Objective Uterine leiomyoma is not a rare pathological condition in pregnant women;thus the aim of the study was to evaluate the recent progress in the treatment of these pregnant women on the basis of the association...Objective Uterine leiomyoma is not a rare pathological condition in pregnant women;thus the aim of the study was to evaluate the recent progress in the treatment of these pregnant women on the basis of the association of leiomyoma in pregnancy (LP) with pregnancy complications and birth outcomes including structural birth defects, i.e. congenital abnormalities (CA) in the offspring. Design Cases with CA and matched controls without CA in the population-based Hungarian Case-Control Surveillan- ce System of Congenital Abnormalities (HCC SCA) were evaluated. Only women with prospectively and medically recorded LP in prenatal maternity logbook and medically recorded birth outcomes (gestational age, birth weight, CA) were included to the study. Setting the HCCSCA, 1980-1996 contained 22,843 cases with CA and 38,151 matched controls without CA. Population Hungarian pregnant women and their informative offspring: live births, stillbirths and prenatally diagnosed malformed fetuses. Methods Comparison of birth outcomes of ca- ses with matched controls and pregnancy com- plications of pregnant women with or without LP. Main outcome measures Pregnancy complications, mean gestational age at delivery and birth weight, rate of preterm birth, low birthweight, CA. Results A total of 34 (0.15%) cases had mothers with LP compared to 71 (0.19%) controls. There was a higher incidence of threatened abortion, placental disorders, mainly abruption placentae and anaemia in mothers with LP. There was no significantly higher rate of preterm birth in the newborns of women with LP but their mean birth weight was higher and it associated with a higher rate of large birthweight newborns. A higher risk of total CA was not found in cases born to mothers with LP (adjusted OR with 95% CI = 0.7, 0.5-1.1), the spe- cified groups of CAs were also assessed versus controls, but a higher occurrence of women with LP was not revealed in any CA group. Con- clusions Women with LP have a higher risk of threatened abortion, placental disorders and anaemia, but a higher rate of adverse birth outcomes including CAs was not found in their offspring.展开更多
目的创新慢性阻塞性肺疾病(Chronic Obstructive Pulmonary Diseases,COPD)临床教学,在传统教学法(Lecture-based Learning,LBL)基础上使用基于图尔敏模型的案例教学法(Case Study Based Learning,CBL),分析CBL+LBL联合教学法的教学效...目的创新慢性阻塞性肺疾病(Chronic Obstructive Pulmonary Diseases,COPD)临床教学,在传统教学法(Lecture-based Learning,LBL)基础上使用基于图尔敏模型的案例教学法(Case Study Based Learning,CBL),分析CBL+LBL联合教学法的教学效果。方法选取2022年10月—2023年1月山东大学齐鲁医院德州医院呼吸内科COPD的50名实习医师作为研究对象,采用抛硬币法将其分为传统教学组(n=25)和联合教学组(n=25)。传统教学组采用LBL法,联合教学组在传统教学组的教学基础上采用基于图尔敏模型的CBL教学方法,对比两组理论成绩与综合技能考核评分、教学满意度评分、推理反思能力评分。结果联合教学组理论成绩(91.02±2.00)分、综合技能考核评分(93.23±1.50)分,高于传统教学组的(80.25±1.50)分、(81.20±1.00)分,差异有统计学意义(t=23.595、36.544,P均<0.05)。联合教学组教学满意度评分显著高于传统教学组,差异有统计学意义(P<0.05)。教学前,两组医师推理反思能力评分比较,差异无统计学意义(P>0.05)。教学后,联合教学组推理反思能力评分显著高于传统教学组,差异具有统计学意义(P<0.05)。结论COPD临床教学理论多,对实习医师的学习能力要求较高。CBL+LBL联合教学法能够提高COPD教学效果,有助于培养实习医师推理反思能力,实习医师教学满意度较高。展开更多
正畸治疗疗程长,操作复杂。如何使进修生在短时间内既掌握临床操作基本技能又有较强的正确诊断和矫治设计的临床分析思维能力,一直是正畸临床教学的难点。对此,笔者经过探索,找到了一套序列化教学方法,取得了令人满意的效果。1)针对正...正畸治疗疗程长,操作复杂。如何使进修生在短时间内既掌握临床操作基本技能又有较强的正确诊断和矫治设计的临床分析思维能力,一直是正畸临床教学的难点。对此,笔者经过探索,找到了一套序列化教学方法,取得了令人满意的效果。1)针对正畸基本概念和基础理论:这部分内容采用PBL(Problem Based Learning)教学法。2)病例讨论和诊断设计:这部分内容采用CBS(Case based study)教学法。3)进修后1年利用互联网进行临床病例远程会诊,帮助进修医生在自己的临床工作中重新体会进修期间的学习内容,弥补了口腔正畸学理论课教学时数少的局限性,从而提高了进修医生的分析问题和解决问题的能力。展开更多
CBS(case based study)是以病例为引导的教学法。伤寒学教学应提倡传统教学与CBS教学的有机结合与优势互补。CBS能提高学生自学能力和临床思辨能力,有利于医学生多种能力的锻炼,同时也有利于教师素质的提高。其病例的选择来源渠道甚广,...CBS(case based study)是以病例为引导的教学法。伤寒学教学应提倡传统教学与CBS教学的有机结合与优势互补。CBS能提高学生自学能力和临床思辨能力,有利于医学生多种能力的锻炼,同时也有利于教师素质的提高。其病例的选择来源渠道甚广,应针对明确的教学目标,通过巧妙设计问题激发学生学习中医的兴趣。通过多种形式的反馈可以发现教学过程中的薄弱环节以及今后改革的方向等。展开更多
本文分析了目前在放射治疗专业住院医师规范化培训中所面临的基础知识薄弱、培训总体时间较短等相关问题,针对性的提出在规范化培训教学中引入病例导入式教学模式(case based study,CBS),并展示了该教学方法在中国医科大学附属一院放射...本文分析了目前在放射治疗专业住院医师规范化培训中所面临的基础知识薄弱、培训总体时间较短等相关问题,针对性的提出在规范化培训教学中引入病例导入式教学模式(case based study,CBS),并展示了该教学方法在中国医科大学附属一院放射治疗科住院医师规范化培训教学中的应用情况,通过观察初步的教学效果,发现病例导入式教学法的应用激发了住院医师的学习兴趣,提高了自主学习及病例分析能力,解决了放疗科住院医师参加规范化培训的相关问题,更好的使住院医师完成了对相关内容的理解和掌握,对临床实践等综合能力及教学质量的提高产生了积极作用。展开更多
