Building cyber-physical system(CPS) models of machine tools is a key technology for intelligent manufacturing. The massive electronic data from a computer numerical control(CNC) system during the work processes of a C...Building cyber-physical system(CPS) models of machine tools is a key technology for intelligent manufacturing. The massive electronic data from a computer numerical control(CNC) system during the work processes of a CNC machine tool is the main source of the big data on which a CPS model is established. In this work-process model, a method based on instruction domain is applied to analyze the electronic big data, and a quantitative description of the numerical control(NC) processes is built according to the G code of the processes. Utilizing the instruction domain, a work-process CPS model is established on the basis of the accurate, real-time mapping of the manufacturing tasks, resources, and status of the CNC machine tool. Using such models, case studies are conducted on intelligent-machining applications, such as the optimization of NC processing parameters and the health assurance of CNC machine tools.展开更多
AIM:To investigate national trends in distal pancreatectomy(DP) through query of three national patient care databases.METHODS:From the Nationwide Inpatient Sample(NIS,2003-2009),the National Surgical Quality Improvem...AIM:To investigate national trends in distal pancreatectomy(DP) through query of three national patient care databases.METHODS:From the Nationwide Inpatient Sample(NIS,2003-2009),the National Surgical Quality Improvement Project(NSQIP,2005-2010),and the Surveillance Epidemiology and End Results(SEER,2003-2009) databases using appropriate diagnostic and procedural codes we identified all patients with a diagnosis of a benign or malignant lesion of the body and/or tail of the pancreas that had undergone a partial or distal pancreatectomy.Utilization of laparoscopy was defined in NIS by the International Classification of Diseases,Ninth Revision correspondent procedure code;and in NSQIP by the exploratory laparoscopy or unlisted procedure current procedural terminology codes.In SEER,patients were identified by the International Classification of Diseases for Oncology,Third Edition diagnosis codes and the SEER Program Code Manual,third edition procedure codes.We analyzed the databases with respect to trends of inpatient outcome metrics,oncologic outcomes,and hospital volumes in patients with lesions of the neck and body of the pancreas that underwent operative resection.RESULTS:NIS,NSQIP and SEER identified 4242,2681 and 11 082 DP resections,respectively.Overall,laparoscopy was utilized in 15%(NIS) and 27%(NSQIP).No significant increase was seen over the course of the study.Resection was performed for malignancy in 59%(NIS) and 66%(NSQIP).Neither patient Body mass index nor comorbidities were associated with operative approach(P = 0.95 and P = 0.96,respectively).Mortality(3% vs 2%,P = 0.05) and reoperation(4% vs 4%,P = 1.0) was not different between laparoscopy and open groups.Overall complications(10% vs 15%,P < 0.001),hospital costs [44 741 dollars,interquartile range(IQR) 28 347-74 114 dollars vs 49 792 dollars,IQR 13 299-73 463,P = 0.02] and hospital length of stay(7 d,IQR 4-11 d vs 7 d,IQR 6-10,P < 0.001) were less when laparoscopy was utilized.One and two year survival after resection for malignancy were unchanged over the course of the study(ductal adenocarinoma 1-year 63.6% and 2-year 35.1%,P = 0.53;intraductal papillary mucinous neoplasm and nueroendocrine 1-year 90% and 2-year 84%,P = 0.25).The majority of resections were performed in teaching hospitals(77% NIS and 85% NSQIP),but minimally invasive surgery(MIS) was not more likely to be used in teaching hospitals(15% vs 14%,P = 0.26).Hospitals in the top decile for volume were more likely to be teaching hospitals than lower volume deciles(88% vs 43%,P < 0.001),but were no more likely to utilize MIS at resection.Complication rate in teaching and the top decile hospitals was not significantly decreased when compared to non-teaching(15% vs 14%,P = 0.72) and lower volume hospitals(14% vs 15%,P = 0.99).No difference was seen in the median number of lymph nodes and lymph node ratio in N1 disease when compared by year(P = 0.17 and P = 0.96,respectively).CONCLUSION:There appears to be an overall underutilization of laparoscopy for DP.Centralization does not appear to be occurring.Survival and lymph node harvest have not changed.展开更多
Objective： Case Teaching Method used in Primary Mathematics Pedagogy course can highlight the characteristics of pedagogy course. This method can transform learning process from the passive one in the conventional cl...Objective： Case Teaching Method used in Primary Mathematics Pedagogy course can highlight the characteristics of pedagogy course. This method can transform learning process from the passive one in the conventional classroom to an active one, so that classroom atmosphere will become active, inspiring students＇ interest in learning, and students would have the initiative to study. Meanwhile the Case Teaching Method also put forward higher requirements for teachers. This author does some analyses of the meaning of the case teaching method implementation methods and problems based on years of teaching experience. Detailed analyses can be shown as follow展开更多
