目的：分析社区护理对居家部分失能老人自我护理能力的影响。方法：选择北京市丰台区和义社区卫生服务中心（以下简称中心）所管理辖区内的64例居家部分失能老年人作为研究对象。依据随机数字的方法分为对照组以及观察组，每组均32例老年人。对照组老年人采用常规的护理干预方式。观察组老年人在常规护理干预方式基础上实施社区护理的措施。对比两组老年人干预前后的生活质量、自我护理能力和抑郁、焦虑情况。对比两组老年人干预过程中的差错发生比例。对比两组老年人家属对于护理干预的满意度。结果：经过干预后，观察组老年人的生活质量评分、自我护理能力评分增高，抑郁和焦虑评分降低。（P<0.05）对照组在干预前后的生活质量评分，抑郁和焦虑评分未发生明显的变化。（P>0.05）在干预过程中，观察组老年人的差错发生比例明显低于对照组（P<0.05）。观察组老年人家属对于护理干预的满意度评分高于对照组（P<0.05）。结论：在居家部分失能老年人群之中，采用社区护理的模式实施管理，可有助于改善老年人的生活质量水平以及自我护理能力，降低老年人的负性情绪，控制老年人护理过程中的差错发生风险，提升护理干预的满意度。

Abstract Background This study was aimed to examine the effectiveness of App-assisted self-care in a Beijing community based on intelligent family physician-optimised collaborative model (IFOCM) program. Methods We conducted a survey of 12,050 hypertensive patients between Jan 2014 and Dec 2021. Generalized linear model was used to analyze the covariates that associated with blood pressure (BP) control. Decision tree and random forest algorithm was used to extract the important factors of BP outcome. Results The study included 5937 patients, mean age 66.2 ± 10.8, with hypertension in the baseline; 3108(52.4) were female. The community management resulted in mean systolic BP and diastolic BP reductions of 4.6 mmHg and 3.8 mmHg at follow-up. There were 3661 (61.6%) hypertension patients with BP control, increasing from 55.0% in 2014 to 75.0% in 2021. After adjusted for covariates, antihypertensive medication adherence, diabetes, and APP-assisted self-care were common predictors associated with BP control in GLM model and machine learning algorithm. Conclusion Community management based on IFOCM program significantly improved BP control in hypertensive patients. APP-assisted self-care would be beneficial for the management of chronic disease.

目的 探讨丰台区社区护士手卫生知识掌握情况与影响因素.方法 选取2021年4-7月北京市丰台区3家社区卫生服务中心在职护理工作人员113名进行一般情况及手卫生知识的掌握问卷调查.以描述流行病的方法分析被调查社区护士手卫生知识掌握情况.利用单因素及多因素分析的方法进行社区护士手卫生知识掌握情况的影响因素分析.结果 社区护士的工龄、受教育程度、职称被纳入回归方程(R2=0.898,F=47.547,P＜0.05),是社区护士手卫生知识掌握情况的影响因素.结论 北京市丰台区3家社区卫生服务中心护理人员的手卫生知识掌握情况有待提升,工龄、受教育程度、职称为手卫生知识掌握情况的影响因素,相应部门可给予针对性的措施进行改善.

目的 探讨北京市丰台区5家社区卫生服务中心护理人员工作投入现状与影响因素.方法 在2021年4-7月,对北京市丰台区5家社区卫生服务中心(社区中心)的全部在职护理工作人员253名进行问卷调查(一般资料调查表、工作投入量表、工作压力量表).描述被调查社区护理人员的工作投入量表、工作压力量表评分情况以及2种量表评分的相关性,对比不同特征的社区护理人员工作投入评分,分析社区护理工作人员的工作投入影响因素.结果 被调查社区护理人员的工作投入量表得分平均为(2.64±0.95)分/条目.被调查社区护理人员的工作压力量表得分平均为(2.59±0.84)分/条目.不同年龄、社区工作年限的社区护理人员工作投入量表得分差异有统计学意义(P＜0.05).被调查护理人员的工作投入评分、工作压力量表评分的总均分之间呈负相关(r=-0.321,P＜0.05).2个量表各维度评分之间也呈负相关(P＜0.05).护理人员的社区工作年限、社区护理人员压力量表中的"工作环境及资源方面的问题""工作量及时间分配方面的问题""护理专业及工作方面"3个维度的评分,是社区护理工作人员的工作投入影响因素.结论 北京市丰台区5家社区卫生服务中心护理人员的工作投入的水平不高,工作年限和工作压力是独立的影响因素.

