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西北地区三甲医院2015~2017年疼痛科住院病人疾病谱特征数据分析 被引量:2
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作者 段宝霖 马涛 +5 位作者 李建勋 毛元蓉 黎环 杜昱蕾 滕春霞 张润彤 《中国疼痛医学杂志》 CAS CSCD 北大核心 2018年第12期905-911,共7页
目的:用大数据技术探讨西北地区7家三甲医院疼痛科住院病人的疾病谱分布特征,初步评价西北地区三级医院尤其是青海省疼痛科诊疗服务能力。方法:通过检索中卫云医疗大数据平台上的西北五省区三甲综合医院数据,筛选出其中7家规模相当的三... 目的:用大数据技术探讨西北地区7家三甲医院疼痛科住院病人的疾病谱分布特征,初步评价西北地区三级医院尤其是青海省疼痛科诊疗服务能力。方法:通过检索中卫云医疗大数据平台上的西北五省区三甲综合医院数据,筛选出其中7家规模相当的三甲医院疼痛科2015~2017年出院病人病案首页数据进行分析。结果:(1) 7家医院疼痛科住院病人总数8 485人次,占总住院病人的0.82%;青海省占比明显高于其他省区;(2)疼痛科病人入院途径以门诊为主;年龄集中分布于40~80岁,以女性居多。(3)疼痛科出院病人病种覆盖数量,青海省为90种,其他省区为78种;两地区疑难重症诊治覆盖率均为47.06%;收治病种以腰椎间盘突出居首位。(4)青海省平均住院日、平均住院费用高于其他省区,而药占比、耗材比、病死率均较低。(5) 3年间7家医院疼痛科共进行1403例与疼痛诊疗有关的手术操作,青海省手术操作量明显高于其他省区;关键医疗技术的基本标准覆盖率达到80%,推荐标准覆盖率为28.57%。结论:西北地区7家三甲医院疼痛科住院病人病种覆盖率、关键医疗技术基本标准覆盖率均较高,但疑难病种及关键医疗技术推荐标准覆盖率较低。青海省3家医院疼痛科的上述指标略好于其他省区的4家医院。本研究结果可为西北地区疼痛科内涵建设提供参考。 展开更多
关键词 疼痛科 专科建设 疾病谱 医疗服务能力 数据分析
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大数据解析急诊入院患者疾病谱特征--基于169家综合性医院2015至2017年591万份住院病案首页数据 被引量:19
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作者 丁滨 戴志强 +6 位作者 滕春霞 杜昱蕾 薛峰 陈晓红 王竞 魏凌 魏聪 《中国急救医学》 CAS CSCD 北大核心 2019年第2期179-183,共5页
目的用大数据技术探讨急诊途径入院的住院患者疾病谱分布特征,为急诊质控和管理提供参考。方法选取中卫云医疗数据平台网络直报数据中169家综合性医院连续3年(2015至2017年)网络直报《住院患者病案首页(卫计统4-1)》的2692.77万份病案... 目的用大数据技术探讨急诊途径入院的住院患者疾病谱分布特征,为急诊质控和管理提供参考。方法选取中卫云医疗数据平台网络直报数据中169家综合性医院连续3年(2015至2017年)网络直报《住院患者病案首页(卫计统4-1)》的2692.77万份病案首页数据,调取其中经急诊途径入院患者的首页数据,分析疾病谱及相关特征。结果169家医院中,经急诊途径入院患者共591.81万人次,约占21.98%。急诊入院患者的疾病谱呈现如下特征:①数据量:三级医院急诊入院患者明显多于二级医院,但急诊入院占比二级医院高于三级医院;三级医院急诊入院患者数逐年递增,二级医院呈不稳定趋势;但占总住院比例略呈逐年降低的趋势。②病种数:三级医院和二级医院疾病谱总覆盖率都达到国家标准,急诊收容病种数和占比都略呈减少趋势。③病种系统分布:居前五位依次为循环系统疾病(21.53%),损伤、中毒和外因的某些其他后果(14.27%),呼吸系统疾病(11.70%)、消化系统疾病(10.74%)和妊娠、分娩和产褥期(9.23%)。④重点病种在急诊入院患者的分布:与急诊关联密切的13个重点疾病中,急性心肌梗死、心力衰竭、急性脑卒中、肺炎(成人)、急性胰腺炎都呈逐年上升趋势,半数重点疾病占总住院患者近50%。⑤患者预后:无论二级还是三级医院,急诊入院患者病死率历年都高于总住院患者病死率,三级医院住院患者病死率高于二级医院;从急诊入院患者占同期住院死亡患者之比看,都在50%上下,且二级医院更高。结论三级医院急诊入院患者在数据量、病种数和疾病系统分布方面总体均优于二级医院,三级医院住院患者病死率高于二级医院,从一个方面提示三级医院收治患者更为疑难和严重;二级医院急诊入院患者占同期住院死亡患者之比更高,或提示二级医院对急危重症患者的综合救治能力逊于三级医院。通过住院病案首页数据进行疾病流行病学调查分析,具有真实、客观的优势,医疗大数据平台的构建为深入进行疾病流行病学调查,加强急诊质控和管理奠定了技术基础。 展开更多
关键词 病案首页 大数据 急诊 疾病谱 流行病学
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Interdiffusion Flux and Interface Movement in Metallic Multilayers
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作者 LI Yong-Sheng CHENG Xiao-Ling +1 位作者 XU Feng du yu-lei 《Chinese Physics Letters》 SCIE CAS CSCD 2011年第10期176-179,共4页
Interdiffusion in the diffusion couples of metallic multilayers is investigated for the variation of mobility and different initial phase separation(IPS)states.A phase field simulation shows that the diffusion flux an... Interdiffusion in the diffusion couples of metallic multilayers is investigated for the variation of mobility and different initial phase separation(IPS)states.A phase field simulation shows that the diffusion flux and interface movement increase for higher atomic mobility.The shorter IPS time influences the diffusion flux of two-phase diffusion couples,and has almost no influence on the interface movement. 展开更多
关键词 DIFFUSION INTERFACE PHASE
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Eavesdropping the display image from conducted emission on network cable of a PC
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作者 du yu-lei LU Ying-hua ZHANG Jin-ling 《The Journal of China Universities of Posts and Telecommunications》 EI CSCD 2013年第3期78-84,共7页
