加强专业技术职务评聘工作中的思想政治工作

我院在实施、完善专业技术职务聘任制过程中，建立健全了一整套科学、合理的职称管理体制，增强了专业技术人员的竞争意识，调动了其积极性，促进了优秀人才的脱颖而出，从而打破了事业单位专业技术职称长期处于终身制、大锅饭、铁饭碗、干好干坏一个样等弊端，形成了人员能进能出、职务能上能下、待遇能高能低的新格局，促进了医院医疗、教学、科研整体水平的提升。     

142例门诊观察室患者的健康教育

目的 通过对142例门诊观察室患者的健康教育,使患者了解了所患疾病的病因、临床表现、发展、转归、治疗及一系列的康复保健知识,增强了患者预防疾病的能力,改变了不良习惯,增强了治愈疾病的信心,减少了医患纠纷,提高了护理质量。方法通过讲解、观看、宣传、教育等方法,对笔者所在医院142例门诊留观患者进行健康教育。结果提高了患者医疗保健知识和自我保护能力,减少了疾病的复发率,缩短了留观天数,促进了患者康复,同时也增强了护士责任心,密切了护患关系。提高了患者医疗保健知识和自我保护能力,减少了疾病的复发频率,缩短了留观天数,促进了患者康复,同时也增强了护士责任心,密切了护患关系。结论系统的健康教育手段,使门诊患者的护理工作由单纯的诊断、治疗服务向预防、治疗、护理、康复、保健的服务功能转变,通过向患者作健康宣教的形式,拉近了与患者之间的距离,改善了护患关系,使患者的满意度明显提高。     

让农民少生病,看得上病,看得起病,看得好病--安徽省政府召开全省农村卫生工作会议

安徽省政府于 2 0 0 3年 7月 8- 10日在合肥召开了全省农村卫生工作会议。各市政府分管卫生工作的副市长 ,市卫生、计划、财政、农业、教育等部门的主要负责同志 ,各县 (包括县级市、36个“市辖区”)政府的分管县 (市、区 )长和卫生局局长参加了这次会议。省委张平副书记到会作了重要讲话 ,省政府蒋作君副省长作了工作报告。会上安排省卫生厅、省计划委员会、省财政厅、省农业厅、省教育厅等部门作了发言 ,围绕各自的职责 ,提出了目标任务和工作思路。会议安排了肥西县、宁国市、和县等作了经验交流 ,合肥市、安庆市、宣城市介绍了农村卫生…     

试论医疗设备综合管理

我们就当前医院设备的综合管理进行了论述，详细阐明了设备购置、验收、安装调试、使用、维护、检修、更新及基础管理的内容、做法。提出了一些衡量指标，指出了医疗设备的更新原则。     

河南省主要食物中的化学元素

本文使用AAS法、Rf和SP法测定了河南100种重物中的K、Na、Ca、P、Cu、zn、Fe、Se八种元素。测定结果为全国制定食物营养成分表提供了科学数据,给出了河南各类食物中八种元素的含量水平,找出了每种化学元素含量较高和较低的食物,得出了河南人体内缺Se、Ca的结论。此项研究为人们调节食物结构提供了参考。     

用科学发展观统一思想大力促进医德医风建设

科学发展观是指导发展的世界观和方法论的集中体现,它正确回答了“为何发展”、“为谁发展”、“怎样发展”、“靠谁发展”的问题,明确了医疗卫生事业的发展方向、发展目的、发展道路和发展力量,为促进医德医风建设赋予了新的历史任务、提出了新的内涵要求、提供了新的工作视角、增强了新的行动活力。     

综合性医院开展特色技术管理的实践

介绍了我院近年来特色技术、新技术开展的选题申报、论证立项、过程监控、总结激励和自我发展的规范化、科学化管理方法。及取得的成效。此法保证了技术开展的先进性和高质量，调动了医务人员的积极性和创造性，强化了科室的学科优势，促进了新的技术特色形成，实现了社会、技术和经济效益的最佳结合。     

