A new enhanced inter-cell interference coordination (elCIC) is adopted for managing almost blank sub-frame (ABS),which jointly exploits the time, frequency and power dimensions to improve the resource utilization....A new enhanced inter-cell interference coordination (elCIC) is adopted for managing almost blank sub-frame (ABS),which jointly exploits the time, frequency and power dimensions to improve the resource utilization. In particular, a non-uniform two tier heterogeneous network ( HetNet) is considered, where the pico cells are located close to the macro cell and the number of users in each pico cell is different. To alleviate the interference caused by the co-channeldeployment,the macro cells employ low power ABS (LP- ABS), and the resource blocks (RBs) are divided into twoparts during an ABS. One is exclusively reserved for macro cell users ad the other is reserved for pico cell users. Themacro cells are allowed to use different percentages of RBs and different powers for their own transmission during the LP- ABS. The user association,resource allocation,ABS proportion,the frequency band partition parameter and the transmission power of macro cells are considered, aiming at maximizing the proportional fairness utility of the system. An iterative algorithm is also proposed and simulation results demonstrate that the proposed algorithm can improve both the system throughput and user fairness compared with the existing schemes.展开更多
Improving freight axle load is the most effective method to improve railway freight capability; based on the imported technologies of railway freight bogie, the 27 t axle load side-frame cross-bracing bogie and sub-fr...Improving freight axle load is the most effective method to improve railway freight capability; based on the imported technologies of railway freight bogie, the 27 t axle load side-frame cross-bracing bogie and sub-frame radial bogie are developed in China. In order to analyze and compare dynamic interactions of the two newly developed heavy-haul freight bogies, we establish a vehi- cle-track coupling dynamic model and use numerical calculation methods for computer simulation. The dynamic performances of the two bogies are simulated separately at various conditions. The results show that at the dipped joint and straight line running conditions, the wheel-rail dynamic interactions of both bogies are basically the same, but at the curve negotiation condition, the wear and the lateral force of the side-frame cross-bracing bogie are much higher than that of the sub-frame radial bogie, and the advantages become more obvious when the curve radius is smaller. The results also indicate that the sub- frame radial bogie has better low-wheel-rail interaction characteristics.展开更多
Objective:To explore the role of specialized group management in the quality control of perioperative nursing.Methods:45 surgical nurses from our hospital were selected as the research subjects.Traditional operating r...Objective:To explore the role of specialized group management in the quality control of perioperative nursing.Methods:45 surgical nurses from our hospital were selected as the research subjects.Traditional operating room management was adopted from July 2019 to June 2020,and specialized group management was adopted from July 2020 to June 2021.The surgeon’s satisfaction,surgical nurses’core professional competence,and surgical patients’satisfaction were obtained through surveys and the results were analyzed.Results:Surgeon satisfaction before the implementation of specialized group management was significantly lower than after its implementation(P<0.05).Besides,surgical nurses’core professional competency scores before the implementation of specialized group management were significantly lower than after its implementation(P<0.05).Lastly,surgical patients’satisfaction before the implementation of specialized group management was significantly lower than after its implementation(P<0.05).Conclusion:Specialized group management helps to improve the quality of perioperative care and should be applied in clinical practice.展开更多
Based on the theory of vehicle-track coupling dynamics,the coupling dynamic model of the freight car mounted with the sub-frame bogies and the numerical model of curved track were established,utilizing the fast numeri...Based on the theory of vehicle-track coupling dynamics,the coupling dynamic model of the freight car mounted with the sub-frame bogies and the numerical model of curved track were established,utilizing the fast numerical integration method,the curving performance of the vehicle was simulated to study the influence of the curve geometric parameters such as curve radius,transition curve length and superelevation of outer rail on the wheel-rail dynamic interaction.The simulation results indicate that:(1)Increasing the curve radius can decrease the wheel-rail wear,but the effect will weaken while the curve radius is greater than 800m.(2)If the transition curve length is less than 30m,vibrations will appear at the transition-circle connecting point,and the smaller the transition length,the bigger the vibrations,the worse the wheel-rail wear,but when the length is bigger than 50m,its further variation has very little effect on wheel-rail wear.(3)The superelevation of outer rail can affect the distribution and difference of the inner and outer wheel-rail forces,and too large deficient or excessive superelevation will worsen the wheel-rail wear either.However,an appropriate deficient superelevation of outer rail(e.g.<20mm)is helpful to reduce the wheel-rail wear,which is consistent with the engineering practice of settling a certain deficient superelevation value.展开更多
Pooling,unpooling/specialization,and discretionary task completion are typical operational strategies in queueing systems that arise in healthcare,call centers,and online sales.These strategies may have advantages and...Pooling,unpooling/specialization,and discretionary task completion are typical operational strategies in queueing systems that arise in healthcare,call centers,and online sales.These strategies may have advantages and disadvantages in different operational environments.This paper uses the M/M/1 and M/M/2 queues to study the impact of pooling,specialization,and discretionary task completion on the average queue length.Closed-form solutions for the average M/M/2 queue length are derived.Computational examples illustrate how the average queue length changes with the strength of pooling,specialization,and discretionary task completion.Finally,several conjectures are made in the paper.展开更多
