Effect analysis of applying high-quality service model to surgical nursing

BACKGROUND Surgical care of the hand plays a crucial role in the medical field,as problems with the hand can profoundly affect a patient's quality of life and function.In order to meet the needs of patients,improve patient satisfaction and improve treatment outcomes,high-quality service models have been introduced in the field of nursing.AIM To explore the effect analysis of applying high-quality service model to surgical nursing.METHODS We conducted a retrospective study of patients who underwent hand surgery at our hospital between 2019 and 2022,using a quality service model that included improved patient education,pain management,care team collaboration,and effective communication.Another group of patients received traditional care as a control group.We compared postoperative recovery,satisfaction,complication rate,and length of hospital stay between the two groups.Inferential statistics were used to compare the difference between the two groups by independent sample t test,Chi-square test and other methods to evaluate the effect of intervention measures.RESULTS Postoperative recovery time decreased from 17.8±2.3 d to 14.5±2.1 d,pain score decreased from 4.7±1.9 to 3.2±1.4,and hand function score increased from 78.4±7.1 to 88.5±6.2.In terms of patient satisfaction,the quality service model group scored 87.3±5.6 points,which was significantly higher than that of the traditional care group(74.6±6.3 points).At the same time,patients'understanding of medical information also improved from 6.9±1.4 to 8.6±1.2.In terms of postoperative complications,the application of the quality service model reduced the incidence of postoperative complications from 26%to 10%,the incidence of infection from 12%to 5%,and the incidence of bleeding from 10%to 3%.The reduction in these data indicates that the quality service model plays a positive role in reducing the risk of complications.In addition,the average hospital stay of patients in the quality service model group was shortened from 6.8±1.5 d to 5.2±1.3 d,and the hospitalization cost was also reduced from 2800±600 yuan to 2500±500 yuan.CONCLUSION Applying a quality service model to hand surgery care can significantly improve patient clinical outcomes,including faster recovery,less pain,greater satisfaction,and reduced complication rates.

Effect of Internet+continuous midwifery service model on psychological mood and pregnancy outcomes for women with highrisk pregnancies

BACKGROUND There are many drawbacks to the traditional midwifery service management model,which can no longer meet the needs of the new era.The Internet+continuous midwifery service management model extends maternal management from prenatal to postpartum,in-hospital to out-of-hospital,and offline to online,thereby improving maternal and infant outcomes.Applying the Internet+continuous midwifery service management model to manage women with highrisk pregnancies(HRP)can improve their psycho-emotional opinion and,in turn,minimize the risk of adverse maternal and/or fetal outcomes.AIM To explore the effectiveness of a midwife-led Internet+continuous midwifery service model for women with HRP.METHODS We retrospectively analyzed the clinical data of 439 women with HRP who underwent prenatal examination and delivered at Shanghai Sixth People's Hospital(affiliated to the Shanghai Jiao Tong University School of Medicine)from April to December 2022.Among them,239 pregnant women underwent routine obstetric management,and 200 pregnant women underwent Internet+continuous midwifery service mode management.We used the State-Trait Anxiety Inventory,Edinburgh Postnatal Depression Scale,and analysis of delivery outcomes to compare psychological mood and the incidence of adverse delivery outcomes between the two groups.RESULTS The data showed that in early pregnancy,the anxiety and depression levels of the two groups were similar;the levels gradually decreased as pregnancy progressed,and the decrease in the continuous group was more significant[31.00(29.00,34.00)vs 34.00(32.00,37.00),8.00(6.00,9.00)vs 12.00(10.00,13.00),P<0.05].The maternal self-efficacy level and strategy for weight gain management were better in the continuous group than in the traditional group,and the effective rate of midwifery service intervention in the continuous group was significantly higher than in the control group[267.50(242.25,284.75)vs 256.00(233.00,278.00),74.00(69.00,78.00)vs 71.00(63.00,78.00),P<0.05].The incidence of adverse delivery outcomes in pregnant women and newborns and fear of maternal childbirth were lower in the continuous group than in the traditional group,and nursing satisfaction was higher[10.50%vs 18.83%,8.50%vs 15.90%,24.00%vs 42.68%,89.50%vs 76.15%,P<0.05].CONCLUSION The Internet+continuous midwifery service model promotes innovation through integration and is of great significance for improving and promoting maternal and child health in HRP.

