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督导教学联合PAL教学法在超声医学专业技能培训中的应用
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作者 徐雯 林子梅 +4 位作者 罗志艳 李佳 洪玉蓉 黄品同 张超 《中华医学超声杂志(电子版)》 CSCD 北大核心 2022年第12期1383-1386,共4页
目的探讨督导教学联合同伴互助学习(PAL)教学法在超声医学专业技能培训教学中的应用价值。方法选取2020年6月至2022年6月浙江大学医学院附属第二医院超声医学科2018级、2019级住院医师共34人。采用督导教学联合PAL教学法,对2018级、201... 目的探讨督导教学联合同伴互助学习(PAL)教学法在超声医学专业技能培训教学中的应用价值。方法选取2020年6月至2022年6月浙江大学医学院附属第二医院超声医学科2018级、2019级住院医师共34人。采用督导教学联合PAL教学法,对2018级、2019级住院医师进行各系统操作切面带教培训与讲解、互助组学习以及带教老师督导教学。每周进行一次系统切面考核(过程考核),按专业技能考试评分表,80分为合格。培训结束后进行结业技能考试(结业考试)。统计结业技能考试通过率,以及采用Likert 5级评分法调查住院医师对该课程的满意程度,以评估该教学方法的有效性。结果应用督导教学联合PAL教学法后,超声医学科2018级、2019级住院医师每周进行的专业技能操作考核(过程考核)成绩均合格(≥80分),考试平均分分别为(88.29±2.78)、(87.49±4.51)分;住院医师结业技能考试(结业考试)通过率为100%。收回满意度调查问卷34份,结果表明,住院医师均对该教学方法和内容安排满意或非常满意,均认为督导教学联合PAL教学法有助于掌握专业操作技能,提高学习效率,促进与老师的交流。结论督导教学联合同伴PAL教学法在住院医师规范化培训超声专业技能培训中应用效果较好,可为超声专业技能培训教学提供新的思路。 展开更多
关键词 教育 医学 超声 同伴互助学习 督导
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RNA sequencing-based optimization of biological lipid droplets for sonodynamic therapy to reverse tumor hypoxia and elicit robust immune response 被引量:1
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作者 Zhan Shi Xue Wang +5 位作者 Jiali Luo Yiqing Zeng Qing Wen yurong hong Tao Zhang Pintong Huang 《Nano Research》 SCIE EI CSCD 2023年第5期7187-7198,共12页
Mitochondria-targeted sonodynamic therapy(SDT)is a promising strategy to inhibit tumor growth and activate the anti-tumor immune responses.Identifying the mechanisms underlying mitochondria-targeted SDT,further optimi... Mitochondria-targeted sonodynamic therapy(SDT)is a promising strategy to inhibit tumor growth and activate the anti-tumor immune responses.Identifying the mechanisms underlying mitochondria-targeted SDT,further optimizing its efficacy,developing novel sonosensitizer carriers with good biocompatibility pose major challenges to the clinical practice of SDT.In this study,we investigated the mechanisms of mitochondria-targeted SDT and demonstrated that it suppressed the mitochondrial electron transport chain(ETC)in pancreatic cancer cells through RNA-sequencing analysis.Based on these findings,we constructed the functional lipid droplets(LDs)(CPI-613/IR780@LDs),which combined mitochondria-targeted SDT with the tricarboxylic acid(TCA)cycle inhibitor CPI-613.CPI-613/IR780@LDs synergistically inhibited the TCA cycle and the ETC of mitochondrial aerobic respiration to reduce oxygen consumption and increase reactive oxygen species(ROS)generation at the tumor site,thus enhancing the efficacy of SDT in hypoxic pancreatic cancer.Moreover,the combination of mitochondria-targeted SDT and anti-PD-1 antibody exhibited excellent tumor inhibition and activated anti-tumor immune responses by increasing tumorinfiltrating CD8+T cells and reducing regulatory T cells,synergistically arresting the growth of both primary and metastatic pancreatic tumors.Meanwhile,lipid droplets are cell-derived biological carriers with natural mitochondrial targeting ability and can achieve efficient hydrophobic drug loading through active phagocytosis.Therefore,the functional lipid droplet-based SDT combined with anti-PD-1 antibody holds great potential in the clinical treatment of hypoxic pancreatic cancer. 展开更多
关键词 HYPOXIA pancreatic cancer lipid droplet mitochondria-targeted sonodynamic therapy IMMUNOTHERAPY
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