病案质控引入Web2.0技术的探讨

目的探索医院病案质量控制与评价体系中Web2.0技术的应用,实现病案质控的信息效益。方法引入Web2.0技术的Wiki、SNS、RSS多个元素,将病案质控的各个要素、角色、流程纳入＂医院病案质量控制与评价平台＂。结果基本实现＂全员＂参与质控、＂全过程＂的质量教育和＂全天候＂的病案信息综合服务,减轻人力成本,提高质控的准确性,提升了医院病案质量和病案的内涵质量。结论基于Web2.0技术的＂医院病案质量控制与评价平台＂建设方案投资小、周期短,兼备实名和匿名等优势,达到质量管理功能的整体升级,是一种更科学、更合理的新型病案质控模式。     

B／S结构下基于Socket和VTK的3D交互方法

在B／S结构下进行3D交互控制,通过页面中的Applet获取用户事件,将事件名称和参数通过Socket发送给基于VTK的三维可视化系统,该系统进行渲染后回将数据回传给页面中的Applet。此技术可作为实现Web3D的一种新途径,进而可以为实现B／S结构下的各种3D交互应用奠定基础,也可以实现在移动设备中进行3D交互。     

基于 Web 的定向医药信息采集系统设计与实现

为解决不同Web网络的定向信息采集问题,开发具有网页分析和自动信息采集功能的定向医药信息采集系统（MICS）,具体介绍技术原理与开发过程,实践证明该系统能应用于海量医药信息的自动采集工作,满足大型数据库的建库要求。     

Health Professionals’ Attitudes Towards Using a Web 2.0 Portal for Child and Adolescent Diabetes Care: Qualitative Study

Background

The Internet, created and maintained in part by third-party apomediation, has become a dynamic resource for living with a chronic disease. Modern management of type 1 diabetes requires continuous support and problem-based learning, but few pediatric clinics offer Web 2.0 resources to patients as part of routine diabetes care.

Objectives

To explore pediatric practitioners’ attitudes towards the introduction of a local Web portal for providing young type 1 diabetes patients with interactive pedagogic devices, social networking tools, and locally produced self-care and treatment information. Opportunities and barriers related to the introduction of such systems into clinical practice were sought.

Methods

Twenty clinicians (seven doctors, nine nurses, two dieticians, and two social welfare officers) from two pediatric diabetes teams participated in the user-centered design of a local Web 2.0 portal. After completion of the design, individual semi-structured interviews were performed and data were analyzed using phenomenological methods.

Results

The practitioners reported a range of positive attitudes towards the introduction of a local Web 2.0 portal to their clinical practice. Most interviewees were satisfied with how the portal turned out, and a sense of community emerged during the design process and development of the portal’s contents. A complementary role was suggested for the portal within the context of health practice culture, where patients and their parents would be able to learn about the disease before, between, and after scheduled contacts with their health care team. Although some professionals expected that email communication with patients and online patient information would save time during routine care, others emphasized the importance of also maintaining face-to-face communication. Online peer-to-peer communication was regarded as a valuable function; however, most clinicians did not expect that the portal would be used extensively for social networking amongst their patients. There were no major differences in attitudes between different professions or clinics, but some differences appeared in relation to work tasks.

Conclusions

Experienced clinical practitioners working in diabetes teams exhibited positive attitudes towards a Web 2.0 portal tailored for young patients with type 1 diabetes and their parents. The portal included provision of third-party information, as well as practical and social means of support. The practitioners’ early and active participation provides a possible explanation for these positive attitudes. The findings encourage close collaboration with all user groups when implementing Web 2.0 systems for the care of young patients with chronic diseases, particularly type 1 diabetes. The study also highlights the need for efforts to educate clinical practitioners in the use of Web publishing, social networking, and other Web 2.0 resources. Investigations of attitudes towards implementing similar systems in the care of adults with chronic diseases are warranted.     

