一个大型综合医院网站的规划设计

本文针对海南省人民医院Internet网站建设的实际工作，重点讨论了建立一个大型结合医院网站所需要考虑的一些相关技术问题，包括大型综合医院网站的基本特征，网站的结构设计和安全性设计等，作为对大型综合医院网站建设的一点初步尝试。     

医院药品调配差错的防范对策

随着医院管理制度的不断完善和病人对医疗服务要求的提高，杜绝药品调配差错是药剂科质量管理的重要方面，也是医院考核药剂科工作的主要指标之一。为此，医院已采取了不少减少差错的有效措施：①为门诊病人柜台式面对面发药服务（唱名、唱药），杜绝了病人互相之间取错药的现象；②采取配方、核写、     

现代化大型医院网站的建没、管理和维护

本文以淮安市第二人民医院网站为例,对医院网站的建设中使用的技术,大型综合性医院网站的架构,以及管理和维护的模式进行了探究,提出了适合现代化大型综合性医院网站的建设架构,管理和维护模式.     

药剂科的管理探讨

药剂科的工作是医院医疗工作的苇要组成部分,在医院的业务和经济活动中占举足轻重的地位,如何加强药剂科的科学化管理,使药剂科工作上一个新台阶,是摆在药剂人员面前的一个重要课题.     

医院药剂科管理工作的几点体会

医院药剂科工作是医院医疗工作的重要组成部分.药剂科的管理与其它科室相比有其特殊性,既是业务技术科室,又是职能管理部门,其丁作内容复杂繁多,集服务和技术于一身,工作质量的优劣直接影响整个医院的医疗质量.     

特发性血小板减少性紫癜的脾切除治疗

Internet时代，随着网络的发展，医院网站建设越来越受到医院管理者的认可和重视，但如何建立网站以及建立后如何维护发展成为摆在医院网站管理者面前的问题。本文就7年来在天津市眼科医院网站建设、发展、维护工作中取得的经验进行归纳分析，对医院网站的结构、建设、更新维护、推广等几个重要方面加以总结，供同行及对医院网站感兴趣的读者参考讨论。     

浅谈医院药剂工作的现状和发展

浅谈医院药剂工作的现状和发展邓六妹卫生部关于《医院药剂管理办法》中指出。“医院药剂工作是医院工作的重要组成部分，是提高医疗质量，保证患者用药安全有效的重要环节，卫生行政部门和医院领导必须予以重视，切实加强领导。一该办法明确肯定了药剂科在医院的地位和作...     

应用互联网 开展药学信息服务

互联网是世界上规模最大、覆盖而最广、信息资源最丰富的数字化信息宝库,为了便于从事药学专业的有关人员和广大患者更好地利用这一资源,本文介绍了天坛医院药剂科网站,应用互联网功能,开展药学信息服务,建立药师解答互动平台,可大大加快医院药学信息的发展,推动药学事业的进步.     

医院药房"在用药品"存在的问题及改进

药品是世界各国管理控制最严格的产品，其质量直接关系到患者的生命健康。“在用药品”主要指医院药房拆开药品最小包装、装入调剂瓶内正在使用、同时又是必须妥善保管的处方药品和非处方药品。如果保管不当，药品就会被微生物污染或发生化学变化等，影响药品的质量，危害患者的身体健康．因此，“在用药品”的管理是药品管理的重要一环。笔者通过对医院药房调查发现；医院药房内调剂瓶及标签存在许多不合规定之处，这种现象严重影响了药剂科的药品管理和临床用药的质量。     

环氧合酶与胃肠道病理生理

环氧合酶与胃肠道病理生理@孟德胜$第三军医大学大坪医院野战外科研究所药剂科!重庆400042 @吕金胜$第三军医大学大坪医院野战外科研究所药剂科!重庆400042 @汪仕良$第三军医大学西南医院烧伤研究所!重庆400038前列腺素内过氧化物合酶;;胃肠系统;;病理生理学~~     

Dirt Cheap and Without Prescription: How Susceptible are Young US Consumers to Purchasing Drugs From Rogue Internet Pharmacies?

Background

Websites of many rogue sellers of medications are accessible through links in email spam messages or via web search engines. This study examined how well students enrolled in a U.S. higher education institution could identify clearly unsafe pharmacies.

