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101.
目的:探究标准化患者模拟结合案例情景对普外科见习教学的运用。方法:选取我科2012年本科见习生120例进行随机分组,模拟组、案例组及联合组各40例,分别采用标准化患者模拟、案例情景及标准化患者模拟结合案例情景进行教学,对比三组见习生的学习效果,分析联合教学的运用方法。结果:联合组学生见习结束后学习兴趣、知识掌握情况及讲师满意度均显著高于其他两组,其课堂气氛活跃情况明显优于案例组(P〈0.05);三组学生传统试题错题数无明显统计学差异(P〉0.05),联合组学生病例分析错题数明显低于案例组及模拟组(P〈0.05);见习结束时,联合组知识掌握程度及病历书写能力均显著优于模拟组及案例组,三组数据对比存在统计学差异(P〈0.05)。结论:标准化患者模拟结合案例情景能够有效弥补传统见习教学的不足,提高学生学习积极性、课堂活跃度及学习效果,使其知识掌握情况和病历书写能力得到大幅提升,是一种效果优秀的教学方式,值得广泛推广。 相似文献
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酶工程作为一门理论与实践相结合的专业课程,在生物工程专业研究生的课程设置中处于桥梁和纽带地位,对专业型人才的培养发挥着重要的作用。为了适应我国研究生专业学位教育发展的客观需求,提升酶工程课程的实践教学效果,并进一步提高学生的学习兴趣和积极性,培养研究生的应用型创新能力,我们通过在课程教学中引入虚拟仿真技术,开展案例式教学模式探索,并利用"互联网+"技术等多元化方式对该课程的教学模式、方法和手段进行尝试改革和探索,取得了一定的教学效果。本文就此进行了一些探讨,以期能为相关课程的教学改革提供一些思路和启示。 相似文献
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This article reports a new application of material and energy accounting techniques to characterize and quantify the relationships between material input (and the related energy flows and emissions) and the services provided (i.e., material input per service unit [MIPS]) at the neighborhood level. The case study focuses on China's small residential district (SRD). It is concluded that linking a service (in this case, residential function) enabled by a given product (neighborhood development) to the amount of materials, energy, and emissions used or produced in creating that product offers a potential way to reduce the environmental impact of that service through more efficient use of materials, enlarged service scales, and improved buying decisions. 相似文献
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Richardson S Browne ML Rasmussen SA Druschel CM Sun L Jabs EW Romitti PA;National Birth Defects Prevention Study 《Birth defects research. Part A, Clinical and molecular teratology》2011,91(7):623-630
BACKGROUND: Alcohol consumption during pregnancy is known to be associated with certain birth defects, but the risk of other birth defects is less certain. The authors examined associations between maternal alcohol consumption during pregnancy and craniosynostosis, omphalocele, and gastroschisis among participants in the National Birth Defects Prevention Study, a large, multicenter case–control study. METHODS: A total of 6622 control infants and 1768 infants with birth defects delivered from 1997–2005 were included in the present analysis. Maternal alcohol consumption was assessed as any periconceptional consumption (1 month prepregnancy through the third pregnancy month), and by quantity‐frequency, duration, and beverage type. Alcohol consumption throughout pregnancy was explored for craniosynostosis since the period of development may extend beyond the first trimester. Adjusted odds ratios (OR) and 95% confidence intervals (CI) were estimated using unconditional logistic regression analysis. OR were adjusted for age, race/ethnicity, and state of residence at time of infant's birth. Gastroschisis OR were also adjusted for periconceptional smoking. RESULTS: Periconceptional alcohol consumption and craniosynostosis showed little evidence of an association (OR = 0.92; CI: 0.78–1.08), but alcohol consumption in the second (OR = 0.65; CI: 0.47–0.92) and third trimesters (OR = 0.68; CI: 0.49–0.95) was inversely associated with craniosynostosis. Periconceptional alcohol consumption was associated with omphalocele (OR = 1.50; CI: 1.15–1.96) and gastroschisis (OR = 1.40; CI: 1.17–1.67). CONCLUSIONS: Results suggest that maternal periconceptional alcohol consumption is associated with omphalocele and gastroschisis, and second and third trimester alcohol consumption are inversely associated with craniosynostosis. Birth Defects Research (Part A) 2011. © 2011 Wiley‐Liss, Inc. 相似文献
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Jae Hee Kim Hyemi Lim Young-Sang Hwang Tae Yeon Kim Eun Mee Han Eun-Hee Shin Jong-Yil Chai 《The Korean journal of parasitology》2013,51(3):343-347
Autochthonous human gnathostomiasis had never been reported in the Republic of Korea. We report here a case of Gnathostoma spinigerum infection in a 32-year-old Korean woman, presumed to have been infected via an indigenous route. The patient had experienced a painful migratory swelling near the left nasolabial fold area of the face for a year, with movement of the swelling to the mucosal area of the upper lip 2 weeks before surgical removal of the lesion. Histopathological examinations of the extracted tissue revealed inflammation with heavy eosinophilic infiltrations and sections of a nematode suggestive of a Gnathostoma sp. larva. The larva characteristically revealed about 25 intestinal cells with multiple (3-6) nuclei in each intestinal cell consistent with the 3rd-stage larva of G. spinigerum. The patient did not have any special history of travel abroad except a recent trip, 4 months before surgery, to China where she ate only cooked food. The patient is the first recorded autochthonous case of G. spinigerum infection in Korea. 相似文献