核电设备故障处理“诊疗机制”的构建与实施

为解决核电设备故障处理过程及其经验数据信息离散化、未系统化全过程管控、无标准规范、信息堆垒、未结构化管理应用等问题,通过构建核电设备故障处理“诊疗机制”,创建设备故障“望闻问切”病症采集法,用于系统化、精细化采集设备故障现象,创建故障原因/风险源项关联分析法,用于系统化分析设备故障风险和原因,精细化制定设备故障干预处理措施。同时在“诊疗机制”下制定设备故障处理管理规范标准,并研究开发用于设备故障处理“诊疗”的“核电设备故障病历大数据智能支持平台”,构建起“病症库”“源项库”“处方库”“运维专家库”四大数据库,形成设备故障处理“诊疗病历库”大数据,用于支持机组系统设备故障处理,以提高运维人员设备故障处理工作效率及专业间协同效率,实现设备故障运维处理效能提升。

Cancer in the Elderly

The transition to old age involves a series of events, including those that are objectively defined and others that individuals evaluate subjectively. The aim of this review study is the investigation, highlighting and information about the multiple effects of cancer on the elderly. An extensive review of the relevant literature was performed via electronic databases （Medline, PubMed, CINAHL and Google scholar） and Greek and international journals. The exclusion criterion for the articles was the language other than Greek and English. The risk of cancer increases with age, resulting in an increased number of older people seeking treatment. Caring for elderly people with cancer differs from that of adults because of the biological differences in tumor, coexistence of morbidity, as well as various psychosocial issues that can affect the effectiveness of treatment. Despite the reduction in the mortality rate of cancer, the aging of the population is accompanied by a significant increase in the overall number of cancer patients. The main nursing care goal is the limitation of biological and atomic forces and characteristics＇ loss and the adjustment of the elderly to the different phases of the disease. Finally, in the later stages of the disease, the nurse often provides just palliative care.

优质医疗资源利用的策略、措施探讨

充分利用优质医疗资源要认识到,病人选医生会造成医疗资源短缺和浪费,门诊层级就诊制有利于资源充分利用,加强基层医疗机构建设可以堵住资源浪费源头。解决"挂号难、看病难"要改变人们求医观念、科学界定患者就医选择权,通过建立"疑难病症患者库",诊前了解患者信息,整合信息资源,开展跨科室跨医院挂号,实行预约专家挂号确认制。