Liquid hydrogen storage and transportation is an effective method for large-scale transportation and utilization of hydrogen energy. Revealing the flow mechanism of cryogenic working fluid is the key to optimize heat ...Liquid hydrogen storage and transportation is an effective method for large-scale transportation and utilization of hydrogen energy. Revealing the flow mechanism of cryogenic working fluid is the key to optimize heat exchanger structure and hydrogen liquefaction process(LH2). The methods of cryogenic visualization experiment, theoretical analysis and numerical simulation are conducted to study the falling film flow characteristics with the effect of co-current gas flow in LH2spiral wound heat exchanger.The results show that the flow rate of mixed refrigerant has a great influence on liquid film spreading process, falling film flow pattern and heat transfer performance. The liquid film of LH2mixed refrigerant with column flow pattern can not uniformly and completely cover the tube wall surface. As liquid flow rate increases, the falling film flow pattern evolves into sheet-column flow and sheet flow, and liquid film completely covers the surface of tube wall. With the increase of shear effect of gas-phase mixed refrigerant in the same direction, the liquid film gradually becomes unstable, and the flow pattern eventually evolves into a mist flow.展开更多
One of the most dangerous safety hazard in underground coal mines is roof falls during retreat mining.Roof falls may cause life-threatening and non-fatal injuries to miners and impede mining and transportation operati...One of the most dangerous safety hazard in underground coal mines is roof falls during retreat mining.Roof falls may cause life-threatening and non-fatal injuries to miners and impede mining and transportation operations.As a result,a reliable roof fall prediction model is essential to tackle such challenges.Different parameters that substantially impact roof falls are ill-defined and intangible,making this an uncertain and challenging research issue.The National Institute for Occupational Safety and Health assembled a national database of roof performance from 37 coal mines to explore the factors contributing to roof falls.Data acquired for 37 mines is limited due to several restrictions,which increased the likelihood of incompleteness.Fuzzy logic is a technique for coping with ambiguity,incompleteness,and uncertainty.Therefore,In this paper,the fuzzy inference method is presented,which employs a genetic algorithm to create fuzzy rules based on 109 records of roof fall data and pattern search to refine the membership functions of parameters.The performance of the deployed model is evaluated using statistical measures such as the Root-Mean-Square Error,Mean-Absolute-Error,and coefficient of determination(R_(2)).Based on these criteria,the suggested model outperforms the existing models to precisely predict roof fall rates using fewer fuzzy rules.展开更多
With the widespread use of Internet of Things(IoT)technology in daily life and the considerable safety risks of falls for elderly individuals,research on IoT-based fall detection systems has gainedmuch attention.This ...With the widespread use of Internet of Things(IoT)technology in daily life and the considerable safety risks of falls for elderly individuals,research on IoT-based fall detection systems has gainedmuch attention.This paper proposes an IoT-based spatiotemporal data processing framework based on a depthwise separable convolution generative adversarial network using skip-connection(Skip-DSCGAN)for fall detection.The method uses spatiotemporal data from accelerometers and gyroscopes in inertial sensors as input data.A semisupervised learning approach is adopted to train the model using only activities of daily living(ADL)data,which can avoid data imbalance problems.Furthermore,a quantile-based approach is employed to determine the fall threshold,which makes the fall detection frameworkmore robust.This proposed fall detection framework is evaluated against four other generative adversarial network(GAN)models with superior anomaly detection performance using two fall public datasets(SisFall&MobiAct).The test results show that the proposed method achieves better results,reaching 96.93% and 92.75% accuracy on the above two test datasets,respectively.At the same time,the proposed method also achieves satisfactory results in terms ofmodel size and inference delay time,making it suitable for deployment on wearable devices with limited resources.In addition,this paper also compares GAN-based semisupervised learning methods with supervised learning methods commonly used in fall detection.It clarifies the advantages of GAN-based semisupervised learning methods in fall detection.展开更多
In Sweden, there has been only limited documentation for injuries requiring ambulance responses. The main objective of this study is, through the use of historic data, to assess the suitability of ambulance records to...In Sweden, there has been only limited documentation for injuries requiring ambulance responses. The main objective of this study is, through the use of historic data, to assess the suitability of ambulance records to describe circumstances with fall injuries. Methods: The injury events data around patients were sourced from the ambulance data register. Descriptive statistics were used to describe injured patients based on age group, type of injury, place of injury, injury mechanism and consequence of an injury event. Two-group comparison was performed with Pearson’s chi-squared. Predictors of transport to hospital were identified using logistic regression analyses. Result: Ambulance provides unique data on all injury events, with direct implications for translational research, public policy and clinical practice (safety promotion). In 2002 ambulance attended 3964 injured people which represents 14% of ambulance attended workload in Värmland county, Sweden. The most common trauma location was the traffic area followed by residential area and nursing home. These three injury sites account for 2320 cases (61.6%). The most common cause of injury was falls (63.9%) followed by contact with another person (26.5%). Contact with another person is the most common site of injury in the traffic area (79.5%), and men aged 25-66 years are overrepresented. Conclusion: Logistic regression found that, age-group and place code were significant predictor for being attended by ambulance. Traffic, home and nursing homes were over-represented injury environments (61.6%) that require special attention. Most injury cases occur in the home and nursing homes among people over 67 years of age. Surprisingly, most of the injury events in the traffic environment are about hitting another person. Paramedics can provide rich and valuable data on injury events. Registration of such data is entirely possible and desirable, and can be used in preventive work.展开更多
