BACKGROUND Surgical care of the hand plays a crucial role in the medical field,as problems with the hand can profoundly affect a patient's quality of life and function.In order to meet the needs of patients,improv...BACKGROUND Surgical care of the hand plays a crucial role in the medical field,as problems with the hand can profoundly affect a patient's quality of life and function.In order to meet the needs of patients,improve patient satisfaction and improve treatment outcomes,high-quality service models have been introduced in the field of nursing.AIM To explore the effect analysis of applying high-quality service model to surgical nursing.METHODS We conducted a retrospective study of patients who underwent hand surgery at our hospital between 2019 and 2022,using a quality service model that included improved patient education,pain management,care team collaboration,and effective communication.Another group of patients received traditional care as a control group.We compared postoperative recovery,satisfaction,complication rate,and length of hospital stay between the two groups.Inferential statistics were used to compare the difference between the two groups by independent sample t test,Chi-square test and other methods to evaluate the effect of intervention measures.RESULTS Postoperative recovery time decreased from 17.8±2.3 d to 14.5±2.1 d,pain score decreased from 4.7±1.9 to 3.2±1.4,and hand function score increased from 78.4±7.1 to 88.5±6.2.In terms of patient satisfaction,the quality service model group scored 87.3±5.6 points,which was significantly higher than that of the traditional care group(74.6±6.3 points).At the same time,patients'understanding of medical information also improved from 6.9±1.4 to 8.6±1.2.In terms of postoperative complications,the application of the quality service model reduced the incidence of postoperative complications from 26%to 10%,the incidence of infection from 12%to 5%,and the incidence of bleeding from 10%to 3%.The reduction in these data indicates that the quality service model plays a positive role in reducing the risk of complications.In addition,the average hospital stay of patients in the quality service model group was shortened from 6.8±1.5 d to 5.2±1.3 d,and the hospitalization cost was also reduced from 2800±600 yuan to 2500±500 yuan.CONCLUSION Applying a quality service model to hand surgery care can significantly improve patient clinical outcomes,including faster recovery,less pain,greater satisfaction,and reduced complication rates.展开更多
In order to solve the problems associated with Internet IP services management, a generic service model for n multi-providcr IP service management is proposed, which is based on a generalization of the bandwidth broke...In order to solve the problems associated with Internet IP services management, a generic service model for n multi-providcr IP service management is proposed, which is based on a generalization of the bandwidth broker idea introduced in the differentiated services (DiffServ) environment. This model consists of a hierarchy of service brokers, which makes it fit into providing end-to-end Internet services with QoS support. A simple and sealable mechanism is used to communicate with other cooperative domains to enable customers to dynamically setup services connections over multiple DiffServ domains. The simulation results show that the proposed model is real-time, which can deal with many flow requests in a short period of time, so that it is fit for the service management in a reasonably large network.展开更多
The rural primary organizations of water management are the important parts of the public service system in the government administration.This paper studies several major management models of the rural primary water m...The rural primary organizations of water management are the important parts of the public service system in the government administration.This paper studies several major management models of the rural primary water management in Zhejiang Province of China.The research result shows that ambiguous functions,lack of funding,and unreasonable personnel structure are the major problems of the rural primary water management.Therefore,it is urgent to improve service system,ensure sufficient funds,and qualify the population personnel of the rural primary organizations of water展开更多
To look through innovation management in small project-based firms, such as software engineering companies, which are service firms that conduct projects for their clients, capability maturity model integration (CMMI...To look through innovation management in small project-based firms, such as software engineering companies, which are service firms that conduct projects for their clients, capability maturity model integration (CMMI) is introduced. It is a process improvement approach that provides organizations with the essential elements of effective processes. Taking ABC Software Company as an example, the performances before and after the introduction of CMMI in the firm were compared. The results indicated that after two years of application, the productivity increased 92%, and the ability of detecting errors improved 26.45% ; while the rate of faults and the cost of software development dropped 12.45% and 77.55%, respectively. To conclude, small project-based firms benefit a lot if they take CMMI into their process of innovation management, particularly for those R&D firms, since the implementation of CMMI leads them to a promising future with higher efficiency and better effects.展开更多
