Management Mode Research Articles

Emerging Treatments for Subarachnoid Hemorrhage.

The current landscape of therapeutic strategies for subarachnoid hemorrhage (SAH), a significant adverse neurological event commonly resulting from the rupture of intracranial aneurysms, is rapidly evolving. Through an in-depth exploration of the natural history of SAH, historical treatment approaches, and emerging management modalities, the present work aims to provide a broad overview of the shifting paradigms in SAH care. By synthesizing the historical management protocols with contemporary therapeutic advancements, patient-specific treatment plans can be individualized and optimized to deliver outstanding care for the best possible SAH-related outcomes.

Meningioma En Plaque associated with Cerebrospinal Fluid Rhinorrhea: A Systematic Review of Literature with Case Presentation.

Meningiomas are the most frequently diagnosed benign intracranial tumors. However, meningioma en plaque (MEP) is a rare subset accounting for 2.5% of all meningiomas and is characterized by flat, carpet-like proliferation along the dura, typically arising in the spheno-orbital region; therefore, causes proptosis, decreased visual acuity, and orbital pain. We present a unique case of MEP presenting with cerebrospinal fluid (CSF) rhinorrhea and conduct a systematic review of literature. Following PRISMA guidelines, a systematic search was conducted in PubMed and Embase databases. Keywords and standardized index terms related to MEP were used. The search was performed without restriction on the publication date. Screening, data extraction, and quality assessment were carried out. Data on demographics, clinical presentations, management modalities, and treatment outcomes were analyzed. The search yielded 487 titles, with 36 studies eligible for inclusion. A total of 530 patients with MEP were reported, with a mean age of 50.1±11.62 years. Proptosis was the most common symptom (95%), followed by visual impairment (57.3%), orbital pain (38.3%), ophthalmoplegia (28.6%), and headache (23%). Our patient represented the only case with a spontaneous CSF leak. Surgical resection was performed in 85%, adjuvant radiotherapy in 15.7%, and one patient received primary radiotherapy, while 8 patients were closely followed up with no intervention. MEP associated with spontaneous CSF rhinorrhea is extremely rare and poses diagnostic and therapeutic challenges. Conservative management for select cases of MEP can be a good choice, refraining the patient from surgical complications, especially for difficult-access skull base areas.

Orofacial features and dental management of a pediatric patient with moyamoya disease-A one year follow up.

Moyamoya disease (MMD) is a chronic cerebrovascular disorder increasing stroke risk. This study presents a four-year-old MMD patient, discussing her multidisciplinary care plan including dental, behavioral, and medical management. It emphasizes the need for awareness among oral physicians and suggests further research due to the rising prevalence of MMD. Moyamoya disease (MMD) is a chronic cerebrovascular disorder that narrows major blood vessels in the brain, reduces blood flow, and increases the risk of stroke. The purposes of this study were to: (1) present the case of a four-year-old patient diagnosed with MMD; (2) discuss important aspects of her multidisciplinary care plan involving dental, behavioral, and medical management; and (3) suggest approaches and recommendations for health care providers. A four-year-old Middle Eastern female diagnosed with MMD, neurogenic bladder, chronic constipation, hyperactivity, and delayed milestones presented to the dental clinic with her parents seeking dental care. The child was referred by a pediatric neurologist for dental care. In the present case, there were no specific oral manifestations. However, oral physicians should be aware of possible behavioral management modalities when providing dental care to pediatric patients, including those diagnosed with MMD.

A New Probe into the Financial Management Reform of Listed Companies under the Background of Integration of Industry and Finance

Under the blessing of the development of modern information technology, the integration of industry and finance has become the mainstream development trend of enterprise financial management. The internal financial management mode of the enterprise also needs continuous reform and innovation. Based on this, the paper studies the reform and innovation of financial management model under the background of industry-finance integration. This paper discusses the specific role of financial management innovation in maintaining capital safety and promoting the steady development of enterprises under the background of financial integration, and analyzes the three principles of process, integrity and risk control that financial management innovation should follow under the background of financial integration. Finally, the article combines the financial management reform under the integration of industry and finance with the practical and difficult problems in budget management control and data analysis, and puts forward specific countermeasures to effectively prevent financial risks, innovate budget management and establish information system under the guidance of the concept of integration of industry and finance.

