基于TeamSTEPPS的出院准备联动干预在老年缺血性卒中患者中的应用

目的探讨基于Team STEPPS的出院准备联动干预在老年缺血性卒中患者中的应用。方法选取2022年10月—2023年9月在安徽医科大学附属巢湖医院神经内科住院的106例老年缺血性卒中患者为研究对象,按入院时间将2022年10月—2023年3月入院的51例患者作为对照组,予以常规出院护理及随访;2023年4月—2023年9月入院的55例患者为干预组,实施基于Team STEPPS的出院准备联动干预。比较两组患者的出院准备度、主要照顾者过渡期的准备情况以及出院90 d患者日常生活活动能力、不良事件发生及非计划再入院情况。结果干预组患者出院准备度评估量表总分及4个维度得分、主要照顾者过渡期准备情况评估量表总分及8个维度得分均高于对照组,差异有统计学意义(P均<0.01)。干预组患者出院90 d日常生活活动能力评分为55(40,65)分,高于对照组的40(20,55)分,差异有统计学意义(P<0.01)。干预组患者出院90 d发生跌倒/坠床2例、压力性损伤3例、非计划性拔管4例,均低于对照组的8、10、11例,差异有统计学意义(P均<0.05)。干预组患者出院90 d非计划再入院2例,少于对照组的8例,差异有统计学意义(P=0.046)。结论基于Team STEPPS的出院准备联动干预可提升老年缺血性卒中患者出院准备度,改善主要照顾者过渡期的准备情况,提高患者出院90 d后日常生活活动能力,降低不良事件发生及非计划再入院,为老年缺血性卒中患者出院准备提供一定的临床依据。

Application of multidisciplinary team-based integrated traditional Chinese medicine and Western medicine in rotator cuff injury patients undergoing arthroscopic surgery

BACKGROUND Arthroscopic rotator cuff repair is a common surgical treatment for rotator cuff injuries(RCIs).Although this procedure has certain clinical advantages,it requires rehabilitation management interventions to ensure therapeutic efficacy.AIM To investigate the effect of integrated traditional Chinese medicine and Western medicine(TCM-WM)under the multidisciplinary team(MDT)model on the postoperative recovery of patients undergoing arthroscopic surgery for RCIs.METHODS This study enrolled 100 patients who underwent arthroscopic rotator cuff repair for RCIs at the Seventh People’s Hospital of Shanghai University of Traditional Chinese Medicine between June 2021 and May 2024.They were divided into a control group(n=48)that received routine rehabilitation treatment and an experimental group(n=52)that received TCM-WM under the MDT model(e.g.,acupuncture,TCM traumatology and orthopedics,and rehabilitation).The results of the Constant–Murley Shoulder Score(CMS),Visual Analogue Scale(VAS),Shoulder Pain and Disability Index(SPADI),muscular strength evaluation,and shoulder range of motion(ROM)assessments were analyzed.RESULTS After treatment,the experimental group showed significantly higher CMS scores in terms of pain,functional activity,shoulder joint mobility,and muscular strength than the baseline and those of the control group.The experimental group also exhibited significantly lower VAS and SPADI scores than the baseline and those of the control group.In addition,the experimental group showed significantly enhanced muscular strength(forward flexor and external and internal rotator muscles)and shoulder ROM(forward flexion,abduction,and lateral abduction)after treatment compared with the control group.CONCLUSION TCM-WM under the MDT model improved shoulder joint function,relieved postoperative pain,promoted postoperative functional recovery,and facilitated the recovery of muscular strength and shoulder ROM in patients with RCIs who underwent arthroscopic rotator cuff repair.

Evaluation of Scholar’s Contribution to Team Based on Weighted Co-author Network

The contributions of scientific researchers include personal influence and talent training achievements. In this paper, using 9964 high-quality coauthor scientific papers in English teaching research from China citation database from 1997 to 2016, a weighted coauthor network with variety factors is constructed. A model was proposed to calculate the author’s contribution to the research team by combining personal and network characteristics. The results reveal a variety of characteristics of the co-author networks in English teaching research field, including statistical properties, community features, and authors’ contribution to teams in this discipline.

