CN1120441C - Contraception operation psychosomatic state detecting analysis system - Google Patents
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- CN1120441C CN1120441C CN96118299A CN96118299A CN1120441C CN 1120441 C CN1120441 C CN 1120441C CN 96118299 A CN96118299 A CN 96118299A CN 96118299 A CN96118299 A CN 96118299A CN 1120441 C CN1120441 C CN 1120441C
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Abstract
The present invention relates to a system for detecting and analyzing psychosomatic states of human beings, which comprises a data processing analysis unit, a program storage unit, a display unit, a keyboard and a power supply, wherein the data processing analysis unit is a main control unit, a software for detecting and analyzing psychosomatic states after contraceptive operations is stored in the program storage unit, and detection content comprises gynaecological and common conditions, places for operations, neuropathic screening tables, pain sensitivity detection, suggestibility detection, emotion detection and coping-mode detection. Psychosomatic reaction conditions of patients after contraceptive operations are analyzed and predicted according to the detection results and an established logistic model, and prevention measures are provided. The present invention has the advantages of convenient use, simple structure and easy popularization.
Description
The present invention relates to a kind of system that is used for check and analysis human body psychosomatic state.
Family planning is subjected to the attention of country day by day, in recent years along with the improvement of ureteral birth control surgery and the raising of medical worker's quality, the incidence of disease of the various body complication of birth control postoperative and the order of severity are existing obviously to descend, but still have a minority various bad mental and the physiological reaction relevant to occur with the birth control art, be called birth control postoperative psychosomatic reactions, this bad reaction causes operation receiveing person's psychosoma misery, corresponding medical expense increases, influence is big and be difficult to handle in the masses, especially in rural women, influenced carrying out smoothly of family planning work.The key that addresses this problem is to put prevention first, if can before operation be screening go out potential patient and before art, in the art, the Queensland postoperative in time takes corresponding measure, can reduce the postoperative psychosomatic reactions incidence of disease, alleviates the extent of reaction.At present as yet not Queensland the system of this respect appears being used for.
The object of the present invention is to provide and a kind ofly realize contraception operation psychosomatic state detecting analysis and point out corresponding measure, system easy to use, simple in structure.
Technical scheme of the present invention is as follows: the present invention includes the Data Management Analysis unit, program storage unit (PSU), display unit, keyboard and power supply, wherein the Data Management Analysis unit links to each other with other parts as central processing control unit, there is the software of realizing contraception operation psychosomatic state detecting analysis in the program storage unit (PSU) and carries out by the Data Management Analysis unit controls, and, finish following detection content: gynaecology and generalized case in conjunction with the display unit display reminding, surgical location is confirmed, neurosis screening table, pain sensitivity detects, wave the hint detection of work by sense of smell and body, the skeleton symbol mood detects and the skeleton symbol coping style detects; By the Data Management Analysis unit every testing result is carried out analysis-by-synthesis again and draw the standard scoring, comprise that the mood examination criteria divides X2, hint property examination criteria to divide X3, pain sensitivity standard to divide X4, surgical location standard to divide X5, coping style examination criteria to divide X12 and neurosis screening table total points; With the above-mentioned Logistic regression model that has related parameter to introduce and set up, calculate birth control postoperative psychosomatic reactions probability, according to psychosomatic reactions probability and neurosis screening table total points, by the condition distinguishing computing, the light and heavy degree of prediction birth control postoperative psychosomatic reactions symptom, thereby filter out operation receiveing person, by the prophylactico-therapeutic measures that reaches postoperative in preventive measure, the art before the display unit prompting art with higher potential pathogenic factors.
