自制水枕联合体位管理在预防早产儿头颅畸形中的应用研究

目的探讨自制水枕联合体位管理在预防35周内早产儿医源性非骨缝闭合性头颅畸形中的临床效果。方法选取2016年11月至2017年12月入住滨州市人民医院新生儿室,胎龄<35周、入院时头颅无畸形的早产儿140例,按随机原则分为对照组和实验组,对照组72例,实验组68例。对照组患儿使用鸟巢,观察组在鸟巢内放置自制水枕,并根据患儿病情定时改变体位。比较两组患儿发生头颅畸形、呼吸暂停、误吸/窒息、血氧饱和度、心率改变例数,以及患儿30 d后体质量增长等。结果两组早产儿头颅畸形发生率、呼吸暂停发生率及体重增长对比差异有统计学意义(P <0.01),而误吸/窒息、血氧饱和度及心率改变发生率对比差异无统计学意义(P> 0.05)。结论水枕联合体位管理能有效降低35周内早产儿医源性非骨缝闭合性头颅畸形发生率,减少呼吸暂停次数,体质量增长更快,对早产儿的生长发育起着积极作用。

自制糖尿病饮食管理器在空巢老年血糖控制不佳糖尿病患者中的应用价值研究

背景现阶段,老年糖尿病患者普遍存在血糖控制不佳、治疗依从性差等情况。饮食与血糖控制情况息息相关,研究如何管理糖尿病患者的饮食对改善患者的预后具有重要意义。目的观察自制糖尿病饮食管理器在空巢老年血糖控制不佳糖尿病患者中的应用效果。方法回顾收集2018年2—10月在甘肃中医药大学第三附属医院接受治疗且完成随访的60例空巢老年血糖控制不佳糖尿病患者的病历资料,作为传统组;收集2019年2—10月在甘肃中医药大学第三附属医院接受治疗且完成随访的60例空巢老年血糖控制不佳糖尿病患者的病历资料,作为管理器组。传统组接受传统常规健康教育,管理器组接受自制糖尿病饮食管理器健康教育,均干预6个月。分别对比干预前、干预6个月后两组血糖、自我管理能力〔采用糖尿病自我管理行为量表(SDSCA)评估〕;观察并记录两组干预期间并发症发生情况及再入院情况。结果干预6个月后,两组空腹血糖、餐后2 h血糖、糖化血红蛋白水平低于干预前,且管理器组均低于传统组,差异有统计学意义(P<0.05);两组饮食自我管理、运动自我管理、血糖自我监测及按医嘱用药评分均优于干预前,且管理器组均优于传统组,差异有统计学意义(P<0.05);两组均未发生周围神经和大血管病变,且管理器组糖尿病视网膜病变、糖尿病肾病发生率及再入院率均低于传统组,差异有统计学意义(P<0.05)。结论基于自制糖尿病饮食管理器开展饮食健康教育在空巢老年血糖控制不佳糖尿病患者中的应用效果较好,可明显提高患者自我管理能力、改善患者血糖水平、降低并发症发生率及再入院率,临床应用价值高。

自制备件管理方法三则

一、自制备件计划的控制 自制备件计划是最经常、最活跃的备件活动之一。它主要由设备管理目标和维修的阶段性动态指导推动,即计划工作（编制、跟踪和统计）的过程总是伴随着信息的采集和处理,并决定着备件管理的状况。 自制备件计划一旦实施,纸上文字即成有价物质,责任和份量不言自明。因此,计划时除应有明确的目标外,还应对计划中每一零件做详细调查,只有通过大量数据的佐证,才能有效控制零件过量储存、重复生产或误生产的盲目行为。此外,计划下达不等于计划实现,因计划工作过程中有众多部门的参加,其中内部出现这样或那样的问题,都会扰乱备件计划正常执行并引发信息变化或失踪,由此造成企业不同程度的损失。加之备件本身品种繁多、加工周期长、消耗与储存多变的影响。

“放手”,给学生一片蓝天——浅谈小学生班级管理与自制

小学生班级管理自制目的在于实现学生不用他人教育,而能自己教育自己,自己管理自己,提高教育管理的实效。树立＂以人为本＂思想,倡导民主管理,最大限度调动学生参与管理的积极性,解放学生的个性与创造性。让学生在学习中自我约束,自觉意识到自我管理的必要性,使班级一日生活＂人人有事干,事事有人干,时时有事干＂。

行政自制的维度分析

对行政自制的维度分析为我们从多元化的角度观察行政自制提供了视角。根据制约主体与被制约主体的关系,可以将行政自制划分为自己自制、参与型自制和管理与监督型自制三个维度。自己自制是指作为独立行政机关的法人之自我规制。参与型行政自制是指行政机关在自我规制的过程中听取和采纳他制主体的意见和建议,进而作出行政决策和行政行为。三维行政自制是指行政机关在作出行政行为的过程中必须接受另一行政权的监督和制约。

