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Humanistic nursing is the basic form of contemporary nursing, the implementation of biological, psychological and social medical model in nursing, and a brand-new nursing theory system and nursing practice system. Humanistic nursing is rooted in contemporary nursing practice in China, and it is the most basic feature and development trend of contemporary nursing development. The novelty of humanistic nursing concept lies in that it is the basic concept of contemporary nursing, the academic feature of contemporary nursing, the value pursuit of contemporary nursing workers, the clinical nursing practice of caring for patients, and the basic guarantee for implementing the construction of Healthy China in the nursing field. The newness of humanistic nursing theory lies in that its connotation is a generalization of the basic nature of contemporary nursing, and its extension includes contemporary nursing theory, nursing system, nursing personnel training, nursing management, clinical nursing and other fields.
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The development of medical and health services calls for a harmonious doctor-patient relationship. From the perspective of education, good communication is a positive factor in building a harmonious doctor-patient relationship ecology. The action path to strengthen the ideological and political construction of the doctor-patient communication course is the need to cultivate high-quality medical students, which is conducive to the ideological and political education of medical students and the teaching effect of the doctor-patient communication course. To improve the ideological and political construction system of the doctor-patient communication course, efforts should be made in four dimensions: strengthen the ideological and political quality of teachers, excavate and make good use of ideological and political elements of the doctor-patient communication course, enhance the dominant and recessive dual educational narration, form a joint force mechanism for the ideological and political system of the doctor-patient communication course.
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Pregnant women drug research is quite necessary and urgent,of which human trail is an important link.Pregnant women are vulnerable subjects,but they should not be excluded from drug clinical trials because of possible special risks.The governments should refine the relevant laws and regulations to standardize the clinical trials of pregnant women and safeguard their rights and interests.In order to prevent and control the risks of human trail in pregnant women drug research,it is suggested that the subjects should be limited to the pregnant women who are ill and carry out the 0 phase clinical trial of pregnant women drug research.The ethical review of pregnant women drug research should adhere to the principle of risk minimization,informed consent and reasonable compensation.Meanwhile,the ethical review should emphasize the tracing review.Risk prevention and control of pregnant women in clinical trials should form a joint force.
ABSTRACT
Humanistic medicine is the contemporary essential characteristics of medicine,which is different from the ancient and modern medicine.The basic modality of humanistic medicine is integration,and the implementation of bio-psycho-social medical model is the basic content of humanistic medicine integration.Holistic integrated medicine is a clear understanding of the comprehensive modality of humanistic medicine,and leads and promotes the integration of humanistic medicine.The continuous improvement of the theoretical framework of holistic integrated medicine and its implementation in practice will promote the development of health care.
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OBJECTIVE:To provide reference for improving medication compliance and treatment effect of the hypertension pa-tients. METHODS:3 community health center in Tianjin Hebei district were randomly selected,and 100 hypertension patients who were randomly selected from each community health center in Jan. 2015 to Dec. 2015 in Tianjin investigated by questionnaire sur-vey to explore the basic situation,drug utilization,medication compliance,and the influential factors of medication compliance were analyzed with Logistic regression analysis. RESULTS:Totally 300 questionnaires were sent out,and 300 were recycled with effective recovery of 100%. In the investigation,taking 2 drugs accounted for the majority of hypertension patients (51.67%);CCB and ACEI were most commonly used in the treatment of patients with hypertension(accounting for 59.33% and 30.67%,re-spectively);the proportion of good medication compliance was 34.00%;the community health center,drug type,economy,time to take medicine,hypertension knowledge were main factors for influencing the medication compliance of patients. CONCLU-SIONS:The treatment of hypertension patients should take some intervention measures,especially taking necessary measures for the main factors that influence the medication compliance of the patients to improve medication compliance of patients and treat-ment effect.
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OBJECTIVE:To observe the effects of Paclitaxel,Cisplatin combined with Recombinant human (Rh) endostatin on the efficacy and related indexes of patients with non-small cell lung cancer(NSCLC). METHODS:78 patients with Ⅲb or ⅣNSCLC were randomly divided into control group(39 cases)and observation group(39 cases). Control group received Paclitaxel injection 135-175 mg/m2,d1,intravenous infusion,once a day+Cisplatin injection 25 mg/m2,3 times a day,d1-3,intravenous infu-sion. Observation group additionally received Rh endostatin injection 15 mg/m2,adding into 500 ml 0.9% Sodium chloride injec-tion by slow intravenous infusion 3-4 h,d1-14,then stopped for 7 d. 21 d was regarded as 1 treatment course,it lasted 6 courses. Clinical efficacy,programmed death ligand-1(PD-L1)level,quality of life(QOL)score before and after treatment,and the inci-dence of adverse reactions in 2 groups were observed. RESULTS:All patients completed 2 courses of chemotherapy. There were 3 patients in observation group and 4 patients in control group quitted the study with uncompleted 6 weeks of chemotherapy due to in-tolerance or adverse reactions. The remission rate in observation group was significantly higher than control group,with statistical significance (P0.05). After treatment,PD-L1 level and QOL score in 2 groups were significantly lower than before,and observation group was lower than control group,with statistical significance (P0.05). CONCLUSIONS:Paclitaxel,Cisplatin combined with Rh endostatin can improve the short-term efficacy of patients with NSCLC,inhibit PD-L1 expression,improve QOL,and do not increase the incidence of adverse reactions.
