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Resumen Introducción: Esta sistematización recoge las riquezas de notas de campo escritas por siete encuestadoras de siete ciudades de Colombia (Bogotá, Medellín, Cali, Barranquilla, Bucaramanga, Manizales y Pasto), realizadas durante una prueba piloto, en donde se reconocieron sus dinámicas y aprendizajes. Objetivo: Sistematizar las experiencias de los traslados hacia los terrenos de campo y de las experiencias del parto de mujeres entrevistadas, a través de las voces de las encuestadoras. Método: Se plantearon tres fases para seguir la metodología de la sistematización de experiencias: fase de reconstrucción, fase de la interpretación y fase de la potenciación de la experiencia. Resultados: Se evidenciaron tres categorías de análisis: el trayecto y el entorno, las convergencias en la maternidad y la experiencia del parto. Conclusiones: Las notas de campo de las encuestadoras se convirtieron en fuente primordial de informaciones no homogéneas y muy diversas. Se hizo imprescindible analizar sus experiencias durante sus traslados a los terrenos de campo y, de esta forma, aplicar un enfoque intersectorial para entender e interpretar lo que ellas escucharon de parte de las madres encuestadas, por ejemplo: circunstancias cálidas y respetuosas a la hora de recibir la atención clínica del parto, así como situaciones de maltrato en la asistencia obstétrica, donde han sido culturalmente jerarquizadas por la medicalización del parto, lo que constituye una posición de subordinación hacia la paciente.
Abstract Introduction: This systematization gathers the richness of the field notes written by seven interviewers from seven cities in Colombia (Bogotá, Medellin, Cali, Barranquilla, Bucaramanga, Manizales and Pasto), carried out during a test pilot, where their dynamics and learning were recognized. Objective: To systematize experiences of itineraries to the territories, as well as childbirth from the voices of the interviewers. Method: The methodological process presented three phases designed to follow the methodology of systematization of experiences. Reconstruction phase; interpretation phase and experience empowerment phase. Results: Three categories of analysis were evidenced: the journey and the environment, the convergences in motherhood and the experience of childbirth. Conclusions: The field notes of the pollsters became a primary source of inhomogeneous and highly diverse information. It became essential to analyze their experiences during their transfers to the fields and thus apply an intersectoral approach to understand and interpret what they heard from the surveyed mothers: warm and respectful circumstances when receiving clinical care of childbirth, as well as situations of abuse in obstetric care that are and have been culturally hierarchical by the medicalization of childbirth, constituting a subordinate position towards the patient.
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Humans , Female , Pregnancy , Humanizing Delivery , Health Services , LearningABSTRACT
Objective:To investigate the cultural construction of Traditional Chinese Medicine(TCM) hospitals in Hunan province, for reference in their cultural construction.Methods:A questionnaire was designed according to TCM Hospital Cultural Construction Guidelines by the National Traditional Chinese Administration.From May to June 2020, the questionnaire was used to survey the present situation, existing problems and development suggestions of TCM cultural construction at TCM hospitals of and above the county level in Hunan province. The data were analyzed by descriptive analysis.Results:The survey covered 117 public TCM hospitals in the province and 87 questionnaires were recovered, a rate of 74.4%. In terms of cultural construction in these institutions, various programs were in place at a relatively high proportion in the core cultural value construction. The development of behavioral norms teaching and inheritance was in place at a relatively low proportion, namely 78.8% at tertiary TCM hospitals, 51.8% at secondary TCM hospitals, and only 16.7% at secondary level-B TCM hospitals. In terms of environmental image construction, various programs were in place at a relatively high proportion, yet focusing on themed cultural wall posters culturol bulletin board and other forms of display. At present, the main problems were insufficient funding(86.9%) and talents(82.1%).Conclusions:TCM hospitals in Hunan province highly value the construction of cultural core value and environmental image, but their development in the code of conduct system and other connotation was weak.
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Internationalization of the public signs contributes significantly to the popularization and the image-building of the city. Investigation of several scenic spots shows that there is much room for improvement for the translation of the public signs. The problems are revealed in the research, translation principles for public sign is discussed, and tentative suggestion is provided with consideration of the characteristics of the TCM text, which may provide a reference for standardization of translation of public signs.
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Chinese medical culture is an important part of Chinese traditional culture and high-quality resources to cultivate and practice the core values of traditional Chinese medical culture among students.Institutions of Chinese medicine should make full use ofpeople-oriented,harmony,balance,big medicine sincere and other important concepts in Chinese medical culture,enhance the self-confidence of culture combined with the features of contemporary medical students,innovate the cultivation path of the core values of Chinese medical culture,cultivate a number of medical students who have good behavior habits and noble character literacy,thus to make outstanding contributions to the future development of Chinese medical culture.
