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Physicians Versus Administrators: A Perspective 医生与管理者:一个视角
Pub Date : 2019-05-08 DOI: 10.19080/JCMAH.2019.09.555763
G. Sarla
Is it a myth that physicians are poor man managers? Do we need to learn man management, store management, medical store management, and handling and maintenance of accounts? We need to compete with guys with MBAs and handle administrative issues as well as they do, if not better. We are not taught about administration in medical schools whereas they have a structured and well-defined course before they take over as Administrative heads of medical centers. A physician learns all the nuances of administration ‘on the job’. It is high time we made an extra effort to learn administration as it is incredibly important in today’s health services.
医生都是可怜的管理者,这是无稽之谈吗?我们是否需要学习人力管理、门店管理、医疗门店管理以及账户的处理和维护?我们需要与那些拥有mba学位的人竞争,处理行政问题,即使不能做得更好,也要和他们一样好。我们在医学院没有学过行政管理,而他们在成为医疗中心的行政主管之前有一个结构化的,明确的课程。医生“在工作中”学习管理的所有细微差别。现在是我们额外努力学习行政管理的时候了,因为它在今天的卫生服务中非常重要。
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引用次数: 3
Relation Between Post Stroke Depression (PSD) and CT- Scan and MRI Findings and Estimation of Functional Degradation in Patients 2-7 Months after Stroke 脑卒中后抑郁(PSD)与脑卒中后2-7个月患者CT扫描和MRI表现及功能退化的关系
Pub Date : 2019-05-06 DOI: 10.19080/JCMAH.2019.09.555762
A. Atalu
Background: Stroke is a syndrome characterized by acute onset of neurological symptoms for more than 24 hours. PSD is the most common mood disorder in patients that its prevalence in women was more than men. The aim of this study was to determine the relation between PSD and CT-scan and MRI findings and the degree of functional degradation in patients after the stroke. Methods: This descriptive-analytical study was performed on patients with stroke. All of them had depression based on Beck’s depression test. Necessary information including cardiovascular risk factors, type of ischemia, involved hemisphere, involved artery and extent of conflict were recorded in a checklist and the functional degradation in patients is calculated by scores of the Modified Rankin Scale (MRS). Collected data analyzed by statistical methods in SPSS version 21. Results: In this study, 100 patients (43 males and 57 females with an average age of 63.97 years) were studied. Of all patients, 71% had mild depression. Of all patients, 80% had ischemic lesions, 56% had involvement in right hemisphere, 39% in frontal and 39% in the cerebral- anterior. Conclusion: The results showed that depression in women is more than men. The prevalent degree of depression was mild, the form of stroke was ischemic type and the most area involved was right hemisphere of the brain.
背景:脑卒中是一种以神经系统症状急性发作超过24小时为特征的综合征。PSD是患者中最常见的情绪障碍,其在女性中的患病率高于男性。本研究的目的是确定脑卒中后PSD、ct扫描和MRI结果与患者功能退化程度之间的关系。方法:对脑卒中患者进行描述性分析研究。根据贝克抑郁测试,他们都有抑郁症。必要的信息包括心血管危险因素、缺血类型、受累半球、受累动脉和冲突程度记录在检查表中,并通过修正兰金量表(MRS)的分数计算患者的功能退化。收集数据,采用SPSS 21版统计方法进行分析。结果:本研究共纳入100例患者,其中男性43例,女性57例,平均年龄63.97岁。在所有患者中,71%患有轻度抑郁症。在所有患者中,80%有缺血性病变,56%受累于右半球,39%受累于额叶,39%受累于大脑前部。结论:结果显示,女性抑郁症发生率高于男性。抑郁症的普遍程度为轻度,卒中形式为缺血性,主要累及脑右半球。
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引用次数: 0
Phyto-Chemical Screening and Ethno-Botanical Properties of Selected Plants of the Obafemi Awolowo University, Ile-Ife, Nigeria 尼日利亚Ile-Ife Obafemi Awolowo大学精选植物的植物化学筛选和民族植物学特性
Pub Date : 2019-04-23 DOI: 10.19080/JCMAH.2019.09.555761
Adejuwon Ao
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引用次数: 1
Pharmacognostical Evaluation and Phytochemical Screening of Neolamarckia Cadamba 新木耳的生药学评价及植物化学筛选
Pub Date : 2019-04-22 DOI: 10.19080/JCMAH.2019.09.555760
R. Verma
Neolamarckia Cadamba Miq; syn. Anthocephalus Kadamba (Family: Rubiaceae) commonly known as ‘Kadamba’ in Ayurveda1 is a large deciduous tree between 37.5-45meter height. The stem of younger trees appears greyish-green with smooth bark. As it gets older, the bark gets rough and grey with longitudinally fissured. Leafs glossy, dark green, opposite, simple pulvinus base sub sessile to petiolate, broadly ovate to elliptical-oblong, entire, apex marinate and venation pinnate. The flowers that appear from August to October are orange to yellow. Inflorescence in clusters, terminal globose heads, subsessile and fragrant. Fruitlets numerous with upper parts containing 4 hollow or solid structures. Seed trigonal or irregularly shaped. The trees found in the greater part of India in moist localities in West Bengal, Bihar, Andhra Pradesh, Karnataka, Kerala and peninsular India [1-2].
