Whole-process case management effects on mental state and selfcare ability in patients with liver cancer

BACKGROUND Regarding the incidence of malignant tumors in China,the incidence of liver cancer ranks fourth,second only to lung,gastric,and esophageal cancers.The case fatality rate ranks third after lung and cervical cancer.In a previous study,the whole-process management model was applied to patients with breast cancer,which effectively reduced their negative emotions and improved treatment adherence and nursing satisfaction.METHODS In this single-center,randomized,controlled study,60 randomly selected patients with liver cancer who had been admitted to our hospital from January 2021 to January 2022 were randomly divided into an observation group(n=30),who received whole-process case management on the basis of routine nursing mea-sures,and a control group(n=30),who were given routine nursing measures.We compared differences between the two groups in terms of anxiety,depression,the level of hope,self-care ability,symptom distress,sleep quality,and quality of life.RESULTS Post-intervention,Hamilton anxiety scale,Hamilton depression scale,memory symptom assessment scale,and Pittsburgh sleep quality index scores in both groups were lower than those pre-intervention,and the observation group had lower scores than the control group(P<0.05).Herth hope index,self-care ability assessment scale-revision in Chinese,and quality of life measurement scale for patients with liver cancer scores in both groups were higher than those pre-intervention,with higher scores in the observation group compared with the control group(P<0.05).CONCLUSION Whole-process case management can effectively reduce anxiety and depression in patients with liver cancer,alleviate symptoms and problems,and improve the level of hope,self-care ability,sleep quality,and quality of life,as well as provide feasible nursing alternatives for patients with liver cancer.

Path Breakthrough of Medical Humanities Education From the Perspective of“All-Staff,Whole-Process,and All-Round Education”

Medical education is an important cornerstone for the development of healthcare,and medical humanities education,as an integral part of medical education,plays an irreplaceable role in cultivating people’s health guardians with high medical ethics.We adopted the method of stratified random sampling to select 309 students and 107 faculty members from three independent medical colleges in Sichuan province as the research subjects and distributed questionnaire surveys investigating in three dimensions:overall cognition of medical humanities,evaluation of medical humanistic qualities,and the current situation of medical humanities education,supplemented by an in-depth literature review and interviews with subject matter experts.We found that“tech-centrism”still has a great influence,the self-evaluation of medical students’humanistic quality is generally not high,the educational concept of“emphasizing professional skills over morality”of faculty and staff is still quite prevalent,and there is still the“last mile”phenomenon in medical humanities education.In order to promote the integrated development of“new medicine”and“new liberal arts”and break the barriers of“tech-centrism”and“instrumental rationality,”it is necessary to change the educational concept and strengthen the education of all employees,break through the bottleneck of internships and strengthen the whole process of education,integrate educational resources and strengthen all-round education,improve the incentive mechanisms,strengthen the assessment methods,and provide Chinese wisdom and Chinese solutions for the development of medical humanities education.

Application of Whole-Process Management in Day Surgery for Endometrial Polyp

Objective:To explore the effect of whole-process management model in nursing management of endometrial polyp day surgery.Methods:266 patients that underwent endometrial polyp day surgery from January to December 2022 were selected for this study,and they were separated into an observation group(131 patients)and a control group(135 patients);the clinical data of the two groups were compared.Results:After intervention,the scores of Hamilton Anxiety Scale(HAM-A)of the patients in the observation group were lower than those in the control group(P<0.05).The rate of postoperative complications in the observation group was lower than that in the control group(P<0.05),and the satisfaction degree of the patients in the observation group was higher than that in the control group(P<0.05).Conclusion:The application of the whole-course management model in endometrial polyp day surgery can alleviate patients’anxiety,ensure the quality and safety of day surgery nursing,and improve patients’satisfaction.

Human Rights in China:Exploration and Development of Whole-process People’s Democracy

Whole-process people’s democracy represents a new exploration of socialism with Chinese characteristics for a new era as well as a novel and important method for protecting the human rights of the Chinese people.It is conducive to solving a multitude of problems hindering the protection of civil rights and political rights.The greatest highlight of whole-process people’s democracy is that the people are the masters of their own country and exercise the power to govern the state through“extensive participation and consultation.”China’s experience and approaches in advancing whole-process people’s democracy provide a reference for other countries.

Whole-Process Pollution Control for Cost-Effective and Cleaner Chemical Production A Case Study of the Tungsten Industry in China

In this research,a methodology named whole-process pollution control(WPPC)is demonstrated that improves the effectiveness of process optimization.This methodology considers waste/emission treatment as a step of the whole production process with respect to the minimization of cost and environmental impact for the whole process.The following procedures are introduced in a WPPC process optimization:①a material and energy flow investigation and optimization based on a systematic understanding of the distribution and physiochemical properties of potential pollutants;②a process optimization to increase the utilization efficiency of different elements and minimize pollutant emissions;and③an evaluation to reveal the effectiveness of the optimization strategies.The production of ammonium paratungstate was chosen for the case study.Two factors of the different optimization schemes-namely the cost-effectiveness factor and the environmental impact indicator-were evaluated and compared.This research demonstrates that by considering the nature of potential pollutants,technological innovations,economic viability,environmental impacts,and regulation requirements,WPPC can efficiently optimize a metal production process.

