Rounding方法在医院评审中的应用与思考

目的:介绍某公立医院在医院评审中引入Rounding方法的有益探索和实践经验,为医院评审及质量管理工作提供参考。方法:总结Rounding方法在医院等级评审中的运行模式,阐述Rounding方法在评审实践中的具体应用,对比Rounding方法应用前后的质量改进。结果:Rounding方法推动了医院制度建设与落实,提升了员工应知应会知晓率,促进了医院质量持续改进,有效助推了医院评审工作的开展。结论:Rounding方法应用于医院管理实践,依托信息平台,在医院评审实践及医院管理中能够发挥重要作用。

Truncation and Rounding-Based Scalable Approximate Multiplier Design for Computer Imaging Applications

Advanced technology used for arithmetic computing application,comprises greater number of approximatemultipliers and approximate adders.Truncation and Rounding-based Scalable ApproximateMultiplier(TRSAM)distinguish a variety of modes based on height(h)and truncation(t)as TRSAM(h,t)in the architecture.This TRSAM operation produces higher absolute error in Least Significant Bit(LSB)data shift unit.A new scalable approximate multiplier approach that uses truncation and rounding TRSAM(3,7)is proposed to increase themultiplier accuracy.With the help of foremost one bit architecture,the proposed scalable approximate multiplier approach reduces the partial products.The proposed approximate TRSAM multiplier architecture gives better results in terms of area,delay,and power.The accuracy of 95.2%and the energy utilization of 24.6 nJ is observed in the proposed multiplier design.The proposed approach shows 0.11%,0.23%,and 0.24%less Mean Absolute Relative Error(MARE)when compared with the existing approach for the input of 8-bit,16-bit,and 32-bit respectively.It also shows 0.13%,0.19%,and 0.2%less Variance of Absolute Relative Error(VARE)when compared with the existing approach for the input of 8-bit,16-bit,and 32-bit respectively.The proposed approach is implemented with Field-Programmable Gate Array(FPGA)and shows the delay of 3.640,6.481,12.505,22.572,and 36.893 ns for the input of 8-bit,16-bit,32-bit,64-bit,and 128-bit respectively.The proposed approach is applied in digital filters designwhich shows the Peak-Signal-to-NoiseRatio(PSNR)of 25.05 dB and Structural Similarity Index Measure(SSIM)of 0.98 with 393 pJ energy consumptions when used in image application.The proposed approach is simulated with Xilinx and MATLAB and implemented with FPGA.

Hourly Rounding and Fall Prevention among the Elderly in Long Term Care: A change Process

Long term care facilities have a rising rate of falls and fall related injuries with increasing cost and more hospitalization.Hourly rounding®is an evidenced based intervention that is proactive for nursing staff to be able to identify patient’s needs.This helps with positive fall prevention out­come.This project focused on process improvement efforts for 10 weeks and examining the education and implementation of an evidenced-based hourly rounding program that assisted in reducing the number of falls in the pilot unit.The implementation of the intervention took place in a long-term care facility located in Dallas,Georgia.The hourly rounding tools used in this project were the Studer Group hourly rounding log and competency checklist with permission.Twenty staff members were in­cluded in the sample,age 18 years and 60 years.The unit has 41 residents who were included in the pilot case study design.Staff members were first educated regarding hourly rounding and documentation on the hourly rounding log was done two days before implementation and the pre and post fall rate was retrieved from the facilities fall database.Competency checklist was completed prior to implementation and post implementa­tion to evaluate staff understanding of the main tenets of the 4 P’s(potty,pain,possession,and position).For this project,descriptive statistics was used to help determine fall rates.Minitab was used to analyzed data and to determine if it was clinically significant.In the ten weeks following the hourly rounding implementation,participants performed hourly rounding by incorporating it to each resident’s daily routine and documented their rounds on the log sheet.The results indicated that it is statistically signifi­cant and with a P-values=-<0.0001 and t-value=-5.81.

