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The Enlightenment of Medical Big Data on Science and Technology Fund Management Policy 医疗大数据对科技基金管理政策的启示
Pub Date : 2018-10-17 DOI: 10.29422/jocem.2018.03.004
Qianli Liu
Objective: Scientific and technological innovation in the field of health and health is an important part of building an innovative country. Thispaper explores how medical big data reveals the technological innovation policy environment and management points in the field of medicineand health under the system framework of existing national science and technology innovation policies.Methods: Starting from national science and technology management policies and regulations, through domestic and international literaturesystems research, induction, comparative research, expert conference discussions, document interpretation and other methods to comb anddiscuss the policy and management.
目的:卫生卫生领域的科技创新是建设创新型国家的重要组成部分。本文探讨在现有国家科技创新政策的体系框架下,医疗大数据如何揭示医药卫生领域的科技创新政策环境和管理要点。方法:从国家科技管理政策法规入手,通过国内外文献系统研究、归纳、比较研究、专家会议讨论、文献解读等方法对政策与管理进行梳理与探讨。
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引用次数: 0
Research and Implementation of Regional Health Information System for Smart Healthcare 面向智慧医疗的区域卫生信息系统研究与实现
Pub Date : 2018-10-17 DOI: 10.29422/JOCEM.2018.03.001
Jin Zhao, ZhiHong Chong
Objective: This article discusses the development of medical information models by integrating the practice of smart medical informationconstruction both at home and abroad, and accumulates a technology for building distributed, cross-domain smart medical models, and seeksfeasible solutions.Methods: Through the analysis of business requirements and status quo, using the UML Unified Modeling Language definition view, a modelfor smart medical information platform is established from various aspects to guide the design of the architecture and functional design.Results: The smart medical information platform is the core system of regional healthcare informatization, and more intelligent medical andhealth services are new ideas for the development of medical informatization. The comprehensiveness, accuracy and timeliness of businessdata based on health records on the platform play a crucial role in the effective provision of medical and health services. In the entire “SmartHealthcare” building process, the use of Internet of Things technology to intelligently collect residents’ health data, build a smart medicalinformation platform and electronic medical records resources database, health records resources database, medical professional knowledgebase, to promote the integration of residents health card applications, to accelerate the construction of such projects as telemedicine,mobile medical care, appointment registration, health management, and smart community health services, to realize information sharingand exchange among departments of health and medical insurance, drug administration, family planning, public security, and civil affairs,and to establish cross-system cross-institutional regional health information system, relying on big data technology to conduct smart bigdata intelligence analysis, to allow residents to enjoy more convenient, efficient, high-quality, continuous medical services and healthmanagement, and to enhance residents’ sense of enjoying medical reform.
目的:结合国内外智慧医疗信息化建设的实践,探讨医疗信息模型的发展,积累构建分布式、跨领域智慧医疗模型的技术,并寻求可行的解决方案。方法:通过对业务需求和现状的分析,采用UML统一建模语言定义视图,从多个方面建立智能医疗信息平台模型,指导架构设计和功能设计。结果:智慧医疗信息平台是区域医疗卫生信息化的核心系统,更加智能化的医疗卫生服务是医疗信息化发展的新思路。平台上基于健康档案的业务数据的全面性、准确性和及时性对有效提供医疗卫生服务具有至关重要的作用。在整个“智慧医疗”建设过程中,利用物联网技术智能采集居民健康数据,构建智能医疗信息平台和电子病历资源库、健康档案资源库、医疗专业知识库,推动居民健康一卡通应用一体化,加快远程医疗、移动医疗、预约挂号、健康管理、智慧社区卫生服务,实现卫生医疗保险、药品监督管理、计划生育、公安、民政等部门之间的信息共享与交流,建立跨系统、跨机构的区域卫生信息系统,依托大数据技术进行智慧大数据智能分析,让居民享受更加便捷、高效、优质、持续的医疗服务和健康管理;增强居民享受医改的意识。
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引用次数: 1
Research on Evaluation of Medical Humanistic Quality of Planning Doctors Based on 360-Degrees 基于360度的规划医师医学人文素质评价研究
Pub Date : 2018-07-03 DOI: 10.29422/JOCEM.2018.02.003
Ming He, Jian-jun Huang
Objective: To analyze the medical humanistic quality of physicians through 360-degree evaluation method, explore and establish a set ofevaluation methods for medical humanities and literacy that suit our country's national conditions, and understand the medical humanities and literacy status of doctors in standardized training. Methods: The questionnaire survey and score calculation method were used to investigate all the physicians in standardized training in 2015 of three Affiliated Hospitals of Chongqing Medical University and analyzed using the 360-degree evaluation method. Results: When analyzed according to different sociological characteristics, it was found that the difference in academic qualifications and whether or not to obtain a medical practitioner qualification do not affect the medical literacy of Physiologists,but different genders, especially females, score higher in medical literacy than men. It shows that gender has a certain influence on the medical humanistic literacy.
