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小组讨论教学法在护理教育中的应用

中华护理教育 2007年第4期4卷 185-187页

作者： vickie a.lambert Clinton E.lambert 王爱玲武汉大学HOPE护理学院

在传统护理教学中,教师在课堂上经常使用的教学方法为讲授法。本文指出,在适当的时候,小组讨论可以成为教师教学时除讲授法外的另外一种选择。本文将对小组讨论的定义、参加小组讨论的学生人数、小组讨论议题、小组讨论涉及的活动、什... 详细信息

在传统护理教学中,教师在课堂上经常使用的教学方法为讲授法。本文指出,在适当的时候,小组讨论可以成为教师教学时除讲授法外的另外一种选择。本文将对小组讨论的定义、参加小组讨论的学生人数、小组讨论议题、小组讨论涉及的活动、什么时候及如何来主持一场小组讨论、如何激发和鼓励学生的参与、如何保持讨论始终围绕主题、怎样结束讨论及评价小组讨论的质量这些方面进行简要介绍。并且本文将举例说明以上内容。

关键词：教学方法教育护理

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如何讲好一堂课

中华护理教育 2005年第4期2卷 177-179页

作者： vickie a.lambert Clinton E.lambert Marcia Petrini 张贻瑾 Clinton E.lambert Marcia Petrini)武汉大学HOPE护理学院(Vickie A.Lambert430071 浙江大学

护理教育者的职责是在教/学过程中对学习者提供指导和支持,提供指导和支持的组成部分是制定并施行有效的教学方法.传统的教学方式通常包括讲课、讨论、演示和反演示以及一对一的教学和专题讨论.

关键词：计算机辅助教学教学方法教学方式护理教育专题讨论护理院校一对一教学法讲课演示

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对护理本科生的临床教学经验

中华护理教育 2006年第2期3卷 88-91页

作者： vickie a．lambert Clinton E．lambert美国护理研究院 Marcia Petrini美国护理研究院张贻瑾美国护理研究院浙江大学医学院护理系院士护理学博士、注册护士、中国武汉大学HOPE护理学院教授佐治亚医学院护理学院荣誉院长、教授国际交流顾问

护理实践是护理教育最重要组成部分。护理实践提供了在“真实”护理领域中所应用的知识和技能。本文就以下几方面的重要性进行讨论：学生获得临床实践要求的成果、制定学生临床实践任务的目标、评估学生的知识程度、选择适当的临床学习... 详细信息

护理实践是护理教育最重要组成部分。护理实践提供了在“真实”护理领域中所应用的知识和技能。本文就以下几方面的重要性进行讨论：学生获得临床实践要求的成果、制定学生临床实践任务的目标、评估学生的知识程度、选择适当的临床学习实践、全面制定临床实践的各个教学阶段以及评定学生的临床表现。

关键词：临床教学评估学习需要评价临床表现

Convergent plate boundary environments for formation of≥3800 Ma mafic-ultramafic assemblages(Isua area,Greenland):Implications for early global geodynamics

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Geoscience Frontiers 2024年第3期15卷 119-136页

作者： Allen P.Nutman Clark R.L.Friend vickie C.Bennett School of Earth Atmospheric and Life SciencesUniversity of WollongongWollongongNSW 2522Australia Glendale TiddingtonOxon OX92LQUK Research School of Earth Sciences Australian National UniversityCanberraACT 2601Australia

In the gneiss terrane on the south side of the Eoarchean Isua supracrustal belt,ultramafic rocks with relict abyssal peridotite mineralogy(Bennett et al.,2002;Friend et al.,2002;Nutman et al.,2007;Rollinson,2007;van de Löcht et al.,2020),layered gabbros with cumulate ultramafic rocks,basalts and associated siliceous sedimentary rocks were tectonically-imbricated,prior to and during intrusion of ca.3800 Ma *** with3800 Ma basalts in the Outer Arc Group of the nearby Isua supracrustal belt,the composition of all these mafic rocks(e.g.,Th-Hf-Nb systematics,high Th/Yb,Ba/Nb,Ba/Yb ratios and negative Nb and Ti anomalies)shows affinity with modern suprasubduction rocks whose genesis involved fluid fluxing of the upper ***,the majority of these samples have Ba/Nb and Ba/Yb values less than in modern island arc magmas,but similar to many backarc basin magmas(e.g.,Pearce and Stern,2006).It is unknown whether these ca.3800 Ma mafic rocks are,(i)arc rocks where the Ba/Nb and Ba/Yb signatures reflect lower surficial Ba in Eoarchean oceanic settings,or(ii)in direct comparison with Phanerozoic suites,these signatures reflect a back-arc setting with interplay between fluid fluxing and decompressional *** tectonic intercalation of upper mantle with lower and upper crustal rocks,combined with the fluid-fluxing influences seen in chemistry of all the mafic rocks is best accommodated in a compressional Eoarchean convergent plate boundary setting within a mobile-lid *** stagnant lid scenarios of crust formation,if operative,must have co-existed or alternated with mobile-lid regimes by 3800 Ma.

