Application Effect of Feedforward Control in Outpatient Blood Specimen Management

Objective:To analyze the application effect of feedforward control in outpatient blood specimen management.Methods:1,200 patients who had their venous blood collected in outpatient phlebotomy room of our hospital's outpatient clinic from January 2021 to April 2021 were selected as study subjects and divided into 600 cases in the control group and 600 cases in the observation group.The two groups of patients were compared in terms of their satisfaction with the staff,the efficiency of the nurses and the quality of nursing care,turnaround time before specimen analysis,the rejection rate of the blood specimens,and the time of result reporting.Results:After the implementation of feedforward control,patients'satisfaction with staff,nurses work efficiency and quality of care,turnaround time before specimen analysis,specimen rejection rate,and result reporting time in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:The application of feedforward control in the management of outpatient blood specimens has significant effect,which effectively improves patients'satisfaction,enhances the efficiency of nurses and the quality of nursing care,shortens the turnaround time of specimens before analysis and the reporting time of results,and reduces the rejection rate of specimens.

Prevention and Control Strategies of Nosocomial Infection and Effectiveness Evaluation in a Tertiary Teaching Hospital during the Epidemic of COVID-19

Objective: To evaluate the role of prevention and control strategies for nosocomial infection in a tertiary teaching hospital during the sudden outbreak of Corona Virus Disease 2019 (COVID-19). Methods: The hospital initiated an emergency plan involving multi-departmental defense and control. It adopted a series of nosocomial infection prevention and control measures, including strengthening pre-examination and triage, optimizing the consultation process, improving the hospital’s architectural composition, implementing graded risk management, enhancing personal protection, and implementing staff training and supervision. Descriptive research was used to evaluate the short-term effects of these in-hospital prevention and control strategies. The analysis compared changes in related evaluation indicators between January 24, 2020 and February 12, 2020 (Chinese Lunar New Year’s Eve 2020 to lunar January 19) and the corresponding lunar period of the previous year. Results: Compared to the same period last year, the outpatient fever rate increased by 1.85-fold (P P Conclusion: The nosocomial infection prevention and control strategies implemented during this specific period improved the detection and control abilities for the COVID-19 source of infection and enhanced the compliance with measures. This likely contributed significantly to avoiding the occurrence of nosocomial infection.

Evaluation of Control Effects against Sugarcane Pests：A New Sustained-release and Long-lasting Pesticide and Convenient and Efficient Pesticide Application Technology

[Objective]The paper was to screen a new ideal sustained-release,long-lasting and low-toxic pesticide and convenient and efficient pesticide application technology for controlling Ceratovacuna lanigera and Baliathrips serratus. [Method]2% Imidacloprid GR were selected and applied in the soil for field efficacy trial. [Result] The optimum dosage of 2% imidacloprid GR was 30 kg/hm^2（ active ingredient 600 g）,which can be mixed with fertilizer（ 30 kg pesticide and 40-80 kg fertilizer per hm^2） once combined with sugarcane planting management or big ridging during February and June. The control effects against C. lanigera and B. serratus could be more than 98. 2% and 81. 1%,respectively. The actual yield and sugar content in various pesticide treatments were increased by 33 390 kg/hm^2 and 6. 6% respectively compared to blank control. [Conclusion]2% imidacloprid GR has good control effects on C. lanigera and B. serratus. It is a new pesticide with ideal sustained-release,long-lasting and low-toxin effects against C. lanigera and B. serratus. Therefore,it could be used alternatively with other pesticides,to delay production and development of drug resistance.

