利用“net”命令实现文件自动更新

目的：为及时更新客户端数据,减轻信息科工作人员的工作量,实现局域网内文件自动更新。方法：利用DOS命令“net”,将局域网上共享更新程序文件夹映射到本地,根据数据库相应表中需更新的文件,逐一将共享文件复制到本地相应文件夹中。结果：实现文件自动更新。结论：减轻信息维护人员的工作量,提高了工作效率,保证更新程序的快捷正确,避免错误发生,保证自动更新的统一同步执行。     

“军卫一号”客户端软件自动升级的设计与实现

目的：彻底解决在客户／服务器模式下军卫系统中软件不能自动更新的问题。方法：客户端直接登录数据库服务器,查询表中是否有新程序,下载到本地客户端,然后运行客户程序。结果：不仅完成了程序的自动升级,解决了升级完成后程序的自动启动．并且可同时完成相应多个附加程序的升级。结论：程序的自动升级大大减少了工程师的维护量,减少了差错,提高了工作效率。     

应用活动目录加强医院网络管理

目的：解决当前医院信息化建设中网络管理所面临的突出问题。方法：应用Windows活动目录对医院网络内的客户端和用户进行规划组织，通过设置用户类型、下发组策略等方式对医院网络内客户端和用户进行灵活地配置管理。结果：应用活动目录可对医院网络内客户端和用户进行统一、灵活、安全的管理。结论：应用活动目录提高了对医院网络的管理水平，具有广阔的应用前景。     

SAS/IntrNet功能简介及初步应用

目的介绍统计分析软件(statistical analysis system,SAS)网络化模块(SAS/IntrNet)的基本功能并应用于医学实际。方法应用SAS/IntrNet远程调用SAS程序进行在线分析,从客户端获取参数通过网络传递给服务器端的SAS程序进行分析,并反馈结果给客户端。结果利用SAS/IntrNet程序处理流程和相关配置文件,成功地实现了在线膳食暴露评估分析实例,使得用户可以在不安装SAS软件的情况下方便地通过网页进行在线SAS统计分析。结论利用SAS/IntrNet模块实现SAS网络化应用,可使不甚了解SAS编程的使用者通过友好的访问界面即可实现SAS的在线统计分析,大大提高了SAS系统信息共享的能力。     

改进的药品便捷输入法在“军卫一号”上的应用

目的：设计一种药品便捷输入法。方法：在数据库中新建2个表存放便捷输入码及用户等信息,增加相关触发器,并采用PowerBuilder语言进行输入法配置程序开发。结果：成功改进了＂军卫一号＂中药品名称输入法。结论：该输入法的特点是由医生自定义药品输入码,方便快捷,极具灵活性和人性化。     

HIS系统客户端软件自动更新实现

软件版本的自动更新功能对于管理信息系统的开发和维护有着十分重要的作用和意义,针对目前HIS系统主要采用客户端/服务器（C/S）模式、软件更新不是太方便的实际问题,本文详细讲述了C/S模式下软件自动更新系统从设计到实现的过程,该软件具有较强的实用性。     

放疗网络社区的构建及临床应用

目的探讨放疗患者网络社区的构建与临床应用。方法网络社区设计采用ASP语言，以SQL Server 2000为数据库，使之具有界面友好、结构灵活、智能化、易交互等特点。结果所研制的网络社区系统包括七大模块：数据库管理模块、远程随访模块、放疗模块、检索模块、打印模块、信息发布模块、肿瘤社区模块。该社区能使患者及时了解最新的医疗动态以及自身的病情，并获得医生的帮助；同时也使医生能够随时掌握病人情况，获取第一手的临床资料。结论网络社区可使医患关系更加密切，随访更加便捷，医疗资源得以共享，有利于开展多中心的临床研究，提升肿瘤治疗水平。     

基于JSP的医疗设备维护信息系统的功能及应用

目的：开发《医疗设备维护信息系统》软件。方法：基于JSP语言,构建了后台管理、客户端查询模块和数据挖掘模块,提出了‘设备病历’的概念。结果：系统的使用提高了设备管理与维护水平。结论：该系统中数据挖掘技术的应用对于设备管理决策支持有重要意义。     

基于Socket套接字的医学信息传送模块的设计与实现

目的：提高数字化影像系统的检索速度、传送效率以及改变传统影像保存的缺陷,提高临床影像诊断质量。方法：设计基于Socket套接字的多线程的医学信息传送模块,通过实现多个线程并行工作而提高程序的运行速度,并实现图像、文件等各类资源的快速传输。结果：将基于Socket套接字的医学信息传送模块运用于医院各科室以及远程医疗系统的各个方面,提高了医学信息传输速度,节省了传输时间和资金。结论：基于Socket套接字的医学信息传送模块的利用可以对医院医学影像资源进行有效管理和充分利用。     

