Honores a Sir Ernest Shackleton en Sanidad Militar / Honors to Sir Ernest Shackleton in Military Health / Honras a Sir Ernest Shackleton em Saúde Militar

Ernest Shackleton ha sido en la historia, un personaje que dejó huella como ejemplo de resiliencia y liderazgo. En 1914 realizó como jefe de expedición su segundo viaje antártico, frustrado por el hundimiento de su buque insignia. La operación de rescate del grueso de la tripulación varada en el continente más meridional lo llevó a recalar en Montevideo. Desde este puerto partió el buque Instituto de Pesca N°1, con tripulación de Uruguay y Shackleton incluido, no logrando completar el salvamento. De esta acción nació el aprecio hacia la persona del explorador por parte del gobierno de la República. En su postrer travesía, ya fallecido llegó a las Islas Georgia del Sur y a su cuerpo se le realizó un proceso de conservación para ser traído a nuestro país y continuar viaje al puerto de origen en Inglaterra. Es en esa circunstancia que el gobierno del doctor Baltasar Brum solicitó a la Comisión Permanente del Parlamento, se le rindieran honores fúnebres de Ministro de Estado. El embalsamado del cuerpo fue realizado el 30 de enero de 1922, por parte de personal médico y técnico del Hospital Militar, así como los honores que le rindieron por el Servicio de Sanidad del Ejército y la Armada.

Ernest Shackleton has been in history, a character who left his mark as an example of resilience and leadership. In 1914, as expedition leader, he made his second Antarctic voyage, frustrated by the sinking of his flagship. The operation to rescue the bulk of the crew stranded on the southernmost continent led him to Montevideo. The Instituto de Pesca N°1, with Uruguayan crew and Shackleton included, departed from this port, but was unable to complete the rescue. From this action was born the appreciation of the explorer by the government of the Republic. In his last voyage, when he died, he reached the South Georgia Islands and his body underwent a preservation process to be brought to our country and continue his voyage to the port of origin in England. It is in this circumstance that the government of Dr. Baltasar Brum requested the Permanent Commission of the Parliament to pay him the funeral honors of a Minister of State. The embalming of the body was carried out on January 30, 1922, by medical and technical personnel of the Military Hospital, as well as the honors rendered by the Army and Navy Health Service.

Ernest Shackleton deixou sua marca na história como um exemplo de resiliência e liderança. Em 1914, ele fez sua segunda viagem à Antártica como líder da expedição, frustrado pelo naufrágio de seu navio principal. A operação para resgatar a maior parte da tripulação encalhada no continente mais ao sul o levou a Montevidéu. O Instituto de Pesca N°1, com tripulação do Uruguai e Shackleton incluído, partiu desse porto, mas não conseguiu concluir o resgate. Essa ação deu origem ao reconhecimento do explorador pelo governo da República. Em sua última viagem, quando morreu, chegou às Ilhas Geórgia do Sul e seu corpo foi preservado para que pudesse ser trazido ao nosso país e continuar sua viagem até o porto de origem na Inglaterra. Foi nessa circunstância que o governo do Dr. Baltasar Brum solicitou ao Comitê Permanente do Parlamento que lhe prestasse as honras fúnebres de um Ministro de Estado. O embalsamamento do corpo foi realizado em 30 de janeiro de 1922, pela equipe médica e técnica do Hospital Militar, bem como as honras prestadas a ele pelo Serviço de Saúde do Exército e da Marinha.

