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叙事医学对全科医学教育的启示 被引量:4
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作者 赵娜 薛英利 薛婷 《中国医学伦理学》 2019年第7期882-886,共5页
全科医学生是居民健康未来的守门人,肩负着基层医疗保障的重任,提高全科医学生的人文素养对重塑和谐医患关系有着积极作用。将叙事医学的教学理念和教学方法引入全科医学教育中不失为一个明智的做法,在教学中,可以通过开设文学课、写作... 全科医学生是居民健康未来的守门人,肩负着基层医疗保障的重任,提高全科医学生的人文素养对重塑和谐医患关系有着积极作用。将叙事医学的教学理念和教学方法引入全科医学教育中不失为一个明智的做法,在教学中,可以通过开设文学课、写作课、影视作品欣赏课、医患沟通课来提高全科医学生的叙事医学能力。这不仅能够培养全科医学生的人文素养,而且能够提高患者的依从性,有利于建立健全社区卫生服务体系、促进我国基层医疗卫生事业的可持续发展。 展开更多
关键词 叙事医学 共情 反思 医学人文 全科医学
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健康中国视阈下叙事医学与全科医学的融合 被引量:6
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作者 赵娜 薛英利 李乐 《中国医药导报》 CAS 2020年第22期189-192,共4页
全科医学以促进居民的全面健康为目标,健康中国的发展离不开全科医学的发展。全科医生是全科医学的主要执行者,也是健康中国战略的主力军。只有既具备较高专业素养又具备较高人文素养的全科医生才能肩负起此重任,推动健康中国的建设。... 全科医学以促进居民的全面健康为目标,健康中国的发展离不开全科医学的发展。全科医生是全科医学的主要执行者,也是健康中国战略的主力军。只有既具备较高专业素养又具备较高人文素养的全科医生才能肩负起此重任,推动健康中国的建设。本文从健康中国的内涵出发,对叙事医学产生的背景及相关概念进行了全面分析;进而指出叙事医学融入全科医学,有助于落实全科医学“以人为中心”的理念、有助于全科医生与服务对象建立长期稳定的医患关系,并且能够缓解全科医生的职业缓解倦怠感;最后提出健康中国视阈下全科医学教育中叙事医学能力的培养路径,旨在从长远意义上构建和谐医患关系,加速健康中国战略的步伐。 展开更多
关键词 健康中国 叙事医学 全科医学 叙事医学能力 和谐医患关系
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叙事医学视角下全科医生沟通能力的提升策略 被引量:11
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作者 赵娜 薛英利 李乐 《中国医学伦理学》 2020年第8期1026-1030,共5页
全科医生是基层医疗的中坚力量,其职责是为社区居民提供长期、稳定、个性化的医疗保健服务。作为健康中国战略的主力军,全科医生肩负着居民健康管理的重任,其医患沟通能力的强弱不仅直接反映了他们医学人文素质的高低,而且直接影响基层... 全科医生是基层医疗的中坚力量,其职责是为社区居民提供长期、稳定、个性化的医疗保健服务。作为健康中国战略的主力军,全科医生肩负着居民健康管理的重任,其医患沟通能力的强弱不仅直接反映了他们医学人文素质的高低,而且直接影响基层医疗服务的质量和居民的健康指数。从叙事医学视角出发,介绍了叙事医学的概念,分析了全科门诊医患沟通存在的主要问题,进而阐述叙事医学应用于提升全科医生沟通能力的必要性以及具体路径。旨在为研究医患沟通能力提供新的视角,为从源头上缓解医患矛盾、构建和谐医患关系打下坚实的理论基础,最终促进我国基层医疗卫生事业的可持续发展,推动健康中国的建设。 展开更多
关键词 全科医生 基层医疗 叙事医学 沟通能力 医患矛盾
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德国临床伦理委员会构建和功能探究以及对我国的启发 被引量:4
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作者 李乐 薛英利 +2 位作者 赵娜 薛婷 宋元源 《中国医学伦理学》 2021年第9期1152-1156,共5页
二十世纪末,德国各大医院开始提倡并建立临床伦理委员会,致力于解决大量医学伦理难题,并在很大程度上提高了医务人员的伦理素养、保护了患者权益。经过几十年的发展和不断完善,德国医院临床伦理委员会成为各大医院不可或缺的一个相对独... 二十世纪末,德国各大医院开始提倡并建立临床伦理委员会,致力于解决大量医学伦理难题,并在很大程度上提高了医务人员的伦理素养、保护了患者权益。经过几十年的发展和不断完善,德国医院临床伦理委员会成为各大医院不可或缺的一个相对独立的机构,为医院构建互信和谐的医患关系作出了巨大贡献。从德国医院临床伦理委员会的工作目标、构建、核心任务三方面进行研究,为中国临床伦理委员会的建设和发展提出启发和建议,为构建和谐的医疗环境作出贡献。 展开更多
关键词 临床伦理委员会 医学伦理 德国 医患关系
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德国高校医学院的两种课程模式 被引量:3
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作者 李乐 薛英利 赵娜 《复旦教育论坛》 CSSCI 北大核心 2020年第6期101-105,112,共6页
以德国马丁·路德大学医学院和柏林洪堡大学查理特医学院为案例,浅析了德国高校医学教育的两种课程模式:以学科为中心的传统课程模式和以器官系统为基础的模块课程模式。前者以教材为本,以学科为中心,有助于学生系统完整地掌握医学... 以德国马丁·路德大学医学院和柏林洪堡大学查理特医学院为案例,浅析了德国高校医学教育的两种课程模式:以学科为中心的传统课程模式和以器官系统为基础的模块课程模式。前者以教材为本,以学科为中心,有助于学生系统完整地掌握医学知识;后者以器官系统或疾病为核心,将各学科知识横向或纵向整合在一个模块主题下,有助于各学科知识的相互渗透和融合。 展开更多
关键词 医学教育 德国 课程改革 以学科为中心的课程 以器官系统为中心的课程
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ESP视域下医学英汉双语平行语料库的现状与进展 被引量:3
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作者 郭子凯 薛英利 +1 位作者 张笑 谭甜 《中国医药导报》 CAS 2019年第18期147-149,共3页
在"双一流"建设和语料库技术迅猛发展的大背景下,学科专业语料库建设大势所趋,医学英汉双语平行语料的建设和研究亦亟待加强。本文分析了医学英汉双语平行语料库领域的现状,并探讨了相关进展,主要涉及其在翻译和写作实践中的... 在"双一流"建设和语料库技术迅猛发展的大背景下,学科专业语料库建设大势所趋,医学英汉双语平行语料的建设和研究亦亟待加强。本文分析了医学英汉双语平行语料库领域的现状,并探讨了相关进展,主要涉及其在翻译和写作实践中的应用,和其建设方面的改进思路。鉴于医学英汉双语平行语料库在医学知识和语言质量层面可有效辅助医学翻译和写作,故应加大医学英汉双语平行语料库的建设力度,并在建库阶段标注学科细分领域和背景知识。 展开更多
关键词 ESP 医学英汉双语平行语料库 医学翻译与写作 医学背景知识 学科细分
