面向消费者开展优良药学咨询服务

目的 :为药店开展优良用药咨询服务提出建议。方法 :对消费者进行问卷调查 ,对调查结果进行统计学处理。结果 :大多数消费者需要和认可用药咨询服务 ,并希望通过用药咨询获得医药知识。结论 :药店应积极推行《优良药房工作规范》 ,重视医药健康知识的宣传     

Are radiologists meeting the needs of Australian medical oncologists? Results of a national survey

Although radiological evaluation plays an integral role in the management of oncology patients, little is known about which elements of such evaluation are most important or about how satisfied clinicians are with the quality of radiology services in cancer patients. We have developed a 36‐item anonymous survey evaluating availability of and satisfaction with radiology services to medical oncologists. The survey was distributed to members of the Medical Oncology Group of Australia resident in Australia. We received 124 responses (51%). Most respondents (76.9%) were satisfied with their radiology services. Satisfaction correlated closely with the availability of standardized reporting and promptness of reporting (P < 0.001). Oncologists in private practise were more likely to receive prompt reports (P < 0.0001). Oncologists in public practice were more concerned about availability of CT scanning (P = 0.02). Services that were reported as less frequently available, despite being ranked as very important, included measurements of key lesions and comparison to previous studies. Standardized reporting was considered helpful by 91% of respondents. Only 32.5% of respondents reported receiving such a summary in more than 50% of cases and 21% never received such a summary. Our findings highlight the need for closer collaboration between oncologists and radiologists in order to address specific needs and develop optimal patterns of practise. Consideration should be given to standardization of reporting of radiology studies in oncology.     

关于高校后勤“剥离”的若干问题

“剥离”特指在高校后勤社会化进程之中 ,原来属于高校自身的后勤服务业 ,成建制地分离出去 ,不再属高校领导和管理 ,成为独立的、自负盈亏的实体。本文从研讨高校后勤社会化的内涵、模式以及中小规模高校后勤社会化的特点入手 ,思考“剥离”的有关问题 ,从而明确“剥离”的重要性、复杂性以及方式的多样性。     

Prosopo-Thoracopagus Conjoined Twins and Other Cephalopagus-Thoracopagus Intermediates: Case Report and Review of the Literature

Prosopo-thoracopagus twins are united from the face down to the umbilicus, none with union in the brain but all with visceral anomalies intermediate between those of cephalopagus and thoracopagus. In a review of over 1200 cases of conjoined twins reported during the past 100 years, there were 14 that illustrate the continuum between cephalopagus and thoracopagus, including three that were united only from the cervical region to the umbilicus. Classic cephalopagus twins are joined from the top of the head to the umbilicus, sharing a single foregut as well as two relatively normal hearts, the “posterior” one often diminished. Typical thoracopagus, however, are conjoined only from the upper thorax to the umbilicus, each twin with a normal foregut but both sharing a single complex multiventricular heart. The intermediate cases shared either a single very abnormal heart or two hearts united by double aortic arches, and all except one had a single foregut. It is these cases intermediate between cephalopagus and thoracopagus which are the subject of this report. Received September 11, 1996; accepted December 16, 1996     

新时期军事斗争卫勤准备的任务与要求

文章从新军事变革要求卫勤全面转型、军事斗争要求卫勤加快保障能力建设、军队现代化建设要求深化军队卫生工作改革、反恐及应付突发公共卫生事件成为军队卫勤基本任务、保障打赢信息化战争需要卫勤信息化、战斗力发展要求建立新军人健康观和医疗观等六个方面全面分析了新时期军队卫勤发展环境背景；同时，从联勤医院的保障对象和保障方式，战时医院基本任务，在反恐和突发公共卫生事件中军队医院的任务，在卫勤保障一体化中军队医院的任务，创新发展强健医学、急救医学、创伤医学、“三防”临床医学成为军队医院的重要任务等五个方面阐述了军队医院任务的拓展；并且，提出了新时期军事斗争准备对医院的基本要求，即：加快培养联勤医护人员，提高战伤救治效率，组织装备模块化，加快医院与部队预防-医疗-保健“一体化”进程，加快医院信息化建设，以及加强康复治疗、军事作业医学和核化损伤救治研究。     

影响农民参加新型农村合作医疗积极性的因素调查与对策

新型农村合作医疗制度是建立和完善农村社会保障体制的重要内容．是实践“三个代表”重要思想的具体体现，而政府也投入了大量的资金．应该说是件解决农民医疗保障和实际困难的大好事、实事，理应受到广大农民的支持和拥护。然而许多群众并不理解和接受政府的这份“苦心”和“好意”。本次研究的目的，是了解什么原因导致农民参保不积极，甚至出现抵触情绪，以便采取针对性措施，提高新型农村合作医疗的参保率及可持续发展能力。     

Using smart card technology to monitor the eating habits of children in a school cafeteria: 2. The nutrient contents of all meals chosen by a group of 8- to 11-year-old boys over 78 days

OBJECTIVE: The aim of the study was to test the abilities of the newly created smart card system to track the nutrient contents of foods chosen over several months by individual diners in a school cafeteria. METHODS: From the food choice and composition of food data sets, an Access database was created encompassing 30 diners (aged 8-11 years), 78 days and eight nutrients. Data were available for a total of 1909 meals. RESULTS: Based upon population mean values the cohort were clearly choosing meals containing higher than the recommended maximum amounts for sugar and lower than the recommended minimum amounts of fibre, iron and vitamin A. Protein and vitamin C contents of meals chosen were well above minimum requirements. Over the 1909 meals, nutrient requirements were met 41% of the time. CONCLUSIONS: The system created was very effective at continually monitoring food choices of individual diners over limitless time. The data generated raised questions on the common practice of presenting nutrient intakes as population mean values calculated over a few days. The impact of heavily fortified foods on such studies in general is discussed.     

关于我国公共卫生体系建设现状及对策的思考

公共卫生问题直接关系到群众的身心健康，特别是全球化进程的加快，食品卫生、疾病控制等问题是各国共同面临的问题。作者通过对奥地利卫生管理、体系建设、食品安全等方面的考察，进行分析、思考，对我国卫生体制改革提出了建议。作者认为，深化卫生改革，要进一步加强食品卫生监督执法，要重视和加强职业卫生，要加强医疗救治和医疗机构监督管理，要进一步完善社会医疗保险体系，要加强卫生管理理论的培训。     

社区卫生服务及基本卫生服务主要内容探讨

本文分两部分：第一部分主要介绍了国内外社区卫生服务的发展模式及主要内容；第二部分主要介绍了国外基本卫生服务的界定原则、界定方法及主要内容。