神经节苷脂治疗新生儿缺氧缺血性脑病的有效性及安全性

目的：评价神经节苷脂治疗新生儿缺氧缺血性脑病（HIE）的有效性及安全性。方法随机抽取2012‐12—2013‐12我院住院治疗的54例新生儿缺氧缺血性脑病患者作为研究对象,按照随机双盲对照原则分为对照组和观察组,对照组主要采取综合治疗,观察组在综合治疗的基础上以神经节苷脂治疗,治疗后观察2组患者新生儿行为神经评分,并比较2组患者NSE、S100B水平。结果2组患者NBNA评分在治疗第10天逐渐出现差异,观察组患者较对照组NBNA评分高,治疗第28天2组NBNA评分差异增大;观察组患者较对照组血清NSE、S100B水平高,2组比较差异有统计学意义（P＜0.05）。结论神经节苷脂治疗 H IE临床效果良好,且无不良反应,是一种安全有效的治疗方法。     

Att prioritera psykiatrisk verksamhet i en föränderlig yard

The principles of priority in medical services are undergoing some changes. There is a shift from priority of organization to priority of groups of individuals, who often receive support from many cooperating social and medical welfare authorities. It is possible that in the future the psychiatric organization will be compensated for its performances and not like today by allocation in a budget. This new means of directing the economy will result in competition between different organizations and will in the best case improve both efficiency and quality in the treatment of psychiatrically ill persons.     

牙槽外科在固定义齿修复前临床应用的探讨

目的：探讨牙槽外科在固定义齿修复前的临床应用。方法：随机选取26例固定义齿修复患者作为研究组,在固定义齿修复     

3D-T2WI与SS-TSE对胆囊三角显示的时间功效对比

目的比较3D-T2WI薄层扫描序列与SS-TSE厚层扫描序列对于腹腔镜胆囊切除术前胆囊三角显示的时间功效。方法收集自2012年6月至2014年6月在我院行腹腔镜胆囊切除术的患者资料,所有患者均于术前5天内行胰胆管MR水成像,均同时进行3D-T2WI薄层扫描与SS-TSE厚层扫描两种序列成像,共收集166例患者的资料,对扫描实际所需时间以及胆囊三角的显示情况进行统计学比较。结果166例患者中3D-T2WI薄层扫描的平均成像时间为8分22秒,标准差为2分8秒;SS-TSE厚层扫描5层的时间为20秒;两者经T检验,P0.01。3D-T2WI薄层扫描及SS-TSE厚层扫描对胆囊三角的显示率为88.6%(147/166),84.3%(140/166);两者经统计学χ2检验,χ2=1.26,P0.01。以腹腔镜术中所见为金标准,3D-T2WI薄层扫描及SS-TSE厚层扫描对胆囊三角的诊断符合率为82.2%(134/163),77.9%(127/163),两者经统计学χ2检验,χ2=0.94,P0.01。结论 SS-TSE厚层扫描序列对胆囊三角显示的时间功效好于3D-T2WI薄层扫描。     

留置针在增强CT检查中的应用研究

目的 探讨留置针对CT检查的增强作用.方法 整群选取该院2012年1月—2014年12月前瞻性研究100 d门诊CT检查患者, 按照随机分组的原则,A组为50 d当中CT检查患者在进入扫描的期间躺在CT检查的床上后进行患者静脉留置针穿刺,将高压注射器与静脉留置针相连,之后增强CT扫描;B组为50 d当中患者在进入检查室等待做CT之前做好静脉穿刺,埋好静脉留置针步骤,然后在扫描间躺在检查床上后将高压注射器与静脉留置针相连,再次增强CT扫描; 分析并比较A、B两组增强CT检查患者在占用检查室所用的时间以及增强CT检查的人数情况. 结果 A组与B组增强CT检查患者占用检查室时间分别为(14.50 ± 1.30)min/人、(7.71±1.44)min/人,增强CT检查次数分别为(17.66 ± 2.54)人/9 Am~12N、(32.22 ± 5.69) 人/9 Am~12N, 组间数据差异有统计学意义(P<0.05). 结论 B组提前埋好静脉留置针的方法优于A组,可提高检查仪器的使用效率,提高检查人数.     

Efficiency in the cath lab: Pursuing value-based improvements following a sociotechnical approach

IntroductionCardiac catheterization laboratories (cath labs) are commonly designed to achieve the best clinical outcomes while being efficient. This study develops methods to support healthcare managers in analyzing the added value of improvement measures, following a value-based healthcare (VBHC) framework.MethodsBased on a sociotechnical approach, the applied methods aimed to increase efficiency, reduce duplication of tasks, cut costs, and improve patient care, while creating a more inclusive and trusting decision making process. Within the process of building a multicriteria evaluation model, meetings, interviews, and a decision conference were designed. In parallel, a workflow discrete event simulation model was built to replicate current patient flow and activities and to reproduce the impact of implementing improvement measures and variations in human resources.ResultsFour evaluation criteria were considered for workflow improvement: contribution to the efficiency of the admission process, compliance with schedules, agility among procedures, and human resources training. The designed improvement measures sought to 1) improve the start-up of the day, 2) improve pre-exam assessment, and 3) improve staff training. Results prioritize ‘Measure 2’ and demonstrate that improving human resources allocation increases efficiency and offers significant cost savings.ConclusionsThe proposed solution is in line with VBHC principles, as it improves efficiency and care delivery while optimizing costs. Simulation was an effective tool to replicate and explore possible changes. Multicriteria modeling proved to be a useful approach for a transparent prioritization and redesign of improvements in the healthcare sector.     

比阿培南治疗复发性尿路感染的临床价值研究

目的探讨比阿培南治疗复发性尿路感染的临床疗效及其安全性。方法将84例复发性尿路感染患者随机分为两组，对照组给予常规药物治疗，观察组在此基础上加用比阿培南治疗。结果观察组显效率显著高于对照组。观察组的症状消失时间显著低于对照组。观察组的复发率显著低于对照组。观察组的不良反应发生率显著低于对照组．观察组治疗后的血免疫球蛋白、血CRP等指标较治疗前显著改善，且显著优于对照组。治疗后两组患者的外周T淋巴细胞群均得到显著改善，但观察组的效果优于对照组。结论比阿培南治疗复发性尿路感染起效快，疗效确切。     

二维码在医院药学管理中的应用探讨

本文对二维码技术进行了简要介绍．并将其与一维码技术进行了比较，阐述了二维码技术具有的信息容量大、可靠性好、安全性高等诸多优点，及其可用包括手机在内的多种设备进行读取的特点。本文还对二维码技术在医院药学管理中多个可能应用的环节进行了介绍，分析了其优势和可能存在的问题。虽然二维码应用于医院药学管理中还面临一些困难．但是由于其多个方面的优势和特色，必将在医院药学管理逐渐发挥越来越重要的作用。     

Automatic Efficiency Optimization of an Axial Compressor with Adjustable Inlet Guide Vanes

The inlet attack angle of rotor blade reasonably can be adjusted with the change of the stagger angle of inlet guide vane (IGV); so the efficiency of each condition will be affected. For the purpose to...