推进校园信息化建设提升多校区管理

高校招生规模的迅速扩大、跨校区办学等情况下，如何对多校区进行有效的管理成为亟待解决的问题。本文在分析我校校园信息化建设的现状及存在问题的基础上，探讨了多校区信息化建设的应对措施。     

Dynamical monitoring network system for perinatal care

A new type of monitoring network system for perinatal care is proposed and has been developed. The patient monitoring system and data analyzing system are connected by a local area network (LAN). The doctor can retrieve past sampled data and results of data analysis, and make a detailed analysis at the same time that the patient is being monitored. The mainframe of the hospital information system (HIS) is connected with a data server in the perinatal care area via LAN. The database in perinatal care is supplied to the HIS and the doctor through this monitoring network system. If data sampled at maternity clinics or hospitals are once transmitted to the data server on LAN via the public telephone circuit, these data are available for the specialists on LAN. This function is utilized for supporting the obstetricians.     

泰山医学院校园空间异质性调查分析

目的通过景观生态学基本原理对泰山医学院新校区校园景观生态空间异质性进行分析与评价,以对未来校区生态建设提供一定的参考。方法通过景观生态学的定量研究方法,采用多样性、均匀度、优势度、分维数、最小距离、连接度和廊道密度7项景观格局数量指标,进行了调查分析。结果新校区内缀块分布较为普遍,有较好的优势度,多样性,但在全校范围内受到人为干扰较大,缀块间缺乏有机结合。结论校区需继续增加绿地空间的分布,降低人为的干扰,加大维护力度,并优化整体空间格局,以增强绿地系统自身功能稳定性。     

A Study on a Home Health Care Support Information System for Health Evaluation

The need for home health care has been increasing in Japan and the application of various techniques such as medical informatics are desired to support home health care services. Therefore, we developed an information system for health evaluation of the elderly including patients at home by applying a multifunctional telephone set and an IC memory card, by which complaints, symptoms, and conditions by them can be collected, recorded, and transmitted to medical facilities. We also conducted an experiment for trial use of the system with the cooperation of elderly female volunteers. It was recognized that the elderly volunteers could operate the system with the help of public health nurses and their health information could be collected by the system. Although the developed system has some problems, it was suggested that the system would be useful for the support of health evaluation of the elderly at home.     

A Novel User Authentication and Key Agreement Protocol for Accessing Multi-Medical Server Usable in TMIS

Telecare Medical Information System (TMIS) makes an efficient and convenient connection between patient(s)/user(s) at home and doctor(s) at a clinical center. To ensure secure connection between the two entities (patient(s)/user(s), doctor(s)), user authentication is enormously important for the medical server. In this regard, many authentication protocols have been proposed in the literature only for accessing single medical server. In order to fix the drawbacks of the single medical server, we have primarily developed a novel architecture for accessing several medical services of the multi-medical server, where a user can directly communicate with the doctor of the medical server securely. Thereafter, we have developed a smart card based user authentication and key agreement security protocol usable for TMIS system using cryptographic one-way hash function. We have analyzed the security of our proposed authentication scheme through both formal and informal security analysis. Furthermore, we have simulated the proposed scheme for the formal security verification using the widely-accepted AVISPA (Automated Validation of Internet Security Protocols and Applications) tool and showed that the scheme is secure against the replay and man-in-the-middle attacks. The informal security analysis is also presented which confirms that the protocol has well security protection on the relevant security attacks. The security and performance comparison analysis confirm that the proposed protocol not only provides security protection on the above mentioned attacks, but it also achieves better complexities along with efficient login and password change phase.     

由局域网攻击谈高校IP地址盗用问题

校园网IP地址的盗用给合法用户带来了很大的不便。文章在模拟的一种局域网被攻击并对其原理分析基础上,介绍了目前IP盗用的常用手段和解决方法。     

校园区域病理信息（PIS）系统的试验与研究

哈尔滨医科大学第一临床医学院从建立校园区域PIS系统入手创新教学手段,构建了校园区域病理信息系统。系统由PIS的流程构建和功能实现、医院和所属医疗机构问与校园网络接口间的无缝对接与互动组成。这一系统的运行对加速院校理论教学与实践结合链的运行,提升教学质量,强化教学职能,有效整合与利用资源。培养和造就更多高层次的医学科技人才,促进和带动数字医科院校乃至整体信息化教育建设等方面都具有积极的作用。     

Status quo and future prospects of the total hospital information system of a Japanese medical college

Six years have passed since the total hospital information system of Miyazaki Medical College, nicknamed PHOENIX, began its functions for the first time. It started with order entry systems, and has accomplished various systems, leaving one entry system unfinished; the injection order entry system which will be completed in the near future. It was revealed that the waiting period was most reduced at the hospital pharmacy. The waiting period for the visitors was also reduced. Usefulness of the PHOENIX system was greatly advanced by the function of a unique system of personal computer LAN, nicknamed PALM. This personal computer environments consisted of 200 or more Apple Macintosh computers. In this PALM environment, file servers, CD-ROM MEDLINE, clinical information databases, electronic mails (available in LAN and Internet) and sharing of printers are on service 24 hr a day.     

