中医三早管理理念在肿瘤科管理中的应用

目的:探讨中医三早管理理念在肿瘤科管理中的效果。方法:选择2019~2020年的64例肿瘤科住院患者为研究对象,随机均分为对照组与观察组各32例。对照组按照医院护理工作要求进行护理管理,观察组于对照组基础上采用中医三早管理理念进行护理管理。比较两组患者的心理状态、治疗依从性、满意度。结果:干预后两组患者的抑郁、焦虑评分显著低于干预前(P<0.05),干预后观察组焦虑、抑郁评分显著低于对照组(P<0.05)。观察组患者治疗依从性,显著高于对照组(P<0.05)。观察组患者对护理工作的满意度,显著高于对照组(P<0.05)。结论:中医三早管理理念应用于肿瘤科护理管理中,可稳定患者情绪,促使其积极接受治疗,从而有利于病情的稳定,提高其满意度。

“一天之计在于晨”--浅谈班主任如何高效、智慧管理初中学生早自习

早自习的管理主要分为三个板块:一是作业收交、卫生打扫板块(7:20至7:30),二是自主朗读板块(7:30至7:40),三是任课老师管理板块(7:40至8:00)。班主任可通过以下三个措施高效、智慧地管理早自习:培养班干部核心队伍,教会学生做事方法和提高学生做事效率;给予学生自主学习权利,营造良好氛围;明确学习任务,早自习前及时检测。

柚树高位换种三红蜜柚及其早结丰产的管理技术

高接换种是利用原有树木嫁接优良品种三红蜜柚,在多年生沙田柚、蜜柚、文旦柚树体上进行高接换种,缩短了三红蜜柚果树的营养生长期,有效提早1~2a进入结果盛期。是品种结构调整,满足市场需求,能快速实现品种更新的技术。对高接换种后三红蜜柚加强和改进栽培技术,以达到早结丰产目的。

创新早会管理在门诊服务中的效果评价

目的以“晨”建设“精神”,改变护士行为认知,促进良好的工作行为习惯,树立团队意识、规范意识,安全意识,实现服务共赢。方法早会管理“精神”内涵建设包括及时到,集中思、集中想、集中做,服务目标设定。结果门诊咨询护士服务有效投诉事件人次、抽血护士针刺伤人次、穿刺点淤血发生人次。结论门诊早会管理,培养门诊护士规范意识,强化集体团队意识,能够提高团队服务效率,是打造门诊品牌服务的可以持续探索路径,值得进行大力推广。

高校学生党员发展要在“早”字上下功夫

高校大学生党员发展工作,是高校党建工作重要内容,是培养"又红又专"合格人才的战略选择。当前,应当对发展学生党员工作高度重视,要在"早"字上下功夫,努力做到对青年大学生党员发展的早启发、早培养、早发展、早管理。

地膜烤烟“三早”栽植技术和推广应用

地膜烤烟“三早”栽植技术和推广应用葛树明马丽君（平凉地区气象局７４４０００）针对平凉地区发展烤烟支柱产业连续４年受挫情况，我们在多年研究的基础上，从开发利用气候资源角度出发，通过定向研究西北烟区烤烟生态环境微气候调控技术，采用早春人工气候补偿措施，将...

“80天”早熟花生栽培技术

“80天”早熟花生,是定州市农家良种,生育期80天,可于6月15～20日播种,9月中旬收获。它株矮,株高20cm,秆硬不倒,亩产250公斤左右,果较小,粒较圆,出油率30％。其栽培技术是:

新疆棉花生产技术现状与存在的问题

新疆自然生态条件总体较好,棉区种植规模稳定在165万hm2左右,总产量335万t左右,棉花纤维品质优,是世界重要的陆地棉与海岛棉产区。新疆棉花有完善的种植管理技术体系,该体系包括"矮、密、早"核心技术和以地膜覆盖、适宜品种选择、滴灌技术应用、果棉间作等的配套技术,可充分利用当地光、热、水、土资源,克服新疆棉区生态条件不足部分,实现新疆棉花高产、稳产与优质目标,无疑新疆棉花种植技术水平较高,对世界其他棉区棉花生产有重要的参考价值。同时针对新疆棉花生产中存在的问题,特别是水资源短缺、自然灾害严重、植棉成本快速上升、以及过多依靠化肥、地膜投入等问题,文中提出进一步加大节水灌溉技术推广力度、完善抗灾与全程机械化等技术措施,并在文中针对棉花现有收储政策存在的弊端进行了分析。

