Study on the Application of Refined Nursing Care in The Care for Elderly Patients with Reflux Esophagitis

Objective: To investigate the application effect of refined nursing care in the care for elderly patients with reflux esophagitis. Methods: Following the difference in nursing style, 84 cases of elderly patients with reflux esophagitis admitted to our hospital from May 2022 to May 2023 were randomly grouped into a control group and a research group, with 42 cases each. The control group was given conventional nursing care and the research group was given refined nursing care. The psychological state and treatment adherence of the two groups of patients after the nursing intervention were compared. Results: After the nursing intervention, the self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores of the research group were lower than those of the control group (P < 0.05). The treatment compliance of the research group was better than the control group (P < 0.05). Conclusion: The implementation of refined nursing care for elderly patients with reflux esophagitis exhibited a significant effect on improving the patient’s psychological state, treatment compliance, and rehabilitation.

Evaluation of the Impact of Refined Quality Control Management Model on the Qualified Rate of Disinfection and Sterilization of Surgical Instruments in the Sterilization Supply Center

Objective:To evaluate the application value of a refined quality control management model for a sterilization supply center.Methods:A retrospective analysis was conducted on the work situation of the sterilization supply center from January 2021 to January 2023.The work situation before January 31,2022,was classified as the control group;a routine quality control management model was implemented,and the work situation after January 31,2022,was classified as the observation group.The quality of medical device management and department satisfaction between the two groups were compared.Results:The timely recovery and supply rate,classification and cleaning pass rate,disinfection pass rate,packaging pass rate,sterilization pass rate,and department satisfaction score in the observation group were all higher than those of the control group(P<0.05).Conclusion:Implementing a refined quality control management model in the sterilization supply center can improve the quality management level of medical devices and department satisfaction and is worthy of promotion.

Refined Anam-Net:Lightweight Deep Learning Model for Improved Segmentation Performance of Optic Cup and Disc for Glaucoma Diagnosis

In this work,we aim to introduce some modifications to the Anam-Net deep neural network(DNN)model for segmenting optic cup(OC)and optic disc(OD)in retinal fundus images to estimate the cup-to-disc ratio(CDR).The CDR is a reliable measure for the early diagnosis of Glaucoma.In this study,we developed a lightweight DNN model for OC and OD segmentation in retinal fundus images.Our DNN model is based on modifications to Anam-Net,incorporating an anamorphic depth embedding block.To reduce computational complexity,we employ a fixed filter size for all convolution layers in the encoder and decoder stages as the network deepens.This modification significantly reduces the number of trainable parameters,making the model lightweight and suitable for resource-constrained applications.We evaluate the performance of the developed model using two publicly available retinal image databases,namely RIM-ONE and Drishti-GS.The results demonstrate promising OC segmentation performance across most standard evaluation metrics while achieving analogous results for OD segmentation.We used two retinal fundus image databases named RIM-ONE and Drishti-GS that contained 159 images and 101 retinal images,respectively.For OD segmentation using the RIM-ONE we obtain an f1-score(F1),Jaccard coefficient(JC),and overlapping error(OE)of 0.950,0.9219,and 0.0781,respectively.Similarly,for OC segmentation using the same databases,we achieve scores of 0.8481(F1),0.7428(JC),and 0.2572(OE).Based on these experimental results and the significantly lower number of trainable parameters,we conclude that the developed model is highly suitable for the early diagnosis of glaucoma by accurately estimating the CDR.

