Gastric retention is a common complication in individuals receiving enteral nutrition(EN)via a nasogastric tube,increasing the risk of aspiration pneumonia and causing unnecessary interruptions in nutritional support....Gastric retention is a common complication in individuals receiving enteral nutrition(EN)via a nasogastric tube,increasing the risk of aspiration pneumonia and causing unnecessary interruptions in nutritional support.Given its clinical significance,establishing effective,evidence-based,and standardized manage-ment strategies is essential for bettering patient outcomes and mitigating compli-cations.This review systematically synthesized the diagnostic criteria,assessment methods,influencing factors,management procedures,and intervention strategies for gastric retention in EN patients.Although no universal consensus exists re-garding gastric residual volume(GRV)thresholds,evidence indicates that EN can continue at high GRV levels in the absence of gastrointestinal symptoms.Bedside ultrasound emerged as a non-invasive,and precise method GRV assessment,offering potential to standardize clinical practice.Key risk factors for gastric retention include neurological disorders and EN infusion rates exceeding 100 mL/h.Effective management strategies encompass non-pharmacological inter-ventions,pharmacological agents,and traditional Chinese medicine(TCM)the-rapies.This review underscored the need for integrated,multi-modal manage-ment strategies and recommended the adoption of bedside ultrasound and stan-dardized protocols to optimize EN delivery and improve patient outcomes.Large-scale,multicenter clinical trials should be a priority for future investigation to verify the effectiveness of TCM therapies and develop personalized intervention plans for high-risk patients.展开更多
Hepatitis B virus(HBV)reactivation is a clinically significant challenge in disease management.This review explores the immunological mechanisms underlying HBV reactivation,emphasizing disease progression and manageme...Hepatitis B virus(HBV)reactivation is a clinically significant challenge in disease management.This review explores the immunological mechanisms underlying HBV reactivation,emphasizing disease progression and management.It delves into host immune responses and reactivation’s delicate balance,spanning innate and adaptive immunity.Viral factors’disruption of this balance,as are interac-tions between viral antigens,immune cells,cytokine networks,and immune checkpoint pathways,are examined.Notably,the roles of T cells,natural killer cells,and antigen-presenting cells are discussed,highlighting their influence on disease progression.HBV reactivation’s impact on disease severity,hepatic flares,liver fibrosis progression,and hepatocellular carcinoma is detailed.Management strategies,including anti-viral and immunomodulatory approaches,are critically analyzed.The role of prophylactic anti-viral therapy during immunosuppressive treatments is explored alongside novel immunotherapeutic interventions to restore immune control and prevent reactivation.In conclusion,this compre-hensive review furnishes a holistic view of the immunological mechanisms that propel HBV reactivation.With a dedicated focus on understanding its implic-ations for disease progression and the prospects of efficient management stra-tegies,this article contributes significantly to the knowledge base.The more profound insights into the intricate interactions between viral elements and the immune system will inform evidence-based approaches,ultimately enhancing disease management and elevating patient outcomes.The dynamic landscape of management strategies is critically scrutinized,spanning anti-viral and immunomodulatory approaches.The role of prophylactic anti-viral therapy in preventing reactivation during immunosuppressive treatments and the potential of innovative immunotherapeutic interventions to restore immune control and proactively deter reactivation.展开更多
This study investigates the factors that impact farmers'adoption of risk management strategies(RMS)in Pakistan during times of uncertainty.The study examines farmers'adoption of RMS using both multinomial prob...This study investigates the factors that impact farmers'adoption of risk management strategies(RMS)in Pakistan during times of uncertainty.The study examines farmers'adoption of RMS using both multinomial probit(MNP)and multivariate probit(MVP).Data were collected from 382 farmers sampled from four districts in KhyberPakhtunkhwa(KP)province of Pakistan via a multistage sampling technique.This study utilizes the MNP model,considering the assumption of Independence of Irrelevant Alternatives(IIA)and incorporating correlated error terms.The objective is to understand farmers'behavior in risky situations and determine if there is heterogeneity.Results are compared with the MVP model to assess robustness and gain deeper understanding of farmers'decisionmaking processes.The research findings reveal that our results are robust,and farmers behave homogeneously in various RMS scenarios.Farmers adopt RMS individually or in combination to mitigate the adverse effects of natural calamities on their livelihood.The risk-averse farmers,who perceive weather-related risks as a threat,access credits and information,and have farms close to a river are more likely to adopt RMS,irrespective of the format of the strategies available.Moreover,the predicted probabilities and correlation of the RMS and RM categories have strengthened our model estimation.These findings provide insights into the behavior of farmers in adopting RMS which are helpful for policymakers and stakeholders in developing strategies to mitigate the impacts of natural calamities on farmers.展开更多