目的:通过360度评价方法分析医生的医学人文素质,探索建立一套适合我国国情的医学人文素养评价方法,了解医生在规范化培训中的医学人文素养状况。方法:采用问卷调查法和计分法对重庆医科大学三所附属医院2015年所有规范化培训医师进行调查,并采用360度评价法进行分析。结果:根据不同的社会学特征进行分析,发现学历和是否取得执业医师资格的差异对生理医生的医学素养没有影响,但不同性别的生理医生的医学素养得分高于男性,尤其是女性。这说明性别对医学人文素养有一定的影响。
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引用次数: 0
Research on Science and Technology Output and Cooperation of Chinese Biomedical Academicians Based on SCI 基于SCI的中国生物医学院士科技产出与合作研究
Pub Date : 2018-03-19 DOI: 10.29422/JOCEM.2018.01.005
Wenli Li, Z. Duan, Qi Yu
taking SCI theses of 59 academicians of Chinese Academy of Sciences in the field of biomedicine for research objects, adopting thescientific metrology and social network analysis to study the cooperative relationship of the academicians' papers. The results show that thecollaborative network of academicians' theses is based on a fixed small group network and does not form a whole and connected network.The form of cooperation is based on internal and domestic cooperation, and international cooperation with the United States is the mostfrequent. Biochemistry and molecular biology are the most important and active leading disciplines in their scientific research activities.Computer science and life sciences are closely interacted, and the role of intermediary bridge is becoming increasingly prominent. Theresults suggest that although the academician's scientific cooperation is keeping up with the times, the breadth and depth of its internationalcooperation need to be further deepened. The leading disciplines need further integration and continue to strengthen disciplinary cooperation.
以59位中国科学院院士在生物医学领域的SCI论文为研究对象,采用科学计量学和社会网络分析对院士论文的合作关系进行研究。结果表明,院士论文协作网络建立在一个固定的小团体网络基础上,没有形成一个完整的、相互联系的网络。合作形式以内部合作和国内合作为主,与美国的国际合作最为频繁。生物化学和分子生物学是其科研活动中最重要、最活跃的主导学科。计算机科学与生命科学密切互动,中间桥梁的作用日益突出。结果表明,院士科研合作虽然与时俱进,但其国际合作的广度和深度还有待进一步深化。优势学科需要进一步整合,继续加强学科合作。
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引用次数: 1
The Column Setup of International Famous Medical Journals and the Enlightenment to Chinese Medical Journals 国际著名医学期刊栏目设置及对中国医学期刊的启示
Pub Date : 2018-03-19 DOI: 10.29422/JOCEM.2018.01.001
Xuan Gao, Zi-hong Zhong
Objective: This paper aims at exploring the column setup and content characteristics of the four famous medical journals including BMJ(British Medical Journal), JAMA (The Journal of the American Medical Association), NEJM (New England Journal of Medicine), and TheLancet. Methods: The column setup and content were analyzed by looking through the four medical journals one by one. The total issueswere 101 including 26 issues of BMJ, 24 of JAMA, 26 of NEJM and 25 of The Lancet. Findings: Every issue of the four journals consistsof a dozen columns: fixed and non-fixed columns. Various kinds of papers were published based on various topics. These topics focused onobservations, viewpoints, correspondence and humanity. Conclusions: The setup of columns is flexible and rich in content and highlights thecharacteristics and principles of publication.
