“军卫一号”系统升级的几点设想

目的:解决“军卫一号”系统中P盘映射机制存在的数据一致性易遭破坏以及用户管理机制存在数据访问安全漏洞的问题.方法:分析P盘映射和用户管理机制存在问题的成因,提出以P盘映射替代机制和“二次登录”模式下的用户管理机制作为解决方案,并测试方案的有效性.结果:有效解决了数据不一致和数据访问安全性问题.结论:P盘映射机制可替代,“二次登录”模式能够提高数据访问的安全性.     

医院人力资源信息管理系统的发展和应用探讨

1人力资源信息管理系统的基本功能 1.1系统登录管理 系统登录管理针对用户使用系统的业务权限进行管理,系统可以根据不同部门（用户）设置不同的权限,这样做到了功能分配的针对性和安全性。     

利用指纹识别技术改进“军字一号”登录系统

在"军字一号"工程中,几乎所有工作站软件的登录均采用用户输入用户名和密码的方式,这种方式无法验证登录用户的真实身份。本文介绍的指纹识别系统用于解决上述问题,重点说明了该系统的登记和验证流程,阐述了实现该系统的数据库用户设置、指纹图像和特征码的存储等关键技术。     

利用系统事件触发器提高“军卫一号”Oracle数据库安全性

目的：＂军卫一号＂Oracle数据库在安全设计方面存在一定缺陷,想立足现有条件,通过一种简单有效的方法,将不安全因素降到最低。方法：在数据库中创建用户合法性审核表,其包含用户名、程序名、IP地址等审核条件,利用系统事件触发器,对登录数据库的用户,通过Sys_context函数,提取登录有效信息,对照审核表条件进行合法性审计。结果：能有效阻止不合法的用户或程序的登录,提高了数据库的安全性。结论：此方法简单易行,能在现有条件下有效提高＂军卫一号＂系统的安全性。     

远程登录Telnet服务

Internet上的计算机间通过FTP可以实现异地文件传送，但有时用户需要使用远程计算机上的资源，而不仅仅是传送文件。比如用户需要远程巨型机为其执行某个高精度要求的程序，那么用Telnet就可以实现这一目的。一、Telnet介绍远程登录Telnet（Tele－Network）是Internet上的基本应用之一。通过远程登录，用户可以登录到异地主机上，执行那台主机上的命令和程序，使用其上的资源，就如同用户操作自己的计算机，只是操作要完全符合远程主机操作系统要求。用户可以检索主机上某个数据库，还可以直接修改放在远程主机上的某些应用程序或数据库…     

基于“军卫一号”的多工作站登录转换系统的设计与实现

目的：快速改变用户归属科室,从而实现对多个工作站的登录。方法：利用现有网络资源,以PowerBuider9.0为基本的开发工具编写程序代码。结果：设计并开发了适用于＂军卫一号＂数据库的多工作站登录转换系统。结论：该系统界面友好、操作简单、实用性强。     

中国预防医学杂志在线投稿系统（操作简介）

一．注册与登录 在互联网上访问中国预防医学杂志网站（http：／／www．zgyfyxzz．cn），进入本杂志社网页界面，在右下角“读者会员登录”区点击“注册”菜单进行新用户注册。在用户注册的对话框中详细并认真的填写用户的所有资料后，点击“提交”进行保存，完成注册。     

基于数据挖掘的慢性创伤伤口智能问诊系统研制与运用效果

研制了基于数据挖掘的智能慢性创伤伤口问诊系统,该系统基于微信小程序,编制了数据收集端口,用户登录注册即可使用.慢性创伤伤口智能诊断系统规范了慢性创伤伤口治疗,生成相应的诊断治疗软件,形成系统、规范的慢性伤口标准化管理方案,与对照组相比,观察组显效率、总有效率均增加,差异有统计学意义(P<005),且观察组疼痛感低于对照...     

《中国卫生经济》在线投稿、查稿说明

首先,请您登录《中国卫生经济》网站:http://www.cnhe.cn。如果您是新作者(即第一次在线投稿),请先点击“作者登录”和“新用户注册”来在线填写作者信息,注册成功后请记住您的用户名和密码,本系统也会把您设置的用户名和密码通过您注册的E-mail发送给您。如果您忘记了用户名和密码请电话咨询我们(0451-87253040、1、2、8)。如果您曾经给本刊投过稿,您可以通过点击“作者登录”用您的用户名和密码直接登录即可在线查稿或再次投稿,您也可以登录后自行修改您的登录密码。     

《中国卫生经济》在线投稿、查稿说明

首先,请您登录《中国卫生经济》网站:http://www.cn-he.cn。如果您是新作者(即第一次在线投稿),请先点击“作者登录”和“新用户注册”来在线填写作者信息,注册成功后请记住您的E-mail和密码。如果您忘记了密码请电话咨询本刊编辑部(0451-87253040、87253041、87253042、87253048)。     

