基于物联网技术的大型医用设备运行数据的监控与分析

随着医疗技术不断提高,人们对健康要求逐渐增高,大型医用设备应用在医院医疗中重要性也逐渐明显。传统的大型医用设备运行数据依靠人工进行统计和记录,无法实时进行监控,漏记、记错情况经常发生,应用数据无法保证准确性。基于物联网技术的大型医用设备运行数据监控,能够实现实时动态监控,能够准确了解设备使用情。利用信息化技术建立信息数据库,设备运行实时监控系统等,对我国大型医疗设备运行数据管理具有重要意义。文章从物联网技术概念入手,基于物联网技术的大型医用设备运行数据研究背景及意义,物联网技术的大型医用设备运行数据监控技术,以及物联网技术的大型医用设备运行数据分析等方面对应用现状进行分析。     

基于物联网的医疗设备综合管理系统设计与实现

目的:设计基于物联网的医疗设备综合管理系统,以解决医疗设备管理效率低下、设备运维困难的弊端,提升医疗设备信息化综合管理水平.方法:采用物联网技术以及SpringBoot框架设计一款医疗设备综合管理系统,实现对现有医疗设备管理的升级改造,系统逐步搭建设备感知层及传输层;医疗设备采集的数据通过kafka分布式集群传输至系统...     

基于高质量发展背景下医疗设备全生命周期信息化管理系统设计与应用

目的：构建一套真正贴合医院管理过程且具有先进性的医疗设备管理系统,帮助医院提高整体的医疗设备管理水平,使医疗设备管理规范化、高效化及精细化,实现医院降本增效。方法：整个架构设计应用了Spring Boot的Java后端框架,Vue前端框架,并且应用了Spring Cloud的组件,设计了一个医疗设备全生命周期信息化管理系统。结果：该系统实现了医院设备管理业务移动化办公,提高工作效率,打造医院3D可视化场景,实时监控医疗设备的运行定位状态,物联网+信息化结合,实现智能化的盘点。结论：该系统改善了收入结构,最大化设备效益,合理降低成本,帮助医院降本增效,整体提升工作效率,设备物质管理精细化,加强流程监督,强化风险提醒和处置。     

基于物联网的医院设备管理系统的设计与应用

本文描述了一种医院设备管理系统.运用物联网技术,并结合传统网络基础设施,对医院设备进行标识、管理、监控以及定位.医院设备资源得到合理配置并最高限运用,保证设备管理的工作质量、加快工作进度,降低设备管理成本,从而间接给医院带来良好的经济效益.基于医疗物联网的设备管理系统具有良好的实用性,可提高医院的工作效率,值得推广使用.     

医疗设备智能定位预警系统的研究

目的：实现战时评估战伤伤情的红外影像方法与设备预警信息化管理,提高设备使用效率,降低设备的管理成本,有效服务于战争环境。方法：采用射频识别（RFID）技术,设计智能动态定位管理系统。建立管理物联网系统平台,实现设备智能定位预警数字化、信息化管理模式。结果：智能定位预警系统的建立,可实时了解战时环境医疗设备的使用周期和使用状态,及时获取有效数据,通过身份识别与定位,实现医疗设备的预警智能信息化管理。结论：利用RFID的原理、特点及医疗设备管理监控平台,能够实时监控医疗设备的使用和流动情况,可实现对医疗设备的移动跟踪记录、报警以及设备的统计报表等管理目标,进一步规范和优化医疗设备的预警管理机制。     

通用医疗设备维修管理系统的研制及应用

本文介绍一种基于微软公司Access2000可视化关系型数据库管理系统开发研制而成的通用医疗设备维修管理系统。本系统能够完成医疗设备检修申请注册,医疗设备维修工作量统计完成医疗设备检验表,医疗设备修复评价表的自动化管理,并可以对各类不同仪器设备的故障情况做较为系统的分析,能够为检修工作提出更科学、更合理的技术方案,对检修人员技术水平做出科学公证的评估。此外,本系统还具有远程医疗设备故障分析管理功能,本系统适用于各大医院医疗设备科以及医疗设备检修机构,经实际使用,具有良好的效果。     

医院医疗设备运行监测系统的设计

目的:设计医院医疗设备运行状态监测系统。方法:通过单片机建立设备功能信息采集,接收到的数据发送到数据连接采集卡,并在数据采集卡处进行校验,校验码通过科室局域计算机进行管理和保存,借助于医院局域网与监测系统数据库进行连接。结果:本系统实现了医院设备运行信息的采集及实时监控,并可以按照需求建立相关的数据监控指标。结论:本系统具有投资小、效率高的特点,借助于医院现有的局域网络建立设备监测系统,获取医疗设备关键运行信息,帮助医院掌握医疗设备运行状态。     

浅谈大型医疗设备管理系统的应用及医院设备管理体系构建

随着医疗设备技术的不断发展，医院的规模不断扩大，传统人为粗放的管理模式愈发不适用于大型现代化医院医疗设备的管理.为实现医院现有的大量先进医疗设备科学高效管理，通过需求调研和分析后，设计并实现了基于Web和Android系统的大型医院医疗设备管理系统，通过该系统可以使医疗设备管理相关人员的工作完成信息化管理.经过测试和运行，发现该系统可以稳定运行，并从医疗设备购入到报废全生命周期的各个环节，使用对应的模块可方便相关人员更方便快捷的完成工作，实现了医疗设备的精细化管理。     

