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相關(guān)性 ? 診斷和預(yù)測 ? 藥物治療 2021/6/16 49 Science is built up of facts as a house is of stones, but a collection of facts is no more science than a heap of stones is a house. ? JulesHenri Poincar233。 2021/6/16 50 觀察 +診斷 +藥物 ?醫(yī)學(xué) ? 醫(yī)術(shù):觀察、預(yù)測的醫(yī)生“最多是生理學(xué)的奴仆” Claude Bernard ? 觀察 ?相關(guān)性 ?因果關(guān)系。 ? 臨床實踐走在醫(yī)學(xué)科學(xué)之前 ?危險性 2021年 SCID( severe bined immunodeficiencies)的基因治療 2021年骨質(zhì)疏松和更年期反應(yīng)的激素替代療法 ? 醫(yī)學(xué)作為科學(xué) 2021/6/16 51 尋找迷失的環(huán)節(jié) ( Missing Links) 病理過程 病理事件順序 生物事件順序 化學(xué)事件順序 整體層次 器官層次 組織層次 細(xì)胞層次 分子層次 化學(xué)反應(yīng)組合 哲學(xué) 2021/6/16 52 Enzymology, after having marched away from the biological toward the chemical and physical, has now change direction and return to where it came from. In a manner of speaking, the spectrophotometric cell must be replaced by the living cell as the ambience of the enzymes studied. This is by no means a retreat by modern enzymology. On the contrary, enzymology would reach a new level of understanding after pleting this circular, or rather spiral, progress, just as envisaged for the development of ideas by Hegelian dialectics. In the latter, the law “negation of negation( 否定的否定 ) ” holds that previous ideas are negated at each higher level of understanding: in two consecutive steps the negation made in the first step is negated in the second. , Supramolecular Enzyme Organization(1984) 哲學(xué) 2021/6/16 53 The specialist concentrates on detail and disregards the wider structure, which gives it context. The new scientist, however, concentrates on structure on all levels of magnitude and plexity, and fits detail into its general framework. ,(1972) The Systems View of the World 哲學(xué) 2021/6/16 54 理想 生活對于任何一個男女都非易事,我們必須有堅忍不拔的精神; 最要緊的,還是自己要有信心。我們必須相信,我們對一件事情有著天賦的才能,并且,無論付出任何代價,都要把這件事情完成。當(dāng)事情結(jié)束的時候,你要能夠問心無愧地說: “ 我已經(jīng)盡我所能了。 ” 居里夫人 2021/6/16 55 ? I am always doing things I can39。t do。 that39。s how I get to do them. Pablo Picasso 2021/6/16 56 A truth passes through three stages. First, it is ridiculed. Second, it is violently opposed. Third, it is accepted as being selfevident. ? Arthur Schopenhauer 2021/6/16 57 自古文章通造化, 悉心著意勿燥忙。 鄭板橋