Establishing minimum clinically important difference values for the Patient-Reported Outcomes Measurement Information System Physical Function, hip disability and osteoarthritis outcome score for joint reconstruction, and knee injury and osteoarthritis out

AIM To establish minimum clinically important difference(MCID) for measurements in an orthopaedic patient population with joint disorders.METHODS Adult patients aged 18 years and older seeking care for joint conditions at an orthopaedic clinic took the Patient-Reported Outcomes Measurement Information System Physical Function(PROMIS~? PF) computerized adaptive test(CAT), hip disability and osteoarthritis outcome score for joint reconstruction(HOOS JR), and the knee injury and osteoarthritis outcome score for joint reconstruction(KOOS JR) from February 2014 to April 2017. MCIDs were calculated using anchorbased and distribution-based methods. Patient reports of meaningful change in function since their first clinic encounter were used as an anchor.RESULTS There were 2226 patients who participated with a mean age of 61.16(SD = 12.84) years, 41.6% male, and 89.7% Caucasian. Mean change ranged from 7.29 to 8.41 for the PROMIS~? PF CAT, from 14.81 to 19.68 for the HOOS JR, and from 14.51 to 18.85 for the KOOS JR. ROC cut-offs ranged from 1.97-8.18 for the PF CAT, 6.33-43.36 for the HOOS JR, and 2.21-8.16 for the KOOS JR. Distribution-based methods estimated MCID values ranging from 2.45 to 21.55 for the PROMIS~? PF CAT; from 3.90 to 43.61 for the HOOS JR, and from 3.98 to 40.67 for the KOOS JR. The median MCID value in the range was similar to the mean change score for each measure and was 7.9 for the PF CAT, 18.0 for the HOOS JR, and 15.1 for the KOOS JR.CONCLUSION This is the first comprehensive study providing a wide range of MCIDs for the PROMIS? PF, HOOS JR, and KOOS JR in orthopaedic patients with joint ailments.

Using Geographic Information Systems (GIS) for Targeted National Recruitment of Community-Dwelling Caregivers Managing Dementia-Related Behavioral and Psychological Symptoms: A Recruitment Approach for a Randomized Clinical Trial

Over 16 million caregivers of people living with dementia require support in a range of issues, including self-care, disease education, and guidance for how to manage behavioral and psychological symptoms of dementia (BPSD). Non-pharmacological interventions are needed to address these areas, and online applications have been shown to be safe and effective. To ensure the efficacy of such interventions, racially, ethnically, geographically, and socioeconomically diverse participants must be recruited to increase the generalizability of study outcomes. This protocol paper describes a recruitment plan using Geographic Information Systems (GIS) to reach a representative sample of caregivers across the United States for a national Phase III clinical study. Using publicly available census data from the American Community Survey (ACS), combined with location data for local aging resources such as Area Agencies on Aging (AAA), recruitment will be derived from data analysis conducted in ESRI ArcGIS v10.7.1. Datasets including age, gender, income, and education will be assessed nationally at the county and census tract spatial scale in a nine-step process to develop recruitment priority areas containing high concentrations of eligible participants living in the community. Overall, the current protocol will demonstrate the value of GIS in tailoring targeted outreach strategies to recruit community-dwelling populations through local resource institutions. This novel approach may have far-reaching implications in future recruitment initiatives and help to secure racially/ethnically diverse samples.

Study on Clinical Thinking of Traditional Chinese Medicine Based on Wang Yongyan＇s MedicalRecord Information System

Medical record information system engineering technology is used to set professor Wang Yongyan5s medical record as the master system, and model the disease, syndrome, treatment and prescription. According to the experience of doctors, we will combine them according to the procedure of ＂problem-solution＂, to study Professor Wang＇s treatment experience and his clinical thinking.

MANAGEMENT OF SPATIO-TEMPORAL DATA OF CADASTRAL INFORMATION SYSTEM IN CHINA

Cadastral Information System (CIS) is designed for the office automation of cadastral management. With the development of the market economics in China, cadastral management is facing many new problems. The most crucial one is the temporal problem in cadastral management. That is, CIS must consider both spatial data and temporal data. This paper reviews the situation of the current CIS and provides a method to manage the spatiotemporal data of CIS, and takes the CIS for Guangdong Province as an example to explain how to realize it in practice.

Clinical decision support for drug related events: Moving towards better prevention

Clinical decision support(CDS) systems with automated alerts integrated into electronic medical records demonstrate efficacy for detecting medication errors(ME) and adverse drug events(ADEs). Critically ill patients are at increased risk for ME, ADEs and serious negative outcomes related to these events. Capitalizing on CDS to detect ME and prevent adverse drug related events has the potential to improve patient outcomes. The key to an effective medication safety surveillance system incorporating CDS is advancing the signals for alerts by using trajectory analyses to predict clinical events, instead of waiting for these events to occur. Additionally, incorporating cutting-edge biomarkers into alert knowledge in an effort to identify the need to adjust medication therapy portending harm will advance the current state of CDS. CDS can be taken a step further to identify drug related physiological events, which are less commonly included in surveillance systems. Predictive models for adverse events that combine patient factors with laboratory values and biomarkers are being established and these models can be the foundation for individualized CDS alerts to prevent impending ADEs.