Long-term Development Prospects and Suggestions for Domestic Refined Oil Market

Over the past decade,China’s refined oil market has experienced considerable growth and fluctuations.Gasoline consumption has generally followed the growth rate of vehicle equipment,with fluctuations influenced by travel frequency;aviation fuel consumption has seen stable growth following the end of COVID-19,while diesel consumption has been affected by multiple factors including demand and policy.With the rapid development of new energy vehicles and alternative fuels,the gasoline and diesel market has essentially peaked,yet domestic production of refined oil continues to grow,leading to an increasingly prominent oversupply issue.To achieve the dual carbon goals,the Chinese government has introduced a series of policies that have a profound impact on the refined oil market.Facing resource surplus and market demand changes,the refining industry needs to optimize production capacity structure,and oil products retail companies face transformation pressure.The article aims to provide market analysis and recommendations,serving as a reference for relevant enterprises and policymakers.

Impact of early refined nursing program on prognosis of middleaged and elderly patients with cognitive dysfunction combined with cerebral infarction

BACKGROUND Cerebral infarction is a local or extensive necrosis of brain tissue.Subsequently,the corresponding neurological deficits appear.The incidence of cerebrovascular diseases in China is increasing gradually.After the onset of cerebrovascular disease,the most common sequelae include movement disorders,language disorders,and cognitive dysfunction.AIM To investigate the effect of early refined nursing program on the prognosis of middle-aged and elderly patients with cerebral infarction combined with cognitive dysfunction.METHODS A retrospective study was conducted to divide 60 patients with cerebral infarction and cognitive impairment into an experimental group(n=32)and a control group(n=28).The experimental group received early intensive care every day,and the control group received daily routine care.The scores of the Mini-Mental State Examination(MMSE)and the Trail Making Test(TMT),as well as the latency and amplitude of the event-related potential P300,were used as main indicators to evaluate changes in cognitive function,and changes in BDNF,TGF-β,and GDNF expression were used as secondary indicators.RESULTS Both groups experienced notable enhancements in MMSE scores,with the experi-mental group demonstrating higher scores than the control group(experimental:28.75±2.31;control:25.84±2.87).Moreover,reductions in TMT-A and TMT-B scores were observed in both groups(experimental:TMT-A 52.36±6.18,TMT-B 98.47±10.23;control:TMT-A 61.48±7.92,TMT-B 112.63±12.55),with the experimental group displaying lower scores.P300 Latency decreased(experimental:270.63 ms±14.28 ms;control:285.72 ms±16.45 ms),while amplitude increased(experimental:7.82μV±1.05μV;control:6.35μV±0.98μV)significantly in both groups,with superior outcomes in the experimental cohort.Additionally,the levels of the growth factors BDNF,TGF-β1,and GDNF surged(experimental:BDNF 48.37 ng/mL±5.62 ng/mL,TGF-β152.14 pg/mL±4.28 pg/mL,GDNF 34.76 ng/mL±3.89 ng/mL;control:BDNF 42.58 ng/mL±4.73 ng/mL,TGF-β146.23 pg/mL±3.94 pg/mL,GDNF 30.25 ng/mL±2.98 ng/mL)in both groups,with higher levels in the experimental group.CONCLUSION For middle-aged and elderly patients with cerebral infarction and cognitive dysfunction,early refined nursing can significantly improve their cognitive function and prognosis.

From“Car Priority”to“People Priority”: Exploring New Ideas for Refined Road Space Design

Roads are crucial public spaces in cities and serve as a window to showcase the city’s characteristics.They serve not only as a means of urban transportation but also as a crucial spatial carrier for urban communication activities and a significant location for meeting the increasing demands of people for a better quality of life.The current road infrastructure prioritizes the right of way for cars,neglecting the design of sidewalks and green belts within the road’s boundaries,and extension spaces between buildings and boundary lines of roads.There is a pressing need to improve street space in response to the demand for development transformation and the creation of a warmer city.This paper summarizes common problems in current road spaces,draws on the experience of excellent urban road spaces in foreign countries,discusses new ideas for the refined design of road spaces based on the transformation of road planning concepts,and suggests a reference standard for guiding detailed design.Simultaneously,the review of road construction will incorporate the detailed design of road space to enhance the role of planning in guiding and controlling the construction of road works.

