When the radio frequency identification(RFID)system inventories multiple tags,the recognition rate will be seriously affected due to collisions.Based on the existing dynamic frame slotted Aloha(DFSA)algorithm,a sub-fr...When the radio frequency identification(RFID)system inventories multiple tags,the recognition rate will be seriously affected due to collisions.Based on the existing dynamic frame slotted Aloha(DFSA)algorithm,a sub-frame observation and cyclic redundancy check(CRC)grouping combined dynamic framed slotted Aloha(SUBF-CGDFSA)algorithm is proposed.The algorithm combines the precise estimation method of the quantity of large-scale tags,the large-scale tags grouping mechanism based on CRC pseudo-randomcharacteristics,and the Aloha anti-collision optimization mechanism based on sub-frame observation.By grouping tags and sequentially identifying themwithin subframes,it accurately estimates the number of remaining tags and optimizes frame length accordingly to improve efficiency in large-scale RFID systems.Simulation outcomes demonstrate that this proposed algorithmcan effectively break through the system throughput bottleneck of 36.8%,which is up to 30%higher than the existing DFSA standard scheme,and has more significant advantages,which is suitable for application in largescale RFID tags scenarios.展开更多
Background: Improving Water, Sanitation and Hygiene in health care settings is a critical prerequisite for achieving national health goals and Sustainable Development Goals (SDGs). The World Health Organization (WHO) ...Background: Improving Water, Sanitation and Hygiene in health care settings is a critical prerequisite for achieving national health goals and Sustainable Development Goals (SDGs). The World Health Organization (WHO) has set a target for each United Nations member state to reach by 2030. Each member state is required to reach by 2022, 2025 and 2030 at least 60%, 80% and 100%, respectively of basic level of service of the five elements which are water, sanitation, hygiene, waste management and environmental cleaning. Methods: This study aimed to evaluate and document the current state of basic water, sanitation, and hygiene services in all lower-level health care facilities in the Dar es Salaam region of Tanzania as of July 2022. A cross-sectional study was conducted in 99 public dispensaries in the Dar es Salaam region’s five councils: Ubungo, Kigamboni, Kinondoni and Temeke Municipalities, and Ilala City. The interviewee form and observational checklists were both digitalized using the Kobo tool software. The respondents were health care facility in-charges or nurse in-charges. Data were downloaded, validated, and imported to Stata version 15 for analysis. Results: The basic WASH level per JMP is far below the target in 2022. Each member state by 2022 is required to reach at least 60% of the basic level of service of each element. We found a low coverage of basic WASH in the 99 dispensaries included in this study. The basic WASH coverage was met in only 10 (10.1%) of the dispensaries, while the remaining 89 (89.9%) dispensaries fall on limited WASH services. Conclusion: This study revealed lower coverage of basic WASH services in dispensaries. An urgent need is required to improve the status of WASH in all the dispensaries and facilitate the provision of quality health care services, patient safety and reduce health care associated infections.展开更多
The accessibility and fairness of public service facilities are important manifestations of the convenience and equality of urban public service resource allocation.Optimizing the layout of urban public service facili...The accessibility and fairness of public service facilities are important manifestations of the convenience and equality of urban public service resource allocation.Optimizing the layout of urban public service facilities is an inevitable requirement for promoting the construction of people centered cities.This paper takes the old urban area of Guangzhou as the research area,measures the accessibility of multiple types of public service facilities based on an improved two-step floating catchment method,and combines Palma Ratio and location quotient methods to explore the fairness of urban public service facilities from two dimensions:social equity and spatial equity,with supply and demand relationship analysis as the main line.Research has shown that:①there is a significant spatial difference in the accessibility of public service facilities in the old urban areas of Guangzhou,and the comprehensive accessibility is generally higher in the central and southeastern regions of the old urban areas with fewer residential populations;②from the perspective of social equity,the resource allocation of public service facilities in the old urban areas of Guangzhou is in a seriously unfair state(with a fairness index of 2.99),and there are also varying degrees of unfairness within the streets;③from the perspective of spatial equity,the location quotient of public service facilities in the old urban areas of Guangzhou shows a pattern of multil center circles decreasing,indicating a significant spatial mismatch between the accessibility supply side of public service facilities and the demand side of the residential population.The research conclusion will provide scientific basis for optimizing the allocation of urban public service facilities and ensuring the equalization of public services.展开更多
The limitation of traditional layout system and the continuous contraction of villages and towns have brought challenges to the layout of public service facilities.It is an imperative task against this background to i...The limitation of traditional layout system and the continuous contraction of villages and towns have brought challenges to the layout of public service facilities.It is an imperative task against this background to integrate space resources and allocate public service facilities scientifically and reasonably.This paper took the system and method of rural public service facility allocation from the perspective of smart contraction as the theoretic support,and Zixi County in Jiangxi Province for example,built the four-level life circle of“county-fundamental-basic-routine”based on the influence factors of facility allocation,village and town contraction strength,rural comprehensive assessment results,residents’trip willingness and demands on public service facilities,finally proposed the suggestions for optimizing the allocation of village and town public service facilities.展开更多
