Visual analysis of shared medical appointments based on CiteSpace

Objective:Analyze the research hotspots and frontiers of shared outpatient service,and provide a reference for researchers in this field to carry out follow-up research.Methods:Search the Web of Science core collection database until 2022 and visually analyzekeywords in this field through CiteSpace5.8.R3 software,Results:A total of 261 iteratures were included.The research focuses mainly on advanced care planning,diabetes care,andgroup prenatal care,The research trend tends to be telemedicine and nursing provided by specialized nurses.Conclusion:Scholars can learn from the research hotspots of foreign shared medical appointments,pay attention to the research trend,expand its application scope in combination with China's national conditions,and further promote thedevelopment of shared medical appointments in China.

Design and Implementation of Clinic Appointment Registration System

Clinic Appointment Registration System is an important way to see a doctor, and it’s also a preliminary tool for storage and management of clinic medical records. This new system was developed using Visual Studio 2008 and C#.NET as the development environment and tools and Microsoft Access 2003 as the database to store the medical data based on Browse/Server (B/S) model. The system consists of several data operation functions including appointment registration, data management (e.g. addition, deletion and searching), data backup and recovery, etc., thus, achieve key research ob-jectives.

Appointment of Dr. Xue-Long JIANG as the Associate Editor-in-Chief of Zoological Research

We are very pleased to announce that we have invited Dr. Xue-Long JIANG to serve as the Associate Editor-in-Chief for Zoological Research （ZR）, effective from 1 March, 2016. Dr. JIANG, Professor and principle investigator from the Laboratory of Mammal Ecology and Evolution, Kunming Institute of Zoology, Chinese Academy of Sciences, has worked with ZR since 2006 as a member of the editorial board and has played an active and important role in maintaining ZR as a respected academic publishing platform. Currently, he also works as the Associate Editor-in-Chief of Acta Thefiologica Sinica, Mammal Research and as a senior editorial board member of Biodiversity Science.

Appointment of Dr. Wai-Yee Chan as the Associate Editor-in-Chief of Zoological Research

We are very pleased to announce that we have invited Dr. Wai-Yee Chan, Professor and Director of School of Biomedical Sciences, The Chinese University of Hong Kong, to serve as the Associate Editor- in-Chief for Zoological Research （ZR）, effective 1 September, 2016.

Quantum Algorithm for Appointment Scheduling

Suppose a practical scene that when two or more parties want to schedule anappointment, they need to share their calendars with each other in order to make itpossible. According to the present result the whole communication cost to solve thisproblem should be their calendars’ length by using a classical algorithm. In this work, weinvestigate the appointment schedule issue made by N users and try to accomplish it inquantum information case. Our study shows that the total communication cost will bequadratic times smaller than the conventional case if we apply a quantum algorithm in theappointment-scheduling problem.

The impact of out-of-pocket expenditures on missed appointments at HIV r care and treatment centers in Northern Tanzania

Background:Missed clinic appointments negatively impact clinic patient flow and health outcomes of people living with HIV(PLHIV).PLHIV likelihood of missing clinic appointments is associated with direct and indirect expenditures made while accessing HIV care.The objective of this study was to examine the relationship between out-of-pocket(OOP)health expenditures and the likelihood of missing appointments.Method:Totally 618 PLHIV older than 18 years attending two HIV care and treatment centres(CTC)in Northern Tanzania were enrolled in the study.Clinic attendance and clinical characteristics were abstracted from medical records.Information on OOP health expenditures,demographics,and socio-economic factors were self-reported by the participants.We used a hurdle model.The first part of the hurdle model assessed the marginal effect of a one Tanzanian Shillings(TZS)increase in OOP health expenditure on the probability of having a missed appointment and the second part assessed the probability of having missed appointments for those who had missed an appointment over the study period.Results:Among these 618 participants,242(39%)had at least one missed clinic appointment in the past year.OOP expenditure was not significantly associated with the number of missed clinic appointments.The median amount of OOP paid was 5100 TZS per visit,about 7%of the median monthly income.Participants who were separated from their partners(adjusted odds ratio[AOR]=1.83,95%confidence interval[CZ]:1.11-8.03)and those aged above 50 years(AOR=2.85,95%CI:1.01-8.03)were significantly associated with missing an appointment.For those who had at least one missed appointment over the study period,the probability of missing a clinic appointment was significantly associated with seeking care in a public CTC(P=0.49,95%CI:0.88-0.09)and aged between>25-35 years(P=0.90,95%CI:0.11-1.69).Conclusion:Interventions focused on improving compliance to clinic appointments should target public CTCs,PLHIV aged between>25-35 years,above 50 years of age and those who are separated from their partners.

