Unloading and successful treatment with bioresorbable stents during percutaneous coronary intervention:A case report

BACKGROUND With the development of percutaneous coronary intervention(PCI),the number of interventional procedures without implantation,such as bioresorbable stents(BRS)and drug-coated balloons,has increased annually.Metal drug-eluting stent unloading is one of the most common clinical complications.Comparatively,BRS detachment is more concealed and harmful,but has yet to be reported in clinical research.In this study,we report a case of BRS unloading and successful rescue.This is a case of a 59-year-old male with the following medical history:“Type 2 diabetes mellitus”for 2 years,maintained with metformin extended-release tablets,1 g PO BID;“hypertension”for 20 years,with long-term use of metoprolol sustained-release tablets,47.5 mg PO QD;“hyperlipidemia”for 20 years,without regular medication.He was admitted to the emergency department of our hospital due to intermittent chest pain lasting 18 hours,on February 20,2022 at 15:35.Electrocardiogram results showed sinus rhythm,ST-segment elevation in leads I and avL,and poor R-wave progression in leads V1–3.High-sensitivity troponin I level was 4.59 ng/mL,indicating an acute high lateral wall myocardial infarction.The patient’s family requested treatment with BRS,without implanta-tion.During PCI,the BRS became unloaded but was successfully rescued.The patient was followed up for 2 years;he had no episodes of angina pectoris and was in generally good condition.CONCLUSION We describe a case of a 59-year-old male experienced BRS unloading and successful rescue.By analyzing images,the causes of BRS unloading and the treatment plan are discussed to provide insights for BRS release operations.We discuss preventive measures for BRS unloading.

Contract Mechanism of Water Environment Regulation for Small and Medium Sized Enterprises Based on Optimal Control Theory

The small and scattered enterprise pattern in the county economy has formed numerous sporadic pollution sources, hindering the centralized treatment of the water environment, increasing the cost and difficulty of treatment. How enterprises can make reasonable decisions on their water environment behavior based on the external environment and their own factors is of great significance for scientifically and effectively designing water environment regulation mechanisms. Based on optimal control theory, this study investigates the design of contractual mechanisms for water environmental regulation for small and medium-sized enterprises. The enterprise is regarded as an independent economic entity that can adopt optimal control strategies to maximize its own interests. Based on the participation of multiple subjects including the government, enterprises, and the public, an optimal control strategy model for enterprises under contractual water environmental regulation is constructed using optimal control theory, and a method for calculating the amount of unit pollutant penalties is derived. The water pollutant treatment cost data of a paper company is selected to conduct empirical numerical analysis on the model. The results show that the increase in the probability of government regulation and public participation, as well as the decrease in local government protection for enterprises, can achieve the same regulatory effect while reducing the number of administrative penalties per unit. Finally, the implementation process of contractual water environmental regulation for small and medium-sized enterprises is designed.

Impact of the carbon market on investment benefits of power-grid enterprises in China: a system dynamics analysis

The power grid,as the hub connecting the power supply and consumption sides,plays an important role in achieving carbon neutrality in China.In emerging carbon markets,assessing the investment benefits of power-grid enterprises is essential.Thus,studying the impact of the carbon market on the investment and operation of powergrid enterprises is key to ensuring their efficient operation.Notably,few studies have examined the interaction between the carbon and electricity markets using system dynamics models,highlighting a research gap in this area.This study investigates the impact of the carbon market on the investment of power-grid enterprises using a novel evaluation system based on a system dynamics model that considers carbon-emissions from an established carbon-emission accounting model.First,an index system for benefit evaluation was constructed from six aspects:financing ability,economic benefit,reliability,social responsibility,user satisfaction,and carbon-emissions.A system dynamics model was then developed to reflect the causal feedback relationship between the impact of the carbon market on the investment and operation of power-grid enterprises.The simulation results of a provincial power-grid enterprise analyze comprehensive investment evaluation benefits over a 10-year period and the impact of carbon emissions on the investment and operation of power-grid enterprises.This study provides guidelines for the benign development of power-grid enterprises within the context of the carbon market.

