临床医师资格考试成绩比较分析

依据2006－2008年温州医学院2227名考生临床执业医师考试结果,从总成绩、通过率和平均掌握率等角度进行归纳、分析和讨论,结果显示温医考生总成绩、通过率及公共、基础、专业知识三部分的平均掌握率均显著高于全国平均水平,专业知识部分更均衡、稳定与显著,三个知识部分内部,并非所有学科的平均掌握率均显著高于全国样本,仍存在一定问题。文中还进一步探讨了与考试结果相关的本科医学教育因素。     

从执业医师考试探讨医学微生物学教学改革

通过分析基础医学教学模式的现状和存在的问题,确认在教学改革中引入执业医师资格考试,将培养医师专业能力作为教学目标,以提高教学效能,促进基础阶段综合型课程的开展。在前期实践基础上设计教学流程,提出在医学微生物学教学中注重学科基本知识点和理论体系,强化与其他医学学科的联系。将课堂讲授法与改造PBL结合,将课外小组学习和课堂PBL结合,增加考核量化的指标,建立具有高效能的医学教学模式。     

Family Nurse Practitioner Scope of Practice Issues When Treating Patients With Mental Health Issues

In primary care settings, family nurse practitioners (FNPs) are often the first to see patients with mental illnesses. FNPs can diagnose and treat patients with uncomplicated mental illness, such as depression and anxiety, within their scope of practice (SOP). However, FNPs should be aware of areas that fall outside of their SOP, such as diagnosing and treating patients with complicated or severe mental illnesses or exceeding prescribing authority for psychiatric medications. Any breach of their SOP could lead to civil liability and disciplinary actions. FNPs should adopt best practices to ensure patient safety and protect their licenses.     

上海市社会办医信用监管结果在行政许可中应用问题及对策分析

本文以应用为导向,通过信用监管在社会办医疗机构行政许可中应用的现状调查分析,依托现有数据平台,从守信激励及失信受限两方面出发,制定信用监管在社会办医疗机构行政许可应用问题及对策分析,完善事前、事中、事后监管执法领域信用监管机制.     

Impact of gene patents on diagnostic testing: a new patent landscaping method applied to spinocerebellar ataxia

Recent reports in Europe and the United States raise concern about the potential negative impact of gene patents on the freedom to operate of diagnosticians and on the access of patients to genetic diagnostic services. Patents, historically seen as legal instruments to trigger innovation, could cause undesired side effects in the public health domain. Clear empirical evidence on the alleged hindering effect of gene patents is still scarce. We therefore developed a patent categorization method to determine which gene patents could indeed be problematic. The method is applied to patents relevant for genetic testing of spinocerebellar ataxia (SCA). The SCA test is probably the most widely used DNA test in (adult) neurology, as well as one of the most challenging due to the heterogeneity of the disease. Typically tested as a gene panel covering the five common SCA subtypes, we show that the patenting of SCA genes and testing methods and the associated licensing conditions could have far-reaching consequences on legitimate access to this gene panel. Moreover, with genetic testing being increasingly standardized, simply ignoring patents is unlikely to hold out indefinitely. This paper aims to differentiate among so-called 'gene patents' by lifting out the truly problematic ones. In doing so, awareness is raised among all stakeholders in the genetic diagnostics field who are not necessarily familiar with the ins and outs of patenting and licensing.     

Attitudes of South African oral hygienists towards compulsory community service

Abstract:  Compulsory Community Service (CCS) was introduced into the health service by the government to address the shortage and maldistribution of health professionals within the public sector. The aim of this study was to assess the perceptions of oral hygiene (OH) students, registered in 2004 at the five dental universities regarding the introduction of a 1-year-long CCS.
Objectives:  To determine: (a) the students' socio-demographic profile and (b) their attitudes towards CCS.
Methods:  A self-administered questionnaire was hand delivered to all OH students who were registered during 2004 at the respective dental universities.
Results:  The study yielded a response rate of 70% (109) with the average age of participants being 21.4 years. Most students were female (94%) and more than half were White (52%). More than half (53%) did not want to perform CCS even though 75% acknowledged its' importance. The most common concern for not supporting CCS was security (89%). Ninety per cent (90%) indicated that their preferred tasks would be to engage in clinical work and oral health promotion.
Conclusion:  Although the majority of participants supported the principles of CCS, a significant number were against the introduction citing security as their main concern. Most of the students preferred to perform clinical work and preventive programmes during their CCS.     

推进食品安全责任保险的必要性及其影响因素分析

[目的]提出我国开展食品安全责任保险解决食品安全问题的必要性和强制化开展以解决面临的问题。[方法]收集历年食物安全资料和责任保险保费资料进行描述性统计分析,通过问卷调查了解成都市食品安全责任保险市场现状。[结果]食品安全责任保险无法靠市场自身的力量发展壮大需要以政府为主体推动多方协作获得发展。[结论]食品安全责任保险对于解决食品安全事故是必要的,但需要政府采取强制手段来予以推行。     

Soins psychiatriques sans consentement : étude des motifs de mainlevées de 117 mesures

Objectives

In France, since the enactment of a new law on July 5th 2011, later modified on September 27th 2013, Justice now examines the case of patients involuntarily hospitalized for more than twelve days. In 2013, Justice discontinued approximately 8 % of involuntary admissions in psychiatric services. The aim of this study is to identify the criteria which have led Justice to discontinue involuntary admissions and subsequent treatment.