实验课程体系改革取 得了良好的反馈与成效,为新时代预防医学人才培养的实验课程体系建设提供了参考依据。 [ABSTRACT FROM AUTHOR]

Objective To explore the demand for "internet+elderly care services" of the quasi elderly and its influencing factors. Methods The convenient sampling method was used to survey 203 quasi elderly people. The demand scores of "internet+elderly care services" of the quasi elderly people with different characteristics were compared, and the influencing factors of their demand for "internet+elderly care services" were analyzed. Results There were significant differences in the demand scores of "internet+elderly care services" among the quasi elderly people of different age, different types of registered residence, different per capita monthly income of families, whether their parents were alive, whether they were engaged in manual labor, whether they had higher education, and whether they had supplementary medical insurance(P <0.001). E-health literacy level, whether parents were alive, whether they had supplementary medical insurance, whether they had received higher education, and whether they had used the "internet+e-health" service were the influencing factors of the demand for "internet+elderly care services" for the quasi elderly(P <0.05). Only 8.37% of the quasi elderly was unwilling to pay any fees. Conclusion At present, the demand awareness of "internet+elderly care service" of the quasi elderly is relatively lacking, and needs to be improved through various ways such as good platform and system support, so as to promote healthy aging. [ABSTRACT FROM AUTHOR]

低氧是影响机体病理和生理过程的重要因素之一,低氧诱导因子-1α(HIF-1α)作为低氧条件下 的重要转录因子能对低氧胁迫调控发挥重要作用。因此,探讨HIF-1α的分子调节机制对高原缺氧疾病的防治 具有重要意义。该文从HIF-1α的结构功能、生理作用及分子调控机制等角度进行了综述,以期为后续探讨 HIF-1α参与高原缺氧疾病的临床诊疗提供基础参考资料。 [ABSTRACT FROM AUTHOR]

Objective To investigate the effect of three different treatment times of pregnant woman with Subclinical hypothyroidism (SCH) on the general conditions,postnatal complications and thyroid disease screening of neonates.Methods A total of 85 pregnant women and their newborns who were diagnosed with SCH in outpatient department of Neonatology of Yunnan First People's Hospital from January to December 2016 were selected as the research subjects.According to different treatment time,they were divided into prepregnancy treatment group (29 cases),early pregnancy treatment group (22 cases) and middle and late pregnancy treatment group (34 cases).In addition,40 healthy pregnant women with normal thyroid function and newborns who underwent labor examination in yunnan First People's Hospital during the same period were selected as the control group.The perinatal condition,neonatal general condition and postnatal complications of pregnant women in 4 groups were compared,and thyroid stimulating hormone (TSH) screening was performed.Results The incidence of pregnant women with diabetes,pregnancy hypertension,anemia showed no significant difference in the four groups(P >0.05).The early pregnant treatment group and middle and late pregnant treatment group had higher rate of neonatal resuscitation than the other two groups(P <0.05), and the neonatal resuscitation rate of middle and late pregnant treatment group is higher than the early pregnant treatment group (P <0.05).There was no significant difference between the four groups in the incidence of complications after birth.There was a positive correlation between the treatment time of middle and late pregnant treatment group and neonatal bronchopulmonary dysplasia (r=-0.233 P <0.05);In the middle and late pregnant treatment group,the newborn screening TSH value was significantly higher than that of the group (P <0.05) and the early pregnant treatment group (P <0.05).Conclusion SCH pregnant women with L-T4 treatment had no significant difference in the incidence of complications of pregnancy and neonatal general situation to euthyroid pregnant women.The later SCH pregnant women were treated,the higher the incidence of bronchopulmonary dysplasia and the higher the TSH value of newborn. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

