关键词： 《诸病源候论》   备选答案   《金匮要略》   《金匮要略方论》   连朴饮   病机   清热化痰   治法   病位   中风中经络   泄热   痫证   癫痫   导痰汤   试题   脉沉   千金要方   知柏地黄丸  

摘要： 本栏目自本期开始,先出试题,再给答案和解析。凡及时把答案寄回本刊者,本刊将授予继续教育学分,试卷得分90分以上者授6学分,70-89分者,授5学分,60-69分者授4学分。60分以下者不授学分,学分证书免费。凡寄回答案者将聘为本刊通迅员或做为热心读者,免费赠送一季度杂志或相应礼品。

关键词： 高胆红素血症   血液灌流   血浆置换   中西医结合内科学  

摘要： 目的探讨应用血液灌流(HP)与血浆置换(PE)治疗肝性高胆红素(TBIL≥17mol/L)血症的疗效对比观察。方法45例肝性高胆红素血症患者,在内科综合治疗同时,随机分为HP1(每天行一次HP治疗)15例,HP2(连续三次,间隔8小时)15例,与PE治疗组15三组;观察三组在治疗前、后的血清化:丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)、总胆红素(TBIL)、总蛋白(TP)、球蛋白(GlO)、凝血指标:部分凝血酶原时间(APPT)、凝血酶原活动度(PTA)的变化;及三组治疗后3d总胆红素(TBIL)的反弹率。结果PE治疗组与HP1治疗组对比分析,PE组的TBIL下降程度,凝血指标的改善均优于HP1组,有统计学意义;PE治疗组与HP2治疗组对比发现TBIL的下降程度无显著性差异,但凝血指标的改善PE组优于HP2组,有统计学意义;HP2组与HP1组对比TBIL的改善有统计学意义,但凝血指标的改善无显著性差异;总胆红素(TBIL)的反弹率:PE治疗组与HP1治疗组无显著性差异,HP2组与PE组及HP1组对比有显著性差异。结论血浆置换(PE)在改善凝血机制方面有其独特的优越性,在降胆红素这方面的功能与血液灌流(...

关键词： 内科学教学   创新能力   培养   学生   知识经济   高等医学教育   创新人才   教育技术  

摘要： 创新是一个民族进步的灵魂,21世纪是充满挑战与机遇的知识经济时代,把握知识经济脉搏的关键在于如何培养创新人才,随着知识经济时代的到来,教育技术的不断发展,科学技术的不断进步,教学改革的不断深入和日益普及,使现代高科技引入教学领域,迅速带动整个医学领域的发展,促使高等医学教育在培养目标、培养模式、课程体系、教学内容、[第一段]

关键词： 座排   座位   纪律考勤   成绩  

摘要： 在中西医结合2005级中医内科学教学、阅卷过程中发现，该班学生的座排、座位、性剐、纪律与学习成绩密切相关。分析结果：坐在前四排的学生学习成绩高于坐在后三排（含第五排）的学生；女生总人数的90．9％坐在前四排。总人数的9．1％坐在第五排至第七排；男生总人数的44．4％坐在前四排，总人数的55.6％坐在第五排至第七排。女生普遍纪律好，学习成绩高；男生纪律较女生差，成绩较女生低，即纪律好，成绩高；纪律差，成绩低，特别是男生中有7人纪律考评差，成绩均不及格。对策：在教学管理中要定时前、后、左、右变换座位，强化考勤，侧重对第五排至第七排学生的关爱教育，加强专业教育，调动学生的学习积橱巨，使其圆满完成学习任务，成为国家的有用人才。

关键词： 消化病学专家   第二附属医院   第二军医大学   上海长征医院   中国共产党   医学教育家   科学技术   内科学  

摘要： 中国共产党的优秀党员，国内著名的内科学及消化病学专家、医学教育家、总后“科学技术一代名师”，第二军医大学第二附属医院原副院长、本刊原副主编、一级教授张国治同志，因病医治无效，于2008年2月21日21点24分在上海长征医院逝世，享年96岁。

关键词： 内科学   实习生   带教  

摘要： 内科学临床实习是各门临床医学学科工作的基础。在此阶段的临床带教中,注重医德医风、工作责任心、操作技能以及临床思维方式的培养,重视医患沟通教育,将有利于医学生更好地从事医疗卫生工作,也有助于医学事业的进一步发展。

