Analysis of Paraquat Intoxication Epidemic (2002-2011) within China

Paraquat, is a Bipy herbicide have been widely used in last decade in China. Because of its high human toxicity and mortality characteristics, paraquat has been gained considerable attention in recent years. In order to evaluate the epidemic status of paraquat harm to human health in China,     

泉州市2002-2007年急性弛缓性麻痹病例的监测

目的了解泉州市2000-2007急性弛缓性麻痹(AFP)病例的发病情况、分布特征及AFP监测系统运转情况,为我市继续保持无脊髓灰质炎(脊灰)决策提供依据。方法采用回顾性调查方法,分析泉州市2002-2007年AFP病例个案调查表、随访表和实验室病毒学检测结果等资料。结果泉州市2002-2007年AFP病例监测系统共报告AFP病例183例,15岁以下儿童非脊灰AFP病例报告发病率为1.7/10万。AFP病例男女比为2.6∶1,以5岁小年龄组居多,全年各月分布无差异。报告AFP病例未完成OPV基础免疫及免疫史不详的病例分别占9.8%(18/183)和6.0%(11/183),其中181例为脊灰排除病例,2例为脊灰临床符合病例。AFP病例合格粪便标本采集率为96.2%(176/183),脊灰病毒分离率为4.0(7/176),其中6例为脊灰疫苗株,1例为脊灰疫苗高变异株。75d内随访及时率为99.4%(180/181)。结论2002-2007年泉州市无脊灰野病毒确诊病例,AFP病例监测系统各项指标均达到《全国急性弛缓性麻痹(AFP)病例监测方案》的要求,但适龄儿童的基础免疫工作仍需加强,还应加强临床医生的培训,提高A...     

EVALUATION OF INTERNATIONAL CLASSIFICATION CRITERIA (2002) FOR PRIMARY SJ(O)GREN''S SYNDROME IN CHINESE PATIENTS

Objective To evaluate the sensitivity and specificity of international classification criteria (2002) for primary Sjogren's syndrome (pSS) and the role of lower lip biopsy in diagnosis of pSS in Chinese patients. Methods Patients who were diagnosed by the experts/rheumatologists as pSS during 1990-2002 from the Depart ment of Rheumatology, Peking Union Medical College Hospital were retrospectively collected as experimental group. Patients who were diagnosed as non-pSS connective tissue diseases or non-connective tissue diseases served as control group. Those with a history of head-neck radiation, hepatitis C virus infection, AIDS, lymphoma, sarcoidosis, graft versus host disease (GVHD), and anti-acetylcholine drug use were exempted. Both groups were required to complete question naires about symptoms such as dry eyes and dry mouth, and complete the objective tests of keratoconjunctivitis and xero stomia including Schirmer test, corneal staining, unstimulated salivary flow, sialography, lower lip biopsy, and antinuclear antibodies (including anti-SSA/SSB antibodies) test. Results A total of 330 pSS patients were included in experimental group and 185 non-pSS patients in control group. The mean age of both groups matched (47.8 ± 10.9 years vs. 46.2± 13.6 years, P ＞ 0.05). The sensitivities of the criteria in pSS patients with lower lip biopsy and in pSS patients without lower lip biopsy were 89.2% and 87.2%, respectively; the overall sensitivity was 88.5%. The specificity was 97.3%. A total of 11.3% pSS patients with negative anti-SSA/SSB anti bodies were diagnosed as pSS by lower lip biopsy. Conclusion The international classification criteria (2002) for pSS is feasible in Chinese patients. It has high sensitivity and specificity, and may serve as diagnosis criteria in routine clinical practice.     