基于智能手机的生理信号传输系统设计

目的：开发出能在智能手机上安装的生理信号传输程序。方法：采用Java平台设计,综合蓝牙连接、网络连接、文件读写、图形显示等功能。结果：程序可在手机上安装、运行,并达到将生理信号数据传送至服务器的功能。结论：采用该生理信号传输系统使得生理信号的传输可通过基于民用的GPRS网络传输,成本低廉,硬件局限性小。     

A collaborative approach to program evaluation of community-based teen pregnancy prevention projects

The purpose of this article is to demonstrate a model for collaboration between program providers and program evaluators. The article describes how university-based evaluators, a state health department, and local program providers collaborated to evaluate 12 projects implementing commercially developed teenage pregnancy prevention (TPP) programs in school settings. Approximately 2,200 students participate annually in the programs. Program evaluation staff and local program providers worked together to construct logic models that helped guide the intervention and evaluation design. The local providers also participated in training sessions, conducted by the evaluation team, to increase their understanding and skills related to program evaluation methods. Student-level outcomes related to knowledge, attitudes, skills, behaviors, as well as an assessment of curricula fidelity were included in the evaluation. The result of this collaborative model has been a quality program evaluation for the projects while maintaining community input regarding program improvements that reflect local population needs.     

局域网内软件的自动更新

目的：实现局域网内基于C/S架构开发的软件的自动更新与维护。方法：基于现有软、硬件开发平台,采用PowerBuilder进行开发,在不改变原有局域网内软件系统的前提下,编写一个能够判断该软件是否需要自动更新的程序。结果：局域网内各客户终端运行该程序时如果发现软件系统需要更新,则自动对该软件进行更新。结论：采用该方法大大减轻了软件的后期维护、升级工作,提高了工作效率和准确性。     

The New Hampshire public health network: creating local public health infrastructure through community-driven partnerships.

In 1997, under the auspices of the Turning Point program, New Hampshire's public health stakeholders convened a strategic planning process to transform the state public health system. What emerged was a fundamental vision that the public health system could only be improved by strengthening the capacity of local communities to address local health issues. A plan was developed to create regional public health structures, in areas with no local health departments, to deliver essential public health services at the local level. Seven years later, that plan has become the New Hampshire Public Health Network. The network now covers 67% of the New Hampshire population and includes 113 (48%) cities and towns. Pre- and postevaluations to assess local public health infrastructure at the inception of the program and following 2 years of funding and technical assistance showed significant improvement in local public health capacity and performance. This article describes the development of local public health structures in New Hampshire where none had previously existed.     

Computer Simulation of Hospital Patient Scheduling Systems

A method of analyzing alternative systems of scheduling hospital admissions by means of a computer simulation is described. The simulation is divided into three programs, dealing sequentially with requests for admission, scheduling, and evaluation of costs of three basic scheduling systems and using the output of each phase of the simulation as input to the following phase. The feasibility of using the scheduling program in a real-time automated patient-scheduling system is discussed, with indications of adaptations required and additional functions that could be handled by the system.     

ProMED global monitoring of emerging diseases: design for a demonstration program

The emergence and reemergence of infectious diseases, as the result of recent and ongoing social and environmental changes, urgently calls for a global surveillance system, so that unusual outbreaks can be recognized and controlled at an early stage. ProMED, an international non-governmental group of infectious disease experts, was organized by the Federation of American Scientists to promote the establishment of a global Program to Monitor Emerging Diseases. ProMED proposes the establishment of a demonstration program by prioritizing a small number of strategically-located institutions in the developing world, mainly those least in need of upgrading, for development as sentinel centers. In this way a functional, although limited, network with capabilities for monitoring both endemic and emerging diseases could be rapidly established at minimal cost. The network would serve as an experimental model for future expansion. Initially, each center would develop its own local/regional network with which it would exchange information and assistance, and through which it would collect clinical data and specimens for monitoring the emergence of a limited number of defined syndromes. A central program office would provide protocols, assistance, training, quality assurance, communications, etc. and would coordinate fundraising and program activities. If successful, the syndromes monitored would be expanded and additional institutions strengthened to become new network centers.     

不同结核病控制项目的边际投入与产出分析

该文对不同结核病控制项目进行了边际投入与产出分析,以项目投入和当地配套资金作为在常规结防工作以外的边际投入,以涂（菌）阳结核病人发现率和发现人数干预前后的变化作为边际产出指标。结果显示,在世行项目每年每县每1万元的边际投入可多发现10.01%和23名涂（菌）阳结核病人;在卫生部项目每年每县每1万元的边际投入可多发现2.38%和9名涂（菌）阳结核病人。     