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In the traditional Chinese medicine research ethics review, the basis of strengthening the overall concept and adhering to the overall principle is that paying attention to the rights and interests of the subjects at the same time focusing on the study objective and the study design, which is the ethics committee′s responsibility. The overall concept is the essential characteristic of traditional Chinese medicine. Only when sticking to the overall prin-ciple, the safety of subjects can be ensured. The implementation of the overall principle should review all of the fol-lowings:whether the investigational drug is certificated, the integrity of the test drug prescriptions, the prevention of drug side effect, and strengthen the construction of ethics committee.
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Based on China′s national conditions and the reality of Chinese medicine , revealing Chinese culture is the basic characteristics of ethical review of traditional Chinese medicine research .Let Chinese medical research ethics review the experience of abroad , promote the development of human medicine research ethics review , is the important content of ethical review the internationalization of traditional Chinese medicine research .Dedication , the overall view , syndrome differentiation and treatment , the balance is the concept of TCM research ethics review .In traditional Chinese medicine research ethics review , should strengthen the subjects dedication and respect for the subjects of examination , strengthen the characteristics of traditional Chinese medicine in the examination of the pro -ject, in the international research ethics review of traditional Chinese medicine of traditional Chinese medicine cul -ture.In the construction of ethics committee shall complete the short board.
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The author analyzed the necessity and urgency of medical humanities quality education practice teaching, defined the connotation and denotation of practice teaching, put forward the principles for medical hu-manities quality education practice teaching, including: scientific theoretical guidance, closely with practice,real and touching, taking into the teaching of education system, and made a summary for training room construction, management of practice teaching, practice teaching report writing, practical carrier construction.
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In September 2012, the Assessment for Ethics Review of Traditional Chinese Medicine (TCM) Re-search with Human Participants (named CAP, Chinese medicine assessment human research protection system) was officially commissioned to the World Federation of Chinese Medicine Societies to organize by the State Ad-ministration of TCM. Through the assessment of 20 medical institutions, a comprehensive analysis on ethical re-view platform was conducted. Combined with current regulatory system of ethics in the U.S., this article discussed independent assessment on important CAP features of local brands, the practice and benefit of construction pro-motion based on assessment and continuous improvement, as well as the importance of vigorously promote CAP assessment .
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Objective To explore the expression of protease activated receptors (PARs) on human monocytes. Methods Flow cytometry and RT - PCR was used to detect the expressions of PARs on human monocytes that purified by MACS. Results FACS analysis showed that monocytes expressed PAR - 1 , PAR - 3 , PAR - 4, but not PAR - 2.RT - PCR revealed that monocytes expressed PAR - 1 and PAR -3, but not PAR -2 and PAR -4 mRNA. Conclusion PARs is expressed on human monocyte cells,which may facilitate further investigation of the potential functions of PARs on monocytes.
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Starting with XIAO Zhi-jun case,this article discussed the construction of a harmonious physician-patient relationship,and the tendency that rules of law were emphasized excessively while ethics was overlooked existing in theoretical research and practice.However,this tendency was theoretically segmentary and practically harmful.By analyzing the correlations between law and ethics,the authors insisted on the mutual dependence between law and ethics and came up with a combination of law and ethics as a basic principle to build a harmonious physician-patient relationship.
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A questionnaire survey aimed to explore the ECs'current status is conducted in three-level hospitals of Tianjin, the existing questions and reasons of ECs in China are analyzed.
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Through analyzing on the statistics of published-year distribution and published-journal distribution of the research paper of China Ethical Committee,the progress and limits of the research from China Ethical Committee during past two decades are summarized.
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Human cloning technology,owing to the particularity of its research objectives,has brought about tremendous effect on society since this technology arises.But we still lack the corresponding measurement concerning the behaviors of research and application all over the world.By digging deeply into the relationship among the technology,law and morality,this essay seeks to find out the accordance of carrying out research on human cloning technology,and gives a deep-going analysis of the legislation environment in China.
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Public health issues are drawing more and more attention from all sides of the society,and they refer to many aspects of social life.The approaches to achieving the goal of public health will be discussed in this article,including economic development,improvement of legislation and system construction,strengthening the directing function of public opinion and the macro-control function of government,and the strength of morality.
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The executive supervision mechanism of IRBs in U.S.A and China are compared and analyzed.Based on the specific situation and realities in China,the plan of adopting good experiences of American peers to perfect the current Chinese IRBs' executive mechanism is also conceived.
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The article mainly introduces the teaching content and teaching methods of medical ethics education for international students according to the investigation of their basic information,culture background,and learning background in Tianjin Medical University and Tianjin TCM University,and sets up a perfect teaching system with the international standard in order to realize internationalization of medical education.
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The right of intervention is a special performance of doctors' autonomy right.Due to the specificity of mental diseases,the right of intervention for psychiatrists is far different from that for ordinary clinical doctors.The differences in exercising right of intervention are embodied in the means of major healthcare and treatment measures,including mandatory hospitalization,compulsory isolation and compulsory treatment of bound,which are mandatory and absolute.However,in order to safeguard the interests of psychiatric patients,common individuals and the general public,objective premise and ethical principles are crucial for psychiatrists to exercise their right of intervention,in order to avoid abusing the right of intervention and achieve positive and effective treatment outcome.This paper discusses the premise and ethical principles of exercising psychiatrists' right of intervention.
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The function of morality in medicine lies in turning moral principles into moral practice.In the contexts that medical activities have transformed from the diagnosis and treatment of diseases to the current mode of the integration of prevention-diagnosis-treatment-rehabilitation of diseases,medical safety is drawing ever broader concern.The realization of medical safety calls for a perfect combination of qualified professional skill and professional morality.The principle of medical safety is the most basic principle for the production and clinical use of medicine.Practice of this principle in medical activities and in monitoring adverse drug reactions are the most basic requirements for every medical staff.