Research on the development methodology for clinical practice guidelines for organic integration of traditional Chinese medicine and Western medicine

Integrated traditional Chinese medicine(TCM)and Western medicine(WM)is a new medical science grounded in the knowledge bases of both TCM and WM,which then forms a unique modern medical system in China.Integrated TCM and WM has a long history in China,and has made important achievements in the process of clinical diagnosis and treatment.However,the methodological defects in currently published clinical practice guidelines(CPGs)limit its development.The organic integration of TCM and WM is a deeper integration of TCM and WM.To realize the progression of"integration"to"organic integration",a targeted and standardized guideline development methodology is needed.Therefore,the purpose of this study is to establish a standardized development procedure for clinical practice guidelines for the organic integration of TCM and WM to promote the systematic integration of TCM and WM research results into clinical practice guidelines in order to achieve optimal results as the whole is greater than the sum of the parts.

Teaching Method for Comprehensive English Integration of Grammar-translation Method and Communicative Approach

Comprehensive English is a very basic and important course for English majors,according to the features of the text-book A New English Course,teachers should adopt the integration of grammar translation method and communicative approach to improve students' linguistic competence and communicative competence.

Optimized Operation of Park Integrated Energy System with Source-Load Flexible Response Based on Comprehensive Evaluation Index

To better reduce the carbon emissions of a park-integrated energy system(PIES),optimize the comprehensive operating cost,and smooth the load curve,a source-load flexible response model based on the comprehensive evaluation index is proposed.Firstly,a source-load flexible response model is proposed under the stepped carbon trading mechanism;the organic Rankine cycle is introduced into the source-side to construct a flexible response model with traditional combined heat and power(CHP)unit and electric boiler to realize the flexible response of CHP to load;and the load-side categorizes loads into transferable,interruptible,and substitutable loads according to the load characteristics and establishes a comprehensive demand response model.Secondly,the analytic network process(ANP)considers the linkages between indicators and allows decision-makers to consider the interactions of elements in a complex dynamic system,resulting in more realistic indicator assignment values.Considering the economy,energy efficiency,and environment,the PIES optimization operation model based on the ANP comprehensive evaluation index is constructed to optimize the system operation comprehensively.Finally,the CPLEX solver inMATLABwas employed to solve the problem.The results of the example showthat the source-load flexible response model proposed in this paper reduces the operating cost of the system by 29.90%,improves the comprehensive utilization rate by 15.00%,and reduces the carbon emission by 26.98%,which effectively enhances the system’s economy and low carbon,and the comprehensive evaluation index based on the ANP reaches 0.95,which takes into account the economy,energy efficiency,and the environment,and is more superior than the single evaluation index.

A Study on Integrated Construction of Luzhou Comprehensive Transportation Hub

The target of integrated construction of comprehensive transportation hub is to integrate the traffic resources,achieve butt joint of pan-regional transportation mode,and finally realize the"seamless connection"of the goods and"zero transfer"of the passenger traffic.Relying on the particularity of the geographical location and the convenience of the Yangtze River channel,Luzhou puts forth effort to build a comprehensive transport hub in Southern Sichuan and has made great efforts in traffic infrastructure construction.However,there are still some problems.Combining practice of Luzhou,using the advanced experience of foreign and domestic cities for reference,the paper pointed out that for the sake of constructing a comprehensive transportation hub,we need to build the traffic integration on the basis of the efficiency.Besides,the paper proposed the strategies for construction.

Integration degree of tourism industry based on AHP-fuzzy comprehensive evaluation

By reviewing the traditional measure methods of the integration degree of the tourism industry, we concluded that measure methods of the integration degree of the tourism industry can only be limited to the levels of theoretical analysis due to the defect of the statistical data and the statistical structure. With the help of concept of fusion field and fusion entropy of the tourism industry, a physical model of integration of the tourism industry is established and index system based on AHP is proposed. Using AHP-fuzzy comprehensive evaluation method, the integration degree of Jiangsu and the country's tourism industry are studied. The influencing factors are analyzed and the corresponding countermeasures are proposed.

