医院档案管理工作创新方法初探

档案管理是医院管理中一项重要的内容。医院传统档案管理已经不能满足现代化社会发展的要求,基于此需要加强对医院档案管理的创新,只有在加快医院档案管理创新的基础上才能提高档案管理的效率和水平,并推动社会的进一步发展,可见创新医院档案管理方法是时代发展的必然选择。该文主要针对现阶段创新医院档案管理工作方法的相关问题进行研究,目的是为医院档案管理纳入新的工作方法,提高医院管理水平。     

国外经典慢性病管理模式对我国慢性病管理的启示

随着城镇化加快、生活方式变化及全球人口老龄化,慢性病带来的危害日益严重。慢性病的服务提供是卫生服务系统的难题之一,而慢性病管理模式为其创设了一个新的框架。本文主要介绍慢性病照护模式、慢性病自我管理计划和创新型慢性病照护框架3种国外经典慢性病管理模式,从特点、应用效果、局限性等方面进行比较,发现其核心要素包括多方协同、连续性服务、患者自我管理、循证决策、信息技术支持等。以上经验为我国的慢性病管理工作提供了新思路：建立政府主导、多元协同的管理制度,以家庭医生签约服务为“抓手”提高服务连续性,借力智慧医疗并强化患者赋能等,以期取得更好的慢性病管理效果。     

关于中医创新性人才培养的几点思考

在简述中医教育创新的意义及以往医学院校教学改革经验和措施的同时,重点从帮助学生树立富于创造性的目标与意图,强化自身内在动机;帮助学生掌握专业知识;奖励学生的创新观点;激发学生的好奇心和探索精神;帮助学生克服创造的困难,树立自信;吸取以往的经验等几个方面论述了培养中医创新性人才的方法.     

我国中药专利创造性的现状分析

通过对国家知识产权局公布的我国1998-2003年授予中药专利相关数据进行整理,比较分析了不同类型中药专利授权的数量,中药复方与有效成分专利数量、中药职务与非职务专利数量的发展差异,结果表明发明专利明显多于中药实用新型、外观设计专利,中药复方专利大大超过中药有效成分专利,与中药职务专利比较中药非职务专利占绝对优势。而在授予中药专利中,中药有效成分专利、中药职务专利的比例,恰恰正是衡量中药是否具有创造性的重要指标。这一差异反映了我国现阶段中药专利创造性较低的现状。在我国中药专利创造性认定讨论的基础上,分析了造成这一现状的原因,并提出我国专利法应尽快确定并完善中药专利创造性标准,加大力度鼓励企业与个人在技术上提高中药的创造性,增强知识产权保护的能力和中药的国际竞争力。     

电视广告创意的具像化呈现

创意是电视广告的灵魂和生命。它是在对企业产品、营销市场、目标消费者、品牌形象等市场元素分析的基础上，形成独特的创意概念，然后运用影视语言结构和新颖独特的表现表达形式，把抽象的创意概念“翻译”成视觉、听觉等多种感觉符号的思维方式。优秀的电视广告创意，以对创意概念的关联性、原创性、震撼性地具像化艺术呈现，吸引了人们的注意，谤发起消费者的购买欲望，最终实现了电视广告的营销目标和传播目标。     

论医学教学实施创新教育 培养创新人才的必要性

素质教育可分为规范教育和创新教育两部分。规范教育包括知识规范和道德规范，解决的是知识与道德的继承；创新教育则包括知识创新与能力创新两个方面内容，解决的是知识发展与人类发展的问题，因此，笔者认为，为了适应知识经济发展的要求，医学教学应注重实施创新教育，重点研究如何解决培养学生创新意识、创新精神和创新能力等问题，以使学生作为独立的个体，能够主动着手发现、认识有意义的新知识、新事物、新思想、新方法，并掌握其中蕴涵的基本规律及相应的各种能力。     

Intergenerational Transmission of Influence and Family Pattern: Some French Perspectives

French psychoanalysis offers a wide range of studies on the problems of intergenerational transmission within families. In this paper I focus on four authors whose work, though important, has remained largely untranslated. The paper studies Serge Lebovici's emphasis on ‘fantasmatic interactions’ and Alain de Mijolla's reflection on ‘unconscious identification’ and strives to understand how Claude Nachin and Serge Tisseron, two followers of Nicolas Abraham and Maria Torok, have presented and developed further ideas of ‘the phantom’ and ‘the crypt’. I try to place the debate within its French context and argue for its relevance in presenting building blocks of understanding in an important area of concern to psychoanalysis.     

Promoting Children's Mental Health: The European Early Promotion Project (EEPP)

This article describes some key themes arising from a doctoral thesis (DPhil degree awarded in April 2006) on the complex relationship between mood disorder and creativity. A particular emphasis of the research was to explore how creative individuals with mood disorder are able to harness difficult experiences and feelings and make use of them productively in their work and everyday life. The main aim was to extrapolate from these findings any aspects that would be of benefit to other sufferers of mood disorder, whether creative or not. The six key themes outlined comprise a synthesis of the findings of both the literature review and empirical work.     

Prognostic factors of overall survival in children and adolescents enrolled in dose-finding trials in Europe: An Innovative Therapies for Children with Cancer study

ObjectivesDose-finding trials are fundamental to develop novel drugs for children and adolescents with advanced cancer. It is crucial to maximise individual benefit, whilst ensuring adequate assessment of key study end-points. We assessed prognostic factors of survival in paediatric phase I trials, including two predictive scores validated in adult oncology: the Royal Marsden Hospital (RMH) and the MD Anderson Cancer Center (MDACC) scores.MethodsData of patients with solid tumours aged <18 years at enrolment in their first dose-finding trial between 2000 and 2014 at eight centres of the Innovative Therapies for Children with Cancer European consortium were collected. Survival distributions were compared using log-rank test and Cox regression analyses.ResultsOverall, 248 patients were evaluated: median age, 11.2 years (range 1.0–17.9); 46% had central nervous system (CNS) tumours and 54% extra-CNS tumours. Complete responses were observed in 2.1%, partial responses in 7.2% and stable disease in 25.9%. Median overall survival (OS) was 6.3 months (95% confidence interval, 5.2–7.4). Lansky/Karnofsky ≤80%, no school/work attendance, elevated creatinine and RMH score ≥1 correlated with worse OS in the multivariate analysis. The RMH and MDACC scores correlated with OS in adolescents (12–17 years), p = 0.002, but not in children (2–11 years).ConclusionsPerformance status of 90–100% and school/work attendance at enrolment are strong indicators of longer OS in paediatric phase I trials. Adult predictive scores correlate with survival in adolescents. These findings provide a useful orientation about potential prognosis and could lead in the future to more paediatric-adapted eligibility criteria in early-phase trials.