ZHANG Yunling's Experience in the Treatment of Amyotrophic Lateral Sclerosis from Emphasis on both Spleen and Kidney / 中医杂志

This paper summarized Professor ZHANG Yunling's experience in the treatment of amyotrophic lateral sclerosis （ALS） from emphasis on both spleen and kidney. It is considered that the characteristic of ALS manifested as overlap of atrophy-flaccidity disease and convulsive disease， and the core pathogenesis are the deficiency of spleen and kidney and the inner pathogenic qi. ZHANG advocated that ALS should be treated from tonifying both the spleen and kidney， as strong spleen and kidney led the latent pathogen at peace. Usually applied Huangqi （Astragalus mongholicus）， Baizhu （Atractylodes macrocephala） combined with Taizishen （Pseudostellaria heterophylla）， fried Yiyiren （Coix lacryma-jobi）， Doukou （Myristica fragrans） and Sharen （Wurfbainia villosa） to tonify the middle and replenish qi， ascend lucidity and descend turbidity to invigorate the spleen； Roucongrong （Cistanche deserticola）， Tusizi （Cuscuta chinensis） combined with Shanyao （Dioscorea oppositifolia）， Shanzhuyu （Cornus officinalis） and prepared Dihuang （Rehmannia glutinosa） are used to support the fire and nourish the water， so as to replenish the spleen. The empirical formula regarded invigorateing the spleen and replenishing the kidney as the core therapeutic principle throughout the treatment of the whole process， which aimed at extinguishing inner wind and pacifying latent pathogen when treating the root.

Application of the theory of equal emphasis on muscle and bone in percutaneous vertebroplasty of lumbar osteoporotic compression fracture / 中国骨伤

OBJECTIVE@#To explore the clinical efficacy of percutaneous vertebroplasty(PVP) combined with nerve block in the treatment of lumbar osteoporotic vertebral compression fractures under the guidance of traditional chinese medicine "theory of equal emphasis on muscle and bone".@*METHODS@#Total of 115 patients with lumbar osteoporotic vertebral compression fractures were treated by percutaneous vertebroplasty from January 2015 to March 2022, including 51 males and 64 females, aged 25 to 86 (60.5±15.9) years. Among them, 48 cases were treated with PVP operation combined with erector spinae block and joint block of the injured vertebral articular eminence (intervention group), and 67 cases were treated with conventional PVP operation (control group). The visual analogue scale(VAS) and Oswestry disability index(ODI) before operation, 3 days, 1 month and 6 months after operation between two groups were evaluated. The operation time, number of punctures and intraoperative bleeding between two groups were compared.@*RESULTS@#The VAS and ODI scores of both groups improved significantly after operation compared with those before operation(P<0.05). Moreover, the VAS and ODI scores of 3 days and 1 month after operation of the intervention group improved more significantly than that of the control group(P<0.05). The difference of VAS and ODI scores before operation and 6 months after operation between two groups had no statistical significances(P>0.05). There was no statistically significant difference in the number of punctures and intraoperative bleeding between the two groups (P>0.05).@*CONCLUSION@#Based on the theory of "equal emphasis on muscles and bones", PVP combined with nerve block can effectively relieve paravertebral soft tissue spasm and other "muscle injuries", which can significantly improve short-term postoperative low back pain and lumbar spine mobility compared to conventional PVP treatment, and accelerate postoperative recovery, resulting in satisfactory clinical outcomes.

Development and Application of Permanent Magnet Motor and Its Control in the Field of Artificial Blood Pump / 中国医疗器械杂志

Permanent magnet motor has been widely used in the field of artificial heart pump due to its high power density, high stability and easy control. In this paper, the development history and research progress of permanent magnet motor for blood pump were described. Firstly, the motors were classified according to their structures and application scenarios. And then, the measures taken by different types of motors to meet the corresponding performance requirements were introduced, and the specific application cases were given. After that, commonly used control algorithms of these motors were enumerated. What's more, the advantages and disadvantages of the control algorithms and their application emphasis were carefully explained. Finally, the paper was summarized in short.

Change in Physicians’ Attitude on Clinical Practice after Joining Palliative Care Workshop Using the PEACE Program: Nation-wide Palliative Emphasis Program on Symptom Management and Assessment for Continuous Medical Education

<p>Few studies have been performed to examine the effects of educational intervention for oncologists in Japan, to update their knowledge and skills regarding palliative care. This study is aimed to evaluate not only the improvement in trainees’ knowledge and self-complacency, but also to focus on the factors associated with the actual clinical practices of trainees. In one year, 323 trainees from the Hiroshima prefecture joined palliative care workshop using the Palliative Emphasis program on symptom management and Assessment for Continuous medical Education (PEACE), and they were included as subjects in the present study. Referring to the contents of the program, a questionnaire was developed to estimate the extent of change in the trainees’ attitude towards clinical practice. Each of the 26 items included a five point Likert scale ranging from “mostly take responsibility for symptom management” to “depends mostly on the experts for direct intervention”. The questionnaire survey was conducted before and after the implementation of the PEACE program. From the 206 valid responses, most of the data items showed a significant and positive shift in the trainees’ attitude toward palliative care in a clinical setting. Items that did not show this change pertained to adjustment of antidepressants and tranquilizers for delirium and depression. These results suggest that the PEACE program may be effective in improving physicians’ attitudes regarding palliative care.</p>

A questão da formação: um percurso histórico / The training issue: a historical path / El tema de la formación: un camino histórico / La question de la formation: un parcours historique

Este artigo dispõe-se a analisar alguns dos elementos históricos e políticos que atravessam o processo da formação psicanalítica e lhe dão forma, trabalhando a noção de produção social desse processo e das consequentes tensões nela implicadas. Baseia-se em um marco histórico amplo, que se inicia nas origens da instituição psicanalítica oficial e toma-se o recorte dos processos acontecidos no Brasil e Argentina a partir da década de 1970, como ponto de partida de questionamentos e aberturas dentro do terreno da formação psicanalítica oficial.

