Present Situation Analysis and Intervention Model Discussion with Management of Chronic Diseases in the Elderly of China / 沈阳医学院学报

Objective: To analyze the present situation of management of chronic diseases in the elderly of China, and discuss the corresponding countermeasures. Method: From the population structure, the diagnosis and treatment and fatality rate of chronic dis?ease, current problems of management of chronic diseases in community were studied. Results: The existing problems of manage?ment of chronic disease in community had chaos of management operation mode, low early detection rate of disease and the early man?agement etc. Conclusion: It is important to strengthen the government leading role, to mobilize initiative of community service organ?izations, to guide the understanding of chronic diseases in the elderly in order to achieve maximum health improvements.

Survey of protection level of radiation equipment room in thirty-three medical units in East China / 医学研究生学报

Objective The rapid development of radiation equipment has put forward higher requirements for protective facil -ities.The aim of this study was to research the radiation protection status of treatment equipment room in thirty -three medical units from East China area , and to put forward corresponding countermeasures to improve the level of radiation protection . Methods The li-cense and archival of X-ray machine, CT, gamma knife, accelerator, after loading therapy machine were surveyed in the thirty-three medical units .The engine room size , wall thickness , lead equivalent of protection doors , and leakage level of equipment were detec-ted.All the data were evaluated and analyzed on the basis of the corresponding national standards . Results ①The inspection pass rates of radiation treatment equipments in the first class hospitals were afterloader (100%), X-ray apparatus(99%), gastrointestinal machine(98%), CT(98%), medical processing accelerator (98%), gamma knife(97%), DSA(94%), PET-CT(94%), ECT (90%), dental engine(84%)and molybdenum target drone (84%).The inspection pass rates of radiation treatment equipments in other class hospitals were medical processing accelerator (100%), X-ray apparatus(91%), CT(89%), gastrointestinal machine (80%), DSA(80%) and (80%) gamma knife.②The qualified rates of the leakage radiation levels of radiation therapy , diagnostic radiology and nuclear medicine were 100%, 99% and 97%. Conclusion The radiation protection of treatment equipments and facilities in thirty-three medical units from East China area needs to be strengthened . We should strengthen supervision , implement the rules and regulations , strictly perform the regulation of radiation protection evalua-tion, and strengthen the training of radiation protection regulations and skills .