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Sample records for african medical staff

  1. Nuclear accident and medical staff

    International Nuclear Information System (INIS)

    Described is the commentary concerning normative action of medical staff at radiation emergency and actual actions taken/to be taken for the Nuclear Power Plant Accident (NPPA) in Fukushima. The normative medical staff's action at radiation emergency is essentially based on rules defined by such international authorities as United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR), International Commission of Radiological Protection (ICRP), International Atomic Energy Agency (IAEA) and Basic Safety Standard (BSS) and by network in IAEA, World Health Organization (WHO) and so on. The rules stand on past atomic events like those in Hiroshima, Nagasaki, Three Mile Isl., Chernobyl, and in Japanese Tokai JCO accident. The action above is required as a medical teamwork over specialized doctors. At Fukushima NPPA, medicare flowed from the on-site first-aid station (doctors for industry and labors), then the base for patient transfer (doctors of Japanese Association of Acute Medicine and Tokyo Electric Power Comp.), to the primary hospital for acute exposure (Iwaki Kyoritsu Hos.), from which patients were further transported to the secondary (contamination detected or severe trauma, Fukushima Medical Univ.) and/or tertiary facilities (serious contamination or acute radiation injury, National Institute of Radiological Sciences (NIRS) and Hiroshima Univ.). The flow was built up by the previous lead of national official guidance and by urgent spontaneous network among medical facilities; exempli gratia (e.g.), Fukushima Medical Univ. rapidly specialized in coping with the radiation medicare by partial discontinuance of daily clinical practice. Specialists of acute radiation medicare are generally rare, for which measures for it are more desirable along with health risk communication in facilities concerned. The professional function and endowment required for medical staff at emergency are concluded to be their guts and devotion as well as medical

  2. MEDICAL STAFF SCHEDULING USING SIMULATED ANNEALING

    OpenAIRE

    Ladislav Rosocha; Silvia Vernerova; Robert Verner

    2015-01-01

    Purpose: The efficiency of medical staff is a fundamental feature of healthcare facilities quality. Therefore the better implementation of their preferences into the scheduling problem might not only rise the work-life balance of doctors and nurses, but also may result into better patient care. This paper focuses on optimization of medical staff preferences considering the scheduling problem. Methodology/Approach: We propose a medical staff scheduling algorithm based on simulated annealing, a...

  3. MEDICAL STAFF SCHEDULING USING SIMULATED ANNEALING

    OpenAIRE

    Ladislav Rosocha; Silvia Vernerova; Robert Verner

    2015-01-01

    Purpose: The efficiency of medical staff is a fundamental feature of healthcare facilities quality. Therefore the better implementation of their preferences into the scheduling problem might not only rise the work-life balance of doctors and nurses, but also may result into better patient care. This paper focuses on optimization of medical staff preferences considering the scheduling problem.Methodology/Approach: We propose a medical staff scheduling algorithm based on simulated annealing, a ...

  4. Motivation theories of medical staff in hospitals

    OpenAIRE

    Dimitrios Kanellopoulos

    2012-01-01

    In recent decades, interest in hospital administration has turned increasingly to the effective motivation of doctors. Purpose: The presentation of selected theories of motivation through literature review and their application in medical and hospital staff. Material and methods: The Greek and international bibliography has been reviewed, and in particular papers on the motivation theories of medical staff published during the last ten years via Pub Med and Science Direct, during the period 2...

  5. International activities related to medical staff dosimetry

    International Nuclear Information System (INIS)

    The past experience and collaboration between several European laboratories - 12 participants from 9 countries- involved in radiation protection measurements, helped to establish a new collaborative project ORAMED (Optimization of Radiation Protection for Medical Staff) within the framework of 7-th FP of EU ( EURATOM Programme for Nuclear Research and Training), with the general objective to improve standards of protection for medical staff, for procedures resulting in potentially high exposures. In the presentation there will be described the main topics of the project and the participation of our department in the various working groups. (authors)

  6. ICRP and radiation protection of medical staff

    International Nuclear Information System (INIS)

    Committee 3 (Protection in Medicine) and Committee 4 (Application of Recommendations) of the International Commission on Radiological Protection (ICRP) deal with the protection of medical staff. In the last 10 years, the Committee on Protection in Medicine has been involved in the preparation of 12 publications, some of which include specific recommendations on occupational RP. This paper summarizes the most relevant aspects of these recommendations on RP for medical staff. The most recent publication on Radiation Dose to Patients from Radiopharmaceuticals contains an annex on hand exposure in radio-pharmacies. Radiation detriment from exposure of both radiological staff and other individuals is considered as part of the justification of medical exposures and of the optimization process. ICRP advises on the uncertainty concerning the risk of cataracts and puts particular emphasis on optimization in situations of exposure of the eyes. Some recommendations on staff protection are included in the documents on computed tomography, digital radiology, pregnancy, discharge of patients after therapy and interventional radiology. The contents related to staff RP in the coming publications of the Committee (pediatric, cardiology, and fluoroscopy) are also summarized.

  7. Radiation Safety Awareness Among Medical Staff

    International Nuclear Information System (INIS)

    The common access to imaging methods based on ionizing radiation requires also radiation protection. The knowledge of ionizing radiation exposure risks among the medical staff is essential for planning diagnostic procedures and therapy. Evaluation of the knowledge of radiation safety during diagnostic procedures among the medical staff. The study consisted of a questionnaire survey. The questionnaire consisted of seven closed-ended questions concerning the knowledge of the effects of exposure to ionizing radiation as well as questions related to responder’s profession and work experience. The study group included a total of 150 individuals from four professional groups: nurses, doctors, medical technicians, support staff. The study was carried out in the three largest hospitals in Gdańsk between July and October 2013. The highest rates of correct answers to questions related to the issue of radiation protection were provided by the staff of radiology facilities and emergency departments with 1–5 years of professional experience. The most vulnerable group in terms of the knowledge of these issues consisted of individuals working at surgical wards with 11–15 years of professional experience. Education in the field of radiological protection should be a subject of periodic training of medical personnel regardless of position and length of service

  8. MEDICAL STAFF SCHEDULING USING SIMULATED ANNEALING

    Directory of Open Access Journals (Sweden)

    Ladislav Rosocha

    2015-07-01

    Full Text Available Purpose: The efficiency of medical staff is a fundamental feature of healthcare facilities quality. Therefore the better implementation of their preferences into the scheduling problem might not only rise the work-life balance of doctors and nurses, but also may result into better patient care. This paper focuses on optimization of medical staff preferences considering the scheduling problem.Methodology/Approach: We propose a medical staff scheduling algorithm based on simulated annealing, a well-known method from statistical thermodynamics. We define hard constraints, which are linked to legal and working regulations, and minimize the violations of soft constraints, which are related to the quality of work, psychic, and work-life balance of staff.Findings: On a sample of 60 physicians and nurses from gynecology department we generated monthly schedules and optimized their preferences in terms of soft constraints. Our results indicate that the final value of objective function optimized by proposed algorithm is more than 18-times better in violations of soft constraints than initially generated random schedule that satisfied hard constraints.Research Limitation/implication: Even though the global optimality of final outcome is not guaranteed, desirable solutionwas obtained in reasonable time. Originality/Value of paper: We show that designed algorithm is able to successfully generate schedules regarding hard and soft constraints. Moreover, presented method is significantly faster than standard schedule generation and is able to effectively reschedule due to the local neighborhood search characteristics of simulated annealing.

  9. Burnout of Academic Staff in South African Higher Education Institutions

    Science.gov (United States)

    Rothmann, S.; Barkhuizen, N.

    2008-01-01

    The objectives of this study are to assess the psychometric properties of an adapted version of the Maslach Burnout Inventory-General Survey (MBI-GS) for academic staff in South African higher education institutions and to investigate differences between the burnout levels of different demographic groups. A survey design was used, with stratified…

  10. Occupational exposure of medical staff: An overview

    International Nuclear Information System (INIS)

    Occupational exposure is defined as the exposure of a worker that is received or committed during a period of work. For an overview of the different area's where workers can be occupationally exposed we can refer to the UNSCEAR reports. The physicians, technicians, nurses, and other medical staff constitute the largest group of workers occupationally exposed to man-made sources of radiation. In this UNSCEAR publication you can find the average occupational doses worldwide and trends during the last 20-30 years. Of course these statistics are difficult to obtain, and there are large differences between different countries. According to the UNSCEAR data, the average exposure of medical workers are now decreasing worldwide, but the number of workers exposed to medical sources of radiation is still increasing. We will give an overview of the occupational exposures in different areas of the medical field, and we will discuss some of the hot-topics and radiation protection problems. We will give some examples of recent staff dose measurements in the different medical fields Diagnostic radiology: Radiography is by far the most widely used X-ray imaging technique. During radiography with fixed installations, the radiographer would normally be expected to stand in a control booth that is typically shielded against X-ray tube leakage and scattered radiation from the room and patient. The occupational doses are mostly low. Fluoroscopic procedures are by far the largest source of occupational exposure in medicine. These procedures require the operator to be present in the examination room, usually close to the patient. In fact, the patient is the main source of exposure because of scattered radiation. Shielding for this scattered radiation is more difficult, but it is possible to reduce the staff doses by partial shielding and simple procedural steps. Fluoroscopy procedures can also be therapeutic. In such cases the procedures arc even longer and doses to staff arc generally

  11. Two Models of Integrating Buprenorphine Treatment and Medical Staff within Formerly "Drug-Free" Outpatient Programs.

    Science.gov (United States)

    Monico, Laura; Schwartz, Robert P; Gryczynski, Jan; O'Grady, Kevin E; Mitchell, Shannon Gwin

    2016-01-01

    "Drug-free" outpatient programs deliver treatment to the largest number of patients of all treatment modalities in the U.S., providing a significant opportunity to expand access to medication treatments for substance use disorders. This analysis examined staff perceptions of organizational dynamics associated with the delivery of buprenorphine maintenance within three formerly "drug-free" outpatient treatment programs. Semi-structured interviews (N = 15) were conducted with counseling and medical staff, and respondents were predominantly African American (n = 11) and female (n = 12). Themes and concepts related to medical staff integration emerged through an inductive and iterative coding process using Atlas.ti qualitative analysis software. Two treatment clinics incorporated buprenorphine maintenance into their programs using a co-located model of care. Their staff generally reported greater intra-organizational discord regarding the best ways to combine medication and counseling compared to the clinic using an integrated model of care. Co-located program staff reported less communication between medical and clinical staff, which contributed to some uncertainty about proper dosing and concerns about the potential for medication diversion. Clinics that shift from "drug-free" to incorporating buprenorphine maintenance should consider which model of care they wish to adapt and how to train staff and structure staff communication. PMID:26940870

  12. Teaching hospital costs: the effects of medical staff characteristics.

    OpenAIRE

    Custer, W S; Willke, R J

    1991-01-01

    This article examines the effect of medical staff behavior on the cost of hospital-based care and graduate medical education, and shows its implications for estimation of hospital costs. The empirical work brings a unique new data source for these characteristics to the estimation process. Our results indicate that there are important economies of scale and scope in hospital production, both for inpatient stays and for residency training. Controlling for medical staff characteristics signific...

  13. The Medical Staff Ride: an education tool for military medical leadership development.

    Science.gov (United States)

    Bricknell, Martin C M

    2016-08-01

    This paper provides a description of the Medical Staff Ride as an educational tool for military medical leadership. It is based upon two Medical Staff Rides covering the Somme Campaign 1916 and the Normandy Campaign 1944. It describes the key educational activity 'The Stand' at which history and current issues are brought together through study of a particular location on the historical battlefield. The Medical Staff Ride can be divided into six distinct phases, each of which have common question sets for analysis by attendees. The Medical Staff Ride can be shown to have valuable educational outcomes that are efficient in time and cost, and effective in achieving personal learning. The supporting Readers for the two Medical Staff Rides covered by this paper are available as electronic supplement to this edition of the journal. PMID:26115999

  14. A survey of Sub-Saharan African medical schools

    Directory of Open Access Journals (Sweden)

    Chen Candice

    2012-02-01

    Full Text Available Abstract Background Sub-Saharan Africa suffers a disproportionate share of the world's burden of disease while having some of the world's greatest health care workforce shortages. Doctors are an important component of any high functioning health care system. However, efforts to strengthen the doctor workforce in the region have been limited by a small number of medical schools with limited enrolments, international migration of graduates, poor geographic distribution of doctors, and insufficient data on medical schools. The goal of the Sub-Saharan African Medical Schools Study (SAMSS is to increase the level of understanding and expand the baseline data on medical schools in the region. Methods The SAMSS survey is a descriptive survey study of Sub-Saharan African medical schools. The survey instrument included quantitative and qualitative questions focused on institutional characteristics, student profiles, curricula, post-graduate medical education, teaching staff, resources, barriers to capacity expansion, educational innovations, and external relationships with government and non-governmental organizations. Surveys were sent via e-mail to medical school deans or officials designated by the dean. Analysis is both descriptive and multivariable. Results Surveys were distributed to 146 medical schools in 40 of 48 Sub-Saharan African countries. One hundred and five responses were received (72% response rate. An additional 23 schools were identified after the close of the survey period. Fifty-eight respondents have been founded since 1990, including 22 private schools. Enrolments for medical schools range from 2 to 1800 and graduates range from 4 to 384. Seventy-three percent of respondents (n = 64 increased first year enrolments in the past five years. On average, 26% of respondents' graduates were reported to migrate out of the country within five years of graduation (n = 68. The most significant reported barriers to increasing the number of

  15. Radiation education required for medical staff

    International Nuclear Information System (INIS)

    This paper introduces the present state and problems of radiation education in the training course for health professionals. Firstly, the following are introduced: Revised version of 'Medical education model and core curriculum ? Guidelines for educational contents (FY2010),' and the contents of pre-graduation education of education curriculum at the Department of Radiation Biology and Health, University of Occupational and Environmental Health (UOEH). Next, the author describes his educational experience at the Institute of Industrial Ecological Sciences (Nursing) of UOEH, and stresses the need for radiation education in order to eliminate the anxiety of nurses against radiation. In addition, he also describes the present state and problems with respect to exposure and radiation risk due to the Fukushima nuclear accident. (A.O.)

  16. An Investigation of Participating to Continuous Medical Education Programs of Medical Staff at A State Hospital

    OpenAIRE

    Şeyda Ferah Tuygar

    2015-01-01

    Aim: This study was planned to determine the frequency, funding and effectiveness of continuous medical education programs which the medical staff at a state hospital attended. Method: This descriptive research was performed on 87 medical staff working at a state hospital (doctor, nurse, midwife, health officer, health technician, and pharmacist) who were accepted to participate in the study. The data were collected through face to face interviews with a questionnaire. Their answers assessed ...

  17. Forty project management strategies for the medical practice staff.

    Science.gov (United States)

    Hills, Laura Sachs

    2010-01-01

    Most every medical practice will embark at one time or another on a large and complex new project. The practice may, for instance, undertake a project in office construction or renovation, practice expansion, new technology, or a new large-scale event. The medical practice staff may find itself creating the project plan, overseeing its execution, and working through the plan day to day until its completion. In short, the staff may find itself responsible for project management. This article contains 40 specific, easy-to-implement project management strategies medical practice employees can use to manage both the large and small projects they undertake on behalf of the practice. It suggests effective project management strategies the staff can use before the onset of a new project as well as strategies to help define the project, to deliver the project, and to close and review the project. This article also describes five reasons medical practices often fail at project management and suggests more effective approaches that will ensure that the projects the medical practice undertakes are completed well, on time, and within budget. PMID:20480774

  18. Dose levels in medical staff at hemodynamics services

    International Nuclear Information System (INIS)

    The dose levels received by medical staff during interventional radiology are very high depending on the operational conditions and the patient trunk thickness. Dose levels could reach a factor of 30 for fluoroscopy or cine modes. The ALARA principle, that emphasizes the adoption of techniques and procedures to keep dose levels as low as reasonably achievable, should be followed to minimize the risk of radiation exposure to medical professionals. Dose reduction could be achieved by persuading the medical staff to wear protection devices (lead apron, thyroid protector, eyeglasses and gloves). Additionally, medical staff should also be persuaded that they should not be submitted to very high doses, above the acceptable limits for occupational workers. Dose levels at hemodynamics services in Minas Gerais State, Brazil, were analysed. Due to the equipment characteristics or the exam type and conditions x-ray machines were used with 70 to 120 kV, 2.5 to 699 mA and 80 to 2880s. Annual individual doses were estimated based on measured doses during a specific exam taking into account the workload. Maximum doses varied from 0.05 to 0.70 mSv per exam. The results projected for one work-year period show that all annual individual doses would be higher than the annual dose limit of 20 mSv/y with only a few values lower than 50 mSv/y. Dose levels measured at medical staff positions during hemodynamic exams showed that if the protective devices are not used professionals could be exposed to dose values higher than annual dose limits. (author)

  19. Dose levels in medical staff at hemodynamics services

    Energy Technology Data Exchange (ETDEWEB)

    Almeida Junior, Airton T. de [FUNDACENTRO - Brazilian Institute for Safety and Health at Work, Belo Horizonte, MG (Brazil)]|[Centro de Desenvolvimento da Tecnologia Nuclear (CDTN), Belo Horizonte, MG (Brazil)]. E-mail: airton.almeida@fundacentro.gov.br; Alonso, Thessa C.; Nogueira, Maria do S.; Silva, Teogenes A. da [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil)]. E-mail: mnogue@cdtn.br; alonso@cdtn.br; silvata@cdtn.br

    2007-07-01

    The dose levels received by medical staff during interventional radiology are very high depending on the operational conditions and the patient trunk thickness. Dose levels could reach a factor of 30 for fluoroscopy or cine modes. The ALARA principle, that emphasizes the adoption of techniques and procedures to keep dose levels as low as reasonably achievable, should be followed to minimize the risk of radiation exposure to medical professionals. Dose reduction could be achieved by persuading the medical staff to wear protection devices (lead apron, thyroid protector, eyeglasses and gloves). Additionally, medical staff should also be persuaded that they should not be submitted to very high doses, above the acceptable limits for occupational workers. Dose levels at hemodynamics services in Minas Gerais State, Brazil, were analysed. Due to the equipment characteristics or the exam type and conditions x-ray machines were used with 70 to 120 kV, 2.5 to 699 mA and 80 to 2880s. Annual individual doses were estimated based on measured doses during a specific exam taking into account the workload. Maximum doses varied from 0.05 to 0.70 mSv per exam. The results projected for one work-year period show that all annual individual doses would be higher than the annual dose limit of 20 mSv/y with only a few values lower than 50 mSv/y. Dose levels measured at medical staff positions during hemodynamic exams showed that if the protective devices are not used professionals could be exposed to dose values higher than annual dose limits. (author)

  20. Ethical codes for training staff in South African collieries : a case study / F.W. Kemp

    OpenAIRE

    Kemp, Frederick Willem

    2009-01-01

    The title of the research is "Ethical codes for training staff in South African Collieries -a case study". The research was conducted in coal mining training centres in the Free State, Gauteng and the Mpumulanga provinces of South Africa. The objective of the research was to examine ethical codes currently in place internationally and locally. Based on this research the research was then focused on its contribution to the human resource development arena. South African coal mining train...

  1. Needs, conditions of intervention and staff in medical physics for medical imagery

    International Nuclear Information System (INIS)

    This guide proposes information on the types and quantification of medical physics tasks to be performed when performing medical imagery using ionizing radiations. It gives recommendations about the commitment of medical physicists (with or without support staff) and the required staff in nuclear medicine and, more generally in imagery (interventional radiology, scanography, conventional radiology). It first gives an overview of the situation in France in 2012 in terms of observations made by the ASN during inspections, and of results of a survey conducted among medical physicists involved in medical imagery. It indicates the current regulatory requirements, and international and national recommendations, and describes the commitment in imagery of medical physicists in three countries (Spain, Belgium and Germany). It analyses and describes the fields of intervention of medical physicists in imagery and identifies associated tasks in France (in equipment purchasing, equipment installation, equipment routine usage, patient care, nuclear medicine or internal vectorized radiotherapy, or staff training). Recommendations of a work-group about sizing criteria are proposed

  2. Smoking cessation, physicians, and medical office staff. Clinical tobacco intervention in Prince Edward Island.

    OpenAIRE

    Rowan, M S; Coambs, R. B.; Jensen, P.; Balderston, M.; MacKenzie, D; Kothari, A.

    1998-01-01

    OBJECTIVE: To assess attitudes and self-reported behaviours of physicians and medical office staff in Prince Edward Island concerning clinical tobacco intervention (CTI). DESIGN: Mail survey of PEI primary care physicians and their medical office staff. Most surveys were not mailed back but picked up in person by research staff. SETTING: Primary care settings in PEI. PARTICIPANTS: All active primary care physicians in PEI identified in the Canadian Medical Association database and medical off...

  3. Medical mistrust is related to lower longitudinal medication adherence among African-American males with HIV.

    Science.gov (United States)

    Dale, Sannisha K; Bogart, Laura M; Wagner, Glenn J; Galvan, Frank H; Klein, David J

    2016-07-01

    African-Americans living with HIV show worse health behaviors (e.g. medication adherence) and outcomes (e.g. viral suppression) than do their White counterparts. In a 6-month longitudinal study, we investigated whether medical mistrust among African-American males with HIV (214 enrolled, 140 with longitudinal data) predicted lower electronically monitored antiretroviral medication adherence. General medical mistrust (e.g. suspicion toward providers), but not racism-related mistrust (e.g. belief that providers treat African-Americans poorly due to race), predicted lower continuous medication adherence over time (b = -.08, standard error = .04, p = .03). Medical mistrust may contribute to poor health outcomes. Intervention efforts that address mistrust may improve adherence among African-Americans with HIV. PMID:25293970

  4. 76 FR 43689 - Draft Guidance for Industry and Food and Drug Administration Staff; Mobile Medical Applications...

    Science.gov (United States)

    2011-07-21

    ... Staff; Mobile Medical Applications; Availability AGENCY: Food and Drug Administration, HHS. ACTION... guidance entitled ``Mobile Medical Applications.'' FDA is issuing this draft guidance to inform... select software applications intended for use on mobile platforms (mobile applications or ``mobile...

  5. Critical Race Theory: A Counternarrative of African American Male Medical Students Attending Predominately White Medical Schools

    Science.gov (United States)

    Morgan, Adrienne L.

    2013-01-01

    The history of African Americans seeking medical education in the United States is rooted in a legacy of racial segregation, cultural constructs, and legal doctrine that differs from other ethnic and racial groups. The disturbing results of this legacy are that while African Americans account for 12.9% of the U.S. population, they only account for…

  6. Adequacy of pharmacological information provided in pharmaceutical drug advertisements in African medical journals.

    OpenAIRE

    Oshikoya KA; Senbanjo IO; Soipe A

    2009-01-01

    Pharmaceutical advertisement of drugs is a means of advocating drug use and their selling but not a substitute for drug formulary to guide physicians in safe prescribing. Objectives: To evaluate drug advertisements in Nigerian and other African medical journals for their adequacy of pharmacological information. Methods: Twenty four issues from each of West African Journal of Medicine (WAJM), East African Medical Journal (EAMJ), South African Medical Journal (SAMJ), Nigerian Medical Practition...

  7. Front office staff as medical educators, risk creators, and risk managers.

    Science.gov (United States)

    Kapp, Marshall B

    2016-03-16

    The author describes his own negative series of encounters with the front office staff of a large specialty medical practice during a recent lengthy episode of significant medical distress. The author suggests several reasons, including legal risk management, that medical students should be exposed as part of their education to the interactions of patients with front office staffs (not just physicians) to get a fuller picture of patients' actual experiences with the health care system. PMID:27176757

  8. Medical and nursing staff highly value clinical pharmacists in the emergency department

    OpenAIRE

    Fairbanks, Rollin J.; Hildebrand, James M.; Kolstee, Karen E; Schneider, Sandra M.; Shah, Manish N.

    2007-01-01

    Despite the potential impact that emergency pharmacist (EPh) programmes could have on medication safety and quality of care in the emergency department (ED), very few programmes exist. This descriptive survey study aimed to assess staff perceptions of an EPh programme. A random sample of medical and nursing staff in an academic medical centre ED with a dedicated EPh programme received a 26‐item survey (82% return rate). 99% of respondents felt the EPh improves quality of care, 96% feel they a...

  9. Ethnomedical science and African medical practice.

    Science.gov (United States)

    Matthe, D S

    1989-01-01

    The ethnomedical sciences are ethnobotany, ethnobiology, ethnopharmacology and phytotherapy. These fields are concerned with medicinal plants only, and the traditional medicines are mostly used. The author has extended the ethnomedical sciences by using traditional medicines in ethnomedicine, bacteriology, ethnobotany, and biochemistry, and thus ethnomedical sciences can be studied by a modern approach. The traditional doctors play a significant part in health care. They have both black and white patients, and they treat about 60%-70% of black patients in the country. Though they have been treating patients for many years, the patients' employers do not accept traditional doctors' medical certificates when they go back to work after treatment. In this case they first go to the traditional doctor for treatment and then go to an academically qualified medical practitioner solely because they need a medical certificate for their employers. Traditional doctors have been practising for centuries. In this country they are known as inyanga or ngaka and these designations mean doctor. Umthakathi or moloi means witch. Witchdoctor translates as Inyanga-mthakathi of ngaka-moloi. PMID:2493558

  10. Testing a Mediational Model of Communication Among Medical Staff and Families of Cancer Patients

    Science.gov (United States)

    Gionta, Dana A.; Harlow, Lisa L.; Loitman, Jane E.; Leeman, Joanne M.

    2005-01-01

    Three structural equation models of communication between family members and medical staff were examined to understand relations among staff accessibility, inhibitory family attitudes, getting communication needs met, perceived stress, and satisfaction with communication. Compared to full and direct models, a mediational model fit best in which…

  11. Trends in attrition among medical teaching staff at universities in Myanmar 2009–2013

    OpenAIRE

    Nang Mie Mie Htun,; REYER, JOSHUA A; Yamamoto, Eiko; Yoshida, Yoshitoku; Hamajima, Nobuyuki

    2016-01-01

    ABSTRACT Although lack of human resources for health is becoming a global problem, there are few studies on human resources in Myanmar. This study was conducted to investigate the attrition rates of teaching staff from universities for medical professions in Myanmar from 2009 to 2013. The data were collected from administrative records from Department of Medical Sciences, Ministry of Health, Myanmar. Numbers of staff and those who permanently left work (attrition) from 2009 to 2013 were count...

  12. 42 CFR 482.22 - Condition of participation: Medical staff.

    Science.gov (United States)

    2010-10-01

    ...— (i) A medical history and physical examination be completed and documented for each patient no more... requiring anesthesia services. The medical history and physical examination must be completed and documented... services, when the medical history and physical examination are completed within 30 days before...

  13. An exploration of stereotype perceptions amongst support staff within a South African higher education institution

    Directory of Open Access Journals (Sweden)

    Given R.B. Moloto

    2014-02-01

    Full Text Available Orientation: After the 1994 democratic elections, South African organisations had to replace discriminatory policies with new policies to integrate all people and to embrace diversity. As a consequence stereotypes may be more prevalent in diverse working environments.Research purpose: The objective of this study was to explore the experience of stereotypes amongst the support staff within a higher education institution.Motivation for this study: Changes within South African working environments, and specifically higher education institutions, resulted in more diverse management teams and a more culturally diverse workforce. With this in mind, the experience of stereotypes may become more prevalent within South African working environments. Many researchers have focused on stereotypes; however, studies on stereotypes within South Africa are limited, especially within higher education institutions. Research approach, design and method: The research approach was qualitative and a case study design was employed. A combination of both quota and convenience sampling was used. The sample consisted of (N = 30 support staff within a higher education institution in South Africa. Semi-structured interviews were used to collect data.Main findings: The results indicated that the participants do experience stereotypes within their workplace and also hold stereotypes of other people within their workplace. The most prevalent stereotypes mentioned by participants were age, gender, racial and occupational stereotypes. There is also an indication that stereotypes have cognitive, emotional and behavioural effects on the stereotyped.Practical/managerial implications: Organisations should do away with stereotyping by embracing and managing diversity and dealing with stereotypes, specifically within higher education institutions. When managers are aware of stereotypes and the effects thereof in the organisation, they can make every effort to eradicate the stereotypes

  14. A model for selecting assessment methods for evaluating medical students in African medical schools.

    Science.gov (United States)

    Walubo, Andrew; Burch, Vanessa; Parmar, Paresh; Raidoo, Deshandra; Cassimjee, Mariam; Onia, Rudy; Ofei, Francis

    2003-09-01

    Introduction of more effective and standardized assessment methods for testing students' performance in Africa's medical institutions has been hampered by severe financial and personnel shortages. Nevertheless, some African institutions have recognized the problem and are now revising their medical curricula, and, therefore, their assessment methods. These institutions, and those yet to come, need guidance on selecting assessment methods so as to adopt models that can be sustained locally. The authors provide a model for selecting assessment methods for testing medical students' performance in African medical institutions. The model systematically evaluates factors that influence implementation of an assessment method. Six commonly used methods (the essay examinations, short-answer questions, multiple-choice questions, patient-based clinical examination, problem-based oral examination [POE], and objective structured clinical examination) are evaluated by scoring and weighting against performance, cost, suitability, and safety factors. In the model, the highest score identifies the most appropriate method. Selection of an assessment method is illustrated using two institutional models, one depicting an ideal situation in which the objective structured clinical examination was preferred, and a second depicting the typical African scenario in which the essay and short-answer-question examinations were best. The POE method received the highest score and could be recommended as the most appropriate for Africa's medical institutions, but POE assessments require changing the medical curricula to a problem-based learning approach. The authors' model is easy to understand and promotes change in the medical curriculum and method of student assessment. PMID:14507620

  15. The new system of education and training of medical staff in radiation protection in Albania

    International Nuclear Information System (INIS)

    The present situation as regarding the education and training of medical staff in radiological protection is discussed. In particular the protection of patients, children and pregnant women were the most sensible topics in some courses held in recent years. Emphasis is given on a number of courses and course units dealing with radiation safety problems in the medical field and their content. (author)

  16. Trends in attrition among medical teaching staff at universities in Myanmar 2009-2013.

    Science.gov (United States)

    Nang Mie Mie Htun; Reyer, Joshua A; Yamamoto, Eiko; Yoshida, Yoshitoku; Hamajima, Nobuyuki

    2016-02-01

    Although lack of human resources for health is becoming a global problem, there are few studies on human resources in Myanmar. This study was conducted to investigate the attrition rates of teaching staff from universities for medical professions in Myanmar from 2009 to 2013. The data were collected from administrative records from Department of Medical Sciences, Ministry of Health, Myanmar. Numbers of staff and those who permanently left work (attrition) from 2009 to 2013 were counted. The reasons were classified into two categories; involuntary attrition (death or retirement) and voluntary attrition (resignation or absenteeism). Official records of the attrited staff were reviewed for identifying demographic characteristics. The annual attrition rate for all kinds of health workers was about 4%. Among 494 attrited staff from 2009 to 2013, 357 staff (72.3%) left their work by involuntary attrition, while 137 staff (27.7%) left voluntarily. Doctors left their work with the highest annual rate (6.7%), while the rate for nurses was the lowest (1.1%). Male staff attrited with a higher rate (4.6%) than female staff (2.7%). Staff aged 46-60 years had the highest attrition rate. PhD degree holders had the highest rate (5.9%), while basic degree holders had the second highest rate (3.5%). Associate professors and above showed the highest attrition rate (8.1%). Teaching staff from non-clinical subjects had the higher rates (8.2%). Among 494 attrited staff, significant differences between involuntary attrition and voluntary attrition were observed in age, marital status, education, overseas degree, position, field of teaching, duration of services and duration of non-residential service. These findings indicated the need to develop appropriate policies such as educational reforms, local recruitment plans, transparent regulatory and administrative measures, and professional incentives to retain the job. PMID:27019526

  17. Evaluation of medical staff and patient satisfaction of Chinese hospitals and measures for improvement.

    Science.gov (United States)

    Li, Min; Huang, Chengyu; Lu, Xiangchan; Chen, Siyuan; Zhao, Pan; Lu, Hongzhou

    2015-06-01

    Our goal is to establish criteria for evaluating satisfaction of medical staff and patients of Chinese hospitals and propose measures for improvement. A survey was conducted among medical staff and patients of infectious disease hospitals in three locations, i.e., Shanghai, Chongqing, and Nanning. The analyses included item analysis, factor analysis, reliability analysis, Pearson correlation and one-way analysis of variance. For the patient group, Kaiser-Meyer-Olkin (KMO) = 0.973, Cronbach's α = 0.962 and the Pearson correlation coefficients among the five dimensions of satisfaction ranged from 0.583 to 0.795. For the medical staff group, KMO = 0.972, Cronbach's α = 0.970, and the Pearson correlation coefficients among the five dimensions of satisfaction ranged from 0.603 to 0.854. The means on the five dimensions of satisfaction for the patient group were 0.74 to 1.34, 0.81 to 1.17, 0.78 to 1.07, 0.89 to 1.34, and 0.71 to 1.10. The means on the five dimensions of satisfaction for the medical staff group were 0.17 to 1.03, ‒ 0.16 to 0.60, ‒ 0.18 to 0.74, 0.23 to 0.72, and ‒ 0.39 to 0.37. The clinicians were less satisfied with the hospitals than the patients. Medical staff and patients in Shanghai were relatively more satisfied. Improving the evaluation criteria and survey methods with respect to medical staff and patient satisfaction with Chinese hospitals may increase clinician and patient satisfaction and improve the health care environment in China. PMID:26166371

  18. Staff perceptions of organisational values in a large South African manufacturing company: exploring socio-demographic differences

    OpenAIRE

    Nico Martins; Melinde Coetzee

    2011-01-01

    Orientation: Companies’ concerns about increasing their competitiveness, responsiveness and adaptability in a globalised, highly complex and turbulent business environment have led to a renewed interest in the role of corporate values and culture in improving organisational effectiveness and performance.Research purpose: The objective of the study was to explore the perceptions of men and women staff members, as well as members of various race and age groups, in a large South African manufact...

  19. Knowledge of pulse oximetry among medical and nursing staff

    Directory of Open Access Journals (Sweden)

    Dimitrios Kosmidis

    2007-04-01

    Full Text Available The pulse oximetry is a widely used non invasive method for monitoring the arterial oxygenation. The doctors and the nurses are persons which are in charge for right interpretation of measurements, receiving suitable interventions for the management of patients. Aim: To assess nurses' and doctors' knowledge of pulse oximetry and identify training needs. Material and method: Participants in this study were 376 doctors and nurses from critical and general care settings in seven hospitals in Greece. The data collection was done through a self-administered questionnaire. Frequency of use, critical care experience, and opinions about education needs were included in demographic data. The knowledge test consisted of a 15 item, multiple-choice questionnaire, designed by researchers based on international bibliography. Results: A 70,7% of participants, use pulse oximeter often and 66,3% consider that is very useful in daily clinical practice. 83,7% didn't have some type of past education while more than 81,4% believes that they need further education. The average score for all (on a 15-point scale was 8,5. Ιn particular, the average score for each team had as follows: 10,5±2,7 for the specialized doctors, 9,6±3,1 for residents, 7,8±3,3 for the nurses and 7,4±3,4 for the nurse assistants. Low percentages of right answers were observed mainly in the questions about principles on which the pulse oximetry are based, clinical application and limitations, as well as normal ranges. Conclusion: The comprehension of pulse oximetry is insufficient, mainly in the nursing staff while totally is observed the need for further education.

  20. Dose levels in medical staff at hemodynamics services in Minas Gerais State, Brazil-Preliminary results

    Energy Technology Data Exchange (ETDEWEB)

    Almeida Junior, Airton T. de [FUNDACENTRO-Brazilian Institute for Safety and Health at Work, Rua Guajajaras, no 40, 14o andar, Centro, 30180-100 Belo Horizonte, Minas Gerais (Brazil); Alonso, Thessa C. [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN)-Av. Prof. Antonio Carlos 6627, Campus UFMG, Pampulha, 31270-901 Belo Horizonte, Minas Gerais (Brazil); Nogueira, Maria do S. [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN)-Av. Prof. Antonio Carlos 6627, Campus UFMG, Pampulha, 31270-901 Belo Horizonte, Minas Gerais (Brazil)], E-mail: mnogue@edtn.br; Silva, Teogenes A. da [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN)-Av. Prof. Antonio Carlos 6627, Campus UFMG, Pampulha, 31270-901 Belo Horizonte, Minas Gerais (Brazil)

    2008-02-15

    Medical staff during interventional radiology could be exposed to radiation conditions that may cause very high dose levels depending on the X-ray machine operational conditions. The dose levels received by medical staff during interventional radiology are very high depending on the operational conditions and the patient trunk thickness. Dose levels could reach a factor of 30 for fluoroscopy or cine modes. The ALARA principle, which emphasizes the adoption of techniques and procedures to keep dose levels as low as reasonably achievable, should be followed to minimize the risk of radiation exposure to medical professionals. Dose reduction could be achieved by persuading the medical staff to wear protection devices (lead apron, thyroid protector, eyeglasses and gloves). Additionally, medical staff should also be persuaded that they should not be submitted to very high doses, above the acceptable limits for occupational workers. Dose levels at hemodynamics services in Minas Gerais State, Brazil, were analyzed. Due to the equipment characteristics or the exam type and conditions X-ray machines were used with 70-120 kV, 2.5-699 mA and 80-2880 s. Annual individual doses were estimated based on measured doses during a specific exam taking into account the workload. Maximum doses varied from 0.05 to 0.70 mSv per exam. The results projected for one work-year period show that all annual individual doses would be higher than the annual dose limit of 20 mSv/y with only a few values lower than 50 mSv/y. Dose levels measured at medical staff positions during hemodynamic exams showed that if the protective devices are not used professionals could be exposed to dose values higher than annual dose limits.

  1. Individual radiation load monitoring in the medical and technical staff of a regional dosimetric center

    International Nuclear Information System (INIS)

    The structure of radiological procedures over the last decade underwent substantial changes that influenced the working conditions of the medical and technical staff of photofluorographic departments. Radiodiagnostic equipment became more powerful. To find a solution to urgent problems of individual dosimetric monitoring there should be organized regional dosimetric centers using methods of thermoluminescent dosimetry. According to the data obtained, the levels of occupational irradiation of the medical and technical staff of photofluorotraphic departments, have a clear tendency to a decrease, and Din most cases do not exceed 0.1 of the MP. Mathematical approximation of the density of annual dose distribution has revealed the stabilization of their maximum and a gradual decrease that attests to the standardization of the working conditions. A collective dose for the staff-members of photofluorographic departments in 1979 was 290 man/rem

  2. Patient and Staff Perceptions of Medication Administration and Locked Entrance Doors at Psychiatric Wards

    OpenAIRE

    Haglund, Kristina

    2005-01-01

    The general aim was, within psychiatric inpatient care, to explore patient and staff perceptions with regard to medication administration and locked entrance doors. In Study I, medication administration was illuminated according to a mini-ethnographic approach. Nurses and voluntarily admitted patients were observed and interviewed. Two central categories of patient and nurse experiences were identified, get control and leave control. In Study II, patients and nurses were interviewed about pat...

  3. MANAGEMENT TECHNOLOGY OF PROFESSIONAL DEVELOPMENT OF STAFF IN MEDICAL ORGANIZA TIONS

    OpenAIRE

    I. A. Revskaia

    2016-01-01

    The article analyzes the mechanisms and technology management personnel professionalization of medical organizations. The question is now becoming even more relevant within the health care sector optimization, the main purpose of which is claimed to improve the quality of health care by improving the efficiency of health care organizations and their personnel, including the availability of physicians and medical staff, their skills and professionalism. The problems of improving the technology...

  4. 75 FR 44267 - Draft Guidance for Industry and Food and Drug Administration Staff; Medical Devices; Neurological...

    Science.gov (United States)

    2010-07-28

    ... April 5, 2010 (75 FR 17093), FDA published a notice announcing the availability of draft special... for the notice that appeared in the Federal Register of April 5, 2010 (75 FR 17143). In the notice... Staff; Medical Devices; Neurological and Physical Medicine Device Guidance Document; Reopening...

  5. 75 FR 47604 - Draft Guidance for Industry and Food and Drug Administration Staff; Medical Devices; Neurological...

    Science.gov (United States)

    2010-08-06

    ... July 28, 2010 (75 FR 44267). The document reopened the comment period for a notice of availability of..., Silver Spring, MD 20993, 301-796-9148. SUPPLEMENTARY INFORMATION: In FR Doc. 2010-18406, appearing on... Staff; Medical Devices; Neurological and Physical Medicine Device Guidance Document; Reopening...

  6. 75 FR 17143 - Draft Guidance for Industry and Food and Drug Administration Staff; Medical Devices; Neurological...

    Science.gov (United States)

    2010-04-05

    ... Staff; Medical Devices; Neurological and Physical Medicine Device Guidance Documents; Availability...) is announcing the availability of draft special controls guidance documents for 11 neurological and physical medicine devices. FDA has developed a draft special controls guidance document for each of the...

  7. The Basic Life Support Training and Its Importance for Medical University Staff

    Directory of Open Access Journals (Sweden)

    Afrooz Habibi

    2015-06-01

    Full Text Available Background The survival rate of a cardiac arrest victim increases with basic life support (BLS as the first level of medical care. The purpose of this study was to compare BLS knowledge and skills of medical university staff before and after training course. Methods Thirty eight medical university staff participated in a BSL training course. The course included the assessment of participant’s knowledge by a pretest questionnaire, a lecture, hands-on training in BLS skills, a post-test questionnaire and an interview to evaluate their attitudes. Data were analyzed by the SPSS software version 19, using t-test, one-way ANOVA and chi square tests. P value less than 0.05 was considered statistically significant. Results Our results demonstrated that the mean knowledge score was 6.00 ± 2.09 vs. 8.26 ± 2.10 in pre- and post- education, respectively. A significant mean gain score (2.26 from the pre-test scores to post-test scores was statistically observed (P0.05 whereas, there were the significant differences between trainees’ gain scores and, education and career fields(p< 0.05. Our result also presents that staff attitudes toward the training were positive. Conclusion The present research shows the BLS training had a positive impact on the knowledge and attitudes among university staff. BLS training is extremely useful for medical university staf

  8. Understanding the Use of Educational Technology among Faculty, Staff, and Students at a Medical University

    Science.gov (United States)

    Kazley, Abby Swanson; Annan, Dustin L.; Carson, Nancy E.; Freeland, Melissa; Hodge, Ashley B.; Seif, Gretchen A.; Zoller, James S.

    2013-01-01

    A college of health professions at a medical university located in the southeastern United States is striving to increase the use of educational technology among faculty, staff, and students. A strategic planning group was formed and charged with enhancing the use of educational technology within the college. In order to understand the current…

  9. 78 FR 59038 - Mobile Medical Applications; Guidance for Industry and Food and Drug Administration Staff...

    Science.gov (United States)

    2013-09-25

    ... HUMAN SERVICES Food and Drug Administration Mobile Medical Applications; Guidance for Industry and Food and Drug Administration Staff; Availability AGENCY: Food and Drug Administration, HHS. ACTION: Notice.... In the Federal Register of July 21, 2011 (76 FR 43689), FDA announced the availability of the...

  10. Evaluation of radiation doses in patient and medical staff during endoscopic retrograde cholangio-pancreatography procedures

    International Nuclear Information System (INIS)

    The radiation exposure dose must be optimised because the hazard resulting from an interventional radiology procedure is long term depending on the patient. The aim of this study was to measure the radiation doses received by the patients and medical staff during endoscopic retrograde cholangio-pancreatography (ERCP) procedures. Data were collected during 126 ERCP procedures, including the dose-area product (DAP), entrance dose (ED), effective dose (E), fluoroscopy time (T) and number of digital radiographs (F). The medical staff members each wore a personal thermoluminescence dosemeter to monitor exposure during ERCP procedures. The mean DAP, ED, E and T were 47.06 Gy cm2, 196.06 mGy, 8.93 mSv, 7.65 min and 9.21 images, respectively. The mean dose to the staff was 0.175 mSv and that to the assistant was 0.069 mSv. The dose to the medical staff was minimal when appropriate protective measures were used. The large variation in the patient doses must be further investigated. (authors)

  11. Evaluation of radiation doses in patient and medical staff during endoscopic retrograde cholangiopancreatography procedures.

    Science.gov (United States)

    Seo, Deoknam; Kim, Kie Hwan; Kim, Jung-Su; Han, Seonggyu; Park, Kyung; Kim, Jungmin

    2016-03-01

    The radiation exposure dose must be optimised because the hazard resulting from an interventional radiology procedure is long term depending on the patient. The aim of this study was to measure the radiation doses received by the patients and medical staff during endoscopic retrograde cholangiopancreatography (ERCP) procedures. Data were collected during 126 ERCP procedures, including the dose-area product (DAP), entrance dose (ED), effective dose (E), fluoroscopy time (T) and number of digital radiographs (F). The medical staff members each wore a personal thermoluminescence dosemeter to monitor exposure during ERCP procedures. The mean DAP, ED, E and T were 47.06 Gy cm(2), 196.06 mGy, 8.93 mSv, 7.65 min and 9.21 images, respectively. The mean dose to the staff was 0.175 mSv and that to the assistant was 0.069 mSv. The dose to the medical staff was minimal when appropriate protective measures were used. The large variation in the patient doses must be further investigated. PMID:26269518

  12. Modeling the acceptance of clinical information systems among hospital medical staff: an extended TAM model.

    Science.gov (United States)

    Melas, Christos D; Zampetakis, Leonidas A; Dimopoulou, Anastasia; Moustakis, Vassilis

    2011-08-01

    Recent empirical research has utilized the Technology Acceptance Model (TAM) to advance the understanding of doctors' and nurses' technology acceptance in the workplace. However, the majority of the reported studies are either qualitative in nature or use small convenience samples of medical staff. Additionally, in very few studies moderators are either used or assessed despite their importance in TAM based research. The present study focuses on the application of TAM in order to explain the intention to use clinical information systems, in a random sample of 604 medical staff (534 physicians) working in 14 hospitals in Greece. We introduce physicians' specialty as a moderator in TAM and test medical staff's information and communication technology (ICT) knowledge and ICT feature demands, as external variables. The results show that TAM predicts a substantial proportion of the intention to use clinical information systems. Findings make a contribution to the literature by replicating, explaining and advancing the TAM, whereas theory is benefited by the addition of external variables and medical specialty as a moderator. Recommendations for further research are discussed. PMID:21292029

  13. Medical student and academic staff perceptions of role models: an analytical cross-sectional study

    Directory of Open Access Journals (Sweden)

    Shakibi Mohammad R

    2006-02-01

    Full Text Available Abstract Background This study explored the associations between the perceptions of students and the perceptions of academic staff about the characteristics of clinical lecturers at the Department of Internal Medicine at Kerman University of Medical Sciences (KUMS. It also assessed what characteristics constitute a 'role model' from the point of view of students and staff. Methods Staff and students were questioned about the characteristics of their colleagues and lecturers, respectively. They were asked about 15 characteristics under four headings: personality, teaching skill, group working and overall performance as a role model. Associations between lecturers' characteristics were explored using Pearson correlation and characteristics were allocated into groups by partition cluster method. In addition, predictors of being a valuable lecturer were assessed using logistic regression analysis. Results Based on staff responses, the strongest association observed was between honesty and being respectful (r = 0.93, p Two groups were recognized among the characteristics. group one contained those characteristics which were related to the lecturer's activity; while the second group contained characteristics that were related to the personality or teaching performance of the lecturer. The predictors of lecturer as 'role model' (i.e., perceptions of students consisted mostly of characteristics from the first group, while the predictors of a 'role model' by fellow academic staff consisted of characteristics that were in both groups. Conclusion These findings showed considerable differences between the perceptions of students about their lecturers when compared with perceptions of staff about their colleagues. Students were more concerned with the personality of their lecturers, while staff also considered their ideas and behaviors. This suggests that a more comprehensive assessment of a lecturer's performance could be obtained by taking into account

  14. Motivation and job satisfaction among medical and nursing staff in a Cyprus public general hospital

    OpenAIRE

    Kontodimopoulos Nick; Lambrou Persefoni; Niakas Dimitris

    2010-01-01

    Abstract Background The objective of this study was to investigate how medical and nursing staff of the Nicosia General Hospital is affected by specific motivation factors, and the association between job satisfaction and motivation. Furthermore, to determine the motivational drive of socio-demographic and job related factors in terms of improving work performance. Methods A previously developed and validated instrument addressing four work-related motivators (job attributes, remuneration, co...

  15. Stress and ego-defense mechanisms in medical staff at oncology and physical medicine departments

    OpenAIRE

    Sandra Kocijan Lovko; Rudolf Gregurek; Dalibor Karlovic

    2007-01-01

    Background and Objectives: Work on the oncology department has proved to be very stressful, so the medical staff indirectly copes with it by trying to escape it through the ego-defense mechanisms. On the other hand, working on the physical medicine department does not seem to be so stressful. The objective of this study was to determine the main ego- defense mechanisms at oncology and physical medicine department and to explain the differences between their frequencies. The other part was to ...

  16. Major incident planning in South East Thames Region: a survey of medical staff awareness and training.

    OpenAIRE

    Brennan, L; Sage, F J; Simpson, A

    1994-01-01

    In order to assess awareness and training of medical staff in major incident planning and disaster medicine, a telephone survey was conducted throughout South East Thames Region. Duty consultants and trainees in anaesthesia, general surgery and orthopaedic surgery from a total of 17 hospitals in the region were included. Accident and emergency (A&E) consultants were also interviewed in order to assess administrative aspects of major incident planning. It was found that major incident plans we...

  17. Health effects assessment of staff involved in medical practices of radiation exposures

    International Nuclear Information System (INIS)

    This study aimed, starting from new national recommendation appearance, to detect health effects of medical staff from six counties of Moldavia region involved in radiation practices and to create a national register data for radiation-induce cancer. Staff involved in medical ionizing radiation uses in Romania - health care level I are monitored on recent new recommendations for three years. The micro nuclei high levels and morphological lymphocytes changes vs. clinical diagnostic can be considered as early possible malignant signs. The micro nuclei test, although unspecific, as a new exam in our legislation can bring useful information on staff exposure and provides a guidance to occupational physician in making his medical recommendations. This cytogenetic test does not seem to correlate with smoking habit or length of exposure. Micro nuclei test both in oral mucous epithelial cells and peripheral culture lymphocytes can be considered of much specificity and correlates with a recent acute exposure level. The conclusions of individual health status surveillance and assessment of personal dose equivalent are very useful data for recording in the radiation cancer-induced register

  18. Health effects assessment of staff involved in medical practices of radiation exposures

    Energy Technology Data Exchange (ETDEWEB)

    Popescu, I.A.; Lacob, O. [Institute of Public Health Iasi, Radiation Hygiene Lab. (Romania); Roman, I.; Havarneanu, D. [Institute of Public Health Iasi, Occupational Medicine Dept. (Romania)

    2006-07-01

    This study aimed, starting from new national recommendation appearance, to detect health effects of medical staff from six counties of Moldavia region involved in radiation practices and to create a national register data for radiation-induce cancer. Staff involved in medical ionizing radiation uses in Romania - health care level I are monitored on recent new recommendations for three years. The micro nuclei high levels and morphological lymphocytes changes vs. clinical diagnostic can be considered as early possible malignant signs. The micro nuclei test, although unspecific, as a new exam in our legislation can bring useful information on staff exposure and provides a guidance to occupational physician in making his medical recommendations. This cytogenetic test does not seem to correlate with smoking habit or length of exposure. Micro nuclei test both in oral mucous epithelial cells and peripheral culture lymphocytes can be considered of much specificity and correlates with a recent acute exposure level. The conclusions of individual health status surveillance and assessment of personal dose equivalent are very useful data for recording in the radiation cancer-induced register.

  19. Evaluating the attendance of medical staff and room occupancy during palliative radiotherapy

    International Nuclear Information System (INIS)

    Attendance of staff and use of resources during treatment have an impact on costs. For palliative radiotherapy, no reliable data are available on the subject. Therefore, the measurement of selected variables (staff absorbance and room occupancy) based on daily palliative irradiation was the aim of our prospective study. The analysis is part of a larger study conducted by the German Society of Radiation Oncology (DEGRO). A total of 172 palliative radiation treatments were followed up prospectively between October 2009 and March 2010. The study was performed at two experienced radiotherapy departments (Herne and Bielefeld) and evaluated the attendance of medical personnel and room occupancy related to the selected steps of the treatment procedure: treatment planning and daily application of radiation dose. Computed tomography for treatment planning engaged the unit for 19 min (range: 17-22 min). The localization of target volume required on average 28 min of a technician's working time. The mean attendance of the entire staff (radiation oncologist, physicist, technician) for treatment planning was 159 min, while the total room occupancy was 140 min. Depending on the type of treatment, the overall duration of a radiotherapy session varied on average between 8 and 18 min. The staff was absorbed by the first treatment session (including portal imaging) for 8-27 min. Mean room occupancy was 18 min (range: 6-65 min). The longest medical staff attendance was observed during an initial irradiation session (mean: 11 min). Radiotherapy sessions with weekly performed field verifications occupied the rooms slightly longer (mean: 10 min, range: 4-25 min) than daily radiotherapy sessions (mean: 9 min, range: 3-29 min). We observed that the patients' symptoms, their condition, and their social environment confounded the time schedule. Target localization, treatment planning, and performance of palliative radiotherapy absorb resources to an extent comparable to nonpalliative

  20. Medical and Psychological Risk Factors for Incident Hypertension in Type 1 Diabetic African-Americans

    Directory of Open Access Journals (Sweden)

    Monique S. Roy

    2011-01-01

    Conclusions. The development of hypertension in African-Americans living with type 1 diabetes appears to be multifactorial and includes both medical (overt proteinuria as well as psychological (high hostility risk factors.

  1. Factors influencing the perception of medical staff and outpatients of dual practice in Shanghai, People’s Republic of China

    Science.gov (United States)

    Chen, Haiping; Li, Meina; Dai, Zhixin; Deng, Qiangyu; Zhang, Lulu

    2016-01-01

    Objective Dual practice is defined as a physician’s performance of medical activities in different health care institutions (two or more) simultaneously. This study aimed to examine the perception and acceptance of medical staff and outpatients of dual practice and explore the possible factors affecting people’s perception. Methods A cross-sectional study was conducted in 13 public hospitals in Shanghai. Participants included medical staff and outpatients. We distributed 1,000 questionnaires to each participant group, and the response rates were 66.7% and 69.4%, respectively. Statistical differences in variables were tested, and multinomial logistic regression methods were employed for statistical analysis. Results The study included two parts: medical staff survey and outpatient survey. The results of medical staff survey showed that 63.0% of the respondents supported dual practice. Medical staff who belonged to the surgical department or held positive belief of dual practice were more willing to participate in dual practice. Moreover, the publicity activities of dual practice and hospitals’ human resource management system were important factors affecting the willingness of the medical staff. The results of outpatient survey showed that 44.5% of respondents believed that dual practice could reduce difficulty in consulting a doctor. Regarding the perceived benefits of dual practice, the proportion of outpatients who believed that dual practice could meet the demand for health convenience, minor illness, and chronic disease were 45.4%, 42.4%, and 53.7%, respectively. Additionally, demographic characteristics significantly influenced the perception of outpatients. Conclusion This study confirmed that both medical staff and outpatients generally held positive attitudes toward dual practice. Medical staff who belonged to the surgical department or held positive belief of dual practice were more willing to participate in dual practice. Moreover, the existence of

  2. THE QUALITY OF THE MEDICAL STAFF AND THE EFFICIENCY OF OUTPATIENT CARE

    Directory of Open Access Journals (Sweden)

    Виталий Анатольевич Чирков

    2014-05-01

    Full Text Available The paper presents the main results obtained in the course of complex social and health study to study and compare the qualitative characteristics of the medical staff and the effectiveness of providing primary health care urban population.Comparative characteristics of these indices revealed that the highest category had only 22.5% of the respondents, 35% - the first category, 3.7% - 38.8%, and the second - the categories did not have. Among the respondents, an overwhelming majority of 94.4% were non-degree, 5.6% - have a PhD degree in medical sciences. Passed the initial training in internship 80% residency - 20%.Ranking the areas of health services revealed that the lowest averages are obtained in such sections of the medical organization, such as the rehabilitation and prevention, satisfactory - in relation to diagnostic and therapeutic interventions. From this we can conclude that a low enough health care workers evaluation of services provided in their institution, which also indicates low self-esteem results of their own activities. Thus, the average score on the activities of the agencies as a whole was 3,4 ± 0,17.Thus, the lack of an integrated system of quality assurance staff in outpatient clinics leads to poor quality of health services provided to patients. The existing problems related to the lack of differentiated pay, as well as the insufficient information and resourcing of staff of medical institutions.DOI: http://dx.doi.org/10.12731/2218-7405-2013-10-35

  3. Developing a competency-based medical education curriculum for the core basic medical sciences in an African Medical School.

    Science.gov (United States)

    Olopade, Funmilayo Eniola; Adaramoye, Oluwatosin Adekunle; Raji, Yinusa; Fasola, Abiodun Olubayo; Olapade-Olaopa, Emiola Oluwabunmi

    2016-01-01

    The College of Medicine of the University of Ibadan recently revised its MBBS and BDS curricula to a competency-based medical education method of instruction. This paper reports the process of revising the methods of instruction and assessment in the core basic medical sciences directed at producing medical and dental graduates with a sound knowledge of the subjects sufficient for medical and dental practice and for future postgraduate efforts in the field or related disciplines. The health needs of the community and views of stakeholders in the Ibadan medical and dental schools were determined, and the "old" curriculum was reviewed. This process was directed at identifying the strengths and weaknesses of the old curricula and the newer competences required for modern-day medical/dental practice. The admission criteria and processes and the learning methods of the students were also studied. At the end of the review, an integrated, system-based, community-oriented, person-centered, and competency-driven curriculum was produced and approved for implementation. Four sets of students have been admitted into the curriculum. There have been challenges to the implementation process, but these have been overcome by continuous faculty development and reorientation programs for the nonteaching staff and students. Two sets of students have crossed over to the clinical school, and the consensus among the clinical teachers is that their knowledge and application of the basic medical sciences are satisfactory. The Ibadan medical and dental schools are implementing their competency-based medical education curricula successfully. The modifications to the teaching and assessment of the core basic medical science subjects have resulted in improved learning and performance at the final examinations. PMID:27486351

  4. Developing a competency-based medical education curriculum for the core basic medical sciences in an African Medical School

    Science.gov (United States)

    Olopade, Funmilayo Eniola; Adaramoye, Oluwatosin Adekunle; Raji, Yinusa; Fasola, Abiodun Olubayo; Olapade-Olaopa, Emiola Oluwabunmi

    2016-01-01

    The College of Medicine of the University of Ibadan recently revised its MBBS and BDS curricula to a competency-based medical education method of instruction. This paper reports the process of revising the methods of instruction and assessment in the core basic medical sciences directed at producing medical and dental graduates with a sound knowledge of the subjects sufficient for medical and dental practice and for future postgraduate efforts in the field or related disciplines. The health needs of the community and views of stakeholders in the Ibadan medical and dental schools were determined, and the “old” curriculum was reviewed. This process was directed at identifying the strengths and weaknesses of the old curricula and the newer competences required for modern-day medical/dental practice. The admission criteria and processes and the learning methods of the students were also studied. At the end of the review, an integrated, system-based, community-oriented, person-centered, and competency-driven curriculum was produced and approved for implementation. Four sets of students have been admitted into the curriculum. There have been challenges to the implementation process, but these have been overcome by continuous faculty development and reorientation programs for the nonteaching staff and students. Two sets of students have crossed over to the clinical school, and the consensus among the clinical teachers is that their knowledge and application of the basic medical sciences are satisfactory. The Ibadan medical and dental schools are implementing their competency-based medical education curricula successfully. The modifications to the teaching and assessment of the core basic medical science subjects have resulted in improved learning and performance at the final examinations. PMID:27486351

  5. Radiation exposure for medical staff performing quantitative coronary perfusion PET with 13N-ammonia

    DEFF Research Database (Denmark)

    Kristoffersen, Ulrik Sloth; Borgwardt, Henrik Gutte; Skovgaard, Dorthe Charlotte;

    2009-01-01

    PURPOSE: To evaluate radiation doses to medical staff performing quantitative (13)N-ammonia myocardial perfusion positron emission tomography (PET). METHODS: Seventeen PET examinations were performed. Nine examinations consisted of two PET scans (one during rest and one after pharmacological stress...... with dipyridamole) and eight examinations consisted of three PET scans (additionally a scan after cold pressor testing). The two nuclear technologists and the physician attending the examinations were equipped with an electronic dosemeter over the chest and thermoluminescent dosimetry chips on the...... right index finger and wrist. RESULTS: The highest mean equivalent dose per examination for a staff member was 453 microSv (417-490 microSv) to the right index finger, 138 microSv (127-149 microSv) to the right wrist and 13 +/- 0.8 microSv to the chest. CONCLUSIONS: Myocardial perfusion PET with (13)N...

  6. Marital Satisfaction, Coping, and Social Support in Female Medical Staff Members in Tehran University Hospitals

    Directory of Open Access Journals (Sweden)

    Jörg Richter

    2014-06-01

    Full Text Available Stress significantly influences marital satisfaction. Women tend to be more emotionally involved in problems than men. Furthermore, employed women encounter more stressors especially when their job is stressful which it is often the case in medical professionals. In the present cross-sectional study, relationships were analyzed between marital satisfaction (ENRICH Marital Satisfaction Inventory, ways of coping (Ways of Coping questionnaire with marital stress and social support (Social Support Questionnaire in 100 female medical staff members in Tehran university hospitals. The results revealed a significant negative relationship between subscales of marital satisfaction and using “seeking social support”, “confrontive coping”, “escape avoidance”, “distancing”, and “self-controlling” as ways of coping related to marriage related problems. Furthermore, the analyses showed that job satisfaction, social support, and ways of coping explain between 24% and 38% of the variance in subscales of marital satisfaction. Therefore focusing on these factors could be an effective approach to promote marital satisfaction in female medical staff members.

  7. Analysing post-apartheid gender and racial transformation in medical education in a South African province

    OpenAIRE

    Khan, Taskeen; Thomas, Leena S.; Naidoo, Shan

    2013-01-01

    Introduction: In light of global concerns about insufficient numbers of doctors, midwives, and nurses, the World Health Organization (WHO) has identified the scale-up of the production of medical professionals who are competent and responsive to community needs as urgent and necessary. Coincident with this imperative, South African medical schools have also had to consider redressing apartheid-era inequities in access to medical education and changing the racial and gender profile of medical ...

