We conducted rapid inversions of rupture process for the 2023 earthquake doublet occurred in SE Türkiye,the first with a magnitude of M_(W)7.8 and the second with a magnitude of M_(W)7.6,using teleseismic and str...We conducted rapid inversions of rupture process for the 2023 earthquake doublet occurred in SE Türkiye,the first with a magnitude of M_(W)7.8 and the second with a magnitude of M_(W)7.6,using teleseismic and strong-motion data.The teleseismic rupture models of the both events were obtained approximately 88 and 55 minutes after their occurrences,respectively.The rupture models indicated that the first event was an asymmetric bilateral event with ruptures mainly propagating to the northeast,while the second one was a unilateral event with ruptures propagating to the west.This information could be useful in locating the meizoseismal areas.Compared with teleseismic models,the strong-motion models showed relatively higher resolution.A noticeable difference was found for the M_(W)7.6 earthquake,for which the strong-motion models shows a bilateral event,rather than a unilateral event,but the dominant rupture direction is still westward.Nevertheless,all strong-motion models are consistent with the teleseismic models in terms of magnitudes,durations,and dominant rupture directions.This suggests that both teleseismic and strong-motion data can be used for fast determination of major source characteristics.In contrast,the strong-motion data would be preferable in future emergency responses since they are recorded earlier and have a better resolution ability on the source ruptures.展开更多
Ground motions are significantly influenced by dynamic characteristics of overburden soil layers near ground surface,as thick and soft soil layers would obviously amplify the ground motion strength. The conventional r...Ground motions are significantly influenced by dynamic characteristics of overburden soil layers near ground surface,as thick and soft soil layers would obviously amplify the ground motion strength. The conventional research method on soil nonlinear dynamic characteristics under strong motions is based on experiments in laboratories for the deficiency of observation data,but it is difficult to reliably simulate the complex factors of soils in actual earthquake durations,including loading paths,boundary conditions,and drainage conditions. The incremental data of the vertical downhole observation array,which is comprised of at least one observation point on ground surface and one observation point in a downhole rock base, makes it possible to study soil nonlinear dynamics according to in situ observation data,and provides new basic data and development opportunities to soil nonlinear dynamics studies.展开更多
The ESA and CAS SMILE mission orbit is highly elliptical and will pass through multiple radiation environments.The Soft X-ray Imager(SXI)instrument aboard has a radiation shutter door designed to close when the surrou...The ESA and CAS SMILE mission orbit is highly elliptical and will pass through multiple radiation environments.The Soft X-ray Imager(SXI)instrument aboard has a radiation shutter door designed to close when the surrounding radiation flux is high.The shutter door will close when passing below an altitude threshold to protect against trapped particles in the Earth’s Van Allen Belts.Therefore,two radiation environments can be approximated based on the shutter door position:open and closed.The instrument background for the CCDs(Charge-Coupled Devices)that form the focal plane array of the SXI were evaluated for the two environments.Due to the correlation of the space environment with the solar cycle,the solar minima and maxima,the background was also evaluated at these two extremes.The results demonstrated that the highest instrument background will occur during solar minima due to the main contributing source being Galactic Cosmic Rays(GCRs).It was also found that the open background was highest for solar minima and that the closed background was highest during solar maxima.This is due to the radiation shutter door acting as a scattering centre and the changes in the energy flux distribution of the GCRs between the two solar extremes.展开更多
There is a certain failure rate in traditional glaucoma surgery because of the lack of depth information in microscope images.In this work,we present a digital microscope-integrated optical coherence tomography(MIOCT)...There is a certain failure rate in traditional glaucoma surgery because of the lack of depth information in microscope images.In this work,we present a digital microscope-integrated optical coherence tomography(MIOCT)system and several custom-made OCT-compatible instruments for glaucoma surgery.Sixteen ophthalmologists were asked to perform trabeculectomy and canaloplasty on live porcine eyes using the system and instruments.After surgery,a subjective feedback survey about the user experience was taken.The experiment results showed that our system can help surgeons easily locate important tissue structures during surgery.The custom-made instruments also solved the shadowing problem in OCT imaging.Surgeons preferred to use the system in their future practice.展开更多
