手术安全核对制度在我院实施情况的调查与分析

为促进手术患者安全,世界卫生组织制定了手术安全核对表,并从2008年6月25日起向全球推广。北京协和医院麻醉科同年即将核对表介绍到国内,并于2009年2月起开始实施手术安全核对制度。在正式实施已满3年之际,对手术安全核对制度目前的执行情况进行了评估,提示目前手术安全核对制度在实施的过程中尚存在诸多有待改善的不规范情况。     

我国农业转基因生物安全管理现状

转基因技术可以打破物种界限,实现作物性状的定向改造,在解决粮食增产、环境污染、节水增效,以及改进农产品质量等方面显示出巨大潜力。同时,转基因技术具有潜在的风险,转基因生物的安全性受到人们的广泛关注。本文介绍了我国农业转基因生物安全管理状况,包括法规制度体系、安全评价体系和安全监管体系,旨在让人们更好地了解我国农业转基因生物安全管理知识。     

Safety of the production process of SURFACEN® to inactivate and remove virus

SURFACEN^® is a biological product produced from pig lungs. Since these animals can be potential sources of microbial pathogens such as viruses, the manufacturing process of this product should guarantee safety from health hazards. The SURFACEN^® production procedure is capable of effective viral clearance (inactivation/removal) by involving two stages of organic solvent extraction followed by acetone precipitation and heat treatment. In this study, we evaluated the clearance capacity of these four stages for a wide range of viruses by performing spiking experiments. Residual contamination was assessed using a Tissue Culture Infectious Dose assay (log₁₀ TCID₅₀). The validation study demonstrated that, for all viruses tested, the TCID₅₀ titers were reduced by more than 2 log₁₀ in each stage. Total log reduction values achieved were between ≥17.82 log₁₀ and ≥27.93 log₁₀, depending on the virus physical properties, titer, and the number of processing stages applied. Results indicated that the production procedure of SURFACEN^® can inactivate or remove contaminant viruses from the raw material.     

关于实验动物设施安全检查、研发实验动物行业通用安全检查表的讨论

实验动物设施的安全运行和环境条件标准化控制是实验动物繁育生产质量和进行动物实验的条件保证。本人运用安全系统工程、安全科学管理理论,结合我国实验动物安全工作发展,就实验动物环境设施的安全运行管理、检查、发现、分析和消除实验动物环境设施运行中潜在的危险和危害因素,做一阐述。总结性地提出了实验动物环境设施安全检查的程序、内容、实施步骤的闭环式安全检查模型。利用安全检查表,科学有效地开展实验动物环境设施安全检查工作,把事故消灭在萌芽状态。     

转基因植物的食品安全性问题及评价策略

转基因植物经历了20年的快速发展,已经成为21世纪农业的重要支柱之一。转基因植物从诞生以来,其食用安全性一直是科学界、政府和广大消费者关心的焦点问题。各类转基因安全事件层出不穷,严重影响着转基因产业的发展。本文从营养、毒性、过敏性、抗生素抗性、非期望效应等五个方面系统总结了转基因植物食用安全的问题,详细介绍了转基因植物食用安全评价的六大原则以及国际与国内对转基因植物食用安全性评价的内容,最后介绍了我国的转基因植物安全管理体系。以期使读者对转基因植物食用安全问题有一个系统全面的了解。     

Introduction of a surgical Black Box system in a hybrid angiosuite: Challenges and opportunities

PurposeIn laparoscopy, the Operating Room Black Box® (ORBB) provides insights into operative performance to improve patient safety. This technology may also enhance endovascular surgical practice; however, the use of a C-arm and X-rays pose important challenges, hindering transferability to an endovascular context. We describe the first implementation of ORBB technology in a hybrid angiosuite and illustrate its value in evaluating surgeons’ radiation safety, technical and non-technical performance.MethodsTeam members (surgeons, nurses, anaesthesiologists) and stakeholders were informed during several information sessions. Together with teams from Surgical Safety Technologies (Toronto, Canada), an implementation plan was developed, and video-evaluation frameworks were chosen.Radiation safety was assessed using dose measurements and video-evaluation of safety-related behaviours. Technical performance was assessed using ‘global’ (GRS) and ‘procedure-specific’ (PRS) rating scales and the ‘EndoVascular Aortic Repair Assessment of Technical Expertise’ (EVARATE) framework. Surgeons’ non-technical skills were assessed with the NOTSS framework.ResultsThe system captures Audio-visual data from four ceiling-mounted cameras, three ceiling-array microphones, the fluoroscopy screen and anaesthesia monitor. After patient and team consent, an elective endovascular aneurysm repair was successfully analysed. Dose-Area-Product and Air Kerma were 71094 mGy.cm² and 270 mGy, respectively. Behavioural analysis revealed deficiencies in stepping back and radiation safety communication. Technical skill assessment was feasible: GRS: 29/40; ‘PRS’: 27/35; EVARATE: 29/35. Non-technical analysis highlighted surgeons’ leadership qualities.ConclusionAn innovative data capture platform has been successfully installed to evaluate overall performance during endovascular procedures. This technology may facilitate identification of (radiation) safety-related errors and instigate educational interventions based on real-world issues.     

