As a crucial assessment tool,the Mini Clinical Evaluation Exercise(Mini-CEX)has gradually garnered attention in the clinical skills training of resident physicians.With the ongoing advancement of medical education ref...As a crucial assessment tool,the Mini Clinical Evaluation Exercise(Mini-CEX)has gradually garnered attention in the clinical skills training of resident physicians.With the ongoing advancement of medical education reform,Mini-CEX not only offers a fresh perspective for evaluating the clinical competence of resident physicians but also establishes a foundation for enhancing their overall quality and professional capabilities.Nonetheless,there are still certain constraints in the application of Mini-CEX,including inconsistent assessment criteria,assessor subjectivity,and inadequate feedback mechanisms.This paper will review relevant domestic and international studies,explore the practical application of Mini-CEX in standardized resident physician training,analyze its strengths and weaknesses in assessing clinical ability,and propose recommendations for future development directions.Through a thorough examination of this field,it aims to provide references and guidance for further optimizing the training model for resident physicians.展开更多
With the increasing frequency of global medical exchanges,the English translation of clinical medicine disease names has become a key factor affecting medical safety,the quality of academic exchanges,and the level of ...With the increasing frequency of global medical exchanges,the English translation of clinical medicine disease names has become a key factor affecting medical safety,the quality of academic exchanges,and the level of medical education.Meanwhile,there are certain problems in the English translation of clinical medicine disease names in China currently,mainly manifested in the prevalence of multiple translations for one term,prominent issues of literal translation and mistranslation,and inconsistent naming principles.Based on this,this paper focuses on the strategies for standardized English translation of clinical medicine disease names.By explaining the root causes of the problems existing in the current translation field,it further puts forward standardized suggestions from aspects such as establishing authoritative reference standards,following the basic principles of“respecting the originator,following conventions,and adhering to scientific norms”,strengthening medical English education,and using modern tools to assist learning.These efforts aim to gradually unify and standardize disease names,reduce ambiguities and errors,and lay a foundation for international medical exchanges and evidence-based medical research.展开更多
With the continuous development of the nursing discipline,standardized nurse training has always been a crucial link in the development of nursing science and plays an irreplaceable role in talent cultivation.However,...With the continuous development of the nursing discipline,standardized nurse training has always been a crucial link in the development of nursing science and plays an irreplaceable role in talent cultivation.However,in the current standardized training for some nurses,there are problems such as the simplification of nursing skill evaluation models and insufficient post competence of nurses.Therefore,optimizing the training model for nursing talents has become an inevitable measure.The problem-based learning(PBL)method and the Direct Observation of Procedural Skills(DOPS)evaluation model provide new directions and guidance for the development of training.Against this background,this paper explores effective approaches for standardized nurse training,starting from basic concepts and gradually delving into specific practical paths,aiming to improve the quality of talent cultivation and provide valuable references for other researchers.展开更多
In recent years,with the continuous deepening of educational reform in the medical field,standardized training,as an important stage of providing excellent laboratory physicians to the clinic,not only needs to strengt...In recent years,with the continuous deepening of educational reform in the medical field,standardized training,as an important stage of providing excellent laboratory physicians to the clinic,not only needs to strengthen various professional skills of laboratory physicians,but also needs to integrate medical ethics education into the education.Report analysis uses clinical case test reports as teaching content.Under the guidance of attending physicians,resident physicians are the main body of standardized training.Teaching activities for report analysis are carried out by combining theoretical knowledge and case information.Through detailed planning of report analysis teaching activities and adequate preparation,standardized training activities are smoothly carried out.This targeted and comprehensive teaching model can effectively improve the clinical thinking and clinical laboratory professional ability of resident physicians,strengthen medical ethics,and make biochemistry sub-specialty resident physicians in laboratory medicine more adaptable to clinical work,thus achieving teaching goals.展开更多
Objective:To explore the application effect of group cooperative learning combined with flipped classroom in standardized training of emergency surgery resident physicians.Methods:95 resident physicians undergoing eme...Objective:To explore the application effect of group cooperative learning combined with flipped classroom in standardized training of emergency surgery resident physicians.Methods:95 resident physicians undergoing emergency surgery standardized training in our hospital were randomly divided into an experimental group(46,group cooperative learning+flipped classroom)and a control group(49,traditional teaching).The training period was 2 months.Results:The graduation assessment scores of the experimental group were higher than those of the control group(P<0.05).The improvement in critical thinking ability and self-learning ability was better than that of the control group(P<0.05).The response rate of“yes”to all items of course teaching satisfaction was significantly higher than that of the control group(P<0.05).The satisfaction scores for training teachers were higher than those of the control group(P<0.05).Conclusion:The teaching model of group cooperative learning combined with flipped classroom,through reconstructing the learning process and activating interactive participation,can significantly improve the clinical operation and theoretical foundation of emergency surgery standardized training students.It also cultivates core professional qualities such as critical thinking,self-learning,and team collaboration,providing a feasible paradigm for integrated medical education in this discipline.展开更多
