Objective:To strengthen personnel management for a clean operating room and ensure an automatic,intelligent,and scientific workflow.Methods:The medical behavior management system has been implemented to monitor and ma...Objective:To strengthen personnel management for a clean operating room and ensure an automatic,intelligent,and scientific workflow.Methods:The medical behavior management system has been implemented to monitor and manage medical personnel entering and exiting the operating room,so as to meet the standard requirements of the operating room.Results:The flow of personnel has been controlled effectively,the flow in and out of the operating room has been optimized,the management level of the operating room has improved,and the cost has been cut down.Conclusion:With the advent of the information age and the continuous improvement of the management system,the management of operating rooms has become more reasonable and humanized;the management mode,working environment,and the overall quality of nursing work in operating rooms have improved.展开更多
BACKGROUND Managing critical care emergencies in children with autism spectrum disorder(ASD)presents unique challenges due to their distinct sensory sensitivities,communication difficulties,and behavioral issues.Effec...BACKGROUND Managing critical care emergencies in children with autism spectrum disorder(ASD)presents unique challenges due to their distinct sensory sensitivities,communication difficulties,and behavioral issues.Effective strategies and protocols are essential for optimal care in these high-stress situations.AIM To systematically evaluate and synthesize current evidence on best practices for managing critical care emergencies in children with ASD.The review focuses on key areas,including sensory-friendly environments,communication strategies,behavioral management,and the role of multidisciplinary approaches.METHODS A comprehensive search was conducted across major medical databases,including PubMed,Embase,and Cochrane Library,for studies published between 2000 and 2023.Studies were selected based on their relevance to critical care management in children with ASD,encompassing randomized controlled trials,observational studies,qualitative research,and case studies.Data were extracted and analyzed to identify common themes,successful strategies,and areas for improvement.RESULTS The review identified 50 studies that met the inclusion criteria.Findings highlighted the importance of creating sensory-friendly environments,utilizing effective communication strategies,and implementing individualized behavioral management plans.These findings,derived from a comprehensive review of current evidence,provide valuable insights into the best practices for managing critical care emergencies in children with ASD.Sensory modifications,such as reduced lighting and noise,visual aids,and augmentative and alternative communication tools,enhanced patient comfort and cooperation.The involvement of multidisciplinary teams was crucial in delivering holistic care.Case studies provided practical insights and underscored the need for continuous refi-nement of protocols.CONCLUSION The review emphasizes the need for a tailored approach to managing critical care emergencies for children with ASD.Sensory-friendly adjustments,effective communication,and behavioral strategies supported by a mul-tidisciplinary team are integral to improving outcomes.Despite progress,ongoing refinement of care practices and protocols is necessary.This ongoing process addresses remaining challenges and engages healthcare professionals in continuous improvement of care for children with ASD in critical settings.展开更多
Taking the institution design of controlling the pollution behavior of enterprises as an example, the symbol system specialized for the design and analysis of behavior management institution is put forward, which pred...Taking the institution design of controlling the pollution behavior of enterprises as an example, the symbol system specialized for the design and analysis of behavior management institution is put forward, which predigests the institution design greatly and make the process of institution design much like the engineering design. The measure combination method for improving the parameters of the institution, the arithmetic for calculating the validity of the institution and the arithmetic for calculating the behavior probability of the irrational managed are also put forward, which make the design and analysis technology of behavior management institution more practical.展开更多
Liver transplantation(LT)is the gold standard treatment for end-stage liver disease.Whatever the primary indication of LT,substance abuse after surgery may decrease survival rates and quality of life.Prevalence of sev...Liver transplantation(LT)is the gold standard treatment for end-stage liver disease.Whatever the primary indication of LT,substance abuse after surgery may decrease survival rates and quality of life.Prevalence of severe alcohol relapse is between 11 and 26%,and reduces life expectancy regardless of the primary indication of LT.Many patients on waiting lists for LT are smokers and this is a major risk factor for both malignant tumors and cardiovascular events post-surgery.The aim of this review is to describe psychoactive substance consumption after LT,and to assess the impact on liver transplant recipients.This review describes data about alcohol and illicit drug use by transplant recipients and suggests guidelines for behavior management after surgery.The presence of an addiction specialist in a LT team seems to be very important.展开更多
