Impact of specialized nursing outpatient case management on postcoronary artery bypass grafting patients

BACKGROUND Some patients with coronary atherosclerotic heart disease experience major adverse cardiac events(MACE)and require readmission after Coronary Artery Bypass Grafting(CABG)surgery.This is often attributed to patients'unhealthy lifestyles and dietary habits,inadequate understanding of the disease,and poor disease management compliance.Thus,searching for more targeted nursing intervention models that can enhance patients'self-management abilities and reduce the risk of readmission after CABG surgery is significant.AIM To observe the impact of specialized nursing outpatient case management on patients after CABG surgery.METHODS A total of 103 patients who underwent CABG surgery in our hospital between April 2021 and April 2022 comprised the study sample.The patients were divided into two groups using an odd-even number grouping method.The control group received routine nursing care,while the case management group received specialized nursing outpatient case management.The differences in psychological status,adherence to medical treatment,self-care ability,knowledge mastery,quality of life scores,and the occurrence rate of MACE were compared between the two groups.RESULTS After the intervention,the case management group had lower scores on the selfrating depression scale and self-rating anxiety scale and lower MACE rate,as well as higher scores for adherence to a healthy diet,medication adherence,good lifestyle habits,regular exercise,and timely follow-up,higher scores on the Coronary Heart Disease Self-Management Scale,higher scores for managing adverse habits,symptoms,emotional cognition,emergency response,disease knowledge,general lifestyle,and treatment adherence,higher scores for understanding coronary heart disease,recognizing the importance of medication adherence,understanding selfcare points after CABG surgery,and being aware of post-CABG precautions,higher scores for physical well-being,disease condition,general health,social-psychological well-being,and work-related aspects(P<0.05).CONCLUSION Specialized nursing outpatient case management can enhance patient adherence to medical treatment,knowledge mastery,psychological well-being,and overall quality of life in patients after CABG surgery.

A Knowledge Management System in Radiology Dedicated forLearning and Training： A Case Study in Senology

The paper is dealing with the design and development of a knowledge management （KM） system in radiology dedicated for learning and training to support radiologists in senology in the detection of breast cancer. The work has been performed in cooperation with the department of radiology of Gustave Roussy Institute in Paris （Villejuif）. It provides a case-based reasoning system to support diagnosis by finding similar cases to the case at hand. The outcome of the research effort is both conceptual and practical. It has also a methodological dimension. Conceptually, the paper contributes to the breast cancer diagnosis domain by defining an ontology and a conceptual model for representing cases which are generic solutions reusable in many different settings. It contributes to the case-based reasoning （CBR） field in two ways （1） by defining a case representation model, and （2） a retrieval algorithm which exploits the case representation model structure to find similar cases by aggregating similar cases. Last but not least, the research has a methodological contribution by which the retrieval algorithm is embedded in a broader process perspective including the capture of the actual case, the case-based reasoning related to this case and the support to decision-making by adapting the retrieved case. An interesting aspect of the process model is its intentional dimension which makes possible the representation of different ways to achieve the result. The research will be illustrated by a case study based on real clinical cases （n = 40） of patients provided by Dr. Corinne Balleyguier.

Case Analysis of Hypokalemia Induced by Irbesartan-Hydrochlorothiazide: A Case Study

Irbesartan-hydrochlorothiazide is a commonly used antihypertensive drug,but potential adverse reactions such as hypokalemia should not be overlooked.This study analyzes a case of hypokalemia induced by irbesartan-hydrochlorothiazide,exploring the drug’s association with hypokalemia and clinical treatment strategies.The patient experienced symptoms of muscle weakness and palpitations after taking irbesartan-hydrochlorothiazide and was diagnosed with hypokalemia through laboratory tests.Reviewing the patient’s medication history and disease progression,it was hypothesized that the drug’s potassium-wasting effect was the direct cause of the hypokalemia.After discontinuing the medication and initiating potassium supplementation,the patient’s potassium levels returned to normal,and symptoms significantly improved,further confirming the link between hypokalemia and the medication.This case suggests that clinicians should consider the risk of hypokalemia when treating hypertension,especially in patients with chronic kidney disease,the elderly,or those at risk for electrolyte disturbances.For patients who have already developed hypokalemia,potassium supplementation and adjustment of the treatment regimen are recommended to prevent further deterioration.Timely discontinuation of potential causative drugs is also advised.In summary,ensuring medication safety and preventing potential complications has significant clinical importance in recognizing and managing hypokalemia induced by irbesartan-hydrochlorothiazide.Future research should focus on optimizing treatment protocols and developing more effective strategies for preventing and managing related adverse reactions to improve patient quality of life.

