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Managing the surge:A comprehensive review of the entire disposal framework for retired lithium-ion batteries from electric vehicles 被引量:1
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作者 Ruohan Guo Feng Wang +2 位作者 M.Akbar Rhamdhani Yiming Xu Weixiang Shen 《Journal of Energy Chemistry》 SCIE EI CAS CSCD 2024年第5期648-680,共33页
Anticipating the imminent surge of retired lithium-ion batteries(R-LIBs)from electric vehicles,the need for safe,cost-effective and environmentally friendly disposal technologies has escalated.This paper seeks to offe... Anticipating the imminent surge of retired lithium-ion batteries(R-LIBs)from electric vehicles,the need for safe,cost-effective and environmentally friendly disposal technologies has escalated.This paper seeks to offer a comprehensive overview of the entire disposal framework for R-LIBs,encompassing a broad spectrum of activities,including screening,repurposing and recycling.Firstly,we delve deeply into a thorough examination of current screening technologies,shifting the focus from a mere enumeration of screening methods to the exploration of the strategies for enhancing screening efficiency.Secondly,we outline battery repurposing with associated key factors,summarizing stationary applications and sizing methods for R-LIBs in their second life.A particular light is shed on available reconditioning solutions,demonstrating their great potential in facilitating battery safety and lifetime in repurposing scenarios and identifying their techno-economic issues.In the realm of battery recycling,we present an extensive survey of pre-treatment options and subsequent material recovery technologies.Particularly,we introduce several global leading recyclers to illustrate their industrial processes and technical intricacies.Furthermore,relevant challenges and evolving trends are investigated in pursuit of a sustainable end-of-life management and disposal framework.We hope that this study can serve as a valuable resource for researchers,industry professionals and policymakers in this field,ultimately facilitating the adoption of proper disposal practices. 展开更多
关键词 Lithium-ion battery Battery reproposing and recycling Miaieiials recovery technologies Techno-economic issues End-of-life management Disposal framework
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Issue of Managing Waste Computer Equipment in Conakry City (Republic of Guinea)
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作者 Fatoumata Sylla Saran Camara +2 位作者 Adama Moussa Sakho Mamadou Kabirou Bah Alpha Issiaga Diallo 《Journal of Environmental Protection》 2024年第10期949-962,共14页
The digitization of administrative activities is a technique that not only optimizes resources, but also professionalizes the working methods of public and private services. This dematerialization process involves tec... The digitization of administrative activities is a technique that not only optimizes resources, but also professionalizes the working methods of public and private services. This dematerialization process involves technologies based on computer equipment, which, after use, becomes cumbersome waste. The aim targeted consisted of taking stock of the management of waste computer equipment imported into the Republic of Guinea, with a view of proposing a mode of environmentally sustainable management methods in a short time. To achieve this, the data was collected through investigation methods (observations, interviews, and questionnaires). This study reveals an excess of imports of electrical and electronic equipment in general, and computer equipment in particular, over the last ten years (2009-2019), With an import rate ranging from 4.03 to 54.45%. This study demonstrated the different ways in which computer and electronic equipment of all kinds are managed, with her failings. This study demonstrated the different ways in which computer and electronic equipment of all kinds are managed, as well as their failings. For this purpose, the different ways in which electronic waste is managed by different users were identified as storage, recycling, or rejection into nature or at waste storage points, often mixed with household waste. Companies specializing in the management of this type of waste and the presence of a certain number of regulatory texts almost do not exist. One company is only for the entire country but unknown to the majority of users. 展开更多
关键词 Waste Computers Equipment Soil Pollution Water Pollution Chemical Substances management Methods
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Nurse anesthetists’perceptions and experiences of managing emergence delirium:A qualitative study
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作者 Yi Xin Fu-Cai Lin +5 位作者 Chen Huang Bin He Ya-Ling Yan Shuo Wang Guang-Ming Zhang Rui Li 《World Journal of Psychiatry》 SCIE 2024年第4期553-562,共10页
