Objective:To analyze the feasibility of adopting a combined ladder and case teaching method in otolaryngology nursing teaching.Method:Nursing students in the otolaryngology department were selected.According to the ad...Objective:To analyze the feasibility of adopting a combined ladder and case teaching method in otolaryngology nursing teaching.Method:Nursing students in the otolaryngology department were selected.According to the admission time of nursing students,30 nursing students formed a control group(conventional nursing teaching),and 30 nursing students who were admitted later formed an observation group(ladder and case teaching method).The learning performance and teaching effectiveness of nursing students under different teaching methods were analyzed.Result:The academic performance and teaching effectiveness of the observation group were higher than those of the control group(P<0.05).Conclusion:The implementation of the ladder and case teaching method during the teaching of otolaryngology nursing significantly improved the student’s academic performance and teaching effectiveness.This method has great practical value.展开更多
Nitrocellulose,or cellulose nitrate,has received considerable interest due to its various applications,such as propellants,coating agents and gas generators.However,its high mechanical sensitivity caused many accident...Nitrocellulose,or cellulose nitrate,has received considerable interest due to its various applications,such as propellants,coating agents and gas generators.However,its high mechanical sensitivity caused many accidents during its storage and usage in ammunition.In this work,two kinds of insensitive step ladderstructured nitrocellulose(LNC)with different nitrogen contents were synthesized.The products were characterized by FT-IR,Raman,XRD,SEM,elemental analysis,TGA,DSC,accelerating rate calorimeter analysis(ARC),and drop weight test to study their molecular structure,thermal characteristics and desensitization performance.Compared with raw nitrocellulose,LNC has a sharper exothermic peak in the DSC and ARC curves.The H50values of the two kinds of LNC increased from 25.76 to 30.01 cm for low nitrogen content and from 18.02 to 21.84 cm for high nitrogen content,respectively.The results show that the ladder-structure of LNC which provides regular molecular arrangement and a soft buffer made with polyethylene glycol could affect the energy releasing process of LNC and reduce the sensitivity of LNC.Insensitive LNC provides an alternative to be used as a binder in insensitive propellants formulation.展开更多
An 80-GHz DCO based on modified hybrid tuning banks is introduced in this paper.To achieve sub-MHz frequency res-olution with reduced circuit complexity,the improved circuit topology replaces the conventional circuit ...An 80-GHz DCO based on modified hybrid tuning banks is introduced in this paper.To achieve sub-MHz frequency res-olution with reduced circuit complexity,the improved circuit topology replaces the conventional circuit topology with two binary-weighted SC cells,enabling eight SC-cell-based improved SC ladders to achieve the same fine-tuning steps as twelve SC-cell-based conventional SC ladders.To achieve lower phase noise and smaller chip size,the promoted binary-weighted digi-tally controlled transmission lines(DCTLs)are used to implement the coarse and medium tuning banks of the DCO.Compared to the conventional thermometer-coded DCTLs,control bits of the proposed DCTLs are reduced from 30 to 8,and the total length is reduced by 34.3%(from 122.76 to 80.66μm).Fabricated in 40-nm CMOS,the DCO demonstrated in this work fea-tures a small fine-tuning step(483 kHz),a high oscillation frequency(79-85 GHz),and a smaller chip size(0.017 mm^(2)).Com-pared to previous work,the modified DCO exhibits an excellent figure of merit with an area(FoMA)of-198 dBc/Hz.展开更多