RHEL7 Network Teaming(网卡绑定)配置与测试

本文重点介绍Network Teaming的两种模式(轮循与主备)的原理与配置。本文采用命令行设置与修改配置文件两种不同的方法对Network Teaming进行配置,其中用命令行的方式配置了轮循模式,用修改配置文件的方式来配置主备模式。

Effects of nursing team communication and collaboration on treatment outcomes in intensive care unit patients with severe pneumonia

BACKGROUND Severe pneumonia is a common severe respiratory infection worldwide,and its treatment is challenging,especially for patients in the intensive care unit(ICU).AIM To explore the effect of communication and collaboration between nursing teams on the treatment outcomes of patients with severe pneumonia in ICU.METHODS We retrospectively analyzed 60 patients with severe pneumonia who were treated at the ICU of the hospital between January 1,2021 and December 31,2023.We compared and analyzed the respiratory mechanical indexes[airway resistance(Raw),mean airway pressure(mPaw),peak pressure(PIP)],blood gas analysis indexes(arterial oxygen saturation,arterial oxygen partial pressure,and oxygenation index),and serum inflammatory factor levels[C-reactive protein(CRP),procalcitonin(PCT),cortisol(COR),and high mobility group protein B1(HMGB1)]of all patients before and after treatment.RESULTS Before treatment,there was no significant difference in respiratory mechanics index and blood gas analysis index between 2 groups(P>0.05).However,after treatment,the respiratory mechanical indexes of patients in both groups were significantly improved,and the improvement of Raw,mPaw,plateau pressure,PIP and other indexes in the combined group after communication and collaboration with the nursing team was significantly better than that in the single care group(P<0.05).The serum CRP and PCT levels of patients were significantly decreased,and the difference was statistically significant compared with that of nursing group alone(P<0.05).The levels of serum COR and HMGB1 before and after treatment were also significantly decreased between the two groups.CONCLUSION The communication and collaboration of the nursing team have a significant positive impact on respiratory mechanics indicators,blood gas analysis indicators and serum inflammatory factor levels in the treatment of severe pneumonia patients in ICU.

采用.NET技术的教师教学创新团队管理系统设计与实现

针对教师教学创新团队建设和管理过程中存在的问题,研究并设计了采用.NET技术的教师教学创新团队管理系统,系统包含项目申报模块、项目建设模块、建设成效模块、绩效管理模块、总体评价模块五大模块。该系统实现了教师教学创新团队精细化管理和信息共享,提升了教师教学创团队的建设管理成效,对于高职院校教育教学项目精细管理系统的设计与实现具有借鉴和指导意义。

美国Pac-12 Team Green对我国大学体育赛事可持续发展的启示

本文采用文献资料法、逻辑分析法等研究方法,探究了美国Pac-12 Team Green的发展历程、构成、特征,并提出了其对我国大学体育赛事可持续发展工作的启示。研究认为:Pac-12 Team Green是美国大学体育界中首创的可持续性发展平台,主要的发展特征是贯彻绿色与可持续发展理念、多元化合作与资源整合、赛事融入绿色科技。Pac-12 Team Green对我国大学开展可持续发展工作的启示:成立绿色体育联盟、制定体育赛事绿色可持续发展评价标准、大学体育赛事融入可持续发展理念、加大对体育赛事可持续发展实践的宣传。

Normothermic regional perfusion mobile teams in controlled donation after circulatory death pathway: Evidence and peculiarities

To facilitate the implementation of controlled donation after circulatory death(cDCD)programs even in hospitals not equipped with a local Extracorporeal Membrane Oxygenation(ECMO)team(Spokes),some countries and Italian Regions have launched a local cDCD network with a ECMO mobile team who move from Hub hospitals to Spokes for normothermic regional perfusion(NRP)implantation in the setting of a cDCD pathway.While ECMO teams have been clearly defined by the Extracorporeal Life Support Organization,regarding composition,responsibilities and training programs,no clear,widely accepted indications are to date available for NRP teams.Although existing NRP mobile networks were developed due to the urgent need to increase the number of cDCDs,there is now the necessity for transplantation medicine to identify the peculiarities and responsibility of a NRP team for all those centers launching a cDCD pathway.Thus,in the present manuscript we summarized the character-istics of an ECMO mobile team,highlighting similarities and differences with the NRP mobile team.We also assessed existing evidence on NRP teams with the goal of identifying the characteristic and essential features of an NRP mobile team for a cDCD program,especially for those centers who are starting the program.Differences were identified between the mobile ECMO team and NRP mobile team.The common essential feature for both mobile teams is high skills and experience to reduce complications and,in the case of cDCD,to reduce the total warm ischemic time.Dedicated training programs should be developed for the launch of de novo NRP teams.

