Dynamic Supervision Research Articles

Research on the Risk Prevention Mechanism of University Laboratories Under the Background of Informatization

University laboratories face the problems such as unclear division of responsibility, lack of dynamic supervision, uneven effect of safety education, and unregulated management of safety files. At present, studies on laboratory safety of colleges and universities mainly focus on the operational norms of laboratory safety and the construction of laboratory safety environment. Though it covers the majority of laboratory safety, they cannot cope with the increasingly complex laboratory safety environment in systematical, normative and dynamic ways. With the help of information technologies such as big data and intelligence, and in combination of the norms and experience of laboratory safety work, this paper designed a laboratory risk prevention system featuring the “pre-judgment + handling” function. As an effective management way covering the whole process of laboratory safety, it is of critical importance to improve the laboratory safety management, reduce the potential risks in laboratories in an all-round way, and handle laboratory safety accidents efficiently.

Impact of reimbursement rates on the length of stay in tertiary public hospitals: a retrospective cohort study in Shenzhen, China

ObjectiveTo examine the association between reimbursement rates and the length of stay (LOS).DesignA retrospective cohort study.SettingThe study was conducted in Shenzhen, China by using health administrative database from 1 January...

Moving between fantasies, fallacies and realities: students’ perceptions of supervisors’ roles in doctoral publishing

ABSTRACT New to the academy’s ‘publish or perish’ game, doctoral students hold varied expectations of supervisors in relation to their publishing endeavours. These expectations can be unrealistic or contradictory to those of the supervisors and thus make supervision problematic. Set in a faculty of education in New Zealand, this study explores fantasies, fallacies and realities in doctoral students’ perceptions and experiences of their supervisors’ roles in doctoral publishing. The data analysed include online questionnaires and semi-structured interviews with 12 doctoral students, in which they describe their supervisors’ roles variously as feedback providers, advisers, co-authors and managers. The students’ perceptions are a mix of fantasies, fallacies and realities that are entangled with the temporality of their study and the open-ended process of being a becoming-student. The findings suggest a need for a dialogic space between students and supervisors to promote mutual understandings and foster a tailored, dynamic supervision, particularly in doctoral publishing.

Carbon emission efficiency of China’s industry sectors: From the perspective of embodied carbon emissions

Carbon emission efficiency directly determines the overall carbon emissions level. Previous studies mainly investigated carbon emission efficiency from the perspective of direct carbon emissions without considering carbon emissions associated with intermediate production and consumption, resulting in deviations in the measurement results of carbon emission efficiency. This study distinguishes the differences between direct carbon emissions and embodied carbon emissions, including intermediate production and consumption, and constructs a noncompetitive input-output model to measure the embodied carbon emissions from 28 industry sectors in China between 2005 and 2017. The super-efficiency slack-based measure model was used to analyze the carbon emission efficiency of 28 industry sectors in embodied carbon emissions and direct carbon emissions scenarios. The results are as follows. First, China’s embodied carbon emissions and direct carbon emissions are generally increasing, with large differences in the total amount, growth rate, and rate of change. Second, China’s overall efficiency of direct carbon emissions and embodied carbon emissions has improved. However, there was significant heterogeneity among various industry sectors. Third, in the 28 industry sectors, the change in embodied carbon emissions efficiency was generally gradual, while its average value was significantly lower than that of direct carbon emissions efficiency, indicating that indirect carbon emission efficiency is lower than direct carbon emissions efficiency. Fourth, the reduction potential of embodied carbon emissions for the 28 industry sectors was less than that of direct carbon emissions, although both have decreased, with a greater magnitude of decrease in the former. Finally, this paper proposes countermeasures to promote low-carbon development of China’s industries based on improving intermediate production technology and implementing dynamic supervision.

