Infected necrotizing pancreatitis(INP)remains a life-threatening complication of acute pancreatitis.Despite advancements such as endoscopic ultrasound(EUS)-guided drainage,lumen-apposing metal stents,and protocolized ...Infected necrotizing pancreatitis(INP)remains a life-threatening complication of acute pancreatitis.Despite advancements such as endoscopic ultrasound(EUS)-guided drainage,lumen-apposing metal stents,and protocolized step-up strate-gies,the clinical practice remains heterogeneous,with variability in endoscopic strategies,procedural timing,device selection,and adjunctive techniques contri-buting to inconsistent outcomes.This review synthesizes current evidence to contribute to a structured framework integrating multidisciplinary team decision-making,advanced imaging(three-dimensional reconstruction,contrast-enhanced computed tomography/magnetic resonance imaging),EUS assessment,and biomarker-driven risk stratification(C-reactive protein,procalcitonin)to optimize patient selection,intervention timing,and complication management.Key stan-dardization components include endoscopic assessment and procedural strate-gies,optimal timing of intervention,personalized approaches for complex pan-creatic collections,and techniques to reduce the number of endoscopic debride-ments and mitigate complications.This work aims to enhance clinical outcomes,minimize practice heterogeneity,and establish a foundation for future research and guideline development in endoscopic management of INP.展开更多
Objective To explore the risk management of the changes of sponsors and/or production sites during drug clinical trials based on the theories of quality management,risk management,and change management.Methods The met...Objective To explore the risk management of the changes of sponsors and/or production sites during drug clinical trials based on the theories of quality management,risk management,and change management.Methods The method of failure modes and effect analysis(FMEA)was used to identify risks through literature research,expert consultation,comparative research,and comprehensive analysis.Besides,risk priority number(RPN)was used to evaluate the risks.Results and Conclusion A FMEA of the changes of sponsors and/or production sites in clinical trials was constructed and RPN values of every failure mode and causes were obtained.Based on the RPN values,the core risk control points for different combination modes of sponsors and/or production sites after their changes were identified.It is recommended that China should strengthen the construction of the sponsor responsibility system.In addition,the changes of sponsors and/or production sites during the clinical trial period should be allowed in an orderly manner under the premise of ensuring the quality of clinical trials and subject protection.展开更多
Refined management,as a management concept and method that pursues efficiency,quality,and low consumption,has been applied in various industries.Due to its particularity,the construction industry needs to strengthen m...Refined management,as a management concept and method that pursues efficiency,quality,and low consumption,has been applied in various industries.Due to its particularity,the construction industry needs to strengthen management and refined management has become the primary choice for the industry,which is of great significance for its stable development.The article elaborates on the definition of refined management,analyzes the necessity of refined management in the construction industry,and explores the application measures of refined management in construction industry management,aiming to provide reference for improving the management level of the construction industry.展开更多
The Double Take column looks at a single topic from an African and Chinese perspective.This month,we explore how young people respond to the increasing focus on body weight management.As obesity rates climb,body weigh...The Double Take column looks at a single topic from an African and Chinese perspective.This month,we explore how young people respond to the increasing focus on body weight management.As obesity rates climb,body weight management has become a growing concern in China.The government is introducing targeted policies,hospitals are setting up dedicated clinics,and health experts are speaking out.But weight is no longer just a medical issue-it’s increas-ingly tied to identity,confidence,and social image.We examine the cultural forces shaping how young people in China and Africa approach weight-what drives their choices,how ideals are formed,and where health meets appearance in today’s shifting societies.展开更多
Journal Introduction"International Journal of Plant Engineering and Management"is in the charge of Ministry of Industry and Information Technology of the People's Republic of China,and organized by North...Journal Introduction"International Journal of Plant Engineering and Management"is in the charge of Ministry of Industry and Information Technology of the People's Republic of China,and organized by Northwestern Polytechnical University.It is a kind of English academic quarterly publication publicly issued at home and abroad.Plant engineering and management is a comprehensive interdisciplinary subject mainly reporting academic research on the application technology of equipment and industry management.展开更多
[Objectives]To systematically analyze the epidemiological characteristics and influencing factors associated with a cohort of 3273 rural patients diagnosed with mental disorders in Zhushan County,Hubei Province and ex...[Objectives]To systematically analyze the epidemiological characteristics and influencing factors associated with a cohort of 3273 rural patients diagnosed with mental disorders in Zhushan County,Hubei Province and explore an integrated management path that is applicable to rural areas.[Methods]A cross-sectional survey,in conjunction with a retrospective cohort analysis,was conducted.The samples were obtained from the National Management Information System for Severe Mental Disorders(2020-2024),and all registered rural patients in Zhushan County were included through cluster sampling.All participants provided informed consent,and the study received approval from the Ethics Committee of the Zhushan County Mental Health Center.Diagnoses were made in accordance with the International Classification of Diseases,10 th Revision(ICD-10).The research utilized a self-developed socio-ecological scale,which was validated through two rounds of the Delphi method conducted by an expert group,yielding a Cronbach sαof 0.82.The data were collected by trained investigators who conducted household visits.The data entry process involved double entry by two individuals to ensure accuracy for system review.Statistical analysis was performed using SPSS 26.0,employing the chi-square(χ2)test and logistic regression models for analysis.