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TIPS联合置管溶栓(或联合局部处理)治疗门静脉血栓临床疗效 被引量:1
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作者 崔婷 王涛 +7 位作者 张裕 张丹 岳振东 王磊 范振华 吴一凡 董成宾 刘福全 《介入放射学杂志》 CSCD 北大核心 2024年第1期22-27,共6页
目的探讨经颈静脉肝内门体静脉分流术(TIPS)联合置管溶栓的临床疗效。方法回顾性分析我院2016年1月至2019年12月收治的307例门静脉高压症合并门静脉血栓(PVT)患者成功行TIPS联合留置导管溶栓的临床疗效。通过术中测量分流前后下腔静脉压... 目的探讨经颈静脉肝内门体静脉分流术(TIPS)联合置管溶栓的临床疗效。方法回顾性分析我院2016年1月至2019年12月收治的307例门静脉高压症合并门静脉血栓(PVT)患者成功行TIPS联合留置导管溶栓的临床疗效。通过术中测量分流前后下腔静脉压力(inferior vena cava pressure,ICVP)、分流前后门静脉压力(portal vein pressure,PVP),分别计算分流前、分流后(溶栓前)及溶栓后门静脉压力梯度(portal pressure gradient,PPG)(PPG=PVP-IVCP),通过再次DSA下行门静脉造影观察PVT消失程度及分流道是否通畅。所有患者均按时随访1年。结果分流前、分流后(溶栓前)及溶栓后平均PPG分别为(24.50±6.91)mmHg、(18.51±5.11)mmHg及(10.17±3.97)mmHg,溶栓后PPG明显低于溶栓前PPG,具有显著的统计学意义(P<0.001);307例患者中,PVT完全消失者占72.3%(221/307)、显著减少者占27.7%(86/307)、无无效病例;分流道血流完全通畅者占85.7%(261/307),部分通畅者占14.3%(46/307);发生合并症42例,无死亡病例。全部患者均随访1年。临床症状改善情况:所有患者主要临床症状均有所改善或完全消失。其中17例患者(5.5%)血栓较术后增加,经TIPS分流道对血栓进行局部处理联合置管溶栓,全部患者分流道恢复至第一次术后水平。肝性脑病发生情况:术后1年内发生显性肝性脑病(OHE)17.6%(54/307)。生存情况:术后9个月及11个月因肝功能衰竭及脑出血分别死亡1例,其他患者全部生存。结论门静脉高压症合并PVT患者行TIPS联合置管溶栓效果良好,安全。应加强全流程系统化管理。 展开更多
关键词 门静脉血栓 tipS 留置导管 溶栓
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苹果TIPs亚家族成员鉴定与干旱胁迫响应分析
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作者 刘河 卢世雄 +2 位作者 梁国平 毛娟 陈佰鸿 《西北植物学报》 CAS CSCD 北大核心 2024年第7期1083-1093,共11页
【目的】鉴定并分析苹果液泡膜内在蛋白(TIP)亚家族成员,探究该亚家族成员在苹果干旱胁迫下的表达模式,为研究苹果抗旱性基因资源挖掘和利用提供参考。【方法】通过生物信息学方法对苹果MdTIPs全基因组进行鉴定,分析其家族成员的理化性... 【目的】鉴定并分析苹果液泡膜内在蛋白(TIP)亚家族成员,探究该亚家族成员在苹果干旱胁迫下的表达模式,为研究苹果抗旱性基因资源挖掘和利用提供参考。【方法】通过生物信息学方法对苹果MdTIPs全基因组进行鉴定,分析其家族成员的理化性质、基因结构、保守基序、顺式作用元件、系统进化树等,并结合实时荧光定量PCR(qRT-PCR)分析其在干旱胁迫下不同器官中的表达模式。【结果】在苹果基因组中,共检索到13个MdTIP基因,大部分成员亚细胞定位预测在质膜上,分布于10条染色体上,且每条染色体定位有1~3个成员;该基因家族成员的启动子区域包含多种响应激素和逆境胁迫的应答元件;qRT-PCR显示,MdTIPs亚家族成员在根中除MdTIP1;1外其余均受上调表达,且MdTIP1;3和MdTIP1;4与对照相比,分别上调表达了5.27倍和5.69倍,表明其是参与调控干旱胁迫的关键基因。【结论】鉴定并提供了MdTIPs亚家族成员信息,10个MdTIPs亚家族成员在根、茎、叶中差异表达,12个亚家族成员在根中高表达。 展开更多
关键词 苹果 水通道蛋白 tips亚家族基因 水分运输 生物信息学
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TIPS在慢加急性肝衰竭静脉曲张再出血高风险人群中的应用和评价
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作者 陈治莉 谢青 莫瑞东 《肝脏》 2024年第5期596-599,共4页
静脉曲张出血是肝硬化门静脉高压的一个严重并发症。在慢加急性肝衰竭(ACLF)的情况下,静脉曲张再出血发生率和短期病死率均很高。治疗和(或)消除诱因(主要为细菌感染和酒精性肝炎)及降低门静脉压力可改善急性失代偿及ACLF患者的预后。... 静脉曲张出血是肝硬化门静脉高压的一个严重并发症。在慢加急性肝衰竭(ACLF)的情况下,静脉曲张再出血发生率和短期病死率均很高。治疗和(或)消除诱因(主要为细菌感染和酒精性肝炎)及降低门静脉压力可改善急性失代偿及ACLF患者的预后。早期开展经颈静脉肝内门体分流(TIPS)可有效控制出血,防止再出血和降低短期病死率。因此,TIPS可作为ACLF伴静脉曲张出血患者的一种治疗选择。 展开更多
关键词 tipS 慢加急性肝衰竭 静脉曲张出血 急性失代偿
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基于多CNN的分块镜piston和tip-tilt误差同步检测方法研究
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作者 李响 赵伟瑞 《仪器仪表学报》 EI CAS CSCD 北大核心 2024年第3期188-197,共10页
绝大多数大型望远镜采用分块镜的设计方案,为了获得优质的成像效果,需要控制分块望远镜系统的piston和tip-tilt误差。神经网络误差检测方法相较于传统的检测方法具有一定优势,但存在仅检测单一类型误差的局限性。本文提出一种基于卷积... 绝大多数大型望远镜采用分块镜的设计方案,为了获得优质的成像效果,需要控制分块望远镜系统的piston和tip-tilt误差。神经网络误差检测方法相较于传统的检测方法具有一定优势,但存在仅检测单一类型误差的局限性。本文提出一种基于卷积神经网络的piston和tip-tilt误差同步检测方法,通过在出瞳面设置具有离散孔的光阑,引发分段镜反射的子波发生干涉-衍射现象,构建包含丰富piston和tip-tilt误差信息的数据集。通过粗测网络和精测网络级联,满足大范围和高精度同步检测的需求。结果表明,该方法实现了对输入光源相干长度内纳米级的piston误差检测,并对10μrad范围内的tip-tilt误差实现了亚微弧度检测;对40 dB的CCD噪声表现出良好的抗干扰性,对面形误差的允差为0.05λ0RMS(λ0=600 nm),同时对六子镜系统具有可扩展性。本文方法光路简单,操作便利,具有实际意义。 展开更多
关键词 piston误差 tip-tilt误差 分块镜 卷积神经网络
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Prediction of collapse process and tipping points for mutualistic and competitive networks with k-core method
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作者 段东立 毕菲菲 +3 位作者 李思凡 吴成星 吕长春 蔡志强 《Chinese Physics B》 SCIE EI CAS CSCD 2024年第5期173-180,共8页
