Impact of Integrated Anesthesia and Nursing Management in the Recovery Room for Hypertension Surgery Patients

Objective:To analyze and evaluate the effects of the anesthesia and nursing integration management model in the anesthesia recovery room for patients undergoing hypertension surgery.Methods:A total of 100 patients with hypertension admitted to the hospital from May 2020 to December 2021 were selected and divided into two groups based on different management methods:the control group and the observation group,with 50 patients in each group.The control group received traditional nursing management,while the observation group was managed using the integrated anesthesia and nursing management model.Various indicators,including complications,recovery period metrics,vital signs,nursing satisfaction,and patient emotions,were compared between the two groups to determine the most suitable anesthesia nursing model.Results:Implementation of the integrated anesthesia and nursing management model showed that the mean arterial pressure and blood oxygen saturation levels in the observation group were significantly higher than those in the control group.The nursing satisfaction in the observation group was also markedly improved.Furthermore,the incidence of complications in the observation group was significantly lower than in the control group.Conclusions:The integrated anesthesia and nursing management model in the anesthesia recovery room positively influences patient outcomes.It effectively reduces complications,alleviates patients’psychological and emotional stress,and stabilizes vital signs.Additionally,this model enhances the professional performance of nursing staff,significantly improving the overall quality of nursing care and patient satisfaction.

Establishment of Integrated Diagnosis and Treatment and Whole-Course Management Model of Major Depressive Disorder

Integrated diagnosis,treatment and whole-course management model of major depressive disorder(MDD)is an integrated drug-psychological-physical comprehensive treatment model based on rapid biological-psychological-social evaluation for treating patients with major depressive disorder.This paper comprehensively evaluates the clinical efficacy and biochemical indexes of patients,and carries out symptom evaluation,problem classification,disease diagnosis and etiological analysis of visitors from the three dimensions about physiology,psychology and society.Then,according to the symptoms and causes of different dimensions,this paper formulates personalized drug,psychological and physical therapy programs,and constantly optimizes and adjusts the treatment plan in the treatment process,so as to cure both the symptoms and the root causes,providing a reliable strategy for the treatment of clinical MDD,and establishing a standardized characteristic model for further promotion and application of this technology.At present,the project has been used in the member units of Taihe Medical Group and Shiyan City and its surrounding areas,the market response is good,and will be gradually promoted to the whole country in the later stage.

Whole-Process Project Cost Management Based on Building Information Modeling (BIM)

The whole-process project cost management based on building information modeling(BIM)is a new management method,aiming to realize the comprehensive optimization and improvement of project cost management through the application of BIM technology.This paper summarizes and analyzes the whole-process project cost management based on BIM,aiming to explore its application and development prospects in the construction industry.Firstly,this paper introduces the role and advantages of BIM technology in engineering cost management,including information integration,data sharing,and collaborative work.Secondly,the paper analyzes the key technologies and methods of the whole-process project cost management based on BIM,including model construction,data management,and cost control.In addition,the paper also discusses the challenges and limitations of the whole-process BIM project cost management,such as the inconsistency of technical standards,personnel training,and consciousness change.Finally,the paper summarizes the advantages and development prospects of the whole-process project cost management based on BIM and puts forward the direction and suggestions for future research.Through the research of this paper,it can provide a reference for construction cost management and promote innovation and development in the construction industry.

Integration of Management Systems: A Process Based Model

The paper discusses the barriers of integration of management systems （IMS）. A model based on process is explored, It is indicated that integrating management systems should not ignore the characteristics of the management systems, especially scope issues. IMS needs to take into the continuous improvement.

