This research aims to understand more closely the damage to the lake environment and the factors that cause pollution in Lake Santa Maria are the first factor of increasing urbanization, the use of the land around the...This research aims to understand more closely the damage to the lake environment and the factors that cause pollution in Lake Santa Maria are the first factor of increasing urbanization, the use of the land around the lake as a place to live, the absence of maximum control from the local government this case, the Dili municipal authority. Types of solid waste consist of iron from car accidents, motorcycles, used building materials, plastic, used drink bottles and clothes, mosquito nets, food scraps from household waste, as well as old fishing nets from residents. In addition, household waste such as bath and bath, dishwashing, detergents, and waste from tempeh and tofu factories, including burnt oil from cars and motorcycles, are thrown into the lake. Municipal waste management is based on environmental standards to determine the quality of waste management in Dili Municipality. It is possible to identify the composition of waste and waste, as well as predict its environmental impact. Human (Anthropic) factors Domestic Liquid Waste, Domestic Solid Waste: Composed of organic and inorganic waste. Synthetic Waste, Disposal of Used Oil, Disposal of Domestic Animal Waste, Shallow Drains and Septic Tanks, Mountain Garbage, Garbage Thrown by Visitors, Natural Factors, Climate change, Prolonged drought, Low rainfall, El Niño and La Niña factors, Wind speed, Heat (high daily temperature pressure), Greater water evaporation, Dry wind. The occurrence of contamination necessarily implies an ecological imbalance. The impact introduced by residual compounds and waste that may be associated with the toxicity.展开更多
This paper analyzes the causes of the offshore strength enhancement of Typhoon Tiange (No. 1713) from four aspects: high and low layer divergence, vertical wind shear, southwest monsoon transport, offshore sea tempera...This paper analyzes the causes of the offshore strength enhancement of Typhoon Tiange (No. 1713) from four aspects: high and low layer divergence, vertical wind shear, southwest monsoon transport, offshore sea temperature and weak cold air. The conclusions are as follows: The high-level airflow divergence enhancement and positive vorticity advection in the offshore, strengthen the middle rise movement of the “Tiange”, and the ascending movement enhances the strength of the “Tiange” by strengthening the lower layer convergence;The high offshore sea temperature and sea temperature are changing temperature, which also has a certain effect on the strengthening of “Tiange” in the offshore;The strengthening of the southwest warm and humid airflow provides sufficient water vapor and energy for the development of “Tiange”, which is beneficial to the maintenance of the typhoon warm heart structure;The intrusion of weak cold air, enhanced the radiation cooperation of the lower typhoon disturbance, which is beneficial to the enhancement of “Tiange”.展开更多
Through long-term production and maintenance practice,various types of stacking steel in the 2250mm hot rolling coiler of Ma Steel were tracked and analyzed,and the causes of stacking steel were summarized.Cor-respond...Through long-term production and maintenance practice,various types of stacking steel in the 2250mm hot rolling coiler of Ma Steel were tracked and analyzed,and the causes of stacking steel were summarized.Cor-responding measures were formulated to effectively reduce the probability of stacking steel.展开更多
To assess road traffic safety risk in civil aviation airports and develop effective accident prevention measures,this study proposed a risk assessment method based on accident tree and Bayesian network for airport air...To assess road traffic safety risk in civil aviation airports and develop effective accident prevention measures,this study proposed a risk assessment method based on accident tree and Bayesian network for airport aircraft activity areas.It identified influencing factors in the aircraft activity area from the perspectives of person-vehicle-road-environment-management and analyzed their relationships.The Bayesian network was utilized to determine initial probabilities for each influencing factor.Findings indicated a relatively high overall safety level in the airport's road traffic system.Accident trees were employed to qualitatively and quantitatively analyze common human-vehicle accident patterns.The initial probabilities obtained from the Bayesian network served as basic event probabilities in the accident tree to determine the occurrence probability of the top event.Taking a 4F airport in China as an example,accident cause analysis identified five important risk sources in human-vehicle accidents,including blind spots for special vehicles,illegal driving by drivers,pedestrians violating regulations,passengers entering restricted areas,and blind spots at intersections.Corresponding safety management measures were formulated.The study concluded that the integration of Bayesian networks and accident trees effectively determines accident probabilities and offers specific solutions,thus playing a crucial role in enhancing road traffic safety management within aviation airports.展开更多
Zoo management has been approached from its financial guidelines in accordance with the SDGs,but without considering its adjustment to the SDGs.Therefore,the objective of this work was to compare the theoretical struc...Zoo management has been approached from its financial guidelines in accordance with the SDGs,but without considering its adjustment to the SDGs.Therefore,the objective of this work was to compare the theoretical structure reported in the literature with respect to the observations of this work.A cross-sectional and retrospective study was carried out with a sample of administrative managers linked to zoos committed to the implementation of the SDGs.The results suggest that age and gender determine the financial factor.In relation to the state of the art where dimensions related to learning financial administration are reported,this work suggests that age is a determinant of social responsibility.展开更多