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人际语用学视角下医患会话中疑问语气特征研究
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作者 刘琦 薛英利 薛婷 《中国医药导报》 CAS 2020年第18期189-192,共4页
疑问语气是语言运用中的重要组成。疑问语气在人际关系交往中,作为一种语言艺术,被人们广泛应用。在医患之间的对话过程中,同样存在着诸多疑问语句的使用,通过对人际语用环境下的疑问语气选择特征进行分析,研究疑问语气的功能特征,能够... 疑问语气是语言运用中的重要组成。疑问语气在人际关系交往中,作为一种语言艺术,被人们广泛应用。在医患之间的对话过程中,同样存在着诸多疑问语句的使用,通过对人际语用环境下的疑问语气选择特征进行分析,研究疑问语气的功能特征,能够让医患双方站在平等的地位上进行交流沟通,从根本上解决医生和患者之间的语言沟通矛盾。本文阐明疑问语气的概念,目前国内外人际语用学研究的现状,以人际语用学为研究背景,提出疑问语气的选择在医患会话中的语用功能运用。本文搜集大量有效医患之间的语料并进行文本分析,得出有利于构建医患之间和谐关系的语料,从语言沟通上解决医患矛盾,缓解医患关系,让医生与患者之间的关系变得更加和谐。 展开更多
关键词 人际语用学 医患对话 疑问语用特征 语用功能
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4 - 14 Incomplete Guiding of 90 keV O6+ Ions through a Single Glass Capillary
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作者 xue yingli Wu Yehong +10 位作者 Liu Junliang Zhang Mingwu Chen Jing Ruan Fangfang Wang Wei Yu Deyang Cai Xiaohong Zuo Wei Wang Pei Gan Shengxin Yin Peng 《IMP & HIRFL Annual Report》 2013年第1期191-191,共1页
关键词 英语 阅读 理解 物理研究
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5 - 13 Development of Data Acquisition Software for Guiding Effect Experiments using LabVIEW
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作者 Liu Junliang Yu Deyang +3 位作者 xue yingli Zhang Mingwu Wu Yehong Cai Xiaohong 《IMP & HIRFL Annual Report》 2013年第1期214-214,共1页
关键词 英语 阅读 理解 物理研究
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4 - 15 Incomplete Guiding of 300 keV O6+ through a Single Macro-capillary
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作者 Wu Yehong ChenJing +2 位作者 xue yingli Liu Junliang Cai Xiaohong 《IMP & HIRFL Annual Report》 2013年第1期192-192,共1页
关键词 英语 阅读 理解 物理研究
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4-10 A 128-channel Picoammeter System and Its Application on Charged Particle Beam Current Distribution Measurements
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作者 Yu Deyang Liu Junliang +4 位作者 xue yingli Zhang Mingwu Cai Xiaohong Hu Jianjun Dong Jinmei 《IMP & HIRFL Annual Report》 2015年第1期203-205,共3页
The absolute current distribution is usually the most desirable parameter in experiments involving a charged particle beam. The Faraday cup array technique, a direct measurement of the absolute current distribution, h... The absolute current distribution is usually the most desirable parameter in experiments involving a charged particle beam. The Faraday cup array technique, a direct measurement of the absolute current distribution, has been developed both in one dimension[1] and two dimensions[2], providing a great advantage in terms of convenience. In this technique, a many-channel picoammeter (up to 128 channels) is necessary. 展开更多
关键词 CURRENT DISTRIBUTION MEASUREMENTS
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4-11 Determination of Target Thickness and Luminosity from Beam Energy Losses at HIRFL-CSRe Internal Target
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作者 Shao Caojie Yu DeYang +7 位作者 Lu Rongchun xue yingli Wang Wei Yang Bian Zhang Mingwu Liu Junliang Song Zhangyong Cai Xiaohong 《IMP & HIRFL Annual Report》 2015年第1期205-206,共2页
