Objective To understand the development and current status of low back pain among the submarine crew,and analyze the influencing factors. Methods The general condition, professional,life style,working condition and low back pain status of submarine crews were collect-ed by using questionnaires. Only 423 submarine crews in a naval unit were effective in our research. According to admission,143 submarine crews with low back pain enrolled were used visual analogue scale (VAS), special-purpose physical examination and the disability degree based on the Ad-vanced Oswestry Disability Index (ODI). Results The incidence of low back pain in 423 subma-rine crews was 33.81%. There were significantly difference in VAS of four groups (P<0.05). The score of pain intensity was affected mostly in the group of ≥9 years (8.52±0.68). The total score of ODI in crew of low back pain was 37.92±3.22 points. The professional,service lives, the dura-tion of symptom,and injury had an influence on low back pain(P<0.05). Conclusion In subma-rine crew of low back pain, the incidence was higher, the spinal function was worse, and discom-forts influence the daily life. In order to reduce the crew's discomforts,we should give them health education and improve their awareness of this disease,and set up health habits of life.

目的 探讨潜艇部队官兵下腰痛患病情况及危险因素,为有效防治该疾病提供科学依据.方法 对海军某潜艇基地体检官兵进行问卷调查,项目包括一般情况、服役年限、从事专业、生活习惯及下腰痛情况等.按照纳入标准将官兵分为有下腰痛的腰痛组,无下腰痛的对照组,数据采用Logistics回归模型进行分析研究.结果 共调查潜艇官兵450例,最终有效问卷423份,其中腰痛组143例,对照组280例.潜艇官兵下腰痛的危险因素中以服役年限(OR=1.865)危险性最高,其次是从事专业(OR=1.843)、病程时间(OR=1.802)、外伤史(OR=1.725).结论 潜艇部队官兵下腰痛的发生受服役年限、从事专业及外伤史等因素影响.

随着国家医疗体制改革的不断深入,物流业的迅速发展,旧的药库管理模式已难以适应现代化医院的管理要求,实现高效、科学的药品库存管理,促使医院药品供应管理科学化、准确化、经济化是当前医院药品库存管理的迫切需要.在医院信息系统(HIS)的支持下,零库存管理成为实现这一目标的有效方式.零库存管理不但能减少药库日常管理需要投入的人力、物力和财力,降低库存管理的成本,同时还可明显提高药品的周转率,激活流动资金[1].2017年4月,某部尝试实施药品零库存管理,通过1年的实践,现总结如下.

近年来,随着医患关系的紧张,医疗纠纷整体呈上升趋势,军队医疗纠纷也日益凸显,分散了机关和部队抓正常工作的精力,也影响到军队形象甚至社会安全稳定;而随着多家医疗机构的转隶,海军卫生信访和医疗纠纷的工作形势日益严峻. 因此,必须将军队医疗纠纷问题置于重要位置,采取有力措施,有效防范和妥善处理医疗纠纷,努力构建和谐医患关系、建立良好医疗秩序,为促进社会安全稳定做出应有贡献.

Objective To understand the features of military training-related injuries that occurred among naval officers and related risk factors, so as to provide effective prevention and treatment measures against military training-related injuries.Methods Four hundred and thirty-eight officers were recruited and a face-to-face questionnaire survey was made for the study.The subjects were divided into 2 groups ( the injury group and the non-injury group) by depending on whether or not they had training-related injury. Then, differences in the general conditions, the awareness of prevention against training-related injury, attitude and treatment behavior were analyzed between the 2 groups.Results In the naval unit undergoing military training, personnel with the an age range between 25 and 34 had the highest rate of training-related injury(56.3%), and there was statistical significance in the composition of the age between the injury group and the non-injury group (P<0.01).75.57%of the naval officers thought that training-related injury was re-lated with technical manipulations, and 81.96% of them knew emergency treatment methods when injuries occurred.The number of people who failed to do warming-up activities and those who persisted in training when signs of discomfort or fatigue-induced injury oc-curred for the injury group was significantly higher than that of the non-injury group (P<0.05).Conclusion In military training, the occurrence of injury was closely related with insufficient warming-up activities and irregular manipulations, and at the same time, insuffi-cient knowledge about the prevention of training-related injury and improper behavior were also important factors for training-related injury.

面对复杂多变的患病机体，仅从一个角度着眼是不够的，必须从各个不同的角度考虑，以整体医学的角度全面审视疾病才能全面了解形成疾病的本质原因，只有这样才能真正做到为患者解决问题、治疗疾病。

2012年5月，卫生部首次发布《中国吸烟危害健康报告》，这是我国第一部系统阐述吸烟危害健康的权威报告。报告指出，吸烟可导致肺癌、心血管疾病等多种疾病。中国是世界上最大的烟草生产国和消费国。中国目前有3亿吸烟人群，被动吸烟人群约7．4亿，每年由于吸烟造成的死亡人数约120万。军队人员工作、生活相对集中，组织严密，纪律严明，有利于贯彻执行相关的控烟禁烟条令法规。笔者于2012年12月对某部561名35岁以下青年官兵进行了吸烟行为以及吸烟相关知识、态度及控烟能力的调查，旨在探讨针对特定人群的关于控烟途径与方法的健康教育，为进一步做好部队控烟工作、营造无烟军营、做好官兵的健康管理、提高官兵健康水平提供参考。

<正>1临床资料患者,男,25岁,于2011年12月19日就诊。3年前新兵集训期间有过腰部外伤史,此后每次执勤后自觉腰痛不适,自行外用麝香壮骨膏、口服布洛芬缓释胶囊后可缓解。本次因执勤后适逢大风降温,腰痛症状加重,外用药膏并卧床休息后症状末明显缓解入我院就诊。经检查腰部4、5脊突处有明显压痛点;X射线检查显示腰椎轻度侧弯,无骨质

<正>1病例报告患者男,40岁。在远洋护航过程中突发左鼻腔出血就诊。既往无鼻出血、慢性鼻炎及高血压病史。就诊时出血量约3ml,接诊医师予以常规鼻腔内棉球填塞压迫止血。当晚患者打喷嚏后突发大量鼻出血,不但左侧鼻腔大量出血,右侧鼻腔及口腔也均有出血,出血总量约300ml。查体:血压120/76mmHg,心率

寻常疣是由人类乳头瘤病毒(HPV)感染皮肤引起的良性赘生物,以手、脚多见,发生于甲周者称甲周疣,发生于足底者称跖疣,发生于这两个部位的疣体统称掌跖疣,好发于年轻人[1|.笔者2009年9月至2010年9月采用平阳霉素局部注射治疗寻常疣,疗效满意,报告如下.

Salmonella infection is a major global public health problem,which is required to be notified to public health departments in many countries.Salmonella infection is acquired by ingesting coniaminated food or water.Gas-troenteritis caused by nontyphoidal Salmonella infection is clinically characterized by mild and thin watery diarrhea,which most cases are self limited and no antibiotic therapy is involved.Antibiotic treatment should be considered for young chil-dren(< 2 years)and the elderly,particularly for severe and immunocompromised patients.Enteric fever is a specific syndrome caused by.Salmonella typhi and Salmonella paratyphi.Antibiotic treatment is always required,and generally requiring hospital admission.Symptoms of enteric fever are highly variable,and enteric fever should be considered for any patient returning from an endemic country with a fever.In this article,the status quo of Salmonella infection in the epi-demiology,manifestation,diagnosis and treatment are reviewed.