Based on a 5% （mass fraction） Re-containing single crystal nickel-based superalloy with 3% （mass fraction） Cr, the microstructural variation with Cr addition was investigated. The experimental results show that se...Based on a 5% （mass fraction） Re-containing single crystal nickel-based superalloy with 3% （mass fraction） Cr, the microstructural variation with Cr addition was investigated. The experimental results show that segregation of alloying elements was enhanced in as-cast microstructure with Cr addition; and the volume fraction of eutectic is increased. However, the solidus and liquidus temperatures are remarkably reduced. With the increase of Cr content, the average γ＇ size and volume fraction are decreased in the fully heat treated microstructure. X-ray diffraction results indicate that γ/γ＇ lattice misfit becomes more negative. According to the energy dispersive spectroscopy （EDS） results, Cr is mainly distributed in the γ matrix; and more y-forming elements, such as Re and W, enter the γ matrix, while the γ/γ＇ partition ratio of Cr is inversely decreased.展开更多
Background:Most of previous studies aimed to estimate the effect of nurse staffing on quality of acute hospital care have used stochastic methods and their results are mixed.Objective:To measure the magnitude of effec...Background:Most of previous studies aimed to estimate the effect of nurse staffing on quality of acute hospital care have used stochastic methods and their results are mixed.Objective:To measure the magnitude of effect of nurse-staffing level on increasing quality of acute care services in long-run.Data:The number of practicing nurses'density per 1000 population as the proxy of nurse-staffing level and three Health Care Quality Indicators(HCQI)included 30-day mortality per 100 patients based on acute myocardial infarction(MORTAMIO),hemorrhagic stroke(MORTHSTO)and ischemic stroke(MORTISTO)were collected as a part of ongoing project by OECD.org in panels of 26 OECD countries over 2005-2015 period.Method:Panel data analysis.Results:There were committed relationships from nurse-staffing level to the enhancement of HCQI i.e.1%increase in nurse-staffing level would reduce the rates of patient mortality based on MORTAMIO,MORTHSTO and MORTISTO by 0.65%,0.60%and 0.80%,respectively.Furthermore,the role of nursestaffing level in increasing overall HCQI were simulated at the highest level in Sweden(-3.53),Denmark(-3.31),Canada(-2.59),Netherlands(-2.33),Finland(-2.09),Switzerland(-1.72),Australia(-1.64)and United States(-1.53).Conclusion:A higher proportion of nurses-staffing level is associated with higher quality of acute care services in OECD countries.Also,the nursing characteristics of Sweden,Denmark,Canada,Netherlands,Finland,Switzerland,Australia and United States would be good patterns for other countries to maximize nursing outcomes in the care of patients with acute and life-threatening conditions by reducing the risk of complication,mortality and adverse clinical outcomes.展开更多
Telemedicine＇s greatest problem is not found in software and hardware. Many can make software and hardware work. It has for long been clear that telemedicine has diffusion problems. Focus should be shifted over to th...Telemedicine＇s greatest problem is not found in software and hardware. Many can make software and hardware work. It has for long been clear that telemedicine has diffusion problems. Focus should be shifted over to the humanware. Telemedicine means work is done by virtual organizations. For the future of telemedicine, organizational issues will represent a challenge. Organizations consist of humans in interaction. In Norwegian telemedicine projects, organizational problems were identified and solutions to the problems were designed. More than 40 publications show numerous organizational consequences and numerous types of organizational consequences. When it comes to the solving telemedicine＇s organizational problems, learning from the experience others have is important. It is not necessary for all to invent what the organizational problems are. Organizing health care around the physical telecommunication networks is associated with the concept of network organization. The electronic networks become an infrastructure around which single health care providers are distributed. Such network organization means a formation of alliances between organizations. Centralization and decentralization are important terms for all organizing. Telemedicine makes the question of centralization or decentralization relevant. Telemedicine requires collaboration between participating parties. Obtaining the benefits of telemedicine is dependent on implementing the right measures for good collaboration. We know there are problems with telemedicine virtual organizations, but solutions to these problems exist. For the future of telemedicine, doing work with organization is important. Skilled managers have an important role to play.展开更多
基金Projects (2010CB631200, 2010CB631206) supported by the National Basic Research Program of ChinaProject (50931004) supported by the National Natural Science Foundation of China
文摘Based on a 5% （mass fraction） Re-containing single crystal nickel-based superalloy with 3% （mass fraction） Cr, the microstructural variation with Cr addition was investigated. The experimental results show that segregation of alloying elements was enhanced in as-cast microstructure with Cr addition; and the volume fraction of eutectic is increased. However, the solidus and liquidus temperatures are remarkably reduced. With the increase of Cr content, the average γ＇ size and volume fraction are decreased in the fully heat treated microstructure. X-ray diffraction results indicate that γ/γ＇ lattice misfit becomes more negative. According to the energy dispersive spectroscopy （EDS） results, Cr is mainly distributed in the γ matrix; and more y-forming elements, such as Re and W, enter the γ matrix, while the γ/γ＇ partition ratio of Cr is inversely decreased.