Evolutionary analysis of green credit and automobile enterprises under the mechanism of dynamic reward and punishment based on government regulation

To explore the green development of automobile enterprises and promote the achievement of the“dual carbon”target,based on the bounded rationality assumptions,this study constructed a tripartite evolutionary game model of gov-ernment,commercial banks,and automobile enterprises;introduced a dynamic reward and punishment mechanism;and analyzed the development process of the three parties’strategic behavior under the static and dynamic reward and punish-ment mechanism.Vensim PLE was used for numerical simulation analysis.Our results indicate that the system could not reach a stable state under the static reward and punishment mechanism.A dynamic reward and punishment mechanism can effectively improve the system stability and better fit real situations.Under the dynamic reward and punishment mechan-ism,an increase in the initial probabilities of the three parties can promote the system stability,and the government can im-plement effective supervision by adjusting the upper limit of the reward and punishment intensity.Finally,the implementa-tion of green credit by commercial banks plays a significant role in promoting the green development of automobile enter-prises.

Demography and Socio-Economic Aspects on Irrigated Smallholder Agricultural Enterprises and Their Association with the Cultivation of Maize (Zea mays L.) as a Selected Field Crop

The purpose of this study is to correlate demography and socio-economic aspects at Irrigated Smallholder Agricultural Enterprises and their association with the Cultivation of Maize in order to determine its positive impacts at irrigated smallholders’ agricultural entrepreneurs’ household. Chi-square test was used as descriptive analysis method. The Fischer Exact tests were employed to test demography (gender, age, education, and income) in winter and summer production season of irrigated smallholder agricultural enterprises and their association with the cultivation of selected field crop (i.e. maize). The results show that gender results were not being statistically significant, as measured by the Phi measure of effect size, φ = 0.149, p = 0.011, and φ = 0.05, p = 0.392 in summer. As far as age is concern, it appears to be a statistically significant association between cultivating maize and age in winter, φ = 0.046, p = 0.730 in winter and φ = 0.172, p = 0.013. Education winter result not being statistically significant, the effect size showed a weak association, as measured by the Phi measure of effect size, φ = 0.112, p = 0.305 and φ = 0.035, p = 0.948 in summer. Income result not being statistically significant, as measured by the Phi measure of effect size, φ = 0.049, p = 0.399 and φ = 0.081, p = 0.166 in summer. In conclusion, the study shows that the development of best management practices must be based on a comprehensive analysis of the livelihoods and irrigated smallholder agricultural enterprise farming styles of participating irrigated smallholder agricultural entrepreneurs.

Research on Pathways of How Digital Transformation Affects the Business Performance of MEEC Enterprises in Chengdu

This paper aims to examine the impact of digital transformations on the business performance of the meetings,expositions,events,and conventions(MEEC)industry in Chengdu by conducting an empirical analysis of 68 MEEC enterprises in the city.The study employed the fuzzy-set qualitative comparative analysis(fsQCA)method to explore the pathways and factors involved.Drawing on the theory of synergetics,nine condition variables were carefully selected from four dimensions:digital technologies,digital strategy,digital infrastructure,and digital innovation.The findings revealed that digital transformations were an intricate systematic process,whereby a single factor alone did not serve as a necessary condition for MEEC enterprises to achieve high business performance.The analysis identified five distinct pathways that would lead to high performance,which can be categorized into three distinct models:the“organization-human resources”dominated model,the“human resources-infrastructure”driven model,and the multi-factor coordination model.The analysis also identified two pathways that would result in low performance,categorized as the“basic condition absent”model.Notably,there was substantial heterogeneity observed in the configurational pathways in terms of the magnitude of the impact of digital transformation on business performance across MEEC enterprises of different sizes.This paper suggests that the government should assume the role of a platform,providing policy and financial support to MEEC enterprises to help guide them through the process of digital transformation and that MEEC enterprises themselves should seize the opportunities arising from digital transformation to strengthen their digital infrastructure construction,human resources development,and innovation in brand building.This study presents empirical evidence that contributes to the understanding of the transformation process of MEEC enterprises within the digital economy era,as well as valuable insights into understanding the channels and internal conditions involved in digital transformations.

Long-term outcomes of titanium-nitride-oxide coated stents and drug-eluting stents in acute coronary syndrome:A systematic review and meta-analysis

