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).

Therapeutic Communication Methods Targeting Families and Family Members: A Literature Review

Background and Purpose: Therapeutic communication is a new term in family health care nursing, defined by Hohashi (2019) as a method of family intervention, and characterized by inclusion of not only verbal conversation but also nonverbal interaction. However, specific therapeutic communication methods have not been systematized. The purpose of this study was to clarify therapeutic communication methods for families/family members from the perspectives of verbal communication and non-verbal communication through a review of existing literature. Methods: We conducted a search using the medical literature databases PubMed and Ichushi-Web using the keywords “therapeutic communication”. Analysis was performed on seven articles from PubMed and 14 articles from Ichushi-Web that described therapeutic communication methods performed by healthcare professionals for families/family members. Through directed content analysis, therapeutic communication methods were subcategorized, and classified into three categories: verbal communication, non-verbal communication, and verbal/non-verbal communication. Results: A total of 23 subcategories were extracted. Verbal communication included 11 subcategories, such as “asking questions using the communicatee’s words as they are”. Non-verbal communication included five subcategories, such as “noticing changes in the content of the communicatee’s story”. And verbal/non-verbal communication featured seven subcategories, such as “making the communicatee aware of one’s own beliefs”. Conclusion: Therapeutic communication methods included basic care/caring in family interviews/meetings, as well as verbal communication and non-verbal communication that act on family/family members’ beliefs. It is believed that changes in family/family members’ beliefs can be used to eliminate, reduce, or improve problematic conditions in the family. .

Research Status of TCM Rehabilitation in Chronic Obstructive Pulmonary Disease (COPD)

This paper mainly analyzes the application status of TCM rehabilitation in chronic obstructive pulmonary disease(COPD),hoping to provide support and help for clinical staff through this study,and promote the further development of COPD rehabilitation program.

African Francophone Literature in China

This paper delves into the current landscape of African Francophone literature in China.It begins by tracing the history of the French language in Africa and the emergence and development of African Francophone literature,and then provides an overview of the research achievements of African Francophone literature in China,including monographs,translated literary works and academic papers,highlighting the translation and research on the key African Francophone writers.

“十七年”时期《中国文学》(Chinese Literature)“计划翻译模式”研究

“十七年”时期以《中国文学》(Chinese Literature)和外文出版社为代表的国家翻译机构翻译实践形成了一种特殊的翻译模式,即“计划翻译模式”。首先,作为中国文学对外翻译的组织者与业务负责人,叶君健经过“下乡”完成知识分子身份认同和思想认识的改造。其次,作为冷战时期中国国家对外文化交流的窗口,《中国文学》精心设计翻译策略,开展国家文学翻译实践。再次,作为国家翻译机构和国家文化单位,外文出版社服务于国家对外宣传的翻译目的。最后,翻译界经过组织化、计划化的整合,成为社会主义文化建设的工具,中国文学对外翻译是冷战时期重要的国家文化工程。

On Translation of Children’s Literature Based on Reception Aesthetics:A Case Study of The Secret Garden

Grounded in reader-centered theories,Reception Aesthetics prioritizes the active engagement and acceptance of target readers.This study examines the translation of children’s literature through the lens of Reception Aesthetics,using Li Wenjun’s rendition of The Secret Garden as a case study.The objective is to scrutinize various aspects of the translation-including vocabulary,syntax,rhetorical devices,and cultural nuances-and to discern how the adaptation and application of diverse translation strategies cater to the aesthetic expectations.

Translation Strategies of Ambiguity in English Language and Literature

The translation of English language and literary works has always been crucial for cross-cultural communication.However,a key challenge in translating such works is the accurate communication of ambiguity,which refers to expressions deliberately used in English texts with unclear meanings.These expressions are often poetic and carry deep symbols and implications,adding a unique charm to literary works.This article explores the manifestations of ambiguity in English language and literature and the translation strategies that can be employed to optimize the translation of ambiguity in the English language and literature.

Current and Future Research on Work-Family Balance:A Comprehensive Analysis Based on Literature

For a long time,the issue of work-family balance has been a focus of research by scholars in organizational behavior,psychology,and other fields.In 2020,COVID-19 swept across the globe.The change in work and lifestyle brought about by the great closure blurred the boundary between work and life.The work-family balance faced unprecedented challenges,both for organizations and individuals.So,since the COVID-19 epidemic,what trends and achievements have emerged in the research on work-family balance?To clarify these issues,the author of this article searched 70 pieces of literature related to work-family balance published between 2020 and 2023 based on core databases including the SSCI,ESCI,and SCIE.After analyzing and summarizing the latest research focuses,conclusions,and future directions of retrieved literature,the author predicted the future research directions of the work-family balance.

