医院财务管理中的相关问题分析

目的:探讨医院财务管理工作中存在的问题及对策.方法:对医院的财务管理工作中存在的问题进行分析研究,针对工作中出现及可能出现的问题探寻出相应的解决预防措施.结果:医院财务管理是维持医院正常运转的一项重要工作,然而目前医院财务管理仍未得到足够的重视,医院资金管理不科学、不规范,财务管理人员缺乏足够的风险管理意识或财务部门缺乏专业的管理人员,使得不能最大限度的发挥医院的社会效益及经济效益.结论:医院需对财务管理工作存在的不足针对性的制定相关解决办法,以提高医院财务管理水平.     

新形势下医院传染病疫情管理模式探讨

目的:探讨新形势下医院传染病疫情管理的模式.方法:结合医院的实际情况,采取一系列的传染病疫情管理措施,完善管理体系,规范管理制度,加强知识培训,应用信息技术管理.结果:强化了医院传染病疫情报告及管理工作,成效显著,使传染病疫情管理更加规范化、科学化、制度化.结论:加强医院传染病疫情管理是医院管理工作的重中之重,新形势下的管理模式可以更好地有效防控传染病疫情.     

传染病医院临床实验室的特点及管理对策

目的:结合传染病医院临床实验室自身的性质和特点探讨其有效的管理对策.方法:结合本院的实际情况,从生物安全、质量控制、人员设备、制度以及信息化管理五个方面采取一系列的管理对策,完善传染病医院临床实验室的管理工作.结果:加强并完善了我院临床实验室的管理工作,保证了临床检验质量,成效显著.结论:抓好以上五个环节的管理,是提高医疗质量的重要保障,有助于实现临床实验室管理的规范化、科学化、信息化.     

我国三级综合医院医疗质量安全核心制度演化进程

通过系统回顾医疗质量安全核心制度相关的政策文件,整理分析我国三级综合医院医疗质量核心制度的演化进程,总结三级综合医院执行医疗质量安全核心制度的政策依据及原则;分析医院在落实医疗质量安全核心制度中存在的问题,有利于为我国医院持续改进医疗质量提供理论支持。     

哈尔滨市综合医院手术室护理人员绩效考评现状研究

目的:通过对哈尔滨市10家综合医院手术室护理人员绩效考评现状研究,发现存在的问题,为医院手术室护理人员绩效考评体系的改进提供有价值的参考.方法:采用现场问卷调查和专家访谈法了解手术室护理人员绩效考评现状.结果:通过对目标手术室182人的调查显示:在二、三级医院中开展护理人员绩效考评的医院所占的比例分别为71.43%和82.73%,其中有67.98%的医院护理人员绩效考评工作与其他科室的考评指标相同,缺乏专门性.被调查者中有60.34%的护理人员认为科室的绩效考评指标不合理、有61.24%的护理人员认为科室护理人员绩效考评工作留于形式,并有大部分护理人员对科室的绩效考评指标不满意,占总人数的62.29%0结论:哈尔滨市10家综合医院手术室护理人员绩效考评现状调查数据显示:手术室洗手护士与巡回护士通用一套考评指标,指标没有体现出不同护理岗位的特点,其内容不能够全面、合理的覆盖两个不同岗位的关键工作目标、职责与内容;绩效考评缺乏科学、规范的管理;绩效考评与其他人力资源管理工作相脱节;绩效考评结果应用单一;绩效反馈不够.     