物理教学与班级管理——略谈班主任视角下的初中物理教学策略

现下的初中学校,班主任大都身兼多职,除了负责日常的班级管理事务外,还承担着教学的重任。而随着新时期教育教学革命的展开,如何统筹好班级管理和学科教学的关系,实现两者的双效益成为当下班主任迫切需要解决的问题。在这种情况下,从"合作学习""班级自制管理"和"实验管理教学"三个方面着手,结合自身的教学实践经历,以班主任的角度,就物理教学与班级管理的有效结合策略表达一下自己的见解,旨在起到抛砖引玉的效果,希望对广大教学同仁有所启发。

中职学校班团干部队伍建设的有效措施——以电子专业班级为例

在班级管理中,班团干部是班主任的得力助手,是班级管理的主要力量。一个班集体班风、学风的好坏与班团干部队伍建设的好坏关系密切。在中职学校,尤其是整班都是男生的电子专业班级,要做好班主任工作,管好班级,压力很大。本文结合中职学校电子专业班级现状和学生特点,重点分析班团干部队伍建设的有效措施。

自制护理风险管理表格在普外科中的应用效果及价值

目的对自制护理风险管理表格用于普外科护理管理中对护理质量及护理安全应的影响进行研究,证实自制护理风险表格管理的价值.方法：选取2011 年3 月-2013 年3 月间我院普外科26 名护理人员护理的220 例择期手术患者为研究对象.按照实施自制护理风险管理量表管理前后将其分为观察和对照两个研究组,每组110例.并对两组研究对象的护理质量、护理安全性及患者护理满意率等情况进行组间比较及统计学分析.结果：观察组护理达标102 例,未达标8 例,总达标率为92.7%高于对照组81.8%的达标率,且具有显著性差异性（P〈0.05）;观察组因护理发生不良事件10 例,不良事件发生率为9.09%优于对照组19.1%的不良事件发生率,且具有显著性差异性（P〈0.05）;观察组的患者满意率为99.1%明显优于对照组,且具有显著性差异性（P〈0.05）.结论：自制护理风险护理表格用于普外科护理管理中,能够提高护理质量,改善安全性,提高护理满意率,从而减轻患者痛苦,改善护患关系,具有显著的临床价值,适合临床推广应用.

认知雷达及其关键技术研究进展

认知雷达系统是将先验知识及周边环境因素有机相结合,通过交互学习来感知环境,并通过对发射机和接收机进行相关调整来适应当前环境变化,有效地完成预定目标的动态闭环系统。本文就认知雷达及其关键性技术研究进展情况进行了简要的论述,并展望了认知雷达的未来发展方向。

Professional nurses’facilitation of self-care in intensive care units:A concept analysis

Objective:This article aims to provide an in-depth analysis of the concept of self-care in the intensive care unit and outline its defining attributes,antecedents,consequences and empirical referents.Methods:The literature was searched electronically using databases such as CINAHL,Medline,Psych INFO,ERIC,ScienceDirect,Amed,EBSCO(Health Source:Nursing and Academic Edition),Sage,Ujoogle and Google Scholar.Articles from 2013 to 2020 were searched to target recent and up-to-date information about the definitions,attributes,antecedents and consequences of the concept of self-care.Walker and Avant’s framework was utilised to analyse the concept of self-care.Results:The results of the concept analysis identified seven attributes,namely process,activity,capability,autonomous choice,education,self-control and interaction.The seven identified antecedents are self-motivation,participation,commitment,resources,religious and cultural beliefs,social,spiritual and professional support,and the availability of time.The consequences are the maintenance of health and wellbeing,autonomy,increased self-esteem,disease prevention,empowerment,increased social support and the ability to cope with stress.

Involvement of pancreatic and bile ducts in autoimmune pancreatitis

AIM：To examine the involvement of the pancreatic and bile ducts in patients with autoimmune pancreatitis. METHODS： Clinical and cholangiopancreatographic findings of 28 patients with autoimmune pancreatitis were evaluated. For the purposes of this study, the pancreatic duct system was divided into three portions： the ventral pancreatic duct, the head portion of the dorsal pancreatic duct; and the body and tail of the dorsal pancreatic duct. RESULTS： Both the ventral and dorsal pancreatic ducts were involved in 24 patients, while in 4 patients only the dorsal pancreatic duct was involved. Marked stricture of the bile duct was detected in 20 patients and their initial symptom was obstructive jaundice. Six patients showed moderate stenosis to 30%-40% of the normal diameter, and the other two patients showed no stenosis of the bile duct. Although marked stricture of the bile duct was detected in 83% （20/24） of patients who showed narrowing of both the ventral and dorsal pancreatic ducts, it was not observed in the 4 patients who showed involvement of the dorsal pancreatic duct alone （P = 0.0034）. CONCLUSION： Both the ventral and dorsal pancreatic and bile ducts are involved in patients with autoimmune pancreatitis.

