Objective:This paper mainly explores the effect of fine management application in maintenance of deep venous indwelling catheter in hemodialysis patients.Methods:150 hemodialysis patients with deep venous catheter ind...Objective:This paper mainly explores the effect of fine management application in maintenance of deep venous indwelling catheter in hemodialysis patients.Methods:150 hemodialysis patients with deep venous catheter indwelling in our hospital from December 2019 to September 2020 were divided into routine group and study group.The routine group was given routine nursing,and the study group was given fine management nursing.The nursing effect of the two groups was analyzed.Results:After nursing intervention,the incidence of complications in the study group was 14.66%,which was lower than that in the conventional group(53.33%),and the nursing compliance in the study group(98.66%)was higher than that in the conventional group(89.33%),all P<0.05.Conclusion:Fine management plays a significant role in the maintenance of deep venous indwelling catheter in hemodialysis patients,which can reduce the occurrence of complications.展开更多
In the coal production, due to the variety and the large number of mechanical and electrical equipment, need to strengthen the fine management, in order to better get rid of the traditional management mode, promote it...In the coal production, due to the variety and the large number of mechanical and electrical equipment, need to strengthen the fine management, in order to better get rid of the traditional management mode, promote its safe and effective operation, improving safety production efficiency. Therefore, enterprises must adhere to the modern enterprise management concept of fine management, strengthening the daily management, safety management and organization management of fine planning and management, in order to improve the safety and efficient operation of mechanical and electrical equipment in coal mines.展开更多
Highway engineering is the transportation kit in our country, and its construction plays an important role in the development of the transportation industry in our country.?At present, highway engineering in our count...Highway engineering is the transportation kit in our country, and its construction plays an important role in the development of the transportation industry in our country.?At present, highway engineering in our country presents a trend of increasing and expanding scale.?However, there are many factors involved in the implementation of highway engineering projects, so the management is quite difficult.?The traditional management mode has been unable to meet the needs of highway construction and development in the new era.?Therefore, the focus of this paper is to explore the effective implementation of highway project technical fine management strategy, so as to promote the sustainable development of China's highway construction.展开更多
Objective: to analyze the effect of fine management in the application of dental nursing safety. Methods: 78 cases of oral disease patients were selected as the research object this time. The author divided them into ...Objective: to analyze the effect of fine management in the application of dental nursing safety. Methods: 78 cases of oral disease patients were selected as the research object this time. The author divided them into two groups by drawing lot. One group was the control group, which carried out routine nursing and included 39 oral patients;The other group was the experimental group, which carried out fine management and included 39 oral patients. The nursing effects of the two groups of oral patients were compared. Results: the nursing satisfaction, the improvement of psychological state and the incidence of oral unsafe events (gum bleeding, aspiration, dysphagia, tooth loosening, etc.) in the experimental group were better than those in the control group (P < 0.05). Conclusion: the application of fine management in the safe nursing process of stomatology department can make patients more satisfied with clinical nursing satisfaction, avoid too many oral unsafe events for such patients, and enable such patients to receive clinical treatment with a good attitude, which is worthy of recommendation.展开更多
With the continuous progress and development of social economy, China's national economic level continues to improve with the improvement of people's demand, the overall safety and quality of housing projects ...With the continuous progress and development of social economy, China's national economic level continues to improve with the improvement of people's demand, the overall safety and quality of housing projects are affected by various factors, these factors can not ensure that it meets the requirements of modern development. Therefore, based on the analysis of relevant cases, this paper analyzes the problems of housing project management, and puts forward measures to improve management to achieve positive results.展开更多
