Guan River Estuary and adjacent coastal area(GREC) suffer from serious pollution and eutrophicational problems over the recent years.Thus,reducing the land-based load through the national pollutant total load control ...Guan River Estuary and adjacent coastal area(GREC) suffer from serious pollution and eutrophicational problems over the recent years.Thus,reducing the land-based load through the national pollutant total load control program and developing hydrodynamic and water quality models that can simulate the complex circulation and water quality kinetics within the system,including longitudinal and lateral variations in nutrient and COD concentrations,is a matter of urgency.In this study,a three-dimensional,hydrodynamic,water quality model was developed in GREC,Northern Jiangsu Province.The complex three-dimensional hydrodynamics of GREC were modeled using the unstructured-grid,finite-volume,free-surface,primitive equation coastal ocean circulation model(FVCOM).The water quality model was adapted from the mesocosm nutrients dynamic model in the south Yellow Sea and considers eight compartments:dissolved inorganic nitrogen,soluble reactive phosphorus(SRP),phytoplankton,zooplankton,detritus,dissolved organic nitrogen(DON),dissolved organic phosphorus(DOP),and chemical oxygen demand.The hydrodynamic and water quality models were calibrated and confirmed for 2012 and 2013.A comparison of the model simulations with extensive dataset shows that the models accurately simulate the longitudinal distribution of the hydrodynamics and water quality.The model can be used for total load control management to improve water quality in this area.展开更多
Objective:To evaluate the application value of a refined quality control management model for a sterilization supply center.Methods:A retrospective analysis was conducted on the work situation of the sterilization sup...Objective:To evaluate the application value of a refined quality control management model for a sterilization supply center.Methods:A retrospective analysis was conducted on the work situation of the sterilization supply center from January 2021 to January 2023.The work situation before January 31,2022,was classified as the control group;a routine quality control management model was implemented,and the work situation after January 31,2022,was classified as the observation group.The quality of medical device management and department satisfaction between the two groups were compared.Results:The timely recovery and supply rate,classification and cleaning pass rate,disinfection pass rate,packaging pass rate,sterilization pass rate,and department satisfaction score in the observation group were all higher than those of the control group(P<0.05).Conclusion:Implementing a refined quality control management model in the sterilization supply center can improve the quality management level of medical devices and department satisfaction and is worthy of promotion.展开更多
BACKGROUND Esophageal cancer is one of the most common malignant tumors.The three-dimensional quality structure model is a quality assessment theory that includes three dimensions:Structure,process,and results.AIM To ...BACKGROUND Esophageal cancer is one of the most common malignant tumors.The three-dimensional quality structure model is a quality assessment theory that includes three dimensions:Structure,process,and results.AIM To investigate the effects of nursing interventions with three-dimensional quality assessment on the efficacy and disease management ability of patients undergoing esophageal cancer surgery.METHODS In this prospective study,the control group received routine nursing,and the intervention group additionally received a three-dimensional quality assessment intervention based on the above routine care.Self-efficacy and patient disease management abilities were evaluated using the General Self-Efficacy Scale(GSES)and Exercise of Self-Care Agency scale,respectively.IBM SPSS Statistics for Windows,version 17.0,was used for the data processing.RESULTS This study recruited 112 patients who were assigned to the control and experi-mental groups(n=56 per group).Before the intervention,there was no significant difference in GSES scores between the two groups(P>0.05).After the inter-vention,the GSES scores of both groups increased,with the experimental group showing higher values(P<0.05).At the time of discharge and three months after discharge,the scores for positive attitudes,self-stress reduction,and total score of health promotion in the experimental group were higher than those in the control group(P<0.05).CONCLUSION The implementation of a three-dimensional quality structure model for postoperative patients with esophageal cancer can effectively improve their self-management ability and self-efficacy of postoperative patients.展开更多