The experiments with an internal target at a storage ring have many advantages. However, it is difficult to determine the absolute cross section of a reaction where luminosity cannot be simply established through macr... The experiments with an internal target at a storage ring have many advantages. However, it is difficult to determine the absolute cross section of a reaction where luminosity cannot be simply established through macroscopic measurements. Here we present an experimental determination of the effective target thickness from the beam energy losses at the internal target in HIRFL-CSRe. The measurements here are expected to provide the accurate target thickness and luminosity for the absolute cross-section study on future internal target experiments, and also provide some reference values for the study of beam loss mechanism of the heavy ion at HIRFL-CSRe. 展开更多
关键词 HIRFL-CSRe INTERNAL TARGET
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4-12 Electron Beam Guiding by Grooved SiO2 Parallel Plates without Energy Loss
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作者 xue yingli Yu Deyang +4 位作者 Liu Junliang Zhang Mingwu Yang Bian Zhang Yuezhao Cai Xiaohong 《IMP & HIRFL Annual Report》 2015年第1期207-208,共2页
Since the unexpected guiding effect of low energy ions by PET nanocapillaries was reported in the last decade[1], the self-organized charge-up on insulating surface is employed to realize a self-adaptive manipulation ... Since the unexpected guiding effect of low energy ions by PET nanocapillaries was reported in the last decade[1], the self-organized charge-up on insulating surface is employed to realize a self-adaptive manipulation of charged particle beams[2–4]. Considerable work (see Ref. [5] and references therein) has been done to investigate slow highly charged ions (SHCIs) interacting with inner surface of various insulating capillaries[5]. 展开更多
关键词 ELECTRON BEAM GUIDING
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4-19 Double K-shell Ionization of Kr Induced by Swift Xe54+ Ions
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作者 Shao Caojie Yu Deyang +7 位作者 Wang Wei xue yingli Zhang Mingwu Yang Bian Song Zhangyong Lu Rongchun Liu Junliang Cai Xiaohong 《IMP & HIRFL Annual Report》 2014年第1期196-196,共1页
Double K-shell ionization of atoms by collisions with charged ions is one of typical two-electron processes andattracts considerable attention both in term of basic theory and experiment. Radiative de-excitation of th... Double K-shell ionization of atoms by collisions with charged ions is one of typical two-electron processes andattracts considerable attention both in term of basic theory and experiment. Radiative de-excitation of the doubleK-shell vacancy states of atoms leads to the emission of so called K X-ray hyper-satellites (Kh,Kh . . . )[1], whichgives us the insight into the decay modes of multiply ionized ions as well as the ionization processes during ion-atomcollisions. Contrary to the long-winded and difficult experiments with heavy target due to the low detection efficiencyof K X-ray hyper-satellites with crystal spectrometers[2??4], the bulk of knowledge concerning double K-shellionization in ion-atom collisions has been obtained for light target. 展开更多
关键词 DOUBLE IONIZATION INDUCED
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4-20 Electrons Guiding through a Plate Capillary
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作者 xue yingli Yu Deyang +4 位作者 Liu Junliang Zhang Mingwu Yang Bian Zhang Yuezhao Cai Xiaohong 《IMP & HIRFL Annual Report》 2014年第1期197-197,共1页
