基于中药饮片生产企业现状调研的相关问题分析及对策探讨

中药炮制技术是中国特有的制药技术,饮片生产企业是中药炮制技术的主要载体,其对中药饮片炮制技术的掌握、运用是否到位、规范,直接影响到饮片质量的优劣和中医临床疗效。通过开展中药饮片生产企业炮制技术现状调研,对饮片生产企业现状及存在相关问题进行梳理、归纳、总结,并提出相关的对策,以期更好的传承和发展炮制技术,促进中药饮片生产企业的发展,保障饮片质量。     

太子参产业发展现状及其建议

太子参是我国近年来发展较快的中药材品种,特别是太子参的种植在多个省区中药产业发展中占有重要地位。该文通过资料查询、产区情况的实地调查,在历史沿革方面理清了太子参从人参之小者到石竹科孩儿参的变化过程,理清了从山东、江苏产地到福建、安徽、贵州的产地变迁;从市场供求及价格的变化理清太子参从一个小品种成为一个常用中药材的关键节点,从发表的研究文章情况显示出太子参逐渐成为医药行业中基础和应用研究的热点;同时,分析了太子参的产业现状、优势和存在的关键问题及技术瓶颈,在此基础上提出了太子参产业可持续发展的对策与建议。     

全医嘱下静脉用药调配中心临时医嘱运行模式介绍

目的：探讨全医嘱模式下静配中心临时医嘱运行模式,满足临床用药需求。方法从医嘱接收、审核、分配输液批次、核对、配置、交接各环节分析临时医嘱运行过程中的影响因素。结果与结论 PIVAS配置长期医嘱,同时也能承接临时医嘱的配置,完善的临时医嘱运行模式是保证其正常动作的基础。     

Evidence-based medicine and the role of the private sector in assisted reproduction: a response to Dr Fishel’s commentary ‘Evidenced-based medicine and the role of the National Health Service in assisted reproduction’

We respond to Dr Fishel’s commentary on evidenced-based medicine in assisted reproduction and the role of the UK’s National Health Service. We agree that proper randomised clinical trials are not easy to set up or execute. Recruitment is also challenging but requires that all personnel involved in the study, clinicians, embryologists and nurses, agree with its aims and buy in to the need for an answer. Those who believe fervently in the method under scrutiny prior to the availability of robust evidence are likely to undermine the success of any trial. New technologies are not necessarily better technologies. Neither is the supposed ‘logic’ of a treatment nor anecdotal clinical experience a substitute for evidence properly gained and fairly demonstrated. Dr Fishel would agree that the first obligation of healthcare professionals, whether they are in the public or private sector, is not to do harm to their patients. Adopting new interventions without rigorous assessment of the potential for harm flies in the face of this basic principle.     

基于技术融合的数字资源建设与服务

结合工作实践,阐述医院图书馆以技术融合为支撑建立高效的数字资源利用服务模式,为医院图书馆建立数字资源利用服务平台、提升数字资源管理与服务水平提供有益的借鉴。     

移动输液管理系统应用的效果观察

目的 探讨移动输液管理系统对于护士工作效率的影响.方法 选取海军总医院急诊科2014年1月～2月引进“移动输液管理系统”后300名输液患者为试验组.2013年11月～12月未引进“移动输液管理系统”前的300名输液患者为对照组.统计两组患者的从接单到输液完成各环节耗时.结果 对两组患者各环节耗时进行统计,试验组接单耗时（24.38±3.11）s、配液核对前耗时（7.11±1.31）s、输液前核对耗时（6.53±1.34）s、呼叫相应耗时（6.40± 1.30）s均短于对照组,P＜0.05,差异有统计学意义.结论 引进“移动输液管理系统”能减少患者输液等候时间和呼叫相应时间、从而提高护士的工作效率.     

Implementing radiographic CT head reporting: The experiences of students and managers

IntroductionIn the face of growing demand in radiology, skill mix initiatives have sought to improve and expand service provision. Within the UK radiographer reporting is now widespread, although the growth in computerised tomography (CT) head reporting has not been as rapid as anticipated. The literature in this area is limited, but case studies have highlighted the successful implementation of this training through new radiographer roles in practice.MethodA cross-sectional survey was developed to elicit information from radiographers and managers on their experiences before, during and after post-graduate training in CT head reporting.ResultsSeventy one responses were received comprising 48 past students (n = 48/111; 43.2%) and 23 service managers (n = 23/67; 34.3%). Key factors for the development were personal continual professional development for students and departmental need for managers. Challenges during training included a lack of study time due to staff shortages and access to radiologist mentors. Only 48.8% of students responding have gone on to use the new skills in practice cited reasons include staff shortages, resistance from radiologists and increase in radiological staffing.ConclusionsThis qualitative study has demonstrated that those trusts who have implemented CT head reporting have evidenced perceptible benefits for both the department and individuals. Those radiographers who are successfully reporting have shown themselves to be highly motivated and persistent in their development.     

十八届三中全会后医改趋势的演绎

党的十八届三中全会提出的《中共中央关于全面深化改革若干重大问题的决定》（以下简称“《决定》”）作为新一届中央领导未来5年,乃至10年的施政方针,对中国未来改革趋势具有重大的信号和导向价值。在“问题倒逼改革”的研究模式下,医疗卫生明确作为社会矛盾明显增多、影响群众切身利益的突出问题,被社会舆论公认是与城乡一体化、房价并列的重大改革领域。试以《决定》为导读,从以下几个方面解析后10年医改趋势。     

新疆养羊业生产形势分析与发展对策研究

新疆养羊业历史悠久,养殖收益是广大农牧民的重要生活来源。传统养殖方式效益低,探索建立现代养羊生产模式是提升效益的有效途径。本文简要叙述了新疆养羊业的发展概况,从多方面深入研究分析了新疆养羊业的生产形势,结合实际提出了新疆现代肉羊产业的发展对策。