顺行交锁钉结合LISS内固定治疗Lambiris Ⅲ或Ⅳ型股骨骨折的临床效果

目的 探究顺行交锁钉结合微创内固定系统(LISS)内固定治疗LambirisⅢ或Ⅳ型股骨骨折的应用效果。方法 前瞻性选取2022年1月至2023年1月南阳市中心医院收治的95例股骨骨折(LambirisⅢ或Ⅳ型)患者,以简单随机法分为对照组(47例)和研究组(48例)。对照组接受常规LISS内固定治疗,研究组接受顺行交锁钉结合LISS内固定治疗。比较两组围手术期情况、创伤应激因子[超氧化物歧化酶(SOD)、去甲肾上腺素(NE)、血管紧张素Ⅱ(AngⅡ)]、视觉疼痛模拟量表(VAS)、硫化氢(H_(2)S)、鸢尾素(Irisin)、髋关节功能、并发症发生率。结果 研究组出血量为(357.49±32.81)mL,少于对照组的(385.94±37.26)mL,住院时间、骨折愈合时间分别为(17.63±2.29)d、(28.76±2.15)周,短于对照组的(19.51±2.64)d、(30.28±2.40)周(P<0.05)。研究组SOD、NE、AngⅡ水平术后第3天分别为(90.53±11.24)U·L^(-1)、(83.15±8.74)μg·L^(-1)、(148.62±18.53)mmol·L^(-1),低于对照组的(98.31±11.56)U·L^(-1)、(90.26±9.57)μg·L^(-1)、(163.78±19.37)mmol·L^(-1)(P<0.05)。研究组第3个月VAS评分为(1.97±0.65)分,低于对照组的(2.76±0.81)分(P<0.05);术后第3个月研究组H_(2)S、Irisin水平分别为(34.15±3.28)ng·L^(-1)、(217.83±16.45)μg·L^(-1),高于对照组的(32.28±3.11)ng·L^(-1)、(205.46±14.82)μg·L^(-1)(P<0.05);术后末次随访研究组髋关节功能优良率高于对照组(P<0.05)。结论 顺行交锁钉结合LISS内固定治疗LambirisⅢ或Ⅳ型股骨骨折患者,可减少出血,减轻应激反应,加快术后早期恢复,促进骨折愈合,恢复髋关节功能,减轻患者疼痛。

Predicting the International Roughness Index of JPCP and CRCP Rigid Pavement:A Random Forest(RF)Model Hybridized with Modified Beetle Antennae Search(MBAS)for Higher Accuracy

To improve the prediction accuracy of the International Roughness Index(IRI)of Jointed PlainConcrete Pavements(JPCP)and Continuously Reinforced Concrete Pavements(CRCP),a machine learning approach is developed in this study for the modelling,combining an improved Beetle Antennae Search(MBAS)algorithm and Random Forest(RF)model.The 10-fold cross-validation was applied to verify the reliability and accuracy of the model proposed in this study.The importance scores of all input variables on the IRI of JPCP and CRCP were analysed as well.The results by the comparative analysis showed the prediction accuracy of the IRI of the newly developed MBAS and RF hybrid machine learning model(RF-MBAS)in this study is higher,indicated by the RMSE and R values of 0.2732 and 0.9476 for the JPCP as well as the RMSE and R values of 0.1863 and 0.9182 for the CRCP.The accuracy of this obtained result far exceeds that of the IRI prediction model used in the traditional Mechanistic-Empirical Pavement Design Guide(MEPDG),indicating the great potential of this developed model.The importance analysis showed that the IRI of JPCP and CRCP was proportional to the corresponding input variables in this study,including the total joint faulting cumulated per KM(TFAULT),percent subgrade material passing the 0.075-mm Sieve(P_(200))and pavement surface area with flexible and rigid patching(all Severities)(PATCH)which scored higher.

