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Ideological and political education in medical discipline is the integration of "medical discipline" and "ideological and political education", the deepening of "ideological and political theories teaching in all courses" and "professional ideological and political education", and an important part of discipline construction and ideological and political education in medical colleges. This paper analyzed the value and inevitability of ideological and political education in medical discipline from the perspective of medical discipline, "three-all education" and medical personnel training, and expounded the connotation system and practical dimension of "ideological and political education in medical discipline" in the framework of subject form, object form, mediator form, theory form, practice form and system form.
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Introducción: El aprovechamiento de los cursos de ciencias básicas puede depender de las percepciones estudiantiles sobre la importancia de estos en su vida profesional, por lo que se hace necesario determinar el grado de importancia que los estudiantes le confieren a este tipo de cursos. Materiales y métodos: Se presentó un cuestionario con 9 declaraciones a 54 estudiantes de odontología y medicina. Las respuestas se pasaron a una escala numérica para su análisis. Se usó una prueba de U de Mann-Whitney con el fin de evaluar diferencias entre estudiantes de ambas facultades. Resultados: Los estudiantes en conjunto mostraron tener una buena opinión de la importancia de las ciencias básicas en la práctica clínica. Se observó también que es mayor la proporción de estudiantes de odontología que consideran que la investigación básica no es útil para su práctica clínica. Conclusión: Los estudiantes consideran las ciencias básicas necesarias para un buen desempeño profesional.
Introduction: The benefit of basic science courses may depend on students' perceptions of the importance of these courses in their professional life, therefore, it's necessary to determine the degree of importance that students give to this type of courses. Materials and methods: A questionnaire with 9 statements was presented to 54 dental and medical students. The responses were converted to a numerical scale for analysis. Using a Mann-Whitney U test, differences between students from both faculties were evaluated. Results: The students showed a good opinion of the importance of basic sciences in clinical practice. It was also observed that the proportion of dental students who consider that basic research is not useful for their clinical practice is higher. Conclusion: Students consider the basic sciences necessary for good professional performance.
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Introducción: La interdisciplinariedad es el resultado de la puesta en práctica de varias disciplinas, que permite afrontar el objeto de estudio de modo integral y promover el desarrollo de nuevas intervenciones para la solución de problemas. En el campo de la medicina involucra la contribución de diversas disciplinas y la participación de especialistas de diversas áreas que integra el pensamiento de diferentes profesiones o tecnologías para lograr un resultado común. Objetivos: Exponer una visión integral acerca de cómo la interdisciplinariedad ha permitido el desarrollado de la cirugía mínimamente invasiva en la especialidad de urología. Métodos: Se realizó una revisión sistemática y crítica de artículos reportados sobre la interdisciplinariedad en el campo de la cirugía mínimo invasiva, en idioma español e inglés, desde 2005 hasta 2022, en sitios Web (PubMed, SciELO, MedLine, Lilacs y Science Direct. Se referenciaron 22 artículos de los consultados. Conclusiones: Las evidencias reportadas y consultadas ofrecen una visión integral de las diversas intervenciones que certifican la interdisciplinariedad en el campo de la cirugía urológica mínimamente invasiva, que fortalece el marco curricular de la especialidad y permite alcanzar un nivel de profesionalidad significativo, evidenciado en un excelente desempeño profesional(AU)
Introduction: Interdisciplinarity results from implementing several disciplines, allowing to address the object of study comprehensively, as well as promote the development of new interventions to solve problems. In the field of medicine, it involves the contribution of various disciplines and the participation of specialists from different areas, integrating the thinking from different professions or technologies to achieve a common result. Objectives: To present a comprehensive perspective of how interdisciplinarity has allowed the development of minimally invasive surgery in the specialty of urology. Methods: A systematic and critical review was carried out with reported articles on interdisciplinarity in the field of minimally invasive surgery, in Spanish and English, from 2005 to 2022, in Web sites (PubMed, SciELO, MedLine, Lilacs and Science Direct). Twenty-two of the consulted articles were referenced. Conclusions: The reported and consulted evidence offers a comprehensive perspective of the various interventions certifying interdisciplinarity in the field of minimally invasive urologic surgery, which strengthens the curricular framework of the specialty and allows to achieve a significant level of professionalism, evidenced through excellent professional performance(AU)