Background: Mobility in older adults can be impaired after acute illness or hospitalization, and the level of severity can be used as a predictor of one’s ability to return to independent living. Patients are often r...Background: Mobility in older adults can be impaired after acute illness or hospitalization, and the level of severity can be used as a predictor of one’s ability to return to independent living. Patients are often referred to skilled nursing facilities in hopes of improving their mobility. We wanted to prove that rehabilitative services at Skilled Nursing Facilities improve overall outcomes. Methods: We conducted a retrospective analysis of data from 4612 patients admitted for short-term rehabilitation in a large nursing home chain in California. Our aim was to determine whether patients’ mobility scores, as measured by rehabilitative staff, significantly improved by time of discharge compared to their scores at admission. Mobility scores were rated from 1 to 6, with 1 being the most dependent on aid and 6 being the most independent, over a variety of tasks at admission and compared to scores at discharge. Pearson’s correlations were performed to determine if there were significant relationships in the data: the Pearson’s correlation coefficient was used to describe the relationships between patient admission to a skilled nursing facility and medical improvement upon discharge. Results: The study demonstrated a statistically significant improvement in patients’ mobility scores upon discharge, with Medicare insured patients showing on average 57% improvement and Managed Care insured patients showing on average 59% improvement. Additionally, admission scores appeared to be predictive of the patient’s outcome at discharge. Conclusions: The values and consistency of improvement support the use of acute rehabilitative services in skilled nursing facilities. An equation can be formulated that evaluates patients’ estimated mobility statuses upon discharge from facilities based on their conditions on their arrivals. With this, new interventions can be studied and compared to the current standard of care by using these measurements. They can determine if further improvements can be made to increase patient outcomes.展开更多
BACKGROUND Liver transplantation(LT)is a life-saving procedure for patients with end-stage liver disease and has become the standard and most effective treatment method for these patients.There are many indications fo...BACKGROUND Liver transplantation(LT)is a life-saving procedure for patients with end-stage liver disease and has become the standard and most effective treatment method for these patients.There are many indications for LT that vary between countries and settings.The outcome of LT depends on the available facilities and surgical expertise,as well as the types of liver graft donors available.AIM To assess the clinical characteristics of patients from Bahrain who underwent LT overseas,and analyze factors affecting their survival.METHODS In this retrospective cohort study,we reviewed the medical records and overseas committee registry information of all pediatric and adult patients who were sent overseas to undergo LT by the Pediatric and Medical Departments of Salmaniya Medical Complex and Bahrain Defence Force Hospital via the Overseas Treatment Office,Ministry of Health,Kingdom of Bahrain,between 1997 and 2023.Demographic data,LT indication,donor-recipient relationship,overseas LT center,graft type,post-LT medications,and LT complications,were collected.Outcomes measured included the overall and 5-year LT survival rate.Fisher’s exact,Pearsonχ2,and Mann-Whitney U tests were used to compare the pediatric and the adults’group in terms of clinical characteristics,donor-recipient relationship,medication,complications,and outcome.Survival analysis was estimated via the Kaplan-Meier’s method.Univariate and multivariate analyses were used to detect predictors of survival.RESULTS Of the 208 eligible patients,170(81.7%)were sent overseas to undergo LT while 38(18.3%)remained on the waiting list.Of the 170 patients,167(80.3%)underwent LT and were included in the study.The majority of the patients were Bahraini(91.0%),and most were males(57.5%).One-hundred-and-twenty(71.8%)were adults and 47(28.3%)were children.The median age at transplant was 50.0[interquartile range(IQR):14.9–58.4]years.The main indication for pediatric LT was biliary atresia(31.9%),while that of adult LT was hepatitis C-related cirrhosis(35.0%).Six(3.6%)patients required re-transplantation.Most patients received a living-related liver graft(82%).Pediatric patients received more living and related grafts than adults(P=0.038 and P=0.041,respectively),while adult patients received more cadaveric and unrelated grafts.Most patients required long-term immunosuppressive therapy after LT(94.7%),of which tacrolimus was the most prescribed(84.0%),followed by prednisolone(50.7%),which was prescribed more frequently for pediatric patients(P=0.001).Most patients developed complications(62.4%)with infectious episodes being the most common(38.9%),followed by biliary stricture(19.5%).Tonsilitis and sepsis(n=12,8.1%for each)were the most frequent infections.Pediatric patients experienced higher rates of infection,rejection,and early poor graft function than adult patients(P<0.001,P=0.003,and P=0.025,respectively).The median follow-up time was 6.5(IQR:2.6–10.6)years.The overall survival rate was 84.4%,the 5-year survival rate,86.2%,and the mortality rate,15.6%.Younger patients had significantly better odds of survival(P=0.019)and patients who survived had significantly longer follow-up periods(P<0.001).CONCLUSION Patients with end-stage liver disease in Bahrain shared characteristics with those from other countries.Since LT facilities are not available,an overseas LT has offered them great hope.展开更多
Background: Self-care tasks or activities of daily living (ADL)’s performance are often disrupted after an older adult sustains an injury or illness, which can be a determining factor for discharge placement after ho...Background: Self-care tasks or activities of daily living (ADL)’s performance are often disrupted after an older adult sustains an injury or illness, which can be a determining factor for discharge placement after hospitalization, or it can determine the level of assistance required after discharge from a skilled nursing facility (SNF). We believe that comprehensive rehabilitation can improve a patient’s overall functioning during their short term stay in SNFs. The purpose of this study is to determine if an individual’s level of independence improved after admission to a skilled nursing facility and procurement of rehabilitation services. Methods: This study retrospectively reviewed 4612 nursing home patients in California who underwent rehabilitative services at skilled nursing facilities to determine how the patients responded to their environments, therapy interventions, and any other additional supportive measures. The records of patients who were admitted for short-term rehabilitation were reviewed in a blinded fashion, looking specifically at Section GG of the Minimum Data Set (MDS). Self-Care Section GG scores recorded by rehabilitative staff provide objective data and measure patients’ levels of assistance that were required. Each activity is scored from 1, being completely dependent, to 6, being entirely independent, with varying levels of assistance with scores in between. The admission scores versus the discharge scores can be compared to determine if a patient improved their level of functioning upon discharge. Results: Utilizing the Pearson’s correlation coefficient, a strong correlation of improvement in ADL performance on Section GG between the admission and discharge scores was identified, implying significant improvement in functional independence upon discharge. The average percent improvement for Managed Care patients was ~35.4% and ~39.4% for Medicare patients. Conclusions: The results support the benefits of rehabilitation services in skilled nursing facilities, and the data suggests that admission scores can be used as a predictive tool for functional outcomes.展开更多
