How to encourage management of feline obesity in practice

Feline obesity is a disease the veterinary professional encounters on a daily basis, yet we frequently hear that addressing the disease is more challenging in cats than dogs. Furthermore, obesity in companion animals is now recognised as a chronic incurable disease yet the statistics indicate an increasing trend in overweight and obese cats. The multifactorial causes leading to obesity create challenges in how and who addresses the disease with the client in practice. A whole-practice approach is recommended, involving vets, receptionists and nurses to ensure pet owners receive a consistent message. This article aims to provide guidance, practical solutions for the consult room, how to communicate the problem and follow through with support for clients and patients.     

Professional Burnout:

This paper attempts to answer the question of why social caseworkers have ongoing supervision by exploring the historical evolution of social work supervision. Supervision has withstood the many changes in the field since its beginning in the late 1800s and has been reinterpreted to fit the prevailing theories guiding practice, thus avoiding obsolescence. Supervision began as an educational device, then evolved into a practice tool, later became a therapeutic method, and then became a separate entity from therapy.     

河南省社区卫生服务机构人力资源现状分析

目的了解社区卫生服务从业人员人力资源现状及存在的问题,为相关政策的制订提供科学依据。方法按照2011年GDP总量,将全省18个省辖市划分为A、B、C 3个级别;以参加慢病培训550名社区卫生服务从业人员为调查对象,进行问卷调查;分析经济水平不同地区从业人员年龄、学历、职称、培训、收入情况。结果河南省城市社区卫生服务人力资源以中青年医务人员为主,其学历偏低,大专、中专学历比例较大,尚有部分无学历人员。职称结构以初级或无职称为主,中高级卫生技术人员相对缺乏。从业人员参加培训机会较多,且以省级以上培训为主。从业人员月收入较低,多处于1 000～2 000元之间。建议完善相关政策,加快人才引进;加快全科医师制度建设,提高社区医生技术水平;绩效与分配挂钩,提高从业人员收入。结论河南省城市社区卫生服务团队以中青年医务人员为主,其学历、职称结构欠合理,收入较低;应从政策层面采取相应措施。     

Physical Exercise and Psychological Wellness

The relationship between regular physical exercise and psychological wellness among gym members was investigated. Regular exercise was defined as exercising for an average of thirty minutes a day at least three times per week. A wellness profile was constructed from various questionnaires chosen on the basis of their relationship with the general construct of mental health and/or psychological well-being as conceptualised in this paper and as established in previous research. Wellness profile components consisted of assessments of mood, lifestyle, satisfaction with life, sense of coherence, fortitude, stress and coping with stress. The wellness profile was administered to 106 exercisers from four local gyms in the Richards Bay area of South Africa. Respondents were given feedback, and further counselling if needed, with regard to their scores on the various components as wellness and a global wellness percentage score. The correlations among wellness components were almost all highly significant. Findings also indicated a highly significant influence of regular exercise on the various components of wellness as operationally defined by various scores on the wellness profile and the final composite wellness percentage itself. Findings provide further support for the vital role that regular exercise plays in the promotion of mental health and wellness.     

Survey of maternal-fetal medicine subspecialists: Professional activities,job setting,satisfaction, and trends over time

The purpose of this survey was to describe the job setting, professional activities, and satisfaction of maternal-fetal medicine (MFM) subspecialists and to compare these with previous surveys. A questionnaire was mailed to members of the Society of Perinatal Obstetricians (SPO). The results were compared to a similar survey in 1986. Of 1,352 members, 58% responded. In comparison to 1986, there was an increase in percentage of women (25%); a decrease in university hospital-based faculty (55%); and an increase in community hospital-based salaried physicians (23%) and private practice (15%). The distribution of professional time changes with an increase in clinical care, a decrease in teaching and research. The annual number of procedures increased for ultrasound and genetics and decreased for gynecologic procedures. Since 1986, there have been significant changes among MFM subspecialists in job setting, allocation of professional time, and number and types of procedures. Job satisfaction remains high.     

我国护士分层次使用管理的研究进展

文章总结了我国护士分层次使用管理中护士各层次设置和划分依据、工作内容和职责界定、绩效考核等方面的研究现状,分析指出现阶段护士分层次使用管理存在的问题,即缺乏统一的层级划分依据、各层次护士职责范围和工作内容界定不清楚、护士分层次绩效考核指标未按护士层次严格划分,提出制订统一的层级设置和层级划分依据、严格界定不同层次护士的...     

利用人事档案开发医院人力资源信息管理系统

在医院发展技术化和国际化的大背景下,人力资源管理显得越来越重要。搭建起标准化、规范化、网络化的人力资源管理信息化工作平台,其前提是确定人力资源管理提升规划方案,重点是人力资源管理系统化。在医疗改革中,必须坚持以人为本,利用好人事档案开发出人力资源管理信息系统。     

有效利用人力资源应对门诊护理人员不足的探讨

目的从工作实践中总结管理体会，有效应对当前形势下门诊护理人员缺编现象。方法统计我院门诊9个岗位三年内完成的工作量、人均接待的门诊量、岗位设置及对应人数的配置、护理人员各种休假总天数、人均各种休假天数，做自身比对。结果人员配备增长速度缓慢于工作量增长速度，人力资源不足时，有向护理人员的休假做透支性“借贷”倾向。结论护理人员缺编，会给医院顺利完成日常工作、确保医疗安全带来负面影响，护士长要有灵活多变的管理思路，弹性利用人力，巧妙应对门诊护理人员不足。     

Respiratory Health in Latin America: Number of Specialists and Human Resources Training

Latin America is made up of a number of developing countries. Demographic changes are occurring in close to 600 million inhabitants, in whom a significant growth in population is combined with the progressive ageing of the population. This part of the world poses great challenges for general and respiratory health. Most of the countries have significant, or even greater, rates of chronic respiratory diseases or exposure to risk. Human resources in healthcare are not readily available, particularly in the area of respiratory disease specialists. Academic training centres are few and even non-existent in the majority of the countries.The detailed analysis of these conditions provides a basis for reflection on the main challenges and proposals for the management and training of better human resources in this specialist area.