Objective:This study aimed to explore the effect of standardized patient(SP)-narrative nursing in the experimental teaching of surgical nursing.Methods:A quasi-experimental study design was adopted.A total of 200 unde...Objective:This study aimed to explore the effect of standardized patient(SP)-narrative nursing in the experimental teaching of surgical nursing.Methods:A quasi-experimental study design was adopted.A total of 200 undergraduate nursing students were recruited from the Nursing College of Guilin Medical University in China from March 2023 to December 2024.The intervention group recruited students from the Class of 2022(n=100),and the control group recruited students from the Class of 2021(n=100).The intervention group adopted a teaching model combining standardized patients with narrative nursing based on traditional scenariobased simulation teaching,which was applied to the nursing of perioperative patients(4 class hours)and scenario-based case drills(4 class hours)in the experimental teaching of surgical nursing.The control group used traditional scenario-based simulation teaching.The Nurse Humanistic Care Quality Evaluation Scale,Clinical Thinking Ability Evaluation Index System Scale for Medical Students,and Nurse-Patient Communication Ability Evaluation Scale for Nursing Students were used to investigate and compare the teaching effects between the two groups of students.Results:The total scores of the intervention group on humanistic care(91.39±3.97),clinical thinking(79.64±6.33),and nurse-patient communication(157.22±7.95)abilities were significantly higher than those of the control group(82.29±3.62,65.11±7.24,and 147.05±7.84,respectively),with statistically significant differences(P<0.01).Conclusion:This study confirms that integrating the dual teaching model of standardized patients and narrative nursing in experimental teaching of surgical nursing has significantly optimized the theoretical and practical structure of teaching strategies.This innovative teaching method provides a promotable paradigm for nursing humanities education and is of positive significance for improving the effectiveness of cultivating the core literacy of nursing talents.展开更多
BACKGROUND Endoscopic colon polypectomy is a common procedure used to remove polyps that may develop into colorectal cancer if left untreated.Despite these advantages,patients frequently experience anxiety and other a...BACKGROUND Endoscopic colon polypectomy is a common procedure used to remove polyps that may develop into colorectal cancer if left untreated.Despite these advantages,patients frequently experience anxiety and other adverse reactions.Standardized evidence-based nursing practices are essential for enhancing patient care by addressing both physical and psychological health issues.AIM To analyze the impact of standardized evidence-based nursing on psychological status and adverse reactions of patients undergoing endoscopic colonic polypectomy.METHODS Data from 200 patients who underwent endoscopic colonic polypectomy at the authors’hospital between January and June 2024 were randomly assigned to two groups:Control[received routine nursing care(n=100)]and study[received standardized evidence-based nursing intervention(s)(n=100)].Psychological status,visual analog scale,and Short-Form 36 Health Survey scores,adverse events,and satisfaction with nursing were compared between the two groups.RESULTS After the interventions,the study group exhibited significantly lower scores on the Hamilton Anxiety Rating Scale and Hamilton Depression Rating Scale,along with a reduced incidence of adverse events compared with the control group(P<0.05).Short-Form 36 Health Survey scores and overall satisfaction with nursing care were also significantly higher in the intervention group(P<0.05).CONCLUSION Standardized evidence-based nursing interventions effectively reduced negative patient emotions and enhanced quality of life and satisfaction,demonstrating high safety.展开更多
Understanding vegetation water availability can be important for managing vegetation and combating climate change.Changes in vegetation water availability throughout China remains poorly understood,especially at a hig...Understanding vegetation water availability can be important for managing vegetation and combating climate change.Changes in vegetation water availability throughout China remains poorly understood,especially at a high spatial resolution.Standardized Precipitation Evapotranspiration Index(SPEI)is an ideal water availability index for assessing the spatiotemporal characteristics of drought and investigating the vegetation-water availability relationship.However,no high-resolution and long-term SPEI datasets over China are available.To fill this gap,we developed a new model based on machine learning to obtain high-resolution(1 km)SPEI data by combining climate variables with topographical and geographical features.Here,we analyzed the long-term drought over the past century(1901–2020)and vegetation-water availability relationship in the past two decades(2000–2020).The century-long drought trend analyses indicated an overall drying trend across China with increasing drought frequency,duration,and severity during the past century.We found that drought events in 1901–1961 showed a larger increase than that in 1961–2020,with the Qinghai-Xizang Plateau showing a significant drying trend during 1901–1960 but a wetting trend during 1961–2020.There were 13.90%and 28.21%of vegetation in China showing water deficit and water surplus respectively during 2000–2020.The water deficit area significantly shrank from 2000 to 2020 across China,which is dominated by the significant decrease in water deficit areas in South China.Among temperature,precipitation,and vegetation abundance,temperature is the most important factor for the vegetation-water availability dynamics in China over the past two decades,with high temperature contributing to water deficit.Our findings are important for water and vegetation management under a warming climate.展开更多
The paper utilized a standardized methodology to identify prognostic biomarkers in hepatocellular carcinoma(HCC)by analyzing transcriptomic and clinical data from The Cancer Genome Atlas(TCGA)database.The approach,whi...The paper utilized a standardized methodology to identify prognostic biomarkers in hepatocellular carcinoma(HCC)by analyzing transcriptomic and clinical data from The Cancer Genome Atlas(TCGA)database.The approach,which included stringent data preprocessing,differential gene expression analysis,and Kaplan-Meier survival analysis,provided valuable insights into the genetic underpinnings of HCC.The comprehensive analysis of a dataset involving 370 HCC patients uncovered correlations between survival status and pathological characteristics,including tumor size,lymph node involvement,and distant metastasis.The processed transcriptome dataset,comprising 420 samples and annotating 26,783 genes,served as a robust platform for identifying differential gene expression patterns.Among the significant differential expression genes,the key genes such as FBXO43,HAGLROS,CRISPLD1,LRRC3.DT,and ERN2,were pinpointed,which showed significant associations with patient survival outcomes,indicating their potential as novel prognostic biomarkers.This study can not only enhance the understanding of HCC’s genetic landscape but also establish a blueprint for a standardized process to discover prognostic biomarkers of various diseases using genetic big data.Future research should focus on validating these biomarkers through independent cohorts and exploring their utility in the development of personalized treatment strategies.展开更多
Objective:To analyze the treatment effect of standardized bronchoscopic interventional therapy(i.e.,interventional therapy)on airway stenosis.Methods:Forty patients with airway stenosis admitted to the hospital betwee...Objective:To analyze the treatment effect of standardized bronchoscopic interventional therapy(i.e.,interventional therapy)on airway stenosis.Methods:Forty patients with airway stenosis admitted to the hospital between September 2022 and September 2024 were selected and randomly divided into two groups using a random number table.The experimental group received interventional therapy,while the reference group received conventional treatment.The total effective rate,degree of airway stenosis,shortness of breath score,and lung function indicators were compared.Results:The total effective rate in the experimental group was higher than that in the reference group.The proportion of mild stenosis in the degree of airway stenosis was higher in the experimental group than in the reference group.The shortness of breath score was lower in the experimental group than in the reference group.The lung function indicators were better in the experimental group than in the reference group(P<0.05).Conclusion:Interventional therapy is effective for patients with airway stenosis,as it can reduce the degree of stenosis,improve symptoms of shortness of breath,and protect patients’lung function.展开更多
