HIV Ag-Abdetection by ELISA: a retrospective analysis / 中国输血杂志

【Objective】 To conduct a retrospective analysis of HIV Ag-Ab detection by ELISA in our blood center, so as to provide reference for continuous improvement. 【Methods】 The reactive rate of HIV by each reagent, reactive rate of both reagents, re-test rate, concordance rate of initial-repeat test, and reagent utilization rate were counted, and the external quality assessment results were analyzed by PT score and z-ratio. 【Results】 The total reactive rate of HIV was 0.15%. The reactive rate by both reagents was 0.02%. The re-test rates, reactive rates, concordance rates and reagent utilization rates of the two reagents were 0.09% vs 0.08%, 0.07% vs 0.06%, 75.86% vs 78.21%, and 114.54% vs 113.92%, respectively. PT score was 100%, and z-ratio of 7 negative samples and 1 positive sample was less than 2, and of 2 positive samples was more than 3. 【Conclusion】 The laboratory quality monitoring indicators and external quality assessment can effectively monitor the operation of blood testing laboratory.

Application of intelligent gastrointestinal endoscopy quality control system to gastroscopy / 中华消化内镜杂志

Objective:To evaluate the intelligent gastrointestinal endoscopy quality control system in gastroscopy.Methods:Fourteen endoscopists from Renmin Hospital of Wuhan University were assigned to the quality-control group and the control group by the random number table. In the pre-quality-control stage (from April 20, 2019 to May 31, 2019), data of gastroscopies performed by the enrolled endoscopists were collected. In the training stage (June 1 to 30, 2019), the quality-control group was trained in quality control knowledge and the instructions of intelligent gastrointestinal endoscopy quality control system; but the control group was only trained in quality control knowledge. In the post-quality-control stage (from July 1, 2019 to August 20, 2019), a quality report was submitted weekly to the endoscopists in the quality-control group with a review and feedback, while the control group had no quality control report. Simultaneously, the gastroscopies performed by the enrolled endoscopists were collected during the period. Changes of precancerous lesion detection rate in the two groups were compared.Results:Seven endoscopists were assigned to each group. A total of 3 446 gastroscopies were included in the pre-quality-control stage ( n=1 651, including 753 cases in the quality-control group and 898 cases in the control group) and post-quality-control stage (n=1 795, including 892 cases in the quality-control group and 903 cases in the control group). The detection rate of precancerous lesions in the quality-control group increased by 3.6% [3.3% (29/892) VS 6.9% (52/753), χ2=11.65, P<0.01], while that of the control group increased by 0.4% [3.3% (30/903) VS 3.7% (33/898), χ2=0.17, P=0.684]. Conclusion:The intelligent gastrointestinal endoscopy quality control system with a review and feedback could monitor and improve the quality of gastroscopy.

Incidence of major autoimmune diseases of the nervous system in China / 中华神经科杂志

Autoimmune diseases of the nervous and muscle systems constitute a major disease category in neurology, characterized by high disability and heterogeneity. However, incidences for this group of disorders are still unknown in China at the national level. The emergence of the national Hospital Quality Monitoring System (HQMS) provides comprehensive data for epidemiological studies of rare diseases, and the systematism, accuracy and consistency during data collection of HQMS information provide a unique advantage for the investigation of the incidence of rare diseases. Currently, the incidence of major neurological autoimmune diseases based on HQMS has been accomplished and published. In conjunction with clinical practice and research progress of this field, the incidence studies of multiple sclerosis, neuromyelitis optica spectrum disorder, acute disseminated encephalomyelitis, Guillain-Barré syndrome, and myasthenia gravis are summarized. The completion of survey of disease incidence is instrumental to investigate the prevalence of this group of diseases. Ultimately, the outcome would benefit neurologists as well as health care policy makers.

