基于工学结合的医学检验技术专业实践教学体系构建与实践

指出目前高职高专医学检验技术专业实践教学中存在的薄弱环节,以培养医学检验技术专业学生职业技能与职业素质为主线,构建基于工学结合的医学检验技术专业实践教学体系,有效培养学生职业综合素质,提高毕业生岗位适应能力。     

医学检验专业实践教学体系的建立与实践

目的:构建有利于创新意识和实践能力培养的医学检验专业实践教学体系.方法:通过分析实践教学存在的问题,制定构建原则,改革实践教学模式和教学方法,整合实践教学内容,建立了医学检验专业实践教学体系.同时,构建了医学检验专业实践教学体系质量管理与监控体系.结果:医学检验专业实践教学体系的建立,提高了教师教学积极性、创造性和教学能力,学生的综合素质显著提高.经过实践教学改革后的学生专业实验技能和临床岗位技能考核成绩均明显高于实践教学改革前(F=7.430-102.226,q=4.886-27.445,P<0.001).结论:医学检验专业实践教学体系的建立对培养学生的创新意识和实践能力具有重要意义.     

基于工作过程的中药制剂技术实践教学体系的构建初探

指出目前高职高专中药制剂技术实践教学体系存在的问题,以培养学生职业技能与职业素质为主线,构建基于工作过程的中药制剂技术实践教学体系,培养学生职业综合素质,提高学生岗位就业能力。     

以能力培养为导向的医学检验技术实验教学体系建设探索

医学检验实验教学是提升医学检验专业学生应用能力的重要环节,是提高学生创新能力、动手操作能力的必要环节。潍坊医学院医学检验实验教学中心根据医学检验技术专业的学制特点和人才培养目标,提出改革医学检验技术实验体系的新思路,从校内课程改革、校外实践改革和评价考核方式等方面入手,通过实行检验特色层次化梯度实验教学、构建多元化实验教学模式、配套实验教材建设,结合岗位需求特点和专业特点,打造实习见习平台和社会服务实践平台及完善健全实验教学考核体系等措施,培养学生发现问题解决问题的能力,有效提高医学检验专业学生的实践操作能力与综合素质从而达到建设以能力培养为导向的医学检验技术实验教学体系的目的。     

构建医学检验技术专业立体化递进式实践教学体系的思路

本科四年制医学检验技术专业旨在培养高级医学应用型人才，该宗旨的实现依赖于创新型实践教学课程体系的构建。本文结合基础实践、专业实践、职业技能实践、创新实践四大模块，改进传统实践教学体系中存在的问题，提出“3+1”立体化实践教学模式，以期适应医学检验技术专业的快速发展。     

高职、高专护理专业工学结合实践教学体系的研究

高职、高专护理专业工学结合实践教学体系是一种基于护理岗位能力,融入执业护士准入标准,以培养学生综合职业能力为主要目标的教学方式,相对于理论教学独立存在但又与之相辅相成,主要通过有计划地组织学生校内实训、专业社会实     

高职高专院校药学专业校内实训基地建设标准的研究

药学实训基地是药学专业学生职业技能训练的重要场所,其规范化建设是培养药学专业学生职业能力和职业素质的重要保证。本文研究了高职高专药学专业校内实训基地建设标准,并在安徽医学高等专科学校药学专业校内实训基地建设中进行了实践,取得了良好的效果。该标准的研究与实践成效对同类院校的药学校内实训基地建设具有借鉴意义。     

基于工学结合的医学检验技术专业实践教学目标体系的构建与实施

实践教学目标是实践教学应达到的标准,基于工学结合的实践教学目标体系要根据专业人才培养目标和培养规格要求,围绕职业岗位能力和职业素质培养进行构建;实践教学目标体系可通过在人才培养方案中明确职业岗位技能培养要求、以职业岗位能力培养为主线构建实践课程体系、将职业资格标准融入实践教学、以工学结合为切入点开展递进式实践教学活动和改革课程考核方式等途径实现。     

工学结合模式在医学检验专业课教学中的应用研究

目的评价工学结合模式在医学检验专业课教学中的应用效果。方法第二年专业课学习时,将我院2010级检验技术专业54名学生随机分为两组,一组(对照组)采用理论课后的校内实训,另一组(实验组)采用理论课后校内实训+课余临床实践(工学结合)。结果两组理论考试成绩除生物化学检验及血液学检验外,无显著性差异;技能考核实验组成绩明显高于对照组,有显著性差异(P<0.05)。结论工学结合模式有利于提高医学检验专业学生的操作技能,但对专业课的理论学习成绩提高不明显,可能与实施方法和评价方式有关。因此,在检验专业课教学中采用工学结合模式有待深入研究和改进。     

