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来源:又争议!于汉超单骑闯关被吹对手表情太夸张|图  作者:   发表时间:2019-10-18 03:17:04

  In2003,Dr.SanjeevArora,aliverdiseasespecialistandsocialentrepreneurattheUniversityofNewMexicoHealthSciencesCenter,Albuquerque,createdaprogramwhichlinksexpertmedicalspecialistteamsatacademichubswithprimarycarecliniciansinlocalcommunities.CalledProjectECHO(shortforExtensionforCommunityHealthcareOutcomes),theinitiativeimprovesthewaymedicaleducationisdeliveredtopeopleinruralandunderservedcommunities.ProjectECHOisatelementoringmodelthatlinksexpertspecialistswithprimarycareprovidersthroughvirtualclinics(teleECHOclinics),wherethespecialistsmentorandsharetheirknowledge,enablingprimarycareproviderstodeveloptheabilitytotreatlocalpatientswithcomplexconditions.TheMSDFoundationispleasedtoannounceitishelpingthismovementexpandinIndiaandVietnamwithamilliongrant.GiventhesignificantneedtoimprovehealthcarethroughoutIndiaandVietnam,thisproject,whichwillspanoverfiveyears,hasfourcentralgoals:FurtherdevelopECHOsuperhubsinIndiatoprovidetrainingandtechnicalassistance;DevelopandexpandECHOhubs(specialtyteamsatacademicmedicalcentersorothercarecenters)acrossIndiaandVietnamintargetedcommunities;WorkwithhubsinIndiaandVietnamtodevelopandimplementtrainingprogramsforcommunityhealthcareworkerstofurtherexpandaccesstotreatmentandcare;andDocumenttheimpactoftheECHOmodelonimprovingaccesstospecialtycareforpatientsinruralandunderservedareasinIndiaandVietnam.“AtMSD,wevalueandsupportourpartnerswhoareexperimentingwithnewhealthcaremodelsandtechnologiesaimedatsolvingcomplexhealthproblems,”saidDr.JulieL.Gerberding,chiefpatientofficer,MSD.“ProjectECHOwillhelptomakeameaningfulimpactonpatientslivingwithchronicconditionsinIndiaandVietnambyempoweringlocalproviderswiththespecializedmedicalknowledgetheyneed.”Aspartoftheinitiative,acommunityhealthworkerprogramwillbedevelopedtofurtherexpandaccesstoappropriatecareinruralcommunities.Thecommunityhealthworkerswilljointhemorethan3,000doctors,nursesandcommunityhealthworkerscurrentlyenrolledinProjectECHO’scomprehensivediseasemanagementprograms.Todate,morethan110partnershavelaunchedtheirownECHOhubsformorethan55diseasesandconditionsinmorethan20countries.“WeareincrediblygratefulforthisgenerousdonationfromtheFoundation,”saysDr.Arora.“Strengtheningtheskillsandcapabilitiesofprimarycareprovidersinruralorremotesettingshelpstoensurepatientsreceivetherightcareattherightplaceandtherighttime.”Forpeoplewithdiabetes,however,therearepotentialrisksassociatedwithfasting.Decreasedfoodintakecanincreasetheriskoflowbloodsugar(hypoglycemia).Ifleftuntreated,hypoglycemiacangetworseandcauseproblems,includingconfusion,clumsiness,fainting,seizuresandcoma.Anincreaseinfoodand/orsugarintake(forinstance,ifovereatingafteradayoffasting)orareductioninmedicationstopreventhypoglycemiacanincreasetheriskofhighbloodsugar(hyperglycemia).Peoplewithdiabeteswhomakethepersonaldecisiontofastshoulddosoaftercarefulconsiderationoftheassociatedrisksfollowingamplediscussionwiththeirtreatingphysician.SincethefirstHIVproductsbecameavailablenearlytwodecadesago,MSDhasworkedtoexpandaccesstoourmedicines,buildhealthcareinfrastructure,andaddresshealthanddevelopmentchallengesaroundtheworld.MSDmaintainslongstandingeffortstodeliveritsmedicinestothosewhoneeditmost,includingdifferentialpricing,voluntarylicensing,public-privatepartnerships,philanthropicprograms,andcontinuedresearchanddevelopmenteffortsinHIV.