Rounding Up 2012

As the curtain closed on 2012 it was clear to observers that China has traveled through an important year, with changes, challenges, achievements and confrontation at the forefront of the country＇s ongoing development. Below ChinAfrica lists our top 10 China news items in 2012：

Numerical simulation of inlet placement on sewage characteristics in the rounded square aquaculture tank with single inlet

To improve the self-cleaning ability of aquaculture tank and the efficiency of circulating water,physical and numerical experiments were conducted on the influence of inlet structure on sewage discharge in a rounded square aquaculture tank with a single inlet.Based on the physical model of the tank,analysis of how inlet structure adjustment affects sewage discharge efficiency and flow field characteristics was conducted to provide suitable flow field conditions for sinkable solid particle discharge.In addition,an internal flow field simulation was conducted using the RNG k-εturbulence model in hydraulic drive mode.Then a solid-fluid multiphase model was created to investigate how the inlet structure affects sewage collection in the rounded square aquaculture tank with single inlet and outlet.The finding revealed that the impact of inlet structure is considerably affecting sewage collection.The conditions of C/B=0.07-0.11(the ratio of horizontal distance between the center of the inlet pipe and the tank wall(C)to length of the tank(B))andα=25°(αis the angle between the direction of the jet and the tangential direction of the arc angle)resulted in optimal sewage collection,which is similar to the flow field experiment in the rounded square aquaculture tank with single inlet and outlet.An excellent correlation was revealed between sewage collection and fluid circulation stability in the aquaculture tank.The present study provided a reference for design and optimization of circulating aquaculture tanks in aquaculture industry.

基于混沌遗传算法的圆度误差测量

提出了一种基于混沌遗传算法的计算圆度误差的新方法.它利用混沌优化方法的遍历性和随机性,通过混沌扰动操作可克服传统遗传算法中的早熟问题,确保算法的全局收敛性.该方法满足最小条件原理,其计算结果的精确度非常高,理论上可以获得全局最优解.实例计算表明,这种算法简单明确,具有精度高、收敛速度快、易于计算机程序实现和推广应用等特点. Abstract： A new method for calculating the roundness error based on chaos genetic algorithms is proposed. The system utilizes the ergodicity and randomness of chaos optimal method and by means of chaos stir operation, which can overcame the problem of premature convergence in traditional genetic algorithms and ensured an convergence of the algorithms. The method satisfies the principle of the least condition, the precision of calculating result is very high and can find .the global optimal solution. An actual calculated example showed that this method is simple and clear and it has features of high precision and fast convergent speed as well as using computer easily and popularizing application easily.

溪洛渡左岸发电机转子组装技术

文中详细论述溪洛渡左岸首台770MW发电机转子安装技术。在借鉴三峡机组转子安装经验基础上,对磁轭键槽板焊接变形控制、转子磁轭加热方式,转子圆度调整方案等关键环节提出具体改进措施。保证溪洛渡转子的安装质量。

Interaction of subway LIM vehicle with ballasted track in polygonal wheel wear development

This paper develops a coupled dynamics model for a linear induction motor （LIM） vehicle and a subway track to investigate the influence of polygonal wheels of the vehicle on the dynamic behavior of the system. In the model, the vehicle is modeled as a multi-body system with 35 degrees of freedom. A Timoshenko beam is used to model the rails which are discretely supported by sleepers. The sleepers are modeled as rigid bodies with their vertical, lateral, and rolling motions being considered. In order to simulate the vehicle running along the track, a moving sleeper support model is introduced to simulate the excitation by the discrete sleeper supporters, in which the sleepers are assumed to move backward at a constant speed that is the same as the train speed. The Hertzian contact theory and the Shen– Hedrick–Elkins’ model are utilized to deal with the normal dynamic forces and the tangential forces between wheels and rails, respectively. In order to better characterize the linear metro system （LMS）, Euler beam theory based on modal superposition method is used to model LIM and RP. The vertical electric magnetic force and the lateral restoring force between the LIM and RP are also taken into consideration. The former has gap-varying nonlinear characteristics, whilst the latter is considered as a constant restoring force of 1 kN. The numerical analysis considers the effect of the excitation due to polygonal wheels on the dynamic behavior of the system at different wear stages, in which the used data regarding the polygonal wear on the wheel tread are directly measured at the subway site.

