美国糖尿病学会(ADA)制订的"糖尿病临床实用指南"(Clinical Practice Recommendations)的学术权威性已为各国糖尿病学界认可和应用。我刊于2003年经ADA同意将"ADA Clinical Practice Recommendations 2003"全书译...美国糖尿病学会(ADA)制订的"糖尿病临床实用指南"(Clinical Practice Recommendations)的学术权威性已为各国糖尿病学界认可和应用。我刊于2003年经ADA同意将"ADA Clinical Practice Recommendations 2003"全书译为中文内部出版,深受读者欢迎。自2005年始,ADA每年主要发布修订后的糖尿病诊疗标准(Standards of Medical Care in Diabetes)和有选择的重要立场声明(Position Statements)。为因应广大读者需要,我刊自2007年起继续将每年有关修订的重要内容摘译供读者参考。ADA 2011年指南标准在诊断和治疗等方面有重要的修订,主要包括:对于妊娠糖尿病的诊断采用75 g口服糖耐量试验(OGTT)和新的诊断标准;在儿童和青少年糖尿病诊治中增加了单基因型糖尿病的内容;并强调了血压控制目标个体化的重要性等。为此,本刊编辑部特编译2011年ADA医学诊治标准概要(Executive summary:Standards of Medical in Diabetes-2010),以供读作者参考。(注:正文中*表示内容系新增;△表示内容有改变。)展开更多
Objective： To observe the clinical efficacy of warm needling moxibustion plus flash cupping for remission-stage peripheral facial paralysis （FP） due to wind-cold. Methods： Fifty eligible patients were randomized i...Objective： To observe the clinical efficacy of warm needling moxibustion plus flash cupping for remission-stage peripheral facial paralysis （FP） due to wind-cold. Methods： Fifty eligible patients were randomized into a warm needling moxibustion group and an acupuncture-cupping group, 25 cases in each group. The warm needling moxibustion group was intervened by acupuncture at Fengchi （GB 20）, Yangbai （GB 14） towards Yuyao （EX-HN 4）, Xiaguan （ST 7）, Dicang （ST 4） towards Jiache （ST 6）, Quanliao （SI 18）, and Hegu （LI 4）, plus warm needling moxibustion at Quanliao （SI 18）; the acupuncture-cupping group received flash cupping on the affected side in addition to the intervention given to the warm needling moxibustion group. The two groups were both treated once a day, 10 times as a treatment course, for 3 courses in total. The House-Brackmann （H-B） facial nerve grading system was observed before and after the intervention to evaluate the facial nerve function in the two groups, and the therapeutic efficacies were also compared between the two groups. Results： The two treatment protocols both can promote the recovery of facial nerve function. The total effective rate was 92.0% in the acupuncture-cupping group versus 72.0% in the warm needling moxibustion group, and the between-group difference was statistically significant （P〈O.05）. Conclusion： Warm needling moxibustion plus flash cupping can produce a more significant efficacy than dry warm needling moxibustion in treating remission-stage peripheral FP due to wind-cold.展开更多
Objective：To explore the clinical efficacy of scalp acupuncture plus speech rehabilitation in treating Broca＆#39;s aphasia after cerebral stroke, for providing novel evidences for the treatment. Methods：Ninety-one ...Objective：To explore the clinical efficacy of scalp acupuncture plus speech rehabilitation in treating Broca＆#39;s aphasia after cerebral stroke, for providing novel evidences for the treatment. Methods：Ninety-one eligible patients with Broca＆#39;s aphasia after cerebral stroke were randomized into an observation group and a control group. Forty-six cases in the observation group were intervened by scalp acupuncture plus speech rehabilitation, while 45 cases in the control group were treated by speech rehabilitation alone. The aphasia battery of Chinese （ABC） and Boston diagnostic aphasia examination （BDAE） were adopted to evaluate the clinical efficacy. Results：After the treatment, the scores of oral expression, reading and writing and global score in the observation group were significantly higher than those in the control group （allP〈0.05）. There was a significant difference in comparing the BDAE grading between the two groups after the treatment （P〈0.05）. After intervention, the basically-recovered plus markedly-effective rate was 45.7% in the observation group versus 24.4% in the control group, and the between-group difference was statistically significant （P〈0.05）. Conclusion：Scalp acupuncture plus speech rehabilitation is effective in treating Broca＆#39;s aphasia after cerebral stroke, and worth promoting.展开更多
