Unified Plan Research Articles

The Landscape Change of Qiang’s Settlements in the Upper Reaches of Minjiang River after Wenchuan Earthquake

Qiang ethnic group is one of the oldest ethnic groups in China, mainly living in upper reaches of Minjiang River in southwest of China. Qiang’s traditional settlements are valuable cultural heritages. Unfortunately, most of Qiang’s settlements were damaged during Wenchuan earthquake in 2008 in different degree. After the earthquake, settlements were reconstructed in different ways. The landscape of Qiang’s settlements had been changed greatly by dual influences, the destruction of earthquake and reconstruction after earthquake. Researching the changing process of Qiang’s settlements landscape has great significance to the protection of cultural heritage and the inheritance of culture, especially in the period after earthquake. At first, Qiang’s settlements are classified into five types with typology method after field research, according to the different degree of destruction and the different model of reconstruction. The five types are settlements restored to original forms in original location, settlements rebuilt to traditional forms in original location, settlements transformed to traditional forms in original location, settlements rebuilt in new location according to unified planning and settlements rebuilt in new location by villagers themselves. Secondly, the five types of settlements are compared with traditional settlements from several aspects including geographical environment, location of settlements, forms of settlements, space structure, building materials and construction technology, in order to research for the change of the landscape characteristics. Finally, the changing processes of each type of settlements landscape are analyzed. The change of villagers’ demands for settlements space are analyzed with the changes of their production model, life style, traditional customs, cultural communication, national religion and spiritual pursuit. Based on this analysis, the main factors influencing the changes of Qiang’s settlements landscape are summarized.

The eXtraordinarY Kids Clinic: an interdisciplinary model of care for children and adolescents with sex chromosome aneuploidy

PurposeIndividuals with sex chromosome aneuploidies (SCAs) are born with an atypical number of X and/or Y chromosomes, and present with a range of medical, developmental, educational, behavioral, and psychological concerns. Rates of SCA diagnoses in infants and children are increasing, and there is a need for specialized interdisciplinary care to address associated risks. The eXtraordinarY Kids Clinic was established to provide comprehensive and experienced care for children and adolescents with SCA, with an interdisciplinary team composed of developmental–behavioral pediatrics, endocrinology, genetic counseling, child psychology, pediatric neuropsychology, speech–language pathology, occupational therapy, nursing, and social work. The clinic model includes an interdisciplinary approach to care, where assessment results by each discipline are integrated to develop unified diagnostic impressions and treatment plans individualized for each patient. Additional objectives of the eXtraordinarY Kids Clinic program include prenatal genetic counseling, research, education, family support, and advocacy.MethodsSatisfaction surveys were distributed to 496 patients, and responses were received from 168 unique patients.ResultsSatisfaction with the overall clinic visit was ranked as “very satisfied” in 85%, and as “satisfied” in another 9.8%. Results further demonstrate specific benefits from the clinic experience, the importance of a knowledgeable clinic coordinator, and support the need for similar clinics across the country. Three case examples of the interdisciplinary approach to assessment and treatment are included.

Re-imagining long-term services and supports: towards livable environments, service capacity, and enhanced community integration, choice, and quality of life for seniors.

In the half century since enactment of the 1965 Great Society programs, accomplishments were gradually made to improve access to and quality of long-term services and supports (LTSS), including: mitigation of financial and care abuses in nursing facilities (NFs); substantial rebalancing of LTSS towards consumer-preferred home-and-community-based services (HCBS); increasing flexible consumer-centered HCBS including payment to family caregivers; and more assisted-living and housing options for seniors with heavy care needs. A unified planning and advocacy agenda across age and disability type and greater consumer transparency fueled progress. Nonetheless, LTSS is a broken system; persistent problems interfere with substantial and necessary change. These include; over-emphasis on safety for LTSS consumers; inattention to physical environments in all settings; regulatory and professional rigidity; and poor communication and information. Our recommendations are aimed at builders and designers, LTSS professionals, regulators, and educators/trainers; the last may be crucial in forging new consensus and over-coming entrenched beliefs. Policy recommendations include relatively narrow steps-for example, requiring single occupancy in all NFs and assisted living settings financed with public dollars-to broad reworking of the prerequisites for livable age-friendly (and dementia-friendly) communities and for a capable, flexible LTSS workforce.