Haemorrhoid artery ligation - recto anal repair (HAL-RAR) blind versus Doppler: a systematic review and meta-analysis.

Haemorrhoids remain a highly prevalent condition in Australia, affecting 39% of the adult Australian population. While haemorrhoidectomy remains the gold standard in the management of haemorrhoids, newer techniques such as haemorrhoid artery ligation-recto anal repair (HAL-RAR) are emerging as promising management modalities. We compare the efficacy of non-Doppler guided (non-DG) HAL-RAR versus Doppler-guided (DG) HAL-RAR in the management of haemorrhoids. This study was registered with PROSPERO (CRD42022353806) and adhered to PRISMA 2020 guidelines. We conducted a systematic review using Medline, Embase and Cochrane database for comparative studies between Doppler-guided HAL-RAR and non-Doppler-guided HAL-RAR in accordance with the PRISMA 2020 statement for reporting systematic reviews. Five studies were included in our systematic review and meta-analysis. There was no clinically significant difference in operative times (SMD 0.46, 9% CI -3.16 0 4.08, P = 0.804) or post-operative bleeding (P = 0.142) between the two groups. DG HAL-RAR patients were more likely to have post-operative urinary retention (P < 0.001). Non-DG patients were less likely to experience recurrence (OR 5.12, P < 0.001). Our review of non-DG HAL-RAR compared to DG HAL-RAR reflects the non-inferiority of the non-DG HALRAR procedure. We hope that these results would provide a guide to clinicians performing HAL-RAR, and would provide some cost savings for institutions who are unable to procure the necessary equipment for DG HAL-RAR.

A Financial Analysis and Valuation of Pfizer

Abstract: The rational valuation of the healthcare industry and the analysis and research of the financial risks faced by enterprises can not only provide a basis for rational investment and transaction pricing decisions, but also help enterprises to find out the shortcomings of the production and operation, so as to improve the management mode of the enterprise, and help enterprises to achieve the maximisation of management. Firstly, this paper analyse the risks faced by Pfizer from a financial point of view by quantitatively comparing the data of Pfizer and its two competitors, Amgen and Unitedhealth Group, and then qualitatively analysing their characteristics in terms of liquidity, solvency and profitability and the reasons for this. Next, Pfizer is valued by looking at its leverage, business risk, earnings per share, etc. to measure the financial risk of the business and the reasons for the capital structure. It then gives investors an objective investment recommendation by forecasting Pfizer's future share price. The study concludes that Pfizer Inc. is illiquid, has poor corporate solvency, is at risk of debt servicing, and has suffered a significant decline in profitability. Valuing Pfizer, the forecast suggests that Pfizer's stock is currently undervalued.

Innovation and Development of Talent Management Model in Colleges and Universities Under the Background of Digitalization

The vigorous development of the digital economy has put forward new and higher requirements for talent training in colleges and universities. In order to cultivate outstanding talents in the new era with both interdisciplinary knowledge application ability and innovative thinking, colleges and universities must keep up with the pace of the development of the digital era, from macro to local, comprehensive innovation of talent management mode, and lead the development with innovation. Only in this way can they flexibly respond to various challenges and opportunities under the digital background, and help colleges and universities achieve the goal of long-term development. Based on the current situation of talent management in colleges and universities, this paper elaborates the feasible path of innovation and development of talent management mode in colleges and universities under the background of digitalization from the perspectives of talent training and talent service. At the same time, the exposed data security and privacy protection issues are also discussed in depth. To contribute to the realization of the goals of refinement, individuation, and intelligence of talent management in colleges and universities through the research and related exposition.

Orbital Myositis and Strabismus: Clinical Profile, Management, and Predictive Factors for Recurrence.

