ABSTRACT
Objective:To explore the countermeasure of strengthening the electronic archives construction of digital medicine in medical industry so as to impel the establishment of electronic archives of digital medicine.Methods: The current situation and improvement of electronic files of digital medicine in medical industry are discussed and the countermeasure in the construction of electric archives of digital medicine was strengthened through analyzing the important role of medical electronic files in the development of hospitals and the existed insufficient in medically electronic file management.Results: The existed shortcomings in the management of medically electronic archives mainly included the lack of precise elaboration and accountability in the existed management system of medically electronic archives, the lack of professional electronic archivists and the hardware facilities should be improved in the management of electronic archives. The countermeasures of strengthening the construction of electronic archives of digital medicine in the medical industry mainly included that improving the management of electronic archives, improving the quality of managers, synchronizing the management of hospital electronic documents and paper documents, strengthening the technical maintenance for electronic archives, increasing the capital investment of electronic archives management and improving the storage of electronic files.Conclusion: Strengthening the construction of electronic files of digital medicine in medical industry is imperative. In order to improve the quality of electronic files, the existed problems in management measures should be clarified and corresponding countermeasures that aimed at problems should be formulated to solve the problems.
ABSTRACT
Objective To investigate the effect of asymmetric lumbar discectomy on facet joint force and stability of lumbar spine. Methods Seven human cadaver specimens (L2-3 segment) were selected to make intact, 1/4 discectomy and 1/2 discectomy status and applied with pure moment of 7.5 N•m. The range of motion (ROM) and facet joint force of L2-3 segment during flexion/extension, lateral bending and axial rotation were recorded, respectively. Results During extension, a significant increase in facet joint force was found under 1/4 discectomy status at the remained side. During lateral bending, the facet joint force at both sides under 1/2 discectomy status increased significantly than that under intact status. During axial rotation, facet joint force increased significantly only at the side without discectomy under 1/2 discectomy status. Except flexion, ROM under 1/4 discectomy and 1/2 discectomy status were larger than that under intact status in all the other motion directions (P<0.05). There was no significant difference in ROM between both sides during lateral bending and axial rotation direction. Conclusions The asymmetric lumbar discectomy can increase the ROM in all motion directions except flexion, and can enlarge the facet joint force asymmetrically, which indicate that instability of lumbar spine and facet joint force increasing resulted from asymmetric degeneration of the disc might lead to backache.