Whole-process case management effects on mental state and selfcare ability in patients with liver cancer

BACKGROUND Regarding the incidence of malignant tumors in China,the incidence of liver cancer ranks fourth,second only to lung,gastric,and esophageal cancers.The case fatality rate ranks third after lung and cervical cancer.In a previous study,the whole-process management model was applied to patients with breast cancer,which effectively reduced their negative emotions and improved treatment adherence and nursing satisfaction.METHODS In this single-center,randomized,controlled study,60 randomly selected patients with liver cancer who had been admitted to our hospital from January 2021 to January 2022 were randomly divided into an observation group(n=30),who received whole-process case management on the basis of routine nursing mea-sures,and a control group(n=30),who were given routine nursing measures.We compared differences between the two groups in terms of anxiety,depression,the level of hope,self-care ability,symptom distress,sleep quality,and quality of life.RESULTS Post-intervention,Hamilton anxiety scale,Hamilton depression scale,memory symptom assessment scale,and Pittsburgh sleep quality index scores in both groups were lower than those pre-intervention,and the observation group had lower scores than the control group(P<0.05).Herth hope index,self-care ability assessment scale-revision in Chinese,and quality of life measurement scale for patients with liver cancer scores in both groups were higher than those pre-intervention,with higher scores in the observation group compared with the control group(P<0.05).CONCLUSION Whole-process case management can effectively reduce anxiety and depression in patients with liver cancer,alleviate symptoms and problems,and improve the level of hope,self-care ability,sleep quality,and quality of life,as well as provide feasible nursing alternatives for patients with liver cancer.

On the Whole-Process People’s Democracy and the Construction of Citizens’ Cultural Quality

The Whole-Process People’s Democracy has become an important proposition of the socialist modernization democratic theory with Chinese characteristics,and has important value for the development of the new form of human civilization.The Whole-Process People’s Democracy is not only a“democracy”system,its focus is to achieve“people’s democracy”,its unique feature is to surpass“non process”democracy with the“Whole-Process”,and create a new governance path of a new form of human civilization.Of course,the emphasis of people’s democracy on the consciousness of people’s subjective participation in the whole process also puts forward corresponding requirements for the cultural quality construction of Chinese social citizens in the new era,so it is also of great significance to pay attention to the cultivation of citizens’public spirit.

Whole-Process Pollution Control for Cost-Effective and Cleaner Chemical Production A Case Study of the Tungsten Industry in China

In this research,a methodology named whole-process pollution control(WPPC)is demonstrated that improves the effectiveness of process optimization.This methodology considers waste/emission treatment as a step of the whole production process with respect to the minimization of cost and environmental impact for the whole process.The following procedures are introduced in a WPPC process optimization:①a material and energy flow investigation and optimization based on a systematic understanding of the distribution and physiochemical properties of potential pollutants;②a process optimization to increase the utilization efficiency of different elements and minimize pollutant emissions;and③an evaluation to reveal the effectiveness of the optimization strategies.The production of ammonium paratungstate was chosen for the case study.Two factors of the different optimization schemes-namely the cost-effectiveness factor and the environmental impact indicator-were evaluated and compared.This research demonstrates that by considering the nature of potential pollutants,technological innovations,economic viability,environmental impacts,and regulation requirements,WPPC can efficiently optimize a metal production process.

Path Breakthrough of Medical Humanities Education From the Perspective of“All-Staff,Whole-Process,and All-Round Education”

Medical education is an important cornerstone for the development of healthcare,and medical humanities education,as an integral part of medical education,plays an irreplaceable role in cultivating people’s health guardians with high medical ethics.We adopted the method of stratified random sampling to select 309 students and 107 faculty members from three independent medical colleges in Sichuan province as the research subjects and distributed questionnaire surveys investigating in three dimensions:overall cognition of medical humanities,evaluation of medical humanistic qualities,and the current situation of medical humanities education,supplemented by an in-depth literature review and interviews with subject matter experts.We found that“tech-centrism”still has a great influence,the self-evaluation of medical students’humanistic quality is generally not high,the educational concept of“emphasizing professional skills over morality”of faculty and staff is still quite prevalent,and there is still the“last mile”phenomenon in medical humanities education.In order to promote the integrated development of“new medicine”and“new liberal arts”and break the barriers of“tech-centrism”and“instrumental rationality,”it is necessary to change the educational concept and strengthen the education of all employees,break through the bottleneck of internships and strengthen the whole process of education,integrate educational resources and strengthen all-round education,improve the incentive mechanisms,strengthen the assessment methods,and provide Chinese wisdom and Chinese solutions for the development of medical humanities education.

