The Impact of Optimizing Details in the Operating Room on the Level of Knowledge, Attitude, and Practice of Hospital Infection Prevention and Control by Surgeons, as Well as the Effectiveness of Infection Control

Objective: This paper aims to explore the impact of optimizing details in the operating room on the level of knowledge, attitude, and practice of hospital infection prevention and control by surgeons, as well as the effectiveness of infection control. Methods: From January 2022 to June 2023, a total of 120 patients were screened and randomly divided into a control group (routine care and hospital infection management) and a study group (optimizing details in the operating room). Results: Significant differences were found between the two groups in the data of surgeons’ level of knowledge, attitude, and practice in hospital infection prevention and control, infection rates, and nursing satisfaction, with the study group showing better results (P Conclusion: The use of optimizing details in the operating room among surgeons can effectively improve surgeons’ level of knowledge, attitude, and practice in hospital infection prevention and control, reduce infection occurrence, and is worth promoting.

Detailed seismic zoning of the East Kazakhstan region in the Republic of Kazakhstan

Kazakhstan is currently drafting new construction regulations that comply with the major provisions of the Eurocodes.Such regulations are created on the basis of seismic zoning maps of various degrees of detail,developed by our Institute of Seismology using a new methodological approach for Kazakhstan.The article is about creating the first normative map of the Detailed Seismic Zoning on a probabilistic foundation for the Republic of Kazakhstan’s East Kazakhstan region.We carried out the probabilistic assessment of seismic hazard using a methodology consistent with the main provisions of Eurocode 8and updated compared with that used in developing maps of Kazakhstan’s General Seismic Zoning and seismic microzoning of Almaty.The most thorough and current data accessible for the area under consideration were combined with contemporary analytical techniques.Updates have been done to not only the databases being used but also the way seismic sources were shown,including active faults now.On a scale of 1:1000000,precise seismic zoning maps of the East Kazakhstan region were created for two probabilities of exceedance:10%and 2%in 50 years in terms of peak ground accelerations and macroseismic intensities.The obtained seismic hazard distribution is generally consistent with the General Seismic Zoning of Kazakhstan’s previous findings.However,because active faults were included and a thoroughly revised catalog was used,there are more pronounced zones of increased danger along the fault in the western part of the region.In the west of the territory,acceleration values also increased due to a more accurate consideration of seismotectonic conditions.Zoning maps are the basis for developing new state building regulations of the Republic of Kazakhstan.

Normalized glandular dose coefficients for digital breast tomosynthesis using detailed Chinese breast models

The rise in breast cancer diagnoses among Chinese women has necessitated the use of X-ray breast screening,which carries a radiation risk.This study aimed to provide a dosimetry protocol for the Chinese female population to replace the traditional standard that utilizes simplified breast models,for the accurate estimation of the mean glandular dose of a patient undergoing digital breast tomosynthesis(DBT).The first set of detailed Chinese female breast models and representative breast parameters was constructed.Considering backscatter radiation and computational efficiency,we improved the combination of these models and the Chinese reference adult female whole-body voxel phantom.Image acquisition for four commercial DBT systems that are widely employed in China was simulated using the Monte Carlo method to obtain the normalized glandular dose coefficients of DBT(D_(gN)^(DBT))and the glandular depth dose(D_(g)^(dep)(z))for different breast characteristics and X-ray spectra.We calculated a series of D_(gN)^(DBT) values for breasts with different percentage mass glandularities(5%,25%,50%,75%,and 100%)and compressed breast thicknesses(2,3,4,5,6,and 7 cm)at various tube potentials(25,28,30,32,35,and 49 kV)and target/filter combinations(W/Rh,W/Al,Mo/Mo,Rh/Rh,and Rh/Ag).The parameter dependence of the breast characteristics and beam conditions on D_(gN)^(DBT) in detailed breast models was investigated.The D_(gN)^(DBT) results were 14.6-51.0%lower than those of the traditional dosimetry standard in China.The difference in D_(gN)^(DBT) was mainly due to a decrease in the depth of the main energy deposition area caused by the glandular distribution along the depth direction.The results obtained in this study may be used to improve breast dosimetry in China and provide more detailed information on risk assessment during DBT.