Research on Flight First Service Model and Algorithms for the Gate Assignment Problem

Aiming at the problem of gate allocation of transit flights,a flight first service model is established.Under the constraints of maximizing the utilization rate of gates and minimizing the transit time,the idea of“first flight serving first”is used to allocate the first time,and then the hybrid algorithm of artificial fish swarm and simulated annealing is used to find the optimal solution.That means the fish swarm algorithm with the swallowing behavior is employed to find the optimal solution quickly,and the simulated annealing algorithm is used to obtain a global optimal allocation scheme for the optimal local region.The experimental data show that the maximum utilization of the gate is 27.81%higher than that of the“first come first serve”method when the apron is not limited,and the hybrid algorithm has fewer iterations than the simulated annealing algorithm alone,with the overall passenger transfer tension reducing by 1.615;the hybrid algorithm has faster convergence and better performance than the artificial fish swarm algorithm alone.The experimental results indicate that the hybrid algorithm of fish swarm and simulated annealing can achieve higher utilization rate of gates and lower passenger transfer tension under the idea of“first flight serving first”.

A Unified Framework of the Cloud Computing Service Model

After a comprehensive literature review and analysis, a unified cloud computing framework is proposed, which comprises MapReduce, a vertual machine, Hadoop distributed file system （HDFS）, Hbase, Hadoop, and virtualization. This study also compares Microsoft, Trend Micro, and the proposed unified cloud computing architecture to show that the proposed unified framework of the cloud computing service model is comprehensive and appropriate for the current complexities of businesses. The findings of this study can contribute to the knowledge for academics and practitioners to understand, assess, and analyze a cloud computing service application.

Service Model and Architecture for Beyond 3G System

Beyond 3G (B3G) system, the future mobile communication system, is envisioned as a user-centric, open, and convergent information infrastructure capable of providing personalized services. It is extremely important to develop service models and architectures for B3G system. A three-dimension service model is proposed. The dimensions are identified as service support scope, service capability definition, and adaptive feature elements. Then, the hierarchical service architecture for B3G is introduced. The enabling technologies for B3G service architecture are discussed in this paper, such as Virtual Home Environment (VHE), service support environment, service openness, distributed computing, intelligent technology, and profile.

Service Model for Multi-Provider IP Service Management

In order to solve the problems associated with Internet IP services management, a generic service model for n multi-providcr IP service management is proposed, which is based on a generalization of the bandwidth broker idea introduced in the differentiated services （DiffServ） environment. This model consists of a hierarchy of service brokers, which makes it fit into providing end-to-end Internet services with QoS support. A simple and sealable mechanism is used to communicate with other cooperative domains to enable customers to dynamically setup services connections over multiple DiffServ domains. The simulation results show that the proposed model is real-time, which can deal with many flow requests in a short period of time, so that it is fit for the service management in a reasonably large network.

Communication Service Model for Wide Area Protection System Based on IEC 61850

In order to meet the requirements of information exchange varieties and manners in wide area protection system, a communication service model based on IEC 61850 is proposed. This service model can realize communication consistency and cooperation between different types of devices. Furthermore, the communication reliability and time delay performance are guaranteed to meet the requirements of relay protection from the upper layer. Message structure of generic sub-station event (GSE) and its communication mechanism are discussed. General methods to communicate digital information by generic substation status event (GSSE) and communicate analog sampling information by sampling analog value (SAV) of GSE are proposed.

A Work Service Model of the Ubiquitous Environment Collaboration

Office environments have recently adopted ubiquitous computing for collaboration and mobile communication to promote real-time enterprises. Ubiquitous offices, introduced by Weiser and adopted as emerging computational technology to support office works, have already affected the practice of companies and organizations. Within this context, this study deals with a work service model of the ubiquitous office environments by understanding human behaviors and works in their workspace. We propose a ubiquitous office model considering the correlation between ubiquitous computing technologies and work services in the office. Two attributes are emphasized, collaboration and mobility, as identifiers for categorizing the work types. The types of work services have variations in the amount of communication and the proportion of working outside of the office. The proposed work service model of the ubiquitous office includes territorial and non-territorial services to enable workers in and out of the office to interact with each other effectively. The findings in this paper would be a theoretical basis for embodying an intelligent office which supports office works efficiently.

