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Using laparoscope to remove an ectopic intrauterine device in the anterior wall of urinary bladder:A case report
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作者 Shi-Xue Liu Xing-You Dong 《World Journal of Clinical Cases》 SCIE 2024年第17期3221-3225,共5页
BACKGROUND An intrauterine device(IUD)is a contraceptive device placed in the uterine cavity and is a common contraceptive method for Chinese women.However,an IUD may cause complications due to placement time,intraute... BACKGROUND An intrauterine device(IUD)is a contraceptive device placed in the uterine cavity and is a common contraceptive method for Chinese women.However,an IUD may cause complications due to placement time,intrauterine pressure and other factors.Ectopic IUDs are among the most serious complications.Ectopic IUDs are common in the myometrium and periuterine organs,and there are few reports of ectopic IUDs in the urinary bladder,especially in the anterior wall.CASE SUMMARY A 52-year-old woman was hospitalized due to a urinary bladder foreign body found via abdominal ultrasound and computed tomography(CT)examination.The patient had a 2-year history of recurrent abdominal distension and lower abdominal pain,accompanied by frequent urination,urgency,dysuria and other discomfort.Ultrasound examination revealed foreign bodies in the bladder cavity,with calculus on the surface of the foreign bodies.CT revealed a circular foreign body on the anterior wall of the urinary bladder,suggesting the possibility of an ectopic IUD.After laparoscopic exploration,an annular IUD was found in the anterior wall of urinary bladder,and an oval calculus with a diameter of approximately 2 cm was attached to the surface of the bladder cavity.The IUD and calculus were successfully and completely removed.The patient recovered well after surgery.CONCLUSION Abdominal ultrasound and CT are effective methods for detecting ectopic IUDs.The IUD is located in the urinary bladder and requires early surgical treatment.The choice of surgical method is determined by comprehensively considering the depth of the IUD in the bladder muscle layer,the situation of complicated calculus,the situation of intravesical inflammation and medical technology and equipment. 展开更多
关键词 Intrauterine device ECTOPIC Anterior wall of the urinary bladder Calculus laparoscope Case report
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Committed to Safe Production China-Indonesia joint venture HBAP strives to ensure safe, stable operations while fulfilling social responsibility
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作者 Wang Yabing 《China Report ASEAN》 2024年第10期48-49,共2页
Recently,PT Huadian Bukit Asam Power (HBAP) was awarded the"Zero Accident Award"by the Ministry of Manpower of the Republic of Indonesia.This national-level award for safe production in Indonesia serves to t... Recently,PT Huadian Bukit Asam Power (HBAP) was awarded the"Zero Accident Award"by the Ministry of Manpower of the Republic of Indonesia.This national-level award for safe production in Indonesia serves to testify to the enterprise's achievements in safe and stable operations from June 1,2018,to December 31,2023. 展开更多
关键词 VENTURE operations Indonesia
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Evaluation of Driver-Induced Human Errors in Smart Construction Tower Crane Operations Based on DEMATEL-ISM-MICMAC
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作者 Jiahao Wang Wen Si 《Journal of Applied Mathematics and Physics》 2024年第4期1541-1556,共16页