Ibrutinib,a targeted therapy for B-cell malignancies,has shown remarkable efficacy in treating various hematologic cancers.However,its clinical use has raised concerns regarding cardiovascular complications,notably at...Ibrutinib,a targeted therapy for B-cell malignancies,has shown remarkable efficacy in treating various hematologic cancers.However,its clinical use has raised concerns regarding cardiovascular complications,notably atrial fibrillation(AF).This comprehensive review critically evaluates the association between ibrutinib and AF by examining incidence,risk factors,mechanistic links,and management strategies.Through an extensive analysis of original research articles,this review elucidates the complex interplay between ibrutinib’s therapeutic benefits and cardiovascular risks.Moreover,it highlights the need for personalized treatment approaches,vigilant monitoring,and interdisciplinary collaboration to optimize patient outcomes and safety in the context of ibrutinib therapy.The review provides a valuable resource for healthcare professionals aiming to navigate the intricacies of ibrutinib’s therapeutic landscape while prioritizing patient well-being.展开更多
The plug-in hybrid vehicles(PHEV)technology can effectively address the issues of poor dynamics and higher energy consumption commonly found in traditional mining dump trucks.Meanwhile,plug-in hybrid electric trucks c...The plug-in hybrid vehicles(PHEV)technology can effectively address the issues of poor dynamics and higher energy consumption commonly found in traditional mining dump trucks.Meanwhile,plug-in hybrid electric trucks can achieve excellent fuel economy through efficient energy management strategies(EMS).Therefore,a series hybrid system is constructed based on a 100-ton mining dump truck in this paper.And inspired by the dynamic programming(DP)algorithm,a predictive equivalent consumption minimization strategy(P-ECMS)based on the DP optimization result is proposed.Based on the optimal control manifold and the SOC reference trajectory obtained by the DP algorithm,the P-ECMS strategy performs real-time stage parameter optimization to obtain the optimal equivalent factor(EF).Finally,applying the equivalent consumption minimization strategy(ECMS)realizes real-time control.The simulation results show that the equivalent fuel consumption of the P-ECMS strategy under the experimentally collected mining cycle conditions is 150.8 L/100 km,which is 10.9%less than that of the common CDCS strategy(169.3 L/100 km),and achieves 99.47%of the fuel saving effect of the DP strategy(150 L/100 km).展开更多
With the deepening of the“Belt and Road”initiative,Chinese enterprises are facing unprecedented opportunities and challenges for international cooperation.This paper mainly analyzes the current situation,existing pr...With the deepening of the“Belt and Road”initiative,Chinese enterprises are facing unprecedented opportunities and challenges for international cooperation.This paper mainly analyzes the current situation,existing problems,and coping strategies of enterprise international cooperation management in the context of the“Belt and Road”.This article expounds on the importance of the“Belt and Road”initiative for international cooperation of enterprises and analyzes the key links of international cooperation management of enterprises from the aspects of internationalization strategy,cross-cultural management,risk prevention and control,and resource integration.Finally,combined with the case,this paper puts forward the management strategies and suggestions that enterprises should adopt in international cooperation,to provide a useful reference for Chinese enterprises in international cooperation in the construction of the“Belt and Road.”展开更多
Recent epidemiological surveys based on Baumann's classification have revealed a notable rise in the prevalence of oily sensitive skin.The development of oily sensitive skin is primarily linked to the abnormal fun...Recent epidemiological surveys based on Baumann's classification have revealed a notable rise in the prevalence of oily sensitive skin.The development of oily sensitive skin is primarily linked to the abnormal function of sebaceous glands.The function of sebaceous glands is regulated by several factors,including inflammatory mediators,neurotransmitters,and endocrine signals.Sensitive skin,particularly oily sensitive skin,is prone to local inflammation,which in turn disrupts the normal functioning of sebaceous glands.This creates a loop wherein increased oil production exacerbates sensitivity,while heightened sensitivity further stimulates sebum secretion,perpetuating a vicious cycle.This article summarizes our understanding of the four primary mechanisms underlying skin sensitivity and their impact on sebaceous gland activity.Accordingly,it proposes management strategies for oily sensitive skin and seeks to guide the development of skin care regimens for this skin type.展开更多
In the research, management strategies and problems of eco-industrial parks were mainly analyzed and some suggestions were proposed based on eco-industrial park, circular economy and ecologization of industrial park i...In the research, management strategies and problems of eco-industrial parks were mainly analyzed and some suggestions were proposed based on eco-industrial park, circular economy and ecologization of industrial park in China, providing references for ecologicalization policy design of industrial parks in China.展开更多