Database Analysis of Simulated and Recorded Electrophysiological Datasets with PANDORA’s Toolbox

Neuronal recordings and computer simulations produce ever growing amounts of data, impeding conventional analysis methods from keeping pace. Such large datasets can be automatically analyzed by taking advantage of the well-established relational database paradigm. Raw electrophysiology data can be entered into a database by extracting its interesting characteristics (e.g., firing rate). Compared to storing the raw data directly, this database representation is several orders of magnitude higher efficient in storage space and processing time. Using two large electrophysiology recording and simulation datasets, we demonstrate that the database can be queried, transformed and analyzed. This process is relatively simple and easy to learn because it takes place entirely in Matlab, using our database analysis toolbox, PANDORA. It is capable of acquiring data from common recording and simulation platforms and exchanging data with external database engines and other analysis toolboxes, which make analysis simpler and highly interoperable. PANDORA is available to be freely used and modified because it is open-source (). Electronic supplementary material The online version of this article (doi:) contains supplementary material, which is available to authorized users.     

Cost-Effectiveness of New-Generation Oral Cholera Vaccines: A Multisite Analysis

Objectives:  We evaluated the cost-effectiveness of a low-cost cholera vaccine licensed and used in Vietnam, using recently collected data from four developing countries where cholera is endemic. Our analysis incorporated new findings on vaccine herd protective effects.
Methods:  Using data from Matlab, Bangladesh, Kolkata, India, North Jakarta, Indonesia, and Beira, Mozambique, we calculated the net public cost per disability-adjusted life year avoided for three immunization strategies: 1) school-based vaccination of children 5 to 14 years of age; 2) school-based vaccination of school children plus use of the schools to vaccinate children aged 1 to 4 years; and 3) community-based vaccination of persons aged 1 year and older.
Results:  We determined cost-effectiveness when vaccine herd protection was or was not considered, and compared this with commonly accepted cutoffs of gross domestic product (GDP) per person to classify interventions as cost-effective or very-cost effective. Without including herd protective effects, deployment of this vaccine would be cost-effective only in school-based programs in Kolkata and Beira. In contrast, after considering vaccine herd protection, all three programs were judged very cost-effective in Kolkata and Beira. Because these cost-effectiveness calculations include herd protection, the results are dependent on assumed vaccination coverage rates.
Conclusions:  Ignoring the indirect effects of cholera vaccination has led to underestimation of the cost-effectiveness of vaccination programs with oral cholera vaccines. Once these effects are included, use of the oral killed whole cell vaccine in programs to control endemic cholera meets the per capita GDP criterion in several developing country settings.     

基于Web2．0技术的病案质控信息化探讨

目的探索Web2．0技术在构建医院病案质量控制与评价体系中的应用。方法论证和引入Web2．0技术的Wiki、SNS、RSS等多个元素,在“大质控观”下将病案质控的各个要素、角色、流程纳入“医院病案质量控制与评价平台”。结果基本实现“全员”参与质控、“全过程”的质量教育和“全天候”的病案信息综合服务。结论基于Web2．0技术的“医院病案质量控制与评价平台”建设方案投资小,建设周期短,使用门槛低,保障前期软件投资,达到质量管理功能的整体升级,值得推广。     

虚拟医院结构及其实现技术

Internet网络技术的不断发展为实施不受时间和地域限制的交互式技能学习和指导提供了平台。提出的虚拟医院是一个学习和训练医疗救治技术和紧急救治过程等的交互式信息模拟平台,通过虚拟医院提供的医疗诊断救治练习和模拟训练平台,可以帮助医务人员提高和改善诊断治疗技术,学习新的诊疗救治和手术技术,以便更好地救治伤病员。同时,为患者提供一个医院就诊检查模拟过程,从而节省就医时间,提高就医效率。它还可为家庭患者提供医疗和健康技术指导。     

基于WEBSERVICE的疾病预防控制空间信息服务研究

空间信息服务在疾病预防控制领域是一个新的尝试,也是我国卫生行业信息化发展的必然趋势,Web Service技术本身的优势为空间信息服务提供了一个具有实际应用价值的解决方案,也为疾病预防控制数据资源的集成与共享提供了一个新的思路。针对疾病预防控制数据信息的空间特点,探讨了Web Service技术支持下的疾病预防控制空间信息服务的模式与技术实现框架。     

基于Webservice系统集成技术在医学资源信息共享平台中的应用

利用XML和WebService技术,建设依托于天津医科大学校园网的医学资源信息共享和服务平台。并具体介绍了建设该平台的设计思路、网络架构、功能划分及安全策略。通过该平台,可以实现各机构间信息的互联互通。并在数据安全性、完整性及资源共享方面得到较大改善,最大限度满足医疗部门的信息需求。