Effective Medical Creation (EMC) is a kind of campaign to implement a team healthcare that can provide the most efficient and effective intensive care units (ICUs) by improving hospital room environment for not only p...Effective Medical Creation (EMC) is a kind of campaign to implement a team healthcare that can provide the most efficient and effective intensive care units (ICUs) by improving hospital room environment for not only patients and their family but also healthcare providers. This campaign was based on the concept of the “Art of Medicine”, which provides everyone a comfortable ICU environment of meditation and feeling with the five senses of sight, hearing, touch, smell, and taste. EMC can provide a healthcare environment that is not restricted by existing and traditional verse rules or style and aims to always provide better healthcare by working on the five senses. Provision of facilities for aromatherapy massage at an ornamental hospital room and landscape through a false window has been the ongoing activity of the EMC at Nara Medical University. These seemed effective in reducing a patient’s stress response in the ICU. However, the effect of EMC on the outcomes of critical<span style="font-family:Verdana;">ly</span><span style="font-family:Verdana;"> ill patients has not been determined. EMC might be one of the promising measures to create environments that positively affect both patients and healthcare providers. In this review article, the concept of EMC and practice of EMC at Nara Medical University Hospital are presented.</span>展开更多
The dynamical effects on electron-positron pair creation from a vacuum caused by the switching processes of a super- critical well potential are investigated in detail. The results show that only when the switching on...The dynamical effects on electron-positron pair creation from a vacuum caused by the switching processes of a super- critical well potential are investigated in detail. The results show that only when the switching on and switching off time both increase will the final pair yield converge to the integer of embedded bound states nearly exponentially. But a single adiabatic switching on or switching off cannot lead to an integer pair yield. If the potential is turned on abruptly, associated with the discrete and embedded bound states, there is multi-frequency oscillation around the pair number＇s saturation. The slowly switching on can suppress the amplitude of this oscillation and reduce the final pair yield. The switching off can also reduce the final pair number in the same order of magnitude. The evolution of a single-pair number shows a robust long range correlation between particle and antiparticle. For an adiabatic switching case, the single-pair dominates the early pair creation, their upper limit value is equal to the integer, and these single-pairs will totally disentangle during the switching off.展开更多
A new 'twice loose shoe' method in the Wheeler–DeWitt equation of the universe wavefunction on the cosmic scale factor and a scalar field is suggested. We analyze both the affections coming from the tunnell...A new 'twice loose shoe' method in the Wheeler–DeWitt equation of the universe wavefunction on the cosmic scale factor and a scalar field is suggested. We analyze both the affections coming from the tunnelling effect of and the potential well effect of , and obtain the initial values and about a primary closed universe which is born with the largest probability in the quantum manner. Our result is able to overcome the 'large field difficulty' of the universe quantum creation probability with only tunnelling effect. This new born universe has to suffer a startup of inflation, and then comes into the usual slow rolling inflation. The universe with the largest probability maybe has a 'gentle' inflation or an eternal chaotic inflation, this depends on a new parameter which describes the tunnelling character.展开更多
A theory of gravitation in flat space-time is applied to homogeneous, isotropic cosmological models. There are non-singular cosmological models. A natural interpretation is a non-expanding universe. The redshift is an...A theory of gravitation in flat space-time is applied to homogeneous, isotropic cosmological models. There are non-singular cosmological models. A natural interpretation is a non-expanding universe. The redshift is an intrinsic effect and not a Doppler effect. The universe contains only energy in the beginning, i.e. no matter exists. In the course of time matter and radiation are created from energy where the whole energy is conserved. Matter increases with time but a certain time after the beginning of the universe the creation of matter is finished and the universe appears like a static one. A modified Hubble law is considered which may explain the high redshifts of objects in the universe without the assumption of dark energy.展开更多
The QCD one-loop renormalization is restudied in a mass-dependent subtraction scheme in which the quark mass is not set to vanish and the renormalization point is chosen to be an arbitrary time-like momentum. The corr...The QCD one-loop renormalization is restudied in a mass-dependent subtraction scheme in which the quark mass is not set to vanish and the renormalization point is chosen to be an arbitrary time-like momentum. The correctness of the subtraction is ensured by the Ward identities which are respected in all the processes of subtraction.By considering the mass effect, the effective coupling constant and the effective quark masses derived by solving the renormalization group equations are given in improved expressions which are different from the previous results.PACS numbers: 11.10.Gh, 11.10.Hi, 12.38.-t, 12.38.展开更多