Tropism of COVID-19 to digestive organs. Features of damage and approaches to treatment

Coronavirus disease 2019 (COVID‑19) began in December 2019 in Wuhan, Hubei, People’s Republic of China. On March 11, 2020, COVID‑19 was recognized by the World Conservation Organization (WHO) as a pandemic. As of May 31, 2020, more than 6 million cases were recorded in almost all countries. The etiological factor of the disease is a new coronavirus of severe acute respiratory syndrome‑2 (SARS‑CoV‑2), which belongs to the genus β‑coronaviruses, as well as other already known pathogens of this family — SARS and coronavirus of Middle Eastern respiratory syndrome (MERS). About 350 thousand people died as a result of the disease. More than 2.5 million people have recovered. To date, it has been proven that SARS‑CoV‑2 can affect all organs and systems of the body (lungs — pneumonia, respiratory distress syndrome, brain — encephalitis, cardiovascular system, kidneys, gastrointestinal tract). The main clinical symptoms of COVID‑19 include: fever and other manifestations of the respiratory system (headache, rarely — runny nose, loss and/or change in taste and smell, dry cough, shortness of breath, chest pain, etc.), and also symptoms of the gastrointestinal tract (GI tract), such as loss of appetite, nausea and/or vomiting, diarrhea, abdominal pain, increased liver transaminases, exacerbation of chronic gastrointestinal diseases (inflammatory bowel disease, etc.). Data from Chinese studies have shown that SARS‑CoV‑2 RNA is present not only in airway material but also in faecal samples from infected patients. These data demonstrate the ability of SARS‑CoV‑2 to actively affect and replicate in the gastrointestinal tract, which is important for the choice of tactics for the diagnosis and treatment of the disease, as well as to prevent the spread of infection. Numerous studies have shown varying degrees of liver damage in patients infected with SARS‑CoV‑2. The COVID‑19 case studies did not pinpoint the exact cause of liver damage, and there is no clear evidence of an interaction between liver damage and COVID‑19. Research is ongoing. Due to the low level of awareness of physicians about the effects of COVID‑19 on the gastrointestinal tract, it is advisable to review existing data in order to increase the effectiveness of diagnosis, treatment and dynamic supervision of patients. This article discusses the effects of SARS‑CoV‑2 on the gastrointestinal tract. Particular attention is paid to liver damage in COVID‑19, as well as the impact of liver complications on the effectiveness of COVID‑19 treatment and prognosis.

Big data-based applied research on hazardous chemical safety regulation

With the rapid development of modern industry in China, a large number of hazardous chemicals are put into the production and use of chemical enterprises, increasing the probability of hazardous chemical accidents to a certain extent. Because hazardous chemicals are extremely dangerous and destructive, timely and efficient regulation of hazardous chemical safety is of particular importance. The application of China’s Beidou satellite navigation system for safety supervision is of great significance, with its advantages of high accuracy and allweather weather, and the rapid development of related technologies and applications in recent years, has been widely applied in the field of safety monitoring of bridges, earthquakes, dams and other areas. Based on the investigation and analysis of emergency management of critical chemical enterprises, this paper explores the construction of an innovative application system for the safety supervision of critical chemicals based on big data of Beidou positioning system, including a platform for dynamic supervision and traceability of the whole process of critical chemicals based on big data, a platform for dynamic supervision of critical chemical transport safety based on big data, a prediction and early warning application of social public bg data in the critical chemical industry, and a platform for emergency information mining and analysis of critical chemical incidents based on social media big data to form a more scientific safety supervision system for critical chemicals.

Intelligent system for university legal education based on machine learning

University legal education is of great significance to the personal development and social stability of college students. At present, there are certain problems in the traditional teaching system, which has led to inefficient university legal education. In order to improve the legal teaching effect of the university, based on machine learning and neural networks, this paper integrates and optimizes the original hardware and software and operation process, and further highlights the functions of interconnection and sharing, automatic sensing, real-time recording, interactive feedback, dynamic supervision, and intelligent analysis, which greatly facilitates the evaluation of teaching at all levels. In particular, this study uses big data technology to conduct an intelligent analysis of data completeness, multimedia application rate, system execution, and average test scores, and scientifically evaluates the implementation of basic-level education systems and the effectiveness of education, which can effectively solve the problems of quantitative formalization and qualitative subjectivity of current education evaluation from a technical level. In addition, this study designs a control experiment to analyze the system performance. The research results show that the model proposed in this paper has a certain effect.