Assessment of International GNSS Service Global Ionosphere Map products over China region based on measurements from the Crustal Movement Observation Network of China

The global ionosphere maps(GIM)provided by the International GNSS Service(IGS)are extensively utilized for ionospheric morphology monitoring,scientific research,and practical application.Assessing the credibility of GIM products in data-sparse regions is of paramount importance.In this study,measurements from the Crustal Movement Observation Network of China(CMONOC)are leveraged to evaluate the suitability of IGS-GIM products over China region in 2013-2014.The indices of mean error(ME),root mean square error(RMSE),and normalized RMSE(NRMSE)are then utilized to quantify the accuracy of IGS-GIM products.Results revealed distinct local time and latitudinal dependencies in IGS-GIM errors,with substantially high errors at nighttime(NRMSE:39%)and above 40°latitude(NRMSE:49%).Seasonal differences also emerged,with larger equinoctial deviations(NRMSE:33.5%)compared with summer(20%).A preliminary analysis implied that the irregular assimilation of sparse IGS observations,compounded by China’s distinct geomagnetic topology,may manifest as error variations.These results suggest that modeling based solely on IGS-GIM observations engenders inadequate representations across China and that a thorough examination would proffer the necessary foundation for advancing regional total electron content(TEC)constructions.

ISO 22163:2023新版标准变化点解析与IRIS认证的实施

ISO22163:2023是轨道交通行业领域新发布的质量管理体系国际标准,本文从标准的范围、术语定义、过程方法和重要内容变化点、其他优化完善等方面分析了国际标准ISO22163:2023与其升级前的版本ISO/TS22163:2017的主要内容差异,包括产品安全、社会责任、能力要求、外部供方评估、RAMS/LCC、FAI、软件工具以及其他优化完善等,总结了IRIS认证变化点,主要涵盖评估过程、认证实施和认证绩效等级的变化,并提出了IRIS认证标准转版的时间节点、风险评估和体系文件策划的相关建议,以期为更好理解和实施该标准提供借鉴。

Multi-Stage Multidisciplinary Design Optimization Method for Enhancing Complete Artillery Internal Ballistic Firing Performance

To enhance the comprehensive performance of artillery internal ballistics—encompassing power,accuracy,and service life—this study proposed a multi-stage multidisciplinary design optimization(MS-MDO)method.First,the comprehensive artillery internal ballistic dynamics(AIBD)model,based on propellant combustion,rotation band engraving,projectile axial motion,and rifling wear models,was established and validated.This model was systematically decomposed into subsystems from a system engineering perspective.The study then detailed the MS-MDO methodology,which included Stage I(MDO stage)employing an improved collaborative optimization method for consistent design variables,and Stage II(Performance Optimization)focusing on the independent optimization of local design variables and performance metrics.The methodology was applied to the AIBD problem.Results demonstrated that the MS-MDO method in Stage I effectively reduced iteration and evaluation counts,thereby accelerating system-level convergence.Meanwhile,Stage II optimization markedly enhanced overall performance.These comprehensive evaluation results affirmed the effectiveness of the MS-MDO method.

Exploring the impacts of major events on the systemic risk of the international energy market

This study examines the systemic risk caused by major events in the international energy market(IEM)and proposes a management strategy to mitigate it. Using the tail-event driven network(TENET)method, this study constructed a tail-risk spillover network(TRSN) of IEM and simulated the dynamic spillover tail-risk process through the cascading failure mechanism. The study found that renewable energy markets contributed more to systemic risk during the Paris Agreement and the COVID-19pandemic, while fossil energy markets played a larger role during the Russia-Ukraine conflict. This study identifies systemically important markets(SM) and critical tail-risk spillover paths as potential sources of systemic risk. The research confirms that cutting off the IEM risk spillover path can greatly reduce systemic risk and the influence of SM. This study offers insights into the management of systemic risk in IEM and provides policy recommendations to reduce the impact of shock events.

A Study on the Symbol-Based Narrative in the International Communication of Cities

Cultural symbols,a manifestation of cities’cultural resources,are not only signs that frame concepts but also forms that express meanings.Exploring the international communication of cities from the perspective of symbols,this paper analyzes in depth how cities create their cultural symbols in the dynamic process of international communication in an era of symbol-based digital media,and how they develop their narratives and explain meanings through the dissemination of symbols when telling their stories to international audiences,thus enhancing the efficiency and effectiveness of their international communication efforts.

