Management Mode Research Articles

Innovation and Practice of Vocational Skill Appraisal Management Mode in the Electric Power Industry

In response to the current situation and existing problems of the vocational skill appraisal management mode in the electric power industry, a new practical scheme is proposed in this paper. By constructing a diversified evaluation system, implementing intelligent management methods, and strengthening the effective connection between vocational skill training and appraisal, an innovative management mode is constructed. Combined with practical case analysis, the practical effects and significance of the new management mode in the electric power industry are elaborated.

RETRACTION: The Analysis of Optimized Path Selection for Management Mode of Coastal Regional Circular Economy Based on Fuzzy Decision Algorithm

Retraction: W. Wei, D. Xiao, and W. Liu, “,” Expert Systems 41, no. (2024): . https://doi.org/10.1111/exsy.12985. The above article, published online on 04 March 2022, in Wiley Online Library (http://onlinelibrary.wiley.com/), has been retracted by agreement between the journal Editor‐in‐Chief, David Camacho; and John Wiley & Sons Ltd. Following an investigation by the publisher, the parties have concluded that this article was accepted solely on the basis of a compromised peer review process. In addition, the investigation found significant flaws and logical inconsistencies in the article. Therefore, the article must be retracted. The authors did not respond to the notice regarding the retraction.

Research on Intelligent Industrial Park Management System

In recent years, the scale of industrial parks in China has grown rapidly, but the use of intelligent management methods for industrial park management in China has not been carried out for a long time and lacks relevant experience. To explore the management mode and application characteristics of smart industrial parks, this article derives the operation mode of the smart industrial park management system based on the digital twin infrastructure, and elaborates and analyzes the main functions and characteristics of the smart industrial park management system, To provide reference and reference for better promoting the management system of smart industrial parks.

A Comparison of Delivery Modalities for Pregnancy Clinical Care Management: Telephonic Versus Video.

Given the high prevalence of maternal morbidity and mortality, it is imperative that maternal health interventions are comprehensively evaluated, so they can be scaled with fidelity. Community-based care management models focused on perinatal health care are a priority for health care systems and payers. Alternative care management delivery modalities, such as video visits, are needed to expand program reach amidst growing system-level challenges. This evaluation explores the feasibility, acceptability, and impact of video versus telephonic care in perinatal care management. Using a mixed methods approach, we implemented a quality improvement project to learn about the integration and impact of video-enabled care into the UPMC Health Plan "Pregnancy Clinical Support" (PCS) care management delivery model. Focus groups were conducted with PCS care managers (CMs) to explore their perspectives on video-visit integration. Video-only members were propensity scores matched to telephonic-only members; statistical comparisons were conducted to assess between-group differences in engagement. PCS CMs discussed ways to structure effective video-visit onboarding, strengths, and drawbacks of video-enabled care, workflow integration challenges, and best practices for introducing video visits to members. Video-only members had significantly (P < 0.0001) more clinical sessions (2.56 ± 1.57 vs 2.05 ± 1.52) and longer case duration measured in calendar days (209 ± 80 vs 169 ± 94) during the 17-month project period than telephonic-only members. Evidence generated provides direct guidance on successfully integrating video visits into workflows of community-based CMs while improving engagement in care across diverse member populations.

Comparative Effects of GLP-1 Agonists, Sleeve Gastrectomy and Roux-en-Y Gastric Bypass on Diabetes Mellitus Outcomes.

The purpose of this review is to assess the effects of glucagon-like peptide-1 (GLP-1) agonists, sleeve gastrectomy (SG), and Roux-en-Y gastric bypass (RYGB) on type 2 diabetes mellitus (T2DM) remission. This review explores the efficacy, safety, and durability of these surgical and medical modalities of diabetes management. Studies have shown that GLP-1 agonists achieve higher rates of T2DM remission compared to standard glucose-lowering medications and lifestyle changes. In addition to weight loss, bariatric surgery has been found to be highly effective in treating and inducing remission of T2DM. Studies suggest that post-surgical patients see enhanced glycemic control. Both surgical interventions and GLP1 agonists are effective in achieving T2DM remission. Long-term follow-up and randomized controlled trials comparing bariatric surgery and GLP-1 agonists are necessary to evaluate their relative effectiveness in T2DM control. Further research is also needed to assess the combined effects of these treatment modalities.

