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1.
结合温州市近五年医疗器械政府采购及温州市中医院招标采购工作的经验和结果,本文简单介绍政府集中采购工作的采购方法选择及招标采购的效果及目前存在的问题.  相似文献   

2.
结合我院2004年、2005年医疗设备(特别是口腔医疗设备)招标采购工作的经验和结果,介绍招标采购工作的采购方法选择及招标采购的效果,并着重从所选采购方式的优势、中标价在所有投标价中的优势、以及同型号设备我院中标价与外院采购价格差异三个方面对招标效果进行了评价。  相似文献   

3.
我院实行药品招标采购的做法   总被引:1,自引:0,他引:1  
为了为探讨药品招标采购的方法,本阐述了该院成立药品招标组织,确定药品招标原则,制定招标件,召开采购招标会等做法,并介绍了取得的成效。  相似文献   

4.
随着医药体制改革的不断深入,药品招标采购已经从传统手工方式向借助信息技术方面转变,网上招标采购也被越来越多的地方卫生部门所采用.我市在药品集中招标采购过程中,借鉴国内先进的药品招标经验,利用先进的计算机网络信息技术,结合我市药品集中招标的实际管理与操作经验,自主开发了一套适合我市实际的药品招标采购系统,并成功地进行了3次较大规模的药品招标采购,取得了令人满意的效果,现将工作情况和招投标软件的应用介绍如下.  相似文献   

5.
医用物资集中招标采购的实践与探讨   总被引:2,自引:0,他引:2  
围绕开展医用物资集中招标采购的试行情况.分析了采购部分医用物资的实践成效,并介绍了在集中招标采购管理中的一些主要做法,同时针对在招标采购中存在的某些问题,分别从权利、监控、决策方面进行了探讨。  相似文献   

6.
文以一次核磁共振的招标采购过程为案例.详细介绍了大型设备采购的前期准备、招标文件编制、公开招标等工作.及如何在此过程中充分体现公开招标的“公开、公平、公正”理念。  相似文献   

7.
近年来,各级政府对公共卫生体系及农村卫生的投入都有了不少的增加。与此同时,医疗设备的招标采购也相应增多。而招标采购的技巧运用得当与否将带来不同的效果。本刊编发的这篇文章介绍了作者在医疗设备国际竞争性打包招标采购中的体会,希望对读者朋友有所启迪,同时也希望有更多更好的经验与广大读者共享。  相似文献   

8.
医疗器械集中招标采购的几个问题   总被引:5,自引:3,他引:2  
本文结合我院进行医疗器械集中招标采购工作的实际,从加强招标采购工作的组织领导,招标采购的原则及过程、招标工作中的重要环节以及招标【作取得的成效等几个方面对招标采购工作进行了初步探索,仅供医院同行参考,  相似文献   

9.
医疗器械招标采购是一项规范采购行为,可降低采购价格,保障医疗器械质量,促进医疗成本进一步降低,减轻患者医疗费用负担,提高医疗服务水平的重要措施;同时,也是建立防控医疗器械购销中商业贿赂的一项重要举措。本文介绍了新医改形式下医疗器械招标采购的概况与趋势,并对招标采购规范化发展提出了相关建议。  相似文献   

10.
顾伟 《医疗设备信息》2009,(12):73-74,98
本文结合医院的工作实际,介绍我院医用耗材招标采购的原则、流程和成效,提出了医用耗材招标采购管理中的难点和亟待解决的几个问题。  相似文献   

11.
12.
我区医院干部保健工作存在的问题及对策   总被引:1,自引:0,他引:1  
本分析了14所医院干部保健基本情况,阐述了影响干部保健工作质量的主要因素,即:队伍素质不高,经费供应不足,规章制度执行不严,后勤保障不到位等,提出了加强保健队伍建设,加大投入力度,加强科学管理,加强综合性预防保健、强化服务意识的对策措施。  相似文献   