Objective:To enhance the reading skills of clinical pathology residents,it is essential to establish a well-structured electronic pathology reading library.Methods:In accordance with the Resident Standardization Train...Objective:To enhance the reading skills of clinical pathology residents,it is essential to establish a well-structured electronic pathology reading library.Methods:In accordance with the Resident Standardization Training Content and Standards(2022 Edition),clinical pathology residents are required to master pathological diagnoses across 11 systems:skin,head and neck,mediastinum and respiratory,digestive,urinary and male reproductive,female reproductive and breast,lymphatic and hematopoietic,bone and soft tissue,cardiovascular,central nervous,and endocrine diseases.Senior pathologists specializing in each subspecialty selected classic pathological slides,which were systematically scanned and compiled into an electronic pathology library.Results:A questionnaire survey was conducted to gather feedback on the electronic pathology reading library.Residents generally found it to be convenient,efficient,and conducive to learning.Conclusion:Training in clinical pathology diagnosis is a core component of standardized resident training.The electronic pathology reading library has been well-received and recognized by resident doctors.However,further efforts are needed to explore diverse teaching methods that align with modern educational approaches,ultimately contributing to the development of highly skilled resident doctors.展开更多
A drought is when reduced rainfall leads to a water crisis,impacting daily life.Over recent decades,droughts have affected various regions,including South Sulawesi,Indonesia.This study aims to map the probability of m...A drought is when reduced rainfall leads to a water crisis,impacting daily life.Over recent decades,droughts have affected various regions,including South Sulawesi,Indonesia.This study aims to map the probability of meteo-rological drought months using the 1-month Standardized Precipitation Index(SPI)in South Sulawesi.Based on SPI,meteorological drought characteristics are inversely proportional to drought event intensity,which can be modeled using a Non-Homogeneous Poisson Process,specifically the Power Law Process.The estimation method employs Maximum Likelihood Estimation(MLE),where drought event intensities are treated as random variables over a set time interval.Future drought months are estimated using the cumulative Power Law Process function,with theβandγparameters more significant than 0.The probability of drought months is determined using the Non-Homogeneous Poisson Process,which models event occurrence over time,considering varying intensities.The results indicate that,of the 24 districts/cities in South Sulawesi,14 experienced meteorological drought based on the SPI and Power Law Process model.The estimated number of months of drought occurrence in the next 12 months is one month of drought with an occurrence probability value of 0.37 occurring in November in the Selayar,Bulukumba,Bantaeng,Jeneponto,Takalar and Gowa areas,in October in the Sinjai,Barru,Bone,Soppeng,Pinrang and Pare-pare areas,as well as in December in the Maros and Makassar areas.展开更多
Device-based measurements are recommended to improve population-based physical activity(PA)surveillance.1,2However,implementation remains challenging due to lack of consensus on analytical methods,and the most widely ...Device-based measurements are recommended to improve population-based physical activity(PA)surveillance.1,2However,implementation remains challenging due to lack of consensus on analytical methods,and the most widely used“generic”(absolute intensity)cut-point approach has limited generalisability to population-level free-living data.Further,current methods generally fail to account for differences in people's physical capacity.展开更多
BACKGROUND Student standardized patients(SSPs)can serve as valuable tools in teaching acute and severe gastrointestinal tumors.AIM To explore the effect of SSP on scenario simulation teaching and its impact on teachin...BACKGROUND Student standardized patients(SSPs)can serve as valuable tools in teaching acute and severe gastrointestinal tumors.AIM To explore the effect of SSP on scenario simulation teaching and its impact on teaching outcomes.METHODS From July 2021 to June 2024,200 nursing interns were taught about severe gastrointestinal tumor disease.In July 2022 the SSP scenario simulation teaching method was introduced to an observation group of 100 students.A control group of 100 students was taught using traditional methods from July 2021 to June 2022.The traditional teaching included classroom theoretical instruction,laboratory practical teaching,and course assessments.During the practical laboratory sessions,students performed operations using simulation mannequins,and course assessments were based on theoretical test scores combined with practical assessments using the mannequins.The teaching effects of both groups were compared in terms of comprehensive quality and student satisfaction.RESULTS The observation group exhibited significantly higher theoretical and operational scores(P<0.05),a notably livelier classroom atmosphere(P<0.05),and a higher learning satisfaction than the control group(98.00%vs 91.00%)(P<0.05).CONCLUSION SSP combined with scenario simulation teaching enhanced the effectiveness of acute and severe gastrointestinal tumor disease education,improved students’overall quality,and increased their learning satisfaction,making it a valuable approach for wider adoption.展开更多
Background:The Mongolian gerbil is an excellent laboratory animal for preparing the cerebral ischemia model due to its inherent deficiency in the circle of Willis.However,the low incidence and unpredictability of symp...Background:The Mongolian gerbil is an excellent laboratory animal for preparing the cerebral ischemia model due to its inherent deficiency in the circle of Willis.However,the low incidence and unpredictability of symptoms are caused by numerous complex variant types of the circle.Additionally,the lack of an evaluation system for the cer-ebral ischemia/reperfusion(I/R)model of gerbils has shackled the application of this model.Methods:We created a symptom-oriented principle and detailed neurobehavioral scoring criteria.At different time points of reperfusion,we analyzed the alteration in locomotion by rotarod test and grip force score,infarct volume by triphenyltetrazo-lium chloride(TTC)staining,neuron loss using Nissl staining,and histological charac-teristics using hematoxylin-eosin(H&E)straining.Results:With a successful model rate of 56%,32 of the 57 gerbils operated by our method harbored typical features of cerebral I/R injury,and the mortality rate in the male gerbils was significantly higher than that in the female gerbils.The suc-cessfully prepared I/R gerbils demonstrated a significant reduction in motility and grip strength at 1 day after reperfusion;formed obvious infarction;exhibited typi-cal pathological features,such as tissue edema,neuronal atrophy and death,and vacuolated structures;and were partially recovered with the extension of reperfu-sion time.Conclusion:This study developed a new method for the unilateral common carotid artery ligation I/R model of gerbil and established a standardized evaluation system for this model,which could provide a new cerebral I/R model of gerbils with more practical applications.展开更多
