Liver Transplantation (in Chinese), revised edition, edited by Professor Shu-Sen Zheng and prefaced by Professor Guo-Wei Sang, has just been published. The revised edition is mainly based on the clinical practice of t...Liver Transplantation (in Chinese), revised edition, edited by Professor Shu-Sen Zheng and prefaced by Professor Guo-Wei Sang, has just been published. The revised edition is mainly based on the clinical practice of the Liver Transplant Center, the First Affiliated Hospital, Zhejiang University and the experience展开更多
Great changes have taken place in China’s medical equipment and instruments industry since the launch of the reform. The industry has evolved a new structure consisting of various economic sectors.
How to establish a perfect medical system has always been a global challenge. If there was one event that commanded most of our attention from start to finish in 2007, it was medical reform. In the past, China underwe...How to establish a perfect medical system has always been a global challenge. If there was one event that commanded most of our attention from start to finish in 2007, it was medical reform. In the past, China underwent two medical system periods: one during the planned economy and another during the reform-and-opening-up period characterized by market-oriented reform. In 2006, after ten years of reform efforts, China's healthcare system found itself almost back where it started, a process that has brought with it its share of resentment and expectations from the public at large.展开更多
China＇s Rural Cooperative Medical System collapsed alongside communal farming at the end of the Maoist period in 1976, leaving most farmers vulnerable[1]. In rural areas, where 80% of people have been without health ...China＇s Rural Cooperative Medical System collapsed alongside communal farming at the end of the Maoist period in 1976, leaving most farmers vulnerable[1]. In rural areas, where 80% of people have been without health insurance of any kind, illness has emerged as a leading cause of poverty[24]. To address the poor state of health care among the rural population, in 2003 the Chinese government launched the New Rural Cooperative Medical System （NCMS）,展开更多
Shi Lianzhen, a 79-year-old villager from rural Beijing, has been suffering from coronary heart disease and myocardial irffarction. On October 15, 2003, she unexpectedly received 10,064 yuan (US$1,215) in subsidies fo...Shi Lianzhen, a 79-year-old villager from rural Beijing, has been suffering from coronary heart disease and myocardial irffarction. On October 15, 2003, she unexpectedly received 10,064 yuan (US$1,215) in subsidies for her diseases from the local government department in charge of rural co-operative medical care. This old female farmer, without any income source, was so excited that she couldn’t put her feeling into words. For the first time in their life, Chinese farmers can enjoy medical care insurance like those wage workers in dries, when their health fails them and their lives are in the menace of death.展开更多
Aims andscope of the Journal .Medical Journal of Chinese People’s Liberation Army ( Med J Chin PLA) is a multiple-subjects medical periodical publishedby the People’s Military Medical Press,under the auspice of Depa...Aims andscope of the Journal .Medical Journal of Chinese People’s Liberation Army ( Med J Chin PLA) is a multiple-subjects medical periodical publishedby the People’s Military Medical Press,under the auspice of Department of Health, General Logistics Department of PLA,andit展开更多
For years suffering from hypertension, Mrs. Zhang, now in her 60s, is a frequent visitor to Beijing Dewai Community Hospital in her neighborhood.＂I feel too painstaking to go to a ＇big hospital,＇＂ she says. ＂Buse...For years suffering from hypertension, Mrs. Zhang, now in her 60s, is a frequent visitor to Beijing Dewai Community Hospital in her neighborhood.＂I feel too painstaking to go to a ＇big hospital,＇＂ she says. ＂Buses are always overcrowded and slow, not suitable for people like me. Besides, community-based medical institutions charge less for treatment of the same diseases.＂展开更多
We have a scarcity of health care professionals in the rural areas and therefore we can offer medical services from a distance to the underserved rural population.
