术前IDEAS模式访视在肺癌胸腔镜辅助小切口手术患者中的应用效果

目的 探讨术前IDEAS模式访视在肺癌胸腔镜辅助小切口手术(VAMT)患者中的应用效果。方法根据干预方式的不同将80例肺癌VAMT患者分为对照组(n=34)和IDEAS组(n=46),对照组患者给予常规术前访视,IDEAS组患者给予术前IDEAS模式访视。比较两组患者的生理指标[脉率(PR)、舒张压(DBP)、收缩压(SBP)]、疼痛程度[视觉模拟评分法(VAS)]、心理状态[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]、希望水平[Herth希望量表(HHI)]、满意度、住院时间及并发症发生情况。结果 干预后,两组患者PR、DBP、SBP均高于本组干预前,IDEAS组患者PR、DBP、SBP均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者VAS、HAMD、HAMA评分均低于本组干预前,HHI量表各维度评分均高于本组干预前,IDEAS组患者VAS、HAMD、HAMA评分均低于对照组,HHI量表各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。IDEAS组患者的总满意率为100%,明显高于对照组患者的82.35%,住院时间明显短于对照组,差异均有统计学意义(P﹤0.01)。IDEAS组患者的并发症总发生率为4.35%,与对照组患者的11.76%比较,差异无统计学意义(P﹥0.05)。结论 术前IDEAS模式访视能有效改善肺癌VAMT患者的生理指标、心理状态和疼痛程度,提高希望水平,患者的满意度高。

内镜息肉冷圈套切除术联合IDEAS护理模式访视用于结直肠息肉切除患者的效果观察

目的探讨内镜息肉冷圈套切除术(CSP)结合识别问题-确定选项-评估并选择最佳选项-行动-检验有效性(IDEAS)护理模式访视应用于结直肠息肉患者的临床疗效,并分析对患者疼痛因子的影响,为提高该疾病的临床治疗效果提供依据。方法选取2021年1月至2023年1月南方医科大学南方医院增城院区收治的112例结直肠息肉患者进行前瞻性研究,根据不同的手术方式分为A组[56例,IDEAS护理模式访视+内镜息肉热圈套切除术(HSP)]和B组(56例,IDEAS护理模式访视+CSP),术后随访6个月。比较两组患者息肉切除情况,术前和术后3d的疼痛因子指标及血清血栓素B2(TXB2)、血管内皮生长因子(VEGF)、碱性成纤维细胞生长因子(bFGF)水平,以及息肉完整切除率和术后6个月并发症发生情况。结果B组患者手术时间短于A组;与术前比,术后3 d两组患者血清前列腺素E2(PGE2)、神经生长因子(NGF)、TXB2、VEGF、bFGF水平均升高,但B组均低于A组;血清P物质(SP)水平均降低,且B组低于A组(均P<0.05)。两组患者内镜操作时间、息肉切除时间、息肉直径、息肉切除数量、息肉完整切除率及术后6个月并发症总发生率比较,差异均无统计学意义(均P>0.05)。结论CSP结合IDEAS护理模式访视应用于结直肠息肉患者的治疗可显著缩短手术时间,患者术后疼痛较轻,有利于减轻机体炎症反应,促进疾病转归。

基于IDEAS的多元化护理对溃疡性结肠炎患者生活质量及满意度的影响

目的探究基于IDEAS的多元化护理模式对溃疡性结肠炎患者生活质量及满意度的影响。方法方便选取2018年9月—2023年9月盐城市第三人民医院消化内科收治的84例溃疡性结肠炎患者作为研究对象,以随机数表法分为两组,对照组(42例)实行常规护理,观察组(42例)实行基于IDEAS的多元化护理模式。比较两组生活质量评分及护理满意度。结果观察组生活质量评分高于对照组,差异有统计学意义(P<0.05)。观察组护理总满意率远高于对照组,差异有统计学意义(P<0.05)。结论基于IDEAS的多元化护理模式对溃疡性结肠炎护理效果具有积极影响,利于提高患者生存质量与护理满意度。