Study on the current situation and influencing factors of job involvement for employed nurses in military hospital / 中华劳动卫生职业病杂志

Objective: To investigate the current situation of job involvement of nurses in military hospitals in Henan Province and analyze the influencing factors, so as to provide reference for improving the level of job involvement of military nurses. Methods: In February 2022, the employed nurses of 4 military hospitals in Henan Province were investigated by convenient sampling method. A total of 663 questionnaires were collected, including 632 valid questionnaires, with an effective recovery rate of 95.32%. The self-designed questionnaire was used to investigate the basic information of nurses, the Job Involvement Scale was used to investigate the job involvement of nurses, the Emotional Labor Scale for Nurses was used to investigate nurses' emotions, and the Work-Family Conflict Scale was used to investigate the work-family conflict of nurses. Independent sample t-test and univariate analysis of variance were used to compare the job involvement of military employed nurses with different demographic characteristics, Pearson correlation analysis was used to explore the correlation between emotional labor, work-family conflict and job involvement, and hierarchical regression analysis was used to explore the impact of relevant variables on the job involvement of military employed nurses. Results: The total average score of job involvement of military employed nurses was (3.68±1.13), and the scores of vitality, dedication and focus were (3.64±1.15), (3.74±1.25) and (3.67±1.21) respectively. The total score of emotional labor of nurses was 33-80 (62.95±8.12), with an average score of (3.93±0.51). The total score of work-family conflict was 18-94 (55.16±13.53), with an average score of (3.06±0.75). Professional emotional regulation, patient-centered emotional inhibition and standardized emotional play were positively related to the job involvement (r=0.46, 0.41, 0.22, P<0.01). Time-based conflict, stress-based conflict and behavior-based conflict had negative correlation with the job involvement (r=-0.12, -0.23, -0.20, P<0.01). In hierarchical regression analysis, after controlling demographic variables, emotional labor and work-family conflict accounted for 17.2% and 4.2% of the variation of job involvement. Conclusion: The job involvement of military employed nurses tends to be at a moderate level. Emotional labor and work-family conflict can significantly affect their job involvement.

Comparisons and current situation analysis of drug purchase modes in military hospitals / 药学实践杂志

During the new round of medical system and military system reform, the current drug procurement mode in military hospitals dose not keep up with the development of national drug procurement policy. This article summarized the current situation of medication procurement in military hospitals through the study of national drug procurement policies for domestic public hospitals and foreign public medical institutions. The new drug procurement mode for military hospitals was discussed in order to lay the foundation for the Civilian-military Integration of military hospitals.

Epidemiology and clinical aspects of hematological malignancies at the military hospital of Antananarivo

Background: Malignant hemopathies constitute a group of pathologies having in common the anomalies of the bone marrow or of the lymphatic system cells. In developed countries, the number and actual distribution of cancers is provided by cancer registries. In Madagascar there is no effective cancer registry and only two studies on malignant hemopathies have been carried out to date, but neither has described their epidemiology and clinical aspects. Thus, we aimed to describe the epidemiology and clinical aspects of malignant hemopathies managed in the Medical Oncology Unit of the Military Hospital of Antananarivo.Methods: It was a cross-sectional and descriptive study carried out at this unit from 1st December 2012 to 31st August 2015 (33 months). Authors included all patients followed, then excluded those without pathologic evidence, cases of monoclonal gammapathy of unknown significance and cases of solid cancers.Results: We followed up 57 cases of malignant hemopathies. The mean age was 49.39±15.46 years and the sex ratio was 1.71. Superficial lymphadenopathy was the most frequent warning signs (31.58%) and lymphomas were most represented (52.63%). There was a significant association between warning signs and diagnosis (p value <0.001).Conclusions: Present results are grossly similar to those of other African authors. Present results are distinguished by a low proportion of chronic myeloid leukemia and a very low proportion of chronic lymphocytic leukemia compared to literature data. The effectiveness of the cancer registry will allow us to improve the knowledge about frequency and current distribution of cancer in Madagascar.

Importance of combat readiness training of mobile medical service units in military hospitals during informationalization / 第二军医大学学报

The information-based war has brought unprecedented challenges to the existing support ability of mobile medical service units in military hospitals, and combat readiness training is particularly important for improving its support ability. Combat readiness training is the main way to improve its support ability, a powerful means to improve the level of standardized management, a powerful lever to promote the development of medical equipment, a practical source to promote the theoretical innovation of medical service, a platform to test the design of medical service programs, and an inevitable measure to cultivate the spirit of combat. The above six aspects were analyzed in this paper to effectively solve the bottleneck of combat readiness training, so as to further strengthen the combat readiness training of mobile medical service units in military hospitals under the condition of information war, and improve the effect and level of combat readiness training.

