Cambridge

剑桥
  • 文章类型: Journal Article
    乌克兰的医学生在COVID-19大流行和随后的俄罗斯军事入侵的情况下,他们的临床研究都面临着非同寻常的中断,迫使他们的大部分学习都是远程进行的。在2022年的夏天,临床医学院,剑桥大学接待了哈尔科夫国立医科大学的20名医学生进行为期7周的强化临床选修课程。目的是提供身临其境的临床实习,帮助学生获得必要的知识和经验,成为称职和自信的执业医生。这篇文章旨在通过概述放置的背景来支持未来等价交换的发展,它的规划和实施,安置影响的证据,最后是思考和学习要点。
    Medical students in Ukraine have faced extraordinary disruption to their clinical studies with both the COVID-19 pandemic and subsequent Russian military invasion forcing a majority of their learning to be conducted remotely. Over the summer of 2022, the School of Clinical Medicine, University of Cambridge hosted 20 medical students from Kharkiv National Medical University for a seven-week intensive clinical elective programme. The aim was to provide an immersive clinical placement that would help students to attain the necessary knowledge and experience to become competent and confident practising doctors. This perspective piece aims to support the development of future equivalent exchanges through outlining the placement\'s context, its planning and implementation, evidence of placement impact, and finally reflections and learning points.
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  • 文章类型: Journal Article
    在英国,为无家可归的人提供临时住所通常需要使用传统的建筑方法来提供住房。然而,最近的实验是使用模块化住宅来提供临时住宿,伴随着为无家可归的人提供支持服务。鉴于这些试验的早期性质,目前还不清楚这些模块化住宅对居住者有什么影响,以及这些项目如何反过来影响周围的居民和企业。我们为剑桥无家可归的人们提供了第一个模块化房屋的案例研究,英格兰,根据对占用这些房屋的六名居民的纵向采访。我们发现房屋的物理特征,加上环绕支持服务,为居住者带来了积极的短期和中期结果,包括改善对药物使用和资金的管理,技能发展和就业准备,社会关系,和新兴的社区意识,安全,和安全。这些积极的结果激发了更广泛的兴趣,包括将模块化房屋作为替代临时住所纳入剑桥市议会的《无家可归和艰难睡眠战略》中,随着国家政府对模块化住宅和其他新计划的研究兴趣与日俱增。我们主张对不同模块化家庭项目的影响进行进一步的实证研究,包括那些承认更多样化的居民群体,并提供不同的住宿类型,为英格兰及其他地区未来的模块化住宅项目建立明确的方法。
    In England, provision of temporary accommodation for people experiencing homelessness has often entailed using traditional construction approaches to deliver housing. However, recent experiments are using modular homes to provide temporary accommodation, accompanied by support services for people experiencing homelessness. Given the early nature of these trials, it is unclear what impacts these modular homes have on their occupants and how these projects in turn impact surrounding residents and businesses. We present a case study of the first modular homes for people experiencing homelessness in Cambridge, England, drawing on longitudinal interviews with the six residents occupying these homes. We found that the physical features of the homes, coupled with wrap-around support services, yielded positive short- and mid-term outcomes for occupants, including improved management of their substance use and money, skills development and readiness for employment, social relations, and a burgeoning sense of community, safety, and security. These positive outcomes have spurred wider interest, including the incorporation of modular homes as alternative temporary accommodation in the Homelessness and Rough Sleeping Strategy of Cambridge City Council, alongside a growing research interest in modular homes and other new schemes by the national government. We argue for further empirical studies of the impacts of different modular home projects, including those that admit more diverse resident cohorts and offer different accommodation types to establish a clear methodology for future modular homes projects in England and beyond.