Objective

The aim is to estimate these health consumers´ vulnerability to fraud by illegitimate Internet pharmacies.

Methods

Two Internet pharmacy websites, created specifically for this study, displayed multiple untrustworthy features modeled after five actual Internet drug sellers which the authors considered to be potentially dangerous to consumers. The websites had none of the safe pharmacy signs and nearly all of the danger signs specified in the Food and Drug Administration´s (FDA´s) guide to consumers. Participants were told that a neighborhood pharmacy charged US$165 for a one-month supply of Beozine, a bogus drug to ensure no pre-existing knowledge. After checking its price at two Internet pharmacies—$37.99 in pharmacy A and $57.60 in pharmacy B—the respondents were asked to indicate if each seller was a good place to buy the drug. Responses came from 1,914 undergraduate students who completed an online eHealth literacy assessment in 2005-2008. Participation rate was 78%.

Results

In response to "On a scale from 0-10, how good is this pharmacy as a place for buying Beozine?" many respondents gave favorable ratings. Specifically, 50% of students who reviewed pharmacy A and 37% of students who reviewed pharmacy B chose a rating above the scale midpoint. When explaining a low drug cost, these raters related it to low operation costs, ad revenue, pressure to lower costs due to comparison shopping, and/or high sales volume. Those who said that pharmacy A or B was "a very bad place" for purchasing the drug (25%), as defined by a score of 1 or less, related low drug cost to lack of regulation, low drug quality, and/or customer information sales. About 16% of students thought that people should be advised to buy cheaper drugs at pharmacies such as these but the majority (62%) suggested that people should be warned against buying drugs from such internet sellers. Over 22% of respondents would recommend pharmacy A to friends and family (10% pharmacy B). One-third of participants supplied online health information to others for decision-making purposes. After controlling for the effects of education, health major, and age, these respondents had significantly worse judgment of Internet pharmacies than those who did not act as information suppliers.

Conclusions

At least a quarter of students, including those in health programs, cannot see multiple signs of danger displayed by rogue Internet pharmacies. Many more are likely to be misled by online sellers that use professional design, veil untrustworthy features, and mimic reputable websites. Online health information consumers would benefit from education initiatives that (1) communicate why it can be dangerous to buy medications online and that (2) develop their information evaluation skills. This study highlights the importance of regulating rogue Internet pharmacies and curbing the danger they pose to consumers.     

Internet-based smoking cessation programs

OBJECTIVE: To present a smoking cessation website and a reflection on the use of the Internet as a smoking cessation tool. METHODS: A literature review and an Internet survey in 1506 current and former smokers. RESULTS: The Internet may be the only form of smoking cessation support available to many smokers. There is a competition between hundreds of smoking cessation websites, many of which have a similar content. Smoking cessation websites are popular, but little scientific evidence is available on their efficacy. Neither do we know which components of these websites are most effective in motivating and helping smokers quit smoking and avoid relapse. Groups of current and former smokers form spontaneously in discussion forums on the Internet, this is a new feature in the field of addiction treatment. These discussion forums have not yet been the object of much scientific research. CONCLUSION: Research should be conducted to assess the efficacy of smoking cessation website, to identify which of their components are most effective, and to identify subgroups of current and former smokers for whom websites are most effective.     

北京地区医院图书馆员职业倦怠与主观幸福感调查研究

目的 探讨北京地区医院图书馆员的职业倦怠和主观幸福感的现状及内在联系。方法 2015年10月~2017年1月,利用Maslach工作倦怠量表通用版和中国城市居民主观幸福感量表简本作为主体,对图书馆员进行调查研究。结果 北京地区医院图书馆员的职业倦怠总体水平并不严重,主观幸福感处于中等水平。结论 管理者和图书馆员自身都应积极采取各种措施,避免或减缓职业倦怠的发生、发展,提高主观幸福感。     