Endoscopic and clinical recurrence of Crohn’s disease (CD) is a common occurrence after surgical resection. Smokers, those with perforating disease, and those with myenteric plexitis are all at higher risk...Endoscopic and clinical recurrence of Crohn’s disease (CD) is a common occurrence after surgical resection. Smokers, those with perforating disease, and those with myenteric plexitis are all at higher risk of recurrence. A number of medical therapies have been shown to reduce this risk in clinical trials. Metronidazole, thiopurines and anti-tumour necrosis factors (TNFs) are all effective in reducing the risk of endoscopic or clinical recurrence of CD. Since these are preventative agents, the benefits of prophylaxis need to be weighed-against the risk of adverse events from, and costs of, therapy. Patients who are high risk for post-operative recurrence should be considered for early medical prophylaxis with an anti-TNF. Patients who have few to no risk factors are likely best served by a three-month course of antibiotics followed by tailored therapy based on endoscopy at one year. Clinical recurrence rates are variable, and methods to stratify patients into high and low risk populations combined with prophylaxis tailored to endoscopic recurrence would be an effective strategy in treating these patients.展开更多
It is known to all that traditional Chinese medicine and pharmacy, as the summary of Chinese people fighting against various kinds of disease for thousands of years, has a summate theoretical system possessing the ess...It is known to all that traditional Chinese medicine and pharmacy, as the summary of Chinese people fighting against various kinds of disease for thousands of years, has a summate theoretical system possessing the essence of Chinese classical philosophy, intensively reflects deep thinking and pondering of Chinese culture on the human being himself and dialectical relation between human and culture, making indelible contribution to the offspring reproduction and prosperity.展开更多
提示:请问,对老人来说,怎样的运动是最理想的运动。科学实验证明:步行。本文的调查又证明了这一点。糖尿病患者只消每周步行两小时,就会大大减少其早死率。本文最有文采的一句:Walking Was associated with lowel mortalityacross a div...提示:请问,对老人来说,怎样的运动是最理想的运动。科学实验证明:步行。本文的调查又证明了这一点。糖尿病患者只消每周步行两小时,就会大大减少其早死率。本文最有文采的一句:Walking Was associated with lowel mortalityacross a diverse spectrum of adults with diabetes.(步行和形形色色的患糖尿病的成年人的低死亡率有关。)展开更多
I The Cancer Pain Problem:(1) Cleeland CS. Darriers to the management of cancer pain. Oncology 1987, April(Special Suppl. ) : 19--26.(2) Morgan JP, Pleet DL. Opiophobia in the United States : the undertreatment of sev...I The Cancer Pain Problem:(1) Cleeland CS. Darriers to the management of cancer pain. Oncology 1987, April(Special Suppl. ) : 19--26.(2) Morgan JP, Pleet DL. Opiophobia in the United States : the undertreatment of severepain. In: Morgan JP, Kagan DV, eds. Society and Medication: Conflicting Signals forPrescribers and Patients. Levington, MA : Lexington Press, 1983: 313--326.展开更多
Objective: To assess the safety of individual medication of Guo's Ma Qian Decoction on the basis of effective treatment of fluorosis of bone with Guo's therapy. Methods: One hundred and fourteen cases of moder...Objective: To assess the safety of individual medication of Guo's Ma Qian Decoction on the basis of effective treatment of fluorosis of bone with Guo's therapy. Methods: One hundred and fourteen cases of moderate fluorosis of bone were randomly divided into a treatment group (n=60) and a control group (n=54) between December 2007 and August 2009 by using the block randomized method and a central random system. At the same time of basic treatment, the patients in the treatment group were orally administrated with Guo's Ma Qian Decoction. The initial dose of Ma Qian Zi (Semen Strychni) was 0.4 g and increased by 0.05 g every two days, with the doses of other drugs unchanged, until the patient had "nux vomica response". For the patients with no "nux vomica response", the dosage was continued to increase and the maximum dosage was not more than 1.2 g/day. The control group was treated with decoction placebo. The changes of strychnine and brucine contents before and after processing and after decoction of Ma Qian Zi (Semen Strychni) were determined with reversed-phase high-performance liquid chromatography, which were controlled within ranges stipulated in the Pharmacopeia; Adverse events were analyzed; Blood strychnine and brucine contents in 10 cases who had taken the drugs were determined. Results: 1) Strychnine (2.125%) and brucine (1.425%) contents before processing of Ma Qian Zi and 1.88% and 1.31% after processing all conformed with the standards of strychnine (1.2-2.2%) and brucine (no less than 0.8%) stipulated in the Pharmacopeia. When the maximum dosage of Ma Qian Zi was 1.2 g/day, strychnine in the decoction was 11.17 mg and brucine was 7.44 mg, which all conformed with the maximum limited amount (strychnine 13.32 and brucine no less than 4.8 mg) stipulated in the Pharmacopeia. 2) Eight cases had "nux vomica response" in the treatment group and one case in the control group, with a significant difference between the two groups (P<0.05). 