供应室管理的难点与对策

现代医院消毒供应室 ,在医院建设与管理的运行中起着极为重要的作用。通过长期的管理实践发现了潜在的难点 ,从人员管理的难度 ,到消毒灭菌质量管理的难点 ,进行了详细分析 ,从而寻找加强职业道德规范、岗位责任制教育、建立层次管理制度、转变服务观念、改善设备装置等各种应对措施 ,有效地提高了供应室人员的政治思想素质。围绕以病人为中心的服务承诺 ,开展了全面下收下送 ,使消毒灭菌供应工作满足了临床的需求。     

Snack Selection Influences Nutrient Intake, Triglycerides, and Bowel Habits of Adult Women: A Pilot Study

Because appropriate snacking can promote a healthy body weight and serve as an important contributor to a healthy diet for women, identification of suitable foods for incorporation between meals is essential. We investigated the influence of short-term (2 weeks) incorporation of 100-kcal servings of snacks of dried plums vs low-fat cookies twice daily on total energy and nutrient intake, biochemical parameters, and bowel habits in a randomized crossover design of two 2-week trials separated by a 2-week wash-out period in 26 women aged 25 to 54 years with a body mass index between 24 and 35. Incorporation of dried plums or low-fat cookies into the diet did not alter energy intake or weight; however, compared to cookies, dried plums promoted greater (P≤0.05) intake of fiber, potassium, riboflavin, niacin, and calcium. Total fat intake tended (P=0.094) to decrease with dried plum consumption, as did cholesterol intake (P=0.098). Plasma triglyceride concentration remained unchanged (P>0.05) by dried plum consumption and was 17.0±29.2 mg/dL (0.19±0.33 mmol/L) higher (P≤0.05) after consumption of low-fat cookies vs dried plums at the end of 2 weeks. Dried plums promoted a softer (P≤0.05) stool consistency vs usual intake and in comparison to intake of low-fat cookies. These results suggest that relative to a commercially processed low-fat cookie snack, dried plums promote more favorable plasma triglyceride responses, improved dietary quality, and slightly improved bowel function.