Imperative for long-term management and surveillance in Kawasaki disease

Kawasaki disease(KD)is a significant pediatric vasculitis known for its potential to cause severe coronary artery complications.Despite the effectiveness of initial treatments,such as intravenous immunoglobulin,KD patients can experience long-term cardiovascular issues,as evidenced by a recent case report of an adult who suffered a ST-segment elevation myocardial infarction due to previous KD in the World Journal of Clinical Cases.This editorial emphasizes the critical need for long-term management and regular surveillance to prevent such complications.By drawing on recent research and case studies,we advocate for a structured approach to follow-up care that includes routine cardiac evaluations and preventive measures.

Feasibility assessment of LID concept for stormwater management in China through SWOT analysis

The strengths weaknesses opportunities and threats SWOT analysis method is applied to assess the feasibility of traditional stormwater management and low impact development LID in China.The results show that traditional stormwater management has many disadvantages e.g.only stormwater collection and discharge or flooding peak-flow regulation is taken into consideration but lack of many important functions such as on-site infiltration non-point pollution control ecological treatment etc.Meanwhile as a new stormwater management concept the LID system has many advantages e.g.LID can not only control rainwater quantity but also effectively prevent non-point pollution. Moreover LID is easy for implementation and cost effective and operation and management can also be done easily.LID has attracted more and more attention from governmental authorities at different levels and the majority of practitioners. Therefore LID has bright prospects for wide applications in China.

Evolution of Air Traffic Management Concept of Operations and Its Impact on the System Architecture

The air traffic management system(ATM)has the task of ensuring safe,orderly and expeditious flow of air traffic.The ATM system architecture is very much dependent on the concept of operations(ConOps).Over the years the evolution in ConOps has resulted in changes in the ATM′s physical architecture,improving its physical infrastructure,increasing the levels of automation and making operational changes to improve air traffic flow,to cope with increasing demand for air travel.However,what is less clear is the impact of such changes in ConOps on the ATM′s functional architecture.This is vital for ensuring optimality in the implementation of the physical architecture components to support the ATM functions.This paper reviews the changes in the ConOps over the years,proposes a temporally invariant ATM functional model,and discusses some of the main key technologies expected to make significant improvements to the ATM system.

Concepts perception of strategy and strategic management： University case study

Aiming to reveal the university students＇ understanding in management as for the strategy and strategic management phenomena, this study accomplishes a phenomenographic research to assess the future managers＇ market perception. It was chosen university students in Management of a Portuguese University. We conclude that the strategy definitions obtained are an assembly of the diverse existing concepts. Concerning to strategic management it was perceived an approach with one of the main existing concepts. The findings raise interesting issues with respect to the difficulties felt by new managers in translating their theoretical definitions in real examples in the organizations.

On the Transmutation of Media Management Concept under the Trend of Media Fusion

Under the background of rapid progress of science and technology,the trend of media integration is constantly strengthened,which urges the original media management concept to be constantly changed and to form a new media management concept.In order to apply to the development needs under the trend of media integration.This paper summarizes the media integration,analyzes the influence of the media integration trend on the media management concept,explores the direction of the evolution of the media management concept under the media integration trend,and aims to provide a reference for the development of the media industry.

Family functioning integrated with diabetes self-management： a concept analysis

Although the concept of family functioning has gained recent popularity, the terms ＂family functioning＂ and ＂family resilience＂ are sometimes confused and used interchangeably. The aim of this concept analysis was to clarify what is meant by family functioning in the context of diabetes self-management by assessing specific attributes, antecedents, and consequences. A concept analysis model by Walker and Avant was applied. The identified attributes of family functioning in a diabetes self-management context included problem-solving, communication, roles, affective responsiveness, affective involvement, and behavioral control. Antecedents included family structure, socioeconomic status, family functioning relationships, family stage, and life events. Consequences included family satisfaction, family cohesion, and family relationships. This analysis provided a deeper understanding of a family functioning concept within a diabetes self-management context. It is recommended that health care providers should be aware of antecedent factors that could inhibit outcome improvement. Further research is needed to explain family functioning attributes in relation to antecedents and potential consequences.

