Objective:Nurse-led virtual outpatient clinics are now a familiar component of healthcare delivery across many disciplines,including cancer care,or thopedics,rheumatology,and gastroenterology.However,establishing a nu...Objective:Nurse-led virtual outpatient clinics are now a familiar component of healthcare delivery across many disciplines,including cancer care,or thopedics,rheumatology,and gastroenterology.However,establishing a nurse-led vir tual clinic is challenging for nursing management,par ticularly regarding resources.We aimed to investigate nursing practices and processes and patient experiences in relation to vir tual outpatient clinics.Methods:This was a cross-sectional,descriptive study using mixed data collection methods.Patients(n=324)from 4 specialist clinics completed the Virtual Clinics Patient Satisfaction Questionnaire(VCSQ)survey.Five Nurse Specialists participated in a focus group interview.Results:Most participants(86.3%)reported being satisfied/very satisfied with the virtual clinics,particularly those that were nurse-led.Nurse specialists identified electronic health records(EHRs)and additional IT and administrative support as important for efficiency and effectiveness of the clinics.Conclusions:Nurse-led virtual clinics can be an effective and efficient way to provide care to patients.Nurse managers need to ensure supportive structures are in place,for example,dedicated administrators,IT support and infrastructure,education/training,and relevant policies/procedures.The success of nurse-led virtual services requires key infrastructure to support nursing staff and sustain this service.展开更多
工业远程控制网关是用来解决数据采集与监控系统和工业计算机之间网络通信的安全问题,给工业网络连接到因特网的时候提供安全保证。该网关普遍适用各类的工业环境,且支持任何工业设备和所有类型的数据采集与监控系统,在工业设备和SC AD ...工业远程控制网关是用来解决数据采集与监控系统和工业计算机之间网络通信的安全问题,给工业网络连接到因特网的时候提供安全保证。该网关普遍适用各类的工业环境,且支持任何工业设备和所有类型的数据采集与监控系统,在工业设备和SC AD A设备之间处理数据包。由于工业设备无法安装使用VPN软件,因此本设计运用M anager/Agent模型的方式来实现VPN的功能。展开更多
The purpose of this study is to investigate the effectiveness of the“expiration manager”mini program in managing the validity of ward items.The program was used to manage frequently and infrequently used consumables...The purpose of this study is to investigate the effectiveness of the“expiration manager”mini program in managing the validity of ward items.The program was used to manage frequently and infrequently used consumables by setting up an automatic reminder function.The item failure rate and the time required for nurses to conduct counts over 6 months before and after implementation were compared,as well as evaluated system availability using the System Usability scale(SUS).Results showed that after implementing the mini program,both the item failure rate and non-recognition rate significantly decreased(P<0.05),while the inspection pass rate significantly increased(P<0.05),and the monthly inventory time was reduced(P<0.05).The SUS evaluation yielded a total score of 74.38±11.73,with learnability at 80.21±20.27 and availability at 72.92±11.18,all indicating good user acceptance.In conclusion,the“expiration manager”mini program can effectively improve the efficiency of item expiration management,reduce the risk of expiration,and save inspection time,thereby demonstrating high user acceptance and promising potential for wider adoption.展开更多
The development of villas in Bali is very rapid, especially in Badung regency with the distribution of the number of dominant villas in North Kuta district. Based on preliminary study, tourists tend to make reservatio...The development of villas in Bali is very rapid, especially in Badung regency with the distribution of the number of dominant villas in North Kuta district. Based on preliminary study, tourists tend to make reservations through online travel agents （OTA）. Therefore, there is a tendency if the villa manager in North Kuta district makes promotion through OTA. The aim of this research is to explain and analyze the dominant factors that influence the perception of villa managers in North Kuta district on using OTA as marketing media. The population in this research is composed of 191 villas. The final sample villas, using Slovin formula, were chosen based on cluster proportional sampling technique, totally 66 unit villas. Respondent in this research is the villa manager of each sample villa, so there are as much as 66 respondents. For data analysis, we used confirmatory factor analysis and descriptive statistics. In general, the perception of managers in North Kuta district on the use of OTA as marketing media is strongly agree or strongly positive with an average value of 4.37. The analysis of factors simultaneously showed that the perception of villa managers in North Kuta district on the use of OTA is determined by three factors, namely, factor in the self-perception of villa manager （F 1）, the factors in the self-perception of OTA （F2）, and situational factors （F3）.展开更多
This paper presents a novel approach to dynamic pricing and distributed energy management in virtual power plant(VPP)networks using multi-agent reinforcement learning(MARL).As the energy landscape evolves towards grea...This paper presents a novel approach to dynamic pricing and distributed energy management in virtual power plant(VPP)networks using multi-agent reinforcement learning(MARL).As the energy landscape evolves towards greater decentralization and renewable integration,traditional optimization methods struggle to address the inherent complexities and uncertainties.Our proposed MARL framework enables adaptive,decentralized decision-making for both the distribution system operator and individual VPPs,optimizing economic efficiency while maintaining grid stability.We formulate the problem as a Markov decision process and develop a custom MARL algorithm that leverages actor-critic architectures and experience replay.Extensive simulations across diverse scenarios demonstrate that our approach consistently outperforms baseline methods,including Stackelberg game models and model predictive control,achieving an 18.73%reduction in costs and a 22.46%increase in VPP profits.The MARL framework shows particular strength in scenarios with high renewable energy penetration,where it improves system performance by 11.95%compared with traditional methods.Furthermore,our approach demonstrates superior adaptability to unexpected events and mis-predictions,highlighting its potential for real-world implementation.展开更多
