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Experience inheritance from famous specialists based on real-world clinical research paradigm of traditional

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《医学前沿(英文)》 2014年 第8卷 第3期   页码 300-309 doi: 10.1007/s11684-014-0357-8

摘要:

The current modes of experience inheritance from famous specialists in traditional Chinese medicine (TCM) include master and disciple, literature review, clinical-epidemiology-based clinical research observation, and analysis and data mining via computer and database technologies. Each mode has its advantages and disadvantages. However, a scientific and instructive experience inheritance mode has not been developed. The advent of the big data era as well as the formation and practice accumulation of the TCM clinical research paradigm in the real world have provided new perspectives, techniques, and methods for inheriting experience from famous TCM specialists. Through continuous exploration and practice, the research group proposes the innovation research mode based on the real-world TCM clinical research paradigm, which involves the inheritance and innovation of the existing modes. This mode is formulated in line with its own development regularity of TCM and is expected to become the main mode of experience inheritance in the clinical field.

关键词: traditional Chinese medicine (TCM)     real world     clinical research paradigm     famous specialist     experience inheritance    

Clinical acupuncture research in the West

Xianze Meng, Shifen Xu, Lixing Lao

《医学前沿(英文)》 2011年 第5卷 第2期   页码 134-140 doi: 10.1007/s11684-011-0135-9

摘要: In recent years, acupuncture has rapidly become part of mainstream medicine in the West, where new developments in acupuncture clinical research show extensive progress in evaluating the efficacy and safety of the modality in many categories of disease, especially in pain conditions. Although challenges and difficulties remain, the acupuncture research community has matured and its past experience may lead to even better methods and more innovative research.

关键词: acupuncture     clinical research     research methodology     the West    

Construction of a shared system-based real-world clinical research system

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《医学前沿(英文)》 2014年 第8卷 第3期   页码 382-388 doi: 10.1007/s11684-014-0368-5

摘要:

Hubei Provincial Hospital of Traditional Chinese Medicine established research outpatient clinics to contribute to the major disease-entity research conducted by the National Traditional Chinese Medicine Clinical Research Base and to the construction of the National Traditional Chinese Medicine Treatment and Clinical Research Information Sharing System. With a view of developing a “real-world traditional Chinese medicine clinical research paradigm,” these clinics explored the mode of constructing research outpatient clinics from the aspects of clinical research, health management, and characteristics diagnosis and treatment.

关键词: clinical research     shared system     real world     research outpatient clinic     research hospital    

Clinical research of traditional Chinese medicine in big data era

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《医学前沿(英文)》 2014年 第8卷 第3期   页码 321-327 doi: 10.1007/s11684-014-0370-y

摘要:

With the advent of big data era, our thinking, technology and methodology are being transformed. Data-intensive scientific discovery based on big data, named “The Fourth Paradigm,” has become a new paradigm of scientific research. Along with the development and application of the Internet information technology in the field of healthcare, individual health records, clinical data of diagnosis and treatment, and genomic data have been accumulated dramatically, which generates big data in medical field for clinical research and assessment. With the support of big data, the defects and weakness may be overcome in the methodology of the conventional clinical evaluation based on sampling. Our research target shifts from the “causality inference” to “correlativity analysis.” This not only facilitates the evaluation of individualized treatment, disease prediction, prevention and prognosis, but also is suitable for the practice of preventive healthcare and symptom pattern differentiation for treatment in terms of traditional Chinese medicine (TCM), and for the post-marketing evaluation of Chinese patent medicines. To conduct clinical studies involved in big data in TCM domain, top level design is needed and should be performed orderly. The fundamental construction and innovation studies should be strengthened in the sections of data platform creation, data analysis technology and big-data professionals fostering and training.