Cloudy-rainy weather for several days in 2007 was featured with the longest duration and the most serious extent of injury since the time from which there was meteorology observation record in Shandong.The causes of t...Cloudy-rainy weather for several days in 2007 was featured with the longest duration and the most serious extent of injury since the time from which there was meteorology observation record in Shandong.The causes of this process were analyzed in this article in terms of general circulation,character of physical quantity and tropical cyclone.The result showed that the precipitation process was a long wave adjustment process and it took place during the transformation process of general circulation turning from the zonal to the radial.During the cloudy-rainy weather process,the Ural mountain ridge and the Western Pacific subtropical high were more abnormally strong and in the further north than that in any other years.The tropical cyclone in the south of the subtropical cyclone activity was more frequent.There was more shortwave in middle latitudes of Asian.The cold air masses Siberia went down south.The cold air masses joined with the current of air in the Lower Yellow River.This led to the lasting cloudy-rainy weather for several days in Shandong.展开更多
Objective To investigate the distribution and antimicrobial susceptibility of causative microorganisms recovered from patients with intra-abdominal infections(IAIs).Methods A total of 2,926 bacterial and fungal strain...Objective To investigate the distribution and antimicrobial susceptibility of causative microorganisms recovered from patients with intra-abdominal infections(IAIs).Methods A total of 2,926 bacterial and fungal strains were identified in samples collected from 1,679 patients with IAIs at the Peking Union Medical College Hospital between 2011 and 2021.Pathogenic bacteria and fungi were identified using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry.Antimicrobial susceptibility testing(AST)was performed using the VITEK 2 compact system and the Kirby–Bauer method.AST results were interpreted based on the M100-Ed31 clinical breakpoints of the Clinical and Laboratory Standards Institute.Results Of the 2,926 strains identified,49.2%,40.8%,and 9.5%were gram-negative bacteria,gram-positive bacteria,and fungi,respectively.Escherichia coli was the most prevalent pathogen in intensive care unit(ICU)and non-ICU patients;however,a significant decrease was observed in the isolation of E.coli between 2011 and 2021.Specifically,significant decreases were observed between 2011 and 2021 in the levels of extended-spectrumβ-lactamase(ESBL)-producing E.coli(from 76.9%to 14.3%)and Klebsiella pneumoniae(from 45.8%to 4.8%).Polymicrobial infections,particularly those involving co-infection with gram-positive and gram-negative bacteria,were commonly observed in IAI patients.Moreover,Candida albicans was more commonly isolated from hospital-associated IAI samples,while Staphylococcus epidermidis had a higher ratio in community-associated IAIs.Additionally,AST results revealed that most antimicrobial agents performed better in non-ESBL-producers than in ESBL-producers,while the overall resistance rates(56.9%–76.8%)of Acinetobacter baumanmii were higher against all antimicrobial agents than those of other common gram-negative bacteria.Indeed,Enterococcus faecium,Enterococcus faecalis,S.epidermidis,and S.aureus were consistently found to be susceptible to vancomycin,teicoplanin,and linezolid.Similarly,C.albicans exhibited high susceptibility to all the tested antifungal drugs.Conclusion The distribution and antimicrobial susceptibility of the causative microorganisms from patients with IAls were altered between 2011 and 2021.This finding is valuable for the implementation of evidence-based antimicrobial therapy and provides guidance for the control of hospital infections.展开更多
Objective: This study aims to systematically examine the existing evidence regarding the clinical benefits of carbocysteine as an adjunctive treatment in acute bronchopulmonary and otorhinological processes. Design: S...Objective: This study aims to systematically examine the existing evidence regarding the clinical benefits of carbocysteine as an adjunctive treatment in acute bronchopulmonary and otorhinological processes. Design: Systematic review and meta-analysis. Data sources: An electronic search was conducted across PubMed, Cochrane Library, clinicaltrials.gov, and the European Clinical Trial Register, with the search dated to May 2023. Bibliographic references from other literature reviews and meta-analyses were also reviewed. The search was limited to randomized clinical trials published in any language and year. It was completed by cross-checking the references of the located articles. Methods: Inclusion criteria covered studies assessing systemic or inhaled carbocysteine, regardless of dosing regimen. Concomitant medication use was acceptable if balanced between intervention and control groups. Authors independently extracted data, resolving disagreements through consensus. Methodological quality assessment relied on critical reading of each study. Dichotomous variables were analyzed using odds ratio (OR), and a final effect size was calculated. Statistical significance was established when confidence intervals did not cross the neutral value. Heterogeneity was assessed via the X<sup>2</sup> test and I<sup>2</sup> index. Results: Out of 318 initially identified studies, 4 met inclusion criteria. The meta-analysis for poor general condition yielded an OR of 0.45 in favor of intervention, p = 0.013, with non-significant heterogeneity. Cough events showed a percentage of 15.8% for carbocysteine vs. 27.2% for placebo. On the seventh day, expectoration rates were 18.37% for carbocysteinevs 33.3% for placebo. Conclusions: The observed clinical benefits align with carbocysteine’s mucoactive and muco-regulatory properties, complemented by anti-inflammatory and antioxidant actions. Carbocysteine stands out among mucolytic agents. In the context of persistent infectious diseases, the study emphasizes the need for further exploration of carbocysteine’s therapeutic potential as an adjunctive treatment for acute respiratory infections. These findings underscore its significance in the evolving landscape of respiratory healthcare.展开更多
