有“品”才能有“牌”

针对央视《每周质量报告》报道的修正药业羚羊感冒胶囊使用空心胶囊"铬"超标一事,修正药业发表声明称,胶囊来自正规企业,目前正在配合国家相关机构进行复检,并保留依法追究相关供应商责任的权利。此公告无疑是意欲推卸责任,可事情没完,另外两个品种芬布芬胶囊和酚咖麻敏胶囊     

医疗机构产权制度改革实践及探索

一、产权制度改革是公立医疗机构实现体制创新的现实选择　　1、从理论上考虑　　长期以来,不少人往往把所有权和产权等同起来,从而把医疗机构产权制度改革理解为私有化,一直在“公”、“私”问题上徘徊,被单一的公有产权制度禁锢着思路,根本谈不上体制的创新。其实,所有权和产权是两个既相关系,又有区别的概念。(1)所有权是国家通过法律形式确认财产所有人对其财产的占有权利,是财产最终归属关系的法律制度。在所有制与所有权并存的条件下,所有制是所有权的经济基础,属于经济范畴,所有权是所有制的法律形式,属于上层建筑。(2)在历史上,…     

54例中药滴注灌肠治疗溃疡性结肠炎的临床应用与护理

目的探讨中药汤剂滴注式保留灌肠法对溃疡性结肠炎的治疗护理效果。方法对54例溃疡性结肠炎住院病人应用自制"灌肠1号"汤剂采用滴注式灌肠法保留灌肠,同时对病人进行心理、饮食等调护。结果 54例溃疡性结肠炎病人中药汤剂滴注式保留灌肠法治疗总有效率98%以上,临床治愈24例(44.4%),有效29例(53.7%),无效1例(1.9%)。结论中药汤剂滴注式保留灌肠,药物直达患处,方法简捷,患者容易接受,延长了保留时间,同时配合饮食、心理等护理,提高了溃疡性结肠炎病人的治疗护理效果。     

郑重声明

《华西药学杂志》编辑部未与任何单位或个人签署版面合作及论文代理发表协议,凡是以《华西药学杂志》期刊及编辑部的名义进行的版面合作及论文代理发表等非法活动,均严重侵害了四川大学《华西药学杂志》的合法权益,我们将保留对其采取法律行动的权利,特此郑重声明。     

国家、集体和公民个人所有权立法新论

对国家所有权、集体所有权、公民个人所有权 ,梁慧星先生负责的中国物权法草案建议稿作了过分淡薄的处理 ,而王利民教授主编的中国物权法草案建议稿和全国人大常委会法制工作委员会起草的中华人民共和国物权法征求意见稿则专章专节地分别予以规定。在此问题上 ,应采俄罗斯民法典的立法例 ,在所有权通则部分进行简明扼要的规定 ,切忌照搬计划经济时期的旧原则。     

内寮村的“食伙头”初探

内寮村的"食伙头"是当地人们所普遍称颂的一种老人的赡养方式,但随着传统的老人经济权利及其地位的丧失,农村家庭媳妇权利的增长以及传统舆论压力的不复存在,"食伙头"制度并没有从根本上解决保障老人的赡养问题。对老人赡养问题进行分析与讨论有助于对这一问题的解决。     

郑重声明

《华西药学杂志》编辑部未与任何单位或个人签署版面合作及论文代理发表协议,凡是以《华西药学杂志》期刊及编辑部的名义进行的版面合作及论文代理发表等非法活动,均严重侵害了四川大学《华西药学杂志》的合法权益,我们将保留对其采取法律行动的权利。特此郑重声明!希望广大作者、读者不要轻易相信网络宣传及非编辑部的网页、邮箱和电话,切勿上当受骗。     

郑重声明

《华西药学杂志》编辑部未与任何单位或个人签署版面合作及论文代理发表协议,凡是以《华西药学杂志》期刊及编辑部的名义进行的版面合作及论文代理发表等非法活动,均严重侵害了四川大学《华西药学杂志》的合法权益,我们将保留对其采取法律行动的权利。特此郑重声明!希望广大作者、读者不要轻易相信网络宣传及非编辑部的网页、邮箱和电话,切勿上当受骗。     

关于对冒用本刊名义进行非法评选活动的郑重声明

近期有人冒用本刊名义以电话、短信、微信等方式与作者联系,进行优秀论文评选并赠送证书活动。本刊为此郑重声明如下:本刊从未委托任何机构和个人以临床合理用药杂志社名义进行优秀论文评选并赠送证书活动,任何以本刊名义进行上述活动均属非法行为,本刊将严厉查处并保留追究其法律责任的权利。     