New instruments and sensing technologies have extensive applications in non-destructive testing,safety monitoring,human-computer interaction,precision sensing,and other fields.The emergence of new structural materials...New instruments and sensing technologies have extensive applications in non-destructive testing,safety monitoring,human-computer interaction,precision sensing,and other fields.The emergence of new structural materials,new preparation processes,and new sensing theories has driven the development of precision measurement instruments and intelligent sensing technology with the rapid development of electromagnetics,optics,and materials science.展开更多
Dear Readers:Astronomical Techniques and Instruments is a professional English journal of open access devoted to recent develop-ments,discoveries,and theories in astronomical techniques,methods,and instruments.It will...Dear Readers:Astronomical Techniques and Instruments is a professional English journal of open access devoted to recent develop-ments,discoveries,and theories in astronomical techniques,methods,and instruments.It will serve as a platform for dis-course,learning,and information sharing for astronomic and astrophysics professionals worldwide.展开更多
Through the online and offline practical reform of the Modern Instrumental Analysis course of biotechnology majors from teaching content,teaching method,teaching demonstration to teaching effect,the traditional single...Through the online and offline practical reform of the Modern Instrumental Analysis course of biotechnology majors from teaching content,teaching method,teaching demonstration to teaching effect,the traditional single offline lecture is transformed into diversified and interactive modern teaching.The practical reform enriches and optimizes the course content,perfects and improves the course assessment system,and improves the teaching quality.It achieves the student-centered and application-oriented teaching goal,and also provides reference for further cultivating high-quality applied talents.展开更多
Introduction: The choice of adopting unilateral pedicle screw fixation or using bilateral pedicle screw fixation in lumbar spinal stenosis remains controversial. In our context, very few studies have been performed co...Introduction: The choice of adopting unilateral pedicle screw fixation or using bilateral pedicle screw fixation in lumbar spinal stenosis remains controversial. In our context, very few studies have been performed comparing the clinical effectiveness of unilateral versus bilateral fixation in the surgical management of lumbar spinal canal stenosis. Objective: Evaluate the impact on quality of life and clinical efficacy of unilateral spondylodesis compared to bilateral spondylodesis in the surgical management of lumbar spinal canal stenosis at the Yaounde Central Hospital. Methods: This was a retrospective descriptive cross-sectional study for a period of 4 years, from June 2015 to June 2019. It involved all patients operated for lumbar canal stenosis and who underwent spondylodesis or spinal fusion at the neurosurgery department of the Yaounde Central Hospital. Results: A total of 68 participants were recruited during our study period. 32 (47%) of the study population were in the 50 - 60 age group, with a mean age of 56.98 years ranging from 41 to 75 years. Females, housewives and farmers were the most affected. In our study, 72% of patients had unilateral spondylodesis and 28% had bilateral fusion. Preoperatively, 71% of patients had insurmountable pain, refractory to medical treatment. At 3 months postoperatively, 73.7% of patients with bilateral setup had moderate pain compared to 69% of those with unilateral setup. At 6 months postoperatively, 79% of patients with bilateral fusion had mild pain compared to 82% of patients with unilateral setup. At 1 year postoperatively, all patients had mild pain. Preoperatively, 66.2% of patients were unable to walk and 19.1% of patients were bedridden according to the Oswestry score. At 3 months postoperatively, 10.2% of patients with unilateral setup were unable to walk compared to 10.5% of patients with bilateral fixation, while 67.3% of patients with unilateral fixation had moderate disability compared to 52.6% of patients with bilateral fixation. At 6 months postoperatively, 51% of patients with unilateral setup had moderate