医院信息系统多元化集成发展的探讨

????? 阐述了医院信息系统的应用主线和系统当前面临的挑战,探讨了运用数据整合、统一平台以及面向服务的技术架构等方法,完成多元化信息集成交换平台的解决方案,对数据进行集成与利用,从而达到系统间的数据共享与交换、支持管理决策与分析的目的。

     

深圳城市生态大数据智慧管理和服务平台技术集成与应用研究

生态环境是人类赖以生存和发展的基础,城市生态大数据智慧管理和服务平台建设是生态城市和美丽城市建设的需要。以深圳市为例,借助物联网、移动互联网、计算机、数据库和网络地理信息系统技术,以及时空地理大数据整合和共享、大数据挖掘分析和云端一体化业务协同等关键技术,结合城市生态系统评估分析决策模型/方法/对策库,在实现深圳市“空-地-网-统计-众源”等多源异构生态大数据有效集成的基础上,搭建了 “数据采集-信息提取-知识发现-决策生成-快速服务”全流程、一体化的深圳市生态大数据智慧管理和服务平台,构建了面向业务部门和科研人员等专业用户的生态野外数据调查采集系统和城市生态监测与评估管理决策分析系统,以及面向社会大众的深圳生态大调查APP。平台首次揭示了深圳市1979年以来不同生态系统的格局、构成、过程、服务和健康状况的变化,提升了深圳市生态环境综合决策科学化、生态环境监管精准化、生态环境公共服务便民化水平。平台有效降低了用户数据收集与处理和操作专业模型的难度,突破了原始数据应用的瓶颈和难点,提高了专业模型在业务部门中的使用率。未来,依靠“生态大数据+生态专业模型”的技术方案实现从数据到知识的挖掘,是实现城市生态大数据智慧化和专业化管理的关键,也是全面提高城市生态环境保护信息化服务水平的重要途径。     

Service platform and monitoring architecture for network function virtualization (NFV)

With the advent of cloud and virtualization technologies and the integration of various computer communication technologies, today’s computing environments can provide virtualized high quality services. The network traffic has also continuously increased with remarkable growth. Software defined networking/network function virtualization (SDN/NFV) enhancing the infrastructure agility, thus network operators and service providers are able to program their own network functions on vendor independent hardware substrate. However, in order for the SDN/NFV to realize a profit, it must provide a new resource sharing and monitoring procedures among the regionally distributed and virtualized computers. In this paper, we proposes a NFV monitoring architecture based practical measuring framework for network performance measurement. We also proposes a end-to-end connectivity support platform across a whole SDN/NFV networks has not been fully addressed.     

粤港澳大湾区城市群生态系统智能化管理

开展生态系统数字化、信息化、智能化管理,全面提升粤港澳大湾区生态环境质量,是建设国际一流湾区的必然趋势。以城市群生态系统智能化管理为目标,系统整合各类生态环境相关数据资源,形成生态系统管理数据和决策支撑体系,并以此为基础构建生态智能管理平台。研究以生态系统要素和功能管理逻辑为核心,构建了生态系统管理业务流程：（1）精准剖析生态环境问题,确定问题发生的尺度、范围并对其进行分类和定性;（2）确立生态管理目标,制定适宜的管理策略;（3）根据现状与基线进行生态系统服务权衡,通过生态管理恢复工程提升生态系统质量;（4）通过环境物联网监测生态系统变化,及时调整和改进生态系统管理计划。针对城市群生态系统多尺度、多层次、复杂化等特点,在制定管理决策时应充分权衡管理目标和生态服务,兼顾各类生态系统服务效益;需通过示范性生态工程印证管理方案的可行性、适用性和协同性;以趋善化理念为指导思想,不断优化调整生态管理目标;同时在管理活动实施的过程中不断积累、凝练、总结所获得的反馈信息和经验。面向生态管理体制和管理能力的现代化提升需求,融合大数据、地理信息系统（GIS）、全球广域网络（Web）等信息化技术,构建粤港澳大湾区生态管理智能平台,实现多主体信息共享,打破管理决策的"黑箱",为推进生态环境管理现代化提供可靠可行的方案。构建的生态系统管理业务流程和管理策略,将知识充分融入管理决策的制定流程,能服务于粤港澳大湾区的生态文明建设,推动可持续和高质量发展。     

