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关键词： Risk factors   Redisplacement   Cast immobilization   Paediatric   Distal radius fractures  

摘要： Background The aim of this study is to record the incidence of redisplacement after closed reduction and instant rigid cast immobilization and to identify possible risk factors that may be associated with the redisplacement. Methods We retrospectively reviewed paediatric patients who underwent closed reduction and instant rigid cast immobilization for simple distal radius fractures from 2014 to 2018. Patients were followed up at 1 week, 2 weeks, 3 weeks, and 6 weeks after casting. Redisplacement was diagnosed on the basis of image findings. Risk factors for redisplacement were evaluated in three aspects, which included patient-related, fracture-related, and cast-related factors. Results A total of 123 children were included in this study. During follow-up, 31 patients (25.2%) showed redisplacement after closed reduction and cast immobilization. Twenty-two redisplacements happened within 1 week after treatment, 8 redisplacements happened between 1 and 2 weeks, and only one redisplacement happened after 2 weeks. In the multivariate analysis, associated ulna fracture (OR, 4.278;95% CI, 1.773-10.320), initial translation >= 50% (OR, 9.148;95% CI, 3.587-23.332), and 3-point index >= 0.40 (OR, 1.280;95% CI, 1.159-1.401) were three independent factors that correlated with the incidence of redisplacement during follow-up. Conclusions About a quarter of paediatric patients would develop redisplacement after reduction and immobilization with instant rigid cast. Patients with associated ulna fracture, severe initial translation, and high 3-point index have a higher risk to develop redisplacement.

关键词： 慕课   传统教学   儿科学教学  

摘要： 研究慕课结合传统教学在儿科学教学中的应用效果。方法:选择高校临床医学专业需进行儿科教学的86例学生进行本次研究,根据不同的教学方式将其分成了观察组和对照组两组,每组学生人数均为43人。其中对照组进行传统教学,观察组进行慕课结合传统教学,将两组学生的教学效果、教学满意度以及成绩评分进行对比。结果:观察组的教学效果为95.35%,对照组的教学效果为55.81%,对比可以看出观察组高于对照组,P<0.05。观察组的教学满意度为97.67%,对照组的教学满意度为76.74%,对比可以看出观察组高于对照组,P<0.05。观察组的专业知识成绩和临床实践成绩分别为86.48±5.44、84.47±5.24,均要高于对照组(74.31±4.49、71.39±4.18),P<0.05。结论:慕课结合传统教学在儿科学教学中的应用效果显著,能够有效提高学生们的综合能力。

关键词： Rheumatic disorders in Tanzania   Paediatric rheumatic disorders   Tanzania  

摘要： Background Paediatric rheumatic disorders are common in children and result in significant impairment in quality of life, morbidity and mortality. There is limited information on the burden of these disorders in lower income countries especially in sub-Saharan Africa. Few case reports have documented presence of paediatric rheumatic disorders in Tanzania. This study was conducted to determine the spectrum of rheumatic disorders among children at Muhimbili National Hospital (MNH). Methods This was a retrospective study conducted among children who were attended at MNH between January 2012 and August 2019. Paediatric patients seen in the out-patient clinics and those admitted in the wards were eligible. All patients with diagnosis of rheumatic disorders were identified from admission books and outpatient clinic logbooks, and later data were collected from their case notes and were recorded in clinical research forms. Collected information included age, sex, clinical features and laboratory tests results. Results A total of 52 children with mean age of 9.5 +/- 4.3 years, 12 (40.4%) participants were aged above 10 years and 32 (61.5%) were females. Frequently reported clinical presentations were joint pain 44 (84.6%), joint swelling 34 (65.4%), fever 24 (46.2%) and skin rashes 21(40.4%). Juvenile idiopathic arthritis (JIA) was the predominant diagnosis reported in 28 (53.8%) participants followed by juvenile systemic lupus erythematosus 8 (15.4%), mixed connective tissue diseases 4 (7.7%) and juvenile dermatomyositis 4 (7.7%). Antinuclear antibody test was performed in 16 participants it was positive in 9 (56.2%). Nine participants were tested for anti-double stranded DNA test and 5 (55.6%) were positive for this test. C-reactive protein was tested in 46 participants out of which 32 (69.6%) had elevated levels. HIV was tested in 24 (46.2%) participants and results were negative. Thirty-five out of 52 (67.3%) participants had anaemia. Predominant drugs used for treatment

