西安市人民政府办公厅转发市卫生局等六部门关于开展医疗服务市场专项治理工作实施方案的通知

为进一步强化和规范我市医疗服务市场管理,严厉打击医疗服务市场中的各种违法违规的医疗行为。

基于小波消噪的EMD模型在GPS振动信号处理中的应用

经验模式分解和小波分解是当前有效处理非平稳信号的两种时频分析方法,它们各具有其优缺点,适用于不同的应用。从对GPS振动信号的预处理、时域和频域处理入手,结果分析表明,对GPS振动信号先进行小波滤波消除随机噪声的干扰,再应用经验模式分解更有利于变形特征信息的分离和提取,提取的信号与振动平台记录数据更加吻合。

Deformation Characteristics of Leather for Shoe Upper, Filled with Natural Minerals

A promising direction in the tanning industry is the use of natural minerals as environmentally friendly technologically efficient materials that are able to adjust and regulate the efficiency of formation of the dermis structure and the properties of finished leather. The use of finely-dispersed minerals promotes alignment of topographic areas in thickness, increases the yield of leather on the area by avoiding bonding structural elements of the dermis. Changes in the microstructure of the dermis, as a result of mineral filling, contribute to improvement of performance and hygienic properties of finished leather. And the study of the properties of the specified skins should be consistent with the features of operations on their cutting, shoe molding and shoe upper fixing preparations. The most important properties of leather materials, which largely determine the quality of basic technological operations of shoe manufacturing are the deformation properties. Lack of information about relaxation and deformation properties of the leather produced by the new technologies do not allow to predict their ability to form shapes and save it--indicates the relevance of this study. This paper analyzes relaxation and deformation characteristics of natural leather for shoe uppers, filled with natural minerals montmorillonite and zeolite, and the ability to predict their formation and preservation of shape in service. Features of deformation of the skin with mineral content were assessed by determining single-cycle characteristics when attaching to a complete test cycle ＂loading-unloading-rest＂ sample. Correlations of elastic and plastic （permanent） deformation have been established, kinetics of changes in linear characteristics of the samples after removal of the load has been investigated. Introduction of dispersions of mineral to the structure of the dermis contributes to the strength of semi-finished leather, increase of the uniformity of mechanical properties in the longitudinal and transverse directions and rise of shape stability index. It is shown that the direction of this study allows us to offer new competitive ecologically friendly materials to produce shoes.

Concussion management in soccer

Brain injuries in sports drew more and more public attentions in recent years. Brain injuries vary by name, type, and severity in the athletic setting. It should be noted, however, that these injuries are not isolated to only the athletic arena, as non-athletic mechanisms （e.g., motor vehicle accidents） are more common causes of traumatic brain injuries （TBI） among teenagers. Notwithstanding, as many as 1.6 to 3.8 million TBI result from sports and recreation each year in the United States alone. These injuries are extremely costly to the global health care system, and make TBI among the most expensive conditions to treat in children. This article serves to define common brain injuries in sport; describe their prevalence, what happens to the brain following injury, how to recognize and manage these injuries, and what you can expect as the athlete recovers. Some return-to-activity considerations for the brain-injured athlete will also be discussed.

Physical Activity Stares of Civil Servants and Their Health- Related Research

Since the 1980s, people＇ s material and spiritual life are constantly enriched and improved. People＇ s values are constantly changing, more and more people realize that participate in physical exercise for their own importance in sports. The status of people＇ s lives has been greatly improved, for most residents; they participate in physical activity and have gradually become a richer cultural life, and they enhance the basic needs of physical, mental lifelong sports have gradually deep heart. While people continue to enhance the sports consciousness exercise, we also see some potential problems, such as the rapid development of science and technology is to bring more and more problems to people. As people, enjoy the level of automation in the material aspects of life. They gradually have cars, telephones, washing machines, refrigerators, microwave ovens, rice cookers. And the household products go into our lives, we enjoy the material on those by making more and more people gradually reduce the daily activities. And the most prominent is the elevators and cars, reducing active time and the amount of activity, a lot of heat stored in the human body is causing various diseases, from the results of medical research over the past decade. Various diseases associated with obesity have been become the most important factor in human deaths worldwide, the rapid emergence of this disease and the rapid development of social science and technology form a clear lack of coordination, for which many experts at home and abroad for such issues of deep study and research.

Comprehensive Implementation of Standardization Work:the Project for Air Disinfection and a Conservation-oriented Sterile Environment in Hospitals

In China, the technical information currently available both domestically and abroad has been reviewed in an attempt to integrate the technique of ultraviolet air disinfection with Grade Ⅱ filters and develop a sterile conservation-oriented environment. As detection showed, such a sanitary system of air disinfection, integrated by ultraviolet air disinfection and Grade Ⅱ filters can reach the same standard of cleanliness as a high efficiency particle filter. This system easily satisfies the cleaning of air in hospital wards, surpassing the sterile air standards and the requirements of the National Bacteria Indicator （NBI）. As a result of this system＇s efficiency, resources and running costs can be reduced dramatically. Therefore, revision of the national standards of Structural Technical Specification of the Cleaning Operation Department needs to move forward.