disability compared to 47.4% of patients with bilateral fixation, while 42.9% of patients with unilateral fixation had mild disability compared to 42.1% of patients with bilateral fixation. At 1 year postoperatively, 81.6% of patients who underwent unilateral fixation had only mild disability compared to 73.7% of patients with bilateral fixation. Conclusion: The assessment of quality of life according to the set-up used shows similar results at 3 months, 6 months and 1 year, with no statistically significant differences. Single-sided pedicle screw fixation combined with transforaminal lumbar interbody fusion or mounting has the advantage of being faster, with less bleeding and is less expensive compared to bilateral fixation.展开更多
Objective:Validation is an important aspect of an instrument,and it ensures the confidence of researchers to employ the instrument in their studies.This study was conducted to develop and validate an instrument to ass...Objective:Validation is an important aspect of an instrument,and it ensures the confidence of researchers to employ the instrument in their studies.This study was conducted to develop and validate an instrument to assess knowledge,attitudes,and practices(KAP) on digital health among nurses since digital health capacity is a major concern in health care that needs to be assessed.Methods:We conducted a methodological study to assess the content validity and reliability of the instrument.First,items were generated through a comprehensive literature review and by obtaining an expert opinion.Second,content and face validity were assessed by a panel of 7 experts.Both the item-level content validity index(I-CVI) and the scale-level content validity index(S-CVI) were established.Moreover,test–retest reliability and internal consistency of the instrument were assessed.Data were analyzed using SPSS version 25.Results:The initial pool consisted of 60 items and after obtaining content,face,and construct validity,51 items remained.Items with an I-CVI <0.78 were considered relevant.The S-CVI for relevancy,clarity,ambiguity,and simplicity were 0.93,0.91,0.94,and 0.92,respectively.Five subcomponents were constructed in each knowledge and attitudes domain,and the test–retest reliability test revealed that the instrument has good reliability,showing correlation coefficient values for the KAP domains and the total questionnaire of 0.76,0.98,0.99,and 0.99,respectively.The independent Cronbach's α for all items was 0.76,indicating good internal consistency.Conclusions:The present study established the acceptable validity and ensured the good reliability and internal consistency of the instrument,which can serve as an assessment tool of KAP on digital health among healthcare professionals.展开更多
This work is carried out based on the analysis of urban planning instruments,taking the gender perspective as a foundation.It arises from the inclusion of women in the participation of urban development,through an ana...This work is carried out based on the analysis of urban planning instruments,taking the gender perspective as a foundation.It arises from the inclusion of women in the participation of urban development,through an analysis of the gender gaps that have marked the history of women,the inequalities serve as a basis for carrying out this study.It highlights the challenges we face today as a society in the process of building citizen participation,where we must all be recognized and have equal opportunities within the territory in which we live.This article analyzes the extent to which the Municipal Urban Development Programs of the Mexican municipality of Comala,Colima,Mexico,consider the recommendations on gender and urbanism,established since the 1990s by international entities and applied transversally to urban planning policies.Considerable differences are found between women and men in terms of empowerment and participation in urban territorial planning instruments,mainly in the oldest instrument(1997).Significant progress is observed in the most recent document and is currently in force in the municipality of Comala(2009).展开更多
This article explores the topic of fault diagnosis and maintenance strategies for instrument automation control systems,analyzing them through specific cases.The aim of this research is to improve the stability and re...This article explores the topic of fault diagnosis and maintenance strategies for instrument automation control systems,analyzing them through specific cases.The aim of this research is to improve the stability and reliability of the system by conducting a thorough investigation of faults and maintenance in instrument automation control systems.By doing so,this research hopes to provide a strong guarantee for the smooth progress of industrial production.展开更多
