实验设备采购管理平台在医学院校中的应用

目的：分析首都医科大学实验设备采购现状,设计实验设备采购管理平台。方法：根据医科大学教学和科研工作对实验设备的实际需求进行分析探讨,提出设备采购管理平台的12个功能模块,并应用于实验设备管理的实际工作中。结果：实验设备采购管理平台实现了设备采购的全流程动态管理和数据的查询统计。结论：实验设备采购管理平台的应用极大地方便了设备采购管理工作,达到了优化工作流程、提高工作效率和提升管理效益的目的。     

基于SWOT分析的中医院校大型仪器共享平台建设与管理

目的：通过对中医院校大型仪器平台建设进行可行性分析,实现大型仪器设备共享平台,提供有效服务,促进持续发展。方法：通过SWOT分析法,列举平台建设的内在优势和弱势、外在机会和挑战。结果：使用SWOT战略分析方法,提出大型仪器设备共享平台建设在进攻、调整、防御和生存四种状态识别的相应策略及建议。结论：实现大型仪器设备共享,须基于现实条件,将对外协同研究科研平台作为突破口,采取创新管理模式,争取国家项目支持,逐步筑牢开放、协作共享的战略手段与方法。     

移动设备管理系统在医院中的应用

目的：解决医院移动医疗中使用的移动推车、掌上电脑（PDA）及平板电脑等移动终端设备的管理问题,将移动设备管理纳入智能化管理模式。方法：根据医院自身特点,选择适合医院使用的移动设备管理系统。结果：该系统能够管理所有主流操作系统和终端设备,实现了医院移动终端设备的软件、硬件及资产管理。结论：移动设备管理系统提高了设备管理水平,减轻了维护人员的工作量,降低了运维成本。     

药品温湿度物联网综合监控平台的建立与应用

目的 提高医院药品院内物流运行的质量。方法 建立感染病院药品温湿度物联网综合监控平台,并观察其特点与应用效果。结果 利用物联网技术构建三级监控平台,实时记录存放药品的环境和设备温湿度数据,动态监测调拨和下送的冷链药品在途温度,借助远程预警短信及时处理异常情况,应用6个月,共收到报警信息526条,调控药品冷藏柜10台,更换不符合温控标准的冷藏柜2台。结论 药品温湿度物联网综合监控平台的建立,使药品院内物流过程温湿度可控,通过药师主动干预,将药品质量管理下沉到临床一线,降低断链风险,提升医院药学服务水平。     

Improvement of dynamic postural stability by an exercise program

BackgroundCentral processing of multi-sensory feedback and motor commands responsible for force production are critical for postural control. An exercise program was developed to realign spinal curvature, but its effect on postural control is unknown.Research QuestionTo what extent would the exercise program influence on center of pressure (CoP) sway on stable and unstable surfaces?MethodsSubjects (n = 30) were randomly assigned into one of three groups: exercise on a cylinder-shaped tube (98-cm length, 15-cm diameter, n = 10), exercise on a flat surface (n = 10), and a control group that laid supine on a flat surface (n = 10). Standing posture of each subject was quantified using anterior-, posterior-, and lateral-view photography. Each subject’s CoP sway was measured while standing on a static and dynamic platform with eyes open and eyes closed. Subjects were instructed to stand still when the platform was held stationary (e.g., no tilt) during the static condition. During the dynamic condition the platform was allowed to tilt in response to changes of CoP and subjects were instructed to maintain the platform in a horizontal position.ResultsOnly when subjects performed the exercise program on the tube, the angles of neck flexion and pelvis tilt decreased, and CoP sway in the sagittal, but not frontal plane, decreased during the dynamic platform conditions with both eyes open and eyes closed (p < 0.05).SignificanceIt is speculated that performing the exercise program on the tube might enhance a) central processing of somatosensory and vestibular inputs, b) motor commands responsible for force production in postural control, and c) biomechanical advantage by the realigned posture. The exercise program can be used by a variety of populations as home-exercise to realign the neck and pelvic posture and improve dynamic postural stability.     