International Communication of Acupuncture and Moxibustion Popular in the West

With the development of traditional Chinese medicine(TCM)acupuncture and moxibustion,research on acupuncture and moxibustion in the Western world is deepening.The concept of acupuncture and moxibustion popular in the West is formed.By investigating the localization of acupuncture and moxibustion in the Western world,this paper introduces several kinds of acupuncture and moxibustion popular in the West and concludes the spread of acupuncture and moxibustion popular in the West through hospitals and clinics,academic works,social organizations,education,and training.This paper provides a global vision developing domestic acupuncture and moxibustion and promoting academic prosperity and technical progress of world acupuncture and moxibustion system.

基于IRI模式的电离层预报模型建立

电离层内部带电粒子运动和变化状态受太阳辐射与地磁场作用的影响,服从物理规律的约束,常规数学逼近方法进行电离层预报缺乏物理机制的支持。由于断电断网等不可预计因素的影响,地面全球导航卫星系统(GNSS)连续观测站数据容易出现中断,从而影响对电离层的监测,并进一步影响改正数播发。为了在GNSS连续观测站数据缺失的情况下,重现电离层误差延迟,填补观测数据空白,本文提出了一种基于物理模式的电离层总电子密度高精度时域预报方案,并通过模拟实验验证了基于物理模式的电离层时序预报方式相较于传统数学方法的优势。实验结果表明,基于IRI的电子浓度总含量(TEC)预报误差基本上都小于多项式计算的TEC预报误差的50%,且随着IGR权重的增加,基于IRI的TEC预报误差也逐渐变小,与模拟的TEC真值更加接近;通过对比拟合时段和预报时段与原始IRI2016模型的计算结果,发现更新后IG_(12)指数驱动下的IRI2016模型计算的TEC精度得到了明显提高,计算残差标准差精度上午时段在低纬度和中纬度地区分别提高了83.9%和49.8%,下午时段在低纬度和中纬度地区分别提高了63.0%和60.6%,与GNSS TEC的整体符合情况更好,从而验证了基于IRI模式建立的电离层预报模型在中国中、低纬度地区具有较高的应用精度。

Establishing a mechanism for international cooperation for Fukushima nuclear-contaminated water monitoring

The Japanese government’s unilateral decision to discharge the nuclear-contaminated water from the Fukushima nuclear power plant into the ocean has caused immense nuclear safety risks.Monitoring the unclear contaminated water is a starting point to combat these risks and seek remedies for the rights and interests of all concerned parties.The establishment of a mechanism for international cooperation in this respect is necessary to handle the risks of the Fukushima nuclear-contaminated water and to lay the foundation of a framework for tackling any future disposal of nuclear-contaminated water following Japan’s example.At present,the international legal systems in the spheres of nuclear safety and security,marine environmental protection,and other areas,as well as the questioning of the monitoring reports of the International Atomic Energy Agency(IAEA)by the relevant parties,the monitoring practices of historical nuclear accidents,and numerous radioactivity monitoring mechanisms have provided the institutional and practical basis for constructing such a mechanism.The mechanism can be promoted by the IAEA through its existing mechanisms or be jointly initiated by China,the Russian Federation,the Republic of Korea,the Democratic People’s Republic of Korea,and the Pacific Island countries,among other stakeholders.Specifically,this mechanism should consist of three levels:first,the framework of the basic legal system,including the cooperative principles of national sovereignty,interest-relatedness,and procedural fairness,and the signing of the Framework Convention on the Monitoring of Fukushima’s nuclear-contaminated water and its Optional Protocol;second,the organizational structure and its responsibilities,which may include the Conference of Parties as the decision-making body,the Secretariat as the central coordinating body,and the monitoring committees in various fields as specific implementing agencies;and third,specific administrative arrangements,which involve the standardization of monitoring,the management system of monitoring networks and stations,the rules for monitoring procedures,and the rules for the utilization of the monitoring data,etc.With the urgent need for the scientific and fair monitoring of Fukushima’s nuclear-contaminated water,China,as a stakeholder country,can promote the establishment of such a mechanism for monitoring nuclear-contaminated water through the following paths:①It is necessary to clarify the factors affecting the construction of an international cooperation mechanism for monitoring nuclear-contaminated water so as to ascertain the standpoints of the stakeholders,claims of their interests,contents of their cooperation,and the relevant international relations.②On the basis of existing practices,China should consider improving the monitoring mechanism to cope with the risks of the discharge of Fukushima’s nuclear-contaminated water by formulating targeted policies and systems,setting up specialized monitoring institutions,and establishing a systematic monitoring network system.③This is an effective way for China to actively promote the participation of stakeholders in the construction of an international cooperation mechanism for monitoring nuclear-contaminated water in Fukushima by further innovating the dissemination mechanism to address the risk of Fukushima’s nuclear-contaminated water discharging into the sea and facilitating the identification of issues for international cooperation in monitoring Fukushima’s nuclear-contaminated water based on the concept of a community with a shared future for mankind.

