上海疾病预防控制机构人员公共卫生伦理审查认知现况和改进策略

目的了解上海市疾病预防控制机构(以下简称“疾控机构”)从业人员公共卫生伦理审查认知现况,为提升疾控机构从业人员伦理认知水平、加强疾控机构伦理审查委员会建设和规范公共卫生伦理审查工作提供依据。方法采用问卷调查,调查疾控机构从业人员的人口学与职业特征、公共卫生伦理审查相关认知等情况,对上海市、区两级疾病预防控制机构的从业人员按比例发放电子问卷,回收有效问卷146份。结果受调查者认为在业务实践和科研活动开展中有必要构建公共卫生伦理审查规定与机制的分别有87.7%、89.7%;有必要构建公共卫生伦理审查评估体系的分别有86.3%、88.4%;有必要开展形式审查、跟踪审查和结题审查的分别有90.4%、92.5%、90.4%;伦理审查委员会有助于业务实践和科研开展的有93.2%。设有伦理审查委员会的机构受调查者与未设有伦理审查委员会的机构受调查者在开展形式审查的必要性认知、医学伦理相关规则对公共卫生伦理价值判定的体现程度认知、公共卫生伦理知识对目前工作或课题研究的帮助程度认知、在机构业务实践或科研开展中构建公共卫生伦理审查规定与机制或评估体系的必要性认知等方面差异有统计学意义;参加伦理培训的受调查者与未参加伦理培训的受调查者在公共卫生伦理知识对工作或课题研究的帮助程度认知差异有统计学意义。结论疾控机构从业人员高度认可全过程伦理管理和公共卫生伦理审查制度建设的必要性,伦理审查委员会建设、人员培训参加情况可能影响公共卫生伦理审查认知。建议强化疾控机构科研项目的全过程伦理管理,加强疾控项目伦理审查制度建设,探索建立疾控机构纵向型伦理审查体系;强化伦理培训,增强从业人员伦理意识,提高从业人员伦理认知。

上海市试点推进医疗机构疾控监督员制度创新探索与实践

上海市推进医疗机构疾控监督员制度试点工作,以系统集成理念探索试点制度创新,推动打造预防、治疗、管理一体化的医疗服务模式。选取浦东、长宁、嘉定作为试点区,开展多元路径实践,推出多项创新举措,探索疾控监督员驻点模式,形成了行之有效的经验做法,提高重大传染病疫情早发现、早报告、早处置能力,建立了可借鉴、可复制的工作样板。同时,也指出了当前面临能力建设、激励机制等问题和挑战,提出了未来高质量推进疾控监督员制度建设的工作举措。

疾病预防控制机构深化党建带群建工作的理论基础与实践例证

习近平新时代中国特色社会主义思想实现了马克思主义中国化时代化新的飞跃。其中,党的群团工作百年经验开创了中国特色社会主义群团发展道路,推动了马克思主义群团观的中国化时代化进程。研究基于马克思主义的理论与实践辩证统一关系,以党的群团工作百年经验为理论基础,指引形成疾病预防控制机构深化党建带群建工作的实践思路与内容:聚焦“制度建设”,加强党的群团工作制度化、规范化;聚焦“人才队伍与组织架构建设”,夯实党的群团工作组织基础;聚焦“能力提升”,提升党的群团工作服务能力和水平。最终,在党建带群建工作的计划性与连续性、群团组织内部工作的整体性与联动性、党建带群建工作的服务意识和实践能力等方面取得显著的实践成效。

Survey on the Status Quo of Emergency Response Capabilities of Public Health Emergencies in Grassroots Disease Control Institutions in a Certain Area

Objective:To survey and study the emergency response capabilities of grassroots disease control institutions in a certain area for public health emergencies,and to put forward suggestions for rectification.Methods:The study was carried out from March 2022 to March 2023.Field surveys,questionnaire surveys,and interviews were used to investigate and analyze the emergency response capabilities of public health emergencies in 5 county Centers for Disease Control and Prevention(CDCs)in the region.Results:Through the survey,it was found that the professional level of the existing emergency team personnel of the grassroots disease control institutions in this region needs to be improved.There was an overall lack of emergency plans,and the compliance rate of the equipment,inspection,and testing items was low.The health emergency system of the CDCs in the region and the ability of the talent team need to be further improved.Conclusion:The emergency response capacity of grassroots disease control institutions in this region needs to be improved.For this reason,government departments need to increase investment and strengthen the construction of talent teams and hardware settings,and grassroots disease control institutions need to strengthen the construction of the public health emergency system to improve the ability to respond to public health emergencies.

