某省级医院执行《江苏省医保药品目录》效果研究

目的 分析某省级三甲医院对《江苏省基本医疗保险药品目录》的执行效果.方法 选取江苏省某省级三级医院为研究对象,比较分析城镇职工医保患者和自费患者的药品使用情况.结果 新版《医保药品目录》能基本满足该院临床治疗需求,对门诊医保患者费用控制具有显著作用,但对住院医保患者的药品费用控制效果不明显,对不同疾病药品费用控制效果不一.结论 建立和完善严格的用药考核制度,需加强中高档药物使用的监管,并增加相应的适应症限制,应考虑将临床治疗可供选择、药价适应的药品纳入目录.     

Formalizing the Austrian Procedure Catalogue: A 4-step methodological analysis approach

ObjectivesDue to the lack of an internationally accepted and adopted standard for coding health interventions, Austria has established its own country-specific procedure classification system – the Austrian Procedure Catalogue (APC). Even though the APC is an elaborate coding standard for medical procedures, it has shortcomings that limit its usability. In order to enhance usability and usefulness, especially for research purposes and e-health applications, we developed an ontologized version of the APC. In this paper we present a novel four-step approach for the ontology engineering process, which enables accurate extraction of relevant concepts for medical ontologies from written text.MethodsThe proposed approach for formalizing the APC consists of the following four steps: (1) comparative pre-analysis, (2) definition analysis, (3) typological analysis, and (4) ontology implementation. The first step contained a comparison of the APC to other well-established or elaborate health intervention coding systems in order to identify strengths and weaknesses of the APC. In the second step, a list of definitions of medical terminology used in the APC was obtained. This list of definitions was used as input for Step 3, in which we identified the most important concepts to describe medical procedures using the qualitative typological analysis approach. The definition analysis as well as the typological analysis are well-known and effective methods used in social sciences, but not commonly employed in the computer science or ontology engineering domain. Finally, this list of concepts was used in Step 4 to formalize the APC.ResultsThe pre-analysis highlighted the major shortcomings of the APC, such as the lack of formal definition, leading to implicitly available, but not directly accessible information (hidden data), or the poor procedural type classification. After performing the definition and subsequent typological analyses, we were able to identify the following main characteristics of health interventions: (1) Procedural type, (2) Anatomical site, (3) Medical device, (4) Pathology, (5) Access, (6) Body system, (7) Population, (8) Aim, (9) Discipline, (10) Technique, and (11) Body Function. These main characteristics were taken as input of classes for the formalization of the APC. We were also able to identify relevant relations between classes.ConclusionsThe proposed four-step approach for formalizing the APC provides a novel, systematically developed, strong framework to semantically enrich procedure classifications. Although this methodology was designed to address the particularities of the APC, the included methods are based on generic analysis tasks, and therefore can be re-used to provide a systematic representation of other procedure catalogs or classification systems and hence contribute towards a universal alignment of such representations, if desired.     

《中国中医古籍总目》著录国家图书馆所藏医籍补正

《中国中医古籍总目》(以下简称《总目》)是我国目前较为全面准确记载中医古籍收藏分布情况的大型中医古籍联合目录,其中著录国家图书馆藏中医古籍1 898种。但经分析发现,《总目》对国家图书馆藏中医古籍信息的著录存在作者信息不全或错误、成书年代不详以及版本记录错讹等问题,尤其体现在版本记录方面,《总目》记载的有,但国家图书馆并无存书或者其官网联机目录暂时检索缺失的医籍版本计351种。国家图书馆能检索到的版本,而《总目》中未载录此版本的医籍计639种。通过对《总目》著录信息与国家图书馆实际藏书信息进行对比,并对相关古籍进行实地勘察及进一步的考证,补充、修正了《总目》著录部分书目的作者信息、成书时间和版本信息。     

江西基层医疗卫生机构实施《国家基本药物目录》用药情况的调查

目的：为了解基层医疗机构实施《国家基本药物目录》用药情况;方法：自拟调查表,随机调查了184家村诊所和185家卫生院药房,用SPSS软件对调查资料进行了统计分析;结果：基本药物的使用有了明显增长,个别药物呈现倍增趋势;结论：《国家基本药物目录》颁布实施对基层医疗机构使用基本药物发挥了积极作用,其增长趋势随着＂两网＂建设的深入会更为突显。     

萝北县吸血蠓名录及一新种和一中国新纪录（双翅目：蠓科）

目的调查黑龙江省萝北县吸血蠓种类分布。方法采用诱虫灯和挥网法采集吸血蠓。结果 2009-2013年在萝北县采获吸血蠓26 827只,计1属30种,其中包括一新种和一中国新纪录：萝北库蠓,新种Culicoides luobeiensis Liang et Liu,sp.nov.。该新种与类环斑库蠓（C.subcircumscriputus Yu,1982）相近似,但类环斑库蠓翅径5室和中1脉端部各有1个小淡斑;雌虫触角嗅觉器分别在3、11～14节;雄虫尾器第9腹板膜有微毛,第9背板后缘侧突细长,抱器基节腹踝缺如,阳基侧突基部内侧无小刺突与本新种明显不同。阿拉库蠓〔C.alazanicus Dzhafarov,1961（♀）〕为中国新纪录。结论为黑龙江省萝北县吸血蠓的种类分布提供了科学依据。模式标本保存在沈阳军区疾病预防控制中心（沈阳110034）。     

《新中国六十年中医图书总目》编纂实践与思考

《新中国六十年中医图书总目》于2010年1月由人民卫生出版社出版发行,内容涉及中医药学的各个领域,填补了当代中医药图书书目编纂的空白。从编撰源起、收录内容、内容分析、编排中的技术处理原则以及编撰思考等几个方面探讨编纂该书的实践并分析发现的问题,以引发读者和同行的思考。     

北京市属医疗机构儿童四级手术分级现状研究

目的 探索儿童四级手术分级现况,为手术分级建立儿童标准提供依据.方法 收集22家市属医疗机构2016年1月1日-2019年12月31日含手术操作信息的224719人次儿童住院病案首页数据,匹配儿童涉及的手术操作名称与北京版V7.0字典库映射至四级目录中手术操作名称,比对医疗机构填报手术操作分级与四级目录的一致性.结果 ...     

Epithelial RNase H2 Maintains Genome Integrity and Prevents Intestinal Tumorigenesis in Mice

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