13.
目的研究不同灭蟑方法的搭配使用对不同车型旅客列车的灭蟑效果,以找出高效、合理、科学、经济的灭蟑方案。方法对各新时速、25K型、25G型、22型的4个车底用A、B、C、D 4种灭蟑方案对应作业,用药激法调查作业前后蟑螂密度,计算杀灭率。结果新时速列车A方案的平均杀灭率为72.9%,B方案的平均杀灭率为96.3%,C方案的平均杀灭率为100%,D方案的平均杀灭率为100%,即灭蟑效果D=C>B>A;25K型列车A方案的平均杀灭率为82.2%,B方案的平均杀灭率为86.7%,C方案的平均杀灭率为88.3%,D方案的平均杀灭率为93.3%,即灭蟑效果D>C>B>A;25G型列车A方案的平均杀灭率为72.9%,B方案的平均杀灭率为80.9%,C方案的平均杀灭率为89.3%,D方案的平均杀灭率为93.9%,即灭蟑效果D>C>B>A;22型列车A方案的平均杀灭率为46.7%,B方案的平均杀灭率为71.4%,C方案的平均杀灭率为58.3%,D方案的平均杀灭率为78.8%,即灭蟑效果D>B>C>A。结论不管是哪种车型,D方案都起到最好效果,A方案相对其他方案都是最差效果,但从合理、科学、经济的角度考虑对新时速列车使用,C方案灭蟑较佳,25K型和25G型都是使用D方案最佳,其次是C和B,22型最好是D方案,而B方案优于C方案。  相似文献   

14.
目的:探讨基层妇女使用宫内节育器(IUD)避孕失败的高危因素,为预防失败提供参考。方法:选取2012年5月~2013年5月本院就诊的放置IUD避孕失败的妇女100例作为观察组,用数字表法随机抽出同期采用IUD避孕正常的妇女100例作为对照组。调查两组妇女的基本情况,然后进行logistic回归分析,总结IUD避孕失败(包括IUD合并妊娠及IUD合并异位妊娠)的高危因素。结果:观察组和对照组在年龄、孕产史、月经情况、是否在哺乳期放置、IUD的类型、IUD位置、放置年限、施术者技术、子宫畸形、宫颈松紧度、既往流产史、是否有IUD下移或脱落史、是否合并其他妇科疾病以及是否规范随访等因素均存在统计学差异(P均0.05),经多因素非条件logistic回归分析,年龄、孕产史、月经过多、IUD的类型、IUD位置、放置年限、施术者、子宫畸形、宫颈松紧度、既往流产史、IUD下移或脱落史等因素的OR值分别为4.381、5.872、6.849、3.095、6.528、4.692、2.648、2.797、6.029、1.877和2.766,95%CI值分别为3.563~17.428、5.465~20.593、6.257~25.497、2.184~9.546、6.007~24.270、4.183~18.749、1.755~6.490、1.953~8.589、5.746~22.834、1.269~4.554和1.921~8.294;IUD合并异位妊娠与IUD合并妊娠妇女在IUD类型、放置年限、施术者、合并盆腔炎、合并子宫肌瘤或内膜息肉、月经过多、既往流产史等方面均存在统计学差异(P0.05),经多因素非条件logistic回归分析,IUD类型、放置年限、施术者技术、合并盆腔炎、合并子宫肌瘤或内膜息肉、月经过多、既往流产史等因素的OR值分别为5.294、4.158、6.569、8.978、8.015、10.187和6.259,95%CI值分别为5.347~21.865、3.752~14.691、6.104~27.384、9.403~36.036、8.927~32.968、10.953~42.581和6.463~26.557。结论:年龄、孕产史、月经过多、IUD的类型及型号、IUD位置、放置年限、施术者技术、子宫畸形、宫颈松紧度、既往流产史、有IUD下移或脱落史等因素为IUD避孕失败的高危因素;IUD类型、放置年限、施术者技术、月经过多、既往流产史等为IUD合并异位妊娠的高危因素,合并盆腔炎、合并子宫肌瘤或内膜息肉可能为IUD合并异位妊娠的高危因素。  相似文献   