With the advent of Industry 4.0, smart construction sites have seen significant development in China. However, accidents involving digitized tower cranes continue to be a persistent issue. Among the contributing facto... With the advent of Industry 4.0, smart construction sites have seen significant development in China. However, accidents involving digitized tower cranes continue to be a persistent issue. Among the contributing factors, human unsafe behavior stands out as a primary cause for these incidents. This study aims to assess the human reliability of tower crane operations on smart construction sites. To proactively enhance safety measures, the research employs text mining techniques (TF-IDF-Truncated SVD-Complement NB) to identify patterns of human errors among tower crane operators. Building upon the SHEL model, the study categorizes behavioral factors affecting human reliability in the man-machine interface, leading to the establishment of the Performance Shaping Factors (PSFs) system. Furthermore, the research constructs an error impact indicator system for the intelligent construction site tower crane operator interface. Using the DEMATEL method, it analyzes the significance of various factors influencing human errors in tower crane operations. Additionally, the ISM-MICMAC method is applied to unveil the hierarchical relationships and driving-dependent connections among these influencing factors. The findings indicate that personal state, operating procedures, and physical environment directly impact human errors, while personal capability, technological environment, and one fundamental organizational management factor contribute indirectly. . 展开更多
关键词 Text Mining DEMATEL-ISM-MICMAC Performance Shaping Factors Smart Construction Tower Crane Operator
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Research and Practice of the Blended Teaching Model of BOPPPS Teaching Method Under the Background of Digital Education: Taking Operations Research Course as an Example
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作者 Yan Wu 《Journal of Contemporary Educational Research》 2024年第6期155-160,共6页
The rapid development of digital education provides new opportunities and challenges for teaching model innovation.This study aims to explore the application of the BOPPPS(Bridge-in,Objective,Pre-assessment,Participat... The rapid development of digital education provides new opportunities and challenges for teaching model innovation.This study aims to explore the application of the BOPPPS(Bridge-in,Objective,Pre-assessment,Participatory learning,Post-assessment,Summary)teaching method in the development of a blended teaching model for the Operations Research course under the background of digital education.In response to the characteristics of the course and the needs of the student group,the teaching design is reconstructed with a student-centered approach,increasing practical teaching links,improving the assessment and evaluation system,and effectively implementing it in conjunction with digital educational technology.This teaching model has shown significant effectiveness in the context of digital education,providing valuable experience and insights for the innovation of the Operations Research course. 展开更多
关键词 Digital education BOPPPS teaching method Blended teaching model operations research
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Dynamic Analysis of Pipeline Lifting Operations for Different Current Velocities and Wave Heights 被引量:1
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作者 Dapeng Zhang Bowen Zhao Keqiang Zhu 《Fluid Dynamics & Materials Processing》 EI 2023年第3期603-617,共15页