Specialized households serve as the primary units within specialized villages in China,and their capacity to withstand risks and external influences significantly shapes the future trajectory of specialized villages a...Specialized households serve as the primary units within specialized villages in China,and their capacity to withstand risks and external influences significantly shapes the future trajectory of specialized villages and the overall vitality of the rural economy.In this study,we established a measurement indicator system based on the definition of specialized households’resilience,elucidating the logical connection between specialized households’resilience and rural industrial development in China.The musical instrument industry in Lankao County,Henan Province of China,was employed as a case;survey data,the entropy method,and an obstacle diagnosis model were used to examine how instrument production specialized households responded to the challenges posed by Corona Virus Disease 2019(COVID-19)and the tightening of national environmental protection policies,yielding the following key findings:1)there exists substantial variation in the comprehensive resilience levels among different specialized households;2)the ability to learn and adapt is the most significant contributor to the overall resilience level of specialized households;3)technological proficiency and access to skilled talent emerge as pivotal factors influencing specialized households’resilience;4)the positioning of specialized households within the industrial supply chain and the stability of their income have a direct bearing on their resilience level.The influence of specialized households’resilience on industrial development primarily manifests in the following ways:stronger resilience correlates with increased stability in production and sales,fostering a more proactive approach to future actions.However,heightened exposure to the external macroeconomic environment can lead to a higher rate of export reduction.To enhance the development resilience of entities like specialized households and family farms,and to invigorate rural economic development,escalating investments in rural science and technology and prioritizing the training of technical talent become imperative.展开更多
Background: The most prevalent non-communicable disease worldwide is oral health-related disease, with dental caries and periodontal conditions being common. Oral health status significantly impacts overall health and...Background: The most prevalent non-communicable disease worldwide is oral health-related disease, with dental caries and periodontal conditions being common. Oral health status significantly impacts overall health and quality of life. Barriers to dental care affect children with special needs. This study evaluates the oral health status and treatment requirements of people with special needs. Methodology: This descriptive cross-sectional study in Kumasi, Ghana examined oral health status among people, 121 children with special needs over two months, in June-July 2022. Dental caries, periodontal changes, malocclusion, and trauma were assessed. The data was analyzed using SPSS 20.0. Results: The oral health status among people with special needs in this study was generally moderate, with a range from very good to very poor. The prevalence of dental caries was 37%, with a mean DMFT score of 2.82. Periodontal health showed unsatisfactory indicators such as mobile teeth, poor gingival health, high plaque scores, and the presence of halitosis. Conclusion: This descriptive study aimed to provide baseline data on the oral health status of special needs students in Kumasi, addressing the lack of knowledge in this area. It highlighted the importance of dental care in maintaining good oral health and overall well-being in individuals with special needs. Coordinated efforts by dental professionals are needed to provide dental health education and preventive interventions for these children.展开更多
Herein,we employ the threshold energy neutron analysis(TENA)technique to introduce the world's first active interrogation system to detect special nuclear materials(SNMs),including U-235 and Pu-239.The system util...Herein,we employ the threshold energy neutron analysis(TENA)technique to introduce the world's first active interrogation system to detect special nuclear materials(SNMs),including U-235 and Pu-239.The system utilizes a DD neutron generator based on inertial electrostatic confinement(IEC)to interrogate suspicious objects.To detect secondary neutrons produced during fission reactions induced in SNMs,a tensioned metastable fluid detector(TMFD)is employed.The current status of the system's development is reported in this paper,accompanied by the results from experiments conducted to detect 10 g of highly enriched uranium(HEU).Notably,the experimental findings demonstrate a distinct difference in the count rates of measurements with and without HEU.This difference in count rates surpasses two times the standard deviation,indicating a confidence level of more than 96% for identifying the presence of HEU.The paper presents and extensively discusses the proof-of-principle experimental results,along with the system's planned trajectory.展开更多
Low income is the main problem of millions of farmers who are cultivating 4.81 million hectares in the Philippines. This problem is attributed to challenges specifically low yield, low quality of produce, and signific...Low income is the main problem of millions of farmers who are cultivating 4.81 million hectares in the Philippines. This problem is attributed to challenges specifically low yield, low quality of produce, and significant post-harvest losses, particularly in a resource-scarce setting. This study aimed to help increase the farmers’ income in selected towns of Nueva Ecija through the promotion and use of special purpose rice production technology. Twenty (20) farmer-cooperators in three towns of Nueva Ecija were selected to demonstrate the production technology covering a total area of 4.75 hectares during the dry season, and 3.3 hectares during the wet season, both in 2023. Extension modalities such as training, techno-demo establishment, information material and technical assistance provision, and market linkage were undertaken to enhance their knowledge, attitude, and skills on special rice production and enterprise. The study utilized the descriptive quantitative method wherein the data were gathered through surveys, specifically personal interviews. Results showed that 70% of the farmer-cooperators were male and 60% were living below the poverty threshold. The farmers were 53 years old on average and engaged in farming as their primary source of income. The average yield of special purpose rice particularly the CLS-2 variety was higher (6.46 MT/ha and 6.22 MT/ha during dry and wet seasons, respectively) than that of inbred or non-special rice. The income per hectare from special purpose rice production per hectare was Php 75,420.00, which is higher than that of regular rice at Php 29,389.00, giving a higher benefit of Php 46,031.00. The technology adopters and area planted increased (from 6 to 9 and from 1.4 hectares to 2.75 hectares, respectively) in Licab, Nueva Ecija. The opposite was true in Sto. Domingo and Guimba, Nueva Ecija where farmers were discouraged by the marketing issues that arose.展开更多
