BACKGROUND Endoscopic submucosal dissection(ESD)has become a widely accepted,minimally invasive treatment for gastrointestinal submucosal tumors.It has been reported that humanistic nursing care with graded psychologi...BACKGROUND Endoscopic submucosal dissection(ESD)has become a widely accepted,minimally invasive treatment for gastrointestinal submucosal tumors.It has been reported that humanistic nursing care with graded psychological interventions can effectively enhance patients’physical activity in patients,reduce postoperative complications,and improve their postoperative quality of life.AIM To investigate the effects of combining humanistic care with graded psychological support on nursing satisfaction and quality of life in patients undergoing ESD for gastrointestinal submucosal tumors.METHODS A retrospective analysis was conducted on the clinical data of 180 patients who underwent ESD surgery for gastrointestinal submucosal tumors at our hospital between March 2021 and February 2023.Patients were allocated into groups based on the nursing care they received:The control group,which received routine care(n=90),and the observation group,which was subjected to humanistic nursing care in combination with graded psychological support(n=90).Patient anxiety and depression were assessed using the self-rating anxiety scale(SAS)and self-rating depression scale(SDS).Quality of life was evaluated using the shortform 36 health survey,and additional indications such as time to first food intake,surgery duration,length of hospital stay,nursing satisfaction,and adverse reactions were also recorded.Data was analyzed using SPSS22.0,with t-tests employed for continuous variables andχ2 tests for categorical data.RESULTS Patients in the observation group experienced significantly shorter times to first postoperative meal,surgery,and hospital stay compared to the control group.After the intervention,the SAS score of the observation group was 43.17±5.68,and the SDS score was 41.57±6.52,both significantly lower than those of the control group,with SAS score of 52.38±5.21 and SDS score of 51.23±8.25.In addition,the observation group scored significantly higher in daily living,physical function,psychological well-being,and social functioning(80.01±6.39,83.59±6.89,81.69±5.34,and 85.23±6.05,respectively).Moreover,the observation group also exhibited higher satisfaction and selfefficacy scores and a lower incidence of adverse reactions compared to the control group(P<0.05).CONCLUSION For patients undergoing ESD for gastrointestinal submucosal tumors,humanistic nursing care in combination with graded psychological nursing care significantly shorten the times to first postoperative meal,surgery,and hospital stay,effectively alleviates anxiety and depression,improves quality of life and nursing satisfaction,and mitigate the incidence of adverse reactions.展开更多
Recently,Multicore systems use Dynamic Voltage/Frequency Scaling(DV/FS)technology to allow the cores to operate with various voltage and/or frequencies than other cores to save power and enhance the performance.In thi...Recently,Multicore systems use Dynamic Voltage/Frequency Scaling(DV/FS)technology to allow the cores to operate with various voltage and/or frequencies than other cores to save power and enhance the performance.In this paper,an effective and reliable hybridmodel to reduce the energy and makespan in multicore systems is proposed.The proposed hybrid model enhances and integrates the greedy approach with dynamic programming to achieve optimal Voltage/Frequency(Vmin/F)levels.Then,the allocation process is applied based on the availableworkloads.The hybrid model consists of three stages.The first stage gets the optimum safe voltage while the second stage sets the level of energy efficiency,and finally,the third is the allocation stage.Experimental results on various benchmarks show that the proposed model can generate optimal solutions to save energy while minimizing the makespan penalty.Comparisons with other competitive algorithms show that the proposed model provides on average 48%improvements in energy-saving and achieves an 18%reduction in computation time while ensuring a high degree of system reliability.展开更多