To study the clinical profile of patients with orbital myositis and their management modalities and predictive factors for recurrence. The records of all consecutive patients diagnosed as having orbital myositis from 2010 to 2022 were reviewed. Patient demographics, presenting complaints, visual function, primary gaze deviation, and extraocular muscle involved were studied in the clinical profile. The radiological modalities and their management along with the recovery status and need for surgical intervention were documented. Fifty-two patients (55 eyes) (69% women) were diagnosed as having orbital myositis with a mean age of 36 ± 16 years presenting with periocular pain (55%) followed by diplopia (49%). Disease was unilateral in 94%. Sixty percent had ocular misalignment in primary gaze. The medial rectus was the most involved muscle (58%), with abduction limitation in 73%. Computed tomography (42%), magnetic resonance imaging (42%), and combined imaging (16%) were used in localizing the disease. Muscle biopsy was done in 38% of patients. Systemic immunomodulators were required in 16%. Strabismus surgery was planned in 15% of patients and done in 11%. Recurrence was noted in 43%. Abrupt cessation of steroids was a significant risk factor in recurrence of the disease (P = .046). Recovery was partial in 44% of patients and complete in 47%. Systemic steroids with slow taper has satisfactory outcomes in orbital myositis. Patients refractory to treatment ideally should undergo biopsy and begin taking steroid-sparing agents. Once the disease is in remission, residual disease can be surgically treated for better functional outcome. [J Pediatr Ophthalmol Strabismus. 20XX;X(X):XXX-XXX.].

Research on the Reform Strategy of University Education Management from the Perspective of Innovative Education

With the advent of the knowledge economy era and the acceleration of globalization, the demand for talent in society has gradually become innovative. The traditional mode of university education management has become difficult to adapt to the requirements of the new era. Therefore, it is urgent to reform university education management from the perspective of innovative education. This article aims to explore the inherent relationship between innovative education and education management, analyze the current situation and existing problems of university education management, and propose strategies for reforming university education management, providing references for universities to cultivate innovative talents.

A Comprehensive Approach for Diabetic Foot Ulcer Management

Objectives: This study aims to evaluate the efficacy of a comprehensive management plan in the treatment of diabetic foot ulcers (DFUs). Evaluating the effects of wound debridement on the outcomes of diabetic foot ulcers, advanced dressings, blood sugar control, and offloading strategies are the main objectives. The study also intends to investigate the function of surgery in managing chronic ulcers and preventing recurrences. The goal is to offer advice for managing DFUs optimally and lowering related morbidity based on evidence. Method: The intervention program includes techniques like wound debridement, advanced dressings, unloading modalities, blood sugar level control, and, where necessary, surgical treatments. Growth factors, electrical stimulation, negative pressure wound therapy, bio-engineered skin, and hyperbaric oxygen therapy are among the many treatments that are included. Regression models are among the statistical analyses used to assess the efficacy of the overall management strategy. Results: Significant findings are presented in the results section, which shows how the holistic management strategy improves DFU outcomes. Improved wound healing rates, reduced infection incidents, and enhanced patient-reported outcomes are highlighted. The results underscore the significance of maintaining blood sugar levels, wound debridement, and incorporating various therapeutic modalities in DFU management. Conclusion: This study concludes by recommending a thorough and interdisciplinary approach to DFU management. Maintaining blood sugar levels, debridement of the wound, sophisticated dressings, unloading techniques, and surgical procedures are among the effective strategies that help reduce morbidity and prevent serious complications related to diabetic foot ulcers. Additional investigation is necessary to enhance and broaden these results for ongoing progress in the management of diabetic foot ulcers.

A survey on management practices of hypotension in preterm neonates: an Indian perspective