Practical Exploration of Strengthening Team Communication and Cooperation in Head Nurse Nursing Management

This study explores the practical application of nursing management led by head nurses to enhance team communication and collaboration within clinical settings.By integrating leadership theories with nursing practice,this research adopts a qualitative methodology to examine the effects of strategic communication and teamwork enhancement initiatives.Through interviews,observations,and the analysis of case studies in various hospital departments,the study identifies key barriers to effective team communication and collaboration,including hierarchical structures,lack of standardized communication protocols,and insufficient training.Solutions implemented involve targeted communication skills training,the establishment of interdisciplinary teamwork protocols,and leadership workshops for head nurses.The outcomes indicate significant improvements in team efficiency,patient care quality,and staff satisfaction.This research underscores the importance of head nurses in fostering an environment conducive to open communication and collaborative practice,thereby advancing patient care and team performance.

Optimizing University Faculty Teams: Addressing the Talent Mobility Challenges in the Context of “Double First-Class” Initiative

With the advancement of the“Double First-Class”initiative,universities are increasingly focusing on attracting top-tier talent to enhance faculty quality and strengthen academic disciplines.The blind competition for high-end talent among universities reflects an overshadowing of academic values by economic considerations,neglecting the growth patterns of top talent and the development laws of higher education.This study investigates and reflects on the real-world challenges of faculty mobility in universities,aiming to provide effective guidance for managing university faculty teams.

Development of an Information-Based Leadership Evaluation Index System for School Management Teams:A Comprehensive Approach

In the context of educational informatization reform,there are many uncertain factors in the process of education development.To optimize the educational environment so that it can be effectively combined with information technology,teachers need to change their teaching ideas,strengthen the school’s own adaptability to informatization,and promote the development of informatization construction in schools.As a branch of information leadership,the management team should establish an evaluation index system for information leadership in order to ensure the construction of school informatization,so as to provide a boost for the integration of school resources and information technology.Based on the overview and connotation of information-based leadership of the management team,this paper explores the construction of an evaluation index system of information-based leadership of the school management team,aiming to provide references for the research of relevant personnel in the future.

Evaluation of Attending Medical Teams and Their Impact on the DRG Components of Cholecystectomy

Objective:This study assessed the role of the attending medical team in the cost control of the cholecystectomy DRG components.Methods:The association between team structure,workflow,and treatment outcomes was analyzed using a mixed-methods approach combining quantitative data and qualitative interviews from 628 patients.Results:Inter-professional teamwork significantly affected length of stay,treatment costs,and recurrence rates,with experienced teams performing better in terms of emergency response and collaborative efficiency.Patient satisfaction was generally high,indicating that good teamwork enhances treatment outcomes.Significance:The study highlights the importance of optimizing team configuration to improve the quality,efficiency,and cost control of healthcare.

Research on the Optimization Path of College Counselor Team Construction in the New Era

In the new era,the team of college counselors,as an indispensable and important component of the higher education system,bears multiple responsibilities such as ideological and political education,daily student management,mental health counseling,and employment and entrepreneurship guidance.With the rapid development of society and the diversified transformation of student groups,the construction of the counselor team is facing new challenges and opportunities.In-depth research on the optimization path of the construction of the college counselor team is not only significant for improving the overall quality and work efficiency of the counselor team but also directly related to the completion effect of the fundamental task of cultivating morality and talents in colleges and universities,as well as the achievement of the goal of cultivating more high-quality talents for the country.Based on this and the author’s work experience,this paper first elaborates on the necessity of the construction of the college counselor team,and then conducts a deep analysis of its optimization path and strategy,aiming to provide a useful reference for the professionalization and professional development of the college counselor team,thereby promoting the sustainable development of higher education and the comprehensive growth of students.

Team STEPPS模型在“ICU-病房”肺部延伸护理中的应用效果评价

目的:评价基于提高医疗质量和患者安全的团队策略和工具包(Team Strategies and Tools to Enhance Performance and Patient Safety,Team STEPPS)构建的"ICU-病房"肺部延伸护理模式的应用效果。方法:回顾性选取2016年1-12月符合纳入标准的术后患者为对照组(98例),给予常规护理。纳入2017年1-12月符合纳入标准的术后患者为实验组(135例),运用基于Team STEPPS模型构建的"ICU-病房"肺部延伸护理模式。结果:实验组患者非计划重返ICU率、因肺部原因重返ICU率均低于对照组,患者对护理工作满意度评分高于对照组,差异均有统计学意义(P<0.05)。结论:运用基于Team STEPPS模型构建的"ICU-病房"肺部延伸护理模式可降低患者重返ICU率,提高患者满意度。