3) Altogether 18 cases had adverse events, with an incidence rate of 15.38% (8 cases) in the treatment group and 18.52% (10 cases) in the control group, with no difference between the two groups (P>0.05); Among them, 10 cases (8.77%) with the adverse event were not related with therapeutic drugs, with an incidence rate of 6.67% (4 cases) in the treatment and 11.11% (6 cases) in the control group, with no significant difference between the two groups (P>0.05). Seven cases had suspicious relative adverse events, the risk in the treatment group was 0.658 times of the control group, with no significant difference (P>0.05), and one case had the toxic reaction of nux-vomica seed. 4) Strychnine and brucine were unable to be detected in the blood in all points of time in the 10 cases who had taken the drugs, indicating that plasma strychnine and brucine contents were lower than the minimum detectable amount (10 ng), and accumulation of strychnine and brucine were not found in blood of the patient during and after administration for 8 weeks. Conclusion: The individual medication of Ma Qian Zi (Semen Strychni) in the Guo's therapy has a better safety.展开更多
文摘Liver Transplantation (in Chinese), revised edition, edited by Professor Shu-Sen Zheng and prefaced by Professor Guo-Wei Sang, has just been published. The revised edition is mainly based on the clinical practice of the Liver Transplant Center, the First Affiliated Hospital, Zhejiang University and the experience
文摘Great changes have taken place in China’s medical equipment and instruments industry since the launch of the reform. The industry has evolved a new structure consisting of various economic sectors.
文摘How to establish a perfect medical system has always been a global challenge. If there was one event that commanded most of our attention from start to finish in 2007, it was medical reform. In the past, China underwent two medical system periods: one during the planned economy and another during the reform-and-opening-up period characterized by market-oriented reform. In 2006, after ten years of reform efforts, China's healthcare system found itself almost back where it started, a process that has brought with it its share of resentment and expectations from the public at large.
文摘China＇s Rural Cooperative Medical System collapsed alongside communal farming at the end of the Maoist period in 1976, leaving most farmers vulnerable[1]. In rural areas, where 80% of people have been without health insurance of any kind, illness has emerged as a leading cause of poverty[24]. To address the poor state of health care among the rural population, in 2003 the Chinese government launched the New Rural Cooperative Medical System （NCMS）,
文摘Shi Lianzhen, a 79-year-old villager from rural Beijing, has been suffering from coronary heart disease and myocardial irffarction. On October 15, 2003, she unexpectedly received 10,064 yuan (US$1,215) in subsidies for her diseases from the local government department in charge of rural co-operative medical care. This old female farmer, without any income source, was so excited that she couldn’t put her feeling into words. For the first time in their life, Chinese farmers can enjoy medical care insurance like those wage workers in dries, when their health fails them and their lives are in the menace of death.
文摘Aims andscope of the Journal .Medical Journal of Chinese People’s Liberation Army ( Med J Chin PLA) is a multiple-subjects medical periodical publishedby the People’s Military Medical Press,under the auspice of Department of Health, General Logistics Department of PLA,andit
文摘For years suffering from hypertension, Mrs. Zhang, now in her 60s, is a frequent visitor to Beijing Dewai Community Hospital in her neighborhood.＂I feel too painstaking to go to a ＇big hospital,＇＂ she says. ＂Buses are always overcrowded and slow, not suitable for people like me. Besides, community-based medical institutions charge less for treatment of the same diseases.＂
文摘We have a scarcity of health care professionals in the rural areas and therefore we can offer medical services from a distance to the underserved rural population.
基金Supported by NIH grant,No.K23DK084338(to Moss AC)NIH training grant,No.5T32DK007760-14(to Vaughn BP)
文摘Endoscopic and clinical recurrence of Crohn’s disease (CD) is a common occurrence after surgical resection. Smokers, those with perforating disease, and those with myenteric plexitis are all at higher risk of recurrence. A number of medical therapies have been shown to reduce this risk in clinical trials. Metronidazole, thiopurines and anti-tumour necrosis factors (TNFs) are all effective in reducing the risk of endoscopic or clinical recurrence of CD. Since these are preventative agents, the benefits of prophylaxis need to be weighed-against the risk of adverse events from, and costs of, therapy. Patients who are high risk for post-operative recurrence should be considered for early medical prophylaxis with an anti-TNF. Patients who have few to no risk factors are likely best served by a three-month course of antibiotics followed by tailored therapy based on endoscopy at one year. Clinical recurrence rates are variable, and methods to stratify patients into high and low risk populations combined with prophylaxis tailored to endoscopic recurrence would be an effective strategy in treating these patients.