Objective:To explore the effect of applying the Plan-Do-Check-Act(PDCA)cycle combined with instrument mapping to manage surgical instruments in a hospital sterilization supply center.Methods:A total of 600 surgical in...Objective:To explore the effect of applying the Plan-Do-Check-Act(PDCA)cycle combined with instrument mapping to manage surgical instruments in a hospital sterilization supply center.Methods:A total of 600 surgical instruments in a hospital’s surgical instrument sterilization and supply management center were sampled and grouped based on the introduction of the PDCA cycle combined with instrument mapping.The control group included 300 surgical instruments subject to routine sterilization management from November 2023 to January 2024.The observation group included 300 surgical instruments managed with the PDCA cycle combined with instrument mapping from February 2024 to April 2024.The quality of surgical instrument management,incidence of adverse events,and other indicators were compared between the two groups.Results:The observation group demonstrated significantly higher scores in management quality indices compared to the control group,with scores for disassembly and assembly(93.28±1.57 vs.87.41±1.48),cleaning(95.04±2.08 vs.90.23±2.12),disinfection and sterilization(95.33±1.27 vs.91.95±1.39),waste disposal(93.26±1.24 vs.89.65±1.18),packaging and traceability(94.35±1.74 vs.92.23±1.65),and issuance and recycling(95.79±1.72 vs.90.22±1.81)(all P<0.05).The observation group reported two adverse events(one incomplete instrument specification and one case of instrument package overweight)with an incidence rate of 0.67%.Conversely,the control group reported six adverse events(including shortages,incomplete specifications,unqualified sterilization,defective instruments,untimely or incorrect delivery,and overweight instrument packages)with an incidence rate of 3%,demonstrating statistically significant differences between groups(P<0.05).Conclusion:Applying the PDCA cycle combined with instrument mapping for surgical instrument management in hospital sterilization supply centers significantly improves management quality and reduces adverse events.Its application is recommended for wider adoption in hospital sterilization supply centers.展开更多
To improve the reliability of the light emitting diode(LED)signal lamp filament current monitoring alarm instrument for metro systems,a new type of hot standby online monitoring apparatus was developed which is based ...To improve the reliability of the light emitting diode(LED)signal lamp filament current monitoring alarm instrument for metro systems,a new type of hot standby online monitoring apparatus was developed which is based on synchronous transmission data(STD)bus technology.In this system,a double hot standby mode can be achieved by adopting bus arbitration.In addition,to detect the effective value of alternating current which is from 0 to 200 mA in the signal lamp lighting circuit,a precision rectifier signal conditioning circuit and an isolated acquisition circuit were designed.This new type of alarm instrument has high detection accuracy and could meet the functional requirements for metro signal systems after comparing it with some industry products that were applied on the spot.展开更多
基金supported by the National Key Research and Development Program of China(2022YFF0800603).
文摘We conducted rapid inversions of rupture process for the 2023 earthquake doublet occurred in SE Türkiye,the first with a magnitude of M_(W)7.8 and the second with a magnitude of M_(W)7.6,using teleseismic and strong-motion data.The teleseismic rupture models of the both events were obtained approximately 88 and 55 minutes after their occurrences,respectively.The rupture models indicated that the first event was an asymmetric bilateral event with ruptures mainly propagating to the northeast,while the second one was a unilateral event with ruptures propagating to the west.This information could be useful in locating the meizoseismal areas.Compared with teleseismic models,the strong-motion models showed relatively higher resolution.A noticeable difference was found for the M_(W)7.6 earthquake,for which the strong-motion models shows a bilateral event,rather than a unilateral event,but the dominant rupture direction is still westward.Nevertheless,all strong-motion models are consistent with the teleseismic models in terms of magnitudes,durations,and dominant rupture directions.This suggests that both teleseismic and strong-motion data can be used for fast determination of major source characteristics.In contrast,the strong-motion data would be preferable in future emergency responses since they are recorded earlier and have a better resolution ability on the source ruptures.
