浅谈我国卫生系统学科带头人的培养

学科是医疗卫生单位的基础 ,学科建设在医疗单位发展中起着举足轻重的作用 ,而学科带头人是学科建设的“龙头” ,其综合水平直接影响着所在科室的医疗、教学、科研等工作的质量及竞争实力和发展后劲。面对知识经济时代所带来的挑战 ,在卫生系统培养和造就一批高素质的学科带头人 ,已经成为一项刻不容缓的工作。我们要培养的学科带头人 ,概括起来讲 ,应具备的素质集中表现在人格、学术和能力三方面[1] ,必须是专业精深的科学探索者、卓越的组织管理者、技术精湛的实践者和身心健康的劳动者。学科带头人既是某一学科专业领域的技术专家 ,同时…     

建设"重中之重"学科发展中西医结合优势

实施"名医、名科、名院"铰?关键在于保持和发展重点学科的优势.南开医院以国家级重点学科--中西医结合临床(外科)为建设重点,按项目管理模式,实行学科带头人负责制,确定各相关二级项目的主攻方向,发挥二级项目学术带头人的学术创新精神,形成创新团队;构建公共技术平台,优化资源配置;以科学研究和技术引进为先导,保持重点学科的可持续发展,并推动中西医结合医院的整体发展.     

以人为本进一步加强医学人才梯队建设

医学人才培养工作是医院发展中的一项长期的、根本的战略任务,高水平的学科和一流的人才已成为医院参与医疗市场竞争的核心要素.第一层面着眼于培养、吸引和遴选一批具有国际领先水平的学科带头人.第二层面着眼于培养、选拔、引进和支持一批学术基础扎实的优秀学科带头人.第三层面是着眼于培养一批学科中优秀的中青年骨干,造就一批学科带头人...     

南月敏：乙型肝炎合并脂肪肝需要引起更高的重视

正人物档案南月敏:河北医科大学第三医院中西医结合肝病科主任,医学博士,主任医师,教授,博士生导师,享受国务院特殊津贴专家,河北省省管优秀专家,河北省高层次人才帮带专家,河北医科大学学术带头人,国家中医药管理局"十一五"重点专科学科带头人,河北省"双一流"学科中西医结合肝病研究室主任,河北省中医药重点研究室主任,河北省"十一五"重点专科协作组组长。     

卫生系列学科带头人培养的研究进展

0 引言 　　卫生系列学科带头人既是某一学科专业领域的技术专家,同时也是其学科的组织管理者,具有较高的学术造诣,较强的组织管理能力、教学能力和科研能力,能把握学科发展方向,担负学科人才群体领导工作的高层次医学人才.学科是医疗卫生单位的基础,学科建设在医疗卫生单位发展中起着举足轻重的作用,而学科带头人是学科建设的“龙头”,其综合水平直接影响着所在科室的医疗、教学、科研等工作的质量、竞争实力和发展后劲.我国卫生事业的发展,既需要建设一支宏大的医学人才队伍,更需要建设一支高水平的学科带头人队伍.江泽民同志曾在1996年全国卫生工作会议上强调指出[1]:“特别要面向21世纪,抓好学术与技术带头人以及卫生管理人才的培养.”面对知识经济时代所带来的挑战,培养和造就一批高素质的卫生系列学科带头人,已经成为一项刻不容缓的工作. 　　……     

高等医学院校学科带头人的素质特征初探

探讨高等医学院校学科带头人的素质特征,并建立科学合理的培养选拔机制,促进医学人才的培养和高等医学院校的发展。高等医学院校学科带头人应具备的素质集中表现在人格、学术和能力三个方面。     

学科带头人风采

邹晓峰,教授、主任医师、硕士生导师,赣南医学院临床医学及泌尿外科学科带头人,现任赣南医学院第一附属医院副院长。江西省政府特殊津贴专家,入选江西省“赣鄱英才555工程”领军人才培养计划及江西省新世纪百千万人才工程,是江西省卫生厅首届有突出贡献中青年专家、江西省卫生系统首批学术和技术带头人培养对象、江西省高等学校中青年骨干教师,荣获“江西青年科学家提名”、“江西五四青年奖章”等荣誉称号。     