文摘Background:Most of previous studies aimed to estimate the effect of nurse staffing on quality of acute hospital care have used stochastic methods and their results are mixed.Objective:To measure the magnitude of effect of nurse-staffing level on increasing quality of acute care services in long-run.Data:The number of practicing nurses'density per 1000 population as the proxy of nurse-staffing level and three Health Care Quality Indicators(HCQI)included 30-day mortality per 100 patients based on acute myocardial infarction(MORTAMIO),hemorrhagic stroke(MORTHSTO)and ischemic stroke(MORTISTO)were collected as a part of ongoing project by OECD.org in panels of 26 OECD countries over 2005-2015 period.Method:Panel data analysis.Results:There were committed relationships from nurse-staffing level to the enhancement of HCQI i.e.1%increase in nurse-staffing level would reduce the rates of patient mortality based on MORTAMIO,MORTHSTO and MORTISTO by 0.65%,0.60%and 0.80%,respectively.Furthermore,the role of nursestaffing level in increasing overall HCQI were simulated at the highest level in Sweden(-3.53),Denmark(-3.31),Canada(-2.59),Netherlands(-2.33),Finland(-2.09),Switzerland(-1.72),Australia(-1.64)and United States(-1.53).Conclusion:A higher proportion of nurses-staffing level is associated with higher quality of acute care services in OECD countries.Also,the nursing characteristics of Sweden,Denmark,Canada,Netherlands,Finland,Switzerland,Australia and United States would be good patterns for other countries to maximize nursing outcomes in the care of patients with acute and life-threatening conditions by reducing the risk of complication,mortality and adverse clinical outcomes.
文摘Telemedicine＇s greatest problem is not found in software and hardware. Many can make software and hardware work. It has for long been clear that telemedicine has diffusion problems. Focus should be shifted over to the humanware. Telemedicine means work is done by virtual organizations. For the future of telemedicine, organizational issues will represent a challenge. Organizations consist of humans in interaction. In Norwegian telemedicine projects, organizational problems were identified and solutions to the problems were designed. More than 40 publications show numerous organizational consequences and numerous types of organizational consequences. When it comes to the solving telemedicine＇s organizational problems, learning from the experience others have is important. It is not necessary for all to invent what the organizational problems are. Organizing health care around the physical telecommunication networks is associated with the concept of network organization. The electronic networks become an infrastructure around which single health care providers are distributed. Such network organization means a formation of alliances between organizations. Centralization and decentralization are important terms for all organizing. Telemedicine makes the question of centralization or decentralization relevant. Telemedicine requires collaboration between participating parties. Obtaining the benefits of telemedicine is dependent on implementing the right measures for good collaboration. We know there are problems with telemedicine virtual organizations, but solutions to these problems exist. For the future of telemedicine, doing work with organization is important. Skilled managers have an important role to play.
