Well-informed by national registers? A comparison of national ART registers in Germany,France and the United Kingdom

Objectives: National registers which document assisted reproductive technology (ART) treatments are important for a range of stakeholders. Their websites and reports are a source of information for ART practitioners, (future) patients and the public. The aim of our study was to compare national ART registers in the three European countries with the largest populations and evaluate whether ART registers currently meet the information needs of the different groups.

Methods: We compared the publications of national registers in three European countries (the United Kingdom, France and Germany) with diverse regulatory approaches. Our analysis focused on two criteria: data quality and patient orientation.

Results: Our findings suggest that the German and French registers’ publications fulfil the criteria to a lesser degree than the British register publications, by collecting data that are likely to be less accurate and publishing less information specifically targeted at patients.

Conclusions: Differences in the publications and the data collection methods of the three registers impact the opportunities of various stakeholders to access information about ART from their respective national registers.     

O3-DPACS system: challenges and original solutions in developing an open source project for the PACS critical system

Objective  Within the context of the Open Three Consortium project, a new version of the Picture Archiving and Communication System (PACS) was developed in order to take advantage of new technologies and comply as best as possible to some requirements for a state-of-the-art health information system. Such requirements are the result of ten years of research run by the Bioengineering and ICT group from the University of Trieste. Materials and methods  The requirements include the use of open source technologies, but developing a PACS system using such approach and model generates some issues, since a PACS represents always a critical system. The main issue is the opposition that Open Source has to face in literature and market due to doubts concerning its reliability. The requirements also include the use of open standards, portability and scalability. This paper describes the state-of-the-art in literature as seen under the light of the mentioned requirements and how the author faced the challenges to make O3-DPACS achieve the best degree of satisfaction to those requirements, taking care of each of them as early as from the software design phase and using original solutions. Results  Original solutions were developed for great scalability and portability, granting the execution of the software on different Application Servers. Real world success stories are reported and compared. Moreover, the architecture of the software is analyzed, proposing it as a model for the development of open source critical systems. Conclusion  The solutions implemented in O3-DPACS seem to make it the system which best fits the requirements to date, and we think the software architecture proposed, coupled with organizational arrangements, is able to take reliability and quality into healthcare open source applications.     

Working towards a European food information resource – EuroFIR

Summary  Food information resources (food composition tables and electronic databases) are used by a range of different people including dietitians and other health professionals, food manufacturers and producers, and epidemiologists and other researchers.     

国内医院信息系统标准化存在的问题及解决方案

标准化问题目前已成为医院信息系统建设的一个主要障碍.就此情况,本文分析讨论了国内医院信息系统标准化过程中存在的问题及其原因,并针对如何加强医院信息系统标准化建设提出了一系列建议.     

Sensitivity to feared stimuli in obsessive-compulsives: A dichotic listening analysis

The experiment reported here was designed to test whether fear-relevant stimuli are preceived more readily than neutral ones, and whether vigilance for the former is due to fear or to familiarity. Eleven obsessive-compulsives were administered a dichotic listening task before and after treatment by exposure and response prevention. Behavioral (button press) and physiological (skin conductance response) measures revealed that fear-relevant words were detected more than neutral words before but not after treatment. Additionally, the magnitude of the skin conductance response was greater to fearrelevant than to neutral targets before but not after treatment. These findings suggest that sensitivity to fear-relevant stimuli is due to fear and not familiarity.     

价值工程及其在医疗设备管理方面的应用

价值工程(VE)是一门新兴的管理技术,是降低成本提高经济效益的有效方法。其主要思想是通过对选定研究对象的功能及费用的分析,提高对象的价值。价值工程是伴随着现代化生产的发展而产生的,从合理利用资源开始发展起来的一门软科学技术。价值工程的特点是以功能分析为核心,通过功能分析,提出好的办法来实现这个功能,从而达到降低成本的目的。价值工程在医疗设备管理方面的应用也越来越受到重视     

信息质量追溯系统在CSSD软式内镜管理的应用效果研究

目的研究信息质量追溯系统在消毒供应中心(Central Sterile Supply Department,CSSD)软式内镜管理的应用效果,为提升内镜闭环管理的质量提供科学的依据。方法本院从2019年1月引进具有质量追溯系统的清洗消毒设备并投入使用,通过自行设计系统软件参数,对医院CSSD软式内镜的接收、清洗、消毒、灭菌、发放进行质量管理。观察并比较本系统应用前后接收清洗合格率、包装灭菌合格率、回收满意度和使用满意度。结果观察组接收清洗合格率和包装灭菌合格率均高于对照组,差异有统计学意义(P<0.05)。观察组回收满意度和使用满意度均高于对照组,差异有统计学意义(P<0.05)。结论信息质量追溯管理系统优于手工追溯,有效提高工作人员的工作效率和工作质量,并保证较高的满意度。