The full and smooth development of construction projects requires the full support of meticulous management by the construction unit. In the construction management work, the quality of construction management personn...The full and smooth development of construction projects requires the full support of meticulous management by the construction unit. In the construction management work, the quality of construction management personnel is also very important. Therefore, the construction unit is required to fully cooperate with the meticulous management model to continuously improve the work development of project management and the quality of construction projects from the root. This requires all departments to coordinate and cooperate with each other and design the construction system rationally. Only in this way can the quality of construction projects be effectively guaranteed and the operation of construction units be effectively maintained. No matter in the early stage of construction or in the construction stage, meticulous management should be carried out in an all-round way. The significance of meticulous management to the development of construction enterprises should be clarified, the quality and safety of construction projects should be guaranteed, and meticulous management should be put in place. Only in this way can new impetus be brought to the development of construction enterprises. Based on this, this paper briefly studies the application of refined management in engineering cost management.展开更多
In the new era, housing construction management is facing many new challenges and difficulties. Managers actively explore effective management measures and methods, strive to improve the management level and adapt to ...In the new era, housing construction management is facing many new challenges and difficulties. Managers actively explore effective management measures and methods, strive to improve the management level and adapt to the new situation of management. Through continuous exploration and practice, the experience of fine management is summarized to make up for the shortcomings of traditional management and improve the level of construction management.展开更多
Objective: to explore the effect of fine management in nursing management of neurology department. Methods: this study was conducted in our hospital from January 2019 to December 2020. A total of 68 patients in the De...Objective: to explore the effect of fine management in nursing management of neurology department. Methods: this study was conducted in our hospital from January 2019 to December 2020. A total of 68 patients in the Department of Neurology were selected as subjects and randomly divided by single-blind method with 34 patients in each group. The control group was treated as routine management, and the observation group was treated with fine management to analyze the difference in effect. Results: the nursing satisfaction of observation group was significantly higher than that of control group, with statistical significance (P < 0.05). Conclusion: in the nursing management of neurology department, fine management has obvious advantages, so it is necessary to pay more attention to improve the nursing service level.展开更多
Objective: to explore and analyze the effect of fine management on medical equipment management in hospitals in plateau area. Methods: 148 pieces of medical equipment used in our hospital during March 2019 to March 20...Objective: to explore and analyze the effect of fine management on medical equipment management in hospitals in plateau area. Methods: 148 pieces of medical equipment used in our hospital during March 2019 to March 2020 were selected and randomly divided into two groups, with 74 pieces of equipment in each group, and the two groups were named as observation group and control group. The medical equipment in the observation group was managed by fine management, and the medical equipment in the control group was managed by routine management. Observe and analyze the failure rate, integrity rate and qualification rate of cleaning and disinfection of medical equipment after management of the two groups, and investigate the management personnel to analyze their management satisfaction. Results: compared with the control group, the equipment integrity rate, cleaning and disinfection qualification rate and management satisfaction of administrators in the observation group were significantly increased (P < 0.05), and the equipment failure rate in the observation group was significantly lower than that in the control group (P < 0.05). Conclusion: the application of fine management in the medical equipment management of hospitals in the plateau area can greatly improve the equipment integrity rate and cleaning and disinfection rate, and the effect is good, which is worthy of promotion.展开更多
This study systematically explores the refined strategies for construction management in building decoration and renovation projects,establishing a comprehensive management system that includes process control and qua...This study systematically explores the refined strategies for construction management in building decoration and renovation projects,establishing a comprehensive management system that includes process control and quality assurance.By integrating BIM technology with intelligent tool development,the study achieved an improvement in construction quality compliance to 98.7%,a reduction in project delay rate to 1.2%,and a comprehensive cost savings of 12.7%.The“3D Standards+Five-Dimensional Monitoring”method proposed in the study effectively addresses the unique challenges of decoration projects.A total of 128 quality control points and dynamic early warning mechanisms form a replicable management paradigm,providing technical support for the industry’s implementation of the“14th Five-Year Plan for the Construction Industry.”展开更多
Refined management has become an inevitable trend in the development stage of social economy. Construction engineering enterprises gradually realize the importance of creating refined management mode and are committed...Refined management has become an inevitable trend in the development stage of social economy. Construction engineering enterprises gradually realize the importance of creating refined management mode and are committed to achieving the goal of refined management in the construction stage to ensure the effective implementation of quality management. In view of this, this paper discusses the application of refined management in construction project management.展开更多
