中医药治疗感染病的优势与思路

中医药治疗感染性疾病具有早期干预、对抗病原体与保护脏器组织及免疫功能相结合、多法联用,综合协同,在各个环节调动机体内在因素,祛除疫毒,无明显毒副作用的优势,提出加强对新发感染病特别是病毒性感染性疾病的防治研究,探讨发病规律,早期介入,截断治疗,辨病与辨证结合,整体调整与专病专药结合的治疗思路。强调重视温病学课程的地位,培养温病学人才是发挥中医防治感染病优势的需要。     

《医宗金鉴》对张氏正骨流派学术思想的影响

《医宗金鉴》是清代由政府组织编写的综合性医学丛书,其立论精辟,尤重实用,对后世影响甚大。湖南岳阳张氏正骨始于清末,在张氏正骨发展过程中,不断吸收并结合了《医宗金鉴》等医学著作和民间特色技术,在继承的基础上体现了创新,强调“筋骨并重,内外调和”、“去瘀生新,气血相和”,逐渐形成了以“和”为核心的张氏正骨学术思想。本文着重探讨《医宗金鉴》对湖南岳阳张氏正骨相关学术思想和实际应用的影响。认为张氏正骨流派在正骨手法、内外方药、针推技术等方面继承了《医宗金鉴》主要的学术理念,并不断发展创新骨伤技术方法、药物应用等。     

学院型医院建设

学院型医院建设是现阶段我国部分大学附属医院的发展目标。本文介绍了学院型医院的定义、内涵、特征以及建设意义和发展现状;同时提出在学院型医院建设过程中应正确处理好理论研究与实践、附属医院与大学、科研教学与医疗、重点学科与非重点学科之间的关系。     

陈学奇治疗多囊卵巢综合征不孕的经验

[目的]总结浙江陈木扇女科流派的第25代裔孙陈学奇医师治疗多囊卵巢综合征（PCOS）不孕的临床经验。[方法]分析陈学奇医师对PCOS病因病机的认识,总结其对PCOS不孕的治疗特色,分析其临床典型案例,总结陈学奇医师治疗PCOS不孕的有效临床经验。[结果]对PCOS不孕,陈学奇医师认为,禀赋不足是发病基础,气血失调是发病主因,＂七情六淫＂的改变是发病的诱因。治疗重在调养气血、调补肝脾肾,兼以活血化瘀,清热泻火,化湿运脾,治疗以＂补养＂与＂清通＂相结合,并根据月经周期调整用药,可取得满意的疗效。[结论]陈学奇医师治疗PCOS不孕特色明显,临床经验丰富,值得传承推广。     

医学本科生学术英语口语能力培养探索

国际学术交流的加深和扩展对大学英语教学提出更高要求,学术英语在学生的学习和科研中扮演着日益重要的角色。在此,介绍学术英语口语教学的理论和应用背景。以及第三军医大学英语课程设置改革情况;从分层教学、个性课堂、学术论坛三方面对学术英语口语能力培养策略进行概括和探讨;并结合教学实践,对医学生学术英语口语能力培养经验进行总结和反思。     

Decreasing Barriers to Academic Rank for Advanced Practice Providers

The aim of this study was to reduce barriers to achieving academic promotion among advanced practice providers. Educational sessions, an online tutorial, and mentoring sessions were implemented. A survey was administered to all advanced providers after the interventions. Of the 168 surveys sent out, 117 (67%) were returned. Subsequently, 32% achieved academic rank (a 52% improvement), and 35% were active in the process. Reporting of the most frequently identified barriers “lack of mentorship” and “difficulty understanding the process” was reduced by 100% and 71%. Strategies to decrease barriers can be beneficial in improving the processes and achievement of academic promotion.     

The Academic Medical System: Reinvention to Survive the Revolution in Health Care

Academic medical centers (AMCs) are presently facing enormous challenges arising from a prospective decline in government funding for research and education, shifting payment models emphasizing efficiency and value, and increasing competition. Left unabated, these challenges will drive many AMCs to de-emphasize or forsake their core missions in an effort to survive. Stemming from a symposium held at the 2015 Scientific Sessions of the American College of Cardiology titled, “The Academic Medical Center of the Future,” we propose a series of changes, including internal restructuring, system-wide partnership, and novel approaches to support research and education, that are designed to better position AMCs to compete and face their growing challenges in a manner that preserves their essential missions. In aggregate, these changes will facilitate establishing the academic medical system of the future.     

柴可群基于病证结合辨治晚期胰腺癌经验探讨

柴可群教授认为正气内耗,肝脾失和,痰毒内生,郁而化热是晚期胰腺癌的病机特点,临诊当注重病证结合,谨守病机,治当以顽痰与癌毒胶痼、化热伤正为切入点,兼顾肝脾肾三脏,施以“健脾补肾、化痰解毒、疏肝解郁、温阳通络”四法,攻积与扶正并进,以期消痼防变,延缓病情进展的效果。     

An assessment of the relative influence of pain coping, negative thoughts about pain, and pain acceptance on health-related quality of life among people with hemophilia

Many people with hemophilia are affected by chronic arthritic joint pain as well as acute bleeding pain. In this cross-sectional study, 209 men with hemophilia A or B completed the Hemophilia Pain Coping Questionnaire (HPCQ), the Chronic Pain Acceptance Questionnaire (CPAQ), and the RAND 36-item Health Survey (SF-36), a measure of health-related quality of life. Multiple regression was used to test the influence of active pain coping, passive adherence coping, and negative thoughts about pain (HPCQ scales), and activity engagement and pain willingness (CPAQ scales), on physical and mental components of quality of life (SF-36 PCS and MCS scales), taking account of age, hemophilia severity, use of clotting factor, and pain intensity. Pain intensity had the main influence on physical quality of life and negative thoughts had the main influence on mental quality of life. Activity engagement and pain willingness had small but significant influences on physical and mental quality of life. Pain willingness also moderated and partly mediated the influence of pain intensity on physical quality of life, and activity engagement and pain willingness mediated the influence of negative thoughts on mental quality of life. Negative thoughts moderated and partly mediated the influence of pain intensity on mental quality of life. There was no evidence that active pain coping influenced quality of life. The findings suggest that quality of life in hemophilia could potentially be improved by interventions to increase pain acceptance and reduce negative thoughts about pain.