基于Morning Report的中医内科教学质量评价量表的构建

目的基于Morning Report教学,构建中医内科临床教学质量评价量表,为评价中医内科学临床教学质量提供参考。方法采用目的抽样法,于2022年1—12月从首都医科大学附属北京中医医院医学教育管理人员、中医内科临床教学人员及中医内科临床医师3类人员中遴选咨询专家25名。运用文献研究法和德尔菲法确定基于Morning Report的中医内科学临床教学质量评价指标并计算各指标权重以及各参与主体所占比重。结果从学生表现和教师表现2方面构建了基于Morning Report的中医内科临床教学质量评价量表。评价学生指标包括:学习态度、探索过程、学习效果、实践能力4个一级指标,权重分别为0.1、0.1、0.1、0.2。评价教师指标包括:教学内容、教学方法、教学效果3个一级指标,权重分别为0.1、0.2、0.2。评价主体为参与Morning report教学的学生、教师及教学督导。最终构建的基于Morning Report的中医内科临床教学质量评价量表包括7个一级指标、25个二级指标。评价学生指标,各参与方权重分别为:学生20%,教师40%,教学督导40%;评价教师指标,各参与方权重分别为:学生40%,教师20%,教学督导40%。结论基于Morning Report教学的中医内科临床教学质量评价量表的构建,可以为今后开展中医内科临床教学常态化质量评价提供参考,有助于从量效评价角度促进中医内科临床教学质量的提高。

Morning Glory Syndrome or Bindweed Flower Papilla Syndrome

Introduction: Morning Glory Syndrome (MGS) is a rare anomaly of the optic nerve characterized by a flower-shaped excavation in the optic disc. This anatomical peculiarity is of growing interest due to its impact on vision and the therapeutic challenges it presents. Despite research advances, gaps persist, requiring thorough exploration to better understand this rare condition. We present the case of a young girl. Observation: A 7-year-old girl presented with persistent deterioration of vision in the right eye since birth. Visual acuity was counting fingers at 2 meters in the right eye and 10/10 in the left eye. Biomicroscopy was normal in both eyes, and fundus examination revealed a funnel-shaped excavation at the optic disc of the right eye, associated with central glial proliferation, thin blood vessels in a radial distribution, and atrophy of the neuroretinal rim. Additional tests confirmed the diagnosis of isolated unilateral Morning Glory Syndrome in the right eye. Combined treatment included appropriate optical correction and functional rehabilitation. Regular ophthalmological follow-up over a one-year period was established to monitor visual acuity evolution, optic disc stability, and detect any potential complications. The reserved prognosis was marked by the absence of ocular complications and maintenance of initial visual acuity in the right eye. Conclusion: The positive response to management underscores the importance of an integrated approach, early diagnosis, therapeutic adherence, and personalized strategies.

How Music Intervention Lowered Participants’ Morning Cortisol—Qualitative Case Stories

Non-pharmacological interventions for improved home care of persons with dementia and their family caregiver are and will be increasingly important for society. A music intervention study was performed on persons with persons with dementia and family caregiver. The persons with dementia and family caregiver were instructed to choose a daily routine for joint listening to recorded music. They selected the music they were interested in from a menu. The intervention period lasted for two months. Both persons with dementia and family caregiver provided daily saliva samples for the assessment of stress-related steroid hormones. In previous reports we have reported that the morning cortisol levels decreased significantly among the family caregiver when the intervention group was compared to a control group. In the present study we report narratives from four dyads, two of whom with beneficial effects of the music intervention, one dyad with no clear beneficial effects and one dyad with mixed results. The narratives illustrate the strong cohesive effect that the joint music listening could have, leading to improved social functioning paralleled by decreased morning cortisol levels particularly in the family caregiver. The narratives also illustrate reasons for failed effects.

