Application of Seminar Teaching Method Combined with Case-Based Learning and Problem-Based Learning Teaching Models in Oral Clinical Nursing Teaching

Purpose:To analyze the role of the seminar teaching method+case-based learning(CBL)teaching method+problem-based learning(PBL)teaching method in oral clinical nursing teaching.Methods:13 undergraduate nursing students who entered the department from September 2020 to September 2021 were selected as the control group,adopting conventional nursing teaching methods;13 undergraduate nursing students who entered the department from September 2021 to August 2022 were selected as the observation group,adopting the seminar+CBL+PBL teaching method.The teaching effects were compared between the two groups.Results:All assessment scores of the observation group were higher than those of the control group;all teaching satisfaction levels were higher than those of the control group(P<0.05).Conclusion:Adopting the seminar+CBL+PBL teaching method during oral clinical nursing teaching can improve nursing students’assessment scores,strengthen their core competencies,and enhance teaching satisfaction.

Infratentorial Tuberculoma Mimics Tumor in Immunocompetent Adults: An Analysis of 11 Patients

Backgrounds: Tuberculoma is a granulomatous inflammatory process mimicking a neoplasm, both clinically and radiologically. Although those with an infratentorial origin are rare, this disease is still a diagnostic challenge using conventional workup. However, this disease should not be overlooked because it is essentially curable with proper diagnosis and therapy, usually, a Mycobacterium Tuberculosis (MTB) DNA test is performed. Methods: We retrospectively analyzed the clinical presentations, CSF results, and images of 11 MTB DNA positive and clinically cured cases of infratentorial tuberculoma. Results: Infratentorial tuberculoma usually deteriorated before antituberculosis treatment (ATT). Magnetic resonance imaging showed space-occupying lesions without specific features, 4 within the cerebellum and 7 within the brainstem. Evidence of systemic tuberculosis was found in only 1 case. Clinical manifestations included various combinations of focal signs and symptoms in the brain stem and cerebellum. Cerebrospinal fluid (CSF) findings were also nonspecific. The diagnoses of these cases were based on the positive tests of a nested polymerase chain reaction (N-PCR) assay. Trial therapy with antituberculous drugs resulted in clinical improvement, as documented by MRI in all patients. Conclusions: Infratentorial tuberculoma should be suspected in patients with infratentorial space-occupying lesions who live in geographic areas where tuberculosis is endemic.

Cross-shelf variation of internal tides west of the Dongsha Plateau in the northern South China Sea

We examine the cross-shelf variation of internal tides(ITs)west of the Dongsha Plateau in the northern South China Sea based on observations from 4 moorings deployed between August 2017 and September 2018.On the slope,the amplitude of diurnal baroclinic current ellipses are 5 times larger than that of barotropic currents.The baroclinic energy quickly dissipates during cross-shelf propagation,and barotropic currents become dominant on the shelf outside of the Zhujiang River Estuary,with the amplitude of semidiurnal barotropic current ellipses being 10 times larger than that of the baroclinic ones.Dynamic modal decomposition indicates the first baroclinic mode is dominant for both diurnal and semidiurnal ITs.The total horizontal kinetic energy(HKE)of the first three baroclinic modes shows spatiotemporal differences among the 4 moorings.On the slope,the HKE for diurnal ITs is stronger in summer and winter,but weaker in spring and autumn;for semidiurnal ITs there is a similar seasonal variation,but the HKE in winter is even stronger than that in summer.On the shallow shelf,both diurnal and semidiurnal ITs maintain a certain intensity in summer but almost disappear in winter.Further analysis shows that only the upper water column is affected by seasonal variation of stratification on the slope,variation of diurnal ITs is thus controlled by the semi-annual cycle of barotropic energy input from the Luzon Strait,while the incoherent baroclinic currents make a major contribution to the temporal variation of semidiurnal ITs.For the shelf region,the water column is well mixed in winter,and the baroclinic energy largely dissipates when ITs propagate to the shelf zone despite of a strong barotropic energy input from the Luzon Strait.

