江苏省针灸学重点实验室的建设经验与思考

回顾和总结了我校江苏省针灸学重点实验室的建设过程,评价了所取得的成绩和存在的问题,并就此对中医药科研实验室的建设、开放使用、规范化管理以及内涵建设等问题进行了探讨.     

党的中西医结合政策的形成与发展论略

中西医结合政策是中国共产党运用辩证唯物主义的观点,总结我国医学发展的教训和根据地卫生工作的经验提出的,它指明了中国医学的发展道路和前进方向,解决了中国传统医学向何处去的重大历史命题,奠定了党的卫生方针和中医政策的理论基础。     

明清统治者对湘黔边苗民的政策及其影响

明清统治者对湘黔边苗民实行的治苗政策 ,不仅破坏了苗区的生产力 ,而且阻碍了苗区经济、文化的发展。要从政治、经济、文化三个方面积极工作 ,帮助少数民族尽快赶上先进的汉族     

癫痫宁联合单种抗癫痫西药治疗癫痫的疗效评价

目的：通过对癫痫宁联合单种抗癫痫西药治疗癫痫的研究进行统计分析,进一步评价中西药联合使用对癫痫的治疗作用。方法计算机检索自2000年至2014年,关于癫痫宁治疗癫痫的随机对照临床试验,并采用Revman 5.1软件对纳入的研究进行分析。结果本研究纳入3个研究,结局指标为服药后1个月、2个月、3个月的癫痫发作严重程度积分值和3个月后的临床症状疗效,Meta分析结果显示：癫痫宁联合单种西药治疗组1个月、2个月的癫痫发作严重程度积分值与单种抗癫痫西药组比较差异不具有统计学意义[SMD（95％CI）值分别为0（-0.23～0.23）,-0.07（-0.3～0.16）],而在3个月时差异具有统计学意义[SMD（95％CI）值-0.42（-0.65～-0.18）];前者在3个月后的临床症状疗效与后者比较差异同样具有统计学意义[RR（95％CI）值为1.73（1.16～2.56）]。结论癫痫宁联合单种抗癫痫西药能改善癫痫患者的症状,值得进一步临床推广。     

快速康复外科理念联合中医护理在经皮肾镜取石术中的运用

目的探讨快速康复外科护理联合中医护理措施在经皮肾镜取石术围手术期的应用效果。方法将130例经皮肾镜取石术患者随机分为对照组G1和试验组G2,对照组采用传统的常规围术期护理方法,试验组采取快速康复外科围术期护理联合中医护理措施。结果试验组术后恢复（包括离床时间、进食时间、首次肠道排气时间、排便时间等）优于对照组（P〈0．05）,并且术后近期相关并发症的发生情况低于对照组（P〈0．05）。结论快速康复外科护理联合中医护理措施应用于经皮肾镜取石术,不仅有利于促进患者术后的恢复,而且明显降低了术后并发症的发生,减少了住院时间和治疗费用,增强了护患关系,提高了患者的满意度,临床应用安全、经济、有效,值得进一步推广。     

游移于汉、苗文化罅隙之间的歌者——论苗族诗人何小竹的区域文化特质

苗族诗人何小竹游移于汉、苗两种语言罅隙之间的写作姿态,其诗歌"下笔如有鬼"的独异品格一方面是他充分发挥苗文化巫术文化传统的结果,另一方面又给予他进行"语言还原"诗歌实践强大的支援力量与依据,从而使得他在"非非主义"中赢得了独树一帜的地位.     

党建引领民族地区基层社会治理的价值导向、现实障碍与破解对策——基于恩施土家族苗族自治州的调查与思考

民族地区的基层社会治理既关系到当地的和谐与发展,更关乎国家的稳定与繁荣。中国特色社会主义进入新时代,党的民族工作面临许多新情况新挑战,面临的问题更加特殊,局面更加复杂。做好新时代党的民族工作,尤需完整准确地把握习近平总书记关于加强和改进民族工作的重要思想,不折不扣贯彻落实党中央作出的新部署、提出的新要求,创新实施以社区党组织为核心的区域共建、以联系和联席为依托的议事协商、以常态化沟通为导向的互联互动、以党建责任人为主体的考核评价、以便民化服务为宗旨的党群服务等多种机制,凝聚共建共治共享的强大合力,以高质量党建不断提升民族地区基层社会治理效能。     

Grouped penalization estimation of the osteoporosis data in the traditional Chinese medicine

Both continuous and categorical covariates are common in traditional Chinese medicine (TCM) research, especially in the clinical syndrome identification and in the risk prediction research. For groups of dummy variables which are generated by the same categorical covariate, it is important to penalize them group-wise rather than individually. In this paper, we discuss the group lasso method for a risk prediction analysis in TCM osteoporosis research. It is the first time to apply such a group-wise variable selection method in this field. It may lead to new insights of using the grouped penalization method to select appropriate covariates in the TCM research. The introduced methodology can select categorical and continuous variables, and estimate their parameters simultaneously. In our application of the osteoporosis data, four covariates (including both categorical and continuous covariates) are selected out of 52 covariates. The accuracy of the prediction model is excellent. Compared with the prediction model with different covariates, the group lasso risk prediction model can significantly decrease the error rate and help TCM doctors to identify patients with a high risk of osteoporosis in clinical practice. Simulation results show that the application of the group lasso method is reasonable for the categorical covariates selection model in this TCM osteoporosis research.     

Looking back moving forward: The history of midwifery in Western Australia

ProblemTo date there is has been very little research into midwifery in Western Australia (WA), therefore this paper addresses a significant gap in the literature. The aim of this paper was to gain insight into the history of midwifery in WA.BackgroundSince the beginning of recorded history midwives have assisted women in childbirth. Midwifery is recognised as one of the oldest professions; midwives are mentioned in ancient Hindu texts, featured on Egyptian papyrus and in The Bible. Up until the seventeenth century childbirth was the responsibility of midwives, but the gradual emergence of barber-surgeons, then man-midwives and obstetricians heralded a shift from women-led and community-supported birth to a patriarchal and medical model. Throughout the twentieth century childbirth practices in the Western World have continued to change, leading to a move from midwifery-led care at home to doctor-led care in the hospital.DiscussionThe first non-Indigenous Australian midwives were not formally trained; they came on ships bringing convicts to Australia and are described as ‘accidental’ midwives, as assistance in childbirth came from whoever was available at the time. This period was followed by what was called the ‘Aunt Rubina’ period where older married women helped younger women in childbirth. Throughout the early 1800s untrained or ‘lay’ midwifery care continued alongside the more formally trained midwives who had arrived with the colonists.From the early 20th century, when birth moved into the hospital, midwives in WA have been incorporated into the hierarchy of the professions with obstetrics as the lead profession and midwifery considered a speciality of nursing. The role of the midwife has been subordinated, initially controlled by medicine and then incorporated into the institutions and nursing. The increase in legislative and training requirements for midwives throughout Australia and the move from home to the hospital, gradually led to the decrease in autonomous midwives working within the community, impacting women’s choice of birth attendant and place of birth.ConclusionThe historical suppression of midwifery in Australia has impacted the understanding of the role of the midwife in the contemporary setting. Understanding the development and evolution of the midwifery profession in Australia can help future directions of the profession.     

民族政治学视野下的苗族村寨治理研究——以文山塘子寨为调查对象

文章在深入田野调查的基础上,结合文献资料查阅,从民族政治学视野分析塘子寨苗族村寨治理的实践及特征,总结塘子寨村寨治理的宝贵经验,以期为西部少数民族村寨治理工作提供参考。