军队医院后勤保障社会化绩效评价

目的 建立军队医院后勤保障社会化绩效评价指标体系，评价军队医院后勤保障社会化绩效。方法 主成分分析法。结果 12家已经进行社会化改革医院的82个后勤保障部门社会化18个绩效评价指标被归纳为5个主成分，分别反映了军队医院后勤保障参与者的支持性、监管力度与承包商相应配合程度、医疗与服务的市场发展、军队医院后勤保障社会化改革后主业发展和其他影响因素等内容。结论 在军队医院后勤保障社会化绩效评价中引入主成分分析，有助于参与主体从不同的侧面把握提高军队医院后勤保障社会化绩效的措施。     

医院实施后勤保障社会化的做法和体会

本文着重阐述了军队医院实施后勤保障社会化过程中,采取的一些新举措和新方法,以及实施后勤保障社会化的主要做法和体会.为军队医院实施后勤保障社会化提供参考.     

后勤服务社会化中保障部门管理的探讨

该文阐述了医院后勤保障部门的内涵,从微观层面剖析了制约医院后勤保障部门管理水平提高的因素,提出医院后勤保障部门管理的基本理念,以及强化后勤管理的具体举措,包括建规立制、推行后勤服务社会化、逐步实现后勤保障管理专业化、加强人才引进与培养政策、注重成本核算等.     

加强军队医院后勤保障社会化中的财务监督

为探讨军队医院实行保障社会化，本阐述了如何加强对军队医院后勤保障社会化服务实体的财务监督，为提高军队医院后勤保障质量提供经验。     

医院后勤社会化对抗击新冠肺炎疫情的影响和危机应对策略探析

分析了新冠肺炎疫情爆发导致疫区一些医院后勤保障系统无法正常运转的原因,提出了优化医院后勤服务社会化模块,落实后勤服务保障人员的待遇,增强医院后勤服务社会化团队荣誉感、归属感、责任感,做好医院后勤服务社会化团队继续培训教育工作,建设自有后勤服务危机应急团队,政府提供相关政策与资金支持,建立突发公共卫生危机时后勤保障补偿系统、应急社工服务队伍等对策。     

某军队医院后勤保障社会化招标博弈实证分析

军队医院后勤保障社会化过程中涉及到多方的利益,军队医院后勤保障社会化招标过程是军队医院方与后勤保障承包者之间为了各自利益最大化的博弈过程.     

充分发挥政治工作在后勤保障社会化改革中的保证作用

北京军区第252医院在后勤保障社会化改革中,先后将13个生活服务项目推向社会,收到了良好的社会效益、经济效益和管理效益,年节约经费130多万元。在1999年12月召开的“北京军区后勤保障社会化改革现场观摩经验交流会”期间,252医院作为军区后勤保障社会化改革的样板,大会组织代表前往观摩,给予了很高的评价。 从252医院后勤保障社会化改革成功的经验中我们看到了思想政治工作在改革中的强大威力。1 全院同志对后勤保障社会化改革的思想认识高低直接关系到这一重大改革的实施,政治工作必须旗帜鲜明,正确引导 医院后勤保障社会化改革,全院大多数同     

医院总务后勤保障社会化监管

总务后勤保障社会化是医院整合资源、提高管理效能,实现经济利益和社会利益最大化的有效途径,而社会化后的监管问题一直是医院管理工作者热议话题。本文从分析目前国内医院后勤保障社会化存在的三种情况人手,结合自身多年医院管理工作经验和所在医院在后勤社会化监管方面的探索,提出后勤社会化和监管过程中应重点把好的四个关键方面,与同行相互交流、借鉴。     

军队医院后勤社会化质量控制联立模型分析

目的建立军队医院后勤保障社会化质量控制联立模型，探讨提高军队医院后勤保障社会化质量控制措施。方法计量经济学联立模型。结果以服务对象满意度、服务手段完好率和职业道德达标率为因变量的3个方程均有统计学意义，均方百分比误差（RMS）均小于5％。结论影响军队医院后勤保障社会化质量的因素比较多，在质量控制过程中要关注多方面的影响因素。     

医院后勤社会化改革实践

按照后勤保障社会化改革的要求，逐步将医院物业、餐饮服务、绿化保洁、垃圾处理、油料管理、病区保洁、陪护推向社会化保障，充分利用自身优势，依靠社会力量，深挖内部潜力，精简了人员，节约了经费，促进了医院后勤保障社会化的改革进程。     

Calcium intake in the elderly: validation of a dietary questionnaire

Epidemiological studies of calcium and osteoporosis have been hampered by the lack of a suitable tool for assessing calcium intake. This report describes a new frequency and amount questionnaire for measuring present and past calcium intake in the elderly. The validity of the questionnaire was tested against two commonly used standards of dietary assessment, five-day duplicate diets and seven-day weighed dietary inventories. The resulting correlation coefficients were, respectively, r = 0.76 and r = 0.69, while that for repeatability was r = 0.84. Furthermore, the questionnaire categorized subjects into thirds of the distribution of intake with almost no gross misclassification. It is suggested that the present findings may be extended to the majority of normal, healthy elderly subjects, implying wide application for the questionnaire in the assessment of calcium intake in the elderly.     

