Effect of comprehensive management combined with cognitive intervention on patient cooperation and complications during digestive endoscopy

BACKGROUND As lifestyles continue to change worldwide,the incidence of digestive tract carcinoma has gradually increased.Digestive endoscopy is an important tool that can assist in the diagnosis,treatment,and surgical intervention for this disease.However,the examination process is affected by many factors,and patient cooperation is often poor,which can increase the risk of complications.AIM To explore the effects of integrated management and cognitive intervention on cooperation and complications in patients undergoing endoscopy for early gastrointestinal neoplasms.METHODS A total of 354 patients with early stage gastrointestinal cancer who underwent digestive endoscopy procedures between January and December 2023 at our hospital were divided into observation and control groups(177 patients in each group)in a randomized controlled blind trial.The control group received routine interventions,while the observation group received comprehensive integrated management combined with cognitive interventions.We compared the changes in adverse mood,discomfort,examination time,cooperation with the examination,and complications before and after the intervention between the two groups.RESULTS The self-rated anxiety and depression scale scores were lower in the observation group than in the control group(P<0.05).The visual analog scale scores for discomfort during intubation and examination were also lower in the observation group than in the control group(P<0.05).Furthermore,the examination time was shorter in the observation group than in the control group(P<0.05),and the degree of cooperation(94.35%)was higher in the observation group than in the control group(84.75%;P<0.05).Lastly,the incidence rates of gastrointestinal adverse reactions(10.17%vs 20.34%),choking agitation(14.69%vs 24.86%),abdominal pain(8.47%vs 18.08%),and muscle tension(5.08%vs 14.12%)were all lower in the observation group than in the control group(P<0.05).CONCLUSION Integrated management and cognitive intervention in early gastrointestinal neoplasm endoscopy alleviate mood,reduce discomfort,shorten examinations,improve cooperation,and reduce complications.

Optimization Analysis of Human Resource Management Strategies of Nantong University,a Local Comprehensive University in China

This study analyzes the current situation and challenges of Nantong University amid the rapid development of higher education,addressing aspects such as faculty structure,administrative management efficiency,and promotion mechanisms.Through questionnaire surveys and field research,coupled with SWOT analysis and various theoretical methods,a comprehensive analysis was conducted on Nantong University’s internal and external environment.The study proposes an improved comprehensive development strategy and implementation measures,which include updating management concepts,strengthening professional training,optimizing employment conditions,and improving salary systems.Ultimately,this study provides practical strategies for human resource management and the transformational development of Nantong University and other local comprehensive universities.

Effectiveness of Comprehensive Nursing Management in Enhancing Blood Donation Outcomes and Donor Experience: A Comparative Study

Objective:To assess the management effect of comprehensive nursing management on blood donation services in blood stations.Methods:Sixty-four individuals who donated blood at a blood station between September 2021 and September 2023 were selected and randomly assigned into two groups of 32 each.The first group received comprehensive nursing management,while the second group received routine nursing management.Blood donation indexes and observational indexes such as adverse reactions were compared between the groups.Results:The total blood donation volume and qualified blood donation volume were higher in the first group than in the second group.The amount of discarded blood and the rate of blood discards were lower in the first group compared to the second group(P<0.05).Additionally,the adverse reaction rate in the first group was lower,the blood donation comfort scores were higher,the psychological state scores were lower,and the quality of care scores were higher than those in the second group(P<0.05).Conclusion:Comprehensive nursing management can improve the efficiency of blood donation,reduce the rate of blood discards,decrease the incidence of adverse reactions,alleviate negative psychological states of blood donors,and enhance both the comfort level of blood donation and the quality of care provided.

Corroborative Activities and Recognition Between Community Comprehensive Care Unit’s Nurses and Care Managers in Supporting Discharge of Elderly from Hospital - A Secondary Publication

Objective: The purpose of this study was to clarify the collaborative activities and mutual recognition between community comprehensive care unit nurses (Ns) and care managers (CM) in supporting the discharge of the elderly from the hospital. Methods: A total of 300 nurses working in community comprehensive care wards and 360 care managers working in B City in A Prefecture were surveyed using an anonymous self-administered questionnaire. Results: The highest percentage of responses regarding necessary collaborative activities with multiple professions in supporting hospital discharge were the same for Ns and CMs. The items regarding practice with the highest percentages were “relationship as a team” for Ns, and “user-centered awareness” for CM. While these professionals were willing to share information about their patients’ lives after discharge, the percentage of those explaining their expertise was low. It is thought that collaborative activities focusing on these aspects would lead to more appropriate discharge support.