Development of ToSPACE for Pipe Wall Thinning Management in Nuclear Power Plants

A number of piping components in the secondary system of nuclear power plants are exposed to aging mechanisms such as FAC (Flow-Accelerated Corrosion), cavitation, flashing, SPE (Solid Particle Erosion), LDIE (Liquid Droplet Impingement Erosion), etc. Those mechanisms may lead to thinning, leak, or rupture of the components. Due to the pipe ruptures caused by wall thinning in Surry unit 2 of USA in 1986 and in Mihama unit 3 of Japan in 1994, the pipe wall thinning management has emerged as one of the most important issues in nuclear power plants. To manage the pipe wall thinning in the secondary system, Korea has used a foreign program since 1996. As using the foreign country’s program for long term, it was necessary to improve from the perspective of the users. Accordingly, KEPCO-E & C has started to develop the 3D-based pipe wall thinning management program (ToSPACE, Total Solution for Piping And Component Engineering management) from eight years ago, and the development was successful. This paper describes the major functions included in ToSPACE program, such as 3D-based DB (Database) buildup, development of FAC and erosion evaluation theories, UT (Ultra-sonic Test) data reliability analysis, field connection with 3D, automatic establishment of long-term inspection plan, etc. ToSPACE program was developed to allow site engineers performing the selection of inspection quantity at each refueling outage, UT data reliability analysis, UT evaluation, determination of next inspection timing, identification of the inspecting and replacing components in 3D drawings, etc., to access easily.

Improving Equipment Management and Meeting the Requirements of Establishing Modern Enterprise System

Establishing modem enterprise system is the orientation of the reform of state-owned enterprises. Based on the management experience in Shanxi Aluminium Plant, this paper indicates that it is necessary that enterprise equipment management must set up a series of modern management concepts, explore feasible philosophy for equipment management with enterprise characteristics, and establish a set of scientific equipment management operational system in order to meet the requirements of establishing modern enterprise system and to promote the development of state-owned enterprises.

Understanding organizational context and heart failure management in long term care homes in Ontario, Canada

Objective: To assess current heart failure (HF) care processes and organizational context in long-term care (LTC) homes as a prelude to adapting the Canadian Cardiovascular Society (CCS) HF guidelines for use in these settings. Methods: This research reports on the results of thirteen focus groups (N = 83 participants;average of 60 minutes duration) conducted in three Ontario LTC homes to better understand how HF was managed and how organizational context impacted care. Participants included physicians, nurse practitioners, registered nurses, registered practical nurses, and personal support workers. Results: Focus group findings revealed that the complexity of the LTC environment presents challenges for managing HF. Most residents have multiple advanced chronic conditions that must be managed simultaneously. Culturally, LTC is first and foremost a resident’s home where residents may choose not to comply with care recommendations. Staff routines, scopes of practice, professional hierarchies, available resources and government regulations limit flexibility in providing care. Staff lacked knowledge, skills and resources for managing HF. Nevertheless, all staff viewed LTC as the preferred place for managing HF, avoiding residents’ hospitalizations wherever possible. These data suggest that strategies for improving LTC staff communication and education, strengthening existing relationships between staff, family, residents and community resources, and acquiring additional resources in LTC homes have the potential to improve HF management in this setting. Conclusion: LTC is a complex and dynamic environment that presents many challenges for providing care for residents. This research provides the foundation for subsequent work to develop and test implementation strategies to manage HF in LTC, which are consistent with the CCS HF guidelines and are feasible within LTC staff’s work routines, capacities and resources.

Sustainability Impact on Construction Management in Developing Countries： Iraq as a Case Study

Sustainable development contributes to the economic and social advancement of construction projects. Ignoring sustainability during the cost estimating process associated with evaluation phase develops many problems of conventional decision methodology used in construction industry in the most of developing countries. This research focuses on sustainability which is the key factor in all decision making in design and construction processes. Therefore, Iraqi construction industry should respond to sustainability as a leading indicator of its infrastructure rebuilding. The construction management and sustainability could help to manage the rebuilding of the destroyed public infrastructure during the disaster wars periods passed thru thirty years ago and also to modernize of private buildings and plants. Field study has been carried out by adopting personal interviews and questionnaires conducted with experts, experienced consultants and designers working in many design organizations. The data collected has been analyzed and the results obtained show a clear weakness in the field of sustainability understanding, practicing and implementation. Moreover, the design work in Iraq is suffering from a lack of scientific techniques and a lack in experience in the domain of sustainability field. This will take an integrated approach to study the impact of sustainability on construction management which encompasses both public and private sector perspectives for building and engineering construction, and the roles played by all the participants in the construction team （owners, contractors, design professionals, and other supporting professionals）.

