Developing a simple scalable method to fabricate electrodes with high capacity and wide voltage range is desired for the real use of electrochemical supercapacitors.Herein,we synthesized amorphous NiCo-LDH nanosheets ...Developing a simple scalable method to fabricate electrodes with high capacity and wide voltage range is desired for the real use of electrochemical supercapacitors.Herein,we synthesized amorphous NiCo-LDH nanosheets vertically aligned on activated carbon cloth substrate,which was in situ transformed from Co-metal-organic framework materials nano-columns by a simple ion exchange process at room temperature.Due to the amorphous and vertically aligned ultrathin structure of NiCo-LDH,the NiCo-LDH/activated carbon cloth composites present high areal capacities of 3770 and 1480 mF cm^(-2)as cathode and anode at 2 mA cm^(-2),and 79.5%and 80%capacity have been preserved at 50 mA cm^(-2).In the meantime,they all showed excellent cycling performance with negligible change after>10000 cycles.By fabricating them into an asymmetric supercapacitor,the device achieves high energy densities(5.61 mWh cm^(-2)and 0.352 mW cm^(-3)).This work provides an innovative strategy for simplifying the design of supercapacitors as well as providing a new understanding of improving the rate capabilities/cycling stability of NiCo-LDH materials.展开更多
Introduction: Stillbirths are estimated at 2 million each year, of which more than 40% occur during labour. Our objective was to study the epidemiological aspects of stillbirth and neonatal deaths in the delivery room...Introduction: Stillbirths are estimated at 2 million each year, of which more than 40% occur during labour. Our objective was to study the epidemiological aspects of stillbirth and neonatal deaths in the delivery room in our health facility. Patients and methods: Prospective, descriptive and analytical study, conducted at the Jeanne Ebori Foundation Mother-Child University Hospital over 4 years (January 2019-December 2022). All neonatal deaths in the delivery room or foetal death in utero, were included. Results: Among the 18,346 deliveries performed, 512 newborns were declared dead in the delivery room (27.9‰ live births), divided into in utero foetal death (19.0‰) and immediate neonatal death (8.9‰). The mean age was 34.3 weeks of amenorrhea. The rate of preterm birth was 60.4%. The sex ratio was 1.1. The average weight was 2186.6. The main causes were vascular (46.1%), foetal (20.2%), adnexal (17.1%) and asphyxia per partum (16.6%). Foetal causes were more likely to result in IUFD than other causes (OR = 6.4 [2.4 - 15.7], p < 0.001). After birth, partum asphyxia was more likely to lead to death before 15 minutes of life than other causes (OR = 11 [6.1 - 18.9], p Conclusion: The causes of stillbirth and early neonatal mortality are dominated by maternal vascular pathologies. However, the proportion of childbirth-related causes remains worrying. Better monitoring of pregnancy and labour will minimize this prevalence in our hospital.展开更多
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 e...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.展开更多
The load-bearing performance(LBP)of pumpable supports(PPS)is crucial for the stability of longwall pre-driven recovery room(PRR)surrounding rock.However,the unbalanced bearing coefficient(UBC)of the PPS(undertaking un...The load-bearing performance(LBP)of pumpable supports(PPS)is crucial for the stability of longwall pre-driven recovery room(PRR)surrounding rock.However,the unbalanced bearing coefficient(UBC)of the PPS(undertaking unequal load along the mining direction)has not been investigated.A mechanical model of the PRR was established,considering the main roof cantilever beam structure,to derive an assessment formula for the load,the failure criteria,and the UBC of the PPS.Subsequently,the generation mechanisms,and influencing factors of the UBC were revealed.Global sensitivity analysis shows that the main roof hanging length(l_(2))and the spacing between the PPS(r)significantly impact the UBC.A novel design of the PPS and the coupling control technology were proposed and applied to reduce the UBC of the PPS in the adjacent longwall PRR.Monitor results showed no failure of the PPS at the test site,with the UBC(ζ)reduced to 1.1 consistent with the design value(1.15)basically,fully utilizing the collaborative LBP of the PPS.Finally,the maximum roof-to-floor convergence of the PRR was 234 mm,effectively controlling the stability of the surrounding rock of the PRR and ensuring the mining equipment recovery.展开更多
Objective:To explore the clinical benefits achieved by implementing the operating room nursing cooperation path for patients undergoing laparoscopic hysterectomy.Methods:64 laparoscopic hysterectomy cases were divided...Objective:To explore the clinical benefits achieved by implementing the operating room nursing cooperation path for patients undergoing laparoscopic hysterectomy.Methods:64 laparoscopic hysterectomy cases were divided into groups according to the order of admission.The control group received routine perioperative care.The observation group implemented the nursing cooperation path in the operating room on the same basis as the control group.The two groups’physiological responses,stimulus indicators,anxiety,and complication rates were compared.Results:The heart rate,blood pressure 0.5 hours after surgery,anxiety scores 1 day before and 3 days after surgery,and the total number of complications in the observation group were all lower than those in the control group(P<0.05).Conclusion:The development of a nursing cooperation path in the operating room can help patients undergoing laparoscopic hysterectomy reduce heart rate,blood pressure,stress responses,and the risk of complications,and is worthy of promotion.展开更多