The world is losing its forest. The study described the multi-sectoral initiatives done to protect the Dupinga watershed. By using Community Based Forest Management (CBFM) as theoretical framework and analytic descrip...The world is losing its forest. The study described the multi-sectoral initiatives done to protect the Dupinga watershed. By using Community Based Forest Management (CBFM) as theoretical framework and analytic descriptive method of research, issues and concerns related to watershed protection are discussed. The study argued that the multi-sectoral collaboration of the Local Government Unit of Gabaldon, the Department of Environment and Natural Resources (DENR), Peoples Organizations, Non Government Organizations (NGO) and Community Organization is a CBFM in progress. Alternative source of income and community tourism may strengthen and sustain the multi-stake-holders collaboration existing in the area while capacity building program for community participation and forest management may provide insights for a sustainable watershed protection and management.展开更多
The focus of the study is to measure the level of awareness of Indigenous People on Climate Variation. It inquired into their observations and organizing strategy to cope with the early impacts of climate change on th...The focus of the study is to measure the level of awareness of Indigenous People on Climate Variation. It inquired into their observations and organizing strategy to cope with the early impacts of climate change on their socio-economic and cultural beliefs. The organization’s adaptation and mitigation practices to protect the environment are also discussed using as basis of analysis the multi-stakeholders framework of forest protection. The study documented and recognized the Indigenous Peoples contributions to the preservation and protection of forest resources in Caraballo mountain and a shift in paradigm to Indigenous People’s centered forest resources management is recommended.展开更多
文摘Objective Uterine leiomyoma is not a rare pathological condition in pregnant women;thus the aim of the study was to evaluate the recent progress in the treatment of these pregnant women on the basis of the association of leiomyoma in pregnancy (LP) with pregnancy complications and birth outcomes including structural birth defects, i.e. congenital abnormalities (CA) in the offspring. Design Cases with CA and matched controls without CA in the population-based Hungarian Case-Control Surveillan- ce System of Congenital Abnormalities (HCC SCA) were evaluated. Only women with prospectively and medically recorded LP in prenatal maternity logbook and medically recorded birth outcomes (gestational age, birth weight, CA) were included to the study. Setting the HCCSCA, 1980-1996 contained 22,843 cases with CA and 38,151 matched controls without CA. Population Hungarian pregnant women and their informative offspring: live births, stillbirths and prenatally diagnosed malformed fetuses. Methods Comparison of birth outcomes of ca- ses with matched controls and pregnancy com- plications of pregnant women with or without LP. Main outcome measures Pregnancy complications, mean gestational age at delivery and birth weight, rate of preterm birth, low birthweight, CA. Results A total of 34 (0.15%) cases had mothers with LP compared to 71 (0.19%) controls. There was a higher incidence of threatened abortion, placental disorders, mainly abruption placentae and anaemia in mothers with LP. There was no significantly higher rate of preterm birth in the newborns of women with LP but their mean birth weight was higher and it associated with a higher rate of large birthweight newborns. A higher risk of total CA was not found in cases born to mothers with LP (adjusted OR with 95% CI = 0.7, 0.5-1.1), the spe- cified groups of CAs were also assessed versus controls, but a higher occurrence of women with LP was not revealed in any CA group. Con- clusions Women with LP have a higher risk of threatened abortion, placental disorders and anaemia, but a higher rate of adverse birth outcomes including CAs was not found in their offspring.
