With the development of global economic integration,building a world-class facilitating business environment has become an urgent need for Hainan Free Trade Port.To solve the existing problems in financial policies,le...With the development of global economic integration,building a world-class facilitating business environment has become an urgent need for Hainan Free Trade Port.To solve the existing problems in financial policies,legal supervision,and other aspects,this paper takes Hainan Free Trade Port as an example to analyze and study its institutional integration strategy for creating a world-class facilitating business environment.The specific integration strategies are summarized to promote the internationalization and facilitation of the business environment of Hainan Free Trade Port and promote the high development of the local economy.展开更多
China has a large population,a large middle-income group,and a wide consumer market coverage.In the context of economic globalization,the connection between the Chinese economy and the world industrial chain has been ...China has a large population,a large middle-income group,and a wide consumer market coverage.In the context of economic globalization,the connection between the Chinese economy and the world industrial chain has been further strengthened,contributing to the development of the global economy.Under the background of the Hainan Free Trade Port,building an economic service trade system will help to create a new highland for economic service trade,promote the development of China’s service trade,and facilitate the rational allocation of resources on a global scale.Because of this,the article will analyze the opportunities for building an economic service trade system and the challenges of building an economic service trade system under the background of Hainan Free Trade Port,and focus on analyzing the path strategies for building an economic service trade system to create a high-level new highland of service trade and actively face the challenges of era development and economic upgrading[1].展开更多
Machine-learning is a robust technique for understanding pollution characteristics of surface ozone,which are at high levels in urban China.This study introduced an innovative approach combining trend decomposition wi...Machine-learning is a robust technique for understanding pollution characteristics of surface ozone,which are at high levels in urban China.This study introduced an innovative approach combining trend decomposition with Random Forest algorithm to investigate ozone dynamics and formation regimes in a coastal area of China.During the period of 2017–2022,significant inter-annual fluctuations emerged,with peaks in mid-2017 attributed to volatile organic compounds(VOCs),and in late-2019 influenced by air temperature.Multifaceted periodicities(daily,weekly,holiday,and yearly)in ozone were revealed,elucidating substantial influences of daily and yearly components on ozone periodicity.A VOC-sensitive ozone formation regime was identified,characterized by lower VOCs/NO_(x) ratios(average=0.88)and significant positive correlations between ozone and VOCs.This interplay manifested in elevated ozone duringweekends,holidays,and pandemic lockdowns.Key variables influencing ozone across diverse timescaleswere uncovered,with solar radiation and temperature driving daily and yearly ozone variations,respectively.Precursor substances,particularly VOCs,significantly shaped weekly/holiday patterns and long-term trends of ozone.Specifically,acetone,ethane,hexanal,and toluene had a notable impact on the multi-year ozone trend,emphasizing the urgency of VOC regulation.Furthermore,our observations indicated that NO_(x) primarily drived the stochastic variations in ozone,a distinguishing characteristic of regions with heavy traffic.This research provides novel insights into ozone dynamics in coastal urban areas and highlights the importance of integrating statistical and machinelearning methods in atmospheric pollution studies,with implications for targeted mitigation strategies beyond this specific region and pollutant.展开更多
Ports,the core hub of global supply chains,serve as vital links in the economic and trade exchanges among countries.Efficient,safe,green and smart ports are essential for the smooth operation of global trade.Recently,...Ports,the core hub of global supply chains,serve as vital links in the economic and trade exchanges among countries.Efficient,safe,green and smart ports are essential for the smooth operation of global trade.Recently,ISO established ISO/TC 8/SC 27,Ports and terminals,the secretariat of which is held by China.This is a big breakthrough of China’s participation in the international standardization activities in the area of transportation.展开更多
With the commissioning of Phase$,the port of Kribi is emerging as an important maritime transport hub in Central Africa With a 715-metre quay and a draught of 16 metres,the Autonomous Port of Kribi(APK)stands as one o...With the commissioning of Phase$,the port of Kribi is emerging as an important maritime transport hub in Central Africa With a 715-metre quay and a draught of 16 metres,the Autonomous Port of Kribi(APK)stands as one of Africa’s most strategically significant deep-water ports.Situated on Cameroon’s Atlantic coast,it o!ers direct access to international shipping lanes and is designed to handle large-capacity vessels that many regional ports cannot accommodate.展开更多
Ghana’s Tema Port marked a historic milestone on 16 January 2024 with the arrival of Maersk Edirne,a 13,676-TEU container vessel-one of the largest of its kind globally-as part of Maersk’s newly launched Far East-We...Ghana’s Tema Port marked a historic milestone on 16 January 2024 with the arrival of Maersk Edirne,a 13,676-TEU container vessel-one of the largest of its kind globally-as part of Maersk’s newly launched Far East-West Africa express service.展开更多
