张爱玲是中国文学史上的传奇人物,以其独特华丽的文学造诣为读者所熟知。同时她也是一位双语作家兼翻译大家,惯于翻译自己创作的文学作品。以接受理论为指导,对张爱玲的英语散文Chinese Life and Fashions及其自译本《更衣记》进行详细...张爱玲是中国文学史上的传奇人物,以其独特华丽的文学造诣为读者所熟知。同时她也是一位双语作家兼翻译大家,惯于翻译自己创作的文学作品。以接受理论为指导,对张爱玲的英语散文Chinese Life and Fashions及其自译本《更衣记》进行详细的比较研究,凸显译者在翻译活动中的核心地位。展开更多
Quality of Life (QOL) is a multiphase conception, including physical, mental and social factors, and can overall reflect health status of the human. At present, QOL has become a relevant measure of efficacy of treatme...Quality of Life (QOL) is a multiphase conception, including physical, mental and social factors, and can overall reflect health status of the human. At present, QOL has become a relevant measure of efficacy of treatment in clinical trials. Its use is spreading, and its importance is growing as a valid indicator of whether or not a medical treatment is展开更多
Objective: The Chinese Quality of Life Instrument (ChQOL) was developed as a valid generic health status instrument based on the well-established theory of health in Chinese medicine. Psychometric properties of the...Objective: The Chinese Quality of Life Instrument (ChQOL) was developed as a valid generic health status instrument based on the well-established theory of health in Chinese medicine. Psychometric properties of the ChQOL were good. In the present study, the responsiveness of the ChQOL in patients with congestive heart failure (CHF) were investigated and compared with two generic questionnaires, the Medical Outcomes Study Short Form 36-item Health Survey (SF-36) and World Health Organization Quality of Life Assessment (WHOQOL-BREF), as well as one disease-specific questionnaire, the Minnesota Living with Heart Failure Questionnaire (MLHF). Methods: Thirty-nine in-patients with CHF who had undergone treatment with integrative medicine were recruited. The health status measurements were performed at enrolment and after a 4-week treatment. The following responsiveness indices were used: the effect size (ES) and standardized response mean (SRM). All patients were classified into those groups with stable measures and those groups with changes after a 4-week treatment, based upon both the doctor's global rating of changes in heart function tests, and the patient's global rating of changes in overall quality of life. Results: All domains of the ChQOL showed significant improvement. In the comparison of the responsiveness indices, the ChQOL was regarded as more responsive than the WHOQOL-BREF or SF-36 utility, but it was less responsive than the MLHF. Conclusions: The ChQOL was better in sensitivity and responsiveness for assessing congestive heart failure as a generic measure than the SF-36 and WHOQOL-BREF. The ChQOL is considered suitable as an outcome measure for clinical trials in patients with congestive heart failure.展开更多
Health related quality of life(HRQOL) can better reflect changes in acquired immune deficiency syndrome(AIDS) patients and inform economic evaluation of AIDS treatment services,and the assessment of HRQOL can help us ...Health related quality of life(HRQOL) can better reflect changes in acquired immune deficiency syndrome(AIDS) patients and inform economic evaluation of AIDS treatment services,and the assessment of HRQOL can help us to detect problems that may influence the progression of the disease,hence HRQOL has become a particularly important assessment indictor for HIV comprehensive interventions.Being a multi-angle,multi-level,and diversified complex intervention,roles of Chinese medicine(CM) in AIDS treatment have been recognized and accepted by more and more patients,and HRQOL has been widely used to evaluate the comprehensive management effects of CM on AIDS.In this article,the authors analyze the definition and measurement of HRQOL,measurement of HRQOL of HIV/AIDS patients and effects of CM on AIDS,and give some reasonable advices for the usage of the scale of HRQOL.The authors hold that some new HRQOL instruments specific for CM treatment of AIDS should be developed and further prospective studies should be carried out to demonstrate the practicality,reliability and validity of HRQOL as an evaluation indictor for CM treatment of AIDS.展开更多
