Objective To evaluate physicians' attitude and knowledge about the management of adult growth hormone deficiency(AGHD) at Peking Union Medical College Hospital and impact factors associated with better decision-ma...Objective To evaluate physicians' attitude and knowledge about the management of adult growth hormone deficiency(AGHD) at Peking Union Medical College Hospital and impact factors associated with better decision-making.Methods A 21-question anonymous survey was distributed and collected at Peking Union Medical College Hospital,a major teaching hospital in Chinese Academy of Medical Sciences.Data of physicians' educational background,clinical training,patient workload per year and continuing medical education in AGHD were collected.Factors associated with appropriate answers were further analyzed by multivariate regression models.Results One hundred and eighteen internal medicine residents,endocrine fellows,attending physicians and visiting physicians responded to the survey.Among them,44.9% thought that AGHD patients should accept recombinant human growth hormone replacement therapy.Moreover,56.8% selected insulin tolerance test and growth hormone-releasing hormone-arginine test for the diagnosis of AGHD.Logistic regression analysis of physician demographic data,educational background,and work experience found no consistent independent factors associated with better decision-making,other than continued medical education,that were associated with treatment choice.Conclusions The physicians' reported management of AGHD in this major academic healthcare center in Beijing was inconsistent with current evidence.High quality continued medical education is required to improve Chinese physician management of AGHD.展开更多
Lu Zhizheng as one of the first national TCM masters in China, has gradually formed an academic thought of his own after longterm clinical practice of TCM. Such as development of spleen and stomach theory,18-character...Lu Zhizheng as one of the first national TCM masters in China, has gradually formed an academic thought of his own after longterm clinical practice of TCM. Such as development of spleen and stomach theory,18-character guideline——holding central area, operating also, taking good care of emotional activities, soothing liver, moistening dryness, improving digestion, and while his conclusions have been used for clinical practice flexibly. He suggested that the key of pathogenesis may be excessive fluid together with phlegm dampness and proposed the treatment rules of diseases caused by dampness. And he attempted to expound the methods and results of the research of rheumatism diseases. If conditions of diseases change,Professor Lu Zhizheng would be agile and adjust according to the conditions. The method of herbs is principled,and King Way therapy used by TCM treatment should be promoted.展开更多
ACUPUNCTURE, practiced in China for over 2,500 years, continues to baffle Western medics. This ancient remedial technique cures ills that do not respond to modern medicine. It is based on the principle of puncturing p...ACUPUNCTURE, practiced in China for over 2,500 years, continues to baffle Western medics. This ancient remedial technique cures ills that do not respond to modern medicine. It is based on the principle of puncturing points along meridians - paths along which the body＇s vital energy, or qi, circulates.展开更多
Zhao Cui-ying, researcher, female, born in 1940, doctoral supervisor, is an instructor at the research studio of Shanghai famous and senior Chinese medical practitioners＇ academic experience, used to enjoy the specia...Zhao Cui-ying, researcher, female, born in 1940, doctoral supervisor, is an instructor at the research studio of Shanghai famous and senior Chinese medical practitioners＇ academic experience, used to enjoy the special allowance of State Council. She graduated in 1964 from the Department of Medicine, Shanghai Second Medical University, and at the same year came to work in Shanghai Research Institute of Acupuncture and Meridian up to today, used to be a director of the Immunology Research Room of Shanghai Research Institute of Acupuncture and Meridian, and a consultant of Grade 3 Laboratory of Acupuncture Immunology of State Administration of Traditional Chinese Medicine, and is a vice chairwoman and deputy secretary general of Shanghai Professional Committee for the Respiratory Diseases of Integrated Chinese and Western Medicine. Zhao Cui-ying has been engaged in the clinical, research and teaching work in the field of immune-related diseases treated by acupuncture and moxibustion for over 40 years, with abundant and distinguished experience, has undertaken over 10 state and provincial subjects and offered many important viewpoints in the research of acupuncture treatment of immune-related diseases, and has obtained several scientific and technological achievements, and published totally 80 academic papers, and has been honored with 10 awards, including 6 provincial awards. As a tutor or instructor, she has trained 7 doctoral students and 16 master students.展开更多