目的 探讨接纳承诺团体辅导提升医学生自尊水平的效果。方法 筛选符合入组标准的某医学院校40名低自尊医学生随机分为试验组和对照组,各20人。对试验组被试开展每周1次,每次120min,共计8次的接纳承诺团体辅导。对照组不接受干预,两组被试者在研究前后使用自尊量表、症状自评量表进行测评。结果 经8次团体辅导后,试验组自尊量表得分显著高于干预前,差异有统计学意义(t=5.103,P<0.05);症状自评量表总分显著低于干预前,差异有统计学意义(t=-3.424,P<0.05),对照组自尊量表、症状自评量表前后评分比较,差异均无统计学意义(t=2.054、-0.459,P>0.05);试验组自尊量表得分在干预前后的变化值显著大于对照组,差异有统计学意义(t=2.288,P<0.05)。结论 接纳承诺团体辅导对医学生自尊水平的提升有积极效果. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

近年来，新疆各地区临床病理住院医师规范化培训（规培）医师及进修医师越来越多，各类学员学历从大专到硕士研究生高低不同，对培训的学习内容有不同的需求，同时，各类学员的培训时间长短不一，这些造成了学员之间存在不同的差异是客观存在的，不可能让所有学员按统一起跑线、制订统一的培训计划完成所有学习内容，因此，带教教师针对各类学员的不同特点和需要进行“因材施教”，制订适合每名学员的培训计划和培训内容，针对不同层次的学员，分批分层培养和指导，科室整体带教教师分工合作协同带教，可最大限度地帮助学员完成学习内容和培训目标。 [ABSTRACT FROM AUTHOR]

目的分析评估西医护理联合中医穴位针对膀胱颈梗阻患者电切术后康复效果的影响。方法选取2016 年 6 月至2018 年6 月于该院住院冶疗的78 例行经尿道膀胱颈电切术后的膀胱颈梗阻患者作为研究对象， 将其随机分为观察组和 对照组， 各39 例。对照组患者行西医的术后护理， 观察组在对照组护理基础上联合穴位针刺护理。比较两组患者手木结束后的 尿动力学改文及护理有效率。结果两组患者治疗后的尿动力学参数较治疗前明显改善， 且观察组B 超膀胱残尿量较对照组明 显咸少，对照组较观察组最大尿流率低， 差异均有统计学意义(P<0. 05) ； 与对照组比较， 观察组最大逼尿肌压力及腹压明显改 善， 差异有统计学意义(P<0. 05) ； 对照组护理有效率明显低于观察组， 差异有统计学意义(X² = 5. 186, P =0. 023) 。结论综合 西医护理结合穴位针刺对膀胱颈梗阻患者电切术后康复效果有一定的积极影响， 可有效改善尿动力学参数， 提高逼尿肌压力， 降 低腹压，促进患者排尿功能的恢复。 [ABSTRACT FROM AUTHOR]

Objective To establish a method for determination of propylene glycol content in midwifery gel by gas chromatograph. Methods A polyethylene glycol 20M was taken as stationary phase column (30.00 m x 0.32 mm x0.50 μm) for gas chromatographic colum，FID detector was used with the injector temperature of 230 ℃ and the detector temperature of 250 ℃. Column temperature raises by programming，with origination temperature at 130 ℃，holding for 1 min， then rising to 240 ℃ with the velocity of 10 ℃ /min， holding for 1 min，and the injection volume was 1 μL . Results Propylene glycol showed good linearity in the ranges of 1.257-3.210 mg/mL with the correlation coefficient was 0.999 9，the detection limit was 4.19 ng/mL，and the average recovery rate was 100.3% with the relative standard deviation of 1.16 %. Conclusion The method is simple，sensitive，accurate and reproducible， which can be used for determination of propylene glycol content in Midwifery gel. [ABSTRACT FROM AUTHOR]

目的 探讨不同分娩方式对产妇产后盆底功能的影响. 方法 选取 2017 年 7 月至 2018 年 7 月该院门诊接诊的 产后, 6~8 周进行复查的产妇 3 638 例作为研究对象, 根据产妇分娩方式分为选择性剖宫产组 (1 824) 例#和阴道分娩组 (1 814 例).检测 2 组产妇产后盆底功能, 主要指标为肌力丶阴道动态压力和疲劳度. 结果 选择性剖宫产组产妇中. I丶II类肌纤维肌力 受损者均明显少于阴道分娩组, 且疲劳度和阴道动态压力明显低于阴道分娩组, 差异均有统计学意义(P<0.05). 结论 不同分 娩方式对产妇产后盆底功能的影响差异明显, 与阴道分娩比较, 选择性剖宫产对产妇产后盆底功能的损伤相对更小. [ABSTRACT FROM AUTHOR]

