It is challenging for general practitioners to make a more correct diagnosis with the least instrument examination. How to make an effective diagnosis has always been an issue. In order to achieve this goal, a clinica...It is challenging for general practitioners to make a more correct diagnosis with the least instrument examination. How to make an effective diagnosis has always been an issue. In order to achieve this goal, a clinical symptom-oriented modular diagnosis scheme based on the concept of the process thinking and Murtaghs General Practice was developed for general practitioners. Five key steps according to the workflow of real reception patients by a general practitioner were promulgated in this design of a modular scheme, which is in line with the actual clinical setting. This thinking concept of diagnosis should help prevent missed and erroneous diagnoses and meet the actual needs of general practitioners.展开更多
Objective: to explore the role of systematic thinking in general practice of traditional Chinese medicine in the diagnosis and treatment of diabetes in communities. Methods: from December 2018 to December 2020, 80 pat...Objective: to explore the role of systematic thinking in general practice of traditional Chinese medicine in the diagnosis and treatment of diabetes in communities. Methods: from December 2018 to December 2020, 80 patients receiving diabetes treatment in our community were selected and divided into two groups on average. The first group was the traditional treatment group, with 40 patients receiving conventional treatment. The second group was the medical diagnosis and treatment group, with 40 patients, who adopted the TCM general practice system thinking diagnosis and treatment mode. Results: the level of HbA1c in the medical treatment group (7.56±0.93) was higher than that in the traditional treatment group (9.74±1.34). The health knowledge awareness (95.51±3.64), nursing satisfaction score (94.52±4.26) and compliance behavior score (95.61±3.13) of the medical diagnosis and treatment group were higher than those of the traditional diagnosis and treatment group, with the health knowledge awareness (85.38±2.53), nursing satisfaction score (84.38±3.52) and compliance behavior score (83. 25±2.12). Conclusion: in the diabetic patients in our community, the systematic thinking diagnosis and treatment mode of TCM general practice has a very good effect, which can improve the quality of diagnosis and treatment in our community, improve the satisfaction of patients and their families, and improve the cooperation of patients to treatment, and has a high promotion value.展开更多
General Practice is a comprehensive subject with a wide spectrum of diseases. It is challenging to make a more correct diagnosis timely and reasonable treatment with the least instrument examination for the diagnosis ...General Practice is a comprehensive subject with a wide spectrum of diseases. It is challenging to make a more correct diagnosis timely and reasonable treatment with the least instrument examination for the diagnosis of medically unexplained physical symptoms (MUPS). This article reviews the case report of a patient who presented to a community hospital with a one-month history of constant diffuse abdominal pain and underwent eight weeks of examinations, finally experienced deterioration of their condition. Based on this case, this article discusses the problems in the diagnosis of abdominal pain in a community hospital, and according to the clinical thinking mode and checklist of abdominal pain, the diagnostic process of abdominal pain can be improved, and the diagnosis of non-differentiated diseases can be done better, the harm caused by delayed diagnosis may be reduced.展开更多
Legal practice comprises the normative activities of constructing and maintaining social order with the aim of achieving equity and justice. In terms of content, it can be divided into three categories： intellectual ...Legal practice comprises the normative activities of constructing and maintaining social order with the aim of achieving equity and justice. In terms of content, it can be divided into three categories： intellectual legal practice, normative legal practice, and applied legal practice. As an important factor supporting legal practice, legal theory has a complex interactive relationship with legal practice. The effect of legal theory on legal practice is realized through the intermediary, carrier and bridging functions of the rationality, wisdom and ideas of legal practice. Developing the concept of the ideal legal life is the inherent mission and method of legal practice thought.展开更多
文摘It is challenging for general practitioners to make a more correct diagnosis with the least instrument examination. How to make an effective diagnosis has always been an issue. In order to achieve this goal, a clinical symptom-oriented modular diagnosis scheme based on the concept of the process thinking and Murtaghs General Practice was developed for general practitioners. Five key steps according to the workflow of real reception patients by a general practitioner were promulgated in this design of a modular scheme, which is in line with the actual clinical setting. This thinking concept of diagnosis should help prevent missed and erroneous diagnoses and meet the actual needs of general practitioners.
文摘Objective: to explore the role of systematic thinking in general practice of traditional Chinese medicine in the diagnosis and treatment of diabetes in communities. Methods: from December 2018 to December 2020, 80 patients receiving diabetes treatment in our community were selected and divided into two groups on average. The first group was the traditional treatment group, with 40 patients receiving conventional treatment. The second group was the medical diagnosis and treatment group, with 40 patients, who adopted the TCM general practice system thinking diagnosis and treatment mode. Results: the level of HbA1c in the medical treatment group (7.56±0.93) was higher than that in the traditional treatment group (9.74±1.34). The health knowledge awareness (95.51±3.64), nursing satisfaction score (94.52±4.26) and compliance behavior score (95.61±3.13) of the medical diagnosis and treatment group were higher than those of the traditional diagnosis and treatment group, with the health knowledge awareness (85.38±2.53), nursing satisfaction score (84.38±3.52) and compliance behavior score (83. 25±2.12). Conclusion: in the diabetic patients in our community, the systematic thinking diagnosis and treatment mode of TCM general practice has a very good effect, which can improve the quality of diagnosis and treatment in our community, improve the satisfaction of patients and their families, and improve the cooperation of patients to treatment, and has a high promotion value.
文摘General Practice is a comprehensive subject with a wide spectrum of diseases. It is challenging to make a more correct diagnosis timely and reasonable treatment with the least instrument examination for the diagnosis of medically unexplained physical symptoms (MUPS). This article reviews the case report of a patient who presented to a community hospital with a one-month history of constant diffuse abdominal pain and underwent eight weeks of examinations, finally experienced deterioration of their condition. Based on this case, this article discusses the problems in the diagnosis of abdominal pain in a community hospital, and according to the clinical thinking mode and checklist of abdominal pain, the diagnostic process of abdominal pain can be improved, and the diagnosis of non-differentiated diseases can be done better, the harm caused by delayed diagnosis may be reduced.
基金financed by "The 211 Project Program""The 985 Project Program" of Jilin Universityby the Center of Cooperative Innovation for Judicial Civilization
文摘Legal practice comprises the normative activities of constructing and maintaining social order with the aim of achieving equity and justice. In terms of content, it can be divided into three categories： intellectual legal practice, normative legal practice, and applied legal practice. As an important factor supporting legal practice, legal theory has a complex interactive relationship with legal practice. The effect of legal theory on legal practice is realized through the intermediary, carrier and bridging functions of the rationality, wisdom and ideas of legal practice. Developing the concept of the ideal legal life is the inherent mission and method of legal practice thought.
