Occupational Radiation Exposure and Changes in Thyroid Hormones in a Cohort of Chinese Medical Radiation Workers / 生物医学与环境科学（英文）

Objective@#This study aimed to evaluate the association between occupational radiation exposure and changes in thyroid hormone levels among medical radiation workers.@*Methods@#This retrospective cohort study included 2,946 radiation workers from 20 Guangzhou hospitals. Data on general characteristics, participant radiation dosimetry, and thyroid function test results [thyroid-stimulating hormone (TSH), triiodothyronine (T3), and thyroid hormone (T4)] were extracted from dosimetry and medical records. The generalized estimating equation was used to evaluate the trend of changes in thyroid hormone levels over time and was adjusted for age, gender, and occupation.@*Results@#The average annual effective dose was very low and showed a general downward trend. During the follow-up period, changes in T3 and T4 levels among radiation workers were -0.015 [95% confidence interval ( @*Conclusion@#Thyroid hormone secretion might be affected even in low-dose radiation exposure environments.

Evaluation on implementation of national continuing medical education programme in Chinese Center for Disease Control and Prevention during 2007-2012 / 中华医学教育探索杂志

Objective To analyze the implementation of national continuing medical education (CME) programme in Chinese Center for Disease Control and Prevention during 2007-2012,in order to improve quality of CME.Methods According to the data from national CME system,Excel 2007 was used to analyze the authorized and executed programme data to calculate implementation rate; to calculate constituent ratio of different project hosting days; analyzing the tide of a technical post data to calculate constituent ratio of different professional ride; analyzing different types of lecture to calculate percentage of theory class hours and experiment class hours; calculating constituent ratio of different professional title about students,using SPSS 13.0 to conduct x2 test for constituent ratio of different professional tide about students in different years.Excel 2007 was used to analyze training effect data,calculating constituent ratio of degree of effect satisfaction.Results 361 projects were approved,52 projects of which were conducted during 2007-2012 with the execution rate of 69.81％.Most hosting days were 3-6 d.Teachers who have senior professional tides gain 80.25％(1 170/1 458).The majority (70.85％,20 642/29 136) of students have junior and intermediate technical tides; Students in different years Tide Distribution is not exacdy the same,junior and intermediate technical tides gain the most proportion(X2=2 215.79,P=0.000).Students are satisfied with the progressiveness of training content.Conclusions Implementation of projects are overall good.In the future,it is needed to expand the scale,and enhance surveillance and evaluation to improve project quality according to the characteristic of project.