This paper first analyzes the necessity of refined management of highway engineering construction technology, and then analyzes the measures of refined management of highway engineering construction technology from fi...This paper first analyzes the necessity of refined management of highway engineering construction technology, and then analyzes the measures of refined management of highway engineering construction technology from five aspects of system, progress, cost, quality and safety, combined with specific highway engineering projects, so as to provide reference for similar projects.展开更多
In the face of the rapid development of modern economic construction industry, China's economy needs high-quality and high standard specifications, and the development demand of construction engineering industry c...In the face of the rapid development of modern economic construction industry, China's economy needs high-quality and high standard specifications, and the development demand of construction engineering industry continues to improve and expand.In order to better meet the comprehensive national construction and development requirements of construction enterprises, facing the new development mechanism and management requirements, it is necessary to continuously improve the quality level of project management and control, and be close to the research ideas explored by the development of construction enterprises.According to the construction fine management mode of construction engineering, carry out detailed research by integrating the possible prominent problems in construction, analyze the elements and key points of construction management, integrate the construction management content of construction engineering, and put forward the construction scheme in line with the fine management of construction engineering.This paper will analyze the prominent problem elements existing in the comprehensive construction management of construction engineering, analyze the reasons for the insufficient quality of construction personnel, inadequate supervision and unreasonable construction management, pay attention to the evaluation of detailed measures according to the standard requirements of standardized construction management of construction engineering, improve the comprehensive construction management level of construction engineering, and strictly follow the institutionalized management and supervision mechanism, determine the standard elements that meet the contents of project construction management and realize fine management.展开更多
At present, China's medical and health undertakings have been greatly developed, which also leads to increasingly fierce competition among medical institutions. The information management mechanism and related tec...At present, China's medical and health undertakings have been greatly developed, which also leads to increasingly fierce competition among medical institutions. The information management mechanism and related technologies in the medical system are becoming more and more mature, and the total amount of consumables in the hospital is gradually increasing. Therefore, it is very important to manage the medical equipment consumables in the hospital well. Based on this, this paper discusses the fine management of medical equipment consumables in detail. First of all, this paper summarized the problems existing in the traditional financial management and control of the medical system, and then put forward specific solutions for the shortcomings of the summary, in order to improve the quality of the refined management of medical device consumables in hospitals.展开更多
Fine cost management is a systematic, refined, and dynamic management method. This paper provides us the background and meanings of fine cost management, it defines and analyzes the connotation of fine cost management...Fine cost management is a systematic, refined, and dynamic management method. This paper provides us the background and meanings of fine cost management, it defines and analyzes the connotation of fine cost management in detail.展开更多
Objective: to explore the research effect of fine nursing in neurosurgery nursing. Methods: a total of 30 patients hospitalized in neurosurgery from January 2020 to June 2020 were selected as research objects, and 30 ...Objective: to explore the research effect of fine nursing in neurosurgery nursing. Methods: a total of 30 patients hospitalized in neurosurgery from January 2020 to June 2020 were selected as research objects, and 30 patients were randomly divided into control group and observation group, with 15 patients in each group. The control group received routine nursing, and the observation group received refined services on the basis of routine nursing. Results: after careful treatment and effective treatment, the quality of treatment in observation group was significantly higher than that in control group (P > 0.05). After effective nursing, the health status of patients in both groups was alleviated to an unreasonable degree. It can be seen that the effective nursing results of patients in the observation group were significantly better than those in the control group Conclusion: in neurosurgical medical care, due to the use of a variety of fine process management, can effectively ensure the timely effectiveness of medical care, reduce the patient's bad mood at the same time, but also greatly improve the patient's confidence and nursing service quality.展开更多