NON-CARIOUS DENTAL LESIONS IN TYPE 2 DIABETES

The article presents an analysis of the results of a study of the incidence of non-carious tooth lesions in adults with type 2 diabetes, including when they were under dynamic observation by a dentist for 2.5-3 years. It was found that in patients with type 2 diabetes mellitus non-carious lesions of the teeth (49.51%) were significantly more likely to occur than in people in the control group (29.13%). At the same time, it has been shown that in people with type 2 diabetes, a significant improvement in dental health can be achieved due to their being under dynamic supervision by a dentist with a 2-time visit during the year. This allows to reduce the incidence of non-carious tooth damage in type 2 diabetes mellitus by 17.7%, mainly due to the constantly implemented secondary and tertiary dental prophylaxis, rational and competent use of individual oral care products by patients, and also due to dental orthopedic treatment.

Adherence Assessment of Medication Errors Reporting System at the Public Hospital in Riyadh, Saudi Arabia

International Journal of Pharmacology and Clinical Sciences,2019,8,2,105-109.DOI:10.5530/ijpcs.2019.8.18Published:June 2019Type:Research ArticleAuthors:Yousef Ahmed Alomi, Nisreen Al-Shubaar, Nadia Lubad, and Fatimah Ali Albusalih Author(s) affiliations:Yousef Ahmed Alomi1,* , Nisreen Al-Shubaar2, Nadia Lubad2, Fatimah Ali Albusalih3 1The Former General Manager of General Administration of Pharmaceutical Care, Former Head, National Clinical Pharmacy and Pharmacy Practice, Former Head, Pharmacy R and D Administration, Ministry of Health, Riyadh, SAUDI ARABIA. 2King Salman Hospital, Ministry of Health, Riyadh, SAUDI ARABIA. 3College of Clinical Pharmacy, Imam Abdulrahman Bin Faisal University (University of Dammam) Dammam, SAUDI ARABIA. Abstract:Objective: Medication errors have noteworthy implications in the field of patient safety. Error detection through a dynamic supervision and an efficient error reporting system unveils medication errors and boosts safe practices. The overall goal of this study is to explore the pharmacist’s adherence to medication errors reporting system in adults and pediatrics at the public hospital in Riyadh, Saudi Arabia. Methods: This article describes 9 months retrospective cohort study in year of 2015. A retrospective study was conducted on all inpatients at a 300-bed hospital where all medication procedures in each ward were monitored by a clinical pharmacist. The study was conducted at the Public Hospital in Riyadh, Saudi Arabia. The hospital had medication safety officer with medication safety committee. The program led by trained pharmacist and delivered basic medication safety education programs to all health professional. The medication error report consisted of patient demographic information, qualification of committing mistakes, time of errors occurs, type of medication errors, reasons for medication errors, medications stages involved and errors outcome. Results: The total number of reports were 805. The most common adherence documentation of error involving medications were cost related information (100%), error related information with an average (90.59%), patient related information (50.37%) and drug related information (49.39%). While the action related information (0.57%) was harmless. The most common completed of error related information were causes of medication errors 775 (96.3%) and type of medication errors 770 (95.6%) followed by outcome of medication errors 764 (94.9%) and medication process stages involved 711 (88.3%). While the patient’s demographic information completed only (50%) in reports. Conclusion: Despite the medication error reporting is consider new at the public hospital, the number of reporting was high. The system needs more determination to follow completeness medication errors reporting system and that by development of an electronic reporting system, program awareness and positive documentation system feedback changes in pharmacy practice. Keywords:Adherence, Medication errors, Ministry of Health, Public, Riyadh, Saudi ArabiaView:PDF (323.67 KB) PDFClick here to download the PDF file. Images Medication Error Reports Compliance

Study on Safety Environment of Highway High Slope Excavation Construction in Civil Engineering

Based on a large number of studies and engineering test, this paper proposes a two-stage evaluation technique for construction safety environment risk assessment of civil engineering slope excavation based on topographic geological conditions and construction environment in civil engineering. In terms of the assignment and practicality of indicators, the basic principles of simple and practical are followed, highlighting the key factors of geological conditions, emphasizing the dynamic supervision of the process, and adopting the height and stability correction coefficient of respecting the empirical model.