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Humans , Technology/methods , Urology/education , Minimally Invasive Surgical Procedures/methods , Knowledge , Education, MedicalABSTRACT
La producción científica de las facultades de Ciencias Biológicas en el campo biomédico no ha sido evaluada en el Perú. El objetivo del estudio fue analizar las características de la producción científica y las contribuciones a las ciencias biomédicas de la Facultad de Ciencias Biológicas de la Universidad Nacional Pedro Ruiz Gallo, Perú (FCCBB-UNPRG). Se realizó un estudio descriptivo con enfoque bibliométrico; se consultaron tres bases de datos (Scopus, PubMed y LILACS) para buscar artículos que tuvieran, mínimo, un autor afiliado a la FCCBB-UNPRG. Se consignaron los siguientes datos: tipo de publicación, idioma, datos de autoría, financiamiento, año, área de publicación, datos de la revistas e instituciones colaborativas. Se realizó un análisis descriptivo y se elaboraron mapas de redes, utilizando el software VOSviewer. Se recopilaron 46 documentos; la mayoría son artículos (n = 36, 78,26 %), cartas (n = 9, 19,57 %) y reporte de casos (n = 1, 2,17 %); publicados en 30 revistas científicas, principalmente extranjeras. Existió mayor contribución en las áreas de microbiología, virología y parasitología. Se involucraron 42 instituciones colaborativas. Cerca del 90 % de las publicaciones no fueron financiadas. En los últimos años se observó un crecimiento en el número de publicaciones en diferentes áreas temáticas; esto demuestra el compromiso de la FCCBB-UNPRG con la investigación en el campo biomédico y la formación de investigadores. Se espera la implementación de políticas de investigación que involucren pautas y/o directrices para lograr un incremento sostenido de la producción científica.
The scientific production of the faculties of Biological Sciences in the biomedical field has not been evaluated in Peru. The objective of this study was to analyze the characteristics of the scientific production and the contributions to the biomedical sciences of the Faculty of Biological Sciences of Pedro Ruiz Gallo National University, Peru (FCCBB-UNPRG). A descriptive study with a bibliometric approach was carried out. Three databases (Scopus, PubMed, and LILACS) were consulted to search for articles that had, at least, one author affiliated with the FCCBB-UNPRG. The following data were recorded: type of publication, language, authorship data, funding, year, publication area, journal data, and collaborating institutions. A descriptive analysis was carried out and network maps were elaborated, using the VOSviewer software. Forty-six documents were retrived; the majority were articles (n = 36, 78.26%), letters (n = 9, 19.57%) and case reports (n = 1, 2.17%); published in 30 scientific journals, mainly foreign. Greater contribution was observed in microbiology, virology and parasitology. Fotry-two collaborative institutions were involved. About 90% of the publications were not funded. A growth in the number of publications in different thematic areas has been noted in recent years, which demonstrates the commitment of FCCBB-UNPRG to research in the biomedical field and the training of researchers. The implementation of research policies including guidelines and/or directives is expected to achieve sustained increase in scientific production.
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Objective:To construct an index system for evaluating the development of research-oriented disciplines in medical institutions, and to provide a basis for guiding the superior disciplines towards international high-level disciplines.Methods:Through literature research and expert discussions, the basic framework of the research-oriented disciplines development evaluation system was established. The final version of the index system was determined using the Delphi method and expert interviews, and the weights of each index were established using the hierarchical analysis method.Results:After consultation, the framework of 5 first-class indexes, 16 second-class indexes, and 51 third-class indexes was finally constructed for the evaluation system of research-oriented discipline development, and the weights of indexes at different classes were calculated. The high-frequency terms " research mechanism construction" , " research team construction" and " representative research results" extracted from the expert interviews echoed the results of the weighting calculation.Conclusions:The evaluation system for research-oriented disciplines constructed in this study is relatively reasonable, scientific, reliable, and operable. The construction of the index system adapts to the characteristics of the development of research-oriented disciplines, with guiding significance for enhancing the development of research-oriented disciplines.
