Whole-process case management effects on mental state and selfcare ability in patients with liver cancer

BACKGROUND Regarding the incidence of malignant tumors in China,the incidence of liver cancer ranks fourth,second only to lung,gastric,and esophageal cancers.The case fatality rate ranks third after lung and cervical cancer.In a previous study,the whole-process management model was applied to patients with breast cancer,which effectively reduced their negative emotions and improved treatment adherence and nursing satisfaction.METHODS In this single-center,randomized,controlled study,60 randomly selected patients with liver cancer who had been admitted to our hospital from January 2021 to January 2022 were randomly divided into an observation group(n=30),who received whole-process case management on the basis of routine nursing mea-sures,and a control group(n=30),who were given routine nursing measures.We compared differences between the two groups in terms of anxiety,depression,the level of hope,self-care ability,symptom distress,sleep quality,and quality of life.RESULTS Post-intervention,Hamilton anxiety scale,Hamilton depression scale,memory symptom assessment scale,and Pittsburgh sleep quality index scores in both groups were lower than those pre-intervention,and the observation group had lower scores than the control group(P<0.05).Herth hope index,self-care ability assessment scale-revision in Chinese,and quality of life measurement scale for patients with liver cancer scores in both groups were higher than those pre-intervention,with higher scores in the observation group compared with the control group(P<0.05).CONCLUSION Whole-process case management can effectively reduce anxiety and depression in patients with liver cancer,alleviate symptoms and problems,and improve the level of hope,self-care ability,sleep quality,and quality of life,as well as provide feasible nursing alternatives for patients with liver cancer.

The Development Trend of Enterprise Business Administration and the Innovation of Management Mode

In the context of the new period,the continuous growth of social and economic levels and the rapid update of information technology have significantly impacted the business management of Chinese enterprises,presenting substantial challenges.The intensification of market competition exerts development pressure on many enterprises,and coupled with the unstable strength of some businesses,numerous problems in business management arise.These issues hinder the smooth execution of various business activities.Therefore,it is crucial to ensure effective business administration to conduct different business activities in an orderly manner,promptly avoid adverse risks,and strengthen control over multiple factors.The innovation and improvement of business administration are of great significance for enhancing the management level and market competitiveness of modern enterprises,accelerating their healthy development,and creating numerous opportunities.Consequently,this paper analyzes and explores the development trends of enterprise business administration and the innovation of management models for reference.

Application of Whole-Process Management in Day Surgery for Endometrial Polyp

Objective:To explore the effect of whole-process management model in nursing management of endometrial polyp day surgery.Methods:266 patients that underwent endometrial polyp day surgery from January to December 2022 were selected for this study,and they were separated into an observation group(131 patients)and a control group(135 patients);the clinical data of the two groups were compared.Results:After intervention,the scores of Hamilton Anxiety Scale(HAM-A)of the patients in the observation group were lower than those in the control group(P<0.05).The rate of postoperative complications in the observation group was lower than that in the control group(P<0.05),and the satisfaction degree of the patients in the observation group was higher than that in the control group(P<0.05).Conclusion:The application of the whole-course management model in endometrial polyp day surgery can alleviate patients’anxiety,ensure the quality and safety of day surgery nursing,and improve patients’satisfaction.

Influences of Family Ranches Management Mode on Plant Community Characteristic in Hulunber Meadow Steppe

