BACKGROUND Postoperative complications remain a paramount concern for surgeons and healthcare practitioners.AIM To present a comprehensive analysis of the Estimation of Physiologic Ability and Surgical Stress(E-PASS)s...BACKGROUND Postoperative complications remain a paramount concern for surgeons and healthcare practitioners.AIM To present a comprehensive analysis of the Estimation of Physiologic Ability and Surgical Stress(E-PASS)scoring system’s efficacy in predicting postoperative complications following abdominal surgery.METHODS A systematic search of published studies was conducted,yielding 17 studies with pertinent data.Parameters such as preoperative risk score(PRS),surgical stress score(SSS),comprehensive risk score(CRS),postoperative complications,post-operative mortality,and other clinical data were collected for meta-analysis.Forest plots were employed for continuous and binary variables,withχ2 tests assessing heterogeneity(P value).RESULTS Patients experiencing complications after abdominal surgery exhibited significantly higher E-PASS scores compared to those without complications[mean difference and 95%confidence interval(CI)of PRS:0.10(0.05-0.15);SSS:0.04(0.001-0.08);CRS:0.19(0.07-0.31)].Following the exclusion of low-quality studies,results remained valid with no discernible heterogeneity.Subgroup analysis indicated that variations in sample size and age may contribute to hetero-geneity in CRS analysis.Binary variable meta-analysis demonstrated a correlation between high CRS and increased postoperative complication rates[odds ratio(OR)(95%CI):3.01(1.83-4.95)],with a significant association observed between high CRS and postoperative mortality[OR(95%CI):15.49(3.75-64.01)].CONCLUSION In summary,postoperative complications in abdominal surgery,as assessed by the E-PASS scoring system,are consistently linked to elevated PRS,SSS,and CRS scores.High CRS scores emerge as risk factors for heightened morbidity and mortality.This study establishes the accuracy of the E-PASS scoring system in predicting postoperative morbidity and mortality in abdominal surgery,underscoring its potential for widespread adoption in effective risk assessment.展开更多
Based on the value orientation of international translation talent as well as the present situation of personnel training in the context of national development strategy,this article offers a profound analysis for the...Based on the value orientation of international translation talent as well as the present situation of personnel training in the context of national development strategy,this article offers a profound analysis for the talent on the training methods of innovative ability and comprehensive quality.Innovative talent that has a strong sense of social responsibility as well as the ability of directly participating in international activities should be fostered,so as to meet the need for economic developments and to better serve national economic construction.展开更多
In the process of cultivating software engineering professionals,the practical teaching of professional courses is an indispensable link.In order to enable students to understand,consolidate and master theoretical kno...In the process of cultivating software engineering professionals,the practical teaching of professional courses is an indispensable link.In order to enable students to understand,consolidate and master theoretical knowledge,improve the ability to solve problems by combining theory with practice,and achieve the goal of combining theoretical knowledge with practice.Adopting the planning of through-type training,complete the teaching work of three practical courses of software system design,software system construction,and software product construction.Through the implementation of the plan,the digitization of teaching resources,the virtualization of real enterprises,the intelligentization of teaching guidance,the visualization of teaching process,and the panorama of learning process are realized.By adopting the teaching methods of taskdriven online practice teaching,artificial intelligence-based teaching training support and teaching process,and result big data evaluation,the students’comprehensive practical ability can be improved finally,and the whole practice teaching reform can provide experience for the follow-up reform.展开更多
Cities ability reducing earthquake disasters is a complex system involving numerous factors, moreover the re-search on evaluating cities ability reducing earthquake disasters relates to multi-subject, such as earthqua...Cities ability reducing earthquake disasters is a complex system involving numerous factors, moreover the re-search on evaluating cities ability reducing earthquake disasters relates to multi-subject, such as earthquake sci-ence, social science, economical science and so on. In this paper, firstly, the conception of cities ability reducing earthquake disasters is presented, and the ability could be evaluated with three basic elements the possible seis-mic casualty and economic loss during the future earthquakes that are likely to occur in the city and its surround-ings and time required for recovery after earthquake; based upon these three basic elements, a framework, which consists of six main components, for evaluating citys ability reducing earthquake disasters is proposed; then the statistical relations between the index system and the ratio of seismic casualty, the ratio of economic loss and re-covery time are gained utilizing the cities prediction results of earthquake disasters which were made during the ninth five-year plan; at last, the method defining the comprehensive index of cities ability reducing earthquake disasters is presented. Thus the relatively comprehensive theory frame is set up. The frame can evaluate cities ability reducing earthquake disasters absolutely and quantitatively and consequently instruct the decision-making on reducing cities earthquake disasters loss.展开更多