Ecosystems generally have the self-adapting ability to resist various external pressures or disturbances,which is always called resilience.However,once the external disturbances exceed the tipping points of the system... Ecosystems generally have the self-adapting ability to resist various external pressures or disturbances,which is always called resilience.However,once the external disturbances exceed the tipping points of the system resilience,the consequences would be catastrophic,and eventually lead the ecosystem to complete collapse.We capture the collapse process of ecosystems represented by plant-pollinator networks with the k-core nested structural method,and find that a sufficiently weak interaction strength or a sufficiently large competition weight can cause the structure of the ecosystem to collapse from its smallest k-core towards its largest k-core.Then we give the tipping points of structure and dynamic collapse of the entire system from the one-dimensional dynamic function of the ecosystem.Our work provides an intuitive and precise description of the dynamic process of ecosystem collapse under multiple interactions,and provides theoretical insights into further avoiding the occurrence of ecosystem collapse. 展开更多
关键词 complex networks tipping points dimension reduction k-core
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Culturally competent care across borders: Implementing culturally responsive teaching for nurses in diverse workforces
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作者 Abdulqadir J.Nashwan 《International Journal of Nursing Sciences》 CSCD 2024年第1期155-157,共3页
The migration of healthcare professionals,including nurses,is a global phenomenon.It is driven by various factors,including the pursuit of better opportunities,living conditions,and professional development,as well as... The migration of healthcare professionals,including nurses,is a global phenomenon.It is driven by various factors,including the pursuit of better opportunities,living conditions,and professional development,as well as political instability or conflict in their home countries.The World Health Organization(WHO)has noted that high-income countries often rely on foreign-trained nurses to fill gaps in their healthcare systems[1].For instance,as of 2021,over 40%(52 million)of all nurses in the United States(US)were expatriates[2].In the United Kingdom(UK),the percentage of expatriate nurses was even higher,reaching approximately 18%in 2021[3].Owing to globalization and migration,healthcare providers must possess cultural competence to deliver improved care[4,5].Culturally responsive teaching(CRT)is rooted in the idea that culture plays a vital role in shaping people’s behaviors,beliefs,values,and communication styles[6].Furthermore,these cultural factors influence patients’perspectives on health,illness,healing,and their preferences for care and communication[7].By recognizing and embracing these cultural differences,nurses can provide more effective and compassionate care to their diverse patient population[8]. 展开更多
关键词 teaching NURSE FORCES
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Analysis of the History and Current Situation of the Development of General Practice Teaching Clinics in China
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作者 Xiaotong Huo Yajun Lian 《Open Journal of Preventive Medicine》 2024年第2期29-38,共10页