Objective:To explore and analyze the effect of implementing a precise education model on the nursing care of perioperative patients in the interventional catheterization room.Methods:We selected 70 patients who were g...Objective:To explore and analyze the effect of implementing a precise education model on the nursing care of perioperative patients in the interventional catheterization room.Methods:We selected 70 patients who were going to undergo surgical intervention in our hospital from August 2020 to December 2022 as the subjects for this study through random sampling.The patients were divided into a control group and an observation group,with 35 cases in each group.The control group underwent basic nursing intervention,and the observation group was given precise patient education.The nursing effects of both groups were observed.Results:After the intervention,all compliance indicators of the observation group were better than those of the control group(P<0.05).Besides,the incidence of complications in the observation group(2.86%)was lower than that of the control group(17.14%)with P<0.05.Furthermore,the patient satisfaction of the observation group(97.14%)was higher than that of the control group(82.86%),with P<0.05.Conclusion:A precise propaganda and education model facilitates the nursing of perioperative patients in the interventional catheterization room.Therefore,this practice should be popularized.展开更多
Objective:To investigate the effect of using audible thinking combined with the case teaching method in the teaching of nursing checkups for regulation nurses.Methods:The period was April 2023–April 2024,and a random...Objective:To investigate the effect of using audible thinking combined with the case teaching method in the teaching of nursing checkups for regulation nurses.Methods:The period was April 2023–April 2024,and a randomized controlled group study was carried out in which 76 regulation nurses in our hospital were randomly divided into a research group and a control group,with 38 regulation nurses in each group.The control group used conventional teaching methods,and the research group used audible thinking combined with the case teaching method,comparing the two groups’independent learning ability scores,assessment scores,and teaching satisfaction.Results:Independent learning ability score:after teaching,the research group was significantly higher than the control group(P<0.05);Assessment results:the research group was considerably higher than the control group(P<0.05);Teaching satisfaction:the research group was significantly higher than the control group(P<0.05).Conclusion:The use of audible thinking combined with the case teaching method in the teaching of nursing room visits for trained nurses can improve independent learning ability and assessment results and increase teaching satisfaction.展开更多
Objective:To explore the preventive effect of comprehensive nursing intervention on arteriovenous fistula failure in patients in the hemodialysis room.Methods:82 patients with arteriovenous fistula in the hemodialysis...Objective:To explore the preventive effect of comprehensive nursing intervention on arteriovenous fistula failure in patients in the hemodialysis room.Methods:82 patients with arteriovenous fistula in the hemodialysis chamber treated in our hospital from July 2022 to October 2023 were selected as the research subjects.The random number table method divided them into a control group and an experimental group of 41 cases each.The control group received general nursing intervention measures,while the experimental group underwent comprehensive nursing intervention.The incidence of complications(internal fistula failure,bleeding,thrombosis,infection),psychological emotions(SAS scale,SDS scale),quality of life(physical pain,physiological function,emotional function,social function),and nursing satisfaction(very satisfied,basically satisfied,satisfied,dissatisfied)were compared between the two groups of patients.Results:The incidence of complications in the experimental group(4,9.76%)was significantly lower than that in the control group(29,70.73%);the SAS scores and SDS scores of the patients in the experimental group after intervention were both lower than those in the control group;the quality of life score(physical pain,physiological function,emotional function,and social function)was all higher than those of the control group;the post-intervention nursing satisfaction of the experimental group(40,97.57%)was also significantly higher than that of the control group(29,73.17%);and the listed differences were statistically significant(P<0.01).Conclusion:For patients with hemodialysis ventricular arteriovenous fistula failure,comprehensive nursing intervention can reduce the incidence of complications,relieve anxiety and stress,improve quality of life and nursing satisfaction,and achieve better preventive effects.展开更多
Objective:Clinical education plays a key role in preparing students for patient care.Laparoscopy is one of the most important minimally invasive surgeries(MISs)wherein surgical technologists are responsible for camera...Objective:Clinical education plays a key role in preparing students for patient care.Laparoscopy is one of the most important minimally invasive surgeries(MISs)wherein surgical technologists are responsible for camera navigation and assistant surgeons are responsible for peg transfer.Therefore,it is necessary to improve the attitude of the operating room students toward these skills during their study period.The present study was conducted to determine the effect of simulating training in the fundamentals of laparoscopic surgery(FLS)on the attitude of the operating room students.Methods:This interventional study was conducted on 28 operating room students of Iran University of Medical Sciences in 2019.The census sampling method was used.The data-collection tool included the“Intrinsic motivation inventory(IMI)questionnaire.”The educational intervention was carried out in theoretical(booklet design)and practical(simulation)sections.Data analysis was carried out using descriptive and inferential analyses including the paired t-test,Mann–Whitney U test,and independent t-test.The collected data were analyzed using R and SPSS software.P-value<0.05 was considered as the significant level.Results:The mean±SD of the participants'age was 22.93±2.14 years,and the majority of them were women(67.9%).There was a significant difference in the mean scores of students'attitudes toward the FLS before and after the educational intervention(P<0.001)in all dimensions(interest,perceived competence,perceived choice,and tension).There was also a significant correlation between gender and interest dimension(P=0.005).Conclusions:The results of the present study showed that simulating the training FLS curriculum positively affects students'attitudes.Therefore,the researchers suggest that for creating a positive attitude,increasing students'interest in laparoscopic surgery,and ensuring a more effective presence in the operating room,this training should be considered in the operating room curriculum.展开更多
