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.

The Integration of Cooperation Model and Genetic Algorithm

In the photogrammetry,some researchers have applied genetic algorithms in aerial image texture classification and reducing hyper_spectrum remote sensing data.Genetic algorithm can rapidly find the solutions which are close to the optimal solution.But it is not easy to find the optimal solution.In order to solve the problem,a cooperative evolution idea integrating genetic algorithm and ant colony algorithm is presented in this paper.On the basis of the advantages of ant colony algorithm,this paper proposes the method integrating genetic algorithms and ant colony algorithm to overcome the drawback of genetic algorithms.Moreover,the paper takes designing texture classification masks of aerial images as an example to illustrate the integration theory and procedures.

The Inspiration of European Integration to Asia-Pacific Regional Cooperation

The two different developing trends in current Asia are in sharp contrast with each other. One is relying on military means to solve regional conflicts, the other is coordinating and stabilizing inter-state relations through economic integration. The latter is undoubtedly the target to be sought after. Summarizing Europe’s experience is conducive to reaching the goal.

Analysis on Chinese and Foreign Education Comparison and International Cooperation Opportunity from Cultural Linkage with the Perspective of Resources Integration

This paper conducts the analysis on Chinese and foreign education comparison and the international cooperation opportunity from the cultural linkage with the perspective of the resources integration. The implementation of the cooperative education of production, teaching and research has the essential and internal connection with the implementation of the educational policy of our country, formulates the corresponding policies and regulations, and perfects the corresponding code of conduct and laws and regulations. On the other hand, it can ensure the effective development of the cooperative education while implementing the speci？ c practice of educational policies. In the face of global open concept, in running a school, a high starting point, a high platform to cultivate strong comprehensive and high quality innovative talents as the most basic tenet and make to the rational skepticism, willingness to take risks, dare to fail, dare to independent thinking and imagination and talent. This research proposes the new solution to the challenge that will be meaningful.

Adaptive Fractional-Order PID Control for VSC-HVDC Systems via Cooperative Beetle Antennae Search with Offshore Wind Integration

Since the voltage source converter based high voltage direct current(VSC-HVDC)systems owns the features of nonlinearity,strong coupling and multivariable,the classical proportional integral(PI)control is hard to obtain content control effect.Hence,a new perturbation observer based fractional-order PID(PoFoPID)control strategy is designed in this paper for(VSC-HVDC)systems with offshore wind integration,which can efficiently boost the robustness and control performance of entire system.Particularly,it employs a fractional-order PID(FoPID)fra-mework for the sake of compensating the perturbation estimate,which dramatically boost the dynamical responds of the closed-loop system,and the cooperative beetle antennae search(CBAS)algorithm is adopted to quickly and effi-ciently search its best control parameters.Besides,CBAS algorithm is able to efficiently escape a local optimum because of a suitable trade-off between global exploration and local exploitation can be realized.At last,comprehensive case studies are carried out,namely,active and reactive power tracking,5-cycle line-line-line-ground(LLLG)fault,and offshore wind farm integration.Simulation results validate superiorities and effectiveness of PoFoPID control in com-parison of that of PID control and feedback linearization sliding-mode control(FLSMC),respectively.

INTEGRATION OF HUMAN FACTORS ENGINEERING AND QUALITY MANAGEMENT

Human factors engineering and quality management are different research branches in the field of industrial engineering.A basis for interaction based on the concepts and techniques of human factors engineering and quality management with some practical examples of cooperative effect is defined in this paper.The specific challenges about the quality management in manufacturing and service are presented to demonstrate that the human factors analysis of quality problems leads to new tends for integrated development.