With the continuous progress of modern society, refined supervision belongs to a new management concept, which is integrated into every industry in the society according to its own reasonable and effective advantages....With the continuous progress of modern society, refined supervision belongs to a new management concept, which is integrated into every industry in the society according to its own reasonable and effective advantages. Student work is the main component of the normal management work in colleges and universities. It plays a positive role in guiding students to form correct values and concepts. College students belong to a special group. They master a lot of knowledge and are very agile in thinking. Especially under the influence of social development and diversification, students' ideology has changed to a certain extent. Introducing refined management into school student work is a choice in school teaching reform.展开更多
Fractured carbonate reservoirs are susceptible to blowout and lost circulation during drilling,which not only restricts drilling speed,but also poses big threat to well control.Moreover,there are few technical means a...Fractured carbonate reservoirs are susceptible to blowout and lost circulation during drilling,which not only restricts drilling speed,but also poses big threat to well control.Moreover,there are few technical means available to reconstruct pressure balance in the borehole.Accordingly,the fine managed pressure drilling was used in the drilling of Well GS19 in the Qixia Formation with super-high pressure and narrow density window,which is a success:①back pressure in the annular spaces will be adjusted to maintain a slightly over-balanced bottom-hole hydraulic pressure,and fluid level in the circulation tank will be kept in a slight dropping state to ensure that natural gas in the formation would not invade into the borehole in a massive volume;②inlet drilling fluid density will be controlled at around 2.35 g/cm^(3),back pressures in the annular be maintained at 2-5 MPa,and bottom-hole pressure equivalent circulation density be controlled at 2.46-2.52 g/cm^(3);③during managed pressure drilling operations,if wellhead pressure exceeds or expects to exceed 7 MPa,semi-blind rams will be closed.Fluids will pass through the choke manifold of the rig to the choke manifold specifically for pressure control before entering gas/liquid separators to discharge gas;④during tripping back pressure will be kept at less than 5 MPa,volume of injected drilling fluid will be higher than the theoretical volume during tripping out,whereas the volume of returned drilling fluid will be higher than the theoretical volume during the out-tripping.This technique has been applied successfully in the drilling of the Qixia Formation,Liangshan Formation and Longmaxi Formation with a total footage of 216.60 m,as a good attempt in complicated wells with both blowout and lost circulation risks,which can provide valuable experiences and guidance for handling similar complexities in the future.展开更多
Objective: to evaluate the effectiveness of fine nursing management in children with acute bronchitis. Methods: 70 cases of children with acute bronchitis treated in our hospital from January 2019 to January 2020 were...Objective: to evaluate the effectiveness of fine nursing management in children with acute bronchitis. Methods: 70 cases of children with acute bronchitis treated in our hospital from January 2019 to January 2020 were randomly divided into the reference group and the study group, 35 cases in each group. The reference group was given routine nursing, and the study group was given fine nursing. The nursing effects of the two groups were compared. Results: the disappearance time of cough, asthma and lung rales in the study group was significantly shorter than that in the reference group, the difference was statistically significant (P < 0.05). The relatives of children in the study group were more satisfied with all kinds of nursing operations than the reference group, and the difference was statistically significant (P < 0.05). Conclusion: the refined nursing model has outstanding clinical effects, which can effectively relieve the clinical symptoms of children, improve the nursing satisfaction of relatives, and highlight the idea of detailed nursing and high-quality nursing, which is worthy of extensive clinical application and promotion.展开更多
As the country vigorously promotes the medical reform, public hospitals urgently need to optimize the cost management mechanism and process, explore the idea of cost control, seek benefits from management, and improve...As the country vigorously promotes the medical reform, public hospitals urgently need to optimize the cost management mechanism and process, explore the idea of cost control, seek benefits from management, and improve the overall operation and management level, so as to promote the hospital to a high-quality sustainable development path.展开更多
文摘Objective:This paper mainly explores the effect of fine management application in maintenance of deep venous indwelling catheter in hemodialysis patients.Methods:150 hemodialysis patients with deep venous catheter indwelling in our hospital from December 2019 to September 2020 were divided into routine group and study group.The routine group was given routine nursing,and the study group was given fine management nursing.The nursing effect of the two groups was analyzed.Results:After nursing intervention,the incidence of complications in the study group was 14.66%,which was lower than that in the conventional group(53.33%),and the nursing compliance in the study group(98.66%)was higher than that in the conventional group(89.33%),all P<0.05.Conclusion:Fine management plays a significant role in the maintenance of deep venous indwelling catheter in hemodialysis patients,which can reduce the occurrence of complications.
