"Doctor, my feet hurt"

Many patients complain of painful feet. While this problem may seem minor to the physician, it causes the patient considerable distress. Some of these conditions are readily amenable to treatment; others require continuing care. Much relief can be given by simple office procedures and by correcting ill-fitting footwear.     

“医者,意也”含义考释

<正>"医者,意也"最早出自《后汉书·方术列传·郭玉》,原文载"医之为言意也。"[1]此句为判断句,"之为言"又作"之言",是声训术语,训释词与被训释词有音同、音近的关系,目的是说明被释词的语源。在这个句子中,训释词是"意",被训释词是"医",也就是说,用"意"来解释"医"。那么,考证这句话中"意"的含义,对于理解"医"的意思以及整句话的含义有着重要的意义。1字书中对"意"的解释《说文解字》对"意"的解释为"意,志也。志即识,     

“消、托、补”三步法治疗胃溃疡

目的:观察"消、托、补"三步法治疗胃溃疡的疗效及对溃疡愈合情况的影响。方法:将80例胃溃疡患者随机平均分为两组,治疗过程中脱落5例,最终对照组37例,治疗组38例。对照组给予常规西医治疗,治疗组在对照组的基础上予"消、托、补"三步法中药治疗,持续治疗8周。观察两组临床疗效、胃镜疗效、临床症状积分、幽门螺旋杆菌根除情况、胃溃疡复发率,并检测胃组织增殖细胞核抗原(proliferating cell nuclear antigen PCNA)、转化生长因子-β1(transforming growth factor-β1,TGF-β1)和再生蛋白Ⅰ(regenaration gene I,RegI)的表达。结果:治疗组在临床疗效、幽门螺旋杆菌清除率、胃溃疡复发率方面显著优于对照组(P<0.05),胃镜疗效与对照组相当(P>0.05)。与对照组相比,治疗组胃痛、反酸、纳差症状显著改善,胃黏膜PCNA表达显著升高,TGF-β1表达显著降低(P<0.05)。结论:"消、托、补"三步法可以较好地改善临床症状,促进溃疡面修复,提高黏膜愈合质量,提高幽门螺旋杆菌的根除率,减少复发,临床疗效显著。     

"Without research, there is no hope"

Medical researchers have a moral responsibility to communicate their findings to the public.     

Disability, identity and the "expressivist objection"

The practice of prenatal screening for disability is sometimes objected to because of the hurt and offence such practices may cause to people currently living with disabilities. This objection is commonly termed "the expressivist objection". In response to the objection it is standardly claimed that disabilities are analogous to illnesses. And just as it would be implausible to suppose reduction of the incidence of illnesses such as flu sends a negative message to ill people, so it is not plausible to suppose prevention of disability sends a negative message to disabled people. The expressivist objection hinges, however, upon a view of the relationship between disability and self identity which sees disability as part of the identity of the disabled person, in a way in which illnesses such as flu cannot be. This possibility is generally not considered in critiques of the expressivist objection. In this paper, an "identity claim" to the effect that disabilities can be identity constituting is accepted and the force of the expressivist argument is reconsidered in the light of its acceptance. It is concluded that even when such an identity claim is accepted, the expressivist objection is still not morally compelling.