Surgical treatment of liver cancer and pancreatic cancer under the China Healthcare Security Diagnosis Related Groups payment system

BACKGROUND Data from the World Health Organization’s International Agency for Research on Cancer reported that China had the highest prevalence of cancer and cancer deaths in 2022.Liver and pancreatic cancers accounted for the highest number of new cases.Real-world data(RWD)is now widely preferred to traditional clinical trials in various fields of medicine and healthcare,as the traditional research approach often involves highly selected populations and interventions and controls that are strictly regulated.Additionally,research results from the RWD match global reality better than those from traditional clinical trials.AIM To analyze the cost disparity between surgical treatments for liver and pancreatic cancer under various factors.METHODS This study analyzed RWD 1137 cases within the HB1 group(patients who underwent pancreatectomy,hepatectomy,and/or shunt surgery)in 2023.It distinguished different expenditure categories,including medical,nursing,technical,management,drug,and consumable costs.Additionally,it assessed the contribution of each expenditure category to total hospital costs and performed cross-group comparisons using the non-parametric Kruskal–Wallis test.This study used the Steel–Dwass test for post-hoc multiple comparisons and the Spearman correlation coefficient to examine the relationships between variables.RESULTS The study found that in HB11 and HB13,the total hospitalization costs were significantly higher for pancreaticoduodenectomy than for pancreatectomy and hepatectomy.Although no significant difference was observed in the length of hospital stay between patients who underwent pancreaticoduodenectomy and pancreatectomy,both were significantly longer than those who underwent liver resection.In HB15,no significant difference was observed in the total cost of hospitalization between pancreaticoduodenectomy and pancreatectomy;however,both were significantly higher than those in hepatectomy.Additionally,the length of hospital stay was significantly longer for patients who underwent pancreaticoduodenectomy than for those who underwent pancreatectomy or liver resection.CONCLUSION China Healthcare Security Diagnosis Related Groups payment system positively impacts liver and pancreatic cancer surgeries by improving medical quality and controlling costs.Further research could refine this grouping system and ensure continuous effectiveness and sustainability.

Ensuring Information Security in Electronic Health Record System Using Cryptography and Cuckoo Search Algorithm

In the contemporary era,the abundant availability of health information through internet and mobile technology raises concerns.Safeguarding and maintaining the confidentiality of patients’medical data becomes paramount when sharing such information with authorized healthcare providers.Although electronic patient records and the internet have facilitated the exchange of medical information among healthcare providers,concerns persist regarding the security of the data.The security of Electronic Health Record Systems(EHRS)can be improved by employing the Cuckoo Search Algorithm(CS),the SHA-256 algorithm,and the Elliptic Curve Cryptography(ECC),as proposed in this study.The suggested approach involves usingCS to generate the ECCprivate key,thereby enhancing the security of data storage in EHR.The study evaluates the proposed design by comparing encoding and decoding times with alternative techniques like ECC-GA-SHA-256.The research findings indicate that the proposed design achieves faster encoding and decoding times,completing 125 and 175 iterations,respectively.Furthermore,the proposed design surpasses other encoding techniques by exhibiting encoding and decoding times that are more than 15.17%faster.These results imply that the proposed design can significantly enhance the security and performance of EHRs.Through the utilization of CS,SHA-256,and ECC,this study presents promising methods for addressing the security challenges associated with EHRs.

Securing the Internet of Health Things with Certificateless Anonymous Authentication Scheme

Internet of Health Things(IoHT)is a subset of Internet of Things(IoT)technology that includes interconnected medical devices and sensors used in medical and healthcare information systems.However,IoHT is susceptible to cybersecurity threats due to its reliance on low-power biomedical devices and the use of open wireless channels for communication.In this article,we intend to address this shortcoming,and as a result,we propose a new scheme called,the certificateless anonymous authentication(CAA)scheme.The proposed scheme is based on hyperelliptic curve cryptography(HECC),an enhanced variant of elliptic curve cryptography(ECC)that employs a smaller key size of 80 bits as compared to 160 bits.The proposed scheme is secure against various attacks in both formal and informal security analyses.The formal study makes use of the Real-or-Random(ROR)model.A thorough comparative study of the proposed scheme is conducted for the security and efficiency of the proposed scheme with the relevant existing schemes.The results demonstrate that the proposed scheme not only ensures high security for health-related data but also increases efficiency.The proposed scheme’s computation cost is 2.88 ms,and the communication cost is 1440 bits,which shows its better efficiency compared to its counterpart schemes.