Human Rights in China:Exploration and Development of Whole-process People’s Democracy

Whole-process people’s democracy represents a new exploration of socialism with Chinese characteristics for a new era as well as a novel and important method for protecting the human rights of the Chinese people.It is conducive to solving a multitude of problems hindering the protection of civil rights and political rights.The greatest highlight of whole-process people’s democracy is that the people are the masters of their own country and exercise the power to govern the state through“extensive participation and consultation.”China’s experience and approaches in advancing whole-process people’s democracy provide a reference for other countries.

Application of Whole-Process Management in Day Surgery for Endometrial Polyp

Objective:To explore the effect of whole-process management model in nursing management of endometrial polyp day surgery.Methods:266 patients that underwent endometrial polyp day surgery from January to December 2022 were selected for this study,and they were separated into an observation group(131 patients)and a control group(135 patients);the clinical data of the two groups were compared.Results:After intervention,the scores of Hamilton Anxiety Scale(HAM-A)of the patients in the observation group were lower than those in the control group(P<0.05).The rate of postoperative complications in the observation group was lower than that in the control group(P<0.05),and the satisfaction degree of the patients in the observation group was higher than that in the control group(P<0.05).Conclusion:The application of the whole-course management model in endometrial polyp day surgery can alleviate patients’anxiety,ensure the quality and safety of day surgery nursing,and improve patients’satisfaction.

On the Process and Rights in the Whole-process People’s Democracy

Theoretically, the whole-process people’s democracy involves five processes, namely, political process, policy process, urban and rural community governance process, enterprises and institutions management process, and international exchange process. Fach process includes several links which involve different democratic rights. To comprehensively promote the whole-process people’s democracy, it is necessary to make a detailed distinction between the democratic rights of each process, build a corresponding system and mechanism for the protection of rights, improve the ability of people in democracy, and establish the system and mechanism for evaluating the effect of democracy implementation.

On the Human Rights Implications of the Whole-process People’s Democracy

The whole-process people’s democracy is a prerequisite for the people’s democracy.It is the organic unity of process and outcome democracy,procedural and substantive democracy,direct and indirect democracy,as well as the people’s democracy and the will of the state.The whole-process people’s democracy is the latest theoretical expression of the concept of socialist human rights with Chinese characteristics,a new achievement in the practice of socialist human rights with Chinese characteristics,a new development of the system of the socialist human rights with Chinese characteristics,and a new contribution to the development path of human rights in the world.

Whole-process design and experimental validation of landing gear lower drag stay with global/local linked driven optimization strategy

Landing gear lower drag stay is a key component which connects fuselage and landing gear and directly effects the safety and performance of aircraft takeoff and landing. To effectively design the lower drag stay and reduce the weight of landing gear, Global/local Linked Driven Optimization Strategy(GLDOS) was developed to conduct the overall process design of lower drag stay in respect of optimization thought. The whole-process optimization involves two stages of structural conceptual design and detailed design. In the structural conceptual design, the landing gear lower drag stay was globally topologically optimized by adopting multiple starting points algorithm. In the detailed design, the local size and shape of landing gear lower drag stay were globally optimized by the gradient optimization strategy. The GLDOS method adopts different optimization strategies for different optimization stages to acquire the optimum design effect. Through the experimental validation, the weight of the optimized lower dray stay with the developed GLDOS is reduced by 16.79% while keeping enough strength and stiffness, which satisfies the requirements of engineering design under the typical loading conditions. The proposed GLDOS is validated to be accurate and efficient in optimization scheme and design cycles. The efforts of this paper provide a whole-process optimization approach regarding different optimization technologies in different design phases, which is significant in reducing structural weight and enhance design tp wid 1 precision for complex structures in aircrafts.