The guiding effect of 3 keV Ne7+ ions passing through an insulating PET nanocapillaries was found in 2002by N. Stolterfoht et al[1]. Since then considerable work[2] has been done to investigate slow highly charged ion... The guiding effect of 3 keV Ne7+ ions passing through an insulating PET nanocapillaries was found in 2002by N. Stolterfoht et al[1]. Since then considerable work[2] has been done to investigate slow highly charged ions(HCIs) interacting with inner surfaces of various insulating capillaries. It has been shown that the guiding effect isprevalent in the transmission of slow HCIs.Similar guiding phenomena were also observed for electrons transmitted through capillaries (see, e.g., Ref. [3-5]).However, the experiments showed that transmission efficiency of electrons was significantly lower than that of HCIs.Moreover, it revealed that portion of the transmitted electrons suffered significant energy-loss. 展开更多
关键词 ELECTRONS GUIDING PLATE
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4-18 Single and Double Electron Capture by Fast Xe54+ from Kr and Xe
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作者 Yu Deyang Shao Caojie +8 位作者 Lu Rongchun Wang Wei Liu Junliang xue yingli Song Zhangyong Zhang Mingwu Yang Bian Ruan Fangfang Cai Xiaohong 《IMP & HIRFL Annual Report》 2014年第1期195-195,共1页
When an energetic highly charged ion (HCI) collides with an atom, the target electrons may be captured by theprojectile ion, either radiatively or non-radiatively. During a radiative electron capture (REC), a target e... When an energetic highly charged ion (HCI) collides with an atom, the target electrons may be captured by theprojectile ion, either radiatively or non-radiatively. During a radiative electron capture (REC), a target electronis transferred to the projectile accompanying with a photon emission, which carries away the excess energy andmomentum. During a non-radiative electron capture (NRC), the energy and momentum conservations are ensuredby the target nucleus[1]. If the captured electrons are populated in excited states, photons maybe emitted duringthe following stabilization processes, and therefore the X-ray spectrum can provide information about the initialpopulation. However, if a solid target is employed, the single-collision condition cannot be ensured when consideringthe capture processes, as well as strong background will be produced[2]. With the development of heavy ioncooling storage rings, the experimental luminance is enhanced by the strong ion beams when a gaseous target isprerequisite[3]. 展开更多
关键词 SINGLE ELECTRON CAPTURE
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Study of L-subshell X-ray Production Cross Sections of Ta by O5+ Bombardments
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作者 Zhang Boli Yang Zhihu +4 位作者 Du Shubin Chang Hongwei Song Zhangyong xue yingli Zhu Kexin 《近代物理研究所和兰州重离子加速器实验室年报:英文版》 2008年第1期123-123,共1页
关键词 产生截面 原子能科学研究院 基因枪 大截面 X射线 壳层 串列加速器 法拉第杯
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Angular Distribution of Lyman-1 Transition Following Nonradiative Electron Capture into Xe^53+Ions
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作者 Yang Bian Yu Deyang +9 位作者 Cai Xiaohong Shao Caojie xue yingli Wang Wei Zhang Mingwu Liu Junliang Song Zhangyong Wu Yehong Lu Rongchun Ruan Fangfang 《IMP & HIRFL Annual Report》 2019年第1期77-78,共2页