高职医学检验专业生化检验项目化教学的构建与实施

本文重点归纳了在医学检验专业技术教育领域中开展生化检验项目化教学的设想和实施步骤,包括开设生化检验项目化教学的原则、构建的内容体系、实施步骤,以及进行生化检验项目化教学在医学检验专业教学改革中的重要意义.有利于培养医学检验专业学生综合知识应用能力,提高职业素质和技能,进一步适应医学检验发展的需要.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

Dr.Zhang Ren''''s Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

Luo Lingjie''''s Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

猪肺磷脂注射液联合经鼻持续气道正压通气对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性的影响

目的 探讨猪肺磷脂注射液联合经鼻持续气道正压通气(NCPAP)对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性(CK-MB)的影响.方法 选取呼吸衰竭早产儿80例,分为观察组和对照组各40例.对照组采用NCPAP给氧治疗,观察组给予NCPAP给氧联合猪肺磷脂气管内给药.观察两组患儿治疗前及治疗12h、24 h后PaO2、PaCO2、血氧饱和度(SaO2)、pH的变化情况,检测治疗前及治疗5d后血清CK-MB水平;评估两组患儿的临床治疗效果.结果 两组患儿PaO2、PaCO2、SaO2、pH比较,差异均有统计学意义(P＜0.05),其中观察组治疗后的PaO2、SaO2、pH均高于对照组,PaCO2则低于对照组.两组的PaO2、SaO2、pH均随观察时间延长而升高(P＜0.05),PaCO2均随观察时间的延长而降低(P＜0.05).观察组治疗有效率为87.5％,显著高于对照组的70.0％ (P ＜0.05).治疗5d后两组患儿血清CK-MB水平均较前降低(P＜0.05),且观察组明显低于对照组(P＜0.05).结论 猪肺磷脂注射液气管内给药联合NCPAP可以显著降低呼吸衰竭早产儿CK-MB的含量,提高治疗有效率,起到很好的呼吸循环支持作用.     

Survey and practice of reporting quality of randomized controlled clinical trials on traditional Chinese medicine

Evidence obtained from randomized controlled trials （RCTs） has been generally accepted as the gold standard in the evaluation of clinical effectiveness. Readers need to understand the trial design, implementation, results, analysis and interpretation, so as to fully Jnderstand the results of RCTs. Thus, the investigators of RCTs have to report these items in a complete, accurate and clear manner. Since 1998, we have conducted several evaluations on the reporting quality of RCTs published in Chinese journals on traditional Chinese medicine （TCM） and results have shown that there is an urgent need for higher quality RCTs on TCM.     

TCM Treatment of Ankylosing Spondylitis by Tonifying the Kidney and Strengthening the Governor Vessel

Ankylosing spondylitis is a chronic and progressive disorder with inflammation mainly involving the central axis joints. It mainly affects the cervical spine and the lumbosacral area, with the pathogenesis closely related to the kidney and the Governor Vessel (GV). TCM holds that the syndrome is deficiency in origin and excess in superficiality, which is due to insufficiency of the kidney, deficiency of GV, and blocking of the channels with the invasion of exogenous evil, leading to poor circulation of qi and blood and malnutrition of the bones, muscles and joints. The TCM method of tonifying the kidney and strengthening GV to regulate circulation of qi and blood and check the arthralgia pain should be adopted, with the Kidney-Tonifying and GV Strengthening Decoction (益肾强督汤) prescribed.     

IMPROVING P-gp EXPRESSION IN HUMAN MONONUCLEAR CELLS IN VITRO TRANSFECTED BY MULTIDRUG RESISTANCE-1 mRNA

CHEMOTHERAPY playsa greatrolein the treat- ment of malignanttumors,especiallyingynecolo- gicalones.But inanticancerchemotherapy,leuko-cytopeniaisfrequentlytheprimarydose-limitingsideeffect factor.Moreover,cancersarefrequentlychemoresistantbe-causeof overexpressionof P-glycoprotein(P-gp), which isencodedby multidrugresistancegene (MDR1 ) and detectableinup to50% ofhuman cancersand renderscellsresistancetoanticancerdrugs.The safetyand potentialtherapeuticbenefitof mdr1 gene transferredto h…