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.

The 55th anniversary of continuous service of the hospital

The First Affiliated Hospital of Zhejiang UniversitySchool of Medicine, Hangzhou, China was found-ed by the noted scientist Ke-Zhen Zhu in 1947 andNovember 2002 represents the 55th anniversary ofcontinuous service of the hospital. We mark the oc-casion with a brief introduction to the hospital. With 1638 staff members including over 300senior doctors and nurse specialists, the hospitalconsisting of 33 clinical, 23 technical departmentsand 1280 beds deals with around one million outpa-tients, 20 thousand inpatients and 12 thousand oper-ations per year. Located in the hospital are severalimportant national institutes such as Laboratory of In-fectious Diseases, Laboratory of Multi-Organ Trans-plantation, Center of Clinical Pharmacology in addi-

Proposal for a Future Internet Business Model and Regulatory Acts in a Technological Convergence Environment Supporting Continuity of QoS

The communications development requires interaction between converging heterogeneous technology environment, with quality and continuity of services to remain competitive. The full implementation of the Future Internet concept implies in the necessity to operate among heterogeneous technology platforms with continuity of QoS (Quality of Service), what leads to the necessity of an innovative business model to support it and new technical mechanisms of vertical handover to ensure the QoS continuity required and expected by final users but, mainly, perceived by them. An innovative business model that requires innovative QoS continuity mechanisms must consider technical and commercial interoperation among many telecommunication services providers, nationally and internationally based. This interaction demands clear rules to be followed by every player along the telecommunication services chain,i.e., it demands a set of regulation acts to guide them and allow their viability.

Continuously Performing the Consultation and Social Service Roles of Human Rights Bases

The Ministry of Education and the State Council Information Office have named Renmin University of China as one of the human rights national education and training bases. This shows the full affirmation and trust in the university＇s education, research and training work and also represents encouragement for its future work.

Research Progress of the Application of“Internet+”Nursing in Patients with Liver Cancer

Objective:To explore the application effect of“Internet+”nursing in patients discharged from hospital after liver cancer operation.Methods:A total of 90 patients who underwent hepatocellular carcinoma resection in Shaanxi Provincial People’s Hospital from November 2019 to August 2020 were divided into an observation group(n=45)and a control group(n=45)randomly by drawing lots.The control group received routine discharge health guidance while the observation group underwent an“Internet+”nursing through hospital Internet information platforms,online consultation,and so on.Patients of both groups returned to the hospital one month after discharge and filled in the questionnaire.The incidence of adverse reactions,quality of life,and level of hope were compared between the two groups 1 month after discharge.Results:The incidence of adverse reactions in the observation group was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).The quality of life and level of hope of patients in the observation group were significantly higher than those in control group and the difference was statistically significant(P<0.05).Conclusion:“Internet+”nursing service plays a positive role in improving the patients’about their disease and their quality of life after discharge from hospital after liver cancer operation,which is worthy of popularization in clinical practice.

Robust Disaster Recovery System Model

Highly security-critical system should possess features of continuous service. We present a new Robust Disaster Recovery System Model （RDRSM）. Through strengthening the ability of safe communications, RDRSM guarantees the secure and reliable command on disaster recovery. Its self-supervision capability can monitor the integrality and security of disaster recovery system itself. By 2D and 3D rea-time visible platform provided by GIS, GPS and RS, the model makes the using, management and maintenance of disaster recovery system easier. RDRSM possesses predominant features of security, robustness and controllability. And it can be applied to highly security-critical environments such as E-government and bank. Conducted by RDRSM, an important E-government disaster recovery system has been constructed successfully. The feasibility of this model is verified by practice. We especially emphasize the significance of some components of the model, such as risk assessment, disaster recovery planning, system supervision and robust communication support.