Ruptured Ectopic Pregnancy: Epidemiology and Management in the General Surgery Department of the Ignace Deen National Hospital, Conakry University Hospital

Introduction: The aim of this study was to contribute to improving the quality of GEUR management in the general surgery department and in the maternity ward of the Ignace Deen national hospital, Conakry University Hospital. Methodology: This was a retrospective, descriptive study lasting two years (January 1, 2020 to December 31, 2022), carried out in the general surgery and gyneco-obstetrics departments of the Ignace Deen national hospital, Conakry University Hospital. We included all patients with a ruptured ectopic pregnancy who received surgical treatment during the study period. Results: We collected 13,524 cases of surgical interventions in the two services, among them, we recorded 89 cases or 0.66% GEUR. The average age of the patients was 24.26 years. Brides were the most represented with 80.96% of cases. Women practicing a liberal profession were 51.69% (n = 46) and housewives 26.97% (n = 24). Clinically, amenorrhea was noted in all patients, i.e. 100%, abdominal-pelvic pain in 95.2% (n = 85) of cases, metrorrhagia in 94.08% (n = 84), abdominal-pelvic sensitivity in 97.44% (n = 87) of cases and anemia in 85.39% of cases. The GEUR was ampullary in 69.66% (n = 62) cases. Salpingectomy was performed in 90.72% (n = 81). The surgical outcomes were satisfactory in 98.87% (n = 88) of cases. We recorded one case of surgical site infection. We have not recorded any deaths. The average length of hospitalization was 4 days. Conclusion: GEUR is relatively high in our context. A good understanding of the prognostic factors of GEUR, awareness and family planning could reduce GEUR.

Research on the Optimization Paths for Outstanding Agricultural Economics and Management Talents under the Background of Curriculum Ideology and Politics

The article aims to discuss how to cultivate outstanding agricultural economics and management talents to meet the needs of agricultural and rural economic development in the new era,within the context of ideological and political education.Through literature review and field research,a series of innovative talent training optimization paths are proposed,and specific suggestions are made for policymakers and educational practitioners.

Research on Smart Energy Monitoring and Management System Based on Digital Twin Technology

Smart energy monitoring and management system lays a foundation for the application and development of smart energy. However, in recent years, the work efficiency of smart energy development enterprises has generally been low, and there is an urgent need to improve the application efficiency, resilience and sustainability of smart energy monitoring and management system. Digital twin technology provides a data-centric solution to improve smart energy monitoring and management system, bringing an opportunity to transform passive infrastructure assets into data-centric systems. This paper expounds on the concept and key technologies of digital twin, and designs a smart energy monitoring and management system based on digital twin technology, which has dual significance for promoting the development of smart energy field and promoting the application of digital twin.

Smart City Rail Transit Operation and Management Information Construction Strategy

Rail transit is considered one of the safest and most efficient modes of transportation.Ticketing,vehicle dispatching,and passenger flow control during rail transit operations in China have been improving over the years.Smart city construction and intelligent management models has also been increasingly emphasized with the rapid development of information and internet technology.Therefore,it is essential to conduct relevant research and discussions to improve the overall efficiency and quality of urban rail transit operation and management.This article provides an overview of smart city rail transit operation and management informatization,the principles of construction,and the functions of smart city rail transit operation and management informatization.Additionally,it discusses the strategies for the construction of smart city rail transit operation and management information and its development prospects.

Designand development of highway tunnel maintenance and management system

In order to solve the urgent problem of how to manage and sustain highway tunnels with advanced information technology with the background of the rapid development in the modem traffic, and achieve the cost- effectiveness optimal principle objectives under the premise of guaranteeing a smooth flow of traffic; a highway tunnel maintenance and management system framework and the key modules were proposed. First, the determined highway tunnel condition assessment index system was established according to the result of expert consulting forms. Secondly, the tunnel diseases, the corresponding maintenance measurements, and many-to-many relationship between diseases and maintenance measurements were introduced. Then, three kinds of 0-1 integer programming models were built according to different tunnel operators＇ needs in the optimization decision module. Finally, the further development and implementation of the system was prospected. The research results can provide references to tunnel researchers and managers.

