Partial lateral patellar facetectomy combined with lateral retinaculum release for treatment of patellofemoral osteoarthritis / 中华创伤骨科杂志

Objective To evaluate the clinical outcomes of partial lateral patellar facetectomy ( PLPF ) combined with lateral retinaculum release ( LRR ) for treatment of patellofemoral osteoarthritis ( PFOA ). Methods From June 2017 to March 2018, 30 PFOA patients underwent PLPF combined with LRR at Department of Orthopedics and Traumatology, Foshan Hospital of Traditional Chinese Medicine. They were 7 men and 23 women with an average age of 56.4 ± 9.7 years. Their patellar position, patellofemoral joint function, overall knee function, and quality of life were assessed by comparing preoperation and last follow-up in patellofemoral congruence angle ( PFCA ) , lateral patellofemoral angle ( LPFA ) , modified Kujala score, The Western Ontario and Mcmaster Universities Osteoarthritis Index ( WOMAC ) , and SF-12 quality of life scale. Results All the patients were followed up for an average of 7.6 ± 3.4 months ( from 4 to 13 months ). The PFCA was improved from preoperative 22.9°± 7.6°to 12.4°± 4.2°at the last follow-up, the LPFA from preoperative 3.2°± 3.7° to 12.9°± 6.0° at the last follow-up, the modified Kujala score from preoperative 17.1 ± 9.8 to 34.3 ± 5.7 at the last follow-up, the WOMAC from preoperative 14.1 ± 5.2 to 5.9 ± 1.7 at the last follow-up, the stiffness index from preoperative 5.5 ± 3.2 to 2.7 ± 1.2 at the last fol-low-up, daily functional index from preoperative 43.9 ± 9.0 to 25.2 ± 5.4 at the last follow-up, and the SF-12 scores from preoperative 31.3 ± 5.2 to 55.7 ± 6.0 at the last follow-up. All the above comparisons showed a significant difference ( P ＜0.05 ) . Conclusion PLPF combined with LRR is a minimally invasive, easy-to-master and effective knee joint preserving procedure for PFOA as it can significantly relieve joint pain and maximally keep patellar functions.

Effectiveness of complete denture repair in patients with flat alveolar ridge / 中国现代医生

Objective To investigate the value of complete denture repair in patients with flat alveolar ridge. Methods 100 patients with flat alveolar ridge from February 2015 to February 2017 were selected and divided into two groups according to the therapeutic regimen. Patients in control group were treated with the conventional complete denture repair while patients in study group were treated with the improved complete denture repair. The treatment results in patients with flat alveolar ridge of two groups were compared. Results The superior rate of masticatory function in study group after treatment (94. 00％) was significantly higher than that in control group (82. 00％) (P＜0. 05). The total satisfactory rate of denture use in study group (100. 00％) was significantly higher than that in control group (84. 00％ ) (P＜0. 05). Conclusion Improved complete denture repair in patients with flat alveolar ridge could improve the satisfactory rate of patients effectively, and also improve the masticatory function and fixation effect. It was with high value of application.

Transaction log and its analysis applied to hospital information security / 医疗卫生装备

Objective To study transaction log and apply its analysis to hospital information security to prevent data loss and treat abnormal data.Methods The application of transaction log was described in log backup and database recovery,and the optration of log analysis was explored in HIS.Sqlplus and Ftp tools in Oracle were used to analyze the transaction log.Results The tracking and analysis of the log files contributed to making clear the incident,finding program bug,getting back lost data.Conclusion Log backup,database recovery and log analysis were of great importance for hospital information security,and log analysis has to be emphasized on in the future.

Thoughts on internet medicine / 医疗卫生装备

Objective To explore the application of internet medicine technology in medical facilities.Methods The present situation of internet medicine was analyzed in foreign countries and China,and the nature and characteristics of internet medicine were researched.The three modes for internet medicine were analyzed in china.The considerations were proposed for internet medicine.Results Some suggestions were put forward from the aspects of support from the director,compliance with national regulations,information resources support,internet medical service typing,intra-hospital informatization,institutions for running and management and etc.Conclusion The government has to provide support in policy,data resource and etc.

Hospital informatization in intelligent times / 医疗卫生装备

Objective To summarize the rule and methods for hospital informatization in intelligent times.Methods The present situation of hospital informatization was described,and its characteristics were introduced from the aspects of comprehensiveness,rationality,humanity and high efficiency.It's pointed out the hospital had to made stride in the future to fulfill the requirements of hospital informatization.Results Hospital informatization had to be executed based on datamation,internet,cloud technology,automation,integration,specialization and humanization,and the considerations and countermeasures were proposed for hospital informatization in intelligent times.Conclutsion Strengthened clinical data center,internet hospital and intelligent information system are of great significance for hospital informatization in intelligent times.

