Application of Gagne's teaching theory combined with scene teaching method in practice teaching of nursing students in department of respiratory and critical care medicine / 中华医学教育探索杂志

Objective:To explore the effects of practice teaching based on Gagne's teaching theory combined with scene teaching method on core competency of nursing students in department of respiratory and critical care medicine.Methods:A total of 42 nursing students from the Respiratory and Critical Care Medicine Department of Beijing Jishuitan Hospital were enrolled and divided into observation group (21 cases) and control group (21 cases) using a random number table. Traditional teaching method was used in the control group, while Gagne's teaching theory combined with scene teaching method was used for teaching the observation group. After teaching, theoretical knowledge and actual operation ability of nursing students were assessed. The core competency of nursing students was evaluated by core competency assessment scale. The independent learning ability of nursing students was evaluated using an assessment tool. The self-evaluation of teaching effect in the two groups was compared. The t test or chi-square test was performed in SPSS 22.0. Results:The scores of theoretical knowledge and actual operation ability in the observation group were (88.10±7.52) and (90.81±4.88), respectively. These scores were significantly higher than those in the control group [(83.62±6.58) and (72.57±8.94), t=2.06, 8.21, P<0.05]. The scores of core competency and independent learning ability were significantly higher in the observation group than in the control group [(185.53±20.19) and (129.09±16.14) vs. (170.52±20.32) and (105.86±12.23), t=2.40, 5.10, P<0.05]. The score of self-evaluation on teaching effect was significantly higher in the observation group than in the control group [28 (25, 29) vs. 21 (20, 22), Z=5.39, P<0.05]. Conclusion:Gagne's teaching theory combined with scene teaching method in practice teaching of nursing students in the department of respiratory and critical care medicine should be promoted because this combined method improves the mastery of theoretical knowledge and actual operation skills, the independent learning ability and core competency of nursing students, and the effect of nursing teaching.

Notas sobre o pesquisar em cena(s) / Notes on researching in scenes / Notas sobre la investigación en escena(s)

O presente artigo tem como objetivo apresentar a construção metodológica desenvolvida em uma pesquisa de mestrado, na qual sustentamos a escrita de cenas como método de pesquisa da escuta clínica. As cenas do trabalho em questão foram recolhidas ao longo do tempo, no contorno da experiência de um projeto de extensão universitária de atenção à infância e adolescência em situação de vulnerabilidade social, situado em uma comunidade periférica. Apresentamos, neste texto, as interrogações que se elaboraram em torno da escolha pelo trabalho com cenas, e compartilhamos o resgate histórico dessas como um método de escrever a clínica, bem como a retomada de sua análise a partir da tradição psicanalítica. Amparadas nesta teoria e em leituras e contribuições do filósofo francês Jacques Derrida, embasamos a noção de que a cena se constitui como um lugar de produção, ao engendrar a configuração particular de elementos significantes nos processos de subjetivação e de construção social. A cena não é, então, compreendida aqui como uma representação do que acontece na clínica, mas como um modo de produzir a escuta e os seus processos de investigação.(AU)

This article aims to present the methodological construction developed in a master's research, in which the writing of scenes as a method of clinical listening research was endorsed. The scenes from the study in question were collected over time, from the experience gained in a project conducted within a university extension program on care in childhood and adolescence in social vulnerability, in a peripheral community. In this study, we present some questions that were elaborated surrounding the choices of working with scenes; and we share the historical rescue of this work as a method of writing on clinic practices and resuming their analysis from the psychoanalytic tradition. Based on the psychoanalytic theory and on the readings and contributions of the French philosopher Jacques Derrida, we corroborate the notion that the scene is constituted as a place of production, engendering the particular configuration of significant elements in the processes of subjectivation and social construction. Here, the scene is not a representation of clinical practice but one mode of producing listening and its research processes.(AU)