基于IDEAS访视模式对腹腔镜下全子宫切除术患者生理、心理应激反应及应对方式的影响

目的:探讨基于IDEAS访视模式对腹腔镜下全子宫切除术患者生理、心理应激反应及应对方式的影响。方法:选取2021年1月—2022年12月于肇庆市第一人民医院拟行腹腔镜下全子宫切除术的患者60例作为研究对象,以随机数字表法分为对照组(实施常规术前访视)和观察组(实施基于IDEAS的访视模式),各30例。比较两组患者生理应激指标、心理应激水平、应对方式及护理满意度。结果:访视后,两组脉率、舒张压、收缩压水平高于访视前,观察组脉率、舒张压、收缩压水平低于对照组,差异有统计学意义(P<0.05);访视后,两组面对评分高于访视前,焦虑自评量表、抑郁自评量表评分及回避、屈服评分低于访视前,观察组优于对照组,差异有统计学意义(P<0.05);观察组护理满意度高于对照组,差异有统计学意义(P=0.0022)。结论:应用基于IDEAS访视模式于腹腔镜下全子宫切除术患者中的临床效果显著,有利于缓解患者的生理、心理应激反应,改善患者的应对方式,提高护理满意度。

Development Mode of Urban Grassroots Libraries under the Background of Lifelong Learning:Inspiration from Idea Stores in London

The urban grass-roots library is an important part of the public cultural service system,and also a place to carry out national reading and lifelong learning,which is of great significance to the construction of a learning society.In this paper,the development and evolution of urban grassroots libraries in China are reviewed,and the current situation and usage issues of grassroots libraries in Beijing are analyzed.Moreover,the development strategy of idea stores in London,UK is studied,and characteristics are summarized,and possible references are sought.In the new era,urban grassroots libraries should integrate into communities with multiple functions and play a more sufficient role in public education,learning and training,and other aspects.

Concise extraction and characterization of the pore-throat network in unconventional hydrocarbon reservoirs: A new perspective

In this study,a new image-based method for the extraction and characterization of pore-throat network for unconventional hydrocarbon storage and exploitation is proposed.“Pore-throat solidity”,which is analogous to particle solidity,and a new method for automatic identification of pores and throats in tight sandstone oil reservoirs are introduced.Additionally,the“pore-throat combination”and“pure pore”are defined and distinguished by drawing the cumulative probability curve of the pore-throat solidity and by selecting an appropriate cutoff point.When the discrete grid set is recognized as a pore-throat combination,Legendre ellipse fitting and minimum Feret diameter are used.When the pore and throat grid sets are identified as pure pores,the pore diameter can be directly calculated.Using the new method,the analytical results for the physical parameters and pore radius agree well with most prior studies.The results comparing the maximum ball and the new model could also prove the accuracy of the latter's in micro and nano scales.The new model provides a more practical theoretical basis and a new calculation method for the rapid and accurate evaluation of the complex processes of oil migration.

基于IDEAS模式的术前访视联合共情支持对严重烧伤患者生理应激、应对方式和瘢痕恢复的影响

目的:基于IDEAS模式(即识别问题、确认选项、评估并选择最佳选项、行动和检验有效性)的术前访视联合共情支持对严重烧伤患者生理应激、应对方式和瘢痕恢复的影响。方法:选取2021年2月-2023年2月笔者科室收治的90例严重烧伤患者为研究对象,按照随机数字表法分为观察组和对照组,各45例。对照组给予共情支持,观察组给予基于IDEAS模式的术前访视护理联合共情支持,比较两组生理应激[去甲肾上腺素(Norepinephrine,NE)、血管紧张素Ⅱ(Angiotensin Ⅱ,AngⅡ)水平]、心理状况[采用汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)和汉密尔顿抑郁量表(Hamilton depression scale,HAMD)评估]、应对方式[采用医学应对问卷(Medical coping modes questionnaire,MCMQ)评估]、自理能力[采用自我护理能力量表(Exercise of self-care agency scale,ESCA)]和瘢痕恢复情况[采用温哥华瘢痕量表(Vancouver scar scale,VSS)评估]。结果:干预后,观察组血清NE、AngⅡ水平低于对照组,HAMA、HAMD评分低于对照组,MCMQ评分优于对照组,ESCA各维度评分高于对照组,VSS评分及总分低于对照组,差异均有统计学意义(P<0.05)。结论:基于IDEAS模式的术前访视联合共情支持可有效减轻严重烧伤患者生理应激,改善不良心理和应对方式,提高自我护理能力,进而促进瘢痕快速恢复。