[Objectives] To observe the effectiveness of four-step tendon manipulation in the treatment of thumb stenotic tenosynovitis, under the guidance of "tendon first" theory. [Methods] 30 patients with stenotic t...[Objectives] To observe the effectiveness of four-step tendon manipulation in the treatment of thumb stenotic tenosynovitis, under the guidance of "tendon first" theory. [Methods] 30 patients with stenotic tenosynovitis of thumb were treated with four-step tendon manipulation and traditional manipulation respectively, 3 times a week, a total of two weeks. The clinical efficacy, changes of visual analogue scale (VAS) and the recurrence rate after 15 d of follow-up treatment were observed before and after treatment. The differences were statistically significant ( P <0.05). [Results] After treatment, the VAS and the recurrence rate after 15 d of treatment in the observation group were significantly lower than those in the control group ( P <0.05). After treatment, the total effective rate was 73.33% in the control group and 93.33% in the observation group ( P <0.05). [Conclusions] The effect of four-step tendon regulating manipulation in the treatment of thumb stenotic tenosynovitis is ideal. The effect is significantly better than that of traditional Chinese medicine in improving thumb pain and function, which is worthy of clinical promotion.展开更多
目的探究成果导向教育(Outcome Based Education,OBE)理论下TPA阶梯教学对神经科医师培训效果及教学满意度的影响。方法随机选取2020年5月—2023年5月潍坊医学院附属医院接受规范化培训的52名神经科医师为研究对象,于2020年5月—2021年1...目的探究成果导向教育(Outcome Based Education,OBE)理论下TPA阶梯教学对神经科医师培训效果及教学满意度的影响。方法随机选取2020年5月—2023年5月潍坊医学院附属医院接受规范化培训的52名神经科医师为研究对象,于2020年5月—2021年12月培训中采用传统教学法的26名医师为A组、于2022年1月—2023年5月培训中采用OBE理论下TPA阶梯教学的26名医师为B组,对比两组培训效果。结果教学后,B组理论考核成绩、实践能力考核成绩均高于A组,差异有统计学意义(P均<0.05);B组教学满意度(100.00%)高于A组(76.92%),差异有统计学意义(χ^(2)=4.710,P<0.05)。结论OBE理论下TPA阶梯教学的应用效果更理想,有助于提高神经科医师理论及实践能力考核成绩、教学满意度。展开更多
为进一步提升综合能源系统环境效益,减少新能源出力不确定性所带来的潜在风险,提出了计及条件风险价值(conditional value at risk,CVaR)以及阶梯碳交易的综合能源系统优化调度模型。考虑到系统风电和光伏出力不确定性可能带来的影响,...为进一步提升综合能源系统环境效益,减少新能源出力不确定性所带来的潜在风险,提出了计及条件风险价值(conditional value at risk,CVaR)以及阶梯碳交易的综合能源系统优化调度模型。考虑到系统风电和光伏出力不确定性可能带来的影响,采用条件风险价值量度不确定性带来的潜在风险,并将碳捕获技术、电转气设备以及阶梯式碳交易机制引入系统调度模型,构建了综合考虑系统运行成本和碳交易成本的优化调度目标函数,由于所建立模型为混合整数规划问题,采用CPLEX求解器进行求解,设置4种场景进行验证分析,算例表明所提模型可有效减少二氧化碳排放,在兼顾经济性和环境性的同时引入CVaR,可避免由于忽略风光不确定性所带来的较为乐观的调度结果,使系统最终调度结果更为合理。展开更多
文摘Objective:To analyze the feasibility of adopting a combined ladder and case teaching method in otolaryngology nursing teaching.Method:Nursing students in the otolaryngology department were selected.According to the admission time of nursing students,30 nursing students formed a control group(conventional nursing teaching),and 30 nursing students who were admitted later formed an observation group(ladder and case teaching method).The learning performance and teaching effectiveness of nursing students under different teaching methods were analyzed.Result:The academic performance and teaching effectiveness of the observation group were higher than those of the control group(P<0.05).Conclusion:The implementation of the ladder and case teaching method during the teaching of otolaryngology nursing significantly improved the student’s academic performance and teaching effectiveness.This method has great practical value.
基金supported in part by the National Natural Science Foundation of China(No.22075146)。
文摘Nitrocellulose,or cellulose nitrate,has received considerable interest due to its various applications,such as propellants,coating agents and gas generators.However,its high mechanical sensitivity caused many accidents during its storage and usage in ammunition.In this work,two kinds of insensitive step ladderstructured nitrocellulose(LNC)with different nitrogen contents were synthesized.The products were characterized by FT-IR,Raman,XRD,SEM,elemental analysis,TGA,DSC,accelerating rate calorimeter analysis(ARC),and drop weight test to study their molecular structure,thermal characteristics and desensitization performance.Compared with raw nitrocellulose,LNC has a sharper exothermic peak in the DSC and ARC curves.The H50values of the two kinds of LNC increased from 25.76 to 30.01 cm for low nitrogen content and from 18.02 to 21.84 cm for high nitrogen content,respectively.The results show that the ladder-structure of LNC which provides regular molecular arrangement and a soft buffer made with polyethylene glycol could affect the energy releasing process of LNC and reduce the sensitivity of LNC.Insensitive LNC provides an alternative to be used as a binder in insensitive propellants formulation.