Research on the Applications of Case Studies and Role Playing Methods on the Enterprise Strategic Management Course Teaching

In this paper, we conduct research on the applications of case studies and role playing methods on the enterprise strategic management course teaching. Training is an important part of the enterprise human resources management. For enterprises is a kind of novel important human capital investment, as well as other capital investments, both benefits. Also be risky, because of the risks and benefits is coexistence, indivisible. To deal with the mentioned challenge, we combine the novel and state-of-the-art training methodology to maximize the effectiveness of the training process. In the article, we cast our new opinion together with the prospect for the future.

Artificial Neural Networks in Risk Management: A Bibliometric Study

This study presents a bibliometric analysis of Artificial Neural Networks in Risk Management.The study considered articles from the I.S.I.Web of Knowledge and Scopus databases,Identification of publishers,countries,periodicals and the keywords most frequently cited.We used the CiteSpace® software to analyze this material,which provides a set of features to support bibliometrics,including the reference maps.This study provides data collection on Artificial Neural Networks applied to risk management.The number of works identified in this study is significant,and in the last ten years,the number of citations has increased.We did not identify the increase in paper count within the same period.

Saving Dupinga Watershed in Gabaldon, Nueva Ecija Philippines: Insights from Community Based Forest Management Model

The world is losing its forest. The study described the multi-sectoral initiatives done to protect the Dupinga watershed. By using Community Based Forest Management (CBFM) as theoretical framework and analytic descriptive method of research, issues and concerns related to watershed protection are discussed. The study argued that the multi-sectoral collaboration of the Local Government Unit of Gabaldon, the Department of Environment and Natural Resources (DENR), Peoples Organizations, Non Government Organizations (NGO) and Community Organization is a CBFM in progress. Alternative source of income and community tourism may strengthen and sustain the multi-stake-holders collaboration existing in the area while capacity building program for community participation and forest management may provide insights for a sustainable watershed protection and management.

Indigenous People’s Contribution to the Mitigation of Climate Variation, Their Perception, and Organizing Strategy for Sustainable Community Based Forest Resources Management in <i>Caraballo</i>Mountain, Philippines

The focus of the study is to measure the level of awareness of Indigenous People on Climate Variation. It inquired into their observations and organizing strategy to cope with the early impacts of climate change on their socio-economic and cultural beliefs. The organization’s adaptation and mitigation practices to protect the environment are also discussed using as basis of analysis the multi-stakeholders framework of forest protection. The study documented and recognized the Indigenous Peoples contributions to the preservation and protection of forest resources in Caraballo mountain and a shift in paradigm to Indigenous People’s centered forest resources management is recommended.

Cost control system for real estate development projects in China - Part 2: A case study in Chongqing

This paper discusses the background and purpose, and reviews the current situation of the domestic and international cost control theory of real estate development projects, and introduces the research methods. The case study method is used.. The management idea is the summary of management practices, and case study can improve management theory, and in certain sense, can help combining theory with practice. The analysis of practical projects of real estate development, can help clarify theory, and is helpful for grasping theory in practical work and improve actual ability of the real estate development enterprise. Through the case study in Chongqing, the basic situations of real estate in Chongqing are introduced and relevant theory and procedure of cost control are used in the case study.

Comparative Analysis and Assessment of States’ Traffic Management Center Programs

This research presents a step-by-step guideline for traffic data collection standards set by the Institute of Transportation Engineers (ITE) and American Association of State Highway and Transportation Officials (AASHTO). This study reviews manual and automatic methods of traffic counting and provides detailed information on traffic volume and vehicle classification studies. This research also provides a detailed analysis of the Delaware Department of Transportation (DelDOT)-TMC (Transportation Management Center) websites and compares it to selected Department of Transportation websites of other states such as Vermont, Connecticut, New Jersey, Pennsylvania, California, Texas, and Virginia. The purpose of the comparison is to analyze the data sources;user friendliness, accessibility, types of data available, presentation formats, and style for each state to determine how they compared to DelDOT-TMC. Although there were some similarities, the findings suggest that two major differences are present. The overall results revealed that DelDOT-TMC provides limited traffic and roadway weather data, and presentation formats to the public as compared to the other states. Further, a unitless variable, called the Capacity Factor (Q), has been developed within this study to represent this relative comparison. This study shows that DelDOT TMC performs well within the group of selected states and better than selected states of similar size and most selected states of larger size;where only Virginia performs better then DelDOT TMC. DelDOT TMC does not perform as well as selected neighboring states;however, it performs in an acceptable range relative to neighboring states.

