Value of improved nursing measures and enhanced nursing management to reduce the occurrence of adverse events in pediatric infusion

BACKGROUND Intravenous infusion is a common method of drug administration in clinical practice.Errors in any aspect of the infusion process,from the verification of medical orders,preparation of the drug solution,to infusion by nursing staff,may cause adverse infusion events.AIM To analyzed the value of improving nursing measures and enhancing nursing management to reduce the occurrence of adverse events in pediatric infusion.METHODS The clinical data of 130 children who received an infusion in the pediatric department of our hospital from May 2020 to May 2021 were analyzed and divided into two groups according to the differences in nursing measures and nursing management:65 patients in the control group received conventional nursing and nursing management interventions,while 65 patients in the observation group received improved nursing measure interventions and enhanced nursing management.The occurrence of adverse events,compliance of children,satisfaction of children’s families,and complaints regarding the transfusion treatment were recorded in both groups.RESULTS The incidence of fluid extravasation and infusion set dislodgement in the observation group were 3.08%and 1.54%,respectively,which were significantly lower than 12.31%and 13.85%in the control group(P<0.05),while repeated punctures and medication addition errors in the observation group were 3.08%and 0.00%,respectively,which were lower than 9.23%and 3.08%in the control group,but there was no significant difference(P>0.05).The compliance rate of children in the observation group was 98.46%(64/65),which was significantly higher than 87.69%(57/65)in the control group,and the satisfaction rate of children’s families was 96.92%(63/65),which was significantly higher than 86.15%(56/65)in the control group(P<0.05).The observation group did not receive any complaints from the child’s family,whereas the control group received four complaints,two of which were due to the crying of the child caused by repeated punctures,one due to the poor attitude of the nurse,and one due to medication addition errors,with a cumulative complaint rate of 6.15%.The cumulative complaint rate of the observation group was significantly lower than that of the control group(P<0.05).CONCLUSION Improving nursing measures and enhancing nursing management can reduce the incidence of fluid extravasation and infusion set dislodgement in pediatric patients,improve children’s compliance and satisfaction of their families,and reduce family complaints.

Management Measures for Preventing Postoperative Incision Infections in General Surgery at Primary Hospitals

Objective:To analyze the management measures and effects of preventing postoperative incision infections in the general surgery department of primary hospitals.Methods:Forty-nine surgical patients with 11 healthcare workers who were admitted to the general surgery department of the primary hospital between August 2021 and August 2022 were selected as the routine group for routine incision infection management.Forty-nine surgical patients with 11 healthcare workers admitted to the same department between September 2022 and September 2023 were selected as the prevention group for prophylactic management of postoperative incision infections.The incision infection rate,knowledge,attitude,and practice(KAP)scores,and management satisfaction of the patients as well as the management skill scores of healthcare workers were compared between the two groups.Results:The rate of postoperative incision infection in the prevention group was lower than that in the routine group;after implementing management measures,patients in the prevention group had higher KAP scores than those in the routine group;patients in the prevention group were more satisfied with the management than those in the routine group;and healthcare workers in the prevention group had higher scores than those in the routine group,with P<0.05 for the comparison between the groups.Conclusion:The implementation of preventive management for general surgery patients in primary hospitals can reduce the incidence of postoperative incision infection and improve the KAP of patients,with higher management satisfaction.It can also enhance the management skills of healthcare workers,thus improving their overall management level.

Traffic Incident Management Performance Measures: Ranking Agencies on Roadway Clearance Time