The display image of a PC can be reconstructed by using the conducted emission on the PC's network cable. The relevant signals which be used to reconstruct the original image are coupling from the radiation of the sw... The display image of a PC can be reconstructed by using the conducted emission on the PC's network cable. The relevant signals which be used to reconstruct the original image are coupling from the radiation of the switching of red, green, blue (RGB) signals in PC. These pertinent signals are partly contained in the frequency region higher than 30 MHz in the conducted emission. From these findings, the near-field coupling principle from PC to the network cable is analyzed firstly. And then, a multi-conductor transmission model for the RGB signals which transmit in the network cable is proposed. In addition, the maximum safe distance is estimated by using this model. In order to check the validity of the estimating distance, the eavesdropping experiment is carried out to reconstruct the original display image. The results demonstrate that the blurred display image can be retrieved at the place of 29.5 m. 展开更多
关键词 electromagnetic secure conducted emission unshielded twisted pair cables EAVESDROPPING multi-conductor transmission model
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Method for determining the best frequency band for eavesdropping the display image of a PC
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作者 du yu-lei Lü Ying-hua +1 位作者 ZHANG Jin-ling ZHANG Nan 《The Journal of China Universities of Posts and Telecommunications》 EI CSCD 2013年第4期93-98,共6页
The display image of the video display unit (VDU) can be reconstructed by receiving and analyzing the unexpected electromagnetic noise emanated from a personal computer system. This fact is one of the information le... The display image of the video display unit (VDU) can be reconstructed by receiving and analyzing the unexpected electromagnetic noise emanated from a personal computer system. This fact is one of the information leakage threats in information security. Therefore, in order to choose the best frequency range for receiving the electromagnetic compromising emanations form a PC display effectively and quickly, a method based on the correlation power analysis (CPA) and the common equipments is proposed. Firstly, the frequency spectrum of 10 MHz to 1 GHz is measured about 10 times respectively when the PC is displaying the white-black vertical strips image and black image. The frequency range which contains the display information can be obtained through the CPA. And then, the special image signal is searched around the dot frequency and harmonics. If the special signal disappears when displaying the total black image, it can be judged to be the real special signal. Finally, the best receiving frequency range can be chosen by comprehensive considering the results of CPA and the signal to noise ratio (SNR) of the special image signal. In order to check the validity of the chosen frequency range, eavesdropping experiments are carried out. The results demonstrate that the selected frequency range can retrieve the higher quality image than other frequency bands. 展开更多
关键词 electromagnetic secure compromising emanations CPA EAVESDROPPING TEMPEST
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