The impact of a computerized care records service (CRS) on doctors’ work patterns in urological outpatient clinics

Objective: Government targets to reduce waiting times are putting enormous pressures on outpatient services. The implementation of an electronic care records service (CRS) at our hospital in 2008 has led to widespread press coverage of ensuing chaos in clinical administration. We wanted to know how this new electronic system impacted on our working patterns in outpatient clinics and – more specifically – on the time actually spent with the patients. Material & methods: This study was performed 4 and 12 months after implementation of CRS to assess its impact on the time distribution in clinic. Senior doctors were monitored with a stop clock during consultations. Timings for pre- and post-consultation administration, and the actual consultation with the patient were recorded. A total of 170 consultations were evaluated in this way. Results: The key findings were that the total time needed to spend on a urological outpatient of 16 minutes remains unchanged from the pre-CRS era, but a majority (57%) of this time is spent in administration on the computer without the patient involved. Conclusion: No more than 15 patients should be seen in a 4 hour outpatient clinic per doctor. This recommendation drawn up by BAUS before CRS remains still valid. Patient administration related to the consultation that has previously been done by administrative aides is now to be done by the doctors on the computer in the same consultation session. Intended to streamline patient pathways, this does reduce the quality interaction-time between doctor and patients significantly.

Factors Influencing Migrant Workers' Urban Labor Patterns: Willing Working Time in Urban Areas as the Mediator

China is witnessing a very complicated economic development environment.Migrant workers'working patterns will directly affect their income level and the realization of many economic and social development goals.This paper collects relevant data from three places:Shanghai,Lanzhou and Chengdu for empirical research whose results show that determinants of migrant worker's willing working time in urban areas mainly include the“income-consumption difference”,“urban-rural consumption difference”and their“urban income and expenditure uncertainty”.These factors directly affect their effective working time in the city,and determine their choice of choosing corresponding work patterns.From the significant differences of these factors,we can see that migrant workers in China is still struggling to solve their material needs under the pressure of livelihood,and less attention is paid to their spiritual needs and the pursuit of quality of life.

Pattern of resting site of sables in Daxing'an Mountains

The use of resting sites of sables (Martes zibellina) was studied by radio-tracking techniques in Daxing’an Mountains in 1994–1996. The results showed that the males used 191 different resting sites, while females used 159 sites averagely in a year. The number of used resting sites varied among seasons, and the reuse index calculated for each individual in each season varied from 0.07 to 0.94. The reuse index was highest for males in autumn-winter. In spring the number of resting sites of females was significantly less than that of males. In summer, both sexes used more resting sites. In winter, the reuse index was negative related to snow depth. The average distance between consecutively used resting sites differed significantly between males (716 m, SD=479,n=1 081) and females (455 m, SD=298,t=8.59,P<0.001). For males the average distance was the shortest in February–March and the longest in August–September, whereas the shortest distance was recorded in April–May for females. In spring and autumn-winter, most individuals used resting sites that randomly distribute in their home ranges. The standardized Morisita coefficient of resting site dispersion in the home range varied from 0.06 to 0.50. In summer, the standardized Morisita coefficient of resting site dispersion in the home range varied from 0.38 to 0.51. Furthermore, in summer, 72% of all resting sites used by sables were located near the edges of their home ranges.

Build Enterprise Technical Standards Work Pattern to Adapt to New Condition

With new requirements proposed for technical standards work under the new circumstances,the article combining with the practice of Wuhan Iron and Steel Company Limited(WISCO)points out that enterprises must improve the work pattern of standards development and revision,and strengthen the standards implementation management and product quality supervision,so that technical standards can serve as a bridge between technologies and industrialization,support the industrial upgrading and structural optimization,create conditions for promoting trade and unify the market and provides means for global competition,helping enterprises to better cope with the increasing market competition.