目的 探究基于图片存档及通信系统(picture archiving and communication system,PACS)的翻转课堂教学在神经外科专科医师规范化培训(简称“专培”)实习中的效果。方法 选取2019年6月—2022年6月重庆医科大学附属永川医院60名在神经外...目的 探究基于图片存档及通信系统(picture archiving and communication system,PACS)的翻转课堂教学在神经外科专科医师规范化培训(简称“专培”)实习中的效果。方法 选取2019年6月—2022年6月重庆医科大学附属永川医院60名在神经外科实习的专培生,随机分为观察组和对照组,各30名。其中对照组采用常规传统教学法,观察组采用基于PACS系统的翻转课堂教学法。评估两组专培生实习期间出科考试成绩以及教改实践效果。结果 观察组理论考试成绩、实践技能成绩、综合测评总成绩均高于对照组,差异有统计学意义(P <0.05)。观察组提高学习效率、提升自学能力、促进实习参与意识、增进临床思维能力、提高信息获取能力、提高学习效率、提高临床实践技能均优于对照组,差异有统计学意义(P<0.05)。结论 将基于PACS系统的翻转课堂应用于神经外科专培生的实习中,可有效激发专培生的自主学习能力,提高出科考试成绩,同时提升专培生的实践教学效果,为临床培育更优秀的神经外科医生。展开更多
文摘Effective Medical Creation (EMC) is a kind of campaign to implement a team healthcare that can provide the most efficient and effective intensive care units (ICUs) by improving hospital room environment for not only patients and their family but also healthcare providers. This campaign was based on the concept of the “Art of Medicine”, which provides everyone a comfortable ICU environment of meditation and feeling with the five senses of sight, hearing, touch, smell, and taste. EMC can provide a healthcare environment that is not restricted by existing and traditional verse rules or style and aims to always provide better healthcare by working on the five senses. Provision of facilities for aromatherapy massage at an ornamental hospital room and landscape through a false window has been the ongoing activity of the EMC at Nara Medical University. These seemed effective in reducing a patient’s stress response in the ICU. However, the effect of EMC on the outcomes of critical<span style="font-family:Verdana;">ly</span><span style="font-family:Verdana;"> ill patients has not been determined. EMC might be one of the promising measures to create environments that positively affect both patients and healthcare providers. In this review article, the concept of EMC and practice of EMC at Nara Medical University Hospital are presented.</span>
基金Project supported by the National Natural Science Foundation of China(Grant Nos.11725417 and 11575027)NSAF(Grant No.U1730449)the Science Challenge Project(Grant No.TZ2018005)
文摘The dynamical effects on electron-positron pair creation from a vacuum caused by the switching processes of a super- critical well potential are investigated in detail. The results show that only when the switching on and switching off time both increase will the final pair yield converge to the integer of embedded bound states nearly exponentially. But a single adiabatic switching on or switching off cannot lead to an integer pair yield. If the potential is turned on abruptly, associated with the discrete and embedded bound states, there is multi-frequency oscillation around the pair number＇s saturation. The slowly switching on can suppress the amplitude of this oscillation and reduce the final pair yield. The switching off can also reduce the final pair number in the same order of magnitude. The evolution of a single-pair number shows a robust long range correlation between particle and antiparticle. For an adiabatic switching case, the single-pair dominates the early pair creation, their upper limit value is equal to the integer, and these single-pairs will totally disentangle during the switching off.
文摘A new 'twice loose shoe' method in the Wheeler–DeWitt equation of the universe wavefunction on the cosmic scale factor and a scalar field is suggested. We analyze both the affections coming from the tunnelling effect of and the potential well effect of , and obtain the initial values and about a primary closed universe which is born with the largest probability in the quantum manner. Our result is able to overcome the 'large field difficulty' of the universe quantum creation probability with only tunnelling effect. This new born universe has to suffer a startup of inflation, and then comes into the usual slow rolling inflation. The universe with the largest probability maybe has a 'gentle' inflation or an eternal chaotic inflation, this depends on a new parameter which describes the tunnelling character.
文摘A theory of gravitation in flat space-time is applied to homogeneous, isotropic cosmological models. There are non-singular cosmological models. A natural interpretation is a non-expanding universe. The redshift is an intrinsic effect and not a Doppler effect. The universe contains only energy in the beginning, i.e. no matter exists. In the course of time matter and radiation are created from energy where the whole energy is conserved. Matter increases with time but a certain time after the beginning of the universe the creation of matter is finished and the universe appears like a static one. A modified Hubble law is considered which may explain the high redshifts of objects in the universe without the assumption of dark energy.
文摘The QCD one-loop renormalization is restudied in a mass-dependent subtraction scheme in which the quark mass is not set to vanish and the renormalization point is chosen to be an arbitrary time-like momentum. The correctness of the subtraction is ensured by the Ward identities which are respected in all the processes of subtraction.By considering the mass effect, the effective coupling constant and the effective quark masses derived by solving the renormalization group equations are given in improved expressions which are different from the previous results.PACS numbers: 11.10.Gh, 11.10.Hi, 12.38.-t, 12.38.
文摘目的 探究基于图片存档及通信系统(picture archiving and communication system,PACS)的翻转课堂教学在神经外科专科医师规范化培训(简称“专培”)实习中的效果。方法 选取2019年6月—2022年6月重庆医科大学附属永川医院60名在神经外科实习的专培生,随机分为观察组和对照组,各30名。其中对照组采用常规传统教学法,观察组采用基于PACS系统的翻转课堂教学法。评估两组专培生实习期间出科考试成绩以及教改实践效果。结果 观察组理论考试成绩、实践技能成绩、综合测评总成绩均高于对照组,差异有统计学意义(P <0.05)。观察组提高学习效率、提升自学能力、促进实习参与意识、增进临床思维能力、提高信息获取能力、提高学习效率、提高临床实践技能均优于对照组,差异有统计学意义(P<0.05)。结论 将基于PACS系统的翻转课堂应用于神经外科专培生的实习中,可有效激发专培生的自主学习能力,提高出科考试成绩,同时提升专培生的实践教学效果,为临床培育更优秀的神经外科医生。