BACKGROUND Children with autism spectrum disorder(ASD)face unique challenges in maintaining oral health due to sensory sensitivities,communication difficulties,and behavioral barriers.These factors,along with limited ...BACKGROUND Children with autism spectrum disorder(ASD)face unique challenges in maintaining oral health due to sensory sensitivities,communication difficulties,and behavioral barriers.These factors,along with limited access to ASD-trained dental professionals,increase their risk of dental caries,periodontal disease,bruxism,and other oral health issues.Despite growing awareness of these challenges,a comprehensive synthesis of evidence-based solutions remains lacking.AIM To review synthesizes existing research on dental problems in ASD,barriers to care,management strategies,and future directions for improved oral health outcomes.METHODS A systematic search of PubMed,Cochrane Library,and Scopus was conducted using predefined search terms.Related to ASD,dental health,and management strategies.Inclusion criteria encompassed studies focusing on children with ASD,dental health issues,and interventions.Data extraction included study design,participant characteristics,key findings,and intervention outcomes.The quality of studies was assessed using appropriate tools such as the Cochrane Risk of Bias Tool and the Newcastle-Ottawa Scale.A narrative synthesis approach,incorporating thematic analysis,was utilized to evaluate the findings.RESULTS A total of 165 studies met the inclusion criteria.Children with ASD exhibited a higher prevalence of dental caries,gingivitis,bruxism,and malocclusion compared to neurotypical peers.Barriers to dental care included sensory sensitivities,communication difficulties,financial constraints,and a shortage of ASD-trained dental professionals.Effective interventions included desensitization programs,behavioral therapy,digital applications,and interdiscip-linary collaboration.Parental education and professional training were crucial for improving oral health outcomes.CONCLUSION Tailored dental care strategies,including sensory adaptations,behavioral interventions,and interdisciplinary collaboration,are essential for children with ASD.Standardized guidelines and long-term studies are needed to refine evidence-based protocols.Future research should explore digital interventions and probiotic applications in ASD dental care.展开更多
Diabetes mellitus is one of the most common endocrine diseases in the world, accounting for 95% of type 2 diabetes in all diabetic patients. At present, humans still fail to cure diabetes, and the treatment goal of di...Diabetes mellitus is one of the most common endocrine diseases in the world, accounting for 95% of type 2 diabetes in all diabetic patients. At present, humans still fail to cure diabetes, and the treatment goal of diabetes should not only control blood sugar, but also prevent and control complications. As one of the national basic public health services projects, health education has played an extremely important role in chronic disease control and health promotion. This study takes community diabetes patients as the research object to explore the impact of strengthening health education mode on the lifestyle and blood glucose control effect of elderly diabetes patients, in order to provide a basis for the optimal diabetes management in the community. Objective: to analyze the value of health education assisted behavior management in diabetes prevention in community elderly. Methods: 70 pre-cases of diabetes admitted to our hospital from April 2019 to February 2021 were included. The randomized digital table was divided into research group and control group. 35 cases each were given routine intervention of the predisease case. The study group carried out health education assisted behavior management at the same time, and compared the intervention effect between groups. Results: post-intervention self-management ability, ESCA scale score were higher than control group, the overall disease prevention efficiency was higher than control group, and the differences were statistically significant (P <0.05). Conclusion: health education-assisted behavior management has been highly effective in diabetes prevention in community elderly people, and can effectively improve patients' self-management ability and self-care ability.展开更多
Objective:To explore the association between economic status and educational level with self-management behavior(medication adherence,controlling body weight,reducing salt intake,performing physical exercise,reducing ...Objective:To explore the association between economic status and educational level with self-management behavior(medication adherence,controlling body weight,reducing salt intake,performing physical exercise,reducing alcohol consumption,abstaining from smoking,increasing fruit and vegetable consumption)among hypertensive women in Ghana.Methods:Cross-sectional data on 598 women were collected from the Ghana Demographic and Health Survey of 2014.The association between economic status and educational level with self-management behavior was measured by logistic regression methods.Results:Mean systolic blood pressure and diastolic blood pressure were 131.4 and 86.58 mm Hg,respectively.With regard to self-management behavior,81.8%of women reported taking medication to control high blood pressure,44.4%reported controlling body weight,22.5%reported reducing salt intake,48.3%reported performing physical exercise,74.2%reported reducing alcohol consumption,74.2%reported abstaining from alcohol and smoking,and 20.2%reported consuming more fruits and vegetables.Women living in the wealthiest households had significantly higher odds of maintaining healthy weight,reducing salt intake,and exercising.Conclusion:The findings imply that socioeconomic factors may play important roles in women’s adherence to blood pressure-controlling behavior.It is therefore suggested that policy makers focus on improving women’s economic status as a strategy to encourage cardiovascular health-promoting behavior.展开更多