Practice and exploration on the construction of hospital outsourcing project supervision system / 中华医院管理杂志

As more and more non-core services are outsourced to other companies, it is necessary for hospitals to build an effective outsourcing project supervision system to improve service quality and reduce potential risks. The authors introduced the construction practice of outsourcing project supervision system in the Second Affiliated Hospital of Zhejiang University School of Medicine of emphasizing four core elements: system guarantee, organization establishment, standard unification and quality monitoring. The authors also summarized five important aspects of building a thorough, consolidated, less risky and user-friendly outsourcing project supervision system: selecting suppliers carefully under unified standards; orienting dynamic supervision with details, problems and outcome; strengthening quality improvement and dual supervision equally; upgrading the concept of supervision and build a good cooperative relationship with suppliers; paying attention to the whole process management with learned lessons.

Aplicação de análise multivariada no estudo da frequência de amostragem e do número de estações de monitoramento de qualidade da água / Multivariate analysis applied for study of the sampling frequency and the number of sampling stations in water quality monitoring

RESUMO O cerne do presente trabalho consistiu em aplicar ferramentas de análise exploratória multivariada objetivando avaliar o número de estações de monitoramento de qualidade da água e a frequência de amostragem. Para tal, utilizou-se banco de dados disponibilizado pelo Instituto Mineiro de Gestão das Águas (IGAM) referente à Bacia do Rio das Velhas, na região central mais populosa de Minas Gerais. Foram utilizadas as técnicas de análise das componentes principais (ACP) e a rede neural de Kohonen, que culminaram na significativa redução da frequência de amostragem, em alguns casos de mensal para anual ou semestral, e na redução do número de estações de monitoramento de 36 para 33. Os resultados permitem abrir a possibilidade do emprego dos métodos utilizados como ferramentas de gestão de recursos hídricos de bacias hidrográficas visando à otimização dos programas de monitoramento de qualidade de água.

ABSTRACT The core of this work consisted of applying multivariate exploratory analysis tools to evaluate the number of water quality monitoring stations and the sampling frequency. In such way, the database provided by the Minas Gerais Institute of Water Management (IGAM) on the river basin of Rio das Velhas, in the most populous central region of Minas Gerais state, was used. The Principal Components Analysis and the Kohonen neural network techniques were applied, resulting in a significant reduction in sampling frequency, in some cases from monthly to annual or semi-annual, and in the reduction of the number of monitoring stations from 36 to 33. The results open the possibility of using these methods as watershed water resources management tools aimed at optimization of water quality monitoring programs.

Analysis of the current situation and influencing factors of regular spot check for CSSD cleaning quality / 中华医院管理杂志

Objective To investigate the regular spot check implementation of central sterile supply department(CSSD) at hospitals of all grades across China and analyze its influencing factors to provide the basis for further improvement of regular cleaning quality inspection. Methods Cross-sectional study was conducted form February to July of 2017,and 132 hospitals all over the country were selected to investigate with the questionnaire the current status of CSSD management model, staffing and regular cleaning quality inspection. Results The ratio of the nursing staff and the number of beds was 1.15:100,the ratio of staff and the number of beds was 2. 00:100. 81. 82% (n =108) of the hospitals adopted the centralized management model. The qualification rate for regular spot check execution was 87.12% (n=115). The results of multiple logistic regression showed that the centralized management model was more conducive to the regular spot check than the non-centralized management model (OR=4.71,95% CI:1.05-21.08). Conclusions The centralized management model proves positive for the implementation of regular spot checks;and CSSDs should pay more attention to the regular spot check of the cleaning quality.

Statistics and analysis of detection data for radioactivity performance of DR / 中国医学装备

Objective: To analyze and research detection data of radioactivity performance of digital radiography (DR) equipment so as to provide reference for purchasing DR equipment in hospital. Methods: Through collected the analysis results of detection data of quality control of 153 DR equipment of third level 1st class hospital, third level 2nd class hospital and county level hospital of Yunnan province. The comparison analysis about these DR equipments depended on the hospital type, nationality of equipment and duration of service. Results: There were 50 DR equipment and 103 DR equipments in the third level 1st class hospital and the third level 2nd class hospital, respectively. And in the third level 1st class hospital, there was 79.17% of DR equipments was imported equipment, while it was 51.45% in the third level 2nd class hospital. Besides, the duration of service of the most of DR equipments was 0-4yeras in the third level 2nd class hospital, while it was 5-7 years in the third level 1st class hospital. Conclusion: Most of the DR equipments in the third level 1st hospitals are imported equipment, and their duration of service were longer. On the other hand, in the comparison between imported equipment and domestic equipment, there are a certainly gap in quality stability, reliability and other aspects.

