It is a complex and important topic to study the linkage mechanism of government audit,social audit,and internal audit in the context of China’s high-quality economic development.The implementation of measures,such a...It is a complex and important topic to study the linkage mechanism of government audit,social audit,and internal audit in the context of China’s high-quality economic development.The implementation of measures,such as establishing a sound and perfect organizational safeguard mechanism,strengthening project collaborative audit mechanism,enhancing the mechanism for utilizing audit results,and establishing an audit and rectification joint mechanism can promote the efficient operation of the audit supervision system and the high-quality development of audit services.展开更多
BACKGROUND Surgical care of the hand plays a crucial role in the medical field,as problems with the hand can profoundly affect a patient's quality of life and function.In order to meet the needs of patients,improv...BACKGROUND Surgical care of the hand plays a crucial role in the medical field,as problems with the hand can profoundly affect a patient's quality of life and function.In order to meet the needs of patients,improve patient satisfaction and improve treatment outcomes,high-quality service models have been introduced in the field of nursing.AIM To explore the effect analysis of applying high-quality service model to surgical nursing.METHODS We conducted a retrospective study of patients who underwent hand surgery at our hospital between 2019 and 2022,using a quality service model that included improved patient education,pain management,care team collaboration,and effective communication.Another group of patients received traditional care as a control group.We compared postoperative recovery,satisfaction,complication rate,and length of hospital stay between the two groups.Inferential statistics were used to compare the difference between the two groups by independent sample t test,Chi-square test and other methods to evaluate the effect of intervention measures.RESULTS Postoperative recovery time decreased from 17.8±2.3 d to 14.5±2.1 d,pain score decreased from 4.7±1.9 to 3.2±1.4,and hand function score increased from 78.4±7.1 to 88.5±6.2.In terms of patient satisfaction,the quality service model group scored 87.3±5.6 points,which was significantly higher than that of the traditional care group(74.6±6.3 points).At the same time,patients'understanding of medical information also improved from 6.9±1.4 to 8.6±1.2.In terms of postoperative complications,the application of the quality service model reduced the incidence of postoperative complications from 26%to 10%,the incidence of infection from 12%to 5%,and the incidence of bleeding from 10%to 3%.The reduction in these data indicates that the quality service model plays a positive role in reducing the risk of complications.In addition,the average hospital stay of patients in the quality service model group was shortened from 6.8±1.5 d to 5.2±1.3 d,and the hospitalization cost was also reduced from 2800±600 yuan to 2500±500 yuan.CONCLUSION Applying a quality service model to hand surgery care can significantly improve patient clinical outcomes,including faster recovery,less pain,greater satisfaction,and reduced complication rates.展开更多
In this editorial,I comment on the article by Zhang et al.To emphasize the importance of the topic,I discuss the relationship between the use of smart medical devices and mental health.Smart medical services have the ...In this editorial,I comment on the article by Zhang et al.To emphasize the importance of the topic,I discuss the relationship between the use of smart medical devices and mental health.Smart medical services have the potential to positively influence mental health by providing monitoring,insights,and inter-ventions.However,they also come with challenges that need to be addressed.Understanding the primary purpose for which individuals use these smart tech-nologies is essential to tailoring them to specific mental health needs and prefe-rences.展开更多
"High-level opening up"and"high-quality development"are important development goals and directions of China during the 14th Five-Year Plan period.Heilongjiang,as the largest and oldest province ope..."High-level opening up"and"high-quality development"are important development goals and directions of China during the 14th Five-Year Plan period.Heilongjiang,as the largest and oldest province open to Russia,has a long history of communication and plays a vanguard role.However,the province's geographical advantages are weakening under the impact of the COVID-19 pandemic and the rapid development of the internet industry.Facing the new era,maintaining and enhancing the regional advantages of the province has become an urgent issue that requires attention.This study takes the Russian language service in Heilongjiang Province as the subject,combines theory with practice through theoretical elaboration and historical analysis,as well as tries to provide reference for improving the language service system in Heilongjiang Province and enhancing its regional advantages.This study believes that a high-quality language service plays an important role in solving the issue.It is necessary to fully understand and apply the essential power of language,be more aware of the importance of Russian language services,build a sound ecosystem of language services,give full play to the traditional advantages of the"Russian"in this province,and finally assume "Russian language services"as the"golden banner"for the development of language services,economy,and culture in the province.展开更多
Carbon peak and carbon neutrality(dual-carbon)are important targets for the international response to climate change.The Silk Road Economic Belt is a strategic resource region and is important for future ecological en...Carbon peak and carbon neutrality(dual-carbon)are important targets for the international response to climate change.The Silk Road Economic Belt is a strategic resource region and is important for future ecological environment and tourism development.Based on the“dual-carbon”targets,the Single index quantification,Multiple index synthesis,and Poly-criteria integration evaluation model were used in this study to measure the coordinated development index of the ecological environment,public service,and tourism economy along the Silk Road Economic Belt and to analyze its spatial and temporal evolution.Further,it explores the dynamic evolution and development trend of the three systems using the Kernel Density and Grey Markov Prediction Model.The results show that the coordinated development index along this region needs to be improved during the study period.Furthermore,the coordinated development index of the Southwest region is relatively higher than that of the Northwest region.From the development trend of the three systems,all of them develop in a stable manner;however,the tourism economy system is easily affected by external disturbances.The coordinated development index of the three systems changes dynamically and tends to be in a good state of coordination.There is a certain spatial and temporal heterogeneity.The gravity center of the coordinated development index has been in the Southwest region.During the forecast period,the coordinated development index along this region will improve significantly,while insufficient and unbalanced development will continue.展开更多