[Results]Schizophrenia was identified as the predominant disorder,affecting 68.4%of the patient population,followed by bipolar disorder,which accounted for 18.8%.Notably,individuals aged over 60 years constituted 40.36%of the sample.Furthermore,the poverty rate within this population was alarmingly high at 87.87%,while the illiteracy rate stood at 41.37%.The treatment experienced a significant delay,with a median duration of 14.2 months.Additionally,there was a substantial gap in standardized treatment,measured at 23.59%.The family care function was found to be inadequate,particularly for families lacking guardianship capacity,which was reported at 11.31%.An analysis of the underlying causes indicates that social structural imbalances(such as left-behind children and marital breakdown),along with economic poverty and insufficient educational opportunities,were critical risk factors contributing to these issues.The development of a model that integrates dynamic screening,full-chain intervention,and collaborative management is beneficial for fostering the efficient and systematic advancement of the rural mental health system.[Conclusions]Patients with mental disorders residing in rural areas face dual vulnerabilities.Therefore,it is essential to implement integrated management that encompasses early screening,standardized treatment,family support,and policy assistance.It is recommended that these elements should be integrated into the framework for local health policy development to enhance equitable access to mental health services and to provide psychological support for rural revitalization efforts.展开更多
This article focuses on financial management issues in mergers and acquisitions(M&A).It provides an indepth analysis of the financial risks and management challenges faced by contemporary businesses during various...This article focuses on financial management issues in mergers and acquisitions(M&A).It provides an indepth analysis of the financial risks and management challenges faced by contemporary businesses during various stages of M&A,such as pre-merger valuation pricing difficulties,unreasonable financing structures,risks in payment method selection,obstacles to financial integration,and lack of risk management.Targeted management strategies are proposed to address these issues.This paper suggests strengthening due diligence and valuation management,optimizing financing structures,rationally selecting payment methods,deepening financial integration,and improving tax planning.These strategies aim to enhance the level of financial management in M&A,promote economic synergies and management effects,help companies quickly achieve M&A goals,and drive sustainable business development.展开更多
Amid the deepening implementation of rural revitalization strategies and rapid fintech development,rural commercial banks-core financial institutions serving agriculture,rural areas,and farmers(the“three rurals”)and...Amid the deepening implementation of rural revitalization strategies and rapid fintech development,rural commercial banks-core financial institutions serving agriculture,rural areas,and farmers(the“three rurals”)and county economies-have seen their tellers’service quality and operational efficiency directly impact market competitiveness and sustainable development capabilities.This study examines teller performance management in rural commercial banks from a business management perspective.By analyzing structural issues in existing performance management systems and integrating theoretical frameworks with industry case studies,it proposes systematic optimization measures.The research aims to provide practical references for establishing scientific and efficient teller performance management systems in rural commercial banks,thereby enhancing service quality,strengthening talent support,and better serving the rural financial market.展开更多
Against the backdrop of the increasingly complex construction market environment,the whole-process cost management of agency-built projects faces issues such as cost overruns and insufficient management efficiency due...Against the backdrop of the increasingly complex construction market environment,the whole-process cost management of agency-built projects faces issues such as cost overruns and insufficient management efficiency due to the numerous stages and high technical requirements involved.This paper focuses on the key stages of whole-process cost management in agency-built projects,including project initiation,design,construction,and completion.It proposes strategies to optimize the cost management process and enhance management efficiency,providing theoretical support and practical guidance for the whole-process cost management under the agency-built model.展开更多
The combination and application of information technology and higher education have led to changes in the form and mode of teaching management in higher education,promoting the continuous deepening of digital transfor...The combination and application of information technology and higher education have led to changes in the form and mode of teaching management in higher education,promoting the continuous deepening of digital transformation in higher education.This paper discusses higher education management innovation triggered by digital technology and the new appearance of digital university governance,digital evaluation management,and internal governance of higher education.From the perspective of forging new forms,models,and paths of digital management through digital technology,this paper focuses on analyzing the reshaping of management systems by digitalization in higher education.The promotion and inspiration of digitalization on management system reform are provided,including typical features brought about,new paths opened up,and new advantages shaped.It is emphasized that the establishment of digital management system needs to rely on the systematic integration of multiple aspects.Finally,the challenges and solutions faced by the digital management system are deeply analyzed from the aspects of collaborative management and services,management process interoperability,evaluation and trust protection,and personnel digital literacy.Digital technology drives the transformation of higher education management system,resulting in new forms,models,paths,and methods of networked and digital management based on intelligent analysis and processing of educational and teaching data and promoting higher education management toward digital governance.The comprehensive establishment of a digital management system will unleash strong potential for universities to better fulfill their functions,and the high-quality development of higher education will be more solid and powerful.展开更多