Este artículo tiene como objetivo presentar la construcción metodológica desarrollada en una investigación de maestría, en la que sostenemos la escritura de escenas como método de investigación de la escucha clínica. Las escenas del trabajo en cuestión se recogieron a lo largo del tiempo desde la experiencia en un proyecto de extensión universitario de atención a la niñez y adolescencia en situación de vulnerabilidad social aplicado en una comunidad periférica. En este texto, presentamos los interrogantes que se elaboraron en torno a la elección por el trabajo con escenas y compartimos el rescate histórico de las mismas como un método de escribir la clínica y la reanudación del análisis a partir de la tradición psicoanalítica. Amparadas en el psicoanálisis y en lecturas y contribuciones del filósofo francés Jacques Derrida, nos basaremos en la noción de que la escena se constituye como un lugar de producción, engendrando la configuración particular de elementos significantes en los procesos de subjetivación y de construcción social. La escena no es aquí una representación de lo que pasa en la clínica, sino un modo de producir escucha y sus procesos de investigación.(AU)

Forensic Examination of Six Homicide Injection Cases / 法医学杂志

OBJECTIVES@#To retrospectively analyze homicide cases of death after injection and provide reference for forensic identification.@*METHODS@#Six homicide cases of death after injection which were investigated by the Criminal Investigation Team of Shanghai Public Security Bureau were collected and analyzed, including case situation, scene investigation, autopsy and other materials.@*RESULTS@#The 6 cases were premeditated crimes, 5 cases took place in private spaces, and 5 cases involved the victims approached by suspects' decoy. There were no obvious abnormalities at the scene of the 6 cases. In 6 cases, the victim's body surface injury was mild or no, lividity color was abnormal, and the needlestick injury showed different manifestations from conventional medical measures.@*CONCLUSIONS@#Death after injection is a highly concealed crime and easy to be ignored. For the suspected injection injury found in autopsy, it is necessary to carefully examine, identify and analyze, be alert to the situation of injecting poison (drug) and do a good job in evidence fixation and material extraction.

Influencing Factors of Horizontal Movement Distance of Bodies in High Falling Deaths / 法医学杂志

OBJECTIVES@#To explore the influencing factors of the horizontal distance of bodies in the high falling scene and the feasibility of inferring the falling mode based on it.@*METHODS@#A total of 614 high falling deaths and 15 cases of corpse dumping from high altitudes were collected. The relationship between the horizontal distance and the falling height, as well as the sex, age and manner of death (suicide, accident and corpse dumping) were observed.@*RESULTS@#The horizontal distance increased with the increase of falling height, and the difference among the height groups was statistically significant. The horizontal distance decreased with the increase of the age of the deceased, in each height group, the difference between the group over 60 years old and other age groups was statistically significant (P<0.05). The horizontal distance of male deceased was (1.99±0.27) m, which was greater than that of female deceased (1.88±0.19) m, and the difference was statistically significant in partial height groups (P<0.05). Roof falls had a greater horizontal movement distance than window falls. Except for the >20-30 m group, there was no significant difference in horizontal distance between suicide high falls and accidental high falls in other height groups.@*CONCLUSIONS@#The horizontal distance is affected by the falling height, the sex and age of the victim, and the spatial characteristics of the falling starting point.

Practice and exploration of whole scene intelligent management of medical insurance in public hospitals / 中华医院管理杂志

With the reform of medical insurance payment mode and the promotion of medical insurance policy, medical insurance management has become the core of public hospital operation and management. According to the business scenario of medical insurance management in public hospitals, medical insurance intelligent management can be divided into three levels: automatic medical insurance intelligent management engine based on rules, digital medical insurance management assistance based on dialogue user interface and hospital medical insurance management brain based on deep learning. In August 2020, under the requirements of hospital intelligent management standards, a tertiary hospital broke through the traditional medical insurance management mode to launch the practice of digital enabled panoramic scene intelligent management of medical insurance, which included medical insurance intelligent business audit, medical insurance intelligent reconciliation, medical insurance intelligent cost control and medical insurance intelligent management cockpit. These measures had realized the intellectualization and standardization of medical insurance management and improved the overall operation efficiency of the hospital.