Surface Roughness and Roundness of Bearing Raceway Machined by Floating Abrasive Polishing and Their Effects on Bearing's Running Noise

As the two most important indexes of bearing raceway, surface roughness and roundness have significant influence on bearing noise. Some researchers have carried out studies in this field, however, reason and extent of the influence of raceway surface geometric characteristics on bearing running noise are not perfectly clear up to now. In this paper, the raceway of 6309 type bearing＇s inner and outer ring is machined by floating abrasive polishing adopting soft abrasive pad. Surface roughness parameters, arithmetical mean deviation of the profile Ra, the point height of irregularities Rz, maximum height of the profile Rmax and roundness fof raceways, are measured before and after machining, and the change rules of the measured results are studied. The study results show that the floating abrasive polishing can reduce the surface geometric errors of bearing raceway evidently. The roundness error is reduced by 25%, Rm^x value is reduced by 35.5%, Rz value is reduced by 22% and Ra value is reduced by 5%. By analyzing the change of the geometrical parameters and the shape difference of the raceway before and after machining, it is found that the floating abrasive polishing method can affect the roundness error mainly by modifying the local deviation of the raceway＇s surface profile. Bearings with different raceway surface geometrical parameter value are assembled and the running noise is tested. The test results show that Ra has a little, Rmax and Rz have a measurable, and the roundness error has a significant influence on the running noise. From the viewpoint of controlling bearings＇ running noise, raceway roundness error should be strictly controlled, and for the surface roughness parameters, R,n^x and Rz should be mainly controlled. This paper proposes an effective method to obtain the low noise bearing by machining the raceway with floating abrasive polishing after super finishing.

Influence of coke structure on coke quality using image analysis method

The quality of coke affects the performance of the blast furnace, factors affecting coke quality include coal properties, coal charge granulometry and carbonization conditions. The coke properties in elude the size analysis, cold strength (Micum Indices-M4(). MI0) and hot strength (Coke Reactivity Index-CRI, Coke Strength after Reaction-CSR) properties and structural properties such as coke structure and texture. Structural properties comprise the porosity, pore-cell wall thickness and pore sizes, while textures consist of the carbon forms in the coke. In present work, advanced method such as image analysis method was used to interpret coke microstructure. Conventional methods such as determination of coke porosity by measurement of real and apparent density and mercury porosimetry have a number of limitations. Coke size, magnification, number of image frames captured, process of pellet preparations and coke properties such as M4(), M|0, CRI and CSR (low, medium and high values) were taken as variables for experimental purposes. The coke structure parameters such as porosity, length, perimeter, breadth, roundness, pore-wall thickness and pore size distribution of the pores were determined by image analysis method. This method provided average porosity in addition to pore-wall thickness and pore-size distribution. The pore wall thickness measuremenl by image analysis method provided significant correlations with M40, CRI and CSR values. This explained the usability of image analysis for coke structure measurement.

Mechanical behaviors of cross roller bearings with raceway roundness error

Taking the raceway roundness error into account,mechanical characteristics of cross roller bearings(CRBs)were investigated.A static analysis model of CRBs considering the raceway roundness error was established.Based on this model,the rotational accuracy and load distribution of CRBs under constraints of geometry and external loads were derived.The fatigue life of CRBs with roundness error was calculated by applying Palmgren-Miner linear cumulative damage theory.The influence of inner and outer raceway roundness error on the performance of the CRBs,such as rotational accuracy,load distribution,and fatigue life,was studied through the analysis of examples.The results indicate that the influence of roundness error on the rotating inner raceway is more significant than that of roundness error on the nonrotating outer raceway.The roundness error on the rotating inner raceway always degrades the performance of CRBs.However,a proper roundness error on the nonrotating outer raceway can reduce the loads acting on the rollers and thus improve the fatigue life of CRBs.The effect of the roundness error amplitude on the bearing performance is ordinal,whereas the effect of the roundness order on the bearing performance is not in order.

Vision testing method for diameter,roundness and hardness of table tennis ball

Under the premise of fully respecting current national standard of table tennis ball,this paper presents an integrated and effective method for testing diameter,roundness and hardness of table tennis ball based on vision measurement. Firstly,camera calibration is performed by 40 mm gauge block to capture the images of table tennis ball in static and pressed state in an appropriate lighting condition. Then image binarization and extraction of image contour are carried out. The least square method is used to fit its center. Finally,the diameter,roundness and hardness are calculated. The measurement data are analyzed by using the method presented in this paper for table tennis ball with known parameter data and with unknown parameter data. Experimental results show that this method can improve measurement accuracy and provide a technical basis for the online testing and integration measurement of table tennis ball.

