MOOCs背景下的高职精品资源共享课建设

通过对MOOCs课程分析,结合高职精品资源共享课建设发展和评价标准,探寻MOOCs课程对于高职精品资源共享课建设的启示。指出高职精品资源共享课可以借鉴MOOCs发展模式,统筹设计、加快其平台建设;采用校企合作开发课程资源,以实现课程的共享与开放;优化课程设计;转变传统思维,改革精品的资源共享课教学模式,以促进高职教育教学改革,提升社会服务能力。     

中西医结合治疗强直性脊柱炎临床护理体会

目的:探讨并且规范强直性脊柱炎在中西医结合治疗中的护理方法,以提高强直性脊柱炎的临床治疗的护理效果。方法:选取我院2010年至2013年住院接受中西医结合治疗的强直性脊柱炎的患者58例,对其临床资料进行回顾性分析,按住院先后随机分为两组,对照组29例进行一般常规护理,实验组29例在一般常规护理基础上进行专业化护理,评价进行专业化护理对提高强直性脊柱炎治疗效果的影响。结果:两组强直性脊柱炎患者接受护理后在疼痛、晨僵、脊柱活动度的缓解率等方面有显著差异,实验组临床治疗效果明显高于对照组,差异有统计学意义(P<0.05)。结论:针对性的专业化护理有助于提高强直性脊柱炎的治疗效果,改善患者的生活质量,值得临床推广。     

医学八年制大学英语教学现状评估及改革展望

临床医学八年制是我国为培养具有一流国际交流能力和专业素养的医学博士生所设立的新兴专业。十余年来,我国关于临床医学八年制教学模式改良的研究大多针对专业课课程、科室轮转及医院实习,很少有文献关注通识教育阶段“大学英语”课程对后期双语专业课教学的影响。为弥补这个改革的盲点,文章通过问卷调查和实地采访、交谈,分别从学生、教师两个视角评估八年制通识教育阶段“大学英语”课程教学现状,剖析了该课程教学模式目前存在的问题并提出了可能的解决方案。     

问题引导式教学法在医学史课程教学改革中的实践与思考

在医学史课程教学改革中应用问题引导式数学（Problem-Based Learning,PBL）,以专题重新组织教材内容,以问题引导教学,开展师生互换型教学和学生参与体验型教学,教考分离,旨在提高课程教学水平,使其从知识性课程提升为知识与思辨相结合的课程,使学生通过医学史课程知史、思史、明史。     

Bilan des enquêtes 2012, 2013 et 2014 de l’Observatoire national français des centres spécialisés de l’obésité (oNCSO)

Objective and method

The French Obesity Plan enabled the creation of 37 Specialized Obesity Centers (CSOs) in 2012 to ensure a dual mission, the multidisciplinary management of severe or complex obesity and the organization of care channels in the regions. This report takes stock of the first three years of operation of the CSOs, based on the data collected by the National Observatory of CSOs (oNCSO), set up by the General Directorate of Hospitalization and Care.

The development of pediatric fluid resuscitation: an interview with Dr. Frederic A. ‘Fritz’ Berry

Dr. Frederic A. ‘Fritz’ Berry (1935), Professor Emeritus of Anesthesiology and Pediatrics at the University of Virginia, has played a pioneering role in the development of pediatric anesthesiology through training generations of anesthesiologists. He identifies his early advocacy of balanced electrolyte solution for perioperative fluid resuscitation as his defining contribution. Based on his clinical experiences, he pushed to extend the advances in adult fluid resuscitation into pediatric practice. He imparted these and other insights to his colleagues although textbooks, book chapters, original journal publications, and decades of Refresher Course Lectures at the American Society of Anesthesiologists' annual meetings. A model educator, clinician, and researcher, he shaped the careers of hundreds of physicians‐in‐training while advancing the field of pediatric anesthesiology.     

Ultrastructural changes of ischemic injury due to coronary artery occlusion in the porcine heart

Using the ultrastructural criteria established by Schaper et al. 1979 [27] for distinguishing between different degrees of ischemic change in dog myocardium, slight ischemic changes are observed in the pig suboendocardium as early as 1 min after occlusion of the LAD artery. Moderate change throughout the thickness of the myocardium is seen after 6 to 12 min of ischemia and continues to be found up until 20 min after commencement of the ischemic period. 20 to 30 min ischemia produces severe ischemic damage and more than 30 min leads to irreversible damage. The changes are uniform at all stages of ischemia and there is no evidence of a transmural gradient of ultrastructural damage. Of particular interest in the early part of the ischemic period is the observation of ultrastructural changes in the subendocardial specialized conducting tissue. In these specialized cells, although morphological features consistent with slight and moderate ischemia are found as early as 1 to 2 min after occlusion, spontaneous recovery occurs and is complete by 15 min. This biphasic time course parallels the electro-physiological changes known to occur in ischemic Purkinje fibres.     

Metabolic syndrome and associated factors among psychiatric patients in Jimma University Specialized Hospital,South West Ethiopia

Background

Metabolic syndrome is a multisystem disorder which coined to describe the recognized clustering of metabolic and cardiovascular abnormalities including obesity, hypertension, dyslipidemia, and abnormalities of glucose homeostasis.

Ⅹ Ⅹ Ⅳ European Stroke Conference

<正>Time:May 12-15,2015Venue:Vienna,AustriaEmail:m.g.hennerici@eurostroke.euWebsite:http://www.eurostroke.eu/On behalf of the European Stroke Conference(ESC)Programme Committee it is my pleasure to invite you all to theⅩⅩⅣ     

Simulation-based training in maxillofacial surgery: are we going to be left behind?

Simulation is an important way both to optimise a trainee’s learning time and reduce morbidity and operating time for patients. We have reviewed the current use of simulation in training for maxillofacial surgery, and provide an overview of areas of practice where it may be useful. A web-based survey of trainees’ opinions of it was made in February 2018, and disseminated using the Junior and Fellows in Training group mailing lists. We also reviewed popular current simulation courses that are available. A total of 45 of the 57 trainees who replied agreed that simulation-based training would be beneficial in maxillofacial surgery, particularly with regard to maxillofacial surgical emergencies. A total of 54 of the 57 also agreed that simulation-based training would be a useful adjunct to their clinical training. However, most of the simulation-based courses available were priced beyond the budgets available to UK-based trainees for study, although funding changed in April 2018. While other surgical disciplines have adopted simulated clinical teaching and its benefits, maxillofacial surgery has limited the use of all types of formal simulation. Surgical simulation training is increasingly being used to complement the traditional surgical apprenticeship in other specialties, and ours needs to consider ways in which we can use it, given that trainees within the specialty think that it would be useful. Other specialties have shown that there is good transfer of skills from simulation to the actual clinical operating environment, and this increases satisfaction, decreases morbidity, and reduces the time required for intraoperative teaching.