Reinforcement⁃Learning⁃Based Appointed⁃Time Prescribed Performance Attitude Control for Rigid Spacecraft

This paper addresses a geometric control algorithm for the attitude tracking problem of the rigid spacecraft modeled on SO(3).Considering the topological and geometric properties of SO(3),we introduced a smooth positive attitude error function to convert the attitude tracking issue on SO(3)into the stabilization counterpart on its Lie algebra.The error transformation technique was further utilized to ensure the assigned transient and steady state performance of the attitude tracking error with the aid of a well⁃designed assigned⁃time performance function.Then,using the actor⁃critic(AC)neural architecture,an adaptive reinforcement learning approximator was constructed,in which the actor neural network(NN)was utilized to approximate the unknown nonlinearity online.A critic function was introduced to tune the next phase of the actor neural network operation for performance improvement via supervising the system performance.A rigorous stability analysis was presented to show that the assigned system performance can be achieved.Finally,the effectiveness and feasibility of the constructed control strategy was verified by the numerical simulation.

Making an Appointment

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Keeping an Appointment With Death The Final Contribution of a Woman Doct

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高血压患者规范管理与家医签约一体化的现况调查

目的了解北京市月坛地区高血压患者进行家医签约的一般现状,探索高血压管理与家医签约的整合现况,为提高高血压管理效率、促进家医签约服务的可持续发展探索切合社区实际工作的方法。方法采用现况调查的方法,对2022年6—8月在月坛社区卫生服务中心进行电子签约家医服务的高血压患者进行问卷调查。问卷包括基本情况、高血压诊疗服务及需求、高血压知识知晓情况及家医签约服务满意度。结果在签约家医服务的高血压患者中,失眠和使用降压药物种类对血压的控制差异有统计学意义(P<0.05)。高血压患者对高血压相关用药知识的知晓率为20.45%,对其危险因素的知晓率为43.18%,对其并发症的知晓率为33.64%。高血压患者且对诊疗预约服务和微信服务有较大需求。高血压患者对原有家医签约服务满意度得分的中位数为93分。结论应积极控制高血压患者的失眠情况及使用降压药物的种类,充分利用家医签约服务微信群及时增强诊疗预约和健康教育能力,促进高血压管理与家医签约的充分融合。

高校“非升即走”制度下教师权益保障困境及破解路径

随着“非升即走”成为我国高等学校教师聘任的主流制度,高校教师的权益保障问题在人事制度改革和相关立法中的重要性和紧迫性日益凸显。结合理论研究和司法实践来看,我国高校教师面临的权益保障困境主要表现为“学术青椒”的尴尬:在“非升即走”聘用合同签订前,高校教师的法律身份模糊;在签订合同时,高校教师的主体性尤其是平等参与权缺失;在履行合同中,高校教师权利救济渠道不畅。这些问题的主要原因在于“学术锦标赛”的异化:高校人事管理的相关法律内容模糊、高校办学自主权边界不清和“非升即走”制度的价值偏离。破解“非升即走”制度下高校教师权益保障的现实困境的关键在于学术生态的优化:国家层面应明确“非升即走”聘用合同是“具有行政要素的劳动合同”的法律属性,重构高校教师“兼具公权与私权性质的特殊劳动者”的法律身份,完善高校教师聘任的相关法律体系;高校层面应重塑“非升即走”的制度价值,充分发挥制度的激励和促进作用,完善“非升即走”制度内容及配套措施,健全教师权益保障机制。

某三甲肿瘤专科医院年轻干部选拔任用工作实践及探索

为了探索适合高校附属医院年轻干部选拔、培养、考核机制与路径,为年轻干部选拔任用工作提出建议,本研究以某高校附属三级甲等肿瘤专科医院年轻干部选拔任用工作为例,通过文献研究、定性研究和定量研究,分析该专科医院年轻干部选拔任用工作的现状,探索医院选拔任用年轻干部的机制。研究结果显示该医院对年轻干部的选拔、任用和培养工作十分重视,已经建立了系统完备、科学规范、有效管用的年轻干部选拔培养考核制度和机制,以保障医院高质量发展需要,为医院的长远发展提供有力的干部人才支撑。