Under the background of complex international situation,how to build the special geo-economic space of China-Russia bor-der lies in strengthening their foreign trade resilience against external shocks.Based on empiric...Under the background of complex international situation,how to build the special geo-economic space of China-Russia bor-der lies in strengthening their foreign trade resilience against external shocks.Based on empirical evidence from ten prefecture-level China-Russia border regions in Northeast China,this paper analyzed the spatiotemporal evolution of foreign trade resilience under different shocks.Furthermore,through the Panel Regression model,the mechanism of the industrial structure on the foreign trade resilience in contraction period and expansion period was discussed.The results showed that:1)from 2004 to 2021,foreign trade in China-Russia border regions experienced five phases.The overall foreign trade resilience was higher than expected,showing a rising volatility trend,but there was significant spatial heterogeneity in the ability of cities to cope with shocks.2)Highly specialized clusters were mainly concentrated in Yichun,Heihe and Da Hinggan Ling Prefecture,while Mudanjiang and Yanbian performed better in related and unrelated diversification.3)In different stages of economic system evolution,the response mode,degree and result of border foreign trade resilience to regional industrial structure showed obvious stage characteristics.During the contraction period,related diversification was more conducive to improving the resistance through risk spillovers.During the expansion period,specialization played a more significant role in improving regional resilience through self-reinforcing effect.These results are beneficial for expanding the resilience theory,ensuring border economic security and optimizing border industrial investment layout.展开更多
Despite a growing body of literature on smart specialization,the role of public authorities and innovation intermediaries,particularly in developing regions,remains understudied.This research examines one of the first...Despite a growing body of literature on smart specialization,the role of public authorities and innovation intermediaries,particularly in developing regions,remains understudied.This research examines one of the first attempts to apply the smart specialization framework to the development of an innovation strategy outside Europe,specifically in the Pernambuco State,Brazil.We focus on two priority areas(clothing and high-tech automotive components)identified by the state government as key targets for pilot policy experimentation and use different methods,such as social network analysis and content analysis,to interview strategic innovation actors for studying the promotion of innovation and regional development in Pernambuco.Findings highlight how regional governance,collaboration,and trust are shaped by public authorities and innovation intermediaries.The study identifies three key challenges in implementing smart specialization strategy in developing regions:i.e.,achieving effective decentralization,cultivating an innovation culture,and establishing participatory governance mechanisms.The public sector actors act as crucial knowledge brokers and policy intermediaries,facilitating the linkages and partnerships necessary to overcome these challenges.展开更多
BACKGROUND Nutrition recommendations in patients with type 2 diabetes mellitus(T2DM)are to consume rye or integral bread instead of white bread.A positive effect on glucoregulation has been achieved by enriching food ...BACKGROUND Nutrition recommendations in patients with type 2 diabetes mellitus(T2DM)are to consume rye or integral bread instead of white bread.A positive effect on glucoregulation has been achieved by enriching food with various biologically active substances of herbal origin,so we formulated an herbal mixture that can be used as a supplement for a special type of bread(STB)to achieve better effects on postprandial glucose and insulin levels in patients with T2DM.AIM To compare organoleptic characteristics and effects of two types of bread on postprandial glucose and insulin levels in T2DM patients.METHODS This trial included 97 patients with T2DM.A parallel group of 16 healthy subjects was also investigated.All participants were given 50 g of rye bread and the same amount of a STB with an herbal mixture on 2 consecutive days.Postprandial blood glucose and insulin levels were compared at the 30^(th),60^(th),90^(th) and 120th min.A questionnaire was used for subjective estimation of the organoleptic and satiety features of the two types of bread.RESULTS Compared to patients who consumed rye bread,significantly lower postprandial blood glucose and insulin concentrations were found in T2DM patients who consumed STB.No relevant differences were found among the healthy subjects.Subjectively estimated organoleptic and satiety characteristics are better for STB than for rye bread.CONCLUSION STB have better effects than rye bread on postprandial glucoregulation in T2DM patients.Subjectively estimated organoleptic and satiety characteristics are better for STB than for rye bread.Therefore,STB can be recommended for nutrition in T2DM patients.展开更多
BACKGROUND Some patients with coronary atherosclerotic heart disease experience major adverse cardiac events(MACE)and require readmission after Coronary Artery Bypass Grafting(CABG)surgery.This is often attributed to ...BACKGROUND Some patients with coronary atherosclerotic heart disease experience major adverse cardiac events(MACE)and require readmission after Coronary Artery Bypass Grafting(CABG)surgery.This is often attributed to patients'unhealthy lifestyles and dietary habits,inadequate understanding of the disease,and poor disease management compliance.Thus,searching for more targeted nursing intervention models that can enhance patients'self-management abilities and reduce the risk of readmission after CABG surgery is significant.AIM To observe the impact of specialized nursing outpatient case management on patients after CABG surgery.METHODS A total of 103 patients who underwent CABG surgery in our hospital between April 2021 and April 2022 comprised the study sample.The patients were divided into two groups using an odd-even number grouping method.The control group received routine nursing care,while the case management group received specialized nursing outpatient case management.The differences in psychological status,adherence to medical treatment,self-care ability,knowledge mastery,quality of life scores,and the occurrence rate of MACE were compared between the two groups.RESULTS After the intervention,the case management group had lower scores on the selfrating depression scale and self-rating anxiety scale and lower MACE rate,as well as higher scores for adherence to a healthy diet,medication adherence,good lifestyle habits,regular exercise,and timely follow-up,higher scores on the Coronary Heart Disease Self-Management Scale,higher scores for managing adverse habits,symptoms,emotional cognition,emergency response,disease knowledge,general lifestyle,and treatment adherence,higher scores for understanding coronary heart disease,recognizing the importance of medication adherence,understanding selfcare points after CABG surgery,and being aware of post-CABG precautions,higher scores for physical well-being,disease condition,general health,social-psychological well-being,and work-related aspects(P<0.05).CONCLUSION Specialized nursing outpatient case management can enhance patient adherence to medical treatment,knowledge mastery,psychological well-being,and overall quality of life in patients after CABG surgery.展开更多
