Difficulty removing a totally implantable venous access port:A case report

BACKGROUND This case report examines the challenges associated with removing a totally implantable venous access port(TIVAP)used for long-term chemotherapy in a patient with breast cancer.Prolonged use of TIVAPs can result in complications such as catheter kinking,thrombosis,and adhesions between the catheter and surrounding tissues,potentially complicating their removal.CASE SUMMARY A breast cancer patient with bone metastasis presented with difficulty aspirating blood from a TIVAP that had been placed in the right internal jugular vein for 3 years.Initial removal attempts at the Department of Venous Access Center were unsuccessful,likely due to adhesions,necessitating a subsequent successful catheter extraction in a hybrid operating room.Imaging revealed no abnor-malities,and the catheter was removed using a mosquito clamp to detach it from surrounding tissues.CONCLUSION This case highlights the challenges of removing TIVAPs inserted via the internal jugular vein,particularly when the catheter traverses the sternocleidomastoid muscle.Repeated neck movements might lead to significant adhesions around the catheter,complicating its removal.Careful consideration should be given during catheter placement to avoid muscle-related adhesions and facilitate smoother extraction in long-term use.

Correlation between psychological,family social support,and home nursing quality for an implanted venous access port

BACKGROUND Cancer patients with an implanted venous access port(IVAP)often manage their care at home during chemotherapy intervals,including maintaining the device,monitoring complications,and following medication instructions.Home care ensures continued support after discharge.However,due to factors such as age,gender,culture,psychological status,and family support,the quality of home care varies significantly.Understanding these factors can help provide targeted guidance to improve the care of cancer patients.AIM To explore IVAP chemotherapy on home care quality and its association with mental health and family support for cancer patients.METHODS This investigative study was based on a medical records system.It investigated the relationship between psychological status,family support,and home care quality in 180 patients with cancer undergoing IVAP chemotherapy.Psychological status was assessed using the State Anxiety Inventory(S-AI);family support was assessed using the Perceived Social Support Scale(PSSS),and home care quality was evaluated using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire(EORTC QLQ-C30).Pearson’s correlation and Structural Equation Modeling were used to analyze the interplay between these factors.RESULTS The average S-AI score was 47.52±14.47,PSSS was 52.48±12.64,and EORTC QLQ-C30 was 70.09±17.32.A substantial inverse relationship was observed between the EORTC QLQ-C30 and S-AI scores(r=-0.712).A significant positive correlation was found between the EORTC QLQ-C30 and the PSSS,with a correlation coefficient of(r=0.744).The multiple linear regression analysis indicated that family social support,psychological status,and average monthly family income were the main factors influencing the variation in the quality of home care,explaining 71.9%of the variation.The Structural Equation Modeling results indicated that psychological status acted as a partial mediator in the association between family social support and home care quality of life,explaining 32.78%of the mediation effect.CONCLUSION Psychological status and family social support positively impacted cancer patients’home care quality,with psychology partially mediating this effect.

循证护理在降低肺癌患者PORT并发症中的应用效果

目的:评估循证护理在降低肺癌患者植入式静脉输液港(PORT)相关并发症中的应用效果。方法:选取2021年1月—2023年6月江苏省肿瘤医院确诊肺癌并行PORT植入化疗的150例患者,根据护理方式的不同分为对照组和观察组,每组75例。对照组给予常规护理,观察组给予循证护理。比较两组的并发症发生率、情绪状态、知识掌握度评分。结果:观察组PORT相关性并发症总发生率低于对照组,差异有统计学意义(P<0.05)。护理前,两组不良情绪评分比较,差异无统计学意义(P>0.05);护理后,观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组,差异有统计学意义(P<0.05)。观察组知识掌握度评分均高于对照组,差异有统计学意义(P<0.05)。结论:循证护理在降低肺癌患者PORT并发症发生率、改善患者心理状态和生活质量方面效果显著,值得临床中应用。

基于port write事件触发的RapidIO节点动态管理方法

针对现有大规模的综合化电子信息系统中RapidIO节点管理实时性不强、CPU资源占用多的问题,提出了一种基于port write事件触发的RapidIO节点动态管理方法。该方法利用RapidIO交换芯片的port write包上报退网或者入网的节点信息,通过该信息动态管理RapidIO网络中的所有节点。工程应用实测结果表明,该方法实时性高,CPU资源占用少。