Strategies for improving crop comprehensive benefits via a decision-making system based on machine learning in the rice‒rape,rice‒wheat and rice‒garlic rotation systems in Southwest China

Rice‒rape,rice‒wheat and rice‒garlic rotations are common cropping systems in Southwest China,and they have played a significant role in ensuring ecological and economic benefits(EB)and addressing the challenges of China’s food security in the region.However,the crop yields in these rotation systems are 1.25‒14.73%lower in this region than the national averages.Intelligent decision-making with machine learning can analyze the key factors for obtaining better benefits,but it has rarely been used to enhance the probability of obtaining such benefits from rotations in Southwest China.Thus,we used a data-intensive approach to construct an intelligent decision‒making system with machine learning to provide strategies for improving the benefits of rice-rape,rice-wheat,and rice-garlic rotations in Southwest China.The results show that raising the yield and partial fertilizer productivity(PFP)by increasing seed input under high fertilizer application provided the optimal benefits with a 10%probability in the rice-garlic system.Obtaining high yields and greenhouse gas(GHG)emissions by increasing the N application and reducing the K application provided suboptimal benefits with an 8%probability in the rice-rape system.Reducing N and P to enhance PFP and yield provided optimal benefits with the lowest probability(8%)in the rice‒wheat system.Based on the predictive analysis of a random forest model,the optimal benefits were obtained with fertilization regimes by reducing N by 25%and increasing P and K by 8 and 74%,respectively,in the rice-garlic system,reducing N and K by 54 and by 36%,respectively,and increasing P by 38%in rice-rape system,and reducing N by 4%and increasing P and K by 65 and 23%in rice-wheat system.These strategies could be further optimized by 17‒34%for different benefits,and all of these measures can improve the effectiveness of the crop rotation systems to varying degrees.Overall,these findings provide insights into optimal agricultural inputs for higher benefits through an intelligent decision-making system with machine learning analysis in the rice-rape,rice‒wheat,and rice-garlic systems.

Effects of comprehensive nursing with cognitive behavioral therapy in orthodontic osteodilated arch treatment

BACKGROUND This work explored the effects of cognitive behavior therapy(CBT)-based comprehensive nursing intervention(CNI)mode in arch expansion to treat patients with orthodontic osteodilated arch(OOA).AIM To explore the application effect of CBT-based CNI model in orthodontic expansion arch treatment.METHODS Using convenient sampling method,81 patients with OOA were selected and rolled into a control group(Ctrl group,40 cases)and an observation group(Obs group,41 cases).During the treatment,patients in the Ctrl group received routine nursing intervention mode,and the those in the Obs group received CBT mode on the basis of this.Before and after intervention,the incidence of oral mucositis,the mastery rate of correct arch expansion method,self-rating anxiety scale score,soft scale index,and plaque index were compared for patients in different groups.In addition,satisfaction and complications were comparatively analyzed.RESULTS Incidence of oral mucositis in the Obs group was lower(14.6%vs 38.5%),and the mastery rate of correct arch expansion method was obviously higher(90.2%vs 55.0%)was obviously higher(all P<0.05).Meanwhile,the soft scale index and plaque index in the Obs group were much lower(P<0.05).The compliance(90.24%)and satisfaction(95.12%)in the Obs group were greatly higher(P<0.05).CONCLUSION The CBT-based CNI mode greatly improved the mastery rate of correct arch expansion method during arch expansion in treating patients with OOA and enhanced the therapeutic effect of arch expansion and the oral health of patients,improving the patient compliance.