河南省主要食物中八种元素含量的分析研究

本文使用AAS法、Rf和SP法测定了河南100种食物中的钾、钠、钙、磷、铜、锌、铁、硒八种元素,测定结果为全国制定食物营养成分表提供了科学数据,给出了河南各类食物中的八种元素的含量水平。找出了每种化学元素含量较高和较低的食物。估算出了河南人体内缺硒、钙的结论,通过此研究还为人们调节食物结构提供了参考。     

春来天暖活筋骨 动静结合益延年

正春天来了,枯藤老树重新伸出了胳膊,百鸟伸长了脖颈,睡了一冬的胖熊也伸开了懒腰,水中的野鸭子已经畅快地游泳了。在屋里憋了一冬的人也开始户外活动了。筋是人体的重要组成部分。周身除了骨头,软的部分都属于筋的范畴,相当于西医所说的"软组织"。中医认为人身共有485道大筋,包括肌肉、肌腱、韧带、筋膜、腱鞘、滑囊、关节囊、神经和血管,还有关节软骨、关节盂缘等。我们     

中医院文化建设的探索

近年来,南京市中医院借助博大精深的中医文化传统,融入新时代的特色要求,形成了以“中医文化、和谐文化、服务文化、廉政文化、安全文化、品牌文化”为核心的六大医院文化体系。充分发挥了医院文化的引导、凝聚、激励、规范和塑造作用,为打造和谐医院奠定了坚实的思想基础,为医院发展注入了活力,积累了资源,促进了奋斗目标的实现。     

肥胖对中小学生生理机能与常见疾病的影响

目的 使用2009年、2012年、2015年3个年份的样本量来分析重庆地区在2009—2015年间的肥胖检出情况、肥胖对学生的身体机能和常见疾病的影响情况,为改善学生生理机能、降低相关疾病寻找依据和方法。方法 通过分析2009年、2012年、2015年重庆市学生体质健康监测的累加数据,观察肥胖对学生血压、肺活量、肺活量指数、视力等身体机能的影响以及对近视、龋齿等常见疾病的影响。结果 2009年、2012年、2015年学生累计样本数为202 235人,体质量指数为肥胖的学生9 529人,肥胖率为4.71%,其中男生肥胖率为5.79%,女生肥胖率为3.73%,男生肥胖率高于女生,差异有统计学意义(χ2=473.66,P<0.01);城市学生肥胖率为5.88%,乡村学生肥胖率为3.66%,城市学生肥胖率高于乡村学生,差异有统计学意义(χ2=551.30,P<0.01)。在生理功能方面,非肥胖组学生右眼视力、左眼视力、收缩压、舒张压、肺活量、肺活量指数均优于肥胖组学生,差异有统计学意义(P<0.01)。肥胖组学生龋失补总牙数均值与非肥胖组学生比较,差值为-0.22颗/人,差异有统计学意义(t=-16.31,P<0.01);肥胖组与非肥胖组的龋齿检出率分别为13.43%和20.54%,差异有统计学意义(χ2=113.34,P<0.01);肥胖组近视检出率右眼左眼分别为57.45%、 57.00%,非肥胖组近视检出率右眼左眼分别为51.86%、51.47%,肥胖组近视检出率与非肥胖组近视检出率差异有统计学意义(χ2右眼=113.34,P<0.01;χ2左眼=109.11,P<0.01)。结论 2009年、2012年、2015年重庆市中小学生肥胖检出率均处于一个较低水平,肥胖表现出了显著的性别间、城乡间差异;肥胖易使学生视力降低、血压升高、肺功能储备降低。     

The prevalence of homosexual behavior and attraction in the United States,the United Kingdom and France: Results of national population-based samples

