目的 了解济南市男男性行为者(MSM)对肺结核防治知识核心信息的知晓现状,对相关特征进行分析,以期指导今后针对该人群的健康教育工作.方法 对248名MSM进行问卷调查,计算总知晓率、全部知晓率和全部不知晓率等指标,并对不同特征人群的知晓率进行比较.结果 248名MSM对于肺结核防治5条核心信息的总知晓率为45.00％ (558/1240),全部知晓率为9.68％(24/248),全部不知晓率为22.58％ (56/248).45～岁组、高中或中专学历组以及职业为商业及服务业的人群,其总知晓率较低,分别为25.71％、38.40％以及35.83％;该人群获得肺结核防治知识的主要途径为网络和从他人处听说,期望获得防治知识的主要途径为电视、网络、医务人员讲解等.结论 济南市MSM对于肺结核防治知识的核心信息知晓水平较低;今后应当有针对性地开展宣传教育.

Objective To evaluate the effect of AIDS intervention among high school students by educational activities organized by student social club.Methods 2000high school students were randomly selected prior to and after the intervention to complete the anonymous questionnaire survey.SPSS 18.0software was used for data analysis.Results The awareness rate of students increased from 64.2% to 92.2% after the intervention,the difference was statistically significant(χ2=229.94,P<0.01).Meanwhile,much less discrimination to AIDS patients was found after the intervention among students who became more understandable and tolerant to AIDS patients.Conclusions AIDS educational activities organized by student social club are effective to teach high school students about the knowledge of HIV/AIDS and help them not discriminating AIDS patients.

Objective To explore the value of urine test in the clinical diagnosis. Methods Urine test was applied to 216 patients admitted to the hospital from 2010.06 to 2012.06. The first morning urine were collected about 10～20 mL and detected by dry chemical analysis and urine analysator. The clinic data of the patients were retrospective analysis. Results There were 26 cases which urine were normal. There were 12 patients who were chronic nephritis in the 26 cases. There were 14 patients who were diabetes mellitus in the 26 cases. There were 190 cases which urine were abnormal. There were 101 patients who were diabetes mellitus in the 190 cases. There were 20 patients who were chronic nephritis in the 190 cases. There were 31 patients who were urinary tract infection in the 190 cases. There were 8 patients who were jaundice in the 190 cases. There were 7 patients who were acidosis in the 190 cases. There were 13 patients who were renal lithiasis in the 190 cases. Conclusion Urine test is helpful to diagnosis and differential diagnosis of some clinic disease. The treatment can be guardianship by urine test. Urine test is higher clinical application value.

党和政府带领全国各族人民走出了一条创新建设道路,即建设社会主义市场经济体制,综合国力极大增强,社会经济高速发展,人民生活水平也迅速改善。根据"帕累托改进"原理,中国的改革已经进入深层次的攻坚阶段,各项事业亟需深化改革和不断完善。通过近三年来对社会主义市场经济理论的学习体会,并结合我二十年来做预防医学工作的实践,就看病贵看病难问题存在的深层次原因做些探讨:①目前的卫生工作重临床轻预防;②在临床医学方面,卫生行政部门重办医轻管医;③药品监管部门重审批轻监管。为党和政府的卫生行政部门提供参考,增强全民身体素质,全心全意投入到社会主市场经济建设当中,构建社会主义和谐社会。

[Objective]To fully understand the status of HIV infection and follow up among the people in detention in Shizhong district,explore the effective management model for HIV infected people and AIDS patients.[Methods]Data of HIV infected people and AIDS patients among the people in detention in Shizhong district in recent years were analyzed.[Results]HIV antibody test was conducted for 7 421 people in detention by the end of 2008,18 of them were HIV antibody positive,accounting for 24.26/10 000.19 AIDS patients were from other detention home.The management rate of the patients reached to 100.00%,but follow up was not conducted for 92.86% of them after release.[Conclusion]The prevalence of HIV was higher among the people in detention,most of them were drug users and sexual chaos crowd.Supervision must be conducted continually to prevent HIV prevalence among the people in detention.Health education and intervention can be carried out.The effective referral network can be established between the related units and Center for Disease Control and Prevention to prevent the second generation of HIV transmission.

Objective To learn the effect of health education on the HIV/AIDS related knowledge and attitude in migrant construction workers.Methods 804 migrant construction workers were selected by random sampling from 3 building sites where the working kept at least half a year in Jinan city,intervention measures were conducted,and the health education effect was assessed.Results The total awareness rate of HIV/ADIS related knowledge in this population after intervention improved from 55.1% to 77.2% and the effect had a significant difference after intervention(P< 0.05).Most of the attitude items had statistics difference after intervention(P< 0.05).The rate of use for condom every time improved from 8.1% to 25.6%.Conclusion The health education and comprehensive intervention for migrant construction workers could improve the HIV/AIDS related knowledge,attitude and behavior effectively.

[Objective]To investigate HIV/AIDS related knowledge,attitude and behavior in migrant construction workers and provide scientific evidence for establishing AIDS prevention and treatment strategy for migrant construction workers.[Methods]In March,2006,migrant workers were selected from 4 building sites in Ji'nan City by random sampling to conduct a questionnaire survey.[Results]Among 1 493 surveyed,the awareness rate of three transmission routes of AIDS was 67.67%,69.19% and 67.31% respectively,and the awareness rate of non-transmission routes was from 44.54% to 69.06%.The rate of condom use of 1 254 surveyed was 6.22%,and 55.50% of them never used condom.The rate of condom use among 119 surveyed who has out-marriage sexual behavior was 9.24%.In the last year,12.7% of the investigated people had relevant symptoms of sexually transmitted disease,Among these people,31.91% were treated in special hospital,38.30% in private clinics and 26.06% using drugs by themselves.[Conclusion]The awareness level of HIV/AIDS related knowledge is poor and dangerous sexual behaviors exist widely among migrant construction workers.