Considering a one-supplier and two-retailer supply chain setting in which the supplier makes contacts with retailers in sequence based on FCFS(first–come–first-service) principle, the authors investigate the margina...Considering a one-supplier and two-retailer supply chain setting in which the supplier makes contacts with retailers in sequence based on FCFS(first–come–first-service) principle, the authors investigate the marginal effect of extra-gain guilty fairness concerns of supply chain members on the contract design, supply chain's profit and profit distribution. When the supplier considers distributional fairness of loss aversion and extra-gain guilty, extra-gain guilty concern reduces the optimal wholesale and retail price, and improves supply chain performance. When the first or the second retailer considers distributional fairness and peer-induced fairness, extra-gain guilty concerns decrease the optimal wholesale and retail price but increase the profit of all supply chain members only when the level of loss aversion is large enough and the level of extra-gain guilty is less than 1/2. However, when the level of loss aversion is small and the level of extra-gain guilty is less than 1/2, extra-gain guilty has no influence on supply chain performance. The analysis reveals that the supply chain performance can be further improved by considering fairness of extra-gain guilty.展开更多
This research investigates the impacts of the manufacturer’s fairness concerns on the supply chain performance when the power retailer implements a price squeeze and market service investment together.Through game-th...This research investigates the impacts of the manufacturer’s fairness concerns on the supply chain performance when the power retailer implements a price squeeze and market service investment together.Through game-theoretic modeling,we find that 1)in the absence of fairness,although the manufacturer may be worse off due to possessing imperfect information on the price squeeze rate,the channel may be coordinated through an ex-ante negotiation between the two parties.2)When the manufacturer has fairness concerns for price squeeze,both channel performance and brand goodwill are made worse by disadvantageous inequality and improved by advantageous inequality versus the case of no fairness concerns.Furthermore,channel members’ex-ante negotiations regarding a profit reallocation scheme under certain conditions may achieve the following three objectives:generating a channel profit of the coordination level,promoting brand goodwill to the level of the integrated channel,and creating an equitable channel relationship.展开更多
文摘Objective:To strengthen personnel management for a clean operating room and ensure an automatic,intelligent,and scientific workflow.Methods:The medical behavior management system has been implemented to monitor and manage medical personnel entering and exiting the operating room,so as to meet the standard requirements of the operating room.Results:The flow of personnel has been controlled effectively,the flow in and out of the operating room has been optimized,the management level of the operating room has improved,and the cost has been cut down.Conclusion:With the advent of the information age and the continuous improvement of the management system,the management of operating rooms has become more reasonable and humanized;the management mode,working environment,and the overall quality of nursing work in operating rooms have improved.
文摘BACKGROUND Managing critical care emergencies in children with autism spectrum disorder(ASD)presents unique challenges due to their distinct sensory sensitivities,communication difficulties,and behavioral issues.Effective strategies and protocols are essential for optimal care in these high-stress situations.AIM To systematically evaluate and synthesize current evidence on best practices for managing critical care emergencies in children with ASD.The review focuses on key areas,including sensory-friendly environments,communication strategies,behavioral management,and the role of multidisciplinary approaches.METHODS A comprehensive search was conducted across major medical databases,including PubMed,Embase,and Cochrane Library,for studies published between 2000 and 2023.Studies were selected based on their relevance to critical care management in children with ASD,encompassing randomized controlled trials,observational studies,qualitative research,and case studies.Data were extracted and analyzed to identify common themes,successful strategies,and areas for improvement.RESULTS The review identified 50 studies that met the inclusion criteria.Findings highlighted the importance of creating sensory-friendly environments,utilizing effective communication strategies,and implementing individualized behavioral management plans.These findings,derived from a comprehensive review of current evidence,provide valuable insights into the best practices for managing critical care emergencies in children with ASD.Sensory modifications,such as reduced lighting and noise,visual aids,and augmentative and alternative communication tools,enhanced patient comfort and cooperation.The involvement of multidisciplinary teams was crucial in delivering holistic care.Case studies provided practical insights and underscored the need for continuous refi-nement of protocols.CONCLUSION The review emphasizes the need for a tailored approach to managing critical care emergencies for children with ASD.Sensory-friendly adjustments,effective communication,and behavioral strategies supported by a mul-tidisciplinary team are integral to improving outcomes.Despite progress,ongoing refinement of care practices and protocols is necessary.This ongoing process addresses remaining challenges and engages healthcare professionals in continuous improvement of care for children with ASD in critical settings.
