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Objective To investigate the influencing factors for overt hepatic encephalopathy (OHE) in patients with hepatitis B cirrhosis after transjugular intrahepatic portosystemic shunt (TIPS), and to construct an individualized risk prediction model. Methods A total of 302 patients with hepatitis B cirrhosis who underwent TIPS in Department of Gastroenterology, The General Hospital of Western Theater Command, from January 2017 to December 2021 were enrolled, and according to the presence or absence of OHE after surgery, they were divided into non-OHE group with 237 patients and OHE group with 65 patients. The two groups were compared in terms of general data, laboratory markers, Child-Turcotte-Pugh (CTP) score, MELD combined with serum sodium concentration (MELD-Na) score, and albumin-bilirubin (ALBI) score before surgery. The independent-samples t test or the Mann-Whitney U test was used for comparison of continuous data between two groups, and the chi-square test was used for comparison of categorical data between two groups. The univariate and multivariate logistic regression analyses were used to identify the influencing factors for OHE after TIPS in patients with hepatitis B cirrhosis, and independent influencing factors were used to construct a nomogram model. The receiver operating characteristic (ROC) curve analysis and the calibration curve analysis were used to evaluate the discriminatory ability and calibration of the model, and the decision curve analysis and the clinical impact curve (CIC) were used to evaluate the clinical effectiveness of the model. Results Age (odds ratio [OR] =1.035, 95% confidence interval [CI] : 1.004—1.066, P<0.05), white blood cell count (WBC) /platelet count (PLT) ratio (OR=33.725, 95%CI: 1.220—932.377, P<0.05), international normalized ratio (INR) (OR=5.149, 95%CI: 1.052—25.207, P<0.05), and pre-albumin (PAB) (OR=0.992, 95%CI: 0.983—1.000, P<0.05) were independent predictive factors for OHE after TIPS in patients with hepatitis B cirrhosis. The nomogram model constructed based on age, WBC/PLT ratio, INR, and PAB had an area under the ROC curve of 0.716 (95%CI: 0.649—0.781), with a sensitivity of 78.5% and a specificity of 56.1%. Conclusion The nomogram model constructed based on age, WBC/PLT ratio, INR, and PAB can help to predict the risk of OHE after TIPS in patients with hepatitis B cirrhosis. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Hepatology / Linchuang Gandanbing Zazhi is the property of Journal of Clinical Hepatology 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.)

Through the analysis of the common elements of teacher profession standards, excellent teacher standards and outstanding teacher standards in six countries, 25 classroom teaching behavior indicators have been extracted, a preset framework has been established, a questionnaire has been compiled, and an empirical survey has been conducted on 580 junior high school teachers by using the factor analysis method. It is found that teachers' effective classroom teaching behavior can be divided into three major factors of teaching preparation and design based on the learning situations, teaching implementation focused on the goals, and creating classroom environment to guide students' learning, and total of 17 key behavior variables have been extracted. On this basis, the questionnaire on teachers' teaching behavior is used to verify 472 primary school teachers. It is found that these behavioral indicators could effectively distinguish between teachers with good teaching performance and those with poor teaching performance, and between non-excellent teachers, excellent teachers and special grade teachers. Effective classroom teaching behavior indicators are of great value in guiding teachers ' classroom teaching practice, improving teaching quality and enhancing teachers ' professional accomplishment. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Hepatology / Linchuang Gandanbing Zazhi is the property of Journal of Clinical Hepatology 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 Steel Pipe is the property of Steel Pipe Magazine 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 Steel Pipe is the property of Steel Pipe Magazine 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 Clinical Hepatology / Linchuang Gandanbing Zazhi is the property of Journal of Clinical Hepatology 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 Clinical Hepatology / Linchuang Gandanbing Zazhi is the property of Journal of Clinical Hepatology 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 Clinical Hepatology / Linchuang Gandanbing Zazhi is the property of Journal of Clinical Hepatology 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 Clinical Hepatology / Linchuang Gandanbing Zazhi is the property of Journal of Clinical Hepatology 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 Research of Environmental Sciences is the property of Research of Environmental Sciences Editorial Board 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 Clinical Hepatology / Linchuang Gandanbing Zazhi is the property of Journal of Clinical Hepatology 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 Clinical Hepatology / Linchuang Gandanbing Zazhi is the property of Journal of Clinical Hepatology 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.)

目的探讨多种创新教学方法相结合在西医院校中医学教学中的效果。方法选取该校同一年级、同 一专业、同样学时及同一学期上课的2014级二本临床专业6个班的学生作为研究对象，将其随机分为教改组（136人）和 对照组（149人）2个大班进行教学。教改组采用视听教材+PPT、中西医对比法、以问题为基础的教学法、练习法及实物展 示法相结合的教学方法；对照组采用PPT课件加传统授课模式的教学方法。通过调查问卷、临床病例分析能力测验、期 末考试成绩比较两组的教学质量，分析、评价教改组的教学方法改革的实践运用效果。结果教改组学生对本门课产生 的兴趣明显高于对照组，且教改组满意度明显高于对照组，而对照组提出改进建议人数明显多于教改组，差异均有统 计学意义（P<0.05）。教改组在全对、病因病机分析、辨证分析、诊断、治则代表方的正确率上均明显高于对照组，差异均 有统计学意义（P<0.05）。教改组各分数段的期末考试成绩均明显多于对照组，差异均有统计学意义（P<0.05）。结论多 种创新教学方法相结合的教学方法，使学生积极参与教学，提高了学生综合素质，使教学质量显著提升。 [ABSTRACT FROM AUTHOR]