Evaluation of the Effects of High-efficiency Compound Formulations on the Prevention and Control of Sugarcane Brown Rust

[Objectives]This study was conducted to screen high-efficiency compound formulations and precise application technologies for the prevention and control of sugarcane brown rust. [Methods] Zineb, dinconazole, mancozeb, azoxystrobin, pyraclostrobin, difenoconazole·azoxystrobin, chlorothalonil and carbendazim were selected for field efficacy tests. [Results] Four formulations,(65% zineb WP 1 500 g+75% chlorothalonil WP 1 500 g+potassium dihydrogen phosphate 2 400 g+agricultural synergist 300 ml)/hm^(2),(12.5% dinconazole WP 1 500 g +75% chlorothalonil WP 1 500 g+potassium dihydrogen phosphate 2 400 g+agricultural synergist 300 ml)/hm^(2),(80% mancozeb WP 1 500 g+75% chlorothalonil WP 1 500 g+potassium dihydrogen phosphate 2 400 g+agricultural synergist 300 ml)/hm^(2) and(30% difenoconazole·azoxystrobin SC 900 ml+potassium dihydrogen phosphate 2 400 g+agricultural synergist 300 ml) had good control efficacy on sugarcane brown rust, and showed disease indexes all below 18.79 and control efficacy over 80.53%. The four formulations are ideal high-efficiency compound formulations for the prevention and control of sugarcane brown rust. They can be sprayed manually and by unmanned aerial vehicles on the foliar surface from July to August, once every 7 to 10 d, continuously for 2 times. [Conclusions] This study provides new technical support for accurate and efficient prevention and control of sugarcane rust.

Evaluation of the Effect of High-efficiency Compound Formulations on the Prevention and Control of Sugarcane Brown Stripe

[Objectives]This study was conducted to screen high-efficiency compound formulations and precise application technologies for the prevention and control of sugarcane brown stripe disease.[Methods]Carbendazim,benomyl,chlorothalonil,azoxystrobin,pyraclostrobine and difenoconazole·azoxystrobin were selected for field efficacy tests.[Results]Three formulations,(50%carbendazim WP 1500 g+75%chlorothalonil WP 1500 g+potassium dihydrogen phosphate 2400 g+agricultural synergist 300 ml)/hm^(2),(50%benomyl WP 1500 g+75%chlorothalonil WP 1500 g+potassium dihydrogen phosphate 2400 g+agricultural synergist 300 ml)/hm^(2) and(25%pyraclostrobin 600 ml+potassium dihydrogen phosphate 2400 g+agricultural synergist 300 ml)/hm^(2) had good control effects on sugarcane brown stripe disease,and showed disease index below 14.02 and control efficacy above 84.41%.The three formulations are ideal high-efficiency compound formulations for the prevention and control of sugarcane brown stripe disease.They can be sprayed manually and by unmanned aerial vehicles on the foliar surface from July to August,once every 7 to 10 d,continuously for 2 times.[Conclusions]This study provides new technical support for accurate and efficient prevention and control of sugarcane brown stripe disease.

Efficacy of High-efficiency Formula Pesticides for Controlling Sesamia inferens Walker and Ceratovacuna lanigera Zehntner

[Objectives]This study was conducted to screen high-efficiency formula pesticides and precise and efficient application techniques for the prevention and control of Sesamia inferens Walker and Ceratovacuna lanigera Zehntner.[Methods]Field efficacy trials were conducted using different combinations of 70%directed enhanced thiamethoxam seed treatment dispersible powder and 46%monosultap·Bacillus thuringiensis wettable powder.[Results]70%directed enhanced thiamethoxam ZF 450 g/hm^(2)+46%monosultap·B.thuringiensis WP 2250 g/hm^(2)had good control effects on both S.inferens and C.lanigera,so it was an ideal high-efficiency formula pesticide for controlling sugarcane S.inferens and C.lanigera.From January to May,combining with new plant or perennial root cultivation management,70%directed enhanced thiamethoxam ZF 450 g/hm^(2)can be evenly spread on sugarcane ditches and sugarcane stumps after being well mixed with fertilizers applied per hectare,and covered with soil in a timely manner,and during the peak incubation period of the first and second generation of S.inferens eggs from March to May,46%monosultap·B.thuringiensis WP 2250 g/hm^(2)was sprayed to the leaf surface in the mixture with water 675 kg with an electric backpack or a motorized sprayer.In such a way,the control efficacy on dead heart seedlings could reach over 89.8%,and that on C.lanigera could reach 100%.Meanwhile,it could effectively and concurrently control thrips,and the increases in yield and sugar content could reach 29310 kg/hm^(2)and 5.9 percentage points,respectively.[Conclusions]The promotion and application of the formula pesticide could achieve precise application and control of sugarcane pests,and improvement of sugarcane quality and planting efficiency,and help promote green prevention and control of sugarcane diseases and pests and the sustained high-quality development of the sugar industry.

