稿约

一、《江苏卫生事业管理》杂志是由江苏省卫生厅主管的卫生事业管理的综合性刊物,主要反映我国卫生事业管理的成果和进展,以各级卫生行政、卫生事业管理、医院管理、卫生经济管理、卫生法学及卫生管理教学研究人员为主要读者对象。     

稿约

一、《江苏卫生事业管理》杂志是由江苏省卫生与计划生育委员会主管的卫生事业管理的综合性刊物，主要反映我国卫生事业管理的成果和进展，以各级卫生行政、卫生事业管理、医院管理、卫生经济管理、卫生法学工作者及卫生管理教学研究人员为主要读者对象。     

稿约

一、《江苏卫生事业管理》杂志是由江苏省卫生厅主管的卫生事业管理的综合性刊物,主要反映我国卫生事业管理的成果和进展,以各级卫生行政、卫生事业管理、医院管理、卫生经济管理、卫生法学及卫生管理教学研究人员为主要读者对象。二、本刊栏目设置密切联系卫生改革与发展的实际,主要栏目设有:专稿、专论、专题、院长论坛、卫生改     

医学院校卫生法学教学的现实困境及优化策略探讨

卫生法学作为医学人文学科的重要课程,在医学院校的课程体系中越来越受到重视。但由于我国卫生法学教育起步较晚,无论是课程的设置、教材的建设还是师资的培养都存在诸多问题。该研究从卫生法学教学的现状和问题入手,提出优化和改革策略,以期为高校的卫生法学教学提供依据。     

美国高校卫生管理教育的特点和模式

我国卫生事业管理教育已走过35年个春秋,但仍然处在探索和改革阶段。美国卫生管理教育已走过90个年头,已经形成较为成熟的模式。多样化和层次化是美国卫生管理教育的显著特点,也是我国卫生事业管理教育值得借鉴的地方。文章将美国的卫生管理教育概括为“4个3”模式,第一个“3”是指本科、硕士、博士三个办学层次,第二个“3”是指学术型、应用型、实用型三个培养模式;第三个“3”是指商学院、公共卫生学院、医学院三种办学模式,第四个“3”是指理论教学、实践教学、科研教学三个教育过程,为我国卫生事业管理教育提供参考。     

卫生事业与卫生服务性质刍议

自从卫生经济学在我国创建以来,卫生工作者和卫生经济理论工作者都很重视对卫生事业性质的探讨。卫生事业的性质是卫生经济学的基本理论问题,如何理解卫生事业的性质,关系到我国医疗卫生单位经营方针和卫生事业经济管理体制改革方向,具有重大的理论意义和实践意义。笔者认为,要探讨卫生事业的性质,应该把卫生事业与卫生服务区分开来,卫生事业的性质与卫生服务的性质既有区别又有联系。卫生事业是卫生部门所从事的事业和括动,为社会提供卫生服务。卫生服务是医疗卫生单位的医务人员通过自己的劳动为社会及患者     

《医药卫生法学》序言

随着医药卫生科技的飞速发展,卫生监测手段的不断更新,加强卫生立法,把党和国家发展卫生事业的方针、政策加以规范化、法律化,是推动卫生事业发展,搞好卫生事业管理的重要手段。《医药卫生法学》一书就是在加强卫生法制建设的大好形势下应运而生。它是一门新兴的学科,主要研究医药卫生法的制定、实施及其发展规律的科学。该书既是高等医药院校的好教材,又是各级卫生行政管理人员和广大医疗卫生战线职工阅读的重要参考书籍。我们期望通过《医药卫生法学》这本书的出版,能更好地促进我国卫生法制建设的发展。     

稿约

一、《江苏卫生事业管理》杂志是由江苏省卫生厅主管的卫生事业管理的综合性刊物,主要反映我国卫生事业管理的成果和进展,以各级卫生行政、卫生事业管理、医院管理、卫生经济管理及卫生管理教学研究人员为主要读者对象。     

在实践中建设高素质的卫生管理干部队伍

高度重视卫生管理人才的培养，造就一支适应卫生事业发展的职业化管理队伍是新时期加强卫生改革与发展的重要课题之一。要建设有中国特色的社会主义卫生事业，保证卫生工作为人民健康服务、为社会主义经济建设服务．需要建设一支高素质的卫生管理干部队伍，实践锻炼是建设高素质卫生管理干部队伍的重要环节。1加强卫生管理干部实践锻炼的重要意义年初，党中央、国务院下发了《关于卫生改革与发展的决定》，提出了新时期卫生工作的奋斗目标，总的要求是在本世纪末或下世纪初，初步建立和完善具有中国特色的卫生服务体系。要保证我国卫生事业…     

