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Introducción: Se conocen diversos tratamientos para tratar y curar la depresión. Entre los más utilizados se encuentran la psicoterapia y la medicación. La hipnosis clínica utiliza un discurso basado en la sugestión y en los reflejos condicionados del sueño, para lograr la estabilidad en la desregulación del ciclo sueño / vigilia, lo cual es un factor esencial en el tratamiento de las personas deprimidas por la COVID-19. Objetivo: Comparar la evolución en la calidad y cantidad de sueño en pacientes con depresión post-COVID que fueron tratados con medicación e hipnosis. Métodos: Se realizó un estudio explicativo-comparativo, y un diseño cuasi-experimental. La muestra fue de 40 pacientes que fueron ingresados en el Hospital Universitario Clínico Quirúrgico «Cmdte. Manuel Fajardo Rivero», de Santa Clara, entre enero y marzo de 2021, con COVID-19. En un grupo de pacientes se empleó el inventario de depresión de Beck y un cuestionario para evaluar la cantidad y calidad del sueño antes y después de la intervención con medicación; en el otro grupo se empleó la hipnosis. Se utilizó la estadística descriptiva. Resultados: En ambos grupos la terapia empleada fue efectiva, redujo los niveles de depresión y eliminó las alteraciones del sueño. Conclusiones: Ambas formas de tratamiento se pueden emplear para tratar la depresión y los desórdenes propios del sueño. El método sugestivo de despertar de sueño hipnótico a sueño natural fue tan efectivo como los psicofármacos empleados.
Introduction: various treatments are known to treat and cure depression. Psychotherapy and medication are among the most used. Clinical hypnosis uses a discourse based on suggestions and conditioned sleep reflexes to achieve stability in sleep-wake cycle dysregulation, which is an essential factor in the treatment of people depressed by COVID-19. Objective: to compare the evolution in sleep quality and quantity in patients with post-COVID depression who were treated with medication and hypnotherapy. Methods: an explanatory comparative study with a quasi-experimental design was carried out. The sample consisted of 40 patients who were admitted due to COVID-19 at "Cmdte. Manuel Fajardo Rivero" Clinical and Surgical University Hospital from Santa Clara between January and March 2021. Beck Depression Inventory and a questionnaire were used in a group of patients to assess the sleep quality and quantity before and after the intervention with medication; hypnosis was used in the other group. Descriptive statistics was also used. Results: the used therapy was effective in both groups, reduced levels of depression and eliminated sleep disturbances. Conclusions: both forms of treatment can be used to treat depression and sleep disorders. The suggestive method of awakening from hypnotic sleep to natural sleep was as effective as the psychoactive drugs used.
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Psicotrópicos , Sugestión , Depresión , HipnosisRESUMEN
This paper introduced the overview of the "eight trends" of Chinese medicinal materials(CMM) industry in 2021, analyzed the problems of CMM production, and put forward development suggestions. Specifically, "eight trends" could be summarized as follows.(1) The growing area of CMM tended to be stable, and some provinces began to release the local catalog of Dao-di herbs.(2) The protection process of new varieties accelerated, and a number of excellent varieties were bred.(3) The theory of ecological cultivation was further enriched, and the demonstration effect of ecological cultivation technology was prominent.(4) Some CMM realized complete mechanization and formed typical model cases.(5) The number of cultivation bases using the traceability platform increased, and provincial internet trading platforms were set up.(6) The construction of CMM industrial clusters accelerated, and the number of provincial-level regional brands increased rapidly.(7) Many new agricultural business entities were founded nationwide, and a variety of methods were used to drive the intensified development of CMM.(8) A number of local TCM laws were promulgated, and the management regulation of food and medicine homology substances catalogs was issued. On this basis, four suggestions for CMM production were proposed.(1) It is suggested to speed up the formulation of the national catalog of Dao-di herbs and carry out the certification of Dao-di herbs production bases.(2) Ecological planting of forest and grassland medicine should be further strengthened in terms of technical research and promotion based on the principle of ecological priority.(3) The basic work of disaster prevention should be paid more attention and technical measures for disaster mitigation should be developed.(4) The planted area of commonly used CMM should be incorporated into the national regular statistical system.
