中医药团体标准评价体系(SCORE-TCM)解读

本文全面解读了中医药团体标准评价体系(System of Consortium Standards Rating and Evaluation of Traditional Chinese Medicine,SCORE-TCM)。SCORE-TCM是结合定性与定量评价,全面评估中医药团体标准在制定主体、文本编写、技术内容、推广应用和实施效益等几方面特征的综合评价工具。文中详述了SCORE-TCM的构建目的、定义和构建过程,解释了评价指标体系中的各项指标,并对每项指标的评价材料进行介绍。本文旨在帮助中医药团体标准的制定者、第三方评价机构和其他相关方更好地理解SCORE-TCM各评价条目的含义,更有效地运用于中医药团体标准的自评价或第三方评价,SCORE-TCM将为《中医药团体标准管理办法》的贯彻实施,以及中医药团体标准的高质量发展提供技术支持。

基于SCORE-TCM的中医药团体标准抽样评价方案设计

目前,各社会团体积极参与中医药标准的制定和发布,特别是“十四五”以来,中医药团体标准化工作更是迎来了提质增效的关键阶段。深入评估社会团体发布的中医药标准质量,是推进中医药团体标准工作的关键环节和重点任务。前期已研制并形成了中医药团体标准评价体系(System of Consortium Standards Rating and Evaluation of Traditional Chinese Medicine, SCORETCM)。在上述背景下,本研究通过专家共识法,设计了一套基于SCORE-TCM的中医药团体标准抽样评价方案,应用场景为对于特定社会团体发布的标准,或各团体发布的特定技术类别的标准进行快速评估。该方案涵盖了标准抽样、材料收集、标准评价、结果解读的完整流程,为中医药团体标准的抽样评价工作提供了参考方案。

A Conversation with Professor Ted Kaptchuk,a Key Architect of Modern TCM in the West

The interview was conducted on November 20th,2022 by Ioannis Solos and Charles Buck.Ted Kaptchuk(泰开阳)is a Professor of Medicine and a Professor of Global Health&Social Medicine at Harvard Medical School.In 1975,he graduated from the Macao Institute of Chinese Medicine,Macao,China.After returning to the West,Ted taught Chinese medicine throughout the States,Europe,Latin America,and Australia.Ted’s book,The Web that Has No Weaver:Understanding Chinese Medicine is a groundbreaking explanation of East Asian medicine that continues to shape the discourse of the Chinese medicine profession in the West and has been translated into 13 languages.In 1990,Ted was recruited in Harvard Medical School to help research Chinese medicine.After encountering high placebo responses in multiple acupuncture clinical trials,Ted decided to switch his career to primarily studying placebo.He has published over 300 peer-reviewed articles.He has been awarded the Lifetime Achievement Award from the Society of Acupuncture Research(2015),the Lifetime Achievement Award from the Society for Interdisciplinary Placebo Studies(2021),and the William Silen Lifetime Achievement Award in Mentoring from Harvard Medical School(2022).

城市轨道交通ATO与TCMS功能融合设计

[目的]基于ATO(列车自动运行系统)与TCMS(列车控制及监控系统)的基本功能,采用融合设计的方式可简化重复设计,并优化列车控制功能,故有必要开展相关研究。[方法]通过综合分析现阶段ATO和TCMS在城市轨道交通中的功能和应用,研究ATO和TCMS控制功能融合,提出了一种列车系统集成化和控制功能更佳的一体化设计方案,并分析了功能融合所带来的优势。[结果及结论]融合ATO和TCMS功能后,可提高列车的系统集成度,使之更容易实现智能化,但也需要克服技术和管理等方面的挑战。

应用于中继卫星通信系统的16QAM-TCM技术研究

网格编码调制技术可以在不改变信息传输频谱带宽的条件下,改善信噪比,减少发射功率,降低误码率,其实现的方法是分割星座图形成子集,逐步增大星座图中信号点之间的最小欧氏距离。本论文在项目组自研的中继卫星通信系统仿真平台上,仿真了8PSK与16QAM-TCM两种调制技术的解调性能,仿真曲线反映了误比特率需求与所需信噪比之间的关系。仿真结果表明:(1)在理想信道条件、I/Q(Inphase/Quadrature,同相/正交)幅相不平衡、幅频特性、群时延、相位噪声、功率放大器饱和点条件下,假设误比特率需求为1E-7,16QAM-TCM技术的信噪比需求与8PSK调制技术的信噪比需求相比,分别可节省8.85 dB、9.04 dB、8.45 dB、10.2 dB、8.5 dB、14.6 dB的信噪比;(2)在非线性信道条件下,当信噪比增大时,8PSK调制技术的误比特率在1E-3数量级附近波动,不再变化;(3)假设需求的误比特率为1E-7,16QAMTCM调制技术非线性信道信噪比仿真值与理想信道信噪比仿真值相比,损失了4.8 dB。

