循证护理在降低肺癌患者PORT并发症中的应用效果

目的:评估循证护理在降低肺癌患者植入式静脉输液港(PORT)相关并发症中的应用效果。方法:选取2021年1月—2023年6月江苏省肿瘤医院确诊肺癌并行PORT植入化疗的150例患者,根据护理方式的不同分为对照组和观察组,每组75例。对照组给予常规护理,观察组给予循证护理。比较两组的并发症发生率、情绪状态、知识掌握度评分。结果:观察组PORT相关性并发症总发生率低于对照组,差异有统计学意义(P<0.05)。护理前,两组不良情绪评分比较,差异无统计学意义(P>0.05);护理后,观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组,差异有统计学意义(P<0.05)。观察组知识掌握度评分均高于对照组,差异有统计学意义(P<0.05)。结论:循证护理在降低肺癌患者PORT并发症发生率、改善患者心理状态和生活质量方面效果显著,值得临床中应用。

Dual-channel redox reactions for photocatalytic H_(2)-evolution coupled with photoreforming oxidation of waste materials

Dual-channel redox reaction system is advantageous for photocatalytic hydrogen(H_(2))production when coupled with photoreforming oxidation of waste materials,benefiting both thermodynamically and kinetically.However,existing reviews primarily focus on specific oxidation reactions,such as oxidative organic synthesis and water remediation,often neglecting recent advancements in plastic upgrading,biomass conversion,and H_(2)O_(2)production,and failing to provide an in-depth discussion of catalytic mechanisms.This review addresses these gaps by offering a comprehensive overview of recent advancements in dual-channel redox reactions for photocatalytic H_(2)-evolution and waste photoreforming.It highlights waste-to-wealth design concepts,examines the challenges,advantages and diverse applications of dual-channel photocatalytic reactions,including photoreforming of biomass,alcohol,amine,plastic waste,organic pollutants,and H_(2)O_(2)production.Emphasizing improvement strategies and exploration of catalytic mechanisms,it includes advanced in-situ characterization,spin capture experiments,and DFT calculations.By identifying challenges and future directions in this field,this review provides valuable insights for designing innovative dual-channel photocatalytic systems.

Research on Alliance Decision of Dual-Channel Remanufacturing Supply Chain Considering Bidirectional Free-Riding and Cost-Sharing

This study delves into the formation dynamics of alliances within a closed-loop supply chain(CLSC)that encom-passes a manufacturer,a retailer,and an e-commerce platform.It leverages Stackelberg game for this exploration,contrasting the equilibrium outcomes of a non-alliance model with those of three differentiated alliance models.The non-alliance model acts as a crucial benchmark,enabling the evaluation of the motivations for various supply chain entities to engage in alliance formations.Our analysis is centered on identifying the most effective alliance strategies and establishing a coordination within these partnerships.We thoroughly investigate the consequences of diverse alliance behaviors,bidirectional free-riding and cost-sharing,and the resultant effects on the optimal decision-making among supply chain actors.The findings underscore several pivotal insights:(1)The behavior of alliances within the supply chain exerts variable impacts on the optimal pricing and demand of its members.In comparison to the non-alliance(D)model,the manufacturer-retailer(MR)and manufacturer-e-commerce platform(ME)alliances significantly lower both offline and online resale prices for new and remanufactured goods.This adjustment leads to an enhanced demand for products via the MR alliance’s offline outlets and the ME alliance’s online platforms,thereby augmenting the profits for those within the alliance.Conversely,retailer-e-commerce platform(ER)alliance tends to increase the optimal retail price and demand across both online and offline channels.Under specific conditions,alliance behavior can also increase the profits of non-alliance members,and the profits derived through alliance channels also exceed those from non-alliance channels.(2)The prevalence of bidirectional free-riding behavior largely remains constant across different alliance configurations.Across these models,bidirectional free-riding typically elevates the equilibrium prices in offline channel while negatively affecting the equilibrium prices in other channel.(3)The effect of cost-sharing shows relative uniformity across the various alliance models.Across all configurations,cost-sharing tends to reduce the manufacturer’s profits.Nonetheless,alliances initiated by the manufacturer can counteract these negative impacts,providing a strategic pathway to bolster CLSC profitability.

