期刊文献+
共找到245,059篇文章
< 1 2 250 >
每页显示 20 50 100
Mini-CEX联合情景式模拟教学方法在急诊医学临床教学中的应用
1
作者 梁颖 韩红亚 +3 位作者 左惠娟 贺晓楠 杨赓 林运 《中国循证心血管医学杂志》 2026年第2期222-227,共6页
目的探讨迷你临床演练评估(Mini-CEX)联合情景式模拟教学方法在急诊医学临床教学培训中的作用。方法选取2023年1月至2023年12月于首都医科大学附属北京安贞医院轮转的研究生实习医师和规培医师作为研究对象(20例),通过Mini-CEX教学评估... 目的探讨迷你临床演练评估(Mini-CEX)联合情景式模拟教学方法在急诊医学临床教学培训中的作用。方法选取2023年1月至2023年12月于首都医科大学附属北京安贞医院轮转的研究生实习医师和规培医师作为研究对象(20例),通过Mini-CEX教学评估表和首都医科大学附属北京安贞医院临床技能(心肺复苏部分)评分表,分别对研究对象出科时和入科时岗位胜任能力(医疗面谈、体格检查、专业态度、临床判断、沟通技能、组织效能、整体表现)、心肺复苏+电除颤的临床技能进行考核,在轮转学习结束后对研究对象进行满意度问卷调查。结果研究对象入科时心肺复苏联合电除颤临床技能评分为(82.40±3.78)分,出科时显著提升至(95.50±2.01)分,提升幅度2~21分、平均(13.10±4.23)分,差异有统计学意义(P<0.001);岗位胜任能力7个维度评分均较入科时显著提高(P<0.001),其中沟通技能提升幅度最大、医疗面谈提升幅度最低。出科考核中电除颤为失分最多项目,主要问题是安全意识及使用方式,满意度调查显示多数为“非常满意”或“满意”,部分为“一般”,个别为“不满意”。结论在急诊培训中运用Mini-CEX联合情景模拟教学,可显著提升研究对象的紧急救助技能与岗位胜任力,并得到研究对象的一致认可,在急诊教学中值得广泛推广。 展开更多
关键词 住院医师 急诊教学 mini-cex 医学模拟
在线阅读 下载PDF
基于动态真人情境模拟结合TeamSTEPPS、Mini-CEX多维度评估模式在急诊多发性创伤教学中的应用研究
2
作者 黄杰滨 王萍 +1 位作者 温健文 丁巍 《医学理论与实践》 2026年第4期702-705,共4页
目的:探讨基于动态真人情境模拟结合TeamSTEPPS、Mini-CEX多维度评估模式在急诊多发性创伤教学中的应用效果。方法:选择2023年1月—2024年12月我院急诊科临床医学本科实习生60名为研究对象,根据教学方法分为两组。对照组28名采用传统方... 目的:探讨基于动态真人情境模拟结合TeamSTEPPS、Mini-CEX多维度评估模式在急诊多发性创伤教学中的应用效果。方法:选择2023年1月—2024年12月我院急诊科临床医学本科实习生60名为研究对象,根据教学方法分为两组。对照组28名采用传统方法教学,观察组32名采用基于动态真人情境模拟结合TeamSTEPPS、Mini-CEX多维度评估模式教学,两组均教学1个月后评价效果。比较两组教学质量、Mini-CEX多维度评分及教学满意度。结果:观察组教学后理论知识、急救操作技巧、设备使用、作业完成、授课打卡及总分高于对照组(P<0.05);观察组教学后病史询问技巧、体格检查技巧、人文关怀、临床判断、医患沟通技巧、组织效能及整体临床能力评分高于对照组(P<0.05);观察组教学后教学满意度高于对照组(P<0.05)。结论:基于动态真人情境模拟结合TeamSTEPPS、Mini-CEX多维度评估模式用于急诊多发性创伤教学中效果良好,能提升教学质量,提高Mini-CEX多维度评分,且教学满意度较高,值得推广应用。 展开更多
关键词 动态真人情境模拟 TeamSTEPPS mini-cex多维度评估模式 急诊多发性创伤 教学方法
在线阅读 下载PDF
基于Mini-CEX联合DOPS评价的同伴互助学习在心内科临床教学中的应用
3
作者 冯雷雨 冯萌云 李莉明 《卫生职业教育》 2026年第4期59-63,共5页
目的 探讨基于Mini-CEX联合DOPS评价的同伴互助学习模式在心内科临床教学中的应用效果。方法 选取2023年1—12月于郑州大学第一附属医院心内科接受住院医师规范化培训的学员70例作为研究对象,依据接受的教学模式不同分为对照组和观察组... 目的 探讨基于Mini-CEX联合DOPS评价的同伴互助学习模式在心内科临床教学中的应用效果。方法 选取2023年1—12月于郑州大学第一附属医院心内科接受住院医师规范化培训的学员70例作为研究对象,依据接受的教学模式不同分为对照组和观察组。对照组40例学员采用传统教学模式,观察组30例学员采用基于Mini-CEX联合DOPS评价的同伴互助学习模式。比较两组的考核成绩、CCTDI-CV评分、DREEM评分及学员满意度。结果 观察组学员考核成绩(理论测试、操作实践)高于对照组(P<0.001);观察组CCTDI-CV评分(思想开放性、分析性、系统性、自信心、认知成熟度)高于对照组(P<0.05);观察组DREEM各维度评分均高于对照组(P<0.001);观察组学员满意度高于对照组(P<0.05)。结论 基于Mini-CEX联合DOPS评价的同伴互助学习在心内科临床教学中应用能够显著提高学员的考核成绩、批判性思维能力、学习环境感知及自我认知水平,同时提升学员满意度,是一种有效的临床教学方法。 展开更多
关键词 心内科 mini-cex DOPS 同伴互助 临床教学
在线阅读 下载PDF
基于病例库结合Mini-CEX的泌尿外科临床教学效果评估
4
作者 李晨 李强 《农垦医学》 2026年第1期94-96,共3页
目的:本研究旨在探讨泌尿外科病例库结合Mini-CEX(Mini-Clinical Evaluation Exercise,Mini-CEX)评价方法在泌尿外科临床教学中的应用效果。方法:选取2022年9月至2023年6月74名在校学生为研究对象,随机分为对照组和试验组,分别采用传统... 目的:本研究旨在探讨泌尿外科病例库结合Mini-CEX(Mini-Clinical Evaluation Exercise,Mini-CEX)评价方法在泌尿外科临床教学中的应用效果。方法:选取2022年9月至2023年6月74名在校学生为研究对象,随机分为对照组和试验组,分别采用传统教学方法和泌尿外科病例库结合Mini-CEX评价方法进行教学。通过理论考核成绩、技能操作评分、教学满意度以及临床综合能力等方面评价教学效果。结果:试验组理论知识考核成绩(87.50±3.20)分优于对照组(79.80±3.60)分,试验组技能考核成绩(89.20±3.50)分,显著优于对照组(81.40±3.20)分,2组比较差异均具有统计学意义(P<0.05);Mini-CEX评分上,试验组学生(77.35±3.98)分,显著高于对照组的(72.85±4.62)分,2组比较差异具有统计学意义(P<0.05);学生对教学模式的满意度上,试验组学生为94.59%,对照组学生为86.47%,两者差异具有统计学意义(P<0.050)。结论:病例库结合Mini-CEX的教学模式能够有效提升泌尿外科本科临床教学的效果,有助于学生对理论知识的掌握、临床技能的提升,并提高教学满意度。这种教学模式值得在本科临床教学中推广应用。 展开更多
关键词 临床教学 泌尿外科 病例库 mini-cex
