基于B/S模式的远程影像会诊系统设计和开发

针对现有远程医疗解决方案的不足,采用B/S模式进行原型系统设计和开发,重点对影像会诊流程和会诊管理进行详细的设计,解决了会诊过程中影像的因特网传输、管理和显示等问题,并与PACS系统进行了整合。     

远程医学惠民工程网络架构与实现

根据山东省远程医学惠民工程的具体需求，利用计算机网络技术、视频影像技术、结合数字医疗设备，开发远程医学网络，实现了远程诊断、手术、护理、监护、医学信息、医学培训、病例研讨等功能。     

野战医院无线网络与远程会诊系统的联动研究

本文介绍野外条件下的无线网络与远程医疗会诊系统的对接技术。希望能对战时野外条件下迅捷建立卫勤保障系统有所帮助。     

浅论手术影像实时传输系统

本文阐述了我院在手术影像实时传输系统建设中的系统设计目标需求、系统组成结构、各个部分的作用以及系统建设的整体拓扑结构，说明了系统建设中的硬件、软件的选择与配置原则及要求；对系统所实现的功能做了较完整的描述。     

The image pyramid system — an unbiased,inexpensive and broadly accessible method of telepathology

Although computerised information technology, including the Internet is broadly used and globally accessible it is still not a significant form of professional communications in diagnostic histopathology. The high cost of interactive dynamic telepathology systems makes their use limited outside the richest economies. In contrast static telepathology systems are relatively cheap but in practice their information content can be heavily biased by the choice of images sent by the consulting pathologist. The degree of this bias may be regarded simply as the amount of information transferred to a remote location expressed as a percentage of the total information present in the histological sample. We refer to this as the percentage of explicit versus implicit information. Another major source of bias may be found in the information transmitted in written or verbal discussion with a remote consultant. We have developed a system of static telepathology, the image pyramid, which attempts to minimise bias by transferring all of the information in a section to the consultant. It is inexpensive and should prove to be widely accessible.     

基于Zigbee技术的无线医疗监护网络的研究

本文设计了一种基于Zigbee技术的无线医疗监护网络。采用CC2430芯片构成无线网络节点,完成测量数据的采集和传输,并通过网络协调器、PC机和Internet网络进行远距离数据传输。以心电信号测量为例,介绍了传感器节点设计及测量结果。该网络可以应用于家庭以及医院病房,构成远程的家庭、社区以及医院的医疗监护系统。     

构建远程医学信息平台的数据整合

目的：探讨远程医学信息网信息共享平台的架构与使用，用来整合远程医学信息网和HIS、PACS等系统的资源。方法：通过整合医院内部数据资源、搭建信息平台以及规范会诊流程等凡方面进行研究。结果：能够实现基于远程医学信息网信息的信息共享平台，实现信息最大限度的共享。结论：提高了远程医疗会诊的质量和水平。     

Telephone triage, expert systems and clinical expertise

This paper reports on a qualitative study of the use of an expert system developed for the British telephone triage service NHS Direct. This system, known as CAS, is designed to standardise and control the interaction between NHS Direct nurses and callers. The paper shows, however, that in practice the nurses use CAS in a range of ways and, in so doing, privilege their own expertise and deliver an individualised service. The paper concludes by arguing that NHS Direct management's policy of using CAS as a means of standardising service delivery will achieve only limited success due not only to the professional ideology of nursing but also to the fact that rule-based expert systems capture only part of what 'experts' do.     

Database Application of Digital Medical X-rays and Labs: Computerization,Storage, Retrieval,Interpretation, and Distribution

Stenter lets the health care worker order an X-ray that is produced as a computer image rather than on flat film. The health care provider can be in any location with the correct equipment, and view the digital image. The dimensions of this discussion are extensive. The cost savings because of reduced media and storage cost is substantial. Health care quality can be improved because of the ability to obtain consultation via telemedicine and the enhanced ability to track medical problems over time via trends. The major downside is the limited cost imbursement system to pay for technology. Unfortunately, this may impact on the improved quality of care. In simple terms someone needs to pay for the technology and the quality of health care needs to be maintained or improved. The real cost to the health care systems needs to be correctly calculated and inappropriate charging kept to a minimum. Specific costs need to be kept in mind and the first is the cost for new staff or staff training. The number of health care providers that are able to read the X-ray can be enlarged remembering that only American Board Certified Radiologists are allowed to give the final recommendation. How do we view the cost of missing something? It could be argued that this risk will be reduced because of improved technology for obtaining the digital X-ray and improved enhancement software. One way to view this situation is to include technology, management, and organization. The cost and benefits occur through the interplay of all three dimensions. The development of digital imaging hardware and artificial intelligence software will demand change in the management and organization. The organization will require changes in its design to accommodate the technology as to support and resources. Management will evolve to include methods for control and monitoring this technology. Business processes and standard operating procedures will change to integrate the technology into the organization in the most effective and efficient manner.