目的基于真实世界研究探讨全国名中医庞国明教授纯中医缓解2型糖尿病(T2DM)临床特征,为临床实践提供借鉴和参考。方法采集2020年1月—2022年10月开封市中医院庞国明教授工作室就诊的符合T2DM诊断,并采用纯中医“三辨诊疗模式”“序贯三...目的基于真实世界研究探讨全国名中医庞国明教授纯中医缓解2型糖尿病(T2DM)临床特征,为临床实践提供借鉴和参考。方法采集2020年1月—2022年10月开封市中医院庞国明教授工作室就诊的符合T2DM诊断,并采用纯中医“三辨诊疗模式”“序贯三法”治疗方案且达到缓解标准的T2DM患者共计30例。采集患者的人口学资料、中医证型及纯中医治疗前、治疗达标停药时、缓解时患者的体质量指数、血生化检验指标,计算纯中医治疗时长,使用稳态模型评估法评估胰岛素抵抗指数和胰岛β细胞功能指数。分析患者的临床特征、中医证型分布,比较纯中医治疗前与治疗达标停药时、缓解时各项指标的差异。结果患者平均年龄(50.77±9.77)岁;平均病程中位数22(10.5,39.0)个月;平均体质量指数中位数27.75(25.87,28.80)kg/m^(2),中医证型分布情况:痰浊中阻证频率最高,其次气阴两虚证。与治疗前比较,患者停药时空腹血糖(FPG)、餐后1 h血糖(1 h PG)、2 h PG、3 h PG、空腹胰高血糖素(FGC)、1 h GC、2 h GC、3 h GC、糖化血红蛋白(HbA1c)、果糖胺(FMN)、胰岛素抵抗指数(HOMA-IR)、体质量指数(BMI)、总胆固醇(TC)水平明显下降,差异有统计学意义(P<0.05),1 h C肽(CP)、胰岛β细胞功能指数(HOMA-β)水平较前升高,差异有统计学意义(P<0.05),与治疗前比较,缓解时FPG、1 h PG、2 h PG、1 h GC、2 h GC、HbA1c、BMI、3 h PG、FGC、3 h GC、TC、HOMA-IR水平明显下降,差异有统计学意义(P<0.05),HOMA-β、1 h CP、高密度脂蛋白胆固醇(HDL-C)水平较前升高,差异有统计学意义(P<0.05)。结论纯中医缓解T2DM患者以糖尿病病程<5年,超重或肥胖为主,纯中医治疗时长多集中在3~12个月,中医证型以痰浊中阻证为主。纯中医可能通过降低体质量,改善胰岛素抵抗,改善胰岛β细胞功能,降低胰高血糖素等途径实现缓解T2DM。展开更多
Pangs of Love tells the experiences of Chinese American immigrants, and especially the pangs the narrator, as a second generation, feels in family, love and social affairs. Based on the analysis of the narrator's ...Pangs of Love tells the experiences of Chinese American immigrants, and especially the pangs the narrator, as a second generation, feels in family, love and social affairs. Based on the analysis of the narrator's pangs, this paper argues that it is mainly the uncertainty of cultural identity that leads to the pangs of the narrator, and of the second generation Chinese Americans. This paper shows that the second generation can take advantage of their dual but conflicting cultural heritages to develop a renewed and specific cultural identity.展开更多
David Wong Louie demonstrates the emotional pangs between the immigrant parent Mrs. Pang and her Americanized children in Pangs of Love. Through examining the source of the pangs, this paper argues that characters'...David Wong Louie demonstrates the emotional pangs between the immigrant parent Mrs. Pang and her Americanized children in Pangs of Love. Through examining the source of the pangs, this paper argues that characters'pangs mainly stem from confrontations between their different cultural identities. Focusing on the way of dealing with conflicts of cultural identities in contemporary Chinese American families, this paper illuminates that Chinese Americans need to cross cultural borders and negotiate cultural identity between Chinese and American cultures under the circumstance of globalization.展开更多
Pang Anshi (courtesy name:Pan Anchang,styled himself Qishui Taoist,1042-1099) was from Qizhou Prefecture (present Hubei Province).He was a famous scholar of the school of cold-induced diseases in the Northern Song Dyn...Pang Anshi (courtesy name:Pan Anchang,styled himself Qishui Taoist,1042-1099) was from Qizhou Prefecture (present Hubei Province).He was a famous scholar of the school of cold-induced diseases in the Northern Song Dynasty (960-1127).His works Supplement to the Herbals (Ben Cao Bu Yi),Pulse Study (Mai Fa),Zhu Dui Ji,etc.are all lost.His only remaining one is the General Treatise on Cold-induced Diseases (Shang Han Zong Bing Lun).展开更多