在线阅读 下载PDF
基于短视频的网络教学模式联合Mini-CEX测评在妇产科本科实习生培养中的应用
5
作者 王茜 邹晓锋 +1 位作者 黎莹 曾婷 《中国医学教育技术》 2026年第1期87-92,共6页
目的 探讨基于短视频的网络教学模式联合迷你临床演练评估(mini-clinical evaluation exercise,Mini-CEX)在妇产科本科实习生培养中的应用效果。方法 最终选取2022年5月—2024年3月于合肥医科大学附属医院妇产科实习的70名本科生为研究... 目的 探讨基于短视频的网络教学模式联合迷你临床演练评估(mini-clinical evaluation exercise,Mini-CEX)在妇产科本科实习生培养中的应用效果。方法 最终选取2022年5月—2024年3月于合肥医科大学附属医院妇产科实习的70名本科生为研究对象,随机分为试验组(n=35)与对照组(n=35)。试验组采用短视频网络教学模式,对照组采用传统幻灯片结合模具教学。通过随堂测试、出科考试(理论与操作)、Mini-CEX测评(病史采集、体格检查、人文关怀与医患沟通等7项)及教学效果问卷调查(授课形式、自学能力等6项)评估两组教学效果。结果 试验组出科测试成绩为(95.06±3.85)分,高于对照组的(92.83±3.41)分(P<0.05)。Mini-CEX测评中,试验组在人文关怀与医患沟通的得分为(7.19±0.80)分,临床判断为(7.65±0.60)分,操作技能为(7.02±0.90)分及整体能力为(7.29±0.73)分,均优于对照组[(6.70±0.87)分、(6.61±1.02)分、(6.69±0.93)分、(6.76±1.13)分],差异有统计学意义(P<0.05)。教学效果问卷调查显示,试验组在授课形式、自学能力、教学方法满意度方面,均优于对照组,差异有统计学意义(P<0.05)。结论 短视频联合Mini-CEX测评的教学模式可有效提升妇产科实习生的临床思维及实践能力、自主学习效率及综合素养。 展开更多
关键词 短视频教学 mini-cex测评 妇产科教育 临床实习 教学效果
在线阅读 下载PDF
Evolution of diamond film growth modes under varied plasma conditions:insights from optical emission spectroscopy
6
作者 Pengfei Qu Guangdi Zhou +2 位作者 Peng Jin Xu Han Zhanguo Wang 《Journal of Semiconductors》 2026年第1期91-97,共7页
The synthesis of high-quality heteroepitaxial diamond films on iridium composite substrates is a critical step toward advancing diamond for electronic and optical applications.Microwave plasma chemical vapor depositio... The synthesis of high-quality heteroepitaxial diamond films on iridium composite substrates is a critical step toward advancing diamond for electronic and optical applications.Microwave plasma chemical vapor deposition,combined with in situ optical emission spectroscopy,enables precise control over growth modes through plasma parameter tuning.In this study,we examine how methane concentration,microwave power,and gas pressure influence plasma species and,consequently,the growth modes of heteroepitaxial diamond by optical emission spectroscopy and scanning electron microscope.At low nucleation densities,increased methane concentrations promote the transition from faceted polyhedral to ballas structures,driven by elevated C_(2) radical concentrations in the plasma.Conversely,at higher nucleation densities,gas pressure,and substrate temperature dominate growth mode determination,leading to diverse morphologies,such as planar,polycrystalline,octahedral,and step-flow growth.These findings elucidate the interplay among plasma species,growth parameters,and growth mode,offering critical insights for optimizing growth conditions and preparing heteroepitaxial diamond films in a specific growth mode. 展开更多
关键词 HETEROEPITAXY diamond films growth modes MPCVD OES
在线阅读 下载PDF
First systematic identification of triple-mode Auroral Kilometric Radiation using Arase polarization data
7
作者 YiHua He SanGuang Li +8 位作者 HongMing Yang Sai Zhang YuYue Jin Si Liu ZhongLei Gao FuLiang Xiao ZhaoGuo He JiaWen Tang Ping Li 《Earth and Planetary Physics》 2026年第1期117-125,共9页