目的:探讨英国医学杂志(BMJ)、美国医学会杂志(JAMA)、新英格兰医学杂志(NEJM)、《柳叶刀》四家著名医学期刊的栏目设置及内容特点。方法:通过逐一查阅四种医学期刊,分析栏目设置和内容。共计101期,其中BMJ 26期,JAMA 24期,NEJM 26期,The Lancet 25期。发现:四种期刊每期有十几个栏目:固定栏目和非固定栏目。根据不同的主题发表了各种各样的论文。这些主题集中在观察、观点、通信和人性。结论:栏目设置灵活,内容丰富,突出了出版的特点和原则。
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引用次数: 0
A Study on the influence of left non-dominant arm PICC catheter on complication 左非优势臂PICC导管对并发症影响的研究
Pub Date : 2018-03-19 DOI: 10.29422/jocem.2018.01.002
Yuwei Wang, Xiao Hu
Objective: To study the effect of peripheral left ventricular central catheter (PICC) on the left arm in the treatment of complications.Methods: patients underwent PICC catheterizations from June 2015 to July 2016 were divided into control group and experimental groupin chronological order. The control group preferred right hand catheterization, the experimental group preferred left hand, and comparisonswere made between the two groups after catheterization . Results: The incidence of jugular venous ectopic in the control group was higherthan that in the experimental group which is statistically significant (P 0.05). There was significant difference in patients’satisfaction between the two groups (P <0.05). Conclusion: PICC insertion with the left arm of the preferred choice does not increase the riskof complications and reduces the risk of ectopic jugular. The non-dominant hand catheter can effectively reduce patients’ inconvenience ofdaily life and improve the comfort of patients.
目的:探讨外周性左室中心导尿管(PICC)在治疗左臂并发症中的作用。方法:将2015年6月~ 2016年7月行PICC置管术的患者按时间顺序分为对照组和实验组。对照组首选右手置管,实验组首选左手置管,置管后两组比较。结果:对照组颈静脉异位发生率高于实验组,差异有统计学意义(P < 0.05)。两组患者满意度比较,差异有统计学意义(P <0.05)。结论:PICC置入左臂不增加并发症风险,降低颈静脉异位风险。非显性手导管可有效减少患者日常生活的不便,提高患者的舒适度。
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引用次数: 0
Cause analysis and nursing countermeasure of misdiagnosis of PICC catheter internal carotid vein in 32 cases PICC导管颈内静脉32例误诊原因分析及护理对策
Pub Date : 2018-03-19 DOI: 10.29422/jocem.2018.01.003
Yuwei Wang, Xiao Hu
Objective: To analyze the causes of missed diagnosis and improve nursing countermeasures in patients with PICC catheterization of internaljugular vein. Methods: We conducted a retrospective study of 32 patients who weren’t diagnosed ectopic catheterizations of internal jugularvein until they had X-ray examinations after ultrasound guided PICC catheterization. We analyzed the reasons of missed diagnosis to providea certain guidance for clinical practices. Results: The missed diagnosis of ectopic catheterizations of internal jugular vein were caused bysmall exploratory area of internal jugular vein, improper usage of ultrasonic probe, operation step missing, variations of veins and so on. Thefirst two reasons are the main factors. Conclusion: In order to reduce the occurrence of missed diagnosis of ectopic PICC catheterizations ofinternal jugular vein, the operators should expand the exploratory area of internal jugular vein, use the ultrasonic probe correctly, improve theoperation level, follow the operation procedure strictly and evaluate patients’ preoperative situations carefully. If all the measures above aretaken, we can assuredly reduce the rate of missed diagnosis of ectopic PICC catheterizations of internal jugular vein.