Pipelines are widely used for transporting oil resources in the context of offshore oil exploitation.The pipeline stress-strength analysis is an important stage in related design and ensuing construction techniques.In... Pipelines are widely used for transporting oil resources in the context of offshore oil exploitation.The pipeline stress-strength analysis is an important stage in related design and ensuing construction techniques.In this study,assuming representative work environment parameters,pipeline lifting operations are investigated numerically.More specifically,a time-domain coupled dynamic analysis method is used to conduct a hydrodynamic analysis under different current velocities and wave heights.The results show that proper operation requires the lifting points are reasonably set in combination with the length of the pipeline and the position of the lifting device on the construction ship.The impact of waves on the pipeline is limited,however lifting operations under strong wind and waves should be avoided as far as possible. 展开更多
关键词 PIPELINE OrcaFlex hydrodynamic analysis lifting operation
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Study on the Characteristics of A New Hybrid Mooring System for DualPlatform Joint Operations 被引量:1
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作者 SHEN Zhong-xiang YUAN Zhao-jun +1 位作者 LI Hong-bin ZHU Chen-yang 《China Ocean Engineering》 SCIE EI CSCD 2023年第3期506-518,共13页
As the sustainable exploitation of marine resources develops,dual-platform joint operation has caught increasing attention.Dual-platform joint operation requires smaller relative motion between the two sub-platforms,w... As the sustainable exploitation of marine resources develops,dual-platform joint operation has caught increasing attention.Dual-platform joint operation requires smaller relative motion between the two sub-platforms,which is normally difficult to be satisfied by the traditional mooring system.Therefore,a new hybrid mooring system is developed and studied in this article.To ensure safety during platform movements,both the number of anchor chains and the relative motion between the two sub-platforms are reduced in the new hybrid mooring system.By performing numerical simulations based on three-dimensional potential flow theory in AQWA and physical experiments,the performances of both the new hybrid and traditional mooring systems under two different wave conditions(i.e.,working wave and freak wave conditions) are systematically investigated.Regarding the new hybrid mooring system,the relative stability between the two sub-platforms of the new system is better,and the platforms can restore stability faster when affected by freak waves. 展开更多
关键词 dual-platform joint operation platform relative stability hybrid mooring system freak wave
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Operations of Knapsack Sprayer and Its Impacts on Physiological Parameters of Selected Operators
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作者 Bukola Olanrewaju Afolabi Akinfoye Oyime Daniel Adejumo +1 位作者 Ayoade Oladele Atere Titus Adeyinka Ilori 《Engineering(科研)》 CAS 2023年第2期59-67,共9页