目的运用循证医学方法对腕踝针干预术后疼痛的疗效和安全性进行系统评价和Grade评价。方法计算机检索中国知网、万方、维普、中国生物医学文献数据库、PubMed、Embase、Web of Science、Cochrane Library中关于腕踝针干预术后疼痛的随...目的运用循证医学方法对腕踝针干预术后疼痛的疗效和安全性进行系统评价和Grade评价。方法计算机检索中国知网、万方、维普、中国生物医学文献数据库、PubMed、Embase、Web of Science、Cochrane Library中关于腕踝针干预术后疼痛的随机对照试验,检索时限为建库至2023年10月。采用RevMan 5.4软件进行Meta分析。结果纳入23篇文献,共计1968例患者,Meta分析结果显示,与常规治疗相比,腕踝针能够提高术后疼痛患者的总有效率[OR=4.42,95%CI(2.60,7.50),P<0.001],术后镇痛泵药量使用减少[MD=-9.03,95%CI(-12.09,-5.98),P<0.001],术后疼痛评分降低[MD=-1.39,95%CI(-1.68,-1.09),P<0.001],可减少不良反应发生率[RR=0.40,95%CI(0.32,0.48),P<0.001]以及临床满意度[OR=3.94,95%CI(2.40,6.48),P<0.001]。Grade证据分级结果显示:总有效率、不良反应发生率和临床满意度3项结局指标为中等质量证据,VAS评分指标为低质量证据,镇痛泵药量使用指标为极低质量证据。结论腕踝针可提高总有效率,减少术后镇痛药用量,不良反应少,安全性高,为患者提供了一种安全有效的镇痛方式。展开更多
为了系统评价参芪扶正注射液联合常规治疗作为干预措施对慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者的临床疗效和安全性。检索中国国家知识基础设施(China national knowledge infrastructure,CNKI)、PubMed、...为了系统评价参芪扶正注射液联合常规治疗作为干预措施对慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者的临床疗效和安全性。检索中国国家知识基础设施(China national knowledge infrastructure,CNKI)、PubMed、万方数据知识服务平台(Wanfang Data)、维普中文科技期刊数据库(Weipu China science and technology journal database,VIP)等数据库,筛选并纳入2023年6月18日以前发表的参芪扶正注射液联合常规疗法治疗COPD患者的随机对照试验(randomized controlled trials,RCT),采用Cochrane风险评价工具及评估、发展和评价建议分级(grading of recommendations assessment,development and evaluation,GRADE)系统进行文献证据质量评价,用RevMan 5.4软件对临床疗效及安全性指标进行Meta分析。结果表明,共纳入16项RCTs,1 486例患者。Meta分析结果显示,参芪扶正注射液辅助治疗可提高患者总有效率和第1秒用力呼气容积/用力肺活量比值(forced expiratory volume in one second/forced vital capacity,FEV1/FVC)指标,与对照组相比具有优势(P<0.000 01、P<0.000 1);不良反应少,无严重不良反应(adverse drug reactions,ADR),两组对比无统计学差异(P=0.32);GRADE评价结果显示,有效率及不良反应指标的证据质量均为中等级,肺功能为低等级。可见参芪扶正注射辅助治疗COPD可以提高患者临床疗效,改善肺功能,且具有良好的安全性。但所纳入研究具有局限性,证据质量不高,仍需结合中药辨证使用特点,规范实验方案,开展更多的高质量RCT研究。展开更多
目的系统评价补肾方剂改善高龄女性自然妊娠结局的临床疗效和安全性。方法检索中国知网、万方数据库、维普数据库、SinoMed、PubMed、Web of Science、Cochrane Library、Embase等数据库建库至2022年6月收录的补肾方剂改善高龄女性自然...目的系统评价补肾方剂改善高龄女性自然妊娠结局的临床疗效和安全性。方法检索中国知网、万方数据库、维普数据库、SinoMed、PubMed、Web of Science、Cochrane Library、Embase等数据库建库至2022年6月收录的补肾方剂改善高龄女性自然妊娠结局的随机对照研究(RCT)。运用偏倚风险工具进行质量评估,使用RevMan软件进行Meta分析。结果共纳入14篇RCT。Meta分析结果显示:补肾方剂联合西药治疗在提高妊娠率[RR=1.71,95%CI(1.45,2.01),P<0.00001]、降低卵泡刺激素(FSH)水平[SMD=-1.63,95%CI(-2.84,-0.43),P=0.008]、提高雌二醇(E_(2))水平[SMD=3.97,95%CI(1.76,6.17),P=0.0004]、增加排卵期子宫内膜厚度[SMD=2.12,95%CI(1.07,3.18),P<0.0001]方面均优于西药组;且补肾方剂单独使用在提高妊娠率[RR=1.94,95%CI(1.31,2.88),P=0.001]、降低FSH水平[SMD=-0.48,95%CI(-0.74,-0.22),P=0.0003]方面也具有显著疗效。结论与西医治疗比较,补肾方剂可以显著改善高龄女性自然妊娠结局,且不良反应较少,但仍需更多高质量、大样本、多中心的RCT予以验证。展开更多
目的:评价温针灸治疗原发性痛经的有效性和安全性。方法:根据PRISMA指南进行系统综述和荟萃分析。收集PubMed、Web of Science、EMBASE、Cochrane Library、中国知网、维普、万方、中国生物医学数据库自建库至2023年5月的随机对照试验...目的:评价温针灸治疗原发性痛经的有效性和安全性。方法:根据PRISMA指南进行系统综述和荟萃分析。收集PubMed、Web of Science、EMBASE、Cochrane Library、中国知网、维普、万方、中国生物医学数据库自建库至2023年5月的随机对照试验。使用Review Manager 5.4对所有获得的数据进行分析。结果:温针灸治疗原发性痛经在提高临床疗效{风险比(RR)=1.21,95%置信区间(CI)[1.16,1.25],P<0.00001},改善阻力指数(RI){均数差(MD)=-0.14,95%CI[-0.19,-0.08],P<0.00001}、搏动指数(PI)(MD=-0.55,95%CI[-0.69,-0.40],P<0.00001)、β-内啡肽(β-EP){标准化均数差(SMD)=1.36,95%CI[0.90,1.82],P<0.00001}、痛经证候积分(MD=-1.82,95%CI[-2.77,-0.87],P=0.0002)、疼痛视觉模拟评分法(VAS)评分(MD=-1.16,95%CI[-1.48,-0.83],P<0.00001)方面的作用优于单独的常规治疗,并且在不良反应发生率(P=0.01)方面低于对照组。证据质量等级评价结果显示临床疗效为中级,其他多为低级。结论:温针灸治疗原发性痛经的疗效明确,并且具有一定的安全性。展开更多
