Effect of precise nursing service mode on postoperative urinary incontinence prevention in patients with prostate disease

BACKGROUND Patients with benign prostatic disease often experience detrusor morphological changes and dysfunction.In severe cases,it leads to bladder detrusor dysfunction,resulting in dysuria,frequent urination,urgent urination,incomplete urination,and other symptoms including renal function injury.An operation to restore normal urination function and to control postoperative complications,as far as possible,is the most common method for benign prostatic disease.AIM To observe the effect of precise nursing service mode on postoperative urinary incontinence prevention in patients with prostate disease.METHODS In total,130 patients diagnosed with benign prostatic disease,from January 2018 to June 2021,in our hospital,were selected and divided into observation and control groups according to their treatment options.Sixty-five cases in the control group were given routine nursing mode intervention and 65 cases in the observation group received precise nursing service mode intervention.The intervention with the observation group included psychological counseling about negative emotions,pelvic floor exercises,and post-hospital discharge care.The complications of the two groups were counted,and the general postoperative conditions of the two groups were recorded.The urinary flow dynamics indexes of the two groups were detected,and differences in clinical international prostate system score(IPSS)and urinary incontinence quality of life questionnaire(I-QOL)scores were evaluated.RESULTS Postoperative exhaust time(18.65±3.23 h and 24.63±4.51 h),the time of indwelling catheter(4.85±1.08 d and 5.63±1.24 d),and hospitalization time(8.78±2.03 d and 10.23±2.28 d)in the observation group were lower than in the control group.The difference was statistically significant(P<0.05).After the operation,the maximum urinary flow rate(Qmax)increased(P<0.05),the residual urine volume(RUV)decreased(P<0.05),and the maximum closed urethral pressure(MUCP)was not statistically significant(P>0.05)compared to pre-operation.The Qmax of the observation group was higher than that of the control group,while the RUV was lower than that of the control group.There was no significant difference in MUCP between the observation and control groups(P>0.05).The I-QOL score of the two groups improved(P<0.05),and the IPSS decreased(P<0.05).After the operation,the I-QOL score of the observation group was higher than that of the control group,and the IPSS was lower than that of the control group(P<0.05).There were no significant differences in the incidence of urethral injury(1.54%and 3.08%),bladder spasm(0.00%and 1.54%),and secondary bleeding(1.54%and 4.62)between the observation and control groups(P>0.05).CONCLUSION The precise nursing service mode can reduce the incidence of postoperative urinary incontinence in patients with prostate disease,thus improving postoperative urodynamics and rehabilitation,and quality of life.

Analysis and Related Suggestions on the Whole Process Engineering Consulting Service Mode at Home and Abroad

This paper first introduces the basic connotation of China’s whole-process engineering consulting.Immediately,analyze the organization model,service procurement model and charging standards of foreign whole-process engineering consulting(international terminology full-life cycle engineering consultant).Second,discuss the government’s role in the development of engineering consulting from two aspects:service management and market access.Finally,combined with the above analysis,the specific problems faced in the implementation process of the whole process engineering consulting are compared.Provide relevant suggestions on how companies and individuals respond to industry development trends.

Resource integration optimization of convenience service platforms adopting dynamic service modes in new retail

This paper analyzes the key issues of resource integration,and proposes a method for solving the problem of achieving efficient resource integration for convenience service platforms that adopt dynamic service modes.This method considers both the service level of collaborative resources under dynamic service modes,and collaborative resources’satisfaction of service modes in the resource integration.In addition,dominant factors needing the most attention during resource integration under dynamic service modes are excavated.Moreover,a model for resource integration optimization is established,and ant colony algorithm is used to solve the problem.Finally,a case is used to verify the feasibility of the method.

Effects of Reneging, Server Breakdowns and Vacation on a Batch Arrival Single Server Queueing System with Three Fluctuating Modes of Service

This article examines the effects of reneging, server breakdown and server vacation on the various states of the batch arrivals queueing system with single server providing service to customers in three fluctuating modes. In this queueing system, any batch arrival joins the queue if the server is busy or on vacation or under repair. However, if the server is free, one customer from the arriving batch joins the service immediately while others join the queue. In case of server breakdown, the customer whose service is interrupted returns back to the head of the queue. As soon as the server has is repaired, the server attends to the customer in mode 1. For this queueing system, customers that are impatient due to breakdown and server vacation may renege (leave the queue without getting service). Due to fluctuating modes of service delivery, the system may provide service with complete or reduced efficiency. Consequently, we construct the mathematical model and derive the probability generating functions of the steady state probabilities of several states of the system including the steady state queue size distribution. Further, we discuss some particular cases of the proposed queueing model. We present numerical examples in order to demonstrate the effects of server vacation and reneging on the various states of the system. The study revealed that an increase in reneging and a decrease in server vacation results in a decrease in server utilization and an increase in server’s idle time provided rates of server breakdown and repair completion are constant. In addition, the probability of server vacation, the probability of system is under repair and the probabilities that the server provides service in three fluctuating modes decreases due to an increase in reneging and a decrease in vacation completion rates.