Molecular dynamics simulations on the dynamics of two-dimensional rounded squares

The collective motion of rounded squares with different comer-roundness ζ is studied by molecular dynamlcs （MD） simulation in this work. Three types of translational collective motion pattern are observed, including＇, gliding, hopping and a mixture of gliding and hopping. Quantitatively, the dynamics of each observed ordered phase is characterized by both mean square displacement and van Hove functions for both translation and rotation. The effect of corner-roundness on the dynamics is further studied by comparing the dynamics of the rhombic crystal phases folmed by different comer-.rounded particles at a same surface fraction. The results show that as ζ increases from 0.286 to 0.667, the translational collective motion of particles changes from a gliding-dominant pattern to a hopping-dominant patte;n, whereas the rotational motion pattern is hopping-like and does not change in its type, but the rotational hopping becomes much more frequent as increases （i.e., as particles become more rounded）. A simple geometrical model is proposed to explain the trend of gliding motion observed in MD simulations.

Research on Influence of Cutting Conditions on Roundness of Ultra-thin Wall Parts in Ultrasonic Vibration Cutting

In the paper, the experimental researches were carr ie d out to discuss the roundness forming rule and the influence of cutting paramet ers on roundness by ultrasonic vibration cutting of the camera’s guiding drawtu be with 47.75 mm diameter and 0.6～1.5 mm wall thickness. The research results s h ow that the roundness error of ultra-thin wall parts in ultrasonic vibration cu tting is only one third of that in common cutting. The relations between the rou ndness error and the cutting parameters behave as: (1) The roundness error in co mmon cutting decreases gradually with the rise of cutting speed, while in ultras onic cutting, the roundness changes not obviously till the cutting speed is up t o a value, which is nearly equal to one third of the critical velocity. Then the roundness of workpiece will begin to increase slowly. (2) The roundness error i ncreases along with the feed rate both in common cutting and ultrasonic cutting. (3) Within the range of cutting depth in experiment, the influence of cutting d epth on the roundness error is more obvious in common cutting than that in ultra sonic vibration cutting. The conclusions are useful in machining such precise ul tra-thin wall parts. According to the tests, the following conclusions can be o btained: 1) Compared with common cutting, ultrasonic cutting can decrease effect ively roundness error of the workpiece. Under the same condition, the roundness error of the ultra-thin wall part in ultrasonic turning is about one third of t hat in common cutting. 2) In common cutting, cutting depth and feed rate have mu ch influence on the roundness and the influence of cutting velocity is little. W hile in ultrasonic cutting, the roundness was influenced heavily only when feed rate is more than 0.1 mm/r and cutting speed is more than 1/3 of the critical ro tation speed, cutting depth has little influence on the roundness in the experim ent. 3) Kerosene-oil is an optimum cutting fluid in machining ultra-thin wall workpiece. 4) To machine the ultra-thin wall precision part, ultrasonic cutting is the perfect method which can decrease the roundness error effectively an d ensure high quality of the surface.

An approach for wellbore failure analysis using rock cavings and image processing

There have been interests to link different cuttings/cavings to various wellbore failure types during drilling. This concept is essential when caliper and image logs are not available. Identification ofwellbore failure during drilling gives more chance of immediate actions before wireline logging program. In this paper, an approach was presented based on the image processing of ditch cuttings. This approach uses the sphericity and roundness of cuttings as input data to classify caving types and subsequently deter- mine the dominant failure type. Likewise, common definitions of cavings were discussed initially before a new criterion is suggested. This quantitative criterion was examined by observations from caliper and acoustic image logs as well. The proposed approach and criterion were implemented on ditch cuttings taken from a well in Western Australia. Results indicate that the primary failure is shear failure （breakout） due to high levels of angular cavings. However, another failure due to the fluid invasion into pre-existing fractures was also recorded by blocky cavings.

Haploidization of Human Diploid Metaphase Cells: Is This Genome Reductive Mechanism Opperational in Near-Haploid Leukemia?