电话回访及上门访视对居家癌痛患者服药依从性效果的影响

目的 评价护士主导的电话随访及上门访视对居家癌痛患者服药依从性的效果影响,为制定提高居家癌症晚期患者的生活质量提供依据。 方法 于2013年10月—2015年6月,采用电话回访及上门访视对血液肿瘤科治疗出院后的86例神志清、能够交流、会疼痛评分的晚期癌痛患者进行追踪干预,首先成立癌痛护理小组,制定随访流程并进行培训。给患者建立癌痛随访档案,发放由癌痛护理小组编制的《癌症与疼痛》教育手册和带闹铃的药盒、《癌痛日记》本。科室开通24 h咨询热线,每3 d电话随访,每周上门访视1次,实地查看患者服药的情况,镇痛效果,观察药物的不良反应,癌痛日记情况,关注患者内心感受,并给予指导宣教督促。建立微信公众号,设立微信朋友圈,组织疼痛知识讲座等方式加强与患者及家属的沟通,增加信任度,促使患者保持良好的服药依从性。采用SPSS 17.0统计学软件,统计出追踪干预前后3个月患者的疼痛分值及服药依从性。 结果 2013年10月—2015年6月在血液肿瘤科治疗86例晚期癌痛患者通过追踪干预,患者轻度疼痛、中度疼痛、重度疼痛以及服药完全依从性、部分依从性、不依从性差异均存在统计学意义(P＜0.05)。 结论 护士主导的电话回访及上门访视可以提高居家癌痛患者服药的依从性,改善生活质量。      

Self-reported sexually transmitted infections among female university students

Aim

To investigate the occurrence of self-reported sexually transmitted infections (STIs) and associated factors among female university students requesting contraceptive counselling.

Material and methods

Cross-sectional study. Female university students (n = 353) completed a waiting-room questionnaire in connection with contraceptive counselling at a Student Health Centre in Uppsala, Sweden.

Results

Ninety-three (26.3%) female students had experienced an STI. The three most frequently reported STIs were chlamydia trachomatis, condyloma, and genital herpes. The experience of an STI was significantly associated with the total number of sexual partners (OR 1.060, 95% CI 1.030–1.091, P < 0.001), being heterosexual (OR 4.640, 95% CI 1.321–16.290, P = 0.017), having experienced an abortion (OR 2.744, 95% CI 1.112–6.771, P = 0.028), not being HPV-vaccinated (OR 2.696, 95% CI 1.473–4.935, P = 0.001), and having had intercourse on first night without using a condom (OR 2.375, 95% CI 1.182–4.771, P = 0.015).

Conclusions

Contraceptive counselling should also include information about primary and secondary prevention of STI, such as the importance of correct use of a condom and STI testing, to prevent a further spread of STIs.     

BioSYNTHESIS: Access to a knowledge network of health sciences databases

Users of the IAIMS Knowledge Network at the Georgetown University Medical Center have access to multiple in-house and external databases from a single point of entry through BioSYNTHESIS. The IAIMS project has developed a rich environment of biomedical information resources that represent a medical decision support system for campus physicians and students. The BioSYNTHESIS system is an information navigator that provides transparent access to a Knowledge Network of over a dozen databases. These multiple health sciences databases consist of bibliographic, informational, diagnostic, and research systems which reside on diverse computers such as DEC VAXs, SUN 490, AT&T 3B2s, Macintoshes, IBM PC/PS2s and the ATT ISN and SYTEK network systems. Ethernet and TCP/IP protocols are used in the network architecture. BioSYNTHESIS also provides network links to the other campus libraries and to external institutions. As additional knowledge resources and technological advances have become available, BioSYNTHESIS has evolved from a two phase to a three phase program. Major components of the system including recent achievements and future plans are described.     

COMPUTERISATION : NEED OF THE HOUR

Medical branches at formation headquarter and certain hospitals have taken into use Personal Computers (PCs) for data entry. Military Hospital Secunderabad has been progressing Project DHANWANTARI which is an on line medical information system. The type of network is host based to be developed into a Local Area Network (LAN). This article deals with concept of area networks and future scenario pertaining to computerisation of Armed Forces Medical Services (AFMS) hospitals.KEY WORDS: Armed Forces Medical Services, Local area network, Training     

图书馆高速局域网络建设方案探讨

结合本馆的工作实例,探讨了建立高速图书馆局域网的设计原则、网络架设及子网划分.     