国际TEAM Problem 21基准族及工程涡流问题模拟

扼要介绍所提出并建立的面向电气工程的TEAM Problem 21基准族的发展,给出关于基准模型的最新研究成果,进一步验证三维非线性涡流分析方法和软件的工程有效性,详细模拟在电工领域中一些实际的关键结构中的电磁行为和杂散损耗问题。

基于TEAMS的惯性测量组合测试性建模与分析

惯性测量组合(IMU)是飞行器控制系统中的核心部件,其结构复杂、精度要求高,是故障率最高的部件之一。基于TEAMS平台建立某惯组系统的多信号模型,并对其测试性进行分析与评估,针对固有测试在故障定位和诊断中存在的不足,提出两种测试点的改进方案。分析结果表明:改进后的IMU测试性得到了显著提高,基于多信号模型的测试性分析与评估方法对增强装备保障能力是有效的。

改进的基于TEAM21模型杂散损耗测量和验证方法

利用漏磁通补偿法改进了TEAM(testing electromagnetic analysis methods)基准问题21(TEAM Problem 21)杂散损耗测量模型的结构及其新结构的实验方案,提出了一种在强漏磁场作用下,导磁钢板和屏蔽组合结构的杂散损耗测量方法。比较了两种不同磁屏蔽结构在强漏磁场作用下磁屏蔽表面磁通密度分布情况以及在这两种情况下导磁钢板和磁屏蔽组合结构的杂散损耗。考虑硅钢片表面绝缘膜对磁场分布情况的影响以及硅钢片内部的涡流,在有限元分析中,对立式磁屏蔽结构作均匀化处理,板式磁屏蔽分片处理,对在强漏磁场作用下,磁屏蔽内部的磁场分布情况进行了精细模拟。

基于TEAMS的测试性仿真技术与应用研究

电子产品及设备的复杂和多样化导致其故障诊断越来越困难,产品的测试性也逐渐得到生产和使用单位的重视;为解决在研制阶段对产品的测试性水平进行评价的问题,首先对测试性仿真技术进行了简单介绍,之后详细阐述了基于TEAMS的测试性建模仿真方法,最后以某型柴油机系统为例,仿真得到其测试性结果:FDR=94%,FIR=69%,从而验证了该方法的可行性和有效性;通过实例知,基于TEAMS的测试性仿真技术不仅建模简单便捷,而且可以在产品设计早期定量的给出其测试性评价,同时发现产品测试性设计上的薄弱环节,为产品的设计改进提供建议。

基于TEAM P21基准模型的杂散损耗测量方法研究与验证

基于TEAM P21基准模型,结合电磁场仿真软件,对不同频率下导磁构件的杂散损耗问题进行了实验及仿真计算研究。在TEAM P21基准问题中,由于导磁构件会对励磁线圈的漏磁通带来影响,所以传统的通过负载(励磁线圈加结构件)损耗减掉空载(励磁线圈)损耗得到的导磁构件损耗会带来一定误差。为避免此误差,提出了一种测量导磁结构件杂散损耗的新方法,即在仿真软件可对励磁线圈(铜线圈,线性材料)损耗进行较准确计算的前提下,通过仿真计算得到有空载及负载工况条件下的励磁线圈损耗差并对实验结果进行修正。所提出的测量方法和获得的实验数据有助于得到更准确的导磁构件杂散损耗实验结果并有助于提高仿真计算的准确性。

基于Team STEPPS模型构建呼吸道管理小组在老年机械通气中应用价值

目的观察基于Team STEPPS模型构建呼吸道管理小组在老年机械通气患者中的应用价值。方法采用便利整群抽样,选取ICU收治的34例老年机械通气患者为对照组,进行常规护理干预;选取ICU收治的37例老年机械通气患者为实验组,开展基于Team STEPPS模型构建呼吸道管理小组干预。记录两组24 h及48 h内非计划重返重症监护室(ICU)的发生率、因呼吸原因重返ICU率;检测评估两组患者离开ICU前及离室后的血氧饱和度和动脉血氧分压;评估记录两组的护理满意度。结果干预后,实验组24 h及48 h内非计划重返ICU发生率、因呼吸原因重返ICU发生率均显著低于对照组(P<0.05);离室后,两组SaO 2、PaO 2值较干预前升高,且观察组高于对照组(P<0.05);观察组总满意率高于对照组(P<0.05)。结论基于Team STEPPS模型构建呼吸道管理小组可有效减少老年机械通气患者非计划重返ICU和因呼吸原因重返ICU的发生,患者血气指标改善、预后提高,护理满意度高。