A Numerical Solution for the Integrated Analysis of Water Resources Management: Application to the Mero River Watershed, La Coruña, Spain

This research is concerned with new developments and practical applications of a physically-based numerical model that incorporates new approaches for a finite elements solution to the steady/transient problems of the joint ground/surface water flows. Python scripts are implemented in Geographic Information System (GIS) to store, represent and take decisions on the simulated conditions related to the water resources management at the scale of the watershed. The proposed surface-subsurface model considers surface and groundwater interactions to be 2-D horizontally distributed and depth-averaged through a diffusive wave approach for surface flood routing. Infiltration rates, overland flows and evapotranspiration processes are considered by a diffuse discharge from surface water, non-saturated subsoil and groundwater table. Recent developments also allow for the management of surface water flow control through the capacity of diversion on river beds, spillways and outflow operations of floodgates in weirs and dams of reservoirs. Practical application regards the actual hydrology of the Mero River watershed, with two important water bodies mainly concerned with the water resources management at the Cecebre Reservoir and the present flooding of a deep coal mining excavation. The MELEF model (Modèle d’éLéments Fluides, in French) was adapted and calibrated during a period of five years (2008/ 2012) with the help of hydrological parameters, registered flow rates, water levels and registered precipitation, water uses and water management operations in surface and groundwater bodies. The results predict the likely evolution of the Cecebre Reservoir, the flow rates in rivers, the flooding of the Meirama open pit and the local water balances for different hydrological components.

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.

Coupling Relationship between Integrated Land Consolidation and Farmland Scale Management in Villages over Coal Resources:A Case Study of Zezhou County in Shanxi Province

Through field sampling survey of 18 villages over coal resources in 3 townships and towns in Zezhou County,Jincheng City,Shanxi Province,this paper analyzed the favorable conditions and obstacles for villages over coal resources to carry out farmland scale management.On this basis,combined with the integrated land consolidation measures in villages over coal resources and their effectiveness,and using the principles of system dynamics,it studied the coupling relationship between integrated land consolidation in villages over coal resources and farmland scale management and built a coupling model.It found that the integrated land consolidation system of villages over coal resources has a coupling relationship with the external and internal conditions of the farmland scale management system at the regional and project scales.The two systems interact with and influence each other through the"bridge"of"agricultural modernization condition".The study indicates that at the same time of integrated land consolidation of villages over coal resources caring about the improvement of internal conditions,it is also necessary to improve the external conditions of farmland scale management through regional scale measures such as laws and policies,to support the implementation of land consolidation projects,and realize farmland scale management.

Application of oblique photogrammetry technique in geological hazard identification and decision management

With the continuous development of the oblique photography technique, it has been used more and more widely in the field of geological disasters. It can quickly obtain the three-dimensional(3D) real scene model of dangerous mountainous areas under the premise of ensuring the safety of personnel while restoring the real geographic information as much as possible. However, geological disaster areas are often accompanied by many adverse factors such as cliffs and dense vegetation. Based on this, the paper introduced the flight line design of oblique photogrammetry, analyzed the multi-platform data fusion processing, studied the multi-period data dynamic evaluation technology and proposed the application methods of data acquisition, early warning, disaster assessment and decision management suitable for geological disaster identification through the analysis of actual cases, which will help geologists to plan and control geological work more scientifically and rationally, improve work efficiency and reduce the potential personnel safety hazards in the process of geological survey, to offer technical support to the application of oblique photogrammetry in geological disaster identification and decision making and provide the scientific basis for personal and property safety protection and later-stage geological disaster management in disaster areas.

Enterprise Process Modeling Methodology and Environment Supporting Project Management

Development of the global economy makes modem enterprises confront challenges of efficient managements for large projects and complex processes. Projects are typically managed in rather special manners. On the contrary, there exist many methodologies for product process management to achieve consistency and continuance. However, processes often lack flexibility offered by projects. This paper dis~ the relationship of conceptual characteristics between process and project, gives low-level details to tackle the difference between them, and proposes an enterprise process modeling method for project management. An integrated environment is designed to support the method from which both project management and process management can receive benefits and conform to the limitations.

AN IMPLEMENTATION OF A MODEL MANAGEMENT SYSTEM

ＡＮＩＭＰＬＥＭＥＮＴＡＴＩＯＮＯＦＡＭＯＤＥＬＭＡＮＡＧＥＭＥＮＴＳＹＳＴＥＭＣｈｅｎＸｉａｏｈｏｎｇ（ＤｅｐａｒｔｍｅｎｔｏｆＢｕｓｉｎｅｓｓＡｄｍｉｎｉｓｔｒａｔｉｏｎＣｅｎｔｒａｌＳｏｕｔｈＵｎｉｖｅｒｓｉｔｙｏｆＴｅｃｈｎｏｌｏｇｙ，Ｃｈａ...