Objective: To establish questionnaire scaling and reliability and examine the clinical and psychometric validity of the quality of life assessment based on Traditional Chinese Medicine for advanced gastric cancer(QL...Objective: To establish questionnaire scaling and reliability and examine the clinical and psychometric validity of the quality of life assessment based on Traditional Chinese Medicine for advanced gastric cancer(QLASTCM-Ga). Methods: The QLASTCM-Ga was developed based on programmed decision procedures with multiple nominal and focus group discussions, in-depth interview, pretesting and quantitative statistical procedures. The questionnaire was administered to 240 patients diagnosed with advanced gastric cancer before and after treatment. Structured group methods were employed to establish a general and a specific module respectively. The psychometric properties of the scale were evaluated with respect to validity, reliability and responsiveness. Results: The three identified scales of the QLASTCM-Ga and the total score demonstrated good psychometric properties. Test-retest reliability of the total scale and all domains ranged from 0.90 to 0.94, and internal consistency ranged from 0.86 to 0.93. Correlation and factor analysis demonstrated good construct validity. Significant difference in the subscales and the total score were found among groups differing in traditional Chinese medicine syndrome, supporting the clinical sensitivity of the QLASTCM-Ga. Statistically significant changes were found for each scale and the total score. Responsiveness was also good. Conclusions: The QLASTCM-Ga demonstrates good psychometric and clinical validity to assess quality of life in patients with advanced gastric cancer undergoing traditional Chinese medicine therapy. This study is an important first step for future research in this area.展开更多
THE past 20 years since China launched its economic reform have seen thefastest growth ever in the Chinese people’s living standard. According to ananalysis by the State Statistics Bureau based on a comprehensive eva...THE past 20 years since China launched its economic reform have seen thefastest growth ever in the Chinese people’s living standard. According to ananalysis by the State Statistics Bureau based on a comprehensive evaluationof the overall living standard, urban residents in China have reached 90 percent ofthe index required by a well-off life, while rural residents have reached 81.5percent of the index. The evaluation shows that Chinese residents have achieved展开更多
Objective To explore the impact of patient reported outcome of tyrosine kinase inhibitor(TKI)related side effects on daily life in Chinese patients with chronic myceloid leukemia(CML)in the chronic phase(CP).Methods F...Objective To explore the impact of patient reported outcome of tyrosine kinase inhibitor(TKI)related side effects on daily life in Chinese patients with chronic myceloid leukemia(CML)in the chronic phase(CP).Methods From May to November in 2014。展开更多
CHINA is in the midst of snowballing economic changes that are naturally affecting society deeply. Take bikes, for example, one of China’s main modes of transportation. Chinese-made, cheap, heavy, black, steel, mass-...CHINA is in the midst of snowballing economic changes that are naturally affecting society deeply. Take bikes, for example, one of China’s main modes of transportation. Chinese-made, cheap, heavy, black, steel, mass-produced bikes are being replaced by imported mountain bikes or tenspeeds. People are clearly making more money and are able to afford such fast, colorful imported products. Financial disparity is more apparent. One man who sells cigarettes and gum from a corrugated tin shack next to others who sell bike seats, fix shoes and make eys in a free market is now clad in展开更多
Objective: To investigate the effects of health education based on integrative therapy of Chinese and Western medicine for type 2 diabetes mellitus(T2DM) from the aspects of knowledge, attitude and practice(KAP),...Objective: To investigate the effects of health education based on integrative therapy of Chinese and Western medicine for type 2 diabetes mellitus(T2DM) from the aspects of knowledge, attitude and practice(KAP), health-related quality of life(HRQo L), body mass index(BMI) and glucose control. Methods: Patients were individually randomized into intervention group(receiving integrative education, n=120) and control group(receiving usual education, n=120). The primary outcome was the changes in glycosylated hemoglobin A1c(HbA1c) levels after 3, 6, 9 and 12 months from baseline. Hierarchical linear models(HLMs) were used to assess within-group changes in outcomes over time and between-group differences in patterns of change. Secondary outcomes were KAP scores, HRQo L scores and BMI after 6 and 12 months, paired-sample t test was used to assess within-group changes in outcomes in 6 and 12 months, independent-sample t test was used to assess between-group differences in patterns of change. Results: HbA1c decreased statistically from baseline to 3 months, from 3 to 6 months, from 6 to 9 months and from 9 to 12 months in the intervention group(all P〈0.01); and decreased significantly from baseline to 3 months, and from 3 to 6 months in the control group(P〈0.01). There were significant between-group differences from baseline to 3 months(P=0.044), from 6 to 9 months(P〈0.01) and from 9 to 12 months(P〈0.01). Significant improvements in the intervention group along with significant between-group differences were found in KAP and HRQo L scores respectively(all P〈0.05). The number in the intervention group of normal weight increased from 56 at baseline to 81(6 months), 94(12 months), the number in the control group were 63(baseline), 69(6 months), 70(12 months), the χ~2 of hierarchical analysis of BMI were 6.93(P=0.075), 10.31(P=0.016), 15.53(P〈0.01), respectively. Conclusion: Health education based on integrative therapy of Chinese and Western medicine is beneficial to the control of T2DM and should be recommended for T2DM.展开更多
