我院实施联勤医疗保障的做法

根据联勤保障的要求，总结概括了医院做好联勤医疗保障的主要实践做法：注重职能教育，强化联勤保障思想；开展优质服务，提高联勤保障质量；落实帮带措施，增强联勤保障效能；注重人才培养，提高联勤保障能力；加强设施设备建设，改善联勤保障条件。     

中心医院在联勤保障中所面临的问题

为做好联勤医疗保障工作，根据联勤运行的实际，对现行联勤保障体制下中心医院而所面临的问题进行了分析，并思考解决的对策。     

联勤体制下提高临床部保障能力思考

三军联勤是我军适应现代高技术战争要求，走质量建军、科技强军的重要改革举措。2004年联勤以来，围绕“联勤联心，合力合拍，联出更好的卫勤保障能力、更优的服务水平和更强的综合实力”的目标，抢抓机遇，开拓创新，闯出一条适应三军联勤保障特点的发展道路。     

联勤后我分部医院开展优质服务的做法

为探讨军队医院联勤后开展联勤优质服务工作的管理，本介绍了我分部所属医院开展优质服务的做法，即：端正服务态度，增强服务意识，狠抓内涵建设，提高服务质量，改善医疗设备，美化诊疗环境，完善制度措施，加强监督管理等落实联勤优质服务。     

疗养院联勤后护理管理的新举措

疗养院联勤后体制编制发生了变化，护理管理工作也面临新的挑战。本文主要探讨军队疗养院联勤后护理管理面临的突出问题并予以分析，同时提出相应新的举措，为疗养院联勤后的护理管理提供借鉴。     

联勤体制下医院做好医疗保健的探索

为探讨在联勤体制下医院做好医院保健工作，本分析了在联勤体制下保健工作形势和保障特点,提出了要提高医院平战时期联勤医疗保健能力，必须注重做到思想认识，组织管理，医疗保健，保障工作等到位。     

消防部队与医疗急救联勤联动新机制的探讨

目的为最大限度地减少突发事故灾害中人员伤亡和经济损失．努力适应新形势下灭火救援和保护生命安全的实际需要。方法以建立消防与医疗急救联勤联动体系为研究，统筹谋划组织保障，科学调配救援力量，合理规划应急措施。结果积极探索消防与医疗急救联勤联动体系组建方法和运转模式，充分发挥消防与医疗急救联勤联动的特点优势．注重建设消防与医疗急救联勤联动救援专业化、程序化和规范化，提高被救人员的生还率，为保护人民生命安全做出更大贡献，为创造良好的社会效益和安定环境打下扎实基础。结论消防与医疗急救联勤联动新机制更具有科学性和有效性，建立完善了急救联勤联动体系，使消防员急救素质明显提高，实战能力明显提升，能极大地降低突发灾害中人员伤亡损失，有效提升事故处理效率。     

联勤体制下的疫情信息管理

目的探讨联勤体制下部队疫情信息管理的方式方法。方法对联勤部队进行现场调研和座谈讨论，分析联勤体制下部队疫情报告和信息管理工作存在的问题和应开展的工作。结果部队联勤疫情信息管理采取的主要措施是：熟悉情况，理顺关系，明确了各级应负的职责、任务；建立疫情日报网络连接，在现有条件下实行分区保障、分片落实等方法，逐步完成由单一保障向联勤保障的模式转变。通过分析，明确联勤体制下疫情信息管理工作具备的优势、目前存在的困难，并提出未来工作的几点设想：(1)完善疫情信息管理网络建设；(2)开展技术培训，提高疫情报告质量；(3)突出战区防病特点，加强疫情信息交流；(4)开展战区内重点疾病流行病学调查研究。结论部队联勤后疫情信息管理工作虽然暂时存在一定困难，但从长远观点看，对提高战区部队传染病预防控制能力具有重要意义。     

贴近科室实际 拓展优质服务内涵

为顺应军队联勤发展的潮流，原青岛海军疗养院和空军疗养院合并为济南军区第二疗养院。在军区、联勤部的正确领导和有力指导下，二疗坚持边组建、边整合、边建设、边发展，实现了从组织上合编向思想上合心、工作上合力、行动上合拍的转变，审时度势，科学统筹，合理确定发展目标，坚持为兵服务的方向，坚持在改革创新中求突破，在主动作为中求发展，在追求质量中创品牌，在强化质量中求效益，形成了自己独特的管理模式和运营理念。狠抓优质服务，牢固树立“联勤就是服务”的思想，提出标准要更高，服务要更好。     

更新观念 强化机制 努力实现保障有力

1 强化联勤观念 使卫生联勤群体化 在卫生联勤启动初期,部分医务人员还存在模糊认识,主要表现在:一是认为以前的卫勤保障体制就不错,目前还体会不出联勤体制优越性的消极工作状态;二是联勤不联勤是领导的事,让我怎么干就怎么干的被动工作状态;三是联勤不联勤,来了病人就诊治的混     

Trends in meningococcal disease in Italy in 1988

Meningococcal disease in Italy decreased 15% in 1988 from the previous year (290 vs. 342 cases). The decline was particularly evident in military cases (1.7/100,000 in 1988 vs. 5/100,000 in 1987) reflecting the full coverage of bivalent serogroup (A + C) meningococcal polysaccaride vaccine in army recruits, achieved since January 1988. The highest proportion of cases was seen in people older than 25 years of age (25%). Serogroup C constituted 60% of the isolates, while 19% belonged to serogroup B. The proportion of strains resistant to sulphonamides was 45%, while 15% were resistant to Minocycline and none to Rifampin. Out of the five military cases, only one (due to serogroup C) was attributable to the vaccine failure. A single coprimary case, but no secondary cases occurred among civilians. These findings are consistent with the trends reported in Italy in the previous years.     

