Medical ethic and publication ethic was more and more and important with the development of trial registration and systematic review registration promoted by the World Health Organization and the Cochrane Collaboration. Chinese Trial Registration and Publication Collaboration (ChiCTRPC) published the first statement to implement trial registration in China. We suggested that trial registration should be combined with ethic review and described the new definition of publication ethic in the second meeting by ChiCTRPC in 2010. In the the third meeting of ChiCTRPC in 2011, Experts from many fields communicated adequately and reached consensus. We summarized the experiences and lessons in the 5 years after the first statement of ChiCTRPC was published. Based on the latest progress of research ethic, publication ethic, trial registration, and systematic review registration, we drafted this explanation document for the second statement of ChiCTRPC to realize good research practice (RGP), good publication practice (GPP), and good translation practice (GTP) by implementing research ethic and publication ethic.
(承2007年第6期) 6.2 盆腹膜重建的种类和方法 6.2.1 盆底隔离法如前所述,因超低位直肠/肛管癌浸润会阴直肠隔、盆侧壁及肛周扩约肌群而实施了新腹会阴局部扩大切除术,因T4期直肠癌浸润子宫阴道或膀胱前列腺部分组织而实施了盆腔脏器局部扩大切除术,因局部复发性直肠癌而实施了腹会阴联合再切除术,因各种原因对中晚期直肠癌实施了Hartmann手术,以及因技术不确定性而实施了传统腹会阴联合切除术,无论手术切除范围或术者的操作技巧如何,由于病变性质决定了这类手术只能定位于根治性(R0)与姑息性(R2)之间的程度.因此,初次切除只是获得治愈或延长生存期的第一步,接下来是盆腔放疗或局部内放射治疗,最后,尚存在局部复发的高风险,若发生,可经会阴骶尾部再次甚至多次对复发癌行局部姑息性切除.因而预先有效的盆底隔离就可避免再手术时的小肠损伤,这就是盆底重建术的主要功能和适应证之一.……
摘要:目的: 探讨临床护理安全规范化管理的有效方法和效果。 方法 :成立病房护理安全管理小组;完善护理安全管理制度,培养质量管理意识;改善重点环节工作流程,强化质量监控;构建护理安全文化氛围。 结果 : 患者满意度明显提高,用药错误、管道脱落、压疮、投诉等发生率明显降低(〖WTBX〗P lt;0005)。 结论 : 规范化的护理安全管理提高了护理质量,保障了患者的安全,有效降低了护理风险的发生。Abstract: Objective: To discuss a effective way and effect of standardardized management of clinical nursing safety.Methods :Setted up nursing safety management team; Improved the nursing safety management system and trained awareness of quality management; Improved workflow of key links,and strengthened the quality control; Built a nursing safety culture. Results : Patients satisfaction improved obviously, and the medication errors、 pipe off、pressure sores、the incidence of complaints such as decreased obviously(P lt;0005).Conclusion : Standardized management of nursing safety improved the nursing quality, protected patients safety, and effectively reduced the risk of the occurrence of nursing.