目的探讨PBL+EBM教学模式在住院医师规范化培训中的实施效果。方法将43名住院医师规范化培训学员随机分为实验组(PBL+EBM教学组22人)和对照组(传统教学组21人)。实验组采用PBL的方法对临床病例进行循证分析,对照组采用传统的灌输式教学...目的探讨PBL+EBM教学模式在住院医师规范化培训中的实施效果。方法将43名住院医师规范化培训学员随机分为实验组(PBL+EBM教学组22人)和对照组(传统教学组21人)。实验组采用PBL的方法对临床病例进行循证分析,对照组采用传统的灌输式教学,以带教老师的临床经验指导学员作病例分析。教学效果评价分为问卷调查和出科考试两部分。用spss16.0统计软件进行统计学分析。结果问卷调查显示,在提升临床思维能力(22/22 vs 15/21)、个人表达能力(18/22 vs 2/21)及提高自学能力(18/22 vs 5/21)、激发专业学习兴趣(15/22 vs 10/21)方面实验组更有优势;出科考试成绩显示,实验组平均成绩高于对照组(86.6±5.21 vs 78.7±3.66),差异有统计学意义。结论 PBL+EBM教学模式适用于住院医师规范化培训,但仍需不断细化和完善。展开更多
2012年3月1—3日，中国抗癌协会肺癌专业委员会和中国抗癌协会临床肿瘤学专业委员会（China society of clinical oncology，CSCO）联合主办了第九届“中国肺癌高峰共识会”，来自全国的500多位专家，讨论了小细胞肺癌（small cell lung...2012年3月1—3日，中国抗癌协会肺癌专业委员会和中国抗癌协会临床肿瘤学专业委员会（China society of clinical oncology，CSCO）联合主办了第九届“中国肺癌高峰共识会”，来自全国的500多位专家，讨论了小细胞肺癌（small cell lung cancer，SCLC）的处理。展开更多
2014年3月6—7日。中国抗癌协会肺癌专业委员会和中国临床肿瘤学会（Chinese Society of Clinical Oneology，CSCO）联合主办了第十一届“中国肺癌高峰论坛”。本届高峰论坛讨论了常见肺癌治疗决策的几个问题。专家们认为，我们在临床...2014年3月6—7日。中国抗癌协会肺癌专业委员会和中国临床肿瘤学会（Chinese Society of Clinical Oneology，CSCO）联合主办了第十一届“中国肺癌高峰论坛”。本届高峰论坛讨论了常见肺癌治疗决策的几个问题。专家们认为，我们在临床实践中做出一项用于患者的医疗措施，必须符合以下四大原则：展开更多
目的:评价布地奈德辅助治疗小儿肺炎随机对照试验(RCTs)报告摘要质量及分析其影响因素。方法:采用CONSORT2010申明的临床报告摘要质量评价系统,对中文发表的布地奈德雾化吸入辅助治疗小儿肺炎的RCTs文献摘要进行评价,采用Rev Man 5.3软...目的:评价布地奈德辅助治疗小儿肺炎随机对照试验(RCTs)报告摘要质量及分析其影响因素。方法:采用CONSORT2010申明的临床报告摘要质量评价系统,对中文发表的布地奈德雾化吸入辅助治疗小儿肺炎的RCTs文献摘要进行评价,采用Rev Man 5.3软件进行统计学分析。结果:纳入的282篇RCTs摘要报告率低的条目有:"题目判定为随机""通讯作者""随机化""盲法""随机分组例数""资助",且所有文献均无"试验注册",分层分析中摘要字数对条目报告的影响最大。结论:布地奈德治疗小儿肺炎的RCTs摘要质量与CONSORT 2010申明的临床报告摘要质量存在较大差距,研究人员在今后的文章中应使用CONSORT规定的条目进行书写以提高摘要质量,增强可读性。展开更多
Syndrome pattern （SP） is a core concept of Chinese medicine （CM） and is used to diagnose and treat patients based on an overall analysis of symptoms and signs. This study aimed to systematically review randomized ...Syndrome pattern （SP） is a core concept of Chinese medicine （CM） and is used to diagnose and treat patients based on an overall analysis of symptoms and signs. This study aimed to systematically review randomized controlled trials （RCTs） using the SP concept and to demonstrate how the SP concept could be applied to the study design of parallel RCTs, considering a gold standard of clinical research. After conducting a brief systematic review by way of a PubMed search, we analyzed how the SP concept was applied to the design of RCT in a CM herbal medicine trial. We then formulated possible research questions, applied the SP concept to answer the research questions, and suggested possible RCT designs to be used for conducting future trials. Fourteen RCTs were included in our systematic review, and three key points of the SP concept were formulated for the design of parallel RCTs： the time point of SP diagnosis between before and after randomization; the relationship between the international classification of diseases （ICD） and SP for the inclusion of target population; and the proper diagnostic method of SP. In this study, we formulated three possible research questions and then suggested perspectives for five possible RCT models arrived at using SP concepts. Future trials applying SP concept to RCTs should overcome the shortcomings of past SP trials, moving CM forward from experience-based to evidence-based medicine.展开更多