基金Supported by National Natural Science Foundation of China(81400774)PUMC Youth Fund(33320140164 and 3332016128)
文摘Objective To evaluate physicians' attitude and knowledge about the management of adult growth hormone deficiency(AGHD) at Peking Union Medical College Hospital and impact factors associated with better decision-making.Methods A 21-question anonymous survey was distributed and collected at Peking Union Medical College Hospital,a major teaching hospital in Chinese Academy of Medical Sciences.Data of physicians' educational background,clinical training,patient workload per year and continuing medical education in AGHD were collected.Factors associated with appropriate answers were further analyzed by multivariate regression models.Results One hundred and eighteen internal medicine residents,endocrine fellows,attending physicians and visiting physicians responded to the survey.Among them,44.9% thought that AGHD patients should accept recombinant human growth hormone replacement therapy.Moreover,56.8% selected insulin tolerance test and growth hormone-releasing hormone-arginine test for the diagnosis of AGHD.Logistic regression analysis of physician demographic data,educational background,and work experience found no consistent independent factors associated with better decision-making,other than continued medical education,that were associated with treatment choice.Conclusions The physicians' reported management of AGHD in this major academic healthcare center in Beijing was inconsistent with current evidence.High quality continued medical education is required to improve Chinese physician management of AGHD.
文摘Lu Zhizheng as one of the first national TCM masters in China, has gradually formed an academic thought of his own after longterm clinical practice of TCM. Such as development of spleen and stomach theory,18-character guideline——holding central area, operating also, taking good care of emotional activities, soothing liver, moistening dryness, improving digestion, and while his conclusions have been used for clinical practice flexibly. He suggested that the key of pathogenesis may be excessive fluid together with phlegm dampness and proposed the treatment rules of diseases caused by dampness. And he attempted to expound the methods and results of the research of rheumatism diseases. If conditions of diseases change,Professor Lu Zhizheng would be agile and adjust according to the conditions. The method of herbs is principled,and King Way therapy used by TCM treatment should be promoted.
文摘ACUPUNCTURE, practiced in China for over 2,500 years, continues to baffle Western medics. This ancient remedial technique cures ills that do not respond to modern medicine. It is based on the principle of puncturing points along meridians - paths along which the body＇s vital energy, or qi, circulates.
基金supported by Scientific Research Budget Project of Shanghai Municipal Education Commission (09jw55)Special Scientific Research Fund for Selection and Cultivation of Elite in College and University (szy10071)National Basic Research Program of China (973 Program, 2009CB522900)
文摘Zhao Cui-ying, researcher, female, born in 1940, doctoral supervisor, is an instructor at the research studio of Shanghai famous and senior Chinese medical practitioners＇ academic experience, used to enjoy the special allowance of State Council. She graduated in 1964 from the Department of Medicine, Shanghai Second Medical University, and at the same year came to work in Shanghai Research Institute of Acupuncture and Meridian up to today, used to be a director of the Immunology Research Room of Shanghai Research Institute of Acupuncture and Meridian, and a consultant of Grade 3 Laboratory of Acupuncture Immunology of State Administration of Traditional Chinese Medicine, and is a vice chairwoman and deputy secretary general of Shanghai Professional Committee for the Respiratory Diseases of Integrated Chinese and Western Medicine. Zhao Cui-ying has been engaged in the clinical, research and teaching work in the field of immune-related diseases treated by acupuncture and moxibustion for over 40 years, with abundant and distinguished experience, has undertaken over 10 state and provincial subjects and offered many important viewpoints in the research of acupuncture treatment of immune-related diseases, and has obtained several scientific and technological achievements, and published totally 80 academic papers, and has been honored with 10 awards, including 6 provincial awards. As a tutor or instructor, she has trained 7 doctoral students and 16 master students.