A Descriptive Longitudinal Study of Chronic Pain Outcomes and Gender Differences in a Multidisciplinary Pain Management Centre

Background: The long-term outcomes of patients with chronic pain treated in a multidisciplinary pain management center remain variable. Objective: This study aims to evaluate the changes in outcomes of patient’s self-reported pain, psychosocial status, health related quality of life and gender differences following treatment in amultidisciplinary pain management centre. Design: A prospective longitudinal cross-sectional study uses questionnaires. Treatment Setting: A pragmatic and individualized patient centered approach in a tertiary level multidisciplinary pain management center. Subjects: Patients with chronic pain referred to the centre from 2004-2010. Outcome Measures: Pain Numerical Rating Scale (NRS), Pain Temporal Description (1 - 6), Pain Self- Efficacy Questionnaire (PSEQ), Depression Anxiety Stress Scales (DASS-21) and Short Form-36 (SF- 36). Follow-up questionnaires were sent at 6 and 12 months after initial assessment. Results: Mean duration of baseline chronic pain was 8.1 years and 61% of chronic pains were involving the musculoskeletal system. At 6 and 12 month follow-ups, 273 and 180 participants had been surveyed respectively. At 6-month follow-up, there were significant improvements on pain intensity (Cohen’s d = 0.8), pain self-efficacy (Cohen’s d = 0.47), depression and stress scores (Cohen’s d = 0.16) and six out of eight domains of SF-36 (Cohen’s d = 0.2 - 0.4). At 12-month follow-up, improvements were maintained on pain intensity, self-efficacy and three out of eight domains of SF-36. There were distinctive pre- and post-treatment gender differences in these outcomes and overall females showed better short- and long-term outcomes than males. Conclusion: Multidisciplinary pain management using an individualized patient centered approach remains an effective treatment for chronic pain in both the short- (6 month) and long-term (12 month). The distinctive pre- and post-treatment gender differences particularly in the psychological outcomes, suggest that it may be beneficial to further delineate and better manage vulnerable patient subgroups.

Successful Strategic Management for Growth-Oriented Timber Haulage Entrepreneurs

The aim of this study was to investigate the growth of a timber haulage company and the entrepreneur behind the growth. The purpose of the study was to find out what kind of impact strategic management has on the growth of profitability. Entrepreneurs＇ financial and strategic objectives were studied, as well as growth strategies and their implications. Studied companies were all located in Finland. The research material was collected by personal interviews in 2008 from 23 entrepreneurs. Their financial statements from 2001 to 2007 were also taken into account. The study found that the role of management seems to be crucial in profitable growth and much more meaningful than, for example, the financial situation. Strategic objectives and chosen growth strategy seem especially to be key elements for successful growth. Particularly in low profit sectors, management should not focus growth purely on current conditions, but also on seeking other ways to exploit the company＇s resources.

Research on the Problem of Humanistic College Teaching Management

The current management idea of college teaching management lags, the management system rigidities, administration is centralized and management team is limited. These showed a lack of faculty administrator of this concept. University teaching management people of this concept refers to respect for human presence in the teaching management process, human development as a starting point, all management is to human development, human-centered teaching management activities undertaken.

创新教育理念下高职院校学生教育管理改革研究

当前正处在我国加快速度推动教育事业改革与发展的现实背景下,为了更好地转变传统教育观念,构建适合学生发展与成长的新型教育管理模式和机制,本文将结合创新教育理念分析讨论培养学生综合素质,提高学生创新精神的主要途径。鉴于此,为了有效突出创新教育理念的改革必要性,本文将从改革意义入手、总结当前教育管理改革困境,针对性提出优化学生教育管理改革工作的措施,希望能够灵活地推动高职院校实现教育管理工作。

油茶庄园建设构想

为解决现阶段油茶产业发展中存在的“卡脖子”问题,通过对希腊油橄榄(Oleaeuropaea)企业进行实地走访和交流,学习和借鉴希腊成熟油橄榄企业在栽培、加工和销售等方面的经营理念,结合我国油茶发展现状,提出油茶庄园建设构想。广西具备深厚的油茶文化底蕴、优质的种苗基础、先进的栽培加工技术和强大的政策与资金扶持等发展油茶庄园的优势条件。油茶庄园建设应规模适当、委托管理和创新经营模式,同时利用油茶种质打造富有层次的花果景观,实现三产互通互融和协调发展,实现产业转型升级。

