In the process of TCM intercultural communication, as a source culture, TCM embodies the essences of excellent traditional Chinese culture by absorbing the essence of Confucianism, Daoism and Buddhism and gradually ev...In the process of TCM intercultural communication, as a source culture, TCM embodies the essences of excellent traditional Chinese culture by absorbing the essence of Confucianism, Daoism and Buddhism and gradually evolving into a profound philosophical and cultural system during its long development, meanwhile, it has accumulated tremendous medical achievements and has been abundant in famous doctors in almost all dynasties. In short, TCM is profound both in medical practice and philosophy and culture, which endows TCM the characteristics of cultural essence and medical uniqueness, in addition to its scientific nature which has been proved historically, all of the above-mentioned factors form the basis and guarantee of the TCM intercultural communication, in which TCM is a source culture. In contrast, the western culture shows significant difference as a target culture, from which the western medicine is developed. The major differences manifest in： western culture distinguishes mankind from heaven while traditional Chinese culture believes in the harmony between man and nature; the difference between micro rational thinking and overall perceptual thinking; the difference between individual standard and organic whole. Despite the great difference, western society welcomes TCM due to its unique effect, therefore, it is of vital significance to compare and analysis the two ends of the TCM intercultural communication, namely the source culture and the target culture, to find effective means to promote the TCM intercultural communication. The current tendency of the integration of TCM and western medicine has proved the possibility and feasibility of TCM intercultural communication.展开更多
American Indians are a substantial minority in both the United States and Canada and present with a disproportionate share of mental health and behavioral health problems. While a large proportion of the native popula...American Indians are a substantial minority in both the United States and Canada and present with a disproportionate share of mental health and behavioral health problems. While a large proportion of the native population resides on reservations that are self-managed and have few non-Indian residents, professional health services are mostly provided by clinicians from the dominant culture. The essay tries to highlight specific historical, sociological, and cultural variables the clinician must be aware of to work effectively in this setting. Particular emphasis is placed on using a flexible, eclectic approach, and a case vignette is included to illustrate the principle.展开更多
OBJECTIVE: To culturally translate the cardiff acne disability index(CADI) into Korean, and to examine its relationship with clinical acne severity,pathological patterns, and general quality of life(Qo L).METHODS: The...OBJECTIVE: To culturally translate the cardiff acne disability index(CADI) into Korean, and to examine its relationship with clinical acne severity,pathological patterns, and general quality of life(Qo L).METHODS: The CADI was culturally and lin-guistically translated into Korean via translation,back-translation, and face validity test process. Two hundred and fifty-four Korean adolescents were asked to complete the Korean version of the CADI(K-CADI), the Phlegm Pattern, the Cold-Heat Pattern, and the Korean version of the General Health Questionnaires. A clinician estimated acne severity for the adolescents, using the Korean Acne Grading System. Finally, reliability and validity of the K-CADI was examined, and the relationships between acne severity, Phlegm, Cold, and Heat patterns, and Qo L level were examined via pathway analysis.RESULTS: The K-CADI had satisfactory internal consistency(α = 0.827). The examination of construct validity indicated that the K-CADI had one factor(explaining 59.6% of the total variance). Pathway analysis showed satisfactory model fit(normal fit index = 0.960 and comparative fit index = 0.983),and acne-related Qo L was determinant to Phlegm,Heat, and Cold patterns(0.13-0.27 of β), and Phlegm and Heat patterns lowered one's Qo L level(0.17-0.34 of β).CONCLUSION: The K-CADI is a valid and reliable instrument. Phlegm and Heat patterns should be managed when treating acne since they have a moderating effect on general Qo L aggravation.展开更多
The story of the Twenty-four Solar Terms(24-ST_s) is one of the most popular elements in Chinese culture, which has a profound influence on agriculture production, health care, and even daily life in both ancient and ...The story of the Twenty-four Solar Terms(24-ST_s) is one of the most popular elements in Chinese culture, which has a profound influence on agriculture production, health care, and even daily life in both ancient and modern China. This traditional calendric system was invented by the Chinese ancestors through combining fundamental astronomical knowledge with climatic and phenological conditions in the Yellow River Basin some 2000 years ago. Although the basic philosophy of the 24-ST_s remains valid for the country as a whole to date, their regional robustness has been increasingly challenged by accumulating observational data in terms of temporal shift and spatial inhomogeneity. To tackle these issues, we propose to recalibrate the medically related critical timings of Great Heat and Great Cold in the classic ST system by using big meteorological data, and adjust them by introducing geographically correlated analytical models. As a result, a novel calendric system, called the Twenty-four Medical Terms(24-MT_s), has been developed as an upgraded version of the traditional 24-ST_s. The proposed 24-MT_s are characterized by two striking features with respect to the 24-ST_s: A varying duration of each MT instead of a fixed one for the ST, and a geographically dependent timing for each MT instead of a unified one for the entire nation. As such, the updated 24-MT_s are expected to provide a more realistic estimate of these critical timings around the year, and hence, a more precise guidance to agronomic planning and health care activity in China.展开更多
