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find Author "蒲丹" 14 results
  • 医学生对临床技能教学中医学知识与人文知识相结合的态度调查

    目的调查医学生对临床技能教学中融入人文知识的态度。 方法2013年5月-2014年8月调查269 名医学生在临床技能教学中对人文知识的理解程度及重视程度。 结果大部分学生(65.8%)认为技能教学中融入人文知识有必要;有58.0%的学生在临床技能操作过程中关注较多的是操作技巧与专业知识,有少部分同学对人文知识(15.6%)和法律知识(7.1%)有所关注。 结论在临床技能教学中学生存在只重视专业知识、忽视人文知识的现象,应在技能教学中融入人文知识,以弥补临床技能培养中相对薄弱的环节,实现医学知识与人文知识的有机结合。

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  • Evaluation of the Effect of Basic Life Support Intensive Training

    ObjectiveTo evaluate the effect of basic life support (BLS) intensive training for medical students who have received BLS training within one year. MethodsWe enrolled 865 medical students between January to December 2015 who had received BLS training within one year. These students were divided into three groups [undergraduate upcoming doctor (group A, n=436), postgraduate upcoming doctor (group B, n=197), and undergraduate upcoming medical technician (group C, n=232)] based on their major and educational background. In the study, they received on-the-spot BLS intensive training, and took BLS basic knowledge examination, skill examination and comprehensive capacity test before and after training. During the study, comprehensive capacity was evaluated by training scale including such items as emergency awareness, psychological diathesis, disposal ability, cooperation ability, and operation accuracy. ResultsBLS basic knowledge scores for the above three groups before and after training were respectively 58.9±9.5 vs 93.5±7.6, 52.5±4.5 vs 90.3±3.5, 54.8±5.3 vs 88.5±4.5, and the skill scores were 58.8±3.2 vs 95.3±1.7, 57.6±4.2 vs 90.5±2.3, 50.9±3.8 vs 93.5±1.8, respectively. The scores after training were significantly better than those before training (P<0.05). Comprehensive capacity was also improved significantly after intensive training (P<0.05). ConclusionsEstablishing a BLS intensive training program has important clinical significances for updating and consolidating the emergency knowledge, improving teaching quality and emergency training effect. So it is worth popularizing.

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  • 临床医学生临床技能多站考试中技能训练薄弱环节分析

    目的 通过对临床医学生临床技能多站考试成绩分析,探讨加强临床医学生临床技能薄弱环节的方法。 方法 选取 2012 年 5 月 30 日—31 日四川大学华西临床医学院 2007 级 106 名五年制及2007 级 77 名八年制临床医学生参加的临床技能多站(内科站、外科站、护理急救站)毕业考核成绩进行分析。 结果 外科站临床技能掌握情况较好(无不及格),内科站、护理急救站临床技能掌握较差(不及格率分别为 5.5%、6.0%)。外科站、护理急救站的各项操作考试成绩之间有统计学差异(P<0.05),部分临床医学生对外科站“缝合打结+拆线剪线”及“深部打结”操作掌握相对较差,对护理急救站“导尿术”操作掌握相对较差。 结论 只有对临床医学生进行全面、系统、规范的技能培训,才能培养出合格的临床医学生。

    Release date:2017-09-22 03:44 Export PDF Favorites Scan
  • 安全雾化管理在机械通气患者中的应用

    目的 探讨实施ICU重症监护病房机械通气患者安全雾化管理的有效措施。 方法 将入选的1 243例机械通气患者按入院顺序分为两组,2011年7月-12月收治的630例机械通气患者为对照组,按常规方法实施雾化治疗;2012年1月-6月收治的613例机械通气患者作为观察组,实施安全雾化管理,强调明确雾化指征,规范雾化操作、加强质量控制。 结果 观察组呼吸机相关性肺炎(VAP)的发生率明显低于对照组(P<0.01),ICU住院时间及住院费用较对照组低(P<0.05);两组VAP患者中大部分为雾化治疗者;两组雾化超过6次者的VAP发生率均高于雾化6次以下者。 结论 明确雾化指征、规范雾化操作、加强质量控制是实施机械通气患者安全雾化管理的有效措施;实施安全雾化管理能降低VAP的发生率,缩短ICU住院时间,降低医疗费用,提高医疗护理质量。

    Release date:2016-09-07 02:34 Export PDF Favorites Scan
  • A Systematic Review of Phospho-p70 Ribosomal Protein S6 Kinase Expression and Its Clinical Signi cance in Lung Cancer