基于port write事件触发的RapidIO节点动态管理方法

针对现有大规模的综合化电子信息系统中RapidIO节点管理实时性不强、CPU资源占用多的问题,提出了一种基于port write事件触发的RapidIO节点动态管理方法。该方法利用RapidIO交换芯片的port write包上报退网或者入网的节点信息,通过该信息动态管理RapidIO网络中的所有节点。工程应用实测结果表明,该方法实时性高,CPU资源占用少。

Basilic vein variation encountered during surgery for arm vein port:A case report

BACKGROUND Venous variations are uncommon and usually hard to identify,and basilic vein variation is particularly rare.Basilic vein variation usually presents without any clinical symptoms and is often regarded as a benign alteration.This case was a patient with congenital basilic vein variation encountered during surgery for an infusion port.CASE SUMMARY We documented and analyzed an uncommon anatomical variation in the basilic vein encountered during arm port insertion.This peculiarity has hitherto remained undescribed in the literature.We offer remedial strategies for addressing this anomaly in the future and precautionary measures to circumvent its occurrence.We conducted a comprehensive review of analogous cases in the literature,offering pertinent therapeutic recommendations and solutions,with the aim of enhancing the efficacy and safety of future arm port implantations.CONCLUSION Venous variation is rare and requires detailed intraoperative and postoperative examination to ensure accuracy,so as not to affect subsequent treatment.

The Impact of Privatization on Terminal Efficiency: A Case Study of Tema Port

Port and terminal efficiency are of utmost importance to the container shipping industry due to their significance in enhancing the competitive advantage of ports within a region. Consequently, there have always been notable variations of studies around it. This paper analyzes the impact of privatization on terminal efficiency using the Port of Tema as a Case Study. The main objective of this paper is to analyze the efficiency trends of the public and private terminals in the port over the years. To achieve this objective, DEA-CCR methodology was employed to calculate the annual technical efficiency trends of the private and public terminals using four input variables and three output variables. The main results of the paper indicated that the public and private terminals were efficient for multiple years. However, the efficiency scores over the years demonstrated inconsistency, exhibiting notable fluctuations. The findings of this study will aid policymakers across the region on policies relating to the efficiency and ownership structure of ports and terminals.

AGV Scheduling Optimization of Automated Port Based on Disruption Management

The recent rapid development of China’s foreign trade has led to the significant increase in waterway transportation and automated container ports. Automated terminals can significantly improve the loading and unloading efficiency of container terminals. These terminals can also increase the port’s transportation volume while ensuring the quality of cargo loading and unloading, which has become an inevitable trend in the future development of ports. However, the continuous growth of the port’s transportation volume has increased the horizontal transportation pressure on the automated terminal, and the problems of route conflicts and road locks faced by automated guided vehicles (AGV) have become increasingly prominent. Accordingly, this work takes Xiamen Yuanhai automated container terminal as an example. This work focuses on analyzing the interference problem of path conflict in its horizontal transportation AGV scheduling. Results show that path conflict, the most prominent interference factor, will cause AGV scheduling to be unable to execute the original plan. Consequently, the disruption management was used to establish a disturbance recovery model, and the Dijkstra algorithm for combining with time windows is adopted to plan a conflict-free path. Based on the comparison with the rescheduling method, the research obtains that the deviation of the transportation path and the deviation degree of the transportation path under the disruption management method are much lower than those of the rescheduling method. The transportation path deviation degree of the disruption management method is only 5.56%. Meanwhile, the deviation degree of the transportation path under the rescheduling method is 44.44%.