Radiative electron capture(REC)and nonradiative capture(NRC)are two competing mechanisms in relativistic collisions of highly charged ions with atoms[1].REC means electron transfer from target to projectile with the e... Radiative electron capture(REC)and nonradiative capture(NRC)are two competing mechanisms in relativistic collisions of highly charged ions with atoms[1].REC means electron transfer from target to projectile with the emission of one photon for satisfying energy and momentum conservation laws. 展开更多
关键词 TRANSITION satisfying RADIATIVE
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A Wide-angle and High-efficiency X-ray Spectrometer Based on Flat HOPG Crystal
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作者 Shao Caojie Yu Deyang +6 位作者 Wang Wei Yang Bian Liu Junliang xue yingli Zhang Mingwu Song Zhangyong Cai Xiaohong 《IMP & HIRFL Annual Report》 2018年第1期198-199,共2页
In collisions between fast heavy ions and atoms,the strong Coulomb field of one of collision partners can cause inner-shell multiple-ionization of the second one[1].The high-resolution measurements of emitted X-rays i... In collisions between fast heavy ions and atoms,the strong Coulomb field of one of collision partners can cause inner-shell multiple-ionization of the second one[1].The high-resolution measurements of emitted X-rays in the collision are one of the most effective methods to study the multivacancy configurations in atoms or ions as well as the dynamics of the multiple ionization process.The energy shifts of X-rays from states with different vacancy configuration could be large[2].For example,the energy of the argon K hypersatellite and satellite line is between 2.9 and 3.8 keV,and the energy shift causing by per L hole is close to 20 eV[3].In order to simultaneous detection of the emitted X-rays over a wide energy range,thus avoiding the problem of changing the angle of crystal and position of the CCD in one collision system,a wide-angle and high-efficiency X-ray spectrometer based on flat HOPG(Highly Oriented Pyrolytic Graphite)crystal was developed.Due to X-ray from multi-ionized atoms. 展开更多
关键词 process. COLLISION ANGLE
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Guiding a Swift Ion Beam in a Self-organizing Way
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作者 xue yingli Yu Deyang +8 位作者 Liu Junliang Zhang Mingwu Song Xiaoxun Hui Xinfei Yang Bian Shao Caojie Song Zhangyong Wang Wei Cai Xiaohong 《IMP & HIRFL Annual Report》 2018年第1期72-72,共1页
Although great attention has been paid to study the guiding effects of charged ions through insulating nanocapillaries or a single microcapillary[1]since the pioneering work of Stolterfoht et al.in 2002[2],the same hi... Although great attention has been paid to study the guiding effects of charged ions through insulating nanocapillaries or a single microcapillary[1]since the pioneering work of Stolterfoht et al.in 2002[2],the same high standard of reproducibility and accuracy among different laboratory cannot be expected because the bulk and surface conductivities of an insulating material are often not well characterized and depend strongly on the working conditions.In other words,the guiding processes are rather random than controllable.In addition,with the energy increasing,the incomplete guiding effect[3;4]limits the application of guiding a swift ion beam in a self-organizing way. 展开更多
关键词 conditions. SWIFT INCOMPLETE
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