基金This project is supported by National Natural Science Foundation of China （70271005, 70471066） Shanghai Important Basic Research Program （03JC14054）+1 种基金 the Program of Doctor Degree Foundation of State Education Ministry （20070252002） Shanghai Leading Academic Discipline Project（T0502）.
文摘Taking the institution design of controlling the pollution behavior of enterprises as an example, the symbol system specialized for the design and analysis of behavior management institution is put forward, which predigests the institution design greatly and make the process of institution design much like the engineering design. The measure combination method for improving the parameters of the institution, the arithmetic for calculating the validity of the institution and the arithmetic for calculating the behavior probability of the irrational managed are also put forward, which make the design and analysis technology of behavior management institution more practical.
文摘Liver transplantation(LT)is the gold standard treatment for end-stage liver disease.Whatever the primary indication of LT,substance abuse after surgery may decrease survival rates and quality of life.Prevalence of severe alcohol relapse is between 11 and 26%,and reduces life expectancy regardless of the primary indication of LT.Many patients on waiting lists for LT are smokers and this is a major risk factor for both malignant tumors and cardiovascular events post-surgery.The aim of this review is to describe psychoactive substance consumption after LT,and to assess the impact on liver transplant recipients.This review describes data about alcohol and illicit drug use by transplant recipients and suggests guidelines for behavior management after surgery.The presence of an addiction specialist in a LT team seems to be very important.
文摘BACKGROUND Children with autism spectrum disorder(ASD)face unique challenges in maintaining oral health due to sensory sensitivities,communication difficulties,and behavioral barriers.These factors,along with limited access to ASD-trained dental professionals,increase their risk of dental caries,periodontal disease,bruxism,and other oral health issues.Despite growing awareness of these challenges,a comprehensive synthesis of evidence-based solutions remains lacking.AIM To review synthesizes existing research on dental problems in ASD,barriers to care,management strategies,and future directions for improved oral health outcomes.METHODS A systematic search of PubMed,Cochrane Library,and Scopus was conducted using predefined search terms.Related to ASD,dental health,and management strategies.Inclusion criteria encompassed studies focusing on children with ASD,dental health issues,and interventions.Data extraction included study design,participant characteristics,key findings,and intervention outcomes.The quality of studies was assessed using appropriate tools such as the Cochrane Risk of Bias Tool and the Newcastle-Ottawa Scale.A narrative synthesis approach,incorporating thematic analysis,was utilized to evaluate the findings.RESULTS A total of 165 studies met the inclusion criteria.Children with ASD exhibited a higher prevalence of dental caries,gingivitis,bruxism,and malocclusion compared to neurotypical peers.Barriers to dental care included sensory sensitivities,communication difficulties,financial constraints,and a shortage of ASD-trained dental professionals.Effective interventions included desensitization programs,behavioral therapy,digital applications,and interdiscip-linary collaboration.Parental education and professional training were crucial for improving oral health outcomes.CONCLUSION Tailored dental care strategies,including sensory adaptations,behavioral interventions,and interdisciplinary collaboration,are essential for children with ASD.Standardized guidelines and long-term studies are needed to refine evidence-based protocols.Future research should explore digital interventions and probiotic applications in ASD dental care.
