浅谈医院固定资产管理

随着医院的不断发展,医院的贵重仪器设备也在日益增加,不少医院的固定资产已达数亿元.因此,固定资产管理也成为了医院管理的重要组成部分,如何科学有效地管理好固定资产,以确保其安全和完整,充分发挥其效能,对提高医院的经济效益和社会效益,增强医院的竞争力是十分重要的.     

浅谈医院固定资产管理

固定资产管理是医院管理的重要组成部分。如何科学有效地搞好固定资产管理，以确保其安全和完整，充分发挥其效能，实现其保值增值，对提高医院的经济效益和社会效益，增强医院的竞争力是十分重要的。因此，加强医院固定资产管理，明确各级管理者责任权利关系，促进医院固定资产管理的规范化，已成为当前医院管理不容忽视的重要问题。笔者就此谈几点看法。     

浅谈医院固定资产管理

医院固定资产是开展医疗活动必不可少的物质基础，高、精、尖的医疗设备更是进行准确诊断和治疗的工具。管好、用好固定资产是医院实现社会效益和经济效益的保证，也是提高固定资产利用率，防止国有资产流失的重要手段。因此，加强固定资产管理是医院发展的必然要求。     

加强固定资产管理 促进医院健康发展

医院固定资产管理是财务资金管理的一个重要组成部分，医院要开展正常的诊疗工作，没有一定的固定资产是万万不行的，医院财务资金开支有相当大一部分用于购置固定资产，因此，管理好固定资产，也就避免了资产流失，避免了财务资金的流失和浪费。几年来，我院为提高医疗效益，促进医院健康发展，通过贷款、财政补助、自筹资金等多种     

完善医院固定资产管理的几项重要措施

固定资产是医院赖以生存和发展的物质基础,也是医院财务管理的重要组成部分。长期以来,医院对固定资产是重购置、轻管理;重拥有、轻效率;重规模、轻效益,造成医院固定资产使用率很低,投入产出比远低于其他行业。随着医院管理集约化、精细化趋势的到来,加强医院的资产管理,提高其配置效率,规范管理程序和方法等,就显得日益迫切。     

浅析医院固定资产管理

医院的固定资产,是医院开展医疗、科研、教学服务等各项工作的物质基础;是保障人民健康和发展卫生事业的重要条件;是反映医院经济实力、规模大小和医疗水平高低的重要指标之一。我院是一所二级甲等医院,近几年,由于经济效益的迅速提高,我院的固定资产已达近亿元。如何科学有效地搞好固定资产管理,以确保其安全和完整,充分发挥其效能,实现其保值增值,对提高医院的经济效益和社会效益,增强医院的竞争力是十分重要的,因此加强医院固定资产管理是当前医院管理刻不容缓的重要问题。笔者认为应从以下几点加强对固定资产的管理：     

医院固定资产管理分析

医院的固定资产是医院开展科研攻关、进行临床诊治、以及提升医疗质量的重要物质保证。如何才能科学有效地搞好医院固定资产管理,确保其完整、安全并充分发挥其效能,是摆在医院固定资产管理人员面前的新课题。在具体实践中可以实行多级管理、分级把关制度,也就是医院必须设立固定资产的相关账目之外,管理部门和使用部门,还必须要分别设立固定资产备查账,使用人应建立固定资产卡片,并及时登记该项固定资产的维护情况。     

县级公立医院资产管理现状及对策

<正>随着医院固定资产管理的范围不断扩大,医院的固定资产是医院经营的本质,充分发挥固定资产在医院发展中的作用至关重要。但在现实中,尤其县级二甲公立医院的固定资产管理存在很多问题,如制度不健全、产权不清、利用率低、监管不力等,这些问题引起了医院管理人员的注意。笔者认为, 如何科学有效地搞好固定资产管理,以确保其安全和完整,充分发挥其效能,实现保值增值,对提高医院的经济效益和社会效益,增强医院的竞争力十分重要,是当前医院管理刻不容缓的重要问题。会计核算部门应该及时、准确反应固定资产价值,使固定资产保值增值。     

对加强大医院固定资产管理的认识

固定资产是医院开展医、教、研活动所必不可少的基本物质要素,也是医院赖以生存和发展的重要资源之一.随着我国卫生事业的发展,医院(特别是大型医院)的贵重装备日益增加,不少大医院的固定资产价值已达亿元以上.如何科学有效地搞好固定资产的管理,以确保其安全和完整,充分发挥其效能,实现保值增值,对提高医院的社会效益和经济效益,增强医院的竞争力无疑是十分重要的.     

加强医院固定资产管理的必要性

医院固定资产是保证医院正常运行的重要物质条件，其管理及核算状况影响对医院业务活动的开展，经济效益的提高。从目前实际情况看，医院在固定资产管理，核算等方面存在诸多问题，因此，加强医院固定资产管理成为不容忽视的问题。     

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.     

The occurrence of antimicrobial substances in toilet,sink and shower drainpipes of clinical units: A neglected source of antibiotic residues

Antibiotics represent one of the most important drug groups used in the management of bacterial infections in humans and animals. Due to the increasing problem of antibiotic resistance, assurance of the antibacterial effectiveness of these substances has moved into the focus of public health. The reduction in antibiotic residues in wastewater and the environment may play a decisive role in the development of increasing rates of antibiotic resistance. The present study examines the wastewater of 31 patient rooms of various German clinics for possible residues of antibiotics, as well as the wastewater of five private households as a reference.To the best of our knowledge, this study shows for the first time that in hospitals with high antibiotic consumption rates, residues of these drugs can be regularly detected in toilets, sink siphons and shower drains at concentrations ranging from 0.02?μg·L^?1 to a maximum of 79?mg·L^?1. After complete flushing of the wastewater siphons, antibiotics are no longer detectable, but after temporal stagnation, the concentration of the active substances in the water phases of respective siphons increases again, suggesting that antibiotics persist through the washing process in biofilms. This study demonstrates that clinical wastewater systems offer further possibilities for the optimization of antibiotic resistance surveillance.     

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.