Table of Content

20 April 2020, Volume 6 Issue 2

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Infection prevention and control strategy in designated medical institutions for novel coronavirus pneumonia

Cui Can, Zhao Lanxiang, Wang Guifang, Zhou Shuli, Pan Na, Bao Dongying, Huang Jing, Cai Chao

2020, 6(2):  89-92.  doi:10.3969/j.issn.2096-045X.2020.02.001

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Coronavirus Disease 2019 (COVID-19) is an acute infectious disease caused by a novel corona virus (SARS-CoV-2). The emergence and spread of SARS-CoV-2 has brought great challenges to global public health safety. The designated medical institutions of COVID-19 are the frontlines for treating the confirmed cases, especially patients with severe and critical diseases. This article explores how to quickly establish novel coronavirus infection prevention and control system in the fight of epidemic, to reduce the risk of transmission in medical institutions, to protect frontline medical staff and workers, other patients and visiting family members from infection, how to ensure the successful diagnosis and treatment of new coronavirus infection. This article shares novel coronavirus pneumonia infection prevention and control measures in Beijing You’an hospital, Capital Medical University.


Consideration on the design and implementation of clinical research in the early period of emerging infectious diseases

Wang Yafeng , Du Min , Li Li , Li Xiuhui

2020, 6(2):  93-96.  doi:10.3969/j.issn.2096-045X.2020.02.002

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The clinical trial protocol is the core of clinical trial, indispensable to the scientificity, reliability and accuracy of clinical trial results. In the early stage of emerging infectious diseases, the design of clinical trial protocol is unique due to the urgency of clinical diagnosis and treatment, the necessity of clinical research, the inadequacy of disease knowledge, the particularity of research environment, the possible changes of social environment and the inadaptability of research team. We considered the actual early epidemic situation, and analyzed several key contents in design and implementation of clinical trial protocol, in order to provide reference for the design of clinical trial protocol.


Bio-safety management in the period of COVID-19

Shi Chengze, Meng Sha

2020, 6(2):  97-101.  doi:10.3969/j.issn.2096-045X.2020.02.003

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Since December 2019, COVID-19 has posed a major threat to public health in China. Nucleic acid detection is the most important means of detecting the virus. On 31st, January, 2020, Nucleic Acid Detection Laboratory was established in Beijing You’an Hospital. In order to avoid hospital infection accidents, Beijing Youan Hospital adopted different effective bio-safety measures, including grasping the COVID-19 nucleic acid detection process in detail, combing out the risk points in the process; finding out the current situation and direction of improvement of the hardware and software requirements for 2019-nCoV nucleic detection; and integrating relevant managing departments to form special functional working groups, to implement problem-oriented flat management. This article provides an overview of the effective efforts on preventing the hospital infection of You’an managing team in the battle against COVID-19.


Prevention and control practice of health management department in epidemic situation of new coronavirus pneumonia

Dong Jian , Xu Jin

2020, 6(2):  102-106，122.  doi:10.3969/j.issn.2096-045X.2020.02.004

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Objective To explore management measures for effective prevention and control of new coronavirus pneumonia in the Department of Health Management. Methods The Department of Health Management, Xuanwu Hospital of Capital Medical University strictly adhered to the requirements for epidemic prevention and control in the hospital. According to the characteristics of the department, with its various offices as units, effective measures were taken in personnel management, material management and environmental disinfection to optimize staff allocation, to ensure the materials supply, and to carry out various tasks in an orderly manner. Results The staff of the Department of Health Management were reasonably distributed and the work of the department was maintained in an orderly manner. So far, no confirmed case was found in patients, physical examination guests or medical staff and workers. Conclusion The health management department adopted a scientific and comprehensive management approach, reduced the cross-infection rate among staff members and between staff and medical guests /patients, speeded up the patient visits, and improved the ability of epidemic prevention and control.


COVID-19 risk communication response based on mutual direction model——trust dilemma and trust reconstruction

Guo Rui , Su Hang

2020, 6(2):  107-112.  doi:10.3969/j.issn.2096-045X.2020.02.005

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Besides emergency response effective risk communication, is essential for major public health emergencies. It is based on rational cooperation and dialogue amony the government, various professional institutions, the public and the media, and it plays an important role in enhancing the government’s prestige, channeling public sentiments and maintaining social stability. This paper explores COVID-19 risk communication, whether decision makers, professional institutions and experts have the correct recognition of risk of public health emergencies, whether the government’s convey of risk information, experts’ understanding of risk information and the public’s understanding of risk information are consistent. It is the key to effective risk communication work in a public health emergency. In the stage of dynamic surveillance and risk assessment, scientific cognition and scientific decision should be adhered to. In the emergency response, information disclosure and risk warning are both emphasized, and the redundancy of informal information is maintained to form the largest common divisor of the consensus among groups. Through good law and good governance, risk communication should be promoted within the scope of legal regulation and constraint.