We focus on the importance and necessity of post-competency-based training in medical education alongside its current challenges and opportunities.Integrating post competency training into standardized educational fra...We focus on the importance and necessity of post-competency-based training in medical education alongside its current challenges and opportunities.Integrating post competency training into standardized educational frameworks is increasingly recognized as a critical component of preparing residents and postgraduates for real-world clinical practice.Post competency training represents a commitment to excellence in medical education,striving to produce competent,skilled practitioners to meet the challenges of modern healthcare.展开更多
In recent years,the national higher education reform has proposed the concept of curriculum ideological and political education as a major element.This integration into the standardized training of general practice re...In recent years,the national higher education reform has proposed the concept of curriculum ideological and political education as a major element.This integration into the standardized training of general practice residents(commonly referred to as general resident training)is an unavoidable trend in the teaching field.Based on the actual situation of our unit at The First Affiliated Hospital of Xi’an Medical University,this paper emphasizes the necessity of incorporating ideological and political education into the general resident training curriculum,despite the absence of pertinent practical experience in how to effectively incorporate such courses into comprehensive residential training.In our hospital,we must assess the ideological and political education in the curriculum of general resident training,proposing a scientific,reasonable ideological and political education concept system for general practice courses,integrating ideological and political education with general practice resident training,and strengthening the team of ideological and political education physicians to teach them to carry out such education,this would foster enthusiasm and initiative.Strengthening admission education and training for general practice resident training,as well as regularly hosting symposiums to share ideas and understand the mission of doctors can provide effective experience for ideological and political education in general resident training courses.展开更多
Background Two studies were designed to determine standard ileal crude protein(CP)and amino acid(AA)digestibility of soybean meal(SBM)from different origins fed to non-pregnant and pregnant sows.Seven solvent-extracte...Background Two studies were designed to determine standard ileal crude protein(CP)and amino acid(AA)digestibility of soybean meal(SBM)from different origins fed to non-pregnant and pregnant sows.Seven solvent-extracted SBMs from soybeans produced in the USA,Brazil,and China were selected.In Exp.1,eight different diets were created:a nitrogen(N)-free diet and 7 experimental diets containing SBM from different origins as the only N source.Eight non-pregnant,multiparous sows were arranged in an 8×8 Latin square design(8 periods and 8 diets).In Exp.2,the diet formula was the same as in Exp.1.Eight gestating sows(parity 3)were assigned to 4 different diets in a replicated 4×3 Youden square design(three periods and four diets)in mid-gestation and again in late-gestation stages.Results When fed to non-pregnant and late-gestating sows,the standardized ileal digestibility(SID)of CP and most AAs from different SBM were not significantly different(P>0.05).When fed to mid-gestating sows,the SID values for Arg,His,Lys,Phe,Cys,Gly,Ser,and Tyr in SBM 1 were lower than in SBM 4 and 5(P<0.05),whereas SID for Leu from SBM 5 was higher than in SBM 1 and 4(P<0.05).SID values for Ile,Ala,and Asp from SBM 4 were lower than in SBM 1 and 5(P<0.05).Sows had significantly greater SID values for Lys,Ala,and Asp during mid-gestation when compared with late-gestation stages(P<0.05).Mid-gestating sows had greater SID value for Val and lower SID value for Tyr when compared with non-pregnant and late-gestating sows(P<0.01),whereas non-pregnant sows had significantly greater SID value for Met when compared with gestating sows(P<0.01).Conclusions When fed to mid-gestating sows,the SID values for most AAs varied among SBM samples.The SID values for Lys,Met,Val,Ala,Asp,and Tyr in SBM were affected by sow gestation stages.Our findings provide a cornerstone for accurate SBM use in sow diets.展开更多
Renal cancer is one of the most common malignancies of the urinary system,and the number of deaths continues to increase.The standardized management of the diagnosis and treatment of renal cancer is challenging due to...Renal cancer is one of the most common malignancies of the urinary system,and the number of deaths continues to increase.The standardized management of the diagnosis and treatment of renal cancer is challenging due to the great differences in the diagnosis and treatment of renal cancer in different regions.The Renal Cancer Expert Committee of the National Cancer Quality Control Center(NCQCC)identified a lack of authoritative quality control standards as an opportunity to utilize its multidisciplinary membership to improve the standardized diagnosis and treatment of renal cancer.The Renal Cancer Expert Committee of the NCQCC aims to promote quality control and national standardization,uniformity,and normalization of renal cancer diagnosis and treatment,which ultimately improved the survival rate and quality of life of renal cancer patients.A panel of experts with renal cancer surgery,renal cancer medicine,medical imaging,pathology and radiotherapy were drawn together and determined the quality control standards for the standardized diagnosis and treatment of renal cancer.The Indices includes 20 items that cover all key areas in the diagnosis and treatment of renal cancer,such as standard diagnosis,surgery treatment,systemic treatment,and prognostic evaluation.展开更多
基金Scientific Research Fund Project of China Three Gorges University(Project No.:2022kj008)Special Scientific Research Fund Project of China Three Gorges University(Project No.:2023kjzx001)。
文摘As a crucial assessment tool,the Mini Clinical Evaluation Exercise(Mini-CEX)has gradually garnered attention in the clinical skills training of resident physicians.With the ongoing advancement of medical education reform,Mini-CEX not only offers a fresh perspective for evaluating the clinical competence of resident physicians but also establishes a foundation for enhancing their overall quality and professional capabilities.Nonetheless,there are still certain constraints in the application of Mini-CEX,including inconsistent assessment criteria,assessor subjectivity,and inadequate feedback mechanisms.This paper will review relevant domestic and international studies,explore the practical application of Mini-CEX in standardized resident physician training,analyze its strengths and weaknesses in assessing clinical ability,and propose recommendations for future development directions.Through a thorough examination of this field,it aims to provide references and guidance for further optimizing the training model for resident physicians.
