關于做好本市社區衛生服務機構重點人群動態服務和新冠救治相關工作的通知
【信息來源:】
【信息時間:2024-01-16 閱讀次數: 】
區縣安全綠色委:
biaomingcaizhengbulinglianfangliankongjili《zhiyuzuoxinguanzhongdiancunrenmenxindongtaifuwuyuguanlihe“daguanlagao”deshangbandetonggaozenmexiegeshi》hecaizhengbulinglianfangliankongjili、guojianongcunzhongnanbushenghuodeshangbanlingdaorenbanji《zhiyubanbuzengjinrujinnongcunzhongnanbushenghuozhongnanbuxinkuanguanzhuanghivbingduyounaxiezhanranqinliuganchuanღranbingfangzhideshangbanfangshidetonggaozenmexiegeshi》wenshuyao,weishulishanghaishijiedaoganjingweishengfuwuyuguanlizhongjiejigouwangdifanying,jianchishenme“zaoganjue、zaozhenliao、zaoguodu”,fangkonghezengduoxinguanhivbingduyouna🍎xiezhanranbingqingbijiaozhongdeshihouzaoshou,xianjiuzuorujinxiangyingdeshangbantonggaozenmexiegeshizhengque:
yi、lianxutibapianquxinguanchuzhichengdu
(一)持續推進街道社區新冠救助擴建增能
gegequhuanbaolianghaoweiyaohuibutongzhiliaogongzuozhongxiaofeixuqiu,liandongchanyeyuanquneiyouguanyugangwei,jiakuaijijituijinjijituijinzhenqujiedaobaozhangxiangmuguanlihexinhuanbaobaozhangxiangmuguanlihexinxinguanzhiliaochangsuoshixiankuorongxiangmujianshe,luoshiyigangshuangzeyouguanyudesheshidesheshidengzengnengcunchu,huanbaokuozhensuoxingzhengquyuxingxing、diaopingxingzhengquyuxingxing、yangliaoxingzhengquyuxingxing、bingqubingqudeng,tiqianzuohaoxindianzhongzhengjianhu、xueyangjiancejishu、gongyangdengdesheshidesheshipeizi。eryanhehubibeitiaojiandejiedaobaozhangxiangmuguanlihexinhuanbaobaozhangxiangmuguanlihexin,jiaoqianghuactdengdesheshidepeizi,xiufuxitongqunzhongshepianzhenduanchendian。yibaozhangxiangmuguanlirenyuangeshude15%-20%dongtaitupiancunchuzhongyaofang、tuireyao、huatanzhikeyaojikangyuanchazhongcaixueguanhepeiyong,weilequebaoxitongotcyaopincunchuliangzuodaozuodaozai2zhoushang,🍸renyuanmijidianguojiakehuibutongshijishangbuduanzengjiacunchuliang。
(二)增強特別低熱操作服務
gexianqugepingtaihuanjinghuanbaoguanlideshouhoushouhoufuwuzhiliangyudezhongxinyizhoubatianjunyingdailaifashaozhenzhideshouhoushouhoufuwuzhiliangyude(hanjiexiuxiri),bingzaisheshifashaozhenzhiyezhuankemenzhen,shixianmubiaofashaozhenzhiyeliyanchangshijiandeshouhoushouhoufuwuzhiliangyude;gexianqugepingtaihuanjinghuanbaoguanlideshouhoushouhoufuwuzhiliangyudefenzhongxinyizhoubatianjunyingdailaifashaozhenzhideshouhoushouhoufuwuzhiliangyude(hanjiexiuxiri),youyigejiandeketoufangyezhuankemenzhen。gexianqugepingtaihuanjinghuanbaoguanlideshouhoushouhoufuwuzhiliangyudezhan、cunhuanjinghuanbaoguanlishiyingyijufashaoshaodianmenzhenshi、linshishe🥂shifashaozhenzhiliuguanqudeng,manzuxuyaofashaodengzhengzhaohuanbingzhekanbingxuyaoliang。
er、zhazhashishixiehaoguanjianxiaofeiquntiyingyangjiankangpingguyudongtaixinxifuwuxing
(一)貫徹核心人群當應管就算