Concomitant with the advancement of contemporary medical technology,the significance of perioperative nursing has been increasingly accentuated,necessitating elevated standards for the pedagogy of perioperative nursin...Concomitant with the advancement of contemporary medical technology,the significance of perioperative nursing has been increasingly accentuated,necessitating elevated standards for the pedagogy of perioperative nursing.Presently,the PBL(problem-based learning)pedagogical approach,when integrated with CBL(case-based learning),has garnered considerable interest.An extensive literature review has been conducted to analyze the application of the PBL-CBL fusion in the education of perioperative nursing.Findings indicate that this integrative teaching methodology not only enhances students’theoretical knowledge,practical competencies,and collaborative skills but also contributes to the elevation of teaching quality.In conclusion,the PBL-CBL teaching approach holds immense potential for broader application in perioperative nursing education.Nevertheless,it is imperative to continually refine this combined pedagogical strategy to further enhance the caliber of perioperative nursing instruction and to cultivate a greater number of exceptional nursing professionals in the operating room setting.展开更多
In A Room of One's Own,Virginia Woolf argued her famous proposition that a woman needed to have a room of her own to achieve literary autonomy,and laid the foundation for present-day feminist criticism.Yet the aut...In A Room of One's Own,Virginia Woolf argued her famous proposition that a woman needed to have a room of her own to achieve literary autonomy,and laid the foundation for present-day feminist criticism.Yet the author believes that economic independent does not foster women's identity with certainty.In this thesis,the author explores the crucial place of spiritual and economic independence in building up women's autonomy through analyzing Michael Cunningham Pulitzerwinning work The Hours,which he draws inventively on the life of Virginia Woolf and her work Mrs.Dalloway.展开更多
Calix[4]-crown-5-sulfonyl cyclothiourea derivatives 6 and 7 were synthesized from calix[4]-crown-5-monosulfonylethylenediamine derivatives 4 and 5 and carbon disulfide through nucleophilic addition and subsequent cycl...Calix[4]-crown-5-sulfonyl cyclothiourea derivatives 6 and 7 were synthesized from calix[4]-crown-5-monosulfonylethylenediamine derivatives 4 and 5 and carbon disulfide through nucleophilic addition and subsequent cyclization of intramolecule at room temperature in aqueous solution. The advantages of the novel protocol are the mild reaction condition, free organic solvent, simple final treatment, easy isolation of products and excellent yields.展开更多
Introduction: In order to prevent the vertical transmission of the Human Immunodeficiency Virus (HIV), it is essential that pregnant women must know their HIV serological status. Objective: To determine the proportion...Introduction: In order to prevent the vertical transmission of the Human Immunodeficiency Virus (HIV), it is essential that pregnant women must know their HIV serological status. Objective: To determine the proportion of parturients with unknown Human Immunodeficiency Virus (HIV) status in the delivery room and to identify the associated factors. Methods: We conducted a prospective descriptive study carried out at the Reference Health Center of Commune IV in the district of Bamako from July 1, 2017 to July 1, 2018. The sample size was 267 parturients. The word processing was carried out on World software from the 2016 office suite at the end of the data entry and analysis was carried out on the IBM software, SPSS version 22.0. Results: A total of 267 women were eligible for our study, among which 14 parturients were seropositive, i.e., a proportion of 5.2% of cases. The knowledge of parturients on HIV was 95.5% of cases, but more than half did not know the mode of mother-child transmission. Unschooled parturients were the most represented with 41.2%. Conclusion: In view of the large proportion (5.2%) of HIV-positive parturients in our study, voluntary screening activities in the delivery room remain necessary for the future of children born to HIV-positive mothers.展开更多
A Room of One’s Own is a masterpiece by Virginia Woolf, which describes her understanding of literary creation and the issue of women and fiction. The content of this book is based on Woolf’s two speeches at Cambrid...A Room of One’s Own is a masterpiece by Virginia Woolf, which describes her understanding of literary creation and the issue of women and fiction. The content of this book is based on Woolf’s two speeches at Cambridge, with the theme of “Women and fiction.” Through the analysis of the history and current situation of female literary creation, the paper points out that women should have the courage and right to fight for independent economic power and social status. “Oxbridge” is a combined term of Oxford and Cambridge, and Oxbridge pictures dominate the first chapter of A Room of One’s Own, which are the focus of this paper. Through a detailed analysis of the different indoor and outdoor pictures of Oxbridge, including nature, landscape, humanistic architecture and the “pictures” imagined in the narrator’s mind, this paper discusses the existence of Victorian women and Woolf’s feminist thoughts so as to provide possible implications for the social survival of contemporary women. The study is also concerned with Woolf’s Eco-feminism, stream of consciousness and other artistic skills.展开更多