In this paper, through the analysis of the pangs of love from David Wong Louie's Pangs of Love, which is a type of love experienced by people alienated by culture, language, and generation, by focusing on the chan...In this paper, through the analysis of the pangs of love from David Wong Louie's Pangs of Love, which is a type of love experienced by people alienated by culture, language, and generation, by focusing on the changes happen in the Pangs in America, we will explores the causes of the pangs of love between Mrs. Pang and her sons, i.e. they both choose an opposite side to treat the alien culture. And this paper tries to seek a solution: to have a compromised way which can blend the two cultures and have open mind towards the alien culture.展开更多
文摘目的基于真实世界研究探讨全国名中医庞国明教授纯中医缓解2型糖尿病(T2DM)临床特征,为临床实践提供借鉴和参考。方法采集2020年1月—2022年10月开封市中医院庞国明教授工作室就诊的符合T2DM诊断,并采用纯中医“三辨诊疗模式”“序贯三法”治疗方案且达到缓解标准的T2DM患者共计30例。采集患者的人口学资料、中医证型及纯中医治疗前、治疗达标停药时、缓解时患者的体质量指数、血生化检验指标,计算纯中医治疗时长,使用稳态模型评估法评估胰岛素抵抗指数和胰岛β细胞功能指数。分析患者的临床特征、中医证型分布,比较纯中医治疗前与治疗达标停药时、缓解时各项指标的差异。结果患者平均年龄(50.77±9.77)岁;平均病程中位数22(10.5,39.0)个月;平均体质量指数中位数27.75(25.87,28.80)kg/m^(2),中医证型分布情况:痰浊中阻证频率最高,其次气阴两虚证。与治疗前比较,患者停药时空腹血糖(FPG)、餐后1 h血糖(1 h PG)、2 h PG、3 h PG、空腹胰高血糖素(FGC)、1 h GC、2 h GC、3 h GC、糖化血红蛋白(HbA1c)、果糖胺(FMN)、胰岛素抵抗指数(HOMA-IR)、体质量指数(BMI)、总胆固醇(TC)水平明显下降,差异有统计学意义(P<0.05),1 h C肽(CP)、胰岛β细胞功能指数(HOMA-β)水平较前升高,差异有统计学意义(P<0.05),与治疗前比较,缓解时FPG、1 h PG、2 h PG、1 h GC、2 h GC、HbA1c、BMI、3 h PG、FGC、3 h GC、TC、HOMA-IR水平明显下降,差异有统计学意义(P<0.05),HOMA-β、1 h CP、高密度脂蛋白胆固醇(HDL-C)水平较前升高,差异有统计学意义(P<0.05)。结论纯中医缓解T2DM患者以糖尿病病程<5年,超重或肥胖为主,纯中医治疗时长多集中在3~12个月,中医证型以痰浊中阻证为主。纯中医可能通过降低体质量,改善胰岛素抵抗,改善胰岛β细胞功能,降低胰高血糖素等途径实现缓解T2DM。
文摘Pangs of Love tells the experiences of Chinese American immigrants, and especially the pangs the narrator, as a second generation, feels in family, love and social affairs. Based on the analysis of the narrator's pangs, this paper argues that it is mainly the uncertainty of cultural identity that leads to the pangs of the narrator, and of the second generation Chinese Americans. This paper shows that the second generation can take advantage of their dual but conflicting cultural heritages to develop a renewed and specific cultural identity.
文摘David Wong Louie demonstrates the emotional pangs between the immigrant parent Mrs. Pang and her Americanized children in Pangs of Love. Through examining the source of the pangs, this paper argues that characters'pangs mainly stem from confrontations between their different cultural identities. Focusing on the way of dealing with conflicts of cultural identities in contemporary Chinese American families, this paper illuminates that Chinese Americans need to cross cultural borders and negotiate cultural identity between Chinese and American cultures under the circumstance of globalization.
文摘Pang Anshi (courtesy name:Pan Anchang,styled himself Qishui Taoist,1042-1099) was from Qizhou Prefecture (present Hubei Province).He was a famous scholar of the school of cold-induced diseases in the Northern Song Dynasty (960-1127).His works Supplement to the Herbals (Ben Cao Bu Yi),Pulse Study (Mai Fa),Zhu Dui Ji,etc.are all lost.His only remaining one is the General Treatise on Cold-induced Diseases (Shang Han Zong Bing Lun).
文摘In this paper, through the analysis of the pangs of love from David Wong Louie's Pangs of Love, which is a type of love experienced by people alienated by culture, language, and generation, by focusing on the changes happen in the Pangs in America, we will explores the causes of the pangs of love between Mrs. Pang and her sons, i.e. they both choose an opposite side to treat the alien culture. And this paper tries to seek a solution: to have a compromised way which can blend the two cultures and have open mind towards the alien culture.