IT SMEs as an important force can promote scientific and technological innovation and economic development,the effectiveness of project quality management mechanism is directly related to the survival and development ...IT SMEs as an important force can promote scientific and technological innovation and economic development,the effectiveness of project quality management mechanism is directly related to the survival and development of IT SMEs.This paper take IT SMEs as the research object,which deeply discusses the situation,existing problems and improvement strategies of the project quality management mechanism,and combines agile management and total quality management(TQM)theories to build a dynamic and adaptive project quality management mechanism.Through deeply analysis,the effectiveness of the mechanism is proposed,and the optimization path is proposed,aiming at providing theoretical support and practical guidance for enterprises to improve project delivery quality and enhance market competitiveness.展开更多
Background: The availability of essential medicines and medical supplies is crucial for effectively delivering healthcare services. In Zambia, the Logistics Management Information System (LMIS) is a key tool for manag...Background: The availability of essential medicines and medical supplies is crucial for effectively delivering healthcare services. In Zambia, the Logistics Management Information System (LMIS) is a key tool for managing the supply chain of these commodities. This study aimed to evaluate the effectiveness of LMIS in ensuring the availability of essential medicines and medical supplies in public hospitals in the Copperbelt Province of Zambia. Materials and Methods: From February to April 2022, a cross-sectional study was conducted in 12 public hospitals across the Copperbelt Province. Data were collected using structured questionnaires, checklists, and stock control cards. The study assessed LMIS availability, training, and knowledge among pharmacy personnel, as well as data accuracy, product availability, and order fill rates. Descriptive statistics were used to analyse the data. Results: All surveyed hospitals had LMIS implemented and were using eLMIS as the primary LMIS. Only 47% and 48% of pharmacy personnel received training in eLMIS and Essential Medicines Logistics Improvement Program (EMLIP), respectively. Most personnel demonstrated good knowledge of LMIS, with 77.7% able to log in to eLMIS Facility Edition, 76.6% able to locate stock control cards in the system, and 78.7% able to perform transactions. However, data accuracy from physical and electronic records varied from 0% to 60%, and product availability ranged from 50% to 80%. Order fill rates from Zambia Medicines and Medical Supplies Agency (ZAMMSA) were consistently below 30%. Discrepancies were observed between physical stock counts and eLMIS records. Conclusion: This study found that most hospitals in the Copperbelt Province of Zambia have implemented LMIS use. While LMIS implementation is high in the Copperbelt Province of Zambia, challenges such as low training levels, data inaccuracies, low product availability, and order fill rates persist. Addressing these issues requires a comprehensive approach, including capacity building, data quality improvement, supply chain coordination, and investment in infrastructure and human resources. Strengthening LMIS effectiveness is crucial for improving healthcare delivery and patient outcomes in Zambia.展开更多
Journal Introduction″International Journal of Plant Engineering and Management″is in the charge of Ministry of Industry and Information Technology of the People′s Republic of China,and organized by Northwestern Pol...Journal Introduction″International Journal of Plant Engineering and Management″is in the charge of Ministry of Industry and Information Technology of the People′s Republic of China,and organized by Northwestern Polytechnical University.It is a kind of English academic quarterly publication publicly issued at home and abroad.Plant engineering and management is a comprehensive interdisciplinary sub⁃ject mainly reporting academic research on the application technology of equipment and industry management.It is of the characteristics of reporting both engineering and management while giving more priority to engineering as well as mechanics and electrics while giving priority to mechanics.Its contents involves technology,economy,management etc.展开更多
Objective:To investigate the impact of programmed harmonious nursing combined with hierarchical management on nursing quality and satisfaction in a health management center.Methods:A total of 100 patients who received...Objective:To investigate the impact of programmed harmonious nursing combined with hierarchical management on nursing quality and satisfaction in a health management center.Methods:A total of 100 patients who received care at this health management center from January 2024 to January 2025 were selected as subjects.Using a random number table method,they were divided into an observation group(n=50)and a control group(n=50).The control group followed traditional methods,while the observation group integrated programmed harmonious nursing with hierarchical management.Comparative analysis was conducted on nursing quality scores,adverse event occurrence rates,and patient satisfaction between the two groups.Results:The observation group showed significantly improved nursing quality scores(P<0.05)and markedly reduced incidence of adverse events(P<0.05),with statistically significant differences compared to pre-treatment conditions(P<0.05).Conclusion:The combination of hierarchical management and programmed harmonious nursing demonstrates effectiveness in enhancing medical service quality,reducing adverse reactions,and improving patient satisfaction—a method worthy of promotion.展开更多
In 6th Generation Mobile Networks(6G),the Space-Integrated-Ground(SIG)Radio Access Network(RAN)promises seamless coverage and exceptionally high Quality of Service(QoS)for diverse services.However,achieving this neces...In 6th Generation Mobile Networks(6G),the Space-Integrated-Ground(SIG)Radio Access Network(RAN)promises seamless coverage and exceptionally high Quality of Service(QoS)for diverse services.However,achieving this necessitates effective management of computation and wireless resources tailored to the requirements of various services.The heterogeneity of computation resources and interference among shared wireless resources pose significant coordination and management challenges.To solve these problems,this work provides an overview of multi-dimensional resource management in 6G SIG RAN,including computation and wireless resource.Firstly it provides with a review of current investigations on computation and wireless resource management and an analysis of existing deficiencies and challenges.Then focusing on the provided challenges,the work proposes an MEC-based computation resource management scheme and a mixed numerology-based wireless resource management scheme.Furthermore,it outlines promising future technologies,including joint model-driven and data-driven resource management technology,and blockchain-based resource management technology within the 6G SIG network.The work also highlights remaining challenges,such as reducing communication costs associated with unstable ground-to-satellite links and overcoming barriers posed by spectrum isolation.Overall,this comprehensive approach aims to pave the way for efficient and effective resource management in future 6G networks.展开更多
