Implementation Strategy of“Eight in One”of Integrated Medical and Care Service System in China:A Case Study of Anshan City of Liaoning

With the gradual intensification of aging in China,the issue of elderly care has become the primary issue that needs to be urgently solved in society.The construction of a reasonable and scientific integrated medical and care service system can not only efficiently allocate medical resources and services,but also better meet the needs of the elderly.Due to the involvement of multiple disciplines such as architecture,sociology,psychology,and behavioral science in the construction of the system,as well as the restriction of various objective factors such as medical capacity,spatial scale,and operating costs,the government and elderly care institutions have always been unable to find the best solution for how to scientifically and reasonably construct an integrated medical and care service system.This paper is based on Anshan City,Liaoning Province,which has prominent aging issues and distinct characteristics of the elderly population.Through extensive field research in elderly care institutions,and face-to-face communication with personnel from relevant government departments such as the Municipal Commission on Aging,the Civil Affairs Bureau,the Health Commission,the Medical Insurance Bureau,and the Human Resources and Social Security Bureau,it truly understands the problems that arise in the construction of the urban integrated medical and care service system.From three aspects:urban situation,institutional situation and the needs of the elderly,it is proposed to establish a clear departmental linkage mechanism with clear rights and responsibilities,a policy guarantee mechanism tailored to local conditions,a multi-measure operation mechanism,a technology first intelligent response mechanism,a warm and efficient service mechanism for the people,an overall layout mechanism,an evaluation and supervision mechanism for full process control,and a talent supply mechanism of external introduction and internal training.It aims to provide reference for the construction of an integrated medical and care service system in similar cities.

A High Efficiency Hardware Implementation of S-Boxes Based on Composite Field for Advanced Encryption Standard

The SubBytes (S-box) transformation is the most crucial operation in the AES algorithm, significantly impacting the implementation performance of AES chips. To design a high-performance S-box, a segmented optimization implementation of the S-box is proposed based on the composite field inverse operation in this paper. This proposed S-box implementation is modeled using Verilog language and synthesized using Design Complier software under the premise of ensuring the correctness of the simulation result. The synthesis results show that, compared to several current S-box implementation schemes, the proposed implementation of the S-box significantly reduces the area overhead and critical path delay, then gets higher hardware efficiency. This provides strong support for realizing efficient and compact S-box ASIC designs.

Evidence-based optimization of integrated traditional Chinese and Western medicine therapies for prevention and treatment of coronary heart disease： design and implementation

As a chronic disease that seriously endangers public health, the number of coronary heart disease （CHD） patients in China has increased in recent years. There is great potentiality to integrate traditional Chinese and Western medicine therapies to prevent and treat CHD in clinical practice. However, most of the current integrated therapies still lack sufficient high-quality evidence, and the key links in how to apply are unclear. It is urgent to optimize them through evidence-based research to further improve the effectiveness. Therefore, we propose strategies to conduct evidence-based optimization of integrated traditional Chinese and Western medicine therapies in prevention and treatment of progressive cardiovascular diseases. These are integrated clinical trial design, attention to the key links of taking effect, combination of clinical and basic research. Based on the strategies, we started the national key research and development project ＂Evidence-based optimization research of TCM therapies in prevention and treatment of CHD （angina pectoris - myocardial infarction - heart failure）＂, which is expected to be a new paradigm in the field.

Create Your Own Data and Energy Integrated Communication Network:A Brief Tutorial and a Prototype System

In order to satisfy the ever-increasing energy appetite of the massive battery-powered and batteryless communication devices,radio frequency(RF)signals have been relied upon for transferring wireless power to them.The joint coordination of wireless power transfer(WPT)and wireless information transfer(WIT)yields simultaneous wireless information and power transfer(SWIPT)as well as data and energy integrated communication network(DEIN).However,as a promising technique,few efforts are invested in the hardware implementation of DEIN.In order to make DEIN a reality,this paper focuses on hardware implementation of a DEIN.It firstly provides a brief tutorial on SWIPT,while summarising the latest hardware design of WPT transceiver and the existing commercial solutions.Then,a prototype design in DEIN with full protocol stack is elaborated,followed by its performance evaluation.

