Objective To provide evidence for more accurate diagnosis of birth defects based on the pathoauatomy of congenital malformations. Methods Data used in this study were obtained fi＇om Luliang City Hospital and three co...Objective To provide evidence for more accurate diagnosis of birth defects based on the pathoauatomy of congenital malformations. Methods Data used in this study were obtained fi＇om Luliang City Hospital and three county hospitals of Shanxi province between February 2004 and March 2006. Autopsy and pathological examination of 160 dead fetuses and stillbirths were performed. Photos of dead fetuses and stillbirths were taken, tissues were cut into sections for pathological examination under microscope, all pathological information was recorded, and percentage of birth defects was calculated. Results The proportion of dead fetuses and stillbirths with or without congenital malformations was 84.4% （135/160） and 15.6% （25/160）, respectively. There were 16 categories of major external and internal birth defects in 135 cases of such defects. Congenital heart defects, anencephaly and spina bifida had a higher prevalence rate in the study period. The prevalence rate of non-malformation death and birth defects 〈 28 gestational weeks and internal anomalies ≥ 28 gestational weeks was 14.61% （61/4175） and 17.25% （72/4175）, respectively. A total of 413 in situ anomalies were found in 135 cases of autopsy. Spina bifida, anencephaly, congenital heart defects, aplasia or accessory lobe of lung, renal agenesis and dysplasis and congenital hydrocephaly were more closely associated with severe malformations than with mitis malformations. The cases of dead fetuses and stillbirths with multiple malformations （/〉 2 in situ anomalies） had a higher proportion （74.1%）, whereas those with isolated malformations had a lower proportion （25.93%）. Conclusion The occurrence of congenital malformations in different embryonic developmental stages affects multiple organs. Postmortem examination of internal and multiple malformations of fetal deaths and stillbirths can provide more accurate diagnostic information for birth defects.展开更多
In order to solve the problems of low efficiency and heavy workload of tumor coding in hospitals,we proposed a Drools-based intelligent tumors coding method.At present,most tumor hospitals use manual coding,the traine...In order to solve the problems of low efficiency and heavy workload of tumor coding in hospitals,we proposed a Drools-based intelligent tumors coding method.At present,most tumor hospitals use manual coding,the trained coders follow the main diagnosis selection rules to select the main diagnosis from the discharge diagnosis of the tumor patients,and then code all the discharge diagnoses according to the coding rules.Owing to different coders have different familiarity with the main diagnosis selection rules and ICD-10 disease coding,it will reduce the efficiency of the artificial coding results and affect the quality of the whole medical record.We first analyze the ICD library information,doctor's diagnostic information,radiotherapy information or chemotherapy information,surgery information,hospitalization information and other related information,and then generated Drools rule files based on the main diagnostic selection principles and coding principles,we also combined the text similarity analysis algorithm to construct an intelligent diagnostic information coding method.Practice shows that the coding method can be used to make the work efficiently and at the same time obtain the coding results which meet the standard and have high accuracy,so that the coders can be free from the repeated work and pay more attention to coding quality control and the coding logic adjustment.展开更多
基金funded by National"973"project on Population and Health(No.2007CB511901)China Postdoctoral Science Fundation Funded Project(No.200801016)+2 种基金National Health Baby Promotion Program(No.FP2000NO13)Education Ministry Key Program(No.02185)National Yang Zi Scholar Program,211 and 985 projects of Peking University(No.20020903)
文摘Objective To provide evidence for more accurate diagnosis of birth defects based on the pathoauatomy of congenital malformations. Methods Data used in this study were obtained fi＇om Luliang City Hospital and three county hospitals of Shanxi province between February 2004 and March 2006. Autopsy and pathological examination of 160 dead fetuses and stillbirths were performed. Photos of dead fetuses and stillbirths were taken, tissues were cut into sections for pathological examination under microscope, all pathological information was recorded, and percentage of birth defects was calculated. Results The proportion of dead fetuses and stillbirths with or without congenital malformations was 84.4% （135/160） and 15.6% （25/160）, respectively. There were 16 categories of major external and internal birth defects in 135 cases of such defects. Congenital heart defects, anencephaly and spina bifida had a higher prevalence rate in the study period. The prevalence rate of non-malformation death and birth defects 〈 28 gestational weeks and internal anomalies ≥ 28 gestational weeks was 14.61% （61/4175） and 17.25% （72/4175）, respectively. A total of 413 in situ anomalies were found in 135 cases of autopsy. Spina bifida, anencephaly, congenital heart defects, aplasia or accessory lobe of lung, renal agenesis and dysplasis and congenital hydrocephaly were more closely associated with severe malformations than with mitis malformations. The cases of dead fetuses and stillbirths with multiple malformations （/〉 2 in situ anomalies） had a higher proportion （74.1%）, whereas those with isolated malformations had a lower proportion （25.93%）. Conclusion The occurrence of congenital malformations in different embryonic developmental stages affects multiple organs. Postmortem examination of internal and multiple malformations of fetal deaths and stillbirths can provide more accurate diagnostic information for birth defects.
文摘In order to solve the problems of low efficiency and heavy workload of tumor coding in hospitals,we proposed a Drools-based intelligent tumors coding method.At present,most tumor hospitals use manual coding,the trained coders follow the main diagnosis selection rules to select the main diagnosis from the discharge diagnosis of the tumor patients,and then code all the discharge diagnoses according to the coding rules.Owing to different coders have different familiarity with the main diagnosis selection rules and ICD-10 disease coding,it will reduce the efficiency of the artificial coding results and affect the quality of the whole medical record.We first analyze the ICD library information,doctor's diagnostic information,radiotherapy information or chemotherapy information,surgery information,hospitalization information and other related information,and then generated Drools rule files based on the main diagnostic selection principles and coding principles,we also combined the text similarity analysis algorithm to construct an intelligent diagnostic information coding method.Practice shows that the coding method can be used to make the work efficiently and at the same time obtain the coding results which meet the standard and have high accuracy,so that the coders can be free from the repeated work and pay more attention to coding quality control and the coding logic adjustment.
