"军字1号"工程中的补充程序开发

“军字1号”工程在我院已运行四年有余，该系统包含医院管理的方方面面，大大改变了医院管理模式和工作流程，时提高医院的管理水平、质量、经济效益和社会效益起到了很好的促进作用。但自运行以来，许多用户结合自己的实际情况，对系统功能提出了不同增改需求。本文总结了Powerbuilder开发工具的特点及建造应用程序步骤，并介绍了我院根据用户的不同需求，利用Powerbuilder对“军字1号”工程开发的一些扩展程序。     

提高中小医院对信息系统建设的认识

本文针对中小医院信息系统建设现状,从实践角度阐述中小医院信息系统建设势在必行。建好用好医院信息系统关键是要提高对信息系统本身及其实施策略的认识的基本观点,既医院信息系统是辅助管理系统、是具有个性化的系统、是全员使用的系统、是人机结合的系统,必须主要管理者高度重视、主动参与,全员培训、积极使用,系统软件与医院实际、管理与技术密切结合,按照遴选成熟软件-运行基本功能-优化系统流程-完善系统管理-扩充系统应用-延伸系统功能的基本建设思路,逐步实现中小医院信息化建设之奋斗目标。     

医院计算机网络系统建设与实践

本文阐述了医院计算机网络系统在建设过程中，作为医院的计算机专业人员所应发挥的作用。作者通过对医院医疗信息、经济管理的认识，结合全国、全军卫生系统“九五”期间“金卫工程”所提出的要求，分析了当前中小型医院建网存在的问题及医院该如何进行积极准备工作，使医院管理信息系统网络化建设能够顺利运行。并结合本院在建网过程中的遇到的困难和一些体会，提出了在建医院管理信息系统计算机网络，医院计算机管理人员应进行的准备工作。     

SCADA在医院变配电管理中的应用

文章首先系统阐述了配电自动化的含义,并对医院变电站运行现状作了分析,以具体工程实例来论述数据采集与监视控制(SCADA)系统在医院变配电站中的应用。SCADA系统提高了医院电网运行的可靠性、安全性与经济效益,减轻了值班员的负担。同时SCADA系统实现了变电站管理自动化与现代化,提高了变电站管理工作的效率和水平。SCADA系统在医院变配电管理中的应用具有重要意义。     

通用人事管理软件GPMS在医院人事管理中的应用

通用人事管理软件ＧＰＭＳ使广大人事工作者从繁琐、低效、重复的手工劳动中解脱出来， 提高了人事管理工作的效率和水平。本文着重阐述了ＧＰＭＳ系统的设计原则、结构组成、运行环境及主控模块的主要功能特点， 并结合工作实际对ＧＰＭＳ系统在日常人事工作中的具体应用问题作一探讨。     

"军字1号"工程建设中基础数据的准备方案

“军字1号”工程在解放军各医院已成熟运行多年。我院也计划年内启用“军字1号”工程,因此我们要做好大量的前期工作,其中包括基础数据的准备工作。 基础数据准备也称为数据字典初始化。就是把医院信息系统运行所必须的不同数据字典和业务数据标准化、规范化。其中包括物价、医疗、物资等不同数据字典。基础数据准备是系统正式运行前必须完成的重要准备工作,是系统运行前的核心工作,是系统能够平稳高效运行的基础。它的标准化、规范化是医院各业务系统之间进行信息交换和资源共享的基础和前提,而基础数据的准备工作其准备质量的好坏、快慢直接影响着系统数据标准化程度、医疗业务的规范性及系统的运行质量和进度。因此,我们吸取解放军医院的宝贵经验,并结合我院实际,制定了建立基础数据字典的方     

规范网络工作流程 加强网络环境下的医院业务收费管理

计算机网络系统建设是现代化医院运行的必要技术支撑和基础设施，是医院提高管理水平和提高竞争力的手段之一，是医院利用计算机网络工具实施新的管理方法和工作流程的一种重大变革。我国医院信息化建设最早就是从医院财务收费管理开始的，截止目前绝大多数县级以上医院业务收费已实现了计算机网络化管理。     

浅谈医院信息系统的网络安全

医院信息系统的安全性直接关系到医院工作的正常运行，同时又紧紧依附于网络系统的安全性，因此做好医院网络系统的安全工作非常重要。本人结合多年的计算机网络维护经验，从以下几方面谈谈加强网络安全维护措施，确保医院计算机网络系统持久、稳定、高效、安全地运行。     

基于医学研究生培养机制改革的奖、助学金制度的探索与实践

北京协和医学院根据国家有关规定,结合医学教育的特点设立了研究生奖、助学金制度。在相关工作的实施与开展中,结合医院奖、助学金管理实例,不断发现问题并积极完善和调整相应的制度,对该项工作的特点和难点进行了分析和总结,并对奖、助学金管理工作提出了改进建议。     

医院信息系统安全的重要性

医院信息系统安全防护措施的制定和实施是保证医院信息系统的稳定性、可靠性、安全性、可用性的利器.医院信息系统的安全性直接关系到医院医疗工作的正常运行,一旦网络瘫痪或数据丢失,将会给医院和病人带来巨大的灾难和难以弥补的损失,因此,医院计算机网络系统的安全工作非常重要,我院制定了周密的网络安全维护措施,以确保医院计算机网络系统持久、稳定、高效、安全地运行.     

