My first time

A medical student’s recount and personal reflection of her first patient death.     

针对医学生进行大学英语教学中的审美教育

本文作者从社会的需要和当代大学生的审美特点分析在医学生中进行审美教育的必要性,并就自己在英语教学中的实践证明,加强英语学科教育与审美教育结合的可行性。     

从隐喻认知角度看英语词汇学习

从认知的角度探讨了隐喻应用于词汇学习中的理论基础及其作用,指出运用隐喻认知理论可以使词汇学习方法更符合人类的认知规律,使词汇学习化难为易、生动有趣,得到事半功倍的学习效果。     

从心理和认知的视角解析大学英语四级完型填空测试

从认知语言学和心理语言学的角度阐述了大学英语四级完型填空命题依据及解题思路。完型填空(Cloze)以格式塔(Gestalt)心理学和心理语言学为理论基础,是检测外语语言能力的一种既有效又经济的手段。作为大学英语四级考试的一个测试项目,目的是从语篇的角度上测试学生综合运用语言的能力,即阅读理解和使用词汇及语法的能力。     

大学英语教学对医学专业英语学习的基础作用

医学专业学生学习英语的目的是能够使用英语学习、了解更多的医学知识、表达自己的专业发现、进行学术交流。为了达到这一目的,在大学英语阶段就应该着重提高学生的英语阅读和写作能力,增加学生的词汇量,缩小大学英语要求与医学专业英语学习目的之间的差距,为学生的下一步医学专业英语的学习和未来在医疗工作中的研究和应用做好准备。     

基于计算机网络模式的大学生英语自主学习初探

在介绍自主学习理论的基础上，结合实践介绍了基于计算机网络的大学生自主学习教学模式改革的一些做法、存在问题及其建议。     

Modified Zhibai Dihuang pill,a traditional Chinese medicine formula,on steroid withdrawal in systemic lupus erythematosus: A systematic review and meta-analysis

BackgroundZhibai Dihuang pill (ZBDH), a Chinese herbal formula, has been widely used as an adjunctive therapy to help reduce the patient’s steroid dose and maintain low disease activity in systemic lupus erythematosus (SLE).ObjectiveThis systematic review evaluates the therapeutic effect of modified ZBDH in reducing steroid use in patients with SLE.Search strategyA systematic literature search was carried out using seven databases, including PubMed, Embase, Cochrane Central Register of Controlled Trials, Chinese Biomedical Literature Database, Chinese National Knowledge Infrastructure, Chinese VIP Information and Wanfang Database, from their inception to June 1st, 2019. The search terms included “systemic lupus erythematosus,” “Chinese medicine” and “clinical trial,” and their synonyms. Subject headings matching the above terms were also used.Inclusion criteriaThis meta-analysis included randomized controlled trials that evaluated the reduction of steroid dose in patients with SLE. Traditional Chinese medicine (TCM) formulas in experimental group should be prescribed based on ZBDH and used as adjunctive therapy and the comparator should contain steroids.Data extraction and analysisTwo authors independently conducted database search, study selection, data extraction and quality assessment. The extracted information contained study design, sample size, recruitment mode, diagnostic criteria, inclusion and exclusion criteria, participant characteristics, TCM patterns, TCM formulas and treatment outcomes. The primary outcome was the change of steroid dose. Secondary outcomes included SLE Disease Activity Index (SLEDAI), biomarkers of disease activity and clinical response rate. STATA 15.0 was used to analyze the pooled effects reported as weighted mean difference (WMD) or odds ratio, with a 95% confidence interval (CI).ResultsIn total, 20 trials involving 1470 SLE patients were included. The pooled result showed that modified ZBDH taken in combination with standard care led to a larger reduction in steroid dose, compared to standard care alone (WMD: 3.79; 95% CI: 2.58–5.01; P < 0.001). Favorable outcomes were also seen in secondary outcome criteria, such as SLEDAI and complement 3. The modified ZBDH treatments were well tolerated without increasing adverse effects.ConclusionThe systematic review provided preliminary evidence supporting the use of ZBDH as a co-therapy to aid steroid dose reduction in patients with SLE. However, more rigorous studies should be conducted to validate these findings, and explore the mechanisms of ZBDH’s relevant bioactive constituents.     

A Study on the Necessity of Medical Facilities Safety Design Adoption

[Purpose] The purpose of this study was to investigate the requirements of the introduction of a safety design and certification system for medical facilities. [Subjects] A survey was carried out of one hundred nurses, physical therapists, occupational therapists, speech and language therapists from May to August in 2012. [Methods] The survey was conducted after giving subjects some information about safety design. [Results] The participants were aware of the need for establishing a safety design certification system. Total responses to services, facilities and space were analyzed in order to evaluate the priorities of safety, user characteristics, functionality, convenience and aesthetics. Regarding the application of a safety design certification system to services, items were prioritized in the order of children''s items, household supplies and hospital supplies. For facilities, the priorities were, living space, social welfare and medical facilities; space, they were public and transportation-related places. The requirements for operating a safety design system were in order development of: highly skilled manpower, the legal system, educational promotion and qualifying facilities. [Conclusion] In conclusion, in order to implement safety design in medical facilities, a safety design certification system should be introduced first, and to do this a systematic and comprehensive study is needed.Key words: Safety design, Safety design certification, Medical facilities     

The use of subject-verb agreement and verb argument structure in monolingual and bilingual children with specific language impairment

This study investigates the use of subject-verb agreement and verb argument structure in the spoken Dutch of monolingual Dutch children with specific language impairment (SLI) and bilingual Frisian-Dutch children with SLI. Both SLI groups appeared to be less efficient in their use of subject-verb agreement and verb argument structure than the control group (consisting of monolingual typically developing Dutch children matched on mean length of utterance in morphemes) in that they showed significantly more agreement errors as well as a relation between verb agreement structure complexity and omission, a relation that the typically developing children failed to show. Furthermore, no significant differences were found between the monolingual and the bilingual SLI group. These findings indicate that subject-verb agreement and verb argument structure are both affected in SLI, but not more severely in bilinguals than in monolinguals.