Since the 13th Five-Year Plan proposed to practice capacity building in pediatrics and promote rehabilitation of persons with disabilities, children’s rehabilitation in China has achieved large-scale and all-round development in medical care, education, and scientific research. These include the effective implementation of the children’s health program, the establishment of a basic public service system for children with disabilities, the building of a talent pool, and the continuous improvement of evidence-based research. However, there are still some problems such as insufficient total service resources, uneven distribution, shortage of high-quality resources and specialized talents, and lack of high-quality evidence-based evidence for featured technologies. Entering a new stage of development, we need to comprehensively improve the capacity of rehabilitation services for children, further standardize quality control, promote the spread and application of appropriate technologies, accelerate personnel training, promote the research, development, and implementation of new technologies, and improve the health of children throughout their life cycle.
Totally thoracoscopic surgery is a branch of minimally invasive cardiac surgeries, and its operational indicators are expanding with the development of the medical and imaging devices compared with median sternotomy and other minimally invasive cardiac surgeries (such as thoracoscope-assisted small incision surgery and robotic surgery). The learning curve is significantly shortened through the professional technique training. Totally thoracoscopic cardiac surgery has many advantages, such as minor trauma, few serious complications, fast recovery, high patient acceptance and being suitable to our country's current situation. Therefore it will be one main direction of minimally invasive cardiac surgery. This article mainly introduced the current status of totally thoracoscopic technology in the field of cardiac surgery in China.
An increasing number of health system researchers use systematic review to synthesize research evidence to inform the development of health policies at global and national levels. However, there are methodological challenges facing the health system research in undertaking systematic reviews of health policy literatures. This paper explored the constraints and promise of systematic review as a tool for evidence-based health system research in developing countries. It introduced the systematic review method and its evolution in health research over the past decades. The paper then discussed the definition of health system research, as system science, and contrasted its features/characteristics to those of medical research. It discussed and analyzed if the systematic review could be an effective tool for evidence-based health system research, particularly in developing countries. The paper concludes that the systematic review may be a very useful tool that can be used for evidence-based health system research to address specific policy issues; however, research on some health system/policy issues may not be appropriate to use the systematic review at all.
Lifestyle medicine is an emerging medical specialty of 20-year-history. It is more cost effective and environmentally friendlier in managing chronic health conditions of individuals and populations than the conventional allopathic medicine. By summarizing the development, implementation and prospects of lifestyle medicine in America, this paper aims to contribute to the advancement of lifestyle medicine in China.
【摘要】目的 研究以战备训练牵引军民融合式医院持续发展路子和方法。方法 在机制上求创新,建立健全编制外的医院管理策划中心,树立医院形象,打造品牌效应;在观念上求转变,战备训练与乡镇卫生院融合,组建属地战时卫勤保障组织;在技术上求输出,医疗协作与县级医院融合,对县医院给予技术支持;在特色上求突破,军民协作与企事业单位融合,走军民共建共赢之路;在能力上求拓展,全民医保与县、市医保新农合融合,建立健全各级医保组织与医院的军民共建关系。结果 通过以上策略,军民融合机制让军队医院获得可持续发展的机会。结论 走军民融合式共赢发展路子,领导重视是关键,政府支持是保证。
In different stages of schizophrenia (SZ), alterations in gray matter volume (GMV) of patients are normally regulated by various pathological mechanisms. Instead of analyzing stage‐specific changes, this study employed a multivariate structural covariance model and sliding‐window approach to investigate the illness duration‐related developmental trajectory of GMV in SZ. The trajectory is defined as a sequence of brain regions activated by illness duration, represented as a sparsely directed matrix. By applying this approach to structural magnetic resonance imaging data from 145 patients with SZ, we observed a continuous developmental trajectory of GMV from cortical to subcortical regions, with an average change occurring every 0.208 years, covering a time window of 20.176 years. The starting points were widely distributed across all networks, except for the ventral attention network. These findings provide insights into the neuropathological mechanism of SZ with a neuroprogressive model and facilitate the development of process for aided diagnosis and intervention with the starting points.
In recent years, day surgery has developed rapidly in China. Day surgery management has shifted from extensive to refined, but there are still many problems in the service system of day surgery in Chinese hospitals. In order to further optimize the allocation of medical resources, improve the level of medical service capacity, and build a “patient-centered, safe, efficient, and orderly” day surgery service system, Northern Jiangsu People’s Hospital has integrated big data, mobile internet, and artificial intelligence since 2019, creating a smart information big data platform. This paper summarizes the experience of Northern Jiangsu People’s Hospital in promoting the high-quality development of day surgery services in the whole hospital from five aspects of top-level design, diagnostic and therapeutic process, medical quality and safety, medical supporting services, and supervision mechanism, with a view to providing reference for the implementation of overall management of day surgery in the hospital.