Traditional Chinese Medicine (TCM) is becoming much more international and widely accepted. More and more foreign students come to China's Mainland to study this great yet mysterious discipline. However, the curre...Traditional Chinese Medicine (TCM) is becoming much more international and widely accepted. More and more foreign students come to China's Mainland to study this great yet mysterious discipline. However, the current teaching methods are far from satisfaction. This paper analyzes some existing problems and contradictions present in the teaching practices and suggests some measures for improvement.展开更多
Introduction： Limited data are available regarding medical students’ habits related to long duration shifts and graduation classes that could negatively impact on their academic performance. The objective of this st...Introduction： Limited data are available regarding medical students’ habits related to long duration shifts and graduation classes that could negatively impact on their academic performance. The objective of this study is to identify the profile factors related to life quality and cardiovascular risk on medical students of a private university in Brazil. Methods： This study is based on a descriptive analysis of cross-sectional cohort of a sample of 490 students from the first to sixth year of medical school. The data were collected through an anonymous questionnaire. Results： Some of the data were： 81.6% of students reported alcohol ingestion, 5.9% are smokers and 13.9% reported use of illicit drugs, 27.9% informed adding salt to the food, 78.4% reported stress/anxiety. Conclusion： After observing all the collected data, a project was built for a longitudinal analysis of the influence of life style during the medical school years on mental and cardiovascular health, short and long term.展开更多
Background Patient autonomy is a leading principle in bioethics and a basis for shared decision making. This study explores conditions for an autonomous choice experienced by older adults who recently underwent trans-...Background Patient autonomy is a leading principle in bioethics and a basis for shared decision making. This study explores conditions for an autonomous choice experienced by older adults who recently underwent trans-catheter aortic valve replacement （TAVR）. Methods Qualitative study entailing semi-structured interviews of a purposive sample often older （range 73-89, median 83.5 years） adults after TAVR （median 23 days）. The study setting was a cardiac department at a university hospital performing TAVR since 2010. Analysis was by systematic text condensation. Results Even when choice seemed hard or absent, TAVR-patients deliberately took the chance offered them by processing risk assessment, ambivalence and fate. They regarded declining the treatment to be worse than accepting the risk related to the procedure. The experience of being thoroughly advised by their physician formed the basis of an autonomous trust. The trust they felt for the physicians＇ recommendations mitigated ambivalence about the procedure and risks. TAVR patients expressed feelings consistent with self-empowerment and claimed that it had to be their decision. Even so, choosing the intervention as an obligation to their family or passively accepting it was also reported. Conclusions Older TAVR patients＇ experience of an autonomous decision may encompass frank tradeoff; deliberate physician dependency as well as a resilient self-view. Physicians should be especially aware of how older adults＇ subtle cognitive declines and inclinations to preserve their identities which can influence their medical decision making when obtaining in- formed consent. Cardiologists and other providers may also use these insights to develop new strategies that better respond to such inherent complexities.展开更多
文摘Traditional Chinese Medicine (TCM) is becoming much more international and widely accepted. More and more foreign students come to China's Mainland to study this great yet mysterious discipline. However, the current teaching methods are far from satisfaction. This paper analyzes some existing problems and contradictions present in the teaching practices and suggests some measures for improvement.
文摘Introduction： Limited data are available regarding medical students’ habits related to long duration shifts and graduation classes that could negatively impact on their academic performance. The objective of this study is to identify the profile factors related to life quality and cardiovascular risk on medical students of a private university in Brazil. Methods： This study is based on a descriptive analysis of cross-sectional cohort of a sample of 490 students from the first to sixth year of medical school. The data were collected through an anonymous questionnaire. Results： Some of the data were： 81.6% of students reported alcohol ingestion, 5.9% are smokers and 13.9% reported use of illicit drugs, 27.9% informed adding salt to the food, 78.4% reported stress/anxiety. Conclusion： After observing all the collected data, a project was built for a longitudinal analysis of the influence of life style during the medical school years on mental and cardiovascular health, short and long term.
文摘Background Patient autonomy is a leading principle in bioethics and a basis for shared decision making. This study explores conditions for an autonomous choice experienced by older adults who recently underwent trans-catheter aortic valve replacement （TAVR）. Methods Qualitative study entailing semi-structured interviews of a purposive sample often older （range 73-89, median 83.5 years） adults after TAVR （median 23 days）. The study setting was a cardiac department at a university hospital performing TAVR since 2010. Analysis was by systematic text condensation. Results Even when choice seemed hard or absent, TAVR-patients deliberately took the chance offered them by processing risk assessment, ambivalence and fate. They regarded declining the treatment to be worse than accepting the risk related to the procedure. The experience of being thoroughly advised by their physician formed the basis of an autonomous trust. The trust they felt for the physicians＇ recommendations mitigated ambivalence about the procedure and risks. TAVR patients expressed feelings consistent with self-empowerment and claimed that it had to be their decision. Even so, choosing the intervention as an obligation to their family or passively accepting it was also reported. Conclusions Older TAVR patients＇ experience of an autonomous decision may encompass frank tradeoff; deliberate physician dependency as well as a resilient self-view. Physicians should be especially aware of how older adults＇ subtle cognitive declines and inclinations to preserve their identities which can influence their medical decision making when obtaining in- formed consent. Cardiologists and other providers may also use these insights to develop new strategies that better respond to such inherent complexities.