Based on the analysis on the current situation of marine fishery resources and development in Ningde City,this paper plans a spatial pattern for the integration of marine fishery and tourism of the“one belt,three zon...Based on the analysis on the current situation of marine fishery resources and development in Ningde City,this paper plans a spatial pattern for the integration of marine fishery and tourism of the“one belt,three zones,and multiple points”,designs key projects,analyzes the existing problems in the integrated development of fishery and tourism,and proposes relevant countermeasures and suggestions.展开更多
The development of the national economy is closely tied to infrastructure construction.In recent years,China has seen a significant increase in the number and scale of road construction projects,aimed at facilitating ...The development of the national economy is closely tied to infrastructure construction.In recent years,China has seen a significant increase in the number and scale of road construction projects,aimed at facilitating the flow of goods and enabling convenient travel for the masses.However,this surge in road construction also raises concerns about road traffic safety.Road traffic safety facilities play a crucial role in warning and protecting against traffic accidents.To ensure their effective implementation,this paper analyzes the essence of road traffic facilities and their impact on traffic safety.By identifying challenges in the application of traffic safety facilities and adhering to safety facility application principles,suggestions are proposed to enhance traffic safety management.展开更多
Using Tongxian No.2 as material, the effects of different film-covering time, different sowing time and different planting density on the occurrence of freeze injury and yield of fresh broad beans were investigated. T...Using Tongxian No.2 as material, the effects of different film-covering time, different sowing time and different planting density on the occurrence of freeze injury and yield of fresh broad beans were investigated. The randomized block design was adopted. The results showed that with the delayed film covering, the incidence of mild freeze injury and number of headless seedlings were increased correspondingly, but the yield was increased; with the delayed sowing, the branch number per plant, effective branch number per plant, incidence of mild freeze injury and number of headless seedlings were all reduced, and the broad beans, sowed on September 30 th, obtained the highest yield; planting density showed on effect on the occurrence of freeze injury, and the yield was increased with the increase of planting density. Under the same film-covering time, the incidence of freeze injury was reduced with the delayed sowing time and it showed no changes when planting density was changed, but the yield was increased with the increase of planting density and it was highest when broad bean seeds were sowed on September 30th;under the same sowing time, the incidence of freeze injury was increased with the delayed film-covering time and it showed no changes when planting density was changed, and the yield was increased with the delayed film-covering time and increased planting density; under the same planting density, the incidence of freeze injury was increased with the delayed film-covering time but was reduced with the delayed sowing time, and the yield was increased with the delayed film-covering time and it was highest when the broad bean seeds were sowed on September30 th. Under same film-covering time and sowing time, the total branch number per plant and effective branch number per plant were reduced, but the yield was increased with the increase of planting density; under same film-covering time and planting density, the incidence of freeze injury was reduced with the delayed sowing time, and the yield was highest when broad bean seeds were sowed on September30th; under same sowing time and planting density, the incidence of freeze injury and the yield were all increased with the delayed film-covering time.展开更多
According to the operational characteristics of the logistics networks for the third party logistics supplier (3PLS), the forward and reverse logistics networks together for 3PLS under the uncertain environment are ...According to the operational characteristics of the logistics networks for the third party logistics supplier (3PLS), the forward and reverse logistics networks together for 3PLS under the uncertain environment are designed. First, a fuzzy model is proposed by taking multiple customers, multiple commodities, capacitated facility location and integrated logistics facility layout into account. In the model, the fuzzy customer demands and transportation rates are illustrated by triangular fuzzy numbers. Secondly, the fuzzy model is converted into a crisp model by applying fuzzy chance constrained theory and possibility theory, and one hybrid genetic algorithm is designed for the crisp model. Finally, two different examples are designed to illustrate that the model and solution discussed are valid.展开更多
This paper presents the technical parameters and features of 1 MWth test facilities for circulating fluidized bed combustion (CFBC) at Thermal Power Research Institute (TPRI) of State Power Corporation (SP), introduce...This paper presents the technical parameters and features of 1 MWth test facilities for circulating fluidized bed combustion (CFBC) at Thermal Power Research Institute (TPRI) of State Power Corporation (SP), introduces the test items that can be proceeded and trial combustion projects completed. The development status of CFBC technologies abroad and the level of China in this field are also introduced in the paper.展开更多
[Objective] To investigate and analyze the existing problems in the agricultural tourism facilities construction in southern Jiangsu area,and put forward the improvement measures so as to effectively promote the overa...[Objective] To investigate and analyze the existing problems in the agricultural tourism facilities construction in southern Jiangsu area,and put forward the improvement measures so as to effectively promote the overall development of agricultural tourism and the construction of new rural area. [Method] Adopting questionnaire survey and analyzing the differences of tourism facilities. [Result] The overall satisfaction of tourists in tourism facilities is 47.2%,a basically satisfying level; the least satisfaction level is 31.8% in public sanitation facilities after the satisfaction in recreation and explanation facilities. [Conclusion] With experiencing the ecology and returning to the nature as characteristics,the construction of facilities should comply with the theme of agricultural tourism to demonstrate the characteristics of agriculture and the local area,and in the scale of planning,architectural style and subject selection also should follow this principle. Investigations about the tourists resources should be carried on,the construction and management of transportation,greening and public sanitation facilities should be proceeded effectively to attract tourists to stay or come again and to realize the sustainable development of agricultural tourism.展开更多
Urban park is an important outdoor leisure space for urban citizens. The public facility in urban park is a functional environmental element connecting human beings and environment. Through analyzing the present situa...Urban park is an important outdoor leisure space for urban citizens. The public facility in urban park is a functional environmental element connecting human beings and environment. Through analyzing the present situation and application of public facilities in urban parks of Nanjing City, the existing problems and countermeasures were pointed out, in order to provide theoretical references for the construction of public facility in the urban parks.展开更多