Self-reported health problems among Swedish miners one year after unemployment

Unemployment is considered to be a public health concern sincedeterioration in the health of the unemployed is often anticipated.However, for some groups, such as miners, unemployment mightimprove health due to a cessation of potentially harmful occupationalexposures. This study evaluates the health of 79 miners in oneSwedish iron-ore mine, and 226 age-matched controls from thegeneral population, during one year after the closure of themine. The participants received a questionnaire regarding medicalhistory and subjective symptoms at the beginning of the studyperiod, and after one year. Statistically significant negativeeffects on self-reported health attributable to unemploymentwere not found, although neuropsychiatric symptoms were morecommon among the unemployed miners. The miners reported a statisticallysignificant improvement in grip force (p=0.031). They had asignificantly higher prevalence of symptoms associated withmining related exposures when compared with the population controls;pain in the upper extremities [relative risk (RR)=2.27, 95%confidence interval (Cl)=1.44–3.59), back pain (RR=1.84;Cl=1.237–2.75), vasospastic disease of the fingers (RR=2.05;Cl=1.18–3.57) and obstructive respiratory symptoms (attacksof dyspnea and wheezing: RR=3.67; Cl=1.167–11.6).     

Excès de cas humains et animaux de tularémie en France au cours de l’hiver 2007–2008 : émergence ou phénomène isolé ?

Context

Tularemia is a zoonosis affecting humans and hares in France. We describe the results of surveillance in both species, in 2007 and 2008.

Methods

Human tularemia cases are mandatorily notifiable in France since 2003. In hares, surveillance relies on volunteer hunter associations in all districts of the country. Data from mandatory reports and volunteer surveillance in 2007/2008 were analyzed and compared with previous results.

Results

In 2007/2008, 144 cases were reported in humans and 117 cases in hares. This was a 100% increase compared to previous years. Human cases differed from those of previous years only by the frequency of contact with breeding animals. Human cases without any documented risk exposure were also more frequent.

Conclusion

An increase of tularemia cases occurred in 2007/2008 in both species. Complementary studies are needed to identify the species reservoir in France to understand the causes of this peak of cases.     

Occupational health hazards in mining: an overview

This review article outlines the physical, chemical, biological, ergonomic and psychosocial occupational health hazards of mining and associated metallurgical processes. Mining remains an important industrial sector in many parts of the world and although substantial progress has been made in the control of occupational health hazards, there remains room for further risk reduction. This applies particularly to traumatic injury hazards, ergonomic hazards and noise. Vigilance is also required to ensure exposures to coal dust and crystalline silica remain effectively controlled.     

Manufacture and use of nanomaterials: current status in the UK and global trends

This paper provides an overview of the production and use of nanomaterials (NMs), particularly in the UK. Currently, relatively few companies in the UK are identifiable as NM manufacturers, the main emphasis being the bulk markets in metals and metal oxides, and some niche markets such as carbon nanotubes and quantum dots. NM manufacturing in the UK does not reflect the global emphasis on fullerenes, nanotubes and fibres. Some assumptions have been made about the types of NM that are likely to be imported into the UK, which currently include fullerenes, modified fullerenes and other carbon-based NMs including nanotubes. Many university departments, spin-offs and private companies have developed processes for the manufacture of NMs but may only be producing small quantities for research and development (R&D) purposes. However, some have the potential to scale up to produce large quantities. The nanotechnology industry in the UK has strong R&D backup from universities and related institutions. This review has covered R&D trends at such institutions, and appropriate information has been added to a searchable database. While several companies are including NMs in their products, only a few (e.g. manufacturers of paints, coatings, cosmetics, catalysts, polymer composites) are using nanoparticles (NPs) in any significant quantities. However, this situation is likely to change rapidly. There is a need to collect more information about exposure to NPs in both manufacturing and user scenarios. As the market grows, and as manufacturers switch from the micro- to the nanoscale, the potential for exposure will increase. More research is required to quantify any risks to workers and consumers.     

深圳公立医院管理体制改革制度设计

深圳公立医院管理体制改革实行政事分开、管办分开,在理事会架构下按法定机构模式组建市医管中心,落实公立医院运营管理自主权.作者从当前公立医院管理体制的弊端入手,介绍了深圳市进行公立医院管理体制改革的基本思路及改革方案设计的主要举措,深入剖析了的改革方案的特点,并对改革效果进行了预测.     

Effects of nitrogen dioxide on red blood cells of rats: Changes in components of red cell membranes during in vivo exposure to NO2

Red cell membranes, prepared from red blood cells of rats exposed to 4, 10, or 20 ppm nitrogen dioxide (NO₂) for 1 to 10 days, were examined for evidence of changes in membrane components. Appreciable changes were not found in contents of phospholipid and cholesterol during exposure to 10 ppm NO₂. By contrast, protein content altered with the time of exposure. Moreover, changes in protein composition were observed by employing sodium dodecyl sulfate — polyacrylamide gel electrophoresis. Twenty-four-hour exposure to NO₂ at the concentration above 10 ppm resulted in a marked increase in the percentage of lysophosphatidylethanolamine (LysoPE) to the total phospholipids. The prolonged exposure to 10 ppm NO₂ gave rise to a further increase in LysoPE, whereas the percentage of phosphatidylethanolamine (PE) showed a gradual decrease. A 1-day exposure to 4.0 ppm NO₂ also caused an increase in sialic acid content and decreases in those of PE and hexose. In addition to contents of these components the percentage of LysoPE increased 5 days after exposure and the elevated values were maintained up to the end of exposure period. These results demonstrate that red blood cells in circulation exhibit different membrane properties in terms of lipid and carbohydrate composition during 10 days of exposure to 4.0 ppm NO₂.     

Investigating clusters in the workplace and beyond

Clusters of disease are common and occur in the workplace and in the general community. They often arouse considerable concern among the population. Investigations have sometimes lead to exciting new knowledge, but in general the investigation of clusters is difficult and often unrewarding, especially for community clusters. In the workplace, investigations are more likely to find associations and even new causes, but still many clusters remain enigmatic. Despite this, there are many reasons for investigating clusters, including allaying community concern and identifying uncontrolled exposures. A structure for investigating clusters in the workplace is suggested.