Conceitos básicos de percepção de cena / Basic concepts of scene perception

A pesquisa sobre percepção de cenas é um esforço da comunidade científica em superar as dificuldades apresentadas ao estudo de estímulos complexos. As consistentes descobertas provaram a viabilidade do tema e encorajam uma abordagem mais holística e integrada nas investigações em percepção visual. Esse esforço e seus achados são, entretanto, pouco conhecidos pelos leitores em língua portuguesa e, até mesmo, entre alguns especialistas que se interessam pelo tema. O objetivo deste trabalho é fazer uma apresentação do campo, esboçar seu desenvolvimento, identificar suas principais questões e demonstrar sua pertinência e importância. Para isso, uma revisão seletiva de textos foi executada entre os autores que construíram os fundamentos da percepção de cenas. Ao concluir a leitura, espera-se que o leitor constate o papel relevante dos processos mnemônicos e do sujeito que observa no processo de captação visual do ambiente natural.

Scene perception research is a scientific community effort to overcome difficulties presented to the study of complex stimuli. Consistent findings support feasibility of the theme and encourage a more holistic and integrated approach to visual perception research. This effort and its findings are, however, poorly known by readers in Portuguese language, even among experts interested in the subject. The purpose of this paper is to introduce this field of research, outline its development, identify its main issues and demonstrate its relevance and importance. This task was accomplished by a selective review of papers from authors who built the foundations of scene perception. Upon completion of the reading, it is expected that the reader understands the relevant role of mnemonic processes and of the observer in the process of visual capture of natural environments.

As materialidades da comunicação e os desafios midiáticos da psicanálise em quarentena / The materialities of communication and the mediatic challenges of psychoanalysis in quarantine / Las materialidades de la comunicación y los desafíos mediáticos del psicoanálisis en cuarentena

Diante dos desafios com que a prática psicanalítica se depara no contexto da pandemia atual, um dos mais notáveis diz respeito à comunicação. A mediação das sessões por mídias técnicas tornou-se ubíqua. Este artigo propõe um diálogo entre a psicanálise e a teoria das materialidades da comunicação para esboçar um olhar mídia-psicanalítico sobre alguns destes desafios, que ensejam também renovadas discussões teóricas. Após um breve panorama das teses de alguns autores de destaque no campo das materialidades (McLuhan, Flusser, Kittler), procuramos delimitar a rediscussão ­ à luz da tese de que o sentido da comunicação emerge sempre no seio de um agenciamento material específico ­ de alguns pontos teóricos fundamentais da teoria psicanalítica, em especial as noções de setting e cena analítica. Estabelecem-se, assim, linhas iniciais para um debate que já se demonstra frutífero entre a psicanálise e as teorias comunicacionais que desnaturalizam a relação entre homem e técnica (AU)

Faced with the challenges set before the psychoanalytic practice in the context of the current pandemic, one of the most pronounced concerns communication. Mediation of sessions by means of technical media has become ubiquitous. This paper proposes a dialogue between psychoanalysis and the theory of the materialities of communication in order to outline a media-psychoanalytic look over some of these challenges, which also include renewed theoretical discussions. After a brief overview of the theses of some prominent authors in the field of materialities (McLuhan, Flusser, Kittler), we try to frame the rediscussion ­ based on the idea that the meaning of communication always emerges within the core of a specific material agency ­ of some seminal theoretical points of the psychoanalytic theory, especially the concepts of setting and analytical scene. Initial threads are thus established for a debate that is already fruitful between psychoanalysis and the theories of communication that denaturalize the relationship between man and technique

Ante los desafíos a los que se enfrenta la práctica psicoanalítica en el contexto de la pandemia actual, uno de los más destacables se refiere a la comunicación. La mediación de sesiones por medios técnicos se ha vuelto ubicua. Este artículo propone un diálogo entre el psicoanálisis y la teoría de las materialidades de la comunicación para esbozar una mirada media-psicoanalítica sobre algunos de estos desafíos, que también dan lugar a renovadas discusiones teóricas. Tras una breve reseña de las tesis de algunos autores destacados en el campo de las materialidades (McLuhan, Flusser, Kittler), buscamos definir la rediscusión ­ a la luz de la tesis de que el sentido de la comunicación siempre emerge en el seno de una gestión material específica ­ de algunos puntos teóricos fundamentales de la teoría psicoanalítica, especialmente las nociones de setting y escena analítica. Así, se establecen las líneas iniciales de un debate que ya se presenta fructífero entre el psicoanálisis y las teorías comunicacionales que desnaturalizan la relación entre hombre y técnica

