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ABSTRACT Title of Thesis:A Study of Emergency Medicine System Based on Message Service and Mobile Communication Author:Benson Hung Thesis advised by:Liu, Li Taipei Medical University, Graduate Institute of Medical Informatics This research is based on mobile communication, which will bring all medical information instantly into your hand through carefully built structure and different types of wireless connection. Which can integrate all access information together so it can personalize healthcare information and bring to public the most organized information.

中文摘要论文摘要论文名称:以讯息平台与行动通讯为基础之紧急医疗资讯系统台北医学大学医学资讯研究所研究生姓名:洪培修毕业时间:91 学年度第 2 学期指导教授:刘立台北医学大学医学资讯研究所副教授本研究目的是以讯息服务平台与行动通讯为基础,来提供各项即时的卫生医疗资讯服务,藉由所规划的架构蓝图及各种无线媒体传输的特性,将目前可供应用的资讯存取途径整合在一起,使卫生医疗资源资讯个人化、透明化并受到妥善的规划及运用。

Based on the cloning FeSOD gene of the HZNH, the recombinant prokaryotic expression vector, PQESOa/FeSOD, was constructed and digested with restriction endonuclease BamH I and Pst I to check its construction. The PQE30a/FeSOD was then transformed into E.coli Ml5 and induced with IPTG. The high expression in vitro was obtained and analyzed on SDS-PAGE gel. The*results showed that the target proteins held a 37% portion in whole bacterial proteins and consisted of two parts, the soluble proteins and inclusion bodies. The soluble proteins in the aqueous layer, checked by means of activities of FeSOD enzymes and analyzed by means of activities of isozymogram from PAGE, demonstrated the induced expression proteins had the active nature of FeSOD enzymes.

以克隆的特异种质烟草HZNH的FeSOD基因为基础,构建了原核表达载体PQE30a/FeSOD,经限制性内切酶BamH Ⅰ、Pst Ⅰ双酶切鉴定后,再转化入大肠杆菌M15中,通过IPTG诱导,得到高效体外表达,经SDS-聚丙烯酰胺凝胶电泳检测,表达的目的蛋白占总菌体蛋白的37%,可溶性和包涵体两种形式均有存在,上清中的可溶性蛋白经FeSOD酶活测定和同工酶活性谱带分析,表明诱导表达的上清中的目的蛋白为有活性的FeSOD酶。

The purpose of this dissertation lies in perfecting relative laws of administration of medical waste,according to the lawmaking and law system of foreign countries.meanwhile,the notion is provided to consummate relative law system and achieve the purpose of holding in the administration of medical waste,environment protect and human health.this dissertation puts forward first-step conceivableness of perfecting lawmaking and law system concerning the administration to disposal of medical waste.because our country's law system concerning medical waste is too immovable and abstract,this research will make our country's law system of the medical waste more concrete and more definite,which will strengthen the operability in the fulfillment and make the lawmaking spirit embodied.simultaneously it provides legal basis and policy support for the administration to disposal of medical waste.the problem of the administration of medical waste enlarges the difficulties of disposal process.to perfect lawmaking,law-executing,law-supervising.is advantageous to strengthen the administration to disposal of medical waste of our country.meanwhile it has theoretic meaning and application value for environment safety and human health.this dissertation is totally divided into four parts.the first part explains the current condition of the administration to disposal of medical waste of our country,which introduces the concept of medical waste,the harm of medical waste,the necessity of administration, current lawmaking condition and present law system of the medical waste.the second part introduces the general situation of lawmaking concerning the administration to disposal of medical waste of the united states,eu,japan and korea.simultaneously it explains the apocalypse of administration to disposal of medical waste of our country.the third part points out the existent law problem of the administration to disposal of medical waste,including lawmaking problem,law enforcement problem and law system problem.the fourth part aims at the relative suggestions to the existent law problems of the administration to disposal of medical waste of our country.the suggestions want to raise lawmaking layer,perfect lawmaking contents,strengthens law enforcement,practice the law system of the manufacturer to be responsible for the medical waste.meanwhile,it gives the advice on the punishment-compensation system,the conduct permit system and the risk fund system.