In this paper,we define a new class of control functions through aggregate special functions.These class of control functions help us to stabilize and approximate a tri-additiveψ-functional inequality to get a better...In this paper,we define a new class of control functions through aggregate special functions.These class of control functions help us to stabilize and approximate a tri-additiveψ-functional inequality to get a better estimation for permuting tri-homomorphisms and permuting tri-derivations in unital C*-algebras and Banach algebras by the vector-valued alternative fixed point theorem.展开更多
This paper presents a self-contained proof of Special Termination of MMP (Minimal Model Program). By refining the assumptions and simplifying the argument, it offers a more accessible approach compared to the original...This paper presents a self-contained proof of Special Termination of MMP (Minimal Model Program). By refining the assumptions and simplifying the argument, it offers a more accessible approach compared to the original proof in BCHM (Birkar-Cascini-Hacon-McKernan).展开更多
China's local colleges and universities are the main force of China's higher education.Due to the limited construction funds,weak discipline foundation and other reasons,China's local colleges and universi...China's local colleges and universities are the main force of China's higher education.Due to the limited construction funds,weak discipline foundation and other reasons,China's local colleges and universities generally face the embarrassment of weak discipline.How to break the constraints of the traditional management system,concentrate and efficiently allocate limited resources to achieve the overall improvement of the discipline construction level,the successful experience of China's special economic zones provides model reference and construction guidance for Chinese local universities.This study takes the subject special zones of local universities in China as the research object,chooses the theoretical system of economics and institutional theory as the logical starting point of the research,constructs the research framework of three dimensions of idea value,system design and action strategy,takes the reform of special economic zones as the institutional model and practice reference,and carries out the research from five dimensions of reform subject,logic,path,idea and strategy.Explore the effective development path of the rise of discipline construction.展开更多
A natural extension of the Lorentz transformation to its complex version was constructed together with a parallel extension of the Minkowski M<sup>4</sup> model for special relativity (SR) to complex C<...A natural extension of the Lorentz transformation to its complex version was constructed together with a parallel extension of the Minkowski M<sup>4</sup> model for special relativity (SR) to complex C<sup>4</sup> space-time. As the [signed] absolute values of complex coordinates of the underlying motion’s characterization in C<sup>4</sup> one obtains a Newtonian-like type of motion whereas as the real parts of the complex motion’s description and of the complex Lorentz transformation, all the SR theory as modeled by M<sup>4</sup> real space-time can be recovered. This means all the SR theory is preserved in the real subspace M<sup>4</sup> of the space-time C<sup>4</sup> while becoming simpler and clearer in the new complex model’s framework. Since velocities in the complex model can be determined geometrically, with no primary use of time, time turns out to be definable within the equivalent theory of the reduced complex C<sup>4</sup> model to the C<sup>3</sup> “para-space” model. That procedure allows us to separate time from the (para)space and consider all the SR theory as a theory of C<sup>3</sup> alone. On the other hand, the complex time defined within the C<sup>3</sup> theory is interpreted and modeled by the single separate C<sup>1</sup> complex plane. The possibility for application of the C<sup>3</sup> model to quantum mechanics is suggested. As such, the model C<sup>3</sup> seems to have unifying abilities for application to different physical theories.展开更多
Aiming at the problems of long time and poor machining precision in processing the tractor lever workpiece,a special fixture suitable for the tractor lever workpiece is designed by analyzing the processing technology ...Aiming at the problems of long time and poor machining precision in processing the tractor lever workpiece,a special fixture suitable for the tractor lever workpiece is designed by analyzing the processing technology of the lever workpiece,and the workpiece is accurately positioned and tightened under the action of the special fixture.Efficient machining of the workpiece can be achieved by using a drill template.The fixture not only has the advantages of high production efficiency,low cost and high life,but also effectively improves the processing technology of the workpiece,and has certain reference value for the subsequent fixture improvement design.展开更多
Objective:To design and implement a specialized nurse decision support system in the Department of Neurology and explore its effectiveness in preventing stroke-associated pneumonia(SAP).Methods:A decision support modu...Objective:To design and implement a specialized nurse decision support system in the Department of Neurology and explore its effectiveness in preventing stroke-associated pneumonia(SAP).Methods:A decision support module for specialized nurses was developed based on SAP-graded prevention strategies.A total of 664 neurology inpatients admitted to The First People’s Hospital of Xuzhou between July 2023 and September 2023 were selected as the conventional group,receiving standard nursing care.Another 704 neurology inpatients admitted between October 2023 and December 2023 were selected as the experimental group,receiving SAP-graded prevention strategies under the specialized nurse decision support system.The incidence of SAP in the two groups was compared.The occurrence of SAP was recorded using the Acute Ischemic Stroke-Associated Pneumonia Risk(A2DS2)scoring system.Swallowing function was evaluated using the Water Swallow Test(WST),and quality of life was assessed using the Swallowing Quality of Life(SWAL-QOL)scale.Results:The incidence of SAP in the experimental group was significantly lower than in the conventional group(P<0.05).After nursing interventions,the WST scores in the experimental group were lower,while the SWAL-QOL scores were higher compared to the conventional group(P<0.05).Conclusion:The design and implementation of a specialized nurse decision support system in the Department of Neurology significantly reduced the incidence of SAP in neurology inpatients,improved swallowing function,and enhanced quality of life.This approach shows promise for widespread application.展开更多
