Web Services技术在新农合系统接口中的设计与实现

介绍分布式模块化组件Web Services技术,分析用Web Services设计四川省新型农村合作医疗信息系统接口程序的可行性方案,简要描述基于Web Services的接口程序在系统中的具体实现.     

PACS系统Web浏览器的构建

结合PACS系统的特点．分析PACS系统Web方式浏览的体系结构和实现模式．确立在B／S模式下用JSP方式实现PACS系统的Web访问．并给出实现的过程。     

基于Web Service的PACS与“军卫一号”系统集成

目的：设计一种基于Web Service的PACS与“军卫一号”系统集成方案。方法：提出基于Web Service的PACS与“军卫一号”系统的集成框架,创建基于“军卫一号”的Web Service并进行服务调用。进行集成时,以门诊检查为例,实现PACS调用Web Service的流程。结果：基于Web Service的系统集成方案,避免了传统解决方法中对“军卫一号”数据库相关表的直接操纵,实现了医院内信息的无阻流通。结论：无论是门诊、住院、体检系统都能实现PACS信息的有效传递与共享,使得“军卫一号”系统提供的信息得到了最大程度的共享。     

基于Web服务的DICOM应用实现

本文主要描述了通过Web访问DICOM持久型对象的实现方法和运行机制,并在此基础上提出了一个基于Web服务的DICOM应用运行模型。     

基于Web的野战医疗所影像传输管理系统的设计

目的:设计建立基于Web的野战医疗所影像传输管理系统。方法:结合DICOM(digital imaging and communications in medicine)标准中的WADO(Web access to dicom persistent object),改进传统C/S结构的医学影像存档与通信系统(picture archiving and communication system,PACS)为B/S结构,运用相关软件搭建Web服务器和PACS服务器的Web接口,并编写客户端的Applet,以实现在浏览器中对DICOM医学影像的处理调阅。结果:改变了传统PACS结构,实现了基于Web的影像传输管理。结论:B/S结构的影像传输管理系统完善了C/S结构PACS的不足之处,可有效解决众多PACS的数据融合问题,并对军队医院实现远程会诊的实效性具有重要意义。     

一种基于Web技术的简易PACS系统的构建与研究

在PC客户机嵌入Applet Viewer Java程序,通过网络浏览器访问Web服务器,并通过Web服务器查询和提取存储在DICOM服务器中的医学图像,实现图像浏览、查询及远程诊断。     

期刊网络化编审管理系统的设计与实现

介绍了运用ASP(Active Server Pages)技术和Web浏览器／Web服务器管理模式(B／S模式)、以Access数据库为后台支持编程实现的基于网络的具有作者、编辑、专家等多方远程互动交流和时实交流平台的组稿编审管理系统,叙述了该系统的设计思想和功能实现。     

基于Web服务的放射科计费与影像查询系统

目的为方便患者就医,杜绝放射科漏费、逃费现象,实现影像归档和通信系统（PACS）影像的Web查询。方法采用面向服务架构及ASP.NET技术,设计并实现了基于Web服务的放射科计费与影像查询系统。结果本系统以Web服务形式为顶层应用提供影像查询功能,便于PACS影像应用的开发和集成。该系统投入使用后,有效地缩短了医生的开单时间,减少了患者就医环节。结论该系统功能完整,实用性强。     

<医疗卫生装备>光盘版的电子化实现途径

电子化是当代学术期刊的发展潮流,介绍了本刊光盘版的实现途径.重点论述了通过Web风格的超文本链接实现全文浏览及利用VB编程实现全文检索的方法.     

应用JSP实现职业卫生法规标准体系信息发布与共享

随着网络信息技术尤其是动态网页技术的不断发展 ,单纯使用HTML、JavaScript等语言建立的静态Web站点已经无法适应各级组织对信息发布的要求。应用动态网页技术 ,制作动态Web站点不仅能为客户提供所需的信息 ,还提供各种服务 ,包括个性化搜索、收发Email、网上教育、网上咨询等。动态网页技术是将编写的动态页面保存在Web服务器内 ,当客户端用户向Web服务器发出访问动态页面的请求时 ,Web服务器将该页面提交给相应的解释引擎 ;解释引擎扫描整个页面找到特定的定界符 ,并执行位于定界符内的脚本代码以实现不同的功能 ,最后把执行结果返…     

ACCESS: Keystones for School Health Promotion

This article provides a perspective on the three elements that traditionally constitute school health programs in the U.S. and describes a new model called ACCESS. Consisting of five major keystones, ACCESS provides an organizational structure for planning, implementing, and evaluating school health promotion programs. In addition, the model provides a reference point for international comparisons of school health.     

