旅团卫生队传染病症状监测系统的设计与构建

目的：构建旅团卫生队传染病症状监测系统（简称部队症状监测系统）,早期识别和处置部队传染病聚集性发病的征兆,更好地保障官兵健康,维护部队正常作训和生活秩序。方法通过文献研读、风险评估和专家论证的方法解决部队症状监测系统设计的技术关键点;利用软件开发技术研发部队症状监测系统相关软件;通过试点应用,对部队症状监测系统进行优化完善。结果与结论建立了基于旅团卫生队门诊信息的部队症状监测系统,部分已试点布置应用。系统具有较好的实用性,监测时效性和敏感度均较好,对部队传染病及突发事件早期预警防控起到了积极的作用。     

面向传染病监测的互联网情报动态追踪系统的设计与实现

目的：围绕我军生物安全及传染病防控的要求,研究开发了面向传染病监测的互联网情报动态跟踪系统。方法利用网络信息抓取模块对互联网传染病相关信息进行自动采集、整理、分析,实现互联网传染病监测情报信息的实时发布、自动关联分析、可视化展示和分类导航。结果该系统实现了对于互联网传染病监测信息的抓取,构建了互联网传染病监测情报信息知识库。结论该系统的使用不仅提高了传染病监测情报研究的效率,而且保障了我军传染病防控的情报需求。     

试论新体制下我军传染病监控管理的改革

世纪之交，我军将实行后勤建设史上的一项重大变革──启动三军联勤保障体制。这标志着我军的后勤现代化和正规化建设，进入了一个崭新的历史阶段，后勤系统各项保障措施的改革势必提上议事日程。为此，我们试就当前我军传染病监控管理的改革谈几点粗浅的看法。1改革的突破口传染病监控管理是指卫生勤务部门对传染病监测活动进行计划、组织、指挥、控制的总称。我军是一个特殊的战斗集体，无论平时还是战时，都有繁重的防治传染病的任务。特别是随着国家和军队对传染病的监测愈来愈重视，要求传染病监控管理在方法和手段上必须愈来愈科学，…     

新体制下我军传染病监控管理改革的思考

进入新千年,我军已实行后勤建设史上的一项重大变革—启动三军联勤保障体制。这标志着我军的后勤现代化和正规化建设,进入了一个崭新的历史阶段。新体制启动后,保障机构将重新设置,指挥关系将重新明确,保障职能将重新划分,与新体制相适应的一些配套保障措施将重新制订和颁布,因此,后勤系统各项保障措施的改革势必提上议事日程。本文试就当前我军传染病监控管理的改革谈几点看法。1　改革的突破口传染病监测系流行病学监测的范畴。具体是指卫生专业机构对传染病的各种信息开展观察、收集、鉴定和评价等活动。传染病监控管理是指卫生勤务部门…     

美军症状监测系统ESSENCE典型案例分析及借鉴

症状监测是以非特异性症候群和（或）其他相关指示数据为基础,能够对潜在生物恐怖袭击进行接近实时的监测预警。以美国为代表的发达国家已在症状监测领域开展了深入研究,而我国尚处于探索尝试阶段,我军也亟需进行症状监测实践。该文对美军症状监测系统ESSENSE的发展背景、发展历程、系统特点、监管要求等方面进行了典型案例分析,并对我军开展症状监测研究与实践提出了借鉴。     

我院全面落实传染病报告制度的几点做法

及时、准确、完整地报告传染病病例,做好疫情信息监测,是掌握疫情动态、分析流行病学规律、指导卫生防病的重要依据,是搞好疾病预防控制,落实传染病防治法规,促进人群健康的重要内容。我院作为一所综合性部队医院,每年要接诊大量军、地传染病病人,随着国家及军队传染病报告网络化建设的推行,为加强我院传染病疫情监测信息报告管理,及时、准确地做好上报工作,我院从2003年以来在全院范围内开展全面落实传染病报告制度的活动,使我院传染病漏报率大大降低,现将主要做法报道如下:1领导重视健全组织机构医院做好传染病管理,疫情监测工作,领导重视…     

症状监测在外军生物恐怖早期预警中的应用及启示

以非特异的症候群和(或)其他相关指示数据为基础的症状监测,能够对潜在生物恐怖袭击进行近乎实时的监测预警.本文在简介生物恐怖相关疾病症状监测系统特点的基础上,简要介绍美国、法国、加拿大和新加坡等外军医疗卫生系统应用的症状监测系统,讨论症状监测用于生物恐怖早期预警的发展趋势,以及对我国生物恐怖防御的启示.     

