Volume 1
Published on November 2024This article provides an in-depth analysis of the key strategies for promoting Total Quality Management (TQM) in clinical practice to improve the quality and efficiency of medical services. The article focuses on five interrelated core measures: balancing the allocation of medical resources, unifying medical service standards, strengthening medical staff training, establishing incentive and punishment mechanisms, and promoting the application of advanced technologies. These strategies together build a comprehensive quality management system aimed at ensuring that patients receive safer, more efficient, and satisfactory medical services.
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Idiopathic pulmonary fibrosis (IPF) is a common pathological manifestation of various pulmonary diseases, characterized by insidious onset and progression to irreversible organ failure. Currently, there are still inadequacies in the diagnosis and treatment of IPF. Traditional Chinese medicine (TCM) can intervene in IPF at multiple levels, targets, and pathways, possessing significant advantages in the treatment of IPF. The underlying mechanisms deserve further exploration. The theory of “Yang Transforming into Qi, Yin Constituting Form” in Huangdi Neijing embodies the specific meanings of yin and yang, containing profound views on life and disease. The pathological changes of IPF conform to the theory of yin and yang in “Yang Transforming into Qi, Yin Constituting Form”, where deficiency of yang transforming into qi and excessive formation of yin constitute the core pathogenesis of IPF. This paper proposes the principle of Fuyang Yiyin for IPF, aiming to nourish the source of fire and dispel yin turbidity, in order to broaden the clinical treatment strategies for IPF.
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Lung cancer has become one of the most common types of cancer, with high incidence and mortality rates persistently high. Among them, non-small cell lung cancer (NSCLC) is particularly common, accounting for up to 85% of lung cancer cases. NSCLC seriously endangers the health of people in China and around the world, and its specific causes are related to various factors such as smoking, radiation exposure, air pollution, and genetic factors. In traditional Chinese medicine, NSCLC belongs to the category of lung consolidation. Professor Zhang Wei believes that the lungs not only govern the qi of the body, but also play an important role in the generation and circulation of blood throughout the body, and has extensively expounded the viewpoint of “lungs as the blood organ.” This viewpoint is reflected in various functions of the lungs, such as the lungs controlling the hundred vessels, governing the storage of fluids, and controlling the skin and hair. The propulsion of lung qi also provides impetus for the normal circulation of blood. As the lungs serve as the blood organ and are prone to stasis, they are susceptible to the occurrence of “lung consolidation.” Therefore, the occurrence of NSCLC may be related to blood stasis in the lungs. Blood stasis is not only the pathological product of lung consolidation, but also the main cause of lung consolidation. It can be inferred that in the treatment of NSCLC, methods such as promoting blood circulation, dredging collaterals, and resolving phlegm and stasis should be adopted.
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This study aims to explore the specific application and optimization strategies of service management in clinical practice, with the core goal of improving the quality of medical services, enhancing patient satisfaction, and optimizing the allocation of medical resources. Through continuous improvement and optimization of service management strategies, we hope to promote the development of the medical service system towards a healthier and more efficient direction, and provide patients with higher quality and professional medical services. Meanwhile, this effort will also contribute to enhancing the comprehensive competitiveness and social image of medical institutions, laying a solid foundation for building a more harmonious and trustworthy doctor-patient relationship. We believe that through continuous research and practice, we can create a better medical environment for patients and inject new vitality into the development of the medical service industry.
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This study focuses on the impact of comprehensive treatment on pregnancy outcomes in patients with polycystic ovary syndrome (PCOS). In this research, 60 PCOS patients admitted to our hospital between January 2022 and April 2023 were selected and randomly divided into two groups. The control group (n=30) received conventional Western medical treatment, while the observation group (n=30) received integrated traditional Chinese and Western medicine treatment. The two groups were compared in terms of sex hormone levels, endometrial receptivity indices, pregnancy outcomes, incidence of adverse reactions, overall treatment efficacy, and Traditional Chinese Medicine (TCM) syndrome scores. The study found that before treatment, there were no significant differences between the two groups in terms of sex hormone levels, endometrial receptivity indices, and TCM syndrome scores (P>0.05). After treatment, the observation group showed significantly better results than the control group in these indices (P<0.05). The pregnancy outcomes in the observation group were superior to those in the control group (P<0.05), the incidence of adverse reactions was lower in the observation group (P<0.05), and the overall clinical efficacy was higher in the observation group (P>0.05). In conclusion, comprehensive treatment combining traditional Chinese and Western medicine can improve pregnancy outcomes in PCOS patients and is worthy of promotion.
