医事法学学科建设的探索与实践

医事法学是一门医学与法学交叉的新兴学科,泸州医学院于上世纪末涉足该学科领域,在全国第二、西部第一所开办法学专业（医事法律方向）。经过十余年的探索与建设,学校走出一条医事法学教学、科研、学术交流和社会服务的创新之路。通过整合内外资源,汇聚高端人才,建设结构合理学术队伍,促进学科可持续发展;建立四川医事卫生法治研究中心、创办《医学与法学》期刊,搭建学术平台、凝练学科方向、开展科学研究、服务地方经济社会;创新模式,优化方案,培养医事法学应用型复合型人才。目前该学科建设水平位居全国前列,学科优势特色明显,在国内医法领域拥有较大的影响力。     

医事法学学科建设存在的问题与对策

分析医事法学学科建设缺乏稳定的研究方向、师资力量和学术队伍匮乏、学科建设研究成果贫乏、人才培养不能满足社会需求等问题及原因。提出加强医事法学学科建设的措施,即要高度重视,统一认识,确保医事法学学科健康规范发展;加强学科内涵建设,提升医事法学学科建设水平;医学与法学有机结合,培养高层次复合型人才。     

医事法学本科人才培养的研究与实践

医事法学是一门医学与法学交叉的新兴学科.作为全国第二所、西部第一所开办法学专业(医事法律方向)的高等医学院校,经过10余年的探索与实践,泸州医学院按照培养医法交叉融合的应用性复合型人才培养目标的要求,制订了富有特色的人才培养方案,构建了一支校内外相结合的双师型教学队伍,编写了专业特色教材,建立了研究中心、学术期刊等学科平台以及多种实践教学平台,开辟了一条医事法学教学、科研和社会服务三结合的人才培养之路.     

我国医事法学本科教育的若干问题

医事法学本科教育目标是培养既有医学知识和技能又具备法律知识和技能的复合型应用人才.鉴于跨越医学和法学两个学科的特点,医事法学本科教育应该在整合教育资源的基础上,实现教育模式与教学方法的创新.     

医事法学的学科定位、专业设置与学位授予——我国医事法学学科建设的根基性问题

医事法学作为医学与法学交叉融合后形成的新兴学科,具有自身独立的品格.在学科设置上,宜将医事法学置于法学学科门类下.而在专业设置和学位授予方面,从短期规划看,开设医事法学教育的院校应在本科阶段统一采取“法学专业(**方向)”的称谓,授予法学学士学位;从长期规划]看,应取消医事法学的本科建制,实行“医事法学专业”本硕连读制度,毕业时授予法学硕士学位,或者招收医学各专业的本科毕业生攻读法律硕士学位.     

医事法学专业实践性教学模式的探索与实践

医事法学被誉为医学院校的"朝阳"专业,医学与法学的"交叉性"是这一新兴专业的本质特征。医事法学极具实践性,唯有创建一个体系化的实践性教学模式,才能最终培养出适合于时代需要的高素质医事法律人才。传统的法学教育模式有其合理性但存在诸多弊端,在构建医事法学专业实践教学模式过程中,应大胆进行改革与创新。     

对医事法学教育现状的若干思考

为了适应经济社会对于学科发展不断细化的要求,从1996年至今,我国相继有40多所高等院校开设了医事法学专业方向。经过了15年的发展为社会各行各业输送了大量的人才,但医事法学教育同时也存在着专业定位、课程设置、人才性质以及毕业去向等方面的问题。只有立足社会需求,明确医事法学培养目标才能使上述问题得到解决。     

医事法学的学科定位、研究范畴与教学改革

医事法学着重探讨医事活动涉及法律规范的理论体系以及司法实务及立法兴废等问题,应当有其独立的法律体系;但其尚未被正式列入专业目录,与医学法学、卫生法学之间定位存在的模糊性也在一定程度上阻碍其教学改革与学科发展。通过廓清其内涵,分析国外经验,建议医事法学教学改革应顺应社会发展的需求,从内容和方法两个方面进行改革,完善医事法学理论体系。     

医学院校医事法学本科教学模式初探

医学院校是承担培养医事法学复合型人才的主要力量，而医学与法学都是“长线”学科，学生能掌握一门医学或者一门法学很不容易，更不用说两门皆学。同时，相比较而言，医学院校通常在法学的师资队伍、教学资源等方面，都不如专门的法律类院校，因此，设计科学的能够扬长避短的教学模式就非常重要。     

利用现代教育技术,促进医事法学专业发展

为适应医疗卫生法制化的需要,在调查35所医学院校开设医事法学专业的基础上,通过对医事法学教育的分析,针对其存在的问题提出了自己的建议,以期促进医事法学专业健康发展,为我国培养复合型的医学法律人才.     

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…     

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.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

Luo Lingjie's Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.