目的 探讨郑州市“片医负责制”开展以来,社区卫生服务机构的服务绩效,为政府制定社区卫生服务有关政策提供科学依据.方法 通过问卷和访谈等形式,对片医负责制试点社区卫生服务中心辖区居民388名和非片医负责制试点社区卫生服务中心辖区居民376名进行了调查,收集居民对社区卫生服务的认知、患病时首选、到达机构的时间、满意度等指标.结果 片医试点中心辖区居民与非试点居民了解社区卫生服务分别为373人与241人,分别占96.13％和64.10％.片医试点中心辖区居民对社区卫生服务的认知程度显著高于非片医试点中心辖区居民(x2=49.78,P＜0.05).片医试点中心辖区居民有87.63％的人患病时首选社区卫生服务机构,高于非试点中心辖区的56.12％(x2=132.952,P＜0.001).在5min以内到达社区卫生服务中心的比率在两区分别为84.02％和35.37％(x2 =69.03,P＜0.001).两区居民对社区卫生服务机构满意度分别为97.94％和68.88％,试点中心辖区的居民满意率明显高于非片医试点中心(x2=196.184,P＜0.001).结论 片医负责制这种全新的社区卫生服务模式为辖区居民提供了方便、快捷、价格低廉的医疗卫生服务.

Objective Learn baby swimming pool hygiene quality,provide the basis for further strengthening the su-pervision and management of health baby swimming pool. Methods Excell2003 software were used to analyzed the monitoring data of ninety-eight baby swimming pool of Z city. Results Initial inspection and recheck to the public supplies and air of baby swimming pool,total bacteria,coliform,staphylococcus aureus bacteria pass rate of initial inspection and recheck pass rates were significantly different(P<0.05). Initial inspection and recheck to the swimming pool water,total bacteria,coliform pass rate of initial inspection and recheck pass rates were significantly different (P<0.05),staphylococcus aureus bacteria pass rate of initial inspection and recheck pass rates was no significant dif-ference (P>0.05). Conclusion Baby swimming pool in ZhengZhou city should be improved health status,health conditions have improved after the recheck,the relevant health administrative departments should establish appropri-ate baby swimming pool hygiene standards.

目的 了解郑州市近5年来公共场所的卫生状况,为公共场所卫生状况的改善提供指导方向.方法 依据《公共场所卫生管理条例》《公共场所卫生监测技术规范(GB/T17220-1998)》《公共场所卫生管理条例实施细则》,对2008年-2012年中某区各类场所实施卫生监测,并对监测结果进行分析.结果 2008年-2012年某区各类场所总的监测合格率为84.26％,5年来无显著变化;各行业中,以商场书店类场所合格率最高为92.16％,以美容美发业合格率最低为79.57％;不合格指标的分布上,主要集中在甲醛和细菌总数上.结论 某区公共场所卫生监督和卫生监测有待加强,尤其是美容美发等行业的消毒急需改善.

Objective To study the effects of noise of singing-dancing hall on working personnel's health. Methods The noise of the 16 singing-dancing halls was measured by precise ND2-sound-level-meter. Assessment of noise of singing-dancing hall was conducted according to Hygienic standard for public place of entertainment GB9664-1996. For the 158 cases of working personnel's the self symptoms were inquired by questionnaire. The physical examination were conducted by physician.Results In the 16 singing-dancing halls,the qualified rate of noise was 7. 14%. The heart rate,SBP,DBP and FPG of the subjects exposed to the noise≤85 dB and 85 dB was 73,133 mmHg,85 mmHg,4. 85 mmol /L and 85,141 mmHg,93 mmHg,5. 07 mmol /L. And their differences were significant(P 0. 05). With the increasing of the working age,the rate of abnormal electrocardiogram will also increase. Conclusion These results suggest that noise of dancing hall have an effect on risk factors of cardiovascular disease. The health laws and the publicity of the standards should be strengthened and measures should be adopted to improve the health condition.

介绍了20种彩叶树种在金昌的引种表现。通过对其开展相关试验,分析了它们的生物学特性、生态适应性和抗逆性,总结出其相应的育苗技术,为其在金昌地区推广应用提供了实践经验。

<正>本刊讯2007年春节期间,夏邑县总工会自觉承担起维护农民工合法权益的基本职责,采取多种措施创造便利条件,吸引和组织农民工加入工

2000年2月21日,郑州市金水区祭城镇八里庙村一个体弹簧厂发生亚硝酸钠食物中毒事件,全厂职工83人,83人中毒.现将调查结果报告如下.1 中毒经过该厂生产弹簧工艺流程中用亚硝酸钠作为去锈剂,经亚硝酸钠作用后的污水流入附近一污水池中,渗漏污染了附近的一口水井.2月21日午餐前,炊事员煮大锅菜,向锅里添加2桶被污染的井水,导致就餐者83人全部中毒.

我们组织了饮食业和公共场所从业人员进行HBsAg的检测.现将1998年～2000年对10万余名从业人员的检测结果整理如下: 1材料与方法 1.1三年共检107602人,检出HBsAg阳性者1238人,阳性率1.15%(见表1),98年检出阳性率最高,为1.35%,以后逐年下降,其中98年与99年阳性率有显著性差异,(X2=14.79,P＜0.01)99年与2000年阳性率有显著性差异.