General relativistic corrections to the Sagnac effect
- 格式:pdf
- 大小:135.85 KB
- 文档页数:10
IntroductionBasic medical education serves as the foundation for the development of competent healthcare professionals who are equipped with the knowledge, skills, and ethical principles necessary to provide optimal patient care. The pursuit of high-quality and high-standard education in this field is paramount, given its direct impact on public health and the overall wellbeing of society. This essay provides a comprehensive, multifaceted analysis of the key elements that define and contribute to the quality and standard of basic medical education, emphasizing the importance of curriculum design, pedagogical approaches, assessment strategies, clinical exposure, research integration, and continuous professional development.I. Curriculum Design and ContentThe quality and standard of basic medical education are fundamentally shaped by the curriculum, which should be comprehensive, up-to-date, and responsive to the evolving needs of healthcare systems. A high-quality curriculum should encompass a broad range of disciplines, including anatomy, physiology, biochemistry, pharmacology, pathology, microbiology, immunology, and behavioral sciences, ensuring students acquire a solid understanding of the fundamental principles underlying human health and disease.Moreover, a forward-thinking curriculum should incorporate emerging areas such as genomics, personalized medicine, public health, health informatics, and global health, reflecting the dynamic nature of medical practice. Integration of these subjects within a systems-based or problem-based learning approach fosters interdisciplinary connections and promotes the development of critical thinking skills essential for life-long learning and adaptation to new medical discoveries.II. Pedagogical Approaches and Teaching StrategiesEffective pedagogy lies at the heart of delivering high-quality, high-standard basic medical education. Innovative teaching methods, such as active learning, flipped classrooms, team-based learning, and simulation-based education, foster student engagement, enhance knowledge retention, and promote the acquisition of practical skills. These approaches encourage self-directed learning, collaboration, and the application of theoretical concepts to real-world scenarios, aligning with the principles of adult learning theory and the increasing demand for competency-based education.Furthermore, the integration of technology, such as e-learning platforms, virtual reality, and telemedicine simulations, enriches the learning experience, facilitates access to resources, and enables remote learning opportunities. The judicious use of technology can also support diverse learning styles, accommodate individual differences, and promote inclusivity, contributing to the overall standard of education.III. Assessment Strategies and Feedback SystemsAssessment is a crucial component of maintaining high standards in basic medical education, serving not only to evaluate student performance but alsoto drive learning and improvement. A robust assessment framework should encompass a blend of formative and summative assessments, incorporating various modalities such as written exams, oral presentations, practical skills assessments, reflective portfolios, and objective structured clinical examinations (OSCEs). This holistic approach ensures that students are evaluated on a wide range of competencies, including knowledge, critical thinking, communication, professionalism, and clinical skills.Timely, constructive, and individualized feedback is vital for student growth and the maintenance of high standards. Effective feedback systems should involve both peers and faculty, fostering a culture of peer-assisted learning and continuous improvement. Regular self-assessment and personal development planning further empower students to take ownership of their learning, aligning with the principles of self-regulated learning and lifelong professional development.IV. Clinical Exposure and Early Patient ContactExposure to clinical environments and early patient contact is indispensable for the development of competent, empathetic physicians. High-quality basic medical education should provide ample opportunities for students to observe and participate in patient care under supervised conditions, gradually assuming greater responsibility as they progress through their studies. This hands-on experience enhances the translation of theoretical knowledge into clinical practice, fosters the development of clinical reasoning skills, and promotes the cultivation of professionalism and empathy.Interprofessional education (IPE) initiatives, where students from various healthcare disciplines learn and work together, further enhance the quality and standard of clinical training. IPE promotes understanding of team dynamics, effective communication, and collaborative decision-making, preparing future healthcare professionals for the realities of interdisciplinary patient care.V. Research Integration and Evidence-Based PracticeIncorporating research into basic medical education is essential for fostering a spirit of inquiry, critical appraisal skills, and evidence-based practice. Students should be exposed to research methods, biostatistics, and epidemiology, and encouraged to engage in research projects, either independently or collaboratively with faculty members. This exposure not only enhances their understanding of the scientific foundations of medicine but also equips them with the skills necessary to appraise and apply new evidence to their future clinical practice.Moreover, integrating research findings and best practices into the curriculum