文摘With the increasing frequency of global medical exchanges,the English translation of clinical medicine disease names has become a key factor affecting medical safety,the quality of academic exchanges,and the level of medical education.Meanwhile,there are certain problems in the English translation of clinical medicine disease names in China currently,mainly manifested in the prevalence of multiple translations for one term,prominent issues of literal translation and mistranslation,and inconsistent naming principles.Based on this,this paper focuses on the strategies for standardized English translation of clinical medicine disease names.By explaining the root causes of the problems existing in the current translation field,it further puts forward standardized suggestions from aspects such as establishing authoritative reference standards,following the basic principles of“respecting the originator,following conventions,and adhering to scientific norms”,strengthening medical English education,and using modern tools to assist learning.These efforts aim to gradually unify and standardize disease names,reduce ambiguities and errors,and lay a foundation for international medical exchanges and evidence-based medical research.
文摘With the continuous development of the nursing discipline,standardized nurse training has always been a crucial link in the development of nursing science and plays an irreplaceable role in talent cultivation.However,in the current standardized training for some nurses,there are problems such as the simplification of nursing skill evaluation models and insufficient post competence of nurses.Therefore,optimizing the training model for nursing talents has become an inevitable measure.The problem-based learning(PBL)method and the Direct Observation of Procedural Skills(DOPS)evaluation model provide new directions and guidance for the development of training.Against this background,this paper explores effective approaches for standardized nurse training,starting from basic concepts and gradually delving into specific practical paths,aiming to improve the quality of talent cultivation and provide valuable references for other researchers.
文摘In recent years,with the continuous deepening of educational reform in the medical field,standardized training,as an important stage of providing excellent laboratory physicians to the clinic,not only needs to strengthen various professional skills of laboratory physicians,but also needs to integrate medical ethics education into the education.Report analysis uses clinical case test reports as teaching content.Under the guidance of attending physicians,resident physicians are the main body of standardized training.Teaching activities for report analysis are carried out by combining theoretical knowledge and case information.Through detailed planning of report analysis teaching activities and adequate preparation,standardized training activities are smoothly carried out.This targeted and comprehensive teaching model can effectively improve the clinical thinking and clinical laboratory professional ability of resident physicians,strengthen medical ethics,and make biochemistry sub-specialty resident physicians in laboratory medicine more adaptable to clinical work,thus achieving teaching goals.
基金Key Research and Development Program of Shaanxi Province,“Exploring the Changes and Mechanisms of Cerebral Microcirculation in Patients with Cerebral Small Vessel Disease and Mild Cognitive Impairment Based on OCTA Assessment”(Project No.:2023-YBSF-569)Shaanxi Provincial People’s Hospital Science and Technology Development Incubation Fund,“Early Identification of Cognitive Impairment in Cerebral Small Vessel Disease Based on Eye Tracking Technology”(Project No.:2023YJY-72)Key Research and Development Program of Shaanxi Province,“Study on the Correlation between Deep Medullary Veins and Cognitive Dysfunction in Cerebral Small Vessel Disease”(Project No.:2023-YBSF-033)。
文摘Objective:To explore the application effect of group cooperative learning combined with flipped classroom in standardized training of emergency surgery resident physicians.Methods:95 resident physicians undergoing emergency surgery standardized training in our hospital were randomly divided into an experimental group(46,group cooperative learning+flipped classroom)and a control group(49,traditional teaching).The training period was 2 months.Results:The graduation assessment scores of the experimental group were higher than those of the control group(P<0.05).The improvement in critical thinking ability and self-learning ability was better than that of the control group(P<0.05).The response rate of“yes”to all items of course teaching satisfaction was significantly higher than that of the control group(P<0.05).The satisfaction scores for training teachers were higher than those of the control group(P<0.05).Conclusion:The teaching model of group cooperative learning combined with flipped classroom,through reconstructing the learning process and activating interactive participation,can significantly improve the clinical operation and theoretical foundation of emergency surgery standardized training students.It also cultivates core professional qualities such as critical thinking,self-learning,and team collaboration,providing a feasible paradigm for integrated medical education in this discipline.
基金supported by the Undergraduate Teaching Innovation Project of Guangxi Higher Education(grant number:2023JGB307,Department of Education of Guangxi Zhuang Autonomous Region,China)the Guangxi Autonomous Regionlevel Research and Practice Project on New Engineering,New Medicine,New Agriculture and New Liberal Arts"Research on the Reform of the Integration of Undergraduate Courses in Nursing Major under the Background of Grand Health"(grant number:XYK202414).