BACKGROUND There are many drawbacks to the traditional midwifery service management model,which can no longer meet the needs of the new era.The Internet+continuous midwifery service management model extends maternal m...BACKGROUND There are many drawbacks to the traditional midwifery service management model,which can no longer meet the needs of the new era.The Internet+continuous midwifery service management model extends maternal management from prenatal to postpartum,in-hospital to out-of-hospital,and offline to online,thereby improving maternal and infant outcomes.Applying the Internet+continuous midwifery service management model to manage women with highrisk pregnancies(HRP)can improve their psycho-emotional opinion and,in turn,minimize the risk of adverse maternal and/or fetal outcomes.AIM To explore the effectiveness of a midwife-led Internet+continuous midwifery service model for women with HRP.METHODS We retrospectively analyzed the clinical data of 439 women with HRP who underwent prenatal examination and delivered at Shanghai Sixth People's Hospital(affiliated to the Shanghai Jiao Tong University School of Medicine)from April to December 2022.Among them,239 pregnant women underwent routine obstetric management,and 200 pregnant women underwent Internet+continuous midwifery service mode management.We used the State-Trait Anxiety Inventory,Edinburgh Postnatal Depression Scale,and analysis of delivery outcomes to compare psychological mood and the incidence of adverse delivery outcomes between the two groups.RESULTS The data showed that in early pregnancy,the anxiety and depression levels of the two groups were similar;the levels gradually decreased as pregnancy progressed,and the decrease in the continuous group was more significant[31.00(29.00,34.00)vs 34.00(32.00,37.00),8.00(6.00,9.00)vs 12.00(10.00,13.00),P<0.05].The maternal self-efficacy level and strategy for weight gain management were better in the continuous group than in the traditional group,and the effective rate of midwifery service intervention in the continuous group was significantly higher than in the control group[267.50(242.25,284.75)vs 256.00(233.00,278.00),74.00(69.00,78.00)vs 71.00(63.00,78.00),P<0.05].The incidence of adverse delivery outcomes in pregnant women and newborns and fear of maternal childbirth were lower in the continuous group than in the traditional group,and nursing satisfaction was higher[10.50%vs 18.83%,8.50%vs 15.90%,24.00%vs 42.68%,89.50%vs 76.15%,P<0.05].CONCLUSION The Internet+continuous midwifery service model promotes innovation through integration and is of great significance for improving and promoting maternal and child health in HRP.展开更多
An architecture for online discovery quantitative models system of service performance management is proposed. The system is capable of constructing the quantitative models without prior knowledge of the managed eleme...An architecture for online discovery quantitative models system of service performance management is proposed. The system is capable of constructing the quantitative models without prior knowledge of the managed elements. The model can be updated continuously in response to the changes made in provider configurations and the evolution of business demands. Due to the existence of strong correlation between the distributed service metrics and response times, linear and hyper-linear quantitative models are constructed, which respectively, use stepwise multiple linear regression algorithm. The simulation results show the effectiveness of a quantitative model constructing system and model constructing algorithms.展开更多
To address the challenges posed by resource shortage or surplus to enterprises productivity,Internet platforms have been widely used,which can balance shortage and surplus in broader environments. However,the existing...To address the challenges posed by resource shortage or surplus to enterprises productivity,Internet platforms have been widely used,which can balance shortage and surplus in broader environments. However,the existing resource management models lack openness,sharing ability and scalability,which make it difficult for many heterogeneous resources to co-exist in the same system. It is also difficult to resolve the conflicts between distributed self-management and centralized scheduling in the system. This paper analyzes the characteristics of resources in the distributed environment and proposes a new resource management architecture by considering the resource aggregation capacity of cloud computing. The architecture includes a universal resource scheduling optimization model which has been applied successfully in double-district multi-ship-scheduling multi-container-yard empty containers transporting of international shipping logistics. Applications in all these domains prove that this new resource management architecture is feasible and can achieve the expected effect.展开更多