After analyzing the concept of urban social psychology and environmental psychology, the paper considers that the city is an object shared by thousands of people from different classes, nationalities and characters, a...After analyzing the concept of urban social psychology and environmental psychology, the paper considers that the city is an object shared by thousands of people from different classes, nationalities and characters, and streets and roads are the skeleton and venation of the city, serving for transport and as spaces. Then, it has proposed principles for road landscape design. Based on environmental facilities on streets, urban environmental psychology has been put forward because transport function has been highlighted while space function has been neglected in urban construction, so that facilities' design and construction can be considered from the perspective of human. Finally, some suggestions have been raised in view of problems in mechanism and management during the design and construction of domestic street facilities.展开更多
A novel anti-collision algorithm in RFID wireless network is proposed.As it is put forward on the basis of collision tree(CT)and improved collision tree(lCT) anti-collision protocols,we call it adaptive collision tree...A novel anti-collision algorithm in RFID wireless network is proposed.As it is put forward on the basis of collision tree(CT)and improved collision tree(lCT) anti-collision protocols,we call it adaptive collision tree protocol(ACT).The main novelty of this paper is that the AD strategy is introduced and used in ACT to decrease collisions and improve the tag system throughput.AD strategy means that query strings will divide into two or four branches adaptively according to the label quantity.This scheme can decrease both depth of query and collision timeslots,and avoid producing too much idle timeslots at the same time.Both theoretical analysis and simulation results indicate that the novel proposed anticollision protocol ACT outperforms the previous CT and ICT protocols in term of time complexity,system throughput,and communication complexity.展开更多
The overuse of injection exists more than 20 years since economic reform in China.It is a persistent problem and seems becoming a new challenge in the new health reform period.This study was designed to assess the eff...The overuse of injection exists more than 20 years since economic reform in China.It is a persistent problem and seems becoming a new challenge in the new health reform period.This study was designed to assess the effect of national essential medicines policy(NEMP) on injection use at primary health facilities in China by investigating their prescription information.Questionnaires were designed and disseminated to collect empirical data on injection use at 120 primary health facilities in 6 provinces from January to September in 2010 and 2011.The injection use was measured as the indicator as the percentage of prescriptions with one or more injections.The results showed that the percentage of prescriptions with one or more injections was decreased from 38.91% to 36.82%(2 =11.158,P=0.001) in the all survey areas during the NEMP reform.The difference in level of the injection use in 2011 was significant among the eastern,central and western regions(2 =223.584,P=0.000);level of the injection use in western region was the lowest(27.73%),while that in the central region was the highest(43.10%).The level of the injection use in 2011 among different provinces was also of great difference(26.00%-58.25%,range:32.25%).The level of the injection use in 2011 was still much higher than the standard suggested by WHO for developing countries(13.4%-24.1%).It was concluded that NEMP has improved injection use in China,but the injection abuse situation remains serious,indicating that one of the priorities to the next stage of NEMP is to promote the rational use of drugs,especially the injection use.展开更多
Collision and security issues are considered as barriers to RFID applications.In this paper,a parallelizable anti-collision based on chaotic sequence combined dynamic frame slotted aloha to build a high-efficiency RFI...Collision and security issues are considered as barriers to RFID applications.In this paper,a parallelizable anti-collision based on chaotic sequence combined dynamic frame slotted aloha to build a high-efficiency RFID system is proposed.In the tags parallelizable identification,we design a Discrete Markov process to analyze the success identification rate.Then a mutual authentication security protocol merging chaotic anti-collision is presented.The theoretical analysis and simulation results show that the proposed identification scheme has less than 45.1%of the identification time slots compared with the OVSF-system when the length of the chaos sequence is 31.The success identification rate of the proposed chaotic anti-collision can achieve 63%when the number of the tag is100.We test the energy consumption of the presented authentication protocol,which can simultaneously solve the anti-collision and security of the UHF RFID system.展开更多
A priori knowledge of the number of tags is crucial for anti-collision protocols in slotted UHF RFID systems.The number of tags is used to decide optimal frame length in dynamic frame slotted ALOHA(DFSA)and to adjust ...A priori knowledge of the number of tags is crucial for anti-collision protocols in slotted UHF RFID systems.The number of tags is used to decide optimal frame length in dynamic frame slotted ALOHA(DFSA)and to adjust access probability in random access protocols.Conventional researches estimate the number of tags in MAC layer based on statistics of empty slots,collided slots and successful slots.Usually,a collision detection algorithm is employed to determine types of time slots.Only three types are distinguished because of lack of ability to detect the number of tags in single time slot.In this paper,a physical layer algorithm is proposed to detect the number of tags in a collided slot.Mean shift algorithm is utilized,and some properties of backscatter signals are investigated.Simulation results verify the effectiveness of the proposed solution in terms of low estimation error with a high SNR range,outperforming the existing MAC layer approaches.展开更多
基金supported in part by National Natural Science Foundation of China(U22B2004,62371106)in part by the Joint Project of China Mobile Research Institute&X-NET(Project Number:2022H002)+6 种基金in part by the Pre-Research Project(31513070501)in part by National Key R&D Program(2018AAA0103203)in part by Guangdong Provincial Research and Development Plan in Key Areas(2019B010141001)in part by Sichuan Provincial Science and Technology Planning Program of China(2022YFG0230,2023YFG0040)in part by the Fundamental Enhancement Program Technology Area Fund(2021-JCJQ-JJ-0667)in part by the Joint Fund of ZF and Ministry of Education(8091B022126)in part by Innovation Ability Construction Project for Sichuan Provincial Engineering Research Center of Communication Technology for Intelligent IoT(2303-510109-04-03-318020).