美国继续医学教育认证委员会年度报告分析-2002

通过美国继续医学教育认证委员会认证的要求之一为每年在规定截止日期前提交一份完整的年度报表。2002年,ACCME要求所有机构通过互联网提交电子表格,并于2003年4月30日汇总公布,为了便于读者理解和比较,报告的部分表格将历年数据附于下方以供参考,以下是对该年度报告的详细分析。     

海口市1998～2002年食(饮)具消毒监测结果分析

目的 了解海口市食(饮)具卫生状况，为食品卫生管理提供依据。方法 对海口市卫生防疫1998～2002年抽取的120家8175件食(饮)具进行检测并分析。结果 1998～2002年食(饮)具合格率依序为89．74％，90．63％，91．13％，91．99％，92．61％；1～4季度食(饮)具合格率依次为92．63％，89．47％，92．01％，93．25％；盘等七类食(饮)具合格率为89．35％～93．92％。结论 五年采食(饮)具抽检的合格率有逐年上升趋势；不同季度食(饮)具抽检合格率差异有显性；不同种类食(饮)具消毒效果有所不同。     

The Chinese Association of the Integration of Traditional and Western Medicine (CAIM) 2002 National Congresses (Call for Papers)

Ｓｅｐｔｅｍｂｅｒ ＢｅｉｊｉｎｇＴｈｅＹｅａｒＷｏｒｋｉｎｇＭｅｅｔｉｎｇｏｆＣＡＩＭ,2 0 0 2Ｉｎｆｏｒｍａｔｉｏｎ：ＮｏｃａｌｌｆｏｒｐａｐｅｒＳｅｐｔｅｍｂｅｒ ＢｅｉｊｉｎｇＴｈｅ 2ｎｄＷｏｒｌｄＩｎｔｅｇｒａｔｉｖｅＭｅｄｉｃｉｎｅＣｏｎｇｒｅｓｓ（ＷＩＭＣＯ 2 0 0 2 ）Ｉｎｆｏｒｍａｔｉｏｎ：ＴｈｅＡｃａｄｅｍｉｃＤｅｐａｒｔｍｅｎｔｏｆＣＡＩＭ,18Ｂｅｉｘｉｎｃａｎｇ,Ｄｏｎｇｚｈｉｍｅｎｎｅｉ,　　　　　Ｂｅｉｊｉｎｇ（10 0 70 0 ）,Ｅｍａｉｌ：ｓｅｃｒｅｔａｒｙ @ｗｉｍｃｏ 2 0 0…     

EVALUATION OF INTERNATIONAL CLASSIFICATION CRITERIA （2002） FOR PRIMARY SJoGREN＇S SYNDROME IN CHINESE PATIENTS

Objective To evaluate the sensitivity and specificity of international classification criteria (2002) for primary Sjogren's syndrome (pSS) and the role of lower lip biopsy in diagnosis of pSS in Chinese patients. Methods Patients who were diagnosed by the experts/rheumatologists as pSS during 1990-2002 from the Depart ment of Rheumatology, Peking Union Medical College Hospital were retrospectively collected as experimental group. Patients who were diagnosed as non-pSS connective tissue diseases or non-connective tissue diseases served as control group. Those with a history of head-neck radiation, hepatitis C virus infection, AIDS, lymphoma, sarcoidosis, graft versus host disease (GVHD), and anti-acetylcholine drug use were exempted. Both groups were required to complete question naires about symptoms such as dry eyes and dry mouth, and complete the objective tests of keratoconjunctivitis and xero stomia including Schirmer test, corneal staining, unstimulated salivary flow, sialography, lower lip biopsy, and antinuclear antibodies (including anti-SSA/SSB antibodies) test. Results A total of 330 pSS patients were included in experimental group and 185 non-pSS patients in control group. The mean age of both groups matched (47.8 ± 10.9 years vs. 46.2± 13.6 years, P ＞ 0.05). The sensitivities of the criteria in pSS patients with lower lip biopsy and in pSS patients without lower lip biopsy were 89.2% and 87.2%, respectively; the overall sensitivity was 88.5%. The specificity was 97.3%. A total of 11.3% pSS patients with negative anti-SSA/SSB anti bodies were diagnosed as pSS by lower lip biopsy. Conclusion The international classification criteria (2002) for pSS is feasible in Chinese patients. It has high sensitivity and specificity, and may serve as diagnosis criteria in routine clinical practice.     