Dialogue at the level of value beliefs is the underlying dimension of philosophical dialogue, yet at the same time it is the hardest and most problematic. Benign dialogue at the level of value beliefs makes the premis...Dialogue at the level of value beliefs is the underlying dimension of philosophical dialogue, yet at the same time it is the hardest and most problematic. Benign dialogue at the level of value beliefs makes the premise for real open and deep communication and interaction between Chinese, Western and Marxist philosophies, as well as significant content of and essential path to understanding of our own existing, configuring philosophy in contemporary China, and generating our national "philosophical ego" in the context of the life world of the Chinese.展开更多
Contemporary China, the largest construction site in the world, is the centre of production of architectural 'vessels' that are compacted with technical and scientific knowledge. Nevertheless, traditional wisdom and...Contemporary China, the largest construction site in the world, is the centre of production of architectural 'vessels' that are compacted with technical and scientific knowledge. Nevertheless, traditional wisdom and personal cultivation is often neglected in this process of creating architecture. This paper makes a connection between the Chinese ideogram of 道 (dao = way), with the Greek term of φρovησιc (phronesis = practical wisdom), in the context of architecture. We argue that both terms bring forth the importance of ethics and practical wisdom in the making of architecture, as a process of cultivation. This argument is discussed through two case studies: a historical Chinese garden (Sima Guang's 'Garden of Solitary Enjoyment'), as a manifestation of Dao, and an educational situation from a contemporary architectural design studio in a school of architecture, as a manifestation of phronesis. Both these diverse examples offer a possibility to see architecture as the creation of 'vessels for life' where 'vessel' and 'life' are inseparable.展开更多
文摘Quality of Life (QOL) is a multiphase conception, including physical, mental and social factors, and can overall reflect health status of the human. At present, QOL has become a relevant measure of efficacy of treatment in clinical trials. Its use is spreading, and its importance is growing as a valid indicator of whether or not a medical treatment is
基金the National Natural Science Foundation of China(No,30371718)
文摘Objective: The Chinese Quality of Life Instrument (ChQOL) was developed as a valid generic health status instrument based on the well-established theory of health in Chinese medicine. Psychometric properties of the ChQOL were good. In the present study, the responsiveness of the ChQOL in patients with congestive heart failure (CHF) were investigated and compared with two generic questionnaires, the Medical Outcomes Study Short Form 36-item Health Survey (SF-36) and World Health Organization Quality of Life Assessment (WHOQOL-BREF), as well as one disease-specific questionnaire, the Minnesota Living with Heart Failure Questionnaire (MLHF). Methods: Thirty-nine in-patients with CHF who had undergone treatment with integrative medicine were recruited. The health status measurements were performed at enrolment and after a 4-week treatment. The following responsiveness indices were used: the effect size (ES) and standardized response mean (SRM). All patients were classified into those groups with stable measures and those groups with changes after a 4-week treatment, based upon both the doctor's global rating of changes in heart function tests, and the patient's global rating of changes in overall quality of life. Results: All domains of the ChQOL showed significant improvement. In the comparison of the responsiveness indices, the ChQOL was regarded as more responsive than the WHOQOL-BREF or SF-36 utility, but it was less responsive than the MLHF. Conclusions: The ChQOL was better in sensitivity and responsiveness for assessing congestive heart failure as a generic measure than the SF-36 and WHOQOL-BREF. The ChQOL is considered suitable as an outcome measure for clinical trials in patients with congestive heart failure.
