“两轮驱动,管评结合”高等职业教育管理评价体系的应用研究

目的通过分析南阳医学高等专科学校"两轮驱动,管评结合"高等职业教育管理评价体系的内涵,总结高等职业教育管理评价体系的构建内容。方法结合高等职业教育管理评价现状,进行高等职业教育管理评价体系构建要素分析及应用效果分析。结果 "两轮驱动,管评结合"高等职业教育管理评价体系与当前社会发展相适应。结论构建"两轮驱动,管评结合"的高等职业教育管理评价体系是高职教育质量提升的有效途径。     

“工学结合”教育模式下中职护理专业语文过程性评价研究

在"工学结合"教育模式下,以过程性评价为主线,以学生专业素养与能力水平评价为核心,对中职护理专业语文课程学习评价模式进行尝试与探索。     

案例教学结合真实性评价在妇产科护理教学中的应用

在科技国际化趋势下,我国医疗界也引入了越来越多的高精尖技术与设备,为了适应现代医学要求,妇产科护理专业的教学改革也日趋迫切。妇产科护理教育专业为了适应护理实践要求,积极更新教育理念引进先进的教学模式,在理论结合实践的基础上选取临床病例作为课件模型,并结合教师真实性评价开展教学实践取得了较好的教学效果。同时也促进了教师通过自主学习提高专业素养的积极性也使教学更具实效性。案例教学结合真实性评价的教学实践将"教"、"学"、"评"的临床教学三要素完美结合,使护理临床教学效果明显提升。     

《药事管理实务》精品课程建设的实践与思考

依据高职类教学改革的要求,结合<药事管理实务>精品课程建设,介绍了校企合作开发课程,依据岗位真实任务设计教学内容,采用"四阶段"教学模式实现教学与实习地点的一致性,在"工学结合"教学场所运用"六步骤"教学过程,设计"四结合"教学评价体系,在教师引导下开展以学生为主的教学组织,构建立体化网络教学资源,提高学生自主学习能力,加强"双师"结构教师队伍建设等课程设计理念.     

中药复杂成分解析与质量评价的研究进展

质量控制和标准化是中药产业发展的核心科学问题,对中药的临床疗效和安全性具有重要影响。中药化学物质基础的全面揭示和有效成分群的系统阐明,对于建立科学合理、有效可行的质量评价标准至关重要。本文结合作者实验室近年来的研究实例,从中药"固有成分的表征"、"有效成分的发现"和"质量评价的方法"3个方面综述了中药复杂成分解析与质量评价进展,并分析了目前中药质量评价所面临的挑战及对策。     

城镇职工居民医疗保险综合评价法分析与研究

"综合评价法"是运用系统内各现象的指标体系,通过结合大量相关资料,构建综合评价模型,从而利用分析方法以求出综合评价与结果。它用于医疗服务质量与医疗保险质量的检测与追踪评价,为医院制定医疗质量管理目标提供可靠的依据,指导科室管理,实现量化的科学管理,是调控管理城镇职工、居民医疗保险费用不合理增长的可持续手段。     

中医内科临床教学整体评价结合SP+OSCE考核方法的研究

目的:探讨中医内科临床教学整体评价结合SP+OSCE考核方法的临床教学效果。方法:选择同一班级本科毕业实习生36人,随机分为试验组(18人)和对照组(18人)。招聘和培训20名标准化病人(SP),制定客观结构化临床考试(OSCE)内容。采用相同教材、相同教师、相同方法(SP+OSCE)考核。试验组采用"整体评价"的考核方法,对照组采用"个体评价"的考核方法。比较两组实习生中医四诊技能和病历书写考试成绩。结果:中医内科临床教学整体评价结合SP+OSCE考核方法优于个体评价结合SP+OSCE考核方法(P<0.01)。结论:整体评价结合SP+OSCE考核方法可提高临床技能和病历书写水平。     

DME的测量(M)方法在病证结合研究中的运用

DME(设计、测量、评价)是根据临床医学研究课题的性质,进行科学设计、测量和评价的方法.病证结合研究是通过对"疾病"与中医学中的证和症状学及特异理化检测指标的相关性研究,提出病中"证"的确切分布,克服目前分证的随意性,探索病与证之间的内在规律,提出病、证、症结合诊治疾病的新模式,以解决病中"证"的数量、证的名称、证或型所包含的指标(症状、体征、特异检测指标),从而建立证的规范标准.     