[Objective] The aim was to explore the management mode on optimal re-sources al ocation of family ranch in meadow steppe. [Method] Three double repre-sentative family ranches were selected in meadow steppe of Hulunber Old Barag Banner, and the study was carried out with the baseline survey. Three family ranches were selected as the demonstrative households for the corporation study, while other three family ranches with the similar conditions were looked as the non-demonstrative households for the comparison. Demonstrative households of the fami-ly ranches reduced the stocking rate, optimized the flock structure and took a winter feeding and other means to explore the different management models on plant com-munity characteristic of family ranch. [Result] The seasonal dynamic of community characteristic in family ranches showed the single-peaks curves. The seasonal dy-namics of community coverage, height and biomass in the demonstrative households showed higher compared with the non-demonstrative households, and community density in the experiment households was lower than that of the control experiment households. Community coverage, height and biomass of degraded grassland in family ranch have a great improve after optimization of management. Community coverage, height , density and biomass were increasing in fencing plot, but decreas-ing in free grazing area. Enclosure improved grassland coverage, vegetation height, density and forage yield. Leymus chinensis played an important role in plant com-munity. The important values of Leymus chinensis, Stipa baicalensis, Cleistogenes squarrosa, and Carex duriuscula were high. Leymus chinensis important value in the demonstrative households of optimal management was higher than that in the non-demonstrative households, and Carex duriuscula important value of the non-demon-strative households was significantly higher than that of the demonstrative house-holds. The indexes of Margalef richnes,Shannon-Wiener diversity, Simpson diversity and Pielou uniformity showed that the demonstrative households were higher than the non-demonstrative households. [Conclusion] The research provides theoretical ref-erences for sustainable development of pastures dominated by family ranch.

Effects of Different Management Modes on Yield and Nutrient Efficiency of Ginger

In order to establish high-yield and high-efficient cultivation technology for ginger in the central region of Shandong Province, the effects of different manage-ment modes on yield of ginger, nutrient efficiency and soil nitrate were carried out by field experiment. Four management modes were farmer convention mode, high yield and high efficiency mode, super high yield mode and super high yield and high efficiency mode, in which farmer convention mode was local farmers ’ conven-tional cropping methods, the other three management modes were optimized combi-nations of al management measures under a certain goal of increasing yield and efficiency. The results were as fol ows： ginger yield and nitrogen fertilizer efficiency under such three optimized management measures combinations as high yield and high efficiency mode, super high yield mode and super high yield and high efficien-cy mode were al higher than these of farmer convention mode, moreover, com-pared with farmer convention mode, the yield increased by 11.85%, 25.75% and 23.34%, respectively, and nitrogen fertilizer efficiency increased by 47.94%, 11.24%and 33.14%, respectively. Thereinto, the yield under super high yield mode were the greatest,and nitrogen fertilizer efficiency under high yield and high efficiency mode was the highest.

Comparative Study and Inspiration of Management Mode of Heritage Tourist Attractions in China and Foreign Countries

In order to improve the management level of heritage tourist attractions and achieve their sustainable development,a comparative study has been conducted on the management mode of heritage tourist attractions in China and foreign countries from the perspective of management foundation,management objects and management resources.Then,suggestions have been proposed from the ideology and supervision mechanism,including improving ideology,upgrading management system,completing supervision mechanism and adopting international management mode.Particularly,the paper has pointed out that it should find the best management mode based on different social and economic backgrounds of the countries of heritage tourist attractions.

Study on Management Mode of Rural Tourist Spots Based on Community Participation——A Case Study of Agricultural Ecological Park

In accordance with the development mode of agricultural ecological park,the paper proposed close-ended management mode at the initial stage of operation and open-ended management mode at the middle and latter stage of operation,so as to provide reference for sustainable development of agricultural ecological garden.

Effect of medical care linkage-continuous management mode in patients with posterior circulation cerebral infarction undergoing endovascular interventional therapy

BACKGROUND Acute cerebral infarction is a severe type of ischemic stroke that can be divided into anterior circulation cerebral infarction and posterior circulation cerebral infarction(PCCI).PCCI affects the structure of the posterior circulation brain,because posterior part of the brain,which has more complex anatomical structures and more prone to posterior circulation vascular variation.Therefore,improving the prognosis of PCCI patients is necessary.AIM To explore the effect of medical care linkage-continuous management mode(MCLMM)on endovascular interventional therapy(EIT)for PCCI.METHODS Sixty-nine patients with PCCI who received EIT and conventional nursing intervention were selected as the control group,and 78 patients with PCCI who received EIT and MCLMM intervention were selected as the observation group.The incidence of postoperative complications,compliance and disease selfmanagement behavior after six months of intervention,modified Rankin scale(mRS)and Barthel index(BI)scores in the acute phase and after one year of intervention,and recurrence within one year were compared between the two groups.RESULTS The total incidence rate of postoperative complications in the observation group(7.69%)was lower than that in the control group(18.84%)(P<0.05).The scores for medical compliance behavior(regular medication,appropriate diet,and rehabilitation cooperation rates)and disease self-management behavior(self-will,disease knowledge,and self-care ability)in the observation group were higher than those in the control group(P<0.05).After one year of intervention,in the observation group,the mRS score was significantly lower,and the BI score was significantly higher than those in the control group(P<0.05).The recurrence rate within one year in the observation group(3.85%)was significantly lower than that in the control group(13.04%)(P<0.05).CONCLUSION MCLMM can reduce the incidence of complications after EIT for PCCI,improve patient compliance behavior and disease self-management ability,and promote the recovery of neurological function.

