Objective: To investigate the allocation and management of large medical equipment (LME) in Xuzhou, Jiangsu Province, China, in order to make the best use of LME to meet the medical needs of local people. Methods: The...Objective: To investigate the allocation and management of large medical equipment (LME) in Xuzhou, Jiangsu Province, China, in order to make the best use of LME to meet the medical needs of local people. Methods: The research collected data from all hospitals that have LME in Xuzhou using questionnaire; 38 (97.4%) hospitals returned the questionnaire. Results: In Xuzhou, there are a total of 71 pieces of LME, each serving 126 600 people in an area of 163 km2. Sixty-two percent of them are allocated in urban areas, with Gini coefficient at 0.52, indicating imbalance and biased allocation of LME. Conclusion: The al- location of LME in Xuzhou is out of control and unfairly allocated.展开更多
The aim of the study was to analyze the performance of large scale incinerator installed in a referral hospital. The study involved weighing and loading infectious waste of different composition (sharps and other wast...The aim of the study was to analyze the performance of large scale incinerator installed in a referral hospital. The study involved weighing and loading infectious waste of different composition (sharps and other waste), recording temperatures in the primary and secondary chamber with time, fuel used and collecting and weighing the bottom ash for 65 days. The analysis shows that the incinerator on average uses 362 L/day (45 L/h) to incinerate 945 kg of medical waste (40.8 kg/day of sharps waste and 904 kg/day of other waste), generating 51.2 kg of ash daily. The observed fuel consumption rate was too high necessitating corrective action. The average weight reduction was 94.6%. The study shows that the average sharps waste composition for medical waste incinerated was 4.3% and other waste was 95.7%. The incinerator capacity ranged between 100 and 130 kg/h. The fuel effectiveness ranged between 2.0 and 3.0 liters of diesel per kg of waste incinerated. The fuel effectiveness increased linearly with total waste incinerated and incinerator capacity, respectively, depending on the fuel consumption rate.展开更多
The level of personnel operation ability determines the expected effectiveness of large-scale complex equipment. Firstly, this paper constructs the personnel operational ability evaluation index system and analyzes th...The level of personnel operation ability determines the expected effectiveness of large-scale complex equipment. Firstly, this paper constructs the personnel operational ability evaluation index system and analyzes the data source of index. Secondly, the weight of index is determined and the fuzzy comprehensive evaluation model is proposed. Finally, results of instance analysis show that the evaluation model is feasible and effective.展开更多
We developed an IT (Information Technology) triage system for collecting disaster medical information in real time. FeliCa cards and card readers are used to obtain the number and condition of patients. The system i...We developed an IT (Information Technology) triage system for collecting disaster medical information in real time. FeliCa cards and card readers are used to obtain the number and condition of patients. The system is composed of two elements. First, the number of patients for each triage level and the accepted number of patients in each diagnosis and treatment department are obtained in real time, including response for changing triage level. Second, this information is shared in real time among hospitals, the admim'stration, and residents who are searching for their family. A disaster drill utilizing this system was held at the University of Yamanashi Hospital with 450 participants. From the result of that, the present system could work for those two elements. TRACY was examined its availability and practicability in this drill.展开更多
医学统计学课程教学团队从研究生医学统计学课程教学现状和存在问题出发,提出基于项目的学习法(project-based learning,PBL)联合大规模开放在线课程(massive open online courses,MOOC),即慕课的教学模式。本文对这种新型教学模式在研...医学统计学课程教学团队从研究生医学统计学课程教学现状和存在问题出发,提出基于项目的学习法(project-based learning,PBL)联合大规模开放在线课程(massive open online courses,MOOC),即慕课的教学模式。本文对这种新型教学模式在研究生医学统计学课程的操作实施过程进行详细阐述,并对教学效果进行比较分析。结果表明PBL联合MOOC教学模式在提高学生的学习兴趣和动力、拓展学习资源和学习路径等方面具有优势,与传统教学模式相互补充和融合是解决当前研究生医学统计学课程学习瓶颈的有效途径,为当前医学院校研究生课程的教学改革与实践提供新思路。展开更多
文摘Objective: To investigate the allocation and management of large medical equipment (LME) in Xuzhou, Jiangsu Province, China, in order to make the best use of LME to meet the medical needs of local people. Methods: The research collected data from all hospitals that have LME in Xuzhou using questionnaire; 38 (97.4%) hospitals returned the questionnaire. Results: In Xuzhou, there are a total of 71 pieces of LME, each serving 126 600 people in an area of 163 km2. Sixty-two percent of them are allocated in urban areas, with Gini coefficient at 0.52, indicating imbalance and biased allocation of LME. Conclusion: The al- location of LME in Xuzhou is out of control and unfairly allocated.
文摘The aim of the study was to analyze the performance of large scale incinerator installed in a referral hospital. The study involved weighing and loading infectious waste of different composition (sharps and other waste), recording temperatures in the primary and secondary chamber with time, fuel used and collecting and weighing the bottom ash for 65 days. The analysis shows that the incinerator on average uses 362 L/day (45 L/h) to incinerate 945 kg of medical waste (40.8 kg/day of sharps waste and 904 kg/day of other waste), generating 51.2 kg of ash daily. The observed fuel consumption rate was too high necessitating corrective action. The average weight reduction was 94.6%. The study shows that the average sharps waste composition for medical waste incinerated was 4.3% and other waste was 95.7%. The incinerator capacity ranged between 100 and 130 kg/h. The fuel effectiveness ranged between 2.0 and 3.0 liters of diesel per kg of waste incinerated. The fuel effectiveness increased linearly with total waste incinerated and incinerator capacity, respectively, depending on the fuel consumption rate.
基金supported by the Natural Science Foundation of China(71704184)Projects of the of the National Social Science Foundation of China(15GJ003-245)Science Foundation of Equipment Research(JJ20172A05095)
文摘The level of personnel operation ability determines the expected effectiveness of large-scale complex equipment. Firstly, this paper constructs the personnel operational ability evaluation index system and analyzes the data source of index. Secondly, the weight of index is determined and the fuzzy comprehensive evaluation model is proposed. Finally, results of instance analysis show that the evaluation model is feasible and effective.
文摘We developed an IT (Information Technology) triage system for collecting disaster medical information in real time. FeliCa cards and card readers are used to obtain the number and condition of patients. The system is composed of two elements. First, the number of patients for each triage level and the accepted number of patients in each diagnosis and treatment department are obtained in real time, including response for changing triage level. Second, this information is shared in real time among hospitals, the admim'stration, and residents who are searching for their family. A disaster drill utilizing this system was held at the University of Yamanashi Hospital with 450 participants. From the result of that, the present system could work for those two elements. TRACY was examined its availability and practicability in this drill.
文摘医学统计学课程教学团队从研究生医学统计学课程教学现状和存在问题出发,提出基于项目的学习法(project-based learning,PBL)联合大规模开放在线课程(massive open online courses,MOOC),即慕课的教学模式。本文对这种新型教学模式在研究生医学统计学课程的操作实施过程进行详细阐述,并对教学效果进行比较分析。结果表明PBL联合MOOC教学模式在提高学生的学习兴趣和动力、拓展学习资源和学习路径等方面具有优势,与传统教学模式相互补充和融合是解决当前研究生医学统计学课程学习瓶颈的有效途径,为当前医学院校研究生课程的教学改革与实践提供新思路。