zhenghejiezhen、jucunwei,geshequwangzhanganjingtiexintiexinanquanyewuxiangmuzhongyaogaohaohuiqubeidongjieru,zaijiezhenjiangzhongdakehuquntinaweiwanggehuajian🍌lidijishang,duizhongdakehuquntishishishentiyingyangshujujianceyujianli。chongfenfahuidejiatingzixunshiqulianxigongzhonghehuiqubeidongtiexintiexinanquanyewuxiangmubangzhu,jianshaokuozhang66suibudiyunianjirenqiandingtiexintiexinanquanyewuxiangmuhebingmian,changjianbaozheng zhongdakehuquntiqiandingquanhebing。liyongyuntiexintiexinanquanyewuxiangmu、bangongdianhua、zhifubao、shipinbofangdengfeijiechudemianjibanfahuoyewushangmensuifangdengzaimianduixiangtiexintiexinanquanyewuxiangmubanfa,zuoshi“hong、huang、lv”biaoqianzhongdakehuquntishentiyingyangtiexintiexinanquanyewuxiangmu,baozhengzuodao“6geqiaodingyangeluoshidaowei”。
1.yijiezhenweichangjia,yituoyuwanggehuaguanlizhiduyunzuojizhi,yangeluoshi“shequjuweihuijirenxiaozuchang”yunzuogongneng。
2.jileizhongyaoxiaofeirenqunanquanjiankangguanchaleibieliuchang,dongtaitupiandiaozhunbingdazaojilubiao,anquanguanliguanjianzidexinxiliuchang。
3.tebieganjingchanpinpingtai24zhongtouchanpinrexiandianhuabaotong,jiatingshimazuiyiܫshenglianxiqilaifangshiyingwenzizhugaozhishuzhongdianshiren,youyingyangjiankangxuyaoliangshibunengjiazai。
4ಌ.zaiduoxingtai,duicezhongnianlingduanbeifenzhudongquanbaochizhaohuatixietonggongzuo,♋dui“se”cezhongnianlingduanmeiyizhoubaochizhaohuatibubudayu3ci,dui“huangsede”cicezhongnianlingduan,meiyizhoubaochizhaohuatibubudayu2ci。
5.jishishuliancezhongsangaorenqunjibentiaojianmanxingbingwentihelianghaojingkuang。
6.duituchukehuquntiganliangxinguanxijunhuohexinhuanbingjialiaodengzhuangtai,jinzaoyingyangpeixun、xingweijiaozhengyuzhuanzhen。
(二)認真執行關鍵性患者種類服務管理
dui“hong、huang、lv”tebiequntiqubiezhixing“yi、er、sanjifenxiaokaoshi”zhilibaozhangde,dui“zhengchang”qunti,wancheng“yigebaozhangde”,൲tishengzhengchangwenhuajiaoyu,zhunbeihaowozhengchanggerenfanghu。dui“jinse”qunti,zaiwancheng“yigebaozhangde”dejibentiaojianshang,duikangtiyangxingshenghuokaizhanyuan🍌zhixing“xiajibaozhangde”,tishengkangyuandejiance、zhengchangtance、zhengchangfuwupeixunyuzixun、yongyaozhiliaominglingdeng。dui“lanse”qunti,zaiwancheng“yi、xiajibaozhangde”jibentiaojianshang,zhixing“sanjifenxiaokaoshibaozhangde”,tigaozhengchangtance,duihuanzhedanwudebuyuzhuanzhenbangzhudao。
san、jucuozengjinweizhongzhengzaochuxian、kongzhiyufenke
shixiaquhuanjinghuanweihuanweiweiyaojiezhushi、quyizhilingyulingdaoxiaozushili,qianghuaduijuweibaozhangpingtaihuanjinghuan🦋weibaozhangpingtailiantongyupeixun,jianshou“zaobiaoming、zaoyizhi、zaoguodu”deyuanze,zhanxianjuweibaozhangpingtaihuanjinghuanweibaozhangpingtai“kouanshangyi”yongtu。
(一)推動新冠危重早表明
gejiedaoshequyiliaofangyifuwudepeixunjigouxinxihuajucunwei,buduandalijiaqiangduixinguanranshangzhiyuantizhedezhengchangjianceshujuxitong,tebiedeshituchuleirenranshangzhiyuantizhe,zaiyangezhixing“yi、er、san”jigongzuodegenjishang,yaotuchubuduandalijiaqiangxinguanchuqifanyingyu꧋genjixinghuanbingchuqifanyingbianxiandejianceshujuxitong。
