深化网络规范管理提高网络运行质量

随着计算机网络在医院普及使用,网络管理的严谨性和安全性等日益受到严重的威胁。医院网络管理涉及多学科、多领域,它是随着医院网络建设的不断发展和进步而面临的新课题。良好的网络管理是网络安全、可靠运行的根本保证。但是,在一些医院往往重视网络的工程建设和软件的应用,而忽视网络的全面管理,造成数据丢失、网络管理杂乱无章,甚至网络瘫痪。因而,网络的全面管理是医院信息化管理和系统应用中亟待解决的根本问题。1医院网络管理存在的主要问题1.1 网络管理认识上的误区 在医院,人们对网络管理的认识有偏差,主要表现为:①重视网络的工程建     

Web服务组合在网络管理中的应用探究

随着网络规模的扩大,网络管理人员希望得到越来越高的网管信息集成度.Web服务(Web Service)是近几年出现的新技术.在本论文中,我们展示了Web Service技术除了可以作为网管协议和Web service协议之间的桥梁之外,还可以通过与SNMP协议等的紧密结合,为网络管理提供功能强大的工具.本文探讨了将Web服务组合(WebService composition)应用到网络管理上的可能性.例如从多个不同的设备之间获得信息并将其进行集成,及在管理端为使用者提供一个简单和快速的获取网管信息的界面.通过使用合适的工具,不仅可以在网络管理方面使用Web服务组合,而且Web服务组合还可以和现有的传统管理技术很好地共存,最大限度地保护已有的投资.     

网络模式下医院药学人员的信息素质

随着医院信息系统的全面应用，很多医院实现了信息采集储存与传输手段的自动化、信息综合分类与加工处理方式的集约化，医院的管理进入了信息资源共享的网络模式时代。网络模式下管理的最大特点就是变经验管理、终未控制为科学管理、环节控制。医院药学工作人员的信息素质如何，是否适应网络模式的工作环境，是提高药学服务水平、确保医疗质量的关键。     

网络信息在医院管理中的运用

随着经济的不断发展和社会的日益进步,病人对医院服务的要求愈来愈高,信息技术和网络技术在各医院得到了普遍应用,医院管理信息化、计算机网络化已成为医院现代化管理的核心。医院网络信息化管理的应用大大简化了日常工作流程,提高了工作效率,加强了管理效能,增加了医院的社会效益和经济效益,增强了医院的竞争实力。笔者曾主持过汕头市中心医院的HIS系统的策划、实施及推广应用,就网络信息化建设在医院推广应用的实际意义谈谈自己的看法。     

医院网络工作站的管理与维护

军字一号工程在医院管理中发挥着重要的作用，如何做好该系统的管理与维护，是确保网络正常运行的关键。我院是首批军字一号工程试点单位之一，经过几年的实践摸索，在网络管理和维护上积累了一定的经验，现与同行共榷。     

加强医院HIS系统网络数据质量控制与管理的方法和措施

随着现代科学技术的发展,医院信息管理系统已成为医院提高医疗管理水平的重要途径.通过运用医院管理信息系统(HIS)随时把握医院的运作过程,对于制定和调节竞争策略,提高和改变经营技巧至关重要.我院自应用医院管理信息系统(HIS)后已显示出较强大的管理效益,网络系统为医院管理决策提供了及时的信息数据.因此,网络信息的质量直接关系到决策的正确与否,而数据的质量是信息正确与否的关键.所以,紧紧把住基础数据的录入质量,严格加强网络系统数据质量的管理和监控是保证信息准确、可靠的基础,也是提高医院信息系统应用水平的核心.     

