Effect analysis of applying high-quality service model to surgical nursing

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.

Service Model for Multi-Provider IP Service Management

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.

Research on the management models of the rural primary water management from the view of public service:a case study of Zhejiang Province

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

Application of Capability Maturity Model Integration to Innovation Management for Software and Service Companies

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.

Effect of Internet+continuous midwifery service model on psychological mood and pregnancy outcomes for women with highrisk pregnancies

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.

Research and Implementation of Architecture for Distributed Service Performance Management

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.

Research on logistics domain-oriented cloud resource management model and architecture

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.

Bridging mapping and simulation modelling in the ecosystem service assessments of boreal forests:effects of bioenergy production on carbon dynamics

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.

基于Web Services的分布式模型管理方法研究

在分析了基于Intranet模型管理系统国内外研究现状的基础上,提出了一种基于Web Services在分布式环境下用于决策支持系统的模型管理方法。该方法充分利用了最新的Web Services技术,使处于分布式环境下的模型可以进行模型的组合、生成和调用,为建立实用的分布式模型管理系统提供了一种可行的方法。

基于Web Services的通用权限管理服务设计

传统情况下的权限管理模块被集成到业务系统中.公共权限管理模块通过管理公共权限数据库来实现对各个业务模块的权限管理,各业务模块分别有自己的管理模块,通过和公共权限数据库进行交互来实现各自模块的权限管理.在XMLBeans和Web Service技术的基础上提出一种通用权限管理服务并在基于WEB的OA系统中得到成功使用,使得多个不同的业务系统能够共享一个权限系统,有利于加快具体业务功能模块的开发.

基于Web Services的网络化制造资源管理的关键技术研究

以网络化制造环境下制造资源的优化配置为研究目标,构建了面向制造资源功能定义、关联关系定义的制造资源信息模型,并建立了面向制造特征的任务定义模型。在此基础上,结合当前语义Web的研究成果,提出了基于WebServices的网络化制造资源管理系统,详细论述了系统结构中各层次的功能模块,并通过发动机零件加工过程的制造资源配置实例,验证了系统的有效性。

Web Services框架中的面向业务管理方法

面向业务环境中的基础业务,以JMX作为基础结构,提出了相应的管理准则和管理模式,生成与原有业务相关联的管理业务。以流模型为基础,以业务级约定SLA为驱动,该业务管理结构可以实现基础业务的协作,构建复杂的合成业务,实现特定的商业应用,给出了过程拓扑结构,说明了相关商业过程管理问题。最后,给出了用于监视和控制业务的度量模型的模块化构建方法。

基于Web Service的工作流管理系统设计

针对目前工作流系统过于复杂和系统集成性的不足,提出了一个基于W eb Service技术的工作流管理系统。该系统简化了流程描述模型,降低了建模复杂度,支持可视化建模,增强了系统集成能力。实践证明,该系统具有良好的实用价值。

域管理模式下的Web Service协同反馈系统

针对目前企业应用协同商务软件的问题,提出在域管理模式下建立基于Web Service的协同反馈系统设计方案.介绍了反馈系统、反馈控制系统和反馈处理系统的功能,并给出相应的算法和关键代码.系统底层数据库操作是基于sqlhelper.dll来实现的,通过域用户的Forms认证和Web Service实现数据操作的远程调用,使得系统具备高度灵活性和跨平台性.

Application of Inventory Theory in Service Stations

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.

基于Web Services服务管理协议的设计与分析

该文提出基于Web Services的服务管理协议(WSSMP),用于有效地管理跨不同管理域的服务。利用Petri网对WSSMP进行了形式化描述,并利用Petri网的可达性分析对此协议进行了逻辑正确性验证,确保了此协议具有有界性、活性、完整性、前进性等性质,从而减少了协议设计中潜在的错误。并在仿真平台上进行了协议测试,测试表明读取大量对象时,随着读取对象数的增多,压缩WSSMP所使用的带宽增加很少,该协议适应服务管理需要大量处理数据的特性。

基于Web Services的高校客户关系管理系统设计与实现

随着高校招生和就业的压力增大,建立客户关系管理系统,通过信息化的手段来管理和分析客户信息,能有效提升学校竞争力。文章提出了基于Web Services的高校客户关系管理系统,重点阐述了系统的架构设计、功能设计以及实现方法。使用Web Services技术实现了相关系统之间客户数据的高度共享,提高了系统的可扩展性和模块化程度。降低了开发成本,提高了开发效率,对类似系统的建设具有示范及借鉴意义。

基于Web Services的CELTS学习者模型

通过分析现有网络教学管理模式在多个异构平台间数据共享方面的不足,基于CELTS规范提出了一个学习者模型,并讨论了在该模型支持下学习者行为数据如何通过Web services技术在异构子系统之间实现交互与集成。最后以一个学习行为评估子系统为例,使用SOAP和XML技术给出了该模型在Web services平台下的一种实现。

基于Web Service的工作流元模型的研究及改进

介绍了基于WebService的工作流系统的结构及其所具有的松散耦合、跨平台和语言实现的特性。

Integrating innovative library e-reserves service into teaching and learning at Shanghai Jiao Tong University

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.