三种挂号模式在我院挂号系统中的应用

本文介绍了挂号到科室、挂号到医师、预收挂号费三种挂号模式,并对它们的优缺点进行了比较,认为医院挂号系统在选择挂号模式时,要综合考虑医院规模、门诊病人数量、医院对门诊医师管理情况等因素。     

信息资源利用与医院环节管理的关系和应用价值

医院综合统计信息服务系统是基于“军卫一号工程”丰富的网络信息资源而再次开发研制的统计管理系统。它面向医院环节管理 ,提供了决策、经济、人文等信息资源 ,提高了信息资源的利用效率 ,达到管理信息资源最终转化为管理服务的作用价值。本文将阐述医院综合统计信息服务系统在医院环节管理的作用价值。1　医院综合统计信息服务系统的主要内容和功能系统由综合查询分系统、数据上报子系统、院内报表子系统、科室评价子系统和统计分析子系统五部分组成。综合查询能快速提取当日信息 ;数据上报规范了上报数据并实现系统自动核查 ;院内报表将…     

"军字1号"成本核算系统的进一步开发应用

1　前言现在全军各医院基本上都建立了“军字 1号”医院信息管理系统 ,在该系统中 ,经济是一条很重要的信息线 ,而经济线的核心是成本核算系统。“军字 1号”的成本核算系统以科室为单位 ,以全收全支成本核算为中心 ,比较准确地反应了各科室的成本、收入、利润等情况 ,为领导层的决策提供了有力的支持。2　存在问题在使用成本核算系统的过程中 ,我们也发现了一些问题 ,不能满足实际工作的需要 ,主要有以下几点 :1仅按核算类别建立收入分配方案。实际上即便是同一核算类别 ,对不同的开单科室、执行科室 ,其收入的分配比例也可能不一样 ,尤其…     

应用于《医院综合统计信息服务系统》交互式主页设计与实现

《医院综合统计信息服务系统》是依托“军字一号”工程采集的丰富数据资源而面向管理者需求开发研制的〔1〕。我们基于WWW的医院内部Internet网对该系统进行交互式主页设计,使管理者和用户通过主页的超级链接实现对系统的快速查询浏览。1　系统主要内容和功能系统由综全查询系统、数据上报系统、院内报表系统、科室评价系统和统计分析系统五部分且成。其功能:综合查询能快速提取当日信息;数据上报规范了上报数据并实现了上报数据并实现系统自动核查;院内报表将数据量化并转化为评价信息;科室评价以科学量化优控指标,减少管理与被管理的印…     

医院科级综合管理系统的设计与实现

“医院科级综合管理系统”是依托“军卫1号”工程网络，对数据进行提取、整理分析，从而为医院环节管理者提供方便的管理信息系统，是医院科室主任通过医疗信息的分析和预测信息来管理科室，提高医疗技术水平的强有力工具。本文对“医院科级综合管理系统”的设计思想以及系统的功能、特点做一简要介绍。     

面向管理的医院信息服务系统开发概述

“面向管理的医院信息服务系统”开发的主要目的是利用“军卫一号工程”网络资源 ,为医院各级管理者、业务职能部门提供一套操作便捷、通用性强、移植性好、内容丰富、运行高效的信息服务系统。根据医院管理和决策需求 ,我们将系统分为五个部分进行信息分类设计开发 :“综合查询系统”、“院内报表系统”、“数据上报系统”、“科室评价系统”和“综合统计分析系统”。下面将系统总体设计和分系统开发要点概述如下。1　总体设计应用 Power Builder前台编程 ;Oracle的 SQL* PL US编写后台存储过程 ,实现动态数据的静态转储 :并采用 Web…     

基于C/S+B/S架构的医院感染监控系统设计与功能评价

目的 探讨医院感染监控系统的构建与用途,进一步提高我院感染管理工作的电子化水平.方法 采用C/S+B/S架构,借助军卫一号分系统构建信息平台,通过与医院信息系统(HIS)联网,获取患者信息,并与相关临床科室实现连接,对特定科室及特殊诊疗患者进行有针对性的感染监控.结果 感染监控系统具备感染预警与上报、抗生素使用管理、病原菌及耐药性监测、传染病监控、环境监测、现患率调查以及查询与统计汇总等多种功能,上报信息全面,操作便利,无纸化、自动化程度高.结论 本院感染监控系统功能全面,大大提高感染科及临床科室的工作效率,有助于全面促进感染监控工作量的信息化管理.     

