Unified Plan Research Articles

Clinical treatment of diabetic foot ulcer combined with Budd-Chiari syndrome

Rationale:Diabetic foot ulcer is a severe complication of diabetes, and most patients with diabetic foot ulcer require amputation. The incidence of Budd-Chiari syndrome is low; it is relatively rare. Diabetic foot ulcer combined with Budd-Chiari syndrome has not been reported so far.Patient concerns:A 52-year-old man presented with uncontrolled high body temperature, continued expansion of the lower leg and foot ulcer with increasing malodor.Diagnosis:The patient was diagnosed with Wagner grade 4 diabetic foot ulcer combined with Budd-Chiari syndrome.Interventions:Critical treatment was performed immediately after his admission to the hospital. After the patient's condition was stable, we performed an interventional procedure to relieve the inferior vena cava obstruction. Debridement was then performed on the diabetic foot ulcer. Finally, skin grafting was performed due to condition of the wound. We completed moist healing and vacuum sealing drainage throughout the treatment process.Outcomes:The patient was hospitalized for 56 days, and all his right lower extremity ulcers eventually healed.Lessons:In the treatment of diabetic foot ulcer combined with Budd-Chiari syndrome, it is necessary to develop a unified treatment plan that includes the timely treatment of Budd-Chiari syndrome upon admission, the strategic use of debridement, and the application of moist healing and vacuum sealing drainage.

Research on the Present Situation and Countermeasures of Teaching Quality of International Volunteer Tourism Project in Mabul Island

“International Volunteer Tourism” was born in Europe and America in 1920. It has a history of nearly 100 years, which experienced a rich evolution from simple initial scale to gradual maturity and internationalization. While vigorously promoting the development of education in poverty areas, world cultural exchanges, as well as world peace, the problem of International Volunteer Tourism has emerged, including high mobility of volunteers and instable local teaching quality. The author stayed in Malaysia for a week in charging of volunteer work, and researched by field investigation and described the severe living conditions and poor education of local students in Mabul Island. There are some problems in the development of international volunteers in Mabul Island, such as the high mobility of volunteers, incoherent teaching contents, and uneven teaching level. By analyzing the reasons and exploring solutions, the author puts forward three suggestions. First, strengthen publicity, combine government coercion and incentive policies. Second, advocate UNESCO to set up a unified teaching material and teaching plan for international volunteers worldwide. Third, encourage UNESCO and people who support the volunteer organization to set up foundations to relieve the financial pressure, as well as improving the quality of teaching in underdeveloped areas.

Evolving ethics, policy and reimbursement issues of vascularized composite allotransplantation: Symposium summary

In this article, we present a report from a national meeting titled, “Evolving Issues of Vascularized Composite Allotransplantation—A Symposium on Ethics, Policy, and Reimbursement Issues,” which convened in September 2017. We discuss the maturation of vascularized composite allotransplantation from an emerging technology to becoming an extension of clinical practice for select patients with complex reconstructive needs. Viewpoints and action items were presented by and discussed among the 70+ clinicians, researchers, policymakers, ethicists, healthcare administrators, and third-party payers who attended the symposium with the goals of implementing a collaborative roadmap for vascularized composite allotransplantation growth, evaluation, and sustainability by establishing a unified plan to help address concerns of the public, policymakers, and healthcare finance. We review the current status of vascularized composite allotransplantation in clinical practice and summarize symposium discussions regarding ethical considerations, reimbursement, payer strategies, and standardization of data collection.