Background:Increasing the use of forest harvest residues for bioenergy production reduces greenhouse emissions from the use of fossil fuels.However,it may also reduce carbon stocks and habitats for deadwood dependent ...Background:Increasing the use of forest harvest residues for bioenergy production reduces greenhouse emissions from the use of fossil fuels.However,it may also reduce carbon stocks and habitats for deadwood dependent species.Consequently,simple tools for assessing the trade-offs of alternative management practices on forest dynamics and their services to people are needed.The objectives of this study were to combine mapping and simulation modelling to investigate the effects of forest management on ecosystem services related to carbon cycle in the case of bioenergy production;and to evaluate the suitability of this approach for assessing ecosystem services at the landscape level.Stand level simulations of forest growth and carbon budget were combined with extensive multi-source forest inventory data across a southern boreal landscape in Finland.Stochastic changes in the stand age class distribution over the study region were simulated to mimic variation in management regimes.Results:The mapping framework produced reasonable estimates of the effects of forest management on a set of key ecosystem service indicators:the annual carbon stocks and fluxes of forest biomass and soil,timber and energy-wood production and the coarse woody litter production over a simulation period 2012–2100.Regular harvesting,affecting the stand age class distribution,was a key driver of the carbon stock changes at a landscape level.Extracting forest harvest residues in the final felling caused carbon loss from litter and soil,particularly with combined aboveground residue and stump harvesting.It also reduced the annual coarse woody litter production,demonstrating negative impacts on deadwood abundance and,consequently,forest biodiversity.Conclusions:The refined mapping framework was suitable for assessing ecosystem services at the landscape level.The procedure contributes to bridging the gap between ecosystem service mapping and detailed simulation modelling in boreal forests.It allows for visualizing ecosystem services as fine resolution maps to support sustainable land use planning.In the future,more detailed models and a wider variety of ecosystem service indicators could be added to develop the method.展开更多
A service station plays an important role in the petroleum product distribution terminal. With the increase in petroleum consumption in China, the inventory theory should be applied in the stock control of service st...A service station plays an important role in the petroleum product distribution terminal. With the increase in petroleum consumption in China, the inventory theory should be applied in the stock control of service stations. In this paper the inventory theory including its background and characteristics is introduced. At the same time, the application of the theory in some trades today, especially in petroleum trade, is analyzed. Then (s, S) stochastic model is advanced, which is established according to the principle of operational research and, based on this model, a sample is given, which discusses the details of application in the stock control of service stations. The sample is simplified but implies the validity of the model in optimizing the storage of petroleum products in the market.展开更多
Purpose: Fully integrating its e-reserves service into the university's course management system has become the primary design goal of the innovative e-reserves service system at Shanghai Jiao Tong University(SJTU...Purpose: Fully integrating its e-reserves service into the university's course management system has become the primary design goal of the innovative e-reserves service system at Shanghai Jiao Tong University(SJTU) Library.Design/methodology/approach: Through blending library and information service into the teaching and learning process, SJTU Library has effectively combined its reserves service into the user learning environment. The main metadata model and the design of various interfaces of the e-reserves service system are introduced.Findings: E-reserves has been integrated into the course management system. Users can directly access relevant resources when they browse the customized course page. It is more convenient for teachers to add reserves items, and the added items can be made available simultaneously on SJTU Library's resource discovery platform automatically.Research limitations: At present, e-reserves items are mainly books, and more other types of reserves materials are needed to be provided. Some relevant copyright issues should be addressed.Practical implications: Using a series of interface interactions, the e-reserves service has been integrated into the university's course management system. It is convenient for students to access customized e-reserves service during their learning process.Originality/value: We achieved interconnection between the e-reserves and the university's course management system. Information on the e-reserves Web page is automatically updated.SJTU Library provides customized e-reserves service in the course management system.展开更多
