医院机动卫勤分队基地化训练方法探讨

<正>军队医院抽组的机动卫勤分队除了承担战时卫勤保障任务外,还承担各种非战争军事行动卫勤保障任务。为高标准执行各类卫勤保障任务,平时的训练工作非常重要。就目前情况看,各医院基本上没有专用的训练场和训练基地,在组织各类卫勤演练时还存在一定困难,训练效果难以保证。因此,建立训练基地,开展基地化训练十分必要。1医院战备训练场所建设现状1.1装备库室建设不够规范担负机动卫勤分队抽组建设任务的医院通常都建设有战备库室,但是     

浅析军队医院机动卫勤分队建设中存在的问题和对策

抓好机动卫勤分队建设是军队医院落实军事斗争准备真抓实备的具体体现,是军队医院工作的重要组成部分,是保障力的主要标志[1-2].经过十多年的建设,机动卫勤力量巳初具规模,机动卫勤分队的装备、快速反应、应急机动、战伤救治能力有了较大提高,在应急卫勤支援保障中发挥了重要作用.笔者结合近几年战备落实的情况,就目前军队医院机动卫勤分队建设中存在的问题和对策作一浅析如下 .     

军队医院加强机动卫勤分队建设的几点体会

机动卫勤分队指在各种紧急和意外情况下,可以随时担负卫勤保障和卫生支援保障任务的队伍,是军队卫勤力量体系中的重要组成部分。多年来,我院认真贯彻落实总部关于加强机动卫勤分队建设的部署要求,以科学发展观为指导,高标准、高质量地抓好军队医院机动卫勤分队建设,使卫勤综合保障能力得到全面提高,为遂行多样化军事任务卫勤保障奠定了基础。     

军队医院加强机动卫勤分队建设的几点体会

机动卫勤分队指在各种紧急和意外情况下,可以随时担负卫勤保障和卫生支援保障任务的队伍,是军队卫勤力量体系中的重要组成部分.多年来,我院认真贯彻落实总部关于加强机动卫勤分队建设的部署要求,以科学发展观为指导,高标准、高质量地抓好军队医院机动卫勤分队建设,使卫勤综合保障能力得到全面提高,为遂行多样化军事任务卫勤保障奠定了基础.     

军队医院机动卫勤分队建设现状及对策

新时期军事战略方针要求在军事斗争准备上，必须立足于打赢一场现代技术特别是高技术条件的信息化战争。作为军队医院必须按照新时期战略方针的要求，狠抓卫生战备的落实，努力提高卫勤保障能力，以适应未来战争的要求。军队医院机动卫勤分队建设，是军队医院工作的重要组成部分，医院机动卫勤分队战备水平是医院整体素质的综合反映，是保障力的主要标志。本文结合实际，就加强医院机动卫勤分队建设作一探析。     

当前机动卫勤分队建设存在的问题与对策

抓好机动卫勤分队建设,是军队医院落实军事斗争准备的具体体现,是军队医院保障力的主要标志。经过十多年的建设与发展,机动卫勤分队建设正在强势推进,野战装备、快速反应、应急机动、战伤救治能力有了较大提高,在应急卫勤支援保障中发挥了重要作用。我们结合军区年初组织的医院     

军队医院机动卫勤分队训练管理方法研究

<正>加强军队医院机动卫勤分队训练,是提高医院应急机动能力、战伤救治能力,促进医院全面建设,增强卫勤保障整体能力的重要途径[1]。     

军队医院机动卫勤分队建设中存在问题与改进措施

军队医院抓好机动卫勤分队建设是落实军事斗争真抓实备的具体体现。本文分析了目前军队医院机动卫勤分队建设中存在的问题，提出了军队医院抓好机动卫勤分队建设应采取的主要措施。     

军队医院机动卫勤分队参演训练存在的问题与对策

加强军队医院机动卫勤分队训练,是提高医院应急机动能力及战伤救治能力、增强卫勤保障整体能力的重要途径[1].我院卫勤分队赴内蒙古训练参演,通过训练增加了全体人员的实地演练意识,锻炼了战地救治技能,但在实际演练中我们发现存在一些与平时训练脱节的问题,现将主要问题及对策浅述如下.     

军队医院机动卫勤分队参演训练存在的问题与对策

加强军队医院机动卫勤分队训练,是提高医院应急机动能力及战伤救治能力、增强卫勤保障整体能力的重要途径[1].我院卫勤分队赴内蒙古训练参演,通过训练增加了全体人员的实地演练意识,锻炼了战地救治技能,但在实际演练中我们发现存在一些与平时训练脱节的问题,现将主要问题及对策浅述如下.     

Semen analysis of military personnel associated with military duty assignments

A collaborative study between the U.S. Army Biomedical Research and Development Laboratory (USABRDL) and the National Institute for Occupational Safety and Health (NIOSH) was designed to assess fecundity of male artillery soldiers with potential exposures to airborne lead aerosols. Potential exposure assessment was based upon information provided in an interactive questionnaire. It became apparent from extensive questionnaire data that many soldiers in the initial control population had potentially experienced microwave exposure as radar equipment operators. As a result, a third group of soldiers without potential for lead or microwave exposures, but with similar environmental conditions, was selected as a comparison population. Blood hormone levels and semen analyses were conducted on artillerymen (n = 30), radar equipment operators (n = 20), and the comparison group (n = 31). Analysis of the questionnaire information revealed that concern about fertility problems motivated participation of some soldiers with potential artillery or microwave exposures. Although small study population size and the confounding variable of perceived infertility limit the reliability of the study, several statistically significant findings were identified. Artillerymen who perceived a possible fertility concern demonstrated lower sperm counts/ejaculate (P = 0.067) and lower sperm/mL (P = 0.014) than the comparison group. The group of men with potential microwave exposures demonstrated lower sperm counts/mL (P = 0.009) and sperm/ejaculate (P = 0.027) than the comparison group. Variables used to assess endocrine, accessory sex gland, and sperm cell function were not different than the comparison group. Additional studies, incorporating larger numbers of individuals, should be performed in order to more optimally characterize potential lead and microwave exposure effects on male fecundity.     

