Improvement of the nutritional support management system for patients in intensive care units

BACKGROUND Nutritional support for patients hospitalized in the intensive care unit(ICU)is an important part of clinical treatment and care,but there are significant implementation difficulties.AIM To introduce a modified nutritional support management system for ICU patients based on closed-loop information management and psychological counseling.METHODS The division of functions,personnel training,system construction,development of an intelligent decision-making software system,quality control,and improvement of the whole process were carried out to systematically manage nutritional support for ICU patients.RESULTS Following the implementation of the whole process management system,the scores of ICU medical staff’s knowledge,attitudes/beliefs,and practices regarding nutritional support were comprehensively enhanced.The proportion of hospital bed-days of total enteral nutrition(EN)in ICU patients increased from 5.58%to 11.46%,and the proportion of EN plus parenteral nutrition increased from 42.71%to 47.07%.The rate of EN initiation within 48 h of ICU admission increased from 37.50%to 48.28%,and the EN compliance rate within 72 h elevated from 20.59%to 31.72%.After the implementation of the project,the Self-rating Anxiety Scale score decreased from 61.07±9.91 points to 52.03±9.02 points,the Self-rating Depression Scale score reduced from 62.47±10.50 points to 56.34±9.83 points,and the ICU stay decreased from 5.76±2.77 d to 5.10±2.12 d.CONCLUSION The nutritional support management system based on closed-loop information management and psychological counseling achieved remarkable results in clinical applications in ICU patients.

Research on Technological Support System of Control and Management of Rural Tourism Safety

As the sources of overt and covert potential safety hazards were widespread, the safety control and management of rural tourism became more complicated and difficult, which required more for technological support of rural tourism safety management. Based on the latitude of technological support, from the perspective of management practice of rural tourism safety, through analysis on inner symbiosis of management and technological support of rural tourism safety, the paper had studied three parts of control and management system of rural tourism safety, which were rural tourism safety identification, rural tourism safety isolation and control, and rural tourism safety treatment and solution; and the connotation of technological support during safety management had been discussed from the three aspects. It hoped to serve as reference for tourism safety management and control, so as to promote healthy, stable and sustainable development of tourism.

A Knowledge Model-and Growth Model-Based Decision Support System for Wheat Management

By applying the system analysis principle and mathematical modeling technique to knowledge expression system for crop cultural management, the fundamental relationships and quantitative algorithms of wheat growth and management indices to variety types, ecological environments and production levels were analysed and extracted, and a dynamic knowledge model with temporal and spatial characters for wheat management(WheatKnow)was developed. By adopting the soft component characteristics as non language relevance , re-utilization and portable system maintenance. and by further integrating the wheat growth simulation model(WheatGrow)and intelligent system for wheat management, a comprehensive and digital knowledge model, growth model and component-based decision support system for wheat management(MBDSSWM)was established on the platforms of Visual C++ and Visual Basic. The MBDSSWM realized the effective integration and coupling of the prediction and decision-making functions for digital crop management.

A Framework for Intelligent Decision Support System for Traffic Congestion Management System

Traffic congestion problem is one of the major problems that face many transportation decision makers for urban areas. The problem has many impacts on social, economical and development aspects of urban areas. Hence the solution to this problem is not straight forward. It requires a lot of effort, expertise, time and cost that sometime are not available. Most of the existing transportation planning software, specially the most advanced ones, requires personnel with lots practical transportation planning experience and with high level of education and training. In this paper we propose a comprehensive framework for an Intelligent Decision Support System (IDSS) for Traffic Congestion Management System that utilizes a state of the art transportation network equilibrium modeling and providing an easy to use GIS-based interaction environment. The developed IDSS reduces the dependability on the expertise and level of education of the transportation planners, transportation engineers, or any transportation decision makers.

Toward a Decision Support System for Integrated Pest Management of Pine Caterpillar

A decision support system for IPM of the pine caterpillar, Dendrolimus spectabilis Buter, DS-IPM-DSS, has recently been developed using a GW-0520 CH microcomputer. The software system consists of , a Model Base and its Management System, a Database and its Management System, a Control Program, a Problem Analysis Program, and a User’s Interface System. Also further development aimed at expanding the DS-IPM-DSS into a more generalized and flexible package, i. e., making it helpful in creating computer-based system for other forest insect pests, are discussed.