Estimation of USLE crop and management factor values for crop rotation systems in China

Soil erosion on cropland is a major source of environmental problems in China ranging from the losses of a non-renewable resource and of nutrients at the source to contamination of downstream areas. Regional soil loss assessments using the Universal Soil Loss Equation (USLE) would supply a scientiifc basis for soil conservation planning. However, a lack of in-formation on the cover and management (C) factor for cropland, one of the most important factors in the USLE, has limited accurate regional assessments in China due to the large number of crops grown and their complicated rotation systems. In this study, single crop soil loss ratios (SLRs) were col ected and quantiifed for 10 primary crops from past studies or re-ports. The mean annual C values for 88 crop rotation systems in 12 cropping system regions were estimated based on the combined effects of single crop SLRs and the percentage of annual rainfal erosivity (R) during the corresponding periods for each system. The C values in different cropping system regions were compared and discussed. The results indicated that the SLRs of the 10 primary crops ranged from 0.15 to 0.74. The mean annual C value for al 88 crop rotation systems was 0.34, with a standard deviation of 0.12. The mean C values in the single, double and triple cropping zones were 0.37, 0.36 and 0.28, respectively, and the C value in the triple zone was signiifcantly different from those in single and double zones. The C values of dryland crop systems exhibited signiifcant differences in the single and triple cropping system regions but the differences in the double regions were not signiifcant. This study is the ifrst report of the C values of crop rotation systems in China at the national scale. It wil provide necessary and practical parameters for accurately assessing regional soil losses from cropland to guide soil conservation plans and to optimize crop rotation systems.

Controversies in the diagnosis and management of early gastric cancer

Early diagnosis and treatment is the key to improving the prognosis of gastric cancer. The past decades have wimessed the rapid advances in the diagnosis and management of early gastric cancer （EGC）： endoscopy has played an increasingly important role, whereas laparoscopic techniques have also been introduced for EGC treatment. In China, the proportion of EGC is gradually increasing, and this condition will soon become a hot research topic. In this article, we will elucidate some major controversies in the diagnosis and management of EGC.

The role of forest culture in green construction and management of forest parks:merging knowledge-attitude-practice and theory of planned behavior

As a cultural concept refl ecting the relationship between humans and forests,forest culture plays an active role in sustainable forest management.Forest parks provide a wide range of ecosystem services essential for the sustainable development of society,and the relationships between forest culture,green construction and management of forest parks have practical signifi cance.This study aimed to understand the interaction and process of forest culture infl uencing green construction and management in forest parks with the models Knowledge-Attitude-Practice(KAP)and Theory of Planned Behavior(TPB)by proposing a theoretical model.Four hypotheses were tested using data collected from 193 forest park employees in Heilongjiang Province,China.Our results show that forest culture had a signifi cant infl uence on green construction and forest management.In addition,subjective norm and perceived behavioral control directly impacted behavior in green construction and management of the forest park,whereas attitude did not have an impact.Subjective norm had a direct eff ect on attitude.Results between constructs show that forest culture had an indirect eff ect on planning and construction,and on ecological and economic management.Consequently,it supported three of four hypotheses within the proposed model in determining the infl uence of forest culture on green construction and management.

The Planning, Organization and Management of Post-disaster Reconstruction of the Lushan Earthquake Based on the Local as the Main Body

A new organization and management mechanism with the local government as the main body was created during the post-disaster reconstruction of the "4. 20 " Lushan earthquake,in which the experiences and lessons were drawn from the "5. 12"Wenchuan earthquake. Correspondingly, the local government conducted an exploration of the organization and management mode in the field of planning and construction. The effective experiences have been accumulated, including working out a full coverage planning,taking the leading part in the urban-rural planning,and exercising whole space control over the disaster area. An innovation management mode named as "Five Generals Pattern"was implemented in the construction projects. In view that the rural housing reconstruction was a weak link, a new approach to improving the construction management was investigated,by means of strengthening on-site supervision,establishing a technical platform,and bolstering public participation.