Cost-effectiveness analysis of influenza vaccination for people aged 65 and over in Japan

In 2001, Japan launched a national influenza immunisation program for the elderly which provides a subsidy. In order to evaluate the efficiency of the strategy taken in this current program which provides 71% subsidy for all and explore alternative strategies, authors carried out a cost-effectiveness analysis. Authors compared strategies with different levels of subsidy and the use of risk-base targeting by constructing a decision tree model based on the literature. Incremental cost-effectiveness ratios of alternative strategies were estimated deterministically and probabilistically from societal perspective. Probabilistically estimated mean incremental cost-effectiveness ratio of current strategy is US$ 15,535 per YOLS, which can be concluded that current program is cost-effective. Authors also conclude that switching from current strategy to strategy which provides 100% subsidy for all, or strategy which provides 100% subsidy for high-risk elderlies only, can be cost-effective as well.     

Is variation management included in regional healthcare governance systems? Some proposals from Italy

The Italian National Health System, which follows a Beveridge model, provides universal healthcare coverage through general taxation. Universal coverage provides uniform healthcare access to citizens and is the characteristic usually considered the added value of a welfare system financed by tax revenues.     

Assessing and changing medical practice culture

Your medical practice has an existing culture that manifests itself daily in literally hundreds of ways. Some aspects of your culture likely support your practice's growth; others may be impeding your progress. This article describes the characteristics of medical practice culture and provides numerous examples of how culture influences behavior. It describes how culture is expressed in a medical practice through objects and artifacts, language, emotions, interactions, practice management systems, and daily work habits. It offers three techniques for assessing an existing medical practice culture and a checklist for conducting culture observations. This article also provides guidelines for identifying a desired medical practice culture and explores why changing culture is so difficult. It describes five reasons employees are likely to resist culture change and provides 12 fundamental changes that will enable a practice to improve its culture. Finally, this article explores how medical practice cultures are formed and perpetuated and provides more than a dozen questions to ask employees in a culture survey.     

Tutorial: chaos theory--a primer for health care

Chaos theory, also called nonlinear systems theory, provides new insights into processes previously thought to be unpredictable and random. It also provides a new set of tools that can be used to analyze common administrative and clinical data. This tutorial provides an introduction to chaos theory. Subsequent articles will address applications of those principles to the administrative activities of health care organizations, implications of those principles for clinical data, and application of chaos theory concepts to our understanding of organizational dynamics.     

喂养困难与饮食行为问题

婴幼儿喂养涉及儿童、喂养者及喂养环境三者之间交错的复杂作用。本文根据国内外已有的关于喂养困难与饮食行为问题的研究进行综合描述,为妇幼保健机构有针对性地进行和制定喂养困难的干预措施提供理论依据。     

Evidence in support of attitudes to shape and weight as a diagnostic criterion of bulimia nervosa

DSM-III-R provides a persistent over concern with body shape and weight as a necessary criterion for the diagnosis of bulimia nervosa. This paper provides a theoretical argument insupport of retaining this criterion. Initial empirical studies using a structured interview to assess weight and shape concerns, support the value of this criterion as well.     

Oral manifestations of systemic diseases

In the clinical examination for systemic diseases, inspection of the oral cavity is often overlooked. This area provides a wide array of clinical signs that may help the clinician establish a diagnosis. This article provides a summary of the more common oral manifestations of systemic disease.     

Integrating disclosure,patient safety and risk management activities

National Quality Forum safe‐practice guidelines encourage hospitals to integrate disclosure, patient safety and risk management activities. Combining collaborative law with a patient safety program in a parallel process makes it possible to achieve this integration. This combination provides for physician‐led guidance in determining whether disclosure is required — and, if so, provides mentor assistance with actual disclosure. It offers proactive error prevention by offering a means to quickly utilize information to make safety changes. Additionally, the combination provides an opportunity to access collaborative law at a time when it is still possible to resolve issues without resort to litigation.     

Best Interests,Public Interest,and the Power of the Medical Profession

This article provides an understanding and defence of 'best interests'. The analysis is performed in the context of, and is informed by, English law. The understanding that develops allows for differences in values, and is thus argued to be appropriate in a pluralist liberal system. When understood properly, it is argued, best interests provides the best means of decision-making for people deemed incompetent to decide for themselves. It is accepted that some commentators are cynical of best interests in practice. Following an assessment of some of their principal concerns, it is suggested that best interests in fact provides a construct that is both defensible and desirable.