This study develops a procedure to rank agencies based on their incident responses using roadway clearance times for crashes. This analysis is not intended to grade agencies but to assist in identifying agencies requiring more training or resources for incident management. Previous NCHRP reports discussed usage of different factors including incident severity, roadway characteristics, number of lanes involved and time of incident separately for estimating the performance. However, it does not tell us how to incorporate all the factors at the same time. Thus, this study aims to account for multiple factors to ensure fair comparisons. This study used 149,174 crashes from Iowa that occurred from 2018 to 2021. A Tobit regression model was used to find the effect of different variables on roadway clearance time. Variables that cannot be controlled directly by agencies such as crash severity, roadway type, weather conditions, lighting conditions, etc., were included in the analysis as it helps to reduce bias in the ranking procedure. Then clearance time of each crash is normalized into a base condition using the regression coefficients. The normalization makes the process more efficient as the effect of uncontrollable factors has already been mitigated. Finally, the agencies were ranked by their average normalized roadway clearance time. This ranking process allows agencies to track their performance of previous crashes, can be used in identifying low performing agencies that could use additional resources and training, and can be used to identify high performing agencies to recognize for their efforts and performance.

Breeding of National Authorized New Wheat Variety Shannong 116 and Supporting Cultivation Technical Measures for High Yield, High Quality and High Efficiency

Shannong 116 is a strong gluten,high yield and multi-resistance wheat variety bred by Shandong Agricultural University,which was approved by the State in 2021 and by Shandong Province in 2022.Shannong 116 combines the excellent characteristics of the female parent(strong gluten,disease resistance and early maturity)and the male parent(high yield,water saving and lodging resistance),with a plant height of 76.9 cm,compact plant type,orderly spike layer and good maturity performance,which is suitable for large-scale promotion and market order planting in Huanghuai wheat area.In this paper,the characteristics of Shannong 116 are analyzed,and cultivation technical measures for high yield,high quality and high efficiency are put forward,in order to provide a technical support for the popularization and application of the variety.

Green High-yield and High-efficiency Cultivation Techniques of Integrated Management of Water and Fertilizer for Maize under Mulch Drip Irrigation

The green high-yield and high-efficiency cultivation techniques of integrated management of water and fertilizer for maize under mulch drip irrigation are described from the aspects of high yield target of maize and its component factor indexes,pre-sowing preparation,sowing,post-sowing management,field management at the seedling stage,integrated management of water and fertilizer for target yield of maize,rational application of micro-fertilizer,comprehensive prevention and control of diseases and pests,timely harvest,etc.,in order to provide a reference for agricultural technicians,maize farmers and maize industry development in northern Xinjiang.

Forces Driving Changes in Cultivated Land and Management Countermeasures in the Three Gorges Reservoir Area,China

The Three Gorges project accelerates economic development in the Three Gorges Reservoir Area.This paper aimed to investigate the distribution,changes and features of cultivated land in this area,analyze the forces driving the changes in cultivated land area,and propose the countermeasures for cultivated land management.Transition matrix was used to analyze the features of cultivated land changes,and quantitative analysis and qualitative analysis were adopted to research the driving forces according to the features of cultivated land changes.Cultivated land in the Three Gorges Reservoir Area mainly lay to the northwest of the Yangtze River,especially the upper reaches.The areas of cultivated land increased from 1996 to 1999,then decreased from 2000 to 2006,and finally increased again from 2007 to 2009.The important forces driving changes in cultivated land included government policies,employment and food security,increasing construction land,agriculture structure adjustment,land rearrangement,inundation.During cultivated land management,firstly,it is necessary to insist on the principle of cultivated land protection,standardize land exploitation and strictly restrict the transformation of cultivated land into non-farming land.Secondly,land rearrangement must be implemented,which can not only increase the area of the cultivated land,but also improve the quality of the cultivated land.Thirdly,it is feasible to intensify eco-agriculture construction to increase the quantity and quality of cultivated land.Fourthly,it is helpful to improve the traditional agriculture production methods to promote cultivated land quality.Lastly,it is important to propagandize cultivated land protection and realize the enormous pressure of cultivated land shortage,making more people obligated to protect cultivated land.