Barrett's esophagus is a condition resulting from chronic gastro-esophageal reflux disease with a documented risk of esophageal adenocarcinoma. Current strategies for improved survival in patients with Barrett'...Barrett's esophagus is a condition resulting from chronic gastro-esophageal reflux disease with a documented risk of esophageal adenocarcinoma. Current strategies for improved survival in patients with Barrett's adenocarcinoma focus on detection of dysplasia. This can be obtained by screening programs in high-risk cohorts of patients and/or endoscopic biopsy surveillance of patients with known Barrett's esophagus (BE). Several therapies have been developed in attempts to reverse BE and reduce cancer risk. Aggressive medical management of acid reflux, lifestyle modifications, antireflux surgery, and endoscopic treatments have been recommended for many patients with BE. Whether these interventions are cost-effective or reduce mortality from esophageal cancer remains controversial. Current treatment requires combinations of endoscopic mucosal resection techniques to eliminate visible lesions followed by ablation of residual metaplastic tissue. Esophagectomy is currently indicated in multifocal high-grade neoplasia or mucosal Barrett's carcinoma which cannot be managed by endoscopic approach.展开更多
Dear Editor,We read with great interest the article by Wu et al[1]which comprehensively assessed the outcomes of various interventions in 38 eyes of 35 patients with malignant glaucoma（MG）secondary to antiglaucoma s...Dear Editor,We read with great interest the article by Wu et al[1]which comprehensively assessed the outcomes of various interventions in 38 eyes of 35 patients with malignant glaucoma（MG）secondary to antiglaucoma surgery whowere followed up for an average of 27.1mo.展开更多
This study aims to identify risk management strategies undertaken by the commercial banks of Balochistan,Pakistan,to mitigate or eliminate credit risk.The findings of the study are significant as commercial banks will...This study aims to identify risk management strategies undertaken by the commercial banks of Balochistan,Pakistan,to mitigate or eliminate credit risk.The findings of the study are significant as commercial banks will understand the effectiveness of various risk management strategies and may apply them for minimizing credit risk.This explanatory study analyses the opinions of the employees of selected commercial banks about which strategies are useful for mitigating credit risk.Quantitative data was collected from 250 employees of commercial banks to perform multiple regression analyses,which were used for the analysis.The results identified four areas of impact on credit risk management(CRM):corporate governance exerts the greatest impact,followed by diversification,which plays a significant role,hedging and,finally,the bank’s Capital Adequacy Ratio.This study highlights these four risk management strategies,which are critical for commercial banks to resolve their credit risk.展开更多
Objective： The aim of this study was to explore the characteristics of and preventive management strategies for suicidal inpatients in a general hospital.Methods： A total of 54 suicide victims were drawn from a p...Objective： The aim of this study was to explore the characteristics of and preventive management strategies for suicidal inpatients in a general hospital.Methods： A total of 54 suicide victims were drawn from a patient safety adverse event network reporting system during hospitalization in a general hospital from November 2008 to January 2017.Results： Subjects who committed suicide in the general hospital were women and those who suffered from malignant neoplasms during general hospital treatment. Furthermore, most of the patients who committed suicide used more violent suicide methods. The most common and lethal means was jumping from heights at the windowsill.Conclusions： It is concluded that management straties for suicide prevention can be provided from the aspects of patients, medical staff and the hospital environment. It is not only urgent but also feasible to reduce the suicide rate of inpatients and further improve hospital safety management.展开更多
Building ecocities becomes an objective requirement for sustainable development. This article discusses the relationship between sustainable development and sustainable urban development. On the basis of discussing th...Building ecocities becomes an objective requirement for sustainable development. This article discusses the relationship between sustainable development and sustainable urban development. On the basis of discussing the sigificance of sustainable urban development and that of an eco-city from different perspectives, it suggests several management strategies for developing an eco-city, a desirable sustainable urban model.展开更多
Knowledge management is increasingly under attack to show returns on investments and profitable business outcomes. While many companies retain their executive leadership as chief knowledge officers （CKOs） and vice p...Knowledge management is increasingly under attack to show returns on investments and profitable business outcomes. While many companies retain their executive leadership as chief knowledge officers （CKOs） and vice presidents of knowledge management, the trend toward appointing CKOs that developed in the late 1990＇s has been reversed at many companies and a new trend is to assign the strategic functions of knowledge management to the chief information officer （CIO）. This new strategic approach has many ramifications that determine if the firm will be able to meet not only short-term objectives but firm mission strategic outcomes as well. This paper researches over 100 knowledge management executives respondents in a broad cross-section of medium and large US industries and organizations to question why the shift is occurring and what the strategic basis is for this shift？ The results of this study clearly show that there are pros and cons to make this strategic shift and that many firms are doing so with little actual factual knowledge of the strategic effects on performance or intellectual capital formation. This paper and empirical ftrm performance and patent research is designed to give that top manager （CEO） the appropriate information to make rational decisions based on facts when considering eliminating or consolidation of CKO into the CIO function. Decisions on CLO and CKO positions should be based on the fu＇m related performance in both measurable intellectual property and financial results. The results are presented and summarized and the statistical methodology of regression and correlation are used in this paper.展开更多
