Objective: To investigate the feasibility of transcanal endoscopic myringoplasty in the hand of young beginner surgeons who had just completed the residency programme.Methods: In a three year period(August 2012 to Aug...Objective: To investigate the feasibility of transcanal endoscopic myringoplasty in the hand of young beginner surgeons who had just completed the residency programme.Methods: In a three year period(August 2012 to August 2015), 44 ears in 42 patients were operated upon by a beginner surgeon through the transcanal endoscopic approach in a subdistrict level hospital located in the north western ranges of the Himalayan region.Results: Of the 42 patient, 19 were male and 23 female. The mean age was 26.23 years(range: 15 e47 years). In 40 ears, complete perforation closure was achieved at six months(success rate: 90.9%). The mean air conduction PTA preoperatively was 40.84 dB HL and improved to 28.06 dB HL postoperatively(p <.001). The mean AB gap preoperatively was 22.40 dB, which improved to 9.1 dB postoperatively(p <.001).Conclusion: Endoscopic transcanal myringoplasty is safe and reliable even in young beginners' hands.Surgeons can consider endoscopic approach early in their careers without the fear of learning curve. The cost of endoscopic equipment is about one tenth as compared to open approach under a operating microscope, and an added advantage.展开更多
Basic foreign language teaching for language majors plays a significant role in the process of foreign language teaching and is also a crucial stage in the training of foreign language talents. During the stage teache...Basic foreign language teaching for language majors plays a significant role in the process of foreign language teaching and is also a crucial stage in the training of foreign language talents. During the stage teachers should learn about students＇ learning motives and the beginners＇ psychological state to rouse students＇ interest and mobilize their initiatives so that students can change from passive learning to active learning. The teaching effects will thereby be substantially enhanced.展开更多
文摘Objective: To investigate the feasibility of transcanal endoscopic myringoplasty in the hand of young beginner surgeons who had just completed the residency programme.Methods: In a three year period(August 2012 to August 2015), 44 ears in 42 patients were operated upon by a beginner surgeon through the transcanal endoscopic approach in a subdistrict level hospital located in the north western ranges of the Himalayan region.Results: Of the 42 patient, 19 were male and 23 female. The mean age was 26.23 years(range: 15 e47 years). In 40 ears, complete perforation closure was achieved at six months(success rate: 90.9%). The mean air conduction PTA preoperatively was 40.84 dB HL and improved to 28.06 dB HL postoperatively(p <.001). The mean AB gap preoperatively was 22.40 dB, which improved to 9.1 dB postoperatively(p <.001).Conclusion: Endoscopic transcanal myringoplasty is safe and reliable even in young beginners' hands.Surgeons can consider endoscopic approach early in their careers without the fear of learning curve. The cost of endoscopic equipment is about one tenth as compared to open approach under a operating microscope, and an added advantage.
文摘Basic foreign language teaching for language majors plays a significant role in the process of foreign language teaching and is also a crucial stage in the training of foreign language talents. During the stage teachers should learn about students＇ learning motives and the beginners＇ psychological state to rouse students＇ interest and mobilize their initiatives so that students can change from passive learning to active learning. The teaching effects will thereby be substantially enhanced.