Food, Fun and Fitness Internet program for girls: influencing log-on rate

Internet-based interventions hold promise as an effective channel for reaching large numbers of youth. However, log-on rates, a measure of program dose, have been highly variable. Methods to enhance log-on rate are needed. Incentives may be an effective method. This paper reports the effect of reinforcement schedule and recruitment method on log-on rates to an 8-week Internet-based obesity prevention program. It also explores trends in log-on rate. Girls were randomized to receive immediate (weekly) or delayed (program end) incentives ($5). The study was powered to detect a moderate-to-large effect (0.65). Overall log-on rate was 74.5%. A higher but not statistically different log-on rate was observed in the immediate incentive group (79%) than in the delayed incentive group (70%) (P = 0.118), and among girls recruited via media (80%) as opposed to non-media methods (69%) (P = 0.058). Trend analysis indicated a significant drop in log-on rate between weeks 4 and 5 among all participants (P = 0.009). Although an acceptable log-on rate was achieved in this program, there was a substantial drop between weeks 4 and 5. Identifying the reason that this occurred may provide insight into how to further enhance log-on rate. Recruitment method may influence log-on rate.     

Feasibility of an 8-week African American web-based pilot program promoting healthy eating behaviors: Family Eats

OBJECTIVES: To assess log-on rates and change in mediating variables achieved from a web-based nutrition intervention for African American families. METHODS: A parent and 9- to 12- year-old daughter (n=67 families) completed questionnaires measuring dietary change mediating variables. RESULTS: Overall log-on rate was 59%. Significant positive changes were noted in mother-reported menu planning, self-efficacy, fruit/vegetable availability self-efficacy, modifying meat-fat practices, substitution fat practices, and healthy restaurant selection, and daughter-reported parent modeling of eating fruit and vegetables. CONCLUSION: An Internet-delivered nutrition intervention for families was successful in achieving change in some mediating variables, with modest log-on rates. Future research should investigate impact on dietary behaviors.     

Informationen zur Darmkrebsfrüherkennung

Colorectal cancer is the second most prevalent cancer in Germany. The governmental program for early detection of colorectal cancer intends to increase the chances of recovery by identifying colorectal cancer in an early, more treatable stage. Citizens need quality-assured, balanced, and target-group-specific information to be able to make an informed decision. On the basis of the current state of research, of extensive studies, and of expert and user interviews, the Federal Center for Health Education (BZgA) developed an information module on“early detection of colorectal cancer” for the women’s health portal of the BZgA. The information module contains information on colorectal cancer, on the governmental program for early detection, as well as on the program’s benefits and risks. The information offered is intended to be up to date and is approved by experts. The BZgA approves the quality of this information using methods of process and outcome evaluation.     

Security aspects of teleradiology between the university centre and outlying hospitals in Tyrol

We assessed a data security system using biometric fingerprint techniques and smartcards to control access to a teleradiology system. Clinical cases were initially discussed between the referring physician and radiologist in Tyrol using a video-phone. Subsequent correspondence, including the transmission of images between the referring physician and the radiologist, was carried out by e-mail using the security system to prevent unauthorized access to patient information. Seventy-eight teleradiology sessions were conducted using this data security system. Speed and stability of data exchange were unaffected by the additional security feature. The average log-on time to the system was 7.8 s. The average training time on how to use the system was 15 min. The radiologist was able to issue a final patient report using the system within 1.5 of the initial contact. The data security feature was user-friendly and did not hinder the normal teleradiology consultation.     

心电信息管理系统研究

针对目前现有心电图检查的现状,提出心电信息管理系统在临床应用以及科研方面的优势,并简单介绍了心电信息管理系统在医院中的构建方案。     

Technology-Based Disease Management

Background: Although information technology applications are part of all disease management programs, most programs involve extensive nurse interventions. Objective: To present clinical and financial outcomes data from One Health Plan’s technology-based program(s), which provide asthma, diabetes mellitus, and cardiovascular care to over 90 000 participants. Methods: The programs are designed to support the health plan’s patient population with asthma, diabetes, congestive heart failure, and coronary artery disease. Data from the health plan’s medical and pharmaceutical claims were used to identify the total patient population. The program(s) use extensively mail, Internet, and Interactive Voice Response (IVR) services with only limited nurse interventions to engage the patients and intervene in their care.Patient engagement consisted of an introductory mailing supported by follow-up mailing. The objective was for the targeted patient to respond by completing a survey on paper, over the Internet, or via IVR. The CareResults ^SM program, uses participant-reported information to risk stratify the population and to track patients progress as part of the measurements of the program’s results. The risk stratification algorithm scores the participant’s clinical status and ability to self-manage their care. Both dimensions impact the participant’s risk score, which in turn determines the follow-up activities. CareResults ^SM mails a personalized feedback booklet as part of a care kit to educate the participant on the current treatment protocols. The goal is to help the participant recognize good healthcare and teach them to work with their physicians to achieve this. Results: The programs demonstrate that improved outcomes can be rapidly achieved for a large number of participants without costly nurse interventions. One Health Plan offered the program to over 250 000 members in the year 2000 and had over 93 000 elect to participate. Improved clinical outcomes were demonstrated for asthma, diabetes, and the cardiovascular diseases. Highlights include a 55.2% increase in candidates with diabetes receiving glycosylated hemoglobin A_1c test, and a 27% self-reported increase in the use of low-dose aspirin for participants with a cardiovascular condition. Financially, current analysis comparing 1999 costs to 2000 costs indicates that the program’s per member per year net savings ranged from $US300 to $US1000 depending on the specific disease state. In all cases, the programs demonstrated a significant positive gross saving. Conclusion: One Health Plan’s experience demonstrates that the technology-based CareResults ^SM program produces positive financial and clinical results without significant nurse interventions.     