医院信息报障系统的设计与实现

目前，对于医疗设备，电脑，后勤出现的故障基本上是通过电话或者填单上报相关科室，这样容易造成漏听电话或者处理不及时，科室问题不能得到及时接受和处理。将严重影响医院的正常运转和病人的正常就诊。影响科室工作。随着医院信息系统的不断发展，计算机在医院的使用越来越普及，如何实现整个医院设备，电脑，后勤物资故障的信息化处理，本文重点介绍南海市中医院自行设计与开发《医院信息报障系统》。     

医院信息化发展中多系统共存的现状与对策

随着计算机技术、网络通信技术、多媒体技术的迅速发展,国际互联网引入各行各业并得到有效利用,医院同样面临着信息化和网络化的巨大挑战。在网络进入医院的同时,医院的各部门也利用网络环境纷纷建立起自己的信息和业务系统。医院的信息化发展已经不再局限于孤立的H IS系统,Internet的接入、省市医保网络的建设、各科室小型科研子网的建立等,使医院中多个系统同时存在成为事实,如何使资源更好的共享,如何使系统的安全性得到更有效的保障,是医院信息系统管理中迫切需要解决的重大课题。医院的信息化实际上是相互关联的多个管理信息子系统的…     

基于“军卫一号”的检查排队系统的设计

随着先进的大型检查仪器的引进,医院检查科室的效益得到了高速的增长,但同时也给管理带来了一些难题,为了能够为患者提供更好的服务,并提高检查科室的工作效率,本文提出了一套基于"军卫一号"的检查排队系统的设计方案.在一定程度上解决了以上问题.     

A cannula system for frequent infusions into the CSF of the cerebral ventricles of the goat

A three-cannula system for infusions into the cerebral ventricular system of the goat is described. The technique offers the following advantage over previous methods. It allows frequent infusions in the non-anesthetized, undisturbed goat and ensures free communication with the CSF over long periods of time.     

Correlations between the state of the sympathico-adrenal and pituitary-adrenal systems and in the insulin level in horses in different situations

The blood levels of adrenalin, noradrenalin, ACTH, cortisol, and insulin and the urinary excretion of catecholamines were investigated in horses after physical exertion and exposure to emotional situations. The highest degree of activation of the sympathico-adrenal system (SAS) and the pituitary-adrenocortical system (PACS_, accompanied by a fall in the insulin level, was observed after training. A familiar emotional situation (the noise of the racetrack) activated both components of SAS and the PACS. An unfamiliar emotional situation (electronic music) evoked a distinct adrenal response. Correlation analysis showed that the inttial background level predermines future activation of the systems under the influence of powerful stimuli, Reciprocal relations between the hormonal and mediator components of SAS in the background state are converted into coordinated activation during training. Activity of one component of SAS regulates the degree of activation of the other component. Cross-correlation was found between activity of SAS and PACS and also between in the insulin and catecholamine levels during exposure to physical and emotional influences.Laboratory of Sport Endocrinology, All-Union Research Institute of Physical Culture, Moscow, K. I. Skryabin Veterinary Academy, Moscow. (Presented by Academician of the Academy of Medical Sciences of the USSR S. E. Severin.) Translated from Byulleten' Éksperimental'noi Biologii i Meditsiny, Vol. 89, No. 2, pp. 131–134, February, 1980.     

The differentiation of cerebral dendrites: A study of the post-migratory neuroblast in the medial nucleus of the trapezoid body

Summary The differentiation of dendrites in the medial trapezoid nucleus of the opossum and cat has been traced from the stage of the post-migratory neuroblast in developmental series prepared with the rapid Golgi technique. The post-migratory neuroblast is an elongated cell. Its perikaryon is located initially at the outer limiting layer of the medulla. Its primitive internal process grows into the primordial medial trapezoid nucleus and gives rise to an axon. On the part of the neuroblast adjacent to the axon's origin the endings of the afferent axons beging to differentiate. The perikaryon moves to the same part of the neuroblast through the primitive internal process. Subsequently the dendrites differentiate. Dendrites and their branches form from budding growth cones. The cell body and dendritic processes of the young growing neuron are covered with transitory filopodia. Sprouting growth cones and filopodia appear at the tips and along the shafts of the elongating and enlarging dendrites. The locomotor and synthetic activities of the growth cones establish the stereotyped dendritic branching patterns of each kind of neuron. The development of the dendritic branches accompanies the elaboration of the particular type of axonal plexus that will become synaptically related. This suggests that the patterns of the dendritic trees and of the afferent axonal end-branches derive from mutual interactions of the growing dendritic and axonal branches. These interactions may be mediated by physical contacts as well as chemotactic factors. The filopodia are implicated in the formation of dendritic appendages. Filopodia could participate in membrane synthesis, locomotion, and synaptogenesis. There is an indication that the afferent axons can induce the differentiation of the post-synaptic parts of the neuroblast. The findings imply that the influence of physical and chemical factors in the differentiation of the synaptic organization of the brain depends on their temporal and spatial sequences.Supported in part by U.S. Public Health Service Research Grant NB 06115 to Harvard University.With the technical aid of Mrs. R. R. Morest and of Miss P. E. Palmer.     