Residential energy-efficiency measures, besides energy savings, provide opportunities for improvement of thermal comfort, air quality, lighting quality, and operation. However, all these benefits sometimes are not eno...Residential energy-efficiency measures, besides energy savings, provide opportunities for improvement of thermal comfort, air quality, lighting quality, and operation. However, all these benefits sometimes are not enough to convince a homeowner to pay the incremental cost associated with the energy-efficiency measure. The objective of this work is to develop a methodology for the economic evaluation of residential energy-efficiency measures that can simplify the economic analysis for the homeowner while taking into consideration all factors associated with the purchase, ownership, and selling of the house with the energy-efficiency measure. The methodology accounts for direct and indirect economic parameters associated to an energy-efficiency measure;direct parameters such as the mortgage interest and fuel price escalation rate, and indirect parameters such as savings account interest and marginal income tax rate. The methodology also considers different cases based on the service life of the energy-efficiency measure and loss of efficiency through a derating factor. To estimate the market value, the methodology uses the future energy cost savings instead of the cost of the EEM. Results from the methodology offer to homeowner annual net savings and net assets. The annual net savings gives the homeowner a measure of the annual positive cash flow that can be obtained from an energy-efficiency project;but more important, the net assets offer a measure of the added net wealth. To simplify and increase the use of the methodology by homeowners, the methodology has been implemented in an Excel tool that can be downloaded from the TxAIRE’s website.展开更多
目的分析PTGD后择期LC治疗对GradeⅡ急性胆囊炎ACTH、MPO及Cor水平的影响。方法选取2021年12月至2023年5月安徽中科庚玖医院收治的急性胆囊炎患者121例,根据治疗方案分为三组,即甲组(急诊行LC治疗,未行PTGD)38例、乙组(PTGD引流管拔出后...目的分析PTGD后择期LC治疗对GradeⅡ急性胆囊炎ACTH、MPO及Cor水平的影响。方法选取2021年12月至2023年5月安徽中科庚玖医院收治的急性胆囊炎患者121例,根据治疗方案分为三组,即甲组(急诊行LC治疗,未行PTGD)38例、乙组(PTGD引流管拔出后72 h后行LC,早期)43例和丙组(PTGD引流管拔出后14~30 d后行LC,晚期)40例。对比三组手术情况、炎症因子、肝功能、ACTH、MP、Cor水平及并发症发生率。结果甲组LC手术时长、术后卧床时长及住院天数均长于丙组、乙组,失血量、中转开腹率高于丙组、乙组,差异有统计学意义(P<0.05);丙组LC手术时长、术后卧床时长及住院天数均长于乙组,差异具有统计学意义(P<0.05)。LC术后1 d hs-CRP、PCT、IL-6、ST、ALT、ALP、ACTH、MPO及Cor:甲组>丙组>乙组,差异有统计学意义(P<0.05)。并发症发生率:甲组>丙组>乙组,差异有统计学意义(P<0.05)。结论PTGD后择期LC治疗对GradeⅡ急性胆囊炎ACTH、MPO及Cor水平影响小,且并发症低;而PTGD后早期行LC能有效改善肝功能、炎症因子,且术后应激反应更低,值得临床推广。展开更多
The limited energy and high mobility of unmanned aerial vehicles(UAVs)lead to drastic topology changes in UAV formation.The existing routing protocols necessitate a large number of messages for route discovery and mai...The limited energy and high mobility of unmanned aerial vehicles(UAVs)lead to drastic topology changes in UAV formation.The existing routing protocols necessitate a large number of messages for route discovery and maintenance,greatly increasing network delay and control overhead.A energyefficient routing method based on the discrete timeaggregated graph(TAG)theory is proposed since UAV formation is a defined time-varying network.The network is characterized using the TAG,which utilizes the prior knowledge in UAV formation.An energyefficient routing algorithm is designed based on TAG,considering the link delay,relative mobility,and residual energy of UAVs.The routing path is determined with global network information before requesting communication.Simulation results demonstrate that the routing method can improve the end-to-end delay,packet delivery ratio,routing control overhead,and residual energy.Consequently,introducing timevarying graphs to design routing algorithms is more effective for UAV formation.展开更多