Overview on Environmental Comprehensive Management System Established in Imitation of Biome

Environmental comprehensive management system, called “the bionic community”, can be established in imitation of biome, which can transform the wastes generated in a certain field into the raw materials of other field. The establishment of the bionic community includes two aspects, i.e., the matching technique and the management system. The main matching technique is the preparation of composite materials made of various wastes. This new kind of material can be divided into four types: polymer matrix, silicate matrix, metal matrix and carbon matrix(or ceramic matrix). The environmental comprehensive management system is formed by organizing a trans-trades joint-management business entity with the products of composite material made of wastes at the core.

Analysis on the Influencing Factors and Comprehensive Management of Environmental Problems in Dongping Lake

[Objective]We aimed to study the influencing factors and comprehensive management of environmental problems in Dongping Lake.[Method]Based on field investigation and historical data,environmental problems of Dongping Lake and their influencing factors were analyzed,and seven measures about comprehensive management of environmental issues and ecological protection of Dongping Lake were put forward.[Result]During recent years,the content of total nitrogen and total phosphorus in Dongping Lake showed a decreasing trend,but the water was still in the eutrophic state.The environmental problems of Dongping Lake,like flood,drought and pollution,are closely linked to natural and man-made factors,such as regional seasonal precipitation,industrial and agricultural pollution,etc.In order to control the environmental problems of Dongping Lake,we should strengthen the construction and management of wetland nature reserves,develop ecological agriculture,establish an integral system for environmental monitoring and information management,reinforce propaganda and education to improve residents’ environmental consciousness,etc.[Conclusion]The research could provide scientific references for the comprehensive management of environmental problems in Dongping Lake and its basin.

Construction and Application of Comprehensive Management Platform for Laboratories in Colleges and Universities

Educational informatization is a long-term and continuous process of development, The construction of laboratory information needs to meet the needs of students' experimental learning, needs to shift from management business to Comprehensive management of laboratory, such as personnel, equipment, funds and laboratory activities. The purpose of this article is to establish a comprehensive management center for laboratory related information such as personnel, equipment, construction funds and experimental activities, applying the idea of smart campus and the key technology of "Internet plus" era and integrating the departmental business integration with the cultivation of students' innovative ability. The construction of platfbnn can realize information query, statistics and analysis and utilization in laboratory, establish personalized experimental learning environment, and achieve the goal of laboratory omnibearing management.

THE FLOOD OF THE NENJIANG RIVER AND THE SONGHUA RIVER IN 1998 AND THE COMPREHENSIVE MANAGEMENT OF THE RIVER BASINS

In the summer of 1998, an exceptionally serious flood, with the characteristics of high water level, large volume of flow, long duration and serious losses caused by the disaster, occurred in the Nenjiang River basin and the Songhua River basin. Greater flood peak occurred three times in the trunk stream of the Nenjiang River for the floods occurred in its tributaries one after another. At Jiangqiao Hydrometric Station, the water level was 141.90 m and the rate of flow was 12?000 m 3/s. The flood is ranged to a catastrophic one, which occurs once in 50 years. Ranged to a catastrophic flood at Qiqihar Hydrometric Station that occurs once in 400 years, its water level, 0.89 m higher than the former all time highest, was 149.30?m and the corresponding rate of flow was 14?800?m 3/s. The water level that exceeded the all time highest lasted for 7 days. At Harbin Hydrometric Station, the water level, 0.59?m higher than the former all time highest, was 120.89?m and the corresponding rate of flow was 17?400?m 3/s. The water level that exceeded the all time highest lasted for 9 to 10 days. The flood here is ranged to a catastrophic one, which occurs once in 150 years. The flood of the Nenjiang River damaged 456×10 4?ha of crops and 115×10 4 rooms and the direct loss of economy exceeded 40 billion yuan(RMB). The main reasons of the flood are great rainfall, long flood season, unreasonable land use, regional ecological environment degradation and lack of water control projects. It is obvious that the following measures are greatly needed: the comprehensive management of the river basins; the formulation of development planning of the river basins, especially the water control projects; the development of agriculture based on ecological security.

Comprehensive Management Measures for Chicken Rearing in Tea Gardens in Karst Region

In karst region,industrial development is closely related to rocky desertification control. Using abundant natural resources in karst areas to develop chicken rearing in tea gardens can not only make full use of natural resources and alleviate the contradiction between development and governance in rocky desertification areas but also produce good quality chicken. In this paper,the comprehensive management measures related to chicken farming in tea gardens in karst region were elaborated,in order to provided certain guiding significance for practical production.