医院医疗设备管理系统的设计与实现

目的：设计一款医疗设备管理系统,实现对医院所有医疗设备准确有序的管理,并最终实现医疗设备的信息化管理。方法：利用Delphi7.0编程工具实现前台设计,后台数据库利用Microsoft Office中的Access将每台设备的基本信息、效应评估等进行存储检索。结果：该系统可以实现对医院医疗设备的信息化管理,包括基本信息、维护信息、效益评估等,提升了医院对设备的管理水平。结论：该系统的设计与实现,在一定程度上提高了医院设备信息化管理的水平,促进了医院数字化的进程。     

基于ZigBee技术的医疗设备使用状态无线监测系统的设计

目的：设计一个基于ZigBee技术的医疗设备使用状态无线监测系统,实现医疗设备使用状态的在线监测,为使用率统计提供一种新的方法。方法：建立医疗设备功耗与其使用状态的数学模型,通过数据采集终端实现医疗设备功耗数据的实时采集,采集的数据由ZigBee无线网络发送至服务器进行存储并结合所建模型进行统计分析。结果：通过对医院健瑞监护仪M8000和飞利浦V60呼吸机功耗进行测试,所测数据能够通过ZigBee无线网络实时准确的传输到服务器端;实验结果显示,所建模型有较好的适用性,使用时长统计精确度较高。结论：系统实现了医疗设备使用状态的在线监测,同时能够准确统计医疗设备使用时长,为医疗设备使用率统计提供准确的数据来源,对推动医院数字化发展具有重要作用。     

Calcium intake in the elderly: validation of a dietary questionnaire

Epidemiological studies of calcium and osteoporosis have been hampered by the lack of a suitable tool for assessing calcium intake. This report describes a new frequency and amount questionnaire for measuring present and past calcium intake in the elderly. The validity of the questionnaire was tested against two commonly used standards of dietary assessment, five-day duplicate diets and seven-day weighed dietary inventories. The resulting correlation coefficients were, respectively, r = 0.76 and r = 0.69, while that for repeatability was r = 0.84. Furthermore, the questionnaire categorized subjects into thirds of the distribution of intake with almost no gross misclassification. It is suggested that the present findings may be extended to the majority of normal, healthy elderly subjects, implying wide application for the questionnaire in the assessment of calcium intake in the elderly.     

The human drama of genetics: 'hard' and 'soft' media representations of inherited breast cancer

This paper examines media coverage of 'breast cancer genetics', and explores its implications for public understanding. We present a content analysis of coverage in British newspapers and look at a variety of popular forms, including women's magazines, television soap opera and radio drama. Genetic/inherited risk receives a great deal of coverage across a wide range of media formats and outlets. Much of this attention has focused on individuals from 'high risk families' and dilemmas around prophylactic mastectomies. Through examining media coverage, combined with interviews with media personnel and their sources, we show why this story proved so attractive to the media and highlight the different production values which influence coverage. Finally, we introduce preliminary findings from focus group discussions to demonstrate how such 'human interest' framing has engaged audience attention and influenced public understandings. The paper concludes by highlighting the implications for analysing, predicting, and engaging with, media representations of science.     

Worker education in the primary prevention of occupational dermatoses

This paper reports the evaluation of a skin care education programmeconducted on a fine chemicals manufacturing site where over1,000 employees are located. Approximately 60% are involvedin chemical manufacture. Over a 12 month period production staffreceived training in prevention of occupational dermatoses linkedto a site-wide poster initiative. The incidence of new casesof occupational dermatoses fell from 0.055 (70 cases in 1,277employees) to 0.021 (27 cases in 1,277 employees) before andafter the intervention respectively (p<0.0001). After otherfactors such as chemicals handled, observer bias and changesin reporting related to socioeconomic climate were taken intoaccount it is concluded that this study demonstrates the importanceof worker education as a tool for primary prevention of disease.Training materials such as video and poster presentations maybe effectively used in the chemical manufacturing industry asan adjunct to prevention and control of exposure to substanceshazardous to the skin. Such methods may also be used in otherindustries where there are significant risks of dermatoses.     

Regional Variation in Travel-related Illness acquired in Africa,March 1997–May 2011

To understand geographic variation in travel-related illness acquired in distinct African regions, we used the GeoSentinel Surveillance Network database to analyze records for 16,893 ill travelers returning from Africa over a 14-year period. Travelers to northern Africa most commonly reported gastrointestinal illnesses and dog bites. Febrile illnesses were more common in travelers returning from sub-Saharan countries. Eleven travelers died, 9 of malaria; these deaths occurred mainly among male business travelers to sub-Saharan Africa. The profile of illness varied substantially by region: malaria predominated in travelers returning from Central and Western Africa; schistosomiasis, strongyloidiasis, and dengue from Eastern and Western Africa; and loaisis from Central Africa. There were few reports of vaccine-preventable infections, HIV infection, and tuberculosis. Geographic profiling of illness acquired during travel to Africa guides targeted pretravel advice, expedites diagnosis in ill returning travelers, and may influence destination choices in tourism.     