卫生职业院校“双师型”教师评价体系的构建

如何进行"双师型"教师培养,必须要科学、合理地构建"双师型"教师评价体系。本文以"双师型"教师的内涵、应具备的素质和能力、具体的构建原则为出发点,结合目前卫生职业院校师资队伍的实际状况,对卫生职业院校"双师型"教师队伍评价体系及教师认证分级标准进行评价。     

基于指标浅述中医临床疗效评价

随着医学模式的改变,西方医学各项指标已不能从"病"的角度来完整评价中医临床疗效。笔者认为中医疗效评价既要结合当代临床又要结合中医诊疗思维模式,借助多维评价指标体系,探索符合中医药自身规律的评价方法,是中医走向世界接轨国际医学的核心。     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

Luo Lingjie's Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.     

Dr.Zhang Ren's Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

安心颗粒对急诊经皮冠状动脉介入术后生活质量影响的研究

目的：评价使用安心颗粒对急诊经皮冠状动脉介入术（PPCI）术后生活质量的影响.方法：将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组（术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次）和对照组（仅接受基础药物治疗）.所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表（MIDAS）、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果：入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异（P＞0.05）;出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低（P＜0.05）;组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低（P＜0.05）.两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血（P＞0.05）.两组发生轻度血小板减少症的患者数比较无差异（P＞0.05）.结论：PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.     

The comparative studies of the influences of Urapidil and Nicardipine on sino-atrial node function, atrio-ventricular node function and hemodynamics

Objective:To investigate the influences of urapidil and nicardipine on rabbit sinus function,atrio-ventricular node function and hemodynamics.Methods:Thirty-two Angora's rabbits were selected and randomly divided into four groups.U1 group:urapidil 0.25 mg/kg;U2 group:urapidil 0.5 mg/kg;N1 group:nicardipine 10 μg/kg;N2 group:nicardipine 20 μg/kg.All these medicine were administrated within 30 seconds.Measurements were taken before and after the administration of urapidil or nicardipine for the following data:mean blood pressure(MAP),heart rate(HR),sino-atrial conduction time(SACT),maximal sinoatrial recovery time(SNRTmax)corrected sinus node recovery time(CSNRT),index of sinus node recovery time(SNRTI),Wenckebach A-V conduction frequency (WB),and P-R interval.Results:Significant MAP and HR changes were identified in all of the four groups before and after administration of both urapidil and nicardipine.No significant changes could be found in the rest of the parameters.Intergroup analysis showed that SACT and CSNRT of N1 and N2 groups were shorter than those of the U2 group(P＜0.01);the MAP decreased(P＜0.01)and the HR increased drastically(P＜0.01).Conclusions:Neither urapidil(0.25 mg/kg,0.5 mg/kg)nor nicardipine(10μg/kg,20μg/kg)has any significant influence on rabbit sinus function or rabbit atrio-ventricular node function.Nicardipine could be a better choice than urapidil for parafunctional sinus node patients.     

猪肺磷脂注射液联合经鼻持续气道正压通气对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性的影响

目的 探讨猪肺磷脂注射液联合经鼻持续气道正压通气(NCPAP)对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性(CK-MB)的影响.方法 选取呼吸衰竭早产儿80例,分为观察组和对照组各40例.对照组采用NCPAP给氧治疗,观察组给予NCPAP给氧联合猪肺磷脂气管内给药.观察两组患儿治疗前及治疗12h、24 h后PaO2、PaCO2、血氧饱和度(SaO2)、pH的变化情况,检测治疗前及治疗5d后血清CK-MB水平;评估两组患儿的临床治疗效果.结果 两组患儿PaO2、PaCO2、SaO2、pH比较,差异均有统计学意义(P＜0.05),其中观察组治疗后的PaO2、SaO2、pH均高于对照组,PaCO2则低于对照组.两组的PaO2、SaO2、pH均随观察时间延长而升高(P＜0.05),PaCO2均随观察时间的延长而降低(P＜0.05).观察组治疗有效率为87.5％,显著高于对照组的70.0％ (P ＜0.05).治疗5d后两组患儿血清CK-MB水平均较前降低(P＜0.05),且观察组明显低于对照组(P＜0.05).结论 猪肺磷脂注射液气管内给药联合NCPAP可以显著降低呼吸衰竭早产儿CK-MB的含量,提高治疗有效率,起到很好的呼吸循环支持作用.