Based on tidal data statistical analysis for 20 years of Tanggu Marine Environmental Monitoring Station from 1991 to 2010, we concluded that an average of nearly 10 days of 100 cm above water increase took place at Ti...Based on tidal data statistical analysis for 20 years of Tanggu Marine Environmental Monitoring Station from 1991 to 2010, we concluded that an average of nearly 10 days of 100 cm above water increase took place at Tianjin coast every year. The maximum high tide and average tide of Tianjin coast occurred in summer and autumn, and the maximum water increase also occurred in summer and autumn. Days with water increase more than 100 cm mostly occurred in spring, autumn and winter. Then we summarized the causes of coastal storm surge disaster in Tianjin based on astronomical tide factors, meteorological factors, sea level rise, land subsidence, and geographic factors, et al. Finally, we proposed storm surge disaster prevention measures.展开更多
The aim of this paper is to analyze the potential reasons for the safety failure of batteries for new-energy vehicles.Firstly,the importance and popularization of new energy batteries are introduced,and the importance...The aim of this paper is to analyze the potential reasons for the safety failure of batteries for new-energy vehicles.Firstly,the importance and popularization of new energy batteries are introduced,and the importance of safety failure issues is drawn out.Then,the composition and working principle of the battery is explained in detail,which provides the basis for the subsequent analysis.Then,the potential impacts of factors such as overcharge and over-discharge,high and low temperature environments,internal faults,and external shocks and vibrations on the safety of the batteries are analyzed.Finally,some common safety measures and solutions are proposed to improve the safety of new energy batteries,in hopes of improving the safety of batteries for new-energy vehicle.展开更多
The red tide event of 11 ̄28, May in 1987 was caused by Eucampia zoodiacus, a coastal eurythermic phytoplanktou. Results from the field monitoring indicated that during the red tide occurrence the optimal temperature ...The red tide event of 11 ̄28, May in 1987 was caused by Eucampia zoodiacus, a coastal eurythermic phytoplanktou. Results from the field monitoring indicated that during the red tide occurrence the optimal temperature and salinity for the multiplication of the red tide organism were 20 ̄25℃ and 26 ̄28. During the red tide event cell densities in two peak values both reached 3 000×103ind. /din3. Organism number in horizonal distribution increased from the harbour mouth to the inner harbour. Average number of the organism at the monitoring stations in the inner harbour was 2 930×103 md. /dm3 which was 3. 7 and 61 times higher than that at the two control monitoring stations. The organism number in vertical distribution apparently showed stepwise, day and night changes. Daily change of the phytoplankton number with spring and ebb tides exhibited a negative relativity.Major reasons for this red tide event included species competition of red tide organisms, sudden increment in water temperature in short time, sharp decrement in salinity by rainfall, water eutrophication, high contents of stimulating materials such as Fe and Mn, poor water exchange condition and stable synoptic condition, etc.High content of dissolved oxygen and high pH value was resulted from the photosythesis of a great quantity of the red tide organisms.展开更多
This article provides a review of the causes of respiratory tract infection after abdominal surgery. These causes include general anesthesia, intubation factors, factors inherent to the patient, surgical factors, the ...This article provides a review of the causes of respiratory tract infection after abdominal surgery. These causes include general anesthesia, intubation factors, factors inherent to the patient, surgical factors, the injudicious use of antimicrobial agents, and the environmental factors of the ward. The perioperative management of the respiratory tract should be strengthened. Health education, respiratory function training, oral nursing intervention,atomization inhalation, and personalized expectoration methods should receive more attention to decrease the complications and promote the early rehabilitation of patients after abdominal surgery.展开更多
AIM To perform a systematic review and meta-analysis on proton pump inhibitors(PPIs) therapy and the risk of Clostridium difficile infection(CDI). METHODS We conducted a systematic search of MEDLINE/Pub Med and seven ...AIM To perform a systematic review and meta-analysis on proton pump inhibitors(PPIs) therapy and the risk of Clostridium difficile infection(CDI). METHODS We conducted a systematic search of MEDLINE/Pub Med and seven other databases through January 1990 to March 2017 for published studies that evaluated the association between PPIs and CDI. Adult case-control and cohort studies providing information on the association between PPI therapy and the development of CDI were included. Pooled odds ratios(ORs) estimates with 95% confidence intervals(CIs) were calculated using the random effect. Heterogeneity was assessed by I^2 test and Cochran's Q statistic.Potential publication bias was evaluated via funnel plot, and quality of studies by the Newcastle-Otawa Quality Assessment Scale(NOS). RESULTS Fifty-six studies(40 case-control and 16 cohort) involving 356683 patients met the inclusion criteria and were analyzed. Both the overall pooled estimates and subgroup analyses showed increased risk for CDI despite substantial statistical heterogeneity among studies. Meta-analysis of all studies combined showed a significant association between PPI users and the risk of CDI(pooled OR = 1.99, CI: 1.73-2.30, P < 0.001) as compared with non-users. The association remained significant in subgroup analyses: by design-case-control(OR = 2.00, CI: 1.68-2.38, P < 0.0001), and cohort(OR = 1.98, CI: 1.51-2.59, P < 0.0001); adjusted(OR = 1.95, CI: 1.67-2.27, P < 0.0001) and unadjusted(OR = 2.02, CI: 1.41-2.91, P < 0.0001); unicenter(OR = 2.18, CI: 1.72-2.75, P < 0.0001) and multicenter(OR = 1.82, CI: 1.51-2.19, P < 0.0001); age ≥ 65 years(OR = 1.93, CI: 1.40-2.68, P < 0.0001) and < 65 years(OR = 2.06, CI: 1.11-3.81, P < 0.01). No significant differences were found in subgroup analyses(test for heterogeneity): P = 0.93 for case-control vs cohort, P = 0.85 for adjusted vs unadjusted, P = 0.24 for unicenter vs multicenter, P = 0.86 for age ≥ 65 years and < 65 years. There was significant heterogeneity across studies(I^2 = 85.4%, P < 0.001) as well as evidence of publication bias(funnel plot asymmetry test, P = 0.002). CONCLUSION This meta-analysis provides further evidence that PPI use is associated with an increased risk for development of CDI. Further high-quality, prospective studies are needed to assess whether this association is causal.展开更多