Effects of Different Nutrient Management Systems and Cultivation Methods on Crop Yield and Soil Fertility

[Objective] The aim was to provide scientific basis for improving the middle and low yielding fields fertility and farmland productivity. [Method] A field experiment was carried out to study the effects of different management practices （including nutrient management systems and cultivation methods） on crop yield and soil fertility in winter wheat/summer maize rotation system. [Result] The crop yield in the treatment of the high yield and high efficiency system was remarkably higher than farmer conventional management practice. After five crop seasons experiment, the contents of soil organic matter for high yield and high efficiency system increased 2.72-3.01 g/kg, and that of soil total nitrogen increased 0.12-0.16 g/kg, the soil Olsen-P increased 5.2 mg/kg and the soil available K （NH4OAC-K） increased about 37.8 mg/kg. [Conclusion] Considering the yield and soil fertility comprehensively, the management system of high yield and high efficiency could effectively increase the crop yield and improve the soil fertility.

Cultivation and Management of Low-carbon Scenic Spots——A case study of Yuntai Mountain Scenic Area in Henan Provicne of China

After analysis of connotation of low-carbon scenic spots,the paper considered that a perfect low-carbon scenic spot is a comprehensive integrity with satisfying tourists' lowest tourist experience effect as the premise and with low energy consumption,low pollution and low emission as the foundation.Low-carbon tourist scenic spots had been classified into three types which are ecological type,cultural type and coupling type of ecology and culture.Representatives of each type of tourist scenic spot were illustrated.It proposed that government should play the leading role in cultivation of low-carbon scenic spot;tourism industry should enhance self supervision;tourism development mode should be transformed and upgrading of tourist products should be realized.By taking Yuntai Mountain Scenic Area of Henan Province for example,based on low-carbon tourist resources,low-carbon development of management,following measures realizing low-carbon economy were put forward:① purifying air quality and beautifying environment of scenic area;② sifting laggard productivity and protecting ecological resources in the scenic area by many means;③ sticking to low-carbon environmental protection concept and completing infrastructure service;④ developing tourist native products and souvenirs based on local resources;⑤ applying electronic access control ticket system,intelligent monitor system and LED information and communication platform,so as to achieve low-carbon management.

Research and Analysis on the Application of Strategic Performance Management in Enterprises

In today’s competitive business environment,strategic performance management(SPM)is crucial for continuous growth and innovation.Therefore,it is important to realize the advantages of SPM in enterprise applications.This paper analyzes the theoretical basis,implementation framework,and application effects of SPM in enterprises by examining actual cases from different industries.It reveals the core elements of an effective performance management system,including clear goal setting,reasonable performance indicators,and periodic performance evaluations.Additionally,the paper examines the impact of China’s specific economic policy environment on the implementation of SPM and proposes strategies to optimize performance management practices,ultimately promoting the achievement of strategic goals.This paper provides specific and personalized practical guidance for enterprises.

Study on the Coordination Mechanism Between Higher Vocational Students’Career Development Planning and School Management

The coordination mechanism between the career development planning of vocational students and the management of vocational colleges is an important means to improve the quality of education and students’vocational competitiveness.The application of synergy theory in the field of education emphasizes the interaction and coordination of various elements in the system and pursues the optimization of overall efficiency.Based on the theory of coordination and its relevance to the management of higher vocational colleges,this paper analyzes the current development status and problems of the coordination mechanism and puts forward the strategy of building an efficient coordination mechanism designed to enhance the students’employment competitiveness,promote the all-round development,and provide theoretical and practical support for the reform and development of higher vocational education.

Optimizing integrative cultivation management improves grain quality while increasing yield and nitrogen use efficiency in rice

A major challenge in rice(Oryza sativa L.)production is to cope with increasing grain yield and fertilizer use efficiency without compromising grain quality.This study was designed to determine if optimizing integrative cultivation management in rice could improve grain quality while increase yield and nitrogen use efficiency(NUE).An indica-japonica hybrid rice cultivar and a japonica rice cultivar were grown in the field,with five cultivation managements including no N application(0 N),local farmer's practice(LFP),and three optimizi ng in teg rati ve cultivati on managements,reducing N rate and increasi ng plant density(ND),ND+alternate wetting and moderate soil drying irrigation(NDW),and NDW+applying rapeseed cake fertilizer(NDWR).The results showed that the optimizi ng integrative cultivati on man ageme nts could not only in crease grain yield,but also enhance NUE compared to LFP.Compared to LFP,NDWR sign ifica ntly in creased brow n,milled,head milled rice rate,ratio of the kern el le ngth to breadth and breakdown value of starch,whereas decreased amylose content,gel consiste ncy,prolamin con tent,setback value,perce ntage of chalky kern els,and chalki ness.The three optimizing in tegrative cultivation managements increased con tents of total protei ns,albumin and glutelin,activities of the key enzymes involved in the sucrose-starch con version in grains,root oxidati on activity,and malic and succinic acid concentrations in root exudates during the grain-filling period.The results suggested that optimizing integrative cultivation managements could improve grain quality meanwhile increase grain yield and NUE by enhancing physiological activities of rice plants.

