制度化建设推动医学人文走进临床

人文关怀是医学实践的核心精神,是医学“以人为本”的思维模式、道德观念、精神价值的具体体现,它与医药卫生制度化建设密切相关,已成为我国当代医学发展的核心议题之一。简介了北京北亚骨科医院多年来对医学人文与医疗实际相结合的探索经验,从社会发展需求、医院制度化建设、医生道德行为培养三个层面进行了探索性的尝试,对举办研修班、创建急救绿色通道、医风十大禁令、患者满意度评价、数字化信息建设、常态化义诊、师承式教育模式、特色诊疗体系、慈善活动等取得的成绩进行了总结和介绍。     

军医大学八年制学员医学人文素养调查研究

对军医大学八年制学员的医学人文教育现状进行调查分析,发现预科通识教育、基础及临床医学教育、二级学科培养的各阶段绝大部分八年制学员都认为医学人文素养对自身成长非常重要,且随年级升高而愈加重视,但医学人文素养实际教学效果与课程目标还颇有差距。随后,指出军医大学八年制医学人文素质教育存在人文课程创新设计不足、人文修养重视不够、人文类社会实践欠缺等问题。进而结合军医大学八年制学员特点,讨论完善医学人文课程体系、立足未来军事卫勤保障需求、扩展培养方式等提升医学人文素养的途径。     

医学科学能力的局限性与仁爱的无限性

医学科学作为医学的一个组成部分,其在医疗实践中的能力有限是一个不争的事实。用建构观而非真理观看待医学科学的局限性,用质疑并不断进取的眼光规避对医学科学的盲目崇拜,合理定位医者与医疗的实际价值。用归属真理的常识守住医生与患者各自判断与行为的底线。患者避免过度就医,医者避免过度行医。并用叙事的方式呈现医疗,用康复的方式实践医疗,用人性的关爱温暖医疗,重建医患互信,让医疗不再冷漠。     

论短期叙事医学课程对于医学生叙事能力的影响——以海南医学院为例

通过在海南医学院开展一项试点性的短期叙事医学课程,探究此类叙事医学课程对于医学生叙事能力的影响以及课程本身的有效性。探究结果显示,该课程项目对于医学生叙事能力无显著影响。通过统计学、心理学、教育学等多个角度,对结果进行了讨论和分析,归纳出课程本身存在的样本量、课程时间、量表等多种局限性;同时,也对课程的教学设计进行了反思,并提出了相应的建议,希望为未来叙事医学课程设计和研究提供参考经验。     

肿瘤治疗理念和技术革新的哲学思考

肿瘤治疗理念和技术已经发展到微创和个体化精准医学新时代,由此产生了一系列医学人文的新问题、新认识。从历史与现实角度分析,这些新旧理念冲突、不同价值取向、获益风险分担等不同认识和矛盾是客观和难免的,要通过科学审查评估、共享决策、多学科合作、循证与叙事医学等新措施、新模式予以控制和解决。肿瘤综合防治的精准化、微创化、个体化和人文化方向是医学发展的历史必然,也历经并将继续历经人文学科的阳光雨露和暴风骤雨。在肿瘤医学科研教学与创新实践中,应避免单打独斗,必须加强医学科技与人文学科的大融合、再重塑。     

医学人文社会科学实证研究如何走向深入——基于《医学与哲学》275篇实证研究论文的统计分析

对2006年1月~2012年6月《医学与哲学》（人文社会医学版）发表的275篇实证研究论文进行了统计,分析的主要内容包括研究方法、统计技术、数据呈现方式等研究设计方面存在的主要缺陷,以及研究选题分布情况、作者情况、基金项目情况等,分析结果揭示了目前医学人文社会科学实证研究方面存在的主要问题。     

当代医学现象与本质的分离

人是什么?人性是什么？身心生命的价值意义何在？医学目的何在？医学人文深层困境何在？从哲学视角剖析,人的多维结构与复杂性,指出现实困境的深层根源,提出走出困境的对策,特别对人性需要滋养、医学人文文化土壤建设的改善对策予以阐述。     

Introduction to Focus Issue on Laudato Si'

The encyclical Laudato si’ can be read as a religious ethic in several different ways. Contributors to this focus issue read it as magisterial teaching, as environmental thought, as Global South criticism, as Latinx theology, and as philosophy of religion. Foregrounding South American and Latinx receptions, the cumulative argument of this focus issue is that LS represents a cultural event that invites interpretations from contexts and disciplines beyond North Atlantic theological ethics.     

Exposure to rf electromagnetic energy decreases aggressive behavior

It was predicted from the dopamine-opiate system hypothesis that aggression induced by light tail pressure would be modified by exposure of the animals to radiofrequency electromagnetic energy. In a series of three experiments, it was found that there was a substantial decrease in aggressive behavior during exposure to EM energy at incident power densities as low as 50 μW/cm². This is consistent with previously published reports that indicate the dopamine and opiate systems of the brain are influenced by exposure to low-intensity EM energy. It would appear that EM energy exposure could be used as a probe in the study of aggression and in relating it to brain chemistry. Since this energy has become ubiquitous in the environment, and quite uneven in distribution, there may be implications for understanding aggressive behavior from a clinical standpoint as well as from the standpoint of necessary controls in experiments.     

Behavioral tactics control the energy costs of aggression: The example of Macropodus opercularis

Previous experiments on Betta splendens have shown that energy expenditures related to aggression are under social control. The present paper examines the biochemical energetics of social cohabitation in groups of Macropodus opercularis. The species is closely related to Betta splendens, however, dominants use somewhat different behavioral tactics against intruders. In contrast to Bettas, submissive Macropoduses are not harassed by dominants, but are confined to the bottom of the tank. This results in a reduced rate of oxygen consumption in defeated animals (Anabantid fish mainly use atmospheric oxygen). The only metabolic change, compared to isolated controls, is a reduction in hepatic glycogen content. Submissive animals have shifted carbohydrate metabolism towards anaerobic glycolysis. Substantial reductions in muscle proteins, lipids, and glycogen occurred in submissive Betta splendens. Thus, the sharp difference in behavioral strategy results in a sharp difference in the energetic consequences of aggression. A theory is presented regarding the possible role of energetic constraints in the control of behavior. © 1996 Wiley-Liss, Inc.