对国外电子期刊资源长期保存的解决方案

介绍电子期刊全文完整存档总体解决方案,具体阐述按照期刊字序导航实现资源完整存档的过程,并说明期刊分类简要信息采集与抽取、基本检索和引文或参考文献检索功能、重点学科全文完整存档界面设计。     

A Novel Approach to Gathering and Acting on Relevant Clinical Information: SCAMPs

The current tools to adequately inform the process of improving health-care delivery consist primarily of retrospective studies, prospective trials, and clinical practice guidelines. We propose a novel and systematic approach that bridges the gap of our current tools to affect change, provides an infrastructure to improve health-care delivery, and identifies unnecessary resource utilization. The objective of this special article is to introduce the rationale and methods for this endeavor entitled “Standardized Clinical Assessment and Management Plans” (SCAMPs). SCAMPs take a relatively heterogeneous patient population and through a process of iterative analysis and modification of standardized assessment and management algorithms, SCAMPs allow the intrinsic biologic variability in a patient population to emerge and be understood. SCAMPs can be used to complement our currently available tools in order to result in incremental and sustained improvement in health-care delivery.     

Screening,Diagnosis, Treatment,and Management of Hepatitis C: A Novel,Comprehensive, Online Resource Center for Primary Care Providers and Specialists

Current initiatives focusing on hepatitis C (HCV) screening and diagnosis, together with the advent of oral interferon (IFN)-free treatment regimens have prompted Elsevier Multimedia Publishing and the American Journal of Medicine (AJM) to develop a novel, comprehensive, online Resource Center dedicated to providing both primary care providers and specialists with the latest information on the screening, diagnosis, treatment, and management of HCV. To date, only 25% of infected patients have been diagnosed and only 5% cured. With the Centers for Disease Control and Prevention (CDC) and the US Prevention Services Task Force (USPSTF) recommendation of one-time screening for all individuals born between 1945 and 1965, and the availability of safe and effective therapy, it is anticipated that primary care providers and community practices will become increasingly responsible for the screening, diagnosis, and management of infected patients, as well as providing access to care by specialists when needed. The AJM Hepatitis C Resource Center site will have two major channels; one channel tailored to specifically address the needs of internal medicine physicians and other primary care providers, and one channel tailored to address the needs of specialists including hepatologists, gastroenterologists, and infectious disease specialists. Systematic surveys of these clinician audiences are being conducted by Elsevier to assess educational gaps, and ensure that the content of each channel of the Resource Center satisfies the needs of the intended audiences. In a recent Elsevier survey of primary care physicians (PCPs) who had screened and/or participated in the care of patients with HCV within 6 months of participating in the survey, 60% of PCPs stated that they were not very confident or only somewhat confident about screening patients for chronic HCV infection. A recent Elsevier survey of specialists revealed low levels of satisfaction with the treatment options available in 2013, with “no therapy” being selected for up to 38% of patients. This survey also showed that experience with newly-approved options for HCV including IFN-free regimens is currently limited, but the likelihood that a variety of patient types will be treated with these options is high. This provides an impetus for educational opportunities focusing on optimizing treatments for the different HCV genotypes and for patients with comorbidities. Further results of the PCP and specialist surveys will be published on the Resource Center. Each channel of the Resource Center will be comprised of a variety of specific communication elements, which are open to sponsorship, and include roundtable panel discussions, case studies, and direct links to relevant original research, review articles, and guidelines. All Resource Center components are peer-reviewed for publication on the Resource Center by the AJM Editorial Office and the Resource Center Guest Editor, Edward Lebovics, MD. The AJM Hepatitis C Resource Center will be accessible from the AJM online home page (http://www.amjmed.com) and will be launched immediately prior to the American Association for the Study of Liver Diseases (AASLD) Liver Meeting to be held from November 7 to 11, 2014 in Boston, Massachusetts.     

重庆地区中草药与民族药资源调查研究

目的调查整理重庆地区中草药、民族药资源,明确重庆中草药和民族药的品种、资源分布、民族药使用状况。方法资源调查,筛选标本,标本编号,数码拍照,编辑名录。结果共收集中草药、民族药标本872种,其中真菌类3科3种、地衣类2科3种,苔藓类3科3种,蕨类23科92种、裸子植物5科14种、被子植物126科757种;其中有8种为珍稀濒危保护植物。结论重庆地区有丰富的中草药、民族药资源。     

中药特色数据库的建设和研究

特色文献数据库有利于深层次地揭示和利用文献信息资源,是图书馆提高信息资源服务水平和开展信息资源共享的重要途径。本论文探讨了《江苏省地道中药材数据库》建设现状、数据库结构与开发内容以及目标和意义。     

国家医药卫生领域科学数据共享网建设目的与现状

医药卫生科学数据共享工程由中国医学科学院等多家权威医学机构联合申请建设，其目标是是建立一个“在物理上合理分布、层次分明，在逻辑上高度统一、充分共享”的医药卫生科学数据管理与共享服务系统。目前已经展开了关于共享政策与机制、资源规划、标准规范、技术平台的研究，并建设形成了具有学科的专业数据中心。     

Basic health care package without antiretroviral therapy?

Background Antiretroviral therapy (ART) for HIV/AIDS patients has become a standard in developed countries and a generally accepted objective in developing countries. Major funding agencies, such as USAID and the Global Fund to Fight AIDS, Tuberculosis and Malaria, are supporting ART programmes in developing countries as a non-negotiable element of a basic health care package. Aim Recently a few papers have challenged whether this investment is rational as ART is expensive and the long-term consequences of resistance cannot be neglected. This paper intends to contribute to this discussion from a health economic perspective. It analyses the opportunity costs, the sustainability and the ethics of ART as well as the absorption capacity of existing health care services in developing countries. Results There is no justification for the so-called “exceptionality” of HIV/AIDS. Conclusion ART might be an essential element of a basic health care package, but it should pass the same procedure as any other intervention to be included into the basic package. Financing a comprehensive health care package would require more international input—an important vision of a “Global Fund to Promote Health” as the offspring of the existing Global Fund.     

广东省结防机构卫生人力资源研究

目的了解目前广东省结防机构卫生人力资源现状,同时对卫生人力资源配置公平性进行评价。方法采用调查表对全省各级结防机构人力资源情况进行调查,使用洛伦茨曲线(Lorenz curve)和基尼系数(Ginicoefficient),从广东省地理分布和结核病人数量的角度,分析以结防机构卫生人力为代表的卫生资源配置的公平性。结果全省拥有各类结防人员2335名,平均年龄(39.01±9.72)岁,从事结防工作年限(13.05±8.47)年;职称构成比高级∶中级∶初级为1∶2.67∶7.60;卫生人力资源按地理分布和结核病人数的Gini系数为0.09和0.194。结论广东省各级结防机构人员平均年龄偏大,学历偏低,初级职称人员较多,卫生人力资源配置在地理分布和结核病人数方面配置已达到较好公平性。     

祁连山药用苔藓植物资源

目的了解祁连山药用苔藓植物资源。方法对祁连山药用苔藓植物资源进行野外调查和实验室内鉴定。结果首次报道了祁连山药用苔鲜植物21种,隶属于14科17属,并对其生存环境、药用功效进行了具体描述。结论祁连山药用苔藓植物资源丰富,应合理进行开发利用。     

填埋场矿化垃圾资源综合利用研究进展

以上海老港填埋场为实例,介绍了矿化垃圾的概念及其物理、化学和生物学性质,以及用矿化垃圾处理渗滤液、畜禽废水、焦化废水的研究成果及应用.