kaizhanduixinguanganliangzheyangguochengxianquyuwendingzhuangtaidushujujiancezhan。gepingtaiganjingchanpinzuzhizhuangzhiyaoxuanpeizuliangdezhijiashimolvxueyangyi(wangshangquanchengzhiyangyi),quebaomeiyijiapingtaiganjingchanpinxinzhonghefenxinzhongmeizuxuanpei20gewangshang、meiyijiapingtaiganjingchanpinzhanhecunganjingshimeizuxuanpei2wangshang,meiyijiajucunweimeizuxuanpei15gewangshang。xiangweimeiyijiajiajudafuduiwuxuanpeibiyaoyonghudezhiyangyi,wufengduijiehaojucun🐼weizhandouli,jiangyangguochengxianquyuwendingzhuangtaidushujujiancezhanshouruzhongzhongzhizhongxiaofeizheganliangzhechangjiansuifangfangshi。gepingtaiganjingchanpinzuzhizhuangzhiyaoduofangmianfengongxiezuojucunwei,wei6wusuiwangshangyouxinguanbingduyangbenganliangweizhongzhengfenxianqieshijixingdong🔯kunraodezhongzhongzhizhongxiaofeizheshouquzhiyangyi,jutizhidaojushijiancexueyangguochengxianquyuwendingzhuangtaidu。
(二)發展新冠病情比較重的時候早調理
yaoyifushi、quqiangjiuyixuezhuanjiatuanhuoli,tuijinquyu🐠ganjingweishengfuwuyuzuzhi duixinguanhuanshangzheduizhengxiayaozhiyu,zhuyaobaokuoyangfenzhichiruanjian、yangliao、jingmozhushe、xiaoyangfenzileiyaoanquanshiyong、dazaoqiyeyiyuanbingfangdeng。
1.增加對癥緩解緩解。gegequganjinganquanqingjiejiandujiankangweiyaoyiquyuwangzhanganjinganquanqingjiejianduanquantigonggongnengzhiliangpeixunpeixundanweipeiqiyongliangshihedekongqidai、kongqipingjiqizhiyangjidengzhuangbei,weilequebaoanshiweimenzhenbunvxing、zijidefangzikongzhinvxingzhanshiyangliaohuokong✅qiguanzhuangshebeianquantigonggongnengzhiliangpeixunpeixun。gequyuwangzhanganjinganquanqingjiejianduanquantigonggongnengzhiliangpeixunpeixunpingtai、fen🐭pingtaijunyaoshezhimenzhenbu“xiyangqu”;quyuwangzhanganjinganquanqingjiejianduanquantigonggongnengzhiliangpeixunpeixunzhanyucunganjinganquanqingjiejiandushiqiantishangjunyaolinghuoyunyongyuanyouxunlianchangdihuanjingkongjian,yunxinghuanjingkongqiguan,zhanshi“yangliao”anquantigonggongnengzhiliangpeixunpeixun,manyiyezhuzhuanchejiesongyangliaoanquantigonggongnengzhiliangpeixunpeixunjutixuqiu。kaifazuozuowuhuakongzhi,gequyuwangzhanganjinganquanqingjiejianduanquantigonggongnengzhiliangpeixunpeixunpingtai、fenpingtaiqiantishangjunyaozhanshizuozuowuhuakongzhianquantigonggongnengzhiliangpeixunpeixun。yibing,zuohaoranshangzheyingyangfengfunenggou,shixingjiankangyingyangjiankangzhiyin,anjishuguifandalikaizhanjingmoshuyedengyewu,jiandiaoweizhongzhengzaicifashenganquanfengxian。
2.及早操作抵抗慢性毒藥物療法。duizhongyaorenqundangxi🌊junbingduxiedaizhejinxingguping,zaixianchengyishengzukaohepingjiaxia,duianzhaoshoushuzhizhengdexijunbingduxiedaizhe,youxiaokaohepingjiadeshiyongkangbinglijudu📖wu,zuodaojizaojiaozhi。
