Search

Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective To explore the pathogenic and clinical characteristics of 7 cases of double bacterial hepatic abscess. Methods The clinical data of 7 cases of double bacterial hepatic abscess treated in this hospital from January 2015 to December 2021 were analyzed retrospectively. The bacterial spectrum, clinical manifestations and complications were analyzed, and the clinical characteristics of double mixed bacterial hepatic abscess were summarized. Results In 7 cases of double mixed bacterial hepatic abscess, the age was 22.078.0 years old, the mean age was (58.9±17.7) years old, the mean hospital stay time was (15.6±10.9) d. Six cases (85.7%) were complicated with underlying disease and previous surgical history. Fever (71.4%) and abdominal pain (57.1%) were the main symptoms. Pneumonia and pleural effusion were the main complications. The mean diameter of hepatic abscess was (6.1±3.2) cm, and all patients were cured by percutaneous puncture and drainage of hepatic abscess combined with antibiotics for anti-infection treatment. All patients had varied degree of liver function injury. The main pathogenic bacteria were Klebsiella pneumoniae and Escherichia coli. The proportions of cephalosporin and quinolone antibiotic resistance all were 57.1% (4/7), and carbopenem antibiotic resistance proportion was 28.6% (2/7). Conclusion Double mixed hepatic abscess usually occurs in the elderly patients with complicating underlying disease and previous surgical history. Klebsiella pneumoniae and Escherichia coli are main pathogenic bacteria, moreover which are easy to have drug resistance. [ABSTRACT FROM AUTHOR]

目的 探讨荧光导航显像技术在肝外胆道系统教学中的应用效果。方法 选择石河子医科大 学2021年在该院肝胆外科实习的40名临床医学专业学生作为研究对象, 将其分为观察组及对照组, 每组20 名。对照组实习医师观看普通腹腔镜下胆囊切除术 (LC) 录像, 观察组实习医师观看荧光导航 LC手术录像, 并 保证后者所观看教学录像中有肝外胆道的荧光-白光实时对比影像。经过理论及临床教学后, 比较2组学生教 学效果和教学满意度之间的差异。结果 2组实习医师在年龄、性别、入科前理论考试成绩等方面比较, 差异无 统计学意义 (P>0.05); 在胆囊三角解剖结构识别评分方面, 观察组学生平均得分为 (93.0±1.4) 分, 对照组为 (81.2±1.2) 分, 差异有统计学意义 (P<0.05)。问卷调查结果显示, 观察组学生在教学满意度、学习兴趣、帮助 理解理论知识、解剖要点记忆深度及临床思维能力等方面评分均高于对照组, 差异有统计学意义(P<0.05)。 结论 荧光导航显像技术在肝外胆道系统教学的应用, 能够明显提高教学效果, 帮助学生理解胆道疾病的相关 理论内容, 培养学生临床思维能力。 [ABSTRACT FROM AUTHOR]

Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

探讨自我导向学习与护理硕士专业学位研究生临床能力培养的关系,为护理硕士专业学位研究生临床培 养方案提供参考依据。方法 采用自我导向学习量表和临床能力自评量表,调查护理硕士专业学位研究生自我导向学习能力及临床能力,并分析其相关性。结果 自我导向学习能力总分为(228.78±16.62)分,临床能力总分为(247.26±25.73)分;自我导向学习能力中学习行为与临床科研能力、人际关系与组织管理能力呈正相关(r=0.25、0.28,P <0.05)。结论 护理硕士专业学位研究生的自我导向学习能力处于良好水平,临床沟通能力处于中偏上水平,自我导向学习对临床能力有积极影响,尤其是良好的人际关系对组织沟通管理能力有正性影响,有效的学习策略对临床科研能力的培养有帮助。 [ABSTRACT FROM AUTHOR]

当前临床医学专业学位研究生培养与住院医师规范化培训实行了并轨，临床医学专业学位研究生既要 达到专业学位研究生培养的要求，同时也要完成住院医师规范化培训，其临床能力方面的培养得到了加强，但用于科研 能力实践的时间减少，可能会削弱科研能力方面的培养。普通外科是外科学的基础学科，临床医学专业学位研究生的培 养尤为重要。该文从4 个方面探讨了如何改进并轨制下普通外科专业学位研究生科研能力的培养，包括增强意识，充分 认识专业学位研究生科研能力培养的重要性；切实落实导师负责制，发挥导师指导科研的核心作用；加强在临床实践中 融入科研思维能力的训练；优化课程体系，加强临床科研知识培训。 [ABSTRACT FROM AUTHOR]

近年来,医学影像学发展迅速,在临床诊断中的地位日渐重要。医学影像学实习是将枯燥的理论知识加以灵活运用的重要培训阶段,为了提高实习的教学质量,需要建立一种与时俱进的新的教学模式。将以案例为基础的学习（CBL）与多媒体教学相结合运用于医学影像学实习教学中,可以将枯燥的教学变得直观生动,打破传统单一的教学模式,加强实习教学的效果。不但能促进学生对知识点的理解和掌握,还可以激发学生的学习兴趣,提高学生学习的主动性,锻炼学生的综合分析、归纳总结等多方面的能力,增强对所学知识的横向联系,对医学生进入未来的临床工作打下良好的基础。 [ABSTRACT FROM AUTHOR]