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@#Abstract: Objective ， To analyze the current status and existing problems of occupational health talents in China and put Methods forward development measures and suggestions. The occupational health supervision and management law enforcement officers at the city and county levels in China and occupational health professionals in local occupational disease prevention and control technical support institutions at all levels were selected as the survey subjects using comprehensive survey. The Questionnaire on the Construction Status of Occupational Health Personnel Team in China was used to investigate Results ， theallocation. ByDecember2020 therewere17900occupationalhealthsupervisionandlawenforcementofficersin ， ， cities counties and districts and each occupational health supervision and law enforcement officer in China needed to ， ， supervise and manage 261 enterprises. Among them there are 689 enterprises in Jiangsu Province and 67 enterprises in - - ShanxiProvince.There are 45 200 full time and part time occupationalhealth professionals in occupationaldisease prevention ， and control technical support institutions affiliated to local health systems at all levels. Among them there are 4 900 ， occupationaldiseasepreventionhospitalsatalllevels 20700diseasecontrolcentersatalllevelsand 19600generalhospitals ， - - at all levels. On the distribution of disciplines and specialties there are 22 400 health related majors and 3 200 non health Conclusion ， majors. Thereisalackofpersonnelinoccupationalhealthsupervisionandlawenforcement unevengeographical ， ， distribution few occupational health professionals and imperfect discipline system of occupational health system. There is an ， ， urgent need to strengthen the construction of occupational health personnel team optimize the structure of the team improve ， ， the personnel training mechanism innovate personnel training methods and improve the comprehensive quality and ability of occupationalhealthpersonnel.
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Inner Mongolia is a region where drinking-water-type endemic fluorosis is seriously prevalent.Huge sums of manpower and financial resources have been invested by Inner Mongolia government in prevention and control of drinking-water-type endemic fluorosis since 1980s,from which some remarkable achievements have been made.However,the current prevention and control work is still difficult due to the wide distribution and complex geological and geomorphological conditions of the drinking-water-type endemic fluorosis.After recent investigation of the disease area conditions,the author has grasped the actual problems in the disease area and the prevention and control work,and pondered the corresponding prevention and control countermeasures.The results are summarized to provide some ideas for prevention and control of endemic fluorosis.
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Surgical resection offers hilar cholangiocarcinoma patients the only chance for cure and long-term survival.Hepatectomy,extrahepatic bile duct resection,regional lymphadenectomy and hepatojejunostomy are the current treatment of choice for most patients with hilar cholangiocarcinoma.Because of the aggressive nature of hilar cholangiocarcinoma and the absence of effective adjuvant therapy,surgical therapy still remains a challenge to hepatopancreatobiliary surgeons even in the precise surgery era.Controversies exist over preoperative assessment and staging,the use of preoperative biliary drainage,preoperative portal vein embolization,the range of hepatic resection,portal vein resection and construction,hepatic arteriectomy and the range of lymphadenectomy.This article reviews the surgical management of hilar cholangiocarcinoma with a focus on these controversies.
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The descend of medical students' morality in the medical practice are caused by various factors, which include social background, reformation of education system, the problems existed in the medical morality education and the medical students' personal factors. The article presents the countermeasures: systematize the education of ethics, strengthen the communication and cooperation between schools and hospitals, develop the methods of the education of ethics, supervise the trainee's ethics and standardize the system of reward and penalty.