WORKING TOWARD BENIGN INTERACTION BETWEEN CHINA AND THE REST OF THE WORLD

Since the 18th CPC National Congress,China has stood at a new historical point of departure,undergoing historical changes on top of the important achievements in development since the founding of the People’s Republic and particularly since the adoption of the reform and open-up policy.Socialism with Chinese characteristics has entered a new

Tapping Advantages and Expanding International and Domestic Networks for Further Integrating Jiangxi with the Rest of the World——Thriving Foreign Related Work in Jiangxi Province

"…enable Jiangxi to become the example of ecological civilization and pacesetter of building beautiful China,and realize the dream of a prosperous,harmonious and beautiful Jiangxi through our earnest efforts."Recent years have witnessed vigorous efforts made by the Provincial Foreign Affairs and Overseas Chinese

基于REST风格的大型水电集团安全培训模块重新设计

在分析前人理论的基础上,对RPC和REST设计风格进行探讨,对REST的概念作了进一步阐述,并对RPC与REST两种Web服务设计风格进行比较,最后基于REST的设计风格重新设计了大型水电集团安全生产管理系统的安全培训模块。

Alteration of functional connectivity in patients with Alzheimer’s disease revealed by resting-state functional magnetic resonance imaging

The main symptom of patients with Alzheimer’s disease is cognitive dysfunction. Alzheimer’s disease is mainly diagnosed based on changes in brain structure. Functional connectivity reflects the synchrony of functional activities between non-adjacent brain regions, and changes in functional connectivity appear earlier than those in brain structure. In this study, we detected resting-state functional connectivity changes in patients with Alzheimer’s disease to provide reference evidence for disease prediction. Functional magnetic resonance imaging data from patients with Alzheimer’s disease were used to show whether particular white and gray matter areas had certain functional connectivity patterns and if these patterns changed with disease severity. In nine white and corresponding gray matter regions, correlations of normal cognition, early mild cognitive impairment, and late mild cognitive impairment with blood oxygen level-dependent signal time series were detected. Average correlation coefficient analysis indicated functional connectivity patterns between white and gray matter in the resting state of patients with Alzheimer’s disease. Functional connectivity pattern variation correlated with disease severity, with some regions having relatively strong or weak correlations. We found that the correlation coefficients of five regions were 0.3–0.5 in patients with normal cognition and 0–0.2 in those developing Alzheimer’s disease. Moreover, in the other four regions, the range increased to 0.45–0.7 with increasing cognitive impairment. In some white and gray matter areas, there were specific connectivity patterns. Changes in regional white and gray matter connectivity patterns may be used to predict Alzheimer’s disease;however, detailed information on specific connectivity patterns is needed. All study data were obtained from the Alzheimer’s Disease Neuroimaging Initiative Library of the Image and Data Archive Database.

基于SolidWorks轮胎花纹设计系统开发的研究

针对轮胎花纹设计过程中需要大量重复性操作的问题,创建了一种以Solid Works为二次开发平台的轮胎花纹设计系统。结合轿车圆弧形胎肩轮胎花纹设计实例,介绍了该系统通过在对话框中输入参数和从数据库中选择参数的方法,来实现自动化的轮胎轮廓计算,完成自动三维模型建立和参数化设计。阐述了轮胎花纹设计的2种方法:交互界面式轮胎花纹节距设计及其自动装配与轮胎花纹的花纹沟参数化设计。研究结果表明,该系统可以更加方便、智能地设计轮胎花纹。

基于Rest架构的高校运维平台设计与实现

随着移动互联网的快速发展,越来越多的系统开始支持移动设备访问,而传统高校运维平台只是单一网站,严重缺乏对移动设备的支持。通过对高校运维系统的需求分析,提出一种基于Rest架构的高校运维平台,该平台支持网站、安卓、ios等多种前端接入,并基于Spring Boot框架实现。经功能测试和性能测试证明该平台具备较强的稳定性和支持较高的并发。

Optimized Complex Power Quality Classifier Using One vs. Rest Support Vector Machines

Nowadays, power quality issues are becoming a significant research topic because of the increasing inclusion of very sensitive devices and considerable renewable energy sources. In general, most of the previous power quality classification techniques focused on single power quality events and did not include an optimal feature selection process. This paper presents a classification system that employs Wavelet Transform and the RMS profile to extract the main features of the measured waveforms containing either single or complex disturbances. A data mining process is designed to select the optimal set of features that better describes each disturbance present in the waveform. Support Vector Machine binary classifiers organized in a “One Vs Rest” architecture are individually optimized to classify single and complex disturbances. The parameters that rule the performance of each binary classifier are also individually adjusted using a grid search algorithm that helps them achieve optimal performance. This specialized process significantly improves the total classification accuracy. Several single and complex disturbances were simulated in order to train and test the algorithm. The results show that the classifier is capable of identifying >99% of single disturbances and >97% of complex disturbances.