Flower-like tin oxide-supported platinum(Pt/SnOx) with a hierarchical structure was synthesized by a hydrothermal method and characterized by XRD,SEM,TEM,high resolution TEM,XPS and nitrogen adsorption.The flower-li...Flower-like tin oxide-supported platinum(Pt/SnOx) with a hierarchical structure was synthesized by a hydrothermal method and characterized by XRD,SEM,TEM,high resolution TEM,XPS and nitrogen adsorption.The flower-like Pt/SnOx microspheres of 1 μm in diameter were composed of staggered petal-like nanosheets with a thickness of 20 nm.Pt nanoparticles(NPs) of 2-3 nm were well dispersed on the SnOx nanosheets.The catalyst was tested in the catalytic oxidation of gaseous formaldehyde(HCHO) at room temperature,and exhibited enhanced activity compared to Pt NPs supported on commercial SnO and ground SnOx.HCHO removal of 87%was achieved over the hierarchical Pt/SnOx after 1 h of reaction,which was 1.5 times that over the ground SnOx-supported Pt(Pt/g-SnOx),and the high activity was maintained after six recycles,showing the high stability of this catalyst.HCHO decomposition kinetics was modeled as a second order reaction.The reaction rate constant for Pt/SnOx was 5.6 times higher than Pt/g-SnOx.The hierarchical pore structure was beneficial for the diffusion and adsorption of HCHO molecules,and the highly dispersed Pt NPs on the SnOx nanosheets were the active sites for the oxidative decomposition of HCHO into CO2 and H2O.This study provided a promising approach for designing efficient catalysts for indoor HCHO removal at ambient temperature.展开更多
Among the two commonly identified ways of assessment,summative assessment aims to measure,or summarize,what a student has grasped,and typically occurs at the end of a course or unit of instruction.While the formative ...Among the two commonly identified ways of assessment,summative assessment aims to measure,or summarize,what a student has grasped,and typically occurs at the end of a course or unit of instruction.While the formative assessment,which is characterized by the needs of insiders,is distinct in that it focuses on learning through assessment and the role of the learners in this process.As is well known,teachers' role in the classroom assessment is geared to formulating and scaffolding learning on the basis of on-going feedback from internal and external assessment sources.Peer review,on the other hand,is also an important component of the process of developing assessment.During the formative assessment in the EFL classroom,classroom teachers' evaluation as well as students' active peer scaffolding in group works play important roles in the decision making process.Although the formative and for learning perspective is quite different from the summative and of learning perspective in terms of theoretical and educational orientation.Neither students nor teachers should be ignored in the whole process for formative assessment.展开更多
The stability of room mining coal pillars during their secondary mining for recovering coal was analyzed. An analysis was performed for the damage and instability mechanism of coal pillars recovered by the caving mini...The stability of room mining coal pillars during their secondary mining for recovering coal was analyzed. An analysis was performed for the damage and instability mechanism of coal pillars recovered by the caving mining method. During the damage progression of a single room coal pillar, the shape of the stress distribution in the pillar transformed from the initial stable saddle shape to the final arch-shaped distribution of critical instability. By combining the shapes of stress distribution in the coal pillars with the ultimate strength theory, the safe-stress value of coal pillar was obtained as 11.8 MPa. The mechanism of instability of coal pillar groups recovered by the caving mining method was explained by the domino effect. Since the room coal pillars mined and recovered by the traditional caving mining method were significantly influenced by the secondary mining during recovery, the coal pillars would go through a chain-type instability failure. Because of this limitation, the method of solid backfilling was proposed for mining and recovering room coal pillars, thus changing the transfer mechanism of stress caused by the secondary mining(recovery) of coal pillars. The mechanical model of the stope in the case of backfilling and recovering room coal pillars was built. The peak stress values inside coal pillars varied with the variance of backfilling ratio when the working face was advanced by 150 m. Furthermore, when the critical backfilling ratio was 80.6%, the instability failure of coal pillars would not occur during the solid backfill mining process. By taking Bandingliang Coal Mine as an example, the coal pillars' stability of stope under this backfilling ratio was studied, and a project scheme was designed.展开更多
While the fully-mechanized longwall mining technology was employed in a shallow seam under a room mining goaf and overlained by thin bedrock and thick loose sands, the roadway pillars in the abandoned room mining goaf...While the fully-mechanized longwall mining technology was employed in a shallow seam under a room mining goaf and overlained by thin bedrock and thick loose sands, the roadway pillars in the abandoned room mining goaf were in a stress-concentrated state, which may cause abnormal roof weighting, violent ground pressure behaviours, even roof fall and hydraulic support crushed(HSC) accidents. In this case,longwall mining safety and efficiency were seriously challenged. Based on the HSC accidents occurred during the longwall mining of 3-1-2 seam, which locates under the intersection zone of roadway pillars in the room mining goaf of 3-1-1 seam, this paper employed ground rock mechanics to analyse the overlying strata structure movement rules and presented the main influence factors and determination methods for the hydraulic support working resistance. The FLAC3 D software was used to simulate the overlying strata stress and plastic zone distribution characteristics. Field observation was implemented to contrastively analyse the hydraulic support working resistance distribution rules under the roadway pillars in strike direction, normal room mining goaf, roadway pillars in dip direction and intersection zone of roadway pillars. The results indicate that the key strata break along with rotations and reactions of the coal pillars deliver a larger concentrated load to the hydraulic support under intersection zone of roadway pillars than other conditions. The ‘‘overburden strata-key strata-roadway pillars-immediate roof" integrated load has exceeded the yield load that leads to HSC accidents. Findings in HSC mechanism provide a reasonable basis for shallow seam mining, and have important significance for the implementation of safe and efficient mining.展开更多