Basilic vein variation encountered during surgery for arm vein port:A case report

BACKGROUND Venous variations are uncommon and usually hard to identify,and basilic vein variation is particularly rare.Basilic vein variation usually presents without any clinical symptoms and is often regarded as a benign alteration.This case was a patient with congenital basilic vein variation encountered during surgery for an infusion port.CASE SUMMARY We documented and analyzed an uncommon anatomical variation in the basilic vein encountered during arm port insertion.This peculiarity has hitherto remained undescribed in the literature.We offer remedial strategies for addressing this anomaly in the future and precautionary measures to circumvent its occurrence.We conducted a comprehensive review of analogous cases in the literature,offering pertinent therapeutic recommendations and solutions,with the aim of enhancing the efficacy and safety of future arm port implantations.CONCLUSION Venous variation is rare and requires detailed intraoperative and postoperative examination to ensure accuracy,so as not to affect subsequent treatment.

The Impact of Privatization on Terminal Efficiency: A Case Study of Tema Port

Port and terminal efficiency are of utmost importance to the container shipping industry due to their significance in enhancing the competitive advantage of ports within a region. Consequently, there have always been notable variations of studies around it. This paper analyzes the impact of privatization on terminal efficiency using the Port of Tema as a Case Study. The main objective of this paper is to analyze the efficiency trends of the public and private terminals in the port over the years. To achieve this objective, DEA-CCR methodology was employed to calculate the annual technical efficiency trends of the private and public terminals using four input variables and three output variables. The main results of the paper indicated that the public and private terminals were efficient for multiple years. However, the efficiency scores over the years demonstrated inconsistency, exhibiting notable fluctuations. The findings of this study will aid policymakers across the region on policies relating to the efficiency and ownership structure of ports and terminals.

Incidence of Acute Allergic Conjunctivitis in Workers at the Port of Santos

Objective: To evaluate the incidence of acute atopic conjunctivitis in the port environment. Methods: This is a descriptive, retrospective study involving 365 worker patients from the Port of Santos and 365 patients not related with port activities (control group). All patients were seen at the same private hospital in the city of Santos. Data were obtained by reviewing the electronic medical records of each patient related to the admission exam (initial) and to any assistance due to ocular allergic symptoms (red eyes) between 2019 and 2021. The analyzed data included age, sex, port section (port workers), refraction, time of symptom onset, disease history, treatment, and clinical outcome. Data were statistically assessed by the Chi-square test. Results: All patents were male. The mean age (34 ± 12 vs 35 ± 11 years) and the prevalence of refractive errors were similar between groups. In contrast, ocular allergic symptoms were significantly higher in group of port workers (34%) compared with non-port workers (17%), p < 0.0001. Likewise, episodes related to ocular allergy were more frequent in port workers, p < 0.05. Workers with activities related to bulk handling were the most affected. Conclusions: The incidence of acute allergic conjunctivitis in port workers requires attention from health authorities. This may lead to prevention and a better understanding of the epidemiology of the disease.

AGV Scheduling Optimization of Automated Port Based on Disruption Management

The recent rapid development of China’s foreign trade has led to the significant increase in waterway transportation and automated container ports. Automated terminals can significantly improve the loading and unloading efficiency of container terminals. These terminals can also increase the port’s transportation volume while ensuring the quality of cargo loading and unloading, which has become an inevitable trend in the future development of ports. However, the continuous growth of the port’s transportation volume has increased the horizontal transportation pressure on the automated terminal, and the problems of route conflicts and road locks faced by automated guided vehicles (AGV) have become increasingly prominent. Accordingly, this work takes Xiamen Yuanhai automated container terminal as an example. This work focuses on analyzing the interference problem of path conflict in its horizontal transportation AGV scheduling. Results show that path conflict, the most prominent interference factor, will cause AGV scheduling to be unable to execute the original plan. Consequently, the disruption management was used to establish a disturbance recovery model, and the Dijkstra algorithm for combining with time windows is adopted to plan a conflict-free path. Based on the comparison with the rescheduling method, the research obtains that the deviation of the transportation path and the deviation degree of the transportation path under the disruption management method are much lower than those of the rescheduling method. The transportation path deviation degree of the disruption management method is only 5.56%. Meanwhile, the deviation degree of the transportation path under the rescheduling method is 44.44%.