Feature and Tendency of Technology Transfer in Z-Park Patent Cooperation Network:From the Perspective of Global Optimal Path

Purpose:This study aims to provide a new framework for analyzing the path of technology diffusion in the innovation network at the regional level and industrial level respectively,which is conducive to the integration of innovation resources,the coordinated development of innovative subjects,and the improvement of innovation abilities.Design/methodology/approach:Based on the Z-Park patent cooperation data,we establish Inter-Enterprise Technology Transfer Network model and apply the concept of Pivotability to describe the key links of technology diffusion and quantify the importance of innovative partnerships.By measuring the topologically structural characteristics in the levels of branch park and the technosphere,this paper demonstrates how technology spreads and promotes overall innovation activities within the innovation network.Findings:The results indicate that:(1)Patent cooperation network of the Z-Park displays heterogeneity and the connections between the innovative subjects distribute extremely uneven.(2)Haidian park owns the highest pivotability in the IETTN model,yet the related inter-enterprise patent cooperation is mainly concentrated in its internal,failing to facilitate the technology diffusion across multiple branch parks.(3)Such fields as“electronics and information”and“advanced manufacturing”are prominent in the cross-technosphere cooperation,while fields such as“new energy”and“environmental protection technology”can better promote industrial integration.Research limitations:Only the part of the joint patent application is taken into account while establishing the patent cooperation network.The other factors that influence the mechanism of technology diffusion in the innovation network need to be further studied,such as financial capital,market competition,and personnel mobility,etc.Practical implications:The findings of this paper will provide useful information and suggestions for the administration and policy-making of high-tech parks.Originality/value:The value of this paper is to build a bridge between the massive amount of patent data and the nature of technology diffusion,and to develop a set of tools to analyze the nonlinear relations between innovative subjects.

Jamming-Aided Secure Communication in Ultra-Dense LEO Integrated Satellite-Terrestrial Networks

The ultra-dense low earth orbit(LEO)integrated satellite-terrestrial networks(UDLEO-ISTN)can bring lots of benefits in terms of wide coverage,high capacity,and strong robustness.Meanwhile,the broadcasting and open natures of satellite links also reveal many challenges for transmission security protection,especially for eavesdropping defence.How to efficiently take advantage of the LEO satellite’s density and ensure the secure communication by leveraging physical layer security with the cooperation of jammers deserves further investigation.To our knowledge,using satellites as jammers in UDLEO-ISTN is still a new problem since existing works mainly focused on this issue only from the aspect of terrestrial networks.To this end,we study in this paper the cooperative secrecy communication problem in UDLEOISTN by utilizing several satellites to send jamming signal to the eavesdroppers.An iterative scheme is proposed as our solution to maximize the system secrecy energy efficiency(SEE)via jointly optimizing transmit power allocation and user association.Extensive experiment results verify that our designed optimization scheme can significantly enhance the system SEE and achieve the optimal power allocation and user association strategies.

Federalism and Euro-Regions in Europe： What Have We Learned From Twenty-Five Years of Cross-Border Cooperation in the Euro-region of Galicia-North Portugal？

The present paper is focused on the analysis of the European building processes from the historical perspective of federalism （from ethnic federalism to current federalism） applied to the current framework of Europeanization and cross-border cooperation in Europe. With the objective of reviewing some of its processes and impacts, an analysis structure has been set, being the main purpose to extract conclusions on the long Europeanization process undertaken by the EU institutions. One of these recent processes reached the consolidation of Euroregions as cross-border cooperation institutions within the framework of multilevel governance. For the main purpose of the paper, the following questions are raised： How has contributed the perspective of federalism to the building of cross-border institutions, namely Euroregions？ After three decades of implementation of the formal cooperation in Europe through institutions as the Euroregions, can it be confirmed that the Eurnregions are consolidated as an institutional benchmark within the cross-border cooperation in Europe （CBC-E）？ In order to answer these questions, a review of the historic perspective of ethnic federalism applied to the classical models of formal cooperation is undertaken. From this historical revision, the development of the Euroregion within the EU will be analyzed. Finally, the present paper is focused on the case study of the cross-border space that are the Autonomous Region of Galician and the Regiao Norte de Portugal, as well as its most important cooperative institution, the Euro-region Galicia-North Portugal.

Research on The Software Development Ability Training With Gradual and Whole Process Based on The Deep Integration Between Industry and Education

In view of the mechanism and quality problems in the software ability training of computer majors in colleges and universities,as well as the engineering ability and innovation ability training results can not effectively meet the needs of society,this paper discusses how to realize the deep integration of production and education through school enterprise cooperation under the existing training mode.Through the establishment of a progressive whole process training system,students’software ability can be improved in an all-round way.Taking Shenyang Aerospace University as an example,it expounds how to organically combine the theoretical teaching in class with the cultivation of extracurricular innovation ability,and gradually guide students to comprehensively improve their software development ability and innovation ability.The model has been running for many years,and plays a leading role in promoting the reform of education and teaching and improving the quality of education,and provides reference for the brotherly colleges and universities.