“三早”管理方法减少昏迷患者压疮的应用意义

目的：探究在昏迷患者中应用“三早”管理方法对于减少患者压疮发生的临床价值，并在临床工作中进行推广使用。方法选取在我院进行治疗的昏迷患者100例，分为观察组和对照组两组，每组50例，对照组患者应用常规护理方法进行护理，观察组患者在此基础上应用“三早”管理方法进行护理，对患者压疮的发生率进行统计，并调查患者的满意度，然后进行比较。结果在入院15 d和30 d，两组患者压疮发生率相比，观察组均低于对照组，差异具有统计学意义（P＜0．05）。两组患者压疮预后相比，观察组与对照组差别不大，差异不具有统计学意义（ P＞0．05）。而从护理满意度来看，观察组护理满意度明显高于对照组护理满意度，差异具有统计学意义（ P＜0．05）。结论对于昏迷的患者来说，在应用常规护理的基础上，引入“三早”护理的管理理念，及早评估、及早确认和及早报告，对于减少患者压疮的发生率效果显著，而且患者满意度较高，具有重要的临床应用价值。

Cost-effectiveness analysis of early veno-venous hemofiltration for severe acute pancreatitis in China

AIM： To determine the most cost-effective hemofiltration modality for early management of severe acute pancreatitis （SAP） in China. METHODS： We carried out a search of Pub-Medline and Chinese Biomedical Disk database. Controlled clinical trials on Chinese population were included in the analysis. The four decision branches that were analyzed were： continuous or long-term veno-venous hemofiltration （CVVH/LVVH）, short-term veno-venous hemofiltration （SVVH）, SVVH plus peritoneal dialysis （PD）, and non-hemofiltration control group. The effectiveness of the technique was determined by survival rate, complications prevention and surgery preservation. The total cost of hospitalization was also assessed. RESULTS： The SVVH only technique was the least costly modality, $5809 （44449 RMB）, and was selected as the baseline treatment modality. SVVH only arm achieved the lowest C/E ratio in terms of overall survival, complications prevention and surgery preservation. In incremental cost-effectiveness analysis, the CWH/ LVVH only and the control arms were inferior to other techniques. Sensitivity analysis showed SVVH only and SVVH plus PD arms overlapped in C/survival ratio. CONCLUSION： The role of early veno-venous hemofiltration as an alternative therapy for SAP remains controversial. However, we propose that early use of short-term high-volume veno-venous hemofiltration would have a beneficial impact on the management of SAP.

Behavioral and physiological flexibility are used by birds to manage energy and support investment in the early stages of reproduction

Interest in phenotypic flexibility has increased dramatically over the last decade, but flexibility during reproduction has received relatively little attention from avian scientists, despite its possible impact on fitness. Because most avian species maintain atrophied reproductive organs when not active, reproduction in birds requires major tissue remodeling in preparation for breeding. Females undergo rapid （days） recrudescence and regression of their reproductive organs at each breeding attempt, while males grow their organs ahead of time at a much slower rate （weeks） and may maintain them at maximal size throughout the breeding season. Reproduction is associated with significant metabolic costs. Egg production leads to a 22%-27% increase in resting metabolic rate （RMR） over non-reproductive values. This is partly due to the activity of the oviduct, an organ that may allow females to adjust reproductive investment by modulating egg size and quality. In males, gonadal recrudescence may lead to a 30% increase in RMR, but the data are inconsistent and general conclusions regarding energetic costs of reproduction in males will require more research. Recent studies on captive female zebra finches describe the impacts of these costs on daily energy budgets and highlight the strategies used by birds to maintain their investment in reproduction when energy is limited. Whenever possible, birds use behavioral flexibility as a first means of saving energy. Decreasing locomotor activity saves energy during challenges such as egg production or exposure to cold temperatures and is an efficient way to buffer variation in individual daily energy budgets. However, when behavioral flexibility is not possible, birds must rely on flexibility at the physiological level to meet energy demands. In zebra finches breeding in the cold, this results in a reduced pace of laying, likely due to down-regulation of both reproductive and non-reproductive function, allowing females to defend minimal egg size and maintain reproductive success. More research involving a range of species in captive and flee-living conditions is needed to determine how phenotypic flexibility during tissue remodeling and early reproductive investment translates to natural conditions and affects fitness [Current Zoology 56 （6）： 767-792, 2010].