Seroprevalence Survey of HIV and Hepatitis B Virus and Behavioral Characteristics among Heavy Truck Drivers along Port Sudan-Khartoum Highways

The prevalence of human immunodeficiency virus (AIDS) and hepatitis B virus among heavy truck drivers and their assistants has been well documented globally in correlation with their behavioral characteristics. The present study aimed to screen for human immunodeficiency virus (HIV), hepatitis B virus (HBV), and behavioral characteristics among heavy truck drivers in Port Sudan. A cross-sectional study was conducted on 274 heavy truck drivers and their assistants who used the highway Port Sudan-Khartoum in Port Sudan city during 2019-2021. Data on behavioral characteristics and substance use habits were collected using a structured questionnaire, and an ELISA test was used to screen for HIV and HBV infections in the study participants. The chi-square test, odds ratio, and confidence intervals were used to find the association between behavioral characteristics and seropositive HIV/HBV. Of the 274 enrolled participants, the seroprevalence rates of HIV were 2.7% and HBV was 23.7%. Ninety-four (34.3%) of them had a history of high-risk sexual behavior outside of marriage;only two (0.7%) used condoms;14.2% of participants reported alcohol use;and 1.1% reported drug use. Univariate analysis revealed that having a sex history outside of marriage with ≥1 sex partner and never using a condom with a spouse or casual partner were significant risk factors for HIV and HBV among drivers. Fortunately, we found that most of the drivers reported low alcohol and drug use. Concerning this study, the seroprevalence of HIV and HBV is highly associated with a history of having sex outside of marriage and sexual behavior among truck drivers and assistances. Additional studies are needed to further investigate other STIs and behavioral characteristics associated with factors in truck drivers/assistance in different truck stop regions in Sudan.

Function Evolution and Landscape Planning Strategy of Inland Rivers in Beilun Port City of Ningbo

In the history, the main roles of inland rivers in Beilun Port City of Ningbo were desalination,blocking tides, shipping, and flood control. Nowadays, with the continuous spread and deepening ofurbanization, the ecological environment of river courses has been destroyed. In the past, remediationmeasures based on engineering and technology played a certain role, but can not “cure the root cause”. Itshould respect the historical evolution process of river courses, and highlight the ecological service functionand leisure tourism value of river courses from the coordination perspective of urban and rural ecologicalenvironment, economic industries, society and culture in the planning ideas of ecology, production, andlife integration. Four aspects of the measures are as below: protecting and repairing the ecological matrixof river courses;building green space system and maintaining flood control functions through the waternetwork;protecting cultural heritage along the rivers;developing waterfront leisure tourism scenic area.

Impact of Hinterland Manufacturing on the Development of Container Ports: Evidence from the Pearl River Delta, China

Container ports and hinterland manufacturing are two important forces of the local participation in economic globalization.This study,taking the Pearl River Delta(PRD),China with an export-oriented economy as an example,applies Huff and panel regres-sion models to evaluate the impact of hinterland manufacturing on the development of container ports during the period of 1993–2019.The results show that 1)the spatial patterns of hinterlands for hub ports help to determine the distribution range and scale of economic variables that affect port throughput;2)the hinterland’s gross manufacturing output has universally positive influence on port through-put,wherein export-oriented processing and the entire manufacturing industry have significantly positive impact on port throughput in 1993–2011 and 2001–2019,respectively;3)the two internal structural factors related to an export-oriented economy,labor-intensive sectors and foreign-funded terminals,have positively moderate the direct influence of hinterland manufacturing on port throughput.Our results highlight the importance of local context in understanding port-manufacturing relationship in developing economies.Based on our findings,policy implications are further proposed to enhance port network organization in PRD.