  8. 谈医务人员的社会角色%Reflections on the Social Role of the Medical Staff

    Institute of Scientific and Technical Information of China (English)

    张亚斌; 石晨

    2012-01-01

    当今社会医务人员的社会角色有所偏移,正确认识医务人员社会角色定位,有益于认清医务人员的社会责任、弘扬医学人文精神与推进医学事业的健康发展.医学的目的决定医务人员的社会角色非功利性,医务人员在社会大舞台中担当着守望生命、救死扶伤的公益性角色;现实生活中,由于受市场经济环境、现代医学技术的发展、现行医疗体制存在不足等社会因素的影响,造成医务人员社会角色有所偏移.要重新回归医务人员的社会角色,必须加强医务人员的职业道德教育,加快医疗体制改革,切实维护和保障医务人员自身的基本权利.%Today the social role of the medical staff has been offset. To correct the understanding of the social role of the medical staff will be beneficial to recognize the social responsibilities of the medical staff and carry forward the spirit of medical humanities, and promote the development of medical enterprise. The purpose of medicine determines the social role of the medical staff of non - utilitarian. So the medical staff in the social area should act as the watchman of life - saving. At present the somewhat offset of the role of the medical staff was mainly due to the influences of the market economy environment, the development of modern medical technology and the current health care system, and some other social factors. To realize the re - return of the medical staff's role, we must strengthen the ethics of the medical staff education, accelerate the reform of the medical system, safeguard and protect the fundamental rights of the medical staff.

  9. Evaluation of the dose to the patient and medical staff in interventional cardiology employing computational models

    International Nuclear Information System (INIS)

    Interventional radiology, among guided X-rays procedures, is a methodology characterised by high level of doses, both for the patient and for the medical staff. The aim of the present study is to estimate the dose associated with coronary angiography procedures by means of numerical models (simplified and anthropomorphic) and MCNPX Monte Carlo code. Numerical estimates were supported by measurement performed with a dose area product meter that is commonly employed in such kind of studies. In the present work the main considerations and the preliminary results are presented. (authors)

  10. Dose evaluation in medical staff during diagnostics procedures in interventional radiology

    International Nuclear Information System (INIS)

    Studies show that personal dosimeters may underestimate the dose values in interventional physicians, especially in extremities and crystalline. The objective of this work was to study the radiation exposure levels of medical staff in diagnostic interventional radiology procedures. For this purpose LiF:Mg,Ti (TLD-100) dosimeters were placed in different regions of the physician body. When comparing with reference dose levels, the maximum numbers of annual procedures were found. This information is essential to ensure the radiological protection of those professionals. (author)

  11. Investigation of radiation protection of medical staff performing medical diagnostic examinations by using PET/CT technique

    International Nuclear Information System (INIS)

    Positron emission tomography (PET) is now one of the most important methods in the diagnosis of cancer diseases. Due to the rapid growth of PET/CT centres in Poland in less than a decade, radiation protection and, consequently, the assessment of worker exposure to ionising radiation, emitted mainly by the isotope 18F, have become essential issues. The main aim of the study was to analyse the doses received by workers employed in the Medical Diagnostic Centre. The analysis comprises a physicist, three nurses, three physicians, three technicians, as well as two administrative staff employees. High-sensitivity thermoluminescent detectors (TLDs) were used to measure the doses for medical staff. The personnel was classified into categories, among them employees having direct contact with the ‘source of radiation’—18FDG. The TLDs were placed on the fingertips of both hands and they were also attached at the level of eye lenses, thyroid and gonads depending on the assigned category. The highest dose of radiation was observed during the administration of the 18FDG to the patients. In the case of the physicist, the highest dose was recorded during preparation of the radiopharmaceutical—18FDG. The body parts most exposed to ionizing radiation are the fingertips of the thumb, index and middle finger. (paper)

  12. Radiation exposure for medical staff performing quantitative coronary perfusion PET with 13N-ammonia

    International Nuclear Information System (INIS)

    Purpose: To evaluate radiation doses to medical staff performing quantitative 13N-ammonia myocardial perfusion positron emission tomography (PET). Methods: Seventeen PET examinations were performed. Nine examinations consisted of two PET scans (one during rest and one after pharmacological stress with dipyridamole) and eight examinations consisted of three PET scans (additionally a scan after cold pressor testing). The two nuclear technologists and the physician attending the examinations were equipped with an electronic dosemeter over the chest and thermoluminescent dosimetry chips on the right index finger and wrist. Results: The highest mean equivalent dose per examination for a staff member was 453 μSv (417-490 μSv) to the right index finger, 138 μSv (127-149 μSv) to the right wrist and 13±0.8 μSv to the chest. Conclusions: Myocardial perfusion PET with 13N-ammonia exposes the staff to radiation doses that are comparable to doses from 18F-fluoro-deoxy-glucose scans and the annual doses are well within the recommended upper limits for radiation workers. (authors)

  13. Risk of cataract among medical staff in neurosurgical department occupationally exposed to radiation

    International Nuclear Information System (INIS)

    In this study we present the risk of cataract among medical staff in neurosurgical department occupationally exposed to radiation compared to those of non-radiation workers. Cataract is the most common degenerative opacity of the crystalline lens developing with aging. Other risk factors for cataract are: infrared and ultraviolet radiation, systemic diseases (diabetes, hypertonic disease), eye diseases (glaucoma, high myopia), drugs (steroids), etc. High risk of developing cataract we find among staff occupationally exposed to radiation during operations - interventional cardiologists and neurosurgeons. This study includes 30 people between 33 and 60 years of age working in neurosurgical department and control group (the same amount and age of people not exposed to radiation in their work). After visual acuity measurement, the lens was examined by retroillumination method (red reflex) and using a bio microscope. The patients were asked for presence of ocular and systemic diseases, eye trauma, drug, alcohol and tobacco abuse and for how many years they work in this department. There was one case with cataract among neurosurgeons. The doctor doesn't have eye or systemic diseases, doesn't take any drugs and is not alcohol or tobacco abuser. In the control group there were two persons with subcapsular cataract but they have diabetes. Radiation is one of the risk factors for cataract. Continuing of this epidemiological survey will provide further knowledge on the potential risk of occupational radiation-induced cataract among neurosurgical staff and will contribute for optimization of radiation protection. (authors)

  14. Occupational exposure of medical staff due to diagnostic X-ray examinations in veterinary medicine

    International Nuclear Information System (INIS)

    The implementation of the Council directive 96/29 EURATOM and the corresponding national Radiation Protection Ordinance and the X-ray Protection Ordinance coming subsequently into effect led to a changed situation regarding the occupational radiation protection in the medical sector. To reduce the occupational exposure of veterinarians and assisting staff in veterinary radiography is particularly challenging as, in opposite to human radiological examination, the presence of staff is indispensable to restrain the patient. Beyond that the relevant literature reports about too high and/or about unnecessary radiation exposures. To gain a comprehensive knowledge upon the possible exposure of involved staff, the variety of typical examination methods in veterinary clinics and at practitioners had been investigated during the daily routine. Dose measurements were performed for different employees during the examinations taking into account several places of exposure (lens, thyroid, chest, hand, gonad, and feet). Veterinary X-ray diagnostic examinations for pets as well as in equine radiography had been accounted for this study. In total, 101 examination methods, 4.484 accompanied examinations and 53.892 single dose readings resulted in a reliable statistical base to set up a 'Job-Exposure-Matrix' allowing the dose assessment for a variable number and kind of examinations. The 'Job-Exposure-Matrix' is believed to be a useful tool for optimization of occupational radiation exposure of veterinarians by appraising the height of a possible dose, forcing a review of the status quo and triggering the improvement of personal protection by establishing adequate measures. (orig.)

  15. Staff perceptions of organisational values in a large South African manufacturing company: exploring socio-demographic differences

    Directory of Open Access Journals (Sweden)

    Nico Martins

    2011-03-01

    Full Text Available Orientation: Companies’ concerns about increasing their competitiveness, responsiveness and adaptability in a globalised, highly complex and turbulent business environment have led to a renewed interest in the role of corporate values and culture in improving organisational effectiveness and performance.Research purpose: The objective of the study was to explore the perceptions of men and women staff members, as well as members of various race and age groups, in a large South African manufacturing company about the current enactment of organisational values and the importance of these values.Motivation for the study: The challenge of managing multi-cultural work forces from different gender, race and generational backgrounds makes an understanding of how peoples’ values align with those of their organisations, as reflected in their cultures, necessary. Research design, approach and method: Using an organisational values scale, the researchers conducted a quantitative survey on a random sample of 988 participants employed in a large South African manufacturing company.Main findings: ANOVAs and post hoc multiple comparison of means tests revealed that gender, race and age have a significant effect on some of the dimensions of organisational values and that these biographical groups differ significantly in their perceptions of the importance of certain organisational values as well as how their organisations enact them.Practical/mangerial implications: The findings highlight the importance of understanding staff perceptions in creating greater commitment to organisational values as important aspects of an effective organisational culture.Contribution/value-add: This study is original research that contributes new knowledge to the field of organisational psychology and management practices.

  16. Monte Carlo calculations on extremity and eye lens dosimetry for medical staff at interventional radiology procedures

    International Nuclear Information System (INIS)

    There are many factors that can influence the extremity and eye lens doses of the medical staff during interventional radiology and cardiology procedures. Numerical simulations can play an important role in evaluating extremity and eye lens doses in correlation with many different parameters. In the present study, the first results of the ORAMED (Optimisation of Radiation protection of Medical staff) simulation campaign are presented. The parameters investigated for their influence on eye lens, hand, wrist and leg doses are: tube voltage, filtration, beam projection, field size and irradiated part of the patient's body. The tube voltage ranged from 60 to 110 kVp, filtration from 3 to 6 mm Al and from 0 to 0.9 mm Cu. For all projections, the results showed that doses received by the operator decreased with increasing tube voltage and filtration. The magnitude of the influence of the tube voltage and the filtration on the doses depends on the beam projection and the irradiated part of the patient's body. Finally, the influence of the field size is significant in decreasing the doses. (authors)

  17. Radiation exposure to patients and medical staff in hepatic chemoembolisation interventional procedures in Recife, Brazil

    International Nuclear Information System (INIS)

    The purpose of this study was to evaluate patient and medical staff absorbed doses received from trans-arterial chemoembolisation of hepatocellular carcinoma, which is the most common primary liver tumour worldwide. The study was performed in three hospitals in Recife, capital of the state of Pernambuco, located in the Brazilian Northeastern region. Two are public hospitals (A and B), and one is private (C). For each procedure, the number of images, irradiation parameters (kV, mA and fluoroscopy time), the air kerma-area product (PKA) and the cumulative air kerma (Ka,r) at the reference point were registered. The maximum skin dose (MSD) of the patient was estimated using radiochromic film. For the medical staff dosimetry, thermoluminescence dosemeters (TLD-100) were attached next to the eyes, close to the thyroid (above the shielding), on the thorax under the apron, on the wrist and on the feet. The effective dose to the staff was estimated using the algorithm of von Boetticher. The results showed that the mean value of the total PKA was 267.49, 403.83 and 479.74 Gy cm2 for Hospitals A, B and C, respectively. With regard to the physicians, the average effective dose per procedure was 17 μSv, and the minimum and maximum values recorded were 1 and 41 μSy, respectively. The results showed that the feet received the highest doses followed by the hands and lens of the eye, since the physicians did not use leaded glasses and the equipment had no lead curtain. (authors)

  18. Radiation exposure to patients and medical staff in hepatic chemoembolisation interventional procedures in Recife, Brazil.

    Science.gov (United States)

    Khoury, H J; Garzon, W J; Andrade, G; Lunelli, N; Kramer, R; de Barros, V S M; Huda, A

    2015-07-01

    The purpose of this study was to evaluate patient and medical staff absorbed doses received from transarterial chemoembolisation of hepatocellular carcinoma, which is the most common primary liver tumour worldwide. The study was performed in three hospitals in Recife, capital of the state of Pernambuco, located in the Brazilian Northeastern region. Two are public hospitals (A and B), and one is private (C). For each procedure, the number of images, irradiation parameters (kV, mA and fluoroscopy time), the air kerma-area product (PKA) and the cumulative air kerma (Ka,r) at the reference point were registered. The maximum skin dose (MSD) of the patient was estimated using radiochromic film. For the medical staff dosimetry, thermoluminescence dosemeters (TLD-100) were attached next to the eyes, close to the thyroid (above the shielding), on the thorax under the apron, on the wrist and on the feet. The effective dose to the staff was estimated using the algorithm of von Boetticher. The results showed that the mean value of the total PKA was 267.49, 403.83 and 479.74 Gy cm(2) for Hospitals A, B and C, respectively. With regard to the physicians, the average effective dose per procedure was 17 µSv, and the minimum and maximum values recorded were 1 and 41 µSy, respectively. The results showed that the feet received the highest doses followed by the hands and lens of the eye, since the physicians did not use leaded glasses and the equipment had no lead curtain. PMID:25870436

  19. Medical Services Utilization: Experience of Members of Staff In a Tertiary Dental Clinic.

    Directory of Open Access Journals (Sweden)

    Olanrewaju I Opeodu

    2014-05-01

    Full Text Available Early detection of diseases will be enhanced by routine preventive medical check-up and this will facilitate institution of early management, which may improve prognosis. Effectiveness of preventive medical check-up in turn may depend on the attitude of health care workers towards their own health. Self-administered questionnaires were distributed among members of staff of a tertiary dental clinic in Nigeria. The questionnaire sought to know among other things, the last time that the respondents had a comprehensive medical check-up and their reasons for doing so. One hundred and ten was filled and return giving a response rate of 73.3%. Data analysis was done using Statistical Package for Social Sciences (SPSS version 14.0. Level of statistical significance was set at p< 0.05. The results shows that the majority of the respondents (58.1% had a comprehensive medical check-up as a mandatory pre-employment requirement, while 27.6% had their last medical check-up as a result of personal concern for one’s health. Measurement of body weight and blood pressure were the most utilized by the respondents. There was a statistically significant relationship between gender and the frequency of checking body weight (p< .004 and also between academic achievement and the frequency of checking blood pressure (p< .000. The study showed that the rate of utilization of medical services is low among the population studied, the fact that they work within a hospital notwithstanding. It is therefore recommended that health workers should change their attitude and embrace preventive utilization of medical services.

  20. Assessment of annual average effective dose status in the cohort of medical staff in Lithuania during 1991-2013.

    Science.gov (United States)

    Samerdokiene, Vitalija; Mastauskas, Albinas; Atkocius, Vydmantas

    2015-12-01

    The use of radiation sources for various medical purposes is closely related to irradiation of the medical staff, which causes harmful effects to health and an increased risk of cancer. In total, 1463 medical staff who have been occupationally exposed to sources of ionising radiation (IR) had been monitored. Records with annual dose measurements (N = 19 157) were collected and regularly analysed for a 23-y period: from 01 January 1991 to 31 December 2013. The collected annual average effective dose (AAED) data have been analysed according to different socio-demographic parameters and will be used in future investigation in order to assess cancer risk among medical staff occupationally exposed to sources of IR. A thorough analysis of data extracted from medical staff's dose records allows one to conclude that the average annual effective dose of Lithuanian medical staff occupationally exposed to sources of IR was consistently decreased from 1991 (1.75 mSv) to 2013 (0.27 mSv) (p < 0.0001). PMID:25614631

  1. Assessment of annual average effective dose status in the cohort of medical staff in Lithuania during 1991-2013

    International Nuclear Information System (INIS)

    The use of radiation sources for various medical purposes is closely related to irradiation of the medical staff, which causes harmful effects to health and an increased risk of cancer. In total, 1463 medical staff who have been occupationally exposed to sources of ionising radiation (IR) had been monitored. Records with annual dose measurements (N = 19 157) were collected and regularly analysed for a 23-y period: from 01 January 1991 to 31 December 2013. The collected annual average effective dose (AAED) data have been analysed according to different socio-demographic parameters and will be used in future investigation in order to assess cancer risk among medical staff occupationally exposed to sources of IR. A thorough analysis of data extracted from medical staff's dose records allows one to conclude that the average annual effective dose of Lithuanian medical staff occupationally exposed to sources of IR was consistently decreased from 1991 (1.75 mSv) to 2013 (0.27 mSv) (p < 0.0001). (authors)

  2. 77 FR 16036 - Guidance for Industry, Third Parties and Food and Drug Administration Staff; Medical Device ISO...

    Science.gov (United States)

    2012-03-19

    ... Submission Program'' was published for comment in the Federal Register of May 20, 2010 (75 FR 28257... Administration Staff; Medical Device ISO 13485:2003 Voluntary Audit Report Submission Pilot Program; Availability... (FDA) is announcing the availability of the guidance entitled ``Medical Device ISO 13485:2003...

  3. Analysing post-apartheid gender and racial transformation in medical education in a South African province

    Directory of Open Access Journals (Sweden)

    Taskeen Khan

    2013-01-01

    Full Text Available Introduction: In light of global concerns about insufficient numbers of doctors, midwives, and nurses, the World Health Organization (WHO has identified the scale-up of the production of medical professionals who are competent and responsive to community needs as urgent and necessary. Coincident with this imperative, South African medical schools have also had to consider redressing apartheid-era inequities in access to medical education and changing the racial and gender profile of medical graduates to be representative of the population. In this article, we explore progress and challenges with regard to transformation, defined as intentional and planned changes aimed at addressing historical disadvantages, in the Gauteng Province of South Africa. Methods: A cross-sectional, descriptive analysis was conducted using data on medical school admissions and graduations from the Health and Education Departments for the period 1999–2011. Admission and graduation statistics of 1999, 2005, 2008, and 2011 were analysed according to race and gender. Results: The results show that there has been progress in transforming the race and gender composition of medical students and graduates, in line with the transformation strategies of the South African government. In 1999, black African enrolments and graduates were conspicuously low in two of the three medical schools in the Gauteng province. By 2011, an almost six-fold increase in black African student enrolments was seen in one medical school that was previously designated as a white institution. In contrast, at the historically black medical school, whites only represented 0.40% of enrolments in 1999 and 7.4% in 2011. Since 1999, the number and proportion of female medical enrolments and graduates has also increased substantially. Conclusion: While there has been progress with redressing historical disparities and inequities in terms of race and gender, further efforts are needed to ensure that student

  4. The African Genome Variation Project shapes medical genetics in Africa

    Science.gov (United States)

    Gurdasani, Deepti; Carstensen, Tommy; Tekola-Ayele, Fasil; Pagani, Luca; Tachmazidou, Ioanna; Hatzikotoulas, Konstantinos; Karthikeyan, Savita; Iles, Louise; Pollard, Martin O.; Choudhury, Ananyo; Ritchie, Graham R. S.; Xue, Yali; Asimit, Jennifer; Nsubuga, Rebecca N.; Young, Elizabeth H.; Pomilla, Cristina; Kivinen, Katja; Rockett, Kirk; Kamali, Anatoli; Doumatey, Ayo P.; Asiki, Gershim; Seeley, Janet; Sisay-Joof, Fatoumatta; Jallow, Muminatou; Tollman, Stephen; Mekonnen, Ephrem; Ekong, Rosemary; Oljira, Tamiru; Bradman, Neil; Bojang, Kalifa; Ramsay, Michele; Adeyemo, Adebowale; Bekele, Endashaw; Motala, Ayesha; Norris, Shane A.; Pirie, Fraser; Kaleebu, Pontiano; Kwiatkowski, Dominic; Tyler-Smith, Chris; Rotimi, Charles; Zeggini, Eleftheria; Sandhu, Manjinder S.

    2014-01-01

    Given the importance of Africa to studies of human origins and disease susceptibility, detailed characterisation of African genetic diversity is needed. The African Genome Variation Project (AGVP) provides a resource to help design, implement and interpret genomic studies in sub-Saharan Africa (SSA) and worldwide. The AGVP represents dense genotypes from 1,481 and whole genome sequences (WGS) from 320 individuals across SSA. Using this resource, we find novel evidence of complex, regionally distinct hunter-gatherer and Eurasian admixture across SSA. We identify new loci under selection, including for malaria and hypertension. We show that modern imputation panels can identify association signals at highly differentiated loci across populations in SSA. Using WGS, we show further improvement in imputation accuracy supporting efforts for large-scale sequencing of diverse African haplotypes. Finally, we present an efficient genotype array design capturing common genetic variation in Africa, showing for the first time that such designs are feasible. PMID:25470054

  5. An Outbreak of SARS in a Diabetes Room of a General Hospital without Infected Medical Staff

    Institute of Scientific and Technical Information of China (English)

    Chun-ling Liu; Jun Cheng; He Gao; Bo Zhang; Qun Yuan; Ao Tong; Yi-an Liang; Hong Tang; Xiao-hong Guan

    2013-01-01

    Objective To investigate the epidemiologic features of an outbreak of SARS that occurred in a single diabetes room of a general hospital in Beijing in late March 2003. Methods Field investigation was carried out in the ward, the nursing log and the hospitalization medical record of correlative patients were consulted. SARS-CoV in serum specimen from SARS patient was detected by PCR. Results The room where SARS outbreak occurred was on the 13th lfoor of the 16-story main ward building. There were 6 beds in the room, living with 6 female patients (aged 45-67) who were all hospitalized due to type 2 diabetes. On March 24, 2003, Patient 1 began to have a fever and cough, chest X-ray showed pneumonia. Five and six days later, Patient 2 and Patient 3 began to have a fever, respectively. Finally, all of these 3 patients died. Their beds were all at the same side of the room, and the other 3 patients at the opposite side were not infected. Serum SARS CoV-RNA of the Patient 3 was positive by nest-PCR. The daughter-in-law of Patient 1 who accompanied Patient 1 by the bedside several days, mainly near the window, upwind of Patient 1, was not infected. Medical staff, family members and visitors of the 6 patients were not infected. Conclusions This outbreak was not transmitted by aerosol. The distance droplets travels could be up to 3.43 meters. Droplet spread has direction, and the droplets direction of propagation is closely related with the wind direction and speed. Those at the downwind position of SARS patients were susceptible to be infected. Medical staff wore face masks and good natural ventilation of this ward building may be important reasons for the prevention of infection.

  6. The African Genome Variation Project shapes medical genetics in Africa

    Science.gov (United States)

    Gurdasani, Deepti; Carstensen, Tommy; Tekola-Ayele, Fasil; Pagani, Luca; Tachmazidou, Ioanna; Hatzikotoulas, Konstantinos; Karthikeyan, Savita; Iles, Louise; Pollard, Martin O.; Choudhury, Ananyo; Ritchie, Graham R. S.; Xue, Yali; Asimit, Jennifer; Nsubuga, Rebecca N.; Young, Elizabeth H.; Pomilla, Cristina; Kivinen, Katja; Rockett, Kirk; Kamali, Anatoli; Doumatey, Ayo P.; Asiki, Gershim; Seeley, Janet; Sisay-Joof, Fatoumatta; Jallow, Muminatou; Tollman, Stephen; Mekonnen, Ephrem; Ekong, Rosemary; Oljira, Tamiru; Bradman, Neil; Bojang, Kalifa; Ramsay, Michele; Adeyemo, Adebowale; Bekele, Endashaw; Motala, Ayesha; Norris, Shane A.; Pirie, Fraser; Kaleebu, Pontiano; Kwiatkowski, Dominic; Tyler-Smith, Chris; Rotimi, Charles; Zeggini, Eleftheria; Sandhu, Manjinder S.

    2015-01-01

    Given the importance of Africa to studies of human origins and disease susceptibility, detailed characterization of African genetic diversity is needed. The African Genome Variation Project provides a resource with which to design, implement and interpret genomic studies in sub-Saharan Africa and worldwide. The African Genome Variation Project represents dense genotypes from 1,481 individuals and whole-genome sequences from 320 individuals across sub-Saharan Africa. Using this resource, we find novel evidence of complex, regionally distinct hunter-gatherer and Eurasian admixture across sub-Saharan Africa. We identify new loci under selection, including loci related to malaria susceptibility and hypertension. We show that modern imputation panels (sets of reference genotypes from which unobserved or missing genotypes in study sets can be inferred) can identify association signals at highly differentiated loci across populations in sub-Saharan Africa. Using whole-genome sequencing, we demonstrate further improvements in imputation accuracy, strengthening the case for large-scale sequencing efforts of diverse African haplotypes. Finally, we present an efficient genotype array design capturing common genetic variation in Africa.

  7. Occupational exposure of medical staff due to diagnostic X-ray examinations in veterinary medicine

    Energy Technology Data Exchange (ETDEWEB)

    Mergel, E.; Feige, S. [Gesellschaft fuer Anlagen- und Reaktorsicherheit mbH (GRS) (Germany); Haeusler, U. [Bundesamt fuer Strahlenschutz (BfS), Salzgitter (Germany)

    2007-07-01

    The implementation of the Council directive 96/29 EURATOM and the corresponding national Radiation Protection Ordinance and the X-ray Protection Ordinance coming subsequently into effect led to a changed situation regarding the occupational radiation protection in the medical sector. To reduce the occupational exposure of veterinarians and assisting staff in veterinary radiography is particularly challenging as, in opposite to human radiological examination, the presence of staff is indispensable to restrain the patient. Beyond that the relevant literature reports about too high and/or about unnecessary radiation exposures. To gain a comprehensive knowledge upon the possible exposure of involved staff, the variety of typical examination methods in veterinary clinics and at practitioners had been investigated during the daily routine. Dose measurements were performed for different employees during the examinations taking into account several places of exposure (lens, thyroid, chest, hand, gonad, and feet). Veterinary X-ray diagnostic examinations for pets as well as in equine radiography had been accounted for this study. In total, 101 examination methods, 4.484 accompanied examinations and 53.892 single dose readings resulted in a reliable statistical base to set up a 'Job-Exposure-Matrix' allowing the dose assessment for a variable number and kind of examinations. The 'Job-Exposure-Matrix' is believed to be a useful tool for optimization of occupational radiation exposure of veterinarians by appraising the height of a possible dose, forcing a review of the status quo and triggering the improvement of personal protection by establishing adequate measures. (orig.)

  8. Possibilities of utilizing blended-learning in the area of language education of medical staff

    Directory of Open Access Journals (Sweden)

    Radka Šulistová

    2014-11-01

    Full Text Available This contribution deals with the presentation of teaching materials created within the IMED-KOMM-EU "Intercultural medical communication inEurope" internet project, having taken place under the leadership of the Institute for Intercultural Communication inGermany(Ansbach,Berlin,Jena,Erfurt. Project target was creating, testing, valorisation and permanent extending of the mentioned teaching materials, testing and certification technologies (ECL for intercultural professional communication of foreign physicians and other medical staff. The target groups involving the already practising professionals, as well as students, should be able to utilize the existing possibilities of communication withinEuropeand to perform their professional activity or studies in the languages, in which the materials are elaborated. As a result, five complete courses of blended-learning were created, which are generally easily accessible at mutually connected web sites in Czech, Slovak, German, Bulgarian and Hungarian. Their core are modules orientated on practice with complex exercises online and offline focused on the medical communication, including the manuals for teachers.

  9. Medical staff radiation exposure in electrophysiology procedures: First results during biventricular ICD implantation

    International Nuclear Information System (INIS)

    Cardiac resynchronization therapy (CRT) requires a very long fluoroscopy time due to the need to monitor the placement of the device and electrodes inside the patient’s body at every step of the procedure. Aim of this study was to analyse staff X-ray exposure during the intervention, measuring Hp(10) values with electronic dosimeters worn by medical staff. The scattered X-ray field was characterized using a spectrometric CdTe (cadmium-telluride) detector to define the radiation field impinging on the operator and thereby identify the correct dosimeter position for accurate measurement (i.e., above or under the shielding apron). In particular, knowledge of the X-ray spectrum yields information on photon flux and the energy distribution of the X-rays. Dosimetric data were then recorded in a series of 20 consecutive patients, obtaining a first set of Hp(10) data that can be used to estimate the risk for the electrophysiologist performing this procedure.

  10. Benefits and Barriers of E-Learning for Staff Training in a Medical University.

    Science.gov (United States)

    Franz, Stefan; Behrends, Marianne; Haack, Claudia; Marschollek, Michael

    2015-01-01

    Learning Management Systems (LMS) are a feasible solution to fulfill the various requirements for e-learning based training in a medical university. Using the LMS ILIAS, the Institute of Diagnostic and Interventional Radiology has designed an e-learning unit about data protection, which has been used by 73% of the department's employees in the first three months. To increase the use of e-learning for staff training, it is necessary to identify barriers and benefits, which encourage the use of e-learning. Therefore, we started an online survey to examine how the employees evaluate this learning opportunity. The results show that 87% of the employees had no technical problems and also competence of Information and Communication Technology (ICT) was no barrier. If anything, reported issues were time shortages and tight schedules. Therefore, short learning modules (less than 20 minutes) are preferred. Furthermore, temporal flexibility for learning is important for 83% of employees. PMID:26152964

  11. Integration of foreign and local medical staff in a disaster area: the Honduras and El Salvador experiences.

    Science.gov (United States)

    Waisman, Yehezkel

    2003-06-01

    International medical aid after natural disasters may take various forms, ranging from self-sufficient military forces to single experts or specialists who function primarily as advisers. A model integrating foreign and local medical staff has not previously been reported. In response to the call for international aid by the Honduran and El Salvadorian governments in the wake of Hurricane Mitch in November 1998 and the San Salvador earthquake in January 2001, Israel sent medical supplies and 10 member teams of medical professionals to each country. The aim of the present paper is to describe the unique Israeli approach to providing healthcare in disaster areas by integrating foreign and local medical staff, and to discuss its advantages and disadvantages. The paper focuses on the experience of the two emergency medicine physicians on the team who were assigned to the Atlantida General Hospital in La Ceiba, Honduras. The same team in San Salvador subsequently applied the same approach. PMID:12789069

  12. Occupational radiation exposure of medical staff performing 90Y-loaded microsphere radioembolization

    International Nuclear Information System (INIS)

    Radioembolization of liver cancer with 90Y-loaded microspheres is increasingly used but data regarding hospital staff exposure are scarce. We evaluated the radiation exposure of medical staff while preparing and injecting 90Y-loaded glass and resin microspheres especially in view of the increasing use of these products. Exposure of the chest and finger of the radiopharmacist, nuclear medicine physician and interventional radiologist during preparation and injection of 78 glass microsphere preparations and 16 resin microsphere preparations was monitored. Electronic dosimeters were used to measure chest exposure and ring dosimeters were used to measure finger exposure. Chest exposure was very low for both products used (<10 μSv from preparation and injection). In our experience, finger exposure was significantly lower than the annual limit of 500 mSv for both products. With glass microspheres, the mean finger exposure was 13.7 ± 5.2 μSv/GBq for the radiopharmacist, and initially 17.9 ± 5.4 μSv/GBq for the nuclear medicine physician reducing to 13.97 ± 7.9 μSv/GBq with increasing experience. With resin microspheres, finger exposure was more significant: mean finger exposure for the radiopharmacist was 295.1 ± 271.9 μSv/GBq but with a reduction with increasing experience to 97.5 ± 35.2 μSv/GBq for the six most recent dose preparations. For administration of resin microspheres, the greatest mean finger exposure for the nuclear medicine physician (the most exposed operator) was 235.5 ± 156 μSv/GBq. Medical staff performing 90Y-loaded microsphere radioembolization procedures are exposed to safe levels of radiation. Exposure is lower than that from treatments using 131I-lipiodol. The lowest finger exposure is from glass microspheres. With resin microspheres finger exposure is acceptable but could be optimized in accordance with the ALARA principle, and especially in view of the increasing use of radioembolization. (orig.)

  13. Occupational radiation exposure of medical staff performing {sup 90}Y-loaded microsphere radioembolization

    Energy Technology Data Exchange (ETDEWEB)

    Laffont, Sophie; Ardisson, Valerie; Lenoir, Laurence [Cancer Institute, Centre Eugene Marquis, Department of Nuclear Medicine, Rennes (France); Rolland, Yan; Rohou, Tanguy [Cancer Institute, Centre Eugene Marquis, Department of Interventional Radiology, Rennes (France); Edeline, Julien [University of Rennes 1, Rennes (France); Comprehensive Cancer Center, Institute Eugene Marquis, Department of Medical Oncology, Rennes (France); INSERM, U-991, Liver Metabolisms and Cancer, Rennes (France); Pracht, Marc; Sourd, Samuel Le [Comprehensive Cancer Center, Institute Eugene Marquis, Department of Medical Oncology, Rennes (France); Lepareur, Nicolas [Cancer Institute, Centre Eugene Marquis, Department of Nuclear Medicine, Rennes (France); INSERM, U-991, Liver Metabolisms and Cancer, Rennes (France); Garin, Etienne [Cancer Institute, Centre Eugene Marquis, Department of Nuclear Medicine, Rennes (France); University of Rennes 1, Rennes (France); INSERM, U-991, Liver Metabolisms and Cancer, Rennes (France)

    2016-05-15

    Radioembolization of liver cancer with {sup 90}Y-loaded microspheres is increasingly used but data regarding hospital staff exposure are scarce. We evaluated the radiation exposure of medical staff while preparing and injecting {sup 90}Y-loaded glass and resin microspheres especially in view of the increasing use of these products. Exposure of the chest and finger of the radiopharmacist, nuclear medicine physician and interventional radiologist during preparation and injection of 78 glass microsphere preparations and 16 resin microsphere preparations was monitored. Electronic dosimeters were used to measure chest exposure and ring dosimeters were used to measure finger exposure. Chest exposure was very low for both products used (<10 μSv from preparation and injection). In our experience, finger exposure was significantly lower than the annual limit of 500 mSv for both products. With glass microspheres, the mean finger exposure was 13.7 ± 5.2 μSv/GBq for the radiopharmacist, and initially 17.9 ± 5.4 μSv/GBq for the nuclear medicine physician reducing to 13.97 ± 7.9 μSv/GBq with increasing experience. With resin microspheres, finger exposure was more significant: mean finger exposure for the radiopharmacist was 295.1 ± 271.9 μSv/GBq but with a reduction with increasing experience to 97.5 ± 35.2 μSv/GBq for the six most recent dose preparations. For administration of resin microspheres, the greatest mean finger exposure for the nuclear medicine physician (the most exposed operator) was 235.5 ± 156 μSv/GBq. Medical staff performing {sup 90}Y-loaded microsphere radioembolization procedures are exposed to safe levels of radiation. Exposure is lower than that from treatments using {sup 131}I-lipiodol. The lowest finger exposure is from glass microspheres. With resin microspheres finger exposure is acceptable but could be optimized in accordance with the ALARA principle, and especially in view of the increasing use of radioembolization. (orig.)

  14. Evaluating the attendance of medical staff and room occupancy during palliative radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Adamietz, Irenaeus A. [University of Bochum, Department of Radiation Oncology, Bochum (Germany); Marienhospital Herne, Department of Radiotherapy and Radiation Oncology, Herne (Germany); Micke, Oliver [Franziskus-Hospital, Department of Radiation Oncology, Bielefeld (Germany); Popp, Wolfgang [Prime Networks AG, Basel (Switzerland); Sack, Horst [DEGRO, Berlin (Germany)

    2014-09-15

    Attendance of staff and use of resources during treatment have an impact on costs. For palliative radiotherapy, no reliable data are available on the subject. Therefore, the measurement of selected variables (staff absorbance and room occupancy) based on daily palliative irradiation was the aim of our prospective study. The analysis is part of a larger study conducted by the German Society of Radiation Oncology (DEGRO). A total of 172 palliative radiation treatments were followed up prospectively between October 2009 and March 2010. The study was performed at two experienced radiotherapy departments (Herne and Bielefeld) and evaluated the attendance of medical personnel and room occupancy related to the selected steps of the treatment procedure: treatment planning and daily application of radiation dose. Computed tomography for treatment planning engaged the unit for 19 min (range: 17-22 min). The localization of target volume required on average 28 min of a technician's working time. The mean attendance of the entire staff (radiation oncologist, physicist, technician) for treatment planning was 159 min, while the total room occupancy was 140 min. Depending on the type of treatment, the overall duration of a radiotherapy session varied on average between 8 and 18 min. The staff was absorbed by the first treatment session (including portal imaging) for 8-27 min. Mean room occupancy was 18 min (range: 6-65 min). The longest medical staff attendance was observed during an initial irradiation session (mean: 11 min). Radiotherapy sessions with weekly performed field verifications occupied the rooms slightly longer (mean: 10 min, range: 4-25 min) than daily radiotherapy sessions (mean: 9 min, range: 3-29 min). We observed that the patients' symptoms, their condition, and their social environment confounded the time schedule. Target localization, treatment planning, and performance of palliative radiotherapy absorb resources to an extent comparable to

  15. Job Stress of Medical Staffs in General Hospital%综合医院一线医务人员工作应激调查

    Institute of Scientific and Technical Information of China (English)

    王玉林; 刘碧英; 王锐

    2003-01-01

    Objective: To explore the job stress status of medical staffs in general hospital. Methods: A total of 201 medical staffs were sampled from a general hospital in Changsha City, Hunan Province, and their job stress levels were evaluated by the Medical Job Stress Invemory. Results:The subjects from internal medicine department showed silgnificantIy higher job stress level than those from surgical departmem;and the doctors group showed higher stress level in the interpersonal subscale than the nurses group. Condusion:It is important to pay attention to medical staff''s job stress and job burnout in order to improve their mental health levels.

  16. Motivation and job satisfaction among medical and nursing staff in a Cyprus public general hospital

    Directory of Open Access Journals (Sweden)

    Kontodimopoulos Nick

    2010-11-01

    Full Text Available Abstract Background The objective of this study was to investigate how medical and nursing staff of the Nicosia General Hospital is affected by specific motivation factors, and the association between job satisfaction and motivation. Furthermore, to determine the motivational drive of socio-demographic and job related factors in terms of improving work performance. Methods A previously developed and validated instrument addressing four work-related motivators (job attributes, remuneration, co-workers and achievements was used. Two categories of health care professionals, medical doctors and dentists (N = 67 and nurses (N = 219 participated and motivation and job satisfaction was compared across socio-demographic and occupational variables. Results The survey revealed that achievements was ranked first among the four main motivators, followed by remuneration, co-workers and job attributes. The factor remuneration revealed statistically significant differences according to gender, and hospital sector, with female doctors and nurses and accident and emergency (A+E outpatient doctors reporting greater mean scores (p 55 years of age reported higher job satisfaction when compared to the other groups. Conclusions The results are in agreement with the literature which focuses attention to management approaches employing both monetary and non-monetary incentives to motivate health care professionals. Health care professionals tend to be motivated more by intrinsic factors, implying that this should be a target for effective employee motivation. Strategies based on the survey's results to enhance employee motivation are suggested.

  17. Education of hand rubbing technique to prospective medical staff, employing UV-based digital imaging technology.

    Science.gov (United States)

    Lehotsky, Ákos; Szilágyi, László; Demeter-Iclănzan, Annamária; Haidegger, Tamás; Wéber, György

    2016-06-01

    The aim of this study was to objectively assess the hand hygiene performance of medical students. Hand rubbing technique was evaluated by employing innovative UV-light-based imaging technology, identifying patterns and trends in missed areas after applying WHO's six-step protocol. This specially designed hand hygiene education and assessment program targeted 1,344 medical students at two distant sites in Central Europe. Students were introduced to a short video, presenting the basics of hand hygiene, and then received further demonstration from professional trainers, focusing on the correct execution of WHO's six-step technique. To verify the acquired skill, participants rubbed their hands with UV-marked alcohol-based solution. Digital images of the hands were recorded under UV light, followed by computer evaluation and assessment. Immediate objective visual feedback was given to the participants showing missed areas on their hands. The statistical analysis of missed spots was based on retrospective expert-driven manual evaluation. Significant difference in rubbing quality was found between female and male participants [35.3% (CI 95%: 33-38%) versus 29.0% (CI 95%: 27-31%), p < 0.001], dominant and non-dominant hands [43.4% (CI 95%: 39-48%) versus 34.9% (CI 95%: 32-38%), p = 0.002], and various zones of the hands' dorsal side. Based on the participants' feedback and the evaluation of the infection control specialists, it can be stated that the identification of typically missed patterns and the instant visual feedback have a vital role in improving the hand hygiene technique of prospective medical staff. PMID:27352974

  18. High beta radiation exposure of medical staff measures for optimisation of radiation protection

    International Nuclear Information System (INIS)

    Full text of publication follows: New therapies applying beta radionuclides have been introduced in medicine in recent years, especially in nuclear medicine, e. g. radio-synoviorthesis, radioimmunotherapy and palliative pain therapy. The preparation of radiopharmaceuticals, their dispensary as well as injection require the handling of vials and syringes with high activities of beta emitters at small distances to the skin. Thus the medical staff may be exposed to a high level of beta radiation. Hence the local skin dose, Hp(0,07), was measured at these workplaces with thin-layer thermoluminescent dosemeters TLD (LiF:Mg,P,Cu) fixed to the tip of the fingers at both hands of the personnel. In addition, official beta/photon ring dosemeters were worn at the first knuckle of the index finger. Very high local skin doses were measured at the tip of index finger and thumb. The findings indicate that the exposure of the staff can exceed the annual dose limit for skin of 500 mSv when working at a low protection standard. By the use of appropriate shieldings and tools (e.g. tweezers or forceps) the exposure was reduced of more than one order of magnitude. The German dosimetry services provide official beta/photon ring dosemeters for routine monitoring of the extremity exposure of occupationally exposed persons. But even monitoring with these official dosemeters does not provide suitable results to control compliance with the dose limit in the majority of cases because they can mostly not be worn at the spot of highest beta exposure (finger tip). Therefore, a study was performed to identify the difference of readings of official ring dosemeters and the maximum local skin dose at the finger tips. At workplaces of radio-synoviorthesis a correction factor of 3 was determined provided that the staff worked at high radiation protection standard and the ring dosemeters were worn at the first knuckle of the index finger. The correction factor increases significantly when the radiation

  19. The Automated Alert System for the Hospital Infection Control and the Safety of Medical Staff Based on EMR Data.

    Science.gov (United States)

    Jo, Eunmi

    2016-01-01

    This report is about planning, developing, and implementing the automated alert system for the Hospital infection control and the safety of medical staffs about information on patients exposed to infection based on EMR Data in a tertiary hospital in Korea. PMID:27332375

  20. Adequacy of pharmacological information provided in pharmaceutical drug advertisements in African medical journals.

    Directory of Open Access Journals (Sweden)

    Oshikoya KA

    2009-06-01

    Full Text Available Pharmaceutical advertisement of drugs is a means of advocating drug use and their selling but not a substitute for drug formulary to guide physicians in safe prescribing. Objectives: To evaluate drug advertisements in Nigerian and other African medical journals for their adequacy of pharmacological information. Methods: Twenty four issues from each of West African Journal of Medicine (WAJM, East African Medical Journal (EAMJ, South African Medical Journal (SAMJ, Nigerian Medical Practitioner (NMP, Nigerian Quarterly Journal of Hospital Medicine (NQJHM and Nigerian Postgraduate Medical Journal (NPMJ were reviewed. While EAMJ, SAMJ and NMP are published monthly, the WAJM, NQJHM and NPMJ are published quarterly. The monthly journals were reviewed between January 2005 and December 2006, and the quarterly journals between January 2001 and December 2006. The drug information with regards to brand/non-proprietary name, pharmacological data, clinical information, pharmaceutical information and legal aspects was evaluated as per World Health Organisation (WHO criteria. Counts in all categories were collated for each advertiser.Results: Forty one pharmaceutical companies made 192 advertisements. 112 (58.3% of these advertisements were made in the African medical journals. Pfizer (20.3% and Swipha (12.5% topped the list of the advertising companies. Four (2.1% adverts mentioned generic names only, 157 (81.8% mentioned clinical indications. Adults and children dosage (39.6%, use in special situations such as pregnancy and renal or liver problems (36.5%, adverse effects (30.2%, average duration of treatment (26.0%, and potential for interaction with other drugs (18.7% were less discussed. Pharmaceutical information such as available dosage forms and product and package information {summary of the generic and proprietary names, the formulation strength, active ingredient, route of administration, batch number, manufactured and expiry dates, and the

  1. Dose assessment of medical staff taking care of patients treated with 131I due to the intake of 131I

    International Nuclear Information System (INIS)

    Aim: Legislation requires that patient receiving 131I in activities greater than 550MBq have to be hospitalized in special closed department. Medical staff taking care of these patients can be exposed to external irradiation and internal contamination with 131I. The aim of this study was to assess the annual effective dose of medical staff taking care of patients treated with 131I due to the occupational intake of 131I. Material - Medical Staff: 6 nurses took care of 6 patients (placed into two rooms) treated with 131I in activities between 550 and 1100 MBq. 131I was normally delivered to patients once per week. After patients received 131I nurses were in contact with patients in average 4 hours per day, 4 days per week. Methods: Direct Method - whole body counting (WBC) of staff was performed daily after they finished their work and indirect method - determination of air 131I concentration in patient's rooms (AC) were used to assess the intake of 131I by staff. Measurements were done in winter period.Results and Dose Assessment: Results of measurements of medical staff and determination of 131I air concentration are presented. Average daily 131I intake of staff assessed from WBC results was 315 Bq; average daily 131I air concentration for first four days was 35 Bq/m3. Assessment of annual effective dose due to the internal contamination (realistic approach): - Direct method: 315 Bq/day x 208 days/year x 7,6 Sv/Bq x 10-9 = 0,498 mSv/year. - Indirect method: 35 Bq/m3 x 1,5 m3/hour x 832 hours/year x 7,6 Sv/Bq x 10-9 = 0,332 mSv/year. Conclusion: Medical staff taking care of patients treated with 131I received effective dose less than 0,5 mSv/year due to the intake of 131I. In the some time period they received 1,65 to 2,24 mSv due to the exposure to the external radiation coming from patients treated with 131I

  2. Preparation and medical outcomes of Nepalese staff and porters compared with foreign nationals on the Annapurna trekking circuit.

    Science.gov (United States)

    Drew, Christian M; Colleran, Shane; Zijp, Maarten; Lama, Lama Phuri; Sherpa, Nuru J; Kelly, Julia L; Sulzbach, Nina; Prior, Denise; Currin, Sally A; Currin, Simon; Nickol, Annabel H; Morrell, Mary J

    2011-01-01

    This cross-sectional study investigates preparedness and medical problems in Nepalese staff and porters compared with foreign nationals trekking at altitude in the Nepal Himalaya. 331 Nepalese and 338 foreign nationals in 61 trekking groups were surveyed over 4 weeks on the Annapurna trekking circuit. Foreign nationals reported that 92% of trekking groups received altitude illness information and carried a medical kit. However, fewer than 30% knew the evacuation insurance status of the Nepalese staff and porters on their trek, 39% would not pay for an ill Nepalese national's helicopter evacuation, and 41% reported insufficient resources to carry an individual. Medical problems occurred in 44% of groups. A significantly higher proportion of Nepalese staff and porters were evacuated compared with foreign nationals. No significant differences in Nepalese and foreign national preparation were found between groups with and without medical problems. Medical problems were commonly encountered, yet many groups lacked resources to evacuate someone dangerously ill. Foreign and Nepalese nationals have a duty of care towards each other; recognizing that preparedness relies not only on a first aid kit, but also on knowledge of acclimatization and individuals' insurance is an important part of health and safety for individuals trekking at altitude. PMID:22206561

  3. Evaluation of a risk communication approach for maintenance staff working with induced radioactivity in medical linear accelerators

    International Nuclear Information System (INIS)

    In order to promote consensus building on decommissioning operation rules for medical linear accelerators in Japan, we carried out a risk communication (RC) approach mainly providing knowledge for maintenance staff regarding induced radioactivity. In February 2012, we created a booklet (26 pages) to present an overview of the amended law, the mechanism and the distribution of induced radioactivity showing the actual radiation dose rate around a linear accelerator and actual exposure doses to staff. In addition, we co-sponsored a seminar for workers in this field organized by the Japan Medical Imaging and Radiological Systems Industries Association to explain the contents of this booklet, and answer questions regarding induced radioactivity of linear accelerators as an RC program. As a result, the understanding of staff regarding the regulations on maximum X-ray energy on linear accelerators (P<0.05), and the outline of clearance systems (P<0.01), were facilitated by RC. In addition, we found that about 70% of maintenance staff considered that the cooling time for decommissioning operation depended on the situation. Our RC approach suggests that consensus building should be used to make rules on decommissioning operations for linear medical accelerators. (author)

  4. Supervision and feedback for junior medical staff in Australian emergency departments: findings from the emergency medicine capacity assessment study

    Directory of Open Access Journals (Sweden)

    Weiland Tracey J

    2010-11-01

    Full Text Available Abstract Background Clinical supervision and feedback are important for the development of competency in junior doctors. This study aimed to determine the adequacy of supervision of junior medical staff in Australian emergency departments (EDs and perceived feedback provided. Methods Semi-structured telephone surveys sought quantitative and qualitative data from ED Directors, Directors of Emergency Medicine Training, registrars and interns in 37 representative Australian hospitals; quantitative data were analysed with SPSS 15.0 and qualitative data subjected to content analysis identifying themes. Results Thirty six of 37 hospitals took part. Of 233 potential interviewees, 95 (40.1% granted interviews including 100% (36/36 of ED Directors, and 96.2% (25/26 of eligible DEMTs, 24% (19/81 of advanced trainee/registrars, and 17% (15/90 of interns. Most participants (61% felt the ED was adequately supervised in general and (64.2% that medical staff were adequately supervised. Consultants and registrars were felt to provide most intern supervision, but this varied depending on shift times, with registrars more likely to provide supervision on night shift and at weekends. Senior ED medical staff (64% and junior staff (79% agreed that interns received adequate clinical supervision. Qualitative analysis revealed that good processes were in place to ensure adequate supervision, but that service demands, particularly related to access block and overcrowding, had detrimental effects on both supervision and feedback. Conclusions Consultants appear to provide the majority of supervision of junior medical staff in Australian EDs. Supervision and feedback are generally felt to be adequate, but are threatened by service demands, particularly related to access block and ED overcrowding.

  5. Physicians’ leadership styles in rural primary medical care: How are they perceived by staff?

    OpenAIRE

    Hana, Jan; Kirkhaug, Rudi

    2014-01-01

    Abstract Aim. This study investigates which leadership styles can be identified among general practice lead physicians and how they are associated with and predicted by staff and context characteristics like profession, gender, age, work experience, and team size. Method/material. In a cross-sectional study self-administered questionnaires were distributed to staff physicians (42% females) and support staff (98% females) at 101 primary health care centres in North Norway. A total of 127 and 2...

  6. Medical staff extremity dosimetry in CT fluoroscopy: an anthropomorphic hand voxel phantom study

    Science.gov (United States)

    Figueira, C.; Becker, F.; Blunck, C.; DiMaria, S.; Baptista, M.; Esteves, B.; Paulo, G.; Santos, J.; Teles, P.; Vaz, P.

    2013-08-01

    This work aims to contribute to the study of the radiation dose distribution delivered to the hands of medical staff members during a general computed tomographic (CT) fluoroscopic guided procedure. In this study, both Monte Carlo simulations and measurements were performed. For free-in-air and computed tomography dose index (CTDI) body phantom measurements, a standard pencil ionization chamber (IC) 100 mm long was used. The CT scanner model was implemented using MCNPX (Monte Carlo N-Particle eXtended) and was successfully validated by comparing the simulated results with measurements. Subsequently, CT images of a hand, together with an anthropomorphic phantom, were voxelized and used with the MCNPX code for dose calculations. The hand dose distribution study was performed both by using thermo-luminescent detector measurements and Monte Carlo simulations. The validated simulation tool provides a new perspective for detailed investigations of CT-irradiation scenarios. Simulations show that there is a strong dose gradient, namely the even zones of the hand that are in precise vicinity to the x-ray beam only receive about 4% of the maximum dose delivered to adjacent areas which are directly exposed to the primary x-ray beam. Finally, the scatter contribution of the patient was also studied through MC simulations. The results show that for directly exposed parts of the hand surface, the dose is reduced by the body of the patient (due to the shielding), whereas the dose is increased by scattered radiation from the patient for parts of the skin that receive scattered radiation only.

  7. Patient Safety Culture Based on Medical Staff Attitudes in Khorasan Razavi Hospitals, Northeastern Iran.

    Directory of Open Access Journals (Sweden)

    Rozita Davoodi

    2013-11-01

    Full Text Available Since establishing a safety culture in an organization is considered as the first step in patient safety improvement, there is always a need for updated field evaluation to better plan future decisions.We performed a cross-sectional, analytic-descriptive study in 25 hospitals related to Mashhad University of Medical Sciences (MUMS during a 3-month period from April to June 2012. A questionnaire, designed by previous patient safety culture studies with confirmed validity and reliability, was used and distributed among a sample of 922 staff, chosen randomly from the mentioned hospitals. Data were analyzed by SPSS software version 16."Organizational learning - continuous improvement" and "teamwork within unit" had the highest percentage of positive results as 79.85 ± 12.03% and 71.92 ± 17.08%, respectively; whereas "non-punitive response" to errors (21.57 ± 6.42 and "staffing" (26.36 ± 16.84 came out as the least important factors. There were no meaningful statistical relation between general features of the understudy hospitals including the number of beds, educational level or proficiency status with the general safety culture score.Most of the safety culture aspects were reported as low to moderate in terms of importance. If something needs to be modified interventionally in this respect, "the approach to confront errors" would be a wise choice. This could be achieved by establishing an atmosphere of open communication and continuous learning through elimination of the fear for reporting errors and installing a more acceptable approach in hospitals.

  8. [EMOTIONAL INTELLIGENCE EQ--A NECESSARY SKILL FOR SUCCESS OF MEDICAL STAFF IN THE 21ST CENTURY].

    Science.gov (United States)

    Tadmor, Tamar; Dolev, Niva; Attias, Dina; Reuven-Lelong, Ayalla; Rofe, Amnon

    2016-01-01

    During the last decade, medical organizations have undergone major changes worldwide and these continue to evolve at a rapid pace. Today the medical profession faces many new challenges that will eventually have an impact on almost every aspect of daily hospital routine. To a large extent, these issues arise from emerging new technologies, the entry of a new generation of trained workers who have different views and characteristics than previous generations, and the introduction of stricter regulations and accreditation procedures in recent years. In addition, the various hospital staff members now have different professional expectations and demands; there is also an important need to reduce costs, accompanied by a shift towards the concept of patients perceiving themselves as clients rather than only as people needing medical assistance. Facing all these challenges, undoubtedly, medical teams will need to acquire a more comprehensive set of professional skills critical for their continued success in the 21st century. These skills will have to include the ability to be more flexible, so as to be able to adapt to changing environments, to remain effective at work under stress, to develop positive personal interactive working relationships, while providing excellent service to patients, and to maintain the ability to guide and lead others in a changing medical environment. People with the above skills reflect the positive attributes of high emotional intelligence. Recent studies show that emotional intelligence plays an important role in the success of the entire medical staff and particularly for those in management roles. Hospitals will have to take into consideration all the necessary characteristics, if they wish to maintain and further consolidate their previous achievements in the 21st century. In particular, they will need to pay attention to the EQ of both new and existing staff, using it as a meaningful parameter for new recruits and for the further

  9. Proposal for the conclusion of a partnership agreement, without competitive tendering, for the management of medical emergencies on the CERN site and the training of CERN's medical staff and firefighters in emergency situations

    CERN Document Server

    2014-01-01

    Proposal for the conclusion of a partnership agreement, without competitive tendering, for the management of medical emergencies on the CERN site and the training of CERN's medical staff and firefighters in emergency situations

  10. Radiant Ceiling Panels Combined with Localized Methods for Improved Thermal Comfort of Both Patient and Medical Staff in Patient Room

    DEFF Research Database (Denmark)

    Mori, Sakura; Barova, Mariya; Bolashikov, Zhecho Dimitrov;

    2012-01-01

    The objectives were to identify whether ceiling installed radiant heating panels can provide thermal comfort to the occupants in a patient room, and to determine a method for optimal thermal environment to both patient and medical staff simultaneously. The experiments were performed in a climate...... mattress were used to provide local heating for the patient. The effects of the methods were identified by comparing the manikin based equivalent temperatures. The optimal thermal comfort level for both patient and medical staff would obtained when two conventional cotton blankets were used with extra...... chamber resembling a single-bed patient room under convective air conditioning alone or combined with the ceiling installed radiant heating panels. Two thermal manikins simulated a patient lying in the bed and a doctor standing next to the patient. Conventional cotton blanket, electric blanket, electric...

  11. Research progress on job burnout in medical staff%医护人员职业倦怠研究进展

    Institute of Scientific and Technical Information of China (English)

    张庆玲; 潘昕茹; 刘明华

    2011-01-01

    医护人员是职业倦怠的高发人群,本文就职业倦怠的概念及内涵、医护人员职业倦怠现状、危害、原因及预防进行了综述,同时指出针对医护人员职业倦怠的不同影响因素探索有效的干预方法是未来职业倦怠的研究方向之一.%Medical staff are apt to job burnout. The conception and connotation of job burnout, the status , harm, reasons and prevention of medical staff job burnout are reviewed. In the meantime, it is pointed out to explore effective intervention methods according to different reasons that lead to job burnout is one of research fields in the future.

  12. Investigation of attitudes regarding technology in teaching staff members of Medical Faculty by CHAID analysis

    Directory of Open Access Journals (Sweden)

    Ömer Satıcı

    2009-01-01

    Full Text Available Aim: In this study, the attitudes of teaching staff of Fac-ulty of Medicine, Dicle University, in the 2005-2006 aca-demic year about technology was intended to be exam-ined. This research is a study on how teaching staff are affected with their different characteristics.Materials and Methods: Our study 224 persons were taken. Of the persons, 68 were professor, 40 were As-soc Professor, 44 were Assistant Professors, 58 were research assistants and 14 were expert. In our study, how the attitude variables were connected to the de-pendent (target variables was determined. The emer-gence of attitudes of different items has been intended to be studied on. Likert type form was applied for attitude items.Results: The attitudes on the wish of the teaching staff to join technology fairs were found to be different. Re-search assistants were found to have positive attitudes compared to the higher rank teaching staff. It was seen that the teaching staff who were indecisive to join the technological fairs wanted new instructive technologies to be used in their areas. Their departments determined their attitudes. It can be said that the teaching staff are indecisive about the opinion that ‘technology will take place of human beings’. It was found that the ones who did not agree with this item were mostly from Surgery Department. Conclusion: In general, the academic staff have posi-tive attitudes towards technology.

  13. Marital satisfaction: the differential impact of social support dependent on situation and gender in medical staff in Iran.

    Science.gov (United States)

    Rostami, Arian; Ghazinour, Mehdi; Richter, Jörg

    2013-07-01

    Stress is unavoidable in everyday life and it can effect on marital relationship. Social support especially from emotionally closed persons as a protective factor can help individuals to deal with stress and buffers the negative effects of life stress on marital satisfaction. In the present cross-sectional study we investigated the relationship between social and spousal support and marital satisfaction in medical staff in Iran. Data collection was performed in 653 medical staff using socio-demographic questions, the ENRICH Marital Satisfaction Inventory, and the Social Support Questionnaire. Women and men did not differ in total social support satisfaction and the total number of supporting people; but, women were more often support providers for their husbands than men were for their wives. Spouse support was a more important indicator of marital satisfaction for women than for men. Also results revealed that spouse support is more important than social support from other resources to explain marital satisfaction. Job satisfaction had an explanatory effect on marital satisfaction especially in men. Furthermore, the findings showed that social support could decrease the explanatory impact of job satisfaction on scales of marital satisfaction. Therefore, focusing on social support, especially spouse support could be an effective approach in family counseling or family education programs to improve marital satisfaction in medical staff. PMID:23777731

  14. Building Trusting Relationships in the Medical Practice Team: Thirty Rules to Live By for You and Your Staff.

    Science.gov (United States)

    Hills, Laura

    2015-01-01

    A medical practice team without trust isn't really a team; it's just a group of individuals who work together in a medical practice, often making disappointing progress. This is true no matter how capable or talented the individuals are. Your staff may never reach its full potential if trust is not present. This article offers medical practice managers 30 rules for building trust in their practices: 15 rules that will help them in their leadership roles, and 15 rules to teach and discuss with their employees. It suggests a trust-building screening question to include in job interviews to determine if applicants have a high capacity for trust. It also describes Reina and Reina's "Three C's of Trust," a model that practice managers may find useful as they develop trust competencies in their staffs. This article also includes 10 inspiring quotes that will help medical practice employees build trust and five easy-to-facilitate trust-building exercises that managers can use with the medical practice team. PMID:26399036

  15. Preparing Peacekeepers: An Analysis of the African Contingency Operations, Training, and Assistance Program Command and Staff Operational Skills Course

    Science.gov (United States)

    Karis, Daniel Gerald

    2010-01-01

    The United States (U.S.) response to events in Africa in the 1990s--warlords in Somalia, the genocide in Rwanda, the crisis in Burundi, and the destruction of the U.S. embassies in Kenya and Tanzania--was the development of the African Crisis Response Initiative (ACRI) followed by the African Contingency Operations Training and Assistance (ACOTA)…

  16. Patient Safety Culture Status From The Perspective Medical Staff Of Yasuj Hospitals In 2015

    Directory of Open Access Journals (Sweden)

    M Rezaean

    2016-01-01

    Full Text Available Background & aim: One of the most important problems in the health sector, particularly in clinical centers, is the quality of healthcare. Patient safety is one of the most important elements in creating health care quality due to the fact that it is a critical component to the quality of health care and many errors are present in patient care and treatment practices..                                                               Thus, the aim of the present study was to determine the status of the patient safety culture and its relationship with events reported in Yasuj hospitals. Methods: The present descriptive cross-sectional study was conducted on 361 medical staff of Yasuj hospitals. The data were collected through a hospital survey on patient safety culture. The collected data were analyzed by using SPSS statistics soft ware version 21, using Descriptive methods, Pearson Coefficient, ANOVA, and T-Test. Results: The results of the present study revealed that the teamwork among hospital units (71/89percent, with expectations and management measures (66/38% in the case of safety obtained the most score and non-punitive response to errors (48/79% and manager support (55/88 percent obtained the least score. 73/7% of employees of three hospitals in the past 12 months did not report any event. In addition, there was a meaningful statistical relationship between the total score of safety culture and reporting the events. In this study, 15.5 % of respondents assess their safety culture in work as good, 44.3 % as acceptable and 30.5 percent reported poor. The overall safety culture among the three studied hospitals was 61.81 %. Results confirmed that the culture safety of patient in studied hospitals was average. Conclusions: The hospitals may rely on their strong points in terms of patient safety culture and try to remove their weak points to form a safe environment and appropriate

  17. 析医务人员法律意识的培养%On the Cultivation of Medical Staff's Legal Consciousness

    Institute of Scientific and Technical Information of China (English)

    高原

    2016-01-01

    With the coming of globalized biology - psychology - social medical model and the development of evidence-based medicine, medical practice transferred from traditional disease-centered to patient-centered, the traditionally passive medical service relationship between doctors and patients gradually developed into participatory health service relationship, and during the process, patients' right-protection consciousness is greatly enhanced. Compared with the strong atmosphere of law-ruling, medical staff's legal awareness and sensitivity obviously lagged behind, which was caused by several reasons, so it is necessary to strengthen medical personnel's legal consciousness. And we should adopted various measures to cultivate the legal consciousness of medical staff in order to strengthen medical staff's consciousness of legal practice, reduce medical disputes, construct a harmonious doctor-patient relationship, and promote the healthy development of the medical and health care.%随着全球化生物-心理-社会医疗模式的来临及循证医学的发展,医疗行为从传统的"以疾病为中心"转向"以病人为中心",医患双方传统的"被动式"医疗服务关系逐步发展为"参与式"医疗服务关系,在此过程中,患者的维权意识大大增强;而与社会浓厚的法治氛围相比,医务人员的法律敏感性和法律意识则明显滞后.医务人员法律意识淡薄的原因涉及多个方面,增强医务人员法律意识势在必行.为此,需采取多种措施培养医务人员的法律意识,以利于增强医务人员依法执业的自觉性,减少医患纠纷,构建和谐医患关系,促进医疗卫生事业的健康发展.