When a patient falls within a hospital setting,there is a significant increase in the risk of severe injury or health complications.Recognizing factors associated with such falls is crucial to mitigate their impact on...When a patient falls within a hospital setting,there is a significant increase in the risk of severe injury or health complications.Recognizing factors associated with such falls is crucial to mitigate their impact on patient safety.This review seeks to analyze the factors contributing to patient falls in hospitals.The main goal is to enhance our understanding of the reasons behind these falls,enabling hospitals to devise more effective prevention strategies.This study reviewed literature published from 2013 to 2022,using the Arksey and O’Malley methodology for a scoping review.The research literature was searched from seven databases,namely,PubMed,ScienceDirect,Wiley Library,Garuda,Global Index Medicus,Emerald Insight,and Google Scholar.The inclusion criteria comprised both qualitative and quantitative primary and secondary data studies centered on hospitalized patients.Out of the 893 studies analyzed,23 met the criteria and were included in this review.Although there is not an abundance of relevant literature,this review identified several factors associated with falls in hospitals.These encompass environmental,patient,staff,and medical factors.This study offers valuable insights for hospitals and medical personnel aiming to enhance fall prevention practices.Effective prevention efforts should prioritize early identification of patient risk factors,enhancement of the care environment,thorough training for care staff,and vigilant supervision of high-risk patients.By comprehending the factors that contribute to patient falls,hospitals can bolster patient safety and mitigate the adverse effects of falls within the health-care setting.展开更多
In many Eastern and Western countries,falling birth rates have led to the gradual aging of society.Older adults are often left alone at home or live in a long-term care center,which results in them being susceptible t...In many Eastern and Western countries,falling birth rates have led to the gradual aging of society.Older adults are often left alone at home or live in a long-term care center,which results in them being susceptible to unsafe events(such as falls)that can have disastrous consequences.However,automatically detecting falls fromvideo data is challenging,and automatic fall detection methods usually require large volumes of training data,which can be difficult to acquire.To address this problem,video kinematic data can be used as training data,thereby avoiding the requirement of creating a large fall data set.This study integrated an improved particle swarm optimization method into a double interactively recurrent fuzzy cerebellar model articulation controller model to develop a costeffective and accurate fall detection system.First,it obtained an optical flow(OF)trajectory diagram from image sequences by using the OF method,and it solved problems related to focal length and object offset by employing the discrete Fourier transform(DFT)algorithm.Second,this study developed the D-IRFCMAC model,which combines spatial and temporal(recurrent)information.Third,it designed an IPSO(Improved Particle Swarm Optimization)algorithm that effectively strengthens the exploratory capabilities of the proposed D-IRFCMAC(Double-Interactively Recurrent Fuzzy Cerebellar Model Articulation Controller)model in the global search space.The proposed approach outperforms existing state-of-the-art methods in terms of action recognition accuracy on the UR-Fall,UP-Fall,and PRECIS HAR data sets.The UCF11 dataset had an average accuracy of 93.13%,whereas the UCF101 dataset had an average accuracy of 92.19%.The UR-Fall dataset had an accuracy of 100%,the UP-Fall dataset had an accuracy of 99.25%,and the PRECIS HAR dataset had an accuracy of 99.07%.展开更多
Objective:To analyze and provide a comprehensive overview of the knowledge structure and research hotspots of clinical interventions for falls in elderly patients in the community.Methods:The search for publications r...Objective:To analyze and provide a comprehensive overview of the knowledge structure and research hotspots of clinical interventions for falls in elderly patients in the community.Methods:The search for publications related to clinical interventions for falls in elderly patients in the community from 2002 to 2022 was conducted on the Web of Science Core Collection(WoSCC)database.VOSviewers,CiteSpace,and the R package“bibliometrix”were used to conduct this bibliometric analysis.Results:2091 articles from 70 countries,primarily the United States and Australia,were included.The number of publications related to clinical interventions for falls in elderly patients is increasing yearly.The main research institutions in this field were the University of Sydney,Harvard University,and the University of California.BioMed Central(BMC)Geriatrics was the most popular journal in this field and Journals of the American Geriatrics Society was the most co-cited journal.These publications came from 8984 authors among which author Lord SR had published the most papers and author Tinetti Me had the most co-citations.The main keywords in this research field were“balance,”“exercise,”and“risk factor.”Conclusion:This was the first bibliometric study that comprehensively summarized the research hot spots and development of clinical interventions for falls in elderly patients in the community.This paper aims to provide a reference for scholars and researchers in this particular field.展开更多