文摘Objective:This study aimed to explore the effect of standardized patient(SP)-narrative nursing in the experimental teaching of surgical nursing.Methods:A quasi-experimental study design was adopted.A total of 200 undergraduate nursing students were recruited from the Nursing College of Guilin Medical University in China from March 2023 to December 2024.The intervention group recruited students from the Class of 2022(n=100),and the control group recruited students from the Class of 2021(n=100).The intervention group adopted a teaching model combining standardized patients with narrative nursing based on traditional scenariobased simulation teaching,which was applied to the nursing of perioperative patients(4 class hours)and scenario-based case drills(4 class hours)in the experimental teaching of surgical nursing.The control group used traditional scenario-based simulation teaching.The Nurse Humanistic Care Quality Evaluation Scale,Clinical Thinking Ability Evaluation Index System Scale for Medical Students,and Nurse-Patient Communication Ability Evaluation Scale for Nursing Students were used to investigate and compare the teaching effects between the two groups of students.Results:The total scores of the intervention group on humanistic care(91.39±3.97),clinical thinking(79.64±6.33),and nurse-patient communication(157.22±7.95)abilities were significantly higher than those of the control group(82.29±3.62,65.11±7.24,and 147.05±7.84,respectively),with statistically significant differences(P<0.01).Conclusion:This study confirms that integrating the dual teaching model of standardized patients and narrative nursing in experimental teaching of surgical nursing has significantly optimized the theoretical and practical structure of teaching strategies.This innovative teaching method provides a promotable paradigm for nursing humanities education and is of positive significance for improving the effectiveness of cultivating the core literacy of nursing talents.
文摘BACKGROUND Endoscopic colon polypectomy is a common procedure used to remove polyps that may develop into colorectal cancer if left untreated.Despite these advantages,patients frequently experience anxiety and other adverse reactions.Standardized evidence-based nursing practices are essential for enhancing patient care by addressing both physical and psychological health issues.AIM To analyze the impact of standardized evidence-based nursing on psychological status and adverse reactions of patients undergoing endoscopic colonic polypectomy.METHODS Data from 200 patients who underwent endoscopic colonic polypectomy at the authors’hospital between January and June 2024 were randomly assigned to two groups:Control[received routine nursing care(n=100)]and study[received standardized evidence-based nursing intervention(s)(n=100)].Psychological status,visual analog scale,and Short-Form 36 Health Survey scores,adverse events,and satisfaction with nursing were compared between the two groups.RESULTS After the interventions,the study group exhibited significantly lower scores on the Hamilton Anxiety Rating Scale and Hamilton Depression Rating Scale,along with a reduced incidence of adverse events compared with the control group(P<0.05).Short-Form 36 Health Survey scores and overall satisfaction with nursing care were also significantly higher in the intervention group(P<0.05).CONCLUSION Standardized evidence-based nursing interventions effectively reduced negative patient emotions and enhanced quality of life and satisfaction,demonstrating high safety.
基金funded by the General Program of National Natural Science Foundation of China(Grant No.42377467).
文摘Understanding vegetation water availability can be important for managing vegetation and combating climate change.Changes in vegetation water availability throughout China remains poorly understood,especially at a high spatial resolution.Standardized Precipitation Evapotranspiration Index(SPEI)is an ideal water availability index for assessing the spatiotemporal characteristics of drought and investigating the vegetation-water availability relationship.However,no high-resolution and long-term SPEI datasets over China are available.To fill this gap,we developed a new model based on machine learning to obtain high-resolution(1 km)SPEI data by combining climate variables with topographical and geographical features.Here,we analyzed the long-term drought over the past century(1901–2020)and vegetation-water availability relationship in the past two decades(2000–2020).The century-long drought trend analyses indicated an overall drying trend across China with increasing drought frequency,duration,and severity during the past century.We found that drought events in 1901–1961 showed a larger increase than that in 1961–2020,with the Qinghai-Xizang Plateau showing a significant drying trend during 1901–1960 but a wetting trend during 1961–2020.There were 13.90%and 28.21%of vegetation in China showing water deficit and water surplus respectively during 2000–2020.The water deficit area significantly shrank from 2000 to 2020 across China,which is dominated by the significant decrease in water deficit areas in South China.Among temperature,precipitation,and vegetation abundance,temperature is the most important factor for the vegetation-water availability dynamics in China over the past two decades,with high temperature contributing to water deficit.Our findings are important for water and vegetation management under a warming climate.
基金the 2023 Inner Mongolia Public Institution High-Level Talent Introduction Scientific Research Support Project with the start-up funding from Linyi Vocational College。
文摘The paper utilized a standardized methodology to identify prognostic biomarkers in hepatocellular carcinoma(HCC)by analyzing transcriptomic and clinical data from The Cancer Genome Atlas(TCGA)database.The approach,which included stringent data preprocessing,differential gene expression analysis,and Kaplan-Meier survival analysis,provided valuable insights into the genetic underpinnings of HCC.The comprehensive analysis of a dataset involving 370 HCC patients uncovered correlations between survival status and pathological characteristics,including tumor size,lymph node involvement,and distant metastasis.The processed transcriptome dataset,comprising 420 samples and annotating 26,783 genes,served as a robust platform for identifying differential gene expression patterns.Among the significant differential expression genes,the key genes such as FBXO43,HAGLROS,CRISPLD1,LRRC3.DT,and ERN2,were pinpointed,which showed significant associations with patient survival outcomes,indicating their potential as novel prognostic biomarkers.This study can not only enhance the understanding of HCC’s genetic landscape but also establish a blueprint for a standardized process to discover prognostic biomarkers of various diseases using genetic big data.Future research should focus on validating these biomarkers through independent cohorts and exploring their utility in the development of personalized treatment strategies.
