人体解剖学教学中的医学伦理教育

随着现代医学技术的飞速发展,医学伦理学的重要性在不断显现。如何规范、引导医学生对于生命的认识,已经成为至关重要的问题。作为医学生的第一门医学基础课程——人体解剖学,应当加强其中的医学伦理教育。我校通过建立"医学伦理教育馆",引导医学生尊重人体尸体,珍爱生命,规范他们的使用行为,以表示对生命的尊重和获得潜在的捐献者的信任。     

医学生生命伦理教育缺陷的思考

针对医学生"玩耍人体标本"行为进行思考,认为个别医学生在生命态度、生命意识方面存在着的严重问题,不能因为事件的极端性,而忽视了对教育和社会的反思,亟需医学院校、社会乃至家庭给予足够的重视和积极的干预。文章提出在医学生成长的重要时期,加强医学生生命伦理教育,对于医学生建立正确的生命伦理认知,提高生命意义感,树立尊重生命的职业道德观具有现实意义。     

浅谈强化医学生的伦理规范意识

医学伦理规范意识是医疗工作者对医学伦理规范内容、价值、意义的理解与认同，以及贯彻医学伦理规范的责任感。医疗卫生工作的职业特点，医院工作中的实际问题，大学生行为规范意识薄弱的现状，医学伦理教育实效性不强的现实。决定了强化医学伦理规范意识的重要性与迫切性。强化医学生伦理规范意识，需要采取行之有效的方式方法，唤起学生接受医学伦理教育的热情；必须建立在培养医学生人文素质的基础之上；必须坚持发展观点。     

加强医学生“敬畏生命”的医学伦理教育探析

加强医学生＂敬畏生命＂的医学伦理教育,帮助医学生树立生命重于一切的伦理意识,对于他们今后从事医学事业尤为重要。文章以＂敬畏生命＂的伦理意蕴为切入点,剖析了＂敬畏生命＂医学伦理教育的必要性,并找出＂敬畏生命＂医学伦理教育的有效途径。     

医学生实验动物福利与伦理实践教学的思考

医学生是我国医疗卫生事业的生力军,是构建"健康中国"的骨干力量。动物实验是医学生教育教学过程的重要组成部分,但教学动物实验对实验动物造成的伤害与医学理念不符。加强医学生实验动物福利与伦理实践教育,不仅是培养医学生良好伦理素养的重要途径,而且有助于培养医学生较好的科研素质,更好地了解和尊重生命,促进医学研究与生命伦理观的良性互动,最终达到医学研究可持续性发展之目的。     

注重引导医学生的自我定位增强医学伦理学教学效果

引导医学生端正自我定位 ,是医学伦理学教学的首要问题 ,因此作为医学伦理学教学者应把这个问题贯穿于教学的每一个环节 ;从另一个层面上讲也就是引导医学生找准自己在医学伦理问题中的位置 ,把自己置身于医学伦理问题之中 ,从而实现医学伦理规范、原则的内化 ,达到素质化的目的。1　引导医学生自我定位的问题和现实意义随着我国改革的深入 ,社会的各个领域以及人们的思想发生了巨大的变化 ,这种变化是以更新观念适应变化和发展为特征的。新旧观念的并存加剧了社会现象和思想意识、社会心理的矛盾性 ,人们纷纷在急剧变化的社会现实中寻找和…     

必须强化医学生伦理规范意识

大学生行为规范意识薄弱的现状,决定了强化医学伦理规范意识的重要性与迫切性。强化医学生伦理规范意识,必须唤起学生接受医学伦理教育的热情;必须建立在培养医学生人文素质的基础之上;必须坚持发展观点。     

医学生街头验血的伦理学思考

本文分析了医学街头验血的伦理缺陷及其对医学伦理教育和医学生成才教育的负面影响，提出了规范验血的行为的办法。     

医学生生命价值观与生命伦理教育

生命价值观是个体对生命和生命价值的基本态度;生命伦理是指人作为生命主体在面对环境、自身和其他生命体的生命价值、尊严时应该遵循的道德规范和原则体系,医学的专业特点决定了医学生的生命价值教育与生命伦理教育相辅相成,相互促进.开展医学生生命价值观教育和生命伦理教育,需要医学生正确认识生命,重视生命教育,培养正确的生命价值观;把生命价值教育与生命伦理教育相结合;加强师资队伍建设;促进医学生生命伦理思考,培养其人文价值理念.     