Pre-Authentication and Post-Connection(PAPC)plays a crucial role in realizing the Zero Trust security model by ensuring that access to network resources is granted only after successful authentication.While earlier ap...Pre-Authentication and Post-Connection(PAPC)plays a crucial role in realizing the Zero Trust security model by ensuring that access to network resources is granted only after successful authentication.While earlier approaches such as Port Knocking(PK)and Single Packet Authorization(SPA)introduced pre-authentication concepts,they suffer from limitations including plaintext communication,protocol dependency,reliance on dedicated clients,and inefficiency under modern network conditions.These constraints hinder their applicability in emerging distributed and resource-constrained environments such as AIoT and browser-based systems.To address these challenges,this study proposes a novel port-sequence-based PAPC scheme structured as a modular model comprising a client,server,and ephemeral Key Management System(KMS).The system employs the Advanced Encryption Standard(AES-128)to protect message confidentiality and uses a Hash-Based Message Authentication Code(HMAC-SHA256)to ensure integrity.Authentication messages are securely fragmented and mapped to destination port numbers using a signature-based avoidance algorithm,which prevents collisions with unsafe or reserved port ranges.The server observes incoming port sequences,retrieves the necessary keys from the KMS,reconstructs and verifies the encrypted data,and conditionally updates firewall policies.Unlike SPA,which requires decrypting all incoming payloads and imposes server-side overhead,the proposed system verifies only port-derived fragments,significantly reducing computational burden.Furthermore,it eliminates the need for raw socket access or custom clients,supporting browser-based operation and enabling protocol-independent deployment.Through a functional web-based prototype and emulated testing,the system achieved an F1-score exceeding 95%in detecting unauthorized access while maintaining low resource overhead.Although port sequence generation introduces some client-side cost,it remains lightweight and scalable.By tightly integrating lightweight cryptographic algorithms with a transport-layer communication model,this work presents a conceptually validated architecture that contributes a novel direction for interoperable and scalable Zero Trust enforcement in future network ecosystems.展开更多
BACKGROUND This case report examines the challenges associated with removing a totally implantable venous access port(TIVAP)used for long-term chemotherapy in a patient with breast cancer.Prolonged use of TIVAPs can r...BACKGROUND This case report examines the challenges associated with removing a totally implantable venous access port(TIVAP)used for long-term chemotherapy in a patient with breast cancer.Prolonged use of TIVAPs can result in complications such as catheter kinking,thrombosis,and adhesions between the catheter and surrounding tissues,potentially complicating their removal.CASE SUMMARY A breast cancer patient with bone metastasis presented with difficulty aspirating blood from a TIVAP that had been placed in the right internal jugular vein for 3 years.Initial removal attempts at the Department of Venous Access Center were unsuccessful,likely due to adhesions,necessitating a subsequent successful catheter extraction in a hybrid operating room.Imaging revealed no abnor-malities,and the catheter was removed using a mosquito clamp to detach it from surrounding tissues.CONCLUSION This case highlights the challenges of removing TIVAPs inserted via the internal jugular vein,particularly when the catheter traverses the sternocleidomastoid muscle.Repeated neck movements might lead to significant adhesions around the catheter,complicating its removal.Careful consideration should be given during catheter placement to avoid muscle-related adhesions and facilitate smoother extraction in long-term use.展开更多
This paper explores the application of blockchain in Hainan’s supply chain finance,analyzing its impact on enhancing market transparency,optimizing processes,and addressing challenges like information asymmetry and i...This paper explores the application of blockchain in Hainan’s supply chain finance,analyzing its impact on enhancing market transparency,optimizing processes,and addressing challenges like information asymmetry and inefficient credit transmission.It examines technical and security issues such as scalability and cross-chain interoperability,proposing solutions like layered architectures and privacy computing.The study highlights blockchain’s role in empowering cross-border trade,tropical agriculture,and SME financing,aiming to provide a reference for Hainan Free Trade Port’s financial digital transformation.展开更多
As an important strategic fulcrum for China’s new round of opening-up,the Hainan Free Trade Port provides broad space for achieving high-quality development with its unique policy advantages and financial resources.I...As an important strategic fulcrum for China’s new round of opening-up,the Hainan Free Trade Port provides broad space for achieving high-quality development with its unique policy advantages and financial resources.In this context,integrating blockchain technology into the construction of the free trade port can not only help enhance the innovation and competitiveness of the talent cultivation system but also promote the coordinated development of the real economy and the industrial system.Based on the core characteristics of blockchain technology,such as“decentralization,traceability,and high credibility”,this paper focuses on the common problems in the cultivation of composite talents in current vocational colleges,including an imperfect school-enterprise cooperation guarantee mechanism,a lack of teaching resources,weak teaching staff,and insufficient practical conditions.It proposes a new idea of introducing blockchain technology into the vocational education system.Through the research on the cultivation model of composite-skilled talents in vocational colleges in the context of“blockchain+”,this paper aims to promote the in-depth integration of vocational education in vertical and horizontal aspects,and further promote the systematic,standardized,and high-quality development of composite talent cultivation.展开更多
