妇产科学双语教学在长学制医学生理论教学中的应用

我国目前推广应用的双语教学是指除汉语外,用英语作为课堂的主要用语进行学科教学的活动。近年来,我校在长学制医学生妇产科学理论教学中开展双语教学,在教学方式上积累了一定的经验。我们认为,如能在正确理解双语教学模式、明确教学目的的基础上,保证有资质的师资和合适的教材,并掌握合理的教学方法,就能充分发挥双语教学的优势,使教学质量更上一层楼。     

Eficacia y eficiencia de las unidades geriátricas de agudos: un tópico clásico revisitado

Previous meta-analyses have shown that the hospital admission of older patients in acute geriatric units (AGU) compared to admission to other conventional units, significantly reduced the risk of functional deterioration during hospitalization, increasing the possibility of returning home, with an added reduction in cost of hospitalization. A new meta-analysis on the subject has recently been published in Age and Aging, which adds six new studies to the five clinical trials analyzed in previous meta-analyses. This article analyzes the results of this new meta-analysis, delving into the characteristics of the new studies included and making some considerations on the implications for care in the future development of AGU.     

Family composition and the characteristics of parental care during the nursing phase of captive common marmosets (Callithrix jacchus)

Cooperative care of the young by the father, older siblings, and unrelated group members is observed in a number of species, but inCallithrix jacchus parental care by the father is considered to be part of the reproductive behavior of the species. Nevertheless, the way the presence of potential helpers influences the costs of caring for the parents is not well understood. In this study we describe the suckling phase of youngC. jacchus, in families with and without older siblings, assessing the effect of siblings on the amount of care given by the father and mother. Six family groups were observed: three consisting of the mated pair and two newborn infants, and three with one or two additional sub-adult siblings. Our results suggest that the presence of older siblings as helpers affects the parents' participation in caregiving by altering maternal investment through the control of nursing and by reducing the costs of carrying for the father.     

Attitudes toward COVID-19 vaccines in Chinese college students

Background: Vaccination is an important preventative measure against the coronavirus disease 19 (COVID-19) pandemic. To implement vaccination and immunization programs effectively, it is essential to investigate public attitudes toward COVID-19 vaccines. This study examined the attitudes of Chinese college students toward COVID-19 vaccines and their associated factors. Methods: A cross-sectional study was conducted in college students nationwide from December 27, 2020 to January 18, 2021. Attitudes toward COVID-19 vaccines and acceptance of future vaccination programs were assessed. Results: Totally, 2,881 college students participated in this survey; of them, 76.3% (95% CI: 74.8% - 77.9%) were willing to accept a COVID-19 vaccine in the future. Multiple logistic analysis revealed that students living in urban (OR=1.409, 95% CI: 1.152 - 1.724, p=0.001) and those studying health-related courses (OR=1.581, 95% CI: 1.291 - 1.935, p<0.001) were more likely to have a positive attitude toward COVID-19 vaccines. In addition, those who were worried about being infected with COVID-19 (very much vs no, OR=1.690, 95% CI: 1.212-2.356, p=0.002), heard previously about COVID-19 vaccines (OR=1.659, 95% CI: 1.268-2.170, p<0.001), believed that vaccines are safe (Yes vs No, OR=3.570, 95% CI: 1.825-6.980), thought that vaccines can protect people from being infected with COVID-19 (Yes vs No, OR=1.957, 95% CI: 1.286-2.979, p=0.002), and had encouraged their family and friends to have a vaccine (Yes vs No, OR=17.745, 95% CI: 12.271-25.660, p<0.001) had higher acceptance of COVID-19 vaccination. Conclusions: A high rate of acceptance of COVID-19 vaccines was found among Chinese college students. However, vaccine uptake may be reduced by concerns about vaccine safety and efficacy. Alleviating these concerns and enhancing public confidence in vaccines are crucial for future immunization programs against the COVID-19 pandemic.     

Practice with confidence: Analyzing confidence level of final year dental students from four Saudi dental colleges in Riyadh

ObjectiveTo investigate the confidence level of final year dental students in Riyadh.MaterialsCross-sectional study was conducted at four dental colleges in Riyadh (N = 312, 220 and 70,5% responded). Oneway ANOVA and post hoc Tukey-Kramer was used.ResultsThe greatest self-reported confidence scores were for pit fissure sealent (4.6(0.7)). Whereas, students reported least confidence in conducting surgical extractions (2.7 (1.2)). Females were found more confident in conducting preventive resin restorations, oral hygiene instructions, and rubber dam placement as compared to male who were more confident in surgical extraction, copy dentures, veneer preparation and managing orthodontic emergencies.ConclusionAll students were confident in performing essential dental procedures however higher confidence was observed in performing simple procedures compared to more complex ones.     