Comparison of the effect of chest compression quality between the traditional training and the standard video training / 中华急诊医学杂志

Objective To observe the difference in the effect of chest compression quality between the traditional training (TT) and the standard video training (SVT). Methods A total of 197 graduate students were divided into two groups according to the different training methods: group A (traditional modality, n=98) and group B (video training modality, n=99). After training for 2 hours, all trainees were asked to practice CPR on a resuscitation manikin for 2 minutes under the monitoring of CPR quality by a feedback system with trainee's back towards compute monitor. The data of chest compression rate (times/min), average depth (cm) and chest compression release velocity (CCRV, mm/ s) were collected and analyzed. Results Compared with TT, the mean compression depth in SVT was (5.42 ± 0.07) cm vs. (5.33±0.08) cm; the effective rate of CPR in SVT was (115±1.034) /min vs. (113.6±1.152) times/min; the mean CCRV in SVT was (439.7±7.72) mm/s vs. (417.3±7.64) mm/s in the first minute (P＜0.05) and (403.9±7.22) vs. (384.5±8.48) mm/s in the second minute (P＞0.05). Conclusions There were no significant differences on improving the quality of CPR between the two groups. The video training showed no significant effectivity on improving the quality of CPR compared with the traditional way.

Efeitos do tamanho da partícula e da concentração de sedimentos suspensos sobre a turbidez / Effect of particle size and suspended sediment concentration on turbidity

RESUMO Neste estudo foram avaliados os efeitos do tamanho da partícula e de variações da concentração de sedimentos suspensos (CSS) sobre as leituras de turbidez de três sensores óptico-nefelométricos, com iguais características ópticas e geométricas, utilizando amostras de sedimentos suspensos coletadas na seção fluviométrica da bacia do Turcato (19,5 km²), localizada na Região Sul do Brasil. O material coletado passou por processos de peneiramento e pipetagem para fracionamento nas granulometrias areia e silte. Para cada diâmetro foram separadas frações com diferentes concentrações de sedimentos, variando entre 0,01 e 5,00 g.L-1. Os resultados demonstram grande influência da CSS e do tamanho da partícula sobre a turbidez. Para qualquer situação, o aumento da turbidez é inverso ao tamanho da partícula e diretamente relacionado ao aumento da CSS. As variações da turbidez, expressas em função da CSS (sensibilidade do sensor), são maiores para menores diâmetros, atingindo valores quase constantes para partículas de areia. As leituras de turbidez dos três sensores não apresentaram diferença significativa no nível de 5% pelo teste de Mann-Whitney rank sum . Para uma mesma CSS, a leitura de turbidez pode ser diferente, conforme a classe granulométrica analisada. A turbidez registrada pelo sensor para a classe silte equivale a uma turbidez observada para uma CSS dez vezes menor para a classe das areias.

ABSTRACT This study evaluates the effects of particle size and variations of CSS on turbidity readings of three optical-nephelometric sensors using sediment samples collected in the field. Samples were collected in fluviometric station at Turcato basin (19.5 km²), located in the South region of Brazil. The collected material underwent screening and pipetting processes for fractionation in sand and silt grain size. For each diameter were separated fractions with different sediment concentration ranging between 0.01 and 5.00 g.L-1. The results demonstrate great influence of CSS and particle size on turbidity readings. The increase in turbidity is opposite to particle size and directly related to CSS. Variations in turbidity, expressed in CSS function (sensor sensitivity), are higher for smaller diameters, reaching almost constant values for sand particles. Turbidity readings of the three sensors showed no significant difference in the level of 5% by the Mann-Whitney rank sum test. For a given CSS, the turbidity reading may be different, depending on the granulometric class analyzed. Turbidity recorded by the sensor to the silt-class is equivalent to a sensor response observed for a CSS ten times lower for the sand class.

