基于社会网络分析方法的黑龙江省县域医联体建设问题分析及思考

目的:梳理与明确黑龙江省县域医联体建设中的关键问题,为黑龙江省县域医联体建设提供参考意见。方法:文献分析法、社会网络分析法等。结果:黑龙江省县域医疗体系在政策和相关卫生资源的配置上存在医疗资源薄弱、县域医联体政策、配套措施不足等问题;医联体成员间、医生间利益分配和激励机制不足、农村基层医疗机构服务能力不足以及政府对于医共体财政补助不足是目前被学者们普遍认同的关键问题。结论:重构利益分配和激励机制、以政策与相关配套措施推动县域医联体建设、补齐县级医院短板是黑龙江省县域医联体建设的必要之举。     

生物物质的介电测量技术

本文根据传输线法介电测量原理建立起100KHz～500MHz频率范围的生物物质介电测量系统,该系统由网络分析仪、同轴线腔式传感器及测温控温装置等组成,并由计算机实现自动采样与分析。对测量误差的来源作了详细分析,一定修正和补偿条件下,本文制做的腔式传感器适用于整个频率范围。对人全血和人脑组织等高含水量物质的介电常数测量误差小于3％,电导率误差小于2％。     

浅析医院网络的建设与应用

本文论述了医院中网络建设的策略和原则,并从网络在医院中的应用入手详细阐述医院网络规划的策略、网络技术选择策略、医院网络的维护与保障策略.并针对医院对网络建设的规划不完整加以分析.     

医学院校多媒体教育校园网的模式与管理

本文对校园网的教学应用范围、两种组成模式作了简要的介绍,指出校园网的快速建设和发展,对教学、科研、建立新的教学模式、改革教学内容、方法、推进素质教育等方面起到了积极重要的作用,离不开管理层观念的转变及长期支持。并对网络软件资源开发、建设、管理进行了建设性的讨论。     

An overview of hospital accreditation in Taiwan, Republic of China

This paper examines the hospital accreditation system in Taiwan, Republic of China. The paper describes the historical evolution of accreditation; preliminary teaching hospital accreditation; hospital and teaching hospital accreditation; issues and problems; and perspectives and challenges.     

Prospective feasibility study of a mindfulness-based program for breast cancer patients in the southeastern US

BackgroundMindfulness interventions can improve psychological distress and quality of life (QoL) in cancer survivors. Few mindfulness programs for cancer recovery exist in Southeastern U.S. The primary objective of this study was to assess the feasibility of a modified mindfulness-based stress reduction (MBSR) program for breast cancer patients in Birmingham, Alabama. The secondary objective was to explore potential program effects on mindfulness skills and QoL.MethodsThis study was a prospective, quasi-experimental feasibility study conducted over 10 months at a university hospital. Feasibility was achieved if 80% of eligible patients screened enrolled in the study and 70% of enrolled patients attended all 8 program sessions. Effectiveness was estimated by changes in mindfulness and QoL indicators measured with validated scales administered at 3 time points and assessed with a non-parametric Friedman test. Sessions included meditation, yoga, and an attention practice called body scan. There were 3 groups of 2–5 patients.ResultsThe sample totaled 12 patients. Forty-four percent (12/27) of eligible patients enrolled in the study, and two out of 12 enrolled patients completed 8 program sessions, resulting in 16.7% (2/12) retention. However, more than half (66.7%) of participants completed at least 7 sessions. Between baseline and 8-week follow-up, patients demonstrated statistically significant improvements in distress, general wellbeing, and fatigue-related QoL.ConclusionsFeasibility objectives were not achieved. However, a majority of participants (66.7%) completed 7 of 8 program sessions. Program effects were promising for distress, fatigue, and wellbeing. Results warrant further research on MBSR-like programs for breast cancer patients in Alabama.     

The estrous cycle and the olivo-cerebellar circuit

This study demonstrates that gating of responses of the rostral dorsal accessory olive (rDAO) to somatosensory stimulation varies across the estrous hormone cycle of the rat. The rDAO has been suggested as an error or event signal generator for the cerebellar cortex. Selective sensory gating of input to this structure may underlie this error signalling function. In the present study, as many as 23 single neurons were recorded simultaneously from either the forepaw or the snout areas of the rDAO. Responses of these neurons to electrical stimulation of peripheral afferents were determined during active movement or non-movement conditions. These results were then compared across the estrous cycle or after administration of the estrous hormones 17 -estradiol (E₂) and/or progesterone (P) to rats on diestrus or following E₂ priming. Elevations in circulating estrous hormones produced greater excitatory responses of rDAO neurons to stimulation during non-movement, and, conversely, enhanced inhibition of rDAO activity during active movement of the stimulated peripheral area compared with control diestrous conditions, suggesting that selective gating processes to the rDAO are enhanced by estrous hormones. The results of this study suggest that the night of behavioral estrus is associated with enhanced selective sensory gating processes associated with improved detection and processing of error signals.     

The Role of Therapeutic Alliance in Network Therapy: A Family and Peer Support-Based Treatment for Cocaine Abuse

The therapeutic alliance is a well-studied construct factor that is important to outcome in many forms of individual therapy. Therapeutic alliance has been rarely studied in group therapy and results in addiction treatment have been mixed. In this paper, we studied the presence of a therapeutic alliance in Network Therapy: an approach that uses peer and family support in addiction treatment. Twenty-one participants undergoing Network Therapy for cocaine addiction were observed on videotape, and were rated on therapeutic alliance using the Working Alliance Inventory and the Penn Helping Alliance Rating Scale. Results showed a significant positive correlation between therapeutic alliance and outcome as measured by the percentage of cocaine-free urine toxicology screens and by eight consecutive cocaine-free urines.     

谈医院信息系统中的网络建设

医院信息管理系统中计算机网络的建设是整个应用系统运行的高速路,为使医院整个系统运行在稳定可靠、安全高效的健康网络环境中,必须对网络建设进行合理的规划,拟订出科学的方案。     

利用Snort构建DIDS

随着internet的发展,网络越来越复杂,网络安全越来越受到人们的关注。本文主要介绍了如何利用Snort在Linux平台上搭建分布式的入侵检测系统。