祁连山山水林田湖草生态保护与修复的探索与实践

PDF HTML阅读 XML下载 导出引用 引用提醒 祁连山山水林田湖草生态保护与修复的探索与实践 DOI: 10.5846/stxb201906111231 作者: 作者单位: 作者简介: 通讯作者: 中图分类号: 基金项目: 国家自然科学基金面上项目（41977415）；国家重点研发计划项目（2017YFF0206802） Exploration and practice of ecological protection and restoration about mountains-rivers-forests-farmlands-lakes-grasslands in the Qilian Mountains Author: Affiliation: Fund Project: National Natural Science Foundation of China, “Topography-soil-vegetation response mechanism and geomorphologic remodeling of open pit coal mine dump on Qinghai-Tibet Plateau” (41977415);National Key R&D Program “Research on General Technical Standards for Land Reclamation and Ecological Restoration” (2017YFF0206802) 摘要 | 图/表 | 访问统计 | 参考文献 | 相似文献 | 引证文献 | 资源附件 | 文章评论 摘要:遵循“山水林田湖草是一个生命共同体”的先进理念，实施生态系统的整体保护、系统修复、综合治理，是加强生态文明建设的新举措。现阶段生态保护与修复的研究主要集中在内涵、机制及启示等方面，为“山水林田湖草”生态保护修复提供了理论与技术支撑，但缺乏系统性的梳理与总结。以中国重要生态功能区祁连山为例，以生态地位、退化现象及成因为切入点，结合已开展的生态保护修复工程，总结了典型生态保护修复措施，提出了有针对性的策略与建议，旨在为山水林田湖草生态修复提供模式示范。祁连山生态退化的原因主要为：全球气候变暖、人类活动干预、传统发展理念制约及环境保护投入不足等。典型生态保护与修复措施已涵盖了“山水林田湖草”各个方面，但在工程实践中如何有机整合各项措施，使生态系统成为“生命共同体”仍是未来探索的科学问题。生态保护修复的理论与实践还需完善以下内容：加强基础调研与科技创新；加强统一规划与协同管理；积极完善生态补偿机制；建立由“开刀治病”工程治理向“健康管理”自然恢复逐步引导的生态修复理念。 Abstract:Following the advanced concept of "taking mountains-rivers-forests-farmlands-lakes-grasslands as a life community", the implementation of overall protection, system restoration, and comprehensive management of ecosystems is important for promoting the development of ecological civilization. Currently, related research mainly focuses on connotation, mechanisms, and enlightenment. This provides theoretical and technical bases for the ecological protection and restoration of mountains-rivers-forests-farmlands-lakes-grasslands but lacks systematic combing and summarization. Using the Qilian Mountains, which is an important ecological function area in China, as a case study. Based on the ecological status, degradation phenomenon and cause, the present study summarizes the typical ecological protection and restoration measures, proposes targeted strategies. The aim of the study is to provide a model demonstration for the ecological restoration of mountains-rivers-forests-farmlands-lakes-grasslands. The main drivers of ecological degradation include global warming, human activity, restriction of traditional development concept, and insufficient investment in environmental protection. Typical ecological protection and restoration measures have covered all aspects of mountains-rivers-forests-farmlands-lakes-grasslands, but how to organically integrate engineering measures to transform ecosystem into "life communities",it still require further exploration. The theory and practice of ecological protection and restoration need to be improved by strengthening basic research and technological innovation, strengthening unified planning and collaborative management, actively improving the ecological compensation mechanism, and establishing the ecological restoration concept from project management to natural restoration. 参考文献 相似文献 引证文献

The Attempt to Reform the CMEA in 1962—1963 in the Assessments of French Diplomats. According to the Materials of the Archive of the French Ministry of Foreign Affairs

Based on materials from the archives of the French Ministry of Foreign Affairs, the majority of which have not been put into scientific circulation in Russian or foreign historiography, the article presents the view of French diplomats and experts on an attempt to reform the Council for Mutual Economic Assistance in 1962—1963. The reform was to lead to the beginning of genuine economic integration in Eastern Europe. However, nationalistic and autarkic tendencies in some countries, primarily in Romania, led to the rejection of reforms in this period. Instead of developing the specialization of production, moving to unified planning and creating supranational bodies in the future, co-operation within the CMEA framework has taken the path of developing existing forms of cooperation, focusing on the development of bilateral trade between the countries of Eastern Europe. After the refusal to reform CMEA, the French began to write less and less about the prospects for genuine integration and ceased to perceive CMEA as a real competitor for the European Economic Community. As a result, the French authorities in the mid-1960s they counted on the development of bilateral cooperation with the CMEA countries, primarily the USSR and Romania, which contributed to the beginning of the détente.