EVOLUTION OF SURGICAL TACTICS AT THE ACUTE APPENDICITIS

The problem of diagnostics and treatment of an acute appendicitis remains extremely actual and are of spe­cial interest for system of rendering an emergency medical service as it is connected with delivery of health care in the emergency form. The assessment of evolution of surgical tactics at an acute appendicitis was a research objective. The content analysis, legal, historical, analytical, statistical methods are used. Data of the monitor­ing of sharp surgical pathology of abdominal organs in St. Petersburg which is carried out by the St. Petersburg Scientific Research Institute of Emergency Medicine of I. I. Dzhanelidze, normative legal documents, domestic and foreign scientific literature became material for research. Medical and diagnostic tactics at an acute appendi­citis I evolved from conservative to active (quick) which dominates and now. Today it comes back to possibility of conservative treatment of its uncomplicated forms again. The stationary office of an emergency medical service allows to change routing of patients with an acute appendicitis, to provide possibility of inspection and dynamic supervision of patients within the first days from the beginning of a disease from the beginning of starting conser­vative therapy (single introduction of glucocorticoids and antibiotics).

Design and Implementation of Virtual Monitoring System for Distributed Heterogeneous Signal Processing Platform

There are many kinds of resources, complex structure and different standards in distributed heterogeneous signal processing platform system, so it is difficult to achieve unified management. Based on this, this paper designs and implements a high availability virtual monitoring system with resource networking and modelling. The system uses the hierarchical multi domain form to model the system network, and uses all levels of managers to manage them step by step, so as to realize the dynamic supervision of the whole system. The test results show that the proposed virtual supervision system can effectively and dynamically monitor the resources in the management system in real time, enhance the reliability and maintainability of the platform, and improve the resource management efficiency of the distributed heterogeneous signal processing platform.

Research on the Enhancement Effects of Using Ecological Principles in Managing the Lifecycle of Industrial Land

This paper introduces a performance level concept for industrial land use. The performance level concept uses ecological principles to evaluate index systems for industrial land. We used this concept to integrate local economics, land use, development potential, environmental health and ecosystem management with innovation, harmony, floral preservation, and shared land use. The concept helps promote the efficient use of industrial land and the sustainable use of land resources. We used the chemical medicine manufacturing industry in Chongqing Changshou Economic and Technological Development Zone as a case study. We selected eight companies for analysis and calculated an industrial land performance level for each company. We created three industrial land performance levels: growth potential type, positive development type, and inefficient recession type. To determine economic development and land sustainability, we applied administrative, economic, legal and technical measures to evaluate the entire lifecycle of industrial land. This lifecycle included preliminary project audit access, mid-period dynamic supervision and post land exit management. We conclude by proposing measures to mitigate environmental harm occurring from the intensive use of land for industrial use.

Analysis of Early-Death and Factors Affecting Prognosis of Patients with Acute Promyelocytic Leukemia