Blockchain for Education:Verification and Management of Lifelong Learning Data

In recent years,blockchain technology has been applied in the educational domain because of its salient advantages,i.e.,transparency,decentralization,and immutability.Available systems typically use public blockchain networks such as Ethereum and Bitcoin to store learning results.However,the cost of writing data on these networks is significant,making educational institutions limit data sent to the target network,typically containing only hash codes of the issued certificates.In this paper,we present a system based on a private blockchain network for lifelong learning data authentication and management named B4E(Blockchain For Education).B4E stores not only certificates but also learners’training data such as transcripts and educational programs in order to create a complete record of the lifelong education of each user and verify certificates that they have obtained.As a result,B4E can address two types of fake certificates,i.e.,certificates printed by unlawful organizations and certificates issued by educational institutions for learners who have not met the training requirements.In addition,B4E is designed to allow all participants to easily deploy software packages to manage,share,and check stored information without depending on a single point of access.As such,the system enhances the transparency and reliability of the stored data.Our experiments show that B4E meets expectations for deployment in reality.

Diagnosis and management of arterioportal fistula occurring after percutaneous transhepatic portal vein cannula-assisted TIPS

To the Editor:Transjugularintrahepaticportosystemicshunt(TIPS)isusuallyconsideredthechoiceformanagingcomplicationsofportal hypertensionsuchasrefractoryascites,esophagogastricvariceal bleedingandrecurrentbleedinguncontrolledwithfirstline treatment.Inrecentyears,TIPShasbeensuccessfullyusedto treat Budd-Chiari syndrome, hepatic hydrothorax, and portal vein thrombosis.One of the key steps during TIPS is the portal vein puncture.

Study on Transfer Problem of Contract and Management Right of Agricultural Land in Anhui Province

The status quo and significance of contract and management right transfer of rural land are analyzed,and major problems existed in contract and management right transfer of rural land in Anhui Province are studied,containing unsound transfer market,insufficient flow demand motion,single transfer form,non-standard register,right determination and certificate issuing. On this basis,several policies and suggestions are proposed,such as combining practical use with suitable use of land right determination and certificate issuing,establishing multilayer rural social security system and expanding land management range.

Control and Management of Construction Project Cost

Project cost can control the input in construction project and improve economic benefits of construction enterprises,so it is an important section of construction engineering.Reasonable control and management of project cost is the principle that building units must obey in the whole process of project,particularly in the construction stage,so it is extremely important to control and manage the project cost.This paper first analyzed possible causes for the unreasonable cost of construction projects,and put forward pertinent strategies for the control and management of construction project cost.

Awareness and perspectives of audiologists on assessment and management of misophonia in India

Background:The assessment and management of misophonia need a team approach,and audiologists are essential team members.However,the role of an audiologist in this condition is not well understood,and there is a lack of awareness even among professionals about their role in the assessment and management of misophonia.Purpose:The main aim of our study is to document the present level of awareness and knowledge about misophonia assessment and management among audiologists in India.Methods:A descriptive cross-sectional study was carried out among audiologists from all over India.Descriptive statistical procedures were measured based on the type of questions being addressed,and a non-parametric chi-square test was done to see the association among variables.Results:The results show a lack of knowledge about misophonia even among audiologists,as only 15.3%of the audiologist reported being confident in handling cases with misophonia.Conclusion:Although the exact assessment and management of misophonia is still the topic of debate,it is clear that audiologists are the team's key members.However,the results clearly show a lack of confidence in handling cases of misophonia among audiologists in India.This result shows the future need for Research in misophonia from an audiological perspective.