Improving immunization data quality in Peru and Mexico: Two case studies highlighting challenges and lessons learned

IntroductionThe Global Vaccine Action Plan and the Regional Immunization Action Plan of the Americas call for countries to improve immunization data quality. Immunization information systems, particularly electronic immunization registries (EIRs), can help to facilitate program management and increase coverage. However, little is known about efforts to develop and implement such systems in low- and middle-income countries. We present the experiences of Mexico and Peru in implementing EIRs.MethodsWe conducted case studies of an EIR in Mexico and of a population registry in Peru. Information was gathered from technical documents, stakeholder focus groups, site visits, and semi-structured interviews of national stakeholders. We organized findings into narratives that emphasized challenges and lessons learned.ResultsMexico built one of the world’s first EIRs, incorporating novel features such as local-level tracking of patients; however, insufficient resources and poor data registration practices led to the system’s discontinuation. Peru created an information system to improve affiliation to social programs, including the immunization program and quality of demographic data. Mexico’s experience highlights lessons in failed sustainability of an EIR and a laudable effort to reform a country’s information system. Peru’s demonstrates that attempts to improve health and other data may strengthen health systems, including immunization data. Major challenges in information system implementation and sustainability in Peru and Mexico related to funding, clear governance structures, and resistance among health workers.DiscussionThese case studies reinforce the need for countries to ensure adequate funding, plans for sustainability, and health worker capacity-building activities before implementing EIRs. They also suggest new approaches to implementation, including economic incentives for sub-national administrative levels and opportunities to link efforts to improve immunization data with other health and political priorities. More information on best practices is needed to ensure the successful adoption and sustainability of immunization registries in low- and middle-income countries.     

Three Year Follow-Up of Coping Power Intervention Effects: Evidence of Neighborhood Moderation?

The Coping Power program is an indicated prevention program for at-risk aggressive preadolescent children, and has had demonstrated short-term effects on antisocial outcomes. This study provided a longer-term 3-year follow-up for a sample of 245 fourth grade children who had been randomly assigned to Coping Power or to a care-as-usual Comparison condition. Intervention took place during the fifth and sixth grade years, at the time of transition to middle school. Growth curve analyses indicate that Coping Power had linear effects through the 3 years after the end of intervention on reductions in children’s aggressive behavior and academic behavior problems, children’s expectations that aggression would lead to positive outcomes, and parents’ lack of supportiveness with their children. Participants’ homes were geocoded into census tracts, and neighborhood qualities which may have moderated outcomes involved neighborhood disadvantage based on census tract information, and parent-reported social organization of neighborhoods. There was limited support for the hypothesis that intervention effects would be greater in less problematic neighborhoods. Intervention produced the greatest improvement in parental supportiveness for families living in communities with less neighborhood disadvantage, but there were no similar effects for the behavioral and social cognitive outcomes, or in analyses using neighborhood social organization as a moderator. Counter the hypothesis, intervention produced the greatest reduction in children’s aggression in neighborhoods characterized by poor social organization.     

Community Partners Join Forces: Battling Obesity and Diabetes Together

Our objectives was to create an initiative to change the culture of a small community to improve quality of life as it relates to health for the residents through the use of health-related educational sessions, a coordinated fitness and nutrition program, and the construction of community fitness trails. We compared the use of a health-focused community driven program to the status quo in seeking opportunities to improve perception and understanding of one’s health and overall quality of life for participants. Among the various techniques identified to improve a community’s health outcomes, dissemination of information through the use of educational sessions empowered citizens to take control of their health status, and ultimately, their quality of life. This came with zero negative impacts for those providing the education, as well as those participating in the sessions. Although the application of these methods depends on local resources, leadership, and partnerships, programs similar to those presented here can help to improve quality of life for citizens in communities across the country facing the challenges secondary to a sedentary lifestyle.