黄宫绣循证本草学术思想探讨

黄宫绣的本草研究思想和方法为循证本草学术思想和研究方法.本文从黄宫绣《本草求真》“从往昔诸书,细加考订”的研究方法、“首宜分其形质气味、次宜辨其经络脏腑、终宜表其证治功能”诸研究内容、便“浅学医士、后学、粗工”于本草药物“开卷了了、无有错误”的研究目的等角度,概要论述了黄宫绣的循证本草研究学术思想.     

药品经营与管理专业基于工作过程进行课程开发的思路和探索

教学内容和课程体系改革是高职高专教学改革的重点和难点。本文通过基于工作过程建立专业课程体系和进行课程开发的思路和实施历程，对教学模式的改革进行了有意义的探索。     

The effectiveness of group exercise for improving activity and participation in adult stroke survivors: a systematic review

BackgroundFollowing post stroke rehabilitation, group exercise interventions can be used to continue improving cardiovascular fitness, activity levels, balance, gait, movement efficiency, and strengthening. However, little is known of the effectiveness of group exercise for improving activity and participation in stroke survivors.ObjectivesThis review aims to assess the effectiveness of group exercise for improving activity and participation in adult stroke survivors.Data sourcesDatabases searched were MEDLINE, Web of Science (Core collection), CINAHL, and the Cochrane Library.Study eligibility criteriaRandomised controlled trials (RCTs) of group exercise using validated outcome measures of activity and participation for post stroke rehabilitation. Two independent reviewers assessed all abstracts, extracted data, conducted a narrative synthesis and assessed the quality of all included articles. The Cochrane Risk of Bias Tool assessed methodological quality and included outcome measure quality was assessed.Results14 RCTs were included (n = 624 chronic stroke survivors collectively). Studies ranged between 12 and 243 stroke participants with an average of left:right hemisphere lesions of 32:39 and average age was 66.7 years. Although intervention and control groups improved, no significant difference between group differences were evident.Conclusionand implications of key findings: The review found improvements are short-term and less evident at long-term follow up with little improvements in participation after 6 months. However, this review was limited to the standard of intervention reporting. Further research should consider consistency in measuring underpinning mechanisms of group exercise interventions, which may explain the lack of activity changes in long-term follow-up.
Systematic review registration number PROSPEROCRD42017078917.     

案例教学法联合标准化病人在健康评估教学中的应用

目的探讨案例教学法联合标准化病人在健康评估教学中的应用方法及效果。方法采取方便取样法,选取2009级护理大专班两个班分别为试验组和对照组,试验组采用案例教学联合标准化病人教学法,对照组采用传统教学法,比较两组的教学效果,并调查试验组学生的教学反馈。结果理论考试中,病案分析题的成绩试验组高于对照组(P<0.01);操作考试成绩试验组高于对照组(P<0.01);多数学生对案例教学联合标准化病人教学法持肯定态度,认为此种方法可以提高自己多方面的能力,尤其是实践操作能力。结论案例联合标准化病人教学法在健康评估教学中运用,有利于提高学生的学习成绩、动手能力和综合素质,值得继续实践研究。     

基于云计算的医疗卫生位置服务平台研究

对位置服务(LBS)和云计算分别进行介绍,在此基础上提出基于云计算的医疗卫生LBS平台模型和架构,并对其在医疗卫生领域的具体应用进行探讨,包括医疗卫生机构网点查询、紧急救援、人员设备管理、流行病监控及突发事件应急、社区医疗卫生信息管理等.     

PBL医学教学模式在中等专业学校病理学教学中的应用

为提高病理学的教学质量,培养学生自主学习、开拓创新能力,养成良好的学习习惯,增强其团队合作精神,笔者在病理学课程的部分章节中采取了PBL教学法,取得了良好的教学效果.     

PBL教学法在神经内科见习中的应用研究

目的：探讨PBL教学法在神经内科见习中的应用效果。方法：将我校2009级临床专业神经病学见习学生随机分为实验组（60人）和对照组（59人）,对照组沿用传统的教学方法,实验组采用以问题为基础的教学方法。结果：对照组的理论成绩优于实验组,而实验组的病例分析级神经系统查体成绩优于对照组。实验组在学习积极性,扩大知识面方面等主观评价优于对照组。结论：PBL教学模式在神经内科见习中能取得较好的教学效果,但在运用过程中要加强系统基础知识的学习。     

Can we enhance the training of clinical supervisors? A national pilot study of an evidence‐based approach

Clinical supervision plays an essential part in maintaining professional standards and in achieving the National Health Service's objective of a modern workforce. Paradoxically, little is known about how supervisors themselves acquire competence, leading to lament that ‘something does not compute’. To contribute to a solution, a supervisor training manual that guided trainers in delivering continuing professional development to supervisors in an evidence‐based approach to clinical supervision was piloted nationally, in terms of the reactions of trainers (N = 25 tutors from clinical psychology courses) and their workshop delegates (N = 256 clinical psychology supervisors). Trainers were allocated randomly to either manual‐alone or to a manual‐plus consultancy group. The trainers all rated the manual favourably (mean rating of 78%), but there was no significant difference between the two groups. However, the supervisors within the consultancy group rated the sessions significantly more highly than their counterparts. It is concluded that brief training in an evidence‐based approach appears feasible and acceptable, making more rigorous evaluations appropriate. Copyright © 2009 John Wiley & Sons, Ltd. Key Practitioner Message:

• Clinical supervision is now recognised as essential, yet supervisors tend to receive little or no training, which tends not to be evidence based.
• A training guide in evidence‐based clinical supervision has been disseminated and evaluated, in terms of the acceptability of the approach taken to supervision.
• The reactions of trainers and supervisors (all associated with clinical psychology training programmes) to this guide were positive, indicating that it merits further development and more rigorous evaluation.