ensures that students learn from the most current and reliable sources, reinforcing the high standard of their education. Encouraging students to attend conferences, workshops, and journal clubs further enriches their research experience and fosters a commitment to lifelong learning and continuous professional development.VI. Continuous Professional Development and Lifelong LearningIn an era of rapid advancements in medical knowledge and technology, the ability to adapt and continuously learn is crucial for healthcare professionals. High-quality basic medical education should instill in students a strong commitment to lifelong learning, equipping them with the skills and mindset required to stay abreast of new developments and maintain their competence throughout their careers.This can be achieved through the integration of self-directed learning strategies, the promotion of reflective practice, and the provision of opportunities for continued education and professional development. Moreover, institutions should foster a supportive learning environment that encourages alumni engagement, mentorship, and networking, facilitating the exchange of knowledge and experiences among current and future generations of healthcare professionals.ConclusionAchieving high-quality and high-standard basic medical education necessitates a holistic approach that encompasses a well-designed, comprehensive curriculum; innovative pedagogical strategies; robust assessment frameworks; ample clinical exposure; integration of research and evidence-based practice; and a strong emphasis on continuous professional development. By diligently addressing these multifaceted aspects, educational institutions can ensure that their graduates are well-prepared, adaptable, and committed healthcare professionals, poised to deliver optimal patient care and contribute positively to the advancement of healthcare systems worldwide.。
·药物临床·精神分裂症和双相情感障碍可否共病?甘鸿文竹胡瑶王韵吴彦(上海交通大学医学院附属精神卫生中心心境障碍科上海 200030)摘要精神分裂症和双相情感障碍在当前主流的疾病诊断与分类系统中分属不同的诊断单元。
目前常见的观点认为,一个患者不会同时罹患这两种疾病,即这两种疾病不共病。
但临床上发现,这两种疾病存在许多共通点,即一个患者会同时或不同时出现这两种疾病的典型症状。
本文依据既往相关研究结果,探讨精神分裂症和双相情感障碍共病的可能性。
关键词精神分裂症双相情感障碍共病中图分类号:R749 文献标志码:A 文章编号:1006-1533(2022)09-0031-03引用本文甘鸿, 文竹, 胡瑶, 等. 精神分裂症和双相情感障碍可否共病?[J]. 上海医药, 2022, 43(7): 31-33.Comorbidity of schizophrenia and bipolar affective disorderGAN Hong, WEN Zhu, HU Yao, WANG Yun, WU Yan(Division of Mood Disorders, Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China)ABSTRACT Schizophrenia and bipolar affective disorder are classified into two separate diagnostic units in the current mainstream diagnostic and statistical manual of mental disorders. The current common view is that patients do not suffer from the two disorders simultaneously, that is, the two disorders are not comorbid. However, it is clinically found that these two disorders have many things in common, that is, a patient will simultaneously have the typical symptoms of the two disorders or not. This paper reviews the previous studies and discusses the possibility of comorbidity between schizophrenia and bipolar affective disorder.KEY WORDS schizophrenia; bipolar affective disorder; comorbidity精神分裂症和双相情感障碍是精神科的常见疾病[1-3],目前主流的疾病诊断与分类系统《国际疾病分类(第10版)》[4]和《精神障碍诊断与统计手册(第5版)》[5]均将这两种疾病列为独立的诊断单元。
一个抑制肿瘤的连续模型-------艾丽斯H伯杰,阿尔弗雷德G. Knudson 与皮埃尔保罗潘多尔菲今年,也就是2011 年,标志着视网膜母细胞瘤的统计分析的第四十周年,首次提供了证据表明,肿瘤的发生,可以由两个突变发起。
这项工作提供了“二次打击”的假说,为解释隐性抑癌基因(TSGs)在显性遗传的癌症易感性综合征中的作用奠定了基础。
然而,四十年后,我们已经知道,即使是部分失活的肿瘤抑制基因也可以致使肿瘤的发生。
在这里,我们分析这方面的证据,并提出了一个关于肿瘤抑制基因功能的连续模型来全方位的解释肿瘤抑制基因在癌症过程中的突变。
虽然在1900 年之前癌症的遗传倾向已经被人认知,但是,是在19 世纪曾一度被忽视的孟德尔的遗传规律被重新发现之后,癌症的遗传倾向才更趋于合理化。
到那时,人们也知道,肿瘤细胞中的染色体模式是不正常的。
接下来对癌症遗传学的理解做出贡献的人是波威利,他提出,一些染色体可能刺激细胞分裂,其他的一些染色体 a 可能会抑制细胞分裂,但他的想法长期被忽视。
现在我们知道,这两种类型的基因,都是存在的。
在这次研究中,我们总结了后一种类型基因的研究历史,抑癌基因(TSGs),以及能够支持完全和部分失活的肿瘤抑制基因在癌症的发病中的作用的证据。
我们将抑制肿瘤的连续模型与经典的“二次打击”假说相结合,用来说明肿瘤抑制基因微妙的剂量效应,同时我们也讨论的“二次打击”假说的例外,如“专性的单倍剂量不足”,指出部分损失的抑癌基因比完全损失的更具致癌性。
这个连续模型突出了微妙的调控肿瘤抑制基因表达或活动的重要性,如微RNA(miRNA)的监管和调控。
最后,我们讨论了这种模式在┲⒌恼锒虾椭瘟乒 讨械挠跋臁!岸 未蚧鳌奔偎?第一个能够表明基因的异常可以导致癌症的发生的证据源自1960 年费城慢性粒细胞白血病细胞的染色体的发现。
后来,在1973 年,人们发现这个染色体是是第9 号和第22 号染色体异位的结果,并在1977 年,在急性早幼粒细胞白血病患者中第15 号和第17 号染色体易位被识别出来。
标准与规范耳穴电刺激治疗抑郁症临床应用专家共识荣培晶1,李少源1,周立群21.中国中医科学院针灸研究所,北京 100700;2.北京中医药大学,北京 100029摘要:《耳穴电刺激治疗抑郁症临床应用专家共识》(以下简称《共识》)由中国针灸学会组织,并在耳穴诊治专业委员会专家组指导、监督下实施。
《共识》内容主要基于循证医学原则,结合专家问卷调查、专家论证、同行征求意见等,提出耳穴电刺激治疗抑郁症中西医理论基础、命名及穴位选择、刺激参数、治疗时机与疗程、联合用药方案、安全性等,供中西医临床诊疗参考使用。
关键词:耳穴;电刺激;抑郁症;专家共识中图分类号:R2-05;R272.974 文献标识码:A 文章编号:1005-5304(2021)06-0001-07DOI:10.19879/ki.1005-5304.202010291 开放科学(资源服务)标识码(OSID):Expert Consensus for Clinical Application of Auricular Acupuncture ElectricalStimulation in Treatment of DepressionRONG Peijing1, LI Shaoyuan1, ZHOU Liqun21. Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700, China;2. Beijing University of Chinese Medicine, Beijing 100029, ChinaAbstract: Expert Consensus for Clinical Application of Auricular Acupuncture Electrical Stimulation in Treatment of Depression (hereinafter referred to as the “the consensus”) was organized by China Association of Acupuncture-Moxibustion and implemented under the guidance and supervision of the expert group of the Professional Committee of Auricular Acupoint Diagnosis and Treatment. The content of the consensus is mainly based on the principles of evidence-based medicine, combined with expert questionnaire surveys, expert argumentation, peer solicitation, etc. The consensus proposes the theoretical basis, naming and selection of acupoints, stimulation parameters, treatment timing and duration, combination medication plan, safety of treatment of depression by auricular acupuncture electrical stimulation, which would provide references for clinical diagnosis and treatment of TCM and Western medicine.Keywords: auricular acupoint; electrical stimulation; depression; expert consensus抑郁症是最常见的精神疾病之一,全球患者高达3.5亿,在大多数发达国家,抑郁症终身患病率为16.2%。