Auroral kilometric radiation(AKR),a fundamental plasma emission in Earth's magnetosphere,exhibits three characteristic modes:the right-handed extraordinary(R-X),left-handed ordinary(L-O)and left-handed extraordina... Auroral kilometric radiation(AKR),a fundamental plasma emission in Earth's magnetosphere,exhibits three characteristic modes:the right-handed extraordinary(R-X),left-handed ordinary(L-O)and left-handed extraordinary(L-X)modes.The role of AKR in magnetosphere−ionosphere−atmosphere coupling depends sensitively on its wave mode.While previous studies have primarily focused on the dominant R-X mode,we present the first systematic identification of all three modes using a practical polarization analysis method based on Arase satellite observations.This method employs a spin-axis-relative Ratio:when the satellite's spin axis aligns with the background magnetic field,a positive(negative)Ratio indicates the right-handed(left-handed)polarization,with reversal under anti-parallel conditions.Combined polarization-frequency analysis reveals that R-X,L-O,and L-X modes can exist in both dayside and nightside regions,with power spectral densities up to 10^(-6)mV^(2)m^(-2)Hz^(-1).This study resolves long-standing ambiguities in AKR mode classification and has implications for understanding AKR-induced electron dynamics. 展开更多
关键词 Auroral kilometric radiation wave mode POLARIZATION
在线阅读 下载PDF
Interannual modulation of summer precipitation over North China by the coupled tropical Pacific-Atlantic SST Dipole Mode
8
作者 Yanjin Mao Xiaorui Niu +3 位作者 Ping Li Xianchun Chen Libin Huang Xin Tan 《Atmospheric and Oceanic Science Letters》 2026年第1期1-6,共6页
Using multi-source reanalysis data,this study examines the relationship between the tropical Pacific-Atlantic SST Dipole Mode(TPA-DM)and summer precipitation in North China(NCSP)on the interannual timescale during the... Using multi-source reanalysis data,this study examines the relationship between the tropical Pacific-Atlantic SST Dipole Mode(TPA-DM)and summer precipitation in North China(NCSP)on the interannual timescale during the period of 1979-2022.The results show that the TPA-DM,the dominant pattern of interannual variability in the tropical Pacific and Atlantic regions,exhibits a significant negative correlation with NCSP.The positive phase of TPA-DM induces subsidence over the Maritime Continent through a zonal circulation pattern,which initiates a Pacific-Japan-like wave train along the East Asian coast.The circulation anomalies lead to moisture deficits and convergence subsidence over North China,leading to below-normal rainfall.Further analysis reveals that cooler SST in the Southern Tropical Atlantic facilitates the persistence of the TPA-DM by stimulating the anomalous Walker circulation associated with wind-evaporation-SST-convection feedback. 展开更多
关键词 Coupled tropical Pacific-Atlantic SST mode Precipitation ENSO Atmospheric teleconnection
在线阅读 下载PDF
Mycorrhizal communities in Orchidaceae are likely shaped by plant trophic mode and biogeography but not phylogeny
9
作者 Deyi Wang Vincent S.F.T.Merckx +1 位作者 Hans Jacquemyn Sofia I.F.Gomes 《Plant Diversity》 2026年第1期117-127,共11页