JCI理念为框架的模式在消毒供应室医用器械管理中的应用效果

目的 探讨国际医疗卫生机构认证联合委员会(JCI)理念为框架管理模式在消毒供应室医用器械管理中的应用效果。方法 采用随机数字表法将2019年1月至2020年1月在消毒供应室工作的30例医护人员,随机分为对照组和试验组,每组15例。对照组采用常规管理模式,试验组采用以JCI理念为框架的管理模式。观察2组护理服务质量、综合素质、医护人员满意度和器械管理效果进行评价。结果 2组护理质量比较,试验组护理流程、质量监管、安全意识、感染风险评分显著高于对照组(P<0.05)。2组管理前综合素质评分比较,差异无统计学意义(P>0.05)。2组管理后安全知识掌握、主动服务意识、风险防控能力和专业素养均高于管理前,差异均有统计学意义(P<0.05)。试验组管理后安全知识掌握、主动服务意识、风险防控能力和专业素养均高于对照组,差异均有统计学意义(P<0.05)。试验组医务人员满意率,灭菌、清洗、检查、包装、发放和回收合格率明显高于对照组,差异均有统计学意义(P<0.05)。结论 JCI理念为框架管理模式在消毒供应室医用器械管理中的应用效果良好,能有效提高护理质量与护理安全性,增加医护人员满意度,可用于医疗管理之中。

基于信息化理念的研究生管理流程改革与实践——以中国地质大学(北京)为例

信息化是提高研究生管理水平的重要手段。笔者以中国地质大学(北京)研究生培养流程为研究对象,梳理以往管理过程中出现的信息盲区、漏洞和主要问题,改变传统的以信息化手段模拟管理流程的方法,提出以信息化理念和手段构建新的管理模式,提升管理水平。改变以培养计划为核心的单线管理流程,建立了培养计划、排课选课、成绩查询三线并行的新式管理流程。近几年的实践表明,优化后的管理流程提升了管理水平,提高了工作效率,极大方便了广大师生,在研究生培养方面每年减少70%以上的工作量,适应了学校研究生全过程-全方位开放式育人模式的新要求,取得了较好的应用效果。

我国档案馆与相关领域参与数字人文异步现象探源

近年来,数字人文成为图情档领域的研究热点。然而,我国档案馆与同为档案领域的我国档案学界、同为档案实践部门的国外档案馆以及同为数字人文基础设施建设机构的我国图书馆在数字人文参与方面存在着冷热不均的异步现象。我国档案学界对数字人文表现出极高的研究兴趣,国外档案馆在数字人文领域的实践进展迅速,我国图书馆在参与数字人文过程中积极作为。反观我国档案馆,无论是在理论还是实践层面,均表现出热情不高和明显滞后的现象。这种不同步现象背后的逻辑值得探究,我国档案馆与档案学界在目标与认知层面的偏差、国内外档案馆在文化与制度方面的冲突,以及我国档案馆与图书馆在体制与职能方面的差异是导致这种现象出现的主要原因。

基于韧性理念的建筑“前置空间”研究

城市的集约化发展,对社会生活的精细化管理提出新的要求。具体到建筑层面,则反映为对出入建筑空间的人流基于识别、安检、疾控、权限等内容的过滤性管控需求。文章将韧性理念引入建筑空间层面,将与上述内容相关联的空间予以梳理整合,提出建筑“前置空间”的概念。通过对建筑前置空间的现状分析,探讨前置空间的内容、韧性特征以及韧性设计理念。

中华优秀传统文化核心思想理念视角下预算绩效管理的优化研究

预算绩效管理是财政管理中的重要环节,也是当前我国财政管理改革的主要着力点。它对于完善财政管理体制和财政资金管理具有重要作用。但预算绩效管理制度舶来品的属性明显,本土化任务繁重。本文详尽分析中华优秀传统文化核心思想理念,发掘其蕴含的预算绩效管理价值,应用中华优秀传统文化核心思想理念重新诠释预算绩效管理,寻求优化路径。本文建议以“讲仁爱、重民本”为前提与出发点,推演人民至上观;以“守诚信、崇正义”为过程与手段,追求道德约束观;以“尚和合、求大同”为目标与方向,提炼长远全局观,从而实现预算绩效管理与中华优秀传统文化的融合发展,促进预算绩效管理有效实施。