关键词: big data     traditional Chinese medicine     clinical evaluation     evidence based medicine    

Scientific computation of big data in real-world clinical research

null

《医学前沿(英文)》 2014年 第8卷 第3期   页码 310-315 doi: 10.1007/s11684-014-0358-7

摘要:

The advent of the big data era creates both opportunities and challenges for traditional Chinese medicine (TCM). This study describes the origin, concept, connotation, and value of studies regarding the scientific computation of TCM. It also discusses the integration of science, technology, and medicine under the guidance of the paradigm of real-world, clinical scientific research. TCM clinical diagnosis, treatment, and knowledge were traditionally limited to literature and sensation levels; however, primary methods are used to convert them into statistics, such as the methods of feature subset optimizing, multi-label learning, and complex networks based on complexity, intelligence, data, and computing sciences. Furthermore, these methods are applied in the modeling and analysis of the various complex relationships in individualized clinical diagnosis and treatment, as well as in decision-making related to such diagnosis and treatment. Thus, these methods strongly support the real-world clinical research paradigm of TCM.

关键词: big data     real world     clinical research     Chinese medicine     medical computing    

Patient-derived xenograft platform of OSCC: a renewable human bio-bank for preclinical cancer researchand a new co-clinical model for treatment optimization

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《医学前沿(英文)》 2016年 第10卷 第1期   页码 104-110 doi: 10.1007/s11684-016-0432-4

摘要:

Advances in next-generation sequencing and bioinformatics have begun to reveal the complex genetic landscape in human cancer genomes, including oral squamous cell carcinoma (OSCC). Sophisticated preclinical models that fully represent intra- and inter-tumoral heterogeneity are required to understand the molecular diversity of cancer and achieve the goal of personalized therapies. Patient-derived xenograft (PDX) models generated from human tumor samples that can retain the histological and genetic features of their donor tumors have been shown to be the preferred preclinical tool in translational cancer research compared with other conventional preclinical models. Specifically, genetically well-defined PDX models can be applied to accelerate targeted antitumor drug development and biomarker discovery. Recently, we have successfully established and characterized an OSCC PDX panel as part of our tumor bio-bank for translational cancer research. In this paper, we discuss the establishment, characterization, and preclinical applications of the PDX models. In particular, we focus on the classification and applications of the PDX models based on validated annotations, including clinicopathological features, genomic profiles, and pharmacological testing information. We also explore the translational value of this well-annotated PDX panel in the development of co-clinical trials for patient stratification and treatment optimization in the near future. Although various limitations still exist, this preclinical approach should be further tested and improved.

关键词: patient-derived xenograft models     personalized medicine     co-clinical trial     patient stratification     oral squamous cell carcinoma    

Overcoming the challenges of conducting translational research in cell therapy

Sowmya Viswanathan, Armand Keating

《医学前沿(英文)》 2011年 第5卷 第4期   页码 333-335 doi: 10.1007/s11684-011-0166-2

摘要: Cell therapy holds promise in addressing a number of unmet medical needs but despite its considerable impetus, faces numerous challenges including support for translational research in this area. Here, we examine the challenges confronting cell therapy research including the limited funding available for translational research partly due to the uncompetitive nature of required validation studies in cell therapy that of necessity are not hypothesis-driven. Other issues include lack of standardization of definitions of cell products, uncertainty regarding optimum preclinical animal models, duplication of efforts to secure regulatory approval and a lack of uniformity of nomenclature for some cell products. Nonetheless, several initiatives to address all of these issues are underway.

关键词: stem cells     clinical trials     funding     animal models     standardization     common definitions    

Basic consideration of research strategies for head and neck cancer

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《医学前沿(英文)》 2012年 第6卷 第4期   页码 339-353 doi: 10.1007/s11684-012-0213-7

摘要:

Head and neck cancer (HNC) consists of a group of malignancies affecting closely related anatomical regions of the upper aerodigestive tract (UADT), including the oral cavity, salivary glands, upper and lower jaw bones and facial skin; the nasal cavity, paranasal sinuses, pharynx, larynx and thyroid gland (although the latter is often excluded and considered as part of endocrine neoplasms). Of these, 90% of HNCs are histologically squamous cell carcinomas originating from the mucosal lining. These malignancies are strongly associated with certain environmental and life-style risk factors, principally tobacco in both smoked and smokeless forms, excessive alcohol consumption, diets poor in antioxidants and essential micronutrients, UV light, chemicals used in certain workplaces, and viruses, principally certain strains of human papillomavirus (HPV) and Epstein-Barr virus (EBV). These cancers are frequently aggressive in their biological behaviour with local invasion and metastasis to lymph nodes in the neck. Since most patients are already at late stages of disease at the time of diagnosis, the desirable practice of early diagnosis (first sign of the malignant lesion at an initial stage ) and early treatment, a critical priority to save lives and retain quality of life, is difficult to implement. Thus, primary prevention has been set as a key goal. This article aims to reinforce the basic knowledge of aetiology, key risk factors related to the development of head and neck cancer, basic features of clinical appearance of this group of cancers, and strategies for prevention and early detection. We also suggest basic research strategies on the basis of current knowledge, which should ultimately lead to the improvement of clinical management.

关键词: clinical management     head and neck cancer     prevention and early detection     research strategies     risk factors    

Clinical data quality problems and countermeasure for real world study

null

《医学前沿(英文)》 2014年 第8卷 第3期   页码 352-357 doi: 10.1007/s11684-014-0351-1

摘要:

Real world study (RWS) has become a hotspot for clinical research. Data quality plays a vital role in research achievement and other clinical research fields. In this paper, the common quality problems in the RWS of traditional Chinese medicine are discussed, and a countermeasure is proposed.

关键词: real world study     traditional Chinese medicine     clinical and research information sharing system     data quality problem     data quality control    

智能制造评价理论研究现状及未来展望

何慧霞,魏桂英,武森,单志广

《中国工程科学》 2022年 第24卷 第2期   页码 56-63 doi: 10.15302/J-SSCAE-2022.02.026

摘要:

智能制造是实现制造强国的重要途径,随着我国智能制造进入全面推广阶段,针对智能制造发展水平开展科学评价成为现实需求。本文系统梳理了近年来有关智能制造评价理论的研究成果,从智能制造的关键技术、系统全局、行业领域 3 个视角归纳总结了智能制造评价体系的研究情况,对比分析了智能制造评价研究中常用的评价方法;剖析智能制造评价研究方面存在的主要问题,针对性探讨领域的未来研究方向。研究认为,现行智能制造评价的标准、流程、指标体系、应用等方面存在欠缺,需要从评价范式、评价体系、新技术融合等方面加以改进完善,以推进智能制造评价理论研究并指导智能制造发展。具体而言,健全标准设计,建立智能制造评价范式;优化指标体系,丰富关键核心评价内容;强化新技术融合,推进理论实践协同并进。

关键词: 智能制造     评价理论     指标体系     评价范式     新技术融合    

采用新范式优化碳中和的实现路径

黄文来, 李静海

《工程(英文)》 2021年 第7卷 第12期   页码 1678-1679 doi: 10.1016/j.eng.2021.09.005

Ontological reconstruction of the clinical terminology of traditional Chinese medicine

null

《医学前沿(英文)》 2014年 第8卷 第3期   页码 358-361 doi: 10.1007/s11684-014-0348-9

摘要:

This study proposes the ontological reconstruction of the current clinical terminology of traditional Chinese medicine (TCM). It also provides an overview of preliminary work related to the said reconstruction, including the ontology-based analysis of TCM clinical terminology. We conclude that the ontological reconstruction of TCM clinical terminology provides a proper translation from the idealized organizational model to real-world implementation and to a formalized, shared, and knowledge-based framework.