Comprehensive benefits assessment of the ecological management model in Hobq Desert of China

The Hobq Desert is the seventh largest desert in China. Since 1988, the effects of ecological management in Hobq Desert have been obvious and a typical desertification control model developed gradually, which is well known as the ＂Hobq model＂. It is important to evaluate the comprehensive benefits of the ＂Hobq model＂, but this has not been addressed in previous studies. Thus, we established an index system to comprehensively evaluate the benefits of the ＂Hobq model＂, using an analytic hierarchy process method from 1988 to 2013. The results show the following： ecological benefits of the ＂Hobq model＂ had a positive trend, but with fluctuations during 2008 and 2009; economic benefits increased by 74% and the maximum value occurred in 2013; and social benefits increased steadily, but with fluctuations in 2010 and 2011. The social benefits were higher than ecological and economic benefits in the same period. Trends in overall benefits of the ＂Hobq model＂ were similar to changes in ecological benefits, which increased each year.

Efficacy of comprehensive cognitive health management for Shanghai community older adults with mild cognitive impairment

Background The management of modifiable risk factors and comorbidities may impact the future trajectory of cognitive impairment,but easy-to-implement management methods are lacking.Aims This study investigated the effects of simple but comprehensive cognitive health management practices on the cognitive function of older adults in the community with normal cognition(NC)and mild cognitive impairment(MCI).Methods The comprehensive cognitive health management programme included a psychiatric assessment of the cognitive risk factors for those in the intervention groups and individualised recommendations for reducing the risks through self-management supported by regular medical professional follow-up.The intervention groups for this study included 84 elderly participants with NC and 43 elderly participants with MCI who received comprehensive cognitive health management.The control groups included 84 elderly participants with NC and 43 elderly participants with MCI who matched the intervention group’s general characteristics and scale scores using the propensity matching score analysis.The Montreal Cognitive Assessment(MoCA)scale and Geriatric Depression Scale(GDS)scores were compared after a 1-year follow-up.Results For older adults with MCI in the intervention group,MoCA scores were higher at the 1-year followup than at baseline(24.07(3.674)vs 22.21(3.052),p=0.002).For the MoCA subscales,the intervention group’s abstract and delayed memory scores had significantly increased during the 1-year follow-up.Furthermore,in a generalised linear mixed model analysis,the interaction effect of group×follow-up was statistically significant for the MCI group(F=6.61,p=0.011;coefficients=5.83).Conclusions After the comprehensive cognitive health management intervention,the older adults with MCI in the community showed improvement at the 1-year follow-up.This preliminary study was the first to demonstrate an easy-to-implement strategy for modifying the cognitive risk factors of elderly individuals with MCI in the community,providing new insight into early-stage intervention for dementia.

GA-SVC model and application of comprehensive evaluation of coal mine essential safety management

In order to evaluate the level of the coal mine essential safety management, the comprehensive index system was designed base on the connotation principle of the mine essential safety management. Due to the disadvantage of index weight setting by subjective idea in the former method, support vector classification algorithm was used to assess the level of coal mine essential safety management. According to the advantages of the global search capability of the genetic algorithm, support vector classification parameters optimization method was proposed based on genetic algorithm, and genetic algorithm-support vector classification model of coal mine essential safety management assessment was established. Learning samples were constructed on the basis of former data of mine essential safety management evaluation. The test results show that the genetic algorithm-support vector classification model has higher evaluation accuracy and good generalization ability, and the advantage of no need for artificial setting of index weight and absence of the subjective factors influence to evaluation results.