Mycorrhizal symbioses are prevalent in terrestrial ecosystems and play essential roles in plant nutrition and health.However,the relative importance of plant evolutionary history,physiology,and eco-geographical factor... Mycorrhizal symbioses are prevalent in terrestrial ecosystems and play essential roles in plant nutrition and health.However,the relative importance of plant evolutionary history,physiology,and eco-geographical factors in shaping mycorrhizal fungal community assembly remains poorly understood.Here,we investigate how plant phylogeny,trophic mode,biogeographic distribution and environmental niche collectively influence the diversity and composition of mycorrhizal fungal communities across the Orchidaceae,spanning broad phylogenetic and ecological scales.By using family-wide orchid-fungal associations and global occurrence data,our analyses showed that the variation in fungal diversity and community structure can be partially explained by orchids’trophic mode,biogeographic distribution and environmental niche,but not by their overall phylogenetic relatedness.Among trophic modes,partially mycoheterotrophic orchids exhibited the highest level of fungal diversity(the lowest level of fungal specificity)in association with a broad range of phylogenetically dispersed fungal partners.Between biogeographical regions,a significantly higher level of fungal specificity was found for orchid species distributed in Australia than those in Eurasia and Africa.Furthermore,multivariate analyses showed that a small portion of the variation in fungal community structure was significantly related to broad climate,soil and vegetation variables,indicating the existence of large-scale habitat filtering on orchid mycorrhizal communities.Altogether,our findings indicate that mycorrhizal communities in the orchid family are likely shaped by multiple,intertwined factors related to orchid ecophysiology and biogeography on a global scale. 展开更多
关键词 Orchid mycorrhiza Fungal community assembly Phylogenetic relatedness Trophic mode BIOGEOGRAPHY
在线阅读 下载PDF
Evaluation of spatial variability characteristics based on anisotropic modes of random fields
10
作者 Kejing Chen Qinghui Jiang 《Journal of Rock Mechanics and Geotechnical Engineering》 2026年第1期494-508,共15页
This paper introduces a framework for modeling random fields,with a particular emphasis on analyzing anisotropic spatial variability.It establishes a clear connection between the correlation function and the Kriging v... This paper introduces a framework for modeling random fields,with a particular emphasis on analyzing anisotropic spatial variability.It establishes a clear connection between the correlation function and the Kriging variogram across various anisotropic modes,providing mathematical models to enhance our understanding of random fields.A new anisotropy index,called LSAI,is introduced to quantify anisotropy based on the autocorrelation length and the orientation of the principal axes within the variogram.An LSAI value closer to one indicates a lower degree of anisotropy.The present study examines how the degree of anisotropy varies with different autocorrelation lengths and angles between the principal axes,providing valuable insights into these relationships.To improve the accuracy of parameter probability distribution estimations,this study integrates limited field test data using a Bayesian inference approach.Additionally,the Markov chain Monte Carlo simulation method is employed to develop a conditional random field(CRF)for the deformation modulus.By incorporating data from field bearing plate tests,the posterior variance data for the deformation modulus are derived.This process facilitates the construction of a detailed and reliable CRF for the deformation modulus. 展开更多