Análise da agressividade docente na cena pedagógica: implicações para a formação de professoras(es) / Teachers' aggressiveness analysis at pedagogical scene: implications for teachers' training / Análisis de la agresividad docente en la escena pedagógica: implicaciones para la formación

A partir da teoria psicanalítica laplancheana e winnicottiana da agressividade, objetivou-se analisar a agressividade de uma docente e seus efeitos na cena pedagógica através do estudo de caso de uma professora da Educação Infantil. Numa pesquisa qualitativa, recorrendo à triangulação entre observação, entrevista e grupo focal, tomou-se como unidade de análise a cena pedagógica (definida como o conjunto de interações entre docentes e discentes e dos significados intersubjetivos dessas interações nos vínculos envolvendo esses sujeitos). Constataram-se condutas docentes agressivas na interação com alunos da turma, o que levou à hipótese de que as dificuldades subjetivas da professora em lidar com a própria agressividade interferiam no manejo da agressividade discente. Considerando a subjetividade da docente, a participação da professora em formação docente continuada promovida durante a pesquisa viabilizou a tomada de consciência de novos arranjos relacionais entre a professora e as crianças de sua turma, favorecendo a qualidade do seu manejo.

From Laplanche's and Winnicott's psychoanalytic theories of aggressiveness, it was aimed to analyse the aggressiveness of a teacher and its effects on the pedagogical scene, through a case study about an Early Childhood Education teacher. In a qualitative research, resorting data triangulation between observation, interview and focus group, it was taken, as an analytical unit, the pedagogical scene (defined as the set of interactions between teachers and students, and the intersubjective meanings os these interactions considering the ties involving these subjects). Teacher's aggressive conducts were found on the interactions with her students, leading to the hypotheses: teacher's subjective difficulty in dealing with her own aggressiveness interfered on her management of students' aggressiveness. Considering the teacher's subjectivity, her participation on a teachers' continued qualification, promoted during the research, enabled the awareness of new relational arrangements between her and the children, favouring the quality of her management.

Basándose en la teoría psicoanalítica laplancheana y winnicottiana de la violencia, el objetivo fue analizar la agresividad de una docente y sus efectos en el escenario pedagógico, a través del estudio de caso de una maestra de Educación Infantil. En una investigación cualitativa, utilizando la triangulación entre observación, entrevista y grupo focal, se consideró como unidad de análisis el escenario pedagógico (definido como el conjunto de interacciones entre docentes y estudiantes, y los significados intersubjetivos de estas interacciones en los vínculos que se relacionan con estos sujetos). Se verificaron las conductas de maestros agresivos en la interacción con los estudiantes en la clase, lo que resultó llegar a la hipótesis de que las dificultades subjetivas de la docente para retener su propia violencia interferían en el manejo de la agresividad de los estudiantes. Respecto a la subjetividad del docente, la participación de la docente en la formación continua del profesorado promovida durante la investigación posibilitó la toma de conciencia de nuevos arreglos relacionales entre el docente y los niños de su clase, que favoreció la calidad de su estrategia de retención de la violencia.

Palco, cena e corpo no psicodrama on-line / Stage, scene and body in online psychodrama / Escenario, escena y cuerpo en el psicodrama online

O psicodrama on-line tem sido frequentemente praticado nestes tempos pandêmicos. Partindo de estudos de comunicação sobre as relações humanas com a tecnologia, este breve texto visa contribuir para uma leitura sobre essa prática, especialmente considerando três conceitos morenianos: o palco, a cena e o corpo. Busca uma compreensão desses elementos inter-relacionados, com a intenção de construir uma melhor compreensão do psicodrama on-line. Como resultado, entende-se que, para o desenvolvimento dessa modalidade teurapêutica, é importante considerar a relação humana com a tecnologia.

Online psychodrama has been frequently practiced during our pandemic times. Coming from communications studies regarding the human relationships with technology, this brief text aims to contribute to our understanding of online psychodrama, specially taking into account three morenian concepts: the stage, the scene and the body. Aims to understand these interrelated elements, with the intent to build an enhanced view of this practice called online psychodrama.