Under the background of rapid social and economic development,the traffic volume of highways has increased,which has brought tremendous pressure to the old highways.In response to this situation,the original highway m...Under the background of rapid social and economic development,the traffic volume of highways has increased,which has brought tremendous pressure to the old highways.In response to this situation,the original highway must be reconstructed and extended.It is necessary to focus on the analysis and exploration of the methods of interchange reconstruction and extension in current highway reconstruction and extension to avoid affecting normal traffic,as it will inevitably have an impact on the traffic operation environment.For this situation,it is necessary to analyze and understand the format and characteristics of traffic organization of the interchange operation area in time and propose corresponding safeguard measures.展开更多
Hepatocellular carcinoma(HCC)is a significant global health challenge,requiring innovative methods to improve patient survival.Due to different disease backgrounds,different HCC management guidelines have been devel-op...Hepatocellular carcinoma(HCC)is a significant global health challenge,requiring innovative methods to improve patient survival.Due to different disease backgrounds,different HCC management guidelines have been devel-oped,especially in thefield of surgical treatment,with the aim of reducing the risk of incidence and enhancing the therapeutic effect.Focusing on the progress and challenges in the development of surgical management stra-tegies for HCC in recent years,this article systematically elaborates on the research and clinical application of pre-cision surgical treatment,including improvement of the surgical evaluation system,breakthroughs in surgical tech-niques,and updates in perioperative treatment concepts.In addition,clinical research on surgical treatment for HCC has received unprecedented attention.The conclusions of innovative clinical trials in surgery will provide important guidance for the development of practice guidelines and the selection of appropriate treatment strate-gies for HCC patients.展开更多
In the face of sudden pandemics,it becomes crucial for project managers to quickly adapt and make informed decisions that anticipate the consequences of their actions.This highlights the need for proactive management ...In the face of sudden pandemics,it becomes crucial for project managers to quickly adapt and make informed decisions that anticipate the consequences of their actions.This highlights the need for proactive management strategies to enhance epidemic response efforts.However,current research mainly emphasizes the negative impacts of pandemics,often neglecting the development of adaptable management approaches for construction sites.This study aims to fill this research void by developing strategies tailored to managing pandemics at construction sites.Using agent-based modeling,the study simulates the movement patterns of workers and the consequent spread of an epidemic under different risk scenarios and management tactics.The results indicate that measures such as wearing masks,managing group activities,and enforcing entry controls can significantly reduce epidemic spread on construction sites,with entry controls showing the greatest effectiveness.展开更多
In order to investigate the feasibility of reintroducing the South China tiger （Panthera tigris amoyensis） in the Jiangxi Matoushan National Nature Reserve, field surveys were conducted to assess prey distribution i...In order to investigate the feasibility of reintroducing the South China tiger （Panthera tigris amoyensis） in the Jiangxi Matoushan National Nature Reserve, field surveys were conducted to assess prey distribution in the reserve. Twelve permanent transects were set in three distinct functional zones from February to April 2012 and May to July 2013. A total of 112 ungulate signs were recorded on these transects. In addition, 20 camera traps were used to survey ungulates and predators in 2012, while the following year we extended the survey site by using 30 cameras. Overall, 6641 capture events on 2930 camera days were obtained, presenting a variety of ungulate spe- cies： muntjak （Muntiacus muntjak）, tufted deer （Elaphodus cephalophus）, serow （Capricornis sumatraensis） and wild boar （Sus scrofa）. Population structure and composition of ungulates was compared in different functional zones using a single factor of variance analysis in SPSS software. Significant differences in the distribution of un- gulates were recognized between the core zone and experimental zone, but not in other zones due to differences in habitat types and management practices of the nature reserve. Using ArcGIS analysis and Salford Predictive Modeler software, we ran several predictive models to understand which areas are most suitable for ungulates. We conclude that muntjac and wild boar are mainly distributed in the experimental zone, serow are more common in the core zone, while tufted deer are located evenly in the three functional zones. Finally, suggestions for effective and feasible management strategies and techniques for Matoushan National Nature Reserve were recom- mended based on the results and analysis in this study.展开更多