An Overview of Concurrent Engineering Research and Its Industrial Implementation in Chinese Enterprises

Concurrent Engineering (CE) is an effective way for enterprises to reengineer the product development processes and to improve the product development abilities. In this paper, the existing status of product development in Chinese manufacturing industry is analyzed, and the requirements of manufacturing technology for them are investigated. An overview of our CE R&D work is introduced, including product modeling, DFA, DFM, QFD, PDM, and other enabling technologies. A case study of the CE pilot project is discussed. The industrial implementation and application in Chinese enterprises are summarized.

Call for Implementation: A New Software Development Mode for Leveraging the Resources of Open Community

With the growth of the internet and open software, there are additional software developers available from the open community that can participate in the development of software application systems. Aiming to leverage these resources, a new development model, CFI (call for implementation), is proposed. The basic idea of CFI is to publish some part of a software project to the open community, whole or part, in certain phases of the software development lifecycle to call for implementation. This paper discusses the basic concept and method for a software development process in CFI mode. Two different modes of CFI with different granularities are analyzed. And one of the CFI modes, fine-granularity-CFI mode, is thoroughly discussed including the main methods and basic steps. To verify the ideas a pilot project, an online store system, is built up with the CFI development process. The online store system takes the traditional Model-View-Control architecture and some common technologies such as Struts, Hibernate, Spring are used. The result shows that this new kind of software development mode is feasible though there are many problems that are still requiring further study.

Identifying the Determinants for Attractiveness of Integrated Forms of Care from the Perspective of Health Care Professionals

Fostering integration between caregivers in the ambulatory sector involves transforming the institutional, organizational and technical flamework but also redesigning the work performed by health care professionals. Empirical research on the implementation of integrated care highlights professional engagement and commitment as a key success factor during the change process. Although a mismatch of motives during the integration process is often reported only a few studies have explored motivational aspects of health care integration. The aim of this study is to explore motivational factors for health care professionals in order to identify the determinants of attractiveness of integrated forms of care. An online-questionnaire was developed to identify the most important motivational factors for health care professionals and to reflect their perceptions on the attractiveness of interdisciplinary forms of care. The sample includes practicing physicians （general practitioners and specialists）, practicing nurses and non-physician professions （physiotherapists, midwives, speech therapists, occupational therapists）. Findings suggest that health care professionals are highly motivated by intrinsic motivators. Physicians turned out to be the most reluctant group towards integrated care models. Participating in integrated forms of care would challenge working independently which represents a strong motivator. The responses of nurses suggest that they are the most favorable group. Integrated care forms would be attractive offering more possibilities for social relationships, expanding responsibilities and challenging work. Results support the importance of health workforce engagement and participation in planning health care integration.

应用型高校深化产教融合的动力机制

近年来,我国高等教育在国家“科教兴国”战略感召下,一批高水平大学开始加快发展步伐,逐步缩小了与“世界一流”大学的差距。而地方高校由于受生源、师资、设施等软硬件资源的约束,其人才培养、科学研究、社会服务的质量与高水平大学形成了明显反差。为此,借鉴国外高校的办学经验,党和国家适时提出了地方本科高校加快转型发展,走产教融合的转型发展之路的战略部署,但实施过程步履艰难,究其根本原因在于产教融合的多方参与主体的动力机制尚未有效构建。为此,在阐述产教融合多方主体原动力内涵的基础上,分析其动力缺乏的制约因素,从而提出构建灵活、有效动力机制的实施路径。

城市更新专项规划编制的内容体系构成与关键技术路径

城市更新专项规划是当前各地推进城市更新行动的重要抓手和新兴工具,其编制方法和工作路径正处于探索阶段。辨析城市更新专项规划兴起的背景与需求,对比分析北京、深圳、广州、重庆等地的规划编制经验,总结市区层面城市更新专项规划编制的主要做法与内容构成,详细剖析以存量空间资源统筹为核心的“本底识别—分类梳理—管控引导”规划编制技术路径,从实施流程、传导机制、落地工具等方面提出保障城市更新专项规划效用发挥的措施建议。

