目的观察微信平台辅助基于案例学习(case-based learning,CBL)教学法在心脏外科内外全科医学士(bachelor of medicine&bachelor of surgery,MBBS)的教学效果,探讨微信平台辅助CBL教学法应用于MBBS教学的可行性与有效性。方法选择201...目的观察微信平台辅助基于案例学习(case-based learning,CBL)教学法在心脏外科内外全科医学士(bachelor of medicine&bachelor of surgery,MBBS)的教学效果,探讨微信平台辅助CBL教学法应用于MBBS教学的可行性与有效性。方法选择2019年3—7月在昆明医科大学第一附属医院学习的2015级昆明医科大学MBBS学生43名,随机分成A组(n=21)和B组(n=22),A组采用传统教学法,B组采用微信平台辅助CBL教学法,心脏外科临床教学结束后,2组学生接受笔试考核,试卷考试包括基础知识(占总成绩50%)和病例分析(占总成绩50%),并对教学满意度进行评价。结果B组的病例分析和综合成绩得分高于A组,差异有统计学意义(P<0.05),B组对教学方法在调动积极性、激发兴趣、提高效率及提高文献检索能力方面的满意度高于A组,差异有统计学意义(P<0.05)。结论微信平台辅助CBL教学法可改进MBBS教学质量,改善学生满意度,对于提高MBBS临床教学效果有着重要意义。展开更多
当前,复合型医学人才培养已经成为高等医学教育的主流.为了把握社会发展的'脉搏',我国医学院校有必要探索一条复合型医学人才培养的新路.本文分析了在医学院校本科生中试行'医学士+X(bachelor of medicine+X,MB+X)'人...当前,复合型医学人才培养已经成为高等医学教育的主流.为了把握社会发展的'脉搏',我国医学院校有必要探索一条复合型医学人才培养的新路.本文分析了在医学院校本科生中试行'医学士+X(bachelor of medicine+X,MB+X)'人才培养计划的必要性和可行性,并提出了实施该计划的建议.展开更多
Meckel's diverticulum(MD) is the most frequent congenital abnormality of the small bowel and it is often diff icult to diagnose.It is usually asymptomatic but approximately 4% are symptomatic with complications su...Meckel's diverticulum(MD) is the most frequent congenital abnormality of the small bowel and it is often diff icult to diagnose.It is usually asymptomatic but approximately 4% are symptomatic with complications such as bleeding,intestinal obstruction,and inflammation.The authors report a case of a 7-year-old boy with a one-year history of recurrent periumbilical colicky pain with associated alimentary vomiting,symptoms erroneously related to a cyclic vomiting syndrome but not to MD.The clinical features and the differential diagnostic methods employed for diagnosis of MD are discussed.展开更多
A prototype of nurse robot system serving in infectious disease wards is developed by analyzing the systems requirement. Firstly, the type synthesis and dimension synthesis for optimizing the workspace are presented. ...A prototype of nurse robot system serving in infectious disease wards is developed by analyzing the systems requirement. Firstly, the type synthesis and dimension synthesis for optimizing the workspace are presented. Secondly, the tele-control system based on velocity control mode is introduced, and tele-control program is written. Finally, the imitation of position workspace and experiment of transforming objects from buffer area to isolation area are carried out.展开更多
Lian-Sheng Ma, Editor-in-Chief of World Journal of Gastroenterology (WJG), warmly met Professor Hugh J Freeman from the University of British Columbia at Peninsula Hotel in Beijing on August 28, 2007. Professor Hugh J...Lian-Sheng Ma, Editor-in-Chief of World Journal of Gastroenterology (WJG), warmly met Professor Hugh J Freeman from the University of British Columbia at Peninsula Hotel in Beijing on August 28, 2007. Professor Hugh J Freeman gave much helpful advice toward the further development of WJG . He will serve as series editor for a new column called OBSERVER which will start in WJG in 2008.展开更多
Objective： To explore the fundamental theory, methods and data of the quality of life （QOL） of soldiers and its influence factors in the first response army. Methods： Totally 215 soldiers in the first response arm...Objective： To explore the fundamental theory, methods and data of the quality of life （QOL） of soldiers and its influence factors in the first response army. Methods： Totally 215 soldiers in the first response army of a military area in China were inquired by using self-regulating questionnaire and WHOQOL-BREF （Chinese Edition）. Resalts： WHOQOL-BREF had good acceptability, reliability and validity in the first response army. QOL of soldiers in the first response army was middling. The influencing factors of QOL of the soldiers in first army includes self-report health, different areas where the army men come from, different arms of services, whether only child in family. And the difference was statistically significant. Conclusion： WHOQOL-BREF is fit for evaluating the quality of life of soldiers in the first response army. There are differences of the quality of life among the soldiers in the first response army. So we should take appropriate measures to improve the soldiers＇ quality of life.展开更多
On April 1st 2013, HUNG Yang, a medical master student in Fudan University, was poisoned by his roommate, LIN Senhao Unfortunately, HUANG died 15 days later. It＇s quite a shock to the whole society. We have to recons...On April 1st 2013, HUNG Yang, a medical master student in Fudan University, was poisoned by his roommate, LIN Senhao Unfortunately, HUANG died 15 days later. It＇s quite a shock to the whole society. We have to reconsider our education, and our expectancy to doctors. We have to ask ourselves ＂How to become a qualified doctor？＂Leam to release the pressure from studies and lives; learn to defend ourselves from danger. Is it enough？ No~ Whatever happened, never do harm to others. Medical humanity is the most important thing we should always remember展开更多