BackgroundHypotension is a common entity in the neonatal intensive care unit (NICU) and is reported in 24%–50% of preterm infants with birth weight less than 1,500 g. Rapid diagnosis and aggressive management is crucial to reduce its detrimental effects on end-organs especially the brain. Physicians often rely on blood pressure alone as a reliable indicator of tissue perfusion, but variations exist in the definition of this crucial parameter. There are also practice variations in the use of diagnostic tools and management modalities among physicians.MethodologyA physician-based cross-sectional survey of management practices of hypotension in preterm neonates in Indian NICUs was conducted using an online survey tool. The questionnaire addressed diagnostic criteria used, utility of echocardiography for the assessment of hypotension, and management strategies used, such as volume expansion, inotropes and steroids.ResultsThree hundred and twenty physicians, working predominantly in Level III NICUs, responded to the survey. The practice of delayed cord clamping was followed in the units of 78% respondents. Only 44% respondents had an institutional written protocol for the management of hypotension. The criteria for the diagnosis of hypotension varied, with 52% using mean blood pressure (BP) less than gestational age as the criteria. Capillary refill time, blood pressure and heart rate were the most common clinical criteria used. 85% respondents used echocardiography in the NICU, but only 73% utilised it for assessment of a hypotensive neonate. Physicians preferred a ‘volume-inotrope-echo-steroid’ strategy, with 85% respondents using volume expansion. Dopamine was the preferred first line inotrope, followed by norepinephrine and low-dose epinephrine.ConclusionThis survey reflects significant variations in practice amongst neonatal physicians in India. Bedside targeted echocardiography needs to be better utilised as a vital tool to determine the pathophysiology of disease and hemodynamic monitoring in the management of hypotension in neonates. While further research is needed on outcome-oriented objectives, awareness and dissemination of already existing guidelines would be useful to standardize clinical practice.

Risk Factor Associated with PAS Disorder and Observation its Management Modalities and Fetomaternal Outcome

Background: Diseases of the placenta accreta spectrum (PAS) have become recognized as a serious and potentially fatal condition due to their increasing prevalence, morbidity, and mortality. Determining the risk factors for PAS illnesses has been the subject of extensive investigation. Choosing the best management strategy for PAS diseases requires thought. Objective: The aim of this study is to assess the risk factor associated with PAS disorder and observation its management modalities and fetomaternal outcome. Methods: The cross-sectional observatinal study was conducted in the Department of Obstetrics &amp; Gynaecology, Dhaka Medical College Hospital, Dhaka from18th January 2020 to 17th July 2020. This study comprised 84 people who had been diagnosed with PAS condition. Patients were divided into three groups based on the management strategy that was employed: Group B (n = 40) had a cesarean section (CS) with cervical inversion and ligation of both uterine arteries; group C (n = 16) had a cesarean hysterectomy with the placenta left in place. The questionnaire was pretested, corrected and finalized. Data were collected by face-to-face interview and analyzed by appropriate computer based programmed software Statistical Package for the Social Sciences (SPSS), version 24. Results: In this study, mean ± SD of age was calculated 32.1 ± 3.3 years for Group – A, 31.7 ± 2.2 years for Group – B and 31.4 ± 1.4 years for Group – C (p-value = 0.415) which explains that there was no significant statistical difference between the groups was observed. About 16 (57.1%), 18 (64.3%) and 3 (18.8%) of them had a parity ≥ 3 in Group-A, Group-B and Group-C respectively. 17 (60.7%) in Group-A and 15 (37.7%) in Group-B of them had ≥2 previous CSs. 9 (31.1%), 11 (27.5%) and 5 (31.3%) of them had previous history of placenta previa in Group-A, Group-B and Group-C respectively. About 8 (25.0%) patients in group-A, 12 (28.6%) in group-B and 6 (55.0%) in group-C had the history of previous ...

Navigating the nexus of personalized medicine and healthcare management: Advancing paediatric pain management modalities in sickle cell disease through thematic analysis for ages 1–12

ABSTRACT Sickle cell disease (SCD) affects millions of people and is a significant public health concern due to the severe pain crises it causes, often requiring emergency care and leading to hospitalization. Effective pain management strategies are crucial to improving the quality of life of children with SCD, particularly those aged 1 to 12 years, who are especially vulnerable. This study evaluates the effectiveness and suitability of various healthcare management strategies, with a specific focus on pain management modalities for this paediatric population. Through a thematic analysis of 36 articles from major healthcare databases, five key themes were identified: cognitive behavioral therapy (CBT) and complementary alternative medicine (CAM), digital and technological pain management methods, pain medications, individualized pain plans and enhancement strategies aimed at improving protocols. The findings highlight critical opportunities to advance pain management approaches and address current care gaps. The study underscores the importance of integrating parents and caregivers into the care process and addressing health inequalities that affect treatment outcomes. Evidence reveals that existing research on paediatric SCD pain management remains inadequate, and future studies are urgently needed to establish clear guidelines that improve treatment efficacy and translate into actionable evidence-based practices for this vulnerable population.