文摘When the radio frequency identification(RFID)system inventories multiple tags,the recognition rate will be seriously affected due to collisions.Based on the existing dynamic frame slotted Aloha(DFSA)algorithm,a sub-frame observation and cyclic redundancy check(CRC)grouping combined dynamic framed slotted Aloha(SUBF-CGDFSA)algorithm is proposed.The algorithm combines the precise estimation method of the quantity of large-scale tags,the large-scale tags grouping mechanism based on CRC pseudo-randomcharacteristics,and the Aloha anti-collision optimization mechanism based on sub-frame observation.By grouping tags and sequentially identifying themwithin subframes,it accurately estimates the number of remaining tags and optimizes frame length accordingly to improve efficiency in large-scale RFID systems.Simulation outcomes demonstrate that this proposed algorithmcan effectively break through the system throughput bottleneck of 36.8%,which is up to 30%higher than the existing DFSA standard scheme,and has more significant advantages,which is suitable for application in largescale RFID tags scenarios.
文摘Background: Improving Water, Sanitation and Hygiene in health care settings is a critical prerequisite for achieving national health goals and Sustainable Development Goals (SDGs). The World Health Organization (WHO) has set a target for each United Nations member state to reach by 2030. Each member state is required to reach by 2022, 2025 and 2030 at least 60%, 80% and 100%, respectively of basic level of service of the five elements which are water, sanitation, hygiene, waste management and environmental cleaning. Methods: This study aimed to evaluate and document the current state of basic water, sanitation, and hygiene services in all lower-level health care facilities in the Dar es Salaam region of Tanzania as of July 2022. A cross-sectional study was conducted in 99 public dispensaries in the Dar es Salaam region’s five councils: Ubungo, Kigamboni, Kinondoni and Temeke Municipalities, and Ilala City. The interviewee form and observational checklists were both digitalized using the Kobo tool software. The respondents were health care facility in-charges or nurse in-charges. Data were downloaded, validated, and imported to Stata version 15 for analysis. Results: The basic WASH level per JMP is far below the target in 2022. Each member state by 2022 is required to reach at least 60% of the basic level of service of each element. We found a low coverage of basic WASH in the 99 dispensaries included in this study. The basic WASH coverage was met in only 10 (10.1%) of the dispensaries, while the remaining 89 (89.9%) dispensaries fall on limited WASH services. Conclusion: This study revealed lower coverage of basic WASH services in dispensaries. An urgent need is required to improve the status of WASH in all the dispensaries and facilitate the provision of quality health care services, patient safety and reduce health care associated infections.
文摘The accessibility and fairness of public service facilities are important manifestations of the convenience and equality of urban public service resource allocation.Optimizing the layout of urban public service facilities is an inevitable requirement for promoting the construction of people centered cities.This paper takes the old urban area of Guangzhou as the research area,measures the accessibility of multiple types of public service facilities based on an improved two-step floating catchment method,and combines Palma Ratio and location quotient methods to explore the fairness of urban public service facilities from two dimensions:social equity and spatial equity,with supply and demand relationship analysis as the main line.Research has shown that:①there is a significant spatial difference in the accessibility of public service facilities in the old urban areas of Guangzhou,and the comprehensive accessibility is generally higher in the central and southeastern regions of the old urban areas with fewer residential populations;②from the perspective of social equity,the resource allocation of public service facilities in the old urban areas of Guangzhou is in a seriously unfair state(with a fairness index of 2.99),and there are also varying degrees of unfairness within the streets;③from the perspective of spatial equity,the location quotient of public service facilities in the old urban areas of Guangzhou shows a pattern of multil center circles decreasing,indicating a significant spatial mismatch between the accessibility supply side of public service facilities and the demand side of the residential population.The research conclusion will provide scientific basis for optimizing the allocation of urban public service facilities and ensuring the equalization of public services.
文摘The limitation of traditional layout system and the continuous contraction of villages and towns have brought challenges to the layout of public service facilities.It is an imperative task against this background to integrate space resources and allocate public service facilities scientifically and reasonably.This paper took the system and method of rural public service facility allocation from the perspective of smart contraction as the theoretic support,and Zixi County in Jiangxi Province for example,built the four-level life circle of“county-fundamental-basic-routine”based on the influence factors of facility allocation,village and town contraction strength,rural comprehensive assessment results,residents’trip willingness and demands on public service facilities,finally proposed the suggestions for optimizing the allocation of village and town public service facilities.
