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.

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.

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.

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.

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.

Analysis of Staffing and Training Needs for Effective Delivery of Extension Service in Sustainable Land Management in Kilimanjaro Region, Tanzania

An assessment of staffing and training needs for effective delivery of extension services in mainstreaming sustainable land management (SLM) practices in Kilimanjaro Region was conducted in June/July 2013. Data collection methods included discussions with key informants at the regional and district levels, consultations with village level stakeholders and potential collaborators, review of human resources data both at regional, district and ward levels and collection of individual staff bio-data including capacity deficiencies. The staffing situation at the regional and district levels was considered to be adequate for effective mainstreaming of SLM interventions in the region. Staffing at ward and village levels was very poor and largely inadequate for sustainable execution of extension services. It is optimistically estimated that on average the staffing at ward level needs to be increased by at least 50%. In some districts the deficiency of extension staff at ward level was as high as 80%. Training needs exist at all levels from the region down to community level. At the regional and district levels both long and short term training programs were required. At the community level required training is more practical and purely focused in mainstreaming SLM interventions at individual households and community lands. Potential collaborators with local government were identified in four main categories namely, NGOs/CBOs, private sector, government departments and faith-based organizations. The study recommends a capacity building program on specific knowledge gaps identified at regional, district, ward and village levels. The study further recommends that immediate measures need to be taken by the district authorities to address the staffing problem at ward level including recruitment of volunteers and developing collaboration framework with identified potential partners.

Web Service运行管理平台的研究与实现

WebService技术为异构应用之间的集成和互操作提供了有效的解决手段 ,目前多数WebService平台仅支持SOAP消息的解析 ,尚未考虑SOAP的多种绑定方式、安全扩展保证和多种功能实现方式的集成等共性处理需求 因此 ,提出并研制一个层次化的WebService运行管理平台 ,通过抽象出运行时对象作为WebService共性问题处理的基础 ,设计可配置、可扩展的链式处理结构满足WebService处理需求的变化 ,并提供集成不同业务功能的统一接入方式 。

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 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.

.NET中Web Services事务管理研究

Web Services采用了面向服务(Service-Oriented Architecture,SOA)的体系结构,具有跨平台性、松散耦合和良好的互操作性优点,能有效地支持软件的集成。它的出现对分布式事务提出了新的挑战。在集成和交互过程中,Web Services需要事务的支持以获得一致和可靠的结果。主要阐述了Web Services的事务管理现状,分析了它的主要缺陷,最后提出了利用SOAP事务扩展机制解决Web Services的完全事务管理。

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 Service的高校资源管理平台研究

文中首先阐述了高校在整合信息资源方面存在的问题,然后介绍了Web Service体系结构以及Web Service的服务协议,最后提出了一个基于Web Service的高校资源管理平台的设计方案,并对方案的关键部分进行了研究。

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。

A Web Service Framework for Environmental and Carbon Footprint Monitoring in Construction Supply Chains

With the growing environmental concerns, green supply chain management （GSCM） is gaining significant attention in the construction industry. Tracking and monitoring the environmental effects brought forth by the participating members along a supply chain is important to GSCM. The GreenSCOR model developed by the Supply Chain Council provides a generic framework for measuring the total carbon footprint and environmental footprint in a supply chain. The model is based on the Supply Chain Operations Reference （SCOR） model, which represents a supply chain network in a hierarchically structured manner. This paper describes the GreenSCOR framework and its potential application to the construction industry. This paper also presents a web services approach to incorporate the GreenSCOR model to the implementation of collaborative information systems. Each process element in the SCOR model is represented and delivered as individual web service units, which can be reused and integrated using standard web services technologies. The service units are combined and managed in a prototype web service collaborative framework, called SC Collaborator, which is designed and developed for supporting construction supply chain management. An illustrative example is presented to demonstrate the implementation of the GreenSCOR-based SC Collaborator framework.

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。