基于医疗联合体的区域医疗信息平台建设

以医疗联合体为依托,建立区域医疗信息平台。其平台系统集成并共享各医疗机构的诊疗信息,对居民在各医疗机构的诊疗信息进行系统、连贯的有机整合;系统制定规范的分级诊疗流程、上转诊间预约、下转自动推送机制;在区域医疗联合体内部层级医疗机构内,提供远程会诊、在线医学教育、病患健康宣教、区域临床统一知识库、居民电子健康档案、诊疗预约、信息共享服务。     

The PlaNet Consortium: a network of European plant databases connecting plant genome data in an integrated biological knowledge resource

The completion of the Arabidopsis genome and the large collections of other plant sequences generated in recent years have sparked extensive functional genomics efforts. However, the utilization of this data is inefficient, as data sources are distributed and heterogeneous and efforts at data integration are lagging behind. PlaNet aims to overcome the limitations of individual efforts as well as the limitations of heterogeneous, independent data collections. PlaNet is a distributed effort among European bioinformatics groups and plant molecular biologists to establish a comprehensive integrated database in a collaborative network. Objectives are the implementation of infrastructure and data sources to capture plant genomic information into a comprehensive, integrated platform. This will facilitate the systematic exploration of Arabidopsis and other plants. New methods for data exchange, database integration and access are being developed to create a highly integrated, federated data resource for research. The connection between the individual resources is realized with BioMOBY. BioMOBY provides an architecture for the discovery and distribution of biological data through web services. While knowledge is centralized, data is maintained at its primary source without a need for warehousing. To standardize nomenclature and data representation, ontologies and generic data models are defined in interaction with the relevant communities.Minimal data models should make it simple to allow broad integration, while inheritance allows detail and depth to be added to more complex data objects without losing integration. To allow expert annotation and keep databases curated, local and remote annotation interfaces are provided. Easy and direct access to all data is key to the project.     

基于网格的医学信息平台设计

针对目前医学信息应用模式的局限性,提出一种基于网格的平台技术,促进网络环境下的医学资源共享和互用。其中采用面向网格工具包的中间件设计,简化了服务集成和调用。实验模型的建立验证平台的可行性及实用价值。     

Owner controlled data exchange in nutrigenomic collaborations: the NuGO information network

New ‘omics’ technologies are changing nutritional sciences research. They enable to tackle increasingly complex questions but also increase the need for collaboration between research groups. An important challenge for successful collaboration is the management and structured exchange of information that accompanies data-intense technologies. NuGO, the European Nutrigenomics Organization, the major collaborating network in molecular nutritional sciences, is supporting the application of modern information technologies in this area. We have developed and implemented a concept for data management and computing infrastructure that supports collaboration between nutrigenomics researchers. The system fills the gap between “private” storing with occasional file sharing by email and the use of centralized databases. It provides flexible tools to share data, also during experiments, while preserving ownership. The NuGO Information Network is a decentral, distributed system for data exchange based on standard web technology. Secure access to data, maintained by the individual researcher, is enabled by web services based on the the BioMoby framework. A central directory provides information about available web services. The flexibility of the infrastructure allows a wide variety of services for data processing and integration by combining several web services, including public services. Therefore, this integrated information system is suited for other research collaborations.     

城市近郊型乡镇农业生态经济系统生态潜力及产业空间布局——以延安市河庄坪镇为例

生态脆弱区抗干扰能力弱,明确其系统的生态潜力,在潜力的基础上开发利用资源对区域的可持续发展具有重要的意义。研究基于生态系统服务价值视角,尝试测度农业生态经济系统生态潜力,同时以三产融合典型代表乡镇为研究对象,对其农业生态经济系统生态潜力和主导产业进行时空分析,最后对生态系统加以功能分区。结果显示：（1）气体调节、气候调节、水源涵养和土壤形成与保护是生态系统提供的主要服务功能。随退耕还林工程实施,林地面积的增加使生态系统服务价值量随之上升,在空间上呈现"中间低两翼高"的格局。（2）农业生态经济系统生态潜力受服务价值与资源开发过程影响,与生态系统服务价值在空间上相对一致,呈现出"两翼高中间低,北高南低"的分布格局,其中,退耕还林工程的推进直接导致林地的生态潜力增加,耕地的生态潜力减少。（3）研究区在退耕过程中形成以大棚种植为主的设施农业、以农林特色销售为主的商品型种植农业,以山地苹果为主的林果产业以及以酒店商贸为主的服务行业。并随城镇一体化的推进,主导产业呈现出由传统粗放型大田种植向集约型设施农业方向发展。在空间上形成了以镇区分布为主的第三产业、依托拐沟坡地的林果产业和沿川道展开的设施农业的产业布局。（4）基于生态系统服务价值,研究区农业生态经济系统功能区划分为城镇生态环境维护区（第Ⅰ类型区）、农业生态保护区（第Ⅱ类型区）、生态安全屏障区（第Ⅲ类区）3个区域。     