Hierarchical Control of Air-Conditioning Loads for Flexible Demand Response in the Short Term

Increased wind power penetration and load demands lead to an increase in the peak-valley difference, which challenges system stability. This paper presents a hierarchical control strategy to coordinate multiple units of aggregated air-conditioning (AC) loads for power regulation to help reduce the peak-valley difference. First, the independent system operator (ISO) determines the purchased reserve capacity according to the roughly expected regulation effect, and the range of adjustable instructions is derived based on the purchased reserve capacity to help reduce the computation burden. Second, the economy optimizations between the ISO and load aggregators (LAs) are carried out to determine the distribution of purchased control units for AC. Third, after implementing unified planning by the ISO, the LAs deliver the scheduling instructions, including the triggering times and unit numbers, to the AC units to achieve short-term power regulation. Additionally, the scheduling accuracy can be set by changing the scale of the AC control units according to the requirements of the instructions. The simulation results show the effectiveness of the proposed control framework in Lianyungang, with 1000 control units participating. The method proposed in this paper could relieve the burden of the peak-valley difference effectively with less economic expenditure.

Parental satisfaction with same-day discharge after laparoscopic appendectomy for uncomplicated appendicitis.

Recent studies suggest that same-day discharge is safe for the paediatric population after various laparoscopic procedures. Same-day discharge is increasingly common after laparoscopic surgery for uncomplicated appendicitis although it is not standard practice. This prospective study aims to assess parental satisfaction with same-day discharge after laparoscopic appendectomy for uncomplicated appendicitis. At our institution, 849 patients with uncomplicated acute appendicitis underwent laparoscopic appendectomy in 2016; of which, 382 were discharged on the same calendar day. Postdischarge surveys assessing parental satisfaction were administered by telephone at the 2-week follow-up. Approximately 65% of 185 total parental responses reported initial satisfaction with same-day discharge. About 30% were nervous at that time, and 5% did not feel ready to go home yet. Upon reflection, a higher proportion of parents (81.6%) felt same-day discharge was the appropriate course of action, 11.4% were unsure, and 7.0% would not do it again. Some parents cited concerns regarding pain control and incongruous expectations from conversations with staff or surgical experiences of their own. The majority of parents recalled being happy at discharge, with an increase to 82% retrospectively. Only 7% of parents would not elect to go home on the same day again. Opportunities for improvement include a unified plan from all providers with expectations of same-day discharge if appendicitis is intraoperatively confirmed to be uncomplicated and better analgesic instructions at discharge.

Unified Planning of Wind Generators and Switched Capacitor Banks: A Multiagent Clustering-Based Distributed Approach

In this paper, a multiagent clustering-based distributed approach for the optimal planning of wind-distributed generators (DGs) and switched capacitor banks (SCBs) is proposed. First, electrical distance matrices for the power systems are constructed. Additionally, a constrained optimization problem, which includes several indices and a few constraints, for the optimal clustering of distribution networks is formulated and solved. After obtaining optimal clusters, agents are assigned to the clusters, and a second multiobjective optimization problem (MOOP) for the distributed planning of wind DGs and SCBs is formulated and assigned to a head agent. The number of objective functions in the MOOP is equal to the number of agents. The objective function of an agent consists of three indices: annual energy losses, investment costs, and voltage enhancement. Moreover, a deep neural network architecture is designed, and four independent networks are trained with six years of wind speed data for the seasonal wind speed forecasting. Two IEEE unbalanced test feeders, one with 37 nodes and the other with 123 nodes, and eight test cases are considered for simulations. The results show that losses and costs are optimized, and the voltage unbalance of the system is reduced.

