门诊医生工作站的设计与应用

门诊医生工作站是医院门诊信息系统的中心,对合理规划门诊业务流程起关键作用.在对现有医院门诊流程进行分析的基础上,介绍了自行开发的门诊医生工作站系统,着重阐述了系统的数据流程和设计思想,最后对系统的应用效果进行了介绍.     

质量管理体系档案资料的分类与收集管理

目的为了适应和增强市场竞争能力,建立良好的质量管理体系,规范实验室的行为,提高疾病控制机构的整体水平。方法论述疾病预防控制机构在质量管理体系活动过程中,如何分类、收集和整理所形成的各类档案资料。结果做好档案资料的规范化管理,便以对质量管理体系的协调性、符合性、充分性、可操作性进行审核,保证质量管理体系持续符合认可准则要求及有效运转。     

消化内镜临床进修教学体会

消化内镜诊疗技术在当今消化内科疾病诊治中具有非常重要的作用，要求进修医生熟悉器械、掌握消化内镜诊疗技术的适应证、禁忌证及并发症，了解当今世界先进的消化内镜诊疗技术，并因材施教，毫不保留地传授内镜操作要领，是消化内镜临床进修教学关键。     

电话随访系统在出院随访中的应用

以镇江市第四人民医院为例,阐述随访系统的积极作用,包括完善随访管理流程、增强随访监控及实现数据汇总,分析存在的问题并提出相应改进措施,包括建立专业随访系统开发团队、实现各系统间数据对接等方面。     

肌肉骨骼系统慢性疼痛管理专家共识

肌肉骨骼系统慢性疼痛是临床最常见的慢性疼痛。目前,国内外医师对慢性疼痛的认识、临床实践环境、镇痛药物种类/使用经验/了解程度、医保药品收录均有差异,故有效、规范化的慢性疼痛管理显得尤为必要。因此,亟待制定完善的、基于生物-心理-社会医学等因素的跨学科慢性疼痛管理共识,提高广大医务人员对慢性疼痛的认识与重视、规范指导慢性疼痛的管理,提高医疗质量、降低医疗成本,消除患者感觉、情感、认知和社会维度的痛苦体验,在治疗患者原发疾病的同时,改善患者的心理需求和社会功能需求。通过查阅文献,本共识专家组遵循循证医学原则,经过反复讨论和通信修改,对肌肉骨骼系统慢性疼痛管理达成共识,供广大骨科医师在临床工作中参考。     

Reproducibility of LI-RADS treatment response algorithm for hepatocellular carcinoma after locoregional therapy

PurposeTo determine inter-reader agreement in categorizing hepatocellular carcinoma (HCC) treated with locoregional therapy using the Liver Imaging Reporting and Data System (LI-RADS) treatment response (LR-TR) algorithm.Materials and methodsA total of 93 patients with a total of 112 HCC nodules that were treated using thermal ablation or transarterial chemoembolization were prospectively included. There were 79 men and 14 women with a mean age of 55 ± 2.6 (SD) years (range: 48–63 years). All patients underwent magnetic resonance imaging (MRI) examination of the liver and MR images were analyzed by two independent observers. Treated HCC nodules were categorized into four groups according to LR-TR scoring system including: (i) LR-TR non-evaluable (treated, response not evaluable); (ii) LR-TR nonviable (treated, probably or definitively not viable); (iii) LR-TR equivocal (treated, equivocally viable) and (iv) LR-TR viable (treated, probably or definitively viable). The inter-observer agreement in LR-TR categorization was assessed using the kappa statistics.ResultsThere was excellent inter-observer agreement between the two reviewers for overall treated HCC according to LR-TR algorithm (kappa = 0.938; 95% CI: 0.89–1.00; P = 0.001) with 97.31% agreement. The LR-TR categories by both reviewers were non-viable (77/112; 69.6% and 76/112; 67.9%), viable (30/112; 26.8% and 32/112; 27.7%) and equivocal (5/112; 4.4% and 4/112; 3.6%). There was excellent inter-observer agreement for LR-TR nonviable (kappa = 0.938; 95% CI: 0.87–1.0; P = 0.001) with 97.3% agreement, LR-TR viable (kappa = 0.955; 95% CI: 0.89–1.00; P = 0.001) with 98.2% agreement and good inter-observer agreement for LR-TR equivocal (kappa = 0.700; 95% CI: 0.28–1.0; P = 0.001) with 97.3% agreement.ConclusionLR-TR algorithm conveys high degrees of inter-observer agreement for the evaluation of treatment response of HCC after thermal ablation and transarterial chemoembolization.     

布鲁氏菌病疫情的计算机多媒体信息系统的研究

目的为达到布鲁氏菌病疫情的共享性、快捷性、方便性及准确性,同时可为布鲁氏菌病防治专业人员及有关领导对布鲁氏菌病综合防制及监测等进行决策提供科学依据。方法以Windows98/2000/NT作为平台,利用Microsoft Powerpoint进行研制。结果建立了中国、内蒙古及赤峰市布鲁氏菌病相关疫情的多媒体信息系统。结论布鲁氏菌病疫情计算机多媒体信息系统有利于科研、教学和防治指导。     

本体论在中医药学语言系统中的应用研究

简要论述了本体论指导下构建中医药学语言系统(TCMLS)的目的,工具的选择与方法,包括术语及定义的采集范围及标准、定义类(Class)和类的等级体系(Hierarchy)、语义关系等。在目前国内外缺乏构建领域本体的成熟流程、方法和标准规范的状况下,TCMLS的建立是一种创新性工作,对中医药学数字化、标准化的实现具有重大意义。     

Protection of Maternity in Greece and the E.U.——A Comparison Analysis

Pregnancy and motherhood are two situations which impose on the special regulation of the working conditions in order to secure the protection of the physical and psychological health of woman. Furthermore, the disproportion between woman＇s and man＇s work and the mentality that labour and the raising of child is a burden that only woman has to bear, needs to be eliminated. This burden is softened by the protection provided to pregnant women by the state. This way, a great effort is made to promote the equality in working relations between men and women. This kind of protection is realized through the National Health and Social Care by giving economical provisions and through legislative regulations in order to harmonize work and parental role. In this study, regulations and services along with their health care personnel, referring to motherhood＇s protection in Greece, are presented and related data concerning other EU countries are given. Until now, the existing system of maternity of the ＂Social State＂ has not reached yet the desired goal.     

浅谈人事制度改革在检验科的实施与应用

根据<关于深化卫生事业单位人事制度改革的实施意见>,我院近年来进一步深化人事制度改革,逐步建立新型用人机制,全面加快医院发展.