Research on Knowledge Pluralistic Integration of English Teaching Methodology in Higher Vocational Colleges

For colleges and universities,especially higher vocational colleges,personnel training should focus on the cultivation of inter-disciplinary talents,so as to meet the needs of society and the labor market.This requires pluralistic knowledge integration in the process of teaching.This paper starts from the necessity of knowledge pluralistic integration of English teaching methodology,learns the necessity of the integration and studies the specific pathways and methods of the integration,hoping to provide reference for peers.

BEIJING, TIANJIN AND HEBEI UNDERGO COMPREHENSIVE INTEGRATION

Three years have elapsed since the synergetic development of the Beijing-Tianjin-Hebei(Jing-Jin-Ji)region was first put forward as a major national strategy by Chinese President Xi Jinping in February 2014.Xi called for the coordination and integration of the economic zone surrounding Beijing.Now,a fledging Capital Economic Circle is taking shape.

The First-Order Comprehensive Sensitivity Analysis Methodology (1^st-CASAM) for Scalar-Valued Responses: II. Illustrative Application to a Heat Transport Benchmark Model

This work illustrates the application of the 1st-CASAM to a paradigm heat transport model which admits exact closed-form solutions. The closed-form expressions obtained in this work for the sensitivities of the temperature distributions within the model to the model’s parameters, internal interfaces and external boundaries can be used to benchmark commercial and production software packages for simulating heat transport. The 1st-CASAM highlights the novel finding that response sensitivities to the imprecisely known domain boundaries and interfaces can arise both from the definition of the system’s response as well as from the equations, interfaces and boundary conditions that characterize the model and its imprecisely known domain. By enabling, in premiere, the exact computations of sensitivities to interface and boundary parameters and conditions, the 1st-CASAM enables the quantification of the effects of manufacturing tolerances on the responses of physical and engineering systems.

Strategy and Methodology of Integration Testing for GUI Software

In this paper, by means of effective testing practices, main strategies of integration testing for GUI software, including differentiating strategy for distinguished system, strategy of personnel organization, incremental testing strategy based on baseline version, testing strategy of circulating loop through the whole life, and the strategy of test suite construction, were briefly investigated. Moreover, for the code analysis, the FTA (Fault Tree analysis) is proposed to deal with the software change in regression testing. For test suite constructing, the constructing methods for baseline version and the incremental change are deeply discussed, in which main points focus on the testing strategy based on “Sheet/Form”, the “Grey-box approach” for integration testing process, and the application of the improved STD (State Transform Diagram) in state testing. At the same time, the suite construction of integration testing for two types, including small scale program and large scale software, is analyzed and discussed in detail. For testing execution, the specific method based on “Cross-testing” is investigated. Concurrently, by a lot of examples, all results of testing activity indicate that these strategies and methods are useful and fitted to integration testing for GUI software.

Comprehensive Therapy of Pancreatic Cancer by Integrative Traditional and Western Medicine

In recent 20 years, there has been an increasing trend in the incidence of pancreatic cancer both at home and abroad. An estimated 31 860 new cases and 31 270 deaths are expected to occur in the United States in 2004 due to this disease, the 4th and 5th leading cause of cancer death for men and women respectively. In China, new cases of pancreatic cancer continue to increase and are 6

Effect of comprehensive management combined with cognitive intervention on patient cooperation and complications during digestive endoscopy

BACKGROUND As lifestyles continue to change worldwide,the incidence of digestive tract carcinoma has gradually increased.Digestive endoscopy is an important tool that can assist in the diagnosis,treatment,and surgical intervention for this disease.However,the examination process is affected by many factors,and patient cooperation is often poor,which can increase the risk of complications.AIM To explore the effects of integrated management and cognitive intervention on cooperation and complications in patients undergoing endoscopy for early gastrointestinal neoplasms.METHODS A total of 354 patients with early stage gastrointestinal cancer who underwent digestive endoscopy procedures between January and December 2023 at our hospital were divided into observation and control groups(177 patients in each group)in a randomized controlled blind trial.The control group received routine interventions,while the observation group received comprehensive integrated management combined with cognitive interventions.We compared the changes in adverse mood,discomfort,examination time,cooperation with the examination,and complications before and after the intervention between the two groups.RESULTS The self-rated anxiety and depression scale scores were lower in the observation group than in the control group(P<0.05).The visual analog scale scores for discomfort during intubation and examination were also lower in the observation group than in the control group(P<0.05).Furthermore,the examination time was shorter in the observation group than in the control group(P<0.05),and the degree of cooperation(94.35%)was higher in the observation group than in the control group(84.75%;P<0.05).Lastly,the incidence rates of gastrointestinal adverse reactions(10.17%vs 20.34%),choking agitation(14.69%vs 24.86%),abdominal pain(8.47%vs 18.08%),and muscle tension(5.08%vs 14.12%)were all lower in the observation group than in the control group(P<0.05).CONCLUSION Integrated management and cognitive intervention in early gastrointestinal neoplasm endoscopy alleviate mood,reduce discomfort,shorten examinations,improve cooperation,and reduce complications.