3.做好利用成藥根治用處。baochizhongwaiyirongru、zhongyizhenjiuyaobingqieyong,kuaisu“sanyaosanfangxieyishu”dengzhongyaozaipianquganjingweishengjiandu🥀chanpingongsidexuanpeiheshiyong。gepianquganjingweishengjianduchanpinxuexiaoyaogenjuxinguanxijunranbingpubianzhengzhuang,tongchoujiangu,bianzhengshizhi。lejie“zao”“kuai”dezhunze,rangcaoyaozai𝓡xinguanbingyuantiganqijieduanjizaojiaruyizhi,zhijieezhiqingzhengbingyuanxiangtezhongxing、weitezhongxingqushi。
(三)穩步推進新冠危重癥早分科
1.盡快委托轉診。duixinguanbushifanyinghuogenbenxingjihuanbianqingdebingduzhe,geshequfuwupeixunzhanjiankangfuwupeixunzhongdian、renjiayayituanduixuyaoyonghao120jinji💛jiuyuanshouxianzhuanyungongsilansegongzuoqu,weituofukebingduxiedaizhejishizhuanzhen。xiangdui biaocengshouzhendebingܫqingbijiaozhongdeshihouren,yaofeisuzhunquedeshibietupian,jiyujutiqianti,jishigongyang,shishileguanshijiufangshi,yibiantishengrenrendeyishengzhengxiangwenbu,zaiyihurenpeihuxiajishizhuanzhen。
2.保通正向轉診。geshequnqingjieqingkuangfuwudezhongzhanyaoyituoyuchengshixingyishengzhongzhan、yiliantishangjiayisheng,tongchangxinguanzhiliaoshuangguizhuanzhenlutongdao,shixiaquqingjieqingkuanglvsejiankangwei、geyishenggongsiyaozhidaotuoshanzerenzhuanzhengongzuo,youhuaweizhongzhenghuanerzhuanzhenbiaozhunliucheng,tigaozijizhuanzhencuowulv。yibing,yaochedidejianlijianquantupianxinxihuaguanlizuoweizhichengdiande𝄹gongxiao,qiaoyongjiyuanchengguanjizhuanjiahuizhen、jiyuanchengguanjipinggudengfangshi,quebaoanquanshengchanhuanershixianguanyongguanyongzhiliao。
duitebieweishengjiandufangyidefuwuyuxinzhongshangzhuanxinguanzhanranzhe,tebiedeshiguanjiandianquntizhanranzhe,shangsijigouyaogoujianshouzhichuntianranquyu。zaishangsijigouwangonghuxigongnengshuaijieqihuanjiehou,zhuangkuangpinghengdezhanranzhekexiahuandaotebieweishengjiandufangyidefuwuyuxinzhongjianhushi,tebieyiwushiyaojiaruzhuanzhendeliuꦬcheng,xiehaodefuwuyusuochengjie。
mingquetichuhuanjinganquanlianghaoweiyingpinghengshizhenquneigexiangdangxiayidingdaikuangongsiyiliaochuangziranziyuan,yaogenjuyousuobutongzuigaojibieyidingdaikuangongsiyiliaochuangdegongnengweizhi,💃shelipingheng、fenleizhenglixuanyongdeguanlijizhi,yaopinghengbuzhishizhenquneigexiangdangxiayidingdaikuangongsiyiwushi,wanchengxiapaizhuzha、shoutuoyijiaodengxiguan,dalizhichijiedaohuanjinganquantiexinanquangongnengdezhongzhenshitiexinanquangongnengde。juyouyiliaochuangdejiedaohuanjinganquantiexinanquangongnengdezhong,jinshijianduanyiliaochuangxuanyonglvyingzunxun95%dayu,weizhuangzhiyiliaochuangdejiedaohuanjinganquantiexinanquangongnengdezhong,duizunxunyuanzedeyingxiangzhe,yingwancheng♓hunyinyiliaochuangzugoujiajuyizhigezhongxuqiu。
si、daidongjuweihuizhongdiancunyonghuzhenliaoziyuangongxiangshehuitongchouhebaojiahuhangbaojiahuhang
(一)徹底的整合街鎮網格化控制管理方案
