Objective:To explore the digital network platform construction of morpghology of laboratory medicine and its effects on clinical teaching.Methods:Laboratory morphological inspection pictures of peripheral blood, bone marrow slices, urinary sediments, parasites, secretions, cavity effusion, medical microorganisms and chromosome specimens were collected to build a digital network platform for online learning, practical training, and examination by applying Authorware multimedia software, Access database, and Web interface. Afterwards thirty interns on laboratory medicine were randomized into two groups: traditional teaching group and software teaching group for morphological assay examination. The differences in theoretical scores, exam time, practical operation scores, and satisfaction rates between two groups were statistically analyzed by t test and Pearson Chi-square test using SPSS 13.0. Results:The software teaching group showed significantly higher theoretical and practical scores [(88.0 ± 6.4); (85.3 ± 7.1)] than traditional teaching group [(76.3±8.1); (80.3±7.9)] (both P=0.000 1), and its theoretical exam time [(93.7 ± 10.5) minutes] was significantly shorter than traditional teaching group [(115.8±16.2) minutes] ( P=0.033 8). The questionnaire survey results showed that software teaching group showed higher satisfaction rates in the aspect of teaching content systematization, diversity of teaching methods, clinical learning interest and fairness of assessment than traditional teaching group, with statistical significance ( P<0.05). Conclusion:The software teaching model could improve quality and efficiency in teaching morphological assay, enhance students' learning autonomy and professional skills, and provide a powerful platform to adapt to vocational innovation of laboratory medicine education.

近年来计算机和网络技术得到了飞速的发展,医学检验的方法、技术和范畴也发生了巨大的改变.如何运用计算机模拟,包括虚拟仿真、人机交互、多媒体和互联网,激发学生学习自主性和积极性,建立"以学生为主体"的临床实习教学模式,提高教学质量和教学效率,适应医学检验技术的快速发展是目前关注的焦点.为此该文对医学检验技术临床实习教学中的问题、计算机模拟教学的应用与进展进行了探讨.

为适应医药、化工专业学生对外交流,以及学生考研的实际需要,我们以保持式教学开展了中药药理学中英文双语教学模式,以问卷调查、座谈会、研讨会、工作坊等形式做好双语教学的调研和持续改进,收到了一定的效果.

The paper introduces the connotation of information literacy and analyzes the existing problem in the reading behaviors of medical students at present.Through the investigation on the information literacy education for medical students reading role behavior, and explains the relationship between the information literacy and the reading behaviors of medical students from the information consciousness, information ability,information morality.

Objective To examine the correlation between information literacy and subjective happiness in elderly people.Methods Eighty-nine subjects were randomly divided into intervention group(49) and control group(40).The elderly people assigned to intervention group received 6 months of training on information literacy,while those to control group received simply training on computer and web knowledge.All the subjects were tested with Life Satisfaction Inventory A(LSI-A),and the satisfaction degree was evaluated using Memorial University of Newfoudland Scale of Happiness(MUNSH).The test was carried out for each group respectively before and after training.Results ① LSI-A score was 33±72 after 6 months of training for the intervention group,which was significantly higher than 24±7 before the training(P<0.05).This score was higher than 27±7 in the control group after training(P<0.05).②MUNSH score in the intervention group after training was 35±7,which was significantly higher than 25±7 before training(P<0.05).This score was also higher than 26±7 in the control group after the training(P<0.05).Conclusion Information literacy training for elderly people can markedly improve their subjective happiness on the cognitive and emotional level.

Teaching reform of medical ethics in clinical probation based on case video is the practical requirement of courses and students' true expectation on teaching method reform.The route design of reform follows the teaching philosophy,content,teacher,performance appraisal,trainee medical record selection and its organization and implementation.The teaching reform based on clinical probation promotes the effective utilization of teachers and medical cases resource,and students' medical virtue literacy and ability on ethical decision making in medical clinical.

The ethical principles of justice and efficiency,humanity and respect,freedom and equality,honest and trustworthy and people-oriented and so on during the caring activities for the disabled elders would improve quality of service and efficiency,and avoid service moral risk.The families,government,community orders enterprises and service providers and other individuals or organizations that participated in care services for disabled elders should take the corresponding ethical responsibilities.

