浅析新医改给我国医学独立实验室带来发展机遇

医学独立实验室作为独立的第三方医学诊断服务平台,是国际上通行的一种模式。医学独立实验室于上世纪五六十年代在美国兴起,到了上世纪90年代中期,随着计算机和生物技术的发展,检验设备自动化水平和检测技术的逐步提高,检验所需的样品量和耗材越来越少,一份血样可以检测的项目越来越多[1],医学独立实验室才真正发展起来。经过了几     

激光医学的现状与进展

本文叙述一年来我国激光医学发展的几个方面，包括低功率激光的治疗与机理，激光血管成形术；激光角膜成形术，激光技术与分析细胞学发展的关系，激光技术促进分子生物学技术革新及推动显微成像技术的发展，文中并叙述了上述几方面中存在的问题以及解决的方向。     

医学实验室生物安全管理的规范化

实验室生物安全是社会安全的一部分,实验室安全管理必须警钟长鸣。本文根据我国医学实验室生物安全的现状和特点,结合国家实验室安全管理的法律法规,提出加强实验室生物安全管理应采取的一些安全防范措施。     

医学独立实验室在ISO15189认可过程中的几点启示

医学独立实验室作为医学检验领域的第三方检测机构,在发达国家占医学检验40％的比例,而目前国内医学独立实验室在医学检验中所占比例还不到1％,还有很大的市场空间。但市场竞争日益激烈,要占取一定的市场份额,如何提高实验室的整体素质,保证检验质量,同国际接轨,就成为每个医学独立实验室生存及发展所必需要面临的难题。     

医学检验实验室的安全隐患及对策

检验系实验室的工作具有多学科交叉的特点,其规范管理要求达到实验室生物安全的技术操作规范;同时还要加强对实验室生物标本存放、各种有毒有害物品、化学试剂、防火、防盗等的管理,做到各项安全技术指标均能达到标准.     

浅谈美国医学实验室安全教育

美国医学科研实力雄厚,实验室管理严谨、规范.本文以美国哈佛医学院附属布莱根妇女医院实验室为例,从人员培训、日常管理、化学药品管理、生物安全等方面介绍了美国医学实验室的安全教育,从而发现差距,给我国医学实验室教育提供借鉴及启示.     

医学实验室标准化的方向

随着中国加入WT0的进程，世界各国的贸易壁垒已被打破，但我国许多工农业产品却被西方国家的技术壁垒所阻挡，原因是产品的质量达不到所要求的同际标准?按照我国对WT0的承诺，医疗市场也将在近年开放，国内的医疗机构必然会面临重大的考验，我们所提供的医疗服务也必须达到规定的标准才能真正与国际接轨，才有在竞争激烈的市场上继续存在的可能。可见，遵循和达到国际标准将成为各个行业进入全球化经济的通行证。     

建立社区乡镇医学临床技能实验室的探讨

随着我国医疗体制改革的不断深入和发展，城市乡镇社区卫生服务体系日趋完善。为适应社区卫生服务发展的需要，全国各城市开展了不同形式的全科医师培训，现结合我院建立社区乡镇医学临床技能实验室，培养社区全科医师的情况，与同行交流探讨。     

基于智能手机的APP在医学开放性科研实验室中的应用

随着智能手机及互联网的普及,APP的应用越来越广泛。若能在高等医药院校科研实验室的开放中合理运用,对高等医学院校的教学和科研将起着非常重要的辅助作用,不但有利于教师、学生科研能力的培养,而且对实验室的管理和发展具有积极推动作用。     

医学图像压缩的现状及发展方向

本文概述医学图像压缩的现状，包括了有损压缩与无损压缩两个方面。我们比较集中地讨论了有损压缩的方法，并就其中如何达到“无视觉损失”与“信息保持”一致，从而能较好地解决与医学图像压缩突出相关的法律责任问题提出了一个有研究意义的新方向。     

Clinical Laboratory Improvement Act of 1988. Background and Impact on Anatomic Laboratories

Abstract

The Clinical Laboratory Improvement Act of 1988 was intended to improve the quality of medical laboratories. It includes education requirements for personnel involved in “high complexity testing” who serve the anatomic pathology lab. Many surgical pathology labs rely on histotechnologists and histotechnicians to gross surgical specimens, a time consuming activity. This has helped to expedite turnaround time and has proven cost-effective. CLIA ′88 could change this practice and cause a shortage of qualified laboratory personnel. This report examines the background and possible impact of CLIA ′88. (The J Histotechhnol 20:159 , 1997)     

Online Registry of Genetic and Clinical Immunodeficiency Diagnostic Laboratories, IDdiagnostics

