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关键词： 人力资源开发   管理   战略特征  

摘要： 党的十九大以来,中国特色社会主义进入了新时代,我国经济发展也进入了适应新常态、追求高质量发展的新时代。在这样的经济环境下,人才成为保证企业良好运营和发展的关键性资本,而人力资源开发与管理也成为企业吸纳发掘人才、培养并留住人才,保证各种人才合理配置,提高凝聚力和综合实力的重要手段,但是由于目前的知识经济与传统经济存在很大区别,因此人力资源开发与管理中存在的管理理念落伍、偏重管理漠视发展等问题也越来越明显,致使人力资源开发与管理难以实现理想的工作效能,基于此,下文就以新经济下人力资源开发与管理的战略特征为核心论题展开一系列分析探讨。

摘要： Despite advances in percutaneous coronary interventions (PCI), a subgroup of acute coro-nary syndrome (ACS) patients are still managed medically by a conservative approach. We sought to characterize a contemporary, large-scale, real-world cohort of ACS patients treated conservatively via pharmacological management, without PCI. Data was gathered from the ACS Israeli Survey (ACSIS) between 2000 and 2016, encompassing all consecu-tive patients admitted to cardiology wards with an ACS diagnosis. Included were 3,543 conservatively managed patients with non-ST elevation ACS (NSTE-ACS). Patients with ST elevation MI or those who underwent any coronary revascularization (PCI or bypass surgery) were excluded. Primary endpoints were 30-day major adverse cardiovascular events (MACE) and 1-year mortality. The study cohort was divided to 4 time-periods. Over 2 decades, medically managed NSTE-ACS patients remained of similar age (67 13 years, p = 0.78), but had more atherosclerotic risk-factors and comorbidities. During time, patients were more often referred to diagnostic angiography and treated with statins, ACE-I/ARBs, and P2Y12 inhibitors (p < 0.001 for each). Over time, there were less in -hos-pital complications such as kidney injury and heart failure. The rate of 30-day MACE decreased (from 20.7% to 10.3%, earliest to latest period, p < 0.001). Compared with the earliest period, the latest period was associated with a reduction in 1-year mortality (14.7% to 11.6%;adjusted HR 0.65, 95% CI 0.47 to 0.90). In conclusion, Over 2 decades, in medically managed NSTE-ACS patients, short term prognosis has significantly improved while 1-year mortality demonstrated improvement only recently, likely due to incremental benefits of medical management. (c) 2021 Elsevier Inc. All rights reserved. (Am J Cardiol 2021;159:52-58)

关键词： 项目管理   信息沟通   关键因素  

摘要： 项目管理是一个复杂且覆盖面广阔同时为达到项目目标而出现的全过程管控方案。最早起源于美国,是第二次世界大战后期发展起来的重大新管理技术之一。最有代表性的且被常人所熟知的项目管理技术即甘特图,又叫横道图,条状图,其可以很明确的表示出项目范围、项目时间、项目成本等一系列详细数据。但项目管理始终是“人”在执行,“人”的想法及传递将决定整个项目的发展过程是复杂还是简易。本文将通过分析项目管理过程中信息的沟通对项目中的影响程度,来说明信息沟通是决定项目管理是否成功必不可少的关键因素之一。

关键词： 企业   薪酬管理信息系统   建设研究  

摘要： 随着中国进入战略发展机遇期,在当前的经济形势下,企业之间的竞争关系越来越激烈。要实现稳定发展,必须注重自身信息化管理水平的提升,从根本上提升企业竞争力。随着我国信息化的不断发展,信息系统已经应用到企业管理的各个方面,信息化管理已经成为企业薪酬管理的必要手段。将信息管理系统应用于企业管理,还可以实现企业多方面的动态数据管理。本文主要分析了企业薪酬管理的概况,希望通过建立薪酬管理信息系统,企业能够提高经济效益,降低开发成本,提高生产效率。

关键词： Thyroxine injection   Sterlet sturgeon   Immune response   Hematology   Stress markers  

摘要： This study examined the effects of thyroxine (T-4) on hematological indices, immune parameters and the stress markers of female sterlet sturgeon. Adult broodstock (708 +/- 37 g) were assigned to three groups each consisting of ten females. Fish were injected with coconut oil (control), 1 mg T-4 kg body weight 1 in coconut oil (T-1) or 10 mg T-4 kg body weight 1 in coconut oil (T10). Injections were given intraperitoneally four times over a 170-day treatment period. At the end of the experiment, hemato-biochemical and immunological changes were measured. Treatment with the high concentration of T-4 led to a significant increase in weight gain at the end of the experiment. The number of red blood cells, hemoglobin content and hematocrit were also significantly higher in the T-10 group compared to the other groups (P < 0.05). The lowest levels of plasma alkaline phosphatase, aspartate amino transaminase and lactate dehydrogenase were found in the T-10 group (P < 0.05). Alanine amino transaminase did not differ between groups (P > 0.05). The highest levels of total protein, albumin, complement component 3, complement component 4, and immunoglobulin M were found in the T-10 group (P < 0.05). Additionally, higher and lower levels of glucose were noted in T-10 and T-1 treatments, respectively. Cortisol concentration was highest and lowest in T-10 and control groups, respectively (P < 0.05). These findings demonstrate the actions of T-4 on multiple regulatory pathways controlling the physiological condition of sterlet sturgeon broodstock.

关键词： 护患沟通   高血压   护理管理  

摘要： 实验将针对高血压治疗中不同护理方案进行调研,总结两种方案实施效果。方法:于2019年度的5月至隔年的6月,选取96例因高血压而就诊于本科室的病人进行调研,以信封法将其分为2组,对比组48例即为传统常规护理方案组,研究组48例即为护患沟通组。对比组与研究组分别采用护理护理方式,即为传统常规护理与护患沟通护理。总结与对比实施结果。结果:(1)对比组与研究组护理满意评分结果相比,得分结果较低,两组存有差异,具备统计学意义(P<0.05);(2)对比组与研究组收缩压水平、舒张压水平对照结果证实水平较高,两组数值对照存有差异,(P<0.05)。结论:高血压护理管理过程中,护患沟通护理方案应作为首选,此方案实施效果优异,值得临床应用与普及。

关键词： 病案管理   信息化特征   风险防范  

摘要： 随着国家科技力量的不断进步,电子化、信息化的改变,逐渐影响着当代人的工作与生活。医院病案管理工作通过做出信息化的改变,让以往手写的纸质病案,向较为先进的数字化电子形式改变,在一定程度上提升了当前工作的效率,与医疗服务的水平。基于此,本文重点讲述了病案管理工作的信息化特征表现,分析了管理工作风险出现的原因,同时细致阐述了对风险进行方法的一系列策略,供参考。

关键词： 心内科   改良早期预警评分   标准化沟通  

摘要： 分析心内科护理管理中改良早期预警评分结合标准化沟通的效果。方法:选择我院2020年1月-2020年12月期间心内科的68例患者为对象,随机单盲法分组,每组34例,对照组常规管理,观察组采用改良早期预警评分结合标准化沟通。结果:观察组的不良事件发生率较对照组更少,团队协作能力、分级护理、专科护理、病情敏感度分数较对照组更高,有统计学意义(P<0.05)。结论:改良早期预警评分结合标准化沟通在心内科的护理管理中,具备优势。