Researchers determining the prevalence of homosexuality in nationally representative samples have focused upon determining the prevalence of homosexual behavior, ignoring those individuals whose sexual attraction to the same sex had not resulted in sexual behavior. We examine the use of sexual attraction as well as sexual behavior to estimate the prevalence of homosexuality in the United States, the United Kingdom, and France using the Project HOPE International Survey of AIDS-Risk Behaviors. We find that 8.7, 7.9, and 8.5% of males and 11.1, 8.6, and 11.7% of females in the United States, the United Kingdom, and France, respectively, report some homosexual attraction but no homosexual behavior since age 15. Further, considering homosexual behavior and homosexual attraction as different but overlapping dimensions of homosexuality, we find 20.8, 16.3, and 18.5% of males, and 17.8, 18.6, and 18.5% of females in the United States, the United Kingdom, and France report either homosexual behavior or homosexual attraction since age 15. Examination of homosexual behavior separately finds that 6.2, 4.5, and 10.7% of males and 3.6, 2.1, and 3.3% of females in the United States, the United Kingdom, and France, respectively, report having had sexual contact with someone of the same sex in the previous 5 years. Our findings highlight the importance of using more than just homosexual behavior to examine the prevalence of homosexuality.     

Durational and generational differences in Mexican immigrant obesity: Is acculturation the explanation?

Using the Los Angeles Family and Neighborhood Survey (L.A.FANS-2; n = 1610), we explore the link between Mexican immigrant acculturation, diet, exercise and obesity. We distinguish Mexican immigrants and 2nd generation Mexicans from 3rd+ generation whites, blacks and Mexicans. First, we examine variation in social and linguistic measures by race/ethnicity, duration of residence and immigrant generation. Second, we consider the association between acculturation, diet and exercise. Third, we evaluate the degree to which acculturation, diet, exercise, and socioeconomic status explain the association between race/ethnicity, immigrant exposure to the US (duration since immigration/generation), and adult obesity. Among immigrants, we find a clear relationship between acculturation measures, exposure to the US, and obesity-related behaviors (diet and exercise). However, the acculturation measures do not clearly account for the link between adult obesity, immigrant duration and generation, and race/ethnicity.     

中国儿童营养面临的双重负担——营养不良和超重肥胖

  目的   研究2013年中国0～5岁儿童营养不良现况及分布特点。  方法   利用2013年中国0～5岁儿童和乳母营养健康状况监测数据,对32 862名0～5岁儿童进行分析,结果用2010年国家统计局的人口数据进行复杂加权计算。  结果   2013年中国0～5岁儿童低体重率为2.5 %,其中男童为2.6 %,女童为2.4 %;大城市、中小城市、普通农村、贫困农村分别为1.3 %、1.7 %、2.3 % 和5.1 %;低体重率在不同月龄组、四类水平地区上存在差异。中国0～5岁儿童生长迟缓率为8.1 %,其中男童为8.7 %,女童为7.4 %;大城市、中小城市、普通农村和贫困农村分别为2.7 %、4.4 %、7.5 % 和19.0 %;生长迟缓率在不同月龄组、城乡、四类水平地区存在差异。中国0～5岁儿童消瘦率为2.0 %,男童和女童均为2.0 %;大城市、中小城市、普通农村和贫困农村分别为2.4 %、1.4 %、2.2 % 和2.7 %;消瘦率在不同月龄组、城乡、四类水平地区存在差异。低体重率、生长迟缓率和消瘦率均表现为低收入水平家庭的儿童高于高收入家庭。  结论   中国0～5岁学龄前儿童营养不良率均存在城乡、不同收入水平、不同月龄组的差异,农村、特别是贫困农村地区儿童的营养不良状况依然需要关注。     