Definitions and progress of ecosystem health and ecological security

Along with industrial development, adverse impacts on the natural environment become more serious, and the states of ecosystem health and ecological security have also deteriorated. As the basic needs for human survival, ecosystem health and ecological security possess very important meanings. Therefore, ecosystem health and ecological security have become research hot topics in recent decades. This paper reviewed the developments of definitions and applications of ecosystem health and ecological security, and found that the research on ecosystem health had achieved a lot. However, the research on ecological security was still relatively undeveloped. Moreover, there are also some confusion between the concepts of ecosystem health and ecological security. We consider that ecosystem health indicates the status of the ecosystem in normal conditions, whereas, ecological security indicates the capabilities of an ecosystem to react to external accidents or extremely adverse effects. An ecosystem which is healthy does not mean that it is secure. However, the ecological security requires an ecosystem to possess the capacity for integrity against any risk, and ecosystem health is the precondition to ecological security.

Food Is Security: The Nexus of Health Security in Fragile and Failed States

Global food security is a major development challenge dictated by state stability, resilience to geopolitical and economic shocks and is linked to health security. Fragile and failed nation-states are at risk of extreme poverty and lead to war and conflict. Fragile states experience, corrupt financial regimes and are influenced by skewed global market systems and reduced equitable market access that decrease food and health security. This qualitative review describes the critical cross sections of food security, the influence of global market systems and state stability and institutions that form the nexus of global health security. We outline how the manipulation of free market systems and decreased state capacity not only decrease food and health security but also contribute to state fragility and failure. Improved public health policy mechanisms, decreased dependence on foreign financial structures and extractive mechanisms are crucial to improving food and health security at present, and to further increase state stability in the future.

Trust and Security on Semantic HIM (Health Information Management)

Information technology have changed information media by networking and internet using technology in health as same as another part improve efficiency and effectiveness. Currently, the medical document is reality-based medicine, so that is the most important, richest and the most realistic source of medical and health information. Health information management systems that require systems to the storage, retrieval, storage and elimination of health records (by law), and adjust to the rules of professional. These processes are difficult and time consuming for human. In the meantime semantic HIM seem best solution.

Addressing the Security Challenges of Big Data Analytics in Healthcare Research

Big data and associated analytics have the potential to revolutionize healthcare through the tools and techniques they offer to manage and exploit the large volumes of heterogeneous data being collected in the healthcare domain. The strict security and privacy constraints on this data, however, pose a major obstacle to the successful use of these tools and techniques. The paper first describes the security challenges associated with big data analytics in healthcare research from a unique perspective based on the big data analytics pipeline. The paper then examines the use of data safe havens as an approach to addressing the security challenges and argues for the approach by providing a detailed introduction to the security mechanisms implemented in a novel data safe haven. The CIMVHR Data Safe Haven (CDSH) was developed to support research into the health and well-being of Canadian military, Veterans, and their families. The CDSH is shown to overcome the security challenges presented in the different stages of the big data analytics pipeline.

Working Together To Meet Public Health Security Challenges And Build The Health Silk Road Silk Road Think Tank Association Thematic Cloud Forum

A Silk Road Think Tank Association Thematic Cloud Forum hosted by Silk Road Think Tank Association and co-organized by China Center for Contemporary World Studies(CCCWS)of International Department,CPC Central Committee and Chongyang Institute of Financial Studies,Renmin University of China was held in Beijing on April 24,2020.

Elderly Health Care-Security and Privacy Issue

The current trend in offering universal health care based on open distributed health care network which will provide health care to elderly,socially and economically weak population,and physically challenged patients has lead to rapid digitization of health care data,and wireless medium for data communication.Although it has many advantages and has immense potential to improve health care availability,it has created many challenges in maintaining health care services,in particular in offering security and privacy of the most vulnerable members of society who are the elderly.In this paper we identify the current status of elderly care,their vulnerabilities,and challenges faced to offer them health care in total privacy and dignity.

Lushang Health Industry Development Co.,Ltd. Plans to Change into "Freda"

On May 9th,2023,Lushang Health Industry Development Co.,Ltd.released the announcement on changing the securities short name.According to the announcement,it has completed the changing registration.The full name of Lushang Health Industry Development Co.,Ltd.was changed into“Lushang Freda Pharmaceutical Co.,Ltd”.Speaking of the name change,the company said the purpose was to more clearly reflect the company’s main business and overall development strategy.