  DirectorJaySchillerisveryopenabouthisdisability(hehasanartificialarmandlegduetoanelectricalaccidentsustainedwhilehewasacollegestudent).“Whenyouhaveadisability,it’sveryeasytonotembraceitorhideit.ButI’vealwaysbeencomfortablewithitaswellasopentowhatIcanandcan’taccomplish.”And,asitturnsout,hecanaccomplishquiteabit.FromachemistrymajortoMSDAlthoughJayadmitshemayhavebeen“alittlenaive”aboutgoingintochemistrywithanartificialarm(aswellasonlytakingasemesteroffafterhisaccident),hegraduatedfromtheUniversityofDelawarewithadegreeinChemistryandavisionofworkinginpharma.JaynowsupportsearlyclinicaldevelopmentbyanalyzingsamplesfromclinicaltrialsofcandidatecompoundscurrentlyindevelopmentatMSD.“Inearlyclinicaldevelopment,wegettotouchmostofthemoleculesthatcomethroughdrugdevelopment.Wehavedirectimpactonhowquicklyresultsgetturnedaroundandinformationgetssuppliedtoourteams.”Mentoringand‘payingitforward’JaytriestopassonhisirrepressibleattitudetotheSTEMstudentswithdisabilitieshementorsthoughthe,anationalnon-profitthatsupportsdisabilityinclusionintheworkplace.“Ihadalotoffolksinmypost-accidentlifewhohelpedmealongthewaytoshowmethereweren’ttoomanythingsthatIcouldn'tdo.Theyreallyhelpedmegetgoingandstartedinmycareer.Peoplewithdisabilitiesdon'thaveenoughrolemodels.Theyjustdon't.Butoncesomebodywithadisabilityseesthatsomebodylikethemisdoingsomething,itmakesitsomucheasiertobeabletoaccomplishhisorherdreams.Iwantedtobethatforsomebodyelse.”SupportingMSD’svisionofdiversityandinclusionJayalsopaysitforwardbybeingactiveintheMSDcapABILITYNetwork,whichpromotesdiversityandinclusionforMSD’semployeeswithdisabilities,workerswithdisabledfamilymembersaswellasotheralliesthroughouttheorganization.Jayisproudtoworksomewherewithsuchastrongcultureofdiversityandinclusion.“Manypeoplehavedifferentideasaboutwhatdiversityandinclusionmeans,”henotes.“Whatitistomeisusingyouruniqueperspectiveatwork.Everybodycomestoworkfromadifferentplace,fromadifferentexperience,fromadifferentethnicity,fromadifferentlifeexperience.They'velearnedthingsthatyouhaven'tlearned,thatIhaven'tlearned.Wewanttousethatuniqueperspectivetofurtherthebusiness,tofurtherthegoals,tofurtheryourteam,tofurthereverybodyyou'reworkingwith.IstronglybelievethatMSDisacompanythatwalksthewalk.”In2003,Dr.SanjeevArora,aliverdiseasespecialistandsocialentrepreneurattheUniversityofNewMexicoHealthSciencesCenter,Albuquerque,createdaprogramwhichlinksexpertmedicalspecialistteamsatacademichubswithprimarycarecliniciansinlocalcommunities.CalledProjectECHO(shortforExtensionforCommunityHealthcareOutcomes),theinitiativeimprovesthewaymedicaleducationisdeliveredtopeopleinruralandunderservedcommunities.ProjectECHOisatelementoringmodelthatlinksexpertspecialistswithprimarycareprovidersthroughvirtualclinics(teleECHOclinics),wherethespecialistsmentorandsharetheirknowledge,enablingprimarycareproviderstodeveloptheabilitytotreatlocalpatientswithcomplexconditions.TheMSDFoundationispleasedtoannounceitishelpingthismovementexpandinIndiaandVietnamwithamilliongrant.GiventhesignificantneedtoimprovehealthcarethroughoutIndiaandVietnam,thisproject,whichwillspanoverfiveyears,hasfourcentralgoals:FurtherdevelopECHOsuperhubsinIndiatoprovidetrainingandtechnicalassistance;DevelopandexpandECHOhubs(specialtyteamsatacademicmedicalcentersorothercarecenters)acrossIndiaandVietnamintargetedcommunities;WorkwithhubsinIndiaandVietnamtodevelopandimplementtrainingprogramsforcommunityhealthcareworkerstofurtherexpandaccesstotreatmentandcare;andDocumenttheimpactoftheECHOmodelonimprovingaccesstospecialtycareforpatientsinruralandunderservedareasinIndiaandVietnam.