The chinese association of the integration of traditional and western medicine (CAIM) 2002 national congresses

Academic activities

The chinese association of the integration of traditional and western medicine (CAIM) 2002 national congresses     

云浮市2001～2005年健康人群乙肝病毒感染分析

目的了解云浮市健康人群乙肝病毒（HBV）感染率及免疫水平，探讨健康人群乙型肝炎防控对策和措施。方法采集43890人健康人群血清，采用酶联免疫吸附法（ELISA）测定HBsAg、抗-HBs、HBeAg、抗-HBe、抗-HBc5项标志物（HBVM），并按年龄、性别分组进行分析比较。结果HBsAg总阳性率为16．9l％，其中男性为17．80％，女性为16．20％，差异有显著性（P〈0．01）；HBeAg总阳性率为6．46％，其中男性为6．60％，女性为6．34％，差异无显著性（P〉0．05）；抗-HBs总阳性率为43．03％，其中男性为35．73％，女性为48-88％，差异有显著性（P〈0．01）；HBVM全阴率为20．58％，其中男性为26．76％，女性为15．63％，差异有显著性（P〈0．01）；各年龄组间抗-HBs阳性率差异有显著性（P〈0．01）。结论人群中HBV感染率高，易感者多，免疫水平较低，应加强成人乙肝疫苗接种工作，扩大免疫屏障．降低发病率。     

新版MEDL INE光盘著者检索与网上查询比较分析

目的：评价不同的检索式的检索效果，旨在提高著者检索的查全率和查准率。方法：举例介绍英语人名各种署名形式，针对2002年版MEDL INE光盘的著录特点，编制相应的检索式及与网上查询效果对比分析。结果：遇姓名中含有前缀词，后缀词或得姓时MEDL INE光盘和网上检索均可获得较高的查准率；而名缩写或截词后以及中，日文音译名检出的文献，则误检率高。调整检索式后，既保证了查全率，又剔除了误检文献。结论：从而达到迅速而准确地检出所需文献的目的。     

Recent trends in mortality due to chronic obstructive pulmonary disease (COPD) in Mexico, 1980-2002

BACKGROUND: Chronic obstructive pulmonary disease (COPD) is characterized by airflow limitation that is not fully reversible. Changes in classification have a major impact on reported mortality rates. METHODS: Between 1980 and 2002, 230,463 COPD cases were studied (age group 35-94 years); 134,579 men; 95,884 women. RESULTS: The crude mortality rate varied from 37 (1980) to 61 per 100,000 men (2002), (increase: 65%). The crude mortality rate for females increased from 27 (1980) to 43 deaths per 100,000 women (2002), (increase: 56%). The trends of the absolute values by birth year and age groups are higher as age increases. As age of death comes down and the birth cohort increases, the absolute values decrease. The Mexican states located in the northern and central areas present a higher risk for dying. There is an increment coefficient of 93 cases per increment year in males (age group 35-74), and 61 cases per increment year in females (age group 35-74 years). For the age group 35-94 years, the annual increase for males is 288 cases. These results were statistically significant, and the regression model was validated by residual analysis. CONCLUSIONS: The oldest cohorts of the studied population showed the highest COPD mortality absolute values. The geographic risk of dying from COPD is concentrated in two regions: a) the three Mexican states of higher economic income at the northern frontier to the U.S. and b) those Mexican states surrounding the main producer of tobacco (Nayarit).     

Comment on Re B (Adult: Refusal of Medical Treatment) [2002] 2 All England Reports 449

The judgment handed down in the case of Ms B confirms the right of the competent patient to refuse medical treatment even if the result is death. The case does, however, raise some interesting legal points. The facility for conscientious objection by doctors has not previously been explicitly recognised in case law. More importantly perhaps is that the detailed inquiry by the court into Ms B's reasons for refusing treatment, apparently as a precondition for finding her competent, seems to contradict earlier case law where it has been asserted that competent patients can refuse treatment for no reason at all.