Seroprevalence Survey of HIV and Hepatitis B Virus and Behavioral Characteristics among Heavy Truck Drivers along Port Sudan-Khartoum Highways

The prevalence of human immunodeficiency virus (AIDS) and hepatitis B virus among heavy truck drivers and their assistants has been well documented globally in correlation with their behavioral characteristics. The present study aimed to screen for human immunodeficiency virus (HIV), hepatitis B virus (HBV), and behavioral characteristics among heavy truck drivers in Port Sudan. A cross-sectional study was conducted on 274 heavy truck drivers and their assistants who used the highway Port Sudan-Khartoum in Port Sudan city during 2019-2021. Data on behavioral characteristics and substance use habits were collected using a structured questionnaire, and an ELISA test was used to screen for HIV and HBV infections in the study participants. The chi-square test, odds ratio, and confidence intervals were used to find the association between behavioral characteristics and seropositive HIV/HBV. Of the 274 enrolled participants, the seroprevalence rates of HIV were 2.7% and HBV was 23.7%. Ninety-four (34.3%) of them had a history of high-risk sexual behavior outside of marriage;only two (0.7%) used condoms;14.2% of participants reported alcohol use;and 1.1% reported drug use. Univariate analysis revealed that having a sex history outside of marriage with ≥1 sex partner and never using a condom with a spouse or casual partner were significant risk factors for HIV and HBV among drivers. Fortunately, we found that most of the drivers reported low alcohol and drug use. Concerning this study, the seroprevalence of HIV and HBV is highly associated with a history of having sex outside of marriage and sexual behavior among truck drivers and assistances. Additional studies are needed to further investigate other STIs and behavioral characteristics associated with factors in truck drivers/assistance in different truck stop regions in Sudan.

Function Evolution and Landscape Planning Strategy of Inland Rivers in Beilun Port City of Ningbo

In the history, the main roles of inland rivers in Beilun Port City of Ningbo were desalination,blocking tides, shipping, and flood control. Nowadays, with the continuous spread and deepening ofurbanization, the ecological environment of river courses has been destroyed. In the past, remediationmeasures based on engineering and technology played a certain role, but can not “cure the root cause”. Itshould respect the historical evolution process of river courses, and highlight the ecological service functionand leisure tourism value of river courses from the coordination perspective of urban and rural ecologicalenvironment, economic industries, society and culture in the planning ideas of ecology, production, andlife integration. Four aspects of the measures are as below: protecting and repairing the ecological matrixof river courses;building green space system and maintaining flood control functions through the waternetwork;protecting cultural heritage along the rivers;developing waterfront leisure tourism scenic area.

Impact of Hinterland Manufacturing on the Development of Container Ports: Evidence from the Pearl River Delta, China

Container ports and hinterland manufacturing are two important forces of the local participation in economic globalization.This study,taking the Pearl River Delta(PRD),China with an export-oriented economy as an example,applies Huff and panel regres-sion models to evaluate the impact of hinterland manufacturing on the development of container ports during the period of 1993–2019.The results show that 1)the spatial patterns of hinterlands for hub ports help to determine the distribution range and scale of economic variables that affect port throughput;2)the hinterland’s gross manufacturing output has universally positive influence on port through-put,wherein export-oriented processing and the entire manufacturing industry have significantly positive impact on port throughput in 1993–2011 and 2001–2019,respectively;3)the two internal structural factors related to an export-oriented economy,labor-intensive sectors and foreign-funded terminals,have positively moderate the direct influence of hinterland manufacturing on port throughput.Our results highlight the importance of local context in understanding port-manufacturing relationship in developing economies.Based on our findings,policy implications are further proposed to enhance port network organization in PRD.