基金funded by the Special Research Fund for Seismology(201408020)the Natural Science Foundation of China (51578514,U1434210)
文摘Ground motions are significantly influenced by dynamic characteristics of overburden soil layers near ground surface,as thick and soft soil layers would obviously amplify the ground motion strength. The conventional research method on soil nonlinear dynamic characteristics under strong motions is based on experiments in laboratories for the deficiency of observation data,but it is difficult to reliably simulate the complex factors of soils in actual earthquake durations,including loading paths,boundary conditions,and drainage conditions. The incremental data of the vertical downhole observation array,which is comprised of at least one observation point on ground surface and one observation point in a downhole rock base, makes it possible to study soil nonlinear dynamics according to in situ observation data,and provides new basic data and development opportunities to soil nonlinear dynamics studies.
文摘The ESA and CAS SMILE mission orbit is highly elliptical and will pass through multiple radiation environments.The Soft X-ray Imager(SXI)instrument aboard has a radiation shutter door designed to close when the surrounding radiation flux is high.The shutter door will close when passing below an altitude threshold to protect against trapped particles in the Earth’s Van Allen Belts.Therefore,two radiation environments can be approximated based on the shutter door position:open and closed.The instrument background for the CCDs(Charge-Coupled Devices)that form the focal plane array of the SXI were evaluated for the two environments.Due to the correlation of the space environment with the solar cycle,the solar minima and maxima,the background was also evaluated at these two extremes.The results demonstrated that the highest instrument background will occur during solar minima due to the main contributing source being Galactic Cosmic Rays(GCRs).It was also found that the open background was highest for solar minima and that the closed background was highest during solar maxima.This is due to the radiation shutter door acting as a scattering centre and the changes in the energy flux distribution of the GCRs between the two solar extremes.
基金support of the foundations:National Key R&D Program of China,Grant Nos.2022YFC2404201CAS Project for Young Scientists in Basic Research,Grant Nos.YSBR-067+2 种基金The Gusu Innovation and Entrepreneurship Leading Talents in Suzhou City,Grant Nos.ZXL2021425Jiangsu Science and Technology Plan Program,Grant Nos.BK20220263National Key R&D Program of China,Grant Nos.2021YFF0700503.
文摘There is a certain failure rate in traditional glaucoma surgery because of the lack of depth information in microscope images.In this work,we present a digital microscope-integrated optical coherence tomography(MIOCT)system and several custom-made OCT-compatible instruments for glaucoma surgery.Sixteen ophthalmologists were asked to perform trabeculectomy and canaloplasty on live porcine eyes using the system and instruments.After surgery,a subjective feedback survey about the user experience was taken.The experiment results showed that our system can help surgeons easily locate important tissue structures during surgery.The custom-made instruments also solved the shadowing problem in OCT imaging.Surgeons preferred to use the system in their future practice.
文摘New instruments and sensing technologies have extensive applications in non-destructive testing,safety monitoring,human-computer interaction,precision sensing,and other fields.The emergence of new structural materials,new preparation processes,and new sensing theories has driven the development of precision measurement instruments and intelligent sensing technology with the rapid development of electromagnetics,optics,and materials science.
文摘Dear Readers:Astronomical Techniques and Instruments is a professional English journal of open access devoted to recent develop-ments,discoveries,and theories in astronomical techniques,methods,and instruments.It will serve as a platform for dis-course,learning,and information sharing for astronomic and astrophysics professionals worldwide.
基金Supported Biotechnology Application Demonstration Major in Hebei Province(20801001002)Provincial Biotechnology Application Demonstration Major(SYLZY2021-1)+2 种基金School-level Biotechnology Application Demonstration Major(XYYZY2024-1)School-level Education and Teaching Reform Project of Langfang Normal University in 2022(K2022-22)Industry-University Cooperative Education Project of Ministry of Education(20210211904).