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Discipline construction is the core of hospital development. Under the initiative to build " first-class universities and disciplines" , in order to speed up the construction of first-class hospitals, a university-affiliated hospital carried out discipline construction management by optimizing top-level design, discipline differentiation development, evaluation index system construction and strengthening its application, and carrying out process management in the form of project system.In 2018, the hospital levelled its individual disciplines as leading ones, advantageous ones, backbone ones, backbone promising ones and potential ones, each granted with corresponding funding support. Medians of the disciplinary construction scoring of disciplines at various levels from 2015 to 2018 were used as the standard scoring in examinations in the next two years(2019 and 2020), guiding the disciplines to upgrade their design for discipline construction index system. The appraisal of discipline construction in 2019 and 2020 found 38 disciplines up to the standard scoring, including 16 twice higher than the scoring, while only 7 scored lower than the standard one. The hospital has made stage-based progress in discipline reputation, faculty, science research and social contribution, initially achieving effective guidance of disciplines of the hospital.
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Objective:To review the funding status of the National Natural Science Foundation of China in the field of preventive medicine, summarize the characteristics of approved funding for sub-disciplines and institutions, to further analyze the effects of funding distribution.Methods:Descriptively analyze the funding status of the National Natural Science Foundation of China in the field of preventive medicine from 2010 to 2019, and analyze its aggregation effect by constructing a single funding strength and intensity index.Results:The project number, funding amount and number of research institutions have shown an overall upward trend. In the past 10 years, a total of 1.683 billion has been approved for funding, and the proportion in the Department of Health Sciences has remained at about 4%. Non-communicable disease epidemiology, human nutrition, and health toxicology are among the top three in terms of project number, funding amount, and number of grantee institutions. Sub-discipline funding is uneven, showing a phenomenon of development differentiation. The amount of approved funding, the number of institutions, and the strength of individual funding for universities are significantly higher than those of scientific research institutions and CDCs. The total amount of Top 10 funding accounted for 41.49%, which obviously showed a " head" effect.Conclusions:The Natural Science Foundation of China should continue to increase investment in the field of preventive medicine. Key breakthroughs in dominant disciplines, weaker disciplines make up for shortcomings, guide universities, research institutes, and CDCs to carry out inter-institutional project cooperation based on their respective advantages, and encourage interdisciplinary research to enhance discipline innovation capabilities.
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The rapid development of bioeconomy urgently needs the support of biotechnology talents. Establishing an innovative training mode of biotechnology talents can provide support for regional economic development and industrial upgrading. Closely revolved around the concepts of new engineering disciplines development, such as serving the national strategy, docking industry, leading the future development and student-centered, a new economy-oriented training system was developed in School of Bioengineering of Dalian University of Technology. These systems include interdisciplinary curriculum system reconstruction, project-based teaching mode reform, evaluation system implementation and other aspects. The reform and exploration of the first-class biotechnology major under the new economic situation, puts forward the theory of value guidance, deep foundation, strong sense of innovation, technical and non-technical core ability literacy. This reform meets the industry demand for talent diversification, personalization, and dynamic change, helps the merge of industry and education, which provides a way for fostering first-class biotechnology-majored undergraduates.
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Humans , Biotechnology , Bioengineering , Biomedical Engineering , Students , CurriculumABSTRACT
RESUMEN El estudio de la Estadística como disciplina, en la carrera de Licenciatura en Cultura Física, reviste gran importancia por su aplicación en investigaciones científicas y alto impacto en las esferas de actuación profesional, además de la cientificidad que aporta al movimiento deportivo cubano. Por estas razones, el estudio del contenido estadístico debe considerarse a partir de una interpretación generalizada desde las diferentes ciencias. El objetivo de la investigación consistió en valorar la orientación del estudio de la Estadística, desde la utilización de los nodos interdisciplinarios, durante el proceso de formación profesional en estudiantes de Cultura Física. En el proceso investigativo, fue necesario la utilización de métodos empíricos como la revisión de documentos, la encuesta, entrevista y la observación, además de la triangulación metodológica como herramienta de comprobación. Se propone como posible solución para transformar la realidad obtenida durante el diagnóstico realizado la elaboración de una estrategia metodológica para favorecer la enseñanza y el aprendizaje del contenido estadístico, en estudiantes de Cultura Física.