Based on the concept of open education,this study designs a specialized and creative integration course to enhance the development of teacher trainees’creative thinking,and presents a curriculum model based on the th...Based on the concept of open education,this study designs a specialized and creative integration course to enhance the development of teacher trainees’creative thinking,and presents a curriculum model based on the theory of expansive learning,non-disposable assignments,and the framework of“pre-course knowledge comprehension and assimilation,in-course thematic cooperation and discussion,and post-course thinking training.”Through the implementation of the specialized and creative integration course practice with the example of“building an online training platform for teacher qualification,”it has been verified that the course design is effective in stimulating the creative thinking of teacher trainees.In addition,the study also analyzes the developmental trajectories of teacher trainees with different levels of creativity and systematically reveals the intrinsic mechanism of the course in enhancing the creativity of teacher trainees and optimizing their thinking paths.展开更多
基金The National Science and Technology Major Project(2016ZX03001011-005)the National Natural Science Foundation of China(No.61571123,61521061)+1 种基金the Research Fund of National Mobile Communications Research Laboratory of Southeast University(No.2017A03)Qing Lan Project
文摘A new enhanced inter-cell interference coordination (elCIC) is adopted for managing almost blank sub-frame (ABS),which jointly exploits the time, frequency and power dimensions to improve the resource utilization. In particular, a non-uniform two tier heterogeneous network ( HetNet) is considered, where the pico cells are located close to the macro cell and the number of users in each pico cell is different. To alleviate the interference caused by the co-channeldeployment,the macro cells employ low power ABS (LP- ABS), and the resource blocks (RBs) are divided into twoparts during an ABS. One is exclusively reserved for macro cell users ad the other is reserved for pico cell users. Themacro cells are allowed to use different percentages of RBs and different powers for their own transmission during the LP- ABS. The user association,resource allocation,ABS proportion,the frequency band partition parameter and the transmission power of macro cells are considered, aiming at maximizing the proportional fairness utility of the system. An iterative algorithm is also proposed and simulation results demonstrate that the proposed algorithm can improve both the system throughput and user fairness compared with the existing schemes.
基金supported by the National Natural Science Foundation of China (No. 50975238)
文摘Improving freight axle load is the most effective method to improve railway freight capability; based on the imported technologies of railway freight bogie, the 27 t axle load side-frame cross-bracing bogie and sub-frame radial bogie are developed in China. In order to analyze and compare dynamic interactions of the two newly developed heavy-haul freight bogies, we establish a vehi- cle-track coupling dynamic model and use numerical calculation methods for computer simulation. The dynamic performances of the two bogies are simulated separately at various conditions. The results show that at the dipped joint and straight line running conditions, the wheel-rail dynamic interactions of both bogies are basically the same, but at the curve negotiation condition, the wear and the lateral force of the side-frame cross-bracing bogie are much higher than that of the sub-frame radial bogie, and the advantages become more obvious when the curve radius is smaller. The results also indicate that the sub- frame radial bogie has better low-wheel-rail interaction characteristics.
基金Hebei University Affiliated Hospital Youth Fund Scientific Research Project Project Number:2019Q017。
文摘Objective:To explore the role of specialized group management in the quality control of perioperative nursing.Methods:45 surgical nurses from our hospital were selected as the research subjects.Traditional operating room management was adopted from July 2019 to June 2020,and specialized group management was adopted from July 2020 to June 2021.The surgeon’s satisfaction,surgical nurses’core professional competence,and surgical patients’satisfaction were obtained through surveys and the results were analyzed.Results:Surgeon satisfaction before the implementation of specialized group management was significantly lower than after its implementation(P<0.05).Besides,surgical nurses’core professional competency scores before the implementation of specialized group management were significantly lower than after its implementation(P<0.05).Lastly,surgical patients’satisfaction before the implementation of specialized group management was significantly lower than after its implementation(P<0.05).Conclusion:Specialized group management helps to improve the quality of perioperative care and should be applied in clinical practice.
基金the National Natural Science Foundation of China(No.51965016)the National Key Research & Development Funded Project (No. 2016YFB1200501)the Doctoral Research Start-up Funded Project (No. MY2015B009).
文摘Based on the theory of vehicle-track coupling dynamics,the coupling dynamic model of the freight car mounted with the sub-frame bogies and the numerical model of curved track were established,utilizing the fast numerical integration method,the curving performance of the vehicle was simulated to study the influence of the curve geometric parameters such as curve radius,transition curve length and superelevation of outer rail on the wheel-rail dynamic interaction.The simulation results indicate that:(1)Increasing the curve radius can decrease the wheel-rail wear,but the effect will weaken while the curve radius is greater than 800m.(2)If the transition curve length is less than 30m,vibrations will appear at the transition-circle connecting point,and the smaller the transition length,the bigger the vibrations,the worse the wheel-rail wear,but when the length is bigger than 50m,its further variation has very little effect on wheel-rail wear.(3)The superelevation of outer rail can affect the distribution and difference of the inner and outer wheel-rail forces,and too large deficient or excessive superelevation will worsen the wheel-rail wear either.However,an appropriate deficient superelevation of outer rail(e.g.<20mm)is helpful to reduce the wheel-rail wear,which is consistent with the engineering practice of settling a certain deficient superelevation value.
文摘Pooling,unpooling/specialization,and discretionary task completion are typical operational strategies in queueing systems that arise in healthcare,call centers,and online sales.These strategies may have advantages and disadvantages in different operational environments.This paper uses the M/M/1 and M/M/2 queues to study the impact of pooling,specialization,and discretionary task completion on the average queue length.Closed-form solutions for the average M/M/2 queue length are derived.Computational examples illustrate how the average queue length changes with the strength of pooling,specialization,and discretionary task completion.Finally,several conjectures are made in the paper.