Changes in the edentate mandible in the elderly

Resorption of alveolar bone is the best recognized feature of mandibular aging in the edentate subject. The other consequences of the loss of teeth in the elderly are less well known. An anthropometric study of the mandible by antero-posterior and lateral radiographs of subjects older than 70 years both dentate and edentate but without any maxillo-mandibular dysmorphosis has been done to demonstrate the differences, which exist between the dentate and edentate mandible. The edentate mandibles showed a diminution in the height of the symphysis and increase in the height of the mandibular incisure. A diminution in the height of the body and an increase in the gonial angle in the significant manner. No significant difference was seen for the height of the ramus and the length of the mandible, the minimum width of the ramus and the bigonial width. The diminution in the height of the mandibular symphysis and of the body is explained by the resorption of the alveoli part of the mandible. The increase in the mandibular angle and the diminution in the height of the mandibular incisure may be explained by disequilibrium between the elevator and depressor muscles of the mandible, as a function of the elevator muscles or by the absence of the molar buttress.     

Stimulus specificity in the habituation of the startle response in the rat

A series of experiments evaluated whether the habituation of the startle response of the rat to tactile and auditory cues is stimulus specific. Experiment 1 showed stimulus specificity of a short-term habituation effect, whereby the startle to the second of a pair of stimuli was significantly less when the initial stimulus involved the same rather than the different modality. Experiments 2 and 3 focused on the more persistent decrement in startle that is a result of repeated stimulation, and demonstrated that such long-term habituation to the tactile and auditory stimuli contained a stimulus specific component in addition to a generalized component. The generalized habituation observed between the tactile and auditory stimuli in the three experiments may be due to an auditory accompaniment of the tactile stimulus employed. Discussion emphasized the utility of investigating habituation in a preparation with robust specificity.     

Spatio-temporal changes in the metabolic processes in the blood-tissue system in the terminal states of the organism

The role of synergism in diffusion of oxygen from erythrocyte into interstitial liquid and water filtration through the capillary wall was studied on the model using the following parameters: hydrostatic pressure on arterial and venous ends of the capillary (Pa and Pb), oncotic blood and tissue pressure (Pob and Pot), pore radius in the capillary (r), the number of pores in the capillary (n) per m2, amount of the liquid released from the capillary (q(x)), gas diffusion coefficient (D), time of erythrocyte movement in the capillary (T), speed of oxygen consumption (V), maximal distance with adequate V (Xmax), characteristic time of diffusion (Topt). It is shown that diffuse and convective components of the metabolic process have their own contribution and in changed conditions they redistribute. In increased number and diameter of hydravlic pores the greatest role in tissue saturation with oxygen belongs to convective metabolism, but in this situation tissues contain areas lacking oxygen.     

Challenges in the Management of Asthma in the Elderly

Recent literature has emphasized the clinical and socio-epidemiological significance of asthma in the elderly. However, why the disease burden remains high in this group is unclear. Elderly subjects usually have multiple chronic illnesses, and the role played by comorbidities in the context of asthma has been underappreciated. This review aims to summarize the literature associations between comorbidities and asthma in elderly patients. In addition, we discuss patient management issues.     

Changes in the testes following vasectomy in the rat

Six months and more after unilateral vasectomy in the rat, ipsilateral (same side) and bilateral testicular atrophy are common; this paper investigates their etiology. Ipsilateral atrophy is associated with the presence of a sperm granuloma in the head of the corresponding epididymis and appears to be pressure-mediated. That sperm granulomas at the epididymal head fail to relieve intraluminal pressure in the epididymal duct of the rat was supported by a study of the effects of ligation of that region. No histological evidence was found to indicate that bilateral atrophy was the result of an immune response. A radiological study does not support the idea that compression or displacement of testicular blood vessels by sperm granulomas is responsible for bilateral atrophy. © 1996 Wiley-Liss, Inc.     

Life in the Future Versus Life in the Present

Roemer and Orsillo have provided an integrative perspective for developing more effective therapies for generalized anxiety disorder, based on existing knowledge about the disorder, cognitive behavioral approaches to its treatment, and conceptualizations and treatment methods from the acceptance/mindfulness tradition. The present commentary expands upon the notion of the adaptive value of focused attention on present-moment experience and cognitive perspectives that can facilitate that process.     

Circulation in the lungs and microcirculation in the alveoli

Human lungs weighing ca 600 g permit the passage of 5–6 l of blood per minute. The blood capacity of the human lungs is about 0.5 l. Consequently, each 0.5 l of blood is during 5 s. The questions arise of how such a large mass of blood passes through such a small mass of lungs and what the reasons are for such a high rate of blood oxygenation. Since the structure of lungs in mammals is almost the same, we tried to solve these issues studying the rats, in which 20–22 ml of blood pass through the lungs of 1.5–2.0 g mass. A great blood flow appeared to be associated with a large diameter of the lung arterioles and a high rate of the blood flow in them. The high rate of oxygenation is accounted for by a special structure of alveoli and special conditions of the blood flow, which create ideal conditions for oxygen diffusion.