Effect of Preoperative Acupuncture on Hypercoagulability of Elderly Patients with Intertrochanteric Fracture / 广州中医药大学学报

Objective To observe the clinical effect of preoperative acupuncture on hypercoagulability of elderly patients with intertrochanteric fracture. Methods Sixty elderly patients with intertrochanteric fracture were evenly randomized into control group and acupuncture group. Both groups were treated with external application of Shangke Huangshui gauze on the affected region, and additionally the acupuncture group was treated with acupuncture on bilateral acupoints of Huantiao, Xuehai, Liangqiu, Zusanli, Sanyinjiao, and Taichong. The treatment for the two groups was performed from the hospitalized day to the day before operation. The parameters of thrombelastograph (TEG) before and after treatment and the occurrence of deep venous thrombosis (DVT) were observed . Results After treatment, the difference of TEG parameters of the control group was insignificant as compared with those before treatment (P>0.05). In the acupuncture group, the coagulation reaction time(R) and clot formation time(K) were significantly prolonged(P 0.05). Conclusion Preoperative application of acupuncture can improve the hypercoagulability of elderly patients after hip fracture.

Chemical constituents of Periploca forrestii and their cytotoxicity activity / 中国中药杂志

<p><b>OBJECTIVE</b>To investigate the chemical constituents of the roots of Periploca forrestii and evaluate their cytotoxicity activities.</p><p><b>METHOD</b>Silica gel column chromatography was employed for the isolation and purification of chemical constituents. The structures were identified on the basis of spectral data and the cytotoxicities of compounds 2-4 were investigated by several tumors cell lines including blood tumor (HL-60, CCRT-CEM), prostate tumor (PC-3, DU-145) and Melanoma (UACC-62).</p><p><b>RESULT</b>Four compounds were isolated and identified as follows, lupeol-20(29)-en-3-nonadecanoate (1), peroiforoside I (2), 3beta,5beta,14beta-3OH-8beta-H-car-20(22)-enolide (3), perplocin (4).</p><p><b>CONCLUSION</b>Compound 1 is a new lupane triterpene fatty acid ester. Compounds 2-4 showed notable cytotoxicity against all tumor lines.</p>

Design and implementation of hospital data warehouse / 医疗卫生装备

Data warehouse of Fuzhou General Hospital as the example, the basic conception and requirements of data warehouse are introduced in this paper. The design and construction of data warehouse are described from the aspects of subject determination, data preparation, model building, model evaluation and interpretation, and model application and consolidation. The main function of the data warehouse of Fuzhou General Hospital is also mentioned.

Optimization of armymen's hospitalized flow through construction of digital clinical system / 医疗卫生装备

Objective To explore the theory and measures of armymen's clinical flow through information technology based on an exclusive armymen clinical area.Methods On the basis of No.1 Military Medical Project,such system was developed as automatic medical service classification & guide system,clinic backstage & auto-medicine provision system and comprehensive clinical service system in order to optimize medical service for armymen.Results By integrating the armymen's clinical information system,Navy General Hospital optimized comprehensively the clinical flow of registration,waiting,diagnosis,pricing,medicine pick-up,etc.Therefore,the efficiency of medical service for the army was greatly improved.Conlusion The full application of information technology will make an improvement in clinical flow and provide better service to army patients.

Establishment and Benefit Analysis of PACS in Small & Medium-Sized Hospitals / 医疗卫生装备

Objective To improve work efficiency and lower management cost. Methods Based on experiences from the 95th hospital in six years, PACS application benefits were analysed from such seven aspects as digital film management,economic benefit, efficiency and quality of diagnosis, evidence support for solving medical dispute,simplified treatment procedures, social effect, and remote disgnosis. Results Better economic benefits and social effect were obtained. Conclusion It is proved by practice that construction of PACS in small & midium-sized hospitals is necessary and feasible.

Tele-medical information sharing platform based on PACS and HIS / 医疗卫生装备

Regional Medical Information System has been the objective of the construction of medical informatization. With HL7 and DICOM applied, this paper presents a tele-medical information-sharing platform based on PACS and HIS. Then the general scheme is put forward from such aspects as medical image storing center, copy import system for medical image data, tele-consultation center, disparate data source middle-ware transponder based on HL7 and clinical rounds system based on NC wireless network.