基于GaN器件的单相逆变器TCM控制策略研究

氮化镓(GaN)高电子迁移率晶体管具有开关速度快、器件损耗小的优点,在高频应用场合得到广泛应用。为了进一步提高变换器效率和功率密度,将三角电流模式(TCM)调制用于基于GaN器件的单相逆变器中,通过控制负向电流与死区时间实现了全范围零电压开关(ZVS),达到提高变换器效率和功率密度的目的。搭建了1台样机进行验证,实验结果表明,TCM调制在不同负载条件下均可实现软开关,最大开关频率可达300 kHz,峰值效率可达98.5%。

从美国针灸流派的产生发展看中医针灸理论的国际传播——以TCM针灸流派和医学针灸流派为例

传统中医针灸流派和医学针灸流派分属美国针灸流派的两大阵营,且最具代表性。从二者的产生以及在美国的传播发展历程看,针灸作为一门传统医疗技术,在美国实现“本土化”,以及进一步走向国际化和现代化的进程中,其面临的理论国际传播问题最为突出。站在医学史的角度,并结合针灸医学的自身特点,从理论整合重构、科学研究深化以及针灸海外教育三个方面入手,冲破针灸医学在国际传播中的局限,向世界展现中医针灸理论的全貌,是目前针灸医学理论实现国际化和现代化的前进方向。

基于TCM模式的护理干预对肺癌手术患者情绪、肺功能及生活质量的影响

目的 探讨基于TCM模式的护理干预对肺癌手术患者情绪、肺功能及生活质量的影响。方法 选择2020年2月—2022年2月江苏省人民医院收治的126例行胸腔镜肺癌根治术患者为研究对象,以随机数字表法分为2组,每组63例,对照组给予胸外科临床基础性护理干预,试验组在对照组护理基础上应用基于TCM模式的护理干预。比较2组患者干预前及干预30 d后的情绪(SAS评分、SDS评分)、肺功能指标[1 min内最大通气量(MVV)、用力肺活量(FVC)、第1秒用力呼气容积(FEV_(1))]、生活质量(KPS评分)及护理满意度。结果 干预30 d后,2组患者SAS评分、SDS评分均有不同程度的下降,且组间比较试验组明显低于对照组,差异均有统计学意义(P均<0.05);2组患者的KPS评分以及MVV、FVC、FEV_(1)均升高,且组间比较试验组的KPS评分及肺功能指标均高于对照组,差异均有统计学意义(P均<0.05);试验组患者的总体满意度为96.83%(61/63),显著高于对照组的80.95%(51/63),差异有统计学意义(P<0.05)。结论 基于TCM模式的护理干预效果明显优于常规护理,能够显著改善肺癌手术患者的肺功能,缓解负性情绪,提高患者生活质量,继而获得患者认同。

The Significance of Constructing TCM Psychosomatic Medicine from the Holistic View of the Unity of Nature and Man

With the development of medical technology, the problem of fragmentation of medical research has become increasingly prominent, and a series of iatrogenic diseases, drug-induced diseases and drug toxicity and side effects have resulted in an increase in the number of diseases. In the face of these problems, the medical concept has been re-examined and re-thought. The concept of the holistic view of the unity of nature and man in traditional Chinese medicine has certain enlightenment for dealing with the problems in the current medical development. Based on the holistic view of the unity of nature and man, the overall connection between human’s heart and body and nature is explained, and the further construction of TCM psychosomatic medicine is conducive to guiding the diagnosis and treatment of clinical diseases, and providing new enlightenment for the current medical concept thinking and clinical disease research.

Discussion on the Treatment of Palmoplantar Keratosis by TCM Soaking and Washing

By combing the mechanism and advantages of traditional Chinese medicine(TCM)soaking and washing and combining TCM syndrome differentiation with western medicine differentiation of diseases,guided by the view that"the principle of external treatment is that of internal treatment",this article discusses the differentiation and treatment ideas of palmoplantar keratosis by TCM soaking and washing,which will provide a reference for clinical treatment.

TCM’s International Education Trailblazers

Promoting standardization and legalization of international TCM education.Every day,Marissa arrives ready to work at the Hospital of Chengdu University of Traditional Chinese Medicine(CDUTCM)at 8 a.m.An Indonesian student at CDUTCM based in Chengdu,Sichuan Province,Marissa has been studying TCM for nearly five years and is now participating in a rotating internship in multiple departments including acupuncture,massage,and dermatology.A fluent Chinese speaker,Marissa rarely encounters difficulties communicating with patients.Luckily,foreign TCM doctors are becoming more common now.

Southeast Asia Embraces TCM

Traditional Chinese medicine(TCM),a gem in the treasure trove of Chinese culture,offers crucial insights into the time-honored Oriental civilization.As early as the Qin Dynasty(221-206 BC),increased trade and cultural interactions between China and neighboring Southeast Asian countries had already brought the Chinese medical therapies to the region as optional treatments.

