Dr.Chen Xiangjun''''s Experience in Using Pair of Drugs to Treat Rheumatic Diseases

Dr.Chen Xiangjun of the Longhua HospitalAffiliated to Shanghai University of TraditionalChinese Medicine has accumulated rich experience intreating rheumatic diseases with pair of drugs.Thefollowing is a report of his experience in this respect.     

Dr. Sun Shidao＇s Experience in TCM Treatment of Acne

Dr. Sun Shidao （孙世道） has been engaged in TCM for over 40 years. He has profound knowledge of both western and traditional Chinese medicine, with rich experience especially in the field of dermatology. The following is an introduction to his experience in treatment of acne.     

Value of qualitative research in polycystic ovary syndrome

Objective This article aims to introduce the benefits of qualitative research and to discuss how such research can be applied to the study of polycystic ovary syndrome （PCOS）. Data sources Relevant articles were published in English as of May 2013 from Pubmed. Terms ＂polycystic ovary syndrome/PCOS, qualitative research and methodology＂ were used for searching. Study selection Articles studying PCOS with qualitative methods were reviewed. Articles associated with the use of qualitative research in clinical research were cited. Results Six qualitative studies related to PCOS were found in the literature search. These studies addressed different aspects in PCOS women including their womanhood, lived experience, information need, and experience of treatment with acupuncture. Five of these six studies used phenomenology as guiding theory. Conclusion Quantitative research has been the dominant approach in the field so far, qualitative research is relevant to the advancement of PCOS.     

LECTURES ON ESSENTIALS OF TRADITIONAL CHINESE MEDICINE

Editorial:Traditional Chinese medicine is a valuable legacysumming up millennia of experience by all nationalities of Chinesepeople in dealing with disease.This wealth of experience gainedthrough practice has developed into a unique system of theoriesof traditional Chinese medicine.As an aid to grasping the essence of the articles published inour journal,we will introduce briefly in consecutive issues suchfundamentals of traditional Chinese medicine as Yin and Yang,thefive elements,internal organs,Qi and Blood,diagnostics etc.so asto provide our readers with theoretical perspectives of the subjectin question.     

Dr. Sun Shidao’s Experience in TCM Treatment of Acne

Dr. Sun Shidao (孙世道) has been engaged in TCM for over 40 years. He has profound knowledge of both western and traditional Chinese medicine, with rich experience especially in the field of dermatology. The following is an introduction to his experience …     

Experience of Dr. Ding Guangdi in Treating Chronic Enteritis

Chronic enteritis, with long-term diarrhea as its main symptom, can easily affect people over 40. Engaged in medical practice for more than 60 years, Dr. Ding Guangdi of Nanjing University of Traditional Chinese Medicine has inherited experience of ancient physician Li Dongyuan in treating the spleen and stomach and achieved very good curative effect in treating chronic enteritis. His experience is introduced as follows. Pathogenesis with Damp Pathogen as Super- ficiality and Yang Deficiency as Origin Dr. Ding believes that chronic diarrhea is mainly caused by damp pathogen, and that yang deficiency of the spleen and stomach is also the pathological basis of this disease. A long-term diarrhea certainly causes qi deficiency even yang deficiency of the spleen and stomach in middle-aged and old people with declined functions. The pathogenesis of the disease is characterized by disturbance of the spleen due to dampness, yang deficiency of the spleen and stomach, deficiency in origin and excess in superficiality.     

PERIPHERAL BLOOD STEM CELL (PBSC) COLLECTION AND AUTOGRAFTS (PBSCT) IN CHILDREN WITH CANCER

Laboratory and clinical experience with PBSCT is reviewed.At.the University of Tokushima,a total of 314 aphoresis were performed by a CS 3000 cell separator in 77 children aged 7 months to 17 years with various types of cancer.Mobidity related to the collection was negligible and a larger number of CFU-GM was collected in younger children than in     

DR.TIAN NAIGENG'S EXPERIENCE IN TREATMENT OF ALBUMINURIA IN CHRONIC NEPHRITIS

Chronic nephritis is one of the diseasesfrequently encountered with albuminuriavery obstinate to be eliminated. Dr. Tian hassuccessfully treated albuminuria in chronicnephritis, and the following is a brief sum-mary of his experience.     

Prof. Zhou Yiqiang‘S Experience in Treatment of Lung Cancer

Bronchogenic carcinoma, the dominant form of malignant lung cancers, refers to canceration of the bronchial mucosa. Prof. Zhou accumulated a wealth of experience in treating complicated diseases with TCM measures and was especially skillful in treating lung cancers. His understandings about the art of treating lung cancers often brought about excellent results.     

