Discussion on design of clinical trial scheme for doctor-patient co-construction of traditional Chinese medicine and Western medicine under concept of narrative medicine / 中国中药杂志

With the continuous improvement of modern medical technology, medical practice has become more and more procedural. The medical process is often dominated by doctors, while the value orientation of patients is often ignored, lacking effective communication between doctors and patients. In response to this phenomenon, Charon R proposed the concept of narrative medicine, which has been recognized by all walks of life. In recent years, the value of medical humanism has attracted more attention, and the research on narrative medicine at home and abroad is increasing gradually. But at present, most of the research on narrative medicine is in terms of theory, lacking clinical research. How to make narrative medicine applied in the real world is the focus of current research. Following the concept of narrative medicine, and taking the study on doctor-patient parallel medical record to evaluate the real clinical efficacy of traditional Chinese medicine(TCM) and Western medicine(WM) in the treatment of digestive diseases as an example, this study is to explore the design contents and key points of the clinical trial scheme of doctor-patient co-construction of TCM and WM under narrative medicine, and discuss the activity form and clinical efficacy evaluation method under narrative medicine. Clinical trial design includes four aspects: medicine, ethics, statistics and trial management. This study explored the design of the doctor-patient co-construction clinical trial scheme under narrative medicine from both theoretical and practical aspects, providing reference for the design and research of future doctor-patient co-construction scheme, and expecting to establish a better efficacy evaluation method of TCM and WM.

El juego en proyectos de innovación universitaria. estrategia inclusiva / O jogo em projetos de inovação universitária. estratégia inclusiva / Game in university innovation projects: an inclusive strategy

En este artículo se presentan los resultados finales de una investigación cualitativa que tuvo por objetivo conocer y comprender el lugar que ocupa el juego en los proyectos de innovación educativa vigentes de una Universidad Pública Argentina. La metodología empleada fue la teoría fundamentada o método de constante comparación. Se utilizaron dos estrategias de recolección de datos: el análisis de textos (proyectos aprobados y financiados), entrevistas en profundidad (a directores de los proyectos). Para garantizar no solo el acceso a la educación superior universitaria, sino el interés por estudiar y la oportunidad de avanzar en los estudios y graduarse en un tiempo prudente, algunos equipos de trabajo, diseñan situaciones de juego para conectar la dimensión práctica de los conocimientos construidos con el dominio teórico conceptual de los objetos de estudio. Aun cuando el juego es más viejo que la cultura, el contexto universitario lo propone como innovación

Este artigo descreve os resultados finais de uma pesquisa qualitativa que tem como objetivo conhecer e compreender o lugar do jogo nos atuais projetos de inovação de ensino da uma universidade pública argentina. A metodologia utilizada foi a teoria fundamentada ou método de comparação constante. Foram utilizadas duas estratégias da coleta de dados: análise do texto (projetos aprovados e financiados) e entrevistas em profundidade (para gerentes de projeto). Para assegurar não só o acesso ao ensino superior, mas o interesse em estudar e a oportunidade de avançar estudos em tempo adequado, alguns professores fazem situações do jogo para ligar a dimensão prática do conhecimento construído com o domínio conceitual teórico dos objetos de estudo. Mesmo quando o jogo é mais antigo que a cultura, o contexto universitário o propõe como uma inovação

This article presents the results of a qualitative study aimed at knowing and understanding the role played by game in current educational innovation projects of a public university in Argentina. It used grounded theory or the constant comparison method, with two data collection strategies: text analysis (projects approved and funded) and indepth interviews (with project directors). In order not only to guarantee access to university education but also to foster interest in studying and the opportunity to advance in one's studies and graduate within a reasonable time, some work teams design game situations to connect the practical dimension of the knowledge constructed with the theoretical conceptual domain of the objects of study. Even when the game is older than the culture, the university context proposes it as an innovation

Designing and evaluating of the project of health education pathway for primary apheresis donors / 中国输血杂志

Objective In order to improve blood donors to understand the health education knowledge,this study designed and evaluated a new project,that is the health education pathway for primary apheresis donors.Methods A total of 2900 primary apheresis donors participated in the current study,who were randomly divided into the experimental group and the control group.The experimental group was performed the health education pathway for primary apheresis donors,while the control group was conducted in the traditional health educational ways.We compared the basic information,the awareness rate of apheresis donation knowledge,the number of regnlar/repeated donors,and the frequency of donations.Results Two groups were matched with no group differences in basic information (P＞0.05).After performed the health education pathway for primary apheresis donors,the awareness rate of apheresis donation knowledge was significantly improved from 23.6％ to 84.3％ (P＜0.01).Moreover,the percentage of regular donors (40.2％) in the experimental group higher than the percentage (26.7％) in the control group(P＜0.01).The average donation times of experimental group (3.8) was also higher than the control group.There were 79.2％ donors changed to regular/repeated donors higher than the percentage (66.4％) in the control group,and the average frequency of apheresis of those regular/repeated apheresis donors (7.4) in the experimental group higher than the control group (6.4) (P＜0.01).Conclusion As showed in our results,the health education pathway for primary apheresis donors could effectively help donors to understand the knowledge of blood donation and health care,and promote team construction of regular donors.We hope,in the future,the health education pathway for primary apheresis donors could be widely spread.

Analysis on program design and implementation of multi-sectoral and social participation projects / 中华疾病控制杂志

Relying on the R3 GF program,the present paper attempts to analyze the standards of multi-sectoral social participation projects design and implementation,to construct the key indicators and to explore the experience and bias,as well as to provide recommendations on how to improve performance and outcomes of small grant projects by multi-sectors.