基于PBL教学法以Morning Report为主要形式探索中医内科临床教学研究

目的:研究基于PBL教学法以Morning Report为主要形式的教学方式(简称PBL-Morning Report)在临床教学实践中的效果。方法:调查对象为在首都医科大学附属北京中医医院心血管科临床轮转的研究生规培医师、本科实习医师、社会规培医师和进修医师。将2021年1—12月在常规临床教学基础上接受PBL-Morning Report的学生设为观察组,回顾性选择2020年后半年因疫情原因仅接受常规临床教学的学生并设为对照组。观察组学生在结束转科的最后1周通过微信“问卷星”接受独立的数据调研,对照组在2021年1月通过微信“问卷星”接受回顾性调研。调研内容:基础理论掌握情况,病历书写能力,病例理解/病历汇报能力,中医思维在临床实践的应用能力,自主学习与研究能力。每项问题根据所赋值分数(0、3、6、9分)进行定量评分。结果:共发放问卷221份,回收问卷221份,其中观察组166份,对照组55份。调查内容各项评分观察组均高于对照组,差异均有统计学意义(P<0.05)。亚组分析显示,研究生规培医师除在自主学习与研究能力方面的评分观察组相较于对照组,差异无统计学意义(P>0.05),其余调查内容各项评分观察组均高于对照组,差异有统计学意义(P<0.05)。本科实习医师调查内容所有项目评分观察组均略高于对照组,但差异均无统计学意义(P>0.05)。结论:PBL-Morning Report有助于提高学生中医内科综合临床实践能力。

基于Photo Sphere Viewer的轻量化可量测街景系统研究

随着新型基础测绘体系发展,测绘技术和装备不断升级,大量街景数据随着车载激光扫描工作一并被采集。针对该数据路线随机性大、密集程度高等特点,以及传统街景地图系统插件受限、扩展性不强、无法量测等局限,本文设计了基于Photo Sphere Viewer的轻量化可量测街景系统,在开源插件的基础上实现了对其组件的扩充、实现了行进方向、地图交互等系统功能的设计优化,进一步实现了基于深度图的街景地图量测功能。生产作业队伍对系统的使用结果表明,该系统可以辅助生产作业队伍进行属性采集、纹理更新、数据检查等多项工作,操作灵活便捷,且具有较强的可扩展性,便于基于生产需求进行改进调整,提高了生产效率,为新型基础测绘成果进一步深化应用提供了良好的借鉴作用。

基于单片机和LabVIEW的无线温度监测与控制系统设计

本文设计了一个基于STC89C52单片机和LabVIEW的无线温度监测与控制系统.该系统采用上下位机的结构,其中下位机通过STC89C52单片机控制DS18B20采集实时温度,并利用控制模块实现加热或降温,同时,通过蓝牙模块实现与上位机的无线通信;上位机以LabVIEW作为开发平台,实现对温度的实时显示、处理、存储、阈值设定和温度控制等功能.该系统电路设计简单、成本低、扩展性强、人机界面友好,可用于智能大棚的温度控制等需要温度检测的场所,具有广阔的应用前景.

Non-contact wide-field viewing system-assisted scleral buckling surgery for retinal detachment in silicone oilfilled eyes

AIM:To evaluate scleral buckling(SB)surgery using a noncontact wide-field viewing system and 23-gauge intraocular illumination for the treatment of rhegmatogenous retinal detachment in silicone oil(SO)-filled eyes.METHODS:Totally 9 patients(9 eyes)with retinal detachment in SO-filled eyes were retrospectively analyzed.All patients underwent non-contact wide-field viewing system-assisted buckling surgery with 23-gauge intraocular illumination.SO was removed at an appropriate time based on recovery.The patients were followed up for at least 3mo after SO removal.Retinal reattachment,complications,visual acuity and intraocular pressure(IOP)before and after surgery were observed.RESULTS:Patients were followed up for a mean of 8.22mo(3-22mo)after SO removal.All patients had retinal reattachment.At the final follow-up,visual acuity showed improvement for 8 patients,and no change for 1 patient.The IOP was high in 3 patients before surgery,but it stabilized after treatment;it was not affected in the other patients.None of the patients had infections,hemorrhage,anterior ischemia,or any other complication.CONCLUSION:This new non-contact wide-field viewing system-assisted SB surgery with 23-gauge intraocular illumination is effective and safe for retinal detachment in SO-filled eyes.

A Brief Overview of the Development and Significance of Modern Scientific Medicine in China:Take Chinese Academy of Medical Science and Peking Union Medical College as an Example

Since the early 20th century,China has gradually established a clinical,educational,and research system centered around modern scientific medicine,which has now become the dominant force in China's medical and health system and services,with the construction and development of the Chinese Academy of Medical Sciences and Peking Union Medical College as the most prominent symbol.The scientific medicine in the new era requires close cooperation across multiple disciplines and fields to build a high-quality and efficient medical and health service system.It also involves combining the excellent traditional Chinese culture with Western medicine to explore a unique path of modern scientific medicine with Chinese characteristics.