The study was aimed at determining the impacts of operating Manually Operated Hand Lever Knapsack Sprayers (MOHLKS) on physiological responses of the operators as dependent on anthropometric variations and sex. Twenty... The study was aimed at determining the impacts of operating Manually Operated Hand Lever Knapsack Sprayers (MOHLKS) on physiological responses of the operators as dependent on anthropometric variations and sex. Twenty eight subjects, (4 female, 24 male) Mean ± SD: Age 22.5 ± 1.92, 24.29 ± 2.2 years;Body Mass Index 24.6 ± 4.8, 21.7 ± 2.4 kg/m<sup>2</sup> were employed in the study. Selected anthropometric parameters of weight and height were used to determine body mass index (BMI), with these are arm-reach forward, elbow to fingertip, hand length and hand width were measured to establish human variations in diversity. Subjects undertook the operation at 5 replicates each, before and after which information about operators’ body pain locations and body physiological changes of heart rates were obtained. Measured parameters were used in the determination of expended energy (EE), physiological cost (PC), oxygen intake (VO<sub>2</sub>) and aerobic power (VO<sub>2</sub>max). Alongside with these were operational parameters of stroke, pace and time taken to get the operation done and environmental factors of temperature and relative humidity. The results revealed on the average that the BMI (24.61 ± 4.78 kg/m<sup>2</sup>) in female operators was higher, this corresponded to PC and VO<sub>2</sub>, while the VO<sub>2</sub>max (34.83 ± 3.30 ml/min/kg) in males is higher. More EE was obtained in female subjects (3.53 ± 3.76 kCal/min) as compared to male subjects (3.42 ± 7.48 kCal/min). The main effects plot of operational factors on EE displayed the stroke made by the subjects during spraying operation as parameter with largest effect on EE. Regression equation for EE and PCI is given as PCI = 1.97 + 25.2 EE, while the P-value at α = 0.05 is 0.000 and R<sup>2</sup> = 98.8%. Post operational body pain showed that 19 out of 28 subjects incurred at least one type of body pain, with shoulder pain as most frequent. The results of the study suggest that early incidence of fatigue may occur in female operators as compared to the males, and in addition, cumulative trauma at shoulder, back, and upper and lower arm may result over time. Hence, it is recommended that the tank volume should be reduced and the straps for the shoulders should be supported with additional cushion. 展开更多
关键词 Cumulativetrauma Knapsack Sprayer Operational Effect Physiological Changes STROKE
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不同剂量瑞马唑仑复合舒芬太尼在腹腔镜胆囊切除术中的麻醉效果比较 被引量:2
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作者 田建民 陈胜阳 +3 位作者 李晓芳 刘国泽 刘俊 张永强 《河南医学研究》 CAS 2024年第5期859-864,共6页
目的比较不同剂量瑞马唑仑复合舒芬太尼在全麻下腹腔镜胆囊切除术(LC)中的应用效果。方法选取2021年1月至2023年1月计划在新乡医学院第一附属医院行全麻下LC的204例患者,按照随机数字表法分为A组、B组和C组,各68例。A组接受小剂量的瑞... 目的比较不同剂量瑞马唑仑复合舒芬太尼在全麻下腹腔镜胆囊切除术(LC)中的应用效果。方法选取2021年1月至2023年1月计划在新乡医学院第一附属医院行全麻下LC的204例患者,按照随机数字表法分为A组、B组和C组,各68例。A组接受小剂量的瑞马唑仑(0.2 mg·kg-1)复合舒芬太尼行麻醉诱导,B组接受大剂量的瑞马唑仑(0.3 mg·kg-1)复合舒芬太尼行麻醉诱导,C组接受丙泊酚(2.0 mg·kg-1)复合舒芬太尼行麻醉诱导;诱导完成后,3组均以静脉恒速输注丙泊酚复合瑞芬太尼维持麻醉,间歇性注射罗库溴铵维持肌肉松弛。观察3组患者麻醉诱导前及插管前后的血流动力学变化,比较手术时间、麻醉药物用量、麻醉诱导后/术中药物追加率;对比3组患者停药后的麻醉恢复时间(包括自主呼吸恢复时间、苏醒时间、拔管时间)、术后精神状态以及不良事件的发生情况。结果3组插管前即刻与插管后即刻的平均动脉压(MAP)低于诱导前(P<0.05),插管后即刻的MAP均高于插管前即刻(P<0.05);3组插管前即刻的心率(HR)均低于诱导前(P<0.05),3组插管后即刻的HR均高于插管前即刻(P<0.05),C组插管后即刻的HR低于诱导前(P<0.05);A组任意时刻的MAP、HR与B组比较,差异无统计学意义(P>0.05),A组、B组插管前即刻与插管后即刻的MAP、HR均高于C组(P<0.05)。3组手术时间、瑞芬太尼用量比较,差异无统计学意义(P>0.05),B组、C组丙泊酚用量均少于A组(P<0.05),B组丙泊酚用量与C组比较,差异无统计学意义(P>0.05);B组、C组药物追加率均低于A组(P<0.05),B组药物追加率与C组比较,差异无统计学意义(P>0.05)。A组自主呼吸恢复时间、苏醒时间、拔管时间与B组比较,差异无统计学意义(P>0.05),C组自主呼吸恢复时间、苏醒时间、拔管时间均长于A组、B组(P<0.05)。3组患者术后24、72 h简易精神状态检查(MMSE)评分均低于入手术室前(P<0.05),术后72 h的MMSE评分均高于术后24 h(P<0.05),但A组、B组、C组间在术后24、72 h的MMSE评分比较,差异无统计学意义(P>0.05)。A组不良事件发生率与B组对比,差异无统计学意义(P>0.05),但A组、B组不良事件总发生率均低于C组(P<0.05),且A组低血压发生率低于C组(P<0.05)。结论不同剂量瑞马唑仑复合舒芬太尼应用于全麻下LC中对患者的血流动力学、术后恢复与认知功能、安全性的影响相近,但相较于0.2 mg·kg-1瑞马唑仑,使用0.3 mg·kg-1瑞马唑仑能够减少追加麻醉药物,镇静效果更佳,值得临床推荐应用。 展开更多
关键词 瑞马唑仑 腹腔镜胆囊切除术 舒芬太尼 全身麻醉