Inhibition of Propionibacterium acnes by refined bamboo vinegar and preparation of the slow-release system with bamboo charcoal as the carrier

Background:Acne vulgaris is one of the most common skin diseases that can significantly impact a considerable proportion of individuals over their lifetime.Objective:This study focuses on the exploration of the application potential of bamboo vinegar in cosmetics.Materials and Methods:The stock solution of bamboo vinegar is subjected to reduced-pressure distillation at different temperatures to obtain refined bamboo vinegar.Then,inhibition of Propionibacterium acnes(P.acnes)by refined bamboo vinegar is observed.Moreover,the refined bamboo vinegar is adsorbed and released with activated bamboo charcoal as the carrier.In all,this study aims to probe into the mechanism of the controlledrelease system of bamboo vinegar.Results:The results shows that the harmful substances(tar)in bamboo vinegar distilled at 70℃decreased by 94.44%,which is a more notable decrease compared with that in the stock solution.The total organic acid content in bamboo vinegar after reduced-pressure distillation is 11.840%,reaching the national standard for refined bamboo vinegar(GB/T 31734–2015).Additionally,the minimum inhibitory concentration of refined bamboo vinegar against P.acnes using the punch method is 7.90 mg/mL.This indicates that refined bamboo vinegar has the potential as a prospective raw material for formulations in anti-acne cosmetic products.Furthermore,the release rate of bamboo charcoal/bamboo vinegar in water for 15 min reaches 70.57%,which then slows down to a plateau.The slow-release behavior is agreed with the Ritger-Peppas model and is beneficial to relieve the irritation of bamboo vinegar to the skin and lengthen its bacteriostatic duration.Conclusion:The foregoing conclusions can serve as the theoretical foundation for the application of bamboo vinegar in anti-acne cosmetics.

Exploring the Application of Refined Management in University Financial Management

The refined management of university finances primarily involves optimizing management methods and continuously improving financial management levels.This process helps enhance fund utilization efficiency,optimize resource allocation,ensure the rational use of educational funds,and provide solid financial support for the development of teaching,research,and other university undertakings.This paper explores the application of refined management in university financial management.

Performance characterization, of rigid polyurethane foam with refined alkali lignin and modified alkali lignin

The two kinds of rigid polyurethane （PU） foams were prepared with respectively adding the refined alkali lignin and alkali lignin modified by 3-chloro-1,2-epoxypropane to be instead of 15% of the polyether glycol in weight. The indexes of mechanical performance, apparent density, thermal stability and aging resistance were separately tested for the prepared PU foams. The results show that the mechanical property, thermal insulation and thermal stability for PU foam with modified alkali lignin are excellent among two kinds of PU foams and control samples. The additions of the refined alkali lignin and modified alkali lignin to PU foam have little effect on the natural aging or heat aging resistance except for decreasing hot alkali resistance apparently. Additionally, the thermal conductivity of modified alkali lignin PU foam is lowest among two kinds of PU foams and control samples. The alkali lignin PU foam modified by 3-chloro-1,2-epoxypropane could be applied in the heat preservation field.

Boxcar滤波器和极化Refined Lee滤波器对极化SAR分类精度影响的评估

本文阐述了Boxcar滤波器和极化Refined Lee滤波器的滤波原理,比较了两种滤波器的滤波效果。通过滤波后的极化图像分类精度的比较发现,滤波能显著提高监督分类的精度,滤波是提高分类精度必不可少的技术环节,Boxcar滤波在提高分类精度方面要优于Refined Lee滤波,此外滤波窗口的大小对分类精度也有重要的影响。