Unraveling Heart Inflammation: Recurrent Myopericarditis Caused by Coxsackie A Virus-A Case Report.

Acute recurrent myopericarditis, characterized by the occurrence of a new myopericarditis event following a symptom-free interval of 4-6 weeks, is relatively rare lacking definitive guidelines for management. Understanding its prevalence, causes, and optimal management is challenging due to limited data and insufficient guidelines. This case outlines the diagnostic work-up and different management modalities for recurrent myopericarditis. A 44-year-old African American man with a past medical history of myopericarditis a year ago presented with fever and chest pain for 4 days. The patient was found to have elevated troponin, CRP, and ESR; pericardial effusion along with a Coxsackie A virus titer of 1:800, suggestive of Coxsackie A virus-induced recurrent myopericarditis. The patient responded well to colchicine and a tapering dose of ibuprofen, achieving significant resolution in the pericardial effusion. Recurrent myopericarditis caused by Coxsackie A virus is a relatively rare phenomenon. New onset myopericarditis can be caused by various factors such as infections, autoimmune disorders, neoplasms, metabolic issues, trauma, and drugs, with recurrence rates of 15%-50% in pericarditis patients. Coxsackie A virus is an important and rare etiology of recurrent myopericarditis due to its unique immune evasive traits. The treatment modalities guided by definitive guidelines for recurrent pericarditis can be applied in recurrent myopericarditis with significant resolution of symptoms. Although there are no specific guidelines for managing recurrent myopericarditis, using approaches designed for recurrent pericarditis has shown promising results, and the immune evasive nature of Coxsackie A virus underscores the need for further research to improve our understanding and treatment of this condition.

Research on Enterprise E-commerce Mode Based on Intelligent Management

With the rapid development of Internet technology and e-commerce, the traditional e-commerce management mode has been unable to adapt to the fast-paced development of e-commerce enterprises, and the management mode of e-commerce is facing new changes. The application of intelligent management technology can improve the efficiency and competitiveness of enterprises, and make the enterprise operation more transparent and efficient. Therefore, the article through the concept of intelligent management technology, the characteristics of the development of enterprise electronic commerce intelligent management, combined with the point of view at home and abroad scholars and existing theoretical basis, research based on intelligent management of enterprise electronic commerce mode, improve the level of enterprise e-commerce management, promote the sustainable development of the enterprise.

Comprehensive Therapy with an Implanted Intravenous Infusion Port for Tumor Patients: An Application Value Analysis of Standardized Management Mode

Comprehensive Therapy with an Implanted Intravenous Infusion Port for Tumor Patients: An Application Value Analysis of Standardized Management Mode

Clinical characteristics and managements of congenital hepatic hemangioma: a cohort study of 211 cases.