El psicodrama online se ha practicado a menudo durante nuestros tiempos de pandemia. A partir de estudios de comunicación sobre las relaciones humanas con la tecnología, este breve texto pretende contribuir a una lectura sobre el psicodrama online, especialmente considerando tres conceptos morenianos: el escenario, la escena y el cuerpo. Busca una comprensión de estos elementos interrelacionados, con la intención de construir una mejor comprensión de esta práctica llamada psicodrama online.

Hypothermia Deaths in Van Province, Turkey

ABSTRACT Objective: To evaluate autopsy findings in hypothermia-related deaths in Van Province, Turkey, a city near the Turkey-Iran border. Methods: Autopsy reports on 43 hypothermia fatalities were retrospectively reviewed. Data regarding age, gender, nationality of the cases, seasonality of the deaths, crime scene findings, autopsy findings, manner of deaths, risk factors for hypothermia, other traumatic lesions, and toxicology were obtained from autopsy records and scene investigation records. Results: There were 36 males and 7 females. The mean age was 20.5 years. More than half of the cases died or were found dead in the spring months. All but one of the cases was found dead outdoors. There were common red-coloured livor mortis in 33 cases (76.7%), antemortem traumas in 16 cases (37.2%), cold erythema in 26 cases (60.5%), myxedema in 1 case, bloody discolouration in the synovial fluid in 11 (84.6%) cases, and Wischnewski spots in 32 cases (74.4%). Conclusion: The study showed that illegal refugees are an important social problem in Turkey. Hypothermia should be considered as a cause of death for refugees when they are found, especially in the cold provinces. In the diagnosis of hypothermia, bloody discolouration of the synovial fluid is confirmed to be a valuable finding. Wischnewski spots remain valuable for positive identification.

Brain-computer interface: from lab to real scene / 生物医学工程学杂志

Brain-computer interface (BCI) can be summarized as a system that uses online brain information to realize communication between brain and computer. BCI has experienced nearly half a century of development, although it now has a high degree of awareness in the public, but the application of BCI in the actual scene is still very limited. This collection invited some BCI teams in China to report their efforts to promote BCI from laboratory to real scene. This paper summarizes the main contents of the invited papers, and looks forward to the future of BCI.

Application of Trace Biological Evidence Collection Kit in DNA Examination of Trace Bloodstain Samples from the Scene / 法医学杂志

Objective To evaluate the effects of DNA examination of trace bloodstain samples from the scene collected with Trace Biological Evidence Collection kit. Methods Venous blood was made into bloodstains on the ground. The trace bloodstain samples were collected with Trace Biological Evidence Collection kit and common methods, respectively. DNA examination of trace bloodstain samples （50 from each group） was conducted on the constant temperature shaker for 2, 24, 48, 72, and 96 h, respectively, and the examination results of every group were compared. Results When the trace bloodstain samples were placed on the constant temperature shaker for 24, 48, 72, and 96 h, the DNA detection rates in the group which used Trace Biological Evidence Collection kit （100.00%, 100.00%, 100.00%, 96.00%） were significantly higher than those in the group using common methods （62.00%, 26.00%, 10.00%, 0）, the differences had statistical significance （P<0.05）. When the trace bloodstain samples were placed on the constant temperature shaker for 2 h, the differences of DNA detection rates between the two groups had no statistical significance （ P>0.05）. Conclusion The Trace Biological Evidence Collection kit can effectively improve DNA detection rate and extend detection time limit for trace bloodstain samples from the scene that have been stored for a relatively long time.

Rastro conductual del asaltante sexual serial desde la perfilación criminal inductiva / Behavioral trace of the serial sexual assailant from the inductive criminal profiling

Resumen La perfilación criminal ha despertado interés tanto en el contexto académico como en la cotidianidad, debido a la multiplicidad de casos aberrantes que se presentan día a día en el mundo. Es por eso que el objetivo de este artículo fue identificar a la luz del enfoque estadístico por facetas, desde la perfilación criminal de tipo inductiva, patrones conductuales inferidos de la información que se dispone de la escena del crimen de los casos de caso de Luis Alfredo Garavito Cubillo, alias "La Bestia" quien violentó y asesinó a más de 172 niños y el de Javier Velasco Valenzuela quien asesino, violó y torturó, bajo la modalidad de empalamiento, a Rosa Elvira Cely.