BACKGROUND Cancer patients with an implanted venous access port(IVAP)often manage their care at home during chemotherapy intervals,including maintaining the device,monitoring complications,and following medication ins...BACKGROUND Cancer patients with an implanted venous access port(IVAP)often manage their care at home during chemotherapy intervals,including maintaining the device,monitoring complications,and following medication instructions.Home care ensures continued support after discharge.However,due to factors such as age,gender,culture,psychological status,and family support,the quality of home care varies significantly.Understanding these factors can help provide targeted guidance to improve the care of cancer patients.AIM To explore IVAP chemotherapy on home care quality and its association with mental health and family support for cancer patients.METHODS This investigative study was based on a medical records system.It investigated the relationship between psychological status,family support,and home care quality in 180 patients with cancer undergoing IVAP chemotherapy.Psychological status was assessed using the State Anxiety Inventory(S-AI);family support was assessed using the Perceived Social Support Scale(PSSS),and home care quality was evaluated using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire(EORTC QLQ-C30).Pearson’s correlation and Structural Equation Modeling were used to analyze the interplay between these factors.RESULTS The average S-AI score was 47.52±14.47,PSSS was 52.48±12.64,and EORTC QLQ-C30 was 70.09±17.32.A substantial inverse relationship was observed between the EORTC QLQ-C30 and S-AI scores(r=-0.712).A significant positive correlation was found between the EORTC QLQ-C30 and the PSSS,with a correlation coefficient of(r=0.744).The multiple linear regression analysis indicated that family social support,psychological status,and average monthly family income were the main factors influencing the variation in the quality of home care,explaining 71.9%of the variation.The Structural Equation Modeling results indicated that psychological status acted as a partial mediator in the association between family social support and home care quality of life,explaining 32.78%of the mediation effect.CONCLUSION Psychological status and family social support positively impacted cancer patients’home care quality,with psychology partially mediating this effect.展开更多
This article focuses on the planning and design of the Haikou Qilou Old Street,a distinctive cultural street landscape,in the context of a free trade port.By thoroughly analyzing the historical and cultural value of t...This article focuses on the planning and design of the Haikou Qilou Old Street,a distinctive cultural street landscape,in the context of a free trade port.By thoroughly analyzing the historical and cultural value of the Qilou Old Street and its current issues,and considering the opportunities and challenges presented by the free trade port development,the article proposes targeted planning and design strategies in areas such as functional layout,traffic organization,cultural heritage and innovation,and landscape element design.The aim is to create a unique and high-quality cultural street landscape that serves as a shining card for Haikou’s urban culture,promoting the coordinated development of regional economy and culture,and providing a reference for the renewal and development of similar historical and cultural districts.展开更多
BACKGROUND Central venous access is essential for administering chemotherapy in patients with gastrointestinal cancer.Peripherally inserted central catheters(PICC)and totally implantable venous access ports(TIVAP)are ...BACKGROUND Central venous access is essential for administering chemotherapy in patients with gastrointestinal cancer.Peripherally inserted central catheters(PICC)and totally implantable venous access ports(TIVAP)are widely used,but comparative data regarding their impact on catheter-related complications and quality of life(QoL)remain limited.AIM To evaluate the impact of TIVAPs compared with PICC on catheter-related complications and QoL in patients with gastrointestinal cancer undergoing chemotherapy.METHODS This retrospective study included adults with gastrointestinal cancer who underwent central venous access device insertion for chemotherapy at our institution between December 2021 and December 2024.Inclusion criteria encompassed indications for intermittent intravenous chemotherapy,anticipated treatment duration of≥12 weeks,an adequate preoperative hematologic profile,accessible upper body veins,and complete medical records.Patients were excluded if they had an anticipated survival of less than three months,active systemic infection,severe thrombosis or coagulopathy,communication barriers,or an urgent need for dialysis access.Patients were assigned to either the PICC or TIVAP group based on device type.Data collected included demographic variables,cancer characteristics,insertion procedure details,complications,and QoL,assessed via the EuroQol 5-Dimensions-3 levels,visual analogue scale,and the European Organization for Research and Treatment of Cancer QoL Questionnaire-Core 30.RESULTS A total of 346 patients were analyzed.Baseline demographic,clinical,and cancer characteristics were similar between groups.The TIVAP group demonstrated a significantly lower incidence of catheter-related complications than the PICC group,with no pneumothorax occurring in either group.QoL assessments at baseline were comparable.At one month,the TIVAP group exhibited significantly higher EuroQoL Five Dimensions health state scores and QLQ-C30 global health status scores.Multivariate analysis identified TIVAP use,catheter tip placement in the distal superior vena cava/right atrium,prophylactic antibiotic administration,and antimicrobial dressing application as independent protective factors associated with reduced complications and improved QoL.CONCLUSION In patients with gastrointestinal cancer undergoing chemotherapy,TIVAPs are associated with a lower incidence of catheter-related complications and improved QoL than PICCs.Optimal device selection,precise catheter tip positioning,and effective perioperative management are critical for minimizing complications and enhancing patient-reported outcomes during treatment.展开更多
