基于信息平台的医院POCT管理改进

以华中科技大学同济医学院附属同济医院为例，探讨医院通过健全POCT管理体系，并借助信息平台改进POCT管理的经验，为其他医院POCT规范化管理提供参考。该医院通过搭建POCT管理平台，实现了设备标准化准入、人员资质统一授权、设备自动化质控和诊疗全流程闭环管理；基于信息平台的POCT管理改进，提升了医护人员的POCT认知度和操作水平，提高了医疗工作效率；实行诊疗全程风险管控，保障了医疗安全。     

对安徽某考试基地执业医师技能考试结果的分析与思考

目的 通过对医师资格考试结果的分析,了解临床医师人才培养现状。方法 收集2014年安徽省某考试基地参加临床医学类实践技能考试的考生信息,从考生来源及通过率等方面对考试结果进行分析。结果 实际参加考试的考生共1 025人,执业医师考生971人,通过率89.39%,执业助理医师考生54人,通过率79.63%。三站考试通过率分布不均,心肺听诊通过率最低。结论 需进一步加强考生临床实践技能培养,提高医师队伍整体素质。     

2013年连州市农村饮水安全工程水质卫生状况调查

目的了解连州市2013年农村饮水安全工程水质卫生状况,为有效运行管理提供依据。方法对连州市12个乡镇的185个农村饮水安全工程水质卫生状况进行调查,随机抽取45个监测点,分别于枯水期和丰水期采集出厂水和末梢水进行检测。结果全市185宗农村饮水安全工程中,具备完全水处理工艺工程的占11.35%,大多数工程仅对水质沉淀、过滤处理;日供水量300t的占70.05%,82.17%的工程未对水质进行消毒或有效消毒。共采集180份,合格率60.56%,枯水期、丰水期水质分别为52.22%、68.89%,不同采样时期、水处理方式、供水能力、消毒情况合格率差异均有统计学意义(P值均0.05)。主要超标项目是微生物学指标。结论连州市农村饮水安全工程水质合格率偏低,微生物污染较为严重,存在传播介水传染病的隐患。     

An international survey of MRI qualification and certification frameworks with an emphasis on identifying elements of good practice

The purpose of the study was to survey MRI qualification and certification frameworks in the major English-speaking countries (Australia, New Zealand, US, Canada, UK, Ireland) with the aim of identifying elements of good practice. The intention is to incorporate these elements in a national framework that could be used in supporting an MRI specialist register. The study was conducted using document analysis of MRI qualification and certification documents from these states with data triangulated through a web-based questionnaire amongst an expert group of MRI radiographers (n = 59) from the same states. Based on the results of the study, recommendations have been put forward for those countries that are in the process of developing such frameworks. The main recommendations include that a professional or regulatory body externally accredits MRI programmes and that learning outcomes be based on an MRI competence profile that addresses current and forecasted needs of the particular country. The MRI competence profile should encompass a novice-to expert continuum and be referenced directly to a national qualification framework. Ideally each level of expertise should be assessed and evidenced by a portfolio of CPD activities, including clinical and management case studies appropriate to that level.     

西藏自治区民族药类执业药师资格准入制度初探

目的:探讨开展民族药类执业药师资格准入制度,保障少数民族地区民众用药安全、合理、有效、经济。方法:通过访谈法、问卷调查法了解西藏自治区民族药类执业药师现状。结果与结论:西藏自治区的执业药师存在缺口大、挂证的现象,全区缺乏真正能指导藏药生产、经营与使用的执业药师,究其原因是目前尚未开展藏药执业药师的资格准入。     

美国国家哮喘教育认证委员会关于哮喘教育者资格认证的概述

概述美国国家哮喘教育者认证委员会(NAECB)关于哮喘教育者资格认证的背景、目的、方法、现状及发展,重点介绍哮喘教育者资格认证考试,以期为我国未来专业的哮喘教育者资格认证提供参考。     

Dental and medical dual qualification in Oral and Maxillofacial Surgery: a global identity

The argument of whether or not Oral and Maxillofacial Surgery (OMFS) should have both dental and medical core education in the training pathway remains an issue of debate and contention to date. The mid-90s witnessed a gradual trend internationally towards a dual qualification which has slowed down or come to a standstill the last 10 years. This has been more evident in rapidly growing nations in the Middle East/North Africa and Asian subcontinent regions. The maxillofacial identity of a dual degree is being questioned in OMFS-pioneering countries, such as the United Kingdom (UK), which has played a role in the domination of the single degree pathway globally. In this mini review, we will attempt to shed light on the aforementioned regions and put forward a more global role the UK can play in standardising education and training while addressing the cost burden of the dual qualification pathway.     

我国网上药店资质安全现状调查研究

目的：对我国合法网上药店资质现状进行调查分析,了解国家主要监管政策,为网上药店的健康发展提供参考依据。方法：用网站调研的方法对我国33家合法网上药店进行逐个调查统计,计算网上药店资质安全项目比例。用文献研究的方法了解国家法律对资质安全的维护措施。结果：91%的网上药店给出的资质项目不齐全,93%的受访者能认识到资质安全的重要性但不了解其具体内容。结论：消费者对资质安全相关内容了解不全面,不会利用相关法律维护自身合法权益,网上药店应补充欠缺的资质文件,加大资质安全相关教育。     

Validation of Toxtree and SciQSAR in silico predictive software using a publicly available benchmark mutagenicity database and their applicability for the qualification of impurities in pharmaceuticals

The draft ICH M7 guidance (US FDA, 2013) recommends that the computational assessment of bacterial mutagenicity for the qualification of impurities in pharmaceuticals be performed using an expert rule-based method and a second statistically-based (Q)SAR method. The public nonproprietary 6489 compound Hansen benchmark mutagenicity data set was used as an external validation data set for Toxtree, a free expert rule-based SAR software. This is the largest known external validation of Toxtree. The Toxtree external validation specificity, sensitivity, concordance and false negative rate for this mutagenicity data set was 66%, 80%, 74% and 20%, respectively.This mutagenicity data set was also used to create a statistically-based SciQSAR-Hansen mutagenicity model. In a 10% leave-group-out internal cross validation study the specificity, sensitivity, concordance and false negative rate for the SciQSAR mutagenicity model was 71%, 83%, 77% and 17%, respectively. Combining Toxtree and SciQSAR predictions and scoring a positive finding in either software as a positive mutagenicity finding reduced the false negative rate to 7% and increased sensitivity to 93% at the expense of specificity which decreased to 53%.The results of this study support the applicability of Toxtree, and the SciQSAR-Hansen mutagenicity model for the qualification of impurities in pharmaceuticals.