人才和科技是实现慢病精准化管理的必由之路——中山大学附属第一医院的思考和探索

我国慢病管理面临较多问题及巨大挑战。针对医学人才缺乏、慢病管理科技创新生态体系尚不健全, 广州中山大学附属第一医院(中山一院)积极响应, 以"战役学"理念指引和推动医院高质量发展, 强化战略统筹、顶层设计、系统谋划, 将慢病精准化管理作为国家医学中心建设的重要举措, 紧扣"人才引育"和"科技创新"两大核心要素, 在人才引育创新体系建设、科技创新中心与应用平台建设、慢病管理体制机制建设三个维度不断深入探索实践, 取得了一定经验和成效, 初步形成慢病精准化管理的中山一院模式。     

致中华医学会成立90周年暨第23次全国会员代表大会的贺信

中华医学会:值此中华医学会成立90周年暨第23次全国会员代表大会召开之际,谨向中华医学会表示热烈祝贺,向全国广大医学科技工作者表示亲切慰问!中华医学会自创立以来,紧跟时代步伐,不断发展壮大,已经成为在医学界具有广泛影响的重要学术团体,成为推动我国医疗卫生事业发展的一支重要社会力量。特别是改革开放以来,中华医学会坚持学会宗旨和民主办会原则,紧紧围绕国家医疗卫生工作的各项任务,奋发进取,开拓创新,做了大量卓有成效的工作,为提高医学科技水平、繁荣医疗卫生事业、保障人民群众身体健康、促进经济社会发展发挥了重要作用,赢得了…     

致中华医学会成立90周年暨第23次全国会员代表大会的贺信

中华医学会:值此中华医学会成立90周年暨第23次全国会员代表大会召开之际,谨向中华医学会表示热烈祝贺,向全国广大医学科技工作者表示亲切慰问!中华医学会自创立以来,紧跟时代步伐,不断发展壮大,已经成为在医学界具有广泛影响的重要学术团体,成为推动我国医疗卫生事业发展的一支重要社会力量。特别是改革开放以来,中华医学会坚持学会宗旨和民主办会原则,紧紧围绕国家医疗卫生工作的各项任务,奋发进取,开拓创新,做了大量卓有成效的工作,为提高医学科技水平、繁荣医疗卫生事业、保障人民群众身体健康、促进经济社会发展发挥了重要作用,赢得了…     

致中华医学会成立90周年暨第23次全国会员代表大会的贺信

中华医学会:值此中华医学会成立90周年暨第23次全国会员代表大会召开之际,谨向中华医学会表示热烈祝贺,向全国广大医学科技工作者表示亲切慰问!中华医学会自创立以来,紧跟时代步伐,不断发展壮大,已经成为在医学界具有广泛影响的重要学术团体,成为推动我国医疗卫生事业发展的一支重要社会力量。特别是改革开放以来,中华医学会坚持学会宗旨和民主办会原则,紧紧围绕国家医疗卫生工作的各项任务,奋发进取,开拓创新,做了大量卓有成效的工作,为提高医学科技水平、繁荣医疗卫生事业、保障人民群众身体健康、促进经济社会发展发挥了重要作用,赢得了…     

致中华医学会成立90周年暨第23次全国会员代表大会的贺信

中华医学会:值此中华医学会成立90周年暨第23次全国会员代表大会召开之际,谨向中华医学会表示热烈祝贺,向全国广大医学科技工作者表示亲切慰问!中华医学会自创立以来,紧跟时代步伐,不断发展壮大,已经成为在医学界具有广泛影响的重要学术团体,成为推动我国医疗卫生事业发展的一支重要社会力量。特别是改革开放以来,中华医学会坚持学会宗旨和民主办会原则,紧紧围绕国家医疗卫生工作的各项任务,奋发进取,开拓创新,做了大量卓有成效的工作,为提高医学科技水平、繁荣医疗卫生事业、保障人民群众身体健康、促进经济社会发展发挥了重要作用,赢得了…     