Stand-Alone Patient Reception and Referral System with Health Data Management

The COVID-19 pandemic has exposed vulnerabilities within our healthcare structures. Healthcare facilities are often faced with staff shortages and work overloads, which can have an impact on the collection of health data and constants essential for early diagnosis. In order to minimize the risk of error and optimize data collection, we have developed a robot incorporating artificial intelligence. This robot has been designed to automate and collect health data and constants in a contactless way, while at the same time verifying the conditions for correct measurements, such as the absence of hats and shoes. Furthermore, this health information needs to be transmitted to services for processing. Thus, this article addresses the aspect of reception and collection of health data and constants through various modules: for taking height, temperature and weight, as well as the module for entering patient identification data. The article also deals with orientation, presenting a module for selecting the patient’s destination department. This data is then routed via a wireless network and an application integrated into the doctors’ tablets. This application will enable efficient queue management by classifying patients according to their order of arrival. The system’s infrastructure is easily deployable, taking advantage of the healthcare facility’s local wireless network, and includes encryption mechanisms to reinforce the security of data circulating over the network. In short, this innovative system will offer an autonomous, contactless method for collecting vital constants such as size, mass, and temperature. What’s more, it will facilitate the flow of data, including identification information, across a network, simplifying the implementation of this solution within healthcare facilities.

人工智能素养:高等教育的挑战与应对--《2024地平线报告:教与学版》的解读与启示

人工智能赋能工具与数据安全正在对全球高等教育产生深刻影响。美国高等教育信息化专业组织发布的《2024地平线报告:教与学版》聚焦高等教育发展面临的机遇与挑战,从社会、技术、经济、环境、政治和人工智能六个维度总结了影响高等教育发展的趋势;分析了“探索人工智能技术的适当应用”“发展人工智能素养”“支持公平和包容的学习”“保护数据隐私与安全”“应对错误信息”“维护心理健康”六类关键技术与实践;预测了高等教育未来发展的四种情境。基于对报告内容的理解与思考,本文提出我国高等教育应对机遇与挑战的策略:提升人工智能素养,增强技术应用匹配度;确保数据隐私与安全,提升信息辨识能力;满足个性化学习需求,完善学习模式;以劳动技能、绿色技能为导向设置课程,增强就业竞争力;创建多样、公平、包容的教育环境,促进教育高质量发展;构建融合关怀心理健康的教育体系,践行全人发展理念。

黄河流域新型城镇化—生态安全—公共健康协调发展研究——以内蒙古自治区为例

探究黄河流域新型城镇化-生态安全-公共健康耦合机理,对于实现区域高质量发展、全面贯彻落实中国式现代化要求、维护国家生态安全和边疆安全具有重要意义。通过综合评价模型、耦合协调度模型和障碍度模型分析位于黄河流域中上游的内蒙古自治区新型城镇化-生态安全-公共健康耦合发展水平及影响因素。研究结果表明:2005-2021年内蒙古新型城镇化、生态安全、公共健康各子系统发展水平均有所提升,空间分异明显。新型城镇化水平由2005年的0.26提升到2021年的0.69,生态安全水平由2005年的0.26提高到2021年的0.57,公共健康水平在2021年达到0.64;新型城镇化、生态安全与公共健康耦合协调水平呈现波动增长态势,由2005年的0.22上升到2021年的0.62,表现为呼和浩特市、包头市耦合协调水平较高,其余盟市较低的空间格局;城乡居民基本医疗保险参保、人均GDP、城镇人均可支配收入等是制约系统协调发展的主要障碍因素,年均障碍度分别为17.32%、8.74%、7.33%。基于研究结果提出促进内蒙古新型城镇化-生态安全-公共健康协调发展的对策建议,旨在为实现区域高质量发展和推进中国式现代化建设提供支持和指导。

农业领域新质生产力的生态内涵及发展方式

农业现代化是中国式现代化的重要组成部分,推动农业现代化,实现农业强国迫切需要发展农业领域新质生产力。从生态学视角来讲,以科技创新为核心的农业领域新质生产力,在劳动者、劳动资料及劳动对象等方面都具有独特的生态内涵;同时,在新发展阶段担负着保障国家粮食安全、提升农业生态产品供给能力、推动生产方式绿色转型、提升耕地土壤健康水平以及水土资源利用效率等方面的历史使命。为此,需要全面树立健康引领农业领域新质生产力发展的理念,构建与农业领域新质生产力相适应的生产关系,建立和完善科技创新体系、人才支撑体系以及资金保障体系。

