基于精品课程的图书馆网络教学服务平台构建策略

高校图书馆构建精品课程网络教学服务平台,无论对精品课程建设还是对图书馆服务层次的提高都具有深远意义.阐明图书馆与精品课程、网络教学平台之间优势互补及共建共享的意义,进而指出图书馆精品课程网络教学服务平台构建思路,对平台的教学实施提出建议.     

“行动导向教学”提高思想政治理论课实效性初探

行动导向教学＂坚持＂为行动而学习＂的原则,尽量让学习者＂通过行动来学习＂。笔者在思想政治理论课教学中,以＂行动导向教学＂理念为指导,采取系列教学方式,收到了明显成效。     

医院核心竞争力结构要素

文章分析了医院核心竞争力的结构要素,并简单阐述了各结构要素之间的关系,为医院寻找核心竞争力提供参考。     

对高校学生网上选课行为的思考

就网上选课行为发生前后的相关问题进行了系统地分析和总结,以期对在校学生进行理性选课、顺利完成学业有所裨益,并为优化网上选课管理提供借鉴.     

多维视角看中国器官捐献的价值导向

器官捐献者极少这一事实严重制约了中国器官移植工作的开展.但从中国的传统伦理、中国当代的主流道德以及国际生命伦理学所倡导的理念来看,开展器官捐献有着充足的伦理依据.为了推进器官捐献工作,国家应该明确倡导支持器官捐献的价值导向,给予捐赠者家庭适当补助,并严厉打击器官买卖;此外,还要完善相关组织机构、健全法律法规.     

二类口岸卫生检疫核心能力建设的思考

目的探索符合各地二类口岸实际的卫生检疫核心能力建设模式,以达到《国际卫生条例（2005）》相关要求。方法通过对我国当前口岸卫生检疫核心能力建设现状的分析,并选取二类口岸主管当局在这方面的实践和措施进行研究。结果我国二类口岸的卫生检疫核心能力建设较为薄弱,各地主管当局应当转变思路,探索切合自身实际的口岸核心能力建设模式。结论通过总结各地的成功经验,并进一步修订旧标准和形成新的行业标准,对全面指导二类口岸主管当局完成卫生检疫核心能力建设具有重要意义。     

Atypical ductal hyperplasia on vacuum-assisted breast biopsy: suspicion for ductal carcinoma in situ can stratify patients at high risk for upgrade

We evaluated 97 cases of review-confirmed atypical ductal hyperplasia found on stereotactic vacuum-assisted breast biopsy of suspicious calcifications. The number and size of foci of atypical ductal hyperplasia and presence of a micropapillary component were noted. In addition, we recorded if a case was considered "atypical ductal hyperplasia suspicious for ductal carcinoma in situ" using specific qualitative criteria. The upgrade rate was 20.6% (20/97) for all cases and 48% (12/25) for cases suspicious for ductal carcinoma in situ. Suspicion for ductal carcinoma in situ was found to be a strong predictor of upgrade with an odds ratio of 7.4 (P = .0003). Suspicious cases with nuclear features bordering on intermediate nuclear grade had the highest upgrade rate of 75% (6/8). Cases with ≥ 3 foci had significantly higher upgrade rates (28%) than those with less than 3 foci (11%), but focal atypical ductal hyperplasia did upgrade (P = .04). In conclusion, qualitative features of atypical ductal hyperplasia on core biopsy such as suspicion for ductal carcinoma in situ may help stratify patients at the highest risk for upgrade.