基于证据推理及评估用例的信息系统安全评估模型

为了实现信息系统安全评估的规范准确,根据评估过程的实际需要,在《信息系统安全保障评估框架》标准基础上建立了证据推理模型,把系统的安全等级、评估规约、直接证据融合入模型之中。引入软件测试理论中测试用例的概念构造评估用例,定义了安全指标的3种类型,提出了基于这3种类型的评估规则,最后给出了模型的实现方式。从实例分析可以看出,该评估方法提高了评估工作的规范性,减少了人为因素对评估结果的影响。     

基于GB/T 20274的信息系统安全技术保障评估及计算机实现

国家标准GB/T 20274定义了信息系统的安全技术保障要素集,并建议以能力成熟度等级的形式度量信息系统的安全技术保障性。本文首先对安全技术保障度量的能力成熟度等级进行量化处理;其次将信息系统组件的安全技术保障性表示成向量的形式,在向量和向量∞范数的基础上重新阐述了信息系统的安全技术保障模型;最后,给出了信息系统的安全技术保障的计算机实现算法。仿真实验结果验证了本文算法能有效地实现信息系统的安全技术保障的评估。     

资产关联拓扑结构的信息系统安全评估模型

提出了基于资产关联拓扑结构的信息系统安全评估模型。以资产关联拓扑结构图为原型表示资产间的关联,量化计算判定各资产间关联以及关联性对整个信息系统风险的影响。该信息系统安全评估模型改进了传统的信息系统风险评估方法,添加资产关联性作为评估过程中的重要信息,实现了量化的信息安全评估。最后给出实例验证了模型对传统评估方法的改进。     

基于DS证据的信息融合算法多指标融合

在雷达跟踪中,算法方案的综合评价可通过DS证据理论进行多属性融合。而在实际应用中存在部分指标缺失等问题,导致证据间出现高冲突,使得原始DS证据合成方法失效。在分析了多指标融合中由于3类信息不完整而导致的高冲突证据后,提出了将算法方案的综合评价作为群体证据,把单个证据与群体证据之间的模糊距离作为证据融合权重,基于权重改进DS证据合成方法,解决了高冲突证据下的多属性融合。实验结果表明基于群体证据模糊距离的DS证据合成方法可以较好地解决雷达跟踪中算法方案综合评价问题。     

基于UML的国家卫生信息系统评估框架体系构建研究

国家卫生信息系统是在国家层面运行的结构复杂,功能强大的信息系统,它集成了卫生领域大量信息资源,主要用于支持决策,目的在于改善当前我国卫生状况。对国家卫生信息系统的评估需要建立完善的评估框架和体系,确保综合全面的反映卫生领域的信息。本文通过比较研究发展中国家卫生信息系统评估框架,提出了基于UML的国家卫生信息系统评估框架体系,以期为卫生政策制定者提供决策支持和依据。     

国家卫生信息系统评估框架研究进展及其启示

能够提供及时可靠信息的国家卫生信息系统对于加强和改善卫生系统非常重要,而加强一个国家的卫生信息系统首先必须从系统的评估开始。通过界定国家卫生信息系统内涵,总结了国际主流卫生信息系统评估框架,如HMN信息系统评估框架、WHO卫生信息系统、美国USAD卫生信息系统指标、泛美卫生组织信息评估框架、西太平洋卫生信息系统评估框架等,介绍了我国卫生信息系统评估研究进展,对我国卫生信息系统评估框架研发提出了建议。     

基于标准建模语言的国家卫生信息系统评估框架体系构建

国家卫生信息系统是在国家层面运行的结构复杂、功能强大的信息系统,主要用于支持决策,改善当前国家卫生状况。分析了国家卫生信息系统对综合全面反映卫生领域运行情况的重要性以及目前发展中国家卫生信息系统建设存在的问题,指出了需要建立完善的评估框架和体系。通过比较研究发展中国家卫生信息系统评估框架,提出了基于标准化建设语言（UML）的国家卫生信息系统评估框架体系,以期为卫生政策制定者提供决策支持和依据。     

卫勤人员应急保障能力评估系统的设计与实现

目的:设计开发军队卫勤人员应急保障能力评估系统,能够迅速为决策人员提供及时可靠的卫勤保障信息,提高信息化条件下的卫勤保障水平。方法:分析了评估体系,应用MVC设计模式,融合医院"军字一号"系统的人员数据信息,运用Qt提供的C++应用程序开发框架实现该系统。结果:构建和实现了卫勤人员应急保障能力评估系统,操作使用简捷,能够显著提高工作效率。结论:构建军队卫勤人员应急保障能力评估系统,丰富了服务内容,提高了卫勤保障能力。     