军医大学学科带头人的遴选机制与激励策略

学科带头人培养关系到学校的地位和发展层次,对学科带头人应实施人本管理。本文在分析军医大学遴选学科带头人必要性的基础上,探讨了成为优秀专业学科带头人的条件,并提出了对学科带头人的激励策略。     

高等医学院校学科带头人的需要分析与激励策略

学科带头人培养关系到学校的地位和发展层次,对学科带头人实施人本管理,首先要了解学科带头人的需要,并以此采取行之有效的激励策略。本文在分析高等医学院校学科带头人需要的基础上,提出了对学科带头人的激励策略。     

努力造就跨世纪学科带头人

培养和造就一批知识面广、基础厚实、医术精湛、医德高尚、学风严谨的跨世纪学科带头人，是实现科教兴卫战略重点之重。建立规范化培训制度是培养学科带头人的有效和主要途径。我局在调查研究的基础上，编制了培养跨世纪学科带头人的培训计划，并于1995年正式组织实施。为达到预期目的，我们抓住了以下三个环节。     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

安心颗粒对急诊经皮冠状动脉介入术后生活质量影响的研究

目的：评价使用安心颗粒对急诊经皮冠状动脉介入术（PPCI）术后生活质量的影响.方法：将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组（术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次）和对照组（仅接受基础药物治疗）.所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表（MIDAS）、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果：入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异（P＞0.05）;出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低（P＜0.05）;组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低（P＜0.05）.两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血（P＞0.05）.两组发生轻度血小板减少症的患者数比较无差异（P＞0.05）.结论：PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.     

The comparative studies of the influences of Urapidil and Nicardipine on sino-atrial node function, atrio-ventricular node function and hemodynamics

Objective:To investigate the influences of urapidil and nicardipine on rabbit sinus function,atrio-ventricular node function and hemodynamics.Methods:Thirty-two Angora's rabbits were selected and randomly divided into four groups.U1 group:urapidil 0.25 mg/kg;U2 group:urapidil 0.5 mg/kg;N1 group:nicardipine 10 μg/kg;N2 group:nicardipine 20 μg/kg.All these medicine were administrated within 30 seconds.Measurements were taken before and after the administration of urapidil or nicardipine for the following data:mean blood pressure(MAP),heart rate(HR),sino-atrial conduction time(SACT),maximal sinoatrial recovery time(SNRTmax)corrected sinus node recovery time(CSNRT),index of sinus node recovery time(SNRTI),Wenckebach A-V conduction frequency (WB),and P-R interval.Results:Significant MAP and HR changes were identified in all of the four groups before and after administration of both urapidil and nicardipine.No significant changes could be found in the rest of the parameters.Intergroup analysis showed that SACT and CSNRT of N1 and N2 groups were shorter than those of the U2 group(P＜0.01);the MAP decreased(P＜0.01)and the HR increased drastically(P＜0.01).Conclusions:Neither urapidil(0.25 mg/kg,0.5 mg/kg)nor nicardipine(10μg/kg,20μg/kg)has any significant influence on rabbit sinus function or rabbit atrio-ventricular node function.Nicardipine could be a better choice than urapidil for parafunctional sinus node patients.     

Expression of OPGmRNA and ODFmRNA in the patients of hip fracture due to osteoporosis

Objective：To investigate the gene expression of osteoprotegerin（OPG） and osteoclast differentiation factor（ODF） in the bone tissue of patients with hip fracture due to osteoporosis. Methods：OPGmRNA and ODFmRNA in the bone tissue in 50 cases of osteoporosis sufferers（over 50 years old） with hip fracture（Observer Group） and 30 cases of hip facture sufferers with no osteoporosis（Control group） were analyzed with the Semi-Quantitative RT-PCR method. Results：The mRNA expressed of ODF, OPG were both high in the patients with hip fracture. In the control group, the expression of OPG mRNA was observed, while the expression of ODF mRNA was very slight. Conclusion：Aged patients contained all signals including OPG, ODF that are essential for inducing osteoclastogenesis and promoting bone resorption.     