基金supported by Nursing and Midwifery Practice Development Unit(NMPDU),Dublin South,Kildare,and Wicklow,Nurses preparedness for end of life conversations(No.P210537)。
文摘Objective:Nurse-led virtual outpatient clinics are now a familiar component of healthcare delivery across many disciplines,including cancer care,or thopedics,rheumatology,and gastroenterology.However,establishing a nurse-led vir tual clinic is challenging for nursing management,par ticularly regarding resources.We aimed to investigate nursing practices and processes and patient experiences in relation to vir tual outpatient clinics.Methods:This was a cross-sectional,descriptive study using mixed data collection methods.Patients(n=324)from 4 specialist clinics completed the Virtual Clinics Patient Satisfaction Questionnaire(VCSQ)survey.Five Nurse Specialists participated in a focus group interview.Results:Most participants(86.3%)reported being satisfied/very satisfied with the virtual clinics,particularly those that were nurse-led.Nurse specialists identified electronic health records(EHRs)and additional IT and administrative support as important for efficiency and effectiveness of the clinics.Conclusions:Nurse-led virtual clinics can be an effective and efficient way to provide care to patients.Nurse managers need to ensure supportive structures are in place,for example,dedicated administrators,IT support and infrastructure,education/training,and relevant policies/procedures.The success of nurse-led virtual services requires key infrastructure to support nursing staff and sustain this service.
文摘工业远程控制网关是用来解决数据采集与监控系统和工业计算机之间网络通信的安全问题,给工业网络连接到因特网的时候提供安全保证。该网关普遍适用各类的工业环境,且支持任何工业设备和所有类型的数据采集与监控系统,在工业设备和SC AD A设备之间处理数据包。由于工业设备无法安装使用VPN软件,因此本设计运用M anager/Agent模型的方式来实现VPN的功能。
基金The First Affiliated Hospital of Shaoyang University,China(Project No.:23FY1015)。
文摘The purpose of this study is to investigate the effectiveness of the“expiration manager”mini program in managing the validity of ward items.The program was used to manage frequently and infrequently used consumables by setting up an automatic reminder function.The item failure rate and the time required for nurses to conduct counts over 6 months before and after implementation were compared,as well as evaluated system availability using the System Usability scale(SUS).Results showed that after implementing the mini program,both the item failure rate and non-recognition rate significantly decreased(P<0.05),while the inspection pass rate significantly increased(P<0.05),and the monthly inventory time was reduced(P<0.05).The SUS evaluation yielded a total score of 74.38±11.73,with learnability at 80.21±20.27 and availability at 72.92±11.18,all indicating good user acceptance.In conclusion,the“expiration manager”mini program can effectively improve the efficiency of item expiration management,reduce the risk of expiration,and save inspection time,thereby demonstrating high user acceptance and promising potential for wider adoption.
文摘The development of villas in Bali is very rapid, especially in Badung regency with the distribution of the number of dominant villas in North Kuta district. Based on preliminary study, tourists tend to make reservations through online travel agents （OTA）. Therefore, there is a tendency if the villa manager in North Kuta district makes promotion through OTA. The aim of this research is to explain and analyze the dominant factors that influence the perception of villa managers in North Kuta district on using OTA as marketing media. The population in this research is composed of 191 villas. The final sample villas, using Slovin formula, were chosen based on cluster proportional sampling technique, totally 66 unit villas. Respondent in this research is the villa manager of each sample villa, so there are as much as 66 respondents. For data analysis, we used confirmatory factor analysis and descriptive statistics. In general, the perception of managers in North Kuta district on the use of OTA as marketing media is strongly agree or strongly positive with an average value of 4.37. The analysis of factors simultaneously showed that the perception of villa managers in North Kuta district on the use of OTA is determined by three factors, namely, factor in the self-perception of villa manager （F 1）, the factors in the self-perception of OTA （F2）, and situational factors （F3）.
基金supported by the Science and Technology Project of State Grid Sichuan Electric Power Company Chengdu Power Supply Company under Grant No.521904240005.
文摘This paper presents a novel approach to dynamic pricing and distributed energy management in virtual power plant(VPP)networks using multi-agent reinforcement learning(MARL).As the energy landscape evolves towards greater decentralization and renewable integration,traditional optimization methods struggle to address the inherent complexities and uncertainties.Our proposed MARL framework enables adaptive,decentralized decision-making for both the distribution system operator and individual VPPs,optimizing economic efficiency while maintaining grid stability.We formulate the problem as a Markov decision process and develop a custom MARL algorithm that leverages actor-critic architectures and experience replay.Extensive simulations across diverse scenarios demonstrate that our approach consistently outperforms baseline methods,including Stackelberg game models and model predictive control,achieving an 18.73%reduction in costs and a 22.46%increase in VPP profits.The MARL framework shows particular strength in scenarios with high renewable energy penetration,where it improves system performance by 11.95%compared with traditional methods.Furthermore,our approach demonstrates superior adaptability to unexpected events and mis-predictions,highlighting its potential for real-world implementation.