Objective：This article collected,organized,and summarized the medical literatures of cupping therapy from three major Chinese databases including China National Knowledge Infrastructure（CNKI）,Chongqing VIP（VIP）,a...Objective：This article collected,organized,and summarized the medical literatures of cupping therapy from three major Chinese databases including China National Knowledge Infrastructure（CNKI）,Chongqing VIP（VIP）,and Wan Fang,with cupping,moving cupping,flash cupping,pricking cupping,or medicinal cupping as the retrieve title or key words,and the retrieve range was from 1953 to July 15,2015.This article was to give an overall review of cupping therapy from the clinical application and mechanism research based on its application form,indications,and mechanism research progress.The results showed that there are various types of cupping methods;its indications cover multiple subjects such as internal medicine,external medicine,gynecology and pediatrics;and its major action mechanisms include negative pressure suction,increasing pain threshold,promoting dermal blood flow and improving body immunity.展开更多
目前开放教育资源被看作是实现全民教育目标的一种可行办法,对于发展中国家而言更是如此。无论是引进和改编发达国家的开放教育资源还是开发本土开放教育资源,发展中国家都能够从中受益。本文所阐述的这些准则旨在为中小学教师提供一些...目前开放教育资源被看作是实现全民教育目标的一种可行办法,对于发展中国家而言更是如此。无论是引进和改编发达国家的开放教育资源还是开发本土开放教育资源,发展中国家都能够从中受益。本文所阐述的这些准则旨在为中小学教师提供一些思路,使更多教师加入开放教育资源建设行列。换言之,教师在开发自己的开放教育资源的时候,可以参考这些准则。但是,并不是每一个开放教育资源的开发或每一位教师都必须逐一对照这些准则,制订这些准则的目的不是为了规定一定要怎么做,而是要在有兴趣自己开发开放教育资源的教师当中形成一种质量文化,鼓励他们进行专业反思。学生在自建学习资源的过程中能很好学到终身学习所必备的更高层次批判性思维技能,所以这些准则的目标对象也包括可能想通过自建学习资源进行学习的学生。本文所提出的准则框架尚在完善之中,因此希望得到用户的反馈以进一步完善。本文介绍较为简略的TIPS框架,T代表教学和学习(Teaching and learning)过程、I代表信息和材料内容(Information and material content)、P代表呈现、产品和格式(Presentation,product and format),而S代表系统、技术性的和技术(System,technical and technology)。展开更多
文摘美国糖尿病学会(ADA)制订的"糖尿病临床实用指南"(Clinical Practice Recommendations)的学术权威性已为各国糖尿病学界认可和应用。我刊于2003年经ADA同意将"ADA Clinical Practice Recommendations 2003"全书译为中文内部出版,深受读者欢迎。自2005年始,ADA每年主要发布修订后的糖尿病诊疗标准(Standards of Medical Care in Diabetes)和有选择的重要立场声明(Position Statements)。为因应广大读者需要,我刊自2007年起继续将每年有关修订的重要内容摘译供读者参考。ADA 2011年指南标准在诊断和治疗等方面有重要的修订,主要包括:对于妊娠糖尿病的诊断采用75 g口服糖耐量试验(OGTT)和新的诊断标准;在儿童和青少年糖尿病诊治中增加了单基因型糖尿病的内容;并强调了血压控制目标个体化的重要性等。为此,本刊编辑部特编译2011年ADA医学诊治标准概要(Executive summary:Standards of Medical in Diabetes-2010),以供读作者参考。(注:正文中*表示内容系新增;△表示内容有改变。)
基金supported by Project of State Administration of Traditional Chinese Medicine,No.LP0118041~~
文摘Objective： To observe the clinical efficacy of warm needling moxibustion plus flash cupping for remission-stage peripheral facial paralysis （FP） due to wind-cold. Methods： Fifty eligible patients were randomized into a warm needling moxibustion group and an acupuncture-cupping group, 25 cases in each group. The warm needling moxibustion group was intervened by acupuncture at Fengchi （GB 20）, Yangbai （GB 14） towards Yuyao （EX-HN 4）, Xiaguan （ST 7）, Dicang （ST 4） towards Jiache （ST 6）, Quanliao （SI 18）, and Hegu （LI 4）, plus warm needling moxibustion at Quanliao （SI 18）; the acupuncture-cupping group received flash cupping on the affected side in addition to the intervention given to the warm needling moxibustion group. The two groups were both treated once a day, 10 times as a treatment course, for 3 courses in total. The House-Brackmann （H-B） facial nerve grading system was observed before and after the intervention to evaluate the facial nerve function in the two groups, and the therapeutic efficacies were also compared between the two groups. Results： The two treatment protocols both can promote the recovery of facial nerve function. The total effective rate was 92.0% in the acupuncture-cupping group versus 72.0% in the warm needling moxibustion group, and the between-group difference was statistically significant （P〈O.05）. Conclusion： Warm needling moxibustion plus flash cupping can produce a more significant efficacy than dry warm needling moxibustion in treating remission-stage peripheral FP due to wind-cold.