BACKGROUND In severe cases of coronary artery disease,percutaneous coronary intervention provide promising results.The stent used could be a drug-eluting stent(DES)or a titanium-nitride-oxide coated stent(TiNOS).AIM To compare the 5-year effectiveness and safety of the two stent types.METHODS The following systematic review and meta-analysis was conducted in accordance with the preferred reporting items for systematic reviews and meta-analysis guidelines,and PubMed/MEDLINE,Scopus,and Cochrane Central were searched from inception till August 2023.Primary outcomes were major adverse cardiac events(MACE),cardiac death,myocardial infarction(MI),cardiac death or MI,and ischemia-driven total lesion revascularization(ID-TLR).RESULTS Four randomized controlled trials(RCT),which analyzed a sum total of 3045 patients with acute coronary syndrome(ACS)after a median follow-up time of 5 years were included.Though statistically insignificant,an increase in the ID-TLR was observed in patients receiving TiNOSs vs DESs.In addition,MI,cardiac death and MI,and definite stent thrombosis(DST)were significantly decreased in the TiNOS arm.Baseline analysis revealed no significant results with meta-regression presenting non-ST elevated MI(NSTEMI)as a statistically significant covariate in the outcome of MACE.CONCLUSION TiNOS was found to be superior to DES in terms of MI,cardiac death or MI,and DST outcomes,however,the effect of the two stent types on ID-TLR and MACE was not significant.A greater number of studies are required to establish an accurate comparison of patient outcomes in TiNOS and DES.

Research on the Collaborative Governance of Social Responsibility in Online Audiovisual Enterprises

This paper aims to analyze the present conditions of the social responsibility ecosystem in online audiovisual enterprises in the digital age. It focuses on the governance of social responsibility in these enterprises and conducts an in-depth analysis of the problems and influencing factors related to the social responsibility aberrations of online audiovisual enterprises. Drawing upon social responsibility theory and collaborative governance theory, this research constructs a social responsibility guidance and governance system guided by the public, supported by the voluntary fulfillment of responsibilities by online audiovisual enterprises, and based on the collaborative participation of diverse stakeholders. It explores and optimizes the implementation pathways of this system, providing theoretical support and practical guidance for promoting the sustainable development of online audiovisual enterprises. Furthermore, it aims to contribute to the creation of a harmonious Internet ecosystem.

Assessing Factors Influencing Solar Energy Adoption among Small and Medium Enterprises in Mzuzu City, Malawi

One of the many renewable energy sources that offer advantages is solar energy, which also lowers energy prices and promotes environmental sustainability and energy security. Despite these advantages, various barriers, such as installation costs, have prevented small and medium-sized enterprises from investigating this invention. Malawi has a significant energy shortfall such that most businesses have been hindered from their profit maximization goals. The “Photovoltaic systems” (PV) that transform sunlight into electricity are the subject of this study. This type of solar energy system is situated on the building’s roof and generally produces electricity for businesses and even homes. Solar energy offers a great impact to small and medium enterprises in Mzuzu city with a cost-effective and dependable alternative to energy that has the potential to change the game. Therefore the aim of the study was to identify factors that encourage the adoption of solar energy among small medium enterprises in the city of Mzuzu city. And to identify some of barriers faced when adopting solar energy among small and medium enterprises in the city of Mzuzu. The research approach employed in the study was a survey. A survey is a type of research methodology in which primary data is gathered from a sample using a questionnaire. When information is to be gathered from a wider sample, a survey is employed. A bigger sample size was needed in this study in order to facilitate hypothesis testing. It is advised to apply a logical approach while using the survey. The survey utilized a five-point Likert scale. The study used convenience sampling to select study participants. The sample size in this study was determined using Cochran’s sample size formula. Statistical Package for Social Sciences (SPSS) and Microsoft Excel were used for statistical analysis. About 97.2% of the participants were aware of solar as a source of energy compared to 2.8 % who were unaware. The majority of participants use solar energy for lighting only, seconded by those who use electricity. The least number of participants use solar energy for cooling only. The majority of participants 21.5% indicated partnership and collaboration as the most motivating factor for the adoption of solar energy. This was followed by technical expertise 19.1 % the least number of participants 10.8% expressed that policy and regulatory frameworks were associated with the adoption of solar energy. This study found that there are no statistically significant factors influencing barriers to the adoption of solar energy. The price of solar energy adoption was identified as the least factor associated with the acceptance or rejection of solar energy. Nonetheless, the reasons given by the homes that had embraced solar technology aligned with the findings of other studies. This survey also found that although the public was aware of solar energy, and technology, there were still a number of factors that mattered, especially for non-adopters.

A Model of Cloud-Based Enterprise Resource Planning (ERP) for Small and Medium Enterprise

Cloud Computing is an uprising technology in the rapid growing IT world. The adaptation of cloud computing is increasing in very large scale business organizations to small institutions rapidly due to many advanced features of cloud computing, such as SaaS, PaaS and IaaS service models. So, nowadays, many organizations are trying to implement Cloud Computing based ERP system to enjoy the benefits of cloud computing. To implement any ERP system, an organization usually faces many challenges. As a result, this research has introduced how easily this cloud system can be implemented in an organization. By using this ERP system, an organization can be benefited in many ways;especially Small and Medium Enterprises (SMEs) can enjoy the highest possible benefits from this system.

