ABSTRACT
Objective:To explore the application effect of problem-based learning (PBL) combined with WeChat assisted teaching pattern in teaching rounds of encephalopathy department.Methods:Undergraduate interns of Batch 2018 from the encephalopathy department were enrolled in the study. The observation group ( n=36) was taught by PBL combined with WeChat teaching mode. The control group ( n=36) was taught by the conventional teaching mode. At the end of rotation, the scores of theoretical and practical skills tests of the two groups were compared, and at the same time, the results of the survey were compared according to the questionnaire. SPSS 19.0 was used for statistical analysis of the data. Results:The test scores of the observation group were significantly higher than those of the control group ( P<0.05). The recognition in nine aspects of the observation group was also significantly higher than that of the control group, such as the interaction with the teaching teachers, the effect of improving clinical learning interest and the ability of inspiring thinking and innovation ( P<0.05). There was no significant difference in recognition about improving the efficiency of clinical teaching rounds between two groups ( P>0.05). Conclusion:PBL combined with WeChat teaching rounds model has certain advantages over traditional rounds in TCM clinical teaching, which are mainly manifested in the mastery of clinical knowledge, the communication ability of interns, the ability of interaction and cooperation, the ability of innovation and thinking, and the improvement of learning initiative.
ABSTRACT
Fruquintinib is an effective, highly selective and oral VEGFR 1, 2 and 3 tyrosine kinase inhibitor. It was discovered and developed by Hutchison MediPharma for the treatment of solid tumors. In September 2018, fruquintinib received its first global approval in China for use in the treatment of metastatic colorectal cancer (CRC) patients who have failed at least two prior systemic anti-neoplastic therapies. Clinical studies have shown that it has the advantages of low off-target toxicity, good drug resistance and strong curative effect. This article reviews the molecular structure, mechanism of action, pharmacokinetics, clinical efficacy and safety of fruquintinib, as well as its potential clinical applications in other tumor types.
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With the development of modern society, the range of disease spectrum is changing, and risk factors leading to human trauma and damage are also in the shift. In addition to the extraordinary burns in the traditional sense, we also call extraordinary injury as damage induced by some of extraordinary insults in the past. In recent years, damage to skin and soft tissue caused by an extraordinary injury showed a gradually increasing trend. Manifestations of the wound of an extraordinary injury are various and its clinical treatment is very difficult, often requiring exceptional systemic comprehensive treatments. Currently, it is the duty of colleagues in the burn unit to actively deliberate about their realities regarding the following aspects: to accurately define the concept and scope of extraordinary injury, to include it into the range of clinical research and treatment of burns, to fully use professional skills of burn surgeons in dealing with wounds, and to effectively treat the patients through learning and mastering treatment skills of other clinical disciplines for treatment of extraordinary injury.
Subject(s)
Humans , Burn Units , Burns , General Surgery , Plastic Surgery Procedures , Methods , Risk Factors , Skin Transplantation , Methods , Surgical FlapsABSTRACT
Objective To assess and quantitatively analyze the comprehensive benefits of improvement of drinking water quality in Hetian county of Xinjiang Methods The incidences of water borne infectious diseases(dysentery,hepatitis,typhoid and cholera) during 1992~1998 and the effects of health education were reviewed The decreases of the costs for drinking water transportation and the saving of medical expenses were analyzed quantitatively Results 95% of the total population were benefited from the improvement of drinking water quality The incidence rates of water borne infectious diseases except dysentery revealed a decreasing trend during 1992~1998 in Hetian county The benefited population presented higher levels of sanitary knowledge and good sanitary habits By the end of 2000,the accumulative investment for water improvement reached up to 45 50 million yuan,the saving of the costs for drinking water transportation and medical expenses was from 18 64 million yuan to 42 46 million yuan and 6 60 million yuan respectively,the benefit of building water plants and the development of peasant family economy was 2 91 million yuan and 35 56 million yuan respectively The totoal direct economic benefit reached from 67 31 million yuan to 87 52 million yuan Conclusion The project of improvement of drinking water quality revealed significant social and economic benefit,which had obviously exceeded the total investment