Simulation training in contemporary obstetrics education

AIM: To investigate the use of the Gaumard's Noelle S550.100 Maternal and Neonatal Simulators for teaching forceps delivery.METHODS: Twenty two(n = 22) resident physicians were enrolled in a simulation course on operative forceps deliveries. The physicians enrolled in the course were all part of an accredited Obstetrics and Gynecology residency program and ranged in their training from post graduate year(PGY) 1-4. Each participant received simulation based teaching on the indications, contraindications, proper application, delivery and removal of forceps by a single teacher. The Gaumard's simulator and Simpson forceps were used for this course. Statistical analysis using SPSS statistical software was performed after the completion of the simulation training program. A paired student t-test was performed to compare the cohort's mean pretest and post simulation training scores. Follow up skills assessment scores at one month, 3 mo and 6 mo were compared to thebaseline pretest score using a paired student t-test. RESULTS: There was statistically significant improvement in the post simulation training performance evaluations compared to the pretest, 13.7(SD = 3.14) vs 7.9(SD = 4.92), P < 0.05. Scores at 1 mo, 3 mo, and 6 mo were compared to the pretest score and showed retention of skills: 4.6(SD = 5.5, 95%CI: 2.21-7.07), 4.4(SD = 5.2, 95%CI: 2.13-6.70), and 5.6(SD = 4.8, 95%CI: 3.53-7.75) points, respectively. There were statistically significant differences between residents by post graduate training year on pretest scores, however these differences were not present after simulation training. Pretest scores for PGY 1, 2, 3, 4 were 3.5(SD = 2.27, 95%CI: 2.13-5.00), 7.25(SD = 6.70, 95%CI: 1.50-13.00), 10.75(SD = 1.5, 95%CI: 9.50-12.00), 12.17(SD = 2.57, 95%CI: 10.33-14.00). After simulation training PGY 1 residents did as well as well as the upper level residents. Posttest mean test scores for PGY 1, 2, 3, 4 were 13.75(SD = 1.49, 95%CI: 12.75-14.63), 10.25(SD = 0.24, 95%CI: 4.25-14.00), 15.00(SD = 1.16, 95%CI: 14.00-16.00), 15.17(SD = 0.75, 95%CI: 14.67-15.67). CONCLUSION: Our simulation based training program not only produced short term gains, but participants were able to retain the skills learned and demonstrate their knowledge months later.

Comment on the development and policy of the waste incineration power generation industry

Development space of the waste incineration power generation is expanding. According to the technical route of previous planning and related policies, the principles of our garbage disposal are based on sanitary landfill, supplemented by burning. However, with the accelerated process of urbanization, land resources are increasingly strained and most large cities have been unable to find a suitable landfill within the feasible urban extent, the main equipment for the incinerator and the localization of the overall process greatly reduced its capital investment and these factors will promote the rapid development of waste incineration power generation industry. Waste incineration and power generation technology has the dual benefits of environmental protection and energy and it is the development direction of waste disposal in the future. According to the condition that our country＇s waste incineration power generation started from scratch and developed rapidly in recent years ,there is a introduction about the application of the waste incineration and a brief analysis of the its obstacles in the promotion and financing, as well as the potential for future applications.

Analysis on the Risks of Health Information Platform under the Environment of Big Data

Big Data applications in the health service field have gradually been paid more close attention. Based on big data technology, more and more health information platforms are beginning to take effects, such as disease prevention, precision medicine, reducing expenditures for medical care and public health, improving medicine research and development. Meanwhile, the platforms have to face a lot of risks, such as health data disclosure, dispute of health data ownership, implicit contradiction explicit, unsustainable platform operation and so on. With the solutions of these risks, the construction of the public platform can provide better service for the citizens, hospital, pharmaceutical company, R＆D institutions or and other parties.