As a new branch of efficient and low-cost mechanical energy conversion technology,triboelectric nanogenerator(TENG)is a potential solution to provide a long-term power supply for the Internet of Things(IoT)sensors and...As a new branch of efficient and low-cost mechanical energy conversion technology,triboelectric nanogenerator(TENG)is a potential solution to provide a long-term power supply for the Internet of Things(IoT)sensors and portable electronic devices.However,due to inherent working properties of TENG itself such as extremely high internal impedance,pulse,and alternating current(AC)output,TENG can not directly supply power to loads such as batteries efficiently.Based on these,we describe TENG’s performance from a new perspective of powering ability.It consists of two aspects:the ability to transport charge effectively and the ability to output high power quality current steadily.In order to push forward the developments and applications of TENG,it is necessary to improve its power supply capacity from different perspectives.Fortunately,in recent years,a variety of output signal’s management strategies aiming at effectively managing the generated electricity and significantly improving powering ability of TENG have obtained significantly progress.Herein,this paper discusses the working mechanisms and different load characteristics of TENG at first to clarify the electric performance of TENG.Then,on basis of theoretical analysis,the output signal’s management strategies are elaborated from four aspects:improving the cycle output electricity of TENG,increasing the surface charge density of TENG,improving the power quality of TENG-based energy harvesting system,promoting the application of TENG through integrated circuit(IC)technology and TENG network,and the relevant principles and applications are discussed systematically.Finally,the advantages and disadvantages of the above output signal’s management strategies are summarized and discussed,and the future development of the output signal’s management strategies for TENG is prospected.展开更多
基金Supported by Zhejiang Province Medical and Health Technology Planning Project,No.2019332856.
文摘Gastric retention is a common complication in individuals receiving enteral nutrition(EN)via a nasogastric tube,increasing the risk of aspiration pneumonia and causing unnecessary interruptions in nutritional support.Given its clinical significance,establishing effective,evidence-based,and standardized manage-ment strategies is essential for bettering patient outcomes and mitigating compli-cations.This review systematically synthesized the diagnostic criteria,assessment methods,influencing factors,management procedures,and intervention strategies for gastric retention in EN patients.Although no universal consensus exists re-garding gastric residual volume(GRV)thresholds,evidence indicates that EN can continue at high GRV levels in the absence of gastrointestinal symptoms.Bedside ultrasound emerged as a non-invasive,and precise method GRV assessment,offering potential to standardize clinical practice.Key risk factors for gastric retention include neurological disorders and EN infusion rates exceeding 100 mL/h.Effective management strategies encompass non-pharmacological inter-ventions,pharmacological agents,and traditional Chinese medicine(TCM)the-rapies.This review underscored the need for integrated,multi-modal manage-ment strategies and recommended the adoption of bedside ultrasound and stan-dardized protocols to optimize EN delivery and improve patient outcomes.Large-scale,multicenter clinical trials should be a priority for future investigation to verify the effectiveness of TCM therapies and develop personalized intervention plans for high-risk patients.
文摘Hepatitis B virus(HBV)reactivation is a clinically significant challenge in disease management.This review explores the immunological mechanisms underlying HBV reactivation,emphasizing disease progression and management.It delves into host immune responses and reactivation’s delicate balance,spanning innate and adaptive immunity.Viral factors’disruption of this balance,as are interac-tions between viral antigens,immune cells,cytokine networks,and immune checkpoint pathways,are examined.Notably,the roles of T cells,natural killer cells,and antigen-presenting cells are discussed,highlighting their influence on disease progression.HBV reactivation’s impact on disease severity,hepatic flares,liver fibrosis progression,and hepatocellular carcinoma is detailed.Management strategies,including anti-viral and immunomodulatory approaches,are critically analyzed.The role of prophylactic anti-viral therapy during immunosuppressive treatments is explored alongside novel immunotherapeutic interventions to restore immune control and prevent reactivation.In conclusion,this compre-hensive review furnishes a holistic view of the immunological mechanisms that propel HBV reactivation.With a dedicated focus on understanding its implic-ations for disease progression and the prospects of efficient management stra-tegies,this article contributes significantly to the knowledge base.The more profound insights into the intricate interactions between viral elements and the immune system will inform evidence-based approaches,ultimately enhancing disease management and elevating patient outcomes.The dynamic landscape of management strategies is critically scrutinized,spanning anti-viral and immunomodulatory approaches.The role of prophylactic anti-viral therapy in preventing reactivation during immunosuppressive treatments and the potential of innovative immunotherapeutic interventions to restore immune control and proactively deter reactivation.