Impact of failure mode and effects analysis-based emergency management on the effectiveness of craniocerebral injury treatment

BACKGROUND Craniocerebral injuries encompass brain injuries,skull fractures,cranial soft tissue injuries,and similar injuries.Recently,the incidence of craniocerebral injuries has increased dramatically due to the increased numbers of traffic accidents and aerial work injuries,threatening the physical and mental health of patients.AIM To investigate the impact of failure modes and effects analysis(FMEA)-based emergency management on craniocerebral injury treatment effectiveness.METHODS Eighty-four patients with craniocerebral injuries,treated at our hospital from November 2019 to March 2021,were selected and assigned,using the random number table method,to study(n=42)and control(n=42)groups.Patients in the control group received conventional management while those in the study group received FMEA theory-based emergency management,based on the control group.Pre-and post-interventions,details regarding the emergency situation;levels of inflammatory stress indicators[Interleukin-6(IL-6),C-reactive protein(CRP),and procalcitonin(PCT)];incidence of complications;prognoses;and satisfaction regarding patient care were evaluated for both groups.RESULTS For the study group,the assessed parameters[pre-hospital emergency response time(9.13±2.37 min),time to receive a consultation(2.39±0.44 min),time needed to report imaging findings(1.15±4.44 min),and test reporting time(32.19±6.23 min)]were shorter than those for the control group(12.78±4.06 min,3.58±0.71 min,33.49±5.51 min,50.41±11.45 min,respectively;P<0.05).Pre-intervention serum levels of IL-6(78.71±27.59 pg/mL),CRP(19.80±6.77 mg/L),and PCT(3.66±1.82 ng/mL)in the study group patients were not significantly different from those in the control group patients(81.31±32.11 pg/mL,21.29±8.02 mg/L,and 3.95±2.11 ng/mL respectively;P>0.05);post-intervention serum indicator levels were lower in both groups than pre-intervention levels.Further,serum levels of IL-6(17.35±5.33 pg/mL),CRP(2.27±0.56 mg/L),and PCT(0.22±0.07 ng/mL)were lower in the study group than in the control group(30.15±12.38 pg/mL,3.13±0.77 mg/L,0.38±0.12 ng/mL,respectively;P<0.05).The complication rate observed in the study group(9.52%)was lower than that in the control group(26.19%,P<0.05).The prognoses for the study group patients were better than those for the control patients(P<0.05).Patient care satisfaction was higher in the study group(95.24%)than in the control group(78.57%,P<0.05).CONCLUSION FMEA-based craniocerebral injury management effectively shortens the time spent on emergency care,reduces inflammatory stress and complication risk levels,and helps improve patient prognoses,while achieving high patient care satisfaction levels.

Nitrogen and Phosphorus Loss Law and Emission Reduction Effects Under Water and Fertilizer Management Integrated Mode in Dike Paddy Field

To achieve the purpose of reducing farm non-point source pollution, we integrated site specific nitrogen management precise irrigation, controlled drainage, and wetland eco-repair system in dike area of Taihu basin. During investigation, it had given prominence for the water and fertilizer coupling effects of precise irrigation and site specific nutrient management, the characteristics of integration on controlled irrigation, controlled drainage and wetland ecosystem non-point source pollution control. Then the water and fertilizer integrated management mode of paddy field was put forward in Taihu basin where the water production efficiency increased to 1.64 kg. m-3, water saved 37.8%, fertilizer use efficiency raised 15,4%, yield raised 10%, and N, P load decreased 26%-72%. The modern agricultural and farmland ecosystems that control and cut down the farm non-point source pollution came into being, which can be a reference by Taihu basin to control its agricultural non-point source pollution and eutrophicated water body.