Caries-preventive effect of glass ionomer and resin-based fissure sealants on permanent teeth: An update of systematic review evidence

Background

The 1980s marked the occasion when Geographical Information System (GIS) technology was broadly introduced into the geo-spatial community through the establishment of a strong GIS industry. This technology quickly disseminated across many countries, and has now become established as an important research, planning and commercial tool for a wider community that includes organisations in the public and private health sectors. The broad acceptance of GIS technology and the nature of its functionality have meant that numerous datasets have been created over the past three decades. Most of these datasets have been created independently, and without any structured documentation systems in place. However, search and retrieval systems can only work if there is a mechanism for datasets existence to be discovered and this is where proper metadata creation and management can greatly help. This situation must be addressed through support mechanisms such as Web-based portal technologies, metadata editor tools, automation, metadata standards and guidelines and collaborative efforts with relevant individuals and organisations. Engagement with data developers or administrators should also include a strategy of identifying the benefits associated with metadata creation and publication.

Findings

The establishment of numerous Spatial Data Infrastructures (SDIs), and other Internet resources, is a testament to the recognition of the importance of supporting good data management and sharing practices across the geographic information community. These resources extend to health informatics in support of research, public services and teaching and learning. This paper identifies many of these resources available to the UK academic health informatics community. It also reveals the reluctance of many spatial data creators across the wider UK academic community to use these resources to create and publish metadata, or deposit their data in repositories for sharing. The Go-Geo! service is introduced as an SDI developed to provide UK academia with the necessary resources to address the concerns surrounding metadata creation and data sharing. The Go-Geo! portal, Geodoc metadata editor tool, ShareGeo spatial data repository, and a range of other support resources, are described in detail.

Conclusions

This paper describes a variety of resources available for the health research and public health sector to use for managing and sharing their data. The Go-Geo! service is one resource which offers an SDI for the eclectic range of disciplines using GIS in UK academia, including health informatics. The benefits of data management and sharing are immense, and in these times of cost restraints, these resources can be seen as solutions to find cost savings which can be reinvested in more research.     

Innovation in Evaluating the Impact of Integrated Service-Delivery: The Integra Indexes of HIV and Reproductive Health Integration

Background

The body of knowledge on evaluating complex interventions for integrated healthcare lacks both common definitions of ‘integrated service delivery’ and standard measures of impact. Using multiple data sources in combination with statistical modelling the aim of this study is to develop a measure of HIV-reproductive health (HIV-RH) service integration that can be used to assess the degree of service integration, and the degree to which integration may have health benefits to clients, or reduce service costs.

Methods and Findings

Data were drawn from the Integra Initiative’s client flow (8,263 clients in Swaziland and 25,539 in Kenya) and costing tools implemented between 2008–2012 in 40 clinics providing RH services in Kenya and Swaziland. We used latent variable measurement models to derive dimensions of HIV-RH integration using these data, which quantified the extent and type of integration between HIV and RH services in Kenya and Swaziland. The modelling produced two clear and uncorrelated dimensions of integration at facility level leading to the development of two sub-indexes: a Structural Integration Index (integrated physical and human resource infrastructure) and a Functional Integration Index (integrated delivery of services to clients). The findings highlight the importance of multi-dimensional assessments of integration, suggesting that structural integration is not sufficient to achieve the integrated delivery of care to clients—i.e. “functional integration”.

Conclusions

These Indexes are an important methodological contribution for evaluating complex multi-service interventions. They help address the need to broaden traditional evaluations of integrated HIV-RH care through the incorporation of a functional integration measure, to avoid misleading conclusions on its ‘impact’ on health outcomes. This is particularly important for decision-makers seeking to promote integration in resource constrained environments.     