15.
The intensive research carried out in the last 10 years on the unique biological functions of n-3 fatty acids (FA), has promoted comparative investigations on various aspects (metabolic, functional) of the biology of n-6 FA. The involvement of peroxisomes in fatty acid metabolism, initially described for the n-3 acids, has now been shown also for the n-6 FA (formation of 22 carbon Δ4 unsaturated FA, formation of newly identified products of β-oxidation of arachidonic acid, AA). Additional pathways of AA conversion, beyond the classical eicosanoids, give rise to a series of biologically active products, such as the epoxides, involved in the modulation of vascular functions, through the cytochrome p450 system, and to the AA-ethanolamide, anandamide, and endogenous ligand of the cannabinoid receptors, through a phospholipase-mediated process. Finally, nonenzymatic oxidation products of AA, the isoprostanes, isomers of prostaglandins, also endowed of potent biological activities, are generated both in in vitro-induced lipid oxidation and in vivo, being considered as reliable markers of in vivo oxidative stress. As to the nutritional aspects of the n-6 FA, attention is now paid to the intake of performed long-chain polyunsaturated FA (PUFA) in the n-6 series, mainly AA, through the diet, in analogy with the intake of the long-chain n-3 FA, in fish-eating populations. The importance of the dietary intake of performed AA is now recognized in newborns, through maternal milk. The ranges of the intakes of AA in population groups, not currently adequately estimated, appear to be wider than generally assumed, and the elevated intakes in some population groups, in the order of several hundred milligrams per day, may be partly responsible of yet unexplored population-baed differences in physiologic variables. Recent research on the functional effects of n-6 FA has confirmed their lipid-lowering effects, which can be observed also in neonates, and has shown that, in cooperation with the n-3, they directly and indirectly contribute to modulate functional parameters at the cellular level, such as receptor function, ion channels, and gene expression. From a nutritional point of view, it is clear that PUFA represent the biologically most active component of dietary fat, and the n-6 are quantitatively the most relevant fraction in our diet. In the light of the diversified activities of n-6 and n-3 PUFA, a correct balance between the various fatty acids is recommended.  相似文献   

16.
Tea consumption and cancer risk.   总被引:5,自引:0,他引:5  
The relationship between tea consumption and cancer risk has been analyzed using data from an integrated series of case-control studies conducted in northern Italy between 1983 and 1990. The dataset included 119 histologically confirmed cancers of the oral cavity and pharynx, 294 of the esophagus, 564 of the stomach, 673 of the colon, 406 of the rectum, 258 of the liver, 41 of the gallbladder, 303 of the pancreas, 149 of the larynx, 2,860 of the breast, 567 of the endometrium, 742 of the ovary, 107 of the prostate, 365 of the bladder, 147 of the kidney, 120 of the thyroid, and a total of 6,147 controls admitted to hospital for acute nonneoplastic conditions unrelated to long-term dietary modifications. Multivariate relative risks (RR) for tea consumption were derived after allowance for age, sex, area of residence, education, smoking, and coffee consumption. All the estimates for tea consumption were close to unity, the highest values being 1.4 for rectum, gallbladder, and endometrium. There was no association with cancers of the oral cavity (RR = 0.6), esophagus (RR = 1.0), stomach (RR = 1.0), bladder (RR = 0.8), kidney (RR = 1.1), prostate (RR = 0.9), or any other site considered. Although in northern Italy tea was consumed daily by only a limited proportion of the population, this integrated series of studies offers further reassuring evidence on the relationship between tea and cancer risk.  相似文献   

17.
Based on the data of the Demographic and Health Survey, and of the Household Priority Survey, carried out in 2003, the present study, examining the factors of HIV prevalence in Burkina Faso, provides two conclusions. Firstly, the fight against poverty is not necessarily a means of reducing simultaneously and drastically HIV/AIDS prevalence, an assertion based on several elements of empirical analysis. First of all, the micro-econometric estimates of the probit models suggest a positive relationship between HIV prevalence in adult women and men, and living standards of individuals. Then, the macro-econometric approach reveals the existence of a positive (negative) relationship between, on the one hand, the level of regional HIV prevalence, and, on the other hand, the average monetary provincial standard of living (poverty) of households. At the same time, the relationship between HIV prevalence and poverty, apprehended at the regional level, is not linear. Secondly, and correlatively, the relationship between HIV prevalence and poverty is called into question. First of all, some structural factors may contribute to a distortion of the relationship between resources of households and the prevalence of HIV/AIDS. This may be due, on the one hand, to the persistence of cognitive and behavioural factors inherent in a traditional society, and in particular, to the fact that the social construction of female attributes and roles confers to men a statute of "decision-makers" with regard to sexual intercourse, while the persistence of secular beliefs contributes to minimizing the perception of HIV/AIDS in terms of risk, independently of standards of living. In addition, the enclavement of Burkina Faso required development of road and railway traffic with neighbouring countries, in particular C?te d'Ivoire. Therefore, it may be that the structural conditions of the process of development of Burkina Faso, concomitant with significant flows of the exchange of goods, services and labour with a country where the prevalence of the HIV is particularly high, constitute an element of an explanation of the positive relationship between the resources of households and HIV seroprevalence. Also, factors related to the economic situation probably contributed to reinforcing the opposite relationship between HIV seroprevalence and poverty, the macro-econometric analysis highlighting a direct relationship between the massive return of migrants of C?te d'Ivoire and the level of HIV prevalence in Burkina Faso.  相似文献   