The development of modem information technology has brought unprecedented impact on mathematics teaching, which affects the content of the curriculum, and teaching and its manifestations, affecting the role of teacher...The development of modem information technology has brought unprecedented impact on mathematics teaching, which affects the content of the curriculum, and teaching and its manifestations, affecting the role of teachers in the teaching process and its relationship with the students, teaching methods and impacting policies the selection and use, affecting organizational form of teaching. Mathematics curriculum standards clearly stated： the design and implementation of the mathematics curriculum should pay attention to the use of modern information technology, particularly to fully consider the impact on mathematics learning content and methods, and to provide students with a more vigorous development of rich learning resources, the modem information technology as a powerful tool for students to learn math and problem-solving, working to change the way students learn, students willing and more energy into reality, exploratory math activities.展开更多
＂Shanghai mathematics exchange＂ has been a prevalent theme, as well as a controversial topic. The program of＂mathematics exchange＂ which was executed by Shanghai Municipal Education Commission and the Department o...＂Shanghai mathematics exchange＂ has been a prevalent theme, as well as a controversial topic. The program of＂mathematics exchange＂ which was executed by Shanghai Municipal Education Commission and the Department of Education： which is the highest performing jurisdiction in the world for mathematics. It is important to analyse and understand this project from political, cultural, social and other different perspectives. Meanwhile, This article applies Foucault and Bourdieu theories to illustrate the exchange programme and the changes of curriculum reform both in Britain and China. Practical evidences have provided the functions and the driving forces will be supplied for the further development of education continuously.展开更多
With the rapid development of digital technology in the new century, modem technology used to provide aid for teaching is widely used. The pattern of education had been great changed in due to input digital technology...With the rapid development of digital technology in the new century, modem technology used to provide aid for teaching is widely used. The pattern of education had been great changed in due to input digital technology .There are many tremendous changes such as the information collected and stored, the teaching process and performance, all aspects of the learner receives ways and means, especially the traditional art education be affected at the most significant way. In the traditional art teaching process, educators and learners mainly in the unarmed way of painting and design which tend to form on the art of teaching content recapitulate and mechanical reproduction of art materials for teaching situation. The art of teaching behaviors had become no creativity and creative fun. Modem art education needs innovation; needs to reflect the flavor of the era of technology. Therefore, the new model for art teaching with the perfect combination of the help of modem digital computer technology is becoming the most urgent needs.展开更多
基金support of the studies is from the National Major Scientific and Technological Special Project for "Development and comprehensive verification of complete products of open high-end CNC system, servo device and motor" (2012ZX04001012)
文摘Building cyber-physical system(CPS) models of machine tools is a key technology for intelligent manufacturing. The massive electronic data from a computer numerical control(CNC) system during the work processes of a CNC machine tool is the main source of the big data on which a CPS model is established. In this work-process model, a method based on instruction domain is applied to analyze the electronic big data, and a quantitative description of the numerical control(NC) processes is built according to the G code of the processes. Utilizing the instruction domain, a work-process CPS model is established on the basis of the accurate, real-time mapping of the manufacturing tasks, resources, and status of the CNC machine tool. Using such models, case studies are conducted on intelligent-machining applications, such as the optimization of NC processing parameters and the health assurance of CNC machine tools.