A summary of the exploration of the teaching mode of the general practice teaching clinic, a summary of the deficiencies of the teaching clinic and a summary of the significance of the establishment of the general pra... A summary of the exploration of the teaching mode of the general practice teaching clinic, a summary of the deficiencies of the teaching clinic and a summary of the significance of the establishment of the general practice teaching clinic are presented with a view to promoting the development of general practice and cultivating more excellent successors in general practice. 展开更多
关键词 General Practice teaching Clinic teaching Models teaching Deficiencies in the Clinic Significance of the teaching Clinic
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具有非平稳参数的二维肿瘤模型的B-tipping分析
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作者 袁娅茹 邱志鹏 《赣南师范大学学报》 2024年第3期1-7,共7页
本文建立了一个参数是非平稳变化过程的CD8+T细胞与肿瘤细胞相互作用的数学模型.首先对固定参数条件下的系统进行动力学分析,理论结果表明系统存在双稳态现象和鞍结点分岔.其后引入函数s(t)描述CD8+T细胞输入率的非平稳参数变化过程,发... 本文建立了一个参数是非平稳变化过程的CD8+T细胞与肿瘤细胞相互作用的数学模型.首先对固定参数条件下的系统进行动力学分析,理论结果表明系统存在双稳态现象和鞍结点分岔.其后引入函数s(t)描述CD8+T细胞输入率的非平稳参数变化过程,发现系统在非平稳参数变化下存在B-tipping现象:系统轨迹随着时变参数s(t)的缓慢增加跟踪固定参数系统的轨迹,在分岔点处达到临界状态并经历突变趋向另一个稳定状态.在癌症治疗过程中,通过调节CD8+T细胞的输入率将患者状态移到tipping point可以有效地控制肿瘤生长. 展开更多
关键词 肿瘤模型 B-tipping point 双稳态 鞍结点
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Practical effect of different teaching modes in teaching gastrointestinal surgery nursing
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作者 Xiao-Juan Rong Zhen Ning 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第1期166-172,共7页
BACKGROUND With the continuous development and progress of medical technology,the position of surgical nursing in the field of clinical medicine is becoming in-creasingly prominent.As an important branch of the surgic... BACKGROUND With the continuous development and progress of medical technology,the position of surgical nursing in the field of clinical medicine is becoming in-creasingly prominent.As an important branch of the surgical field,the nursing requirements and difficulty of gastrointestinal surgery are also increasing.In order to improve the teaching quality of nursing care in gastrointestinal surgery,many educators and researchers are actively exploring new teaching methods.Among them,the teaching method case-based learning(CBL),scene-simulated learning(SSL),task-based learning(TBL),combining self-evaluation and training mode is considered as an effective method.This method aims to help students to better master knowledge and skills and improve their comprehensive quality by cultivating their self-evaluation ability.AIM To explore the practical effect of CBL-SSL-TBL combined with training mode and student self-assessment in nursing teaching of gastrointestinal surgery.METHODS Seventy-one nursing interns in our hospital from December 2020 to December 2021 were selected.According to different teaching modes,they were divided into observation group CBL-SSL-TBL combined with training mode combined with student self-assessment and control group(conventional teaching mode),of which 36 were in observation group and 35 were in control group.The results of operational skills,theoretical knowledge,nursing students'satisfaction,learning effectiveness questionnaire and teaching effect were compared between the two groups.RESULTS Compared between the two groups,the operational skills and theoretical knowledge scores of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).Compared between the two groups,the total satisfaction ratio of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Compared between the two groups,the observation group was lower than the control group in the questionnaire results of learning efficacy,and the difference was statistically significant(P<0.05).Compared between the two groups,the proportion of thinking ability,subjective initiative and understanding of theoretical knowledge in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).CONCLUSION The use of CBL-SSL-TBL combined with training mode and student self-assessment in gastrointestinal surgery nursing teaching can improve the operational skills of nursing interns,theoretical knowledge and satisfaction scores of nursing students,improve the results of learning efficiency questionnaire and teaching effect,which can be popularized in clinical teaching. 展开更多
