Comprehensive Management Concept Research Articles

Nature-Based Solutions for Disaster Reduction and Improving Ecosystem Services in the Hutoubi Watershed, Taiwan

The Hutoubi Reservoir and its mainstream, Huyuan Stream, in the southern mountainous region of Taiwan, have experienced riverbed sedimentation and flood disasters for the past 150 years. In addition to climate change, it is necessary to scientifically consider its regulation for the next hundred years. This study adopted a collaborative approach, involving industry, government, and academia, using Nature-based Solutions (NbS) to enhance ecosystem services. The solution layout is constructed by widening the channel and constructing additional farm ponds and wetlands. An hydraulic simulation indicated that flood control was addressed. The restoration project would create diverse aquatic habitats by simulating and evaluating the distribution of ecological biotopes, using porous materials as revetments. It provided urban residents with forest leisure and recreational sites and supported the local agricultural and forestry products. The restoration has propagated local culture and created environmental and professional education. Therefore, ecological services are enhanced regarding regulation, support, provision, and culture. This pilot study, led by researchers, aimed to promote comprehensive management concepts considering all stakeholders and their active participation. We integrated NbS into the watershed and its river system as a pathway for facing the challenges of rapid urbanization and climate change and improving ecosystem services.

Principles of Management and Position of Maintenance in the I4.0 Environment

At present, the management of organizations is dominated by efforts to integrate management systems, based on risk management. The introduction of digitization and the application of appropriate methodological tools make it possible to optimize key processes and information flows, increase data reliability and thus support management decision-making. This article describes the development and current trends in the management of organizations, analyses the principles of management, and approaches to maintenance management (MM), with respect to the requirements of Industry 4.0 (MM4.0). Based on this analysis, and through two research questions asked, it qualitative evaluates the effects of the nine basic pillars of Industry 4.0 on the implementation of a comprehensive approach in management systems, draws attention to the gaps of misunderstanding or non-use of appropriate tools in process management as well as in maintenance management. Finally, it presents a consideration of the development of new comprehensive management concepts integrated into a comprehensive management system in the Industry 4.0 environment, and through positive responses to RQs it creates space for further research in the field of MSI4.0 and MM4.0.

Evidence-Based Consensus on Positioning of SGLT2i in Type 2 Diabetes Mellitus in Indians.

The current diabetes management strategies not only aim at controlling glycaemic parameters but also necessitate continuous medical care along with multifactorial risk reduction through a comprehensive management concept. The sodium-glucose cotransporter 2 inhibitors (SGLT2i) are a group of evolving antidiabetic agents that have the potential to play a pivotal role in the comprehensive management of patients with diabetes due to their diverse beneficial effects. SGLT2i provide moderate glycaemic control, considerable body weight and blood pressure reduction, and thus have the ability to lower the risk of macrovascular and microvascular complications. Some of the unique characteristics associated with SGLT2i, such as reduction in body weight (more visceral fat mass loss than subcutaneous fat loss), reduction in insulin resistance and improvement in β-cell function, as measured by homeostatic model assessment-β (HOMA-β) could be potentially beneficial and help in overcoming some of the challenges faced by Indian patients with diabetes. In addition, a patient-centric approach with individualised treatment during SGLT2i therapy is inevitable in order to reduce diabetic complications and improve quality of life. Despite their broad benefits profile, the risk of genital tract infections, volume depletion, amputations and diabetic ketoacidosis associated with SGLT2i should be carefully monitored. In this compendium, we systematically reviewed the literature from Medline, Cochrane Library, and other relevant databases and attempted to provide evidence-based recommendations for the positioning of SGLT2i in the management of diabetes in the Indian population.Funding: AstraZeneca Pharma India Limited.

