2.Development of POCT and medical digital assistant for primary medical healthcare.
Jun SHI ; Zhuang-Zhi YAN ; Zhi-Hao PAN
Chinese Journal of Medical Instrumentation 2008;32(1):40-46
In this paper, we discuss the meaning, advantages and methods of applying the point of care testing (POCT) and medical digital assistant (MDA) to primary healthcare services. We also introduce the development of the POCT and MDA based on the electronic health record(EHR) system.
Computers, Handheld
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Medical Records Systems, Computerized
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instrumentation
;
Point-of-Care Systems
;
Software Design
3.Study on medical pattern of traditional Chinese medicine and western medicine diagnosis and treatment of hypertension patients in 30 034 cases in real world.
Jin-hui MA ; Zhi-fei WANG ; Yan-ming XIE ; Wei YANG ; Zhi-xin YANG ; Yan ZHUANG ; Yong-yan WANG
China Journal of Chinese Materia Medica 2014;39(18):3435-3441
Select patients diagnosed of hypertension in the first place in 16 hospitals and the patients were described by association rules analysis and distribution for the analysis in the study,in order to understand the information of diagnosis and treatment in hypertension patients in real world. The information include age, gender, admission condition, inpatient department, hospitalization expenses, western medicine comorbidities, the traditional Chinese medicine (TCM) syndrome and the medicine. The average age of patients was 64 years in the study. The proportion of men to women about 1. 10: 1. Admission condition is critical for about 10.12% of the total and more concentrated in the cardiovascular department. Hospital stay ranged from 8 to 14 d. Inpatients with medical insurance is 62.93%. Total hospitalization cost distribution most is the 5 000-10 000 RMB. Hypertension complicated with coronary heart disease, blood lipoprotein disorder disease; phlegm and blood stasis and Yin deficiency of liver and kidney are the most in TCM syndrome type. Promoting blood circulation and removing blood stasis is the major in Chinese medicine treatment. Western medicine treatment basically conforms to the guidelines. The most antihypertensive drugs is calcium antagonistst, accounting for about 81.2% of the total number. Class ACEI, class ARB, beta blockers, diuretics class are accounted for 43.0%, 43.4%, 42.4%, 42.4%, fixed compound is only 2 393, accounting for about 8%. the total frequency of five classes of antihypertensive drugs is 78 206 times. The principal conclusions of this analysis are as follows: the elderly people is the most in hypertension, more men than women; medical insurance is the majority type in hospitalization cost; nearly half of the population is combined with coronary heart disease; phlegm and blood stasis and yin deficiency of liver and kidney are the most in TCM syndrome type; western medicine treatment basically conforms to the guidelines. Combination therapy is more, less fixed compound preparation in western medicine. Chinese medicine is mainly to promoting blood circulation. Suggesting that the clinical treatment in strict blood pressure and at the same time, pay attention to combination therapy and the use of fixed compound preparation,it's useful to control the blood pressure better. Combined with traditional Chinese medicine and resolving phlegm and removing blood stasis, reduce the target organ damage, reduce complications, the prevention and control work of hypertension in China still faces enormous challenges at present. The result provides reference information for clinical medicine and medical research.
Adolescent
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Adult
;
Aged
;
Antihypertensive Agents
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therapeutic use
;
Blood Pressure
;
drug effects
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Drugs, Chinese Herbal
;
therapeutic use
;
Female
;
Humans
;
Hypertension
;
complications
;
drug therapy
;
Male
;
Medicine, Chinese Traditional
;
methods
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Middle Aged
;
Treatment Outcome
;
Young Adult
4.Design of the software system of the platform for long-term blood pressure monitoring.
Yan-ya LU ; Jun SHI ; Zhuang-zhi YAN ; Juan LI
Chinese Journal of Medical Instrumentation 2008;32(5):328-379
In this study, a platform for long-term and non-invasive blood pressure monitoring is proposed, Its software system and the functions of different program modules in the software system are introduced together with the development methods of the main modules.
Blood Pressure Determination
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instrumentation
;
methods
;
Blood Pressure Monitors
;
Software Design
5.Streptococcal toxic shock syndrome in a case.
Li-jie WANG ; Zhuang YUAN ; Chun-feng LIU ; Cui-zhi YAN ; Guang-xia ZHAO
Chinese Journal of Pediatrics 2003;41(12):939-939
6.Design of the Medical Digital Assistant for "bottom of the pyramid".
Jie-hui JIANG ; Zhuang-zhi YAN ; Jun SHI
Chinese Journal of Medical Instrumentation 2006;30(3):173-191
To meet the challenges such as raising the efficiency of medical resources, slowing the fastly-increasing medical costs and keeping the sustainability of the aging society and chronic diseases, this paper introduces a Medical Digital Assistant system for "BOP", which includes a mobile monitoring unit,a data transferring unit, and a managing unit, and presents the system's evaluating method. In addition, a new application model and the service workflow are discussed.