Primary immunodeficiencies (IDs) are caused by inherited genetic defects leading to intrinsic defects in cells of the immune systems. Most IDs are rare diseases and can be difficult to diagnose because similar symptoms characterize several disorders. Mutation detection is the most reliable method in such cases. These tests are not available at most centers and physicians can have difficulties in finding laboratories that could analyze the genetic defects because certain genes are possibly analyzed by just one laboratory. The IDdiagnostics registry has been established to provide information for physicians and other health care professionals. The database at http://bioinf.uta.fi/IDdiagnostics contains currently information for the analysis of defects in 30 ID-related genes. Another part of IDdiagnostics is a database of clinical tests. Laboratories performing these analyses, either gene or clinical tests, are asked to submit their information to the database by using a printed form or electronic submission at http://bioinf.uta.fi/cgi-bin/submit/IDClini.cgi. The clinical test database contains information about tests for clinical data, immune status, and studies of function, antibody response, cell function, enzyme assays, clinical function, and apoptosis assays. Both the services are freely available and regularly updated. The services aim at increasing the awareness of IDs and helping to obtain exact and early diagnosis.     

Diagnostic Electron Microscopy Laboratory of the Future

The future of diagnostic electron microscopy is intimately related to the introduction of techniques presently used in basic research, the introduction of new technologies and instrumentation, the availability of expertise, and monetary constraints. It is suggested that a certain degree of centralization of diagnostic electron microscopy is inevitable if one wishes to introduce state-of-the-art technologies and maintain a high degree of expertise.     

医学专家决策支持系统的发展与现状综述

本文简要介绍了医学专家系统的发展过程、现状及趋势,综述了目前国内外医学专家系统的大致种类和取得的成果,并对未来医学专家系统的发展趋势做了探讨。     

广东省性病实验室淋球菌培养鉴定能力分析

目的分析广东省性病实验室淋球菌培养鉴定的质量。方法2004—2006年间开展性病实验室淋球菌培养鉴定室间质评活动。发放淋球菌质控样品到参评实验室。各室按照常规操作进行淋球菌培养鉴定和产β－内酰胺酶（PPNG）试验。结果3年间，共计162家实验室检测765份质评样本，培养鉴定的总体符合率为70．13％。2004年质评实验室15家、2005年60家和2006年87家，淋球菌培养鉴定的总符合率分别为63．3％、62．1％和72．7％。3年间PPNG鉴定的总体准确率87％。结论通过规范化建设的性病实验室淋球菌鉴定能力逐年提高，但个别实验室存在试剂质量，操作技能，结果报告准确性和规范性等问题，有待进一步提高。     

关于医学物理学的发展与教育问题

本文介绍医学物理学的起源与定义,以及它和其它相近学科的关系.论述医学物理学对于促进自然科学的发展、国民经济的发展与社会的进步的重要作用.介绍国际上对医学物理学从业人员的要求和有关医学物理学的教育.并探讨了我国医学物理学发展与教育的有关问题.     

Behavioral Medicine in Hungary: Past,Present, and Future

Abstract

During the socialist period before 1989, training in behavioral medicine and behavioral science was not a priority in Hungary's medical schools despite the nation's long tradition of psychosomatic and behavioral medicine. In this article, the authors review the development of behavioral medicine and behavioral science in Hungarian medical schools and outline some of the problems and future challenges these departments face. The resistance of faculty members has influenced the acceptance of behavioral medicine and behavioral science courses, attitudes toward the acceptance of departments of behavioral science, and evaluations of the staff's scientific research. Although research is emphasized in these departments of behavioral medicine, closer integration of teaching, research, and health policy is necessary. The primary message of this approach is that modern physicians should see beyond molecular substances and perceive humans from a total biopsychosocial perspective.     

Intellectual Property in Medical Imaging and Informatics: The Independent Inventor’s Perspective

While innovation and new product development is traditionally thought of as the exclusive domain of industry and academia, a large number of innovations in medicine and information technology have come from independent inventors, which account for almost 30% of new patents issued in the U.S. today. A large number of economic, political, and legal challenges exist within the current marketplace that serves as relative impediments to independent invention. This article explores the existing challenges facing the independent inventor and offers a number of recommendations and resources to facilitate independent inventors in their quest for innovation and entrepreneurship. The concept of “outsourcing innovation” is discussed as an alternative to the existing model of industry sponsored research and development (R&D), with the goal of combining the unique attributes and strengths of independent inventors and industry sponsors.     

疫情背景下无接触医用机器人的应用与发展

该文对疫情背景下不同类型的无接触医用机器人进行了简单的梳理和分类,介绍了在疫情背景下应用机器人技术的优势,结合国内外应用现状,分析了各类医用机器人的关键技术,并对未来的发展方向提出了展望.     

我院医学物理学实验现状的调查与思考

通过调查，找出医学物理学实验教学中存在的问题，并提山了相应的改革思路。