Self-reported health problems among Swedish miners one year after unemployment

Unemployment is considered to be a public health concern sincedeterioration in the health of the unemployed is often anticipated.However, for some groups, such as miners, unemployment mightimprove health due to a cessation of potentially harmful occupationalexposures. This study evaluates the health of 79 miners in oneSwedish iron-ore mine, and 226 age-matched controls from thegeneral population, during one year after the closure of themine. The participants received a questionnaire regarding medicalhistory and subjective symptoms at the beginning of the studyperiod, and after one year. Statistically significant negativeeffects on self-reported health attributable to unemploymentwere not found, although neuropsychiatric symptoms were morecommon among the unemployed miners. The miners reported a statisticallysignificant improvement in grip force (p=0.031). They had asignificantly higher prevalence of symptoms associated withmining related exposures when compared with the population controls;pain in the upper extremities [relative risk (RR)=2.27, 95%confidence interval (Cl)=1.44–3.59), back pain (RR=1.84;Cl=1.237–2.75), vasospastic disease of the fingers (RR=2.05;Cl=1.18–3.57) and obstructive respiratory symptoms (attacksof dyspnea and wheezing: RR=3.67; Cl=1.167–11.6).     

Excès de cas humains et animaux de tularémie en France au cours de l’hiver 2007–2008 : émergence ou phénomène isolé ?

Context

Tularemia is a zoonosis affecting humans and hares in France. We describe the results of surveillance in both species, in 2007 and 2008.

Methods

Human tularemia cases are mandatorily notifiable in France since 2003. In hares, surveillance relies on volunteer hunter associations in all districts of the country. Data from mandatory reports and volunteer surveillance in 2007/2008 were analyzed and compared with previous results.

Results

In 2007/2008, 144 cases were reported in humans and 117 cases in hares. This was a 100% increase compared to previous years. Human cases differed from those of previous years only by the frequency of contact with breeding animals. Human cases without any documented risk exposure were also more frequent.

Conclusion

An increase of tularemia cases occurred in 2007/2008 in both species. Complementary studies are needed to identify the species reservoir in France to understand the causes of this peak of cases.     

深圳公立医院管理体制改革制度设计

深圳公立医院管理体制改革实行政事分开、管办分开,在理事会架构下按法定机构模式组建市医管中心,落实公立医院运营管理自主权.作者从当前公立医院管理体制的弊端入手,介绍了深圳市进行公立医院管理体制改革的基本思路及改革方案设计的主要举措,深入剖析了的改革方案的特点,并对改革效果进行了预测.     

Effects of nitrogen dioxide on red blood cells of rats: Changes in components of red cell membranes during in vivo exposure to NO2

Red cell membranes, prepared from red blood cells of rats exposed to 4, 10, or 20 ppm nitrogen dioxide (NO₂) for 1 to 10 days, were examined for evidence of changes in membrane components. Appreciable changes were not found in contents of phospholipid and cholesterol during exposure to 10 ppm NO₂. By contrast, protein content altered with the time of exposure. Moreover, changes in protein composition were observed by employing sodium dodecyl sulfate — polyacrylamide gel electrophoresis. Twenty-four-hour exposure to NO₂ at the concentration above 10 ppm resulted in a marked increase in the percentage of lysophosphatidylethanolamine (LysoPE) to the total phospholipids. The prolonged exposure to 10 ppm NO₂ gave rise to a further increase in LysoPE, whereas the percentage of phosphatidylethanolamine (PE) showed a gradual decrease. A 1-day exposure to 4.0 ppm NO₂ also caused an increase in sialic acid content and decreases in those of PE and hexose. In addition to contents of these components the percentage of LysoPE increased 5 days after exposure and the elevated values were maintained up to the end of exposure period. These results demonstrate that red blood cells in circulation exhibit different membrane properties in terms of lipid and carbohydrate composition during 10 days of exposure to 4.0 ppm NO₂.     

The design of hazard risk assessment matrices for ranking occupational health risks and their application in mining and minerals processing

Two hazard risk assessment matrices for the ranking of occupational health risks are described. The qualitative matrix uses qualitative measures of probability and consequence to determine risk assessment codes for hazard-disease combinations. A walk-through survey of an underground metalliferous mine and concentrator is used to demonstrate how the qualitative matrix can be applied to determine priorities for the control of occupational health hazards. The semi-quantitative matrix uses attributable risk as a quantitative measure of probability and uses qualitative measures of consequence. A practical application of this matrix is the determination of occupational health priorities using existing epidemiological studies. Calculated attributable risks from epidemiological studies of hazard-disease combinations in mining and minerals processing are used as examples. These historic response data do not reflect the risks associated with current exposures. A method using current exposure data, known exposure-response relationships and the semi-quantitative matrix is proposed for more accurate and current risk rankings.