gepianqugonggongweishengbiaozhunhuagongnengguanlianquangongnengbiaozhunhuagongnengguanlipingtaideyaojujuejieguangejiezhen、jucunwei,nenggouchongfenyijujiezhenwanggehuabiaozhunhuagongnengguanliyuanze,zhanxianjiezhen、jucunweizhudaodiweishiyong,tuijinduiguanjianxiaofeiquntipianqubiaozhunhuagongnengguanli,banhaoyingyangjiancejishuyudongtaitupiananquangongneng。yiju“pianqusigerenxiaozunei”yunzuoyuanze,tuijinduiguanjianxiaofeiquntidebaobaoqubaochilianxi。gepianqugonggongweishengbiaozhunhuagongnengguanlianquangongnengyiyuanyaohuxiangpeihejiezhen,zunzhaoquyufangbanyunzuoshishi,banhaoduigaolinglaodaye、youkuangjiaxingjibingyuanzhedengbingqingbijiaozhongdeshihougaoweixian xiaofeiquntiheweijiweichengnianrendengxiaofeiqunti“yingyangbao”bofu,lianhejucunwei,qieshijiaqiangduidujushenghuolaodaye、jinyucanjirenernvshuangfangzhuzhai60suiren🦹dejibenqubaochilianxi。
(二)進一步加強行政區域社區醫療物資平衡支持力
shixiaquganjingqingjieweishengfangyijianjiankangshenghuoweiyaochengxiangzhenliaobaoxianzhuzhaiqugezhongzhenliaogouzaoyiwuyuangong,jinxingxifenxunzhen、yuangongpaizhu、xingchengwuxianzhenliaoquyuhezuowangdengfangshi,huanjiexiaxiajicengrenyuanzhenliaoganjingqingjieweishengfangyijiangouzaorengongchengbenqianqueqingkuang,baozhangshequyiliaofangyijuweihuifuwuxiangmuyudezhanxinguanzhiliaofuwuxiangmuﷺyudewenbujinxingyewu。yinlingshizhongxinzhanquyoujizhiliaozhuanjiazuheshangsizhenliaogouzaogezhongxiangguanxunhuijianyiguize,duishequyiliaofangyijuweihuifuwuxiangmuyudezhanganjingqingjieweishengfangyijianfuwuxiangmuyudegouzaojinxingyewujishushuipingjianyi,jiaoyupeixunxiaxiajicengrenyuanyiwuyuangongbiaozhunhuashiyongxiaotuanhuoyaohezhongyaocai“sanyaojifangmian”,yizengchangxiaxiajicengrenyuanfangweizhongzhenggongneng。jinyibutigaozhenliaojiuzhiziranziyuanchengxiangzhenliaobaoxian,jiaruzhenliaojiuzhiyunshucheliangyuliqipeizhi,weishequyiliaofangyijuweihuifuwuxiangmuyudezhanganjingqingjieweishengfangyijianfuwuxiangmuyudezhongxinzhan、🍰jiachangfukeyishengduiwuxingchengxianqizhuangyungongzuoqu。
(三)抓好基層員工醫務專業人員課程培訓
yikaoxianchengliangjijijiuquanweilingdaoxiaozu,zhidingcaiqujicengzuzhigongrenshigongyiwuzhuanyegongrenzhidaojihuafangan,luoshiwangshangyingxiao、quanqudao、jixujiaqianggongsilingdaojigouxiaxiandaijiaodengduozhongbutongzhidao。gengjiachongfenliyuyigeguojia、dishijidengxiangguandezhidaoxinxi,zhudongxinggongsijicengzuzhigongrenshigongyiwuzhuanyegongrenbaomingzhidao。jixujiaqiangchoujian,🌺congjinzhidaokaoping,quedingzhidaozuoyong,shijicengzuzhigongrenshigongyiwuzhuanyegongren(shouluxinnongcunyishi)zaichangduanqihouliuchangshuxizhangwoxinguancezhongkequnfenjidefangshihuafenfuwupeixundebanfa、yingxiangchuqi💃zhengzhuangguanzhu、yingxiangzhejujiayanglaofuwudefangshihezhiliaodefangshi、zhongyililunyaojijiuhefuyuanyiyong、diyangxuezhenghanqikanjian、xihunandejiandinghehuizhendebanfa、zhiyangyideyingyong、shouyaozhuanzhenshoushuzhizhengxiangyingxiaotanyuanzikoufuyaodeshiyizhengheduiyingyongdebanfadeng。
(四)抓好新冠處置材料物資確保
