点选式电子病历在治疗甲型HIN1流感中的应用

目的分析点选式电子病历在治疗甲型H1N1流感病例中的应用情况，了解其优势与不足。方法，选取2009年4月-7月北京佑安医院收治的甲型H1N1流感纸质病历117份，2009年7月～8月收治的甲型H1N1流感电子病历127份。对现病史中甲型H1N1流感常见症状发热、流涕、咳嗽、咳痰的描述情况进行统计，分析点选式电子病历与传统手写病历规范化差别。结果对发热的表现、最高体温、是否伴随畏寒、寒颤等因素进行记录，显示电子病历明显优于手写病历（P〈0．05）。结论点选式电子病历较传统手写病历对甲型H1N1流感病史收集记录更加全面、规范。

点选式电子护理记录单与普通电子护理记录单规范化比较

随着医院信息化建设的飞速发展,我院于2011年2月在医院信息系统（HIS）的基础上,进一步研发出中医护理电子病历的表格式点选记录方法,经临床应用,能达到护理记录内容的全面性、规范性及中医术语的准确性要求,在缩短护理记录时间、促进中医护理电子病历发展中优势明显,有效地提高了工作效率和质量。

CoMP-transmission-based energy-efficient scheme selection algorithm for LTE-A systems

In order to achieve higher system energy efficiency （EE）,a new coordinated multipoint （CoMP）-transmission-based scheme selection energy saving （CTSES）algorithm is proposed for downlink homogeneous cellular networks.The problem is formulated as an optimization of maximizing system EE,under the constraints of the data rate requirement and the maximum transmit power.The problem is decomposed into power allocation and alternative scheme selection problems.Optimal power allocation is calculated for CoMP-JT （joint transmission）and CoMP-CS （coordinated scheduling） transmissions,and the scheme with higher EE is chosen. Since the optimal problem is a nonlinear fractional optimization problem for both CoMP transmission schemes, the problem is transformed into an equivalent problem using the parametric method. The optimal transmit power and optimal EE are obtained by an iteration algorithm in CoMP-JT and CoMP-CS schemes.Simulation results show that the proposed algorithm offers obvious energy-saving potential and outperforms the fixed CoMP transmission scheme.Under the condition of the same maximum transmit power limit,the empirical regularity of user distribution for scheme choice is presented, and using this regularity, the computational complexity can be reduced.

甲型HIN1流感电子病历与手写病历规范化比较

目的比较我院点选式电子病历与手写病历在甲型H1N1流感住院患者临床应用中的规范性差别。方法选我院甲型H1N1流感住院患者手写病历117份、电子病历127份。对甲型H1N1流感常见症状如发热、咳嗽等进行统计,分析两者病案规范性差别。结果电子病历与手写病历在症状、体征的描述记录上有显著性差异。结论点选式电子病历较传统手写病历对甲型H1N1流感住院患者病史收集记录更加全面、规范。医生应加强规范化收集病史的意识。