诊断医师： DAMNIT 与样本采集.pdf

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1、TheDiagnostician:DAMNITandSampleProcurement国中XRichardA.French,理查德·A·付荣治DVM,MS,PhD曼兽医学博士，硕士，博士学位VicePresident,AnimalHealth–DiagnosticServices副总裁，动保-诊断服务李TheDeadSpeak亡者能够揭示真相ThePathologistbyJosePerez国•Thepathologistusuallyhasthelastwordinmedicine,becausehedoestheautopsy.Hetellseveryo

2、neelsewhatthecorrectdiagnosisshouldhavebeenandwhythetreatmentsdidn'twork.中•在医学领域，进行盖棺定论的往往是病理学家。他能够告诉人们正确的诊断结果应该是什么，以及治疗为何没有效果。•Inthispainting,thetablesseemtohavebeenturnedonthe曼pathologist.Deathhascomebacktotellthepathologistwhatwasdoneincorrectly.•在这幅图中，医患关系发生颠倒，亡者复生，告诉病理学家哪一步李走错

3、了TheDiagnostician:诊断人员SampleProcurement获取样本Therearethreegeneralteststoansweryourquestions:国三类检测可以回答你的基本问题1.Thoseteststhatdetecttheagenttoanswerthequestion,“Isitthere?”Forexample,toconfirmPRVispresentinaclinicalspecimen,ortotrytoconfirmanegativeinanonclinicalsurveillancespecimen中.回答

4、“有没有”的问题需要进行病原检测。例如，确认临床样本里是否含有伪狂犬病毒，或一次非临床样本检测是否呈阴性2.Teststhatfindtheagentinalesiontoanswerthequestion,“Isitcausingdiseaseinthisanimaltoday?”要确定动物发病的病根，需要对病变内的病原进行检测曼3.Thetesttodetermineifanimalswerepreviouslyinfectedviadetectionofanantibodyandanswerthequestion,“Hasthisanimalbeenp

5、reviouslyinfected?”要确定动物此前有无此类疾病感染，要进行抗体实验检测李TheDiagnostician’sRole诊断人员培训1.Recognitionofdiseaseisthefoundationofdiseasecontrolandprevention.识别疾病是防控的基础国2.Intheprocessofdiseaserecognition,thediagnosticlaboratoryformsthethird(andlastlevel)followingtheanimalproducerandthepractitioner.在

6、疾病识别过程中，诊断实验室处在生产者和从业者之后的第三（最后）一环中3.Thediagnostician'smainroleisdeterminationofdiseaseetiology.诊断人员的主要任务是确定病因4.Secondarybutequallyimportantrolesplayedbythediagnosticlaboratoryinclude:曼诊断实验室次级任务（与主要任务同等重要）是consultative/advisoryrole;提供咨询/建议interpretativerole;and解读检测结果diseasesurvei

7、llancerole.解读检测结果李TheDiagnostician’sRole培训诊断人员Whatyouneedtoknow要了解•CriticalThinking辩证思维方式国•RiskAnalysis风险评估•BusinessandFinancialManagement商业和金融管理•DataManagementandAnalysis数据管理和分析中•Communication沟通•Epidemiology流行病学•TheAnimal动物曼–Nutrition营养–BreedingandGenetics育种–Husbandry养殖–SafetyandW

8、elfare李安全和福利Discussions讨论•