“AtMSD,wevalueandsupportourpartnerswhoareexperimentingwithnewhealthcaremodelsandtechnologiesaimedatsolvingcomplexhealthproblems,”saidDr.JulieL.Gerberding,chiefpatientofficer,MSD.“ProjectECHOwillhelptomakeameaningfulimpactonpatientslivingwithchronicconditionsinIndiaandVietnambyempoweringlocalproviderswiththespecializedmedicalknowledgetheyneed.”Aspartoftheinitiative,acommunityhealthworkerprogramwillbedevelopedtofurtherexpandaccesstoappropriatecareinruralcommunities.Thecommunityhealthworkerswilljointhemorethan3,000doctors,nursesandcommunityhealthworkerscurrentlyenrolledinProjectECHO’scomprehensivediseasemanagementprograms.Todate,morethan110partnershavelaunchedtheirownECHOhubsformorethan55diseasesandconditionsinmorethan20countries.“WeareincrediblygratefulforthisgenerousdonationfromtheFoundation,”saysDr.Arora.“Strengtheningtheskillsandcapabilitiesofprimarycareprovidersinruralorremotesettingshelpstoensurepatientsreceivetherightcareattherightplaceandtherighttime.”Forpeoplewithdiabetes,however,therearepotentialrisksassociatedwithfasting.Decreasedfoodintakecanincreasetheriskoflowbloodsugar(hypoglycemia).Ifleftuntreated,hypoglycemiacangetworseandcauseproblems,includingconfusion,clumsiness,fainting,seizuresandcoma.Anincreaseinfoodand/orsugarintake(forinstance,ifovereatingafteradayoffasting)orareductioninmedicationstopreventhypoglycemiacanincreasetheriskofhighbloodsugar(hyperglycemia).Peoplewithdiabeteswhomakethepersonaldecisiontofastshoulddosoaftercarefulconsiderationoftheassociatedrisksfollowingamplediscussionwiththeirtreatingphysician.

  Forpeoplewithdiabetes,however,therearepotentialrisksassociatedwithfasting.Decreasedfoodintakecanincreasetheriskoflowbloodsugar(hypoglycemia).Ifleftuntreated,hypoglycemiacangetworseandcauseproblems,includingconfusion,clumsiness,fainting,seizuresandcoma.Anincreaseinfoodand/orsugarintake(forinstance,ifovereatingafteradayoffasting)orareductioninmedicationstopreventhypoglycemiacanincreasetheriskofhighbloodsugar(hyperglycemia).Peoplewithdiabeteswhomakethepersonaldecisiontofastshoulddosoaftercarefulconsiderationoftheassociatedrisksfollowingamplediscussionwiththeirtreatingphysician.Withtheprevalenceofdiabetescontinuingtogrowinmanycountries,itisoneofthemostseriouschronichealthchallengeswefacetoday.Approximately425millionadultsworldwidehavediabetes.Becausediabetesmayincreasetheriskofmanycomplications–includingkidneydisease,retinaldamage,peripheralnervedisease,heartattackandstroke–itsimpactcanbesignificant.Diabetesisthesixthleadingcauseofdeathworldwide.Advancementsindiabetesresearcharemakingaremarkabledifference,butwerecognizethereismuchmoreworktobedone.AtMSD,wearedeeplycommittedtochangingthisstatisticandformorethan15years,wevedemonstratedourcommitmenttodiabetesresearch.Westriveforscientificexcellenceandinnovationinallstagesofresearch,fromevaluatingearlypipelinecandidatestoconductingrigorouslate-stagestudies.Importantly,werecognizethetremendousaddedvalueofcollaboratingwithotherstoachieveourcollectivegoalsforpeoplewithdiabetes.Tothatend,wehaveestablishedcollaborationswithanumberofacademicinstitutions,aswellasbiotechnologyandotherpharmaceuticalcompanies.Additionally,weunderstandthattoadvancediabetesmanagement,itisnecessarytogenerateanextensivecollectionofdata.Thefightagainstdiabetesisnotaneasyundertaking,butIamconfidentthatimportantprogressisbeingmade.Iamproudtobepartofaresearchteamthatiscommittedtodoingsomethingtrulymeaningfultohelppeoplewithdiabetes.DirectorJaySchillerisveryopenabouthisdisability(hehasanartificialarmandlegduetoanelectricalaccidentsustainedwhilehewasacollegestudent).