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Agricultura , Certificación , Comercio , Industrias , ChinaRESUMEN
Objective:To investigate the application value of simulated teaching combined with psychological suggestion in residency training of otolaryngology and head and neck surgery.Methods:A total of 36 physicians who underwent standardized training in Department of Otolaryngology & Head and Neck Surgery in our hospital were selected, and according to the teaching model, they were divided into study group with 20 physicians (simulated teaching combined with psychological suggestion) and control group with 16 physicians (traditional teaching). The two groups were compared in terms of assessment scores, comprehensive abilities, teaching effect, and degree of satisfaction with teaching. SPSS 22.0 was used to perform the t-test and the chi-square test. Results:After teaching, both groups had significant increases in the scores of theoretical and skill assessments, learning interest, self-learning ability, communication ability, and the level of clinical diagnosis and treatment, and the study group had significantly greater increases than the control group ( P<0.05). Compared with the control group, the study group had significantly higher interest level, difficulty level, participation level, and mastery score ( P<0.05). The study group had a significantly higher degree of satisfaction with teaching than the control group (95.00% vs. 68.75%, P<0.05). Conclusion:The application of simulated teaching combined with psychological suggestion in residency training of otolaryngology and head and neck surgery can improve the theoretical knowledge, operation skills, and comprehensive ability of trainees and the level of teaching, and trainees have a high degree of satisfaction with this teaching method.
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The reform of medical service prices in China has been launched, and the reasonable pricing and management of medical technology services are of great significance for improving patient well-being and advancing the reform of our medical system. The author provided a detailed review of the policy evolution, current management status, and main issues of medical service price management in China since 2000. The medical service price management policies in China since 2000 were divided into four evolutionary stages: initial exploration of decentralization, substantial development, continuous advancement, and deep promotion. The author also described the formation mechanism and pricing methods of international medical service prices, and compared the similarities and differences in medical service price management at home and abroad. Some suggestions were put forward for improving the macro reform of medical service price management in China.
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The Global Fund to Fight AIDS, Tuberculosis and Malaria (The Global Fund) has become an increasingly active and influential organization in global health during the past two decades. It is now playing an increasingly important role in the prevention and control of major infectious diseases, international financing for health, public procurement market development across the world. The article outlines the basic architecture of the Global Fund, including its overall information, financing mechanism, operational models and key experiences accumulated. Based on previous cooperation, the article analyzes the importance of the long-term partnership between China and the Global Fund, and proposes policy suggestions to achieve more win-win outcomes in the near future.
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ObjectiveTo analyze the equity of medical and health resource allocation in 12 cities of Inner Mongolia Autonomous Region and to provide policy suggestions for further optimizing the allocation of medical and health resources. MethodsBased on two dimensions of geography and population, a comprehensive evaluation of the equity of medical and health resource allocation was conducted using location entropy, health resource density index (HRDI), entropy-weighted TOPSIS method, and GIS spatial analysis. ResultsLocation entropy showed that the allocation of medical resources in each league city exceeded or approached 1 in the population dimension, but less than 1 in the geography dimension. HRDI revealed that the number of health institutions in Tongliao City was 8.3 times that of Alxa League; the number of beds, health technical personnel, practicing (assistant) physicians, and registered nurses in Wuhai City was 20.3 times, 18.2 times, 15.2 times, and 22.7 times that of Alxa League. The entropy-weighted TOPSIS method showed that the top three weighted indicators were registered nurses (24.14%), health technical personnel (22.63%), and practicing (assistant) physicians (21.13%). Allocation of medical resources in Hulunbuir City, Xilinguole League, and Alashan League was significantly inequitable; GIS spatial analysis showed that the equity of medical resource allocation exhibited a decreasing distribution pattern from the central region to the western and eastern regions. ConclusionThere is a significant disparity in the equity of medical and health resource allocation among various leagues and cities, with resource allocation in the population dimension being better than in the geographical dimension. Allocation of medical and health human resources should be strengthened.
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Since the implementation of the Measures for the Management of Radiation Workers’ Occupational Health in November 2007, it has played an extremely important role in protecting the occupational health of radiation workers. There are more than 700 000 radiation workers in about 100 000 workplaces with potential radiation exposure, as well as a large number of miners exposed to high levels of radon. As the radiation health monitoring project suggests, measures of occupational health management such as personal dose monitoring and occupational health examination of radiation workers have been widely implemented and achieved good results in the protection of radiation workers. However, the risks of chromosomal aberration and specific turbidity of the eye lens of radiation workers have increased in high-risk positions such as interventional radiology, nuclear medicine, and industrial flaw detection. The control of high radon exposure in miners needs to be strengthened. It is necessary to adapt to the new situation in view of new challenges and actively promote the revision of the Measures for the Management of Radiation Workers’ Occupational Health, so as to further improve the occupational health management of radiation workers in China.
