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Objective:To evaluate the effect of PACS system (picture archiving and communication system) in the standardized residency training of cardiovascular medicine.Methods:Fifty-nine residents taking the standardized residency training of cardiovascular medicine in Changhai Hospital from 2018 to 2019 were randomly divided into PACS teaching group ( n = 30) and traditional teaching group ( n = 29). The research group adopted the PACS system for the teaching of cardiovascular medicine, and the control group took the traditional teaching method. The teaching effect was evaluated by theoretical examination, imaging examination and questionnaire. SPSS 19.0 was used for t test and chi-square test. Results:The theoretical and film reading scores of the PACS teaching group were significantly higher than those of the control group [(87.70 ± 6.52) vs. (80.55 ± 8.63); (86.67 ± 6.33) vs. (77.48 ± 10.29), P < 0.05)]. The results of the questionnaire showed that PACS teaching method was helpful for residents to master cardiovascular knowledge, arouse their learning interest and improve their clinical thinking ability. The satisfaction with the teaching method in the PACS teaching group was significantly higher than that in the traditional teaching group [(9.22 ± 0.44) vs. (8.26 ± 0.72), P < 0.05]. Conclusion:The application of PACS system in the teaching of cardiovascular medicine can significantly improve the teaching effect of residents.
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@#AIM: To observe the efficacy and safety of cyclophoto-coagulation through 23G minimally invasive scleral incision in the treatment of refractory glaucoma. <p>METHODS: Totally 23 patients(23 eyes)were taken the surgery-the cyclophotocoagulation-through 23G minimally invasive scleral incision. We observed the changes of intraocular pressure(IOP), the best corrected visual acuity(BCVA), the quantity of drugs reducing intraocular pressure and complications in the pre-and post-operation. <p>RESLUTS: Comparing with preoperative, the postopera-tive IOP, BCVA and the number of IOP-decreased drugs were statistically significant(<i>P</i><0.05); the complication was fewer. <p>CONCLUSION: The 23G minimally invasive scleral incision cyclophotocoagulation is a new type of safe and effective surgical method for the treatment of refractory glaucoma.