文摘BACKGROUND Surgical care of the hand plays a crucial role in the medical field,as problems with the hand can profoundly affect a patient's quality of life and function.In order to meet the needs of patients,improve patient satisfaction and improve treatment outcomes,high-quality service models have been introduced in the field of nursing.AIM To explore the effect analysis of applying high-quality service model to surgical nursing.METHODS We conducted a retrospective study of patients who underwent hand surgery at our hospital between 2019 and 2022,using a quality service model that included improved patient education,pain management,care team collaboration,and effective communication.Another group of patients received traditional care as a control group.We compared postoperative recovery,satisfaction,complication rate,and length of hospital stay between the two groups.Inferential statistics were used to compare the difference between the two groups by independent sample t test,Chi-square test and other methods to evaluate the effect of intervention measures.RESULTS Postoperative recovery time decreased from 17.8±2.3 d to 14.5±2.1 d,pain score decreased from 4.7±1.9 to 3.2±1.4,and hand function score increased from 78.4±7.1 to 88.5±6.2.In terms of patient satisfaction,the quality service model group scored 87.3±5.6 points,which was significantly higher than that of the traditional care group(74.6±6.3 points).At the same time,patients'understanding of medical information also improved from 6.9±1.4 to 8.6±1.2.In terms of postoperative complications,the application of the quality service model reduced the incidence of postoperative complications from 26%to 10%,the incidence of infection from 12%to 5%,and the incidence of bleeding from 10%to 3%.The reduction in these data indicates that the quality service model plays a positive role in reducing the risk of complications.In addition,the average hospital stay of patients in the quality service model group was shortened from 6.8±1.5 d to 5.2±1.3 d,and the hospitalization cost was also reduced from 2800±600 yuan to 2500±500 yuan.CONCLUSION Applying a quality service model to hand surgery care can significantly improve patient clinical outcomes,including faster recovery,less pain,greater satisfaction,and reduced complication rates.
文摘In order to solve the problems associated with Internet IP services management, a generic service model for n multi-providcr IP service management is proposed, which is based on a generalization of the bandwidth broker idea introduced in the differentiated services (DiffServ) environment. This model consists of a hierarchy of service brokers, which makes it fit into providing end-to-end Internet services with QoS support. A simple and sealable mechanism is used to communicate with other cooperative domains to enable customers to dynamically setup services connections over multiple DiffServ domains. The simulation results show that the proposed model is real-time, which can deal with many flow requests in a short period of time, so that it is fit for the service management in a reasonably large network.
基金the National Social Science Fund[grant number 13CGL093]Science Foundation of Zhejiang Sci-Tech University[grant number 1209811-Y]for their funding support to this research work
文摘The rural primary organizations of water management are the important parts of the public service system in the government administration.This paper studies several major management models of the rural primary water management in Zhejiang Province of China.The research result shows that ambiguous functions,lack of funding,and unreasonable personnel structure are the major problems of the rural primary water management.Therefore,it is urgent to improve service system,ensure sufficient funds,and qualify the population personnel of the rural primary organizations of water
文摘To look through innovation management in small project-based firms, such as software engineering companies, which are service firms that conduct projects for their clients, capability maturity model integration (CMMI) is introduced. It is a process improvement approach that provides organizations with the essential elements of effective processes. Taking ABC Software Company as an example, the performances before and after the introduction of CMMI in the firm were compared. The results indicated that after two years of application, the productivity increased 92%, and the ability of detecting errors improved 26.45% ; while the rate of faults and the cost of software development dropped 12.45% and 77.55%, respectively. To conclude, small project-based firms benefit a lot if they take CMMI into their process of innovation management, particularly for those R&D firms, since the implementation of CMMI leads them to a promising future with higher efficiency and better effects.