Base Station Energy Management in 5G Networks Using Wide Range Control Optimization

The traffic activity offifth generation(5G)networks demand for new energy management techniques that is dynamic deep and longer duration of sleep as compared to the fourth generation(4G)network technologies that demand always for varied control and data signalling based on control base station(CBS)and data base station(DBS).Hence,this paper discusses the energy management in wireless cellular networks using wide range of control for twice the reduction in energy conservation in non-standalone deployment of 5G network.As the new radio(NR)based 5G network is configured to transmit signal blocks for every 20 ms,the proposed algorithm implements withstanding capacity of on or off based energy switching,which in-turn operates in wide range control by carrying out reduced computational complexity.The proposed Wide range of control for base station in green cellular network using sleep mode for switch(WGCNS)algorithm toon and off the base station will work in heavy load with neighbouring base station.For reducing the overhead duration in air,heuristic versions of the algorithm are proposed at the base station.The algorithm operates based on the specification with suggested protocol-level to give best amount of energy savings.The proposed algorithm reduces 40%to 83%of residual energy based on the traffic pattern of the urban scenario.

Simulation research of energy management strategy for dual mode plug-in hybrid electrical vehicles

In this paper, a plug-in hybrid electrical vehicle(PHEV) is taken as the research object, and its dynamic performance and economic performance are taken as the research goals. Battery charge-sustaining(CS) period is divided into power mode and economy mode. Energy management strategy designing methods of power mode and economy mode are proposed. Maximum velocity, acceleration performance and fuel consumption are simulated during the CS period in the AVL CRUISE simulation environment. The simulation results indicate that the maximum velocity and acceleration time of the power mode are better than those in the economy mode. Fuel consumption of the economy mode is better than that in the power mode. Fuel consumption of PHEV during the CS period is further improved by using the methods proposed in this paper, and this is meaningful for research and development of PHEV.

Research on the Teaching Mode of Entrepreneurial Project Management General Courses

Under the background of "the Belt and Road" and "Internet +", innovation and Entrepreneurial education in colleges and universities has been pushed to the focus of education. The opening of the course 3.0 "Entrepreneurial Project Management" in General Studies course of Wuhan University is an innovative education mode under the requirements of the background of the times. The development of network information technology in the new era has brought about the subversion and reform of teaching mode. This paper first analyzes the problems and present situation of the teaching of Entrepreneurial project management, introduces the characteristics of the teaching mode, and makes effective research and exploration on the three teaching modes of Entrepreneurial project management, in order to provide reference for the curriculum teaching reform and to promote the teaching effect of innovation and Entrepreneurial courses in colleges and universities.

Research on the Yunnan Small and Medium-sized Enterprise Economic Management Mode Innovation under Micro Business Environment

In this paper, we conduct research on the Yunnan small and the medium-sized enterprise economic management mode innovation under micro business environment. Small industrial clusters become the root cause of the important characteristics in today’s world economic development and so to speak, with the international competitiveness of industry cluster, which is the important guarantee of stay ahead in the developed countries and districts, the basic carrier of developing countries play a comparative advantage is the basis of transition countries achieve success across the industry. Under the impetus of the practice of the industrial cluster, constantly enrich and deepen the industrial cluster theory, formed the theoretical system of the system. Our research combines the theory of the micro business environment to propose the new business pattern that is meaningful.

Management Mode of Rural Credit Cooperatives

Cooperative financing, with existing problems involving legal person man-agement and property supervision is highly demanded by farmers in China. It is fea-sible to explore a shareholding system to resolve the management mode issue of rural credit cooperatives in order to introduce investments, formulate the right struc-ture for rational stock and to establish effective monitoring mechanism for property right. Hence, information issuing would be reinforced and a rural credit cooperative would be established to be a modern financial enterprise with transparent property rights.

