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关键词： SPOC   班级虚拟共同体   TfU   儿科学   在线教学  

摘要： 目的研究COVID-19疫情期间采用SPOC+班级虚拟共同体+TfU在儿科学在线教学的实践。方法选取2017级预防医学专业107人为研究对象,以儿科学课程在线教学为依托,分为对照组53人、实验组54人。对照组采用播放录播课程模式,进行课后讨论及答疑等形式;实验组采用SPOC+班级虚拟共同体之教学模式进行效果验证;上述两组学生采用TfU模式并通过在线教学过程指标、教学满意度调查问卷测评教学结果。结果在线教学过程指标的量化分析及在线教学效果实验组评分高于对照组(P<0.05),实验组对教学满意程度较高(P<0.05)。结论儿科学课程在线教学中采用SPOC+班级虚拟共同体+TfU模式有利于提升学生对在线教学的认知与满意度,为丰富在线教学模式提供依据。

关键词： 精品科技期刊   知识服务平台   中华医学会系列杂志   核心期刊   来源期刊   中国知网   新乡医学院   儿科学  

摘要： 《中华实用儿科临床杂志》(原《实用儿科临床杂志》)是由中国科学技术协会主管、中华医学会主办、新乡医学院承办的中华医学会系列杂志,是以儿科临床与基础研究为主要报道内容的儿科学类核心期刊。本刊为中国科学引文数据库(CSCD)来源期刊,儿科学类核心期刊,中国科技论文统计源期刊(中国科技核心期刊),RCC SE中国核心学术期刊,中国精品科技期刊,中国科学技术协会精品科技期刊,被中国生物医学文献数据库(SinoMed)、中国知网、万方数据知识服务平台、清华大学据平台、《中国学术期刊文摘》.

关键词： 现代教育技术   现代医学模式   儿科学教学   新型教学模式  

摘要： 自儿科学专业开设以来,随着现代医学模式的转变及儿科疾病谱的变化,儿科学专业的教学面临极大的挑战。在当代医学教育技术飞速发展的新形势下,如何推陈出新地构建出更好的儿科学教学模式值得探讨。该文就近年来各种新型教学方法及模式,如翻转课堂、微课教学、探究式互动教学、PBL、TBL、GBL、电子题库与在线考试、过程考核与形成性评价、混合式教学等,在儿科学教学中的应用进展做一综述。

关键词： 水痘   儿科学   中医外治法   参黄汤   传染病  

摘要： 目的探讨中药外洗治疗小儿水痘的疗效。方法将60例水痘患儿随机分为治疗组30例和对照组30例,治疗组采用自拟参黄汤外洗配合伐昔洛韦治疗;对照组采用伐昔洛韦治疗。治疗后比较2组临床疗效、退热及皮疹结痂时间。结果治疗组患儿退热时间、皮疹结痂时间和临床总有效率均好于对照组,差异存在统计学意义(P<0.01)。结论有清热解毒,燥湿止痒之功的参黄汤外洗液对水痘有较好效果,值得推广应用。

关键词： Haematological diseases   Paediatrics   Risk factors  

摘要： Changes in body composition related to metabolic syndrome are frequent among survivors of haematopoietic stem cell transplantation (HSCT), but insights into predisposing factors are incomplete, and it is unknown to what degree these changes persist at long term. We cross-sectionally investigated body composition by dual-energy X-ray absorptiometry in 98 male survivors of paediatric allogeneic HSCT. Median (range) age at follow-up was 28.1 (18.5-47.0) years and median (range) time from transplant was 18.3 (7.7-34.6) years. Lean Body Mass Index and Skeletal Muscle Mass Index were lower in patients compared to the reference population (mean (SD) standard deviation score (SDS) -1.29 (0.99), p < 0.001 and -1.20 (1.03), p < 0.001). Fat Mass Index was comparable to the reference population, but android/gynoid (AG) fat ratio SDS was higher (mean (SD) 0.46 (1.28), p < 0.001). These changes were found in patients treated with total body irradiation (TBI) as well as non-TBI regimens, although most pronounced in the former. Further, low lean mass was associated with chronic graft-versus-host disease, while high AG ratio was associated with lower testosterone levels. Since the combination of low lean mass and high AG ratio increases the risk of cardio-metabolic disease, these health issues should be monitored at long-term clinical follow-up after paediatric HSCT.

关键词： Australian Immunisation Register (AIR)   children   immunisation   inpatient   vaccination  

摘要： Aim To explore immunisation rates and catch-up delivery to children admitted to hospital before and after an immunisation service was commenced. Methods This pre- and post-intervention study examined 300 admissions prior to (cohort 1) and 300 following (cohort 2) the introduction of an immunisation service. Immunisation rates, documentation, catch-up delivery and accuracy of the Australian Immunisation Register (AIR) were examined. Results On admission, 75% (cohort 1) and 89% (cohort 2) were up-to-date with immunisations. Immunisation history was documented in the medical record in 78% and requirement for catch-up documented in 10%. AIR was incorrect in one-third of cases. By 3 months following discharge, 28% (cohort 1) and 64% (cohort 2) of patients were immunised. Conclusions Children admitted to hospital have lower immunisation rates than the national average. Documentation was poor, opportunities for catch-up were missed and AIR is error-prone. Catch-up rates increased following the introduction of an immunisation service.