Combat readiness training of mobile medical service forces in military hospitals under information condition: Problem analysis / 第二军医大学学报

Under the information condition, there remain many problems in consciousness, training talents, training contents and training methods in the combat readiness training of mobile medical service forces in military hospitals, which reduces the pertinence and effectiveness of combat readiness training and also affects the effect of combat readiness training. In this review, we systematically analyzed the bottleneck problems of combat readiness training in the above 4 aspects, providing new ideas for effectively solving them, so as to truly implement the combat readiness training and effectively improve the service of military hospital mobile medical service forces.

Effects of Psychological Ownership, Self-leadership, and Social Exchange Relationships on Innovative Behavior of Military Hospital Personnel / 산업간호학회지

PURPOSE: The purpose of the study was to identify factors affecting the innovative behavior of military hospital personnel. METHODS: The study involved the analysis of 146 structured questionnaires received from military hospital personnel in D city and S city. Data were collected from January 10 to February 9, 2019. The SPSS/WIN 24.0 program was used for data analysis, which included the t-test, ANOVA, Scheffé test, Pearson's correlation coefficient, and multiple regression analysis. RESULTS: The multiple regression analysis showed that factors affecting innovative behavior of military hospital staff were the natural reward strategies of self-leadership, behavior-focused strategies of self-leadership, and organization-based psychological ownership (R2=.30). CONCLUSION: The results suggest that to promote innovative behavior in military hospital staff, it is necessary to implement strategies that inspire self-leadership and psychological ownership.

Memorias para la historia de la docencia en el Hospital Militar Central "Dr. Carlos J. Finlay"

Se realiza un recuento de la historia de la docencia en el Hospital Militar Central "Dr. Carlos J. Finlay", según las memorias y apuntes del autor, desde el año 1959 hasta el 2009. En los 50 años narrados, se produjeron una serie de acontecimientos, que fueron sedimentando la tradición y el prestigio docente de esta institución. El artículo está basado en las memorias y apuntes del autor, quien ha estado relacionado, usualmente como participante o de forma cercana, con los hechos que se narran.

A history of teaching is recounted at Dr. Carlos J. Finlay Central Military Hospital according to the memoirs and notes of the author, from 1959 to 2009. In those 50 years a series of events took place, which set up the tradition and the teaching prestige of this institution. This paper is based on the memories and notes of the author, who has been closely connected, usually as a participant, with the events that are narrated.

Stability and Thinking of Health Personnel in Military Hospital Under the New Situation / 中国医院管理

Objective To analyze the stability and influence factors of health personnel in military hospital under the new situation.Methods Health personnel in 5 military hospitals of a certain province were investigated with questionnaires and statistic analysis with Chi-square test.Results 21.4％ of the health personnel of active duty prefer to demobilization,and 93.5％ of them are engaged in medical care.Comparing with the local hospitals,the influence factors exist such as lower welfare,more difficult promotion system and the instability of changing to non active civilian personnel.Conclusion In order to increase the stability of the health personnel,communication and policy constraint are adopted.Among the people of early retirement or self employment,rehiring is encouraged according to various ways so as to increase the stability of health personnel and to ensure steady transformation of military hospital.

Articulação entre o serviço de saúde militar e os demais serviços públicos de saúde no controle da HIV/SIDA: o caso do hospital militar de maputo