Design of Simulation System for Effectiveness Evaluation of Future Airspace Window Shooting

Future Airspace Window Shooting is a newly developed technology, which needs effectiveness evaluation before widely used. Future airspace window shooting technology, simulation system development principles and software chosen to develop the simulation system are introduced in the first. And then the overall design of the system, realization of the system and effectiveness evaluation through simulation are discussed in detail. Through the simulation, it is known that the FAW shooting has more superior performance when facing maneuvering targets.

Control Effect Evaluation of 70% Thiamethoxam ZF against Ceratovacuna lanigera Zehntner and Baliathrips serratus Kobus on Sugarcane

[Objective] The paper was to provide scientific basis for popularization and application of 70% Thiamethoxam ZF. [Method] 70% Thiamethoxam ZF was selected and applied in the soil for controlling Ceratovacuna lanigera Zehntner and Baliathrips serratus Kobus. [ Result ] 70% Thiamethoxam ZF had good con-rol effect against C. lanigera and B. serratus. The optimum dosage of 70% Thiamethoxam ZF was 450 g/hm^2 （effective ingredients 315 g）. 70% Thiamethoxam ZF （ dosage per hm^2 ） mixed with the regular fertilizer （ dosage per hm^2 ） should be applied together in sugarcane planting and management from February to June. The control effects against C. lanigera and B. serratus were above 98.4% and 82.9% respectively. The actual yield and sugar content were increased by more than 34 290 kg/hm^2 and 6.8% respectively compared to blank control. [ Conclusion] 70% Thiamethoxam ZF was a new ideal pesticide with characteristics of sustained- release, long-lasting and low-toxic for controlling C. lanigera and B. serratus, and should be applied widely in the sugarcane planting area.

Study on Application Effect of 6S Management Mode in Infection Control Management of Fangcang Shelter Hospital of National Exhibition and Convention Center

Objective:In 2022,a pneumonia caused by novel coronavirus broke out in Shanghai.A large number of medical personnel were deployed nationwide to support the Fangcang Shelter Hospital of National Exhibition and Convention Center(Shanghai).Because the of the underdeveloped infrastructure and the disorganized layout process,the phenomenon of infection among medical personnel was rampant given the highly contagious nature of the Omicron variant.This paper discusses the effect of 6S management in infection control management of Fangcang Shelter Hospital of National Exhibition and Convention Center(Shanghai).Methods:A series of 6S management practices were carried out based on the evaluation of the control management of Fangcang Shelter Hospital of National Exhibition and Convention Center(Shanghai)during the anti-epidemic period,and the effect of the implementation of 6S management was studied based on the rapport among team members and the overall control system process,the management of wearing and stripping channels,the time of wearing protective articles and the psychological and emotional changes of the team members.Results:After the implementation of 6S management mode,the management of dressing room,epidemic prevention materials,and occupational protection awareness and infection control safety were significantly improved.More than 95.5%of the team members believed that improving the working environment in the shelter increased the confidence of victory in the fight against the epidemic,reduced the preparations before entering and leaving the cabin,improved the work efficiency and ensured occupational safety.It ensures the realization of the goal of“zero infection”and is set as a benchmark of control work of Fangcang Shelter Hospital of National Exhibition and Convention Center(Shanghai).Conclusion:The application of 6S management mode to the shelter infection control management can create and maintain a good working environment in the shelter,promote the implementation effect of various systems and processes of infection control,reduce the potential infection risk in the shelter and improve the efficiency of infection control management.

