Clinical value of precise rehabilitation nursing in management of cerebral infarction

BACKGROUND Cerebral infarction,previously referred to as cerebral infarction or ischemic stroke,refers to the localized brain tissue experiencing ischemic necrosis or softening due to disorders in brain blood supply,ischemia,and hypoxia.The precision rehabilitation nursing model for chronic disease management is a continuous,fixed,orderly,and efficient nursing model aimed at standardizing the clinical nursing process,reducing the wastage of medical resources,and improving the quality of medical services.AIM To analyze the value of a precise rehabilitation nursing model for chronic disease management in patients with cerebral infarction.METHODS Patients(n=124)admitted to our hospital with cerebral infarction between November 2019 and November 2021 were enrolled as the study subjects.The random number table method was used to divide them into a conventional nursing intervention group(n=61)and a model nursing intervention group(n=63).Changes in the nursing index for the two groups were compared after conventional nursing intervention and precise rehabilitation intervention nursing for chronic disease management.RESULTS Compared with the conventional intervention group,the model intervention group had a shorter time to clinical symptom relief(P<0.05),lower Hamilton Anxiety Scale and Hamilton Depression Scale scores,a lower incidence of total complications(P<0.05),a higher disease knowledge mastery rate,higher safety and quality,and a higher overall nursing satisfaction rate(P<0.05).CONCLUSION The precision rehabilitation nursing model for chronic disease management improves the clinical symptoms of patients with cerebral infarction,reducing the incidence of total complications and improving the clinical outcome of patients,and is worthy of application in clinical practice.

Advancing the precision management of inflammatory bowel disease in the era of omics approaches and new technology

There is great heterogeneity among inflammatory bowel disease(IBD)patients in terms of pathogenesis,clinical manifestation,response to treatment,and prognosis,which requires the individualized and precision management of patients.Many studies have focused on prediction biomarkers and models for assessing IBD disease type,activity,severity,and prognosis.During the era of biologics,how to predict the response and side effects of patients to different treatments and how to quickly recognize the loss of response have also become important topics.Multiomics is a promising area for investigating the complex network of IBD pathogenesis.Integrating numerous amounts of data requires the use of artificial intelligence.

Effects of Land Management Practices on Soil Water in Southwestern Mountainous Area, China

The effects of selected land management practices （cross-sloping tillage, ridge culture, organic manure, and straw mulch） on soil water conservation in a southwestern mountainous area, China, were studied during November 2002 to November 2004. The experimental field is divided into three parts based on soil layer depths, 0-60 cm （part Ⅰ）, 0-40 cm （part Ⅱ）, and 0- 20 cm （part Ⅲ）, and they all had the same slope azimuth （SE）, slope （10°）, and slope type （linear）. The experimental plots were subjected to the following treatments： cross-sloping tillage （CST）; cross-sloping tillage with organic manure （CST/ OM）; cross-sloping tillage with straw mulch （CST/SM）; contour ridge culture （CRC）; contour ridge culture with organic manure （CRC/OM）; and contour ridge culture with straw mulch （CRC/SM）, to identify the effects of management practices on soil water. Water contents were determined for soil samples collected, using a 2.2 cm diameter manual probe. Soil water was monitored once every five days from Nov. 20, 2002 to Nov. 20, 2004. The results indicated that, in the study stages, an integration of rainfall, evaporative losses, and crop transcription controlled the basic tendencies of profile （mean） soil water, while land management practices, to a certain extent, only modified its amount, distribution, and routing. Moreover, these modifications also mainly focused on the first 20 cm depth of topsoil layer. When each management practice was compared with control treatment, season changes of profile （mean） soil water were pronounced, while interannual changes among them were not significant. More comparisons indicated that, in the study stages, contour ridge culture had better effects than cross-sloping tillage. And under the same tillage, the combination of organic manure could achieve more than straw mulch. These management practices should be recommended considering the effectiveness of soil and water management techniques in the southwestern mountainous area, China.

Multidisciplinary management of hepatobiliary tumors in the era of precision medicine

Hepatobiliary tumor (HBT), one of the leading causes of cancer deaths globally, is more frequent in East Asia including China [1].HBTincludeslivercancer,cholangiocarcinomaandgallbladder cancer.HBTburdenvariesmarkedlybygenderandgeographic regionduetotheexposureofriskfactors.MajorityofthehepatocellularcarcinomasareassociatedwithhepatitisB-typevirus

Improving Internationally Core Competences Based on the Capabilities of Precise and Accurate Project Management

Modern international project management has entered the phase of precise and accurate project management after the global financial crisis broke out at the beginning of the 21 stcentury. However, its development has faced new challenges since there has been lack of explicitly unanimous definition for the capability dimensions of precise and accurate project management, as well as the models and their process control parameters. The required core capabilities based on the precise and accurate project management for various rings are involved in the project life cycle, namely, the required internationally core competences and their components for the phases of project strategic planning and decision making in the early project phase, as well as the value engineering, and the project supervision and controls during the execution phase.Through studying the effects of the internationally core competences based on precise and accurate project management capabilities for the success and excellence of projects and configuring such models, the goal is to help the main contractors continuously obtain project success and excellence, thus improve its internationally core competences with continuous project success and excellence.