文摘Diabetes mellitus is one of the most common endocrine diseases in the world, accounting for 95% of type 2 diabetes in all diabetic patients. At present, humans still fail to cure diabetes, and the treatment goal of diabetes should not only control blood sugar, but also prevent and control complications. As one of the national basic public health services projects, health education has played an extremely important role in chronic disease control and health promotion. This study takes community diabetes patients as the research object to explore the impact of strengthening health education mode on the lifestyle and blood glucose control effect of elderly diabetes patients, in order to provide a basis for the optimal diabetes management in the community. Objective: to analyze the value of health education assisted behavior management in diabetes prevention in community elderly. Methods: 70 pre-cases of diabetes admitted to our hospital from April 2019 to February 2021 were included. The randomized digital table was divided into research group and control group. 35 cases each were given routine intervention of the predisease case. The study group carried out health education assisted behavior management at the same time, and compared the intervention effect between groups. Results: post-intervention self-management ability, ESCA scale score were higher than control group, the overall disease prevention efficiency was higher than control group, and the differences were statistically significant (P <0.05). Conclusion: health education-assisted behavior management has been highly effective in diabetes prevention in community elderly people, and can effectively improve patients' self-management ability and self-care ability.
文摘Objective:To explore the association between economic status and educational level with self-management behavior(medication adherence,controlling body weight,reducing salt intake,performing physical exercise,reducing alcohol consumption,abstaining from smoking,increasing fruit and vegetable consumption)among hypertensive women in Ghana.Methods:Cross-sectional data on 598 women were collected from the Ghana Demographic and Health Survey of 2014.The association between economic status and educational level with self-management behavior was measured by logistic regression methods.Results:Mean systolic blood pressure and diastolic blood pressure were 131.4 and 86.58 mm Hg,respectively.With regard to self-management behavior,81.8%of women reported taking medication to control high blood pressure,44.4%reported controlling body weight,22.5%reported reducing salt intake,48.3%reported performing physical exercise,74.2%reported reducing alcohol consumption,74.2%reported abstaining from alcohol and smoking,and 20.2%reported consuming more fruits and vegetables.Women living in the wealthiest households had significantly higher odds of maintaining healthy weight,reducing salt intake,and exercising.Conclusion:The findings imply that socioeconomic factors may play important roles in women’s adherence to blood pressure-controlling behavior.It is therefore suggested that policy makers focus on improving women’s economic status as a strategy to encourage cardiovascular health-promoting behavior.
基金partially supported by the National Natural Science Foundation of China under Grant Nos.71571079,71301122,71671133,71131004Program for New Century Excellent Talents in University under Grant No.NCET-13-0228
文摘Considering a one-supplier and two-retailer supply chain setting in which the supplier makes contacts with retailers in sequence based on FCFS(first–come–first-service) principle, the authors investigate the marginal effect of extra-gain guilty fairness concerns of supply chain members on the contract design, supply chain's profit and profit distribution. When the supplier considers distributional fairness of loss aversion and extra-gain guilty, extra-gain guilty concern reduces the optimal wholesale and retail price, and improves supply chain performance. When the first or the second retailer considers distributional fairness and peer-induced fairness, extra-gain guilty concerns decrease the optimal wholesale and retail price but increase the profit of all supply chain members only when the level of loss aversion is large enough and the level of extra-gain guilty is less than 1/2. However, when the level of loss aversion is small and the level of extra-gain guilty is less than 1/2, extra-gain guilty has no influence on supply chain performance. The analysis reveals that the supply chain performance can be further improved by considering fairness of extra-gain guilty.
基金supported by National Natural Science Foundation of China:[grant number 72102194,72025201,72061127001]Fundamental Research Funds for the Central Universities[grant number kjcx20210105].
文摘This research investigates the impacts of the manufacturer’s fairness concerns on the supply chain performance when the power retailer implements a price squeeze and market service investment together.Through game-theoretic modeling,we find that 1)in the absence of fairness,although the manufacturer may be worse off due to possessing imperfect information on the price squeeze rate,the channel may be coordinated through an ex-ante negotiation between the two parties.2)When the manufacturer has fairness concerns for price squeeze,both channel performance and brand goodwill are made worse by disadvantageous inequality and improved by advantageous inequality versus the case of no fairness concerns.Furthermore,channel members’ex-ante negotiations regarding a profit reallocation scheme under certain conditions may achieve the following three objectives:generating a channel profit of the coordination level,promoting brand goodwill to the level of the integrated channel,and creating an equitable channel relationship.
