On how to Strengthen the Work of Secretarial Work and the Integration of Documents and Archives Management

The development and popularization of information technology, the automation of information management mode has become inevitable, such as secretarial work and document file management. For this reason, clerical, clerical archives management will also face greater challenges, to achieve the above two kinds of work integration, to improve work efficiency is essential.

Integrated geophysical evidence for a new style of continent-continent collision beneath the western Kunlun in the northwestern China

Along the western Kunlun-Tarim-Tianshan geoscience transect in the northwestern China, an integrated geophysical investigation was carried out. Owing to the abominable natural conditions there, the sounding profile could not cross the whole transect, consequentially, a variety of velocity structures in the transverse and vertical orientations beneath the whole transect were not obtained, such as the case within the western Kunlun orogenic belt. To supply a gap of deep seismic soundings within the western Kunlun orogenic belt, we used the Bouguer gravity anomaly data and the relationship between the compressive wave and the density to obtain the density structure of the crust beneath the western Kunlun and the southern Tarim basin by a forward fitting of gravity anomalies within the two-dimensional polygonal model of uniform medium. The crust of the Tarim basin with a rigid basement was like an asymmetrical arc, whose surface feature was the Bachu uplift in the middle of the Tarim basin. Beneath the conjoint area between the Tarim basin and the western Kunlun belt, there was a V-shape structure located just up to the top of the uplifted Moho. The multi-seismological structures jointly revealed that the face-to-face continent-continent collision beneath the western Kunlun is a new structural style within the continent-continent collision zone, which is a real model proved by the numerical modeling.

A Map-Matching Algorithm forGPS/DR Integrated Navigation Systems Basedon Dempster-Shafer Evidence Reasoning

GPS (Global Positioning System) has been widely used in car navigation systems. Most car navigation systems estimate the car position from GPS and DR (dead reckoning). However, the unknown GPS noise characteristic and the unbounded DR accumulation of errors over time make the position information with undesirable position errors. The map matching can improve the position accuracy and availability of the vehicular position system. In this paper, general principle of map matching is investigated according to segmentation and feature extraction, and a map matching algorithm based on D-S (Dempster-Shafer) evidence reasoning for GPS integrated navigation system is proposed, which can find the exact road on which a car moves. For the experiments, a car navigation system is developed with some sensors and the field test demonstrates the effectiveness and applicability of the algorithm for the car location and navigation.

Health Workers’ Documentation Process as a Prerequisite to the Integration of Patient Care at a Regional Referral Hospital in Uganda

Background: Integrated patient care is necessary for better care outcomes. Documentation enhances the integration of care;however, in the Ugandan setting, documentation of care is poor (e.g., omissions and incomplete records) and integration of patient care is not visible. This study presents a review of patient health records that was undertaken to understand documentation of care at a regional referral hospital in Eastern Uganda. This information will help in developing a documentation model to facilitate the integration of patient care in Uganda. Methodology: This retrospective review involved 513 patient health records from the medical-surgical, pediatric, and obstetric/gynecological departments of Jinja Regional Referral Hospital. Data were collected using checklists. Stratified sampling was used to capture variations in ward unit records and identify a fair representation of each department. Data were analyzed with descriptive and inferential statistics. All analyses were performed with SPSS version 22. Results: On average, the study hospital attended to 1000 patients per day and discharged 100 patients per ward unit per month. Our record review showed that documentation by both nurses and doctors was incomplete, and care was fragmented. However, doctors documented care more often than nurses, although the integration of patient care was not evident in doctors’ documentation. Conclusion: To establish integrated patient care, documentation must meet standards set by relevant professional bodies. The findings of this study will inform the development of a feasible documentation model to facilitate the integration of patient care in Uganda.

Build Evidence Chain Relational Model Based on Chinese Judgment Document

The reasoning of judgment documents is the touchstone of justice. Attaching importance to the reasoning of judgment documents is essentially the embodiment of judiciary civilization. In order to promote the reform of judgment documents reasoning and improve the level of it, the technology of automated judgment documents reasoning evaluation has to be studied on. How to build evidence chain relational model is the basis and key to this technology.An approach is proposed to build evidence chain relational model based on Chinese judgment documents. Using automated text preprocessing for Chinese judgment documents creates semi-structured XML documents and extracts evidence set and fact set. The method of key elements extraction is used to obtain the keywords of evidence and facts. Calculating the degree of association can work out the connection points of evidence chain relational model. Tabular display and graphical display of evidence chain relational model can be realized.

Hadoop-Based Similarity Computation System for Composed Documents

There exist a large number of composed documents in universities in the teaching process. Most of them are required to check the similarity for validation. A kind of similarity computation system is constructed for composed documents with images and text information. Firstly, each document is split and outputs two parts as images and text information. Then, these documents are compared by computing the similarities of images and text contents independently. Through Hadoop system, the text contents are easily and quickly separated. Experimental results show that the proposed system is efficient and practical.