基金This work is supported by the National Natural Science Foundation of China(No.61674036)the National Key Research and Development Program of China(No.2018YFB2202200).
文摘An 80-GHz DCO based on modified hybrid tuning banks is introduced in this paper.To achieve sub-MHz frequency res-olution with reduced circuit complexity,the improved circuit topology replaces the conventional circuit topology with two binary-weighted SC cells,enabling eight SC-cell-based improved SC ladders to achieve the same fine-tuning steps as twelve SC-cell-based conventional SC ladders.To achieve lower phase noise and smaller chip size,the promoted binary-weighted digi-tally controlled transmission lines(DCTLs)are used to implement the coarse and medium tuning banks of the DCO.Compared to the conventional thermometer-coded DCTLs,control bits of the proposed DCTLs are reduced from 30 to 8,and the total length is reduced by 34.3%(from 122.76 to 80.66μm).Fabricated in 40-nm CMOS,the DCO demonstrated in this work fea-tures a small fine-tuning step(483 kHz),a high oscillation frequency(79-85 GHz),and a smaller chip size(0.017 mm^(2)).Com-pared to previous work,the modified DCO exhibits an excellent figure of merit with an area(FoMA)of-198 dBc/Hz.
文摘[Objectives] To observe the effectiveness of four-step tendon manipulation in the treatment of thumb stenotic tenosynovitis, under the guidance of "tendon first" theory. [Methods] 30 patients with stenotic tenosynovitis of thumb were treated with four-step tendon manipulation and traditional manipulation respectively, 3 times a week, a total of two weeks. The clinical efficacy, changes of visual analogue scale (VAS) and the recurrence rate after 15 d of follow-up treatment were observed before and after treatment. The differences were statistically significant ( P <0.05). [Results] After treatment, the VAS and the recurrence rate after 15 d of treatment in the observation group were significantly lower than those in the control group ( P <0.05). After treatment, the total effective rate was 73.33% in the control group and 93.33% in the observation group ( P <0.05). [Conclusions] The effect of four-step tendon regulating manipulation in the treatment of thumb stenotic tenosynovitis is ideal. The effect is significantly better than that of traditional Chinese medicine in improving thumb pain and function, which is worthy of clinical promotion.
文摘目的探究成果导向教育(Outcome Based Education,OBE)理论下TPA阶梯教学对神经科医师培训效果及教学满意度的影响。方法随机选取2020年5月—2023年5月潍坊医学院附属医院接受规范化培训的52名神经科医师为研究对象,于2020年5月—2021年12月培训中采用传统教学法的26名医师为A组、于2022年1月—2023年5月培训中采用OBE理论下TPA阶梯教学的26名医师为B组,对比两组培训效果。结果教学后,B组理论考核成绩、实践能力考核成绩均高于A组,差异有统计学意义(P均<0.05);B组教学满意度(100.00%)高于A组(76.92%),差异有统计学意义(χ^(2)=4.710,P<0.05)。结论OBE理论下TPA阶梯教学的应用效果更理想,有助于提高神经科医师理论及实践能力考核成绩、教学满意度。
文摘为进一步提升综合能源系统环境效益,减少新能源出力不确定性所带来的潜在风险,提出了计及条件风险价值(conditional value at risk,CVaR)以及阶梯碳交易的综合能源系统优化调度模型。考虑到系统风电和光伏出力不确定性可能带来的影响,采用条件风险价值量度不确定性带来的潜在风险,并将碳捕获技术、电转气设备以及阶梯式碳交易机制引入系统调度模型,构建了综合考虑系统运行成本和碳交易成本的优化调度目标函数,由于所建立模型为混合整数规划问题,采用CPLEX求解器进行求解,设置4种场景进行验证分析,算例表明所提模型可有效减少二氧化碳排放,在兼顾经济性和环境性的同时引入CVaR,可避免由于忽略风光不确定性所带来的较为乐观的调度结果,使系统最终调度结果更为合理。
