北京市昌平区人群布鲁氏菌病调查研究

目的：加强人畜共患病的监测与预防,通过调查昌平区重点人群布鲁氏菌病感染状况,探讨昌平区布鲁氏菌病防治对策。方法：依照《布鲁氏菌病监测标准》（GB16885-1997）内容,制定监测方法与评价方法。结果：对昌平区572名重点人群布鲁氏菌病血清学监测结果显示：检查率为48.72%,以个体养殖户的检查率较低（36.05%）,本次共检测出2例血清学阳性病例,阳性率为0.35%。结论：加强昌平区布鲁氏菌病的防治工作,并与畜检部门协作是防治人畜共患布鲁氏菌病的主要措施。     

The patient's experience of being a human subject

OBJECTIVE: To explore the patient's experience of clinical research with a view to improving its conduct. DESIGN: Qualitative analysis of focus groups, semi-structured telephone interviews and questionnaires undertaken with subjects of clinical research. SUBJECTS: 265 patients enrolled in two therapeutic and four non-therapeutic clinical studies were invited to take part. 95 agreed; 32 took part in focus groups, 34 in telephone interviews and 29 returned a questionnaire. Response rate (36%). RESULTS: Most patients are channeled into research by the health care professionals treating them. Benefits of taking part were seen as: extra care; increased surveillance; obtaining expert information; and being able to help others. Participants also had criticisms which included lack of information about research findings, problems in making sense of adverse events, insufficient attention to their comfort and 'unscientific' aspects of particular studies. CONCLUSION: Participation in clinical research is not entirely altruistic. Patients expected reciprocity in their on-going relationship with the researcher. Therefore to help ensure that patients continue to support clinical research, we suggest that: time should be allowed for providing information; greater attention should be paid to physical comfort; opportunities should be provided for involvement in research design, in the excitement of research and for giving feedback on the findings; and contact between patients taking part in the same study should be facilitated. By investing in the idea of scientific progress through research, some subjects are able to transform their suffering into hope for the future.     

核事件对人类健康的影响及医学应急

核电站已成为解决能源问题的重要途径之一,但核事件的发生则会给人类带来深重灾难,如何针对核事件的危害而采取有效预防和应急,已成为全球发展面临的重要公共卫生问题.本文将从世界重大核事件的回顾、核事件对人类健康的影响,以及核事件的医学应急和公众防护方面进行综述.     

用"以人为本"的理念实现科研管理的创新

"以人为本"是全新的管理理念,根据科研管理的特点,科研管理的创新需要管理人员转变观念,变管理为服务,增强服务意识;从医院的管理实际出发,实事求是,坚持"以人为本",搞好科研队伍的建设;要提高科研管理人员自身的素质,这样才能适应知识经济时代的需要.     

Perception of humanized care from the perspective of diabetic human being

The present work aimed at identifying the understanding of the diabetic human being to about the care received by the nursing team and the understanding about delivered care related to the treatment. Methodology was based on qualitative approach based on the theoretical referencial of Trentini and Paim--Care Convergent Research. The results directed to three categories: The care as expression of affection; the care delivered by the nursing team for the diabetic client; the care idealized in the perspective of the diabetic client. This study launches a possibility of reflection in order to motivate new positions as well as new horizons to propitiate a more collective and human rethinking.