Objective:To investigate the library usage preferences and expectations of medical students,to evaluate library service quality and to discusses the basic strategy for promoting service ethics construction in our university.Methods:Questionnaires were used in students in the Social Science Periodicals Reading Room for two weeks,102 questionnaires were returned and data were collected and analyzed by usage statistical software SPSS11.5.Results:The results identified inadequate skills and inadequate education and guidance in utilizing the library were the major problems in students.The provision and acquisition of more current and relevant information materials and better service would greatly improve the patronage of the libraries.Conclusion:Clear service responsibility of library,persistent library usage education,good service quality of librarian and construction of collection resources that meet students' requirements are the basic ethical content to improve the service in university library.

目的 断肢为突发性损伤,没有心理准备,易产生悲观情绪,出现恐惧和忧虑心理,本文通过对外伤性上肢断肢再植术后患者的临床护理干预,采用对照试验评估治疗后再植成功率.方法 2009年6月-2010年9月,收治36例外伤性上肢断肢再植术患者.其中18例给予护理干预治疗,每周干预一次,每次20～40分钟连续干预一个月(实验组);另18例行正常治疗(对照组).两组患者一般资料比较差异均无统计学意义(P>0.05),具有可比性.于干预治疗前及治疗后两组间采用焦虑程度(SAS)、抑郁程度(SDS)、总体幸福感(GWB)进行分值比较.结果 实验组患者进行护理干预后一个月,重新与对照组进行比较,结果显示护理干预组患者的焦虑程度在干预前后有显著差异(P<0.05),抑郁程度与总体幸福感评定差异不显著(P>0.05).结论 断肢再植术后护理干预治疗后,可早期发现病情、及时处理并发症,消除患者心理压力,积极配合各项治疗,大大提高了断肢再植术后患肢成活率.

读者服务工作软硬环境的变化,对图书馆读者服务工作影响很大。研究读者服务工作软硬环境的变化,对图书馆读者服务工作有很重要的意义。通过对读者服务工作软硬环境的变化进行研究,可以分析图书馆读者服务工作存在的问题,为深化图书馆读者服务工作探索出有效途径。

Communication is to the communication between people and people who directly related to nursing in nursing,and mainly includes communication between nurse and patient,communication between doctor and nurse,and communication between nurse and other people.Dealing with the relationship between the nurse and all aspects of people plays a positive role in improving nursing quality,improving service attitude,better playing to the function of the hospital.

Combined with the content and demand of medical students information literacy education quoted in＂ Basic Medical Education Global Standard＂ , the paper discusses the countermeasures of information literacy education to medical students, investigates how to fully play the role in information literacy education from 4 aspects： designing curriculum system and evaluation system, integrating with medical professional courses, reforming the contents of teaching, innovating teaching methods.

本文疏理了学科馆员的内在逻辑结构,明确了学科馆员的发展方向是"学科文献专家",提出了全球视野下学科馆员专业信息素养能力的养成策略与途径,即切实提高学科馆员的专业知识,着力训练学科馆员的专业信息提炼能力,逐步提升学科馆员的专业英语和计算机应用能力,努力培养学科馆员的信息资源宣传推广和个性化服务能力,不断加强学科馆员的教学、科研能力.

Objective By exploring the different health education on the impact of diabetes,in order to find better methods of health education for diabetes patients guide to improve the level of patient awareness of diabetes,self-care capacity,improve quality of life.Methods Select form September 2008 to 2010 May in our hospital endocrine division of 84 cases of type 2 diabetic patients,the experimental group and control group at random into each 42 cases received the reinforced type health education,were treated by the general formula health education.Compare two sets of patients with diabetes in master basic knowledge,and diet and exercise therapy,drug use,insulin injections methods,the use of blood glucose meter and hypoglycemia as treatments of behavior,and compare the two sets of patients blood glucose levels and diabetes complications,and statistical analysis.Results Use of the experimental group for enhanced health education of patients,diabetes knowledge to grasp the situation,following the doctor's behavior and various indicators of diabetes control of the situation,the degree of acute and chronic complications,much better than the control group General Health Education Unit.Conclusion From the two kinds of health education interventions to see the impact on patients and strengthen health education style is more conducive to raising the level of knowledge in patients with diabetes control and improve patient compliance behaviors,and can apply the acquired after discharge from hospital diabetes knowledge,rational drug use,reasonable arrangements diet,adequate exercise,improved blood glucose and lipid metabolism,to effectively prevent or delay the occurrence of complications.