The Youth’s View of Marriage in Chinese Mainstream Media Discourse-A Corpus-assisted Three-dimensional Discourse Analysis

The rising of aging and the declining of birth rates have forced the public to focus on the youth’s view on marriage.Based on critical discourse analysis and combined with Fairclough’s three-dimensional discourse analysis model,this paper builds a“Chinese media News Report Corpus on the topic of‘marriage’”whose news are collected from China Daily.It is found that the discourses are neutral and objective with regard to the advantages and disadvantages of marriage,but in general,it is still a traditional view of marriage that is inevitable and closely related to fertility.Although this is controlled by the policies and the social reasons including declining fertility rate,it deviates from the current view of the youth towards marriage,resulting in many serious consequences such as young people’s rejection.In addition,this research found that male and female have great differences in their views on marriage,and men’s resistance to marriage is far greater than that of women,which is departure from the public’s cognition.The reasons behind this need to be explored in order to solve the marriage and love problems of young people in today’s era and realize the healthy development of young marriage.

Analysis of Viewing Paintings from the Perspective of Iconography

Distinguished from purely formalistic research methods,iconography pursues the interpretation of the hidden historical and humanistic connotations behind artworks,and is a discipline that combines visual text and content analysis methods.Combining the three stages of iconography proposed by Panofsky,the paper studies Shizeng Chen’s Viewing Paintings from the perspective of iconography,summarizing the formation and change of the images and contents of the artworks in the cultural system and civilization at that time,as well as their implied ideology,and analyzing the hidden spirit of the times and the historical significance behind them,so as to expound their iconographic significance.Through an in-depth discussion at three levels:pre-pictorial iconographic description,iconographic analysis,and iconographic interpretation,the facts and surface contents reproduced in the images,the traditional level of literary,artistic,and cultural knowledge,as well as the interpretation of the potential meanings are revealed.

Low-Rank Multi-View Subspace Clustering Based on Sparse Regularization

Multi-view Subspace Clustering (MVSC) emerges as an advanced clustering method, designed to integrate diverse views to uncover a common subspace, enhancing the accuracy and robustness of clustering results. The significance of low-rank prior in MVSC is emphasized, highlighting its role in capturing the global data structure across views for improved performance. However, it faces challenges with outlier sensitivity due to its reliance on the Frobenius norm for error measurement. Addressing this, our paper proposes a Low-Rank Multi-view Subspace Clustering Based on Sparse Regularization (LMVSC- Sparse) approach. Sparse regularization helps in selecting the most relevant features or views for clustering while ignoring irrelevant or noisy ones. This leads to a more efficient and effective representation of the data, improving the clustering accuracy and robustness, especially in the presence of outliers or noisy data. By incorporating sparse regularization, LMVSC-Sparse can effectively handle outlier sensitivity, which is a common challenge in traditional MVSC methods relying solely on low-rank priors. Then Alternating Direction Method of Multipliers (ADMM) algorithm is employed to solve the proposed optimization problems. Our comprehensive experiments demonstrate the efficiency and effectiveness of LMVSC-Sparse, offering a robust alternative to traditional MVSC methods.

改良Morning Report法在中医内科学临床思维能力训练教学中的应用效果分析

目的探讨改良的Morning Report教学方法在中医内科学临床思维能力训练教学中的应用效果。方法选择2019年7月—2021年6月在首都医科大学附属北京中医医院参加心血管科临床实习的五年制本科生78名作为研究对象。所有学生在心血管科实习期间均参加4次Morning Report教学活动,在培训前后采用打分形式对学生的专业技能、医患沟通能力、医德医风等中医临床能力进行调研。结果培训后,78名学生的病史采集能力、中医四诊能力、诊断能力、辨证分析能力、处方用药能力、医患沟通能力、临床工作的有效性与计划性以及“仁、术、勤、和”职业素养均有提高,培训前后分值比较,差异有统计学意义(P<0.01)。结论改良的Morning Report教学方法在中医内科学临床教学中对学生临床思维能力的训练效果良好,学生学习的积极性和主动性提高,值得推广应用。