稿约

一、《江苏卫生事业管理》杂志是由江苏省卫生厅主管的卫生事业管理的综合性刊物，主要反映我国卫生事业管理的成果和进展，以各级卫生行政、卫生事业管理、医院管理、卫生经济管理及卫生管理教学研究人员为主要读者对象。     

Calcium intake in the elderly: validation of a dietary questionnaire

Epidemiological studies of calcium and osteoporosis have been hampered by the lack of a suitable tool for assessing calcium intake. This report describes a new frequency and amount questionnaire for measuring present and past calcium intake in the elderly. The validity of the questionnaire was tested against two commonly used standards of dietary assessment, five-day duplicate diets and seven-day weighed dietary inventories. The resulting correlation coefficients were, respectively, r = 0.76 and r = 0.69, while that for repeatability was r = 0.84. Furthermore, the questionnaire categorized subjects into thirds of the distribution of intake with almost no gross misclassification. It is suggested that the present findings may be extended to the majority of normal, healthy elderly subjects, implying wide application for the questionnaire in the assessment of calcium intake in the elderly.     

The occurrence of antimicrobial substances in toilet,sink and shower drainpipes of clinical units: A neglected source of antibiotic residues

Antibiotics represent one of the most important drug groups used in the management of bacterial infections in humans and animals. Due to the increasing problem of antibiotic resistance, assurance of the antibacterial effectiveness of these substances has moved into the focus of public health. The reduction in antibiotic residues in wastewater and the environment may play a decisive role in the development of increasing rates of antibiotic resistance. The present study examines the wastewater of 31 patient rooms of various German clinics for possible residues of antibiotics, as well as the wastewater of five private households as a reference.To the best of our knowledge, this study shows for the first time that in hospitals with high antibiotic consumption rates, residues of these drugs can be regularly detected in toilets, sink siphons and shower drains at concentrations ranging from 0.02?μg·L^?1 to a maximum of 79?mg·L^?1. After complete flushing of the wastewater siphons, antibiotics are no longer detectable, but after temporal stagnation, the concentration of the active substances in the water phases of respective siphons increases again, suggesting that antibiotics persist through the washing process in biofilms. This study demonstrates that clinical wastewater systems offer further possibilities for the optimization of antibiotic resistance surveillance.     

Self-reported health problems among Swedish miners one year after unemployment

Unemployment is considered to be a public health concern sincedeterioration in the health of the unemployed is often anticipated.However, for some groups, such as miners, unemployment mightimprove health due to a cessation of potentially harmful occupationalexposures. This study evaluates the health of 79 miners in oneSwedish iron-ore mine, and 226 age-matched controls from thegeneral population, during one year after the closure of themine. The participants received a questionnaire regarding medicalhistory and subjective symptoms at the beginning of the studyperiod, and after one year. Statistically significant negativeeffects on self-reported health attributable to unemploymentwere not found, although neuropsychiatric symptoms were morecommon among the unemployed miners. The miners reported a statisticallysignificant improvement in grip force (p=0.031). They had asignificantly higher prevalence of symptoms associated withmining related exposures when compared with the population controls;pain in the upper extremities [relative risk (RR)=2.27, 95%confidence interval (Cl)=1.44–3.59), back pain (RR=1.84;Cl=1.237–2.75), vasospastic disease of the fingers (RR=2.05;Cl=1.18–3.57) and obstructive respiratory symptoms (attacksof dyspnea and wheezing: RR=3.67; Cl=1.167–11.6).     

Excès de cas humains et animaux de tularémie en France au cours de l’hiver 2007–2008 : émergence ou phénomène isolé ?

Context

Tularemia is a zoonosis affecting humans and hares in France. We describe the results of surveillance in both species, in 2007 and 2008.

Methods

Human tularemia cases are mandatorily notifiable in France since 2003. In hares, surveillance relies on volunteer hunter associations in all districts of the country. Data from mandatory reports and volunteer surveillance in 2007/2008 were analyzed and compared with previous results.

Results

In 2007/2008, 144 cases were reported in humans and 117 cases in hares. This was a 100% increase compared to previous years. Human cases differed from those of previous years only by the frequency of contact with breeding animals. Human cases without any documented risk exposure were also more frequent.