Discussion and Reflections on University Library of Subject Knowledge-based Service Model

With the rapid development of computer technology and network technology, the service model of university library gradually goes to the intelligent, personalized directionfrom the traditional single reference, but there are many shortcomings. It cannot fully satisfy the increasing needs for the division Health research and information, it must actively build the University Library subject Knowledge service Model of a science. This paper introduces the subject of service concepts of library knowledge, proposes effective method to build service model of university library knowledge, and strengthens academic knowledge service countermeasures to promote the development of knowledge- disciplinary university library services.

Bibliometric analysis of continuous nursing service model in stroke patients

Objective:Through the collection and research of literature,analyze the application status,deficiencies,development status,current research hotspots and development trends of stroke patients with continuous nursing care,so as to further develop continuous nursing care for stroke patients.Related research provides reference and clinical nursing work provides the theoretical basis.Methods:Search the relevant literature on continuity care of stroke patients collected from the establishment of the database to November 22,2020 in CNKI,Wanfang database,PubMed,Embase,Web of science,and Weipu database,and use Note Express to sort the documents that meet the standards,and apply Microsoft Excel software establishes a database for information extraction and statistical description of the included literature.Results:A total of 669 related documents were included.The number of related documents published began in 2008 with the first related introduction articles,which increased year by year from 2014 and reached its peak in 2019;the first author came from 31 provinces,autonomous regions and municipalities directly under the Central Government.It mainly includes Henan,Jiangsu,Shandong,Guangdong and Hubei provinces.A total of 297 articles have been published by authors from related regions;a total of 51 articles have been funded by scientific research funds;the types of literature research are relatively rich,and research institutions are mainly concentrated in hospitals and colleges;There are 1,383 authors published in the literature,and the average number of authors is 2.06 per article;a total of 375 articles have been completed by 2 or more authors,and the co-authoring rate is 56.05%.Conclusion:The research on continuity care of stroke patients shows an increasing trend,but the quality of literature,research institutions,and scientific research funding are still very small.It is recommended that follow-up research should pay attention to improving the writing level of thesis,increase funding,expand the cooperation team and establish special Continuous nursing team and scientific research team to improve the psychological and physiological problems of stroke patients,and at the same time improve the quality of papers written by authors.

Spatiotemporal variations in ecosystem services and their trade-offs and synergies against the background of the gully control and land consolidation project on the Loess Plateau,China

Studying the spatiotemporal variations in ecosystem services and their interrelationships on the Loess Plateau against the background of the gully control and land consolidation(GCLC)project has significant implications for ecological protection and quality development of the Yellow River Basin.Therefore,in this study,we took Yan'an City,Shaanxi Province of China,as the study area,selected four typical ecosystem services,including soil conservation service,water yield service,carbon storage service,and habitat quality service,and quantitatively evaluated the spatiotemporal variation characteristics and trade-offs and synergies of ecosystem services from 2010 to 2018 using the Integrated Valuation of Ecosystem Services and Trade-offs(InVEST)model.We also analysed the relationship between the GCLC project and regional ecosystem service changes in various regions(including 1 city,2 districts,and 10 counties)of Yan'an City and proposed a coordinated development strategy between the GCLC project and the ecological environment.The results showed that,from 2010 to 2018,soil conservation service decreased by 7.76%,while the other three ecosystem services changed relatively little,with water yield service increasing by 0.56% and carbon storage service and habitat quality service decreasing by 0.16% and 0.14%,respectively.The ecological environment of Yan'an City developed in a balanced way between 2010 and 2018,and the four ecosystem services showed synergistic relationships,among which the synergistic relationships between soil conservation service and water yield service and between carbon storage service and habitat quality service were significant.The GCLC project had a negative impact on the ecosystem services of Yan'an City,and the impact on carbon storage service was more significant.This study provides a theoretical basis for the scientific evaluation of the ecological benefits of the GCLC project and the realization of a win-win situation between food security and ecological security.