A 安全性安全性 Safety B 半随机对照试验半随机对照试验 quasi- randomized control trial,qRCT 背景问题背景问题 background questions 比值比比值比 odds ratio ,OR 标准化均数差标准化均数差 standardized mean difference, SMD 病例报告病例报告 case report 病例分析病例分析 case analysis 病人价值观病人价值观 patient value (此词删除)(此词删除)病人预期事件发生率病人预期事件发生率 patient ’s expected event rate, PEER 补充替代医学补充替代医学 complementary and alternative medicine, CAM 不良事件不良事件 adverse event 不确定性不确定性 uncertainty C Cochrane 图书馆图书馆Cochrane Library, CL Cochrane 系统评价系统评价Cochrane systematic review, CSR Cochrane 协作网协作网Cochrane Collaboration, CCCox 比例风险模型比例风险模型Cox ’ proportional hazard model 参考试验偏倚参考试验偏倚 References test bias 肠激惹综合征 irritable bowel syndrome,IRB 肠激惹综合征测量变异 measurement variation 测量变异效果 cost-effectiveness 成本-效果效果分析 cost-effectiveness analysis 成本-效果分析效益分析 cost-benefit analysis 成本-效益分析效用分析 cost-utility analysis 成本-效用分析成本最小化分析(最小成本分析)cost-minimization analysis 重复发表偏倚 Multiple publication bias 重复发表偏倚传统医学 Traditional Medicine,TM 传统医学D D—L法DerSimonian & Laird method 发生一例不良反应所需治疗的病例数发生一例不良反应所需治疗的病例数,NNH the number needed to harm one more patients from the therapy对抗疗法 allopathic medicine,AM 对抗疗法对照组中某事件的发生率 control event rate,CER 对照组中某事件的发生率多重发表偏倚 multiple publication bias (删除此词) 多重发表偏倚E 二次研究 secondary studies 二次研究二次研究证据 secondary research evidence 二次研究证据F 发表偏倚 publication bias 发表偏倚例有利结果需要治疗的病例数防止1例不良事件发生或得到1例有利结果需要治疗的病例数number needed to treat,NNT 非随机同期对照试验 non-randomized concurrent control trial 非随机同期对照试验分层随机化 stratified randomization 分层随机化分类变量 categorical variable 分类变量风险(危险度) risk 风险(危险度)G 干扰 co-intervention 干扰工作偏倚 Workup bias 工作偏倚固定效应模型 fixed effect model 固定效应模型国际临床流行病学网 International Clinical Epidemiology Network, INCLEN 国际临床流行病学网H 灰色文献 grey literature 灰色文献后效评价 reevaluation 后效评价获益 benefit 获益J 机会结 chance node 机会结疾病谱偏倚 Spectrum bias 疾病谱偏倚技术特性 Technical properties 技术特性加权均数差 weighted mean difference, WMD 加权均数差假阳性率(误诊率) false positive rate 假阳性率(误诊率)假阴性率(漏诊率) false negative rate 假阴性率(漏诊率)简单随机化 simple randomization 简单随机化检索策略 search strategy 检索策略交叉对照研究(交叉设计) crossover design 交叉对照研究(交叉设计)经济学分析 economic analysis 经济学分析经济学特性 Economic attributes or impacts 经济学特性经验医学 empirical medicine 经验医学精确性 precision 精确性决策结 decision node 决策结决策树分析 decision tree analysis 决策树分析绝对获益增加率 absolute benefit increase, ABI 绝对获益增加率绝对危险度降低率 absolute risk reduction, ARR 绝对危险度降低率绝对危险度增加率 absolute risk increase, ARI 绝对危险度增加率K 可重复性 repeatability,reproducibility 可重复性可靠性(信度) reliability 可靠性(信度)可信区间 confidence interval ,CI 可信区间可信限 confidence limit ,CL 可信限L 回归模型 Logistic regression model Logistic回归模型历史性对照研究 historical control trial 历史性对照研究利弊比 likelihood of being helped vs harmed, LHH 利弊比连续性变量 continuous variable 连续性变量临床对照试验 controlled clinical trial, CCT临床对照试验临床结局 clinical outcome 临床结局临床经济学 clinical economics 临床经济学临床决策分析 clinical decision analysis 临床决策分析临床流行病学 clinical epidemiology, CE 临床流行病学临床实践指南 clinical practice guidelines, CPG 临床实践指南临床试验 clinical trial 临床试验临床研究证据 clinical research evidence 临床研究证据临床证据 clinical evidence 临床证据临床证据手册 handbook of clinical evidence 临床证据手册零点 Zero time 零点灵活性 flexibility 灵活性临界点 Cut off points 临界点漏斗图 funnel plots 漏斗图率差(或危险差) rate difference,risk difference,RD 率差(或危险差)M 分析 Meta-analysis Meta-分析敏感度 sensitivity 敏感度敏感性分析 sensitivity analysis 敏感性分析墨克手册 Merck manual 墨克手册N 脑卒中病房 Stroke Unit 脑卒中病房内在真实性 internal validity 内在真实性P 偏倚 bias 偏倚Q 起始队列 inception cohort 起始队列后对照研究 before-after study 前-后对照研究前景问题 foreground questions 前景问题区组随机化 block randomization 区组随机化S 散点图 scatter plots 散点图森林图 forest plots 森林图伤残调整寿命年 disability adjusted life year,DALY 伤残调整寿命年生存曲线 survival curves 生存曲线生存时间 survival time 生存时间生存质量(生活质量) quality of life 生存质量(生活质量)世界卫生组织 World Health Organization, WHO 世界卫生组织失安全数 fail-Safe Number 失安全数试验组某事件发生率 experimental event rate,EER 试验组某事件发生率似然比 likelihood Ratio, LR 似然比适用性 applicability 适用性受试者工作特征曲线(ROC曲线)receiver operator characteristic curve 随机对照临床试验 randomized clinical trials, RCT 随机对照临床试验随机对照试验 randomized control trial, RCT随机对照试验随机化隐藏 randomization concealment 随机化隐藏随机效应模型 random effect model 随机效应模型T 特异度 specificity 特异度同行评价 colleague evaluation 同行评价统计效能(把握度) power 统计效能(把握度)同质性检验 tests for homogeneity 同质性检验W 外在真实性 external validity 外在真实性完成治疗分析 per protocol,PP 完成治疗分析腕管综合征 carpal tunnel syndrome, CTS 腕管综合征卫生技术 health technology 卫生技术卫生技术评估 health technology assessment, HTA 卫生技术评估X 系统评价 systematic review, SR 系统评价相对获益增加率 relative benefit increase, RBI 相对获益增加率相对危险度 relative risk,RR 相对危险度相对危险度降低率 relative risk reduction, RRR 相对危险度降低率相对危险度增加率 relative risk increase, RRI 相对危险度增加率效果 effectiveness 效果效力 efficacy 效力效应尺度 effect magnitude 效应尺度效应量 effect size 效应量序贯试验 sequential trial 序贯试验选择性偏倚 selection bias 选择性偏倚循证儿科学 evidence-based pediatrics 循证儿科学循证妇产科学 evidence-based gynecology & obstetrics 循证妇产科学循证购买 evidence-based purchasing 循证购买循证护理 evidence-based nursing 循证护理循证决策 evidence-based decision-making 循证决策循证内科学 evidence-based internal medicine 循证内科学循证筛选 evidence-based selection 循证筛选循证外科学 evidence-based surgery 循证外科学循证卫生保健 evidence-based health care 循证卫生保健循证诊断 evidence-based diagnosis 循证诊断循证医学 evidence-based medicine, EBM 循证医学Y 亚组分析 subgroup analysis 亚组分析严格评价 critical appraisal 严格评价验后比 post-test odds 验后比验后概率 post-test probability 验后概率验前比 pre-test odds 验前比验前概率 pre-test probability 验前概率阳性预测值 positive predictive value 阳性预测值原始研究 primary studies 原始研究异质性检验 tests for heterogeneity 异质性检验意向治疗分析 intention-to-treat, ITT 意向治疗分析阴性预测值 negative predictive value 阴性预测值引用偏倚 citation bias 引用偏倚尤登指数 Youden’s index 尤登指数语言偏倚 language bias 语言偏倚预后 prognosis 预后预后因素 prognostic factor 预后因素预后指数 prognostic index 预后指数原始研究证据 primary research evidence 原始研究证据原始研究证据来源 primary resources 原始研究证据来源Z 沾染 contamination 沾染真实性(效度) validity 真实性(效度)诊断参照标准 reference standard of diagnosis 诊断参照标准诊断阈值 testing threshold 诊断阈值诊断﹣治疗阈值 test-treatment threshold 诊断﹣治疗阈值质量调整寿命年 quality adjusted life year,QALY 质量调整寿命年治疗阈值 Treatment threshold 治疗阈值准确度 accuracy 准确度自我评价 self-evaluation 自我评价最佳证据 best evidence最佳证据。