Uniform CeVO4 nanowires with diameter of about 25 nm were synthesized by the water-in-oil microemulsion method at room temperature from cerous chloride, sodium orthophosphate, sodium chloride, cyclohexane, Triton X-10...Uniform CeVO4 nanowires with diameter of about 25 nm were synthesized by the water-in-oil microemulsion method at room temperature from cerous chloride, sodium orthophosphate, sodium chloride, cyclohexane, Triton X-100 and cetyltrimethyl ammonium bromide (CTAB). The crystal structure and morphology of the nanowires were characterized by XRD and TEM, respectively. The UV-vis absorption was detected by UV-vis spectrophotometer techniques. The results showed that as-prepared nanowires with the hexagonal phase have obvious quantum confinement effect and semiconductor characteristics. Little sodium chloride could play a positive role on the formation of CePO4 nanowires at room temperature. The size of the nanowires can be controlled through the joining of sodium chloride. C 2009 Yi Bin Yin. Published by Elsevier B.V. on behalf of Chinese Chemical Society. All rights reserved.展开更多
基金the funding from Natural Science Foundation of China(No.52003163)Guangdong Basic and Applied Basic Research Foundation(No.2022A1515010670)+1 种基金Science and Technology Innovation Commission of Shenzhen(Nos.KQTD20170810105439418 and 20200812112006001)NTUT-SZU Joint Research Program(Nos.2022005 and 2022015)
文摘Developing a simple scalable method to fabricate electrodes with high capacity and wide voltage range is desired for the real use of electrochemical supercapacitors.Herein,we synthesized amorphous NiCo-LDH nanosheets vertically aligned on activated carbon cloth substrate,which was in situ transformed from Co-metal-organic framework materials nano-columns by a simple ion exchange process at room temperature.Due to the amorphous and vertically aligned ultrathin structure of NiCo-LDH,the NiCo-LDH/activated carbon cloth composites present high areal capacities of 3770 and 1480 mF cm^(-2)as cathode and anode at 2 mA cm^(-2),and 79.5%and 80%capacity have been preserved at 50 mA cm^(-2).In the meantime,they all showed excellent cycling performance with negligible change after>10000 cycles.By fabricating them into an asymmetric supercapacitor,the device achieves high energy densities(5.61 mWh cm^(-2)and 0.352 mW cm^(-3)).This work provides an innovative strategy for simplifying the design of supercapacitors as well as providing a new understanding of improving the rate capabilities/cycling stability of NiCo-LDH materials.
文摘Introduction: Stillbirths are estimated at 2 million each year, of which more than 40% occur during labour. Our objective was to study the epidemiological aspects of stillbirth and neonatal deaths in the delivery room in our health facility. Patients and methods: Prospective, descriptive and analytical study, conducted at the Jeanne Ebori Foundation Mother-Child University Hospital over 4 years (January 2019-December 2022). All neonatal deaths in the delivery room or foetal death in utero, were included. Results: Among the 18,346 deliveries performed, 512 newborns were declared dead in the delivery room (27.9‰ live births), divided into in utero foetal death (19.0‰) and immediate neonatal death (8.9‰). The mean age was 34.3 weeks of amenorrhea. The rate of preterm birth was 60.4%. The sex ratio was 1.1. The average weight was 2186.6. The main causes were vascular (46.1%), foetal (20.2%), adnexal (17.1%) and asphyxia per partum (16.6%). Foetal causes were more likely to result in IUFD than other causes (OR = 6.4 [2.4 - 15.7], p < 0.001). After birth, partum asphyxia was more likely to lead to death before 15 minutes of life than other causes (OR = 11 [6.1 - 18.9], p Conclusion: The causes of stillbirth and early neonatal mortality are dominated by maternal vascular pathologies. However, the proportion of childbirth-related causes remains worrying. Better monitoring of pregnancy and labour will minimize this prevalence in our hospital.
文摘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.
基金financial support provided by the Xinjiang Uygur Autonomous Region Key R&D Project Task Special-Department and Department Linkage Project(No.2022B01051)Major Project of Regional Joint Foundation of China(No.U21A20107)+1 种基金Hunan Provincial Natural Science Foundation of China(No.2024JJ4021)the Xinjiang Uygur Autonomous Region Tianchi Introduction Plan(No.2024XGYTCYC03)。
文摘The load-bearing performance(LBP)of pumpable supports(PPS)is crucial for the stability of longwall pre-driven recovery room(PRR)surrounding rock.However,the unbalanced bearing coefficient(UBC)of the PPS(undertaking unequal load along the mining direction)has not been investigated.A mechanical model of the PRR was established,considering the main roof cantilever beam structure,to derive an assessment formula for the load,the failure criteria,and the UBC of the PPS.Subsequently,the generation mechanisms,and influencing factors of the UBC were revealed.Global sensitivity analysis shows that the main roof hanging length(l_(2))and the spacing between the PPS(r)significantly impact the UBC.A novel design of the PPS and the coupling control technology were proposed and applied to reduce the UBC of the PPS in the adjacent longwall PRR.Monitor results showed no failure of the PPS at the test site,with the UBC(ζ)reduced to 1.1 consistent with the design value(1.15)basically,fully utilizing the collaborative LBP of the PPS.Finally,the maximum roof-to-floor convergence of the PRR was 234 mm,effectively controlling the stability of the surrounding rock of the PRR and ensuring the mining equipment recovery.
