首都医科大学宣武医院神经内科高级研修培训模式的探讨分析

医学进修是提高医务人员综合素质的重要途径.宣武医院神经内科依托于首都医科大学神经病学系开展了”神经内科高级研修培训班”,选取高素质的医师进行个体化培训.已培训学员112名,其中16人成为医院或当地神经内科系统学科带头人,35人成为学术骨干;建立专科专病门诊(中心)38个,建立疑难病会诊中心21个;申请省市级课题36项,国家级课题18项.极大的提高了当地的临床、科研和学术水平,取得了显著的成效,值得推广和借鉴.     

Partial persistence of exercise-induced myocardial angiogenesis following 4-week detraining in the rat

Enhanced angiogenesis, or capillary growth, has a prominent role among the various beneficial effects of exercise training on the myocardium. The aim of the present study is to assess if training-induced increases in capillarity and vascularization persist after 4 weeks of detraining. Adult male rats were trained to run on a treadmill for 10 weeks at ∼60% VO_2max, which did not induce cardiac hypertrophy, but increased (P < 0.05) the soleus/body weight ratio, left ventricle capillarity and von Willebrand-positive cell density (n = 6). In another group of animals (n = 6) subjected to training followed by 4-week detraining, the soleus/body weight ratio returned to normal, with only partial reversal of left ventricle capillarity and von Willebrand-positive cell density. Markers of angiogenesis (VEGF, KDR/VEGF-R2 and HIF-1α mRNA, studied by real-time RT-PCR) were upregulated at the end of training, and returned to baseline value after detraining. Electron microscopy highlighted some morphological features in trained hearts (endothelial cell sprouting and bridges and pericyte detachment), suggestive of endothelial cell proliferation and capillary growth that were absent in untrained and detrained hearts. We conclude that the training-induced increase in cardiac capillarity and vascularization are retained for some time upon cessation of the training program even in the absence of angiogenic stimuli.     

Program review. Challenges and opportunities for training the next generation of biophysicists: perspectives of the directors of the Molecular Biophysics Training Program at Northwestern University

Molecular biophysics is a broad, diverse, and dynamic field that has presented a variety of unique challenges and opportunities for training future generations of investigators. Having been or currently being intimately associated with the Molecular Biophysics Training Program at Northwestern, we present our perspectives on various issues that we have encountered over the years. We propose no cookie-cutter solutions, as there is no consensus on what constitutes the "ideal" program. However, there is uniformity in opinion on some key issues that might be useful to those interested in establishing a biophysics training program.     

Dominance hierarchy in a herd of female eland antelope (Taurotragus oryx) in captivity

The dominance hierarchy of a group of adult female elands (n=10) kept in captivity was followed for 34 months. Outcomes of dominance relationships at the beginning and end of the study were compared. A clear dominance hierarchy existed in the herd. The dominance pattern was complex, but triads were predominantly (95%) transitive or linear. Reversal of dominance occurred in 12 dyads (27%), of which eight (67%) involved a single female. Two females shared the most dominant rank at the beginning of the study. One of these two females and another female later assumed the highest dominance rank on different occasions. A single female remained most subordinate throughout the study period. The correlation between body weight and dominance rank was not significant (r=0.46; P=0.21). Similarly, dominance rank was not associated with the taming potential of the females. However, the median dominance value increased in females with good taming potential, while it decreased in those with poor taming potential. In conclusion, captive eland antelope have a dynamic and complex dominance hierarchy that is predominantly linear. Zoo Biol 23:323–333, 2004. © 2004 Wiley‐Liss, Inc.     

Social learning and life skills training for hatchery reared fish

With the stress placed on our natural resources, many fisheries increasingly rely on restocking from hatchery-reared sources in an attempt to maintain commercially viable populations. However, the mortality rates of hatchery-reared fishes during the period directly following release are very high. The successful development of restocking programs is consequently dependent upon production and release strategies that lead to improved migratory, antipredator and feeding behaviour in hatchery fish. While relevant individual experience prior to release might improve performance, social learning potentially provides a process whereby fish can acquire locally adaptive behaviour rapidly and efficiently. It is now well over a decade since Suboski & Templeton (1989) raised the possibility of using social learning processes to improve the post-release survival of hatchery-reared fishes. This period has witnessed considerable progress in the understanding of how social learning operates in fish populations. We review new methods and recent findings that suggest how social learning protocols could realistically be applied on a large scale to enhance the viability of hatchery fish prior to their release into the wild. We also suggest a practical pre-release training protocol that may be applied at the hatchery level.     

上海地区某三级医院新职工岗前培训效果分析

目的 旨在通过对我院岗前培训8年经验的总结，摸索出一套在医院文化背景下的岗前培训体系。方法 采用问卷方法对2007—2009年新员工岗前培训效果进行匿名调查，并使用Excel进行数据录入和统计。结果 调查对象中76.63%的员工对师资配置情况及课程设置情况表示满意，54.08%的员工对培训时间与进度表示很合适，69.47%的员工对培训保障措施表示满意，69.42%和80.08%的员工分别对授课形式和培训受益情况表示满意。结论 医院文化及人文医学培训是医院人力资源处岗前培训的核心内容，这对每个从医人员树立正确的职业价值观具有指导作用和现实意义。岗前培训中培训师的授课技巧、专业知识及能力有待进一步提高，今后应不断完善内部培训师的培养途径与方法。     

Influence of training in the dark or light phase on physiologic and metabolic parameters of Wistar rats submitted to aerobic exercise

Light and dark phase training may influences rodents’ physiologic parameters because these animals have nocturnal habits. Thus, we verify the effects of the training in different photoperiods on metabolism and corporal composition of rats. Eighteen rats were divided into three groups – G1: non-trained; G2: trained in the light phase; G3: trained in the dark phase. Rats were allowed to swim for 60 min, five times per week during six weeks. Trained animals presented a smaller weight gain and fat percentage in carcass. Rats of G3 increased gastrocnemius relative weight. The adipocyte diameter of G3 rats was smaller than the other groups. The levels of the total cholesterol, low-density proteins, and triacylglycerols were decreased in animals of G2 while the glycemia was increased. Training in light phase provided more alterations in the blood biochemical profile while the training in the dark increased the gastrocnemius weight and decreased the diameter of the adipocyte.     

Lactate modeling and its application to endurance training

1. 1. In this short review, previous studies regarding the modeling of lactate (La) response to exercise and its application to endurance training have been summarized.

2. 2. Additionally the result of a recent study by the present authors are shown.

3. 3. Several models for La response to step and ramp exercise are already proposed and deductions derived from them are used for practical purposes such as the prediction of race performance in middle-and long-distance runners as well as for construction of their training regimens.

4. 4. Only a limited number of models however have tried to quantify whole body La kinetics to exercise in humans concomitantly with describing physiological mechanisms underlying the observed phenomenon.

5. 5. In a recent study described further in this paper a 2 compartment model was used for the purpose of clarifying the current “La production vs degradation” controversy during La adaptation to training.

6. 6. It was determined from this investigation that the La metabolic clearance rate during recovery is enhanced by the endurance training.

7. 7. This is in accordance with another recent observation of an increased La metabolic clearance rate at high absolute work rates and all relative work rates during exercise.