网络信息化药房的探讨

随着现代医药技术的迅猛发展,药学信息数据量巨增,信息交换和大量数据的采集处理以及医院药房管理由过去简单的"收、发、管"向全方位的药物治疗服务模式转形发展的需要,在向全方位药物治疗服务这一模式发展过程中,药房必须逐步建立起支撑和服务于这种模式的硬件和软件条件.网络信息化药房是医院药房发展的趋势.二十一世纪的医院药房框架结构、建立何种规模的硬件设施,不单纯是为了药房管理现代化,更重要的是药房已经成为现代化医院系统中的一个重要的组成部分,只有这样才能全面体现药房在医疗系统中不可缺少的积极作用.     

网络在我院住院药房管理中的应用

随着计算机应用系统的飞速发展,网络化管理已渗透到医院管理各方面.我院于2001年花费300多万元开发了医院网络管理系统[1],该系统利用Excel强大的计算功能,可以使药物的帐目管理简单、准确、迅速[2～4],并具有性能稳定、操作简单、使用方便、统计准确、记录完整等优点,极大地提高了住院药房管理水平和工作效率.笔者就该系统在我院住院药房管理中的具体应用作一论述.     

医院网络信息安全需求分析

随着医院信息化建设步伐的不断加快,信息网络技术在医疗行业的应用日趋广泛,这些先进的技术给医院的管理带来了前所未有的便利,也提升了医院的管理质量和服务水平,同时医疗业务对行业信息和数据的依赖程度也越来越高,也带来了不可忽视的网络系统安全问题,本文主要从网络系统的硬件、软件及对应用系统中数据的保护,不受破坏、更改、泄露,系统连续可靠、正常地运行,网络服务不中断等方面探讨医院网络信息安全的需求。     

医院信息系统在药品管理中的应用

目的 介绍医院信息系统(HIS)中药品信息管理系统在医院药品管理中的应用价值.方法 通过应用医院信息系统药剂科子系统,对其在门诊药房、住院药房、药库中的具体应用作了有效的分析,对其在医院药品管理中的应用价值进行了总结.结果我们对医院信息系统药剂科子系统有了全面的了解,改变了药剂科管理的传统习惯,使药剂科管理更加科学、规范.结论 医院信息管理系统是医院科学化管理的有力工具,药剂科子系统在药剂科管理中起着非常重要的作用,应加快网络与医院药学学科一体化的建设进程,促进医院药学发展.     

Xenobiotic transporter-adaptor network

Many types of xenobiotic transporters have been identified. They generally exhibit multispecific recognition of various types of substrates, and mediate membrane permeation of therapeutic agents, thereby playing important roles in drug absorption and disposition. It has recently been proposed that protein-protein interactions involving the xenobiotic transporters may affect their function, localization and expression on plasma membranes. So-called adaptor proteins that directly interact with the transporters include PDZ domain-containing proteins (PSD95, Dlg and ZO1). These PDZ adaptors have multiple PDZ domains in their structure, and each PDZ domain can interact with the cytosolic region of the transporters, and so it has been hypothesized that transporters are localized within networks consisting of several transporters and adaptors. Interaction with a PDZ adaptor is essential for the cell-surface localization of at least some xenobiotic transporters, and therefore, such interaction could be required for efficiency and fidelity in the vectorial transport of xenobiotics and therapeutic agents in epithelial cells. This review article summarizes recent evidence on the interactions of xenobiotic transporters with adaptor proteins, and presents a working hypothesis concerning their pharmacological significance.     

Genetic network modeling

The inference of genetic interactions from measured expression data is one of the most challenging tasks of modern functional genomics. When successful, the learned network of regulatory interactions yields a wealth of useful information. An inferred genetic network contains information about the pathway to which a gene belongs and which genes it interacts with. Furthermore, it explains the function of the gene in terms of how it influences other genes and indicates which genes are pathway initiators and therefore potential drug targets. Obviously, such wealth comes at a price and that of genetic network modeling is that it is an extremely complex task. Therefore, it is necessary to develop sophisticated computational tools that are able to extract relevant information from a limited set of microarray measurements and integrate this with different information sources, to come up with reliable hypotheses of a genetic regulatory network. Thus far, a multitude of modeling approaches have been proposed for discovering genetic networks. However, it is unclear what the advantages and disadvantages of each of the different approaches are and how their results can be compared. In this review, genetic network models are put in a historical perspective that explains why certain models were introduced. Various modeling assumptions and their consequences are also highlighted. In addition, an overview of the principal differences and similarities between the approaches is given by considering the qualitative properties of the chosen models and their learning strategies.     