Impact of coupling coordination development of port and city environments on urban economic competitiveness:Evidence from the coastal port cities in eastern China

Promoting the coupling coordination development of port and its hinterland city environments is an important way to improve urban economic competitiveness.Based on relevant data of 13 coastal port cities in eastern China from 2000 to 2018,this study explores the coupling coordination development of port and city environments and its impact on urban economic competitiveness by constructing the coupling coordination degree model and the panel threshold model.The research results show that:(1)In terms of the coupling coordination development of port and city environments,most coastal ports and their hinterland cities are in a state of moderate or serious disorder.Overall,the degree of coupling coordination of port and city environments needs to be further improved;(2)The coupling coordination degree of port and city environments has a significant impact on urban economic competitiveness,and this effect gradually increases with the development of the ports and the urban economy.Among the variables that impact the urban economic competitiveness,fixed assets investment and foreign trade are significant factors that can enhance urban economic competitiveness.(3)At present,there is a“U-shaped”relationship between the coupling coordination degree of port-city environments and the urban economic competitiveness.This relationship lies on the right side of the inflection point of the“U-shaped”curve.Therefore,following the concept of assigning priority to ecological development,expanding fixed assets investment and actively developing foreign trade can further enhance the urban economic competitiveness.

Results Analysis of Surveys Made to Stakeholders in the Pacific Ports in the Panama Canal:A Study Focused to Improve the Efficiency of Loading/Discharging Operations

This research aims to analyze the communication process between the different participating actors in the port of Balboa,in the Panamanian Pacific.The starting hypothesis begins with the normal operation of the port itself.Considering which strategic actions have potential development and which specific strategic actions are proposed for their improvement,the article begins with a discussion of the nature of ports in Panama and their relationships with the Panama Canal,followed by a literary review of all the effects that climate change may have on navigation on the Panamanian Pacific coast.Next,the implication between the coordination and cooperation between the port,the Panama Canal pilots,and the other actors involved with the arrival and departure of vessels from the port will be analyzed.In a third part,the results of the perception of a significant sample of these actors who were surveyed,which are related to the process,are presented.The document concludes with recommendations on how the Panamanian Pacific port can improve its individual interests through the application of improvements derived from the results of the surveys,for more efficient inter-institutional coordination and cooperation.

Exploration of the Construction of Economic Service Trade System under the Background of Hainan Free Trade Port

China has a large population,a large middle-income group,and a wide consumer market coverage.In the context of economic globalization,the connection between the Chinese economy and the world industrial chain has been further strengthened,contributing to the development of the global economy.Under the background of the Hainan Free Trade Port,building an economic service trade system will help to create a new highland for economic service trade,promote the development of China’s service trade,and facilitate the rational allocation of resources on a global scale.Because of this,the article will analyze the opportunities for building an economic service trade system and the challenges of building an economic service trade system under the background of Hainan Free Trade Port,and focus on analyzing the path strategies for building an economic service trade system to create a high-level new highland of service trade and actively face the challenges of era development and economic upgrading[1].

Innovative Exploration and Research on International Exchange and Cooperation Mechanisms under the Background of Hainan Free Trade Port

In order to explore and foster innovation in international exchange and cooperation,this study focuses on the background of the construction of the Hainan Free Trade Port.It delves into the current development status,characteristic demands,and potential challenges of its international exchange and cooperation mechanisms.Through a comprehensive analysis of relevant cases,survey questionnaires,and literature,this study aims to provide feasible innovative models and recommendations to promote the sustained development of the Hainan Free Trade Port in the field of international exchange and cooperation,injecting new vitality into China’s economic globalization.This exploration contributes to a deeper understanding of the development of free trade ports and provides insights and references for other countries and regions.

