学生视域下的医学院校大学英语课程思政教学资源库建设研究

目的 探索医学生团队对大学英语思政教学资源的发掘与整合,并建设医学院校大学英语课程思政教学资源库,为医学生英语教学与思政教育的融合提供可行性经验。方法 对某医学院校1 030名学生进行问卷调查,并采用SPSSAU统计软件对调查结果进行分析,了解学生对英语教学与思政教育融合的态度与需求、大学英语思政教学资源库的建设方式,以及资源的呈现方式和类型。基于问卷结果、教材主题、教学模块与学生专业,采用内容分析与归类法,建设符合医学生期望的大学英语思政教学资源库。数据均以占比百分率的形式呈现。结果 ①836名学生认为大学英语有必要与思政教育融合,希望通过日常生活（731人）、医学背景知识（664人）、社会实践（622人）、新闻时事（604人）等相关的视频、音频建设思政资源库,并以“教师讲授+课堂讨论”（528人）的形式引导学生学习上述资源。②根据教材主题匹配问卷结果中的思政融入点,根据单元模块内容进一步细化思政融入点为普适性与医学专属思政教学元素两类,最终建成了医学院校大学英语思政教学资源库。结论 好的课程与资源是师生共研共建的。     

军队卫生学任职教育思考与对策分析

为适应新形势下军队院校备战打赢的教育总要求,本文通过分析当前军队卫生学任职教育存在的主要问题和原因,结合外军任职培训教育的经验和做法,提出了加强军队卫生学任职教育的总体思想;并结合军医大学任职教育现状和实际,从师资队伍、课程建设、信息化建设、教学方法和考核模式等方面进行了针对性的对策分析,以期为更好地开展军队卫生学任职教育提供指导和帮助。     

全科医学与睡眠医学如何协同发展

全科医学和睡眠医学作为国内目前新兴的两个临床学科,两者在学科建设过程中存在着诸多交集,互补性强,在学科发展和人才培养上存在一定的交叉融合。中国专科医师培训认证制度在人才培养方面为全科医师从事睡眠医学工作开辟了道路,使其有良好的协同发展的基础及必要性。本文分析了目前中国全科医学与睡眠医学两者学科协同发展的基础及学科协同共建的必要性,介绍了南京医科大学附属无锡人民医院在全科医学与睡眠医学学科共建方面取得的经验,并邀请相关专家就目前存在的问题进行讨论。     

ESCMID generic competencies in antimicrobial prescribing and stewardship: towards a European consensus

Objective

To develop a consensus-based set of generic competencies in antimicrobial prescribing and stewardship for European prescribers through a structured consensus procedure.

建设符合自身特点的品牌医院特色文化

本文简述了医院文化自身的特点，着重探讨打造符合自身特点的品牌医院特色文化的措施和途径。     

人TCA-12-2/TCB-7.1真核双表达载体的构建与表达

目的：将T细胞抗原受体基因TCA-12-2和TCB-7.1共同构建在真核表达载体pDC315，用于哺乳动物细胞293转染研究。方法： 将分离得到的淋巴细胞总RNA反转录合成cDNA,以此为模板进行PCR扩增得到TCA-12-2基因；以实验室保存含TCB-7.1基因的质粒为模板，扩增得到TCB-7.1基因。随后酶切，连入载体pIRES2-AcGFP1，通过亚克隆连入载体pDC315，得到重组质粒pDC315-TCA-12-2-TCB-7.1。重组体质粒经酶切鉴定后，并对插入的TCA-12-2和TCB-7.1基因片段进行测序，将鉴定好的阳性重组质粒用脂质体介导转染293细胞，并通过RT-PCR和流式细胞仪检测TCA-12-2和TCB-7.1基因的表达情况。结果： TCA-12-2和TCB-7.1可以同时构建在载体pDC315上，RT-PCR和流式细胞仪检测发现TCA-12-2和TCB-7.1基因可以成功在293细胞上表达。结论：成功构建了含TCA-12-2和TCB-7.1基因的双表达载体。     

Interleukin-1 beta gene polymorphism related with allergic pathogenesis in Iris constitution

Iridological constitution has a strong familial aggregation and is implicated in heredity. The aetiology of inflammatory bowel disease is still unknown. However, from genetic epidemiological studies there is considerable evidence that genetic factors are associated with both Crohn's disease and ulcerative colitis. We investigated the relationships between Iridological constitution and interleukin 1 beta (IL-1β) gene polymorphism. IL-1β is a major proinflammatiry cytokine, and the polymorphisms of this gene have been shown to be of importance in a number of diseases. Especially, IL-1 has been suspected of involvement in allergic pathogenesis. Also, IL-1β genotype is one of the genetic markers of gastric cancer. Therefore, we classified 166 individuals according to Iris constitution, and determined IL-1β genotype. The frequencies of Iris constitutions as follows: neurogenic type, 41 (24.7%); abdominal connective tissue weakness type, 53 (31.9%); cardio-renal connective tissue weakness type, 50 (30.1%); the others type, 22 (13.3%). Especially, the frequency of abdominal connective tissue weakness type was higher in C/T genotype than in the remaining constitutions although the statistical power was very weak. Furthermore, we first attempted to explore possible involvement of the IL-1β polymorphism and the Iris constitution.     

上睑下垂美容手术的解剖学设计和效果分析

目的探讨不对称性上睑下垂美容手术的设计要点以及术后美容效果。方法通过对33例不对称性上睑下垂患者术前双眼各自不同特点的分析,提出设计要点,同时对术后的美容效果进行评价。结果本组病例中美容效果优者占87.9%,良以上者占94.0%。结论双眼对称是眼部美容手术成功的关键,只有按照患者各自的解剖学特点设计手术,才能取得良好的美容效果。     

医院图书馆数字化学习环境建设初探

因为数字化学习环境是未来图书馆事业的发展趋势,文章从图书馆数字化学习环境的内涵开始,分析了医院图书馆数字化学习环境建设的必要性及其现实的可行性,提出了图书馆软件环境和硬件环境的建设及两者的有机结合是医院图书馆数字化学习环境建设的重要保障。     

Bewertung der ärztlichen Ausbildung an der McMaster Universität,Kanada, anhand des Konzepts der „Fallmethode“

Summary Students of three different levels and the chairman of the MD-Program evaluated the educational system of McMaster University, Canada, using the six criteria of the case method as defined by Renschler. This analysis provided a very differentiated evaluation of the McMaster curriculum, demonstrating a systematic progress of learning methods from the second to the last phase.The instrument showed differences in the ratings of the demonstrative lectures between the chairman and the students. Free access to patients and responsibility, gradually growing during the 3-year program, are important features of the educational system. The problem-based system provides a unique integration of acquiring theoretical knowledge in the basic sciences through clinical problem solving which was highly rated in all analysed phases. Ratings given by the interviewed students for evaluation of documented work were lower than expected by the chairman and the authors. The results are discussed in relationship to the McMaster Philosophy and to the conditions of studying medicine in America and in Germany.