关键词 Gastrointestinal surgery Nursing teaching teaching model Practical effect Learning ability
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Metabolic profiles and morphological characteristics of leaf tips among different sweet potato(Ipomoea batatas Lam.)varieties
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作者 Wenqing Tan Xinbo Guo +7 位作者 Zhangying Wang Rong Zhang Chaochen Tang Bingzhi Jiang Ruixue Jia Yuanyuan Deng Shaohai Yang Jingyi Chen 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2024年第2期494-510,共17页
Sweet potato leaf tips have high nutritional value,and exploring the differences in the metabolic profiles of leaf tips among different sweet potato varieties can provide information to improve their qualities.In this... Sweet potato leaf tips have high nutritional value,and exploring the differences in the metabolic profiles of leaf tips among different sweet potato varieties can provide information to improve their qualities.In this study,a UPLC-Q-Exactive Orbitrap/MS-based untargeted metabolomics method was used to evaluate the metabolites in leaf tips of 32 sweet potato varieties.Three varieties with distinct overall metabolic profiles(A01,A02,and A03),two varieties with distinct profiles of phenolic acids(A20 and A18),and three varieties with distinct profiles of flavonoids(A05,A12,and A16)were identified.In addition,a total of 163 and 29 differentially expressed metabolites correlated with the color and leaf shape of sweet potato leaf tips,respectively,were identified through morphological characterization.Group comparison analysis of the phenotypic traits and a metabolite-phenotypic trait correlation analysis indicated that the color differences of sweet potato leaf tips were markedly associated with flavonoids.Also,the level of polyphenols was correlated with the leaf shape of sweet potato leaf tips,with lobed leaf types having higher levels of polyphenols than the entire leaf types.The findings on the metabolic profiles and differentially expressed metabolites associated with the morphology of sweet potato leaf tips can provide useful information for breeding sweet potato varieties with higher nutritional value. 展开更多
关键词 sweet potato leaf tips phenotypic traits metabolic profile differentially expressed metabolites POLYPHENOLS
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Tip60-FOXO调节果蝇JNK信号通路介导的细胞凋亡
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作者 杨剑 石国娟 +5 位作者 彭昂惠 徐清波 王睿琪 薛雷 喻昕阳 孙艺昊 《遗传》 CAS CSCD 北大核心 2024年第6期490-501,共12页
JNK信号通路参与并调控了一系列重要的生理活动,包括细胞增殖、分化、迁移、凋亡及应激反应等,其失调与发育缺陷和肿瘤等多种重大疾病的发生与发展密切相关。筛选鉴定JNK信号通路的新成员,丰富完善该通路网络,对预防和治疗相关癌症具有... JNK信号通路参与并调控了一系列重要的生理活动,包括细胞增殖、分化、迁移、凋亡及应激反应等,其失调与发育缺陷和肿瘤等多种重大疾病的发生与发展密切相关。筛选鉴定JNK信号通路的新成员,丰富完善该通路网络,对预防和治疗相关癌症具有重要的科学意义和临床价值。本研究利用模式动物果蝇(Drosophila),结合遗传学、发育生物学、生物化学和分子生物学等手段,探究了Tip60与JNK信号通路的互作关系,并揭示了其调控机制。结果表明,Tip60的乙酰基转移酶功能缺失导致JNK信号通路激活,并能诱发JNK依赖的细胞凋亡;遗传上位性分析实验表明,Tip60作用于JNK蛋白的下游,与转录因子FOXO平行;生化结果证明Tip60可以结合FOXO,并将其乙酰化。在果蝇中引入人Tip60,发现其能够很好地挽救果蝇JNK信号激活造成的细胞凋亡表型,证明Tip60对JNK信号的调控从果蝇到人高度保守。本研究进一步完善了JNK信号网络,揭示了Tip60在JNK依赖的细胞凋亡中的作用及机制,为相关癌症的预防和治疗提供了新的思路和潜在的药物靶点。 展开更多
关键词 黑腹果蝇 JNK信号通路 细胞凋亡 tip60