River-Net:面向河道提取的Refined-Lee Kernel深度神经网络模型

高精度提取合成孔径雷达(SAR)图像中的河流边界,对河流水势监测具有重要意义。以检测郑州7·20暴雨后黄河的健康状况为实施例,该文融合精致Lee滤波思想与卷积操作的滤波特性,提出了基于河道几何特性的优化内部权值卷积核Refined-Lee Kernel,进而提出了一种新型河道提取深度神经网络模型,即River-Net。为验证所提模型的有效性,该文获取了郑州7·20暴雨前后两景欧空局Sentinel-1卫星20 m分辨率干涉宽幅(IW)影像数据,利用暴雨前的影像对模型进行训练,用于提取暴雨后的黄河河道,分析黄河在暴雨后的涨势情况。实验结果表明,相比主流语义分割模型,所提模型能够更精确地在SAR图像中提取河道,对洪水灾害的检测与评估有重要应用价值。

REFINED HYBRID MINDLIN PLATE ELEMENT FOR GEOMETRICALLY NON LINEAR ANALYSIS

Based upon a generalized variational principle, which relaxed the inter element continuity requirements, a novel refined hybrid Mindlin plate element is developed, its non linear element stiffness matrices are decomposed into a series of matrices with respect to the assumed strain modes. The formulation presented in this paper is different from any other non linear mixed/hybrid element formulation all successful experience of linear hybrid formulation is absorbed into the formulation(adding non conforming modes and realizing orthogonalization) Numerical results show that the present approach is more effective than any other non linear hybrid element formulation over the accuracy and computational efficiency. In addition, non conforming modes can also overcome the shear locking effect.

Study of ultrahigh-purity copper billets refined by vacuum melting and directional solidification

The purpose of this paper is to study large-sized copper billets refined with 5N ultrahigh purity after vacuum melting and directional solidifi-cation （VMDS）. The precise impurity analysis of copper billets was carried out with a glow discharge mass spectrometer （GDMS）. The re-sults demonstrate that the total concentration of twenty-two impurities is decreased by 63.1wt.%-66.5 wt.%. Ag, P, S, Na, Mg, Se, Zn, In and Bi are easy to be removed due to lgPimp - lgPCu 1.5, and they can be removed effectively under the vacuum condition of 1650-1700 K for 30 min. The electrical conductivity of 5N copper is higher than that of the raw material as the impurity concentrations decrease. The segrega-tion effect in directional solidification can be remarkable when the equilibrium distribution coefficient （k0） value is less than 0.65 due to the strong affinity of Cu for some metallic and non-metallic impurities.

Study on non-metallic inclusions in Al killed high strength alloy steel refined by high basicity and high Al_2O_3 content slag

Laboratory and industrial studies were carried out to investigate non-metallic inclusions in high strength alloy steel refined by high basicity and high Al_2O_3 slag.It was found that the steel/slag reaction time largely affected non-metallic inclusions.With the reaction time increased from 30 min to 90 min in laboratory study,MgO-Al_2O_3 spinels were gradually changed into CaO-MgO-Al_2O_3 system inclusions surrounded by softer CaO-Al_2O_3 surface layers.By using high basicity slag which contained as much as 41%Al_2O_3 in the laboratory study,ratio of low melting temperature CaO-MgO-Al_2O_3 system inclusions was remarkably increased to above 80%.In the industrial experiment,during the secondary refining,the inclusions changed in order of 'Al_2O_3→MgO-Al_2O_3→CaO-MgO-Al_2O_3'.Through the LF and RH refining,most inclusions could be transferred to lower melting temperature CaO-Al_2O_3 and CaO-MgO-Al_2O_3 system inclusions.