Objective:To analyze the value of extended care interventions for disabled elderly in preventing falls and optimizing quality of life.Methods:A sample of 60 cases of disabled elderly in a tertiary hospital from May 20...Objective:To analyze the value of extended care interventions for disabled elderly in preventing falls and optimizing quality of life.Methods:A sample of 60 cases of disabled elderly in a tertiary hospital from May 2022 to May 2023 was selected and grouped by the random number table method.The observation group received extended care,while the control group adopted routine care.The differences in complication rate,fall rate,36-Item Short Form Health Survey(SF-36)score,health knowledge awareness score,and nursing satisfaction were compared.Results:The complication rate and fall rate of the disabled elderly in the observation group were lower than those in the control group,P<0.05;the SF-36 score,health knowledge score,and nursing satisfaction of the observation group were higher than those of the control group,P<0.05.Conclusion:Extended care for the disabled elderly can reduce the risk of falls and complications related to disability,as well as optimize their cognition and improve their quality of life,which is efficient and feasible.展开更多
Chinese fir (Cunninghamia lanceolata (Lamb.) Hook.), a fast-growing, ever-green conifer tree with high yield and excellent quality, is the most important tree species of timber plantations in subtropical China. We inv...Chinese fir (Cunninghamia lanceolata (Lamb.) Hook.), a fast-growing, ever-green conifer tree with high yield and excellent quality, is the most important tree species of timber plantations in subtropical China. We investigated the characteristics of biomass, litterfall and nutrient fluxes in the 8, 14 and 24 year-old stands, representing the young, middle-aged and mature stands. The results showed that Chinese fir plantations in central Fujian province had high productivity, and the proportion of stem mass in total biomass was between 50%-70%. Chinese fir was low nutrient-return tree species with litterfall. Nutrient withdrawal from senescing needles was a strong age-dependence for nitrogen, phosphorous and potassium in Chinese fir. With a management system of such short-rotation and continuously pure-crop planting, harvesting timber can lead to great nutrient loss, which may be one of the causes for site degradation.展开更多
A counter flow model of simultaneous heat and mass transfer of a vapor absorption process in a falling film dehumidifier is developed. The governing equations with appropriate boundaries and interfacial conditions des...A counter flow model of simultaneous heat and mass transfer of a vapor absorption process in a falling film dehumidifier is developed. The governing equations with appropriate boundaries and interfacial conditions describing the dehumidifying process are set up. Calcium chloride is applied as the desiccant. The dehumidifying process between falling liquid desiccant film and process air is analyzed and calculated by the control volume approach. Velocity field, temperature distribution and outlet parameters for both the process air and desiccant solution are obtained. The effects of inlet conditions and vertical wall height on the dehumidification process are also predicted. The results show that the humidity ratio, temperature and mass fraction of salt decrease rapidly at the inlet region but slowly at the outlet region along the vertical wall height. The dehumidification processes can be enhanced by increasing the vertical wall height, desiccant solution flow rates or inlet salt concentration in the desiccant solution, respectively. Similarly, the dehumidification process can be improved by decreasing the inlet humidity ratio or flow rates of the process air. The obtained results can improve the performance of the dehumidifier and provide the theoretical basis for the optimization design, and the ooeration and modulation of the solar liquid desiccant air-conditioning systems.展开更多
《英语辅导报》2000-2001学年度第14期(高二版),7—9单元阶段验收题,笔试部分Ⅱ课本要点A)单项选择题,第9小题: The roof was badlydamaged by a——tree inthe great storm last night. A.fall B.fallen C.fallingD.failed 原参考答案...《英语辅导报》2000-2001学年度第14期(高二版),7—9单元阶段验收题,笔试部分Ⅱ课本要点A)单项选择题,第9小题: The roof was badlydamaged by a——tree inthe great storm last night. A.fall B.fallen C.fallingD.failed 原参考答案为:B 到底是falling tree还是fallen tree?我们先来分析一下现在分词与过去分词作定语时之语意表达功能: 1.现在分词作定语现在分词作定语从其语意功能看:a)展开更多
Background Fall and serious fall injuries have become a major health concern for elders. Many factors including blood pressure and anti-hypertensive medication application were reported as hazards of fall. The purpose...Background Fall and serious fall injuries have become a major health concern for elders. Many factors including blood pressure and anti-hypertensive medication application were reported as hazards of fall. The purpose of this study was to determine if age related systemic functional decline related with increased fall risks in elderly patients with hypertension. Methods A total of 342 elderly hypertension patients (age 79.5 + 6.7 years, male 63.8%) were recruited to the study. Comprehensive geriatric assessment (CGA), including measurements about activity of daily living (ADL), nutrition, cognition, depression, numbers of prescription medication and number of clinical diagnosis, was conducted to evaluate the physical and mental status of each participants. Fall risk was evaluated by Morse fall scale, Tinetti perform- ance oriented mobility assessment (POMA) and history of fall in the recent years. Participants were grouped into tertiles according to CGA score. Correlation between CGA and fall risk was analyzed through SPSS 18.0. Results Participants with higher CGA score were likely to be older, had a lower body mass index (BMI), and a higher prevalence of cardiovascular disease, chronic obstructive pulmonary disease (COPD), cerebrovascular disease and osteoarthropathia. Participants in higher tertile of CGA score got increased prevalence of fall risk than those in lower tertile (P 〈 0.01 T3 vs. T1, P 〈 0.01 T3 vs. T2). Correlation analysis and regression analysis showed significant association between CGA and Morse fall scale (P 〈 0.001), as well as CGA and POMA (P 〈 0.001). Meanwhile, CGA components also showed co-relationships with increase fall risks. After adjusting age, BMI, benzodiazepine use, cardiovascular disease, cerebrovascular disease, COPD and osteoarthropathia, both history of fall in the recent year and rising Morse fall scale were significantly associated with ADL im- pairment (OR: 2.748, 95%CI: 1.598-4.725), (OR: 3.310, 95%CI: 1.893-5.788). Decreased Tinetti POMA score was associated with Mini-Mental State Examination (MMSE) (OR: 4.035, 95%CI: 2.100-7.751), ADL (OR: 2.380, 95%CI: 1.357-4.175) and shortened MNA form (MNA-SF) impairment (OR: 2.692, 95%CI: 1.147-6.319). Conclusions In elderly adults with hypertension, impaired physical and mental function is associated with increased fall risk. Further study is required to investigate possible mediators for the association and effec- tive interventions.展开更多