文摘Objective:To analyze the treatment effect of standardized bronchoscopic interventional therapy(i.e.,interventional therapy)on airway stenosis.Methods:Forty patients with airway stenosis admitted to the hospital between September 2022 and September 2024 were selected and randomly divided into two groups using a random number table.The experimental group received interventional therapy,while the reference group received conventional treatment.The total effective rate,degree of airway stenosis,shortness of breath score,and lung function indicators were compared.Results:The total effective rate in the experimental group was higher than that in the reference group.The proportion of mild stenosis in the degree of airway stenosis was higher in the experimental group than in the reference group.The shortness of breath score was lower in the experimental group than in the reference group.The lung function indicators were better in the experimental group than in the reference group(P<0.05).Conclusion:Interventional therapy is effective for patients with airway stenosis,as it can reduce the degree of stenosis,improve symptoms of shortness of breath,and protect patients’lung function.
文摘Objective:To enhance the reading skills of clinical pathology residents,it is essential to establish a well-structured electronic pathology reading library.Methods:In accordance with the Resident Standardization Training Content and Standards(2022 Edition),clinical pathology residents are required to master pathological diagnoses across 11 systems:skin,head and neck,mediastinum and respiratory,digestive,urinary and male reproductive,female reproductive and breast,lymphatic and hematopoietic,bone and soft tissue,cardiovascular,central nervous,and endocrine diseases.Senior pathologists specializing in each subspecialty selected classic pathological slides,which were systematically scanned and compiled into an electronic pathology library.Results:A questionnaire survey was conducted to gather feedback on the electronic pathology reading library.Residents generally found it to be convenient,efficient,and conducive to learning.Conclusion:Training in clinical pathology diagnosis is a core component of standardized resident training.The electronic pathology reading library has been well-received and recognized by resident doctors.However,further efforts are needed to explore diverse teaching methods that align with modern educational approaches,ultimately contributing to the development of highly skilled resident doctors.
基金funded by Hasanuddin University,grant number 00309/UN4.22/PT.01.03/2024.
文摘A drought is when reduced rainfall leads to a water crisis,impacting daily life.Over recent decades,droughts have affected various regions,including South Sulawesi,Indonesia.This study aims to map the probability of meteo-rological drought months using the 1-month Standardized Precipitation Index(SPI)in South Sulawesi.Based on SPI,meteorological drought characteristics are inversely proportional to drought event intensity,which can be modeled using a Non-Homogeneous Poisson Process,specifically the Power Law Process.The estimation method employs Maximum Likelihood Estimation(MLE),where drought event intensities are treated as random variables over a set time interval.Future drought months are estimated using the cumulative Power Law Process function,with theβandγparameters more significant than 0.The probability of drought months is determined using the Non-Homogeneous Poisson Process,which models event occurrence over time,considering varying intensities.The results indicate that,of the 24 districts/cities in South Sulawesi,14 experienced meteorological drought based on the SPI and Power Law Process model.The estimated number of months of drought occurrence in the next 12 months is one month of drought with an occurrence probability value of 0.37 occurring in November in the Selayar,Bulukumba,Bantaeng,Jeneponto,Takalar and Gowa areas,in October in the Sinjai,Barru,Bone,Soppeng,Pinrang and Pare-pare areas,as well as in December in the Maros and Makassar areas.
文摘Device-based measurements are recommended to improve population-based physical activity(PA)surveillance.1,2However,implementation remains challenging due to lack of consensus on analytical methods,and the most widely used“generic”(absolute intensity)cut-point approach has limited generalisability to population-level free-living data.Further,current methods generally fail to account for differences in people's physical capacity.
文摘BACKGROUND Student standardized patients(SSPs)can serve as valuable tools in teaching acute and severe gastrointestinal tumors.AIM To explore the effect of SSP on scenario simulation teaching and its impact on teaching outcomes.METHODS From July 2021 to June 2024,200 nursing interns were taught about severe gastrointestinal tumor disease.In July 2022 the SSP scenario simulation teaching method was introduced to an observation group of 100 students.A control group of 100 students was taught using traditional methods from July 2021 to June 2022.The traditional teaching included classroom theoretical instruction,laboratory practical teaching,and course assessments.During the practical laboratory sessions,students performed operations using simulation mannequins,and course assessments were based on theoretical test scores combined with practical assessments using the mannequins.The teaching effects of both groups were compared in terms of comprehensive quality and student satisfaction.RESULTS The observation group exhibited significantly higher theoretical and operational scores(P<0.05),a notably livelier classroom atmosphere(P<0.05),and a higher learning satisfaction than the control group(98.00%vs 91.00%)(P<0.05).CONCLUSION SSP combined with scenario simulation teaching enhanced the effectiveness of acute and severe gastrointestinal tumor disease education,improved students’overall quality,and increased their learning satisfaction,making it a valuable approach for wider adoption.
基金National Key Research and Development Program of China,Grant/Award Number:2021YFF0702402National Natural Science Foundation of China,Grant/Award Number:32070531。
文摘Background:The Mongolian gerbil is an excellent laboratory animal for preparing the cerebral ischemia model due to its inherent deficiency in the circle of Willis.However,the low incidence and unpredictability of symptoms are caused by numerous complex variant types of the circle.Additionally,the lack of an evaluation system for the cer-ebral ischemia/reperfusion(I/R)model of gerbils has shackled the application of this model.Methods:We created a symptom-oriented principle and detailed neurobehavioral scoring criteria.At different time points of reperfusion,we analyzed the alteration in locomotion by rotarod test and grip force score,infarct volume by triphenyltetrazo-lium chloride(TTC)staining,neuron loss using Nissl staining,and histological charac-teristics using hematoxylin-eosin(H&E)straining.Results:With a successful model rate of 56%,32 of the 57 gerbils operated by our method harbored typical features of cerebral I/R injury,and the mortality rate in the male gerbils was significantly higher than that in the female gerbils.The suc-cessfully prepared I/R gerbils demonstrated a significant reduction in motility and grip strength at 1 day after reperfusion;formed obvious infarction;exhibited typi-cal pathological features,such as tissue edema,neuronal atrophy and death,and vacuolated structures;and were partially recovered with the extension of reperfu-sion time.Conclusion:This study developed a new method for the unilateral common carotid artery ligation I/R model of gerbil and established a standardized evaluation system for this model,which could provide a new cerebral I/R model of gerbils with more practical applications.