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Research on Blended Teaching Mode:A Case Study of Floristry
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作者 Xiaoru CHEN 《Plant Diseases and Pests》 2024年第1期33-35,共3页
In order to better carry out research on education and teaching,the author consulted relevant literature on blended teaching mode from 2011-2021 through CNKI,Web of Science and other websites,summarized and analyzed t... In order to better carry out research on education and teaching,the author consulted relevant literature on blended teaching mode from 2011-2021 through CNKI,Web of Science and other websites,summarized and analyzed the research status of blended teaching mode,in order to lay a good foundation for studying blended teaching mode in course teaching. 展开更多
关键词 Blended teaching teaching mode Research review
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肝硬化患者TIPS术后肠道菌群特征性改变及其与临床指标的相关性研究
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作者 李胜鹏 肖续 +5 位作者 周安 谢卓 赵泳冰 徐征国 杨仕明 唐波 《陆军军医大学学报》 CAS CSCD 北大核心 2024年第12期1425-1433,共9页
目的比较既往行颈静脉肝内门体分流术(transjugular intrahepat portosystemic stent-shunt,TIPS)手术的肝硬化患者与未经TIPS手术的肝硬化患者的肠道菌群,探索在肝硬化患者中,TIPS手术与肠道菌群的关系,为基于肠道菌群干预改善肝硬化T... 目的比较既往行颈静脉肝内门体分流术(transjugular intrahepat portosystemic stent-shunt,TIPS)手术的肝硬化患者与未经TIPS手术的肝硬化患者的肠道菌群,探索在肝硬化患者中,TIPS手术与肠道菌群的关系,为基于肠道菌群干预改善肝硬化TIPS手术预后提供新思路。方法行TIPS手术的肝硬化患者为手术组,未经TIPS手术的肝硬化患者为对照组,收集患者大便标本行16S rRNA测序分析,并分析肠道菌群与临床指标相关性。结果两组患者在性别、年龄、体重指数(BMI)、病因等基线资料上均无显著差异(P>0.05),但临床血清学指标(如HGB,RBC,ALP,ALB,TBIL,PT,INR,APTT,UREA等)有显著差异(P<0.05)。手术组与对照组相比,α多样性无统计学差异(P>0.05),β多样性差异明显(P<0.01),手术组Bacteroides(拟杆菌属)明显增多(P<0.01),而对照组Bifidobacterium(双歧杆菌属)明显增多(P<0.05)。肠道菌群功能预测分析显示,手术组较对照组D-谷氨酰胺和D-谷氨酸代谢显著上升(P<0.05),次级胆汁酸生物合成(P<0.05)也显著上升。临床指标与菌群相关性分析中发现,总胆红素(TBIL)及直接胆红素(DBIL)与Bacteroides(拟杆菌属)、次级胆汁酸代谢通路显著相关。结论肝硬化TIPS术后患者肝硬化对照者相比,肠道菌群存在特征性改变,Bacteroides(拟杆菌属)可能参与胆汁酸代谢调控进而影响TIPS术后血胆红素水平升高。 展开更多
关键词 tipS手术 肠道菌群 16S rRNA 拟杆菌属 双歧杆菌属
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A Structured Method of Teaching Epidural Block reduces the incidence of accidental dural puncture in inexperienced trainees.
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作者 Marco Scorzoni Gianluigi Gonnella +4 位作者 Emanuele Capogna Marina Campione Gaetano Draisci Matteo Velardo Giorgio Capogna 《Open Journal of Anesthesiology》 2024年第4期131-135,共5页
Background: The rate of accidental dural puncture is particularly high during the period of training, especially in novices. The structured epidural teaching model (SETM) includes three standardized video lessons, the... Background: The rate of accidental dural puncture is particularly high during the period of training, especially in novices. The structured epidural teaching model (SETM) includes three standardized video lessons, the construction of a 3D epidural module by trainees and practical training by using an epidural simulator with and without the CompuFlo™ Epidural instrument. In this study we report the retrospective analysis of the accidental dural puncture rate of inexperienced trainees during their 6 months clinical practice rotation in obstetrics before and after the introduction of the SETM in our Institution. Method: We evaluated the incidence of accidental dural puncture before the introduction of the SETM methodology and afterwards by analyzing our departmental database from February 2019 to January 2023. All epidural blocks were executed by trainees who had never previously performed an epidural block and were about to begin their obstetrics rotation. Results: We analyzed 7415 epidurals: 3703 were performed before the introduction of the SETM