Safety and efficacy of Kaffes intraductal self-expanding metal stents in the management of post-liver transplant anastomotic strictures

BACKGROUND Endoscopic management is the first-line therapy for post-liver-transplant anas-tomotic strictures.Although the optimal duration of treatment with plastic stents has been reported to be 8-12 months,data on safety and duration for metal stents in this setting is scarce.Due to limited access to endoscopic retrograde cholan-giopancreatography(ERCP)during the coronavirus disease 2019 pandemic in our centre,there was a change in practice towards increased usage and length-of-stay of the Kaffes biliary intraductal self-expanding stent in patients with suitable anatomy.This was mainly due to the theoretical benefit of Kaffes stents allowing for longer indwelling periods compared to the traditional plastic stents.METHODS Adult liver transplant recipients aged 18 years and above who underwent ERCP were retrospectively identified during a 10-year period through a database query.Unplanned admissions post-Kaffes stent insertion were identified manually through electronic and scanned medical records.The main outcome was the incidence of complications when stents were left indwelling for 3 months vs 6 months.Stent efficacy was calculated via rates of stricture recurrence between patients that had stenting courses for≤120 d or>120 d.RESULTS During the study period,a total of 66 ERCPs with Kaffes insertion were performed in 54 patients throughout their stenting course.In 33 ERCPs,the stent was removed or exchanged on a 3-month interval.No pancreatitis,perfor-ations or deaths occurred.Minor post-ERCP complications were similar between the 3-month(abdominal pain and intraductal migration)and 6-month(abdominal pain,septic shower and embedded stent)groups-6.1%vs 9.1%respectively,P=0.40.All strictures resolved at the end of the stenting course,but the stenting course was variable from 3 to 22 months.The recurrence rate for stenting courses lasting for up to 120 d was 71.4%and 21.4%for stenting courses of 121 d or over(P=0.03).There were 28 patients that were treated with a single ERCP with Kaffes,21 with removal after 120 d and 7 within 120 d.There was a significant improvement in stricture recurrence when the Kaffes was removed after 120 d when a single ERCP was used for the entire stenting course(71.0%vs 10.0%,P=0.01).CONCLUSION Utilising a single Kaffes intraductal fully-covered metal stent for at least 4 months is safe and efficacious for the management of post-transplant anastomotic strictures.

Research on Partner Selection in Enterprise Innovation Ecosystem

In the face of fierce market competition,enterprises must ensure the competitiveness of their products or services through technological innovation.However,the complexity of technology often surpasses the capabilities of individual enterprises,leading them to deepen cooperation with other organizations.The entities within the enterprise innovation ecosystem depend on each other,collaborate closely,and rely on core enterprises to integrate resources,thereby creating system value and enhancing competitiveness.The purpose of this paper is to explore the process of selecting appropriate ecosystem partners.It begins by providing an overview of relevant concepts,characteristics,selection factors,and methods.Subsequently,it analyzes the roles,resources,and synergy evolution of the entities within the ecosystem.An evaluation system encompassing operation,core,synergy,and development capability is then established.This system comprises 16 indicators,including organization scale and reputation,and is accompanied by a hierarchical evaluation model.Finally,the validity of the evaluation system is confirmed through empirical analysis,utilizing the Analytic Hierarchy Process(AHP)and the fuzzy comprehensive evaluation method.

Energy Saving Analysis of Coal Gas Resource Utilization in Iron and Steel Enterprises

The article discusses the preparation of a gas balance sheet,as well as the recovery,storage,transporta-tion,and use of gas.An analysis was conducted on the occurrence and consumption quotas of various gas media,and specific energy-saving measures were elaborated for each process.This provides a theoretical reference for saving gas and reducing energy consumption in steel enterprises.

Research on the Impact of Digital Transformation on the Performance of Manufacturing Enterprises

To address the challenges faced by manufacturing enterprises in digital transformation,this paper analyzes the relationship between digital transformation and enterprise performance.Using panel data from domestic A-share-listed manufacturing enterprises from 2012 to 2022,two hypotheses were proposed.The analysis and verification revealed that digital transformation in manufacturing enterprises can enhance performance and reduce costs.Based on the impact of digital transformation on manufacturing enterprise performance,optimization suggestions are proposed to guide future digital transformation and performance improvement efforts in these enterprises.