This paper aims to study some of the historical and political elements that pass through the psychoanalytic training process, and give it form, in order to build the idea of the social production of this process, and the consequent, implied tensions. This paper is founded on a wide, historic mark, whose beginning was the origins of the official psychoanalytic institution. The author emphasizes those processes that have happened in Argentina and Brazil since the 1970s, as a starting point of questions and openings within the field of official psychoanalytic training.

Este artículo se dispone a analizar algunos de los elementos historicos y políticos que atraviesan y dan forma al proceso de la formación psicoanalítica, de manera a trabajar la noción de producción social de este proceso y de las consecuentes tensiones que ella implica. Para ello, se toma un marco historico amplio, que se inicia en los origenes de la institución psicoanalitica oficial y se toma el recorte de los procesos acaecidos en Brasil y en Argentina a partir de la década de 1970, como punto de partida de cuestionamientos y aperturas dentro del terreno de la formación psicoanalitica oficial.

Cet article se propose à analyser certains des éléments historiques et politiques qui traversent et donnent une forme au processus de la formation psychanalytique de façon à travailler la notion de production social de ce processus et des tensions dont les effets y sont impliqués. Il est fondé sur une large borne historique qui commence aux origines de l'institution psychanalytique officielle lorsque l'on prend la coupure des processus qui on eu lieu au Brésil et en Argentine, à partir des années 1970, en tant que point de départ de demandes et d'ouvertures dans le terrain de la formation psychanalytique officielle.

3. Characteristics of modern society and the necessity of medical education reform / 医学教育

<p>　Modern society is a late capitalist society, and its structure continues to change. Therefore, if situational awareness is based on the premise of specific social structures, it will become meaningless over time. As a challenge for modern medical education, it is necessary to develop students' skills required to respond to social changes and modify their awareness of the world. It is not important for students to memorize principles as knowledge and apply them in practical settings. Medical educators in the 21st should help medical students develop attitudes required to understand life culture in practical settings.</p><p>　In the 21st century, the life culture of patients will be supported by placing emphasis on settings for clinical practice. In the 20th century, or the era of hospitals, it was important to implement homogenized and standardized medical procedures and make decisions modeled after those for inpatients. However, in the 21st century, medical technologies and techniques will be integrated in the life culture of patients. In other words, medical education in the 21st century shall be implemented based on behavioral science education to understand the diversity of people's life culture.</p>

A Comparative Study on the Designer-Oriented Current Status of Menu Book Designs in the Restaurants of Incheon Area / 대한지역사회영양학회지

The purpose of this study was to examine the designs of the menu books as an important tool of marketing and then present its improvement strategies. For this, the investigator comparatively examined the current status of menu book designs of the restaurants in Incheon area with 295 managers and then analyzed menu book designs by its designers. Menu book designers were printing houses (42.0%), specialized business (31.9%) and managers/employees (26.1%). 51.5% of menu books were impossible to substitute partially. Even there were seasonal menus or event menus, 27.5% of them were impossible to replace menu books partially; therefore, it was impossible to take a prompt action for seasonal or event menus. The easiness of understanding the terminology in menu books was average 2.74 +/- 0.45(3-point scale). The harmony of menu book design with restaurants was average 2.46 +/- 0.51 (3-point scale). Comparing to the menu books designed in specialized business, the menu books designed in printing houses or by managers/employees were uniform in type sizes (p < 0.001), had no menu photos (p < 0.001) and explanations (p < 0.001), and did not classify menus by groups (p < 0.001) in general. In addition, profit-making menus were not properly emphasized (p < 0.001), thus making the design of menu books a little improper. Therefore, it is necessary to educate managers in the restaurants to understand the importance of menu books and thus improve it. In addition, by maintaining close communication with designers of menu books, managers in the restaurants must ensure for their menu books to be designed appropriately, thus making their menu books play the role of an important marketing tool.

El programa de psicología con énfasis en psicología social de la Fundación Universitaria Luis Amigó en el contexto de los programas de formación de profesionales de psicología en Colombia / The psychology program with emphasis on social psychology of the Luis Amigó University Foundation in the context of the training programs of psychology professionals in Colombia

Las coordenadas que definen la ubicación del programa de psicología con énfasis en psicología social en el contexto de los programas de formación de profesionales en psicología en Colombia, están determinadas por el entrecruzamiento de dos vectores. Uno de ellos tiene que ver con los universales que comparte con los demás programas de psicología a nivel nacional en internacional; el otro vector está definido en función de la particularidad de su énfasis en psicología social, el enfoque particular de la psicología social de corte latinoamericano de Enrique Pichón Rivière y por el sello que le imprime la misión y la visión de la Fundación Universitaria Luis Amigó, institución de educación superior en la que fue gestado y se desarrolla actualmente.

The coordinates that define the location of the psychology program with an emphasis on social psychology in the context of the training programs of professionals in psychology in Colombia, are determined by the cross-linking of two vectors. One of them has to do with the universals that he shares with the other psychology programs nationally and internationally; the other vector is defined according to the particularity of its emphasis on social psychology, the particular focus of the social psychology of Latin American court of Enrique Pichón Rivière and by the stamp that the mission and vision of the Luis Amigó University Foundation prints, Higher education institution where it was developed and is currently being developed.