基金Under the auspices of the China Social Science(No.21BJY218)National Natural Science Foundation of China(No.41801113)Newcomer funding from Institute of Geographic Sciences and Natural Resources Research,Chinese Academy of Sciences(No.E0V00100)。
文摘Specialized households serve as the primary units within specialized villages in China,and their capacity to withstand risks and external influences significantly shapes the future trajectory of specialized villages and the overall vitality of the rural economy.In this study,we established a measurement indicator system based on the definition of specialized households’resilience,elucidating the logical connection between specialized households’resilience and rural industrial development in China.The musical instrument industry in Lankao County,Henan Province of China,was employed as a case;survey data,the entropy method,and an obstacle diagnosis model were used to examine how instrument production specialized households responded to the challenges posed by Corona Virus Disease 2019(COVID-19)and the tightening of national environmental protection policies,yielding the following key findings:1)there exists substantial variation in the comprehensive resilience levels among different specialized households;2)the ability to learn and adapt is the most significant contributor to the overall resilience level of specialized households;3)technological proficiency and access to skilled talent emerge as pivotal factors influencing specialized households’resilience;4)the positioning of specialized households within the industrial supply chain and the stability of their income have a direct bearing on their resilience level.The influence of specialized households’resilience on industrial development primarily manifests in the following ways:stronger resilience correlates with increased stability in production and sales,fostering a more proactive approach to future actions.However,heightened exposure to the external macroeconomic environment can lead to a higher rate of export reduction.To enhance the development resilience of entities like specialized households and family farms,and to invigorate rural economic development,escalating investments in rural science and technology and prioritizing the training of technical talent become imperative.
文摘Background: The most prevalent non-communicable disease worldwide is oral health-related disease, with dental caries and periodontal conditions being common. Oral health status significantly impacts overall health and quality of life. Barriers to dental care affect children with special needs. This study evaluates the oral health status and treatment requirements of people with special needs. Methodology: This descriptive cross-sectional study in Kumasi, Ghana examined oral health status among people, 121 children with special needs over two months, in June-July 2022. Dental caries, periodontal changes, malocclusion, and trauma were assessed. The data was analyzed using SPSS 20.0. Results: The oral health status among people with special needs in this study was generally moderate, with a range from very good to very poor. The prevalence of dental caries was 37%, with a mean DMFT score of 2.82. Periodontal health showed unsatisfactory indicators such as mobile teeth, poor gingival health, high plaque scores, and the presence of halitosis. Conclusion: This descriptive study aimed to provide baseline data on the oral health status of special needs students in Kumasi, addressing the lack of knowledge in this area. It highlighted the importance of dental care in maintaining good oral health and overall well-being in individuals with special needs. Coordinated efforts by dental professionals are needed to provide dental health education and preventive interventions for these children.
基金supported by Special Coordination Funds for Promoting Science and Technology,sponsored by Japan’s Ministry of Education,Culture,Sports,Science and Technology(MEXT).
文摘Herein,we employ the threshold energy neutron analysis(TENA)technique to introduce the world's first active interrogation system to detect special nuclear materials(SNMs),including U-235 and Pu-239.The system utilizes a DD neutron generator based on inertial electrostatic confinement(IEC)to interrogate suspicious objects.To detect secondary neutrons produced during fission reactions induced in SNMs,a tensioned metastable fluid detector(TMFD)is employed.The current status of the system's development is reported in this paper,accompanied by the results from experiments conducted to detect 10 g of highly enriched uranium(HEU).Notably,the experimental findings demonstrate a distinct difference in the count rates of measurements with and without HEU.This difference in count rates surpasses two times the standard deviation,indicating a confidence level of more than 96% for identifying the presence of HEU.The paper presents and extensively discusses the proof-of-principle experimental results,along with the system's planned trajectory.
文摘Low income is the main problem of millions of farmers who are cultivating 4.81 million hectares in the Philippines. This problem is attributed to challenges specifically low yield, low quality of produce, and significant post-harvest losses, particularly in a resource-scarce setting. This study aimed to help increase the farmers’ income in selected towns of Nueva Ecija through the promotion and use of special purpose rice production technology. Twenty (20) farmer-cooperators in three towns of Nueva Ecija were selected to demonstrate the production technology covering a total area of 4.75 hectares during the dry season, and 3.3 hectares during the wet season, both in 2023. Extension modalities such as training, techno-demo establishment, information material and technical assistance provision, and market linkage were undertaken to enhance their knowledge, attitude, and skills on special rice production and enterprise. The study utilized the descriptive quantitative method wherein the data were gathered through surveys, specifically personal interviews. Results showed that 70% of the farmer-cooperators were male and 60% were living below the poverty threshold. The farmers were 53 years old on average and engaged in farming as their primary source of income. The average yield of special purpose rice particularly the CLS-2 variety was higher (6.46 MT/ha and 6.22 MT/ha during dry and wet seasons, respectively) than that of inbred or non-special rice. The income per hectare from special purpose rice production per hectare was Php 75,420.00, which is higher than that of regular rice at Php 29,389.00, giving a higher benefit of Php 46,031.00. The technology adopters and area planted increased (from 6 to 9 and from 1.4 hectares to 2.75 hectares, respectively) in Licab, Nueva Ecija. The opposite was true in Sto. Domingo and Guimba, Nueva Ecija where farmers were discouraged by the marketing issues that arose.