People currentiy pay attention to a hotspot problem that how industrial production is evaluated and controlled based on sustainable development theory. Quality is one of the important indexes. Two mainstream theories ...People currentiy pay attention to a hotspot problem that how industrial production is evaluated and controlled based on sustainable development theory. Quality is one of the important indexes. Two mainstream theories guide us to realize the industrial sustainable development： mainly the circular economy and sustainable manufacturing are introduced. The basic characteristics of the sustainable manufacturing are introduced, and that quality management is important contents of sustainable development is indicated. Based on circular economy and sustainable manufacture theories, the drawbacks in the existing quality management models are analyzed. The requests that satisfy the big system ＂environment- society - economy＂ are summarized to build up a model. A Chinese traditional cultural principle is applied and the relevant contents are sublimated as the platform to set up the model. The new quality management concept models are put forward ＂T- D- R＂ three-dimensional structures and ＂ecological quality loop＂ model, from which the new quality concepts are formed The paper elaborates the contents and the process of setting up the models. The big quality problems of the system can be handled by the new quality concept and model that are validated in practice.展开更多
目的探讨重症监护室(intensive care unit,ICU)住院患者中应用循环质控理念联合风险管理模式的效果。方法选取2023年1—5月寿光市人民医院ICU住院患者335例作为对照组,实施常规医院感染管理;选取2023年6—12月ICU住院患者340例作为干预...目的探讨重症监护室(intensive care unit,ICU)住院患者中应用循环质控理念联合风险管理模式的效果。方法选取2023年1—5月寿光市人民医院ICU住院患者335例作为对照组,实施常规医院感染管理;选取2023年6—12月ICU住院患者340例作为干预组,实施循环质控理念联合风险管理模式。比较2组管理质量、风险事件、医院感染发生率及患者满意度。结果干预组管理质量(感染监测、组织管理、风险评估、制度建设)评分高于对照组(P<0.05);干预组风险事件发生率(1.47%)低于对照组(4.48%)(P<0.05);干预组医院感染发生率(3.82%)低于对照组(7.46%)(P<0.05);干预组患者满意度(98.24%)低于对照组(95.52%)(P<0.05)。结论循环质控理念联合风险管理模式应用于ICU住院患者中,可提高管理质量,减少风险事件与医院感染发生,促进患者满意度提升,体现了《ICU十大安全目标》的执行标准。展开更多
基金supported by Natural Science Foundation of China-Shandong Joint Fund for Marine Science Research Centers (Grant No.U1406403)the Sea Area Use Fund of Jiangsu Province (Environmental Capacity for the Key Coast of Jiangsu Province)+1 种基金the National Natural Science Foundation of China (No.41340046)Modeling work was completed at the Computing Services Center,Ocean University of China
文摘Guan River Estuary and adjacent coastal area(GREC) suffer from serious pollution and eutrophicational problems over the recent years.Thus,reducing the land-based load through the national pollutant total load control program and developing hydrodynamic and water quality models that can simulate the complex circulation and water quality kinetics within the system,including longitudinal and lateral variations in nutrient and COD concentrations,is a matter of urgency.In this study,a three-dimensional,hydrodynamic,water quality model was developed in GREC,Northern Jiangsu Province.The complex three-dimensional hydrodynamics of GREC were modeled using the unstructured-grid,finite-volume,free-surface,primitive equation coastal ocean circulation model(FVCOM).The water quality model was adapted from the mesocosm nutrients dynamic model in the south Yellow Sea and considers eight compartments:dissolved inorganic nitrogen,soluble reactive phosphorus(SRP),phytoplankton,zooplankton,detritus,dissolved organic nitrogen(DON),dissolved organic phosphorus(DOP),and chemical oxygen demand.The hydrodynamic and water quality models were calibrated and confirmed for 2012 and 2013.A comparison of the model simulations with extensive dataset shows that the models accurately simulate the longitudinal distribution of the hydrodynamics and water quality.The model can be used for total load control management to improve water quality in this area.