公共卫生机构资源管理平台建设与发展

在公共卫生体系建设中,公共卫生资源是推进其发展的根本来源和基本保障。研究结合全面预算管理和内控管理制度等要求,基于公共卫生机构政府资源规划(government resource planning,GRP)平台建设经验,梳理针对人、财、物等公共卫生资源管理的现状和遇到的问题,探索借助信息化手段构建和管理公共卫生机构资源管理平台,为今后推进公共卫生机构资源管理信息化建设提供参考。

江苏省新型冠状病毒核酸检测实验室能力建设调查

目的了解江苏省各级疾病预防控制机构应对新型冠状病毒的实验室能力情况,为优化省、市和区(县)生物安全实验室网络布局、满足新型冠状病毒肺炎等重大疫情防控多层次检测需求提供政策依据。方法根据新型冠状病毒检测所需的实验室仪器、专业技术人员、实验室备案与质量控制等关键指标制定调查表进行调查,并对调查结果进行统计学分析。结果江苏省共有疾病预防控制机构112家,配备生物安全实验室124个,核酸提取、定量聚合酶链式反应(polymerase chain reaction,PCR)仪器分别为85和112台,核酸检测专业人员有249人,仅有29个实验室完成PCR备案,全省每日最大检测样本数为5236个,占理论值的74.0%。结论江苏省新冠病毒核酸检测相关的实验室能力尚不均衡。省、市两级生物安全实验室能力建设较好,区(县)级较为薄弱,区(县)级疾病预防控制机构普遍存在仪器设备配备不足和检测人员缺乏等问题,具备核酸检测能力的机构较少;区域资源配置不均衡,苏北地区硬件设施和人员配置相对不足,具备核酸检测能力的机构较少;全省疾病预防控制机构的实验室均存在PCR备案和质量控制管理不完善的问题。

OPEN ARCHITECTURE CNC SYSTEM HITCNC AND KEY TECHNOLOGY

Aiming at the characteristics of modularity and reconfigurable in open architecture computer numerical control （CNC） system, the open architecture CNC system, Harbin Institute of Tech- nology computer numerical control （HITCNC）, is researched and manufactured based on the interface standards. The system＇s external interfaces are coincident with the corresponding international standards, and the internal interfaces follow the open modular architecture controller （OMAC） agreement. In the research and manufacturing process, object-oriented technology is used to ensure the openness of the HITCNC, and static programming is applied in the CNC system according to the idea of modularization disassembly. The HITCNC also actualizes real-time and unreal-time modules adopting real-time dynamical linked library （RTDLL） and component object model （COM）. Finite state ma- chine （FSM） is adopted to do dynamically modeling of HITCNC. The complete separation between the software and the hardware is achieved in the HITCNC by applying the SoftSERCANS technique. The application of the above key techniques decreases the programming workload greatly, and uses software programs replacing hardware functions, which offers plenty technique ensures for the openness of HITCNC. Finally, based on the HITCNC, a three-dimensional milling system is established. On the system, series experiments are done to validate the expandability and interchangeability of HITCNC. The results of the experiments show that the established open architecture CNC system HITCNC is correct and feasible, and has good openness.

State Council Issued the “Regulations on the Control of Foreign Funded Financial Institutions”

The Xinhua News Agency has released the full text of the No.340 order of the State Council signed by Premier Zhu Rongji, on the publication of the Regulations of the People’s Republic of China on the Control of Foreign Funded Financial Institutions, which will take effect on the date of February 1 in 2002.