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  • 文章类型: Historical Article
    威廉·巴特勒(WilliamButler,1535-1618)是一个没有医学学位的人,被称为“他这个时代最伟大的医生”。他一生中很出名,在他职业生涯的后期,他参与了皇家法院,国王詹姆斯一世和他的儿子,亨利王子巴特勒是一位经验主义者,他在医学理解有限的时代自信而富有同情心地实践。他也是一个矛盾的人:他受到同时代人的爱戴和尊重,但可能是脾气暴躁和迟钝的;他是反建制的,痛苦地抱怨皇家内科医学院对医学的限制性垄断,但通过贵族内部的联系推进了他的职业生涯;他有时练习正统的Galenic医学,但有时他的治疗非常非常规。死后,尽管对巴特勒进行了一些令人信服的历史研究,他的行为和实践有很多修饰。这本传记取材于巴特勒自己的信件,当代作家和现代学术文学。它的目的是将这些来源安排成一个可验证的叙述这个独特的医生的生活。
    William Butler (1535-1618) was a man without a medical degree who was styled as the \'greatest physician of his age\'. He was famous in his lifetime, and in the latter stages of his career was involved with the royal court, attending to King James I and his son, Prince Henry. Butler was an empiricist who practiced confidently and compassionately in a time of limited medical understanding. He was also a man of contradictions: he was loved and respected by his contemporaries but could be cantankerous and obtuse; he was anti-establishment, complaining bitterly about the restrictive monopolisation of medicine sustained by the Royal College of Physicians, but advanced his career via connections within the aristocracy; he sometimes practiced orthodox Galenic medicine, but was at times highly unconventional in his treatments. Posthumously, despite some compelling historical studies of Butler, there has been a great deal of embellishment of his behaviour and practice. This biography draws from Butler\'s own letters, contemporary writers and modern scholarly literature. It aims to arrange these sources into a verifiable narrative of this singular physician\'s life.
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  • 文章类型: Journal Article
    The First Eastern General Hospital (1914-1919) from its inception at the Leys School, its growth and establishment at Trinity College Cambridge and then its further move to the cricket grounds of King\'s College and Clare College (now the site of the University Library), exemplifies the determination and desire of Cambridge University to contribute to the humanitarian effort during World War I. It is also a prime example of the sheer sacrifice and altruism of the medical profession across its ranks to offer its services in times of need. From its day of mobilisation on 5 August and its first patient admission on 16 August 1914 through 30 June 1918, the last month for which hospital data exist, the First Eastern General Hospital admitted 62,664 patients from Home, Expeditionary, Belgian and Mediterranean Forces. In the last month alone, it admitted more than 2000 personnel. By its closure, there were only 437 deaths, a mortality rate of 0.69 per cent. It paved the way for Auxiliary Hospitals to which 2500 of its patients were transferred. Both Barnwell and Cherry Hinton Military Hospitals, set up to care for venereal disease patients, sprang from the First Eastern General and followed its organisation and staff arrangements after the parent closed.
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  • 文章类型: Historical Article
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  • 文章类型: Journal Article
    光亮烟草的分级热解是在氮气气氛中在240-510°C的温度范围内进行的,高温流反应器系统。电子顺磁共振(EPR)光谱法用于分析最初产生的总特定物质(TPM)和暴露于环境空气(老化)后的TPM中的自由基。已使用不同的过滤器从烟草烟雾中收集TPM:纤维素,硝酸纤维素,醋酸纤维素,尼龙,特氟龙和剑桥。初级自由基的收集(在过滤器上收集TPM后立即测量),次级自由基(定义为TPM样品在过滤器上老化期间形成的自由基)的形成和稳定显著取决于过滤器的材料。提出了关于过滤器的不同结合能力按以下顺序降低的机理解释:纤维素<硝酸纤维素<醋酸纤维素<尼龙〜特氟隆。对于剑桥过滤器观察到不同的性质。必须特别注意使用过滤器来识别烟草烟雾中的自由基,以避免在每种情况下出现伪影。
    The fractional pyrolysis of Bright tobacco was performed in nitrogen atmosphere over the temperature range of 240 - 510 °C in a specially constructed, high temperature flow reactor system. Electron paramagnetic resonance (EPR) spectroscopy was used to analyze the free radicals in the initially produced total particular matter (TPM) and in TPM after exposure to ambient air (aging). Different filters have been used to collect TPM from tobacco smoke: cellulosic, cellulose nitrate, cellulose acetate, nylon, Teflon and Cambridge. The collection of the primary radicals (measured immediately after collection of TPM on filters), the formation and stabilization of the secondary radicals (defined as radicals formed during aging of TPM samples on the filters) depend significantly on the material of the filter. A mechanistic explanation about different binding capability of the filters decreasing in the order: cellulosic < cellulose nitrate < cellulose acetate < nylon ~ teflon is presented. Different properties were observed for the Cambridge filter. Specific care must be taken using the filters for identification of radicals from tobacco smoke to avoid artifacts in each case.
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  • 文章类型: Journal Article
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