  18. Radiation protection of medical staff in the latest draft of the revised Euratom Basic Safety Standards directive

    International Nuclear Information System (INIS)

    The European Union has a long and successful history of legislating in the area of radiation protection of the public, workers and individuals submitted to medical exposure, the first Euratom “Basic Safety Standards” (BSS) adopted in 1959 and subsequently updated and supplemented with other Directives. The recent revision of this legislation aims to update it in the light of the latest knowledge and experience and to simplify it by consolidating the current legal acts into one Directive. The draft of the revised Euratom BSS Directive has been approved by the group of scientific experts under Euratom Treaty Article 31 and is currently undergoing the European Commission’s procedures. This draft contains several new or amended provisions relating to protection of medical staff, among them: (i) a streamlining of the annual dose limit provisions, (ii) enhancing the use of dose constraints in optimization of protection, and (iii) ensuring better recording and transfer of occupational dose data including in cases of trans-border movement of workers. The Community action to radiation protection of workers is not restricted to passing relevant legislation but also includes ‘soft action’ as issuing guidance, supporting research and stakeholders’ involvement, etc. In August 2010 the Commission issued a Communication to the Council and the European Parliament dealing with the issues in the medical uses of ionizing radiation, including those relating to radiation protection of medical staff.

  19. Evaluating the Imbalance Between Increasing Hemodialysis Patients and Medical Staff Shortage After the Great East Japan Earthquake: Report From a Hemodialysis Center Near the Fukushima Nuclear Power Plants.

    Science.gov (United States)

    Koshiba, Takaaki; Nishiuchi, Takamitsu; Akaihata, Hidenori; Haga, Nobuhiro; Kojima, Yoshiyuki; Kubo, Hajime; Kasahara, Masato; Hayashi, Masayuki

    2016-04-01

    The Great East Japan Earthquake in 2011 caused an unprecedented imbalance between an increasing number of hemodialysis patients and medical staff shortage in the Sousou area, the site of the Fukushima nuclear power plants. In 2014, capacity of our hemodialysis center reached a critical limit due to such an imbalance. We attempted to evaluate the effort of medical staff to clarify to what extent their burden had increased post-disaster. The ratio of total dialysis sessions over total working days of medical staff was determined as an approximate indicator of effort per month. The mean value of each year was compared. Despite fluctuations of the ratio, the mean value did not differ from 2010 to 2013. However, the ratio steadily increased in 2014, and there was a significant increase in the mean value. This proposed indicator of the effort of medical staff appears to reflect what we experienced, although its validity must be carefully examined in future studies. PMID:26935477

  20. A survey study on use of over the counter (OTC) drugs among medical students, nursing and clerical staff of a tertiary care teaching rural hospital

    OpenAIRE

    Devang Parikh; B. M. Sattigeri; Ashok Kumar; Shruti Brahmbhatt

    2013-01-01

    Aim: The study was conducted to evaluate use of over the counter (OTC) drugs among the medical students, nursing and clerical staff of tertiary care teaching rural hospital to determine the awareness and disadvantages on use of OTC. Methods: Responses to a feedback questionnaire covering various aspects on usage of OTC drugs were obtained from 100 medical students, 100 nursing and 100 clerical staff. Results: Among 300 respondents, 84% used OTC, commonly purchased by self. Majority of them st...

  1. Predicting the Admission into Medical School of African American College Students Who Have Participated in Summer Academic Enrichment Programs.

    Science.gov (United States)

    Hesser, Al; Cregler, Louis L.; Lewis, Lloyd

    1998-01-01

    A study of 309 African American college students in summer academic enrichment programs at the Medical College of Georgia from 1980-89 found the most significant predictors of medical school admission were the Scholastic Assessment Test math score, summer program grade point average, college grade point average, career aspirations, college type,…

  2. An important ethical and medicolegal issue; projecting the need for medical education about patient rights among the hospital staff

    OpenAIRE

    SELÇUK, Mustafa Yasin; ÜNAL, Mustafa; TONTUŞ, Hacı Ömer; ALTINTOP, Levent; Karakuş, Akan

    2015-01-01

    The aim of this study was to evaluate the need for medical education about patient rights among hospital staff and in the light of the study findings a curriculum map were designed on this issue. A self-administered questionnaire about patient’s rights was hand-delivered to 124 university hospital personnel who accepted to fill a questionnaire before education program settled in 29 March 2012. Ninety-two (74.2%) respondents were female and thirty-two (25.8%) were male. The mean age was 34.71±...

  3. The hemorrhagic fevers of Southern Africa with special reference to studies in the South African Institute for Medical Research.

    OpenAIRE

    Gear, J H

    1982-01-01

    In this review of studies on the hemorrhagic fevers of Southern Africa carried out in the South African Institute for Medical Research, attention has been called to occurrence of meningococcal septicemia in recruits to the mining industry and South African Army, to cases of staphylococcal and streptococcal septicemia with hemorrhagic manifestations, and to the occurrence of plague which, in its septicemic form, may cause a hemorrhagic state. "Onyalai," a bleeding disease in tropical Africa, o...

  4. Secondary analysis of electronically monitored medication adherence data for a cohort of hypertensive African-Americans

    Directory of Open Access Journals (Sweden)

    Knafl GJ

    2012-03-01

    Full Text Available George J Knafl1, Antoinette Schoenthaler2, Gbenga Ogedegbe21School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; 2Center for Healthful Behavior Change, New York University School of Medicine, New York, NY, USABackground: Electronic monitoring devices (EMDs are regarded as the “gold standard” for assessing medication adherence in research. Although EMD data provide rich longitudinal information, they are typically not used to their maximum potential. Instead, EMD data are usually combined into summary measures, which lack sufficient detail for describing complex medication-taking patterns. This paper uses recently developed methods for analyzing EMD data that capitalize more fully on their richness.Methods: Recently developed adaptive statistical modeling methods were used to analyze EMD data collected with medication event monitoring system (MEMS™ caps in a clinical trial testing the effects of motivational interviewing on adherence to antihypertensive medications in a cohort of hypertensive African-Americans followed for 12 months in primary care practices. This was a secondary analysis of EMD data for 141 of the 190 patients from this study for whom MEMS data were available.Results: Nonlinear adherence patterns for 141 patients were generated, clustered into seven adherence types, categorized into acceptable (for example, high or improving versus unacceptable (for example, low or deteriorating adherence, and related to adherence self-efficacy and blood pressure. Mean adherence self-efficacy was higher across all time points for patients with acceptable adherence in the intervention group than for other patients. By 12 months, there was a greater drop in mean post-baseline blood pressure for patients in the intervention group, with higher baseline blood pressure values than those in the usual care group.Conclusion: Adaptive statistical modeling methods can provide novel insights into patients’ medication

  5. Assessment of individual dose equivalents Hp(0.07 of medical staff occupationally exposed to ionizing radiation in 2012

    Directory of Open Access Journals (Sweden)

    Sylwia Papierz

    2014-04-01

    Full Text Available Background: The paper presents the Nofer Institutes of Occupational Medicine in Łódź's results of the assessment of individual dose equivalents Hp(0.07 of medical staff exposed to X-rays in Poland in 2012. In addition, the collected data was analysed in terms of types of medical units performing medical procedures and the categorization of personnel. Material and Methods: Dosimetric service was provided for medical staff of interventional radiology departments occupationally exposed to ionizing radiation in terms of individual dose equivalents Hp(0.07. In 2012, personal dosimetry Hp(0.07 determinations were performed by the Nofer Institute of Occupational Medicine in Łódź and covered 2044 employees from 174 health facilities. The determinations were performed using thermoluminescence dosimetry according to the procedure accredited by the Polish Centre for Accreditation (document number AB 327. The measurements were performed using ring-dosimeters in the periods of 1 or 2 months. Results: Mean annual individual dose equivalent Hp(0.07 in 2012 was equal to 3.3 mSv (annual limit for Hp(0.07 is 500 mSv. The average value of annual individual dose equivalent Hp(0.07 decreased comparing to the previous year. In 2012, no single case of exceeding the annual limit for Hp(0.07 was reported. Data stored in the file indicates that more than 96% of all of the annual doses did not exceed the level of 10 mSv. Conclusions: The analysis of data on occupational exposure to ionizing radiation confirms a stable level of exposure and satisfactory radiological protection in interventional radiology facilities monitored by the Nofer Institute of Occupational Medicine in Łódź in Poland in 2012. Med Pr 2014;65(2:167–171

  6. Staff eye doses in a large medical centre in Saudi Arabia: are they meeting the new ICRP recommendations?

    International Nuclear Information System (INIS)

    A 5-y retrospective analysis of the cardiology staff eye doses was performed on 34 staff from different categories (cardiologists, nurses and technologists) at King Faisal Specialist Hospital and Research Centre (KFSHRC) in Riyadh, Saudi Arabia. KFSHRC is a tertiary medical centre with 800-bed capacity having more than 5000 cardiac catheterisation procedures performed annually. The aim of the study is to derive staff doses to the lens of the eyes using the personal dose equivalent Hp(0.07) values from the annual TLD dose report for the years 2008-2012 and determine the category of staff with high estimated eye doses. The study also aims to investigate the causes for high doses and recommend dose-reduction techniques. The dose to the lens of the eye was estimated by using the ratio Hp(0.07)slab/Hlens of 1.1 where Hp(0.07) values are the reported doses read from TLD badge worn at the collar level. The average annual eye dose of each category for the 5-y monitoring period was determined. Cardiologists tend to receive higher doses than the nurses by a factor of 2-4 and can exceed 5 mSv y-1. No correlation exists between the eye doses of nurses and the cardiologists. There is a need to use a conversion coefficient in terms of eye lens dose per dose-area product for faster estimation of eye lens doses. However, there is a limitation on the use of the conversion coefficient because it will depend on the clinical procedure and the X-ray tube angulation. Further investigation on this limitation is needed. (authors)

  7. Staff eye doses in a large medical centre in Saudi Arabia: are they meeting the new ICRP recommendations?

    Science.gov (United States)

    Al-Haj, Abdalla N; Lobriguito, Aida M; Al-Gain, Ibrahim

    2015-07-01

    A 5-y retrospective analysis of the cardiology staff eye doses was performed on 34 staff from different categories (cardiologists, nurses and technologists) at King Faisal Specialist Hospital and Research Centre (KFSHRC) in Riyadh, Saudi Arabia. KFSHRC is a tertiary medical centre with 800-bed capacity having more than 5000 cardiac catheterisation procedures performed annually. The aim of the study is to derive staff doses to the lens of the eyes using the personal dose equivalent Hp(0.07) values from the annual TLD dose report for the years 2008-2012 and determine the category of staff with high estimated eye doses. The study also aims to investigate the causes for high doses and recommend dose-reduction techniques. The dose to the lens of the eye was estimated by using the ratio Hp(0.07)slab/Hlens of 1.1 where Hp(0.07) values are the reported doses read from TLD badge worn at the collar level. The average annual eye dose of each category for the 5-y monitoring period was determined. Cardiologists tend to receive higher doses than the nurses by a factor of 2-4 and can exceed 5 mSv y(-1). No correlation exists between the eye doses of nurses and the cardiologists. There is a need to use a conversion coefficient in terms of eye lens dose per dose-area product for faster estimation of eye lens doses. However, there is a limitation on the use of the conversion coefficient because it will depend on the clinical procedure and the X-ray tube angulation. Further investigation on this limitation is needed. PMID:25848104

  8. AWARENESS ABOUT ANESTHESIA AND ANESTHESIOLOGIST AM ONG THE PARAMEDICAL STAFFS OF S N MEDICAL COLLEGE, BAGALKOT (KARNATAKA

    Directory of Open Access Journals (Sweden)

    Hiremath

    2013-10-01

    Full Text Available ABSTRACT: BACKGROUND : The more advancing and life saving specialty and specialist i.e ., anesthesia and ane sthesiologists, both have been kept behind the screen, more so in developing countries. Though the role of anesthesiologist is crucial, the public knowledge of anesthetic practice is limited. The present day anesthesiologist is based on the use of newer a nd safer drugs, better patient monitoring, pain management, labour analgesia and critical care. OBJECTIVES : This study was designed to assess the knowledge about the role of anesthesia and anesthesiologist among the paramedical staff at S.N medical college , Bagalkot. METHODOLOGY : This prospective questionnaire based study was done at S.N medical college and hospital among paramedical staffs working in different departments after taking the consent and approval of the ethical committee. Data was collected by pretested and predesigned questionnaire from 105 study participants. A majority of 90.28% of respondents felt that anesthesia was necessary for surgery. 40.80% knew that it was given by anesthesiologists. 18.38% of respondents knew that besides anaestheti zing, anesthesiologists monitor the vital signs till the completion of surgery. 5.60%, 9.11% & 3.8% of respondents were aware of their role in ICU, labor analgesia and pain clinic respectively. Only 22.81% patients had knowledge about anesthesia risks give n in consent form. The statistical association between past exposure to anesthesia and knowledge about anesthesia was not significant (p <0.1 . CONCLUSION : Anesthesiologist work mainly in the operation theatre and to some extent monitor the patient in the post operative ward for pain management and nausea vomiting, headache, etc. The role inside the theater & expanding role outside the theater poorly known. The awareness about the role of anesthesiologist in operation theater intensive care unit labor analg esia acute and chronic pain management and emergency care areas and

  9. Basic trends in the medical observation of staff exposed to ionizing radiations

    International Nuclear Information System (INIS)

    Some problems of the preliminary and regular medical examinations are discussed as well as the necessity of medical surveillance of the personnel after leaving the sphere of ionizing radiation. The main points which should be included in the preliminary anamnesis are pointed out, as well as the volume of the conventional clinical examinations and special investigations connected with the potential radiation hazards. The necessity of using suitable criteria for evaluation of the occupational fitness for particular cases is stressed. Some considerations are given about the frequency of the regular medical examinations and the type of the test included in them. 3 refs

  10. Model of Work-Related Ill Health of Academic Staff in a South African Higher Education Institution

    Science.gov (United States)

    Rothmann, S.; Barkhuizen, N.; Tytherleigh, M. Y.

    2008-01-01

    The objective of this study is to investigate the relationships between burnout, ill health, job demands and resources, and dispositional optimism in a higher education institution in South Africa. A survey design was used. The study population (N = 279) consisted of academic staff working in a higher education institution. The Maslach Burnout…

  11. Analysis of radiation exposure to medical staff and patients during ERCP in Uruguay

    International Nuclear Information System (INIS)

    Background.The ERCP procedure requires the use of fluoroscopy with the subsequent exposure to ionizing radiation. The doses received by patients, physicians and assistants in the endoscopy have never been recorded in our area. This analysis describes the findings of the MIREDUy study (measuring radiation in digestive endoscopy in Uruguay). Objective. To determine radiation exposure received by patients, physicians and assistants during ERCP. Methods. Data were collected from 33 procedures conducted by four endoscopists, supported by endoscopy assistants. All staff took basic radiation-protection measures. The magnitudes measured were the kerma area product (KAP) for the patient and the effective dose (E) and the equivalent doses in hand (HM) and lens of the eyes (HC) for the operators. Results. Mean value for PKA was 24 Gy.cm2 (range: 0.04-71) equivalent to 312 chest x-rays. The mean fluoroscopy time was 2.3 minutes (range: 0.45 a 5.70 minutes). The E mean per procedure was 3.69, 5.14 y 3.69 μSv, for physician, first and second assistant respectively. The dose in hand for the physician was 19.4 μSv and the dose in lens was 7.94 μSv. Conclusions. The first results of measuring ERCP radiation doses in Uruguay are presented. These procedures expose the patient and staff to measurable radiation doses, which should be taken into account to minimize their risks. (authors)

  12. A survey study on use of over the counter (OTC drugs among medical students, nursing and clerical staff of a tertiary care teaching rural hospital

    Directory of Open Access Journals (Sweden)

    Devang Parikh

    2013-04-01

    Full Text Available Aim: The study was conducted to evaluate use of over the counter (OTC drugs among the medical students, nursing and clerical staff of tertiary care teaching rural hospital to determine the awareness and disadvantages on use of OTC. Methods: Responses to a feedback questionnaire covering various aspects on usage of OTC drugs were obtained from 100 medical students, 100 nursing and 100 clerical staff. Results: Among 300 respondents, 84% used OTC, commonly purchased by self. Majority of them started self medication within 2 days of their illness. The frequently reported illness that prompted self-medication included headache, cough and cold, fever, generalised weakness, acidity, dysmenorrhoea, and sleep disturbances. Majority of them obtained OTC by mentioning name of drug (81%, 35% by telling symptom and 15% by showing old prescription. We found that 87% people share OTC among relatives and friends. Conclusions: Usage of OTC was highest amongst medical students and nursing staff. Time consumption for consultation, the consultation fees and frequent visits were the commonly mentioned reasons for self medication. It was analysed that none of the clerical staff were aware of the drug, dose, frequency of administration and adverse reactions. While very little awareness of medication was found even among nursing staff and medical students. Therefore it is suggested that the public has to be educated on the type of illnesses to be self-diagnosed and medicated, dangers of OTC on misuse which would possibly lead to delay in detection of more serious underlying ailment and timely medication. [Int J Res Med Sci 2013; 1(2.000: 83-86

  13. The new economic credentialing: protecting hospitals from competition by medical staff members.

    Science.gov (United States)

    Weeks, Elizabeth A

    2003-01-01

    This Article addresses hospitals' use of economic criteria to determine an individual's qualifications for staff privileges. Hospitals are resorting to economic conflict-of-interest credentialing policies in an attempt to ensure physician's loyalty and maintain their own economic viability. Physicians, however, argue that entrepreneurial activities are necessary for them to meet the economic challenges posed by declining reimbursements and rising insurance costs. The Article surveys the numerous legal theories that physicians (and, in some cases, the federal government) could employ in attacking these new types of credentialing policies and concludes that, on balance, hospitals should be able to implement their policies in ways that minimize liability in most jurisdictions. The Article concludes by discussing other issues that economic credentialing policies raise, including those implicating tax-exempt status and nonlegal considerations. PMID:12940678

  14. Radiation exposure in positron emission tomography (PET) and chances of diminishing the risks to patients and medical staff from this exposure

    International Nuclear Information System (INIS)

    The precautions required to diminish the radiation risks associated with the use of PET are described in connection with measures to be taken to achieve an effective protection of equipment, staff and patients. The strict regulations concerning the local absorbed dose ensure that all those handling PET facilities are exposed to less radiation and will thus be of undeniable benefit to maintenance personnel, radiochemicists, chemicotechnical assistants, medical staff and environmental protection. (DG)

  15. The Correlation between Job Motivation and Organizational Citizenship Behavior of the Staff of Headquarters and Vice-chancellory Departments of Yasuj University of Medical Sciences

    OpenAIRE

    S Kholgifard; Salehi, M.; H Fani

    2014-01-01

    Background & aim: organizational citizenship behaviour is one of the important socioligicil dimen sions of educatinal organizations , including universities.University staff have the ability of performing important roles in upgading the qualily of their university. The present research was carried out with the aim of finding the correlation between job motivation and organizational citizenship behaviour of the staff of Yasuj University of Medical Sciences (YUMS) . Methods: The present p...

  16. Can Opening ‘Ethics Files’ on Medical Staff Improve Patients’ Care?

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Healthcare workers in Shanghai are walking the line after recent news that regulations issued by local health authorities will soon enforce the opening of an “ethics file” for each of the city’s 140,000 medical workers. According to the regulations, once

  17. [The system of selection and training of military-medical staff for the 40th army (1979-1989)].

    Science.gov (United States)

    Ryabinkin, V V

    2015-10-01

    In December 1979 in order to fulfil their internationalist duty troops and units of the 40th Army of the Armed Forces of the USSR was brought into Afghanistan. For complete and qualitative manning of the army with the military doctors it was needed in a short time to create a system capable to carry out candidates selection, their education and specialized training for work in extreme conditions of combat operations. This system was created in a short time. The article presents information about its features, advantages and problems that had to be solved during the entire period of the Soviet-Afghan war. The complex staff arrangements had allowed solving medical support problems of the 40th Army on the high level. PMID:26827509

  18. Shift Work and Related Health Problems among Medical and Diagnostic Staff of the General Teaching Hospitals Affiliated to Shiraz University of Medical Sciences, 2012

    Directory of Open Access Journals (Sweden)

    Zahra Sajjadnia

    2015-07-01

    Full Text Available Introduction:Today, shift work is considered as a necessity in many jobs and for some 24-hour services the use of shift-work is growing. However, shift work can lead to physiological and psycho-social problems for shift workers. This study aimed to determine the effects of shift work on the associated health problems, together with the demographic and job characteristics underlying the problems, among the medical and diagnostic staff of the general teaching hospitals affiliated to Shiraz University of Medical Sciences in 2012. Method:This study was an applied, cross-sectional and descriptive-analytical one. The study employed a sample of 205 employees from the medical and diagnostic staff using stratified sampling proportional to the size and simple random sampling methods. Data were collected using the Survey of Shift workers (SOS questionnaire, validity and reliability of which have already been confirmed. Finally, the collected data were analyzed using SPSS 16.0 software through ANOVA, Chi-square, Independent-Samples T-Test, as well as Pearson Correlation Coefficient. A P<0.05 was considered statistically significant. Results: The results showed that among the demographic and job characteristics studied, the individual, family and social problems had significant associations with work schedules, shift work and job satisfaction. In addition, there were significant associations between musculoskeletal disorders and the satisfaction of shift work; cardiovascular disorders and marital status and occupation; digestive disorders and the work schedules; sleep disorders and the satisfaction of shift work; musculoskeletal disorders, cardiovascular disorders and sleep disorders and age, job experience and shift work experience. And finally, there were significant associations among sleep disorders and age, job experience and the shift work experience. Conclusion: Based on the findings of this study, demographic characteristics such as age, marital

  19. Radiation protection of the nursing staff during the medical care of nuclear medicine in-patients

    International Nuclear Information System (INIS)

    During medical care of nuclear medicine in-patients the medical personnel is exposed to external irradiation from the diagnosed patients. Restrictions in normal care are not necessary. The average dose equivalent of occupationally exposed persons amounted to only 2-8% of the limit effective dose equivalent of 50 mSv per year and corresponds nearly with the mean dose equivalent by environmental radiation. In intensive care units the working distances of the personnel to the patient should not fall below 50 cm for a longer time because of the increased exposure. The occupational dose increases by more than 90% at a working distance of under 1 m. It is not necessary to establish special controlled areas in the wards

  20. Radiation exposure of staff and protection measures at medical applications of β-radiation

    International Nuclear Information System (INIS)

    Sealed and particularly unsealed beta radiation sources are increasingly used in medicine for radiation therapy. For example, inflammatory joint diseases are treated by radiosynoviorthesis (RSO), i. e. by injecting 90Y, 186Re or 169Er solutions. In vascular brachytherapy 90Sr/90Y, 32P or 188Re are used to cure so-called in-stent-restenosis patients. Recently, the radioimmunotherapy (RIT) of malign lymphoma with 90Y labeled antibodies has been introduced. All these practices are characterized by a high risk of partial body exposures to beta radiation, if radiation protection is not adequately taken into account. Investigations at several workplaces have been performed to estimate the exposure. The skin dose, Hp(0,07), to the hands was measured with thin-layer thermoluminescence detectors (TLD) that were fixed to the fingers of doctors and assistants. Typical values of maximum doses are presented which indicate that the local skin dose to the fingers of the staff can exceed the annual dose limit of 500 mSv. Consequently, adequate protection measures were recommended and investigated. An exposure reduction by one or two orders of magnitude could be observed. Moreover, general problems of routine monitoring of skin exposures with officially authorized extremity dosemeters are discussed. (orig.)

  1. Methotrexate – Genotoxic and teratogenic for medical staff of oncology wards?

    Directory of Open Access Journals (Sweden)

    Małgorzata Kupczewska-Dobecka

    2015-06-01

    Full Text Available Methotrexate (MTX is one of the most widely used cytostatic drugs belonging to the folic acid antagonists. It is a substance non-classified as a carcinogen in the European Union and by the International Agency for Research on Cancer (IARC as there is no evidence of its carcinogenicity to humans and animals. Nevertheless, MTX has been placed on the list of dangerous drugs used in chemotherapy, mainly due to genotoxic and teratogenic effects, causing developmental toxicity and reproductive toxicity. Methotrexate was determined in the hospital ward air during the preparation of a medicament at a level of 0.3 mg/m3, as well as on protective gloves and preparatory room surfaces. In most research projects MTX was identified in the urine of health care workers, pharmacists and nursing staff. The highest cumulative concentration of MTX in 112 urine samples was 1416 mg in workers preparing infusions for patients. Studies carried out in pharmacies revealed the presence of MTX in 60% of tests, and the maximum concentration of 15 ng/cm2 surface of the tray to count tablets. Legal exposure limit values for MTX in the work environment have not yet been established. Occupational exposure limits have been established by some manufacturers at the level of 0.0003–0.0025 mg/m3. There is an urgent need to establish normative values. It should also be emphasized that MTX is absorbed through the skin, which may significantly increase the exposure and measuring its concentration in the work environment may not be sufficient to estimate the actual exposure. Med. Pr. 2015;66(2:265–275

  2. Risk of radiation exposure to medical staff involved in interventional endourology.

    Science.gov (United States)

    Hristova-Popova, J; Zagorska, A; Saltirov, I; Petkova, K; Vassileva, J

    2015-07-01

    The aim is to estimate the possibility the new annual dose limit for eye lens to be exceeded and to study the impact of protective shield. Radiation exposure to medical personnel was evaluated with EDD-30 dosemeter in positions of operating surgeon, assisting doctor and nurse. At the operator's typical position for diagnosis and treatment of the urinary tract, the lens dose rates were 0.9 mSv h(-1) and 0.06 mSv h(-1) without and with lead shield. At the operator's position typical for percutaneous intervention dose rates were 1.9 and 0.02 mSv h(-1), respectively. At typical workload, the annual eye lens dose to the main operator without protective screen was estimated to be 29 mSv. With lead screen, operator lens dose can be reduced by a factor of 15-95 according to the procedure. Installation and use of lead screen and use of lead glasses were recommended to the endourology medical team. PMID:25855076

  3. Risk of radiation exposure to medical staff involved in interventional endo-urology

    International Nuclear Information System (INIS)

    The aim is to estimate the possibility the new annual dose limit for eye lens to be exceeded and to study the impact of protective shield. Radiation exposure to medical personnel was evaluated with EDD-30 dosemeter in positions of operating surgeon, assisting doctor and nurse. At the operator's typical position for diagnosis and treatment of the urinary tract, the lens dose rates were 0.9 mSv h-1 and 0.06 mSv h-1 without and with lead shield. At the operator's position typical for percutaneous intervention dose rates were 1.9 and 0.02 mSv h-1, respectively. At typical workload, the annual eye lens dose to the main operator without protective screen was estimated to be 29 mSv. With lead screen, operator lens dose can be reduced by a factor of 15-95 according to the procedure. Installation and use of lead screen and use of lead glasses were recommended to the endo-urology medical team. (authors)

  4. Evaluation of an mHealth Medication Regimen Self-Management Program for African American and Hispanic Uncontrolled Hypertensives.

    Science.gov (United States)

    Davidson, Tatiana M; McGillicuddy, John; Mueller, Martina; Brunner-Jackson, Brenda; Favella, April; Anderson, Ashley; Torres, Magaly; Ruggiero, Kenneth J; Treiber, Frank A

    2015-01-01

    African Americans and Hispanics have disproportionate rates of uncontrolled essential hypertension (EH) compared to Non-Hispanic Whites. Medication non-adherence (MNA) is the leading modifiable behavior to improved blood pressure (BP) control. The Smartphone Medication Adherence Stops Hypertension (SMASH) program was developed using a patient-centered, theory-guided, iterative design process. Electronic medication trays provided reminder signals, and Short Message Service [SMS] messaging reminded subjects to monitor BP with Bluetooth-enabled monitors. Motivational and reinforcement text messages were sent to participants based upon levels of adherence. Thirty-eight African-American (18) and Hispanic (20) uncontrolled hypertensives completed clinic-based anthropometric and resting BP evaluations prior to randomization, and again at months 1, 3 and 6. Generalized linear mixed modeling (GLMM) revealed statistically significant time-by-treatment interactions (p theory-guided design. PMID:26593951

  5. Assessment of Occupational Exposure Among Pakistani Medical Staff During 2007-2011

    International Nuclear Information System (INIS)

    The data analysis of occupationally exposed medical workers in Nuclear Medicine (NM), Radiotherapy (RT) and Diagnostic Radiology (DR) at the Institute of Nuclear Medicine and Oncology (INMOL), Pakistan is presented for the time interval (2007–2011). The whole-body exposure doses of the workers were measured by using the Film Badge Dosimetry technique. The annual average effective doses in NM, RT and DR have been found well below the permissible annual limit of 20 mSv (averaged over a period of 5 consecutive years), with no over-exposure detected. This declining trend of annual average effective dose is the consequence of improved radiation protection practices at INMOL during the recent years.

  6. Investigation of Training of Trainers Course That Have been Given to Teaching Staff of Medical Faculty

    Directory of Open Access Journals (Sweden)

    Mehmet Faruk Geyik 1

    2013-09-01

    Full Text Available Purpose: In this study, our aim is putting forward of perspectives to medical education and training course of faculty members who join Training of Trainers Course. Method: Research is study which is cross-sectional and descriptive. The project team has been established for the project which had been prepared for implementation of the education program that is one from targets in Düzce Medicine Faculty Strategic Plan and the planning project which is did with an educational from Medical Education Department. This project is 2 phase. In 1st phase: Training of Trainers Course was given. In 2nd phase: curriculum map was created, strategic targets were evaluated and Coaching Education was given along 10 days. Results: 46 Instructors who filled survey forms (12 (26.1% professors, 11 (23.9% associate professors and 23 (50% assistant professors from total 98 instructors who join Training of Trainers Course were included to study. 37 faculty members were male and 9 faculty members were female. The mean age and length of academic service, respectively, in professors: 50.4±6.7 year and 15.8±9.4 year, in associate professors: 42.4±2.9 year and 8.8±1.6 year and in assistant professors: 34.5±8.2 year and 3.3±2 year (p<0.0001 and p<0.0001. All of 19 instructors who fill survey forms after course from instructors emphasized that this course is helpful (p=0.001. Educational content was generally good according to participants, only two instructors (%4.3 expressed that educational content was poor (p=0.001. Conclusion: Satisfaction of faculty members from Training of Trainers and they are willing to continue trainings were observed. Again, in the continuation of the course, there are thought that giving curriculum and coaching education and to continue similar education will be helpful in academic processes to a wide group that will be selected from faculty members who took education.

  7. The knowledge, attitude and behavior about public health emergencies and the response capacity of primary care medical staffs of Guangdong Province, China

    OpenAIRE

    Zhiheng Zhou; Caixia Wang; Jiaji Wang; Huajie Yang; Chao Wang; Wannian Liang

    2012-01-01

    Abstract Background Primary care medical staffs’ knowledge, attitude and behavior about health emergency and the response capacity are directly related to the control and prevention of public health emergencies. Therefore, it is of great significance for improving primary care to gain in-depth knowledge about knowledge, attitude and behavior and the response capacity of primary care medical staffs. The main objective of this study is to explore knowledge, attitude and behavior, and the respon...

  8. Hospital Collaboration with Emergency Medical Services in the Care of Patients with Acute Myocardial Infarction: Perspectives from Key Hospital Staff

    Science.gov (United States)

    Landman, Adam B.; Spatz, Erica S.; Cherlin, Emily J.; Krumholz, Harlan M.; Bradley, Elizabeth H.; Curry, Leslie A.

    2013-01-01

    Objective Evidence suggests that active collaboration between hospitals and emergency medical services (EMS) is significantly associated with lower acute myocardial infarction (AMI) mortality rates; however, the nature of such collaborations is not well understood. We sought to characterize views of key hospital staff regarding collaboration with EMS in the care of patients hospitalized with AMI. Methods We performed an exploratory analysis of qualitative data previously collected from site visits and in-depth interviews with 11 US hospitals that ranked in the top or bottom 5% of performance on 30-day risk-standardized AMI mortality rates (RSMRs) using Centers for Medicare and Medicaid Services data from 2005–2007. We selected all codes from the first analysis in which EMS was most likely to have been discussed. A multidisciplinary team analyzed the data using the constant comparative method to generate recurrent themes. Results Both higher and lower performing hospitals reported that EMS is critical to the provision of timely care for patients with AMI. However, close, collaborative relationships with EMS were more apparent in the higher performing hospitals. Higher performing hospitals demonstrated specific investment in and attention to EMS through: 1) respect for EMS as valued professionals and colleagues; 2) strong communication and coordination with EMS; and 3) active engagement of EMS in hospital AMI quality improvement efforts. Conclusion Hospital staff from higher performing hospitals described broad, multifaceted strategies to support collaboration with EMS in providing AMI care. The association of these strategies with hospital performance should be tested quantitatively in a larger, representative study. PMID:23146627

  9. Medical treatment for older people and people with disabilities: 1989 developments. National Legal Center Staff.

    Science.gov (United States)

    1990-01-01

    Pending before the United States Supreme Court are cases involving eligibility of children with disabilities for Supplemental Security Income (SSI) benefits and a guardian's authority to withhold nutrition and hydration from a permanently disabled but not terminally ill ward. The United States Commission on Civil Rights has issued a comprehensive report demonstrating evidence of current discrimination against infants with disabilities and examining current legal protections. In the federal courts, litigation continues in a case brought by parents on behalf of their infants with disabilities who were allegedly denied medical treatment on the basis of disability. State courts continue to examine the rights of competent and incompetent patients to forgo life-sustaining treatment, including nutrition and hydration. Discrimination against persons with AIDS or HIV continues to affect their access to health care. In 1989 forty states and the District of Columbia have "living will" legislation, and nine states have durable power of attorney for health care laws; however, the provisions of each vary from state to state. PMID:2138594

  10. INVESTIGATION ON HAND HYGIENE OF MEDICAL STAFF IN ONE SANATORIUM%疗养院医护人员手卫生状况调查

    Institute of Scientific and Technical Information of China (English)

    张秀芬; 第五进学; 唐裕杰

    2013-01-01

    Objective To investigate the execution and influence factors of medical staffs hand hygiene in one sanatorium. Methods On - site investigation and questionnaire were used to study the hand hygiene of medical staff in the sanatorium. Results The average rate of hand - cleaning was 84. 5% , the qualified rate of hand - cleaning was 83. 3% , and that of hand - drying by paper or dryer was 52.4% . The main reason of the incorrect hand - cleaning for medical staff were their busy work and ignorance. Conclusion The hand hygiene compliance of the medical staff in the sanatorium was low, mainly because the medical staff did not pay attention to it, so the administration and intervention should be strengthened.%目的 了解某疗养院医护人员手卫生执行情况及影响手卫生的因素.方法 采用现场调查方法,实际考察某疗养院医务人员手卫生状况.结果 洗手指征平均执行率为84.5%,洗手方法正确率平均为83.3%,用纸巾或烘干机干手者占52.4%.影响医护人员手卫生执行的主要因素是重视不够,工作忙没空洗手.结论 该疗养院医务人员手卫生依从性较低,主要原因是对手卫生不够重视,应强化管理和干预措施.

  11. Investigation and analysis on disaster rescue professional skill of medical staff%医护人员灾害救援专业技能调查分析

    Institute of Scientific and Technical Information of China (English)

    黄丽虹; 刘轶博

    2011-01-01

    目的:通过对医护人员灾害救援专业技能进行调查和研究,为提高我国灾害救援水平提供理论和实践支持.方法:采用文献资料调查法、问卷调查法和访谈法,用分层随机抽样和整群抽样相结合的方法,以我国东北三省6所三甲医院的2496名医护人员为研究对象.结果:大多数医护人员对参加现场进行灾害救援工作感到无信心.医护人员灾害救援专业技能水平低下.省会城14和其他城市医护人员灾害救援专业技能之间有差异性(P<0.05).绝大多数医护人员认为提高其灾害救援专业技能水平的最有效方法是开展灾害医学继续教育.结论:目前医护人员灾害救援专业技能水平较低,应大力开展灾害医学继续教育以提高我国灾害救援整体水平.%Ohjectives : To investigate the medical staffs professional skill of disaster rescue and to give theoretical and practical support for improving the capacity of Chinese disaster rescue. Methods: 2496 medical staffs in 6 tertiary hospitals in Liaoning, Jilin and Heilongjiang province were selected as research samples. Literature review, questionnaire and interview were used. Stratified random sampling and cluster sampling were the sampling methods. Results: Most medical staff worried ahout attending the disaster rescue work. Medical staff's disaster rescue professional skill capacity is low. the skill hetween capital city and other city are different ( P<0.05 ) .The most effective way of improving medical staffs disaster rescue skill is disaster medical continuation education. Conclusion: Medical staffs disaster rescue skill is inferior. We should development disaster medical continuing education in order to improve the level of Chinese disasters rescue.

  12. Extremity doses of medical staff involved in interventional radiology and cardiology: Correlations and annual doses (hands and legs)

    International Nuclear Information System (INIS)

    An intensive measurement campaign was launched in different hospitals in Europe within work package 1 of the ORAMED project (Optimization of RAdiation protection for MEDical staff). Its main objective was to obtain a set of standardized data on extremity and eye lens doses for staff in interventional radiology (IR) and cardiology (IC) and to optimize staff protection. The monitored procedures were divided in three main categories: cardiac, general angiography and endoscopic retrograde cholangio-pancreatography(ERCP) procedures. Using a common measurement protocol, information such as the protective equipment used (lead table curtain, transparent lead glass ceiling screen, patient shielding, whole body shielding or special cabin etc.) as well as Kerma Area Product (KAP) values and access of the catheter were recorded. This study was performed with a final database of more than 1300 procedures performed in 34 European hospitals. Its objectives were firstly to determine if the measured extremity doses could be correlated to the KAP values; secondly to check if the doses to the eyes could be linked to the doses to the hands (finger or wrist positions) and finally if the doses to the fingers could be estimated based on the doses to the wrists. General correlations were very difficult to find and their strength was mostly influenced by three main parameters: the X-ray tube configuration, the room collective radioprotective equipment and the access of the catheter. The KAP value can provide a simple mean to estimate the extremity doses of the operator given that it is assessed correctly for the operator when he is actually using the X-ray tube. Moreover, this study showed that the doses to the left finger are strongly correlated to the doses to the left wrist when no ceiling shield is used. It is also possible to estimate the doses to the eyes given the doses to the left finger or left wrist but the X-ray tube configuration and the access have to be considered. The annual

  13. Evaluation of time, attendance of medical staff, and resources during stereotactic radiotherapy/radiosurgery. QUIRO-DEGRO trial

    International Nuclear Information System (INIS)

    Background: The German Society of Radiation Oncology ('Deutsche Gesellschaft fuer Radioonkologie', DEGRO) initiated a multicenter trial to develop and evaluate adequate modules to assert core processes and subprocesses in radiotherapy. The aim of this prospective evaluation was to methodical assess the required resources (technical equipment and medical staff) for stereotactic radiotherapy/radiosurgery. Material and methods: At two radiotherapy centers of excellence (University Hospitals of Heidelberg and Marburg/Giessen), the manpower and time required for the implementation of intra- and extracranial stereotactic radiotherapy was prospectively collected consistently over a 3-month period. The data were collected using specifically developed process acquisition tools and standard forms and were evaluated using specific process analysis tools. Results: For intracranial (extracranial) fractionated stereotactic radiotherapy (FSRT) and radiosurgery (RS), a total of 1,925 (270) and 199 (36) records, respectively, could be evaluated. The approximate time needed to customize the immobilization device was median 37 min (89 min) for FRST and 31 min (26 min) for RS, for the contrast enhanced planning studies 22 and 27 min (25 and 28 min), for physical treatment planning 122 and 59 min (187 and 27 min), for the first and routine radiotherapy sessions for FSRT 40 and 13 min (58 and 31 min), respectively. The median time needed for the RS session was 58 min (45 min). The corresponding minimal manpower needed was 2 technicians for customization of the immobilization device, 2.5 technicians and 1 consultant for the contrast-enhanced planning studies, 1 consultant, 0.5 resident and 0.67 medical physics expert (MPE) for physical treatment planning, as well as 1 consultant, 0.5 resident, and 2.5 technicians for the first radiotherapy treatment and 2.33 technicians for routine radiotherapy sessions. Conclusion: For the first time, the resource requirements for a radiotherapy

  14. Library staff development course.

    OpenAIRE

    Eaton, E K

    1981-01-01

    The Moody Medical Library at the University of Texas Medical Branch plans, presents, and evaluates regularly a staff development program for its employees, including librarians and clerical and technical staff. The program's purpose is to provide continuing education for the library staff while concurrently: (1) providing information concerning specific library services and programs; (2) illustrating the interrelationship of the departments and divisions within the library; (3) developing a s...

  15. Qualitative research of patients participating in hand hygiene of medical staff%患者参与医务人员手卫生的质性研究

    Institute of Scientific and Technical Information of China (English)

    高雪; 赵体玉

    2015-01-01

    目的:探讨患者参与提醒医务人员手卫生相关问题的情况。方法采用目的抽样法对15例住院患者进行半结构式深入访谈,并运用Colaizzi分析法对获得的资料进行内容分析。结果患者手卫生知识较为匮乏;患者对参与提醒医务人员手卫生持谨慎、反对态度;患者参与提醒医务人员手卫生存在一定困难。结论医务人员应根据影响患者参与的因素,针对性地采取相关措施促进患者参与,进而提高医务人员手卫生依从性。%Objective To study the situation of patients participating in hand hygiene of medical staff .Methods Fifteen patients chozen by purposive sampling method were given in‐depth interviews .Colaizzi analysis method was used to analyze the data .Results Patients were lack of hand hygiene knowledge .Most patients were opposed to remind medical personnel to pay attention to hand hygiene .There was a certain difficulty for patients to participate in hand hygiene of medical staff .Conclusion Medical personnel should take relevant measures to promote patients to participate hand hygiene of medical staff and improve hand hygiene compliance of medical staff .

  16. Evaluation of time, attendance of medical staff, and resources during interstitial brachytherapy for prostate cancer. DEGRO-QUIRO trial

    International Nuclear Information System (INIS)

    The German Society of Radiation Oncology initiated a multicenter trial to evaluate core processes and subprocesses of radiotherapy by prospective evaluation of all important procedures in the most frequent malignancies treated by radiation therapy. The aim of this analysis was to assess the required resources for interstitial high-dose-rate (HDR) and low-dose-rate (LDR) prostate brachytherapy (BRT) based on actual time measurements regarding allocation of personnel and room occupation needed for specific procedures. Two radiotherapy centers (community hospital of Offenbach am Main and community hospital of Eschweiler) participated in this prospective study. Working time of the different occupational groups and room occupancies for the workflow of prostate BRT were recorded and methodically assessed during a 3-month period. For HDR and LDR BRT, a total of 560 and 92 measurements, respectively, were documented. The time needed for treatment preplanning was median 24 min for HDR (n=112 measurements) and 6 min for LDR BRT (n=21). Catheter implantation with intraoperative HDR real-time planning (n=112), postimplantation HDR treatment planning (n=112), and remotely controlled HDR afterloading irradiation (n=112) required median 25, 39, and 50 min, respectively. For LDR real-time planning (n=39) and LDR treatment postplanning (n=32), the assessed median duration was 91 and 11 min, respectively. Room occupancy and overall mean medical staff times were 194 and 910 min respectively, for HDR, and 113 and 371 min, respectively, for LDR BRT. In this prospective analysis, the resource requirements for the application of HDR and LDR BRT of prostate cancer were assessed methodically and are presented for first time. (orig.)

  17. Evaluation of time, attendance of medical staff, and resources during interstitial brachytherapy for prostate cancer. DEGRO-QUIRO trial

    Energy Technology Data Exchange (ETDEWEB)

    Tselis, N.; Zamboglou, N. [Sana Klinikum Offenbach, Department of Radiation Oncology, Offenbach am Main (Germany); Maurer, U. [St.-Antonius-Hospital, Strahlentherapie, Eschweiler (Germany); Popp, W. [Prime Networks AG, Basel (Switzerland); Sack, H. [University of Essen, Department of Radiation Oncology, Essen (Germany)

    2014-04-15

    The German Society of Radiation Oncology initiated a multicenter trial to evaluate core processes and subprocesses of radiotherapy by prospective evaluation of all important procedures in the most frequent malignancies treated by radiation therapy. The aim of this analysis was to assess the required resources for interstitial high-dose-rate (HDR) and low-dose-rate (LDR) prostate brachytherapy (BRT) based on actual time measurements regarding allocation of personnel and room occupation needed for specific procedures. Two radiotherapy centers (community hospital of Offenbach am Main and community hospital of Eschweiler) participated in this prospective study. Working time of the different occupational groups and room occupancies for the workflow of prostate BRT were recorded and methodically assessed during a 3-month period. For HDR and LDR BRT, a total of 560 and 92 measurements, respectively, were documented. The time needed for treatment preplanning was median 24 min for HDR (n=112 measurements) and 6 min for LDR BRT (n=21). Catheter implantation with intraoperative HDR real-time planning (n=112), postimplantation HDR treatment planning (n=112), and remotely controlled HDR afterloading irradiation (n=112) required median 25, 39, and 50 min, respectively. For LDR real-time planning (n=39) and LDR treatment postplanning (n=32), the assessed median duration was 91 and 11 min, respectively. Room occupancy and overall mean medical staff times were 194 and 910 min respectively, for HDR, and 113 and 371 min, respectively, for LDR BRT. In this prospective analysis, the resource requirements for the application of HDR and LDR BRT of prostate cancer were assessed methodically and are presented for first time. (orig.)

  18. The Comparison of Rapid E-Learning Approach and Traditional E-Learning in Staff In-Service Training in Tehran University of Medical Sciences

    OpenAIRE

    Seyd-Shohre Alavi; Esa ebrahim-Zade; Davoud Karimzadegan-Moghaddam; Mohammad Attaran; Ramin Mehrdad; Banafshe golestan

    2009-01-01

    Introduction: As there are few studies that compare rapid e-learning with traditional e-learning this study was carried out in Tehran University of Medical Science in 1387 in order to compare learning rate trainees satisfaction and the time consumed to develop training courses in these two approaches. Methods: In this interventional study 100 employees were assessed in two 50- staff groups by blocking randomization one group learned through traditional e-learning and the other by rapid e-lear...

  19. 医务人员工作满意度调查研究综述%Overview on Investigation of Job Satisfaction of Medical Staffs

    Institute of Scientific and Technical Information of China (English)

    王文星; 马利; 徐雅

    2014-01-01

    Using the methods of literature review and comparative analysis ,the paper analyzes and the job satisfaction of medical staff from the angle of job satisfaction concept ,related theory research ,the research progress of medical staffs’ job satisfaction ,the research situation of medical staffs’ job satisfaction at home and abroad .It is difficulty to find the related research to the job satisfaction of employed medical staffs ,not much research was found on job satisfaction of staffs in second class hospitals and community hospitals .The scale needs to be improved and perfected in order to adapt to the current situation about the job satisfaction of medical staff at home .As the job satisfaction of the medical staff is more and more important ,the research of job satisfaction should be paid attention to ,and we can learn the whole condition about the job satisfaction in hospital correctly and immediately so taking measures to improve the degree of satisfaction .%通过查阅文献和对比分析,从员工满意度的概念、相关理论研究,以及医务人员工作满意度的调查研究进展、国内外医务人员满意度的研究现状等角度,对医务人员满意度的研究进行描述分析,发现国内对聘用制医务人员的调查不多,对二级医院医生工作满意度方面的研究较少,对社区医务人员工作满意度的现状调查研究也不多见,调查量表缺乏符合我国医院实际情况的变量。随着对医务人员满意度的重视,现代医院应加强员工工作满意度的调查研究,及时、准确地掌握员工的工作满意度情况,有的放矢地采取改进措施,提高员工工作满意度。

  20. 我院工作人员离职倾向现状与对策%The status of resignation in medical staff in our hospital and its countermeasures

    Institute of Scientific and Technical Information of China (English)

    杨帆

    2012-01-01

    目的 了解公立医院人员流失的原因和影响因素,为医院管理者进行人员管理提供建议.方法 采用通用量表对广州市某三甲医院300名在职人员离职倾向情况进行问卷调查.结果 不同的工作岗位和用工形式的员工在离职倾向的感知水平上存在显著差异.护理人员和编制外员工具有较高的离职倾向.结论 公立医院在人才的供需市场中长期处于优势地位,长久以来对于人员流失问题的重视不足.此外,现阶段医院人员管理仍处于人事管理阶段,人才管理方面仍缺少人性化,如对于离职员工较少采取离职访谈等人力资源管理方法,即便实施了离职访谈,对于发现的问题也较少及时更正.公立医院应注重对人员流失问题的研究,进一步完善医院人才激励体系,促进公立医院人才管理的合理发展.%Objective To comprehend the causes and influencing factors of resignation in medical staff in public hospitals,and to provide advice for personnel management.Methods A questionnaire survey on resignation tendency was conducted in 300 medical staff with the General Scale.Results Awareness level of inclination of resignation significantly differed in the staff with different types of positions.Nursing staff and informal staff had higher inclination of resignation.Conclusions Public hospitals were in an advantage position in a supply and demand market for medical staff and ignored the problems of resignation for a long time.In addition,presently hospital personnel management was still in the stage of personnel management,which lacked humanity,including lack of interviews with the resigned employees and lack of strategies for dealing with the problems after interviews.Public hospital should pay great attention to the problems of staff resignation,further improve hospital personnel incentive system,and accelerate the rational development of personnel management.

  1. Application of Structural Equation Model to Evaluate the Perception of Service Quality of Medical Staffs of infectious Disease Department in Chinese Hospitals

    Institute of Scientific and Technical Information of China (English)

    Min Li; Ren-tian Cai; Cheng-yu Huang

    2014-01-01

    Objective To enhance the quality of medical service for Chinese patients through research of service quality from Chinese medical personnel. Methods ServQual scale was used for infection medical staffs randomly by sampling questionnaire in Beijing, Shanghai, Chengdu, Chongqing, Guangzhou and Nanning. The data collected were entered and analyzed using SPSS 20.0. Statistical methods included frequency, factor analysis, reliability analysis, correlation analysis, independent samples t test, one-way analyses of variance, simultaneous regression analysis and structural equation model analysis. Results The Kaiser-Meyer-Olkin value for the factor analysis of the scale was 0.970. The Cronbach’sαfor the reliability analysis was 0.975. The Pearson correlation coefficients were 0.624-0.874 and statistically significant. Undergraduates felt good, PhD students felt bad;the doctors felt bad;managers felt good. Standard 5 dimensions of the regression coefficients were positive, including empathy (β = 0.288), reliability (β =0.241) impacting on perceived service quality mostly. The control ability and stability of the standard error of perceived service quality directly effected value were 0.646 and 0.382, respectively. Conclusions Medical staffs of infectious disease department have poor perception of service quality. Hospitals should improve awareness and of clinicians and deepen the reform of the medical care system.

  2. Effect of Expectation of Care on Adherence to Antihypertensive Medications Among Hypertensive Blacks: Analysis of the Counseling African Americans to Control Hypertension (CAATCH) Trial.

    Science.gov (United States)

    Grant, Andrea Barnes; Seixas, Azizi; Frederickson, Keville; Butler, Mark; Tobin, Jonathan N; Jean-Louis, Girardin; Ogedegbe, Gbenga

    2016-07-01

    Novel ideas are needed to increase adherence to antihypertensive medication. The current study used data from the Counseling African Americans to Control Hypertension (CAATCH) study, a sample of 442 hypertensive African Americans, to investigate the mediating effects of expectation of hypertension care, social support, hypertension knowledge, and medication adherence, adjusting for age, sex, number of medications, diabetes, education, income, employment, insurance status, and intervention. Sixty-six percent of patients had an income of $20,000 or less and 56% had a high school education or less, with a mean age of 57 years. Greater expectation of care was associated with greater medication adherence (P=.007), and greater social support was also associated with greater medication adherence (P=.046). Analysis also showed that expectation of care mediated the relationship between hypertension knowledge and medication adherence (P<.05). Expectation of care and social support are important factors for developing interventions to increase medication adherence among blacks. PMID:26593105

  3. Radiation protection of medical staff: a coordinated action by EURADOS on extremely dosimetry and the use of active personnel dosemeters (CONRAD)

    International Nuclear Information System (INIS)

    Monitoring of workers constitutes an integral part of any radiological protection program. However, unresolved issues in radiation protection of medical staff still remain. Research and establishment of guidelines are necessary on a variety of issues such as extremity dosimetry (fingers, eye lenses, etc), the use of double dosimetry above and below lead aprons, or the use of electronic personal dosimeters in interventional procedures. Medical practices are also evolving fast, and new techniques with ionising radiation emerge very regularly, thus implying the need of radiation protection measures for medical staff, and the implementation of new monitoring programs. In some medical applications of radiation there is an increased risk of high local exposures because of direct handling of sources or the use of beta-emitters. However, despite the large number of workers that are exposed in the medical field worldwide, only few measurements of extremity doses have been reported in the literature. Some activities of EURADOS Working Group 9 (WG9) were sponsored by the European Commission in the CONRAD project. This CONRAD project was aiming at the coordination of research on radiation protection at the workplace. Working group 9 has been involved in the coordination and promotion of European research in the field of Radiation Protection Dosimetry for Medical Staff. One of the objectives of this working group was to formulate the state of the art and to identify areas in which improvements were needed. For some of these medical applications the skin of the fingers is the limiting organ from the point of view of individual monitoring of external radiation. The wide variety of radiation field characteristics in a medical environment, and the difficulty of measuring a local dose that is representative for the maximum skin dose (usually with one single detector), makes it difficult to perform extremity dosimetry with an accuracy similar to whole-body dosimetry. Therefore a

  4. Improving radiation awareness and feeling of personal security of non-radiological medical staff by implementing a traffic light system in computed tomography

    International Nuclear Information System (INIS)

    Non-radiological medical professionals often need to remain in the scanning room during computed tomography (CT) examinations to supervise patients in critical condition. Independent of protective devices, their position significantly influences the radiation dose they receive. The purpose of this study was to assess if a traffic light system indicating areas of different radiation exposure improves non-radiological medical staff's radiation awareness and feeling of personal security. Phantom measurements were performed to define areas of different dose rates and colored stickers were applied on the floor according to a traffic light system: green = lowest, orange = intermediate, and red = highest possible radiation exposure. Non-radiological medical professionals with different years of working experience evaluated the system using a structured questionnaire. Kruskal-Wallis and Spearman's correlation test were applied for statistical analysis. Fifty-six subjects (30 physicians, 26 nursing staff) took part in this prospective study. Overall rating of the system was very good, and almost all professionals tried to stand in the green stickers during the scan. The system significantly increased radiation awareness and feeling of personal protection particularly in staff with ? 5 years of working experience (p < 0.05). The majority of non-radiological medical professionals stated that staying in the green stickers and patient care would be compatible. Knowledge of radiation protection was poor in all groups, especially among entry-level employees (p < 0.05). A traffic light system in the CT scanning room indicating areas with lowest, in-termediate, and highest possible radiation exposure is much appreciated. It increases radiation awareness, improves the sense of personal radiation protection, and may support endeavors to lower occupational radiation exposure, although the best radiation protection always is to re-main outside the CT room during the scan.

  5. Improving radiation awareness and feeling of personal security of non-radiological medical staff by implementing a traffic light system in computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Heilmaier, C.; Mayor, A.; Zuber, N.; Weishaupt, D. [Stadtspital Triemli, Zurich (Switzerland). Dept. of Radiology; Fodor, P. [Stadtspital Triemli, Zurich (Switzerland). Dept. of Anesthesiology and Intensive Care Medicine

    2016-03-15

    Non-radiological medical professionals often need to remain in the scanning room during computed tomography (CT) examinations to supervise patients in critical condition. Independent of protective devices, their position significantly influences the radiation dose they receive. The purpose of this study was to assess if a traffic light system indicating areas of different radiation exposure improves non-radiological medical staff's radiation awareness and feeling of personal security. Phantom measurements were performed to define areas of different dose rates and colored stickers were applied on the floor according to a traffic light system: green = lowest, orange = intermediate, and red = highest possible radiation exposure. Non-radiological medical professionals with different years of working experience evaluated the system using a structured questionnaire. Kruskal-Wallis and Spearman's correlation test were applied for statistical analysis. Fifty-six subjects (30 physicians, 26 nursing staff) took part in this prospective study. Overall rating of the system was very good, and almost all professionals tried to stand in the green stickers during the scan. The system significantly increased radiation awareness and feeling of personal protection particularly in staff with ? 5 years of working experience (p < 0.05). The majority of non-radiological medical professionals stated that staying in the green stickers and patient care would be compatible. Knowledge of radiation protection was poor in all groups, especially among entry-level employees (p < 0.05). A traffic light system in the CT scanning room indicating areas with lowest, in-termediate, and highest possible radiation exposure is much appreciated. It increases radiation awareness, improves the sense of personal radiation protection, and may support endeavors to lower occupational radiation exposure, although the best radiation protection always is to re-main outside the CT room during the scan.

  6. 灾害救援医务人员心理反应及相关因素%Psychic reactions of medical staff in disaster rescue and its related factors

    Institute of Scientific and Technical Information of China (English)

    姜莹莹; 李红玉; 张涛

    2011-01-01

    分析了灾害事件对救援医务人员造成的心理应激障碍、心理应激反应的主要表现,探讨影响救灾医务人员身心健康状况的相关因素,为有效维护其身心健康提供依据.%It analyzed psychoiogical stress disoraer of rescue medical staff caused by disasters events and main manifestations of psychological stress reactions of medical staff.And it probed into related factors of influencing physical and psychological health state of rescue medical staff so as to provide some bases for effectiveiy maintaining botb physical and psychological health of rescue medical staff.

  7. Monitoring of occupational exposure in medical staff and prevention strategies%医务人员职业暴露监测分析与防范对策

    Institute of Scientific and Technical Information of China (English)

    李润蓉; 沈振威

    2016-01-01

    目的:分析医务人员职业暴露的相关因素,针对性采取防范对策。方法:用自行设计的职业暴露登记表,对医务人员发生职业暴露的监测资料进行回顾性调查。结果:41名医务人员发生职业暴露,护士占70.73%,工龄5年以下占68.29%,职业暴露发生科室多见外科,占31.71%,发生地点病房居首,占46.34%。主要是锐器伤占90.24%,主要环节依次是拔针、术中切开或缝合、处置医疗废物,分别占39.02%、21.95%、14.63%,暴露源血源性传播疾病22人,占53.66%,乙型肝炎16人,占39.02%,职业暴露的系列处理到位,未发生职业暴露感染。2013、2014年职业暴露发生率分别为3.57%、2.29%;上报率分别为48.00%、68.75%。结论:建立职业安全防护制度,开展安全培训教育,定期体检及预防接种,督导医护人员的规范化操作,配备安全器具和防护用品等,能有效防范医务人员职业暴露发生。%Objective To analyze the factors associated with the occupational exposure in medical staff,and to probe possible prevention strategies. Method The retrospective review on the monitoring data of occupational exposure in medical staff was made by the self-designed occupation exposure registration form. Results There were 41 cases of occupational exposure during the re-view. The accidents occurred mainly in the nurses(70. 73%),most were less than five years of seniority(68. 29%),and the oc-cupational exposures were most common in the department of surgery( 31. 71%). Among the departments,the wards ranked the first place( 46. 34%),and the sharp injuries accounted for 90. 24%. The withdrawal of needles( 39. 02%),surgical sutures (21. 95%),disposal of medical waste(14. 63%),there were 22 patients(55. 36%)with blood-borne disease as the source of exposure,most of them were infected with hepatitis B(16 cases,39. 02%). The wound could be correctly handled after

  8. Evaluation of an mHealth Medication Regimen Self-Management Program for African American and Hispanic Uncontrolled Hypertensives

    Directory of Open Access Journals (Sweden)

    Tatiana M. Davidson

    2015-11-01

    Full Text Available African Americans and Hispanics have disproportionate rates of uncontrolled essential hypertension (EH compared to Non-Hispanic Whites. Medication non-adherence (MNA is the leading modifiable behavior to improved blood pressure (BP control. The Smartphone Medication Adherence Stops Hypertension (SMASH program was developed using a patient-centered, theory-guided, iterative design process. Electronic medication trays provided reminder signals, and Short Message Service [SMS] messaging reminded subjects to monitor BP with Bluetooth-enabled monitors. Motivational and reinforcement text messages were sent to participants based upon levels of adherence. Thirty-eight African-American (18 and Hispanic (20 uncontrolled hypertensives completed clinic-based anthropometric and resting BP evaluations prior to randomization, and again at months 1, 3 and 6. Generalized linear mixed modeling (GLMM revealed statistically significant time-by-treatment interactions (p < 0.0001 indicating significant reductions in resting systolic blood pressure (SBP and diastolic blood pressure (DBP for the SMASH group vs. the standard care (SC control group across all time points. 70.6% of SMASH subjects vs. 15.8% of the SC group reached BP control (< 140/90 mmH at month 1 (p < 0.001. At month 6, 94.4% of the SMASH vs. 41.2% of the SC group exhibited controlled BP (p < 0.003. Our findings provide encouraging evidence that efficacious mHealth, chronic disease, medical regimen, self-management programs can be developed following principles of patient-centered, theory-guided design.

  9. Improving medication adherence in African-American women living with HIV/AIDS: Leveraging the provider role and peer involvement.

    Science.gov (United States)

    Okoro, Olihe; Odedina, Folakemi T

    2016-01-01

    African-American women continue to be disproportionately affected by HIV-related morbidity and mortality. To address the burden of HIV/AIDS among this at-risk population, there is need to gain a better understanding of the factors that influence and affect their care-seeking behavior and specifically adherence to antiretroviral treatment. A preliminary qualitative study was conducted with a sample of the target population (n = 10) using grounded theory as the methodological approach. Similarly, 21 healthcare providers - physicians, pharmacists, nurses, and case managers - were then interviewed. A thematic analysis of the transcripts compared care-provider perceptions and narrated experiences with those from the patient participants. Themes related to patient care perceived to enhance medication adherence included (1) provider-patient relationship; (2) holistic and patient-centered care; (3) adequacy of patient education and counseling; (4) modeling adherence behavior; and (5) motivation. Two intervention strategies are proposed - Peer educators as an integral part of the care team and Patient Advisory Groups as a feedback mechanism to enhance effective delivery of patient care in the target population. This exploratory research lays a foundation for the design of targeted interventions to improve linkage to care and enhance medication adherence in African-American women living with HIV/AIDS. PMID:26278429

  10. 谈病案管理员的素质和能力要求%A Discussion on Quality and Ability Requirement of Medical Records Staffs

    Institute of Scientific and Technical Information of China (English)

    苏静; 龚黛琛; 陈冬连; 王继伟

    2012-01-01

    传统的病案管理正逐步朝卫生信息管理的方向发展,专业的病案管理员是确保这一系列改革政策能够顺利实施的关键,这就对病案管理员提出了更高的要求.医院需合理配置专业的病案管理员,并注重对其素质的培养和能力的要求,从而提高医院病案室的整体水平,使病案室能够更好服务于医院的发展需求.%At present, the traditional case management is gradually towards the direction of development of health information management . The key to ensure this series of reform policies smooth implement is professional medical record staffs , which put forward higher requirements for them . Hospitals need the rational allocation of professional medical record staffs , focusing on their training quality and capacity requirements . Therefore it can improve the whole level of department of medical records , better serving development requirement of hospital .

