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混合性评估在上海市郊区社区全科医生能力评估中的应用 被引量:1
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作者 顾晓青 陈海英 +5 位作者 袁梅娟 鲁青 张磊 顾杰 祝墡珠 谢兴潜 《中华全科医师杂志》 2020年第4期356-360,共5页
2018年12月对上海市某郊区20家社区卫生服务中心的29名全科医生进行临床和教学能力评估,方法采用为期1 d共3个板块共8个站点的混合性评估。参评医生年龄(37.8±4.7)岁,女性占75.9%(22/29)。3个板块中,临床思维能力板块的平均分和合... 2018年12月对上海市某郊区20家社区卫生服务中心的29名全科医生进行临床和教学能力评估,方法采用为期1 d共3个板块共8个站点的混合性评估。参评医生年龄(37.8±4.7)岁,女性占75.9%(22/29)。3个板块中,临床思维能力板块的平均分和合格率最低,为(66.8±9.7)分和75.9%。8个站点中,成人SOAP病历书写的平均分和合格率最低,为(53.8±13.4)分和34.5%。社区工作年限<15年的全科医生儿科门诊接诊得分高于≥15年者[(68.6±10.2)分比(58.5±9.4)分,t=2.787,P<0.05]。不同带教年限、不同职称的全科医生各项得分差异均无统计学意义。基层实践基地的全科医生在临床思维能力板块的平均分(t=2.115)及其中的成人门诊接诊(t=3.410)、临床操作能力板块中的眼底镜及读片(t=3.816)和检耳镜及读片(t=2.286)、临床教学能力板块的平均分(t=2.618)和其中的教学情景演练(t=2.452)及小讲课(t=2.802)均高于非基层实践基地者,差异均有统计学意义(P<0.05)。结果提示混合性评估可作为全科医生能力评估的方法之一。社区教学基地建设虽可以有效提升郊区全科医生的临床和教学能力,但临床思维能力仍普遍较弱。 展开更多
关键词 全科医生 临床和教学能力 混合性评估
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中学混合式学习的教学实施模式 被引量:16
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作者 谢非 余胜泉 《现代教育技术》 CSSCI 2007年第11期79-83,共5页
混合式学习在以课堂教学为主的中学教学中的开展,学校可充分利用多种教学资源的优势,不仅可以发挥传统课堂教学的主导作用,更可充分利用现有条件培养学生多种能力,促进信息技术与课程整合,提高信息化投入的效率,利用信息技术促进新课程... 混合式学习在以课堂教学为主的中学教学中的开展,学校可充分利用多种教学资源的优势,不仅可以发挥传统课堂教学的主导作用,更可充分利用现有条件培养学生多种能力,促进信息技术与课程整合,提高信息化投入的效率,利用信息技术促进新课程改革。本文阐述了在中学开展混合式学习的环境设计和搭建、教学方法和评价方式,并对该教学实施模式的意义进行一定的探讨。 展开更多
关键词 中学教学 混合式学习 信息技术与课程整合 在线学习 混合性评估
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Assessing Conservation Values of Forest Communities in Nanda Devi Biosphere Reserve: Plant Diversity, Species Distribution and Endemicity 被引量:1
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作者 Balwant RAWAT Sanjay GAIROLA Ranbeer S.RAWAL 《Journal of Mountain Science》 SCIE CSCD 2015年第4期878-890,共13页
Present study has been conducted in a biodiversity rich Nanda Devi Biosphere Reserve between 2000-3800 m in two different forest physiognomy holding sites to analyze the structure and composition of the forest communi... Present study has been conducted in a biodiversity rich Nanda Devi Biosphere Reserve between 2000-3800 m in two different forest physiognomy holding sites to analyze the structure and composition of the forest communities including richness of native, non native and endemic species,and suggest conservation values at community and reserve level.A total of 60 sites were sampled and grouped in 11 and 8 communities for two representative sites Pindari-Sunderdhunga-Kafni(PSK) and Lata-Tolma-Phagti(LTP) respectively.From the sampled sites, 451 species(11.8%, 53 trees;17.71%, 80 shrubs; and 70.51%, 318 herbs) have been recorded.In general, PSK site represented 73.6% and LTP site represented only 54.9% of the total plant species recorded in the study area.Out of total species in PSK site, native species contributed 59.6%(198spp.) and 24.7% species were endemic and near endemic.In LTP site, 66.5% species were Himalayan natives and 33.5% were endemic and near endemic.The species richness ranged from 4-23 ind ha-1(tree),3-18 ind ha-1(sapling), 5-19 ind ha-1(seedling) in PSK site and 4-18 ind ha-1(tree), 4-11 ind ha-1(sapling), 4-16 ind ha-1(seedling) in LTP site.The density ranged from 260-535 ind ha-1(tree), 145-633 ind ha-1(sapling), 1450-8170 ind ha-1(seedling) in PSK site and 599-1211 ind ha-1(tree), 70-951 ind ha-1(sapling),470-1665 ind ha-1(seedling) in LTP site.Species diversity for trees ranged from 0.73-3.37, saplings,0.64-2.67, seedlings, 0.70-2.51, shrubs, 1-2.34 and herbs, 2.02-3.21 in PSK site and 0.63-1.61, saplings,0.76-1.36, seedlings, 0.35-1.79, shrubs, 0.98-2.73 and herbs, 2.48-3.61 in LTP site.These recorded values were almost comparable with the studies conducted in sub-tropical, temperate and sub-alpine regions of the west Himalaya.In some cases the values were slightly higher than the reported values.The important communities with high conservation values have been identified based on different ecological parameters and species distribution.Among all the prioritized communities, Mixed Silver firRhododendron-Maple community in PSK site and Taxus wallichana- A.pindrow mixed community in LTP site supports maximum richness and density of native and endemic species.This study calls for development of adequate strategy and action plan for the conservation and management of habitats, species,and communities under changing climate and socioeconomic scenarios, so that sustainable utilization of the species could be ensured. 展开更多
关键词 Biosphere reserve Structure Composition Native ENDANGERED Conservation
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A LCA Based Biofuel Supply Chain Analysis Framework
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作者 刘喆轩 邱彤 陈丙珍 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2014年第6期669-681,共13页
This paper presents a life cycle assessment(LCA) based biofuel supply chain(SC) analysis framework which enables the study of economic, energy and environmental(3E) performances by using multi-objective optimization. ... This paper presents a life cycle assessment(LCA) based biofuel supply chain(SC) analysis framework which enables the study of economic, energy and environmental(3E) performances by using multi-objective optimization. The economic objective is measured by the total annual profit, the energy objective is measured by the average fossil energy(FE) inputs per MJ biofuel and the environmental objective is measured by greenhouse gas(GHG) emissions per MJ biofuel. A multi-objective linear fractional programming(MOLFP) model with multi-conversion pathways is formulated based on the framework and is solved by using the ε-constraint method. The MOLFP problem is turned into a mixed integer linear programming(MILP) problem by setting up the total annual profit as the optimization objective and the average FE inputs per MJ biofuel and GHG emissions per MJ biofuel as constraints. In the case study, this model is used to design an experimental biofuel supply chain in China. A set of the weekly Pareto optimal solutions is obtained. Each non-inferior solution indicates the optimal locations and the amount of biomass produced, locations and capacities of conversion factories, locations and amount of biofuel being supplied in final markets and the flow of mass through the supply chain network(SCN). As the model reveals trade-offs among 3E criteria, we think the framework can be a good support tool of decision for the design of biofuel SC. 展开更多
关键词 BIOFUEL life cycle assessment supply chain OPTIMIZATION
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