This paper focuses on Chinese sources suggested for a narrative medicine(NM)program,called AfterWards.Dr Lauren Small established AfterWards in 2014 and has been coordinating it since out of the Pediatrics Department ...This paper focuses on Chinese sources suggested for a narrative medicine(NM)program,called AfterWards.Dr Lauren Small established AfterWards in 2014 and has been coordinating it since out of the Pediatrics Department at Johns Hopkins Medicine.In early 2019,she started giving a series of lectures and workshops about AfterWards to Chinese medical educators and clinicians in Beijing and Shanghai.She created an AfterWards Facilitator’s Guide based on Western-language sources for workshop participants.She also started to organize with Jiang Yuhong(Peking Union Medical College)a workshop for Chinese colleagues to be held at Johns Hopkins Medicine in October 2019.They invited the author to participate.The idea was hatched then to develop Chinese source materials following the AfterWards structure for an updated Facilitator’s Guide that Dr Small had initially written.A typical one-hour AfterWards session consists of a specific five-part structure:a literary text or artwork,an associated theme,discussion topics,a writing exercise,and shared reflection.While the content of the program always changes from session to session,the basic structure remains the same.This paper summarizes the types of Chinese sources and their related narrative-medicine themes that were originally selected for inclusion in the updated AfterWards Facilitator’s Guide intended for Chinese colleagues.These sources about coping with sick family members,aging,and illness ranged from the textual(classical Chinese poems on aging and diagnostic forms for training students)and visual(premodern Chinese paintings and murals of medical encounters)to the fictive(novels)and performative(contemporary Asian-American film in English and Chinese-language film and documentaries).展开更多
目的了解不同年龄阶段患者新型冠状病毒感染转阴后1~2月新型冠状病毒总抗体的水平。方法回顾性分析2023年2月~4月于陕西省人民医院门诊和体检中心行新型冠状病毒总抗体检测患者1009例。比较不同性别血清新型冠状病毒总抗体水平;比较≥6...目的了解不同年龄阶段患者新型冠状病毒感染转阴后1~2月新型冠状病毒总抗体的水平。方法回顾性分析2023年2月~4月于陕西省人民医院门诊和体检中心行新型冠状病毒总抗体检测患者1009例。比较不同性别血清新型冠状病毒总抗体水平;比较≥65岁老年患者与<65岁患者血清新型冠状病毒总抗体水平;再依据年龄,将≥65岁老年患者分为3组(65岁≤A组<75岁,75≤B组<85岁,85岁≤C组),比较3组老年患者血清新型冠状病毒总抗体水平。对≥65岁老年患者年龄与新型冠状病毒总抗体水平行相关性分析。结果男性与女性患者血清新型冠状病毒总抗体水平[1430.43(148.95,1466.76)S Co vs.1023.62(97.79,1483.49)S Co]差异无统计学意义(Z=-0.66.74,P=0.51)。≥65岁老年患者新型冠状病毒总抗体水平较<65岁患者明显降低[886.36(47.25,1443.74)S Co vs.1139.24(262.02,1509.74)S Co],差异有统计学意义(Z=-3.93,P=0.00)。A组新型冠状病毒总抗体水平明显高于B、C组[1074.54(143.93,1485.32)S Co vs.448.42(38.05,1389.25)S Co;1074.54(143.93,1485.32)S Co vs.176.43(11.29,1258.94)S Co],差异有统计学意义(P=0.00)。B组和C组组间新型冠状病毒总抗体水平差异无统计学意义(P>0.05)。≥65岁老年患者年龄与新型冠状病毒总抗体水平呈负相关(r=-0.24,P=0.00)。结论老年患者,尤其高龄老年患者感染新型冠状病毒转阴后抗体水平偏低,临床医师应认识到老年人再感染风险,相关专家应考虑制定老年人专属的免疫预防方案。展开更多
基金supported by a Visiting Scholar Fellowship at Max Planck Institute for the History of Science, Berlin
文摘This paper focuses on Chinese sources suggested for a narrative medicine(NM)program,called AfterWards.Dr Lauren Small established AfterWards in 2014 and has been coordinating it since out of the Pediatrics Department at Johns Hopkins Medicine.In early 2019,she started giving a series of lectures and workshops about AfterWards to Chinese medical educators and clinicians in Beijing and Shanghai.She created an AfterWards Facilitator’s Guide based on Western-language sources for workshop participants.She also started to organize with Jiang Yuhong(Peking Union Medical College)a workshop for Chinese colleagues to be held at Johns Hopkins Medicine in October 2019.They invited the author to participate.The idea was hatched then to develop Chinese source materials following the AfterWards structure for an updated Facilitator’s Guide that Dr Small had initially written.A typical one-hour AfterWards session consists of a specific five-part structure:a literary text or artwork,an associated theme,discussion topics,a writing exercise,and shared reflection.While the content of the program always changes from session to session,the basic structure remains the same.This paper summarizes the types of Chinese sources and their related narrative-medicine themes that were originally selected for inclusion in the updated AfterWards Facilitator’s Guide intended for Chinese colleagues.These sources about coping with sick family members,aging,and illness ranged from the textual(classical Chinese poems on aging and diagnostic forms for training students)and visual(premodern Chinese paintings and murals of medical encounters)to the fictive(novels)and performative(contemporary Asian-American film in English and Chinese-language film and documentaries).
文摘目的了解不同年龄阶段患者新型冠状病毒感染转阴后1~2月新型冠状病毒总抗体的水平。方法回顾性分析2023年2月~4月于陕西省人民医院门诊和体检中心行新型冠状病毒总抗体检测患者1009例。比较不同性别血清新型冠状病毒总抗体水平;比较≥65岁老年患者与<65岁患者血清新型冠状病毒总抗体水平;再依据年龄,将≥65岁老年患者分为3组(65岁≤A组<75岁,75≤B组<85岁,85岁≤C组),比较3组老年患者血清新型冠状病毒总抗体水平。对≥65岁老年患者年龄与新型冠状病毒总抗体水平行相关性分析。结果男性与女性患者血清新型冠状病毒总抗体水平[1430.43(148.95,1466.76)S Co vs.1023.62(97.79,1483.49)S Co]差异无统计学意义(Z=-0.66.74,P=0.51)。≥65岁老年患者新型冠状病毒总抗体水平较<65岁患者明显降低[886.36(47.25,1443.74)S Co vs.1139.24(262.02,1509.74)S Co],差异有统计学意义(Z=-3.93,P=0.00)。A组新型冠状病毒总抗体水平明显高于B、C组[1074.54(143.93,1485.32)S Co vs.448.42(38.05,1389.25)S Co;1074.54(143.93,1485.32)S Co vs.176.43(11.29,1258.94)S Co],差异有统计学意义(P=0.00)。B组和C组组间新型冠状病毒总抗体水平差异无统计学意义(P>0.05)。≥65岁老年患者年龄与新型冠状病毒总抗体水平呈负相关(r=-0.24,P=0.00)。结论老年患者,尤其高龄老年患者感染新型冠状病毒转阴后抗体水平偏低,临床医师应认识到老年人再感染风险,相关专家应考虑制定老年人专属的免疫预防方案。