The present invention is by forecast model and the correlation parameter of Data Management Analysis unit according to birth control art body reaction probability, calculates the psychosomatic reactions probability, and arithmetic expression is:
Psychosomatic reactions probability P x=1 ÷ (1+exp ((6.9105+1.236*X2+1.5114*X3
+0.7618*X4+0.7153*X5+3.5180*X12))) ……(A)
The present invention comprises that also is exclusively used in the spring tenderness instrument that pain sensitivity detects, it is made up of the minute hand that the round buss, pressure spring and the afterbody that have scale and show bar window have piston block, this piston block and pressure spring all are contained in the round buss, and minute hand stretches out in round buss; With this minute hand within person under inspection's forearm, Waiguan point position place is slowly afterburning downwards, until the person under inspection pain arranged, and reflects its pain sensitivity with the scale value of indication this moment on the round buss.Comprise numerical key 0～4 and " explanation ", " resetting ", " preceding turning over " and " afterwards turning over " 4 function keys on the keyboard as input equipment, wherein numerical key is replied for operator's content presentation button according to display unit in whole testing process, the key that " resets " is put cleared condition and is restarted and detects, key " is described " by next explicit declaration content, a certain screen content of " preceding turning over " and the selective display unit of " afterwards turning over " key shows; This keyboard also can be substituted by Genius mouse or other input equipment.
Neurosis screening table in the testing process of the present invention is as the means of the order of severity that detects operation receiveing person's psychosomatic symptom, be that over nearly one month the psychosomatic health aspect at the operation receiveing person, what did detect following content by the display unit prompting: (1) have make you very worried in recent one month? or is there there what worries? usually it is worried or worried to put these aside? do (2) you have a headache? do you have the whole body uncomfortable feeling? or other local pain of health? (3) whether fidgety especially easily you are recently, easily fly into a rage? (4) are you responsive especially or fear to what recently? whether you avoid, avoid the thing that your anxiety is feared? (5) your (thinking thing) sanity that whether looks oneself that considers a problem recently, concentrate? (6) whether you feel to feel blue recently, or (unhappiness with a heavy heart, unhappy)? do you lose interest in to work things such as (housework or farm work)? (7) your diet and sleep? (8) you and others lack self-esteem when associating (conscious ability) recently? whether does contact you feel especially uneasy (shyly) with others? do (9) you know that the do-it-yourself thing that is over must check repeatedly perfectly well? be this inspection repeatedly because you forget? are (10) you easy to fatigue and weak? do you have deficient in energy or exhausted sensation? (11) you be everlasting run into offending fall in a swoon afterwards or brothers inactive? do what (12) you also have other are uncomfortable recently? according to the operation receiveing person to these questions answer, by not having, slightly, or 3 kinds of situations scorings such as severe, wherein " there is not " meter 0 minute, " slightly " meter 1 minute, " severe " meter 2 minutes draws its neurosis screening table total points.
Hint detection in the testing process of the present invention is for detecting operation receiveing person's hint, comprise that the sense of smell method detects and the body method of waving detects, it is to be equipped with two shapes that wherein sense of smell method detects, size, the interior equivalent clear water of containing of the container that color is all the same, the hint operation receiveing person wherein has wine, telling the person under inspection to ask her to hear which bottle is that wine and which bottle are clear water, whether snuff the vinosity scoring with it, the meter " 0 " that does not snuff vinosity divides, do not snuff vinosity, but represent that suspicious meter " 1 " divides, as if the meter " 2 " that snuffs vinosity divides, and snuffs vinosity, but Bian Ren meter " 3 " divides repeatedly, can know that the meter " 4 " of telling wine and water divides; It is to clamp operation receiveing person's double arm swing by the examiner to loose one's grip suddenly for several times that the body method of waving detects, continuation number of oscillations scoring with the operation receiveing person, person under inspection's meter " 0 " that stops swinging immediately divides, automatically " 1 " branch is once counted in swing, automatically swing secondary meter " 2 " divides, automatically No. three meters of swing " 3 " divide, and swing more than four times automatically or topple over meter " 4 " branch.
Detecting about the skeleton symbol mood is by the operation receiveing person replying of enquirement to be made its emotional stability scoring.Do this detection can comprise following content: (1) you usually gratuitously feel listless or burnout? are (2) you a people who is numerous worries? do (3) you feel it is a jittery people yourself? do (4) whether you usually think that life is very tasteless? are (5) whether you always worrying that fearful thing can take place? does (6) whether your mental state often have fluctuating? does (7) you were once gratuitous feel " really feeling bad "? do (8) you often feel lonely? (9) you think that you are very nervous, string as tension? (10) seek your mistake when other, when looking for your shortcoming in working, whether are you dampened easily in spirit? do (11) whether you feel to be alive in every fiber sometimes, and are lackadaisical sometimes? are (12) you your health worry? the problems referred to above are only with being (counting 1 fen), (counting 0 fen) do not answered and got final product.
