Whole-process case management effects on mental state and selfcare ability in patients with liver cancer

BACKGROUND Regarding the incidence of malignant tumors in China,the incidence of liver cancer ranks fourth,second only to lung,gastric,and esophageal cancers.The case fatality rate ranks third after lung and cervical cancer.In a previous study,the whole-process management model was applied to patients with breast cancer,which effectively reduced their negative emotions and improved treatment adherence and nursing satisfaction.METHODS In this single-center,randomized,controlled study,60 randomly selected patients with liver cancer who had been admitted to our hospital from January 2021 to January 2022 were randomly divided into an observation group(n=30),who received whole-process case management on the basis of routine nursing mea-sures,and a control group(n=30),who were given routine nursing measures.We compared differences between the two groups in terms of anxiety,depression,the level of hope,self-care ability,symptom distress,sleep quality,and quality of life.RESULTS Post-intervention,Hamilton anxiety scale,Hamilton depression scale,memory symptom assessment scale,and Pittsburgh sleep quality index scores in both groups were lower than those pre-intervention,and the observation group had lower scores than the control group(P<0.05).Herth hope index,self-care ability assessment scale-revision in Chinese,and quality of life measurement scale for patients with liver cancer scores in both groups were higher than those pre-intervention,with higher scores in the observation group compared with the control group(P<0.05).CONCLUSION Whole-process case management can effectively reduce anxiety and depression in patients with liver cancer,alleviate symptoms and problems,and improve the level of hope,self-care ability,sleep quality,and quality of life,as well as provide feasible nursing alternatives for patients with liver cancer.

Effects of three-dimensional quality assessment nursing intervention on efficacy and disease management of patients undergoing esophageal cancer surgery

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.

A Knowledge-based System for the Analysis of the Ability of Paying back Loans

This paper describes the development of a knowledgebased system (KBS) for determining whether or not, and under what conditions, a bank Ioan officer should grant a business loan to a company. The prototype system developed focuses on what is bank loans risks management, how to prevent risk by the analysis of the ability of paying back loans. The paper makes the structural analysis involved in the system's decision situation, the structured situation diagram or model, dependency diagram and the document needed by the KBS prototype system thus are developed. Through testing the samples from loan business, the quality for the analysis of the ability of paying back loans can be effectively evaluated by the KBS prototype system.

A Study of the Relationships Among Total Quality Management, Executive Ability, and Sustainable Competitive Advantage

It is very important for organization to deal with and balance the challenge of environmental complexity and inner resources scarcity. This study considers total quality management (TQM) as a factor linking internal and external of organization and executive ability as linkage to promote and coordinate internal-external elements and then organization obtains its sustainable competitive advantage. The research surveyed effective samples 252 and used Structural Equation Model (SEM) and discriminated analysis for analysis and testing. The results indicate that TQM positively affects executive ability and firm sustainable competitive advantage. Executive ability affects firm sustainable competitive advantage and has the mediating effect between TQM and firm sustainable competitive advantage. Managerial practice implications, limitations, and future research directions have been discussed.

Correlation between time management disposition and ability confidence of chinese nursing students： a meta-analysis

Objective： To evaluate the correlation between time management disposition and ability confidence of Nursing Students in China through the Pearson correlation coefficient. Methods： Electronic databases including the Cochrane library, PubMed, EMBASE, the Web of Science, CBM, Wanfang, VIP and CNKI were searched from inception to October 2017 to collect literature on the correlation between time manage-ment disposition and ability confidence of Chinese nursing students. The studies were examined according to the inclusion and exclusion criteria. After extracting data and evaluating the quality of the included studies. Meta-analysis was carried out using Stata 12.0 software. Results： A total of 7 articles with 1632 nursing students were included, and the quality of the literature was at medium level. Meta-analysis shown the total score of time management disposition of Chinese nursing students and its three dimensions were related to ability confidence. The summary correlation coefficient between time management disposition and ability confidence was 0.52 （0.43 to 0.59） ; There is a weak correlation between time value and ability confidence （r, 0.33; 95% CI, 0.25 to 0.39）; There was a moderate level of correlation between time control and ability confidence （r, 0.49; 95% CI, 0.43 to 0.54）; There was a moderate level of correlation between time efficacy and ability confidence （0.47, 0.41, 0.53）.And the relevance of nursing time management disposition and behavioral confidence varies with the nursing student＇s area, nursing student＇s diploma, measurement tools and sample size. Conclusion： The time man- agement disposition of Chinese nursing students is moderately related to ability confidence. When there are different in nursing students in the area, nursing diploma, measurement tools and sample size, the relevance is very different. The time management disposition of Chinese nursing students and their ability confidence are mutually reinforcing, and the time management disposition and their ability confidence should be further strengthened in the future.

