无声的世界温情的服务

一天晚上,店里来了一位“神秘”顾客,她面无表情在店里转了好几圈,谁招呼她,她都不理.“难道是来暗访的？但是怎么看也不像呀.”大家悄悄议论着.     

难忘的盛会 全新的感悟

中国2010年上海世博会已成功落幕,这也意味着我在世博园区的食品安全监督工作也将结束。回首6个月的时间,在责任与压力中伴随着兴奋与光荣,能够实际在第一线参与世博盛会,成为世博园区里一名工作人员,能够实现自己服务世博、贡献世博的承诺,是如此的光荣。不过再仔细想想,我又觉得与其说是我为世博会贡献出自己的一份微薄之力,倒不     

流动的配送稳定的兵

提升配送中心人员工作积极性、建立完善的考核机制、打造以人性沟通为前提的部门文化,无疑是稳定这个团队最有力的保证。     

看得见的与看不见的

我有时也与一些投资公司聊天,他们一般会问三个标准问题。问题一：网上卖药对实体药店有没有影响？答：当然有影响,尤其是安全套、家用医疗器械。经过类别分析,实体店里药食同源类商品增长较快,处方药与OTC有一定增长,而安全套与器械类没有增长,保健品似乎是负增长。这显然是网上药店的冲击所致。     

感冒清热颗粒的的质量标准

目的：制定感冒清热颗粒质量标准。方法：采用TLC法对方中柴胡、葛根、防风、苦地丁进行定性鉴别；采用HPLC法对颗粒中的葛根素进行含量测定。结果：本品薄层色谱特征明显，葛根素平均回收率为100．1％；RSD为0．9％（n=6）。结论：该方法简便、准确，可控制感冒清热颗粒的质量。     

特殊的战场 别样的青春

这是一个特殊的战场,承载着世博园区饮食安全的光荣使命,更有着时间没有余地、任务不容商量的既定目标。这是一支年轻而又朝气蓬勃的队伍,关键时刻总能挺身而出,以果敢的行动来弘扬一种闪光的精神,以无私的付出来实践铮铮的誓言。这就是以30岁以下的年轻人为主的、奋战在世博食品安全保障第一线保障组的我们。我们以     

平凡的岗位 默默的奉献

举世瞩目的2010上海世博会于2010年5月1日正式拉开帷幕,此次世博会历时184天,是由中国举办的首届世界博览会,参观人数创下了世博会历史上的最高纪录,同时也给世博食品安全保障提出了新的挑战和严峻的考验。     

企业的铁腕 店员的朋友

高素平,常州恒泰奥园人民大药房店长。2013年5月,她调入这个大店,前任店长因身体原因已经一个多月没来店里,接收时门店管理非常混乱,月完成率下滑到只有80%,对于一个年营业额过千万的店来说,这意味着什么？高素平开始紧锣密鼓地整顿,大到商品结构、库存控制,     

心的表达 心的诠释

2010年5月1日,上海世博会隆重开幕,从那一刻开始,我们的生活渐渐发生了变化——"激情""奉献"成为了我们生活的主旋律。这次人类文明的盛会也让志愿服务精神大放异彩。食药监人的志愿精神是什么?"心"HEART是最好的诠释:向市民提供有效帮助(H),以热情(E)的态度,积极主动服     

人生的支点 幸福的源泉

古希腊学者阿基米德说过:"给我一个支点,我将可以撬起地球."阿基米德没有找到这样的支点,也没有撬起过地球.而我找到了自己人生的支点,那就是我热爱的职业--做一名光荣的药剂师.     

颅脑损伤患者并发肺部感染的护理体会

目的：为了使并发肺部感染的病人更多、更好、更早的痊愈。方法：通过对32例颅脑外伤并发肺部感染病人的严密观察,采取更换体位、超声雾化、有效排痰训练等有效的护理措施干预,从而控制了肺部感染。结果：痊愈17例,占53.1%;显效12例,占37.5%,无效2例,占6.2%;死亡1例,占3.1%;实践证明,有效的护理干预对提高患者治疗成功率有着重要意义。     

卡马西平联用尼美舒利相关粒细胞缺乏症

1例78岁男性患者因带状疱疹神经痛、慢性阻塞性肺疾病合并感染,给予头孢唑肟钠（2.25 g静脉滴注,1次/d）、卡马西平（0.2 g口服,2次/d）、尼美舒利（100 mg口服,2次/d）、二羟丙茶碱（0.5 g静脉滴注,1次/d）、甲钴胺（0.5 mg口服,3次/d）、地塞米松（5 mg,静脉滴注1次）、盐酸哌替啶（25 mg,肌内注射1次）和盐酸布桂嗪（100 mg,肌内注射3次）等药物治疗。第7天,停用头孢唑肟钠,改为磷霉素钠（8 g静脉滴注,1次/d）。第11天,血常规检查示白细胞计数1.6×10^9/L,中性粒细胞0.03,中性粒细胞绝对值0.1×10^9/L,淋巴细胞绝对值0.9×10^9/L。立即停用所有药物,给予对症支持治疗。第15天,外周血白细胞计数0.9×10^9/L,中性粒细胞0.02,中性粒细胞绝对值0.1×10^9/L,淋巴细胞绝对值0.7×10^9/L。行骨髓穿刺检查,诊断为粒细胞缺乏症。第17天患者出现右肺气胸、肺不张。第20天出现急性呼吸衰竭、多脏器衰竭合并重症感染,经抢救无效死亡。     