Whole-process modeling of titanium disc forming for gradient distributions of temperature and deformation

Gradient distributions of temperature and deformation(GDTD)are crucial for achieving dual-performance discs of titanium alloys which is required by the service environment of aeroengine.However,heating,cooling and deforming sequence in the whole process of the titanium disc forming,which leads to difficulties for achieving GDTD due to a lot of parameters.To solve this problem,a whole-process model of the titanium disc forming for GDTD has been established.In the model,heating and cooling via heat radiation,conduction and convection,and deforming by local loading with mold chilling are all considered.Experiments on heating and cooling as well as deforming were carried out by using a furnace and the Gleeble-3500 machine.The experimental data are used to determine thermal parameters and constitutive relations of the IMI834 titanium alloy,and then to verify the reliability of the model.Then the model was used to simulate the evolution rules of temperature and deformation of the titanium disc.The results show that the heating surface,furnace temperature,billet profile and loading rate play the core role for the control of GDTD,and thus a set of parameters were determined.Therefore,this work provides a base for developing a new forming technology of the dual-performance titanium discs with the approach of local heating and local loading.

The Legal Dimensions of Whole-Process People’s Democracy

The concept of whole-process people’s democracy can be analyzed in terms of four the rule of law dimensions:continuous democracy,authentic democracy,extensive democracy and consultative democracy.Continuous democracy means that democracy provides a continuous and uninterrupted mechanism in terms of stage,time and space,which can ensure the continuous participation of the people in the management of state and social affairs.Authentic democracy is not only embodied creation of opportunities and conditions for the people to have more channels and methods of participation in the management of state and social affairs,but is also reflected in the process of democratic practice,including the protection of legitimate rights and interests of the minority.Extensive democracy means that the people are fully and deeply involved in the management of state and social affairs as well as their own affairs,from the operation of the state system to social life at the community level,and from pre-election to post-election.Consultative democracy is a means of realizing people’s democracy in the whole process.It applies consultation and seeks truth,aiming at building consensus.Moreover,it integrates various channels of consultation,and integrates democracy into all aspects of the work of the Communist Party of China(CPC)and government and in all aspects of the people’s political and social life.

Promoting Whole-Process People’s Democracy Following the Rule of Law

Whole-process people’s democracy profoundly reflects the features of socialist democracy with Chinese characteristics,and comprehensively and systematically reveals the concept of people’s democracy as providing important mechanisms of national and social governance.Based on the traditional democratic understanding of democracy as majority rule,whole-process people’s democracy emphasizes the universality and extensive range of democratic governance,but also has the natural value defects of democratic value itself.Therefore,we must organically combine democracy with the values of the rule of law and human rights,to build a well-defined governance order based on people’s democratic value.The whole process in the“whole-process people’s democracy”has really resolved the situation of people’s“absence”from many links of state power operation caused by over-emphasizing the election-democracy in the Western capitalist democratic system.Through the people’s extensive participation and effective supervision,the state power operation mechanism based on the fundamental political system,the people’s congress system,has been ensured to be always in the framework of people’s democratic governance.This effectively realizes the people’s sovereignty and is consistent with the declaration that“all power in the People’s Republic of China(PRC)belongs to the people,”stipulated in the Constitution of China.To improve the governance efficiency of whole-process people’s democracy in practice,we must bring it onto the rule of law,and use the rule of law philosophy and methods to reasonably and effectively resolve all kinds of theoretical and practical problems.

钨矿碱分解工艺制备仲钨酸铵全流程仿真计算

以钨矿碱分解工艺制备仲钨酸铵全流程为对象,基于质量守恒、化学平衡、元素分配约束和指标约束等原理,构建钨矿配矿、磨矿、碱分解、脱磷、离子交换、除钼和蒸发结晶的热力学模型,进而根据各工序物料的迁移传递关系,应用MetCal软件平台,开发钨矿碱分解工艺制备仲钨酸铵全流程仿真计算系统,并采用典型工况下的实际值对模型计算的可靠性进行实例验证。研究结果表明:碱分解浓料中WO_(3)和P质量分数计算值与实际值的相对误差分别为-5.755%和-12.195%,钨渣中WO3、P、Fe、Mn和Ca质量分数的相对误差分别为-2.026%、-5.439%、-14.819%、-14.971%和11.826%;脱磷后液中WO3和P质量分数的相对误差分别为5.513%和-7.692%,脱磷渣中WO_(3)、P和Ca质量分数的相对误差分别为-5.834%、3.337%和7.113%;除钼后液中WO3和Mo质量分数的相对误差分别为-1.627%和-9.375%,除钼渣中WO_(3)、Mo、S和Cu质量分数的相对误差分别为2.547%、-8.827%、8.686%和9.692%。