关键词： Eoarchean Fluid-fluxing Plate tectonics Suprasubduction Crustal evolution

Post-operative protein supplementation following orthopaedic surgery: A systematic review

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Sports Medicine and Health Science 2024年第1期6卷 16-24页

作者： Andrew George Brendan M.Holderread Bradley S.lambert Joshua D.Harris Patrick C.McCulloch Houston Methodist Orthopedics and Sports Medicine 6445 Main Street Suite 2300HoustonTX77030USA Houston Methodist Orthopedic Biomechanics Research Laboratory 6670 Bertner AveHoustonTX77030USA

Decreased mechanical loading after orthopaedic surgery predisposes patients to develop muscle *** purpose of this review was to assess whether the evidence supports oral protein supplementation can help decrease postoperative muscle atrophy and/or improve patient outcomes following orthopaedic surgery.A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and MetaAnalysis(PRISMA).PubMed(MEDLINE),Embase,Scopus,and Web of Science were searched for randomized controlled trials that assessed protein or amino acid supplementation in patients undergoing orthopaedic *** investigators independently conducted the search using relevant Boolean *** outcomes included functional or physiologic measures of muscle atrophy or *** studies including 611 patients(224 males,387 females)were *** studies evaluated protein supplementation after ACL reconstruction(ACLR),3 after total hip arthroplasty(THA),5 after total knee arthroplasty(TKA),and 3 after surgical treatment of hip *** supplementation showed beneficial effects across all types of *** primary benefit was a decrease in muscle atrophy compared to placebo as measured by muscle cross sectional *** authors also demonstrated improved functional measures and quicker achievement of rehabilitation *** supplementation has beneficial effects on mitigating muscle atrophy in the postoperative period following ACLR,THA,TKA,and surgical treatment of hip *** effects often correlate with improved functional measures and quicker achievement of rehabilitation *** research is needed to evaluate long-term effects of protein supplementation and to establish standardized population-specific regimens that maximize treatment efficacy in the postoperative period.

关键词： Orthopaedic surgery Protein supplementation Systematic review Muscle atrophy

Development of a Simple Extraction Method for Tetracycline Analogues from Bovine Milk

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Advances in Biological Chemistry 2024年第4期14卷 111-120页

作者： Oscar Cordova Thien Le Christopher lambert Devin Brodie Stephany Ramirez Francis Sandoval Karno Ng Department of Chemistry & Biochemistry California State University San Marcos San Marcos USA

Tetracycline and analogues are among the most used antibiotics in the dairy industry. Besides the therapeutic uses, tetracyclines are often incorporated into livestock feed as growth promoters. A considerable amount of antibiotics is released unaltered through milk from dairy animals. The presence of antibiotic residues in milk and their subsequent consumption can lead to potential health impacts, including cancer, hypersensitivity reactions, and the development of antibiotic resistance. Thus, it is important to monitor residual levels of tetracyclines in milk. The purpose of this study is to develop a quick and simple method for simultaneously extracting five tetracycline analogues from bovine milk. Specifically, five tetracycline analogues: Chlortetracycline (CTC), demeclocycline (DEM), doxycycline (DC), minocycline (MC), and tetracycline (TC) were simultaneously extracted from milk using trifluoroacetic acid. Subsequently, the extracted analogues were separated by reverse-phase high-performance liquid chromatography (RP-HPLC) and detected at 355 nm using UV/Vis. Calibration curves for all five tetracycline analogues show excellent linearity (r2 value > 0.99). Percent recovery for MC, TC, DEM, CTC, and DC were: 31.88%, 96.91%, 151.29, 99.20%, and 85.58% respectively. The developed extraction method has good precision (RSD < 9.9% for 4 of the 5 analogues). The developed method with minimal sample preparation and pretreatment has the potential to serve as an initial screening test.

关键词： Antibiotics Tetracyclines Extraction Milk HPLC

Knowledge, Attitudes and Practices of Congolese Women in Kinshasa on Breast Cancer

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Open Journal of Obstetrics and Gynecology 2024年第8期14卷 1207-1222页

作者： Pierre Joseph Ingala Amasa Ernest Ombha Loshima Arsène Mputu Lobota Guy lambert Monzango Sibo Malka Salamo Azama Gracia Tambola Wasinga Dieudonné Omatuku Tshofu Fidèle Djamba Okitokonda Department of Obstetrics and Gynecology University Clinics of Kinshasa Kinshasa DR Congo Public Hospital Group of the South of the Oise Senlis France National Border Hygiene Program of Kinshasa Kinshasa DR Congo

Context: Breast cancer is a high-mortality disease. Early detection has considerably reduced mortality in developed countries. Objectives: To assess the knowledge, attitudes and practices of Congolese women in Kinshasa on breast cancer, their levels and to identify factors associated with insufficient knowledge, negative attitudes and non-beneficial practices. Material and Methods: This was a descriptive cross-sectional study with analytical aims, carried out from June 1 to September 30, 2023, in Kinshasa. It involved 1170 female respondents, aged 18 to 65, who agreed to take part in the survey. Data were collected using a pre-established questionnaire. Data analysis was performed using SPSS software version 20.0. The study variables were socio-demographics, morbid history, knowledge, attitudes and practices of respondents regarding breast cancer. Statistical measures and tests used were Mean ± standard deviation, median, proportions, logistic regression Backward stepwise and p Results: 60% had insufficient knowledge, 75% had negative attitudes and 80% had non-beneficial practices. The risk factors common to insufficient knowledge, negative attitudes and non-beneficial practices towards breast cancer were low level of education, membership of revivalist or Muslim churches, and primiparity. Conclusion: 60% of Congolese women in Kinshasa have insufficient knowledge about breast cancer, 75% have negative attitudes and 80% have non-beneficial practices, with a positive association between insufficient knowledge and negative attitudes on the one hand, and insufficient knowledge and non-beneficial practices on the other. In this context, increasing the population’s literacy and access to information are essential.

