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| 1 | “从基因到社会”——约翰·霍普金斯大学医学院新型课程体系的设计逻辑与实施进程显示文摘2009年,约翰·霍普金斯大学医学院实施了一项全新的课程体系——'从基因到社会',其目的在于:更为宽泛地重构健康与疾病的相互关系,鼓励学生们在一个包含社会、文化、心理和环境等多维变量的综合系统中探索与患者的健康状况相关的生物学特性。本文描述了新课程的设计理念及其五年规划过程,包括课程目标的确定、课程的构建、新教学楼的建造、学生自身能力及教师发展的促进、横向和纵向结构的建立等。应对新课程挑战的关键因素在于:领导的支持、与教职员工的对话和沟通、不同群体和层面的广泛参与、避免井蛙之见、通过课程试点来测试教学理念和方法等。 | Wiener CM 汪青 殷侃骅 | 2012 | 复旦教育论坛2012，10，3： | 4 |
| 2 | Authentication and authenticated key exchanges显示文摘 | Diffie W Van Oorschot P C Wiener M J | 1992 | Des Codes Cryptography1992，，2： | 2 |
| 3 | Emergency department rectal temperatures in over 10 years:A retrospective observational study显示文摘BACKGROUND:Fever in patients can provide an important clue to the etiology of a patient's symptoms.Non-invasive temperature sites(oral,axillary,temporal) may be insensitive due to a variety of factors.This has not been well studied in adult emergency department patients.To determine whether emergency department triage temperatures detected fever adequately when compared to a rectal temperature.METHODS:A retrospective chart review was made of 27 130 adult patients in a high volume,urban emergency department over an eight-year period who received first a non-rectal triage temperature and then a subsequent rectal temperature.RESULTS:The mean difference in temperatures between the initial temperature and the rectal temperature was 1.3 °F(P<0.001),with 25.9%of the patients having higher rectal temperatures >2°F,and 5.0%having higher rectal temperatures >4 °F.The mean difference among the patients who received oral,axillary,and temporal temperatures was 1.2 °F(PO.001),1.8 °F(PO.001),and 1.2 °F(P<0.001) respectively.About 18.1%of the patients were initially afebrile and found to be febrile by rectal temperature,with an average difference of 2.5 °F(P<0.001).These patients had a higher rate of admission(61.4%,P<0.005),and were more likely to be admitted to the hospital for a higher level of care,such as an intensive care unit,when compared with the full cohort(12.5%vs.5.8%,P<0.005).CONCLUSIONS:There are significant differences between rectal temperatures and noninvasive triage temperatures in this emergency department cohort.In almost one in five patients,fever was missed by triage temperature. | Graham A.Walker Daniel Runde Daniel M.Rolston Dan Wiener Jarone Lee | 2013 | World Journal of Emergency Medicine2013，4，2： | 2 |
| 4 | Benefits and risks of tight glucose control in critically ill adults:a meta-analysis显示文摘 | Wiener RS Wiener DC Larson RJ | | Journal of the American Medical Association0，，： | 2 |
| 5 | Oscillatory and periodic solutions of an equation alternately of retarded and advanced type 显示文摘 | Aftabizadeh A R Wiener J | 1986 | Appl Anal1986，23，： | 1 |
| 6 | In vivo expression of mRNAs encoding hypoxia-inducible factor 1 显示文摘 | Wiener CM Booth G Semenza GL | 1996 | Biochem Biophys Res Commun1996，225，2： | 1 |
| 7 | In vivo expression of mRNAs encoding hypoxia- inducible factor 1 显示文摘 | Wiener CM Booth G Semenza GL | 1996 | Biochem Biophys Res Commun1996，225，2： | 1 |
| 8 | Reduction of adhesion formation by intraperitioneal administration显示文摘 | Wall Wiener D | 1998 | Fertil Steril1998，68，1： | 1 |
| 9 | Maternal health factors and early pediatric antiretroviral therapy influence the rate of perinatal HIV-1 disease progression in children显示文摘 | Abrams EJ Wiener J Carter R | 2003 | AIDS2003，17，： | 1 |
| 10 | Value-at-Risk(VaR)显示文摘 | Benninga S Wiener Z | 1998 | Mathematica in Education and Research1998，7，4： | 1 |
| 11 | Neuroactive steroids,relaxation,and seizure control显示文摘 | Wiener P | 2003 | Int J Neurosci2003，113，5： | 1 |
| 12 | Team-based Learning in Intensive Course Format for First-year Medical Students显示文摘 | Hubert Wiener Herbert Plass Richard Marz | | 0，，01： | 1 |
| 13 | Authentication and authenticated key exchanges显示文摘 | Whitfield Diffie Paul C. Oorschot Michael J. Wiener | 1992 | Designs Codes and Cryptography1992，，2： | 1 |
| 14 | TIM-3 is expressed in melanonm cells and is upmgulated in TGF-beta stimulated mast cells 显示文摘 | Wiener Z Koh lml B Pocza P | 2007 | J Invest Dermatol2007，127，4： | 1 |
| 15 | Commitment in Organizations : A Normative View 显示文摘 | Wiener Y | 1982 | Academy of Management Review1982，7，5： | 1 |
| 16 | Bacterial vaginosis andthe natural history of human papillomavirus 显示文摘 | King CC Jamieson DJ Wiener J | 2011 | Infect Dis ObstetGynecol2011，2011，31： | 1 |
| 17 | Plasma cortisol,corticosterone and urea in acute myocardial infarction:clinical and biochemical correlations显示文摘 | Wiener K | 1977 | Clin Chim Acta1977，76，2： | 1 |
| 18 | Disclosure of an HIV diagnosis to children:history,current research,and future directions显示文摘 | Wiener L Mellins CA Marhefka S | 2007 | J Dev BehavPediatr2007，28，2： | 1 |
| 19 | Retarded differential equations with piecewise constant delays显示文摘 | Cooke K L Wiener J | 1984 | J Math Anal Appl1984，99，： | 1 |
| 20 | Structural determination of paraffin boiling points显示文摘 | Wiener H | 1947 | J Amer Chem Soc1947，69，： | 1 |
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