Updating freeze: Aligning animal and human research

Freezing is widely used as the main outcome measure for fear in animal studies. Freezing is also getting attention more frequently in human stress research, as it is considered to play an important role in the development of psychopathology. Human models on defense behavior are largely based on animal models. Unfortunately, direct translations between animal and human studies are hampered by differences in definitions and methods. The present review therefore aims to clarify the conceptualization of freezing. Neurophysiological and neuroanatomical correlates are discussed and a translational model is proposed. We review the upcoming research on freezing in humans that aims to match animal studies by using physiological indicators of freezing (bradycardia and objective reduction in movement). Finally, we set the agenda for future research in order to optimize mutual animal–human translations and stimulate consistency and systematization in future empirical research on the freezing phenomenon.     

基于区域信息平台的公立医疗机构政府监管机制研究

目的剖析闵行区政府监管机制的特点与变化,为公立医疗机构监管机制改革提供参考。方法采用政策分析和现场观察法相结合的方法。结果闵行区成立了“闵行区卫生监管中心”,运用区域信息平台工具,以绩效考核和专题监管活动为主要形式,开展了医疗机构运行监管、医疗质量监管等七个方面的监管工作。结论绩效考核监管形式有助于引导医疗机构实现公益性目标。区域信息平台在很大程度上提高了政府的监管能力。未来工作中需进一步完善监管制度和监管指标体系,强化专业监管能力,并建立信息公开制度和奖惩制度。     

Selecting Journal for Publication in the Era of “Haste Predatory Journals and COVID-19”

How to cite this article: Siddiqui S, Ahmed A, Azim A. Selecting Journal for Publication in the Era of “Haste Predatory Journals and COVID-19”. Indian J Crit Care Med 2020;24(12):1284–1285.     

PCMC联合创新实践实训平台的教学模式在中医内科教学中的应用

目的探讨PCMC联合创新实践实训平台的教学模式在中医内科教学中的教学效果。方法选择长春中医药大学2015级本科生,共计80人。随机分成2组,其中试验组40人,对照组40人。试验组采用PCMC联合创新实践实训平台的教学模式进行教学,对照组采用传统教学模式进行教学。2组均由同一教师负责教学。结果试验组中医系本科生不仅其理论成绩和技能成绩均高于对照组,差异具有统计学意义(P<0.05)。而且其学习兴趣、自学能力、语言和文字的表达能力、逻辑思维能力、实践能力、解决问题能力、理论和实践结合能力、提高学习效果、拓展知识面、加强师生互动等10项调查结果也均优于对照组,差异具有统计学意义(P<0.05)。结论PCMC联合“创新实践实训平台”的教学模式能够提高成绩,还能有效地调动学生学习的主动性与积极性。     

基于"肾络癥瘕"理论探讨王耀献教授治疗慢性肾衰竭的用药规律

目的：总结基于“肾络癥瘕”理论探讨王耀献教授治疗慢性肾衰竭的用药规律及其学术经验。方法：选取2013年12月至2017年12月王耀献教授于北京中医药大学东直门医院门诊诊治慢性肾衰竭患者共270例,选取其首诊处方共270首。通过关联规则及复杂熵聚类等方法分析其用药规律及组方特点。结果：本研究共纳入处方270首,涉及药物184种;通过关联规则挖掘方法,将支持度设置为“81”,置信度为“0.8”,共得到常用药物组合114个。选择相关系数为8,惩罚系数为2,通过无监督的熵层次聚类算法,通过演化及进一步聚类,获得10个新处方。寒性药、温性药、平性药应用最多,热性药最少。应用味甘者次数最多,味苦、味辛、味咸、味酸者次之,味涩者最少。归肝经者最多,归脾经、肾经次之,其次分别为归胃、肺、心、胆、大肠、小肠、膀胱、心包、三焦等经者。结论：通过数据挖掘方法客观总结了王耀献教授以“肾络癥瘕理论”为核心,治疗多样化、个体化的用药特点。