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Objective To investigate the value of case-based learning(CBL) combined with lecture-based learning (LBL) in medical immunology teaching.Methods Totally 85 clinical medicine students of 2010 grade in medical school of Yangtze university were divided into two groups:control group(n=43) and experimental group(n=42).The students in control group were received LBL while those in experimental group were received CBL combined with LBL.Teaching effectiveness was evaluated by questionnaire survey and theoretical test.Results The questionnaire showed that the abilities of comprehension,expression,analysis,practice and cooperation were significantly better in experimental group than in the control group(P＜0.05),the results of test showed that the total scores and the scores of choice and clinical case analysis were markedly higher in experimental group than in the control group(P＜0.05).Conclusions The teaching model of CBL combined with LBL is helpful to develop students' comprehensive quality and creative ability and it is worth further promoting in medical immunology teaching.But there are some problems need further improvement.
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Objective To evaluate the changes of growth hormone(GH), brain natriuretic peptide(BNP) and adrenomedullin(ADM) in congestive heart failure patients. Methods The blood samples were obtained from 60 pa-tients with congestive heart failure(CHF) and 30 patients without CHF,and their serum/plasma levels of GH,BNP and ADM were measured by enzyme-labeled immunosorbentassay(ELISA) and radioimmunoassay. At the same time all the patients received colorful Doppler ultrasonocardio-gram to determine left ventricular end-dilation diameter (LVED) and left ventrieular ejection fraction(LVEF). Results The levels of BNP and GH in heart failure group were[(0.83±1.06) μg/L,(115.31±191.16) ng/L] higher than eontrol group[(0.15±0.42) μg/L, (33.51±49.85) ng/L] (t = 2.689, t = 2.765, P < 0.01); The efficiency and total efficiency in heart failure group was (39.7% ,76.5%) higher than control group (32.3%, 61.3%) (t = 1.894, P > 0.05, t = 2.265, P < 0.05); The sensitivities and specificities of BNP were 89.3% and 63.0%; The sensitivities and specificities of GH were 85.7% and 59.3%; The BNP combined with GH were 75.0% and 74.0%. Condusion The combination of GH and BNP is better than application alone in the diagnosis of CHF.
ABSTRACT
@#目的观察中药健骨舒膝汤内服结合膝痛洗剂外用对膝关节骨性关节炎的临床疗效。方法将膝关节骨性关节炎患者70例分为治疗组和对照组各35例,治疗组口服健骨舒膝汤并结合膝痛洗剂外洗,每日1剂;对照组口服氨糖美辛0.1g,3次/d。结果治疗2周后,治疗组总有效率为91.4%,对照组为71.4%(P<0.05)。结论健骨舒膝汤结合膝痛洗剂对膝关节骨性关节炎有较好疗效。
ABSTRACT
The article explores the teaching content in immunology according to "three modules and one line" and tamps the knowledge points of the basic module ,forms the point-into-line methods of the core module and emphasizes the application of extending module to expand the teachin "gspaces" between the theachers and students.
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To train students' scientific research thought and innovation ability,we explored on the designed experiment teaching to improve the studnts’ manipulative ability,their analysis and synthesis ability as well as the problem-solving ability,and increased their interest in learning so that students could better mastere the basic skills and basic theory of immunology.
ABSTRACT
The design and the teaching of immulogical experiment should be helpful to training the students'ability both in clinical practising and scientific thinking.The key links may include nailing down the target,optimizing the contents,improving the teaching method,valuing the design item,and standardizing the report so as to enhance the students' comprehensive skills and scientific thinking by means of "operating" and "braining".
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Objective To evaluate clinical effects of laparoscopy in acute abdominal emergency. Methods A retrospective analysis was made on clinical date of 146 cases of acute abdominal emergency from January 2001 to August 2005,including 86 cases of acute cholecystitis,45 cases of acute appendicitis,6 cases of closed abdominal trauma,5 cases of perforation of gastroduodenal ulcer,3 cases of pyosalpinx,and 1 case of adhesive intestinal obstruction. Results Out of the 146 cases,134 cases(91.8%) were successfully diagnosed and treated under laparcoscope,including 7 cases which could not be confirmatively diagnosed preoperatively.Conversions to open surgery were required in 12 cases(8.2%).No complications or fatal cases were noted.(Conclusions Laparoscopic) technique is safe,reliable,and micro-invasive in the diagnosis and treatment of acute abdominal emergency.