Neonatal mortality amongst Scottish preterm singleton births (1985–1994)

Objective To provide a valid estimate of singleton neonatal mortality based on birthweight and gestational age at delivery.
Design Record linkage of maternity data and neonatal mortality data.
Setting Scotland, UK.
Population All singleton preterm deliveries from 24 to 36 weeks inclusive between 1985 and 1994.
Main outcome measure Neonatal death.
Results There were 625,646 liveborn singleton deliveries over the study period, of which 33,912 were preterm (5.4%). The overall neonatal mortality in the preterm group was 41/1000 and the data have been presented by both gestational age and birthweight. The neonatal mortality rate fell with advancing gestation from 795/1000 live births at 24 weeks to 9/1000 live births at 36 weeks and was higher at the extremes of birthweight for a given gestational age. There was a significant increase in the proportion of babies delivered iatrogenically over the study period (χ test for trend   P < 0.001  ).
Conclusion This is the largest recent series to consider neonatal mortality using both birthweight and gestational age. These figures will be of use in obstetric management when elective preterm delivery is considered, and for providing prognostic guidance following preterm delivery.     

多媒体网络教学的构成及其解决方案

作为一所教学医院，如何更好的提供教学服务，培养出高质量的军事医疗人员，在未来的战争中做好医疗保障是我们教学的目标。利用计算机多媒体网络技术将临床、科研和教学有效的组织起来，为优化教学内容、提高教学质量奠定了基础。     

Asthma medication use in pregnancy and fetal growth

BACKGROUND: Given the high prevalence of asthma in pregnancy, it is important to understand the relationship between asthma medications and fetal growth in the context of appropriate treatment. OBJECTIVE: This study examines the effect of inhaled corticosteroids, systemic corticosteroids, and beta(2)-agonists on fetal growth in 654 infants born to women with asthma compared with 303 infants born to controls without asthma. METHODS: Subjects for this prospective study were enrolled throughout North America between 1998 and 2003 and followed up by the Organization of Teratology Information Services. Incidence of small for gestational age (SGA) infants and mean birth size measures were compared among groups. RESULTS: Mean birth weight of full-term infants born to mothers who used systemic corticosteroids (3373 g) was lower than in the beta(2)-agonist group (3552 g) and controls without asthma (3540 g; P < .05) after adjustment for other risk factors. However, no differences in the incidence of SGA for weight were observed among groups. Adjusted mean birth length was slightly shorter in the systemic steroid group compared with controls (P=.02). Incidence of SGA for length and head circumference and mean head circumference did not vary among groups (P>.05). CONCLUSION: The treatment of asthma with systemic corticosteroids resulted in a deficit of about 200 g in birth weight compared with controls and exclusive beta(2)-agonist users and no increased incidence of SGA. These results suggest that asthma management with beta(2)-agonists and/or inhaled corticosteroids during pregnancy does not impair fetal growth, whereas systemic corticosteroids have a minimal effect which should be weighed against the necessity to control severe asthma.     

专科医院住院部各科医疗质量综合评价的初步探讨

目的：探讨专科医院住院各科工作情况综合评价方法,向临床科室提供医疗质量信息,促进医疗质量的提高。方法：以医院工作报表为数据来源,用秩和比法从诊疗质量,工作强度和经济效益三方面量化科室医疗质量考核指标。结果：综合数能更全面、有效、合理地评价住部各科医疗质量优劣等级,提出科室改进的指标。结论：此评价方法简便,实用,有利于深化院内改革,强化行政部门管理。     

计算机2000年问题对医院的影响及对策

计算机２０００年问题对医院最明显的影响是计算机系统届时交病的信息丢失,财务系统不能正常工作,网络瘫痪等。此外,由于嵌入式问题将造成医疗设备运行混乱,从而危及病人的生命和健康。医院应采取的对策是：认知计算机２０００年问题,产品清查,确定问题范围,对问题进行评估,制定应急计划,制定解决方案,具有体实施和检验验证。     

儿童青少年近视普查信息化管理专家共识（2019）

为了保障儿童青少年近视普查工作的规范化、科学化开展,引导各地近视普查工作有序进行,专家组已经制定出查的基本内容和规范流程,并对用到的检测和数据采集设备及设置的标准化达成共识。信息化是客观精准获取近视本底数据的重要保障,也是数据安全存储和快速传递的有效路径,同时又是国家政府层面的大数据分析的前提和基础,故近视普查的规范化流程需要实现信息化管理。因此我们组织专家组,经过大量调查研究和临床实践,形成《儿童青少年近视普查信息化管理专家共识（2019）》,旨在为近视普查工作的信息化管理提供指导性意见。内容包括：信息化管理实现的功能、数据表的结构化设计、信息系统的架构和模块、信息化应用规范和指南、统计分析等。详述如下。     

Report of the Task Force on Residency Training Information (2004-2005), American Board of Emergency Medicine

The American Board of Emergency Medicine gathers extensive background information on emergency medicine residency training programs and the residents training in those programs. We present the eighth annual report on the status of US emergency medicine residency programs.     

2006年2月份全国甲乙类传染病疫情动态简介

发病数 死亡数 病名 DISease Case number Death 本月 Feb 去年同月本年累计 Last Feb .CumZ《X拓 去年累计 CumZ(X)5 本月 Feb. 去年同月 Last Feb nUmber 本年累计 CUmZ《X场 去年用计 Cu几12(X)5 Plague Cholem 疫乱 鼠霍 传染性非曲型肺炎sARs-------- 艾滋病AIDS 366 186 699 442 41 40 75 92 肝炎viral HePatitis 1 10 462 72 750 209 010 166 092 79 74 168 158 甲肝Type A 4 643 3 956 8 857 9 149 4 1 84 乙肝TyPe B 92 876 59 788 176239 136989 58 56 129 121 丙肝Type C 5 039 2 758 9 805 6 539 6 7 10 14 戊…     

2006年3月份全国甲乙类传染病疫情动态简介

病名Disease死亡数Death number本月Mar.去年同月Last Mar.本年累计Cum2006本月Mar.去年同月Last Mar.本年累计Cum2006去年累计Cum2005鼠疫Plague-------霍乱Cholera-------传染性非曲型肺炎SARS-------艾滋病AIDS 590 340 1 350 81 93 176 187肝炎Viral Hepatitis 140 816 118 476 347 824 109 134 286 292甲肝Type A 6 336 6 935 15 170 3 5 11 9乙肝Type B 116 831 96 866 291 642 76 103 211 224丙肝Type C 7 073 5 072 16 814 14 6 24 20戊肝Type E 2 677 2 159 5 913 8 12 13 15未分型Unspecified 7 899 7 444 18 285 8 …     

中药酊剂临床外用技术规范(草案)

基于对中药酊剂外用技术的数据挖掘,结合临床实际应用研究,经外治学会专家多次论证,形成中药酊剂临床外用技术规范(草案),包括临床适用范围、操作步骤以及外用酊剂的方法、剂量、频率、时间、注意事项、不良反应及护理要点。以期规范中药外用酊剂的临床应用,提高其疗效并减少不良反应。