关于心律失常教学课件的设计制作构想

介绍了一种基于计算机动画和视频剪辑技术的心律失常教学课件的设计思想、课件内容及演示特点。     

电子文献数据库收录期刊的质量瑕疵及对策

以限题检索为手段，以收录期刊所裁论文为指标，比较分析了国内常用的4种医学电子文献数据库收录医学期刊的质量。结果表明4种医学电子文献数据库均存在收录“非法医学期刊”之瑕疵，但各数据库的收录量有差异。提示广大读者和电子文献数据库使用者注意，并针对此问题提出了相应的对策和建议。     

Culture-bound syndrome and a culturally sensitive approach: from a viewpoint of medical anthropology

Some aspects of the culture-bound syndrome are presented for discussion. From the psychiatric and medical anthropological viewpoints, kamidaari is described as an initiatory illness for seeing a shaman, and focus on clinical realities developing between different therapeutic subcultures in the same culture and the complementary practices of two epistemological ones, namely, the shamanistic and modern psychiatric system in the shamanistic climate. It is suggested that the culture-bound syndrome that reflects cultural influences on disease patterns and renders them difficult to place in a universal classificatory system should be seen as a vernacular bricolage or as tactics used by people within the web of their own local culture of origin. Therapists who treat patients in a cross-epistemological milieu should be aware of the subcultural-epistemological issues that may affect the clinical process. It should be recognized that, depending on the nature of a particular psychiatric crisis, the clinical encounter is straddling the boundaries of multiple clinical realities. At every stage in the clinical field, there is an intersection, consonance, or interruption of rejoinders in the open dialog by all those engaged in the clinical time. Aspects of climatic, culturally sensitive psychotherapy will be described, and the concept of the culture-bound syndrome will be reconsidered. Our approach could be seen as 'situation- and fudo-bound'.     

补肾复活汤治疗48例老年股骨颈骨折的疗效观察

目的:探讨补肾复活汤对老年股骨骨颈骨折患者的治疗效果.方法:用补肾复活汤内服治疗老年股骨颈骨折48例,设对照组48例,通过1～6个月的治疗,观察治疗后骨折的愈合情况.结果:治疗组患者折愈合率达64.6%.结论:补肾复活汤有明显改善骨折端的血液循环,促进骨折愈合的作用.     

中医正骨学认知学徒模式与传统教学模式比较研究

目的探索适合模拟医院环境下的教学模式.方法选择中医系骨伤专业2000级学生为研究对象,分为实验组和对照组,分别采用认知学徒模式和传统教学模式教学,组织专家听课.课后对学生进行基础理论、临床技能测试和操作考核,并通过向学生及专家发放调查问卷听取专家和学生对认知学徒教学模式的评价.结果实验组学生的基础理论、临床技能测试、考核成绩均高于对照组,结果有统计学意义.调查问卷反映认知学徒模式具有营造合适的学习环境,激发学生的学习兴趣,加快学生对知识和技能的掌握速度的作用.结论认知学徒模式能最大限度发挥模拟医院在医学临床教学中的作用,是适合于模拟医院教学环境的教学模式.     

感冒、水肿、便秘证治体会

结合多年的临床实践，总结了对感冒、水肿和便秘等中医内科疾病的独特认识，并附病案佐证。     

Clean Spaces,Community Building,and Urban Stage: the Coproduction of Health and Parks in Low-Income Neighborhoods

Green zones are potential contributors to health by mitigating disparities between low- and high-income neighborhoods. Against the background of different discourses about city parks—parks as restorative environments, parks as enabling places, and parks as sites for encounters between strangers—we ethnographically studied the coproduction of green spaces and health within low-income neighborhoods. We found three competing notions of urban green, each tied to different notions of neighborhood well-being. Parks as “clean spaces” create expectations of order and peace; parks as places of the community are related to play and activities; and parks as urban stage foster interactions between strangers. By generating experiences that encompass different conceptions of health, citizen-led events can contribute to a shift in the understanding of parks as sites of neighborhood decline to parks as places of hope and new beginnings.     

构建区域医疗机构内训师培训体系的实践探索

为了更好地完成国家基本公共服务标准化试点项目,完善区域医疗机构内部人才培训标准化体系,广州医科大学附属第六医院以地市级三级甲等医院优势为依托,以第三方医院管理咨询公司为主要技术支持,与该区域卫生健康局建立长期合作关系,组建区域医疗机构全面质量管理内训师团队,实施标准化课程培训,构建和应用内训师形成性评价体系。逐步完善了区域医疗机构全面质量管理内训师培训标准化体系,培养了一支规模适当、结构合理、素质优良的内训师资队伍。     

慢性胃炎的中西医结合治疗

目的 慢性胃炎的中西药应对策略性研究.方法 采取随机分为治疗组50例、对照组45例,分别用不同的给药方法 观察其治疗效果.结果 治疗组总有效率为88%,对照组总有效率为59.9%.两组经统计学处理有显著性差异(P＞0.01).结论 改变给药方法 ,采取中西药结合治疗慢性胃炎症状改善较单纯西药更明显,疗效更巩固.     

基于人工智能的高血压性脑出血医疗文本信息自动识别系统

目的 构建基于人工智能的高血压性脑出血医疗文本信息自动识别系统,快速识别和分析患者临床信息,高效地输出正确的诊疗方案。方法 基于国内外最新高血压性脑出血诊疗指南,经多位高年资神经外科医生和专业人工智能团队共同讨论,构建基于语言表征模型和专家模块的高血压性脑出血医疗文本信息自动识别及决策系统（即H系统）。随后将收集到的高血压性脑出血病例分为训练集、测试集和验证集,以数据库中病例的真实治疗方案为金标准,先总体评价H系统的准确性,再将其与神经外科医生进行对比,分析H系统的判读效率。结果 在测试集中,H系统所输出的治疗方案的准确率为94.0%（91.5%~96.5%）,特异度为91.8%（86.3%~97.3%）,灵敏度为95.5%（89.3%~98.2%）,曲线下面积（area under the curve,AUC）值为0.936（0.922~0.950）（P=0.000）;在验证集中,H系统所输出的治疗方案的准确率为93.3%（89.5%~97.1%）,特异度为 89.9%（83.4%~96.4%）,灵敏度为95.8%（92.3%~99.3%）,AUC值为0.928（0.891~0.966）（P=0.000）。在处理同样的70例病例时,H系统用时（334.60±4.46）s,而神经外科医生用时（12 550.28±95.45）s;在50 min内,H系统处理的病例数为（383±3）例,而神经外科医生处理的病例数为（11±4）例。结论 本研究所构建的H系统能够对高血压性脑出血患者的急诊病例进行自动识别和分析,并快速输出准确的诊疗方案,可协助医生对高血压脑出血进行急诊诊疗。