Impact of coupling coordination development of port and city environments on urban economic competitiveness:Evidence from the coastal port cities in eastern China

Promoting the coupling coordination development of port and its hinterland city environments is an important way to improve urban economic competitiveness.Based on relevant data of 13 coastal port cities in eastern China from 2000 to 2018,this study explores the coupling coordination development of port and city environments and its impact on urban economic competitiveness by constructing the coupling coordination degree model and the panel threshold model.The research results show that:(1)In terms of the coupling coordination development of port and city environments,most coastal ports and their hinterland cities are in a state of moderate or serious disorder.Overall,the degree of coupling coordination of port and city environments needs to be further improved;(2)The coupling coordination degree of port and city environments has a significant impact on urban economic competitiveness,and this effect gradually increases with the development of the ports and the urban economy.Among the variables that impact the urban economic competitiveness,fixed assets investment and foreign trade are significant factors that can enhance urban economic competitiveness.(3)At present,there is a“U-shaped”relationship between the coupling coordination degree of port-city environments and the urban economic competitiveness.This relationship lies on the right side of the inflection point of the“U-shaped”curve.Therefore,following the concept of assigning priority to ecological development,expanding fixed assets investment and actively developing foreign trade can further enhance the urban economic competitiveness.

Results Analysis of Surveys Made to Stakeholders in the Pacific Ports in the Panama Canal:A Study Focused to Improve the Efficiency of Loading/Discharging Operations

This research aims to analyze the communication process between the different participating actors in the port of Balboa,in the Panamanian Pacific.The starting hypothesis begins with the normal operation of the port itself.Considering which strategic actions have potential development and which specific strategic actions are proposed for their improvement,the article begins with a discussion of the nature of ports in Panama and their relationships with the Panama Canal,followed by a literary review of all the effects that climate change may have on navigation on the Panamanian Pacific coast.Next,the implication between the coordination and cooperation between the port,the Panama Canal pilots,and the other actors involved with the arrival and departure of vessels from the port will be analyzed.In a third part,the results of the perception of a significant sample of these actors who were surveyed,which are related to the process,are presented.The document concludes with recommendations on how the Panamanian Pacific port can improve its individual interests through the application of improvements derived from the results of the surveys,for more efficient inter-institutional coordination and cooperation.

Research on the Development Path of Vocational Education Internationalization under the Background of Hainan Free Trade Port Construction

In recent years,the establishment and continuous promotion of the Hainan Free Trade Port has made its strategic position increasingly prominent.In order to cope with the opportunities and challenges brought by the free trade port,the demand for high-quality practitioners in Hainan Free Trade Port is imminent.As a highly open free trade port in the world,Singapore has promoted the rapid improvement of national strength by promoting the international development of vocational education,which provides important enlightenment for the research on the development path of the internationalization of vocational education in Hainan Free Trade Port.This study uses case analysis and comparative analysis to analyze the successful experience of the internationalization of vocational education in Singapore,clarify the current situation and shortcomings of Hainan Free Trade Port in the internationalization of vocational education,and suggest feasible development paths from four aspects:institutional environment,teaching system,teachers,and cooperation mode.

Exploration of the Construction of Economic Service Trade System under the Background of Hainan Free Trade Port

China has a large population,a large middle-income group,and a wide consumer market coverage.In the context of economic globalization,the connection between the Chinese economy and the world industrial chain has been further strengthened,contributing to the development of the global economy.Under the background of the Hainan Free Trade Port,building an economic service trade system will help to create a new highland for economic service trade,promote the development of China’s service trade,and facilitate the rational allocation of resources on a global scale.Because of this,the article will analyze the opportunities for building an economic service trade system and the challenges of building an economic service trade system under the background of Hainan Free Trade Port,and focus on analyzing the path strategies for building an economic service trade system to create a high-level new highland of service trade and actively face the challenges of era development and economic upgrading[1].

Innovative Exploration and Research on International Exchange and Cooperation Mechanisms under the Background of Hainan Free Trade Port

In order to explore and foster innovation in international exchange and cooperation,this study focuses on the background of the construction of the Hainan Free Trade Port.It delves into the current development status,characteristic demands,and potential challenges of its international exchange and cooperation mechanisms.Through a comprehensive analysis of relevant cases,survey questionnaires,and literature,this study aims to provide feasible innovative models and recommendations to promote the sustained development of the Hainan Free Trade Port in the field of international exchange and cooperation,injecting new vitality into China’s economic globalization.This exploration contributes to a deeper understanding of the development of free trade ports and provides insights and references for other countries and regions.

