苯氨咪唑啉、地西泮、曲马多等药物中毒救治1例

目的使急诊医师了解盐酸苯氨咪唑啉、地西泮、盐酸曲马多、氯氮平多种药物中毒的临床表现，观察纳洛酮救治戒毒药物与镇静、镇痛、抗精神病药等药物中毒的疗效。方法对自服盐酸苯氨咪唑啉13片（1．3mg）、地西泮40片（100mg）、盐酸曲马多10片（500mg）、氯氮平1片（50mg）等药物，出现呼吸衰竭、休克、昏迷的患者，应用纳洛酮救治及对症处理，首剂静注纳洛酮1．2mg，以后每30min一次静注0．4mg，患者清醒后，纳洛酮持续每小时一次静注0．4mg，共用药17次，纳洛酮总用量9．2mg，以及文献复习。结果经应用纳洛酮救治及对症处理，患者呼吸平顺，血压逐步回升，2h后神志清醒，治疗2d痊愈出院。结论纳洛酮具有抗休克作用、对抗镇静作用、抗β-内啡肽作用，使血压回升，能逆转呼吸、循环衰竭和意识障碍。应用纳洛酮抢救多种药物中毒的病例疗效确切。     

Health and the body: The Ingram Collection at the Royal College of General Practitioners (RCGP), London,UK. (3 March to 29 May 2016)

A new Ingram Collection exhibition, Health and the Body, opened for a period of two months at the Royal College of General Practitioners in London. The exhibition showcased paintings and sculptures by artists such as Eduardo Paolozzi, Barbara Hepworth, Geoffrey Clarke and Leon Underwood the artworks explored representations of the human body, and observed how these intersected with the history of general medical practice.     

福建省医药会展业发展状况及对策研究

通过研究福建省医药会展业行业现状、深入访谈参与医药会展业的相关利益方,了解各方对医药会展的态度和发展前景的看法,并对福建省医药会展业进行SWOT分析。针对福建省医药会展业发展内部存在问题及外部面临挑战提出对策建议。     

在社区中开展艾滋病健康教育的效果调查

目的探索社区预防控制艾滋病的有效方式。方法作为深圳市科技局“预防控制艾滋病社区干预模式研究”科研项目的预调查,采用深圳市健康教育所制作的15块艾滋病图片展板,结合播放预防艾滋病知识录像带、散发宣传单等,选取宝安区某2个镇共6个展点进行图片展活动,活动前后半个月随机抽样进行艾滋病基本知识问卷调查。结果图片展后人群对艾滋病基本知识的掌握普遍比活动前好,正确回答率普遍上升,其中对使用安全套的保护意义、艾滋病的可预防性和与艾滋病感染者或病人性接触的危险性三项基本知识的正确回答率上升具有统计学意义(P<0.05)。结论采用以图片展为主的形式在社区人群中开展艾滋病健康教育对提高社区人群艾滋病基本知识具有较好的效果。     

从MEDICA2011看体外诊断产业的发展

德国MEDICA是世界知名的综合性医疗展,被公认为世界上最大的医院及医疗设备展览会.MEDICA 2011参展IVD企业众多,且多为中小型企业.本文在介绍MEDICA 2011总体情况、IVD参展企业的基础上,重点介绍了IVD产品特点及产业进展与发展趋势.     

利用医院档案展厅助力医院文化内涵建设的几点思考

档案文化建设是档案事业与文化事业的重要组成部分,数字时代档案开发利用工作面临新的挑战和机遇,在职业道德教育的背景下,医院要形成完善的医院文化,需探求职业教育与医院文化融通互通的结合点和路径,从而提升文化内涵建设。文化展厅档案以详实的档案资料为信任文化立言佐证,将档案文化建设与医院文化建设相结合,记录和再现过往历史的集体记忆,同时也是唤醒职工共同信仰、价值取向的有力媒介,达到共同认知、教育育人的成效。档案文化展厅的自身功能拓展,成为档案文化建设的重要内在推动力,极大的丰富医院的文化内涵建设,追溯医院发展的初心和轨迹,再现医院文化的源头活水,对于深化当下开展的主题教育活动,重整行囊再出发的使命和担当具有重要的现实意义。     

Cancer et maladie professionnelle indemnisable : comment améliorer le taux de reconnaissance ? Projet Cursus Laboris en Midi-Pyrénées : étude de faisabilité

Introduction.Five to ten percent of cancers are of occupational origin but only 0.5% of cancers are compensable occupational diseases recognized in 2001. The project “Curriculum Laboris” was launched in Midi-Pyrenees with the objective to establish an organization to improve the identification, reporting and recognition of occupational cancers.Patients and methods.The project consisted firstly in creating an online training module for professionals. Furthermore, a pilot has identified patients with lung, bladder, head and neck or hematologic cancer. Afterwards, four investigators realized an interview with the patients “marked” to define their careers. Finally, a group of experts produced advice, providing the general practitioner, the aid element in drafting the initial medical certificate (CMI) as part of the recognition process.Results.Twenty-three patients were identified, 21 surveys were carried out. Six returns were filed and actually recognized.Conclusion.The generalization of our device measures meet the Cancer Plan II 2009 to 2013 and may improve the number of cancers recognized as compensable occupational diseases.     

Body Worlds: looking back and looking ahead

After 10 years of intensive debate about Gunther von Hagens' "Body Worlds" exhibition, this article systematically analyses the arguments that have been raised. Two elements of the debate are critical: the donor's self-determination and consideration for the family and acquaintances. However, the arguments for and against the public exhibition of human remains, and the unusual positioning of the figurative plastinates seems to be amenable to discussion and also seems to allow different ethical weighing. Perhaps this can be understood as an indicator that, to start with, discussion is necessary in regard to our general burial culture.     

The impact of body worlds on adult visitors’ knowledge on human anatomy: A preliminary study

Body Worlds is an anatomical exhibition that shows human remains to the public. It has been considered controversial since it raises ethical tensions and issues. However, organizers and supporters of Body Worlds have claimed the exhibition is intended to promote visitors’ understanding over the human body. Despite these claims, no studies were found that support or refute the hypothesis that a visit to Body Worlds increases the public's objective knowledge on human anatomy. Consequently, the objective of this study was to determine the impact of Body Worlds on anatomical knowledge. We constructed and delivered a questionnaire to both a previsit random sample and a postvisit random sample of visitors of Body Worlds’ event Facets of Life, in Berlin. The questionnaire was available in both English and German languages and contained (a) basic sociodemographic questions and (b) a valid and reliable anatomy quiz. The quiz consisted of 16 multiple‐choice questions that assessed the ability to identify the location of major anatomical structures on the human body. Average scores achieved on the quiz by the postvisit sample (X¯= 9.08, s = 2.48, n = 164) were significantly higher (unpaired t = 3.3957, P = 0.0008) than those achieved by the previsit sample (X¯= 8.11, s = 2.69, n = 167). Our results suggest that a visit to Body Worlds’ event Facets of Life may have a beneficial effect in anatomical knowledge. However, further studies with better empirical designs and fewer limitations are needed to confirm our results. Clin. Anat. 29:439–445, 2016. © 2016 Wiley Periodicals, Inc.