Hotel buildings are currently among the largest energy consumers in the world.Heating,ventilation,and air conditioning are the most energy-intensive building systems,accounting for more than half of total energy consu...Hotel buildings are currently among the largest energy consumers in the world.Heating,ventilation,and air conditioning are the most energy-intensive building systems,accounting for more than half of total energy consumption.An energy audit is used to predict the weak points of a building’s energy use system.Various factors influence building energy consumption,which can be modified to achieve more energy-efficient strategies.In this study,an existing hotel building in Central Taiwan is evaluated by simulating several scenarios using energy modeling over a year.Energy modeling is conducted by using Autodesk Revit 2025.It was discovered from the results that arranging the lighting schedule based on the ASHRAE Standard 90.1 could save up to 8.22%of energy consumption.And then the results also revealed that changing the glazing of the building into double-layer lowemissivity glass could reduce energy consumption by 14.58%.While the energy consumption of the building could also be decreased to 7.20%by changing the building orientation to the north.Meanwhile,moving the building location to Northern Taiwan could also minimize the energy consumption of the building by 3.23%.The results revealed that the double layer offers better thermal insulation,and low-emissivity glass can lower energy consumption,electricity costs,and CO_(2)emissions by up to 15.27%annually.While adjusting orientation and location can enhance energy performance,this approach is impractical for existing buildings,but this could be considered for designing new buildings.The results showed the relevancy of energy performance to CO_(2)emission production and electricity expenses.展开更多
In the manufacturing industry,reasonable scheduling can greatly improve production efficiency,while excessive resource consumption highlights the growing significance of energy conservation in production.This paper st...In the manufacturing industry,reasonable scheduling can greatly improve production efficiency,while excessive resource consumption highlights the growing significance of energy conservation in production.This paper studies the problem of energy-efficient distributed heterogeneous permutation flowshop problem with variable processing speed(DHPFSP-VPS),considering both the minimum makespan and total energy consumption(TEC)as objectives.A discrete multi-objective squirrel search algorithm(DMSSA)is proposed to solve the DHPFSPVPS.DMSSA makes four improvements based on the squirrel search algorithm.Firstly,in terms of the population initialization strategy,four hybrid initialization methods targeting different objectives are proposed to enhance the quality of initial solutions.Secondly,enhancements are made to the population hierarchy system and position updating methods of the squirrel search algorithm,making it more suitable for discrete scheduling problems.Additionally,regarding the search strategy,six local searches are designed based on problem characteristics to enhance search capability.Moreover,a dynamic predator strategy based on Q-learning is devised to effectively balance DMSSA’s capability for global exploration and local exploitation.Finally,two speed control energy-efficient strategies are designed to reduce TEC.Extensive comparative experiments are conducted in this paper to validate the effectiveness of the proposed strategies.The results of comparing DMSSA with other algorithms demonstrate its superior performance and its potential for efficient solving of the DHPFSP-VPS problem.展开更多