Impact of US Financial Sanctions on the Dollar's International

In 2022,the United States stepped up its sanctions on Russia.Most notably,it restricted the flow of the Russian Central Bank's foreign exchange(forex)assets,using financial administrative power as a source of strategic leverage.This move should have reduced the appeal of US dollar assets but in reality has not accelerated as expected the decline of the greenback as a store of value.The US dollar's share of global forex reserves increased instead of decreased during 2022 and 2023.Despite the rise of economic costs caused by tightened US financial sanctions,countries that recognize the geopolitical role of the United States have further accepted the dollar's international status;their continued willingness to live with the dollar's“security premium”has given a fillip to the US dollar in the short term,boosting its appeal as a reserve currency.Meanwhile,de-dollarization of forex reserves has yet to reach a sufficient scale,thus falling short of significantly challenging the dollar's reign.From a longer-term perspective,as economic and security conditions shift,countries that accept the dollar's international role or seek de-dollarization may change their choices.As a result,four possible scenarios may arise:(i)the preeminence of the US dollar remains unthreatened;(ii)the international monetary system splits into blocs;(iii)the international monetary system fragments;and(iv)the dollar loses its throne.The author believes that the last scenario is the most likely outcome.

Exploration on Teaching Reform of Medical Functional Experimental Science for International Students

Medical Functional Experiment Science, a bridge between basic medicine and clinical medicine, integrates classical experimental teaching contents of three courses including physiology, pathophysiology and pharmacology. This course not only helps students to verify and reinforce theoretical knowledge, but also cultivates their capability of scientific thinking to discover and solve problems. Based on the characteristics of international students and current situation of the teaching platform in the laboratory at Yangtze University, this paper discusses a series of problems in the Medical Functional Experiment Science teaching for international students and puts forward some measures for teaching reform including optimizing experimental content, innovating experimental teaching methods and establishing effective experimental evaluation mode, in order to cultivate more international medical students with innovative ability.

Influence of Quantum Information Technology on International Security

Humanity is currently undergoing the fourth industrial revolution,characterized by advancements in artificial intelligence,clean energy,quantum information technology,virtual reality,and biotechnology.This technological revolution is poised to have a profound impact on the world.Quantum information technology encompasses both quantum computing and the transmission of quantum information.This article aims to integrate quantum information technology with international security concerns,exploring its implications for international security and envisioning its groundbreaking significance.

Evaluation of Chinese Learning Efficiency of International Students in China:Comparing by Dimension

This paper introduces the Value Engineering method to calculate the value coefficient of Chinese learning efficiency for 377 international students by dimension.Results suggest that attention should be paid to male,European and American,rural,introverted,and“work or education needs”international students;Give full play to the driving role of the reference-type,explore the space for improving the learning efficiency of the improvement-type and attention-type,and pay attention to the problems of problem-type international students.

Research on the Practice of Cross-Border E-Commerce Strategies: Taking Alibaba International Station as an Example

Currently,Alibaba International Station,as an emerging e-commerce platform in recent years,plays a crucial role in cross-border e-commerce trade.This article describes an overview of Alibaba International Station,as well as the methods of attracting traffic and some current problems encountered.Simultaneously,relevant suggestions are provided based on the problems.