Prevention and Control Effects of New Biological Formulations Sprayed by Different Methods on Proceras venosatus (Walker) and Tryporyza intacta Snellen in Middle and Late Stages

To screen new biological formulations, accurate and efficient application technology, field test was conducted with 72% Bacillus thuringiensis(Bt)·monosultap WP, 8% lambda-cyhalothrin·emamectin benzoate SA and 3.6% lambda-cyhalothrin·Bt SA through manual spraying and unmanned aerial vehicle spraying. Test results and comprehensive evaluation analysis demonstrated that 72% Bt·monosultap WP and 8%lambda-cyhalothrin·emamectin benzoate SA by manual spraying and unmanned aerial vehicle spraying had good prevention and control effect on strains and internodes damaged by Tryporyza intacta Snellen in middle and late stage, which were ideal new biological formulations with high effi-ciency and low risk for prevention and control of T. intacta in middle and late stage, and could be popularized in sugarcane area. 72% Bt·monosultap WP at the dose of 3 000 g/hectare and 8% lambda-cyhalothrin·emamectin benzoate SA at the dose of 750 mL/hectare could be sprayed in mid September at the peak occurrence period of the forth and fifth generations of T. intacta and Proceras venosatus. Agents were diluted with 900 kg water per hectare, and manually sprayed with electric knapsack sprayer; or agents were diluted with 15 kg of Haoyang aerial control special addi-tives and water per hectare, and sprayed with unmanned aerial vehicle. The control effect against borer-damaged strain rate was above 81.3% and that against borer-damaged internode rate was above 88.6%.

Control Effect of Zinc Fertilizer Application Against Apple Little Leaf

In order to provide a theoretical basis for apple cultivation techniques and to provide a reference for preparation of scientific management measures,the occurrence and damage status of apple little leaf in northern Guizhou was investigated,and fertilizer control test against the disease was also conducted.（1）Apple little leaf occurred from April to October in apple producing areas in northern Guizhou every year,with heavy incidence from April to May,light incidence from June to July,and the lightest incidence from August to October.（2） Effectiveness test showed that application of zinc sulfate fertilizer 135 g ＋ cow dung 10 kg received the best control effect,followed by zinc sulfate fertilizer 165 g ＋ cow dung 10 kg,then zinc sulfate fertilizer 105 g ＋ cow dung 10 kg and zinc sulfate fertilizer 150 g ＋ cow dung 10 kg.（3） Based on local environmental conditions,occurrence and damage situation,incidence conditions and fertilizer efficacy test,comprehensive prevention and control technology with rational supplement of zinc fertilizer could be used to control apple little leaf.

Mathematical Statistics Method of Evaluating Application Effects of a New Type of Gas Anchor

Based on the basic formula of the confidence interval and the sampling error of mathematical statistics, the mathematical statistics method of evaluating application effects of a new type of gas anchor was given in this paper. By the method mentioned above, the confidence interval and the sampling errors of the relevant mean value differences of Daqing Oilfield S block’s 150 wells, according to the mean value differences of the liquid producing capacity per day, the oil production per day, the submergence depth of the 10 sampling test wells, in which before and after a new type of gas anchor were laid down, were calculated. The calculation results show that a new type of gas anchor has a better effect of increasing oil production of oil well and enhancing pump efficiency. Through the real value differences analysis of the liquid producing capacity per day, the oil production per day, the submergence depth of 150 wells mentioned above, in which before and after a new type of gas anchor were laid down, it was verified. By using the confidence interval and the sampling errors of the liquid producing capacity per day, the oil production per day, the submergence depth mentioned above, in which before and after a new type of gas anchor were laid down, the application effects of a new type of gas anchor could be evaluated. And a mathematical statistics method of evaluation application effects of a new type of gas anchor is presented.