Through analyzing the situation of atmospheric circulation and the variation of meteorological element at the time of dense fog happened on November 10,2005 in Jining,the results indicated that there were abundant wat...Through analyzing the situation of atmospheric circulation and the variation of meteorological element at the time of dense fog happened on November 10,2005 in Jining,the results indicated that there were abundant water vapor,weaker pressure field and wind field,weaker cold air in high altitude,stable stratification in underlying bed and ground was located in the bottom of cold high pressure,all those conditions were beneficial to the generation of dense fog in Jining.展开更多
Objective:To explore the efficacy of Lianhua Qingwen Capsule(莲花清瘟胶囊)on upper respiratory tract infection,to understand the impact of Lianhua Qingwen Capsule(莲花清瘟胶囊)on the treatment outcome of upper respira...Objective:To explore the efficacy of Lianhua Qingwen Capsule(莲花清瘟胶囊)on upper respiratory tract infection,to understand the impact of Lianhua Qingwen Capsule(莲花清瘟胶囊)on the treatment outcome of upper respiratory tract infection,and provide reference for rational clinical drug use.Methods:The HIS database based on 18 large third-grade class-A hospitals was selected to match 1:1 for upper respiratory tract infection patients using and without Lianhua Qingwen Capsule(莲花清瘟胶囊)according to certain standards.The recombination of treatment outcome as"recovery"and"improvement"in the database was defined as effective treatment,"ineffectiveness","death"and"other"as ineffectivetreatment populations,and the effectiveness of treatment outcomes in the remerged 2 groups was compared by propensity score method.Results:After matching,454 cases were in both the patients treated by(experimental group)and without(control group)Lianhua Qingwen Capsule(莲花清瘟胶囊).Analysis was performed by three Logistic regression methods,all showing regression coefficients greater than 0 and statistically significant differences(P<0.05).Conclusion:Patients with upper respiratory tract infection treated by Lianhua Qingwen Capsule(莲花清瘟胶囊)are more effective than that without Lianhua Qingwen Capsule(莲花清瘟胶囊),it can improve the clinical efficacy of patients with upper respiratory tract infection。展开更多
Objective: Our object is to study risk factors of tumor patients’ PICC catheter-related blood stream infection. Method: a retrospective analysis of data of 586 PICC catheterized patients was implemented, a univariate...Objective: Our object is to study risk factors of tumor patients’ PICC catheter-related blood stream infection. Method: a retrospective analysis of data of 586 PICC catheterized patients was implemented, a univariate analysis of general data and catheterizing data of tumor patients was then carried out, and data of single factors with statistical significance were incorporated into multi-factor Logistic regression model for analysis. Results: PICC catheter-related blood stream infection occurred to 16 patients, and occurrence rate was 2.73%. Multi-factor Logistic regression analysis results showed that number of puncturing times, positioning method and maintenance frequency were risk factors for tumor patients’ peripherally inserted central catheter catheter-related blood stream infection, and odds risk values were respectively 8.762, 9.253 and 10.324. Conclusion: for tumor patients implanted with peripherally inserted central catheters, using ECG positioning during strict sterile operation and catheterizing process to avoid repeated puncturing and increasing maintenance frequency could effectively reduce occurrence of PICC catheter-related blood stream infection.展开更多
Objective:To analyze the clinical characters of 812 inpatients with infection in the Department of Endocrinology.Methods:Retrospective exhibition of these patients'clinical characters included undergoing diseases,...Objective:To analyze the clinical characters of 812 inpatients with infection in the Department of Endocrinology.Methods:Retrospective exhibition of these patients'clinical characters included undergoing diseases,infectious organs,history illness,blood glucose and glycosylated hemoglobin(HbA1C),biochemical indicators,pathogens training description and results,medical imagines,antibiotic utilization,length of stay and hospital costs,final diagnosis and situations.Results:Non-diabetic patients accounted for 176(21.67%),who were the cases of untreated well hyperthyroidism,mainly suffered with respiratory tract infection.Diabetic patients accounted for 636(78.33%).In the type2 diabetes patients 376(59.12)suffered with urinary tract infection.192(30.19%)suffered with respiratory system infection,124(19.50%)were accompanied with diabetic foot infection,which had 74(59.67%)patients with HbA1C>9.0%.Statistical comparisons showed that the days of antibiotic use and average length of stay in hospital per capita in patients with HbA1C≥8%were more than ones with HbA1C<8%in those with diabetic infections(P<0.01).The days of antibiotic use per capita in patients with HbA1C>9%were more than ones with HbA1C<7%in those with diabetic foot infections(P<0.01).Conclusion:Endocrine diseases lack rigid and effective long-term control,which may result in the complications involved with urinary tract,respiratory tract and infections in other organs.The time of hospitalization per capita and the duration of antibiotic use rise are longer in diabetic patients with poor blood sugar control and diabetic foot infection.展开更多
目的:检索导管相关性尿路感染研究的文献,分析当前研究现状和热点。方法:采用计算机检索Web of Science核心合集数据库中2013年1月1日—2023年1月1日发表的导管相关性尿路感染文献,运用CiteSpace软件对作者、机构、国家和关键词等进行...目的:检索导管相关性尿路感染研究的文献,分析当前研究现状和热点。方法:采用计算机检索Web of Science核心合集数据库中2013年1月1日—2023年1月1日发表的导管相关性尿路感染文献,运用CiteSpace软件对作者、机构、国家和关键词等进行可视化分析。结果:共纳入472篇文献,2013—2023年发文量较少但整体呈上升趋势,发文量最多的国家为美国。INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY是该研究领域重要的核心期刊。导管相关性尿路感染的预防、危险因素、流行病学和相关指南是该领域的研究热点。结论:导管相关性尿路感染相关因素和预防、流行病学以及构建相关指南共识是研究热点,“导尿管”“感染控制”可能成为今后研究的热点和方向。展开更多
