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简介：AbstractNeuro-oncology, with its various conservative, surgical, and interventional disciplines, is ideally suited to teach basic knowledge, skills, and attitudes important to medical practice in general. However, training is less about teaching specific treatment protocols and more about fostering skills for interdisciplinary collaboration, development of treatment recommendations, communication skills, and an ethical stance. To adequately teach this content, new and innovative formats are needed to test and learn high levels of student interaction, communication, and collaboration. New teaching concepts such as inverted teaching formats as well as the use of modern media technology can be helpful to improve networking between disciplines and to improve the quality of medical education.

简介：AbstractBackground:Till date, the optimal treatment strategy for delivering adjuvant androgen deprivation therapy (ADT) in localized and locally advanced prostate cancer (PCa), as a lower stage in PCa progression compared with metastatic PCa, is still unclear. This study compares the efficacy of castration alone with complete androgen blockade (CAB) as adjuvant ADT in patients with localized and locally advanced PCa undergoing radical prostatectomy (RP).Methods:Patients diagnosed with PCa, without lymph node or distant metastasis, who received RP in West China Hospital between January 2009 and April 2019, were enrolled in this study. We performed survival, multivariable Cox proportional hazard regression, and subgroup analyses.Results:A total of 262 patients were enrolled, including 107 patients who received castration alone and 155 patients who received CAB. The survival analysis revealed that there was no significant difference between the two groups (hazard ratios [HR]=1.07, 95% confidence intervals [95% CI]=0.60-1.90, P=0.8195). Moreover, the multivariable Cox model provided similarly negative results before and after adjustment for potential covariant. Similarly, there was no significant difference in the clinical recurrence between the two groups in both non-adjusted and adjusted models. Furthermore, our subgroup analysis showed that CAB achieved better biochemical recurrence (BCR) outcomes than medical castration alone as adjuvant ADT for locally advanced PCa (P for interaction=0.0247, HR=0.37, 95% CI=0.14-1.00, P=0.0497).Conclusion:Combined androgen blockade achieved better BCR outcomes compared with medical castration alone as adjuvant ADT for locally advanced PCa without lymph node metastasis.

简介：【摘要】目的 调查统计四川省各个市大型医疗设备的分布，为设备的分配提出相关建议。方法 采用在线数据填报方式统计设备数量。  结果 四川省大型医疗设备分布地区差异较大。  结论 四川地区大型医疗设备分布极不均衡。

简介：摘要：近年来心源性猝死事件频繁发生，趋向年轻化，本文以天津市为例，通过向非医学院校大学生发送调查问卷，对天津市非医学院校大学生心源性猝死认知情况进行了解并分析，结果显示天津市非医学院校大学生能够准确回答心源性猝死定义的同学只有56.5%，可以准确判断心脏骤停的同学只有50.3%，可以准确回答心源性猝死抢救步骤的为0，因此通过分析其影响因素，有针对地提出对策，通过社会加大宣传教育、学校开设基础医学相关选修课等多种方式，提高大学生对心源性猝死等基础医学知识的认知程度并做好预防。