Objective To study age and educational level and their relationship with fall-related injuries in Shanghai and to analyze the relevant costs. Methods Multistage cluster sampling was used for the selection of participa...Objective To study age and educational level and their relationship with fall-related injuries in Shanghai and to analyze the relevant costs. Methods Multistage cluster sampling was used for the selection of participants and standardized questionnaires were used for the information collection in 2006. Information on cases and deaths caused by fall-related injuries were obtained from 494 hospitals as well as from the mortality registry systems from 2001 till 2010. Results Of 45 857 participates, 674 suffered from fall-related injuries with the largest proportion among all injuries. The fall-related mortality increased from 10.63 per 100 000 in 2001 to 14.11 per 100 000 in 2010. The under-five mortality rate was the highest among children aged 0-14 years. Mortality increased dramatically among those aged 55 or above for the female and aged 60 or older for the male. Individuals with an educational level under the primary school were more likely to suffer fall-related injuries, accounting for 72.66% of all deaths and 49.24% of nonfatal cases respectively. The annual burden of fall-related injuries equated to 25.90% of the share of GDP for the healthcare, social security and welfare industries in 2006. Conclusion Fall-related injuries were inversely related to victims' educational level. Children under the age of 5, women over 55 years old and men over 60 years old with an educational level lower than the primary school are the most risky groups of populations for intervention measures.展开更多
This paper presents information on a portable fall detection and alerting system mainly consisting of a custom vest and a mobile smart phone. A wearable motion detection sensor integrated with tri-axial accelerometer,...This paper presents information on a portable fall detection and alerting system mainly consisting of a custom vest and a mobile smart phone. A wearable motion detection sensor integrated with tri-axial accelerometer, gyroscope and Bluetooth is built into a custom vest worn by elderly. The vest can capture the reluctant acceleration and angular velocity about the activities of daily living(ADLs) of elderly in real time. The data via Bluetooth is then sent to a mobile smart phone running a fall detection program based on k-NN algorithm. When a fall occurs the phone can alert a family member or health care center through a call or emergent text message using a built in Global Positioning System. The experimental results show that the system discriminates falls from ADLs with a sensitivity of 95%, and a specificity of 96.67%. This system can provide remote monitoring and timely help for the elderly.展开更多
Fall armyworm(FAW),Spodoptera frugiperda(J.E.Smith),has become an important pest in Chinese agricultural systems since its invasion on 11 December 2018.After its establishment,FAW months in the year-round breeding reg...Fall armyworm(FAW),Spodoptera frugiperda(J.E.Smith),has become an important pest in Chinese agricultural systems since its invasion on 11 December 2018.After its establishment,FAW months in the year-round breeding region have become the main source population migrating to other areas in China.Field investigations were conducted in tropical and subtropical regions to improve understanding of its year-round breeding area in China.The results showed that FAW larval density was significantly correlated with the seasonal temperature of the location surveyed.The FAW larvae maintained a high density in the tropical area and were frequently found in sites of the south subtropical region,but were absent from the north subtropical region and the northern part of the central subtropical region.These results indicated that FAW can reproduce annually in the tropical and south subtropical regions of China,including Hainan,Taiwan and the southern area of Fujian,Guangdong,Guangxi,Guizhou,and Yunnan.Hence,great effort should be made to monitor and control FAW in the year-round breeding region to suppress the population density of this area and to reduce migration of moths into northern parts of China.This study clarifies the occurrence area of the pest in winter in China and provides much valuable information for its population forecasting and management.展开更多
The eastern fall cohort of the neon flying squid, Ommastrephes bartramii, has been commercially exploited by the Chinese squid jigging fleet in the central North Pacific Ocean since the late 1990s. To understand and i...The eastern fall cohort of the neon flying squid, Ommastrephes bartramii, has been commercially exploited by the Chinese squid jigging fleet in the central North Pacific Ocean since the late 1990s. To understand and identify their optimal habitat, we have developed a habitat suitability index (HSI) model using two potential important environmental variables -- sea surface temperature (SST) and sea surface height anomaly (SSHA) -- and fishery data from the main fishing ground (165°-180°E) during June and July of 1999-2003. A geometric mean model (GMM), minimum model (MM) and arithmetic weighted model (AWM) with different weights were compared and the best HSI model was selected using Akaike's information criterion (AIC). The performance of the developed HSI model was evaluated using fishery data for 2004. This study suggests that the highest catch per unit effort (CPUE) and fishing effort are closely related to SST and SSHA. The best SST- and SSHA-based suitability index (SI) regression models were SISST-based = 0.7SIeffort-SST + 0.3 SICPUE-SST, and SISSHA-based =0.5Sleffort-SSHA + 0.5SICPUE-SSHA, respectively, showing that fishing effort is more important than CPUE in the estimation of SI. The best HSI model was the AWM, defined as HSI=0.3SISSHA-based+ 0.7SISSHA-based, indicating that SSHA is more important than SST in estimating the HSI of squid. In 2004, monthly HSI values greater than 0.6 coincided with the distribution of productive fishing ground and high CPUE in June and July, suggesting that the models perform well. The proposed model provides an important tool in our efforts to develop forecasting capacity of squid spatial dynamics.展开更多
