高等医学院校内部教学质量管理与保障系统的构建与实践

高等医学教育管理体制改革是高校管理体制改革的重要组成部分.当前,高校医学教育管理体制改革面临诸多挑战缺乏统一规划;对发展新体制的重要性和紧迫性认识不够;新体制缺乏合适的主体模式;管理体系不健全;多级管理导致教育成本扩大化;理论研究滞后等等.正确认识上述挑战并提出有效对策,必将有利于推进高校管理体制改革的进程.首先,在对策选择中制定统一的发展规划极其重要,有了规划就可以避免盲目改革;其次,要充分认识发展新体制的重要性和紧迫性,从战略上高度重视新体制的发展;第三,要根据自身实际选择适合的主体模式;第四,在确定新体制的管理模式后,必须完善管理体系;第五,新体制要形成从管理机构到管理内容的"科学分散"与"相对分权";最后,要大力开展医学教学管理研究,形成具有医学教育特点的,灵活、高效的管理理论和实践机制.     

The concept of neuropsychiatry: a historical overview

The elusive nature of the social practice called neuropsychiatry is the most important obstacle for writing its history. At different times, and in different countries, the term has been used to name different ideological and professional packages. Choosing any of these as the prototype would, however, bias and regionalize the historical account. One solution is to identify an ideological marker or common denominator. To spin its yarn, this paper has chosen the foundational claim (putatively common to all practitioners of 'neuropsychiatry') that all 'mental disorders are disorders of the brain'. Three among its results are worth noting. One is that the meaning and exercise of 'neuropsychiatry' will continue to depend on social, economic and political factors; this augurs future instability. The second is that each time that the foundational claim has been uttered in history it has meant something different. Further research is needed to clarify whether this is due to the way in which the claim becomes 'inscribed' in different cultural niches; what is clear is that by using the foundational claim as a marker it is not possible to establish a continuity in the progress of neuropsychiatry. The third finding is that users of the foundational claim require the use of a concept of matter and in this paper 'plain' and 'baroque' types of matter have been identified. To explain the origin of mind, those using the plain notion need to resort to external ingredients and their narratives incorporate bits of the real world. Users of the baroque definition do not need such aids. It is not for the historian to judge which of these two definitions is more felicitous and more conducive to the moral and aesthetic edification of psychiatry and her patients.     

探析中西医结合治疗肝病的思路

肝脏是人身体内的最大消化腺,也是体内物质能量代谢的中心站。肝病是一种临床综合征或者独立性疾病,突出的症状表现疲倦乏力、不思饮食。常见症状:胀痛或不适、厌油腻、恶心、口干、食后胀满、小便发黄、大便干或溏,伴有低烧、头昏耳鸣、面色萎黄无华等。本文从中西医结合的角度探讨对肝病的治疗思路,旨在提高肝病治愈率     

2011版三级综合医院评审标准设计思路与特点

介绍了2011版《三级综合医院评审标准》出台的时代背景、主要内容、设计思路,以及本周期评审的新理念和新方法。主要内容围绕医改的总体目标,即为群众提供安全、有效、方便、价廉的医疗卫生服务;设计思路体现了以病人为中心持续改进的理念;注重应用追踪检查法等新的评价方法等。     

The “Truman Show” delusion: Psychosis in the global village

Introduction. We report a novel delusion, primarily persecutory in form, in which the patient believes that he is being filmed, and that the films are being broadcast for the entertainment of others.

Methods. We describe a series of patients who presented with a delusional system according to which they were the subjects of something akin to a reality television show that was broadcasting their daily life for the entertainment of others. We then address three questions, the first concerning how to characterise the delusion, the second concerning the role of culture in delusion, and the third concerning the implications of cultural studies of delusion for the cognitive theory of delusion.

Results. Delusions are both variable and stable: Particular delusional ideas are sensitive to culture, but the broad categories of delusion are stable both across time and culture. This stability has implications for the form a cognitive theory of delusion can take.

Conclusions. Cultural studies of delusion have important contributions to make to the cognitive theory of delusion.     

新的中药组方思路

分析中药传统组方理论，结合现代理学研究成果，改进了的药物加工工艺，单味药物功效研究知识，探讨新的中药组方思路 。     

弗莱克斯纳医学教育思想及其启示

本文阐释了美国教育家亚伯拉罕·弗莱克斯纳的医学教育思想,并就其对我国当前医学教育改革的启示进行了分析,希望借此促进我国医学教育质量的提高.     

中医学防治疾病的理念、方法与原则(一)

中医学的理、法、方、药,是一个非常庞大的学术体系,但其最核心的理念则可用"整体恒动,辨证论治,以人为本,自然中和"16个字概括之。即在对人与疾病的认识上强调天人相应、五脏一体、形神合一的整体恒动观,在对疾病的治疗原则上重视同病异治、异病同治的辨证论治观,在对疾病的具体治法上坚守"顺应自然"和"以人为本"、"以和为贵"、"以通为安"的中庸适度观。文章紧密结合经典,并举临床验案佐证,可资参考与借鉴。     

高等医学院校内部教学质量管理与保障系统的构建与实践

本文针对当前高等医学院校教学质量管理中存在的问题,提出从教学质量观、教学质量管理与保障体系、运转机制、管理队伍建设、医学教育质量认证等方面着手,构建内部教学质量管理与保障系统.     

老年人介护式居家护理的政策建议与思考

本文对开展介护式居家护理提出了调整居家护理收费、鼓励居家护理、人力资源配置和介护团队管理等思路;提出了建立居家护理等级评价、介护员培训制度和质量评价标准等建议.