对我校重点建设课程评价结果的分析与思考

目的：加强重点课程建设．提高学校的教学质量。方法：对8门重点建设课程进行深入细致地评价并对6项指标进行统计学分析。结果：各门课程均存在显著性差异。结论：对课程建设进行评价能够发现建设中的薄弱环节，对评价结果进行分析能帮助各课程认识不足，加以改进。     

Clinical evaluation of a potassium nitrate dentifrice for the treatment of dentinal hypersensitivity

Abstract The effectiveness of a 5% potassium nitrate dentifrice as a daily home treatment for dentinal hypersensitivity was evaluated in a double-blind study in 36 Japanese subjects who complained of cold and/or tactile hypersensitivity. The subjects were divided into 2 groups, with 18 being given a 5% potassium nitrate dentifrice (treated group) and the other 18 a vehicle paste (control group). Both groups were instructed to brush their teeth 2 × a day. The hypersensitivity levels of the affected teeth were assessed by 2 stimuli, one tactile and the other cold air, and by the perception of pain. The results of all 3 assessment methods indicated that the potassium nitrate dentifrice significantly decreased the level of hypersensitivity at weeks 4, 8, and 12. In the treated group, a rapid decrease of positive scores for both the cold air stimulus and the subjective symptoms appeared from week 2. Although a significant decrease of the assessment score was also observed in the control group, the reduction rate of the score was much greater in the treated group by ail 3 assessment methods at weeks 4, 8, and 12. Complete relief of subjective symptoms throughout the 12 weeks’examination was noted in 67% of the subjects in the treated group, but in only 6% in the control group. These results suggest the usefulness of a 5% potassium nitrate dentifrice in Japanese patients with dentinal hypersensitivity.     

同济医科大学控烟活动及效果评价

我校自1993年开展控烟工作，1995年9月开始创办无吸烟大学校园，采取了卫生宣教和行政干预等综合措施，并进行了效果评价。高强度干预措施实施前期（1995年3月）和中期（1996年10月）相比，男医学生和男女学生平均吸烟率分别从16.3％和11．4％下降到9．6％和5．94％；男教工和男女教工平均吸烟率分别从28．6％和13．8％下降到13．9％和8．86％。     

马桑内酯所致癫痫发作大鼠红细胞免疫粘附功能的研究

作者用红细胞Ｃ＿３ｂ受体花环试验和红细胞免疫复合物花环试验对马桑内酯所致癫痫发作大鼠红细胞免疫粘附功能的变化进行了观察，结果表明，癫痫组动物红细胞Ｃ＿３ｂ受体花环率明显低于对照组，而红细胞免疫复合物花环率相差不显著．提示癫痫发作可导致大鼠红细胞免疫粘附功能降低，因此在癫痫治疗中注意调整和增强患者的红细胞免疫功能具有重要意义。     

效益评价中指标筛选及其假设检验

西文介绍了综合效益评价中指标的逐步筛选及其假设检验方法，用该法选出的指标具有独立性强、代表性好的优点。同是分析处理了全国３４家县级医院的投入指标，从中筛选出５个指标参与评价。     

天津市煎炸油卫生状况评价

通过连续８小时的煎炸实验和对市，郊２９个煎炸点的现场卫生学调查及采用羰基值（ＣＯＶ），极性组分（ＰＣ）对所采样品的分析表明，天津煎炸油的总体的卫生质量基本符合国家卫生标准，参考极性组分的ＡＤＩ值并依据本次调查结果，估计天津大部分居民的煎炸食品摄入量安全水平，但对于偏爱煎炸食品者其安全系数明显下降。     

海南省妇幼保健机构现状与创等达标的对策

根据《妇幼保健机构等级评审标准》（下称《标准》）要求，对全省２０个妇幼保健机构现状进行了调查。结果显示：我省妇幼卫生工作基础薄弱，离《标准》要求差距较大；各机构间的发展极不平衡；县（市）级机构整体水平偏低，业务用房、人员、设备、床位等建设滞后；服务项目单一，二级专业分科不完善等矛盾较为突出。据此提出，在创等达标工作中，要依靠各级政府，努力争取各方面的支持，抓住机遇，迎接挑战，重点抓好软件建设，加强在职培训，积极引进人才，拓宽服务范围，规范自我，依法服务。     

Current practice in the pre-operative assessment of patients for elective repair of abdominal aortic aneurysmA survey of UK hospitals

A postal survey of 100 hospitals throughout the United Kingdom and Ireland was conducted to assess current practice in the pre-operative assessment and use of pulmonary artery catheters in patients undergoing elective abdominal aortic aneurysm repair. Seventy-four completed questionnaires were received. The survey revealed that 53% of respondents hold designated pre-operative assessment clinics, attended by anaesthetists in 54% and cardiologists in 26%. However, only 4% of respondents have a written protocol for stratifying patients and assessing peri-operative risk. By far the commonest investigation of choice for further cardiological assessment is transthoracic echocardiography (67%). Other investigations of choice are multiple update gated acquisition (MUGA) scan (13%), dipyridamole thallium imaging (9%), exercise ECG (6%), stress echocardiography (1%) and stress MUGA (1%). Two units (3%) never undertook further investigation. Pulmonary artery flotation catheters are used as a routine by 9% of respondents, dependent upon left ventricular ejection fraction by 65%, dependent on other factors by 7% and not used at all by 19%. The survey reveals widespread variation in pre-operative assessment of patients undergoing elective repair of abdominal aortic aneurysm.