Philosophy of Mathematics： Naturalism vs. Category Theory

Although E Maddy （1997） says on naturalism： ＂This is not, in itself, a philosophy of mathematics [...]＂ （161）, already by its name, or by those whose interest has called on it （Quine, Putnam et al.） ... it anyhow reveals desire to be it. Insofar as otherwise, the semantic potential of the word leaves far behind it （after all scarce） results it achieved from the relation of an exact （mathematical） expression and （overly rich） intuitive reality of Being. We plead here already from the perspective of the slogan ＂One and All＂ of the first philosopher： Tales, when by the number （which one forebodes） one could go to such an extent into areas of reality （Pythagoras）, or when （especially in the human sphere） is being over again actual final cause of Aristotle the philosophy and the mathematics to accomplish far more fruitful encounter with the Being. Alain Badiou （1988） has already pointed that： ＂Mathematics is ontology,＂ and the category theory in mathematics, having covered by itself other fields of this science, continues to find applications in a series of＂non-traditional＂ domains of reality. In that correlation the philosophy can express its （primary） needs for truth, justice, beauty, ... as well as for the overall development in the sense of purpose--also because of an undreamed power of the technological development （of hardwares and softwares） today. Namely, the naturalism in mathematics, which developed an abundant reflection on the place （importance of） the mathematical idiom in sciences--in the balance of criticism--has come rather to meager provisions, such as： ＂preestablished harmony of thinking,＂ ＂ontic commitment,＂ （Quine 1960） ＂the hygiene of mind,＂ （Maddy 1996） ＂success argument,＂ （Putnam 1975） ＂pragmatic argument,＂ （Resnik 1981） etc., which only are few places from the encounter of an exact expression such as is mathematical one and the reality of natuural sciences. Instead of philosophy of mathematics to radicalize its claims from the perspective of that （powerful） mathematical idiom and the excessive reality of Being and man＇s place in it--this time, in the spirit of biocosmology （neo-Aristotelism）.

Strategies for Successful Ageing Living Alone

The purpose of this qualitative study, conducted in Thailand, was to identify strategies for older adults to live alone happily, with dignity, security, and independence. Purposive sampling techniques were used to recruit participants from 12 provinces throughout Thailand. The sample included three groups： older Thai people living alone （n = 1,087）, clinician who working with Thai older adults （n = 149）, and administrators working in aged care and support services in Thailand （n = 83）. Data were collected using structured interview guides. Content analysis was used to identify and develop the study findings. Most of the older Thai people living alone were single, widowed or divorced with few wanting to remain living alone. The large majority of participants needed government assistance to manage their activities of daily living including access to health and public services. Participants wanted aged care and support services to assist with their living arrangements, organise community activities, and provide home visits. Moreover, they wanted their families to visit them and provide financial support and care for them when they were ill. These older adults experienced living alone positively and negatively. Some participants felt proud, dignified, and independent. Other participants felt that living alone resulted in poorer health status, particularly emotional problems, especially for those who were not living alone by choice. These participants reported feeling lonely, bored, irritated, sad, and sorrowful. This group of older Thai adults had limited interaction with their families and the wider community. From this study, four strategies were identified to assist older Thai adults to live alone happily, safely and with a sense of dignity, security, and value. These strategies are： ensuring individual choice, maintaining family support, developing community value, and advocating for over-arching government policy support of aged care. A high number of older adults live alone in Thailand and this presents a big challenge for both these individuals and the community in which they live. If this important group in Thai society is to live alone happily and successfully, it needs to be additional assistance to ensure they are supported by families, communities, and government departments.

On the Same Floor Building Drainage Technology

The same floor drainage refers to sanitary wares in the washing room, to be specific, the drainage pipe （sewage and branch pipes respectively） which can be into other houses without going through floors! This technology has many advantages, like easy to construct and install at the same floor on one hand; on the other hand, when sewage or waste reach the top compared with the same kind drainage systems and other drainage methods, it can smoothly enter the main pipe （the chief vertical one）. Moreover, once there is any situation needing dredge and cleaning, this problem can be solved at the same floor without interrupting the lives of other families. Last but not the least, it is so convenient to create a clean and tidy washing room. The branch pipe without being through floors is the very reason to solve the problem of surface condensation relative to sewage pipe in the rainy days, which correspondingly increases the hcight of head room indoor, is more favorable for fire prevention and much easier to keep smooth pipe flow.

48 CASES OF ANXIETY SYNDROME TREATED BY MASSAGE

The anxiety syndrome is routinely treated with tranquilizing agents and psychological therapy. Although certain clinical effects can be obtained, some patients may experience an ever increasing listlessness and fatigue owing to the long-term dependence on the drugs, seriously interfering with their studies, work or daily life. In

做好农村卫生工作关键在人才

人才资源是第一资源。人才匮乏已成为制约农村卫生工作开展的重要因素之一,加强人才培养已成为振兴农村卫生事业,提升农民卫生保健水平的关键一环。

新农合制度——让群众得到更多实惠

新型农牧区合作医疗(以下简称"新农合")制度的建立是一项长期、复杂、艰巨的任务。我区从2003年就开展了新型农牧区合作医疗试点工作,成效显著。为了进一步落实中央提出的新农合"增加补助、全面覆盖、巩固提高"的总体要求,最近。