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Medical culture,a sinneseinheiten of infinitely complex facts,phenomena and subjective information in the field of medicine,is characterized by subjectivity,objectivity and complexity.As an important component of modern medical education,medical culture has always been a research problem in the field of culture.In view of this,mastering scientific research principles and approaches plays a vital role in medical culture researches.This paper tries to discuss the research methods of medical culture combined positivism and humanism,in order to provide valuable theoretical support for medical culture research.
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La relación entre el médico paciente se ha modificado y se requiere realizar una reflexión crítica en torno a los procesos de salud y enfermedad en los diversos escenarios en que éstos se producen para desarrollar una nueva cultura sanitaria. En este contexto, la Bioética y sus principios favorece una manera diferente de entender la relación entre el médico y el paciente, en donde se privilegia el derecho que tiene el paciente como persona con autonomía en la toma de decisiones sobre su salud y se reconoce una responsabilidad compartida que considera el impacto de factores biológicos, sociales, culturales, económicos, psicológicos y éticos sobre la atención médica y el cuidado de la salud. Se hace necesario el aporte de la Filosofía, la Bioética y Ética Médica para investigar y estudiar la relación médico paciente en sus diferentes dimensiones: ética, médica, social y moral; fortalecer las bases éticas y legales de los médicos, lograr que sean capaces de analizar y hacer propuestas que lleven a la solución de los conflictos y dilemas que se generan con el desarrollo, la innovación del conocimiento y la aplicación de la tecnología en los seres humanos, y en todos los seres vivos (AU).
The doctor-patient relationship has changed and it is necessary to carry out a critical reflection on the health-disease processes in the different sets where they take place to develop a new sanitary culture. In this context, Bioethics and its principles favor a different way of understanding the doctor-patient relationship, where the right the patient has as a person with autonomy in taking decisions about his health is privileged, and it is recognized the a shared responsibility that takes into consideration the strike of ethic, psychological, economic, cultural, social and biological factors on medical and health care. The contribution of Philosophy, Bioethics, and Medical Ethics is necessary to investigate and study the doctor-patient relationship in its different dimensions: ethic, medical, social and moral; strengthening the physicians' ethic and legal bases, achieving them to be able of analyzing making propositions leading to the solution of conflicts and dilemmas generated with the development, knowledge innovation and the application of technology in human people and all the rest of living beings (AU).
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Humans , Male , Female , Physician-Patient Relations/ethics , Culturally Competent Care/ethics , Bioethics/education , Patient Satisfaction , Medical Care/methods , Medical Care/standards , Medical Care/ethics , Ethics, Medical/education , Ethics, Professional/education , Culturally Competent Care/methods , Culturally Competent Care/standards , Culturally Competent Care/trendsABSTRACT
As a new form of medical practice,narrative medicine has been paid much attention since it was put forward.In the view of "narrative ability",narrative medicine has a strong oriental temperament.In the literature and art tradition of our country,which has existed thousands of years ago,disease and narrative of medicine has always been an important topic.Oriental physician group,represented by Confucian doctor,has the strongest narrative ability.Medical temperament and quality,represented by narrative,can connect the western and eastern medical traditions and medical culture and become the starting point of modern Chinese medical spirit,which combines western medical technology and oriental culture.
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Traditional Chinese Medicine (TCM) is the gem of Chinese culture,while TCM culture the root and driving force for its development.Higher learning institutes,one of whose main missions is innovating and inheriting culture,are playing the unique roles in promoting world-wide recognition of TCM culture through international cooperation due to the abundant resources in TCM academy,talent,clinical study and international education.Taking Jiangxi University of Traditional Chinese Medicine as an example,this paper has made constructive exploration and study on how to promote the international communication of TCM culture to allow the international community for better understanding and the application of TCM based on the analysis of current situation and experience summarization with literature investigation and case study.Effective measures that have been put forward include establishing TCM experiencing center,promoting the construction of Confucius Institute,proactively building TCM library,improving the standardization of TCM translation,optimizing approaches of TCM international communication,and speeding up the cultivation of TCM international communication talents.