Recovery of Baikiaea forest of southwestern Zambia from shifting cultivation and its implications for sustainable management

We studied the dominant species by age category of re-growth, and how subsistence forest use through shifting cultivation impacted on the floristic composition of Baikiaea forest. For re-growth stands, variable sampling method was adopted in data collection while in mature stands, a sample plot size of 50 m 9 50 m was used at each of three study sites. Distribution of species by age categories showed that shrub, herb, and grass species were abundant in young re-growth stands while woody vegetation became common with increasing age of the re-growth stand. Hierarchical clustering for common woody species showed several species associations with age categories and also with relatively undisturbed woodland. Common regeneration mechanisms of key woody species were mainly by seed(48%), coppicing(40%) and root suckers(12%). The young re-growth stands of 6–10 and 11–15 years were characterized by B. petersiana, B.massiensis, Combretum zeyheri, and Guibourtia coleosperma. Older stands(16–20 years after abandonment) were characterized by B. plurijuga, Pterocarpus antunesii, and Baphia massiensis, thus closely mimicking the relatively undisturbed forest whose dominant key woody species were B. plurijuga, P. antunesii, and G. coloesperma. There were many stems in younger stands(2–5 years) and fewer stems in older re-growth stands of 16–20 years after abandonment following shifting cultivation. Older regrowth stands(16–20 years) were similar to undisturbed stands(P \ 0.005). The similarity between re-growth stands of 16–20 years and control stands demonstrates the recovery of Baikiaea forest over time after cessation of shifting agriculture. Baikiaea forest requires some disturbance to perpetuate the dominant species and begins to show signs of recovery from shifting cultivation within16–20 years after abandonment. This is contrary to assertions that this ecosystem could take up to about 100 years for abandoned fields to begin showing signs of

Effect of cultivation measures on economic benefit of Larix olgesis pulp forest

According to the cultivating practice ofLarix olgensis pulp plantation, IRR (Internal revenue rate) and NPV (Net present value) were taken as two economic indices to study the effect of cultivation measurements on economic benefit ofLarix olgensis pulp forest. The results showed that the economic benefit of this type of forest is closely related to rotation and site class. Higher economic benefit could be obtained when the rotation is shorter and site class is higher. The planting density also had an obvious influence on economic benefit. On the base of assuring survival rate and conserving rate, the less the fee used in soil preparation and young growth tending is, the higher the economic benefit is. The influence of determined six cultivation measures on economic benefit in sequence was the rotation—site class—density—management fee level—young growth tending intensity—soil preparation methods.

Optimal agronomical practices package for wheat modelized cultivation management in Beijing area

Based on the principles of system engineering,economics theory and local conditionof production,studies carried out by taking“quadratic-regression-orthogonal-rotational” and ran-domized complete block designs to determine the Optimal Agronomical Practices Package（OAPP）for Wheat Modelized Cultivation Management（WMCM）by system decision-makinganalysis.The OAPP was expected to meet various goals of different levels of yield and economicbenefit of middle and high fertility land in Beijing area.Taking cultivar JINGDONG-1（"JD-1"）asan example,the OAPP for grain yield≥6750 kg/ha and net benefit≥360 US （?）/ha was consist-ed as follows:density=195 plants/m2;spring irrigation times=4（stem elongation,booting,flowering,and 20 days after anthesis）;fertilization=150-188 kg N/ha,113-128 kg P2O5/ha.