高职“食品理化检验技术”课程思政建设研究

“课程思政”作为一种新兴的教学理念成为近年来高校课程改革的热点。针对“食品理化检验技术”课程建设中存在的问题,结合课程特点和食品检测岗位职业素养需求,从提升专业课教师思政意识和育人能力、课程思政元素的挖掘与融入、课程思政教学融合信息技术及课程思政评价四个方面阐述“食品理化检验技术”课程思政的实施途径,以此发挥专业课堂教学协同育人的作用,实现价值塑造、知识传授和能力培养三者相融,落实立德树人的根本任务,为更多的职业院校开展同类课程教学改革提供建议和参考。

数实深度融合助力“专精特新”企业数字化转型

中小企业数字化转型是影响数字经济和实体经济深度融合的重点与难点,“专精特新”企业是中小企业的排头兵,其数字化转型具有示范效应和引领作用,助力“专精特新”企业数字化转型是破解数实深度融合困境的关键突破口。数实深度融合可以赋能“专精特新”企业实现生产经营数字化、组织管理数字化、产业协同数字化和敏捷创新数字化。加快推进“专精特新”企业数字化转型,需建设“专精特新”企业数字化转型赋能平台,降低“专精特新”企业数字化转型成本,促进产业生态融通,构建“专精特新”企业全产业链数据共享圈,加强“专精特新”企业数字化转型的集成服务,对“专精特新”企业数字化转型进行精准化政策扶持。

医养结合服务的有效模式及其实现机制研究——基于陕西省汉阴县鸿济医养中心的案例分析

医养结合是优化老年健康和养老服务供给的重要举措。如何实现医养结合的真正落地和可持续发展,是在多年试点后进一步推进医养结合发展中需要优先解答的关键问题。文章对陕西省汉阴县鸿济医养中心的服务模式进行了总结,并借鉴社会-生态系统适应性理论,剖析了鸿济医养中心作为一家民营医院如何推动县域医养结合服务优质高效和可持续运行的实现机制。研究发现:汉阴县鸿济医养中心通过“从民办民营到公办民营”的成长路径,形成了以民营医院转型为驱动、服务延伸为抓手、从机构逐步走向居家社区的医养结合发展模式。该模式破解了医养结合服务中存在的服务连续性、可持续性不足等问题,有效满足了老年人的医养结合需求,其有效运行的关键在于能够主动适应环境变迁,把握时机、顺势而为,实现了医养结合从外部需求压力向内在发展动力的转变。与此同时,政府的支持和引导也增强了该模式的稳定性和可持续发展能力。因此,应通过激活医疗机构提供医养结合服务的内生性动力、发挥民营医疗机构的作用、强化政府的支持和引导等措施,推进我国医养结合服务健康、高质量发展。研究结果不仅为县域层次推进医养结合服务发展提供了借鉴,也为破解民营医院的发展困境提供了一种新思路。

信息化时代新能源企业业财融合实施途径研究

随着信息化时代的到来,为了更好地管理企业日常经营活动,降低财务风险,避免信息孤岛问题造成决策失误,我国大力推进业财融合,将财务信息和业务信息相结合,实现企业资源的充分利用。以新能源企业为例,探讨新能源企业推进业财融合的意义,分析企业传统财务思维模式需要转变,部门之间沟通成本过高,财务信息共享体系有待完善,企业内部缺乏综合型人才等问题。提出加强对业财融合的准确认知,完善企业财务信息共享体系,加强业务与财务部门的沟通,加强综合型人才培养,优化知识结构等企业推进业财融合路径。

高职院校学前教育专业产教融合协同育人的问题与对策

产教融合协同育人是职业院校办学的应然取向和现实需求,作为培养学前教育人才的重要阵地,高职院校学前教育专业也概莫能外。当前很多高职院校学前教育专业十分重视产教融合协同育人实施路径的探索,但却面临法律法规不完善、融合深度及创新不足、培养目标偏差、师资专业性不足等问题。高职院校学前教育专业必须从完善法律法规、创新融合方法、明确培养目标、培养“双师型”教师等方面采取有效对策,将产教融合协同育人理念贯穿学前教育培养的全过程。