Hepatic hemangiomas can be classified into three morphologic patterns: focal (congenital hepatic hemangiomas [CHHs]), multifocal, and diffuse. We aimed to identify the clinical characteristics of CHH and evaluate the changes in CHH management at our institution over the last 2 decades. This was a retrospective cohort study of children diagnosed with CHH who were managed at 8 investigation sites. The primary outcome was changes in CHH size in patients at the last follow-up. The primary exposure of interest was management modality in 2 study periods (2003-2012 versus 2013-2022). Two hundred and eleven patients were analyzed. Four different subtypes of CHH were identified. Rapidly involuting CHH patients had complete involution/nearly complete involution, with a median age of 12.0months. Noninvoluting CHH presented no change in CHH size. Partially involuting CHH patients presented with partial involution and had a stable tumor size at a median age of 16.0months. Postnatally proliferating CHHs had an initial postnatal increase in CHH lesion size and underwent involution at a median age of 27.0months. Further analysis revealed that management strategies for CHHs have shifted over time, with the proportion of patients receiving expectant management increasing from 35.4% before 2013 to 77.7% after 2013 (difference, 42.3%; 95% confidence interval 29.3-53.3%). The survival rate of patients with CHH was high (98.6%). We documented 4 subtypes of CHHs. We found that expectant management strategies have increasingly replaced invasive interventions in patients with CHH over the past 2 decades. We have already registered at Clinicaltrials.gov. The UIN number is NCT03331744.

Study on the Application Effect of Walk-around Management Mode in Special Outpatient Clinics

Objective: To explore and analyze the application effect of the walking management mode in special outpatient clinics. Methods: Data on patient satisfaction, complaint volume, consultation efficiency, and nursing service workload before and after implementing the walking management mode in the hospital’s special outpatient clinics were compared. Results: After implementing the walking management mode, patient satisfaction and consultation efficiency were significantly improved, the average number of complaints per person was reduced, and the average number of daily services was increased. The differences were statistically significant. Conclusion: The use of the walking management mode in special outpatient clinic nursing work can improve the quality and efficiency of outpatient nursing, increase patient satisfaction by increasing the number of proactive services, and is worthy of promotion and application.

A Clinical Study of Integrated Healthcare Management in Process Optimization in an Adult Inguinal Hernia Day Unit

The purpose of this study is to explore the effectiveness of the application of the integrated medical and nursing management model in the optimization of the adult inguinal hernia day ward process. 105 patients who received adult inguinal hernia day surgery treatment in a hospital of general surgery from May 2023 to April 2024 were selected and grouped according to the time node of the introduction of the medical and nursing integration day ward management mode (12 October 2023). 52 patients before the introduction of the mode were included in the control group, while the other 53 patients after the introduction were included in the observation group. A comparative analysis was made for the differences in pre-hospital examination completion rate, day surgery failure rate, average length of stay, hospitalization cost, overall satisfaction, and incidence of adverse events between the two groups under different management modes. The results showed that the prehospital examination completion rate of the observation group (100%) was higher than that of the control group (59.62%), the day surgery failure rate (1.89%) was lower than that of the control group (30.77%), the average length of stay (5.03 ± 1.58 d) was shorter than that of the control group (7.82 ± 1.64 d), and the average cost of hospitalization (8,108.2 ± 264.6 yuan) was less than that of the control group (9,235.6 ± 375.5 yuan). The differences were all statistically significant (P &lt; 0.05). The total satisfaction of patients in the observation group (98.11%) was significantly higher than that of the control group, and the differences were all statistically significant (P &lt; 0.05). In the control group, there was one case of mislabeling of the surgical site, three cases of missing medical documents, two cases of medication dosage errors, two cases of anesthesia accidents, and one case of surgical instruments or gauze left behind, with a total incidence rate of 17.31%. In the observation group, there was only 1 case of missing medical documents and 1 case of medication dosage error, with an incidence rate of 3.77%, and the difference between the groups was statistically significant (P &lt; 0.05). In conclusion, the implementation of integrated medical and nursing management for patients undergoing inguinal hernia surgery can effectively increase patients’ willingness to undergo pre-hospital examination, reduce the day surgery failure rate, shorten the hospital stay, reduce hospital expenses, and reduce the risk of adverse events such as mislabeling of the surgical site, missing medical documents, medication dosage errors, anesthesia accidents, and surgical instruments or gauze left behind, which is highly satisfactory to the patient group. Hence, it is recommended to promote and apply this procedure in other departments.

