ABSTRACT
Objective:In the teaching practice based on "Internet+", there are relatively few studies on the transformation of learners' learning styles. This paper focuses on the practical factors that may affect the change of students' learning style in the teaching process of blended learning.Methods:Taking students from Batch 2017 of Inner Mongolia Medical University as the teaching objects who taught by blended learning, by means of questionnaire survey, interview, course performance analysis and other methods, this paper discusses the influence of students' learning style on learning effect and possible influencing factors in the process of blended learning.Results:In the process of teaching, students' learning styles have a profound impact on the learning effect to some extent. Therefore, the subjective and objective factors that affect students' learning style should be paid attention to.Conclusion:With the popularization of "Internet + education", the ways and environment of traditional education have undergone great changes. In the process of blended learning reform, teachers should pay more attention to learning styles of students, so as to better improve the teaching effect.
ABSTRACT
OBJECTIVE: The aim of this study was to build a model to predict the risk of lymphovascular space invasion (LVSI) in women with endometrial cancer (EC). METHODS: From December 2010 to June 2013, 211 patients with EC undergoing surgery at Shanghai First Maternity and Infant Hospital were enrolled in this retrospective study. Those patients were divided into a positive LVSI group and a negative LVSI group. The clinical and pathological characteristics were compared between the two groups; logistic regression was used to explore risk factors associated with LVSI occurrence. The threshold values of significant factors were calculated to build a risk model and predict LVSI. RESULTS: There were 190 patients who were negative for LVSI and 21 patients were positive for LVSI out of 211 patients with EC. It was found that tumor grade, depth of myometrial invasion, number of pelvic lymph nodes, and International Federation of Gynecology and Obstetrics (FIGO) stage (p0.05) were not associated with LVSI. Receiver operating characteristic (ROC) curves revealed that the threshold values of the following factors were correlated with positive LVSI: 28.1 U/mL of CA19-9, 21.2 U/mL of CA125, 2.58 mg/dL of fibrinogen (Fn), 1.84 U/mL of carcinoembryonic antigen (CEA) and (6.35×10⁹)/L of white blood cell (WBC). Logistic regression analysis indicated that CA125 ≥21.2 (p=0.032) and Fn ≥2.58 mg/dL (p=0.014) were significantly associated with LVSI. CONCLUSION: Positive LVSI could be predicted by CA125 ≥21.2 U/mL and Fn ≥2.58 mg/dL in women with EC. It could help gynecologists better adapt surgical staging and adjuvant therapies.