This paper applies conflict management theory to study customer conflicts in budget hotels.Utilizing investigations and data analysis from budget hotels in Guilin,Guangxi Province,China,it identifies the factors that ...This paper applies conflict management theory to study customer conflicts in budget hotels.Utilizing investigations and data analysis from budget hotels in Guilin,Guangxi Province,China,it identifies the factors that influence the formation of customer conflicts and describes the characteristics of each stage in the development process,as well as the dual role of the conflicts.The paper also presents strategies for managing the transition from non-confrontational to confrontational conflicts.展开更多
Objective:To evaluate the effectiveness of quality nursing in the management of reusable instruments in the Central Sterile Supply Department(CSSD).Methods:Eleven nurses from the CSSD department were selected from Jan...Objective:To evaluate the effectiveness of quality nursing in the management of reusable instruments in the Central Sterile Supply Department(CSSD).Methods:Eleven nurses from the CSSD department were selected from January to October 2024,and quality nursing activities were implemented in the management of reusable instruments.The completion of quality indicators was analyzed.The instrument quality management scores,department satisfaction,and nurses’professional ability scores before and after nursing management were compared.Results:After nursing intervention,the qualified rates of initial cleaning and final cleaning of sterilization instruments were 99.66%and 100%,respectively.The qualified rate of packaging was 99.97%,the wet package rate was 0.1‰,the loading qualified rate was 99.88%,and the qualified rate of distribution was 99.99%.After nursing intervention,the nurses’instrument quality management scores,department satisfaction,and nurses’professional ability scores were all higher than those before nursing intervention(P<0.05).Conclusion:Quality nursing activities can improve the cleaning,packaging,and sterilization qualified rates of reusable instruments in the CSSD,enhance the effect of instrument quality management,obtain higher department satisfaction from nurses,cultivate their professional abilities,and possess significant nursing management advantages.展开更多
Objective:To analyze the preventive and management effects of the 4R crisis management theory on incontinence-associated dermatitis(IAD)in ICU patients with fecal incontinence.Methods:A hundred patients with fecal inc...Objective:To analyze the preventive and management effects of the 4R crisis management theory on incontinence-associated dermatitis(IAD)in ICU patients with fecal incontinence.Methods:A hundred patients with fecal incontinence who were admitted to the ICU for treatment between January 2024 and December 2024 were selected and randomly divided into two groups using a random number table.The observation group received 4R crisis management theory,while the control group received routine management.The IAD risk score,incidence of IAD,severity of IAD,and formation and healing time of IAD were compared between the two groups.Results:After management,the IAD risk score of the observation group was lower than that of the control group(P<0.05).The incidence of IAD in the observation group was lower than that in the control group,the proportion of mild IAD was higher than that in the control group,the formation time of IAD was later than that in the control group,and the healing time was shorter than that in the control group(P<0.05).Conclusion:Adopting the 4R crisis management theory for ICU patients with fecal incontinence can reduce the risk of IAD occurrence,effectively prevent IAD,reduce its severity,delay its formation time,and promote good healing.展开更多
Rapid population growth in recent decades has intensified both the global energy crisis and the challenges posed by climate change,including global warming.Currently,the increased frequency of extreme weather events a...Rapid population growth in recent decades has intensified both the global energy crisis and the challenges posed by climate change,including global warming.Currently,the increased frequency of extreme weather events and large fluctuations in ambient temperature disrupt thermal comfort and negatively impact health,driving a growing dependence on cooling and heating energy sources.Consequently,efficient thermal management has become a central focus of energy research.Traditional thermal management systems consume substantial energy,further contributing to greenhouse gas emissions.In contrast,emergent radiant thermal management technologies that rely on renewable energy have been proposed as sustainable alternatives.However,achieving year-round thermal management without additional energy input remains a formidable challenge.Recently,dynamic radiative thermal management technologies have emerged as the most promising solution,offering the potential for energy-efficient adaptation across seasonal variations.This review systematically presents recent advancements in dynamic radiative thermal management,covering fundamental principles,switching mechanisms,primary materials,and application areas.Additionally,the key challenges hindering the broader adoption of dynamic radiative thermal management technologies are discussed.By highlighting their transformative potential,this review provides insights into the design and industrial scalability of these innovations,with the ultimate aim of promoting renewable energy integration in thermal management applications.展开更多
With the continuous advancement of information technology,traditional teaching management models can no longer meet the demands of modern laboratory management.Information management,characterized by efficiency,conven...With the continuous advancement of information technology,traditional teaching management models can no longer meet the demands of modern laboratory management.Information management,characterized by efficiency,convenience,and intelligence,provides new ideas and directions for reforming laboratory teaching management models in higher education.Based on this,this paper explores reform strategies and practical approaches for laboratory teaching management models from the perspective of information management,aiming to offer references for enhancing the modernization and intelligentization of laboratory teaching management.展开更多
基金Supported by the Education and Teaching Reform Project of the First Clinical College of Chongqing Medical University,No.CMER202305Natural Science Foundation of Xizang Autonomous Region,No.XZ2024ZR-ZY100(Z)Program for Youth Innovation in Future Medicine,Chongqing Medical University,China,No.W0138.