JOURNAL OF COMMUNICATION UNIVERSITY OF CHINA (SCIENCE AND TECHNOLOGY )中国传媒大学学报(自然科学版)第27卷,第6期Vol 27,No 62020年12月Dec ,2020关于GPS 系统“相对论修正”问题的讨论黄志洵(中国传媒大学信息工程学院,北京100024)摘要:GPS 的运转依赖于绕地球旋转的卫星上的原子钟的精确性。
所谓相对论性修正包括狭义相对论(SR )修正(-7μs /天)和广义相对论(GR )修正(45.9μs /天),故净增量为约38μs /天。
相对论性预期是以时间延缓及引力势理论为基础的。
在Lorentz 理论中,时间延缓由动体的绝对运动引起。
相对于静止的时钟,绝对速度大的时钟变慢;这是Lorentz 以太论中的时间延缓。
但在SR 中用动体相对速度取代绝对速度,情况完全不同。
Einstein 是以不同观察者参考系的相对运动取代观察者与以太的关系,来解释长度缩短和时间延缓。
因而产生了许多悖论质疑SR 的自洽性,最著名的是P.Langevin 于1911年提出的双生子佯谬。
多年来的众多研究讨论显示,SR 存在逻辑上的不自洽,亦缺少真正确定的实验证实。
由此可以理解欧洲核子研究中心(CERN )的著名科学家John Bell 在1985年所说的话:“我想回到Einstein 之前,即Poincarè和Lorentz ”,此外,本文着重指出引力势概念在理论上和实践中都不那么重要,因为它缺乏实验基础。
这与电磁学中的情况并不相同。
众所周知,Maxwell 方程组建筑在若干实验定律的基础上,电磁势概念很重要。
然而类电磁引力场方程组不满足这条件,故它不被事实所支持。
再者,Einstein 引力场方程(EGFE )是GR 理论的基本方程,但它的推导有假设和拼凑的作法。
引力场的物理效果被认定由Riemann 空间的度规张量体现,需要知道度规场分布的规律。
生命是永恒不断的创造,因为在它内部蕴含着过剩的精力,它不断流溢,越出时间和空间的界限,它不停地追求,以形形色色的自我表现的形式表现出来。
--泰戈尔1. Negative feedback:负反馈:在一个闭环系统中,控制部分活动受受控部分反馈信号(Sf)的影响而变化,若Sf为负,则为负反馈。
其作用是输出变量受到扰动时系统能及时反应,调整偏差信息(Se),以使输出稳定在参考点(Si)。
2. homeostasis(稳态):内环境的理化性质不是绝对静止的,而是各种物质在不断转换之中达到相对平衡状态,即动态平衡,这种平衡状态为稳态。
3. Autoregulation:自身调节,指组织、细胞在不依赖于外来的神经和体液调节情况下,自身对刺激发生的适应性反应过程。
4. Paracrine:旁分泌,内分泌细胞分泌的激素通过细胞外液扩散而作用于临近靶细胞的作用方式。
5. 局部电位:由阈下刺激引起局部膜去极化(局部反应),引起邻近一小片膜产生类似去极化。
主要包括感受器电位,突触后电位及电刺激产生的电紧张电位。
特点:分级;不传导;可以相加或相减;随时间和距离而衰减。
6. 内向电流:指细胞膜激活时发生的跨膜正离子内向流动或负离子外向流动。
7. fluid mosaic model:液态镶嵌模型,是有关膜的分子结构的假说,内容是膜的共同特点是以液态的脂质双分子层为骨架,其中镶嵌有具有不同分子结构、因而也具有不同生理功能的蛋白质。
8. 跳跃式传导:有髓纤维受外加刺激时,动作电位只能发生在相邻的朗飞结之间,跨髓鞘传递。
9. 膜片钳:用来测量单通道跨膜的离子电流和电导的装置。
10. 后负荷:指肌肉开始收缩时遇到的阻力。
11. 横桥:肌凝蛋白的膨大的球状部突出在粗肌丝的表面,它与细肌丝接触共同组成横桥结构。
它对肌丝的滑动有重要意义。
12. 后电位:在锋电位下降支最后恢复到静息电位水平前,膜两侧电位还要经历一些微小而较缓慢的波动,称为后电位。
中国痴呆与认知障碍诊治指南写作组英文全文共10篇示例,供读者参考篇1Hey guys, do you know what dementia and cognitive impairment are? Today, I'm going to talk to you about it and how we can help those who have these conditions.Dementia is a condition that affects our brain and how we think, remember, and make decisions. It can make it hard for us to do everyday things like cooking, getting dressed, or even talking to our friends. Cognitive impairment is when our brain doesn't work as well as it should, and it can make it hard for us to learn new things or remember things we already know.But don't worry, there are ways to help people with dementia and cognitive impairment. One way is to encourage them to exercise their brains by doing puzzles, reading books, or even just talking to them and asking them questions. Another way is to make sure they eat well and get enough sleep, because a healthy body can help keep our brains healthy too.It's also important to be patient and understanding with people who have dementia or cognitive impairment. They mayforget things or get confused, but that's okay. Just be there for them and try to help them in any way you can.So let's all work together to support those who have dementia and cognitive impairment. We can make a difference in their lives and show them that they are not alone. Thanks for listening, and remember to be kind and compassionate to everyone you meet.篇2Title: A Guide to Understanding and Treating Dementia and Cognitive Impairment in ChinaHey guys, have you ever heard of something called dementia and cognitive impairment? It's a big word, but basically it means having trouble with your memory and thinking skills. It's something that can happen to older people, but it can also affect younger people too.In China, there are a lot of people who suffer from dementia and cognitive impairment. That's why it's important for us to learn about it and understand how we can help. There are many ways to diagnose and treat these conditions, so let's dive into some helpful tips and information!First of all, it's important to know the signs of dementia and cognitive impairment. Some common symptoms include forgetfulness, confusion, difficulty with everyday tasks, and changes in mood or behavior. If you or someone you know is experiencing these symptoms, it's important to see a doctor for a proper diagnosis.Once a diagnosis is made, there are different treatment options available. These can include medication, therapy, and lifestyle changes. It's important to work closely with healthcare professionals to find the best treatment plan for each individual.In addition to treatment, there are also ways to support people with dementia and cognitive impairment in their daily lives. This can include creating a safe and supportive environment, providing regular mental and physical stimulation, and maintaining a healthy diet and exercise routine.It's also important for families and caregivers to educate themselves about dementia and cognitive impairment. By understanding the condition and how to best support their loved ones, they can provide better care and improve quality of life.In conclusion, dementia and cognitive impairment are serious conditions that can impact people of all ages in China. By educating ourselves, seeking early diagnosis, and exploringtreatment options, we can help improve the lives of those affected by these conditions. Let's work together to create a more supportive and understanding community for all!