Assessment of a Public Participation Tool by Experts: A Case Study of Quebec, Canada

In theory, sustainable forest management (SFM) puts public participation at the epicenter of the decision-making process. However, in reality, the situation is different. The growing importance of public participation seems essential for the implementation of sustainable forest management. The aim of this study is to assess the implementation of a theoretical concept closely related to SFM, integrated land and resource management (ILRM). This Canadian concept aims to integrate many forest functions using participatory tools. Using semi-structured interviews with experts, we clarify our theoretical concept and adapt it to reality. Our results show that better communication between stakeholders is necessary. It is also important to increase the flexibility of the timber harvest system and adapted forest zoning should be considered. A new concept, the forest culture, seems to be a key element that needs to be considered upstream of forest management. A new definition of ILRM is proposed in order to better reach social values.

Effect of Management Maturity Levels on Inter-organizational Management in Value Chain Relations

This paper explains the current state of management control problems in inter-organizational relationships. There is a growing consensus that having cooperative relations with other organizations, building strategic supply chain relations, and establishing appropriate subsidiary-parent company relations are major components of a competitive strategy to increase organizational productivity and profitability. In this regard, we present samples collected from 60 Japanese companies, and provide a case study on the use of inter-organizational management control systems （MCSs） by a large Japanese manufacturing company. The findings show how a company can design its organizational structure in order to realize its strategies and achieve its goals. Further, the case study shows the importance of management control factors that are associated with activities in inter-organizational value chain relations. In particular, high management maturity in information management, cultural management, and structural management are identified as key factors for the integration of strategy with sustainable inter-organizational management.

Utilization and Usability of Delaware Traffic Management Products: A Survey and Challenges

To address the growing problem of congestion, delays, and overall traffic issues, DelDOT (Delaware Department of Transportation) established the Transportation Management Center (TMC) in 1997. DelDOT-TMC also coordinates and manages DelDOT’s response to any incident that impacts the multimodal transportation system within the state of Delaware. Among other things, DelDOT-TMC collects traffic, roadway weather, and hydrological data using over a thousand monitoring devices installed throughout the state of Delaware. After data has been obtained, DelDOT-TMC analyzes and disseminates real-time travel information to the public through DelDOT’s website (online interactive maps), smartphone application, traffic advisory radio, and social media sites such as Twitter, Facebook, YouTube, Blog, and Flickr;however, the utilization and usability of this information by the public are, for the most part, unknown. The purpose of this study is to evaluate the global responsibilities of DelDOT-TMC and assess the process that DelDOT-TMC uses to gather, process, analyze, and distribute traffic and roadway weather data to the public. The study employs a survey to assess the utilization of DelDOT-TMC’s products, i.e., DelDOT Mobile App, WTMC 1380 AM travel advisory radio, DelDOT’s public website, DelDOT’s social media, as well as the usability of the DelDOT mobile app to check DART (Delaware Authority for Regional Transportation) First State transit service schedules.

体育案例研究的学理基础、基本要素与中国探索

案例研究是知识生产与理论建构的重要科学途径。相较管理学等相关学科的案例研究,体育学科兼具人文社会科学和自然科学的交叉性,为丰富体育案例的研究对象、分析内容及举证方式提供了学理基础。从案例实践到理论构建的转换过程,可基于发现独特案例,在已有体育知识基础上进行体育知识生产;也可直面已有体育知识局限,以独特案例为载体,进行体育知识生产。从学理层面分析,体育案例研究应以独特实践为主要来源,以发现问题为主要驱动,以服务教学为主要诉求,以规范流程为主要保障及以学科交叉为主要特征夯实学理基础。在此基础上,形成了具有体育学学科特色和体育实践特点的学科内涵、研究对象、基本范式、研究过程、研究工具等体育案例研究基本要素。从实践探索视角,未来开展中国特色体育案例研究,应以提出体育实践的“真问题”为导向开展研究选题,以挖掘体育实践的“真素材”为手段进行研究论证,以进入体育实践的“真情境”为途径实施研究过程,及以提炼中国体育的“真理论”为目标彰显其研究价值。

