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导师制联合PBL教学法在感染科带教中的应用 被引量:6
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作者 梁露文 郭渊 +1 位作者 符霏雪 周华萍 《中国继续医学教育》 2022年第23期87-90,共4页
目的探讨在实施感染科临床带教期间导师制+以问题为基础的教学法(problem-based learning,PBL)的应用可行性。方法选取2020年1—12月感染科实习的50名护生进行临床带教研究;随机分为参照组(选择一对一导师制带教模式完成临床带教)和试验... 目的探讨在实施感染科临床带教期间导师制+以问题为基础的教学法(problem-based learning,PBL)的应用可行性。方法选取2020年1—12月感染科实习的50名护生进行临床带教研究;随机分为参照组(选择一对一导师制带教模式完成临床带教)和试验组(选择导师制联合PBL教学法完成临床带教),各25名;比较两组护生综合表现优良率、实践操作成绩、理论知识成绩、量化考评成绩以及教学满意度(兴趣、知识掌握、师生互动、自学能力、分析能力、实践操作)评分。结果试验组综合表现优良率(92.00%)高于参照组(64.00%),差异有统计学意义(P<0.05);试验组实践操作成绩(90.16±4.25)分、理论知识成绩(92.29±3.25)分、量化考评成绩(90.89±4.52)分均高于参照组实践操作成绩(82.29±5.13)分、理论知识成绩(81.76±4.23)分、量化考评成绩(79.66±5.17)分,差异有统计学意义(P<0.05);试验组兴趣(90.23±5.23)分、知识掌握(91.69±4.25)分、师生互动(92.31±5.13)分、自学能力(92.77±4.21)分、分析能力(90.88±5.89)分、实践操作(90.69±5.19)分均高于参照组兴趣(80.17±4.17)分、知识掌握(81.13±5.26)分、师生互动(80.81±4.29)分、自学能力(81.66±5.65)分、分析能力(79.89±4.98)分、实践操作(79.63±7.22)分,差异有统计学意义(P<0.05)。结论导师制联合PBL教学法的有效应用,可将护生综合表现显著改善,将其实践操作成绩、理论知识成绩、量化考评成绩显著提升,并同时于兴趣、知识掌握、师生互动、自学能力、分析能力、实践操作等方面将教学满意度显著提升,促进感染科实习护生临床带教质量的显著提升。 展开更多
关键词 感染科 导师制 以问题为基础的教学法 护生综合表现优良率 实践操作成绩 理论知识成绩 量化考评成绩 教学满意度
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免疫因子与HBV感染慢性化的作用机制研究进展
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作者 符霏雪 郭渊 《胃肠病学和肝病学杂志》 CAS 2022年第8期851-855,共5页
乙型肝炎病毒(hepatitis B virus,HBV)感染是影响全球人类健康的重要原因,而我国的HBV感染患者占全球的1/3。HBV感染后持续性的肝损伤可导致患者出现慢性肝炎、肝纤维化、肝硬化甚至肝细胞癌。HBV感染慢性化的机制十分复杂,与机体免疫... 乙型肝炎病毒(hepatitis B virus,HBV)感染是影响全球人类健康的重要原因,而我国的HBV感染患者占全球的1/3。HBV感染后持续性的肝损伤可导致患者出现慢性肝炎、肝纤维化、肝硬化甚至肝细胞癌。HBV感染慢性化的机制十分复杂,与机体免疫应答的多种因素相关,免疫失调被认为是导致HBV感染慢性化的主要因素。本文总结了与HBV感染慢性化相关的免疫因子的作用机制,为早期评估乙肝患者感染进程和寻找HBV感染潜在的临床治疗靶点提供新的思路。 展开更多
关键词 乙型肝炎病毒 HBV感染慢性化 免疫因子 治疗
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Black band disease as a possible factor of the coral decline at the northern reef-flat of Yongxing Island,South China Sea 被引量:2
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作者 YANG HongQiang SHEN JianWei +2 位作者 fu feixue WANG Yue ZHAO Na 《Science China Earth Sciences》 SCIE EI CAS 2014年第4期569-578,共10页
Black band disease (BBD), characterized by the Cyanobacterial dominated pathogenic consortium, is thought to play a key role in the global decline of the coral reef ecosystems. The present paper originally documents... Black band disease (BBD), characterized by the Cyanobacterial dominated pathogenic consortium, is thought to play a key role in the global decline of the coral reef ecosystems. The present paper originally documents a case of BBD from Yongxing Island (Xisha Islands, South China Sea), and further probes the reasons of this abnormal phenomenon. Prior to 2007, corals at northern reef-flat of Yongxing Isand were in healthy growth. Catastrophic coral mortality occurred between 2007 and 2008. The 16S rRNA gene sequencing and PCR amplification, with universally conserved primers, were applied to detect the conta- gious bacterial community of the microbial mat. The results demonstrated that six bacterial divisions constituted the clone libraries derived from the BBD mat, and that Cyanobacteria are the most diversely represented group that inhabit BBD bacteri- al mats, despite the fact that species in five others divisions (a-Proteobacteria, y-Proteobacteria, Bacteroidetes, Verrucomi- crobia and Actinobacteria) are also consistently diverse within the BBD mats of diseased coral. Other factors such as coral bleaching, typhoons, ocean acidification and crown-of-thorns starfish outbreaks, are not primarily responsible for the coral mortality within such a short time interval. The disaster expansion of BBD associated with Cyanobacterial blooms is a more likely mechanism impacting these coral reefs. Excessive human activity enhances the eutrophication of the marine water of the reefal region and may result in occurrence of the BBD. 展开更多