黑龙江省综合医院人力资源部门人员现状分析

随着医院人力资源管理工作职能的转变,对人力资源部门人员的整体素质、知识结构、梯队建设等方面提出了更高的要求。通过对黑龙江省10个市60所综合医院人力资源部门人员现状调查,明确人力资源部门人员现状及存在的问题,提出合理的改善建议,为医院人力资源部门人员合理配置提供借鉴。     

二级综合医院脑卒中康复服务患者满意度调查分析

?????? 目的 通过比较分析不同级别城市的二级综合医院脑卒中患者对康复服务的满意度,探索综合医院康复医学科管理方面存在的问题。方法 自设脑卒中康复服务患者满意度调查表,对县级市和直辖市2所二级综合医院康复医学科脑卒中患者进行比较分析。结果 患者对直辖市综合医院康复服务的移情性和有形性评价高于县级市医院,对服务响应性评价低于县级市医院,差异具有统计学意义;患者对两所医院脑卒中康复服务的经济性评价均较低。结论 通过采取改善医务人员行为、提高医院管理水平、健全康复服务体系建设3个层面的措施,有针对性地提高不同级别城市二级综合医院康复科脑卒中康复服务水平。     

医院信息系统在传染病医院管理中的应用

目的:目前医院信息系统在全国多家医院得到普遍使用,它不仅能提高医务工作人员的工作质量和效率,还能提高医院的医疗水平,而且它在传染病医院的管理中也发挥着巨大的作用.本文旨在通过医院信息管理系统的反馈实践研究分析医院信息系统在传染病疫情报告中的重要作用.方法:随机抽取我院建立信息系统前后两个时间段内的传染病报告卡,然后分析比较这两个时间段内的传染病报告卡情况.结果:信息系统应用后漏报数和迟报数明显比应用前降低并且应用后的传染病报告卡的填写质量比应用前好,应用前后相比较,差异有统计学意义(P＜0.05).结论:医院信息系统的应用不仅能提高医务工作人员的工作质量和效率,提高传染病管理水平,为患者更好的服务,还能够促进医院的整体现代化建设,是每一个医院建设的发展方向.每家医院都应该加强医院的信息系统建设,提高医院的管理水平,特别是传染病医院更应该加强医院的信息化建设,以便提高传染病管理.     

提高医院传染病管理的实践

目的：总结解放军第302医院在防控传染病方面所践采取的措施,提高医院传染病管理相关工作。方法：完善传染病管理组织,明确责任;认真落实传染病管理相关制度;加强相关知识培训,强化医护人员责任意识,提高能动性、自觉性。总结分析以上相关措施实施后,2005年-2010年期间传染病报告情况。结果：2005年-2010年每年传染病疫情报告卡填写完整率逐渐提高,医院传染病报告漏报率呈逐年下降趋势,近两年呈现填写完整无漏报的情况。结论：提高医院传染病管理的相关措施的实施,使医护人员对的传染病防控意识有所提高,做到早发现、早报告、早隔离、早治疗,降低传染病传播风险,有效减少了医院交叉感染的发生,保障人们的生命健康和社会的发展稳定。     

河北省三级甲等综合医院图书馆网站建设现状与分析

目的 了解河北省三级甲等综合医院图书馆网站建设的现状。方法 选取河北省22家三级甲等医院网站,采用百度引擎对医院网站进行搜索,对出现的图书馆网站及相关信息进行记录、归类和整理。结果 被调查的22家医院图书馆网站中,7家（33.33%）医院网站无图书馆网站及其相关信息;6家（28.57%）在医院网站主界面设置图书馆链接;8家（38.10%）医院在主网页中科教栏及其他栏目中涵盖图书馆链接,且多数医院图书馆网站信息更新频率慢。结论 河北省三级甲等综合医院图书馆网站建设较为落后,应采取相应措施,促进医院图书馆网站逐步完善。     

Race and Racism in America and in Anthropology

Race in North America: Origin and Evolution of a Worldview . Audrey Smedley
Anthropology and Race . Eugenia Shanklin     

Degradation and conversion of somatostatin in normal and diabetic rats in vivo and in vitro