RESUMO O estudo da Estatística como disciplina, no Bacharelado em Cultura Física, é de grande importância devido a sua aplicação na pesquisa científica e alto impacto nas esferas de atuação profissional, além da cientificidade que contribui para o movimento esportivo cubano. Por estas razões, o estudo do conteúdo estatístico deve ser considerado a partir de uma interpretação generalizada das diferentes ciências. O objetivo da pesquisa foi avaliar a orientação do estudo da estatística, a partir do uso de nós interdisciplinares, durante o processo de formação profissional em estudantes de Cultura Física. No processo de pesquisa, foi necessário utilizar métodos empíricos como revisão de documentos, pesquisa, entrevista e observação, além da triangulação metodológica como uma ferramenta de verificação. A elaboração de uma estratégia metodológica para favorecer o ensino e a aprendizagem do conteúdo estatístico em estudantes de Cultura Física é proposta como uma solução possível para transformar a realidade obtida durante o diagnóstico realizado.
ABSTRACT The study of the Statistic as a discipline on majoring at Physical Culture has a great importance for its application in scientific research and its high impact in the fields of professional performance, besides the scientific contribution to the Cuban sport movement. For these reasons the study of the statistical content should be considered to express a widespread interpretation from the different sciences. The objective of the research was to value the orientation of the study of the statistic, from the use of the interdisciplinary cores, during the process of professional formation in students of Physical Culture. During the research process it was necessary the use of empiric methods as the document review, the survey, the interview and the observation, besides, the methodological triangulation as confirmation tool. It is intended as possible solution to transform the reality achieved during the carried out diagnosis, the design of a methodological strategy to favor the teaching and learning of the statistical content in students of Physical Culture.
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@#Objective To investigate the multidisciplinary management of patients with acute type A aortic dissection in late pregnancy. Methods The clinical data of 3 patients admitted to the Second Affiliated Hospital of Army Medical University from 2018 to 2019 were analyzed. Their age ranged from 27 to 32 years, while gestational age was 34-37 weeks. Sudden chest pain was the main clinical symptom before operation. All 3 patients underwent Bentall surgery after cesarean section under general anesthesia, of whom 2 patients received total arch replacement (TAR) combined with frozen elephant trunk (FET) implantation and 1 received coronary artery bypass grafting (CABG) additionally. Results No patient died during the perioperative period, and all the newborns were delivered successfully and survived healthily. The ICU stay was 3-5 d. The postoperative hospital stay was 15-18 d. The follow-up was 250-751 d. There was no recurrence or death. One patient who developed spontaneous pneumothorax and hydropneumothorax was cured in our center. Conclusion The multidisciplinary diagnosis and treatment strategy plays a crucial role in saving the life of pregnant patients with acute type A aortic dissection.
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BACKGROUND@#Among former Olympic-level athletes, engagement in different sport disciplines has been associated with mortality risk in subsequent years. However, limited evidence is available on whether engagement in different sport disciplines at a young age is associated with locomotive syndrome (LS) risk later in life. This study examined the relationship between engagement in different sport disciplines during university years and LS risk in older age among former university athletes.@*METHODS@#Participants were 274 middle-aged and 294 older men alumni who graduated from a school of physical education in Japan. LS risk was defined as answering "yes" to any of the Loco-check questions. Data on university sports club membership were collected using questionnaires. University clubs were classified into three groups of cardiovascular intensity (low, moderate, high), following the classification system of sport disciplines by the American College of Cardiology. This classification considers the static and dynamic components of an activity, which correspond to the estimated percent of maximal voluntary contraction reached and maximal oxygen uptake achieved, respectively. University clubs were grouped based on the risk of bodily collision (no, yes) and extent of physical contact (low, moderate, high). Relationships between engagement in different sport disciplines and LS risk were analyzed using Cox proportional hazards models, and adjusted for age, height, weight, joint disease, habitual exercise, and smoking and drinking status.@*RESULTS@#Adjusted hazard ratios and 95% confidence intervals associated with the low, moderate, and high cardiovascular intensity sports were 1.00 (reference), 0.48 (0.22-1.06, P = 0.070), and 0.44 (0.20-0.97, P = 0.042) in older men, respectively; however, there was no significant association between these parameters among middle-aged men. Engagement in sports associated with physical contact and collision did not affect LS risk in either group.@*CONCLUSIONS@#Engagement in sports associated with high cardiovascular intensity during university years may reduce the risk of LS in later life. Encouraging young people to participate in such activities might help reduce LS prevalence among older populations.