A Case Study of NBA Team Operations Management

The main topic of this essay is to analyze NBA teams’ management. The significance to make this research is to have a profound thought about the overall trend, which incorporate fan’s culture, teams’ culture versatile management modes or even a certain extent of regional difference. Through the research can facilitate use to become more familiar about teams’ difference, and causation of these differences. Main problems can be divided into pros and cons, some teams faced different situations compare with others. The difference makes them unique and utilizing various marketing skills. Five key words throughout entire essay is advertising, analyzing, culture, fans and fans. By analyzing data and making comparison, the result of this essay seems really remarkable. The essay show what will happen in the future and plausible solutions to deal the current problems. Reliable data and website facilitate the overall researching process. Overall research demonstrates the reasons for NBA to become to the most successful basketball league in the world.

Application of Information Link Control in Surgical Specimen Near-Miss Events in a South China Hospital: Nonrandomized Controlled Study.

Information control is a promising approach for managing surgical specimens. However, there is limited research evidence on surgical near misses. This is particularly true in the closed loop of information control for each link. A new model of surgical specimen process management is further constructed, and a safe operating room nursing practice environment is created by intercepting specimen near-miss events through information safety barriers. In a large hospital in China, 84,289 surgical specimens collected in the conventional information specimen management mode from January to December 2021 were selected as the control group, and 99,998 surgical specimens collected in the information safety barrier control surgical specimen management mode from January to December 2022 were selected as the improvement group. The incidence of near misses, the qualified rate of pathological specimen fixation, and the average time required for specimen fixation were compared under the 2 management modes. The causes of 2 groups of near misses were analyzed and the near misses of information safety barrier control surgical specimens were studied. Under the information-based safety barrier control surgical specimen management model, the incidence of adverse events in surgical specimens was reduced, the reporting of near-miss events in surgical specimens was improved by 100%, the quality control quality management of surgical specimens was effectively improved, the pass rate of surgical pathology specimen fixation was improved, and the meantime for surgical specimen fixation was shortened, with differences considered statistically significant at P<.05. Our research has developed a new mode of managing the surgical specimen process. This mode can prevent errors in approaching specimens by implementing information security barriers, thereby enhancing the quality of specimen management, ensuring the safety of medical procedures, and improving the quality of hospital services.

Impact of Co-Management Mode on Diagnosis and Treatment Compliance in Community-Level Diabetic Patients with Retinopathy.

Aims/Background To implement a co-management mode among community-level diabetes patients and analyze its impact on diagnosis and treatment compliance and diabetic retinopathy of the patients. Methods A total of 80 patients who underwent diabetic retinopathy examination in Lanxi People's Hospital from January 2021 to March 2022 were retrospectively selected as the study objects. The clinical data of the patients were analyzed, including 40 patients who adopted the conventional diabetes management mode from January 2021 to August 2021 as the control group. From September 2021 to March 2022, 40 patients in the county medical service community diabetes management team model were adopted as the management group. The two groups of patients were compared in terms of diabetic retinopathy indictors, biochemical examination indicators, self-management ability, and nursing management satisfaction. Results Number of patients complying with treatment protocols in the management group was higher than that in the control group (p < 0.05). The blood spot area, macular thickness, hemangioma volume, and visual-field grayscale value in the management group at the last follow-up were all lower than those in the control group (p < 0.05). The levels of diastolic blood pressure (DBP), systolic blood pressure (SBP), fasting blood glucose (FBG), hemoglobin A1C (HbA1c), total cholesterol (TC), and triglyceride (TG) in the management group at the last follow-up were all lower than those in the control group (p < 0.05). The scores of disease cognition ability, self-management ability, and nursing management satisfaction in the management group were all higher than those in the control group (p < 0.05). Conclusion By changing management concept and implementing the whole-process management and treatment mode for diabetic patients within the scope of the county medical service community, the diagnosis and treatment compliance of the patients can be improved, and the effective control of blood glucose, blood pressure, and blood lipid levels can be achieved, thereby improving the self-management ability and nursing management satisfaction of the patients and providing a new nursing mode for chronic disease management.

