坚定信心 突破难点 紧紧围绕《儿童纲要》目标努力奋斗

在全国妇女儿童工作会议上,吴仪国务委员和彭云副委员长的重要报告,使我们提高了认识,明确了方向,增强了信心。吴仪国务委员和国务院妇儿工委的领导及有关部门,为促进两个纲要在贫困地区的实施,特别是降低孕产妇死亡率和消除新生儿破伤风,落实了专项经费,更增强...     

县级妇幼保健机构实施妇女儿童发展纲要的做法与效果

上世纪90年代以来,我县各级卫生部门认真贯彻实施《福建省90年代儿童工作发展纲要》和《福建省妇女发展纲要》,为努力提高医疗保健服务水平和服务质量做了大量工作,也取得较好成绩,我们的做法介绍给同仁参考。1组织和实施1.1强化领导意识把贯彻实施“纲要”的重大意义及分阶段做法及要求对卫生机构领导层层布置,重点加强卫生机构及队伍的规范建设,以推广爱婴行动为契机,从依法规范妇女、儿童保健服务着手,加强妇女儿童常见病的防治与控制,强化农村初级保健,积极参与改善妇女儿童生存和发展环境,努力提高妇女儿童健康水平。1.2依法办事县卫生…     

为我国学术期刊早日实现国际化而奋斗

为促进我国学术期刊早日走向世界,实现国际化,首先找出我国学术期刊与国际性科技期刊的主要差距及当前我国学术期刊存在的主要问题,并提出要采取的主要对策。我国应加快科学技术的发展,这是学术水平和科技期刊水平提高和发展所依托的生命源泉。科技期刊要通过发表高水平学术论文,传播最新科学信息,促进科学技术进步和发展,为科学技术服务。同时在实现编辑规范化、组建老中青相结合具有学术权威性编委会等方面,要与国际接轨。注意调整我国科技期刊政策的导向,以利于优先重点发展一批国际化期刊,并进一步促进我国科技期刊整体水平的提高。还应通过培养造就一支具有创新精神和综合型能力的高素质编辑队伍,应用现代化编辑手段和管理措施。     

提高理论素养为实现人人享有卫生保健而奋斗

中国初级卫生保健杂志创刊百期,我做为一名初级卫生保健工作者和杂志的长期的忠实读者,谨向杂志创刊百期表示衷心的祝贺。 众所周知,“2000年人人享有卫生保健”是世界卫生组织提出的全球性战略目标,中国政府对如期在中国实现这一目标多次做出庄严承诺。为此,卫生部、国家计划委员会、在业部、国家环保局、全国爱卫会于     

抓住重点突破难点：努力开创农村卫生工作新局面

普兰店市有7所县级医院,25所乡镇卫生院,329个村卫生所,承担81.6万人口的医疗预防保健任务。1992年以来,经济体制的转变给农村卫生工作带来了新的困难和挑战。特别是乡镇卫生院补偿不足,管理不善,造成亏损单位逐年增加,亏损额度不断加大。到1995年亏损15个,占卫生院总数的60%,4年累计亏损80多万元,个别卫生院濒临倒闭,农村卫生工作举步维艰。为找到扭亏对策,1996年以来,我们积极探索在市场经济条件下乡镇卫生院新的经营机制。始终围绕建设一流班子,造就一流队伍,争创一流服务,争夺一流效益的工作目标,把农村卫生工作的重点放在抓深化改革、…     

为实现“全球消除矽肺国际规划”而奋斗

在１９９８年５月召开的第六次全国劳动卫生与职业病学术会议上，邹昌淇副主任委员介绍了１９９５年４月ＩＬＯ／ＷＨＯ联合提出“全球消除矽肺国际规划”。该规划号召世界各国积极行动起来，与这种可预防的疾病作斗争。在报告中他还介绍了我国向ＩＬＯ／ＷＨＯ建议采取的...     

为实现2000年人人享有卫生保健的宏伟目标而奋斗

我刊由《乡村医学》更名为《中国初级卫生保健》已经一年了。我们向全国各地的广大读者、作者、编委和有关领导致以亲切的问候,感谢你们对本刊的关心、支持和指导。一年来,我们矢志不渝地坚持了“积极推进我国的初级卫生保健,为实现2000年人人享有卫生保健而奋斗”这一办刊宗旨。紧紧围绕着世界卫生组织提出的初级卫生保健的八项任务,组织报道内容。在办刊过程中,我们突出了文稿的科学性、适宜性、先进性,注重初级卫生保健理论的研究,希冀广大读者从中吸取新的思想、新的信息、开阔视野、更新概念,把工作的重点转向做好初级卫生保健工作上来。一年来,《中国初级卫生保健》杂志经受了严峻的考验,她同广大读者一起,在思考、探索中不断前进。举世瞩目的党的十三次全国代表大会确定了在社会主义初级阶段,建设有中国特色     

龙岩市妇幼卫生年报与"两纲"评估情况

目的通过年报资料及“两纲”评估情况分析,寻求制定行之有效的干预措施。方法对龙岩市2000-2005年妇幼卫生年报资料及“两纲”评估情况进行分析。结果婚前医学检查率严重下降,孕产妇死亡率问题日益突出,农村基层妇幼保健网络不健全,无市级妇幼保健机构。结论该市应建立健全妇幼保健网络及管理体系,早日开展政府补贴免费强制婚检工作,努力完成“两纲”目标。     

履行项目承诺 促进“两纲”目标落实

“降低孕产妇死亡率和消除新生儿破伤风”项目 (“降消”项目 )实施一年半时间 ,初见成效。“降消”项目工作思路清晰 ,启动快 ,可操作性强 ,影响大 ,带动范围广 ,注重对供方的支持和对需方的救助。这个项目只剩半年时间 ,还存在一些困难和问题。因此 ,要增强实现项目目标的紧迫感 ,进一步加强领导 ;加大督查力度 ,及时解决项目实施中的困难与问题 ;深入进行技术培训和健康教育工作 ,发挥急救“绿色通道”的作用 ;巩固和发展项目成果 ,坚持不懈地抓好“降消”工作 ,带动农村的妇幼卫生工作。     

Medical Women and Social Reform-A History of the New York Infirmary for Women and Children

No abstract available for this article.     