基金Under the auspices of National Natural Science Foundation of China(No.42071162,42101165)。
文摘Under the background of complex international situation,how to build the special geo-economic space of China-Russia bor-der lies in strengthening their foreign trade resilience against external shocks.Based on empirical evidence from ten prefecture-level China-Russia border regions in Northeast China,this paper analyzed the spatiotemporal evolution of foreign trade resilience under different shocks.Furthermore,through the Panel Regression model,the mechanism of the industrial structure on the foreign trade resilience in contraction period and expansion period was discussed.The results showed that:1)from 2004 to 2021,foreign trade in China-Russia border regions experienced five phases.The overall foreign trade resilience was higher than expected,showing a rising volatility trend,but there was significant spatial heterogeneity in the ability of cities to cope with shocks.2)Highly specialized clusters were mainly concentrated in Yichun,Heihe and Da Hinggan Ling Prefecture,while Mudanjiang and Yanbian performed better in related and unrelated diversification.3)In different stages of economic system evolution,the response mode,degree and result of border foreign trade resilience to regional industrial structure showed obvious stage characteristics.During the contraction period,related diversification was more conducive to improving the resistance through risk spillovers.During the expansion period,specialization played a more significant role in improving regional resilience through self-reinforcing effect.These results are beneficial for expanding the resilience theory,ensuring border economic security and optimizing border industrial investment layout.
基金the project “Regional Innovation Systems in the State of Pernambuco – Brazil” (2016CE160AT045 EU-CELAC), which was funded by the European Commission’s Directorate-General for Regional Policysupported by national funds of the Portuguese Foundation for Science and Technology (FCT) under the scope of the Research Centre for Tourism, Sustainability and Well-being and his individual research plan。
文摘Despite a growing body of literature on smart specialization,the role of public authorities and innovation intermediaries,particularly in developing regions,remains understudied.This research examines one of the first attempts to apply the smart specialization framework to the development of an innovation strategy outside Europe,specifically in the Pernambuco State,Brazil.We focus on two priority areas(clothing and high-tech automotive components)identified by the state government as key targets for pilot policy experimentation and use different methods,such as social network analysis and content analysis,to interview strategic innovation actors for studying the promotion of innovation and regional development in Pernambuco.Findings highlight how regional governance,collaboration,and trust are shaped by public authorities and innovation intermediaries.The study identifies three key challenges in implementing smart specialization strategy in developing regions:i.e.,achieving effective decentralization,cultivating an innovation culture,and establishing participatory governance mechanisms.The public sector actors act as crucial knowledge brokers and policy intermediaries,facilitating the linkages and partnerships necessary to overcome these challenges.
文摘BACKGROUND Nutrition recommendations in patients with type 2 diabetes mellitus(T2DM)are to consume rye or integral bread instead of white bread.A positive effect on glucoregulation has been achieved by enriching food with various biologically active substances of herbal origin,so we formulated an herbal mixture that can be used as a supplement for a special type of bread(STB)to achieve better effects on postprandial glucose and insulin levels in patients with T2DM.AIM To compare organoleptic characteristics and effects of two types of bread on postprandial glucose and insulin levels in T2DM patients.METHODS This trial included 97 patients with T2DM.A parallel group of 16 healthy subjects was also investigated.All participants were given 50 g of rye bread and the same amount of a STB with an herbal mixture on 2 consecutive days.Postprandial blood glucose and insulin levels were compared at the 30^(th),60^(th),90^(th) and 120th min.A questionnaire was used for subjective estimation of the organoleptic and satiety features of the two types of bread.RESULTS Compared to patients who consumed rye bread,significantly lower postprandial blood glucose and insulin concentrations were found in T2DM patients who consumed STB.No relevant differences were found among the healthy subjects.Subjectively estimated organoleptic and satiety characteristics are better for STB than for rye bread.CONCLUSION STB have better effects than rye bread on postprandial glucoregulation in T2DM patients.Subjectively estimated organoleptic and satiety characteristics are better for STB than for rye bread.Therefore,STB can be recommended for nutrition in T2DM patients.
文摘BACKGROUND Some patients with coronary atherosclerotic heart disease experience major adverse cardiac events(MACE)and require readmission after Coronary Artery Bypass Grafting(CABG)surgery.This is often attributed to patients'unhealthy lifestyles and dietary habits,inadequate understanding of the disease,and poor disease management compliance.Thus,searching for more targeted nursing intervention models that can enhance patients'self-management abilities and reduce the risk of readmission after CABG surgery is significant.AIM To observe the impact of specialized nursing outpatient case management on patients after CABG surgery.METHODS A total of 103 patients who underwent CABG surgery in our hospital between April 2021 and April 2022 comprised the study sample.The patients were divided into two groups using an odd-even number grouping method.The control group received routine nursing care,while the case management group received specialized nursing outpatient case management.The differences in psychological status,adherence to medical treatment,self-care ability,knowledge mastery,quality of life scores,and the occurrence rate of MACE were compared between the two groups.RESULTS After the intervention,the case management group had lower scores on the selfrating depression scale and self-rating anxiety scale and lower MACE rate,as well as higher scores for adherence to a healthy diet,medication adherence,good lifestyle habits,regular exercise,and timely follow-up,higher scores on the Coronary Heart Disease Self-Management Scale,higher scores for managing adverse habits,symptoms,emotional cognition,emergency response,disease knowledge,general lifestyle,and treatment adherence,higher scores for understanding coronary heart disease,recognizing the importance of medication adherence,understanding selfcare points after CABG surgery,and being aware of post-CABG precautions,higher scores for physical well-being,disease condition,general health,social-psychological well-being,and work-related aspects(P<0.05).CONCLUSION Specialized nursing outpatient case management can enhance patient adherence to medical treatment,knowledge mastery,psychological well-being,and overall quality of life in patients after CABG surgery.