基金Supported by the National Special Science&Technology Program on Major Infectious Diseases(No.2012ZX-10005010-001)Research Project for Practical Development of National TCM Clinical Research Bases(No.JDZX2012023)+1 种基金Henan Province Education Science Programs in 11th Fiveyear Plan for 2010 Year Subjects(No.2010-JKGHAZ0047)Henan Province Colleges and Universities Key Youth Teachers Scheme(No.2013GGJS-095)
文摘Health related quality of life(HRQOL) can better reflect changes in acquired immune deficiency syndrome(AIDS) patients and inform economic evaluation of AIDS treatment services,and the assessment of HRQOL can help us to detect problems that may influence the progression of the disease,hence HRQOL has become a particularly important assessment indictor for HIV comprehensive interventions.Being a multi-angle,multi-level,and diversified complex intervention,roles of Chinese medicine(CM) in AIDS treatment have been recognized and accepted by more and more patients,and HRQOL has been widely used to evaluate the comprehensive management effects of CM on AIDS.In this article,the authors analyze the definition and measurement of HRQOL,measurement of HRQOL of HIV/AIDS patients and effects of CM on AIDS,and give some reasonable advices for the usage of the scale of HRQOL.The authors hold that some new HRQOL instruments specific for CM treatment of AIDS should be developed and further prospective studies should be carried out to demonstrate the practicality,reliability and validity of HRQOL as an evaluation indictor for CM treatment of AIDS.
基金Supported by the National Basic Research Program of China(No.2006CB504604)the Key Discipline and Science&Technology Innovation Fund of Guangdong Medical College(No.STIF201119)+1 种基金the Natural Science Foundation of Guangdong Province(No.S2012040006254)the Research Fund of Guangdong Medical College,China(No.B2011028)
文摘Objective: To establish questionnaire scaling and reliability and examine the clinical and psychometric validity of the quality of life assessment based on Traditional Chinese Medicine for advanced gastric cancer(QLASTCM-Ga). Methods: The QLASTCM-Ga was developed based on programmed decision procedures with multiple nominal and focus group discussions, in-depth interview, pretesting and quantitative statistical procedures. The questionnaire was administered to 240 patients diagnosed with advanced gastric cancer before and after treatment. Structured group methods were employed to establish a general and a specific module respectively. The psychometric properties of the scale were evaluated with respect to validity, reliability and responsiveness. Results: The three identified scales of the QLASTCM-Ga and the total score demonstrated good psychometric properties. Test-retest reliability of the total scale and all domains ranged from 0.90 to 0.94, and internal consistency ranged from 0.86 to 0.93. Correlation and factor analysis demonstrated good construct validity. Significant difference in the subscales and the total score were found among groups differing in traditional Chinese medicine syndrome, supporting the clinical sensitivity of the QLASTCM-Ga. Statistically significant changes were found for each scale and the total score. Responsiveness was also good. Conclusions: The QLASTCM-Ga demonstrates good psychometric and clinical validity to assess quality of life in patients with advanced gastric cancer undergoing traditional Chinese medicine therapy. This study is an important first step for future research in this area.