致中华医学会成立90周年暨第23次全国会员代表大会的贺信

中华医学会:值此中华医学会成立90周年暨第23次全国会员代表大会召开之际,谨向中华医学会表示热烈祝贺,向全国广大医学科技工作者表示亲切慰问!中华医学会自创立以来,紧跟时代步伐,不断发展壮大,已经成为在医学界具有广泛影响的重要学术团体,成为推动我国医疗卫生事业发展的一支重要社会力量。特别是改革开放以来,中华医学会坚持学会宗旨和民主办会原则,紧紧围绕国家医疗卫生工作的各项任务,奋发进取,开拓创新,做了大量卓有成效的工作,为提高医学科技水平、繁荣医疗卫生事业、保障人民群众身体健康、促进经济社会发展发挥了重要作用,赢得了…     

致中华医学会成立90周年暨第23次全国会员代表大会的贺信

中华医学会值此中华医学会成立90周年暨第23次全国会员代表大会召开之际谨向中华医学会表示热烈祝贺向全国广大医学科技工作者表示亲,,切慰问!中华医学会自创立以来紧跟时代步伐不断发展壮大已经成为在,,,医学界具有广泛影响的重要学术团体成为推动我国医疗卫生事业发,展的一支重要社会力量特别是改革开放以来中华医学会坚持学会宗。,旨和民主办会原则紧紧围绕国家医疗卫生工作的各项任务奋发进,,取开拓创新做了大量卓有成效的工作为提高医学科技水平繁荣医,,,、疗卫生事业保障人民群众身体健康促进经济社会发展发挥了重要作、、用赢得了广…     

分子生物学教学在医学学术型研究生创新能力培养中的实践与探索

医学学术型研究生体系是我国培养高层次医学创新人才的重要举措,是提升国家医学研究水平和医疗保障能力的核心要素。与医学专业型研究生培养体系不同,国家对学术型研究生的科研能力培养有着更高的要求和定位。因此,亟需完善和提高相关的培养模式,以期满足国家和社会对学术型研究人才的需求。分子生物学是一门在分子水平探究生命现象的科学,是认识生命基本过程继而探索疾病病理生理规律的基础性学科。提高医学学术型研究生的分子生物学理论功底、思维能力和实践技能将为其创新能力的培养起到积极的促进作用。本文拟从阐述分子生物学在医学学术型研究生创新能力培养中的重要意义入手,深入剖析目前此方面的培养现状,并针对性地提出相关解决措施和方法,以期提升分子生物学教学在医学学术型研究生创新能力培养中的作用。     

国家级继续医学教育项目医学论文写作和科研能力提升高级研修班通知（第一轮）

<正>各医院、高校及科研单位：加强医学科技创新、科研能力提升及医疗机构能力建设是推动新时期卫生健康事业高质量发展的有力保障,其中医学学术期刊可以发挥重要的平台、窗口作用。中国融通医学期刊方阵是应军队期刊改革而形成的期刊集群,包含30种国家级医学学术期刊,其中中华系列8种、中国系列7种,中国科技核心期刊21种,中文核心期刊3种。付小兵、王福生等院士和著名专家担任主编或顾问,其规模、影响力、权威性在国内医学界名列前茅。2023年12月28日,国家新闻出版总署正式批复30种期刊的主管主办单位分别变更为中国融通医疗健康集团有限公司和融通医健期刊出版（北京）有限公司,明确了融通医学期刊方阵（集群）组织架构。为展示央企办刊新势力、学术交流新平台、医学进步新力量,助力提升卫健系统干部职工管理和科研水平,融通医学期刊方阵联合相关单位定于2024年3月29日-31日在北京举行“医学论文写作和科研能力提升高级研修班”,     