文摘In the coal production, due to the variety and the large number of mechanical and electrical equipment, need to strengthen the fine management, in order to better get rid of the traditional management mode, promote its safe and effective operation, improving safety production efficiency. Therefore, enterprises must adhere to the modern enterprise management concept of fine management, strengthening the daily management, safety management and organization management of fine planning and management, in order to improve the safety and efficient operation of mechanical and electrical equipment in coal mines.
文摘Highway engineering is the transportation kit in our country, and its construction plays an important role in the development of the transportation industry in our country.?At present, highway engineering in our country presents a trend of increasing and expanding scale.?However, there are many factors involved in the implementation of highway engineering projects, so the management is quite difficult.?The traditional management mode has been unable to meet the needs of highway construction and development in the new era.?Therefore, the focus of this paper is to explore the effective implementation of highway project technical fine management strategy, so as to promote the sustainable development of China's highway construction.
文摘Objective: to analyze the effect of fine management in the application of dental nursing safety. Methods: 78 cases of oral disease patients were selected as the research object this time. The author divided them into two groups by drawing lot. One group was the control group, which carried out routine nursing and included 39 oral patients;The other group was the experimental group, which carried out fine management and included 39 oral patients. The nursing effects of the two groups of oral patients were compared. Results: the nursing satisfaction, the improvement of psychological state and the incidence of oral unsafe events (gum bleeding, aspiration, dysphagia, tooth loosening, etc.) in the experimental group were better than those in the control group (P < 0.05). Conclusion: the application of fine management in the safe nursing process of stomatology department can make patients more satisfied with clinical nursing satisfaction, avoid too many oral unsafe events for such patients, and enable such patients to receive clinical treatment with a good attitude, which is worthy of recommendation.
文摘With the continuous progress and development of social economy, China's national economic level continues to improve with the improvement of people's demand, the overall safety and quality of housing projects are affected by various factors, these factors can not ensure that it meets the requirements of modern development. Therefore, based on the analysis of relevant cases, this paper analyzes the problems of housing project management, and puts forward measures to improve management to achieve positive results.
文摘The full and smooth development of construction projects requires the full support of meticulous management by the construction unit. In the construction management work, the quality of construction management personnel is also very important. Therefore, the construction unit is required to fully cooperate with the meticulous management model to continuously improve the work development of project management and the quality of construction projects from the root. This requires all departments to coordinate and cooperate with each other and design the construction system rationally. Only in this way can the quality of construction projects be effectively guaranteed and the operation of construction units be effectively maintained. No matter in the early stage of construction or in the construction stage, meticulous management should be carried out in an all-round way. The significance of meticulous management to the development of construction enterprises should be clarified, the quality and safety of construction projects should be guaranteed, and meticulous management should be put in place. Only in this way can new impetus be brought to the development of construction enterprises. Based on this, this paper briefly studies the application of refined management in engineering cost management.
文摘In the new era, housing construction management is facing many new challenges and difficulties. Managers actively explore effective management measures and methods, strive to improve the management level and adapt to the new situation of management. Through continuous exploration and practice, the experience of fine management is summarized to make up for the shortcomings of traditional management and improve the level of construction management.
文摘Objective: to explore the effect of fine management in nursing management of neurology department. Methods: this study was conducted in our hospital from January 2019 to December 2020. A total of 68 patients in the Department of Neurology were selected as subjects and randomly divided by single-blind method with 34 patients in each group. The control group was treated as routine management, and the observation group was treated with fine management to analyze the difference in effect. Results: the nursing satisfaction of observation group was significantly higher than that of control group, with statistical significance (P < 0.05). Conclusion: in the nursing management of neurology department, fine management has obvious advantages, so it is necessary to pay more attention to improve the nursing service level.