网络关系视角下的用户创新生存影响因素分析——以LEGO Ideas为例

以LEGO Ideas作为数据来源,在社交网络平台的相关研究基础上,构建出作者网络和内容网络,并计算出用户创新节点在网络中的中心性。采用生存分析法,将用户创新的“存活”视为生存事件,建立生存回归模型,分阶段计算出网络中心性对用户创新生存的影响系数。研究认为,两类网络属性在用户创新发布早期为其生存提供正向影响,作者网络的影响在后期愈发明显,而内容网络则逐渐出现负向影响的迹象。企业应鼓励OI平台中高质量作者间的互动,更多地根据作者行为识别出高质量的用户创新。

Impact of well placement and flow rate on production efficiency and stress field in the fractured geothermal reservoirs

Geothermal energy has gained wide attention as a renewable alternative for mitigating greenhouse gas emissions.The advancements in enhanced geothermal system technology have enabled the exploitation of previously inaccessible geothermal resources.However,the extraction of geothermal energy from deep reservoirs poses many challenges due to high‐temperature and high‐geostress conditions.These factors can significantly impact the surrounding rock and its fracture formation.A comprehensive understanding of the thermal–hydraulic–mechanical(THM)coupling effect is crucial to the safe and efficient exploitation of geothermal resources.This study presented a THM coupling numerical model for the geothermal reservoir of the Yangbajing geothermal system.This proposed model investigated the geothermal exploitation performance and the stress distribution within the reservoir under various combinations of geothermal wells and mass flow rates.The geothermal system performance was evaluated by the criteria of outlet temperature and geothermal productivity.The results indicate that the longer distance between wells can increase the outlet temperature of production wells and improve extraction efficiency in the short term.In contrast,the shorter distance between wells can reduce the heat exchange area and thus mitigate the impact on the reservoir stress.A larger mass flow rate is conducive to the production capacity enhancement of the geothermal system and,in turn causes a wider range of stress disturbance.These findings provide valuable insights into the optimization of geothermal energy extraction while considering reservoir safety and long‐term sustainability.This study deepens the understanding of the THM coupling effects in geothermal systems and provides an efficient and environmentally friendly strategy for a geothermal energy system.

The Damaging Effects of Abstracting the Deep Aquifers’Groundwater in Jordan-Quality Constraints

The deep aquifers in Jordan contain non-renewable and fossil groundwater and their extraction is quasi a mining process, which ends in the depletion of these resources. Although aquifers in the majority of groundwater basins in Jordan are vertically and horizontally interconnected stratification in different water quality horizons with generally increasing water salinity with the depth is observed. Many officials and planners advocate the extraction of deep salty and brackish water to be desalinated and used in household, industrial, and agricultural uses. In this article, the quality of the groundwater in the different deep aquifers and areas in Jordan is discussed. The results of this study show that the consequences of the deep groundwater exploitation are not restricted to depletion of the deep aquifers but also that the overlying fresh groundwater will, due to vertical and horizontal interconnectedness of the different aquifers, percolate down to replace the extracted deep groundwater. This will cause the down-percolating fresh groundwater to become salinized in the deep saline aquifers, which means that extracting the deep brackish and saline groundwater is not only an emptying process of the deep groundwater but also it is an emptying process of the fresh groundwater overlying them. The results allow to conclude that any extraction of the deep groundwater in areas lying to the north of Ras en Naqab Escarpment will have damaging impacts on the fresh groundwater in the overlying fresh groundwater aquifers. This article strongly advises not to extract the deep brackish and saline groundwater, but to conserve that groundwater as a base supporting the overlying fresh groundwater resources, and that will help in protecting the thermal mineralized water springs used in spas originating from these deep aquifers. The increasing water needs of the country can be covered by the desalination of seawater at Aqaba, which is the only viable option for Jordan at present and in the coming decades.