基金Supported by Education and Teaching Reform Project of the First Clinical College of Chongqing Medical University,No.CMER202305Program for Youth Innovation in Future Medicine,Chongqing Medical University,No.W0138.
文摘We focus on the importance and necessity of post-competency-based training in medical education alongside its current challenges and opportunities.Integrating post competency training into standardized educational frameworks is increasingly recognized as a critical component of preparing residents and postgraduates for real-world clinical practice.Post competency training represents a commitment to excellence in medical education,striving to produce competent,skilled practitioners to meet the challenges of modern healthcare.
文摘In recent years,the national higher education reform has proposed the concept of curriculum ideological and political education as a major element.This integration into the standardized training of general practice residents(commonly referred to as general resident training)is an unavoidable trend in the teaching field.Based on the actual situation of our unit at The First Affiliated Hospital of Xi’an Medical University,this paper emphasizes the necessity of incorporating ideological and political education into the general resident training curriculum,despite the absence of pertinent practical experience in how to effectively incorporate such courses into comprehensive residential training.In our hospital,we must assess the ideological and political education in the curriculum of general resident training,proposing a scientific,reasonable ideological and political education concept system for general practice courses,integrating ideological and political education with general practice resident training,and strengthening the team of ideological and political education physicians to teach them to carry out such education,this would foster enthusiasm and initiative.Strengthening admission education and training for general practice resident training,as well as regularly hosting symposiums to share ideas and understand the mission of doctors can provide effective experience for ideological and political education in general resident training courses.
基金funded by the National Key R&D Program of China(No.2021YFD1300202)the nutritional value evaluation and parameter establishment of protein feedstuffs for sowsthe Ministry of Agriculture and Rural Affairs of the People’s Republic of China(125D0203-16190295)the Major Scientific and Technological Special Project of Sichuan Province(No.2021ZDZX0009)。
文摘Background Two studies were designed to determine standard ileal crude protein(CP)and amino acid(AA)digestibility of soybean meal(SBM)from different origins fed to non-pregnant and pregnant sows.Seven solvent-extracted SBMs from soybeans produced in the USA,Brazil,and China were selected.In Exp.1,eight different diets were created:a nitrogen(N)-free diet and 7 experimental diets containing SBM from different origins as the only N source.Eight non-pregnant,multiparous sows were arranged in an 8×8 Latin square design(8 periods and 8 diets).In Exp.2,the diet formula was the same as in Exp.1.Eight gestating sows(parity 3)were assigned to 4 different diets in a replicated 4×3 Youden square design(three periods and four diets)in mid-gestation and again in late-gestation stages.Results When fed to non-pregnant and late-gestating sows,the standardized ileal digestibility(SID)of CP and most AAs from different SBM were not significantly different(P>0.05).When fed to mid-gestating sows,the SID values for Arg,His,Lys,Phe,Cys,Gly,Ser,and Tyr in SBM 1 were lower than in SBM 4 and 5(P<0.05),whereas SID for Leu from SBM 5 was higher than in SBM 1 and 4(P<0.05).SID values for Ile,Ala,and Asp from SBM 4 were lower than in SBM 1 and 5(P<0.05).Sows had significantly greater SID values for Lys,Ala,and Asp during mid-gestation when compared with late-gestation stages(P<0.05).Mid-gestating sows had greater SID value for Val and lower SID value for Tyr when compared with non-pregnant and late-gestating sows(P<0.01),whereas non-pregnant sows had significantly greater SID value for Met when compared with gestating sows(P<0.01).Conclusions When fed to mid-gestating sows,the SID values for most AAs varied among SBM samples.The SID values for Lys,Met,Val,Ala,Asp,and Tyr in SBM were affected by sow gestation stages.Our findings provide a cornerstone for accurate SBM use in sow diets.
基金supported by Peking University First Hospital Domestic Multicenter Clinical Research Special Fund-Central High Level Hospital Clinical Research Business Fund(grant number:2022CR54)Peking University Medical Innovation Translation Special Fund(grant number:2022FY03)+2 种基金Peking University First Hospital Scientific and Technological Achievement Transformation Incubation Guidance Fund(grant number:2022CX02)2020 Capital Health Development Research Spe-cial Project(grant number:2020-2Z-40713)National Key Research and Development Program Scheme(grant number:2023YFC2415500)。
文摘Renal cancer is one of the most common malignancies of the urinary system,and the number of deaths continues to increase.The standardized management of the diagnosis and treatment of renal cancer is challenging due to the great differences in the diagnosis and treatment of renal cancer in different regions.The Renal Cancer Expert Committee of the National Cancer Quality Control Center(NCQCC)identified a lack of authoritative quality control standards as an opportunity to utilize its multidisciplinary membership to improve the standardized diagnosis and treatment of renal cancer.The Renal Cancer Expert Committee of the NCQCC aims to promote quality control and national standardization,uniformity,and normalization of renal cancer diagnosis and treatment,which ultimately improved the survival rate and quality of life of renal cancer patients.A panel of experts with renal cancer surgery,renal cancer medicine,medical imaging,pathology and radiotherapy were drawn together and determined the quality control standards for the standardized diagnosis and treatment of renal cancer.The Indices includes 20 items that cover all key areas in the diagnosis and treatment of renal cancer,such as standard diagnosis,surgery treatment,systemic treatment,and prognostic evaluation.