  11. 在职医务人员救援医学培训内容设置%Contents setting of rescue medicine training for in-service medical staff

    Institute of Scientific and Technical Information of China (English)

    胡南; 刘庆春

    2016-01-01

    Objective To explore contents suitable for in-service medical staff in rescue medicine training.Methods Based on widely literature review, we established preliminary contents, and then Delphi method was applied on enquiring 27 experts for three rounds. Results Response rates of experts were 96%, 89% and 92% respectively. The average authority coefficient of experts for the index was 0.850;Kendall’s Ware was 0.378, 0.380 and 0.420 respectively. Finally, five level indicators, 29 secondary indicators are established.Conclusions Contents of rescue medicine training for in-service medical staff are preliminarily established, which provides research foundation for cultivating excellent medical staff.%目的:探讨适合在职医务人员救援医学培训的内容。方法在查阅大量文献的基础上,确立备选内容。采用Delphi法对27名专家进行三轮函询。结果专家回复率分别为96%、89%和92%。专家对指标的平均权威系数为0.850,肯德尔协调系数(Kendall’s W)分别为0.378、0.380和0.420。最终确立一级指标5个,二级指标29个。结论初步设定了在职医务人员救援医学培训内容,为培养应对突发灾难事件的高水平医务人员提供研究基础。

  12. 医护人员对绩效考核方式的认知情况分析%Analysis of Medical Staff's Cognition on Performance Evaluation

    Institute of Scientific and Technical Information of China (English)

    李文君; 张洁; 张露; 刘国琴

    2014-01-01

    目的分析某公立医院医护人员对该院绩效考核方式的认知情况及其影响因素。方法采取问卷调查法,用自行设计问卷进行调查,收集数据。用SPSS统计软件对数据进行统计分析。结果医护人员对医院绩效考核表示了解的人员只有20%左右,超过40%的人员对现行的考核方式感到不太满意或不满意,医护人员选择的主要反馈方式为同事间议论,占到40.3%。结论该医院医护人员对绩效考核方式了解程度不高,工龄越长的工作人员对绩效考核原则越了解;满意度较低,编制内医护人员对科室奖金分配方案的满意度高于聘用制和合同制的工作人员;反馈方式欠规范,同事间议论为主要的反馈方式,学历较高的医护人员更愿意选择向管理部门及其工作人员反馈。需要加强有效的宣传方式,提高医护人员的满意度,建立科学有效的反馈机制,完善医院评价系统,提高医院管理效率。%Objective To analyze medical staff's cognition on the performance evaluation and its influencing factors. Methods Self-designed questionnaire was adopted to collect data. The data was analyzed though SPSS statistical software. Results The proportion of medical staff who understand the performance evaluation system is only about 20%;more than 40%of the staff are not satisfied with the current system and the main feedback way is colleagues' discussion, accounting for 40.3%. Conclusion The medical staffs' understanding of the evaluation system is not deep. The longer the staff worked, the deeper understanding of the performance evaluation principles they reported and the lower satisfaction they felt. Permanent employee was more satisfied about the bonus distribution scheme than contract staff. The feedback way was not formal enough as the major way is discussion between colleagues, but employees with higher education were more willing to give feedback to the

  13. The Morehouse Mystique: Becoming a Doctor at the Nation's Newest African American Medical School

    Science.gov (United States)

    Gasman, Marybeth

    2012-01-01

    The Morehouse School of Medicine in Atlanta, Georgia, is one of only four predominantly Black medical schools in the United States. Among its illustrious alumni are surgeons general of the United States, medical school presidents, and numerous other highly regarded medical professionals. This book tells the engrossing history of this venerable…

  14. Dose evaluation in medical staff during diagnostics procedures in interventional radiology; Avaliacao da dose na equipe medica durante procedimentos diagnoticos de radiologia intervencionista

    Energy Technology Data Exchange (ETDEWEB)

    Bacchim Neto, Fernando A.; Alves, Allan F.F.; Rosa, Maria E.D.; Miranda, Jose R.A. [Universidade Estadual Paulista Julio de Mesquita Filho (UNESP), Botucatu, SP (Brazil). Instituto de Biociencias. Departamento de Fisica e Biofisica; Moura, Regina [Faculdade de Medicina de Botucatu, SP (Brazil). Departamento de Cirurgia e Ortopedia; Pina, Diana R., E-mail: bacchim@ibb.unesp.br [Universidade Estadual Paulista Julio de Mesquita Filho (UNESP), Botucatu, SP (Brazil). Faculdade de Medicina. Departamento de Doencas Tropicais e Diagnostico por Imagem

    2014-08-15

    Studies show that personal dosimeters may underestimate the dose values in interventional physicians, especially in extremities and crystalline. The objective of this work was to study the radiation exposure levels of medical staff in diagnostic interventional radiology procedures. For this purpose LiF:Mg,Ti (TLD-100) dosimeters were placed in different regions of the physician body. When comparing with reference dose levels, the maximum numbers of annual procedures were found. This information is essential to ensure the radiological protection of those professionals. (author)

  15. A investigation on challenge-hindrance stress among medical staff%医护人员挑战性-障碍性压力的现状分析

    Institute of Scientific and Technical Information of China (English)

    常淑莹

    2015-01-01

    目的:应用挑战性-障碍性压力源问卷探讨我国当前医疗体制下医护工作人员的挑战性-障碍性压力的现状,并分析医护人员挑战性-障碍性压力在不同性别、年龄、婚姻状况、岗位类别、教育程度以及工作年限等变量上的个体差异。方法采用随机抽样方法和挑战性-障碍性压力源问卷调查方法,对河南省若干医院的207名医护人员进行调查,采用描述统计、因素分析、独立样本 t 检验、单因素方差分析、相关分析和回归分析等多种统计方法。结果男性医护人员在挑战性压力(t =4.111,P ﹤0.001)和障碍性压力(t =2.829,P ﹤0.01)维度上均显著高于女性;工作年限长的医护人员挑战性压力(F =5.581,P ﹤0.01)和障碍性压力(F =1.586,P ﹤0.10)均高于工作年限短的医护人员。﹤20岁、21~25岁年龄段的医护人员挑战性压力均较较年长的医护人员低。已婚的医护人员的挑战性压力高于未婚组。结论挑战性-障碍性压力源量表中文版在我国医护人员中的应用表现出了良好的信度和效度,性别、工作年限、年龄、婚姻状况可以影响医护人员挑战性压力的大小,而障碍性压力的大小只受性别、工作年限影响。%Objective To investigate the status of challenge-hindrance stress among medical staff by questionnaire,and ana-lyze the individual differences of challenge-hindrance stress among medical staff with different gender,age,marital status,job category,education level and work experience and other variables. Methods Two hundrad and seven medical staff of several hospitals in Henan province were investigated by random sampling method and challenge-hindrance stress questionnaire. And a variety of statistical methods were used,including descriptive statistics,factor analysis,independent samples t test,variance a-nalysis of single factor,correlation analysis,regression analysis

  16. Survey of professional ethics observance degree among managers and staff of teaching hospitals of Shiraz University of Medical Sci

    OpenAIRE

    FARZAD MAHMOUDIAN; SEYED ZIAEDDIN TABEI; PARISA NABEIEI; NEDA MOADAB; MEHRNAZ MARDANI; ZAHRA HOUSHMAND SARVESTANI; ZAHRA GHASEMI

    2013-01-01

    Introduction: Professional ethics is a very important issue for managers who are role models for students and staff. It can also be very effective in organizational activities. The main objective of this research is to describe the result of managers’ self assessment in Shiraz teaching hospitals. Methods: The present research is a cross-sectional study. The statistical society of this research includes all senior, middle and executive managers of Nemazi, Faghihi and Chamran ...

  17. Surgical and medical management of a uterine spindle cell tumor in an African hedgehog (Atelerix albiventris).

    Science.gov (United States)

    Done, Lisa B; Deem, Sharon L; Fiorello, Christine V

    2007-12-01

    A 5-yr-old female African hedgehog (Ateleris albiventris) presented with hematuria. Vulvar culture results revealed a 4+ growth of Enterococcus sp. and gamma-Streptococcus sp. susceptible to trimethoprim sulfa and enrofloxacin. Ultrasound evaluation of the abdomen revealed an unidentifiable tubular structure in the region of the reproductive tract. An exploratory laparotomy and ovariohysterectomy were performed. Pathologic studies of the uterus showed a uterine spindle cell tumor, uterine endometrial polyp, uterine adenomyosis, and a possible acute infarct resulting in uterine wall necrosis. Hematuria did not reoccur, and the hedgehog lived for another 19 mo until she died from an oral squamous cell carcinoma. To date, this is the first report of a uterine spindle cell tumor in an African hedgehog. PMID:18229871

  18. On the relationship between whole body, extremity and eye lens doses for medical staff in the preparation and application of radiopharmaceuticals in nuclear medicine

    International Nuclear Information System (INIS)

    We performed individual dose measurements, in terms of Hp(10) for the whole body, Hp(0,07) for the extremities (hands) and Hp(3) for the eyes, for medical personnel (technical staff, nurses and medical doctors) in three nuclear medicine departments. One conventional diagnostic scintigraphy department, where Tc-99m, I-131 and Sm-153 were applied, and two PET-CT departments where F-18 was applied in preparation and application procedures, were studied. A novel eye lens dosemeter was used, designed to evaluate Hp(3) directly. From our measurements we obtained ratios of Hp(3)/Hp(10) ranging between 0.7 and 1.1 indicating that in nuclear medicine procedures eye lens doses could probably be estimated from Hp(10) values and that exceeding the present annual dose limit to eye lens (150 mSv) is very unlikely. The relationship between different individual doses can indicate the quality of radiation protection in a nuclear medicine department.

  19. Staff Report to the Senior Department Official on Recognition Compliance Issues. Recommendation Page: Council on Naturopathic Medical Education

    Science.gov (United States)

    US Department of Education, 2010

    2010-01-01

    The Council on Naturopathic Medical Education (CNME) is a programmatic accrediting agency. CNME's current scope of recognition is the accreditation and preaccreditation throughout the United States of graduate level, four-year naturopathic medical education programs leading to the Doctor of Naturopathic Medicine (N.M.D.) or Doctor of Naturopathy…

  20. HIV Stigma and Missed Medications in HIV-Positive People in Five African Countries

    OpenAIRE

    Greeff, Minrie; Dlamini, Priscilla S.; Wantland, Dean; Makoae, Lucy N.; Chirwa, Maureen; Kohi, Thecla W.; Naidoo, Joanne; Mullan, Joseph; Uys, Leana R; Holzemer, William L

    2009-01-01

    The availability of antiretroviral medications has transformed living with HIV infection into a manageable chronic illness, and high levels of adherence are necessary. Stigma has been identified as one reason for missing medication doses. The objective of this study was to explore the relationship between perceived HIV stigma and self-reported missed doses of antiretroviral medications in a 12-month, repeated measures cohort study conducted in Lesotho, Malawi, South Africa, Swaziland, and Tan...

  1. 某公立医院青年员工激励因素调查%Survey of incentive factors for young medical staff at a public hospital

    Institute of Scientific and Technical Information of China (English)

    唐蔚蔚; 柴建军; 胡雅洁; 桂德权

    2013-01-01

    激励是通过满足员工需要从而提高员工工作效率、激发员工为组织献身的工作热情.因此,准确了解员工需求是实施有效激励的前提.本调查通过对某公立医院348名青年员工的激励因素进行问卷调查,探讨不同院龄、不同岗位青年员工的激励影响因素及其差异,以期对公立医院的精细化人力资源管理提供借鉴.%Employee motivation is to meet their needs and improve their productivity and work enthusiasm for the organization.Therefore,an accurate understanding of their needs is a prerequisite for the implementation of effective motivation.In view of this,we conducted a questionnaire survey of incentive factors for young medical staff at a public hospital.This study aimed at analyzing different incentive factors among medical staff with different seniority and job categories as well as their differences,in an effort to provide references for fine human resource management and motivation implementation at public hospitals.

  2. A STUDY OF RISK FACTOR SCORE OF LIFE-STYLE DISEASES AMONG THE STAFF OF A PRIVATE MEDICAL COLLEGE OF JAIPUR

    Directory of Open Access Journals (Sweden)

    Anjali

    2014-09-01

    Full Text Available BACKGROUND: With the changing lifestyles and dietary habits, the health of the world is now dominated by non-communicable diseases such as diabetes, obesity, cardiovascular diseases and cancer. These are commonly linked to risk factors associated with the life style of an individual like tobacco use, unhealthy diet, physical inactivity, obesity, high blood pressure. These diseases can be modified by just adopting healthy lifestyle habits. STUDY OBJECTIVE: To assess the risk factors score (tobacco, alcohol, diet, physical activity, BMI, blood pressure, etc. of non-communicable diseases in the staff of a private medical college of Jaipur. STUDY DESIGN: Hospital-based Cross-sectional study. SETTING: A private medical college of Jaipur district. Sample Population: Staff members including all the doctors, nurses, laboratory technicians and class three workers were interviewed using the pre-designed schedule. DURATION OF STUDY: 2 months (July – September, 2010. RESULTS: Of all the risk factors the maximum (i.e. 37 respondents (20.5% had 4 risk factors. In the 40-49 yrs age group majority of respondents (i.e. 18 and 18 had the risk factor score of 4 and 5, in 50-59 years, majority (i.e. 12 respondents had 4 and in ≥60 yrs majority (i.e. 8 respondents had 7 risk factors.

  3. Effect analysis of influenza vaccination among medical staff%医务人员接种流感疫苗的效果分析

    Institute of Scientific and Technical Information of China (English)

    吴承菊; 郑修霞; 孙菲; 汤哲; 邢华; 杨洁

    2008-01-01

    目的 评价医务人员接种流感疫苗的效果.方法 选取134名在门诊和病房工作的接种过流感疫苗的医务人员作为接种组,选取人口学资料与之相匹配的未接种流感疫苗的135名医务人员作为对照组.在流感疫苗接种后的第3个月对接种组和对照组进行问卷调查.结果 接种疫苗后3个月内,接种组和对照组医务人员流感样疾病的发病率分别为11.2%和18.5%,流感疫苗的保护率为39.46%.接种组流感样疾病患者的平均病程为1.73d.对照组的平均病程为2.96d.接种组患者未服药、服用1种药物和服用2种以上药物的比例分别是46.7%、33.3%和20.0%;而对照组患者分别为32.0%、8.0%和60.0%.结论 接种流感疫苗对医务人员等职业高危人群具有一定的保护作用.%Objective The purpose d this investigation was to evaluate the effect d influenza vaccination among medical staff. Methods We chose 134 medical staff who worked in out-patient department and the wards and received influenza vaccination as the inoculation group, 135 medical staff who did not receive influenza vaccination as the non-inoculation group. Investigation with questionnaires was carried out in the two groups 3 months after vaccination. Results The incidence rate of influenza-like disease in the observation group and the control group was 11.2% and 18.5% respectively. The protective rate was 39.46%. The average illness process of influenza-like disease in the observation group and the control group was 1.73 days and 2.96 days. The percent of patients with no medication, one kind of drug medication and two kinds of drag medication was 46.7%, 33.3% and 20.0% in the observation group and 32.0%, 8.0% and 60.0% in the control group. Conclusion Influenza vaccination exerted protective effect for medical staff and other people at high risk of emergency.

  4. Hospital Staff and Patient Recognition Toward Opening of Medical Services Market, and Factors in Selecting a Foreign Hospital

    OpenAIRE

    Ryu, Hyang Jin; Park, Eun Cheol; Sohn, Tae Yong; Yu, Seung Hum

    2007-01-01

    Purpose The objectives of this study are to compare the hospital employees' and patients' recognition and attitudes toward the opening of the medical services market, to analyze the differences between hospital employees and patients on the factors in selecting a foreign hospital. Materials and Methods This study collected and analyzed data using systematic questionnaires that were self-administered by employees and outpatients to compare their recognition of the opening of the medical servic...

  5. The Relationship between Organizational Citizenship Behavior and Performance of the Staff of Qazvin University of Medical Sciences and Health Services

    OpenAIRE

    Gholamreza Memarzadeh Tehran; Masoumeh Sadat Abtahi; Soheila Esmaeili

    2013-01-01

    More than two decades, the first organ and colleagues of OCB have been expressed through the words. The aim of this study was to investigate the relationship between organizational citizenship behavior and performance of employees of Qazvin University of Medical Sciences and Health Services. The population in this study has included some units to the Qazvin University of Medical Sciences. This study is a descriptive research method will be correlated. In analyzing the data, both descriptive a...

  6. Cumulative Psychosocial and Medical Risk as Predictors of Early Infant Development and Parenting Stress in an African-American Preterm Sample

    Science.gov (United States)

    Candelaria, Margo A.; O'Connell, Melissa A.; Teti, Douglas M.

    2006-01-01

    The present study examined predictive linkages between cumulative psychosocial and medical risk, assessed neonatally, and infant development and parenting stress at 4 months of infant corrected age. Predominantly low-income, African-American mothers and their preterm infants served as participants. Cumulative psychosocial risk predicted early…

  7. African-American and Latina Women Seeking Public Health Services: Cultural Beliefs regarding Pregnancy, including Medication-taking Behavior

    Directory of Open Access Journals (Sweden)

    Luz Dalia Sanchez, MD, MCP, MHA, PhD

    2011-01-01

    Full Text Available Objective: to describe cultural beliefs and medication-taking-behavior about pregnancy in African-American and Latina women. Design: qualitative study using phenomenological methodology; face-to-face, semi structured interviews and focus group. Thematic analysis was done to obtain themes consistent with the research objective. Setting: Maricopa County, Arizona, Department of Public-health Programs, November 2008 through April 2009.Participants: women seeking public-health services in the greater Phoenix, Arizona.Results: fifteen adult women representing two ethnic groups (seven African-Americans and eight Latinas participated. Themes derived from the interview data included: “The Dilemma: To Become or Not to Become Pregnant;” “The Ideal Stress-free World: Support System;” “Changing Worlds: Wanting Dependency;” and “The Health care System: Disconnection from Pregnancy to Postpartum.”Conclusions: based on the cultural themes: 1. pregnancies were not planned; 2. healthy life-style changes were not likely to occur during pregnancy; 3. basic facts about the biology of sexual intercourse and pregnancy were not understood, and there was no usage of any preconceptional or prenatal medications; and 4. professional health care was not desired or considered necessary (except during delivery. These cultural beliefs can contribute to negative birth outcomes, and need to be considered by pharmacists and other health-care providers. The information gained from this study can guide the implementation of educational programs developed by pharmacists that are more sensitive to the cultural beliefs and points of view of these particular women. Such programs would thus be more likely to be favorably received and utilized.

  8. The Continuing Education Status of Medical Record Management Staff in Our Country%国内病案管理人员继续教育现状

    Institute of Scientific and Technical Information of China (English)

    吴颖娜

    2011-01-01

    continuing education for medical record management staffs; 3 The implementation and measures of continuing education were reviewed. To discuss how to carry out medical record continuing education effectively by health adm inistration departments and industry associations. So that the overall quality and operational capacity of medical record management staffs can be improved, strengthen and improve the medical record management continuing education, cultivate medical record managem ent team witt know ledge and structuring, Make sure the development of medical record management into a virtuous cycle state, so that can better serve the social and clinical.

  9. HIV stigma and missed medications in HIV-positive people in five African countries.

    Science.gov (United States)

    Dlamini, Priscilla S; Wantland, Dean; Makoae, Lucy N; Chirwa, Maureen; Kohi, Thecla W; Greeff, Minrie; Naidoo, Joanne; Mullan, Joseph; Uys, Leana R; Holzemer, William L

    2009-05-01

    The availability of antiretroviral medications has transformed living with HIV infection into a manageable chronic illness, and high levels of adherence are necessary. Stigma has been identified as one reason for missing medication doses. The objective of this study was to explore the relationship between perceived HIV stigma and self-reported missed doses of antiretroviral medications in a 12-month, repeated measures cohort study conducted in Lesotho, Malawi, South Africa, Swaziland, and Tanzania. Data were collected from 1457 HIV-positive individuals at three times between January 2006 and March 2007. Participants completed a series of questionnaires. Of the 1457 participants, 698 were taking ARVs during the study and are included in this analysis. There was a significant relationship between perceived HIV stigma and self-report of missed medications over time (t = 6.04, p medications also reported higher levels of perceived HIV stigma. Individuals reporting fewer medication worries reported decreased stigma over the one year period (t = -4.79, p medications over time. These findings suggest that part of the reason for poor adherence to ARV medications is linked to the stigma experienced by people living with HIV. PMID:19327098

  10. The Efficacy of Structural Ecosystems Therapy for HIV Medication Adherence with African American Women

    OpenAIRE

    Feaster, Daniel J; Brincks, Ahnalee M.; Mitrani, Victoria B.; Prado, Guillermo; Schwartz, Seth J.; Szapocznik, Jose

    2010-01-01

    A systemic family therapy intervention, Structural Ecosystems Therapy (SET), has been shown to promote adaptation to living with HIV by reducing psychological distress and family hassles. This investigation examines the effect of SET on HIV medication adherence relative to a person-centered condition and a community control condition. Medication adherence was assessed on 156 trial participants. Results of a two-part model showed that SET was significantly more likely to move women to high lev...

  11. Influence of Different Working Modes on Medical Staffs%不同工作模式对医务人员职业精神的影响

    Institute of Scientific and Technical Information of China (English)

    于德华; 李建刚; 许树长; 黄红; 刘薇群; 董政军; 程卢山

    2013-01-01

    Objective To explore the differences of medical staffs under different working modes.Methods Making statistical analysis to nurses and doctors through interviews and questionnaires,with comparing "High Quality Nursing Service Project" and "Consistent Obstetrics" with traditional working mode.Results (1) Working modes have significant effects on enthusiasm and satisfaction of medical staffs.(2) Factors of employee satisfaction between staffs is different:nurses laying particular stress on the job itself,including working conditions improvement,work content diversification and work autonomy strengthening; doctors on their own development,including hospital policy,opportunities of promotion and rationality of distribution.(3) Working modes have no significant influence on employee engagement and job burnout,but some individual items for employee engagement have significant difference,and nurses and doctors are different.Conclusion The society should pay more attention to the influence on medical professionalism from the change of working mode in health reform.%目的 探讨不同工作模式下医务人员职业精神表现的差异.方法 以“优质护理服务工程”、产科“一贯制”工作模式和传统工作模式为基础,通过访谈法和问卷调查对护士和医生两个群体进行统计分析.结果 (1)工作模式对医务人员工作积极性变化和员工满意度有显著影响.(2)护士和医生员工满意度的原因各不相同:护士偏重工作本身方面,包括工作条件改善、工作内容多样和工作自主性增强;医生偏重自身发展方面,包括医院政策、晋升机会和绩效分配的合理性.(3)工作模式对医务人员工作敬业度和工作倦怠影响不显著,但是对工作敬业度中个别条目影响显著,并且护士和医生各不相同.结论 社会各界应重视医改中工作模式变化对医务人员职业精神产生的影响.

  12. 医护人员判断癌症患者濒死期的质性研究%Qualitative study on cancer patients agonal judge of medical staff

    Institute of Scientific and Technical Information of China (English)

    周茹珍; 王海霞; 周玲君; 赵继军

    2016-01-01

    目的 探讨医护人员从癌症患者哪些症状来判断其处于濒死期.方法 2015年5月采用焦点小组访谈法,共3组,每组5人,选择合适的时间、地点进行访谈.访谈围绕主题"如何判断晚期癌症患者处于濒死期",按照制订的访谈提纲进行.结果 通过内容分析得出濒死期患者常表现出以下方面:疼痛、"回光返照"、意识、呼吸方式、血液循环、出入量、功能状态7个方面的改变,以及医护人员凭直觉经验来判定患者处于濒死期.结论 医护人员对评估癌症患者濒死期有自己的质性认识,临终前部分症状的改变可为评估生存期提供参考.%Objective To explore what symptoms which the medical staff judged from determination of agonal symptoms in cancer patients. Methods Focus group interview was conducted by 3 groups, 5 people in each group in appropriate time and place at May 2015. The interview was conducted around the theme of"how to judge the advanced cancer patients in dying". Results Agonal patients often showed changes in 7 aspects by content analyzing included pain, "the last radiance of the setting sun", consciousness, breathing patterns, blood circulation, intake and output volume and functional status. Besides, the instinct and experience of medical staff was another determinant. Conclusions Medical staff members have their qualitative understanding on evaluating when cancer patients are agonal. Changes in some symptoms before death can provide references for evaluating survival time.

  13. 75 FR 28257 - Draft Guidance for Industry, Third Parties and Food and Drug Administration Staff; Medical Device...

    Science.gov (United States)

    2010-05-20

    ... Voluntary Audit Report Submission Program'' to the Division of Small Manufacturers, International, and... Japanese Medical Device Ministry of Health, Labour and Welfare system. This notice of availability and... set by the International Organization for Standardization (ISO) and identified by the Secretary...

  14. 医学院校教职工脂肪肝横断面研究%Cross-sectional Survey of Fatty Liver Among Staff of a Medical College

    Institute of Scientific and Technical Information of China (English)

    陈超豪; 汪伟唯; 金杜娟; 谢婷; 李东霞; 陈建华; 郭怀兰

    2011-01-01

    Objective To investigate the prevalence rate of fatty liver among the staff of a medical college, to explore the influencing factors of fatty liver, and to provide a theoretical basis for the prevention of fatty liver. Method A crosssectional survey of physical examination results was conducted in the staff of a medical college. Results Data from 700 out of 715 staff members were analyzed. The prevalence rates of fatty liver in the overall staff, men, and women were 34.70%,43.80% and 26.30%, respectively. There were statistically significant differences in the prevalence rate of fatty liver among different age groups and between different genders. The results from the single factor analysis showed that the increasing of fasting blood glucose (FBG), serum total cholesterol I (TC), triglyceride (TG), blood serum uric acid (UA), low density lipoprotein cholesterol (LDL-C), hypertension and high body mass index (BMI) were the possible risk factors of fatty liver.The results from the Logistic regression analysis showed that sex, the increasing of TG, hypertension, the increasing of LDL -C, and high BMI were the possible risk factors of fatty liver and OR (95%CI) was 1. 576(1.055~2.354), 3.069(2.013~4.681), 1.877(1.124~3.136), 1.722(1.032~2.874) and 7. 275(4. 613~11. 475), respectively. Conclusions The prevalence rate of fatty liver in the staff members of the medical college was high. Fatty liver is closely related to BMI, TG,hypertension, LDL-C and sex.%目的 了解医学院校教职工脂肪肝患病率,探讨脂肪肝患病率的影响因素,为脂肪肝的防治提供理论依据.方法 收集该医学院校教职工体检结果,进行横断面调查.结果 体检人数715人,可用于分析700人,脂肪肝总患病率34.70%,男性为43.80%,女性为26.30%.不同年龄组、不同性别脂肪肝患病率差异有统计学意义;单因素分析显示,高空腹血糖(FBG)、高血清总胆固醇(TC)、高甘油三酯(TG)、高血压、高血尿

  15. The Comparison of Rapid E-Learning Approach and Traditional E-Learning in Staff In-Service Training in Tehran University of Medical Sciences

    Directory of Open Access Journals (Sweden)

    Seyd-Shohre Alavi

    2009-01-01

    Full Text Available Introduction: As there are few studies that compare rapid e-learning with traditional e-learning this study was carried out in Tehran University of Medical Science in 1387 in order to compare learning rate trainees satisfaction and the time consumed to develop training courses in these two approaches. Methods: In this interventional study 100 employees were assessed in two 50- staff groups by blocking randomization one group learned through traditional e-learning and the other by rapid e-learning. The traditional e-learning content development was based on waterfall instructional design by Macromedia flash software. The rapid e-learning content development was based on parallel process of three stages of analysis design and development by Adobe Presenter software. The data were collected by pre test post test final examination; self- report questionnaire of learning and questionnaire of trainees satisfaction. Results: There was no significant difference between pre test post test final examination scores and self report of learning of the two groups nor was there significant difference between satisfaction of content delivery method e-learning program and overall satisfaction in the two groups. The consumed time for developing the course in traditional and rapid e-learning approaches was 141 working days and 24 working days respectively. Conclusion: The staff learning and satisfaction were not different in these two e-learning approaches but the time needed for content development in rapid e-learning approach was much less compared to the other approach. Therefore it is recommended that rapid e-learning be used in electronic staff in-service training in universities.

  16. 2011年长沙市医院工作人员吸烟现况及相关知识调查%Survey on Smoking Status and Smoking Related Knowledge Among Medical Staff in Hospitals of Changsha in 2011

    Institute of Scientific and Technical Information of China (English)

    朱江; 胡劲松; 周婧瑜; 章希莹

    2012-01-01

    Objective To investigate the prevalence of smoking behavior and the smoking- related knowledge and attitude in medical staff of hospitals in Changsha, and to provide scientific evidence for making tobacco— free hospital policy. Methods Stratified random sampling and questionnaire survey were used to collect data among 1,000 medical staff members from 10 hospitals of Changsha from September to October 2011. Results The smoking rate of the medical staff was 24.0% , and the current smoking rate was 16. 8% . The daily tobacco consumption of smokers was 15.22. More than 60% smokers took their first cigarette within one — hour after getting up everyday. The second — hand smoke exposure rate of medical staff was 86. 3% . Only 13. 7% respondents declared that they were out of second - hand smoke. 79. 6% medical staff believed that smoking would lead to heart attack. 80-4% and 81 % medical staff believed that smoking would lead to stroke and impotence, respectively. Most of the medical staff were the .supporters for smoking- free hospital. But 32.8% medical staff still believed that smoking should be allowed in rest rooms of hospitals. Conclusions Smoking is a serious problem among male medical staff. Most of the medical staff arc the supporters for smoking— free hospital. But their smoking related knowledge should be improved. To emerge their role model in the tobacco control work, it is necessary to implement tobacco control training and to provide smoking cessation service for medical staff.%目的 了解长沙市医院工作人员的吸烟状况及相关认知与态度,为制定无烟医院政策提供科学依据. 方法 2011年9-10月,采用分层随机抽样方法抽取长沙市10所医院的1000名工作人员进行吸烟相关的问卷调查.结果 长沙市医院工作人员吸烟率为24.0%,现在吸烟率为16.8%,吸烟者日平均吸烟量为15.22支,60%以上吸烟者自称在起床后1h内吸第一根烟.医院工

  17. 1027名医务人员癌症疼痛知识及态度调查研究%The investigation of 1027 medical staff about knowledge grasping and attitude of cancer pain

    Institute of Scientific and Technical Information of China (English)

    Hong Qiu; Shiying Yu

    2007-01-01

    Objective: To get the message of knowledge and attitude about pain of the medical members from basic medical service sites by questionnaire investigation. To point out concrete directions for generalization and post-education of the three-tiered principles of analgesics treatment of WHO. Methods: We designed a questionnaire about cancer pain treatment.We used it to make inquire in 1040 medical staff from different medical agencies. SPSS software was used to analyze all data. Results: 1027 questionnaires were fit for data analysis. 91.4% of staff working in the primary medical agencies, 95.0%with professional title of assistant professor or lower title, and 83.7% younger than 50-year old. The data displayed that basic knowledge of cancer pain are poorly mastered. More than half investigates cannot evaluate the pain degrees correctly, and have many erroneous understandings about pain. Conclusion: The training of pain treatments for the medical staff working in primary medical agencies should be enhanced because of their poor grasping. Primary agencies should increase the varieties of analgesic drugs and change their attitude and conception of analgesic drugs administration.

  18. Central African Economic and Monetary Community; Staff Report on Common Policies of Member Countries; Public Information Notice on the Executive Board Discussion; and Statement by the Executive Director for the Central African Economic and Monetary Community

    OpenAIRE

    International Monetary Fund

    2011-01-01

    This paper discusses the common policies adopted by the members of the Central African Economic and Monetary Community (CEMAC). The macroeconomic performance was good in 2011 with improved fiscal balances, public investment programs, and higher reserves. However, CEMAC is facing challenges from deep-seated structural problems, including uncoordinated fiscal policy, financial sector weaknesses, and obstacles to growth and competitiveness. The Executive Board recommends monetary policies for fi...

  19. Hypertension, Periodontal Disease, and Potassium Intake in Nonsmoking, Nondrinker African Women on No Medication

    Directory of Open Access Journals (Sweden)

    Masashi Yamori

    2011-01-01

    Full Text Available The purpose of this cross-sectional study was to investigate the association of periodontitis and/or tooth loss with hypertension by excluding the common confounders. Eighty-one Tanzanian women who were aged 46–58 years, nonsmokers, nonalcoholic drinkers, and on no medication underwent clinical examination. Multiple-regression analysis showed that the severity of periodontitis was significantly correlated with increased systolic blood pressure and diastolic blood pressure. Simple-regression analysis indicated that the severity of periodontitis was inversely correlated with 24-hour urinary excretion of potassium (r=-0.579, P=0.0004 and also inversely with the frequency of intakes of green vegetables (r=-0.232, P=0.031 and fruits (r=-0.217, P=0.0043. Low-potassium intake in the diet mostly accompanied by low dietary fiber intake increases BP as well as periodontal inflammation. Potassium intake may be an important factor linking periodontitis and hypertension in middle-aged nonsmoking and nonalcoholic women on no medication, although chronic inflammation such as periodontitis may cause hypertension through a more direct mechanism.

  20. Chronic disease risk factors, healthy days and medical claims in South African employees presenting for health risk screening

    Directory of Open Access Journals (Sweden)

    Kolbe-Alexander Tracy L

    2008-07-01

    Full Text Available Abstract Background Non-communicable diseases (NCD accounts for more than a third (37% of all deaths in South Africa. However, this burden of disease can be reduced by addressing risk factors. The aim of this study was to determine the health and risk profile of South African employees presenting for health risk assessments and to measure their readiness to change and improve lifestyle behaviour. Methods Employees (n = 1954 from 18 companies were invited to take part in a wellness day, which included a health-risk assessment. Self-reported health behaviour and health status was recorded. Clinical measures included cholesterol finger-prick test, blood pressure and Body Mass Index (BMI. Health-related age was calculated using an algorithm incorporating the relative risk for all case mortality associated with smoking, physical activity, fruit and vegetable intake, BMI and cholesterol. Medical claims data were obtained from the health insurer. Results The mean percentage of participation was 26% (n = 1954 and ranged from 4% in transport to 81% in the consulting sector. Health-related age (38.5 ± 12.9 years was significantly higher than chronological age (34.9 ± 10.3 yrs (p Conclusion SA employees' health and lifestyle habits are placing them at increased risk for NCD's, suggesting that they may develop NCD's earlier than expected. Inter-sectoral differences for health-related age might provide insight into those companies which have the greatest need for interventions, and may also assist in predicting future medical expenditure. This study underscores the importance of determining the health and risk status of employees which could assist in identifying the appropriate interventions to reduce the risk of NCD's among employees.

  1. Survey on Awareness on Recent Health Care Reform in Medical Staff and Patients of Shaanxi%陕西医患双方对新医改认知的调查

    Institute of Scientific and Technical Information of China (English)

    李全义; 师社会; 王明旭

    2012-01-01

    目的 了解医患双方对新医改的感受和认知,分析其影响因素.方法采用问卷调查的方法.结果 医患双方在学历和职称两方面存在显著性差异(x2=25.74,P<0.01)、(x=104.74,P<0.01),但在收入上无差异(x2=8.60,P>0.05).医患双方分别有8.12%和27.61%的人不知道我国目前已稚行新医改,医务人员对新医改的认识主要来自于工作经历(89.68%),公众的认知主要来自于亲身感受(81.40%)和家人、亲戚朋友口口相传(14.65%).医务人员关心的是个人收入变化(48.56%)和医疗环境改善(40.61%),公众更在意医保报销比例(37.20%)和医药费用降低(25.08%).与医改前相比,医患双方均认为“看病难、看病责”问题有所缓解,但问题依然存在.个人收入变化是形成医方对医改认知的最主要因素(P<0.01),而医保参加情况则是影响公众对医改认知的重要原因(P<0.01).结论 陕西医患双方对新医改认识不同;个人收入变化、医保参加情况是影响医患双方对新医改认知的因素.%Objective; To survey the awareness and feeling about the recent health care reform in medical staff and patients, and analyze the influencing factors. Methods: Questionnaires method was used in this study. Re-SliltS; There was significant difference between medical staff and patients in educational background and technical title(x2 =25.74,P 0. 05 ). 8. 12% of medical staff and 27. 61% of patients did not know the new health care reform. The cognition of medical staff on new health care reform mainly came work experience (89. 68% ). For the patients, it mainly came from personal feeling ( 81. 40% ) and hearing from families and friends (14. 65% ). Most of medical staff concerned about personal incomes (48. 56% ) and the improvement of medical environment (40. 61% ). The public concerned about the proportion of medical compensation(37. 20% ) and reduction of medical costs(25.08% ). Comparing with before

  2. Improving Breast Cancer Preventive Behavior among Female Medical Staff: The Use of Educational Intervention based on Health Belief Model

    Science.gov (United States)

    TORBAGHAN, Ameneh Eskandari-; FARMANFARMA, Khadijah Kalan-; MOGHADDAM, Alireza Ansari-; ZAREI, Zahra

    2014-01-01

    Background: Breast cancer is one of the most common types of cancer prevalent among women worldwide. Preventive behaviors such as early diagnosis through screening tests play an important role in prevention and control of the disease. This study aimed to determine the effects of educational intervention using a health belief model on breast cancer preventive behaviors. Methods: This interventional study was conducted on 130 female employees of Zahedan University of Medical Sciences who were randomly divided into intervention and control groups. A questionnaire, made and validated by the researcher, was completed before and one month after training by the study subjects. Data were analysed using regression analysis, independent sample T-test, chi-square and Pearson’s correlation coefficient using the SPSS software 18. Results: There were significant changes in the training group, following educational intervention in the awareness construct and in some constructs of the model including perceived susceptibility, perceived benefits, and perceived barriers, as well as in practice compared to the control group (P < 0.05). Nevertheless, perceived barriers remained as the only predictor in the model, such that for every unit increase in this variable, the behavior score increased by 18%. Conclusion: The use of educational intervention based on Health Belief Model had positive effect on knowledge of breast cancer preventive behaviors among participants. PMID:25977633

  3. Problems of communicative competence in multi-cultural medical encounters in South African health services.

    Science.gov (United States)

    Grant, T

    2006-11-01

    Research in health communication shows communicative competence to be an important aspect of successful health-care. Definitions of competence involve more than the participants, however; the position and status of these participants in terms of the medical hierarchy and accepted paradigm, the language of choice, educational levels and a host of other variables affect relationships and perceptions of competence. This article grapples with a number of issues that impact on communicative competence in the health-care professions, given the multi-lingual and -cultural society within South Africa as well as emerging shifts that foreground this debate. In particular, the thorny question around language use, the hegemonies of the past regarding a dominant lingua franca and subsequent issues involving translation and interpretation are discussed. PMID:17310745

  4. Demographic, medical and visual aspects of Dia- betic Retinopathy (DR and Diabetic Macular Edema (DME in South African diabetic patients*

    Directory of Open Access Journals (Sweden)

    Anusha Y. Sukha

    2009-12-01

    interactions (p = 0.01 and emotional re-action to vision loss (p = 0.018 was reported in subjects with DME.Conclusion: This study has identified possible demographic, medical and visual risk factors of DR and DME in South African diabetic patients.  

  5. Staff Association

    CERN Multimedia

    Staff Association

    2014-01-01

    Remove of the staff association office   The Staff Association offices are going to be renovated during the coming four months, February to May 2014. The physical move from our current premises 64/R-002 to our temporary office in  510/R-010 will take place on Friday January 31st, so the Secretariat will be closed on that day. Hence, from Monday February 3rd until the end of May 2014 the Staff Association Secretariat will be located in 510/R-010 (entrance just across the CERN Printshop).    

  6. 建立公立医院医务人员薪酬制度的研究∗%Study on Salary System Establishment for Medical Staff in Public Hospitals

    Institute of Scientific and Technical Information of China (English)

    黄亚新; 徐长江; 丁强; 吴伟; 王丹; 潘晨; 朱卫华

    2015-01-01

    为进一步深化公立医院改革,充分调动医务人员积极性和创造性,建立符合医疗行业特点的公立医院医务人员薪酬制度非常重要。笔者提出,应合理确定医务人员薪酬总体水平、薪酬结构,完善各类人员分配机制,建立公立医院工资总额备案和动态增长机制,健全补偿机制。%Public hospital reform is the key link in deepening the reform of the pharmaceutical and health care sys-tem,and medical staff in public hospitals is the main force participating in the reform. It is significant to establish the salary system of medical staff conforming to the characteristics of medical industry in public hospitals in order to further deepen the reform in public hospitals and fully stimulate the enthusiasm and creativity of the broad masses of medical workers. Therefore,the authors put forward to determine rationally the overall level of medical staff salary,compensation structure, improve allocation mechanism of all kinds of personnel,establish the system of the total payroll in records and perfect com-pensation mechanism.

  7. NICU staff

    Science.gov (United States)

    ... your infant in the neonatal intensive care unit (NICU). The staff often includes the following: ALLIED HEALTH ... involved in your baby's care while in the NICU, it is the neonatologist who determines and coordinates ...

  8. Exigencias laborales psicológicas percibidas por médicos especialistas hospitalarios Job stress perceived by hospital medical staff

    Directory of Open Access Journals (Sweden)

    V. Escribà-Agüir

    2002-12-01

    muerte, sentirse responsable de vidas humanas, incertidumbre ante el diagnóstico y el tratamiento y otros con la organización del trabajo (sobrecarga de trabajo y falta de personal.Objective: To identify the psychosocial risk factors related to psychological demands perceived by specialist physicians from six public hospitals in the province of Valencia in Spain. Methods: A qualitative study was carried out. The population studied comprised the hospitals' specialist medical staff (Oncology, Internal Medicine, Traumatology, Radiology and Intensive Care. A trained interviewer performed 47 individual, face-to-face, semi-structured interviews. To select the participants, the following structural variables were taken into account: gender, age, family responsibilities, medical specialty, professional standing, length of service, and type of contract. Interviews were tape recorded and subsequently transcribed. Finally, the content of the interviews was analyzed. Results: The main psychosocial risk factors mentioned by the participants were workload and lack of staff, mainly due to the characteristics of work organization in the hospital. Another job stressor was daily contact with suffering and death, and feeling responsible for human life. Other significant job stressors were interpersonal relations in the work environment, in the case of patients' relatives, uncertainty about diagnosis and treatment, the possibility of being sued for malpractice, and communicating bad news. Conclusions: Hospital physicians report a large number of psychosocial risk factors. Some involve the characteristics of the medical profession (contact with suffering and death, responsibility for human life, uncertainty about diagnosis and treatment and others concern work organization (workload and staffing shortages.

  9. Comparison between the results of academic staff self assessment and those made by the students, Faculty of Medicine, Mazandaran University of Medical Sciences, 2006.

    OpenAIRE

    H.M.Jafari; K.Vahidshahi; M. Kosaryan; Mahmoodi, M

    2007-01-01

    Abstract Background and purpose: Educational evaluation is a structured process for determination of quality and effectivness of an educational program. Of the most common and studied methods used for evaluation of academic staff is evaluation by students, however, "self-assessment" of the academic staff has not been videly used and there are few studies about it. So the purpose of this study was to assess the correlation between the results of the academic staff "self assessment" and assessm...

  10. Reviewing staff performance and salaries.

    Science.gov (United States)

    Hills, Laura Sachs

    2005-01-01

    Do you feel like you're on shaky ground when it comes time to evaluate your staffs performance or to give them raises? If so, you're not alone. Staff performance and salary reviews are among the most dreaded tasks among medical practice managers. Yet, they are among the most effective techniques you can use to motivate, manage, correct, and reward your staff. This article provides an overview of the different kinds of appraisals you will need to conduct with your staff and the order in which to do them. It suggests that you begin the process by establishing concrete goals for your medical practice and then help your staff follow suit by developing their own performance goals for the next six months. This article also provides how-to guidance about conducting regular interim progress reviews with your staff to keep abreast of progress, changes, and problems and to issue ongoing assistance and feedback. It explains how to conduct tension-free semi-annual staff performance reviews and semi-annual or annual salary reviews, including a formula for calculating potential raises for each employee in nine increments. Finally, this article offers additional tips for evaluating your staffs performance, including job description updates and staff surveys. PMID:16302443

  11. Combined Medication and CBT for Generalized Anxiety Disorder with African American Participants: Reliability and Validity of Assessments and Preliminary Outcomes

    OpenAIRE

    Markell, Hannah M.; Newman, Michelle G.; Gallop, Robert; Gibbons, Mary Beth Connolly; Rickels, Karl; Crits-Christoph, Paul

    2014-01-01

    Using data from a study of combined cognitive behavioral therapy (CBT) and venlafaxine XR in the treatment of generalized anxiety disorder (GAD), the current article examines the reliability and convergent validity of scales, and preliminary outcomes, for African American compared to European American patients. Internal consistency and short-term stability coefficients for African Americans (n=42) were adequate and similar or higher compared to those found for European Americans (n=164) for s...

  12. The Effective Ways to Improve Information Literacy of Medical Staffs under Information Environment%信息环境下提升医务人员信息素养的有效途径

    Institute of Scientific and Technical Information of China (English)

    朱蓉

    2012-01-01

    The paper depicts the connotation of information literacy, aiming at the status of information literacy of medical staffs, it points out the urgency of improving information literacy of medical staffs, discusses the effective ways under information environment, in- eluding stepping up publicity, cuhivating information capability, enriching collection resources, constructing network platform, improving literacy of librarians, etc.%阐述信息素养的内涵,针对医务人员信息素养现状,提出提高信息素养的紧迫性,探讨信息环境下提升医务人员信息素养的有效途径,包括加强宣传力度、培养信息能力、丰富馆藏资源、构建网络平台、提升馆员素质等方面。

  13. Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era

    Directory of Open Access Journals (Sweden)

    Wang HF

    2015-03-01

    top type of error regarding administration route, but it continuously decreased from 64 (first half-year of 2012 to 27 (first half-year of 2014. More experienced registered nurses made fewer medication errors. The number of MAEs in surgical wards was twice that in medicinal wards. Compared with non-intensive care units, the intensive care units exhibited higher occurrence rates of MAEs (1.81% versus 0.24%, P<0.001. Conclusion: A 3-and-a-half-year intervention program on MAEs was confirmed to be effective. MAEs made by nursing staff can be reduced, but cannot be eliminated. The depth, breadth, and efficiency of multidiscipline collaboration among physicians, pharmacists, nurses, information engineers, and hospital administrators are pivotal to safety in medication administration. JCI accreditation may help health systems enhance the awareness and ability to prevent MAEs and achieve successful quality improvements. Keywords: medication administration, medication errors, nurse, quality improvements

  14. Reduction of levels of radiation exposure over patients and medical staff by using additional filters of copper and aluminum on the outputs of X-ray tubes in hemodynamic equipment

    International Nuclear Information System (INIS)

    Radioprotection in hemodynamic services is extremely important. Decrease of total exposition time, better positioning of medical staff in the room, use of individual and collective protection equipment and shorter distance between the patient and the image intensifier tube are, among others, some ways to reduce the levels of radiation. It is noted that these possible forms of reducing the radiation exposition varies depending on the medical staff. Hence, the purpose of the present paper is to reduce such levels of radiation exposition in a way apart from medical staffs. It is proposed, therefore, the use of additional filters on the output of the X-ray tube in three hemodynamic equipment from different generations: detector with a flat panel of amorphous selenium, image intensifier tube with charge coupled device, and image intensifier tube with video camera. In order to quantify the quality of the images generated, a simulator made of aluminum plates and other devices was set up, so it was possible to measure and compare the acquired images. Methods of images analysis (threshold, histogram, 3D surface) were used to measure the signal/noise ratio, the spatial resolution, the contrast and the definition of the signal area, thus doubts regarding the analysis of the images among observers (inter-observers) and even for a single observer (intra-observer) can be avoided. Ionization chambers were also used in order to quantify the doses of radiation that penetrated the skin of the patients with and without the use of the filters. In all cases was found an arrangement of filters that combines quality of the images with a significant reduction of the levels of exposure to ionizing radiation, concerning both the patient and the medical staff. (author)

  15. Status Survey on Knowledge of Medical Staff's Carrying Out Psychological Intervention for the Wounded after Disasters%灾后医护人员对伤员实施心理干预知识的现状调查

    Institute of Scientific and Technical Information of China (English)

    张焕芳; 李红玉; 员庆博

    2012-01-01

    目的 了解灾后医护人员对伤员实施心理干预知识的掌握情况.方法 采用整群抽样法,抽取辽宁省锦州市三甲医院、成都市三甲医院在岗医护人员392名,自行设计问卷调查医护人员对伤员进行心理干预知识的掌握情况.结果不同地区医院、是否主动为伤员提供过心理帮助、是否参加过心理干预培训的医护人员问卷得分比较,差异均有统计学意义(P<0.05);参加过心理干预培训的医护人员与没有参加过心理干预培训的医护人员问卷各纬度(急性应激障碍、慢性创伤性应激障碍、自杀)得分比较,差异有统计学意义(P<0.05).结论医护人员心理干预意识较差,灾害救援经验不足,应加强对医护人员的灾后伤员心理干预知识的教育.%Objective To survey the knowledge of medical staff on carrying out psychological intervention for the wounded after disaster. Methods The cluster sampling taken for recruiting 392 on - the -job medical staff from 3A - graded hospital in Jinzhou city of Liaoning province and Chengdu city. A self - designed questionnaire survey was conducted about their knowledge on carrying out psychological intervention for the wounded after disaster. Results The scores of the medical staff from hospitals of different regions about whether they had initially offered the psychological help to the wounded, and whether they participated in the training on knowledge of psychological intervention showed statistically significant difference ( P < 0. 05 ); and the scores of various dimensions ( acute stress disorder, chronic stress disorder, and suicide ) of the medical staff who had participated the training on knowledge of psychological intervention showed statistically significant differences as compared with those of the medical staff who had not ( P <0. 05 ) . Conclusion The medical personnel have poorer psychological intervention consciousness and lack experience in disaster relief, so they

  16. The Study of the Relationship between Depressive Symptoms and Occupational Stress of the Medical Staff%医护人员抑郁症状与职业紧张的关系研究

    Institute of Scientific and Technical Information of China (English)

    文凯; 洪文刚

    2015-01-01

    目的:研究医护人员抑郁症状与职业紧张的关系。方法:采用调查问卷分析758例医护人员在性别、年龄、婚姻状况、教育程度、职务、夜班情况、每周工作时间、福利待遇满意度及医患关系等方面的差异性,采用Logistic回归分析医护人员抑郁症状与职业紧张之间的关系。结果:758例医护人员中共有422例出现抑郁症状,抑郁症状检出率为55.67%,经单因素分析,医护人员在年龄、婚姻状况、职务、夜班情况、每周工作时间、福利待遇满意度及医患关系等方面比较差异有统计学意义(P<0.05);经Logistic回归分析,高付出-高回报、低付出-低回报、高付出-低回报均与抑郁症状均具有密切相关性,差异有统计学意义(P<0.05),且紧张程度越高,对抑郁症状的释放率越大。结论:医护人员抑郁症状与职业紧张之间存在着紧密联系,制订有效防治措施可明显降低医护人员精神抑郁症状的发生率,提高医疗工作效率和减少医疗纠纷事件的发生例数。%Objective: To study the relationship of between depressive symptoms and occupational stress of the medical staff.Method: The differences of the gender, age, marital status, education level, job, night shift situation, weekly working hours, welfare satisfaction and doctor-patient relationship of 758 cases of medical staff were compared by questionnaire analysis. The relationship of medical staff between depressive symptoms and occupational stress was analyzed by Logistic regression analysis.Result:422 cases among the 758 cases of medical staff showed depressive symptoms, and the detection rate of depressive symptoms was 55.67%. There were significant differences in medical staff among the age, marital status, position, the night shift, weekly working hours, welfare satisfaction and doctor-patient relationship by the single factor analysis, the differences were statistically

  17. Radiology Preparedness in Ebola Virus Disease: Guidelines and Challenges for Disinfection of Medical Imaging Equipment for the Protection of Staff and Patients

    OpenAIRE

    Mollura, Daniel J.; Palmore, Tara N.; Folio, Les R.; Bluemke, David A.

    2015-01-01

    This article considers the effects of Ebola virus disease on radiology departments and imaging equipment, with particular emphasis on currently available guidelines that may be applicable to radiology service delivery for maximizing the safety of patients and staff.

  18. Excessive daytime sleepiness and adherence to antihypertensive medications among Blacks: analysis of the counseling African Americans to control hypertension (CAATCH trial

    Directory of Open Access Journals (Sweden)

    Williams NJ

    2014-03-01

    Full Text Available Natasha J Williams,1 Girardin Jean-Louis,1 Abhishek Pandey,2 Joseph Ravenell,1 Carla Boutin-Foster,3 Gbenga Ogedegbe1 1Center for Healthful Behavior Change, Division of Internal Medicine, NYU Medical Center, New York, 2Department of Family Medicine, SUNY Downstate Medical Center, Brooklyn, 3Center of Excellence in Disparities Research, Weill Cornell Medical College, New York, NY, USA Background: Excessive daytime sleepiness (EDS often occurs as a result of insufficient sleep, sleep apnea, illicit substance use, and other medical and psychiatric conditions. This study tested the hypothesis that blacks exhibiting EDS would have poorer self-reported adherence to hypertensive medication using cross-sectional data from the Counseling African-Americans to Control Hypertension (CAATCH trial. Methods: A total of 1,058 hypertensive blacks (average age 57±12 years participated in CAATCH, a randomized controlled trial evaluating the effectiveness of a multilevel intervention for participants who receive care from community health centers in New York City. Data analyzed in this study included baseline sociodemographics, medical history, EDS, and medication adherence. We used the Epworth Sleepiness Scale, with a cutoff score of ≥10, to define EDS. Medication adherence was measured using an abbreviated Morisky Medication Adherence scale, with a score >0 indicating nonadherence. Results: Of the sample, 71% were female, 72% received at least a high school education, 51% reported a history of smoking, and 33% had a history of alcohol consumption. Overall, 27% of the participants exhibited EDS, and 44% of those who exhibited EDS were classified as adherent to prescribed antihypertensive medications. Multivariable logistic regression analysis, adjusting for effects of age, body mass index, sex, education, and smoking and drinking history indicated that participants who exhibited EDS were more than twice as likely to be nonadherent (odds ratio 2.28, 95

  19. Cognition and attitude of medical staff from a city on workplace violence%某市医务人员对工作场所暴力及应对的认知和态度

    Institute of Scientific and Technical Information of China (English)

    李磊; 冯晓蕾; 吴留广; 姚武; 王威

    2015-01-01

    目的:调查某市2家综合医院医务人员对工作场所暴力及应对的认知和态度。方法采用自制调查表调查医务人员对工作场所暴力及应对的认知和态度。结果28.0%的调查对象以前没有听说过“工作场所暴力”,96.9%的调查对象认为护士应进行包含预防工作场所暴力内容的岗前培训,并且愿意参加这种培训。调查对象认为预防或减少工作场所暴力发生的措施依次为传媒正确导向(86.5%);倡导尊重医务工作者,改善服务态度(86.1%);提高人际沟通技能,进行针对性培训,加强暴力应对能力(78.6%)。结论医院应为医务工作者创造支持性的环境,传媒正确导向,倡导尊重医务工作者、改善服务态度,进行针对性地培训,提升医务人员的沟通交际能力和工作场所暴力的应对能力。%Objective To investigate the status of cognition and attitude of medical staff from 2 general hospitals in a city on workplace violence. Methods The status of cognition and attitude to workplace violence of medical staff were investigated by ap-plying homemade questionnaire. Results 28. 0% of medical staff had never heard of workplace violence. 96. 9% of medical staff thought the content of job training should include the prevention strategies of workplace violence. Medical staff thought the main strategies to prevent or reduce workplace violence were correct media guidance(86. 5% );respect to medical staff,impro-ving the service attitude(86. 1% );improving the skill of communication,strengthening ability of dealing with workplace violence (78. 6% ). Conclusion Hospital should create a more supportive and safer working environment for prevention of workplace vi-olence. The main strategies to prevent or reduce workplace violence include correct media guidance and respect to medical staff, improving the service attitude and the skill of communication,strengthening ability of

  20. Cognition and attitude of medical staff from a city on workplace violence%某市医务人员对工作场所暴力及应对的认知和态度

    Institute of Scientific and Technical Information of China (English)

    李磊; 冯晓蕾; 吴留广; 姚武; 王威

    2015-01-01

    Objective To investigate the status of cognition and attitude of medical staff from 2 general hospitals in a city on workplace violence. Methods The status of cognition and attitude to workplace violence of medical staff were investigated by ap-plying homemade questionnaire. Results 28. 0% of medical staff had never heard of workplace violence. 96. 9% of medical staff thought the content of job training should include the prevention strategies of workplace violence. Medical staff thought the main strategies to prevent or reduce workplace violence were correct media guidance(86. 5% );respect to medical staff,impro-ving the service attitude(86. 1% );improving the skill of communication,strengthening ability of dealing with workplace violence (78. 6% ). Conclusion Hospital should create a more supportive and safer working environment for prevention of workplace vi-olence. The main strategies to prevent or reduce workplace violence include correct media guidance and respect to medical staff, improving the service attitude and the skill of communication,strengthening ability of dealing with workplace violence.%目的:调查某市2家综合医院医务人员对工作场所暴力及应对的认知和态度。方法采用自制调查表调查医务人员对工作场所暴力及应对的认知和态度。结果28.0%的调查对象以前没有听说过“工作场所暴力”,96.9%的调查对象认为护士应进行包含预防工作场所暴力内容的岗前培训,并且愿意参加这种培训。调查对象认为预防或减少工作场所暴力发生的措施依次为传媒正确导向(86.5%);倡导尊重医务工作者,改善服务态度(86.1%);提高人际沟通技能,进行针对性培训,加强暴力应对能力(78.6%)。结论医院应为医务工作者创造支持性的环境,传媒正确导向,倡导尊重医务工作者、改善服务态度,进行针对性地培训,提升医务人员的沟通交际能力和工作场所暴力的应对能力。

  1. Health literacy and its influence factors among Chinese medical staff in 2012%2012年全国医务人员健康素养状况及影响因素分析

    Institute of Scientific and Technical Information of China (English)

    卢永; 李英华; 聂雪琼; 李莉; 黄相刚

    2015-01-01

    understand the status of health literacy and its influence factors among Chinese medical staff to provide evidence for the development of intervention strategies and measures.Methods The survey respondents who filled “medical staff”in the blank of “occupa-tion”in 2012 National Residents Health Literacy Surveillance System were selected as analysis object.The data was cleaned and analyzed by SPSS 17.0 statistical software.Results 1248 effective questionnaires of medical staff were acquired from the data of 2012 National Residents Health Literacy Surveillance.The medical staff from urban area accounted for 63.54%. The medical staff from rural area accounted for 36.46% .The male accounted for 41.91% .The female accounted for 58.09%.Health literacy level of medical staff was 30.46%.The level of urban area medical staff was 35.69%.The level of rural area medical staff was 22.42%.The level of urban staff was higher than the level of rural staff (χ2 =23.864,P <0.05).The female’s level was 33.38%.The male’s level was 27.34%.The female’level was higher than the male’s level (χ2 =5.191,P =0.023).The level of East Region medical staff was 34.22%.The level of Middle Region staff was 30.07%.The level of West Region staff was 27.70%.The difference among East Region,Middle Region and West Region did not have statistical significance (χ2 =4.276,P =0.118).The possession ratios of “essential knowledge and idea”,“healthy lifestyle and behavior”and “essential skills”were 47.68%,29.41% and 30.77%,respectively.The literacy level of safety and first aid was the highest one among 6 kinds of issue-oriented health literacy,which was 65.30%.The lev-els of essential medicine literacy and chronic disease prevention and treatment literacy were relatively low,which were 27.40% and 25.48% respectively.The results of logistic regression showed that education was the important influence factor to the medical staff’s health literacy.Higher education,higher health literacy

  2. An ICT-Based Diabetes Management System Tested for Health Care Delivery in the African Context

    OpenAIRE

    Claude Takenga; Rolf-Dietrich Berndt; Olivier Musongya; Joël Kitero; Remi Katoke; Kakule Molo; Basile Kazingufu; Malikwisha Meni; Mambo Vikandy; Henri Takenga

    2014-01-01

    The demand for new healthcare services is growing rapidly. Improving accessibility of the African population to diabetes care seems to be a big challenge in most countries where the number of care centers and medical staff is reduced. Information and communication technologies (ICT) have great potential to address some of these challenges faced by several countries in providing accessible, cost-effective, and high-quality health care services. This paper presents the Mobil Diab system which i...

  3. 医改前后承德市某县基层医务人员工作满意度调查%Survey on Grassroots Medical Staff's Job Satisfaction before and after the Health Reform, Chengde

    Institute of Scientific and Technical Information of China (English)

    刘卫云

    2015-01-01

    目的:通过对承德市某县基层医务人员医改前后工作满意度比较,调查医改对医务人员的影响.方法:采用整群抽样法对医改前后承德市某县14所乡镇卫生院的医务人员进行工作满意度问卷调查.结果:医改前基层医务人员工作满意度得分为124.53±20.71,医改后为131.44±21.64,医改前满意度得分低于医改后,差异具有统计学意义(P<0.05).但不同个体特征的医务人员医改前后工作满意度不同,尤其是聘用制医务人员工作满意度得分医改后为122.55±21.63,医改前得分为128.86±23.08,医改后低于医改前,差异具有统计学意义(P﹤0.05).结论:提高医务人员工作满意度,促进基层医疗机构健康发展,既要考虑评价项目又要考虑不同的个体特征.%Objective: Compared the job satisfaction among the grassroots medical staff before and after the health reform , to know the influ-ence of the health reform.Methods: The SPSS 20 Software is adopted to analyze the grassroots medical staff job satisfaction questionnaire before and after.Results: Before the reform, grassroots health workers job satisfaction score was 124.53 ±20.71, 131.44 ±21.64 after reform, health care medical staff job satisfaction scored below after the reform, statistically significant differences (P<0.05).But individual characteristics of job satisfaction of medical staff are different before and after the reform, medical staff non in a series job satisfaction score was 122.55 ±21.63 after medical reform, before the score was 128.86 ±23.08 (P<0.05).Conclusion: To improve the medical staff job satisfaction, promote the development of grassroots medical institutions, should consider to the evaluation of different projects and different characteristics of different indi-viduals.