活动理论视角下游戏化学习中知识转移活动的特征及运行过程研究

[研究目的]将活动理论引入游戏化学习的知识转移活动中,系统性推动游戏化学习中知识转移活动中各要素的高效协作,加快知识转移与共享,促进知识增值和创新。[研究方法]基于活动理论特质和知识特征确定游戏化学习中知识转移特征,并构建知识转移活动模型,以明确各要素的协调交互对知识转移效果的作用,最后以博物馆知识剧本杀为例,验证结论。[研究结论]活动理论能够明确知识转移的运行过程,可以应用于具体活动的显隐性知识转移分析,研究发现活动中的矛盾、游戏内容、技术赋能、共同体的互动和游戏情境对主体的知识转移效果产生显著影响。

角色游戏促进中班幼儿社会自立-安全常识发展的个案研究

为探究角色游戏对中班幼儿社会自立-安全常识发展的作用,研究采用单被试A-B实验设计,选取3名社会自立-安全常识发展水平较低的中班幼儿为被试,通过角色游戏对其社会自立-安全常识进行干预。结果表明:角色游戏能够促进中班幼儿社会自立-安全常识的发展,三名个案在干预期和追踪期的社会自立-安全常识均高于基线期。结论:角色游戏能有效提高幼儿的社会自立-安全常识水平。教师和家长可以通过角色游戏培养幼儿的社会自立-安全常识,促进幼儿的安全常识养成和独立自主性发展。

女性创业者企业高质量行动网络构建研究——“美力赋能”管理思想探析

采用纵向案例研究方法,对女性创业者张蓓的多次创业历程开展分析,提炼出该企业家“美力赋能”的管理思想。研究结果表明:企业家管理思想的形成受其客观、适时应务的差异性关键特征影响,并由其认知和具象美的逻辑塑造,具有变与不变的内涵;创业者创业意愿“桥接”其关键特征与管理思想,通过对话持续发展的关键特征,在3个创业阶段分别表现为尽物之美、承天之美和化育之美,并担当企业家管理思想的载体,由其烙印为阶段性的组织美学;企业家管理思想通过创业意愿的“桥接”,指引创业者在3个创业阶段分别采用物尽其用、因势利导和美美与共的模式构建行动者网络,以达成创业意愿。

A Case Study on Executive Leadership and Knowledge Transfer in TMT： From the Perspective of Managerial Rotation in Private Firms

This paper explores the mechanism between leadership and knowledge transfer in a top management team （TMT） via a case study of ZOJE Group, a private listed company in China. Three recently rotated executives with different leadership styles from the parent or subsidiary companies are chosen and studied. Findings show that for the visionary leadership executive, his vision incentive has a limited effect on knowledge transfer, but organization culture, especially the decentralization management culture, can greatly enhance the knowledge transfer process. For the paternalistic leadership executive, authoritarianism helps him manage the management team in disarray; while benevolence and morality improve the knowledge transfer standard. Lastly, for the servant leadership executive, his leading by example and altruism behaviors contribute to a higher level of knowledge transfer among TMT.

公立医院多院区院外仓耗材SPD运营模式研究

目的:探讨和分析某三甲医院(J医院)多院区院外仓耗材SPD运营模式的实践和效果,为公立医院多院区耗材精细化管理提供参考。方法:通过对J医院的深入案例分析,利用非参与式观察法及关键人物访谈法,探索J医院多院区院外仓SPD模式运行现状、实践效果和存在问题。结果:J医院院外仓模式减轻了院内仓储压力,降低了科室人员成本,保障了耗材安全供应,促进了多院区协同管理;但存在管理系统智能化薄弱、运营人员专业程度不足等问题。结论:未来医疗机构可以在引入院外仓的基础上,通过人工智能、大数据分析等技术手段,提升和优化多院区耗材管理,以满足医疗业务需求并推动医院高质量发展。

被孵企业知识共享治理:以智能制造孵化器洪泰智造为例

促进被孵企业间的知识共享有利于孵化器形成良好的创业生态,但现有的创业孵化研究较少关注被孵企业间知识共享的治理机制。本文以知识共享活动密集的智能制造孵化服务平台洪泰智造为对象,研究了孵化器对被孵企业知识共享过程的治理:首先,针对创业孵化领域知识共享过程提出了索引匹配、外化与内化、应用共赢三阶段模型;其次,在三阶段模型的基础上提炼了知识共享治理机制,包括辅助匹配治理机制、行为优化治理机制和绩效分配公平化治理机制;最后,从显性知识与隐性知识的层面,结合知识的默会性、复杂性和经济性,剖析了孵化器知识治理如何通过针对性设计来系统地影响被孵企业知识共享意愿。论文成果为创业孵化领域提供了新的见解,加深了对知识共享治理的认识,对提升孵化器的知识共享治理水平具有参考价值。