Irregular dietary habits as a predictor of stunting occurrence among children under 5 years of age:a literature review

Objective:To identify the illustration of feeding patterns of stunting children using literature review method.Methods:This study was a descriptive narrative research using literature review approach to explore dietary habits of children with stunting problem.All the literature review processes employed Guideline Review measurement of Joanna Briggs Institute.Related ar ticles in literature were obtained from journal databases,such as Pub Med,Science Direct,Google Scholar,and Dimensions through structured research question with Patient,Exposure an interest,Outcome or response(PEO)methods.Results:This study found 2246 published ar ticles from 2018 to 2021 about children with stunting.Screening process was conducted fur ther to eliminate ar ticles with irrelevant titles and abstracts,and also the unsuitable ar ticles with the research question;hence,about 9 ar ticles were eligible to be reviewed ahead.All these ar ticles mentioned that children with irregular dietary habits would likely experience stunting.The low intake of nutritional food became the major predictor of stunting.Conclusions:Inappropriate feeding patterns and the variety of food were being the factors of stunting emergence among children<5 years of age.High consumption of carbohydrates,less animal-based protein,and misunderstanding about intake of sweetenedcondensed milk predisposed children to suffer stunting.

Reflections on Conducting Kindergarten Language Education Activities Based on Children’s Literature

In early childhood education,language education is a crucial component,yet in kindergarten teaching,there often exists issues such as“emphasis on knowledge and neglect of practice.”To address this problem,teachers need to incorporate children’s literature in a reasonable manner to create a conducive environment for language education for young children.This article analyzes and discusses the significance of integrating children’s literature into kindergarten language education activities,and proposes strategies for addressing the current issues in kindergarten language education activities and conducting them based on children’s literature.

A Case of Waldenström Macroglobulinemia with Acute Kidney Injury as the First Manifestation and Literature Review

Waldenström macroglobulinemia is a rare lymphoid tumor accounting for 2% of all hematological malignancies. Renal complications are less common compared to multiple myeloma, with the most frequent renal manifestations being microproteinuria and microhematuria. This paper presents a case of Waldenström macroglobulinemia with acute kidney injury as the initial manifestation. A 75-year-old male was admitted to the Affiliated Hospital of Hebei University after elevated blood creatinine levels were detected for one day. Upon admission, his blood creatinine was 255 μmol/L, urine protein was 1+, urine erythrocytes were negative, electrophoresis showed IgM positivity in the κ-region, and a bone marrow biopsy indicated a tendency towards lymphoplasmacytic lymphoma. The patient was discharged after receiving a treatment regimen of prednisone acetate, thalidomide, and cyclophosphamide, and continued oral medication outside the hospital. The patient returned two weeks later due to diarrhea and was found to have a blood creatinine level of 985 μmol/L, along with severe acidosis and hyperkalemia. The patient refused renal replacement therapy and was not followed up, resulting in a poor prognosis. Additionally, a review of the literature is provided to contextualize this case within the broader scope of existing research.

A Study on the Infiltration Methods of British and American Literature in High School English Reading Teaching

Reading is the key content of high school English teaching,which can improve students’mastery of words,grammar,and other knowledge,and can expand their horizons.British and American literature is the essence of British and American culture,and its application in high school English reading teaching can help improve students’English proficiency.This paper outlines the problems of high school English teaching,analyzes the role of British and American literature in high school English reading teaching,and explores the infiltration methods of British and American literature in high school English reading teaching,in order to provide references for teachers.

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%。

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。

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。

Lactation breast abscess treated with Gualou Xiaoyong decoction and painless lactation manipulation:A case report and review of literature

BACKGROUND Breast abscess during lactation is a severe complication of acute mastitis,which can lead to discomfort,high fever,breast fistula,sepsis,septic shock,breast damage,disease persistence and frequent hospitalization.Breast abscesses may also lead the mother to discontinue breastfeeding,thereby harming the infant’s health.The predominant pathogenic bacteria are Staphylococcus aureus,Staphylococcus epidermidis and Streptococcus.The incidence of breastfeeding abscesses in breastfeeding women ranges between 4.0%and 11.0%.In cases of breast abscess,the rate of cessation of lactation is 41.0%.In instances of breast fistula,the rate of cessation of lactation is very high(66.7%).Furthermore,50.0%of women with breast abscesses must be hospitalized and treated with intravenous antibiotics.Treatment includes antibiotics,abscess puncture and surgical incision and drainage.The patients suffer from stress,pain and easily induced breast scarring;the disease’s progression is prolonged and recurrent,interfering with infant feeding.Consequently,it is crucial to discover an adequate cure.CASE SUMMARY A 28-year-old woman with a breast abscess was treated with Gualou Xiaoyong decoction and painless breast opening manipulation 24 d after cesarean delivery.On the 2nd d of treatment,the patient’s breast mass was significantly reduced,the pain was significantly reduced,and the general asthenia was improved.All conscious symptoms disappeared after 3 d,breast abscesses faded after 12 d of treatment,inflammation images disappeared after 27 d,and normal lactation images were restored.CONCLUSION In treating breast abscesses during breastfeeding,the combination of Gualou Xiaoyong decoction and painless lactation provides a positive therapeutic impact.This disease’s treatment offers the advantages of a short course of treatment,no need to discontinue breastfeeding and the ability to rapidly mitigate symptoms,which can be used as a reference in clinical practice.