neolamarchkia Cadamba Miq;在阿育吠陀(ayurveda)中,通常被称为“Kadamba”,是一种大型落叶乔木,高度在37.5-45米之间。幼树的茎呈灰绿色,树皮光滑。随着年龄的增长,树皮变得粗糙和灰色,并有纵向裂缝。叶有光泽,深绿色,对生,单枕状花序基部近无柄到具叶柄,宽卵形到椭圆形长圆形,全缘,先端具海绵状和脉具羽状。从8月到10月出现的花是橙色到黄色的。花序在簇生中,顶生球形头状花序,近无梗和芳香。果小果多数具上部含有4个空心或实心结构。种子呈三角形或不规则形状。在印度大部分潮湿的地方发现的树木在西孟加拉邦,比哈尔邦,安得拉邦,卡纳塔克邦,喀拉拉邦和印度半岛[1-2]。
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引用次数: 0
Unexpected Pneumothorax Suspected by Performing Non-Lung Point-of-Care Ultrasound 非肺点超声检查怀疑意外气胸
Pub Date : 2019-04-08 DOI: 10.19080/JCMAH.2019.09.555759
J. L. Martínez
Currently lung point-of-care ultrasound (POCUS) represents one of the most powerful tools when managing critically ill children. Its use allows to safe time avoiding deleterious effects from other diagnostic techniques such as ionizing radiation, which is specially important in children. POCUS is based on a multi-scan syndromic approach of medical problems more than scanning some specific anatomical areas. In other words, POCUS is able to stablish a diagnosis by scanning different organs views. We present two cases of unidentified pneumothorax suspected by using non-lung point-of-care ultrasound, confirmed posteriorly by lung ultrasound. In all cases high frequency linear transducers (5-10Hz) were used for evaluating superficial structures (neck, pleura) and the lung was scanned in a longitudinal plane, placing the probe perpendicular to the chest wall.
目前,肺部即时超声(POCUS)是治疗危重儿童最有力的工具之一。它的使用允许安全时间避免其他诊断技术的有害影响,如电离辐射,这对儿童特别重要。POCUS是基于医学问题的多扫描综合征方法,而不是扫描一些特定的解剖区域。换句话说,POCUS能够通过扫描不同的器官视图来建立诊断。我们提出两例不明气胸怀疑使用非肺点护理超声,后证实肺部超声。在所有病例中,使用高频线性换能器(5-10Hz)评估浅表结构(颈部、胸膜),并在纵向平面上扫描肺部,将探头垂直于胸壁。
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引用次数: 1
Methods to Renovate Ayurveda Sastric Churna to Tablet Dosage Form 方法将阿育吠陀苦参改造成片剂剂型
Pub Date : 2019-04-04 DOI: 10.19080/JCMAH.2019.09.555758
Amruthavalli Gv
The science of converting Sastric Ayurveda churna to tablet dosage form was extensively researched. The sastric form of Ayurveda churna is difficult to use by patients due to the coarse powder form as well as the high quantity to be cosumed per dose (2-4gm). In order to enhance the acceptance of Ayurveda churna by the modern world necessary change in presentation packaging is needed. The question of how to convert 2gms of churna to 500mg of tablet requires greater scientific investigations and understanding. We have used the extractive value as the key determining factor to convert sastric Ayurveda churna to tablet dosage form. Details are presented in the paper.