Mountains are unique terrestrial ecosystems characterized by distinct physiography,biological diversity,and socio-economic features.These ecosystems provide numerous essential goods and services to communities within ...Mountains are unique terrestrial ecosystems characterized by distinct physiography,biological diversity,and socio-economic features.These ecosystems provide numerous essential goods and services to communities within and beyond the mountains.Despite their significance,comprehensive studies that thoroughly characterize the ecosystem services of mountains are lacking.Such research is crucial to advance scientific understanding of mountain characteristics and ecosystem services.This study investigates mountain regions’unique characteristics and ecosystem services using global datasets such as the U.S.Geological Survey(USGS),the Global Mountain Biodiversity Assessment(GMBA),NASA EARTHDATA,and other relevant databases and literature review.The focus was to explore unique physiographic and socio-economic characteristics and ecosystem services provided by mountains.The results indicate that mountain ecosystems are pivotal in offering provisional,regulatory,and supporting ecosystem services on Earth.Despite their limited geographical area,these ecosystems supply substantial amounts of freshwater to communities living within and downstream of mountainous regions.Additionally,mountain ecosystems serve as global biodiversity hotspots,harboring a significant proportion of the world's species.However,mountain ecosystems face numerous natural and anthropogenic challenges,including climate change,habitat destruction,and resource overexploitation.Current efforts towards sustainable mountain development are inadequate.Enhanced scientific research and targeted policy measures are essential to address these challenges,protect mountain biodiversity,and ensure the continuous provision of vital ecosystem services.展开更多
Dear Editor,This letter deals with state estimation issues of discrete-time nonlinear systems subject to denial-of-service(DoS)attacks under the try-once-discard(TOD)protocol.More specifically,to reduce the communicat...Dear Editor,This letter deals with state estimation issues of discrete-time nonlinear systems subject to denial-of-service(DoS)attacks under the try-once-discard(TOD)protocol.More specifically,to reduce the communication burden,a TOD protocol with novel update rules on protocol weights is designed for scheduling measurement outputs.In addition,unknown nonlinear functions vulnerable to DoS attacks are considered due to the openness and vulnerability of the network.展开更多
BACKGROUND With continuous advancements in medical technology,neurosurgical nursing is constantly developing and improving to provide higher-quality nursing services.AIM To explore the effects of different types of hi...BACKGROUND With continuous advancements in medical technology,neurosurgical nursing is constantly developing and improving to provide higher-quality nursing services.AIM To explore the effects of different types of high-quality nursing care on clinical nursing quality and patient satisfaction in neurosurgical nursing.METHODS Eighty patients who received neurosurgical treatment in the Affiliated Hospital of Southwest Medical University from June to December 2020 were selected as study participants and categorised into study and control groups.The study group comprised 40 patients who received 4 different types of high-quality nursing care,whereas the control group comprised 40 patients who received conventional nursing care.After a specific period,nursing satisfaction levels and adverse event and complication rates were compared between the two groups.RESULTS Satisfaction with high-quality care was higher than that with conventional care,and high-quality health services and regional services showed the highest satisfaction levels,with an average score of 12 on the Glasgow scale.The satisfaction levels of the study and control groups were 75%and 57%,respectively,with a statistically significant difference(t=7.314,P<0.05).During the nursing period,the adverse event and complication rates were the highest in patients with level III pathology grade and those who underwent neurosurgery(40.02%and 85.93%,respectively),and the difference was statistically significant.CONCLUSION In neurosurgical nursing,employing appropriate high-quality nursing methods can effectively reduce adverse event and complication rates in patients,thereby improving the quality of nursing care and increasing clinical nursing value.展开更多
Emerging mobile edge computing(MEC)is considered a feasible solution for offloading the computation-intensive request tasks generated from mobile wireless equipment(MWE)with limited computational resources and energy....Emerging mobile edge computing(MEC)is considered a feasible solution for offloading the computation-intensive request tasks generated from mobile wireless equipment(MWE)with limited computational resources and energy.Due to the homogeneity of request tasks from one MWE during a longterm time period,it is vital to predeploy the particular service cachings required by the request tasks at the MEC server.In this paper,we model a service caching-assisted MEC framework that takes into account the constraint on the number of service cachings hosted by each edge server and the migration of request tasks from the current edge server to another edge server with service caching required by tasks.Furthermore,we propose a multiagent deep reinforcement learning-based computation offloading and task migrating decision-making scheme(MBOMS)to minimize the long-term average weighted cost.The proposed MBOMS can learn the near-optimal offloading and migrating decision-making policy by centralized training and decentralized execution.Systematic and comprehensive simulation results reveal that our proposed MBOMS can converge well after training and outperforms the other five baseline algorithms.展开更多
This study analyzed the petrological characteristics,diagenesis,pore types,and physical properties of the tight coarse-grained siliciclastic sequences in the third member of the Upper Triassic Xujiahe Formation(also r...This study analyzed the petrological characteristics,diagenesis,pore types,and physical properties of the tight coarse-grained siliciclastic sequences in the third member of the Upper Triassic Xujiahe Formation(also referred to as the Xu-3 Member)in the western Yuanba area in the northeastern Sichuan Basin,China,based on the results of 242.61-m-long core description,292 thin-section observations,scanning electron microscopy(SEM),and 292 physical property tests.The types and genetic mechanisms of high-quality tight coarse-grained siliciclastic reservoirs in this member was determined thereafter.The research objective is to guide the exploration and development of the tight coarse-grained siliciclastic sequences in the Xu-3 Member.The results of this study are as follows.Two types of high-quality reservoirs are developed in the coarse-grained siliciclastic sequences of the Xu-3 Member,namely the fractured fine-grained sandy conglomerate type and porous medium-grained calcarenaceous sandstone type.Hydrodynamic energy in the sedimentary environment is the key factor controlling the formation of high-quality reservoirs.These high-quality reservoirs are developed mainly in the transitional zone with moderately high hydrodynamic energy between delta-plain braided channels and delta-front subaqueous distributary channels.The dolomitic debris(gravel)content is the main factor affecting the reservoirs’physical properties.The micritic algal debris and sandy debris in the dolomitic debris(or gravels)tend to recrystallize during burial,forming intercrystalline pores within.In the medium-grained calcarenaceous sandstones,intercrystalline pores in the dolomitic debris are formed at the early diagenetic stage,and a pore system consisting of structural fractures connecting intergranular pores,intergranular dissolution pores,and kaolinite intergranular micropores is developed at the late stage of diagenesis.The formation of intercrystalline pores in dolomite gravels and gravel-edge fractures,a pore system connected by gravel-edge and tectonic fractures,is closely related to the dolomite gravels in the sandy fine-grained conglomerates.展开更多