Omics approaches in fish quality and safety / Procedimentos ômicos aplicados em qualidade e segurança de pescado

Omics is a new technology that uses genomics, proteomics, and metabolomics to investigate metabolites from foods. The global demand for fish has shown a progressive increase because it is a significant source of high quality protein, polyunsaturated fatty acids, especially omega-3, and essential minerals. However, there are barriers in the fishery production chain such as lack of standardization, knowledge, and technology transfer to industry. Moreover, fish effective monitoring is difficult due to restricted quality parameters and analytical methods determined by current Brazilian legislation. This review details the limiting chemical parameters and recent advances in analytical procedures for fish quality determination. To improve fish quality monitoring, total volatile basic nitrogen (TVB-N), trimethylamine (TMA), ammonia, pH, and biogenic amines values should be revised and established by fish category and/or type of fish product. On the other hand, protein carbonyl concentration, free fatty acids (FFAs), peroxide values (POV), and thiobarbituric acid reactive substances (TBARS) should be included in the national legislation. Simultaneously, the official authorities should take into account effective, practical, and low cost analytical methodologies, which lead to faster results in order to facilitate and enhance the quality control of the products from the fish production chain, ensuring the consumer's health. Moreover, analytical techniques for the identification of fish species must be introduced in the Brazilian legislation in order to avoid illegal substitutions and negative impacts to consumers.(AU)

Os procedimentos ômicos são uma nova tecnologia que utiliza a genômica, proteômica e metabolômica para avaliar metabólitos dos alimentos. A demanda mundial de pescado tem aumentado progressivamente devido à elevada qualidade de proteínas, minerais e ácidos graxos poli-insaturados, especialmente ômega-3. Todavia, a cadeia produtiva aquícola apresenta limitações como falta de padronização, ausência de conhecimento e transferência de tecnologia para as indústrias. Além disso, torna-se difícil garantir um monitoramento efetivo do pescado em decorrência das limitações dos parâmetros de qualidade atuais e dos métodos analíticos estabelecidos pela legislação nacional. O presente trabalho analisa os fatores limitantes relacionados aos parâmetros químicos, bem como os avanços recentes nos procedimentos analíticos, para determinação da qualidade do pescado. Levando-se em consideração a melhoria no controle de qualidade dessa matriz, os parâmetros de bases voláteis totais (BVT), trimetilamina (TMA), amônia, pH e aminas biogênicas deveriam ser revisados e estabelecidos por categorias de pescado e/ou por tipo de produto à base de pescado. Em contrapartida, parâmetros relacionados à concentração de carbonilas, ácidos graxos livres (AGLs), índice de peróxidos (IP) e malonaldeído (MDA) poderiam ser inseridos na legislação nacional. Simultaneamente, as autoridades oficiais devem levar em consideração metodologias analíticas que apresentem efetividade, praticidade, baixo custo e rapidez, facilitando e aprimorando o controle de qualidade de produtos de pescado e garantindo a saúde dos consumidores. Além disso, técnicas analíticas para identificação das espécies de peixes devem ser incluídas na legislação brasileira visando evitar substituições ilegais e impactos negativos aos consumidores.(AU)

Suggestion for modification of bacteriological quality monitoring of laboratory mice and rats in China / 中国比较医学杂志

Based on the analysis of the standards of bacteriological quality monitoring of laboratory animals in developed countries, this paper provides suggestion for modification of bacteriological quality monitoring of laboratory mice and rats in China.

Effect of Monitoring of Cleaning and Disinfection of Endoscopes in the Medical Institutions in Guangzhou / 现代医院