目的 探讨北京市丰台区3家社区卫生服务中心护士职业倦怠和压力源的相关性分析.方法 于2021年6-10月对北京市丰台区3家社区卫生服务中心的在职护士 113名进行问卷调查(一般资料调查表、中文版M氏职业倦怠量表、护士职业压力源量表).描述被调查社区护士的职业倦怠评分以及分级情况,分析职业倦怠各维度评分同一般资料的相关性,对比职业倦怠评分和M氏常模.描述被调查社区护士的压力源各维度评分及压力源条目得分前10项的情况,分析职业倦怠水平与压力源的相关性.结果 被调查社区护士在职业倦怠3个维度的评分分别为(24.35±8.87)分、(8.21±3.74)分、(25.05±7.66)分,3个维度的评分和M氏常模的对比,差异有统计学意义(P＜0.05).3个维度达到重度的构成比为35.40％、34.51％、46.02％.职业倦怠中的3个维度的评分同社区护士的年龄、婚姻状况、护理岗位工龄、社区工作年限、职称、聘用形式均具有相关性(P＜0.05).被调查社区护士的压力源各维度评分中,以"护理专业及工作"的评分最高,为(3.48±0.61)分."护理工作社会地位低下""工资和其他的福利待遇差""经常倒班"是被调查护士压力源条目得分前3项.职业倦怠中的3个维度的评分同压力源各个维度之间均具有相关性(P＜0.05).结论 北京市丰台区3家社区卫生服务中心护士的职业倦怠感及工作压力均较高,两者之间相互影响.建议有关部门需要尽快采取相应的干预措施,改善社区护士的生理和心理健康问题,缓解压力及职业倦怠,促进社区护理工作的良性发展.

To research the shortcomings of the PageRank technique and the improved algorithms,Hilltop and TSPR,which is the traditional algorithm based on analyzing the hyperlinks,this paper brings up a new approach,the Topic PageRank.The new algorithm classifies all of the pages,and then calculates the page ranks about the different topics.Therefore,every page will have some different page ranks about the different topics,and this page ranks can reflect the importance of the pages.

XML-Glue technology provides the possibilities to DIY smartphone UI,and it can arrange and control freely the UI through script,without changing the implementation of application logic.XML-Glue not only makes the UI programmer write and maintain code easily,but also reduces the development cost.The paper presents the development frame of XML-Glue and introduces all kinds of technology elements and an applicant example of it.At last the text shows the convenience XML-Glue brings to smartphone skin-changing.

从医疗保险管理业务分析出发,全面阐明了建立医疗保险信息系统的重要性、应用的切入点及信息化建设的目标,提出了医疗保险信息系统局域网建设的具体解决方案,对网络系统设计、操作系统、数据库系统选择、安全管理进行了全面的分析和探讨,并在此基础上,形成了一套完善的医疗保险信息系统。

In a system which supports multi-thread,all the application programs are running in a thread-based way.Therefore,have to consider the problem of synchronization when there has the possibility that many threads accessing the same data object concurrently.The Elastos,invented by Shanghai Koretide Corporation was such a CAR technology-based operating system that supports multi-process and multi-thread,and this paper will give a presentation of how to use the extended event synchronization object to implement synchronization and message exchange among threads.