文摘Objective:To evaluate the application value of a refined quality control management model for a sterilization supply center.Methods:A retrospective analysis was conducted on the work situation of the sterilization supply center from January 2021 to January 2023.The work situation before January 31,2022,was classified as the control group;a routine quality control management model was implemented,and the work situation after January 31,2022,was classified as the observation group.The quality of medical device management and department satisfaction between the two groups were compared.Results:The timely recovery and supply rate,classification and cleaning pass rate,disinfection pass rate,packaging pass rate,sterilization pass rate,and department satisfaction score in the observation group were all higher than those of the control group(P<0.05).Conclusion:Implementing a refined quality control management model in the sterilization supply center can improve the quality management level of medical devices and department satisfaction and is worthy of promotion.
文摘BACKGROUND Esophageal cancer is one of the most common malignant tumors.The three-dimensional quality structure model is a quality assessment theory that includes three dimensions:Structure,process,and results.AIM To investigate the effects of nursing interventions with three-dimensional quality assessment on the efficacy and disease management ability of patients undergoing esophageal cancer surgery.METHODS In this prospective study,the control group received routine nursing,and the intervention group additionally received a three-dimensional quality assessment intervention based on the above routine care.Self-efficacy and patient disease management abilities were evaluated using the General Self-Efficacy Scale(GSES)and Exercise of Self-Care Agency scale,respectively.IBM SPSS Statistics for Windows,version 17.0,was used for the data processing.RESULTS This study recruited 112 patients who were assigned to the control and experi-mental groups(n=56 per group).Before the intervention,there was no significant difference in GSES scores between the two groups(P>0.05).After the inter-vention,the GSES scores of both groups increased,with the experimental group showing higher values(P<0.05).At the time of discharge and three months after discharge,the scores for positive attitudes,self-stress reduction,and total score of health promotion in the experimental group were higher than those in the control group(P<0.05).CONCLUSION The implementation of a three-dimensional quality structure model for postoperative patients with esophageal cancer can effectively improve their self-management ability and self-efficacy of postoperative patients.
文摘People currentiy pay attention to a hotspot problem that how industrial production is evaluated and controlled based on sustainable development theory. Quality is one of the important indexes. Two mainstream theories guide us to realize the industrial sustainable development： mainly the circular economy and sustainable manufacturing are introduced. The basic characteristics of the sustainable manufacturing are introduced, and that quality management is important contents of sustainable development is indicated. Based on circular economy and sustainable manufacture theories, the drawbacks in the existing quality management models are analyzed. The requests that satisfy the big system ＂environment- society - economy＂ are summarized to build up a model. A Chinese traditional cultural principle is applied and the relevant contents are sublimated as the platform to set up the model. The new quality management concept models are put forward ＂T- D- R＂ three-dimensional structures and ＂ecological quality loop＂ model, from which the new quality concepts are formed The paper elaborates the contents and the process of setting up the models. The big quality problems of the system can be handled by the new quality concept and model that are validated in practice.
文摘目的探讨重症监护室(intensive care unit,ICU)住院患者中应用循环质控理念联合风险管理模式的效果。方法选取2023年1—5月寿光市人民医院ICU住院患者335例作为对照组,实施常规医院感染管理;选取2023年6—12月ICU住院患者340例作为干预组,实施循环质控理念联合风险管理模式。比较2组管理质量、风险事件、医院感染发生率及患者满意度。结果干预组管理质量(感染监测、组织管理、风险评估、制度建设)评分高于对照组(P<0.05);干预组风险事件发生率(1.47%)低于对照组(4.48%)(P<0.05);干预组医院感染发生率(3.82%)低于对照组(7.46%)(P<0.05);干预组患者满意度(98.24%)低于对照组(95.52%)(P<0.05)。结论循环质控理念联合风险管理模式应用于ICU住院患者中,可提高管理质量,减少风险事件与医院感染发生,促进患者满意度提升,体现了《ICU十大安全目标》的执行标准。