Next Generation Network Service Provision Mode and Its Developing Trend

The provision mode of the telecommunication service has experienced an evolving process, and showing the developing trend from distributed to centralized, from integrated to separated, and from closed to open. To suit this trend, there will be three provision modes as Session Initiation Protocol (SIP) server, Open Service Access (OSA) application server and intelligent network(IN) in Next Generation Network (NGN), provides all kinds of services and applications to the subscribers. With the popularity of broadband access and Internet, the NGN will provide single telecommunication service and act as the important national infrastructure to offer various information services to the subscribers. The service provision mode will be more open, diversified, and individualized.

A tour-based analysis of travel mode choice accounting for regional transit service

The aim of this work is to explore the impact of regional transit service on tour-based commuter travel behavior by using the Bayesian hierarchical multinomial logit model, accounting for the spatial heterogeneity of the people living in the same area.With two indicators, accessibility and connectivity measured at the zone level, the regional transit service is captured and then related to the travel mode choice behavior. The sample data are selected from Washington-Baltimore Household Travel Survey in 2007,including all the trips from home to workplace in morning hours in Baltimore city. Traditional multinomial logit model using Bayesian approach is also estimated. A comparison of the two different models shows that ignoring the spatial context can lead to a misspecification of the effects of the regional transit service on travel behavior. The results reveal that improving transit service at regional level can be effective in reducing auto use for commuters after controlling for socio-demographics and travel-related factors.This work provides insights for interpreting tour-based commuter travel behavior by using recently developed methodological approaches. The results of this work will be helpful for engineers, urban planners, and transit operators to decide the needs to improve regional transit service and spatial location efficiently.

Context-Aware Service IVlodes in the Cloud Computing Environment

This paper discussed the differences of context-aware service between the cloud computing environment and the traditional service system.Given the above differences,the paper subsequently analyzed the changes of context-aware service during preparation,organization and delivery,as well as the resulting changes in service acceptance of consumers.Because of these changes,the context-aware service modes in the cloud computing environment change are intelligent,immersive,highly interactive,and real-time.According to active and responded service,and authorization and non-authorized service,the paper drew a case diagram of context-aware service in Unified Modeling Language(UML) and established four categories of context-aware service modes.

Research on the path of medical service combination from the perspective of departmental cooperation

As an innovative mode of social endowment, combining medical care with modern medical care technology and old-age service is an important direction of a series of social problems caused by the deepening of aging and the intensification of aging process in China. It is the inevitable choice for the development of Chinese characteristics for the aged. At present, with the continuous development of the combination of medical care and rehabilitation, the process of combination of medical care and breeding is slow, and the problems of inter departmental cooperation, high cost of resource integration and low service efficiency have emerged. The paper puts forward that multi head management of different responsibility management body is a bottleneck problem that hinders the integration of medical care. From the objective and subjective two points of view, the administrative system level barrier and the inter departmental interest game are the important reasons that obstruct the medical support and break through the estrangement of the Department and realize the cooperation. Then, according to the theory of large part system reform, the author boldly proposes the idea of establishing a new comprehensive functional department that specializes in the management of pension related affairs.

Information service of special libraries in China:Current status and prospect

The article firstly summarizes the structure and development of special libraries in China.Then,the best practices of the documentation,information and consulting services of the Chinese special libraries in the digital and networking environment are provided.It finally explores the approaches for the special libraries to offer new professional services in order to meet the needs for knowledge-based services.