It is by the operation receiveing person replying of enquirement to be made its recent coping style scoring that skeleton symbol coping style of the present invention detects.This detection is primarily aimed at the situation of operation receiveing person in the nearest week, and can comprise following content: (1) feels oneself to be easily offended or to be stung to fury; (2) get into a temper easily and oneself can not be controlled; (3) impulsion of wanting to beat others or injuring others is arranged; (4) impulsion that will break thing is arranged; (5) become more and more easier and people's quarrel; (6) want to shout or fall thing.Detect operation receiveing person's not having (count 0 fen), slight (counting 1 fen), moderate (counting 2 fens), severe (counting 3 fens), extremely weigh the situation of (counting 4 fens) aspect these 6, mark according to situation.
Further specify the present invention below in conjunction with accompanying drawing.
Fig. 1 is an agent structure block diagram of the present invention;
Fig. 2 is the present invention and the synoptic diagram that connects of B ultrasonic instrument;
Fig. 3 is the synoptic diagram of spring tenderness instrument of the present invention;
Fig. 4 is the internal view of spring tenderness instrument of the present invention;
Fig. 5 is an operational flow diagram of the present invention.
Fig. 1 to Fig. 5 has reflected basic structure of the present invention and principle of work.As depicted in figs. 1 and 2, of the present invention simple in structure, can be installed in microcomputer or the B ultrasonic instrument, can share display, power supply or microprocessor, storer and keyboard with computer or B ultrasonic instrument, flexible and convenient to use, be easy to carry.Especially be installed in the B ultrasonic instrument, when the medical worker carries the B ultrasonic instrument and does tours of inspection, inspection work of the present invention can be incorporated into the routine inspection program before the birth control art, promptly when doing ultrasound diagnosis, finish psychosoma condition detection analysis before the art, also make the operation receiveing person be easy to psychologically accept and cooperate, like this, look into the psychosomatic state that detects the women of child-bearing age in pregnant utilizing the portable type b ultrasonic instrument looking into ring, Queensland realize instructing the couple at child-bearing age according to its physiology and psychological characteristics and at that time situation with the order Queensland's that selects suitable birth-control measures; This moment, Data Management Analysis unit and program storage unit (PSU) can merge that to be designed to the single-chip microcomputer be the circuit plug-in card of controlling main body, directly were inserted in the slot of B ultrasonic instrument internal circuit mainboard, and program storage unit (PSU) can adopt rom chip.Spring tenderness instrument shown in Fig. 3 and Fig. 4 is made up of the minute hand 3 that round buss 1, pressure spring 5, nozzle nut 6, afterbody have piston block 4, have show bar window 2 longitudinally on the round buss 1, the next door indicates display scale, pressure spring 5 is contained in the round buss 1, the piston block 4 of minute hand 3 afterbodys covers pressure spring 5, and the nozzle nut 6 fixedly opening part of round buss 1 and its middle part has one can pass nozzle nut 6 for the aperture minute hand 3 that minute hand passes and stretch out.Piston block 4 is provided with calibration indicator sign note 7 (available color lumps); In use, detect pain sensitivity with minute hand 3 at operation receiveing person's nei guan point and Waiguan point place respectively, the interior pass that records and the corresponding scale value of Waiguan point are as pain threshold, and the two-value sum is as Queensland pain sensitivity threshold value, and the unit of this value is g/mm
2, by its more than or equal to 175, be in 125 to 174 between, be less than or equal to 124 these three kinds of scopes respectively standard divide 0,1,2, as the value of X4.
