Objective To evaluate the safety and immune efficacy of combined emergency inoculation with measles and rubella vaccine in an PLA unit during a large-scale exercise.Methods Some PLA troops who took part in a large-scale exercise in 2009 in Beijing were inoculated with combined vaccines of measles and rubella.The related medical and vaccine records were collected and the immune effects and safety were evaluated and compared to that in 2008 in Beijing.Results The protection rates of the combined vaccine with measles and rubella were 98.51% and 100.00% respectively.The vaccine results were good in 6475 inoculators,8 had systematic reaction and 18 had local reaction,but they all returned to normal 48 h after treatment.Conclusion The emergency inoculation of combined measles and rubella vaccine is effective and safe and can effectually decrease the incidence of measles and rubella in army troops during large-scale military exercises.

<正>1病例报告患者女,28岁,医师。患者自述自幼丧母,性格较内向,父亲平时对其要求严格,本人平时对自己要求也很高,为人处世谨慎和小心。1个月前因笔误开错处方,被同事发现后及时纠正,并未造成不良后果。

Objective To determine the epidemiological characteristics of pandemic(H1N1) in 2009 in some military unit.Results Epidemiological characteristics of 53 confirmed cases of A(H1N1) influenza recorded in 2009 in this military area were analyzed,including the distribution of age,sex,profession and the date of occurrence.Results Among the subjects affected by pandemic(H1N1),men accounted for 98.11%(52/53).All the subjects were between 19 to 72 years of age,and the median was 21 years of age.The patients included infantrymen,office attendants,automobile drivers and security guards.Most cases occurred during September 3 to September 7,2009.Conclusion It is more likely that Pandemic(H1N1) break out in units with organizational structures and that sporadic epidemic flu cases break out in logistic units.

健康管理是近年国内发展很快的一门学科,是对传统医学模式的完善和创新,是坚持"以人为本"原则,促进部队官兵身体健康的重要措施.现将我们对体系部队干部健康管理工作的做法与体会报告如下.

目的:调查了解新兵心理健康状况,做好新兵心理疏导.方法:采用艾森克个性问卷(EPQ)和数字搜索能力测评量表,对新兵进行心理健康水平测评,并对相关因素进行分析.结果:(1)人伍前职业比较,务农组在L量表中得分最高,学生组在E量表中得分显著高于打工组和待业组(P<0.05);(2)独生子女与非独生子女比较,在N量表和L量表中得分较低,能力得分较高(P<0.05);(3)不同文化程度比较,P量表得分本科组和大专组显著低于初中组和高中组(P<0.05),L量表得分初中组显著高于本科组和高中组(P<0.05).结论:应根据新兵的不同人格特征,结合入伍前的职业、文化程度和是否为独生子女等因素,进行个性化心理疏导.

为了做好军区机关及直属部队的卫生防病工作,提高环境卫生质量和健康水平,我们主动适应新形势下卫生防疫保障要求,结合机关和直属部队的特点,以搞好服务保障为主线,以做好平时卫生防病工作为重点,注意发挥各级和各类人员的作用,扎扎实实抓好卫生防疫工作.机关营院多年来未发生过食物中毒,无肠道传染病暴发流行,部队昼夜发病率、传染病发病率及训练伤发生率等各项指标均控制在总部规定的指标以下,被总部评为全军首批"甲级卫生单位",连续10年被北京市评为"卫生红旗先进单位".我们的基本做法有以下几点.