The concept of a community with a shared future for humanity is the core idea of Xi Jinping thought on diplomacy.Since its introduction,this concept has been steadily advanced across various levels and sectors,yieldin...The concept of a community with a shared future for humanity is the core idea of Xi Jinping thought on diplomacy.Since its introduction,this concept has been steadily advanced across various levels and sectors,yielding tangible and meaningful results.Within Chinese academia,the idea of a community with a shared future for humanity,along with the important idea of a maritime community with a shared future,has been integrated into research on South China Sea issues.Scholars have explored China’s approach to establishing regional order in the South China Sea from multiple perspectives,including territorial dispute resolution,maritime rights and interests’protection,environmental conservation,and port cooperation.展开更多
Aim To design the home -made embedded real time operating system COSIX V2.O/RT developing platform,the Mach operating system interprocess communication mech- anism based on object-oriented technique was analyzed. Met...Aim To design the home -made embedded real time operating system COSIX V2.O/RT developing platform,the Mach operating system interprocess communication mech- anism based on object-oriented technique was analyzed. Methods Not only being the trans-mission channel,but also being the abstract of all the entity in the Mach operating system.ports play the most important role in Mach IPC(interprocess communication).Ports were de-vided into 4 types: system ports, privileged ports user ports and kernel ports.All these ports'creation,run and kill processes and the message transmission in IPC were analyzed.ResultsMach IPC has been widely used in Client/Server run environment.Packing and unpacking inmessage transmission must restrict the run efficiency of IPC Conclusion To enhance IPC runefficiency and at the same time enhance the operating system's run efficiency,some of thesystem calls should be rewritten and implemented with trapped mode in kernel.In the end the aim of designing real time operating system is achieved.展开更多
BACKGROUND Fundoplication, was first introduced as a surgical treatment method of gastroesophageal reflux disease. Consequently, several modifications of this method have been described, whereas laparoscopic fundoplic...BACKGROUND Fundoplication, was first introduced as a surgical treatment method of gastroesophageal reflux disease. Consequently, several modifications of this method have been described, whereas laparoscopic fundoplication was recently introduced. Although single incision(SI) fundoplication was considered as an alternative to the conventional laparoscopic approach, several studies reported an increased operation duration, and high rates of multiport conversion and incisional hernia.AIM To provide a current overview of the technical variations and the postoperative outcomes of patients submitted to SI fundoplication.METHODS The present systematic review of the literature was designed and conducted on the basis of the PRISMA guidelines. A systematic screening of the electronic scholar databases(Medline, Scopus and Web of Science) was performed.RESULTS Literature search resulted in the identification of 19 studies. Overall, 266, 137 and110 SI Nissen, Dor and Toupet fundoplications were reported, respectively. In the majority of the trials, standard laparoscopic instruments were used. The left liver lobe was displayed through the use of forceps, graspers, retractors, drains or even glue. Both intra-corporeal and extracorporeal suturing was described. Mean operative time was 136.3 min. Overall complication rate was 5.2% and the rate of incisional hernia was 0.9%. No mortality was reported.CONCLUSIONDue to the methodological heterogeneity and the lack of high quality studies comparing multi to single access techniques and the several variations, we conclude that further well designed studies are necessary, in order to evaluate the role of SI fundoplication.展开更多
In China with the implement of the strategy of overall opening up to the outside world,northeast China has basically formed an open pattern with simultineous development of border opening and coast opening. As a natio...In China with the implement of the strategy of overall opening up to the outside world,northeast China has basically formed an open pattern with simultineous development of border opening and coast opening. As a national window to open up to the outside world, an open port system in northeast region has formed. These ports can be classified from different angles, such as management level, transport mode, location. From management level, they can be classified into the state firstclass ports and the second-class ports. According to transpost mode, they can be divided into railway port, highway port, water transport port, air transport port and special mode port, and based on location, they can be divided into border port, coast port and inland port. The oaper introduces in detail the foreign trade connection of 4 most representative state first-class border ports: Hunchun, Suifenhe, Heihe and Manzhouli. The open ports Of northeast coast regin mean mainly coast water transport ports in Liaodong Peninsula. The foreign trade connection of coast open ports: Dandong, Jinzhou,Yingkou and Dalian is expounded. And the paper also analyses the transport connection of ports of northeast region with their hinterlands.展开更多
基金General Scientific Research Project of Hainan Vocational University of Science and Technology-—Exploration of the Impact of Financial Reform on Enterprises in Hainan Free Trade Port(HKKY2024-13)。
文摘With the development of global economic integration,building a world-class facilitating business environment has become an urgent need for Hainan Free Trade Port.To solve the existing problems in financial policies,legal supervision,and other aspects,this paper takes Hainan Free Trade Port as an example to analyze and study its institutional integration strategy for creating a world-class facilitating business environment.The specific integration strategies are summarized to promote the internationalization and facilitation of the business environment of Hainan Free Trade Port and promote the high development of the local economy.