跨学科视野下对Point of View的重新界定

在西方叙事作品研究界,“point of view”自20世纪初以来一直是一个核心概念和热门话题。叙事学和文体学都十分关注这一话题。表面上看,两个学派对“point of view”进行了大致相同的探讨,而实际上两者在理念和路径上各行其道且相互排斥。叙事学界在探讨“point of view”时,将其囿于观察者的感知(区分“谁说”和“谁感知”),这种自我限制不合情理。与此相对照,文体学在探讨“point of view”时,聚焦于叙述者(说话者)的立场态度,这种自我限制也造成了很大问题。这两个学派在探讨“point of view”时各自的片面性以及相互之间的排他性还导致了不少理论上的混乱。这也对国内的研究造成了影响。本文在指出以往问题的基础上,对“point of view”提出切合实际的新的界定,旨在通过这一新的界定帮助推进理论探讨的发展并促进跨学科研究,以便对叙事作品进行更好、更为全面的分析。

Morning Glory综合征的眼底和荧光血管造影分析

目的提高对Morning Glory 综合征的认识水平。方法回顾1990年以来诊断为 Morning Glory 综合征的2例病例的症状、眼底及荧光血管造影(fundus fluorescein angiography FFA )等临床资料并分析。结果Morning Glory 综合征眼底视乳头有特征性的四圈结构:大视盘中央一漏斗型深凹陷,巨大的视盘上有放射状的血管,视盘周围有一圈脉络膜视网膜色素环,最外圈是视网膜脉络膜色素区。眼底荧光血管造影与其眼底结构相对应。结论眼的检查和荧光血管造影是诊断Morning Glory 综合征最直接的方法。

Till Morning Comes汉译之比较与分析

高标准的文学翻译应当是在忠实于原文的前提下,使译文尽可能精美雅致,让读者体会到文学的价值并获得美的享受。本文以该标准为基础,对韩素音的著名小说Till Morning Comes的三种版本的译文做了比较,分析了译文中某些有待商榷的地方,阐述了对于译文处理的观点和建议。

Regaining of morning erection and sexual confidence in patients with erectile dysfunction

Aim： To investigate how erectile dysfunction （ED） medications affect morning erection in patients with ED and how they respond to the return of morning erection. Methods： This study was conducted in 120 patients who experienced successful intercourse with either tadalafil or sildenafil. Using a random face-to-face interview and a questionnaire （about the quality and number of days getting morning erection after using the two medications）, the impact of the medications on the morning erections was investigated, and the participants were asked about their feelings on regaining morning erection. Results： Of the respondents, 81% （68% of those with sildenafil and 99% of those with tadalafil） experienced morning erections after taking an oral ED medication. The men who took tadalafil mainly for 2 days with one dose, while those who took sildenafil experienced morning erections mainly for 1 day. The major sentiment upon regaining a morning erection was, ＂having more confidence as a man＂ （74%）. Among the 96 respondents who experienced morning erections with tadalafil, 52% preferred tadalafil over sildenafil, not only because of freedom from concerns about a specific time to have relations, but also regaining morning erection. Conclusion： Regaining a morning erection affects the recovery of confidence as a man and influences the preference for tadalafil over sildenafil.

Comparison of split-dosing vs non-split(morning) dosing regimen for assessment of quality of bowel preparation for colonoscopy

AIM: To compare(using the Ottawa Bowel Preparation Scale) the efficacy of split-dose vs morning administration of polyethylene glycol solution for colon cleansing in patients undergoing colonoscopy, and to assess the optimal preparation-to-colonoscopy interval.METHODS: Single-centre, prospective, randomized, investigator-blind stud in an academic tertiarycare centre. Two hundred patients requiring elective colonoscopy were assigned to receive one of the two preparation regimens(split vs morning) prior to colonoscopy. Main outcome measurements were bowel preparation quality and patient tolerability.RESULTS: Split-dose regimen resulted in better bowel preparation compared to morning regimen [Ottawascore mean 5.52(SD 1.23) vs 6.02(1.34); P = 0.017]. On subgroup analysis, for afternoon procedures, both the preparations were equally effective(P = 0.756). There was no difference in tolerability and compliance between the two regimens.CONCLUSION: Overall, previous evening- same morning split-dosing regimen results in better bowel cleansing for colonoscopy compared to morning preparation. For afternoon procedures, both schedules are equally effective; morning preparation may be more convenient to the patient.