文摘Through the online and offline practical reform of the Modern Instrumental Analysis course of biotechnology majors from teaching content,teaching method,teaching demonstration to teaching effect,the traditional single offline lecture is transformed into diversified and interactive modern teaching.The practical reform enriches and optimizes the course content,perfects and improves the course assessment system,and improves the teaching quality.It achieves the student-centered and application-oriented teaching goal,and also provides reference for further cultivating high-quality applied talents.
文摘Introduction: The choice of adopting unilateral pedicle screw fixation or using bilateral pedicle screw fixation in lumbar spinal stenosis remains controversial. In our context, very few studies have been performed comparing the clinical effectiveness of unilateral versus bilateral fixation in the surgical management of lumbar spinal canal stenosis. Objective: Evaluate the impact on quality of life and clinical efficacy of unilateral spondylodesis compared to bilateral spondylodesis in the surgical management of lumbar spinal canal stenosis at the Yaounde Central Hospital. Methods: This was a retrospective descriptive cross-sectional study for a period of 4 years, from June 2015 to June 2019. It involved all patients operated for lumbar canal stenosis and who underwent spondylodesis or spinal fusion at the neurosurgery department of the Yaounde Central Hospital. Results: A total of 68 participants were recruited during our study period. 32 (47%) of the study population were in the 50 - 60 age group, with a mean age of 56.98 years ranging from 41 to 75 years. Females, housewives and farmers were the most affected. In our study, 72% of patients had unilateral spondylodesis and 28% had bilateral fusion. Preoperatively, 71% of patients had insurmountable pain, refractory to medical treatment. At 3 months postoperatively, 73.7% of patients with bilateral setup had moderate pain compared to 69% of those with unilateral setup. At 6 months postoperatively, 79% of patients with bilateral fusion had mild pain compared to 82% of patients with unilateral setup. At 1 year postoperatively, all patients had mild pain. Preoperatively, 66.2% of patients were unable to walk and 19.1% of patients were bedridden according to the Oswestry score. At 3 months postoperatively, 10.2% of patients with unilateral setup were unable to walk compared to 10.5% of patients with bilateral fixation, while 67.3% of patients with unilateral fixation had moderate disability compared to 52.6% of patients with bilateral fixation. At 6 months postoperatively, 51% of patients with unilateral setup had moderate disability compared to 47.4% of patients with bilateral fixation, while 42.9% of patients with unilateral fixation had mild disability compared to 42.1% of patients with bilateral fixation. At 1 year postoperatively, 81.6% of patients who underwent unilateral fixation had only mild disability compared to 73.7% of patients with bilateral fixation. Conclusion: The assessment of quality of life according to the set-up used shows similar results at 3 months, 6 months and 1 year, with no statistically significant differences. Single-sided pedicle screw fixation combined with transforaminal lumbar interbody fusion or mounting has the advantage of being faster, with less bleeding and is less expensive compared to bilateral fixation.
基金supported by the University of Sri Jayewardenepura(No. ASP/01/RE/AHS/2021/91)。
文摘Objective:Validation is an important aspect of an instrument,and it ensures the confidence of researchers to employ the instrument in their studies.This study was conducted to develop and validate an instrument to assess knowledge,attitudes,and practices(KAP) on digital health among nurses since digital health capacity is a major concern in health care that needs to be assessed.Methods:We conducted a methodological study to assess the content validity and reliability of the instrument.First,items were generated through a comprehensive literature review and by obtaining an expert opinion.Second,content and face validity were assessed by a panel of 7 experts.Both the item-level content validity index(I-CVI) and the scale-level content validity index(S-CVI) were established.Moreover,test–retest reliability and internal consistency of the instrument were assessed.Data were analyzed using SPSS version 25.Results:The initial pool consisted of 60 items and after obtaining content,face,and construct validity,51 items remained.Items with an I-CVI <0.78 were considered relevant.The S-CVI for relevancy,clarity,ambiguity,and simplicity were 0.93,0.91,0.94,and 0.92,respectively.Five subcomponents were constructed in each knowledge and attitudes domain,and the test–retest reliability test revealed that the instrument has good reliability,showing correlation coefficient values for the KAP domains and the total questionnaire of 0.76,0.98,0.99,and 0.99,respectively.The independent Cronbach's α for all items was 0.76,indicating good internal consistency.Conclusions:The present study established the acceptable validity and ensured the good reliability and internal consistency of the instrument,which can serve as an assessment tool of KAP on digital health among healthcare professionals.