Modeling Digital Evidence Management and Dynamics Using Petri Nets

In all phases of forensic investigation, digital evidence is exposed to external influences and coming into contact with many factors. Legal admissibility of digital evidence is the ability of that evidence being accepted as evidence in a court of law. Life cycle of digital evidence is very complex. In each stage there is more impact that can violate a chain of custody and its integrity. Contact with different variables occurs through a life cycle of digital evidence and can disrupt its integrity. In order for the evidence to be accepted by the court as valid, chain of custody for digital evidence must be kept, or it must be known who exactly came into contact with evidence in each stage of the investigation. This paper presents a dynamics and life cycle of digital evidence. The Petri nets will be proposed and used for modeling and simulation of this process.

Enhancing Domain Knowledge with Semantic Models of Web Documents

The paper considers the problem of semantic processing of web documents by designing an approach, which combines extracted semantic document model and domain- related knowledge base. The knowledge base is populated with learnt classification rules categorizing documents into topics. Classification provides for the reduction of the dimensio0ality of the document feature space. The semantic model of retrieved web documents is semantically labeled by querying domain ontology and processed with content-based classification method. The model obtained is mapped to the existing knowledge base by implementing inference algorithm. It enables models of the same semantic type to be recognized and integrated into the knowledge base. The approach provides for the domain knowledge integration and assists the extraction and modeling web documents semantics. Implementation results of the proposed approach are presented.

脑卒中中西医结合防治指南(2023版)

近年来我国脑卒中疾病负担仍持续增长,同时目前中西医结合治疗脑卒中领域涌现出许多新的临床证据。为更好地指导中西医结合防治脑卒中的临床实践,本工作组在《中西医结合脑卒中循证实践指南(2019)》的基础上,开展指南更新必要性评估与临床问题遴选,确定了需要更新的12个临床问题,并以《脑卒中中西医结合防治指南》在中华中医药学会申请立项。参考最新的国内外临床实践指南,基于研究证据的系统检索与客观评价,结合我国中西医临床专家的经验,经过工作组的充分讨论及广泛征求意见,最终形成18条推荐意见,以期为各级医疗机构的医务工作者提供科学、具体的指导,促进中西医结合治疗脑卒中的规范应用,从而降低脑卒中的死亡率、复发率、残疾率。

Herb induced liver injury by Xianling Gubao Tablets: A case assessed for causality using updated RUCAM and integrated evidence chain

Objective:A typical case of Xianling Gubao(XLGB)Tablets-induced liver injury was systematically studied in the clinic and the laboratory.Methods:A patient with herb-induced liver injury(HILI)and a history of taking XLGB Tablets before disease onset was engaged as the study subject,and the case was diagnosed according to the updated Roussel Uclaf Causality Assessment Method(RUCAM)and the integrated evidence chain(iEC)method recommended by the Guidelines for Diagnosis and Treatment of Herb-induced Liver Injury(HILI Guidelines).Results:Clinical history,biochemical indexes and imaging tests were used to exclude the influence of fundamental diseases and confusing liver diseases such as viral,alcoholic and autoimmune liver diseases on the diagnosis.Based on an investigation of the patient’s medication history,she was suspected to have HILI caused by XLGB Tablets,as the patient was only taking an oral preparation of XLGB Tablets,and the influence of other drugs on the diagnosis was excluded.This patient with alanine aminotransferase(ALT)3 upper limit of normal(ULN)and a calculated R of 6 was diagnosed with possible acute drug-induced hepatocellular injury.The relationship was considered“highly probable”(score of 9)using the updated RUCAM of 2016.Moreover,the fingerprint similarity between the preparation taken by the patient and a commercially available preparation was 0.99,suggesting that the patient was consuming XLGB Tablets rather than another drug.LC-MS technology and the Agilent Fake TCM-Drugs database were used to investigate the drug,and no chemical additions were found.Examination of the drug for pesticide residues,heavy metals,aflatoxins and other exogenous substances indicated compliance with the content limits of the Chinese Pharmacopoeia.Conclusion:In summary,the final diagnosis of XLGB-induced liver injury reached the clinical diagnosis of HILI and was acute severe hepatocellular injury type by the updated RUCAM and iEC.Therefore,this study provides scientific evidence regarding the causality evaluation of compound preparations of traditional Chinese medicines-induced liver injury.

A METHODOLOGY FOR INTEGRATED MANAGEMENT SYSTEM

ISO 9000 certification has been considered as an effective competitive edge for manufacturing industries. In Hong Kong, the ISO 9000 certification has been widely adopted and extended to service industries for the sole purpose of enhancing corporate image. However, complaints have been voiced by many certified organizations about increasing paperwork, non direct labour and excessive resources channelled into non core business. This paper is to propound the integrated management system, a single management system focusing on business purpose yet being flexible enough to integrate the requirements of various management standards such as the ISO 9000, ISO 14000 and future ISO 18000. This paper describes how the proposed system could be implemented to achieve the desired business results.

The Importance of Evidence for the Integration of Traditional and Complementary Medicine into Western Healthcare?