    ObjectiveTo systematically evaluate the expression and clinical features of phospho-p70 ribosomal protein S6 kinase (p-p70S6K) in lung cancer. MethodsWe systematically searched the published researches about p-p70S6K expression and clinical features of lung cancer in Medline, EMbase, Chinese BioMedical Literature, China National Knowledge Infrastructure and WeiPu databases from their establishment to February 4th, 2014. According to the inclusion and exclusion criteria, the data were extracted and the Cochrane Review Manager 5 and Stata 12.0 were used for data analysis. ResultsEight studies including 953 patients were included in this systematic review. Analysis with random effects model showed that the positive expression rate of p-p70S6K in non-small cell lung cancer (NSCLC) tissues spread from 41% to 70%. In small cell lung cancer tissues, the positive expression rate of p-p70S6K ranged from 17% to 91%. The positive expression rate of p-p70S6K in NSCLC was significantly higher than adjacent normal tissues[OR=5.08, 95%CI (2.96, 8.71), P<0.00001]. Divided by status of cell differentiation, the positive expression rate of p-p70S6K between low differentiation and moderate-high differentiation groups had no statistically significant difference[OR=1.40, 95%CI (0.50, 3.92), P=0.53]. In addition, the positive expression rate of p-p70S6K was not related to lymph node metastasis[OR=1.11, 95%CI (0.56, 2.23), P=0.76]. ConclusionCompared with adjacent normal tissues, positive expression rate of p-p70S6K in NSCLC is significantly higher, indicating that p-p70S6K may be associated with the development of lung cancer. The positive expression rate of p-p70S6K in different kinds of lung cancer is still unclear, which needs further studies to explore.

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  • 气管插管全身麻醉术后患者肺部感染现状

    对采用气管插管进行全身麻醉(全麻)术后发生肺部感染的文献进行回顾,从术前、术中、术后3个方面分析其危险因素,总结预防控制措施。分析显示,高龄、长期吸烟史、麻醉时间与导管留置时间、术前呼吸道护理、术后镇痛及无菌操作技术等均可影响全麻术后肺部感染的发生率,需对上述危险因素进行针对性处理,如术前戒烟、缩短麻醉时间、术前雾化吸入、插管过程严格无菌操作等,均可有效地预防肺部感染。

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  • The Exploring and Practicing of Scene Simulation of Medical Disputes in Clinical Skills Teaching

    ObjectiveTo explore the teaching effects of scene simulation of medical disputes in clinical skills training. MethodsBetween September 2012 and June 2013, 93 clinical medicine undergraduates in Grade 2010 (8-year study) were randomly divided into the scene simulation teaching of medical disputes group (n=47) and the control group with traditional training (n=46) for clinical skills training. Teaching effects were assessed by clinical skills operation tests. ResultsThrough scene simulation teaching of medical disputes, the trainees' clinical disposal ability, operating skills, communication skills, cultural knowledge, and legal knowledge dimension scores were all significantly better than previous tests (P<0.05). ConclusionScene simulation of medical disputes has an obvious advantage in clinical skills training.

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  • Application of iSIM to optimize medical simulation teaching

    Medical simulation teaching is a bridge course from theoretical knowledge to clinical practice. At present, the medical simulation teaching is facing many problems. The iSIM is a systematic method to optimize medical simulation teaching. It aims to maximize the effect of medical simulation teaching by various teaching methods and assistant technologies. The combination of iSIM and medical simulation teaching can develop the correct clinical thinking, improve the clinical skills and strengthen the communication skills, so as to improve the medical quality in the real clinical environment. Based on experience Center of Experimental Teaching on Clinical Skills of West China Hospital , this paper introduces how to use iSIM to optimize medical simulation teaching.

    Release date:2017-06-16 02:25 Export PDF Favorites Scan
  • Management of Triage of the Wounded during Medical Rescue after the Wenchuan Earthquake

    During the medical rescue after the Wenchuan earthquake, in order to prevent hospital environmental pollution and cross infection, the nosocomial infection control committee of West China Hospital of Sichuan University immediately initiated the emergency response plan, improved the triage system, and organized multi-disciplinary infection control groups to improve the triage of the wounded and the infection control of the emergency department. At the same time, we regulated the individual behavior of healthcare professionals and took appropriate measures for personnel protection so as to ensure the safety of both the wounded and healthcare professionals.

    Release date:2016-08-25 03:36 Export PDF Favorites Scan
  • A Current Situation Survey on Sharp Injury in 840 Medical Workers

    Objective To survey the current situation of the sharp injury in medical workers, and to provide scientific evidence for the prevention and protection of sharp injury. Methods Through applying the questionnaire of sharp injuries designed by Zhongshan Hospital, Shanghai Fudan University, 10% of the workers in all departments of West China Hospital of Sichuan University were selected as respondents according to their job categories. The main contents of the survey included the general information of respondents, reporting after sharp injuries, training participation, and the exposure sources, operations, premises and equipments related to sharp injuries over the past one year.Results Of 840 questionnaires distributed, 100% were valid. The ratio of male was 23% while the female was 72%. There were 50.20% of all respondents who once got injured, and 75% of the respondents having the history of sharp injury worked less than 10 years. The nurses, house keepers and physicians were in the top three positions of suffering from sharp injury; and the operating room was ranked as the highest risk department for sharp injuries. The known haematogenous exposure sources were 69 cases of hepatitis B, 19 syphilis, 6 hepatitis C, and 3 HIV. There were 62% of the respondents who had ever attended related training, and only 11.61% of the injured respondents reported their sharp injuries. Conclusion The incidence rate of the sharp injury is high, but the report rate is low. The operating room is the high risk department, and nurses, house keepers, and physicians are the high risk population for sharp injuries. The prevention and protection and training for sharp injury in target departments and population should be strengthened.

    Release date:2016-09-07 11:06 Export PDF Favorites Scan
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