文摘China has a large population,a large middle-income group,and a wide consumer market coverage.In the context of economic globalization,the connection between the Chinese economy and the world industrial chain has been further strengthened,contributing to the development of the global economy.Under the background of the Hainan Free Trade Port,building an economic service trade system will help to create a new highland for economic service trade,promote the development of China’s service trade,and facilitate the rational allocation of resources on a global scale.Because of this,the article will analyze the opportunities for building an economic service trade system and the challenges of building an economic service trade system under the background of Hainan Free Trade Port,and focus on analyzing the path strategies for building an economic service trade system to create a high-level new highland of service trade and actively face the challenges of era development and economic upgrading[1].
基金supported by Ningbo Natural Science Foundation(No.2023J059)Ningbo Commonweal Programme Key Project(No.2023S038)Guangxi Key Research and Development Programme(No.GuikeAB21220063).
文摘Machine-learning is a robust technique for understanding pollution characteristics of surface ozone,which are at high levels in urban China.This study introduced an innovative approach combining trend decomposition with Random Forest algorithm to investigate ozone dynamics and formation regimes in a coastal area of China.During the period of 2017–2022,significant inter-annual fluctuations emerged,with peaks in mid-2017 attributed to volatile organic compounds(VOCs),and in late-2019 influenced by air temperature.Multifaceted periodicities(daily,weekly,holiday,and yearly)in ozone were revealed,elucidating substantial influences of daily and yearly components on ozone periodicity.A VOC-sensitive ozone formation regime was identified,characterized by lower VOCs/NO_(x) ratios(average=0.88)and significant positive correlations between ozone and VOCs.This interplay manifested in elevated ozone duringweekends,holidays,and pandemic lockdowns.Key variables influencing ozone across diverse timescaleswere uncovered,with solar radiation and temperature driving daily and yearly ozone variations,respectively.Precursor substances,particularly VOCs,significantly shaped weekly/holiday patterns and long-term trends of ozone.Specifically,acetone,ethane,hexanal,and toluene had a notable impact on the multi-year ozone trend,emphasizing the urgency of VOC regulation.Furthermore,our observations indicated that NO_(x) primarily drived the stochastic variations in ozone,a distinguishing characteristic of regions with heavy traffic.This research provides novel insights into ozone dynamics in coastal urban areas and highlights the importance of integrating statistical and machinelearning methods in atmospheric pollution studies,with implications for targeted mitigation strategies beyond this specific region and pollutant.
文摘Ports,the core hub of global supply chains,serve as vital links in the economic and trade exchanges among countries.Efficient,safe,green and smart ports are essential for the smooth operation of global trade.Recently,ISO established ISO/TC 8/SC 27,Ports and terminals,the secretariat of which is held by China.This is a big breakthrough of China’s participation in the international standardization activities in the area of transportation.
文摘With the commissioning of Phase$,the port of Kribi is emerging as an important maritime transport hub in Central Africa With a 715-metre quay and a draught of 16 metres,the Autonomous Port of Kribi(APK)stands as one of Africa’s most strategically significant deep-water ports.Situated on Cameroon’s Atlantic coast,it o!ers direct access to international shipping lanes and is designed to handle large-capacity vessels that many regional ports cannot accommodate.
文摘Ghana’s Tema Port marked a historic milestone on 16 January 2024 with the arrival of Maersk Edirne,a 13,676-TEU container vessel-one of the largest of its kind globally-as part of Maersk’s newly launched Far East-West Africa express service.