文摘Objective:To explore the clinical benefits achieved by implementing the operating room nursing cooperation path for patients undergoing laparoscopic hysterectomy.Methods:64 laparoscopic hysterectomy cases were divided into groups according to the order of admission.The control group received routine perioperative care.The observation group implemented the nursing cooperation path in the operating room on the same basis as the control group.The two groups’physiological responses,stimulus indicators,anxiety,and complication rates were compared.Results:The heart rate,blood pressure 0.5 hours after surgery,anxiety scores 1 day before and 3 days after surgery,and the total number of complications in the observation group were all lower than those in the control group(P<0.05).Conclusion:The development of a nursing cooperation path in the operating room can help patients undergoing laparoscopic hysterectomy reduce heart rate,blood pressure,stress responses,and the risk of complications,and is worthy of promotion.
文摘Objective:To explore and analyze the effect of implementing a precise education model on the nursing care of perioperative patients in the interventional catheterization room.Methods:We selected 70 patients who were going to undergo surgical intervention in our hospital from August 2020 to December 2022 as the subjects for this study through random sampling.The patients were divided into a control group and an observation group,with 35 cases in each group.The control group underwent basic nursing intervention,and the observation group was given precise patient education.The nursing effects of both groups were observed.Results:After the intervention,all compliance indicators of the observation group were better than those of the control group(P<0.05).Besides,the incidence of complications in the observation group(2.86%)was lower than that of the control group(17.14%)with P<0.05.Furthermore,the patient satisfaction of the observation group(97.14%)was higher than that of the control group(82.86%),with P<0.05.Conclusion:A precise propaganda and education model facilitates the nursing of perioperative patients in the interventional catheterization room.Therefore,this practice should be popularized.
文摘Objective:To investigate the effect of using audible thinking combined with the case teaching method in the teaching of nursing checkups for regulation nurses.Methods:The period was April 2023–April 2024,and a randomized controlled group study was carried out in which 76 regulation nurses in our hospital were randomly divided into a research group and a control group,with 38 regulation nurses in each group.The control group used conventional teaching methods,and the research group used audible thinking combined with the case teaching method,comparing the two groups’independent learning ability scores,assessment scores,and teaching satisfaction.Results:Independent learning ability score:after teaching,the research group was significantly higher than the control group(P<0.05);Assessment results:the research group was considerably higher than the control group(P<0.05);Teaching satisfaction:the research group was significantly higher than the control group(P<0.05).Conclusion:The use of audible thinking combined with the case teaching method in the teaching of nursing room visits for trained nurses can improve independent learning ability and assessment results and increase teaching satisfaction.
文摘Objective:To explore the preventive effect of comprehensive nursing intervention on arteriovenous fistula failure in patients in the hemodialysis room.Methods:82 patients with arteriovenous fistula in the hemodialysis chamber treated in our hospital from July 2022 to October 2023 were selected as the research subjects.The random number table method divided them into a control group and an experimental group of 41 cases each.The control group received general nursing intervention measures,while the experimental group underwent comprehensive nursing intervention.The incidence of complications(internal fistula failure,bleeding,thrombosis,infection),psychological emotions(SAS scale,SDS scale),quality of life(physical pain,physiological function,emotional function,social function),and nursing satisfaction(very satisfied,basically satisfied,satisfied,dissatisfied)were compared between the two groups of patients.Results:The incidence of complications in the experimental group(4,9.76%)was significantly lower than that in the control group(29,70.73%);the SAS scores and SDS scores of the patients in the experimental group after intervention were both lower than those in the control group;the quality of life score(physical pain,physiological function,emotional function,and social function)was all higher than those of the control group;the post-intervention nursing satisfaction of the experimental group(40,97.57%)was also significantly higher than that of the control group(29,73.17%);and the listed differences were statistically significant(P<0.01).Conclusion:For patients with hemodialysis ventricular arteriovenous fistula failure,comprehensive nursing intervention can reduce the incidence of complications,relieve anxiety and stress,improve quality of life and nursing satisfaction,and achieve better preventive effects.
基金supported by the Iran University of Medical Science。
文摘Objective:Clinical education plays a key role in preparing students for patient care.Laparoscopy is one of the most important minimally invasive surgeries(MISs)wherein surgical technologists are responsible for camera navigation and assistant surgeons are responsible for peg transfer.Therefore,it is necessary to improve the attitude of the operating room students toward these skills during their study period.The present study was conducted to determine the effect of simulating training in the fundamentals of laparoscopic surgery(FLS)on the attitude of the operating room students.Methods:This interventional study was conducted on 28 operating room students of Iran University of Medical Sciences in 2019.The census sampling method was used.The data-collection tool included the“Intrinsic motivation inventory(IMI)questionnaire.”The educational intervention was carried out in theoretical(booklet design)and practical(simulation)sections.Data analysis was carried out using descriptive and inferential analyses including the paired t-test,Mann–Whitney U test,and independent t-test.The collected data were analyzed using R and SPSS software.P-value<0.05 was considered as the significant level.Results:The mean±SD of the participants'age was 22.93±2.14 years,and the majority of them were women(67.9%).There was a significant difference in the mean scores of students'attitudes toward the FLS before and after the educational intervention(P<0.001)in all dimensions(interest,perceived competence,perceived choice,and tension).There was also a significant correlation between gender and interest dimension(P=0.005).Conclusions:The results of the present study showed that simulating the training FLS curriculum positively affects students'attitudes.Therefore,the researchers suggest that for creating a positive attitude,increasing students'interest in laparoscopic surgery,and ensuring a more effective presence in the operating room,this training should be considered in the operating room curriculum.
