“眼科再生医学”专题

内源性干细胞在晶状体再生修复中的应用及展望

Application and prospect of endogenous stem cells in lens regeneration and repair

:360-373
 
内源性干细胞在组织的损伤修复过程中组织相容性好、致瘤风险低,相较于外源性干细胞具有不需要体外扩增和培养、疾病传播风险低的优点,在细胞治疗领域具有显著优势。现在已经有多种使用内源性干细胞进行疾病治疗的成熟方式,应用领域包括了全身各种器质性和功能性疾病。在眼组织中,晶状体具有终生生长的能力且便于观察,是实现再生修复的突破点。哺乳动物中晶状体再生的实现有赖于晶状体内源性干细胞的定位和改良手术方式,以保留晶状体干细胞,并创造适合晶状体再生的微环境。对再生后的晶状体蛋白质组成分析,发现其类似成熟晶状体,而非胚胎期的晶状体,提示晶状体再生的调控与胚胎期的诱导发生并不相同;而调控晶状体再生的策略不仅着眼于干细胞的激活和正确分化的诱导,对其上皮间质转化过程也需要进行调控。在未来,为将晶状体再生的经验应用于其他眼组织中,动员内源性干细胞并促进其生长,可以添加细胞有效成分,比如外泌体、线粒体、小分子化合物等,模拟细胞应激;此外,还可以通过手术或生物材料辅助,恢复晶状体结构和环境。
Endogenous stem cells have significant advantages in cell therapy for excellent histocompatibility, low tumorigenicity risk, unnecessity for in vitro expansion and culture, and low disease transmission risk. There have been some applications for endogenous stem cells in treating diseases, targeting some organic and functional diseases throughout the body. In ocular tissue, the lens is a breakthrough for regenerative therapy due to its potential to grow throughout life and observation accessibility. Achieving lens regeneration in adult mammals attributes to some prerequisites. Firstly, the location of endogenous stem cells in the lens has been identified. Then, surgical approaches have been advanced to preserve lens stem cells and create a microenvironment suitable for lens regeneration. Protein compositional analysis of the regenerated lens reveals that it is similar to a mature lens rather than an embryonic lens, suggesting that the regulation of lens regeneration is not the same as the induction of embryonic onset. The strategy for regulating lens regeneration needs to focus not only on the activation and proper differentiation of stem cells but also on regulating the process of epithelial mesenchymal transition (EMT). In the future, in order to apply the experiences of lens regeneration to other ocular tissues, to mobilize endogenous cells and promote their growth, some strategies could be used. These strategies include mimicking cellular stress via the addition of cellular active ingredients, such as exosome, mitochondria, and small molecular compounds. Additionally, we can also try to restore lens tissue structure and microenvironment through surgical or biomaterial assistance.
论著

医学人工智能通识课程的效果评估

Effect evaluation of general education curriculum of medical artificial intelligence

:165-170
 
目的:分析医学人工智能通识课程“眼科人工智能的研发与应用”的开展效果,为相关医学人工智能通识课程的开展提供参考和借鉴。方法:纵向观察性研究。观察分析2020年秋季学期眼科人工智能的研发与应用通识课程学生人群,课程考核结果以及学生对课程的整体评价。结果:共有118名本科生同学参与了课程学习。其中大部分为低年级临床医学专业本科生。期中考核得分为77.21±10.07,有56位同学(47.46%)达到80分以上。期末考核得分为82.24±6.77,有91位同学(77.12%)达到80分以上。同学对课程的评分为98.76±3.55,超过90%的同学表示课程备课认真、授课条理清晰、表达准确。结论:本课程的顺利进展证明医学人工智能联合教学模式的可行性,理论和实践穿插的教学设置帮助同学们更好地掌握知识技术,完成教学目标。
Objective: To analyze the effectiveness of medical education curriculum named “Development and Application of Ophthalmic Artificial Intelligence”, and provide reference for the development of other related curriculums. Methods: Longitudinal observational study method was adopted. During the fall semester of 2020, we conducted an education curriculum named “Development and Application of Ophthalmic Artificial Intelligence” and analyzed the results of mid-term and final examinations, and curriculum evaluation of students. Results: There were 118 undergraduate students taking the course and most of them were junior students majoring in clinical medicine. The score of the mid-term examination was in the range of 77.2±10.07, and 56 students (47.46%) got more than 80 points. The score of the final examination was in the range of 82.24±6.77, and 91 students (77.12%) got more than 80 points. The score of course evaluation of students was in the range of 98.76±3.55, and more than 90% of the students thought that teachers have made full preparations before class, together with clear teaching logic and accurate expressions in class. Conclusion: The smooth progress of our course proved the feasibility of medical artificial intelligence teaching. The teaching setting interspersed with theory and practice could help students to master knowledge and technology better, so as to achieve the teaching objectives.
论著

临床医学八年制眼科学整合课程中思政教育的效果

Effect evaluation of ideological and political education in the eight-year clinical medicine ophthalmology integrated curriculum

:806-813
 
目的:了解思政元素融入临床医学八年制眼科学整合课程的学生满意度与教学效果。方法:对中山大学临床医学八年制的五年级医学生进行匿名纸质版问卷调查,评估学生对思政教育的满意度与教育效果。对问卷结果进行描述性统计分析,计数资料以频率与百分比的形式表示。结果:共回收有效问卷90份,91%的学生认同在课程中融入思政元素,93%的学生认为思政与课程的融合度为好或者非常好,82%的学生认为思政课程对激发眼科学兴趣有帮助。思政题目的总体正确率高达92.9%,正确率从高到低依次为:医患沟通(100%)、眼科历史(98.9%)、政策要点(83.3%)、研究前沿(82.2%)。结论:临床医学八年制学生对眼科学整合课程的思政元素融合的满意度高。思政教育获得良好效果,学生对思政知识的掌握度高。后续课程在保持学生对医患沟通以及学科历史兴趣的同时,还应加强对于研究前沿和政策要点的教育。
Objective: To investigate the student satisfaction and educational effect of integrating ideological and political elements into the eight-year clinical medicine ophthalmology integrated curriculum. Methods: An anonymous paper questionnaire survey was administered to fifth-grade clinical medicine students ofthe eight-year clinical medicine program of Sun Yat-sen University to assess students’ satisfaction with ideological and political education as well as the educational effectiveness. Descriptive statistical analysis was performed on thequestionnaire results, and the qualitative data were represented by frequency and percentage. Results: Ninety valid surveys were collected. 91% of the students agreed with the incorporation of ideological and political elements into the curriculum, 93% of the students thought the incorporation of ideological and political elements into the curriculum was good or very good, and 82% of the students believed that the ideological and political curricula helped arouse their interest in ophthalmology. The overall correct rate for ideological and political questions reached 92.9%, with the following correct rates from most accurate to least accurate: doctor-patient communication (100%), history of ophthalmology (98.9%), policy (83.3%), and research frontier (82.2%). Conclusion: Eight-year clinical medicine students are highly satisfied with the integration of intellectual and political components into the ophthalmology integration curriculum. Ideological and political education has yielded favorable results, with students demonstrating a thorough grasp of ideological and political facts. Future curricula should expand students’ awareness of research frontiers and policy issues while maintaining their interest in doctor-patient communication and the history of ophthalmology.
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