文摘In the process of TCM intercultural communication, as a source culture, TCM embodies the essences of excellent traditional Chinese culture by absorbing the essence of Confucianism, Daoism and Buddhism and gradually evolving into a profound philosophical and cultural system during its long development, meanwhile, it has accumulated tremendous medical achievements and has been abundant in famous doctors in almost all dynasties. In short, TCM is profound both in medical practice and philosophy and culture, which endows TCM the characteristics of cultural essence and medical uniqueness, in addition to its scientific nature which has been proved historically, all of the above-mentioned factors form the basis and guarantee of the TCM intercultural communication, in which TCM is a source culture. In contrast, the western culture shows significant difference as a target culture, from which the western medicine is developed. The major differences manifest in： western culture distinguishes mankind from heaven while traditional Chinese culture believes in the harmony between man and nature; the difference between micro rational thinking and overall perceptual thinking; the difference between individual standard and organic whole. Despite the great difference, western society welcomes TCM due to its unique effect, therefore, it is of vital significance to compare and analysis the two ends of the TCM intercultural communication, namely the source culture and the target culture, to find effective means to promote the TCM intercultural communication. The current tendency of the integration of TCM and western medicine has proved the possibility and feasibility of TCM intercultural communication.
文摘American Indians are a substantial minority in both the United States and Canada and present with a disproportionate share of mental health and behavioral health problems. While a large proportion of the native population resides on reservations that are self-managed and have few non-Indian residents, professional health services are mostly provided by clinicians from the dominant culture. The essay tries to highlight specific historical, sociological, and cultural variables the clinician must be aware of to work effectively in this setting. Particular emphasis is placed on using a flexible, eclectic approach, and a case vignette is included to illustrate the principle.
文摘OBJECTIVE: To culturally translate the cardiff acne disability index(CADI) into Korean, and to examine its relationship with clinical acne severity,pathological patterns, and general quality of life(Qo L).METHODS: The CADI was culturally and lin-guistically translated into Korean via translation,back-translation, and face validity test process. Two hundred and fifty-four Korean adolescents were asked to complete the Korean version of the CADI(K-CADI), the Phlegm Pattern, the Cold-Heat Pattern, and the Korean version of the General Health Questionnaires. A clinician estimated acne severity for the adolescents, using the Korean Acne Grading System. Finally, reliability and validity of the K-CADI was examined, and the relationships between acne severity, Phlegm, Cold, and Heat patterns, and Qo L level were examined via pathway analysis.RESULTS: The K-CADI had satisfactory internal consistency(α = 0.827). The examination of construct validity indicated that the K-CADI had one factor(explaining 59.6% of the total variance). Pathway analysis showed satisfactory model fit(normal fit index = 0.960 and comparative fit index = 0.983),and acne-related Qo L was determinant to Phlegm,Heat, and Cold patterns(0.13-0.27 of β), and Phlegm and Heat patterns lowered one's Qo L level(0.17-0.34 of β).CONCLUSION: The K-CADI is a valid and reliable instrument. Phlegm and Heat patterns should be managed when treating acne since they have a moderating effect on general Qo L aggravation.
基金supported by the National Natural Science Foundation of China (Grant No. 61361136001)
文摘The story of the Twenty-four Solar Terms(24-ST_s) is one of the most popular elements in Chinese culture, which has a profound influence on agriculture production, health care, and even daily life in both ancient and modern China. This traditional calendric system was invented by the Chinese ancestors through combining fundamental astronomical knowledge with climatic and phenological conditions in the Yellow River Basin some 2000 years ago. Although the basic philosophy of the 24-ST_s remains valid for the country as a whole to date, their regional robustness has been increasingly challenged by accumulating observational data in terms of temporal shift and spatial inhomogeneity. To tackle these issues, we propose to recalibrate the medically related critical timings of Great Heat and Great Cold in the classic ST system by using big meteorological data, and adjust them by introducing geographically correlated analytical models. As a result, a novel calendric system, called the Twenty-four Medical Terms(24-MT_s), has been developed as an upgraded version of the traditional 24-ST_s. The proposed 24-MT_s are characterized by two striking features with respect to the 24-ST_s: A varying duration of each MT instead of a fixed one for the ST, and a geographically dependent timing for each MT instead of a unified one for the entire nation. As such, the updated 24-MT_s are expected to provide a more realistic estimate of these critical timings around the year, and hence, a more precise guidance to agronomic planning and health care activity in China.
