We focus on the importance and necessity of post-competency-based training in medical education alongside its current challenges and opportunities.Integrating post competency training into standardized educational fra...We focus on the importance and necessity of post-competency-based training in medical education alongside its current challenges and opportunities.Integrating post competency training into standardized educational frameworks is increasingly recognized as a critical component of preparing residents and postgraduates for real-world clinical practice.Post competency training represents a commitment to excellence in medical education,striving to produce competent,skilled practitioners to meet the challenges of modern healthcare.展开更多
After myocardial infarction(MI), the heart undergoes extensive myocardial remodeling through the accumulation of fibrous tissue in both the infarcted and noninfarcted myocardium, which distorts tissue structure, incre...After myocardial infarction(MI), the heart undergoes extensive myocardial remodeling through the accumulation of fibrous tissue in both the infarcted and noninfarcted myocardium, which distorts tissue structure, increases tissue stiffness, and accounts for ventricular dysfunction. There is growing clinical consensus that exercise training may beneficially alter the course of post-MI myocardial remodeling and improve cardiac function. This review summarizes the present state of knowledge regarding the effect of post-MI exercise training on infarcted hearts. Due to the degree of difficulty to study a viable human heart at both protein and molecular levels, most of the detailed studies have been performed by using animal models. Although there are some negative reports indicating that post-MI exercise may further cause deterioration of the wounded hearts, a growing body of research from both human and animal experiments demonstrates that post-MI exercise may beneficially alter the course of wound healing and improve cardiac function. Furthermore, the improved function is likely due to exercise training-induced mitigation of reninangiotensin-aldosterone system, improved balance between matrix metalloproteinase-1 and tissue inhibitor of matrix metalloproteinase-1, favorable myosin heavy chain isoform switch, diminished oxidative stress, enhanced antioxidant capacity, improved mitochondrial calcium handling, and boosted myocardial angiogenesis. Additionally, meta-analyses revealed that exercise-based cardiac rehabilitation has proven to be effective, and remains one of the least expensive therapies for both the prevention and treatment of cardiovascular disease, and prevents re-infarction.展开更多
To explore pathways the for effect staff of in information Central education in enhancing Department the post-specific training(CSSD)contents and Sterile Supply in a predicament,so as to develop employees’potential c...To explore pathways the for effect staff of in information Central education in enhancing Department the post-specific training(CSSD)contents and Sterile Supply in a predicament,so as to develop employees’potential capacity and promote the consolidation and development professional of their knowledge through and competence.Methods A study platform providing bottleneck knowledge of and techniques training informatization was established methods to the break through the post-specific and propose the organization for teaching activity system.of duty Results actuation management,so and progression as to establish a post-specific improve training structure,update application of information education expand platform could knowledge The and insights,service knowledge,and supplement well the promotion of level and quality of work as of staff,thus as innovative Conclusion capacity of the further enhancing the comprehensive strength education,the On the basis of information CSSD.dominant role of study has been study highlighted,which models,like convenient,fast makes post-specific training more and effective.New study,have innovation,individual innovation study and and self-directed promotion promoted the concept management quality of education.展开更多
This paper aims to standardize health, safety and environment（HSE） training matrices for effectively identifying training requirements and enhancing job competency of grassroots posts in petroleum and petrochemical ...This paper aims to standardize health, safety and environment（HSE） training matrices for effectively identifying training requirements and enhancing job competency of grassroots posts in petroleum and petrochemical enterprises. After an investigation into HSE training performance in petroleum and petrochemical enterprises, HSE training matrices templates for 239 grassroots posts involving 22 primary petroleum and petrochemical disciplines were developed based on the technical requirements of HSE training matrices templates and the studies of template development processes and technical methods at grassroots level. Applications of these templates in 12 companies demonstrate their effectiveness in improving HSE training and management for grassroots posts,strengthening risk control and promoting the application of HSE system and tools in grassroots units.展开更多