Separation between the digestive and the respiratory lumina during the human embryonic period: morphometric study along the tracheo-oesophageal septum

An isolated tracheo‐oesophageal fistula could be caused by close proximity of the epithelia of both organs (O'Rahilly & Müller, 1984; Kluth et al. 1987) at certain embryonic stages, the most frequent location being the tracheal bifurcation. Thus the relative position and degree of separation between the digestive and the respiratory tubes throughout their development may be relevant to the origin of this anomaly. The aim of this study was to analyse along the different segments of the tracheo‐oesophageal septum (TES) where the closest relationship between both lumina occurred and what degree of separation was present at each segment. Computer imaging techniques were applied on cross sections of a graded series of normal human embryos (Carnegie stages (CS) 13–23). In addition, the differentiation of the primitive TES was also studied (from CS 12) by light microscopy. Between CS 13 and 16 both tubes tended to separate (phase of separation), principally at the proximal segments of the laryngopharyngeal and the tracheo‐oesophageal portions of the TES. During this phase the separation between the trachea and oesophagus was wider than between the larynx and pharynx. From CS 17 to CS 23 the digestive and respiratory lumina reached their widest separation at different levels of the laryngopharyngeal portion. Below these levels they tended to come closer together, principally at the proximal segment of the tracheo‐oesophageal portion, but also at the distal part of the laryngopharyngeal portion. During this phase of approximation they reached their closest relationship at the proximal (CS 17) and the distal (from CS 18) segments of the tracheo‐oesophageal portion. When finally the distal segment of the trachea (which includes the bifurcation) comes closest to the oesophagus, the coats of both organs have already undergone an appreciable differentiation. According to these observations, the origin of the most frequent isolated tracheo‐oesophageal fistula at the bifurcation region could not be explained from the normal development of the TES.     

Ultrastructural characterization of the postnatal development of the thalamic ventrobasal and reticular nuclei in the rat

Electron microscopy has been employed to analyze the normal maturationai sequence that characterizes the postnatal development of synaptic circuits in the ventrobasal (VB) and reticular (Rt) thalamic nuclei of rats at different ages (from birth to the end of the third postnatal week). Throughout the first postnatal week, similar signs of immaturity are observed in both nuclei, mainly consisting in scarcity of cytoplasmic organelles, presence of wide extracellular spaces, and absence of myelinated fibers. Several synaptic terminals are however present from birth, thus indicating that some of the afferents have already reached and contacted their thalamic target during embryonic life. Most of the terminals are small and contain only a few round, clear vesicles, and therefore their cytological features do not allow the identification of their origin. In particular, in both nuclei, terminals with flat vesicles and symmetric specialization are only rarely observed, and in VB the ascending terminals are not distinguishable from terminals of other sources as they are in adults. During the second postnatal week, progressive maturationai changes in VB and Rt lead to neurons having well-developed cytoplasmic organelles and to an elaborate neuropil containing myelinated fibers and synaptic terminals that are morphologically heterogeneous and resemble the adult ones. The permanence of growth cone-like profiles and of numerous somatic and dendritic protrusions, often contacted by synaptic terminals, indicates that a certain degree of reorganization is still taking place in both nuclei. By the end of the third postnatal week the synaptic organization of VB and Rt is indistinguishable from that observed in adults. This ultrastructural study shows that the appearance of the neuropil of VB and Rt and the morphological complexity of the synaptic arrangements characteristic of the adult rat are not present in neonates, but are gradually acquired during the first three postnatal weeks, and that they result from progressive modifications in circuit organization involving both pre- and postsynaptic elements.Abbreviations PB Phosphate buffer - Rt reticular nucleus - SCV small clear vesicles - VB ventrobasal nucleus     

The fiber composition of the abdominal vagus of the rat

Summary The present study provides a LM and EM inventory of the fibers of the rat abdominal vagus, including dorsal and ventral trunks and the five primary branches. Whole mounts (n = 15) were prepared to characterize the branching patterns. A set of EM samples consisting of both trunks and all branches (i.e. dorsal and ventral gastric, dorsal and accessory celiac, and hepatic) were then obtained from each of six additional animals. A complete cross-sectional montage (x 10000) was prepared from each sample. All axons were counted, and >10% of them were evaluated morphometrically.The means of unmyelinated axon diameters for each of the five branches were similar (0.75–0.83 m). However, the shapes of the fiber size distributions, as summarized by their skew coefficients, revealed that the two gastric branches differed significantly from the two celiac branches; furthermore, the hepatic size distribution differed from all others. Most of the myelinated fibers (85%) in all branches were <2.6 m in diameter and had sheath widths between 0.1 and 0.5 m. The gastric branches, however, also contained a few larger myelinated fibers with sheath widths as great as 0.85 m. Whole mounts revealed fibers which were not of supradiaphragmatic orgin within all five vagal branches; these adventitial bundles were traced along the perineurium between adjacent branches. The sum of the fibers in the five branches (26930) was 21% more than the number counted in the parent trunks (22272); this excess probably reflects the adventitial fiber content. The whole mounts also showed that a large and regularly positioned paraganglion was associated with the dorsal branches.The structural profiles observed (i.e. unmyelinated and myelinated fibers size distributions, presence of extrinsic fascicles, glomus tissue content, etc.) differentiate the vagal branches into three morphologically distinct sets: a gastric pair, a celiac pair, and a hepatic branch. The fiber counts, when considered with observations of the numbers of efferents and adventitial fibers in the nerve, suggest that the percentage of efferent fibers is much higher than in all the widely accepted estimates found in the literature: efferent fibers may represent over a quarter of the total number of fibers.     

