习惯性敏感

道路突然干净了,临街小贩“失踪“了,晨练的老汉说:又有检查团要来了。某君提拔升迁了,同事们背后“嘀咕“开了:不知又花了多少钱了?肯定走了某某人的路子了!一向严肃的领导突     

我的健康我做主

我是一个高血压、高脂血症患者,大夫说再不注意血糖也要升高了,那就真成了名副其实的“三高”患者了。遵照医嘱．我首先改变了饮食结构．加强了锻炼。除去吃药调理外,主要是“管住了嘴,迈开了腿”。经过了一段时间的实践,我的血压正常了,血脂也有所下降,精神状态也比以前强多了,头也不晕了．四肢也不痛了,腿脚也不沉了。     

生活中的反差

这是一个充满矛盾处处成反比的时代,来看看它的现状吧。我们的房子变大了,家庭却变小了;便利设施增加了,时间却不够用了;学历高了,生活常识却越来越少了;知识面拓宽了,判断力反而差了;医学日益昌明,疾病却多了。公路宽了,思想却变狭窄     

我爱上了小男人

相对于大男人,他们少了一点自信,多了一份体贴;少了一种硬朗,多了一份温柔;少了一些棱角,多了一份圆滑。相对于老男人来说,他少了一些世故,多了几分纯真;少了一份修养,多了几分感性。对他有些不满意,因为他是一个小男人,对他有些难舍难离,因为她们就是如此这般爱上了一个小男人。     

内蒙古自治区医院1989年财务决算报告

1989年内蒙古自治区医院进一步完善了医院经营机制,修订了科室承包方案,及时调整了科室承包基数,强化了医院管理,堵塞了漏洞,充分发挥了人力、财     

大家心情好 世界祥和了

好心情,是相当宝贵的."天的心情好了,天就晴朗了;水的心情好了,水就流淌了;花的心情好了,花就开放了;鸟的心情好了,鸟就飞翔了.打开心灵的天窗,让阳光漫步;     

我部组织区域药品招标采购的做法与成效

本文介绍了联勤分部组织所属医院通过药品招标采购得到了明显成效。降低了药品成本；提高了药品供应质量；杜绝了不正之风；增强了医院发展能力。     

福建省社区妇幼卫生健康服务项目实施定性评价

对安徽省社区妇幼卫生健康服务项目实施进行了评价。结果显示：３个试点区均成立了项目组织，加强了领导，确定了优先关注领域，对各为人员进行了培训，添置了设备，配置了人员，提供了服务；服务对象对社区妇幼卫生健康服务试点工作给予了充分肯定，７项指标不同程度的提高。针对存在的问题，提出了３点建议。     

催产素这回事儿

小琪的预产期都过去了快一周了,可小琪的肚子一点动静都没有。小琪有些坐不住了,她和家人准备了待产包办理了住院手续,为分娩做准备。医生对小琪及胎宝宝的状况进行了综合评估之后,为小琪注射了催产素进行催产,没过多久,小琪就有了临产的征兆。辛苦了十几个小时之后,小琪终于迎来了可爱的宝宝。     

项目工作促进我市基层保建组织建设

榆林市通过开展项目工作,促进了基层妇幼保健组织建设。建立健全了县、乡、村三级妇幼保健网,选聘了村级妇幼保健员,合理的解决了报酬,稳定了队伍。为适应项目工作的需要,开展了培训工作,提高了村级保健员的业务素质。同时,加强了健康教育工作,提高了群众的自我保健意识和能力。     

上海市某医院骨科平均住院日影响因素分析

对上海市某医院2003年-2007年骨科出院病人的住院日描述性分析．2003年-2007年骨科的床位利用指数与平均住院日相关性分析．2003年-2007年骨科床位与医护比例分析．2007年骨科前10大病种平均住院目影响因素分别进行单因素相关性分析和多因素逐步回归分析（STATA软件）。通过对骨科10大病种住院日影响因素分析,术前等待天数、手术类型、是否输血分别对10个、9个和8个病种的住院目有影响。输血因素和手术类型是医院不可控、由病人的病情决定的,术前等待天数是管理因素,是最值得医院重视的影响因素。     

Correlates of stages of change of smoking among inhabitants of deprived neighbourhoods