Research of Agile Supply Chain Management Decision Support System

Agile Supply Chain Management (ASCM) is an important topic and has received much attention recently. ASCM is a new management technology. Agile Supply Chain Management Decision Support System (ASCM DSS) is presented. Firstly, agile supply chain management technology is introduced. Secondly a decision support system for agile supply chain management is proposed. Then, the implementation of ASCM DSS in enterprise is discussed. Finally, a fuzzy intelligence decision making process in Shanghai Turbine Generator Company (STGC) is described in detail.

Participatory Environmental Management and its Framework of Group Decision Support System

Considering some drawbacks of the mainstream approach to environmental management (EM),the conception and basic idea of Participatory EM(PEM) are put forward.PEM possesses some main features and benefits that are superior to the mainstream approach,but also faces the crucial constraint in decision-making.The dilemma can be effectively settled by applying an advanced decision-making support tool-group decision support system(GDSS).On the basis of recognizing the complex decision-making environment of PEM,this paper describes the components of GDSS for PEM(PEM-GDSS) and further discusses the basic requirement of PEM-GDSS.

Development of a group support system to support collaborative works in value management workshops

Value Management (VM) is a rigorous and systematic approach to improve the value and optimise the overall cost of a facility. It identifies opportunities to remove unnecessary costs while assuring that quality, reliability, performance, and other critical factors will meet or exceed the customers’ expectations. It has been widely used in the construction industry in a number of countries. A recent survey, however, revealed several problems that hinder the wider use of this methodology in the industry. To overcome these problems, a feasibility study has been conducted to investigate whether or not a Group Support System (GSS) can support collaborative works in VM workshops. This paper introduces the development and structure of a prototype GSS which is designed to support the collaborative works of stakeholders in VM workshops. It begins with an introduction to the conceptual GSS framework and job plan, illustrating what GSS supports can be provided to VM workshops. This is followed by a detailed description of the GSS prototype system to demonstrate how these supports can be performed as an integrated computer system. The testing of the system is also discussed. The research findings provide strong evidence in supporting the notion of using GSS to improve VM implementation. The information support of GSS has been ranked to be the most useful GSS functions and most of the practitioners interviewed are highly interested in applying GSS to support VM workshops in the future.

Research and Design of IPv6 Network Management and Operations Support System

IPv6 is the foundation of the development of Next Generation Internet (NGI). An IPv6 network management and operations support system is necessary for real operable NGI. Presently there are no approved standards yet and relevant equipment interfaces are not perfect. A Network Management System (NMS) at the network layer helps implement the integrated management of a network with equipment from multiple vendors, including the network resources and topology, end-to-end network performance, network failures and customer Service Level Agreement (SLA) management. Though the NMS will finally realize pure IPv6 network management, it must be accommodated to the management of relevant IPv4 equipment. Therefore, modularized and layered structure is adopted for the NMS in order to implement its smooth transition.

Reformative Financial Risk Management Approach： A Multistage Decision Support System with the Assistance of Fuzzy Goal Programming and Expertons Method

The potential demand on financial risk management has being increased considerably by the reason of Basel 11 regulations and instabilities in economy. In recent years, financial institutions and companies have been struggled for building up intensive financial risk management tools due to Basel II guidance on establishing financial self-assessment systems. In this respect, decision support system has a significant role on effectuating intensive financial risk management roadmap. In this study, a reformative financial risk management system is presented with the combination of determining financial risks with their importance, calculating risk scores and making suggestions based on detected risk scores by applying corrective actions. First, financial risk factors and indicators of these risk variables are selected and weights of these variables are specified by using fuzzy goal programming. After that, total risk scores are calculated and amendatory financial activities are appeared by means of expertons method which also provides possibilities of the alternative decisions. To illustrate the performance of integrated and multistage decision support system, a survey is applied on the end users.

A Project Management and Decision Support System for Non-standard Equipment's Eexecuting Work

Based on the features of the non-standard equipment executing work, a project management and decision support system oriented to the non-standard equipment is developed, and the information model, function model as well as the structure framework of the system are also introduced in this paper.