On the Whole-Process People’s Democracy and the Construction of Citizens’ Cultural Quality

The Whole-Process People’s Democracy has become an important proposition of the socialist modernization democratic theory with Chinese characteristics,and has important value for the development of the new form of human civilization.The Whole-Process People’s Democracy is not only a“democracy”system,its focus is to achieve“people’s democracy”,its unique feature is to surpass“non process”democracy with the“Whole-Process”,and create a new governance path of a new form of human civilization.Of course,the emphasis of people’s democracy on the consciousness of people’s subjective participation in the whole process also puts forward corresponding requirements for the cultural quality construction of Chinese social citizens in the new era,so it is also of great significance to pay attention to the cultivation of citizens’public spirit.

On the Process and Rights in the Whole-process People’s Democracy

Theoretically, the whole-process people’s democracy involves five processes, namely, political process, policy process, urban and rural community governance process, enterprises and institutions management process, and international exchange process. Fach process includes several links which involve different democratic rights. To comprehensively promote the whole-process people’s democracy, it is necessary to make a detailed distinction between the democratic rights of each process, build a corresponding system and mechanism for the protection of rights, improve the ability of people in democracy, and establish the system and mechanism for evaluating the effect of democracy implementation.

On the Human Rights Implications of the Whole-process People’s Democracy

The whole-process people’s democracy is a prerequisite for the people’s democracy.It is the organic unity of process and outcome democracy,procedural and substantive democracy,direct and indirect democracy,as well as the people’s democracy and the will of the state.The whole-process people’s democracy is the latest theoretical expression of the concept of socialist human rights with Chinese characteristics,a new achievement in the practice of socialist human rights with Chinese characteristics,a new development of the system of the socialist human rights with Chinese characteristics,and a new contribution to the development path of human rights in the world.

Economic and scale prediction of CO_(2)capture,utilization and storage technologies in China

In response to the lack of global quantitative research on the potential and scale prediction of CO_(2) capture,utilization and storage(CCUS)in China under the background of carbon peak and carbon neutrality goals,this study predicts the future economic costs of different links of ccUS technologies and the carbon capture needs of different industries in the scenario of fossil energy continuation.Based on the CO_(2) utilization and storage potential and spatial distribution in China,a cost-scale calculation model for different regions in China in 206o is constructed to predict the whole-process economic cost and its corresponding scale potential of CCUs.The results show that a local+remote storage mode is preferred,together with a local utilization mode,to meet China's 27×10^(8)t/a CO_(2) emission reduction demand under the scenario of fossil energy continuation.Specifically,about 5×10^(8) t CO_(2) emission is reduced by capture utilization,and the whole-process cost is about-1400-200 RMB/t;about 22×10^(8) t CO_(2) emission is reduced by capture storage,and the whole-process cost is about 200-450 RMB/t.According to the model results,it is recommended to develop the chemical utilization industry based on P2X(Power to X,where X is raw material)technology,construct the CcUs industrial cluster,and explore a multi-party win-win cooperation mode.A scheme of national trunk pipeline network connecting areas connecting intensive emission reduction demand areas and target storage areas is suggested.The emission reduction cost of thermal power based on CCUS is calculated to be 0.16 RMB/(kW.h).

The Core of the Chinese Democracy Is to Respect and Protect Human Rights——A Summary of the Academic Seminar on Chinese Democracy and Human Rights Protection

On March 26,2023,a Seminar on Chinese Democracy and Human Rights Protection was held,jointly organized by the National Human Rights Education and Training Base and the Human Rights Research Center of Central South University under the guidance of the Chinese Society for Human Rights Studies.The event adopted a combination of online and offline channels.Over 30 experts and scholars from universities,research institutions,and practical departments across the country participated in extensive discussions on“Theoretical and Practical Aspects of Chinese Democracy and Protection of Human Rights.”The seminar aimed to focused on the essence,characteristics,advantages,and human rights implications of Chinese democracy and interpreted the concept of Chinese democracy and the protection of human rights through academic and theoretical methods.

Exploration and Analysis of the Implementation Plan of the Three-whole Education in Xianyang Normal

Xianyang Normal University,an undergraduate normal college,gives full play to the education advantage of socialist education with Chinese characteristics,with virtue fundamental task,ideal faith education as the core,socialist core values,to improve talent training ability as the key,form full,the whole process,whole person education mode.This paper through the combination of theory and practice,analyzes the connotation of“Three-whole Education”and the current situation of“Three-whole Education”in Xianyang Normal University,and puts forward the implementation path with college characteristics to improve the quality of talent training.Xianyang Normal University through more than 40 years of construction,in three-whole education has made certain achievements and social benefits.The advantages of socialist education with Chinese characteristic adhered to the education orientation and reflected the virtue of fundamental task,outstanding characteristics,speed up the construction of information,integrated the resources and optimized the education process.