The reduction of energy consumption is an increasingly important topic of the railway system.Energy-efficient train control(EETC)is one solution,which refers to mathematically computing when to accelerate,which cruisi...The reduction of energy consumption is an increasingly important topic of the railway system.Energy-efficient train control(EETC)is one solution,which refers to mathematically computing when to accelerate,which cruising speed to hold,how long one should coast over a suitable space,and when to brake.Most approaches in literature and industry greatly simplify a lot of nonlinear effects,such that they ignore mostly the losses due to energy conversion in traction components and auxiliaries.To fill this research gap,a series of increasingly detailed nonlinear losses is described and modelled.We categorize an increasing detail in this representation as four levels.We study the impact of those levels of detail on the energy optimal speed trajectory.To do this,a standard approach based on dynamic programming is used,given constraints on total travel time.This evaluation of multiple test cases highlights the influence of the dynamic losses and the power consumption of auxiliary components on railway trajectories,also compared to multiple benchmarks.The results show how the losses can make up 50%of the total energy consumption for an exemplary trip.Ignoring them would though result in consistent but limited errors in the optimal trajectory.Overall,more complex trajectories can result in less energy consumption when including the complexity of nonlinear losses than when a simpler model is considered.Those effects are stronger when the trajectory includes many acceleration and braking phases.展开更多
文摘BACKGROUND Endoscopic submucosal dissection(ESD)has become a widely accepted,minimally invasive treatment for gastrointestinal submucosal tumors.It has been reported that humanistic nursing care with graded psychological interventions can effectively enhance patients’physical activity in patients,reduce postoperative complications,and improve their postoperative quality of life.AIM To investigate the effects of combining humanistic care with graded psychological support on nursing satisfaction and quality of life in patients undergoing ESD for gastrointestinal submucosal tumors.METHODS A retrospective analysis was conducted on the clinical data of 180 patients who underwent ESD surgery for gastrointestinal submucosal tumors at our hospital between March 2021 and February 2023.Patients were allocated into groups based on the nursing care they received:The control group,which received routine care(n=90),and the observation group,which was subjected to humanistic nursing care in combination with graded psychological support(n=90).Patient anxiety and depression were assessed using the self-rating anxiety scale(SAS)and self-rating depression scale(SDS).Quality of life was evaluated using the shortform 36 health survey,and additional indications such as time to first food intake,surgery duration,length of hospital stay,nursing satisfaction,and adverse reactions were also recorded.Data was analyzed using SPSS22.0,with t-tests employed for continuous variables andχ2 tests for categorical data.RESULTS Patients in the observation group experienced significantly shorter times to first postoperative meal,surgery,and hospital stay compared to the control group.After the intervention,the SAS score of the observation group was 43.17±5.68,and the SDS score was 41.57±6.52,both significantly lower than those of the control group,with SAS score of 52.38±5.21 and SDS score of 51.23±8.25.In addition,the observation group scored significantly higher in daily living,physical function,psychological well-being,and social functioning(80.01±6.39,83.59±6.89,81.69±5.34,and 85.23±6.05,respectively).Moreover,the observation group also exhibited higher satisfaction and selfefficacy scores and a lower incidence of adverse reactions compared to the control group(P<0.05).CONCLUSION For patients undergoing ESD for gastrointestinal submucosal tumors,humanistic nursing care in combination with graded psychological nursing care significantly shorten the times to first postoperative meal,surgery,and hospital stay,effectively alleviates anxiety and depression,improves quality of life and nursing satisfaction,and mitigate the incidence of adverse reactions.