Benzene in blood and phenol in urine in monitoring benzene exposure in industry

Determinations of benzene concentration in blood and of phenol in urine were made by head-space gas chromatography techniques on samples taken near the end of the work day from two groups of workers potentially exposed to low levels of benzene in the work-place atmosphere. Preliminary results suggest that benzene in blood is more reliable than phenol tests for assessing both exposure and uptake of benzene. Normal values of phenol in urine (10 mg/liter or less) were found in nearly all those cases in which benzene was detected in the blood.     

2015年郑州市饮用水放射性水平状况调查

目的了解郑州市不同地区、不同季节、不同水源类型的放射性水平。方法分别于丰水期和枯水期采集郑州市区黄河水源水、井水源水、丹江口水源水、出厂水和末梢水各一份;以县为单位,每单位采集出厂水、末梢水、水库水、河水、井水各1份,按《生活饮用水生活标准检验方法》(GB/T 5750.13-2006)检测饮用水中总α和总β放射性水平,依据《生活饮用水卫生标准》(GB 5749-2006)进行判定。结果丰水期、枯水期水体总α、总β放射性水平均低于国家标准限值。结论郑州市不同水源类型均处于正常的天然放射性本底水平。     

Occupational stress in nurses in psychiatric institutions in Taiwan

Nurses are known to be exposed to occupational stress. However, occupational stress is not well documented for nurses in psychiatric institutions in Taiwan. A cross-sectional study was conducted to explore the work-related stress and risk factors of nurses in psychiatric institutions in Taiwan. A structured questionnaire was distributed to nurses at five state-owned psychiatric hospitals in Taiwan in 2001. Demographic information, working environment, and personal health status were inquired. Occupational stress was assessed based on the Chinese version of Job Content Questionnaire (JCQ). General health status and mental health were evaluated by the International Quality of Life Assessment Short Form-36 (IQOLA SF-36). A total of 573 questionnaires were disseminated to nurses and 518 (90.4%) were satisfactorily completed by nurses, including 408 female full-time nurses who had been in their current work for more than 6 months. In the past one month, 17.2% of nurses reported being under significant stress often or always. Assault episodes were reported by 45.1% of nurses in the past 6 months. Among the nurses, 16.9%, 25.2%, 50.0%, and 7.8% belong to the "High strain", "Low strain", "Active", and "Passive" groups, respectively. Perceived occupational stress was associated with young age, widowed/divorced/separated marital status, high psychological demand, low workplace support, and threat of assault at work. Lower general health score was associated with low job control, high psychological demand, and perceived occupational stress. A lower mental health score was associated with low job control, high psychological demand, low workplace support, and perceived occupational stress. We concluded that nurses in psychiatric institutions are under significant stress related to work factors.     

Changes in nursing administration in supporting transplantation in Brazil

This historical and bibliographic study aimed to understand how Nursing was organized to support care in transplantation. The HISA, LILACS, BDENF, PERIENF and DEDALUS databases were consulted, and thirteen references were found, ten of which were scientific articles, two were master's dissertations and one was a doctoral thesis. The span of time chosen for study ranges from the date of the first kidney transplant in Brazil (1965), to the date of publication of the last scientific article found in the databases mentioned above (2003). After reading these articles, the ones that were similar in topic were grouped together, thus creating the thematic axis for the presentation of the results. The results showed that the Nursing profession has played an important and active role in transplants ever since the first procedure in 1965.     

2019年中国肿瘤流行病学研究进展

恶性肿瘤已成为中国居民的主要死因之一。近些年来,中国政府积极推进肿瘤预防和控制领域的研究工作,取得了很大的进步。本文简要汇总中国在肿瘤流行病学领域的研究进展,具体包括2019年的肿瘤负担、癌症危险因素及其干预、筛查和早期发现、癌症防治专项行动(2019-2022年)方案等方面,以期为我国肿瘤防治工作的有效开展提供技术支撑和理论依据。     

2012年绵阳市蔬菜中农药残留状况

目的 了解绵阳市2012年市售蔬菜中农药残留情况,为食用蔬菜监管提供依据.方法 全部样品均按照GB/T 5009-2003的方法进行农药的残留检测.依据GB 2763-2005《食品中农药最大残留限量》进行判定.结果 2012年共检测蔬菜165份,农药检出率和超标率分别为72.12％和23.64％.豆类、根茎类、叶菜类、瓜果菜类和食用菌类蔬菜检测农药残留超标率分别为8.00％、23.53％、36.00％、5.26％和27.03％,差异有统计学意义(x2=11.41,P＜0.01).不同种类农药超标率差异有统计学意义(x2 =62.42,P＜0.01).夏季和冬季蔬菜农药超标率差异无统计学意义(x2=3.44,P＞0.05).结论 绵阳市叶菜类蔬菜中农药残留情况较为严重,应采取有效措施,加强蔬菜的监督管理,从源头禁止高毒农药的使用,加大蔬菜种植、销售环节的监测,确保市民食用蔬菜的安全.