BACKGROUND: This study examines the prevalence and correlates of stages of change of smoking, in terms of psychosocial, structural and sociodemographic factors, among inhabitants of deprived neighbourhoods. METHODS: Cross-sectional data were obtained from a survey on health related behaviour. Subjects were 2009 current and former smokers, aged 20-46, living in deprived neighbourhoods in Rotterdam, the second largest city in the Netherlands. Three groups of smokers were formed according to the stages of change-definitions of the Transtheoretical Model: smokers not planning to quit (precontemplators), smokers planning to quit (contemplators/preparators) and former smokers (actors/maintainers). Smokers planning to quit and smokers not planning to quit were compared regarding psychosocial factors (attitude, social norm, self-efficacy), structural factors (neighbourhood problems, material deprivation, financial problems, employment status) and sociodemographic factors (age, gender, marital status, cultural background, educational level). Former smokers were compared with smokers planning to quit regarding structural and sociodemographic factors. Logistic regression was used to assess correlates of stages of change. RESULTS: Smokers planning to quit (prevalence = 19%) reported a more positive attitude, stronger social norms and higher self-efficacy expectations in quitting smoking than smokers not planning to quit (prevalence = 57%). Smokers planning to quit less often were Dutch-born, more often had attended higher vocational schooling or university and more often reported experiencing two or more neighbourhood problems compared to smokers not planning to quit. Former smokers (prevalence = 24%) were older, more often Dutch-born, married, employed and higher educated, compared to smokers planning to quit. Furthermore, former smokers less often reported material deprivation and financial problems than smokers planning to quit. CONCLUSION: Among people living in deprived neighbourhoods, different factors correlate with different stages of change of smoking. Implications for health promotion are discussed.     

长春新碱过量引起严重毒副反应1例的护理体会

报道1例霍奇金淋巴瘤患者因误用长春新碱（VCR）10mg一次性静脉推注后治疗护理情况。其出现间断性神志恍惚、眼睑闭合不全、言语不清、口腔黏膜糜烂、全身疼痛、麻痹性肠梗阻、尿潴留、手足麻木等症状,经积极解救,禁食,持续胃肠减压、胃管内注入麻油、开塞露、生理盐水灌肠,合理应用肠外营养,注重疼痛、心理护理,做好口腔、肛周护理,预防感染加重,患者病情得到控制好转出院。     

两种不同肌瘤剔除术治疗子宫肌瘤的临床疗效比较

目的:比较腹腔镜子宫肌瘤剔除术与腹式子宫肌瘤剔除术的临床疗效。方法:回顾分析63例腹腔镜子宫肌瘤剔除术与61例腹式子宫肌瘤剔除术的临床资料,比较2种手术方式的手术时间、术中出血量、肛门排气时间、使用抗生素时间、术后感染率、体温恢复正常时间、住院时间等情况。结果:两组患者接受子宫肌瘤剔除术顺利完成,腹腔镜组手术时间长于开腹组(P0.05),腹腔镜组术中出血量及剔除肌瘤个数均少于开腹组(P0.05),术后腹腔镜组体温恢复正常时间、肛门排气时间、抗生素使用及住院时间均短于开腹组,两组患者最多随访6个月,腹腔镜组平均康复时间较开腹组短(P0.05),两组随访B超均未发现明显肌瘤结节。结论:腹腔镜子宫肌瘤剔除术损伤小,恢复快,住院时间短,是值得推广的微创手术。     

One-year stability of the Measure of Processes of Care

BACKGROUND: The Measure of Processes of Care (MPOC) is a 56-item self-administered measure designed to examine what parents of a child with a chronic health problem think of the services they and their child receive, and to measure the extent to which these services are family-centred. Reliability and validity of the MPOC were established in prior studies. The aim of the present study was to assess the 1-year stability of the MPOC to justify its use as an evaluative tool. METHODS: Nine paediatric rehabilitation centres in the Netherlands participated in this short longitudinal survey study. Subjects were 205 parents (response rate 74.8%) of children aged 1-18 years who received care in one of the participating paediatric rehabilitation centres. All subjects filled out two MPOCs with a 1-year interval. RESULTS: All correlations between the scale scores of the MPOC at the first and second administration were relatively high and significant (range: 0.443-0.609, all P < 0.001), demonstrating high inter-individual stability. However, all mean scale scores, except for Providing General Information, significantly reduced after 1 year. CONCLUSIONS: The MPOC has a moderate 1-year stability. However, because of its tendency to score lower when repeated after 1 year, its use as an evaluative follow-up instrument to assess the effectiveness of a programme intervention is restricted.     