关于对冒用本刊名义进行非法评选活动的郑重声明

近期有人冒用本刊名义以电话、短信、微信等方式与作者联系,进行优秀论文评选并赠送证书活动。本刊为此郑重声明如下:本刊从未委托任何机构和个人以临床合理用药杂志社名义进行优秀论文评选并赠送证书活动,任何以本刊名义进行上述活动均属非法行为,本刊将严厉查处并保留追究其法律责任的权利。     

The ownership elephant: ownership and community-governance in primary care

Ownership of primary care is an often neglected but important health systems design parameter. The New Zealand Primary Health Care Strategy has established Primary Health Organisations (PHOs) as non-profit umbrella organisations, however in most instances their constituent general practices are for-profit small businesses. This viewpoint paper aims to: (a) define ownership and community participation; (b) summarise some of the evidence from the NatMedCa study pertaining to ownership-related differences; and (c) discuss the policy implications of different ownership forms in primary care, and the implications of merging different ownership forms under the umbrella of PHOs. Ownership confers governance responsibility (ultimate control) for an organisation, and accountability for its actions. Community governance involves vesting overall control of resources in users and the community, rather than with health service managers or health professionals. Results from three studies using the NatMedCa survey indicate that community-governed non-profits in New Zealand differ in a number of respects from their for-profit counterparts. As non-profit and for-profit ownership forms have different social roles, and as meaningful community participation in governance is determined in large part by ownership structures, there is a need for ownership frameworks to be used more widely in health policy making. Because of the ownership boundary that exists between non-profit community-governed PHOs and their constituent for-profit general practices PHOs may have little real ability to effectively govern their practices.     

Drinking attitudes and practices among Wind River Reservation Indian youth.

The attitudes toward drinking of a cohort of 7th- and 8th-grade American Indians, mostly Arapahoe and Shoshone, living on Wyoming's Wing River Reservation were studied. The data suggest that these adolescents and their peers both approve of drinking and do drink even though they can get into trouble for illegal alcohol use.     

五年制高职药学专业课程设置初探

课程是学校教育的核心，课程设置是否得当，关系到学生素质的高低和学校办学的声誉。根据教育部关于制订高职教学计划原则意见，结合本校办学经验，阐述了课程设置的基本思路和主要原则，旨在试图构建科学合理、切实可行的课程设置体系。     

Towards the integration of treatment systems for substance abusers: report on the second International Symposium on Substance Abuse Treatment and Special Target Groups

The central ideas of this article are the result of intensive discussions during a symposium that was organized following structural changes in European substance abuse treatment. Therapeutic communities were concerned about their approach being replaced by other treatment modalities. Participants focused on the question of whether the emerging harm reduction paradigm could be combined with the principle of recovery and how its integration in a comprehensive treatment system could be beneficial or detrimental to therapeutic communities. This article defines integrated treatment systems for substance abusers from a conceptual, etymological, ethical and ideological point of view. In addition, it focuses on old but ongoing contradictions and discussions between drug-free, methadone-maintenance and harm reduction approaches. Several prerequisites for the integration of treatment systems are discussed, and parallels and discrepancies between the American and European situation are explored. An integrated and comprehensive system of treatment services is put forward as an alternative to the present-day gap between conventional abstinence-oriented programs and harm reduction initiatives. Participants maintain that collaboration between these apparently incompatible treatment paradigms will depend on mutual respect, the introduction of a common language and a thorough analysis of clients' treatment demands.     

Slightly New Strokes for Different Folks: A National Overview of Nonopiate Treatment Facilities

Abstract

The central ideas of this article are the result of intensive discussions during a symposium that was organized following structural changes in European substance abuse treatment. Therapeutic communities were concerned about their approach being replaced by other treatment modalities. Participants focused on the question of whether the emerging harm reduction paradigm could be combined with the principle of recovery and how its integration in a comprehensive treatment system could be beneficial or detrimental to therapeutic communities. This article defines integrated treatment systems for substance abusers from a conceptual, etymological, ethical and ideological point of view. In addition, it focuses on old but ongoing contradictions and discussions between drug-free, methadone-maintenance and harm reduction approaches. Several prerequisites for the integration of treatment systems are discussed, and parallels and discrepancies between the American and European situation are explored. An integrated and comprehensive system of treatment services is put forward as an alternative to the present-day gap between conventional abstinence-oriented programs and harm reduction initiatives. Participants maintain that collaboration between these apparently incompatible treatment paradigms will depend on mutual respect, the introduction of a common language and a thorough analysis of clients' treatment demands.     

