温敏性聚(N-异丙基丙烯酰胺)水凝胶的合成与表征

作者根据高等教育评价的有关理论与方法，采用“学生评教”的方式，在教学评价这一层次上运用微观多因素定量与定性相结合的评价方法对23门医学硕士研究生基础理论课、专业基础课和科研新方法课程的教学质量进行评价，从学生、教师和课程等方面研究影响教学质量的因素，同时对学校研究生过程培养的追踪提供一个参考方法和手段。     

The role of formative courses in the professional integration of patients with epilepsy. An Italian experience

Abstract The aim of the present paper was to describe some formative projects on work integration of patients with epilepsy and mild cognitive deficits, so that similar initiatives may be promoted. The different phases of the formative projects were described: the inclusion criteria, the selection of participants, the assessment instruments, the courses themselves and the final results in terms of working experience. Thirteen participants were selected for each course. Patients were treated in different Lombardy Epilepsy departments, which addressed them to the Epilepsy Center, S. Paolo Hospital, Milan, where the selection took place. Seventy percent of the participants in the formative courses found a job in 1 year, even though most of the positions were temporary. The work integration seemed to be mainly related to the level of intelligence and to verbal memory. We stress the importance of organising similar courses in the future, in the context of wider networks. This will help more patients in acquiring both economic and psychological autonomy from their families.     

高等医学院校艺术隐性课程探究

隐性课程是当前课程理论研究领域十分关注的课题，近年来的教育实践表明，艺术课程对促进学生的全面发展具有深刻的影响。本文论述了隐性课程的特征和构成要素，阐述了艺术隐性课程的价值功能，并提出了医学院校实现艺术隐性课程的有效措施。     

神经外科专业课英语授课的探索

医学专业课采用英语教学已在我校实施,笔者主要从教学的角度,并结合神经外科专业课英语授课的实践经验,探讨任课教师选拔、师资培养,以及英语教学的课前准备、授课及课后总结等相关问题,以积累经验,克服不足,不断提高。     

Attitudes of medical and dental students to dissection

Guy's, King's, and St. Thomas's School of Medicine encourages students to learn anatomy from human dissection. Today, there is a worldwide move of anatomy-based teaching away from dissection to prosection. This study investigates how attitudes toward dissection vary with gender and ethnicity. We assessed students' reactions and concerns regarding the dissecting room, any coping strategies they use to combat them, and analyzed effective methods of teaching anatomy to medical and dental students. Three questionnaires were distributed amongst 474 first-year medical and dental students before dissection and 1 week and 12 weeks after exposure to the dissecting room. Over the 3 months we found significant changes in the concerns of students about dissection. There were also significant differences (P < 0.05) between medical and dental students, males and females, and students of differing ethnic backgrounds, which persisted over 12 weeks. Both medical and dental students found tutorials and textbooks of most value in learning anatomy. Dental students found prosection more useful than medical students (P < 0.001) though neither group demonstrated a significant preference for prosection over dissection. Of concern, 7% reported recurring images of cadavers and 2% insomnia after commencing dissection. Interest in the subject matter and discussion were the commonest methods used to combat stress. This study contributes to the ongoing debate about the value of the dissecting room in the medical school curriculum.     

血液病专科护士培养模式构建

目的构建血液病专科护士培养模式,为提高血液病专科护士能力提供参考。方法检索专科护士培养的国内外文献及政策法规,对1 792名血液科护士及6名专家进行问卷调查,获取血液病专科护士培养需求及建议,构建血液病专科护士培养模式草案,针对草案邀请15名专家进行两轮Deiphi专家函询,确定血液病专科护士培养模式各级指标及权重。结果两轮函询专家积极系数均为100%,权威系数为0.83,肯德尔协调系数为0.24（P＜0.05）,专家意见趋于一致。经两轮函询,最终形成包含7个一级指标、31个二级指标、111个三级指标的血液病专科护士培养模式。结论本研究构建的血液病专科护士培养模式科学、可靠,对于血液病专科护士的培养具有指导意义。     

户外活动时间与学龄前文化课学习情况对中小学生视力不良的交互作用

目的 分析户外活动时间与学龄前参加文化课学习情况的交互作用与中小学生视力不良的关系,为制定防控中小学生视力不良的策略和措施提供科学依据。方法 采用分层整群随机抽样法于2018年9-11月在湖南省抽取8 467名小学四年级到高中三年级学生进行体格检查和问卷调查。相乘交互作用建立多因素Logistic回归模型,并计算交互作用超额危险度(RERI)、交互作用归因比(API)及交互作用指数 S (Index S)探讨户外活动时间与学龄前文化课学习对视力不良的相加交互作用。结果 8 467名调查对象中视力不良检出人数为5 612名,检出率为66.28%。学龄前参加过文化课学习者,视力不良的发生风险是不参加学习者的1.500倍(95%CI:1.331~1.689,P<0.001),每日户外活动<2 h的学生发生视力不良的风险是每日户外活动≥2 h者的1.247倍(95%CI:1.103~1.409,P<0.001)。户外活动时间与学龄前文化课学习的交互作用项具有统计学意义(P_交互=0.003)。在调整相关因素后,户外活动时间与学龄前文化课学习的RERI、API、Index S分别为0.529、0.310、3.973。结论 中小学生户外活动时间、学龄前文化课学习均与视力不良发生风险相关,并两者对视力不良有交互作用。因此,应加强学龄前儿童的户外活动,以预防视力不良发生。     

医学院校法学课程教学方法探讨

现行医学院校法学课程教学方法存在许多不足,应该建立以课堂理论讲授为基础,采用多种教学手段传授学生法律知识的教学方法体系,其中具有基础性地位和方法论意义的是课堂讲授教学法和课堂讨论教学法。     

“大学生野外生存生活训练“课程实验研究分析

本文通过对课题实验数据分析,结果表明大学生野外生存生活训练作为新兴的体育课程,对提高大学生生存生活能力,提高环境适应能力,提高学生身心素质,培养学生终生体育意识,激发学生学习动机,培养学生团队合作精神,挖掘学生潜能,发展学生个性,拓展高校体育课的时间和空间,深化体育教学改革,具有良好的教学效果和社会效益,具有普及和推广的价值。     

多疗程糖皮质激素治疗孕34周前早产临床分析

目的:评价多疗程糖皮质激素(GC)治疗孕34周前早产的作用。方法:回顾性分析华西第二医院收治的150例孕34周前早产分娩的临床资料,根据糖皮质激素治疗情况分为未治疗组(对照组)、不足1疗程组、1疗程组、2疗程组和3疗程组。结果:GC治疗组与对照组的新生儿出生体重和身长Z积分值差异无显著性(P>0.05);Logistic回归分析显示2疗程GC治疗可以减少新生儿5分钟窒息发生,但重复疗程GC治疗对新生儿RDS、脑室内出血、吸入性肺炎和婴幼儿死亡、远期并发症等无保护性作用。结论:孕34周前糖皮质激素治疗早产是有好处的,但重复疗程治疗的作用尚需进一步观察。