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Nowadays, more and more people suffering from upper cross syndrome. This paper is a systematic review of upper cross syndrome. It found the relationships between the prevalence of upper cross syndrome and country, gender, assessment tools, and study quality. This systematic review systematically searched 7 databases. Prevalence was pooled across studies using a random-effects meta-analysis. Sensitivity and subgroup analyses were performed to identify sources of heterogeneity and to compare prevalence estimates across groups. The quality of the included studies was assessed using the Joanna Briggs Institute's Quality assessment checklist. Heterogeneity between studies was assessed using I2 test. 7 out of 74112 records met with included criteria in this systematic review to have meta-analysis, which involved 3722 participants with Upper crossed syndrome. The pooled prevalence estimate of Upper crossed syndrome was found to be 0.35 (95%CI: 0.25-0.44). When the sex ratio>1, the prevalence of Upper crossed syndrome was 0.26 (95%CI: 0.22-0.30), sex ratio<1, it was 0.39 (95%CI: 0.24-0.53). The prevalence of Upper crossed syndrome in high quality studies was 0.38(95%CI:0.23-0.54), while in fair quality studies, it was 0.19(95%CI:0.04-0.34). There was no difference of the prevalence by different assessment tools. Based on such a high prevalence, intervention strategies must be implemented early in the public health field to reduce the prevalence or increase the number of patients who seek early treatment.
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This article explores the ethical aspects of translating medical terminology into English, with a particular emphasis on the joint influence of medical ethics and translation ethics. This study identified four key issues in current translation practice through the analysis of various cases from the perspective of Chesterman’s five kinds of translation ethics, including representation ethics, service ethics, communication ethics, norm-based ethics, and commitment ethics. The four issues involve discrimination, superstition, contempt, and overgeneralization. These issues may hinder the provision of appropriate medical services and social acceptance by fueling social stigma, public misunderstandings, and negative perceptions of diseases. This study suggests that medical translation is not only about language conversion, but also involves considerations of cultural, ethical, and social factors. This article attempts to provide practical advice for medical translators and healthcare workers by combining medical ethics with translation ethics. It suggests that future research should prioritize interdisciplinary collaboration to improve ethical standards in medical translation and promote more accurate and respectful descriptions of diseases in different cultures.
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With the development of information technologies such as big data, cloud computing, and artificial intelligence, the application scenarios of citizen science worldwide are no longer limited to natural science research. A large number of application cases have emerged in the field of medical health, which suggests that the development of citizen science may bring new impetus to medical health. This study employs CiteSpace for a bibliometric analysis to evaluate the current status, objectives, and methodologies of citizen science in global healthcare. An analysis of 248 articles from the Web of Science Core Collection reveals that citizen science is predominantly implemented in high-income countries, including the United States, the United Kingdom, Germany, and the Netherlands, with significant applications in public health, chronic disease management, infectious disease surveillance, and digital health. The COVID-19 pandemic has further catalyzed the integration of citizen science into health surveillance and public health responses. Conversely, in low- and middle-income countries (LMICs), the development and implementation of citizen science remain nascent, primarily concentrated in traditional domains such as environmental science, ecology, and biodiversity conservation, with limited penetration into the healthcare sector. Several structural barriers, including inadequate technological infrastructure, insufficient policy support, limited public engagement, and constrained resource allocation, have impeded the broader adoption of citizen science in these regions. To mitigate these challenges, this study proposes targeted strategies, these interventions are anticipated to facilitate the expansion of citizen science’s role in global health governance, ultimately contributing to improved public health outcomes and social welfare.
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