Submassive Pulmonary Embolism.

Pulmonary embolism (PE) presents a spectrum of hemodynamic consequences, ranging from being asymptomatic to a life-threatening medical emergency. Management of submassive and massive PE often involves clinicians from multiple specialties, which can potentially delay the development of a unified treatment plan. In addition, patients with submassive PE can deteriorate after their presentation and require escalation of care. Underlying comorbidities such as chronic obstructive pulmonary disease, cancer, congestive heart failure, and interstitial lung disease can impact the patient's hemodynamic ability to tolerate submassive PE. In this review, we address the definitions, risk stratification (clinical, laboratory, and imaging), management approaches, and long-term outcomes of submassive PE. We also discuss the role of the PE response team in management of patients with PE.

Research Progress on Dendritic Cells Combined with Cytokine Induced Killer Cells Immunotherapy for Hematological Malignancies --Review

In recent years, with the incidence of malignant tumors increasing year by year, its treatment has been made great progress on the basis of traditional treatments such as surgery, radiotherapy and chemotherapy, it mainly focuses on rapid development of cellular immunotherapy. The efficacy of dendritic cells combined with cytokine induced killer cell (DC-CIK) immunotherapy for cancer patients is positive, it shows good antitumor activities and the abilities to reconstruct and enhance the immune system of tumor patients in clinical application, it has potential application value. In the treatment of hematologic malignancies which are chemotherapy-based and high-grade malignant, what is the effect of DC-CIK cells immunotherapy for them? In this review, we searched Chinese and abroad literatures from 2012 to 2018 and further focused on 18 clinical research articles about hematologic malignancies in order to analyze the characteristics of DC-CIK cells immunotherapy. It was found that DC-CIK cells can be an effective and promising treatment for patients with hematologic malignancies, and thus, if the process and unified plan are further standardized and improved, the efficacy will be more obvious. For this purpose, this paper reviews the biological characteristic of DC cells, CIK cells and the clinical research progress of DC-CIK cell immunotherapy for hematological malignancies.

Progress of recurrence of venous thromboembolism in cancer patients

Cancer patients complicated with venous thromboembolism (VTE) face treatment problems, very high recurrence rate and bleeding rate. Cancer itself and the antitumor treatment plan are the important factors causing the recurrence. After the relapse, the prognosis of the patients is extremely bad, and more than 50% of the patients died within 1 year. Until now, there is no unified effective treatment plan for the relapse. This paper reviews the recurrence of VTE and the related research progress. Key words: Venous thromboembolism; Recurrence; Low molecular weight heparins; Anticoagulants

Research on Coordinated Development Strategy of Northeast Power Grid and National Energy Grid

In the new era, the Northeast power grid is facing a series of opportunities and challenges. In this paper, the strategy of “complementary”, “transmission” and “mutual benefit” coordinated development of Northeast China Power Grid and national energy grid is formulated based on the relevant national policy planning; Considering the difference of unique geographical location, natural resources, human resources, technology and other factors of the northeast and other areas; taking into account the development situation and future development needs of all regions, formed a coordinated development strategy layout, covering the unified planning, new energy development, peaking capacity construction, power substitution and talent support. It is beneficial to improve the efficiency of the national energy allocation and utilization, and to solve the practical problems faced by the power grid, so as to realize the coordinated development of the Northeast Power Grid and the national energy grid.

IoT Survey: Architectural Design and Key Technologies of IoT-based Intelligent Transportation

With the rapid development of electronic information and the Internet, transportation based on the Internet of things (IoT) technology is the development trend of the information industry. Planning and designing the future development direction of transportation technology can not only achieve real intelligent transportation, but also promote the development of the IoT industry and improve the social productivity. This paper proposes a unified planning intelligent transportation system based on the IoT technology, and studies the key technologies of IoT under this framework, so as to promote the development of urban traffic management, enterprise internal management, and improved public oriented service through the IoT technology.