尘肺病患者145例死因调查

目的分析汉中市尘肺病的发生、发展和死亡原因，以提高尘肺病患者的生存质量。方法对145例尘肺病患者的死因进行回顾性分析，计算其平均发病年龄、死亡年龄及患尘肺病后的存活年限。结果矽肺的平均发病年龄和死亡年龄均早于煤工尘肺和石棉肺，尘肺病的主要死因为患肺部疾患，患尘肺病后的平均存活年限为12a。结论加强职业健康体检工作，对尘肺病人做到早发现早治疗和预防并发症的发生。     

Choice of measures of vaccination and estimates of risk of pediatric pertussis

BackgroundVaccination uptake at the individual level can be assessed in a variety of ways, including traditional measures of being up-to-date (UTD), measures of UTD that consider dose timing, like age-appropriate vaccination, and risk reduction from individual doses. This analysis compared methods of operationalizing vaccination uptake and corresponding risk of pertussis infection.MethodsCity-wide case-control study of children in Philadelphia aged 3 months through 6 years, between 2001 and 2013. Multiple logistic regression was used to isolate the independent effects of each measure of vaccination uptake and the corresponding relative odds of pertussis.ResultsBeing UTD on vaccinations was associated with a 52% reduction in risk of pertussis (OR 0.48, 95% CI: 0.34, 0.69). Evaluation of delayed receipt of vaccine versus on-time UTD yielded similar results. There was a decrease in risk of pertussis for each additional dose received with the greatest reduction in pertussis infection observed from the first (OR 0.48, 95% CI: 0.28, 0.83) and second dose (OR 0.17, 95% CI: 0.08, 0.34). Additional doses conferred minimal additional protection in this age group.ConclusionExamining vaccination status by individual doses may offer improved predictive capacity for identifying children at risk for pertussis infection compared to the traditional UTD measure.     

中国疾病预防控制中心公共职能的界定

目的　明确中国疾病预防控制中心公共职能的落实程度。方法　采用分层随机抽样法,在全国范围内抽取16 1个疾病预防控制中心,调查样本机构公共职能项目开展比例以及开展项目的操作程度。结果　(1)疾病预防控制中心公共职能项目的平均落实程度为4 2. 9% ,其中省级为5 6. 0 % ,市级为4 3. 7% ,县级为4 1. 3% ;东部地区为4 9. 3% ,中部地区为4 5 . 4 % ,西部地区为35. 3%。(2 )疾病预防控制中心七项公共职能中,疾病预防与控制落实程度职能落实程度为5 4 3%、突发公共卫生事件应急处置为6 5 . 8%、疫情报告及健康相关因素信息管理为35 . 0 %、健康危害因素监测与控制为31 .3%、实验室检测与评价39 .1%、健康教育与健康促进为36 .4 %、技术指导与应用研究为5 6 . 7%。结论　中国疾病预防控制中心各项公共职能落实程度普遍不高,并随地区和级别的变化而变化;各项公共职能中,突发公共卫生事件应急处置职能落实程度最高,健康危害因素监测与控制职能落实程度最低。     

不同发展程度地区农村人口对艾滋病的认知

调查结果表明,农村人口对于艾滋病的认知程度普遍较低,而且经济越落后的农村地区更为明显;农村人口对艾滋病病人的态度处于抗拒状态;绝大多数农村人口对政府在艾滋病的预防宣传和导向不清楚。为此,应当采取更多务实措施,预防艾滋病在农村的蔓延:(1)坚持以预防为主的思想为指导方针,发挥社区的功能,及时发现感染源并加以引导;(2)从农村自身的实际出发,利用好新闻媒体及卫生机构做好艾滋病相关知识的宣传工作,转变农村居民对艾滋病的愚昧思想;(3)加强农村青少年的性教育及艾滋病的预防知识,有条件的应引导安全套的使用;(4)当地政府要加强对色情场所的管制,采取强有力的行政手段遏制艾滋病的传播。     

医院物业社会化服务质量控制实践

医院物业社会化是医院后勤发展的趋势,加强物业监管可满足医患人员及院感对医院环境的高要求。通过对物业公司实行质量控制举措,成立后勤质控组,严格准入退出机制,细化合同服务条款和考核,建立物业服务测评体系、双向沟通机制,严格执行质控巡查制度等,物业社会化服务质量明显提升。主要表现在:加强了对物业中层管理者的考核,提升了管理力度和质量;2012年-2018年物业综合服务满意度从71.53%提升至97.24%。医院物业社会化需要持续考核、追踪、监管、改进,以不断提升医院环境卫生及物业保障水平。