从因发知受探讨中医疾病风险预警的思维与原理

中医疾病风险预警是近年来中医药领域的研究热点。因发知受是根据机体在疾病中所反应的证候特征,确定感受邪气的性质。文章认为司外揣内、审证求机、因机测发是因发知受的内涵与核心要义。因发知受所体现出的丰富的内涵、独特的思维逻辑是中医疾病风险预警的思维基础,并为中医疾病风险预警提供了实施路径,进一步为未发知受、因发知受和因发知传(变)3个不同阶段的风险预警提供理论与方法学支持,为构建完善、可行、准确性高的中医疾病风险预警平台奠定了良好的基础。     

试探《仙授理伤续断秘方》的中医骨伤科手术学思想——兼论“辩证施术”

唐代蔺道人所著的〈仙授理伤续断秘方〉是我国现存最早的中医骨伤科专著.书中总结了唐代以前的骨伤科疾病诊治经验及其成就.奠定了中医骨伤科病证的诊治原则和具体方法,如四大经典治疗方法：手法整复,夹板固定,功能锻炼和内外用药.同时还包括有手术疗法,虽然比较原始朴素,论述比较简单粗略,但却包含有丰富的手术学思想,具有中医学自身的特点,该书中确实存在一个原始的中医骨伤科手术辩证论治体系,即＂辩证施术＂.现探讨如下.     

循证医学原理在药房管理中的应用价值研究

目的探讨分析循证医学原理在药房管理中的应用价值。方法 2012年6月-2013年6月选择本地区两家社区药房作为研究对象,分别为药房A和药房B,药房A采用循证医学原理进行经营管理,药房B采用常规的管理方法进行管理。比较一年后,两家药房的平均月客流量增长率和患者满意度。结果药房A的平均月客流量增长率为25.6%,高于药房B的-11.1%,差异有统计学意义（P〈0.05）。两家药房的患者满意度比较差异有统计学意义（P〈0.05）。结论采用循证医学原理进行药房管理,可大大提高药房的管理效率,提高药房的客流量和患者满意度,值得推广应用。     

我国健康服务业发展的生命伦理学研究

随着生活水平的提高,广大群众对健康服务的需求持续增长,健康服务业已成为我国经济发展新的增长点和保障、改善民生的重大举措.健康服务业的产生基于维护公民生命＂健康权＂这一基本人权,与生命伦理具有内在关联性,其后天的发展中同样展现了生命伦理的性状和特质.健康服务业发展的生命伦理原则包括：公益原则、人道原则、互惠原则.     

A model of free-living gait: A factor analysis in Parkinson’s disease

IntroductionGait is a marker of global health, cognition and falls risk. Gait is complex, comprised of multiple characteristics sensitive to survival, age and pathology. Due to covariance amongst characteristics, conceptual gait models have been established to reduce redundancy and aid interpretation. Previous models have been derived from laboratory gait assessments which are costly in equipment and time. Body-worn monitors (BWM) allow for free-living, low-cost and continuous gait measurement and produce similar covariant gait characteristics. A BWM gait model from both controlled and free-living measurement has not yet been established, limiting utility.Methods103 control and 67 PD participants completed a controlled laboratory assessment; walking for two minutes around a circuit wearing a BWM. 89 control and 58 PD participants were assessed in free-living, completing normal activities for 7 days wearing a BWM. Fourteen gait characteristics were derived from the BWM, selected according to a previous model. Principle component analysis derived factor loadings of gait characteristics.ResultsFour gait domains were derived for both groups and conditions; pace, rhythm, variability and asymmetry. Domains totalled 84.84% and 88.43% of variance for controlled and 90.00% and 93.03% of variance in free-living environments for control and PD participants respectively. Gait characteristic loading was unambiguous for all characteristics apart from gait variability which demonstrated cross-loading for both groups and environments. The model was highly congruent with the original model.ConclusionsThe conceptual gait models remained stable using a BWM in controlled and free-living environments. The model became more discrete supporting utility of the gait model for free-living gait.     

Violence politique en Algérie : trauma,défaut d’étayage et troubles narcissiques chez les enfants des victimes et des terroristes

IntroductionThe confrontation of a large part of the Algerian population with political violence, a flood of traumatic scenes and the omnipresence of death causes psychological trauma, the main characteristics of which are the intentional dimension and the denial of otherness. The goal is to dehumanize, to destroy, to withdraw, and to subject.ObjectivesWhat can children therefore become confronted with the reality of death, that of their own and of their parents? How can they position themselves to face the narcissistic infringements of the parents and the destruction of reassuring and protective bases of the family?MethodologyTo identify issues and defensive arrangements set up by the subjects, a crossed view between parents-children and victims-terrorists was established from the family's traumatic real-life experience using the clinical method; interview with parent and projective tests (Personal Dynamic and Images and the Drawing of the family) with the children.ResultsFaced with the reality of death, the humiliation, the denial of otherness, the shame, and the “protector sacrifice” induced by terror…the victims’ families show a narcissistic collapse and an incapacity to develop the traumatic events because they did not manage to give meaning to this violence, unlike the terrorists who appear as fighters of a divine cause. The mental capacities of parents having been overwhelmed, the disturbances of the Holding proved to be the cause of the disorders in the narcissistic construction of the children as wells as their representation of a cleaved, chaotic, and hostile world.DiscussionThe violence bound to the collective history that a group of individuals shares would be at the origin of the psychopathology of the inter- and intra subjective links. Their understanding requires “revisiting” the clinical trauma by taking into account the traumatic events stemming from reality.ConclusionAll these elements bring light to the psychopathology engaged in the political violence as well as the intricacy of the mental and the politics, and hence the necessity of taking into account the dimension of the subjectivity and the social links.     

SOME ASPECTS AND PRINCIPLES ABOUT ADULT''''S LEARNING A SECOND LANGUAGE

Adult learning a second language presents an important, huge task at present. A lot of factors are involved in it. The paper concerns the relevant aspects, e. g. physical, psychological, sociological, cognitive, linguistic ones, and some preferable principles and approaches to the learning on the basis of the analysis of those factors.     

岛津UV－3000分光光度计显示原理分析与维修

介绍了ＵＶ－３０００紫外可见光分光光度计的显示电路原理。并通过显示电路的分析，还介绍了二例显示电路故障部位的确定方法和修理过程。     

灾害事故医疗救助中的伦理关系

主要探讨了灾害事故医疗救助中医患双方特殊的权利和义务以及救助人员之间的伦理关系原则，进而提出相应的伦理学对策。     

电子束CT原理及应用

目的：电子束CT是目前最先进CT设备之一。它具有快速扫描．不同兴趣区快速重建功能．对常规CT难以清晰成象的心脏、大血管可清晰显示．它不仅用于形态学的研究，而且可用于功能与动态的分析。本文就电子束CT的原理和临床应用作一介绍．