This paper aims to interpret the connotation of high-quality development of tourism economy(HQTE)from the perspective of the new development concepts of innovation,coordination,green,openness and sharing,and then to e...This paper aims to interpret the connotation of high-quality development of tourism economy(HQTE)from the perspective of the new development concepts of innovation,coordination,green,openness and sharing,and then to evaluate the spatial differenti-ation of China’s HQTE based on provincial panel data from 2009 to 2018.Specifically,we employ the spatial convergence model to ex-plore the absolute and conditionalβconvergence trends of HQTE in the whole country and the eastern,central and western regions of China.Our empirical results reveal that:1)within the decade,from 2009 to 2018,regions of China with the highest HQTE index is its eastern region followed by the central region and then the western region,but the fastest growing one is the western region of China fol-lowed by the central region and then the eastern region.2)Whether or not the spatial effect is included,there are absolute and condition-alβconvergence in HQTE in the whole country and aforementioned three regions.3)The degree of government attention as well as the level of economic development and location accessibility are the positive driving factors for the convergence of HQTE in the whole country and the three regions.The degree of marketization and human capital have not passed the significance test either in the whole country or in the three regions.The above conclusions could deepen the understanding of the regional imbalance and spatial conver-gence characteristics of HQTE,clarify the primary development objects,and accomplish the goal of China’s HQTE.展开更多
Professor ZENG Su,the Director of the Research Center for Clinical Pharmacy and Chairman of the Academic Committee,College of Pharmaceutical Sciences at Zhejiang University,has dedicated his career to studying new tec...Professor ZENG Su,the Director of the Research Center for Clinical Pharmacy and Chairman of the Academic Committee,College of Pharmaceutical Sciences at Zhejiang University,has dedicated his career to studying new techniques of pharmaceutical analysis and drug metabolism.展开更多
The primary concern of modern technology is cyber attacks targeting the Internet of Things.As it is one of the most widely used networks today and vulnerable to attacks.Real-time threats pose with modern cyber attacks...The primary concern of modern technology is cyber attacks targeting the Internet of Things.As it is one of the most widely used networks today and vulnerable to attacks.Real-time threats pose with modern cyber attacks that pose a great danger to the Internet of Things(IoT)networks,as devices can be monitored or service isolated from them and affect users in one way or another.Securing Internet of Things networks is an important matter,as it requires the use of modern technologies and methods,and real and up-to-date data to design and train systems to keep pace with the modernity that attackers use to confront these attacks.One of the most common types of attacks against IoT devices is Distributed Denial-of-Service(DDoS)attacks.Our paper makes a unique contribution that differs from existing studies,in that we use recent data that contains real traffic and real attacks on IoT networks.And a hybrid method for selecting relevant features,And also how to choose highly efficient algorithms.What gives the model a high ability to detect distributed denial-of-service attacks.the model proposed is based on a two-stage process:selecting essential features and constructing a detection model using the K-neighbors algorithm with two classifier algorithms logistic regression and Stochastic Gradient Descent classifier(SGD),combining these classifiers through ensemble machine learning(stacking),and optimizing parameters through Grid Search-CV to enhance system accuracy.Experiments were conducted to evaluate the effectiveness of the proposed model using the CIC-IoT2023 and CIC-DDoS2019 datasets.Performance evaluation demonstrated the potential of our model in robust intrusion detection in IoT networks,achieving an accuracy of 99.965%and a detection time of 0.20 s for the CIC-IoT2023 dataset,and 99.968%accuracy with a detection time of 0.23 s for the CIC-DDoS 2019 dataset.Furthermore,a comparative analysis with recent related works highlighted the superiority of our methodology in intrusion detection,showing improvements in accuracy,recall,and detection time.展开更多
Aquaculture is a discipline system that focuses on exploring the growth,development,reproduction,aquaculture,and resources of aquatic animals and plants,and their complex relationships.Under the tide of the"high-...Aquaculture is a discipline system that focuses on exploring the growth,development,reproduction,aquaculture,and resources of aquatic animals and plants,and their complex relationships.Under the tide of the"high-quality development"strategy,the aquaculture discipline is also facing new opportunities and challenges for transformation,upgrading,and deepening development.Therefore,exploring and practicing an effective path for the high-quality development of graduate education in aquaculture is not only the key to promoting the transformation of graduate education in aquaculture from scale expansion to quality improvement,but also has immeasurable value for implementing the strategy on developing a quality workforce and the strategy of scientific and technological powerhouse.The high-quality development of graduate education in aquaculture can be promoted from the following aspects:optimizing and improving the construction of the graduate education system,focusing on enhancing the quality of high-level talent cultivation,strengthening the overall strength of the graduate supervisor team,actively promoting the adjustment and upgrading of the disciplinary and professional structure,strengthening the construction of resource platforms and deepening the implementation of collaborative education mechanisms,and continuously expanding and deepening the new pattern of international exchange and cooperation.Through the comprehensive promotion of the above paths,the aim is to fully build a model for the improvement and governance of graduate education quality.展开更多
The forest-based wellness industry,as a rapidly growing sector that integrates various business forms with extensive coverage and an extended industrial chain,is undergoing rapid development due to the increasing agin...The forest-based wellness industry,as a rapidly growing sector that integrates various business forms with extensive coverage and an extended industrial chain,is undergoing rapid development due to the increasing aging population and people's suboptimal health conditions.As a forerunner in developing the forest-based wellness industry,Sichuan province is known for its early development,proactive efforts,diverse models,and significant impact in this industry.It has achieved certain milestones in terms of top-level design,pilot demonstration,standardized guidance,and public awareness campaigns to promote the development of this industry.Therefore,this paper utilizes Sichuan as a case study to systematically summarize and analyze the key practices made by the province in promoting the rapid development of the industry by investigating the development trajectory of the forest-based wellness industry.Additionally,it examines the development trends of this industry from the perspectives of supply,demand,and consumption.Finally,this paper proposes several measures to facilitate the high-quality development of the forest-based wellness industry.These measures encompass nurturing specialized talent in forest-based wellness,enhancing market players'capabilities in this domain,conducting extensive research on technologies that promote this industry,actively seeking support from relevant policies,and promoting integrated development across diverse sectors.展开更多