Abstract Criminal profiling has sparked interest both in the academic context and in daily life, due to the multiplicity of aberrant cases that occur day by day in the world. That is why the objective of this article was to identify the light of the statistical approach by facets, from inductive criminal profiling, behavioral patterns inferred from the information available at the crime scene of the cases of Luis Alfredo Garavito's case. Cubillo, alias "La Bestia", who rapes and murdered more than 172 children and Javier Velasco Valenzuela, who murdered, raped and tortured Rosa Elvira Cely in the form of impalement.

Um Édipo sem fronteiras: a insistência do arcaico no sex-addict / An Oedipus without borders: the archaic's insistence on the sex addict / Un Edipo sin fronteras: la insistencia del arcaico en el sex-addict

Na adicção sexual, a realização do ato sexual se impõe ao sujeito de modo compulsivo. A sexualidade perde grande parte de seu potencial fantasístico, passando a servir como motor de uma busca desmedida e destrutiva de prazer que não comporta a possibilidade de vínculo libidinal com o outro. Este artigo, fundamentado no saber psicanalítico, tem por objetivo explorar o papel do complexo de Édipo nas determinações da situação clínica em questão, aspecto teórico de fundamental importância para a compreensão dos impasses que entravam a relação do sex-addict com seus parceiros e com sua própria sexualidade. A problemática edípica não se reduz à clássica descrição freudiana do complexo de Édipo, mas abarca uma série de condições e circunstâncias que precedem o ingresso do infante nessa etapa, sendo a construção da cena primitiva o fator decisivo que viabilizará ou não a entrada do sujeito num efetivo sistema de triangulação. Dedicaremos, portanto, particular atenção à vertente originária do Édipo, a qual tem na construção da cena primitiva o seu núcleo essencial. Esse eixo de trabalho nos conduzirá, por fim, a refletir sobre a adicção sexual em suas manifestações mais radicais e extremas, nas quais a crescente adesão a situações de risco por parte do sex-addict se torna paradigmática de uma busca sem limites e perigosa que, em seu sentido mais profundo, revela determinadas contingências de uma tumultuada história relacional.

In sexual addiction, the performance of the sexual act imposes itself on the subject compulsively. Sexuality loses much of its potential of fantasy, starting to serve as the engine of an excessive and destructive search for pleasure that does not include the possibility of libidinal bond with the other. This article, based on psychoanalytical knowledge, aims at exploring the role of the Oedipus complex in the determinations of the clinical situation in question, a theoretical aspect of fundamental importance for understanding the impasses that interfere with the sex addict relationship with his/her partners and with his/her own sexuality. The oedipal problem is not reduced to the classic Freudian description of the Oedipus complex, but it encompasses a series of conditions and circumstances that precede the infant's entry into this stage, the construction of the primal scene being the decisive factor that will enable or not the entrance of the subject into an effective triangulation system. We will therefore devote particular attention to the original aspect of the Oedipus, which has its essential nucleus in the construction of the primal scene. This axis of work will ultimately lead us to reflect on sexual addiction in its most radical and extreme manifestations, where the increasing adherence to risky situations by the sex addict becomes paradigmatic of a limitless and dangerous search that, in its deepest sense, reveals certain contingencies of a tumultuous relational history.