Esta pesquisa faz uma análise da coordenação de ações entre o Serviço de Saúde Militar (SSM), mais especificamente o Hospital Militar de Maputo (HMM), e os demais serviços públicos do Sistema Nacional de Saúde de Moçambique (SNS) que operam na mesma cidade, particularmente em relação à atenção às Pessoas Vivendo com HIV/SIDA (PVHS). O termo articulação se refere neste trabalho à coordenação entre os diferentes atores/prestadores públicos de serviços de saúde, civis e militares, da cidade de Maputo nessa matéria, de forma a verificar se estão sincronizados e direcionados para o alcance de objetivos comuns. A exemplo do que ocorre em outros países, o SNS moçambicano possui um Serviço de Saúde Militar (SSM), que funciona como um subsistema, com unidades assistenciais operando em todas as províncias e que atende às necessidades de saúde dos militares e seus dependentes, assim como da população civil, em determinadas condições. O Hospital Militar de Maputo (HMM) subordina-se ao Ministério da Defesa Nacional (MDN). Entretanto, como uma das unidades sanitárias da cidade de Maputo, está integrado aos serviços públicos de saúde desta urbe, prestando assistência a usuários com agravos de várias ordens, inclusive portadores de HIV/SIDA. Há um Memorando de Entendimento entre o MDN e o Ministério da Saúde (MISAU), formalizada em 2005, voltado para a assistência à saúde das populações civis no SSM. . Porém, estudos sobre a descrição e análise dessa articulação com os demaisserviços públicos de saúde de Maputo, em relação ao HIV e outras doenças, e sobre osmecanismos que a operacionalizam, ainda são escassos. No HMM funciona um Laboratóriode Análises Clínicas que realiza exames de pacientes de diferentes proveniências, paradiversas patologias, e serve de referência para os exames de contagem de células T-CD4 dedoentes oriundos de alguns Centros de Saúde da Cidade de Maputo, no âmbito dacoordenação entre o MISAU e o MDN...

This study examines coordination of care between the Military Health Service (Serviço de Saúde Militar, SSM), more specifically Maputo Military Hospital (Hospital Militar de Maputo, HMM), and the other services of Mozambique’s National Health System (Sistema Nacional de Saúde, SNS) operating in the same city, particularly as regards care for people living with HIV/AIDS. In this paper, the term articulation is used to refer to the work of coordinating, in this connection, among civil and military public health service actors and providers in the city of Maputo, so as to assure that they are synchronised and directed to attaining common goals. As occurs in other countries, Mozambique’s SNS has an SSM, operating as a subsystem with care facilities in all the provinces, attending to the needs of military personnel and their dependents and, in certain circumstances, the civil population. The HMM is subordinated to the Ministry of National Defence (Ministério da Defesa Nacional, MDN). However, as one of several health facilities in Maputo city, is it integrated with the city’s public health services and provides care to users with conditions of various orders, including those with HIV/AIDS. A Memorandum of Understanding signed in 2005 between the MDN and the Ministry of Health (Ministério da Saúde, MISAU) addresses provision of health care by the SSM for civil populations. s. However, studies describing andanalysing this articulation with Maputo’s other public health services on HIV and otherdiseases, and the mechanisms by which it is operationalised, are still scarce. The HMM has aclinical laboratory which conducts testing of patients from various sources and for variouspathologies, serving as a referral centre for T-CD4 cell count testing of patients from some ofMaputo’s health centres, under the coordination between the MISAU and MDN...

System dynamics model for balance rate in military hospitals during new healthcare reform / 军事医学

Objective To analyze the impact of the declining balance rate in military hospitals during new healthcare reform.Methods A military medical expense model was established,the parameters of the model were changed and the impact of the declining balance rate was analyzed.Results and Conclusion Military hospitals have to face up to the negative influence caused by the declining balance rate,actively promote expenditure compensation mechanism reforms,increase funding,enhance supervision,and separate revenues from expenditures.

Application of diversity and pre-employment professional training in the newly-employed nurses training in military hospitals / 现代临床护理

Objective To explore the applied effect of diversity and professional pre-employment training in the training of newly-employed nurses in military hospitals. Method The diverse and professional pre-employment training methods were used in the training of 52 newly-employed nurses in our hospital on ideological and political knowledge,military quality,psychological knowledge, nursing theory and skills and rules and regulations. Results The excellence rate about pre-employment training theory was 88.5%(46/52). More than 88.7% of newly-employed nurses were satisfied with the organization of pre-employment training, courses, teaching modes and methods,examination methods and teaching skills.Conclusion The diverse and professional pre-employment training in the military hospital is remarkable,for it can improve hired the comprehensive quality of the newly-employed nurses.