Comprehensive Online Management Based on Cloud Platform for Breast Cancer Patients Using Dual-Targeted Therapy with Macromolecular Monoclonal Antibodies

Objective: The purpose of the study was to explore the application effects of the cloud platform-based comprehensive online management for breast cancer patients using dual-targeted therapy with macromolecular monoclonal antibodies. Methods: 120 breast cancer patients treated by dual-targeted therapy with macromolecular monoclonal antibodies were managed by a cloud platform from March to November 2019. Comprehensive online management included consultation about drugs and side effects and frequently asked questions in the dual-targeted therapy with macromolecular monoclonal antibodies. Results: In the consultation about drugs and side effects, there were five patients with fever, neutrophil, cough, and fatigue;24 with diarrhea;25 with nausea;11 with oral mucosal inflammation;10 with rashes and dry skin;8 with insomnia;and 1 with palpitation. Moreover, 110 patients with anxiety about the missed or delayed treatment were properly handled. Conclusion: The comprehensive online management of dual-targeted therapy with macromolecular monoclonal antibodies based on the cloud platform is helpful to satisfy the at-home breast cancer patients’ needs, ensure the continuity of dual-targeted therapy with macromolecular monoclonal antibodies for breast cancer patients, prevent misinformation, alleviate patients’ negative psychological emotions, and reduce patients’ economic losses. The online cloud platform integrated management model is crucial for managing patients with breast cancer treated by dual-targeted therapy.

Construction of Enterprise Financial Management System Based on Comprehensive Budget Management

Economic development and social progress have put forward new requirements for the construction of corporate financial management system,and the role of comprehensive budget management has become more and more significant,which has been highly valued and paid attention within the enterprise.Based on comprehensive budget management,it can promote the smooth development of daily business activities of the enterprise,continuously improve the level of financial management,create favorable conditions for the construction of the financial management system of the enterprise,and promote the realization of the strategic goals of the enterprise.This paper mainly discusses the construction of enterprise financial management system based on comprehensive budget management,and focuses on some targeted improvement measures.

Comprehensive evaluation and analysis of enterprise management performance

The advent of modern management system separated business owners and managers, resulting that many business owners no longer involve in the operation and management, but employ a specialized management staff to undertake responsibilities of decision-making and business operations. Under the conditions of separation of ownership, the pay given to managers should be linked with their performance. Therefore, it is extremely important to establish a scientific and effective performance evaluation system for managers. Many companies began to try to establish short-term and long-term incentive plan for managers. The purpose is to through the introduction of a new payroll system promote the behavior of managers remaining consistent with corporate benefits. But the real realization of the plan relies on running of performance evaluation system. Only scientific and fair assessment of manager performance can we implement various salary system on only reliable basis, which is the key importance for the manager performance evaluation.

Comprehensive Management Strategy for Tunnel Construction Quality Inspection and Monitoring

With the increase in the number and scale of tunnel projects in China in recent years,the comprehensive management for quality inspection and monitoring measurement in the tunnel construction process is receiving more and more attention.Based on this,this paper analyzes the comprehensive management of quality inspection and monitoring during tunnel construction to ensure the quality of tunnel construction.

Total Quality Management at Algerian Higher Education Institutions to Promote Our Roles in Comprehensive Development

The aims this study to know the reality of the role for Total Quality Management(TQM)to need of Algerian Higher Education Institutions(AHEI)in apply the Total Quality Management(TQM)to promote the Comprehensive Development(CD),and this approach to enhance their roles in the comprehensive development,the efficiency of the training process,global changes and their needs to adopt a new educational policy in line with the global transformation competition,and the requirements of sustainable development,in this study was used a questionnaire composed of(75)items distributed on(08)areas,This is for confirmation the need to adopt philosophy of Total Quality Management(TQM)as a strategy imposed by the nature and the stage experienced for Algerian Higher Education Institutions(AHEI),And deal with the nature of the changes and challenges imposed by certain factors such as Globalization and the knowledge revolution,through all this inevitably to apply the Total Quality Management(TQM)in our Algerian Higher Education Institutions(AHEI).

Research on Readjustments of Land Property Rights in Comprehensive land management A Case Study in Project Area of Fan zhen comprehensive land management in Tai＇ anCity

Research purpose： The paper studies readjustments of land property rights which practice in the project area of Fan Zhen comprehensive land management in Tai＇ an City. According to the study make reasonable suggestions, for the similar areas of readjuslments of land property rights provide experience. Research Methods： Investigating method and contrastive analysis method. Results： The right of the project a^ea to an adjustment measures properly, and has achieved good economic benefits, social benefits and ecological benefits. Research Conclusions： Developing the new rural consu＇uction the problem from the social, economic and environmental field, effectively protect the fundamental interests of farmers to get sustainable development.