Research on Teaching Mode of "Entrepreneurial Project Management" Course based on Flipped Classroom

Under the background of the era of “mass entrepreneurship and innovation”, innovation and entrepreneurship education in colleges and universities has been promoted to the focus of educational work. The establishment of self-improvement and entrepreneurship class in Wuhan University is an innovative education mode under the requirement of "Double Creation" education. The development of network information technology in the new era has given rise to the subversion and reform of teaching models. The appearance of flipped classrooms has broken the barrier of traditional education and provides a new train of thought for innovation and entrepreneurship teaching model reform in colleges and universities. This paper takes the self-improvement entrepreneurship class of Wuhan University as an example, introduces the flipped classroom into the course of "Entrepreneurial Project Management", and analyzes the application process of the flipped classroom in the course teaching from three aspects: before class, during class and after class, in order to provide a reference for the curriculum teaching reform and promote the teaching effect of innovation and entrepreneurship courses in colleges and universities.

Fever Outpatient Service of General Hospital Applies “1 + 3 + 3” Emergency Management Mode to Deal with COVID-19 Pandemic

Purpose: To discuss the effect of “1 + 3 + 3” emergency management mode to deal with COVID-19 pandemic in fever outpatient service of general hospitals. Method: This paper analyzes and summarizes the problems encountered by fever outpatient service in dealing with the COVID-19 pandemic from three aspects of “One Team”, “Three-Key” Control and “Three Mosts”. Results: The application of “1 + 3 + 3” emergency management mode can effectively boost the orderliness and efficiency of fever outpatient service in dealing with COVID-19 pandemic. Conclusion: The “1 + 3 + 3” emergency management mode provides a new management mode and idea for dealing with COVID-19 pandemic, so the fever outpatient service of general hospitals can better improve the national overall anti-pandemic situation.

Study on green power supply modes for heavy load in Remote Areas

In this study,the present situation and characteristics of power supply in remote areas are summarized.By studying the cases of power supply projects in remote areas,the experience is analyzed and described,and the applicability of related technologies,such as grid-forming storage and power load management,is studied,including grid-connection technologies,such as grid-forming converters and power load management.On this basis,three power-supply modes were proposed.The application scenarios and advantages of the three modes were compared and analyzed.Based on the local development situation,the temporal sequences of the three schemes are described,and a case study was conducted.The study of the heavy-load power supply mode in remote areas contributes to solving the problem of heavy-load green power consumption in remote areas and promoting the further development of renewable energy.

The TDCPR Management Mode of Engineering Equipment

The Three Gorges Project is a very large project, and its structure is very complex. International advanced engineering equipment is broadly used. The state of equipment running directly influences project building qualities and limited time. According to the factual conditions of the Three Gorges Project, the characteristics of engineering equipment are analyzed. At the same time, some theories about equipment management are induced, and the TDCPR management mode of engineering equipment of the Three Gorges Project is put forward in order to gain the aim of managing and using equipment well and speeding up the project construction.

Application effect of safety hazard self-examination mode in nursing risk management in hepatobiliary surgery

Objective:To explore the application effect of safety hazard self-examination mode in nursing risk management in hepatobiliary surgery.Methods:Sixty patients underwent hepatobiliary surgery in two tertiary hospitals in Shandong Province from May 2021 to October 2021.According to the different implementation time,they were divided into 30 cases in the observation group and 30 cases in the control group.The control group adopts routine risk assessment,and the observation group adopts the self-examination mode of potential safety hazards on the basis of routine risk assessment to compare the incidence of nursing risk between the two groups.Results:The observation group had a significantly lower incidence of safety hazards in terms of missing surgical instruments,lack of aseptic operation,and postoperative pressure injuries than the control group(P<0.05).Conclusion:The appropriate hazard self-examination mode in the hepatobiliary operation room is of positive significance to improve the safety awareness of operating staff and the comprehensive ability of operating room nurses.