军队传染病监测数据仓库和联机分析系统的设计与实现

目的利用数据仓库技术整合军队传染病监测数据,以解决操作型数据库在传染病监测数据的存储、管理、分析等方面存在的能力不足,提高传染病分析预警和相关科研水平。方法以军队传染病监测数据分析和辅助决策为应用背景,以全军疫情和突发公共卫生事件信息报告系统为数据来源,按照自下向上的建模方法设计军队传染病监测数据仓库主题和多维数据模型,利用OracleBIEE商业智能软件等工具进行技术实现。结果与结论设计并构建了军队传染病监测数据仓库和联机分析系统,具有日常业务报表、业务探索式分析等一整套功能,为传染病监测数据的深入管理与分析提供一套高效的解决方案,为数据挖掘等更深层次应用提供了必要的技术基础。     

浅谈我院传染病临床教学的管理体会

传染病学是研究传染性疾病发生、发展与转归及对传染病的预防、诊断、治疗和康复的一门科学,属于临床医学范畴。传染病有病原性、传染性、流行性、免疫性基本特征。发病后有发热、皮疹、毒血症、菌血症、败血症、肝脾和淋巴结肿大等临床症状和体征。新发传染病增多,仅用经典的传染病教学已不能满足医学教育需要。采用不同教学方法可更系统、更全面的展现某种传染病的特点,我们针对教与学采取了不同的方法,提高了教学质量。     

济空疾病监测系统运行前后部队传染病发病动态研究

以往部队传染病发病都是由基层卫生单位填报卫勤月报表而体现发病率。1992年全军运行疾病监测系统,传染病发病报告实行卡报与月报双轨制运行的报告途径。现将我区运行疾病监测系统前3年(1989—1991年)及后3年(1992—1994年)的传染病发病报告资料分析如下: 1 资料来源 1989—1991年部队疫情月报(由军区空军     

某部传染病疫情调查分析

目的了解某部传染病发病情况、流行规律,为制定有效的预防策略和措施提供依据。方法利用该部所属单位的传染病上报资料信息,使用Excel进行统计分析。结果该部2009年度共报告各类传染病637例（含食物中毒）。其中,甲类传染病无报告;乙类传染病共报告14种432例,占报告发病数的67.82%;丙类10种203例,占31.87%;其他非法定传染病108例;食物中毒2例。该部传染病疫情发生有明显的季节性,年初和年末发病数较少,4、6、9月份发病数最多,为215例,占所有发病数的33.75%。呼吸道传染病在以传播途径划分的各类传染病中居首位,高达56.04%;肺结核共报告发病184例,居报告传染病第一位,占全部传染病报告发病数的28.89%。结论该部传染病疫情不容乐观,要重点加强对呼吸道传染病、暴发疫情和聚集性发病疫情的监控力度,尤其是要对甲型H1N1流感和聚集性发热病例给予高度重视,必须加强对新发传染病和重大疫情的监测,加强对发病数较高的传染病的防控力度,重视部队官兵的主动预防意识和平时的教育管理。要从疫情监测、疾病预防、易感人群的保护、传染病的综合防治等多个环节做起,才能有效地减少暴发和聚集性疫情的发生。     

秦山核电厂周围20公里范围内居民1988～1999年主要死因分析

目的：建立秦山核电厂周围20公里范围内居民健康状况数据库。方法。通过各疾病监测点上报的“居民死亡医学证明书”,结合回顾性调查,获取相关数据。结果：1988－1999年居民死亡率为6．92‰,呼吸系统居死因首次,循环系统、恶性肿瘤位居第2、3位,男性、女性前5位死因均为呼吸系统,循环系统、恶性肿瘤、损伤和中毒,消化系统,居民恶性肿瘤死亡率为121．33／10万（标化率为100．13／10万）,肝癌居首位,肺癌、胃癌位居第2、3位;白血病是少儿期,青年期恶性肿瘤的主要死因,中年期为肝癌,肺癌,老年期为肺癌,肝癌,结论：呼吸系统、循环系统等慢性非传染性疾病已是居民的主要死因,恶性肿瘤死亡率低于省疾病监测点的监测结果。     

Infectious disease rates in the U.S. Navy, 1980 to 1995.

The effect of increasing numbers of women in the U.S. Navy, particularly those aboard Navy ships, on infectious disease risk is unknown. This study examines gender and other demographic differences among all U.S. Navy enlisted personnel in first hospitalizations for infectious diseases from 1980 through 1989 and identifies trends in incidence rates during the extended period from 1980 to 1995. All data were obtained from official personnel and medical records. First hospitalization rates were computed using the Epidemiological Interactive System. Varicella and other viruses and chlamydiae accounted for more than 20,000 hospitalizations among Navy enlisted personnel in the 1980s. In 7 of the 12 categories of common infectious diseases, women's rates were higher than those for men, particularly for viral meningitis, herpes simplex, syphilis, gonococcal disease, and candidiasis. An excess of certain common infectious diseases among women and nonwhite ethnic groups emphasizes the need for continuing education and surveillance in these populations.     