Can regional economy influence China's water use intensity?:based on refined LMDI method

China experienced a decline of water use intensity in the 11th Five Year Plan,but the water use intensity actually increased in 2009.To the best of our knowledge,the index decomposition analysis method was rarely used to analyze changes in water use,and no decomposition analysis has investigated the role of regional economy in the decline of water use intensity.In this paper,we use logarithmic mean Divisia index(LMDI)techniques to decompose the change of water use intensity in the period 2006-2010.We find that the change of industrial water use intensity is confirmed as the dominant contributor to the decline in the overall water use intensity;the regional structure effect and the industrial structure effect is positive to the decline of overall water use intensity;the decline of China's water use intensity is mainly attributed to the effect of developed eastern provinces;meanwhile,the effect of central and undeveloped western is also positive to the decline of overall water use intensity;at least one out of three effects is positive to the decline of water use intensity in the different provinces;the intensity effect is positive and the industrial structure effect is positive to the declines of China's water use intensity based on chaining approach except the period 2008-2009,individually;and the deviation of regional structure effect and industrial structure effect between with regional economy and without regional economy in LMDI is 0.9 and2.3 m^3/10~4 RMB,respectively.

Modelling of an hydraulic excavator using simplifiedrefined instrumental variable(SRIV)algorithm

Instead of establishing mathematical hydraulic system models from physical laws usually done with the problems of complex modelling processes, low reliability and practicality caused by large uncertainties, a novel modelling method for a highly nonlinear system of a hydraulic excavator is presented. Based on the data collected in the excavator＇s arms driving experiments, a data-based excavator dynamic model using Simplified Refined Instrumental Variable （SRIV） identification and estimation algorithms is established. The validity of the proposed data-based model is indirectly demonstrated by the performance of computer simulation and the.real machine motion control exoeriments.

Refined Jensen-Based Multiple Integral Inequality and Its Application to Stability of Time-Delay Systems

This paper investigates the stability of time-delay systems via a multiple integral approach. Based on the refined Jensen-based inequality, a novel multiple integral inequality is proposed. Applying the multiple integral inequality to estimate the derivative of Lyapunov-Krasovskii functional(LKF) with multiple integral terms, a novel stability condition is formulated for the linear time-delay systems. Two numerical examples are employed to demonstrate the improvements of our results.

A new higher-order shear deformation theory and refined beam element of composite laminates

A new higher-order shear deformation theory based on global-local superposition technique is developed. The theory satisfies the free surface conditions and the geometric and stress continuity conditions at interfaces. The global displacement components are of the Reddy theory and local components are of the internal first to third-order terms in each layer. A two-node beam element based on this theory is proposed. The solutions are compared with 3D-elasticity solutions. Numerical results show that present beam element has higher computational efficiency and higher accuracy.

A two variable refined plate theory for the bending analysis of functionally graded plates

Bending analysis of functionally graded plates using the two variable refined plate theory is presented in this paper.The number of unknown functions involved is reduced to merely four,as against five in other shear deformation theories. The variationally consistent theory presented here has, in many respects,strong similarity to the classical plate theory. It does not require shear correction factors,and gives rise to such transverse shear stress variation that the transverse shear stresses vary parabolically across the thickness and satisfy shear stress free surface conditions.Material properties of the plate are assumed to be graded in the thickness direction with their distributions following a simple power-law in terms of the volume fractions of the constituents.Governing equations are derived from the principle of virtual displacements, and a closed-form solution is found for a simply supported rectangular plate subjected to sinusoidal loading by using the Navier method.Numerical results obtained by the present theory are compared with available solutions,from which it can be concluded that the proposed theory is accurate and simple in analyzing the static bending behavior of functionally graded plates.

A Refined Method for Estimating the Annual Extreme Wave Heights at A Project Site

This paper presents a refined method for estimating the annual extreme wave heights at a coastal or offshore project site on the basis of the data acquired at some nearby routine hydrographic stations. This method is based on the orthogonality principle in linear mean square estimation of stochastic processes. The error of the method is analyzed and compared with that of the conventional method. It is found that the method is able to effectively reduce the error so long as some feasible measures are adopted. A simulated test of the method has been conducted in a large scale wind wave flume. The test results are in good agreement with those given by theoretical error analysis. A scheme to implement the method is proposed on the basis of error analysis. The scheme is so designed as to reduce the estimation error as far as possible. This method is also suitable to utilizing satellite wave data for the estimation.