FY-3E:The First Operational Meteorological Satellite Mission in an Early Morning Orbit

Fengyun-3 E(FY-3E),the world’s first early-morning-orbit meteorological satellite for civil use,was launched successfully at the Jiuquan Satellite Launch Center on 5 July 2021.The FY-3E satellite will fill the vacancy of the global early-morning-orbit satellite observation,working together with the FY-3C and FY-3D satellites to achieve the data coverage of early morning,morning,and afternoon orbits.The combination of these three satellites will provide global data coverage for numerical weather prediction(NWP)at 6-hour intervals,effectively improving the accuracy and time efficiency of global NWP,which is of great significance to perfect the global earth observing system.In this article,the background and meteorological requirements for the early-morning-orbit satellite are reviewed,and the specifications of the FY-3E satellite,as well as the characteristics of the onboard instrumentation for earth observations,are also introduced.In addition,the ground segment and the retrieved geophysical products are also presented.It is believed that the NWP communities will significantly benefit from an optimal temporal distribution of observations provided by the early morning,mid-morning,and afternoon satellite missions.Further benefits are expected in numerous applications such as the monitoring of severe weather/climate events,the development of improved sampling designs of the diurnal cycle for accurate climate data records,more efficient monitoring of air quality by thermal infrared remote sensing,and the quasicontinuous monitoring of the sun for space weather and climate.

The Clinical Characteristics and Imaging Findings of Morning Glory Syndrome

To investigate the features of CT, ultrasonography and fundus fluorescein angiography （FFA） of morning glory syndrome, the data on CT, A/B-scan ultrasonography and fundus fluorescein angiography （FFA） were retrospectively analyzed in 8 cases of morning glory syndrome （MGS）. Among those cases, 6 were examined with CT, 4 with FFA and 8 with A/B-scan ultrasonography. Results showed that the characteristics of CT, A/B-scan ultrasonography and FFA in MGS included： （1） The attachment spot of optic nerve became thin and vitreous body protruded to the posterior wall of eyeball with a spherical shape on CT image; （2） in the early period of FFA, hypofluorescence appeared on the optic, the abnormal arteriae and veins around the optic papilla were displayed clearly and in the late period, optic disc was stained with fluorescein; （3） on B-scan ultrasonogram, the vitreous cavity extended to the posterior pole and optic papilla, and projected to the basal part of muscle cones and thus the posterior part of vitreous cavity looked like an upside-down bottleneck. Sometimes the echogenic band of retinal detachment could also be seen. On A-scan ultrasonogram, both vitreous cavity and bottleneck showed no ultrasonic echoes and presented a base line without any evident wave crest. It is concluded that CT, A /B-scan ultrasonography and FFA could show the imageological features of MGS from different aspects, which helps clinicians to differentiate it from other diseases such as optic disc coloboma. CT and A /B-scan ultrasonography, in particular, are considered to be reliable imageological methods for the accurate diagnosis of MGS and are superior to the traditional techniques.

Contributing Factors for Train Delays during Morning Rush Hour in Japanese Metropolitan Areas

The present study aims to reveal the contributing factors for train delays in Tokyo metropolitan area by conducting statistical analyses, focusing on passenger trains, and using a variety of information by including data concerning train cars, stations, passengers, tracks and working timetables as explanatory variables. The present study conducted 2 types of statistical analyses including the standard multiple regression analysis and the logistic regression analysis by setting “average delay time” which indicates the quantitative conditions of delays, and “occurrence of delays” which indicates the qualitative condition, as objective variables. According to the results of the logistic regression analysis, the possibility of direct operations increasing the delay occurrence rate was quantitatively indicated. Therefore, direct operations are regarded as a contributing factor for train delays concerning metropolitan areas in recent years. Additionally, it was confirmed that the concentration of demand on terminal stations is also a contributing factor for train delays. On the other hand, it is certain that direct operations contribute to improving the convenience of passengers as well as the operational efficiency of train cars. Therefore, it would be ideal to resolve delays by easing the concentration of demands which may be accomplished by recommending off-peak commuting as well as adjustments to the working timetables.