Conclusion

An increase of tularemia cases occurred in 2007/2008 in both species. Complementary studies are needed to identify the species reservoir in France to understand the causes of this peak of cases.     

Occupational health hazards in mining: an overview

This review article outlines the physical, chemical, biological, ergonomic and psychosocial occupational health hazards of mining and associated metallurgical processes. Mining remains an important industrial sector in many parts of the world and although substantial progress has been made in the control of occupational health hazards, there remains room for further risk reduction. This applies particularly to traumatic injury hazards, ergonomic hazards and noise. Vigilance is also required to ensure exposures to coal dust and crystalline silica remain effectively controlled.     

Manufacture and use of nanomaterials: current status in the UK and global trends

This paper provides an overview of the production and use of nanomaterials (NMs), particularly in the UK. Currently, relatively few companies in the UK are identifiable as NM manufacturers, the main emphasis being the bulk markets in metals and metal oxides, and some niche markets such as carbon nanotubes and quantum dots. NM manufacturing in the UK does not reflect the global emphasis on fullerenes, nanotubes and fibres. Some assumptions have been made about the types of NM that are likely to be imported into the UK, which currently include fullerenes, modified fullerenes and other carbon-based NMs including nanotubes. Many university departments, spin-offs and private companies have developed processes for the manufacture of NMs but may only be producing small quantities for research and development (R&D) purposes. However, some have the potential to scale up to produce large quantities. The nanotechnology industry in the UK has strong R&D backup from universities and related institutions. This review has covered R&D trends at such institutions, and appropriate information has been added to a searchable database. While several companies are including NMs in their products, only a few (e.g. manufacturers of paints, coatings, cosmetics, catalysts, polymer composites) are using nanoparticles (NPs) in any significant quantities. However, this situation is likely to change rapidly. There is a need to collect more information about exposure to NPs in both manufacturing and user scenarios. As the market grows, and as manufacturers switch from the micro- to the nanoscale, the potential for exposure will increase. More research is required to quantify any risks to workers and consumers.     

深圳公立医院管理体制改革制度设计

深圳公立医院管理体制改革实行政事分开、管办分开,在理事会架构下按法定机构模式组建市医管中心,落实公立医院运营管理自主权.作者从当前公立医院管理体制的弊端入手,介绍了深圳市进行公立医院管理体制改革的基本思路及改革方案设计的主要举措,深入剖析了的改革方案的特点,并对改革效果进行了预测.     

Effects of nitrogen dioxide on red blood cells of rats: Changes in components of red cell membranes during in vivo exposure to NO2

Red cell membranes, prepared from red blood cells of rats exposed to 4, 10, or 20 ppm nitrogen dioxide (NO₂) for 1 to 10 days, were examined for evidence of changes in membrane components. Appreciable changes were not found in contents of phospholipid and cholesterol during exposure to 10 ppm NO₂. By contrast, protein content altered with the time of exposure. Moreover, changes in protein composition were observed by employing sodium dodecyl sulfate — polyacrylamide gel electrophoresis. Twenty-four-hour exposure to NO₂ at the concentration above 10 ppm resulted in a marked increase in the percentage of lysophosphatidylethanolamine (LysoPE) to the total phospholipids. The prolonged exposure to 10 ppm NO₂ gave rise to a further increase in LysoPE, whereas the percentage of phosphatidylethanolamine (PE) showed a gradual decrease. A 1-day exposure to 4.0 ppm NO₂ also caused an increase in sialic acid content and decreases in those of PE and hexose. In addition to contents of these components the percentage of LysoPE increased 5 days after exposure and the elevated values were maintained up to the end of exposure period. These results demonstrate that red blood cells in circulation exhibit different membrane properties in terms of lipid and carbohydrate composition during 10 days of exposure to 4.0 ppm NO₂.     

Investigating clusters in the workplace and beyond

Clusters of disease are common and occur in the workplace and in the general community. They often arouse considerable concern among the population. Investigations have sometimes lead to exciting new knowledge, but in general the investigation of clusters is difficult and often unrewarding, especially for community clusters. In the workplace, investigations are more likely to find associations and even new causes, but still many clusters remain enigmatic. Despite this, there are many reasons for investigating clusters, including allaying community concern and identifying uncontrolled exposures. A structure for investigating clusters in the workplace is suggested.