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Adult , Aged , Aged, 80 and over , Humans , Male , Middle Aged , Young Adult , Athletes/statistics & numerical data , Exercise , Geriatric Assessment , Japan/epidemiology , Locomotion , Mobility Limitation , Motor Disorders/etiology , Postural Balance , Prevalence , Proportional Hazards Models , Risk Factors , Sports/statistics & numerical data , SyndromeABSTRACT
For more than a century the training of medical professionals has been organized according to the Flexnerian model, which comprises three cycles: basic, clinical and clerkship. On the other hand, the accelerated development of biomedical sciences modified the competences of the first cycle. Additionally, new skills required for medical practice, such as teamwork and innovation as a tool to solve health problems, challenged in recent years the classic paradigm of medical education. Therefore, the medical schools have developed multiple strategies to deal with it, such as curricular integration using competency-based education models, incorporating basic and clinical sciences in parallel during the curriculum, ensuring a relevant and applicable scientific knowledge throughout the training process. Although in Chile the Flexner prototype is still followed, the basic sciences are taught as single or integrated courses or using a systems approach. In this article we report a diagnosis about the local integration of fundamental sciences in medical training. We also compare our schools with those of Canada, Europe and Latin America. Recommendations aimed at modernizing medical school curricula are made.
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Humans , Schools, Medical , Science/education , Education, Medical/organization & administration , Chile , CurriculumABSTRACT
Abstract The aim of the present study is to understand the constitution of kinanthropometry as scientific disciplinary field in the 1970s in Brazil. Therefore, a bibliographic review was carried out in nine databases and in a specific journal focused on publications from the Kinanthopometry perspective, since this is an element to legitimize a scientific discipline. Only two studies dealing with this topic were selected. Given such a gap in the literature, three interviews with professors who organized the Physical Education (PE) course laboratories, as well as a newspaper report from the period, were used in the study. Different names have been associated with the scientific field of human composition assessment throughout history, as well as formulating different body perceptions, such as Biometrics, Anthropometry and kinanthropometry. Each of these factors determine relationships with the involved socio-cultural context. Such a complexity to understand a conjecture within a historical time expands the space available for analyses. In the 1960s, the term kinanthropometry emerged in foreign countries as a new way of interpreting human body composition assessments linked to knowledge in the PE field based on movement and anatomy. This term was imported by Brazilian researchers after their contact with scientists in USA and Canada, since it offered the possibility of acquiring new representations for research in the PE field back in the 1970s.
Resumo O presente estudo visa compreender a constituição da Cineantropometria como campo disciplinar científico na década de 1970 no Brasil. Para tanto, foi realizada uma revisão bibliográfica em nove bases de dados e no exclusivo periódico com foco específico em publicações na perspectiva da Cineantropometria, por este ser um elemento para a legitimação de uma disciplina científica. Foram identificados apenas dois estudos que tratam sobre a história da Cineantropometria como campo disciplinar. Diante desta lacuna, foram utilizadas três entrevistas com professores que organizaram os laboratórios dos cursos de Educação Física (EF), bem como uma reportagem de jornal do período. Diferentes denominações estiveram ligadas ao longo da história do campo científico da avaliação da composição corporal humana, formulando distintas percepções de corpo, como a Biometria, a Antropometria e a Cineantropometria, cada qual estabelecendo relações com o contexto sociocultural que as envolvia. Nessa complexidade para compreender uma conjectura dentro de um tempo histórico, amplia-se espaço e tempo de análise. Em países do exterior, na década de 1960, o termo Cineantropometria surge como nova forma de interpretação da avaliação da composição corporal humana, vinculado aos conhecimentos do campo da EF, pautada em movimento e anatomia. Com o contato dos pesquisadores brasileiros com cientistas dos Estados Unidos e do Canadá, este termo é importado e oferece uma possibilidade de aquisição de novas representações para a pesquisa em EF na década de 1970.