基金supported by Institute for Information&Communications Technology Planning&Evaluation(IITP)grant funded by the Korea government(MSIT)(No.RS-2022-II221200)Convergence Security Core Talent Training Business(Chungnam National University).
文摘Pre-Authentication and Post-Connection(PAPC)plays a crucial role in realizing the Zero Trust security model by ensuring that access to network resources is granted only after successful authentication.While earlier approaches such as Port Knocking(PK)and Single Packet Authorization(SPA)introduced pre-authentication concepts,they suffer from limitations including plaintext communication,protocol dependency,reliance on dedicated clients,and inefficiency under modern network conditions.These constraints hinder their applicability in emerging distributed and resource-constrained environments such as AIoT and browser-based systems.To address these challenges,this study proposes a novel port-sequence-based PAPC scheme structured as a modular model comprising a client,server,and ephemeral Key Management System(KMS).The system employs the Advanced Encryption Standard(AES-128)to protect message confidentiality and uses a Hash-Based Message Authentication Code(HMAC-SHA256)to ensure integrity.Authentication messages are securely fragmented and mapped to destination port numbers using a signature-based avoidance algorithm,which prevents collisions with unsafe or reserved port ranges.The server observes incoming port sequences,retrieves the necessary keys from the KMS,reconstructs and verifies the encrypted data,and conditionally updates firewall policies.Unlike SPA,which requires decrypting all incoming payloads and imposes server-side overhead,the proposed system verifies only port-derived fragments,significantly reducing computational burden.Furthermore,it eliminates the need for raw socket access or custom clients,supporting browser-based operation and enabling protocol-independent deployment.Through a functional web-based prototype and emulated testing,the system achieved an F1-score exceeding 95%in detecting unauthorized access while maintaining low resource overhead.Although port sequence generation introduces some client-side cost,it remains lightweight and scalable.By tightly integrating lightweight cryptographic algorithms with a transport-layer communication model,this work presents a conceptually validated architecture that contributes a novel direction for interoperable and scalable Zero Trust enforcement in future network ecosystems.
基金Supported by the Science and Technology Research Project of Jiangxi Provincial Education Department,No.GJJ2208202Science and Technology Program Project of Health Commission of Jiangxi Province,No.202510069+1 种基金Jiangxi Cancer Hospital Doctoral Start-up Fund,No.BSQDJ202309Jiangxi Province Gan Po Talent Support Program,No.20232BCJ23035.
文摘BACKGROUND This case report examines the challenges associated with removing a totally implantable venous access port(TIVAP)used for long-term chemotherapy in a patient with breast cancer.Prolonged use of TIVAPs can result in complications such as catheter kinking,thrombosis,and adhesions between the catheter and surrounding tissues,potentially complicating their removal.CASE SUMMARY A breast cancer patient with bone metastasis presented with difficulty aspirating blood from a TIVAP that had been placed in the right internal jugular vein for 3 years.Initial removal attempts at the Department of Venous Access Center were unsuccessful,likely due to adhesions,necessitating a subsequent successful catheter extraction in a hybrid operating room.Imaging revealed no abnor-malities,and the catheter was removed using a mosquito clamp to detach it from surrounding tissues.CONCLUSION This case highlights the challenges of removing TIVAPs inserted via the internal jugular vein,particularly when the catheter traverses the sternocleidomastoid muscle.Repeated neck movements might lead to significant adhesions around the catheter,complicating its removal.Careful consideration should be given during catheter placement to avoid muscle-related adhesions and facilitate smoother extraction in long-term use.
基金2024 Hainan Provincial Higher Education Institutions Scientific Research Self-Funded Project“Research on‘Blockchain+Supply Chain Finance’and Financing of Small and Medium-sized Enterprises in Hainan Free Trade Harbor”(Hnky2024ZC-23)。
文摘This paper explores the application of blockchain in Hainan’s supply chain finance,analyzing its impact on enhancing market transparency,optimizing processes,and addressing challenges like information asymmetry and inefficient credit transmission.It examines technical and security issues such as scalability and cross-chain interoperability,proposing solutions like layered architectures and privacy computing.The study highlights blockchain’s role in empowering cross-border trade,tropical agriculture,and SME financing,aiming to provide a reference for Hainan Free Trade Port’s financial digital transformation.