To investigate the factors affecting the early-death, overall survival (OS) and relapse-free survival (RFS) of acute promyelocytic leukemia (APL) patients. The clinical and laboratorial charachteristics of 176 APL patients in our center were analyzed retrospectively during January 2002 to Mar 2016. The risk factors of early death and factors affecting OS and RFS of patients were analyzed. Among total of 176 patients, early death occured in 10 patients. Multivariate analysis showed both age ≥60 years and fibrinogen<1.5 g/L (HR=6.4, 95%CI 1.4-28.2) (P=0.015), (HR=12.2, 95%CI 1.5-102.8) (P=0.021), respectively were the independent risk factors for the early death during the induction therapy. Among 154 patients with full follow-up data (median follow-up time was 101(2-262) months), the estimated 5-year OS and RFS rate were (98± 1)% and (77± 4)%, respectively. Cox regression analysis showed relapse during treatment as well as initial WBC count≥30× 109/L were independent prognostic indicators for OS. Accompanied psoriasis indicated higher relapse rate of APL(HR=4.8, 95%CI 1.8-12.5)(P=0.002), while the low-risk APL indicated lower relapse rate (HR=0.4, 95%CI 0.2-0.99)(P=0.048). Importance should be attached to the early-death events in elder and low-fibrinogen APL patients. As for patients with psoriasis or non low-risk group, emphasizing the intensified dynamic supervision during the treatment helps to detect the early-relapse events. For relapsed patients and patients with ≥30× 109/L WBC count, seeking more optimized therapy strategy seems allow this cohorts to get better prognosis.

The possibility of statusmetric model for managing general cardiovascular risk

Under the control of the total cardiovascular risk means the possibility of targeted reduction of its absolute and relative values through exposure to risk factors that have been proven to affect the progression of atherosclerosis and the development of its clinical complications. The study included 81 people of socially homogeneous group of men working at the same enterprise and being on dispensary dynamic supervision within 10 years who did not have clinical manifestations of atherosclerosis according to the data of primary inspection. The median age was 45.6±2.94 years. The statistical calculations were based on the method of status measurement, which allows to analyze and assess the state of human health by a complex of genetic, immunological, physiological, biochemical, anamnetic and socio-hygienic indicators. The obtained result made it possible to propose an algorithm for assessing the risk of developing clinical manifestations of atherosclerosis for a single sample of individuals, which is simple for use in clinical practice. Thus, the classification capabilities statustitle in the separation of the men surveyed limited sample to alternative on combined endpoints for the subgroup is significantly higher than the possibility of stratification according to the SCORE model for European countries with high risk (sensitivity 73.9 per cent, a specificity of 74.7%).

Exploring Flow and Supervision of Medical Instruments by Standing on Frontier of the Reform of Free Trade Zone

Shanghai Waigaoqiao Free Trade Zone as one of the special customs supervision areas of China (Shanghai) free trade pilot area, gathered a large number of general agent enterprises related to medical apparatus and instruments. This article analyzes the characteristics of special environment and medical equipment business in Shanghai Waigaoqiao Free Trade Zone in order to further implement the national administrative examination and approval reform. According to the latest requirement in laws and regulations of medical instruments, and trend of development in the industry of medical instruments, as well as research on the basis of practices of market supervision in countries around the world, this article also proposes measures about precision supervision, coordination of supervision, classification supervision and dynamic supervision to establish a new order of fair and standardized competition in market, and create conditions for establishment of allocation and transport hub of international medicine.

“Sun in the Belly”: Film Practice at Films Division of India 1965–1975

This article looks at one decade (1965–1975) in the history of Films Division of India (FD), the first state film production and distribution unit in the country. It tracks the changing political environment and several administrative, infrastructural, and policy changes of the time, along with the emerging “experimental” film and interview format films. Under the dynamic supervision of Jean Bhownagary, a constellation of film makers and artists like Pramod Pati, S.N.S. Sastry, S. Sukhdev, among others came to the fore, experiment with film form was encouraged, and dissonant voices rose against the state itself. I suggest that it is possible to study certain experiments and formal practices emerging at a particular time and space not as mere aberrations, but as something that emerges from complex shifts in institutional practice. I locate these as part of a layered body of film uses, a palimpsest, in which the filmmaker’s creative engagement needs to be situated in a bureaucratic order that could be arbitrary and inflexible but also provide for a regime of the permissible.

A novel field search and rescue system based on SIM card location

Nowadays, the rapid development of outdoor sports and adventure leads to the increase of the frequency of missing accidents. On the other hand, it becomes much more convenient and efficient for the criminals to escape with the help of new technologies. So we have developed a long-distance raids targeted field search and rescue system which utilizes RSSI ranging and Kalman filtering algorithm to realize remote positioning and dynamic supervision management only by a mobile phone with a SIM card, without any additional terminal equipment.