Early administration of branched-chain amino acid granules

The effect of malnutrition on survival in patients with decompensated liver cirrhosis has not been well defined. Nutritional intervention with branched-chain amino acid (BCAA) can increase serum albumin concentration in patients with decompensated cirrhosis but its effects on survival are unclear. The BCAA to tyrosine ratio (BTR) is a surrogate marker (the normal range of BTR is between 4.41 and 10.05, and a Fischer's ratio of 1.8 corresponds to a BTR of 3.5) in patients with decompensated liver cirrhosis, and BCAA inhibits hepatic carcinogenesis in patients with compensated cirrhosis. This review discusses data regarding the effect of early administration of BCAA granules based on the ratio of BCAA to BTR on prognosis in patients with cirrhosis.

Biological Early Warning and Emergency Management Support System for Water Pollution Accident

Water pollution accidents such as chemical spill and toxicants leach have become a serious issue in the world, which brings great threats to the aquatic ecosystem and drinking water safety. To detect unknown pollutions in time and take proper emergency actions, this study developed a system which integrated an online intelligent water quality monitoring device with a high efficient water quality model. The device is based on water quality probes and biological sensors which use fish motion as indicator. The numerical model is a combination of Euler and Lagrangian approaches. Finite element method is applied to simulate the flow field in an unstructured grid, and the pollutant be- haviours are traced through particle tracking. Oracle is used to manage the basic and monitoring data, and ArcSDE as well as ArclMS technologies are applied to make the system WebGIS-based so as to improve the data receiving and dispatching efficiency. The developed system has been successfully operated in Douhe Reservoir and Taihu Lake, China, where drinking water intakes are installed. It is seen from the applications that the online intelligent water qual- ity monitoring and emergency support system can be of great support to emergency management.

Biliary cysts:Etiology,diagnosis and management

Biliary cysts(BC) are rare dilatations of different parts of a biliary tract.They account for approximately 1% of all benign biliary diseases.BC occur the most frequently in Asian and female populations.They are an important problem for pediatricians,gastroenterologists,radiologists and surgeons.Clinical presentation and management depend on the BC type.Cholangiocarcinoma is the most serious and dangerous BC complication.The other complications associated with BC involve cholelithiasis and hepatolithiasis,cholangitis,acute and chronic pancreatitis,portal hypertension,liver fibrosis and secondary liver cirrhosis and spontaneous cyst perforation.Different BC classifications have been described in the literature.Todani classification dividing BC into five types is the most useful in clinical practice.The early diagnosis and proper treatment are very important,because BC are associated with a risk of carcinogenesis.A malignancy risk increases with the age.Radiological investigations(ultrasonography,computed tomography,endoscopic retrograde cholangiopancreatography and magnetic resonance cholangiopancreatography) play an important role in BC diagnostics.Currently,prenatal diagnosis using ultrasonography is possible.It allows to differentiate biliary disorders in fetals and to perform the early surgical treatment that improves results.In most patients,total cyst excision with Roux-Y hepaticojejunostomy is the treatment of choice.Surgical treat-ment of BC is associated with high success rate and low morbidity and mortality.The early treatment is associated with a lower number of complications.Patients following BC surgery require permanent and careful postoperative observation using laboratory and imaging investigations because of possibility of biliary anastomosis stricture and biliary cancer in tissue remnant.

Early Stage Software Reliability Estimation with Stochastic Reward Nets

This paper presents software reliability modeling issues at the early stage of a software development for fault tolerant software management system. Based on Stochastic Reward Nets, an effective model of hierarchical view for a fault tolerant software management system is put forward, and an approach that consists of system transient performance analysis is adopted. A quantitative approach for software reliability analysis is given. The results show its usefulness for the design and evaluation of the early-stage software reliability modeling when failure data is not available.