基金supported by the National Natural Science Foundation of China(52304067,62273213)the Natural Science Foundation of Shandong Province of China(ZR2021QE073)+1 种基金the Natural Science Foundation of Shandong Province for Innovation and Development Joint Funds(ZR2022LZH001)the China Postdoctoral Science Foundation(2023M732111)。
文摘Liquid hydrogen storage and transportation is an effective method for large-scale transportation and utilization of hydrogen energy. Revealing the flow mechanism of cryogenic working fluid is the key to optimize heat exchanger structure and hydrogen liquefaction process(LH2). The methods of cryogenic visualization experiment, theoretical analysis and numerical simulation are conducted to study the falling film flow characteristics with the effect of co-current gas flow in LH2spiral wound heat exchanger.The results show that the flow rate of mixed refrigerant has a great influence on liquid film spreading process, falling film flow pattern and heat transfer performance. The liquid film of LH2mixed refrigerant with column flow pattern can not uniformly and completely cover the tube wall surface. As liquid flow rate increases, the falling film flow pattern evolves into sheet-column flow and sheet flow, and liquid film completely covers the surface of tube wall. With the increase of shear effect of gas-phase mixed refrigerant in the same direction, the liquid film gradually becomes unstable, and the flow pattern eventually evolves into a mist flow.
文摘One of the most dangerous safety hazard in underground coal mines is roof falls during retreat mining.Roof falls may cause life-threatening and non-fatal injuries to miners and impede mining and transportation operations.As a result,a reliable roof fall prediction model is essential to tackle such challenges.Different parameters that substantially impact roof falls are ill-defined and intangible,making this an uncertain and challenging research issue.The National Institute for Occupational Safety and Health assembled a national database of roof performance from 37 coal mines to explore the factors contributing to roof falls.Data acquired for 37 mines is limited due to several restrictions,which increased the likelihood of incompleteness.Fuzzy logic is a technique for coping with ambiguity,incompleteness,and uncertainty.Therefore,In this paper,the fuzzy inference method is presented,which employs a genetic algorithm to create fuzzy rules based on 109 records of roof fall data and pattern search to refine the membership functions of parameters.The performance of the deployed model is evaluated using statistical measures such as the Root-Mean-Square Error,Mean-Absolute-Error,and coefficient of determination(R_(2)).Based on these criteria,the suggested model outperforms the existing models to precisely predict roof fall rates using fewer fuzzy rules.
基金supported partly by the Natural Science Foundation of Zhejiang Province,China(LGF21F020017).
文摘With the widespread use of Internet of Things(IoT)technology in daily life and the considerable safety risks of falls for elderly individuals,research on IoT-based fall detection systems has gainedmuch attention.This paper proposes an IoT-based spatiotemporal data processing framework based on a depthwise separable convolution generative adversarial network using skip-connection(Skip-DSCGAN)for fall detection.The method uses spatiotemporal data from accelerometers and gyroscopes in inertial sensors as input data.A semisupervised learning approach is adopted to train the model using only activities of daily living(ADL)data,which can avoid data imbalance problems.Furthermore,a quantile-based approach is employed to determine the fall threshold,which makes the fall detection frameworkmore robust.This proposed fall detection framework is evaluated against four other generative adversarial network(GAN)models with superior anomaly detection performance using two fall public datasets(SisFall&MobiAct).The test results show that the proposed method achieves better results,reaching 96.93% and 92.75% accuracy on the above two test datasets,respectively.At the same time,the proposed method also achieves satisfactory results in terms ofmodel size and inference delay time,making it suitable for deployment on wearable devices with limited resources.In addition,this paper also compares GAN-based semisupervised learning methods with supervised learning methods commonly used in fall detection.It clarifies the advantages of GAN-based semisupervised learning methods in fall detection.
文摘In Sweden, there has been only limited documentation for injuries requiring ambulance responses. The main objective of this study is, through the use of historic data, to assess the suitability of ambulance records to describe circumstances with fall injuries. Methods: The injury events data around patients were sourced from the ambulance data register. Descriptive statistics were used to describe injured patients based on age group, type of injury, place of injury, injury mechanism and consequence of an injury event. Two-group comparison was performed with Pearson’s chi-squared. Predictors of transport to hospital were identified using logistic regression analyses. Result: Ambulance provides unique data on all injury events, with direct implications for translational research, public policy and clinical practice (safety promotion). In 2002 ambulance attended 3964 injured people which represents 14% of ambulance attended workload in Värmland county, Sweden. The most common trauma location was the traffic area followed by residential area and nursing home. These three injury sites account for 2320 cases (61.6%). The most common cause of injury was falls (63.9%) followed by contact with another person (26.5%). Contact with another person is the most common site of injury in the traffic area (79.5%), and men aged 25-66 years are overrepresented. Conclusion: Logistic regression found that, age-group and place code were significant predictor for being attended by ambulance. Traffic, home and nursing homes were over-represented injury environments (61.6%) that require special attention. Most injury cases occur in the home and nursing homes among people over 67 years of age. Surprisingly, most of the injury events in the traffic environment are about hitting another person. Paramedics can provide rich and valuable data on injury events. Registration of such data is entirely possible and desirable, and can be used in preventive work.
