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Study on good clinical practices among researchers in a tertiary healthcare institute in India
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作者 Harshita Harshita Prasan Kumar Panda 《World Journal of Methodology》 2023年第5期466-474,共9页
BACKGROUND Good clinical practice(GCP)is put in place to protect human participants in clinical trials as well as to ensure the quality of research.Non-adherence to these guidelines can produce research that may not m... BACKGROUND Good clinical practice(GCP)is put in place to protect human participants in clinical trials as well as to ensure the quality of research.Non-adherence to these guidelines can produce research that may not meet the standards set by the scientific community.Therefore,it must be ensured that researchers are wellversed in the GCP.But not much is known about the knowledge and practices of the GCP in the medical colleges of North India.AIM To assess the knowledge and practices of researchers about GCP and analyze these with respect to the demographics of participants.METHODS This is a cross-sectional study.A self-structured questionnaire about GCP,after expert validations,was circulated among researchers,at a tertiary healthcare institute,All India Institute of Medical Sciences(AIIMS),Rishikesh.A total of 59 individuals,who were selected by universal sampling,participated in the study.All healthcare workers who have been investigators of Institutional Ethics Committee-approved research projects,except residents and faculty,and are still a part of the institute have been included in the study.The study was approved by the Institutional Ethics Committee of AIIMS,Rishikesh.We used descriptive analysis and the Chi-squared test to analyze data.P value<0.05 was considered significant.RESULTS Out of 59 participants,only 11(18.6%)were certified for GCP.Most of the participants(64.4%)had“Average”knowledge,33.9%had“Good”knowledge and 1.7%had“Poor”knowledge.Only 49%of participants had satisfactory practices related to GCP.There was a significant difference in the knowledge based on the current academic position for the items assessing knowledge of institutional review board(P=0.010),confidentiality&privacy(P=0.011),and participant safety&adverse events(P<0.001).There was also a significant difference in knowledge of research misconduct(P=0.024)and participant safety&adverse events(P=0.011)based on certification of GCP.There was a notable difference in the practices related to recruitment&retention on the basis of current academic position(P<0.001)and certification of GCP(P=0.023).We also observed a considerable difference between the knowledge and practices of GCP among the participants(P=0.013).CONCLUSION Participants have basic knowledge of GCP but show a lack thereof in certain domains of GCP.This can be addressed by holding training sessions focusing on these particular domains. 展开更多
关键词 clinical trial ETHICS Good clinical practice knowledge research research subjects
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Designing Clinical Studies That Take into Account Traditional East Asian Medicine's Systems and Methods-with Focus on Pattern Identification 被引量:1
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作者 Terje Alraek 《Chinese Journal of Integrative Medicine》 SCIE CAS 2014年第5期332-335,共4页