The Journey from Quality to Accreditation: What is after?

In 1977, the Medical Education Unit (MEU) has been founded in the Faculty of Medicine, Al-Azhar University with its main goal to reform medical education. Since its foundation, several short (2-3 days) courses were held in teaching and assessment. In 2001, the philosophy of MEU has been shifted from short courses to long training courses (2 weeks) in the field of teaching, assessment and research. The aim and objectives were to prepare the university teacher for his new career after awarding the doctorate degree, and before assignment as a staff member. In 2005, the Educational Quality Assurance (EQAU) had been founded. Since then, several attempts were carried out to write a self study and to develop s strategic plan. In 2016, a new self study and strategic plan (July 2016-June 2021) were formulated. The vision and mission reflected the role of our Faculty in achieving distinction in medical education, scientific research, and community service, within a moderate Islamic culture. The Faculty has been accredited in April 2017 by the National Authority of Quality Assurance and Accreditation of Education (NAQAAE) in Egypt. Moreover, in July 2017, a team from the Association of African Universities and some other experts from Africa and Europe also visited our Faculty. The major standards measured were program planning and management, curriculum development, teaching and learning and assessment and program results. Rating score was 15.43/5=3.09 which meant Good Quality. The team recommended further quality improvement based on systemic and systematic approaches to strengthen the unique role in higher education and research nationally and internationally. In September 2017, Al-Azhar Faculty of Medicine adopted the idea of integrated medical education. Moreover, in October, 2017, a scientific committee was formulated from the Al-Azhar Faculties of Medicine, Dentistry and Pharmacy in order to make unified research plan for the medical sector. In conclusion, since the foundation of Al-Azhar Faculty of Medicine, it strives towards quality. More work is needed not only to keep the Faculty accredited, but also to improve and enhance quality, in addition to international accreditation and recognition.

Optimal design and operation of energy storage systems and generators in the network installed with wind turbines considering practical characteristics of storage units as design variable

Abstract Battery energy storage systems (ESS) are the proper technologies to reduce operational cost of electrical networks as well as smoothing wind uncertainty. However, some characteristics of the battery energy storage systems have not been accurately analyzed such as coordination of initial energy and depth of discharge (DOD) and determining their optimal levels. Moreover, the impacts of these parameters on the planning and operational costs have not been appropriately addressed. In order to address such shortcomings, current paper presents a unified stochastic planning on battery energy storage systems in electric power systems including wind power plants. The proposed planning considers following items as objective function and optimizes them: cost of energy in the network (i.e., generators fuel cost) and investment-operational costs and lifetime of battery energy storage systems. The design variable are also classified in three categories as (i) optimal generation scheduling (i.e., determining optimal generation pattern for all generators at each hour over the day), (ii) optimal energy storage planning (i.e., denoting capacity of batteries, nominal power of interfacing converters, and location of battery energy storage units), and (iii) optimal energy storage scheduling (i.e., determining optimal charging-discharging pattern, initial energy, depth-of-discharge, lifetime, and life-cycle for energy storage units). All of these items are carried out through stochastic modeling under wind power uncertainties. The paper presents a proper coordination between design variables such as initial energy and depth-of-discharge in order to minimize the network operational cost, maximizing lifetime of battery energy storage system, and smoothing wind uncertainty. The efficiency of the introduced methodology is demonstrated through various analyses and comparative studies.

Monumenta rerum ac disciplinarum: Varro's Literary Role in Gellius Noctes Atticae Book 3

While traditional studies of authors cited by Aulus Gellius have focused on extracting the fragments quoted in the Noctes Atticae, this article examines the role these citations play within the work itself. The Republican scholar Varro looms large throughout the Noctes Atticae, and Gellius' use of his works represents an important hermeneutic for understanding Gellius' intellectual program. By examining the deployment of linked Varronian citations throughout Gellius' third book, this article argues for both the centrality of such quotations in recognizing a unified intellectual plan of the Noctes Atticae, and the corresponding importance of Varro for Gellius' literary persona.