Epidemic prevention and control calls for the highlight of medical humanities and discipline construction

Zhang Qinghua

2020, 6(2):  113-117.  doi:10.3969/j.issn.2096-045X.2020.02.006

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Epidemic prevention and control needs the preciseness of medical science and the warmth of medical humanities. In the fight against the novel coronavirus epidemic, there is occasional lack of medical humanities. In epidemic prevention and control, the special role of medical humanistic spirit and humanistic care is emphasized and brought into play. Medical colleges and universities should give full play to the advantages of medical humanities, provide intellectual support through psychological assistance, put forward suggestions in accordance with law and regulations, and undertake entrusted projects, and take this opportunity to strengthen medical humanities education and discipline construction. 


Health education from the perspective of bioethics: a reflective study on coronavirus disease 2019

Kou Nannan

2020, 6(2):  118-122.  doi:10.3969/j.issn.2096-045X.2020.02.007

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Health education is that consciously constructed opportunities designed to improve health literacy, including improving knowledge, and developing life skills, which are conducive to individual and community health. It is important in the battle against Coronavirus Disease 2019. Bioethical connotations of health education, including respecting life, health responsibility and the right to health care, provide ethical reasons in epidemic control and prevention. To ensure better health education in major public health events, we should strengthen health education by establishing a healthy lifestyle, strengthening the prevention consciousness of infectious diseases and moral education of public health, and promoting the dissemination of death education. 


Strengthening college students’ sense of network responsibility by taking the opportunity of pidemic prevention and control

Wang Chen , Jia Caicai , Wang Mingbin

2020, 6(2):  123-127.  doi:10.3969/j.issn.2096-045X.2020.02.008

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In view of novel coronavirus pneumonia epidemic, the lack of network responsibility awareness among college students has been summarized and analyzed from three aspects: network self-responsibility, network responsibility to others and society, and network responsibility to nation. Three practical paths are analyzed to promote the cultivation of network responsibility consciousness, and to prevent the lack of network responsibility awareness among college students during the epidemic period. They are promoting three aspects, strengthening three consciousnesses and encouraging three actions, to help college students to internalize the network responsibility consciousness into their own pursuit and externalize it into practical action.


Integration of sports and medicine for prevention and control of epidemic disease at home

Gao Lingdi, Xu Chen

2020, 6(2):  128-132.  doi:10.3969/j.issn.2096-045X.2020.02.009

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For the prevention and control of novel coronavirus pneumonia, the majority of people are staying at home to reduce transmission chances. As lack of physical activity is one of the health risk factors and the fourth death risk factor, people should not only do a good job in personal protection, maintain good health habits, but also reduce time of sitting, take proper exercise every day, through which they can improve health and immunity and build up a healthy body to fight against the epidemic. We introduce several simple and easy exercise method, which are suitable for home-based physical activities, and gives a commonly used evaluation scale to monitor the intensity and amount of exercise. People should keep mental health, quit smoking and drinking alcohol, have reasonable diet and take scientific exercise anywhere. 


Reassess the cultivation system of clinical medicine talents in China from Corona Virus Disease 2019 challenge

Wu Yan , Wu Ping , Lei Liping , Zhao Lili , Zhu Miao , Li Xuejin , Lu Xiaoqin , Wang Songling

2020, 6(2):  133-137.  doi:10.3969/j.issn.2096-045X.2020.02.010

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The battle against Corona Virus Disease 2019 (COVID -19) reflects some problems in the cultivation system of clinical medicine talents in China, and urgent reforms are needed. This paper analyzes the structural problems of degree education in the training system of clinical medicine talents in China, and puts forward corresponding reform suggestions. ① The successfully implemented “5+3” program should be taken as the main body of clinical medical personnel training in China, and the Doctor of Medicine (MD) degree should be awarded to qualified graduates. ② The main training target of “5+3” program should focus on general practitioners. ③ The training of specialists should be strengthened, and the proportion of specialists should be below 50% of the total physicians, and the specialist training is no longer linked with degree education. ④ Reconstruct the knowledge structure of clinical medicine education, and enhance the ability and level of national emergency prevention and control of major infectious diseases. ⑤ Establish the support system for clinical medical personnel training, and ensure the sound progress and development of clinical medical personnel training. 