18.
成都市城乡居民膳食组成及营养素的总膳食研究   总被引:2,自引:1,他引:1  
应用总膳食研究方法对成都市城乡代表人群的膳食组成和16种营养素(碳水化合物、蛋白质、脂肪、视黄醇、硫胺素、核黄素、抗坏血酸、钙、铁、锌、镁、钾、钠、铜、锰、钻)进行了研究。结果表明:城市居民动物性食物消费普遍高于农村,其中,以猪肉为代表的肉类消费仍分别占城乡居民动物性食物消费总量的61.9%和87.6%;城乡代表性膳食组成仍以粮谷类和蔬菜等植物性为主;全市平均及城市多数食物消费水平已超过或接近推荐的2000年膳食目标,但农村与目标差距较大。全市平均及分城乡摄入的热量分别达到RDA的106.9%、102.1%和111.8%;蛋白质分别达到RDA的96.7%、104.7%和91,2%;铁、铜、锰、钴、钠的摄入量较充足,已分别达到我国RDA和WHO提出的ESADDI;但也存在全市平均及分城乡视黄醇当量、硫胺素、核黄素、抗坏血酸、钙、锌、钾均摄入不足以及城市脂肪摄入过高,农村蛋白质质量较差等值得重视的问题。与以往的研究结果比,居民的营养改善不明显。  相似文献   

19.
828例高校教师亚健康状态中医证型、症状研究   总被引:3,自引:0,他引:3  
目的 研究高校教师亚健康状态的中医证型、症状规律。方法 根据中医四诊内容制定症状观察表,对某高校的828例亚健康状况教师的证型、症状规律进行调查研究。结果 高校教师亚健康状态的主因是劳逸失度、内伤七情;所表现的症状多达62种,其中12个主要症状依次是易疲劳、失眠、夜尿频多、头晕、咽干、便秘、经来不适及月经不调、发黄易落、四肢发凉、活力减退、咽部异物感、头痛。中医证型共涉及32个,其中12个主要证型依次是肝郁气滞证、肾阳虚证、肝郁脾虚证、肾气不固证、肺气虚证、心脾两虚证、脾肾两虚证、肝血虚证、肝阴虚证、脾气虚证、心火亢盛证、脾阳虚证。结论 高校教师亚健康状态以虚证和肝系证候、脾系证候、肾系证候多见;劳逸失度、内伤七情致脏腑、经络生理活动紊乱,气血阴阳平衡关系受到破坏,导致“阴阳失调”是亚健康状态发生的病理核心。  相似文献   

20.
We estimated the utilization of calcium in spinach and calcium-oxalate to calcium-deficient rats, and the effect of oxalic acid on absorption of dietary calcium by using calcium-deficient rats. The body weight gain of the calcium-deficient rats for 8 days receiving a calcium-deficient diet supplemented with raw-powdered spinach (R-sp), boiled-powdered spinach (B-sp), or calcium-oxalate (Ca-ox), and a control diet supplemented with oxalic acid (OX-C) were 4.8, 2.8, 4.9, and 5.1 g, respectively. The calcium content in the liver and kidney of the rats receiving R-sp, B-sp, Ca-ox, and OX-C diets significantly increased as compared with the calcium-deficient rats. Significant differences in the liver calcium levels were not observed among the rats receiving various additional diets, though the content in the kidneys of the rats receiving R-sp, B-sp, Ca-ox, and OX-C diets were 28.0, 21.5, 0.11, and 0.59 mg, respectively. An especially large amount of calcium was accumulated in the kidneys of the rats receiving R-sp and B-sp diets. The calcium concentration in the serum of the rats receiving Ca-ox and OX-C diets was higher than the calcium concentration in the serum of the R-sp, B-sp, and calcium-deficient rats. The calcium content in the left tibiae of the rats receiving Ca-ox and OX-C diets was higher than that of the rats receiving R-sp and B-sp diets. The breaking force of the right tibiae of the rats was highest in the OX-C group, and higher in the R-sp and Ca-ox groups than the breaking force of the right tibiae of the rats fed on B-sp diet. The alkaline phosphatase activity in the small intestines of the rats rose in the order of the R-sp, B-sp, and Ca-ox groups, although significant differences of the activity were not observed between the Ca-ox and the OX-C groups. The calcium retention of the rats receiving the calcium-deficient, R-sp, B-sp, Ca-ox, and OX-C diets was -18.5, 35.2, 25.6, 41.6, and 45.8%, respectively. About 35% of the calcium in the spinach was absorbed by the calcium-deficient rats, and oxalic acid depressed the calcium absorption in the rats.  相似文献   

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