BACKGROUND Benign gallbladder diseases have become a high-prevalence condition not only in China but also worldwide.The main types of benign gallbladder diseases include gallbladder polyps,acute and chronic cholecysti...BACKGROUND Benign gallbladder diseases have become a high-prevalence condition not only in China but also worldwide.The main types of benign gallbladder diseases include gallbladder polyps,acute and chronic cholecystitis,and gallstones,with gallstones being the most common,accounting for over 70%of cases.Although the mortality rate of benign gallbladder diseases is low,they carry obvious potential risks.Studies have shown that an increased incidence of benign gallbladder diseases can increase the risk of cardiovascular diseases and gallbladder cancer,resulting in a substantial disease burden on patients and their families.AIM To assess the medical utility of the Configuration-Procedure-Consequence(CPC)three-dimensional quality evaluation model in modulating the prognosis of laparoscopic cholecystectomy patients.METHODS A total of 98 patients who underwent laparoscopic cholecystectomy in our hospital from February 2020 to January 2022 were selected as the subjects.According to the random number table method,they were divided into a study group and a control group,with 49 patients in each group.The control group received routine perioperative care,while the study group had the addition of the CPC three-dimensional quality evaluation.The postoperative recovery-related indicators(time to first flatus,time to oral intake,time to ambulation,hospital stay),stress indicators(cortisol and adrenaline levels),distinctions in anxiety and RESULTS The time to first flatus,time to oral intake,time to ambulation,and hospital stay of the study group patients were obviously lower than those of the control group patients,with statistical significance(P<0.05).On the 1st day after admission,there were no obvious distinctions in cortisol and adrenaline levels in blood samples,as well as in the Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)scores between the study group and the control group(P>0.05).However,on the 3rd day after surgery,the cortisol and adrenaline levels,as well as SAS and SDS scores of the study group patients,were obviously lower than those of the control group patients(P<0.05).The study group had 2 cases of incisional infection and 1 case of pulmonary infection,with a total incidence of complications of 6.12%(3/49),which was obviously lower than the 20.41%(10/49)in the control group(P<0.05).CONCLUSION Implementing the CPC three-dimensional quality evaluation model for patients undergoing laparoscopic cholecystectomy can help accelerate their perioperative recovery process,alleviate perioperative stress symptoms,mitigate anxiety,depression,and other adverse emotions,and to some extent,reduce the incidence of perioperative complications.展开更多
Under the premise of building an innovative country and cultivating innovative talents,teaching innovative learning,cultivating students’innovative thinking and improving the teaching mode and curriculum form have al...Under the premise of building an innovative country and cultivating innovative talents,teaching innovative learning,cultivating students’innovative thinking and improving the teaching mode and curriculum form have already become one of the main directions of deepening the reform of higher education.Data Structure is essential part in the undergraduate program.It is crucial for student to carry out research and project.In the actual teaching activities,the problems of content updating,practice ability for research projects of data structures are to be improved.Therefore,the course reform is imperative.This paper analyzed the main problems of the current data structures course,explored the solution of the problems,and proposed a new mixed teaching mode and evaluation method.展开更多
素质教育是教育的核心,其中美育可以开启人的感知力和创造力,然而目前少儿美育课程的质量良莠不齐,急需科学有效的评价方法支撑课程质量的判断和选择,同时为质量提升提供依据。论文针对少儿美育课程质量的评价指标开展研究,将CIPP(conte...素质教育是教育的核心,其中美育可以开启人的感知力和创造力,然而目前少儿美育课程的质量良莠不齐,急需科学有效的评价方法支撑课程质量的判断和选择,同时为质量提升提供依据。论文针对少儿美育课程质量的评价指标开展研究,将CIPP(context-input-process-product)评价模型和失效模式与后果分析(failure mode and effects analysis,FMEA)相结合,构建出少儿美育课程质量评价指标体系,并通过失效评价筛选关键指标,为教学质量评价提供科学方法、提出改进措施,进而推进美育评价工作的高效落实。研究发现,师德师风、满意度和学生成长在美育课程质量评价中最为重要,需要着重关注这三项指标的失效风险并做好预防措施和过程控制,并从学生、教师、家长等多维度进行观察检验。展开更多
基金reviewed and approved by the Institutional Review Board of The Second People's Hospital of Lianyungang(Approval No.LW-20220707001).
