E-santé et m-santé: état des lieux en 2014 et apports potentiels en oncologie

New information technologies and communication in health or “eHealth” is a way of improvement for management of chronic diseases. EHealth can improve patient care and care coordination especially in cancer patients who require a multidisciplinary approach. Treatments in oncology are complex and can result in new toxicities. Information of patients and of caregivers is a crucial issue. The patients require to be monitored and the caregivers need up-to-date information. The mobile component of eHealth: the mobile health or “mHealth” could provide to this need. This paper proposes to expose the principles of eHealth and its mobile component mHealth then to discuss their place in the management of cancer, for patients and caregivers.     

Sufficient dimension reduction on the mean and rate functions of recurrent events

The counting process with a Cox‐type intensity function has been extensively applied to analyze recurrent event data, which assume that the underlying counting process is a time‐transformed Poisson process and that the covariates have multiplicative or additive effects on the mean and rate functions of the counting process. The existing statistical inference, however, often encounters difficulties due to high‐dimensional covariates, such as in gene expression and single nucleotide polymorphism data that have revolutionized our understanding of cancer recurrence and other diseases. In this paper, a technique of sufficient dimension reduction is applied to the mean and rate function for the number of occurrences of events over time. A two‐step procedure is proposed to estimate the model components: first, a nonparametric estimator is proposed for the baseline, and then the basis of the central subspace and its dimension are estimated through a modified slicing inverse regression. On the basis of the estimated structural dimension and on the basis of the central subspace, we can estimate the regression function by using the local linear regression. A simulation is performed to confirm and assess the theoretical findings, and an application is demonstrated on a set of chronic granulomatous disease data. Copyright © 2014 John Wiley & Sons, Ltd.     

利用人事档案开发医院人力资源信息管理系统

在医院发展技术化和国际化的大背景下,人力资源管理显得越来越重要。搭建起标准化、规范化、网络化的人力资源管理信息化工作平台,其前提是确定人力资源管理提升规划方案,重点是人力资源管理系统化。在医疗改革中,必须坚持以人为本,利用好人事档案开发出人力资源管理信息系统。     

Public health decisions: Actions and consequences

The goal of public health is to promote the best possible health for the whole population. Public health issues are numerous and can be unbelievably complex in form, scope, and possible consequence. Most public health decisions involve assessing several different options, weighing the respective benefits and risks of those options, and making difficult decisions that hopefully provide the greatest benefit to the affected populations. Many risk management decisions involve a variety of societal factors which modify risk assessment choices. The purpose of this paper is to point out difficulties in making decisions that impact public health. The intent of such decisions is to improve public health, but as illustrated in the paper, there can be unintended adverse consequences. Such unplanned issues require continued attention and efforts for responsible officials in the protection of environmental public health. This article presents examples of such events, when in the past, it was necessary to assess and regulate a number of potentially hazardous chemicals commonly used as insecticides, gasoline additives, and wood preservatives.     

Strategic evaluation of interventions to prevent consequential late proctitis after prostate radiation therapy: New clinical trial designs should be considered

This review reconsiders evidence and strategies toward the prevention of consequential late rectal toxicity after radiation therapy, with a focus on prostate cancer. Novel clinical trial designs are encouraged, and these insights into the late effects of prostate radiation therapy have additional implications for late toxicity after cancer treatment for other tumors.     

临床医生科研需求分析与均衡科研管理初探

笔者通过相关文献分析和归纳,设计了《临床医生科研需求调查表》,对60位临床医生科研活动的主观愿望和客观需求进行调查,分析临床医生开展科研活动的主观意愿与医院提供的科研环境之间的差距,提出均衡科研管理模式,为科研条件和管理策略的改进提供依据,促进科研管理的不断改善。     

刍议基于医院管理的临床试验受试者的知情同意权保护

随着临床试验在国内日渐频繁,知情同意权作为受试者的一项权利已经得到普遍认同,现在医患双方都比较注重诊疗实践中一般的知情同意,而对临床试验中受试者这一特殊群体的"知情同意"没有引起足够的重视,导致在实践中这项权利常被侵犯,为医疗纠纷埋下了隐患。医院作为临床试验的必经场所,理应肩负起保护受试者权益的重任,文章从医院管理着手通过分析目前受试者知情同意权的保护现状进而探讨保护措施。     

高职临床医学专业基于工作过程课程体系的构建与实践

通过对河北省基层医疗机构临床医学专业人才需求的调研，对乡镇基层卫生机构医师岗位职业能力分析，并根据基层医师工作过程的实际需要，确定了相对应的教学内容，设计了“工学结合”的教学情境，构建了以工作过程为导向的课程体系，从而为培养高素质技能型临床医学专业人才提供了支持。     

走动式管理在小儿急诊分诊护理质量管理中的应用效果观察

目的观察走动式管理应用于小儿急诊分诊护理质量管理后的实际效果。方法将采用了走动式管理模式下的护理方法所护理的小儿急诊患者,设置为试验组;对照组则为仅接受常规护理的同等例数小儿急诊患者,对比两组患儿的临床护理质量,并比较两组患方的满意度。结果走动式管理组患者的护理质量评分和满意度均优于对照组患者。结论走动式管理模式下的护理方式,能够更方便、快捷地缓解小儿病患的临床症状,更大程度上减轻家属的紧张情绪,较常规护理措施质量更佳,具有较高的应用和推广价值。