The first thunderstorm weather appeared in southern Shenyang on May 2,2010 and did not bring about severe lightning disaster for Shenyang region,but forecast service had poor effect without forecasting thunderstorm we...The first thunderstorm weather appeared in southern Shenyang on May 2,2010 and did not bring about severe lightning disaster for Shenyang region,but forecast service had poor effect without forecasting thunderstorm weather accurately.In our paper,the reasons for missing report of this thunderstorm weather were analyzed,and analysis on thunderstorm potential was carried out by means of mesoscale analysis technique,providing technical index and vantage point for the prediction of thunderstorm potential.The results showed that the reasons for missing report of this weather process were as follows:surface temperature at prophase was constantly lower going against the development of convective weather;the interpreting and analyzing ability of numerical forecast product should be improved;the forecast result of T639 model was better than that of Japanese numerical forecast;the study and application of mesoscale analysis technique should be strengthened,and this service was formally developed after thunderstorm weather on June 1,2010.展开更多
文摘This research aims to understand more closely the damage to the lake environment and the factors that cause pollution in Lake Santa Maria are the first factor of increasing urbanization, the use of the land around the lake as a place to live, the absence of maximum control from the local government this case, the Dili municipal authority. Types of solid waste consist of iron from car accidents, motorcycles, used building materials, plastic, used drink bottles and clothes, mosquito nets, food scraps from household waste, as well as old fishing nets from residents. In addition, household waste such as bath and bath, dishwashing, detergents, and waste from tempeh and tofu factories, including burnt oil from cars and motorcycles, are thrown into the lake. Municipal waste management is based on environmental standards to determine the quality of waste management in Dili Municipality. It is possible to identify the composition of waste and waste, as well as predict its environmental impact. Human (Anthropic) factors Domestic Liquid Waste, Domestic Solid Waste: Composed of organic and inorganic waste. Synthetic Waste, Disposal of Used Oil, Disposal of Domestic Animal Waste, Shallow Drains and Septic Tanks, Mountain Garbage, Garbage Thrown by Visitors, Natural Factors, Climate change, Prolonged drought, Low rainfall, El Niño and La Niña factors, Wind speed, Heat (high daily temperature pressure), Greater water evaporation, Dry wind. The occurrence of contamination necessarily implies an ecological imbalance. The impact introduced by residual compounds and waste that may be associated with the toxicity.
文摘This paper analyzes the causes of the offshore strength enhancement of Typhoon Tiange (No. 1713) from four aspects: high and low layer divergence, vertical wind shear, southwest monsoon transport, offshore sea temperature and weak cold air. The conclusions are as follows: The high-level airflow divergence enhancement and positive vorticity advection in the offshore, strengthen the middle rise movement of the “Tiange”, and the ascending movement enhances the strength of the “Tiange” by strengthening the lower layer convergence;The high offshore sea temperature and sea temperature are changing temperature, which also has a certain effect on the strengthening of “Tiange” in the offshore;The strengthening of the southwest warm and humid airflow provides sufficient water vapor and energy for the development of “Tiange”, which is beneficial to the maintenance of the typhoon warm heart structure;The intrusion of weak cold air, enhanced the radiation cooperation of the lower typhoon disturbance, which is beneficial to the enhancement of “Tiange”.
文摘Through long-term production and maintenance practice,various types of stacking steel in the 2250mm hot rolling coiler of Ma Steel were tracked and analyzed,and the causes of stacking steel were summarized.Cor-responding measures were formulated to effectively reduce the probability of stacking steel.
文摘To assess road traffic safety risk in civil aviation airports and develop effective accident prevention measures,this study proposed a risk assessment method based on accident tree and Bayesian network for airport aircraft activity areas.It identified influencing factors in the aircraft activity area from the perspectives of person-vehicle-road-environment-management and analyzed their relationships.The Bayesian network was utilized to determine initial probabilities for each influencing factor.Findings indicated a relatively high overall safety level in the airport's road traffic system.Accident trees were employed to qualitatively and quantitatively analyze common human-vehicle accident patterns.The initial probabilities obtained from the Bayesian network served as basic event probabilities in the accident tree to determine the occurrence probability of the top event.Taking a 4F airport in China as an example,accident cause analysis identified five important risk sources in human-vehicle accidents,including blind spots for special vehicles,illegal driving by drivers,pedestrians violating regulations,passengers entering restricted areas,and blind spots at intersections.Corresponding safety management measures were formulated.The study concluded that the integration of Bayesian networks and accident trees effectively determines accident probabilities and offers specific solutions,thus playing a crucial role in enhancing road traffic safety management within aviation airports.
文摘Zoo management has been approached from its financial guidelines in accordance with the SDGs,but without considering its adjustment to the SDGs.Therefore,the objective of this work was to compare the theoretical structure reported in the literature with respect to the observations of this work.A cross-sectional and retrospective study was carried out with a sample of administrative managers linked to zoos committed to the implementation of the SDGs.The results suggest that age and gender determine the financial factor.In relation to the state of the art where dimensions related to learning financial administration are reported,this work suggests that age is a determinant of social responsibility.
