中国藏医药系列数据库建设与发展

介绍中国藏医药系列数据库建设的背景、意义、内容和特色，概述在建库过程中应用西北民族大学中国民族信息技术研究院开发的同元藏文字处理软件的体会，并对该系列数据库的未来发展提出构想。     

OSTMED.DR®, an Osteopathic Medicine Digital Library

The OSTMED.DR® database provides access to both citation and full-text osteopathic literature, including the Journal of the American Osteopathic Association. Currently, it is a free database searchable using basic and advanced search features.     

Investigating married adults’ communal coping with genetic health risk and perceived discrimination

Increased genetic testing in personalized medicine presents unique challenges for couples, including managing disease risk and potential discrimination as a couple. This study investigated couples’ conflicts and support gaps as they coped with perceived genetic discrimination. We also explored the degree to which communal coping was beneficial in reducing support gaps and ultimately stress. Dyadic analysis of married adults (N?=?266, 133 couples), in which one person had the genetic risk for serious illness, showed that perceived discrimination predicted more frequent conflicts about alpha-1 antitrypsin deficiency-related treatment, privacy boundaries, and finances, which, in turn, predicted wider gaps in emotion and esteem support, and greater stress for both spouses. Communal coping predicted lower support gaps for both partners and marginally lower stress.     

Preparing for Practice: Strengthening Third-Year Medical Students’ Awareness of Point-of-Care Resources

This column describes the development and implementation of a responsive library course designed to train third-year medical students as they begin their clerkships. The course design consisted of a brief face-to-face introduction during third-year orientation and an online course developed in Canvas, an online learning management system. The objective of the course was to not only introduce students to the resources but also to teach them how to effectively use those resources at the point-of-care. Students evaluated the course to assess the overall effectiveness of the instruction. Course development and content, feedback provided by students, as well as suggestions for improvement are discussed.     

Walking and biologic ageing: Evidence based on NHANES telomere data

ABSTRACT

The length of telomeres is an objective measure of biologic ageing. This study evaluated the extent minutes of walking per week are associated with leukocyte telomere length (LTL) in a random sample of 5,823 U.S. adults. The investigation was cross-sectional and data were obtained from the National Health and Nutrition Examination Survey (NHANES). LTL was measured by the quantitative polymerase chain reaction method. Walking minutes was calculated from walking frequency and duration measures. Results showed that for each year of chronological age, telomeres were 15.6 base pairs shorter (P < 0.0001). With walking minutes and LTL treated as continuous variables, the relationship was quadratic, not linear (F = 11.2, P = 0.0023). With walking time divided into three categories, adults who performed ≥ 150 minutes of walking per week had longer telomeres than those who did no regular walking, and those who did some, but less than the recommendation (F = 5.0, P = 0.0137). Regular walkers were estimated to have a biologic ageing advantage associated with 6.5–7.6 years less biologic ageing compared to non-walkers, after adjusting for covariates. Additional investigations designed to study causality and the mechanisms associated with the walking and LTL relationship are needed.     

论心理保健

从理论与实践的结合上,探讨人类健康的重要因素之一的心理保健、心理卫生(精神卫生)等方面的问题.随着医学模式的转变,由传统的生物医学模式向生物——心理——社会医学模式转变.心理健康、心理保健、心理卫生已成为影响人类健康非常重要的因素.现代医学的发展,促使人们对心理、社会因素与健康的关系,越来越关注,当今许多疾病的发病率及死亡率,都与心理、社会因素有着密切关系.如心血管系统疾病——高血压、冠心病以及溃疡、神经衰弱等.这些慢性非传染性疾病,已成为威胁人类健康的主要原因之一.因此重视心理保健,保持心理平衡,开展心理咨询,有效地进行心理治疗,对于保护人类健康是至关重要的.     

114例颈椎定点复位法加扶阳罐治疗颈椎小关节微错缝的临床观察

目的:探讨颈椎定点复位法加扶阳罐治疗颈椎小关节微错缝的临床疗效。方法:114例患者均采用颈椎定点复位法加扶阳罐治疗。具体分四步。手法定位;松解肌肉;颈椎定点旋转复位;扶阳罐理筋温熨。5次一疗程。若还有症状,休息二天后,重复一疗程。结果:治愈率89.47%,总有效率99.12%。结论:此法可纠正颈椎紊乱的关节,缓解痉挛的肌肉,解除神经、血管的刺激和压迫,改善局部血液循环,使颈椎各关节保持相对的稳定。疗效好,安全易行,值得推广。     

以创建精品开放课程为契机,加强教学模式和教学方法改革

2012年,安徽中医药高等专科学校创建精品开放课程,此课程开放以来在教学模式和教学方法改革方面取得了建设的进步,但是在精品课程的开放中还存在很多问题。     

Remote ischaemic preconditioning shortens QT intervals during exercise in healthy subjects

The protective action of remote ischaemic preconditioning (RIPC) has been demonstrated in the context of surgical interventions in cardiology. Application of RIPC to sports performance has been proposed, but its effect on the electrocardiogram (ECG) during exercise remains unknown. This exploratory study aims to measure the changes in ventricular repolarization observed during exercise following RIPC in healthy subjects. In an experimental randomized crossover study, 17 subjects underwent two bouts of constant load exercise tests at 75% and 115% of gas exchange threshold (GET). Prior to exercise, they were allocated to either control or RIPC intervention with four cycles of 5?min of ischaemia followed by 5?min of reperfusion. ECG was continuously recorded during the protocol. QT and RR intervals were measured every 30?s (on an average tracing of the preceding 10?s). Although the time course of RR intervals did not differ between the two interventions (p?=?.56 at 75% GET and p?=?.74 at 115% GET), a significant shortening of QT intervals (measured from Q onset to T end) was observed during exercise (mean?±?standard deviation of RIPC vs. control: ?32?±?19?ms at 75% GET (p?p?p?p?相似文献   

中药生产废水治理研究与应用

针对中药废水可生化性较差的特点，采用载体固定床 序批式活性污泥法(SBR)物化、生化处理工艺路线，实现废水达标排放。应用结果表明，该研究处理中药废水，酸碱度、悬浮物、生化需氧量、化学需氧量、色度达标率为100％，挥发酚达标率为94％。