文摘When a patient falls within a hospital setting,there is a significant increase in the risk of severe injury or health complications.Recognizing factors associated with such falls is crucial to mitigate their impact on patient safety.This review seeks to analyze the factors contributing to patient falls in hospitals.The main goal is to enhance our understanding of the reasons behind these falls,enabling hospitals to devise more effective prevention strategies.This study reviewed literature published from 2013 to 2022,using the Arksey and O’Malley methodology for a scoping review.The research literature was searched from seven databases,namely,PubMed,ScienceDirect,Wiley Library,Garuda,Global Index Medicus,Emerald Insight,and Google Scholar.The inclusion criteria comprised both qualitative and quantitative primary and secondary data studies centered on hospitalized patients.Out of the 893 studies analyzed,23 met the criteria and were included in this review.Although there is not an abundance of relevant literature,this review identified several factors associated with falls in hospitals.These encompass environmental,patient,staff,and medical factors.This study offers valuable insights for hospitals and medical personnel aiming to enhance fall prevention practices.Effective prevention efforts should prioritize early identification of patient risk factors,enhancement of the care environment,thorough training for care staff,and vigilant supervision of high-risk patients.By comprehending the factors that contribute to patient falls,hospitals can bolster patient safety and mitigate the adverse effects of falls within the health-care setting.
基金supported by the National Science and Technology Council under grants NSTC 112-2221-E-320-002the Buddhist Tzu Chi Medical Foundation in Taiwan under Grant TCMMP 112-02-02.
文摘In many Eastern and Western countries,falling birth rates have led to the gradual aging of society.Older adults are often left alone at home or live in a long-term care center,which results in them being susceptible to unsafe events(such as falls)that can have disastrous consequences.However,automatically detecting falls fromvideo data is challenging,and automatic fall detection methods usually require large volumes of training data,which can be difficult to acquire.To address this problem,video kinematic data can be used as training data,thereby avoiding the requirement of creating a large fall data set.This study integrated an improved particle swarm optimization method into a double interactively recurrent fuzzy cerebellar model articulation controller model to develop a costeffective and accurate fall detection system.First,it obtained an optical flow(OF)trajectory diagram from image sequences by using the OF method,and it solved problems related to focal length and object offset by employing the discrete Fourier transform(DFT)algorithm.Second,this study developed the D-IRFCMAC model,which combines spatial and temporal(recurrent)information.Third,it designed an IPSO(Improved Particle Swarm Optimization)algorithm that effectively strengthens the exploratory capabilities of the proposed D-IRFCMAC(Double-Interactively Recurrent Fuzzy Cerebellar Model Articulation Controller)model in the global search space.The proposed approach outperforms existing state-of-the-art methods in terms of action recognition accuracy on the UR-Fall,UP-Fall,and PRECIS HAR data sets.The UCF11 dataset had an average accuracy of 93.13%,whereas the UCF101 dataset had an average accuracy of 92.19%.The UR-Fall dataset had an accuracy of 100%,the UP-Fall dataset had an accuracy of 99.25%,and the PRECIS HAR dataset had an accuracy of 99.07%.
基金This study was supported by the Shanghai Jiaotong University School of Medicine:Nursing Development Program(No.Shanghai Jiaotong University School of Medicine[2021])Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University,School of Medicine“Excellent Nursing Talent Program”LinkedIn Program(JYHRC22-L01).
文摘Objective:To analyze and provide a comprehensive overview of the knowledge structure and research hotspots of clinical interventions for falls in elderly patients in the community.Methods:The search for publications related to clinical interventions for falls in elderly patients in the community from 2002 to 2022 was conducted on the Web of Science Core Collection(WoSCC)database.VOSviewers,CiteSpace,and the R package“bibliometrix”were used to conduct this bibliometric analysis.Results:2091 articles from 70 countries,primarily the United States and Australia,were included.The number of publications related to clinical interventions for falls in elderly patients is increasing yearly.The main research institutions in this field were the University of Sydney,Harvard University,and the University of California.BioMed Central(BMC)Geriatrics was the most popular journal in this field and Journals of the American Geriatrics Society was the most co-cited journal.These publications came from 8984 authors among which author Lord SR had published the most papers and author Tinetti Me had the most co-citations.The main keywords in this research field were“balance,”“exercise,”and“risk factor.”Conclusion:This was the first bibliometric study that comprehensively summarized the research hot spots and development of clinical interventions for falls in elderly patients in the community.This paper aims to provide a reference for scholars and researchers in this particular field.
