昆明医学院图书馆用户信息需求与满意度的调查分析

目的了解昆明医学院图书馆用户信息需求与满意度.方法通过问卷调查和专题小组访谈的方式,对昆明医学院教医护职工和在校学生进行调查,了解在馆藏资源、图书馆服务、对图书馆的了解与利用情况以及《医学信息检索与利用》课程四个方面的信息需求与满意度.结果用户对图书馆馆藏资源和图书馆的总体服务满意度分别达85.6%和80.4%.44.5%的人对图书馆各服务部门的功能和服务范围不了解.99%的用户认为《医学信息检索与利用》课程非常重要或重要.92.8%的用户希望该课程老师能参与专业教学.用户到馆主要目的是借阅、信息咨询和自习.结论昆明医学院教医护职工和在校学生对图书馆的满意度高,但如何广泛宣传图书馆的服务和进一步开发用户的信息需求,是今后图书馆需重点关注的领域.     

温州社区卫生医疗服务现状及对策

通过对温州市社区卫生服务的调查,针对社区卫生服务工作存在的人员素质不高,缺乏高水平的人才;设备不齐全,缺乏必要的检测检验设施;经费保障机制不完善,约有一半的经费靠机构自己创收等问题,提出相应的对策,作为卫生改革、建设和发展参考。     

2016年美国FDA批准的新药分析

目的：对2016年美国FDA批准的新药进行分析,供医药界和相关管理部门参考。方法：通过FDA官网的药物创新专栏与Drugs@FDA数据库查阅、收集FDA批准新药的信息,进行统计分析。结果与结论：2016年,FDA共批准22个新药,比2015年大幅减少,也低于1997-2016年的年均新药数量（28个/年）,其中新药申请15个,生物制品许可申请7个。批准新药中获得优先审查、快速通道、突破性治疗和加速审批资格的分别为15个、8个、7个和6个,批准孤儿药9个。批准新药的治疗领域以抗感染药、抗肿瘤药和神经系统用药为主,剂型以注射剂、片剂为主。     

What do patients bring up in consultations? An observational study in general practice

Objective. The main aim of the study was to investigate how many and what kind of problems patients present in consultations with their general practitioner (GP). A secondary aim was to explore patients’ views on what is important in consultations. Design. Cross-sectional study including observation of unselected consultations with recording on a pre-designed scheme, and a brief questionnaire filled in by patients. Setting. Four general practices in Oslo, Norway. Subjects. A total of 201 patients in consultations and 177 patients waiting to see their GP. Main outcome measures. Number and characteristics of problems raised by patients, and whether the problems were handled by GPs during the ongoing consultation. Patients’ expectations for the consultation. Results. The mean number of problems raised was 2.6 (range 1–16), and when appointments for acute conditions were excluded, the mean number was 3.3. Somatic problems comprised about half of all problems, and in more than one-quarter of consultations a mental health issue was presented. Female sex and increasing age predicted an increasing number of problems raised. In one-quarter of encounters four or more problems were presented. The vast majority of problems were dealt with by the GPs during the ongoing consultation. “That I am able to address all the problems I have” was rated as highly important by patients. Conclusion. GPs deal with multiple and unrelated problems in daily consultations, which is highly valued by patients. Management of concurrent problems in brief encounters demands training and adequate working conditions, in order to sustain this core value of general practice.     

生物医药产业集群用户信息需求调查与分析

近年来,随着生物医药产业的发展,国内外形成了众多明星生物医药产业集群。对生物医药产业集群的高校、科研机构和企业等用户信息获取途径、所需生物医药信息类型、成果转化方式和信息获取的主要障碍等信息需求进行了问卷调查,并对科研教育组用户和企业组用户间的信息行为的差异进行了比较,总结了生物医药产业集群用户的信息需求特点,提出了建立生物医药产业集群信息服务平台、健全面向机构的横向信息服务模式、完善生物医药产业集群信息服务体系等建议。     

Age and sex related variations of adult human ocular volumes in the Sri Lankan population: an evaluation using magnetic resonance imaging

IntroductionVariations in the human ocular volumes are related to ocular pathologies including congenital glaucoma, microphthalmus, buphthalmus, and macrophthalmus. As the currently published reference ocular volumes are prone to physiological and racial variations, population specific values may provide more precision in ophthalmological interventions. This study was conducted to assess the age and sex dependent differences in ocular volumes in Sri Lankan individuals using magnetic resonance imaging (MRI).MethodsThe study was undertaken using the brain MRI scans from 200 patients which were reported as normal. Study sample consisted of patients between 18 years and 90 years of age with 91 male subjects and 109 female subjects. Two independent observers measured ocular volumes using a software-based method and an MRI planimetry based method. Age and sex of the study participants were recorded for the further analysis.ResultsStatistically significant differences in both ocular volumes were found between males and females (p < 0.05) when using both volume analysis methods. The mean ± SD ocular volumes obtained as right software based volume, right MRI planimetry volume, left software based volume and left MRI planimetry volume were 6.8 ± 0.6, 6.0 ± 0.6, 6.6 ± 0.7 and 5.9 ± 0.6 cm³ in females and 6.9 ± 0.8, 6.3 ± 0.7, 6.9 ± 0.8 and 6.2 ± 0.7 cm³ in males. While software-based measurements show a significant linear correlation with age in both eyeball volumes, MRI planimetry measurement showed a significant linear correlation with age only in the left eyeball (p < 0.05). Weak negative correlations were found with age in right ocular volume in both MRI planimetry based (r = ?0.121) and software based (r = -0.168) measurements and in left ocular volume in MRI planimetry based (r = ?0.151) and software based (r = -0.179) measurements. Furthermore, ocular volumes obtained from the software-based method were significantly greater than the MRI planimetry based ocular volumes (p < 0.05) in both eyes, despite having a strong positive correlation.ConclusionThe mean ocular volumes obtained from this study revealed a significant variation between the right and left eyes as well as a sexual dimorphism. Moreover, since the two measurement methods show a significant difference, the choice of measurement method should depend on the required accuracy of the eye volume decided with respect to the clinical implication.Implications for practiceSince there are no reference values for Sri Lankan adult ocular volumes, this study may serve that purpose in the current population, while supporting ophthalmologists and radiologists to quantitatively evaluate ocular pathologies and to follow precise interventions.     

Patient-related adverse events and device failures associated with commercially available enteral or duodenal self-expanding metal stents: an analysis of the MAUDE database

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