目的分析上海市某三级甲等公立医院各科室床位利用效率,为评估床位资源配置合理性提供方法学依据。方法以上海市某三级甲等医院2023年的医疗运营数据为基础,利用床位利用模型进行可视化呈现,评价床位资源的利用效率。运用床位评价指标...目的分析上海市某三级甲等公立医院各科室床位利用效率,为评估床位资源配置合理性提供方法学依据。方法以上海市某三级甲等医院2023年的医疗运营数据为基础,利用床位利用模型进行可视化呈现,评价床位资源的利用效率。运用床位评价指标测算各科室床位的合理区间,得出床位调整方案。采用多层感知器神经网络模型评估床位调整方案的准确性、合理性、可行性。结果床位利用模型显示,11个(25.00%)科室属于床位效率型,11个(25.00%)科室属于床位周转型,16个(36.36%)科室属于床位闲置型,6个(13.64%)科室属于压床型。床位评价指标显示,8个科室床位数不需改变,16个科室床位数需要适当减少,20个科室床位数需要结合实际情况增加。利用多层感知器神经网络搭建床位不变、床位减少、床位增加模型。床位不变模型的受试者工作特征曲线下面积(area under curve,AUC)=0.719,灵敏度为100.00%,特异度为40.63%。床位减少模型的AUC=0.875,灵敏度为83.33%,特异度为85.00%。床位增加模型的AUC=0.913,灵敏度为100.00%,特异度为72.22%。结论医院整体床位利用效率较低且不同科室间床位的利用效率存在差异,通过多层感知器神经网络建立的床位增加模型评估结果与床位利用模型和床位评价指标的结果具有较好的一致性,能够为医院床位资源配置管理提供方法学依据,进而实现医院床位精细化管理。展开更多
A new photochromic complex of Keggin type tungstophosphate acid/polyvinyl pyrrolidone system was prepared, and its thin films was made by the dipping method. Their photochromic properties were investigated by FTIR, UV...A new photochromic complex of Keggin type tungstophosphate acid/polyvinyl pyrrolidone system was prepared, and its thin films was made by the dipping method. Their photochromic properties were investigated by FTIR, UV Vis spectra. The salts were formed by the combination of the ion based on the N atoms in the polymeric molecules and H + of the acids. The UV Vis spectra showed that this type of system had an excellent photochromic behavior. The g values of ESR spectra for the one electron blues were the characteristic of tetragonal W(Ⅴ) complex in colored thin film. It was indicated that the charge could be transferred between the anion and cation under irradiation of UV light and the result in the oxidation of the cation and the reduction of the anion.展开更多
A new photochromic complex of Keggin type Tungstophosphate acid/polyacrylamide system was prepared in aqueous solution, and its thin films was made by the dip coating technique. Their properties were investigated by F...A new photochromic complex of Keggin type Tungstophosphate acid/polyacrylamide system was prepared in aqueous solution, and its thin films was made by the dip coating technique. Their properties were investigated by FT IR, UV Vis, as well as TG DTA measurement. The results showed that this type of system had different properties in solution and in thin films. ESR spectra g values for the one electron blues were the characteristic of tetragonal W 5+ complex in aqueous solution and thin films. The formation of a radical signal of ESR spectra indicated that polyacrylamide was a proton donor, the reversibility for photochromism was relative to the presence and diffusion of oxygen in polymeric network.展开更多
A multicomposite P 2Mo 18 /DODA self assembled multilayer film was fabricated by casting the chloroform solutions of ionic complex between a dimethyldidecylammomium and a phosphomolybdate anion onto the borosilicate g...A multicomposite P 2Mo 18 /DODA self assembled multilayer film was fabricated by casting the chloroform solutions of ionic complex between a dimethyldidecylammomium and a phosphomolybdate anion onto the borosilicate glass and calcium fluoride substrates. Infrared spectra revealed that the Dawson strcucture characteristic of the P 2Mo 18 O 6- 62 anion was presented in the composite film. A well ordered superlattice structure, d spacing 3.59 nm, was identified by X ray diffraction. The composite film shows good photochromic properties. Under the irradiation with UV light, the transparent film changed from yellow to blue. Then, bleaching occurred when the film was in contact with ambient air or O 2 in the dark. If the UV irradiated films were stored in nitrogen, helium, argon or vacuum conditions, it could retain blue coloration for a long time. It suggests that oxygen plays an important role during the bleaching process. The photochromic mechanism of the composite film was studied by UV Vis spectra, FTIR spectra and ESR. The appearance of IVCT bands shows that electron transfer occurs between the organic substrate and heteropolyanion, converting heteropolyanions to heteropolyblues with simultaneous oxidation of the organic substrate. Observation of UV induced ESR signal suggests that electron transfer takes place in the lattice and P 2Mo 18 O 6- 62 acting as an acceptor gets electrons during UV irradiation. The changes of IR spectra for the composite film after UV irradiation are another powerful proof to identify the DODA was oxidized and P 2Mo 18 O 6- 62 was reduced in the photochronic process.展开更多
Bifunctional pyrazoline derivatives 5 and 6 containing azobenzene group were prepared. The difference between them was the length of the flexible chain connecting the two chromophores. Compound 6 had four more methyle...Bifunctional pyrazoline derivatives 5 and 6 containing azobenzene group were prepared. The difference between them was the length of the flexible chain connecting the two chromophores. Compound 6 had four more methylenes than compound 5. UV\|Vis spectra of compounds 5 and 6 were the simple superposition of the absorbance of the azobenzene and pyrazoling and showed that pyrazoline had no effect on the isomerization of azobenzene. When there were two methylenes between azobenzene and pyrazoline, the fluorescent intensity of compound 5 decreased greatly compared with that of compound 6. It means that the intramolecular Electronic Energy Transfer has taken place in compound 5. In compound 6, this process could not occur because of the longer flexible chain between the two chromophores.展开更多