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腹腔镜下D2根治术联合CME对局部进展期胃癌术后腹腔游离癌细胞检出率及预后的影响 被引量:1
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作者 李永坤 彭朝阳 +2 位作者 贾亚鹏 王虔 刘耿 《现代肿瘤医学》 CAS 2024年第12期2224-2229,共6页
目的:探讨腹腔镜下D2根治术联合完整系膜切除术(complete mesocolic excision,CME)对局部进展期胃癌腹腔游离癌细胞及预后的影响。方法:回顾性分析2021年06月至2022年06月于医院住院治疗的128例局部进展期胃癌患者临床资料,将64例实施... 目的:探讨腹腔镜下D2根治术联合完整系膜切除术(complete mesocolic excision,CME)对局部进展期胃癌腹腔游离癌细胞及预后的影响。方法:回顾性分析2021年06月至2022年06月于医院住院治疗的128例局部进展期胃癌患者临床资料,将64例实施腹腔镜下D2根治术的患者纳入对照组,64例实施腹腔镜下D2根治术联合CME的患者纳入研究组。记录两组手术、住院及并发症情况,采用生活质量综合评定问卷-74(GQOLI-74)评定生活质量。分别于腹腔镜探查后和肿瘤切除后收集腹腔冲洗液,应用细胞学检查检测腹腔游离癌细胞。术后随访1年,记录总生存期(OS)及无进展生存期(PFS)情况。结果:研究组淋巴结清扫总数及阳性淋巴结数量显著大于对照组(P<0.05)。与术前比较,研究组术后腹腔游离癌细胞阳性率显著降低(P<0.05)。与术前比较,两组术后GQOLI-74评分均显著增加,且研究组高于对照组(P<0.05)。两组腹腔感染/积液、胃排空障碍、肠梗阻、吻合口瘘、胰瘘、淋巴漏发生率及不良反应总发生率比较,差异均无统计学意义(P>0.05)。研究组术后1年PFS率和OS率均显著高于对照组(P<0.05)。结论:腹腔镜下D2根治术联合CME有利于彻底清除局部进展期胃癌淋巴结,减少术后复发,促进术后康复,且不增加腹腔游离癌细胞脱落和手术并发症风险,具有临床推广价值。 展开更多
关键词 局部进展期胃癌 腹腔镜下D2根治术 完整系膜切除术 腹腔游离癌细胞 预后
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腹腔镜Lich-Gregoir术与开放Cohen术治疗儿童原发性膀胱输尿管反流的疗效分析
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作者 李宁 张潍平 +3 位作者 田军 李明磊 宋宏程 屈彦超 《临床小儿外科杂志》 CAS CSCD 北大核心 2024年第1期29-34,共6页
目的探讨腹腔镜Lich-Gregoir术与开放Cohen术在儿童原发性膀胱输尿管反流(vesicoureteral reflux,VUR)治疗中的应用价值。方法本研究为回顾性研究,将2018年6月至2022年6月首都医科大学附属北京儿童医院接受手术治疗的150例原发性VUR且... 目的探讨腹腔镜Lich-Gregoir术与开放Cohen术在儿童原发性膀胱输尿管反流(vesicoureteral reflux,VUR)治疗中的应用价值。方法本研究为回顾性研究,将2018年6月至2022年6月首都医科大学附属北京儿童医院接受手术治疗的150例原发性VUR且资料完整的患儿纳入研究。按照手术方式的不同分为腹腔镜Lich-Gregoir组(n=69)和开放Cohen组(n=81);根据VUR侧别的不同以及术中是否行输尿管裁剪,将腹腔镜Lich-Gregoir组进一步分为单侧未裁剪输尿管腹腔镜Lich-Gregoir组(A组,n=33)、双侧未裁剪输尿管腹腔镜Lich-Gregoir组(C组,n=16)、单侧裁剪输尿管腹腔镜Lich-Gregoir组(E组,n=12)、双侧裁剪一侧输尿管腹腔镜Lich-Gregoir组(G组,n=8),开放Cohen组进一步分为单侧未裁剪输尿管开放Cohen组(B组,n=30)、双侧未裁剪输尿管开放Cohen组(D组,n=20)、单侧裁剪输尿管开放Cohen组(F组,n=18)、双侧裁剪一侧输尿管开放Cohen组(H组,n=13)。将8个亚组配为4对(A组&B组/C组&D组/E组&F组/G组&H组),比较各组性别、年龄、症状、侧别、反流程度、术中以及术后情况。结果以上4对进行组内比较,每对当中的两组在性别、年龄、症状、侧别、反流程度方面差异均无统计学意义(P>0.05)。A组、B组的住院时间分别为(6.78±1.76)d和(10.43±1.25)d;C组、D组的住院时间分别为(7.12±2.02)d和(11.05±1.82)d;E组、F组的住院时间分别为(8.83±1.33)d和(11.11±1.27)d;G组、H组的住院时间分别为(8.62±1.59)d和(11.46±1.39)d;差异均有统计学意义(P<0.05)。A组、B组的手术时间分别为(78.90±12.54)min和(85.60±13.11)min;C组、D组的手术时间分别为(89.43±12.37)min和(99.55±15.14)min;差异均有统计学意义(P<0.05)。术后6~12个月复查VCUG,共9例出现高级别反流;其中腹腔镜Lich-Gregoir组7例,开放Cohen组2例;2例再次行腹腔镜Lich-Gregoir术,7例行开放Cohen手术,术后均恢复良好。结论腹腔镜Lich-Gregoir术和开放Cohen术均为治疗原发性VUR的有效方法。腹腔镜Lich-Gregoir术可以保持输尿管和膀胱的正常生理走行,同时缩短患儿住院时间。对于术中未裁剪输尿管者,腹腔镜Lich-Gregoir术可以缩短手术时间。 展开更多
关键词 膀胱输尿管反流 腹腔镜 开放术式 输尿管再植术
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基于数字孪生的智能运维理论体系与实现方法 被引量:6
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作者 刘占省 史国梁 +1 位作者 杜修力 焦泽栋 《土木与环境工程学报(中英文)》 CSCD 北大核心 2024年第1期46-57,共12页
在建筑行业转型升级的背景下,针对大型建筑运维过程管理效率低、各类运维事件决策分析精度不足、智能化程度有待提高等问题,提出基于数字孪生的智能运维理论体系与实现方法。总结归纳大型建筑智能运维需要采集的信息,分析智能运维亟待... 在建筑行业转型升级的背景下,针对大型建筑运维过程管理效率低、各类运维事件决策分析精度不足、智能化程度有待提高等问题,提出基于数字孪生的智能运维理论体系与实现方法。总结归纳大型建筑智能运维需要采集的信息,分析智能运维亟待解决的问题,融合智能感知与数字孪生技术,给出智能运维运行机理,建立针对大型建筑的智能运维架构体系与多维多尺度的孪生模型。研究建筑智能运维的实现方法,其中包含智能运维全要素信息的采集与传输、智能运维孪生体的构建与运行、智能运维孪生数据的管理机制及智能运维平台的架构。在智能运维理论体系和实现方法的指导下,搭建了智能运维平台,并应用于某大型建筑工程的运维管理。考虑运维管理过程中的虚实交互与时空演化,初步验证了数字孪生在提高运维管理智能化程度方面的有效性。 展开更多
关键词 建筑运维 智能运维 数字孪生 智能管理
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对乙酰氨基酚联合酮咯酸氨丁三醇对腹腔镜胆囊切除术后镇痛的影响 被引量:1
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作者 张擎 王雷原 +2 位作者 王标 何亮 彭慧 《临床麻醉学杂志》 CAS CSCD 北大核心 2024年第2期128-132,共5页