文摘Background: Mobility in older adults can be impaired after acute illness or hospitalization, and the level of severity can be used as a predictor of one’s ability to return to independent living. Patients are often referred to skilled nursing facilities in hopes of improving their mobility. We wanted to prove that rehabilitative services at Skilled Nursing Facilities improve overall outcomes. Methods: We conducted a retrospective analysis of data from 4612 patients admitted for short-term rehabilitation in a large nursing home chain in California. Our aim was to determine whether patients’ mobility scores, as measured by rehabilitative staff, significantly improved by time of discharge compared to their scores at admission. Mobility scores were rated from 1 to 6, with 1 being the most dependent on aid and 6 being the most independent, over a variety of tasks at admission and compared to scores at discharge. Pearson’s correlations were performed to determine if there were significant relationships in the data: the Pearson’s correlation coefficient was used to describe the relationships between patient admission to a skilled nursing facility and medical improvement upon discharge. Results: The study demonstrated a statistically significant improvement in patients’ mobility scores upon discharge, with Medicare insured patients showing on average 57% improvement and Managed Care insured patients showing on average 59% improvement. Additionally, admission scores appeared to be predictive of the patient’s outcome at discharge. Conclusions: The values and consistency of improvement support the use of acute rehabilitative services in skilled nursing facilities. An equation can be formulated that evaluates patients’ estimated mobility statuses upon discharge from facilities based on their conditions on their arrivals. With this, new interventions can be studied and compared to the current standard of care by using these measurements. They can determine if further improvements can be made to increase patient outcomes.
文摘BACKGROUND Liver transplantation(LT)is a life-saving procedure for patients with end-stage liver disease and has become the standard and most effective treatment method for these patients.There are many indications for LT that vary between countries and settings.The outcome of LT depends on the available facilities and surgical expertise,as well as the types of liver graft donors available.AIM To assess the clinical characteristics of patients from Bahrain who underwent LT overseas,and analyze factors affecting their survival.METHODS In this retrospective cohort study,we reviewed the medical records and overseas committee registry information of all pediatric and adult patients who were sent overseas to undergo LT by the Pediatric and Medical Departments of Salmaniya Medical Complex and Bahrain Defence Force Hospital via the Overseas Treatment Office,Ministry of Health,Kingdom of Bahrain,between 1997 and 2023.Demographic data,LT indication,donor-recipient relationship,overseas LT center,graft type,post-LT medications,and LT complications,were collected.Outcomes measured included the overall and 5-year LT survival rate.Fisher’s exact,Pearsonχ2,and Mann-Whitney U tests were used to compare the pediatric and the adults’group in terms of clinical characteristics,donor-recipient relationship,medication,complications,and outcome.Survival analysis was estimated via the Kaplan-Meier’s method.Univariate and multivariate analyses were used to detect predictors of survival.RESULTS Of the 208 eligible patients,170(81.7%)were sent overseas to undergo LT while 38(18.3%)remained on the waiting list.Of the 170 patients,167(80.3%)underwent LT and were included in the study.The majority of the patients were Bahraini(91.0%),and most were males(57.5%).One-hundred-and-twenty(71.8%)were adults and 47(28.3%)were children.The median age at transplant was 50.0[interquartile range(IQR):14.9–58.4]years.The main indication for pediatric LT was biliary atresia(31.9%),while that of adult LT was hepatitis C-related cirrhosis(35.0%).Six(3.6%)patients required re-transplantation.Most patients received a living-related liver graft(82%).Pediatric patients received more living and related grafts than adults(P=0.038 and P=0.041,respectively),while adult patients received more cadaveric and unrelated grafts.Most patients required long-term immunosuppressive therapy after LT(94.7%),of which tacrolimus was the most prescribed(84.0%),followed by prednisolone(50.7%),which was prescribed more frequently for pediatric patients(P=0.001).Most patients developed complications(62.4%)with infectious episodes being the most common(38.9%),followed by biliary stricture(19.5%).Tonsilitis and sepsis(n=12,8.1%for each)were the most frequent infections.Pediatric patients experienced higher rates of infection,rejection,and early poor graft function than adult patients(P<0.001,P=0.003,and P=0.025,respectively).The median follow-up time was 6.5(IQR:2.6–10.6)years.The overall survival rate was 84.4%,the 5-year survival rate,86.2%,and the mortality rate,15.6%.Younger patients had significantly better odds of survival(P=0.019)and patients who survived had significantly longer follow-up periods(P<0.001).CONCLUSION Patients with end-stage liver disease in Bahrain shared characteristics with those from other countries.Since LT facilities are not available,an overseas LT has offered them great hope.
文摘Background: Self-care tasks or activities of daily living (ADL)’s performance are often disrupted after an older adult sustains an injury or illness, which can be a determining factor for discharge placement after hospitalization, or it can determine the level of assistance required after discharge from a skilled nursing facility (SNF). We believe that comprehensive rehabilitation can improve a patient’s overall functioning during their short term stay in SNFs. The purpose of this study is to determine if an individual’s level of independence improved after admission to a skilled nursing facility and procurement of rehabilitation services. Methods: This study retrospectively reviewed 4612 nursing home patients in California who underwent rehabilitative services at skilled nursing facilities to determine how the patients responded to their environments, therapy interventions, and any other additional supportive measures. The records of patients who were admitted for short-term rehabilitation were reviewed in a blinded fashion, looking specifically at Section GG of the Minimum Data Set (MDS). Self-Care Section GG scores recorded by rehabilitative staff provide objective data and measure patients’ levels of assistance that were required. Each activity is scored from 1, being completely dependent, to 6, being entirely independent, with varying levels of assistance with scores in between. The admission scores versus the discharge scores can be compared to determine if a patient improved their level of functioning upon discharge. Results: Utilizing the Pearson’s correlation coefficient, a strong correlation of improvement in ADL performance on Section GG between the admission and discharge scores was identified, implying significant improvement in functional independence upon discharge. The average percent improvement for Managed Care patients was ~35.4% and ~39.4% for Medicare patients. Conclusions: The results support the benefits of rehabilitation services in skilled nursing facilities, and the data suggests that admission scores can be used as a predictive tool for functional outcomes.