文摘Infected necrotizing pancreatitis(INP)remains a life-threatening complication of acute pancreatitis.Despite advancements such as endoscopic ultrasound(EUS)-guided drainage,lumen-apposing metal stents,and protocolized step-up strate-gies,the clinical practice remains heterogeneous,with variability in endoscopic strategies,procedural timing,device selection,and adjunctive techniques contri-buting to inconsistent outcomes.This review synthesizes current evidence to contribute to a structured framework integrating multidisciplinary team decision-making,advanced imaging(three-dimensional reconstruction,contrast-enhanced computed tomography/magnetic resonance imaging),EUS assessment,and biomarker-driven risk stratification(C-reactive protein,procalcitonin)to optimize patient selection,intervention timing,and complication management.Key stan-dardization components include endoscopic assessment and procedural strate-gies,optimal timing of intervention,personalized approaches for complex pan-creatic collections,and techniques to reduce the number of endoscopic debride-ments and mitigate complications.This work aims to enhance clinical outcomes,minimize practice heterogeneity,and establish a foundation for future research and guideline development in endoscopic management of INP.
文摘Objective To explore the risk management of the changes of sponsors and/or production sites during drug clinical trials based on the theories of quality management,risk management,and change management.Methods The method of failure modes and effect analysis(FMEA)was used to identify risks through literature research,expert consultation,comparative research,and comprehensive analysis.Besides,risk priority number(RPN)was used to evaluate the risks.Results and Conclusion A FMEA of the changes of sponsors and/or production sites in clinical trials was constructed and RPN values of every failure mode and causes were obtained.Based on the RPN values,the core risk control points for different combination modes of sponsors and/or production sites after their changes were identified.It is recommended that China should strengthen the construction of the sponsor responsibility system.In addition,the changes of sponsors and/or production sites during the clinical trial period should be allowed in an orderly manner under the premise of ensuring the quality of clinical trials and subject protection.
文摘Refined management,as a management concept and method that pursues efficiency,quality,and low consumption,has been applied in various industries.Due to its particularity,the construction industry needs to strengthen management and refined management has become the primary choice for the industry,which is of great significance for its stable development.The article elaborates on the definition of refined management,analyzes the necessity of refined management in the construction industry,and explores the application measures of refined management in construction industry management,aiming to provide reference for improving the management level of the construction industry.
文摘The Double Take column looks at a single topic from an African and Chinese perspective.This month,we explore how young people respond to the increasing focus on body weight management.As obesity rates climb,body weight management has become a growing concern in China.The government is introducing targeted policies,hospitals are setting up dedicated clinics,and health experts are speaking out.But weight is no longer just a medical issue-it’s increas-ingly tied to identity,confidence,and social image.We examine the cultural forces shaping how young people in China and Africa approach weight-what drives their choices,how ideals are formed,and where health meets appearance in today’s shifting societies.
文摘Journal Introduction"International Journal of Plant Engineering and Management"is in the charge of Ministry of Industry and Information Technology of the People's Republic of China,and organized by Northwestern Polytechnical University.It is a kind of English academic quarterly publication publicly issued at home and abroad.Plant engineering and management is a comprehensive interdisciplinary subject mainly reporting academic research on the application technology of equipment and industry management.
基金Supported by TCM Scientific Research Guidance Program of Hubei Provincial Administration of Traditional Chinese Medicine(ZY2023F074).