临床药学在农村医疗机构执行难的重点、难点和对策

目的 探讨临床药学服务在农村执行现状和遇到的问题,并寻找相应应对措施,保障临床药学服务在农村医疗机构的正常开展.方法 回顾性分析近年来我院开展临床药学服务以来的取得的成绩和遇到的困难,总结执行经验.结果 基层药学服务人员配置不足、业务水平不高,监管困难和不良利益驱动是临床药学服务在农村开展中的主要困难.结论 强化政策监管,结合农村医疗机构实际,积极培养基层药学服务人员,提高其业务素质,杜绝不正当利益驱动是保证药学服务在农村医疗机构顺利执行的有效保障.     

Factors Involved in the Persistence of Overweight among Children Enrolled in the Supplemental Food Program for Women,Infants, and Children

Objective To investigate differences between children ages 2 and 5 years enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in Texas whose overweight persisted and those whose overweight resolved. Methods The study involved administration of a survey to a randomly selected stratified sample of parents and guardians of WIC children residing in the 11 public health regions in Texas. Subjects volunteered to complete the survey during a scheduled WIC appointment. A total of 445 surveys were completed, 206 by parents/guardians of children classified as having persistent overweight, and 239 by those with children classified as having non-persistent overweight. Results and Conclusions A higher percentage of children in the non-persistent group were male, younger, white, consumed more dairy products, had a mother living in the household, and a family member who participated in physical activity with the child. A higher percentage of parents of children in the persistent group reported that they had been told their child was overweight and received information about overweight in children from the WIC staff. A higher percentage also felt their child was overweight, that their child’s weight could be improved, that their child’s weight did not improve in the last year and were concerned about their child’s weight. This study identified several variables associated with overweight persistence. WIC personnel and other public health educators can utilize these findings to identify overweight children who are at higher risk for non-improvement and to plan more effective intervention strategies for the population studied.     

加强妇幼保健机构建设 完善妇幼卫生服务体系

随着我国妇女和儿童的卫生服务需求快速增长，妇幼保健机构承担的公共卫生服务更加繁重和艰巨，妇幼保健机构建设远远跟不上日益繁重的公共卫生服务职能要求。文章通过分析妇幼保健机构现存的主要问题，提出加强妇幼保健机构和妇幼卫生服务体系建设的政策建议。     

面向社区 走进家庭 全面提高妇女儿童整体健康水平

1996年澄城县被陕西省确定为“社区与家庭健康促进”项目县。项目实施3年来,该县各级政府和有关部门对妇幼卫生事业高度重视,齐抓共管,加强领导,突出重点,制定相应的干预措施,拓宽妇幼卫生工作领域,较好地完成了项目工作阶段任务,带动了全县妇幼卫生事业的全面发展。     

Early Autism Spectrum Disorders in Children Born to Fertile,Subfertile, and ART-Treated Women

Introduction

We examined the prevalence of autism spectrum disorders (ASDs) in Massachusetts (MA) comparing children born via assisted reproductive technology (ART) and children born to women with indicators of subfertility but no ART (Subfertile), to children born to women with neither ART nor indicators of subfertility (Fertile). We assessed the direct, indirect, and total effects of ART and subfertility on ASD among singletons.

Methods

This study included 10,147 ART, 8072 Subfertile and 441,898 Fertile MA resident births from the MA Outcome Study of ART (MOSART) database linked with Early Intervention program participation data. ART included fresh in vitro fertilization (IVF), fresh intracytoplasmic sperm injection (ICSI), and frozen embryo transfer. We estimated the prevalence of ASD by fertility group. We used logistic regression to assess the natural direct effect (NDE), natural indirect effect (NIE) through preterm birth, and total effects of each fertility group on ASD.

Results

The NDE indicated that, compared to the Fertile group, the odds of ASD were not statistically higher in the ART (OR_NDE 1.07; 95% CI 0.88–1.30), Subfertile (OR_NDE 1.11; 95% CI 0.89–1.38), IVF (OR_NDE 0.91; 95% CI 0.68–1.22), or ICSI (OR_NDE 1.13; 95% CI 0.84–1.51) groups, even if the rate of preterm birth was the same across all groups. The total effect (product of NDE and NIE) was not significant for ART (OR_{Total Effect} 1.08; 95% CI 0.89–1.30), Subfertile (OR_{Total Effect} 1.11; 95% CI 0.89–1.38), IVF (OR_{Total Effect} 0.92; 95% CI 0.69–1.23), or ICSI (OR_{Total Effect} 1.13; 95% CI 0.84–1.52).

Conclusion

Compared to children born to Fertile women, children born to ART, ICSI, or IVF, or Subfertile women are not at increased risk of receiving an ASD diagnosis.