基金Sponsored by Innovation Strategy Research Project of Fujian Provincial Department of Science and Technology(2023R0068)“East Fujian Tourism Poverty Alleviation Research Center”Project of Humanities and Social Sciences Research Base of Fujian Provincial Department of Education(Minjiaoke[2019]32)Survey and Research on the Construction Resources of Beautiful Countryside in East Fujian under the Guidance of“the Spirit of the 20th National Congress of the Communist Party of China”at Ningde Normal University(2022DZX08)。
文摘Based on the analysis on the current situation of marine fishery resources and development in Ningde City,this paper plans a spatial pattern for the integration of marine fishery and tourism of the“one belt,three zones,and multiple points”,designs key projects,analyzes the existing problems in the integrated development of fishery and tourism,and proposes relevant countermeasures and suggestions.
文摘The development of the national economy is closely tied to infrastructure construction.In recent years,China has seen a significant increase in the number and scale of road construction projects,aimed at facilitating the flow of goods and enabling convenient travel for the masses.However,this surge in road construction also raises concerns about road traffic safety.Road traffic safety facilities play a crucial role in warning and protecting against traffic accidents.To ensure their effective implementation,this paper analyzes the essence of road traffic facilities and their impact on traffic safety.By identifying challenges in the application of traffic safety facilities and adhering to safety facility application principles,suggestions are proposed to enhance traffic safety management.
基金Supported by Jiangsu Agricultural Science and Technology Innovation Fund[CX(12)3006]Jiangsu Province Science and Technology Support Program,China(BE2013352)Study on Saving the Cost Facility Cultivation Techniques of High-quality,Safe and Efficient in Fresh Faba Bean(HL2014029)~~
文摘Using Tongxian No.2 as material, the effects of different film-covering time, different sowing time and different planting density on the occurrence of freeze injury and yield of fresh broad beans were investigated. The randomized block design was adopted. The results showed that with the delayed film covering, the incidence of mild freeze injury and number of headless seedlings were increased correspondingly, but the yield was increased; with the delayed sowing, the branch number per plant, effective branch number per plant, incidence of mild freeze injury and number of headless seedlings were all reduced, and the broad beans, sowed on September 30 th, obtained the highest yield; planting density showed on effect on the occurrence of freeze injury, and the yield was increased with the increase of planting density. Under the same film-covering time, the incidence of freeze injury was reduced with the delayed sowing time and it showed no changes when planting density was changed, but the yield was increased with the increase of planting density and it was highest when broad bean seeds were sowed on September 30th;under the same sowing time, the incidence of freeze injury was increased with the delayed film-covering time and it showed no changes when planting density was changed, and the yield was increased with the delayed film-covering time and increased planting density; under the same planting density, the incidence of freeze injury was increased with the delayed film-covering time but was reduced with the delayed sowing time, and the yield was increased with the delayed film-covering time and it was highest when the broad bean seeds were sowed on September30 th. Under same film-covering time and sowing time, the total branch number per plant and effective branch number per plant were reduced, but the yield was increased with the increase of planting density; under same film-covering time and planting density, the incidence of freeze injury was reduced with the delayed sowing time, and the yield was highest when broad bean seeds were sowed on September30th; under same sowing time and planting density, the incidence of freeze injury and the yield were all increased with the delayed film-covering time.
文摘According to the operational characteristics of the logistics networks for the third party logistics supplier (3PLS), the forward and reverse logistics networks together for 3PLS under the uncertain environment are designed. First, a fuzzy model is proposed by taking multiple customers, multiple commodities, capacitated facility location and integrated logistics facility layout into account. In the model, the fuzzy customer demands and transportation rates are illustrated by triangular fuzzy numbers. Secondly, the fuzzy model is converted into a crisp model by applying fuzzy chance constrained theory and possibility theory, and one hybrid genetic algorithm is designed for the crisp model. Finally, two different examples are designed to illustrate that the model and solution discussed are valid.
基金This paper is an introduction of a key laboratory of SP.
文摘This paper presents the technical parameters and features of 1 MWth test facilities for circulating fluidized bed combustion (CFBC) at Thermal Power Research Institute (TPRI) of State Power Corporation (SP), introduces the test items that can be proceeded and trial combustion projects completed. The development status of CFBC technologies abroad and the level of China in this field are also introduced in the paper.
基金Supported by"Study on the Tourism Facilities Construction in Agricultural Demonstration Zone"of National University Students Innovative Experiment Planning(GJ0733)~~
文摘[Objective] To investigate and analyze the existing problems in the agricultural tourism facilities construction in southern Jiangsu area,and put forward the improvement measures so as to effectively promote the overall development of agricultural tourism and the construction of new rural area. [Method] Adopting questionnaire survey and analyzing the differences of tourism facilities. [Result] The overall satisfaction of tourists in tourism facilities is 47.2%,a basically satisfying level; the least satisfaction level is 31.8% in public sanitation facilities after the satisfaction in recreation and explanation facilities. [Conclusion] With experiencing the ecology and returning to the nature as characteristics,the construction of facilities should comply with the theme of agricultural tourism to demonstrate the characteristics of agriculture and the local area,and in the scale of planning,architectural style and subject selection also should follow this principle. Investigations about the tourists resources should be carried on,the construction and management of transportation,greening and public sanitation facilities should be proceeded effectively to attract tourists to stay or come again and to realize the sustainable development of agricultural tourism.