将印度草药转化为片剂剂型的科学被广泛研究。由于阿育吠陀churna的粗粉形式以及每剂量(2-4gm)的高摄入量,患者难以使用。为了提高接受阿育吠陀churna由现代世界必要的改变,在介绍包装是需要的。的问题是如何将2 gms churna 500毫克的平板电脑需要更大的科学调查和理解。以提取值为关键决定因素,将阿育吠陀药材转化为片剂剂型。文中详细介绍了该方法。
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引用次数: 0
Different Drugs in Modulating Gut Microbiome of Colitis Mice 不同药物对结肠炎小鼠肠道菌群的调节作用
Pub Date : 2019-03-11 DOI: 10.19080/JCMAH.2019.09.555757
Chunjiang Zhang
Inflammatory Bowel Disease (IBD) is the term used to describe chronic intestinal inflammatory conditions, including Ulcerative Colitis (UC) and Crohn’s Disease (CD). While IBD is especially common among western populations, the incidence of IBD in China has increased rapidly in recent years because of the widely adopted westernized lifestyle [1]. The etiology and pathogenesis of IBD are not fully understood, and effective therapeutics are lacking. A healthy, balanced intestinal microbiome plays a key role in maintaining whole-body homeostasis. Significant alterations to the gut microbiome, referred to as dysbiosis, are present in most chronic inflammatory disease. Intestinal dysbiosis is a defining feature of IBD, with some even considering it to be causative. Indeed, manipulating the gut microbiome has been shown to greatly alleviate the symptoms of IBD [2]. Proand prebiotics are two Abstract
炎症性肠病(IBD)是用来描述慢性肠道炎症的术语,包括溃疡性结肠炎(UC)和克罗恩病(CD)。虽然IBD在西方人群中尤为常见,但近年来,由于广泛采用西方化的生活方式,IBD在中国的发病率迅速上升。IBD的病因和发病机制尚不完全清楚,缺乏有效的治疗方法。健康、平衡的肠道微生物群在维持全身稳态中起着关键作用。肠道微生物群的显著改变,被称为生态失调,存在于大多数慢性炎症性疾病中。肠道生态失调是IBD的一个决定性特征,有些人甚至认为它是病因。事实上,控制肠道微生物群已被证明可以大大减轻IBD的症状。益生元分为两大类
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引用次数: 0
Understanding the Principles of Homeopathy on A Research Perspective 从研究的角度理解顺势疗法的原理
Pub Date : 2019-03-11 DOI: 10.19080/JCMAH.2019.09.555756
E. Das
The practice of every medical system involves scientific theories and artistic approaches. Harmonious blend of science that are demonstrable with contemporary tools of investigation and its artistic application to understand the sick make that medical system rational therapeutics. Homeopathy originated as a new medical approach in early 18th century is based on definite scientific and artistic concepts. The system is based on seven principles/ theories, codified by Dr Hahnemann, its founder. The practice of homeopathy was well accepted by the public from the very inception due to safety of medicine and effectiveness. The popularity of homeopathy spread across the globe even during the life of investigations and the artistic approaches used by the practitioners. An explorative exercise is also made to analyse various research outcome on drug dynamisation to establish the scientific basis of Homeopathy.
每个医疗系统的实践都涉及科学理论和艺术方法。科学与当代研究工具的和谐融合,以及对理解病人的艺术应用,使医疗系统成为合理的治疗方法。顺势疗法起源于18世纪初的一种新的医学方法,它基于明确的科学和艺术观念。该系统建立在七个原则/理论的基础上,由其创始人哈内曼博士编纂。由于药物的安全性和有效性,顺势疗法的实践从一开始就被公众所接受。顺势疗法的流行遍及全球,甚至在生活的调查和艺术方法的从业人员使用。对药物动力学的各种研究成果进行了探索性分析,以建立顺势疗法的科学基础。
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引用次数: 3
Suggestions for Application of Artificial Intelligence in Pulse Feeling 人工智能在脉感中的应用建议
Pub Date : 2019-03-08 DOI: 10.19080/JCMAH.2019.09.555755
T. Hong
Zeng (Pattern), which is based on the information gathered from the fours skills of Looking, Smelling, Asking, and Pulse feeling, is the unique concept that distinguishes traditional Chinese medicine (TCM) and acupuncture from the Western medicine. Fundamental principles of exterior signs and symptoms in the TCM can reflect to some extent how internal organs function within the body, which is broader than the theories in the Western medicine. It is difficult for TCM physicians or acupuncturists in clinic to screen the information gathered through the four skills because there will be three confusing conditions:
“曾”(模式)是基于“看、闻、问、脉”四种技能收集的信息,是中医和针灸区别于西医的独特概念。中医的外在体征和症状的基本原理可以在一定程度上反映体内脏器的功能,这比西医的理论更广泛。中医或针灸师在临床上很难筛选通过这四种技能收集到的信息,因为会出现三种混乱的情况:
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引用次数: 1
Why Glutathione? 谷胱甘肽的原因吗?
Pub Date : 2019-03-01 DOI: 10.19080/jcmah.2019.09.555753
Holly Fourchalk
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引用次数: 0
期刊
Journal of Complementary Medicine & Alternative Healthcare
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