文摘AIM:To investigate national trends in distal pancreatectomy(DP) through query of three national patient care databases.METHODS:From the Nationwide Inpatient Sample(NIS,2003-2009),the National Surgical Quality Improvement Project(NSQIP,2005-2010),and the Surveillance Epidemiology and End Results(SEER,2003-2009) databases using appropriate diagnostic and procedural codes we identified all patients with a diagnosis of a benign or malignant lesion of the body and/or tail of the pancreas that had undergone a partial or distal pancreatectomy.Utilization of laparoscopy was defined in NIS by the International Classification of Diseases,Ninth Revision correspondent procedure code;and in NSQIP by the exploratory laparoscopy or unlisted procedure current procedural terminology codes.In SEER,patients were identified by the International Classification of Diseases for Oncology,Third Edition diagnosis codes and the SEER Program Code Manual,third edition procedure codes.We analyzed the databases with respect to trends of inpatient outcome metrics,oncologic outcomes,and hospital volumes in patients with lesions of the neck and body of the pancreas that underwent operative resection.RESULTS:NIS,NSQIP and SEER identified 4242,2681 and 11 082 DP resections,respectively.Overall,laparoscopy was utilized in 15%(NIS) and 27%(NSQIP).No significant increase was seen over the course of the study.Resection was performed for malignancy in 59%(NIS) and 66%(NSQIP).Neither patient Body mass index nor comorbidities were associated with operative approach(P = 0.95 and P = 0.96,respectively).Mortality(3% vs 2%,P = 0.05) and reoperation(4% vs 4%,P = 1.0) was not different between laparoscopy and open groups.Overall complications(10% vs 15%,P < 0.001),hospital costs [44 741 dollars,interquartile range(IQR) 28 347-74 114 dollars vs 49 792 dollars,IQR 13 299-73 463,P = 0.02] and hospital length of stay(7 d,IQR 4-11 d vs 7 d,IQR 6-10,P < 0.001) were less when laparoscopy was utilized.One and two year survival after resection for malignancy were unchanged over the course of the study(ductal adenocarinoma 1-year 63.6% and 2-year 35.1%,P = 0.53;intraductal papillary mucinous neoplasm and nueroendocrine 1-year 90% and 2-year 84%,P = 0.25).The majority of resections were performed in teaching hospitals(77% NIS and 85% NSQIP),but minimally invasive surgery(MIS) was not more likely to be used in teaching hospitals(15% vs 14%,P = 0.26).Hospitals in the top decile for volume were more likely to be teaching hospitals than lower volume deciles(88% vs 43%,P < 0.001),but were no more likely to utilize MIS at resection.Complication rate in teaching and the top decile hospitals was not significantly decreased when compared to non-teaching(15% vs 14%,P = 0.72) and lower volume hospitals(14% vs 15%,P = 0.99).No difference was seen in the median number of lymph nodes and lymph node ratio in N1 disease when compared by year(P = 0.17 and P = 0.96,respectively).CONCLUSION:There appears to be an overall underutilization of laparoscopy for DP.Centralization does not appear to be occurring.Survival and lymph node harvest have not changed.
文摘Objective： Case Teaching Method used in Primary Mathematics Pedagogy course can highlight the characteristics of pedagogy course. This method can transform learning process from the passive one in the conventional classroom to an active one, so that classroom atmosphere will become active, inspiring students＇ interest in learning, and students would have the initiative to study. Meanwhile the Case Teaching Method also put forward higher requirements for teachers. This author does some analyses of the meaning of the case teaching method implementation methods and problems based on years of teaching experience. Detailed analyses can be shown as follow
文摘The development of modem information technology has brought unprecedented impact on mathematics teaching, which affects the content of the curriculum, and teaching and its manifestations, affecting the role of teachers in the teaching process and its relationship with the students, teaching methods and impacting policies the selection and use, affecting organizational form of teaching. Mathematics curriculum standards clearly stated： the design and implementation of the mathematics curriculum should pay attention to the use of modern information technology, particularly to fully consider the impact on mathematics learning content and methods, and to provide students with a more vigorous development of rich learning resources, the modem information technology as a powerful tool for students to learn math and problem-solving, working to change the way students learn, students willing and more energy into reality, exploratory math activities.
文摘＂Shanghai mathematics exchange＂ has been a prevalent theme, as well as a controversial topic. The program of＂mathematics exchange＂ which was executed by Shanghai Municipal Education Commission and the Department of Education： which is the highest performing jurisdiction in the world for mathematics. It is important to analyse and understand this project from political, cultural, social and other different perspectives. Meanwhile, This article applies Foucault and Bourdieu theories to illustrate the exchange programme and the changes of curriculum reform both in Britain and China. Practical evidences have provided the functions and the driving forces will be supplied for the further development of education continuously.
文摘With the rapid development of digital technology in the new century, modem technology used to provide aid for teaching is widely used. The pattern of education had been great changed in due to input digital technology .There are many tremendous changes such as the information collected and stored, the teaching process and performance, all aspects of the learner receives ways and means, especially the traditional art education be affected at the most significant way. In the traditional art teaching process, educators and learners mainly in the unarmed way of painting and design which tend to form on the art of teaching content recapitulate and mechanical reproduction of art materials for teaching situation. The art of teaching behaviors had become no creativity and creative fun. Modem art education needs innovation; needs to reflect the flavor of the era of technology. Therefore, the new model for art teaching with the perfect combination of the help of modem digital computer technology is becoming the most urgent needs.