International Students’ Feeling of Shame in the Higher Education: An Intersectional Analysis of Their Racialised, Gendered and Classed Experiences in the UK Universities

The literature on international students’ experiences frequently depicts them within a ‘deficient’ framework, highlighting their perceived lack of essential skills for managing their studies. Moreover, international students’ emotional experiences are often construed as personal and psychological attributes, with their emotions viewed as transient and pathological phases that they will eventually overcome to assimilate into the local context. However, there exists a dearth of literature investigating international students’ experiences from a sociological perspective, particularly concerning their emotional experiences within the broader social and political milieu. Utilizing a longitudinal research design to monitor 25 Chinese international postgraduates from multiple universities in London and Glasgow over the course of one year, this study illuminates the racialised, classed, and gendered dimensions of international students’ experiences in UK higher education through an exploration of their feelings of shame. Drawing on the research findings, it is evident that power relations operate insidiously and covertly to systematically frame international students’ experiences as personal or cultural ‘deficiency’. This process represents a form of misrecognition, which manifests in racialised, gendered, and classed feelings of shame, experienced at the personal level as insecurity, ‘stupidity’, exclusion, and self-doubt. Consequently, social and cultural inequalities within higher education are often situated at the individual level.

Knowledge Graph Analysis of International Chinese Language Textbooks Based on CiteSpace

Drawing upon relevant papers from Chinese core journals and CSSCI source journals in the CNKI China Academic Journals Full-Text Database spanning from 1992 to 2023,this study utilizes CiteSpace as a research tool to visually analyze the knowledge graph structure of research on international Chinese language textbooks in China.The study maps out the publication timeline,authors,institutions,collaborative networks,and keywords pertaining to research on international Chinese language textbooks.The findings indicate that research on international Chinese language textbooks commenced early and continues to maintain a certain level of research interest,yet lacks sufficient research output.Research institutions predominantly reside in universities and publishing groups specializing in language or education,with collaboration between institutions being relatively scarce.High-frequency keywords in recent research on international Chinese language textbooks include“Chinese language textbooks for the Foreigners,”“Chinese language textbooks,”“Teaching Chinese Language for the Foreigners,”“Textbook compilation,”“International Chinese Language Education and Localization,”which reflect a diversified research perspective with interdisciplinary trends.Future research priorities encompass research on localization,customization of textbooks,and evaluation of textbooks which represent forefront directions of research.

Research on the Policy Evolution of Inclusive Education from an International Comparative Perspective

In recent years,thanks to the vigorous promotion by UNESCO,inclusive education has rapidly developed and spread worldwide.Governments across various nations have responded and implemented this approach,successively introducing laws and policies to ensure that children with special needs are better integrated into society and receive a comprehensive education.This paper begins by exploring the concept and connotation of inclusive education.Through an international comparative perspective,it conducts a comparative analysis of the policy evolution of inclusive education in China and the United Kingdom.Furthermore,it investigates the implications that advanced international policy experiences have for the development of inclusive education in China.

Innovative Exploration and Research on International Exchange and Cooperation Mechanisms under the Background of Hainan Free Trade Port

In order to explore and foster innovation in international exchange and cooperation,this study focuses on the background of the construction of the Hainan Free Trade Port.It delves into the current development status,characteristic demands,and potential challenges of its international exchange and cooperation mechanisms.Through a comprehensive analysis of relevant cases,survey questionnaires,and literature,this study aims to provide feasible innovative models and recommendations to promote the sustained development of the Hainan Free Trade Port in the field of international exchange and cooperation,injecting new vitality into China’s economic globalization.This exploration contributes to a deeper understanding of the development of free trade ports and provides insights and references for other countries and regions.

Research on the Implementation Path of Labor Education in Colleges and Universities from an International Perspective

Universities shoulder the important mission of talent cultivation,scientific research,social service,cultural heritage and innovation,and international exchange and cooperation.International exchange and cooperation have become the fifth major function of universities.Based on the background of the globalization era,undergraduate colleges and universities should pay more attention to the cultivation of students’intercultural communication and understanding ability while cultivating their professional skills,and take expanding students’international vision and enhancing the international competitiveness of China’s education as important tasks.Labor education is an important content of the national education system,which has the comprehensive nurturing value of cultivating morality,increasing intelligence,strengthening physical fitness,and cultivating beauty.Higher education institutions should further optimize the system of labor education,expand students’space and field of thinking in the process of labor education,and broaden students’international perspectives.