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The paper is to explore how to carry out post-market technical evaluation of dietary supplements in China by referring to the experiences at home and abroad. Experiences of major countries and regions in the post-market evaluation of similar products of dietary supplements and China’s experience in drugs were systematically reviewed. Combined with the actual situation of the health food industry in China, suggestions were put forward for the post-market technical evaluation of health foods in China. There are many useful experiences worth learning from, such as the mandatory reporting responsibility of enterprises in the United States, a special scientific committee which provides long-term technical support in the European Union, post-market monitoring by enterprises in Australia, the establishment of relevant monitoring systems in Taiwan, the relatively mature regulatory system, evaluation system and management system in the field of drugs and medical devices, and the establishment of adverse reaction monitoring bases in the field of cosmetics, the responsibility of post-mark adverse reaction monitoring of food for special medical purposes by medical institutions, and the post-market management in various fields giving priority to safety. In combination with the current situation of China’s health food industry, five specific suggestions, such as promoting the construction of laws and regulations, are put forward.
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This study steps through the future perspectives and gives the development suggestions of Chinese medicinal materials(CMM) industry by presenting the characteristics and open problems during the 13 th Five-Year Plan period. The development of CMM industry presents the following trends:(1)the development of Dao-di herbs speeds up with the increasing demand for high-quality CMM;(2)the mismatch between supply and demand is aggravating, which presses for supply-side structural reform;(3)ecological planting will become the core mode of production and bolster rural revitalization;(4)the demand for CMM with both medical and edible values keeps growing, and the antibiotic-free feed policy brings significant opportunities;(5)the "Internet Plus CMM" wave emerges, which promotes the construction of traceability system. Finally, we put forward the following suggestions for the sustainable development of CMM industry:(1)optimizing the layout for the production of Dao-di herbs according to local conditions;(2)strengthening the commercialization of the seeds and the breeding, multiplication, and extension of CMM to accelerate the realization of specialized seed production, mechanized seed processing, localized variety layout, and county-based unified seed supply;(3)ensuring the safety of pesticide use and accelerating the registration of special pesticides;(4)promoting both theoretical and practical research on ecological production of CMM;(5)publicizing the demonstration and popularization of CMM traceability system. Overall, significant progress has been achieved in the CMM industry during the 13 th Five-Year Plan period, and this industry is in a critical stage of high-quality development, facing both challenges and opportunities.
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China , Medicamentos Herbarios Chinos/análisis , Industrias , Medicina Tradicional China , FitomejoramientoRESUMEN
OBJECTIVE:To p rovide policy suggestions for the development and supervision of online drugstores in China. METHODS:By literature review ,the relevant literatures and policy documents about the development of online drugstores were searched,screened and sorted out to summarize the development process of China ’s internet drug trading mode and policy ,analyze the development status of China ’s online drugstores ;on the basis of the development experience of some developed countries ,the suggestions were put forward for China ’s relevant policies. RESULTS & CONCLUSIONS :China’s medical e-commerce started relatively late ,and the policies related to online drug trading were basically released during last 20 years. The number of online drugstores showed a growing trend. The online drugstores were geographically allocated widely but unevenly. They sold many varieties,and policies on selling prescription medicines were gradually liberalized. These online drugstores provided diverse payment and delivery choices ,but their pharmaceutical service needed to be improved. The development models of online drugstores in the United Kingdom ,the United States and Germany could be referred. According to the current situation of online drugstores in China , combined with the development mode and operation strategy in foreign countries ,it is suggested to improve relevant laws and regulations,and strengthen legal support ;strengthen the government supervision to ensure drug safety ;use the industrial power to standardize medicine operation behavior ;set up the third part trading platform to promote medical insurance payment.