哲学视野中的高等教育价值观——基于马克思教育思想当代价值的分析

高等教育价值观是大学发展中的一个哲学话题,在中外大学历史发展进程中始终发挥着主导作用。马克思从人的生存结构分析教育价值,提出了人的自由个性的实现是教育应予期待的价值目标,实现了教育思想史上的一次历史性超越,也为进一步探究高等教育价值观提供了重要的方法论。科学发展观作为指导当今社会发展的新型价值观体系,对审视与反思大学发展,寻找教育问题的症结,提升高等教育价值观、促进和谐校园建设具有重要的指导意义。     

福建省大学生北病知识,态度和行为调查

目的 学年掌握福建省大学生对艾滋病了解的现状，为进一步的健康提供科学依据。方法 在福州地区部分高校中随机抽取８８８名大学生进行艾滋病知识、态度、行为（ＫＡＢ）调查。结果 大学生们对艾滋病传播途径和预防措施的认识严重缺乏，绝大多数学生对艾滋病存在比较严重的恐惧心理，大学生们性观念、性态度趋向开放化。影响知识得分和恐惧心理的主要因素是学生所在学校家庭地和性别，作用的方向一致。结论 在大学生中开展以艾滋     

Participation in Teleconference Support Groups: Application to Drug-Using Pregnant Patients

This paper describes our experience using telephone conference calls to conduct support groups for chemically-dependent women. Forty-seven women agreed to participate in regular, weekly support groups that were conducted by two chemical dependency counselors. Counselors attempted to conduct 59 support groups via a telephone conferencing system. Our data indicated that attendance at these sessions was poor. Seventeen sessions had no participants. No group sessions were attended by 4 or more women, and only 3 sessions (7.1%) included 3 participants. Very few clients made regular use of the support groups. Only 4 clients (8.5%) participated in more than 3 group sessions. Our findings suggest that teleconferencing may not be the most effective method for providing support services to chemically-dependent women.     

小儿内脏器官的形态学研究(五)——新生儿盲肠和阑尾的形态观察

测量30例新生儿盲肠和阑尾的形态和位置。回盲口的形状多数(80.00±7.30％)呈不规则形。阑尾根部体表投影在脐水平线下方1.51±8.95mm和腹股沟韧带中点垂线外侧1.26±10.90mm处。     

高校突发公共卫生事件的心理应对分析

突发公共卫生事件给大学校园的生活带来了强大的冲击波,对大学生的心理造成极大的影响。本文介绍了高校突发公共卫生事件研究意义,从美国和日本获得的启示,针对提高大学生应对突发公共卫生事件的心理应对能力提出建议：加强对突发公共卫生事件的心理宣传教育;大学开设公共的心理基础课程或者选修课程,加强不同专业大学生的应对突发事件能力培训;面对突发公共卫生事件时针对不同人格特质的大学生采取不同的保护机制。     

以奥马哈系统为框架的健康行为干预在肝硬化病人家居防护中的应用

目的以奥马哈系统为框架构建健康相关行为干预措施,指导肝硬化病人家居防护。方法随机选取出院后肝硬化病人37例,制订以奥马哈系统为框架的健康行为随访流程及随访表,进行2次家居随访及1次电话随访,对病人健康问题进行前瞻性干预,观察其健康问题出现的频次情况,在环境领域、心理社会领域、生理领域和健康相关行为领域的认知、行为、状态改善情况。结果通过随访干预病人健康问题的频次不断减少（P < 0.01）,对环境领域、心理社会领域、生理领域和健康相关行为领域的认知、行为、状态也有明显改善（P < 0.01）。结论以奥马哈系统为框架的健康行为干预措施能够切实有效地指导医护人员的家居随访实践,为病人提供有针对性的护理干预措施,使其出院后仍能持续得到全面照顾,健康行为不断改善,值得应用和推广。     

Knowledge and practice of confidential data handling in the Welsh Deanery: a brief report

Recent large-scale personal data loss incidents highlighted the need for public bodies to more securely handle confidential data. We surveyed trainees from all specialties in the Welsh Deanery for their knowledge and practice. All registered trainees were invited to participate in an online anonymised survey. There were 880 completed and non-duplicated responses (52.9% response rate). Responses were analysed using Microsoft Access. Over 40% (388/880 (44.1%)) did not use formal guidelines on storage or disposal of confidential data. The majority appeared to dispose of confidential paper documents securely, that is, using shredders and white shredder bags. However, there were significant numbers of unmarked responses. Clinical documents, such as theatre lists, were taken home by 281/880 (31.9%) of trainees. The majority secured their computers (569/871 (65.3%)) by either not keeping patient identifiable data on them or using encryption. However, 302/871 (34.7%) did not adequately secure their computers. The surgical and anaesthetic specialties were least aware of formal confidentiality guidelines (95/178 (53.4%)) and 52/102 (51.0%) respectively) and least secured their computers (106/178 (59.6%) and 63/102 (61.8%) respectively). Education is needed to improve knowledge and practice of confidential data handling. This may be delivered through workshops during induction programmes or as part of European Computer Driving Licence (ECDL) modules. Training is especially indicated for the surgical and anaesthetic specialties.