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41.
Julene Siddique 《World Futures: Journal of General Evolution》2018,74(2):116-133
In today's highly dynamic and changing industries there are an incredible array of things converging, all of which are signalling a significant need for a new paradigm in health and medicine. Scientific revolutions have brought forward new forms of knowledge, which fundamentally oppose the premises on which the majority of our traditional medical institutions are based. Through my CIRR framework (Critique, Insight, Re-Define, Re-Structure) I will bring forward the key elements and principles of what this paradigm shift is and what would be involved in bringing it into fruition. There are 3 key elements of a paradigm shift which I will review through the CIRR framework these are a) structural and systemic elements b) dynamics of social constituents and pathologies and c) shifts in thinking that have given rise to new forms of knowledge that enable new forms of research and practice. I will demonstrate that the key elements involved in a genuine paradigm shift are here, however it's up to us to bring it into fruition. I hope to inspire both researchers and practitioners towards this new paradigm in health and human potential. 相似文献
42.
EMPIRICAL MINDFULNESS: TRADITIONAL CHINESE MEDICINE AND MENTAL HEALTH IN THE SCIENCE AND RELIGION DIALOGUE
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William L. Atkins 《Zygon》2018,53(2):392-408
As science and religion researchers begin to engage questions of mental health, mindfulness may prove to be a fruitful area of investigation. However, quantifying the physical effects of mindfulness on the brain is difficult because mindfulness deals with the problem of mental and physical interaction or, the mind/body problem. One system of understanding which may aid science and religion scholars in the pursuit of mindfulness is traditional Chinese medicine (TCM). Within TCM, heart Qi manages the body's present connection to time and space. If the “being in the moment” is disrupted, then the heart Qi is blocked and mental illness or various neurological disorders occur. Succinctly, within TCM, mindfulness is understood as a nonphysical phenomenon (Qi) which directly affects physical systems, resulting in empirical data. This is tracked and treated through the TCM understanding of Qi. The TCM view of Qi in mental health may therefore provide a helpful new paradigm to investigations concerning mindfulness and the human brain. 相似文献
43.
Tolloczko TS 《Science and engineering ethics》2006,12(1):95-102
Medicine is a scientific discipline, but it is sometimes difficult to separate what is scientific and what is a clinical,
practical activity. Man is the object, but he is always the subject of medical research and therefore these two elements become
closely bound together by a thread of moral interdependencies. Every mentor of a young academic and all institutions dealing
with the teaching of and research into medicine must understand multidimensional, multifaceted, and multilevel aspects of
their activity and give them due regard in the educational process. The educational mission of an academic institution and
of the teacher working there may be summed up in one phrase: Teach thinking! At the same time, the task of a school and the
individual mentor is to teach the student to distinguish personal freedom from a lack of the feeling of responsibility. The
medieval principle “Universitas magistrorum et scholarium”, and thus the corporation, the community of teachers and students,
has not lost any of its relevance and value today. The situation is, in its far-reaching consequences, tragic in which the
“insufficiently tutored teach”. Both physician and teacher, and especially physician-teacher, are not only professions, but
also callings.
This paper was presented at the 6th International Bioethics Conference on the subject of ‘The Responsible Conduct of Basic
and Clinical Research’, held in Warsaw, Poland, 3–4 June 2005. 相似文献
44.
Diana C. Dolan Daniel J. Taylor Adam D. Bramoweth 《Behaviour research and therapy》2010,48(4):321-327
Cognitive-behavioral therapy for insomnia (CBTi) has demonstrated considerable efficacy within randomized clinical trials and case-series designs. This case-series study in a community sleep medicine clinic assessed the effectiveness of an eight-session CBTi protocol chronic insomnia patients who were allowed to continue their use of hypnotics (intent-to-treat n = 48), administered by a clinical psychology doctoral student receiving training and supervision in CBTi by a behavioral sleep medicine certified clinician. Outcome measures included daily sleep diaries, self-report measures on insomnia severity, dysfunctional beliefs and attitudes about sleep, daytime sleepiness, as well as medication usage. Patients showed significant improvements in sleep onset latency, wake time after sleep onset, sleep efficiency, insomnia severity, and dysfunctional sleep beliefs from pre- to post-treatment. No changes were seen in daytime sleepiness - patients were not excessively sleepy either before or after treatment. Use of sleep medication declined significantly from 87.5% pre-treatment to 54% post-treatment, despite no active efforts to encourage patients to withdraw. Results demonstrate that a CBTi conducted in a community sleep medicine clinic with patients not required to discontinue sleep-related medications can have similar effects as therapy delivered among those not on medication. 相似文献
45.