文摘Recently,Multicore systems use Dynamic Voltage/Frequency Scaling(DV/FS)technology to allow the cores to operate with various voltage and/or frequencies than other cores to save power and enhance the performance.In this paper,an effective and reliable hybridmodel to reduce the energy and makespan in multicore systems is proposed.The proposed hybrid model enhances and integrates the greedy approach with dynamic programming to achieve optimal Voltage/Frequency(Vmin/F)levels.Then,the allocation process is applied based on the availableworkloads.The hybrid model consists of three stages.The first stage gets the optimum safe voltage while the second stage sets the level of energy efficiency,and finally,the third is the allocation stage.Experimental results on various benchmarks show that the proposed model can generate optimal solutions to save energy while minimizing the makespan penalty.Comparisons with other competitive algorithms show that the proposed model provides on average 48%improvements in energy-saving and achieves an 18%reduction in computation time while ensuring a high degree of system reliability.
文摘目的运用循证医学方法对腕踝针干预术后疼痛的疗效和安全性进行系统评价和Grade评价。方法计算机检索中国知网、万方、维普、中国生物医学文献数据库、PubMed、Embase、Web of Science、Cochrane Library中关于腕踝针干预术后疼痛的随机对照试验,检索时限为建库至2023年10月。采用RevMan 5.4软件进行Meta分析。结果纳入23篇文献,共计1968例患者,Meta分析结果显示,与常规治疗相比,腕踝针能够提高术后疼痛患者的总有效率[OR=4.42,95%CI(2.60,7.50),P<0.001],术后镇痛泵药量使用减少[MD=-9.03,95%CI(-12.09,-5.98),P<0.001],术后疼痛评分降低[MD=-1.39,95%CI(-1.68,-1.09),P<0.001],可减少不良反应发生率[RR=0.40,95%CI(0.32,0.48),P<0.001]以及临床满意度[OR=3.94,95%CI(2.40,6.48),P<0.001]。Grade证据分级结果显示:总有效率、不良反应发生率和临床满意度3项结局指标为中等质量证据,VAS评分指标为低质量证据,镇痛泵药量使用指标为极低质量证据。结论腕踝针可提高总有效率,减少术后镇痛药用量,不良反应少,安全性高,为患者提供了一种安全有效的镇痛方式。
文摘为了系统评价参芪扶正注射液联合常规治疗作为干预措施对慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者的临床疗效和安全性。检索中国国家知识基础设施(China national knowledge infrastructure,CNKI)、PubMed、万方数据知识服务平台(Wanfang Data)、维普中文科技期刊数据库(Weipu China science and technology journal database,VIP)等数据库,筛选并纳入2023年6月18日以前发表的参芪扶正注射液联合常规疗法治疗COPD患者的随机对照试验(randomized controlled trials,RCT),采用Cochrane风险评价工具及评估、发展和评价建议分级(grading of recommendations assessment,development and evaluation,GRADE)系统进行文献证据质量评价,用RevMan 5.4软件对临床疗效及安全性指标进行Meta分析。结果表明,共纳入16项RCTs,1 486例患者。Meta分析结果显示,参芪扶正注射液辅助治疗可提高患者总有效率和第1秒用力呼气容积/用力肺活量比值(forced expiratory volume in one second/forced vital capacity,FEV1/FVC)指标,与对照组相比具有优势(P<0.000 01、P<0.000 1);不良反应少,无严重不良反应(adverse drug reactions,ADR),两组对比无统计学差异(P=0.32);GRADE评价结果显示,有效率及不良反应指标的证据质量均为中等级,肺功能为低等级。可见参芪扶正注射辅助治疗COPD可以提高患者临床疗效,改善肺功能,且具有良好的安全性。但所纳入研究具有局限性,证据质量不高,仍需结合中药辨证使用特点,规范实验方案,开展更多的高质量RCT研究。
文摘目的系统评价补肾方剂改善高龄女性自然妊娠结局的临床疗效和安全性。方法检索中国知网、万方数据库、维普数据库、SinoMed、PubMed、Web of Science、Cochrane Library、Embase等数据库建库至2022年6月收录的补肾方剂改善高龄女性自然妊娠结局的随机对照研究(RCT)。运用偏倚风险工具进行质量评估,使用RevMan软件进行Meta分析。结果共纳入14篇RCT。Meta分析结果显示:补肾方剂联合西药治疗在提高妊娠率[RR=1.71,95%CI(1.45,2.01),P<0.00001]、降低卵泡刺激素(FSH)水平[SMD=-1.63,95%CI(-2.84,-0.43),P=0.008]、提高雌二醇(E_(2))水平[SMD=3.97,95%CI(1.76,6.17),P=0.0004]、增加排卵期子宫内膜厚度[SMD=2.12,95%CI(1.07,3.18),P<0.0001]方面均优于西药组;且补肾方剂单独使用在提高妊娠率[RR=1.94,95%CI(1.31,2.88),P=0.001]、降低FSH水平[SMD=-0.48,95%CI(-0.74,-0.22),P=0.0003]方面也具有显著疗效。结论与西医治疗比较,补肾方剂可以显著改善高龄女性自然妊娠结局,且不良反应较少,但仍需更多高质量、大样本、多中心的RCT予以验证。