文摘Cloudy-rainy weather for several days in 2007 was featured with the longest duration and the most serious extent of injury since the time from which there was meteorology observation record in Shandong.The causes of this process were analyzed in this article in terms of general circulation,character of physical quantity and tropical cyclone.The result showed that the precipitation process was a long wave adjustment process and it took place during the transformation process of general circulation turning from the zonal to the radial.During the cloudy-rainy weather process,the Ural mountain ridge and the Western Pacific subtropical high were more abnormally strong and in the further north than that in any other years.The tropical cyclone in the south of the subtropical cyclone activity was more frequent.There was more shortwave in middle latitudes of Asian.The cold air masses Siberia went down south.The cold air masses joined with the current of air in the Lower Yellow River.This led to the lasting cloudy-rainy weather for several days in Shandong.
基金supported by Special Foundation for National Science and Technology Basic Research Program of China[2019FY101200]Beijing Key Clinical Specialty for Laboratory Medicine-Excellent Project[ZK201000].
文摘Objective To investigate the distribution and antimicrobial susceptibility of causative microorganisms recovered from patients with intra-abdominal infections(IAIs).Methods A total of 2,926 bacterial and fungal strains were identified in samples collected from 1,679 patients with IAIs at the Peking Union Medical College Hospital between 2011 and 2021.Pathogenic bacteria and fungi were identified using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry.Antimicrobial susceptibility testing(AST)was performed using the VITEK 2 compact system and the Kirby–Bauer method.AST results were interpreted based on the M100-Ed31 clinical breakpoints of the Clinical and Laboratory Standards Institute.Results Of the 2,926 strains identified,49.2%,40.8%,and 9.5%were gram-negative bacteria,gram-positive bacteria,and fungi,respectively.Escherichia coli was the most prevalent pathogen in intensive care unit(ICU)and non-ICU patients;however,a significant decrease was observed in the isolation of E.coli between 2011 and 2021.Specifically,significant decreases were observed between 2011 and 2021 in the levels of extended-spectrumβ-lactamase(ESBL)-producing E.coli(from 76.9%to 14.3%)and Klebsiella pneumoniae(from 45.8%to 4.8%).Polymicrobial infections,particularly those involving co-infection with gram-positive and gram-negative bacteria,were commonly observed in IAI patients.Moreover,Candida albicans was more commonly isolated from hospital-associated IAI samples,while Staphylococcus epidermidis had a higher ratio in community-associated IAIs.Additionally,AST results revealed that most antimicrobial agents performed better in non-ESBL-producers than in ESBL-producers,while the overall resistance rates(56.9%–76.8%)of Acinetobacter baumanmii were higher against all antimicrobial agents than those of other common gram-negative bacteria.Indeed,Enterococcus faecium,Enterococcus faecalis,S.epidermidis,and S.aureus were consistently found to be susceptible to vancomycin,teicoplanin,and linezolid.Similarly,C.albicans exhibited high susceptibility to all the tested antifungal drugs.Conclusion The distribution and antimicrobial susceptibility of the causative microorganisms from patients with IAls were altered between 2011 and 2021.This finding is valuable for the implementation of evidence-based antimicrobial therapy and provides guidance for the control of hospital infections.
文摘Objective: This study aims to systematically examine the existing evidence regarding the clinical benefits of carbocysteine as an adjunctive treatment in acute bronchopulmonary and otorhinological processes. Design: Systematic review and meta-analysis. Data sources: An electronic search was conducted across PubMed, Cochrane Library, clinicaltrials.gov, and the European Clinical Trial Register, with the search dated to May 2023. Bibliographic references from other literature reviews and meta-analyses were also reviewed. The search was limited to randomized clinical trials published in any language and year. It was completed by cross-checking the references of the located articles. Methods: Inclusion criteria covered studies assessing systemic or inhaled carbocysteine, regardless of dosing regimen. Concomitant medication use was acceptable if balanced between intervention and control groups. Authors independently extracted data, resolving disagreements through consensus. Methodological quality assessment relied on critical reading of each study. Dichotomous variables were analyzed using odds ratio (OR), and a final effect size was calculated. Statistical significance was established when confidence intervals did not cross the neutral value. Heterogeneity was assessed via the X<sup>2</sup> test and I<sup>2</sup> index. Results: Out of 318 initially identified studies, 4 met inclusion criteria. The meta-analysis for poor general condition yielded an OR of 0.45 in favor of intervention, p = 0.013, with non-significant heterogeneity. Cough events showed a percentage of 15.8% for carbocysteine vs. 27.2% for placebo. On the seventh day, expectoration rates were 18.37% for carbocysteinevs 33.3% for placebo. Conclusions: The observed clinical benefits align with carbocysteine’s mucoactive and muco-regulatory properties, complemented by anti-inflammatory and antioxidant actions. Carbocysteine stands out among mucolytic agents. In the context of persistent infectious diseases, the study emphasizes the need for further exploration of carbocysteine’s therapeutic potential as an adjunctive treatment for acute respiratory infections. These findings underscore its significance in the evolving landscape of respiratory healthcare.