文摘This study investigates the factors that impact farmers'adoption of risk management strategies(RMS)in Pakistan during times of uncertainty.The study examines farmers'adoption of RMS using both multinomial probit(MNP)and multivariate probit(MVP).Data were collected from 382 farmers sampled from four districts in KhyberPakhtunkhwa(KP)province of Pakistan via a multistage sampling technique.This study utilizes the MNP model,considering the assumption of Independence of Irrelevant Alternatives(IIA)and incorporating correlated error terms.The objective is to understand farmers'behavior in risky situations and determine if there is heterogeneity.Results are compared with the MVP model to assess robustness and gain deeper understanding of farmers'decisionmaking processes.The research findings reveal that our results are robust,and farmers behave homogeneously in various RMS scenarios.Farmers adopt RMS individually or in combination to mitigate the adverse effects of natural calamities on their livelihood.The risk-averse farmers,who perceive weather-related risks as a threat,access credits and information,and have farms close to a river are more likely to adopt RMS,irrespective of the format of the strategies available.Moreover,the predicted probabilities and correlation of the RMS and RM categories have strengthened our model estimation.These findings provide insights into the behavior of farmers in adopting RMS which are helpful for policymakers and stakeholders in developing strategies to mitigate the impacts of natural calamities on farmers.
文摘Ibrutinib,a targeted therapy for B-cell malignancies,has shown remarkable efficacy in treating various hematologic cancers.However,its clinical use has raised concerns regarding cardiovascular complications,notably atrial fibrillation(AF).This comprehensive review critically evaluates the association between ibrutinib and AF by examining incidence,risk factors,mechanistic links,and management strategies.Through an extensive analysis of original research articles,this review elucidates the complex interplay between ibrutinib’s therapeutic benefits and cardiovascular risks.Moreover,it highlights the need for personalized treatment approaches,vigilant monitoring,and interdisciplinary collaboration to optimize patient outcomes and safety in the context of ibrutinib therapy.The review provides a valuable resource for healthcare professionals aiming to navigate the intricacies of ibrutinib’s therapeutic landscape while prioritizing patient well-being.
文摘The plug-in hybrid vehicles(PHEV)technology can effectively address the issues of poor dynamics and higher energy consumption commonly found in traditional mining dump trucks.Meanwhile,plug-in hybrid electric trucks can achieve excellent fuel economy through efficient energy management strategies(EMS).Therefore,a series hybrid system is constructed based on a 100-ton mining dump truck in this paper.And inspired by the dynamic programming(DP)algorithm,a predictive equivalent consumption minimization strategy(P-ECMS)based on the DP optimization result is proposed.Based on the optimal control manifold and the SOC reference trajectory obtained by the DP algorithm,the P-ECMS strategy performs real-time stage parameter optimization to obtain the optimal equivalent factor(EF).Finally,applying the equivalent consumption minimization strategy(ECMS)realizes real-time control.The simulation results show that the equivalent fuel consumption of the P-ECMS strategy under the experimentally collected mining cycle conditions is 150.8 L/100 km,which is 10.9%less than that of the common CDCS strategy(169.3 L/100 km),and achieves 99.47%of the fuel saving effect of the DP strategy(150 L/100 km).
文摘With the deepening of the“Belt and Road”initiative,Chinese enterprises are facing unprecedented opportunities and challenges for international cooperation.This paper mainly analyzes the current situation,existing problems,and coping strategies of enterprise international cooperation management in the context of the“Belt and Road”.This article expounds on the importance of the“Belt and Road”initiative for international cooperation of enterprises and analyzes the key links of international cooperation management of enterprises from the aspects of internationalization strategy,cross-cultural management,risk prevention and control,and resource integration.Finally,combined with the case,this paper puts forward the management strategies and suggestions that enterprises should adopt in international cooperation,to provide a useful reference for Chinese enterprises in international cooperation in the construction of the“Belt and Road.”
文摘Recent epidemiological surveys based on Baumann's classification have revealed a notable rise in the prevalence of oily sensitive skin.The development of oily sensitive skin is primarily linked to the abnormal function of sebaceous glands.The function of sebaceous glands is regulated by several factors,including inflammatory mediators,neurotransmitters,and endocrine signals.Sensitive skin,particularly oily sensitive skin,is prone to local inflammation,which in turn disrupts the normal functioning of sebaceous glands.This creates a loop wherein increased oil production exacerbates sensitivity,while heightened sensitivity further stimulates sebum secretion,perpetuating a vicious cycle.This article summarizes our understanding of the four primary mechanisms underlying skin sensitivity and their impact on sebaceous gland activity.Accordingly,it proposes management strategies for oily sensitive skin and seeks to guide the development of skin care regimens for this skin type.
文摘In the research, management strategies and problems of eco-industrial parks were mainly analyzed and some suggestions were proposed based on eco-industrial park, circular economy and ecologization of industrial park in China, providing references for ecologicalization policy design of industrial parks in China.