Protection and Management of Intellectual Properties in the Networked Manufacturing

Networked manufacturing is a primary management mod e of virtual enterprise. It takes advantage of advanced network technology to pass information and devise and assemble necessary components so as to reach a certa in specific purpose. The characteristics of it are dynamic, international and pr ompt. In contrast with traditional manufacturing, networked manufacturing utilizes external predominant resources, and breaks through tangible limits of enterpris e, so it can optimize the combination of social resources and improve the enterp rise′capability of adapting to the constantly changing market. Networked manufacturing produces some problems while bringing enterprise infin ite commercial chance. Compared with traditional manufacturing, stealing intelle ctual achievements and encroaching the related property rights not only becomes easier and quicker, but also leaves no traces when enterprises transfer informat ion through network. It′s well known that competition among corporations in the future is the on e of intellectual property in the final analysis. Therefore, recently, the statu s of intellectual property protection is promoted grandly. In the following parts, several proposals on protecting intellectual property ar e put forward in detail. We can protect the intellectual property by the ways of strengthening the consci ousness of protection. We can protect the intellectual property by perfecting the law. We will know which behaviors on the network are legitimate and which one are illegitimate. As a result, it can decrease and resolve the conflicts partially. Besides, the article puts forward that the conflicts can be resolved through a m edi-institution, an authoritative governmental organization. Moreover, we should strengthen the education on ethics. At last, the paper presents that we can protect our intellectual property throug h international cooperation.

Research development of digital maintenance and management system for long-span cable-stayed bridges

Digital cable-stayed bridge maintenance and management system （DCBMS） was developed for the need of maintenance and management of long-span cable-stayed bridges. In this paper, the major functions and theoretical application of eight modules were systematically stated with the background of Harbin Songhua River cable-stayed bridge, which include data management module, inspection and measurement module, assessment module, finite dement analysis module, disease diagnosis and prediction module, maintenance module, query module and help module. By analyzing and calculating the data from manual inspection database, basic database and health monitoring subsystem, DCBMS can accomplish the functions like life prediction, disease diagnosis, comprehensive assessment, maintenance and management of bridges. Therefore, the maintenance and management of long-span cable-stayed bridges can be made digital, professional and scientific. By running this system, a real-time and specific technical guidance can be provided for the maintainers and managers of long- span cable-stayed bridges.

Application of CAN Bus in Hotel Guest Room Service and Management System

Technical features about CAN bus are described. One kind of scheme in Hotel Guest Room Service and Management System based on CAN bus is presented. The system's structure and main function are expounded. The work principle and design of the system's hardware and software are explained. The realization of the system's hardware and software is detailed from aspects of improving system's anti-jamming and fault self-examined capability, and the block diagram of each part's circuit is given. Finally, features of the system are summarized, and a comparison with the system based on RS485 was made to prove the advantages of the system. By practice, CAN bus in the system can transmit data steadily and reliably.

A Cross-Sectional Study of the Causes, Effects and Management Strategies for Stress and Burnout among Nurses in the Fako Division, Cameroon

Introduction: Stress and burnout are a reality which nurses encounter and try to cope with especially in the Emergency Department (ED) so that they can provide optimal patient care. Nurses who work in ED are front line providers of immediate medical care needed to stabilize patients. With the known critical shortage of health workforce in Cameroon, nurses are overloaded with work and often experience stress and burnout. Aim: This study aimed at determining the causes, effects and management strategies of stress and burnout among nurses working in the ED in hospitals in the Fako Division, Cameroon. Methods: This study was a descriptive cross-sectional study. The sample consisted of seventy nurses from five different hospitals. A purposive sampling technique was used and data was analyzed using SPSS version 16.0. Data was collected using a structured questionnaire developed from the International Stress Management Scale. Results: The highest reported cause of stress in this study was heavy workload (12.88%) and the least was no experience in handling the challenges of the department. The leading reported effect of stress was the development of musculoskeletal disorders such as joint and back pain (16.48%) and the least effect was contemplating quitting the profession (5.99%). The major management strategy used was humour (8.27%), while the least was crying out stress to feel relieved (2.18%). Conclusion: The major cause of stress and burnout among nurses in our study setting was heavy workload, which mostly results in joint and back pain. Moreover, humour was the prime management strategy for stress and burnout among nurses in the emergency department in the study setting. Thus more nurses should be employed and the working conditions of nurses improved to reduce the workload in the study hospitals.