On information field of clinical diagnosis

“Field” is a universal phenomenon existing in both nature and society, and determines the existence and significance of all materials or information. The man being has always been generating and carrying a large quantity of life information in his whole life. Each piece of life information has an independent information field. The life information field includes such three subfields as bioinformation field, psychoinformation field and psycho-bioinformation field. The clinical diagnosis information field which is a specific information field within the information field of human activities consists of all information concerning man’s health. Only after we have cognized and ascertained the clinic diagnosis information field, can we accurately utilize its function to serve the human being.

Problems and Instruction Needed in Relation to Nursing Students’ Handling of Patient Information—From a Survey of Nurses Coordinating Clinical Practicums in Japan

The purpose of this study was to clarify and consider the instruction that is needed in relation to nursing students’ handling of patient information, as felt by the people in charge of student clinical practicums in hospitals. Semi-structured interviews were conducted with 7 people in charge of organizing practicums at hospitals where they are carried out. These subjects were asked about problems they had experienced in relation to nursing students’ handling of patient information and the instruction that is needed so that problems related to nursing students’ handling of information do not occur. Various problems were shown to occur in relation to nursing students’ handling of patient information, such as handling the information outside of the practicum setting. Many students receive no instruction with regard to the ethics of handling patient information in their classroom work, and their awareness regarding information is cannot be considered high, indicating the need for more consistent and reliable education in this area. The findings also suggest that instruction is needed with regard to the handling of sensitive information in accordance with the circumstances of individual patients.

CIM/CIS互操作细则在多级电网调度中的应用

IEC61970/IEC61968系列标准的制定为电网调度自动化系统之间的互操作提供了标准。给出了基于IEC61970/IEC61968制定的公共信息模型(CIM)/组件接口规范(CIS)互操作细则,包括明确规定系统间交换涉及的模式、使用的接口方法和涵盖图元细化定义的图形交换规范,以及基于互操作细则的调度自动化模型互导、拆分和合并。细则的定义消除了标准应用的理解偏差,其有效实施对电网调度自动化系统的建设、维护和升级,以及各级电网调度自动化系统模型共享、信息共用起到促进作用。

某三甲医院开设护理门诊实践与思考

为了满足患者日益增加的医疗服务需求,许多医院开始实践开设护理门诊,旨在为患者提供更全面、更个性化的医疗服务。笔者介绍了某三甲医院在开设护理门诊实践过程中发现的一些问题,包括出诊人员资质要求不明确、收费项目不明确、病历书写率低及患者个人信息保护等问题;提出通过明确出诊人员资质、确立收费准则、提高病历书写率及加强法律意识等措施解决相对应的问题,以期为护理门诊的建设和发展提供借鉴。

电信CIS报警三字段信息的实时实现方案

本文介绍了电信话务各特服号报警指挥中心如何遵循信息产业部“信息不准拷贝、不准联网拷贝、报警时送三字段信息”的有关指示,建立能及时、准确地获得拨打各特服号码的主叫用户信息的实用系统,提出了相应的解决方案。经系统测试和实际运行,效果显著,具有广泛的应用前景。

具有强大功能的OrCAD Capture CIS软件

OrCAD Capture CIS软件集成了具有器件信息系统(Component Information System,简称CIS)的OrCAD Capture原理图设计应用功能。该软件的设计着重考虑了降低花在查询现有重复采用的器件上面的时间,以及减少手工登记元器件的信息内容和元器件数据库的维护。对元器件的查询是基于它们所拥有的电性能参数,通过采用OrCAD Capture CIS软件可以自动地检索相关联的器件情况。

临床信息系统(CIS)在医院数字化建设中的应用

HIS是个非常庞杂的应用,它涵盖了HIS、CIS、LIS、PACS、RIS,以及多学科方面的知识及应用。所有系统信息汇总进入医院OA系统中,使医院各部门与岗位都能及时、准确地在医院信息系统中获得所需要的信息,提高医院的整体运转效率。而CIS的应用在很大程度上能够大幅度提高医院的诊疗水平与服务能力,是其中一个必不可少的环节。就临床信息系统的目标、系统技术的发展方向及存在的困境进行了分析与探讨。

企业CIS战略实施的信息支持

本文分析了企业实施CIS战略过程中产生的信息流的类型和特点,据此提出了CIS信息流模型。根据这个信息流模型,提出了改革企业信息部门组织结构体系的设想,以确保为企业导入实施CIS提供高效的信息支持和组织保障。