Fig. 5 reflects operational process of the present invention.Wherein gynaecology and generalized case inspection comprise operation receiveing person's menstruation situation, gynecologial examination situation, anaemia history, difficult labour history and cardiac work up situation; Surgical location confirm to comprise to family planning station at county level, small towns family planning and the input of health clinics in towns and townships.Other as neurosis screening table, pain sensitivity detect, the detection of hint property, detections of skeleton symbol mood, the detection of skeleton symbol coping style etc. are every, all oneself narrates.The present invention is carrying out on the basis of prospective cohort study Hunan Rural Areas women of child-bearing age fallopian tube contraception postoperative psychosomatic state, using the multifactor analysis of regression model method of Logistic shows, women's birth control postoperative psychosomatic reactions is to comprise psychology, the joint effect of multiple hazards such as physiology and society ring Queensland border, according to the size of relative risk (RR), the strength of association of latent dangerous factor and operation receiveing person's postoperative psychosomatic reactions before the qualitative assessment art: bad dealing with (RR=37.71), hint property (RR=4.53), emotional stability (RR=3.44), pain sensitivity (RR=2.14) and surgical location (RR=2.05); And the probabilistic forecasting model that psychosomatic reactions appears in 1 year in women's birth control postoperative, promptly above-mentioned calculating formula (A) have been set up.Consider from the family planning real work, this model not only reflected before the art with postoperative 1 year in inherent correlationship and the strength of association of 5 kind factors relevant with psychosomatic state, and easy, have operability, can be applicable to the preceding prediction of birth control art and filter out operation receiveing person with latent dangerous factor.Thereby solved and before the birth control art is carried out to the women of child-bearing age in the rural area, predicted a difficult problem that filters out high-risk object with above-mentioned latent dangerous factor.The present invention be by before the medical worker being pointed out the art taked of reply operation receiveing person, in the art, the postoperative measure to be to realize the control to birth control art psychosomatic state, mainly be according to the psychosomatic reactions probability P x of prediction and neurosis screening table total points is judged and measure prompting, judge prompting in regular turn by following several situations: (1) is if psychosomatic reactions probability P x＜50% and neurosis screening table total points≤6, then the operation receiveing person does not have obvious psychosomatic symptom, aspect psychological quality, do not accompany latent defect, routinely operation yet; (2) if total points 〉=7 are shown in Px＜50% and neurosis screening, then the operation receiveing person has light moderate psychosomatic symptom, but is not accompanying latent defect aspect the psychosoma quality, postoperative psychosomatic reactions possibility is little, but before art, should do detailed gynemetrics and Medicine and Surgery inspection, note the body situation, routinely operation; (3) if Px＜75% and neurosis screening table total points≤6, then the operation receiveing person has slight psychosomatic symptom, with latent defect, light moderate psychosomatic reactions may appear in postoperative aspect psychosoma quality, before the Ying Zaishu, in the art and postoperative handle accordingly in one week, comprise detailed gynaecology and Medicine and Surgery inspection, psychology is supported and is dredged, and listens attentively to and tells, medicines such as the low dose of calmness of short application use, antianxiety, suitably administration prevents the generation of postoperative psychosomatic reactions before the art; (4) if if Px＜75% and neurosis screening table total points 〉=7 or Px＞75% and neurosis screening table total points≤6, then the operation receiveing person has the above psychosomatic symptom of moderate, aspect psychosoma quality with latent defect (the potential danger factor), tangible psychosomatic reactions may appear in postoperative, the main controlling object that belongs to the postoperative psychosomatic reactions, before the Ying Zaishu, in the art and one week of postoperative prevent and treat processing, comprise psychological counseling, listen attentively to and tell and medicines such as the low dose of calmness of short application use, antianxiety that postoperative three months planted agents follow up a case by regular visits to.Principle is on the basis that the psychology support is dredged, and cooperates the medicine integrated control, is purpose to improve operation receiveing person's Physiological Psychology tolerance, to alleviate the postoperative psychosomatic reactions.After having detected an operation receiveing person, by " resetting " key then zero clearing restPose, prepare next operation receiveing person is detected.
The applied Logistic regression model of the present invention is in the world than one of instrument of the analytic epidemiology fundamental analysis of widespread use, what it can effectively and accurately be analyzed external variable and is had mixes and the effect correcting action, and the description of steady, a understandable and quantitative principal character is provided for the correlationship between a plurality of hazards and the disease probability.From the statistics angle, the present invention uses this probabilistic forecasting model when carrying out case back substitution discriminatory analysis, and positive advance notice value is 73.6%, and negative advance notice is changed to 95.4%, and total consistance is 91.61%.Prove that above-mentioned probabilistic forecasting model has higher screening experiment and renders a service, can be used as the preceding prediction of art screening implement and use.