浅谈认知雷达及其关键技术

认知雷达系统是将先验知识及周边环境因素有机相结合,通过交互学习来感知环境,并通过对发射机和接收机进行相关调整来适应当前环境变化,有效地完成预定目标的动态闭环系统。本文就认知雷达及其关键性技术研究进展情况进行了简要的论述,并展望了认知雷达的未来发展方向。

Network Traffic Signature Generation Mechanism Using Principal Component Analysis

The Deep Packet Inspection(DPI)method is a popular method that can accurately identify the flow data and its corresponding application.Currently,the DPI method is widely used in common network management systems.However,the major limitation of DPI systems is that their signature library is mainly extracted manually,which makes it hard to efficiently obtain the signature of new applications.Hence,in this paper,we propose an automatic signature extraction mechanism using Principal Component Analysis(PCA)technology,which is able to extract the signature automatically.In the proposed method,the signatures are expressed in the form of serial consistent sequences constructed by principal components instead of normally separated substrings in the original data extracted from the traditional methods.Extensive experiments based on numerous sets of data have been carried out to evaluate the performance of the proposed scheme,and the results prove that the newly proposed method can achieve good performance in terms of accuracy and efficiency.

The expression of the jigging bed porosity and its realizing of the computer detection system

This paper proposes the expression of the jigging bed porosity based on the jumping height of the jigging bed and water wave. This kind of expression can help to realize the jigging process automation and intelligence. The computer detection system is also developed.

MicroRNAs in tumor stem cells

MicroRNAs （miRNAs） are a class of non-coding RNAs that are believed to have a significant role in tumorigenesis and cancer metastasis. Cancer stem cells play a major role in tumor recurrence, metastasis, and drug resistance. Research has shown that miRNAs can promote or inhibit the sternness of cancer stem cells and regulate the differentiation and self-renewal of cancer stem cells. In this article, the phenotype and regulatory mechanisms of miRNAs in cancer stem cells will be described, together with an explanation of their potential role in tumor diagnosis and treatment.

Application of workflow technology for workshop scheduling

This paper attempts to solve the complexity of scheduling problems and meet the requirement of the ever-changing manufacturing environment. In this paper, a new Workflow-Based Scheduling System (WBSS) is proposed. The integration of Workflow Management System (WfMS) and rule-based scheduler provides us an effective way of generating a task-sheet according to the states of system and the scheduled objects. First, the definition of workflow model for scheduling is proposed, and following are the architecture and mechanism of the proposed WBSS. At last, an application is given to show how the established system works.

Research on Human Resource Management in the ＂Internet plus＂ Era

Today＇s society has entered the Intemet era, the Internet technology has brought great changes to all walks of life.With the development of＂Internet plus＂,traditional industry, service industry and business have to make the appropriate changes to meet the demand of the ＂Internet plus＂ era.Similarly,human resource management has to face new challenges in ＂Intemet plus＂ era.This paper expounds the characteristics of＂Internet plus＂ era and the changes brought to the human resource management,put forward the idea that human resources management should make changes to meet the demand of the ＂Internet plus＂ era from three aspects：big data,decentration and staff self management,establishing a new talent incentive mechanism.

Internet Addiction of College Students from the Psychological Perspective

With the rapid development of network, the phenomenon of Internet addiction is prevalent on campuses, which has produced a variety of negative effects on college students in terms of learning, living, working and so on. In recent years, there are many research literatures on Internet addiction overseas, covering all aspects of this psychological phenomenon. Moreover, domestic research on Internet addiction started late. In the light of the fact that college students do not have clear understanding on hazards of Interact addiction, it generally shows their self- control is poor. They do not believe they can control their behavior and results and give up taking responsibility for the results and tend to agree network identity. Based on this phenomenon, we propose the network psychological source control concept. In view of the close contact between the excessive use of the network and the individual time management, this study selected the time dimension of personality characteristics on Internet addiction as another influencing factor, and explored the integrated influence of the psychological source control to Internet addiction.

Animal Behavior in a Fully Automatically Controlled Dairy Farm

As there are increasing numbers of small farms in Germany, it is necessary for them, to keep the workload as small as possible by enhancing the use of automatism. Important as those energetic-technical capabilities and features in a modem dairy farm are, the final decision when using automatic machinery depends on the animal itself and its behavior. As a result, all animal-physiological criteria, animal protection and animal welfare have to be taken into consideration. Therefore tests have been done to investigate dairy cattle behavior on suddenly occurring energy failures, fluctuations or postponements due to a load management. The experiments have been taken in four different stables. In each stable, 12 ＂focus cows＂ have been selected. Their daily stress response was measured by a heart rate monitor and faecal cortisol metabolites. Video observation showed modifications in behavior, escape or avoidance reactions; pedometers recorded the movement activity. These scientific experiments will demonstrate cattle behavior in situations driven by a power load management, but no statistically significant effects on the usual daily routine are being expected.