论校本课程管理背景下的学校管理策略

校本课程管理是我国基础教育三级课程管理体系的重要组成部分，是在中小学多年来实施活动课、选修课和兴趣小组活动的基础上继承和发展而来的课程开发与管理策略，是学校根据自己的办学理念和实际情况自主开发一部分课程，以满足学生的实际发展需要。而校本管理的核心是强调学校根据自身的需要确定自己的发展目标、方向和策略，从而提高学校管理的有效性、针对性和实效性。两者有着共同的发展方向和目标，在新时期，学校管理如何更好地适应校本课程管理趋势，是我们在实践中要着力解决的问题。本文重点分析了校本课程管理策略的内涵，并就如何构建以校为本的管理策略提出了一些建议。

Secondary hyperparathyroidism associated with multiple brown tumor:a case report

Brown tumour represents a serious complication of hyperparathyroidism.Definitive diagnosis is based on histological examination,clinical,radiological and laboratory data.Here we report a case of multiple brown tumours localised in collarbone,rib and in the distal ulna due to secondary hyperparathyroidism in a 37-year-old women with chronic renal failure.The clinical management of brown tumour aimed primarily to reduce the elevated parathyroid hormone levels by pharmacological treatment.In our experience,clinicians usually consider brown tumor of hyperparathyroidism is caused by giant cell lesions in maintenance hemodialysis recipients,and multiple brown tumours are rarely seen in these patients.