Multi-subject and multi-objective integrated optimization system and implementation strategy for energy-saving renovation of the existing residential buildings

The core of the healthy and orderly operation of the existing residential building energy-saving renovation market lies in the exploration of the implementation mechanism of multi-subject and multi-objective integrated optimization.The multi-agent and multi-objective integrated optimization system framework is a powerful tool to guide the scientific decision-making of the market core structural entities in the future market practice. This paper analyzes the practical dilemma of energy-saving renovation of theexisting residential buildings in China, summarizes the practical experience of multi-subject and multi-objective integrated optimization of energy-saving renovation of the existing residential buildings in foreign countries, and puts forward beneficial practical enlightenment on the basis of comparison at home and abroad;The design principles of the target integrated optimization system have established a multi-subject and multi-objective integrated optimization system framework for the energy-saving renovation of the existing residential buildings, from six aspects: government guidance, trust consensus, value co-creation, risk sharing, revenue sharing, and social responsibility sharing. This paper proposes a multi-subject and multi-objective integrated practice strategy, in order to promote the efficient and orderly development of China's existing residential building energy-saving renovation market.

“产教融合、校企合作、多位一体”的应用化学专业实践教学体系构建

“产教融合,校企合作”是高校培养新时代所需人才的重要途径之一,牵引着人才培养的发展方向。为顺应时代对人才的需求,并结合我院应用化学专业人才培养目标,本文针对我院应用化学专业提出构建“产教融合、校企合作、多位一体、虚实结合”的创新人才培养实践教学体系。以培养学生的实践创新能力为核心,通过搭建校企合作实践教学平台,设置“基础实验-综合训练-创新设计”三个层次的实验,推进多位一体、虚实结合的实践教学模式,对学生实行个性化培养,使培养的人才与社会需求相适应,并服务于经济社会的发展。

新工科背景下产教融合课程建设探索与实践--以高分子材料基础(双语)课程为例

产教融合课程的建设是本科院校培养应用型人才的关键。该文以高分子材料基础(双语)课程为例,分析新工科背景下材料类专业的课程所面临的一些问题,以及教学模式和方法有待完善和改进的地方。也研究产教融合课程从目标制定到教学实施等课程改革具体内容,探索产教融合课程模式的构建,包括确立教学目标、定制课程内容、确定教学模式、融入课程思政、改进考核体系和建设师资队伍,从而提高课程质量,培养出材料领域所需要的高素质应用型人才。

风电场参与电网调频的多机协同控制策略

【目的】考虑风电场中不同风况下风电机组参与一次调频能力的差异,在下垂控制和惯量控制策略的基础上,对机组的调频能力评估方法进行优化。【方法】提出了一种改进的多机组调频参考功率协同控制策略。【结果】引入多机组协同控制方法能够有效改善机组之间调频参考功率的分配,从而有效调节各机组参与系统一次调频的程度。在惯量控制和下垂控制的基础上引入改进的协同控制策略,依据机组在实际风况下运行的状态,评估机组能够有效参与一次调频的参考功率。引入调频能力系数能够实现调频功率参考值在各机组之间按能分配。【结论】协同控制策略能够有效保护风电机组转速,同时能够有效改善电网频率响应。

产教融合视域下应用型本科校企协同育人机制改革与实践

该文通过探索专业建设“双带头人”制、课程建设“双负责人制”、学生培养“双导师制”、教师培养“双考核制”,不断深化产教融合,做强校企合作特色,探索研究符合本校应用型本科人才培养模式的校企协同育人机制,提升企业方参与人才培养的积极性,培养适应新疆“八大产业集群”中煤炭煤电煤化工领域的高素质应用型人才,实现专业学科建设符合产业发展需求。