目的:分析颈内静脉PICC置管的漏诊原因,提出护理对策。方法:回顾性分析32例经超声引导PICC置管后行x线检查才被诊断为颈内静脉异位置管的患者。分析漏诊原因,为临床实践提供一定的指导。结果:颈内静脉异位置管漏诊主要是由于颈内静脉探查面积小、超声探头使用不当、手术步骤缺失、静脉变异等原因。前两个原因是主要因素。结论:为减少颈内静脉异位PICC置管术的漏诊率,术者应扩大颈内静脉探查面积,正确使用超声探头,提高手术水平,严格按照手术流程操作,认真评估患者术前情况。如果采取以上措施,一定可以降低颈内静脉异位PICC置管的漏诊率。
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引用次数: 0
Biological properties of Cistus species 山竹属植物的生物学特性
Pub Date : 2018-01-01 DOI: 10.15584/EJCEM.2018.2.8
A. Stępień, D. Aebisher, D. Bartusik-Aebisher
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引用次数: 25
Fundamentals of the use of Berberis as a medicinal plant 小檗作为药用植物的基本原理
Pub Date : 2018-01-01 DOI: 10.15584/EJCEM.2018.1.7
Zuzanna Bober, A. Stępień, D. Aebisher, Ł. Ożóg, D. Bartusik-Aebisher
Introduction. The daily use of medicinal plants has increased in recent years. The study of drugs of natural origin as an academic discipline and its applications in healthcare has changed remarkably but still focus on the quality of products and the development of new medicines. Aim. This study covers all fundamental aspects of pharmacognosy as well as topics relating to the therapeutic use of plant drugs known as phythotherapy. The purpose of the study was to review the literature about the use of Berberis. Materials and method. We reviewed the literature regarding the use of Berberis published between 1933 and 2018. We found more than 500 articles studying the properties of Berberis for digestive disorders, antibacterial, antidiabetic, hypotensive effects, anti-inflammatory effects, cholesterol regulation, cardiovascular disease, hyperlipidemia, cerebral ischemia trauma, mental disease, Alzheimer disease and osteoporosis. Our review includes recent studies regarding chemical composition and medicinal outcomes of Berberis.
介绍。近年来,药用植物的日常使用量有所增加。天然药物的研究作为一门学科及其在医疗保健中的应用已经发生了巨大的变化,但仍然侧重于产品质量和新药的开发。的目标。本研究涵盖了生药学的所有基本方面,以及与植物药物治疗用途有关的主题,即植物疗法。本研究的目的是回顾有关小檗使用的文献。材料和方法。我们回顾了1933年至2018年间发表的关于小檗使用的文献。我们找到了500多篇文章,研究了小檗在消化系统疾病、抗菌、降糖、降压、抗炎、胆固醇调节、心血管疾病、高脂血症、脑缺血创伤、精神疾病、阿尔茨海默病和骨质疏松症方面的特性。本文综述了小檗的化学成分和药用效果的最新研究。
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引用次数: 8
The significance of NGAL and KIM-1 proteins for diagnosis of acute kidney injury (AKI) in clinical practice NGAL和KIM-1蛋白在急性肾损伤(AKI)诊断中的临床意义
Pub Date : 2018-01-01 DOI: 10.15584/ejcem.2018.1.4
Tomasz Kubrak, R. Podgórski, D. Aebisher, A. Gala-Błądzińska
Introduction. Despite advances in medical care AKI (acute kidney injury) is associated with high morbidity and mortality. The lack of adequate early renal injury biomarkers is often a problem for an early AKI diagnosis. In recent years, numerous scientific studies have been carried out which reveal new urine and serum markers to assess the period of the kidney injury before revealing its late clinical effects. In most clinical settings, AKI is due to acute renal tubular necrosis which results in protein accumulation in urine. Determination of the concentrations of proteins such as NGAL (neutrophil gelatinase-associated lipocalin) and KIM-1 (kidney injury molecule-1) are of great significance in the diagnosis of AKI. Aim. The purpose of the study was to review the literature about significance of NGAL and KIM-1 proteins for diagnosis of acute kidney injury (AKI) in clinical practice. Materials and method. Analysis of Polish and foreign literature.
介绍。尽管医疗保健取得了进步,但急性肾损伤(AKI)仍与高发病率和死亡率相关。缺乏足够的早期肾损伤生物标志物通常是早期AKI诊断的一个问题。近年来进行了大量的科学研究,揭示了新的尿液和血清标志物来评估肾损伤的时间,然后揭示其后期临床效果。在大多数临床情况下,AKI是由于急性肾小管坏死导致尿中蛋白质积聚。检测中性粒细胞明胶酶相关脂钙蛋白(NGAL)、肾损伤分子-1 (KIM-1)等蛋白的浓度对AKI的诊断具有重要意义。的目标。本研究的目的是回顾NGAL和KIM-1蛋白在临床诊断急性肾损伤(AKI)中的意义。材料和方法。波兰和外国文学分析。
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引用次数: 3
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临床和实验医学杂志
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