An Evaluation of Alternative Designs for a Grid Information Service

Computational grids consisting of large and diverse sets of distributed resources have recently been adopted by organizations such as NASA and the NSF. One key component of a computational grid is an information services that provides information about resources, services, and applications to users and their tools. This information is required to use a computational grid and therefore should be available in a timely and reliable manner. In this work, we describe the Globus information service, describe how this service is used, analyze its current performance, and perform trace-driven simulations to evaluate alternative implementations of this grid information service. We find that the majority of the transactions with the information service are changes to the data maintained by the service. We also find that of the three servers we evaluate, one of the commercial products provides the best performance for our workload and that the response time of the information service was not improved during the single experiment we performed with data distributed across two servers.     

ISYS: a decentralized, component-based approach to the integration of heterogeneous bioinformatics resources

MOTIVATION: Heterogeneity of databases and software resources continues to hamper the integration of biological information. Top-down solutions are not feasible for the full-scale problem of integration across biological species and data types. Bottom-up solutions so far have not integrated, in a maximally flexible way, dynamic and interactive graphical-user-interface components with data repositories and analysis tools. RESULTS: We present a component-based approach that relies on a generalized platform for component integration. The platform enables independently-developed components to synchronize their behavior and exchange services, without direct knowledge of one another. An interface-based data model allows the exchange of information with minimal component interdependency. From these interactions an integrated system results, which we call ISYSf1.gif" BORDER="0">. By allowing services to be discovered dynamically based on selected objects, ISYS encourages a kind of exploratory navigation that we believe to be well-suited for applications in genomic research.     

一种通用的、基于Agent的生物资源整合架构

众所周知,随着基因组测序工作的蓬勃发展和后基因组时代的到来,生物信息学数据呈指数级增长.生物界在享受着资源共享所带来便利的同时,也随着数据总量和复杂性的不断增加而变得异构化和分布化.目前,各种生物计算软件和数据库资源通常标准不一而且很难兼容.因此,如何在这些异构资源之间实现数据集成与软件共享是有效利用生物信息资源的关键.为解决以上问题,本文提出了一种新型的数据整合架构,该架构通过将web服务与并行计算相结合的方法,轻松地实现了对异地资源数据的访问、提取、转化以及整合.实验证明,本系统在处理异构、海量数据方面有着巨大的计算潜力.     

关于iFlora创建工作框架的建议

iFlora是依据传统植物分类学及相关学科的研究基础,融入现代DNA测序技术,应用高速发展的信息、网络技术及云计算分析平台,收集、整合和管理植物物种相关信息,以建成智能物种鉴定和数据提取的开放应用系统（智能装备）。通过与该系统的双向交流,一方面,可以不断整合新的数据和技术充实iFlora的内容和功能;另一方面,可以通过该系统的多种鉴定途径实现快速、准确和方便的物种鉴定,获取所需物种的相关信息,满足专业机构和公众对物种和生物多样性的认知要求。本文重点介绍了构成iFlora的应用装置和支撑该装置的实物库（凭证标本、分子材料和DNA库）的建设及其重要性;阐述了构成iFlora各单元的高度整合和集成的特点,以及基于计算机技术的物种信息数字化和开放的云计算数据分析处理服务平台的枢纽作用;并讨论了iFlora创建过程所面临的困难和挑战,以及拟研发的智能装备的框架和应用前景。     

UniCarbKB: putting the pieces together for glycomics research

Despite the success of several international initiatives the glycosciences still lack a managed infrastructure that contributes to the advancement of research through the provision of comprehensive structural and experimental glycan data collections. UniCarbKB is an initiative that aims to promote the creation of an online information storage and search platform for glycomics and glycobiology research. The knowledgebase will offer a freely accessible and information-rich resource supported by querying interfaces, annotation technologies and the adoption of common standards to integrate structural, experimental and functional data. The UniCarbKB framework endeavors to support the growth of glycobioinformatics and the dissemination of knowledge through the provision of an open and unified portal to encourage the sharing of data. In order to achieve this, the framework is committed to the development of tools and procedures that support data annotation, and expanding interoperability through cross-referencing of existing databases. Database URL: http://www.unicarbkb.org.     