新农村建设中居民健康教育问题研究

目的了解农村居民健康状况及健康需求,贯彻落实新时期农村卫生工作重点,支援农村卫生服务建设,探讨开展农村居民健康教育和改善乡镇卫生院医疗技术服务现状。方法对徐州市六县一区农村居民健康状况及健康需求进行调查,同时对六县区乡镇卫生院医护人员现状进行调查,根据调查结果加以统计、归类、分析,并制定相应对策,有计划的实施。结果(1)广泛开展农村居民健康受到各级政府重视;(2)居民健康知识知晓率明显提高,自我保健意识增强,高血压、脑卒中、糖尿病、骨关节病等遵医行为改善;(3)居民合理饮食,积极锻炼,戒除不良嗜好,参加健康体检越来越多;(4)乡镇卫生院医护人员专业素质及技术水平得到提高,满足了农村居民预防、保健、治疗、康复,健康教育、计划生育技术指导等卫生服务需求。结论新农村建设中居民健康教育,是一件利国利民一本万利的大好事,是一项"低投入、高产出"的卫生服务。对新时期农村建设及我国社会主义建设都有着十分重要意义。     

Evaluating the federal role in financing health-related research

This paper considers the appropriate role for government in the support of scientific and technological progress in health care; the information the federal government needs to make well-informed decisions about its role; and the ways that federal policy toward research and development should respond to scientific advances, technology trends, and changes in the political and social environment. The principal justification for government support of research rests upon economic characteristics that lead private markets to provide inappropriate levels of research support or to supply inappropriate quantities of the products that result from research. The federal government has two basic tools for dealing with these problems: direct subsidies for research and strengthened property rights that can increase the revenues that companies receive for the products that result from research. In the coming years, the delivery system for health care will continue to undergo dramatic changes, new research opportunities will emerge at a rapid pace, and the pressure to limit discretionary federal spending will intensify. These forces make it increasingly important to improve the measurement of the costs and benefits of research and to recognize the tradeoffs among alternative policies for promoting innovation in health care.     

Precision medicine: In need of guidance and surveillance

Precision medicine,currently a hotspot in mainstream medicine,has been strongly promoted in recent years. With rapid technological development,such as next-generation sequencing,and fierce competition in molecular targeted drug exploitation,precision medicine represents an advance in science and technology; it also fulfills needs in public health care. The clinical translation and application of precision medicine-especially in the prevention and treatment of tumors-is far from satisfactory; however,the aims of precision medicine deserve approval. Thus,this medical approach is currently in its infancy; it has promising prospects,but it needs to overcome numbers of problems and deficiencies. It is expected that in addition to conventional symptoms and signs,precision medicine will define disease in terms of the underlying molecular characteristics and other environmental susceptibility factors. Those expectations should be realized by constructing a novel data network,integrating clinical data from individual patients and personal genomic background with existing research on the molecular makeup of diseases. In addition,multi-omics analysis and multi-discipline collaboration will become crucial elements in precision medicine. Precision medicine deserves strong support,and its development demands directed momentum. We propose three kinds of impetus(research,application and collaboration impetus) for such directed momentum toward promoting precision medicine and accelerating its clinical translation and application.     

Infectious diseases: considerations for the 21st century.

The discipline of infectious diseases will assume added prominence in the 21st century in both developed and developing nations. To an unprecedented extent, issues related to infectious diseases in the context of global health are on the agendas of world leaders, health policymakers, and philanthropies. This attention has focused both on scientific challenges such as vaccine development and on the deleterious effects of infectious diseases on economic development and political stability. Interest in global health has led to increasing levels of financial support, which, combined with recent technological advances, provide extraordinary opportunities for infectious disease research in the 21st century. The sequencing of human and microbial genomes and advances in functional genomics will underpin significant progress in many areas, including understanding human predisposition and susceptibility to disease, microbial pathogenesis, and the development new diagnostics, vaccines, and therapies. Increasingly, infectious disease research will be linked to the development of the medical infrastructure and training needed in developing countries to translate scientific advances into operational reality.     