ДОПЛЕРОМЕТРИЧНЕ ДОСЛІДЖЕННЯ МАТКОВО-ПЛАЦЕНТАРНО-ПЛОДОВОГО КРОВОПЛИНУ У ВАГІТНИХ З ПЕРВИННОЮ АРТЕРІАЛЬНОЮ ГІПОТОНІЄЮ

Мета дослідження – вивчення гемодинамічних процесів у системі мати – плацента – плід у вагітних з первинною артеріальною гіпотонією.Матеріали та методи. Проведено доплерометричне дослідження матково-плацентарного та плодово-плацентарного кровоплину у 43 вагітних із первинною артеріальною гіпотонією та 32 здорових вагітних з нормальним артеріальним тиском у терміни гестації – 20–24 тиж., 28–32 тиж., 37–41 тиж. Для оцінки стану гемодинаміки в системі мати – плацента – плід проводилось доплерометричне дослідження кровоплину з допомогою приладу «SA-8000 EX» (Medison, Південна Корея) в акушерських програмах конвексним датчиком (3,5 МГц). Доплерометричне дослідження включало оцінку кровотоку в маткових артеріях, артеріях пуповини та середній мозковій артерії плода.Результати дослідження та їх обговорення. Виявлено закономірності становлення гемодинамічних процесів у системі мати – плацента – плід у двох групах спостереження. У групі вагітних з первинною артеріальною гіпотонією індекси судинного опору в правій і лівій маткових артеріях були достовірно вищими, ніж у контрольній групі, з переважанням змін у правій матковій артерії. Гемодинамічні прояви при первинній артеріальній гіпотонії з боку матково-плацентарного контуру виглядали при ультразвуковому дослідженні як розширення інтервільозного простору, збільшення поперечного розміру крайового синуса, варикозне розширення параметральних вен. Явища венозного застою у матково-плацентарному контурі супроводжувались вищими показниками індексів судинного опору у маткових артеріях і частіше при динамічному спостереженні призводили до розвитку затримки росту плода. Вивчення гемодинамічних показників в артерії пуповини виявило тенденцію до зростання всіх індексів упродовж вагітності у І групі та зменшення – у ІІ групі; при цьому у вагітних з первинною артеріальною гіпотонією в ІІІ триместрі спостерігалось достовірне збільшення показників порівняно з контрольною групою. Вивчення плодової гемодинаміки виявило зниження резистентності кровоплину в середній мозковій артерії плода із прогресуванням вагітності та розвитком централізації кровообігу. Посилення мозкового кровообігу плода є компенсаторною реакцією на хронічну тканинну гіпоксію.Висновки. Порушення матково-плацентарного кровоплину, які розвиваються у вагітних з первинною артеріальною гіпотонією, починаючи з ІІ триместру вагітності, в подальшому призводять до фетального дистресу.

Study of dynamic risk management system for flammable and explosive dangerous chemicals storage area

In order to improve the ability of emergency management for storage area of dangerous chemicals, a framework of risk management technical system about the flammable and explosive dangerous chemicals was proposed. Combined with the dynamic changes of dangerous sources, risk analysis for storage area of dangerous chemicals was conducted based on the Bow-Tie model. Dynamic hazards analysis method and classification system were established based on Set Pair Analysis, updating results in real time with the storage capacity and accident characteristics. Integrating with the GIS, Internet of Things, detection and sensing information technology, a dynamic security monitoring system was proposed. Based on the database technology, the emergency decision support system of dangerous chemicals was made, including storage date, emergency resource, emergency plans, information of risk, etc. Using the dynamic risk management system, it can effectively achieve the goal of dynamic supervision, risk identification, real-time monitoring as well as assisting the emergency decision making of dangerous chemicals in the whole life cycle. All models are comprehensively composed of the framework of dynamic risk management system, including identification, classification, assessment, supervision and emergency management.