BACKGROUND Colostomy is important in the treatment of colorectal cancer.However,surgical site wound infections after colostomy seriously affect patients’physical recovery and quality of life.AIM To investigate the ab...BACKGROUND Colostomy is important in the treatment of colorectal cancer.However,surgical site wound infections after colostomy seriously affect patients’physical recovery and quality of life.AIM To investigate the ability of high-quality nursing care to prevent surgical site wound infections and reduce post-colostomy complications in patients with co-lorectal cancer.METHODS Eighty patients with colorectal cancer who underwent colostomy at our hospital between January 2023 and January 2024 were selected as research subjects.The random number table method was used to divide the participants into control and research groups(n=40 each).The control group received routine nursing care,while the research group received high-quality nursing care.The differences in indicators were compared between groups.RESULTS The baseline characteristics did not differ between the research(n=40)and control(n=40)groups(P>0.05).The incidences of wound infection,inflam-mation,and delayed wound healing were significantly lower in the research(5.00%)vs control(25.00%)group(P=0.028).The incidence of postoperative complications,including fistula stenosis,fistula hemorrhage,fistula prolapse,peristome dermatitis,urinary retention,pulmonary infection,and intestinal ob-struction,was significantly lower in the research(5.00%)vs control(27.50%)group(P=0.015).In addition,the time to first exhaust(51.40±2.22 vs 63.80±2.66,respectively;P<0.001),time to first bowel movement(61.30±2.21 vs 71.80±2.74,respectively;P<0.001),and average hospital stay(7.94±0.77 vs 10.44±0.63,respectively;P<0.001)were significantly shorter in the research vs control group.The mean Newcastle satisfaction with nursing scale score was also significantly higher in the research(91.22±0.96)vs control(71.13±1.52)group(P<0.001).CONCLUSION High-quality nursing interventions can effectively reduce the risk of wound infections and complications in patients undergoing colostomy,promote their postoperative recovery,and improve their satisfaction with the nursing care received.展开更多
The usefulness of telemedicine has been acknowledged because of coronavirus disease 2019,which highlighted it as a prominent and expedient method of delivering healthcare support while ensuring safety.1The implementat...The usefulness of telemedicine has been acknowledged because of coronavirus disease 2019,which highlighted it as a prominent and expedient method of delivering healthcare support while ensuring safety.1The implementation of telemedicine can be traced to nearly every corner of the globe,from advanced economies like the USA and Europe to the most remote African villages.Today,telemedicine is widely used in developed nations.展开更多
This paper developed a comprehensive evaluation system that was able to quantify the levels of high-quality development across the cities within the Chengdu-Chongqing economic circle,and investigate the impact that di...This paper developed a comprehensive evaluation system that was able to quantify the levels of high-quality development across the cities within the Chengdu-Chongqing economic circle,and investigate the impact that digital finance had on the cities’high-quality development and the underlying mechanisms through which it achieved this.This comprehensive evaluation system was constructed using statistical data from these cities for the period 2014 to 2020 while also taking China’s high-quality development philosophy into account.The key findings revealed that:(a)Digital finance was able to significantly promote high-quality development in the Chengdu-Chongqing economic circle;(b)Digital finance had a significant positive effect in promoting innovative,coordinated,green,open,and shared development;(c)Digital finance was able to stimulate the high-quality development in the Chengdu-Chongqing economic circle by boosting entrepreneurial dynamism;(d)Digital finance had a significant impact on the high-quality development of the axis areas,while its impact was less discernible in non-axis areas.The insights from this research offer a deeper understanding of the factors that drive high-quality development,the role digital finance plays,and the mechanisms through which digital finance is able to propel high-quality development at the city cluster scale.展开更多
To achieve high-quality economic development,it is imperative to prioritize the real economy and foster new factors for economic growth.Data,as a new factor of production,plays a pivotal role in facilitating the seaml...To achieve high-quality economic development,it is imperative to prioritize the real economy and foster new factors for economic growth.Data,as a new factor of production,plays a pivotal role in facilitating the seamless integration between digital technology and the real economy.It possesses inherent attributes and techno-economic characteristics that enable the extraction of value across various processes,including production,transaction,consumption,and regulatory supervision.The integration with digital technology enhances the productivity and efficiency of the real economy by facilitating service sector digitalization,accelerating the growth of the new real economy,and supporting the virtual economy in its role of serving the real economy.At present,unleashing the value of data is hindered by inadequate fundamental systems for the data,a lack of activity in the transaction market,and the underutilization of the data as a factor of production by enterprises in the real economy.Therefore,it is advised that data be fully utilized to develop the real economy through the four-pronged approach of“enhancing support for the high-quality provision of the data,expediting the integration of the data into the real economy,promoting the high-quality development of the real economy,and enhancing public service and governance systems”.展开更多
In 2024,the China International Fair for Trade in Services (hereinafter referred to as CIFTIS) opened in the China National Convention Center and Shougang Park on September 12th.The theme of the CIFTIS this time was&q...In 2024,the China International Fair for Trade in Services (hereinafter referred to as CIFTIS) opened in the China National Convention Center and Shougang Park on September 12th.The theme of the CIFTIS this time was"global services,shared prosperity",which is not only a window for allowing the world to discover the development of China's service trade,but is also a bridge for promoting global cooperation with regards to the service trade.As one of the world-famous service trade events,the CIFTIS has become an important business card allowing China to open up.The CIFTIS has attracted the attention of the whole world and become a bridge for all parties to share development opportunities,promote industrial growth,and strengthen communication.展开更多
文摘It is a complex and important topic to study the linkage mechanism of government audit,social audit,and internal audit in the context of China’s high-quality economic development.The implementation of measures,such as establishing a sound and perfect organizational safeguard mechanism,strengthening project collaborative audit mechanism,enhancing the mechanism for utilizing audit results,and establishing an audit and rectification joint mechanism can promote the efficient operation of the audit supervision system and the high-quality development of audit services.