HXD3CA型机车TCMS系统地面试验平台构建研究

列车网络控制系统(Train Control and Management System,TCMS)是利用网络技术将机车各控制设备连接在一起,设立主控设备,进行统一控制和信息共享,是机车的信息通信核心。HXD3CA型机车TCMS系统以东芝成熟的列车通信网络技术为基础,结合国际标准的列车通信网络(TCN)开发研制而成。HXD3CA型机车TCMS系统地面试验平台(以下简称TCMS试验平台)用于备品备件测试,岗位员工培训,故障现象再现。本文主要介绍了TCMS试验平台的构建过程和各种模拟器硬件实现方法。

CRISPR system contributes to deciphering the pharmaceutical compounds from TCM

Traditional Chinese medicines(TCMs),usually comprising hundreds of different compounds with distinctive physiochemical properties,have been practiced for thousands of years worldwide for the treatment of various human diseases.Significant pharmacological properties have been clarified for many TCM in recent decades,while great efforts are needed to identify the active biomedical materials from TCM due to challenges such as technical barriers to screening,isolation,characterization,and optimization[1].Recent improvements in analytical tools,genome mining,and bioengineering technologies such as CRISPR-Cas systems are overcoming such challenges and offering new opportunities,promoting the integrative studies of TCM to systematically dig out the potential pharmaceutical compounds of TCMs[2-4].

TCM Accelerates Its Global Push

Traditional Chinese medicine has become more popular in the international market thanks to its help with the pandemic response.However,standardization remains a bottleneck.

TCM Aid in Phnom Penh

An array of banners with Chinese characters hailing the exceptional medical skills and kind heartedness of medical workers adorned the wall of a crowded section of the modern medical building of Cambodia-China Friendship Preah Kossamak Hospital in Phnom Penh.The banners were presented by Cambodian patients,and this place is the first traditional Chinese medicine(TCM)clinic established by the Chinese pandemic-aid TCM medical team in a Cambodian public hospital.

Dedication to TCM Promotion Worldwide

Traditional Chinese Medicine(TCM)is an integral piece of traditional Chinese culture and the crystallization of the wisdom of Chinese civilization.On October 1,2018,the World Health Organization(WHO)added TCM to its globally influential medical compendium for the first time.TCM represents accumulated experience of the ancient Chinese in fighting various diseases,and its theories and writings have been promulgated in many countries and regions including Japan,the Korean Peninsula,Central Asia,West Asia,and Southeast Asia.

TCMS系统在北京地铁10号线故障处置中的应用

为保证地铁列车能够安全高效地运行,应及时采集分析出现的故障信息,因此,网络控制与诊断系统的有效应用至关重要。以北京地铁10号线网络控制与诊断系统为例,在阐述功能及原理的基础上,以工作中经常发生的故障显示操作为依据,列举了地铁列车各系统的故障排查及处置措施,解决了地铁列车运行中的安全隐患问题。分析结果表明,通过对网络控制与诊断系统的有效应用,可以减少列车的故障发生率,同时提高检修效率。

Effects of TCM Nursing Based on Syndrome Differentiation on Pulmonary Function and Quality of Life in Patients with Acute Exacerbation of COPD

[Objectives] To investigate the effects of TCM nursing based on syndrome differentiation on pulmonary function and quality of life in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). [Methods] A total of 92 patients with AECOPD who came to Nanchong Chinese Medicine Hospital from March 2022 to February 2023 were selected for the study, and the intervention group (TCM nursing based on syndrome differentiation, 46 cases) and the conventional group (basic nursing, 46 cases) were selected for the study, and the pulmonary function and quality of life of the two groups were compared. [Results] Before nursing, there was no significant difference in levels of forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and percentage of forced expiratory volume in one second to forced vital capacity (FEV1/FVC) between the intervention group and conventional group ( P >0.05). After 3 months of nursing, the levels of FVC, FEV1 and FEV1/FVC in the intervention group were higher than those in the conventional group ( P <0.05). Before nursing, there was no significant difference in the scores of health, emotion and social functions between the two groups ( P >0.05). At three months of nursing, the scores of health, emotion, and social functions in the intervention group were higher than those in the conventional group ( P <0.05). [Conclusions] The implementation of TCM nursing based on syndrome differentiation in patients with AECOPD can effectively improve the pulmonary function and quality of life of patients, and has significant clinical implementation value.

轨道车辆技术TCMS终端系统仿真装置设计

在城市轨道交通车辆运营中,车辆的安全可靠运行关系到乘客的人身安全问题。针对城轨车辆整车故障排查与处理,文章给出了基于TCMS终端系统仿真装置的设计、开发、验证和维护,实现对列车网络系统的接口、车载电气控制系统的逻辑控制、故障诊断及排除等方面的分析验证,弥补车辆故障排查与处理研究的不足,为轨道车辆技术赛项提供了平台支撑。