大集中模式新型农村合作医疗信息系统

针对海南省新型农村合作医疗信息系统建设实际情况,提出基于大集中模式的省级新型农村合作医疗新系统建设方案,重点讨论该方案的设计要点、系统技术架构、功能结构等方面,并对系统特点进行综合分析,以期为我国省级新型农村合作医疗信息系统建设工作提供借鉴.     

基于SOA构架的农民健康档案信息系统研究

基于SOA构架研发的农民健康档案信息系统,具有可扩展性和协作性的良好架构.该系统依托已有的医院HIS、妇幼保健系统、儿童计划免疫系统、新型农村合作医疗等信息系统,通过数据交换整合相关资源,切实提高了社区卫生服务水平和服务质量,进一步完善了社区卫生服务体系,有效解决了健康档案信息系统建设中社区卫生服务信息、新型农村合作医疗信息等信息资源不能综合利用的技术难题.     

基层院长论坛新农合背景下的信息化"考验"

2007年5月,卫生部颁发了<新型农村合作医疗信息系统基本规范(试行)>(以下简称<规范>)后,近日又出台<关于新型农村合作医疗信息系统建设的指导意见>(以下简称<指导意见>),新型农村合作医疗(简称新农合)信息系统建设正式提上日程.     

新型农村合作医疗业务管理系统建设方案

介绍了一种基于区、市级农村合作医疗信息系统之上的市级中心信息管理系统建设方案,设计了系统的总体逻辑架构,对其中的数据中心平台系统功能进行了详细的功能设计,该方案对实现农村合作医疗业务及数据和统一汇总、交换、管理与监督具有普遍的指导意义。     

基层院长论坛新农合背景下的信息化“考验”

2007年5月,卫生部颁发了《新型农村合作医疗信息系统基本规范(试行)》(以下简称《规范》)后,近日又出台《关于新型农村合作医疗信息系统建设的指导意见》(以下简称《指导意见》),新型农村合作医疗(简称新农合)信息系统建设正式提上日程。按照《指导意见》的计划,全国新     

用Internet技术构建新型农村合作医疗网络

本文针对海南省新型农村合作医疗结算网络系统建设的实际情况,提出了一套依托于覆盖全省的现有互联网络,采用浏览器 /服务器( B/S)体系结构,构建海南省新型农村合作医疗结算网络的技术方案,重点讨论了网络的拓扑结构和方案的设计要点,并对实现的技术方案进行了综合评价,以作为对我国建立新型农村合作医疗信息系统的一点初步探讨.     

行业新闻

卫生部发布“关于新型农村合作医疗信息系统建设的指导意见”2006年11月,卫生部发布“关于新型农村合作医疗信息系统建设的指导意见”。“指导意见”指出:新型农村合作医疗信息系统是专门用于新型农村合作医疗业务管理的计算机管理信息系统,对新型农村合作医疗制度的建立和完善具有重要意义。     

资讯窗

时政卫生部出台《关于新型农村合作医疗信息系统建设的指导意见》为指导和规范全国新农合信息系统建设,提高新农合的科学管理水平,保障和促进新农合制度持续健康发展。日前,卫生部出台了《关于新型农村合作医疗信息系统建设的指导意见》(以下简称《意见》)。《意见》指出在2～3     

钟祥市新型农村合作医疗运行状况年度比较分析

新型农村合作医疗是国家对农村实行的一项惠农政策,钟祥市新型农村合作医疗试点自2004年10月1日启动以来,坚持政府引导、部门协调、农民自愿的原则,规范管理,强化监督,推动了新型农村合作医疗试点工作可持续发展。本文对钟祥市新型农村合作医疗推行以来的情况进行描述分析,并对其运行过程中存在的一些问题进行思考和探析,提出继续完善新型农村合作医疗制度的几点建议。     

地市级职业病防治信息网络管理平台的研发与应用

在省级公共卫生信息系统建设的总体框架要求下,依据《职业病防治法》及相关规范?标准,基于j2ee开发环境,采用oracal数据库?b/s多层体系架构的应用平台,并与采用delphi 7.0开发工具?c/s多层体系架构专项信息系统相整合,采用虚拟专网(vpn)的隧道技术?认证技术和加密技术等网络安全技术,构建了适合地级市各级卫生部门?安全生产监督管理部门?工会和用人单位等职业病防治工作需要的信息网络管理平台?通过试点应用,实现了不同职业病防治管理与服务机构?用人单位之间的信息共享?沟通与合作,实现了对职业病危害企业的分级分类管理模式,辅助各机构建立了完善的职业病防治档案,规范和提高各项职业病防治工作的质量,促进了地区职业病防治综合管理与服务的程序化?规范化?信息化和现代化进程?     

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…     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.     

Analysis of CK-19,PDX-1,Nestin,Ngn3 in different donor islet purity in rats

Objective: To investigate if there are the CK-19, PDX-1, Nestin, Ngn3 positive cells in the donor islets of different purity in rats. Methods: Thirty male adult SD rats were randomly divided into 3 groups. Islets were isolated using digestion by ductal injection of collagenase. Group Ⅰ (n=10): Separating cell preparations were not purified, Group Ⅱ(n=10): Islet sediment was purified with 25% Ficoll400 ,Group Ⅲ (n=10): Islet sediment was purified with 25% and 11% Ficoll-400. The levels of protein of CK-19, PDX-1, Nestin and Ngn3 were detected by immunohistochemistry and the mRNA of CK-19, PDX-1, Nestin, Ngn3 was amplified by RT-PCR. Results: After two different purification methods applied, three islet preparations of different purities were obtained. The difference of islet purity was significant among various groups (P＜0.05). Compared with group Ⅱ and group Ⅲ,the protein and mRNA of CK-19, PDX-1, Nestin,Ngn3 were both higher in group Ⅰ; group Ⅲ was poorly expressed. Conclusions: The three different islet purity donor islet have different CK-19, PDX-1, Nestin, Ngn3 positive cells within them, indicating that there are some islet stem cells in the purified donor islet.     

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.