LOCALIZATION OF OBJECT (SPINE) IN MEDICAL IMAGE USING ACTIVE SHAPE MODELS

Active shape models (ASM), consisting of a shape model and a local gray-level appearance model, can be used to locate the objects in images. In original ASM scheme, the model of object′s gray-level variations is based on the assumption of one-dimensional sampling and searching method. In this work a new way to model the gray-level appearance of the objects is explored, using a two-dimensional sampling and searching technique in a rectangular area around each landmark of object shape. The ASM based on this improvement is compared with the original ASM on an identical medical image set for task of spine localization. Experiments demonstrate that the method produces significantly fast, effective, accurate results for spine localization in medical images.

供给侧视阈下分级诊疗制度的研究

“看病难”“看病贵”是我国医疗服务领域普遍存在的突出问题,分级诊疗制度是解决该问题的重要举措。然而,我国推行分级诊疗的现实效果并不是十分明显。从资源供给侧角度看,影响分级诊疗的主要阻碍因素是我国医疗资源及“大而全”医疗服务供给主要过度集中于级别较高的医院。导致基层医疗机构的医疗资源供给存在着供给数量不足、供给质量差、供给服务质量不到位等问题。基于医疗资源供给侧视角,对过去四年医院和基层医疗机构的发展现状进行分析,并从国际视野,提出对我国推行分级诊疗制度的完善路径。

A Portable Fall Detection and Alerting System Based on k-NN Algorithm and Remote Medicine

This paper presents information on a portable fall detection and alerting system mainly consisting of a custom vest and a mobile smart phone. A wearable motion detection sensor integrated with tri-axial accelerometer, gyroscope and Bluetooth is built into a custom vest worn by elderly. The vest can capture the reluctant acceleration and angular velocity about the activities of daily living(ADLs) of elderly in real time. The data via Bluetooth is then sent to a mobile smart phone running a fall detection program based on k-NN algorithm. When a fall occurs the phone can alert a family member or health care center through a call or emergent text message using a built in Global Positioning System. The experimental results show that the system discriminates falls from ADLs with a sensitivity of 95%, and a specificity of 96.67%. This system can provide remote monitoring and timely help for the elderly.

新年寄语

律回春归渐,万象始更新。随着2018年璀璨阳光的到来,《健康人生》杂志与您共同走过了充满挑战、共同发展的2017年,迎来了充满希望、实现梦想的2018年。＂新时代要有新气象,更要有新作为＂。幸福与健康是人类永恒不变的追求。党的十九大报告明确指出把实施健康中国战略摆在更加重要的位置。作为一名医学工作者和健康科普杂志的工作人员,我们由衷地感到鼓舞和振奋。无论对于国家和个人,健康都是需要付诸实际行动的。我们每个人都要对自己的健康负责,

重症医学发展的又一个十年——写在重症医学专业学科建立十周年的日子

十年前的7月4日,国家标准化委员会正式批准重症医学为临床医学二级学科,学科代码：320.58。紧接下来的几个月后,原卫生部将重症医学定位为我国医疗机构的一级诊疗科目,代码28,并颁布了《重症医学科建设与管理指南（试行）》。从那一天起,中国重症医学的发展进入了一个新阶段。十年前,在老一代人艰苦创业的基础上,重症医学人共同努力,我国重症医学终于走上了专业化、规范化发展的道路。

仁人君子，必笃于情

清·喻昌《医门法律·问病论》云“医，仁术也。仁人君子，必笃于情……则视人犹己，问其所苦，自无不到之处。…‘仁”，指人心，即“恻隐之心”，仁爱之心。孔子把“仁”定义为“爱人”，孟子发挥了孔子的思想，把仁同义联系起来，后世道德高尚的医家都把仁义看作道德行为的最高准则。 在我国古代，名医大家们均将医学定位为“仁术”，如明代李时珍在《本草纲目·序》中即说：“夫医之为道，君子用之以卫生，而推之以济世，故称仁术。”明代裴一中在《言医》中也指出：“医何以仁术称砟：，即天之理、生之源……医以活人为心，视人之病，犹己之病。”孙思邈则在《大医精诚》中更强调，对病人不论“贵贱贫富，长幼妍蚩，华夷愚智”，都要一视同仁。他们均将医生良好的德行称为“仁心”。鼓励、鞭策医者以仁爱之心尊重生命、善待病人、博爱群生。由此可见，医者只有济世为怀，心存仁义之心，才能将医学真正变成济世救人的“仁术”，对任何病人都能无微不至地关心、体贴和爱护，视他们如亲人。能如此，则真正是人们心目中的“苍生大医”。