A Study of Meta-cognitive Strategy to Improve College Students’ Self-management Ability in College English Learning

The ability of college students’English learning self-management plays an important role in English learning.To improve college students’self-management,this paper first analyzed the problems and necessity for.Then it mainly explored how to im prove their self-management ability thus to help student’s improve the efficiency of self-management in college English learning.

Hole‑Transport Management Enables 23%‑Efficient and Stable Inverted Perovskite Solar Cells with 84%Fill Factor

NiO_(x)-based inverted perovskite solar cells(PSCs)havepresented great potential toward low-cost,highly efficient and stablenext-generation photovoltaics.However,the presence of energy-levelmismatch and contact-interface defects between hole-selective contacts(HSCs)and perovskite-active layer(PAL)still limits device efficiencyimprovement.Here,we report a graded configuration based on bothinterface-cascaded structures and p-type molecule-doped compositeswith two-/three-dimensional formamidinium-based triple-halideperovskites.We find that the interface defects-induced non-radiativerecombination presented at HSCs/PAL interfaces is remarkably suppressedbecause of efficient hole extraction and transport.Moreover,astrong chemical interaction,halogen bonding and coordination bondingare found in the molecule-doped perovskite composites,whichsignificantly suppress the formation of halide vacancy and parasitic metallic lead.As a result,NiO_(x)-based inverted PSCs present a power-conversion-efficiency over 23%with a high fill factor of 0.84 and open-circuit voltage of 1.162 V,which are comparable to the best reported around 1.56-electron volt bandgap perovskites.Furthermore,devices with encapsulation present high operational stability over 1,200 h during T_(90) lifetime measurement(the time as a function of PCE decreases to 90%of its initial value)under 1-sun illumination in ambient-air conditions.

Application of Social Media Tool in Disaster Management in Disaster-Prone Communities in Freetown, Sierra Leone

This study used both the “digital divide” and “attribution theory” to analyze the propensity of social media use by disaster-prone communities. The study focused on the variables that may affect how social media is used for disaster management. Structural equation modeling (SEM) was utilized in the study to analyze the data and test the hypotheses after using a survey questionnaire to collect the data. The study’s findings show that: 1) communities that are vulnerable to disasters are less likely to use social media for disaster management, 2) personal effort and intention to use social media for disaster management are positively correlated, and 3) task complexity and intention to use social media for disaster management are negatively correlated. The study added to the body of knowledge regarding the role social media plays in disaster management.

Discussion on Effective Strategies for Improving Enterprise Operation and Management Abilities

In the current socialist market economy,if an enterprise wants to grow and develop,it must do all kinds of management for its enterprise,and the most important thing for strengthening management of enterprises is to strengthen their own operation and management abilities.Whether it is financial management,management of personnel efficiency,or management of talents,it is necessary to protect from the infrastructure,so as to fundamentally improve the economic benefits of the enterprise,and vice versa if社is not properly managed,it will affect the development of the enterprise.Therefore,improving the operation and management abilities of enterprises at present is an important factor to promote the economic development of enterprises.This paper analyzes the management problems of enterprises and the definition of enterprise operation and management abilities,and analyzes how enterprises can reform and innovate,thus strengthening the operation and management abilities and economic benefits of enterprises.

An Empirical Study of the Senior Corporate Managers＇ Ability to Innovate

Senior corporate managers＇ innovation ability and spirit are very important in the growth process of corporate business development. This paper focuses on the innovation capacities of the senior corporate managers of listed companies in China and the complex relationship between firm performance and the operating environment to study and analyze the management and development of Chinese enterprises. Through relevant theoretical analysis and development of research hypotheses using the A-shares in Shanghai and Shenzhen listed companies announced in 2007 and 2008, the authors design an empirical model. The study found that in Chinese listed companies, the higher the innovation spirit of senior corporate managers, the better their business performances; the stronger the dynamic and complexity of the operating environment, the more the corporate managers＇ innovation ability will be developed.

Teachers＇ teaching innovation abilities in financial management courses

Teachers＇ teaching innovation abilities in financial management courses are very important to train the major of financial management undergraduate students＇ innovation sense, spirits and abilities. This paper firstly explores the structure of teaching innovation abilities, characteristics of creative teachers. Secondly, combined with teaching practice, this paper inquires into how to explore students＇ innovative abilities, how to teach differently according to different students, and how to guide correctly. Finally, from the perspective of department and office environments, continuing education and teachers＇ self-questioning, this paper probes into how to train professional teachers＇ teaching innovation abilities in financial management courses.