Clinical effects of detailed nursing management interventions on medication adherence and disease perception in patients with drugresistant tuberculosis

BACKGROUND Tuberculosis(TB)is a chronic respiratory infectious disease that considerably jeopardizes human health,and there is no effective vaccine suitable for its prevention in the entire population.AIM To investigate the promotion of medication adherence and disease cognition in patients with drug-resistant(DR-)TB using detailed nursing management.METHODS In total,114 patients with DR-TB who were diagnosed and treated at our hospital between January 2019 and January 2023 were included in this study.Patients in the control group(n=57)were managed with conventional nursing care,while those in the observation group(n=57)were managed with detailed nursing care.Medication adherence,disease awareness scores,medication safety,and nursing satisfaction were compared between the two groups after the intervention.RESULTS The post-intervention medication compliance rate was 91.23%in the observation group and 75.44%in the control group,with the former being 15.79%higher than the latter(P<0.05).There was no statistically significant difference in the disease awareness scores between the two groups before the intervention;the disease awareness scores of the observation group were significantly higher than those of the control group after the intervention(P<0.05).The incidence of gastrointestinal reactions,joint swelling and pain,hearing loss,electrolyte disorders,and liver and kidney function abnormalities were lower in the observation group than those in the control group.The total nursing satisfaction of the observation group was higher than that of the control group(P<0.05).CONCLUSION Implementation of detailed nursing management for patients with DR-TB can effectively improve medication adherence,enhance awareness of the disease,ensure safety of medication,and improve satisfaction with nursing care.

Exploration of Detailed Planning Practice of Chemical Industrial Parks under the Background of Territorial Space Planning

With the gradual completion of the overall planning of city and county land space,the detailed planning will be prepared according to the requirements of transmitting and refining the upper planning.Industrial parks are one of the“main forces”of local economic development,and the preparation of their detailed planning will escort their development.The key points of the Control Indicators of Construction Land in Industrial Projectsissued in 2008 and 2023 were compared,and the new requirements for detailed planning under the background of territorial space and the contradictions between the detailed planning of industrial parks and the overall planning of the upper territorial space were sorted out based on the summary of the existing problems in the development of chemical parks.It provides some ideas for the practice of detailed planning of chemical industrial parks under the background of territorial space.

Predicting distant metastasis in nasopharyngeal carcinoma using gradient boosting tree model based on detailed magnetic resonance imaging reports

BACKGROUND Development of distant metastasis(DM)is a major concern during treatment of nasopharyngeal carcinoma(NPC).However,studies have demonstrated im-proved distant control and survival in patients with advanced NPC with the addition of chemotherapy to concomitant chemoradiotherapy.Therefore,precise prediction of metastasis in patients with NPC is crucial.AIM To develop a predictive model for metastasis in NPC using detailed magnetic resonance imaging(MRI)reports.METHODS This retrospective study included 792 patients with non-distant metastatic NPC.A total of 469 imaging variables were obtained from detailed MRI reports.Data were stratified and randomly split into training(50%)and testing sets.Gradient boosting tree(GBT)models were built and used to select variables for predicting DM.A full model comprising all variables and a reduced model with the top-five variables were built.Model performance was assessed by area under the curve(AUC).RESULTS Among the 792 patients,94 developed DM during follow-up.The number of metastatic cervical nodes(30.9%),tumor invasion in the posterior half of the nasal cavity(9.7%),two sides of the pharyngeal recess(6.2%),tubal torus(3.3%),and single side of the parapharyngeal space(2.7%)were the top-five contributors for predicting DM,based on their relative importance in GBT models.The testing AUC of the full model was 0.75(95%confidence interval[CI]:0.69-0.82).The testing AUC of the reduced model was 0.75(95%CI:0.68-0.82).For the whole dataset,the full(AUC=0.76,95%CI:0.72-0.82)and reduced models(AUC=0.76,95%CI:0.71-0.81)outperformed the tumor node-staging system(AUC=0.67,95%CI:0.61-0.73).CONCLUSION The GBT model outperformed the tumor node-staging system in predicting metastasis in NPC.The number of metastatic cervical nodes was identified as the principal contributing variable.

Seismic retrofi tting of RC columns with RC jackets and wing walls with different structural details

An original reinforced concrete(RC) column and four strengthened specimens, two with RC jackets and two with wing walls, were tested in this study. The original column specimen was designed to comply with older(pre-1999) design standards so that the usual detailing defi ciencies in existing school buildings in Taiwan could be simulated. Two different structural details were chosen to fabricate the full-scale specimens for each retrofi tting technique. The study confi rmed that either RC jacketing or the installation of wing walls with two different structural details can effectively improve the stiffness and strength of an existing column. RC jacketing shows a better improvement in energy dissipation and ductility when compared to the columns with wing walls installed. This is because the two RC jacketed columns experienced a fl exural failure, while a shear failure was found in the two columns with the wing walls installed, and thus led to a drastic decrease of the maximum lateral strengths and ductility. Since many factors may affect the installation of a post-installed anchor, it is better to use standard hooks to replace post-installed anchors in some specifi c points when using RC jacketing or installing wing walls.