文摘目的分析上海市某三级甲等公立医院各科室床位利用效率,为评估床位资源配置合理性提供方法学依据。方法以上海市某三级甲等医院2023年的医疗运营数据为基础,利用床位利用模型进行可视化呈现,评价床位资源的利用效率。运用床位评价指标测算各科室床位的合理区间,得出床位调整方案。采用多层感知器神经网络模型评估床位调整方案的准确性、合理性、可行性。结果床位利用模型显示,11个(25.00%)科室属于床位效率型,11个(25.00%)科室属于床位周转型,16个(36.36%)科室属于床位闲置型,6个(13.64%)科室属于压床型。床位评价指标显示,8个科室床位数不需改变,16个科室床位数需要适当减少,20个科室床位数需要结合实际情况增加。利用多层感知器神经网络搭建床位不变、床位减少、床位增加模型。床位不变模型的受试者工作特征曲线下面积(area under curve,AUC)=0.719,灵敏度为100.00%,特异度为40.63%。床位减少模型的AUC=0.875,灵敏度为83.33%,特异度为85.00%。床位增加模型的AUC=0.913,灵敏度为100.00%,特异度为72.22%。结论医院整体床位利用效率较低且不同科室间床位的利用效率存在差异,通过多层感知器神经网络建立的床位增加模型评估结果与床位利用模型和床位评价指标的结果具有较好的一致性,能够为医院床位资源配置管理提供方法学依据,进而实现医院床位精细化管理。
文摘A new photochromic complex of Keggin type tungstophosphate acid/polyvinyl pyrrolidone system was prepared, and its thin films was made by the dipping method. Their photochromic properties were investigated by FTIR, UV Vis spectra. The salts were formed by the combination of the ion based on the N atoms in the polymeric molecules and H + of the acids. The UV Vis spectra showed that this type of system had an excellent photochromic behavior. The g values of ESR spectra for the one electron blues were the characteristic of tetragonal W(Ⅴ) complex in colored thin film. It was indicated that the charge could be transferred between the anion and cation under irradiation of UV light and the result in the oxidation of the cation and the reduction of the anion.
文摘A new photochromic complex of Keggin type Tungstophosphate acid/polyacrylamide system was prepared in aqueous solution, and its thin films was made by the dip coating technique. Their properties were investigated by FT IR, UV Vis, as well as TG DTA measurement. The results showed that this type of system had different properties in solution and in thin films. ESR spectra g values for the one electron blues were the characteristic of tetragonal W 5+ complex in aqueous solution and thin films. The formation of a radical signal of ESR spectra indicated that polyacrylamide was a proton donor, the reversibility for photochromism was relative to the presence and diffusion of oxygen in polymeric network.
文摘A multicomposite P 2Mo 18 /DODA self assembled multilayer film was fabricated by casting the chloroform solutions of ionic complex between a dimethyldidecylammomium and a phosphomolybdate anion onto the borosilicate glass and calcium fluoride substrates. Infrared spectra revealed that the Dawson strcucture characteristic of the P 2Mo 18 O 6- 62 anion was presented in the composite film. A well ordered superlattice structure, d spacing 3.59 nm, was identified by X ray diffraction. The composite film shows good photochromic properties. Under the irradiation with UV light, the transparent film changed from yellow to blue. Then, bleaching occurred when the film was in contact with ambient air or O 2 in the dark. If the UV irradiated films were stored in nitrogen, helium, argon or vacuum conditions, it could retain blue coloration for a long time. It suggests that oxygen plays an important role during the bleaching process. The photochromic mechanism of the composite film was studied by UV Vis spectra, FTIR spectra and ESR. The appearance of IVCT bands shows that electron transfer occurs between the organic substrate and heteropolyanion, converting heteropolyanions to heteropolyblues with simultaneous oxidation of the organic substrate. Observation of UV induced ESR signal suggests that electron transfer takes place in the lattice and P 2Mo 18 O 6- 62 acting as an acceptor gets electrons during UV irradiation. The changes of IR spectra for the composite film after UV irradiation are another powerful proof to identify the DODA was oxidized and P 2Mo 18 O 6- 62 was reduced in the photochronic process.
文摘Bifunctional pyrazoline derivatives 5 and 6 containing azobenzene group were prepared. The difference between them was the length of the flexible chain connecting the two chromophores. Compound 6 had four more methylenes than compound 5. UV\|Vis spectra of compounds 5 and 6 were the simple superposition of the absorbance of the azobenzene and pyrazoling and showed that pyrazoline had no effect on the isomerization of azobenzene. When there were two methylenes between azobenzene and pyrazoline, the fluorescent intensity of compound 5 decreased greatly compared with that of compound 6. It means that the intramolecular Electronic Energy Transfer has taken place in compound 5. In compound 6, this process could not occur because of the longer flexible chain between the two chromophores.