产教融合协同创新的动因与现实困境及推进策略

实施产教融合协同创新育人战略是国家发展新质生产力、化解创新型技能技术人才供需矛盾和解决产教融合运行机制不畅的必由之路。但其目前还存在产教融合协同机制缺乏创新、产教融合匹配产业需求的精准度低和“双师型”教师队伍质量有待提高等诸多困境。急需创新产教融合协同育人机制,提升协同治理能力;对接国家发展战略,提升产教融合匹配产业需求的精准度;推进“双师型”教师队伍质量建设,增强人才培养原动力。

跨界一体化导向下的横琴粤澳深度合作区规划与治理创新

以《横琴粤澳深度合作区建设总体方案》的发展目标为导向,结合横琴粤澳深度合作区总体城市设计实践,搭建“空间研判—挑战剖析—规划响应—治理创新”的跨界合作区一体化规划编制框架。通过剖析横琴粤澳深度合作区空间发展情况与琴澳融合瓶颈,从空间布局、产业功能、综合交通、民生服务一体化方面提出规划响应路径,弥补琴澳一体化空间规划的研究空白,在此基础上进一步探索跨界治理机制创新,以规划编制实现功能和形态的空间一体化,通过治理创新增强琴澳协同、破除边界的发展阻力,最终实现一个共建共享的琴澳都会区。

新工科背景下软件工程专业实践能力提升改革与实践

针对当前省域本科高校软件工程人才培养与产业发展需求衔接程度不够,学生工程实践能力弱,应用创新型人才培养体系需进一步完善等问题,以行业需求为导向,以提升工程实践能力为核心,校企协同与共享为主要途径,探索建立新形势下软件工程专业应用创新型人才培养的新模式。经过四年多的探索与实践,形成一套行之有效的应用创新型人才培养体系,可有效提升学生的实践能力。实践表明,人才培养质量显著提升,推广应用效果显著。

合作尝试法联合仿真模拟人在妇产科见习中的应用研究

目的分析合作尝试教学法联合仿真模拟人在妇产科主动融通见习中的应用效果。方法2022年10月,选择在中南大学湘雅三医院妇产科见习的五年制学生,共131名,随机分2组:研究组66名学生采用合作尝试教学法联合仿真模拟人进行教学,对照组65名学生采用以案例为导向的教学法(case-based learning,CBL),教学评估内容为产后出血的模拟训练,通过理论测试、迷你临床演练评估(mini-clinical evaluation exercise,Mini-CEX)、学生评教表、课后调查问卷表等多方面评估教学效果。结果研究组的理论测试成绩、Mini-CEX评分表中的各项成绩、课后问卷调查的满意度均高于对照组,差异有统计学意义(P<0.001)。学生评教表中研究组学生对带教老师的教学基本功、教学内容、教学方法、教学效果的评分远高于对照组,差异有统计学意义(P<0.001)。在师德、教学管理方面的评分一致,差异无统计学意义(P>0.05)。结论在妇产科主动融通见习教学中,应用合作尝试教学法联合仿真模拟人的教学形式,可以有效促进理论知识的学习、提高体格检查及操作技能水平、调动学生学习的主动性、积极性,能够真正做到“主动、融通”,并能够使学生更准确地做出临床判断、更好地做到人文关怀、改善其在临床工作中的整体表现,显著提高临床见习教学效果,并能够改善学生对教师的主观评价,更好的体现教师的教学能力及价值,值得在医学生本科教学中应用。

中国特色学徒制与实践教学体系耦合的机理、困境与路径

在推进中国式职业教育现代化与产教融合战略背景下,中国特色学徒制与实践教学体系相互协同、交互耦合,共同致力于培养高素质技术技能人才,推动职业教育体系的持续创新与发展。以制定统一的人才培养目标缓解人才供需矛盾、以设计共同的教学内容契合产业发展需求、以构建协同的教学管理机制保障技能人才成长、以建立合作互补的师资队伍支撑人才培养质量,可以实现中国特色学徒制与实践教学体系的耦合。然而,职业教育在实践发展中面临着企业参与和合作意愿不高、教学内容标准缺失、教学管理软硬件保障不足、专业型教师缺乏等困境。通过协商共建人才培养方案、协同共研教学内容、共建共享数字资源平台、互聘共用“双导师”队伍,可以有效促进中国特色学徒制与实践教学体系的耦合,从而助推高素质技术技能人才的培养、产教融合战略的顺利实施和中国式教育现代化的实现。