基金Exploration and Practice of the Application of Blockchain Technology in the Cultivation of Composite Talents in the Context of the Free Trade Port(Project No.:HKJG2023-18)。
文摘As an important strategic fulcrum for China’s new round of opening-up,the Hainan Free Trade Port provides broad space for achieving high-quality development with its unique policy advantages and financial resources.In this context,integrating blockchain technology into the construction of the free trade port can not only help enhance the innovation and competitiveness of the talent cultivation system but also promote the coordinated development of the real economy and the industrial system.Based on the core characteristics of blockchain technology,such as“decentralization,traceability,and high credibility”,this paper focuses on the common problems in the cultivation of composite talents in current vocational colleges,including an imperfect school-enterprise cooperation guarantee mechanism,a lack of teaching resources,weak teaching staff,and insufficient practical conditions.It proposes a new idea of introducing blockchain technology into the vocational education system.Through the research on the cultivation model of composite-skilled talents in vocational colleges in the context of“blockchain+”,this paper aims to promote the in-depth integration of vocational education in vertical and horizontal aspects,and further promote the systematic,standardized,and high-quality development of composite talent cultivation.
文摘BACKGROUND Cancer patients with an implanted venous access port(IVAP)often manage their care at home during chemotherapy intervals,including maintaining the device,monitoring complications,and following medication instructions.Home care ensures continued support after discharge.However,due to factors such as age,gender,culture,psychological status,and family support,the quality of home care varies significantly.Understanding these factors can help provide targeted guidance to improve the care of cancer patients.AIM To explore IVAP chemotherapy on home care quality and its association with mental health and family support for cancer patients.METHODS This investigative study was based on a medical records system.It investigated the relationship between psychological status,family support,and home care quality in 180 patients with cancer undergoing IVAP chemotherapy.Psychological status was assessed using the State Anxiety Inventory(S-AI);family support was assessed using the Perceived Social Support Scale(PSSS),and home care quality was evaluated using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire(EORTC QLQ-C30).Pearson’s correlation and Structural Equation Modeling were used to analyze the interplay between these factors.RESULTS The average S-AI score was 47.52±14.47,PSSS was 52.48±12.64,and EORTC QLQ-C30 was 70.09±17.32.A substantial inverse relationship was observed between the EORTC QLQ-C30 and S-AI scores(r=-0.712).A significant positive correlation was found between the EORTC QLQ-C30 and the PSSS,with a correlation coefficient of(r=0.744).The multiple linear regression analysis indicated that family social support,psychological status,and average monthly family income were the main factors influencing the variation in the quality of home care,explaining 71.9%of the variation.The Structural Equation Modeling results indicated that psychological status acted as a partial mediator in the association between family social support and home care quality of life,explaining 32.78%of the mediation effect.CONCLUSION Psychological status and family social support positively impacted cancer patients’home care quality,with psychology partially mediating this effect.
基金Research Project of Hainan Vocational University of Science and Technology in 2024“Research on the Planning and Design of Characteristic Cultural Street Landscape of Haikou Qilou Old Street under the Background of Free Trade Port”(Project No.:HKKY2024-45)。
文摘This article focuses on the planning and design of the Haikou Qilou Old Street,a distinctive cultural street landscape,in the context of a free trade port.By thoroughly analyzing the historical and cultural value of the Qilou Old Street and its current issues,and considering the opportunities and challenges presented by the free trade port development,the article proposes targeted planning and design strategies in areas such as functional layout,traffic organization,cultural heritage and innovation,and landscape element design.The aim is to create a unique and high-quality cultural street landscape that serves as a shining card for Haikou’s urban culture,promoting the coordinated development of regional economy and culture,and providing a reference for the renewal and development of similar historical and cultural districts.
文摘BACKGROUND Central venous access is essential for administering chemotherapy in patients with gastrointestinal cancer.Peripherally inserted central catheters(PICC)and totally implantable venous access ports(TIVAP)are widely used,but comparative data regarding their impact on catheter-related complications and quality of life(QoL)remain limited.AIM To evaluate the impact of TIVAPs compared with PICC on catheter-related complications and QoL in patients with gastrointestinal cancer undergoing chemotherapy.METHODS This retrospective study included adults with gastrointestinal cancer who underwent central venous access device insertion for chemotherapy at our institution between December 2021 and December 2024.Inclusion criteria encompassed indications for intermittent intravenous chemotherapy,anticipated treatment duration of≥12 weeks,an adequate preoperative hematologic profile,accessible upper body veins,and complete medical records.Patients were excluded if they had an anticipated survival of less than three months,active systemic infection,severe thrombosis or coagulopathy,communication barriers,or an urgent need for dialysis access.Patients were assigned to either the PICC or TIVAP group based on device type.Data collected included demographic variables,cancer characteristics,insertion procedure details,complications,and QoL,assessed via the EuroQol 5-Dimensions-3 levels,visual analogue scale,and the European Organization for Research and Treatment of Cancer QoL Questionnaire-Core 30.RESULTS A total of 346 patients were analyzed.Baseline demographic,clinical,and cancer characteristics were similar between groups.The TIVAP group demonstrated a significantly lower incidence of catheter-related complications than the PICC group,with no pneumothorax occurring in either group.QoL assessments at baseline were comparable.At one month,the TIVAP group exhibited significantly higher EuroQoL Five Dimensions health state scores and QLQ-C30 global health status scores.Multivariate analysis identified TIVAP use,catheter tip placement in the distal superior vena cava/right atrium,prophylactic antibiotic administration,and antimicrobial dressing application as independent protective factors associated with reduced complications and improved QoL.CONCLUSION In patients with gastrointestinal cancer undergoing chemotherapy,TIVAPs are associated with a lower incidence of catheter-related complications and improved QoL than PICCs.Optimal device selection,precise catheter tip positioning,and effective perioperative management are critical for minimizing complications and enhancing patient-reported outcomes during treatment.