基金partially supported by the Natural Sciences and Engineering Research Council of Canada(2019-03907)。
文摘In this paper,we define a new class of control functions through aggregate special functions.These class of control functions help us to stabilize and approximate a tri-additiveψ-functional inequality to get a better estimation for permuting tri-homomorphisms and permuting tri-derivations in unital C*-algebras and Banach algebras by the vector-valued alternative fixed point theorem.
文摘This paper presents a self-contained proof of Special Termination of MMP (Minimal Model Program). By refining the assumptions and simplifying the argument, it offers a more accessible approach compared to the original proof in BCHM (Birkar-Cascini-Hacon-McKernan).
文摘China's local colleges and universities are the main force of China's higher education.Due to the limited construction funds,weak discipline foundation and other reasons,China's local colleges and universities generally face the embarrassment of weak discipline.How to break the constraints of the traditional management system,concentrate and efficiently allocate limited resources to achieve the overall improvement of the discipline construction level,the successful experience of China's special economic zones provides model reference and construction guidance for Chinese local universities.This study takes the subject special zones of local universities in China as the research object,chooses the theoretical system of economics and institutional theory as the logical starting point of the research,constructs the research framework of three dimensions of idea value,system design and action strategy,takes the reform of special economic zones as the institutional model and practice reference,and carries out the research from five dimensions of reform subject,logic,path,idea and strategy.Explore the effective development path of the rise of discipline construction.
文摘A natural extension of the Lorentz transformation to its complex version was constructed together with a parallel extension of the Minkowski M<sup>4</sup> model for special relativity (SR) to complex C<sup>4</sup> space-time. As the [signed] absolute values of complex coordinates of the underlying motion’s characterization in C<sup>4</sup> one obtains a Newtonian-like type of motion whereas as the real parts of the complex motion’s description and of the complex Lorentz transformation, all the SR theory as modeled by M<sup>4</sup> real space-time can be recovered. This means all the SR theory is preserved in the real subspace M<sup>4</sup> of the space-time C<sup>4</sup> while becoming simpler and clearer in the new complex model’s framework. Since velocities in the complex model can be determined geometrically, with no primary use of time, time turns out to be definable within the equivalent theory of the reduced complex C<sup>4</sup> model to the C<sup>3</sup> “para-space” model. That procedure allows us to separate time from the (para)space and consider all the SR theory as a theory of C<sup>3</sup> alone. On the other hand, the complex time defined within the C<sup>3</sup> theory is interpreted and modeled by the single separate C<sup>1</sup> complex plane. The possibility for application of the C<sup>3</sup> model to quantum mechanics is suggested. As such, the model C<sup>3</sup> seems to have unifying abilities for application to different physical theories.
基金supported by the Henan Natural Science Foundation (No.222300420168)the Natural Science Foundation of Henan Polytechnic University (B2021-31)Fundamental Research Funds for the Universities of Henan Province (No.NSFRF220415).
文摘Aiming at the problems of long time and poor machining precision in processing the tractor lever workpiece,a special fixture suitable for the tractor lever workpiece is designed by analyzing the processing technology of the lever workpiece,and the workpiece is accurately positioned and tightened under the action of the special fixture.Efficient machining of the workpiece can be achieved by using a drill template.The fixture not only has the advantages of high production efficiency,low cost and high life,but also effectively improves the processing technology of the workpiece,and has certain reference value for the subsequent fixture improvement design.
文摘Objective:To design and implement a specialized nurse decision support system in the Department of Neurology and explore its effectiveness in preventing stroke-associated pneumonia(SAP).Methods:A decision support module for specialized nurses was developed based on SAP-graded prevention strategies.A total of 664 neurology inpatients admitted to The First People’s Hospital of Xuzhou between July 2023 and September 2023 were selected as the conventional group,receiving standard nursing care.Another 704 neurology inpatients admitted between October 2023 and December 2023 were selected as the experimental group,receiving SAP-graded prevention strategies under the specialized nurse decision support system.The incidence of SAP in the two groups was compared.The occurrence of SAP was recorded using the Acute Ischemic Stroke-Associated Pneumonia Risk(A2DS2)scoring system.Swallowing function was evaluated using the Water Swallow Test(WST),and quality of life was assessed using the Swallowing Quality of Life(SWAL-QOL)scale.Results:The incidence of SAP in the experimental group was significantly lower than in the conventional group(P<0.05).After nursing interventions,the WST scores in the experimental group were lower,while the SWAL-QOL scores were higher compared to the conventional group(P<0.05).Conclusion:The design and implementation of a specialized nurse decision support system in the Department of Neurology significantly reduced the incidence of SAP in neurology inpatients,improved swallowing function,and enhanced quality of life.This approach shows promise for widespread application.
基金2024 Gansu Province Strengthening the Awareness of the Chinese National Community Research Project“Research on the Curriculum Study Mode of AI+Introduction to the Chinese National Community”(31920250001-6)。
文摘Based on the concept of open education,this study designs a specialized and creative integration course to enhance the development of teacher trainees’creative thinking,and presents a curriculum model based on the theory of expansive learning,non-disposable assignments,and the framework of“pre-course knowledge comprehension and assimilation,in-course thematic cooperation and discussion,and post-course thinking training.”Through the implementation of the specialized and creative integration course practice with the example of“building an online training platform for teacher qualification,”it has been verified that the course design is effective in stimulating the creative thinking of teacher trainees.In addition,the study also analyzes the developmental trajectories of teacher trainees with different levels of creativity and systematically reveals the intrinsic mechanism of the course in enhancing the creativity of teacher trainees and optimizing their thinking paths.