医生在诊室进行推销活动的伦理学思考

本文就医生在诊室的推销活动所引发的伦理学问题,即医患之间权益的冲突,就诊中隐含的购买压力,辱没医疗服务目的等几方面论述了不正常的医患关系.并提出应加强管理、制止医生的推销行为.     

上海世博园区环卫车船监控系统信息化研究

介绍了一种在上海世博园区实施的新型环卫车船监控系统,该系统采用新型的车(船)载终端并基于无线测控网技术构建而成。分析了系统的监控对象和需要达到的目标,以及监控系统设计;总结了与传统环卫车(船)载GPS系统相比较其特点。     

Using electronic patient records in practice: A focused review of the evidence of risks to the clinical interaction

Electronic patient records (EPRs) are increasingly being viewed as key to high quality chronic disease management, and have been advocated for epilepsy care. Whether EPRs can really deliver on their promise, however, remains a matter of debate. In this focused review, I highlight one set of risks associated with EPR use: risks to the interaction between health professional and patient. This review summarises a small body of evidence derived from studies that examined – in fine-grained detail – recordings of real consultations. These show that EPRs are often used in ways that prioritise the demands of the system over the needs of the patient. However, they also demonstrate that health professionals sometimes integrate EPRs in ways that enhance the clinical encounter. I argue that we not only need more of this kind of interaction-based research – as opposed to focusing on the single EPR user – but that the findings from these previous studies need to be acted upon. They indicate a need both for the design of EPRs and the training of EPR users to be sensitive to the impact of EPR use on the interaction between health professional and patient.     

船用医疗模块系统装备

本研究目的在于探索一条民船动员改装为卫生船舶的新途径，以适应现代高技术条件下海上局部战争卫勤保障的需要。该系统装备作为船用大型机动卫生装备具有机动性好、应急能力强。环境条件优、建造周期短、效费比高等优点，适于安装在海军世昌号训练舰（82舰）或民用集装箱运输船上，用于海上医疗队医疗训练或医学院校学员海上实习，也可执行突发事件医疗保障任务，战时经扩充组成模块化医院船。     

室性早搏的心电图特征与治疗的关系

目的　研究室早的心电图表现与治疗的关系。方法　通过阐述早搏的类型、发病机制、心电图特征及抗心律失常药作用机制。结果　根据心电图观察室早出现的特征选择合理的治疗方法。结论　抑制早搏与死亡率无相关性 ,能抑制室早等心律失常药对死亡率的作用可能是中性或有良好作用 ,同时增加死亡率 ,应引起重视。不能因使用抗心律失常药控制早搏却增加患者死亡率     

Painful procedures and analgesia in hospitalized newborns: A prospective longitudinal study

Objective

To identify the type and frequency of stressful and painful procedures, the use of pharmacological and non-pharmacological strategies; to identify relationships between demographic and clinical variables with frequency of procedures and pain management.

Acute Liver Failure Induced by Carthamus tinctorius Oil: Case Reports and Literature Review

Background

Acute liver failure (ALF) is a clinical syndrome that results from the abrupt loss of liver function in a patient without previous liver disease. The most frequent causes are viral hepatitis, drug induced, and autoimmune disease, but in 20% of cases no cause is identified. Carthamus tinctorius (safflower) oil is used as a dietary supplement for weight loss and antioxidant. There are 4 cases described in the literature of ALF induced by the use of this substance. The objective of this study was to report 3 cases of ALF treated at the Clinical Hospital of the State University of Campinas that suggest the use of C tinctorius oil as a probable etiologic factor.