Effect of comprehensive management combined with cognitive intervention on patient cooperation and complications during digestive endoscopy

BACKGROUND As lifestyles continue to change worldwide,the incidence of digestive tract carcinoma has gradually increased.Digestive endoscopy is an important tool that can assist in the diagnosis,treatment,and surgical intervention for this disease.However,the examination process is affected by many factors,and patient cooperation is often poor,which can increase the risk of complications.AIM To explore the effects of integrated management and cognitive intervention on cooperation and complications in patients undergoing endoscopy for early gastrointestinal neoplasms.METHODS A total of 354 patients with early stage gastrointestinal cancer who underwent digestive endoscopy procedures between January and December 2023 at our hospital were divided into observation and control groups(177 patients in each group)in a randomized controlled blind trial.The control group received routine interventions,while the observation group received comprehensive integrated management combined with cognitive interventions.We compared the changes in adverse mood,discomfort,examination time,cooperation with the examination,and complications before and after the intervention between the two groups.RESULTS The self-rated anxiety and depression scale scores were lower in the observation group than in the control group(P<0.05).The visual analog scale scores for discomfort during intubation and examination were also lower in the observation group than in the control group(P<0.05).Furthermore,the examination time was shorter in the observation group than in the control group(P<0.05),and the degree of cooperation(94.35%)was higher in the observation group than in the control group(84.75%;P<0.05).Lastly,the incidence rates of gastrointestinal adverse reactions(10.17%vs 20.34%),choking agitation(14.69%vs 24.86%),abdominal pain(8.47%vs 18.08%),and muscle tension(5.08%vs 14.12%)were all lower in the observation group than in the control group(P<0.05).CONCLUSION Integrated management and cognitive intervention in early gastrointestinal neoplasm endoscopy alleviate mood,reduce discomfort,shorten examinations,improve cooperation,and reduce complications.

Analysis on the Influencing Factors and Comprehensive Management of Environmental Problems in Dongping Lake

[Objective]We aimed to study the influencing factors and comprehensive management of environmental problems in Dongping Lake.[Method]Based on field investigation and historical data,environmental problems of Dongping Lake and their influencing factors were analyzed,and seven measures about comprehensive management of environmental issues and ecological protection of Dongping Lake were put forward.[Result]During recent years,the content of total nitrogen and total phosphorus in Dongping Lake showed a decreasing trend,but the water was still in the eutrophic state.The environmental problems of Dongping Lake,like flood,drought and pollution,are closely linked to natural and man-made factors,such as regional seasonal precipitation,industrial and agricultural pollution,etc.In order to control the environmental problems of Dongping Lake,we should strengthen the construction and management of wetland nature reserves,develop ecological agriculture,establish an integral system for environmental monitoring and information management,reinforce propaganda and education to improve residents’ environmental consciousness,etc.[Conclusion]The research could provide scientific references for the comprehensive management of environmental problems in Dongping Lake and its basin.

Comprehensive Management Strategy for Tunnel Construction Quality Inspection and Monitoring

With the increase in the number and scale of tunnel projects in China in recent years,the comprehensive management for quality inspection and monitoring measurement in the tunnel construction process is receiving more and more attention.Based on this,this paper analyzes the comprehensive management of quality inspection and monitoring during tunnel construction to ensure the quality of tunnel construction.

Effectiveness of Comprehensive Nursing Management in Enhancing Blood Donation Outcomes and Donor Experience: A Comparative Study

Objective:To assess the management effect of comprehensive nursing management on blood donation services in blood stations.Methods:Sixty-four individuals who donated blood at a blood station between September 2021 and September 2023 were selected and randomly assigned into two groups of 32 each.The first group received comprehensive nursing management,while the second group received routine nursing management.Blood donation indexes and observational indexes such as adverse reactions were compared between the groups.Results:The total blood donation volume and qualified blood donation volume were higher in the first group than in the second group.The amount of discarded blood and the rate of blood discards were lower in the first group compared to the second group(P<0.05).Additionally,the adverse reaction rate in the first group was lower,the blood donation comfort scores were higher,the psychological state scores were lower,and the quality of care scores were higher than those in the second group(P<0.05).Conclusion:Comprehensive nursing management can improve the efficiency of blood donation,reduce the rate of blood discards,decrease the incidence of adverse reactions,alleviate negative psychological states of blood donors,and enhance both the comfort level of blood donation and the quality of care provided.

Comprehensive Management of Daily Living Activities,behavioral and Psychological Symptoms,and Cognitive Function in Patients with Alzheimer's Disease:A Chinese Consensus on Alzheimer's Disease

Alzheimer's disease(AD)is the most common cognitive disorder in the elderly.Its main clinical manifestations are cognitive decline(C),behavioral and psychological symptoms(B),and a decline in the activities of daily living(A),also known as ABC symptoms.Early identification and evaluation of ABC symptoms are helpful for establishing the accurate diagnosis,comprehensive treatment,and prognosis of AD.To guide Chinese clinical practice for optimization of the comprehensive management of AD,in 2018,The Academy of Cognitive Disorder of China gathered 22 neurologists and gerontologists in China to build a consensus on the comprehensive management of AD.Based on a review of the evidence,the consensus summarizes the pathogenesis,pathological changes,clinical manifestations,evaluation,diagnosis,drug and non-drug treatment,and patient care for AD.Focus group discussion was used to establish a flowchart of comprehensive ABC management for AD patients.The new consensus provides a feasible AD management process for clinicians.