Cross-Organizational Information Sharing and Coordination in Disaster Response: The Case of the 2008 Wenchuan China Earthquake

Information sharing is a vital component of unified planning among multiple agencies performing varied tasks and activities toward effective emergency response, which promotes effective coordination. Insufficient information sharing and ineffective coordination among organizations during a disaster response creates a bottleneck in need of urgent resolution to effect preparedness. Building a highly effective emergency management information system would help to solve this problem. Modern information technology processing techniques have produced tools and approaches for information sharing across multiple agencies. However, Chinese and international scholars who study the multi-agency unified response systems of various countries have found that such systems are not in practice. This study took a socio-technical system perspective to analyze the characteristics of emergency response organizations and tasks involved in the response to the 2008 Wenchuan (China) earthquake as a case study. Existing problems and possible causes were analyzed from system and technology perspectives to identify possible resolutions to problems in cross-organizational information sharing and coordination that would improve the quality and speed of information sharing and coordination among multiple agencies. The results suggest a basic theoretical approach for the analysis and design of an open, cross-organizational relief management information system that can efficiently and effectively respond to large-scale disasters.

Research and Analysis of Business Systems for County Grid

Situation county business system construction is in-depth analyzed in this article. The communication network constraints,lack of standards and operational system is not unified planning are pointed, cannot achieve system integration and sharing of data between departments and efficient coordination office problems. Especially the construction of "Three-Five" new system breaks the pattern of the original business case of rural power management, resulting in multi-disciplinary system efficiency is not high, the accuracy and reliability of system data are reduced and other issues. This paper proposes a stable and efficient communication network in support of the construction of county power production business operations integration platform to achieve business integration applications. The system can provide support services for marketing, production, operations.

The Church of St. Catherine in Thessalonike: its topographical setting and the current state of scholarship

AbstractThe Church of St. Catherine representing one of the outstanding achievements of Byzantine architecture in Thessaloniki, and vital to our understanding of late Byzantine church building, has not been sufficiently studied. The intention of this study is to present a number of issues - taking into consideration that the information about this church is dispersed in many studies about different topics of Byzantine culture and archaeology - and to focus on its topographical setting, its immediate environs, the available sources, and the current state of scholarship, as well to present new information such as the document of dedication on occasion of its conversion into a mosque. - The main conclusions to be drawn are the following: Limited information about the church and its area; its identification mostly with churches dedicated to Christ; its dedication to St. Catherine mentioned for the first time in the Ottoman period; conflicting proposals to dating the monument between the twelfth and the second half of the fourteenth century; consideration of two opinions, first holding the church design and its implementation according to a unified plan, and a second based on different phases requiring further examination.

Land Readjustment During Post-Disaster Urban Reconstruction

Land readjustment (LR), a land management technique used to consolidate plots of land for unified planning of infrastructure, servicing, and subdivision (Doebele, 1982), has received increased atte...

Nutrition risk screening and nutrition assessment of hospitalized children

Disease is closely related to nutrition,and disease state of hospitalized children with nutrient consumption and malnutrition is worrying. Malnutrition affects not only children′s growth,reduce the body func-tion,but also can increase the nutrition related complications and mortality. However currently the decision crite-ria of nutrition risk screening and evaluation method are not identical, there is no systemic, standard, unified plan,which cause a lot of malnutrition cases misdiagnosis and miss the timing of the early intervention. There-fore,it is necessary to do nutritional risk screening,nutrition assessment and nutritional surveillance for hospital-ized children,so that we can timely find the nutritional problems and take reasonable nutrition support and inter-vention measures. In this paper,the hospitalized children with nutritional risk screening and nutrition evaluation research progress are reviewed briefiy. Key words: Hospitalized children; Nutrition; Risk screening; Assessment

Effect of Projects within River Courses on Flood Control through Superposition Calculation Method

Henan Yellow River floodplain is the area for flood flowing, flood detention and sand sediment; it is also necessary for the production and living. With the rapid economic development along the Yellow River, floodplain development is increasing, occupying some land and water area. Due to the lack of unified planning, they have brought certain difficulties to flood control management and scientific decision-making. This paper first proposed specific superposition scope and calculation method for projects within river courses. Compared with the previous single calculation of backwater and scouring, it more truly, accurately reflect the actual situation of projects within river courses.

