Motor vehicle accidents (MVAs) are serious social issues worldwide and driver illness is an important cause of MVAs. Minimal hepatic encephalopathy (MHE) is a com- plex cognitive dysfunction with attention deficit, wh...Motor vehicle accidents (MVAs) are serious social issues worldwide and driver illness is an important cause of MVAs. Minimal hepatic encephalopathy (MHE) is a com- plex cognitive dysfunction with attention deficit, which frequently occurs in cirrhotic patients independent of severity of liver disease. Although MHE is known as a risk factor for MVAs, the impact of diagnosis and treatment of MHE on MVA-related societal costs is largely unknown. Recently, Bajaj et al demonstrated valuable findings that the diagnosis of MHE by rapid screening using the inhibitory control test (ICT), and subsequent treatment with lactulose could substantially reduce the societal costs by preventing MVAs. Besides the ICT and lactulose, there are various diagnostic tools and therapeutic strategies for MHE. In this commentary, we discussed a current issue of diagnostic tools for MHE, including neuropsychological tests. We also discussed the advantages of the other therapeutic strategies for MHE, such as intake of a regular breakfast and coffee, and supplementation with zinc and branched chain amino acids, on the MVA-related societal costs.展开更多
Various ＂stakeholders＂ come into being around modern universities. Their emergence is based upon responsibility and contribution of extending university function to social public interest. Definitive stakeholders, e...Various ＂stakeholders＂ come into being around modern universities. Their emergence is based upon responsibility and contribution of extending university function to social public interest. Definitive stakeholders, expectant stakeholders and latent stakeholders constitute the objects of universities achieving their service function. Thus, management mode of universities undertakes exploration and reform. Yet ignoring part of the management status of ＂stakeholders＂ can also affect that universities fulfill their social responsibilities and promote their service functions to some extent.展开更多
The violently penetration of renewables in power supply network leads to situations, by which the offer exceeds the demand. Therefore, it is necessary to include a system for processes＇ management. SmartGrid is a pla...The violently penetration of renewables in power supply network leads to situations, by which the offer exceeds the demand. Therefore, it is necessary to include a system for processes＇ management. SmartGrid is a platform over the power supply network. It is represented with its network and services, which also have to be managed. The paper aims to show the second stage of SmartGrid management modeling. It meets heterogeneous requirements of the actors--subscriber without photovoltaics, subscriber with photovoltaics, service provider, network operator, and network elements operator--to service and network management and is oriented to functional areas, covering the life cycle of power supply service： Design, Planning, Installation, Provision, Configuration, Maintenance, Performance, Accounting, Buying Up, Security and Subscriber Control. Functional models for existing networks--telecommunications--are used and they are adapted to power supply. The results are illustrated with three functional areas for service management： Accounting, Buying Up, and Performance. The synthesis of network management functions and network element management functions are similar.展开更多
文摘Motor vehicle accidents (MVAs) are serious social issues worldwide and driver illness is an important cause of MVAs. Minimal hepatic encephalopathy (MHE) is a com- plex cognitive dysfunction with attention deficit, which frequently occurs in cirrhotic patients independent of severity of liver disease. Although MHE is known as a risk factor for MVAs, the impact of diagnosis and treatment of MHE on MVA-related societal costs is largely unknown. Recently, Bajaj et al demonstrated valuable findings that the diagnosis of MHE by rapid screening using the inhibitory control test (ICT), and subsequent treatment with lactulose could substantially reduce the societal costs by preventing MVAs. Besides the ICT and lactulose, there are various diagnostic tools and therapeutic strategies for MHE. In this commentary, we discussed a current issue of diagnostic tools for MHE, including neuropsychological tests. We also discussed the advantages of the other therapeutic strategies for MHE, such as intake of a regular breakfast and coffee, and supplementation with zinc and branched chain amino acids, on the MVA-related societal costs.
文摘Various ＂stakeholders＂ come into being around modern universities. Their emergence is based upon responsibility and contribution of extending university function to social public interest. Definitive stakeholders, expectant stakeholders and latent stakeholders constitute the objects of universities achieving their service function. Thus, management mode of universities undertakes exploration and reform. Yet ignoring part of the management status of ＂stakeholders＂ can also affect that universities fulfill their social responsibilities and promote their service functions to some extent.
文摘The violently penetration of renewables in power supply network leads to situations, by which the offer exceeds the demand. Therefore, it is necessary to include a system for processes＇ management. SmartGrid is a platform over the power supply network. It is represented with its network and services, which also have to be managed. The paper aims to show the second stage of SmartGrid management modeling. It meets heterogeneous requirements of the actors--subscriber without photovoltaics, subscriber with photovoltaics, service provider, network operator, and network elements operator--to service and network management and is oriented to functional areas, covering the life cycle of power supply service： Design, Planning, Installation, Provision, Configuration, Maintenance, Performance, Accounting, Buying Up, Security and Subscriber Control. Functional models for existing networks--telecommunications--are used and they are adapted to power supply. The results are illustrated with three functional areas for service management： Accounting, Buying Up, and Performance. The synthesis of network management functions and network element management functions are similar.