Effect of seismic design details on hysteresis performance of SRC-RC transfer columns

Four types of seismic design details were tested using 11 transfer column specimens and one comparison specimen of RC under low cyclic reversed loading. Test results show that diagonal cracks control the failure pattern and damage occurs mainly in the RC section with weak shear capacity in the transfer columns. There is a large difference in the bearing capacity and ductility of the transfer columns according to the test results, which indicates that the strengthening effect of diverse structural measures is quite different. The section ratio of I-section-encased steel and the axial compression ratio also have a great influence on the bearing capacity and ductility. Although the bearing capacity of transfer columns with additional longitudinal bars and additional X bars is relatively large, they have poor deformation capacity. Setting more stirrups along the columns is the best structural measure to enhance the seismic performance. The studs on the I-sectionencased steel by welding can help to complete the stress transfer between the steel and concrete, and avoid performance degradation of the two materials due to bonding failure.

Serial block face scanning electron microscopy reveals novel organizational details of the retinal pigment epithelium

Advances in imaging have led to the development of several new types of microscopes such as serial block face scanning electron microscopy (SBF-SEM),lightsheet microscopy,as well as X-ray micro-computed tomography (micro-CT),which enables the study of samples in fundamentally different ways.

Art of Selecting a Subject and Details in Prose-Writing

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Load Test and Fatigue Life Evaluation for Welded Details in Taizhou Yangtze River Bridge

To study the fatigue performance of welded details in the orthotropic steel decks,the steel box girder for Taizhou Yangtze River Bridge is taken as the research object.Based on the field monitoring data obtained from the load test,the stress response test of the orthotropic steel box girder under wheel loads is performed and the correctness of the vehicle test data obtained from the field monitoring data also have been verified by the numerical results of the finite element model.Based on the Miner linear cumulative damage theory,the S-N curve of the Eurocode3 specification is referenced,and the fatigue life calculation formula of the welded details is determined according to the actual structural features.The fatigue life evaluation of the four typical welded details is obtained.The results indicate that:The load test data is compared and verified by the numerical result of finite element model.The local effect of stress distribution is remarkable.The stress measurement points on the four typical welded details are mainly based on low amplitude stress cycles.Most of the stress ranges are 2-10 MPa,among which the stress range of the welded details at the U-rib butt joint is larger.The fatigue life of welded details in the 14 mm thick top plate is smaller than that of the 16 mm thick top plate corresponding to the fatigue life of the welded details.The rib-to-rib butt welded joints and the openings of the diaphragms were prone to fatigue failure.Among them,the welding details of the 14 mm thick U-rib butt joints first appeared fatigue failure.The arrangement of the diaphragm can effectively increase the fatigue life of the top-U rib weld and improve the fatigue performance at this detail.

Fatigue Performance Evaluation for Welded Details in Orthotropic Steel Deck Bridges Using Multi-Scale Finite Element Method

In order to study the fatigue properties of rib-to-deck welded connection and rib-to-rib welded connection in orthotropic steel bridge decks,a multi-scale finite element model was set up to analyze the stress distribution characteristics and the load test was conducted on the Taizhou Yangtze River Bridge.Comparing the vehicle test results with the muli-scale finite element model results to verify the accuracy of the finite element simulation for the stress response of two welded details.The results indicated that The stress at the rib-to-deck welded connection and the rib-to-rib welded connection are the bending stress and the membrane stress,respectively;the stress response of the two welded connection has strong local characteristics;the lateral stress influence line of the two welded connection is relatively short and the length of the lateral stress influence line is greatly affected by the longitudinal ribs;increasing the thickness of the roof and longitudinal ribs can reduce the stress response and improve the stress performance of the heavy lanes.For the two welded details,the fatigue damage increment of the ordinary lane is greater than the heavy lane.The thickened roof and longitudinal ribs at the position of the heavy lane still cannot balance the fatigue damage caused by the heavy truck.Therefore,it is necessary to strictly control the fatigue effect of overloaded vehicles on steel box girders.

Fine Patterns on Butterfly Wings-On the Art of Details In Nabokov's Lolita

Nabokov regards details as very crucial in both his novels and literary critic works. This essay concludes Nabokov's view of detail and applies it in analyzing his masterpiece Lolita. Using the method of reading the text closely, we will find two important details which appear repeatedly in Lolita: the colors and the dogs. Through expatiating about them can we find out the great impact they exert on the content and the style of the novel.

Disclosing the Details from the 2016 Amazing China Election

2016 Amazing China - The Most Attractive Chinese Cities for Foreigners election were released. 1701 foreign experts participated in a survey along with the election. The survey is mainly about expats’ working and living environment in china . Why they come to china? What factors affect their choice in cities? Are they satisfied with their salary? We will disclose the details for you.