Evaluation of Postoperative Psychological Distress and Its Driving Factors in Patients with Oral and Maxillofacial Malignant Tumors

Objective:To explore and analyze the evaluation and driving factors of postoperative psychological pain inpatients with oral and maxillofacial malignant tumors.Methods:Relevant data were collected from 80 patients with oral and maxillofacial malignant tumors who attended the outpatient clinic for follow-up consultations between May 2021 to May 2023.The patients used the psychological distress thermometer(DT)to circle words that best described their experiences in the past week,assigning a numerical value(0-10)to indicate their pain level on each day.The scoring results were employed to assess the psychological pain in these patients.A self-developed patient basic information questionnaire was utilized to record demographic details.Logistic regression analysis was employed to evaluate patients two weeks after surgery,focusing on the assessment of psychological distress and the identification and location of driving factors.Results:Following evaluation,the results revealed that the average postoperative DT score for the 80 patients with oral and maxillofacial malignant tumors was 4.53±1.98 points.Scores<4 points indicated no psychological pain(Group N)in 48 cases,while scores≥4 points indicated psychological pain(Group Y)in 32 cases.The differences in postoperative DT scores among patients with varying educational levels,fears and worries about disease progression,economic problems,sleep problems,level of hope,and oral pain were statistically significant(P<0.05).Multiple linear regression analysis results indicated that education level,fear and worry about disease progression,economic problems,sleep problems,level of hope,and oral pain are driving factors of postoperative psychological pain in patients with oral and maxillofacial malignant tumors(P<0.05).Conclusion:The postoperative psychological pain level in patients with oral and maxillofacial malignant tumors is at a moderate level.Educational level,fear and worry about disease progression,economic problems,sleep problems,level of hope,and oral pain were identified as driving factors for postoperative psychological pain in these patients.

Analysis of the Effect of Mindfulness Meditation on Patients with Burning Mouth Syndrome

Objective:To explore the effect of mindfulness meditation on patients with burning mouth syndrome.Methods:60 patients with burning mouth syndrome in our hospital who were treated from January 2021 to December 2022 were selected for this study.The patients were divided into two groups of thirty cases each using the randomized numerical table method.The observation underwent psychological intervention and mindfulness meditation training,while the control group only received symptomatic care.The condition of the patients of both groups was observed and compared.Results:Upon receiving treatment,the patients in the observation group had lower Hamilton Anxiety(HAM-A)scores,and Hamilton Depression(HAMD)scores compared to the control group(P<0.05).The visual analog scale(VAS)scores of the observation group were also lower than those of the control group(P<0.05).Moreover,the efficacy of the nursing intervention in the observation group was higher than that of the control group(P<0.05).Conclusion:Psychological intervention and mindfulness meditation training can effectively improve the clinical symptoms of patients with burning mouth syndrome.Therefore,this treatment method should be popularized.

Ti-IF钢回火过程的再结晶规律

本文对比研究了Ti-IF钢罩式退火工艺下的再结晶规律及连续退火工艺下再结晶规律。分别采用随炉升温到不同温度测定再结晶规律，和采用到温入炉保温100s出炉测定再结晶规律。模拟罩式退火采用两阶段随炉升温，所测试样的名义再结晶温度为620，实际的再结晶温度为660℃，实验钢在随炉升温至660℃下完成再结晶过程历时68min；700℃、720℃再结晶的新晶粒开始长大；800℃时，再结晶的晶粒等轴化。模拟连退采用快速升温到不同温度，试样到温入炉保温100s出炉空冷，660℃再结晶开始形核，700℃形核的数量开始增加，720气：形核数量急剧增加，800 ～840℃再结晶晶粒长大，晶粒均匀化，900℃发生二次再结晶，晶粒反常长大。