篇3Hello everyone,Today, I want to talk to you about dementia and cognitive impairment. These are big words, but they are important to understand because they affect a lot of people, especially older people.Dementia is a condition where people have trouble remembering things, thinking clearly, and communicating. It can be really scary for someone to forget things or not be able to do things they used to do easily. Cognitive impairment is when people have trouble with their memory, attention, language, and reasoning skills. It's like their brain isn't working as well as it used to.But don't worry, there are ways to help people with dementia and cognitive impairment. They can go to the doctor to get a diagnosis and then they can get treatment to help them with their symptoms. There are also things that we can do tohelp them feel better, like spending time with them, talking to them, and helping them with everyday tasks.It's important to be patient and understanding with people who have dementia or cognitive impairment. They might get frustrated or confused, but we can help them by being kind and supportive. Let's all work together to make sure that everyone gets the help and support they need.Remember, we can all make a difference by being caring and understanding towards those who are facing these challenges. Let's show compassion and empathy to those who need it most.Thank you for listening and let's all do our part to support those with dementia and cognitive impairment. Together, we can make a positive impact on their lives.Take care and stay safe, everyone!Sincerely,[Your Name]篇4Title: Guide to Diagnosis and Treatment of Dementia and Cognitive Impairment in ChinaHey everyone! Today, let's talk about something super important - dementia and cognitive impairment. These are conditions that can affect our brains and make it hard for us to remember things or think clearly. But don't worry, we've got a guide to help you understand more about them and how to deal with them!First off, what is dementia? Dementia is a term used to describe a group of symptoms that affect our memory, thinking, and social abilities. It can be caused by different things like Alzheimer's disease or stroke. Cognitive impairment is similar, but it's a milder form of memory loss or trouble with thinking.So, how do we know if someone has dementia or cognitive impairment? Well, some signs to look out for include forgetting things often, having trouble with words or numbers, or getting lost in familiar places. If you notice any of these things in yourself or a loved one, it's important to see a doctor for a proper diagnosis.Once diagnosed, there are different treatments and therapies available to help manage dementia and cognitive impairment. These can include medications, cognitive therapy, and lifestyle changes like eating a healthy diet and staying active.In China, there are also resources available to help support those with dementia and cognitive impairment. There are specialized clinics and programs that provide care and assistance, as well as organizations that offer education and advocacy for those affected by these conditions.Remember, it's important to seek help and support if you or someone you know is experiencing symptoms of dementia or cognitive impairment. By working together and staying informed, we can better understand these conditions and help those affected live their best lives possible.That's all for today, folks! Stay sharp and take care of your brains!篇5Hi guys! Today I want to talk about China's dementia and cognitive impairment diagnosis and treatment guidelines writing group.So, first of all, let's talk about what dementia and cognitive impairment are. Dementia is when you have trouble remembering things, thinking clearly, or making decisions. It's like your brain is all mixed up and you can't do the things you used to do. Cognitive impairment is when your brain doesn'twork as well as it should. You might have trouble thinking, remembering, or learning new things.The China dementia and cognitive impairment diagnosis and treatment guidelines writing group is a group of smart people who study how to help people with dementia and cognitive impairment. They write down all the things that doctors should do to help people with these problems.One important thing they do is to make sure doctors can figure out if someone has dementia or cognitive impairment. They do tests and ask questions to see how well your brain is working. Then, they can give you the right medicine or therapy to help you feel better.It's really important to take care of our brains, guys! So if you or someone you know is having trouble remembering things or thinking clearly, make sure to go see a doctor. They can help you get better and feel like yourself again.Remember, it's okay to ask for help when you need it. The China dementia and cognitive impairment diagnosis and treatment guidelines writing group is here to help you!篇6Hello everyone! Today I'm going to talk about dementia and cognitive impairment in China. Do you know what that means? It's when people have trouble remembering things or thinking clearly. It can be really hard for them and their families.But don't worry, there are ways to help people with dementia and cognitive impairment. Doctors can give them medicine or therapy to make them feel better. They can also do things like puzzles or games to exercise their brains.It's important for us to be kind and patient with people who have dementia. They might get confused or frustrated, but we should always try to understand and help them as best as we can.If you know someone who has dementia or cognitive impairment, make sure to show them love and support. Spend time with them, listen to them, and try to make them feel happy.Let's all work together to make life better for people with dementia and cognitive impairment. We can make a difference by being compassionate and caring towards them. Thank you for listening!