关键词： Knowledge Attitudes Practices Breast Cancer Congolese Woman in Kinshasa

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浙江省某县县域医共体抗菌药物管理案例研究

中国社会医学杂志 2024年第4期41卷 391-396页

作者：邓子如董晓莲王伟马聪付朝伟 Helen lambert 王娜严非复旦大学公共卫生学院国家卫健委卫生技术评估重点实验室上海200032 德清县疾病预防与控制中心浙江湖州313200 英国布里斯托大学人口健康科学系布里斯托BS82PS

目的探究浙江省某县县域医共体内部抗菌药物管理政策和措施实施中的经验和问题。方法研究团队于2019年10月及2020年7月赴浙江省某县开展现场调查,通过目的性抽样收集医共体内两家医疗机构的抗菌药物相关数据进行描述性分析,并对四家医... 详细信息

目的探究浙江省某县县域医共体内部抗菌药物管理政策和措施实施中的经验和问题。方法研究团队于2019年10月及2020年7月赴浙江省某县开展现场调查,通过目的性抽样收集医共体内两家医疗机构的抗菌药物相关数据进行描述性分析,并对四家医疗机构中的15名关键知情人进行访谈,了解医共体内抗菌药物管理制度与抗菌药物使用状况。结果案例县县域医共体内机构已成立架构清晰的抗菌药物管理系统;设有前置审方、事后点评、绩效奖惩等管理措施;近年来抗菌药物使用相关指标总体呈下降趋势,县医院门诊、住院抗菌药物使用率均达到国家标准,但县医院住院患者抗菌药物使用强度、乡镇卫生院门诊抗菌药物使用率仍高于国家标准。结论案例县依托县域医共体制度优势,促进医疗机构抗菌药物自上而下管理,管理组织架构清晰,措施较为全面,注重过程管理,动态调整考核指标;但仍需加大对临床药师等专业技术人员的培养,完善抗菌药物管理信息系统。

关键词：抗菌药物管理县域医共体案例研究

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Seeing through the magnetite:Reassessing Eoarchean atmosphere composition from Isua(Greenland) ≥3.7 Ga banded iron formations

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Geoscience Frontiers 2017年第6期8卷 1233-1240页

作者： Allen P.Nutman vickie C.Bennett Clark R.L.Friend GeoQuEST Research Centre School of Earth and Environmental SciencesUniversity of WollongongWollongongNSW 2522Australia Research School of Earth Sciences Australian National UniversityCanberraACT 0200Australia Glendale TiddingtonOxonOX9 2LQUK

Estimates of early atmosphere compositions from metamorphosed banded iron formations(BIFs)including the well-studied ≥3.7 BIFs of the Isua supracrustal belt(Greenland)are dependent on knowledge of primary versus secondary Fe-mineralogical *** new observations from locally well preserved domains,we interpret that a previously assumed primary redox indicator mineral,magnetite,is secondary after sedimentary Fe-clays(probably greenalite)±*** ~3.7 Ga Isua BIF,pre-tectonic nodules of quartz+Fe-rich amphibole±calcite reside in a finegrained(≤100 μm)quartz+magnetite *** interpret the Isua nodule amphibole as the metamorphosed equivalent of primary Fe-rich clays,armoured from diagenetic oxidative reactions by early silica ***,in another low strain lacunae,~3.76 Ga BIF layering is not solid magnetite but instead fine-grained magnetite+quartz *** magnetite+quartz aggregates are interpreted as the metamorphosed equivalent of Fe-clay-rich layers that were oxidised during diagenesis,because they were not armoured by early *** almost all Isua BIF exposures,this evidence has been destroyed by strong ductile *** Fe-clays likely formed by abiotic reactions between aqueous Fe^(2+)and *** clays along with silica±carbonate were deposited below an oceanic Fe-chemocline as the sedimentary precursors of *** of the clays on the sea floor may have been by anaerobic oxidation of Fe^(2+),a mechanism compatible with iron isotopic data previously published on these *** new determinations of the primary redoxsensitive Fe-mineralogy of BIF significantly revise estimates of early Earth atmospheric oxygen and CO_2 content,with formation of protolith Fe-rich clays and carbonates compatible with an anoxic Eoarchean atmosphere with much higher CO_2 levels than previously estimated for Isua and in the present-day atmosphere.

关键词： Banded iron formation Eoarchean Early atmosphere Greenalite Magnetite