Design of high strength Fe-(P,C)-based bulk metallic glasses with Nb addition

Bulk metallic glass（BMG） rods Fe71Mo5-xNbxP12C10B2（x=1,2,3,4 and 5） with diameter of 1 or 2 mm were synthesized by copper mold casting.The effects of Nb substitution for Mo on the structure,thermal and mechanical properties of Fe71Mo5-xNbxP12C10B2 alloys were studied by X-ray diffraction,differential scanning calorimetry and compressive testing.The results show that the substitution of Nb for Mo leads to a decreased glass forming ability,but with plasticity of 1.0%,the fracture strength of Fe71Mo2Nb3P12C10B2 alloy increases up to 4.0 GPa.The improvement of the fracture strength is discussed in terms of the enhancement of atomic bonding nature and the favorite formation of a network-like structure due to the substitution of Nb for Mo.

Coppicing ability of dry miombo woodland species harvested for traditional charcoal production in Zambia:a win–win strategy for sustaining rural livelihoods and recovering a woodland ecosystem

The miombo woodland is one of the most extensive woodlands in Africa, supporting livelihoods based on biomass fuel for millions of rural people. However, there are growing concerns about the sustainability of harvesting for biomass fuel （mainly charcoal）. Thus, the aim of this study was to examine whether regeneration by coppice is a viable option for sustainably managing miombo woodlands for biomass fuel production. We tested the hypotheses that （1） species, stump diameter, stump height and time since cutting significantly affect the number of sprouts per cut stump （coppice density） and mean sprout height （shoot vigour） and （2） higher coppice density reduces shoot vigour due to competition among coppice shoots in a given stump. In an inventory in areas that were harvested for charcoal production by the local people, 369 stumps of 11 species were recorded with mean coppice stumps ranged from 6 to 84. The mean coppice density ranged from 5 to 8 shoots per stump while the mean height of coppice shoots ranged from 46 to 118 cm with marked interspecific variations. Stump size was signifi- cantly and positively correlated with coppice density for some of the species, but not with shoot vigour for the majority of the species. However, shoot vigour was significantly positively correlated to time since cutting of trees for nearly half of the species. Coppice density had a significant negative correlation with shoot vigour for two species, and a positive correlation for one species. In conclusion, the results provide evidence about the importance of coppice management as a win-win strategy for sustaining charcoal-based rural livelihoods and recovering the miombo woodland ecosystem.

Mobility Management in Small Cell Cluster of Cellular Network

The installation of small cells in a 5G network extends the maximum coverage and provides high availability.However,this approach increases the handover overhead in the Core Network(CN)due to frequent handoffs.The variation of user density and movement inside a region of small cells also increases the handover overhead in CN.However,the present 5G system cannot reduce the handover overhead in CN under such circumstances because it relies on a traditionally rigid and complex hierarchical sequence for a handover procedure.Recently,Not Only Stack(NO Stack)architecture has been introduced for Radio Access Network(RAN)to reduce the signaling during handover.This paper proposes a system based on NO Stack architecture and solves the aforementioned problem by adding a dedicated local mobility controller to the edge cloud for each cluster.The dedicated cluster controller manages the user mobility locally inside a cluster and also maintains the forwarding data of a mobile user locally.To reduce the latency for X2-based handover requests,an edge cloud infrastructure has been also developed to provide high-computing for dedicated controllers at the edge of a cellular network.The proposed system is also compared with the traditional 3GPP architecture and other works in the context of overhead and delay caused by X2-based handover requests during user mobility.Simulated results show that the inclusion of a dedicated local controller for small clusters together with the implementation of NO Stack framework reduces the significant amount of overhead of X2-based handover requests at CN.

Design of an Index System for Deep Groundwater Management Efficiency Evaluation: A Case Study in Tianjin City, China

An effective evaluation system can provide specific and practical suggestions to the deep groundwater management. But such kind of evaluation system has not been proposed in China. In this study, an evaluation index system is specifically developed to evaluate deep groundwater management efficiency. It is composed of three first-level indicators(law enforcement capability, management ability, and management effectiveness) and eleven second-level indicators. The second-level indicators include seven mandatory indicators and four optional indicators. Piecewise linear function is used to normalize the quantitative indicators, and expert scoring method and questionnaire survey method are used to normalize the qualitative indicators. Then a comprehensive indicator weighting evaluation method is used to evaluate the first-level indicators and the target topic. A case study is carried out to evaluate deep groundwater management efficiency in Tianjin City. According to the evaluation score in each period, the management efficiency of every district in Tianjin City gradually improved. The overall evaluation score in the early deep groundwater extraction period is 0.12. After a series of deep groundwater protection efforts, this score reached to 0.61 in 2007, and met the regulation criteria. The evaluation results also showed that the further groundwater management efforts in Tianjin City should be focused on building a dynamic database to collect comprehensive deep well-log data; and on a reasonable design and distribution of the groundwater monitoring network. It demonstrated that the index system is suitable to locate the deficiencies of current groundwater management systems and to guide further improvements. It can then be used to protect deep groundwater.