文摘目的探讨PBL+EBM教学模式在住院医师规范化培训中的实施效果。方法将43名住院医师规范化培训学员随机分为实验组(PBL+EBM教学组22人)和对照组(传统教学组21人)。实验组采用PBL的方法对临床病例进行循证分析,对照组采用传统的灌输式教学,以带教老师的临床经验指导学员作病例分析。教学效果评价分为问卷调查和出科考试两部分。用spss16.0统计软件进行统计学分析。结果问卷调查显示,在提升临床思维能力(22/22 vs 15/21)、个人表达能力(18/22 vs 2/21)及提高自学能力(18/22 vs 5/21)、激发专业学习兴趣(15/22 vs 10/21)方面实验组更有优势;出科考试成绩显示,实验组平均成绩高于对照组(86.6±5.21 vs 78.7±3.66),差异有统计学意义。结论 PBL+EBM教学模式适用于住院医师规范化培训,但仍需不断细化和完善。
文摘2012年3月1—3日，中国抗癌协会肺癌专业委员会和中国抗癌协会临床肿瘤学专业委员会（China society of clinical oncology，CSCO）联合主办了第九届“中国肺癌高峰共识会”，来自全国的500多位专家，讨论了小细胞肺癌（small cell lung cancer，SCLC）的处理。
文摘2014年3月6—7日。中国抗癌协会肺癌专业委员会和中国临床肿瘤学会（Chinese Society of Clinical Oneology，CSCO）联合主办了第十一届“中国肺癌高峰论坛”。本届高峰论坛讨论了常见肺癌治疗决策的几个问题。专家们认为，我们在临床实践中做出一项用于患者的医疗措施，必须符合以下四大原则：
文摘目的:评价布地奈德辅助治疗小儿肺炎随机对照试验(RCTs)报告摘要质量及分析其影响因素。方法:采用CONSORT2010申明的临床报告摘要质量评价系统,对中文发表的布地奈德雾化吸入辅助治疗小儿肺炎的RCTs文献摘要进行评价,采用Rev Man 5.3软件进行统计学分析。结果:纳入的282篇RCTs摘要报告率低的条目有:"题目判定为随机""通讯作者""随机化""盲法""随机分组例数""资助",且所有文献均无"试验注册",分层分析中摘要字数对条目报告的影响最大。结论:布地奈德治疗小儿肺炎的RCTs摘要质量与CONSORT 2010申明的临床报告摘要质量存在较大差距,研究人员在今后的文章中应使用CONSORT规定的条目进行书写以提高摘要质量,增强可读性。
文摘Syndrome pattern （SP） is a core concept of Chinese medicine （CM） and is used to diagnose and treat patients based on an overall analysis of symptoms and signs. This study aimed to systematically review randomized controlled trials （RCTs） using the SP concept and to demonstrate how the SP concept could be applied to the study design of parallel RCTs, considering a gold standard of clinical research. After conducting a brief systematic review by way of a PubMed search, we analyzed how the SP concept was applied to the design of RCT in a CM herbal medicine trial. We then formulated possible research questions, applied the SP concept to answer the research questions, and suggested possible RCT designs to be used for conducting future trials. Fourteen RCTs were included in our systematic review, and three key points of the SP concept were formulated for the design of parallel RCTs： the time point of SP diagnosis between before and after randomization; the relationship between the international classification of diseases （ICD） and SP for the inclusion of target population; and the proper diagnostic method of SP. In this study, we formulated three possible research questions and then suggested perspectives for five possible RCT models arrived at using SP concepts. Future trials applying SP concept to RCTs should overcome the shortcomings of past SP trials, moving CM forward from experience-based to evidence-based medicine.