艾滋病防治国际合作项目资源配置分析

目的 了解中国艾滋病防治国际合作项目投入状况以及影响因素,为国际合作项目资源分配提供决策依据.方法 收集中央和各省2000-2006年国际合作项目资源与分配相关数据,选择各省GDP、艾滋病病毒感染者和艾滋病患者(HIV/AIDS)数作为影响国际合作项目投入的因素,通过多因素回归分析计算他们与国际合作项目投入经费数量的相关性,在此基础上计算了各省需求Z值并与国际合作项目投入状况进行了比较.通过卡方检验计算艾滋病防治国际合作项目与中央经费在不同防治领域投入的一致性.结果 2000-2006年国际合作项目投入地方的资金分别为489.30、2466.91、5056.65、5294.96、11 214.31、36 339.63和24 704.53万元;投入中央的资金分别为300.65、1972.56、2903.52、3753.00、7749.99、10 578.62和7703.54万元.各省国际合作项目的投入情况与HIV/AIDS数(R=0.56,P＜0.01)及艾滋病患者数(R=0.69,P＜0.01)的相关系数差异有统计学意义,但是与GDP之间差异无统计学意义(R=0.066,P=0.725).各省的国际合作项目投入与需求并不完全对应,广东、山东、江苏的Z值排名分别为3、5、6,而国际合作项目的经费投入排名仅为18、13、28.在监测(检测)、宣传教育干预、治疗关怀和其他领域的经费投入比例2005年中央经费分别为22.4%、19.7%、36.8%和21.1%,国际合作项目分别为11.5%、20.8%、10.4%和57.4%,2者比较差异有统计学意义(x2=35.09,P＜0.001);2006年中央经费分别为18.6%、23.8%、32.6%和25.0%,国际合作项目分别为14.0%、34.3%、17.1%和34.6%,2者比较差异有统计学意义(x2=9.26.P=0.026).说明国际合作项目与中央项目投入的侧重点不同.结论 国际合作项目应该纳入国家和项目地区的整体防治工作,结合各地的疫情流行严重程度和各地的经济发展水平确定投入的数量和领域,同时要强调国际合作项目的技术优势.     

Public Participation in the Process of Local Public Health Policy,Using Policy Network Analysis

Objectives:

To assess the current public participation in-local health policy and its implications through the analysis of policy networks in health center programs.

Methods:

We examined the decision-making process in sub-health center installations and the implementation process in metabolic syndrome management program cases in two districts (‘gu’s) of Seoul. Participants of the policy network were selected by the snowballing method and completed self-administered questionnaires. Actors, the interactions among actors, and the characteristics of the network were analyzed by Netminer.

Results:

The results showed that the public is not yet actively participating in the local public health policy processes of decision-making and implementation. In the decision-making process, most of the network actors were in the public sector, while the private sector was a minor actor and participated in only a limited number of issues after the major decisions were made. In the implementation process, the program was led by the health center, while other actors participated passively.

Conclusions:

Public participation in Korean public health policy is not yet well activated. Preliminary discussions with various stakeholders, including civil society, are needed before making important local public health policy decisions. In addition, efforts to include local institutions and residents in the implementation process with the public officials are necessary to improve the situation.     

吉林省乡级接种单位免疫规划信息系统建设现况调查

目的了解吉林省乡级接种单位免疫规划信息系统建设的现况,为开展免疫规划信息系统建设提供依据。方法所有乡级接种单位填写预防接种信息化现况调查表,采用描述性分析方法对免疫规划管理和信息系统建设相关的免疫服务、人员、设备、经费、信息化状况等相关指标进行分析。结果吉林省预防接种周期按月接种占75．85％,预防接种形式村级定点占46．77％,入户接种占40．41％;乡级防保组织人员年龄〈45岁占77．31％,从事预防接种〉3年占86．98％,但计算机操作不会的占39．15％,初级占46．93％;乡级接种单位7．23％有用于预防接种管理的计算机,5．53％使用光纤或ADSL上网,所有乡级接种单位均无用于免疫规划信息建设和管理的专项经费。结论乡级防保组织应尽快配备计算机等硬件设备,加强计算机操作培训;加大信息系统建设经费的投入,选择试点县开展免疫规划信息系统建设试点,以期摸索经验,完善系统,为最终推广奠定基础。     

MLP神经网络在子宫颈细胞图像识别中的应用

目的 探讨MLP神经网络在宫颈细胞图像识别中的应用.方法 将测量的子宫颈细胞和细胞核的27个特征量作为MLP神经网络的输入参数,利用软件STATISTICA 7.0建立网络模型,使用四种不同的算法训练网络,对700个子宫颈细胞进行分类识别,使用VC＋＋.NET语言模拟调用网络.结果 在四种算法中,使用共轭梯度法训练的MLP神经网络学习63次后,训练集识别率为98.67%,测试集识别率达到94.44%.不同算法的MLP神经网络的输入参数的敏感度排序均与细胞病理学特征基本一致.结论 使用共轭梯度法训练的MLP神经网络可以较好地对宫颈细胞特征进行分类识别,在计算机辅助诊断方面具有广阔的应用前景.