To align customer demand with suppliers for reducing work in process and supply costs and increasing re sp onsiveness to customer requirements, a real time collaborative supply chain mana gement system is essential...To align customer demand with suppliers for reducing work in process and supply costs and increasing re sp onsiveness to customer requirements, a real time collaborative supply chain mana gement system is essential. A solution to the realization of supply chain manage ment capable of timely responding to customer requirements is proposed. Workflow automation is used to manage process interaction across enterprises; Agents can be automatically invoked by supply chain workflow process and are used to pro mote the flexibility and reconfigurability by providing the mechanism in support of distributed compution in an enterprises to meet the requirements of performa nce and business dynamics. An approach that supports agent based workflow proce ss in a supply chain is proposed. And the coordination mechanism between agents is also discussed.展开更多
We are describing a novel technique to insert nasogastric tube (NGT) in the anesthetized patients dur- ing cervical esophageal reconstruction. Methods: Forty patients with mid and upper esophageal tumor enrolled in...We are describing a novel technique to insert nasogastric tube (NGT) in the anesthetized patients dur- ing cervical esophageal reconstruction. Methods: Forty patients with mid and upper esophageal tumor enrolled into this study were randomly allocated into two groups (the control group, group C and the novel method group, group N). All the patients were applied mechanical anastomosis to finish the cervical esophageal reconstruction. The procedure of NGT insertion for group C use the conventional method; well, the group N use the novel technique. Results: All the patients in group N had been finished the NGT insertion in the first attempt, and the total time for insertion was (5.05 + 1.15) mins; on the contrary, for the group C, duration of insertion (min) was (24.45 ± 5.23) mins, and the successful rate of NGT insertion in the first attempt was 40% (P〈 0.05); no one in group N had coiling/kinking, and 6/20 (30%) in group C had it (P= 0.020). The complication rate of bleeding between the two group had no significant difference. Conclusion: For the patient with mid and upper esophageal tumor who need cervical esophageal reconstruction, this novel method can save the NGT insertion time, and make it easier with higher successful rate.展开更多
文摘To align customer demand with suppliers for reducing work in process and supply costs and increasing re sp onsiveness to customer requirements, a real time collaborative supply chain mana gement system is essential. A solution to the realization of supply chain manage ment capable of timely responding to customer requirements is proposed. Workflow automation is used to manage process interaction across enterprises; Agents can be automatically invoked by supply chain workflow process and are used to pro mote the flexibility and reconfigurability by providing the mechanism in support of distributed compution in an enterprises to meet the requirements of performa nce and business dynamics. An approach that supports agent based workflow proce ss in a supply chain is proposed. And the coordination mechanism between agents is also discussed.
文摘We are describing a novel technique to insert nasogastric tube (NGT) in the anesthetized patients dur- ing cervical esophageal reconstruction. Methods: Forty patients with mid and upper esophageal tumor enrolled into this study were randomly allocated into two groups (the control group, group C and the novel method group, group N). All the patients were applied mechanical anastomosis to finish the cervical esophageal reconstruction. The procedure of NGT insertion for group C use the conventional method; well, the group N use the novel technique. Results: All the patients in group N had been finished the NGT insertion in the first attempt, and the total time for insertion was (5.05 + 1.15) mins; on the contrary, for the group C, duration of insertion (min) was (24.45 ± 5.23) mins, and the successful rate of NGT insertion in the first attempt was 40% (P〈 0.05); no one in group N had coiling/kinking, and 6/20 (30%) in group C had it (P= 0.020). The complication rate of bleeding between the two group had no significant difference. Conclusion: For the patient with mid and upper esophageal tumor who need cervical esophageal reconstruction, this novel method can save the NGT insertion time, and make it easier with higher successful rate.