关键词： Waiting room design   healthcare   stress reduction   multisensory stimulation   neuro-architecture  

摘要： The implementation of environmental satisfaction sources in the design of a health centre is a means to achieve stress reduction. The present work analyses the effect that these sources have on the stress reduction of patients' companions in a paediatric service. A two-phase study was carried out. During the first phase, 120 participants assessed 20 waiting rooms in situ in order to select the environmental sources with the greatest effect. During the second phase, the stress levels of 26 participants were measured in four simulated waiting rooms that combined the selected sources from the first phase. A multisensory simulation was carried out through a virtual reality experiment with visual, auditory and olfactory elements, and stress levels were measured at the psychological and neurophysiological levels. Results suggest that a combination of environmental satisfaction sources creates an important synergistic effect at the psychological and neurophysiological levels and underlines the importance of auditory and olfactory stimuli. Conclusions may be of interest to designers and managers of healthcare facilities.

关键词： 精品科技期刊   科学文摘   知识服务平台   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),RCCSE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AMiner数据平台、《中国学术期刊文摘》、Sopus数据库、美国《化学文摘》、日本科学技术振兴机构数据库、波兰《哥白尼文摘》、英国农业与生物科学研究中心文摘、创桥科学文摘ProQuest数据库,WHO西太平洋地区医学索引(WPRIM),美国《乌利希期刊指南》等国内外数十家权威数据库收录。

关键词： 钟世藩   病毒学   儿科学   北京协和医学院  

摘要： 钟世藩(1901-1987),福建厦门人,我国现代临床儿科学先驱、病毒学专家,创建了临床病毒实验室并从事病毒学研究,在儿科学和病毒学方面均有突出贡献,至今影响深远。本文主要对其生平及其在病毒学发展中的作用和影响进行介绍。

关键词： 肺炎喘嗽   大班化   示范教学   标准化病人  

摘要： 目前我校中医儿科学的教学仍以大班化授课及课堂讲授为主要形式,每学期仅有少量的实训课。"标准化病人"在实践教学中具有较好的指导作用,但投入较多的财力和人力。为利用少量的实训课与"标准化病人"相结合,我们尝试选择重点章节内容"肺炎喘嗽"与学生模拟"标准化病人"相结合进行示范教学,学生在自编自演中进行了教学实践活动,加深了对理论学习的理解,提高了学习的参与度和积极性。

关键词： 儿科学   儿科临床   医药学专家   医药科学   儿科常见病   临床应用   医生会诊  

摘要： 近年来,儿科学取得了重大突破,在基础研究与临床应用方面获得了较大发展。新技术、新方法、新药物不断涌现。为了推广目前国内儿科临床诊治领域先进经验、提升儿科临床诊治医生会诊经验,促进儿科学的进一步发展,《中国医药科学》杂志社联合《我和宝贝》采编中心组织广大医药学专家联合编写著作《儿科常见病》。

关键词： 儿科学   留学生   新冠肺炎   教学方法  

摘要： 儿科学是临床专业医学生学习的重要学科之一,留学生教学因为存在一定语言障碍、学生学习理念不同等问题,在教学中有其特殊性。在新冠肺炎疫情防控期间,留学生医学教学因故均为线上教学,对教师语言能力、课堂设计组织、气氛调动等方面提出了更高的要求。为切实学校落实停课不停学的指导意见,保质保量地完成留学生儿科教学工作,我校儿科学系在理论教学中主要采用雨课堂+微信的方式、见习课教学主要采用PBL+视频教学的方式,并对可能出现的突发状况进行了相关预案准备,进行了特殊情况下的留学生教学方法探索。

关键词： 思政教育   儿科学   情境教学  

摘要： 儿科医生不仅要有较高的职业能力,还需要具备高尚的医德,院校培养人才时在理论和实践两个方面进行努力,思想政治教育工作必须发挥重要的作用。情境教学模式作为能够提高教学质量的重要教学手段,应用在儿科学思政教育的课堂上,教学效果会有很大改善。