文摘Concomitant with the advancement of contemporary medical technology,the significance of perioperative nursing has been increasingly accentuated,necessitating elevated standards for the pedagogy of perioperative nursing.Presently,the PBL(problem-based learning)pedagogical approach,when integrated with CBL(case-based learning),has garnered considerable interest.An extensive literature review has been conducted to analyze the application of the PBL-CBL fusion in the education of perioperative nursing.Findings indicate that this integrative teaching methodology not only enhances students’theoretical knowledge,practical competencies,and collaborative skills but also contributes to the elevation of teaching quality.In conclusion,the PBL-CBL teaching approach holds immense potential for broader application in perioperative nursing education.Nevertheless,it is imperative to continually refine this combined pedagogical strategy to further enhance the caliber of perioperative nursing instruction and to cultivate a greater number of exceptional nursing professionals in the operating room setting.
文摘In A Room of One's Own,Virginia Woolf argued her famous proposition that a woman needed to have a room of her own to achieve literary autonomy,and laid the foundation for present-day feminist criticism.Yet the author believes that economic independent does not foster women's identity with certainty.In this thesis,the author explores the crucial place of spiritual and economic independence in building up women's autonomy through analyzing Michael Cunningham Pulitzerwinning work The Hours,which he draws inventively on the life of Virginia Woolf and her work Mrs.Dalloway.
基金Financial support from the National Natural Science Foundation of China(No.20802049) and Program for New Century Excellent Talents in University of Tianjin City
文摘Calix[4]-crown-5-sulfonyl cyclothiourea derivatives 6 and 7 were synthesized from calix[4]-crown-5-monosulfonylethylenediamine derivatives 4 and 5 and carbon disulfide through nucleophilic addition and subsequent cyclization of intramolecule at room temperature in aqueous solution. The advantages of the novel protocol are the mild reaction condition, free organic solvent, simple final treatment, easy isolation of products and excellent yields.
文摘Introduction: In order to prevent the vertical transmission of the Human Immunodeficiency Virus (HIV), it is essential that pregnant women must know their HIV serological status. Objective: To determine the proportion of parturients with unknown Human Immunodeficiency Virus (HIV) status in the delivery room and to identify the associated factors. Methods: We conducted a prospective descriptive study carried out at the Reference Health Center of Commune IV in the district of Bamako from July 1, 2017 to July 1, 2018. The sample size was 267 parturients. The word processing was carried out on World software from the 2016 office suite at the end of the data entry and analysis was carried out on the IBM software, SPSS version 22.0. Results: A total of 267 women were eligible for our study, among which 14 parturients were seropositive, i.e., a proportion of 5.2% of cases. The knowledge of parturients on HIV was 95.5% of cases, but more than half did not know the mode of mother-child transmission. Unschooled parturients were the most represented with 41.2%. Conclusion: In view of the large proportion (5.2%) of HIV-positive parturients in our study, voluntary screening activities in the delivery room remain necessary for the future of children born to HIV-positive mothers.
文摘A Room of One’s Own is a masterpiece by Virginia Woolf, which describes her understanding of literary creation and the issue of women and fiction. The content of this book is based on Woolf’s two speeches at Cambridge, with the theme of “Women and fiction.” Through the analysis of the history and current situation of female literary creation, the paper points out that women should have the courage and right to fight for independent economic power and social status. “Oxbridge” is a combined term of Oxford and Cambridge, and Oxbridge pictures dominate the first chapter of A Room of One’s Own, which are the focus of this paper. Through a detailed analysis of the different indoor and outdoor pictures of Oxbridge, including nature, landscape, humanistic architecture and the “pictures” imagined in the narrator’s mind, this paper discusses the existence of Victorian women and Woolf’s feminist thoughts so as to provide possible implications for the social survival of contemporary women. The study is also concerned with Woolf’s Eco-feminism, stream of consciousness and other artistic skills.
基金supported by the National Natural Science Foundation of China (51320105001, 51372190, 21573170, 51272199, 21433007)the National Basic Research Program of China (973 program, 2013CB632402)+2 种基金the Natural Science Foundation of Hubei Province (2015CFA001)the Fundamental Research Funds for the Central Universities (WUT: 2015-Ⅲ-034)Innovative Research Funds of SKLWUT (2015-ZD-1)~~
文摘Flower-like tin oxide-supported platinum(Pt/SnOx) with a hierarchical structure was synthesized by a hydrothermal method and characterized by XRD,SEM,TEM,high resolution TEM,XPS and nitrogen adsorption.The flower-like Pt/SnOx microspheres of 1 μm in diameter were composed of staggered petal-like nanosheets with a thickness of 20 nm.Pt nanoparticles(NPs) of 2-3 nm were well dispersed on the SnOx nanosheets.The catalyst was tested in the catalytic oxidation of gaseous formaldehyde(HCHO) at room temperature,and exhibited enhanced activity compared to Pt NPs supported on commercial SnO and ground SnOx.HCHO removal of 87%was achieved over the hierarchical Pt/SnOx after 1 h of reaction,which was 1.5 times that over the ground SnOx-supported Pt(Pt/g-SnOx),and the high activity was maintained after six recycles,showing the high stability of this catalyst.HCHO decomposition kinetics was modeled as a second order reaction.The reaction rate constant for Pt/SnOx was 5.6 times higher than Pt/g-SnOx.The hierarchical pore structure was beneficial for the diffusion and adsorption of HCHO molecules,and the highly dispersed Pt NPs on the SnOx nanosheets were the active sites for the oxidative decomposition of HCHO into CO2 and H2O.This study provided a promising approach for designing efficient catalysts for indoor HCHO removal at ambient temperature.