云南白族儿童30年青少年体格生长发育指标分析

目的 分析1985 - 2014年30年间中国白族儿童青少年体格生长发育和营养改善情况,评价并提出改善白族儿童青少年目前生长发育和营养现状的建议。方法 采用多阶段分层随机整群抽样的方法,在云南省大理州随机抽取2个县12所中小学7～18岁白族学生作为研究对象。采用WHO - 2006标准,对1985 - 2014年间历次参加全国学生体质健康调研的学生进行生长迟缓和消瘦检出率的变化情况的比较,并分析2000 - 2014年间学生体格生长发育的变化趋势。结果 白族7～18岁学生营养不良率全面下降。1985年、2000年、2010年和2014年7～18岁男生生长迟滞率分别为20.0%、16.2%、7.9%和4.3%,消瘦率分别为12.6%、8.1%、11.7%和8.6%,营养不良率分别为32.6%、24.3%、19.6%和12.9%;7～18岁女生生长迟滞率分别为21.3%、14.7%、8.9%和4.0%,消瘦率分别为8.4%、5.7%、8.9%和6.5%,营养不良率分别为29.8%、20.4%、17.8%和10.5%。2000 - 2014年15年间白族男、女生身高发育的突增期为12～14岁和10～12岁,女生比男生提前2年进入突增高峰年龄。2000年、2005年、2010年和2014年白族18岁身高性差分别为10.04cm、12.27 cm、12.30 cm和12.82 cm男女生身高突增值和突增幅度全距均呈现逐年递减的趋势。学生体重指数(BMI)的变化较为平稳。结论 白族儿童青少年营养状况显著持续改善,体格发育和营养状况处于旺盛的正向生长。     

不同体质指数大学新生健康相关知识态度行为调查

目的 了解新乡市某高校大学生肥胖相关健康知识态度行为的情况,为提高大学生健康状况水平、养成良好的饮食生活方式提供科学依据。方法 参考相关资料的基础上自行设计调查问卷,在全校新生入学体检中随机抽取402名大学生进行调查研究。结果 新乡市某高校大一新生健康知识较为缺乏,平均得分为(3.71±1.55)分,体质量超标及肥胖组与对照组得分差异无统计学意义。但体质量超标及肥胖组体型自我评价与BMI一致性的正确率为56.7%,对照组体型自我评价与BMI一致性的正确率为67.2%,差异有统计学意义(P=0.03)。健康相关态度方面,体质量超标及肥胖组与对照组差异无统计学意义。健康相关行为方面,体质量超标肥胖组吃油炸食品的频率、吃饭速度、运动强度、运动量与对照组差异有统计学意义(P<0.05)。结论 某高校新生总体健康知识知晓率普遍偏低,存在较多不良饮食行为习惯。对体质量超标肥胖大学生加强健康知识宣教的同时注重体质正常大学生的健康教育,增设健康教育课程积极开展各项课外活动,督促体质量超标肥胖大学生养成良好的生活习惯,降低体质量超标肥胖的发生。     

Doc McStuffins and Dora the Explorer: representations of gender,race, and class in US animation

Children are exposed to animated cartoons at an early age, and the gender, class, and race-related messages are likely to be influential in the development of children’s beliefs and attitudes about gender roles, class, and racial groups. Although representations of females and minority children in animated cartoons have improved over the years, stereotypical and racially biased portrayals of females and racial minority groups remain. Using an intersectionality theoretical lens, a textual analysis was conducted to examine the representation of the two current leading, minority female characters in children’s animated cartoons: Doc McStuffins and Dora the Explorer. Character portrayals, stereotypes, challenges to traditional stereotypes, and the intersecting role of race, gender, and class on the representations of the characters are explored in this analysis.     

Cancer and other causes of death among male and female farmers from twenty-three states