关键词 Conditional random field(CRF) Anisotropic mode KRIGING Bayesian method VARIOGRAM
在线阅读 下载PDF
Predictable and Unpredictable Modes of Northern Hemisphere Atmospheric Circulation in CMIP6:Evaluation and Projections
11
作者 Kairan YING Dabang JIANG Linhao ZHONG 《Advances in Atmospheric Sciences》 2026年第1期135-156,共22页
Climate models are essential for understanding past,present,and future changes in atmospheric circulation,with circulation modes providing key sources of seasonal predictability and prediction uncertainties for both g... Climate models are essential for understanding past,present,and future changes in atmospheric circulation,with circulation modes providing key sources of seasonal predictability and prediction uncertainties for both global and regional climates.This study assesses the performance of models participating in phase 6 of the Coupled Model Intercomparison Project in simulating interannual variability modes of Northern Hemisphere 500-hPa geopotential height during winter and summer,distinguishing predictable(potentially predictable on seasonal or longer timescales)and unpredictable(intraseasonal and essentially unpredictable at long range)components,using reanalysis data and a variance decomposition method.Although most models effectively capture unpredictable modes in reanalysis,their ability to reproduce dominant predictable modes-specifically the Pacific-North American pattern,Arctic Oscillation,and Western Pacific Oscillation in winter,and the East Atlantic and North Atlantic Oscillations in summer-varies notably.An optimal ensemble is identified to distinguish(a)predictable-external modes,dominated by external forcing,and(b)predictable-internal modes,associated with slow internal variability,during the historical period(1950-2014)and the SSP5-8.5 scenario(2036-2100).Under increased radiative forcing,the leading winter/summer predictable-external mode exhibits a more uniform spatial distribution,remarkably larger trend and annual variance,and enhanced height-sea surface temperature(SST)covariance under SSP5-8.5 compared to historical conditions.The dominant winter/summer predictable-internal modes also exhibit increased variance and height-SST covariance under SSP5-8.5,along with localized changes in spatial configuration.Minimal changes are observed in spatial distribution or variance for dominant winter/summer unpredictable modes under SSP5-8.5.This study,from a predictive perspective,deepens our understanding of model uncertainties and projected changes in circulations. 展开更多
关键词 interannual mode of atmospheric circulation CMIP6 predictable unpredictable EVALUATION PROJECTION
在线阅读 下载PDF
Long-Term Trends of the South Pacific–Subantarctic Mode Water Modulated by the Interdecadal Pacific Oscillation