新时代背景下胃肠外科青年医师培养的几点思考

社会与科技进步促进了胃肠外科发展,青年专科医师培养不仅关乎未来学科发展,也关乎公众医疗服务需求的满足。职业素养是胃肠外科青年医师培育的前提,思辨意识是基石,跨界学习是外在推手,创新思维是内在动力。专业修为、人文素养、科研能力是构成综合型优秀医学人才的品质要素,专科化和多学科诊疗是提高专业水平的重要手段,更精准的手术、更少的并发症与更好的疗效是对胃肠外科青年医师培养的基本要求。     

Value and tasks of dermatology in internal military medicine

In military medicine dermatology has its firm place and has to fulfill concrete tasks in the medical protection of the organs of national defence. As an independent scientific field its solves its special tasks in military medicine in an actually interdisciplinary and cooperative activity with other branches and subjects of military medicine. Under the particular military conditions the internal military medicine forms the framework for this cooperation, which demands a close connection in research and tuition already in the period of peace.     

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辽宁省过去八年开展的农村卫生适宜技术推广取得了良好的社会效益与经济效益,在需求评估、技术遴选、绩效考核、质量控制等方面建立了一整套行之有效的管理流程与规范,积累了一些推广经验。在以后的适宜技术选择与应用上,建议建立以政府牵头,多部门合作的"适宜技术"选择与应用的发展策略。兼顾技术本身推广的"适宜性"、推广人员人力资源现状与推广人员的技术培训方式和绩效;同时给予政策上的倾斜支持;通过与"公共卫生服务"和"新农合"的有机结合,大力促进"适宜技术"的基层推广模式的建立;使用科学、严谨和易于操作绩效的管理与评估手段保障"适宜技术"推广应用效果的质量。     

中国在抗寄生虫病医疗产品研发中的贡献——2015年诺贝尔生理学或医学奖的启示

中国科学家屠呦呦因在抗疟疾药物青蒿素研发过程中的突出贡献, 获2015年度诺贝尔生理学或医学奖。青蒿 素的发现是在中国政府协调下, 利用现代药学技术挖掘中医古籍资源实现的重大突破。本文分析了当前全球抗寄生虫 病医药产品研发现状, 以及中国开展相关产品研发的需求和优势, 提出了中国应该利用政府筹资和研究能力的优势, 加 强寄生虫病相关医药产品的研发, 为促进全球健康公平做出更大贡献。     

Challenges in sexual medicine

The sexual medicine field has been in mode of revolution until recently. Like all other fields of biomedical research, the economic situation around the world has had a negative impact on the field's momentum-research funding bodies, regulatory bodies and pharmaceutical companies seem to have placed sexual medicine in their low-priority list. But this is not the only challenge the field is facing. The successful development of phosphodiesterase type 5 (PDE5) inhibitors for treatment of erectile dysfunction (ED) means that research in this area seems to have slowed. However, there remain several unmet medical needs within sexual medicine such as premature ejaculation, severe ED and hypoactive sexual desire disorder, which await novel therapeutic approaches. Despite these challenges, research into finding and developing such therapies is likely to continue in the sexual medicine field, in an effort to improve the lives of our patients, who wait for effective therapies.     

Computer assistance in the practice of internal medicine

An overview is given of the possibilities of electronic support in the practice of internal medicine and of the preferred electronic environment in the hospital. For efficient exchange of information, mutual cooperation between all departments and medical specialists in the hospital is of great importance. The development of a sufficient hospital information system has to start with the composition of an information design, based on the concept of an open hospital database with connections to subsystems of the different departments and medical specialisms. Within this design basic, organizational, management and (medical) knowledge-providing programs can be applied. General, medical, scientific and organizational aspects of electronic support in internal medicine are discussed with some practical examples. A brief comment is made on the necessity of using code numbers for diagnoses.     

我国中医药创新型人才的现状及未来发展方向

中医药是中华医学与文化的瑰宝,随着当代医学科学的迅猛发展,中医药面临着日趋严峻的挑战与竞争,中医药要保持自身的永恒魅力必须适应时代的需要进行发展与创新,而中医药的发展与创新离不开中医药创新型人才。作者结合近10年来国内中医药创新型人才研究的情况,分析我国及广西在中医药创新型人才引进、培养、管理和使用的现状和问题,提出广西中医药创新型人才未来的发展方向。