Research Progress in Construction Workers’ Risk-Taking Behavior and Hotspot Analysis Based on CiteSpace Analysis

With the continuous development of the global construction industry and urbanization, the accident rate in the construction industry has also been increasing year by year, with construction workers’ risk-taking behavior being an important factor. Therefore, effectively reducing the occurrence of construction workers’ risk-taking behavior and improving safety in the construction industry are of great significance to both academia and industry management. Based on the relevant literature on construction workers’ risk-taking behaviors published between 1 January 2012 and 28 August 2024, this study uses CiteSpace software to visualize and analyze the countries, institutions, authors, cited works, and keywords of 272 selected articles. It aims to analyze the development and current status of construction workers’ risk-taking behavior from multiple perspectives, reveal the research hotspots, and predict future development trends. The results of this study show that, firstly, the emergence of risk-taking behavior among construction workers is closely related to a variety of factors, such as work pressure, environmental factors, safety atmosphere, organizational culture, etc. Therefore, future research needs to further explore how to consider these factors comprehensively to understand the causes of risk-taking behaviors more comprehensively. Second, the research methods of risk-taking behaviors of construction workers are becoming increasingly diversified, and the means of research have shifted from a single empirical analysis to a comprehensive analysis, incorporating advanced equipment. Third, the focus of the research object has been gradually shifted from the traditional behavioral patterns of adolescents to the occupational groups, especially construction workers, which strengthens the safety management field. Fourth, the management mode is also gradually standardized, and the scope of future research can be extended to all stages of the occurrence of the behavior, and the methodology is more focused on precision and effectiveness. This study not only helps scholars to have a comprehensive understanding of the current state of research and the future direction of development in this field. It also provides valuable references for managers to improve safety management strategies in practice.

Upper Urinary Tract Stereotactic Body Radiotherapy Using a 1.5 Tesla Magnetic Resonance Imaging-Guided Linear Accelerator: Workflow and Physics Considerations

Background/Objectives: Advancements in radiotherapy technology now enable the delivery of ablative doses to targets in the upper urinary tract, including primary renal cell carcinoma (RCC) or upper tract urothelial carcinomas (UTUC), and secondary involvement by other histologies. Magnetic resonance imaging-guided linear accelerators (MR-Linacs) have shown promise to further improve the precision and adaptability of stereotactic body radiotherapy (SBRT). Methods: This single-institution retrospective study analyzed 34 patients (31 with upper urinary tract non-metastatic primaries [RCC or UTUC] and 3 with metastases of non-genitourinary histology) who received SBRT from August 2020 through September 2024 using a 1.5 Tesla MR-Linac system. Treatment plans were adjusted by using [online settings] for “adapt-to-position” (ATP) and “adapt-to-shape” (ATS) strategies for anatomic changes that developed during treatment; compression belts were used for motion management. Results: The median duration of treatment was 56 min overall and was significantly shorter using the adapt-to-position (ATP) (median 54 min, range 38–97 min) in comparison with adapt-to-shape (ATS) option (median 80, range 53–235 min). Most patients (77%) experienced self-resolving grade 1–2 acute radiation-induced toxicity; none had grade ≥ 3. Three participants (9%) experienced late grade 1–2 toxicity, potentially attributable to SBRT, with one (3%) experiencing grade 3. Conclusions: We conclude that MR-Linac-based SBRT, supported by online plan adaptation, is a feasible, safe, and highly precise treatment modality for the definitive management of select upper urinary tract lesions.