Game Modeling and Strategic Behavior Analysis in Public Goods Provision： Evidence From Water Resources Management

The utility of public goods vary with the behaviors of stakeholders （players）, and it is appropriate to study effective supply and management of public goods with game modeling and analysis. The comparison effect is the key issue of public good provision both in theoretical analysis and in practice. One major contribution of the paper is the extension of Clarke-Groves mechanism, to achieve which strategic behavior analysis is applied through the analysis and the comparison effect among various stakeholders in different stages is created and highly emphasized. In the first section of this paper, the definition of integrated water resources management （IWRM）, the importance of stakeholder participation as well as some models and methods that have been applied are illustrated. Following this, the framework of analysis is elaborated, in which the scenario and aims are shown, and it is claimed that game theory is the main approach, which includes both cooperative games and non-cooperative games. To achieve the aims of the public project, five approaches from game theory are able to cover the entire process of the project, and the fourth approach on interest compensation mechanism is the highlight of the research. After this, the interest compensation mechanism is demonstrated in the model section, and is proved to be an incentive compatible mechanism that makes each stakeholder choose to behave in accordance with the interest of the entire project. The Clarke-Groves mechanism is applied and extended in establishing the model, and the utility change by the comparison among stakeholders （defined as the comparison effect） is involved. In the application section, a water project is analyzed in consideration of various stakeholders, and other possible applications are also indicated.

Prospects of key technologies of integrated energy systems for rural electrification in China

Owing to increasing environmental concerns and resource scarcity, integrated energy system shave become widely used in communities. Rural energy systems, as one of the important links of the energy network in China, suffer from low energy efficiency and weak infrastructure. Therefore, it is particularly important to increase the proportion of electricity consumption and build an integrated energy system for rural electrification in China(IESREIC) with a rural distribution network as the core, in line with national conditions. In this study, by analyzing the Chinese regional differences and natural resource endowments, the development characteristics of the IESREIC are summarized. Then, according to the existing rural energy problems, key technologies are proposed for the IESREIC, such as those for planning and operation, value sharing, infrastructure, and a management and control platform. Finally, IESREIC demonstration projects and business models are introduced for agricultural production, rural industrial systems, and rural life. The purpose is to propose research concepts for the IESREIC, provide suggestions for the development of rural energy, and provide a reference for the construction of rural energy systems in countries with characteristics similar to those of China.

Online payment fraud:from anomaly detection to risk management

Online banking fraud occurs whenever a criminal can seize accounts and transfer funds from an individual’s online bank account.Successfully preventing this requires the detection of as many fraudsters as possible,without producing too many false alarms.This is a challenge for machine learning owing to the extremely imbalanced data and complexity of fraud.In addition,classical machine learning methods must be extended,minimizing expected financial losses.Finally,fraud can only be combated systematically and economically if the risks and costs in payment channels are known.We define three models that overcome these challenges:machine learning-based fraud detection,economic optimization of machine learning results,and a risk model to predict the risk of fraud while considering countermeasures.The models were tested utilizing real data.Our machine learning model alone reduces the expected and unexpected losses in the three aggregated payment channels by 15%compared to a benchmark consisting of static if-then rules.Optimizing the machine-learning model further reduces the expected losses by 52%.These results hold with a low false positive rate of 0.4%.Thus,the risk framework of the three models is viable from a business and risk perspective.