文摘[Objectives]To systematically analyze the epidemiological characteristics and influencing factors associated with a cohort of 3273 rural patients diagnosed with mental disorders in Zhushan County,Hubei Province and explore an integrated management path that is applicable to rural areas.[Methods]A cross-sectional survey,in conjunction with a retrospective cohort analysis,was conducted.The samples were obtained from the National Management Information System for Severe Mental Disorders(2020-2024),and all registered rural patients in Zhushan County were included through cluster sampling.All participants provided informed consent,and the study received approval from the Ethics Committee of the Zhushan County Mental Health Center.Diagnoses were made in accordance with the International Classification of Diseases,10 th Revision(ICD-10).The research utilized a self-developed socio-ecological scale,which was validated through two rounds of the Delphi method conducted by an expert group,yielding a Cronbach sαof 0.82.The data were collected by trained investigators who conducted household visits.The data entry process involved double entry by two individuals to ensure accuracy for system review.Statistical analysis was performed using SPSS 26.0,employing the chi-square(χ2)test and logistic regression models for analysis.[Results]Schizophrenia was identified as the predominant disorder,affecting 68.4%of the patient population,followed by bipolar disorder,which accounted for 18.8%.Notably,individuals aged over 60 years constituted 40.36%of the sample.Furthermore,the poverty rate within this population was alarmingly high at 87.87%,while the illiteracy rate stood at 41.37%.The treatment experienced a significant delay,with a median duration of 14.2 months.Additionally,there was a substantial gap in standardized treatment,measured at 23.59%.The family care function was found to be inadequate,particularly for families lacking guardianship capacity,which was reported at 11.31%.An analysis of the underlying causes indicates that social structural imbalances(such as left-behind children and marital breakdown),along with economic poverty and insufficient educational opportunities,were critical risk factors contributing to these issues.The development of a model that integrates dynamic screening,full-chain intervention,and collaborative management is beneficial for fostering the efficient and systematic advancement of the rural mental health system.[Conclusions]Patients with mental disorders residing in rural areas face dual vulnerabilities.Therefore,it is essential to implement integrated management that encompasses early screening,standardized treatment,family support,and policy assistance.It is recommended that these elements should be integrated into the framework for local health policy development to enhance equitable access to mental health services and to provide psychological support for rural revitalization efforts.
文摘This article focuses on financial management issues in mergers and acquisitions(M&A).It provides an indepth analysis of the financial risks and management challenges faced by contemporary businesses during various stages of M&A,such as pre-merger valuation pricing difficulties,unreasonable financing structures,risks in payment method selection,obstacles to financial integration,and lack of risk management.Targeted management strategies are proposed to address these issues.This paper suggests strengthening due diligence and valuation management,optimizing financing structures,rationally selecting payment methods,deepening financial integration,and improving tax planning.These strategies aim to enhance the level of financial management in M&A,promote economic synergies and management effects,help companies quickly achieve M&A goals,and drive sustainable business development.
文摘Amid the deepening implementation of rural revitalization strategies and rapid fintech development,rural commercial banks-core financial institutions serving agriculture,rural areas,and farmers(the“three rurals”)and county economies-have seen their tellers’service quality and operational efficiency directly impact market competitiveness and sustainable development capabilities.This study examines teller performance management in rural commercial banks from a business management perspective.By analyzing structural issues in existing performance management systems and integrating theoretical frameworks with industry case studies,it proposes systematic optimization measures.The research aims to provide practical references for establishing scientific and efficient teller performance management systems in rural commercial banks,thereby enhancing service quality,strengthening talent support,and better serving the rural financial market.
文摘Against the backdrop of the increasingly complex construction market environment,the whole-process cost management of agency-built projects faces issues such as cost overruns and insufficient management efficiency due to the numerous stages and high technical requirements involved.This paper focuses on the key stages of whole-process cost management in agency-built projects,including project initiation,design,construction,and completion.It proposes strategies to optimize the cost management process and enhance management efficiency,providing theoretical support and practical guidance for the whole-process cost management under the agency-built model.
基金supported by the Project of the 2023 Shandong Province Higher Education Curriculum Ideological and Political Education Reform Research Project“Value Connotation,Intrinsic Logic,and Method Path:Student-centered College Curriculum Ideological and Political Integration‘Salt’in Course Teaching”(SZ2023003)Shandong Provincial Department of Education Key Teaching and Research Project“Ideological and Political Guidance,Goal Orientation,and Multidimensional Integration—Research and Practice of Embedded System Series Curriculum Teaching for New Engineering Majors”(Z2022232)+2 种基金2023 Harbin Institute of Technology(Weihai)Education and Teaching Reform Research Project“Connotation Elements,Related Logic,and Core Measures:Basic Paradigm of Curriculum Construction and Classroom Teaching Reform”(2023MSZZ01)the Key Teaching and Research Project of Shandong Provincial Department of Education,“I+IV”Mentor System—Exploration and Practice of Innovative Talents Training Model for Intelligent Vehicle Engineering New Engineering(Z2023002)the 2024 Harbin Institute of Technology(Weihai)Experimental Teaching and Teaching Laboratory Construction Research Project“Online and Offline Mixing,Virtual-practical Operation Integration,Industrial Technology Guidance—Research and Exploration of New Form Experimental Teaching of Computer Composition Principles”(2024SYZZ03)。
文摘The combination and application of information technology and higher education have led to changes in the form and mode of teaching management in higher education,promoting the continuous deepening of digital transformation in higher education.This paper discusses higher education management innovation triggered by digital technology and the new appearance of digital university governance,digital evaluation management,and internal governance of higher education.From the perspective of forging new forms,models,and paths of digital management through digital technology,this paper focuses on analyzing the reshaping of management systems by digitalization in higher education.The promotion and inspiration of digitalization on management system reform are provided,including typical features brought about,new paths opened up,and new advantages shaped.It is emphasized that the establishment of digital management system needs to rely on the systematic integration of multiple aspects.Finally,the challenges and solutions faced by the digital management system are deeply analyzed from the aspects of collaborative management and services,management process interoperability,evaluation and trust protection,and personnel digital literacy.Digital technology drives the transformation of higher education management system,resulting in new forms,models,paths,and methods of networked and digital management based on intelligent analysis and processing of educational and teaching data and promoting higher education management toward digital governance.The comprehensive establishment of a digital management system will unleash strong potential for universities to better fulfill their functions,and the high-quality development of higher education will be more solid and powerful.