文摘THE past 20 years since China launched its economic reform have seen thefastest growth ever in the Chinese people’s living standard. According to ananalysis by the State Statistics Bureau based on a comprehensive evaluationof the overall living standard, urban residents in China have reached 90 percent ofthe index required by a well-off life, while rural residents have reached 81.5percent of the index. The evaluation shows that Chinese residents have achieved
文摘Objective To explore the impact of patient reported outcome of tyrosine kinase inhibitor(TKI)related side effects on daily life in Chinese patients with chronic myceloid leukemia(CML)in the chronic phase(CP).Methods From May to November in 2014。
文摘CHINA is in the midst of snowballing economic changes that are naturally affecting society deeply. Take bikes, for example, one of China’s main modes of transportation. Chinese-made, cheap, heavy, black, steel, mass-produced bikes are being replaced by imported mountain bikes or tenspeeds. People are clearly making more money and are able to afford such fast, colorful imported products. Financial disparity is more apparent. One man who sells cigarettes and gum from a corrugated tin shack next to others who sell bike seats, fix shoes and make eys in a free market is now clad in
基金Supported by the National Natural Science Foundation of China(No.30873256)
文摘Objective: To investigate the effects of health education based on integrative therapy of Chinese and Western medicine for type 2 diabetes mellitus(T2DM) from the aspects of knowledge, attitude and practice(KAP), health-related quality of life(HRQo L), body mass index(BMI) and glucose control. Methods: Patients were individually randomized into intervention group(receiving integrative education, n=120) and control group(receiving usual education, n=120). The primary outcome was the changes in glycosylated hemoglobin A1c(HbA1c) levels after 3, 6, 9 and 12 months from baseline. Hierarchical linear models(HLMs) were used to assess within-group changes in outcomes over time and between-group differences in patterns of change. Secondary outcomes were KAP scores, HRQo L scores and BMI after 6 and 12 months, paired-sample t test was used to assess within-group changes in outcomes in 6 and 12 months, independent-sample t test was used to assess between-group differences in patterns of change. Results: HbA1c decreased statistically from baseline to 3 months, from 3 to 6 months, from 6 to 9 months and from 9 to 12 months in the intervention group(all P〈0.01); and decreased significantly from baseline to 3 months, and from 3 to 6 months in the control group(P〈0.01). There were significant between-group differences from baseline to 3 months(P=0.044), from 6 to 9 months(P〈0.01) and from 9 to 12 months(P〈0.01). Significant improvements in the intervention group along with significant between-group differences were found in KAP and HRQo L scores respectively(all P〈0.05). The number in the intervention group of normal weight increased from 56 at baseline to 81(6 months), 94(12 months), the number in the control group were 63(baseline), 69(6 months), 70(12 months), the χ~2 of hierarchical analysis of BMI were 6.93(P=0.075), 10.31(P=0.016), 15.53(P〈0.01), respectively. Conclusion: Health education based on integrative therapy of Chinese and Western medicine is beneficial to the control of T2DM and should be recommended for T2DM.
文摘Dialogue at the level of value beliefs is the underlying dimension of philosophical dialogue, yet at the same time it is the hardest and most problematic. Benign dialogue at the level of value beliefs makes the premise for real open and deep communication and interaction between Chinese, Western and Marxist philosophies, as well as significant content of and essential path to understanding of our own existing, configuring philosophy in contemporary China, and generating our national "philosophical ego" in the context of the life world of the Chinese.
文摘Contemporary China, the largest construction site in the world, is the centre of production of architectural 'vessels' that are compacted with technical and scientific knowledge. Nevertheless, traditional wisdom and personal cultivation is often neglected in this process of creating architecture. This paper makes a connection between the Chinese ideogram of 道 (dao = way), with the Greek term of φρovησιc (phronesis = practical wisdom), in the context of architecture. We argue that both terms bring forth the importance of ethics and practical wisdom in the making of architecture, as a process of cultivation. This argument is discussed through two case studies: a historical Chinese garden (Sima Guang's 'Garden of Solitary Enjoyment'), as a manifestation of Dao, and an educational situation from a contemporary architectural design studio in a school of architecture, as a manifestation of phronesis. Both these diverse examples offer a possibility to see architecture as the creation of 'vessels for life' where 'vessel' and 'life' are inseparable.