政府支持无偿献血工作基本情况的调查分析

目的为了解《献血法》颁布实施20周年来,我国各级政府在无偿献血工作中是否起到了应有的主导推动作用,我们调查了1998-2018年国内市级以上采供血机构取得所在地政府支持无偿献血工作的基本情况,以期为广大无偿献血工作者提供参考借鉴。方法由中国输血协会献血动员专业委员会发放《调研表》,对全国市级以上采供血机构进行专项数据调研。结果收回143个城市的有效数据,获得政府领导干部参与无偿献血、政府出台鼓励无偿献血的政策、有无偿献血地方法规、成立无偿献血委员会/领导小组等无偿献血领导机构、纳入政府部门考核精神文明考核、政府对无偿献血者进行表彰等指标的详细数据。结论在我国无偿献血发展的现阶段,无偿献血工作仍然需要通过政府的领导和运用政府的力量来充分调动全社会的资源为社会服务,以推动无偿献血的全面快速发展。调研的各项指标全国各地表现出不均衡现象,血液中心所在的省会城市好于其他城市;将无偿献血工作纳入政府部门考核和精神文明考核的情况,整体纳入考核的比例偏低,各级政府均需要提高认识,加大对无偿献血工作支持力度。     

中国疾病预防控制中心信息系统整合共享实践分析

目的/意义 推进政务信息系统整合共享,以降低政府治理成本,实现治理体系和治理能力现代化。方法/过程 以中国疾病预防控制中心信息系统整合共享工作为例,详细阐述整合路径及工作成效,对整合共享的难点和对策展开分析和探讨。结果/结论 基于全民健康信息化建设,明确“统筹布局,共建共享”的总体要求,探索以大数据技术为抓手,实现数据的融合与应用,构建数字疾控新发展格局。     

自制IPS-Empress2铸瓷快速包埋材料的膨胀特性研究

IPS—Empress2铸瓷是国内外广泛应用的全瓷修复系统。为取代昂贵的进口专用包埋材料，国内已自制出与之相配套的快速包埋材料。本文研究的是其最关键的膨胀特性。采用千分尺位移计和热机械分析仪，分别测量了进口专用快速包埋材料和自制快速包埋材料的凝固膨胀及热膨胀性能，进行了统计分析和比较。结果显示，进口专用快速包埋材料的凝固膨胀率、热膨胀率和总膨胀率分别为0．858％、1．11％和1．17％；自制包埋材料的上述指标分别为0．798％、1．09％和1．16％，三项指标均无统计学差异，表明自制快速包埋材料的膨胀性能指标接近IPS—Empress2专用快速包埋材料，能满足IPS—Empress2铸瓷精密铸造的要求。     

参麦注射液合血府逐瘀汤治疗缺血性ST-T改变疗效观察

[目的]观察参麦注射液联合血府逐瘀汤治疗缺血性ST-T改变的临床疗效。[方法]将75例有心肌缺血型心电图改变的患者随机分成治疗组40例(以参麦注射液联合血府逐瘀汤治疗)与对照组35例(单纯西药治疗),疗程为14天,比较两组疗效。[结果]治疗组疗效优于对照组。[结论]参麦注射液联合血府逐瘀汤治疗缺血性ST-T改变有较好的疗效。     

当代境域中反腐倡廉工作的反思与探索

腐败的实质是对权力的滥用,为个人或小集团牟取私利.腐败现象同党的性质、宗旨是根本对立的.本文通过对我国腐败现象的现状与特点的分析以及腐败现象的本质及其滋生蔓延原因的探讨,进而对症下药,提出廉政建设的恩威并施举措,即以俸养廉与依法保廉相结合.只有这样,才能走出腐败活动屡禁不止的泥淖,我国的廉政工作才会搞得更好.     

Working with communities, governments and academic institutions to make pregnancy safer

The major medical causes of maternal death and the effective interventions to prevent maternal death due to these causes are known. Yet, every year, an estimated 529,000 women die during and following pregnancy and childbirth. Most of these deaths occur in developing countries where other non-medical determinants of maternal health influence the accessibility to these interventions. Improvements in maternal health can be achieved through a health systems approach. Care should be provided as a continuum throughout the life cycle and across health facilities through the health system. Communities, professional organizations and academic institutions should work actively with the government to: provide a package of service, based on population health needs, that is close to home; ensure availability of essential medicines and commodities; address financial barriers to receiving care; strengthen the health workforce; and gather and use information to improve maternal health.     

Civic Engagement in California Cannabis Policy Development

ABSTRACT

During the regulatory drafting process, California considered allowing police officers to become licensed owners of cannabis businesses, an action that would have codified a conflict of interest (COI), allowing police to exert influence in two market strata, enforcement and licensure. Up until then, no state specifically excepted law enforcement from COI prohibitions, making California’s proposed medical cannabis regulation unique. We performed two 50-state surveys and examined 298 public comments submitted to the Bureau of Cannabis Control during the initial medical cannabis rulemaking process in June 2017. After public comments, the Bureau withdrew this provision. However, that the exception was even considered is cause for concern in this new area of policy development. The progression from proposed medical cannabis rules to emergency rule adoption and now, into proposed final regulations, highlights the value of civic engagement with the rulemaking process. Jurisdictions should adopt bright-line COI rules within their cannabis codes that limit the relationships that law enforcement may have with the private cannabis markets.     

约当年金法在医院大型设备更新投资中的应用——以某三甲医院碎石机更新决策为例

针对医院设备更新决策中各备选方案初始投资额不同、经济寿命不同、运营期现金流量不同等特点．介绍了采用约当年金法评价医院设备更新项目的原理及具体应用方法。