案例教学法在《预防医学》教学中的应用

通过收集和编写与预防医学教材内容相配套的教学案例及制作多媒体课件,推行＂以案例为中心,培养临床医学专业学生公共卫生思维＂的教学实践,强化了临床医学专业的学生＂预防为主＂和＂三级预防＂的思想,提高了学生综合分析及判断能力,取得了较好的教学效果.     

Internalizing symptoms and polyvictimization in a clinical sample of adolescents: The roles of social support and non-productive coping strategies

Given the high prevalence of internalizing disorders during adolescence, it is necessary to determine the factors influencing their development and evolution. The aim of this study was to evaluate the role of polyvictimization in developing internalizing symptoms while considering the possible effect of non-productive coping and the availability of social support. The participants were 144 adolescents (M = 14.31, SD = 1.48) cared for in child and adolescent mental health services. The results of multiple regression analysis indicated that polyvictimization, non-productive coping and social support were good predictors of internalizing symptoms. In addition, non-productive coping acted as a mediator in the relationship between polyvictimization and internalizing symptoms. The results of the study emphasized the importance of the studied factors to understanding the process of development internalizing symptoms and to preventing or treating adolescents who suffer from these types of disorders.     

应用Protégé构建临床药物本体的探索*

通过对临床药物领域大量概念的分析，提出若干类和属性，并以这些类和属性初步构建成包含4种临床药物的试验性临床药物学本体，由此了解药物本体的构建特点，为药学本体具体应用完善专家系统，指导临床医生用药提供必要的决策支持。     

Gray cases of child abuse: Investigating factors associated with uncertainty

Research in child abuse pediatrics has advanced clinicians’ abilities to discriminate abusive from accidental injuries. Less attention, however, has been paid to cases with uncertain diagnoses. These uncertain cases – the “gray” cases between decisions of abuse and not abuse – represent a meaningful challenge in the practice of child abuse pediatricians. In this study, we describe a series of gray cases, representing 17% of 134 consecutive children who were hospitalized at a single pediatric hospital and referred to a child abuse pediatrician for concerns of possible abuse. Gray cases were defined by scores of 3, 4, or 5 on a 7-point clinical judgment scale of the likelihood of abuse. We evaluated details of the case presentation, including incident history, patient medical and developmental histories, family social histories, medical studies, and injuries from the medical record and sought to identify unique and shared characteristics compared with abuse and accidental cases. Overall, the gray cases had incident histories that were ambiguous, medical and social histories that were more similar to abuse cases, and injuries that were similar to accidental injuries. Thus, the lack of clarity in these cases was not attributable to any single element of the incident, history, or injury. Gray cases represent a clinical challenge in child abuse pediatrics and deserve continued attention in research.     

“三桥运动疗法”治疗非特异性下腰痛的临床疗效观察

目的：：观察和评价“三桥运动疗法”治疗非特异性下腰痛的临床疗效。方法：选择成都体育学院附属体育医院2013年10月-2015年3月非特异性下腰痛患者60例,采用“三桥运动疗法”,观测治疗前、治疗后一月及三月的总腰椎前突角,骶骨倾斜角,视觉模拟评分法( VAS),功能障碍指数(ODI),健康调查简表(SF-36)评分变化,对治疗前后疗效进行评估。结果：所有患者均获得随访,“三桥运动疗法”治疗非特异性下腰痛治疗前与治疗后一月,治疗后一月与治疗后三月后相比较两组在总腰椎前凸角差,骶骨倾斜角,VAS,ODI上其差异均有统计学意义( P<0.05)。结论：“三桥运动疗法”治疗非特异性下腰痛临床疗效良好。     

国内慢性荨麻疹临床疗效评价标准的调查

目的：调查分析国内慢性荨麻疹临床疗效判断标准。方法：采用频数分析、K－均值聚类分析等方法,分析目前国内慢性荨麻疹相关疗效判断标准的使用情况与适用范围。结果：符合纳入标准的文献857篇,文献中症状评估指标和疗效评价标准各不相同,采用症状体征下降指数（ SSRI）四级分级法的文献549篇（占64．17％）。采用K－均值聚类统计分析后发现,以治愈（100％≥SSRI＞90％）、好转（90％≥SSRI＞60％）、显效（60％≥SSRI＞20％）、无效（20％≥SSRI≥0％）为标准的四级疗效分级法适用范围较广。结论：慢性荨麻疹临床评估和药物疗效判断标准亟待统一和标准化。     

临床医学专业本科留学生全英文教学问题及对策

目的针对临床医学专业本科留学生全英文教学问题,提出解决对策.方法学校广泛宣传合作,提升留学生生源质量;强化全英文特色,向国际化靠拢;加强教师与留学生的互动交流,提高课堂授课水平,编写适宜教材并不断完善教学评估机制.结果留学生对基本理论、基本操作的掌握,临床资料收集能力,分析问题能力显著提高,同时,留学生对教师授课能力及教学满意度明显提高.结论留学生教学作为学校教学工作的重要内容,大大推动了教师教学水平的提高,同时带动了师资建设和学科建设.对留学生教学的教法研究也有利于本国学生的教学改革.     

财经类院校卓越法律人才培养中法律诊所的组织与运用

财经类高校法学教育的优势和侧重点是法学与经济学、管理学的相互渗透与支撑.财经类院校培养卓越法律人才应发挥经管法等诸学科交叉融合的优势,通过法律诊所等教育形式构建科学的经管法实践教学体系,并以教学模式的深化改革带动经管实践教学的有效实施.     

医疗临床监护设备仿真软件的设计和实现

阐述了医疗临床监护设备中的仿真软件的设计和开发思路。软件包括数据采集存储模块和软件仿真模块,通过HL7标准数据接口,把多种医疗临床监护设备连接成集成化的网络信息系统,实现多种生理数据的实时采集、动态监控和数据仿真,能与医院其他业务系统联网,实现数据共享,协同办公,提高医院综合诊疗技术、管理水平及竞争能力。     

Electrical Conductivity as a Tool to Detect Salt in Clinical Proteomics Samples

Clinical proteomics encompasses the study of the proteins in the human body at different settings to understand the various physiological and pathological pathways. The processing of the samples for electrophoresis based proteomics is a challenge to any researcher. Salt in particular can have an array of effects during the electrophoretic separation of proteins. There is a definite need to determine the concentration of salts in the samples and the effectiveness of salt removing protocols on small volume samples. A simple-cost effective technique to know the salt concentration in the clinical proteomics samples has been highlighted in the report. The application will be of value in a developing country such as India.