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OBJECTIVE:To provide reference for furthe r promoting the high-quality development of the biomedical industry in Guangdong-Hong Kong-Macao Greater Bay Area. METHODS :Through summarizing the development status and development environment of the biomedical industry in the Guangdong-Hong Kong-Macao Greater Bay Area ,the construction experience of foreign advanced biomedical industrial park was introduced ,and the problems and challenges faced by the biomedical industry in the Guangdong-Hong Kong-Macao Greater Bay Area were sorted out so as to put forward relevant countermeasures and suggestions. RESULTS & CONCLUSIONS :Guangdong-Hong Kong-Macao Greater Bay Area has received multiple policy support,which is conducive to the development of biomedical industry. The industrial chain is complete ,and the scale advantage of biological industry is showing day by day. Biological industry has achieved fruitful innovation achievement ,and its R&D investment is in the leading position in the country. The pharmaceutical manufacturing industry is developed and the total amount of medical resources is large. The financial advantages are obvious ,and institutional innovation is conducive to the development of biomedical industry. The process of internationalization takes the leading place ,which is conducive to continuously promoting foreign cooperation. However ,compared with foreign advanced biomedical industrial parks ,Guangdong-Hong Kong-Macao Greater Bay Area still has some deficiencies in management mode ,service mode and “industry-university-institute”cooperation. It also faces the following problems that the legal systems and industry norms of the three places need to be further connected ;there is a talent gap ;the industrial chain is not perfect ;the support for new drug R&D is insufficient ;the“industry-university-institute” cooperation needs to be strengthened ;the level of financial support needs to be improved. Accordingly ,it is recommended to break down institutional barriers ,and promote the connection between the legal system and industry norms ;innovate talent policies ,and continue to attract excellent R&D talents ;introduce leading companies ,and improve the industrial chain ;open up clinical trial channels and promote the transformation efficiency of scientific research achievements ;strengthen“industry-university-institute” cooperation,and promote the improvement of biomedical innovation ability ;make good use of financial support to help the rapid rise of biomedical industry enterprises ,so as to promote the high-quality development of biomedical industry in Guangdong-Hong Kong-Macao Greater Bay Area.
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To help medical doctors practicing Kampo medicine suggest appropriate acupuncture treatments for individual patients, a study group made up of 7 acupuncturists and 5 medical doctors developed an acupuncture curriculum. The group provided a learning program based on the curriculum for 16 medical doctors in charge of outpatient Kampo services in a research institute. The learning program consisted of a lecture and practical training, and a total of 4 sessions were held. At the end of each session, a test was conducted to examine the participants' level of understanding. After the completion of the learning program, a questionnaire survey was conducted to confirm the usefulness of the acupuncture curriculum for the practice of Kampo medicine. The mean number of participants per session was 10.8 ± 1.3. The mean test score was 9.3 ± 0.5 (full score : 10). In the questionnaire, 14 out of the 16 (88%) answered that the acupuncture curriculum was useful or relatively useful for the practice of Kampo medicine. On comparing the numbers of new acupuncture patients with a history of outpatient Kampo service use before and after the acupuncture curriculum, there was a 1.8-fold increase after it. The results support the usefulness of the acupuncture curriculum to understand acupuncture and practice Kampo medicine. Further evaluation is necessary.
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Este escrito se organiza en torno a las críticas de Adolf Grünbaum al psicoanálisis freudiano, haciendo foco en una de ellas: el papel de la sugestión del analista en la validación de los datos clínicos que apoyan sus hipótesis causales. Mostraré que en el propio desarrollo de las ideas freudianas podemos hallar un preciso abordaje de este asunto, que Grünbaum no ha tenido en cuenta y que conviene revisar. Concluiremos que el problema de la contaminación epistémica vía sugestión no constituye un obstáculo mayor en el camino de validación psicoanalítica a partir de los datos obtenidos clínicamente. De este análisis se desprende una importante implicación metodológica para la investigación en psicoanálisis: contrariamente a lo que muchos epistemólogos y psicoanalistas han extraído como corolario de la crítica de Grünbaum, los diseños extra-clínicos (de indudable valor en sí mismos), no devienen imprescindibles para el establecimiento de mejor evidencia empírica de las hipótesis psicoanalíticas.