智能审方系统+新型药学服务在改进静脉药物集中配置中心工作模式中的作用初探

目的:建立以新型药学服务模式为基础、以智能审方系统为支撑的全新静脉药物集中配置中心(PIVAS)药学工作模式,旨在更好地保障临床静脉用药的安全性、有效性。方法:2020年起,该院PIVAS先后更新了《静脉用药审方规则》、设计开发智能审方系统、推行审方药师岗前规范化培训、实施不合理医嘱点评等措施,设计完善了符合部队医院特色的审方软件,形成了智能“软件+药师”的复合审方模式,推进了促进临床合理用药的新型药学服务。将2019年(改进措施实施前)、2021年(改进措施实施后)全年PIVAS工作中各项指标作为考察对象,比较改进措施实施前后审方药师工作能力、工作效率、不合理医嘱率等多方面的数据变化。结果:改进措施实施后,每日审方药师由3名减少为2名;每日人均审核医嘱量提高了965.3条;长期医嘱审核时间由1.50 h缩短至0.67 h;均次排药时间由3.50 h缩短至1.50 h;日均手工退药减少了207.68袋;药师相关知识储备大幅提升,重点关注科室的不合理医嘱率均明显降低。结论:新型药学服务+智能审方系统在改进PIVAS工作模式中发挥了积极作用。新工作模式有助于提升药师服务的质量、实现药师的自我价值、保障患者用药合理性,此工作模式有望在部队医院推广使用。

Research on two-part revenue-sharing contract under demand disruption

Assuming that the realized demand is determined by the inventory level,a two-part revenue sharing contract of one supplier and one retailer is analyzed under the circumstance of demand disruption(the disruption cost occurs at the supplier).Based on the centralized optimization,the profits of the two members are maximized in sequential optimization though a two-part revenue-sharing contract.The result shows that when the demand disruption occurs,if the degree of disruption is within some range,the ordering and manufacturing plans need not be changed,while only the revenue sharing fraction for the retailer should be diminished;if not,both the plan and the revenue sharing fraction should be changed for the possible coordination of the supply chain.Finally,numerical illustrations of the contract for various scenarios are given.

Conceptual Design of Themed Restaurant in Colleges and Universities

Creative themed restaurants not only meet the needs of dining of people, but also provide consumers with a unique experience, which accounts for its popularity. This paper, based on the existing locomotive in University of Science and Technology Liao Ning, expounds the conceptual design scheme of "Next Station" campus train-themed restaurant from three aspects: theme design, menu and service design and space environment design.

A review and an outlook of the National Cultural Information Resources Sharing Project

This paper discusses the Project's organization system, technical system, creation of digital resources and service mode. It also summarizes achievements gained since the commencement of the Project, and also analyzes some of the more important issues during implementation stage and gives a few suggestions of the future development during the next stage of the 11thFive-Year Plan.

Study on the Diffusion Performance of Standard E-Government Information Systems

Standard e-government information system(SEIS) including mobile-government applications are playing more and more important roles in the establishing of national e-government framework. It can be beneficial not only for avoiding redundant e-government IS development but also for improving collaboration among government agencies. Two research questions were explored: what are the factors influencing the performance of SEIS? Will mandatory SEIS create a better performance than non-mandatory SEIS? Specifically, the use of five categories of IS aspects--information system quality, online service quality, offline service quality, diffusion modes and standard network size—is proposed to understand the performance of SEIS through applying both survey study and simulation study. The results show that information system quality and online service quality of SEIS have strong effects on users' expectation and users' satisfaction, which thereafter promotes the performance of SEIS. Government agencies' offline service quality shows a significant effect on users' satisfaction while not on users' expectation. Furthermore, the diffusion speed of SEIS in non-mandatory and mandatory modes and the standard network size also have great influence on the utility of SEIS.

The current status of community mental health services in three northern areas of China

Objective:This study investigated and discussed the current status of community mental health service in three northern areas of China(Beijing,Harbin,and Karamay)in an effort to improve the community mental health services in China.Methods:In this study 176 residents from communities of the three northern areas of China were involved and divided into 18 groups.The study was conducted according to a self-prepared structured interview outline.Results:The analysis was conducted based on the following four perspectives:1.commu-nity residents’understanding of the mental health problems and how they treated psychiatric patients;2.community residents’access to and application of mental health information;3.com-munity residents’attitude to accept mental health services and the factors influencing community residents to seek help from mental health services;and 4.community residents’attitude and will-ingness to participate in the activities of community mental health services.Conclusion:Based on the investigation and analysis regarding the current status of the com-munity mental health services in three northern areas of China,it is concluded that the residents do not have s clear and complete understanding of mental health.The characteristics of mental health services had a regional correlation.Currently,the mental health services do not work effectively,and the residents are somewhat passive in obtaining information about mental health.Community mental health services should be offered according to different individual needs of the residents and the actual situations of each region.