关键词 Black Band Disease (BBD) CYANOBACTERIA coral deterioration Yongxing Island Xisha Islands
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Coral community dynamics and shallow-water carbonate deposition of the reef-flat around Yongxing Island, the Xisha Islands 被引量:4
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作者 SHEN JianWei YANG HongQiang +2 位作者 WANG Yue fu feixue ZHAO Na 《Science China Earth Sciences》 SCIE EI CAS 2013年第9期1471-1486,共16页
Microbes and microbial carbonates in reef-flat and coral community dynamics and submarine geomorphologic features in reef crest and fore reef of Yongxing Island,the Xisha Islands,South China Sea,were studied by means ... Microbes and microbial carbonates in reef-flat and coral community dynamics and submarine geomorphologic features in reef crest and fore reef of Yongxing Island,the Xisha Islands,South China Sea,were studied by means of scuba diving,underwater investigation,and line intercept transect survey.Studies indicate a very high coral mortality with few living corals in the reef flat of Yongxing Island.Moreover,macro algae,sea grass and cyanobacteria are common in reef flat.Microbes and microbially induced carbonates occur in reef flat.Living corals grow mainly in the reef crest and fore reef,but are also declined dramatically.From coast to off shore,the southeast reef flat of Yongxing Island can be divided into beach,inner reef flat,outer reef flat,reef flat front(reef crest and fore reef),and fore-reef slope settings.Sedimentary facies include coast,reef flat,reef crest and fore reef,and fore-reef slope.Reefal carbonate sediments are composed of coral skeletons and framework,coral fragments,bioclasts,and lime mud.With the deterioration of environment and water quality,the coral communities tend to be distributed in the reef crest and fore reef with clean sea water,well circulation and moderate water energy.Reef flat is occupied mainly by the macro algae and Heliopora coerulea communities.The coverage statistics on the reef crest demonstrate that the coverage of Acropora cytherea is more than 28% and represents a dominant species with wave-resistant ecological type.Sedimentary characteristics and geomorphologic features are different between the southeast and northwest reef-flat fronts(reef crest and fore reef) of Yongxing Island.The former shows discontinuously tidal channels in outer reef flat and different dimensional and deep reef ponds in reef crest and fore reef,and the latter presents a typical spur-and-groove system.Microbes(cyanobacteria Lyngbya sp.) occur generally in the inner reef flat and reef ponds of reef crest with restricted water circulation.Widely algae growth indicates a eutrophic environment,and the common microbes on the coral surface in the reef flat and reef ponds also demonstrate eutrophication in seawater and deteriorated water quality. 展开更多
关键词 Coral community dynamics and shallow-water carbonate deposition of the reef-flat around Yongxing Island the Xisha Islands
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