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We provide an overview of the detailed information on the application and fundings of the National Natural Science Foundation of China in reproductive system/perinatology/neonatology in 2018 to facilitate future applications for researchers and physicians in this area in 2019.In-depth analysis was performed from different aspects among all the applications;areas for improving in the format and compiling of the application form were pointed out together with practical suggestions;possible interesting topics in future application were also implicated.
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Objective To understand the current situation of research innovation ability of medical academic PhD students,combining with the comprehensive reform of education of the university's doctoral postgraduate students,and put forward suggestions for improving the scientific research innovation ability of medical academic PhD students.Methods Analyzing the evaluation results of academic doctoral dissertation of the medical department in 2017 and conducting questionnaire survey among graduates with SO JMUP,a professional online questionnaire platform,are the main methods.Results Among all the indexes of medical academic doctoral dissertation,innovation achievement was evaluated lowest,and only 34.9 ％ of the evaluation experts considered it as excellent.In terms of innovation results and research ability,the eight-year PhD is better than the five-year and three-year PhD significantly.The mentor's guidance and education are believed to be the primary factors to enhance their interest in scientific research by graduates.Conclusions The ability of medical academic PhD students needs to be strengthened.It is suggested to build a platform for cultivating top-notch innovative talents,and enhance the academic vitality of the tutor to ensure the research training of graduates as well as provide an international exchange platform to broaden the academic horizon of the graduates.
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The outstanding work of Chinese Journal of Burns in 2018: the successful planning and display of the " Burn Medicine Over the Past 60 Years" column, the launch of seven guidelines and consensus for burn injury treatment, and the opening of the " Online First" and " Video Center" sections in the journal website. Specifically, the " Burn Medicine Over the Past 60 Years" celebration column invited more than 30 papers with sincerity from academicians, seniors in the burn academic field, and listed departments in Fudan University′s academic ranking as representatives to praise 60 years discipline development history and exchange the future construction and development concepts. We hope that the fellows enjoy and ponder over the discussions to explore new academic journeys. Our journal, with firm hearts, will accompany you to work together and accomplish new peaks in burn filed.
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The purpose is to establish an emergency medical system that covers a certain region, responds quickly, operates efficiently, functions perfectly and develops sustainably. Such a system leverages the potential social functions of research disciplines, and is guided by the concept of " expanding the emergency system of comprehensive emergency medicine". The authors identified the problems and shortcomings of the existing system and proposed to build a regional emergency medical system led by research disciplines. The path, system layout and functions are stated explicitly, while the system construction strategy is proposed by taking emergency treatment of myocardial infarction patients as an example. The system will be the pivotal support for integrating effectively regional emergency medical resources, improving the ability and level of emergency and first aid in medical institutions at various levels and of different types, promoting the formation of a new pattern of regional emergency medical service and achieving homogenized emergency medical services that everyone enjoy.
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Objective To discuss the relationship between discipline ranking and personnel rationality,and explore the problems of personnel development among all the disciplines and put forward further countermeasures.Methods A 3A general hospital in Beijing was targeted,and departments in it were divided into,in descending order of hospital regulations,key disciplines,developing-key disciplines,characteristic disciplines and general disciplines.To analyze the rationality of personnel,four dimensions as educational background structure,professional title structure,age structure and academic proficiency of department leader were adopted.Results The hospital had 52 departments in total,which were divided into key disciplines (7),developing-key disciplines (10),characteristic disciplines (6) and general disciplines (29).With the decline of the discipline level,the problem of the talent team was gradually increasing.The major problem of personnel among all the disciplines was that the proportion of senior staff was too high,so did the key disciplines and developing key disciplines.Age structure irrationalized was another major problem for developing-key disciplines.As for characteristic disciplines,the problems in personnel were even diversified,which included not only the irrational age structure and senior professional proportion,but also the fact that director of one third of these departments showed low academic proficiency.In general disciplines,all above four types of problems exited.Conclusions The rationality of the talent team is closely related to the level of the discipline.Problems in personnel varied among different disciplines,and countermeasures should be provided targeted at existing problems.