Objective To understand the current situation of endoscope disinfection and sterilization quality of the medicalinstitutions in Guangzhou , and provide evidence for improvement of disinfection surveillance and nosocomial infection control management in the area .Methods The field survey and sampling examination were used to monitor the cleaning and disinfection effect of endoscopes in the medical institutions in 3 years.Results The cleaning and disinfection management of endoscopes in the medical institutions of Guangzhou was nearly eligible .In 3 years, a total of 106 samples were examined continually .The average eligible rate of cleaning and disinfection effect of endoscopes was 90.0%.The eligible rates in 2012-2014 were 95.6%, 85.2%, 85.3%respectively, and the difference was not significant (χ2 =2.960, P>0.05); Among the different types of endoscopes , the qualified rates of the disinfection of the enteroscopes and the gastroscopes lumen were 83.3%, 92.1%respectively.The difference between the two was not significant;Using integrated endoscopic wash -infec-tion center and the use of four or five channel slot method for cleaning disinfection , qualified rate difference has no statistical significance (P>0.05);Both the concrntration of the disinfectants and the hygienic puality were pualified .Conclusion We should strengthen the disinfection supervision and monitoring and give some technical advices for medical institutions to improve the ability to prevent and control hospital infection .

Analysis of laboratory animal pathogen infection indexes in Shanghai area / 中国实验动物学报

Objective To more intuitively understand the quality control for laboratory animals and further achie-ving a more scientific and reasonable management of laboratory animals, the infection index as evaluation criteria was intro-duced. Then the best way to calculate infection index was explored in order to more scientifically reflect the infection status of laboratory animals. Methods Infection index, also called the degree of infection, is a qualitative indicator of monito-ring laboratory animal quality. After arranging, analyzing, processing and gathering the data from laboratory animal quality monitoring, the index reflects synthetically the pathogen infection status or trend of a particularly investigated experimental animal population or the development of certain experimental animals. Results In general, the pathogen infection index of mice was slightly decreased, while the pathogen infection index of rats roughly increased year by year. In comparing infec-tion index by different pathogens, the parasite infection index of mice was found to be higher than bacteria and virus infec-tion indexes, while the bacteria infection index of rats was higher than parasite infection index and virus ones. Conclusions The infection index model intuitively reflects the quality control status of laboratory animals. The analysis also reveals that the parasite monitoring of the mice and the bacteria detection of rat needs to be reinforcement. In addition, the index of infection reveals that the pathogen infection of mice is well under control, while that of rats tends to be more serious year by year.

TCM colleges and universities laboratory standardization management practice based on the experimental teaching quality monitoring / 国际中医中药杂志

TCM experimental teaching has a very important position in university training process, in which the laboratory standardized management and the strengthening of the teaching quality monitoring play important roles. According to the the experimental teaching reforms and requirements enacted in recent years by the Ministry of Education of the People’s Republic of China, Hunan TCM University has conducted a series of standardized management of exploration and practice in the laboratory.

Isolation and chatracterization of microsatellite markers in Tupaia belangeri chinensis / 中国比较医学杂志

Objective To screen out specific microsatellite markers for use in Tupaia belangeri chinensis genetic testing. Methods Firstly to screen about 700 microsatellite loci from whole genome.Secondly to choose about 100 better loci without defect factors.Lastly 46 primers were designed by 33 tree shrew’ s microsatellite loci obtained from whole genome and other references.Agarose gel electrophoresis and polyacrylamide gel electrophoresis were used for PCR products, and better loci based on electrophoresis results were chosen.Then STR scan was used to select the microsatellite loci combination for genetic testing.Results Twenty-two microsatellite loci were selected with a significant Stutter peak on STR scanning.Comparing the alternative loci and ultimately selected loci, there were two loci available in the five alternative loci of T.glis.The coincidence rate between T.glis and T.b.chinensis was 40%.There were two loci available in the five alternative loci of T.minor, and the coincidence rate between T.minor and T.b.chinensis was 40%.There were two loci available in the three alternative loci of T.belangeri, and the coincidence rate between T.belangeri and T.b. chinensis was about 70%.Conclusions The 22 microsatellite loci screened in this study are well applied for genetic testing of Tupaia belangeri chinensis, therefore, provide a scientific basis for the genetic quality monitoring of tree shrews.

Assessment of Roof Harvested Rainwater in Parts of Anambra State for Environmental Pollution Monitoring.