Policy makers should consider improving access to treatments normally considered outside of healthcare in the west, particularly given the recent WHO strategy. However, research on integrating traditional and complementary medicines(T&CM) into conventional health care is lacking. T& CM approaches, may provide a cost effective option given the increase in chronic diseases with evidence of effectiveness of T& CM being key if such approaches are to be offered as part of integrative patient care, in most countries, an integrated healthcare approach is unavailable to patients. Evidence based clinical guidelines on T& CM should influence care provision. However evidence that is available may not even be cited. Poor use of evidence may possibly be a reflection of lack of knowledge and/or biases of guideline developers but additionally stakeholders vary in their perceived need for evidence to implement health policy change. Journal editors should focus on publishing high quality manuscripts, with clear rationales, design and reporting frameworks. Researchers should consider carrying out careful feasibility studies prior to conducting trials taking into account the UK Medical Research Council's framework on complex interventions. Examples of feasibility studies highlighting their importance for trial design are given in this paper. If preparation for more definitive studies is conducted this will in turn improve the quality of research being designed, executed and published and subsequently encourage the inclusion of evidence by guideline developers. Robust evidence is necessary in order to inform governments' health policies providing appropriate T&CM interventions which can ultimately help to provide best patient care.

Comparison of Thermo-Structural Responses for Integrated Thermal Protection Panels with Different Corrugated Core Configurations

To explore new light-weight integrated thermal protection system panel configuration and gain good insight into the responses mechanism,heat transfer and structural field analysis for one single-layer and four double-layer corrugated core panels were performed. The obtained the temperature,buckling,stress and deflection responses were compared,and the deflection and stress distributions as well as thermal buckling mode at the time were discussed for the considered configurations when the temperature difference between the top and bottom face sheet was maximum. The results demonstrated that the non-orthogonal and hat-stiffened double-layer structures provide superior performance to resist thermal buckling deformation in comparison with other configurations. The useful information is provided for the forthcoming optimization in which thermal buckling is considered as critical design driver.

循证训练理念下签派员技能全生命周期全动模拟机融合训练研究

为了培养高素质签派员队伍,借鉴飞行员技能全生命周期管理(PLM)体系建设相关理论,结合试点开展的“飞行员-签派员”融合训练,梳理其实施的可行性和必要性,探索签派员整个职业生涯岗位胜任力提升的实施路径。基于循证训练(EBT)理念总结“飞行员-签派员”融合训练的保障机制,为优化签派员训练模式提供参考。

民事证据收集制度之体系化

现行书证提出命令制度与律师调查令、法官调查取证、证据保全等制度叠床架屋的局面造成了体系性混乱。混乱的根源可从外部体系和内部体系两方面解释。在外部体系,书证提出命令及其变种律师调查令制度采大陆法系的“当事人收集/法官指挥”模式,法官调查取证制度及证据保全制度则采“当事人收集/法官收集”模式,二者都是整体性的证据收集制度解决方案,功能相同而互相排斥。就内部体系,两种模式背后的原则分别为“司法主导”和“司法替代”,这二者之间也很难通约。为实现证据收集制度的体系化,应采“司法主导原则”及“当事人收集/法官指挥”模式,具体路径包括扩张文书提出命令制度、充实证据保全制度和增设法官职权命令取证制度。

清水江流域民族交往交流交融的多层面例证——《贵州清水江文书·剑河文书》代序

剑河县档案馆藏有近两万件契约文书,系清水江文书的重要组成部分。由于剑河县历史时期属于“生苗地界”,其地产生的契约文书等民间历史文献,较之清水江下游天柱、锦屏等地,更具备民族交往交流交融之特征。不管是时间脉络,还是内容书写,无不展示了一幅生动的民族交往交流交融图景。当然,其文献价值和现实意义,也会随着文书的出版,而逐渐显现出来。

一种基于多分类器和证据理论融合的水质分类方法

针对单分类器对不同水质类别识别不均衡、水质分类准确率较低、适应性较差的问题,提出一种基于多分类器和证据理论融合的水质分类方法。选取深度神经网络分类器、改进支持向量机分类器和贝叶斯分类器3种分类器,通过全概率公式构建信度函数,基于证据理论对信度函数进行融合,获得多分类器融合模型。从国家地表水水质自动站发布的2022年3月1—22日水质数据中选取3 558条数据为样本集,采用DNN水质分类模型、PSO-SVM水质分类模型、贝叶斯水质分类模型和多分类器融合模型对待测样本进行测试。结果表明:多分类器融合模型对水质类别判定的平均准确率、精确率、召回率和F1值分别为94.2%、93.8%、94.2%和94.0%。相较于DNN水质分类模型、PSO-SVM水质分类模型、贝叶斯水质分类模型,多分类器融合模型准确率分别提高5.6%、9.8%和13.6%,精确率分别提高5.2%、10.0%和10.9%,召回率分别提高5.6%、9.8%和13.6%,F1值分别提高5.4%、10.2%和12.3%,多分类器融合模型在水质分类方面的准确性和适应性更高。