文摘Objective: to explore and analyze the effect of fine management on medical equipment management in hospitals in plateau area. Methods: 148 pieces of medical equipment used in our hospital during March 2019 to March 2020 were selected and randomly divided into two groups, with 74 pieces of equipment in each group, and the two groups were named as observation group and control group. The medical equipment in the observation group was managed by fine management, and the medical equipment in the control group was managed by routine management. Observe and analyze the failure rate, integrity rate and qualification rate of cleaning and disinfection of medical equipment after management of the two groups, and investigate the management personnel to analyze their management satisfaction. Results: compared with the control group, the equipment integrity rate, cleaning and disinfection qualification rate and management satisfaction of administrators in the observation group were significantly increased (P < 0.05), and the equipment failure rate in the observation group was significantly lower than that in the control group (P < 0.05). Conclusion: the application of fine management in the medical equipment management of hospitals in the plateau area can greatly improve the equipment integrity rate and cleaning and disinfection rate, and the effect is good, which is worthy of promotion.
文摘This study systematically explores the refined strategies for construction management in building decoration and renovation projects,establishing a comprehensive management system that includes process control and quality assurance.By integrating BIM technology with intelligent tool development,the study achieved an improvement in construction quality compliance to 98.7%,a reduction in project delay rate to 1.2%,and a comprehensive cost savings of 12.7%.The“3D Standards+Five-Dimensional Monitoring”method proposed in the study effectively addresses the unique challenges of decoration projects.A total of 128 quality control points and dynamic early warning mechanisms form a replicable management paradigm,providing technical support for the industry’s implementation of the“14th Five-Year Plan for the Construction Industry.”
文摘Refined management has become an inevitable trend in the development stage of social economy. Construction engineering enterprises gradually realize the importance of creating refined management mode and are committed to achieving the goal of refined management in the construction stage to ensure the effective implementation of quality management. In view of this, this paper discusses the application of refined management in construction project management.
文摘This paper first analyzes the necessity of refined management of highway engineering construction technology, and then analyzes the measures of refined management of highway engineering construction technology from five aspects of system, progress, cost, quality and safety, combined with specific highway engineering projects, so as to provide reference for similar projects.
文摘In the face of the rapid development of modern economic construction industry, China's economy needs high-quality and high standard specifications, and the development demand of construction engineering industry continues to improve and expand.In order to better meet the comprehensive national construction and development requirements of construction enterprises, facing the new development mechanism and management requirements, it is necessary to continuously improve the quality level of project management and control, and be close to the research ideas explored by the development of construction enterprises.According to the construction fine management mode of construction engineering, carry out detailed research by integrating the possible prominent problems in construction, analyze the elements and key points of construction management, integrate the construction management content of construction engineering, and put forward the construction scheme in line with the fine management of construction engineering.This paper will analyze the prominent problem elements existing in the comprehensive construction management of construction engineering, analyze the reasons for the insufficient quality of construction personnel, inadequate supervision and unreasonable construction management, pay attention to the evaluation of detailed measures according to the standard requirements of standardized construction management of construction engineering, improve the comprehensive construction management level of construction engineering, and strictly follow the institutionalized management and supervision mechanism, determine the standard elements that meet the contents of project construction management and realize fine management.
文摘At present, China's medical and health undertakings have been greatly developed, which also leads to increasingly fierce competition among medical institutions. The information management mechanism and related technologies in the medical system are becoming more and more mature, and the total amount of consumables in the hospital is gradually increasing. Therefore, it is very important to manage the medical equipment consumables in the hospital well. Based on this, this paper discusses the fine management of medical equipment consumables in detail. First of all, this paper summarized the problems existing in the traditional financial management and control of the medical system, and then put forward specific solutions for the shortcomings of the summary, in order to improve the quality of the refined management of medical device consumables in hospitals.
文摘Fine cost management is a systematic, refined, and dynamic management method. This paper provides us the background and meanings of fine cost management, it defines and analyzes the connotation of fine cost management in detail.
