中药联合微生态制剂防治呼吸、消化系统病毒病

本文阐述了中药防治病毒病的历史及其应用概况,中药联合微生态制剂防治呼吸、消化系统病毒病的理论依据、临床应用和发展前景。     

What Are the Health Risks of Eating Red Meat,and How Should We Assess Them?

This paper discusses possible mechanisms that might lead to misinterpretations of collected data and makes new evidence-based medicine (EBM) recommendations to oppose the previously accepted preventive measures, or treatment options. It is focused on the danger of the “red meat” consumption, and the question whether eating pungent food is good or bad for our health and finally whether the “bad luck” concept of getting several cancer types is valid or not. These three topics got and still have significant media attention. Several mechanisms are proposed as possible causes of these apparent conflicts. Some of them have already been recognized but sadly remained less known to medical readers and also to the general population. Also see the video abstract here https://youtu.be/owjoRXrNShA .     

Cell sheet technology: a promising strategy in regenerative medicine

Regenerative medicine is a burgeoning field that is important to combat challenging diseases and functional impairments. Compared with traditional cell therapies with evident shortcomings (e.g., cell suspension injection or tissue engineering with scaffolds), scaffold-free cell sheet technology enables transplanted cells to be grafted and fully maintain their viability on target sites. Clinical and experimental studies have advanced the application of cell sheet technology to numerous tissues and organs (e.g., liver, cornea and bone). However, previous reviews have failed to discuss vital aspects of this rapidly developing technology, and many new challenges are gradually emerging. This review aims to provide a comprehensive introduction to cell sheet technology from cell selection to the ultimate applications of cell sheets, and challenges and future visions are also described.     

The new biology of ageing

Human life expectancy in developed countries has increased steadily for over 150 years, through improvements in public health and lifestyle. More people are hence living long enough to suffer age-related loss of function and disease, and there is a need to improve the health of older people. Ageing is a complex process of damage accumulation, and has been viewed as experimentally and medically intractable. This view has been reinforced by the realization that ageing is a disadvantageous trait that evolves as a side effect of mutation accumulation or a benefit to the young, because of the decline in the force of natural selection at later ages. However, important recent discoveries are that mutations in single genes can extend lifespan of laboratory model organisms and that the mechanisms involved are conserved across large evolutionary distances, including to mammals. These mutations keep the animals functional and pathology-free to later ages, and they can protect against specific ageing-related diseases, including neurodegenerative disease and cancer. Preliminary indications suggest that these new findings from the laboratory may well also apply to humans. Translating these discoveries into medical treatments poses new challenges, including changing clinical thinking towards broad-spectrum, preventative medicine and finding novel routes to drug development.     

安徽省药品集中招标采购配送工作的调研结果与思考

通过对安徽省6家不同所有制、不同规模、不同经营方式的药品流通企业的实地调研，了解药品流通企业及药品配送工作的基本情况，剖析了药品招标配送中存在的问题，对实施药品集中招标采购配送工作提出政策建议。     

Opinions of UK Rescue Shelter and Rehoming Center Workers on the Problems Facing Their Industry

Animal shelters exist worldwide to care for and rehome unwanted or straying pets. Previous studies have examined why owners breed unwanted animals, or relinquish their pets to shelters. However, the views of shelter workers, who receive and care for these animals, have previously been largely unexplored. The aim of this study was to investigate the perceptions of animal shelter workers on the problems facing their industry. A sampling frame was constructed, consisting of every identified shelter in the UK, and a postal questionnaire sent to each. This included two open questions, soliciting respondents’ views on their biggest problems, and inviting further comments. A total of 661 respondents replied to at least one question. Thematic analysis on the free text content was carried out, and basic and global themes identified. Respondents’ main concerns centered on a mismatch between the continuous demand for their services and their limited resources, which has worsened during the recent financial crisis. Respondents perceived a need for increased public awareness of the commitment involved in keeping a pet, and of controlling breeding by neutering. Points of intervention, such as education programs, were suggested. Coordinating efforts with others, including local authorities, landlords, and housing associations, and a potential role for veterinary professionals working in shelter medicine were all explored by respondents. Rehoming organizations play an important role in the management of pet overpopulation, and the views and beliefs of their workers form an important contribution to the dialogue surrounding this issue. Consideration of these perspectives may suggest alternative routes to address underlying causes and management of pet overpopulation.     

The Medical System in Ghana

Ghana is a developing country in West Africa with a population of about 25 million. Medical illnesses in Ghana overlap with those in developed countries, but infection, trauma, and women’s health problems are much more prominent. Medical practice in rural Africa faces extremely limited resources, a multiplicity of languages (hundreds in Ghana), and presentation of severe illnesses at later stages than seen elsewhere. Despite these limitations, Ghana has established a relatively successful national medical insurance system, and the quality of medical practice is high, at least where it is available. Ghana also has a well-established and sophisticated administrative structure for the supervision of medical education and accreditation, but it has proven very difficult to extend medical training to rural areas, where health care facilities are particularly short of personnel. Physicians are sorely needed in rural areas, but there are few because of the working conditions and financial limitations. Hospital wards and clinics are crowded; time per patient is limited. This article details some of the differences between medical practice in Ghana and that in wealthier countries and how it functions with very limited resources. It also introduces the medical education and training system in Ghana. The following article describes an attempt to establish and maintain a residency training program in General Medicine in a rural area of Ghana.     

The Dead Sea — an economic resource for 10 000 years

The archaeological and historical record of the Dead Sea as an economic resource is longer than that of any other hypersaline lake. Although it is completely devoid of life, except for a few bacteria and algae, the climatic and geological conditions in the Dead Sea basin have produced circumstances which made this lake important for the economy of the area. The salt which was produced by evaporation of the water, or by quarrying from the salt diapir of Mt. Sodom, on the Dead Sea coast, is referred to in the Bible and in the Talmud. It was harvested until the 1930's. Potash has been extracted from the brine, by solar processes, since 1931 and today the Dead Sea is a major source of potash and bromine. The asphalt, which is found in seepages along the shores and in large blocks, occasionally found floating on the lake, has been used by the inhabitants of the area for waterproofing baskets and for decorative purpose, since the Pre-ceramic Neolithic Period, 10 000 years ago. Later, the asphalt became a major export item to Egypt. During the Early Bronze age, 4000 years ago, it was used mostly to glue flint implements to wooden handles and in the Graeco-Roman period it was used as one of the components in the embalming of Egyptian mummies. The area around the Dead Sea was the only source of balsam, perhaps the most important incense and medication of the Ancient World. Remains of a 7th century B.C. perfume factory, were found in Ein Gedi. During later periods, until the Arab conquest in the 7th century A.D., the growing of balsam was an imperial monopoly. The area of the Dead Sea was famous, for over 2000 years, for its dates and sugar. The therapeutical and medicinal properties of Dead Sea water and the hypersaline hot springs on its shore, were famous throughout the Ancient World. For example, King Herod the Great, 2000 years ago, used to visit the area to cure his many diseases. This practice continues today, and the lakes has become a major center for treatment of psoriasis. There is pictorial, archaeological and historical evidence to support the Dead Sea's importance as a trade artery for over 2300 years.