文摘Barrett's esophagus is a condition resulting from chronic gastro-esophageal reflux disease with a documented risk of esophageal adenocarcinoma. Current strategies for improved survival in patients with Barrett's adenocarcinoma focus on detection of dysplasia. This can be obtained by screening programs in high-risk cohorts of patients and/or endoscopic biopsy surveillance of patients with known Barrett's esophagus (BE). Several therapies have been developed in attempts to reverse BE and reduce cancer risk. Aggressive medical management of acid reflux, lifestyle modifications, antireflux surgery, and endoscopic treatments have been recommended for many patients with BE. Whether these interventions are cost-effective or reduce mortality from esophageal cancer remains controversial. Current treatment requires combinations of endoscopic mucosal resection techniques to eliminate visible lesions followed by ablation of residual metaplastic tissue. Esophagectomy is currently indicated in multifocal high-grade neoplasia or mucosal Barrett's carcinoma which cannot be managed by endoscopic approach.
文摘Dear Editor,We read with great interest the article by Wu et al[1]which comprehensively assessed the outcomes of various interventions in 38 eyes of 35 patients with malignant glaucoma（MG）secondary to antiglaucoma surgery whowere followed up for an average of 27.1mo.
文摘This study aims to identify risk management strategies undertaken by the commercial banks of Balochistan,Pakistan,to mitigate or eliminate credit risk.The findings of the study are significant as commercial banks will understand the effectiveness of various risk management strategies and may apply them for minimizing credit risk.This explanatory study analyses the opinions of the employees of selected commercial banks about which strategies are useful for mitigating credit risk.Quantitative data was collected from 250 employees of commercial banks to perform multiple regression analyses,which were used for the analysis.The results identified four areas of impact on credit risk management(CRM):corporate governance exerts the greatest impact,followed by diversification,which plays a significant role,hedging and,finally,the bank’s Capital Adequacy Ratio.This study highlights these four risk management strategies,which are critical for commercial banks to resolve their credit risk.
基金supported by the National Natural Science Foundation of China(No.71673100)
文摘Objective： The aim of this study was to explore the characteristics of and preventive management strategies for suicidal inpatients in a general hospital.Methods： A total of 54 suicide victims were drawn from a patient safety adverse event network reporting system during hospitalization in a general hospital from November 2008 to January 2017.Results： Subjects who committed suicide in the general hospital were women and those who suffered from malignant neoplasms during general hospital treatment. Furthermore, most of the patients who committed suicide used more violent suicide methods. The most common and lethal means was jumping from heights at the windowsill.Conclusions： It is concluded that management straties for suicide prevention can be provided from the aspects of patients, medical staff and the hospital environment. It is not only urgent but also feasible to reduce the suicide rate of inpatients and further improve hospital safety management.
文摘Building ecocities becomes an objective requirement for sustainable development. This article discusses the relationship between sustainable development and sustainable urban development. On the basis of discussing the sigificance of sustainable urban development and that of an eco-city from different perspectives, it suggests several management strategies for developing an eco-city, a desirable sustainable urban model.
文摘Knowledge management is increasingly under attack to show returns on investments and profitable business outcomes. While many companies retain their executive leadership as chief knowledge officers （CKOs） and vice presidents of knowledge management, the trend toward appointing CKOs that developed in the late 1990＇s has been reversed at many companies and a new trend is to assign the strategic functions of knowledge management to the chief information officer （CIO）. This new strategic approach has many ramifications that determine if the firm will be able to meet not only short-term objectives but firm mission strategic outcomes as well. This paper researches over 100 knowledge management executives respondents in a broad cross-section of medium and large US industries and organizations to question why the shift is occurring and what the strategic basis is for this shift？ The results of this study clearly show that there are pros and cons to make this strategic shift and that many firms are doing so with little actual factual knowledge of the strategic effects on performance or intellectual capital formation. This paper and empirical ftrm performance and patent research is designed to give that top manager （CEO） the appropriate information to make rational decisions based on facts when considering eliminating or consolidation of CKO into the CIO function. Decisions on CLO and CKO positions should be based on the fu＇m related performance in both measurable intellectual property and financial results. The results are presented and summarized and the statistical methodology of regression and correlation are used in this paper.
文摘Under the background of rapid social and economic development,the traffic volume of highways has increased,which has brought tremendous pressure to the old highways.In response to this situation,the original highway must be reconstructed and extended.It is necessary to focus on the analysis and exploration of the methods of interchange reconstruction and extension in current highway reconstruction and extension to avoid affecting normal traffic,as it will inevitably have an impact on the traffic operation environment.For this situation,it is necessary to analyze and understand the format and characteristics of traffic organization of the interchange operation area in time and propose corresponding safeguard measures.
基金funded by the National Natural Science Foundation of China(No.82150004,82172610)Shanghai Municipal Key Clinical Specialty.