文摘This work is carried out based on the analysis of urban planning instruments,taking the gender perspective as a foundation.It arises from the inclusion of women in the participation of urban development,through an analysis of the gender gaps that have marked the history of women,the inequalities serve as a basis for carrying out this study.It highlights the challenges we face today as a society in the process of building citizen participation,where we must all be recognized and have equal opportunities within the territory in which we live.This article analyzes the extent to which the Municipal Urban Development Programs of the Mexican municipality of Comala,Colima,Mexico,consider the recommendations on gender and urbanism,established since the 1990s by international entities and applied transversally to urban planning policies.Considerable differences are found between women and men in terms of empowerment and participation in urban territorial planning instruments,mainly in the oldest instrument(1997).Significant progress is observed in the most recent document and is currently in force in the municipality of Comala(2009).
文摘This article explores the topic of fault diagnosis and maintenance strategies for instrument automation control systems,analyzing them through specific cases.The aim of this research is to improve the stability and reliability of the system by conducting a thorough investigation of faults and maintenance in instrument automation control systems.By doing so,this research hopes to provide a strong guarantee for the smooth progress of industrial production.
文摘Objective:To explore the effect of applying the Plan-Do-Check-Act(PDCA)cycle combined with instrument mapping to manage surgical instruments in a hospital sterilization supply center.Methods:A total of 600 surgical instruments in a hospital’s surgical instrument sterilization and supply management center were sampled and grouped based on the introduction of the PDCA cycle combined with instrument mapping.The control group included 300 surgical instruments subject to routine sterilization management from November 2023 to January 2024.The observation group included 300 surgical instruments managed with the PDCA cycle combined with instrument mapping from February 2024 to April 2024.The quality of surgical instrument management,incidence of adverse events,and other indicators were compared between the two groups.Results:The observation group demonstrated significantly higher scores in management quality indices compared to the control group,with scores for disassembly and assembly(93.28±1.57 vs.87.41±1.48),cleaning(95.04±2.08 vs.90.23±2.12),disinfection and sterilization(95.33±1.27 vs.91.95±1.39),waste disposal(93.26±1.24 vs.89.65±1.18),packaging and traceability(94.35±1.74 vs.92.23±1.65),and issuance and recycling(95.79±1.72 vs.90.22±1.81)(all P<0.05).The observation group reported two adverse events(one incomplete instrument specification and one case of instrument package overweight)with an incidence rate of 0.67%.Conversely,the control group reported six adverse events(including shortages,incomplete specifications,unqualified sterilization,defective instruments,untimely or incorrect delivery,and overweight instrument packages)with an incidence rate of 3%,demonstrating statistically significant differences between groups(P<0.05).Conclusion:Applying the PDCA cycle combined with instrument mapping for surgical instrument management in hospital sterilization supply centers significantly improves management quality and reduces adverse events.Its application is recommended for wider adoption in hospital sterilization supply centers.
文摘To improve the reliability of the light emitting diode(LED)signal lamp filament current monitoring alarm instrument for metro systems,a new type of hot standby online monitoring apparatus was developed which is based on synchronous transmission data(STD)bus technology.In this system,a double hot standby mode can be achieved by adopting bus arbitration.In addition,to detect the effective value of alternating current which is from 0 to 200 mA in the signal lamp lighting circuit,a precision rectifier signal conditioning circuit and an isolated acquisition circuit were designed.This new type of alarm instrument has high detection accuracy and could meet the functional requirements for metro signal systems after comparing it with some industry products that were applied on the spot.