文摘Residential energy-efficiency measures, besides energy savings, provide opportunities for improvement of thermal comfort, air quality, lighting quality, and operation. However, all these benefits sometimes are not enough to convince a homeowner to pay the incremental cost associated with the energy-efficiency measure. The objective of this work is to develop a methodology for the economic evaluation of residential energy-efficiency measures that can simplify the economic analysis for the homeowner while taking into consideration all factors associated with the purchase, ownership, and selling of the house with the energy-efficiency measure. The methodology accounts for direct and indirect economic parameters associated to an energy-efficiency measure;direct parameters such as the mortgage interest and fuel price escalation rate, and indirect parameters such as savings account interest and marginal income tax rate. The methodology also considers different cases based on the service life of the energy-efficiency measure and loss of efficiency through a derating factor. To estimate the market value, the methodology uses the future energy cost savings instead of the cost of the EEM. Results from the methodology offer to homeowner annual net savings and net assets. The annual net savings gives the homeowner a measure of the annual positive cash flow that can be obtained from an energy-efficiency project;but more important, the net assets offer a measure of the added net wealth. To simplify and increase the use of the methodology by homeowners, the methodology has been implemented in an Excel tool that can be downloaded from the TxAIRE’s website.
文摘目的分析PTGD后择期LC治疗对GradeⅡ急性胆囊炎ACTH、MPO及Cor水平的影响。方法选取2021年12月至2023年5月安徽中科庚玖医院收治的急性胆囊炎患者121例,根据治疗方案分为三组,即甲组(急诊行LC治疗,未行PTGD)38例、乙组(PTGD引流管拔出后72 h后行LC,早期)43例和丙组(PTGD引流管拔出后14~30 d后行LC,晚期)40例。对比三组手术情况、炎症因子、肝功能、ACTH、MP、Cor水平及并发症发生率。结果甲组LC手术时长、术后卧床时长及住院天数均长于丙组、乙组,失血量、中转开腹率高于丙组、乙组,差异有统计学意义(P<0.05);丙组LC手术时长、术后卧床时长及住院天数均长于乙组,差异具有统计学意义(P<0.05)。LC术后1 d hs-CRP、PCT、IL-6、ST、ALT、ALP、ACTH、MPO及Cor:甲组>丙组>乙组,差异有统计学意义(P<0.05)。并发症发生率:甲组>丙组>乙组,差异有统计学意义(P<0.05)。结论PTGD后择期LC治疗对GradeⅡ急性胆囊炎ACTH、MPO及Cor水平影响小,且并发症低;而PTGD后早期行LC能有效改善肝功能、炎症因子,且术后应激反应更低,值得临床推广。
基金supported in part by the National Natural Science Foundation of China under Grants 62171154in part by the National Natural Science Foundation of Shandong Province under Grant ZR2020MF007+1 种基金in part by the Research Fund Program of Guangdong Key Laboratory of Aerospace Communication and Networking Technology under Grant 2018B030322004in part by the Fundamental Research Funds for the Central Universities under Grant HIT.OCEF.2023030。
文摘The limited energy and high mobility of unmanned aerial vehicles(UAVs)lead to drastic topology changes in UAV formation.The existing routing protocols necessitate a large number of messages for route discovery and maintenance,greatly increasing network delay and control overhead.A energyefficient routing method based on the discrete timeaggregated graph(TAG)theory is proposed since UAV formation is a defined time-varying network.The network is characterized using the TAG,which utilizes the prior knowledge in UAV formation.An energyefficient routing algorithm is designed based on TAG,considering the link delay,relative mobility,and residual energy of UAVs.The routing path is determined with global network information before requesting communication.Simulation results demonstrate that the routing method can improve the end-to-end delay,packet delivery ratio,routing control overhead,and residual energy.Consequently,introducing timevarying graphs to design routing algorithms is more effective for UAV formation.