The Psychosomatic Traits of “People with the Five Elements in Traditional Chinese Medicine”: A Qualitative Study

Objective To identify the representative attributes of the five elements of a person with a qualitative methodology and provide the basis for the clinical diagnosis and treatment of “people with the five elements in traditional Chinese medicine(TCM).”Methods Data collected from the literature review, two sessions of brainstorming of experts with related experience in “people with the five elements in TCM” from October 2020 to December 2020,and six rounds of in-depth interviews with 30 participan...     

终末期心力衰竭患者疾病体验的质性研究

  目的  了解终末期心力衰竭患者的真实疾病体验，为制定有效的照护策略提供依据。  方法  采用现象学研究方法，对2021年4月—2021年6月在中国科学技术大学附属第一医院(安徽省立医院南区)心内科三病区住院的18例终末期心力衰竭患者进行半结构式深入访谈，运用Colaizzi 7步分析法对访谈资料进行分析。  结果  终末期心力衰竭患者疾病体验在症状层面:体验深刻，以负性体验为主；在心理体验方面:青年患者心理负担重，对预后担忧，以负性体验为主，老年患者心理应对良好，能坦然面对疾病，以正性体验为主；在生活质量层面:均为负性体验；在家庭支持层面:青年患者家庭支持缺乏，经济负担重，负性体验多，老年患者家庭支持充足，得到关爱更多，正性体验多；在疾病认知层面:均为负性体验；在自我管理层面:体验有差异，青年患者由开始的负性体验转向正性体验，老年患者由开始的正性体验转变为负性体验。  结论  终末期心力衰竭患者疾病体验为正性和负性疾病体验共存，在疾病认知层面均为负性体验，在自我管理层面的疾病体验有差异。终末期心力衰竭患者应加强症状管理，减轻痛苦，提高生活质量；应加强疾病知识教育，做好疾病早期预防，控制疾病进展；应根据不同年龄阶段的特点，制定有效的照护策略，满足需求。      

Medical malpractice experience of physicians. Predictable or haphazard?

This study uses a large malpractice database from Florida to assess the concentration of losses among physicians, predictability of claims experience, characteristics of physicians with favorable vs unfavorable experience, and effects of claims experience on physicians' practice decisions and on actions taken by the state's licensing board. Most payments by insurers involved a comparatively small number of physicians. Physicians with relatively prestigious credentials had no better, and on some indicators, worse claims experience. If anything, physicians with adverse claims experience were less likely to make subsequent changes in their practice, such as quitting practice or moving to another state. Physicians with very poor claims histories were more likely to have complaints filed against them with the Florida licensing board, but the sanctions against physicians with either poor or excellent histories were not severe. Physicians with adverse claims experience from incidents that arose between 1975 and 1980 had appreciably worse claims experience from incidents that arose during 1981 to 1983.     

日常生活经验与中医理论的建构——经验思维与中医理论建构研究之一

经验思维是指经验认识的延伸和拓展,是一种从实际经验出发思考和解决问题的、比较初级的思维类型,中医理论的建构常立足于日常生活经验,借助于生活经验常识、农业生产经验以及天文现象观察经验等,推导出相应的认知路径,并得出结论。     

农村留守经历对大学新生逆境商与自我概念的影响

目的:探讨农村留守经历大学新生逆境商(AQ)与自我概念的特点及相互关系.方法 :采用AQ量表和田纳西自我概念量表对287名农村留守经历大学生以及133名农村无留守经历大学生进行评测.结果 :留守经历大学生中,女生的忍耐因子评分高于男生(P<0.05).不同共留守时间农村留守经历大学生间的AQ量表各因子评分及总分差异均无统计学意义(P>0.05).6~11岁开始留守大学生的AQ量表总分均高于<6岁和>11岁者(P<0.05和P<0.01),控制因子评分高于<6岁者(P<0.05),延伸因子评分显著高于>11岁者(P<0.01).留守经历大学生的生理自我和自我认同因子评分均低于无留守经历大学生(P<0.05).留守经历大学生中,女生的道德自我、家庭自我和自我行动因子评分均高于男生(P<0.05~P<0.01),自我批评因子评分显著低于男生(P<0.01).留守经历大学生的AQ总分与自我概念各因子均存在相关关系,道德自我与社会自我对AQ总分有正性预测作用.结论 :与无留守经历大学生相比,留守经历大学生的AQ发展水平无明显不同,自我概念发展水平相对略低.     