Ground behaviour analysis,support system design and construction strategies in deep hard rock mining-Justified in Western Australian’s mines

Development of deep underground mining projects is crucial for optimum extraction of mineral deposits.The main challenges at great depth are high rock stress levels,seismic events,large-scale deformation,sudden failures and high temperatures that may cause abrupt and unpredictable instability and collapse over a large scale.In this paper,a ground control and management strategy was presented corresponding to the three stages of projects:strategic design,tactical design and operational design.Strategic design is results in preparing a broad plan and primary design for mining excavations.The tactical design is to provide detail design such as stabilisation methods.Operational design stage is related to monitoring and updating design parameters.The most effective ground control strategies in this stage are maintenance,rehabilitation,monitoring and contingency plan.Additionally,a new procedure for design of ground support systems for deep and hard rock was proposed.The main principles are:static and/or dynamic loading types,determination of loading sources,characterisation of geological conditions and the effects of orientation of major structures with openings,estimation of ground loading factor,identification of potential primary and secondary failures,utilisation of appropriate design analysis methods,estimation of depth failure,calculation of the static and/or dynamic demand ground support capacity,and selection of surface and reinforcement elements.Gravitational force is the dominant loading force in low-level stresses.In high stress level failure mechanism becomes more complex in rock mass structures.In this condition,a variety of factors such as release of stored energy due to seismic events,stress concentration,and major structures influence on ground behaviour and judgement are very complicated.The key rock engineering schemes to minimise the risk of failures in high-stress levels at great depth involve depressurisation and quality control of materials.Microseismic and blast monitoring throughout the mining operations are required to control sudden failures.Proper excavation sequences in underground stopes based on top-down,bottom-up,centre-out and abutment-centre were discussed.Also,the performance of a ground support system was examined by field observation monitoring systems for controlling and modifying ground support elements.The important outcome of the research is that the proposed procedure of selecting ground support systems for static and dynamic situations was applied in several deep underground mines in Western Australia.Ground behaviour modes and failure mechanism were identified and assessed.Ground demand for static and dynamic conditions was estimated and an appropriate ground support system was selected and evaluated in site-specific conditions according to proposed method for ground support design at great depth.The stability of rock masses was confirmed,and the reliability of the design methodology for great depth and hard rock conditions was also justified.

Review of state-of-the-art decision support systems (DSSs) for prevention and suppression of forest fires

Forest ecosystems are our priceless natural resource and are a key component of the global carbon budget. Forest fires can be a hazard to the viability and sustainable management of forests with consequences for natural and cultural environments, economies, and the life quality of local and regional populations. Thus, the selection of strategies to manage forest fires, while considering both functional and economic efficiency, is of primary importance. The use of decision support systems(DSSs) by managers of forest fires has rapidly increased. This has strengthened capacity to prevent and suppress forest fires while protecting human lives and property. DSSs are a tool that can benefit incident management and decision making and policy, especially for emergencies such as natural disasters. In this study we reviewed state-of-the-art DSSs that use: database management systems and mathematical/economic algorithms for spatial optimization of firefighting forces; forest fire simulators and satellite technology for immediate detection and prediction of evolution of forest fires; GIS platforms that incorporate several tools to manipulate, process and analyze geographic data and develop strategic and operational plans.

Model based decision support system for land use changes and socio-economic assessments

Hydrological models are often linked with other models in cognate sciences to understand the interactions among climate, earth, water, ecosystem, and human society. This paper presents the development and implementation of a decision support system（DSS） that links the outputs of hydrological models with real-time decision making on social-economic assessments and land use management. Discharge and glacier geometry changes were simulated with hydrological model, water availability in semiarid environments. Irrigation and ecological water were simulated by a new commercial software MIKE HYDRO. Groundwater was simulated by MODFLOW. All the outputs of theses hydrological models were taken as inputs into the DSS in three types of links： regression equations, stationary data inputs, or dynamic data inputs as the models running parallel in the simulation periods. The DSS integrates the hydrological data, geographic data, social and economic statistical data, and establishes the relationships with equations, conditional statements and fuzzy logics. The programming is realized in C＋＋. The DSS has four remarkable features：（1） editable land use maps to assist decision-making;（2） conjunctive use of surface and groundwater resources;（3） interactions among water, earth, ecosystem, and humans; and（4） links with hydrological models. The overall goal of the DSS is to combine the outputs of scientific models, knowledge of experts, and perspectives of stakeholders, into a computer-based system, which allows sustainability impact assessment within regional planning; and to understand ecosystem services and integrate them into land and water management.