Implications of Digital Operations Management Strategies for Chinese Retail-based Service Companies A Case Study of Service-oriented Companies Starbucks

Under the impetus of digitalization, China's retail service industry can no longer achieve higher development through traditional operation and management modes, so it is necessary to explore digital operation and management strategies that are suitable for China in the wave of the development of digital economy. This paper takes Starbucks, a global coffee chain, as an example to explore the favorable reference and inspiration provided by the digital operation management strategy to Chinese retail service enterprises. By analyzing the main reasons that motivate Chinese retail-based service enterprises to undergo digital transformation, and using Starbucks' digital transformation strategy as a case study, this paper concludes that Chinese service-oriented retail enterprises have to follow the development mode of integrating online and offline in digital transformation. China's retail-based service industry can mainly start from four major aspects in the process of digital transformation, namely, the inclusion of digital technologies, optimisation of supply chain management, innovation in marketing, and establishment a new talent training model. To promote the continuous development and innovation of the enterprise through the adoption of concrete and implementable measures.

Post traumatic cerebrospinal fluid rhinorrhea: a descriptive study

Background: Post-traumatic CSF rhinorrhea occurs following head trauma or after intracranial surgery. Traumatic CSF rhinorrhea can be detrimental with complications such as bacterial meningitis. Methods: Retrospective review of hospital records of post-traumatic patients admitted under neurosurgery department from 2016-2021 was done. 66 patients with CSF rhinorrhea were identified. Their mode of trauma, management and radiological images were reviewed and recorded. Results: Out of the 66 patients, 87.8% were males and average age group 20-30years. 41 resolved with conservative management. Frontal bone was most common site of rhinorrhea. In 61.8% (n=41) patients, fracture was seen in more than one bone/anatomical site. Incidence of post-traumatic CSF rhinorrhea in this study in 6.6%. Conclusions: Early diagnosis and management are important to prevent complications. In majority of cases, the leak subsides with conservative management, hence early surgical intervention is not required.

Persistent luminescent nanoprobes with dual effect radiosensitization for precise radiotherapy

Radiotherapy (RT) is a common modality in the clinical management of breast cancer. However, the radiation damage to healthy tissues caused by the high-dose radiation and the limited therapeutic efficacy with DNA damage repair pose significant challenges in RT. In this work, an intelligent responsive nanoplatform with dual effect radiosensitization (mZGSSM-AMD) has been developed to improve the efficacy of RT. The doping of Lu promotes the generation of reactive oxygen species (ROS) under X-ray irradiation, thereby facilitating DNA breakage. To hinder the repair of damaged DNA, NO is loaded into mZGSSM-AMD, enhancing damage of tumor during radiotherapy. Furthermore, persistent luminescence (PersL) recovers with the degradation of MnO2 in tumor microenvironment (TME), which guides precision radiosensitization of tumors. Experimental results indicate that growth of tumors is significantly suppressed by effective radiosensitization of mZGSSM-AMD. The mZGSSM-AMD with dual effect radiosensitization exhibits exceptional antitumor effectiveness, providing promising application prospects for the imaging-guided precise radiosensitization therapy.

Research on Lean Construction Management Mode of EPC Project Based on BIM

In view of the low production efficiency, backward information level and rough project management of the traditional construction industry, it is necessary to introduce a construction model that can efficiently achieve the project construction goals. Taking EPC projects as the research object, building information modeling (BIM) as the technical means, and lean construction (LC) as the management model, this paper constructs a lean construction management model for EPC projects based on BIM, the "BIM-LC" model. From the perspective of the general contractor, the lean construction implementation mechanism of EPC projects using BIM technology is proposed, and the research is combined with EPC project examples. The results show that through the practical application of this model, the characteristics of BIM technology and lean construction refined management can be brought into play, the EPC project management process can be simplified, and the efficiency of project management can be improved.