Research on the Impact of Digital Technology and Servitization on the Performance of Manufacturing Enterprises

This article mainly discusses the impact of digital technology and service-oriented on the performance of manufacturing enterprises.It first elaborates on the background of the trend of service-oriented manufacturing and the significance of its enterprises.Then,based on the impact of digital technology on the performance of manufacturing enterprises,several practical and feasible measures are proposed,mainly focusing on the long-term layout of service-oriented,shortening the low period,enhancing the competitive awareness of state-owned manufacturing enterprises,improving the driving force transformation,achieving simultaneous progress digitally,configuring digital and service-oriented elements,and eliminating the monopoly of digital resources.Followed by lowering the threshold for private enterprise resource acquisition,promoting financial digital development,breaking the financial dilemma of service-oriented manufacturing,continuously improving the performance level of manufacturing enterprises,and promoting the development of manufacturing enterprises.

Analysis of the Impact of Digital Transformation on Non-Financial Performance of Manufacturing Enterprises

As one of the important pillars of China’s national economy,the development of the manufacturing industry has attracted much attention.The manufacturing industry has become a key development area due to its high technology content,capital-intensive,knowledge-intensive,and many more characteristics.With the rapid development of big data information technology,emerging technologies such as artificial intelligence have brought a lot of convenience to people’s lives,and manufacturing enterprises have also realized the importance of reform and innovation,and have begun to carry out digital transformation.Based on the study of the motivation of digital transformation of manufacturing enterprises,this paper explores the transformation path of manufacturing enterprises to meet the needs of social development,and deeply analyzes the impact of digital transformation of manufacturing enterprises on enterprise performance,with a view to improving the unbalanced industrial structure and lagging technological development at the present stage through digital transformation.

Internal Control Management and Risk Prevention Measures of State-Owned Enterprises

As an important pillar of national economic development,state-owned enterprises,their operational efficiency,and risk management ability are directly related to the stability and security of the national economy.As an important part of enterprise management,internal control management plays an irreplaceable role.Especially in the current domestic and international economic situation is complex and changeable,market competition is increasingly fierce environment,to strengthen the internal control management of state-owned enterprises and risk prevention measures is particularly important.This paper starts with the importance of internal control management and risk prevention for state-owned enterprises,and analyzes the problems and strategies in the internal control management and risk prevention of state-owned enterprises,in order to build a more comprehensive and efficient risk management system for state-owned enterprises to adapt to the ever-changing market environment and realize sustainable development.

Research on Mixed Ownership Reform of State-Owned Enterprises from the Perspective of Marxist Political Economy

Under China’s socialist system,state-owned enterprises are key forces driving the economic trajectory and providing strong momentum.These enterprises not only bear the crucial responsibility of advancing the process of national modernization but also serve as the core of the national economic lifeline through their irreplaceable status and function amidst changing times.In the new era,with the advent of the technological revolution and the wave of globalization,state-owned enterprises face unprecedented opportunities and challenges.As a significant aspect of state-owned enterprise reform,the mixed ownership reform is not only a transformation in the structure of enterprise ownership but also a reflection of China’s broader,comprehensive reform efforts.By deeply advancing this reform,it will help optimize the allocation of state-owned assets and significantly boost technological and management innovation within state-owned enterprises,ensuring their competitiveness in the intense market environment.Therefore,this paper will conduct an in-depth analysis of the mixed ownership reform of state-owned enterprises from the perspective of Marxist political economy.

Small and Medium-Sized Enterprises Digital Management Facing Difficulties and Solutions

The advent of the digital era has provided strong technical support for the high-quality development of the social economy.The integration of the social economy with Internet technology has given rise to new industries.However,the traditional development model of small and medium-sized enterprises(SMEs)is increasingly unable to meet the demands of economic growth,and digital management has gradually become a key approach for these enterprises to achieve their development goals.Currently,SMEs face challenges such as talent shortages,insufficient funds,and a lack of awareness regarding transformation.This paper will analyze the difficulties SMEs encounter in implementing digital management and explore potential development paths for their digital transformation.

Operation and Management of Electrical Equipment in Iron and Steel Enterprises

How to ensure the reliable operation of the complex and huge electrical system composed of a large number of electrical equipment in iron and steel enterprises?Combined with working experience,the author introduces four main factors affecting the normal operation of equipment,analyzes five main problems existing in the operation and management of electrical equipment,and puts forward corresponding improvement measures,so as to improve the management level of electrical equipment in iron and steel enterprises.