浅谈广播电视中心的声学设计

广播电视中心工程建设不同于一般商务办公大楼建设,它涉及多种学科,声学装修是其中的一个重要部分。要得到一个高保真、有良好声学效果的演播室,不仅要有一套好的音响及录、播音设备,而且还要有一个良好的声学环境。根据现行行业规范介绍了演播室、录音室和导播室建设的技术要求。具体给出了其声学装修方案,同时介绍了安全环保的新型建材,并给出了工程实例。

住宅建设与思索

本文根据目前住宅建设的状况,提出了住宅建设存在的一些问题及相应对策,并对住宅建设的发展方向提出了几点看法,把住宅建设与科技进步相联系,在住宅建设改革方面做一些尝试。

客车涂装色彩方案与内饰设计的几点看法

客车涂装色彩方案及内饰已经成为衡量客车档次的重要指标。客户对客车涂装色彩方案及内饰设计的协调与统一提出了更多个性化的需求;符合客户心理需求的设计在客车行业竞争日趋激烈的今天显得越来越重要。本文通过调查分析,简述因客户而异设计客车涂装色彩及内饰方案的几点看法。

进口卸箱机的技术改造

通过分析瓶装自动化包装线中卸箱机的有关技术问题,经过技术改造提高了卸箱机的生产效率,降低了故障率。

基于BIM的全过程装饰装修管理模式及实践

建筑信息模型(BIM)技术自引入我国起,在建筑业内蓬勃发展,尤其在近几年,在各类型建筑的不同专业上应用更加广泛。装饰装修工程作为建筑工程的重要组成部分,BIM技术也得到了广泛的应用。本文选取某小区户型,主要通过实例研究的方法,探索基于BIM的全过程装饰装修管控模式与实践。

Considerations on Research of Environmental Risk Prevention and Control in “12th Five-Year Plan” Period

Along with the environmental pollution causes complexity and diversity increases ceaselessly, “national environmental protection” Twelfth Five “planning” (hereinafter referred to as “planning”) will be the environmental risk prevention as the “12th Five-Year Plan” one of the important tasks, including advancing environmental risk management in the whole process, key areas the environmental risk prevention measures. The whole process environmental risk management covers a risk source recognition, receptor vulnerability assessment, environmental risk characterization, risk decision and risk assessment of accident loss. This article from the environmental risk source classification, environmental risk classification management, environmental emergency response and environmental risk and insurance environment four aspects put forward the “12th Five-Year Plan” whole process environmental risk management content, to further reduce our country environmental pollution accident risk and policy makers to provide some decision support.

装箱机、卸箱机的智能优化

通过分析瓶装自动包装线中装、卸箱机的生产过程,进行技术改造提高生产效率,降低了故障率及能耗。

Whole-process design and experimental validation of landing gear lower drag stay with global/local linked driven optimization strategy

Landing gear lower drag stay is a key component which connects fuselage and landing gear and directly effects the safety and performance of aircraft takeoff and landing. To effectively design the lower drag stay and reduce the weight of landing gear, Global/local Linked Driven Optimization Strategy(GLDOS) was developed to conduct the overall process design of lower drag stay in respect of optimization thought. The whole-process optimization involves two stages of structural conceptual design and detailed design. In the structural conceptual design, the landing gear lower drag stay was globally topologically optimized by adopting multiple starting points algorithm. In the detailed design, the local size and shape of landing gear lower drag stay were globally optimized by the gradient optimization strategy. The GLDOS method adopts different optimization strategies for different optimization stages to acquire the optimum design effect. Through the experimental validation, the weight of the optimized lower dray stay with the developed GLDOS is reduced by 16.79% while keeping enough strength and stiffness, which satisfies the requirements of engineering design under the typical loading conditions. The proposed GLDOS is validated to be accurate and efficient in optimization scheme and design cycles. The efforts of this paper provide a whole-process optimization approach regarding different optimization technologies in different design phases, which is significant in reducing structural weight and enhance design tp wid 1 precision for complex structures in aircrafts.

Whole-process modeling of titanium disc forming for gradient distributions of temperature and deformation

Gradient distributions of temperature and deformation(GDTD)are crucial for achieving dual-performance discs of titanium alloys which is required by the service environment of aeroengine.However,heating,cooling and deforming sequence in the whole process of the titanium disc forming,which leads to difficulties for achieving GDTD due to a lot of parameters.To solve this problem,a whole-process model of the titanium disc forming for GDTD has been established.In the model,heating and cooling via heat radiation,conduction and convection,and deforming by local loading with mold chilling are all considered.Experiments on heating and cooling as well as deforming were carried out by using a furnace and the Gleeble-3500 machine.The experimental data are used to determine thermal parameters and constitutive relations of the IMI834 titanium alloy,and then to verify the reliability of the model.Then the model was used to simulate the evolution rules of temperature and deformation of the titanium disc.The results show that the heating surface,furnace temperature,billet profile and loading rate play the core role for the control of GDTD,and thus a set of parameters were determined.Therefore,this work provides a base for developing a new forming technology of the dual-performance titanium discs with the approach of local heating and local loading.