Integration of Network Resources Based on Unified Identity Authentication

This article analysis the current situation of the virtual construction in university, which information non-sharing, poor safety and difficult management. Aiming at data diversification and the difference between platform, develop tools and system, making every network teaching resources system as an “information islet”, thus cause the disperse and independence of resources and data, integrate each resources system effectively by looking for a service governance structure. We proposed management system and method for private universities of long-term development. The main research is to set up the unified authentication system which can complete unified authentication and authority and administer. Using the virtual server technology, Information Office will set up a virtual campus portal platform with unified planning and concentration deployment, which is simple operation, advanced technology, safe and reliable, to realize unified management and guarantee the information resources interoperability and consistency.

Research on Thermal Power Industrial Security Issues Based on Sustainable Energy Development

China is faced with significant challenges in the energy sector such as energy shortage, environmental pollution, greenhouse gas emission, and energy supply in rural areas, which severely restrict its sustainable development. In this paper, the current status and trends of thermal power industrial security issues based on sustainable energy development in China are elaborated. The strategies of sustainable energy in China are brought forward accordingly, such as efficient thermal power industry, green thermal power industry. The corresponding implementations of sustainable energy development in China are expounded as well. In the end, this paper concludes that China must set a step-by-step unified national energy plan to promote the construction of a sustainable energy system, which will be economically, environmentally, and socially viable, and, thus, China would play an important role to promote global sustainable development.

Too long a road towards the first Slovene law on libraries from 1961

AbstractUntil the first Slovene Law on Libraries was passed, public libraries were, in general, parts of societies or committees of political organisations. These circumstances made it virtually impossible to engender a unified plan for the development of Slovenia's libraries. Although the first draft of a law which would bind the administrative agencies to provide libraries inside their districts with financial support, was drafted already in 1951, the revised law was passed as late as 1961. The adoption of the law was delayed, causing a prolonged crisis in the status and funding of libraries, despite the clearly defined solutions to the problem put forward by the librarians in the draft law. Due to the delays in the legal settlement of a number of open issues, the Society of Librarians of Slovenia used the proposed, modern regulations as guidelines in the de¬velopment of Slovenia's larger libraries, without waiting for the new law to be adopted.

Localized synchronous squamous cell carcinomas of the esophagus and hypopharynx treated with definitive concurrent chemoradiotherapy with a unified radiotherapy plan.

Because of common risk factors, synchronous squamous cell carcinomas of the esophagus and head and neck are common, and their concurrent presence can significantly complicate disease eradication and survival. Here, we report the case of a patient with a history of extensive tobacco and alcohol use who was diagnosed with a localized thoracic esophageal squamous cell carcinoma, and in whom positron-emission tomography-computed tomography discovered a nearby asymptomatic localized hypopharyngeal focus that was confirmed by biopsy to also be malignant. He was treated with definitive concurrent chemoradiotherapy in a single unified radiotherapy plan, with surgery reserved for salvage treatment. He currently remains in remission without a need for surgical salvage. However, significant concern remains for both treatment failure and development of another primary because of "field cancerization."

Construction Project Cost Information Management Research

The project cost industry got rapid development with large scale development construction projects in china. The government's management departments of project cost, in order to provide the capacity and level of management, the transformation of the mode of management, strengthening the project cost information service function, implement the informatization strategy comprehensively. But in the country, because of the lack of unified project cost information technology planning, and construction standards, resulted in the formation of many "islands of information". Therefore, the article proposes information management system integration of project cost for the management department of project cost to meet the urgent needs of project cost sharing and using.

Choosing metadata for discovery and description in a mixed-content single-subject library: A case study

This poster illustrates the decision-making and implementation testing processes for development of a consistent and coherent unified metadata plan for an established digital library that is both an institutional and a subject repository.

Can Team-Based Medicine Prescribe Trust?

Can Team-Based Medicine Prescribe Trust?

Value of thoracic multidisciplinary clinic (TMDC) in determining appropriate treatment of stage III non-small cell lung cancer (NSCLC).