可交互性标准框架的评估和选择

在医疗单位之间和医疗集团内进行医疗信息共享和交互的过程中,要实现不同单位之间信息的互连互通,必然涉及信息的可交互方面的问题。全文介绍了信息系统可交互性的概念性评估框架,以及可交互性标准评估的步骤和方法。     

适用于信息融合算法性能评估的DS改进算法

为了解决信息融合算法管理过程中的最优算法决策问题,引入DempsterShafer证据理论。针对在实际应用过程中,由于相关证据合成而出现的评估结果超估计现象,提出了一种改进的证据合成方法。通过建立不同指标之间的相关性度量函数,对相关证据的基本概率赋值进行相应的调整,对修正后的证据再进行证据组合。实验结果验证了所提方法的合理有效性。     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

Dr.Zhang Ren''''s Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

Luo Lingjie''''s Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

猪肺磷脂注射液联合经鼻持续气道正压通气对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性的影响

目的 探讨猪肺磷脂注射液联合经鼻持续气道正压通气(NCPAP)对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性(CK-MB)的影响.方法 选取呼吸衰竭早产儿80例,分为观察组和对照组各40例.对照组采用NCPAP给氧治疗,观察组给予NCPAP给氧联合猪肺磷脂气管内给药.观察两组患儿治疗前及治疗12h、24 h后PaO2、PaCO2、血氧饱和度(SaO2)、pH的变化情况,检测治疗前及治疗5d后血清CK-MB水平;评估两组患儿的临床治疗效果.结果 两组患儿PaO2、PaCO2、SaO2、pH比较,差异均有统计学意义(P＜0.05),其中观察组治疗后的PaO2、SaO2、pH均高于对照组,PaCO2则低于对照组.两组的PaO2、SaO2、pH均随观察时间延长而升高(P＜0.05),PaCO2均随观察时间的延长而降低(P＜0.05).观察组治疗有效率为87.5％,显著高于对照组的70.0％ (P ＜0.05).治疗5d后两组患儿血清CK-MB水平均较前降低(P＜0.05),且观察组明显低于对照组(P＜0.05).结论 猪肺磷脂注射液气管内给药联合NCPAP可以显著降低呼吸衰竭早产儿CK-MB的含量,提高治疗有效率,起到很好的呼吸循环支持作用.     

Survey and practice of reporting quality of randomized controlled clinical trials on traditional Chinese medicine

Evidence obtained from randomized controlled trials （RCTs） has been generally accepted as the gold standard in the evaluation of clinical effectiveness. Readers need to understand the trial design, implementation, results, analysis and interpretation, so as to fully Jnderstand the results of RCTs. Thus, the investigators of RCTs have to report these items in a complete, accurate and clear manner. Since 1998, we have conducted several evaluations on the reporting quality of RCTs published in Chinese journals on traditional Chinese medicine （TCM） and results have shown that there is an urgent need for higher quality RCTs on TCM.     

TCM Treatment of Ankylosing Spondylitis by Tonifying the Kidney and Strengthening the Governor Vessel

Ankylosing spondylitis is a chronic and progressive disorder with inflammation mainly involving the central axis joints. It mainly affects the cervical spine and the lumbosacral area, with the pathogenesis closely related to the kidney and the Governor Vessel (GV). TCM holds that the syndrome is deficiency in origin and excess in superficiality, which is due to insufficiency of the kidney, deficiency of GV, and blocking of the channels with the invasion of exogenous evil, leading to poor circulation of qi and blood and malnutrition of the bones, muscles and joints. The TCM method of tonifying the kidney and strengthening GV to regulate circulation of qi and blood and check the arthralgia pain should be adopted, with the Kidney-Tonifying and GV Strengthening Decoction (益肾强督汤) prescribed.     

IMPROVING P-gp EXPRESSION IN HUMAN MONONUCLEAR CELLS IN VITRO TRANSFECTED BY MULTIDRUG RESISTANCE-1 mRNA

CHEMOTHERAPY playsa greatrolein the treat- ment of malignanttumors,especiallyingynecolo- gicalones.But inanticancerchemotherapy,leuko-cytopeniaisfrequentlytheprimarydose-limitingsideeffect factor.Moreover,cancersarefrequentlychemoresistantbe-causeof overexpressionof P-glycoprotein(P-gp), which isencodedby multidrugresistancegene (MDR1 ) and detectableinup to50% ofhuman cancersand renderscellsresistancetoanticancerdrugs.The safetyand potentialtherapeuticbenefitof mdr1 gene transferredto h…