关键词: ontology     traditional Chinese medicine     clinical terminology    

Methodological challenges to human medical study

null

《医学前沿(英文)》 2014年 第8卷 第3期   页码 328-336 doi: 10.1007/s11684-014-0359-6

摘要:

With the transformation of modern medicinal pattern, medical studies are confronted with methodological challenges. By analyzing two methodologies existing in the study of physical matter system and information system, the article points out that traditional Chinese medicine (TCM), especially the treatment based on syndrome differentiation, embodies information conception of methodological positions, while western medicine represents matter conception of methodological positions. It proposes a new way of thinking about combination of TCM and western medicine by combinating two kinds of methodological methods.

关键词: medical paradigm     traditional Chinese medicine     western medicine     scientific view     scientific methodology    

科学的时代特征——应对全球挑战中转变范式

董超, 李静海, Daya Reddy

《工程(英文)》 2022年 第19卷 第12期   页码 22-23 doi: 10.1016/j.eng.2022.05.002

The clinical impact of tricuspid regurgitation in patients with a biatrial orthotopic heart transplant

《医学前沿(英文)》 2023年 第17卷 第3期   页码 527-533 doi: 10.1007/s11684-022-0967-5

摘要: In this study, we aim to elucidate the clinical impact and long-term course of tricuspid regurgitation (TR), taking into account its dynamic nature, after biatrial orthotopic heart transplant (OHT). All consecutive adult patients undergoing biatrial OHT (1984−2017) with an available follow-up echocardiogram were included. Mixed-models were used to model the evolution of TR. The mixed-model was inserted into a Cox model in order to address the association of the dynamic TR with mortality. In total, 572 patients were included (median age: 50 years, males: 74.9%). Approximately 32% of patients had moderate-to-severe TR immediately after surgery. However, this declined to 11% on 5 years and 9% on 10 years after surgery, adjusted for survival bias. Pre-implant mechanical support was associated with less TR during follow-up, whereas concurrent LV dysfunction was significantly associated with more TR during follow-up. Survival at 1, 5, 10, 20 years was 97% ± 1%, 88% ± 1%, 66% ± 2% and 23% ± 2%, respectively. The presence of moderate-to-severe TR during follow-up was associated with higher mortality (HR: 1.07, 95% CI (1.02–1.12), p = 0.006). The course of TR was positively correlated with the course of creatinine (R = 0.45). TR during follow-up is significantly associated with higher mortality and worse renal function. Nevertheless, probability of TR is the highest immediately after OHT and decreases thereafter. Therefore, it may be reasonable to refrain from surgical intervention for TR during earlier phase after OHT.

关键词: orthotopic heart transplant     tricuspid regurgitation     clinical impact     biatrial heart transplantation    

标题 作者 时间 类型 操作

Experience inheritance from famous specialists based on real-world clinical research paradigm of traditional

null

期刊论文

Clinical acupuncture research in the West

Xianze Meng, Shifen Xu, Lixing Lao

期刊论文

Construction of a shared system-based real-world clinical research system

null

期刊论文

Clinical research of traditional Chinese medicine in big data era

null

期刊论文

Scientific computation of big data in real-world clinical research

null

期刊论文

Patient-derived xenograft platform of OSCC: a renewable human bio-bank for preclinical cancer researchand a new co-clinical model for treatment optimization

null

期刊论文

Overcoming the challenges of conducting translational research in cell therapy

Sowmya Viswanathan, Armand Keating

期刊论文

Basic consideration of research strategies for head and neck cancer

null

期刊论文

Clinical data quality problems and countermeasure for real world study

null

期刊论文

智能制造评价理论研究现状及未来展望

何慧霞,魏桂英,武森,单志广

期刊论文

采用新范式优化碳中和的实现路径

黄文来, 李静海

期刊论文

Ontological reconstruction of the clinical terminology of traditional Chinese medicine

null

期刊论文

Methodological challenges to human medical study

null

期刊论文

科学的时代特征——应对全球挑战中转变范式

董超, 李静海, Daya Reddy

期刊论文

The clinical impact of tricuspid regurgitation in patients with a biatrial orthotopic heart transplant

期刊论文