Influence of military sexual assault and other military stressors on substance use disorder and PTS symptomology in female military veterans

Servicewomen exposed to traumatic stressors over the course of their military service are at increased risk of developing symptoms of substance use disorder (SUD) and posttraumatic stress (PTS). They are also at risk for exposure to military sexual assault (MSA), which is also associated with SUD and PTS symptomology. Research is unclear about the incremental contributions of different forms of traumatic stressors on co-occurring SUD and PTS symptomology. In this study we examined the independent and combined effects of MSA and other military stressors on SUD and PTS symptomology in a sample of female veterans (N = 407). Results indicate that MSA and other military stressors exhibit incremental effects on SUD and PTS symptomology. Results further suggest that women exposed to both MSA and other military stressors are at increased risk for developing co-occurring SUD and PTSD. These findings extend previous research on comorbid SUD and PTSD, highlighting the cumulative effects of traumatic stressors on posttraumatic psychopathology, and have implications for future research and clinical practice with female veterans.     

对军队医院改革的战略思考

经过20年的改革开放,市场经济体制已初步形成.伴随着新世纪的到来,国家医院改革已进入深化阶段,而军队医院正处于一个战略竞争的时期,将面临全面创新的挑战,在这种形势下,如何抓住机遇,迎接挑战,是每一个医院管理者都应面对的重大课题.     

对军队医院改革的战略思考

经过 2 0年的改革开放 ,市场经济体制已初步形成。伴随着新世纪的到来 ,国家医院改革已进入深化阶段 ,而军队医院正处于一个战略竞争的时期 ,将面临全面创新的挑战 ,在这种形势下 ,如何抓住机遇 ,迎接挑战 ,是每一个医院管理者都应面对的重大课题。1　影响和制约军队医院改革的主要因素军队医院的本质是军事保障性 ,是国家提供资源保障的非物质生产部门 ,此特性决定了计划经济补给与市场经济支出的矛盾 ,主要表现在以下四个方面。1.1　缺乏合适的运行机制　目前军队医院还没有形成一整套既具有军队特色 ,又适应市场经济的管理和运行机制 ,过…     

军队合理医疗用药政策调整前后军人住院药品保障水平对比研究

目的 评估部队医院2009年和2011年军人住院患者药品保障水平是否存在显著性差异并分析原因,为今后合理医疗政策的调整提供借鉴。方法 选取全军16家部队医院急性单纯性阑尾炎、冠状动脉粥样硬化性心脏病、慢性支气管炎和2型糖尿病4种疾病军人患者的药物治疗数据,运用统计学相关方法对2009年和2011年的药品保障水平相关指标进行对比研究。结果 16家医院的3748份病例显示,军人住院药品保障水平2009年和2011年在药品总费用、药品品种数、住院日均药费、主要治疗药物费用等较多指标上存在显著性差异,2011年高于2009年。结论 本次课题全面直观地展示了军人患者在2009年和2011年中4种军队常见多发病的用药详情,反映了2011年和2009年相比,某些疾病的用药水平显著提高;建议今后建立一种长期、固化的政策监管与评价手段,科学评价研究,为今后的药物政策调整提供有力证据。     

Duloxetine in military posttraumatic stress disorder

The objective of this prospective study was to assess the efficacy and tolerability of duloxetine in the treatment of in military veterans with posttraumatic stress disorder (PTSD).Twenty subjects were enrolled in this 12-week, open-label trial. Diagnosis and symptom severity were assessed with the Clinician Administered PTSD Scale (CAPS). Depressive symptoms were assessed the Hamilton Depression Rating Scale. All subjects had a CAPS score of at least 60 at baseline. Subjects with lifetime history of psychotic disorders or bipolar illness were excluded. Fifteen participants completed 12 weeks of treatment, five dropped-out from the trial, 3 due to side effects. For patients who discontinued, missing values were estimated using "the last observation carried forward" method. Significant improvements were seen on: CAPS total and all subscales, depression and sleep measures. Most of the improvement was observed by week 2 of treatment. Nine participants (45%) were classified as responders, defined by 20% or greater improvement on CAPS total score. The mean daily dose of duloxetine was 81 mg. The most common side effects were constipation (20%) diarrhea (25%) and nausea (20%). Two subjects developed tachycardia, one withdrew from the trial due to this problem. Duloxetine had a fast onset of action and was effective in about half of the subjects, it was well tolerated in most subjects. These preliminary results in a difficult to treat population warrant the conduction of a double blind, placebo-controlled study of duloxetine in PTSD.     

军人心理应激防御训练的效果比较

目的观察心理应激防御训练降低演练官兵的心理应激水平或应激反应,促进官兵的心理健康。方法采用军人心理应激防御训练,对参演陆军官兵进行心理干预。应用症状自评量表(SCL-90),军人心理应激自评问卷(PSET)调查心理干预组和对照组军人心理健康状况,同时检测官兵的心率、血压、随机血糖等生理生化指标,之后对照分析。结果心理干预组演练官兵的SCL-90各因子和PEST分值明显低于对照组(P<0.05),干预组官兵的心率、血压、血糖等应激指标也明显低于对照组(P<0.05)。结论心理应激防御训练能够适当降低演练时官兵的过度应激反应,对促进演练官兵的心理健康具有积极作用,对提高部队战斗力具有重要意义。