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进化医学在发展中国家的重要性:以巴基斯坦医学院校为例

The importance of Evolutionary Medicine in developing countries: A case for Pakistan's medical schools.

作者信息

Enam Syed Faaiz, Hashmi Shumaila

机构信息

Department of Biomedical Engineering, Duke University, Durham, NC 27708, USA.

Greater Manchester Mental Health Trust, Manchester M25 3BL, UK.

出版信息

Evol Med Public Health. 2018 Jan 29;2018(1):26-33. doi: 10.1093/emph/eoy004. eCollection 2018.

DOI:10.1093/emph/eoy004
PMID:29492264
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5822701/
Abstract

Evolutionary Medicine (EM) is a fundamental science exploring why our bodies are plagued with disease and hindered by limitations. EM views the body as an assortment of benefits, mistakes, and compromises molded over millennia. It highlights the role of evolution in numerous diseases encountered in community and family medicine clinics of developing countries. It enables us to ask informed questions and develop novel responses to global health problems. An understanding of the field is thus crucial for budding doctors, but its study is currently limited to a handful of medical schools in high-income countries. For the developing world, Pakistan's medical schools may be excellent starting posts as the country is beset with communicable non-communicable diseases that are shaped by evolution. Remarkably, Pakistani medical students are open to studying and incorporating EM into their training. Understanding the principles of EM could empower them to tackle growing health problems in the country. Additionally, some difficulties that western medical schools face in integrating EM into their curriculum may not be a hindrance in Pakistan. We propose solutions for the remaining challenges, including obstinate religious sentiments. Herein, we make the case that incorporating EM is particularly important in developing countries such as Pakistan and that it is achievable in its medical student body.

摘要

进化医学(EM)是一门基础科学,旨在探究为何我们的身体饱受疾病困扰且受到各种局限的阻碍。进化医学将人体视为历经数千年塑造而成的各种益处、失误及折衷的集合。它凸显了进化在发展中国家社区和家庭医学诊所中所遇到的众多疾病中的作用。它使我们能够提出明智的问题,并针对全球健康问题制定新颖的应对措施。因此,对于初出茅庐的医生来说,了解该领域至关重要,但目前其研究仅局限于高收入国家的少数几所医学院校。对于发展中世界而言,巴基斯坦的医学院校可能是绝佳的起点,因为该国深受由进化塑造的传染病和非传染病的困扰。值得注意的是,巴基斯坦医学生对学习进化医学并将其纳入自身培训持开放态度。理解进化医学的原理能够使他们有能力应对该国日益严重的健康问题。此外,西方医学院校在将进化医学融入课程时所面临的一些困难,在巴基斯坦或许并非障碍。我们针对包括顽固宗教情绪在内的剩余挑战提出了解决方案。在此,我们论证了在巴基斯坦等发展中国家纳入进化医学尤为重要,且在该国医学生群体中是可行的。