Concordance of cancer drug therapy information derived from routinely collected hospital admissions data and the Systemic Anti-Cancer Therapy (SACT) dataset,for older women diagnosed with early invasive breast cancer in England

BackgroundEvaluating uptake of oncological treatments, and subsequent outcomes, depends on data sources containing accurate and complete information about cancer drug therapy (CDT). This study aimed to evaluate the consistency of CDT information in the Hospital Episode Statistics Admitted Patient Care (HES-APC) and Systemic Anti-Cancer Therapy (SACT) datasets for early invasive breast cancer (EIBC).MethodsThe study included women (50 + years) diagnosed with EIBC in England from 2014 to 2019 who had surgery within six months of diagnosis. Concordance of CDT recorded in HES-APC (identified using OPCS codes) and SACT was evaluated at both patient-level and cycle-level. Factors associated with CDT use captured only in HES-APC were assessed using statistical models.ResultsThe cohort contained 129,326 women with EIBC. Overall concordance between SACT and HES-APC on CDT use was 94 %. Concordance increased over the study period (91–96 %), and there was wide variation across NHS trusts (lowest decile of trusts had concordance≤77 %; highest decile≥99 %). Among women receiving CDT, 9 % (n = 2781/31693) of use was not captured in SACT; incompleteness was worst (18 %=47/259) among women aged 80 + and those diagnosed in 2014 (21%=1121/5401). OPCS codes in HES-APC were good at identifying patient-level and cycle-level use of trastuzumab or FEC chemotherapy (fluorouracil, epirubicin, cyclophosphamide), with 89 % and 93 % concordance with SACT respectively (patient-level agreement). Among cycles of solely oral CDT recorded in SACT, only 24 % were captured in HES-APC, compared to 71 % for intravenous/subcutaneous CDT.ConclusionsCombining information in HES-APC and SACT provides a more complete picture of CDT treatment in women aged 50 + receiving surgery for EIBC than using either data source alone. HES-APC may have particular value in identifying CDT use among older women, those diagnosed less recently, and in NHS trusts with low SACT data returns.     

Multimodal home care intervention for dependent older people “Live better at home”: Protocol of a randomized clinical trial

BackgroundThe intensity of the home care interventions for dependent older people offered in Spain may not be sufficient to help keep older people living at home, being the institutionalization in a nursing home (NH) an unavoidable consequence.ObjectiveTo evaluate the effect of intensification in home care interventions on users with grade II or III dependency, as well as training for their informal caregivers in order to delay or avoid their institutionalization in a NH.MethodsA randomized clinical trial with two parallel arms and blinded assessment will be conducted at the community level in two municipalities in Catalonia (Spain). The study will include those older people (aged 65 and over) living in the community, with degree II or III of dependency, users of the public home care unwilling to be institutionalized and with a main informal caregiver in charge, who will also participate in the study. The assessments will be performed monthly up to 15 months, when the intervention will be finished. The main outcome will be the time until the willingness for admission to a NH. Secondary variables will be composed of sociodemographic, health, psychosocial, resource use, and follow-up variables. A multivariate Cox regression model will be carried out to estimate the effectiveness of the intervention.DiscussionA multimodal home care intervention could improve the health and psychosocial status of dependent people and their informal caregivers and facilitate their permanence at home.Trial registrationNCT05567965     

Reconfiguring Uyghurness in multilingualism: an internal migration perspective

This qualitative inquiry investigates how the experiences of learning and using multiple languages influenced the transformation of self-perceived ethnic identities in a group of tertiary-level Uyghur minority students in the context of internal migration in China. Data analysis showed that the majority of Uyghur participants developed a greater affinity with and attachment to their ethnic group by emphasizing the language differences between Uyghur and the dominant Han in intercultural encountering. However, they gradually probed into the meaning of “being Uyghur” in the receiving community. Participants following mother tongue and Chinese educational paradigms were found to offer contrastive answers to the question “what should be the distinguishing features of being Uyghur?”. It was further found that learning English as a third language enabled participants to develop a positive personal ethnic identity by enhancing their understanding of ethnicity and its associations with its constituent elements. We conclude with suggestions for relevant stakeholders.     

Changes in body proportions of Japanese medical students between 1961 and 1986

Since 1945, the Japanese physique has changed a great deal. Physical examinations of medical students at Kyushu University have been carried out on an annual basis since 1939. We investigated changes in body proportions using data on 813 medical students examined from 1961 to 1986. During these 26 years, standing height has increased by 4.69 cm, arm length by 2.58 cm, and sitting height by 0.79 cm. Thus, the Japanese have grown taller and their extremities are longer, yet the trunk has not changed significantly. This study also shows a 10-year delay in increase in length of the upper extremities.