数字技术介入公共卫生安全治理研究——基于“技术—场域”的分析框架

在遵循标准化程序和规则的科层体制下,将多元治理技术与治理场域相结合,对不同实践样态下公共卫生安全治理产生的影响不尽相同。因而,亟须深入思考如何运用数字化、智能化治理技术,在应对公共卫生风险和危机时,不耗损其适应性和有效性,推动公共卫生安全治理技术与场域适配,进而更好地完善公共卫生安全治理体系建设。

从“人人享有”到“公平享有”:健康保障公平性分析

利用2018年中国流动人口动态监测调查数据,将医保和基本公共卫生服务两大类健康保障制度置于统一分析框架,评估流动人口健康保障受益的公平性。研究发现:流动人口存在与收入相关的健康和医疗服务利用不平等现象,低收入者健康状况较差,但医疗服务利用概率更低;基本医疗保险制度存在低收入人群补贴高收入人群的“逆向再分配”现象;基本公共卫生服务收入再分配效应为正,低收入群体更多利用了该服务。因此,建议大力推进基本公共卫生服务均等化,提高流动人口服务利用率,维护医疗服务的公益性,促进健康公平;同时,提高医保统筹层次,完善城乡居民大病医疗保险等制度,提高抵御疾病经济风险的保护能力和医保受益的公平性。

面向国家公共卫生安全的药学专业课程思政体系的构建

在新冠疫情暴发的背景下,成都大学药学专业提出“弘扬三线精神、牢记川抗使命,培养家国情怀;面向公卫安全、面向科技前沿、培养创新精神”思政教育目标。通过挖掘川抗思政元素、运行“院所合一”机制、实施“链上德育”教学模式等措施,构建了“课程-导学-实践”三位一体的药学专业思政体系;通过建立激励考核-综合评价-持续改进的思政保障体系,形成了专业课程思政教育OBE闭环体系,切实提升了专业思政水平和学生培养成效。

深化医改背景下高校师生健康与医疗保障管理服务信息化建设策略研究

随着国家医改及健康中国战略的深入实施,高校师生对生活品质需求不断提升、健康意识不断增强、对健康与医疗保障管理服务期望不断提高,高校师生健康与医疗保障管理服务信息化建设面临的问题与矛盾日益凸显。本文在当前深化医改信息化建设背景下,通过调研分析重庆大学及部分高校师生健康与医疗保障管理服务信息化建设现状,提出重庆大学师生健康与医疗保障管理服务信息化建设升级策略,对提升高校师生健康与医疗保障管理服务水平有参考借鉴意义。

农地流转对土地生态安全的影响研究进展

综述了土地生态安全领域研究进展及农地流转对土地生态安全的影响,总结了农地流转领域的相关研究,分析了新时代农业经营主体多元化背景下,土地利用中出现的新情况、新问题。针对当前农地流转生态风险认知不足、土地生态安全系统性评估方法体系有待完善、适应经营权流转的土地生态安全调控机制尚不健全等现实问题,提出进一步探索农业经营主体多元化对土地生态安全的影响机制,发展土地生态安全评估方法,建立从源头调控的土地生态安全调控机制,以满足新形势下乡村振兴中生态振兴对农地持续利用的精细化管理需求。

全球卫生安全治理范式转型:理论、制度与挑战

全球卫生安全治理传统范式将大流行病视为对国家安全的外部威胁,呈现出重控制轻预防和过度关注国家利益的特征,无法有效应对全球卫生危机。全球卫生安全治理范式转型要以新全球卫生安全观作为理论基础,采用深预防的方式应对全球卫生威胁;彰显全球主义的特质,保护人类的共同健康利益。谈判中的《世卫组织大流行协定》采用了可持续安全范式和基于人类利益的合作范式,初步实现全球卫生安全治理范式转型。但是,其全球主义愿景受到了国际卫生领域占主导地位的国家主义决策的挑战,发达国家和发展中国家就一些关键性问题还存在较大分歧,已经达成初步协议和已有初步趋同意见的条款也存在不足。