文摘BACKGROUND Surgical care of the hand plays a crucial role in the medical field,as problems with the hand can profoundly affect a patient's quality of life and function.In order to meet the needs of patients,improve patient satisfaction and improve treatment outcomes,high-quality service models have been introduced in the field of nursing.AIM To explore the effect analysis of applying high-quality service model to surgical nursing.METHODS We conducted a retrospective study of patients who underwent hand surgery at our hospital between 2019 and 2022,using a quality service model that included improved patient education,pain management,care team collaboration,and effective communication.Another group of patients received traditional care as a control group.We compared postoperative recovery,satisfaction,complication rate,and length of hospital stay between the two groups.Inferential statistics were used to compare the difference between the two groups by independent sample t test,Chi-square test and other methods to evaluate the effect of intervention measures.RESULTS Postoperative recovery time decreased from 17.8±2.3 d to 14.5±2.1 d,pain score decreased from 4.7±1.9 to 3.2±1.4,and hand function score increased from 78.4±7.1 to 88.5±6.2.In terms of patient satisfaction,the quality service model group scored 87.3±5.6 points,which was significantly higher than that of the traditional care group(74.6±6.3 points).At the same time,patients'understanding of medical information also improved from 6.9±1.4 to 8.6±1.2.In terms of postoperative complications,the application of the quality service model reduced the incidence of postoperative complications from 26%to 10%,the incidence of infection from 12%to 5%,and the incidence of bleeding from 10%to 3%.The reduction in these data indicates that the quality service model plays a positive role in reducing the risk of complications.In addition,the average hospital stay of patients in the quality service model group was shortened from 6.8±1.5 d to 5.2±1.3 d,and the hospitalization cost was also reduced from 2800±600 yuan to 2500±500 yuan.CONCLUSION Applying a quality service model to hand surgery care can significantly improve patient clinical outcomes,including faster recovery,less pain,greater satisfaction,and reduced complication rates.
文摘In this editorial,I comment on the article by Zhang et al.To emphasize the importance of the topic,I discuss the relationship between the use of smart medical devices and mental health.Smart medical services have the potential to positively influence mental health by providing monitoring,insights,and inter-ventions.However,they also come with challenges that need to be addressed.Understanding the primary purpose for which individuals use these smart tech-nologies is essential to tailoring them to specific mental health needs and prefe-rences.
基金The "3th Five-Year Plan"of Education Science Key Project of Heilongjiang Province in 2020(Project Number:GJB1320294).
文摘"High-level opening up"and"high-quality development"are important development goals and directions of China during the 14th Five-Year Plan period.Heilongjiang,as the largest and oldest province open to Russia,has a long history of communication and plays a vanguard role.However,the province's geographical advantages are weakening under the impact of the COVID-19 pandemic and the rapid development of the internet industry.Facing the new era,maintaining and enhancing the regional advantages of the province has become an urgent issue that requires attention.This study takes the Russian language service in Heilongjiang Province as the subject,combines theory with practice through theoretical elaboration and historical analysis,as well as tries to provide reference for improving the language service system in Heilongjiang Province and enhancing its regional advantages.This study believes that a high-quality language service plays an important role in solving the issue.It is necessary to fully understand and apply the essential power of language,be more aware of the importance of Russian language services,build a sound ecosystem of language services,give full play to the traditional advantages of the"Russian"in this province,and finally assume "Russian language services"as the"golden banner"for the development of language services,economy,and culture in the province.
基金supported by the Hebei Province Cultural and Artistic Science Planning and Tourism Research Project[Grant No.HB22-ZD002].
文摘Carbon peak and carbon neutrality(dual-carbon)are important targets for the international response to climate change.The Silk Road Economic Belt is a strategic resource region and is important for future ecological environment and tourism development.Based on the“dual-carbon”targets,the Single index quantification,Multiple index synthesis,and Poly-criteria integration evaluation model were used in this study to measure the coordinated development index of the ecological environment,public service,and tourism economy along the Silk Road Economic Belt and to analyze its spatial and temporal evolution.Further,it explores the dynamic evolution and development trend of the three systems using the Kernel Density and Grey Markov Prediction Model.The results show that the coordinated development index along this region needs to be improved during the study period.Furthermore,the coordinated development index of the Southwest region is relatively higher than that of the Northwest region.From the development trend of the three systems,all of them develop in a stable manner;however,the tourism economy system is easily affected by external disturbances.The coordinated development index of the three systems changes dynamically and tends to be in a good state of coordination.There is a certain spatial and temporal heterogeneity.The gravity center of the coordinated development index has been in the Southwest region.During the forecast period,the coordinated development index along this region will improve significantly,while insufficient and unbalanced development will continue.