文摘Based on tidal data statistical analysis for 20 years of Tanggu Marine Environmental Monitoring Station from 1991 to 2010, we concluded that an average of nearly 10 days of 100 cm above water increase took place at Tianjin coast every year. The maximum high tide and average tide of Tianjin coast occurred in summer and autumn, and the maximum water increase also occurred in summer and autumn. Days with water increase more than 100 cm mostly occurred in spring, autumn and winter. Then we summarized the causes of coastal storm surge disaster in Tianjin based on astronomical tide factors, meteorological factors, sea level rise, land subsidence, and geographic factors, et al. Finally, we proposed storm surge disaster prevention measures.
文摘The aim of this paper is to analyze the potential reasons for the safety failure of batteries for new-energy vehicles.Firstly,the importance and popularization of new energy batteries are introduced,and the importance of safety failure issues is drawn out.Then,the composition and working principle of the battery is explained in detail,which provides the basis for the subsequent analysis.Then,the potential impacts of factors such as overcharge and over-discharge,high and low temperature environments,internal faults,and external shocks and vibrations on the safety of the batteries are analyzed.Finally,some common safety measures and solutions are proposed to improve the safety of new energy batteries,in hopes of improving the safety of batteries for new-energy vehicle.
文摘The red tide event of 11 ̄28, May in 1987 was caused by Eucampia zoodiacus, a coastal eurythermic phytoplanktou. Results from the field monitoring indicated that during the red tide occurrence the optimal temperature and salinity for the multiplication of the red tide organism were 20 ̄25℃ and 26 ̄28. During the red tide event cell densities in two peak values both reached 3 000×103ind. /din3. Organism number in horizonal distribution increased from the harbour mouth to the inner harbour. Average number of the organism at the monitoring stations in the inner harbour was 2 930×103 md. /dm3 which was 3. 7 and 61 times higher than that at the two control monitoring stations. The organism number in vertical distribution apparently showed stepwise, day and night changes. Daily change of the phytoplankton number with spring and ebb tides exhibited a negative relativity.Major reasons for this red tide event included species competition of red tide organisms, sudden increment in water temperature in short time, sharp decrement in salinity by rainfall, water eutrophication, high contents of stimulating materials such as Fe and Mn, poor water exchange condition and stable synoptic condition, etc.High content of dissolved oxygen and high pH value was resulted from the photosythesis of a great quantity of the red tide organisms.
文摘This article provides a review of the causes of respiratory tract infection after abdominal surgery. These causes include general anesthesia, intubation factors, factors inherent to the patient, surgical factors, the injudicious use of antimicrobial agents, and the environmental factors of the ward. The perioperative management of the respiratory tract should be strengthened. Health education, respiratory function training, oral nursing intervention,atomization inhalation, and personalized expectoration methods should receive more attention to decrease the complications and promote the early rehabilitation of patients after abdominal surgery.
文摘AIM To perform a systematic review and meta-analysis on proton pump inhibitors(PPIs) therapy and the risk of Clostridium difficile infection(CDI). METHODS We conducted a systematic search of MEDLINE/Pub Med and seven other databases through January 1990 to March 2017 for published studies that evaluated the association between PPIs and CDI. Adult case-control and cohort studies providing information on the association between PPI therapy and the development of CDI were included. Pooled odds ratios(ORs) estimates with 95% confidence intervals(CIs) were calculated using the random effect. Heterogeneity was assessed by I^2 test and Cochran's Q statistic.Potential publication bias was evaluated via funnel plot, and quality of studies by the Newcastle-Otawa Quality Assessment Scale(NOS). RESULTS Fifty-six studies(40 case-control and 16 cohort) involving 356683 patients met the inclusion criteria and were analyzed. Both the overall pooled estimates and subgroup analyses showed increased risk for CDI despite substantial statistical heterogeneity among studies. Meta-analysis of all studies combined showed a significant association between PPI users and the risk of CDI(pooled OR = 1.99, CI: 1.73-2.30, P < 0.001) as compared with non-users. The association remained significant in subgroup analyses: by design-case-control(OR = 2.00, CI: 1.68-2.38, P < 0.0001), and cohort(OR = 1.98, CI: 1.51-2.59, P < 0.0001); adjusted(OR = 1.95, CI: 1.67-2.27, P < 0.0001) and unadjusted(OR = 2.02, CI: 1.41-2.91, P < 0.0001); unicenter(OR = 2.18, CI: 1.72-2.75, P < 0.0001) and multicenter(OR = 1.82, CI: 1.51-2.19, P < 0.0001); age ≥ 65 years(OR = 1.93, CI: 1.40-2.68, P < 0.0001) and < 65 years(OR = 2.06, CI: 1.11-3.81, P < 0.01). No significant differences were found in subgroup analyses(test for heterogeneity): P = 0.93 for case-control vs cohort, P = 0.85 for adjusted vs unadjusted, P = 0.24 for unicenter vs multicenter, P = 0.86 for age ≥ 65 years and < 65 years. There was significant heterogeneity across studies(I^2 = 85.4%, P < 0.001) as well as evidence of publication bias(funnel plot asymmetry test, P = 0.002). CONCLUSION This meta-analysis provides further evidence that PPI use is associated with an increased risk for development of CDI. Further high-quality, prospective studies are needed to assess whether this association is causal.
文摘Through analyzing the situation of atmospheric circulation and the variation of meteorological element at the time of dense fog happened on November 10,2005 in Jining,the results indicated that there were abundant water vapor,weaker pressure field and wind field,weaker cold air in high altitude,stable stratification in underlying bed and ground was located in the bottom of cold high pressure,all those conditions were beneficial to the generation of dense fog in Jining.