Philosophical Foundations of Business Ethics： French Philosophy and Social Theory in Relation to Ethics and Philosophy of Management

This article gives an overview of my book French Philosophy and Social Theory. A Perspective for Ethics and Philosophy of Management, published by Springer 2014. As an extension of my earlier work on French philosophy, this book provides an application of important concepts from contemporary French philosophy to business ethics and the ethics of organizations. Although the book covers a wide range of philosophers and philosophical movements, there is a core and deep unity of the book. This is the demonstration of how the conceptual resources of contemporary French philosophy from the early 20th Century to the present day can be applied to give us new perspectives on business ethics and the ethics of organizations.

Early Water Quality Modeling with Minimal Data to Support Management Decisions： A Case Study of Aguamilpa Reservoir

This paper presents a case study that demonstrates how models can be used to support water management decisions before sufficient data to verify the model are available. In developing areas, and for new reservoirs, extensive data for model calibration and validation are often not available. As a case study we developed a CE-QUAL-W2 model of Aguamilpa Reservoir using minimal data and used the model to create a data acquisition plan to support early planning decisions. We based the model on a two-year period and compared the model results to data recently collected with our acquisition plan. We present how we developed and used the model to design the data acquisition plan which identifies and collects data to update and calibrate the model to support future decisions. We show that a minimally calibrated model based on scarce data can support management decisions and be the first step in a spiral engineering approach to system management. Spiral engineering uses models and data to both support early decisions and to iteratively improve this information to support subsequent decisions and models. This case study can be used as a guide for developing water quality models with minimal data and uses the models to support early decision requirements.

Vasculogenic mimicry in non-small cell lung cancer and its relationship with tumor stage

Objective： The purpose of the study was to study the mechanism of vasculogenic mimicry （VM） and its relationship with tumor stage in non-small cell lung cancer （NSCLC）. Methods： Forty-two patients with NSCLC were collected, 19 belonged to the early stage （stages Ⅰ ＋Ⅱ） while 23 were late stage （stages Ⅲ ＋ Ⅳ）. Moreover, 20 patients got surgical treat ment and 22 got chemotherapy. We studied the relationship of VM with stage, chemotherapeutic effect, HIF-la, microves sel density （MVD） and clinicopathologic features. Results： VM in patients of early stages were significantly more than late stages （68.4% vs 26.1%, P = 0.006）, and the positive rate of VM was proportional to HIF-la （P = 0.034）. But no correlation was found between VM and chemotherapeutic effect （14.3% vs 26.7%, P = 1.00） or MVD （P 〉 0.05）. Furthermore, we found VM also showed a negative correlation with distant metastases and lymph nodes metastases （P 〈 0.05） while no correlation was found with other clinicopathologic. Conclusion： VM was generated during the early stage in NSCLC and correlated with lymph nodes metastases. As the disease progressed, VM may be replaced by vascular endothelial cells, so the late-stage patients especially people with distant metastases had fewer VM. As the main factor produced by hypoxia, HIF-la may make a difference in VM formation. Thus we inferred VM might be a new target for targeted therapy, and could provide help for clinical staging and treatment.

Identifying the Factors for Ensuring Customers Actively Engaged in Smart Grids

Smart grids are expected to become an essential component of the future energy system. The technical potential of smart grids is far reaching and increasingly well understood, and smart grids are now in the early phases of market deployment in several regions, particularly, in Europe and the US. Less understood than the technical aspects is how and to what degree end users （i.e. the customers） are willing and able to embrace smart grid technologies and the changes in mindset associated with this transition. This article reports the main findings from an lEA （International Energy Agency）-DSM （demand side management） project addressing the role of customers in a smart grid deployment scheme, specifically how customer behavior may restrict the technical potential of smart grids from being realized. With a model of household energy behavior as the theoretical point of departure, the research builds on experiences from various smart grid pilot studies, together with consumer research within similar domains, to identify behavioral challenges that are likely to hamper adoption of＂smart grid behaviors＂. Based on this insight, a set of recommendations to minimize customer resistance to smart grid deployment is suggested.