文摘Mountains are unique terrestrial ecosystems characterized by distinct physiography,biological diversity,and socio-economic features.These ecosystems provide numerous essential goods and services to communities within and beyond the mountains.Despite their significance,comprehensive studies that thoroughly characterize the ecosystem services of mountains are lacking.Such research is crucial to advance scientific understanding of mountain characteristics and ecosystem services.This study investigates mountain regions’unique characteristics and ecosystem services using global datasets such as the U.S.Geological Survey(USGS),the Global Mountain Biodiversity Assessment(GMBA),NASA EARTHDATA,and other relevant databases and literature review.The focus was to explore unique physiographic and socio-economic characteristics and ecosystem services provided by mountains.The results indicate that mountain ecosystems are pivotal in offering provisional,regulatory,and supporting ecosystem services on Earth.Despite their limited geographical area,these ecosystems supply substantial amounts of freshwater to communities living within and downstream of mountainous regions.Additionally,mountain ecosystems serve as global biodiversity hotspots,harboring a significant proportion of the world's species.However,mountain ecosystems face numerous natural and anthropogenic challenges,including climate change,habitat destruction,and resource overexploitation.Current efforts towards sustainable mountain development are inadequate.Enhanced scientific research and targeted policy measures are essential to address these challenges,protect mountain biodiversity,and ensure the continuous provision of vital ecosystem services.
基金supported in part by the Shandong Provincial Natural Science Foundation(ZR2021QF057)Taishan Scholars Program(tsqn202211203)+3 种基金Shandong Provincial Higher Education Youth Innovation Team Development Project(2022KJ 290)“20 New Universities”Project of Jinan City(202228077)QLU/SDAS Computer Science and Technology Fundamental Research Enhancement Program(2021JC02023)QLU/SDAS Pilot Project for Integrated Innovation of Science,Education,and Industry(2022JBZ01-01).
文摘Dear Editor,This letter deals with state estimation issues of discrete-time nonlinear systems subject to denial-of-service(DoS)attacks under the try-once-discard(TOD)protocol.More specifically,to reduce the communication burden,a TOD protocol with novel update rules on protocol weights is designed for scheduling measurement outputs.In addition,unknown nonlinear functions vulnerable to DoS attacks are considered due to the openness and vulnerability of the network.
基金Supported by the Luzhou Science and Technology Programme,No.2022-ZRK-184.
文摘BACKGROUND With continuous advancements in medical technology,neurosurgical nursing is constantly developing and improving to provide higher-quality nursing services.AIM To explore the effects of different types of high-quality nursing care on clinical nursing quality and patient satisfaction in neurosurgical nursing.METHODS Eighty patients who received neurosurgical treatment in the Affiliated Hospital of Southwest Medical University from June to December 2020 were selected as study participants and categorised into study and control groups.The study group comprised 40 patients who received 4 different types of high-quality nursing care,whereas the control group comprised 40 patients who received conventional nursing care.After a specific period,nursing satisfaction levels and adverse event and complication rates were compared between the two groups.RESULTS Satisfaction with high-quality care was higher than that with conventional care,and high-quality health services and regional services showed the highest satisfaction levels,with an average score of 12 on the Glasgow scale.The satisfaction levels of the study and control groups were 75%and 57%,respectively,with a statistically significant difference(t=7.314,P<0.05).During the nursing period,the adverse event and complication rates were the highest in patients with level III pathology grade and those who underwent neurosurgery(40.02%and 85.93%,respectively),and the difference was statistically significant.CONCLUSION In neurosurgical nursing,employing appropriate high-quality nursing methods can effectively reduce adverse event and complication rates in patients,thereby improving the quality of nursing care and increasing clinical nursing value.
基金supported by Jilin Provincial Science and Technology Department Natural Science Foundation of China(20210101415JC)Jilin Provincial Science and Technology Department Free exploration research project of China(YDZJ202201ZYTS642).
文摘Emerging mobile edge computing(MEC)is considered a feasible solution for offloading the computation-intensive request tasks generated from mobile wireless equipment(MWE)with limited computational resources and energy.Due to the homogeneity of request tasks from one MWE during a longterm time period,it is vital to predeploy the particular service cachings required by the request tasks at the MEC server.In this paper,we model a service caching-assisted MEC framework that takes into account the constraint on the number of service cachings hosted by each edge server and the migration of request tasks from the current edge server to another edge server with service caching required by tasks.Furthermore,we propose a multiagent deep reinforcement learning-based computation offloading and task migrating decision-making scheme(MBOMS)to minimize the long-term average weighted cost.The proposed MBOMS can learn the near-optimal offloading and migrating decision-making policy by centralized training and decentralized execution.Systematic and comprehensive simulation results reveal that our proposed MBOMS can converge well after training and outperforms the other five baseline algorithms.