基金Young and Middle-aged Teachers’Basic Research Ability Improvement Project of Universities in Guangxi 2024Research on Coordinated Development of Smart Tourism and Rural Revitalization in Southwest China(Project No.:24KY0655)。
文摘IT SMEs as an important force can promote scientific and technological innovation and economic development,the effectiveness of project quality management mechanism is directly related to the survival and development of IT SMEs.This paper take IT SMEs as the research object,which deeply discusses the situation,existing problems and improvement strategies of the project quality management mechanism,and combines agile management and total quality management(TQM)theories to build a dynamic and adaptive project quality management mechanism.Through deeply analysis,the effectiveness of the mechanism is proposed,and the optimization path is proposed,aiming at providing theoretical support and practical guidance for enterprises to improve project delivery quality and enhance market competitiveness.
文摘Background: The availability of essential medicines and medical supplies is crucial for effectively delivering healthcare services. In Zambia, the Logistics Management Information System (LMIS) is a key tool for managing the supply chain of these commodities. This study aimed to evaluate the effectiveness of LMIS in ensuring the availability of essential medicines and medical supplies in public hospitals in the Copperbelt Province of Zambia. Materials and Methods: From February to April 2022, a cross-sectional study was conducted in 12 public hospitals across the Copperbelt Province. Data were collected using structured questionnaires, checklists, and stock control cards. The study assessed LMIS availability, training, and knowledge among pharmacy personnel, as well as data accuracy, product availability, and order fill rates. Descriptive statistics were used to analyse the data. Results: All surveyed hospitals had LMIS implemented and were using eLMIS as the primary LMIS. Only 47% and 48% of pharmacy personnel received training in eLMIS and Essential Medicines Logistics Improvement Program (EMLIP), respectively. Most personnel demonstrated good knowledge of LMIS, with 77.7% able to log in to eLMIS Facility Edition, 76.6% able to locate stock control cards in the system, and 78.7% able to perform transactions. However, data accuracy from physical and electronic records varied from 0% to 60%, and product availability ranged from 50% to 80%. Order fill rates from Zambia Medicines and Medical Supplies Agency (ZAMMSA) were consistently below 30%. Discrepancies were observed between physical stock counts and eLMIS records. Conclusion: This study found that most hospitals in the Copperbelt Province of Zambia have implemented LMIS use. While LMIS implementation is high in the Copperbelt Province of Zambia, challenges such as low training levels, data inaccuracies, low product availability, and order fill rates persist. Addressing these issues requires a comprehensive approach, including capacity building, data quality improvement, supply chain coordination, and investment in infrastructure and human resources. Strengthening LMIS effectiveness is crucial for improving healthcare delivery and patient outcomes in Zambia.
文摘Journal Introduction″International Journal of Plant Engineering and Management″is in the charge of Ministry of Industry and Information Technology of the People′s Republic of China,and organized by Northwestern Polytechnical University.It is a kind of English academic quarterly publication publicly issued at home and abroad.Plant engineering and management is a comprehensive interdisciplinary sub⁃ject mainly reporting academic research on the application technology of equipment and industry management.It is of the characteristics of reporting both engineering and management while giving more priority to engineering as well as mechanics and electrics while giving priority to mechanics.Its contents involves technology,economy,management etc.
文摘Objective:To investigate the impact of programmed harmonious nursing combined with hierarchical management on nursing quality and satisfaction in a health management center.Methods:A total of 100 patients who received care at this health management center from January 2024 to January 2025 were selected as subjects.Using a random number table method,they were divided into an observation group(n=50)and a control group(n=50).The control group followed traditional methods,while the observation group integrated programmed harmonious nursing with hierarchical management.Comparative analysis was conducted on nursing quality scores,adverse event occurrence rates,and patient satisfaction between the two groups.Results:The observation group showed significantly improved nursing quality scores(P<0.05)and markedly reduced incidence of adverse events(P<0.05),with statistically significant differences compared to pre-treatment conditions(P<0.05).Conclusion:The combination of hierarchical management and programmed harmonious nursing demonstrates effectiveness in enhancing medical service quality,reducing adverse reactions,and improving patient satisfaction—a method worthy of promotion.
基金supported by the National Key Research and Development Program of China(No.2021YFB2900504).
文摘In 6th Generation Mobile Networks(6G),the Space-Integrated-Ground(SIG)Radio Access Network(RAN)promises seamless coverage and exceptionally high Quality of Service(QoS)for diverse services.However,achieving this necessitates effective management of computation and wireless resources tailored to the requirements of various services.The heterogeneity of computation resources and interference among shared wireless resources pose significant coordination and management challenges.To solve these problems,this work provides an overview of multi-dimensional resource management in 6G SIG RAN,including computation and wireless resource.Firstly it provides with a review of current investigations on computation and wireless resource management and an analysis of existing deficiencies and challenges.Then focusing on the provided challenges,the work proposes an MEC-based computation resource management scheme and a mixed numerology-based wireless resource management scheme.Furthermore,it outlines promising future technologies,including joint model-driven and data-driven resource management technology,and blockchain-based resource management technology within the 6G SIG network.The work also highlights remaining challenges,such as reducing communication costs associated with unstable ground-to-satellite links and overcoming barriers posed by spectrum isolation.Overall,this comprehensive approach aims to pave the way for efficient and effective resource management in future 6G networks.