经单一切口腹腔镜手术系统(SILS-Port系统)胸、腹腔镜联合在食管癌根治术中的应用

目的探讨经单一切E1腹腔镜手术系统（SILS—Port系统）胸、腹腔镜联合在食管癌根治术中的应用。方法2011年8月～2013年5月我科经SILS—Port系统施行胸、腹镜联合食管癌根治术5例。肩胛听诊三角区第6肋间为观察孔，胸腔镜下两操作孔游离胸段食管及清扫淋巴结，通过SILS系统，腹腔镜下两孔游离胃及清扫淋巴结，胃上提至颈部与食管吻合。结果手术过程顺利，围手术期无死亡。腔镜手术时间（296．0±24．1）min，术中出血量（114±40）ml，术后胸、腹腔引流时间均是（1．2±0．4）d。术后第3天疼痛评分（2．2±0．8）分。5例分别清扫淋巴结9、8、6、5、7枚，其中2枚阳性。5例分别随访10、22、8、16、3个月，1例术后16个月肿瘤复发转移，无死亡。结论经SILS-Port系统胸、腹腔镜联合根治性切除早期、无明显外侵的中下段食管癌，创伤小，出血少，安全可靠。

Ecological risk assessment of heavy metals in sediments of Xiawan Port based on modified potential ecological risk index

Modified potential ecological risk index （MRI） was proposed based on the potential ecological risk index （RI） and risk assessment code （RAC） by modifying an index. The modified index was relevant to the chemical speciation of heavy metals. Xiawan Port, a typical region contaminated by industrial production, was selected as a case study area. The total concentrations and chemical speciation of heavy metals in sediments of Xiawan Port were analyzed. The experimental data indicate that Xiawan Port is seriously polluted by heavy metals, especially by Cd. The risks of heavy metals are evaluated by RI, RAC and MRI, respectively. The resluts of MRI show that the risks of heavy metals are in the decreasing order of Cd〉Pb〉Cu〉Zn. Comparison of results by different methods reveals that MRI integrates the characters of RI and RAC. MRI is recognized to be useful for risk managemnt of heavy metals in sediments.

I/O Port软件模拟三线SPI通信时序

SPI是一种高速、全双工、同步的串行通信接口.由于其简单易用的特性,现在越来越多的外围芯片集成了这种通信协议.但在实际应用中有相当一部分MCU因为自身不具备SPI接口而限制了其在SPI总线器件中的使用,出于产品体积、成本和可扩展性等方面的考虑,设计人员往往希望使用不具备SPI接口的MCU去控制具备SPI接口的外围器件.笔者介绍了SPI总线的特征和时序,给出了利用I/O Port软件方式模拟三线SPI通信时序以实现串行通信的方法和程序流程.

阿尔兹海默症患者应用PICC与PORT的效果比较

目的比较阿尔兹海默症患者应用PICC与PORT的效果。方法选择阿尔兹海默症患者60例,分为PICC组和PORT组各30例,2组分别统计导管计划外拔管率、一次置管成功率、导管留置时间、导管留置期间并发症发生率。结果PICC组计划外拔管率30%,PORT组无计划外拔管发生(P<0.05);PICC组一次置管成功率70%,PORT组一次置管成功率36.7%(P<0.05);导管留置1年以上PICC组2例,PORT组30例(P<0.01);PICC组留置期间并发症发生率63.3%,PORT组3.3%(P<0.01)。结论对于阿尔兹海默症患者PORT较PICC作为长期血管通路更为适合,值得临床推广。

基于PORT的巨灾保险衍生品定价的新方法

将极值理论最新成果——超出随机门限值(PORT)方法应用到巨灾保险衍生品定价领域,建立了主要针对大损失小概率索赔的统计定价体系框架,得到了一系列巨灾保险衍生品定价的显式解.该方法由于对标的损失过程的尾部数据进行了更加精确的估计,因此理论上它优于传统的POT方法.

PORT：并行优化重构工具集

ＰＯＲＴ是以ＦＯＲＴＲＡＮ７７源程序为对象的并行优化重构工具集．它以自动并行重构程序为主体，辅以一组优化、静态分析、动态分析和程序执行过程可视化工具．通过良好的用户界面和统一的内部数据结构将它们集成为一个整体．本文介绍ＰＯＲＴ系统的特点、结构和若干关键技术．