Student performance in internal medicine: the effect of previous clerkship experience

To test the assumption that students who have completed other clerkships are likely to perform better in internal medicine, the authors undertook a prospective study of 160 senior students from two classes. Groups of students with little or no senior clerkship experience before their internal medicine clerkship were compared with groups of students who had extensive clerkship experience in disciplines other than medicine. Groups were compared with respect to ward-performance scores and scores on identical multiple-choice examinations. Neither ward-performance nor multiple-choice scores revealed differences attributable to previous clerkship experience. It is concluded that despite areas of instruction and experience which overlap between medicine and other disciplines, previous clerkship experience apparently does not have a beneficial effect on student performance in internal medicine, as measured by these two commonly used methods of evaluation.     

开展国际交流项目对医学生医学教育国际化影响的调查分析

了解我校医学教育国际化现状,分析国际交流项目对学生在国际化意识、英语水平等国际化素质方面是否存在明显的影响。通过问卷调查,将参加过国际交流的学生与未参加国际交流的学生进行比较。发现我校在医学教育国际化方面取得一定成效,参加交流的学生在国际化意识、英语水平、学术动向把握以及文献检索方面优于未参加交流学生。学生国际交流项目可在多方面提高学生的国际化素质,但需更大规模及客观的前后对照研究来明确对其影响及程度。     

经验医学阶段的医德思想介绍

本文介绍了古希腊、古罗马、古印度、阿拉伯等国家经验医学阶段的医德的发生和发展,论述了经验医学阶段的医德是实践经验的积累,并逐渐形成了理论体系,带有明显的自然哲学的特色,是一种以尽义务为宗旨的行医美德。     

盐酸戊乙奎醚治疗重度有机磷毒物中毒临床研究

目的探讨盐酸戊乙奎醚治疗重度有机磷毒物中毒临床疗效。方法将68例重度有机磷毒物中毒患者随机分为对照组与观察组,两组患者均给予洗胃、解磷定等常规治疗。对照组32例患者接受阿托品治疗,观察组36例患者接受盐酸戊乙奎醚治疗。比较两组患者人院期间死亡率、治愈率、起效时间、机械通气时间、胆碱酯酶恢复时间、症状缓解时间、住院时间。结果观察组治愈率显著高于对照组（94．4％vs75．O％。P〈0．05）．死亡率显著少于对照组（5．6％vs25．0％,P〈0．05）;观察组起效时间显著早于对照组（P〈0．05）,机械通气时间、胆碱酯酶恢复时间、症状缓解时间及住院时间显著少于对照组（P〈0．05）。结论与阿托品相比,盐酸戊乙奎醚治疗重度有机磷毒物中毒起效快、治愈率高,可减少患者治疗时间。     

创伤性视神经损伤患者术前真实体验的质性研究

目的 深入了解创伤性视神经损伤患者术前的真实体验及需求,为制定完善的针对性护理措施提供理论依据.方法 采用质性研究中的现象学研究方法,选取2015年10月至2016年10月安徽医科大学第一附属医院收治的15例创伤性视神经损伤患者,术前阶段进行半结构访谈,了解他们的术前感受,并对获取的资料运用Colaizzi 7步分析法进行分析.结果 通过阅读、分析、提炼可归纳为4个主题:个人情感应对缺陷,疾病管理经验不足,对手术期望值正性与负性情绪并存,社会支持资源不足.结论 了解创伤性视神经损伤患者术前的真实体验,有助于护理人员高度重视视神经管减压术患者术前的心理困惑及需求.     

门诊患者健康素养对就医体验的影响及机制

目的: 探究中国门诊患者的健康素养与就医体验之间的关联,分析其具体的影响机制。方法: 以安德森医疗卫生服务利用行为模型和健康素养技能模型为理论依据,构建患者层面的就医体验影响因素理论框架。采用滚雪球抽样法,通过线上电子问卷调查,利用自行设计的患者健康素养量表和北京协和医学院开发的中国门诊患者体验量表,评估门诊患者的健康素养和就医体验,构建结构方程模型探究两者之间的关系。结果: 最终纳入门诊患者2 773名,健康素养总得分的平均值为(90.72±12.90)分,就医体验综合评价的平均分为(3.71±0.74)分。结构方程模型分析结果表明,门诊患者的健康素养对其就医体验的综合评价产生积极影响,健康素养每提升一个标准差,就医体验增加0.275个单位。在就医体验的不同维度上,健康素养对就医体验总效应的标准化路径系数从高到低依次是:信息引导体验0.337,人文关怀体验0.319,诊疗行为体验0.294,流程效率体验0.240,环境设施体验 0.173。结论: 提升个体的健康素养水平,对于门诊患者的就医体验有显著促进作用,其中信息引导体验和人文关怀体验受健康素养影响最大。