Construction of Evaluation Index System for the Effects of Rational Drug Use Policy in the Military Hospi-tal / 中国药房

OBJECTIVE:To construct the evaluation index system for the effects of rational drug use policy in the military hos-pital. METHODS:Based on methods like literature analysis,expert consultation,modified Delphi method,analytic hierarchy pro-cess(AHP),the evaluation index system was constructed and the weight of indicators was calculated. The feasibility of the index system was verified by experimental evaluation. Through comparing drug use level between military patients and local insurance for medical care,the effects of rational drug use policy were evaluated in military hospital. RESULTS & CONCLUSIONS:The index system includes 3 first-level indexes as rationality,accessibility,economics,10 second-level indexes and 20 third-level indexes. The results of the experimental evaluation in 176 military hospitals show that the economic indexes scoring rate is lower than the reasonable indexes and the availability indexes,and the difference value are 3.12%and 4.06%;the first-level indexes average scor-ing rate of divisional hospital is higher than that of regimental hospital,and the difference value is 21.6%. The index system solves the problems of false data,incomplete evaluation,inadequate check,improves informatization level of evaluation,and realizes long-term dynamic monitoring and remote evaluation.

The Formation of the Military Medical System of the Korean People's Army and the Military Medical Officer / 의사학

The military medical system of the Korean People's Army (KPA) first appeared in August 1946 when a central military hospita was established at the headquarters. Inside the KPA, the military medical and veteran services were first established in February 1948. The military medical officers of the KPA were those who were initially engaged in North Korea's health care sector. Most of the early military medical officers were those who had been trained in the Japanese medical system before liberation and were surgeons. After the establishment of the government in September 1948, Lee Dongwha rapidly introduced the medical system of the Soviet army into the KPA. The KPA military medical system was a mix of Soviet, Japanese and Chinese military medical systems. The medical section of the KPA was similar to that of the Japanese army, and the medical section of the lower army was similar to that of the Soviet army. The stretcher platoon of the KPA were similar to those of the Japanese and Chinese armies. The KPA mainly used Japanese medical equipment at the beginning, and after the establishment of the North Korean regime in September 1948, they were gradually replaced with Soviet products. The military medical office of the KPA were equipped with treatment rooms, laboratories, hospitals, pharmacy, and inpatient rooms. The military medical office purchased medical journals and specimens for medical research and set up a separate research fund. In addition, the military medical office was equipped with a laboratory for medical experiments and raised laboratory animals. The KPA military medical system was specialized in the fields of infectious disease prevention and preventive medicine. At the time, infectious disease in North Korea was mainly caused by bacteria and viruses in unsanitary living environments. The KPA set up a special anti-infectious disease department in consideration of the soldiers living in the collective facilities. The second characteristic of the KPA military medical system is preventive medicine. Since early 1946, North Korea has been interested in preventive medicine and has established various medical facilities and personnel. In line with this history of preventive medicine, the preventive department was installed in the KPA military medical system.

WeChat network service in military hospitals / 中华医学图书情报杂志

The function and contents of WeChat public account service in military hospitals were found out by in-vestigating the WeChat public account, which showed that WeChat public account service is provided in more and more military hospitals, but its function should be further expanded and its management should be strengthened.