文摘Objective:To analyze the value of extended care interventions for disabled elderly in preventing falls and optimizing quality of life.Methods:A sample of 60 cases of disabled elderly in a tertiary hospital from May 2022 to May 2023 was selected and grouped by the random number table method.The observation group received extended care,while the control group adopted routine care.The differences in complication rate,fall rate,36-Item Short Form Health Survey(SF-36)score,health knowledge awareness score,and nursing satisfaction were compared.Results:The complication rate and fall rate of the disabled elderly in the observation group were lower than those in the control group,P<0.05;the SF-36 score,health knowledge score,and nursing satisfaction of the observation group were higher than those of the control group,P<0.05.Conclusion:Extended care for the disabled elderly can reduce the risk of falls and complications related to disability,as well as optimize their cognition and improve their quality of life,which is efficient and feasible.
基金This research was sponsored by National Natural Science Foundation of China (Grant No. 39630240 and 3000132).
文摘Chinese fir (Cunninghamia lanceolata (Lamb.) Hook.), a fast-growing, ever-green conifer tree with high yield and excellent quality, is the most important tree species of timber plantations in subtropical China. We investigated the characteristics of biomass, litterfall and nutrient fluxes in the 8, 14 and 24 year-old stands, representing the young, middle-aged and mature stands. The results showed that Chinese fir plantations in central Fujian province had high productivity, and the proportion of stem mass in total biomass was between 50%-70%. Chinese fir was low nutrient-return tree species with litterfall. Nutrient withdrawal from senescing needles was a strong age-dependence for nitrogen, phosphorous and potassium in Chinese fir. With a management system of such short-rotation and continuously pure-crop planting, harvesting timber can lead to great nutrient loss, which may be one of the causes for site degradation.
基金The National Natural Science Foundation of China(No50276013)
文摘A counter flow model of simultaneous heat and mass transfer of a vapor absorption process in a falling film dehumidifier is developed. The governing equations with appropriate boundaries and interfacial conditions describing the dehumidifying process are set up. Calcium chloride is applied as the desiccant. The dehumidifying process between falling liquid desiccant film and process air is analyzed and calculated by the control volume approach. Velocity field, temperature distribution and outlet parameters for both the process air and desiccant solution are obtained. The effects of inlet conditions and vertical wall height on the dehumidification process are also predicted. The results show that the humidity ratio, temperature and mass fraction of salt decrease rapidly at the inlet region but slowly at the outlet region along the vertical wall height. The dehumidification processes can be enhanced by increasing the vertical wall height, desiccant solution flow rates or inlet salt concentration in the desiccant solution, respectively. Similarly, the dehumidification process can be improved by decreasing the inlet humidity ratio or flow rates of the process air. The obtained results can improve the performance of the dehumidifier and provide the theoretical basis for the optimization design, and the ooeration and modulation of the solar liquid desiccant air-conditioning systems.
文摘《英语辅导报》2000-2001学年度第14期(高二版),7—9单元阶段验收题,笔试部分Ⅱ课本要点A)单项选择题,第9小题: The roof was badlydamaged by a——tree inthe great storm last night. A.fall B.fallen C.fallingD.failed 原参考答案为:B 到底是falling tree还是fallen tree?我们先来分析一下现在分词与过去分词作定语时之语意表达功能: 1.现在分词作定语现在分词作定语从其语意功能看:a)
文摘Background Fall and serious fall injuries have become a major health concern for elders. Many factors including blood pressure and anti-hypertensive medication application were reported as hazards of fall. The purpose of this study was to determine if age related systemic functional decline related with increased fall risks in elderly patients with hypertension. Methods A total of 342 elderly hypertension patients (age 79.5 + 6.7 years, male 63.8%) were recruited to the study. Comprehensive geriatric assessment (CGA), including measurements about activity of daily living (ADL), nutrition, cognition, depression, numbers of prescription medication and number of clinical diagnosis, was conducted to evaluate the physical and mental status of each participants. Fall risk was evaluated by Morse fall scale, Tinetti perform- ance oriented mobility assessment (POMA) and history of fall in the recent years. Participants were grouped into tertiles according to CGA score. Correlation between CGA and fall risk was analyzed through SPSS 18.0. Results Participants with higher CGA score were likely to be older, had a lower body mass index (BMI), and a higher prevalence of cardiovascular disease, chronic obstructive pulmonary disease (COPD), cerebrovascular disease and osteoarthropathia. Participants in higher tertile of CGA score got increased prevalence of fall risk than those in lower tertile (P 〈 0.01 T3 vs. T1, P 〈 0.01 T3 vs. T2). Correlation analysis and regression analysis showed significant association between CGA and Morse fall scale (P 〈 0.001), as well as CGA and POMA (P 〈 0.001). Meanwhile, CGA components also showed co-relationships with increase fall risks. After adjusting age, BMI, benzodiazepine use, cardiovascular disease, cerebrovascular disease, COPD and osteoarthropathia, both history of fall in the recent year and rising Morse fall scale were significantly associated with ADL im- pairment (OR: 2.748, 95%CI: 1.598-4.725), (OR: 3.310, 95%CI: 1.893-5.788). Decreased Tinetti POMA score was associated with Mini-Mental State Examination (MMSE) (OR: 4.035, 95%CI: 2.100-7.751), ADL (OR: 2.380, 95%CI: 1.357-4.175) and shortened MNA form (MNA-SF) impairment (OR: 2.692, 95%CI: 1.147-6.319). Conclusions In elderly adults with hypertension, impaired physical and mental function is associated with increased fall risk. Further study is required to investigate possible mediators for the association and effec- tive interventions.