摘要： 由中华医学会网络部主办的2008年全国神经内科学新进展学习班拟于2008年4月16-20日在北京举办,学习期满授予学员国家级Ⅰ类继续教育学分10分[项目编号:2008-03-07-087(国)]。内容:常见脑血管病的分型与诊断治疗;短暂性脑缺血发作;缺血性脑血管病的治疗;脑出血治疗的新进展;神经病理学和新技术的应用;脑血管病的影像诊断;癫痫的诊断与治疗;神经系统肿瘤;糖尿病性神经病变;神经电生理的临床应用;锥体外系疾病治疗;老年神经变性病;神经系统疾病的药物治疗;脱髓鞘病的诊断与鉴别;颅内静脉系统病变;中枢神经系统感染

关键词： Research   Mentors   Students Medical  

摘要： Background: Shortages in primary care careers such as internal medicine are projected in the future. Conducting research is an explicit requirement for graduate medical education and interest in research is growing in undergraduate medical education. Purpose: We hypothesized that a medical student research initiative could increase student research productivity and foster mentoring relationships with internists. Method: We compared the number of medical student presentations, awards, and peer-reviewed publications before and after a brief research initiative at a single institution and recorded comments from student participants;data collected before the initiative were retrospective, and data after the initiative were collected prospectively. Mann-Whitney U was used for statistical analysis. Results: Twenty-seven students participated in our workshop initiative during the study period (2000-2005). Eighteen (67%) subsequently had presentations, research awards, and/or publications during the study period. Mann-Whitney U testing of groups (all pre-initiative Uniformed Services University students and initiative participants) showed a statistically significant increase in regional presentations (p = .003), research awards (p = .01), and publications (p = .02) after the research initiative. Student comments not only revealed research mentoring benefits but also commented on receiving career counseling advice from mentors. Conclusions: Our study findings support the feasibility of this initiative as well as produced significant outcomes in terms of quantified research productivity and student mentoring.

关键词： Webbing   curriculum aspects   Internal Medicine   Satisfaction   Evaluation  

摘要： Background: We sought to determine whether a Web-based curriculum could improve internal medicine residents' perceived preparedness and knowledge in the areas of preconception care, infertility evaluation, and management of medical conditions during pregnancy. Training in these areas has been previously identified as inadequate. Description: Three Web-based modules were developed to teach these topics. Seventy residents at one institution were invited to complete the modules and to participate in the curriculum's evaluation over 6 months. Evaluation: Paper questionnaires assessed preparedness and comfort level among all participants. Web-based surveys that assessed pre/postknowledge and satisfaction among module completers accompanied each module. Ninety-seven percent completed paper questionnaires, and 59% completed 1 or more modules. At the end of the study period, module completers felt significantly more prepared than noncompleters, and improvement in comfort level was strongly associated with the number of modules completed. Knowledge improved significantly with module completion and curricular satisfaction was high. Conclusions: A Web-based approach to teaching these topics to internal medicine residents increased knowledge and perceived preparedness and was well received.

关键词： Clinical Competence   Congresses as Topic   Educational Measurement   Humans  

摘要： OBJECTIVE: To examine the association of medical knowledge acquisition with attendance at specific conference types during internal medicine residency. PARTICIPANTS AND METHODS: Attendance at residency core curriculum, morbidity and mortality, and medical grand rounds conferences was tracked for 195 residents who took the Internal Medicine In-Training Examination (IM-ITE) 421 times while attending the Internal Medicine Residency Program at Mayo Clinic's site in Rocheste r, MN, between October 1, 1999, and October 1, 2003. Random effects modeling was used to adjust for variables known or hypothesized to be associated with IM-ITE scores and allowed discrimination of effects of individual conferences on IM-ITE scores. RESULTS: Total conference attendance was significantly associated with increased IM-ITE scores, with cohort mean increase of 2.30% (95% confidence interval [CI], 1.24% to 3.36%;P<.001). Core curriculum conferences accounted for much more of this association than either medical grand rounds or morbidity and mortality, with cohort mean increases of 2.05% (95% CI, 0.13% to 3.90%;P=.04), 0.24% (95%. CI, -0.56% to 1.03%;P=.61), and 0.03% (95% CI, -1.69% to 1.69%;P=.97), respectively. CONCLUSION: Conference attendance is associated with improved knowledge acquisition as measured by improved performance on IM-ITE. This finding does not appear to apply to all conferences at our institution but rather is specifically attributable to attendance at the core curriculum series.