  4. RELATIONSHIP OF THE STAFF LOYALTY AND THE PERFORMANCE OF THE DENTAL CLINIC OF THE KRASNOYARSK STATE MEDICAL UNIVERSITY NAMED AFTER V.F. VOYNO-YASENETSKY

    Directory of Open Access Journals (Sweden)

    Татьяна Леонидовна Маругина

    2013-10-01

    Full Text Available We used the NPS methodology (Net Promoter Score developed by Fred Reichheld to determine loyalty of KRASSMU dental clinic staff. The method makes it possible using only 2 questions to evaluate not only the level of employees’ loyalty to the organization, but also to identify the approaches of increasing or retaining this level.The doctors, nurses, administrative and general service staff - all in all 60 employees were involved in the survey. As a result of the survey the level of NPS of the KRASSMU dental clinic staff is as following: 2.9% are promoters with a high degree of loyalty, 41.4% with an average degree of loyalty; the group of critics includes employees with a low degree of loyalty - 45.7%, totally not loyal - 10%. Thus the NPS index is -11.4%.Despite the negative NPS index the job performance standards of the dental clinic are increasing every year. It is achieved by the reward of the staff, satisfaction of needs, honest relationship in case of fulfillment of the terms of contract, the favorable environmental conditions in the workplace, as well as a qualitative monitoring the work of staff.DOI: http://dx.doi.org/10.12731/2218-7405-2013-9-30

  5. 肿瘤科医护人员对癌因性疲乏管理认知的质性研究%Recognition of medical staff in the oncology department about management of cancer related fatigue:a qualitative research

    Institute of Scientific and Technical Information of China (English)

    田利; 王芬; 薛嵋; 曹娟妹; 周群英; 杨益群; 李惠玲

    2015-01-01

    Objective To explore how medical staff in the oncology department understand management of cancer related fatigue (CRF), and explore what factors influencing the effective practice of CRF management. Methods Qualitative inquiry was adopted. Ten medical staffs in the oncology department were selected for in- depth interview. Generic analysis was applied to code, categorize and interpret the qualitative data. Results Participants believed that many factors influenced the CRF, which hadn′t been assessed as an independent symptom and lacked the systematic, effective and specific interventions. The medical staff, patients and their families neglecting the CRF management was the main barrier. Strengthening system construction and staff training was mentioned as major area which needed to be improved. Conclusions CRF management guideline should be formulated according to our national situations based on the clinical practices, besides, the training of correlated clinical knowledge and skills of medical staff should be strengthened and eventually promote the cancer patients′quality of life.%目的:了解肿瘤科医护人员对癌因性疲乏管理的认知,探讨实施有效癌因性疲乏管理的影响因素。方法采用质性研究对10名肿瘤科医护人员进行半结构式访谈,并运用类属分析法进行资料的编码、分类、提取主题。结果受访的肿瘤科医护人员认为癌因性疲乏的影响因素较多;尚未将其作为一个独立症状进行评估;认为尚缺乏系统、有效、具有针对性的管理措施;医护人员和家属缺乏对癌因性疲乏管理的重视是阻碍癌因性疲乏有效管理的障碍因素;只有加强制度层面建设和医护人员的培训才能有效推动癌因性疲乏管理工作。结论应结合临床实际情境,制定符合我国国情的癌因性疲乏管理指南,并对临床医护人员进行相关知识和技能培训,以提高肿瘤患者的生命质量。

  6. Staff Rostering

    Directory of Open Access Journals (Sweden)

    R.A.E. Thompson

    1978-09-01

    Full Text Available Staff rostering is a key factor in nursing management with potential to bring life to, or to paralyse the system. This places immense responsibility on those in charge of rostering, and an all but intolerable load if the task is incumbent upon any one person. Nurse administrators (managers who have handled such a task, are to be congratulated on the order they have created out of potential ‘chaos’. It would seem, however, that the time is surely ripe for regular appraisals of the situation with a resultant increased participation in the policy and decision-making process.

  7. RELATIONSHIP OF THE STAFF LOYALTY AND THE PERFORMANCE OF THE DENTAL CLINIC OF THE KRASNOYARSK STATE MEDICAL UNIVERSITY NAMED AFTER V.F. VOYNO-YASENETSKY

    OpenAIRE

    Татьяна Леонидовна Маругина; Анатолий Кузьмич Яркин; Вадим Валентинович Федотов; Екатерина Сергеевна Загородних

    2013-01-01

    We used the NPS methodology (Net Promoter Score) developed by Fred Reichheld to determine loyalty of KRASSMU dental clinic staff. The method makes it possible using only 2 questions to evaluate not only the level of employees’ loyalty to the organization, but also to identify the approaches of increasing or retaining this level.The doctors, nurses, administrative and general service staff - all in all 60 employees were involved in the survey. As a result of the survey the level of NPS of the ...

  8. Study on hand hygiene intervention of medical staff in intensive care unit%重症监护室医务人员手卫生干预研究

    Institute of Scientific and Technical Information of China (English)

    崔琢; 朱敬蕊; 汪振林; 张向君; 项平; 谢琪芳

    2015-01-01

    目的::调查干预前后重症监护室医务人员手卫生依从性、知晓情况及医院感染发生率,了解手卫生现状及手卫生与医院感染之间的关系。方法:采用实验流行病学方法,从2013年5月至2014年5月分5个阶段进行手卫生干预,干预措施包括直接观察、手卫生培训、评估反馈等,观察干预前后手卫生执行情况,计算手卫生依从性。进行现场试卷考核,计算重症监护室人员手卫生知晓率。统计调查时段内医院感染发生例数,计算医院感染发生率。结果:医生手卫生执行依从性从干预前45.0%提高到再干预后的91.1%,护士手卫生依从性从干预前43.3%提高到再干预后的92.2%,差异均有统计学意义( P0.05)。结论:采取有效的干预措施提高手卫生依从性和知晓率,可以有效降低医院感染的发生。%Objective:To investigate the hand hygiene compliance and awareness of medical staff in intensive care unit,incidence of nosocomial infection before and after the intervention, and know the status of hand hygiene, relationship between hand hygiene and nosocomial infection. Methods:The hand hygiene intervention in five stages were implemented using experimental epidemiology method from May 2013 to May 2014. The intervention measures included direct observing,hand hygiene training,assessment feedback,observing the implementation of hand hygiene before and after the intervention and calculating the compliance of hand hygiene. All people were examined on-site to calculate the awareness rate of hand hygiene. The number of cases with nosocomial infection was analyzed during the survey period to calculate the incidence of nosocomial infection. Results:The hand hygiene compliance in doctors and nurses before and after intervention were from 45. 0% to 91. 1% and from 43. 3% to 92. 2%, respectively, the difference of which was statistically significant(P0. 05). Conclusions

  9. 77 FR 37886 - Notice of Intent To Obtain Information Regarding Organizations Who Are Assisting African...

    Science.gov (United States)

    2012-06-25

    ... African Governments To Increase Healthcare Institution Capacity To Maintain Complex Medical Equipment..., which are currently helping African government hospitals, clinics, laboratories, and other African... involved in enhancing the long term ability of African government health institutions to maintain...

  10. 医护人员简短戒烟干预技术自信度调查%A Survey of Degree of Confidence on Brief Tobacco Intervention Skills among Medical Staffs

    Institute of Scientific and Technical Information of China (English)

    闫丽平; 蔡文阁; 赵霞

    2015-01-01

    Objective This research article aims to provide further information for further tobacco control task, by investigating degree of confidence of medical staff in a hospital in Beijing, who implement brief smoking cessation intervention techniques.Methods Investigate degree of confidence of taking brief tobacco intervention on 355 medical staff by using self-administered and inquiry method. The main content of degree of confidence is the knowledge and guidance ability of smoking cessation. The evaluation of degree of confidence and the comparison among departments use One Way ANOVA analysis, and comparison of different occupation use T test analysis. Results Doctors’degree of confidence is higher than nurses’(t=9.137, P<0.05). Medical staffs from department of Respiration and department of Thoracic surgery generally have higher degree of confidence in the implementation of brief smoking cessation intervention technology. However, medical staffs from department of Traditional Chinese Medicine and department of physical examination generally have lower degree of confidence(F=15.54, P<0.05).The question of follow up in assessment questionnaire get lowest score(3.06±1.19).ConclusionMedical staffs from non-professional department get lower score on knowledge and guidance ability of smoking cessation than medical staffs from professional department, which resulting in low degree of confidence on taking the brief tobacco intervention technology.%目的:对北京市某三甲医院医护人员实施简短戒烟干预技术自信度现状的调查,为今后开展医院控烟工作提供基础资料。方法采用自填式和询问式的方法,对355名医护人员进行简短戒烟干预自信度评估卡问卷调查,自信度内容主要是戒烟知识和戒烟指导能力。自信度评估内容和科室之间比较采用One Way ANOVA分析;职业比较采用t检验统计。结果医师的自信度高于护士(t=9.137,P<0.05)。呼吸科和胸外科医

  11. Puncture by pointed instrument in medical staff in operating room and related protection strategies%手术室医务人员锐器刺伤与防护对策

    Institute of Scientific and Technical Information of China (English)

    朱琳

    2011-01-01

    Objective To explore the reasons and the protection strategies for puncture by pointed instrument in medical staff at work in operating room. Methods The major reasons for puncture by pointed instrument in medical staff at work in operating room from2007 to 2009 were retrospectively analyzed. Effective prevention measures were made. Results The rate of puncture by pointed instrument was effectively lower after systemic education on occupational safety and prevention. Proper emergency management and tracking of prevention against occupational exposure avoided the incidence of infectious diseases. The mental stress could be alleviated in the victims after they received psychological assistance according to the levels of exposure. Conclusions Education on nosocomial infection and occupational safety should be strengthens in the medical staff in operating room. The staff should regulate their medical pratice and operation. Control of nosocomial infection need to be enhanced and puncture-induced infections should be prevented.%目的 探讨我院手术室医务人员在工作中造成锐器刺伤的原因及防护对策.方法 回顾性分析2007-2009年发生在手术室工作场所产生的锐器刺伤的主要因素,并提出有效的预防控制措施.结果 通过系统的职业安全防护教育,有效降低利器损伤的发生率;锐器刺伤后采取恰当的应急处理和职业暴露防护追踪可避免感染传染性疾病;根据不同暴露级别对刺伤者进行心理辅导,可缓解受伤者的心理压力.结论 加强手术室工作人员的医院感染及职业安全教育,培养良好的工作习惯,科学的医院感染控制,预防锐器伤所致的感染.

  12. 医护人员遭受工作场所暴力后心理应激反应的深度体验%Qualitative research on psychological stress of the hospital workplace violence against the medical staff

    Institute of Scientific and Technical Information of China (English)

    余泳琛; 邹芳亮; 蔡一凡; 林丽敏; 林卓华; 卢延虹; 蔡文智

    2014-01-01

    Objective To investigate the stress reaction of the medical staff who suffered workplace violence,and provide reference for nursing interventions.Methods 13 medical staff who suffered work-place violence were interviewed through semi-constitutional formula,the data were analyzed by phenomenological method of qualitative research.Results The psychological stress of medical staff mainly included 3 themes:complex emotions,eager to help; psychological adjustment required internal and external integration; different stress reaction affected the psychological state.Conclusions The medical staff suffer seriously from the workplace violence both on the physical and mental health,individuals should learn how to deal with it correctly,and the relevant departments should pay full attention to the humane care to victims of violence,guide them to view the stress correctly,and to take effective measures to prevent and control workplace violence.%目的 探讨医护人员遭受工作场所暴力后的应激反应,为采取干预措施提供依据.方法 对13名遭受过医院暴力的医护人员采用半结构式深度访谈,按照质性研究中的现象学方法整理分析资料.结果 医护人员遭受医院场所暴力后的应激反应深度体验为:情绪复杂、渴望帮助;心理调适需内外结合;不同应激反应影响心理状态.结论 医院工作场所暴力事件给医护人员带来了强烈且持久的应激反应,造成严重的影响,我们要密切关注暴力受害者的心理健康,及时有力地进行心理疏导,引导受害者正确看待应激源,最终将暴力后遗症伤害降到最低程度.

  13. 直观教育对提高医护人员手卫生依从性的效果研究%RESEARCH ON IMPROVING EFFECT ON HAND HYGIENE COMPLIANCE OF MEDICAL STAFF THROUGH DIRECT- VIEWING EDUCATION

    Institute of Scientific and Technical Information of China (English)

    赵庆华; 何蕾; 高岩; 尹自芳; 程丽红; 魏艳菊

    2012-01-01

    Objective To study the education methods of hand hygiene of ICU medical staff in order to improve the compliance of hand hygiene. Methods Direct - viewing education method of hand hygiene was used to train the medical staff and to observe the compliance of hand hygiene and quality monitoring. Results Through the direct - viewing education method of hand hygiene, the frequency of hand washing a day increased from 16 times to 36 times; the bacteria on the hands decreased from average 14 cfu/cm2 to ≤5 cfu/cm2. The examination results showed that the qualified rate of hand hygiene of medical staff increased from 18. 75% to 93. 75% through education. Conclusion Through direct - viewing education of hand hygiene, the compliance of hands washing and the quality of hands hygiene of medical staff in ICU were efficiently improved.%目的 研究监护室医护人员手卫生教育方式,提高手卫生依从性.方法 采用手卫生直观教育的方法,对医护人员手卫生进行培训,并观察医护人员手卫生依从性和质量监测.结果 通过手卫生直观教育,重症监护室医护人员日洗手次数由教育前的16次提高到36次;手上带菌数由平均14 cfu/cm2,降低到≤5 cfu/cm2.检测结果显示,医护人员手卫生质量合格率由教育前的18.75%,提高到93.75%.结论 通过手卫生直观教育,有效提高了重症监护室医护人员洗手依从性和手卫生质量.

  14. A study on knowledge and practice regarding biomedical waste management among staff nurses and nursing students of Rajendra Institute of Medical Sciences, Ranchi

    OpenAIRE

    Shamim Haider; Sneha Kumari; Vivek Kashyap; Shalini Sunderam; Shashi Bhushan Singh

    2015-01-01

    Background: Hospitals are the centre of cure and also the important centres of infectious waste generation. Effective management of Biomedical Waste (BMW) is not only a legal necessity but also a social responsibility. Aims and Objectives: To assess the knowledge and practice in managing the biomedical wastes among nursing staff and student nurses in RIMS, Ranchi. Materials and methods: The study was conducted at RIMS, Ranchi from Oct 2013 to March 2014 (6 months). It was a descriptive, hospi...

  15. A study on knowledge and practice regarding biomedical waste management among staff nurses and nursing students of Rajendra Institute of Medical Sciences, Ranchi

    Directory of Open Access Journals (Sweden)

    Shamim Haider

    2015-03-01

    Full Text Available Background: Hospitals are the centre of cure and also the important centres of infectious waste generation. Effective management of Biomedical Waste (BMW is not only a legal necessity but also a social responsibility. Aims and Objectives: To assess the knowledge and practice in managing the biomedical wastes among nursing staff and student nurses in RIMS, Ranchi. Materials and methods: The study was conducted at RIMS, Ranchi from Oct 2013 to March 2014 (6 months. It was a descriptive, hospital based, cross-sectional study. A total of 240 nurses participated in the present study, randomly chosen from various departments A pre-designed, pre-tested, structured proforma was used for data collection after getting their informed consent. Self-made scoring system was used to categorize the participants as having good, average and poor scores. Data was tabulated and analyzed using percentages and chi-square test. Results: The knowledge regarding general information about BMW management was assessed(with scores 0-8,it was found  that level of knowledge was better in student nurses than staff nurses as student nurses scored good(6-8correct answers in more than half of the questions (65%.Whereas staff nurses scored good in only 33.33% questions. When the practical information regarding the BMW management is assessed (with scores 0-8, it was found that staff nurses had relatively better practice regarding BMW management than students as they scored good(6-8correct answers in 40% and 30% respectively. Conclusion: Though overall knowledge of study participants was good but still they need good quality training to improve their current knowledge about BMW. 

  16. STAFF NEEDED

    CERN Multimedia

    2001-01-01

    The English National Programme, part of the Lycée International de Ferney-Voltaire (France) needs the following staff for September 2001: A part-time teacher of primary English The post involves teaching the English curriculum to pupils who are within the French educational system: Classes take place on Tuesday afternoons at the Lycée, Team spirit necessary as teachers work as a team, Induction & training are offered. A part time teacher of senior secondary history-geography in English A part time teacher of secondary mathematics in English Teachers must be mother-tongue English speakers and have a relevant degree and/or teaching qualification. For the history-geography post, either history or geography degrees are acceptable. Please send your c.v. and a letter of application to Peter Woodburn, Head, English National Programme, Lycée International, 01216 Ferney-Voltaire, France. (Email: engnat@hotmail.com) Telephone 04 50 40 82 66 for further details of posts. Ple...

  17. The effect of psychological yoga on negative emotion and living quality of medical staff%心灵瑜伽对医护人员负性情绪及生活质量的影响

    Institute of Scientific and Technical Information of China (English)

    罗丽丹; 叶美霞

    2015-01-01

    目的:探讨心灵瑜伽对医护人员负性情绪及生活质量的影响。方法选取20例医护人员为研究对象,并给予心理瑜伽减压干预。采用抑郁自评量表(SDS)及焦虑自评量表(SAS)评价负性情绪;采用健康调查量表(SF-36)评价生活质量;采用马斯勒倦怠量表-服务行业版(MBI-HSS)评价工作倦怠程度。结果干预后,医护人员SAS及SDS评分均显著降低,与干预前比较差异具有统计学意义(P<0.05)。医护人员活力、情感职能、社会功能、精神健康、生理功能、生理职能、躯体疼痛及总体健康等维度评分均显著升高,与干预前比较差异具有统计学意义(P<0.05)。医护人员情绪衰竭、情感疏远评分显著降低,个人成就感评分显著升高,与干预前比较差异具有统计学意义(P<0.05)。结论心灵瑜伽可有效减轻医护人员工作压力,改善其负性情绪及生活质量,值得推广使用。%Objective To evaluate the effect of psychological yoga on negative emotion and living quality of medical staff. Methods Selected 20 cases of medical staff as the research object. Used self-rating depression scale (SDS) and self-rating anxiety scale (SAS) to evaluate the negative emotions. Used short-form-36 health survey to evaluate the living quality. Used maslach burnout inventory-human service survey (MBI-HSS) to evaluate the job burnout.ResultsAfter the intervention, the SAS and SDS scores of medical staff were significantly lower, compared with before intervention differences statistically significant (P<0.05). The dimension score of vitality, emotional functions, social function, mental health, physical function, physiological functions, physical pain and general health were significantly increased, compared with before intervention differences statistically significant (P<0.05). The score of medical staff emotional exhaustion and emotional alienation significantly

  18. Attitudes towards informed consent, confidentiality, and substitute treatment decisions in southern African medical students: a case study from Zimbabwe.

    Science.gov (United States)

    Hipshman, L

    1999-08-01

    This study explored the attitudes of biomedical science students (medical students) in a non-Western setting towards three medical ethics concepts that are based on fundamental Western culture ethical principles. A dichotomous (agree/disagree) response questionnaire was constructed using Western ethnocentric culture (WEC) based perspectives of informed consent, confidentiality, and substitute decision-making. Hypothesized WEC-Biased responses were assigned to the questionnaire's questions or propositions. A number of useful responses (169) were obtained from a large, cross-sectional, convenience sample of the MBChB students at the University of Zimbabwe Medical School. Statistical analysis described the differences in response patterns between the student's responses compared to the hypothesized WEC-Biased response. The effect of the nine independent variables on selected dependent variables (responses to certain questionnaire questions) was analyzed by stepwise logistic regression. Students concurred with the hypothesized WEC-Biased responses for two-thirds of the questionnaire items. This agreement included support for the role of legal advocacy in the substitute decision-making process. The students disagreed with the hypothesized WEC-Biased responses in several important medical ethics aspects. Most notably, the students indicated that persons with mental dysfunctions, as a class, were properly considered incompetent to make treatment decisions. None of the studied independent variables was often associated with students' responses, but training year was more frequently implicated than either ethnicity or gender. In order to develop internationally and culturally relevant medical ethics standards, non-Western perspectives ought to be acknowledged and incorporated. Two main areas for further efforts include: curriculum development in ethics reasoning and related clinical (medico-legal) decision-making processes that would be relevant to medical students from

  19. 某军队医院医务人员生活方式及饮食习惯调查及对策%Survey on Lifestyle and Diet Habits of Medical Staff of A Military Hospital and Its Countermeasures

    Institute of Scientific and Technical Information of China (English)

    李英秋; 龙江丽; 荆忱; 张岩; 潘玉焕; 刘静平

    2011-01-01

    [Objective]To understand the lifestyle and diet habits of medical staff, and provide evidence for developing individualized health management.[Methods]Health examination and questionnaire were adopted to conduct investigation on 598 medical workers serving and retired of a hospital about health, diet habits and lifestyle.The data were statistically analyzed with SPSS 11.5.[Results]The overall prevalence rate of risk factor for cardiovascular diseases among medical staff was 61.6%.The top 10 bad lifestyles and diet habits were less intake of coarse grains (84.75% ), less intake of water (71.61%), lack of physical exercise (64.73% ), less intake of vegetables (62.43%), less intake of fish (60.11% ), eating greasy (59.73% ), without insisting on eating breakfast ( 58.77% ), less intake of fruits ( 55.83% ), inadequate intake of milk ( 55.16% ), the partial eclipse (48.61% ).The bad lifestyles and diet habits of retired medical workers were long time TV watching ( 79.91% ) and less kinds of food intake (47.44% ).[Conclusion]The medical staff is the group with high risk of cardiovascular disease.Bad lifestyle and diet habits exist in medical staff.It is necessary to strength their health education and health management%目的 了解医务人员的生活方式及饮食习惯,为制定个体化的健康管理提供依据.方法 采用健康检查、问卷调查的方法对某军队医院的598名在职及离退休的医务人员进行健康状况、饮食习惯和生活方式调查,统计分析采用SPSS 11.5统计软件进行.结果 医务人员各种心脑血管病危险因子总患病率为61.6%;在职医务人员排在前10位的不良生活饮食习惯为摄入粗粮少(84.75%)、饮水少(71.61%)、缺乏体育锻炼(64.73%)、摄入蔬菜少(62.43%)、摄入鱼类少(60.11%)、喜食油腻(59.73%)、不坚持吃早餐(58.77%)、摄入水果少(55.83%)、摄入奶量不足(55.16%)、偏食(48.61%),离退休医务人员的主要不良生活

  20. Staff training in organisation

    OpenAIRE

    Vomáčka, Štěpán

    2012-01-01

    This thesis is focused to areas of staff training in organization. The first part summarize general problems of staff training as a part of human resources management and concepts are explained such as motivation to education, human recources management, staff training methods, analyses of staff training needs, methods of development needs identification, staff training planning, corporate staff training, e-learning and evaluation of personnel development results. The second part of this thes...

  1. Research on Psychological Capital and Influence Factors of Medical Staff%医务人员心理资本调查与影响因素研究

    Institute of Scientific and Technical Information of China (English)

    田慧芳

    2014-01-01

    Objective We find out the psychological capital status of medical staf ,and at the same time we get the factors of psychological capital of medical staf by exploring the dif erences in dif erent demographic variables,in order to seek empirical support for the promotion of medical staf 's psychological capital. Methods We use SPSS16.0 software,applying descriptive statistical analysis,independent samples t test,and single-factor analysis of variance methods to 415 medical staf which are from four tertiary hospitals in Tianjin randomly. Results Psychological capital of medical staf overal in the upper level. The dif erent marital status of the medical staf of psychological capital do not exist significant dif erences. The dif erent genders,ages,job titles,educations and monthly incomes do exist significantly dif erences. Conclusion Demographic variables have impact on the psychological capital of medical staf .%目的:了解医务人员心理资本的现状,同时通过探讨不同人口学变量下医务人员心理资本的差异得到其影响因素,为寻求医务人员心理资本的提升提供实证支持。方法采用SPSS16.0软件,应用描述性统计分析、独立样本t检验和单因素方差分析方法,对随机抽取的天津市四家三级医院415名员工心理资本进行问卷调查,并对调查结果进行统计分析。结果医务人员心理资本总体处于中上水平,不同婚姻状况下医务人员心理资本不存在显著差异,不同性别、年龄、职称、学历和学月收入下心理资本均存在显著差异。结论人口学变量对医务人员心理资本有影响作用。

  2. K-A-P analysis of nutritional oncology for Chinese medical staff%中国医务人员肿瘤营养知识-态度-行为调查分析

    Institute of Scientific and Technical Information of China (English)

    张晓伟; 李素云; 周岚; 胡雯; 赵长海; 巍少忠; 石汉平; 李薇; 陈公琰; 赵广法; 陈建思; 罗素霞; 杨婷; 黄进; 陈鄢津

    2016-01-01

    与临床营养方面的科研,医务人员前3位营养知识来源是工作中摸索积累(66.22%)、阅读专业书籍和期刊杂志(65.40%)、在校时学习(61.25%)。结论当前我国医务人员对肿瘤营养治疗有着积极的态度和较好的营养治疗行为,但营养知识的掌握程度亟需进一步提高,非常有必要加强对医务人员的营养教育培训。%Objective Investigate and understand Chinese medical staff’s knowledge, attitude and practice (K-A-P) towards the nutritional oncology, to provide a basis for the training of the nutritional oncology, and the improvement on clinical treatment. Methods This is a multicenter, prospective and observational study for about 3036 medical staffs from 138 hospitals in the 13 provinces of China, to collect and summarize the K-A-P scores in questionnaires.Results The overall mean±SD for K scores was 41.26±23.68, the pass rate was 35.31%, and the good rate was 12.48%. The overall mean±SD for A scores was 82.23±12.63, the pass rate was 96.57% and the good rate was 69.37%. The overall mean±SD for P scores was 73.03±15.06, pass rate was 85.64%and the good rate was 39.86%. The correlation coefifcient between the K scores and A scores was 0.136 withP value less than 0.05, the correlation coefifcient between the K scores and P scores was 0.179 withP value less than, which means there are correlations between the K scores and A scores, the K scores and the P scores. The pass rate of K scores for the male medical staff was higher than the female (P>0.05), but there is no signiifcant difference for the A scores and P scores in the gender of the medical staffs (P0.05). The mean value, pass rate and good rate for K-A-P scores in medical staffs with higher degrees were superior than lower degrees (P0.05), but there is a higher P scores and the pass rate in general hospitals (P<0.05). The study time on nutritional education is less than 10 percentages of the full time for 58

  3. 湖北省某市城区小型医疗机构医务人员健康素养调查分析%Analysis on Health Literacy of Medical Staff in Small-scaled Urban Medical Institutions in Hubei Province

    Institute of Scientific and Technical Information of China (English)

    李萍; 朱志芬; 钟萍; 王春兰

    2011-01-01

    Objective:To investigate the current status of the health literacy of the medical staff in small -scaled medical institutions in a city of Hubei province. Methods: The 2008 Chinese citizens health literacy questionnaire designed by Chinese citizens health literacy panel was used among 1,600 medical personnel in 307 small - scaled medical institutions in Hubei province, and the data from valid survey were given statistical and comprehensive analysis. Results: The overall rate of health literacy knowledge among medical staff in small - scaled medical institutions was 67% , and there was a statistically significant difference in health literacy between those with different educational backgrounds and technical degrees, while there was no statistically significant difference in health literacy between those of different ages and genders. Conclusion: Medical staff in small - scaled medical institutions have an overall low health literacy, thus the superior health department should aim to raise the health literacy of those target population, include taking the health literacy training into the social development planning, stressing health education.%目的 了解湖北省某市城区小型医疗机构医务人员健康素养的现状.方法 采用中国公民健康素养调查组设计的2008中国公民健康素养调查问卷,以307家小型医疗机构的1600名医务人员为调查对象,对有效问卷进行数据统计和综合分析.结果 城区小型医疗机构医务人员健康素养总体知晓率为67%,不同学历和技术职称人员的知晓率具有统计学意义,不同年龄及性别之间无统计学意义.结论 城区小型医疗机构医务人员健康素养水平低,上级卫生部门应大力提高小型医疗机构人员的健康素养,把健康素养纳入社会发展规划,重视健康教育.

  4. 医护人员组织承诺相关变量研究综述%Summary of the Related Variables of Medical staff's Organizational Commitment

    Institute of Scientific and Technical Information of China (English)

    王子姝; 赵丽珍; 郑建萍

    2014-01-01

    回顾分析国内关于医护人员组织承诺的实证研究,探讨医护人员组织承诺的前因变量、结果变量及作用机制,并提出未来可进一步研究的方向,促进医院管理者更好地了解和把握医护人员的职业心理,提升员工绩效和组织效能。%By retrospectively analyze the current domestic empirical research on medical staff’s organizational commitment, and study the antecedent and outcome variables of it and mechanism of the action,then propose some research directions in future, to promote the hospital managers understand the medical staff’s occupational psychology preferably,improve the employee performance and organizational effectiveness.

  5. Convergence and translation : attitudes to interprofessional learning and teaching of creative problem-solving among medical and engineering students and staff

    OpenAIRE

    Spoelstra, H.; Stoyanov, S; Burgoyne, L; Bennet, D; Drachsler, H.; Vanderperren, K.; Van Huffel, Sabine; McSweeney, J; Shorten, G.; O'Flynn, S.; Cantillon-Murphy, P.; O'Tuathaigh, C

    2014-01-01

    Background Healthcare worldwide needs translation of basic ideas from engineering into the clinic. Consequently, there is increasing demand for graduates equipped with the knowledge and skills to apply interdisciplinary medicine/engineering approaches to the development of novel solutions for healthcare. The literature provides little guidance regarding barriers to, and facilitators of, effective interdisciplinary learning for engineering and medical students in a team-based project context. ...

  6. Knowledge, attitudes, beliefs and behaviour intentions for three bowel management practices in intensive care: effects of a targeted protocol implementation for nursing and medical staff

    OpenAIRE

    Knowles, Serena; Lam, Lawrence T; McInnes, Elizabeth; Elliott, Doug; Hardy, Jennifer; Middleton, Sandy

    2015-01-01

    Background Bowel management protocols have the potential to minimize complications for critically ill patients. Targeted implementation can increase the uptake of protocols by clinicians into practice. The theory of planned behaviour offers a framework in which to investigate clinicians’ intention to perform the behaviour of interest. This study aimed to evaluate the effect of implementing a bowel management protocol on intensive care nursing and medical staffs’ knowledge, attitude, subjectiv...

  7. Human Rights That Influence The Mentally Ill Patient In South African Medical Law: A Discussion of Sections 9; 27; 30 and 31 of the Constitution

    Directory of Open Access Journals (Sweden)

    M Swanepoel

    2011-12-01

    Full Text Available The personalised nature of mental illness obscures from general view the intolerable burden of private and public distress that people with serious mental illness carry. Invariably the mentally ill person encounters rejection and humiliation that are in some way tantamount to a "second illness." The combination either disrupts or puts beyond reach the usual personal and social life stages of marriage, family life, raising children, sexual relationships, the choice of treatment, affordable housing, transportation, education and gainful employment. As a result of their lack of financial and social support and their experience of rejection from society, persons with mental illness tend to neglect themselves and their diet, and frequently delay seeking treatment. Against this background, this contribution critically focuses on the human rights that influence the mentally ill patient in South African medical law. Specific attention is paid to the relevance and meaning of sections 9 (the equality clause, 27 (access to health care services, 30 and 31 (language, culture and religion of the Constitution of the Republic of South Africa, 1996.

  8. Plagiarism in the article Emphysematous cystitis and emphysematous pyelitis: a clinically misleading association. Mustapha Ahsaini et al. The Pan African Medical Journal. 2013;16:18. (doi:10.11604/pamj.2013.16.18.2505).

    Science.gov (United States)

    2015-01-01

    This retracts article Emphysematous cystitis and emphysematous pyelitis: a clinically misleading association. Mustapha Ahsaini, Amadou Kassogue, Mohammed Fadl Tazi, Anas Zaougui, Jalal Edine Elammari, Abdelhak Khallouk, Mohammed Jamal El Fassi, My Hassan Farih. The Pan African Medical Journal. 2013;16:18. (doi:10.11604/pamj.2013.16.18.2505).[This retracts the article DOI: 10.11604/pamj.2013.16.18.2505.]. PMID:26328003

  9. Decentralized Ground Staff Scheduling

    OpenAIRE

    Sørensen, M. D.; Clausen, Jens

    2002-01-01

    Typically, ground staff scheduling is centrally planned for each terminal in an airport. The advantage of this is that the staff is efficiently utilized, but a disadvantage is that staff spends considerable time walking between stands. In this paper a decentralized approach for ground staff scheduling is investigated. The airport terminal is divided into zones, where each zone consists of a set of stands geographically next to each other. Staff is assigned to work in only one zone and the sta...

  10. Medical workplace violence and sub-health among hospital staffs in general hospitals in Zhengzhou%郑州市综合医院医务场所暴力与医务人员亚健康

    Institute of Scientific and Technical Information of China (English)

    杨力沣; 王珂; 娄小平; 朱伟

    2011-01-01

    Aim; To investigate the relationship between medical workplace violence and sub-health among hospital staffs in general hospitals in Zhengzhou. Methods: A study by cluster sampling was conducted to investigate 6 general hospitals in Zhengzhou. Self-developed questionnaires about workplace violence and sub-health were conducted in 1 265 hospital staffs that were selected randomly. Results :46. 1% participants suffered workplace violence. The difference of physiological, psychological and social function scores of sub-health between hospital staffs who suffered hospital violence and those without hospital violence experience was statistically significant (t = 1. 674,6. 957 and 4. 686 ,P < 0. 001). The difference of three dimensions of sub-health scores between different sources and coping styles of violence was statistically significant (P < 0. 05 ). Conclusion: The workplace violence may lead to hospital staffs' physiological, psychological and social function abnormality, and decrease their survival quality.%目的:探讨郑州市综合医院医务场所暴力与医务人员亚健康的关系.方法:整群抽取郑州市6所综合医院,随机抽取医务人员1 265名,采用自制暴力问卷和亚健康量表进行暴力经历和亚健康状况调查.结果:暴力发生率为46.1%;遭受暴力(包括不同形式暴力)与否的医务人员在生理亚健康、心理亚健康和社会亚健康3个维度得分差异有统计学意义(t=7.674、6.957和4.686,P均<0.001);不同暴力来源、采取不同应对方式的医务人员在生理亚健康、心理亚健康和社会亚健康3个维度得分差异均有统计学意义(P均<0.05).结论:医务场所暴力可导致医务人员出现生理健康、心理健康和社会功能异常,生存质量下降.

  11. Development of occupation burnout inventory for medical staffs and analysis of reliability and validity%医护群体职业枯竭量表编制及信度效度分析

    Institute of Scientific and Technical Information of China (English)

    廖庆兰; 韦波; 张作记; 苏莉; 冯学泉; 胡世红; 王翔南

    2008-01-01

    目的 编制评价医护群体职业枯竭的多维测评量表.方法 在查阅国内外大量文献资料量表等基础上,结合国外Maslach枯竭量表等同类量表,在访谈、专家咨询及广泛采纳医护人员意见的基础上,结合临床研究经验,筛选原始项目构成量表,从广西柳州、南宁、百色、贵港、桂林5城市的三级、二级、一级医院中随机抽取4575名医护人员作为施测样本,通过探索性因素分析确定量表结构,检验量表的信度、效度指标.结果 医护群体职业枯竭量表包括情绪衰竭、去人性化、低成就感3个维度18个项目,项目得分与其所属因素的相关性系数为0.694~0.860(P<0.01),该量表及各因子的Cronbach α系数为0.942~0.830,Cuttman Split-Half Coefficient分半系数为0.864~0.906(P<0.01).间隔1个月,2次测量量表相关系数为0.706(P<0.01),各因子2次测量的Pearson相关系数为0.724,0.650,0.624(P<0.01),采用朱伟等修订的Maslach枯竭量表通用版的中文版(MBI-GS)作为效标,与量表总分相关系数达0.709,各相应因子间的相关系数为0.867,0.673,-0.652(P<0.01).结论 医护群体职业枯竭量表具有较好的信度和效度,可用于医护人员职业枯竭的测量.%Objective To develop a multi-dimensional occupation burnout inventory of medical staffs.Methods It is on the base of huge domestic and overseas document,information and inventories,and combines similar scales such as Maslach Burnout Inventory.It also contains opinions of medical staff and consultation of experts,considers clinical experience and screens structural inventory of original project.4575 medical members were chosen randomly from first,second and third class hospitals in 5 Guangxi cities of Liuzhou,Nanning,Baise,Guigang,Guilin as test samples.It was identified inventory structure by exploratory factor analysis,and reliability and validity were verified.Results Three factors constitudted occupation burnout

  12. Behavioral intervention in hand hygiene of medical staff and relevant study on hospital infections%医务人员手卫生的行为干预与医院感染的相关研究

    Institute of Scientific and Technical Information of China (English)

    田素芳

    2012-01-01

    目的 探讨医院感染及对医务人员手卫生行为干预的影响效果.方法 选取基层医院医师、护士、检验人员为研究对象,通过对其实施手卫生干预措施,评价其干预前后的情况.结果 加强医院感染管理,医护人员手卫生的依从性得到提高.结论 提高医护人员洗手的效果,是控制医院感染的重要措施,对医护人员进行手卫生的干预是有效可行的.%OBJECTIVE To evaluate the nosocomial infections and the impact of behavior intervention in hand hygiene of medical personnel. METHODS The doctors, nurses, and inspectors in grass-roots hospitals were selected as study subjects. The situation before and after hand hygiene intervention was evaluated through implementation of intervention in hand hygiene. RESULTS Hand hygiene compliance was significantly improved through strengthening the management of hospital infections. CONCLUSION To improve the effect of hand washing of the health care workers is an important measure to control hospital infections, and the intervention in hand hygiene of medical staff is effective and feasible.

  13. A automedicação e os acadêmicos da área de saúde Self-medication and health academic staff

    Directory of Open Access Journals (Sweden)

    Daniela Silva de Aquino

    2010-08-01

    Full Text Available Tendo em vista que a automedicação é um problema de saúde pública mundial, este artigo teve como objetivo avaliar o comportamento dos futuros profissionais de saúde com relação à utilização de medicamentos, particularmente, à prática da automedicação. A amostra foi composta por 223 estudantes da área de saúde de uma universidade pública no município do Recife, selecionados por partilha proporcional a cada curso. Foram feitos questionamentos sobre o uso de medicamentos, nos últimos quinze dias que antecederam à coleta de dados. 65,5% dos entrevistados confirmaram ter feito uso de medicamentos nos últimos quinze dias, 42,3% por meio de uma prescrição médica e 57,7% através da automedicação. Os medicamentos mais utilizados foram os analgésicos (24,0% e as vitaminas (18,9% e o motivo mais apontado foi a dor (30,5%. O consumo de medicamentos entre os estudantes universitários no município do Recife é elevado, mas encontra-se dentro dos parâmetros observados por outros estudos. Todavia, por se tratar de profissionais da área de saúde, esperava-se que o consumo fosse menor e mais racionalizado.As self-medication is a worldwide problem of public health, this article had as objective to evaluate the behavior of the future health professionals with regard to the drug utilization, particularly, to the self-medication practice. 223 academic students from a public university in Recife City were interviewed, selected by proportional share in each course. A questionnaire on the drug utilization was applied, 15 days before the interview. From the 223 students, 65.5% reported drug use in the last 15 days. 42.3% used drugs through the physician's prescription and 57.7% through the self-medication. The most used drugs were the analgesics (24.0% and vitamins (18.9% and the main reason was pain (30.5%. The drug utilization among academic students in Recife City is high but it is inside the parameter according to others analysis

  14. 品管圈对神经外科医务人员手卫生执行情况的效果分析%Analysis of the Quality Control Circles Effect on Hand Hygiene Compliance for the Neurosurgery Medical Staff

    Institute of Scientific and Technical Information of China (English)

    吴志萍

    2015-01-01

    目的:探讨品管圈对提高神经外科医务人员正确执行手卫生依从性的效果。方法:利用品管圈(QCC)工具,结合 WHO 提出手卫生的5个重要指征,品管圈成员对医务人员手卫生执行情况进行现场观察,对重点环节、手卫生5个时刻进行调查、数据汇总分析、原因分析,采取干预措施,提高手卫生的依从性和正确率。对干预前后效果进行对比。结果:干预后手卫生依从性显著提高,执行率提高了24.6%;正确率提高了21.6%。结论:品管圈活动提高了神经外科医务人员手卫生意识和依从性,降低了神经外科医院感染发生率,值得临床推广应用。%Objective:To study the quality control circles effect to improve the correct execution of hand hygiene compliance for the neurosurgery medical staff. Method:Using the quality control circle(QCC)tools,combined with the five important indications of hand hygiene put forward by WHO,quality control circles members were carrying out the medical personnel on-site hand hygiene observation. The implementation of the key link,the five times of the hand hygiene were investigated;data summary and the cause were analysized;the intervention measures were taken to im-prove the hand hygiene compliance and accuracy. The findings and measures were performed to compare of QCC activity before and after the intervention. Results:The hand hygiene compliance and accuracy after intervention conducted in-creased significantly,with enforced by 24. 6% ;increased accuracy by 21. 6% . Conclusion:The quality control circle activities have not only improved hand hygiene awareness,but reduce the surgical hospital infection incidence among the surgical medical staff,which is worthy of clinical popularization and application.

  15. 青岛市551名医务人员心理健康状况及其影响因素分析%Study on mental health status and its influencing factors among 551 medical staffs in Qingdao City

    Institute of Scientific and Technical Information of China (English)

    冀永娟; 衡中玉; 项紫霓; 匡桂芳

    2015-01-01

    Objective To evaluate the mental health status of medical staffs and its influencing factors.Methods A total of 551 medical staffs were assessed from January to June in 2014 using Symptom Check List 90 (SCL-90),Maslach Burnout Inventory (MBI),Social Support Rating Scale (SSRS),Interpersonal Trust Scale (ITS),and Trait Coping Style Questionnaire (TCSQ).Results The total score (148.27 ±60.61 )and most factors scores in SCL-90 of medical staffs were significantly higher than that of Chinese norm (129.96 ±38.76,P <0.01)except interpersonal sensitive.The scores of nurses (154.68 ±59.21)were obviously higher than that of staffs in functional officials (134.56 ±50.53,P <0.01)a-part from psychoticism.The scores of depression (1.68 ±0.76)and hostility (1.67 ±0.84)in doctors were higher than those in functional officials (1.47 ±0.57,1.46 ±0.58,P <0.05).The total scores of laborial staffs (149.14 ±59.35) and first-line managers (155.24 ±69.17)were higher than those in senior managers (121.20 ±40.27)except interpersonal sensitive (P <0.01).As far as influencing factors,the positive factors included positive coping style,better social sup-port,higher professional title and degree,and work in administrative department.While negative coping style,higher level of job burnout were the negative factors.Conclusion Medical staffs in Qingdao have worse mental health level than general population.Coping styles,social support,job burnout and professional title are important influencing factors.%目的:调查青岛市医务人员心理健康状况及影响因素。方法采用分层随机抽样的方法于2014年1—6月对青岛市551名医务人员进行症状自评量表(SCL-90)、Maslach 职业倦怠问卷、社会支持评定量表、人际信任量表及特质应对方式问卷调查。结果除人际敏感外,医务人员 SCL-90总分(148.27±60.61)及各因子得分均显著高于全国常模(129.96±38.76)(P <0.01)。除精神病

  16. Internal marketing strategy: Focusing on staff orientation in health care in South Africa

    Directory of Open Access Journals (Sweden)

    J. W. De Jager

    2008-12-01

    comprehensive framework for Provincial Hospital Management to prioritise important staff related issues in order to satisfy their needs. The recommendations of this study need to be applied if acceptable health care is to be provided.Originality/Value: This study challenges existing internal marketing studies on health care services. Its significance lies in an attempt to establish the needs of diversified health care staff in a health care setting. It offers uniquely South African internal marketing framework that focuses on similarities and differences between medical and nursing staff in a Gauteng public hospital.

  17. Educación médica integrada: Una experiencia africana Integrated medical education: An african experience

    Directory of Open Access Journals (Sweden)

    Agustín Vicedo Tomey

    2008-03-01

    Full Text Available OBJETIVO: valorar la aplicación del modelo de currículo "integrado" para la carrera de Medicina en la Universidad Walter Sisulu. MÉTODOS: se realizó una observación estructurada del plan de enseñanza integrado alrededor de la solución de problemas de salud. Se presentó una descripción del currículo con énfasis en la enseñanza de las ciencias básicas. Se valoraron los aspectos que podrían constituir ventajas o desventajas de este plan. RESULTADOS: se destacan como elementos positivos el desarrollo en los estudiantes de habilidades de autoformación y comunicación, la formulación y evaluación de juicios e hipótesis, el temprano contacto con temas clínicos y epidemiológicos, y la participación en diferentes actividades de aprendizaje en la comunidad. Entre los inconvenientes se incluye el elevado número de docentes requeridos para las actividades tutelares, la limitada asimilación de elementos cognoscitivos sistematizadores y dificultades de orden organizativo. CONCLUSIONES: en su conjunto constituye un modelo muy interesante y una experiencia pedagógica digna de ser conocida y divulgada.OBJECTIVE: to assess the application of an integrated curriculum model for the medical career in Walter Sisulu University. METHODS: a structured observation of the integrated teaching plan in relation to the solution of health problems was made. The curriculum was described making emphasis on basic sciences. The advantageous or disadvantageous aspects of this plan were evaluated. RESULTS: the development of self-training and communication skills, the formulation and assessment of judgments and hypotheses, the early contact with clinical and epidemiologic topics, and the participation in different learning activities in the community were stressed as positive elements. The high number of professors required for tutelary activities, the limited assimilation of systematizing cognitive elements, and the organizational difficulties are some of

  18. 儿童医院医务人员的焦虑和抑郁状况及其影响因素%Anxiety and depression among the medical staff of a children's hospital

    Institute of Scientific and Technical Information of China (English)

    李红英; 张跃; 汤健; 赵晓科; 杜森杰

    2015-01-01

    Objective To explore the prevalence of anxiety and depression among the medical staff of a children's hospital, and to understand their relationship with age, gender, educational background, family income, family harmony, position, marital status, experience, title, work pressure, weekly working hours, chronic diseases and stressful events.Methods The medical staff of a children's hospital were evaluated using Zung's self-rating anxiety scale (SAS) and self-rating depression scale (SDS).The scores were correlated with age, gender, educational background, family income, family harmony, position, marriage, working years, title, work pressure, weekly working hours, chronic diseases, and stressful events data collected about the same respondents.Results There were 320 respondents suffering from anxiety disorders and 392 experiencing depression among the 677 medical staff surveyed.There were 288 who suffered from anxiety associated with depression.There was a significant difference between the males and the females.Marital status, family harmony, chronic disease and stress events were all significant predictors of anxiety or depression.A univariate analysis showed that neither education nor family income had significant predictive power, but age, professional title,working years, working pressure and working in different departments were all significant predictors.Medical staff with different weekly working hours showed significantly different average levels of anxiety, but position had no such effect.Position was, though, significantly correlated with depression score, while weekly working hours were not.Multivariable logistic regression models showed that educational background, working pressure, family harmony, chronic disease and stressful events were all significant predictors of anxiety.Working pressure, family harmony and chronic disease were related to depression.Conclusion Significant anxiety and depression were observed among the medical staff of this children

  19. Hand hygiene compliance of medical staff and improuing strategies%医务人员手卫生依从性及改进对策

    Institute of Scientific and Technical Information of China (English)

    李焕芝; 毛乾国; 付建国; 周玉贞; 吴碧玉

    2012-01-01

    OBJECTIVE To evaluate the hand hygiene compliance ( HHC) of healthcare workers (HCWs) in a tertiary traditional Chinese medical hospital and to probe the strategies to improve the HHC of HCWs. METHODS A total of 220 clinicians and 226 nurses who were on duty from a tertiary traditional Chinese medical hospital were involved in this on-the-spot investigation. A self-designed questionnaire for HHC and hand hygiene facility was used in this study. RESULTS An overall HHC was 57. 6% , the nurses' HHC was 73. 9% which was higher than 40. 9% of the clinicians (χ =49. 670,p = 0. 000). Furthermore, the surgeons' HHC (47. 6% ,)was higher than internists' (31. 9% ,)(χ2 = 5. 492,p = 0. 019) and surgical nurses' HHC (91. 5%,)was higher than the internal medicine nurses(58. 3% ,)(χ2 =32. 113,p - 0. 000) jsuch a poorer HHC was mainly due to subjective causes with an attributable risk of 75. 7% and the objective causes with an attributive risk of 24. 3%. CONCLUSION The HHC of HCWs in the tertiary traditional Chinese medical hospital is relatively low, the subjective causes are the attributable factors . it is necessary to strengthen education and training as the comprehensive measures so as to strengthen the HHC of HCWs.%目的 了解某三级中医院医务人员手卫生依从性,探讨提高医务人员手卫生依从性的措施.方法 采用自行设计的手卫生依从性调查表和手卫生设施调查表,现场调查在岗临床医师220名、护士226名手卫生依从性和科室手卫生设施配置情况.结果 总体手卫生依从性为57.6%,护士为73.9%,高于医师的40.9%(x2=49.670,P=0.000),外科医师为47.6%,高于内科医师的31.9%(x2=5.492,P=0.019),外科护上为91.5%,高于内科护士的58.3%(x2=32.113,P=0.000);手卫生依从性低主观归因率为75.7%.客观归因率为24.3%.结论 某三级中医院医务人员手卫生依从性较低,主观原因为主要原因,应采取以强化培训为主的综合措施,提高医务人员手卫生依从性.

  20. Decentralized Ground Staff Scheduling

    DEFF Research Database (Denmark)

    Sørensen, M. D.; Clausen, Jens

    2002-01-01

    Typically, ground staff scheduling is centrally planned for each terminal in an airport. The advantage of this is that the staff is efficiently utilized, but a disadvantage is that staff spends considerable time walking between stands. In this paper a decentralized approach for ground staff...... scheduling is investigated. The airport terminal is divided into zones, where each zone consists of a set of stands geographically next to each other. Staff is assigned to work in only one zone and the staff scheduling is planned decentralized for each zone. The advantage of this approach is that the staff...... work in a smaller area of the terminal and thus spends less time walking between stands. When planning decentralized the allocation of stands to flights influences the staff scheduling since the workload in a zone depends on which flights are allocated to stands in the zone. Hence solving the problem...

  1. E3 Staff Database

    Data.gov (United States)

    US Agency for International Development — E3 Staff database is maintained by E3 PDMS (Professional Development & Management Services) office. The database is Mysql. It is manually updated by E3 staff as...

  2. Evaluation of time, attendance of medical staff and resources for radiotherapy in pediatric and adolescent patients. The DEGRO-QUIRO trial

    International Nuclear Information System (INIS)

    The German Society of Radiation Oncology (DEGRO) initiated a multicenter trial to develop and evaluate adequate modules to assert core procedures in radiotherapy. The aim of this prospective evaluation was to methodical assess the required resources for radiotherapy in pediatric and adolescent patients. At three radiotherapy centers of excellence (University Hospitals of Heidelberg and Muenster, the Medical School of Hannover), the manpower and time required for radiotherapy in pediatric and adolescent patients was prospectively documented consistently over a 2-year period. The data were collected using specifically developed standard forms and were evaluated using specific process analysis tools. A total number of 1914 data sets were documented and carefully analyzed. The personnel time requirements for all occupational groups were calculated as total time needed for a specific procedure and mean time per person. Regarding radiotherapy in general anesthesia, the required manpower was higher. The personnel time requirements in these cases were also longer, mainly due to longer room occupancy. Overall, the required resources were remarkably similar between the three different departments and may, therefore, be considered as representative. For the first time, the personnel time requirements of a radiotherapy department for the maintenance, protection, and optimization of operational readiness for radiotherapy in pediatric and adolescent patients with and without general anesthesia were determined methodically. (orig.)

  3. Benefiting Africans

    Institute of Scientific and Technical Information of China (English)

    ZHANG ZHIPING

    2011-01-01

    Along with thriving Sino-African economic and trade ties,Chinese companies have attached greater importance to their social responsibility to Africans.More than 2,000 sweaters woven by Chinese mothers were sent to orphans and disabled children in Kenya and four other African countries in September.This activity was launched by Hengyuanxiang,a leading Chinese wool manufacturer.

  4. Benefiting Africans

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Along with thriving Sino-African economic and trade ties,Chinese companies have attached greater importance to their social responsibility to Africans.More than 2,000 sweaters woven by Chinese mothers were sent to orphans and disabled children in Kenya and four other African countries in September. This activity was launched by Hengyuanxiang,aleading Chinese wool manufacturer.

  5. Survey on the Current Status of Job Satisfaction of Clinical Medical Staff and Research on Coping Strategies%临床医护人员执业满意度现况调查及对策研究

    Institute of Scientific and Technical Information of China (English)

    张潇潇; 朱钇璇; 王晶桐; 王杉

    2015-01-01

    Objective To explore the current status of job satisfaction of clinical medical staff and factors that influence the job satisfaction,and to put forward coping strategies and suggestions for improving the job satisfaction of clinical medical staff,so as to maintain workforce stability.Methods The paper will investigate the job satisfaction of clinical medical staff by sending questionnaires to all doctors and nurses working in a hospital,and use descriptive analysis and T test statistic method to analyze the current status of job satisfaction of questionnaire receivers as well as different dimensions of job satisfaction among different population groups.Results More than 85% of questionnaire receivers think that the job they are doing is at higher risk.Over 80% feel stressed out by their jobs.Less than 35% are satisfied with their occupations,social status,working status,job security,and promotion opportunities.Less than 15% feel respected by their jobs.Conclusions Generally,questionnaire receivers' job satisfaction is low.Heavy workload and poor quality of life are leading factors that contribute to their low job satisfaction.In this sense,we should adopt various measures to give attention to these key population groups.%目的 探索医护人员执业满意度的现状及影响因素,提出提高医护人员执业满意度的对策与建议,维护医疗队伍稳定.方法 对某医院全部在岗的医生和护士进行医务人员执业满意度问卷调查,采用描述性分析和T检验的统计学方法,分析调查对象的执业满意度现状和不同特征人群在执业满意度不同维度的表现.结果 85%以上人认为工作所承担的风险较大,80%以上人对当前从事的工作感到压力,少于35%的人对自己所从事的职业、自身的社会地位、目前的工作状态、所从事职业的安全感、所获得的晋升机会感到满意;少于15%的人认为他们所从事的职业受到尊重.结论 调查对象

  6. Medical SAS File (MDP)

    Data.gov (United States)

    Department of Veterans Affairs — The Medical SAS system provides a variety of SAS-formatted files containing medical data for use by VA staff. These files, and the ability to create user files, are...

  7. The expectation about ICU advanced practice nurse's competency among ICU medical staff%ICU高级实践护士能力期望的调查与分析

    Institute of Scientific and Technical Information of China (English)

    钟亚萍; 卢惠娟; 夏海鸥; 蒋红

    2012-01-01

    目的 探讨ICU医护人员对ICU高级实践护士能力的期望,为确立其培养目标提供依据.方法 对ICU406名护士和58名医生进行问卷调查,并对结果进行多维尺度分析.结果 对ICU高级实践护士能力的期望主要体现在临床作用和发展期望两个维度上,可被分成临床实践、团队工作、教育、控制改进等4类能力.其中对临床作用最大的是临床实践、团队工作能力;发展期望最高的是团队工作、控制改进能力.结论 ICU高级实践护士培养应重点发展团队工作能力、部分临床实践能力、控制改进能力.%Objective To investigate the expectation about the competency of ICU advanced practice nurses(APN) among ICU medical staff, so as to provide reference for determining objective of ICU APN training. Methods Totally 406 ICU nurses and 58 doctors were investigated by questionnaires. Data were analyzed by multidimensional scaling. Results Medical staffs' expectation about the competency of ICU APN focused on two dimensions:clinical role and expectation of development. The competencies could be classified into four following categories:clinical practice, teamwork, education, control and improvement Capacity of clinical practice and capacity of teamwork had the most important clinical role. Capacity of teamwork and capacity of control and improvement had the highest expectation degree of development. Conclusions It is suggested that education of ICU APN should focus on the competencies of teamwork,partial clinical practice,control and improvement.

  8. Evaluation of time, attendance of medical staff and resources for radiotherapy in pediatric and adolescent patients. The DEGRO-QUIRO trial

    Energy Technology Data Exchange (ETDEWEB)

    Zabel-du Bois, Angelika; Milker-Zabel, Stefanie; Debus, Juergen [University of Heidelberg, Department of Radiotherapy and RadioOncology, Heidelberg (Germany); Bruns, Frank; Christiansen, Hans [Medical School Hannover, Department of Radiation Oncology, Hannover (Germany); Ernst, Iris; Willich, Normann [University of Muenster, Department of Radiation Oncology, Muenster (Germany); Popp, Wolfgang [Prime Networks AG, Basel (Switzerland); Sack, Horst [University of Essen, Department of Radiation Oncology, Essen (Germany)

    2014-06-15

    The German Society of Radiation Oncology (DEGRO) initiated a multicenter trial to develop and evaluate adequate modules to assert core procedures in radiotherapy. The aim of this prospective evaluation was to methodical assess the required resources for radiotherapy in pediatric and adolescent patients. At three radiotherapy centers of excellence (University Hospitals of Heidelberg and Muenster, the Medical School of Hannover), the manpower and time required for radiotherapy in pediatric and adolescent patients was prospectively documented consistently over a 2-year period. The data were collected using specifically developed standard forms and were evaluated using specific process analysis tools. A total number of 1914 data sets were documented and carefully analyzed. The personnel time requirements for all occupational groups were calculated as total time needed for a specific procedure and mean time per person. Regarding radiotherapy in general anesthesia, the required manpower was higher. The personnel time requirements in these cases were also longer, mainly due to longer room occupancy. Overall, the required resources were remarkably similar between the three different departments and may, therefore, be considered as representative. For the first time, the personnel time requirements of a radiotherapy department for the maintenance, protection, and optimization of operational readiness for radiotherapy in pediatric and adolescent patients with and without general anesthesia were determined methodically. (orig.) [German] Die deutsche Gesellschaft fuer Radioonkologie (DEGRO) initiierte eine Multizenterstudie zur Entwicklung und Anwendung geeigneter Module zur Erhebung und Analyse von Kernprozessen bei der Radiotherapie von Kindern und Jugendlichen. Ziel dieser prospektiven Erhebung war es, die erforderlichen Ressourcen bei der Radiotherapie im Kindesalter systematisch zu evaluieren. An drei strahlentherapeutischen Kompetenzzentren (Universitaetskliniken

  9. Elections to Staff Council

    CERN Multimedia

    Saff Association

    2013-01-01

    2013 Elections to Staff Council   Vote! Make your voice heard and be many to elect the new Staff Council. More details on the elections can be found on the Staff Association web site (https://ap-vote.web.cern.ch/elections-2013).   Timetable elections Monday 28 October to Monday 11 November, 12:00 am voting Monday 18 and Monday 25 November, publication of the results in Echo Tuesday 19 November, Staff Association Assizes Tuesday 3 December, first meeting of the new Staff Council and election of the new Executive Committee The voting procedure is monitored by the Election Committee.

  10. Supervision of Central African Economic and Monetary Community medical market%浅谈中非经济与货币共同体的医药市场监管

    Institute of Scientific and Technical Information of China (English)

    吉迪; 蒋倩; 平其能

    2009-01-01

    目的:为走近中国与中非药品市场交流和中非经济与货币共同体(CEMAC)创建药品共同监管市场提供参考.方法:主要通过文献分析的研究手段,分析中非经济与货币共同体药品市场的现状、目前的形势,并提出了CEMAC在医药市场监管中存在的问题,通过分析提出了完善医药市场的方法.结论:要实现中非药品市场的共同监管,应立足中非各国国情,建立中非共同市场以实现共同监管,同时提供中国关心中非药品市场交流的企业和专家参考文件的目的.%Objective To provide references for the Central African Economic and Monetary Community to set up common medical market.Methods Current situation and problems existing in the Centrat African Economic and Monetary Community were analyzed by literature analysis.Methods of improving the medical market were proposed.Conclusion Central African national conditions should be based on to achieve the common supervision of CEMAC.We should set up the Central African Common Market in order to achieve the purpose of co-regulation.

  11. Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era

    OpenAIRE

    Zhou, Quan

    2015-01-01

    Hua-fen Wang,1 Jing-fen Jin,1 Xiu-qin Feng,1 Xin Huang,1 Ling-ling Zhu,2 Xiao-ying Zhao,3 Quan Zhou4 1Division of Nursing, 2Geriatric VIP Ward, Division of Nursing, 3Office of Quality Administration, 4Department of Pharmacy, the Second Affiliated Hospital of Zhejiang University, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People’s Republic of China Background: Medication errors may occur during prescribing, transcribing, prescription auditing, preparing, ...

  12. Investigation and Analysis on The Cognition of Medical Staff about Rational Use of Antibacterial Drug in Our Hospital%我院医务人员抗菌药物合理使用认知度的调查分析

    Institute of Scientific and Technical Information of China (English)

    朱立伟; 钱先中; 金惠静; 杨娟; 仵利军

    2015-01-01

    Objective To evaluate the medical staff about the relative knowledge of rational use of antibacterial drug in our hospital, and to further improve the level of antibacterial drugs standardized management in our hospital, to ensure safe drug use of patients. Methods The questionnaire was designed according to the national and military related laws and regulations and the basic knowledge of antimi-crobial drugs, it was conducted among doctors、nurses and pharmacists (including trainee) in our hospital, the result of survey was ana-lyzed statistically. Results A total of 305 questionnaires were issued, and 297 questionnaires were recovered including 7 invalid ques-tionnaires, the effective recovery rate is 95. 08% . On the whole, the highest rate of cognition of rational use of antimicrobial drugs is pharmacists, followed by doctors, and nurses. There is a big difference in cognition about the specific knowledge: there are 65. 63% of doctors, 40. 37% of nurses and 85. 71% of pharmacists were clear about the concept of antimicrobial drugs; only 61. 25% of doctors, 50. 46% of nurses and 100. 00% of pharmacists are aware of the hierarchical management of antimicrobial drugs; 60. 63% of doctors, 44. 04% of nurses and 90. 48% of pharmacists are aware of the administration time about preventive medication for type I incision op-eration; lecture was the main demand approach for the knowledge of antibacterial drugs, which was accounted for 86. 90% of the medical personnel. Conclusion Our hospital medical staff awareness of the rational use of antimicrobial drugs is low. Suggestions that the an-timicrobial management team consists of medical department, infection control department, inspection department and medical departments and other personnel was established. It is suggested to enhance the training of antimicrobial drug related knowledge for the medical staff, improve their cognition and alertness of antimicrobial agents so as to reduce the drug resistant bacteria and

  13. Report: National Conference Organised By The South African Association Of Women Graduates (Sawg, Uct Medical School, Cape Town, 2 - 4 February 2001

    Directory of Open Access Journals (Sweden)

    Lydia V Monareng

    2001-04-01

    Full Text Available The South African Association of Women Graduates (SAWG is an international association that is 80 years old and is comprised of women graduates and women researchers. There are branches all over South Africa from universities and technikons.