An Evaluation of the Critical Success Factors in Sustainable Food Supply Chains in Developing Countries

Food is one of the biggest industries in developed and underdeveloped countries. Supply chain sustainability is essential in established and emerging economies because of the rising acceptance of cost-based outsourcing and the growing technological, social, and environmental concerns. The food business faces serious sustainability and growth challenges in developing countries. A comprehensive analysis of the critical success factors (CSFs) influencing the performance outcome and the sustainable supply chain management (SSCM) process. A theoretical framework is established to explain how they are used to examine the organizational aspect of the food supply chain life cycle analysis. This study examined the CSFs and revealed the relationships between them using a methodology that included a review of literature, interpretative structural modeling (ISM), and cross-impact matrix multiplication applied in classification (MICMAC) tool analysis of soil liquefaction factors. The findings of this research demonstrate that the quality and safety of food are important factors and have a direct effect on other factors. To make sustainable food supply chain management more adequate, legislators, managers, and experts need to pay attention to this factor. In this work. It also shows that companies aiming to create a sustainable business model must make sustainability a fundamental tenet of their organization. Practitioners and managers may devise effective long-term plans for establishing a sustainable food supply chain utilizing the recommended methodology.

IDEAS模式下多元化护理对溃疡性结肠炎患者心理健康和症状改善的影响

分析在对溃疡性结肠炎患者护理过程中将IDEAS模式下多元化护理运用的效果。方法:选取2022年03月~2023年05月本院收治的86例溃疡性结肠炎患者中,数字表随机排序均分对照组(开展常规护理)和观察组(开展IDEAS模式下多元化护理)。分析两组恢复期间心理状态以及生活质量。结果:干预前,两组负面情绪评分比较,无显著差异;干预后,观察组负面情绪评分低于对照组,差异显著(P<0.05)。干预前,两组患者生活质量比较,无显著差异;干预后,观察组生活质量评分高于对照组,差异显著(P<0.05)。结论:在对溃疡性结肠炎患者护理过程中开展IDEAS模式下多元化护理,可以改善患者的心理状态,提升其生活质量。

Exploitation and Utilization of Insect Protein Feed Resources

The insect is the animal protein feed resource potential, the rapid repro- duction, large quantity, high protein content, and most species of insects can be used as livestock feed utilization, development of insect as feed resources, to pro- mote the development of China＇s animal husbandry and feed industry, has important significance.

Strategies for Introducing Energy Saving Idea into Residential Planning and Design in Urban and Rural Areas of China

Currently,energy saving design has been conducted on single building but not on the whole residential community in urban and rural areas.So,the paper has proposed energy saving measures for residential planning from the perspective of site selection and layout of buildings.Specific measures are as follows.Firstly,buildings should be constructed on the sunny side and leeside;secondly,buildings on the south should be lower than those on the north;the east side of the building should be open while the west side should be closed;thirdly,climate protection unit should be set;fourthly,buildings should be of northsouth direction primarily,and the main room should be set on the east side and the assistant rooms or passage on the west side in the buildings of east-west direction;fifthly,it should select compact and wellarranged households and the units should not be combined in point and dislocation and jointing.