Adrenocortical and thyroid systems of rats during the initial period of nociceptive influences

Two phases were identified in the initial period of formation of the adrenocortical reaction to acute nociception. The first phase (at 10–15 sec) consisted of an “urgent” mobilization of the “ basal” reserves of hormonally active substances and was characterized by suppression of corticoliberin activity in the hypothalamus and extrahypothalamic brain structures in rats, with a parallel increase in the plasma concentration of adrenocorticotropic hormone, draining of corticosteroid reserves in the adrenals, and decreases in blood corticosterone levels on the background of increases in corticosterone levels in target organs. The second phase, the hypercompensation phase, involved progressive increases in the titers of study substances. Significant changes in adrenal and blood aldosterone levels were seen only 2.5 min after nociception. Rearrangements of thyroid status were also biphasic. However, unlike the primary adrenocortical response, the first phase of the stress-related thyroid response involved a marked increase in plasma thyroxine and triiodothyronine, while the second involved a selective decrease in the thyroxine concentration to normal levels. __________ Translated from Rossiiskii Fiziologicheskii Zhurnal imeni I. M. Sechenova, Vol. 91, No. 6, pp. 611–615, June, 2005.     

New Alleles of the HLA-B15 Family

In a previous study of B locus alleles by sequence-specific oligonucleotide probe (SSOP) hybridization, we observed 18 novel patterns in a panel of 360 individuals. Four of these novel patterns were caused by alleles of the human leukocyte antigen (HLA)-B15 group, and three were available for this study. These alleles were found in Oriental, Latin American, African American, and Caucasian individuals. In addition, we analyzed a Caucasian subject who was found by serology to have an unusual B15 specificity. We sequenced these four samples by performing amplification from genomic DNA using polymerase chain reaction primers designed to obtain HLA class I products that included exon 2 and exon 3 as well as the intervening intron. The amplified segments were cloned and identified by colony hybridization with nonradioactive SSOP. Nucleotide sequences were obtained using an automated DNA sequencer. The allele B*1530 differs from B*1501 by a substitution of Asp for Asn in position 114 and Ser for Tyr in codon 116. The new allele B*1531 differs from B*1502 at amino acids 94, 95, and 152. The variant B*1524 was found to have N-77, I-80, A-81, L-82, R-83. A similar motif exists in B locus alleles that have the supertypic specificity Bw4 and in B*1513, B*1516, B*1517, and B*1523; it is likely to have been generated by gene conversion. Finally, the novel allele B*1527 is similar to B*1501 except for the presence of Phe instead of Tyr at position 99. Because this change exists also in B*1506, it is possible that B*1506 was derived from B*1501 through B*1527. It is of interest that a similar substitution (Cys for Tyr at position 99) distinguishes A*0201 from A*0207 and is known to determine an epitope recognized by T cells. Thus, B*1527 may also carry a change that is functionally relevant in cell-mediated immunity.     

PFNA系统治疗老年股骨转子间骨折的临床疗效观察

目的 分析PFNA系统治疗老年股骨转子间骨折的临床效果。方法 选择2014年1月~2016年12月我院收治的94例老年股骨转子间骨折患者,随机分为参照组与研究组,各47例。参照组患者予以DHS系统治疗,研究组患者予以PFNA系统治疗,对比两组患者的手术时间、术中出血量、骨折愈合时间、住院时间及Harris评分。结果 两组患者Harris评分优良率分别为91.49%、87.23%,组间比较,差异无统计学意义（P＞0.05）;研究组患者手术时间（61.46±4.33）min、骨折愈合时间（10.86±2     

数据库管理系统在医院信息系统设计和应用中的优化

目的使医院IT系统的事务处理速度与实际手工操作相同步.方法在医院信息系统的设计和应用时,在复杂的数据库环境中选取性能较好的数据模型、索引方案、查询优化,不断针对数据库的设计和应用程序进行有效的优化.结果提高医院IT系统的性能,使系统达到用户可以接受的性能要求.