The present study presents cytogenetics/cytology of haploidization in the origin of a new, fast growing diploid, small cell-type (F-dPCs). The sequence of events was haploid groupings of the chromosomes in normal, human metaphase cells, followed by genomic doubling to homozygousdiploidy. These events were responses to DNA replication stress fromamino acid glutamine deprivation. Importantly, these homozygous cells outgrew normal fibroblasts in 2 - 3 passages—they had gained proliferative advantage (GPA), presumably from loss (LOH) of tumor suppressor genes. They were morphologically changed cells with rounded nuclei that grew in a “streaming” growth pattern and with changed form and size of mitosis, similar to some hyperplasias. The grouping of the chromosomes in metaphase cells was asymmetric with a narrow range around the median (23) (no micro-nuclei), suggesting genetic control. The root-origin of haploidization was evidenced by maternal and paternal genomes occupying separate territories in metaphase cells, which assumedly permitted independent segregations of bichromatid chromosomes. In near-haploid ALL-L1 leukemia the loss of virtually, whole chromosomal complements was judged by SNP array analyses, as a primary event before genomic doubling to hyperdiploidy with LOH. From the present data such specific, non-random loss of chromosomes strongly suggested, a haploidization process capable of genomic doubling, as observed for the “birth” of the small, F-dPCs. This suggestion was supported by this type of leukemia being the L1-type, where L1 signifies small cells. The possibility now exists that a tumorigenic process can be initiated directly from diploid cells through haploid (near-haploid) distributed chromosomes in normal metaphase cells. This event followed by monosomic doublings to UPDs would lead to massive LOH and a return to para-diploidy, a frequent occurrence in many types of tumors. The present simple, cultural derivations of the extraordinary F-dPCs allow GPA-identification and experimental manipulations, perhaps relevant in a vaccine program.

Preparation and Quality Evaluation of Extended Beef Rounds Containing Gum Arabic from Acacia senegal var. kerensis

It was of interest to determine the water holding effect of the gum from the Acacia senegal var. kerensis in extended beef rounds. Beef rounds injected at two injection levels (30% and 35% over green weight) with curing brines containing gum arabic at 1%, 1.5%, 2.0%, 2.5% and 3.0% of the final product were investigated. A non-injected sample and a product injected with soy protein concentrate (SPC) at 3.5% of the final product weight were prepared for comparison. Mean results indicated that the level of gum arabic from Acacia senegal var. kerensis used in curing brines significantly increased the cook yield and reduced the extractable moisture in cooked extended beef rounds. The injection of beef with curing brine also significantly increased the cook yield and the extractable moisture of the extended beef rounds as compared to the non-injected beef samples. Both injection and gum levels had a significant effect on the proximate composition and sensory properties of the resulting beef rounds. Sensory analysis revealed that samples containing gum arabic at 2.5% were juicier and comparable to those containing SPC at 3.5% injection level. Furthermore, these samples had the highest overall preference comparable to samples injected with curing brines containing SPC. This is the first report on the physicochemical properties of extended beef rounds containing gum arabic from Acacia senegal var. kerensis.

Investigation of Automatic Speech Recognition Systems via the Multilingual Deep Neural Network Modeling Methods for a Very Low-Resource Language, Chaha

Automatic speech recognition (ASR) is vital for very low-resource languages for mitigating the extinction trouble. Chaha is one of the low-resource languages, which suffers from the problem of resource insufficiency and some of its phonological, morphological, and orthographic features challenge the development and initiatives in the area of ASR. By considering these challenges, this study is the first endeavor, which analyzed the characteristics of the language, prepared speech corpus, and developed different ASR systems. A small 3-hour read speech corpus was prepared and transcribed. Different basic and rounded phone unit-based speech recognizers were explored using multilingual deep neural network (DNN) modeling methods. The experimental results demonstrated that all the basic phone and rounded phone unit-based multilingual models outperformed the corresponding unilingual models with the relative performance improvements of 5.47% to 19.87% and 5.74% to 16.77%, respectively. The rounded phone unit-based multilingual models outperformed the equivalent basic phone unit-based models with relative performance improvements of 0.95% to 4.98%. Overall, we discovered that multilingual DNN modeling methods are profoundly effective to develop Chaha speech recognizers. Both the basic and rounded phone acoustic units are convenient to build Chaha ASR system. However, the rounded phone unit-based models are superior in performance and faster in recognition speed over the corresponding basic phone unit-based models. Hence, the rounded phone units are the most suitable acoustic units to develop Chaha ASR systems.

HOW CUTANEOUS NEEDLES ARE USED CLINICALLY

Cutaneous needles are also known asplum-blossom needles or seven-starneedles.They are used to effect percussionon the surface of the skin over lesions or atacupoints with the aim of dredging thechannels and regulating the viscera for

TREATMENT OF ADOLESCENT ACNE WITH ACUPUNCTURE

The author treated 98 cases of adoles-cent acne with acupuncture with good re-sults,as reported in the following:Clinical DataThe 98 cases of adolescent ache were allout-patients characterized by facial