The present invention is when implementing, display unit can adopt CRT monitor, LCD etc., the Data Management Analysis unit can adopt the microcomputer control processing system, also can adopt scm managing system, program storage unit (PSU) can adopt memory chip, magnetic disk memory etc., the process control software of wherein internal memory detection, data analysis processing, measure prompting, keyboard also can Genius mouse etc. other input equipment replace, but the present invention is output device such as external printer also, printout check and analysis result and prompting measure.Display unit shows the detection content sentence by sentence or piecemeal, shows testing result and reference content.The Data Management Analysis unit has control, storage, switching and computing function, and storage detects and reference content realization logistic model calculation and condition distinguishing analysis.
In sum, the present invention can realize contraception operation psychosomatic state detecting analysis and point out corresponding measure, by before art, in the art and postoperative take corresponding prevention, prophylactico-therapeutic measures, reduce the incidence of postoperative psychosomatic reactions, easy to use, simple in structure, very easily in large scale application in basic unit's family planning work, thereby improve the family planning service level, promote carrying out of family planning work.
Claims (3)
1, a kind of contraception operation psychosomatic state detecting analysis system, comprise the Data Management Analysis unit, program storage unit (PSU), display unit, keyboard and power supply, it is characterized in that the Data Management Analysis unit links to each other with other parts as central processing control unit, there is the software of realizing contraception operation psychosomatic state detecting analysis in the program storage unit (PSU) and carries out by the Data Management Analysis unit controls, and, finish following detection content: gynaecology and generalized case in conjunction with the display unit display reminding, surgical location is confirmed, neurosis screening table, pain sensitivity detects, wave the hint detection of work by sense of smell and body, the skeleton symbol mood detects and the skeleton symbol coping style detects; By the Data Management Analysis unit every testing result is carried out analysis-by-synthesis again and draw the standard scoring, comprise that the mood examination criteria divides X2, hint property examination criteria to divide X3, pain sensitivity standard to divide X4, surgical location standard to divide X5, coping style examination criteria to divide X12 and neurosis screening table total points; With the above-mentioned Logistic regression model that has related parameter to introduce and set up, calculate birth control postoperative psychosomatic reactions probability, according to psychosomatic reactions probability and neurosis screening table total points, the light and heavy degree of prediction birth control postoperative psychosomatic reactions symptom reaches the prophylactico-therapeutic measures of postoperative in preventive measure, the art before the display unit prompting art; Described Data Management Analysis unit is forecast model and the correlation parameter according to birth control art psychosomatic reactions probability, calculates the psychosomatic reactions probability, and arithmetic expression is:
Psychosomatic reactions probability P x=1 ÷ (1+exp ((6.9105+1.236*X2+1.5114*X3
+ 0.7618*X4+0.7153*X5+3.5180*X12))); It is to be undertaken by a spring tenderness instrument that is exclusively used in the pain sensitivity detection that described pain sensitivity detects, it is made up of the minute hand that the round buss, pressure spring and the afterbody that have scale and show bar window have piston block, this piston block and pressure spring all are contained in the round buss, and minute hand stretches out in round buss; With this minute hand within person under inspection's forearm, Waiguan point position place is slowly afterburning downwards, until the person under inspection pain arranged, with the scale value of indication this moment on the round buss as the pain sensitivity threshold value, by its size at 〉=175g/mm
2, 125～174g/mm
2,≤124g/mm
2These three kinds of scopes meter standard respectively divide 0,1,2, as the X of its pain sensitivity of reflection