En la adicción sexual, la realización del acto sexual se impone al sujeto de modo compulsivo. La sexualidad pierde gran parte de su potencial fantasístico, pasando a servir como motor de una búsqueda desmedida y destructiva de placer que no comporta la posibilidad de vínculo libidinal con el otro. Este artículo, fundamentado en el saber psicoanalítico, tiene por objetivo explorar el papel del complejo de Edipo en las determinaciones de la situación clínica en cuestión, aspecto teórico de fundamental importancia para la comprensión de los impasses que entraban la relación del sex-addict con sus parejas y con su pareja propia sexualidad. La problemática edípica no se reduce a la clásica descripción freudiana del complejo de Edipo, pero abarca una serie de condiciones y circunstancias que preceden al ingreso del infante en esa etapa, siendo la construcción de la escena primitiva el factor decisivo que viabilizará o no la entrada del sujeto en un efectivo sistema de triangulación. Dedicaremos, por lo tanto, particular atención a la vertiente originaria del Edipo, la cual tiene en la construcción de la escena primitiva su núcleo esencial. Este eje de trabajo nos conducirá, por fin, a reflexionar sobre la adicción sexual en sus manifestaciones más radicales y extremas, donde la creciente adhesión a situaciones de riesgo por parte del sex-addict se vuelve paradigmática de una búsqueda sin límites y peligrosa que, en su sentido más profundo, revela ciertas contingencias de una tumultuosa historia relacional.

Interactive tobacco control drama:its design and effect evaluation / 上海预防医学

Objective To explore the methods of tobacco control through interactive sitcoms and evaluate its impact on audience in their empathy, knowledge acquisition and behavior, providing basis for health communication activities in relation to tobacco control. Methods Relevant knowledge and skills on tobacco control were integrated into the drama, which ran for 8 performances in Shanghai.Four of them were randomly selected for evaluation.All the audience were invited to complete a questionnaire. Results Over 90% of the audience gave affirmation to the design, performance and interaction of the drama.More than 70% smokers established their supportive attitude for smoke free environment.Audience who preferred interactive activities (OR=8.72, 95%CI:3.16-24.09) had higher education level (OR=2.10, 95%CI:1.06-4.14), and more empathy on roles (OR=6.63, 95%CI:2.38-18.51) thought psycho-scene drama had more effect than traditional ways on tobacco control.Smokers were curious to know the ending of the story (OR=3.90, 95%CI:1.73-8.79), wanted to learn more ways to discourage smoking (OR=4.00, 95%CI:1.88-8.49) and thought psycho-scene drama had more effect than traditional ways in this regard (OR=7.03, 95%CI:2.58-19.18).They came to have a stronger will to discourage smoking. Conclusion Psycho-scene drama proves to be a feasible way in tobacco control communication with a good effect on knowledge communication and behavior change.

Interactive tobacco control drama:its design and effect evaluation / 上海预防医学

Objective To explore the methods of tobacco control through interactive sitcoms and evaluate its impact on audience in their empathy, knowledge acquisition and behavior, providing basis for health communication activities in relation to tobacco control. Methods Relevant knowledge and skills on tobacco control were integrated into the drama, which ran for 8 performances in Shanghai.Four of them were randomly selected for evaluation.All the audience were invited to complete a questionnaire. Results Over 90% of the audience gave affirmation to the design, performance and interaction of the drama.More than 70% smokers established their supportive attitude for smoke free environment.Audience who preferred interactive activities (OR=8.72, 95%CI:3.16-24.09) had higher education level (OR=2.10, 95%CI:1.06-4.14), and more empathy on roles (OR=6.63, 95%CI:2.38-18.51) thought psycho-scene drama had more effect than traditional ways on tobacco control.Smokers were curious to know the ending of the story (OR=3.90, 95%CI:1.73-8.79), wanted to learn more ways to discourage smoking (OR=4.00, 95%CI:1.88-8.49) and thought psycho-scene drama had more effect than traditional ways in this regard (OR=7.03, 95%CI:2.58-19.18).They came to have a stronger will to discourage smoking. Conclusion Psycho-scene drama proves to be a feasible way in tobacco control communication with a good effect on knowledge communication and behavior change.

The exploration of scene reproduction mode combined with typical case discussion in clinical practice for the education of Chinese medical postgraduate students / 国际中医中药杂志

With the standardized training of resident doctors, the importance of clinical practice becomes more and more important. As the key department of clinical practice, the gynecology department of traditional Chinese medicine pays more attention to the training of clinical thinking. The implementation of scene reproduction mode combined with case discussion mode in clinical practice teaching of TCM postgraduates has improved the quality of clinical training, strengthened the transformation of clinical knowledge, expanded the train of thought of scientific research, and achieves good education results.

