数字签名技术在医院电子病历中的设计与应用

为推进病历数字化发展,并确保其信息的安全性,将以HIS电子病历系统为基础,采用安信数字签名技术和PKI或PMI系统搭建相信并加以任用的授权服务,经过针对实际的PKC和CA的确认、委托与管控构建整体的数字签名平台,完成电子病历数字签名功能设计,以加强电子文件的完整性、真实性和不可抵赖性。最后以某医院的XML结构化的电子病历系统为基础进行项目实施,完成了医护人员通过HIS的快速身份认证,和准确地数字签名。     

Manipulating user resistance to large-scale information systems through influence tactics

This study examines how influence tactics can be used to manipulate user resistance and subsequent usage behaviors in the context of large-scale, newly implemented information systems (IS). To do so, we integrate the theory of interpersonal influence and leadership, adaptive structuration theory, and the literature on user resistance and behavioral IS theories, and develop a comprehensive theoretical model anchored in (a) social influence tactics, (b) IT artifact perceptions, and (c) user resistance and subsequent behaviors. The resultant theoretical model explains how influence tactics modulate user perceptions, user resistance to the system, and ultimately the unfaithful use of the system. This model is tested in the context of an electronic medical record (EMR) system implementation, with a sample of 442 clinicians who were exposed to various influence tactics and with the use of SEM techniques. The results indicate that certain influence tactics are beneficial in reducing user resistance while others can unintentionally increase resistance. Resistance, in turn, drives adaptive user behaviors in the form of unfaithful use of the system. Thus, it is possible to manipulate resistance and resultant adaptive behaviors through influence tactics, without necessarily altering the IT artifact. This is particularly important, as many off-the-shelf IT artifacts cannot be substantially modified.     

电磁铆接工艺在机翼整体油箱上的应用

针对锤铆、压铆工艺存在的不足,通过干涉量分布、疲劳寿命和气密耐久性等试验对几种典型铆接工艺进行对比,表明电磁铆接工艺不仅保证了较高的疲劳寿命,改善了劳动条件,提高了生产效率,而且能较好地满足气密性要求。在此基础上,制作了油箱试验件,测得实际检漏条件下的各漏源的漏率不大于10 -6 Pa．m3/s.该研究对于提高机翼整体油箱的制造质量具有重要应用价值。     

Revising the Emergency Management Requirements for new generation reactors

The paper presents the application of a new risk-informed methodology for the identification of the Emergency Management Requirements (EMR) to a Generation II, Large size Reactor and a Generation III+ Small Modular Reactor.The results obtained in this test case demonstrate that the actual EMR is conservative, as expected, for the GenII reactor, while the new methodology could be applied for the definition of EMRs for the new generation Nuclear Power Plants, with a possible reduction of the emergency area without loss of safety level.By adopting both probabilistic and deterministic approaches, the study addresses possible accidents and corresponding release scenarios for the two types of reactor, calculates the areas where the accidents have an impact on the population and defines the new EMR considering the health effects on the population.     

电解TiO2提取钛的研究进展

自剑桥大学D J Fray等人发表以TiO2直接电解提取钛（即FFC法）的论文后,研究由氧化物直接电解制取钛成为热潮.根据国内外已发表的相关研究论文,结合重庆大学的研究成果,对电解法制取钛的研究进展进行简要总结.     

基于XML 的电子病历系统

文章针对传统病历书写中存在的医疗信息传递慢,历史病历调阅繁琐等问题,提出并实现了基于XML技术的电子病历系统设计方案。该系统作为临床信息数据的载体,以患者诊疗信息为主线,借助Web Services开发平台,集成了医嘱、医技、护理及传染病报病等信息,实现了数据查询与集成。本系统克服了传统手写病历管理只重病历的终末监控的问题,强化了对病历的多点、多方位监控。     

Crystallization characteristic of glass-ceramic made from electrolytic manganese residue

Electrolytic manganese residue (EMR) is a waste from electrolytic manganese industry that contains high concentration of toxic substances. Since the EMR disposal in landfill sites has a serious environmental impact, new ways of EMR utilization are being sought. Considering the melting of EMR to a glass at high temperature was a relatively less energy-intensive process, EMR was first made into a base glass and then the ground base glass was heat-treated in a certain procedure to make a glass-ceramic and the crystallization process was studied. It was determined by X-ray diffraction (XRD) that the primary crystalline phases of the EMR glass-ceramic were diopside and anorthite, which formed the surface crystallization mechanism with a crystallization activation energy of 429 kJ/mol. Scanning electron microscopy (SEM) observation showed that a layer of small spherical particles with an average size of about 0.5 μm were covered on the glass matrix surface, and among them there were some big particles. The low melting temperature and crystallization activation energy make it promising to reuse EMR for glass-ceramic production.     

电、磁流变及电磁复合流变测试装置

根据两个相对运动的平行板的流体处于简单剪切流状态的原理，设计制作了滑动平板式多功能流变体屈服应力测试装置．该装置用步进电机驱动，用单片机对步进电机进行精确定位和调速，并且由力传感器和应变仪来测量切应力数值,可以分别用于电流变液、磁流变液以及电磁流变液的测试．测试结果说明，该装置测量各种流变液都是有效的和实用的，且能保证一定的测量精度．     

基于Hl7的电子病历系统信息共享模型研究

网络互联和数据的共享已成为医疗卫生信息化的发展趋势,电子病历的应用是卫生信息化建设和达到信息共享目的的关键。本文提出了基于HL7技术的电子病历系统信息共享模型,通过HL7接口引擎将医院的电子病历信息集中到数据中心,实现了电子病历的共享。     

Effects of electrolytic manganese residue (EMR) to co-sintering mechanism of ceramic aggregate

The influences of co-sintering temperature on the physical properties of EMR (electrolytic manganese residue) ceramic aggregate were investigated over the gradient of co-sintering by EMR, CFA (coal fly ash), and P (perlite) that were used as raw materials. Seven EMR samples were prepared to sinter at different temperatures that were decided by the data of a thermal mass spectrometer, and four ceramic aggregate embryos were sintered at 1120, 1140, 1160, and 1180°C. The mechanisms of co-sintering temperature action on performance were determined by means of X-ray diffraction and scanning electron microscopy with energy-dispersive X-ray spectroscopy. The optimal temperature of 1160°C and the temperature increment lead to an enhancement of cylinder compressive strength and a damping of 1-h water absorption, softening coefficient, and grain shape coefficient was discovered. Gypsum of EMR dissolved and exhausted gas during co-sintering resulted in CaO. The crystalline transformation of wollastonite and gehlenite produced anorthite, which boosts the strength of aggregate and the content of anorthite, was proportional to the co-sintering temperature and the pressure strength of cylinder. The liquid phase of “overfiring”-coated crystal contributed to the further improvement of strength, but the aggregate sphere deformation generated a reduction of comprehensive performance. The formation of bustamite calcian in co-sintered ceramic aggregate realized the solidification of Mn, and the solidification rate of leaching toxicity test was 99.92%, and the absence of radioactivity was demonstrated.