文摘This study analyzed the petrological characteristics,diagenesis,pore types,and physical properties of the tight coarse-grained siliciclastic sequences in the third member of the Upper Triassic Xujiahe Formation(also referred to as the Xu-3 Member)in the western Yuanba area in the northeastern Sichuan Basin,China,based on the results of 242.61-m-long core description,292 thin-section observations,scanning electron microscopy(SEM),and 292 physical property tests.The types and genetic mechanisms of high-quality tight coarse-grained siliciclastic reservoirs in this member was determined thereafter.The research objective is to guide the exploration and development of the tight coarse-grained siliciclastic sequences in the Xu-3 Member.The results of this study are as follows.Two types of high-quality reservoirs are developed in the coarse-grained siliciclastic sequences of the Xu-3 Member,namely the fractured fine-grained sandy conglomerate type and porous medium-grained calcarenaceous sandstone type.Hydrodynamic energy in the sedimentary environment is the key factor controlling the formation of high-quality reservoirs.These high-quality reservoirs are developed mainly in the transitional zone with moderately high hydrodynamic energy between delta-plain braided channels and delta-front subaqueous distributary channels.The dolomitic debris(gravel)content is the main factor affecting the reservoirs’physical properties.The micritic algal debris and sandy debris in the dolomitic debris(or gravels)tend to recrystallize during burial,forming intercrystalline pores within.In the medium-grained calcarenaceous sandstones,intercrystalline pores in the dolomitic debris are formed at the early diagenetic stage,and a pore system consisting of structural fractures connecting intergranular pores,intergranular dissolution pores,and kaolinite intergranular micropores is developed at the late stage of diagenesis.The formation of intercrystalline pores in dolomite gravels and gravel-edge fractures,a pore system connected by gravel-edge and tectonic fractures,is closely related to the dolomite gravels in the sandy fine-grained conglomerates.
基金Under the auspices of the National Natural Science Foundation of China(No.42001156)。
文摘This paper aims to interpret the connotation of high-quality development of tourism economy(HQTE)from the perspective of the new development concepts of innovation,coordination,green,openness and sharing,and then to evaluate the spatial differenti-ation of China’s HQTE based on provincial panel data from 2009 to 2018.Specifically,we employ the spatial convergence model to ex-plore the absolute and conditionalβconvergence trends of HQTE in the whole country and the eastern,central and western regions of China.Our empirical results reveal that:1)within the decade,from 2009 to 2018,regions of China with the highest HQTE index is its eastern region followed by the central region and then the western region,but the fastest growing one is the western region of China fol-lowed by the central region and then the eastern region.2)Whether or not the spatial effect is included,there are absolute and condition-alβconvergence in HQTE in the whole country and aforementioned three regions.3)The degree of government attention as well as the level of economic development and location accessibility are the positive driving factors for the convergence of HQTE in the whole country and the three regions.The degree of marketization and human capital have not passed the significance test either in the whole country or in the three regions.The above conclusions could deepen the understanding of the regional imbalance and spatial conver-gence characteristics of HQTE,clarify the primary development objects,and accomplish the goal of China’s HQTE.
文摘Professor ZENG Su,the Director of the Research Center for Clinical Pharmacy and Chairman of the Academic Committee,College of Pharmaceutical Sciences at Zhejiang University,has dedicated his career to studying new techniques of pharmaceutical analysis and drug metabolism.
文摘The primary concern of modern technology is cyber attacks targeting the Internet of Things.As it is one of the most widely used networks today and vulnerable to attacks.Real-time threats pose with modern cyber attacks that pose a great danger to the Internet of Things(IoT)networks,as devices can be monitored or service isolated from them and affect users in one way or another.Securing Internet of Things networks is an important matter,as it requires the use of modern technologies and methods,and real and up-to-date data to design and train systems to keep pace with the modernity that attackers use to confront these attacks.One of the most common types of attacks against IoT devices is Distributed Denial-of-Service(DDoS)attacks.Our paper makes a unique contribution that differs from existing studies,in that we use recent data that contains real traffic and real attacks on IoT networks.And a hybrid method for selecting relevant features,And also how to choose highly efficient algorithms.What gives the model a high ability to detect distributed denial-of-service attacks.the model proposed is based on a two-stage process:selecting essential features and constructing a detection model using the K-neighbors algorithm with two classifier algorithms logistic regression and Stochastic Gradient Descent classifier(SGD),combining these classifiers through ensemble machine learning(stacking),and optimizing parameters through Grid Search-CV to enhance system accuracy.Experiments were conducted to evaluate the effectiveness of the proposed model using the CIC-IoT2023 and CIC-DDoS2019 datasets.Performance evaluation demonstrated the potential of our model in robust intrusion detection in IoT networks,achieving an accuracy of 99.965%and a detection time of 0.20 s for the CIC-IoT2023 dataset,and 99.968%accuracy with a detection time of 0.23 s for the CIC-DDoS 2019 dataset.Furthermore,a comparative analysis with recent related works highlighted the superiority of our methodology in intrusion detection,showing improvements in accuracy,recall,and detection time.
基金Supported by Degree and Graduate Student Education Reform Research Project of Guangdong Ocean University(202315,202416)Graduate Education Innovation Program of Guangdong Province(YJYH[2022]1).
文摘Aquaculture is a discipline system that focuses on exploring the growth,development,reproduction,aquaculture,and resources of aquatic animals and plants,and their complex relationships.Under the tide of the"high-quality development"strategy,the aquaculture discipline is also facing new opportunities and challenges for transformation,upgrading,and deepening development.Therefore,exploring and practicing an effective path for the high-quality development of graduate education in aquaculture is not only the key to promoting the transformation of graduate education in aquaculture from scale expansion to quality improvement,but also has immeasurable value for implementing the strategy on developing a quality workforce and the strategy of scientific and technological powerhouse.The high-quality development of graduate education in aquaculture can be promoted from the following aspects:optimizing and improving the construction of the graduate education system,focusing on enhancing the quality of high-level talent cultivation,strengthening the overall strength of the graduate supervisor team,actively promoting the adjustment and upgrading of the disciplinary and professional structure,strengthening the construction of resource platforms and deepening the implementation of collaborative education mechanisms,and continuously expanding and deepening the new pattern of international exchange and cooperation.Through the comprehensive promotion of the above paths,the aim is to fully build a model for the improvement and governance of graduate education quality.