This paper point out that there are many problems exist in listening teaching and learning, such as, internal factors, short of lis-tening skills and neglect of basic training,According to these problems, teachers sho...This paper point out that there are many problems exist in listening teaching and learning, such as, internal factors, short of lis-tening skills and neglect of basic training,According to these problems, teachers should find out different approaches to improve students' listeningcomprehensionability. It includes training students pronunciation drills, reading and guessing vocabulary etc. At last, will achieve the purpose of improving students' listening comprehension ability.展开更多
The present study investigated the impact from GOs （Graphic Organizers） upon reading comprehension ability. To this end, an OPT （Oxford Placement Test） was administered to a research population （N = 354） in orde...The present study investigated the impact from GOs （Graphic Organizers） upon reading comprehension ability. To this end, an OPT （Oxford Placement Test） was administered to a research population （N = 354） in order to homogenize it. On the basis of the test results, the population was sorted into three groups of reading-low, reading-mid, and reading-high students. Sixty participants with the lowest level of reading comprehension proficiency were randomly selected and assigned to an EG （Experimental Group） （N = 30） and a CG （Control Group） （N = 30）. Afterwards, a TOEFL （Test of English as a Foreign Language） reading comprehension pretest was administered to both groups in order to determine their current level of reading proficiency. Then, the EG received 10 successive 90-minute sessions on GOs as post-reading strategies for expository text comprehension, while the CG received the same amount of treatment on other post-reading strategies. In the end, another TOEFL reading comprehension posttest was administered to the research groups to measure their reading comprehension performance level after the treatment. The results revealed that GOs were statistically more significant and effective for the low-skilled readers than other post-reading strategies.展开更多
This article starts with the analysis of the essential factors that restrict the students' reading comprehension and talks about the causes of the problems in reading. Many students feel it difficult to improve th...This article starts with the analysis of the essential factors that restrict the students' reading comprehension and talks about the causes of the problems in reading. Many students feel it difficult to improve their reading ability and don't know how to cope with thses problems. Ways are suggested in the artiue.展开更多
Objective To investigate the effect of senile f racture on ability of daily life.Method Carry out effective surgery in early time and encourage early out-of-bed activity to prevent secondary aging under th e monitor o...Objective To investigate the effect of senile f racture on ability of daily life.Method Carry out effective surgery in early time and encourage early out-of-bed activity to prevent secondary aging under th e monitor of internal medicine.Result Follow up 208patients for 1-3years(mean 1.8years),13patients(6.25%)were dead,153(73.55%)resumed the ability of independent l ife,32(15.38%)resumed the ability partly,10(4.8%)patients lost ability of life.Conclusion For the aged fracture,the ability of living could be improved by early surgery,reducing complications and active functional training of lowe r limbs under the monitor of internal medicine.展开更多
Considering the stratum anti-drilling ability,drill bit working conditions,drill bit application effect and drill bit economic benefits,the similarity of stratum anti-drilling ability was evaluated by grey relational ...Considering the stratum anti-drilling ability,drill bit working conditions,drill bit application effect and drill bit economic benefits,the similarity of stratum anti-drilling ability was evaluated by grey relational analysis theory to screen out candidate drill bits with reference values.A new comprehensive performance evaluation model of drill bit was established by constructing the absolute ideal solution,changing the relative distance measurement method,and introducing entropy weight to work out the closeness between the candidate drill bits and ideal drill bits and select the reasonable drill bit.Through the construction of absolute ideal solution,improvement of relative distance measurement method and introduction of entropy weight,the inherent defects of TOPSIS decision analysis method,such as non-absolute order,reverse order and unreasonable weight setting,can be overcome.Simple in calculation and easy to understand,the new bit selection method has good adaptability to drill bit selection using dynamic change drill bit database.Field application has proved that the drill bits selected by the new drill bit selection method had significant increase in average rate of penetration,low wear rate,and good compatibility with the drilled formations in actual drilling.This new method of drill bit selection can be used as a technical means to select drill bits with high efficiency,long life and good economics in oilfields.展开更多
The level of personnel operation ability determines the expected effectiveness of large-scale complex equipment. Firstly, this paper constructs the personnel operational ability evaluation index system and analyzes th...The level of personnel operation ability determines the expected effectiveness of large-scale complex equipment. Firstly, this paper constructs the personnel operational ability evaluation index system and analyzes the data source of index. Secondly, the weight of index is determined and the fuzzy comprehensive evaluation model is proposed. Finally, results of instance analysis show that the evaluation model is feasible and effective.展开更多
基金Supported by Medical Science and Technology Project of Zhejiang Province of China,No.2020PY053.
