Wednesday, 6 November 2013

China medical news - Wednesday November 6, 2013

Trace element test ban for children

Medical institutions are not to conduct non-medical trace element detection for children, the National Health and Family Planning Commission said on Wednesday.
It said in a circular that standard operations should be employed when such detections are for medical use, and that the equipment used for blood collection should be authorized by food and drug authorities.
The detection of children's trace elements should not be listed as items of routine health examination, especially for children under six months old, the statement added.
The commission did not explain why the ban was issued. In China many young parents tend to give their children dietary mineral supplements, believing those are beneficial to body development. Commercial services featuring trace element detection sprang up as a result.
The commission asked local health authorities to enhance supervision and management of medical institutions and punish violators in accordance with law.
Source: Xinhua

Doctors in China believe in professional values but don't uphold them

Chinese physicians hold positive attitudes to professionalism principles, but their behaviour is inconsistent with their attitudes, especially in the areas of competence, quality improvement, and self-regulation. In a study from Tongji Medical College in Wuhan, more than 90% of 300 clinicians surveyed agreed with statements about medical professional principles. However,  80% of respondents reported that they usually or always participated in quality improvement activities and 48% reported that they usually or always participated in peer evaluations of colleagues' quality of care. Some 48% had encountered incompetent colleagues and 18% had encountered significant medical errors caused by colleagues. Among those who had encountered incompetence or significant medical errors, almost two thirds had never reported their concerns to the hospital or other relevant authorities. Half of the physicians did not obtain enough continuing medical education credits. Physicians' professional reported behaviors were influenced by their personal and professional characteristics, professional attitudes, and assessment of hospital internal management constitutions. For example, participation in decision-making had a significant role in professional reported behaviors of protecting patient confidentiality, improving quality of care, and self-regulation, with those sometimes or often participating in decision-making indicating higher levels of reported behaviors than those who seldom participated.
Read full study at Social Science and Medicine

C-Reactive Protein and urate predict diabetes complications

CRP and uric acid are associated with increased risk of albuminuria in type 2
diabetic patients, Shanghai researchers have shown. In a study involving 1162 type 2 diabetic patients, there was an interactive effect of CRP and uric acid on albuminuria. The study researchers from Fudan University said combined assessment of CRP and uric acid might be helpful in the

risk prediction of diabetic nephropathy and identifying diabetic patients who may require intervention to prevent or delay kidney injury. Their study also "provided evidence that increased CRP and hyperuricemia may be the targets of the treatment of type 2 diabetes," they said. 
Read the full study in Chinese Medical Journal

Y10 billion private health fund to build hospitals

The CITIC Trust Company has issued the first fund in China's healthcare industry, following the State Council's recent call to boost the development of the nation's healthcare industry.
The fund, the first of its kind in China, aims to benefit its investors mainly by constructing and operating the "Jialize International Health and Wellness Center" in Kunming, Southwest China's Yunnan Province. Investors can also use the center's services after it is completed. The fund's overall size is expected to reach at least 10 billion yuan.
Three leading healthcare organizations in the UK and one from France are expected to cooperate with CITIC.
"The UK has rich expertise in e-health technology. UK organizations will make sure that the UK model, especially the national health service (NHS) model, will be adapted to China's situation," Brian Gallagher, commercial counselor of Trade and Investment for China at UK Trade & Investment, told the Global Times Thursday.
"China is facing a problem of an aging population. However, the corresponding public healthcare service for the aging population is inadequate," Fan Shibin, healthcare expert from Chinese Medical Doctor Association, told the Global Times Thursday.
Building a new healthcare model to meet the complex demands of China's healthcare services is urgent, Fan noted. China's aging population reached 194 million as of last year, occupying 14 percent of the total population, according to official statistics.
"By investing in the healthcare industry, the trust companies should be cautious about how to balance making profits and satisfying customers, cost control and good management system," Zhong ­Hongyue, a healthcare sector expert at consultancy Frost & Sullivan, told the Global Times Thursday.
Source: Global Times

High altitude illness database set up

Sichuan clinicians have set up a database of acute high-altitude illnesses that is world leading in terms of the number, variety, and source distribution of samples, the People's Liberation Army (PLA) Daily reported on Tuesday.
The database was established by Xinqiao Hospital of the Third Military Medical University in Southwest China's Chongqing, the newspaper said.
The 20,000-strong set of body function data and blood samples was collected by more than 60 doctors and professors from the hospital who had been monitoring people traveling from the Chengdu Plain to the Qinghai-Tibet Plateau in various vehicles since 2011.
The database features extensive distributions with samples collected at an elevation of as high as over 6,100 meters.
The database will facilitate research in dramatically reducing the morbidity and fatality of acute high-altitude illnesses.
Source: China Daily

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