A-Kano模型下全过程工程咨询业主需求实证研究

我国全过程工程咨询实践正处于多种模式并存、咨询内容差异较大的探索性阶段。以业主需求为导向,合理确定咨询服务内容,提升全过程工程咨询企业服务能力,是推进全过程工程咨询健康发展的关键。通过梳理相关文献,识别出12种全过程工程咨询业主需求,进而借助A-Kano模型开展正、负向满意度与重要度问卷调查,并计算出各类需求的优先级。实证分析结果表明:工程监理和造价咨询属于基本型需求;项目管理、设计及勘察属于期望型需求;招标代理、前期策划和BIM咨询为兴奋型需求;后期运营、建筑节能与绿色建筑咨询、工程检测服务以及工程保险咨询为无差异需求。基于上述结果为工程咨询企业提出转型建议,使其更好地满足业主集成化、个性化的咨询需求。

吉林油田CCUS-EOR技术攻关与实践新进展

CO_(2)捕集、埋存与提高原油采收率(CCUS-EOR)技术可大幅度提高原油采收率并实现CO_(2)有效埋存,同时兼具减碳、增油两大功能,是落实“双碳”战略和保障能源安全的重要技术手段。中国石油高度关注CO_(2)资源化利用问题,在系统研究原始油藏、中高含水、高含水及特高含水油藏CO_(2)驱油机理与埋存潜力的基础上,研发了关键技术和工艺装备,形成了集CO_(2)捕集、输送、注入、采出、驱油、埋存、防腐等为主体的CCUS-EOR全产业链一体化技术体系,并率先在中国石油吉林油田开展了CO_(2)捕集埋存与提高采收率矿场实践。研究结果表明:①矿场试验证实CO_(2)驱油可提高采收率20%以上,现已累计注入CO_(2)达320×10^(4) t;②矿场实践系统揭示了陆相低渗透油藏CO_(2)驱油与埋存规律,验证了CO_(2)捕集输送、注入采出、驱油埋存与循环利用全流程技术的适应性,实现了CCUS-EOR减排增效一体化。结论认为:①吉林油田建成了国内首个全产业链、全流程CO_(2)捕集、驱油、埋存与循环利用示范工程,实现了陆相沉积低渗透油藏CO_(2)驱油采收率的大幅提高和CO_(2)的安全埋存;②系统总结了吉林油田近年来在CCUS-EOR方面的最新研究进展和矿场实践认识,指明了油气田CCUS-EOR应用前景,并提出了以新质生产力推动相关企业产业化发展的具体建议。

全过程人民民主:中国式现代化的显著标志与本质要求

民主是衡量现代化水平的重要指标,现代化是推进民主发展的必要保障。全过程人民民主作为中国民主发展的时代升华,以最广泛、最真实、最管用为其特色和优势。它基于中国国情和历史文化,吸收借鉴世界民主发展的有益经验,开创了人类政治文明新形态。全过程人民民主是中国式现代化的重要构成部分,充分契合中国式现代化的中国特色,并在促进中国式现代化良政善治和弘扬全人类民主共同价值的过程中,展现出了民主的治理效能,成为中国式现代化超越西方现代化的显著标志。发展全过程人民民主是中国式现代化的本质要求。这就需要以人民逻辑统领全过程人民民主的发展,以人民代表大会和人民政协为组织载体推进全过程人民民主的实践运行。同时,中国式现代化进程中的全过程人民民主,在民主话语建构、民主形象塑造以及推动政治文明交流互鉴等方面,将为后发型现代化国家进行现代化建设和推进民主发展提供全新选择。