82 Background: Treatment of stage III NSCLC involves surgery, radiation therapy and chemotherapy. Treatment depends on the size and location of the primary tumor and lymph nodes as well as clinical status of the patient. Evaluation of these patients should take place in a multidisciplinary clinic, where treating physicians and pulmonary medicine provide a unified treatment plan. Methods: All patients with Stage III NSCLC seen at the Lehigh Valley Health Network (LVHN) between March of 2010 and March of 2012 were analyzed retrospectively. We compared initial treatment of out-patients seen in our TMDC with those out-patients seen outside the TMDC. Results: Thirty-five patients were seen in TMDC (34 treated at LVHN) and 44 patients were seen outside TMDC (34 treated at LVHN). Eleven patients were treated elsewhere or were not treatable. Of patients with stage III NSCLC, 37.5% were seen in TMDC year 1 (March 2010 – March 2011) compared to 61% of patients year 2 (March 2011 – March 2012) (p = 0.05). Patients were seen by physicians from at least two specialties 100% of the time when seen in TMDC, but only 64.7% of the time when seen outside TMDC (p < 0.001). Mediastinal staging (EBUS or mediastinoscopy) was performed more frequently in patients seen in TMDC; 58.9% compared to 23.5% outside TMDC (p = 0.009). The LVHN clinical pathway for stage III NSCLC recommends initial therapy with concomitant chemoradiation, either in the neo-adjuvant setting or as definitive treatment. Eighty-eight percent of patients seen in TMDC followed our clinical pathway while 46% of patients seen outside TMDC conformed to the clinical pathway (p < 0.001). The time from first contact with a treating physician to initiation of treatment was reduced by almost 30% (29.03 days outside TMDC; 20.62 days at TMDC). Conclusions: All patients with stage III NSCLC should be seen in a multidisciplinary setting. At LVHN we saw an increase in these patients being referred to our TMDC over time. These patients were more likely to have mediastinal staging and enjoyed quicker initiation of their therapy. They were more likely to have at least two physicians involved in their initial treatment plan and were more likely to conform to our clinical pathways.

The Future is Here

Change is the only constant in health care; and with change comes uncertainty, anticipation and trepidations. The adoption of the Patient Protection and Affordable Care Act, commonly known as the Affordable Care Act (ACA), is undoubtedly the most sweeping health care law passed by Congress since the creation of Medicare in 1965. The ACA is ushering in fundamental transformation that is likely to change the landscape of healthcare delivery in the U.S. It is very likely that the implementation of the ACA provisions will have signifi cant unintended and unforeseen consequences for medical professionals, patients, insurers and businesses. 1 Despite this uncertainty, it is clear that the ACA will shift the emphasis toward improving the outcome of care and reducing costs, perhaps by focusing on integration of care among providers and across care settings. Within this broad context of change, the fiof sleep medicine is undergoing its own radical transformation. Sleep medicine is no longer a specialty about a single disease, a single test, or a single device; instead, sleep medicine professionals provide care transcending organ based specialties, caring for one third of human life, a critical third that has direct impact on every aspect of health. The challenge before us is to develop care models that meet three aims: optimal patient experience, including quality and satisfaction; improving the health of population; and decreasing the cost of care. What are the key themes that are likely to infl uence the practice of sleep medicine in the new era of health care reform? I will highlight several areas that require our attention in the coming year.

From product documentation to a ‘method prototype’ and standard times: a new technique for complex manual assembly

This paper suggests a new technique to facilitate consistent transition between planning and production stages of small lots of complex products (in quantities that do not justify full automation). Despite the usage of modern approaches such as design for assembly and design for manufacturing the typical product planning ends up before production planning begins, instead of having a unified seamless planning process. This paper presents a new three stage technique to fill the gap between product planning and production. The paper shows how to generate a rigorous production plan by: (1) extending the Bill-of-Materials to include additional required information, (2) constructing an assembly ‘method prototype’ and (3) using the ‘method prototype’ to calculate time standards for executing the assembly. A case study illustrates the proposed technique.

Study on Development Strategy of Yesanguan Ecological Vacation Tourism in Badong Country Hubei Province

Based on the whole development plan of vocation tourism in Badong country, the development status and problems were analyzed for Yesanguan ecological vacation tourism in western Hubei province. The strategic orientation, strategic targets and measures of Yesanguan ecological vacation tourism are proposed. Through resource integration, administrative merge and unified plan, the new ecotourism products of southeast Badong are formed, and the Yesanguan tourist hub and Lucongpo alpine leisure international club would be built.