A supply chain management in a single-vendor and a singlebuyer integrated inventory model with backorders under imperfect production system

Lead time is an essential factor in any supply chain and inventory management system.In stochastic inventory models,lead time is often viewed as a prescribed constant or a random variable that is not subject to control.In many practical situations,lead times can be controlled by paying additional investment.Using this viewpoint,notion of the crashing cost into stochastic inventory model,in which lead time can be controlled by additional investment.Many researchers have developed various analytical inventory models we have considered the piecewise linear function.So in this proposed model,we derive the mathematical model which is developed by incorporating three types of lead time crashing cost functions(i)exponential function,(ii)polynomial function and(iii)negative exponential function.An integrated inventory model is recognized to find the optimal solutions of order quantity,lead time,total cost for buyer,total cost for vendor and the total number of deliveries from the single-vendor to the single-buyer in one production run.A solution process is suggested for solving the proposed model and numerical examples to illustrate the feature of the proposed model,and examined the effect of the key parameters on the optimal solution and managerial implications are discussed.Numerical examples show that this model offers significant improvements over existing models.A computer code using the software Matlab is developed to derive the optimal solution.The main contribution of this paper is developing a mathematical model and an effective solution procedure to find the optimal solution.Finally,a graphical representation of the computational algorithm is represented by a flowchart in each model.

整合型健康服务组织医保支付模式的设计——基于中美比较

美国的健康管理组织(如HMO、ACO、PCMH)开展医保与医疗的深度整合,以效率为导向的医保支付设计兼顾费用控制、医疗质量、医防融合与患者流向引导,在世界范围内具有批判性借鉴意义。我国的整合型健康服务组织(如深圳罗湖城市医疗集团、三明尤溪县域医共体、天津基层数字健共体)的医保支付模式,在费用控制、服务质量、分级诊疗方面都有良好表现,但在提升患者体验、改善人群健康方面略显不足。未来的医保支付应以健康产出为引领,从总额控制转向疾病精细管理,基于循证医学证据探索慢性病目标制绩效支付方式。

基于洞穴式自动虚拟环境的全程分娩管理模式构建与实践

目的构建基于洞穴式自动虚拟环境的全程分娩管理模式,并评价实践效果,以探寻提升孕产妇分娩体验的有效助产体系。方法选取2022年7—9月在医院进行分娩的40例产妇为对照组,同时收集2022年10—12月在医院进行分娩的40例产妇为观察组,对照组实施常规全程分娩管理模式,观察组采用基于洞穴式自动虚拟环境的全程分娩管理模式,即以待产-分娩-产后康复为一体的全程分娩管理为基础,在一体化病房中,通过组建专业团队,运用投影仪、音响等设备,播放视频及音乐,投射虚拟场景,营造多维度、多感觉的沉浸式分娩氛围,实现沉浸式分娩。并运用数字疼痛量表(NPRS)、焦虑自评量表(SAS)和中文版分娩体验量表(CEQ-C)分别评估两组产妇的分娩疼痛程度、焦虑程度及分娩体验感。结果观察组产妇实施无痛前(宫口扩张0~2cm)和第二产程疼痛评分均低于对照组,差异具有统计学意义(P<0.05)。两组产妇临产前及第二产程、产后SAS评分呈下降趋势,差异有统计学意义(P时间<0.05);观察组产妇第二产程及产后SAS评分均低于对照组,差异有统计学意义(P组间<0.05);随着产程的进展,两组间的SAS评分差别增大(P交互<0.05)。观察组产妇分娩体验感评分中的自我能力、自我感知及总分高于对照组,差异有统计学意义(P<0.05)。结论构建基于洞穴式自动虚拟环境的全程分娩管理模式能有效减轻产妇分娩疼痛感,缓解焦虑情绪,提升分娩体验感。

体旅融合发展视域下旅游管理模式创新研究

体旅融合发展作为一种新业态的发展形式,是我国体育产业和旅游产业转型升级的重要成果之一。文章主要以文献资料法与逻辑分析法为研究方法,对现阶段我国对体旅融合发展构建出的体育旅游活动管理模式进行研究。研究发现体旅融合发展视域下旅游管理模式存在以下几方面问题:宏观层面上的体旅融合发展的立法针对性有待提高、中观层面上的体旅融合发展的管理制度存在漏洞与微观层面上的体旅融合发展的个体规范意识较弱。文章提出的解决对策有完善立法管理,优化政策制度、构建管理体系,提升管理能力与加强引导宣传,规范参与行为。