Enhancing the powering ability of triboelectric nanogenerator through output signal’s management strategies

As a new branch of efficient and low-cost mechanical energy conversion technology,triboelectric nanogenerator(TENG)is a potential solution to provide a long-term power supply for the Internet of Things(IoT)sensors and portable electronic devices.However,due to inherent working properties of TENG itself such as extremely high internal impedance,pulse,and alternating current(AC)output,TENG can not directly supply power to loads such as batteries efficiently.Based on these,we describe TENG’s performance from a new perspective of powering ability.It consists of two aspects:the ability to transport charge effectively and the ability to output high power quality current steadily.In order to push forward the developments and applications of TENG,it is necessary to improve its power supply capacity from different perspectives.Fortunately,in recent years,a variety of output signal’s management strategies aiming at effectively managing the generated electricity and significantly improving powering ability of TENG have obtained significantly progress.Herein,this paper discusses the working mechanisms and different load characteristics of TENG at first to clarify the electric performance of TENG.Then,on basis of theoretical analysis,the output signal’s management strategies are elaborated from four aspects:improving the cycle output electricity of TENG,increasing the surface charge density of TENG,improving the power quality of TENG-based energy harvesting system,promoting the application of TENG through integrated circuit(IC)technology and TENG network,and the relevant principles and applications are discussed systematically.Finally,the advantages and disadvantages of the above output signal’s management strategies are summarized and discussed,and the future development of the output signal’s management strategies for TENG is prospected.

Dependence of Amorphous Formation Ability on Intrinsic Parameters in Dy-Gd-Co-Al Alloys

A series of Dy（Gd）-based bulk amorphous alloy rods were prepared by water-cooled copper mold method. Thermal stability and structure of Dy-Gd-Co-Al alloys were investigated by differential scanning calorimetry and X-ray diffraction, respectively. The results show that the Dy-Gd-Co-Al alloys have good glass-formation ability, and the Dy31Gd25Co20Al24 alloy can be readily cast into full glassy rods up to 5 mm in diameter. The glass-forming ability of multicomponent alloys was greatly dependent on their chemical interaction and the equivalent bond parameters among atoms such as equivalent electronegativity difference, equivalent atomic size parameter. The Dy （Gd）-based bulk amorphous alloys could be expected as potential functional materials.

The Study on the personnel training mode based on the occupation ability development and excellence engineer training

As the application undergraduate course colleges and universities, a distinctive talent training system must be formed to achieve the target of practical and innovative talents training, which needs to constantly explore and innovate teaching mode. In the paper, talent training model based on the occupation ability development and Excellence Engineer training has carried on the deep discussion and research, thorough study and research.

HDSMP结合CDSMP模式对老年高血压患者疾病应对和自我管理能力的影响

目的 探讨本土化的高血压、糖尿病自我管理教程(hypertension&diabetes self-management program, HDSMP)结合美国斯坦福大学首创的普适性慢性病自我管理项目(chronic disease self-management program, CDSMP)对老年高血压患者疾病应对和自我管理能力的影响。方法 选取2021年6-12月在郑州大学第一附属医院内科门诊就诊的符合纳入和排除标准的300例老年高血压患者作为研究对象,采用随机数字表法分为对照组150例和干预组150例。对照组患者接受以健康讲座和宣教手册为主的健康教育,干预组患者接受HDSMP结合CDSMP模式的慢性病自我管理,以自我管理小组的形式进行。两组患者的干预时间均为8周。评价并比较两组患者干预前后的疾病认知情况、生活质量、疾病应对能力、自我管理能力、血压控制效果。结果 干预组干预后对高血压知识(包括疾病诊断标准、高危因素、高血压危害、治疗方法)知晓率相比较干预前和对照组干预后均明显升高,差异有统计学意义(P<0.05)。干预组干预后健康调查简表(SF-36)各维度评分相比较干预前和对照组干预后均明显升高,差异有统计学意义(P<0.05)。干预组干预后医学应对方式问卷(medical coping modes questionnaire, MCMQ)中的面对得分相比较对照组干预后明显升高[(22.70±2.28)分vs.(20.95±2.62)分],屈服、回避得分相比较对照组干预后明显降低[(5.13±1.36)分vs.(5.96±1.65)分,(13.72±1.45)分vs.(15.10±1.49)分],差异有统计学意义(P<0.05)。干预组干预后自我管理各维度评分和总评分均显著高于对照组干预后(P<0.05)。两组患者干预后的舒张压和收缩压相比较干预前均显著降低,其中干预组相比较对照组降低更明显(P<0.05),干预后干预组的血压控制达标率相比较对照组明显升高(收缩压:88.67%vs. 76.00%,舒张压:93.33%vs. 78.67%,P<0.05)。结论 HDSMP结合CDSMP模式对提高和改善老年高血压患者的疾病应对能力、自我效能和自我管理能力的效果更佳,从而能进一步提高和改善患者的血压控制达标率及生活质量水平。