Este artigo está organizado em torno das críticas de Adolf Grünbaum à psicanálise freudiana, com foco emumadelas: o papel da sugestão do analista navalidação dos dados clínicos que suportamsuasteoriascausais. Mostrarei que, no própriodesenvolvimento das ideias freudianas, podemos encontrar umaabordagem precisa para essaquestão que Grünbaumnãolevouemcontae que deve ser revisada. Concluo que o problema da contaminação epistêmica viasugestãonãoconstituium grande obstáculo no caminho da validaçãopsicanalítica a partir dos dados obtidosclinicamente. Destaanálisedepreende-se um importante envolvimento metodológico para a investigaçãoempsicanálise: contrariamente ao que muitos epistemólogos e psicanalistastêm extraído como corolário da crítica de Grünbaum, projetos extra-clínicos de pesquisa (de inquestionável valor em si mesmos) nãosãoessenciais para o estabelecimento da melhorevidência empírica das hipótesespsicanalíticas.
This paper is organized around Adolf Grünbaum's criticisms of Freudian psychoanalysis, focusing on one of them: the role of the analyst's suggestion in the validation of clinical data that support his causal hypotheses. I will show that in the very development of Freudian ideas we can find a precise approach to this issue, which Grünbaum has not taken into account and which should be reviewed. I conclude that the problem of epistemic contamination via suggestion does not constitute a major obstacle in the path of psychoanalytic validation from the data clinically obtained. From this analysis, emerges an important methodological implication for research in psychoanalysis: contrary to what many epistemologists and psychoanalysts have extracted as a corollary of Grünbaum's criticism, extra-clinical designs (of undoubted inner value), do not become essential for the establishment of better empirical evidence of psychoanalytic hypotheses.
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In this paper, the mechanism of destroying human alveolar epithelial cells and pulmonary tissue by 2019 novel coronavirus (2019-nCoV) was discussed firstly. There may be multiple mechanisms including killing directly the target cells and hyperinflammatory responses. Secondly, the clinical features, CT imaging, short-term and long-term pulmonary function damage of the 2019 novel coronavirus pneumonia (COVID-19) was analyzed. Finally, some suggestions for thoracic surgery clinical practice in non-epidemic area during and after the epidemic of COVID-19 was provided, to help all the thoracic surgery patients receive active and effective treatment.
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Biosafety is one of the cornerstones for national security. This review summarizes the major administrative laws and criminal laws related to the prevention and control of biosafety threats, such as infectious diseases, invasion of alien species, laboratory biosafety, bioterrorism, misuse of biotechnology, loss of special biological resource, and biosafety emergencies. The authors also analyzed the existing problems and shortcomings in the current the legislation of biosafety. Based on the above analysis, we proposed suggestions to improve the legislation of biosafety, which include enhancing the propaganda for popular science and relevant laws, reinforcing the implementation of the existing laws and regulations, promoting the connection between administrative laws and criminal laws, as well as building up a comprehensive biosafety law and regulation system.
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OBJECTIVE: To investigate the situation and existing problems of the naming of commercially available Chinese patent medicine (CPM) in China, and to put forward the improvement suggestions. METHODS: Announced in Dec. 31, 2017 by CFDA, there were totally 169 601 kinds of national coded drugs. Total of 35 513 kinds of CPM with drug approval number “Z” and 68 kinds of imported CPM with importing registration certificates “Z” was screened by using Excel 2013 software. Based on Naming Technical Guidelines for Generic Name of Chinese Patent Medicines (hereinafter referred to as the Guidelines), the unqualified situation of domestic CPM were summarized, and unqualified domestic Chinese patent medicine were analyzed statistically in respects of dosage form, special population medication and area. RESULTS: There were 5 091 kinds of drugs named nonconformity with the “Guidelines”, accounting for 14.34% of domestic CPM. The problems of naming mainly focused on exaggerated naming (1 723 kinds, 33.84%), dosage form un-located after naming (1 118 kinds, 21.96%), naming by endangered protected animals and plants (851 kinds, 16.72%), naming by pharmacology and other related terms (848 kinds, 16.66%). Names emboding “traditional cultural features” (1 324 kinds, 4.35%) took the lower proportion. Top 5 dosage forms of domestic CPM with unqualified naming were tablets (1 203 kinds, 23.63%), capsules (821 kinds, 16.13%), mixture (802 kinds, 15.75%), pills (706 kinds, 13.87%), granules (448 kinds, 8.80%). The problems of special population medication for domestic CPM with unqualified naming concentrated on children’s medication (608 kinds, 11.94%). The main manufacturers of domestic CPM with unqualified naming came from Guangdong (613 kinds, 12.04%), Guangxi Zhuang Autonomous Region (371 kinds, 7.29%), Jilin (265 kinds, 5.21%), Shaanxi (245 kinds, 4.81%) and Beijing (233 kinds, 4.58%). CONCLUSIONS: There are many problems in naming of commercially available domestic CPM in China, mainly reflecting as naming type, dosage form, pediatric drugs, etc. There are fewer names emboding “traditional cultural features”. It is suggested that we should further standardize the naming of CPM by strengthening and perfecting the management and examination system of CPM, highlighting the naming principles of Chinese traditional culture and protecting traditional classical brands.