文摘Objective: to explore the research effect of fine nursing in neurosurgery nursing. Methods: a total of 30 patients hospitalized in neurosurgery from January 2020 to June 2020 were selected as research objects, and 30 patients were randomly divided into control group and observation group, with 15 patients in each group. The control group received routine nursing, and the observation group received refined services on the basis of routine nursing. Results: after careful treatment and effective treatment, the quality of treatment in observation group was significantly higher than that in control group (P > 0.05). After effective nursing, the health status of patients in both groups was alleviated to an unreasonable degree. It can be seen that the effective nursing results of patients in the observation group were significantly better than those in the control group Conclusion: in neurosurgical medical care, due to the use of a variety of fine process management, can effectively ensure the timely effectiveness of medical care, reduce the patient's bad mood at the same time, but also greatly improve the patient's confidence and nursing service quality.
文摘With the continuous progress of modern society, refined supervision belongs to a new management concept, which is integrated into every industry in the society according to its own reasonable and effective advantages. Student work is the main component of the normal management work in colleges and universities. It plays a positive role in guiding students to form correct values and concepts. College students belong to a special group. They master a lot of knowledge and are very agile in thinking. Especially under the influence of social development and diversification, students' ideology has changed to a certain extent. Introducing refined management into school student work is a choice in school teaching reform.
文摘Fractured carbonate reservoirs are susceptible to blowout and lost circulation during drilling,which not only restricts drilling speed,but also poses big threat to well control.Moreover,there are few technical means available to reconstruct pressure balance in the borehole.Accordingly,the fine managed pressure drilling was used in the drilling of Well GS19 in the Qixia Formation with super-high pressure and narrow density window,which is a success:①back pressure in the annular spaces will be adjusted to maintain a slightly over-balanced bottom-hole hydraulic pressure,and fluid level in the circulation tank will be kept in a slight dropping state to ensure that natural gas in the formation would not invade into the borehole in a massive volume;②inlet drilling fluid density will be controlled at around 2.35 g/cm^(3),back pressures in the annular be maintained at 2-5 MPa,and bottom-hole pressure equivalent circulation density be controlled at 2.46-2.52 g/cm^(3);③during managed pressure drilling operations,if wellhead pressure exceeds or expects to exceed 7 MPa,semi-blind rams will be closed.Fluids will pass through the choke manifold of the rig to the choke manifold specifically for pressure control before entering gas/liquid separators to discharge gas;④during tripping back pressure will be kept at less than 5 MPa,volume of injected drilling fluid will be higher than the theoretical volume during tripping out,whereas the volume of returned drilling fluid will be higher than the theoretical volume during the out-tripping.This technique has been applied successfully in the drilling of the Qixia Formation,Liangshan Formation and Longmaxi Formation with a total footage of 216.60 m,as a good attempt in complicated wells with both blowout and lost circulation risks,which can provide valuable experiences and guidance for handling similar complexities in the future.
文摘Objective: to evaluate the effectiveness of fine nursing management in children with acute bronchitis. Methods: 70 cases of children with acute bronchitis treated in our hospital from January 2019 to January 2020 were randomly divided into the reference group and the study group, 35 cases in each group. The reference group was given routine nursing, and the study group was given fine nursing. The nursing effects of the two groups were compared. Results: the disappearance time of cough, asthma and lung rales in the study group was significantly shorter than that in the reference group, the difference was statistically significant (P < 0.05). The relatives of children in the study group were more satisfied with all kinds of nursing operations than the reference group, and the difference was statistically significant (P < 0.05). Conclusion: the refined nursing model has outstanding clinical effects, which can effectively relieve the clinical symptoms of children, improve the nursing satisfaction of relatives, and highlight the idea of detailed nursing and high-quality nursing, which is worthy of extensive clinical application and promotion.
文摘As the country vigorously promotes the medical reform, public hospitals urgently need to optimize the cost management mechanism and process, explore the idea of cost control, seek benefits from management, and improve the overall operation and management level, so as to promote the hospital to a high-quality sustainable development path.