文摘BACKGROUND Benign gallbladder diseases have become a high-prevalence condition not only in China but also worldwide.The main types of benign gallbladder diseases include gallbladder polyps,acute and chronic cholecystitis,and gallstones,with gallstones being the most common,accounting for over 70%of cases.Although the mortality rate of benign gallbladder diseases is low,they carry obvious potential risks.Studies have shown that an increased incidence of benign gallbladder diseases can increase the risk of cardiovascular diseases and gallbladder cancer,resulting in a substantial disease burden on patients and their families.AIM To assess the medical utility of the Configuration-Procedure-Consequence(CPC)three-dimensional quality evaluation model in modulating the prognosis of laparoscopic cholecystectomy patients.METHODS A total of 98 patients who underwent laparoscopic cholecystectomy in our hospital from February 2020 to January 2022 were selected as the subjects.According to the random number table method,they were divided into a study group and a control group,with 49 patients in each group.The control group received routine perioperative care,while the study group had the addition of the CPC three-dimensional quality evaluation.The postoperative recovery-related indicators(time to first flatus,time to oral intake,time to ambulation,hospital stay),stress indicators(cortisol and adrenaline levels),distinctions in anxiety and RESULTS The time to first flatus,time to oral intake,time to ambulation,and hospital stay of the study group patients were obviously lower than those of the control group patients,with statistical significance(P<0.05).On the 1st day after admission,there were no obvious distinctions in cortisol and adrenaline levels in blood samples,as well as in the Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)scores between the study group and the control group(P>0.05).However,on the 3rd day after surgery,the cortisol and adrenaline levels,as well as SAS and SDS scores of the study group patients,were obviously lower than those of the control group patients(P<0.05).The study group had 2 cases of incisional infection and 1 case of pulmonary infection,with a total incidence of complications of 6.12%(3/49),which was obviously lower than the 20.41%(10/49)in the control group(P<0.05).CONCLUSION Implementing the CPC three-dimensional quality evaluation model for patients undergoing laparoscopic cholecystectomy can help accelerate their perioperative recovery process,alleviate perioperative stress symptoms,mitigate anxiety,depression,and other adverse emotions,and to some extent,reduce the incidence of perioperative complications.
文摘Under the premise of building an innovative country and cultivating innovative talents,teaching innovative learning,cultivating students’innovative thinking and improving the teaching mode and curriculum form have already become one of the main directions of deepening the reform of higher education.Data Structure is essential part in the undergraduate program.It is crucial for student to carry out research and project.In the actual teaching activities,the problems of content updating,practice ability for research projects of data structures are to be improved.Therefore,the course reform is imperative.This paper analyzed the main problems of the current data structures course,explored the solution of the problems,and proposed a new mixed teaching mode and evaluation method.
文摘素质教育是教育的核心,其中美育可以开启人的感知力和创造力,然而目前少儿美育课程的质量良莠不齐,急需科学有效的评价方法支撑课程质量的判断和选择,同时为质量提升提供依据。论文针对少儿美育课程质量的评价指标开展研究,将CIPP(context-input-process-product)评价模型和失效模式与后果分析(failure mode and effects analysis,FMEA)相结合,构建出少儿美育课程质量评价指标体系,并通过失效评价筛选关键指标,为教学质量评价提供科学方法、提出改进措施,进而推进美育评价工作的高效落实。研究发现,师德师风、满意度和学生成长在美育课程质量评价中最为重要,需要着重关注这三项指标的失效风险并做好预防措施和过程控制,并从学生、教师、家长等多维度进行观察检验。