Investigation on professional admittance and training of clinical engineers

Sun Zhe, Tian Jin, Xu Feng

2020, 6(2):  138-141.  doi: 10.3969/j.issn.2096-045X.2020.02.011

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The increasing application the new technology to medical equipment, calls for effective, safe, and reliable operation of all medical equipment, makes higher requests for clinical engineers. This paper analyzed the gaps among clinical engineers from lack of professional admittance system. We should establish professional admittance system, standardize training system to spur discipline-construction of medical engineering.


Thoughts on the cultivation of medical professional postgraduates

Wu Jun, Li Lanjun

2020, 6(2):  142-145.  doi:10.3969/j.issn.2096-045X.2020.02.012

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Recent reforms of China’s postgraduate education system of clinical medicine combined the clinical medical postgraduate education with the standardized residents training, aiming to cultivate high-level applied talents proficient in various clinical skills through systematic and standardized training. Yet in the process of implementation, the tendency of “emphasizing clinical research over scientific research”, and the phenomenon of neglecting the systematic scientific research training of medical professional postgraduates raised concern. This, to some extent, deviates from the goal of training clinical medical postgraduates into all-around talents with both clinical and scientific research capabilities. This paper analyzed and discussed the above issues, and put forward our suggestions and measures for reference. 


Reflections on the training mode of the professional master’s degree in cardiac surgery

Li Haiyang , Fang Zhou , Xue Yuan , Zhang Hongjia

2020, 6(2):  146-150，155.  doi:10.3969/j.issn.2096-045X.2020.02.013

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In the context of the comprehensive implementation of the policy of integrating standardized training between master degree students in clinical medicine and resident physicians in China, there are some problems in enrollment and training for master’s degree students majoring in cardiac surgery. This article combines with the teaching experience, puts forward reflections on the comprehensive cultivation of the master's degree in cardiac surgery under the current training mode from the aspects of the standardization training design, the humanistic quality cultivation and the scientific research cultivation.


Analysis on the application of microlecture combined with PBL teaching mode in obstetrics and gynecology teaching

Fang Zixuan , Zhang Yuanyuan , Min Min , Li Wei , Feng Ling , Yu Nan

2020, 6(2):  151-155.  doi: 10.3969/j.issn.2096-045X.2020.02.014

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Obstetrics and gynecology is a subject with wide knowledge range, strong integrity and high practical requirements was faced with students’ passive learning and lack of practice under the traditional teaching mode. Under the background of the vigorous development of the Internet, “microlecture + PBL” and other new teaching modes flow into the traditional classroom, both a challenge and a new change to the traditional teaching method of obstetrics and gynecology. “Online + offline” learning enables students to become the principal part of learning, and cultivates students’ independent thinking ability, independent exploration and team work, improves the integrity of knowledge and enhances the mastery of key and difficult points. In the face of the new teaching mode, the strategies of improving teachers’ diversified teaching ability, forming a unified evaluation standard and adjusting the assessment system can help to solve such problems as insufficient teachers and imperfect standard system, and at the same time, deepen teachers’ and students’ understanding and application of obstetrics and gynecology. Teachers and students should take an inclusive attitude, accept new methods, understand both theory and practice, and be able to think learning sometimes has new practical significance. 


Reform of community nursing practice teaching for undergraduates based on community public health skills development

Ma Pengtao , Wang Lingyun , Zou Haiou , Liu Weiwei , Wu Fan , Zhao Jie

2020, 6(2):  156-162.  doi: 10.3969/j.issn.2096-045X.2020.02.015

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Objective To explore the reform of community nursing practice teaching, and lay a foundation for training practical community nursing talents. Methods A total of 198 junior college nursing students from two colleges of nursing in Beijing from 2017 to 2019, participated in community nursing. To verify the feasibility, self-designed questionnaires, surveys, interviewing were used to evaluate the students satisfaction after completing all module internships and to assess students’ apprenticeship performance and autonomous feelings. Results The satisfaction rate of nursing undergraduate students for community nursing apprenticeship, for organizational management supervision and environmental facilities, for the apprenticeship experience, teacher resources, and student participation, and for content arrangements was 100%, 99.5%, 99%, and 98%, respectively. Teachers reported that students had a high degree of active participation, high time utilization rate, and improved ability in the community nursing practice, more time and energy invested in apprenticeships. Despite more workload, teachers’ teaching and learners’ learning skills both enhanced. The theoretical knowledge of junior colleges has been expanded, and the teaching ability has been rapidly improved, reflecting the professional value. Conclusion The reform of community nursing practice teaching for undergraduates based on community public health skills development is accorded with the expectations of teachers and students, and thus can provide reference for community practice of medical students.


