科教兴院举措在医院建设和发展中的作用及影响

介绍了杭州市萧山区第一人民医院坚持科教兴院理念，并通过优化人力资源配置及聘请知名专家、引进24HMB等多种教育和科研措施，提高医院综合实力的做法和成果。     

上海某公立医院开展志愿者活动的调查与分析

目的：探讨在我院成人病区患者中开展志愿者活动的可行性，提出相应的对策。方法：采用分层随机抽样方法，对成人病区住院患者或家属，进行实地问卷调查。结果：患者或家属对志愿者服务有一定需求，并希望志愿者以5人以下每周一次的形式协助护理患者和提供心理辅导等服务，其中内科病区患者或家属特别需要协助护理患者服务。结论：采取多种培训形式，不断提高志愿者队伍素质；关注内科病区患者，开展志愿者定期服务；重视心理关护，不断提高志愿者服务质量。     

医生绩效考核模型的建立及应用

质量管理是医院管理的核心内容。如何利用计算机系统来评价医生的医疗行为质量，公正、客观地考核医生绩效，是医院绩效管理中的一个重要课题。因此，有效地运用现代科学绩效管理理论、技术和方法，针对医疗结构质量、环节质量和终末质量进行监控，从而建立适合医生绩效考核的系统非常必要。     

基于ODS资源库面向管理者的定制服务

本文讨论了基于HIS统计集成与管理决策支持系统平台，面向医院管理者提供的定制服务系统框架、系统功能，并展示了系统应用模块实现。旨在服务于医院常规管理，并为医院管理者进行医院常规管理提供快捷、简便、在线、服务于管理主题的辅助决策工具。     

HIS服务器及数据库升级前后性能的对比研究

目的：测试数据库服务器软硬件升级前后数据库性能的具体变化。方法：从硬件的扩展性、硬件处理能力与系统稳定性以及数据库性能表现等几个方面，测试了数据库及数据库服务器升级前后的变化。结果：通过具体数据分析了引起性能改变的部分原因，总结了升级的变化规律。结论：系统升级后，系统性能得到了极大提升。     

Transfer of embryos into the uterus: How much do technical factors affect pregnancy rates?

Objective Our objective was to identify the effect on outcome of (a) ultrasound-assisted embryo transfer, (b) the use of different embryo transfer catheters, and (c) the length of time the patients remain in the supine position after embryo transfer.Setting The setting was a private fertility center.Subjects This was a prospective study of 178 in vitro fertilization and embryo transfers (IVF-ET) and 63 frozen embryo replacements (FER).Results The pregnancy rate was 28.7% following IVF-ET and 31.8% for FER. Ultrasound-assisted transfer did not affect the outcome (29 vs 30.3%). There was no difference in the performance of the Wallace and Frydman catheters with regard to outcome (30.3 vs 30.7%). Although there was an increase in pregnancy rate as the time interval in the supine position after ET increased, this needs a larger study.Conclusion The parameter studies did not affect the outcome of IVF/ET or FER. Some factors encouraged us to recommend ultrasound-assisted transfer in some cases, and the use of a Frydman catheter for transfer and to encourage the supine position after transfer for longer periods.     

尿hCG定量及孕囊直径与药物流产的关系

本文总结了３３３例米非司酮配伍米索前列醇抗早孕的资料，分析药流前２４ｈ内尿ｈＣＧ定量及孕囊直径与药流的关系。发现这两项指标与完全流产率和药流出血时间均有关。ｈＣＧ≤１２５０Ｕ／Ｌ或孕囊＜１０ｍｍ者完全流产率最高，分别为１００％、９６．６％；且出血时间最短，分别为９．６、１１．２ｄ。ｈＣＧ≥２０，０００Ｕ／Ｌ或孕囊≥２０ｍｍ者完全流产率仅约７６％。这两项指标之间具良好的相关性。为提高药物流产的质量，建议对尿ｈＣＧ≥２０，０００Ｕ／Ｌ或孕囊直径≥２０ｍｍ者采取其他终止妊娠方法。     

Anti-ulcerogenic effects of Spartium junceum flowers on in vivo test models in rats

Flowers of Spartium junceum L. (Fabaceae) are used for the treatment of gastric ulcers in Turkish folk medicine. Through bioassay-guided fractionation using chemical and chromatographical means and water immersion and restraint-induced stress ulcer model in rats, a saponin fraction was determined as the potent anti-ulcerogenic ingredient. The active fraction was also highly effective in preventing ethanol- and pyloric ligation-induced gastric lesions as well as inhibiting gastric secretion volume, gastric pH and titratable acidity, but did not affect the hexosamine content of the gastric mucosa. A novel oleanen-type triterpenic saponin, named as spartitrioside, was isolated as the active principle by using chromatographical separation techniques.     

Temporal pattern in the effect of postnatal blood lead level on intellectual development of young children

To determine the temporal pattern of the effect of postnatal blood lead level on the General Cognitive Index (GCI) of the McCarthy Scales of Children's Abilities, we used data from 112 children of the Mexico City Prospective Lead Study with complete evaluations from 36 to 60 months of age at 6-month intervals. We measured blood lead level every 6 months from 6 to 54 months. We controlled for 5-min Apgar, birth weight, birth order, sex, socioeconomic level, maternal IQ, and maximum maternal educational level in a repeated measures ANCOVA using child blood lead level grouped by 6–18 month (geometric mean 10.1 μg/dl, range 3.5–37.0 μg/dl), 24–36 month (geometric mean 9.7 μg/dl, range 3.0–42.7 μg/dl), and 42–54 month (geometric mean 8.4 μg/dl, range 2.5–44.8 μg/dl) averages. There were significant interactions between the 6–18 month blood lead level and age with GCI as the endpoint and between 24–36 month blood lead level and age. The regression coefficient of blood lead at 6–18 months became more negative with age until 48 months, when the rate of decline moderated (linear polynomial contrast p=0.047). The regression coefficient of blood lead at 24–36 months with CGI became more negative as well from 36 to 48 months but then started decreasing toward zero from 48 to 60 months (quadratic polynomial contrast p=0.019). Significant between-subjects lead effects on GCI were found for 24–36 month blood lead level at 48 months (p=0.021) and at 54 months (p=0.073). The greatest effect (at 48 months) was a 5.8-point GCI decrease with each natural log unit increase in blood lead. Significant between-subjects lead effects on GCI were found for 42–54 month blood lead level at 54 months (p=0.040) and at 60 months (p=0.060). The effect of postnatal blood lead level on GCI reaches its maximum approximately 1–3 years later, and then becomes less evident. Four to five years of age appears to be a critical period for the manifestation of the earlier postnatal blood lead level effects.