Incidents with Dioxins and PCBs in Food and Feed-Investigative Work, Risk Management and Economic Consequences

The identification of contamination sources within the food chain with polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzo-furans (PCDFs), (“dioxins”), and PCBs is difficult and complex. PCDD/PCDF can be formed as unintentional compounds in a number of chemical processes as well as in almost every combustion process. PCBs were intentionally produced chemicals that were manufactured for decades before the ban in marketing and use in many countries around 1985. The pattern of occurrence can change from the original source in particular via feedingstuffs to food of animal origin as result of bioaccumulation. A number of examples illustrate the challenging detective work and key scientific aspects for identification of the sources, for support of the risk management and for performance of monitoring programs. The contamination of milk and milk products in European countries with dioxins was caused by compound feeds containing citrus pulp pellets from Brazil which had high dioxin levels as a result of the use of heavily contaminated lime used for neutralization. The Belgian dioxin crisis was caused by a feed additive heavily contaminated with PCBs which were discharged into a recycled fat used in the production of animal feed. Guar gum from India was contaminated with sodium pentachlorophenate and dioxins. Clay was found to be possibly highly contaminated with dioxins possibly formed by geothermal processes over time;use of such clay as feed additive or for human intake led to elevated dioxin levels in food and humans. Bioanalytical screening in combination with comprehensive physicochemical investigations led to the detection of brominated flame retardants and brominated dioxins in a feed additive. Buffalo milk was contaminated in Italy presumably caused by illegal deposition of waste. High PCB levels in fuel oil for drying of breadcrumb used as a feed ingredient caused a major dioxin crisis with pork meat in Ireland. Fatty acids for technical purposes originating from a biodiesel company were used for production of feed fat which contaminated parts of the food chain in Germany. In addition to effects on human and animal health these incidents also have serious economic consequences which could be mitigated by more frequent control on food and feed. Addressing both these issues, the European Community has developed a strategy to reduce the presence of dioxins and PCBs in the environment and in feed and food comprising the establishment of maximum and action levels.

数智技术赋能统战工作发展透视

数智技术与统战工作在价值理念和政治定位等层面具有高度契合性,前者可以满足后者信息化、智能化、精准化、动态化等发展需求,为后者高质量发展提供持续动能。数智技术能有效支撑和服务于统战工作、开拓统战工作数据应用新空间、激发统战工作新活力。当前我国数智统战工作取得了一些进展,但也面临数字化平台和工具应用不足、数据共享和协同体系不完善以及数智化人才短缺和统战干部理念更新不足等问题。因此,未来数智统战应综合运用数智技术,通过构建面向统战对象的大数据智能分析平台、开发数智化统战工作工具、丰富宣传内容和形式,推动统战工作凝聚人心、汇聚力量;通过制定统一的数智统战顶层设计和规划、构建统一开放的统战云平台、完善数智安全保障体系,赋能大统战工作格局的构建;通过推进协商数智化体系构建、建立政协系统数智人才培训与考核机制、加大新技术在协商业务流程中的应用,深化协商民主。

资源下乡背景下乡村关系的差序格局及其形塑逻辑

以“一乡−多村”为乡村关系的两个主体,突破过去将乡村关系中的“村”视为一个抽象整体的研究进路,提出“乡村关系的差序格局”。在“行政消解自治”乡村一体化的背景下,乡镇与其下辖的各行政村的关系存在“亲疏远近”之别。形塑这种亲疏远近的要素主要有三个:一是特定行政村在中央或地方涉农政策中的重要性。政策性位置越突出,其与乡镇的关系越亲近。二是特定行政村村治情况良善与否。村干部治村能力越强,其与乡镇的关系越亲近。三是特定行政村在体制内有无先赋性外联关系。这种外联关系越重要,其与乡镇的关系越亲近。自上而下的各类资源在各行政村之间的配置,相应由乡村关系的差序格局来形塑。

基于水动力空化的微通道设备研究进展

针对微通道设备中的水动力空化现象,从限流元件的几何形状及尺寸、工作流体和通道粗糙度3个方面分析了其影响规律.限流元件的常见形状主要有微孔、微文丘里、微隔膜和微柱,不同几何形状的限流元件具有不同的空化流动特性;限流元件自身的尺寸参数以及尺寸缩小引起的尺度效应都对空化流型起着重要作用.常用的工作流体包含去离子水、乙醇、磷酸盐缓冲盐水(PBS)、制冷剂(R-123)、聚乙烯醇(PVA)微泡(MBs)悬浮液、全氟戊烷(PFC5)悬浮液、二氧化钛(TiO_(2))纳米颗粒悬浮液、多元液体混合物等;与水相比,其余工作流体均不同程度地提高了空化强度.粗糙度的引入主要体现于通道的表面粗糙元件和侧壁粗糙元件,其空化强度相较于光滑表面得到明显提高.微通道水动力空化设备主要应用于能量收集、液相剥离和生物医学领域.基于近年来国内外对微尺度水动力空化的研究现状,设想了微通道设备中的水动力空化现象的潜在研究方向及应用趋势.