Questions have been raised about the quality of roof harvested rainwater which has been shown to be temporally and spatially variable and at times not in compliance with drinking water guidelines. This study is therefore an investigation on the quality of roof harvested rainwater consumed by rural communities in parts of Anambra State Nigeria. The physicochemical and microbiological parameters of the rainwater samples collected in the study area were analyzed with the view of determining the level of contamination as a result of anthropogenic activities in the study area. Roof harvested rainwater were collected from three stations, and a free-fall harvested rainwater sample was used as a control. The result shows that the physico-chemical parameters were all within permissible water quality standard as recommended by National Agency for Food and Drug Administration Control (NAFDAC) except for the presence of particles and for the micro-biological properties which were found quite unsatisfactory. Pearson Correlation Matrix of physicochemical properties conducted indicated a strong positive correlation between Zinc and Iron which emphasizes common pathway and origin. The water samples were assessed using Water Quality Index (WQI), the WQI for the station 1, 2 and 3 were 71.68%, 60.19%, and 77.55% respectively. Low-cost microbial disinfection such as solar disinfection and pre-filtration or otherwise the proper maintenance of the entire Rain Water Harvesting (RWH) system could make the harvested roof rainwater potable for the study area.

Standard operating procedure for raw materials of Reduning Injection-- Lonicerae Japonicae Flos / 中草药

In order to ensure the superior quality and safety of the raw materials of Reduning Injection-Lonicerae Japonicae Flos, a standard operating procedure was established on the base of Good Agriculture Practice (GAP) of Chinese herbal medicine as well as practice investigation and experiments. This standard operating procedure provides the technical requirements for the production suitability, growing, field management, diseases and pests controlling, harvesting and processing, packing and storing, transporting, and quality monitoring of Lonicerae Japonicae Flos. The experiences and problems in the process of the standardized planting were analyzed and discussed.

O uso da pesquisa-ação para a avaliação e o aprimoramento de práticas integradas para a vigilância da qualidade da água para consumo humano: potencialidades e desafios / The use of action research for assessment and improvement of integrated practices on drinking-water quality surveillance: potentialities and challenges

Este artigo apresenta as fases de uma pesquisa-ação empreendida para avaliar e aprimorar as práticas do Programa de Vigilância em Saúde Ambiental relacionada à qualidade da água para consumo humano (Vigiagua) em três municípios do estado de Minas Gerais, Brasil. Com o emprego do método qualitativo, objetivou-se detalhar os processos desencadeados durante as fases da pesquisa, problematizando-os metodologicamente e discutindo os desafios e potencialidades decorrentes da operacionalização do método. Constatou-se que a pesquisa-ação possibilitou a apropriação e o envolvimento dos sujeitos implicados na pesquisa; a criação de espaços intersetoriais, inter e intrainstitucionais; o estabelecimento de novas relações e a ampliação do conhecimento acerca do objeto trabalhado. Esses ganhos, possivelmente, transcenderão à própria pesquisa realizada.

This work presents the stages of an action research applied to assess and improve the practices of the Environmental Monitoring Program related to water quality for human consumption (Vigiagua) in three municipalities of Minas Gerais, Brazil. It aimed to detail the processes triggered during each phase of the action research, exploring methodological challenges and opportunities arisen, using a qualitative method. It was verified that the use of the action research allowed empowerment of actors involved in the research; the establishment of inter and intra-institutional and intersectoral spaces and new relationships and the expansion of the knowledge about the subject in question. These achievements will possibly transcend the research itself.

A survey on the effect of the quality monitoring system for the medical English major's probation / 中华医学教育探索杂志

This paper is to survey two groups of medicine-oriented English major undergraduates who have their probation either before or after the Quality Monitoring System is introduced to them about their degrees of learning satisfaction through questionnaires and seminar discussions. As a result, it proves that the implementation of the Quality Monitoring System in student probation helps to raise the degrees of student learning satisfaction, which clearly promotes the probation quality and secures the fulfillment of the mission in practice.

Construction and practice of total teaching quality monitoring system in sub-colleges / 中华医学教育探索杂志

To build up total,perfect,scientific,feasible teaching quality monitoring system in sub-colleges,and further fully explore efficient monitoring method,technique is an important measure of ensuring teaching quality under the background of expansion of recruitment.This paper discusses total teaching quality monitoring system from guiding ideology,basic content,inplementing regulations of monitoring system.