Control Effect of Slow-release, Long-acting and Multi-functional New Pesticides on Sugarcane Borders and Woolly Aphids

In order to select the long-acting,low toxic,low-risk and multi-functional new pesticides for the control of sugarcane borders and woolly aphids and precise and efficient application technology,the control effect of 10% monosultap · thiamethoxam granular formulation and 1% Bt · clothianidin granular formulation on sugarcane borders and woolly aphids were studied.The results showed that 10% monosultap·thiamethoxam GR and 1% Bt·clothianidin GR had good control effects on sugarcane borders and woolly aphids.They were ideal slow-release,long-acting,low toxic and multi-functional new pesticides used to control sugarcane borders and woolly aphids.They could be used alternately with other pesticides to delay the emergence and development of pest resistance to pesticides.The best dosage of the two pesticides in the field was 45 kg/hm^2.They could be mixed with fertilizer( 1200-1800 kg/hm^2),scattered in sugarcane ditches or at the base of sugarcane plants,and covered with soil or film from January to July.The control effect on dead heart seedlings damaged by borers could be up to above 79.2%,and the control effect on sugarcane woolly aphids could reach more than 98.8%.In comparison with the control group,the actual yield and sugar content of sugarcane increased by above 41 555 kg/hm^2 and 6.5% respectively.The application of slow-release,long-acting,strong systemic and multi-functional new agents with fertilizer around roots is convenient,precise and efficient,labor-saving,time-saving and environmentally friendly,and is worthy of being widely applied in sugarcane areas.

Control Effects of a New Sex Pheromone Trap and Biological Agents on Sesamia inferens Walker and Argyroploce schistaceana (Snellen)

This study was conducted to explore and seek high-efficiency and safe green control techniques on sugarcane borers,promote green control of diseases and pests of sugarcane and build a resource-conserving,environmentally friendly and sustainable governance system of diseases and pests of sugarcane.A new sex pheromone trap of sugarcane borers,abamectin· Bacillus thuringiensis (Bt) and tebufenozide were selected and applied in field trials.The use of the new sex pheromone trap of sugarcane borers (6 traps/hm 2) in combination with 0.05% abamectin·10 billion active gemmae/g B.thuringiensis (Bt) WP (1.8 kg/hm 2) or new sex pheromone trap of sugarcane borers (6 traps/hm 2) in combination with 200 g/L tebufenozide SC (1.5 L/hm 2) were the best in the sugarcane production.New sex pheromone trap of sugarcane borers should be installed in early march,and biological agents were mixed with water 900 kg per hectare and sprayed evenly sugarcane plants at the beginning of April.Their control effects of dead heart rate and bored stalk rate could be more than 69.98% and 49.09%,respectively,which were superior to that of the control pesticide 3.6% bisultap GR (90 kg/hm 2).The results showed that new sex pheromone trap of sugarcane borers in combination with abamectin· B.thuringiensis (Bt) or tebufenozide was the optimum mode of green control techniques on sugarcane borers.When it was alternately or coordinately used with other technology,it could delay the emergence and development of drug resistance,and it was worthy of widespread popularization and application in sugarcane area.

Does the traditional Chinese medicine theory of five circuits and six qi improve treatment effectiveness?A systematic review of randomized controlled trials

Objective:To evaluate whether the traditional Chinese medicine(TCM)theory of five circuits and six qi(FCSQ)is beneficial in terms of improving clinical effectiveness.Methods:Randomized controlled trials(RCTs)evaluating the clinical value of FCSQ theory were reviewed.Multiple databases(China Network Knowledge Infrastructure,Chinese Scienti fic Journals Database,Wanfang Data,SinoMed,Cochrane Library,PubMed,and Embase)weresystematically searched from inception to June 12,2018.Two authors independently extracted the data and performed a methodological quality assessment of the RCTs.RevMan 5.3 software was used for the data analysis.The effect sizes for the primary outcome measures were expressed as relative risks or mean differences with 95%confidence intervals.Results:A total of 13 RCTs were selected,involving 12 types of diseases and 4695 patients.The methodological quality of the RCTs was generally low.Five studies compared the effectiveness of TCM treatments guided by FCSQ theory with conventional TCM therapies,and the remaining eight studies compared the effectiveness of TCM treatments guided by FCSQ theory with biomedical treatments.All of the RCTs reported that the effectiveness of the treatment intervention was better than that of the intervention in the control group.Conclusion:Because of many methodological problems in existing clinical studies,it remains impossible to definitively conclude that FCSQ theory can improve clinical effectiveness.It is difficult to unify the clinical application of FCSQ theory.The feasibility and repeatability of FCSQas an intervention should be given more attention in future clinical research.Future work should also follow international norms for clinical research implementation and reporting to provide high-quality evidence for evaluating the clinical value of FCSQ theory.