职业学校机电一体化专业产教深度融合的研究

在中国高质量发展的背景下,职业学校机电一体化专业正面临着新的机遇和挑战。为了满足现代工业对高素质技能人才的需求,引入产教融合教学模式,阐述了产教融合在教学中的2种研发模式,进一步分析了高质量发展背景下应用型职业院校产教融合的实施路径和实施内容,提出相应的发展措施,并在江苏省江阴中等专业学校开展了为期5年的应用,通过分析产教融合在机电一体化专业中的应用效果可知,该教学模式可以显著提高学生的就业率及用人单位满意度。研究结果可为职业学校机电一体化专业的高质量发展提供有力支持,并为其他相关领域提供借鉴和启发。

经络腧穴学课程“三段四相”创新教学改革

针对经络腧穴学课程的学习内容庞杂、基础知识缺乏临床应用、考核形式单一,以及学生的专业学习能力急需培养等问题,教学团队积极开展以学生为中心的“三段四相”课程教学改革设计与实践。“三段实施”即线上自主探索、线下任务驱动、课后交流应用;“四相整合”为线上与线下混合式教学、课程思政融入日常教学、基础课程渗透临床应用、课堂学习延伸与课外拓展。“三段四相”模式结合了丰富的线上学习资源、通畅的讨论答疑渠道、多维的评价体系,促成经络腧穴学的教学改革进一步深化。

本科层次职业院校通识教育质量提升的现实困境与实现路径——基于通专融合的视角

本科层次职业教育要实现人才培养的高层次、高技能要求,需要通过专业教育与通识教育的融合来实现。目前本科层次职业院校的通识教育面临育人目标不明晰、课程体系不完善、教学模式不先进、师资水平待提高和管评制度不科学等现实困境。为此,应进一步明确通专结合育人目标、科学构建通识课程体系、探索通专融合育人模式、培育优质通识师资队伍、完善管理考核评价制度,实现通识教育与专业教育的高质量融合,才能更好地实现培养高层次技术技能人才的育人目标。

职业教育与社区教育资源整合及其实现路径

深入探讨职业教育与社区教育资源整合的核心议题,旨在明确其必要性与可行性。这种整合不仅有助于优化教育资源的分配与利用,更能在提升教育质量的同时,实现教育效益的最大化。面对当前职业教育与社区教育资源分散、利用效率不高的现状以及资源整合过程中可能遇到的种种挑战,如政策壁垒、资金短缺、管理难题等,提出了一系列具体的实现路径。这些路径包括但不限于完善政策支持体系、建立多渠道资金筹措机制、构建共享平台与管理体系等。通过这些措施的实施,期待职业教育与社区教育资源整合的深入推进,进而促进社区与职业教育的有机衔接和协同发展,为构建更加完善的教育生态体系奠定坚实基础。

非中心城市高职院校产教融合实施路径研究——以四川职业技术学院为考察中心

非中心城市高职院校面临着地域位置偏、经济欠发达、行业背景不深、资源匮乏、吸引力不强等劣势,在产教融合校企合作过程中,存在政府主导作用不强、园区基地平台建设滞后、人才培养与产业需求脱节、企业主体不突出积极性不高、“双师双能型”教师不足等问题,要积极发挥政府主导作用、搭建园区基地等平台、紧密对接地方产业发展、突出企业主体提高积极性、加强双师双能型教师队伍建设等方面促进非中心城市高职院校产教深度融合,努力形成校企合作共赢的新局面,真正使产教融合成为服务地方经济社会发展的新动能。

区块链技术+高职院校产教融合:耦合机理与实施路径

区块链技术凭借其强大的功能与优势,为高职院校产教融合赋能创新提供了新的底层逻辑与运行机制。基于区块链技术核心优势与高职院校产教融合实践所面临困境的分析,从学理层面论述了区块链技术与产教融合场景的耦合效应,并从多元治理、协同育人、资源配置和监测评价等方面设计了区块链技术赋能高职院校产教深度融合与高质量发展的实施路径。