文摘BACKGROUND Postoperative complications remain a paramount concern for surgeons and healthcare practitioners.AIM To present a comprehensive analysis of the Estimation of Physiologic Ability and Surgical Stress(E-PASS)scoring system’s efficacy in predicting postoperative complications following abdominal surgery.METHODS A systematic search of published studies was conducted,yielding 17 studies with pertinent data.Parameters such as preoperative risk score(PRS),surgical stress score(SSS),comprehensive risk score(CRS),postoperative complications,post-operative mortality,and other clinical data were collected for meta-analysis.Forest plots were employed for continuous and binary variables,withχ2 tests assessing heterogeneity(P value).RESULTS Patients experiencing complications after abdominal surgery exhibited significantly higher E-PASS scores compared to those without complications[mean difference and 95%confidence interval(CI)of PRS:0.10(0.05-0.15);SSS:0.04(0.001-0.08);CRS:0.19(0.07-0.31)].Following the exclusion of low-quality studies,results remained valid with no discernible heterogeneity.Subgroup analysis indicated that variations in sample size and age may contribute to hetero-geneity in CRS analysis.Binary variable meta-analysis demonstrated a correlation between high CRS and increased postoperative complication rates[odds ratio(OR)(95%CI):3.01(1.83-4.95)],with a significant association observed between high CRS and postoperative mortality[OR(95%CI):15.49(3.75-64.01)].CONCLUSION In summary,postoperative complications in abdominal surgery,as assessed by the E-PASS scoring system,are consistently linked to elevated PRS,SSS,and CRS scores.High CRS scores emerge as risk factors for heightened morbidity and mortality.This study establishes the accuracy of the E-PASS scoring system in predicting postoperative morbidity and mortality in abdominal surgery,underscoring its potential for widespread adoption in effective risk assessment.
文摘Based on the value orientation of international translation talent as well as the present situation of personnel training in the context of national development strategy,this article offers a profound analysis for the talent on the training methods of innovative ability and comprehensive quality.Innovative talent that has a strong sense of social responsibility as well as the ability of directly participating in international activities should be fostered,so as to meet the need for economic developments and to better serve national economic construction.
文摘In the process of cultivating software engineering professionals,the practical teaching of professional courses is an indispensable link.In order to enable students to understand,consolidate and master theoretical knowledge,improve the ability to solve problems by combining theory with practice,and achieve the goal of combining theoretical knowledge with practice.Adopting the planning of through-type training,complete the teaching work of three practical courses of software system design,software system construction,and software product construction.Through the implementation of the plan,the digitization of teaching resources,the virtualization of real enterprises,the intelligentization of teaching guidance,the visualization of teaching process,and the panorama of learning process are realized.By adopting the teaching methods of taskdriven online practice teaching,artificial intelligence-based teaching training support and teaching process,and result big data evaluation,the students’comprehensive practical ability can be improved finally,and the whole practice teaching reform can provide experience for the follow-up reform.
文摘Cities ability reducing earthquake disasters is a complex system involving numerous factors, moreover the re-search on evaluating cities ability reducing earthquake disasters relates to multi-subject, such as earthquake sci-ence, social science, economical science and so on. In this paper, firstly, the conception of cities ability reducing earthquake disasters is presented, and the ability could be evaluated with three basic elements the possible seis-mic casualty and economic loss during the future earthquakes that are likely to occur in the city and its surround-ings and time required for recovery after earthquake; based upon these three basic elements, a framework, which consists of six main components, for evaluating citys ability reducing earthquake disasters is proposed; then the statistical relations between the index system and the ratio of seismic casualty, the ratio of economic loss and re-covery time are gained utilizing the cities prediction results of earthquake disasters which were made during the ninth five-year plan; at last, the method defining the comprehensive index of cities ability reducing earthquake disasters is presented. Thus the relatively comprehensive theory frame is set up. The frame can evaluate cities ability reducing earthquake disasters absolutely and quantitatively and consequently instruct the decision-making on reducing cities earthquake disasters loss.