哈尔滨市综合医院手术室病人安全管理现状与对策研究

采用随机抽样的方法,在哈尔滨市随机抽取5家三级、5家二级综合医院的手术室进行病人安全管理现状调查。从手术室护理人员构成、人员培训、规制、布局流程、设备配置、病人辨识、消毒灭菌、医护配合8个方面全面分析了目标医院在手术室病人安全管理方面存在的问题,并提出改进对策,旨在改善手术室管理现状,保障手术室病人安全。     

免疫分析新方法在食品安全检测中的应用

免疫分析技术具有特异性强、灵敏度离、方便快捷、检测成本低、安全可靠等优点,已成为现代生命科学的重要研究手段,在食品安全检测中有着良好的应用前景。本文综述了近几年来出现的免疫分析新方法,简单介绍了它们在食品安全检测中的应用。     

Mycotic morbidity — An occupational risk for mycologists

Classical mycologists may be at a greater risk for infection with organisms under investigation than medical mycologists. The methods of infection of human beings by systemic mycotic pathogens is known. These principles can be used to develop good laboratory practices for classical mycological investigators. Newly recognized fungal pathogens and a more susceptible population may cause more laboratory infections. Minimal safety practices to prevent mycotic morbidity are described.     

转基因耐除草剂大豆的食用安全评价研究进展

转基因大豆是目前种植最广泛的转基因作物之一,其中具有耐除草剂特性的转基因大豆占比最高。公众对转基因食品一直争议不断,因此,其批准商业化种植前的食用安全性评价显得尤为重要。已有研究显示,转基因耐除草剂大豆已经商业化种植了二十多年,迄今为止还没有观察到任何不良反应。目前已经批准的转基因耐除草剂大豆均进行了严格的毒理学评价、过敏性评价和营养学评价,经过严格评价后上市的转基因大豆可以放心食用。综述了转基因耐除草剂大豆的主要类型,分析了可能存在的安全性问题,对转基因耐除草剂大豆的食用安全性评价方法进行了总结,以期为后续相关转基因食品安全性评价工作的开展提供借鉴。     

从微生物指标中看我国肉类食品安全问题及解决措施

本研究从食品微生物指标人手,对我国肉类食品的微生物指标检测情况及其产品质量进行分析,在相关政府部门的有力的监管下,肉类产品质量与安全有了较大幅度提高.最后分析了我国肉类食品行业的现存问题,并提出改进的建议,最后对其发展进行展望.     

Beneficial lactobacilli in food and feed: long-term use, biodiversity and proposals for specific and realistic safety assessments

Lactobacilli have played a crucial role in the production of fermented products for millennia. Their probiotic effects have recently been studied and used in new products. Isolated cases of lactobacillemia have been reported in at-risk populations, but lactobacilli present an essentially negligible biological risk. We analyzed the current European guidelines for safety assessment in food/feed and conclude that they are not relevant for the Lactobacillus genus. We propose new specific guidelines, beginning by granting a 'long-standing presumption of safety' status to Lactobacillus genus based on its long history of safe use. Then, based on the available body of knowledge and intended use, only such tests as are useful will be necessary before attributing 'qualified presumption of safety' status.     

Occupational Electromagnetic Fields exposure in Magnetic Resonance Imaging systems – Preliminary results for the RF harmonic content

PurposeEuropean legislation concerning the protection of workers from exposure to Electromagnetic Fields (EMF) was recently (26.6.2013) completed by Directive 2013/35/ΕU. This Directive is a specific one of the framework Directive 89/391/EEC and part of the overall legislation for Occupational Health and Safety (OHS). Magnetic Resonance Imaging (MRI) systems have played a key role, both in the postponement of the former 2004/40 EMF Directive and in the formation of the latest limits adopted by the new Directive. On the other hand, MRI systems are associated with the exposure of personnel to EMF of various frequencies and modulations, arousing peculiar safety issues. Therefore, we will try to acquire the highly important knowledge of the exact occupational exposure levels, in all working scenarios and practices.MethodsDifferent MRI systems (1.5 and 3 T) have been chosen for a variety of measurements in order to assess occupational exposure compared to the limits (ALs) of the Directive and to the main OHS principles. Gradient function of MRI systems results in low frequency exposure, while high frequency exposure comes from the application of the RF excitation frequency.ResultsIn most of the cases the RMS and peak value measurements do not exceed the corresponding ALs, apart from a few specific hot spots, manageable through OHS principles.DiscussionComplete occupational exposure results can form the basis for dealing with multiple exposures present in MRI systems. Peculiar RF harmonic components, of no safety concern, were detected. Their origin is under examination.     