Good clothes etiquette of nurses can meet the mental needs of patients, which can promote early recovery of patients. A nurse with a good clothes etiquette style conveys the information to the patients, which can prod...Good clothes etiquette of nurses can meet the mental needs of patients, which can promote early recovery of patients. A nurse with a good clothes etiquette style conveys the information to the patients, which can produce a positive effect, so nurses＇ appropriate clothes appearance, proper manners, kind and amiable attitude and appropriate discourse and other good clothes etiquettes can achieve the effect that the medicine can not achieve.展开更多
As well for optimized emergency management in individual cases as for optimized mass medicine in disaster management, the principle of the medical doctors approaching the patient directly and timely, even close to the...As well for optimized emergency management in individual cases as for optimized mass medicine in disaster management, the principle of the medical doctors approaching the patient directly and timely, even close to the site of the incident, is a long-standing marker for quality of care and patient survival in Germany. Professional rescue and emergency forces, including medical services, are the ＂Golden Stan- dard＂ of emergency management systems. Regulative laws, proper organization of resources, equipment, training and adequate delivery of medical measures are key factors in systematic approaches to manage emergencies and disasters alike and thus save lives. During disasters command, communication, coor- dination and cooperation are essential to cope with extreme situations, even more so in a globalized world. In this article, we describe the major historical milestones, the current state of the German system in emergency and disaster management and its integration into the broader European approach.展开更多
Zhao Cui-ying, researcher, female, born in 1940, doctoral supervisor, is an instructor at the research studio of Shanghai famous and senior Chinese medical practitioners＇ academic experience, used to enjoy the specia...Zhao Cui-ying, researcher, female, born in 1940, doctoral supervisor, is an instructor at the research studio of Shanghai famous and senior Chinese medical practitioners＇ academic experience, used to enjoy the special allowance of State Council. She graduated in 1964 from the Department of Medicine, Shanghai Second Medical University, and at the same year came to work in Shanghai Research Institute of Acupuncture and Meridian up to today, used to be a director of the Immunology Research Room of Shanghai Research Institute of Acupuncture and Meridian, and a consultant of Grade 3 Laboratory of Acupuncture Immunology of State Administration of Traditional Chinese Medicine, and is a vice chairwoman and deputy secretary general of Shanghai Professional Committee for the Respiratory Diseases of Integrated Chinese and Western Medicine. Zhao Cui-ying has been engaged in the clinical, research and teaching work in the field of immune-related diseases treated by acupuncture and moxibustion for over 40 years, with abundant and distinguished experience, has undertaken over 10 state and provincial subjects and offered many important viewpoints in the research of acupuncture treatment of immune-related diseases, and has obtained several scientific and technological achievements, and published totally 80 academic papers, and has been honored with 10 awards, including 6 provincial awards. As a tutor or instructor, she has trained 7 doctoral students and 16 master students.展开更多
Purpose： Maxillofacial injuries are commonly encountered in the practice of emergency medicine. More than 50% of patients with these injuries have multisystem trauma that requires coordinated manage- ment between eme...Purpose： Maxillofacial injuries are commonly encountered in the practice of emergency medicine. More than 50% of patients with these injuries have multisystem trauma that requires coordinated manage- ment between emergency physicians and surgical specialists in oral and maxillofacial surgery, otolar- yngology, plastic surgery, ophthalmology, and trauma surgery. The aim of this study is to identify the patterns of brain injuries associated with maxillofacial trauma and its outcome. Methods： This descriptive study （cross-sectional） was carried out among 90 polytrauma patients with maxillofacial