基金support by the National Science and Technology Council under grant no.NSTC 112-2221-E-167-017-MY3.
文摘Hotel buildings are currently among the largest energy consumers in the world.Heating,ventilation,and air conditioning are the most energy-intensive building systems,accounting for more than half of total energy consumption.An energy audit is used to predict the weak points of a building’s energy use system.Various factors influence building energy consumption,which can be modified to achieve more energy-efficient strategies.In this study,an existing hotel building in Central Taiwan is evaluated by simulating several scenarios using energy modeling over a year.Energy modeling is conducted by using Autodesk Revit 2025.It was discovered from the results that arranging the lighting schedule based on the ASHRAE Standard 90.1 could save up to 8.22%of energy consumption.And then the results also revealed that changing the glazing of the building into double-layer lowemissivity glass could reduce energy consumption by 14.58%.While the energy consumption of the building could also be decreased to 7.20%by changing the building orientation to the north.Meanwhile,moving the building location to Northern Taiwan could also minimize the energy consumption of the building by 3.23%.The results revealed that the double layer offers better thermal insulation,and low-emissivity glass can lower energy consumption,electricity costs,and CO_(2)emissions by up to 15.27%annually.While adjusting orientation and location can enhance energy performance,this approach is impractical for existing buildings,but this could be considered for designing new buildings.The results showed the relevancy of energy performance to CO_(2)emission production and electricity expenses.
基金supported by the Key Research and Development Project of Hubei Province(Nos.2020BAB114 and 2023BAB094).
文摘In the manufacturing industry,reasonable scheduling can greatly improve production efficiency,while excessive resource consumption highlights the growing significance of energy conservation in production.This paper studies the problem of energy-efficient distributed heterogeneous permutation flowshop problem with variable processing speed(DHPFSP-VPS),considering both the minimum makespan and total energy consumption(TEC)as objectives.A discrete multi-objective squirrel search algorithm(DMSSA)is proposed to solve the DHPFSPVPS.DMSSA makes four improvements based on the squirrel search algorithm.Firstly,in terms of the population initialization strategy,four hybrid initialization methods targeting different objectives are proposed to enhance the quality of initial solutions.Secondly,enhancements are made to the population hierarchy system and position updating methods of the squirrel search algorithm,making it more suitable for discrete scheduling problems.Additionally,regarding the search strategy,six local searches are designed based on problem characteristics to enhance search capability.Moreover,a dynamic predator strategy based on Q-learning is devised to effectively balance DMSSA’s capability for global exploration and local exploitation.Finally,two speed control energy-efficient strategies are designed to reduce TEC.Extensive comparative experiments are conducted in this paper to validate the effectiveness of the proposed strategies.The results of comparing DMSSA with other algorithms demonstrate its superior performance and its potential for efficient solving of the DHPFSP-VPS problem.
基金supported by Swiss Federal Office of Transport,the ETH foundation and via the grant RAILPOWER.
文摘The reduction of energy consumption is an increasingly important topic of the railway system.Energy-efficient train control(EETC)is one solution,which refers to mathematically computing when to accelerate,which cruising speed to hold,how long one should coast over a suitable space,and when to brake.Most approaches in literature and industry greatly simplify a lot of nonlinear effects,such that they ignore mostly the losses due to energy conversion in traction components and auxiliaries.To fill this research gap,a series of increasingly detailed nonlinear losses is described and modelled.We categorize an increasing detail in this representation as four levels.We study the impact of those levels of detail on the energy optimal speed trajectory.To do this,a standard approach based on dynamic programming is used,given constraints on total travel time.This evaluation of multiple test cases highlights the influence of the dynamic losses and the power consumption of auxiliary components on railway trajectories,also compared to multiple benchmarks.The results show how the losses can make up 50%of the total energy consumption for an exemplary trip.Ignoring them would though result in consistent but limited errors in the optimal trajectory.Overall,more complex trajectories can result in less energy consumption when including the complexity of nonlinear losses than when a simpler model is considered.Those effects are stronger when the trajectory includes many acceleration and braking phases.