The Effect and Benefit of Rice Chilo suppressalis Walker Chemical Control Test of Chlorantraniliprole etc.

In this paper, the first generation and second generation of Chilo suppressalis Walker were conducted as the test objects to investigate control of a new pesticide(chlorantraniliprole) with preparation of chlorantraniliprole 20% SC,abamectin 1.8% EC and chlorpyrifos 40% EC to Chilo suppressalis Walker. The results showed that chlorantraniliprole 20% SC, abamectin 1.8% EC and chlorpyrifos40% EC had effective control to Chilo suppressalis Walker for its excellent control efficacy and long persistence period. Seedling protection efficacies were between84.2%-100%, 90.1% and 92.1%, and insecticidal efficacies were between 84.6%-100%,90.7% and 93.8% 36 days after application of chlorantraniliprole 20% SC in treatments with abamectin 1.8% EC and chlorpyrifos 40% EC for first generation Chilo suppressalis Walker control. The dead panicles were between 0.2%-1.4%, 0.8%and 0.7%, pest plant rate control in 0.4%-2.2%, 1.1% and 0.9%, and the rates of damaged rice plants were between 82.4%-97.6%, 90.2%-91.2% and 91.4%-92.8%,30 days after application of chlorantraniliprole 20% SC, abamectin 1.8% EC and chlorpyrifos 40% EC for the second generation Chilo suppressalis Walker control. It can effectively protect seedlings, protect spike, increase grain number and grain weight, which promoting the increase production income effect. The real estate increased by 9.7%-12.3%, 10.9% and 11.2% than water treatment(CK) with a very significant level, while the incomes were higher than 1 719.19-1 998.22, 1 956.52 and 2 057.83 yuan.

双氯磺草胺在东北地区春大豆田的应用效果

为明确双氯磺草胺土壤封闭与茎叶处理对东北地区春大豆田阔叶杂草的防除效果和对作物的安全性。采用随机区组设计,连续2年开展田间试验。结果表明:25.2~76.5 g/hm^(2)有效成分剂量下84%双氯磺草胺水分散粒剂用于大豆田进行土壤封闭处理,施药后60 d,对东北地区常见阔叶杂草藜、本氏蓼、苍耳、苘麻、水棘针的株防效和鲜重防效都在90.0%以上,对龙葵的株防效和鲜重防效都在87.0%以上。对阔叶杂草的总株防效为93.3%~99.0%,总鲜重防效为94.7%~99.4%。25.2~63.0 g/hm^(2)有效成分剂量下84%双氯磺草胺水分散粒剂茎叶喷雾处理,施药后30 d,对本氏蓼、苍耳、苘麻的株防效和鲜重防效都在93.0%以上,对水棘针的株防效和鲜重防效都高于82.0%,对藜、龙葵的株防效为59.8%~85.5%,鲜重防效为62.5%~90.9%。对阔叶杂草总的株防效为80.1%~93.2%,总的鲜重防效为82.2%~95.9%,施药后初期,大豆叶片有受害症状,后期新生叶片正常。双氯磺草胺土壤封闭和茎叶喷雾施药方式都能有效控制东北地区春大豆田的阔叶杂草,但依据大豆产量分析,84%双氯磺草胺水分散粒剂有效剂量25.2~76.5 g/hm^(2)4个土壤封闭处理区大豆产量与人工除草相比差异不显著。本试验为大豆田苗后除草剂选择提供了新思路,茎叶喷雾施药方式适宜的剂量为84%双氯磺草胺水分散粒剂31.5~37.8 g/hm^(2);土壤封闭施药方式具有更好的除草效果,适宜的施药剂量为84%双氯磺草胺水分散粒剂25.2~50.4 g/hm^(2)。