Occupation and industry codes on death certificates from 23 states for 1984–1988 were used to evaluate mortality risks among white and nonwhite, male and female farmers. Proportionate mortality and proportionate cancer mortality ratios were calculated using deaths among nonfarmers from the same states to generate expected numbers. Among farmers there were 119,648 deaths among white men, 2,400 among white women, 11,446 among nonwhite men, and 2,066 among nonwhite women. Deficits occurred in all race-sex groups for infective and parasitic diseases, all cancer combined, lung cancer, liver cancer, diseases of the nervous system, multiple sclerosis, hypertension, and emphysema. As reported in other studies, white male farmers had excesses of cancer of the lymphatic and hematopoietic system, lip, eye, brain, and prostate. Excesses of cancers of the pancreas, kidney, bone, and thyroid were new findings. Regional patterns were evident, particularly among white men. Significant excesses for accidents, vascular lesions of the central nervous system (CNS), and cancers of the prostate tended to occur in most geographic regions, while excesses for mechanical suffocation, non-Hodgkin's lymphoma, and cancers of the lip, brain, and the lymphatic and hematopoietic system were limited to the Central states. Increases among nonwhite men were similar to those in white men for some causes of death (vascular lesions of the CNS and cancers of the pancreas and prostate), but were absent for others (lymphatic and hematopoietic system, lip, eye, kidney, and brain). Women (white and nonwhite) had excesses for vascular lesions of the CNS, disease of the genitourinary system (white women only), and cancers of the stomach and cervix (nonwhite women only). Cancer of the buccal cavity and pharynx was slightly elevated among women, and white women had nonsignificant excesses of multiple myeloma and leukemia. Excesses for leukemia and non-Hodgkin's lymphoma occurred among white men and women, but not among nonwhites. Excesses for several types of accidental deaths were seen among all race-sex groups. © 1993 Wiley-Liss, Inc.     

Cholera in Haiti and other Caribbean regions, 19th century

Medical journals and other sources do not show evidence that cholera occurred in Haiti before 2010, despite the devastating effect of this disease in the Caribbean region in the 19th century. Cholera occurred in Cuba in 1833-1834; in Jamaica, Cuba, Puerto Rico, St. Thomas, St. Lucia, St. Kitts, Nevis, Trinidad, the Bahamas, St. Vincent, Granada, Anguilla, St. John, Tortola, the Turks and Caicos, the Grenadines (Carriacou and Petite Martinique), and possibly Antigua in 1850-1856; and in Guadeloupe, Cuba, St. Thomas, the Dominican Republic, Dominica, Martinique, and Marie Galante in 1865-1872. Conditions associated with slavery and colonial military control were absent in independent Haiti. Clustered populations, regular influx of new persons, and close quarters of barracks living contributed to spread of cholera in other Caribbean locations. We provide historical accounts of the presence and spread of cholera epidemics in Caribbean islands.     

Recent progress in biological activities of synthesized phenothiazines

This review summarizes recent medicinal chemistry investigations in vitro and in vivo in search for new phenothiazines of promising biological activities. New phenothiazine derivatives (over 50 main structures) contain dialkylaminoalkyl, cycloaminoalkyl and aminoalkyl substituents and their acyl and sulfonyl derivatives, and other substituents with varied the monocyclic (pyrazole, thiazole, oxadiazole, thiadiazole, tetrazole) and bicyclic (quinolizine, pyrazolopyrimidine, thiazolopyridine, azabicyclononane and spiro[chromanpyrimidine] heterocycles linked directly or via the alkyl chain with the thiazine nitrogen atom or with the benzene ring. The modifications of the tricyclic ring system with the bicyclic homoaromatic ring (naphthalene) and monocyclic and bicyclic azine rings (pyridine, pyrimidine, pyrazine and quinoline) led to compounds of significant biological activities. Recently obtained phenothiazines exhibit promising antibacterial, antifungal, anticancer, antiviral, anti-inflammatory, antimalarial, antifilarial, trypanocidal, anticonvulsant, analgesic, immunosuppressive and multidrug resistance reversal properties. These activities were the results of the actions of phenothiazines on biological systems via the interaction of the pharmacophoric substituent (in some cases of strict length), via the interaction of the multicyclic ring system (π-π interaction, intercalation in DNA) and via the lipophilic character allowing the penetration through the biological membranes. The activities were examined by using various biological systems such as cell lines, bacteria, viruses, parasites, laboratory mice, rats and rabbits, and monolayer and bilayer membranes. Some mechanisms of the actions are discussed. This review shows current tendency in the phenothiazine synthesis (without synthetic routes) and reveals the phenothiazine core to be very potent pharmacophoric moiety which can be a rich source of new compounds having desirable biological activities.