文摘Objective：To explore the clinical efficacy of scalp acupuncture plus speech rehabilitation in treating Broca＆#39;s aphasia after cerebral stroke, for providing novel evidences for the treatment. Methods：Ninety-one eligible patients with Broca＆#39;s aphasia after cerebral stroke were randomized into an observation group and a control group. Forty-six cases in the observation group were intervened by scalp acupuncture plus speech rehabilitation, while 45 cases in the control group were treated by speech rehabilitation alone. The aphasia battery of Chinese （ABC） and Boston diagnostic aphasia examination （BDAE） were adopted to evaluate the clinical efficacy. Results：After the treatment, the scores of oral expression, reading and writing and global score in the observation group were significantly higher than those in the control group （allP〈0.05）. There was a significant difference in comparing the BDAE grading between the two groups after the treatment （P〈0.05）. After intervention, the basically-recovered plus markedly-effective rate was 45.7% in the observation group versus 24.4% in the control group, and the between-group difference was statistically significant （P〈0.05）. Conclusion：Scalp acupuncture plus speech rehabilitation is effective in treating Broca＆#39;s aphasia after cerebral stroke, and worth promoting.
基金supported by Three Year Plan of the Development of Traditional Chinese Medicine of Shanghai Municipal Health Bureau(No.ZYSNXD-CC-HPGC-JD-011)~~
文摘Objective：This article collected,organized,and summarized the medical literatures of cupping therapy from three major Chinese databases including China National Knowledge Infrastructure（CNKI）,Chongqing VIP（VIP）,and Wan Fang,with cupping,moving cupping,flash cupping,pricking cupping,or medicinal cupping as the retrieve title or key words,and the retrieve range was from 1953 to July 15,2015.This article was to give an overall review of cupping therapy from the clinical application and mechanism research based on its application form,indications,and mechanism research progress.The results showed that there are various types of cupping methods;its indications cover multiple subjects such as internal medicine,external medicine,gynecology and pediatrics;and its major action mechanisms include negative pressure suction,increasing pain threshold,promoting dermal blood flow and improving body immunity.
文摘目前开放教育资源被看作是实现全民教育目标的一种可行办法,对于发展中国家而言更是如此。无论是引进和改编发达国家的开放教育资源还是开发本土开放教育资源,发展中国家都能够从中受益。本文所阐述的这些准则旨在为中小学教师提供一些思路,使更多教师加入开放教育资源建设行列。换言之,教师在开发自己的开放教育资源的时候,可以参考这些准则。但是,并不是每一个开放教育资源的开发或每一位教师都必须逐一对照这些准则,制订这些准则的目的不是为了规定一定要怎么做,而是要在有兴趣自己开发开放教育资源的教师当中形成一种质量文化,鼓励他们进行专业反思。学生在自建学习资源的过程中能很好学到终身学习所必备的更高层次批判性思维技能,所以这些准则的目标对象也包括可能想通过自建学习资源进行学习的学生。本文所提出的准则框架尚在完善之中,因此希望得到用户的反馈以进一步完善。本文介绍较为简略的TIPS框架,T代表教学和学习(Teaching and learning)过程、I代表信息和材料内容(Information and material content)、P代表呈现、产品和格式(Presentation,product and format),而S代表系统、技术性的和技术(System,technical and technology)。