加强麻醉安全建设 改善外科病人围术期转归

手术病人的围术期并发症发生率和死亡率是多种因素共同作用的结果,麻醉医生应该承担更多的责任。麻醉本身的安全性已经有了很大提高,但尚存提升的空间。对于围术期安全而言,麻醉科定位应该是“保障全行业医疗安全的关键学科”。提高麻醉安全性应该从更新麻醉观念、规范医疗行为和加强系统建设入手。     

iPSCs的潜在致瘤性及降低致瘤性方法的研究进展

自从2006年山中伸弥成功地将小鼠皮肤成纤维细胞重编程为诱导性多能干细胞(Induced pluripotent stem cells,i PSCs),i PSCs已成为科学家们研究的热点之一。而i PSCs在为基础研究和再生医学提供了无限可能的同时,相关争论焦点也随之产生,如i PSCs有可能导致肿瘤已成为其在临床应用前需要进一步证实、面对和解决的问题。目前已经有相关研究人员对i PSCs是否具有潜在致瘤性进行了探索。研究结果表明,i PSCs基因表达谱与癌细胞基因表达谱具有交集,重编程过程中积累了基因损伤,以及在培养过程中的基因突变都是其致瘤性产生的原因之一。研究人员目前已经找到很多减少i PSCs致瘤性的方法,比如优化促重编程因子、筛选表达载体、筛选细胞株等。文中对i PSCs致瘤可能性的原因和如何消除其致瘤性进行了综述。     

国内生物安全柜产品标准（JG170和YY0569）比较

国内生物安全柜执行的两份标准（ JG170-2005和YY0569-2011）存在一定差异,导致实际执行中存在分歧和疑惑。该文就两份标准中对生物安全柜的结构要求,性能要求和测试方法进行了比较,并对其逐一进行客观分析解释,对生物安全柜在实际维护和检验时提供了指导。     

Food safety behaviour and handling practices among Saudi women during the COVID-19 pandemic

Although it is commonly known that viruses cannot multiply in food as they need a living host for growth, adenoviruses and corona viruses can reportedly survive on surfaces and food packages for several days. Therefore, food item mishandling could increase the risk of infection. In this cross-sectional study, we assessed the changes in the food purchasing habits, food safety behavior, and food handling practices among Saudi women during the COVID-19 pandemic. The study included 1356 women who were randomly approached via convenience sampling using an anonymous questionnaire distributed through various social media platforms. The variables were described in terms of frequency and percentage, and the Chi-square test was applied to assess the relationship between the dependent and independent variables. Approximately 62.5% of the participants were aware that SARS-CoV-2 is not transmitted via food. Most participants (90%) reported a shift from outdoor to indoor meal preparation, along with avoidance of visits to grocery stores for food purchase (55%) and increased usage of online grocery delivery services (27%). Most participants obtained good overall scores for food safety behavior during grocery shopping (mean score: 10.83±1.62/12 points, 90.25%), grocery unpacking at home (10.60±2.65/13 points, 81.55%), and personal hygiene (28.84±3.16/36 points, 80%). However, a moderate overall score was obtained for food preparation practices (7.77 ±1.91/12 points, 77.7%). Older and/or retired individuals, patients with chronic diseases, and/or individuals living with children showed better food safety behavior and handling practices compared to their counterparts. This study reported good overall food safety behavior and handling practice scores among participants under most categories studied. However, our results highlight the need for more customized public education programs for Saudi women, who are the primary food handlers in most households, particularly during food preparation, to further improve food safety practices and prevent potential food mishandling, which will eventually help preventing the spread of COVID-19.     

基于CPTED理论的大学校园环境安全评价研究——以华南理工大学五山校区为例

在当代大学校园开放性与内聚性双重特性影响下,如何建设平安校园是校园环境设计的一大难题。本文采用问卷调查结合深度访谈的方法,分析学生对校园整体环境的安全评价并绘制安全感知地图,利用统计分析方法对CPTED六要素相关性展开分析并对其重要程度进行排序,发现安全评价较低地点分布于校园边际空间及夜间可视性较差的地点。通过对校园整体环境展开实地调研,基于CPTED六要素提炼13个校园环境安全评价要素,提出校园环境安全设计的优化建议,以期为相关校园规划及环境设计提供参考。