基金supported by the major project of Sichuan Social Science Planning Project“Study on the Realization Path of Promoting Common Prosperity in Sichuan”。
文摘The forest-based wellness industry,as a rapidly growing sector that integrates various business forms with extensive coverage and an extended industrial chain,is undergoing rapid development due to the increasing aging population and people's suboptimal health conditions.As a forerunner in developing the forest-based wellness industry,Sichuan province is known for its early development,proactive efforts,diverse models,and significant impact in this industry.It has achieved certain milestones in terms of top-level design,pilot demonstration,standardized guidance,and public awareness campaigns to promote the development of this industry.Therefore,this paper utilizes Sichuan as a case study to systematically summarize and analyze the key practices made by the province in promoting the rapid development of the industry by investigating the development trajectory of the forest-based wellness industry.Additionally,it examines the development trends of this industry from the perspectives of supply,demand,and consumption.Finally,this paper proposes several measures to facilitate the high-quality development of the forest-based wellness industry.These measures encompass nurturing specialized talent in forest-based wellness,enhancing market players'capabilities in this domain,conducting extensive research on technologies that promote this industry,actively seeking support from relevant policies,and promoting integrated development across diverse sectors.
文摘BACKGROUND Colostomy is important in the treatment of colorectal cancer.However,surgical site wound infections after colostomy seriously affect patients’physical recovery and quality of life.AIM To investigate the ability of high-quality nursing care to prevent surgical site wound infections and reduce post-colostomy complications in patients with co-lorectal cancer.METHODS Eighty patients with colorectal cancer who underwent colostomy at our hospital between January 2023 and January 2024 were selected as research subjects.The random number table method was used to divide the participants into control and research groups(n=40 each).The control group received routine nursing care,while the research group received high-quality nursing care.The differences in indicators were compared between groups.RESULTS The baseline characteristics did not differ between the research(n=40)and control(n=40)groups(P>0.05).The incidences of wound infection,inflam-mation,and delayed wound healing were significantly lower in the research(5.00%)vs control(25.00%)group(P=0.028).The incidence of postoperative complications,including fistula stenosis,fistula hemorrhage,fistula prolapse,peristome dermatitis,urinary retention,pulmonary infection,and intestinal ob-struction,was significantly lower in the research(5.00%)vs control(27.50%)group(P=0.015).In addition,the time to first exhaust(51.40±2.22 vs 63.80±2.66,respectively;P<0.001),time to first bowel movement(61.30±2.21 vs 71.80±2.74,respectively;P<0.001),and average hospital stay(7.94±0.77 vs 10.44±0.63,respectively;P<0.001)were significantly shorter in the research vs control group.The mean Newcastle satisfaction with nursing scale score was also significantly higher in the research(91.22±0.96)vs control(71.13±1.52)group(P<0.001).CONCLUSION High-quality nursing interventions can effectively reduce the risk of wound infections and complications in patients undergoing colostomy,promote their postoperative recovery,and improve their satisfaction with the nursing care received.
文摘The usefulness of telemedicine has been acknowledged because of coronavirus disease 2019,which highlighted it as a prominent and expedient method of delivering healthcare support while ensuring safety.1The implementation of telemedicine can be traced to nearly every corner of the globe,from advanced economies like the USA and Europe to the most remote African villages.Today,telemedicine is widely used in developed nations.
文摘This paper developed a comprehensive evaluation system that was able to quantify the levels of high-quality development across the cities within the Chengdu-Chongqing economic circle,and investigate the impact that digital finance had on the cities’high-quality development and the underlying mechanisms through which it achieved this.This comprehensive evaluation system was constructed using statistical data from these cities for the period 2014 to 2020 while also taking China’s high-quality development philosophy into account.The key findings revealed that:(a)Digital finance was able to significantly promote high-quality development in the Chengdu-Chongqing economic circle;(b)Digital finance had a significant positive effect in promoting innovative,coordinated,green,open,and shared development;(c)Digital finance was able to stimulate the high-quality development in the Chengdu-Chongqing economic circle by boosting entrepreneurial dynamism;(d)Digital finance had a significant impact on the high-quality development of the axis areas,while its impact was less discernible in non-axis areas.The insights from this research offer a deeper understanding of the factors that drive high-quality development,the role digital finance plays,and the mechanisms through which digital finance is able to propel high-quality development at the city cluster scale.
文摘To achieve high-quality economic development,it is imperative to prioritize the real economy and foster new factors for economic growth.Data,as a new factor of production,plays a pivotal role in facilitating the seamless integration between digital technology and the real economy.It possesses inherent attributes and techno-economic characteristics that enable the extraction of value across various processes,including production,transaction,consumption,and regulatory supervision.The integration with digital technology enhances the productivity and efficiency of the real economy by facilitating service sector digitalization,accelerating the growth of the new real economy,and supporting the virtual economy in its role of serving the real economy.At present,unleashing the value of data is hindered by inadequate fundamental systems for the data,a lack of activity in the transaction market,and the underutilization of the data as a factor of production by enterprises in the real economy.Therefore,it is advised that data be fully utilized to develop the real economy through the four-pronged approach of“enhancing support for the high-quality provision of the data,expediting the integration of the data into the real economy,promoting the high-quality development of the real economy,and enhancing public service and governance systems”.
文摘In 2024,the China International Fair for Trade in Services (hereinafter referred to as CIFTIS) opened in the China National Convention Center and Shougang Park on September 12th.The theme of the CIFTIS this time was"global services,shared prosperity",which is not only a window for allowing the world to discover the development of China's service trade,but is also a bridge for promoting global cooperation with regards to the service trade.As one of the world-famous service trade events,the CIFTIS has become an important business card allowing China to open up.The CIFTIS has attracted the attention of the whole world and become a bridge for all parties to share development opportunities,promote industrial growth,and strengthen communication.