三叉神经痛药物治疗的循证医学分析

原发性三叉神经痛是一种严重的颌面部神经疼痛,其病因未明,目前的主要治疗措施是通过各种药物进行控制,但很多药物存在副作用、长期使用疗效降低等问题。本文应用循证医学思想,通过检索和评价国内外文献,综合高质量的临床研究结论,为三叉神经痛的药物治疗提供循证医学证据。     

要重视慢性乙型肝炎的抗病毒治疗

慢性乙型肝炎是我国常见的慢性传染病之一,严重危害人民健康.围绕着乙型肝炎的防治,带来巨大的经济负担,已成为不可忽视的社会问题.在慢性乙型肝炎-肝硬化-HCC的发生发展过程中,HBV病毒载量起着重要的作用,抗病毒治疗是目前治疗慢性乙型肝炎的有效手段.因此,要重视和规范抗病毒治疗.     

迎接医学人文学科发展的春天

我国医学人文学科的发展与我国的改革开放同步 ,在 2 0世纪 80年代末期到 90年代初曾经经历过一个发展高潮 ,但进入 90年代中期之后 ,随着第一批为我国医学人文学科建立作出卓越贡献的专家学者相继进入退休年龄而退出这一领域之后 ,医学人文科学的研究进入停滞阶段。今年SARS的发生暴露了我国公共卫生建设方面的失误 ,也引发了理论界的深刻反思。公共卫生投入不足、预防保健工作松软乏力 ,与我们对医学目的的认识以及卫生发展理论方面存在误区不无关系。由SARS所引发的公共卫生事件说明公共卫生决不是单纯的医学问题 ,它关系到国家的安全、影响到经济发展 ,需要从国家发展战略的角度来认识和全社会共同参与建设 ,这就为医学人文学科的发展提供了难得的契机     

循证医学发展对临床医学科研人员的启示

从临床医学科研工作的角度简要介绍了循证医学的发展情况,阐述了在循证医学发展对临床医学科研人员提出的新要求,即:具有良好的临床专业知识;具有良好的信息处理能力;具有良好的洞察力;具有终身教育观.并从选题范围的拓展、掌握资料的广泛、立项评价的健全、管理措施的更新等浅议了循证医学对临床医学科研人员的启示.     

激光美容的发展历程及其哲学启示

激光高科技的发展使得激光美容应运而生,激光美容具有高效安全、方便快捷、痛苦小的独特优点,开创了医学美容的新纪元,激光美容已成为当代医学美容中最具有前途和魅力的部分.从激光美容的发展过程,认识到学科交叉产生创新,科学理论对实践具有良好的指导和推动作用,科学的进步离不开科学思维的创造力.     

论网络环境下医学文献信息资源的共建共享

分析网络环境下实现医学文献信息资源共享必须具备的条件以及实现医学文献信息资源共享必须解决的问题,并提出相应的解决办法.     

Is Evidence Based Spiritual Care an Oxymoron?

Evidence based spiritual care utilizes empirical evidence on spirituality in addressing the spiritual needs of patients. Objections to evidence based spiritual care include issues of methodology and ethics. Reasons favoring evidence based spiritual care stem from a view that it is not an oxymoron but a paradox. An example of evidence based spiritual care is described using cardiac patients in a CCU unit. Concluding remarks note that we are at the beginning and need a new scientific/theological paradigm that integrates not separates science and theology.     

Religion/Technology, Not Theology/Science, as the Defining Dichotomy

Science and religion are incommensurable: one cannot use centimeters to measure volume. Science's proper cognate is theology. Science and theology are human activities that are basically conceptual (partly fallible) frameworks for explaining experience. Religion and technology, by contrast, involve and control or limit human practice and experience : they involve "sensate" reality—people and things. The study of the interaction of these four terms (or any two) must use the terms more precisely.
Science as practiced today has become scientism , another theology. Technology is, without any doubt, the world's most powerful and fastest growing religion.
Minor squabbles among theologies, including science, must continue, but it is the tensions between technology and the established religions that will define this century. Battles on three fronts are already clear: the environment, globalization, and economic gaps. But whole–person healing, the replacement for high–tech reductionist modern medicine, is the most significant, because it will undermine science, which has hitched its wagon to this falling star.
The end of fundamental science is upon us, because it has been so successful. Science will be increasingly applications–driven, and it will be judged by results. Here, it has met its nemesis in wholeperson healing that incorporates integrative medicine. Scientists must now reconsider their role in society. It will not be easy to accept a humbler position. Moreover, the vague allusions to spirituality by scientists need a more authentic commitment to praxis in lifestyle.     

Childhood vaccine refusal and hesitancy intentions in Croatia: insights from a population-based study

Considering that programmatic data suggest a recent rise in vaccine refusal in Croatia, this study, first of its kind in Southeast Europe, aimed to estimate the prevalence, and sociodemographic, and sociocultural determinants of childhood vaccine refusal and hesitancy (CVRH) intentions among Croatian adults. Multi-stage stratified population-based survey included 1000 individuals aged 18–88 years (M_age = 47.7, SD = 17.8), of whom 51.7% were women. The outcome, a categorical indicator, distinguished among individuals who would approve vaccinating their children (vaccine accepting), those who would approve some but not all vaccines (vaccine hesitant), and those who would refuse vaccination (vaccine refusing). A sizeable minority of participants was characterized by childhood vaccine refusal (10.6%) and hesitancy intentions (19.5%). In a multivariate assessment controlling for parenthood, the odds of vaccine hesitancy were significantly increased by a younger age (AOR = 1.96–3.03, p < .01). Religiosity (AOR = 1.12, p < .05) and the use of alternative medicine (AOR = 2.85, p < .001) increased the odds of vaccine refusal. However, individual characteristics seem to be relatively poor predictors of CVRH intentions in Croatia. Following the social contagion model, future research should move beyond individual-level approach and take into account social interaction and social network effects.     

关于医学与理工科学的比较及其结合

生物医学工程是医学与理工科学之间的一门交叉学科,近年发展十分迅速,但理工科学与医学具有非常不同的学科特点,充分认识其间的差异是非常必要和重要的。本文从认识论与方法论的角度讨论了医学研究与理工科学的不同特点及相应的问题,分析了医工结合的主要困难,提出了加强与改进医学与理工科学结合的途径。