Comprehensive management of epilepsy in onchocerciasis-endemic areas:lessons learnt from community-based surveys

Background:Onchocerciasis-endem ic regions are known to have a high epilepsy prevalence.Limited resources in these areas and poor access to healthcare by persons with epilepsy(PWE)result in a wide anti-epileptic treatment gap,poor seizure control and a high burden of seizure-related complications.Recent comm unity-based surveys highlight the need for epilepsy managem ent strategies suitable for remote onchocerciasis-endemic villages to ensure better health outcom es for PWE.In this paper,we propose a feasible approach to manage PWE in such settings.Main text:Improved management of PWE in onchocerciasis-endemic areas may be achieved by decentralizing epilepsy care.Simplified approaches for the diagnosis and treatment of epilepsy may be used by non-physicians,under the supervision of physicians or specialists.To reduce the treatment gap,a regular supply of subsidized anti-epileptic drugs(AED)appropriate for different types of onchocerciasis-associated epilepsy should be instituted.Setting up a communitybased epilepsy surveillance system will enable early diagnosis and treatment of PWE thereby preventing complications.Community awareness programs on epilepsy must be implemented to reduce stigma and facilitate the social rehabilitation of PWE.Finally,strengthening onchocerciasis elimination programs by optimizing community-directed treatment with iverm eain(CDTI)and considering alternative treatment strategies might reduce the incidence of epilepsy.Conclusions:A community-based approach with task-shifting of epilepsy care from specialists to non-physician health workers will reduce epilepsy-associated morbidity.Increased advocacy and collaboration with various stakeholders is needed to establish a sustainable,cost-effective chronic care model for epilepsy that will significantly improve the quality of life of PWE in onchocerciasis-endemic regions.

Comprehensive Online Management Based on Cloud Platform for Breast Cancer Patients Using Dual-Targeted Therapy with Macromolecular Monoclonal Antibodies

Objective: The purpose of the study was to explore the application effects of the cloud platform-based comprehensive online management for breast cancer patients using dual-targeted therapy with macromolecular monoclonal antibodies. Methods: 120 breast cancer patients treated by dual-targeted therapy with macromolecular monoclonal antibodies were managed by a cloud platform from March to November 2019. Comprehensive online management included consultation about drugs and side effects and frequently asked questions in the dual-targeted therapy with macromolecular monoclonal antibodies. Results: In the consultation about drugs and side effects, there were five patients with fever, neutrophil, cough, and fatigue;24 with diarrhea;25 with nausea;11 with oral mucosal inflammation;10 with rashes and dry skin;8 with insomnia;and 1 with palpitation. Moreover, 110 patients with anxiety about the missed or delayed treatment were properly handled. Conclusion: The comprehensive online management of dual-targeted therapy with macromolecular monoclonal antibodies based on the cloud platform is helpful to satisfy the at-home breast cancer patients’ needs, ensure the continuity of dual-targeted therapy with macromolecular monoclonal antibodies for breast cancer patients, prevent misinformation, alleviate patients’ negative psychological emotions, and reduce patients’ economic losses. The online cloud platform integrated management model is crucial for managing patients with breast cancer treated by dual-targeted therapy.

Research on Readjustments of Land Property Rights in Comprehensive land management A Case Study in Project Area of Fan zhen comprehensive land management in Tai＇ anCity

Research purpose： The paper studies readjustments of land property rights which practice in the project area of Fan Zhen comprehensive land management in Tai＇ an City. According to the study make reasonable suggestions, for the similar areas of readjuslments of land property rights provide experience. Research Methods： Investigating method and contrastive analysis method. Results： The right of the project a^ea to an adjustment measures properly, and has achieved good economic benefits, social benefits and ecological benefits. Research Conclusions： Developing the new rural consu＇uction the problem from the social, economic and environmental field, effectively protect the fundamental interests of farmers to get sustainable development.

Empirical research on drive mechanism of firms' environmental management

Firms’transformation from passive envrionmental management to active environmental management is thekey to solving environmental problems. This paper empirically studies the impact of environmental management incen-tives on environmental management through model construction. Based on the data and reality of China, we can build aconcept model of environmental management driving mechanism, and put forward theoretical hypothesis that can betested: take the 13 environmental management behaviors (EMBs) as substitute of the comprehensiveness, introducecounting variables, and use NB model, Possion Model and Ordered Probit model the regression analysis. The theory andmethods brought forward in this paper will provide references for firms in China to further implement voluntaryenvironmental management, and offer advises and countermeasures for leaders to implement environmental manage-ment effectively.

Coastal geomorphic evolution at the Denglou Cape, the Leizhou Peninsula

The Denglou Cape, southwest of the Leizhou Peninsula, is the most typical tropical coast in the continent of China.The coastal geomorphic development basics of the geology and Quaternary environment change are discussed. Aerial photograph interpretation with fieldwork is applied to draw the outlines of geomorphic types. Based on the investigative data, the exogenic forces and marine organism conditions concerning tropical coast development in the area are expounded, and coastal dynamo-deposition geomorphic bodies are analysed, mainly with sea cliff-abrasion platform,barrier-lagoon system, modern beach, coral reef and mangrove tidal flat, and the general process of coastal evolution at this area, as well as coastline changes since middle Holocene transgression.