论尹湛纳希作品中婚恋模式的现实基础及其超越

清末著名文学家、思想家和史学家尹湛纳希的小说《月鹃》《红云泪》《一层楼》《泣红亭》《青史演义》中的婚恋模式独特,主要表现为“世代联姻”“父母之命媒妁之言”或“指婚”“一男多女”人物结构,注重男女双方感情交流。力求在前人已有研究成果和结论基础上,进一步梳理尹湛纳希各部作品中婚恋模式的承继关系,婚恋模式中各个要素存在的社会根源,并挖掘其中的进步思想。关注和研究这些内容有助于解读尹湛纳希作品,走进尹湛纳希的内心世界,彰显尹湛纳希作品的思想内涵,呈现更加立体化的尹湛纳希形象。

疏浚管道粗砂输送特性及最佳流态研究

在疏浚管道输送粗砂砾石等粗大颗粒时,由于粒径构成复杂、浓度和局部阻力波动较大等因素,容易造成输送效率低、淤积堵塞和施工操作困难等问题。为实现粗大颗粒物料的安全高效输送,以中值粒径0.82 mm的粗砂为研究对象,在不同浓度和流速下进行管道输送试验,对粗砂的流态、沿程阻力损失、临界流速和滑移比(输送效率)等特性进行研究,根据疏浚施工要求确定输送时的最佳流态及对应的流速区间,该流态具有不易堵塞、输送稳定性高、输送效率高和磨损较小等优点。泥沙输送特性研究成果及最佳流态确定方法对粗大颗粒的安全、稳定、高效输送具有一定的理论参考和实际应用价值。

大统战工作格局的构建与边疆治理现代化

边疆地区历来是统战工作的重要区域,立足“两个大局”的时代背景,深刻认识和把握统战工作的特点,完善大统战工作格局是新时代统战工作的重要内容和战略部署。推进边疆治理现代化的进程需要构建完善的大统战工作格局,完善的大统战工作格局能够充分发挥统一战线强大法宝作用,有效破解边疆治理难题,在推进兴边富民、稳边固边和民族团结中发挥着重要作用。大统战工作格局的构建,有利于促进边疆各民族的政治认同、提升边疆政治资源的整合力、营造优良的政治环境、铸牢中华民族共同体意识。在边疆地区完善大统战工作格局,需要健全统一战线服务边疆治理的体制机制、以“大统战”系统思维推进边疆治理现代化、构建“两个共同体”,统筹边疆治理与全球治理。

中国如意纹样在竹编文创品设计中的创新应用

中国如意纹样是中国文化的重要组成部分,具有丰富的历史和文化内涵,在竹编文创产品设计中被广泛应用。结合现代设计理念和技术手段,本文提出了将中国如意纹样融入竹编文创品设计的新思路。通过分析竹编材料的特性和工艺要求,以及如意纹样与竹编艺术的契合点,并融合AI智能,设计了一系列兼具传统韵味和现代美感的竹编文创品。这些作品不仅传承了中国优秀的传统文化,也展现了竹编艺术的独特魅力和时代价值。

新时代背景下高职院校体育工作新格局探究

该课题运用文献资料、专家访谈、逻辑分析等研究方法,多维度地对目前高等职业院校体育工作格局现状进行了调查研究,分析其中存在的问题与成因,并对照中共中央办公厅、国务院办公厅于2020年10月印发的《关于全面加强和改进新时代学校体育工作的意见》中的指导方针与要求,试析在新时代背景下如何在高职院校的体育工作中深耕体育内涵,创新体育工作,提出了符合新时代背景下的高职院校体育工作新格局构想,即教学与研究、健康体育、阳光体育活动、特色体育竞赛“四轮驱动”。该课题的研究旨在为高等职业院校的体育工作全面加强与改进提供一些理论参考与可行对策。