The Effect of Executive Management Support and Cost Accountant Competency on CMS Design Effectiveness and Its Consequences： An Empirical Research of Manufacturing Business in Thailand＊

The objective of this research is to examine the antecedents and consequences of cost management systems （CMS） design effectiveness of manufacturing businesses in Thailand. The effect of CMS design effectiveness on cost information quality is investigated. Moreover, the effect of cost information quality on business success is investigated. Furthermore, executive management support and cost accountant competency are assumed to become the antecedents of CMS design effectiveness. Electronics manufacturing businesses in Thailand are samples of the research. A mail survey procedure via the questionnaire was used for data collection from accounting controllers. The results indicate that CMS design effectiveness has a positive significant effect on cost information quality. Moreover, cost information quality also has a positive significant effect on business success. Additionally, both executive management support and cost accountant competency have a positive significant effect on CMS design effectiveness.

Research on Financial Support for the New Types of Agricultural Management Entities from the Perspective of the Rural Revitalization Strategy

Both the escape from the predicament of traditional financial support in rural areas and the cultivation of new types of agricultural management entities underlie,at a micro level,the improvement of a new-type of agricultural management system,and offer an important guarantee for the implementation of a rural revitalization strategy.In reference to the demands of carrying out reform,activating factors,invigorating entities and stimulating markets during the implementation of this rural revitalization strategy,we are applying a financing preference theory that infers and analyzes the excessive preference for new-type agricultural management entities(family farms,specialized farmer cooperatives,specialized large family farms,and modern agricultural enterprises)regarding government subsidies(quasi-equity financing).Our analysis has identified crucial factors in the issue and predicts that government subsidies(quasi-equity financing)will crowd out financial support funding(quasi-debt financing),and we offer empirical proof obtained through statistical modeling.As our results indicate,financing costs,free cash flows,and the perceived income adequacy(PIA)of new-type agricultural management entities all have significant influence upon decision-making for debt financing by such entities.Therefore,with the concrete contents of the formulation of policies concerning the financial support for rural agricultural strategy,one not only needs to consider the further decrease of financing costs,but also should take into account both the designing of cash flow mechanism in the process of paying both principal and interest,and the improvement of bankruptcy rules for agricultural management entities to accelerate the transformation of family farms,specialized farmer cooperatives,and specialized large family farms,towards modern agricultural enterprises.Meanwhile,upgrades to the supply chains of the agriculture industry,improvements to the construction of the rural financial information system,building an accounting system that meets the requirements of the rural revitalization strategy,and giving full play to the policies for financial support,which assume an important role in activating factors and markets during the implementation of the rural revitalization strategy,are also anticipated.

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.

A Decision Support System for Economic Development and Price Reform

In this paper, we present a real decision support system applied to China's macroeconomic management. The structure, design and functions of the system are discussed, and the problems occurring in designing and making the system are also studied. A case study for China's petroleum price reform is given at the end of the paper.

Study on Material ManagementSystem of Coal Enterprise Basedon Data Warehouse

On the bas is of the reality of material supply management of the coal enterprise, this paper expounds plans of material management systems based on specific IT, and indicates the deficiencies, the problems of them and the necessity of improving them. The structure, models and data organizing schema of the material management decision support system are investigated based on a new data management technology (data warehousing technology).

PROBLEM-ORIENTED INFORMATION RETRIEVAL DECISION SUPPORT SYSTEMS

Decision Support Systems(DSS)are man-machine interaction systems,which support the de-cision-makers to solve the unstructured and semi-structured decisions,this paper advances that thefunction of problem-oriented information retrieval DSS can meet the needs of enterprise’s topmanagement effectively in comparison with other information retrieval functions,in accordancewith the features of supporting information for decision.An architecture of this system is presented,which dissolves a problem put forward or recognized by the user into the problem recognized by thecomputer,forming retrieval tactics and searching the data the user needs.Designed and developedaccording to the architecture of this system,a prototype system is introduced,which is CF Econom-ic Environment Information Retrieval DSS.