目的探讨对乙酰氨基酚联合酮咯酸氨丁三醇在腹腔镜胆囊切除术(LC)患者术后早期疼痛管理中的有效性及安全性。方法选择择期在全麻下行LC患者90例,男42例,女48例,年龄18~78岁,BMI 18~28 kg/m^(2),ASAⅠ或Ⅱ级。采用随机数字表法分为两组:... 目的探讨对乙酰氨基酚联合酮咯酸氨丁三醇在腹腔镜胆囊切除术(LC)患者术后早期疼痛管理中的有效性及安全性。方法选择择期在全麻下行LC患者90例,男42例,女48例,年龄18~78岁,BMI 18~28 kg/m^(2),ASAⅠ或Ⅱ级。采用随机数字表法分为两组:对乙酰氨基酚联合酮咯酸氨丁三醇组(AK组)和纳布啡组(NA组),每组45例。麻醉诱导前15 min,AK组静脉泵注对乙酰氨基酚500 mg(稀释至50 ml)后缓慢推注酮咯酸氨丁三醇30 mg(稀释至10 ml);NA组于相同时点静脉泵注生理盐水50 ml后缓慢推注纳布啡0.2 mg/kg(稀释至10 ml)。记录术后0.5、3、6、12、24 h的VAS疼痛评分(非劣效性界值Δ=1.0分),手术当晚睡眠质量评分,术后24 h内补救镇痛例数,术后0.5、3、6 h的Ramsay镇静评分,术后24 h内恶心呕吐等不良反应的发生情况,以及患者总体满意度。结果与NA组比较,术后0.5 h AK组VAS疼痛评分明显降低(P<0.05),且两组VAS疼痛评分差值的95%CI上限低于非劣效性界值(P<0.05)。AK组手术当晚睡眠质量评分、患者总体满意度明显高于NA组(P<0.05)。两组术后24 h内补救镇痛率、不同时点Ramsay镇静评分、术后24 h内恶心呕吐发生率差异无统计学意义。结论对乙酰氨基酚联合酮咯酸氨丁三醇可有效改善腹腔镜胆囊切除术后早期疼痛,不增加恶心呕吐发生率,效果不劣于纳布啡,且患者术后当晚睡眠质量评分和总体满意度更高。 展开更多
关键词 对乙酰氨基酚 酮咯酸氨丁三醇 纳布啡 腹腔镜胆囊切除术 镇痛
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Operations Improvement Function and Organisational Adaptability of Petroleum Tank Farms in South-South, Nigeria
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作者 Karibo B. Bagshaw Thomas C. Okoisama 《American Journal of Operations Research》 2023年第3期53-70,共18页
The study examined the nexus between operations improvement function (dimensioned by contingency planning, benchmarking and continuous improvement processes) and organisational adaptability of Petroleum tank farms in ... The study examined the nexus between operations improvement function (dimensioned by contingency planning, benchmarking and continuous improvement processes) and organisational adaptability of Petroleum tank farms in South-South, Nigeria. The contingency theory and the theory of routine dynamics underpinned the study, and positivism was the underlying philosophy. The study adopted the cross-sectional survey through the use of questionnaire. 820 middle and top-level managers constituted the elements of the population, and the Krejcie & Morgan’s formula was used to determine the sample size of 262 respondents. Structural Equation Modeling was deployed to test the hypotheses at a 0.05 significance level. The results showed that contingency planning;benchmarking and continuous improvement processes all have a significant positive relationship with organisational adaptability of Petroleum tank farms in South-South, Nigeria. The study concludes that Petroleum tank farms’ operations should focus on the adoption of contingency planning, benchmarking and continuous improvement processes to enhance organisational adaptability. Therefore, it is recommended that the management of Petroleum tank farms should put in place mechanisms to advance continuous improvement processes by allocating the necessary amount of resources, such as energy, time and money, in order to promote the continuous development of the continuous improvement systems. Furthermore, managers of Petroleum tank farms should make better the adoption of contingency planning, ensuring that there is as much necessary training and information for employees on how to act during a crises situation, in order to evaluate safety and prepare in advance for recovery from disasters. 展开更多
关键词 ADAPTABILITY BENCHMARKING Contingency Planning Continuous Improvement Processes operations Improvement Function and Petroleum Tank Farms
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Arithmetic Operations of Generalized Trapezoidal Picture Fuzzy Numbers by Vertex Method
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作者 Mohammad Kamrul Hasan Abeda Sultana Nirmal Kanti Mitra 《American Journal of Computational Mathematics》 2023年第1期99-121,共23页