12
作者 JIANG Jindong SHI Jiuxin +2 位作者 ZHU Yaohua XU Tengfei WEI Zexun 《Journal of Ocean University of China》 2026年第1期1-12,共12页
The subantarctic mode water(SAMW)represents a large water mass in the Southern Ocean.This body of water forms through deep convection(subduction)in winter and contributes to the uptake and storage of anthropogenic hea... The subantarctic mode water(SAMW)represents a large water mass in the Southern Ocean.This body of water forms through deep convection(subduction)in winter and contributes to the uptake and storage of anthropogenic heat.However,its longterm changes in subduction rate and volume in response to shifting climate conditions are unclear.In this study,we investigated the long-term trend of the subduction rate and volume of the South Pacific–SAMW(SPSAMW)using Simple Ocean Data Assimilation outputs during 1980–2017.The results show the overall increasing trend of the subduction rate of the SPSAMW.The increased subduction of the SPSAMW directly contributes to the volume variation in the SPSAMW.The increased subduction in the South Pacific reached(0.28±0.16)Sv-1 per year,which explains nearly 68%of the volume increase in the SPSAMW.This variability in the SPSAMW reflects alterations in the overlying atmosphere.The positive to negative phase change of the Interdecadal Pacific Oscillation(IPO)in 1980–2017 deepened the Amundsen Sea Low(ASL)via atmospheric teleconnections over the South Pacific.Further analysis reveals that the increased westerly winds during the deepening of ASL resulted in more cold water transport from the south,which deepened the winter mixed layer and thus increased subduction and volume within the SPSAMW subduction region.This finding suggests the association of the long-term trends of SPSAMW subduction and volume with the phase change of the IPO. 展开更多
关键词 South Pacific subduction rate subantarctic mode water Amundsen Sea Low
在线阅读 下载PDF
Energy absorption properties and failure modes of flexible UHMWPE foam protective sandwich structure subjected to low-velocity impact
13
作者 Xiaoke Liu Kejing Yu Pengwan Chen 《Defence Technology(防务技术)》 2026年第2期32-48,共17页
Flexible materials play a crucial role in protecting against behind armour blunt trauma(BABT).However,their compliance complicates the understanding of failure mechanisms and energy absorption.This study used a combin... Flexible materials play a crucial role in protecting against behind armour blunt trauma(BABT).However,their compliance complicates the understanding of failure mechanisms and energy absorption.This study used a combined experimental and numerical approach to investigate the response and failure modes of a flexible ultra-high-molecular-weight polyethylene(UHMWPE)foam protective sandwich structure(UFPSS)under low-velocity impact(LVI).A finite element(FE)model,accounting for nonlinear large deformation and strain-rate-dependent material behavior,was developed for a woven-UFPSS(featuring a plain-woven fabric structure)subjected to a 50 J impact.Experimental and numerical results showed strong agreement in peak force(error<5%),maximum displacement(error<6%),and buffer