Social networks in drinking behaviors among Japanese: support network, drinking network, and intervening network]

PURPOSE: The national representative sample was analyzed to examine the relationship between respondents' drinking practice and the social network which was constructed of three different types of network: support network, drinking network, and intervening network. METHOD: Non-parametric statistical analysis was conducted with chi square method and ANOVA analysis, due to the risk of small samples in some basic tabulation cells. RESULTS: The main results are as follows: (1) In the support network of workplace associates, moderate drinkers enjoyed much more sociable support care than both nondrinkers and hard drinkers, which might suggest a similar effect as the French paradox. Meanwhile in the familial and kinship network, the more intervening care support was provided, the harder respondents' drinking practice. (2) The drinking network among Japanese people for both sexes is likely to be convergent upon certain types of network categories and not decentralized in various categories. This might reflect of the drinking culture of Japan, which permits people to drink everyday as a practice, especially male drinkers. Subsequently, solitary drinking is not optional for female drinkers. (3) Intervening network analysis showed that the harder the respondents' drinking practices, the more frequently their drinking behaviors were checked in almost all the categories of network. A rather complicated gender double-standard was found in the network of hard drinkers with their friends, particularly for female drinkers. Medical professionals played a similar intervening role for men as family and kinship networks but to a less degree than friends for females. CONCLUSION: The social network is considerably associated with respondents' drinking, providing both sociability for moderate drinkers and intervention for hard drinkers, depending on network categories. To minimize the risk of hard drinking and advance self-healthy drinking there should be more research development on drinking practice and the social network.     

The role of network ties to support implementation of a community pharmacy enhanced services network

BackgroundLimited evidence exists on how to integrate community pharmacists into team-based care models, as the inclusion of community pharmacy services into alternative payment models is relatively new. To be successful in team-based care models, community pharmacies need to successfully build relationship with diverse stakeholders including providers, care managers, and patients.ObjectivesThe aims of this study are to: (1) identify the role of network ties to support implementation of a community pharmacy enhanced services network, (2) describe how these network ties are formed and maintained, and (3) compare the role of network ties among high- and low-performing community pharmacies participating in an enhanced services network.MethodsUsing a semi-structured interview guide, we interviewed 40 community pharmacy representatives responsible for implementation of a community pharmacy enhanced services program. We analyzed for themes using social network theory to compare network ties among 24 high- and 16 low-performing community pharmacies.ResultsThe study found that high-performing pharmacies had a greater diversity of network ties (e.g., relationships with healthcare providers, care managers, and public health agencies). High-performing pharmacies were able to use those ties to support implementation of NC-CPESN. High- and low-performing pharmacies used similar strategies for establishing ties with patients, such as motivational interviewing and assigning staff members to be responsible for engaging high-risk patients. High-performing pharmacies used additional strategies such as assessing patient preferences to support patient engagement, increasing patient receptivity towards enhanced services.ConclusionsCommunity pharmacies may vary in their ability to develop relationships with other healthcare providers, care management and public agencies, and patients. As enhanced services interventions that require care coordination are scaled up and spread, additional research is needed to test implementation strategies that support community pharmacies with developing and maintaining relationships across a diverse group of stakeholders (e.g., healthcare providers, care managers, public health agencies, patients).     

Social network diagram.

A diagram that shows at a glance the social network and support of patients was found useful in a follow-up study of patients with strokes. We believe that the diagram would prove valuable in medical case records and should be an essential part of medical-social reports, particularly for patients at risk of losing their independence.