In maritime industry, personnel’s training is considered by shipping companies as a top priority matter on the list of factors affecting competitiveness in operating vessels. This paper presents the importance and th...In maritime industry, personnel’s training is considered by shipping companies as a top priority matter on the list of factors affecting competitiveness in operating vessels. This paper presents the importance and the effects of training Electro-Technical Experts in the context of latest developments, particularly the advent of the “Electric Ship” and the “Communicative Ship” analyzing the feedback received from several relevant two-days seminars for “Ship Electrical and Electronic Systems for Electro-Technical Officers”, in North East European countries. The pre-test and post-test self assessment method that has been used for more efficient interaction between trainers and trainees is analyzed using t-statistics. The attendees have had diverse basic backgrounds, yet company experts Fleet Engineers on merchant or war ships. The training’s effectiveness and gain is discussed in this paper and further proposals for the Electrical and Electronic training are presented through the valuable feedback for improvement.展开更多
目的探讨头针联合吞咽功能康复训练治疗中风后假性球麻痹吞咽障碍患者的临床疗效。方法选取2023年1月—2023年12月期间保定市第一中心医院收治的中风后假性球麻痹吞咽障碍患者80例,按照随机对照试验设计方法分为对照组和观察组,每组各4...目的探讨头针联合吞咽功能康复训练治疗中风后假性球麻痹吞咽障碍患者的临床疗效。方法选取2023年1月—2023年12月期间保定市第一中心医院收治的中风后假性球麻痹吞咽障碍患者80例,按照随机对照试验设计方法分为对照组和观察组,每组各40例。对照组接受康复训练等常规西医治疗,观察组在对照组基础上联合头针治疗。治疗4周后,观察比较两组患者治疗前后中医证候积分、洼田氏饮水试验评分、Barthel指数评分、美国国立卫生研究院卒中量表(National institute of health stroke scale,NIHSS)评分、吞咽功能评估表(Standardized swallowing assessment,SSA)评分、吞咽障碍特异性生活质量量表(Swallowing quality of life,SWAL-QOL)评分改善状况,并比较两组患者临床总有效率和不良反应发生率。结果治疗后两组患者中医证候积分和洼田氏饮水试验评分均较治疗前降低,差异有统计学意义(P<0.05);且观察组中医证候积分和洼田氏饮水试验评分均低于对照组,差异有统计学意义(P<0.05)。治疗后两组患者Barthel指数评分较治疗前升高,NIHSS评分较治疗前降低,差异有统计学意义(P<0.05);且观察组Barthel指数评分高于对照组,NIHSS评分低于对照组,差异有统计学意义(P<0.05)。治疗后两组患者SSA评分较治疗前降低,SWAL-QOL评分较治疗前升高,差异有统计学意义(P<0.05);且观察组SSA评分低于对照组,SWAL-QOL评分高于对照组,差异有统计学意义(P<0.05)。治疗后观察组临床总有效率92.50%(37/40)高于对照组75.00%(30/40),差异有统计学意义(P<0.05)。治疗期间,两组患者均未出现晕针、血肿等不良反应发生情况。结论头针联合吞咽功能康复训练能改善中风后假性球麻痹吞咽障碍患者的神经损伤程度和吞咽功能,缓解患者临床症状表现,提高吞咽障碍患者生活质量,具有显著的临床疗效。展开更多
基金Supported by Education and Teaching Reform Project of the First Clinical College of Chongqing Medical University,No.CMER202305Program for Youth Innovation in Future Medicine,Chongqing Medical University,No.W0138.
文摘We focus on the importance and necessity of post-competency-based training in medical education alongside its current challenges and opportunities.Integrating post competency training into standardized educational frameworks is increasingly recognized as a critical component of preparing residents and postgraduates for real-world clinical practice.Post competency training represents a commitment to excellence in medical education,striving to produce competent,skilled practitioners to meet the challenges of modern healthcare.
文摘After myocardial infarction(MI), the heart undergoes extensive myocardial remodeling through the accumulation of fibrous tissue in both the infarcted and noninfarcted myocardium, which distorts tissue structure, increases tissue stiffness, and accounts for ventricular dysfunction. There is growing clinical consensus that exercise training may beneficially alter the course of post-MI myocardial remodeling and improve cardiac function. This review summarizes the present state of knowledge regarding the effect of post-MI exercise training on infarcted hearts. Due to the degree of difficulty to study a viable human heart at both protein and molecular levels, most of the detailed studies have been performed by using animal models. Although there are some negative reports indicating that post-MI exercise may further cause deterioration of the wounded hearts, a growing body of research from both human and animal experiments demonstrates that post-MI exercise may beneficially alter the course of wound healing and improve cardiac function. Furthermore, the improved function is likely due to exercise training-induced mitigation of reninangiotensin-aldosterone system, improved balance between matrix metalloproteinase-1 and tissue inhibitor of matrix metalloproteinase-1, favorable myosin heavy chain isoform switch, diminished oxidative stress, enhanced antioxidant capacity, improved mitochondrial calcium handling, and boosted myocardial angiogenesis. Additionally, meta-analyses revealed that exercise-based cardiac rehabilitation has proven to be effective, and remains one of the least expensive therapies for both the prevention and treatment of cardiovascular disease, and prevents re-infarction.