fractures attending the Emergency Department at Suez Canal university Hospital and fulfilling our inclusion and exclusion criteria. Results： This study demonstrates the relation between type of maxillofacial fracture and type of trau- matic brain injuries in which the majority of patients with epidural hemorrhage presented with mid face fractures （60%）, while the minority of them presented with upper and lower face fractures （20% for each of them）. The majority of patients with subdural hemorrhage were associated with mid face fractures （75%）, the majority of patients with brain contusions associated with mid face fractures （75%）, and all of the patients presented by pneumocephalus were associated with mid face fractures （100%）. Conclusion： The results of this study confirm the value of quick diagnosis and early intervention, which is fundamental to prevent morbidity as well as mortality especially with regards to prevention of traumatic brain injury as even a short duration of hvpoxia and edema will lead to significant permanent neurological deficits.展开更多
Dr.Xiyun Yan obtained her B.S.degree in 1983,from the Henan Medical College,and then studied cell biology in Professor Shizhang Bei’s lab in the Institute of Biophysics,Chinese Academy of Sciences（CAS）until leaving...Dr.Xiyun Yan obtained her B.S.degree in 1983,from the Henan Medical College,and then studied cell biology in Professor Shizhang Bei’s lab in the Institute of Biophysics,Chinese Academy of Sciences（CAS）until leaving for Germany in 1989.After receiving her medical doctor＇s degree from Heidelberg University in Germany,she joined the Memorial Sloan-Kettering Institute in New York as a postdoctoral research fellow.In 1997,展开更多
文摘目的观察微信平台辅助基于案例学习(case-based learning,CBL)教学法在心脏外科内外全科医学士(bachelor of medicine&bachelor of surgery,MBBS)的教学效果,探讨微信平台辅助CBL教学法应用于MBBS教学的可行性与有效性。方法选择2019年3—7月在昆明医科大学第一附属医院学习的2015级昆明医科大学MBBS学生43名,随机分成A组(n=21)和B组(n=22),A组采用传统教学法,B组采用微信平台辅助CBL教学法,心脏外科临床教学结束后,2组学生接受笔试考核,试卷考试包括基础知识(占总成绩50%)和病例分析(占总成绩50%),并对教学满意度进行评价。结果B组的病例分析和综合成绩得分高于A组,差异有统计学意义(P<0.05),B组对教学方法在调动积极性、激发兴趣、提高效率及提高文献检索能力方面的满意度高于A组,差异有统计学意义(P<0.05)。结论微信平台辅助CBL教学法可改进MBBS教学质量,改善学生满意度,对于提高MBBS临床教学效果有着重要意义。
文摘Meckel's diverticulum(MD) is the most frequent congenital abnormality of the small bowel and it is often diff icult to diagnose.It is usually asymptomatic but approximately 4% are symptomatic with complications such as bleeding,intestinal obstruction,and inflammation.The authors report a case of a 7-year-old boy with a one-year history of recurrent periumbilical colicky pain with associated alimentary vomiting,symptoms erroneously related to a cyclic vomiting syndrome but not to MD.The clinical features and the differential diagnostic methods employed for diagnosis of MD are discussed.
文摘A prototype of nurse robot system serving in infectious disease wards is developed by analyzing the systems requirement. Firstly, the type synthesis and dimension synthesis for optimizing the workspace are presented. Secondly, the tele-control system based on velocity control mode is introduced, and tele-control program is written. Finally, the imitation of position workspace and experiment of transforming objects from buffer area to isolation area are carried out.
文摘Lian-Sheng Ma, Editor-in-Chief of World Journal of Gastroenterology (WJG), warmly met Professor Hugh J Freeman from the University of British Columbia at Peninsula Hotel in Beijing on August 28, 2007. Professor Hugh J Freeman gave much helpful advice toward the further development of WJG . He will serve as series editor for a new column called OBSERVER which will start in WJG in 2008.
基金Supported by Youth Startup Fund of Second Military Medical University(05QN21)
文摘Objective： To explore the fundamental theory, methods and data of the quality of life （QOL） of soldiers and its influence factors in the first response army. Methods： Totally 215 soldiers in the first response army of a military area in China were inquired by using self-regulating questionnaire and WHOQOL-BREF （Chinese Edition）. Resalts： WHOQOL-BREF had good acceptability, reliability and validity in the first response army. QOL of soldiers in the first response army was middling. The influencing factors of QOL of the soldiers in first army includes self-report health, different areas where the army men come from, different arms of services, whether only child in family. And the difference was statistically significant. Conclusion： WHOQOL-BREF is fit for evaluating the quality of life of soldiers in the first response army. There are differences of the quality of life among the soldiers in the first response army. So we should take appropriate measures to improve the soldiers＇ quality of life.