Comprehensive Characterization Model of Integrated Cotton Fiber Quality Index

An integrated cotton fiber quality index （ICFQI） model with cotton fiber qualities which can directly express cotton fiber integrated quality and spinning yarn quality was studied. The fiber length, strength, Micronalre （fiber fineness and fiber maturity）, uniformity of fiber length, and short fiber content are the pivotal indexes expressing ICFQI. All of the results above are the basic knowledge to build up the models of ICFQI. According to spinning consistency index （SCI）, spinning strength and spinning yarn integrated quality, ICFQI was the best choice. As the methods of ICFQI had quite a lot of advantages like explicit mechanism, few independent variables. The integrated fiber quality index had a significant positive correlation with yarn strength and spinning consistency, significant negative correlation with yarn evenness and yarn thin places. In additional, the model of the relationship between ICFQI and SCI was established as： SCI=0. 235 6·ICFQI ＋56.153. It was concluded that ICFQI value was the shared reference index for the testing of fiber inspection agency and the selection and distribution of raw cotton bales by textile mills.

Integrated Evaluation and Its Application on Decision-Making of Comprehensive Transportation Projects

The comprehensive transportation project involves with many different transportation methods, such as railway, highway, waterway, airline, and pipeline, which have their special characteristics. To evaluate the transporta- tion project with different transportation methods under the same system, the integrated evaluation method should be built up on the basis of a common index system. This paper suggests a feasible integrated evaluation method including index system establishing, indices transacting, the index weight distributing, and weighted value integrating.

The Comprehensive and Integrating Design of Subway Visual Communication and Urban Culture

The subway has become an dominant form for public transportation in all the great metropolis. It not only saves energy and time ,but also relieves stress caused by the dense commuting. As a high-effi cient travel mode in modern city, the metro can not only relieve the ground traffi c pressure, but also represents the culture and value of the city, which is the essence of our life. Metro visual communication design of developed countries in the world is almost closely related to the origin of urban culture, then the metro culture with local specialties has been formed. Therefore, comparative research on the situation of metro visual communication design both can induce the integration and regeneration of urban metro visual communication design and urban culture of China, as well as the formation and development of the metro culture.

A Study on Integrated Construction of Luzhou Comprehensive Transportation Hub

The target of integrated construction of comprehensive transportation hub is to integrate the traffi c resources, achieve butt jointof pan-regional transportation mode, and fi nally realize the “seamless connection”of the goods and “zero transfer” of the passenger traffi c.Relying on the particularity of the geographical location and the convenience of the Yangtze River channel, Luzhou puts forth effort to build acomprehensive transport hub in Southern Sichuan and has made great efforts in traffi c infrastructure construction. However, there are still someproblems. Combining practice of Luzhou, using the advanced experience of foreign and domestic cities for reference, the paper pointed out thatfor the sake of constructing a comprehensive transportation hub, we need to build the traffi c integration on the basis of the effi ciency. Besides, thepaper proposed the strategies for construction.

APPLICATION OF INTEGRATED INTELLIGENT METHODOLOGY TO PREDICT STABILITY AND SUPPORTING DECISION IN UNDERGROUND DRIFT

The present study shows that naturally the enormous engineering structure interaction with medium material, geometry or non linearity hazardous simulation experiment, response analysis and computing theory have been regarded as a high level question in the architecture, bridge, tunnel, hydraulic, etc engineering fields.Approaches an integrated intelligent methodology to predict stability and supporting decision in underground drift based on neural network modelling on coal rock mechanical problem is proposed.By the terms of the non linearity numerical simulation, this paper develops integrated intelligent methodology to research on the structure hazardous response strata soft rock drifts.

