共查询到20条相似文献，搜索用时 531 毫秒
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自2015年以来,中医硕士专业学位研究生按照中医住院医师规范化培训的基本内容和要求进行培养,即“双轨合一”,旨在培养具有中医临床思维能力的合格中医临床医师。本文回顾了中医硕士专业学位研究生培养与中医住院医师培训并轨的历史背景及意义,阐述了中医住培研究生临床思维能力不足的原因,主要包括临床培养“重西轻中”,中医临床培养“形同虚设”;临床带教“重用轻培”,未充分体现“教学相长”;临床培训“学而不用”,未做到真正“临床临证”。并提出了应对的方法与策略,包括围绕临床再现经典理论、围绕教学创新课程体系建设、围绕人才培养目标完善培养模式、 围绕效果建立考评体系,以期为进一步推进中医住培研究生培养改革提供参考。 相似文献
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中医住院医师规范化培训是培养中医临床人才的重要途径。目前,规培人才的培养质量受到诸多困境与因素的影响,包括培养理念严重弱化、学习模式趋向西化和考核评价流于形式化等,根源在于规培医师中医思维尚未有效构建。中医思维的形成与培养,关键在于经典医籍的“学”与“考”。中医经典是学习、体悟与应用辨证论治诊疗思维的源泉,而辨证论治的主观性、个体性、差异性特点,成为限制中医诊疗传承与创新的瓶颈。突破关键在于提升诊疗信息的客观性、准确性、规范性。迎合教育数字化转型战略,进行中医规培经典数字化转型探索,提出重塑经典教育共识的新理念,经典数字化学习的新模式以及经典数字化考核的新导向,为培养中医特色的临床人才提供新的对策与方案。 相似文献
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卓越医师视域下国医精诚班综合人才培养模式,旨在通过五位一体的综合素质培养、四线同步的专业素质培养、三步续进的实践能力培养、两感并重的职业道德培养等方法实现双一流人才培养;通过中医思维、创新能力、模式创新、加强责任感和使命感等方法培养中医文化传承创新的继承者;通过国医精诚价值观培养出社会主流价值观下国医精诚价值观的践行者;进而培育出具有优秀的中医文化传承创新能力、具备符合社会主流价值的国医精诚价值观、拥有高素质高水平的双一流卓越中医人才,对学生、学校乃至整个社会产生积极的影响。 相似文献
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本文基于南大洋环流研究最新资料，从资料来源、动力模式以及有待解决的问题几个方面较详细地阐述南大洋环流动力学研究动态。 相似文献
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长江口外赤潮多发区近几十年来的古生产力记录及环境意义 总被引：5，自引：3，他引：2
选取长江口外赤潮多发区沉积物柱状样,在高分辨率测年基础上,通过有机碳、有机碳同位素(δ13C)、生物硅、绿素等多项指标的分析获得了调查海区古生产力的变化信息。并结合近几十年来营养盐浓度及组成结构的变化探讨了海洋浮游藻类组成结构的变化在海洋古环境中的记录。柱状样年代可追溯到20世纪40年代初。δ13C值在柱中的分布为-26.15×10-3~-19.5×10-3,表明有机碳为陆源与海生的混合。生物标志物在柱状样中的分布可大致分为三个阶段,50年代以前含量均较低;50年代至80年代含量均增加,表明海洋浮游藻类活动强烈且以硅藻为主,与此阶段长江口营养盐浓度迅速增加相对应;80年代以后,生物硅的含量下降至整个柱中最低水平,绿素有所降低,但高于50年代前的水平,而有机碳含量增加,表明在该时段硅藻生物量降低,其他藻类生物量有所增加,这与长江口营养盐氮盐持续增加而硅酸盐逐年降低、氮与磷的含量比值、磷与硅的含量比值迅速增大有关。沉积记录还表明此阶段陆源有机碳的贡献增强。 相似文献
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This paper analyses the global tendency of the sea level rise (SLR) and its long term influence on the sea level upstream drainage cascade based on the example of the level’s variation in the Vistula Lagoon of the Baltic Sea compared to the other lagoons and coastal regions of the southeastern part of the Baltic Sea. A steady positive trend in the water level variations was revealed; its magnitude varies significantly depending on the time period. In general, during the 100–150 year period, the rate of the SLR in the lagoons and coastal areas of the Baltic Sea (1.7–1.8 mm per year) is close to the SLR rate in the World Ocean. In the second half of the 20th century, the increased rate of the SLR in the lagoons and marine areas became stronger (up to 3.6 mm per year in the Vistula Lagoon and in 1959–2006 in the sea and exceeded the rate of global ocean SLR). It dramatically increased at the end of the last century both in the lagoons and in the sea (up to 10.0–15.0 mm per year). This is the response not only to the global climate warming but it is likely that it is also a response to the changes of the climate driving forces that influence the regimes of the local wind and precipitation in the catchment. 相似文献
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K. V. Ushakov T. B. Grankina R. A. Ibraev 《Izvestiya Atmospheric and Oceanic Physics》2016,52(4):365-375
A numerical experiment on the reproduction of the variability in the state of North Atlantic water in 1948–2007 with a spatial resolution of 0.25° has been performed using the global ocean model developed at Institute of Numerical Mathematics, Russian Academy of Sciences (INM RAS), and the Shirshov Institute of Oceanology (IO RAS) (the INM–IO model). The data on the state of the atmosphere, radiation fluxes, and bulk formulas of the CORE-II protocol are used as boundary conditions. Five successive 60-year calculation cycles have been performed in order to obtain the quasi-equilibrium state of a model ocean. For the last 20 years, the main elements of large-scale ocean circulation have been analyzed and compared with the WOA09 atlas data and the results of other models. 相似文献
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Distribution of Pacific-origin water in the region of the Chukchi Plateau in the Arctic Ocean in the summer of 2003 总被引：6，自引：1，他引：6