基于管理平台的护理实验室课后开放使用的质性调查

为了解学生对基于网上预约平台管理的护理实验室课后开放的真实体验,以及学生对实验室开放的需求,采用目的抽样方法选取北京中医药大学27名护理专业本科学生为研究对象进行深入访谈,采用现象学Colaizzi七步分析法对访谈资料进行整理分析。调查表明,当前学生对护理实验室开放有较好体验,并给予积极肯定,但需要进一步关注学生的需求,未来应在预约平台小组预约方式、预约时限、系统智能化设置等方面进一步改进以满足学生的个性化需求。

基于随机规划模型的不准时门诊治疗预约实践研究

目前许多门诊治疗预约安排均假设病人准时到达。然而,不准时是一个常见现象,导致部分病人无法及时更换伤口敷料,促使病人伤口持续发炎。因此,通过建立一个随机规划模型解决不准时门诊治疗预约调度不准时问题(OS-U)。进一步比较OS-U系统和严格准时(OS-P)系统的性能,通过使用Benders分解结合样本平均近似(BD-SAA)技术解决OS-U问题。试验结果表明,在考虑不准时的情况下,预约规则会发生变化,OS-P系统在一个疗程开始时将前两名病人安排在一起,而OSU系统则将他们安排在不同的预约时间,且OS-U系统可以有效降低I型错误和II型错误。研究结果可为不准时门诊治疗预约实践提供参考依据。

城市大气颗粒物中锑污染研究进展

随着工业化和城市化发展,高强度人类活动及锑化合物的广泛使用使城市大气环境中锑污染日趋严重。进入大气中的锑能长时间驻留并随大气环流进行长距离迁移造成跨区域污染。鉴于锑对人体的潜在毒性及致癌性,城市大气环境锑污染引起学术界和国家相关部门的高度重视,然而目前国内关于大气环境中锑的研究仍处于初期阶段。对城市大气颗粒物中锑的来源、污染特征、源解析等方面进行综述,在此基础上对大气环境中锑污染来源、迁移转化过程研究中的锑同位素应用前景进行展望,为进一步开展城市大气颗粒物锑污染研究、防治和环境管理提供参考。

医院在线挂号管理系统设计

针对病人挂号时间长、效率低的问题,文章基于B/S架构设计并实现了医院在线挂号管理系统.通过测试发现,该系统反应速度快、使用简单,可解决上述问题,具有较好的应用前景.

基于统一身份认证的实验室远程预约机制设计

实验室远程预约存在节点负载不均衡问题,导致预约出错次数多、预约时间差大。面对该问题,设计了基于统一身份认证的实验室远程预约机制。创新性地在统一身份认证约束条件下计算预约所需时间和预约信息平均负载,通过调整负载的方差和算术平方根值,判断分配预约任务数,达到远程预约节点负载均衡调度的目的。根据远程预约节点负载均衡调度结果,计算并更新实验综合受益总分,设计实验室远程预约机制。根据远程预约客户端与预约时间差值,判定远程预约有效性。通过计算增益误差校正控制值,校正预约时间差。测试结果表明,所设计机制预约出错次数最大仅为18次,最大时间差仅为1 min,有效降低了实验室远程预约的出错效率。

非家族股东超额委派董事与企业会计信息质量——来自上市家族企业的经验证据

如何认识股东超额委派董事这一行为,切实规范董事会决策机制,已成为公司治理领域亟待解决的问题。现有研究主要探讨了控股股东超额委派董事对企业经济决策行为的影响,鲜有文献从非控股股东超额委派董事的视角展开讨论。鉴于此,本文以2008—2021年我国上市家族企业为研究对象,深入考察非家族股东超额委派董事与企业会计信息质量之间的关系。研究发现,非家族股东超额委派董事会降低企业会计信息质量。机制分析表明,非家族股东超额委派董事会加剧第一类代理冲突,进而导致企业会计信息质量下降。进一步研究发现,当内部控制质量较低、企业处于非数字化转型期、外部审计监督较弱、地区市场化进程较慢时,非家族股东超额委派董事对企业会计信息质量的负向影响更显著。经济后果分析表明,非家族股东超额委派董事降低了会计信息质量,由此增加了企业股价崩盘风险,即会计信息质量在两者之间具有部分中介作用。