This article analyses network structure peculiarity and security requirement about E-government.Based on security defence framework of E-government,it puts forward basic solution of the problem.

With the improvement of hardware quality of embedded device,embedded system's demand for GUI has increasingly enhanced,and status of embedded GUI becomes extraordinarily important.CAR component technique is the key technique of "elastos" which has the independent copyright of China.The embedded GUI system based on CAR(Carefree Application Run-Time) component technique is very flexible and efficient.The system adopts modularized CAR component technique and the special callback-event mechanism which is used for dealing with input and output of events,so it could realize man-machine conversation interface perfectly.

Security of WLAN has been one of focal problems of wireless network development and Application.To do this problem,some enterprises and organizations put forward a serial of protocols,such as HiperLan,HiperLan2,HomeRF,802.11,802. 11b and 802.11i,China also refers WLAN protocol standard.This article introduces some important protocol,and based on this,analyses and compares them.

AbstrcatThis paper shows the powerful and easy component technique, namely CAR, which will bring another innovation of operating system , and analyzes how to apply the CAR component technique in the development of smart mobile system.Through the introduction of CAR component technique,the advantages of CAR is to be understood.

Embedded operating systems become increasingly significant, which run on the resource-limited home appliances and industry instruments. Meanwhile people pay more and more attention to 3D technique. Therefore it is necessary to transplant Direct3D to embedded operating systems. The transplant and research of Direct3D based on CAR component technique on ElastOS were analyzed. The realization of ElaD3D interfaces on ElastOS and Windows synchronously and the exertion of CAR component programming ideas in the transplant of Direct3D were expatiated. So client programs can register some or other event handling function solely so as to predigest programming greatly.

介绍一种高速高质量的嵌入式摄像头传输技术--Quick Capture技术;详细叙述其设计思想和工作流程,并用可编程逻辑器件Bulverde板卡予以实现.

Embedded software development becomes more and more important, and developers should depend a lot on the corresponding embedded development board. But many development boards are expensive, so someone brings forward the concept of the emulation environment of embedded operating system. This paper analyses the characteristic of the emulation environment, and discusses how to design the environment, by introducing processor emulation, memory emulation, device emulation and debug analyzing tools. And the paper also gives a successfully applied example using the emulation environment. By these emulating methods, the environment can run many kinds of embedded operating systems, and it brings a verisimilitude development environment to developers. The emulation environment will promote embedded software development rapidly.

For conveniently and efficiently transferring and processing information,it,smart setting based on embedded system,poured out.It is becoming urgent,the technology of oriented Web service in the field of embedded system.The appearance of CAR(Carefree Application Runtime) fulfils the needs.Describe CAR in detail.This is a kind of component technology of oriented Web service.Expatiate on the implementation of key oriented Web service of CAR technology.Finally,illustrate applying of CAR technology in the field of embedded system,with an application of Auto Loaded Runtime Solution on the operating system of smart phone.In one word,all features of CAR technology prove that it quite satisfies the needs of embedded application setting in the future,so it is going to having much brighter future.

本文主要介绍了基于Autodesk Map的电力管理系统的整体结构设计、数据组织,讨论了系统实现的关键技术,并提出了相应的解决方法.该系统用户界面友好、功能丰富、运行稳定、管理高效.

This paper introduces the development,deployment and the whole calling process of Resin-CMP,expounds reflection of mixed relation and management and how to make Resin-CMP fastly,and shows the advantages of J2EE in distributed application system with the key technologies of J2EE such as EJB,JNDI,CMR,ANT,EJB-QL,XDoclet and etc.

智能掌上设备代表了嵌入式计算机领域的一个新的发展方向,构件技术是软件领域的近年来最重要思想之一.介绍了一种新型的构件技术--CAR技术,从系统组成、特色功能等方面阐述了该技术在智能掌上设备操作系统中的应用,总结出构件技术对智能掌上设备的发展带来了新的契机.