文摘It is known to all that traditional Chinese medicine and pharmacy, as the summary of Chinese people fighting against various kinds of disease for thousands of years, has a summate theoretical system possessing the essence of Chinese classical philosophy, intensively reflects deep thinking and pondering of Chinese culture on the human being himself and dialectical relation between human and culture, making indelible contribution to the offspring reproduction and prosperity.
文摘提示:请问,对老人来说,怎样的运动是最理想的运动。科学实验证明:步行。本文的调查又证明了这一点。糖尿病患者只消每周步行两小时,就会大大减少其早死率。本文最有文采的一句:Walking Was associated with lowel mortalityacross a diverse spectrum of adults with diabetes.(步行和形形色色的患糖尿病的成年人的低死亡率有关。)
文摘I The Cancer Pain Problem:(1) Cleeland CS. Darriers to the management of cancer pain. Oncology 1987, April(Special Suppl. ) : 19--26.(2) Morgan JP, Pleet DL. Opiophobia in the United States : the undertreatment of severepain. In: Morgan JP, Kagan DV, eds. Society and Medication: Conflicting Signals forPrescribers and Patients. Levington, MA : Lexington Press, 1983: 313--326.
基金supported by a grant from "The 11th Five" National Science and Technology Support Project (2006BAI04A09-2)
文摘Objective: To assess the safety of individual medication of Guo's Ma Qian Decoction on the basis of effective treatment of fluorosis of bone with Guo's therapy. Methods: One hundred and fourteen cases of moderate fluorosis of bone were randomly divided into a treatment group (n=60) and a control group (n=54) between December 2007 and August 2009 by using the block randomized method and a central random system. At the same time of basic treatment, the patients in the treatment group were orally administrated with Guo's Ma Qian Decoction. The initial dose of Ma Qian Zi (Semen Strychni) was 0.4 g and increased by 0.05 g every two days, with the doses of other drugs unchanged, until the patient had "nux vomica response". For the patients with no "nux vomica response", the dosage was continued to increase and the maximum dosage was not more than 1.2 g/day. The control group was treated with decoction placebo. The changes of strychnine and brucine contents before and after processing and after decoction of Ma Qian Zi (Semen Strychni) were determined with reversed-phase high-performance liquid chromatography, which were controlled within ranges stipulated in the Pharmacopeia; Adverse events were analyzed; Blood strychnine and brucine contents in 10 cases who had taken the drugs were determined. Results: 1) Strychnine (2.125%) and brucine (1.425%) contents before processing of Ma Qian Zi and 1.88% and 1.31% after processing all conformed with the standards of strychnine (1.2-2.2%) and brucine (no less than 0.8%) stipulated in the Pharmacopeia. When the maximum dosage of Ma Qian Zi was 1.2 g/day, strychnine in the decoction was 11.17 mg and brucine was 7.44 mg, which all conformed with the maximum limited amount (strychnine 13.32 and brucine no less than 4.8 mg) stipulated in the Pharmacopeia. 2) Eight cases had "nux vomica response" in the treatment group and one case in the control group, with a significant difference between the two groups (P<0.05). 3) Altogether 18 cases had adverse events, with an incidence rate of 15.38% (8 cases) in the treatment group and 18.52% (10 cases) in the control group, with no difference between the two groups (P>0.05); Among them, 10 cases (8.77%) with the adverse event were not related with therapeutic drugs, with an incidence rate of 6.67% (4 cases) in the treatment and 11.11% (6 cases) in the control group, with no significant difference between the two groups (P>0.05). Seven cases had suspicious relative adverse events, the risk in the treatment group was 0.658 times of the control group, with no significant difference (P>0.05), and one case had the toxic reaction of nux-vomica seed. 4) Strychnine and brucine were unable to be detected in the blood in all points of time in the 10 cases who had taken the drugs, indicating that plasma strychnine and brucine contents were lower than the minimum detectable amount (10 ng), and accumulation of strychnine and brucine were not found in blood of the patient during and after administration for 8 weeks. Conclusion: The individual medication of Ma Qian Zi (Semen Strychni) in the Guo's therapy has a better safety.