文摘Among the two commonly identified ways of assessment,summative assessment aims to measure,or summarize,what a student has grasped,and typically occurs at the end of a course or unit of instruction.While the formative assessment,which is characterized by the needs of insiders,is distinct in that it focuses on learning through assessment and the role of the learners in this process.As is well known,teachers' role in the classroom assessment is geared to formulating and scaffolding learning on the basis of on-going feedback from internal and external assessment sources.Peer review,on the other hand,is also an important component of the process of developing assessment.During the formative assessment in the EFL classroom,classroom teachers' evaluation as well as students' active peer scaffolding in group works play important roles in the decision making process.Although the formative and for learning perspective is quite different from the summative and of learning perspective in terms of theoretical and educational orientation.Neither students nor teachers should be ignored in the whole process for formative assessment.
基金Project(2014ZDPY02)supported by the Fundamental Research Funds for the Central Universities
文摘The stability of room mining coal pillars during their secondary mining for recovering coal was analyzed. An analysis was performed for the damage and instability mechanism of coal pillars recovered by the caving mining method. During the damage progression of a single room coal pillar, the shape of the stress distribution in the pillar transformed from the initial stable saddle shape to the final arch-shaped distribution of critical instability. By combining the shapes of stress distribution in the coal pillars with the ultimate strength theory, the safe-stress value of coal pillar was obtained as 11.8 MPa. The mechanism of instability of coal pillar groups recovered by the caving mining method was explained by the domino effect. Since the room coal pillars mined and recovered by the traditional caving mining method were significantly influenced by the secondary mining during recovery, the coal pillars would go through a chain-type instability failure. Because of this limitation, the method of solid backfilling was proposed for mining and recovering room coal pillars, thus changing the transfer mechanism of stress caused by the secondary mining(recovery) of coal pillars. The mechanical model of the stope in the case of backfilling and recovering room coal pillars was built. The peak stress values inside coal pillars varied with the variance of backfilling ratio when the working face was advanced by 150 m. Furthermore, when the critical backfilling ratio was 80.6%, the instability failure of coal pillars would not occur during the solid backfill mining process. By taking Bandingliang Coal Mine as an example, the coal pillars' stability of stope under this backfilling ratio was studied, and a project scheme was designed.
基金financially supported by the Fundamental Research Funds for the Central Universities of China(NO.2015XKMS002)the Priority Academic Program Development of Jiangsu Higher Education Institutions of Chinagratefully acknowledge financial support of the above-mentioned agencies
文摘While the fully-mechanized longwall mining technology was employed in a shallow seam under a room mining goaf and overlained by thin bedrock and thick loose sands, the roadway pillars in the abandoned room mining goaf were in a stress-concentrated state, which may cause abnormal roof weighting, violent ground pressure behaviours, even roof fall and hydraulic support crushed(HSC) accidents. In this case,longwall mining safety and efficiency were seriously challenged. Based on the HSC accidents occurred during the longwall mining of 3-1-2 seam, which locates under the intersection zone of roadway pillars in the room mining goaf of 3-1-1 seam, this paper employed ground rock mechanics to analyse the overlying strata structure movement rules and presented the main influence factors and determination methods for the hydraulic support working resistance. The FLAC3 D software was used to simulate the overlying strata stress and plastic zone distribution characteristics. Field observation was implemented to contrastively analyse the hydraulic support working resistance distribution rules under the roadway pillars in strike direction, normal room mining goaf, roadway pillars in dip direction and intersection zone of roadway pillars. The results indicate that the key strata break along with rotations and reactions of the coal pillars deliver a larger concentrated load to the hydraulic support under intersection zone of roadway pillars than other conditions. The ‘‘overburden strata-key strata-roadway pillars-immediate roof" integrated load has exceeded the yield load that leads to HSC accidents. Findings in HSC mechanism provide a reasonable basis for shallow seam mining, and have important significance for the implementation of safe and efficient mining.
基金support by the Awarding Foundation for Middle and Young-Age Scientist of Shandong Province(2005).
文摘Uniform CeVO4 nanowires with diameter of about 25 nm were synthesized by the water-in-oil microemulsion method at room temperature from cerous chloride, sodium orthophosphate, sodium chloride, cyclohexane, Triton X-100 and cetyltrimethyl ammonium bromide (CTAB). The crystal structure and morphology of the nanowires were characterized by XRD and TEM, respectively. The UV-vis absorption was detected by UV-vis spectrophotometer techniques. The results showed that as-prepared nanowires with the hexagonal phase have obvious quantum confinement effect and semiconductor characteristics. Little sodium chloride could play a positive role on the formation of CePO4 nanowires at room temperature. The size of the nanowires can be controlled through the joining of sodium chloride. C 2009 Yi Bin Yin. Published by Elsevier B.V. on behalf of Chinese Chemical Society. All rights reserved.