格网尺度下典型旅游城市生态服务价值估算和时空分异特征——以三亚为例

以典型旅游城市三亚市为案例地,利用2006-2018年4期Landsat遥感影像数据,借助ENVI、ArcGIS平台定量识别土地利用演变特征,在1km×1km格网尺度下估算旅游地生态系统服务价值,并结合空间探索性数据分析揭示生态系统服务价值时空分异特征及其与旅游地发展的时空耦合关系。结果表明：（1）2006-2018年间,三亚市生态系统服务价值总量呈逐年下降趋势,由6.73×10⁹元降至5.76×10⁹元,累计减少9.78×10⁸元;（2）空间格局上,三亚市呈"南低北高"空间分异格局,2006-2018年增值区域连片分布于崖州区、天涯区、吉阳区南部区域,且呈逐年减少趋势,减值区域集聚于天涯区东北部、海棠区;（3）空间集聚上,生态系统服务价值截面各年份均呈显著空间正相关且相关性先降后增。高高集聚区位于天涯区北部区域,低低集聚区分布于沿海、海湾地区;（4）旅游发展与生态系统服务价值时空演化特征关联性较强。三亚市天涯区北部林地生态环境良好,生态系统服务价值略有下降但绝对数值稳定,是生态系统服务价值主要来源;旅游发展较为迅速的三亚湾、崖州湾以及海棠湾,相对增值区域较多,但绝对生态系统服务价值损失显著,严重滞后于其他区域。     

Introducing accessibility analysis in mapping cultural ecosystem services

In recent years, there has been an increasing interest in the study of the spatial link between service providing areas (SPA) and service benefiting areas (SBA). Understanding the spatial link between SPAs and SBAs is essential when studying the ecosystem service delivery and the fulfilment of ecosystem service demand. However, far too little attention has been paid to the user movement related ecosystem services and where people should be geographically situated in order to benefit from these services. In the movement related services, benefiting areas are equal to providing areas and the spatial link from residential area to SPA is important. The spatial link is addressed through the concept of accessibility which determines the opportunity to move from the area where beneficiaries are located to areas where ecosystem services are produced.This study presents an accessibility approach to the ecosystem services research. Accessibility analyses offer an opportunity to identify the gap between the ecosystems’ potential to produce services and the actual usage possibilities of such services. We demonstrate the suitability of the method by using outdoor recreation and cultural heritage as examples of cultural ecosystem services that people actively want to reach. Accessibility was calculated using a geographical information system-based least-cost path analysis, which measures travel time by car between residential location and the nearest SPA via road network.The examples highlight that accessibility varies according to the ecosystem service and depends mostly on population distribution and travel possibilities. Our results demonstrate that the density of the analysed ecosystem service opportunities is higher near urban areas than elsewhere. The accessibility of different ecosystem services also depends on how much time people are willing to spend for reaching these services. Our study emphasised that, from a population perspective, accessibility analyses provide a powerful tool for illustrating the utilisation possibilities of spatially distributed ecosystem services. The accessibility approach offers great potential to assess the potential use of SPAs and respond to the need to develop a practical tool for ecosystem service research. It effectively shows, for example, the areas where the risk of overuse of ecosystem services is increased. Knowing about the regional differences in ecosystem service usage also gives background information for the decision-makers for drawing conclusions about how much and where it is sensible to invest in the maintenance of ecosystem services.     

多尺度生态系统服务的权衡关系及其对景观配置的响应——以湖北省为例

多种生态系统服务相互关系及其对景观配置响应的多尺度分析一直是生态系统服务研究的热点问题,对于厘清生态系统服务尺度效应和实现区域分级管理具有重要的意义。以湖北省为研究区域,采用遥感、土地利用类型、水文、气象、土壤等多元数据,从5 km×5 km、10 km×10 km、15 km×15 km、20 km×20 km、25 km×25 km、县域和市域等7个递增尺度分析4种生态系统服务(水源供给、碳固持、粮食生产、水质净化)对景观配置的响应关系。结果表明：(1)4种生态系统服务的空间分布具有较强的异质性,粮食生产服务的高值区与水质净化服务的低值区主要分布于湖北省中部和东部的耕地集中区域,碳固持与水源供给呈现相反的空间特征。(2)生态系统服务权衡关系的作用强度随尺度增加而减弱,而协同关系呈增加趋势;同时服务间相互作用强度的变化大于作用方向的变化。(3)景观配置对生态系统服务的影响程度在县域和市域尺度上大于格网尺度。结果反映了受尺度变化中“削峰填谷”过程的影响,景观配置对生态系统服务影响的大小和正负效应具有尺度差异性。研究结果可为区域生态系统服务分级管理和景观格局调控提供科学参考。