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OBJECTIVE:To provide reference for strengthening the cultural construction and promoting the cultural develop-ment of TCM in Chongqing. METHODS:Questionnaire was adopted to investigate the status quo and cognition of some citizens, staffs in medical and health institutions for the cultural construction of TCM in public TCM medical and health institutions above Grade Two in Chongqing,and the data was statistically analyzed. RESULTS:Totally 45 questionnaires were sent out for TCM med-ical and health institutions,45 were effectively received with effective recovery of 100%;3 500 were sent out for the citizens,2 250 were effectively received with effective recovery of 64.29%;1 100 were sent out for the staffs in TCM medical and health institu-tions,702 were effectively received with effective recovery of 63.82%. In terms of cultural construction in surveyed institutions,or-ganization,principles and unit markings carried out a relatively high proportion in the core cultural soft power construction,the de-velopment of behavioral norms system carried out a relatively low proportion;and the proportion was higher in the hardware envi-ronment construction. In terms of the cognition of surveyed citizens for the TCM culture,62.98% believed in TCM;the first rea-son for choosing TCM was its less side effects(24.76%);89.42% thought it was necessary to keep in good health. In terms of the cognition of surveyed staffs for the cultural construction of TCM,81.91%thought the TCM culture was taken seriously in their hos-pital;60.54% showed great satisfaction with the cultural construction of TCM;only 23.08% was very familiar with the concept of TCM core values;the surveyed staff thought the main problems in the cultural construction of TCM were lack of facilities (69.09%)and talent personals(44.59%). CONCLUSIONS:The organization,principles,unit markings and facilities in Chongq-ing TCM medical and health institutions are taken seriously,while the behavioral norms system needs to be strengthened;the citi-zens’cognition for TCM culture should to be improved,as well as the staffs’TCM cultural awareness in TCM medical and health institutions.
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Proposed in this paper is to compile The synopsis for the general list of medical documents in minority nationalitiesand to make the scientific classification and systematic organization of medical documents in minority nationalities, thus breaking their time and space limitation and laying the foundation for the establishment of medi-cal literature resources support system, according to their scattered collection, severe damage, abstruse written lan-guages, and the fact that most of them are unorganized or catalogued, which significantly hinder their development and utilization.
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ObjectiveThis paper discusses the instructional design of ＂General survey of medical culture＂,to provide the basis for the implementation of the teaching.MethodsThe first round of our teaching situation was concluded,to improve the teaching objectives,content,methods and the content and methods of teaching evaluation.Results The course is a new medical humanities curriculum to improve medical knowledge of the human spirit of nursing students,training the cultural literacy,but the teaching content should be combined with professional features,and teaching evaluation methods should be improved.ConclusionsRigorous designed curriculum,flexible and diverse teaching methods and forms of assessment and suggestions from the students are conducive to the improvement of the course.
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Cultural teaching not only can improve the interest of collage students' learning English,but also can make them master the language and communicate with it properly.Medical collage English teachers should make efforts to cultivate the students' intercultural awareness,make them know the difference between the Chinese medical culture and the western one,clear up the cultural bias,take in the essence of western medical culture and promote the communication between the Chinese medical culture and the western culture.
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Complementary and alternative medicine (CAM) is making waves all over the world nowadays. The National Institute of Health started an office of alternative medicine in 1992 and established the National Center for CAM (NCCAM) in 1998. The annual budget has increased to 113.3 million dollars. The NCCAM has founded the Office of International Alternative Medicine (OIHR), to support collaborative work with countries other than USA. In 2003, 10 international planning grants were awarded which included a collaboration with Keio University in Japan.<br>In most of Asian countries except for Japan, the government supports promotion of its own traditional medicines. When European medicine came from Holland to Japan, in the Edo period, Japanese doctors quickly adopted European ways and mixed them with traditional Kampo medicine. For example, Seishu Hanaoka combined surgery with Kampo, for the benefit of his patients.<br>Taro Takemi pointed out Kampo drugs should be used in Kampo ways, and not in western medical ways. To globalize Kampo, first of all, Kampo should be more visible both in Japan and in the world. Secondly, the government's support is essential. Thirdly, public enlightenment concerning Kampo is necessary. Many people actually confuse Kampo, with dietary supplements. Fourthly, we need faculty members in universities, who can introduce Kampo as a part of Japan's medical culture. Lastly, Japan should contribute more to the development of traditional medicine in Asia.<br>Kampo is a definitive model of integrative medicine in our world. We must introduce this traditional heritage and treasure, globally.
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s Medicine is a kind of culture. The ideal settlement of practical medical problems must be built on medical cultural platform. The higher demand of modern medical practice to the talents is to cultivate their medical cultural quality. The medical cultural quality and its education is regular. Therefore, only by integrating medical humanistic education into medical cultural education can the medical humanistic education come into being and be enforced.
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Administrators and administratees all live in a certain mood of hospital culture. So philosophical ethical nucleus of hospital culture is the marrow of modern hospital administrative knowledge; hospital administrators sense of value, especially the moral principle and style of thinking, deeply impresses and conditions modern hospital administratice principles and methods, determines its enforcement and effect.
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Traditional Chinese Medical Culture is rich in content,which contains the humanitarian spirit of respect for life,life-saving,caring and saving,the idea of pursuing equality,fairness,justice,happiness and harmony,and the ecological medical values of promoting harmony between man and nature.The above values provide rich cultural resources for the construction of universal values,and significant ideological platform for the construction of global ethics.