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Los problemas fundamentales de la Salud Pública, han querido atribuírseles al proceso historiográfico de la modernidad y se han extrapolado a las prácticas universitarias, como si se tratara de situaciones de orden academicista, cuando sus explicaciones están dadas en un largo devenir diacrónico-histórico que ha arrastrado consigo la lógica heredada de la visión androeurocéntrica que se instaló en América Latina y Venezuela en todos los ámbitos del conocimiento de los cuales la Salud Pública forma parte importante. Por ello, urge plantear, lo oculto en el discurso de los distintos problemas de la Salud Pública, en los saberes colaborativos y emergentes como el histórico, epistemológico, la salud ocupacional, el saber médico, epidemiológico, bioanalítico y la violencia delincuencial juvenil. Develaremos lo que se ha ocultado en la matriz epistemológica de la modernidad por cada saber de lo humano, invisibilizando los derechos sociales de las mujeres y hombres poco abordados, lo relacionado a la participación social de las mujeres en sus derechos a la salud, lo oculto de la mortalidad materna, de la salud y medio ambiente laboral de los trabajadores y trabajadoras y de los procesos de violencia juvenil delincuencial. Mencionaremos, el origen sociohistórico que reivindica la epistemosemiología de la diversidad en la Salud Pública a partir de una ética de las diferencias y el avance para vencer la parálisis paradigmática, se disertará acerca de la militancia desde la perspectiva epistemológica del enfoque integrador transcomplejo como opción para resignificar la Salud Pública y develar la epistemología y la ética de lo oculto.
Fundamental public health problems, have wanted to attribute them to the historiography of the modernity process and have extrapolated the University practices and out of them, as if they were situations academicism, when in essence, their explanations are given in a long diachronic history-evolution that has been dragging with it the logic inherited vision androeurocentrism who settled in Latin America and Venezuela in all areas of the knowledge of which health Public an important part. Therefore, it urges us today consider in this article, what is hidden in the speech of the various problems of public health, in the collaborative and emerging knowledge as the historical, epistemological, occupational health, medical, epidemiological knowledge, bioanalytical and knowledge of youth criminal violence. We will discover all what has been hidden in the matrix of epistemological modern for each knowing human, be osbcuring rights social voices of women and men little discussed, related to the social participation of women in their rights to health, what is hidden from the maternal mortality related to the health and environment of workers and concerning the processes of delinquent youth violence. It will mention, origin socio-historical claimed the epistemosemiology of diversity in public health from an ethic of the differences and advance to beat the paradigmatic paralysis and shall be some lectures about militancy from the epistemological perspective of approach transcomplex integrator as an option to give a new meaning to public health and reveal the epistemology and ethics of the unseen.
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Objective Investigate the research capacity and key discipline construction of 9 public hospitals of Hangzhou health system in the past three years,provide suggestions based on survey findings.Methods The questionnaire designed include following information:construction of talent team in key disciplines of medicine,laboratory infrastructure investment,research projects approval and funding,papers and monographs,work efficiency and financial income,NSF funding projects and awards,and comparison of input and output.Results Key disciplines of medicine in Hangzhou health system has more than 1 200 scientific research personnel,18 provincial or municipal key disciplines,the laboratory equipment area was more than 9 000 me and total investment in lab facilities was more than 69 million RMB,the national,provincial and municipal funded project of medical key disciplines accounted for total hospital project were 71.7％,66.1％ and 53.66％.1 842 papers in total were published in the medical key (specialized) disciplines of municipal hospital.Conclusions Hangzhou health system has invested a lot of resources in medical science and technology,but is still insufficient,and there are few ways to promote the construction of talent team in key disciplines of medicine and not many leading disciplines in the country.This situation shows that the core competitiveness is not strong,and the innovation system and management mechanism need to be improved.