乳康片治疗乳腺增生症136例临床疗效评价

乳康片是一种纯中药制剂 ,它筛选黄茂、丹参、乳香、没药、淅贝母、鸡内金等十余种草药组成 ,具有行气止痛、活血化瘀、软坚散结之功效 ,无明显毒副作用 ,安全可靠 ,是治疗乳腺增生的一种较理想药物。     

Facing and managing dilemmas as a clinical educator

Although clinical educators make an important and irreplaceable contribution to the education of students undertaking qualifications that will enable them to practise as health professionals, little is known about the day‐to‐day experiences of clinical educators and the complexities of clinical education that may contribute to the problems or to the successes of clinical educators. This paper reports on one aspect of a study that sought to increase the understanding and appreciation of the roles and responsibilities of being a clinical educator. The lived experiences of clinical educators in speech pathology ¹ 1. Also known as speech‐language pathology in North America and speech‐language therapy in the UK. View all notes were explored in depth, over a sustained period of time, in an attempt to understand what it is like to be a clinical educator. This paper uses narrative data to illustrate dilemmas faced by clinical educators in our study, and discusses implications pertinent to clinical educators in a range of health disciplines in higher education.     

Engaging Undergraduate Kinesiology Students in Clinically-based Research

Many undergraduate students in kinesiology are interested in clinical careers and seek research opportunities for advanced study and unique learning experiences. This article describes a process of engaging undergraduate students in a multi-disciplinary, National Institutes of Health (NIH)-funded program project investigating factors that may affect pelvic floor support and symptoms in primiparous women during the first year postpartum. Students complete general and protocol-specific training prior to engagement, have specific tasks that reinforce skill development and require independence, and are invited to participate in additional opportunities with the investigative team. The topic of pelvic floor health is novel to most students and participation in this research expands their knowledge beyond a mainstream kinesiology curriculum. Institutionalizing this type of program could formalize undergraduate student research experiences and facilitate ongoing clinical research efforts with a kinesiology focus.     

Performance equivalency between computer‐based and traditional pen‐and‐paper assessment: A case study in clinical anatomy

The time, material, and staff‐consuming nature of anatomy's traditional pen‐and‐paper assessment system, the increase in the number of students enrolling in medical schools and the ever‐escalating workload of academic staff have made the use of computer‐based assessment (CBA) an attractive proposition. To understand the impact of such shift in the assessment method, an experimental study evaluating its effect on students’ performance was designed. Additionally, students’ opinions toward CBA were gathered. Second‐year medical students attending a Clinical Anatomy course were randomized by clusters in two groups. The pen‐and‐paper group attended two sessions, each consisting of a traditional sectional anatomy steeplechase followed by a theoretical examination, while the computer group was involved in two similar sessions conducted in a computerized environment. At the end of each of the computer sessions, students in this group filled an anonymous questionnaire. In the first session, pen‐and‐paper group students scored significantly better than computer‐group students in both the steeplechase (mean ± standard deviation: 66.00 ± 14.15% vs. 43.50 ± 19.10%; P < 0.001) and the theoretical examination (52.50 ± 12.70% vs. 39.00 ± 21.10%; P < 0.001). In the second session, no statistically significant differences were found for both the steeplechase (59.50 ± 17.30% vs. 54.50 ± 17.00%; P = 0.085) and the theoretical examination (57.50 ± 13.70% vs. 54.00 ± 14.30%; P = 0.161). Besides, an intersession improvement in students’ perceptions toward CBA was registered. These results suggest that, after a familiarization period, CBA might be a performance equivalent and student accepted alternative to clinical anatomy pen‐and‐paper theoretical and practical examinations. Anat Sci Educ 11: 124–136. © 2017 American Association of Anatomists.     

自拟降糖汤佐治糖尿病32例疗效观察

目的 :观察中药方剂 (自拟降糖汤 )对控制糖尿病病情的治疗效果 .方法 :6 3例糖尿病患者分成A、B两组 .A组在常规治疗基础上加用降糖汤 ,B组予以常规治疗 ,不加降糖汤 .结果 :A组治疗后空腹及餐后 2小时血糖均明显下降 ,差异具有显著性 (P <0 0 5 ) .B组治疗前后空腹及餐后 2小时血糖无明显变化 ,差异无显著性 (P >0 0 5 ) .结论 :降糖汤对控制糖尿病患者血糖确有一定疗效     

优化诊断学实验教改及紧密结合临床实践的思路

医学教育是教育事业的重要组成部分,为了全面提升卫生从业者的综合素质,适应社会发展的需求,优化诊断学实验教学紧密结合临床实践刻不容缓。结合我校教学的实际情况,对优化现有的诊断学教学方法进行思考,才能培养出时代需要的合格医学人才。诊断学是医学生成为医生之前的一门必修课,而教改的方向是培养和提高学生成为医生的资质,以便走上工作岗位之后能够有足够的实践能力为患者进行诊断和治疗疾病。     

诊所法律教育的特征研究

我国传统法律教育一贯重理论而轻实践,面对21世纪的挑战,对法律教育进行改革已刻不容缓,诊所法律教育便应运而生。诊所法律教育通过平等对话的教学模式和身临其境的教学环境,有利于对学生法律职业道德的培养,并对法制建设有着重要的影响。     

院校联合办学院方实践性临床教学探讨

在院校联合办学中，医院必须造就一大批“双师型”的教师，还要不断提高他们的整体素质；必须建立实践型临床教学架构；加强以落实制度和教学过程控制为主要内容的教学管理。     

德国汉诺威医学院汉尼拔医学课程模式探析

德国汉诺威医学院创立的汉尼拔医学课程模式是一种特殊的医学教育模式，本文从入学选拔、培养目标、课程设置、临床教学、课程考核、教学管理与评价这六个方面对其进行剖析。严格的选拔标准和学医动机考核是准入条件；人才培养以德国国家医学能力框架设定的医学学习目标为指导，注重以患者为中心、以科学研究为导向、以实用为原则；课程设置模块化，课程内容丰富，临床实践开展早；教学过程实行以疾病研究为中心的“学习螺旋”与三级化教学，提供高度跨学科的临床实训；采用客观结构化临床考试是课程考核的主要特点；在教学质量保障上，有受法律保护的教学质量监控管理体系和教学评估监督机制。     

严重呼吸综合征的胸部影像表现

目的 :总结严重急性呼吸综合征 (SARS)的胸部X线表现及变化规律。方法 :分析 5 1例经临床确诊的SARS患者一系列胸部X线进行统计分析。结果 :患者均以发热为最早发病症状 ,10 0 %患者在发病后 1周内X线胸片出现局灶性斑片状模糊阴影 ,2周内达到高峰 ,15 .6 %患者为双肺多肺炎性病变 ,5 2 .9%患者为左肺 ,右肺为 31.4 % ,大部分肺野受累 ,病情重 ,98%患者在 4周内肺部阴影逐渐消散。结论 :肺部病变越早 ,范围越广 ,发展越迅速 ,临床症状越重。