文摘On April 1st 2013, HUNG Yang, a medical master student in Fudan University, was poisoned by his roommate, LIN Senhao Unfortunately, HUANG died 15 days later. It＇s quite a shock to the whole society. We have to reconsider our education, and our expectancy to doctors. We have to ask ourselves ＂How to become a qualified doctor？＂Leam to release the pressure from studies and lives; learn to defend ourselves from danger. Is it enough？ No~ Whatever happened, never do harm to others. Medical humanity is the most important thing we should always remember
文摘Good clothes etiquette of nurses can meet the mental needs of patients, which can promote early recovery of patients. A nurse with a good clothes etiquette style conveys the information to the patients, which can produce a positive effect, so nurses＇ appropriate clothes appearance, proper manners, kind and amiable attitude and appropriate discourse and other good clothes etiquettes can achieve the effect that the medicine can not achieve.
文摘As well for optimized emergency management in individual cases as for optimized mass medicine in disaster management, the principle of the medical doctors approaching the patient directly and timely, even close to the site of the incident, is a long-standing marker for quality of care and patient survival in Germany. Professional rescue and emergency forces, including medical services, are the ＂Golden Stan- dard＂ of emergency management systems. Regulative laws, proper organization of resources, equipment, training and adequate delivery of medical measures are key factors in systematic approaches to manage emergencies and disasters alike and thus save lives. During disasters command, communication, coor- dination and cooperation are essential to cope with extreme situations, even more so in a globalized world. In this article, we describe the major historical milestones, the current state of the German system in emergency and disaster management and its integration into the broader European approach.
基金supported by Scientific Research Budget Project of Shanghai Municipal Education Commission (09jw55)Special Scientific Research Fund for Selection and Cultivation of Elite in College and University (szy10071)National Basic Research Program of China (973 Program, 2009CB522900)
文摘Zhao Cui-ying, researcher, female, born in 1940, doctoral supervisor, is an instructor at the research studio of Shanghai famous and senior Chinese medical practitioners＇ academic experience, used to enjoy the special allowance of State Council. She graduated in 1964 from the Department of Medicine, Shanghai Second Medical University, and at the same year came to work in Shanghai Research Institute of Acupuncture and Meridian up to today, used to be a director of the Immunology Research Room of Shanghai Research Institute of Acupuncture and Meridian, and a consultant of Grade 3 Laboratory of Acupuncture Immunology of State Administration of Traditional Chinese Medicine, and is a vice chairwoman and deputy secretary general of Shanghai Professional Committee for the Respiratory Diseases of Integrated Chinese and Western Medicine. Zhao Cui-ying has been engaged in the clinical, research and teaching work in the field of immune-related diseases treated by acupuncture and moxibustion for over 40 years, with abundant and distinguished experience, has undertaken over 10 state and provincial subjects and offered many important viewpoints in the research of acupuncture treatment of immune-related diseases, and has obtained several scientific and technological achievements, and published totally 80 academic papers, and has been honored with 10 awards, including 6 provincial awards. As a tutor or instructor, she has trained 7 doctoral students and 16 master students.
文摘Purpose： Maxillofacial injuries are commonly encountered in the practice of emergency medicine. More than 50% of patients with these injuries have multisystem trauma that requires coordinated manage- ment between emergency physicians and surgical specialists in oral and maxillofacial surgery, otolar- yngology, plastic surgery, ophthalmology, and trauma surgery. The aim of this study is to identify the patterns of brain injuries associated with maxillofacial trauma and its outcome. Methods： This descriptive study （cross-sectional） was carried out among 90 polytrauma patients with maxillofacial fractures attending the Emergency Department at Suez Canal university Hospital and fulfilling our inclusion and exclusion criteria. Results： This study demonstrates the relation between type of maxillofacial fracture and type of trau- matic brain injuries in which the majority of patients with epidural hemorrhage presented with mid face fractures （60%）, while the minority of them presented with upper and lower face fractures （20% for each of them）. The majority of patients with subdural hemorrhage were associated with mid face fractures （75%）, the majority of patients with brain contusions associated with mid face fractures （75%）, and all of the patients presented by pneumocephalus were associated with mid face fractures （100%）. Conclusion： The results of this study confirm the value of quick diagnosis and early intervention, which is fundamental to prevent morbidity as well as mortality especially with regards to prevention of traumatic brain injury as even a short duration of hvpoxia and edema will lead to significant permanent neurological deficits.
文摘Dr.Xiyun Yan obtained her B.S.degree in 1983,from the Henan Medical College,and then studied cell biology in Professor Shizhang Bei’s lab in the Institute of Biophysics,Chinese Academy of Sciences（CAS）until leaving for Germany in 1989.After receiving her medical doctor＇s degree from Heidelberg University in Germany,she joined the Memorial Sloan-Kettering Institute in New York as a postdoctoral research fellow.In 1997,