The clinicopathological and immuohistochemical analysis of solid-pseudopapillary tumor of the pancreas： report of 9 cases

Objective：To investigate the clinical features, pathological characteristics and immunophenotype of solid-pseudopapillary tumor of the pancreas（SPTP）. Methods：Nine surgically treated cases of SPTP were retrospectively reviewed. Hematoxylin and Eosin（HE） staining and immunohistochemical staining were used to analyze all cases, and the general clinical data was collected. Results：Six patients were asymptomatic except for a palpable mass. Two patients complained of vague-epigastric pain. One patient appeared jaundice. The tumor was encapsulated and solid tissues alternately with cystic tissues. Histologically, the histological structure of solid portion was pseudopapillary with a fibrovascular core. Tumor cells were uniform and medium-sized which were arranged in sheets ets or nests or pseudopapillary patterns. Immunohistochemical studies demonstrated that SPTP proved positive in vimentin（9/9 cases）, AAT（9/9 cases）, NSE（9/9 cases）, ACT（7/9 cases）, CK20（2/9 cases）, CgA（1/9 cases）, S-100（3/gcases）, PR（4/gcases）, Syn（3/9 cases） and CD56（5/9cases）, negative in CEA and ER. Conclusion：SPTP is a tumor predominantly occurring in young women frequently without special symptoms. This tumor has various characteristical histological patterns with different immunophenotype.     

Electro-Acupuncture Combined with the Trigger Point Needle-Embedding for Treatment of Primary Trigeminal Neuralgia in 31 Cases

In recent years, the author of this essay has applied electro-acupuncture combined with the trigger point needle-embedding for treatment of primary trigeminal neuralgia in 31 cases, yielding satis- factory results as reported in the following.     

Investigation of Matrix Metalloproteinase -1, 2 and tissue inhibitor of matrix metalloproteinases-1 in Endometriosis

Objective： To explore the role of matrix metalloproteinase-1,2 （MMP-1, MMP-2） and tissue inhibitor of matrix metalloproteinases-1 （TIMP-1） in endometriosis. Methods： The eutopic and ectopic endometria from 40 subjects suffering from endometriosis and regular.endometria from 40 subjects （excluding endometriosis） were collected and examined by in situ hybridization technology and western blot assay. Results： Both expressions of MMP-1 and -2 were stronger in ectopic endometrium and eutopic endometrium than in normal endometrium. On the contrary, the expression of TIMP-1 in ectopic endometrium and eutopic endometrium was lower. The differences were significant （P 〈 0.01 ）. Moreover, there was no relationship among the expressions of MMP-1, 2 and TIMP-1 in ectopic endometrium. Conclusion： The expressions of MMP-1, 2 and TIMP-1 lose balance and lack of periodic changes in ectopic endometrium , which explains the biological invasive behavior of endometriosis. It was suggested-that regulating the balance between the MMPs and TIMP-1 should be an ideal therapeutic target to endometriosis.     

Shi Da-zhuo (史大卓) —An outstanding cardiologist of integrative medicine

Prof. SHI Da-zhuo, Ph.D., male, was born on March 20, 1960. Prof. SHI entered the Ph.D. program in 1990 at the China Academy of Chinese Medical Sciences under the supervision of Prof. CHEN Ke-ji, majoring in the treatment of cardiovascular diseases. After receiving his Ph.D. degree in 1993, Prof. SHI started working at the Cardiovascular Center in Xiyuan Hospital affiliated to China Academy of Chinese Medical sciences.     

Persist in and Carry Forward the Integrative Medical Research——Speech at the 6th National General Congress of Chinese Association of Integrative Medicine by Academician CHEN Zhu,Minister of Ministry of Health

The 6th National General Congress of Chinese Association of Integrative Medicine （CALM） was convened at 19-20, April 2008 in Beijing. Academician CHEN Zhu, the minister of Ministry of Health indicated at the congress that the integration of Chinese and Western medicine is very well in keeping with the situation of our country and the general rule of development in medical science; and as a good integration of Chinese medicine and Western medicine, it is mutually beneficial and advantageous to both of them. Seeing the creativity shown in integrative medical investigation in theoretic and methodological sides, we should and must persist in and develop it.