文摘This paper point out that there are many problems exist in listening teaching and learning, such as, internal factors, short of lis-tening skills and neglect of basic training,According to these problems, teachers should find out different approaches to improve students' listeningcomprehensionability. It includes training students pronunciation drills, reading and guessing vocabulary etc. At last, will achieve the purpose of improving students' listening comprehension ability.
文摘The present study investigated the impact from GOs （Graphic Organizers） upon reading comprehension ability. To this end, an OPT （Oxford Placement Test） was administered to a research population （N = 354） in order to homogenize it. On the basis of the test results, the population was sorted into three groups of reading-low, reading-mid, and reading-high students. Sixty participants with the lowest level of reading comprehension proficiency were randomly selected and assigned to an EG （Experimental Group） （N = 30） and a CG （Control Group） （N = 30）. Afterwards, a TOEFL （Test of English as a Foreign Language） reading comprehension pretest was administered to both groups in order to determine their current level of reading proficiency. Then, the EG received 10 successive 90-minute sessions on GOs as post-reading strategies for expository text comprehension, while the CG received the same amount of treatment on other post-reading strategies. In the end, another TOEFL reading comprehension posttest was administered to the research groups to measure their reading comprehension performance level after the treatment. The results revealed that GOs were statistically more significant and effective for the low-skilled readers than other post-reading strategies.
文摘This article starts with the analysis of the essential factors that restrict the students' reading comprehension and talks about the causes of the problems in reading. Many students feel it difficult to improve their reading ability and don't know how to cope with thses problems. Ways are suggested in the artiue.
文摘Objective To investigate the effect of senile f racture on ability of daily life.Method Carry out effective surgery in early time and encourage early out-of-bed activity to prevent secondary aging under th e monitor of internal medicine.Result Follow up 208patients for 1-3years(mean 1.8years),13patients(6.25%)were dead,153(73.55%)resumed the ability of independent l ife,32(15.38%)resumed the ability partly,10(4.8%)patients lost ability of life.Conclusion For the aged fracture,the ability of living could be improved by early surgery,reducing complications and active functional training of lowe r limbs under the monitor of internal medicine.
基金Supported by China National Science and Technology Major Project(2016ZX05020-006)。
文摘Considering the stratum anti-drilling ability,drill bit working conditions,drill bit application effect and drill bit economic benefits,the similarity of stratum anti-drilling ability was evaluated by grey relational analysis theory to screen out candidate drill bits with reference values.A new comprehensive performance evaluation model of drill bit was established by constructing the absolute ideal solution,changing the relative distance measurement method,and introducing entropy weight to work out the closeness between the candidate drill bits and ideal drill bits and select the reasonable drill bit.Through the construction of absolute ideal solution,improvement of relative distance measurement method and introduction of entropy weight,the inherent defects of TOPSIS decision analysis method,such as non-absolute order,reverse order and unreasonable weight setting,can be overcome.Simple in calculation and easy to understand,the new bit selection method has good adaptability to drill bit selection using dynamic change drill bit database.Field application has proved that the drill bits selected by the new drill bit selection method had significant increase in average rate of penetration,low wear rate,and good compatibility with the drilled formations in actual drilling.This new method of drill bit selection can be used as a technical means to select drill bits with high efficiency,long life and good economics in oilfields.
基金supported by the Natural Science Foundation of China(71704184)Projects of the of the National Social Science Foundation of China(15GJ003-245)Science Foundation of Equipment Research(JJ20172A05095)
文摘The level of personnel operation ability determines the expected effectiveness of large-scale complex equipment. Firstly, this paper constructs the personnel operational ability evaluation index system and analyzes the data source of index. Secondly, the weight of index is determined and the fuzzy comprehensive evaluation model is proposed. Finally, results of instance analysis show that the evaluation model is feasible and effective.