Computer Communication Networks
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instrumentation
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Computer Systems
;
Equipment Design
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Hospital Information Systems
;
Humans
;
Image Processing, Computer-Assisted
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instrumentation
;
Rural Health Services
;
Software Design
;
Telemedicine
;
instrumentation
;
methods
7.Clinical analysis on combined medication in patients of acute pancreatitis in real world.
Hai-Zhou ZHUANG ; Zhi-Fei WANG ; Yan-Ming XIE ; Wei YANG ; Zhuo-Yue WANG
China Journal of Chinese Materia Medica 2014;39(18):3527-3534
OBJECTIVETo study the characteristics and regular pattern of the medicine in common use and combined medication in patients of acute pancreatitis in real world.
METHODCollect the information of 5 433 acute pancreatitis patients in 19 grade IIIA general hospitals in China, analysis by descriptive statistics and association rule.
RESULTIn the 5 433 patients of acute pancreatitis, the glycyrrhizic acid injection and somatostatin are the frequency top used Chinese traditional and western medication. Glycyrrhizic acid injection, somatostatin and insulin are the frequency top used drug combination pattern.
CONCLUSIONThe Chinese and western integrative medicine drug use pattern are accord with the clinical guideline of acute panceatitis. The hepatic and renal function, blood routine and coagulation function should be monitored when the medicines are used.
Adolescent ; Adult ; Aged ; Anti-Inflammatory Agents ; therapeutic use ; Drug Therapy, Combination ; Drugs, Chinese Herbal ; therapeutic use ; Female ; Glycyrrhizic Acid ; therapeutic use ; Humans ; Male ; Medicine, Chinese Traditional ; methods ; Middle Aged ; Pancreatitis ; drug therapy ; Somatostatin ; therapeutic use ; Young Adult
8.Design of the wireless medical information system based on PDA.
Tian-Long SHEN ; Jun SHI ; Zhuang-Zhi YAN
Chinese Journal of Medical Instrumentation 2007;31(5):344-347
This paper introduces the design of the wireless medical information management system based on PDA and its model whose experiment results show that it can realize the functional requirements of the design.
Computers, Handheld
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Information Systems
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instrumentation
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organization & administration
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Medical Informatics Applications
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Signal Processing, Computer-Assisted
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Software Design
;
Wireless Technology
9.A web-based biomedical image mosaicing system.
Meng ZHANG ; Zhuang-zhi YAN ; Zhi-jun PAN ; Shi-jie SHAO
Chinese Journal of Medical Instrumentation 2006;30(6):419-456
This paper describes a web service for biomedical image mosaicing. A web site based on CGI (Common Gateway Interface) is implemented. The system is based on Browser/Server model and is tested in www. Finally implementation examples and experiment results are provided.
Internet
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standards
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Programming Languages
;
Radiology Information Systems
;
Software
10.Analysis on clinical features and treatment of herpes zoster patients hospitalized in real world.
Ling-Lian YUAN ; Lian-Xin WANG ; Yan-Ming XIE ; Wei YANG ; Zhi-Xin YANG ; Yan ZHUANG ; Yun-Bi ZHANG
China Journal of Chinese Materia Medica 2014;39(18):3469-3473
From the hospital information system (HIS) of 20 national grade III-A general hospitals, 2 960 cases of herpes zoster as the research object, analyzes the relations between the general information, syndrome of traditional Chinese medicine (TCM), western medicine combined diseases, the relationship between the solar term and the incidence of herpes zoster, and the combined use of Chinese and western medicine. Among the patients with 46-65 year old has the highest percentage of diseased; admission to general outpatient clinic is the most; the most common medical payment is medicare; combined disease such as hypertension, diabetes and coronary heart disease is more common; early treatment effect of herpes zoster is better than the sequelae; summer and autumn solar term patients is hospitalized more, TCM syndrome is damp heat of liver fire; about drugs, western medicine is the most commonly used vitamin B1 and mecobalamin, traditional Chinese medicine is the most frequently used Danhong injection, combination therapy with promoting blood circulation drugs and neurotrophic drugs. Thus, herpes zoster, more common in elderly patients, with no obvious relationship between solar term, should be early diagnosis and early treatment, often with combination of Chinese traditional and western medicine treatment.
Adolescent
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Adult
;
Aged
;
Aged, 80 and over
;
Drugs, Chinese Herbal
;
therapeutic use
;
Female
;
Herpes Zoster
;
diagnosis
;
drug therapy
;
epidemiology
;
Humans
;
Male
;
Medicine, Chinese Traditional
;
methods
;
Middle Aged
;
Thiamine
;
therapeutic use
;
Vitamin B 12
;
analogs & derivatives
;
therapeutic use
;
Young Adult