Application Problems and Countermeasures of External Diaphragm Pacer in Elderly Patients with Lung Cancer after Surgery

This article summarized the nursing problems and corresponding nursing strategies of 18 cases of external diaphragm pacemakers in the application of elderly patients with lung cancer after thoracic surgery. Timely psychological care, correct operation, close observation and infection prevention during treatment can effectively optimize the use of external diaphragm pacemakers, improve respiratory muscle function, and the quality of life after lung cancer surgery in elderly patients.

Annealing Harmony Search Algorithm to Solve the Nurse Rostering Problem

A real-life problem is the rostering of nurses at hospitals.It is a famous nondeterministic,polynomial time(NP)-hard combinatorial optimization problem.Handling the real-world nurse rostering problem(NRP)constraints in distributing workload equally between available nurses is still a difficult task to achieve.The international shortage of nurses,in addition to the spread of COVID-19,has made it more difficult to provide convenient rosters for nurses.Based on the literature,heuristic-based methods are the most commonly used methods to solve the NRP due to its computational complexity,especially for large rosters.Heuristic-based algorithms in general have problems striking the balance between diversification and intensification.Therefore,this paper aims to introduce a novel metaheuristic hybridization that combines the enhanced harmony search algorithm(EHSA)with the simulated annealing(SA)algorithm called the annealing harmony search algorithm(AHSA).The AHSA is used to solve NRP from a Malaysian hospital.The AHSA performance is compared to the EHSA,climbing harmony search algorithm(CHSA),deluge harmony search algorithm(DHSA),and harmony annealing search algorithm(HAS).The results show that the AHSA performs better than the other compared algorithms for all the tested instances where the best ever results reported for the UKMMC dataset.

THE ACUPUNCTURE AND MOXIBUSTIONEXPERT SYSTEM

ABSTRACTIn order to meet the demands of the diagnosis and treatment in hospital,the research on thechannel and point time rules,the teaching request of acupuncture and moxibustion,we have designed the Acupuncture and Moxibustion Expert System. The system includes two fie:ds ofknowledge: acupuncture and moxibustion theory and its application(channel, point), the theoryand applies of the vigor and wane of QIXUE in the five internal organs (liver,heart,spleen,lungand kidney).The system consists of three subsystems:treatment system,inquiry system and teaching system.system functions:treatment system: register (provide data for medical record base), treat (provide help andsuggestion),give prescriptions (points, needle method).inquiry system:complete the require to acupuncture knowledge,apply theory,system operation, system maintenance, the timepoint, time - organ's QIXUE, time -']' GanZhi mutual relation,optimum time for acupuncture.teaching systems:complete the teaching work,it is applied to different levels,self--teaching,individual coach, imitative examination, self -- practice, self -- evaluation,teaching evaluation(step by step or series),give teaching advice,fulfil edition work.base:acupuncture knowledge base, inference rules base, data base, practice and examinationbase,procedure base,function base.user contact: base on production form,straight, contrary, straight --contrary inference way,base on frame inference way,inference tables,inacurate inference way.explanation form:context explanation,trace inference explanation.screen show form: words,image,statistics curve,table.knjwleage receiver:gain knowleage through compiling procedure learning method. The system procedure is compiled by C and Assemble language.conclusion:The system is designed for non--computer speciality people,it has the advantage of convenience for operation,powerful functionand ability of correcting mistakes.The system includes the Chinese moden experts knowkedge and experiences of dozens ofacupuncture and moxibustion experts, it has the features of rich knowledge,various kinds,it illustrates and explains thoroughly to clinic and neekle methods. It infers the best time for clinic touse needles.' The system can count up the data of medical record base,the point--time--treatment effectrelation,teaching dffect,and applying ability,it provides data for further research.The systen uses QIXUE theory and the mathematical model to providesn 8vZ~ SWIm KI+3 Z Kii-l i-u+1an assistant way to research the relationship or time rules of five organs QIXUE vigor or wane.The system has transparent,intelligence flexible character,it can be expanded.