"十三五"期间是农村饮水安全工程巩固提升的重要阶段,工程措施是重要基础,信息化等非工程措施是重要技术支撑手段。基于此,设计实现了一个服务于农村饮水安全巩固提升的信息化监管平台,主要汇聚辖区内各类分散、异构的农饮工..."十三五"期间是农村饮水安全工程巩固提升的重要阶段,工程措施是重要基础,信息化等非工程措施是重要技术支撑手段。基于此,设计实现了一个服务于农村饮水安全巩固提升的信息化监管平台,主要汇聚辖区内各类分散、异构的农饮工程SCADA(Supervisory Control and Data Acquisition)数据进行集中管理与应用。平台采用地址目录服务器注册及协商机制实现异构网络间的网路互通,采用通信服务器中间件对异构网络协议的报文进行解析和封装,解决了农饮工程分布式SCADA系统的网络级同步和系统接口级互联问题。该平台运行1 a多的实践表明,生产管理更及时、更全面,行业监管更到位、评价更客观,供水保证率和保障率均有明显提高。展开更多
AIM:To investigate national trends in distal pancreatectomy(DP) through query of three national patient care databases.METHODS:From the Nationwide Inpatient Sample(NIS,2003-2009),the National Surgical Quality Improvem...AIM:To investigate national trends in distal pancreatectomy(DP) through query of three national patient care databases.METHODS:From the Nationwide Inpatient Sample(NIS,2003-2009),the National Surgical Quality Improvement Project(NSQIP,2005-2010),and the Surveillance Epidemiology and End Results(SEER,2003-2009) databases using appropriate diagnostic and procedural codes we identified all patients with a diagnosis of a benign or malignant lesion of the body and/or tail of the pancreas that had undergone a partial or distal pancreatectomy.Utilization of laparoscopy was defined in NIS by the International Classification of Diseases,Ninth Revision correspondent procedure code;and in NSQIP by the exploratory laparoscopy or unlisted procedure current procedural terminology codes.In SEER,patients were identified by the International Classification of Diseases for Oncology,Third Edition diagnosis codes and the SEER Program Code Manual,third edition procedure codes.We analyzed the databases with respect to trends of inpatient outcome metrics,oncologic outcomes,and hospital volumes in patients with lesions of the neck and body of the pancreas that underwent operative resection.RESULTS:NIS,NSQIP and SEER identified 4242,2681 and 11 082 DP resections,respectively.Overall,laparoscopy was utilized in 15%(NIS) and 27%(NSQIP).No significant increase was seen over the course of the study.Resection was performed for malignancy in 59%(NIS) and 66%(NSQIP).Neither patient Body mass index nor comorbidities were associated with operative approach(P = 0.95 and P = 0.96,respectively).Mortality(3% vs 2%,P = 0.05) and reoperation(4% vs 4%,P = 1.0) was not different between laparoscopy and open groups.Overall complications(10% vs 15%,P < 0.001),hospital costs [44 741 dollars,interquartile range(IQR) 28 347-74 114 dollars vs 49 792 dollars,IQR 13 299-73 463,P = 0.02] and hospital length of stay(7 d,IQR 4-11 d vs 7 d,IQR 6-10,P < 0.001) were less when laparoscopy was utilized.One and two year survival after resection for malignancy were unchan展开更多
文摘"十三五"期间是农村饮水安全工程巩固提升的重要阶段,工程措施是重要基础,信息化等非工程措施是重要技术支撑手段。基于此,设计实现了一个服务于农村饮水安全巩固提升的信息化监管平台,主要汇聚辖区内各类分散、异构的农饮工程SCADA(Supervisory Control and Data Acquisition)数据进行集中管理与应用。平台采用地址目录服务器注册及协商机制实现异构网络间的网路互通,采用通信服务器中间件对异构网络协议的报文进行解析和封装,解决了农饮工程分布式SCADA系统的网络级同步和系统接口级互联问题。该平台运行1 a多的实践表明,生产管理更及时、更全面,行业监管更到位、评价更客观,供水保证率和保障率均有明显提高。
文摘AIM:To investigate national trends in distal pancreatectomy(DP) through query of three national patient care databases.METHODS:From the Nationwide Inpatient Sample(NIS,2003-2009),the National Surgical Quality Improvement Project(NSQIP,2005-2010),and the Surveillance Epidemiology and End Results(SEER,2003-2009) databases using appropriate diagnostic and procedural codes we identified all patients with a diagnosis of a benign or malignant lesion of the body and/or tail of the pancreas that had undergone a partial or distal pancreatectomy.Utilization of laparoscopy was defined in NIS by the International Classification of Diseases,Ninth Revision correspondent procedure code;and in NSQIP by the exploratory laparoscopy or unlisted procedure current procedural terminology codes.In SEER,patients were identified by the International Classification of Diseases for Oncology,Third Edition diagnosis codes and the SEER Program Code Manual,third edition procedure codes.We analyzed the databases with respect to trends of inpatient outcome metrics,oncologic outcomes,and hospital volumes in patients with lesions of the neck and body of the pancreas that underwent operative resection.RESULTS:NIS,NSQIP and SEER identified 4242,2681 and 11 082 DP resections,respectively.Overall,laparoscopy was utilized in 15%(NIS) and 27%(NSQIP).No significant increase was seen over the course of the study.Resection was performed for malignancy in 59%(NIS) and 66%(NSQIP).Neither patient Body mass index nor comorbidities were associated with operative approach(P = 0.95 and P = 0.96,respectively).Mortality(3% vs 2%,P = 0.05) and reoperation(4% vs 4%,P = 1.0) was not different between laparoscopy and open groups.Overall complications(10% vs 15%,P < 0.001),hospital costs [44 741 dollars,interquartile range(IQR) 28 347-74 114 dollars vs 49 792 dollars,IQR 13 299-73 463,P = 0.02] and hospital length of stay(7 d,IQR 4-11 d vs 7 d,IQR 6-10,P < 0.001) were less when laparoscopy was utilized.One and two year survival after resection for malignancy were unchan