  14. Analysis on detection results of PFLMNF and routine blood of medical staff exposed to radiation%放射作业医务人员血常规及淋巴细胞微核率检测结果分析

    Institute of Scientific and Technical Information of China (English)

    王秀英; 刘海峰; 柳建强; 唐新颖; 刘玮; 高静

    2013-01-01

    目的 探讨接触医用射线工作人员血常规及淋巴细胞微核率的变化规律,为放射工作人员的健康监护和管理提供理论依据.方法 对某医院73例放射作业人员进行血常规及淋巴细胞微核率检测,并与22例对照进行比较,分析工作岗位及工龄对血常规及淋巴细胞微核率的影响.结果 接触医用射线组淋巴细胞微核异常率(42.47%)高于对照组(13.64%),差异有统计学意义(P<0.05),而且淋巴细胞微核率与工龄正相关(P <0.05,r=0.28).血常规异常率(20.55%)与对照组(18.18%)相比,差异无统计学意义.不同工作岗位的年有效吸收剂量均低于职业照射剂量限值,其中年有效吸收剂量最高的介入放射组与最低的诊断放射组比较,差异有统计学意义(P<0.05),但2组的淋巴细胞微核率及血常规异常率差异无统计学意义.结论 接触医用射线工作人员淋巴细胞微核率增高,与工龄正相关,与年有效吸收剂量无剂量效应关系.%Objective To explore the changing rule of PFLMNF and routine blood of medical staff exposed to radiation,so as to provide theoretical basis for health monitoring and management of the medical staff.Methods The blood cells and lymphocyte micronucleus collected from 73 medical workers exposed to radiation were tested,as well as compared with the 22 control group.The effects of operating post and seniority on routine blood and PFLMNF were also analyzed.Results The abnormal PFLMNF of group exposed to radiation (42.47%) was significantly higher than that of control groups (13.64%).The differences had statistical significance (P < 0.05) and there was positive correlation between PFLMNF and seniority (P < 0.05,r =0.28).Compared with the control group (18.18%),there was no statistical significant difference of routine blood in the radiation group (20.55%).The annual effective absorbed dose of different posts was lower than occupational exposure dose

  15. 中年女性医务人员围绝经期综合征患病状况调查%Survey of Perimenopausal Syndrome in Middle-aged Female Medical Staff

    Institute of Scientific and Technical Information of China (English)

    陈桂萍; 白文佩; 张婧; 卢薇薇; 崔广霞; 席思思; 杨慕坤; 朱赛楠; 闫小妍; 姚晨

    2013-01-01

    目的 调查中年女性医务人员围绝经期综合征患病状况,分析其影响因素.方法 以问卷调查形式,对2012年3-6月北京大学第一医院40~55岁的全体在编女职工围绝经期综合征现状及相关因素进行调查.结果 529人进入统计分析,平均年龄(46.6±4.0)岁,既往或目前所患慢性疾病中最常见的前3种疾病为子宫肌瘤141人(26.7%)、高脂血症98人(18.5%)、高血压87人(16.4%).170人(32.1%)患有围绝经期综合征,其中轻度110人(20.8%)、中度55人(10.4%)、重度5人(0.9%).最常见的前3位围绝经期症状为疲乏(84.1%)、骨关节肌肉痛(68.2%)、易激动(66.2%).更年期综合征组与非更年期综合征组职称、体质指数(BMI)、性生活频率、1年内是否发生过痛苦事件、生活满意度、能否控制不良情绪、控制不良情绪办法以及高血压、骨质疏松、高脂血症、颈椎病、子宫肌瘤的患病率比较,差异均有统计学意义(P<0.05).经多因素Logistic回归分析结果显示,1年内发生过痛苦事件(P=0.043)、生活不满意麻木(P<0.001)、高脂血症(P=0.037)、颈椎病(P<0.001)与围绝经期综合征发生有关系.结论 疲乏、骨关节肌肉痛、易激动是中年女性医务人员最突出的临床症状.1年内发生过痛苦事件、生活不满意麻木、高脂血症、颈椎病是围绝经期综合征的危险因素,因此,应加强中年女医务人员的围绝经期保健工作,采取有效的干预措施提高其生活质量.%Objective To explore the prevalence of perimenopausal syndrome in middle - aged female medical staff and to analyze related influencing factors. Methods A total of 589 female medical staff aged from 40 to 55 between March and June in 2012 selected in the Peking University First Hospital were surveyed with a prepared questionnaire on self - reported meno-pausal symptoms and related influencing factors. Results A total of 529 questionnaires met the criteria and were used

  16. Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era

    OpenAIRE

    Wang HF; Jin JF; Feng XQ; Huang X.; Zhu LL; Zhao XY; Zhou Q

    2015-01-01

    Hua-fen Wang,1 Jing-fen Jin,1 Xiu-qin Feng,1 Xin Huang,1 Ling-ling Zhu,2 Xiao-ying Zhao,3 Quan Zhou4 1Division of Nursing, 2Geriatric VIP Ward, Division of Nursing, 3Office of Quality Administration, 4Department of Pharmacy, the Second Affiliated Hospital of Zhejiang University, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People’s Republic of China Background: Medication errors may occur during prescribing, transcribing, prescription auditing, preparing, disp...

  17. 医务人员手卫生现状与医院感染相关性调查%Current status of hand hygiene of medical staff and its correlation with nosocomial infections

    Institute of Scientific and Technical Information of China (English)

    周玉萍; 李志建; 谭妙莲; 黄少华; 皮艳青

    2013-01-01

    目的 调查医务人员手卫生状况与医院感染发生率,探讨医务人员手卫生状况与医院感染的相关性.方法 选取2011年7月—2012年7月医院各类环境下工作的528名医务人员,手部采样后进行细菌培养;采取调查问卷及现场调查方法进行调查手卫生依从性,并对同期医院感染发生情况进行分析.结果 医务人员手卫生取样标本合格份数451份,合格率为85.42%,其中合格率临床医师为87.88%、临床护士为85.25%、医技人员为79.49%,各类医务人员手卫生消毒合格率比较差异无统计学意义;医务人员诊疗操作前、诊疗操作后、接触患者前、接触患者后手卫生依从性分别为40.34% 、59.47% 、30.11%、50.19%,诊疗操作前与诊疗操作后、接触患者前与接触患者后比较,差异有统计学意义(P<0.05),其中临床医师分别为44.50%、62.88%、32.58%、53.79%,临床护士分别为39.78%、59.94%、29.97%、49.86%,医技人员分别为30.77%、43.59%、23.08%、41.03%,各类医务人员诊疗操作前与诊疗操作后、接触患者前与接触患者后比较,差异均有统计学意义(P<0.05);同期住院患者共17 486例次,发生医院感染者1042例次,医院感染发生率为5.96%,医院感染与医务人员手消毒合格率直线相关分析,两者间具有负相关(r=-0.84,P=0.000).结论 医务人员手卫生状况尚可,但手卫生依从性在诊疗操作前、接触患者前较差,同期医院感染发生率较低,加强手卫生依从性是进一步降低医院感染的关键环节.%OBJECTIVE To investigate the current status of hand hygiene of medical staff,analyze the incidence of nosocomial infections and observe the correlation between the status of hand hygiene and the incidence of nosocomial infections.METHODS A total of 528 cases of medical personnel,who worked under various conditions from Jul 2011 to Jul 2012,were enrolled in the study,then the

  18. The Discussion on Health Management of Medical Staff in A Tertiary Comprehensive Hospital of Jiangmen City%江门市某三甲综合医院医务人员健康管理探讨

    Institute of Scientific and Technical Information of China (English)

    陈世友; 黎晓绮; 陈坚

    2015-01-01

    目的:通过总结某三甲综合医院医务人员5年的慢性病检出率,分析原因并在此基础上提出有效的健康促进策略。方法:使用江门市某三甲综合医院2009-2013年职工健康体检结果。对疾病检出率采用多个样本率的χ²检验进行分析。结果:胆囊疾病、高血压、血糖异常、脂肪肝检出率5年比较,差异有统计学意义(P<0.01)。结论:医务人员健康状况不容乐观,应当引起有关部门的高度重视。在采取综合措施基础上,强调综合社会力量是保证医务人员健康促进的非常重要举措。%Objective: To through the detection rate of chronic disease for five years of medical staff in a tertiary comprehensive hospital, analyze the reasons and put forward effective health promotion strategies on the basis of the reasons.Method: The results of health examination of workers from 2009 to 2013 in a tertiary comprehensive hospital of Jiangmen city were used. The χ² test of multiple sample rate was used in the detection rate of disease for significance test analysis.Result: There were statistical differences among the detection rate of gallbladder disease, high blood pressure, blood glucose abnormalities, and fatty liver in five years (P<0.01).Conclusion: Health status of medical personnel is not optimistic, it should draw great attention of the related departments. On the basis of adopting comprehensive measures, emphasizing the comprehensive social forces is very important measure to ensure the medical personnel health promotion.

  19. Survey on the knowledge, attitudes and behavior for foodborne disease in medical staff%医务人员食源性疾病相关知识、诊疗态度和诊疗行为的调查分析

    Institute of Scientific and Technical Information of China (English)

    陈志; 朱紫杭; 周文; 余少珍

    2014-01-01

    Objective To investigate the knowledge,attitude and behavior of medical staffs on foodborne diseases.Methods To investigate the knowledge,attitude and behavior of medical staffs on foodborne diseases by random sampling following the questionnaire.Results There were 332 medical workers attending the survey.The medical staffs were lack of knowledge for foodborne disease,percent of pass was 34.33%.The pass rate of attitude and behavior were 88.88% and 98.19%.The knowledge score of medical staff of top three hospital (6.49± 2.18)were lower than the community health service center(7.04±2.26) (P<0.05),but attitude and behavior score of this two staffs had not statistical differences(P>0.05).Conclusion It is necessary to help medical staff to improve the attitude of foodborne diseases,and improve the monitoring of underreporting case.%目的 了解辖区内医务人员对食源性疾病的认知度和态度、行为的现状.方法 采用随机整群抽样方法,对辖区内三甲医院和社区医院的医务人员进行问卷调查.结果 共调查332名医务人员,普遍缺乏食源性疾病相关知识,合格率为34.33%,而诊疗态度及诊疗行为合格率达到88.88%和98.19%.三甲医院医务人员在食源性疾病相关知识的得分[(6.49±2.18)分]低于社区卫生服务中心医务人员[(7.04±2.26)分],差异有统计学意义(P<0.05),而在诊疗态度及诊疗行为方面的得分两者差异无统计学意义(P>0.05).结论 加强食源性疾病相关知识的宣贯有助于医务人员改善对食源性疾病警觉态度,进而有助于改善监测漏报行为.

  20. 某三甲医院医务人员医疗锐器伤的分析%Analysis of needlestick and sharps injuries among medical staff in upper first-class hospital

    Institute of Scientific and Technical Information of China (English)

    顾月; 陈辰; 程科萍; 涂志斌; 张徐军

    2013-01-01

    目的 了解综合医院医务人员医疗锐器伤的发生情况及危险因素,为医院感染控制部门及卫生部门制订预防措施提供参考依据.方法 采用统一问卷调查方法,对南京市某三级甲等医院800名医务人员过去一年内医疗锐器伤的发生情况进行调查,其中641人问卷有效完整,医生239人,护士348人,其他工作类别54人.对资料进行x2检验及多因素Logistic回归分析.结果 共调查641名医务人员,373名发生过医疗锐器伤,发生率为58.19%.不同工作类别及不同工作科室的医疗锐器伤发生率的差异有统计学意义(P<0.01).注射器针头、玻璃、头皮针输液器针头及缝合针是造成医务人员医疗锐器伤的主要器具,其中医生以缝合针伤害率(48.21%)明显高于护士(6.72%),护士以注射器针头、头皮针输液器针头以及玻璃的伤害率(71.15%、59.68%、49.04%)明显高于医生(46.43%、6.25%和16.96%),差异均有统计学意义(P<0.01).医生以抽取体液或组织标本、冲洗伤口、缝合、剪断和切开伤害率明显高于护士,护士以注射、静脉输液、经肝素帽封管、连接静脉输液管路、抽取动脉血或静脉血伤害率明显高于医生,差异均有统计学意义(P<0.05).结论 医务人员医疗锐器伤的发生较普遍,漏报严重.应加强医护人员的培训和操作规范管理.%Objective To investigate the incidence of needlestick and sharps injuries among the medical staff in an upper first-class hospital and its risk factors and to provide a basis for the infection control department of hospital and health administration department to establish the policies for safe injection.Methods A questionnaire survey was conducted in 800 healthcare professionals in an upper first-class hospital in Nanjing,China to investigate the incidence of needlestick and sharps injuries in the past year.A total of 641 persons completed the questionnaire,including 239

  1. Analysis of Stress Factors on Medical Staffs Burnout:Investigation of a Hospital in Jinzhou%医务人员职业倦怠压力源因素分析--以锦州某医院的调查为例

    Institute of Scientific and Technical Information of China (English)

    任素娟

    2014-01-01

    医务人员职业倦怠的影响因素有多种,如宏观层面的执业环境、中观层面的医院管理,以及微观层面的个体自身。以锦州市某医院医务人员为调查对象,采用问卷调查法和访谈调查法相结合的方式,识别影响职业倦怠的主要压力源因素。调查发现,中观层面的因素对医务人员职业倦怠影响较大,进而对此提出有效的预防及干预对策,如构建医务人员健康档案,建立医患冲突防范系统,加强对医务人员沟通能力的培训,实行多元化考核方式,实施绩效薪酬积分制度等。%There are many factors influencing the job burnout of medical staffs ,such as the practicing environment of macro level ,the hospital management of meso level ,the individual reasons of micro level .This article chooses the medical staffs in a hospital of Jinzhou as the research object ,recognizing the key stress factors of job burnout through using questionnaire and interview survey methods .The survey found that factors of the meso level have great effect on the job burnout of medical staffs .Then ,it puts forward the effective prevention and intervention measures ,such as building health record of medical personnel , constructing doctor-patient conflict prevention system , strengthening the medical staff training in interpersonal skills ,diversifying evaluation methods ,implementing the performance pay points system .

  2. Investigation and Analysis on the Cognition of Health Insurance in Medical Staffs%临床医务人员对医疗保险认知的调查分析

    Institute of Scientific and Technical Information of China (English)

    冷家骅; 陈治水; 刘忆; 冯晶辉; 郑启文

    2016-01-01

    目的:对医务人员的医保认知进行调查,为医疗机构精细化管理做铺垫,为推动医保医师管理做参考。方法:进行问卷调查,利用非参数秩和与序列回归对不同人群的认知情况进行统计分析。结果:调查医务人员49名;各认知维度得分均良好;不同工龄、科室、岗位之间医保认知存在统计学差异;71.2%认为医保文书繁琐;81.6%有接受培训意愿。结论:医保工作具备专业技巧性;护士的认知相对较好;医保文书电子化是提升医保工作的重点,也是难点;医保学习是乐于接受的。建议:医院层面,强化医保监管和学习意识,建立碎片式学习机制,利用信息和宣传手段形成全院医保一盘棋;政府层面,多部门联合,落实医师行为监管细则,并逐步推开医保医师管理制度。%Objective To Investigate the medical staffs’ cognition about medical insurance and their willingness to learn in Peking Cancer Hospital, to lay a foundation for precise management in medical institutions, and to provide references for the management of healthcare physicians. Methods Questionnaire survey was conducted, the nonparametric methods and ordinal regression were used to compare the cognitive status among different groups of medical staffs. Result Of 49 subjects, the cognitive scores of different dimensions were favorable; there were statistical differences among persons with different length of working, in different departments and positions; 71.2% of them considered the paperwork being tedious; 81.6% of them were willing to learn. Conclusion Health insurance has professional features; the knowledge in nurses is relatively better; electronic paperwork is the key points to improve the conducting of insurance; training is acceptable. Suggestions It is necessary for hospitals to strengthen healthcare supervision and learning consciousness, to establish fragment learning mechanism and to

  3. Planning Staff Meetings. Ideas for Staff Training.

    Science.gov (United States)

    Carter, Margie

    2002-01-01

    Emphasizes the importance of the planning and the process of organizing staff meetings. Specifically addresses the areas concerning clarity of purpose and structure of meetings, as well as promoting learning and connecting during meetings. Provides specific strategies to achieve these goals including suggestions for self-assessment. (SD)

  4. Medical radiation

    International Nuclear Information System (INIS)

    This leaflet in the At-a-Glance Series describes the medical use of X-rays, how X-rays help in diagnosis, radiation protection of the patient, staff protection, how radioactive materials in nuclear medicine examinations help in diagnosis and the use of radiation in radiotherapy. Magnetic resonance imaging, a diagnostic technique involving no ionizing radiation, is also briefly examined. The role of the NRPB in the medical use of radiation is outlined. (UK)

  5. Investigation of Psychological Health on Medical Staff of Emergency Department After Workplace Violence%急诊医护人员遭受工作场所暴力后心理状况的调查

    Institute of Scientific and Technical Information of China (English)

    丘宇茹; 王吉文; 吴惠文

    2012-01-01

    Objective To investigate psychological health status of doctor and nurse who suffered from workplace violence in Emergency Department. Methods 158 doctors and nurses of Emergency Department in 6 hospitals of Guangzhou by SCL-90 questionnaire method were investigated,and every factor score of doctors and nurses were compared with normal model. Results Medical Staff who were suffered from workplace violence was 41.1% of all Medical Staff in Emergency Department. The suffered group was lower than no suffered group in age (P<0.0l) and working lifetime( P<0.001). Most of trespassers were patient' s familiality (56.3%). The violence was mostly verbal insult, shaming, afflicting, and harassment (70.6%). After doctor and nurse suffered from workplace violence, the average symptom score, total score and total share of doctor and nurse was significantly higher than that of the Chinese normal in aspect of the factors, like somatization, compulsion , depression, anxietas, hostility, mental disease factor(P<0.01). Positive item number of doctor was obviously higher than one of nurse(P<0.01 ) Conclusions Psychological health of doctor and nurse in emergency department were affected by. Workplace violence severely The workplace violence should be prevented and controlled. The psychological consultant should be provided for the doctor and nurse.%目的 探讨急诊医护人员遭受工作场所暴力后的心理健康状况.方法 应用症状自评量表(symptom checklist-90,SCL-90)对广州市6所三级甲等综合医院6个月内遭受过工作场所暴力的158名急诊医护人员进行问卷调查,并将医护人员SCL-90 各因子得分与国内常模进行比较.结果 遭受工作场所暴力者占急诊科全体医护人员的41.1%,遭受者组在年龄(P<0.01)、工作时间(P<0.001)上均小于未遭受者组,施暴者多数为患者家属(56.3%);遭受的暴力大多数为言语的辱骂、污辱、折磨和骚扰(70.6%),遭受工作场所暴力后,急诊医护人员

  6. 应用荧光剂污染试验检测医务人员手卫生消毒质量%Application of fluorescent agent pollution test in testing of hand hygiene disinfection quality of medical staff

    Institute of Scientific and Technical Information of China (English)

    陈瑜; 房君; 陈琳; 陈培服; 张英

    2015-01-01

    OBJECTIVE To test the hand hygiene disinfection quality of the medical staff with fluorescent agent pol‐lution test so as to strengthen the quality management of hand hygiene disinfection of the medical staff .METHODS From Jan 2014 to Jun 2014 ,the quality of hand hygiene and disinfection of 165 health care workers was tested and evaluated through the pollution test with fluorescence detector and its matched fluorescence agent ,and the statisti‐cal analysis of data was performed with the use of SPSS17 .0 software .RESULTS Of 165 health care workers ,41 were qualified for the disinfection ,with the total qualified rate 24 .85% ;the qualified rate was 28 .00% among nurses ,17 .86% among doctors ,8 .33% among nursing workers .Totally 124 health care workers were unquali‐fied for the test ,of whom 64 were unqualified for one site ,accounting for 51 .61% .A total of 258 times of un‐qualified disinfection occurred in the sites ,of which 63 (24 .42% ) were the roots of the thumbs .CONCLUSION It is simple ,convenient ,feasible ,and low‐cost to use the fluorescent agent pollution test for the testing of the quali‐ty of hand hygiene and disinfection of the health care workers ,which is worthy to be promoted in the clinical de‐partment .%目的:应用荧光剂污染试验对医务人员的手卫生消毒质量进行检测,以便加强医务人员手卫生消毒后的质量管理。方法于2014年1-6月采用荧光检测仪及其配套荧光剂,通过污染试验对165名临床医务人员手卫生消毒质量进行检测与评价,数据采用SPSS 17.0软件进行统计分析。结果165名医务人员中41人消毒合格,总合格率为24.85%,其中护士合格率为28.00%,医师合格率为17.86%,护工合格率仅为8.33%;124名医务人员检测均不合格,以1个部位不合格为主,共64人占51.61%,消毒不合格部位发生共258频次,以大拇指根部为主,共63频次占24.42%。结论荧光

  7. Elections to Staff Council

    CERN Multimedia

    Staff Association

    2011-01-01

    Elections to fill all seats in the Staff Council are being organized this month. The voting takes place from the 31st of October to the 14th of November, at noon. As you may have noted when reading Echo, many issues concerning our employment conditions are on the agenda of the coming months and will keep the next Staff Council very busy. So, make your voice heard and take part in the elections for a new Staff Council. By doing so, you will be encouraging the men and women who will be representing you over the next two years and they will doubtless appreciate your gratitude. Every member of the Staff Association will have received an email containing a link to the webpage which will allow voting. If you are a member of the Staff Association and you did not receive such an email, please contact the Staff Association secretariat (staff.association@cern.ch). Do not forget to vote * * * * * * * Vote Make your voice heard and be many to elect the new Staff Council. More details on the election...

  8. New staff contract policy

    CERN Multimedia

    HR Department

    2006-01-01

    Following discussion at TREF and on the recommendation of the Finance Committee, Council approved a new staff contract policy, which became effective on 1 January 2006. Its application is covered by a new Administrative Circular No. 2 (Rev. 3) 'Recruitment, appointment and possible developments regarding the contractual position of staff members'. The revised circular replaces the previous Circulars No. 9 (Rev. 3) 'Staff contracts' and No. 2 (Rev. 2) 'Guidelines and procedures concerning recruitment and probation period for staff members'. The main features of the new contract policy are as follows: The new policy provides chances for long-term employment for all staff recruits staying for four years without distinguishing between those assigned to long-term or short-term activities when joining CERN. In addition, it presents a number of simplifications for the award of ICs. There are henceforth only 2 types of contract: Limited Duration (LD) contracts for all recruitment and Indefinite Contracts (IC) for...

  9. A survey on effect of workplace violence in hospital on work-related stress of medical staffs%医院工作场所暴力对医护人员工作压力影响的调查研究

    Institute of Scientific and Technical Information of China (English)

    林汉群; 闫俊辉; 王箭; 王晓川; 韩雪飞; 刘新媚

    2012-01-01

    Objective To understand the status of medical staffs suffering from workplace violence in hospital and to investigate the influence of workplace violence on work-related stress of the medical staff. Methods By cluster sampling, 1880 medical staffs from 3 hospitals in Shenzhen were investigated in this study. By questionnaire survey method, the Workplace Violence in Hospital Setting Questionnaire and the Work-related Stress Scale were used to measure the status of workplace violence in hospital setting and the level of work-related stress of medical staff. Results The overall incidence rate of workplace violence was 57. 6%. The work-related stress of the medical staffs suffering from violence was higher than that of the medical staffs without suffering from violence(P<0. 01). The more frequence of working violence was, the higher level of work-related stress of medical staffs (P< 0. 01). Conclusion The overall incidence rate of workplace violence is still at higher level among the medical staffs, which has profound effect on their work-related stress. Therefore, it is necessary to carry out counterpart measures to reduce the incidence of workplace violence.%目的 了解医护人员遭受医院工作场所暴力的情况,探讨医院工作场所暴力对医护人员工作压力的影响.方法 使用医院工作场所暴力调查表和工作压力量表,调查3家综合性医院工作至少1年的1 880名在职医护人员,了解医院工作场所暴力发生情况和医护人员的工作压力水平.结果 医护人员在医院工作场所遭受暴力的发生率为57.6%.暴力组医护人员的工作压力及5个维度的得分均高于非暴力组,差异具有统计学意义(P<0.01).心理暴力组医护人员的工作压力得分随着暴力频次的增加呈上升趋势,差异具有统计学意义(P<0.01).结论 医护人员在医院工作场所遭受暴力的风险很高,而且医院暴力对医护人员的工作压力造成了深刻的影响,有必要采取

  10. Staff development planning in an academic health sciences library*

    OpenAIRE

    Hartman, Linda M.; Abromitis, Rebecca A.; Kuller, Alice B.; Epstein, Barbara A.

    2005-01-01

    Objective: A staff development committee (SDC) was convened to implement staff development opportunities for an academic health sciences library system comprised of three separate facilities. The charge for the SDC was to: (1) develop programs to enhance workplace skills and personal growth, (2) communicate the availability of existing programs at the university and medical center, and (3) encourage the staff to participate in these opportunities.

  11. Die Medizinische Zentralbibliothek und Patientenbibliothek des Klinikums Fulda – Service für Mitarbeiter und Patienten aus einer Hand /The Medical Center Library and Patient Library of the Hospital Fulda – service for staff and patients from a single source

    Directory of Open Access Journals (Sweden)

    Nentwig,Dagmar

    2011-09-01

    Full Text Available 1978 sees the establishment of a Medical Center Library (MedZB to bring together hitherto scattered literature of the existing municipal clinics.Since the creation of a supplementary Patient Library in 1984, both libraries offer in common rooms at below full-time management staff and patients of the Hospital Fulda professional or popular literature. Digitally offered services play an increasing role.

  12. Reduction of levels of radiation exposure over patients and medical staff by using additional filters of copper and aluminum on the outputs of X-ray tubes in hemodynamic equipment; Reducao da dose de radiacao em pacientes e equipes medicas pelo uso de filtros adicionais de cobre e aluminio nas saidas de tubos de raios X em equipamentos de hemodinamica

    Energy Technology Data Exchange (ETDEWEB)

    Weis, Guilherme L.; Müller, Felipe M.; Schuch, Luiz A., E-mail: glweis@gmail.com [Universidade Federal de Santa Maria (UFSM), Santa Maria, RS (Brazil)

    2013-12-15

    Radioprotection in hemodynamic services is extremely important. Decrease of total exposition time, better positioning of medical staff in the room, use of individual and collective protection equipment and shorter distance between the patient and the image intensifier tube are, among others, some ways to reduce the levels of radiation. It is noted that these possible forms of reducing the radiation exposition varies depending on the medical staff. Hence, the purpose of the present paper is to reduce such levels of radiation exposition in a way apart from medical staffs. It is proposed, therefore, the use of additional filters on the output of the X-ray tube in three hemodynamic equipment from different generations: detector with a flat panel of amorphous selenium, image intensifier tube with charge coupled device, and image intensifier tube with video camera. In order to quantify the quality of the images generated, a simulator made of aluminum plates and other devices was set up, so it was possible to measure and compare the acquired images. Methods of images analysis (threshold, histogram, 3D surface) were used to measure the signal/noise ratio, the spatial resolution, the contrast and the definition of the signal area, thus doubts regarding the analysis of the images among observers (inter-observers) and even for a single observer (intra-observer) can be avoided. Ionization chambers were also used in order to quantify the doses of radiation that penetrated the skin of the patients with and without the use of the filters. In all cases was found an arrangement of filters that combines quality of the images with a significant reduction of the levels of exposure to ionizing radiation, concerning both the patient and the medical staff. (author)

  13. Elections to Staff Council

    CERN Document Server

    Staff Association

    2013-01-01

    Elections to fill all seats in the Staff Council are being organized this month. The voting takes place from the 28 of October to the 11th of November, at noon. As you may have noted when reading Echo, many issues concerning our employment conditions are on the agenda of the coming months, and in particular the Five-yearly-Review 2015, subject of the questionnaire that you probably recently filled out. All this will keep the next Staff Council very busy indeed. So, make your voice heard and take part in the elections for a new Staff Council. By doing so, you will be encouraging the men and women who will be representing you over the next two years and they will doubtless appreciate your gratitude. Every member of the Staff Association will have received an email containing a link to the webpage which will allow voting. If you are a member of the Staff Association and you did not receive such an email, please contact the Staff Association secretariat (staff.association@cern.ch). Do not forget to v...

  14. Optimisation of staff protection

    International Nuclear Information System (INIS)

    It is important to minimize the radiation dose received by staff, but it is particularly important in interventional radiology. Staff doses may be reduced by minimizing the fluoroscopic screening time and number of images, compatible with the clinical objective of the procedure. Staff may also move to different positions in the room in an attempt to reduce doses. Finally, staff should wear appropriate protective clothing to reduce their occupational doses. This paper will concentrate on the optimization of personal shielding in interventional radiology. The effect of changing the lead equivalence of various protective devices on effective dose to staff has been studied by modeling the exposure of staff to realistic scattered radiation. Both overcouch x-ray tube/undercouch image intensified and overcouch image intensifier/undercouch x-ray tube geometries were simulated. It was deduced from this simulation that increasing the lead apron thickness from 0.35 mm lead to 0.5 mm lead had only a small reducing effect. By contrast, wearing a lead rubber thyroid shield or face mask is a superior means of reducing the effective dose to staff. Standing back from the couch when the x-ray tube is emitting radiation is another good method of reducing doses, being better than exchanging a 0.35 mm lead apron for a 0.5 mm apron. In summary, it is always preferable to shield more organs than to increase the thickness of the lead apron. (author)

  15. 某公立医院离职人员组织认同与离职原因相关分析%The Study on the Relationship between Organizational Identification and Reasons for Resignation among Medical Staff of a Public Hospital

    Institute of Scientific and Technical Information of China (English)

    桂德权; 胡雅洁; 唐蔚蔚

    2014-01-01

    目的:通过考察离职医务人员组织认同与离职原因相关关系,探讨稳定医务人员对策。方法以某公立医院51名离职医务人员为对象,采用组织认同量表调查并对离职报告分析。结果离职医务人员组织认同与离职原因存在关联(列联系数C=0.349, P<0.01)。结论因外部职业机会离职者的组织认同明显低于因其他原因离职者。%Objective By examining the correlation between organizational identification and reasons for resignation among medical staff, the basis would be provided on retaining talent. Methods 51 resignation medical staff were collected, Organizational Identifi-cation Scale were used to survey, and resignation reports were analyzed. Results There was significant correlation between the scores in organizational identification and reasons for resignation (C=0.349,P<0.01). Conclusion Resignation medical staff who leave because of other jobs had lower organizational identification than the ones leaving due to other reasons.

  16. The AB Staff Plan

    CERN Document Server

    Boillot, J; Delahaye, J P; Myers, S; CERN. Geneva. AB Department

    2003-01-01

    The present report summarises the staff plan of the newly created Accelerators and Beams (AB) Division following the restructuring of the Accelerator Sector and covering the period 2003 to 2010. It underlines the refocusing of the staff on priority work, especially the LHC Project and is coherent with the recently adopted CERN Long Term Plan (LTP). It compares the requested and available manpower (both staff and industrial support) for each Project, Programme and Activity (PPA) split in work packages and highlights the missing manpower for each category of personnel.

  17. Should complementary and alternative medicine familiarisation modules be taught in African medical schools?%是否应该在非洲医学院校中教授补充替代医学?

    Institute of Scientific and Technical Information of China (English)

    Oluwole Busayo Akinola

    2011-01-01

    Complementary and alternative medicines (CAMs) are household sources of therapy in African communities.A large percentage of the African population uses CAMs as an alternative to mainstream medicine.This is partly due to tradition,and partly because of inability to afford conventional treatments.In the developed countries,the use of CAMs is gradually on the increase.As a result,certain medical schools in these countries are incorporating CAM familiarisation modules into their undergraduate medical curricula.In Africa,most medical schools have not taught CAM yet.However,in view of the rising use of CAMs by the African populace,and the potential CAM-conventional therapy interactions,there is the need for physicians to get familiar with those CAMs in common use.To achieve this,it is recommended that African medical schools introduce CAM familiarization modules into the undergraduate medical curricula.This would fully prepare the 21st century doctors to deliver holistic medical treatment,and thus be at par with the global trend.%在非洲社会,补充替代医学疗法是家庭常用的疗法.大多数非洲人使用补充替代医学疗法替代主流医学疗法.出现这一现象的原因一是因为传统,二是因为很多人从经济上无法负担常规的治疗手段.在发达国家,补充替代医学的使用不断增长,因此,这些国家的很多医学院校将补充替代医学的课程纳入了医学本科生的课程体系.而在非洲,大部分医学院校并没有向学生教授补充替代医学.基于越来越多的非洲人开始使用补充替代医学疗法,以及潜在的补充替代医学疗法与常规疗法的相互作用,医生们有必要熟知那些常用的补充替代医学疗法.要达到这一目标,建议将补充替代医学的课程纳入非洲医学院校医学本科生的授课体系.这将有助于未来的非洲医生掌握整体治疗的手段,并与国际的发展趋势接轨.

  18. Evaluating Burnout among Administrative and Healthcare Staffs

    Directory of Open Access Journals (Sweden)

    Neda Khorshidian

    2015-06-01

    Full Text Available Background & Aims of the Study Burnout is an occupational hazard which is known as one of the major factors affecting employees’ psychological disorders. The present study aimed to evaluate occupational burnout among administrative and healthcare staffs of Shiraz University of Medical Sciences. Materials & Methods In this cross sectional study, 300 employees (150 administrative staff and 150 health care staff were selected using random sampling method. Data were collected using Maslach Burnout Inventory and analyzed using SPSS software. Results: The mean of burnout was 2.33±0.60. The results showed no significant difference between men and women employees in terms of occupational burnout and its three dimensions. Moreover, a significant difference between administrative and medical staffs  were found only in the dimension of emotional exhaustion. The mean score of emotional exhaustion in the administrative staff was significantly lower than that of their peers in the healthcare sector (2.03±0.84vs. 2.36±1.00 (p=0.03. Conclusions: The results showed that the majority of employees reported an average level of burnout .Such finding was in agreement with the results reported in previous studies. The obtained results can pave the way for further study on the identifying determinants of burnout.

  19. Staff rules and regulations

    CERN Multimedia

    HR Department

    2007-01-01

    The 11th edition of the Staff Rules and Regulations, dated 1 January 2007, adopted by the Council and the Finance Committee in December 2006, is currently being distributed to departmental secretariats. The Staff Rules and Regulations, together with a summary of the main modifications made, will be available, as from next week, on the Human Resources Department's intranet site: http://cern.ch/hr-web/internal/admin_services/rules/default.asp The main changes made to the Staff Rules and Regulations stem from the five-yearly review of employment conditions of members of the personnel. The changes notably relate to: the categories of members of the personnel (e.g. removal of the local staff category); the careers structure and the merit recognition system; the non-residence, installation and re-installation allowances; the definition of family, family allowances and family-related leave; recognition of partnerships; education fees. The administrative circulars, some of which are being revised following the ...

  20. Staff Association Information Meetings

    CERN Multimedia

    2011-01-01

    Staff Association Information Meetings: - Thursday 29 September at 2 p.m., Meyrin, Kjell Johnsen Auditorium, 30-7-017 (in French) - Friday 30 September at 10 a.m., Prévessin, BE Auditorium, 864-1-D02 (in French) - Monday 3 October at 2 p.m., Meyrin, IT Auditorium, 31-3-004 (in French) - Tuesday 4 October at 2 p.m., Meyrin, Filtration Plant, 222-R-001 (in English)   Staff Association

  1. 甲流期间医护人员的认知、心理状态回顾性分析%Retrospective Analysis on Cognition for Influenza A and Psychological Status of Medical Staffs during the Epidemic of Influenza A (H1N1)

    Institute of Scientific and Technical Information of China (English)

    武涧松; 闫涛; 彭石林

    2011-01-01

    目的 回顾性分析甲流期间高危医护人员对甲流的认知及心理状态,探讨其影响因素.方法 采用自制调查问卷,动态观察143名抗甲流医护人员甲流认知和心理状态,并以普通病房41名医护人员为对照,Logistic回归分析相关因素.结果 高危组甲流认知评分显著高于对照组(P<0.05).认知随疫情发展呈持续改善趋势,受培训次数、高危程度、职业、年龄、子女情况5个因素影响(OR>1).高危组心理异常重于对照(P<0.05),发热门诊最明显,主要表现为情绪和睡眠障碍,与认知水平、性别负相关(OR<1),与高危程度、疫情发展正相关(OR>1).结论 高危医护人员具有较高甲流认知水平,存在一定程度心理障碍,需要根据疫情变化和人员特征,给予针对性培训和心理干预.%Objective To analyze retrospectively cognition for Influenza A(H1N1) and psychological status of medical staffs in high-risk during Influenza A, and explore their affecting factors. Methods With self-designed questionnaire .cognition for Influenza A and psychological status of 143 medical staffs fighting against Influenza A were investigated dynamically,and compared with 41 medical staffs of general ward. Logistic regression was used to analyse their affecting factors. Results Cognition scores of high-risk groups were higher than those of control significantly (Pl). There were more serious psychological abnormalities in high-risk groups than control(P1). Conclusion Medical staffs in high-risk showed a higher level of cognition for Influenza A and a certain degree of psychological abnormalities at the same time. It was necessary to give medical staffs pointed training and psychological Intervention according to changes of the epidemic and characteristics of personnel.

  2. Analysis on influence factors of medical staff blood-borne occupational exposure based on structural equation modeling%基于结构方程模型的医务人员血源性职业暴露防护行为的影响因素分析

    Institute of Scientific and Technical Information of China (English)

    周家梅; 江智霞; 袁晓丽; 邵星; 罗祎; 王汇平; 陈素贞

    2015-01-01

    目的 应用结构方程模型分析医务人员血源性职业暴露防护行为影响因素,为提高医务人员血源性职业暴露防护运作系统性能提供理论依据.方法 通过探索性因子分析及结构方程模型的拟合,得出影响医务人员血源性职业暴露防护行为的各因素及其之间的关系.结果 模型拟合较理想,医院决策层和科室管理层直接影响医务人员的行为意向,科室管理层对医务人员行为意向的影响较大,路径系数为0.27;医院决策层对医务人员行为意向的直接影响较小,路径系数为0.03,但其可通过科室管理层间接对行为意向产生影响;行为意向对职业暴露防护行为的影响最大,其路径系数为0.80,行为意向基本决定了医务人员血源性职业暴露防护行为.结论 医院应完善各项规范制度并建立有效的沟通渠道,同时提升组织关怀能力;科室应提高规范制度执行力度,配备足够的安全设备,为医务人员提供最佳的工作环境,从而提高医务人员血源性职业暴露防护行为依从性.%Objective To analyze the influence factors of medical staff blood-bome occupational exposure by structural equation modeling,in order to improve medical staff of blood-borne occupational exposure protection performance of the system to provide the theory basis for operation.Methods The influence factors of medical staff blood-borne occupational exposure and their correlation were analyzed by exploratory factor analysis and structural equation modeling fitting.Results Model fitting was ideal,hospital decision-makers and department management directly affected the behavior intention of medical staff,department management greatly influenced by the behavioral intention to the medical personnel,path coefficient was 0.27.Hospital decision-makers of behavioral intention to the medical personnel directly affect smaller,path coefficient was 0.03,but its indirect impact on behavioral intention by

  3. Medical staffs' attitude towards the causes and precautions of docter-patient dispute%医护人员对医患纠纷发生原因及预防措施态度的研究

    Institute of Scientific and Technical Information of China (English)

    武杰; 刘方; 胡慧秀; 尚少梅; 刘海英; 王志稳

    2015-01-01

    to doctor-patient dispute, the nurses' and the doctors' identiifcation rates had no signiifcant differences (P>0.05) except 2 items, optimization medical visit process and shortening the waiting time, and positive news media orientation to the public. Furthermore, the nurses' and the doctors' identiifcation rates on 7 items were all above 90.0%, such as improvement of the relevant laws and regulations, balance of the medical service resources, optimizing treatment process and shortening the waiting time, positive news media orientation to the public, improving the medical skill, communication skill and service attitudes of medical staff. Conclusion:Comprehensive measures, including guiding the public understand the medical process correctly, and improving relevant legislation further, could be helpful to reduce the occurrence of doctor-patient dispute and resolve them properly.

  4. Cancer and African Americans

    Science.gov (United States)

    ... Population Profiles > Black/African American > Cancer Cancer and African Americans African Americans have the highest mortality rate ... 65MB] At a glance – Top Cancer Sites for African Americans (2008-2012) Cancer Incidence Rates per 100, ...

  5. Call for papers: SAJHE special issue 'Re-imagining writing retreats for academic staff in higher education'

    Directory of Open Access Journals (Sweden)

    Guest Editors

    2016-06-01

    Full Text Available Call for papers for an upcoming special issue of the South African Journal of Higher Education (SAJHE in 2016: ‘Re-imagining writing retreats for academic staff in higher education’.

  6. Medical dosimetry in Hungary

    Science.gov (United States)

    Turák, O.; Osvay, M.; Ballay, L.

    2012-09-01

    Radiation exposure of medical staff during cardiological and radiological procedures was investigated. The exposure of medical staff is directly connected to patient exposure. The aim of this study was to determine the distribution of doses on uncovered part of body of medical staff using LiF thermoluminescent (TL) dosimeters in seven locations. Individual Kodak film dosimeters (as authorized dosimetry system) were used for the assessment of medical staff's effective dose. Results achieved on dose distribution measurements confirm that wearing only one film badge under the lead apron does not provide enough information on the personal dose. The value of estimated annual doses on eye lens and extremities (fingers) were in good correlation with international publications.

  7. ‘A Matter of Conscience’: The Moral Authority of the World Medical Association and the Readmission of the South Africans, 1976–1994

    OpenAIRE

    Mbali, Mandisa

    2014-01-01

    This article describes the role of transnational anti-apartheid activism in South Africa, Britain and the United States in generating international moral outrage over the readmission of the Medical Association of South Africa (MASA) to the World Medical Association (WMA), which had taken place in 1981 after it had withdrawn from that body in 1976. It discusses an example of a controversy where an international health organisation (IHO) lost moral authority as a result of being accused of whit...

  8. Medical Tourism in Iran: attitude and challenges

    OpenAIRE

    Nazanin Zia Sheikholeslami; Mariam Bahsoun; Siavash Zia Sheikholeslami

    2012-01-01

    Introduction: Medical Tourism is one of the most important branches of Tourism with many socioeconomicbenefits. Medical Tourism refers to traveling to other countries to obtain medical services with lower costscomparing to their own countries. As health tourism is a new subject in Iran, we decided to study the attitude andknowledge of Qom Medical University staff about Health Tourism.Methods: This descriptive study was done on 250 Medical staff of Beheshti Hospital of Qom Medical University b...

  9. Staff rules and regulations

    CERN Multimedia

    HR Department

    2007-01-01

    The 11th edition of the Staff Rules and Regulations, dated 1 January 2007, adopted by the Council and the Finance Committee in December 2006, is currently being distributed to departmental secretariats. The Staff Rules and Regulations, together with a summary of the main modifications made, will be available, as from next week, on the Human Resources Department's intranet site: http://cern.ch/hr-web/internal/admin_services/rules/default.asp The main changes made to the Staff Rules and Regulations stem from the five-yearly review of employment conditions of members of the personnel. The changes notably relate to: the categories of members of the personnel (e.g. removal of the local staff category); the careers structure and the merit recognition system; the non-residence, installation and re-installation allowances; the definition of family, family allowances and family-related leave; recognition of partnerships; education fees. The administrative circulars, some of which are being revised following the m...

  10. Integration of CERN staff

    CERN Multimedia

    1965-01-01

    An example of the integration of CERN staff in the neighbouring communes is provided by the hamlet of Bugnon at St-Genis-Pouilly (Ain), FRance. The CERN installation on the Swiss site are visible on the left in the background. Behind them the Saleve mountain in Haute-Savoie.

  11. Systematic Staff Selection.

    Science.gov (United States)

    Murphy, Norman L.

    1979-01-01

    Describes the process of staff selection for the general studies department at Piedmont Technical College. Makes suggestions on how to write a job description, establish selection criteria, develop the selection process, and make the selection itself. Includes sample forms used in the process. (DR)

  12. Healthy Eating and Harambee: curriculum development for a culturally-centered bio-medically oriented nutrition education program to reach African American women of childbearing age.

    Science.gov (United States)

    Kannan, Srimathi; Sparks, Arlene V; Webster, J DeWitt; Krishnakumar, Ambika; Lumeng, Julie

    2010-07-01

    The purpose was to develop, implement and evaluate a peer-led nutrition curriculum Healthy Eating and Harambee that addresses established objectives of maternal and infant health and to shift the stage for African American women of childbearing age in Genesee County toward healthier dietary patterns using a socio-cultural and biomedical orientation. The PEN-3 model, which frames culture in the context of health promotion interventions, was integrated with the Transtheoretical Model to guide this 13-week pre-test/post-test curriculum. Materials developed included soul food plate visuals, a micronutrient availability worksheet, a fruit stand, and gardening kits. Learning activities included affirmations, stories, case-scenarios, point-of-purchase product recognition, church health teams, and community health fairs. We investigated health-promoting dietary behaviors (consumption of more fruits and vegetables (F&V), serving more F&V to their families, and moderating dietary sodium and fat intakes), and biomedical behaviors (self-monitoring blood pressure and exercising) across five stages of change. Session attendance and program satisfaction were assessed. N = 102 women participated (mean age = 27.5 years). A majority (77%) reported adopting at least one healthy eating behavior (moderating sodium, serving more F&V to their families), 23% adopted at least two such behaviors (reading food labels for sodium; using culinary herbs/spices; serving more F&V to their families), and 45% adopted both dietary (moderating sodium; eating more fruits) and biomedical behaviors. Participants and facilitators favorably evaluated the curriculum and suggested improvements. A multi-conceptual approach coupled with cultural and biomedical tailoring has potential to promote young African American women's movement to more advanced stages of change and improve self-efficacy for fruit and vegetable intake, dietary sodium moderation, and self-monitoring blood pressure and physical activity

  13. 精神压力分析系统在精神科医务人员工作压力评定中的应用%The application of Stress Analysis System in the evaluation of job stress of psychiatric medical staff

    Institute of Scientific and Technical Information of China (English)

    郭振宇; 郭平; 郭华; 赵指亮; 张龙涛

    2014-01-01

    目的:探讨精神压力分析系统在精神科医务人员工作压力评定中的应用价值。方法对50名精神科医务人员(研究组)和50名健康者(对照组)应用精神压力分析系统进行测评分析。结果研究组生理压力和心理压力指数显著高于对照组(P<0.01)。结论精神压力分析系统中的生理压力和心理压力指数是评价工作压力的有效客观指标,该系统能准确评估精神科医务人员的工作压力。%Objective To explore the application value of the Stress Analysis Sys-tem (SAS) in the evaluation of job stress of psychiatric medical staff .Methods Assessments were conducted with the SAS in 50 psychiatric medical staff (re-search group) and 50 healthy persons (control group) .Results Physiological and psychological stress index were significantly higher in research than control group ( P<0 .01) .Conclusion Physiological and psychological stress index of the SAS are effective objective in-dex of evaluating job stress ,the SAS could accurately assess ther job stress of psychiatric medical staff .

  14. African dance

    OpenAIRE

    Mumberson, Stephen

    2012-01-01

    The RE Open will be shown at the Mall Gallery London and the international section was judged by major practitioners and educators, print dealers and collectors, President of RE and Keeper of the Ashmolean Museum Dr Bren Unwin, John Purcell, Deborah Roslund, Colin Harrison, Dave Ferry, and Mark Hampson. Piece selected "African Dance" print.

  15. 广东省医务人员对食源性疾病认知、态度及培训效果调查%Survey on the knowledge and attitude for foodborne disease in medical staffs in Guangdong province and the effectiveness of training

    Institute of Scientific and Technical Information of China (English)

    王艳梅; 卢玲玲; 黄琼; 陈子慧; 黄熙; 梁骏华; 夏苏建

    2012-01-01

    Objective To understand the knowledge and attitude of medical staffs on foodborne diseases in Guangdong province, and to assess the effectiveness of training. Methods The knowledge and attitude of foodborne diseases in medical staffs of ten hospitals in eight cities of Guangdong province were investigated by questionnaires. Results The average score of medical staffs before training was 20.31 ±3.06 for the knowledge and 7.90 ± 1.47 for the attitude on foodborne diseases, while that after training was 23.08 ±2.65 and 8.94 ±0.99 respectively, with significant difference before and after training. Conclusion Medical staffs play an important role in the surveillance of foodborne diseases; their cognitive level on foodborne diseases should be improved; carrying out training on their knowledge and attitude of ■ foodborne disease can obtain good effectiveness.%目的 了解医务人员对食源性疾病知晓度及态度情况,评估进行食源性疾病培训的效果.方法 对广东省8个城市的10个食源性疾病监测试点医院的医务人员进行关于食源性疾病认知与态度的培训前后问卷调查.结果 培训前医务人员对食源性疾病知识平均得分为20.31±3.06分,态度平均得分为7.90±1.47分;培训后医务人员知识平均得分为23.08±2.65分,态度平均得分为8.94±0.99分.培训前后医务人员对食源性疾病的知晓度(t=-20.04,P=0.00)和态度(t=-13.79,P=0.00)差异有显著性.结论 医务人员在食源性疾病的主动监测过程中起着非常重要的作用,须进一步提高医务人员对食源性疾病的认知水平,开展食源性疾病培训能取得一定的效果.

  16. Moving Staff through Difficult Issues. Ideas for Training Staff.

    Science.gov (United States)

    Carter, Margie; Pelo, Ann

    2002-01-01

    Offers practical solutions to three problems faced by administrators of early childhood education programs: motivating staff with different levels of commitment, dealing with staff communications and conflicts, and minimizing the impact of teacher turnover. (JPB)

  17. The Relationship between Organizational Learning and Staff Empowerment in Hospital: A Correlational Study in Iran

    OpenAIRE

    Jamil Sadeghifar; Frouzan Ashrafnejad; Seyed Masood Mousavi; Ali Beigi Nasiri; Ghasem Rajabi Vasokolaei; Keyvan Nasrollah Zadeh; Heshmatolah Asadi; Mohammad Saeid Abdinasab; Saman Ghasempour; Mansour Hajiesmaeili; Mostafa Beigi Nasiri; Meisam Mosavi

    2014-01-01

    One of the newest and most effective strategies to empower staff is building the infrastructure and platform for strengthening organizational learning. This study has conducted about the relationship between organizational learning and staff empowerment. This correlational study was conducted among the staff of a Children's Hospital affiliated to Tehran University of Medical Sciences, Iran in 2012. Numbers of 145 staff in this hospital has selected and enrolled by simple random sampling. The ...

  18. Managing the Challenges of Adopting Electronic Medical Records: An Exploratory Study of the Challenges Faced by African American Health Care Professionals

    Science.gov (United States)

    Riddick, William P.

    2013-01-01

    The implementation of technology within the health care industry is viewed as a possible solution for lowering costs and improving health care delivery to patients. Electronic medical record system(s) (EMRS) are information technology tools viewed within the health care industry as a possible solution for aiding improvements in health care…

  19. Design of Staffs Assessing System

    OpenAIRE

    Hůlová, Iva

    2011-01-01

    This thesis deals with the staff assessment system in the organization in connection with reward system. This thesis is divided into the theoretical part and the practical part. The theoretical part describes the concept of staff assessment system and system of reward. Within the frame of staff assessing in addition to these tasks further the basic and additional assessment methods are explained, assessment criteria and also the errors and problems connected with the staff assessing. The c...

  20. Management problems of staff motivation

    OpenAIRE

    PUZYNYA T.A.

    2015-01-01

    Staff motivation is a major link in improving the competitiveness of any organization. One of the main problems of management of motivation of staff is the individuality of each employee, so the knowledge of psychology and individual needs will help organizations effectively manage staff.

  1. Six Sigma quality management method on the improvement of hand hygiene compliance of medical staff in operation rooms%应用六西格玛质量管理方案改善医护人员手卫生依从性的研究

    Institute of Scientific and Technical Information of China (English)

    马玉霞; 楼晨雁; 周雪; 龚园园; 张亚男

    2015-01-01

    OBJECTIVE To improve the compliance of hand hygiene in medical staff of operation rooms by Six Sigma quality management method , so as to achieve the purpose of reducing infection rates in operation rooms . METHODS Totally 326 medical staff in operation rooms ,from Oct .2013 to Nov .2014 ,were selected for this study .Six‐Sigma quality management was used to improve hand hygiene compliance of medical staff .According to the results of the early investigation for hand hygiene compliance in medical staff ,the reasons for the low compli‐ance of hand hygiene of medical staff was analyzed .Targeted measures and quality control were taken .The rate of hand hygiene compliance and the rate of correct hand washing before and after the improvement were observed , and the infection rates of the operation room before and after the treatments were compared .RESULTS Before ap‐plied Six Sigma quality management ,hand washing rates of staff in operating rooms was 52 .01% ,the rate of proper use six‐step washing method was 47 .60% .After the improvement measures ,the rate of hand washing was 93 .89% ,and 93 .47% of the medical staff could correctly use six step hand washing method;the differences were significant (P<0 .05) .The average number of colonies of the medical workers after the improvement was (2 .3 ± 0 .5) CFU/cm2 ,and was significantly lower than that before the improvement of (7 .1 ± 2 .8) CFU/cm2 .After the improvement ,the incidence of infections in the operation rooms was 4 .40% .It was significantly lower than that before the improvement (7 .91% ) (P<0 .05) .CONCLUSION Six‐Sigma quality management can effectively improve the hand hygiene compliance in medical staff of operation rooms and their attention on it ,which can re‐duce the infection rate of operation rooms .%目的:应用六西格玛质量管理方案改善手术室医护人员手卫生依从性,从而达到降低手术室感染的目的。方法选取2013年10月-2014年11

  2. REMINDER FROM MEDICAL SERVICE

    CERN Multimedia

    Service Médical

    2000-01-01

    For medical problems, we would like to remind all personnel working on the CERN sites, be they staff or from outside firms, that they are welcome at the Infirmary, building 57, ground floor.For information, call the Nurses- on Telephone73802- by electronic mailInfirmary.Service@cern.chMarion.Diedrich@cern.chJanet.Doody@cern.chMireille.Vosdey@cern.chMedical Service

  3. Obesity and African Americans

    Science.gov (United States)

    ... Data > Minority Population Profiles > Black/African American > Obesity Obesity and African Americans African American women have the ... ss6304.pdf [PDF | 3.38MB] HEALTH IMPACT OF OBESITY More than 80 percent of people with type ...

  4. 医院管理层和相关临床科室营养知识现状调查%Investigation on the current situation of mastery of knowledge of nutrition of hospital management staff and medical personnel of related clinical departments

    Institute of Scientific and Technical Information of China (English)

    陈立勇; 张洁; 孟妍

    2011-01-01

    目的:调查医院管理层和相关临床科室营养科普知识、营养专业知识、临床营养知识的现状.方法:选择山东省30所医院为研究对象,设计调查表,请各所医院的医院管理层和相关临床科室医护人员进行营养学知识问卷调查.调查内容包括一般情况,营养科普知识、营养专业知识、临床营养知识和知识来源及应用.结果:医院管理层和相关临床科室医护人员的临床营养学知识普遍不足,营养科普知识掌握好于营养专业知识和临床营养知识(P<0.01);不同类别医院之间知识掌握情况有显著性差异(P<0.01).不同专业之间知识,掌握有差异,内外科明显优于其他科室(P<0.05).不同职称的医生之间营养学知识答题得分差异无显著性.不同学历之间营养知识的掌握有差异,博士与硕士高于本科及以下学历(P<0.01).结论:我省三级医院管理群体及普通医护人员基础营养、临床营养知识不足,建议医学院校适当增加营养学课程学时,适当增加培训以提高医护人员营养学知识水平及整体医疗素质.%Objective: To investigate the current situation of mastery of popular knowledge of nutrition, professional and clinical knowledge of nutrition of hospital management staff and medical personnel of the related clinical departments. Methods:30 hospitals in Shandong province were selected as the research objects, and hospital management staff and medical personnel of the related clinical departments were investigated by the designed questionnaire which included general information, the channel to gain the popular knowledge of nutrition, professional and clinical knowledge of nutrition and its application. Results: The mastery of clinical knowledge of nutrition of hospital management staff and medical personnel is inadequate. The command of popular knowledge of nutrition was better than that of professional and clinical knowledge of nutrition (P <0. 01 ); the

  5. The Staff Association and you

    CERN Multimedia

    Staff Association

    2013-01-01

    The Staff Association, your representative with the Management and the Member States The article VII 1.01 of the Staff Rules and Regulations (SR&R) provides that “the relations between the Director-General and the personnel shall be established either on an individual basis or on a collective basis with the Staff Association as intermediary”. This essential role of the Staff representatives, of being the spokesperson of the entire staff of the Organization vis-à-vis the Director-General and the Members States, is achieved through regular participation in the various joint advisory committees defined in the SR&R. The most important are the Standing Concertation Committee and the TREF, tripartite forum where your representatives meet with the Member States delegates, in the presence of the Management, to explain the position of the staff on the various issues concerning employment conditions. The Finance Committee also gives the opportunity to the Staff Association to ...

  6. Information for contractors' staff

    CERN Multimedia

    The Dosimetry Service

    2005-01-01

    We have observed a significant decrease in the number of completed Certificates for Work in Controlled Radiation Areas being submitted with applications for dosimeters for your staff. Henceforth, we shall no longer be able to issue dosimeters without a certificate, which must be signed by the employee and the contractor's radiation-protection expert. You can obtain the certificate form from the Dosimetry Service at Building 24/E-011 or from our Website: http://service-rp-dosimetry.web.cern.ch/service-rp-dosimetry/. Thank you for your understanding. The Dosimetry Service

  7. Information for contractors' staff

    CERN Multimedia

    Dosimetry Service

    2005-01-01

    We have observed a significant decrease in the number of completed Certificates for Work in Controlled Radiation Areas being submitted with applications for dosimeters for your staff. Henceforth, we shall no longer be able to issue dosimeters without a certificate, which must be signed by the employee and the contractor's radiation-protection expert. You can obtain the certificate form from the Dosimetry Service at Building 24/E-011 or from our Website: http://service-rp-dosimetry.web.cern.ch/service-rp-dosimetry/ Thank you for your understanding. The Dosimetry Service

  8. STAFF VACANCY LIST

    CERN Multimedia

    Human Resources Division

    2002-01-01

    For economy reasons, it has been decided to stop printing and distributing this list to Staff Members. It can be found on the Web (LIST). Divisional Administrative Officers will receive an updated printed copy on a monthly basis and are asked to display this in a public place in their division. Copies will also be posted on the notice boards of the Administration Building (No. 60) in the glass-fronted cabinet (close to the lifts) and also on the notice board close to the Post Office. A copy will also be given to the Reception (Building No. 33). Human Resources Division Tel. 74606

  9. Burnout of academic staff in a higher education institution / Nicolene Barkhuizen

    OpenAIRE

    Barkhuizen, Emmerentia Nicolene

    2004-01-01

    Universities worldwide are developing a disturbing imbalance with their environments. In recent years, academic working conditions in South African universities have changed dramatically as a result of the country's post-apartheid policies and the accelerating globalisation of knowledge. Academic staff are continually confronted with an overload of job demands without corresponding increases in job resources. These prolonged job stressors that academic staff are subjected to ov...

  10. Outbreak of Mysterious Illness Among Hospital Staff

    DEFF Research Database (Denmark)

    Jacobsen, Peter; Ebbehøj, Niels Erik

    2016-01-01

    BACKGROUND: Hospitals are rarely reported as settings for mass psychogenic illness (MPI). The present report scrutinizes an outbreak of probable MPI among hospital staff, with medical intervention reinforcing the course of the illness. CASE REPORT: Four of seven staff members in an emergency...... sick leave. The ward was closed for several weeks during comprehensive but negative investigations for toxic chemicals. Clinical data and lack of indication of chemical exposure, together with an attack pattern with only some individuals becoming ill in a shared environment, suggest MPI. Iatrogenic...... influence from dramatic intervention was probably a strong driving force in the outbreak. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Awareness of MPI may prevent unnecessary and potentially harmful treatment as well as improve health care resilience, particularly with respect to preparedness...

  11. New data on African health professionals abroad

    Directory of Open Access Journals (Sweden)

    Clemens Michael A

    2008-01-01

    Full Text Available Abstract Background The migration of doctors and nurses from Africa to developed countries has raised fears of an African medical brain drain. But empirical research on the causes and effects of the phenomenon has been hampered by a lack of systematic data on the extent of African health workers' international movements. Methods We use destination-country census data to estimate the number of African-born doctors and professional nurses working abroad in a developed country circa 2000, and compare this to the stocks of these workers in each country of origin. Results Approximately 65,000 African-born physicians and 70,000 African-born professional nurses were working overseas in a developed country in the year 2000. This represents about one fifth of African-born physicians in the world, and about one tenth of African-born professional nurses. The fraction of health professionals abroad varies enormously across African countries, from 1% to over 70% according to the occupation and country. Conclusion These numbers are the first standardized, systematic, occupation-specific measure of skilled professionals working in developed countries and born in a large number of developing countries.

  12. REMINDER FROM MEDICAL SERVICE

    CERN Multimedia

    Medical Service

    2002-01-01

    For medical problems, we would like to remind all personnel working on the CERN sites, staff members or from outside firms, that they are welcome at the Infirmary, building 57, ground floor. For information, call the nurses: on telephone: 73802 by e-mail: Service.Medical@cern.ch Francoise.Lebrun-Klauser@cern.ch Mireille.Vosdey@cern.ch Katie.Warrillow-Thomson@cern.ch Medical Service

  13. Reminder from Medical Service

    CERN Multimedia

    Medical Service

    2004-01-01

    For medical problems, we would like to remind all personnel working on the CERN sites, staff members or from outside firms, that they are welcome at the Infirmary, building 57, ground floor. For information, call the nurses on telephone: 73802 by e-mail: Service.Medical@cern.ch Francoise.Lebrun-Klauser@cern.ch Mireille.Vosdey@cern.ch Katie.Warrillow-Thomson@cern.ch Medical Service

  14. Fundamentals of Medical Ultrasonics

    CERN Document Server

    Postema, Michiel

    2011-01-01

    This book sets out the physical and engineering principles of acoustics and ultrasound as used for medical applications. It covers the basics of linear acoustics, wave propagation, non-linear acoustics, acoustic properties of tissue, transducer components, and ultrasonic imaging modes, as well as the most common diagnostic and therapeutic applications. It offers students and professionals in medical physics and engineering a detailed overview of the technical aspects of medical ultrasonic imaging, whilst serving as a reference for clinical and research staff.