文摘目的创新慢性阻塞性肺疾病(Chronic Obstructive Pulmonary Diseases,COPD)临床教学,在传统教学法(Lecture-based Learning,LBL)基础上使用基于图尔敏模型的案例教学法(Case Study Based Learning,CBL),分析CBL+LBL联合教学法的教学效果。方法选取2022年10月—2023年1月山东大学齐鲁医院德州医院呼吸内科COPD的50名实习医师作为研究对象,采用抛硬币法将其分为传统教学组(n=25)和联合教学组(n=25)。传统教学组采用LBL法,联合教学组在传统教学组的教学基础上采用基于图尔敏模型的CBL教学方法,对比两组理论成绩与综合技能考核评分、教学满意度评分、推理反思能力评分。结果联合教学组理论成绩(91.02±2.00)分、综合技能考核评分(93.23±1.50)分,高于传统教学组的(80.25±1.50)分、(81.20±1.00)分,差异有统计学意义(t=23.595、36.544,P均<0.05)。联合教学组教学满意度评分显著高于传统教学组,差异有统计学意义(P<0.05)。教学前,两组医师推理反思能力评分比较,差异无统计学意义(P>0.05)。教学后,联合教学组推理反思能力评分显著高于传统教学组,差异具有统计学意义(P<0.05)。结论COPD临床教学理论多,对实习医师的学习能力要求较高。CBL+LBL联合教学法能够提高COPD教学效果,有助于培养实习医师推理反思能力,实习医师教学满意度较高。
文摘正畸治疗疗程长,操作复杂。如何使进修生在短时间内既掌握临床操作基本技能又有较强的正确诊断和矫治设计的临床分析思维能力,一直是正畸临床教学的难点。对此,笔者经过探索,找到了一套序列化教学方法,取得了令人满意的效果。1)针对正畸基本概念和基础理论:这部分内容采用PBL(Problem Based Learning)教学法。2)病例讨论和诊断设计:这部分内容采用CBS(Case based study)教学法。3)进修后1年利用互联网进行临床病例远程会诊,帮助进修医生在自己的临床工作中重新体会进修期间的学习内容,弥补了口腔正畸学理论课教学时数少的局限性,从而提高了进修医生的分析问题和解决问题的能力。
文摘CBS(case based study)是以病例为引导的教学法。伤寒学教学应提倡传统教学与CBS教学的有机结合与优势互补。CBS能提高学生自学能力和临床思辨能力,有利于医学生多种能力的锻炼,同时也有利于教师素质的提高。其病例的选择来源渠道甚广,应针对明确的教学目标,通过巧妙设计问题激发学生学习中医的兴趣。通过多种形式的反馈可以发现教学过程中的薄弱环节以及今后改革的方向等。
文摘本文分析了目前在放射治疗专业住院医师规范化培训中所面临的基础知识薄弱、培训总体时间较短等相关问题,针对性的提出在规范化培训教学中引入病例导入式教学模式(case based study,CBS),并展示了该教学方法在中国医科大学附属一院放射治疗科住院医师规范化培训教学中的应用情况,通过观察初步的教学效果,发现病例导入式教学法的应用激发了住院医师的学习兴趣,提高了自主学习及病例分析能力,解决了放疗科住院医师参加规范化培训的相关问题,更好的使住院医师完成了对相关内容的理解和掌握,对临床实践等综合能力及教学质量的提高产生了积极作用。
文摘The world is losing its forest. The study described the multi-sectoral initiatives done to protect the Dupinga watershed. By using Community Based Forest Management (CBFM) as theoretical framework and analytic descriptive method of research, issues and concerns related to watershed protection are discussed. The study argued that the multi-sectoral collaboration of the Local Government Unit of Gabaldon, the Department of Environment and Natural Resources (DENR), Peoples Organizations, Non Government Organizations (NGO) and Community Organization is a CBFM in progress. Alternative source of income and community tourism may strengthen and sustain the multi-stake-holders collaboration existing in the area while capacity building program for community participation and forest management may provide insights for a sustainable watershed protection and management.
文摘The focus of the study is to measure the level of awareness of Indigenous People on Climate Variation. It inquired into their observations and organizing strategy to cope with the early impacts of climate change on their socio-economic and cultural beliefs. The organization’s adaptation and mitigation practices to protect the environment are also discussed using as basis of analysis the multi-stakeholders framework of forest protection. The study documented and recognized the Indigenous Peoples contributions to the preservation and protection of forest resources in Caraballo mountain and a shift in paradigm to Indigenous People’s centered forest resources management is recommended.