浙江省医院网站建设研究

本文在广泛查阅中外文献的基础上，运用网络调查法，对浙江省县级以上医院网站进行比较研兑，概括出浙江省县级以上医院网站建设的现状，并提出医院网站建设的几点建议。     

不同时期北京人对SARS的应对行为、认知评价和情绪状态的变化

目的 :探讨在非典型肺炎疫情的不同阶段 ,北京人的应对行为、认知评价和情绪的状况及其发展变化规律。方法 :自编《关于非典型肺炎 (SARS)的调查问卷》 ,通过E -mail和网页填写问卷的方式 ,共得到北京的有效问卷 473份 ,使用SPSS10 0对结果进行统计分析。结果 :面对非典型肺炎 ,北京人感到了比较多的环境压力 ,他们对非典型肺炎的信息比较关注 ,同时采取了注意个人卫生、作息习惯、出门戴口罩、减少不必要的外出等措施进行预防 ,部分人也出现了一些储存现金和食品、过多测体温等非理性的行为。在认知上 ,人们认为应该调整心态坦然面对。在非典型肺炎与人们的空间距离和心理距离减少时 ,人们越来越多的体会到紧张、恐惧、愤怒、悲观、无助的负性情绪 ,兴奋、平静和麻木的情绪在随之减少。随着疫情的发展 ,人们的认知、行为和对非典型肺炎的关注也发生了一系列的变化。     

Italian hospitals on the web: a cross-sectional analysis of official websites

Background  

Although the use of the Internet for health purposes has increased steadily in the last decade, only a few studies have explored the information provided by the websites of health institutions and no studies on the on-line activities of Italian hospitals have been performed to date. The aim of this study was to explore the characteristics of the contents and the user-orientation of Italian hospital websites.     

"We don't carry that"--failure of pharmacies in predominantly nonwhite neighborhoods to stock opioid analgesics

BACKGROUND: We have observed that many black and Hispanic patients receiving palliative care at a major urban teaching hospital are unable to obtain prescribed opioids from their neighborhood pharmacies. In this study, we investigated the availability of commonly prescribed opioids in New York City pharmacies. METHODS: We surveyed a randomly selected sample of 30 percent of New York City pharmacies to obtain information about their stock of opioids. For each pharmacy, U.S. Census estimates for 1997 were used to determine the racial and ethnic composition of the neighborhood (defined as the area within a 0.4-km [0.25-mile] radius of the pharmacy) and the proportion of residents who were more than 65 years old. Data on robberies, burglaries, and arrests involving illicit drugs in 1997 were obtained for the precinct in which each pharmacy was located. We used a generalized linear model to examine the relation between the racial or ethnic composition of neighborhoods and the opioid supplies of pharmacies, while controlling for the proportion of elderly persons at the census-block level and for crime rates at the precinct level. RESULTS: Pharmacists representing 347 of 431 eligible pharmacies (81 percent) responded to the survey. A total of 176 pharmacies (51 percent) did not have sufficient supplies of opioids to treat patients with severe pain. Only 25 percent of pharmacies in predominantly nonwhite neighborhoods (those in which less than 40 percent of residents were white) had opioid supplies that were sufficient to treat patients in severe pain, as compared with 72 percent of pharmacies in predominantly white neighborhoods (those in which at least 80 percent of residents were white) (P<0.001). CONCLUSIONS: Pharmacies in predominantly nonwhite neighborhoods of New York City do not stock sufficient medications to treat patients with severe pain adequately.     

An investigation of the quality of breast cancer information provided on the internet by voluntary organisations in Great Britain

Objective

Patients increasingly use the internet to source health information. Voluntary organisations offering information and support often provide such information on their websites. However, the internet is unregulated and information can be of poor quality. The aim of this study was to evaluate the quality of breast cancer information provided by 10 Great Britain (GB) voluntary organisations’ websites.

Methods

Quality of websites was evaluated using an investigator-designed appraisal tool based on European Commission (EC) quality criteria for health-related websites. Completeness and transparency of breast cancer information, and usability of websites, were appraised.

Results

Typically, breast cancer-specific organisations provided the highest quality information, particularly in terms of its completeness. However, great variability in quality was identified. Areas of weakness related to transparency of information, in particular disclosure of authorship, and its apparent currency.

Conclusion

Voluntary organisations providing web-based breast cancer information have progress to make to ensure information provided is complete and transparent, and websites are user-friendly. Unfortunately, informed decision-making will not be optimised if patients cannot access quality information.

Practice implications

Voluntary organisations should regularly review the quality of information on their websites. Grading of websites allows healthcare professionals to identify and signpost patients to trustworthy, up-to-date websites. Thus, ensuring patients receive high quality information.