“Whenyouhaveadisability,it’sveryeasytonotembraceitorhideit.ButI’vealwaysbeencomfortablewithitaswellasopentowhatIcanandcan’taccomplish.”And,asitturnsout,hecanaccomplishquiteabit.FromachemistrymajortoMSDAlthoughJayadmitshemayhavebeen“alittlenaive”aboutgoingintochemistrywithanartificialarm(aswellasonlytakingasemesteroffafterhisaccident),hegraduatedfromtheUniversityofDelawarewithadegreeinChemistryandavisionofworkinginpharma.JaynowsupportsearlyclinicaldevelopmentbyanalyzingsamplesfromclinicaltrialsofcandidatecompoundscurrentlyindevelopmentatMSD.“Inearlyclinicaldevelopment,wegettotouchmostofthemoleculesthatcomethroughdrugdevelopment.Wehavedirectimpactonhowquicklyresultsgetturnedaroundandinformationgetssuppliedtoourteams.”Mentoringand‘payingitforward’JaytriestopassonhisirrepressibleattitudetotheSTEMstudentswithdisabilitieshementorsthoughthe,anationalnon-profitthatsupportsdisabilityinclusionintheworkplace.“Ihadalotoffolksinmypost-accidentlifewhohelpedmealongthewaytoshowmethereweren’ttoomanythingsthatIcouldn'tdo.Theyreallyhelpedmegetgoingandstartedinmycareer.Peoplewithdisabilitiesdon'thaveenoughrolemodels.Theyjustdon't.Butoncesomebodywithadisabilityseesthatsomebodylikethemisdoingsomething,itmakesitsomucheasiertobeabletoaccomplishhisorherdreams.Iwantedtobethatforsomebodyelse.”SupportingMSD’svisionofdiversityandinclusionJayalsopaysitforwardbybeingactiveintheMSDcapABILITYNetwork,whichpromotesdiversityandinclusionforMSD’semployeeswithdisabilities,workerswithdisabledfamilymembersaswellasotheralliesthroughouttheorganization.Jayisproudtoworksomewherewithsuchastrongcultureofdiversityandinclusion.“Manypeoplehavedifferentideasaboutwhatdiversityandinclusionmeans,”henotes.“Whatitistomeisusingyouruniqueperspectiveatwork.Everybodycomestoworkfromadifferentplace,fromadifferentexperience,fromadifferentethnicity,fromadifferentlifeexperience.They'velearnedthingsthatyouhaven'tlearned,thatIhaven'tlearned.Wewanttousethatuniqueperspectivetofurtherthebusiness,tofurtherthegoals,tofurtheryourteam,tofurthereverybodyyou'reworkingwith.IstronglybelievethatMSDisacompanythatwalksthewalk.”

  Forpeoplewithdiabetes,however,therearepotentialrisksassociatedwithfasting.Decreasedfoodintakecanincreasetheriskoflowbloodsugar(hypoglycemia).Ifleftuntreated,hypoglycemiacangetworseandcauseproblems,includingconfusion,clumsiness,fainting,seizuresandcoma.Anincreaseinfoodand/orsugarintake(forinstance,ifovereatingafteradayoffasting)orareductioninmedicationstopreventhypoglycemiacanincreasetheriskofhighbloodsugar(hyperglycemia).Peoplewithdiabeteswhomakethepersonaldecisiontofastshoulddosoaftercarefulconsiderationoftheassociatedrisksfollowingamplediscussionwiththeirtreatingphysician.Forpeoplewithdiabetes,however,therearepotentialrisksassociatedwithfasting.Decreasedfoodintakecanincreasetheriskoflowbloodsugar(hypoglycemia).Ifleftuntreated,hypoglycemiacangetworseandcauseproblems,includingconfusion,clumsiness,fainting,seizuresandcoma.Anincreaseinfoodand/orsugarintake(forinstance,ifovereatingafteradayoffasting)orareductioninmedicationstopreventhypoglycemiacanincreasetheriskofhighbloodsugar(hyperglycemia).Peoplewithdiabeteswhomakethepersonaldecisiontofastshoulddosoaftercarefulconsiderationoftheassociatedrisksfollowingamplediscussionwiththeirtreatingphysician.GokulSwaminathanisapassionatescientistwhoseworkisalreadydrivingimportantadvancesinthefieldofvaccinesandinfectiousdisease.“IwasbornandraisedinIndia,andtheimpactthatinfectiousdiseaseshaveisverypersonaltome,”hesays.