基金China Academy of Chinese Medical Sciences Project approval:Science and technology innovation project of China Academy of Chinese Medical Sciences(ci2021a00702)approval:National key R&D plan"demonstration study on evidence-based evaluation and effect mechanism of ten large varieties of Chinese patent medicines and classic famous prescriptions in the treatment of major diseases after listing(2018yfc1707400)。
文摘Objective:To explore the efficacy of Lianhua Qingwen Capsule(莲花清瘟胶囊)on upper respiratory tract infection,to understand the impact of Lianhua Qingwen Capsule(莲花清瘟胶囊)on the treatment outcome of upper respiratory tract infection,and provide reference for rational clinical drug use.Methods:The HIS database based on 18 large third-grade class-A hospitals was selected to match 1:1 for upper respiratory tract infection patients using and without Lianhua Qingwen Capsule(莲花清瘟胶囊)according to certain standards.The recombination of treatment outcome as"recovery"and"improvement"in the database was defined as effective treatment,"ineffectiveness","death"and"other"as ineffectivetreatment populations,and the effectiveness of treatment outcomes in the remerged 2 groups was compared by propensity score method.Results:After matching,454 cases were in both the patients treated by(experimental group)and without(control group)Lianhua Qingwen Capsule(莲花清瘟胶囊).Analysis was performed by three Logistic regression methods,all showing regression coefficients greater than 0 and statistically significant differences(P<0.05).Conclusion:Patients with upper respiratory tract infection treated by Lianhua Qingwen Capsule(莲花清瘟胶囊)are more effective than that without Lianhua Qingwen Capsule(莲花清瘟胶囊),it can improve the clinical efficacy of patients with upper respiratory tract infection。
文摘Objective: Our object is to study risk factors of tumor patients’ PICC catheter-related blood stream infection. Method: a retrospective analysis of data of 586 PICC catheterized patients was implemented, a univariate analysis of general data and catheterizing data of tumor patients was then carried out, and data of single factors with statistical significance were incorporated into multi-factor Logistic regression model for analysis. Results: PICC catheter-related blood stream infection occurred to 16 patients, and occurrence rate was 2.73%. Multi-factor Logistic regression analysis results showed that number of puncturing times, positioning method and maintenance frequency were risk factors for tumor patients’ peripherally inserted central catheter catheter-related blood stream infection, and odds risk values were respectively 8.762, 9.253 and 10.324. Conclusion: for tumor patients implanted with peripherally inserted central catheters, using ECG positioning during strict sterile operation and catheterizing process to avoid repeated puncturing and increasing maintenance frequency could effectively reduce occurrence of PICC catheter-related blood stream infection.
文摘Objective:To analyze the clinical characters of 812 inpatients with infection in the Department of Endocrinology.Methods:Retrospective exhibition of these patients'clinical characters included undergoing diseases,infectious organs,history illness,blood glucose and glycosylated hemoglobin(HbA1C),biochemical indicators,pathogens training description and results,medical imagines,antibiotic utilization,length of stay and hospital costs,final diagnosis and situations.Results:Non-diabetic patients accounted for 176(21.67%),who were the cases of untreated well hyperthyroidism,mainly suffered with respiratory tract infection.Diabetic patients accounted for 636(78.33%).In the type2 diabetes patients 376(59.12)suffered with urinary tract infection.192(30.19%)suffered with respiratory system infection,124(19.50%)were accompanied with diabetic foot infection,which had 74(59.67%)patients with HbA1C>9.0%.Statistical comparisons showed that the days of antibiotic use and average length of stay in hospital per capita in patients with HbA1C≥8%were more than ones with HbA1C<8%in those with diabetic infections(P<0.01).The days of antibiotic use per capita in patients with HbA1C>9%were more than ones with HbA1C<7%in those with diabetic foot infections(P<0.01).Conclusion:Endocrine diseases lack rigid and effective long-term control,which may result in the complications involved with urinary tract,respiratory tract and infections in other organs.The time of hospitalization per capita and the duration of antibiotic use rise are longer in diabetic patients with poor blood sugar control and diabetic foot infection.
文摘目的:检索导管相关性尿路感染研究的文献,分析当前研究现状和热点。方法:采用计算机检索Web of Science核心合集数据库中2013年1月1日—2023年1月1日发表的导管相关性尿路感染文献,运用CiteSpace软件对作者、机构、国家和关键词等进行可视化分析。结果:共纳入472篇文献,2013—2023年发文量较少但整体呈上升趋势,发文量最多的国家为美国。INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY是该研究领域重要的核心期刊。导管相关性尿路感染的预防、危险因素、流行病学和相关指南是该领域的研究热点。结论:导管相关性尿路感染相关因素和预防、流行病学以及构建相关指南共识是研究热点,“导尿管”“感染控制”可能成为今后研究的热点和方向。
文摘The first thunderstorm weather appeared in southern Shenyang on May 2,2010 and did not bring about severe lightning disaster for Shenyang region,but forecast service had poor effect without forecasting thunderstorm weather accurately.In our paper,the reasons for missing report of this thunderstorm weather were analyzed,and analysis on thunderstorm potential was carried out by means of mesoscale analysis technique,providing technical index and vantage point for the prediction of thunderstorm potential.The results showed that the reasons for missing report of this weather process were as follows:surface temperature at prophase was constantly lower going against the development of convective weather;the interpreting and analyzing ability of numerical forecast product should be improved;the forecast result of T639 model was better than that of Japanese numerical forecast;the study and application of mesoscale analysis technique should be strengthened,and this service was formally developed after thunderstorm weather on June 1,2010.