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OBJECTIVE: To study the development status of TCM enterprises of Nantong city and provide suggestions, and to promote the sustainable development of TCM enterprises of Nantong city. METHODS: Taking Nantong city as an example, questionnaires were issued to 15 TCM enterprises in Nantong (including 4 TCM decoction piece enterprises, 11 TCM pharmaceutical preparation enterprises). The statistical analysis was carried out in respects of scale structure, development (including economic development and staff) and development potential (by enterprise R&D funds and R&D personnel input intensity) of enterprises during 2013-2017. RESULTS & CONCLUSIONS: In terms of the scale and structure of the enterprise, there were no large-scale enterprises in Nantong city, only 3 medium-sized enterprises, 12 small enterprises; the overall scale of enterprises was small; the overall concentration of TCM enterprises was not high, in which the market structure of TCM decoction piece enterprises was oligopolistic, and the structure of preparation enterprises was competitive. The concentration of TCM decoction enterprises was higher than that of TCM preparation enterprises. In terms of economic development, the annual average GDP and profit growth rate are 14.98% and 19.09% from 2014 to 2017; the economic development situation was good, but the brand variety advantage was not developed fully. In terms of staff, employee’s education level was mainly college degree (34.01%) and the staff category was mainly salesperson (32.73%). In terms of the company’s development potential, enterprise R&D funds and R&D personnel input intensity were in low levels (average 2.96%, 11.32% in 5 years), the number of patents (16 in 2013 vs. 17 in 2017) and innovative products (7 in 2013 vs. 12 in 2017) increases slowly, and only one had opened up overseas markets. In response to the issues, TCM enterprises of Nantong city or other areas should merge and reorganize appropriately to expand the scale of the industry and improve the market concentration; increase research funds and talented personnel investment, insist the protection and in novation of TCM. In addition, build a big data “healthy cloud” platform to break the traditional industrial chain; at the same time, seize the “Belt and Road” policy finance and taxation opportunities to promote overseas and develop markets to promote the sustainable development of TCM enterprise.
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Objective The paper aims to analyze the effectiveness and problems of health personnel construction in China since 2012,provide reference for promoting the construction of health professionals.Methods Using national data from China health statistics yearbook,adopted the methods of descriptive statistics and literature research and so forth.Results The construction of health personnel has been continuously strengthened in China,the structure and distribution of health personnel have been further optimized,the medical service capabilities have been improved.However,there are still inappropriate or imbalanced situations.Conclusions The construction of key personnel such as primary health personnel and urgently needed personnel need to be further strengthened;promote the construction of health service personnel to meet new health needs;continue to improve the construction of high-level and management personnel to play a leading role.
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In order to make the national standard method of "General Test Method in Salt Industry-Determination of Iodine" (GB/T 13025.7-2012) more standardized and strict,basing on work experience,literatures and books,the authors listed the details needed to be amended and completed,including method principle,writingof chemical equations,preparation and calibration of standard titration solution,blank tests,sample weighing and result calculation,starch indicator,etc.At the same time,we gave out our opinions and suggestions aiming to provide reference for standard methodologist in revising and updating the standard method.
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Objective To analyze the construction situation of the hospital postdoctoral innovative practice base,we can point out the outstanding problems in the postdoctoral work,and then provide reasonable suggestions to promote the construction of hospital postdoctoral base related.Methods The retrospective analysis methods were used to analyze the work of hospital postdoctoral innovation practice base.Results The scale of postdoctoral training in the base was small.The strength of postdoctoral tutors was weak.The construction of scientific research platform was not perfect.The postdoctoral station was influenced by age,the policy of resident doctor training and salary.Conclusions The hospitals should expand the channels of postdoctoral recruitment,strengthen the construction of tutors,improve the construction of scientific research platform,im prove the incentive mechanism,so as to improve the construction level of postdoctoral base effectively.