Thought of the present application situation and the future trends of minimally invasive surgery in colorectal cancer

Laparoscopic surgery has been increasingly used in rectal cancer surgery. Though there are still some controversies, most of the research results support that the outcome is similar for rectal cancer patients with either laparoscopic or open surgery, in term of short-term such as safety and efficacy and long-term such as oncologic outcome. Standardization of laparoscopic training together with the comprehensive management concept are the prerequisites of laparoscopic rectal cancer surgery. Those doctors who do minimally invasive surgery should follow the rationale that smaller incision and sphincter preservation are secondary to safety and oncological result of the patients. It is the comprehensive management and personalized treatment that bring opportunities for the continuous development and innovation of innovative technologies and concepts, for example, non-operative treatment, endoscopic therapy, natural orifice transluminal endoscopic surgery, single incision laparoscopic surgery, and robotic surgery. And they may finally lead to better outcome and quality of life for the patients.

Professor Changqing Pan: build Shanghai Chest Hospital as an international brand

In 2016, Professor Changqing Pan ( Figure 1 ) shouldered the crossbeam of Shanghai Chest Hospital. Serving in the hospital for more than a year, he used his double decades of experience as a doctor to carry through a simple doctor’s vision, and to exert a comprehensive management concept to make an efficient hospital management come true.

Building an eco-hydrological framework for the management of large river systems

1.Rehabilitating degraded riverine landscapes in order to restore their ecosystem services require a scientific approach. The tasks include the development of methods for the assessment of ecological conditions and trends, for benchmarking of management alternatives and for the definition of ecological goals.2.The central challenge is to develop a coherent eco-hydrological research protocol analyzing the causal effects of hydrology on geomorphic processes and ecology.3.A major aspect is the formulation of ecological targets: historical reference conditions can be used to illustrate ecological deficiencies. However, at the planning and operational levels, they have to be substituted by a set of models which predict the responses towards management measures.4.Large scale restoration programmes should be accompanied by hypothesis-based research in order to analyze the effects of engineering measures and advance our understanding of river-floodplain ecology.5.A focus has to be the promotion of comprehensive management concepts, taking into account all concerned parties and assuring their active involvement. It is important to take advantage of management initiatives of various stakeholders, because governmental water policies rarely promote ecological improvement as a goal in itself.6.Institutional frameworks should be established with the mandate to develop large-scale and comprehensive rehabilitation concepts and guaranteeing transparent planning and decision processes. It is imperative that expert panels comprising of scientists, river-engineers, planners and managers are installed, with long-term mandates, clearly defined responsibilities and authority for decision making.

Komorbiditäten bei Psoriasis vulgaris

Epidemiologic data document not only a higher prevalence of joint involvement among psoriasis patients than previously thought, but also an association with numerous other diseases, including depression, smoking, alcoholism, Crohn's disease, and metabolic syndrome. The resulting increased cardiovascular mortality is of particular clinical importance, and its pathogenetic link as a complication of the psoriatic inflammation is well recognized. Thus, we need to re-invent the management of psoriasis: Dermatologists are not only the sentinel regarding the early diagnosis of psoriatic arthritis, but also of metabolic complications such as dyslipidemia or diabetes. Moreover, they need to keep in mind interactions between (systemic) anti-psoriatic drugs and the co-medication of their patients as well as possible consequences of these co-medications on the course of psoriasis. To successfully accomplish this mission, a comprehensive management concept and ground-breaking research are urgently needed.

Concepts for a model of good medical laboratory services.

Several international standards and corresponding interpretation documents for quality management systems have been published. Although these standards are found useful to some extent, they are considered to be insufficient in several areas important for medical laboratories particularly in the pre- and post-examinational phases. The normative document for accreditation of laboratories (ISO/IEC Guide 25) is presently being revised and a document for medical laboratories (ISO/TC 212, CD 15189) is at draft stage. Both aim to include aspects of total quality management. The concept of total quality management is rather vague. Generally, its goal has been defined as "business excellence". This term, however, needs some explanation if applied to medical laboratories. Therefore, a project group of the European Confederation of Laboratory Medicine (ECLM) has developed a model for total quality management, which is based on a comprehensive management concept issued by the European Foundation for Quality Management. In the case of a medical laboratory, the term "business excellence" should be replaced by "good medical laboratory services". The proposed model could serve as a basis for future developments of total quality management standards in laboratory medicine. The goal of the "journey" should be clarified before it starts. To the best of our knowledge, this is the first attempt to develop a model of a good medical laboratory.