Exploring Hainan Cultural Confidence in the Framework of Hainan Free Trade Port Development

The construction of the Hainan Free Trade Port(FTP)has created significant and unprecedented opportunities for the development of Hainan’s economic,social,and cultural spheres.While the FTP initiative primarily aims to enhance Hainan’s global economic connectivity,it inevitably influences local culture,raising questions about how Hainanese culture can preserve and even strengthen its distinct identity amid rapid globalization.This paper explores the development of cultural confidence among Hainanese people within the evolving globalized framework of the FTP.Drawing on recent studies and qualitative analysis,the research highlights the foundational elements of cultural identity,historical traditions,and Hainan’s unique regional values that shape cultural confidence in this transforming society.Findings reveal that fostering cultural confidence in Hainan not only strengthens local social cohesion but also enriches the international profile of the FTP.Finally,recommendations are proposed for policies,educational programs,and community engagement initiatives to further integrate cultural confidence into the FTP framework,providing a model for culturally sensitive development in other regions in China and beyond.

琼粤相向发展中海口港与湛江港物流基础设施互联互通路径探讨

区域经济一体化和现代物流体系建设已成为提升国家竞争力的关键战略。海口港和湛江港作为琼粤两省联系最为紧密的港口,其互联互通水平直接影响着琼粤乃至海南与全国其他地方的物流效率。在分析琼粤两省相向发展战略背景的基础上,阐述海口港与湛江港物流基础设施建设的现状,指出两地在物流基础设施建设、物流信息共享机制、区域协同建设、港航绿色物流建设等方面存在不足。应通过强化国家和地方政策推动,优化港口基础设施建设;加大信息技术投入,共建物流信息共享平台;提高共建、共管、利益共享的协同水平;共建区域港口集群,充分发挥协同效应;推动港口绿色物流协调发展,打造中国智慧范例等路径,推动琼粤两地物流基础设施的互联互通。

对标“贸易面向型”国际数据规则提升自贸区(港)数据治理水平

内嵌于经贸协定或其他经贸安排中的“贸易面向型”数据规则备受关注。“贸易面向型”数据规则内容渐趋丰富,不仅包括跨境流动和存储等传统数据规则,还纳入了数据共享和数据创新等前沿数据规则。追求发展利益是各经济体制定“贸易面向型”数据规则的主要价值取向,同时也通过内设“安全阀”的方式兼顾安全利益,并将数据规则与其他规则融合。在此背景下,我国自贸区(港)需重点推进“流动+共享+创新”三位一体的数据治理框架,在国家法律法规授权范围内进行数据治理创新,同时关注数据治理与其他治理问题的内在协同。自贸区(港)可通过“提高数据跨境合规实操性,解决企业数据跨境合规痛难点”“强化数字基础设施建设,提升数据标准化及安全保障能力”“从确权、定价、交易规则等方面构建数据要素流通交易机制”“务实推进构建公共数据开放共享机制”等核心抓手提升数据治理水平。

中国特色自贸港立法权行使路径研究

中国特色自贸港实施开放型经济新体制,亟需高水平开放、高质量发展的法治创新保障。自贸港立法权行使不仅需要创新自贸港法规内容体系,而且更需要创新自贸港立法路径,这充分彰显自贸港改革开放与立法创新法治保障的良性互动关系,尤其凸显自贸港立法权行使路径创新与自贸港法规体系构建的新颖性。自贸港法规制定权、调法调规变通权和自贸港立法授权成为自贸港立法权行使路径创新渠道,促成自贸港立法权能拓展新内容。自贸港法规制定权需要对标国际经贸规则。自贸港调法调规聚焦适用具有更多实用性和先行性的领域。自贸港立法权行使不仅聚焦自贸港法规内容的制度型开放,立法内容致力于促进高水平开放和高质量发展,而且注重自贸港法规的合宪性与改革创新相融合的立法监督机制协同推进。敢于变通和创制立法,遵循立法授权,成为自贸港立法权行使路径规制,更是当下加快实现封关运作的立法及调法调规的需要,确保自贸港扩大制度型开放、融入国际高水平自贸网络的法治保障。