“I’veexperiencedmalariaanddenguefeverfirst-handandhavelostfamilyandfriendsatyoungages,whichledtomyfascinationwithpathogensandhowtheycanmanipulatethehumanbody.”At19,whilepursuinghisundergraduateengineeringdegreeatSRMUniversity,India,hewaschosentoperformhisthesisresearchworkattheGeorgetownUniversityMedicalCenterasaninternationalresearchscholar.Fromthere,GokulcontinuedhistrainingatDrexelUniversity,wherehisresearchfocusedonunderstandinghowHIVinteractswithhumanimmunecells.HisresearchatDrexelearnedhimtheAmadeoBondiawardforresearchexcellence,oneoftheschool’smostprestigiousawardsgiventoagraduatestudent,andsparkedhisinterestinthetranslationalsideofresearch–howtoturnhisfindingsintomedicinesandvaccines.ArmedwithaPh.D.fromDrexel,GokuljoinedMSDin2014asapostdocresearchfellow.Afterhisrotation,heacceptedafull-timepositionasaseniorscientistinourinfectiousdiseasesandvaccinesresearchgroupatourWestPointlaboratories.In2016,hewasafoundingemployeeatMSD’snewlyestablishedExploratoryScienceCenterinCambridge,Massachusetts.There,heandsomeofhiscolleaguesareinitiallyfocusingonunderstandinghowthehumanbodyinteractswithpathogensinordertohelpdevelopbetterandsafervaccinesandtherapiesagainstinfectiousdiseases.Whenaskedhowhefoundthemove,hejokinglynotesthatCambridgeis“abitcolderthanI’musedto”whilebeing“fullofsomanyover-achievers,it’salmostannoying.ButeveryconversationIhavehereisscientificallyandprofessionallyenriching”.MSD’sExploratoryScienceCenterCambridge,henotes,“issuchaneclectic,internationalandverydiverseplace…Youwalkintoagrocerystoreorcoffeeshophere,andeveryoneseemstohaveasignificantlistofachievements.Withsomanyprestigiousacademiclabs,researchinstitutions,smallbiotechsandmajorpharmaceuticalcompanies,Cambridgeisoneofthebestplacestobeasascientist.”ThismakesitaperfectspotforMSD’sExploratoryScienceCenter.“TheExploratoryScienceCenterisfocusedonearlydiscoveryresearch,exploringthemostpromisingemergingsciencetohelpusunderstandtheunderlyingbiologyofdiseases.Weareveryfocusedoncollaboratingwithlocalacademicsandbiotechs,aswellasacrossMSD’sresearchnetwork.”Gokulandhiscolleaguescomefrommanydifferentscientificbackgroundsand“bringculturalperspectivesfromaroundtheworld,”hesays.“Andwespeakaboutadozenlanguagesbetweenallofus.”AsGokulnotes,whilethesescientistsandresearchersallcomefromdifferentplaces,they’reallworkingtowardsthesamegoal:fuelingdrugdiscoveryresearch.“Ourdiversebackgroundsbringafreshapproachtohowweidentifyandapproachourresearch,”hesays.“Weareallinquisitive,ambitious,andhard-working.Thecaliberofsciencethat’sdiscussedjustinthehallwayoratawatercoolerisincredible.And,it'sinspiringtoknowthatourideascanbesupportedbyMSD’sresourcesandtechnology.”ContinuingtoLeadIn2018,GokulrepresentedMSD,theAmericanBioPharmaceuticalCompanies/PhRMA,andtheGoBoldlyCampaignasa2018SpotlightHealthScholarattheAspenIdeasFestival."Itwasanamazingopportunitytointeractwithemergingleadersinglobalhumanhealthrangingfromscientists,physicians,healthcareworkers,policymakersandadvocatesfromaroundtheworld,"saysGokul."AhighlightwasmeetingU.S.SurgeonGeneralDr.JeromeAdams,anddiscussingtheimportanceofvaccinationandtheneedforcontinuedsurveillanceandpreventionofinfectiousdiseases."Thisyear,GokulwillbethedirectmanagerofaMSDpostdocfellow."I'mthrilledtobeabletogivebacktothisprogram,whichpavedthewayformymanyopportunitiesatthiscompany,asamanagertoaverytalentedscientist."TravelingtheUnitedStatesofAmericaBetweenallofhisstudiesandcareeradvancement,youwouldn’tthinkGokulhasanysparetimetodomuchofanythingelse.Buthedoes.AndhismaininterestoutsideofMSDistraveling(althoughheneverleaveshisworktoofarbehind).“I’vebeento48statesinthiscountry-HawaiiandAlaskaarepending-andmygoalistomakeittoall50verysoon,”hesays.“AsItravelandmeetnewpeople,Igettosharemyexcitingjourneyasascientist,”hesays.“ItakegreatprideinsayingIampartofacompanythatmakesadiff