本论文研究的目的在于借鉴国外有关医疗废物在立法、执法、法律制度等方面的经验,完善适合我国医疗废物管理的相关法律,提出我国有关医疗废物管理的立法构想,完善各项相关的法律制度,以达到规范医疗废物管理、保护环境、保护人类健康的目的。本论文为完善我国医疗废物管理的立法、执法和法律制度提出初步设想,由于我国有关医疗废物的法律制度规定得太原则、太抽象,通过本论文研究,使得我国医疗废物法律制度更具体、更明确,增强在实践中的操作性,使立法精神充分得到体现。同时可以为我国医疗废物管理工作提供法理依据和决策支持。我国医疗废物管理体制的问题加大了医疗废物治理的难度,立法、执法、监督等方面的完善有利于加强对我国医疗废物的管理;在保障可持续发展的环境安全和人类健康领域也具有理论意义和应用价值。本文共分为四个部分,第一部分说明了我国目前医疗废物管理的现状,介绍了医疗废物的概念、危害、进行管理的必要性、当前我国医疗废物的立法现状和法律制度现状。第二部分介绍了美国、欧盟、日本、韩国关于医疗废物管理的立法概况及对我国医疗废物管理的启示。第三部分指出了我国医疗废物管理存在的法律问题,包括立法问题、执法问题和法律制度问题。第四部分针对我国医疗废物管理存在的法律问题提出了相应的建议。建议要提高立法层次、完善立法内容、加强执法力度、实行生产者负责分类回收的法律制度、集中处置法律制度、惩罚性赔偿制度、经营许可证制度、环境责任保险制度和风险基金制度。

Objective To investigate the clinical features, causes of blindness and diagnosis of Vogt Koyanagi Harada syndrome Methods The data of 157 patients with VKH syndrome were reviewed and analyzed Patients were carefully examined with slit lamp, ophthalmoscope, three mirror lens, fundus fluorescein angiography, indocyanine green angiography and HLA typing Results Headache was noted in 73 5% of these patients Simultaneous involvement of both eyes occurred in 80 8% of these patients Chroiditis,papilledema and edema of the retina adjacent to the optic nerve were noted in 100% of these patients in the posterior uveitis stage, whereas recurrent granulomatous anterior uveitis (98 4%),"sunset glow" fundus (95 8%) and Dalen Fuchs nodules (71 2%) were the common ocular findings in the recurrent anterior uveitis stage The common causes of blindness were papillitis, exudative retinal detachment and complicated cataract in the posterior uveitis stage, anterior uveal involvement stage and its recurrent stage Poliosis (36 3%) and alopecia (35 0%) were the most common extraocular findings Early irregular patches of fluorescence, followed by localized hyperfluorescent spots were the typical findings of FFA Dilation of choroidal vessels and leakage of ICG from the choroidal vessels were the common ICGA findings The prevalence of HLA DR4 and HLA DRw53 in patients (54 9% and 71 8% respectively) was significantly higher than that in controls (14 7% and 38 2% respectively) Conclusions VKH syndrome is characterized by chroiditis, papillitis or neuroretinitis in the posterior uveitis stage, followed by a generalized uveitis with a typical recurrent granulomatous anterior uveitis Extraocular findings and relevant examinations including FFA, ICGA and HLA typing are helpful to the diagnosis of VKH syndrome