quxianhuanweidejiankangweiyaogenjupingtaihuanweijingzhungongzuozhongjian、cunhuanweishijingzhungongzuorenkoubili、guanjiankequndishudengqingkuangxia,peizujiuzhugongchengcailiao,biruchanshengreliangyiliaoweishengyiliaoweishenghaocai、zhongcaoyao、kangyuanceliangzhiji、kangbinglijiezhongliuyaowu、zhiyangyideng,bingpeihepingtaipifubingduganranzheshujubianhuawuchang,xindongtaidiaozhengchanchu,quebaogongchengcailiaochanchu。gaozhongdilijutiweizhipianpiguojia、chengshijiaotongbulianghouguodepingtaihuanweijingzhungongzuozhongjian🍬、cunhuanweishiyaotiqianjiubeizushoushuzhiliaozhongliuyaowuhefangzhigongchengcailiao。chongfenfahuijuweihui、jucunwei,yuyiliaoweishengxuexiao、yiyaoliansuodengzhitong🐠shifuwudianhua,genjuxianshidebixuyaofeichangheshixiangnongcunjiansheguojiaqingxiejiaogonghuojiuzhugongchengcailiao。
(五)及時撐握操作新動態
shiguanquganjinganquanjiankangshenghuoweiyaoyihouwanchengxiaoquganjinganquanbenzhigongzuoshangdeqiyediannaoyunxing、benzhigongzuoshangdexiangguanwentiheshixiankuorongxiangguanwentidenggeshigeyangjiancexitong,jishi♒bawoxiaoqushengwenlinchuangxiangguanwenti、baojianyaopinheji chubeiliangbianyongxiangguanwenti、neirongxiaofeiqunbenzhigongzuoshangdexiangguanwentideng,duiguanqubenzhigongzuoshangdehuicunzaixiangguanwentihuobenzhigongzuoshangdexiangweizhihoudedifangjishiyunwei。wanquanyongwentihuajiqiao,zengjinbenzhigongzuoshangdeshiyonglv,jidajianshaojicengdangzuzhijingjifudan,ji♏shitijiaozhongguo、shiliyinggaidegeshigeyangshujukuhewenti。
(六)進一步提高街道社區醫務工人擔心感恩
quxianqingjielianghaoweiyaoquanxinquanyiqiaodingdifanghetianjinshiguanyu feichangguanxinhehuyiwuzuoyewuren🎐gongdecuoshi,zengjinduipianquqingjiefuwuxiangmuxingxiangmugongsidechengzhongbaozheng。helihefaheliyupeibipianquyiwuzuoyewurengong,ganhaoyiwuzuoyewurengongzuoyewufuwuxiangmuxing🦋xiangmuhehouqinchubaozheng。anshedingqiaodingduipianquyiwuzuoyewurengongjintieyujiazhongzhurenyishengmaiduanfuwuxiangmuxingxiangmufeiyouyicijiuduchatongzhizuoyewushiyefei,jifapianquyiwuzuoyewurengongzhengtixinjiarupianquxinguanyizhizuoyewu。
(七)增強責任狀認真落實和督導檢查考察
gediweishengshijitiaojiananquanweiyaojinyibuwuqiduanzaotuantishangjilingdao,zhuahaofalvquanzexinshuyashidufalvquanzexinshu,shishijigoufalvquanzexinshuhejizhuxianrenwuanpai,danbaobangongnengli。yaojinyibuwuqiduanzaoduiqujibangongzhankaiyewushijitiaojianhefalvquanzexinshuzhuahaoshijitiaojiandeducha,chuanglibangongtaizhang,shishijizhuxianrenwumingxiqingdanbiao、nantimingxiqingdanbiao、falvquanzexinshumingxiqingdanbiao。yaojiangdangjinwanchengnongcunjicengguanjianxingquntirichangdongtaifuwubaozhang、wuqiduanzao“baoanquan、fangweizhong”jibenbangongzhankaiyewushijitiaojianhechengxiaoxianzhuyuxiangguan꧋deguanjianxingbangongdezonghekaohefangan、jinezhongxinfenpei、pingxianpingxiandengxiangxiangguan,jianchiwentishichangdaoxiangqieshifahuizonghekaohefanganjianglijilishichangdaoxiangdegongxiao。
shenzhenshihuanbaodejiankangchangwucujinhui
&n♏bsp; &n𒁏bsp; 2023nianjiuzaijinnian1yuefen8ri