methodology (control group) and 3712 afterwards (study group). The incidence of accidental dural puncture was 0.37% for the control group and 0.13% for the study group (p<.05). The probability of making an accidental dural puncture was 64% (OR: 0.36) lower for trainees who had the training than for those who did not. Conclusions: After the introduction of the structured teaching method, we observed a significant reduction of accidental dural puncture during the training period. We hope that our observation will encourage a constructive discussion among experts about the need to use standardized and validated tools as a valuable aid in teaching epidural anesthesia. 展开更多
关键词 teaching epidural Anesthesia obstetrical Anesthesia ANESTHESIA
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Student-Centered Strategy in Academic English Teaching
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作者 TAO Yu 《Sino-US English Teaching》 2024年第2期79-82,共4页
Based on the current situation of academic English teaching, this paper discusses “student-centered” teaching strategy in the Academic English Reading and Writing, and explore how to integrate it in classroom activi... Based on the current situation of academic English teaching, this paper discusses “student-centered” teaching strategy in the Academic English Reading and Writing, and explore how to integrate it in classroom activities. 展开更多
关键词 teaching teaching INTEGRATE
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Application of Perceived Teaching with Moderate Elimination of“Graphics”in Architectural Design Courses
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作者 LIU Hongyun WANG Xingyi +2 位作者 LI Tianjiao CHEN Yongsheng ZHANG Wenming 《Journal of Landscape Research》 2024年第1期43-47,共5页
Starting from the traditional form of“graphic”architectural education,this paper explores a teaching method of entity construction experience,instrument assistance,and digital virtual expression symbiosis symbiosis ... Starting from the traditional form of“graphic”architectural education,this paper explores a teaching method of entity construction experience,instrument assistance,and digital virtual expression symbiosis symbiosis from three aspects:environmental perception,ontology perception,and extension perception.Using physical perception as a medium,and gradually rising from active perception to a comprehensive expression of visual audience perception through practical operation,it allows students to have a more comprehensive understanding of the meaning of architectural design on the basis of the“graphic”expression paradigm. 展开更多
关键词 GRAPHICS Beaux-Arts system Perceived teaching Digital technique Constructing Experience
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Opinions of Students on the Contribution of the DIVA 3D Virtual Dissection Table to the Teaching of Anatomy at the Faculty of Medicine and Odontostomatology of Bamako
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作者 Abdoulaye Kanté Tata Touré +8 位作者 Ousmane Toumany Chérif Haidara Uhl Jean François Mariam Daou Mamadou A. Keita Bakary Keïta Bréhima Bengaly Drissa Traoré Adégné Togo Nouhoum Ongoïba 《Forensic Medicine and Anatomy Research》 2024年第2期13-25,共13页