篇7Hello everyone! Today I want to talk to you about Chinese guidelines for the diagnosis and treatment of dementia and cognitive impairment. It's a big topic, but I'll try to break it down for you in simple terms.First of all, what is dementia? Dementia is a syndrome that affects memory, thinking, behavior and the ability to perform everyday activities. It is not a normal part of aging, and can be caused by various diseases or conditions.In China, the diagnosis of dementia is based on a comprehensive assessment that includes medical history, physical examination, cognitive tests, blood tests and brain imaging. Treatment usually involves a combination of medication, therapy and lifestyle changes.There are also guidelines for the management of specific types of dementia, such as Alzheimer's disease and vascular dementia. These guidelines provide recommendations on medication, therapy, and support for patients and their families.It's important to remember that early diagnosis and treatment of dementia can help improve quality of life and slow down progression of the disease. So if you or a loved one are experiencing memory problems or other symptoms of dementia, don't hesitate to seek help from a healthcare professional.That's all for today! Remember, knowledge is power, so stay informed and take care of your brain. Thanks for listening!篇8Hi everyone, today I'm going to talk about the Chinese Dementia and Cognitive Impairment Diagnosis and Treatment Guidelines Writing Group. It's a big word, I know, but it's important to understand how to take care of our brains!First of all, what is dementia and cognitive impairment? Well, it's when our brains start to have trouble with things like memory, thinking, and reasoning. It's like when you forget where you put your toys or what you had for breakfast. It can be really scary for people who have it, so it's important to know how to help them.The guidelines from the writing group give doctors and nurses information on how to diagnose and treat dementia and cognitive impairment. They can do things like memory tests and brain scans to see what's going on in the brain. They can also give medicines and therapy to help improve symptoms.It's also really important for us to take care of our brains every day. Things like eating healthy foods, exercising, and staying social can help keep our brains healthy. And if you noticesomeone having trouble with their memory or thinking, be kind and patient with them. They might need a little extra help.So let's all work together to learn more about dementia and cognitive impairment, and how we can help people who have it. Our brains are super important, so let's take care of them!篇9Hello everyone! Today, I'm going to talk about something super important - Chinese Dementia and Cognitive Impairment Diagnosis and Treatment Guidelines. Yeah, that's a mouthful, but don't worry, I'm here to break it down for you!So, what exactly is dementia and cognitive impairment? Well, it's basically when your brain doesn't work as well as it used to. It can make it hard to remember things, think clearly, or even do everyday tasks. But don't worry, there are ways to help!First off, it's important to see a doctor if you or someone you know is having trouble with their memory or thinking. They can do some tests to figure out what's going on and come up with a plan to help.One way to help with dementia and cognitive impairment is through lifestyle changes. Eating healthy, exercising, and stayingsocial can all help keep your brain in tip-top shape. Plus, it's important to keep your brain active by doing puzzles, reading, or learning new things.There are also medications that can help with symptoms of dementia and cognitive impairment. These can help improve memory, thinking, and even mood. Just make sure to talk to your doctor about any medications you're taking.And finally, it's important to have a good support system. Whether it's friends, family, or a support group, having people who care about you can make a big difference.So, remember, if you're worried about your memory or thinking, don't be afraid to talk to a doctor. There are ways to help improve your brain function and make life easier. Stay healthy, keep learning, and don't forget to take care of your brain!篇10Hello everyone! Today I want to tell you about the Chinese dementia and cognitive impairment diagnosis and treatment guidelines writing group. It's a group of smart people who are working hard to help patients with dementia and cognitive impairment in China.First of all, let's talk about what dementia and cognitive impairment are. Dementia is a condition that affects a person's memory, thinking, and behavior. It can make it difficult for someone to do everyday tasks and even recognize their loved ones. Cognitive impairment is when a person has trouble with their memory, attention, or problem-solving skills.The writing group is making guidelines to help doctors in China diagnose and treat people with dementia and cognitive impairment. They are working to improve the quality of care for these patients and make sure they get the help they need.The guidelines will provide doctors with important information on how to diagnose dementia and cognitive impairment. They will also give recommendations on the best ways to treat these conditions, such as medication, therapy, and lifestyle changes.Overall, the Chinese dementia and cognitive impairment diagnosis and treatment guidelines writing group is doing important work to help people in China who are struggling with these conditions. Let's give them a big round of applause for all their hard work!Remember, if you or someone you know is experiencing memory problems or other symptoms of dementia, it's important to see a doctor for help. Don't wait, take action now!。