1Introduction Besidestheprecipitationandriverdischarges,the watersinthePacificOceanandtheAtlanticOceanare thesourcesoftheArcticOceanwater.TheAtlantic waterenterstheArcticOceanviatheFramStraitand theBarentsSea.Foritsdenserfeatureduetohigh salinity,mostofitsinkstothenorthofSvaldbardand circulatesinallthedeepbasinsintheArcticOcean, formingthedeepandbottomwatersoftheArcticO- cean(Aagaardetal.,1985;Rudelsetal.,1999).The BeringStraitistheonlychannelforthePacificwater toflowintotheArcticOce… 相似文献
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The Moho transition zone in the Oman ophiolite-relation with wehrlites in the crust and dunites in the mantle 总被引：1，自引：0，他引：1
Field data in the Oman ophiolite show that the Moho transition zone (MTZ), which is on average 300 m thick above mantle diapirs, reduces to 50 m away from diapirs, with a sharp transition at the outskirts of the diapirs. We show here that this reduction is dominantly due to compaction of a dunitic mush present above diapirs in the MTZ, with upward injection of a wehrlitic magma in the crust, and, to a lesser extent, due to tectonic stretching. In order to explain the fraction of wehrlites injected into the crust, which is in the range of 25%, it is necessary that mantle upwelling is active, with a mantle flow velocity away from diapirs several times faster than the spreading velocity. If this velocity exceeds 5 times the ridge spreading-rate, a significant part of the MTZ may be entrained down into the mantle, flowing away from the diapir as tabular dunites. 相似文献
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以1997年8月中旬和2011年10月中旬对三门湾附近海域开展的海域水质现状调查为依据,分析了近15 a间该海域水体环境氮、磷营养盐的分布现状及变化特征。结果表明:近15 a来,三门湾海域的无机氮和活性磷酸盐含量均成倍增长,水体营养程度由轻度富营养化逐步上升为重度富营养化;从营养结构来看,活性磷酸盐仍为限制性富营养化因子;大量的海水养殖是导致该海域营养盐大幅提高的直接原因。因此,为控制三门湾的富营养化现象进一步加剧,建议适度控制海水养殖规模,调整海水养殖结构,加强对三门湾沿岸排污控制,以获得养殖经济效益和生态环境效益的协调、可持续发展。 相似文献
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Martha Gledhill Constant M. G. van den Berg Rob F. Nolting Klaas R. Timmermans 《Marine Chemistry》1998,59(3-4)
Variations in the speciation of iron in the northern North Sea were investigated in an area covering at least two different water masses and an algal bloom, using a combination of techniques. Catalytic cathodic stripping voltammetry was used to measure the concentrations of reactive iron (FeR) and total iron (FeT) in unfiltered samples, while dissolved iron (FeD) was measured by GFAAS after extraction of filtered sea water. FeR was defined by the amount of iron that complexed with 20 μM 1-nitroso-2-napthol (NN) at pH 6.9. FeT was determined after UV-digestion at pH 2.4. Concentrations of natural organic iron complexing ligands and values for conditional stability constants, were determined in unfiltered samples by titration. Mean concentrations of 1.3 nM for FeR, 10.0 nM for FeT and 1.7 nM for FeD were obtained for the area sampled. FeR concentrations increased towards the south of the area investigated, as a result of the increased influence of continental run off. FeR concentrations were found to be enhanced below the nutricline (below 40 m) as a result of the remineralisation of organic material. Enhanced levels of FeT were observed in some surface samples and in samples collected below 30 m at stations in the south of the area studied, thought to be a result of high concentrations of biogenic particulate material and the resuspended sediments respectively. FeD concentrations varied between values similar to those of FeT in samples from the north of the area to values similar to those of FeR in the south. The bloom was thought to have influenced the distribution of both FeR and FeT, but less evidence was observed for any influence on FeR and FeD. The concentration of organic complexing ligands, which could possibly include a contribution from adsorption sites on particulate material, increased slightly in the bloom area and in North Sea waters. Iron was found to be fully (99.9%) complexed by the organic complexing ligands at a pH of 6.9 and largely complexed (82–96%) at pH 8. The ligands were almost saturated with iron suggesting that the ligand concentration could limit the concentration of iron occurring as dissolved species. 相似文献