Analysis on dynamic changes of pharmacy human resources in military hospitals in a region / 药学实践杂志

Objective To provide a reference for optimizing pharmacy human resources allocation in military hospitals in a region .Methods Data of pharmacy human resources of 15 military hospitals in a region were collected from 2 pharmacy re-sources investigations of military hospitals in 2006 and 2013 .For comparison analysis on the changes of pharmacy human re-sources in regional military hospitals in 8 years during 2001-2005 and 2010-2012 ,15 military hospitals were divided into 3 groups according actual beds number ,as 399 beds or less ,400-600 beds ,1000 beds above .Results 2010-2012 ,the average annual growth rate of pharmacy human resources was 7 .11% in 1000 beds above group ,5 .05% in 400-600 beds group ,and 2 .28% in 399 beds or less group .It was showed that the changes of pharmacy human resources had grown trend since 2005 . But the average annual growth rate of pharmacy human resources was much lower than the average annual growth rate of hospi-tal outpatient .Pharmacy human resources with high educational background or high title were concentrated in 1000 beds above group .Half of the staff had bachelor's degree in all groups .The incoming staffs were basically with junior title or intermediate title since 2005 .Conclusion Pharmacy staff accounted for the low proportion of medical technicians ,and per capita workload increased every year in pharmacy department .So pharmacy human resources should be increased .Dispensing ,preparation ,as traditional posts ,and pharmacy intravenous admixture ,clinical pharmacy ,as new posts competed pharmacy human resources . So the human resources needs of the development of clinical pharmacy should be rationally controlled .The distribution of high-level human resources in regional military hospitals shows more concentrated ,which should be a holistic approach to optimize the layout of pharmaceutical human resources .

The impact of nurses′job involvement on work performance in 3A military hospital / 中国实用护理杂志

Objective To investigate the current status of nurses′ work performance and job involvement, and to analyze the impact of nurses′job involvement on work performance. Methods Self-made questionnaires were used to investigate 309 nurses in a 3A military hospital in Beijing. The military hospital is in a high standardization level, which may be properly representative of both military hospitals and 3A hospitals. Results The total score of nurses′work performance was 192.04 ± 31.25. The total score of nurses′ job involvement was 55.48 ± 9.94. The multiple regression analysis showed that the nurses′ work performance would be influenced by staff type, vigor and absorption. Conclusions The nurses′work performance and job involvement were at a high level. Managers should take methods to keep a high level of nurses′job involvement, which may improve work performance.

Establishment of descriptive indicators evaluation method for hospital pharmacy production efficiency / 药学实践杂志

Objective To establish a method to objectively and easily evaluate the production efficiency of pharmacy divi-sion .Methods Data of the input and output of 25 military hospitals pharmacy were analyzed ;indicators of descriptive evalua-tion on pharmacy production efficiency were established .Results A method of descriptive evaluation on pharmacy production efficiency was established ,which included annual drug income per capita ,annual drug income per bed ,daily deployment pre-scriptions per capita as economic output efficiency indicators ,service time of clinical pharmacists as improvement efficiency indi-cators ,and scores of preventing medication errors as prevention efficiency indicators .Conclusion The economic output efficien-cy indicators have limitations .The quantitative methods of quality output efficiency indicators need further improvement .

Application value of MINI-VIDAS automated multiparametric analyzer for immunoanalysis of acute chest pain in military hospital / 医疗卫生装备

Objective To apply MINI-VIDAS automated multiparametric analyzer to auxiliary diagnosis of the serviceman in order to evaluate its clinical value.Methods Totally 1 528 servicemen complaining of acute chest pain were divided into group A and group B equally; the ones in group A went through conventional examination, and the ones in group B underwent conventional examination combined with instant examination with MINI-VIDAS automated multiparametric analyzer. The differences between the two groups were compared for the interval from hospitalization to definite diagnosis, diagnosis correctness, hospitalization rate, length of stay, recovery rate, improvement rate and etc, and then statistical analysis was carried out.Results The two groups had significant differences in the interval from hospitalization to definite diagnosis and diagnosis correctness (P0.05).Conclusion MINI-VIDAS automated multiparametric analyzer can be used for the instant examination of cardiac marker to improve the diagnosis of the acute chest pain, and thus can be popularized in military hospital.

Medical equipment operation training in military hospital / 医疗卫生装备

The practices of military hospital medical equipment operation training were introduced, and the problems were pointed out in training content, organization and support. Some suggestions were put forward from the aspects of field medical equipment development, training plan, post-based training and etc so as to enhance the supportability of field medical equipment.