文摘Urban park is an important outdoor leisure space for urban citizens. The public facility in urban park is a functional environmental element connecting human beings and environment. Through analyzing the present situation and application of public facilities in urban parks of Nanjing City, the existing problems and countermeasures were pointed out, in order to provide theoretical references for the construction of public facility in the urban parks.
文摘After analyzing the concept of urban social psychology and environmental psychology, the paper considers that the city is an object shared by thousands of people from different classes, nationalities and characters, and streets and roads are the skeleton and venation of the city, serving for transport and as spaces. Then, it has proposed principles for road landscape design. Based on environmental facilities on streets, urban environmental psychology has been put forward because transport function has been highlighted while space function has been neglected in urban construction, so that facilities' design and construction can be considered from the perspective of human. Finally, some suggestions have been raised in view of problems in mechanism and management during the design and construction of domestic street facilities.
基金This work is supported by the National Natu ral Science Foundation of China under grant No.61071073 and No. 61371092, Doctoral Fund of Ministry of Education of China (No.20090061110043).
文摘A novel anti-collision algorithm in RFID wireless network is proposed.As it is put forward on the basis of collision tree(CT)and improved collision tree(lCT) anti-collision protocols,we call it adaptive collision tree protocol(ACT).The main novelty of this paper is that the AD strategy is introduced and used in ACT to decrease collisions and improve the tag system throughput.AD strategy means that query strings will divide into two or four branches adaptively according to the label quantity.This scheme can decrease both depth of query and collision timeslots,and avoid producing too much idle timeslots at the same time.Both theoretical analysis and simulation results indicate that the novel proposed anticollision protocol ACT outperforms the previous CT and ICT protocols in term of time complexity,system throughput,and communication complexity.
基金supported by the National Natural Science Foundation of China (No. 71173082)
文摘The overuse of injection exists more than 20 years since economic reform in China.It is a persistent problem and seems becoming a new challenge in the new health reform period.This study was designed to assess the effect of national essential medicines policy(NEMP) on injection use at primary health facilities in China by investigating their prescription information.Questionnaires were designed and disseminated to collect empirical data on injection use at 120 primary health facilities in 6 provinces from January to September in 2010 and 2011.The injection use was measured as the indicator as the percentage of prescriptions with one or more injections.The results showed that the percentage of prescriptions with one or more injections was decreased from 38.91% to 36.82%(2 =11.158,P=0.001) in the all survey areas during the NEMP reform.The difference in level of the injection use in 2011 was significant among the eastern,central and western regions(2 =223.584,P=0.000);level of the injection use in western region was the lowest(27.73%),while that in the central region was the highest(43.10%).The level of the injection use in 2011 among different provinces was also of great difference(26.00%-58.25%,range:32.25%).The level of the injection use in 2011 was still much higher than the standard suggested by WHO for developing countries(13.4%-24.1%).It was concluded that NEMP has improved injection use in China,but the injection abuse situation remains serious,indicating that one of the priorities to the next stage of NEMP is to promote the rational use of drugs,especially the injection use.
基金supported by National Basic Research Program of China(973 Program, No.2010CB327403)
文摘Collision and security issues are considered as barriers to RFID applications.In this paper,a parallelizable anti-collision based on chaotic sequence combined dynamic frame slotted aloha to build a high-efficiency RFID system is proposed.In the tags parallelizable identification,we design a Discrete Markov process to analyze the success identification rate.Then a mutual authentication security protocol merging chaotic anti-collision is presented.The theoretical analysis and simulation results show that the proposed identification scheme has less than 45.1%of the identification time slots compared with the OVSF-system when the length of the chaos sequence is 31.The success identification rate of the proposed chaotic anti-collision can achieve 63%when the number of the tag is100.We test the energy consumption of the presented authentication protocol,which can simultaneously solve the anti-collision and security of the UHF RFID system.
基金This work was supported in part by the National Natural Science Foundation of China under project contracts[NOS.61601093,61791082,61701116,61371047]in part by Sichuan Provincial Science and Technology Planning Program of China under project contracts No.2016GZ0061 and No.2018HH0044+2 种基金in part by Guangdong Provincial Science and Technology Planning Program of China under project contracts No.2015B090909004 and No.2016A010101036in part by the fundamental research funds for the Central Universities under project contract No.ZYGX2016Z011in part by Science and Technology on Electronic Information Control Laboratory.
文摘A priori knowledge of the number of tags is crucial for anti-collision protocols in slotted UHF RFID systems.The number of tags is used to decide optimal frame length in dynamic frame slotted ALOHA(DFSA)and to adjust access probability in random access protocols.Conventional researches estimate the number of tags in MAC layer based on statistics of empty slots,collided slots and successful slots.Usually,a collision detection algorithm is employed to determine types of time slots.Only three types are distinguished because of lack of ability to detect the number of tags in single time slot.In this paper,a physical layer algorithm is proposed to detect the number of tags in a collided slot.Mean shift algorithm is utilized,and some properties of backscatter signals are investigated.Simulation results verify the effectiveness of the proposed solution in terms of low estimation error with a high SNR range,outperforming the existing MAC layer approaches.