目的 探究分段式康复护理对改善乳腺癌术后患者上肢功能及生活质量的价值。方法 选择2017年7月至2018年6月该院收治的152例行乳腺癌手术治疗后遗留上肢功能障碍患者作为研究对象,将其随机分为常规护理组(A组,76例)和分段式康复护理组(B组,76例),观察并比较两组术后上肢功能恢复情况及生活质量评分情况。结果 护理干预前,两组患者上肢功能及生活质量评分比较,差异均无统计学意义(P>0.05);护理干预后,两组上肢功能及生活质量均较护理前明显好转,且A组改善更显著,差异均有统计学意义(P<0.05)。结论 对乳腺癌术后遗留上肢功能障碍患者予以分段式康复护理可显著缩短患者上肢功能恢复时间,提高恢复效果,且对改善患者术后的生活质量具有重要临床意义。 [ABSTRACT FROM AUTHOR]

Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

目的:探究护理干预对内科住院老年患者睡眠质量的影响，提出有利于提高老年患者睡眠质量的护理方法。方法选取2014年1月至2015年1月内科住院存在睡眠问题老年患者300例，分为观察组和对照组，每组150例。利用匹兹堡睡眠质量指数（PSQI）评分观测患者睡眠质量。对照组患者入院时PSQI评分为（11.66±3.06）分，>7分108例（72.0%）；观察组患者入院时PSQI评分为（11.43±3.42）分，>7分110例（73.3%）。两组患者入院时PSQI评分比较，差异无统计学意义（P>0.05），具有可比性。对照组实施常规护理，观察组在常规护理基础上进行护理干预。观察两组患者睡眠质量的差异。结果观察组患者护理干预治疗1周后及出院时PSQI评分[分别为（8.23±1.59）、（7.09±2.08）分]、PSQI评分大于7分患者比例[分别为45.3%（68/150）、34.0%（51/150）]均明显低于对照组[分别为（9.66±2.68）、（8.78±3.21）分、59.3%（89/150）、44.7%（67/150）]，差异均有统计学意义（P<0.05）。结论经护理干预治疗一段时间后内科住院老年患者睡眠质量得到极大改善. [ABSTRACT FROM AUTHOR]

构建基于数字化教学平台的临床诊断学多元化混合式教学模式，即将面对面的课堂教学模式、引导式教学模式、标准化病人教学模式、虚拟仿真实验教学模式有效结合，在教学中利用数字化教学平台强大的学习和交流功能，更好地适应临床诊断学教学的特点，有效地培养医学生的自主学习能力和创新能力，提高临床诊断学的教学质量。 [ABSTRACT FROM AUTHOR]

目的探讨麻醉术后呼吸道感染的相关因素及有效防治措施,为临床预防麻醉术后相关感染提供理论基础。方法选取2014年1月至2017年12月该院麻醉术后呼吸道感染患者180例,对其临床资料、麻醉方式及用药状况等进行回顾性分析,统计比较不同年龄、性别、疾病类型、麻醉方式等患者呼吸道感染情况。结果≥60岁患者麻醉术后呼吸道感染率明显高于小于60岁患者,差异有统计学意义(P<0.05)。不同疾病种类、麻醉方式患者麻醉术后呼吸道感染率比较,差异均有统计学意义(P<0.05)。使用抗菌药物治疗后,患者呼吸道感染率下降到17.8%(35/180),与治疗前比较,差异有统计学意义(P<0.05)。年龄、麻醉方式及术后抗菌药物使用情况是麻醉术后呼吸道感染的独立危险因素(P<0.05)。结论年龄、麻醉方式及术后抗菌药物使用情况是麻醉术后呼吸道感染的危险因素,在进行手术治疗过程中应制订相关的预防措施进行防治。 [ABSTRACT FROM AUTHOR]