目的探讨Vogt-Koyanagi-Harada综合征患者的临床特征、盲目原因及诊断等有关问题。方法对在1996年1月至2000年12月间就诊资料完整的157例VKH综合征患者进行回顾性分析,并对裂隙灯、眼底镜、三面镜、荧光素眼底血管造影(fundus fluorescein angiography,FFA)、吲哚青绿血管造影(indocyanine green angiography,ICGA)及人类白细胞抗原分型等检查结果进行分析。结果 VKH综合征最常见的前驱症状为头痛(102例,73.5%),双眼同时患病118例(80.8%);后葡萄膜炎期眼部主要表现为脉络膜炎、视乳头及附近视网膜水肿(100.0%);前葡萄膜炎反复发作期眼部表现为复发性肉芽肿性前葡萄膜炎(128例,98.4%)、晚霞状眼底改变(95.8%)及Dalen-Fuchs结节(71.2%);后葡萄膜炎期、前葡萄膜受累期及前葡萄膜炎反复发作期导致盲目的主要原因分别为视乳头炎、视网膜脱离及并发性白内障;毛发变白(36.3%)及脱发(35.0%)是最常见的眼外表现;炎症活动期FFA典型表现为斑驳状高荧光,ICGA发现脉络膜血管扩张、通透性增高等改变;VKH综合征患者HLA-DR4及HLA-DRw53的阳性率(54.9%及71.8%)显著高于正常对照组(14.7%及38.2%)。结论 VKH综合征患者在后葡萄膜炎期眼部典型表现为双侧脉络膜炎、视乳头炎或神经视网膜炎,随后出现以反复发作的肉芽肿性前葡萄膜炎为特征的全葡萄膜炎。眼外症状及相关的辅助检查包括FFA、ICGA 及HLA分型等有助于VKH综合征的诊断。

The objectives of this study were to develop a wireless sensor network technologies for agrometeorological disaster early alarm system and processing system. In this study, the foehn with a high temperature and low humidity has been monitored. The wireless sensor acquisition module ZigBee has been used to monitor the climate conditions combined with a GPRS wireless transmission module to construct wireless disaster alarm sytem. Graphical programming computer software package LabVIEW 8.2 was used to develop the control and monitoring systems.

本论文研究目的旨在发展气象灾害预警及处理系统,以焚风灾害为研究对象,焚风为台湾农业气象灾害之ㄧ,每年发生次数频繁且不可预测,当焚风发生时,监控焚风产生的高温和低湿变化,透过ZigBee无线传输技术,可连结温湿度、光度及土壤含水率等感测器,并与GPRS模组结合,将资料即时传送至伺服平台,藉由LabVIEW程式监控环境变化,达到气象环境即时监测之目的。

This program aimed at building hospital and community integrated model for continuing monitoring and management of psychoses, building community work mechanisms and networks for prevention, treatment and rehabilitation of psychoses, and finally providing patient-centered services.

项目目的是探讨建立适合各地情况的医院和社区一体化的重性精神疾病连续监管治疗模式,建立重性精神疾病社区防治和康复管理工作机制和网络,最终目的为提供以患者为中心的服务。

Since the 1990s, he has proposed that the fundamental task of Chinese teaching is language learning, that its purpose is to improve students' ability to comprehend and apply Chinese, the essence is to direct students acquire the language while practicing on the basis of their development and the major method language-sense teaching. He has asserted that the language-sense teaching method must follow the steps of feeling, apprehending, accumulating and using of language. The practice and analysis of language-sense method must be of equal importance, and closely combined to moral education, thought training, aesthetic edifying, and Chinese language impartment. He has also claimed that teaching material should be compiled with more contents, more refinement and higher starting point in terms of students' actual development of language skills. His analysis of the long-term misplays in Chinese language education is profound and the repositioning and re-interpretation to the facts as purpose, task, essence, subject, method and materials of Chinese language teaching are full-scaled. In terms of teaching, Hong has stressed on the cultivation of the ability of language acquisition and intuition.

上世纪90年代以来,他先后提出语文教学的根本任务是学习语言;语文教学的目的是提高学生正确理解和运用祖国语言文字的能力;语文教学要以学生发展为本,&变讲堂为学堂&,指导学生在实践中学习语言;语文教学的主要方法是语感教学;语感教学要遵循&感受、领悟、积累、运用&的途径,坚持语感实践与语感分析并重,并与思想教育、思维训练、审美陶冶、语文知识教学紧密结合,与生活密切联系;根据学生语言发展的实际,大容量、高起点、选精品编写教材等一系列主张,从理论上对语文教学的长期性失误作了深刻剖析,对语文教学的目的、任务、本体、主体、方法、教材等问题进行重新定位和诠释。