文摘Objective To study age and educational level and their relationship with fall-related injuries in Shanghai and to analyze the relevant costs. Methods Multistage cluster sampling was used for the selection of participants and standardized questionnaires were used for the information collection in 2006. Information on cases and deaths caused by fall-related injuries were obtained from 494 hospitals as well as from the mortality registry systems from 2001 till 2010. Results Of 45 857 participates, 674 suffered from fall-related injuries with the largest proportion among all injuries. The fall-related mortality increased from 10.63 per 100 000 in 2001 to 14.11 per 100 000 in 2010. The under-five mortality rate was the highest among children aged 0-14 years. Mortality increased dramatically among those aged 55 or above for the female and aged 60 or older for the male. Individuals with an educational level under the primary school were more likely to suffer fall-related injuries, accounting for 72.66% of all deaths and 49.24% of nonfatal cases respectively. The annual burden of fall-related injuries equated to 25.90% of the share of GDP for the healthcare, social security and welfare industries in 2006. Conclusion Fall-related injuries were inversely related to victims' educational level. Children under the age of 5, women over 55 years old and men over 60 years old with an educational level lower than the primary school are the most risky groups of populations for intervention measures.
基金supported by the Beijing Natural Science Foundation under grant No. 4102005partly supported by the National Nature Science Foundation of China (No. 61040039)
文摘This paper presents information on a portable fall detection and alerting system mainly consisting of a custom vest and a mobile smart phone. A wearable motion detection sensor integrated with tri-axial accelerometer, gyroscope and Bluetooth is built into a custom vest worn by elderly. The vest can capture the reluctant acceleration and angular velocity about the activities of daily living(ADLs) of elderly in real time. The data via Bluetooth is then sent to a mobile smart phone running a fall detection program based on k-NN algorithm. When a fall occurs the phone can alert a family member or health care center through a call or emergent text message using a built in Global Positioning System. The experimental results show that the system discriminates falls from ADLs with a sensitivity of 95%, and a specificity of 96.67%. This system can provide remote monitoring and timely help for the elderly.
基金supported by the National Key R&D Program of China(2017YFB0403905)the Central Publicinterest Scientific Institution Basal Research Fund,China(CAAS-ZDRW202007)the earmarked fund for China Agriculture Research System(CARS-15-19).
文摘Fall armyworm(FAW),Spodoptera frugiperda(J.E.Smith),has become an important pest in Chinese agricultural systems since its invasion on 11 December 2018.After its establishment,FAW months in the year-round breeding region have become the main source population migrating to other areas in China.Field investigations were conducted in tropical and subtropical regions to improve understanding of its year-round breeding area in China.The results showed that FAW larval density was significantly correlated with the seasonal temperature of the location surveyed.The FAW larvae maintained a high density in the tropical area and were frequently found in sites of the south subtropical region,but were absent from the north subtropical region and the northern part of the central subtropical region.These results indicated that FAW can reproduce annually in the tropical and south subtropical regions of China,including Hainan,Taiwan and the southern area of Fujian,Guangdong,Guangxi,Guizhou,and Yunnan.Hence,great effort should be made to monitor and control FAW in the year-round breeding region to suppress the population density of this area and to reduce migration of moths into northern parts of China.This study clarifies the occurrence area of the pest in winter in China and provides much valuable information for its population forecasting and management.
基金Supported by the PhD Programs Foundation of Ministry of Education of China (No. 20093104110002)the National High Technology Research and Development Program of China (863 Program) (Nos. 2007AA092201, 2007AA092202)+2 种基金the National Natural Science Foundation (No. NSFC40876090)the Shanghai Leading Academic Discipline Project (No. S30702)Y. Chen's involvement in the project was partially supported by the Shanghai Dongfang Scholar Program
文摘The eastern fall cohort of the neon flying squid, Ommastrephes bartramii, has been commercially exploited by the Chinese squid jigging fleet in the central North Pacific Ocean since the late 1990s. To understand and identify their optimal habitat, we have developed a habitat suitability index (HSI) model using two potential important environmental variables -- sea surface temperature (SST) and sea surface height anomaly (SSHA) -- and fishery data from the main fishing ground (165°-180°E) during June and July of 1999-2003. A geometric mean model (GMM), minimum model (MM) and arithmetic weighted model (AWM) with different weights were compared and the best HSI model was selected using Akaike's information criterion (AIC). The performance of the developed HSI model was evaluated using fishery data for 2004. This study suggests that the highest catch per unit effort (CPUE) and fishing effort are closely related to SST and SSHA. The best SST- and SSHA-based suitability index (SI) regression models were SISST-based = 0.7SIeffort-SST + 0.3 SICPUE-SST, and SISSHA-based =0.5Sleffort-SSHA + 0.5SICPUE-SSHA, respectively, showing that fishing effort is more important than CPUE in the estimation of SI. The best HSI model was the AWM, defined as HSI=0.3SISSHA-based+ 0.7SISSHA-based, indicating that SSHA is more important than SST in estimating the HSI of squid. In 2004, monthly HSI values greater than 0.6 coincided with the distribution of productive fishing ground and high CPUE in June and July, suggesting that the models perform well. The proposed model provides an important tool in our efforts to develop forecasting capacity of squid spatial dynamics.