Exploring the Spatiotemporal Changes and Driving Forces of Ecosystem Services of Zhejiang Coasts,China,Under Sustainable Development Goals

Ecosystem services(ESs)refer to the continuous provisioning of ecosystem goods and services that benefit human beings.Over recent decades,rapid urbanization has exerted significant pressure on coastal ecosystems,resulting in biodiversity and habitat loss,environmental pollution,and the depletion of natural resources.In response to these environmental challenges,the Sustainable Development Goals(SDGs)were proposed.Given the pressing need to address these issues,understanding the changes in ESs under the SDGs is crucial for formulating specific ecological strategies.In this study,we first analyzed land use and cover change in the Zhejiang coasts of China during 2000–2020.Then,we investigated the spatiotemporal configuration of ESs by integrating carbon storage(CS),soil retention(SR),habitat quality(HQ)and water yield(WY)using the Integrated Valuation of Ecosystem Services and Tradeoffs(InVEST)model.The driving mechanisms of ESs,which varied by space and time,were also explored using the Geo-detector method.The results revealed that,over the past two decades:1)the Zhejiang coasts have experienced a significant increase of 2783.72 km^(2) in built-up land areas and a continuous decrease in farmland areas due to rapid urbanization;2)owing to higher precipitation,extensive vegetation cover,and reduced anthropogenic disturbances,forests emerge as a crucial land use type for maintaining ecosystem services such as HQ,CS,WY,and SR;3)ESs have generally declined across the entire Zhejiang coasts,with a significant decrease observed in the northern areas and an increase in the southern areas spatially;4)the expansion of built-up land areas emerged as the primary factor affecting ecosystem services,while the vegetation factor has been increasingly significant and is expected to become predominant in the near future.Our study provides insights of understanding of ecosystem service theory and emphasizing the importance of preserving biodiversity for long-term sustainable development,and valuable scientific references to support the ecological management decision-making for local governments.

Spatiotemporal Characteristics of Typical Ecosystem Services and Their Spatial Responses to Driving Factors in Ecologically Fragile Areas in Upper Yellow River,China

The identification of dominant driving factors for different ecosystem services(ESs)is crucial for ecological conservation and sustainable development.However,the spatial heterogeneity of the dominant driving factors affecting various ESs has not been adequately elucidated,particularly in ecologically fragile regions.This study employed the integrated valuation of ESs and trade-offs(InVEST)model to evaluate four ESs,namely,water yield(WY),soil conservation(SC),habitat quality(HQ),and carbon storage(CS),and then to identify the dominant driving factors of spatiotemporal differentiation of ES and further to characterize the spatial heterogeneity characteristics of the dominant driving factors in the eco-fragile areas of the upper Yellow River,China from 2000 to 2020.The results demonstrated that WY exhibited northeast-high and northwest-low patterns in the upper Yellow River region,while high values of SC and CS were distributed in central forested areas and a high value of HQ was distributed in vast grassland areas.The CS,WY,and SC exhibited decreasing trends over time.The most critical factors affecting WY,SC,HQ,and CS were the actual evapotranspiration,precipitation,slope,and normalized difference vegetation index,respectively.In addition,the effects of different factors on various ESs exhibited spatial heterogeneity.These results could provide spatial decision support for eco-protection and rehabilitation in ecologically fragile areas.

Spatiotemporal variations of ecosystem services and driving factors in the Tianchi Bogda Peak Natural Reserve of Xinjiang,China

Nature reserves play a significant role in providing ecosystem services and are key sites for biodiversity conservation.The Tianchi Bogda Peak Natural Reserve(TBPNR),located in Xinjiang Uygur Autonomous Region,China,is an important ecological barrier area in the temperate arid zone.The evaluation of its important ecosystem services is of great significance to improve the management level and ecological protection efficiency of the reserve.In the present study,we assessed the spatiotemporal variations of four ecosystem services(including net primary productivity(NPP),water yield,soil conservation,and habitat quality)in the TBPNR from 2000 to 2020 based on the environmental and social data using the Integrated Valuation of Ecosystem Services and Trade-offs(InVEST)model.In addition,the coldspot and hotspot areas of ecosystem services were identified by hotspot analysis,and the trade-off and synergistic relationships between ecosystem services were analyzed using factor analysis in a geographic detector.During the study period,NPP and soil conservation values in the reserve increased by 48.20%and 25.56%,respectively;conversely,water yield decreased by 16.56%,and there was no significant change in habitat quality.Spatially,both NPP and habitat quality values were higher in the northern part and lower in the southern part,whereas water yield showed an opposite trend.Correlation analysis revealed that NPP showed a synergistic relationship with habitat quality and soil conservation,and exhibited a trade-off relationship with water yield.Water yield and habitat quality also had a trade-off relationship.NPP and habitat quality were affected by annual average temperature and Normalized Difference Vegetation Index(NDVI),respectively,while water yield and soil conservation were more affected by digital elevation model(DEM).Therefore,attention should be paid to the spatial distribution and dynamics of trade-off and synergistic relationships between ecosystem services in future ecological management.The findings of the present study provide a reference that could facilitate the sustainable utilization of ecosystem services in the typical fragile areas of Northwest China.