Practice and Discussion of curriculum ideological and political education in Chinese Materia Medica combined with the project of national famous TCM expert inheritance

Liu Renhui, Xu Liping, Luo Liangtao, Li Shizeng

2020, 6(2):  163-166，171.  doi: 10.3969/j.issn.2096-045X.2020.02.016

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Curriculum ideological and political education is an important part of moral education and an important way to cultivate students’ comprehensive quality in higher education, and it’spermeated in teaching professional courses, aiming to strengthen political and ideological qualities. In order to promote ideological and political education of Chinese Materia Medica (TMM) in our school, we mainly carried out the teaching reform of TMM guided by projects-results, and attracted the students majored in Traditional Chinese Medicine (TCM) and TMM to participate in the construction of Li Shizeng studio in their theoretical learning stage. Combined with the project of national famous TCM expert inheritance, curriculum ideological and political education in TMM we has made remarkable achievements, including the cultivation of students’ love for TCM, enhancing their spirit of inheritance, innovation and hard work, and the improvement of their ability of independent learning and practical application of knowledge.


Cultivation of medical students’ sense of social responsibility from the perspective of voluntary service——a case study of Shandong First Medical University

Lin Hua , Zhang Ruisi , Li Dan , Xu Zhaozhao , Wang Yan

2020, 6(2):  167-171.  doi:: 10.3969/j.issn.2096-045X.2020.02.017

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Medical students’ sense of social responsibility is an important part of moral education in colleges and universities and the educational function of voluntary service is self-evident. This paper is based on the present situation of college students’ participation in voluntary service and their cognition of social responsibility in Z College of Shandong First Medical University, and uses questionnaire survey, anwlyzed the internal logical relationship between voluntary service and the cultivation of medical students’ sense of social responsibility. The corresponding countermeasures are put forward to provide useful suggestions for medical students’ moral education. 


“Flipped + experience” classroom——teaching innovation and practice of college students' mental health

Shen Quanwei , Zhang Dandan , Yin Lei , Wang Yuzhong

2020, 6(2):  172-178.  doi:10.3969/j.issn.2096-045X.2020.02.018

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We discusse the theoretical basis, teaching design and teaching effect of “flipping+experiencing” teaching in the course of college students’ mental health. Class 1 and 2 of Grade 2019 clinical major of Institute of Medicine and Nursing were taught by traditional teaching method, and Class 3 and 4 topic 2 ～ 3 by “flipping + experience” method. Both teaching effects were compared by questionnaire, interview, course consultant evaluation. The results showed that the experimental group was significantly higher than the control group (P<0.001) in the six dimensions of goal recognition, goal achievement, overall satisfaction, learning benefit, life transfer and extra-curricular input (P<0.001). The advantages of “flipped+experience” teaching were manifest, and the teaching effect better than traditional teaching method, achieving the goal of optimizing teaching links and improving teaching quality. 


Problems and countermeasures of teaching management in an infectious disease hospital

Wang Ying, Yang Zhiyun, Li Xin

2020, 6(2):  179-182,188.  doi:10.3969/j.issn.2096-045X.2020.02.019

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Based on new demands of medical postgraduates, and the urgent need of the specialized hospitals in market competition and talents training, teaching has gradually become an important work in the construction and development of hospitals. How to carry out teaching management and to train more qualified personnel in infectious disease field is a new challenge for infectious disease hospitals. We discusses the present situation of teaching management in infectious disease hospital, expounds the problems existing in teaching and introduces the measures taken by the hospital to solve the problems. 


Research on the information needs of respiratory doctors based on the idea of think tank

Qin Yinyin , Hong Ziying , Gao Guoying , Wang Lulin , Lin Xinqing , Xie Xiaohong, Chen Ying, Huang Qinghui

2020, 6(2):  183-188.  doi: 10.3969/j.issn.2096-045X.2020.02.020

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A total of 336 respiratory doctors in Guangdong Province were selected as the subjects. Their needs of information and their reasons, channels, obstacles and expectations to access information were investigated by electronic questionnaire. This paper aims to clarify the current situation and reform direction of the medical university library. It puts forward how to further improve and promote the construction of medical university library and even university think tank by introducing a new theoretical basis, attaching importance to the analysis of doctors’ needs, and setting up a scientific knowledge management mechanism, introducing high-quality talents and establishing scientific research teams.