文摘This paper applies conflict management theory to study customer conflicts in budget hotels.Utilizing investigations and data analysis from budget hotels in Guilin,Guangxi Province,China,it identifies the factors that influence the formation of customer conflicts and describes the characteristics of each stage in the development process,as well as the dual role of the conflicts.The paper also presents strategies for managing the transition from non-confrontational to confrontational conflicts.
文摘Objective:To evaluate the effectiveness of quality nursing in the management of reusable instruments in the Central Sterile Supply Department(CSSD).Methods:Eleven nurses from the CSSD department were selected from January to October 2024,and quality nursing activities were implemented in the management of reusable instruments.The completion of quality indicators was analyzed.The instrument quality management scores,department satisfaction,and nurses’professional ability scores before and after nursing management were compared.Results:After nursing intervention,the qualified rates of initial cleaning and final cleaning of sterilization instruments were 99.66%and 100%,respectively.The qualified rate of packaging was 99.97%,the wet package rate was 0.1‰,the loading qualified rate was 99.88%,and the qualified rate of distribution was 99.99%.After nursing intervention,the nurses’instrument quality management scores,department satisfaction,and nurses’professional ability scores were all higher than those before nursing intervention(P<0.05).Conclusion:Quality nursing activities can improve the cleaning,packaging,and sterilization qualified rates of reusable instruments in the CSSD,enhance the effect of instrument quality management,obtain higher department satisfaction from nurses,cultivate their professional abilities,and possess significant nursing management advantages.
基金Exploration of the Preventive Effect of Skin Management Program Based on 4R Crisis Management Theory on Incontinence-Associated Dermatitis in ICU Patients with Fecal Incontinence(Project No.:YK202335)。
文摘Objective:To analyze the preventive and management effects of the 4R crisis management theory on incontinence-associated dermatitis(IAD)in ICU patients with fecal incontinence.Methods:A hundred patients with fecal incontinence who were admitted to the ICU for treatment between January 2024 and December 2024 were selected and randomly divided into two groups using a random number table.The observation group received 4R crisis management theory,while the control group received routine management.The IAD risk score,incidence of IAD,severity of IAD,and formation and healing time of IAD were compared between the two groups.Results:After management,the IAD risk score of the observation group was lower than that of the control group(P<0.05).The incidence of IAD in the observation group was lower than that in the control group,the proportion of mild IAD was higher than that in the control group,the formation time of IAD was later than that in the control group,and the healing time was shorter than that in the control group(P<0.05).Conclusion:Adopting the 4R crisis management theory for ICU patients with fecal incontinence can reduce the risk of IAD occurrence,effectively prevent IAD,reduce its severity,delay its formation time,and promote good healing.
基金the Institute of Biomass & Functional Materials of Shaanxi University of Science and Technology for funding this research workfinancially supported by the National Natural Science Foundation of China (2207081675, 22278257, 22308209)+1 种基金the Key R&D Program of Shaanxi Province (2024SF-YBXM-586)the Project of Innovation Capability Support Program in Shaanxi Province (2024ZC-KJXX-005)
文摘Rapid population growth in recent decades has intensified both the global energy crisis and the challenges posed by climate change,including global warming.Currently,the increased frequency of extreme weather events and large fluctuations in ambient temperature disrupt thermal comfort and negatively impact health,driving a growing dependence on cooling and heating energy sources.Consequently,efficient thermal management has become a central focus of energy research.Traditional thermal management systems consume substantial energy,further contributing to greenhouse gas emissions.In contrast,emergent radiant thermal management technologies that rely on renewable energy have been proposed as sustainable alternatives.However,achieving year-round thermal management without additional energy input remains a formidable challenge.Recently,dynamic radiative thermal management technologies have emerged as the most promising solution,offering the potential for energy-efficient adaptation across seasonal variations.This review systematically presents recent advancements in dynamic radiative thermal management,covering fundamental principles,switching mechanisms,primary materials,and application areas.Additionally,the key challenges hindering the broader adoption of dynamic radiative thermal management technologies are discussed.By highlighting their transformative potential,this review provides insights into the design and industrial scalability of these innovations,with the ultimate aim of promoting renewable energy integration in thermal management applications.
文摘With the continuous advancement of information technology,traditional teaching management models can no longer meet the demands of modern laboratory management.Information management,characterized by efficiency,convenience,and intelligence,provides new ideas and directions for reforming laboratory teaching management models in higher education.Based on this,this paper explores reform strategies and practical approaches for laboratory teaching management models from the perspective of information management,aiming to offer references for enhancing the modernization and intelligentization of laboratory teaching management.