Genomic profiling associated with recurrence in patients with rectal cancer treated with chemoradiation

PURPOSE: Stage II and III adenocarcinoma of the rectum has an overall 5-year survival rate of approximately 50%, and tumor recurrence remains a major problem despite an improvement in local control through chemotherapy and radiation. The efficacy of chemoradiation therapy may be significantly compromised as a result of interindividual variations in clinical response and host toxicity. Therefore, it is imperative to identify those patients who will benefit from chemoradiation therapy and those who will develop recurrent disease. In this study, we tested whether a specific pattern of 21 polymorphisms in 18 genes involved in the critical pathways of cancer progression (i.e., drug metabolism, tumor microenvironment, cell cycle regulation, and DNA repair) will predict the risk of tumor recurrence in rectal cancer patients treated with chemoradiation. PATIENTS AND METHODS: A total of 90 patients with Stage II or III rectal cancer treated with chemoradiation were genotyped using polymerase chain reaction (PCR)-based techniques for 21 polymorphisms. RESULTS: A polymorphism in interleukin (IL)-8 was individually associated with risk of recurrence. Classification and regression tree analysis of all polymorphisms and clinical variables developed a risk tree including the following variables: node status, IL-8, intracellular adhesion molecule-1, transforming growth factor-beta, and fibroblast growth factor receptor 4. CONCLUSION: Genomic profiling may help to identify patients who are at high risk for developing tumor recurrence, and those who are more likely to benefit from chemoradiation therapy. A larger prospective study is needed to validate these preliminary data using germline polymorphisms on tumor recurrences in rectal cancer patients treated with chemoradiation.     

甘草酸单铵结合氦-氖激光治疗银屑病62例

目的用甘草酸单铵结合低能量氦-氖激光,观察治疗银屑病患者。方法62例寻常型银屑病患者,分为两组,A组用低能量氦-氖激光血管内照射,同时用甘草酸单铵静脉滴注,共36例;B组仅用甘草酸单铵,共26例。通过30d治疗。结果总有效率82.2%,其中A组有效率88.9%,B组73.1%(经Ridit检验,U＝2.76,P＜0.01),两组差异有极显著性意义。结论甘草酸单铵结合氦-氖激光治疗银屑病,比单用甘草酸单铵效果好。     

Satisfaction with information and its relationship with adherence in patients with chronic pain

□ Due to the nature of chronic pain it would be expected that patients are highly adherent to their pain medication. However, results from this study have shown that 23 per cent of patients often or always avoid using their pain medication, 13.4 per cent often or always alter dosages, and 10.3 per cent often or always stop taking their medication for a while. This suggests intentional non‐adherence to pain medication □ Less than 50 per cent of respondents were satisfied with information provided on side effects, what to do if side effects occur, and possible interactions with other medication □ Patients' satisfaction with information about their medication was related to self‐reported adherence; greater satisfaction was associated with higher self‐reported adherence     

A fetus with meckel-gruber syndrome associated with isomerism

Abstract. Meckel-Gruber syndrome (MKS) is an autosomal recessive lethal malformation. As far as we know, the rate of incidence for the syndrome is 0.02 per 10,000 births. It is estimated that Meckel-Gruber syndrome accounts for 5% of all neural tube defects in Finland. Objective. The aim of this study is to present a case of a fetus with Meckel-Gruber syndrome associated with complete left isomerism. Method. The fetus was obtained after medical interruption of the pregnancy during the fifteenth gestational week. The mother was 36 years old and in a consanguineous marriage. The antenatal ultrasound examination revealed a polymalformative syndrome, leading to a postmortem examination. The fetopathological study of the fetus was conducted at the Centre for Maternity and Neonatology, Tunis, Tunisia, in 2008. Results. The female fetus had a significantly deformed ballooning abdomen, pes equinovarus, flexion of the wrist and a total posterior cleft palate. The central nervous system abnormalities were occipital encephalocele, cystic dilatation of the fourth ventricle, agenesis of corpus callosum and hydrocephalus. The study of the internal organs found dextrocardia, irregular lobulation of the lungs, left isomerism, and polysplenia. The microscopic examination revealed bilateral cystic dilation of the kidneys, fibrous proliferation of the liver and ectasic dilatation of the billiary ducts, representing a ductal plate malformation of the liver. Conclusion. The case is diagnosed with Meckel-Gruber syndrome associated with complete left isomerism, cleft palate and possibly Dandy-Walker syndrome.     

日舒安洗剂治疗皮肤病353例

目的：观察日舒安洗剂对湿疹、皮炎等皮肤病的疗效及对皮肤常见致病菌的抑菌效果。方法：针日舒安洗剂按：１０用温开水稀释后清洗或坐浴,ｂｉｄ,５￣１０ｍｉｎ／次,７￣１０ｄ为１个疗程。结果：有效率８３．３％,并对白色念珠菌,金黄色葡萄球菌,红色毛癣菌,淋球菌作体外抗菌试验,均有不同程度的抑菌作用,治疗中未见过敏或刺激现象。结论：在同类产品中,日舒安价格低廉,值得推广应用。