全过程人民民主与自我革命:超大型政党治理的双重路径

中国共产党是超大规模政党,大党有大的优势,也有自身独有难题。中国共产党在其一百多年的进程中不断探索自身治理的有效路径,形成了“人民监督、人人负责”的第一个答案和“自我革命”的第二个答案。进入新时代,全过程人民民主就是人民监督的最新形态,党的自我革命进一步丰富完善,由此形成了“内外兼修”的双重路径,开创了超大型政党治理的新形态、新成效。全过程人民民主是第一个答案在新时代的新发展,是超大型政党治理的外部路径。自我革命是中国共产党基于自身使命任务的行动自觉,是刀刃向内,是内部路径。全过程人民民主与党的自我革命具有目标指向的一致性,旨在解决跳出历史周期率的问题。“两个答案”内在统一,都源自党的初心使命,贯穿党的奋斗历史,统一于新时代全面从严治党伟大实践。全过程人民民主与自我革命体现了中国共产党与世界上其他类型政党的本质区别,从政党发展、政党现代化的角度看,是一种与时代同向而行的政党治理创新。

基于个人健康记录的全程管理模式干预对老年糖尿病患者的效果评价

目的 分析基于个人健康记录(PHR)的全程管理模式干预对老年糖尿病患者认知水平、心理痛苦、自我管理行为、生活质量及血糖、血脂的影响。方法 将100例老年糖尿病患者按照随机数字表法分成常规组和干预组,各50例。常规组患者采用常规管理措施进行干预,干预组患者采用基于PHR的糖尿病全程管理模式进行干预。两组患者均干预6个月,各失访1例,最后分别纳入49例患者。干预前后采用自制糖尿病认知问卷、糖尿病痛苦量表(DDS)、糖尿病患者自我管理行为量表(SDSCA)、生存质量特异性量表(DSQL)评定两组患者认知水平、心理痛苦、自我管理行为、生存质量,比较干预前后两组患者血糖、血脂水平。结果 干预后,两组患者糖尿病认知水平均优于干预前,且干预组优于常规组(P<0.01)。干预后,两组患者DDS、DSQL各维度评分均低于干预前,且干预组低于常规组(P<0.05或0.01);两组患者SDSCA各维度评分均高于干预前,且干预组高于常规组(P<0.05或0.01)。干预后,两组患者空腹血糖、糖化血红蛋白、餐后2 h血糖、总胆固醇、低密度脂蛋白、三酰甘油水平均低于干预前,且干预组低于常规组(P<0.01);高密度脂蛋白水平高于干预前,且干预组高于常规组(P<0.01)。结论 基于PHR的糖尿病全程管理模式不仅有助于提升老年糖尿病患者的认知水平,缓解其心理痛苦,增强患者自我管理行为,提升患者生存质量,还能够改善老年糖尿病患者的糖脂控制情况。

数字技术赋能全过程人民民主的运行机理及实践进路

数字技术赋能全过程人民民主有着深刻的运行机理,表现为数字技术赋能民主主体全方位覆盖,强化了民主运行的动力支持;数字技术赋能民主环节全链条运转,完善了民主运行的过程支撑;数字技术赋能民主场域全时空延展,构建了民主运行的环境支托。同时,数字时代也暴露出数字技术的滥用掣肘全过程人民民主的真实实现、数字利维坦的宰制造成全过程人民民主的主体制约、数字鸿沟的形成阻滞全过程人民民主的有效运转等潜在隐忧和风险。我们需要从政治、价值、技术、制度等多个层面加强数字赋能的正向作用,通过坚持党管数据推进国家治理体系和治理能力现代化、以人民为中心克服技术中心主义倾向、深化数字创新发挥数字新基建赋能、形成算法规制防范和规避数字风险,以此促进和保障全过程人民民主高质量发展。

“临床营养”团体标准在提高神经重症患者肠内营养治疗全流程管理达标率中的应用

目的提高神经重症患者肠内营养治疗全流程管理达标率。方法对照中国医院协会中国《医院质量安全管理》“第2-29部分患者服务临床营养”团体标准中肠内营养标准条款,对神经创伤重症科住院患者肠内营养治疗全流程管理达标情况进行调查,通过现状调查、原因解析,制订针对性方策,从组建肠内营养治疗全流程管理“医-护-营-康”多学科团队、构建基于“知-信-行”理论的肠内营养治疗培训闭环管理模式、建立以肠内营养治疗数据精准分析为基础的质量改进体系3方面予以改进。结果科室肠内营养治疗全流程管理达标率由改善前33.9%上升至改善后62.5%。结论开展“临床营养”团体标准实践可有效提高神经重症患者肠内营养治疗全流程管理达标率,规范肠内营养治疗操作流程,减少并发症,保障患者安全。