  15. Teaching Aids: Struggling with/through Student Resistances in Psychology Curricula in South African Universities

    Science.gov (United States)

    Wilbraham, Lindy

    2016-01-01

    African universities have been called to respond to the social issues of trauma, adversity, injustice and inequality that trouble their embedding communities, their staff and their students. The need for South African universities to respond to HIV/Aids (in particular) includes the opening up of new knowledge about and ways of managing the impacts…

  16. Training of African nurses in Nyasaland (Malawi from 1889 to 1927

    Directory of Open Access Journals (Sweden)

    J. Smit

    1988-09-01

    Full Text Available When the first pioneer missionaries arrived in Nyasaland during I860 there was no educational system in operation according to Western standards. The training of nurses (male and female therefore evolved as the educational system developed. Before 1900 the training of nurses was done independently by each mission, only providing staff for their local clinics and hospitals. Although the missions worked in different areas of the country, they realised from the start that they should co-operate to achieve results in the medical, educational and technical fields of their work. The Protestant Missions therefore held a series of general missionary conferences where they discussed the different aspects of their work. Six such conferences were held. During the second conference in 1904, an educational code was drawn up and accepted by the missions of the whole Protectorate. During this conference three standards of training was suggested namely that of dressers, hospital attendants and medical assistants. The different syllabuses were discussed. On the suggestion of the Commissioner of the Protectorate, a Medical Board was formed during 1905, to plan for training courses and arrange for examinations. This Board consisted of government and mission representatives. During 1909 the medical courses became more refined. The government did not take part in the training of nurses hut was willing to employ as many nurses as the missions could manage to train. The education system began to develop steadily but then in 1914-1918 war came which caused much disruption. The years of 1919 to 1925 were years of recovery. The education was again stimulated by the visit of the Phelps-Stokes Commission during 1924 which recommended a policy of cooperation in education between Government and Missions. A Department of Education was formed during 1926 and it was decided that vocational schools, which included schools where medical assistants and dispensers were trained

  17. Information Needs and Knowledge Service Innovation to the Medical Staff in Hospital Library under Network Environment%网络环境下的医院图书馆为医务人员知识服务创新探讨

    Institute of Scientific and Technical Information of China (English)

    罗书练; 郑萍

    2012-01-01

    本文通过分析医务人员对信息需求的特点,明确医务人员的信息服务需求,进而确定知识服务的基本模式和内容,促进医院图书馆人员不断更新服务理念,创新信息服务模式,加强信息知识服务,充分发挥医院图书馆在医教研中的作用.%This article analyses the characteristics of information needs, defines demand for information services, confirm the basic model and content of knowledge services. It is very important significance for the staff in the hospital library to update on service concept, innovate information service model, strengthen up information and knowledge services and give full play to the hospital library's role in the medicine, teaching and scientific research.

  18. 海南省农村卫生扶贫建设医务人员培训项目评估研究%Evaluation and research of the training project of medical staff in health developing project in rural area of Hainan province

    Institute of Scientific and Technical Information of China (English)

    吴宇; 祝慧萍; 樊立春; 孙少文; 高晓晖; 方为民; 杜玉开

    2012-01-01

    Objective; To evaluate the subprojects of rural health poverty alleviation project training in Hainan province, promote the conduct of training work among the medical staff in primary hospitals. Methods: KirkPatrick four - level model evaluation method was used for comprehensive evaluation in terms of four levels including reflection, learning, behavior, and result Results; Reflection level; most of the trainees were satisfied with the training course, environment, and training process. Learning level; the training had a certain effect, but it didn't reach the ideal goal, the theoretical level of the trainees were still poor. Behavior level; the self - assessment of the trainees was good, the leaders and work members considered that the levels of trainees got promotion. Result level; the change of training goal was not obvious, which needed further observation. Conclusion; The training program is received by the medical staff from primary hospitals, and a certain effect is obtained, but it dosent reach the ideal level; the organization and pattern of training program are worthy to be popularized, the training work among the medical staff from primary hospitals has heavy responsibilities.%目的:对海南省农村卫生建设扶贫项目培训子项目进行评估,促进基层医务人员培训工作开展.方法:采用Kirkpatrick的四层次模型评估法,分为反映、学习、行为和结果四个层面对培训项目进行综合评估.结果:反映层:学员对于课程设置、环境、教学过程绝大多数表示满意;学习层:培训有一定效果,但未达到理想要求,理论水平仍较差;行为层,学员自我评价有收获,领导和同事一致认为学员水平得到提高;效果层:培训目标改变不明显,有待进一步观察.结论:培训项目获得了基层医务人员的肯定和接受,取得一定效果,但仍未达到理想水平;培训项目的组织和形式值得推广,基层医务人员培训工作任重而道远.

  19. The status survey of oral medical institution and staff in Changsha-Zhuzhou-Xiangtan city group%长株潭城市群口腔医疗资源现状调查与未来配置的建议

    Institute of Scientific and Technical Information of China (English)

    黄俊辉; 刘学茂; 周中苏; 李毅萍; 陈偲; 黄雲立; 张凯; 阙国鹰; 姚晓艺; 唐杰清

    2015-01-01

    医务人员主要分布在长沙。上述指标提示,作为湖南省政治、经济与文化中心的长株潭地区口腔医疗服务资源不足,分布欠平衡,口腔医师的整体质量不高,有待引起当地卫生行政主管部门的高度重视。%Objective To investigate and analyze the status of oral medical institutions and staff in Changsha-Zhuzhou-Xiangtan city group so as to provide the oretical basis for the government policy making and distributing medical institutions and staff. Methods Questionnaires were itemized filled with relevant data, and database was established by EpiData 3.02 software and statistical analyzed with Excel software. Results By the December 30, 2012, the number of oral medical institutions in Changsha-Zhuzhou-Xiangtan city group was 338, and 67.8% in Changsha, 18.3% in Zhuzhou, and only 13.9%in Xiangtan. The public medical institutions accounted for 25.7%(87), private ones reached 74.3%(251). Among three cities, the proportion of institutions was highest in dental clinics, the followed by department of stomatology of general hospitals, and the lowest was stomatological hospital. The total professional staff was 1 207, including 74.73%doctors (902), 21.54%nurses (260), and 3.73%technicians and other personnel (45), there was 0.66 dentists per million population. The educational status of professional staff was 50% in college and more, and high school or non academic staff up to 50%. The middle and primary technical staff accounted for the vast majority, and 55.54% in Changsha, 61.07% in Zhuzhou, 61.54% in Xiangtan. The academic degree of doctors in Changsha was 16.85% for master or doctoral degree, 37.08%undergraduate and 33.87%college, there was still 12.20%below college degree. The academic degree of doctors in Zhuzhou and Xiangtan, college degree as the main body, were respectively 45.64% and 40.77%. The number of dental chair in three cites was 1 141, and 66% of the dental chairs was in Changsha. Distribution of

  20. The investigate analysis of job burnout from the medical staff in Nanjing General Hospital of Nanjing Mili-tary Region%南京军区南京总医院医务人员职业倦怠现状调查分析

    Institute of Scientific and Technical Information of China (English)

    周兰泳

    2014-01-01

    Objective With the development of the national health system reform, the peculiarity of certified doctor environ-ment makes domestic doctors′job burnout become a focus.The aim of this study was to study the present situation and reseason of the clinician job burnout, and to provide reference for the prevention and eliminatation of the job burnout effectivelly. Methods Chi-nese Maslach burnout inventory ( CMBI) , written by Professor Li Yongxin in Henan University was used in this study.Five hundred questionnaires were sent to medical staff in Nanjing General Hospital of Nanjing Military Region, and 489 copies were taken back.Four hundred and seventy eight copies were effective with the ratio of 97.8%. Results The emotion exhaust general mark of medical staff in army hospital was (21.96 ±7.54), which was below critical mark (25).The deindividuality and the lower of individual a-chievement feeling were (11.7 ±7.44) and (16.07 ±6.03),respectively, which were slightly above critical mark (11, 16).Accord-ing to the diagnostic criteria of job burnout, 42.07%of medical staff were mild job burnout, 27.41%were moderate job burnout, and 5.35%were serious job burnout. Conclusion Job burnout exists widely, and hospital manager should highly pay attention to the body and mind health of medical staff.%目的:随着国家医疗体制改革的不断深入,医生执业环境的特殊性使得国内医生的职业倦怠问题逐渐成为关注的焦点。文中旨在调查医务人员的职业倦怠现状,并探讨其原因,为有效预防和消除职业倦怠提供参考。方法采用河南大学李永鑫教授编制的工作倦怠问卷( Chinese Maslach burnout inventory, CMBI),以南京军区南京总医院医务人员为调查对象,发放问卷500份,收回489份,有效问卷478份,有效率97.8%。结果军队医院医务人员情感耗竭总分为(21.96±7.54)分,低于临界值(25分);去人性化及

  1. 南京军区南京总医院医务人员职业倦怠现状调查分析%The investigate analysis of job burnout from the medical staff in Nanjing General Hospital of Nanjing Mili-tary Region

    Institute of Scientific and Technical Information of China (English)

    周兰泳

    2014-01-01

    Objective With the development of the national health system reform, the peculiarity of certified doctor environ-ment makes domestic doctors′job burnout become a focus.The aim of this study was to study the present situation and reseason of the clinician job burnout, and to provide reference for the prevention and eliminatation of the job burnout effectivelly. Methods Chi-nese Maslach burnout inventory ( CMBI) , written by Professor Li Yongxin in Henan University was used in this study.Five hundred questionnaires were sent to medical staff in Nanjing General Hospital of Nanjing Military Region, and 489 copies were taken back.Four hundred and seventy eight copies were effective with the ratio of 97.8%. Results The emotion exhaust general mark of medical staff in army hospital was (21.96 ±7.54), which was below critical mark (25).The deindividuality and the lower of individual a-chievement feeling were (11.7 ±7.44) and (16.07 ±6.03),respectively, which were slightly above critical mark (11, 16).Accord-ing to the diagnostic criteria of job burnout, 42.07%of medical staff were mild job burnout, 27.41%were moderate job burnout, and 5.35%were serious job burnout. Conclusion Job burnout exists widely, and hospital manager should highly pay attention to the body and mind health of medical staff.%目的:随着国家医疗体制改革的不断深入,医生执业环境的特殊性使得国内医生的职业倦怠问题逐渐成为关注的焦点。文中旨在调查医务人员的职业倦怠现状,并探讨其原因,为有效预防和消除职业倦怠提供参考。方法采用河南大学李永鑫教授编制的工作倦怠问卷( Chinese Maslach burnout inventory, CMBI),以南京军区南京总医院医务人员为调查对象,发放问卷500份,收回489份,有效问卷478份,有效率97.8%。结果军队医院医务人员情感耗竭总分为(21.96±7.54)分,低于临界值(25分);去人性化及

  2. African Americans Respond Poorly to Hepatitis C Treatment

    Science.gov (United States)

    Black Issues in Higher Education, 2004

    2004-01-01

    African Americans have a significantly lower response rate to treatment for chronic hepatitis C than non-Hispanic Whites, according to a new study led by Duke University Medical Center researchers. Some African Americans--19 percent--did respond to the drug combination of peginterferon alfa-2b and ribavirin. But in non-Hispanic Whites with the…

  3. An exploration of cancer staff attitudes and values.

    Science.gov (United States)

    McKegney, F P; Visco, G; Yates, J; Hughes, J

    1979-01-01

    A multidisciplinary team involved in the care of patients with advanced cancer including physicians, nurses, social workers, physical therapists, nutritionists, clergymen, enterostomal therapists, biostatisticians and administrative personnel were studied over a period of eighteen months. A prospective study of staff attitudes and values about life, disease, and medical care which focused particularly on cancer, cancer treatment and patients with cancer was undertaken. Data were gathered from the staff by written responses to the following instruments: 1) Rokeach Value Survey and 2) a Personal Attitudes Toward Illness Questionnaire. This longitudinal prospective study demonstrated the reliability of scrutinizing individual and collective staff characteristics in a cancer care team. Although most team members had minimal previous contact with clinical research or with patients with advanced cancer, increased exposure did not result in changes in staff attitudes and values over the period of seventeen months. PMID:481321

  4. Recruiting and Retaining Summer Staff.

    Science.gov (United States)

    Crossen, Brian; Yerkes, Rita

    1998-01-01

    Recruiting of camp staff is challenged by economic and workplace restructuring, including business downsizing, part-time and temporary employment patterns, and generational attitude changes. Strategies for hiring and retaining staff include knowing what college-age workers want, marketing benefits, adopting new business strategies, and empowering…

  5. Risk management through staff education.

    Science.gov (United States)

    Seisser, M A; Epstein, A L

    1998-01-01

    The staff members of a healthcare organization are recognized as students of risk management. The risk manager, through application of the fundamentals of andragogy (i.e., learning strategies specific to adult learners), is in an advantageous position to assist staff in successfully applying risk management thought processes and related actions. PMID:10185075

  6. Staff Bullying in Australian Schools

    Science.gov (United States)

    Riley, Dan; Duncan, Deirdre J.; Edwards, John

    2011-01-01

    Purpose: The purpose of this paper is to estimate the prevalence of staff bullying in Australian schools, to identify bullies and targets and to examine some implications for school leaders in dealing with staff bullying. Design/methodology/approach: The quantitative research design survey instrument contained 11 demographic items, 44 questions of…

  7. 2011 Elections to Staff Council

    CERN Multimedia

    Staff Association

    2011-01-01

    Vote Elections to fill all seats in the Staff Council are being organized this month. Voting will begin on Monday 31 October. Make your voice heard and be many to elect the new Staff Council. By doing so, you will be encouraging the men and women who will  represent you over the next two years and they will doubtless appreciate your gratitude. More details on the elections can be found on the Staff Association web site. (http://association.web.cern.ch) Elections Timetable Monday 31 October, at noon start date for voting Monday 14 November, at noon closing date for voting Monday 21 November, publication of the results in Echo Tuesday 22 and Wednesday 29 November Staff Association Assizes Tuesday 6 December, at 10.00 a.m. first meeting of the new Staff Council and election of the new Executive Committee The voting procedure is monitored by the Election Committee. 

  8. Rétraction: plagiat aggravé dans l'article Aspergillose broncho-pulmonaire allergique lors d'un asthme réfractaire: à propos d'un cas clinique. Khalid Lahmadi, Hind El Youssi, Jawad Rochdi, BoughrineNawal, Er-Rami Mohammed. The Pan African Medical Journal. 2015;20:350. (doi:10.11604/pamj.2015.20.350.6572)

    OpenAIRE

    ,

    2015-01-01

    Cet article retracte l'article "Aspergillose broncho-pulmonaire allergique lors d'un asthme réfractaire: à propos d'un cas clinique. Khalid Lahmadi, Hind El Youssi, Jawad Rochdi, BoughrineNawal, Er-Rami Mohammed. The Pan African Medical Journal. 2015;20:350. (doi:10.11604/pamj.2015.20.350.6572)"

  9. Rétraction: plagiat aggravé dans l'article Aspergillose broncho-pulmonaire allergique lors d'un asthme réfractaire: à propos d'un cas clinique. Khalid Lahmadi, Hind El Youssi, Jawad Rochdi, BoughrineNawal, Er-Rami Mohammed. The Pan African Medical Journal. 2015;20:350. (doi:10.11604/pamj.2015.20.350.6572)

    Science.gov (United States)

    2015-01-01

    Cet article retracte l'article "Aspergillose broncho-pulmonaire allergique lors d'un asthme réfractaire: à propos d'un cas clinique. Khalid Lahmadi, Hind El Youssi, Jawad Rochdi, BoughrineNawal, Er-Rami Mohammed. The Pan African Medical Journal. 2015;20:350. (doi:10.11604/pamj.2015.20.350.6572)" PMID:26401219

  10. 感染预防控制对肺结核病房医护人员职业暴露影响效果的研究%Research on the effect of standardized infection prevention and control measure in tuberculosis wards to the medical staff occupational exposure

    Institute of Scientific and Technical Information of China (English)

    李春梅; 王克芳

    2015-01-01

    Objective To evaluate the effect of the infection prevention and control measures in pulmonary tuberculosis ward such as management measures, environmental control and personal protective etc.Methods Set the isolation tuberculosis ward, to performing infection prevention and control measures: management measures, knowledge training for medical staff. Perform environment control measure, such as three area, two channels, the actual separation barrier gate settings, installing low negative pressure ventilation and the circulative wind disinfection. Equip with enough staff, use the N95 masks for staff, surgical masks for free with patients and urge to use. Do not perform the measures including area separation and wind circulation in the non-isolation ward, and equip with surgical masks for staff, without masks for patients. Analyze the incident rate of tuberculosis of the staff in isolation ward and non-isolation ward.Results The tuberculosis incident rate in non-isolation ward is 8.3%, and the rate in isolation ward is 0.Conclusion The effect is remarkable to decrease the TB incident rate of the staff to performing infection prevention and control measures in pulmonary tuberculosis ward such as management measures, environmental control and personal protective etc.%目的:评价在肺结核病房实施管理措施、环境控制、个人防护等感染预防控制措施的效果。方法设置隔离肺结核病房,实施感染预防控制:制定管理办法,对医护人员进行知识培训;对隔离病房进行三区、两通道、中间实际错开屏障门设置,安装实施低负压定向通风和循环风空气消毒等环境控制措施;配备足够的医护人员并使用N95口罩,免费为患者提供外科口罩并督促使用。混住(非隔离)肺结核病房不实施分区、通风等措施,医护人员戴外科口罩,患者不戴口罩。分析对比隔离病房与混住病房医护人员结核病发病率。结果混住病房医

  11. Medical design anthropology

    DEFF Research Database (Denmark)

    Ventura, Jonathan; Gunn, Wendy

    literature concerning various levels of socio-cultural influence of the medical environment through medical products. In our research we have outlined the importance of medical design anthropology (MDA) to the practice and theory of design (Ventura and Gunn, 2016). In this paper, we study the ways in which...... medical products influence the various participants in the hospital environment (medical staff, patients, families etc.). We will demonstrate our approach through several projects dealing with medical design. In this preliminary research, we will present various issues regarding the understanding of......Barnard and Spencer define medical anthropology in the Encyclopedia of Social and Cultural Anthropology as "Medical anthropology is, as the phrase implies, unavoidably concerned with the paradigm of modern Western medicine, whether implicitly or explicitly" (2002: 541). Recently there is a new...

  12. Perceptions of Academic Staff towards Accommodating Students with Disabilities in a Civil Engineering Undergraduate Program in a University in South Africa

    Science.gov (United States)

    Mayat, Nafisa; Amosun, Seyi Ladele

    2011-01-01

    This study explored the perceptions of academic staff towards admission of students with disabilities, and their accommodation once accepted into an undergraduate Civil Engineering program in a South African university. Qualitative responses relating to the perceptions of five academic staff were obtained through semi-structured interviews. The…

  13. Restructuring support staff classification levels for academic health sciences library positions.

    OpenAIRE

    McCann, J C; Davis, S E; Trainor, D J; Waller, D. K.; Greenblatt, R B

    1990-01-01

    Nonprofessional library support staff traditionally hold what are considered to be low-paying, nonchallenging positions. These negative factors make retaining creative and productive employees difficult. This article outlines the approach taken at the Medical College of Georgia's Robert B. Greenblatt, M.D. Library to devise a structure of library staff positions that becomes progressively more demanding. A new nine-level Library Staff Classification Plan resulted. This plan also enables and e...

  14. Heart Disease and African Americans

    Science.gov (United States)

    ... Minority Population Profiles > Black/African American > Heart Disease Heart Disease and African Americans Although African American adults are ... were 30 percent more likely to die from heart disease than non-Hispanic whites. African American women are ...

  15. Infant Mortality and African Americans

    Science.gov (United States)

    ... African American > Infant Heath & Mortality Infant Mortality and African Americans African Americans have 2.2 times the infant mortality rate ... birthweight as compared to non-Hispanic white infants. African Americans had almost twice the sudden infant death syndrome ...

  16. Customers' Satisfaction Survey on Medical Service

    Institute of Scientific and Technical Information of China (English)

    LIU Guiying

    2002-01-01

    Introducing the service concept of service industry to medical industry, combining characteristics of medical health service and quoting theory of optimization management of service industry, this survey forwards optimization strategy providing satisfied medical service to customers:with optimization strategy on administration of medical staff and strategy of Zero Fault, the commitments comply with service.

  17. 武汉市某三级公立医院医疗卫生人员满意度调查%Inev stigation on Satisfaction of Medical Staff of a Tertiary Public Hospi tal in Wuhan

    Institute of Scientific and Technical Information of China (English)

    江婷; 王慧敏; 李舒丹; 王凌

    2016-01-01

    目的:提高医疗质量和服务质量是医院立足的根本,而让职工满意,则是医疗质量和服务质量得以提升的先决条件。方法利用网上填写调查问卷的方式,采用SPSS统计软件对工作本身、工作背景、工作群体、工作回报、医院管理等五个部分的内容进行分析,探讨不同年龄段医疗卫生人员对工作满意度的认知状况。结果武汉市某三级公立医院年轻职工对工作特征、组织地位与组织期望等内容较为满意,高年资职工对薪酬、人际关系等内容较为满意。结论应采取有效措施提高职工的满意度。①加强医院文化建设。②加强对医疗卫生人员医德医风教育。③加强部门间团队合作。④充分发挥薪酬的激励作用。⑤加大职工的职业发展空间。⑥定期、连续性地开展员工满意度调查。%Objective Employee satisfaction which are the foundation of the hospital is a precondition for improving the medical treatment quality and service quality.Methods The author probes the cognitive status of medical personnel in different age groups on the degree of job satisfaction by online questionnaire.And then, the data are analyzed by using SPSS with the following aspects:the job itself, the job background, the job group, the rewarding of the job and the hospital management.Results In a tertiary public hospital in Wuhan, while young employees are more satisfied with the job characteristics, organizational status and expectation, etc., high qualifi-cation employees are more content with remuneration, interpersonal relationship and so on.Conclusion It is es-sential to take measures to improve employee satisfaction,by enhancing the medical ethics education of medical per-sonnel, promoting team work among departments, making full use of the encouragement of remuneration, providing more career opportunities for personnel, and conducting employee satisfaction surveys regularly and

  18. Medical waste management in Ibadan, Nigeria: Obstacles and prospects

    International Nuclear Information System (INIS)

    Quantification and characterization of medical waste generated in healthcare facilities (HCFs) in a developing African nation has been conducted to provide insights into existing waste collection and disposal approaches, so as to provide sustainable avenues for institutional policy improvement. The study, in Ibadan city, Nigeria, entailed a representative classification of nearly 400 healthcare facilities, from 11 local government areas (LGA) of Ibadan, into tertiary, secondary, primary, and diagnostic HCFs, of which, 52 HCFs were strategically selected. Primary data sources included field measurements, waste sampling and analysis and a questionnaire, while secondary information sources included public and private records from hospitals and government ministries. Results indicate secondary HCFs generate the greatest amounts of medical waste (mean of 10,238 kg/day per facility) followed by tertiary, primary and diagnostic HCFs, respectively. Characterised waste revealed that only ∼3% was deemed infectious and highlights opportunities for composting, reuse and recycling. Furthermore, the management practices in most facilities expose patients, staff, waste handlers and the populace to unnecessary health risks. This study proffers recommendations to include (i) a need for sustained cooperation among all key actors (government, hospitals and waste managers) in implementing a safe and reliable medical waste management strategy, not only in legislation and policy formation but also particularly in its monitoring and enforcement and (ii) an obligation for each HCF to ensure a safe and hygienic system of medical waste handling, segregation, collection, storage, transportation, treatment and disposal, with minimal risk to handlers, public health and the environment

  19. African Americans and Glaucoma

    Science.gov (United States)

    ... Involved News About Us Donate In This Section African Americans and Glaucoma email Send this article to ... glaucoma is the leading cause of blindness in African Americans. Half of those with glaucoma don't ...

  20. Medical Services Program for the 1988 Winter Olympics

    OpenAIRE

    Challis, E. Bruce; Casement, L.A.

    1989-01-01

    The Medical Services Program for the 1988 winter Olympic games in Calgary involved detailed planning to co-ordinate facilities, equipment, supplies, transportaion, staff, and auxiliary support. The successful delivery of health care to athletes, Olympic officials, and spectators depended upon the efforts of medical volunteers, who enabled the Medical staff to provide adequate, timely service as required.

  1. Diabetes in African Americans

    OpenAIRE

    Marshall, M.

    2005-01-01

    African Americans have a high risk for type 2 diabetes. Genetic traits, the prevalence of obesity, and insulin resistance all contribute to the risk of diabetes in the African American community. African Americans have a high rate of diabetic complications, because of poor glycaemic control and racial disparities in health care in the USA. African Americans with diabetes may have an atypical presentation that simulates type 1 diabetes, but then their subsequent clinical course is typical of t...

  2. Sağlık Çalışanlarında Hizmetkâr Liderlik: Dennis-Winston ve Dennis-Bocernea Hizmetkâr Liderlik Ölçeklerinin Geçerlik ve Güvenirlik Araştırması( Servant Leadership Among Medical Staff: Investigation of Validity and Reliability of Dennis-Winston and Dennis-Bocernea Servant Leadership Scales

    Directory of Open Access Journals (Sweden)

    Şebnem ASLAN

    2011-01-01

    Full Text Available This study aims to contribute the two different scales used in evaluation of servant leadership among medical staff on Turkish literature. In this context, validity and reliability analysis of Dennis and Winston (2003 and Dennis and Bocernea (2006 Servant Leadership Scales are done. Dennis and Winston Scale includes 23 questions and 3 dimensions, and Dennis and Bocernea scale includes 29 questions and 7 dimensions. The survey is conducted with 180 staff in practising in three different hospitals of Konya province. The datas obtained from the survey are analysed with descriptive statistics and confirmatory factor analysis using SPSS 16.0 and Lisrel 8 programmes. As a result, Dennis and Bocernea scale is reduced to 5 dimensions and 14 questions, and Dennis and Winston scale to 3 dimensions and 14 questions. The new scale is found as valid and reliable.

  3. Evaluation on the effect of intervention strategies regarding lifestyle-health promotion among community medical staff in Hangzhou city%杭州市社区医疗机构职工开展生活方式健康促进的效果评价

    Institute of Scientific and Technical Information of China (English)

    刘冰; 刘庆敏; 任艳军; 吕筠

    2013-01-01

    Objective To investigate the effect of workplace intervention programs related with health-promoting lifestyles among community medical staff members in the communities of Hangzhou city.Methods Three representative districts including Xiacheng,Gongshu and Westlake were chosen and all the community medical staff was involved in the study.Questionnaire survey was applied to collect the information from all the community medical staff.Three aspects including 1,environmental support and policies on healthy lifestyles 2,lectures and activities related to healthpromoting programs provided,and 3,peer effect on health promotion,were studied.Chi square test and logistic stepwise regression analysis were applied.Results Intervention strategies on smoking,diet and physical exercises were analyzed respectively.It was indicated that none of the lectures,regulations or individual counseling regarding smoking cessation was associated with the decrease of smoking behavior.Medical staff that taking part in the lectures on balanced diet showed higher frequencies of vegetable/fruit intake,with the frequencies of vegetables/fruits consumption on 4 or more days/per week appeared 1.74 times more than that in the control group.As for the physical exercise intervention was concerned,the peer effect was found to be obvious.Medical staff that taking exercise with colleagues tended to do more exercises with frequency in taking moderate or high intensity exercises 5 or more days/per week as 1.62 times than that of the control group.Data also indicated that regardless of intervention programs on diet or on physical activities,the combination effect could statistically improve the healthy behavior on diet or physical exercise.Conclusion Intervention programs on both balanced diet and physical exercises were preliminarily found to be associated with enhanced health promotion behavior for workplace health promotion strategies but need to be verified through further intervention studies of the

  4. REMINDER FROM MEDICAL SERVICE

    CERN Multimedia

    2003-01-01

    For medical problems, we would like to remind all personnel working on the CERN sites, staff members or from outside firms, that they are welcome at the Infirmary, building 57, ground floor. For information, call the nurses - on telephone: 73802 - by e-mail:Service.Médical@cern.ch Francoise.Lebrun-Klauser@cern.ch Mireille.Vosdey@cern.ch Katie.Warrillow-Thomson@cern.ch Medical Service

  5. REMINDER FROM MEDICAL SERVICE

    CERN Multimedia

    2003-01-01

    For medical problems, we would like to remind all personnel working on the CERN sites, staff members or from outside firms, that they are welcome at the Infirmary, building 57, ground floor. For information, call the nurses - on telephone: 73802 - by e-mail: Service.Médical@cern.ch Francoise.Lebrun-Klauser@cern.ch Mireille.Vosdey@cern.ch Katie.Warrillow-Thomson@cern.ch Medical Service

  6. Reminder from Medical Service

    CERN Multimedia

    2003-01-01

    For medical problems, we would like to remind all personnel working on the CERN sites, staff members or from outside firms, that they are welcome at the Infirmary, building 57, ground floor. For information, contact the nurses on telephone: 73802 by e-mail: Service.Médical@cern.ch Francoise.Lebrun-Klauser@cern.ch Mireille.Vosdey@cern.ch Katie.Warrillow-Thomson@cern.ch Medical Service

  7. REMINDER FROM MEDICAL SERVICE

    CERN Multimedia

    Service Médical

    2000-01-01

    For medical problems, we would like to remind all personnel working on the CERN sites, be they staff or from outside firms, that they are welcome at the Infirmary, building 57, ground floor. For information, call the Nurses on telephone: 73802. by electronic mail to: Infirmary.Service@cern.chMarion.Diedrich@cern.ch Janet.Doody@cern.ch Mireille.Vosdey@cern.ch Medical Service

  8. REMINDER FROM MEDICAL SERVICE

    CERN Multimedia

    Service médical

    2000-01-01

    For medical problems, we would like to remind all personnel working on the CERN sites,be they staff or from outside firms, that they are welcome at the Infirmary, building 57, ground floor.For information, call the Nurseson telephone: 73802.by electronic mail to:Infirmary.Service@cern.chMarion.Diedrich@cern.ch Janet.Doody@cern.ch Mireille.Vosdey@cern.chMedicalService

  9. REMINDER FROM MEDICAL SERVICE

    CERN Multimedia

    Medical Service

    2000-01-01

    For medical problems, we would like to remind all personnel working on the CERN sites, be they staff or from outside firms, that they are welcome at the Infirmary, building 57, ground floor.For information, call the Nurses on Telephone: 73802 or by electronic mail:Infirmary.Service@cern.chMarion.Diedrich@cern.ch Janet.Doody@cern.ch Mireille.Vosdey@cern.chMedicalService

  10. Radiation Exposure Dose in Staff Involving Positron Emission Tomography/Computed Tomography (PET/CT) Imaging in Medical Institutions of Shanghai%上海市医疗机构正电子发射断层显像/X线计算机体层成像仪(PET/CT)工作人员受照剂量调查

    Institute of Scientific and Technical Information of China (English)

    王彬; 钱爱君; 姚杰; 高林峰; 沈金福; 季贵毅

    2012-01-01

    [ Objective ] To collect information about radiation exposure in positron emission tomography/computed tomography (PET/CT) related medical staff in Shanghai. [ Methods ] Basic information of PET/CT staff was collected in Shanghai. Air absorbed dose rates from y radiation in selected workplaces and individual cumulative doses from external exposures were monitored and estimated. [ Results ] By the end of 2011, there were 13 sets of PET/CT and 153 related medical staff in Shanghai. The radiation doses to a body part varied with repacking and injecting methods of radiopharmaceutical: the highest air absorbed dose rate from y radiation was found in eyes (exclude hands) if repacking without ventilation facility, the maximum value reached 613.6 μSv/h, which was 62 times the value of repacking with ventilation. The air absorbed dose rate from γ radiation reached the maximum of 391.8 μSv/h in chest (exclude hands) if injection with mobile protection cart. Hands were the body part with highest exposure dose rate regardless of repacking or injection methods, and the maximum value were 4407.0 uSv/h and 2211.3 μSv/h respectively. In addition, individual cumulative doses varied with staffs' job titles, leading by nurses, technicians, and doctors. The bimonthly maximum dose reached 3 946.6 μSv in the nurse group. [ Conclusion ] In Shanghai, the overall PET/CT protection levels meet national standards. However, the exposure levels can be further reduced to as low as possible.%[目的]掌握目前上海市从事正电子发射断层显像/X线计算机体层成像仪(PET/CT)工作的人员受照情况.[方法]普查上海市PET/CT工作人员基本情况,监测PET/CT工作场所γ辐射空气吸收剂量率和放射工作人员外照射个人累积剂量.[结果]截至2011年,上海市共有PET/CT 13台,工作人员153名.采用不同放射性药物分装形式和注射方式,工作人员身体同一部位所受剂量有较大差别:非通风橱分装情况下(不考虑手

  11. SENIOR STAFF ADVANCEMENT COMMITTEE (SSAC)

    CERN Multimedia

    2000-01-01

    Composition and mandateThe Senior Staff Advancement Committee is composed of members nominated ad persona by the Director-General.The Committee examines proposals from Divisions concerning promotions to grade 13 in Career Path IX, changes of career path to Career Path IX and advancements to the exceptional grade in Career path VIII.The Director-General may consult the Committee on any matter related to senior staff careers.The Committee makes its recommendations to the Director-General.

  12. African American Suicide

    Science.gov (United States)

    African American Suicide Fact Sheet Based on 2012 Data (2014) Overview • In 2012, 2,357 African Americans completed suicide in the U.S. Of these, ... 46 per 100,000. • The suicide rate for African Americans ages 10-19 was 2.98 per ...

  13. Effective dose estimation to patients and staff during urethrography procedures

    Energy Technology Data Exchange (ETDEWEB)

    Sulieman, A. [Prince Sattam bin Abdulaziz University, College of Applied Medical Sciences, Radiology and Medical Imaging Department, P. O- Box 422, Alkharj 11942 (Saudi Arabia); Barakat, H. [Neelain University, College of Science and Technology, Medical Physics Department, Khartoum (Sudan); Alkhorayef, M.; Babikir, E. [King Saud University, College of Applied Sciences, Radiological Sciences Department, P. O. Box 10219, Riyadh 11433 (Saudi Arabia); Dalton, A.; Bradley, D. [University of Surrey, Centre for Nuclear and Radiation Physics, Department of Physics, Surrey, GU2 7XH Guildford (United Kingdom)

    2015-10-15

    Medical-related radiation is the largest source of controllable radiation exposure to humans and it accounts for more than 95% of radiation exposure from man-made sources. Few data were available worldwide regarding patient and staff dose during urological ascending urethrography (ASU) procedure. The purposes of this study are to measure patient and staff entrance surface air kerma dose (ESAK) during ASU procedure and evaluate the effective doses. A total of 243 patients and 145 staff (Urologist) were examined in three Hospitals in Khartoum state. ESAKs were measured for patient and staff using thermoluminescent detectors (TLDs). Effective doses (E) were calculated using published conversion factors and methods recommended by the national Radiological Protection Board (NRPB). The mean ESAK dose for patients and staff dose were 7.79±6.7 mGy and 0.161±0.30 mGy per procedures respectively. The mean and range of the effective dose was 1.21 mSv per procedure. The radiation dose in this study is comparable with previous studies except Hospital C. It is obvious that high patient and staff exposure is due to the lack of experience and protective equipment s. Interventional procedures remain operator dependent; therefore continuous training is crucial. (Author)

  14. Effective dose estimation to patients and staff during urethrography procedures

    International Nuclear Information System (INIS)

    Medical-related radiation is the largest source of controllable radiation exposure to humans and it accounts for more than 95% of radiation exposure from man-made sources. Few data were available worldwide regarding patient and staff dose during urological ascending urethrography (ASU) procedure. The purposes of this study are to measure patient and staff entrance surface air kerma dose (ESAK) during ASU procedure and evaluate the effective doses. A total of 243 patients and 145 staff (Urologist) were examined in three Hospitals in Khartoum state. ESAKs were measured for patient and staff using thermoluminescent detectors (TLDs). Effective doses (E) were calculated using published conversion factors and methods recommended by the national Radiological Protection Board (NRPB). The mean ESAK dose for patients and staff dose were 7.79±6.7 mGy and 0.161±0.30 mGy per procedures respectively. The mean and range of the effective dose was 1.21 mSv per procedure. The radiation dose in this study is comparable with previous studies except Hospital C. It is obvious that high patient and staff exposure is due to the lack of experience and protective equipment s. Interventional procedures remain operator dependent; therefore continuous training is crucial. (Author)

  15. Why join the Staff Association

    CERN Multimedia

    Association du personnel

    2011-01-01

    Becoming a member of the Staff Association (SA) is above all a personal choice, showing that the joining person’s commitment and adherence to values such as solidarity, social cohesion, etc.In September, the SA launches a membership campaign to convince a maximum number to join, to inform, arouse interest and support. Posters, emails and individual contacts are part of the campaign programme, just like this editorial. As far as individual contacts are concerned, we ask you to give time and lend an ear to the delegates of your department in the Staff Council, who will approach you, in order to make an open and constructive discussion possible. Do not hesitate to ask questions and let them know your thoughts about the SA, as (constructive) criticism enables us to progress. The Staff Association and its role of collective representation The Staff Association, via its delegates, represents collectively all staff of the Organization before the Director-General and Member States. To do this, staff rep...

  16. REMINDER FROM MEDICAL SERVICE

    CERN Multimedia

    Medical Service

    2001-01-01

    For medical problems, we would like to remind all personnel working on the CERN sites, be they staff or from outside firms, that they are welcome at the Infirmary, building 57, ground floor. For information, call the Nurses on Telephone: 73802. by electronic mail: Infirmary.Service@cern.ch Marion.Diedrich@cern.ch Janet.Doody@cern.ch Mireille.Vosdey@cern.ch

  17. REMINDER FROM MEDICAL SERVICE

    CERN Multimedia

    Medical Service

    2001-01-01

    For medical problems, we would like to remind all personnel working on the CERN sites, be they staff or from outside firms, that they are welcome at the Infirmary, building 57, ground floor. For information, call the Nurses on telephone: 73802. by electronic mail: Infirmary.Service@cern.ch Marion.Diedrich@cern.ch Janet.Doody@cern.ch Mireille.Vosdey@cern.ch

  18. REMINDER FROM MEDICAL SERVICE

    CERN Multimedia

    Service Médical

    2000-01-01

    For medical problems, we would like to remind all personnel working on the CERN sites, be they staff or from outside firms, that they are welcome at the Infirmary, building 57, ground floor. For information, call the Nurses on Telephone: 73802. by electronic mail: Infirmary.Service@cern.ch Marion.Diedrich@cern.ch Janet.Doody@cern.ch Mireille.Vosdey@cern.ch

  19. Effect of paid Compensation Mechanism of Zero-profit Basic Drugs Sale Unit over Grassroots Medical Staff%基本药品零差率销售单元付费补偿机制对基层医务人员满意度的影响研究

    Institute of Scientific and Technical Information of China (English)

    尹占春; 刘冬梅; 段琪

    2014-01-01

    目的:了解药品零差率销售单元付费补偿机制对基层医务人员满意度的影响,为补偿机制的完善提供相应思路。方法2013年5月,采用配额抽样和随机抽样方法,在天津市某区共抽取10个社区卫生服务中心(医务人员共922人);采用简单随机抽样方法抽取各业务科室医务人员400人。采用自行设计的调查问卷,调查内容为药品零差率销售单元付费政策实施后医务人员的满意度情况。采用SPSS 17.0统计软件进行Pearson相关分析和决定系数分析。结果922名医务人员中,初级及以下职称者占58.4%,专科及以下学历者占41.1%。相关性分析与决定系数分析显示,基层医疗卫生机构药品零差率销售单元付费补偿机制与医务人员满意度存在相关关系( P<0.001)。其供给机制中的职业环境,分配机制中的收入与工作匹配度、工资制度、补偿水平,激励机制中的奖惩制度相关系数均大于0.4、决定系数均接近或大于0.2。结论基层医疗卫生机构药品零差率销售单元付费补偿机制与医务人员满意度存在相关关系;应改善人力结构,提升工作环境,强化补偿效果,创新考评制度、补偿方式和分配激励机制。%Objective To understand the influence of paid compensation mechanism of zero-profit drugs sale unit on the medical staff satisfaction and provide some ideas for its perfection. Methods Quota sampling and random sampling methods were used in May 2013 to select 10 community health centers in a district of Tianjin(922 medical workers in all),and simple random sampling method was used to select 400 medical workers from all the service departments. All were investigated by self-designed questionnaire about their satisfaction after the implementation of zero-profit drugs sale unit paid policy. SPSS 17. 0 soft-ware was used for the Pearson correlation analysis and the determination coefficient

  20. 艾滋病医护人员工作压力源、应对方式与工作倦怠的关系%Relationship of Job Burnout of medical staff caring for HIV/AIDS with Job Stress Sources and Coping Styles

    Institute of Scientific and Technical Information of China (English)

    李慧民; 李莉; 张晓慧

    2012-01-01

    目的 了解艾滋病医护人员工作倦怠与工作压力源和应对方式的关系.方法 采用中式工作倦怠量表(CMBI),简易应对方武问卷(SCSQ)以及自编工作压力源问卷对342名艾滋病医护人员进行调查.结果 ①工作倦怠3个维度与工作压力源和应对方式的多个因素有显著相关关系(P< 0.05和0.01).②管理问题和职业风险的压力对情感耗竭以及职业风险对人格解体的预测作用均极其显著(P<0.01);消极应对对于情感耗竭和人格解体具有显著正向预测作用(P< 0.01和0.05),而积极应对对成就感降低具有显著反向预测作用(P<0.01).③Amos路径分析表明,职业风险的压力和消极应对方式直接影响情感耗竭和人格解体,人际排斥的压力直接影响成就感降低,而积极应对反向作用于成就感降低;消极应对在压力源和工作倦怠中起着部分的中介作用.结论 应当重视艾滋病医护人员的工作压力问题,指导他们使用积极的应对方式,以降低其工作倦怠水平,提高工作生活质量.%OBJECTIVE To explore the relationship of job burnout of medical staff caring for HIV/AIDS with job stress sources and coping styles. METHODS 342 medical staff caring for HIV/AIDS were examined with Chinese Maslach Burnout Inventory (CMBI), Simplified Coping Style, Questionnaire (SCSQ) and Job Stress Sources Inventory. RESULTS ①Three aspects of Job burnout have significant correlation with several aspects of the job stress sources and coping styles (P < 0.05 & P < 0.01). ② Stress of management and occupational risk can predict emotional exhaustion, and occupational risk can predict depersonalization significantly (P < 0.01) positively. Negative coping style can predict emotional exhaustion and depersonalization positively (P < 0.01 & P< 0.05). The positive coping style can predict low personal accomplishment negatively (f < 0.01). ③Path analysis with Amos shows that occupational risk and

  1. Challenges experienced by African educators in developing the school curriculum of the North West province / Mamashaba Christina Ratlebyana

    OpenAIRE

    Ratlebyana, Mamashaba Christina

    2005-01-01

    The aim of this study was to identify problems experienced by African educators in developing the school curriculum. The kinds of attitudes and beliefs of African educators in developing the school curriculum are also determined. The study indicates that African educators experienced problems in developing the school curriculum. Learners in urban areas had more advantages than those in rural areas such as availability of facilities and well qualified staff. Schools need adeq...

  2. Medical support for Adventure Racing.

    Science.gov (United States)

    Greenland, Keith

    2004-01-01

    Adventure Racing has recently become a popular sport. In the past medical and paramedical staff were frequently positioned at checkpoints throughout the course of the race. Presently there is a developing role for appropriately qualified individuals to access the course by biking, running or swimming and then providing injured racers with on-site first aid prior to their transfer to the nearest medical checkpoint. These medical staff should have not only appropriate first aid skills but also rock rescue techniques, rappelling and other basic rope work as well as be athletically fit. This article explores the new role and attempts to outline what characteristics may be required. PMID:15537411

  3. Protection of quality and innovation in radiation oncology: The prospective multicenter trial the German Society of Radiation Oncology (DEGRO-QUIRO study). Evaluation of time, attendance of medical staff, and resources during radiotherapy with IMRT

    International Nuclear Information System (INIS)

    A number of national and international societies published recommendations regarding the required equipment and manpower assumed to be necessary to treat a number of patients with radiotherapy. None of these recommendations were based on actual time measurements needed for specific radiotherapy procedures. The German Society of Radiation Oncology (DEGRO) was interested in substantiating these recommendations by prospective evaluations of all important core procedures of radiotherapy in the most frequent cancers treated by radiotherapy. The results of the examinations of radiotherapy with intensity-modulated radiation therapy (IMRT) in patients with different tumor entities are presented in this manuscript. Four radiation therapy centers [University Hospital of Marburg, University Hospital of Giessen, University Hospital of Berlin (Charite), Klinikum rechts der Isar der Technischen Universitaet Muenchen] participated in this prospective study. The workload of the different occupational groups and room occupancies for the core procedures of radiotherapy were prospectively documented during a 2-month period per center and subsequently statistically analyzed. The time needed per patient varied considerably between individual patients and between centers for all the evaluated procedures. The technical preparation (contouring of target volume and organs at risk, treatment planning, and approval of treatment plan) was the most time-consuming process taking 3 h 54 min on average. The time taken by the medical physicists for this procedure amounted to about 57 %. The training part of the preparation time was 87 % of the measured time for the senior physician and resident. The total workload for all involved personnel comprised 74.9 min of manpower for the first treatment, 39.7 min for a routine treatment with image guidance, and 22.8 min without image guidance. The mean room occupancy varied between 10.6 min (routine treatment without image guidance) and 23.7 min (first

  4. Radiation monitoring of PET staff

    International Nuclear Information System (INIS)

    Full text: Positron emission tomography (PET) is becoming a common diagnostic tool in hospitals, often located in and employing staff from the Nuclear Medicine or Radiology departments. Although similar in some ways, staff in PET departments are commonly found to have the highest radiation doses in the hospital environment due to unique challenges which PET tracers present in administration as well as production. The establishment of a PET centre with a dedicated cyclotron has raised concerns of radiation protection to the staff at the WA PET Centre and the Radiopharmaceutical Production and Development (RAPID) team. Since every PET centre has differing designs and practices, it was considered important to closely monitor the radiation dose to our staff so that improvements to practices and design could be made to reduce radiation dose. Electronic dosimeters (MGP DMC 2000XB), which have a facility to log time and dose at 10 second intervals, were provided to three PET technologists and three PET nurses. These were worn in the top pocket of their lab coats throughout a whole day. Each staff member was then asked to note down their duties throughout the day and also note the time they performed each duty. The duties would then correlate with the dose with which the electronic monitor recorded and an estimate of radiation dose per duty could be given. Also an estimate of the dose per day to each staff member could be made. PET nurses averaged approximately 20 μ8v per day getting their largest dose from caring for occasional problematic patients. Smaller doses of a 1-2 μ8v were recorded for injections and removing cannulas. PET technologists averaged approximately 15 μ8v per day getting their largest dose of 1-5μ8v mainly from positioning of patients and sometimes larger doses due to problematic patients. Smaller doses of 1-2 μ5v were again recorded for injections and removal of cannulas. Following a presentation given to staff, all WA PET Centre and RAPID staff

  5. NO to sacrificing future staff!

    CERN Multimedia

    Staff Association

    2011-01-01

    During our public meetings last week, we reviewed several subjects. However, the most urgent one today is the 2nd package of measures for our Pension Fund. In our previous issue, we devoted a long article to the Management’s plan for staff recruited from January 2012. A disaster! As we announced at our meetings, the Staff Association will organize a referendum at the beginning of April. For the message to be heard it is vital that as many staff as possible take part. By voting you will express your support to your staff representatives to stand in the way of these unacceptable measures. It is a matter of urgency that the staff makes their voice heard. Time is short, the decisions will be made in June. The future of our Organization is as stake. This is our future colleagues we are talking about. We must prevent this sacrifice. They must be welcomed in such a manner that there is no uneasiness between us. They must be made to feel welcome in their new family, CERN, our CERN. That they should pay an ...

  6. Medical radiation

    International Nuclear Information System (INIS)

    Three slide sets which can be used in lectures about radiation protection have been published by NRPB. The slide sets are based on publications in the NRPB ''At-a-Glance'' series of broadsheets, which use illustrations as the main source of information, supported by captions; the series generally avoids the jargon of radiation protection, although each leaflet is based on scientific studies. Slide Set Number 3, ''Medical Radiation'', outlines the production and use of x-rays in diagnosis, the protection of staff and patients, and the use of radioactive materials in diagnosis and radiotherapy. It summarises the use of magnetic resonance imaging. Radiation doses received during various x-ray examinations are compared with radiation doses from nature. (Author)

  7. Amendments to the Staff Rules and Regulations

    CERN Multimedia

    Human Resources Department

    2005-01-01

    The Staff Rules and Regulations in force since 1 January 1996 are modified as follows as from 1 July 2005 : Article R II 4.07 of the Staff Regulations - Leave year (pages 25 & 26) The purpose of the amendment is to allow certain members of the personnel, on an exceptional basis in the context of LHC construction, to carry forward more than 30 days of annual leave into the following year. This possibility of additional carry-forward, which will be used sparingly, is governed by strict conditions : i.e. it must be with the consent of the member of the personnel concerned and subject to a specific, documented request by the hierarchy and a favourable medical opinion. In addition, the number of additional days of leave that can be carried forward must not exceed 10 per leave year, and all days of leave accumulated in this way must be used before 30 September 2009. Finally, this possibility will not be available to members of the personnel taking part in the Saved Leave Scheme (SLS) as at 3...

  8. Day Camp Manual: Staff. Book II.

    Science.gov (United States)

    Babcock, William

    Book II of a 5-book day camp manual focuses on staff selection and training. Following the philosophy that developing an effective staff is the responsibility of the camp director, the book contains major sections on staff recruitment (sources of staff, problems, selection procedures, job descriptions, personnel practices); guidelines for job…

  9. Staff Association Handbook, 1974-75.

    Science.gov (United States)

    Montgomery Coll. Staff Association, Takoma Park, MD.

    This handbook provides a list of Staff Senate and Committee members of the Staff Association of Montgomery College, a copy of the bylaws of the association, and sections of the college's "Policies and Procedures Manual" that affect staff employees. These sections of the manual pertain to: Administrative and Staff Communication; Affirmative Action…

  10. Assessing and Reducing Exposures to Nuclear Medicine Staff

    International Nuclear Information System (INIS)

    Nuclear medicine involves the handling of unsealed radiation sources. Occupational monitoring in nuclear medicine, thus, includes assessment of both external irradiation of the body and internal exposure due to inhalation or ingestion of radioactive substances. When appropriate radiation protection measures are applied, the annual effective dose to nuclear medicine staff is low (around 2–3 mSv). However, hand doses can be very high and can even exceed the regulatory limit for skin equivalent dose, without workers being aware of it. The paper presents the main results of the European Atomic Energy Community’s Seventh Framework Programme project, Optimization of Radiation Protection of Medical Staff (ORAMED), within the field of extremity dosimetry of nuclear medicine staff, and proposes recommendations to improve radiation protection in occupational exposure in nuclear medicine. (author)

  11. HIV Stigma in Prisons and Jails: Results from a Staff Survey.

    Science.gov (United States)

    Belenko, Steven; Dembo, Richard; Copenhaver, Michael; Hiller, Matthew; Swan, Holly; Albizu Garcia, Carmen; O'Connell, Daniel; Oser, Carrie; Pearson, Frank; Pankow, Jennifer

    2016-01-01

    With numerous HIV service gaps in prisons and jails, there has been little research on HIV stigma attitudes among correctional staff. Such attitudes may undermine HIV services for inmates at risk of or infected with HIV. This HIV stigma attitudes survey among 218 correctional staff in 32 US facilities (1) provides an overview of staff's stigma attitudes, (2) reports psychometric analyses of domains in Earnshaw and Chaudoir's HIV Stigma Framework (HSF), and (3) explores differences in stigma attitudes among different staff types. Overall, correctional and medical staff expressed non stigmatizing attitudes toward people living with HIV/AIDS, but perceived that stigma and discrimination exist in others. Factor analyses revealed a three factor structure capturing two mechanisms of the HSF (prejudice, discrimination). Few factor score differences were found by staff type or setting. Implications for correctional HIV services and future research on HIV stigma attitudes are discussed. PMID:26036464

  12. Resolution of the Staff Council

    CERN Multimedia

    Staff Association

    2015-01-01

    You were many to attend the public information meetings organised in October and we thank you for your interest. In this decision phase of the current Five-Yearly Review of our employment conditions they provided an opportunity to review the Management proposals in detail. They were a moment of exchange also on the various topics under review, and your comments were many and very valuable. Meeting on Thursday 29th October, the Staff Council discussed once more these proposals. It considered that the "package" of proposed measures is not balanced enough in its current form. It decided to formulate additional requests to the Management, relating mainly to the effects of the introduction of the proposed new career system. The resolution adopted this morning also implies that the consultation of staff, originally foreseen next week, is postponed. The staff Council will reconvene in a special session on Thursday, 5th November to reassess its position depending on the progress made regarding its d...

  13. Protection of quality and innovation in radiation oncology: The prospective multicenter trial the German Society of Radiation Oncology (DEGRO-QUIRO study). Evaluation of time, attendance of medical staff, and resources during radiotherapy with IMRT

    Energy Technology Data Exchange (ETDEWEB)

    Vorwerk, H.; Schiller, R. [University of Marburg, Department of Radiotherapy and Radiooncology, Marburg (Germany); Zink, K.; Engenhart-Cabillic, R. [University of Marburg, Department of Radiotherapy and Radiooncology, Marburg (Germany); University of Giessen, Department of Radiotherapy and Radiooncology, Giessen (Germany); Budach, V.; Boehmer, D. [Charite, University of Berlin, Department of Radiotherapy and Radiooncology, Berlin (Germany); Kampfer, S. [Technische Universitaet Muenchen, Department of Radiation-Oncology, Muenchen (Germany); Popp, W. [Prime Networks AG, Basel (Switzerland); Sack, H. [University of Essen, Department of Radiotherapy and Radiooncology, Essen (Germany)

    2014-05-15

    A number of national and international societies published recommendations regarding the required equipment and manpower assumed to be necessary to treat a number of patients with radiotherapy. None of these recommendations were based on actual time measurements needed for specific radiotherapy procedures. The German Society of Radiation Oncology (DEGRO) was interested in substantiating these recommendations by prospective evaluations of all important core procedures of radiotherapy in the most frequent cancers treated by radiotherapy. The results of the examinations of radiotherapy with intensity-modulated radiation therapy (IMRT) in patients with different tumor entities are presented in this manuscript. Four radiation therapy centers [University Hospital of Marburg, University Hospital of Giessen, University Hospital of Berlin (Charite), Klinikum rechts der Isar der Technischen Universitaet Muenchen] participated in this prospective study. The workload of the different occupational groups and room occupancies for the core procedures of radiotherapy were prospectively documented during a 2-month period per center and subsequently statistically analyzed. The time needed per patient varied considerably between individual patients and between centers for all the evaluated procedures. The technical preparation (contouring of target volume and organs at risk, treatment planning, and approval of treatment plan) was the most time-consuming process taking 3 h 54 min on average. The time taken by the medical physicists for this procedure amounted to about 57 %. The training part of the preparation time was 87 % of the measured time for the senior physician and resident. The total workload for all involved personnel comprised 74.9 min of manpower for the first treatment, 39.7 min for a routine treatment with image guidance, and 22.8 min without image guidance. The mean room occupancy varied between 10.6 min (routine treatment without image guidance) and 23.7 min (first

  14. Nuclear Medicine Physics: A Handbook for Teachers and Students. Endorsed by: American Association of Physicists in Medicine (AAPM), Asia–Oceania Federation of Organizations for Medical Physics (AFOMP), Australasian College of Physical Scientists and Engineers in Medicine (ACPSEM), European Federation of Organisations for Medical Physics (EFOMP), Federation of African Medical Physics Organisations (FAMPO), World Federation of Nuclear Medicine and Biology (WFNMB)

    International Nuclear Information System (INIS)

    This publication provides the basis for the education of medical physicists initiating their university studies in the field of nuclear medicine. The handbook includes 20 chapters and covers topics relevant to nuclear medicine physics, including basic physics for nuclear medicine, radionuclide production, imaging and non-imaging detectors, quantitative nuclear medicine, internal dosimetry in clinical practice and radionuclide therapy. It provides, in the form of a syllabus, a comprehensive overview of the basic medical physics knowledge required for the practice of medical physics in modern nuclear medicine

  15. Eye dose to staff involved in interventional and procedural fluoroscopy

    Science.gov (United States)

    McLean, D.; Hadaya, D.; Tse, J.

    2016-03-01

    In 2011 the International Commission on Radiological Protection (ICRP) lowered the occupational eye dose limit from 150 to 20 mSv/yr [1]. While international jurisdictions are in a process of adopting these substantial changes, medical physicists at the clinical level have been advising medical colleagues on specific situations based on dose measurements. Commissioned and calibrated TLDs mounted in commercially available holders designed to simulate the measurement of Hp(3), were applied to staff involved in x-ray procedures for a one month period. During this period clinical procedure data was concurrently collected and subject to audit. The use or not of eye personal protective equipment (PPE) was noted for all staff. Audits were conducted in the cardiac catheterisation laboratory, the interventional angiography rooms and the procedural room where endoscopic retrograde cholangiopancreatography (ERCP) procedures are performed. Significant levels of occupational dose were recorded in the cardiac and interventional procedures, with maximum reading exceeding the new limit for some interventional radiologists. No significant eye doses were measured for staff performing ERCP procedures. One outcome of the studies was increased use of eye PPE for operators of interventional equipment with increased availability also to nursing staff, when standing in close proximity to the patient during procedures.

  16. Internet Staff Development: A Continuum.

    Science.gov (United States)

    Anderson, Mary Alice

    1998-01-01

    Provides a synopsis of classes developed by the Winona (Minnesota) Middle School media center to provide staff with current Internet skills. Includes navigation techniques using browsers; e-mail; search engines; selecting and evaluating Web sites; Internet ethics and Netiquette; critical evaluation of Web sources; graphics; interactive video…

  17. Top 10 Staff Survival Tips.

    Science.gov (United States)

    O'Brien, Laurie

    1995-01-01

    Tips for camp staff on how to survive summer camp include not giving campers sugary drinks before bedtime, setting behavior limits with campers, setting an example by following camp rules, getting enough rest, being fair and consistent, controlling anger, being accountable for actions, asking questions, and being flexible. (LP)

  18. African Otter Workshop

    OpenAIRE

    Jan Reed-Smith; Hughes Akpona; Grace Yoxon

    2016-01-01

    All concerned thought this was an excellent workshop with important progress made towards creating a viable beginning of an African Otter Network. There is a long road ahead but the 2015 African Otter Workshop is a start on developing range country partners, activists and researchers as well as collaborating on issue identification and resolution which will assist in preserving at least some refugia for Africa’s otters. A list of actions was agreed on, including the creation of an African Ott...

  19. African and non-African admixture components in African Americans and an African Caribbean population.

    Science.gov (United States)

    Murray, Tanda; Beaty, Terri H; Mathias, Rasika A; Rafaels, Nicholas; Grant, Audrey Virginia; Faruque, Mezbah U; Watson, Harold R; Ruczinski, Ingo; Dunston, Georgia M; Barnes, Kathleen C

    2010-09-01

    Admixture is a potential source of confounding in genetic association studies, so it becomes important to detect and estimate admixture in a sample of unrelated individuals. Populations of African descent in the US and the Caribbean share similar historical backgrounds but the distributions of African admixture may differ. We selected 416 ancestry informative markers (AIMs) to estimate and compare admixture proportions using STRUCTURE in 906 unrelated African Americans (AAs) and 294 Barbadians (ACs) from a study of asthma. This analysis showed AAs on average were 72.5% African, 19.6% European and 8% Asian, while ACs were 77.4% African, 15.9% European, and 6.7% Asian which were significantly different. A principal components analysis based on these AIMs yielded one primary eigenvector that explained 54.04% of the variation and captured a gradient from West African to European admixture. This principal component was highly correlated with African vs. European ancestry as estimated by STRUCTURE (r(2)=0.992, r(2)=0.912, respectively). To investigate other African contributions to African American and Barbadian admixture, we performed PCA on approximately 14,000 (14k) genome-wide SNPs in AAs, ACs, Yorubans, Luhya and Maasai African groups, and estimated genetic distances (F(ST)). We found AAs and ACs were closest genetically (F(ST)=0.008), and both were closer to the Yorubans than the other East African populations. In our sample of individuals of African descent, approximately 400 well-defined AIMs were just as good for detecting substructure as approximately 14,000 random SNPs drawn from a genome-wide panel of markers. PMID:20717976

  20. Patient-Centered Medical Homes in 2016.

    Science.gov (United States)

    Tayloe, David T

    2016-01-01

    There is much information in the medical literature concerning the medical home concept. Each medical practice must utilize that literature to devise a system of care-a patient-centered medical home-that best meets the needs of patients, families, and practice staff. This article is Goldsboro Pediatrics' attempt to describe its system of care, its patient-centered medical home. PMID:27422953

  1. Analysis of standardized hand-washing spectrum for the improvement of the hand-washing hygiene rate for hepatobiliary surgery medical staff%规范化外科洗手图谱对提高肝胆外科医护人员手卫生合格率的效果分析

    Institute of Scientific and Technical Information of China (English)

    刘平玉; 程月娥

    2015-01-01

    目的:探讨《规范化外科洗手图谱》对提高肝胆外科医护人员手卫生合格率的应用效果。方法根据中华人民共和国卫生部《消毒技术规范》和解放军总后勤部《医院感染管理技术规范》中对外科洗手程序、接台手术洗手、脱去手套后洗手的要求绘制《规范化外科洗手图谱》。纳入2011年1月至2013年10月参加手术的医护人员400名,按数字表法随机分为实验组与对照组,每组各200名。实验组人员按照规范化外科洗手图谱洗手,对照组人员采用传统教学法或凭经验洗手。结果实验组医护人员洗手程序合格率、手卫生合格率均高于对照组,细菌学检测阳性率、手术后患者医院感染发生率低于对照组,差异有统计学意义(P <0.01)。结论《规范化外科洗手图谱》可提高医护人员手卫生合格率,且简单、实用,值得推广。%Objective To investigate the effect of standardized hand-washing spectrum for the improvement of the hand-wash-ing hygiene rate for hepatobiliary surgery medical staff.Methods The standardized surgical hand-washing spectrum was developed in accordance with the requirements of pre-surgical hand-washing procedures,hand-washing of operation table distribution and hand-wash-ing after removing surgical gloves,as specified in《the Technical Standards for Disinfection》(the Ministry of Health of the People′s Re-public of China)and 《the Technical Standards for Nosocomial Infection Management》(the General Logistics Department of PLA).Four hundred surgical personnel involved in surgeries were enrolled for the study and were randomized into the experimental group and the control group,each consisting of 200 people.The surgical personnel in the experimental group washed their hands as required by the standardized hand-washing spectrum,and those in the control group washed their hands with conventional methods or by experience. Results The

  2. Architecture and Design of Medical Processor Units for Medical Networks

    CERN Document Server

    Ahamed, Syed V; 10.5121/ijcnc.2010.2602

    2011-01-01

    This paper introduces analogical and deductive methodologies for the design medical processor units (MPUs). From the study of evolution of numerous earlier processors, we derive the basis for the architecture of MPUs. These specialized processors perform unique medical functions encoded as medical operational codes (mopcs). From a pragmatic perspective, MPUs function very close to CPUs. Both processors have unique operation codes that command the hardware to perform a distinct chain of subprocesses upon operands and generate a specific result unique to the opcode and the operand(s). In medical environments, MPU decodes the mopcs and executes a series of medical sub-processes and sends out secondary commands to the medical machine. Whereas operands in a typical computer system are numerical and logical entities, the operands in medical machine are objects such as such as patients, blood samples, tissues, operating rooms, medical staff, medical bills, patient payments, etc. We follow the functional overlap betw...