Clustering research institutes based on disciplinary layout: An empirical study of Chinese Academy of Sciences

Disciplinary layout is of great significance for research institutes, which can show the tendency and emphasis of the research institutes and facilitate mutual learning and promote potential collaboration. In this study, we illustrate how to use hierarchical clustering method to cluster the research institutes of Chinese Academy of Sciences based on the paper data which embody the disciplinary layouts. Based upon the clustering methods, potential collaborators can be identified and unified administrative plans can be developed which are of great significance in the development of scientific institutes.

The determination of basic fire-fighters rescue operations of key practical importance

According to the act of the State Fire Service fire-fighters are obligated to perform variety of activities in the field of technical, chemical, ecological or other rescue. All these activities require mental and psychical resistance as well as good general health and physical fitness. The aim of the present study was to identify the key rescue activities. Separation of key rescue activities performed by fire-fighters was made in order to evaluate their sensorimotor abilities and to create an unified plan of practical exercises used in training phase. Method of choosing activities that should be included to the “key activities” for practical exercises at the training stage was based not only by their incidence, but also by difficulty level. On the basis of the fire-fighting operations, 39 key rescue operations were selected.

A Prototype Intelligent Decision-Support System with a Unified Planning and Learning Capabilities

This article summarizes reviews regarding the evolution of intelligent decision-support systems (IDSS). After doing an extensive literature survey, it was apparent that the theoretical foundation of IDSS has not undergone much improvement. The emergence and development of Artificial General Intelligence (AGI) provides a new theoretical perspective for constructing and developing IDSS. An AGI project, Non-Axiomatic Reasoning System (NARS), is built into the framework of a unified reasoning system, with a logic, Non-Axiomatic Logic (NAL). In this paper, we propose a formal model with unified planning, learning and uncertainty representation capabilities using NAL. We have developed a prototype decision-support system for urban fire-fighting within this framework, and obtained results demonstrating that this method can provide an effective way for intelligent decision-support systems.

A Study on Hangeul Orthography Guidelines for Foreigners.

This study focuses on a review of Hangeul orthography guidelines in Korean language regulations. It is indispensable to revise the guidelines thoroughly because it has been more than 80 years since a unified plan of Korean orthography was established in 1933, which the current orthography is based on. Also, it has been approximately 30 years since 1989, when the current guidelines were issued and promulgated. The viewpoint towards this review reflects the requirements by education fields of Korean as a foreign language and modern Korean users. Hangeul orthography consists of six clauses, along with an appendix regarding punctuation marks: 1) general rules, 2) consonants and vowels, 3) related to sounds, 4) about forms, 5) spacing between words, and 6) miscellaneous. This paper examined individual clauses and specific usages of the clauses, in terms of Korean as a foreign language. Based on the review, this paper suggests the following tasks in order to establish a draft of Hangeul orthography for foreigners. A. Among the individual clauses, some clauses that embody vocabulary education aspects should be addressed in a Korean dictionary, and deleted in Hangeul orthography guidelines. B. The clauses of Hangeul orthography guidelines should be edited for revision and substitution where necessary. C. The usage of individual clauses should be replaced with more appropriate examples aligned with everyday conversation. D. In order to establish ‘Hangeul orthography for foreigners’, linguists should continuously review several chapters and the appendix of Hangeul orthography, such as components about forms, spacing between words, miscellaneous, and punctuation marks. The purpose of this review is to pursue the simplicity of Hangeul orthography guidelines and the practicality in terms of reflecting more realistic examples. This review contributes to facilitate Korean language usage not only for non-native learners, but also native users. (Hanshin University)