China’s marine eco-environment law enforcement from the perspective of the responsibility system: Dilemmas and solutions

As the final link in promoting the construction of marine ecological civilization, the marine eco-environment law enforcement is crucial to realize the Chinese-style modernization which concerns the harmonious coexistence of humans and nature. This study examined the current state of the responsibility system of China’s marine eco-environment law enforcement through legal doctrinal analysis. Three deficiencies that are hindering the improvement of the effectiveness and efficiency of China’s marine eco-environment law enforcement were identified. Firstly, at central level, the allocation of law enforcement powers fails to reflect the principle of integrated land-sea management. There is also insufficient coordination between marine environmental law enforcement and marine resources law enforcement. Secondly, at local level, there is a lack of cross-departmental and cross-regional law enforcement collaboration mechanisms. Thirdly, regarding central-local relations, the allocation of law enforcement powers and resources is unreasonable, and there are conflicts in the management modes of law enforcement agencies. To enhance the effectiveness and efficiency of China’s marine eco-environment law enforcement, it is necessary to: (i) coordinate central law enforcement powers among different maritime-related administrations based on the principle of integrated land-sea management, and the principle of environment-resources integration; (ii) establish cross-departmental and cross-regional law enforcement collaboration mechanisms; (iii) and appropriately allocate marine eco-environment law enforcement powers between the central and local maritime-related administrations.

Research on the Strategy of Film and Television Operation Management Mode

At this stage, with the rapid development of the film industry, more and more film and television works have emerged, mainly films, TV series, and online dramas. The film industry is an important part of the cultural industry of various countries. Analysing the operation mechanism of the film production management model will help the prosperity and development of the film industry. The research is mainly about the operation and management mode of the film and television industry. It uses the methods of searching for literature, searching on the Internet, and finally summarises the steps and strategies of film and television operation. The operation steps of film and television mainly include four links: shooting, production, distribution, and screening. Each link is quite important and needs to be carefully arranged and operated, with a strong team and psychological quality to deal with various emergencies. It must invest much money and energy in every step to complete perfect work and create profits in the final release. The operation of film and television is still advancing and will continue to develop new models and update strategies to meet the development of the times.

Internet Technology for Efficiency and Resilience in Ocean Transportation Supply Chain Management: A Case Study of China Ocean Shipping Group

With the global maritime transport industry has faced many challenges in recent years, such as market volatility, environmental requirements and technological upgrading. The wide application of Internet technology has changed the management mode of the marine shipping industry and brought new opportunities for its development. Taking China Ocean Shipping Group as a case study, this study aims to explore the use of Internet technology to solve the problems faced by the ocean shipping supply chain and to discuss the importance of Internet technology in the ocean shipping supply chain, its areas of application, and the changes it may bring. Currently, the main problems faced by the marine transport supply chain include human resource costs, logistics information technology level, port and route selection, and shipping market uncertainty, which seriously affect the efficiency and flexibility of marine transport and operating costs. This study discusses Internet technologies to solve practical problems and specific supply chain management measures, including supply chain efficiency, flexibility and operating costs.

Ansurethral Removal of Vesical Fungal Bezoar Using Ho:YAG LASER—A Case Report

Fungal bezoars are extremely rare in the urinary bladder, and there is limited literature regarding the modality of management. We report a case, where the piecemeal removal of a vesical fungal bezoar was performed using Ho:YAG LASER. A 60-year-old man presented with lower urinary tract symptoms and on evaluation was diagnosed with vesical calculus. On cystoscopy, a white-colored, smooth contoured ball was identified in the bladder. The effective endourological modalities for the removal of fungal bezoar require mention in the literature. This case report demonstrates the possibility and efficiency of Ho:YAG LASER in the endourological retrieval of fungal bezoar in the bladder. The rarity of the diagnosis results in difficulty in prompt management.