  3. Code of Nursing Practice for Staff Exposed to Ionizing Radiation (1984)

    International Nuclear Information System (INIS)

    This Code, published by the National Health and Medical Research Council and intended for nurses and auxiliary staff provides general guidance on radiation protection. The Code is supplementary to radiation control legislation relating to the use of ionizing radiation in medical practice. The principles established by the recommendations of the International Commission on Radiological Protection (ICRP) have been taken into account. (NEA)

  4. Does moonlighting influence South African nurses’ intention to leave their primary jobs?

    OpenAIRE

    Rispel, Laetitia C.; Chirwa, Tobias; Blaauw, Duane

    2014-01-01

    Background: Staff retention and turnover have risen in prominence in the global discourse on the health workforce. Moonlighting, having a second job in addition to a primary job, has not featured in debates on turnover.Objective: This paper examines whether moonlighting is a determinant of South African nurses’ intention to leave their primary jobs.Design: During 2010, a one-stage cluster random sample of 80 hospitals was selected in four South African provinces. On the survey day, all nurses...

  5. 公立医院医疗服务管理考核的探索与研究—全员全岗全程优质服务规范纳入管理考核的探索与研究%The Exploration and Research of Medical Service Management in Public Hospitals-The Exploration and Research of the Full Quality Service Standard of the Whole Staff and the Whole Course of Management

    Institute of Scientific and Technical Information of China (English)

    陈军军; 邵德欣

    2015-01-01

    Objective To analyze the current situation and trend of the management of medical service in public hospitals, and provide the basis for the establishment of a perfect quality service inspection system for the whole staff. Methods To in-vestigate the relevant policies of public hospital medical service, and to analyze the contents of the whole course quality service examination system, and the field data collection. Results All the staff to comply with the requirements of the stan-dard has gradually become conscious; each post embodies the service concept has become a concrete action; in charge of the sub service specification total requirements have reached a consensus. Conclusion Through the management and as-sessment of the entire staff of medical services, innovative top-level design, ease the problem of the public hospital's trend of overweight, enhance the full awareness of service, improve people's medical experience, to further ease the difficult and expensive, the crux of the problem.%目的 分析公立医院医疗服务管理的现状和趋势,为建立完善的全员全岗全程优质服务考核体系提供依据. 方法 采取文献调查法梳理公立医院医疗服务的相关政策,并对实施全员全岗全程优质服务考核体系的内容,实地采集数据进行分析. 结果全体员工遵守规范要求已逐渐成为自觉;个个岗位体现服务理念已成为具体行动;分管分包服从于服务规范总要求已达成共识. 结论 通过对医疗服务全员全岗全程的管理考核,创新顶层设计,缓解公立医院趋利过重的问题,增强了全员的服务意识;改善人民群众就医感受,进一步缓解"看病难﹑看病贵"的症结.

  6. Recruitment of House Staff into Anesthesiology: Factors Responsible for House Staff Selecting Anesthesiology as a Career and Individual Training Program

    OpenAIRE

    Wass, C. Thomas; Rose, Steven H.; Faust, Ronald J.; Offord, Kenneth P.; Harris, Ann M

    1999-01-01

    Due to a variety of factors, there was a recent redistribution of graduating American medical students toward primary care specialties and a decline in the number of applicants seeking training positions in anesthesiology. In the present study, factors responsible for Mayo house staff (i.e., residents and clinical fellows) selecting anesthesiology as a career, and Mayo Clinic as their training program, were identified. We also evaluated their level of satisfaction with their choice of career ...

  7. Mental strain among staff at medical rehabilitation clinics in Germany

    OpenAIRE

    Koerner, M.

    2011-01-01

    Objectives: The aim of the study is to compare the frequency of mental strain effects on employees in somatic and psychosomatic rehabilitation clinics as well as between the different occupational groups. Associations between mental strain effects and working conditions, cooperation in the team and employee satisfaction are also investigated. Methods: The present study is cross-sectional with a descriptive-explorative design. It is composed of a survey with standardized questionnaires (Hum...

  8. Mental strain among staff at medical rehabilitation clinics in Germany

    OpenAIRE

    Koerner, Mirjam

    2011-01-01

    Objectives: The aim of the study is to compare the frequency of mental strain effects on employees in somatic and psychosomatic rehabilitation clinics as well as between the different occupational groups. Associations between mental strain effects and working conditions, cooperation in the team and employee satisfaction are also investigated. Methods: The present study is cross-sectional with a descriptive-explorative design. It is composed of a survey with standardized questionnaires (Human ...

  9. Knowledge of pulse oximetry among medical and nursing staff

    OpenAIRE

    Dimitrios Kosmidis; Sotiria Koutsouki

    2007-01-01

    The pulse oximetry is a widely used non invasive method for monitoring the arterial oxygenation. The doctors and the nurses are persons which are in charge for right interpretation of measurements, receiving suitable interventions for the management of patients. Aim: To assess nurses' and doctors' knowledge of pulse oximetry and identify training needs. Material and method: Participants in this study were 376 doctors and nurses from critical and general care settings in seven hospitals in Gre...

  10. Tackling burden in ART: an integrated approach for medical staff

    NARCIS (Netherlands)

    Boivin, J.; Domar, A.D.; Shapiro, D.B.; Wischmann, T.H.; Fauser, B.C.J.M.; Verhaak, C.M.

    2012-01-01

    Discontinuation is a problem in fertility clinics. Many couples discontinue assisted reproductive technologies (ART) without achieving a live birth for reasons other than poor prognosis or the cost of treatment. Discontinuation has been attributed to the burden of treatment. The causes of burden can

  11. Factors Affecting on Military Medical Job Satisfaction Staff

    Directory of Open Access Journals (Sweden)

    Habibi

    2015-04-01

    Full Text Available Background Job satisfaction (JS in the workplace affects absenteeism, turnover and performance. Objectives Considering the importance of JS, this study conducted with aim studying the factors affecting JS in a military hospital. Patients and Methods This descriptive analytical cross sectional study was carried out on 301 workers who worked in a military hospital in year 2009 using of stratified random sampling. In this study JSS questioner was used for measuring JS, ANOVA and Dunnett post hoc and SPSS and Excel software were used for statistical analysis and data analysis respectively. Results In this study, age, work experience, type of job and work position shown relationship with JS but gender, marriage status and education were not shown any statistical significant relationship with JS. In this study technician operating room and anesthesia (TORA had less, physicians and specialist and par clinical jobs had more and handy jobs and administrative jobs had same JS compare with nurses. Conclusions According to results of this study, we propose actions like modified and increased salaries and benefits of employees, making effective communication, improved working conditions, reform official promotion and more attention to TORA and nurses can be useful way for improving JS.

  12. Factors Affecting on Military Medical Job Satisfaction Staff

    OpenAIRE

    Habibi; Gholami Fesharaki; Jamali; Mohamadian

    2015-01-01

    Background Job satisfaction (JS) in the workplace affects absenteeism, turnover and performance. Objectives Considering the importance of JS, this study conducted with aim studying the factors affecting JS in a military hospital. Patients and Methods This descriptive analytical cross sectional study was carried out on 301 workers who worked in a military hospital in year 2009 using...

  13. The Effect of Mobbing on Medical Staff Performance

    OpenAIRE

    Josipović-Jelić, Željka; Stoini, Eugenio; Celić-Bunikić, Sandra

    2005-01-01

    Mobbing is a specific type of psychological violence and abnormal behavior that is becoming ever more common in business environment. This type of hostile behavior has adverse psychological, psychosomatic and social consequences. Mobbing can be vertical when a superior abuses a person working at an inferior position, or horizontal when the abuse occurs between individuals at the same level of business hierarchy. Mobbing develops through several phases starting with an initial unsolved conflic...

  14. Staff

    Index Scriptorium Estoniae

    2006-01-01

    TÜ teadustöötajaist ja õppejõududest on 2/3 doktorikraadiga. TÜ rektor Jaak Aaviksoo ja teadusprprektor Ain Heinaru valiti Euroopa kõrghariduspoliitika juhtorganitesse. Sotsiaalteaduskonna prof. Wolfgang Drechsler sai Saksa-Eesti akadeemiliste suhete arendamise eest Saksamaa Liitvabariigi Teeneteristi

  15. Abortion - medical

    Science.gov (United States)

    ... womb (uterus). There are different types of medical abortions: Therapeutic medical abortion is done because the woman has ... Therapeutic medical abortion; Elective medical abortion; Induced abortion; Nonsurgical abortion

  16. Keeping African Masks Real

    Science.gov (United States)

    Waddington, Susan

    2012-01-01

    Art is a good place to learn about our multicultural planet, and African masks are prized throughout the world as powerfully expressive artistic images. Unfortunately, multicultural education, especially for young children, can perpetuate stereotypes. Masks taken out of context lose their meaning and the term "African masks" suggests that there is…

  17. Empowering African States

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    China helps bring lasting peace and stability to Africa African think tanks expressed a high opinion of China’s role in helping build African peace and security at the first meeting of the China-Africa Think Tanks Forum. The

  18. African Literature as Celebration.

    Science.gov (United States)

    Achebe, Chinua

    1989-01-01

    Describes the Igbo tradition of "Mbari," a communal creative enterprise that celebrates the world and the life lived in it through art. Contrasts the cooperative, social dimension of pre-colonial African culture with the exclusion and denial of European colonialism, and sees new African literature again celebrating human presence and dignity. (AF)

  19. 2015 Elections to Staff Council

    CERN Multimedia

    Staff Asscociation

    2015-01-01

    Make your voice heard, support your candidates! Be many to vote and to elect the new Staff Council. By doing so, you will be encouraging the men and women who will represent you over the next two years and they will without doubt appreciate your gratitude. The voting takes place from the 26th of October to the 9th of November, at noon at https://ap-vote.web.cern.ch/elections-2015.   Elections Timetable Monday 9 November, at noon Closing date for voting Monday 16 and Monday 23 November, publication of the results in Echo Tuesday 8 December, at 10.00 a.m. first meeting of the new Staff Council and election of the new Executive Committee The voting procedure will be monitored by the Election Committee, which is also in charge of announcing the results in Echo on 16 and 24 November. Candidates for the 2015 elections

  20. Afghanistan; Joint Staff Advisory Note

    OpenAIRE

    International Monetary Fund

    2010-01-01

    This Joint Staff Advisory Note discusses Afghanistan’s Poverty Reduction Strategy Paper's annual progress report. Afghanistan has experienced a number of extraordinary challenges that delayed its implementation. The security situation deteriorated markedly and has been dominated by the cross-border Taliban insurgency. Growth started to recover from a devastating drought. In May 2008, food and fuel prices peaked, leading to high inflation and pressure on the budget for additional fuel and fo...

  1. Staff Adaptation in Selected Company

    OpenAIRE

    Štolcová, Jana

    2011-01-01

    The work focuses on personnel actions of employee adaptation as, nowadays, it is very important to maintain a good and skilled staff. The main aim of this work is to analyze and evaluate the process of adaptation of new employees at the headquarters of the BILLA, Ltd., which operates more than 200 supermarkets around the Czech Republic,. Another task is to propose partial measures which would improve the process of adaptation in the society. The literature review discusses the importance of ...

  2. Staff Policies in Rail Transport

    OpenAIRE

    Daneci-Patrau Daniel

    2011-01-01

    A staff policy well planed and well adjusted represents a way, by no means negligible, to contribute to the supporting of a competitive strategy of the organization. The employees, well selected, have a lever effect over the company’s productivity, because they use their talent, experience and their skills for the profit’s increase, occupying the given positions. The absence of some policies and methods and techniques of recruiting and selection determines the costs increases which are associ...

  3. Djibouti: Staff-Monitored Program

    OpenAIRE

    International Monetary Fund

    2004-01-01

    This paper on the Staff-Monitored Program (SMP) on Djibouti explains economic developments and policy discussions. Djibouti faces important challenges to reduce widespread poverty. Since the mid-1990s, the government has been engaged in adjustment and reform programs to restore macroeconomic stability and achieve sustainable economic growth. The proposed policies and reforms should be sufficient to achieve the SMP’s objectives. Overall, the program will test the authorities’ resolve to im...

  4. Retention factors in relation to organisational commitment in medical and information technology services

    Directory of Open Access Journals (Sweden)

    Jeannette van Dyk

    2012-02-01

    Full Text Available Orientation: Retaining staff with scarce and critical skills in the medical and information technology (IT industry has become a top priority because of skills shortages.Research purpose: The objectives of the study were to investigate empirically: (1 the relationship between employees’ satisfaction with organisational retention factors (measured by the Retention Factors Scale and their organisational commitment (measured by the Organisational Commitment Questionnaire and (2 whether gender, age, race and tenure groups differ significantly in terms of these variables.Motivation for the study: Medical and information technology professionals have specialised and hard to replace skills. They also have strong tendencies to leave their organisations and countries. Understanding the retention factors that will increase their organisational commitment may benefit the organisations who want to retain their valuable talent.Research design, approach and method: The researchers used a cross-sectional survey design to collect data from a purposive sample of 206 staff members who had scarce skills in a South African medical and information technology services company. Correlational and inferential statistics were computed to achieve the objectives.Main findings: The results showed that the participants’ satisfaction with retention factors has a significant relationship with their organisational commitment and that the biographical groups differ significantly in terms of the variables.Practical/managerial implications: The measured retention factors were all associated with human resource management practices that influence employees’ intentions to leave.Contribution/value-add: The results are important to managers who are interested in retaining staff who have scarce skills and provide valuable pointers for designing effective retention strategies.

  5. Facilitators and barriers to adherence to urate-lowering therapy in African-Americans with gout: a qualitative study

    OpenAIRE

    Singh, Jasvinder A

    2014-01-01

    Introduction Limited literature exists for qualitative studies of medication adherence in gout, especially in African-Americans. The aim of this study was to examine the facilitators and barriers to adherence to urate-lowering therapy (ULT) in African-Americans with gout. Methods In this study, nine nominal groups lasting 1 to 1.5 hours each were conducted in African-Americans with gout, six with low ULT and three with high ULT adherence (medication possession ratios of

  6. 2015 Elections to Staff Council

    CERN Document Server

    Staff Association

    2015-01-01

    Elections Timetable Monday 26 October, at noon Start date for voting Monday 9 November, at noon Closing date for voting Monday 16 and Monday 23 November, publication of the results in Echo Monday 23 and Tuesday 24 November Staff Association Assizes Tuesday 1st December, at 10.00 a.m. first meeting of the new Staff Council and election of the new Executive Committee The voting procedure will be monitored by the Election Committee, which is also in charge of announcing the results in Echo on 16 and 24 November. During its meeting of March 17 2015, the Staff Council approved the election rules, which define the allocation of seats in each department, as follows:   Number of seats in the electoral colleges Departments BE EN TE DG/DGS FP GS HR/PF IT PH Career paths AA - D 2 3 3 1 1 2 1 1 2 Career paths E - G 2 2 2 1 1 1 1 2 3   Global CERN Career paths AA - G 14     Number of seats for fellows representatives Global CERN 5 For more informat...

  7. 2015 Elections to Staff Council

    CERN Document Server

    Staff Association

    2015-01-01

    Elections Timetable Monday 21 September, at noon Start date for receipt of the application Friday 16 October, at noon Closing date for receipt of the applications Monday 26 October, at noon Start date for voting Monday 9 November, at noon Closing date for voting Monday 16 and Monday 23 November, publication of the results in Echo Monday 23 and Tuesday 24 November Staff Association Assizes Tuesday 1st December, at 10.00 a.m. first meeting of the new Staff Council and election of the new Executive Committee The voting procedure will be monitored by the Election Committee, which is also in charge of announcing the results in Echo on 16 and 24 November. During its meeting of March 17 2015, the Staff Council approved the election rules, which define the allocation of seats in each department, as follows:   Number of seats in the electoral colleges Departments BE EN TE DG/DGS FP GS HR/PF IT PH Career paths AA - D 2 3 3 1 1 2 1 1 2 Career paths E - G 2 2 2 1 1 1 1 2 3   ...

  8. Strategies and best practices for staff renewal

    International Nuclear Information System (INIS)

    This paper discusses the strategies and best practices for staff renewal in the electricity sector. Strategic initiatives for staff renewal include strategic recruiting, succession planning, employee relations, knowledge management and strategic partnerships

  9. 人才强校战略指导下的地方医学院校师资队伍建设研究%Research in the construction measures of teaching staff in local medical colleges under the strategy of strengthening colleges by talents

    Institute of Scientific and Technical Information of China (English)

    李元栋

    2014-01-01

    With the implementation of the strategy of strengthening China through talents, colleges and universities have gradually established the development strategy of “ strengthening the school by talents”. Construction of teaching staff is the core content of this strategy, and efforts to build a high-level teaching team is an inevitable way to execute it in colleges and universities. Local medical schools must adhere to “strengthening the school by talents” as the main line for teaching team construction, and provide strong talent guarantee to realize the strategic goal of “strengthening the school by talents” through the cen-tralizing resources, strengthening talent introduction, creating conditions, enhancing training; and by deepening reform, innovating mechanism, reinforcing leadership, increasing investment and other measures, perfecting the teaching team structure and promoting its sustainable development.%随着人才强国战略的实施,高校逐步建立“人才强校”的发展战略。师资队伍建设是“人才强校”战略的核心内容,努力建设高水平的师资队伍是高校实施“人才强校”战略的必然途径。地方医学院校必须坚持以“人才强校”作为师资队伍建设的主线,通过集中资源、人才引进,创造条件、加强培养、深化改革、创新机制,加强领导、增加投入等举措,完善师资队伍结构,促进师资队伍的可持续发展,为实现“人才强校”战略目标提供坚强的人才保证。

  10. Managing assessment : student and staff perspectives

    OpenAIRE

    Smailes, Joanne; Orr, Susan

    2005-01-01

    ‘I never realised assessment was for learning’ Laura Ludman BSc (Hons) Nursing, University of Central England Managing Assessment: Student and Staff Perspectives is a practical tool developed by the Managing Effective Student Assessment (MESA) benchmarking club. It aims to give senior management, staff and educational developers, teachers, and support staff insight into assessment issues along with ideas and tools to enable them to improve student learning and reduce the burden on staff. It i...

  11. Identifying the HIV Testing Beliefs of Healthcare Provider Staff at a University Student Health Center: An Exploratory Study

    Science.gov (United States)

    Harris, Cornelia A.

    2012-01-01

    This research project examined the views and perceptions of healthcare provider staff regarding HIV testing and the implementation of HIV testing as a routine part of medical practice in a university student health center at a Historically Black College or University (HBCU). This study further explored whether healthcare provider staff promoted…

  12. End-of-Life Decision Making for Nursing Home Residents with Dementia: A Survey of Nursing Home Social Services Staff

    Science.gov (United States)

    Lacey, Debra

    2006-01-01

    The purpose of this survey was to describe nursing home social services staff roles and perceptions related to end-of-life medical decision making for nursing home residents in endstage dementia. Using a self-designed questionnaire, 138 nursing home social services staff from across New York State answered questions about advance directives,…

  13. Strengthening Bullying Prevention through School Staff Connectedness

    Science.gov (United States)

    O'Brennan, Lindsey M.; Waasdorp, Tracy E.; Bradshaw, Catherine P.

    2014-01-01

    The growing concern about bullying and school violence has focused national attention on various aspects of school climate and school connectedness. The current study examined dimensions of staff connectedness (i.e., personal, student, staff, and administration) in relation to staff members' comfort intervening in bullying situations (e.g.,…

  14. 17 CFR 8.05 - Enforcement staff.

    Science.gov (United States)

    2010-04-01

    ... staff shall consist of employees of the exchange and/or persons hired on a contract basis. It may not... within its disciplinary jurisdiction, regardless of whether its enforcement staff consists of employees... 17 Commodity and Securities Exchanges 1 2010-04-01 2010-04-01 false Enforcement staff....

  15. 28 CFR 551.32 - Staff supervision.

    Science.gov (United States)

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Staff supervision. 551.32 Section 551.32 Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INSTITUTIONAL MANAGEMENT MISCELLANEOUS Inmate Organizations § 551.32 Staff supervision. (a) The Warden shall appoint a staff member as...

  16. Training Staff for Technology: Options and Opportunities.

    Science.gov (United States)

    Farmer, Lesley S. J.

    1999-01-01

    Focuses on effective technology training for library staff. Discusses helping staff overcome technophobia; suiting technology-based jobs with staff members' needs and capabilities; providing a policy/procedure manual to guide the training; the steps that should occur in training; aligning training with in-house library resources and services;…

  17. REMINDER FROM MEDICAL SERVICE

    CERN Multimedia

    Medical Service

    2001-01-01

    For medical problems, we would like to remind all personnel working on the CERN sites, be they staff or from outside firms, that they are welcome at the Infirmary, building 57, ground floor. For information, call the Nurses on Telephone: 73802 by electronic mail: Infirmary.Service@cern.ch Marion.Diedrich@cern.ch Janet.Doody@cern.ch Mireille.Vosdey@cern.ch  

  18. REMINDER FROM MEDICAL SERVICE

    CERN Multimedia

    Service Médical

    2000-01-01

    iFor medical problems, we would like to remind all personnel working on the CERN sites, be they staff or from outside firms, that they are welcome at the Infirmary, building 57, ground floor. For information, call the Nurses on Telephone: 73802. by electronic mail: Infirmary.Service@cern.ch Marion.Diedrich@cern.ch Janet.Doody@cern.ch Mireille.Vosdey@cern.ch

  19. Lifestyle Behaviors of African American Breast Cancer Survivors: A Sisters Network, Inc. Study

    OpenAIRE

    Paxton, Raheem J.; Wendell C Taylor; Shine Chang; Courneya, Kerry S.; Jones, Lovell A.

    2013-01-01

    INTRODUCTION: African American breast cancer survivors experience poor cancer outcomes that may, in part, be remedied by healthy lifestyle choices. Few studies have evaluated the health and lifestyle behaviors of this population. The purpose of this study was to characterize the health and lifestyle habits of African American breast cancer survivors and evaluate the socio-demographic and medical correlates of these behaviors. METHODS: A total of 470 African American breast cancer survivors (m...

  20. Conceptual graph-based knowledge representation for supporting reasoning in African traditional medicine

    OpenAIRE

    Kamsu-Foguem, Bernard; Diallo, Gayo; Foguem, Clovis

    2013-01-01

    Although African patients use both conventional or modern and traditional healthcare simultaneously, it has been proven that 80% of people rely on African traditional medicine (ATM). ATM includes medical activities stemming from practices, customs and traditions which were integral to the distinctive African cultures. It is based mainly on the oral transfer of knowledge, with the risk of losing critical knowledge. Moreover, practices differ according to the regions and the availability of med...

  1. The first aid management of epistaxis by accident and emergency department staff.

    OpenAIRE

    McGarry, G W; Moulton, C

    1993-01-01

    Most nose bleeds can be controlled by compressing the ala nasi, thus applying direct pressure over Little's area. The ability to demonstrate the correct position for this manoeuvre was assessed in 115 members of the staff of the accident and emergency (A&E) department of a major teaching hospital. Overall, the correct response rate was only 33% and even trained medical and nursing staff achieved less than a 50% success rate. Increased awareness of this simple and effective technique is recomm...

  2. Deliberate self harm assessment by accident and emergency staff--an intervention study.

    OpenAIRE

    Crawford, M J; Turnbull, G; Wessely, S

    1998-01-01

    OBJECTIVE: To examine the impact of specific training for accident and emergency (A&E) staff on the quality of psychosocial assessment of deliberate self harm patients. METHODS: A non-randomised intervention study that compared the psychosocial assessment of deliberate self harm patients before and after a one hour teaching session for the A&E departments nursing and junior medical staff. Adequacy of psychosocial assessment was judged by examining A&E case notes. The records of the hospital's...

  3. Care staff attributions for violent incidents involving male and female patients: A field study

    OpenAIRE

    Leggett, J; Silvester, J.

    2003-01-01

    Objectives: This article presents a study of naturally occurring attributions recorded by care staff following incidents of restraint in a psychiatric secure unit. The relationship between control for patient, control for staff and behavioural outcomes including use of medication, seclusion and duration of restraint were explored for male and female patients. Design and methods: In all, 557 forms documenting incidents of control and restraint, and completed over a four-year period by nurs...

  4. Level of Workload and Its Relationship with Job Burnout among Administrative Staff

    OpenAIRE

    MANSOUR ZIAEI; HAMED YARMOHAMMADI; MEISAM MORADI; MOHAMMAD KHANDAN

    2015-01-01

    Burnout syndrome is a response to prolonged occupational stress. Workload is one of the organizational risk factors of burnout. With regards to the topic, there are no data on administrative employees’ burnout and workload in Iran. This study seeks to determine the levels of job burnout and their relationships with workload among administrative members of staff. Two hundred and forty two administrative staff from Kermanshah University of Medical Sciences [Iran] volunteered to participate in t...

  5. Radiation dose measurement for patients and staff during cardiac catheterization

    International Nuclear Information System (INIS)

    The primary objective of this study was to determine the patient and staff dose during cardiac catheterization procedures in Ahmed Gasim Hospital, Khartoum Bahry. A survey of patient and staff exposure was performed covered 2 Cath Lab units from 2 manufacturers. The measurements involved 50 operations. The medical staff was monitored using TLD chips (LiF: Mg, Cu, P). The main operator who was closer to the patient and the x-ray tube, was monitored at six positions (forehead, neck chest - over the lead apron, waist - under the lead apron, leg, and hand), while the exposure to the assistant was measured at two positions (chest - over the lead apron, and hand), where the technologist and the circulator were monitored at one position (chest - over the lead apron). patient exposure was measured using the DAP meter. The main operator and the rest of the staff received 0.14, 0.01 mSv/y respectively. The estimated patient dose rate was found to be 125 mGy/min which considered higher than the recommended DRL for the continuous high mode fluoroscopy used in interventional radiology (100 mGy/min). The study concluded to the fact that the main operator received relatively high dose which is a direct result to the poor radiation protection in the department. (Author)

  6. The operating staff of nuclear power plants

    International Nuclear Information System (INIS)

    The training of its staff is one of the pillars of the safe and economical operation of a power plant. This is why power plant owners began to systematically train their staff already in the 50s, and why they created central training facilities. Staff members who have undergone this training make an indispensable contribution to the acceptedly high safety and availability of German power plants. The substantial cost of creating training facilities and of schooling plant staff is considered to be an investment for the future. Low labour turnover permits careful observation and development of staff and leads to a high standard of knowledge and experience. (orig./HSCH)

  7. STAFFS MOTIVATIONAL IN KNOWLEDGE TRANSFER BEHAVIOUR

    Directory of Open Access Journals (Sweden)

    Saide

    2016-06-01

    Full Text Available Previous have highlighted knowledge transfer behaviour (KTB for an increase organization performance, however an obstacle from the perspective among staffs still exists. The problem is still difficult because staffs will not share their knowledge as they thinking their knowledge is important. This paper investigated factors of staffs motivational that influence KTB among staffs in Riau Province of Indonesia. The survey 400 respondents were used, 325 were returned, and 75 were not returned. Likert and smart PLS to confirmation the conceptual model. This paper conclude factors that reward, trust, and an enjoyment helping colleagues of staffs motivation are factors which influencing the KTB. The results and conclusions are discussed.

  8. African Peacekeepers in Africa

    DEFF Research Database (Denmark)

    Emmanuel, Nikolas G.

    2015-01-01

    peacekeeping operations in the region. It is important to add that the international community has frequently tried to facilitate the deployment of African armed forces with aid and training. From this reality, the following study goes beyond the current literature by focusing on the international factors...... behind African participation in United Nations (UN) peacekeeping operations in Africa. In doing so, this research focuses on US military aid and foreign troop training from 2002 to 2012, and its impact on African deployments into UN peacekeeping missions in Africa. As can be expected, such third...

  9. Reading the African context

    OpenAIRE

    Musonda Bwalya

    2012-01-01

    There is so much alienation, pain and suffering in our today�s world. In this vein, African Christianity, a voice amongst many voices, should seek to be a transformational religion for the whole of life, affecting all facets of human life towards a fuller life of all in Africa. This article sought to highlight and point to some of the major societal challenges in the African context which African Christianity, as a life-affirming religion, should continue to embrace, re-embrace and engag...

  10. Capitalism and African business cultures

    OpenAIRE

    Taylor, Scott D.

    2014-01-01

    Scholars and practitioners once commonly linked 'African culture' to a distinctive 'African capitalism', at odds with genuine capitalism and the demands of modern business. Yet contemporary African business cultures reveal that a capitalist ethos has taken hold within both state and society. The success and visibility of an emergent, and celebrated, class of African big business reveals that business and profit are culturally acceptable. Existing theories of African capitalism are ill-equippe...

  11. Agency staff on special missions

    International Nuclear Information System (INIS)

    The IAEA Secretariat includes 190 scientists and engineers whose special qualifications cover most of the branches of nuclear science and applications of nuclear energy. This gives it a unique international concentration of specialized skills and knowledge, but increasingly this know-how is being taken straight to Member States. While the nucleus of the work of the technical Divisions is at the IAEA Headquarters, the Agency is sending out more and more of its specialists for short-term assignments 'in the field' to help and advise Member governments. These assignments are distinct from the longer-term technical assistance projects, for which specialists are recruited from outside the Secretariat and only occasionally from its staff. he different types of help that the Agency's Secretariat gives to Member States covers a wide range of subjects. The legal staff gives advice on basic laws and on safety regulations, and has done so in 35 countries. It has also accepted more than 30 trainees from Member States to work in its offices at headquarters since 1961. Scientists, economists and engineers go out to Member States to advise on problems linked to the planning of nuclear power programmes or to the building and commissioning of their first nuclear power plants. Inspectors from the Department of Safeguards and Inspection help to set up systems of nuclear materials management and control which are essential for safe and efficient operation of nuclear plants and for governmental surveillance of nuclear industry. Specialists in nuclear medicine have helped calibrate instruments and to advise the setting up of clinics. Staff geologists have advised many countries about the development of uranium ore. he list of specialities covered is very wide. We have singled out one type of mission as an example of the help that the IAEA can give in a field of particular importance. This is the safety and siting mission. (author)

  12. Psychiatry in the East African colonies: a background to confinement.

    Science.gov (United States)

    Mahone, S

    2006-08-01

    This article is concerned with the discipline of psychiatry in colonial East Africa as it emerged out of the crime and disorder problem to become an intellectually significant 'East African School' of psychiatry. The process of lunacy certification, in particular, provides a snapshot of the medical and political tensions that existed among the medical establishment, the prison system and the colonial courts, all of whom sought to define collective African behaviour. This historical article utilises archaic terminology, such as 'lunatic' or 'lunacy', as these categories were in use at the time. PMID:16943144

  13. Medical Secretaries’ Care of Records

    DEFF Research Database (Denmark)

    Bossen, Claus; Jensen, Lotte Groth; Witt, Flemming

    2012-01-01

    We describe the cooperative work of medical secretaries at two hospital departments, during the implementation of an electronic health record system. Medical secretaries' core task is to take care of patient records by ensuring that also do information gatekeeping and articulation work. The EHR...... implementation stressed their importance to the departments' work arrangements, coupled their work more tightly to that of other staff, and led to task drift among professions. information is complete, up to date, and correctly coded. Medical secretaries While medical secretaries have been relatively invisible...

  14. Fast neutron therapy at Edinburgh: staff protection

    International Nuclear Information System (INIS)

    the major hazards encountered by staff using neutrons for radiotherapy are discussed. Specific reference is made to the experience gained at the MRC Cyclotron Unit at the Western General Hospital, Edinburgh, using neutrons generated by the d(15 MeV)+Be reaction. The neutron therapy facility consists of a cyclotron and both a fixed horizontal and an isocentric therapy beam, and staff protection during five years' operation is reviewed. Levels of induced activity in the cyclotron and therapy equipment are reported and problems of radioactive contamination discussed. Summaries of whole-body and finger dose equivalents received by engineering staff, and of whole-body dose equivalents received by physics and radiography staff, are presented and analysed. It is shown that, although doses received by staff are higher than for staff in an X-ray facility, they are all well below the maximum permissible levels, and it is also concluded that radioactive contamination of staff is minimal. (author)

  15. Propeller Research Tunnel - staff photo

    Science.gov (United States)

    1928-01-01

    Standing on the PRT balance are five of the six men who comprised the majority of the PRT engineering staff in 1928. From left to right: Fred Weick, Ray Windler, William H. Herrnstein, Jr., John L. Crigler, and Donald Wood. Melvin N. Gough is mising. This group conducted the cowling research work which won the NACA its first Collier Trophy. Weick became the head of the PRT section when Max Munk was fired and Elton Miller became the chief of the Aerodynamics Division. Fred Weick liked this team of engineers and later praised the group in his autobiography.

  16. Reliability and validity of the job satisfaction scale of the medical staffs in Community Health Service Center%社区卫生服务中心医务人员工作满意度量表信度和效度调查研究

    Institute of Scientific and Technical Information of China (English)

    魏晓雷

    2016-01-01

    Objective To explore the reliability and validity of the influence factors on the job satisfaction of the medical staff in the community health service center, and to provide the basis for the decision-making and management of the medical management. Methods The community service center were random sampling methods.The questionnaire was design for community health service center survey, the collective learning, introduces the unified, fill in the field, on the spot to carry out an assignment of the form. Results The total Cronbach alpha coefficient of the index system was 0.921. The product moment correlation coefficient between each dimension and the other dimensions were smaller than the Cronbach of the dimension (0.924), and there was a significant correlation between the score and the total score of the project (r=0.694, P<0.05). The KMO test, barrlett test, the chi square value was 2971.3 (P<0.01), and the cumulative variance contribution was 64.88%. Thecomprehensive satisfactionscore and the score of each dimension R2=0.470, P<0.01. The correlation was significant. Conclusion The structure of the questionnaire survey was relatively stable, and was not affected by the general demographic factors.This scale had a high reliability and validity, and can be operated, which was in line with the objective evaluation of the satisfaction of community medical personnel.%目的:探讨社区卫生服务中心的医务人员的工作满意度的影响因素的信度与效度,为医务管理者提供决策和管理的依据。方法对社区服务中心进行随机整体抽样的方法研究,设计针对社区卫生服务中心调查问卷,采用集体学习、统一介绍、现场填写、当场交卷的形式。结果涵盖医务人员影响满意度的各个方向,指标体系的总的Cronbach α系数为0.921。各维度与其它维度间的积矩相关系数均小于该维度的Cronbach α系数(0.924),并且项目的得分与总量表得分

  17. Chat reference service in medical libraries: part 2--Trends in medical school libraries.

    Science.gov (United States)

    Dee, Cheryl R

    2003-01-01

    An increasing number of medical school libraries offer chat service to provide immediate, high quality information at the time and point of need to students, faculty, staff, and health care professionals. Part 2 of Chat Reference Service in Medical Libraries presents a snapshot of the current trends in chat reference service in medical school libraries. In late 2002, 25 (21%) medical school libraries provided chat reference. Trends in chat reference services in medical school libraries were compiled from an exploration of medical school library Web sites and informal correspondence from medical school library personnel. Many medical libraries are actively investigating and planning new chat reference services, while others have decided not to pursue chat reference at this time. Anecdotal comments from medical school library staff provide insights into chat reference service. PMID:12723811

  18. 2013 Elections to Staff Council

    CERN Multimedia

    Staff Association

    2013-01-01

    Elections Timetable Starting with Echo of 16 September, posters, etc. call for applications Monday 21 October, at noon closing date for receipt of the applications Monday 28 October, at noon start date for voting Monday 11 November, at noon closing date for voting Monday 18 and Monday 25 November, publication of the results in Echo Tuesday 19 November Staff Association Assizes Tuesday 3 December, at 10.00 a.m. first meeting of the new Staff Council and election of the new Executive Committee The voting procedure is monitored by the Election Committee, which is also in charge of announcing the results in Echo on 18 and 25 November. n its meeting on 11 September 2013, the Electoral Commission decided on the following distribution of seats in colleges O.1 to O.6: Sectors Departments Career paths AA – A – B – C – D Career paths E – F – G – H Accelerators and Technology BE TE EN Electoral colle...

  19. 2011 Elections to Staff Council

    CERN Multimedia

    Association du personnel

    2011-01-01

    Elections Timetable Starting with Echo of 26 September, posters, etc. call for applications Wednesday 26 October, at noon closing date for receipt of the application Monday 31 October, at noon start date for voting Monday 14 November, at noon closing date for voting Monday 21 November, publication of the results in Echo Tuesday 22 and Wednesday 29 November Staff Association Assizes Tuesday 6 December, at 10.00 a.m. first meeting of the new Staff Council and election of the new Executive Committee The voting procedure will be monitored by the Election Committee, which is also in charge of announcing the results in Echo on 21 November. In its meeting on 19 September 2011, the Electoral Commission decided on the following distribution of seats in colleges 0.1 to 0.6: Sector Department Career path AA – A – B – C – D Career path E – F – G – H Accelerators and Technology BE TE EN Electoral college 0.1 18 si&e...

  20. 2013 Elections to Staff Council

    CERN Multimedia

    Staff Association

    2013-01-01

    Elections Timetable Starting with Echo of 16 September, posters, etc. call for applications Monday 21 October, at noon closing date for receipt of the applications Monday 28 October, at noon start date for voting Monday 11 November, at noon closing date for voting Monday 18 and Monday 25 November, publication of the results in Echo Tuesday 19 November Staff Association Assizes Tuesday 3 December, at 10.00 a.m. first meeting of the new Staff Council and election of the new Executive Committee The voting procedure is monitored by the Election Committee, which is also in charge of announcing the results in Echo on 18 and 25 November. n its meeting on 11 September 2013, the Electoral Commission decided on the following distribution of seats in colleges O.1 to O.6: Sectors Departments Career paths AA – A – B – C – D Career paths E – F – G – H Accelerators and Technology BE TE EN Electoral college 0.1 13 si&...

  1. Reminder from the Medical Service

    CERN Multimedia

    2003-01-01

    For medical problems, we would like to remind all personnel working on the CERN sites, staff members or from outside firms, that they are welcome at the Infirmary, building 57, ground floor. For information, call the nurses - on telephone: 73802 - by e-mail: Service.Médical@cern.ch Francoise.Lebrun-Klauser@cern.ch Mireille.Vosdey@cern.ch Katie.Warrillow-Thomson@cern.ch Medical Service

  2. Worksite Physical Activity Intervention for Ambulatory Clinic Nursing Staff.

    Science.gov (United States)

    Tucker, Sharon; Farrington, Michele; Lanningham-Foster, Lorraine M; Clark, M Kathleen; Dawson, Cindy; Quinn, Geralyn J; Laffoon, Trudy; Perkhounkova, Yelena

    2016-07-01

    Health behaviors, including physical activity (PA), of registered nurses (RNs) and medical assistants (MAs) are suboptimal but may improve with worksite programs. Using a repeated-measures crossover design, the authors explored if integrating a 6-month worksite non-exercise activity thermogenesis (NEAT) intervention, with and without personalized health coaching via text messaging into workflow could positively affect sedentary time, PA, and body composition of nursing staff without jeopardizing work productivity. Two ambulatory clinics were randomly assigned to an environmental NEAT intervention plus a mobile text message coaching for either the first 3 months (early texting group, n = 27) or the last 3 months (delayed texting group, n = 13), with baseline 3-month and 6-month measurements. Sedentary and PA levels, fat mass, and weight improved for both groups, significantly only for the early text group. Productivity did not decline for either group. This worksite intervention is feasible and may benefit nursing staff. PMID:27143144

  3. Don't neglect routine staff meetings.

    Science.gov (United States)

    Board, H K

    1982-03-01

    Staff meetings are essential to good staff communication. Meetings help keep the grapevine from growing so big that it strangles the group with its rumors. By holding regular meetings with your staff, you create a consistency in your communications that helps prevent problems that you don't even suspect from cropping up. All personnel should attend the meetings. This way everyone hears news at the same time. Be consistent in your use of meetings. Meetings are more effective if you have a planned agenda and a firm time schedule. Encourage your staff to use meetings to talk out problems that affect the group. Once the meeting is over, encourage them to leave their feelings in the room. Many leaders are reluctant, for a variety of reasons, to hold meetings with their staffs. But it's like dieting and exercise; the more you do it, the easier it becomes. This type of meeting will pay rich dividends in staff personal and professional growth and in improved communication. The sense of participation that can be gained by the effective use of staff meetings can lead to high morale and effective staff performance. As you begin to see the results of a cohesive staff functioning together well, you will realize the routine staff meeting is a management tool that should not be overlooked or underused. PMID:6917733

  4. Letter from the Director of the African Centre for Disaster Studies

    Directory of Open Access Journals (Sweden)

    Dewald van Niekerk

    2009-04-01

    Full Text Available The African Centre for Disaster Studies (ACDS has come a long way since its inception in 2002. Not only has the Centre found a new home within the Research Focus Area: Sustainable Social Development, but its staff component has grown from three to nine members.

  5. The Refuge: An After-School Care Programme for African-American Children in Poverty

    Science.gov (United States)

    Tuason, Ma. Teresa; Marcetic, Andjela; Roberts, Shavaun; Stuart, Karly; Rearick, Jessica

    2009-01-01

    The Refuge is an after-school care programme in the southeastern USA that caters to the academic and psychological needs of impoverished African-American children. This study evaluated the Refuge through interviews with staff, small group discussions with children and persistent observation. By evaluating the after-school care services they…

  6. Advancing Medication Reconciliation in an Outpatient Internal Medicine Clinic through a Pharmacist-Led Educational Initiative

    OpenAIRE

    Sarah M. Westberg, Pharm.D.; Kathrine Beeksma, R.N.

    2010-01-01

    Objectives: To develop and deliver an effective pharmacist-led educational initiative to clinic staff to advance medication reconciliation in the electronic medical record of an outpatient internal medicine clinic.Methods: An educational initiative designed to improve the ability of nursing staff in medication reconciliation was launched in the outpatient internal medicine clinic of a regional healthcare system. The education was provided by the pharmacist to clinic nursing staff, includ...

  7. REMINDER FROM THE MEDICAL SERVICE

    CERN Multimedia

    Medical Service

    2000-01-01

    For medical problems, we would like to remind all personnel working on the CERN sites, be they staff or from outside firms, that they are welcome at the Infirmary, building 57, ground floor. For information, call the Nurses on Telephone: 73802 by electronic mail: Infirmary.Service@cern.ch Marion.Diedrich@cern.ch Janet.Doody@cern.ch Mireille.Vosdey@cern.ch

  8. Planning Staff and Space Capacity Requirements during Wartime.

    Science.gov (United States)

    Kepner, Elisa B; Spencer, Rachel

    2016-01-01

    Determining staff and space requirements for military medical centers can be challenging. Changing patient populations change the caseload requirements. Deployment and assignment rotations change the experience and education of clinicians and support staff, thereby changing the caseload capacity of a facility. During wartime, planning becomes increasingly more complex. What will the patient mix and caseload volume be by location? What type of clinicians will be available and when? How many beds are needed at each facility to meet caseload demand and match clinician supply? As soon as these factors are known, operations are likely to change and planning factors quickly become inaccurate. Soon, more beds or staff are needed in certain locations to meet caseload demand while other locations retain underutilized staff, waiting for additional caseload fluctuations. This type of complexity challenges the best commanders. As in so many other industries, supply and demand principles apply to military health, but very little is stable about military health capacity planning. Planning analysts build complex statistical forecasting models to predict caseload based on historical patterns. These capacity planning techniques work best in stable repeatable processes where caseload and staffing resources remain constant over a long period of time. Variability must be simplified to predict complex operations. This is counterintuitive to the majority of capacity planners who believe more data drives better answers. When the best predictor of future needs is not historical patterns, traditional capacity planning does not work. Rather, simplified estimation techniques coupled with frequent calibration adjustments to account for environmental changes will create the most accurate and most useful capacity planning and management system. The method presented in this article outlines the capacity planning approach used to actively manage hospital staff and space during Operations Iraqi

  9. Transthyretin isoleucine-122 mutation in African and American blacks.

    Science.gov (United States)

    Afolabi, I; Hamidi Asl, K; Nakamura, M; Jacobs, P; Hendrie, H; Benson, M D

    2000-06-01

    The gene frequency of the transthyretin (TTR) mutation (Val122Ile) was studied in African and African-American populations. The African populations analyzed included the Zulu and Xhosa of South Africa, and Yorubas from the city of Ibadan, Nigeria. The African-American population included patients at the Veterans Affairs (VA) Medical Center, Indianapolis, and newborns from a local hospital in Indianapolis. The Val122Ile TTR mutation was identified in 1 of 55 Zulu, 0 of 34 Xhosa, 0 of 9 Nigerian subjects, 5 of 51 Veteran patients, and 3 of 103 newborns. Assuming the 2.91% prevalence in newborns to be the norm, there is a significant increased prevalence in the VA patient population. PMID:10842715

  10. The operational staff during exercise RESUME-95

    Energy Technology Data Exchange (ETDEWEB)

    Jensen, J. [Jensen Consult, Virum (Denmark)

    1997-12-31

    With more than 100 participants entering the exercise RESUME-95 the Exercise Planning Committee decided to establish an operational staff named Directing Staff (DISTAFF) to ensure that the exercise plan was followed, the planned activities were carried out and to intervene if anything went wrong. In general the duties of the operational staff involve tasks such as secretarial assistance, keeping log of the progress of the situation and gathering, updating and distributing information on all aspects of the situation. Throughout the entire event it is the staff`s responsibility to keep a general view of the current situation and to make the necessary plans for the progress of the situation based on the available information. Furthermore the staff should ensure necessary contact to the public and to the media. (au).

  11. Staff Motivation at Kuwait University Libraries

    OpenAIRE

    Taghreed Alqudsi-ghabra; Huda H. Mansouri

    2010-01-01

    Motivation is a force that leads people to act or perform. Motivating staff is a key element in making workers productive. It has the potential to increase incentive, put staff members at ease, and derive some satisfaction from their jobs. Factors that motivate staff vary across the professional, para-professional, and non-professional levels. The research here is a study of motivation techniques used by managers of Kuwait University libraries to improve employees' job satisfaction levels. In...

  12. Public service activities among University staff

    OpenAIRE

    Nivakoski, Sanna; O'Connell, Philip J.; Hargaden, Mark

    2015-01-01

    University staff frequently engage in Public Service Activities (PSAs), over and above their core roles, making a valuable contribution to society and the economy, although little is known about such activity. This study examines the extent of PSA among university staff — both academic and non-academic. The data come from a survey carried out in 2014 of the staff of University College Dublin (UCD), an Irish research university with a wide disciplinary coverage. The survey collected informatio...

  13. The staff regulations of the Agency

    International Nuclear Information System (INIS)

    Following the first comprehensive review of the Provisional Staff Regulations conducted by the Secretariat, the Board of Governors approved on 12 June 2002 amendments to the Provisional Staff Regulations including the removal of the attribute 'provisional' from their title. The revised Staff Regulations of the Agency are set forth in this document for the information of all Members of the Agency. There is a subject index at the end of the document

  14. Medical education in Malta : an update

    OpenAIRE

    Vassallo, Josanne

    2009-01-01

    Another academic year has come to an end, a year that has seen the finalisation of a new collective agreement for academic staff at the University of Malta, the initiation of a revamping exercise of the medical curriculum and the launching of the Foundation Program as well as Postgraduate Training Programmes in a number of medical specialities.

  15. Staff retention and recruitment: "one great department".

    Science.gov (United States)

    Casady, Wanda M; Dowd, Terry A

    2002-01-01

    The projected demand for healthcare workers during the next ten years has been the impetus for many organizations to develop more creative strategies to ensure adequate staffing levels in the future. In order to keep pace with service demands, the diagnostic imaging department at Valley Lutheran Medical Center (VLMC) in Mesa, Ariz., has been growing as well. Since November of 1999, the number of core FTEs increased from 54.5 to 96. As a result, efforts to retain the current employees became just as critical as efforts to recruit staff for the new positions that were created to support the expanded services. In February 2001, an AHRA seminar was held in Phoenix, which included a day-long session called "Workforce 2001: Recruitment, Selection, Retention of Quality Employees." The presenter, Clint Maun, C.S.P., emphasized the need to provide "passionate orientation" for new employees, encouraged team-based selection of new employees, and reminded the audience that new employees decide within the first three days whether or not they will stay with an organization, regardless of how long it actually takes to leave. Maun also described to the group a model for creating team effort called "One Great Unit" (OGU), which uses a "12-Week Plan" for engaging staff. For the diagnostic imaging department at VLMC, this concept was remodeled so that, instead of focusing on one modality (unit) in the department, the focus was on the whole department. The first step to creating "One Great Department" was to establish an Oversight Committee that would help define the focus of the 12-Week Teams. Five, front-line employees were recruited who represented a cross-section of the imaging department. To assist in the implementation, the director of learning and innovation at VLMC agreed to facilitate the first two meetings. The first 12-Week Team was called together in May 2001. The operational objective addressed was "improving communication inter- and intra-departmentally." Each member

  16. Staff roster for 1979-Energy Sciences programs

    Energy Technology Data Exchange (ETDEWEB)

    Manowitz, B.; Gurinsky, D.H.

    1979-12-01

    This publication lists the education, research interests, professional affiliations, committee memberships, research experience, and selected publications of BNL staff members in energy sciences programs. (RWR)

  17. Amendments to the Staff Rules and Regulations

    CERN Multimedia

    2003-01-01

    The Staff Rules and Regulations in force since 1 January 1996 are modified as follows: as from 1 April 2003 • Article R II 1.19 - Types and duration of contracts of staff members (page 15) as from 1 July 2003 Implementation of the category of local staff members Copies of this update are available in the divisional secretariats. In addition, Staff Rules and Regulations are available for consultation on the Web at http://cern.ch/hr-div/internal/admin_services/rules/default.asp Human Resources Division Tel. 74128

  18. Medical marijuana

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000899.htm Medical marijuana To use the sharing features on this ... have legalized marijuana for medical use. How Does Medical Marijuana Work? Medical marijuana may be: Smoked Vaporized ...

  19. Workplace bullying and sickness absence in hospital staff

    OpenAIRE

    Kivimäki, M; Elovainio, M; Vahtera, J

    2000-01-01

    OBJECTIVES—In the past, evidence on the negative consequences of workplace bullying has been limited to cross sectional studies of self reported bullying. In this study, these consequences were examined prospectively by focusing on sickness absence in hospital staff.
METHODS—The Poisson regression analyses of medically certified spells (⩾4 days) and self certified spells (1-3 days) of sickness absence, relating to bullying and other predictors of health, were based on a cohort of 674 male and...

  20. Characterizing the admixed African ancestry of African Americans

    OpenAIRE

    Zakharia, Fouad; Basu, Analabha; Absher, Devin; Assimes, Themistocles L.; Go, Alan S.; Hlatky, Mark A.; Iribarren, Carlos; Knowles, Joshua W.; Li, Jun; Narasimhan, Balasubramanian; Sidney, Steven; Southwick, Audrey; Myers, Richard M.; Quertermous, Thomas; Risch, Neil

    2009-01-01

    Abstract Background Accurate, high-throughput genotyping allows the fine characterization of genetic ancestry. Here we applied recently developed statistical and computational techniques to the question of African ancestry in African Americans by using data on more than 450,000 single-nucleotide polymorphisms (SNPs) genotyped in 94 Africans of diverse geographic origins included in the...

  1. Barriers to medical error reporting

    Directory of Open Access Journals (Sweden)

    Jalal Poorolajal

    2015-01-01

    Full Text Available Background: This study was conducted to explore the prevalence of medical error underreporting and associated barriers. Methods: This cross-sectional study was performed from September to December 2012. Five hospitals, affiliated with Hamadan University of Medical Sciences, in Hamedan,Iran were investigated. A self-administered questionnaire was used for data collection. Participants consisted of physicians, nurses, midwives, residents, interns, and staffs of radiology and laboratory departments. Results: Overall, 50.26% of subjects had committed but not reported medical errors. The main reasons mentioned for underreporting were lack of effective medical error reporting system (60.0%, lack of proper reporting form (51.8%, lack of peer supporting a person who has committed an error (56.0%, and lack of personal attention to the importance of medical errors (62.9%. The rate of committing medical errors was higher in men (71.4%, age of 50-40 years (67.6%, less-experienced personnel (58.7%, educational level of MSc (87.5%, and staff of radiology department (88.9%. Conclusions: This study outlined the main barriers to reporting medical errors and associated factors that may be helpful for healthcare organizations in improving medical error reporting as an essential component for patient safety enhancement.

  2. Voluntary medical male circumcision: strategies for meeting the human resource needs of scale-up in southern and eastern Africa.

    Directory of Open Access Journals (Sweden)

    Kelly Curran

    2011-11-01

    Full Text Available Voluntary medical male circumcision (VMMC reduces female-to-male HIV transmission by approximately 60%; modeling suggests that scaling up VMMC to 80% of men 15- to 49-years-old within five years would avert over 3.3 million new HIV infections in 14 high priority countries/regions in southern and eastern Africa by 2025 and would require 20.33 million circumcisions. However, the shortage of health professionals in these countries must be addressed to reach these proposed coverage levels. To identify human resource approaches that are being used to improve VMMC volume and efficiency, we looked at previous literature and conducted a program review. We identified surgical efficiencies, non-surgical efficiencies, task shifting, task sharing, temporary redeployment of public sector staff during VMMC campaign periods, expansion of the health workforce through recruitment of unemployed, recently retired, newly graduating, or on-leave health care workers, and the use of volunteer medical staff from other countries as approaches that address human resource constraints. Case studies from Kenya, Tanzania, and Swaziland illustrate several innovative responses to human resource challenges. Although the shortage of skilled personnel remains a major challenge to the rapid scale-up of VMMC in the 14 African priority countries/regions, health programs throughout the region may be able to replicate or adapt these approaches to scale up VMMC for public health impact.

  3. African-Americans and Alzheimer's

    Science.gov (United States)

    ... Share Plus on Google Plus African-Americans and Alzheimer's alz.org | IHaveAlz Introduction 10 Warning Signs Brain ... African-Americans are at a higher risk for Alzheimer's disease. Many Americans dismiss the warning signs of ...

  4. The impact of staff turnover and staff density on treatment quality in a psychiatric clinic

    OpenAIRE

    Wolfram Alexis Brandt; Bielitz, Christoph J.; Alexander eGeorgi

    2016-01-01

    Intuition suggests that improving stability of the health workforce brings benefits to staff, the organization and, most importantly, the patients. Unfortunately, there is limited research available to support this, and how health workforce stability can contribute to reduced costs and better treatment outcomes.To help to rectify this situation, we investigated the effects of staff turnover and staff density (staff members per patient) on the treatment outcome of inpatients in a psychiatric c...

  5. The Impact of Staff Turnover and Staff Density on Treatment Quality in a Psychiatric Clinic

    OpenAIRE

    Brandt, Wolfram A.; Bielitz, Christoph J.; Georgi, Alexander

    2016-01-01

    Intuition suggests that improving stability of the health workforce brings benefits to staff, the organization and, most importantly, the patients. Unfortunately, there is limited research available to support this, and how health workforce stability can contribute to reduced costs and better treatment outcomes. To help to rectify this situation, we investigated the effects of staff turnover and staff density (staff members per patient) on the treatment outcome of inpatients in a psychiatric ...

  6. African Cultural Astronomy

    CERN Document Server

    Holbrook, Jarita C; Medupe, R. Thebe; Current Archaeoastronomy and Ethnoastronomy research in Africa

    2008-01-01

    Astronomy is the science of studying the sky using telescopes and light collectors such as photographic plates or CCD detectors. However, people have always studied the sky and continue to study the sky without the aid of instruments this is the realm of cultural astronomy. This is the first scholarly collection of articles focused on the cultural astronomy of Africans. It weaves together astronomy, anthropology, and Africa. The volume includes African myths and legends about the sky, alignments to celestial bodies found at archaeological sites and at places of worship, rock art with celestial imagery, and scientific thinking revealed in local astronomy traditions including ethnomathematics and the creation of calendars. Authors include astronomers Kim Malville, Johnson Urama, and Thebe Medupe; archaeologist Felix Chami, and geographer Michael Bonine, and many new authors. As an emerging subfield of cultural astronomy, African cultural astronomy researchers are focused on training students specifically for do...

  7. Hospital staff responses to workplace violence in a psychiatric hospital in Taiwan.

    Science.gov (United States)

    Chen, Wen-Ching; Hwu, Hai-Gwo; Wang, Jung-Der

    2009-01-01

    We surveyed 222 nurses, nursing assistants, and clerks at a psychiatric hospital in Taiwan on responses to workplace violence, treatment of violent patients, and reporting behavior. Staff reported 78 incidents of physical violence (PV), 113 of verbal abuse (VA), 35 of bullying/ mobbing (BM), 21 of sexual harassment (SH), and 10 of racial harassment (RH) over the course of one year. Among affected staff, only 31% of those experiencing PV and < 10% of those experiencing other categories of violence completed a formal report. Highest levels of reporting to senior staff were among those affected by SH. Patients who were physically violent were more likely to be injected with medication than patients showing other violent behaviors. More VA-affected staff considered the incident not important enough to report. Other reasons for not reporting the incident were fear of negative consequences, especially for BM, and shame for SH. Reliable systems for responding to and reporting patient violence should be developed. PMID:19496484

  8. Recommendations for enhancing psychosocial support of NICU parents through staff education and support.

    Science.gov (United States)

    Hall, S L; Cross, J; Selix, N W; Patterson, C; Segre, L; Chuffo-Siewert, R; Geller, P A; Martin, M L

    2015-12-01

    Providing psychosocial support to parents whose infants are hospitalized in the neonatal intensive care unit (NICU) can improve parents' functioning as well as their relationships with their babies. Yet, few NICUs offer staff education that teaches optimal methods of communication with parents in distress. Limited staff education in how to best provide psychosocial support to families is one factor that may render those who work in the NICU at risk for burnout, compassion fatigue and secondary traumatic stress syndrome. Staff who develop burnout may have further reduced ability to provide effective support to parents and babies. Recommendations for providing NICU staff with education and support are discussed. The goal is to deliver care that exemplifies the belief that providing psychosocial care and support to the family is equal in importance to providing medical care and developmental support to the baby. PMID:26597803

  9. African names for American plants

    NARCIS (Netherlands)

    Andel, van T.R.

    2015-01-01

    African slaves brought plant knowledge to the New World, sometimes applying it to related plants they found there and sometimes bringing Old World plants with them. By tracing the linguistic parallels between names for plants in African languages and in communities descended from African slaves, pie

  10. The Struggles over African Languages

    Science.gov (United States)

    Maseko, Pam; Vale, Peter

    2016-01-01

    In this interview, African Language expert Pam Maseko speaks of her own background and her first encounter with culture outside of her mother tongue, isiXhosa. A statistical breakdown of South African languages is provided as background. She discusses Western (originally missionary) codification of African languages and suggests that this approach…

  11. Effect of staff attitudes on quality in clinical microbiology services.

    Science.gov (United States)

    Pitt, Sarah J; Sands, Richard L

    2002-01-01

    Technical quality of the work of clinical pathology laboratories is monitored regularly by both internal and external sources. Among the factors that might affect quality, laboratory staff attitudes are rarely considered. In this study, the psychological concepts of 'job satisfaction' and 'climate' are measured among microbiology biomedical scientists in the United Kingdom. A self-report questionnaire was developed and distributed (between November 1998 and February 1999) to biomedical scientists in 161 microbiology laboratories throughout the UK From 2415 questionnaires distributed, 931 replies were received--a response rate of 39%. A separate set of questions covering customer service and participation in internal and external quality assurance schemes was sent to laboratory managers. Biomedical scientists reported lower job satisfaction than did medical technologists in a previous study in the USA. Perception of climate was influenced by several demographic factors, the most important of which being the size of the laboratory. Optimal number of staff in a department was found to be less than 30. Aggregation of climate scores from members of the same department showed that a positive laboratory climate was important for good performance in internal and external measures of technical quality. For the best service, laboratory climate must be supported by a staff perception that the department is committed to enhancing quality--a climate for laboratory quality. PMID:12113406

  12. The Staff Development Maze: Where Are We?

    Science.gov (United States)

    McQuarrie, Frank O.; And Others

    1984-01-01

    The author presents a five-stage model for staff development used in a survey of professors and practitioners. The survey found that there is a disparity between what professors and practitioners believe is practiced and what is actually occurring in staff development. (MD)

  13. Staff Organization in Nuclear Power Stations

    International Nuclear Information System (INIS)

    This paper deals with the organization of operating and maintenance staff at nuclear power stations in Italy and manpower variations, either because the plants themselves differ or are organized in some special way. Staff doing jobs for which a specific training is required are given special consideration in the paper. (author)

  14. 28 CFR 600.5 - Staff.

    Science.gov (United States)

    2010-07-01

    ... Staff. A Special Counsel may request the assignment of appropriate Department employees to assist the... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Staff. 600.5 Section 600.5 Judicial... employees, and the office for which the designated employee works shall make reasonable efforts...

  15. 20 CFR 900.5 - Staff.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Staff. 900.5 Section 900.5 Employees' Benefits JOINT BOARD FOR THE ENROLLMENT OF ACTUARIES STATEMENT OF ORGANIZATION § 900.5 Staff. (a) The... the Act and performs such other functions as the Board may delegate to him. (b) Members of the...

  16. Gaming: a creative strategy for staff education.

    Science.gov (United States)

    Swartzendruber, D

    1994-02-01

    Providing staff development in a stimulating, innovative manner is the challenge of all nurse educators. This article discusses gaming, a creative teaching strategy that can help meet these needs. Games designed specifically for the education of dialysis staff will be reviewed. Advantages of the various games will also be examined. PMID:8141633

  17. Stacks Tour Project Presents Staff Development Opportunity

    Science.gov (United States)

    Coopey, Barbara M.; Nicastro, David

    2007-01-01

    The Penn State Libraries' Open House activities for incoming students find Access Services staff extending beyond their everyday routines to creatively help relieve students' fears of the library and understand how Access Services can help them. Serving on the Access Services Open House Committee offers staff many opportunities for development as…

  18. Exploring Staff Perceptions of Student Plagiarism

    Science.gov (United States)

    Flint, Abbi; Clegg, Sue; Macdonald, Ranald

    2006-01-01

    This paper presents analysis of qualitative data from a research project looking at staff perceptions of plagiarism at a post-1992 university. Twenty-six members of staff from departments and academic schools from across the university took part in open and semi-structured interviews. Analysis shows that variable definitions of plagiarism exist;…

  19. Open Educational Resources: Staff Attitudes and Awareness

    Science.gov (United States)

    Rolfe, Vivien

    2012-01-01

    Attitudes are changing in education globally to promote the open sharing of educational courses and resources. The aim of this study was to explore staff awareness and attitudes towards "open educational resources" (OER) as a benchmark for monitoring future progress. Faculty staff (n = 6) were invited to participate in semi-structured interviews…

  20. 20 CFR 638.801 - Staff training.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Staff training. 638.801 Section 638.801 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR JOB CORPS PROGRAM UNDER TITLE IV-B OF THE JOB TRAINING PARTNERSHIP ACT Administrative Provisions § 638.801 Staff training....