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首页> 外文学位 >Growth of the medical research literature on non-Western medicine as indexed by the National Library of Medicine from 1966-1993: An example of a scientific paradigm change.
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Growth of the medical research literature on non-Western medicine as indexed by the National Library of Medicine from 1966-1993: An example of a scientific paradigm change.

机译：国家医学图书馆在1966-1993年间索引的非西方医学研究文献的增长：科学范式变化的一个例子。

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The main purpose of this study is first to document and explain the process of scientific paradigm change and cross-cultural scientific communication using the growth and origins of the literature on non-Western medicine from 1966 to 1993 and second to test a series of theoretical assumptions about paradigm change. Bibliometric analysis of growth of the literature and content analysis of televised interviews, content analysis of published interviews, and journalists' reports on non-Western and alternative medicine were used to support a series of theoretical assumptions taken from the literature on scientific paradigm change and the sociology of science. Content analysis of medical research articles coded by MEDLINE as having specific MESH headings on philosophy and medical models coupled with analysis of all the clinical trials as well as selected journal articles published in referred serials yielded confirmation that a paradigm change in biomedicine is in progress. 15,561 references were downloaded in MEDLARS format from the CD-Plus version of Medline recoded and graphed. Findings indicate a 1,582 percent increase in the number of articles on non-Western medicine from 1966 to 1992. It was found that because biomedicine lacks an underlying theory of how the body works one sees a crumbling of the biomedical model itself as anomalies such as acupuncture treatment cannot be explained. The main catalyst for change is initially triggered by external factors not internal ones and it is possible to identify specific events mentioned in the literature. Cross-cultural exchanges and fact gathering missions are published serving to motivate more and more researchers to investigate new models and question the prevailing paradigm. Debate occurs along a continuum. Shifts occur when the new paradigm is found to solve more problems than the old. Allegiances are formed almost immediately and rival camps are often adversaries who resent the attention the other group receives. Change takes place over decades. Skeptics do not accept results until they are verified outside of the field in question. Proponents are influenced by political propaganda and economic factors. Language, culture and one's own personal experiences all serve as barriers to scientific communication.
机译：这项研究的主要目的是首先利用1966年至1993年非西方医学文献的增长和起源来记录和解释科学范式变化和跨文化科学交流的过程，其次是检验一系列理论假设关于范式变更。文献增长的文献计量分析和电视访谈的内容分析，公开访谈的​​内容分析以及关于非西方和替代医学的记者报道均被用来支持从科学范式变化和医学研究的文献中得出的一系列理论假设。科学社会学。由MEDLINE编码的医学研究文章的内容分析，具有关于哲​​学和医学模型的特定MESH标题，并结合了所有临床试验的分析以及在相关参考丛书中发表的精选期刊文章，证实了生物医学范式的变化正在进行中。从Medline的CD-Plus版本中以MEDLARS格式下载了15,561个参考文献，并重新进行了制图。研究结果表明，从1966年到1992年，非西方医学论文的数量增加了1,582％。人们发现，由于生物医学缺乏人体机能的基本理论，因此人们认为生物医学模型本身的崩溃就是针灸等异常现象。治疗无法解释。改变的主要催化剂最初是由外部因素而非内部因素触发的，并且有可能确定文献中提到的特定事件。出版了跨文化交流和事实收集任务，以激励越来越多的研究人员研究新的模型并质疑现行的范式。辩论沿着连续体发生。当发现新的范例比旧的范例解决更多的问题时，就会发生转变。效忠联盟几乎是立即形成的，敌对阵营经常是对手，他们讨厌其他团体受到的关注。变化发生了数十年。怀疑论者只有在相关领域之外对其进行验证后才能接受结果。支持者受到政治宣传和经济因素的影响。语言，文化和个人经验都阻碍了科学交流。

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