Simulation modelling of potato virus Y spread in relation to initial inoculum and vector activity

Potato virus Y(PVY)is a non-persistent virus that is transmitted by many aphid species and causes significant damage to potato production.We constructed a spatially-explicit model simulating PVY spread in a potato field and used it to investigate possible effects of transmission efficiency,initial inoculum levels,vector behavior,vector abundance,and timing of peak vector activity on PVY incidence at the end of a simulated growing season.Lower PVY incidence in planted seed resulted in lower virus infection at the end of the season.However,when populations of efficient PVY vectors were high,significant PVY spread occurred even when initial virus inoculum was low.Non-colonizing aphids were more important for PVY spread compared to colonizing aphids,particularly at high densities.An early-season peak in the numbers of noncolonizing aphids resulted in the highest number of infected plants in the end of the season,while mid-and late-season peaks caused relatively little virus spread.Our results highlight the importance of integrating different techniques to prevent the number of PVY-infected plants from exceeding economically acceptable levels instead of trying to control aphids within potato fields.Such management plans should be implemented very early in a growing season.

Integrated river basin management in rapidly urbanizing areas:a case of Shenzhen,China

The rapid urbanization of China is causing a burden on their water resources and hindering their sustainable development.This paper analyzes effective methods to integrated river basin management(IRBM)using Longgang River basin of Shenzhen as an example,which is the city with the fastest rate of urbanization in China and even the whole world.Over the past 20 years,China has undergone a population boom due to the increase of immigrant workers and rapid development of laborintensive industries,which led to the sharp increase of water consumption and sewage discharge.However,the construction of the water infrastructure is still lagging far behind the environmental and social development,with only 32.7%of sewage in the district being treated.Currently,every water quality indicator of the Longgang River basin was unable to meet the required corresponding environmental standards,which further aggravated the water shortages of the region.Thus,an analytical framework is proposed to address the IRBM of the study area.The problems with the current management system include the lack of decentralization in decision-making,lack of enforcement with redundant plans,weak management capacity,financial inadequacy,and a poor system of stakeholder participation.In light of the principles of IRBM and the situation of the region,corresponding measures are put forward,including an increase of power given to sub-district offices,fewer but more feasible plans,capacity building among stakeholders,a combination of planning and marketing for overcoming financial inadequacy,and profound reform in the public participation system.The framework and institutional suggestions could inform similar processes in other representative river basins.

Estimation of Pollutant Loads in Ardila Watershed Using the SWAT Model

Abstract： Excess of organic matter and nutrients in water promotes eutrophication process observed in the Ardila River. It was classified as much polluted being critical for Alqueva-Pedrogāo System. The aim of this study was to estimate the transported nutrients loads in a transboundary watershed using the SWAT （soil and water assessment tool） model and to determine the contribution of nutrients load in the entire watershed. Ardila watershed is about 3,711 km^2 extended from Spain （78%） to the eastern part of Portugal （22%）. It was discretized into 32 sub-basins using automated delineation routine, and 174 hydrologic response units. Monthly average meteorological data （from 1947 to 1998） were used to generate daily values through the weather generator Model incorporated in SWAT. Real daily precipitation （from 1931 to 2003） was introduced. The model was calibrated and verified for flow （from 1950 to 2000） and nutrients （from 1981 to 1999）. Model performance was evaluated using statistical parameters, such as NSE （Nash-Sutcliffe efficiency） and root mean square error （R2）. Calibration and verification flow results showed a satisfactory agreement between simulated and measured monthly date from 1962 to 1972 （NSE = 0.8; R^2 = 0.9）. The results showed that the most important diffuse pollution comes from the two the main tributary （Spain）. The estimated nitrogen and phosphorous loads contribution per year was respectively 72% and 59% in Spain and 28% and 41% in Portugal. The SWAT model was revealed to be a useful tool for an integrated water management approach that might be improved taking into count the WFD （water framework directive）.