Problems of Production Management in Agile Manufacturing Environment and their Countermeasures

Agile manufacturing is a new production mode. This pa per discusses the four problems of production management in the environment of a gile manufacturing, and some countermeasures are advanced: (1) Organization of production. Traditional MTO production or MTS production ca n not meet the requirement of agile manufacturing which request both high produc tivity and the manufacturing flexibility. For this, the paper advances best way is to use the production organization mode of MCP (Mass Customization Production ),and some strategies of MCP are discussed. (2) Production planning. The requirement of agile manufacturing to production pl anning embodies in two facets: synchronization and flexibility. The paper su ggests that the structure and function of MRPII system should be improved in ord er to meet the demand of agile manufacturing. (3) Production control. The problem of production control is how to reduce the u ncertainty of hand over time between enterprises and increase the production syn chronization level. The paper advances some research direction on improving production ability. (4) Quality control. The problems of quality management are how to transfer the information of customer’s quality requirement between different organizations an d how to keep the consistency and stability of quality. Some countermeasures are advanced. In the end of the paper, one case advanced administrates how to utilize the thou ghts of agile manufacturing to upgrade the competition ability.

Key Points for High-yield Cultivation Management of Pseudostellaria heterophylla in Weihai Area

[Objectives] To explore the scientific cultivation mode of Pseudostellaria heterophylla in Shandong Province. [Methods] According to the ecological characteristics of P. heterophylla, the cultivation techniques and management points of P. heterophylla in Weihai are summarized. [Results] The scientific cultivation techniques and management points of P. heterophylla are introduced from the aspects of land selection, land preparation, seed selection, seedling nursing, timely sowing and transplanting, field management and disease and pest control. [Conclusions] This study will provide theoretical guidance for the high-quality, high-yield and high-efficiency cultivation of P. heterophylla in Shandong area.

Control Measures for Protected Strawberry Cultivation in Continuous Overcast and Hazy Days

Continuous overcast and hazy days are common for the winter in Hebei Province,these disastrous weathers have tremendous negative effect on the production of protected strawberry cultivation,for leading to the problems such as degrading photosynthesis of leaves,poor pollination and fertilization,more malformed fruits,low percentage of fertile fruits,delayed maturation of fruits,degraded quality and yield,and aggravated diseases.In view of the disastrous weathers and problems,the authors put forward the measures for the management of protected strawberry cultivation in continuous overcast and hazy days,to provide technical support for strawberry farmers.

New Measures Taken by China for Mineral Resources Management

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Suggestions on management measures of pine forest ecosystems invaded by Bursaphelenchus xylophilus

Pine wood nematode （PWN）, Bursaphelenchus xylophilus （Steiner et Buhrer） Nickle is an important invasive alien species in forests of China and has become one of the most destructive forest diseases. In order to improve the resistance and resilience of pine forest ecosystems against B. xylophilus invasion and make the pine forest ecosystem more timely responsive to PWN invasion, we made some recommendations based on five years of intensive observations. We advocate a set of management measures with the theme “Prevention is priority, but integrated with curative techniques and ecological resilience” on the pine forest ecosystem invaded by B. xylophilus; details of accurate measures are proposed. The aim is to discover the underlying problems of present pine forest ecosys-tems and to take, correspondingly, administrative measures and strategies, which will encourage the pine forest ecosystem to develop in a benign way.

Problems and Measures in Internal Control and Risk Management of Drug Research and Development Enterprises

The internal control and risk managementof drug research and development enterprises directlyaffects the survival and development of enterprises.With the development of information technologyand the integration with the global economy,pharmaceutical companies are able to achieve moreachievements in development while facing increasingcompetitive pressures. Finance is a pivotal spine of acompany’s development. If the internal control andrisk management of a company are not complete andcomprehensive, the enterprise will inevitably turn intoa crisis. Therefore, it is necessary to strengthen theanalysis of the problems in the internal control andrisk management of drug research and developmententerprises, and propose corresponding solutions.