The Industry Standard in 3D Ion and Electron Optics Simulations Scientific Instrument Services, Inc.1027 Old York Rd, Ringoes, NJ 08551Phone: (908) 788-5550Scientific Instument Services, Inc™ SIMION ™Version 8.1SIMION 8.1S IMION 8.1 is a software package used primarily to calculate electric fields, when given a configuration of electrodes withvoltages, and calculate trajectories of charged particles in those fields, when given particle initial conditions, including optional RF, magnetic field, and collisional effects are supported. In this, SIMION provides extensive supporting functionality in defin-ing your system geometry and conditions, recording and visualizing results, and extending the simulation capabilities with user pro-gramming. It is an affordable but versatile platform, widely used for over 35 years to simulate lens, mass spec, and other types of particle optics systems.Typical usage of SIMION is illustrated below for a simple three-element Einzel lens. The geometry consisting of three ring elec-trodes with given voltages is defined (top), and the fields and particle trajectories are calculated and displayed.Electrostatic field solving:SIMION solves fields in 2D and 3D arrays of up to nearbillions of points, with optimizations for systems with symmetry and mirroring, accord-ing to the finite difference method with much optimized linear-time solving. Smallarrays solve in under a minute; very large arrays may take roughly an hour depending onconditions. A “workbench” strategy allows you to position, size, and orient instances(3D images) of different grid densities and symmetries to permit the simulation of muchlarger systems that don't easily fit into a single array. Some magnetic field solving capa-bilities are also available (see following page).Particle trajectory solving: Particle trajectories are calculated given the previouslycalculated or defined fields. The method is Runge-Kutta with relativistic corrections andvariable-length dynamically adjusting and controllable time steps. Particle mass, charge,and other parameters can be defined individually or according to some pattern or distrib-ution. User programming can modify the system during particle flight to inject noveleffects (such ion-gas scattering). Particle tracing is fast _millions of particles can behandled—and they display in real-time. Basic charge repulsion effects, including a pois-son solver can help estimate the onset of space-charge.Viewing of the system is highly interactive, allowing adjustment of parametersand viewing of the system even during particle flight (trajectory calculation). SIMIONsupports cutting away volumes to see trajectories inside, zooming, viewing potentialenergy surfaces, contour lines, and trajectories, and reflying particles as dots for movieeffects.S IMION is suitable for a wide variety of systems: from ion flight through simple electrostatic and magnetic lenses to particle guns to highly complex instruments, including time-of-flight, hemispherical analyzers, ion traps, quadrupoles, ICR cells, and other MS, ion source and detector optics.Time-dependent or RF (low frequency) voltages:Electrode voltages may be controlled in a general way during particle flight via simple user programs _ e.g. to step or oscillate electrode voltages in some manner. Quadrupole mass filter, multipole, and ion trap simulations (above) in the megahertz range are regularly performed. SIMION applies the quasistatic approximation with superposition, which gives fast calculations (assuming the absence of induced magnetic field or radiation effects as would occur in “high frequency” systems having the wavelength below the length of your system).Magnetic fields: SIMION will import magnetic fields, define them analytically or solve them in restricted cases (e.g. Biot-Savart wire currents - left), optionally superimposed on an electrostatic field (e.g.penning trap or ICR cell - right) for the pur-pose of particle flying.ApplicationsRF Quad Mass Filter RF Ion Trap RF Ion Trap (Potential Energy Display)Ion Confinement in Air SolenoidICR CellIon-neutral collisions: SIMION can handle the effects of particles colliding against a background gas, such as for the buffer gas of the ion trap (top), the back-ground gas in an RF ion-funnel (right), or in ion mobility. Multiple collision models are included: Stokes' law, hard-sphere, and a mobility model optimized for high pres-sure “atmospheric” conditions. The parti-cles will diffuse and randomly scatter away from their normal trajectories.RF Ion Funnel Atmospheric Pressure ExampleDefine Your SimulationComplex CAD Modelimported from STL file(left) to a SIMION arrayGeometry (GEM) defi-nition file exampleGeometry definition: A system geometry can be defined by whichever method is most convenient for you: an interactive 3D paint-like program(called “Modify”), CAD import from STL format (supported by most CAD packages), a solid geometry defined mathe-matically via a text file(“GEM files”), and programmatic manipulation of arrays from such languages as Lua, Perl, Python, and C++.Particle initial conditions can be defined in various ways. The“FLY2” format in SIMION allows quick definition of many types ofparticles random distributions and sequences. Particles may also beexhaustively enumerated (optionally imported from a text file).Analysis and Programming SIMION has a number of capabilities for collecting data.•Package contents: a 450-page printed manual, installation CD with software license key number (for receiving softwareupdates), and quick start notes. The installation CD installs the software, examples, and additional documentation.•Documentation:SIMION comes with a 450-page printed manual. Additional documentation and course notes are available electronically, in the examples, or on the web site. See the web site for the user group, software updates, latest SIMION tips, articles, and links to some of the hundreds of scholarly papers that use SIMION.