4Value; Neurosis screening table in the described testing process is the means as the order of severity that detects operation receiveing person's psychosomatic symptom, and it detects following content by the display unit prompting: whether (1) has worry and influence thereof; (2) whether health has the sensation and the degree of pain; (3) whether feel fidgety; (4) psychological susceptibility and tensity; (5) whether concentrate and sanity; (6) mood quality; (7) diet sleep; (8) self-confidence how; (9) do to finish and check whether repeatedly and reason; (10) fatiguability whether; Whether (11) meet displeased delight gets excited; Whether (12) have other uncomfortable, to these questions answer, by not having, slightly or 3 kinds of situations scorings such as severe, wherein " do not have " meter " 0 " to divide according to the operation receiveing person, " slightly ", " severe " was counted 2 fens, drew neurosis screening table total points if counting 1 fen; Hint detection in the described testing process is for detecting operation receiveing person's hint, comprise that the sense of smell method detects and the body method of waving detects, it is to be equipped with in two the same containers to contain the equivalent clear water that wherein sense of smell method detects, and the hint operation receiveing person wherein has wine, and the meter " 0 " that does not snuff vinosity divides, do not snuff vinosity, but represent that suspicious meter " 1 " divides, as if the meter " 2 " that snuffs vinosity divides, and snuffs vinosity, but Bian Ren meter " 3 " divides repeatedly, can know that the meter " 4 " of telling wine and water divides; It is to clamp operation receiveing person's double arm swing by the examiner to loose one's grip suddenly for several times that the body method of waving detects, person under inspection's meter " 0 " that stops swinging immediately divides, automatically " 1 " branch is once counted in swing, automatically swing secondary meter " 2 " divides, automatically No. three meters of swing " 3 " divide, and swing more than four times automatically or topple over meter " 4 " branch; It is by the operation receiveing person replying of enquirement to be made its emotional stability scoring that described mood detects, does it detect content: (1) your usually gratuitous feeling out of spirits or burnout? are (2) you a people who is numerous worries? do (3) you feel it is a jittery people yourself? do (4) whether you usually think that life is very tasteless? are (5) whether you always worrying that fearful thing can take place? does (6) whether your mental state often have fluctuating? does (7) you were once gratuitous feel " really feeling bad "? do (8) you often feel lonely? (9) you think that you are very nervous, string as tension? (10) seek your mistake when other, look for your shortcoming in working, whether are you dampened easily in spirit? (11) whether you feel to be alive in every fiber sometimes, be sometimes again lackadaisical? are (12) you your health worry? the problems referred to above "Yes" meter " 1 " divides, and "No" meter " 0 " divides; It is by the reply scoring of making its recent coping style of operation receiveing person to puing question to that described skeleton symbol coping style detects, and its detection content is: (1) feels oneself to be easily offended or to be stung to fury; (2) get into a temper easily and oneself can not be controlled; (3) impulsion of wanting to beat others or injuring others is arranged; (4) impulsion that will break thing is arranged; (5) become more and more easier and people's quarrel; (6) want to shout or fall thing, detect operator's " not having " meter " 0 " aspect these 6 and divide that " slightly " meter " 1 " divides, " moderate " meter " 2 " branch, " severe " meter " 3 " branch, " extremely heavy " meter " 4 " branch.
2, contraception operation psychosomatic state detecting analysis system according to claim 1, it is characterized in that comprising on the keyboard as input equipment numerical key 0～4 and " explanation ", " resetting ", " preceding turning over " and " afterwards turning over " 4 function keys, wherein numerical key is replied for operator's content presentation button according to display unit in whole testing process, the key that " resets " is put cleared condition and is restarted and detects, key " is described " by next explicit declaration content, a certain screen content of " preceding turning over " and the selective display unit of " afterwards turning over " key shows; This keyboard also can be substituted by Genius mouse or other input equipment.
3, contraception operation psychosomatic state detecting analysis system according to claim 1 is characterized in that this system can be installed in microcomputer or the B ultrasonic instrument.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN96118299A CN1120441C (en) | 1996-08-12 | 1996-08-12 | Contraception operation psychosomatic state detecting analysis system |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN96118299A CN1120441C (en) | 1996-08-12 | 1996-08-12 | Contraception operation psychosomatic state detecting analysis system |
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| Publication Number | Publication Date |
|---|---|
| CN1173680A CN1173680A (en) | 1998-02-18 |
| CN1120441C true CN1120441C (en) | 2003-09-03 |
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| CN96118299A Expired - Fee Related CN1120441C (en) | 1996-08-12 | 1996-08-12 | Contraception operation psychosomatic state detecting analysis system |
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| US8447624B2 (en) * | 2000-12-04 | 2013-05-21 | 3M Innovative Properties Company | Methods for managing infection risk incident to surgical procedures in health care provider environments |
| CN106295179A (en) * | 2016-08-10 | 2017-01-04 | 广东工业大学 | A kind of influenza Forecasting Methodology and device |
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