李岩 《医学与哲学(人文社会医学版)》2013,(10):21-22,40
含有生物碱类、皂苷类、萜类、毒蛋白类、重金属类成分的中药易致急性肝损伤.中药对肝脏损伤的原因及机制较为复杂,可能与药物对肝脏的直接毒性或特异性体质有关.此外,中药炮制方法、给药途径、剂型、剂量、疗程及配伍不当也会引起药物性肝损伤.中药所致的药物性肝损伤的诊断主要依据用药史、发病的时间、过程和临床表现并排除其他因素.治疗可选用还原型谷胱甘肽、S-腺苷蛋氨酸、多烯磷脂酰胆碱、熊去氧胆酸、水飞蓟素等药物,重症可选择人工肝脏支持治疗. 相似文献
46.
临床医学八年制内科学床旁教学应用传统的教学模式及基于案例的学习(CBL)单一教学方法难以满足教学要求.将CBL与基于问题的学习(PBL)及研讨会(Seminar)结合的立体教学模式应用于呼吸科的床旁教学实践中,激发了学生学习的积极性、创新性,培养了学生良好的团队合作精神和临床思维模式,提高了学生们解决临床问题的能力,并能加深师生互动交流,达到教学相长的目的. 相似文献
47.
从近视眼的进化史来看,伴随人类生活方式的改变,眼睛对近距离信息摄取的需求膨胀是近视眼形成的终因.在漫长的人类历史中,近视眼获得的每一种益处,都伴随着相应的代价.而达尔文医学关于生物进化的不完美性决定了近视眼的进化适应和代价将长期共存.因此,从治疗模式来看,应该摒弃达尔文医学固有的消极性而考虑生物的整体性和生态性.近视眼的中医和基因治疗正是避免了达尔文医学治疗模式的理论消极性,而且融入了其有关生物进化、遗传与环境统一的部分理念,可能成为近视眼治疗的候选策略. 相似文献
48.
转化医学在当今世界发展迅速,虽然在我国起步较晚,但取得了巨大的成就,建立了许多转化医学研究机构,积极开展合作交流,但不可避免地存在一些问题,诸如创新能力不足、顶层设计不够和人才缺乏等,为此提出相应对策和未来发展的前景,同时指出转化医学在我国不仅是学术问题,而且是社会问题. 相似文献
49.
Marjaana Lindeman 《Psychology & health》2013,28(3):371-382
Very little is known about the reasoning underlying beliefs in complementary and alternative medicine (CAM). This study examined whether CAM beliefs can be better explained with intuitive reasoning, paranormal beliefs and ontological confusions of physical, biological and mental phenomena than with 12 variables that have typically been used to explore the popularity of CAM, namely gender, education, income, age, health, desire to control treatment, satisfaction with conventional medicine and world view (unconventional, feministic, environmentalist, exotical and natural). A representative sample of Finnish people (N = 1092) participated in the study. The results showed that intuitive thinking, paranormal beliefs and ontological confusions predicted 34% of the variation in CAM beliefs, whereas the 12 other variables increased the prediction only by 4%. The results help to explain individual, cultural and situational differences in the popularity of CAM and to differentiate between CAM statements that can be scientifically examined from those that cannot. 相似文献
50.
This study explored the confidentiality values and needs of clients of traditional medicine practitioners who also consulted with modern medical care facilities. Participants were 12 clients of traditional healers who were also receiving modern medicine services (9 males; Sotho, Sepedi and Tswana speaking). The clients responded to an in-depth interview on their confidentiality values, needs and consultations with traditional and modern medicine, in the absence of a formal referral between the two systems. Data were thematically analysed using Tesch's (1990) open coding method. Results indicated that clients valued their rights to confidentiality being respected by modern medicine and when also consulting with traditional healers. The clients also expressed concern about being ostracised by nurses for consulting traditional healers. Consultation confidentiality with regard to traditional medicine is important with traditionalist Africans. 相似文献