文摘BACKGROUND There are many drawbacks to the traditional midwifery service management model,which can no longer meet the needs of the new era.The Internet+continuous midwifery service management model extends maternal management from prenatal to postpartum,in-hospital to out-of-hospital,and offline to online,thereby improving maternal and infant outcomes.Applying the Internet+continuous midwifery service management model to manage women with highrisk pregnancies(HRP)can improve their psycho-emotional opinion and,in turn,minimize the risk of adverse maternal and/or fetal outcomes.AIM To explore the effectiveness of a midwife-led Internet+continuous midwifery service model for women with HRP.METHODS We retrospectively analyzed the clinical data of 439 women with HRP who underwent prenatal examination and delivered at Shanghai Sixth People's Hospital(affiliated to the Shanghai Jiao Tong University School of Medicine)from April to December 2022.Among them,239 pregnant women underwent routine obstetric management,and 200 pregnant women underwent Internet+continuous midwifery service mode management.We used the State-Trait Anxiety Inventory,Edinburgh Postnatal Depression Scale,and analysis of delivery outcomes to compare psychological mood and the incidence of adverse delivery outcomes between the two groups.RESULTS The data showed that in early pregnancy,the anxiety and depression levels of the two groups were similar;the levels gradually decreased as pregnancy progressed,and the decrease in the continuous group was more significant[31.00(29.00,34.00)vs 34.00(32.00,37.00),8.00(6.00,9.00)vs 12.00(10.00,13.00),P<0.05].The maternal self-efficacy level and strategy for weight gain management were better in the continuous group than in the traditional group,and the effective rate of midwifery service intervention in the continuous group was significantly higher than in the control group[267.50(242.25,284.75)vs 256.00(233.00,278.00),74.00(69.00,78.00)vs 71.00(63.00,78.00),P<0.05].The incidence of adverse delivery outcomes in pregnant women and newborns and fear of maternal childbirth were lower in the continuous group than in the traditional group,and nursing satisfaction was higher[10.50%vs 18.83%,8.50%vs 15.90%,24.00%vs 42.68%,89.50%vs 76.15%,P<0.05].CONCLUSION The Internet+continuous midwifery service model promotes innovation through integration and is of great significance for improving and promoting maternal and child health in HRP.
基金This paper is supported by the National Natural Science Foundation of China (Grant No. 90304006),the Spe-cialized Research Fund for the Doctoral Program of Higher Education (SRFDP)(Grant No. 20020698018).
文摘An architecture for online discovery quantitative models system of service performance management is proposed. The system is capable of constructing the quantitative models without prior knowledge of the managed elements. The model can be updated continuously in response to the changes made in provider configurations and the evolution of business demands. Due to the existence of strong correlation between the distributed service metrics and response times, linear and hyper-linear quantitative models are constructed, which respectively, use stepwise multiple linear regression algorithm. The simulation results show the effectiveness of a quantitative model constructing system and model constructing algorithms.
基金Support by the National Key Technology Research and Development Program of China(No.2012BAA13B01,2014BAF07B02)the National Natural Science Foundation of China(No.61273038)+1 种基金Natural Science Foundation of Shandong Province(No.ZR2015FM006)Science and Technology Major Project of the Ministry of Science and Technology of Shandong Province(No.2015ZDXX0201B02)
文摘To address the challenges posed by resource shortage or surplus to enterprises productivity,Internet platforms have been widely used,which can balance shortage and surplus in broader environments. However,the existing resource management models lack openness,sharing ability and scalability,which make it difficult for many heterogeneous resources to co-exist in the same system. It is also difficult to resolve the conflicts between distributed self-management and centralized scheduling in the system. This paper analyzes the characteristics of resources in the distributed environment and proposes a new resource management architecture by considering the resource aggregation capacity of cloud computing. The architecture includes a universal resource scheduling optimization model which has been applied successfully in double-district multi-ship-scheduling multi-container-yard empty containers transporting of international shipping logistics. Applications in all these domains prove that this new resource management architecture is feasible and can achieve the expected effect.