文摘The concept of a community with a shared future for humanity is the core idea of Xi Jinping thought on diplomacy.Since its introduction,this concept has been steadily advanced across various levels and sectors,yielding tangible and meaningful results.Within Chinese academia,the idea of a community with a shared future for humanity,along with the important idea of a maritime community with a shared future,has been integrated into research on South China Sea issues.Scholars have explored China’s approach to establishing regional order in the South China Sea from multiple perspectives,including territorial dispute resolution,maritime rights and interests’protection,environmental conservation,and port cooperation.
文摘Aim To design the home -made embedded real time operating system COSIX V2.O/RT developing platform,the Mach operating system interprocess communication mech- anism based on object-oriented technique was analyzed. Methods Not only being the trans-mission channel,but also being the abstract of all the entity in the Mach operating system.ports play the most important role in Mach IPC(interprocess communication).Ports were de-vided into 4 types: system ports, privileged ports user ports and kernel ports.All these ports'creation,run and kill processes and the message transmission in IPC were analyzed.ResultsMach IPC has been widely used in Client/Server run environment.Packing and unpacking inmessage transmission must restrict the run efficiency of IPC Conclusion To enhance IPC runefficiency and at the same time enhance the operating system's run efficiency,some of thesystem calls should be rewritten and implemented with trapped mode in kernel.In the end the aim of designing real time operating system is achieved.
文摘BACKGROUND Fundoplication, was first introduced as a surgical treatment method of gastroesophageal reflux disease. Consequently, several modifications of this method have been described, whereas laparoscopic fundoplication was recently introduced. Although single incision(SI) fundoplication was considered as an alternative to the conventional laparoscopic approach, several studies reported an increased operation duration, and high rates of multiport conversion and incisional hernia.AIM To provide a current overview of the technical variations and the postoperative outcomes of patients submitted to SI fundoplication.METHODS The present systematic review of the literature was designed and conducted on the basis of the PRISMA guidelines. A systematic screening of the electronic scholar databases(Medline, Scopus and Web of Science) was performed.RESULTS Literature search resulted in the identification of 19 studies. Overall, 266, 137 and110 SI Nissen, Dor and Toupet fundoplications were reported, respectively. In the majority of the trials, standard laparoscopic instruments were used. The left liver lobe was displayed through the use of forceps, graspers, retractors, drains or even glue. Both intra-corporeal and extracorporeal suturing was described. Mean operative time was 136.3 min. Overall complication rate was 5.2% and the rate of incisional hernia was 0.9%. No mortality was reported.CONCLUSIONDue to the methodological heterogeneity and the lack of high quality studies comparing multi to single access techniques and the several variations, we conclude that further well designed studies are necessary, in order to evaluate the role of SI fundoplication.
文摘In China with the implement of the strategy of overall opening up to the outside world,northeast China has basically formed an open pattern with simultineous development of border opening and coast opening. As a national window to open up to the outside world, an open port system in northeast region has formed. These ports can be classified from different angles, such as management level, transport mode, location. From management level, they can be classified into the state firstclass ports and the second-class ports. According to transpost mode, they can be divided into railway port, highway port, water transport port, air transport port and special mode port, and based on location, they can be divided into border port, coast port and inland port. The oaper introduces in detail the foreign trade connection of 4 most representative state first-class border ports: Hunchun, Suifenhe, Heihe and Manzhouli. The open ports Of northeast coast regin mean mainly coast water transport ports in Liaodong Peninsula. The foreign trade connection of coast open ports: Dandong, Jinzhou,Yingkou and Dalian is expounded. And the paper also analyses the transport connection of ports of northeast region with their hinterlands.