加强医学生的生命意识教育

加强医学生生命意识教育是医学发展和医务工作者道德规范的客观要求，也是我国建立市场经济与和谐社会的迫切要求。医学生要树立科学的生命观、辩证的生死观、崇高的生命价值观、正确的健康观和公正的医疗救助观，进而使学生懂得尊重生命、善待生命、热爱生命、珍爱生命、以厦尊重爱护别人的生命。医学生的生命意识教育必须渗透在课堂教学、实验实习和校园文化建设的全过程中。     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

Development on Adjustable Calibration Marker for Shock Wave Focus

Shock wave lithotripsy （SWL） is a treatment of choice for upper urinary stones. However, this procedure is inappropriate for obese patients because the focus is often unable to reach the target owing to the limited focal distance in shock wave source. Although treating such patients in a blast path may increase the application length of shock wave source, it＇s difficult to find this path on the lithotripter monitor. For this reason, we invented an adjustable calibration marker in order to set an effective focus in the shock wave hath.     

Study on the TCM Pathogenesis of Angiopathic Complications of Type II Diabetes

Excess production of reactive oxygen species(ROS)of mitochondrion mediated by hyperglycemia is the common pathogenesis of angiopathic complications of diabetes.TCM holds that the damp from the dysfunction of spleen.kidney and liver is the causative factor of complications of diabetes.This is similar to the mechanism of Ros resulting in angiopathic complications of diabetes.When the angiopathic complications of type II diabetes mellitus(T2DM)are difierentiated as caused by turbid damp in TCM can be explained as ROS.Since the obstruction of pathogenic damp in channels and collaterals is said to be the main pathogenesis,the treating principle should be dissolving the damp to remove the obstruction.     

Leptin, Ghrelin and TNF-α before and after Hypo-caloric Traditional Chinese Diet and Auricular Acupuncture

INTRODUCTION Obesity is a complex emergent problem, which can be possibly solved not only by the diet but also by the life style and promotion of a constant physical exercise. 1, 2 No doubt careful attentions must be given to the nutritional condition of obese people, the dietary habits, the somatic build (i.e. distribution of fat mass) and the organic functions linked to formation of the fat mass. All the parameters should be constantly monitored before, during and after a diet treatment. 3, 4, 5     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

Relationship between Dysglycemia and Carotid Atherosclerosis in Tibetan Population

People with dysglycemia are at high risk for atherosclerotic diseases. This study aims at investigating the atherosclerotic vascular damage in dysglycemia and its metabolic origin in Tibetan population.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

安心颗粒对急诊经皮冠状动脉介入术后生活质量影响的研究

目的：评价使用安心颗粒对急诊经皮冠状动脉介入术（PPCI）术后生活质量的影响.方法：将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组（术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次）和对照组（仅接受基础药物治疗）.所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表（MIDAS）、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果：入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异（P＞0.05）;出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低（P＜0.05）;组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低（P＜0.05）.两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血（P＞0.05）.两组发生轻度血小板减少症的患者数比较无差异（P＞0.05）.结论：PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.     

CLINICAL SIGNIFICANCE OF SERUM CYTOKINES IL-1β,sIL-2R,IL-6,TNF-α,AND IFN-v IN ACUTE CORONARY SYNDROME

Objectives To explore serum cytokines levels (including IL-1 β, sIL-2R, IL-6, TNF-α, and IFN-v) and their significance in patients with acute coronary syndrome (ACS) and the subsequent follow-ups, with attempt to estimate the role of various serum inflammatory markers in the diagnosis and assessment of ACS.Methods The study population include 40 patients with acute myocardial infarction (AMI), 40 patients with unstable angina pectoris (UAP), and 40 controls. Among the 80 patients, 60 patients attended a follow up 4 months later. Serum inflammatory markers including IL-1 β, sIL-2R, IL-6, TNF-α, and IFN-v were measured by enzyme linked immunosorbent assay.Results Serum IL- 1 β, sIL-2R, IL-6, TNF-α were significantly higher in AMI group or UAP group compared to the control group and became significantly lower 4 months later in the follow-up patients. Serum levels of IFN-v shows no significant difference between AMI group or UAP group and controls, also showing no significant change when measured in follow up patients. There was no correlation between serum creatine kinase-MB isoenzyme levels and serum inflammatory markers either in UAP or AMI group. Furthermore, when divided into two subgroups using Wagner's QRS scoring system in the AMI group, there is no difference of each serum inflammatory marker between ≤ 6 scores group and ＞ 6 scores group.Conclusion Serum levels of certain inflammatory markers may have some diagnostic value for ACS, and can be a useful marker reflecting disease stability.