临床医师循证医学知晓度及临床实践现况调查

通过了解现有临床医师行医模式,知识更新方法及循证医学（Ｅｖｉｄｅｎｃｅ ＢａｓｅｄＭｅｄｉｃｉｎｅ,ＥＭＢ）知识知晓度,为进一步推广循 医学发现问题,寻找解决方法。方法：问卷现况调查。抽查１４１名二级以上医院的各种临床医生作为研究对象,回答１８个有关临床处理问题的程序和方法,知识更新途径,对ＥＢＭ了解和认识,临床研究情况等１８个问题。结果：发现临床实践中８２％的医生是按传统医学模式行医（完全根据个     

梅毒预防控制问题的思考

本文以循证医学的观点．对当今流行较为严重的梅毒预防控制问题加以研究,阐述了梅毒预防控制是性病艾滋病预防控制总体目标下进行的重要性。提示了过去预防梅毒的基本经验,并就当前梅毒控制及防治策略问题提出建议。     

民族医药移动信息平台设计与实现

以广西中医药大学已建成的民族医药专业数据库作为依托,基于微信公众平台设计和实现一个功能完善、简单易用的民族医药移动信息平台。介绍平台设计思路、设计原则、功能模块、关键技术、预期结果等方面。     

Outpatient treatment of symptomatic pulmonary embolism: A systematic review and meta-analysis

Background

Patients with acute deep vein thrombus (DVT) can safely be treated as outpatients. However the role of outpatient treatment in patients diagnosed with a pulmonary embolism (PE) is controversial. We sought to determine the safety of outpatient management of patients with acute symptomatic PE.

Materials and Methods

A systematic literature search strategy was conducted using MEDLINE, EMBASE, the Cochrane Register of Controlled Trials and all EBM Reviews. Pooled proportions for the different outcomes were calculated.

Results

A total of 1258 patients were included in the systematic review. The rate of recurrent venous thromboembolism (VTE) in patients with PE managed as outpatients was 1.47% (95% CI: 0.47 to 3.0%; I²: 65.4%) during the 3 month follow-up period. The rate of fatal PE was 0.47% (95% CI: 0.16 to 1.0%; I²: 0%). The rates of major bleeding and fatal intracranial hemorrhage were 0.81% (95% CI: 0.37 to 1.42%; I²: 0%) and 0.29% (95% CI: 0.06 to 0.68%; I²: 0%), respectively. The overall 3 month mortality rate was 1.58% (95% CI: 0.71 to 2.80%; I²: 45%). The event rates were similar if employing risk stratification models versus using clinical gestalt to select appropriate patients for outpatient management.

Conclusions

Independent of the risk stratification methods used, the rate of adverse events associated with outpatient PE treatment seems low. Based on our systematic review and pooled meta-analysis, low-risk patients with acute PE can safely be treated as outpatients if home circumstances are adequate.     

PBL教学模式在临床免疫学教学中的应用分析

目的探讨在临床教学中培养学生自我分析问题、解决问题能力的教学方法。方法采用问卷调查、技能考核、综合测评等方式对比研究PBL(Problem-Based Learning)教学法和LBL(lecture-Based Learning)教学法在临床免疫学教学中的教学效果。结果应用PBL教学法培养了学员良好临床思维。结论应用PBL教学法可显著提高学员学习兴趣和发现问题、分析问题、解决问题的实际能力,从而达到更佳的教学效果,值得推广。