Reflection on the Exploitation of Rural Tourism Resources in Zhenjiang City

Rural tourism, i.e., agrotourism, is the newly-exploited tourism product[1] with agricultural production, rustic view, rural life and rural custom as the main carrier and with agriculture and countryside as the tourism resources. Zhenjiang City is in possession of adequate source markets, abundant rural tourism resources, good tourist ecological environment and profound culture. The pleasant ecological environment and charming rural scenery provide the development of rural tourism in Zhenjiang with exceptional advantages. The exploitation of rural tourism not only promotes the exploitation and development of agricultural tourism in Zhenjiang, but also improves the structure of tourism product, simulating the healthy development of rural economy. Through the analysis of the exploitation advantage of the rural tourism resources in Zhenjiang, the author analyzed the exploitation situation and existing problems of the rural tourism resources in Zhenjiang. The author considered that the rural tourism development in Zhenjiang was lack of unified planning; the cultural content of tourism product was low; the development depth was not enough; the construction of infrastructure was lagging behind; and meanwhile, it was lacking of funding, tourism program and advertising promotion. In the light of the above deficiencies, a series of countermeasures of rural tourism exploitation was put forward, that is, to complete the exploitation planning of the rural tourism resources, promoting the cultural taste of the rural tourism product; to enhance the publicity of the rural tourism, highlighting the brand feature of local tourism and creating high-quality product; to conduct standard management, strengthening the training of tourism management personnel.

The Orientation and Development of Zhenjiang Pearl S.Buck Tourism Products Exploitation

This study aimed to make an orientation for the development of Zhenjiang Pearl S.Buck tourism products.According to the spatial structure styles of tourism products,this paper discussed the exploitation of Zhenjiang Pearl S.Buck tourism products from the perspective of spot products,linear products and network products.It expanded the Pearl S.Buck research to tourism science field and put forward some ideas of promoting the comprehensive benefits of Pearl S.Buck tourism resource as well as the exploitation of similar tourism products.

Gradient Differentiation and Exploitation Mode of Tourist Resources in Hailuogou Scenic Area,China

Natural environment of Hailuogou Scenic Area(Conch Gully)was introduced,and it was pointed out that tourist resources in the study area showed gradient differentiation along the vertical height.In view of such gradient differentiation,resource contents and characteristics of its cultural heritages zone,geothermal resources zone,forest vegetation zone,and glacial resources zone were respectively analyzed.Based on the gradient differentiation of tourist resources in Hailuogou Scenic Area,suggestions were given for its further tourism development,and it was stressed that brand effects of the attractions should be enhanced,infrastructure construction and maintenance of newly-explored scenic spots should be improved,and more efforts should be devoted to explore disastrous landform resources.This research is of practical significance for studying spatial differentiation and evolution mechanism of tourist resources in mountainous areas in western China,and also provides scientific support for the exploration of tourist resources in mountainous areas.

The Realization of Ecological Ideas of Economic Gardens——A Case Study of "Red ribbon" Park in Qinhuangdao City

The aim of this study is to analyze the ecological ideas of local habitat conservation,least intervention and concise ecological design in the design of Red Ribbon Park,and meanwhile put forward the suggestion that the ecosystem health level of Tanghe River should be promoted as a whole.

Exploitation and Sustainable Development of Hot Springs in Xinjiang Province of China——A Case Study of Shawan Hot Spring Tourist Area

The paper had introduced geographic causes and types of hot springs, illustrated its disease-treating function and displayed its great vitality and widespread development prospect as tourist resources. By taking Shawan Hot Spring in Xinjiang for example, the paper had analyzed its natural condition, hot springs and tourist economic development. And then, quantitative and qualitative analysis had been conducted on the quality of water environment resources in the research area. It had analyzed reasons for degeneration of water environment and studied exploitation and sustainable development of hot springs. It was considered that environment especially water environment quality had decreased since hot spring tourism development. In order to achieve sustainable development of hot springs and promotion of local tourism, it must be guided by environment treatment, and some strategies for sustainable development of hot springs had been proposed.

Canadian West Exploitation in the Context of American Threat of Annexation

America had been attempting to annex Canadian West and posed a threat to the security of the fledgling country. Therefore the antipathy towards America as well as independent-nation complex of Canadians drove Canadian government to incorporate the west exploitation into the national strategy of creating an independent country. Canadian west exploitation thus took on some distinctiveness.