•Updates:Free updates to 8.1.x versions of 8.1 are provided as free downloads from .•Support:Free basic support via email, phone, and forum •Supported systems: Formally tested on Windows 10/8.1/8/Vista/XP, as well as Wine/Linux (and Crossover/Mac). Latest system compatibility information is on .In the example above, trajectories are calcu-lated while phase space data is interactively plotted in Excel via the Lua COM interfaceSIMION can optimize voltages and geometry with simplex optimizer and batch mode capabilities. At left is a SIMION generated surface plot of beam size as a func-tion of two lens voltages. At right is one of the many user programming examples (scattering at surface).Programming in Lua Surface Plot in ExcelScattering Effects at Surface User programming allows the simulation to be extended in many novel ways. During ion flight, you may control electrode voltages (example at right), define or modify fields, scatter or deflect ions (e.g.ion-gas collision models), tune (optimize) lens voltages, compute results, export data to programs like Excel via COM or command-line interfaces, and do many other things. The Lua scripting language is directly embedded in SIMION, and Lua may also call C/C++ or COM routines. Programming may also be used to operate SIMION in batch mode , such as for geometry optimization or to read/manipu-late potential array files.Contents Data recording:The simulation parameters you are interested in (e.g. ion position, velocity, KE, and voltage) can be recorded at various stages in particle flight (e.g. when hitting an electrode and crossing a plane). Data can be recording to the screen or to delim-ited text file for subsequent analysis of fields and trajectories (right). Analysis can be done via SIMION user programming, in a program or language of your choice like Excel, and MATLAB ®.Features in SIMION 8.1 (and 8.2EA/beta)Poisson solver (Refine), fully Dielectric materials (Refine)Supplemental Documentation Integration with Lua/C, Excel, gnuplot, Origin,Large 64-bit array sizes up to 20billion points / 190 GB Improved curved surface handling (“surface enhancement”) gives order of magnitude field accuracy improvement Multicore Refines (8.1)Oblong, non-square grid cells.More AccurateMore Versatile CompatibilityNested refining techniquesSome permeability and mag-High quality 3D (OpenGL)graphics on View screen More examples and documentation New GUI dialog library New programming API’s:。
the most well-known being the general theory 概述说明1. 引言1.1 概述在这篇长文中, 我们将详细探讨“the most well-known being the general theory”。
这个引人瞩目的理论是指泛化理论,是一个被广泛接受和使用的理论框架。
通过本文,我们将深入剖析该理论的实质并探讨其影响力。
1.2 文章结构本文分为五个主要部分:引言、正文一、正文二、正文三以及结论。
引言部分将提供对文章整体内容的概述,并简要介绍各个部分的目标与内容。
随后的三个正文部分将详细探讨该理论的不同层面和观点。
最后,结论部分将总结讨论结果,并提出关于该研究课题可进一步研究方向的建议。
1.3 目的本文旨在介绍和分析“the most well-known being the general theory”这一著名理论的核心思想以及它对相关领域产生的影响。
我们将重点关注该理论在实践中所起到的作用,并提取其中主要观点进行详细解析。
通过深入研究该理论,我们期望读者能够更好地了解其重要性,并认识到它对学术和实践的贡献。
此外,本文还将指出该理论可能存在的局限性,并探讨未来研究可能的拓展方向。
以上就是文章“1. 引言”部分的详细内容。
希望对您的长文撰写有所帮助!2. 正文一:2.1 主要观点一:One of the main points regarding the general theory is its application in the field of physics. The general theory, proposed by Albert Einstein, revolutionized our understanding of gravity and the structure of the universe. It introduced the concept of spacetime curvature caused by massive objects, explaining the force of gravity as a geometric effect rather than a conventional force.Additionally, the general theory also predicted the existence of black holes, which are incredibly dense objects with gravitational fields so strong that nothing can escape them, not even light. This prediction was later confirmed through various astronomical observations and experiments.2.2 主要观点二:Another important aspect to highlight is the impact of the general theory on cosmology - the study of the origin and evolution of the universe. According to this theory, the universe is not static but expanding. This insight led to groundbreaking discoveries such as the Big Bang theory, which suggests that our universe originated from an extremely hot and dense state billions of years ago.The general theory also provided a framework for understanding the distribution of matter in space and how it shapes cosmic structures like galaxies and galaxy clusters. Through its mathematical equations, scientists have been able to model and simulate these large-scale structures, further advancing our knowledge about the universe's composition and evolution.2.3 主要观点三:A third significant point pertains to technological applications stemming from the general theory. One notable example is GPS (Global Positioning System) technology. The accuracy of GPS relies on precise timing measurements using satellite signals traveling at high speeds relative to Earth's surface. However, without accounting for relativisticeffects predicted by Einstein's general theory, GPS calculations would yield errors exceeding several kilometers within just a day.By incorporating corrections based on relativistic principles into GPS algorithms, accurate positioning can be achieved. Therefore, it is evident that the general theory has real-world applications beyond scientific research, impacting everyday life and facilitating modern technologies.Overall, the general theory, with its profound implications in physics, cosmology, and technology, stands as one of the most well-known and influential concepts in scientific history. Its impact continues to shape our understanding of the universe and has broad applications that extend far beyond theoretical realms.3. 正文二3.1 主要观点一:在本部分中,我们将讨论关于"the most well-known being the general theory(最著名的是广义相对论)"的一些主要观点。