Surveillance of communicable diseases using a computer database of reported cases

Epidemiology services during the surveillance of communicable diseases collects of different sorts of data, which are used for an analysis of epidemiologic situation. Those data are the starting point for timeline control and preventive activities. Data processing of notified communicable diseases cases provides information on types of diseases, number of cases, time and place of their occurrence. Manual data processing, used till 1993, was slow, unreliable and considerably decreased the efficiency of epidemiology service activities. In this paper we have set the hypothesis that is possible to form a computerized database with the following aims: to form user friendly computerized database model for those without knowledge in using computers: to get output spread sheets with information needed for epidemiologic situation analyses at any time. Database was developed in 1993 and has been used as source of the information in epidemiologic diagnosis process. The significant accuracy, reliability, timelines, and shortening of the time of data processing was achieved. The database can also serve as the initial component for designing an epidemiologic services information network in Belgrade county. In designing such a network it is necessary to form the additional databases of isolated infectious agents and their drug resistance, database of health status of persons under surveillance and database of environmental and sanitary condition in children and youth facilities.     

A Tale of Two Organ Systems: Imaging review of diseases affecting the thoracic and neurological systems. Part 1

In an era of rapidly expanding knowledge and sub-specialization, it is becoming increasingly common to focus on one organ system. However, the human body is intimately linked, and disease processes affecting one region of the body not uncommonly affect the other organ systems as well. Understanding diseases from a macroscopic perspective, rather than a narrow vantage point, enables efficient and accurate diagnosis. This tenet holds true for diseases affecting both the thoracic and neurological systems; in isolation, the radiologic appearance of disease in one organ system may be nonspecific, but viewing the pathophysiologic process in both organ systems may markedly narrow the differential considerations, and potentially lead to a definitive diagnosis. In this article, we discuss a variety of disease entities known to affect both the thoracic and neurological systems, either manifesting simultaneously or at different periods of time. Some of these conditions may show neither thoracic nor neurological manifestations. These diseases have been systematically classified into infectious, immune-mediated / inflammatory, vascular, syndromic / hereditary and neoplastic disorders. The underlying pathophysiological mechanisms linking both regions and radiologic appearances in both organ systems are discussed. When appropriate, brief clinical and diagnostic information is provided. Ultimately, accurate diagnosis will lead to expedited triage and prompt institution of potentially life-saving treatment for these groups of complex disorders.     

A Tale of Two Organ Systems: Imaging Review of Diseases Affecting the Thoracic and Neurological Systems. Part 2

In an era of rapidly expanding knowledge and sub-specialization, it is becoming increasingly common to focus on one organ system. However, the human body is intimately linked, and disease processes affecting one region of the body not uncommonly affect the other organ systems as well. Understanding diseases from a macroscopic perspective, rather than a narrow vantage point, enables efficient and accurate diagnosis. This tenet holds true for diseases affecting both the thoracic and neurologic systems; in isolation, the radiologic appearance of disease in one organ system may be nonspecific, but viewing the pathophysiologic process in both organ systems may markedly narrow the differential considerations, and potentially lead to a definitive diagnosis. In this article, we discuss a variety of disease entities known to affect both the thoracic and neurological systems, either manifesting simultaneously or at different periods of time. Some of these conditions may show neither thoracic nor neurological manifestations. These diseases have been systematically classified into infectious, immune-mediated/ inflammatory, vascular, syndromic/ hereditary and neoplastic disorders. The underlying pathophysiological mechanisms linking both regions and radiologic appearances in both organ systems are discussed. When appropriate, brief clinical and diagnostic information is provided. Ultimately, accurate diagnosis will lead to expedited triage and prompt institution of potentially life-saving treatment for these groups of complex disorders.     

武警某医院2010-2013年法定传染病报告情况分析

目的：了解武警某医院4年内上报的法定传染病流行特点和疫情动态,为制定有效的防控措施提供依据。方法用描述性流行病学方法对武警某医院2010-2013年法定传染病资料进行统计、分析。结果4年内共报告法定传染病7349例,合计11种,其中乙类传染病3238例（44．06％）,丙类传染病4108例（55．90％）,其他传染病3例（0．04％）,无甲类传染病;从传染病传播途径来看,肠道传染病4008例（54．54％）,血源及性传播疾病3188例（43．38％）,呼吸道传染病40例（0．54％）,其他传染病（流行性出血性结膜炎）113例（1．54％）。结论在今后的传染病防治工作中,应将肠道疾病、血源性及性传播疾病的防治作为重点。