基于VPN的CIS设计方案研究

文章在分析了CIS (竞争情报系统 )的安全需求以及VPN (虚拟专用网 )的安全机制的基础上 。

临床研究机构信息化管理系统建设与运用效果

目的提升医院临床研究机构的信息化管理水平。方法设计符合医院实际的临床研究机构信息化管理系统,并对其进行测试,运用该系统对医院临床试验项目进行信息化管理。结果已初步建立包括项目申请、机构立项、伦理审批、合同费用管理、项目管理、项目结题六大核心功能模块的临床研究机构信息化管理系统,涉及用户管理、项目管理、伦理管理、试验用药品管理、其他管理。自2020年投入使用以来,已在系统中运行6项临床试验项目,节约用纸1562张,申办方代表车旅费、沟通成本、时间成本均降低。结论临床研究机构信息化管理系统可实现临床试验管理规范、流程清晰,审查高效、快速,资料真实可靠、可溯源,可提高临床研究的效率和质量。

以护士为主导的门诊多学科信息化会诊平台的优化及应用

目的:优化以护士为主导的门诊多学科信息化会诊平台,并评价该平台的应用效果。方法:以护士为主导组建平台优化团队,联系多部门对平台进行优化升级。采用前后对照研究,以2022年9月—2023年12月在我院进行门诊多学科合作(MDT)会诊的病人为研究对象,分析平台优化前后会诊平台的应用效果。结果:平台主要优化功能包括智能匹配会诊团队、智能推送健康宣教、新增会诊后随访功能。平台优化后,明确诊疗计划占比较会诊前显著提升(P=0.002),会诊等待时间<48 h的比例增加(P=0.010),会诊服务满意度和健康管理知识水平无明显改变。结论:以护士为主导的门诊MDT智能化会诊平台能够显著提升会诊效果,缩短会诊等待时间。

CIS数据库动态交互技术

为解决企业上网后数据库的安全访问及数据库信息的实时发布 ,对几种Web方式下的CIS数据库交互技术作了详细分析 ,给出了几种流行的CIS数据库交互技术的比较。

Effects of resveratrol in experimental and clinical non-alcoholic fatty liver disease

The prevalence of obesity and related conditions like non-alcoholic fatty liver disease(NAFLD) is increasing worldwide and therapeutic options are limited.Alternative treatment options are therefore intensively sought after.An interesting candidate is the natural polyphenol resveratrol(RSV) that activates adenosinmonophosphate-activated protein kinase(AMPK) and silent information regulation-2 homolog 1(SIRT1).In addition,RSV has known anti-oxidant and anti-inflammatory effects.Here,we review the current evidence for RSVmediated effects on NAFLD and address the different aspects of NAFLD and non-alcoholic steatohepatitis(NASH) pathogenesis with respect to free fatty acid(FFA) flux from adipose tissue,hepatic de novo lipogenesis,inadequate FFA β-oxidation and additional intra- and extrahepatic inflammatory and oxidant hits.We review the in vivo evidence from animal studies and clinical trials.The abundance of animal studies reports a decrease in hepatic triglyceride accumulation,liver weight and a general improvement in histological fatty liver changes,along with a reduction in circulating insulin,glucose and lipid levels.Some studies document AMPK or SIRT1 activation,and modulation of relevant markers of hepatic lipogenesis,inflammation and oxidation status.However,AMPK/SIRT1-independent actions are also likely.Clinical trials are scarce and have primarily been performed with a focus on overweight/obese participants without a focus on NAFLD/NASH and histological liver changes.Future clinical studies with appropriate design are needed to clarify the true impact of RSV treatment in NAFLD/NASH patients.

Data mining in clinical big data:the frequently used databases,steps,and methodological models

Many high quality studies have emerged from public databases,such as Surveillance,Epidemiology,and End Results(SEER),National Health and Nutrition Examination Survey(NHANES),The Cancer Genome Atlas(TCGA),and Medical Information Mart for Intensive Care(MIMIC);however,these data are often characterized by a high degree of dimensional heterogeneity,timeliness,scarcity,irregularity,and other characteristics,resulting in the value of these data not being fully utilized.Data-mining technology has been a frontier field in medical research,as it demonstrates excellent performance in evaluating patient risks and assisting clinical decision-making in building disease-prediction models.Therefore,data mining has unique advantages in clinical big-data research,especially in large-scale medical public databases.This article introduced the main medical public database and described the steps,tasks,and models of data mining in simple language.Additionally,we described data-mining methods along with their practical applications.The goal of this work was to aid clinical researchers in gaining a clear and intuitive understanding of the application of data-mining technology on clinical big-data in order to promote the production of research results that are beneficial to doctors and patients.

CIS中角色动态权限管理的研究

临床信息系统(Clinic Information System)简称CIS,具有功能模块多、用户数量大的特点。其中,权限管理是系统实现中非常重要的一部分。通过分析传统权限管理存在的问题和不足之后,结合基于角色访问控制原理,提出了角色动态权限管理方案,其中在单击某个菜单打开对应窗体时主要采用了C#.NET中的反射。此方案已经在多家医院的CIS系统上运用,经过实践证明该方案可行,且使用效果良好。