time(error<8%).The impact's kinetic energy was mainly converted into internal energy of the fabric and foam materials(~50%),viscous dissipation in the foam core(12%-15%),frictional work at the contact interfaces(5%-6%),and work by the pneumatic fixture clamping force(~38%).This study provides the first investigation of the LVI performance of sandwich structures with all soft material layers,offering significant insights for the application of compliant materials in protective fields. 展开更多
关键词 Sandwich structure Ultra-high-molecular-weight polyethylene(UHMWPE) Low-velocity impact(LVI) Failure mode Energy absorption
在线阅读 下载PDF
Suppression of Dry-Coupled Rubber Layer Interference in Ultrasonic Thickness Measurement:A Comparative Study of Empirical Mode Decomposition Variants
14
作者 Weichen Wang Shaofeng Wang +4 位作者 Wenjing Liu Luncai Zhou Erqing Zhang Ting Gao Grigory Petrishin 《Structural Durability & Health Monitoring》 2026年第1期302-316,共15页
In dry-coupled ultrasonic thickness measurement,thick rubber layers introduce high-amplitude parasitic echoes that obscure defect signals and degrade thickness accuracy.Existing methods struggle to resolve overlap-pin... In dry-coupled ultrasonic thickness measurement,thick rubber layers introduce high-amplitude parasitic echoes that obscure defect signals and degrade thickness accuracy.Existing methods struggle to resolve overlap-ping echoes under variable coupling conditions and non-stationary noise.This study proposes a novel dual-criterion framework integrating energy contribution and statistical impulsivity metrics to isolate specimen re-flections from coupling-layer interference.By decomposing A-scan signals into Intrinsic Mode Functions(IMFs),the framework employs energy contribution thresholds(>85%)and kurtosis indices(>3)to autonomously select IMFs containing valid specimen echoes.Hybrid time-frequency thresholding further suppresses interference through amplitude filtering and spectral focusing.Experimental results demonstrate the framework’s robustness,achieving 92.3%thickness accuracy for 5 mm steel specimens with 5 mm rubber coupling,outperforming conventional methods by up to 18.7%.The dual-criterion approach reduces operator dependency by 37%and maintainsΔT<0.03 mm under surface roughness up to 6.3μm,offering a practical solution for industrial nondestructive testing with thick dry-coupled interfaces. 展开更多
关键词 Empirical mode decomposition complete ensemble EMD with adaptive noise(CEEMDAN) dry-coupled ultrasonic testing thickness measurement signal interference suppression
在线阅读 下载PDF
Mini-CEX带教模式对人文关怀病房护理实习生人文关怀能力培养的效果研究 被引量:1
15
作者 景婷 隋曌 +1 位作者 谌雪梅 邓清洋 《卫生职业教育》 2025年第22期101-104,共4页
目的 探讨Mini-CEX带教模式对人文关怀病房护理实习生人文关怀能力的培养效果。方法 采用自身前后对照研究设计,运用人文关怀能力量表(CAI)及Nursing-Mini-CEX评估工具,通过Mini-CEX带教模式干预前后测评数据的对比分析,评估护理实习生... 目的 探讨Mini-CEX带教模式对人文关怀病房护理实习生人文关怀能力的培养效果。方法 采用自身前后对照研究设计,运用人文关怀能力量表(CAI)及Nursing-Mini-CEX评估工具,通过Mini-CEX带教模式干预前后测评数据的对比分析,评估护理实习生人文关怀能力的变化。实习教学过程中对护理实习生实施三阶段递进式Mini-CEX带教模式(床旁示范—临床实践—即时反馈)。结果 使用Mini-CEX带教模式后,护理实习生人文关怀能力测评总分及各维度得分均显著提升(均P<0.05);Nursing-Mini-CEX考核显示,后测得分均显著高于前测(均P<0.001)。结论 在人文关怀病房环境下,将Mini-CEX带教模式应用于护理实习生的临床实习教学,可同步提升护生的人文关怀能力与专业技能,促进护生临床综合能力的全面提升。 展开更多
