基于频数分析法的骨伤科中成药用药规律研究

目的：探讨骨伤科中成药的用药规律，为临床合理用药及新药开发提供参考。方法：以《中国药典》2015年版一部收载的骨伤科类中成药共149个为研究对象，运用频数分析的方法研究其主治病症、所用剂型、各类方剂高频药物、核心药物组成，分析骨伤科中成药用药规律。结果：常用骨伤科中成药中治疗骨关节痹症的最多，其次为跌打损伤和骨关节退行性疾病的中成药；剂型以胶囊剂、片剂、丸剂为主；以活血化瘀药、祛风湿药、补虚药为核心药物组合，各类方剂中三者比例偏重不同。结论：通过对研究结果进行分析，提出了新药研发的方向。     

Evidence-based Medicine

Summary:  Evidence-based medicine (EBM) has become a watchword for "the new" medical practice in the new century. Whether it represents a paradigm shift or simply a codification of the scientific method in medicine will be debated for years to come. Regardless of the place of EBM in medicine, this "movement" has served an important role in moving physician practice into the realm of becoming more scientific (albeit empirical) and transparent. There are still many problems to be addressed in the global application of the best evidence for medical practice. These include low-quality studies, delays in implementation of clear-cut improvements, outright fraud and deceit, and wariness on the part of physicians to change their practice. By working to understand the underpinnings of EBM (basic statistical concepts and critical thinking) we can advance the practice of medicine along the moral high road of science.     

Concerns for medical radiation programs in Australian universities

The Australian higher education system is in a state of great change. The Federal education minister, Dr Brendan Nelson, has indicated that he intends to continue introducing far-reaching reforms that will impact significantly on how universities conduct teaching and research. The future allocation of government funding for university programs, including those in medical radiation, will have a significant effect on how those programs are delivered and could even determine whether programs remain viable. There will be a financial imperative for academic departments to strengthen research activity and to obtain funding from non-government sources, such as full-fee paying students, in order to generate enough income to cover program delivery. Medical radiation education in Australia is also facing many other challenges. Some of these are longstanding, such as the high cost of medical radiation program delivery, poor levels of research activity and difficulty in recruiting and retaining academic staff. Other problems have arisen recently, such as increased competition for students and a critical shortage of available training placements in clinical practice. The aim of this paper is to raise and explore these issues from a university perspective.     

细菌药敏试验结果的统计分析及反馈

将临床细菌培养及其药物敏感试验结果定期进行统计、分析、反馈，既是医院分级管理和医院感染管理规范的有关内容和要求，更为临床诊断、治疗提供可靠的科学依据。     

Making clinical decisions for dental care: concepts to consider

Clinical decisions are often made with incomplete information, yet patient care decisions are made every day. Patients vary clinically, uncertainty exists in diagnostic and prognostic information, and many preventive and treatment alternatives have not been formally assessed for their effectiveness. Because scientific information will never answer all clinical questions, clinical decisions are partially based on probabilistic information.
This paper describes how to apply clinical decision making to diagnosing and managing dental caries and periodontal diseases. By using explicit information to quantify probabilities and outcomes, clinical decision making analyzes decisions made under uncertain conditions and the uncertain impact of clinical information.
Clinical decision making incorporates concepts for preventing, diagnosing and treating dental caries and periodontal diseases: risk assessment, evidence-based dentistry, and multiple oral health outcomes. This information can serve as a tool for clinicians to augment clinical judgment and expertise.     

采用半透明效果实现医学三维整体可视化

目的通过改进直接体绘制技术（DVR）算法中的关键步骤，绘制能表达数据场中不同层次组织的内部结构。方法根据界面对光线的反射和物质本身对光线的衰减，将数据场划分为边界不丰富的简单数据场和边界丰富的复杂数据场，从而采用分段线性函数来构造阻光度传递函数（TF）；将数据场中低灰度体素点看为一种不发光但会导致采样光线衰减的物质；根据采样结束时采样光线的阻光度分布来调整TF，完成三维绘制。结果绘制出了不同层次组织的内部结构。结论本算法有效地解决了体素点相互遮挡的问题，实现了医学三维整体可视化。     

中西医结合治疗Leriche综合征78例

目的:总结中西医结合治疗Leriche综合征的方案.方法:回顾性总结Leriche综合征的临床治疗78例,均行人工血管主股或主髂动脉转流手术,术后静脉应用低分子右旋糖酐、复方丹参注射液和维脑路通.结果:手术结束后均能触及股动脉和动脉搏动,手术后7 d,患肢缺血症状均得到改善.手术后3月,患肢缺血症状消失,64例阳痿现象得到改善.彩色超声血管吻合口及人工血管内均未见血栓.结论:人工血管主股动脉转流或主髂动脉转流是治疗Leriche综合征较好的手术方案,围手术期合理应用扩血管、祛聚、活血化瘀药物,同时及时处理伴发疾病是提高临床治愈率和提高远期疗效的关键.