基金supported by Maj and Tor Nessling Foundation through the grant “Coupling carbon sequestration of forests and croplands with ecosystem service assessments”(decision No. 201700251)LIFE+financial instrument of the European Union (LIFE12 ENV/FI/000409, MONIMET)+1 种基金the Academy of Finland Strategic Research Council project (SRC 2017/312559 IBC-CARBON)supported by the Academy of Finland through the grant “Trade-offs and synergies in land-based climate change mitigation and biodiversity conservation”(decision No. 322066)
文摘Background:Increasing the use of forest harvest residues for bioenergy production reduces greenhouse emissions from the use of fossil fuels.However,it may also reduce carbon stocks and habitats for deadwood dependent species.Consequently,simple tools for assessing the trade-offs of alternative management practices on forest dynamics and their services to people are needed.The objectives of this study were to combine mapping and simulation modelling to investigate the effects of forest management on ecosystem services related to carbon cycle in the case of bioenergy production;and to evaluate the suitability of this approach for assessing ecosystem services at the landscape level.Stand level simulations of forest growth and carbon budget were combined with extensive multi-source forest inventory data across a southern boreal landscape in Finland.Stochastic changes in the stand age class distribution over the study region were simulated to mimic variation in management regimes.Results:The mapping framework produced reasonable estimates of the effects of forest management on a set of key ecosystem service indicators:the annual carbon stocks and fluxes of forest biomass and soil,timber and energy-wood production and the coarse woody litter production over a simulation period 2012–2100.Regular harvesting,affecting the stand age class distribution,was a key driver of the carbon stock changes at a landscape level.Extracting forest harvest residues in the final felling caused carbon loss from litter and soil,particularly with combined aboveground residue and stump harvesting.It also reduced the annual coarse woody litter production,demonstrating negative impacts on deadwood abundance and,consequently,forest biodiversity.Conclusions:The refined mapping framework was suitable for assessing ecosystem services at the landscape level.The procedure contributes to bridging the gap between ecosystem service mapping and detailed simulation modelling in boreal forests.It allows for visualizing ecosystem services as fine resolution maps to support sustainable land use planning.In the future,more detailed models and a wider variety of ecosystem service indicators could be added to develop the method.
文摘A service station plays an important role in the petroleum product distribution terminal. With the increase in petroleum consumption in China, the inventory theory should be applied in the stock control of service stations. In this paper the inventory theory including its background and characteristics is introduced. At the same time, the application of the theory in some trades today, especially in petroleum trade, is analyzed. Then (s, S) stochastic model is advanced, which is established according to the principle of operational research and, based on this model, a sample is given, which discusses the details of application in the stock control of service stations. The sample is simplified but implies the validity of the model in optimizing the storage of petroleum products in the market.
基金supported by the Scientific and Research Innovation Project of Shanghai Municipal Education Commission
文摘Purpose: Fully integrating its e-reserves service into the university's course management system has become the primary design goal of the innovative e-reserves service system at Shanghai Jiao Tong University(SJTU) Library.Design/methodology/approach: Through blending library and information service into the teaching and learning process, SJTU Library has effectively combined its reserves service into the user learning environment. The main metadata model and the design of various interfaces of the e-reserves service system are introduced.Findings: E-reserves has been integrated into the course management system. Users can directly access relevant resources when they browse the customized course page. It is more convenient for teachers to add reserves items, and the added items can be made available simultaneously on SJTU Library's resource discovery platform automatically.Research limitations: At present, e-reserves items are mainly books, and more other types of reserves materials are needed to be provided. Some relevant copyright issues should be addressed.Practical implications: Using a series of interface interactions, the e-reserves service has been integrated into the university's course management system. It is convenient for students to access customized e-reserves service during their learning process.Originality/value: We achieved interconnection between the e-reserves and the university's course management system. Information on the e-reserves Web page is automatically updated.SJTU Library provides customized e-reserves service in the course management system.