A"One Engine with Six Gears"System Engineering Methodology for the Economic Development of Unconventional Oil and Gas in China

Unconventional oil and gas resources have become the most important and realistic field for increasing China’s domestic oil and gas reserves and production.At present,the production scale does not match the massive amount of resources and the rapid growth of proven geological reserves.The challenges of technology,cost,management,and methodology restrict large-scale and economic development.Based on successful practices,a"one engine with six gears"system engineering methodology is put forward,which includes life-cycle management,overall synergy,interdisciplinary cross-service integration,marketoriented operation,socialized support,digitalized management,and low-carbon and green development.The methodology has been proved to be effective in multiple unconventional oil and gas national demonstration areas,including the Jimusar continental shale oil demonstration area.Disruptive views are introduced-namely,that unconventional oil and gas do not necessarily yield a low return,nor do they necessarily have a low recovery factor.A determination to achieve economic benefit must be a pervasive underlying goal for managers and experts.Return and recovery factors,as primary focuses,must be adhered to during China’s development of unconventional oil and gas.The required methodology transformation includes a revolution in management systems to significantly decrease cost and increase production,resulting in technological innovation.

Risk Early-Warning Method for Natural Disasters Based on Integration of Entropy and DEA Model

Risk early-warning of natural disasters is a very intricate non-deterministic prediction, and it was difficult to resolve the conflicts and incompatibility of the risk structure. Risk early-warning factors of natural disasters were differentiated into essential attributes and external characters, and its workflow mode was established on risk early-warning structure with integrated Entropy and DEA model, whose steps were put forward. On the basis of standard risk early-warning DEA model of natural disasters, weight coefficient of risk early-warning factors was determined with Information Entropy method, which improved standard risk early-warning DEA model with non-Archimedean infinitesimal, and established risk early-warning preference DEA model based on integrated entropy weight and DEA Model. Finally, model was applied into landslide risk early-warning case in earthquake-damaged emergency process on slope engineering, which exemplified the outcome could reflect more risk information than the method of standard DEA model, and reflected the rationality, feasibility, and impersonality, revealing its better ability on comprehensive safety and structure risk.

Urban Air Quality Plans and Integrated Assessment Methodologies

The air quality directive （2008/50/EC （of the European Parliament and of the Council of 21 May 2008）） requires European Member States to design appropriate AQPs （air quality plans） for zones and agglomerations where the air quality does not comply with the limit values and to assess possible emission reduction measures to decrease concentration levels. The Portuguese agglomeration of Porto Litoral is one of the several European Union urban areas that had to develop and implement AQPs to reduce particulate matter （PM10）. The AQPs were initially designed based on a scenario approach and using an air quality model, which was applied over the study region for the reference situation with the current PM10 emissions, and for a reduction scenario with PM10 emissions re-estimated considering the implementation of abatement measures. Aiming to cost-efficiently optimize Porto Litoral PM10 abatement measures, the assessment procedure was repeated using an optimization approach based on the RIAT ＋ （regional integrated assessment tool ＋）. Porto Litoral urban area＇s technical and non-technical measures were characterized （including associated costs） and, through the application of the air quality model to 20 emissions abatement scenarios, S-R （source-receptor） relationships were created. This paper comparatively describes the air quality plans designed to improve PM10 levels in the Porto Litoral agglomeration based on both the scenario analysis and the optimization approach.

Illustrative Application of the 2^nd-Order Adjoint Sensitivity Analysis Methodology to a Paradigm Linear Evolution/Transmission Model: Reaction-Rate Detector Response

This work continues the illustrative application of the “Second Order Comprehensive Adjoint Sensitivity Analysis Methodology” (2nd-CASAM) to a benchmark mathematical model that can simulate the evolution and/or transmission of particles in a heterogeneous medium. The model response considered in this work is a reaction-rate detector response, which provides the average interactions of particles with the respective detector or, alternatively, the time-average of the concentration of a mixture of substances in a medium. The definition of this model response includes both uncertain boundary points of the benchmark, thereby providing both direct and indirect contributions to the response sensitivities stemming from the boundaries. The exact expressions for the 1st- and 2nd-order response sensitivities to the boundary and model parameters obtained in this work can serve as stringent benchmarks for inter-comparing the performances of all (deterministic and statistical) sensitivity analysis methods.