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Little is known about challenges and transition that medical students from different cultural backgrounds face with regard to complementary medicine (CM). This paper explores such students’ experiences and perspectives of socio-cultural and academic difference with regard to CM and experiences of intercultural relations. Using a constructivist grounded theory approach, 30 in-depth qualitative interviews were conducted with medical students across 10 Australian medical schools. The data were rigorously analysed through a systematic process of coding, categorisation and theoretical development. The findings indicate that students adapted considerably to the host culture. Students with Western backgrounds integrated better socio-culturally and academically compared to students with non-Western backgrounds. Although nationality represented cultural identity, students’ construction of cultural difference was informed by their perception of diverging value systems within the specific educational environment. These values were, in turn, reflected in students’ reported behaviours, attitudes, and levels of engagement in socio-cultural and academic aspects of university life. Adaptation employed by students was evidenced largely due to their conflicting sense of responsibility towards familial culture regarding CM and focus on fitting in. While students’ tendency to gravitate towards cultural peers was evident, most students adapted to their host environment regarding CM to fit into normal intercultural encounters during medical school. In conclusion, students’ intercultural contact with regard to CM was both complex and problematic. At a time of significant diversification within the higher education student body, this paper highlights the role medical education institutions can play in fostering intercultural and academic guidance and support.  相似文献   
22.
胎儿的发育成熟,既是生理意义上的,也是心理的物质基础意义上的,是由胎儿自己来判定的;人的一生发展”程序“都是在胎儿阶段设定完成的;分娩与护理将影响新生命的一生。  相似文献   
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Diversified domains, such as workplaces, are suitable social fields for the study of ethnic identities, because identities are constructed through comparison and negation, that is, by identifying what or who the “other” is. In the present study I explore the talk of hands-on nursing care work, a stigmatized occupational field, to illuminate ethnic identities and the strategic boundary work that care workers conduct. The study is based on 14 months of field work and 51 interviews and observations at two Israeli geriatric wards with highly diverse staff. I show that actors negotiate their care worker identity by the opposite strategies of making and unmaking ethno-national boundaries. The first strategy denies and erases ethno-national boundaries by stressing universal professional values and individual virtues; the second one demarcates boundaries between ethno-national groups, using perceived cultural differences. The discussion addresses these antithetical evaluation frameworks in relation to theories of boundary making and unmaking.  相似文献   
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基于医学青年科学基金项目相关数据构建"医学学科科研潜力指数",系统分析2012—2017年中国省域医学学科科研潜力状况及其变化趋势。结果显示,我国省域间医学学科科研潜力的绝对差异较大,但差异随时间推移呈缩小趋势;各省的医学科研潜力可以进一步分为6个层次,其中上海和北京的医学学科科研潜力较大,而青海和西藏的医学学科科研潜力较小。  相似文献   
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医学图像配准是对于一幅图像寻求一种空间变换,使该图像与另一幅图像中的对应点达到空间上的一致。将对ITK进行介绍,并讨论交互信息配准,二维刚性配准,仿射变换3种方法的实现及其结果。  相似文献   
27.
高校体育医务监督的研究   总被引:1,自引:0,他引:1  
随着人民生活水平的提高,体育已经成为人们一种健康的行为方式,体育由一种理论和技能的课程学习转化为在“健康第一”思想指导下,以安全卫生、科学有效、增强体质、增进健康、提高体育素养、促进身心发展为目标,体育医务监督是达到这一目标十分重要的环节之一,笔者就新形势下高校非体育专业的体育医务监督作一个讨论。  相似文献   
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近年来,老年性抑郁症的患病率呈逐年上升趋势,已成为严重影响老年人精神健康的主要因素之一。对32例老年性抑郁症进行心理护理,提示正确的健康教育及心理护理是治疗成功的重要保证。  相似文献   
29.
IntroductionLittle is known about the perpetrators of medical child abuse (MCA) which is often described as “Munchausen’s syndrome by proxy” or “factitious disorder imposed on another”. The demographic and clinical characteristics of these abusers have yet to be described in a sufficiently large sample. We aimed to address this issue through a systematic review of case reports and series in the professional literature.MethodA systematic search for case reports and series published since 1965 was undertaken using MEDLINE, Web of Science and EMBASE. 4100 database records were screened. A supplementary search was then conducted using GoogleScholar and reference lists of eligible studies. Our search yielded a total sample of 796 perpetrators: 309 from case reports and 487 from case series. Information extracted included demographic and clinical characteristics, in addition to methods of abuse and case outcomes.ResultsNearly all abusers were female (97.6%) and the victim’s mother (95.6%). Most were married (75.8%). Mean caretaker age at the child’s presentation was 27.6 years. Perpetrators were frequently reported to be in healthcare-related professions (45.6%), to have had obstetric complications (23.5%), or to have histories of childhood maltreatment (30%). The most common psychiatric diagnoses recorded were factitious disorder imposed on self (30.9%), personality disorder (18.6%), and depression (14.2%).ConclusionsFrom the largest analysis of MCA perpetrators to date, we provide several clinical recommendations. In particular, we urge clinicians to consider mothers with a personal history of childhood maltreatment, obstetric complications, and/or factitious disorder at heightened risk for MCA. Longitudinal studies are required to establish the true prognostic value of these factors as our method may have been vulnerable to publication bias.  相似文献   
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