谈租船合同订立中的SUBJECT DETAILS

文章从英国法下合同何时成立入手,谈论在租船合同中,该如何判断合同何时成立。租船合同中的subject details应该如何解释,英国法美国法有不同的规定,BIMCO也试图去调解这一矛盾。在租船实务中更应当注意用语的选择。

Analysis of Remotely Sensed Imagery and Architecture Environment for Modelling 3D Detailed Buildings Using Geospatial Techniques

The use of three-dimensional maps is more effective than two-dimensional maps in representing the Earth’s surface. However, the traditional methods used to create digital surface models are not efficient for capturing the details of Earth’s features. This is because they represent only three-dimensional objects in a single texture and do not provide a realistic representation of the real world. Additionally, there is a growing demand for up-to-date and accurate geo-information, particularly in urban areas. To address this challenge, a new technique is proposed in this study that involves integrating remote sensing, Geographic Information System, and Architecture Environment software to generate a highly-detailed three-dimensional model. The method described in this study includes several steps such as acquiring high-resolution satellite imagery, gathering ground truth data, performing radiometric and geometric corrections during image preprocessing, producing a 2D map of the region of interest, constructing a digital surface model by extending the building outlines, and transforming the model into multi-patch layers to create a 3D model for each object individually. The research findings indicate that the digital surface model obtained with comprehensive information is suitable for different purposes, such as environmental research, urban development and expansion planning, and shape recognition tasks.

Fong’s National Engineering Shows More Details

ECO-88D Double Rope High Speed Dyeing Machine ECO-88D Double Rope High Speed Dyeing Machine is suitable for the processing of light to medium weight fabric made from synthetic ber. Fabric structure suitable for the dyeing process inside the ECO-88D includes woven,

Effects of health concept model-based detailed behavioral care on mood and quality of life in elderly patients with chronic heart failure

BACKGROUND With the intensification of social aging,the susceptibility of the elderly population to diseases has attracted increasing attention,especially chronic heart failure(CHF)that accounts for a large proportion of the elderly.AIM To evaluate the application value of health concept model-based detailed behavioral care in elderly patients with CHF.METHODS This study recruited 116 elderly CHF patients admitted from October 2018 to October 2020 and grouped them according to the nursing care that they received.The elderly patients who underwent health concept model-based detailed behavioral care were included in a study group(SG;n=62),and those who underwent routine detailed behavioral nursing intervention were included as a control group(CG;n=54).Patients’negative emotions(NEs),quality of life(QoL),and nutritional status were assessed using the self-rating anxiety/depression scale(SAS/SDS),the Minnesota Living with Heart Failure Questionnaire(MLHFQ),and the Modified Quantitative Subjective Global Assessment(MQSGA)of nutrition,respectively.Differences in rehabilitation efficiency,NEs,cardiac function(CF)indexes,nutritional status,QoL,and nursing satisfaction were comparatively analyzed.RESULTS A higher response rate was recorded in the SG vs the CG after intervention(P<0.05).After care,the left ventricular ejection fraction was higher while the left ventricular end-diastolic dimension and left ventricular end systolic diameter were lower in the SG compared with the CG(P<0.05).The post-intervention SAS and SDS scores,as well as MQSGA and MLHFQ scores,were also lower in the SG(P<0.05).The SG was also superior to the CG in the overall nursing satisfaction rate(P<0.05).CONCLUSION Health concept model-based detailed behavioral care has high application value in the nursing care of elderly CHF patients,and it can not only effectively enhance rehabilitation efficiency,but also mitigate patients’NEs and improve their CF and QoL.

风险管理联合细节干预对行床旁气管镜检查肺结核患者并发症的影响

目的探讨风险管理联合细节干预对行床旁气管镜检查肺结核患者并发症的影响。方法选择2019年7月至2020年12月接诊的80例行床旁气管镜技术检查的肺结核患者为研究对象,将其随机分为对照组和观察组,每组40例。对照组患者给予常规干预,观察组患者给予风险管理联合细节干预措施,比较2组患者的干预效果。结果观察组护理技能、文书书写、健康教育和服务态度等临床干预服务质量评分高于对照组(P<0.05)。观察组物质生活、生理健康、社会功能和心理状态等的生活质量评分优于对照组(P<0.05)。观察组的自我护理能力实施量表(ESCA)评分高于对照组(P<0.05)。观察组的护理满意度、治疗依从性高于对照组(P<0.05)。结论风险管理联合细节干预能有效降低行床旁气管镜技术检查肺结核患者的并发症发生率,提高临床服务质量。