Objective: Study the contribution of the DIVA 3D dissection table in the teaching of anatomy at the Faculty of Medicine and Odontology of Bamako. Material and Methods: This was a qualitative study carried out from Nov... Objective: Study the contribution of the DIVA 3D dissection table in the teaching of anatomy at the Faculty of Medicine and Odontology of Bamako. Material and Methods: This was a qualitative study carried out from November 1 to December 30, 2023 at the clinical and morphological anatomy laboratory of the Faculty of Medicine and Odontostomatology of Bamako. Included in this study were students who participated in practical and tutorial sessions. The variables studied during this study were: the previous performance of dissection on a cadaver by the students, the opinion of the students on dissection on a cadaver, the replacement of dissection on a cadaver by virtual dissection in the absence of a body, the level student satisfaction. Results: We surveyed 130 participants. The average age was 22 ± 0.2 years with extremes of 17 and 29 years. 95.3% of participants were students. According to 66.7% of participants, virtual dissection is a good palliative in the absence of a corpse. 95.3% of participants found using the virtual dissection table easy with an average of 7.88 ± 1.4. The overall assessment was well rated by 99.3% of participants. Conclusion: According to the results of this study, the virtual dissection table should be improved by integrating commented videos. The use of the DIVA 3D virtual dissection table during practical and tutorial sessions is well appreciated by the students. We believe that the teaching of anatomy using 3D digital technology should be included in the study programs of the Faculty of Medicine and Odontostomatology. 展开更多
关键词 Student Opinion CONTRIBUTION DIVA 3D Virtual Dissection Table Anatomy teaching FMOS
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Application of Patient Simulators Combined with Internet plus Scenario Simulation Teaching Models on Intravenous Infusion Nursing Education in China
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作者 Ying Wu Yun Chen +5 位作者 Liuyan Zhang Guohua Huang Jinai He Yutong Li Yuzhen Renqing Zhijuan Zhan 《Journal of Biosciences and Medicines》 2024年第1期64-71,共8页
Objective: To explore the effectiveness of applying patient simulators combined with Internet Plus scenario simulation teaching models on intravenous (IV) infusion nursing education, and to provide scientific evidence... Objective: To explore the effectiveness of applying patient simulators combined with Internet Plus scenario simulation teaching models on intravenous (IV) infusion nursing education, and to provide scientific evidence for the implementation of advanced teaching models in future nursing education. Methods: Enrolled 60 nurses who took the IV infusion therapy training program in our hospital from January 2022 to December 2023 for research. 30 nurses who were trained in traditional teaching models from January to December 2022 were selected as the control group, and 30 nurses who were trained with simulation-based teaching models with methods including simulated patients, internet, online meetings which can be replayed and scenario simulation, etc. from January to December 2023 were selected as the experimental group. Evaluated the learning outcomes based on the Competency Inventory for Nursing Students (CINS), Problem-Solving Inventory (PSI), comprehensive learning ability, scientific research ability, and proficiency in the theoretical knowledge and practical skills of IV infusion therapy. Nursing quality, the incidence of IV infusion therapy complications and nurse satisfaction with different teaching models were also measured. Results: The scientific research ability, PSI scores, CINS scores, and comprehensive learning ability of the experimental group were better than those of the control group (P 0.05), and their assessment results of practical skills, nursing quality of IV infusion