La participación del médico forense en la escena del crimen / The participation of the forensic physician in the crime scene

Resumen El análisis científico de la escena del crimen es de trascendental importancia en la investigación judicial. Es función de un equipo, del cual el médico forense es parte obligatoria. El conocimiento de las circunstancias y antecedentes del hecho investigado, junto con el estudio del lugar y del cadáver, constituyen elementos indispensables para el correcto abordaje del cuerpo en la necropsia; de esta manera, se cumplirá con el objetivo primordial del trabajo pericial médico forense: contribuir al esclarecimiento de la comisión de un hecho delictivo con resultado de muerte. En este artículo se ofrece una actualización del tema de la participación del médico forense en la escena del crimen, considerando la realidad de la práctica pericial médico legal en Panamá.

Abstract The scientific analysis of the crime scene is of transcendental importance in the judicial investigation. It is a function of a team, of which the forensic physician is an indispensable part. Knowledge of the circumstances and background of the researched fact, together with the study of the place and the corpse, constitute essential elements for the correct approach to the body at postmortem examination; in this way, the primary objective of the forensic medical expert work: contribute to the elucidation of the commission of a criminal act resulting in death, will be accomplished. This article offers an update of the theme of the participation of the forensic physician at the scene of the crime, considering the reality of the medicolegal practice in Panamá.

The usage of scene simulation combined with multiple-station mini-CEX evaluation for the teaching of standardized training of emergency medicine / 中华急诊医学杂志

Objective To investigate the feasibility and effect of scene simulation combined with multiple-station mini-CEX evaluation used for the teaching of standardized training of emergency medicine. Methods Sixty standard-trained doctors were randomly(random number) divided into two groups. Thirty standard-trained doctors in team A were taught using the traditional teaching modality of emergency medicine, and the rest in team B were trained using the method of scene simulation combined with multiple-station mini-CEX evaluation. At the end of standardized training, comparisons of the examination results of mini-CEX evaluation and the satisfaction of standard-trained doctors with the teaching mode were done between two groups. Results The scores of team B on medical interviewing skills, clinical judgment, counseling skills, proper presentation/efficiency and overall clinical competence were significantly higher than those of team A[(7.26±0.36),(7.63±0.39),(7.22±0.34),(7.26±0.45), (7.75±0.24) vs. (6.81±0.42),(7.24±0.39),(6.90±0.44),(6.97±0.50),(7.21±0.32)],while there were no significant differences in scores on physical examination skills and humanistic qualities/professionalism between two teams [(7.60±0.36),(7.92±0.35) vs. (7.42±0.30),(7.98±0.32)]. The satisfaction with the mini-CEX evaluation of both teachers and standard-trained doctors in team B were significantly higher than those in team A [(7.40±0.30), (7.46±0.28) vs. (7.06±0.38), (6.91±0.38)]. The satisfaction of standard-trained doctors in team B with the teaching mode and teaching effect were significantly higher than those in team A[(8.17±0.78),(8.59±0.66) (6.67±0.73), (6.80±0.72)]. Conclusions The scene simulation combined with multiple-station mini-CEX evaluation used for the teaching of standardized training of emergency medicine may improve some of the clinical skills of standard-trained doctors, and thus this teaching reform was feasible.

Clinical application of PBL combined with multiple pedagogical methods in training of communication between doctor and patient in pediatrics / 基础医学与临床

Objective To investigate the application effect of PBL combined CBL and scene simulation teaching method in pediatrics communication course. Methods 53 students from Peking Union Medical College were selected, 26 students received regular PBL teaching method as the control group, another 27 students received PBL combined with CBL and scene simulation teaching method as the observation group. Score assessment, related knowledge, classroom teaching effect and learning promotion among the two groups were compared. Results Students in the observation group had a higher assessment score, related knowledge in pediatrics score, teaching effect score and learning promotion score (P＜0.001). Conclusions PBL combined with CBL and scene simulation teaching method can optimize the learning at-mosphere in pediatrics, improve communication skills between medical students and children as well as family members, and improve learning outcomes.