The TripleSat constellation:a new geospatial data service model

With the increase of different sensors,applications and customers,the demand from data providers and users is for a new geospatial data service model,which supports low cost,high dexterity,and which would provide a comprehensive service.Based on such requirements and demands,the 21AT TripleSat constellation terminal and data delivery and management system has been developed by a Beijing based high-tech enterprise,Twenty First Century Aerospace Technology Co.,Ltd.(21AT).The company is the first commercial Earth observation satellite operator and service provider in China.This new geospatial data service model allows the user to directly access multi-source satellite data,manage the data order,and carry out automatic massive data production and delivery.The solution also implements safe and hierarchical user management,statistical data analysis,and automatic information reports.In addition,a mobile application is also available for users to easily access system functions.This new geospatial solution has already been successfully applied and installed in many customer sites in China,and is now available globally for international clients interested in fast geospatial solutions.It enables the success of customers’operational services.Besides providing TripleSat Constellation images,the multi-source data access system also allows the users to access other satellite data sources,based on customized agreement.This paper describes and discusses this new geospatial data service model.

Function oriented service composition modeling

Formal models for service composition have been proposed with the variation of the requirements of service developers. Some famous models have provided checking and verification techniques and tools for the behavior of service composition. These models generally focus much on the message flow of web services and neglecting the data contained in the exchanged messages among services, which restrict the application range of these models and also the web service techniques. As new kind of services with different protocols and communication methods have appeared, it is needed to model service composition from a new view which is adapted to the new development in service area. In this paper we offer a function oriented model of service composition which treats the composite service as a software system and specify the function of services which can be directly used to the realization by service providers.

Innovative Services Models Based on ＂Four new＂ Economy

The propose of ＂four new＂ economy is to undertake innovation-driven transformation of Shanghai, promote the development of strategic emerging industries and transform and upgrade of manufacturing. In the following years, Shanghai will focus on the capture of key technologies, promoting the transformation of technology, expanding market demand, improving the development of the carrier, encouraging and supporting enterprises, financial institutions and social capital to increase the investment and use of＂four new＂ economy, to promote the ＂four new＂ economy gradually grow and develop. With the ＂four new＂ economy＇s development and growth, its service model should be changed too. On the basis of theory and practice, the text proposes three forms of innovative services models and relate recommendations to promote it.

Research on Services Modeling in LTE Networks

Service modeling offers fundamental guidance to the construction and operation of mobile telecommunication networks. As the domestic LTE networks have been deployed massively, the refined LTE services model needs to be established urgently. In this paper, we firstly extract characteristic parameters of services from statistical data in 3G networks, especially in time, space and user dimension. Secondly, the development trends of LTE services are analyzed. And the refined LTE service model is established. Finally, prediction results of LTE service development in China is given, which could provide effi cient support for networks' optimization and evolution.

Establishment and application of service mapping model for proactive remanufacturing impeller

Since the complex impeller structure and the difficult remanufacturing process may easily cause advance remanufacturing or excessive use,an optimized design method of impeller and service mapping model was presented for its proactive remanufacturing with setting up to explore the best remanufacturing time point in this work.Considering a certain model of long distance pipeline compressor impeller with the Basquin equation and the design method of impeller,the mathematical relationship between the changes of structure and life of the impeller was established.And the service mapping model between the structure and life was set up and simulated by ANSYS software.Thus,the service mapping model was applied to feedback the original design for proactive remanufacturing.In this work,the best proactive remanufacturing time point of impeller was analyzed with the service mapping model,and the structural parameter values could be optimized at this time point.Meanwhile,in the results of this simulation,it proves that the impeller under this optimization performance could satisfy the impeller operating demands.Therefore,comparing with the traditional optimization design method,the remanufacturing optimized design based on the service mapping model is feasible in proactive remanufacturing for sustainable development.

FUNCTIONAL ANALYSIS METHOD FOR THE M/G/1 QUEUEING MODEL WITH OPTIONAL SECOND SERVICE

By studying the spectral properties of the underlying operator corresponding to the M/G/1 queueing model with optional second service we obtain that the time-dependent solution of the model strongly converges to its steady-state solution. We also show that the time-dependent queueing size at the departure point converges to the corresponding steady-state queueing size at the departure point.