Review of operational management in intelligent agriculture based on the Internet of Things

This review aims to gain insight into the current research and application of operational management in the area of intelligent agriculture based on the Internet of Things(IoT),and consequently,identify existing shortcomings and potential issues.First,we use the Java application CiteSpace to analyze co-citation networks in the literature related to the operational management of IoT-based intelligent agriculture.From the literature analysis results,we identify three major fields:(1)the development of agricultural IoT(Agri-IoT)technology,(2)the precision management of agricultural production,and(3)the traceability management of agricultural products.Second,we review research in the three fields separately in detail.Third,on the basis of the research gaps identified in the review and from the perspective of integrating and upgrading the entire agricultural industry chain,additional research directions are recommended from the following aspects:The operational management of agricultural production,product processing,and product sale and after-sale service based on Agri-IoT.The theoretical research and practical application of combining operational management theories and IoT-based intelligent agriculture will provide informed decision support for stakeholders and drive the further development of the entire agriculture industry chain.

Sustainable energy management of solar greenhouses using open weather data on MACQU platform

Precision energy management is very important for sustainability development of solar greenhouses,since huge energy demand for agricultural production both in quantity and quality.A proactive energy management,according to the optimal energy utilization in a look-ahead period with weather prediction,is presented and tested in this research.A multi-input-multi-output linear model of the energy balance of solar greenhouses based on on-line identification system can simulate greenhouse behavior and allow for predictive control.The good time allocation of available solar energy can be achieved by intelligent use of controls,such as store/retrieve fans and ventilation windows,i.e.solar energy to warm up the air or to be stored in the storage elements(wall,soil,etc.)or to be exhausted to outside.The proactive energy management can select an optimal trajectory of air temperature for the forecasted weather period to minimize plants’thermal‘cost’defined by an‘expert’in terms of set-points for the specific crop.The selection of temperature trajectory is formulated as a generalized traveling salesman problem(GTSP)with precedence constraints and is solved by a genetic algorithm(GA)in this research.The simulation study showed good potential for energy saving and timely allocation to prevent excessive crop stress.The active control elements in addition to predefining and applying,within energy constraints,optimal climate in the greenhouse,it also reduces the energy deficit,i.e.the working hours of the‘heater’in the sustained freezing weather,as well as the ventilation hours,that is,more energy harvest in the warm days.This intelligent solar greenhouse management system is being migrated to the web for serving a‘customer base’in the Internet Plus era.The capacity,of the concrete ground CAUA system(CAUA is an abbreviations from both China Agricultural University and Agricultural University of Athens),to implement web‘updates’of criteria,open weather data and models,on which control actions are based,is what makes use of Cloud Data for closing the loop of an effective Internet of Things(IoT)system,based on MACQU(MAnagement and Control for QUality)technological platform.

Radiative transfer models(RTMs)for field phenotyping inversion of rice based on UAV hyperspectral remote sensing

The nondestructive and rapid acquisition of rice field phenotyping information is very important for the precision management of the rice growth process.In this research,the phenotyping information LAI(leaf area index),leaf chlorophyll content(C_(ab)),canopy water content(C_(w)),and dry matter content(C_(dm))of rice was inversed based on the hyperspectral remote sensing technology of an unmanned aerial vehicle(UAV).The improved Sobol global sensitivity analysis(GSA)method was used to analyze the input parameters of the PROSAIL model in the spectral band range of 400-1100 nm,which was obtained by hyperspectral remote sensing by the UAV.The results show that C_(ab) mainly affects the spectrum on 400-780 nm band,C_(dm) on 760-1000 nm band,C_(w) on 900-1100 nm band,and LAI on the entire band.The hyperspectral data of the 400-1100 nm band of the rice canopy were acquired by using the M600 UAV remote sensing platform,and the radiance calibration was converted to the canopy emission rate.In combination with the PROSAIL model,the particle swarm optimization algorithm was used to retrieve rice phenotyping information by constructing the cost function.The results showed the following:(1)an accuracy of R^(2)=0.833 and RMSE=0.0969,where RMSE denotes root-mean-square error,was obtained for C_(ab) retrieval;R^(2)=0.816 and RMSE=0.1012 for LAI inversion;R^(2)=0.793 and RMSE=0.1084 for C_(dm);and R^(2)=0.665 and RMSE=0.1325 for C_(w).The C_(w) inversion accuracy was not particularly high.(2)The same band will be affected by multiple parameters at the same time.(3)This study adopted the rice phenotyping information inversion method to expand the rice hyperspectral information acquisition field of a UAV based on the phenotypic information retrieval accuracy using a high level of field spectral radiometric accuracy.The inversion method featured a good mechanism,high universality,and easy implementation,which can provide a reference for nondestructive and rapid inversion of rice biochemical parameters using UAV hyperspectral remote sensing.