This article is based on two presentations held at Chinese medicine conference in Rothenburg (2013), Germany and at the 19th Anniversary of Korean Institute of Oriental Medicine (KIOM) International Symposium of C... This article is based on two presentations held at Chinese medicine conference in Rothenburg (2013), Germany and at the 19th Anniversary of Korean Institute of Oriental Medicine (KIOM) International Symposium of Current Research Trends in Traditional Medicine - Pattern of Identification (2013). In designing clinical studies, it is a research question that leads to appropriate study design. However, they are mostly diagnostic procedures and techniques that are the key points to reflect the application of systems and methods in all forms of medicine - traditional East Asian medicine (TEAM) is no exception. The challenges within TEAM based on research reflect in different systems of medicine/theories such as traditional Japanese acupuncture, traditional Korean acupuncture and traditional Chinese acupuncture. This diversitv of medical svstems and methods applied in East Asia seems to have beenfruitful within the different countries and traditional medicines have found their places within the respective countries health systems. The existing diversity, from a clinician's point of view, may be viewed as a treasure when dealing with patients in the 'real world'. On the other hand, this diversity seems to challenge the scientific mind worldwide, esoeciallv when it comes to research. Hence. there is a and between clinical practice and research. 展开更多
关键词 clinical trials pattern identification research clinical knowledge
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荆门上清丸治疗复发性口腔溃疡上焦实热证的临床研究 被引量:1
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作者 曲丽娜 卢富 +3 位作者 曾堃 陈建钢 田平林 谭劲 《湖南中医药大学学报》 CAS 2023年第2期283-288,共6页
目的 评价荆门上清丸治疗复发性口腔溃疡上焦实热证的有效性及安全性。方法 纳入中国中医科学院广安门医院、湖北中医药大学附属医院、武汉大学中南医院、湖南中医药大学第一附属医院2014年3月至2015年5月共240例受试者,将其随机均分为... 目的 评价荆门上清丸治疗复发性口腔溃疡上焦实热证的有效性及安全性。方法 纳入中国中医科学院广安门医院、湖北中医药大学附属医院、武汉大学中南医院、湖南中医药大学第一附属医院2014年3月至2015年5月共240例受试者,将其随机均分为试验组和对照组。试验组予以荆门上清丸含服,对照组予以荆门上清丸模拟剂(安慰剂)含服,每次4粒,每日4次,早、中、晚饭后及睡前各一次。观察两组患者的靶溃疡愈合率、靶溃疡愈合时间、靶溃疡激惹痛评分、靶溃疡面积、口腔溃疡静息痛及中医证候疗效并进行安全性评价。结果 治疗后,试验组靶溃疡愈合率77.31%,高于对照组的31.03%(P<0.05);试验组靶溃疡愈合时间短于对照组(P<0.05);试验组中医证候有效率94.96%,高于对照组的81.03%(P<0.05)。第3、第5天,试验组靶溃疡激惹痛评分、靶溃疡面积、口腔溃疡静息痛评分均低于对照组(P<0.05)。本次试验发生13例19例次不良事件,试验组不良事件发生率为5.88%,低于对照组的10.26%,但差异无统计学意义(P>0.05)。结论 荆门上清丸治疗复发性口腔溃疡上焦实热证具有较好的疗效,能够改善溃疡疼痛、促进溃疡愈合、缩短溃疡病程,并且在中医证候疗效及改善溃疡面积、溃疡疼痛、口渴欲饮、口咽灼干而热、口黏腻、口臭等单项中医症状上具有优势,同时具有较好的安全性。 展开更多
关键词 复发性口腔溃疡 荆门上清丸 多中心临床试验 临床研究 上焦实热证
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神魂之铸--论新版中医国家标准“病证理法相贯”规则体系的建立 被引量:4
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作者 朱邦贤 严世芸 +6 位作者 周强 董全伟 李明 程磐基 包来发 娄月丽 杨丽娜 《上海中医药杂志》 CSCD 2023年第1期1-7,共7页
目的阐释《中医病证分类与代码》《中医临床诊疗术语》修订版(以下合而简称“新版国标”)内寓的“病证理法相贯”法则及其逻辑关系,以促使当代中医临床再铸神魂,重新回归中医学术本体及其临床路径。方法采用中医学、术语学、标准学文献... 目的阐释《中医病证分类与代码》《中医临床诊疗术语》修订版(以下合而简称“新版国标”)内寓的“病证理法相贯”法则及其逻辑关系,以促使当代中医临床再铸神魂,重新回归中医学术本体及其临床路径。方法采用中医学、术语学、标准学文献的回顾性研究及计算机本体技术、人工智能等方法,通过对标准的源起,标准知识体系与规则体系、中医疾病分类体系的溯源,“病”“证”“理”“法”等概念的梳理,以及“治病求本”“辨病本、守病机”等相关学术理念的剖析,并借助于“中医国家标准应用服务平台”(以下简称“标准平台”),呈现新版国标“病证理法相贯”的内在逻辑关系。结果新版国标界定了中医“病”“证”“理”“法”等术语的内涵与外延,明确“治病求本,病证相贯,理法相契,方药以贯”是中医临床诊疗活动中必须遵循的基本法则,将之作为中医临床思维和诊疗规范的“根”与“魂”,贯穿于中医国家标准修订的全过程,并将“病证理法相贯”理念与法则纳入了新版国标的知识体系与规则体系。结论新版国标内寓“病证理法相贯”的诊疗法则,可通过标准平台得以充分展示及应用,并能够引领中医临床按照自身的学术与临床轨迹开展医疗活动,规范其医疗行为。 展开更多
关键词 中医国家标准 中医术语研究 《中医病证分类与代码》 《中医临床诊疗术语》 病证理法相贯 标准知识体系 标准规则体系
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