In this article, we define the arithmetic operations of generalized trapezoidal picture fuzzy numbers by vertex method which is assembled on a combination of the (α, γ, β)-cut concept and standard interval analysis... In this article, we define the arithmetic operations of generalized trapezoidal picture fuzzy numbers by vertex method which is assembled on a combination of the (α, γ, β)-cut concept and standard interval analysis. Various related properties are explored. Finally, some computations of picture fuzzy functions over generalized picture fuzzy variables are illustrated by using our proposed technique. 展开更多
关键词 Picture Fuzzy Set Generalized Trapezoidal Picture Fuzzy Number γ β)-Cut Arithmetic operations Vertex Method
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LC+LERV与LC+LCBDE治疗胆囊结石合并胆总管结石的临床效果比较 被引量:1
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作者 陈庆 王春斐 +2 位作者 何彦安 严超 何永红 《肝胆胰外科杂志》 CAS 2024年第3期155-160,共6页
目的通过对比分析腹腔镜胆囊切除术(LC)+腹腔镜术中联合内镜(LERV)与LC+腹腔镜胆总管切开取石(LCBDE)对胆囊结石合并胆总管结石的临床疗效,探讨两种手术方式的临床应用价值。方法前瞻性分析2021年12月至2023年5月江油市人民医院和潍坊... 目的通过对比分析腹腔镜胆囊切除术(LC)+腹腔镜术中联合内镜(LERV)与LC+腹腔镜胆总管切开取石(LCBDE)对胆囊结石合并胆总管结石的临床疗效,探讨两种手术方式的临床应用价值。方法前瞻性分析2021年12月至2023年5月江油市人民医院和潍坊市人民医院收治的110例胆囊结石合并胆总管结石患者的临床资料,按随机数字表法分为LC+LERV组(n=54)和LC+LCBDE组(n=56),对两组患者的手术成功率、术中出血量、手术时间、引流管留置时间、术后并发症、疼痛视觉模拟评分(VAS)、平均住院时间以及住院费用进行比较分析。结果与LC+LCBDE组相比,LC+LERV组手术成功率较低[47(87.04%)vs 56(100.00%),χ2=7.467,P=0.006],手术时间较长[(112.0±15.6)min vs(98.0±21.5)min,t=3.771,P<0.001],但引流管留置时间明显较短[(2.34±0.66)d vs(7.41±12.88)d,t=-2.693,P=0.008],两组比较差异均具有统计学意义(P<0.05)。两组在术中出血量、术后并发症发生率方面比较,差异无统计学意义(P>0.05);两组在术前、术后6 h、术后1 d及出院日VAS评分差异无统计学意义(P>0.05),但术后3 d LC+LCBDE组VAS评分高于LC+LERV组(P<0.05)。两组平均住院时间差异无统计学意义(P>0.05),但LC+LERV组平均住院费用明显高于LC+LCBDE组[(25653.6±3317.0)元vs(17978.4±2158.0)元,t=14.219,P<0.001]。结论在治疗胆囊结石合并胆总管结石方面,LC+LCBDE和LC+LERV安全性上表现一致,LC+LERV术后舒适性更佳,但LC+LCBDE在治疗有效性、经济效率性方面更好,且LC+LCBDE可作为LC+LERV插管或取石失败后的补救术式。根据具体病情个性化选择手术方式,有利优势互补,获得最佳治疗效果。 展开更多
关键词 腹腔镜胆囊切除术(LC) 腹腔镜术中联合内镜(LERV) 腹腔镜胆总管切开取石术(LCBDE) 胆囊结石 胆总管结石
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Assessment of the Impacts of Thunderstorm on Flight Operations at Murtala Mohammed International Airport,Ikeja,Lagos State,Nigeria
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作者 I.C.Onwuadiochi O.S.Egede A.C.Udeogu 《Journal of Geographical Research》 2023年第1期17-27,共11页
The inefficiency of the aviation industry and the persistent rise in aviation hazards have been linked to weather phenomena.As a result,researchers are looking for better solutions to the problem.The study examined th... The inefficiency of the aviation industry and the persistent rise in aviation hazards have been linked to weather phenomena.As a result,researchers are looking for better solutions to the problem.The study examined the impact of thunderstorms on flight operations at Murtala Mohammed International Airport,Lagos.The data on thunderstorms and flight operations were sourced from Nigerian Meteorological Agency(NiMet)and Nigerian Airspace Management Agency(NAMA)respectively.In order to meet the research target,descriptive statistics(mean,standard deviation,and charts)and inferential statistics(Pearson’s Product Moment Correlation(PPMC)and Regression)were used.The significance level for all inferential analyses was set at 5%(0.05).The study revealed that 77.4%of thunderstorms occurred during the rainy season(April-October)while 22.6%occurred during the dry season(November-March).It also revealed some fluctuating movements of a thunderstorm in the study area.According to the findings,thunderstorms occur most frequently at the airport in June and less frequently in January and December.The study also discovered that thunderstorms at the airport are positively and significantly related to flight delays and cancellations,while the association between flight diversions and thunderstorm occurrence is positive but statistically insignificant.Furthermore,flight