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避孕药增孩子患癌风险!达格列净、坎格列净导致生殖感染?2020年前住培基地须设全科!

2018-09-15 毕雪立 整理 医师报

行业动态 1、FDA:达格列净、坎格列净走下神坛,导致严重生殖感染已被证实 8月29日,FDA发布警告称,服用钠-葡萄糖协同转运蛋白2(SGLT2)抑制剂的患者可能会出现会阴部坏死性筋膜炎风险。该警告将会添加到处方信息及所有批准用于治疗2型糖尿病的SGLT2抑制剂类降糖药的单剂和联合制剂中。这些药物包括:坎格列净、达格列净、Ertugliflozin等。(医师报)


行业动态

1、FDA:达格列净、坎格列净走下神坛,导致严重生殖感染已被证实

8月29日,FDA发布警告称,服用钠-葡萄糖协同转运蛋白2(SGLT2)抑制剂的患者可能会出现会阴部坏死性筋膜炎风险。该警告将会添加到处方信息及所有批准用于治疗2型糖尿病的SGLT2抑制剂类降糖药的单剂和联合制剂中。这些药物包括:坎格列净、达格列净、Ertugliflozin等。(医师报)

2、国家卫健委:网上诊疗不得非法买卖、泄露患者信息

9月14日,国家卫健委发布《互联网诊疗管理办法(试行)》。办法规定,开展互联网诊疗活动的医师、护士应当能够在国家医师、护士电子注册系统中查询,医疗机构应当对开展互联网诊疗活动的医务人员进行电子实名认证。此外,医师开展互联网诊疗活动应当依法取得相应执业资质,具有3年以上独立临床工作经验,并经其执业注册的医疗机构同意。(中国新闻网)

3、3年欠医院41万元!“老赖”被告上法庭了

近日,据媒体报道,年过七旬的张先生被车撞伤后送医治疗,病情好转后却“赖”在医院3年不走。经鉴定,张先生属于无民事行为能力,他的监护人是与其同母异父的妹妹王女士。但王女士拒绝接张先生出院,也拒绝支付张先生拖欠的41万余元医药费。经多次协商未果后,怀柔医院将张先生及王女士告上法院,要求二被告支付医疗费、护理费等共计41万余元,同时要求张先生出院。9月6日下午,怀柔法院庙城法庭开庭审理此案。监护人一方表示,他们目前根本没有能力也没有条件接张先生出院,他们愿意放弃监护人资格。本案没有当庭宣判。(北京时间)

4、2020年前所有住培基地均应设立全科医学科

目前,国家卫生健康委员会印发了《住院医师规范化培训基地(综合医院)全科医学科设置指导标准(试行)》通知,通知指出,认定为住院医师规范化培训基地的综合医院必须承担全科医生培养工作任务。最迟在2019年12月底前,各地住院医师规范化培训基地(综合医院)均应独立设置全科医学科,人员配备符合标准要求。住院医师规范化培训基地(综合医院)设置全科医学科,按诊疗科目登记有关规定执行。住院医师规范化培训基地(综合医院)应当建立和完善对全科医学科的激励机制,在培训基地内部分配中,合理核定全科医学科医务人员绩效工资水平,全科医学科医护人员收入原则上不低于本单位同级别人员收入平均水平,并在职称晋升、岗位聘用等方面加大倾斜力度,吸引和稳定优秀专业人员从事全科医教研工作。详情请登录国家卫健委官方网站查看。(国家卫生健康委员会)
 
学术新闻


近日,WHO发表了针对资源缺乏国家和较高收入国家弱势群体的糖尿病强化治疗指南。(Ann Intern Med. 9月4日在线版)新指南继续强调了生活方式改变在糖尿病管理中的作用及大多数2型糖尿病患者使用二甲双胍作为最佳一线药物治疗的重要性,特别阐明了2型糖尿病患者应用二甲双胍治疗失败后的强化治疗措施,并为1型和2型糖尿病患者使用胰岛素提供了指导。(医师报)

2、近期服用避孕药或增子代癌症风险
 
丹麦一项队列研究显示,母亲使用激素避孕药或增加儿童癌症风险。(Lancet Oncol.9月6日在线版)研究者表示,雌激素化合物(植物雌激素或雌激素代谢物)可能通过表观遗传变异或形成拓扑异构酶Ⅱ抑制剂,导致基因重排和氧化性DNA损伤,影响胎儿造血干细胞并决定发生儿童白血病风险。(医师报)

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  1. [GetPortalCommentsPageByObjectIdResponse(id=2183400, encodeId=5bca21834001f, content=全科医生在基层单位培养的话就是万金油,啥都会点啥也不精通,像上级医院培养的那种能治疗多种疾病复杂病情的全科医生,基层是没那种能力的, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f1741975735, createdName=药师冰, createdTime=Tue Jan 23 11:13:29 CST 2024, time=2024-01-23, status=1, ipAttribution=河南省), GetPortalCommentsPageByObjectIdResponse(id=2061779, encodeId=b1292061e79a6, content=<a href='/topic/show?id=e6e1e15509f' target=_blank style='color:#2F92EE;'>#癌风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71550, encryptionId=e6e1e15509f, topicName=癌风险)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d58a435, createdName=sjq027, createdTime=Mon Mar 04 11:39:00 CST 2019, time=2019-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2035779, encodeId=4e902035e79cc, content=<a href='/topic/show?id=a9f3264132c' target=_blank style='color:#2F92EE;'>#住培基地#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=26413, encryptionId=a9f3264132c, topicName=住培基地)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7e12358, createdName=lhlxtx, createdTime=Mon May 06 01:39:00 CST 2019, time=2019-05-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1413469, encodeId=2d29141346995, content=<a href='/topic/show?id=3f225299942' target=_blank style='color:#2F92EE;'>#患癌风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52999, encryptionId=3f225299942, topicName=患癌风险)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8b2c2959841, createdName=zzc2212, createdTime=Mon Sep 17 07:39:00 CST 2018, time=2018-09-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1516536, encodeId=984d15165361e, content=<a href='/topic/show?id=0cf62641007' target=_blank style='color:#2F92EE;'>#住培#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=26410, encryptionId=0cf62641007, topicName=住培)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f21310981781, createdName=ms7524819409032184, createdTime=Mon Sep 17 07:39:00 CST 2018, time=2018-09-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1601447, encodeId=788c160144e82, content=<a href='/topic/show?id=5baa5299111' target=_blank style='color:#2F92EE;'>#患癌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52991, encryptionId=5baa5299111, topicName=患癌)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=888f18872716, createdName=lq0307, createdTime=Mon Sep 17 07:39:00 CST 2018, time=2018-09-17, status=1, ipAttribution=)]
    2024-01-23 药师冰 来自河南省

    全科医生在基层单位培养的话就是万金油,啥都会点啥也不精通,像上级医院培养的那种能治疗多种疾病复杂病情的全科医生,基层是没那种能力的

    0

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    2019-03-04 sjq027
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    2018-09-17 lq0307

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