therapy during training, and satisfaction with teaching models were all better than those of the control group with statistical significance (P < 0.05). The incidence of IV infusion therapy complications in the experimental group was lower than that in the control group, indicating statistical significance (P < 0.05). Conclusions: Teaching models based on patient simulators combined with Internet Plus scenario simulation enable nursing students to learn more directly and practice at any time and in any place, and can improve their proficiency in IV infusion theoretical knowledge and skills (e.g. PICC catheterization), core competencies, problem-solving ability, comprehensive learning ability, scientific research ability and the ability to deal with complicated cases. Also, it helps provide high-quality nursing education, improve the nursing quality of IV therapy, reduce the incidence of related complications, and ensure the safety of patients with IV therapy. 展开更多
关键词 Specialty of Intravenous Infusion Therapy Nursing Education Patient Simulators Internet Plus Scenario Simulation teaching Model
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An Empirical Study of the Socratic Method in Nongraded English Teaching in Senior High School Under the Background of the New National College Entrance Examination
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作者 Chen Yilong 《Contemporary Social Sciences》 2024年第2期139-155,共17页
With the reform of the New National College Entrance Examination(Gaokao),the nongraded education will become an inevitable trend.In senior high school,the traditional test-oriented education is popular.The knowledge i... With the reform of the New National College Entrance Examination(Gaokao),the nongraded education will become an inevitable trend.In senior high school,the traditional test-oriented education is popular.The knowledge is mainly taught by the teachers,and the students passively absorb it.This study examines a problem-oriented Socratic experiment in nongraded English teaching in senior high school.The teachers seek output from students,who respond by interpreting questions,fostering critical thinking,and enhancing problem-solving skills.This teaching experiment indicates that the Socratic method has a significant positive effect on cultivating nongraded senior high English students’critical thinking under the New National College Entrance Examination. 展开更多
关键词 new national college entrance examination nongraded education exercise teaching Socratic method
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On English Teaching From the Scope of China's Mainland
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作者 Shufang Qu Tong Wooi Chow 《Sino-US English Teaching》 2024年第1期6-13,共8页
In China,English is required in every school of China and many achievements have been made in this part of the world.The English level of Chinese has been greatly improved but the problems still exist in this country.... In China,English is required in every school of China and many achievements have been made in this part of the world.The English level of Chinese has been greatly improved but the problems still exist in this country.Communicative approach and many other successful teaching methods have been employed;however,the problems in English teaching still occur and last to the present time.Many efforts have been made to have outstanding and successful results in English teaching.We therefore hope much success will be achieved as quickly as possible. 展开更多
关键词 English teaching SUCCESS METHODS
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