本文从教学方法 和教学效果深度剖析以往中药房实训教学中存在的利与弊,采用新的教学模式 — — 理论实践一体化教学模式开展教学.该模式强调在整个教学环节中理论和实践交替进行,突出学生的动手能力和专业技能的培养,充分调动学生的学习积极性.学生通过学习中药饮片的辨识、不同炮制品的应用和处方的规范性及常见药材的真伪鉴别等,取得了良好的实训教学效果.

随着中医临床药师规范化培养的推进,急需寻找一种适合其特色的教学模式.本文总结传统教学法(Lecture-based Learning,LBL)与案例为基础的教学(Case based learning,CBL)在上海中医药大学附属岳阳中西医结合医院中医临床药师培训基地的带教经验,结果显示LBL与CBL相结合的教学方法能将中医理论学习和临床实践进一步有机结合,能更好地启发学习者的积极性和兴趣,较好地培养其发现问题、解决问题的临床思维和决策能力,适合一线中药师转型期的培养教学.

OBJECTIVE: To improve the quality and efficiency of medication consultation and to promote rational drug use in clinic. METHODS: Totally of 520 cases of medication consultation records from the Affiliated Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of TCM during Oct. 2015-Oct. 2016 were selected according to random number table, and then summarized and analyzed statistically in respects of consultation content, age and type of consultants, department, consulted medicine types, the number of combination of TCM and Western medicine, satisfactory degree of consultants, etc. RESULTS: The main consultation contents included usage and dosage (41. 92％), combination of TCM and Western medicine (12. 88％), etc. Consultants mainly aged 50-70 years old (48. 27％), and were mainly the patients and their family members (95. 96％). Consultants were primarily diagnosed in cardiology department and endocrinology department. Top 3 consulted medicine types were cardiovascular system medicines, nervous system medicines, digestive system medicines, and types of Chinese patent medicines were mainly coordinating medicines and activating blood and removing stasis medicines. Types of TCM combined with Western medicine were less than or equal to 3 kinds in 420 cases (80. 77％). Most patients were very satisfied with outpatient medication consultation (93. 65％). CONCLUSIONS: Rational drug use consultation improves medication compliance of patients, meets the needs of patients on medication safety knowledge, and provides a strong guarantee for safe and rational drug use in clinic.

The development of hospital pharmacy under the new healthcare reform has been discussed. The service fo-cuses of hospital pharmacy are being transformed, clinical pharmacy is the core of hospital pharmacy, and hospital preparations still have development space. In order to provide the high quality professional technical services of hospi-tal pharmacy for the patients, the informatization construction of hospital pharmacy, the active participation of clinical drug treatment process, and the use of hospital Chinese medicine preparations should be strengthen.

[Objective] To study the effect of Houhai acupoint acupuncture on the learning and memory function of rat which suffers from vascular dementia as well as on the synaptic protein expression and neuronal ultrastructure of hippocampus' CA1 region.[Methods] Forty eight rats were randomly divided into blank group,model group and acupuncture group,Rat VD models established by permanent occlusion of the bilateral common carotid artery,then acupuncture Houhai acupoint for three courses of treatment,Morris water maze was used to assess their learning and memory ability,the change of the hippocampal tissue was studied with immunohistochemistry and transmission electron microscope.[Results] Learning and memory ability scores of acupuncture group,and area synaptic grain protein expression hippocampal CA1 of had the significant difference(P0.05) compared with blank group.Nerve cell encapsulated,euchromatin in the nucleus were evenly distributed.There were many mitochondria without obvious breakage or missing and abundant rough endoplasmic reticulum;there were a few glial cells,no obvious swelling,tearing and dissolution of myelin.There was micro-filament microtube,abundant mitochondria.[Conclusion] Acupuncture Houhai acupoint can improve vascular dementia rats learning and memory ability,whose mechanism is probably related to improve hippocampal CA1 area synaptic grain protein expression and neurons on ultrastructure.

2011年2月国务院学位委员会发布了《学位授予和人才培养学科目录》,将艺术学升格为学科门类,这是我国高等艺术教育学科发展史上的一个新的里程碑,必将极大地促进高等艺术教育更好更快发展,同时也带来新的机遇与挑战。

企业价值的增长越来越多地来自无形资产的贡献。企业要想充分利用与发挥无形资产创造价值的作用,就必须对企业的无形资产做出科学合理的评价。文章在分析企业价值创造理论的基础上,深入剖析了无形资产对企业价值贡献的作用机理。然后采用层次分析法构建了无形资产对企业价值贡献评价体系。该评价体系有助于企业内部管理者评价企业无形资产对企业整体战略的支持程度,发现不足,提高无形资产的利用效率。

For insufficient ability and knowledge of medical students in science reseach, we concluded some problems common in students' scientific research quality in combination with the experience in training the students in our hospital to discuss an efficient approach to promote the students' scientific ability.

礼品成为古往今来的重要商品,它所体现的精神价值远远超过商品本身的物质价值,而作为礼品的包装当然起着举足轻重的作用,为此我们对礼品包装在其附加价值、定位和设计要点上进行探讨。

子宫肌瘤和子宫腺肌病是育龄妇女的常见病和多发病.近年我们采用保留少量子宫内膜的子宫体楔形切除术,既切除了病灶,又保留了子宫部分功能,效果良好.现报道如下.

Reform on administrative fees is an important part of our states tax system. We should learn the concept of administrative fees and analys the problems in order to reform it. This means a lot in the reform of tax system.