对医院办公室工作的思考

面对医疗卫生事业改革的新形势、新任务,医院办公室应该更新观念,树立改革创新意识、大局意识、法制意识、市场竞争意识和以病人为中心的意识;积极参与医院改革、成本核算、组建医疗集团、建立医院信息系统、开拓医疗服务市场、参与市场竞争等医院重点工作;建立和协调好对内对外的关系,在医院改革与发展中发挥积极作用。     

高校校长办公室工作的思考

院长办公室是学校的重要窗口 ,它的服务态度、工作质量和效率直接影响到学校的形象。校长办公室应不断加强自身建设 ,充分发挥参谋和助手作用 ,着力强化协调综合功能 ,脚踏实地开展督促检查 ,使办公室在沟通上下、协调左右、联系内外的过程中 ,不断提高工作质量 ,提升服务水平 ,真正成为校领导指挥全局、运筹决策的参谋部。     

Office system interventions supporting primary care-based health behavior change counseling

CONTENT: This article reviews the literature on the effectiveness of office system interventions to improve behavior-change counseling in primary care. These instructions consist of two principle components: tools and teamwork. Tools have been developed to assist providers with health risk assessment (questionnaires, health risk appraisals), prompting and reminding (chart stickers, checklists, flow charts, reminder letters), and education (manuals and handbooks). Teamwork entails the coordination and delegation of tasks between providers and staff. CONCLUSIONS: A number of clinical trials, particularly in the area of smoking cessation, have demonstrated the effectiveness of tools and teamwork for increasing counseling rates and counseling effectiveness. Although no one type of tool or method of teamwork is consistently more effective than another-with effectiveness varying according to practice, provider, and patient characteristics-the use of different tools and teamwork approaches leads to additive improvements in counseling and patient behavior-change rates. More high-quality research is needed, particularly in the areas of health risk assessment and electronic reminder systems, to develop effective office interventions that can be readily implemented into a wide variety of primary care practices.     

Finger dexterity in well-functioning cohort of office workers in Macau

AimThe study aimed to describe the finger dexterity in office workers of an Asian population.MethodsOne hundred twenty-seven right-handed office workers, aged 21–50 with a similar split of male and female, were recruited with finger dexterity measured by the O’Connor Finger Dexterity Test. The grip strength, tip and lateral pinch strength of both hands were also measured.ResultsThis study provided the percentile score of the O’Connor Finger Dexterity Test of both males and females in the Asian population. Raw scores of below 218 and 213 seconds in male and female participants respectively reach the 90th percentile, and above 237 and 235 seconds in male and female below the 10th percentile. Results showed no significant difference in local mean scores across different age groups, between male and female and with varying hours of working in typing, filing, and writing. A significant difference was only found in finger dexterity and years of working as office workers. No significant correlation was found between the finger dexterity with grip strength, tip and lateral pinch of the dominant right hand. The results were similar to the original normative score with similar work skills and demands.ConclusionThe mean scores could be used as a valid reference for local occupational therapists to evaluate the finger dexterity of office workers. However, caution has to be taken that conclusions drawn can be biased because of the relatively small sample size, and the results cannot be generalized to represent a wider Asian population.     

基于虚拟教研室的公共卫生安全素养培育课程构建及实践

目的:探讨基于虚拟教研室的公共卫生安全素养培育课程构建及实践。方法:选取某医学院校专科护理专业学生(护生)为研究对象,将护理1班45人作为试验组,将护理2班43人作为对照组,对照组对公共卫生安全知识实施线上与线下的常规教学,试验组实施基于虚拟教研室的公共卫生安全素养培育课程。比较两组护生内容掌握情况及学习满意度。结果:试验组护生的学习成绩明显高于对照组(P<0.01),试验组护生对教学的满意度为95.6%(43/45),明显高于对照组(P<0.05)。结论:基于虚拟教研室的公共卫生安全素养培育课程构建既可以广泛促进不同专业教师进行教学研究交流,全面提高教师教书育人能力,又可以使护生在学习过程中接触不同专业、不同领域的知识与技能,注重护生主体作用,提高学习效果和学习满意度。     

牙科医师体表和诊室环境的污染状况分析

目的 通过牙科医师治疗过程中,身体表面及诊室空气各处的细菌检测,了解牙体治疗和牙周治疗时对医师和空气的污染情况.方法 牙科医师进行牙体、牙周治疗时,将普通血培养基固定在其口罩、防护眼镜、胸前体表及固定在牙科治疗椅照明灯、牙科治疗椅旁屏风处,暴露1 min,实验室37℃培养24 h,各取10例,计算均值.诊室连续使用3.5 h后,将普通血培养基放置于牙科治疗椅水杯平台、牙科治疗椅后方2 m远的护士操作台表面,暴露5 min,实验室37℃培养24 h,隔日1次,共取10次,统计菌落均值,计算空气细菌菌落总数.结果 牙科医师身体表面不同部位及牙科治疗椅周边均被污染,污染最严重的是口罩,与防护眼镜的污染有显著性差异(P＜0.05);诊室使用后,空气污染明显.结论 在口腔治疗过程中,牙科医师和牙科治疗椅周边的污染均十分严重;诊室空气细菌菌落总数明显高于医院消毒卫生标准.医师应注重自身防护,诊室设备、空气应及时消毒、灭菌.     

The healthy workplace project: Reduced viral exposure in an office setting

Viral illnesses such as gastroenteritis and the common cold create a substantial burden in the workplace due to reduced productivity, increased absenteeism, and increased health care costs. Behaviors in the workplace contribute to the spread of human viruses via direct contact between hands, contaminated surfaces, and the mouth, eyes, and/or nose. This study assessed whether implementation of the Healthy Workplace Project (HWP) (providing hand sanitizers, disinfecting wipes, facial tissues, and use instructions) would reduce viral loads in an office setting of approximately 80 employees after seeding fomites and the hands of volunteer participants with an MS-2 phage tracer. The HWP significantly reduced viable phage detected on participants’ hands, communal fomites, and personal fomites (p ≤ .010) in office environments and presents a cost-effective method for reducing the health and economic burden associated with viral illnesses in the workplace.