高中生物探究式实验教学设计研究及案例分析

“探究式学习”促使学生的学习方式和教师的教学方式发生深刻的变革.阐述了探究式学习、实验操作技能和探究式实验教学模式这三个概念的内涵.同时,对高中生物一个重要的验证性实验“叶绿体中色素的提取和分离”进行了改进,实施了探究式实验教学设计并进行了教学实践以及分析,旨在探讨如何培养学生的实验操作技能.由此可得出结论:开展探究式实验教学,既能通过规范的实验操作,培养学生的实验操作技能,又能培养学生的综合探究能力并树立实事求是的科学态度;利用随堂式的实验教学评价,能很好发挥探究式学习的成效.     

胸部双源性疾病外科治疗的临床决策

胸部双源性疾病随人口的老龄化而逐年增加,而老年人的心肺及各种脏器功能随年龄的增长逐渐衰退,并发症多,手术风险大,对此类病人的外科治疗如何做出正确的临床医疗决策呢？我们以循证医学理论为基础,努力做到临床医疗决策的科学性,治疗方案的合理性,大胆尝试,逐步从分期手术向一期手术过渡,既达到了解决病人疾苦,救治病人的目的,又解决了医疗需求的增加和卫生资源短缺的矛盾,取得了满意的效果,降低了医疗成本,节约了医疗资源,产生了明显的社会和经济效益。     

围手术期护理干预对腹腔镜胆囊切除术疗效的影响

目的探讨围手术期实施护理干预措施,对腹腔镜胆囊切除术疗效的影响。方法腹腔镜胆囊切除术患者100例根据护理方法的不同随机分为护理干预和对照组各50例。对照组进行常规护理,护理干预在对照组的基础上采取一系列的术前、术中及术后的围手术期护理干预措施。观察比较两组腹腔镜胆囊切除术的疗效及并发症情况。结果护理干预组的手术时间、术中出血量及术后排气时间、术后住院时间均明显短于对照组（P〈0.05）。且护理干预组术后发生切口感染、出血以及胆漏、放射痛、肠粘连的发生率明显低于对照组（P〈0.05）。结论通过采取系列的围手术期护理干预措施,可以积极预防并发症的发生,缩短手术时间及住院时间,提高治疗效果。     

PACS的高级预防维护技术

目的 通过讨论PACS高级预防维护技术,供同他人在日常维护过程中有一定地借鉴作用.方法 从PACS数据库性能检测与优化,存储设备检测及PACS各应用软件模块三方面进行阐述.结果 经过医院一线安装维护人员和PACS厂家多年实践的总结,拥有一定的可参考依据.结论 PACS的高级预防维护是一个复杂的系统工程,包括一般维护和高级维护在内的实践理论才刚刚起步,科学的、规范化的预防维护需要不断地完善和发展.     

Optimizing MPI collective communication by orthogonal structures

MPI collective communication operations to distribute or gather data are used for many parallel applications from scientific computing, but they may lead to scalability problems since their execution times increase with the number of participating processors. In this article, we show how the execution time of collective communication operations can be improved significantly by an internal restructuring based on orthogonal processor structures with two or more levels. The execution time of operations like MPI_Bcast() or MPI_Allgather() can be reduced by 40% and 70% on a dual Xeon cluster and a Beowulf cluster with single-processor nodes. But also on a Cray T3E a significant performance improvement can be obtained by a careful selection of the processor structure. The use of these optimized communication operations can reduce the execution time of data parallel implementations of complex application programs significantly without requiring any other change of the computation and communication structure. We present runtime functions for the modeling of two-phase realizations and verify that these runtime functions can predict the execution time both for communication operations in isolation and in the context of application programs.     

Relationship between roving behaviour and the diet and client composition of the cleaner fish Labroides bicolor

Diet analyses and observations of cleaning behaviour of two cleaner fishes revealed that Labroides bicolor fed more on client mucus, but Labroides dimidiatus fed more on ectoparasites, and that L. bicolor interacted with fewer species (36 species) compared with L. dimidiatus (44 species). The client species which contributed most to the dissimilarity between cleaner species were the dusky farmerfish Stegastes nigricans and bicolor chromis Chromis margaritifer damselfishes, which L. dimidiatus interacted with more often than L. bicolor, and the striated Ctenochaetus striatus and brown Acanthurus nigrofuscus surgeonfishes, which L. bicolor interacted with more; L. bicolor interacted with all parrotfishes (Scaridae) more. These results confirm the importance of repeated interactions and partner choice in determining the nature of interactions in mutualisms.     

肥胖病人急性阑尾炎腹腔镜手术与开腹手术临床效果比较分析

目的分析对肥胖急性阑尾炎病人实施腹腔镜阑尾切除与开腹阑尾切除的临床治疗效果。方法回顾性分析我院2007年1月至2011年12月期间腹腔镜阑尾切除与开腹阑尾切除相关资料。结果实施腹腔镜阑尾切除手术病人的总体并发症发生率与致死率均较低,住院时间较短,住院费用较少,两种方法相比差异显著,具有统计学意义。结论对于肥胖病人实施腹腔镜阑尾切除手术比实施开腹阑尾切除手术更为安全可靠,疗效更好,不论阑尾炎是否穿孔,腹腔镜阑尾切除手术应作为首选方法。     

中下段胆管癌的预后影响因素分析*

目的:探讨中下段胆管癌的预后影响因素。方法:对79例中下段胆管癌患者的临床资料进行回顾性分析,采用Kaplan-Meier分析对确定的单因素进行生存率的描述,用Cox回归进行多因素分析,采用log-rank法对单因素进行生存分析评价。结果:79例患者1、3、5年生存率分别为70.2%,36.2%,19.1%,中位生存时间为19.8个月。行根治性手术患者1年、3年、5年生存率分别为87.9%、45.5%和24.2%,分别显著高于姑息性手术患者1年、3年、5年生存率(28.9%、14.3%和7.1%);行根治性手术患者的中位生存时间为34.5个月,较姑息性手术患者显著延长(8个月),根治术与姑息性手术1、3、5年生存率及中位生存时间比较四项均P<0.01,差异具有统计学意义。单因素分析显示肿瘤病理分化,慢性病史,淋巴结转移为影响中下段胆管癌预后的因素。多因素分析显示慢性病史、手术切缘、肿瘤病理分化程度是影响中下段胆管癌预后的独立危险因素。结论:慢性病史、手术切缘、肿瘤病理分化程度为中、下段胆管癌行切除术后预后的独立危险因素,根治性手术可提高中、下段胆管癌患者的生存率和延长其生存时间。     

Application of an improved continuous parallel shaken bioreactor system for three microbial model systems

A continuous parallel shaken bioreactor system, combining the advantages of shaken bioreactors with the advantages of continuous fermentation, was specifically manufactured from quartz glass and provides a geometric accuracy of <1 mm. Two different model systems (facultative anaerobic bacterium C. glutamicum, and Crabtree-negative yeast P. stipitis), whose growth behaviour and metabolite formation are affected by dilution rate and oxygen availability, were studied. The transition from non-oxygen to limited conditions as function of the dilution rate could precisely be predicted applying the approach described by Maier et al. (Biochem Eng J 17:155–167, 2004). In addition, the Crabtree-positive yeast S. cerevisiae was simultaneously studied in the continuous parallel shaken bioreactor system and in a conventional 1-L bioreactor, for comparison. Essentially the same results were obtained in both types of bioreactors. However, many more reading points were obtained with the parallel shaken bioreactor system in the same time at much lower consumption of culture media.