外伤性脾破裂64例临床分析

目的探讨外伤性脾破裂的临床诊治。方法对64例外伤性脾破裂进行回顾性总结。结果手术治疗59例,其中脾修补术12例,脾切除后脾片自体移植术28例,脾切除术19例,非手术治疗5例。治愈63例,死亡1例。结论外伤性脾破裂治疗以手术为主,并且积极选择保脾术。     

Alcohol and Drug Prevention Among American Indian Families: The Family Circles Program

SUMMARY

The goal of the Family Circles Program was the prevention or reduction of alcohol and drug abuse among American Indian High Risk Youth on the Lac du Flambeau Indian Reservation through cultural enhancement of their family systems. The project was targeted toward families of high risk youth, ranging from four to eighteen years of age. A family systems approach was utilized involving the entire family, children, adolescents, parents, and grandparents. A culturally-oriented curriculum was developed which emphasized American Indian values, beliefs, and practices, relating them to contemporary life. Factors which positively impacted the implementation of the Family Circles Program included the development of interagency linkages, the retention of staff committed to the program philosophy, and the evolution of the project into a comprehensive and holistic system of services for the entire community.     

A systematic review and meta-analysis of the prevalence of take-home naloxone (THN) ownership and carriage

BackgroundDrug-related deaths globally are increasing year on year, with the largest proportion of these being opioid-related. The opioid antagonist naloxone distributed for take-home use (‘Take-Home Naloxone (THN)’) has been championed as one method of tackling this public health crisis, however to be effective it must be available at an opioid overdose. Ownership and carriage are therefore fundamental to THN success. This study aimed to assess the prevalence of ownership and carriage of THN internationally among people who use drugs (PWUD).MethodsNHS Scotland Journals, AMED, EMBASE, HMIC, MEDLINE, PsycINFO, CINAHL Complete, PubMed, Cochrane Library, PROSPERO and grey literature were searched for articles which measured prevalence of THN ownership or carriage between 1996 and 2020. Ownership was defined as report of a personal supply of THN. Carriage was defined as the participant carrying THN on their person at time of data collection or reporting a frequency of how often they carry THN. Risk of bias was evaluated using the Joanna Briggs Checklist for Prevalence Studies.ResultsSystematic search yielded 6363 papers, with ten eligible papers identified. Eight articles were included in ownership prevalence and five articles included for carriage prevalence, with an overlap of three studies between both measures. Pooled prevalence indicated moderate ownership levels (57%, CI 47-67%) but lower carriage levels (20%, CI 12-31%). Analysis was complicated by the limited number of available studies and lack of standardised terminology and measurement.ConclusionUnderstanding naloxone ownership and carriage globally is hampered by limited evidence and heterogeneity across studies. From the available data, prevalence of THN carriage overall appears low, despite moderate ownership. Given the variation across studies, future research should seek to utilise more standardised terminology and methods of measurement. Furthermore, services distributing THN must ensure the importance of regular carriage of naloxone is consistently emphasised.     

Genetic ecotoxicology I: DNA integrity and reproduction in mosquitofish exposed in situ to radionuclides

Female mosquitofish (Gambusia affinis) were collected from two sites located on the US Department of Energy's Oak Ridge Reservation that are contaminated with 137Cs, 90Sr, other radionuclides and chemical genotoxicants. Fish from non- radionuclide contaminated environments located off the reservation were also collected. DNA, extracted from liver tissue and blood cells, was examined by gel electrophoresis for structural damage in the form of strand breakage. In general, the level of DNA strand breaks was elevated in fish from radionuclide-contaminated sites with observed differences in the number and type of strand breaks between liver tissue and blood cells. The number of malformed embryos was higher in fish at the contaminated sites, and varied with season. Fecundity was negatively correlated with the level of double strand breaks in the DNA of fish from one contaminated site. Females with broods that included malformed embryos had more DNA strand breakage than those that did not; and furthermore, a threshold effect was observed between the occurrence of malformed embryos and the presence of double strand breaks in the DNA of the mother. These findings have implications for both ecological risk assessment and evolutionary ecology     

对临床检验危机值自动报警系统的研究与应用简

本文介绍了某医院自行研发临床检验危机值自动报警系统,包括系统模块组成、功能、工作原理,以及智能报警系统的优势和应用效果.应用危机值智能报警系统,有效减少医务人员在危机值报告过程中人为差错和工作量,提高了报警速度和准确率.