超声模拟教学在重症护理教学中的应用及效果评价

目的:探讨超声模拟教学在重症护理教学中的应用效果。方法:选取2023年1-12月于中日友好医院重症医学科进修的40名护士,采用随机数表法将其分为观察组和对照组,每组20名,观察组以美国爱国者综合超声虚拟训练系统为平台,采取超声模拟教学方法,对照组采取传统超声教学方法。比较两种教学方法理论课教学、超声技术实践操作考核成绩和带教满意度。结果:观察组的操作考核、课后作业和考核总分分别为(27.9±1.91)分、(16.25±1.33)分和(77.75±4.12)分,均高于对照组,差异有统计学意义(t=13.375、3.635、8.814,P<0.05);观察组操作考核成绩中的肺部超声、胃残余量评估、皮肤压力性损伤评估和动静脉穿刺平均得分分别为(5.30±1.21)分、(5.85±0.81)分、(5.10±0.91)分和(6.05±0.89)分,均高于对照组,差异有统计学意义(t=5.792、5.264、5.832、5.620,P<0.05)。观察组进修护士对教学安排、教学效果、整体收获和满意度总分分别为(22.75±1.30)分、(23.90±1.02)分、(24.00±1.30)分和(93.05±3.66)分,均高于对照组,差异有统计学意义(t=6.564、8.860、6.694、7.441,P<0.05)。结论:超声模拟教学能够明显提高进修护士在重症护理教学中的操作能力,以及对教学内容的掌握情况和进修护士学习兴趣,提升护理临床教学质量及带教满意度。

基于用电数据的潍坊市工业污染源冬奥会管控效果评估

利用潍坊市安装用电监控的工业企业在冬奥会前和会中的生产用电数据及部分企业大气污染物排放在线监测数据,分析企业生产用电量和排放量的变化特征及潜在的相关性,评估管控措施落实状况及减排效果。结果表明:管控期间,潍坊市工业企业用电量相比管控前平均下降57.96%;完全停产类企业用电量下降75%以上,大气污染物(SO_(2)、NO_(x)、烟粉尘)排放量下降100%;限产类企业用电量降幅呈现随管控措施加严而增大的趋势;延迟复产类企业延迟复产率为47.83%~96.00%,用电量下降50.76%。根据管控期间各行业企业的用电量变化状况,判定各企业基本落实了减排要求。可见,企业用电数据在一定情况下,可以替代或辅助工业企业排放数据,反映企业管控措施落实状况及减排效果。

多元化管理策略对医用高值耗材风险防控的影响

目的探讨多元化管理策略对医用高值耗材风险防控的影响。方法选择2020年1月—2023年12月枣庄市某三甲医院使用高值耗材多的13个科室。将2020年1月—2021年12月枣庄市某三甲医院医用高值耗材管理采取传统管理模式,作为对照组;将2022年1月—2023年12月枣庄市某三甲医院医用高值耗材管理采取基于风险防控的多元化医用耗材管理模式,作为观察组。比较2种管理模式的成效。结果观察组在党支部参与所属科室高值耗材采购、使用、计费问题议事决策落实率为100%,高于对照组的33.67%,差异有统计学意义(P<0.05);观察组医疗服务收入占医疗收入的占比增幅高于对照组,观察组百元医疗收入(不含药品收入)中消耗的卫生材料占比增幅低于对照组,差异有统计学意义(P<0.05);对照组因耗材采购、使用、退货和计费不当进行廉政谈话人次为22人次,高于观察组的4人次,差异有统计学意义(P<0.05)。结论基于风险防控的多元化医用耗材管理模式提高了耗材管理规范性与有效性;规范了医疗行为,降低了廉政风险;同时也降低了医院运营成本。