The national policy on high-quality development of hospitals proposes to strengthen information technology support and actively promote the multi-disciplinary team (MDT) model. How to use the “Internet Plus” technology and operation mode to promote MDT communication and improve the efficiency of diagnosis and treatment in the digital and intelligent information age is a direction worthy of attention and research. This paper systematically reviews the current development status of MDT informatization construction at home and abroad. Based on the current challenges and opportunities, it makes prospects for the future development of MDT informatization construction from the aspects of strengthening the digital and intelligent support of MDT operation, connecting MDT “information silos”, and deepening the construction of MDT supervision and effect evaluation system, etc.
This paper systematically reviews the important events and their significance in different stages of the construction of the Chinese discipline system of wound repair, and puts forward the following suggestions for its future development: the disciplinary content should be more normalized, standardized and organized; it is necessary to break through policy restrictions, and establish multidisciplinary integrated management, seamlessly connected treatment model, and integrated combination of therapy and rehabilitation, basing on models and standards of research-oriented hospitals and departments; the application of information technology in the discipline should be strengthened; some other items and problems, such as medical management, medical supervision and medical insurance, need further in-depth research and specific solutions.
In recent years, with the development of positive psychology, resilience has gradually become a research hotspot and has been applied to the study of mental illness. This paper introduced the concepts, theoretical models and measurement tools of resilience, reviewed the level of resilience of patients with bipolar disorder and its related influencing factors, and further research were suggested based on existing problems. It is expected to provide scientific basis for formulating systematic, efficient and personalized interventions for patients with bipolar disorder.
中国的胆道疾病有自己的特点，也是东亚地区的特点。它严重危害人民的生命和健康，损害劳动力，比西方的胆道病更重。中国胆道外科应有自己的特色。自成都发现胆道蛔虫病开始，积累胆道感染和肝内结石病临床资料60年来，全国各地广泛深入的临床和实验研究已取得重大成绩。许多成绩不是单纯引进或照搬外国经验，而是针对自己面临的特殊实际情况，运用现代西方医学或与祖国传统医学相结合，独立自主研究取得的。我们已经解决或基本上解决了很多临床实际问题，但还有一些重大问题没有解决，或没有完全解决，有些问题还没有提上议事日程，它与西方的胆道外科自然有基本的共性，所以，我们的研究课题，既是中国的，也是世界的。自从改革开放以来，随着人们物质生活的改善，胆道病谱也有了明显改变，原发性胆管结石症在城市明显减少，农村乡镇所见也缓慢地趋向减少，胆囊结石病则趋向增多。但是，还不能说以原发性胆管结石病为主要对象的中国胆道外科正走向没落，没有多少研究课题了。应当着重提出，当今对胆管病研究的，实际上是整个胆道问题，包括全胆道若干艰深问题。我们的研究除深入胆管病外，也应加强胆囊病的研究力度。