Experimental study of the flow boiling heat transfer characteristics of teardrop-like micro-pin-finned chip surface in semi-open microchannel

Phase change flow boiling heat transfer in microchannel is a very efficient thermal management mode for high-power electronics/devices. However, it is still a challenge to achieve comprehensive enhancement of flow boiling heat transfer performance at low power consumption. Herein, we devised and manufactured a set of teardrop-like micro-pin-finned chip surfaces, demonstrating their exceptional enhancement in flow boiling heat transfer efficiency within semi-open microchannels with negligible pumping energy input. Benefiting from the effective expansion area, the pinning effect and the streamlined bionic structure of the micro-pin-fins, the staggered teardrop-like micro-pin-finned surface (S37) exhibits simultaneous enhancement of critical heat flux (CHF) and heat transfer coefficients (HTC). The CHF and HTC peaks reached 414.1 W/cm² and 42,153.3 W/m²·K, with maximum enhancement ratios of 52.8 % and 78.1 % relative to the smooth surface. A nearly linear improvement in the heat flux (from 93.1 to 414.1 W/cm², enhanced by 447.8 %) is observed within a minimal fluctuation in wall temperatures, not exceeding 10 °C. The semi-open microchannels provide ample space for boiling nucleation bubbles to move efficiently, enhancing heat transfer performance while maintaining a very low pressure drop (≤1.2 kPa) and without increasing power consumption. In situ observation and analysis of the boiling bubble dynamics indicated teardrop-like micro-pin-finned chip promotes the phase change heat exchange process by massive nucleation sites, and effective control of boiling bubbles by pinning effect. These findings not only provide guidance for the rational design of boiling heat transfer-enhanced surfaces and heat sinks, but also point the way to achieving efficient thermal management of power devices.

Comparative Analysis of Cellulite Treatment Modalities: A Systematic Review.

Cellulite is a highly prevalent and aesthetically distressing skin condition. Whilst there are a variety of treatment modalities, none are definitively established. This systematic review aims to assess invasive and noninvasive treatment modalities for cellulite management. The review protocol was published and registered a priori (PROSPERO CRD42022359334). A comprehensive electronic search for relevant randomised controlled trials, (RCTs) was performed in CENTRAL, MEDLINE, Embase and Web of Science databases. Study quality and risk of bias were assessed using Cochrane's risk of bias tool, respectively. Overall, 753 studies were initially identified, of which 24 randomised controlled trials (RCTs) satisfied the eligibility criteria with a total of 2084 patients with a mean follow-up of 3.33 ± 13.4weeks. Evaluated interventions included mechanical stimulation, topical therapy, shock wave therapy (SWT), laser and light-based devices, radiofrequency therapy, subcutaneous injectables, and ultrasound. SWT emerged as a standout intervention, demonstrating a consistent cellulite reduction score of 2.07 ± 0.39 across four studies. Radiofrequency therapy exhibited a statistically significant reduction of thigh circumference (- 2.09cm, p < 0.001) and subcutaneous tissue thickness (- 2.23cm, p < 0.001). Subcutaneous injectables, specifically collagenase Clostridium histolyticum-aaes, demonstrated a statistically significant improvement in the clinician-reported photonumeric cellulite severity scale (17.0%) and patient-reported photonumeric cellulite severity scale (25.7%) (p < 0.001). The overall quality of the studies using the grading of recommendations, assessment, development and evaluation approach was moderate. This is the first methodologically robust systematic review evaluating interventions for cellulite. SWT, radiofrequency therapy, and subcutaneous injectables have shown promising findings in cellulite treatment. The journal asks authors to assign a level of evidence to each article. For a complete description of Evidence-Based Medicine ratings, see the Table of Contents or the online Instructions for Authors at www.springer.com/00266 .

Sublingual hematoma as a complication of mandibular midline osteotomy: a case report and literature review.

Sublingual hematoma is a serious complication associated with anterior mandible surgery. It presents considerable risk due to the potential for airway obstruction, which can be life-threatening and necessitates prompt diagnosis and intervention. This case report describes the occurrence of sublingual hematoma following mandibular midline osteotomy and the subsequent management of this condition. Mandibular midline osteotomy is performed to correct skeletal or dental discrepancies in the transverse plane. Sublingual hematoma as a complication of a midline osteotomy has not been previously documented in the literature. This article provides a comprehensive review of the various etiologies associated with sublingual hematoma, along with its management modalities.