One pair of primers that amplified the gB gene of pseudorabies viruswas designed and synthesized.PCR technique detecting the DNA of PRV was established after selecting the best reaction conditions.This technique was applied to specifically amplify the 281 bp DNA fragment of the PRV strains including Fa,Fb,Bartha,BJ,GD,V2F4,S,S3,SR,Buk,Shope,Norden,Mink Ⅲ,HB,F8,F9 and F12 in cultured samples.The negative results were achieved from Vero cells,swine vesicular disease virus,hog cholera virus,Japanese encephalitis virus,porcine reproductive and respiratory syndrome virus,porcine parvovirus,foot and mouth disease virus F29 strain,O3I3 strain,T509 strain and O Ⅱ MF249 strain.The results of sequencing showed that the PCR method was of specificity.The sensitivity of PCR reached 15.8 pg of PRV Fa strain DNA.The tissue samples obtained during 1994 and 2000 were detected,and the results showed that the sensitivity of PCR was more sensitive than virus isolation and the Sandwich ELISA.The PCR was applied to detect 191 tissue samples from 31 pig farms obtained from Guangdong,Fujian,Hainan Provinces during 1999 and 2000,50 samples(26.2%)were positive and 22 pig farms(71%)were positive.

根据伪狂犬病病毒gB基因的序列,设计并合成了一对引物,以闽A株细胞培养毒为模板,筛选最佳反应条件,建立了检测PRV的PCR方法应用该方法对Fb、Bartha、BJ、GD、V2F4、S、S3、SR、Buk、Shope、Norden、MinkⅢ、HB、F8、F9、F12等毒株的细胞培养液进行基因扩增,均获得了分子量为 2 81bp的特异性目的DNA片段,而对Vero细胞与FMDV、SVDV、HCV、PRRSV、JEV、PPV等病毒进行检测,结果均为阴性,没有出现交叉反应对PRV毒株扩增的产物测序,结果序列与文献报道一致,证明PCR扩增产物和方法的特异性对 1994~ 2 0 0 0年期间送检的临床样品和保存的PRV毒种,用病毒分离、双抗体夹心ELISA和PCR等 3种方法进行检测,结果前 2种方法检测为阳性的,PCR检测均为阳性;PCR检测为阴性,前 2种方法检测也为阴性;可是,前 2种方法检测为阴性的,PCR却检测出部分阳性;经x2 检验,证明PCR检出率明显高于前 2种方法的检出率对PRV闽A株细胞毒提取物DNA进行检测,其最低检出量为 15 8pg 对 1999~ 2 0 0 0年期间广东、福建、海南等省的 31个大中型猪场送检的 191份病料进行检测。

The seismic area and the seismic belt should be two kinds of different divisions plans, the former's division bases on the activity blok, the latter's bases on the activity fault zone, the goal and the basis of their division are different.

地震区和地震带应为两种不同的划分方案,前者是以活动块体为对象进行分区的,后者是以活动断裂带为对象进行分带的,它们的划分目的和依据是不同的。

The goal is enters for the preparation take English (at present refers to the British Commonwealth of Nations) as the leading teaching language university and the institute further education student or take English as the mother tongue country to immigrate the public figure to test English proficiency to suppose.

目的是为准备进入以英语为主导教学语言的大学和学院进修的学生或以英语为母语的国家移民人士测试英语水平而设。

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According to the clear water experiment, aeration performance of the new equipment is good with high total oxygen transfer coefficient and oxygen utilization ratio.

曝气设备的动力效率在叶轮转速为120rpm~150rpm时取得最大值,此时氧利用率和充氧能力也具有较高值。

The environmental stability of that world - including its crushing pressures and icy darkness - means that some of its most famous inhabitants have survived for eons as evolutionary throwbacks, their bodies undergoing little change.

稳定的海底环境─包括能把人压扁的压力和冰冷的黑暗─意谓海底某些最知名的栖居生物已以演化返祖的样态活了万世,形体几无变化。

When I was in school, the rabbi explained everythingin the Bible two different ways.

当我上学的时候,老师解释《圣经》用两种不同的方法。