81例飞行人员血液系统疾病的医学鉴定分析

目的 分析81例空军飞行人员所患血液系统疾病的特点,并探讨与航空医学鉴定的关系. 方法 回顾分析1982 -2010年因血液系统疾病在空军总医院住院的81例飞行人员的病历资料.按疾病诊断分组分析与医学鉴定飞行结论的关系. 结果 ①患病飞行人员涉及的血液疾病包括白细胞减少症(27例,33.3％),血小板减少症(16例,19.8％),贫血(15例,18.5％),骨髓增殖性疾病(9例,11.1％),恶性淋巴瘤(6例,7.4％),急性白血病(5例,6.2％),恶性组织细胞病、脾功能亢进和坏死性淋巴结炎(各1例,1.2％).②本组81例患者经过诊治,47例给予飞行合格鉴定结论,合格率达58.0％;其中白细胞减少症者23例飞行合格,血小板减少症者10例飞行合格,贫血者7例飞行合格,骨髓增殖性疾病4例飞行合格,恶性淋巴瘤3例治愈后给予飞行合格.急性白血病5例均停飞. 结论 半数以上患良性血液系统疾病飞行人员经治疗后可恢复飞行;恶性血液病治疗效果好的需个别评定,部分可以恢复飞行.     

The eligibility of MIVA approach in thyroid surgery

Introduction Thyroid size, by preoperative ultrasound evaluation, is a very important criterion of minimally invasive video-assisted thyroidectomy (MIVAT) exclusion because the working space provided by the technique is limited. The aim of this work is to verify the suitability of MIVAT and its applicability in clinical practice in patients with a thyroid volume up to 50 ml. Methods From January 2003 to February 2006, 33 patients were selected for MIVAT. A completely gas-less procedure was carried out through a central skin incision performed “high” between the cricoid and jugular notch. Results The skin incision performed was from 20 to 35 mm (mean 24.88 mm ± 2.74) for different thyroid sizes. We obtained in all cases excellent results about patients cure rate and comfort, few cases of postoperative pain, and attractive cosmetic results. Conclusion In this study, we demonstrated that the MIVAT, for thyroids up to 50 ml in volume, is feasible and safe. This procedure allows more patients, who would have been excluded before, to take advantage of this minimally invasive approach with good cosmetic results, highly regarded by young female patients, and reduced paresthetic consequences. Presented at the 2nd Biannual Congress of European Society of Endocrine Surgeons, 18–20 May 2006, Krakow, Poland.     

国内外专科护士资格要求的现状与启示

<正>在卫生政策的引导下[1-2],近年来我国专科护士培训和认证实践越来越多,专科护士的数量越来越大,人才使用和岗位管理的挑战日益突出。资格认证是保证人才质量、规范岗位要求的重要条件,研究表明,专业认证能提高护士的工作满意度和工作授能感,促进专科护士与其他医疗团队成员的合作,提高病人护理质量[3-6]。许多卫生相关领域都将资格认证作为岗位准入标准,世界上许多专科护士发展较成熟的国家也已建立了规范的认证管理体系。因     

飞行员抑郁症停飞一例

一、临床资料患者,男性,39岁,教-8飞行员,飞行时间2600h。既往身体健康,飞行耐力佳。2013年1月7日因“颈椎间盘突出症”入院治疗。出院结论：暂时飞行不合格,地面观察1个月。     

The specialty of oral and maxillofacial surgery (OMFS) in Europe – Part 2: training environment including the new Union of European Medical Specialists (UEMS) Oral and Maxillofacial Surgery European Training Requirement (OMFS ETR)

OMFS training in Europe has incrementally improved over the last 50 years. However, not all European nations have a formal written curriculum/syllabus, quality indicators, exit examinations, or guidelines for training programmes or trainers. In 2021 the OMFS Section of the Union of European Medical Specialists (UEMS) created an OMFS European Training Requirement (OMFS ETR) to help address these gaps and raise training standards in Europe. This paper includes key lessons from OMFS training programmes across Europe. It also summarises the new OMFS ETR as a comprehensive curriculum and syllabus. The ETR is a resource for nations with dual degree or single medical degree versions of the specialty. More importantly, it can act as a template for the handful of European Economic Area (EEA) nations that do not currently have a recognised OMFS specialty in Directive 2005/36 EU or the European Free Trade Association Treaty. By outlining the breadth and depth of the specialty, the ETR will be useful for competent regulatory authorities as well as OMFS trainees and trainers, patients, and politicians. The OMFS ETR includes key competencies and capabilities alongside training structures and documentation. A free unrestricted Access© database can be downloaded from www.omfsuesm.eu so OMFS experience can be recorded in a similar way across international borders. The OMFS ETR will be a living document. As it is unlikely that OMFS will remain frozen in time, this training document will also evolve. Its true value will become clear as it is used by current and future OMFS surgeons.     

2000～2006年东北地区军事飞行人员停飞疾病分布与特点

目的 分析本世纪初东北地区军事飞行人员停飞疾病分布,为新时期航卫保障工作的实施提供临床流行病学依据. 方法 统计分析东北地区2000～2006年因伤病停飞的病历资料,编制2000～2006年停飞疾病分布表和2000～2006年历年停飞疾病分布表.应用SPSS 10.0统计软件包,两个构成比的比较采用卡方检验. 结果 ①21世纪初东北地区军事飞行人员停飞疾病居前10位的是:腰椎间盘突出症、颈椎间盘突出症、头痛、耳聋、晕厥、耳气压机能不良、心律失常、胃十二指肠溃疡、颈椎病和高血压病,②因骨科和耳科疾病停飞的人数增多. 结论 ①7年的统计中,虽然因腰椎间盘突出症停飞的人数最多,但近2、3年呈下降趋势;②结果 显示:腰椎间盘突出症、颈椎间盘突出症、头痛、耳聋、心律失常、颈椎病和胃十二指肠溃疡是东北地区飞行人员最常见的住院和停飞疾病,应引起关注;③晕厥停飞人数呈上升趋势,严重威胁飞行安全,各级航卫保障机构要制定出相应的防范措施.     

飞行员左扁桃体非霍奇金淋巴瘤治愈放飞一例

一、临床资料 患者男性,46岁,高级教练机飞行员,总飞行时间3300 h.于2005年4月1日因"咽痛、咽部异物感2月"入住我院.查体:血压110/80 mm Hg,心率70次/min,心肺无异常.专科检查:咽部无充血,右侧扁桃体Ⅰ°大小,表面未见分泌物,左侧扁桃体Ⅱ°大小,呈淡粉色,表面粗糙,左侧舌扁桃体明显增大,约3 cm×2 cm×1.5 cm大小,呈淡粉色,表面粗糙,质中,固定.