基金Study on Construction of Quality Management System in Central Sterile Supply Department(2014NS188)
文摘To explore pathways the for effect staff of in information Central education in enhancing Department the post-specific training(CSSD)contents and Sterile Supply in a predicament,so as to develop employees’potential capacity and promote the consolidation and development professional of their knowledge through and competence.Methods A study platform providing bottleneck knowledge of and techniques training informatization was established methods to the break through the post-specific and propose the organization for teaching activity system.of duty Results actuation management,so and progression as to establish a post-specific improve training structure,update application of information education expand platform could knowledge The and insights,service knowledge,and supplement well the promotion of level and quality of work as of staff,thus as innovative Conclusion capacity of the further enhancing the comprehensive strength education,the On the basis of information CSSD.dominant role of study has been study highlighted,which models,like convenient,fast makes post-specific training more and effective.New study,have innovation,individual innovation study and and self-directed promotion promoted the concept management quality of education.
文摘This paper aims to standardize health, safety and environment（HSE） training matrices for effectively identifying training requirements and enhancing job competency of grassroots posts in petroleum and petrochemical enterprises. After an investigation into HSE training performance in petroleum and petrochemical enterprises, HSE training matrices templates for 239 grassroots posts involving 22 primary petroleum and petrochemical disciplines were developed based on the technical requirements of HSE training matrices templates and the studies of template development processes and technical methods at grassroots level. Applications of these templates in 12 companies demonstrate their effectiveness in improving HSE training and management for grassroots posts,strengthening risk control and promoting the application of HSE system and tools in grassroots units.
文摘In maritime industry, personnel’s training is considered by shipping companies as a top priority matter on the list of factors affecting competitiveness in operating vessels. This paper presents the importance and the effects of training Electro-Technical Experts in the context of latest developments, particularly the advent of the “Electric Ship” and the “Communicative Ship” analyzing the feedback received from several relevant two-days seminars for “Ship Electrical and Electronic Systems for Electro-Technical Officers”, in North East European countries. The pre-test and post-test self assessment method that has been used for more efficient interaction between trainers and trainees is analyzed using t-statistics. The attendees have had diverse basic backgrounds, yet company experts Fleet Engineers on merchant or war ships. The training’s effectiveness and gain is discussed in this paper and further proposals for the Electrical and Electronic training are presented through the valuable feedback for improvement.
文摘目的探讨头针联合吞咽功能康复训练治疗中风后假性球麻痹吞咽障碍患者的临床疗效。方法选取2023年1月—2023年12月期间保定市第一中心医院收治的中风后假性球麻痹吞咽障碍患者80例,按照随机对照试验设计方法分为对照组和观察组,每组各40例。对照组接受康复训练等常规西医治疗,观察组在对照组基础上联合头针治疗。治疗4周后,观察比较两组患者治疗前后中医证候积分、洼田氏饮水试验评分、Barthel指数评分、美国国立卫生研究院卒中量表(National institute of health stroke scale,NIHSS)评分、吞咽功能评估表(Standardized swallowing assessment,SSA)评分、吞咽障碍特异性生活质量量表(Swallowing quality of life,SWAL-QOL)评分改善状况,并比较两组患者临床总有效率和不良反应发生率。结果治疗后两组患者中医证候积分和洼田氏饮水试验评分均较治疗前降低,差异有统计学意义(P<0.05);且观察组中医证候积分和洼田氏饮水试验评分均低于对照组,差异有统计学意义(P<0.05)。治疗后两组患者Barthel指数评分较治疗前升高,NIHSS评分较治疗前降低,差异有统计学意义(P<0.05);且观察组Barthel指数评分高于对照组,NIHSS评分低于对照组,差异有统计学意义(P<0.05)。治疗后两组患者SSA评分较治疗前降低,SWAL-QOL评分较治疗前升高,差异有统计学意义(P<0.05);且观察组SSA评分低于对照组,SWAL-QOL评分高于对照组,差异有统计学意义(P<0.05)。治疗后观察组临床总有效率92.50%(37/40)高于对照组75.00%(30/40),差异有统计学意义(P<0.05)。治疗期间,两组患者均未出现晕针、血肿等不良反应发生情况。结论头针联合吞咽功能康复训练能改善中风后假性球麻痹吞咽障碍患者的神经损伤程度和吞咽功能,缓解患者临床症状表现,提高吞咽障碍患者生活质量,具有显著的临床疗效。