关键词 mini-cex 护理实习生 人文关怀能力 临床教学
在线阅读 下载PDF
基于主题设计的研究型教学模式联合Mini-CEX在内科学教学中的应用
16
作者 李居一 张媛媛 +2 位作者 王艳 刘怀珍 张进军 《中国高等医学教育》 2025年第2期82-83,共2页
目的:探讨研究型教学模式联合Mini-CEX在内科学教学中应用的有效性和可推广性。方法:选取100名中西医结合专业学生,随机分为试验组和对照组。试验组采用研究型教学模式联合Mini-CEX,对照组采用传统的教学方法,最终以笔试及问卷调查的形... 目的:探讨研究型教学模式联合Mini-CEX在内科学教学中应用的有效性和可推广性。方法:选取100名中西医结合专业学生,随机分为试验组和对照组。试验组采用研究型教学模式联合Mini-CEX,对照组采用传统的教学方法,最终以笔试及问卷调查的形式进行评估和比较。结果:试验组笔试测评的理论部分和病案分析部分得分均高于对照组(P<0.05);试验组中96%的学生对教学方法表示满意,高于对照组(P<0.05)。结论:基于主题设计的研究型教学模式联合Mini-CEX在内科学教学中的应用效果良好,对于培养科研思维和创新能力具有积极意义。 展开更多
关键词 研究型教学模式 mini-cex 内科学
在线阅读 下载PDF
基于MBTI个性类型的医学生Mini-CEX评价研究
17
作者 陈冬妮 郑智华 王晓华 《中国高等医学教育》 2025年第12期42-43,46,共3页
目的:探讨MBTI个性类型与医学生Mini-CEX表现的关系。方法:使用MBTI量表和Mini-CEX评估120名见习医学生,比较不同性格倾向学生的Mini-CEX评分差异。结果:外向型医学生与内向型医学生相比,Mini-CEX的体格检查和人文关怀评分更高(均P<0... 目的:探讨MBTI个性类型与医学生Mini-CEX表现的关系。方法:使用MBTI量表和Mini-CEX评估120名见习医学生,比较不同性格倾向学生的Mini-CEX评分差异。结果:外向型医学生与内向型医学生相比,Mini-CEX的体格检查和人文关怀评分更高(均P<0.05);直觉型医学生Mini-CEX的临床诊断、沟通能力和组织效能评分优于感觉型,比较差异均有统计学意义(均P<0.05);情感型医学生Mini-CEX的问诊技巧和人文关怀评分高于思考型医学生,比较差异均有统计学意义(均P<0.05)。结论:个性类型与临床技能表现相关,可用于指导个性化教学。 展开更多
关键词 MBTI mini-cex 医学生 临床技能
在线阅读 下载PDF
基于PDCA循环的PBL教学法联合Mini-CEX在消化内科住培教学中的应用
18
作者 姚建宁 韩菲 高仕霖 《中国卫生产业》 2025年第22期1-4,共4页
目的评估基于PDCA循环的问题驱动教学法(problem-based learning,PBL)联合迷你临床演练评估(Mini-clinical Evaluation Exercise,Mini-CEX)在消化内科住院医师规范化培训(简称住培)中的实施效果。方法选取2024年3-10月郑州大学第一附属... 目的评估基于PDCA循环的问题驱动教学法(problem-based learning,PBL)联合迷你临床演练评估(Mini-clinical Evaluation Exercise,Mini-CEX)在消化内科住院医师规范化培训(简称住培)中的实施效果。方法选取2024年3-10月郑州大学第一附属医院消化内科40名住培医师作为研究对象,根据教学方法不同分为观察组和对照组,每组20名。观察组采用基于PDCA循环的PBL教学法联合Mini-CEX进行教学,对照组采用传统教学法。比较两组住培医师理论考核成绩、技能考核成绩、Mini-CEX评分及教学满意度。结果观察组住培医师理论及技能考核成绩均高于对照组,差异均有统计学意义(P均<0.05)。观察组Mini-CEX总评分为(42.10±2.36)分,高于对照组的(35.00±1.78)分,差异有统计学意义(t=10.749,P<0.05)。观察组住培医师教学满意度为100.00%(20/20),高于对照组的70.00%(14/20),差异有统计学意义(P=0.020)。结论基于PDCA循环的PBL教学法联合Mini-CEX应用于消化内科住培中,可有效提高整体的教学成效及教学满意度。 展开更多
关键词 PDCA循环 PBL教学法 mini-cex 消化内科 住院医师规范化培训
在线阅读 下载PDF
PBL结合Mini-CEX评价在规培生传染病学临床带教中的应用探讨
19
作者 陈燕飞 《中国高等医学教育》 2025年第3期109-111,共3页
目的:研究以问题为基础的教学法(problem-based learning, PBL)联合Mini-CEX评价在规培生传染病学临床带教中的应用效果。方法:2021年1月至2021年12月在浙江大学医学院附属第一医院感染科进行临床规培的住院医师80名,将研究对象分为试... 目的:研究以问题为基础的教学法(problem-based learning, PBL)联合Mini-CEX评价在规培生传染病学临床带教中的应用效果。方法:2021年1月至2021年12月在浙江大学医学院附属第一医院感染科进行临床规培的住院医师80名,将研究对象分为试验组和对照组,每组各40名学生,试验组采用PBL结合Mini-CEX评价带教模式,对照组全程采用传统模式带教,对两组的出科考试成绩及教学满意度进行调查比较及统计分析。结果:试验组出科考成绩高于对照组(P<0.05);54.55%的试验组学生认为PBL结合Mini-CEX评价有促进学习的作用。结论:PBL结合Mini-CEX评价值得在规培生传染病学临床带教中的应用推广。 展开更多
关键词 PBL mini-cex评价 规培生 传染病学
在线阅读 下载PDF
Mini-CEX评估结合CBL教学法在康复治疗临床带教中的应用
20
作者 李鹏 王肖辉 《河南医学研究》 2025年第16期3023-3027,共5页
目的探讨Mini-CEX结合CBL教学法在康复治疗学临床带教中的应用效果。方法选取2024年6月至2025年3月在郑州大学第一附属医院康复医学科实习的学生72名,随机将实习生分为试验组和对照组,试验组采用Mini-CEX结合CBL教学方法,对照组采用传... 目的探讨Mini-CEX结合CBL教学法在康复治疗学临床带教中的应用效果。方法选取2024年6月至2025年3月在郑州大学第一附属医院康复医学科实习的学生72名,随机将实习生分为试验组和对照组,试验组采用Mini-CEX结合CBL教学方法,对照组采用传统式带教方法。实习结束后,对两组实习生进行理论知识考核、实践技能考核、Mini-CEX评分及教学满意度问卷调查。结果试验组理论成绩、技能成绩和Mini-CEX评分均优于对照组,教学满意度问卷调查结果显示试验组在教学重点掌握情况、临床技能熟练程度、临床思维提升情况、学习动力提高程度、实习满意度方面均高于对照组,差异有统计学意义(P<0.05)。结论在康复治疗实习带教中采用Mini-CEX评估结合CBL教学法,能明显提高实习生的临床实践能力、思维能力,提升实习带教的质量。 展开更多
关键词 mini-cex评估 CBL教学法 临床带教
暂未订购
上一页 1 2 250 下一页 到第
使用帮助 返回顶部