文摘Hepatocellular carcinoma(HCC)is a significant global health challenge,requiring innovative methods to improve patient survival.Due to different disease backgrounds,different HCC management guidelines have been devel-oped,especially in thefield of surgical treatment,with the aim of reducing the risk of incidence and enhancing the therapeutic effect.Focusing on the progress and challenges in the development of surgical management stra-tegies for HCC in recent years,this article systematically elaborates on the research and clinical application of pre-cision surgical treatment,including improvement of the surgical evaluation system,breakthroughs in surgical tech-niques,and updates in perioperative treatment concepts.In addition,clinical research on surgical treatment for HCC has received unprecedented attention.The conclusions of innovative clinical trials in surgery will provide important guidance for the development of practice guidelines and the selection of appropriate treatment strate-gies for HCC patients.
基金supported by the National Natural Science Foundation of China(Grant Nos.72201095,72101275,and U21A20151)the National Natural Science Foundation of Hunan Province(Grant Nos.2023JJ40189and2022JJ40645).
文摘In the face of sudden pandemics,it becomes crucial for project managers to quickly adapt and make informed decisions that anticipate the consequences of their actions.This highlights the need for proactive management strategies to enhance epidemic response efforts.However,current research mainly emphasizes the negative impacts of pandemics,often neglecting the development of adaptable management approaches for construction sites.This study aims to fill this research void by developing strategies tailored to managing pandemics at construction sites.Using agent-based modeling,the study simulates the movement patterns of workers and the consequent spread of an epidemic under different risk scenarios and management tactics.The results indicate that measures such as wearing masks,managing group activities,and enforcing entry controls can significantly reduce epidemic spread on construction sites,with entry controls showing the greatest effectiveness.
基金Conservation and monitoring technology research on wild tigers in China(2011-LYSJWT-08)
文摘In order to investigate the feasibility of reintroducing the South China tiger （Panthera tigris amoyensis） in the Jiangxi Matoushan National Nature Reserve, field surveys were conducted to assess prey distribution in the reserve. Twelve permanent transects were set in three distinct functional zones from February to April 2012 and May to July 2013. A total of 112 ungulate signs were recorded on these transects. In addition, 20 camera traps were used to survey ungulates and predators in 2012, while the following year we extended the survey site by using 30 cameras. Overall, 6641 capture events on 2930 camera days were obtained, presenting a variety of ungulate spe- cies： muntjak （Muntiacus muntjak）, tufted deer （Elaphodus cephalophus）, serow （Capricornis sumatraensis） and wild boar （Sus scrofa）. Population structure and composition of ungulates was compared in different functional zones using a single factor of variance analysis in SPSS software. Significant differences in the distribution of un- gulates were recognized between the core zone and experimental zone, but not in other zones due to differences in habitat types and management practices of the nature reserve. Using ArcGIS analysis and Salford Predictive Modeler software, we ran several predictive models to understand which areas are most suitable for ungulates. We conclude that muntjac and wild boar are mainly distributed in the experimental zone, serow are more common in the core zone, while tufted deer are located evenly in the three functional zones. Finally, suggestions for effective and feasible management strategies and techniques for Matoushan National Nature Reserve were recom- mended based on the results and analysis in this study.
基金funded by the National Key R&D Project from Minister of Science and Technology(No.2021YFA1201602)the National Natural Science Foundation of China(Nos.52172203 and U21A20175).
文摘As a new branch of efficient and low-cost mechanical energy conversion technology,triboelectric nanogenerator(TENG)is a potential solution to provide a long-term power supply for the Internet of Things(IoT)sensors and portable electronic devices.However,due to inherent working properties of TENG itself such as extremely high internal impedance,pulse,and alternating current(AC)output,TENG can not directly supply power to loads such as batteries efficiently.Based on these,we describe TENG’s performance from a new perspective of powering ability.It consists of two aspects:the ability to transport charge effectively and the ability to output high power quality current steadily.In order to push forward the developments and applications of TENG,it is necessary to improve its power supply capacity from different perspectives.Fortunately,in recent years,a variety of output signal’s management strategies aiming at effectively managing the generated electricity and significantly improving powering ability of TENG have obtained significantly progress.Herein,this paper discusses the working mechanisms and different load characteristics of TENG at first to clarify the electric performance of TENG.Then,on basis of theoretical analysis,the output signal’s management strategies are elaborated from four aspects:improving the cycle output electricity of TENG,increasing the surface charge density of TENG,improving the power quality of TENG-based energy harvesting system,promoting the application of TENG through integrated circuit(IC)technology and TENG network,and the relevant principles and applications are discussed systematically.Finally,the advantages and disadvantages of the above output signal’s management strategies are summarized and discussed,and the future development of the output signal’s management strategies for TENG is prospected.