Plasma somatostatin-like immunoreactivity in the portal and jugular veins of streptozotocin diabetic rats was compared with that in normal control rats. In the diabetic group, somatostatin levels in the portal (p less than 0.05) and jugular (p less than 0.01) veins were both elevated compared with those in the control group. Moreover, the degree of elevation was greater in the jugular vein than in the portal vein. To further investigate the role of the liver in the clearance of somatostatin-28 in vivo, 2 micrograms of somatostatin-28 was administered as a bolus into the external jugular vein of intact and functionally hepatectomized rats. The mean half-time of somatostatin-28 was significantly longer in intact diabetic rats than in controls (p less than 0.05). The functional hepatectomy did not cause a significant difference in the half-time in diabetic rats but made it longer in control rats. These results suggest that the longer half-time of somatostatin-28 in diabetic rats in vivo is due to its slower hepatic clearance. The hepatic clearance of somatostatin-28 and somatostatin-14 was further studied in vitro using a recirculating liver perfusion method. The hepatic clearance of 1.2 nM of either somatostatin-28 or somatostatin-14 was significantly lower in diabetic rats than in controls (p less than 0.01). This indicates that elevated plasma somatostatin levels in diabetic rats are caused at least in part by decreased hepatic clearance of somatostatin.(ABSTRACT TRUNCATED AT 250 WORDS)     

MPD and DNA Bending in Crystals and in Solution

Bending of 15 to 24° is observed within crystal structures ofB-DNA duplexes, is strongly sequence-dependent, and exhibits no correlation with the concentration of MPD (2-methyl-2,4-pentanediol) in the crystallizing solution. Two types of bends are observed: facultative bends or flexible hinges at junctions between regions of G·C and A·T base-pairs, and a persistent and almost obligatory bend at the center of the sequence R-G-C-Y. Only A-tracts are characteristically straight and unbent in every crystal structure examined to date. A detailed examination of normal vector plots for individual strands of a double helix provides an explanation, in terms of the stacking properties of guanine and adenine bases. The effect of high MPD concentrations, in both solution and crystal, is to decrease local bending somewhat without removing it altogether. MPD gel retardation experiments provide no basis for choosing among the three models that seek to explain macroscopic curvature of DNA by means of microscopic bending: junction bending, bent A-tracts, or bent general- sequence DNA. Crystallographic data on the straightness of A-tracts, the bendability of non-A sequences, and the identity of inclination angles in A-tract and non-A-tractB-DNA support only the general-sequence bending model. The pre-melting transition observed in A-tract DNA probably represents a relaxation of stiff adenine stacks to a flexible conformation more typical of general-sequence DNA.     

Update in research and methods in proteomics and bioinformatics

The 3rd International Conference on Proteomics & Bioinformatics (Proteomics 2013)

Philadelphia, PA, USA, 15–17 July 2013

The Third International Conference on Proteomics & Bioinformatics (Proteomics 2013) was sponsored by the OMICS group and was organized in order to strengthen the future of proteomics science by bringing together professionals, researchers and scholars from leading universities across the globe. The main topics of this conference included the integration of novel platforms in data analysis, the use of a systems biology approach, different novel mass spectrometry platforms and biomarker discovery methods. The conference was divided into proteomic methods and research interests. Among these two categories, interactions between methods in proteomics and bioinformatics, as well as other research methodologies, were discussed. Exceptional topics from the keynote forum, oral presentations and the poster session have been highlighted. The topics range from new techniques for analyzing proteomics data, to new models designed to help better understand genetic variations to the differences in the salivary proteomes of HIV-infected patients.     

Parasitism and epibiosis in native and non-native gammarids in freshwater in Ireland

The introduced amphipod crustaceans Gammarus pulex and G. tigrinus are displacing the native G. ducheni celticus in a number of freshwater sites in Northern Ireland. We investigated parasite and epibiont infection in populations in the Rivet Lagan and Lough Neagh where both native and invading species occur. Prevalence of the four parasites and epibionts observed was higher in the native G. d. celticus than in the invading amphipods at both field sites. In Lough Neagh. G. d. celticus individuals suffered higher burdens of the rotifer Embata parasitica and the protozoan Epistylis in comparison with the invading species. These patterns may reflect host specificity by the parasites or may result from different susceptibilities of the native and invading host species. We consider the influence of parasitism on host invasions and resulting species distributions.