Research and Development of Whole Flow Management Information System for Hospital Material Barcode / 医疗卫生装备

Objective To develop a set of hospital material management information system with the mature technique of barcode so as to realize the whole flow management of material.Methods By analyzing the main problems in present hospital material management,we put forward ways and procedures of material management,and gave an overall introduction to the composition of the system from three aspects: warehouse management on material and drugs,the second level storehouse management,such as material management in department,inspect reagent consumptive material management,no stock for high-cost medical consumables management,etc and the cost accounting and collecting system.The key technologies and implementation methods adopted in the designing process of this system were also introduced.Results The achievement of whole flow tracking management from material purchase to material consumption not only ensures a real whole flow management of materials,but effectively reduces the consumption of hospital materials.Conclusion With the mature and advanced technique of barcode and wireless network,the management of material can be better achieved.

Design and Implement of Data Collection and Management System for Water Meters, Electric Meters and Oxygen Gauges in Hospital / 医疗卫生装备

Objective To research and develop a data collection and management system for water meters, electric meters and oxygen gauges within the hospital intranet and perform an interface to the reckon of No.1 Military Project to make sure the accruracy of reckon entry. Methods Terminal equipment is water meters, electric meters and oxygen gauges with RS485 long-distance transmission interface. All the long-distance transmission meters for each independent reckon unit are connected to a single or a group of Comport-Network transformers. The data collected by data collection software will then periodically transmit and save the equipment data in a single or multiple special datatables built on No.1 Military database platform. Results This technology has been applied to the newly built in -patient building. Conclusion The interface designed to integrate decentralized equipment and data into the hospital's local area network using Comport- Network will have extensive application and promising marketing prospect.

Master plan of the construction of our hospitals information system and implementation / 中华医院管理杂志

The authors sum up the experience of their hospital in the construction of the information system, pointing out that the key to success in this aspect lies in the clarification of objectives and the formulation of a master plan. Then they give a further account of ways for doing a good job of the master plan and its implementation from the perspectives of the software, hardware, and cultivation of talents.

Constructing digitized hospitals with Chinese characteristics / 中华医院管理杂志

A digitized hospital is one with network management as its basic mode, information as the primary driving force of its development, information technology as a prop to enhance its technological strength, information culture as a way to change the ways of peoples education and work and their ideological concepts, and construction of information systems as a new growth point of its advancement. While construction of digitized hospitals is a natural trend of historical development and is presently viable, construction of information systems in domestic hospitals must be based on Chinas realities so as to build digitized hospitals with Chinese characteristics. In light of their hospitals experience in building itself into a digitized hospital, the authors point out that it is necessary to formulate in the first place an overall objective in view of the requirements of digitized hospitals and then proceed step by step according to plan.

Reinforcing information system construction and enhancing modern management standards of the hospital / 中华医院管理杂志

Based on the experience of Fuzhou General Hospital of Nanjing Area Command in turning itself into a digitalized hospital in recent years, the paper expounds the role of the information system in hospital construction. It points out that reinforcing information system construction is conducive to enhancing modern management standards of the hospital. It argues that management is the key to guaranteeing sound hospital information system construction and proposes some principles that must be followed in the process, viz. people oriented, stratagem based, practice guided and maximumglobal benefits driven.

Application and Comprehension of Configurable Electronic Medical Record / 医疗卫生装备

Objective To establish the structured electronic medical records system based on XML in hospital. Methods The software system of electronic medical record which is suitable for the practical environment of hospital was developed to establish various types of specialized templates and train the clinicians well. Results The establishment of hospital-wide electronic medical record system has achieved the major goals. Conclusion In the current technical conditions, through process reengineering and software development, the hospital can establish the appropriate electronic medical records system to improve the quality of medical records and efficiency of clinicians.

Design and Realization of Hospital Special Medical Information System / 医疗卫生装备

Objective To design and realize hospital special information system and solve the information management questions of special diagnosis, such as emergency observation, radiation therapy, hemodialysis, assisted reproductive of bear and rear better children. Methods The main problems of hospital special medical in China were analyzed and defined the basic concept of hospital special medical. The main flow and system of hospital special medical from 13 aspects were introduced. Results The work mode and management methods about special medical were changed and solved the limitations of traditional management. Conclusion The design and realization of hospital special medical information systems can be improved work efficiency, medical quality effectively and the informationization level of the hospital.

Construction of FULL-PACS containing multi PACS/RIS / 医疗卫生装备

This paper introduces FULL-PACS in China. Multi PACS/RIS have to be involved in FULL-PACS for the difficulty in system development and implementation. Standardization, normalization and integration have to be fulfilled. The way to construct FULL-PACS with poor standardization and normalization is discussed.

Research on integration solution of hospital information system / 医疗卫生装备

Objective To solve the problems of Information Island and Repeated Construction in hospital information construction. Methods Some solutions of application system integration were discussed and architecture systems were proposed. Results Integration mode was adopted according to the condition of the hospital. Conclusion References are provided for the integration of hospital information system.