delays,flight diversions,and flight cancellations interact positively among themselves.The regression result of the study revealed that a 1%increase in thunderstorm occurrence leads to a 19.4%increase in flight delay,a 7.1%increase in flight cancellation,and a 4.3%increase in flight diversion.As a result,the study presented various regression models that may be utilized to make predictions.The study proposes consistent thunderstorm observation at the airport and steady forecasts using the regression models,based on the findings.However,it further recommends that pilots,air traffic controllers,and meteorologists be trained and retrained so that they can provide better and more efficient services. 展开更多
关键词 THUNDERSTORMS ASSESSMENT Impacts Flight operations AIRPORT
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公立医院设置科室运营助理的实践与思考 被引量:3
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作者 沈际勇 邵小钰 李梦滢 《卫生经济研究》 北大核心 2024年第3期87-90,93,共5页
北京清华长庚医院基于现代组织理论,设置了科室运营管理助理岗位,系统规划了运营助理的岗位职责与运行机制、组建条件、技术路径,取得了一定的成效。但是科室运营助理的职能范围、隶属关系及其与科主任的关系等问题尚需进一步理顺,以为... 北京清华长庚医院基于现代组织理论,设置了科室运营管理助理岗位,系统规划了运营助理的岗位职责与运行机制、组建条件、技术路径,取得了一定的成效。但是科室运营助理的职能范围、隶属关系及其与科主任的关系等问题尚需进一步理顺,以为公立医院实现精细化运营管理和高质量发展提供经验借鉴。 展开更多
关键词 公立医院 运营管理体系 科室运营助理
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卵巢子宫内膜异位囊肿患者腹腔镜下剥离术中不同分离法对AMH、FSH及E2水平的影响 被引量:1
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作者 张艳艳 赵倩 +1 位作者 张颖 苏克 《分子诊断与治疗杂志》 2024年第4期644-647,652,共5页
目的分析卵巢子宫内膜异位囊肿患者腹腔镜下剥离术中不同分离法对抗苗勒管激素(AMH)、基础卵泡刺激素(FSH)及雌二醇(Estradiol,E2)水平的影响。方法选取2021年1月至2022年1月期间郑州大学第一附属医院收治的90例卵巢子宫内膜异位囊肿患... 目的分析卵巢子宫内膜异位囊肿患者腹腔镜下剥离术中不同分离法对抗苗勒管激素(AMH)、基础卵泡刺激素(FSH)及雌二醇(Estradiol,E2)水平的影响。方法选取2021年1月至2022年1月期间郑州大学第一附属医院收治的90例卵巢子宫内膜异位囊肿患者,根据治疗方案不同分为对照组44例与观察组46例。对比两组围手术期指标、卵巢功能、术后分离卵巢囊肿囊壁附着的正常卵巢组织阳性率与正常卵泡数以及复发率、妊娠率、并发症发生率。结果观察组术中出血量比对照组少,手术时间、排气时间、下床活动时间比对照组短,卵巢皮质剥离厚度与病灶剥离厚度比对照组薄,差异有统计学意义(P<0.05);两组术前AMH、FSH、E2水平比较,差异无统计学意义(P>0.05);术后3个月、6个月,AMH、E2水平均降低,FSH水平升高,且观察组AMH、E2水平比对照组高,FSH水平比对照组低,差异有统计学意义(P<0.05);观察组术后分离卵巢囊肿囊壁附着的正常卵巢组织阳性率低于对照组,正常卵泡数多于对照组,差异有统计学意义(P<0.05);观察组复发率低于对照组,妊娠率高于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论应用腹腔镜下注水分离法可有效改善卵巢子宫内膜异位囊肿患者围手术期指标,减少损伤卵巢功能,具有一定的安全性。 展开更多
关键词 卵巢子宫内膜异位囊肿 腹腔镜下剥离术 抗苗勒管激素 基础卵泡刺激素 雌二醇水平
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大规模可再生能源发电友好并网与运行调控技术研究综述 被引量:2
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作者 王维庆 李笑竹 褚龙浩 《新疆大学学报(自然科学版中英文)》 CAS 2024年第2期129-144,156,共17页
“双碳”目标下大规模可再生能源系统的友好并网与稳定运行问题被广泛关注,但受精确的发电不确定性建模技术与科学的并网调控策略制约.为解决这一问题,从可再生能源发电预测与不确定性建模、可再生能源系统并网运营模式、可再生能源系... “双碳”目标下大规模可再生能源系统的友好并网与稳定运行问题被广泛关注,但受精确的发电不确定性建模技术与科学的并网调控策略制约.为解决这一问题,从可再生能源发电预测与不确定性建模、可再生能源系统并网运营模式、可再生能源系统并网控制方法三个方面进行梳理和总结,讨论了不同时间尺度下发电不确定性预测技术、针对多场景运行需求的不确定性建模技术;从可再生能源-储能系统、可再生能源集群-独立储能系统、多能源互补系统三个角度分析总结了目前并网运营模式;在此基础上,分析总结了跟网型与构网型两种并网控制策略.最后展望了高比例可再生能源系统在未来电网形态演变中的发展方向,以期为新型电力系统中可再生能源与电网协同发展的研究和技术应用提供借鉴. 展开更多
关键词 可再生能源 友好并网 不确定性 运营模式 运行调控
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新型农业经营主体对劳动力流动的影响效应 被引量:3
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作者 邓悦 肖杨 许弘楷 《华中农业大学学报(社会科学版)》 CSSCI 北大核心 2024年第2期23-37,共15页
新型农业经营主体是推进农业农村现代化和乡村振兴的有机载体,有效推动了农业规模化经营,有助于引导和促进劳动力流动,从而实现农村劳动力的优化配置。基于中国社会科学院农村发展研究所中国乡村振兴调查(CRRS)数据,选用Logit模型研究... 新型农业经营主体是推进农业农村现代化和乡村振兴的有机载体,有效推动了农业规模化经营,有助于引导和促进劳动力流动,从而实现农村劳动力的优化配置。基于中国社会科学院农村发展研究所中国乡村振兴调查(CRRS)数据,选用Logit模型研究新型农业经营主体对劳动力流动的影响效应。研究表明:第一,新型农业经营主体会促进劳动力的回流,但对劳动力流出无显著影响;第二,有新型农业经营主体的村庄更容易吸引年龄较低和受教育程度较高的农村劳动力的回流;第三,在新型农业经营主体吸引劳动力回流的过程中,参与过非农职业技术培训的农村劳动力更容易回流。基于此,从管理与服务方式、培育方向、人才培养和体制机制四个角度提出了针对性的政策建议,为引导和优化农村劳动力的合理配置提供借鉴经验,对于当前农村经济社会可持续发展、推动建设农业强国具有重要的现实价值。 展开更多
关键词 新型农业经营主体 劳动力流动 规模化经营 乡村振兴
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