BACKGROUND This study employs a descriptive phenomenological approach to investigate the challenges anesthesia nurses face in managing emergence delirium(ED),a common and complex postoperative complication in the post... BACKGROUND This study employs a descriptive phenomenological approach to investigate the challenges anesthesia nurses face in managing emergence delirium(ED),a common and complex postoperative complication in the post-anesthesia care unit.The role of nurses in managing ED is critical,yet research on their understanding and management strategies for ED is lacking.AIM To investigate anesthetic nurses’cognition and management experiences of ED in hopes of developing a standardized management protocol.METHODS This study employed a descriptive phenomenological approach from qualitative research methodologies.Purposeful sampling was utilized to select 12 anesthetic nurses from a tertiary hospital in Shanghai as research subjects.Semi-structured interviews were conducted,and the data were organized and analyzed using Colaizzi’s seven-step analysis method,from which the final themes were extracted.RESULTS After analyzing the interview content,four main themes and eight subthemes were distilled:Inefficient cognition hinders the identification of ED(conceptual ambiguity,empirical identification),managing diversity and challenges(patientcentered safe care,low level of medical-nursing collaboration),work responsibilities and pressure coexist(heavy work responsibilities,occupational risks and stress),demand for high-quality management(expecting the construction of predictive assessment tools and prevention strategies,and pursuing standardized management processes to enhance management effectiveness).CONCLUSION Nursing managers should prioritize the needs and suggestions of nurses in order to enhance their nursing capabilities and provide guidance for standardized management processes. 展开更多
关键词 Anesthetic nurse Emergence delirium Postoperative complications COGNITION Disease management Qualitative research
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Identifying and Managing Technical Risks in the Process of Innovative Drugs Development in China
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作者 Diao Yuanyuan Wu Zhiang 《Asian Journal of Social Pharmacy》 2024年第2期126-134,共9页
Objective To identify technical risks in the process of innovative drug development,and to provide reference for technical risk management so as to reduce the uncertainties and improve the efficiency of research and d... Objective To identify technical risks in the process of innovative drug development,and to provide reference for technical risk management so as to reduce the uncertainties and improve the efficiency of research and development.Methods The initial risk index was investigated by literature research.Then,the Likert scale was used to design a questionnaire,and the experts’opinion was used to analyze the risk factors affecting the different stages of the development of innovative drugs in China.Results and Conclusion Based on the analysis of questionnaire,31 risk indicators of five key stages in the development of innovative drugs from drug discovery to marketing authorization were established.The key risk indicators constructed in this study can provide reference for technology-related risk management in the process of innovative drug development. 展开更多
关键词 innovative drug development technology risk risk management
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Patient satisfaction and follow-up adherence to glaucoma case management clinic in China 被引量:1
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作者 Hao Lin Hu-Jie Lu +3 位作者 Wen-Zhe Zhou Shu-Shu Zuo Yan-Yan Chen Shao-Dan Zhang 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2024年第1期73-81,共9页
AIM:To assess glaucoma patient satisfaction and follow-up adherence in case management and identify associated predictors to improve healthcare quality and patient outcomes.METHODS:In this cross-sectional study,a tota... AIM:To assess glaucoma patient satisfaction and follow-up adherence in case management and identify associated predictors to improve healthcare quality and patient outcomes.METHODS:In this cross-sectional study,a total of 119 patients completed a Patient Satisfaction Questionnaire-18 and a sociodemographic questionnaire.Clinical data was obtained from the case management system.Follow-up adherence was defined as completing each follow-up within±30d of the scheduled time set by ophthalmologists during the study period.RESULTS:Average satisfaction scored 78.65±7,with an average of 4.39±0.58 across the seven dimensions.Age negatively correlated with satisfaction(P=0.008),whilst patients with follow-up duration of 2 or more years reported higher satisfaction(P=0.045).Multivariate logistics regression analysis revealed that longer follow-up durations were associated with lower follow-up adherence(OR=0.97,95%CI,0.95-1.00,P=0.044).Additionally,patients with suspected glaucoma(OR=2.72,95%CI,1.03-7.20,P=0.044)and those with an annual income over 100000 Chinese yuan demonstrated higher adherence(OR=5.57,95%CI,1.00-30.89,P=0.049).CONCLUSION:The case management model proves effective for glaucoma patients,with positive adherence rates.The implementation of this model can be optimized in the future based on the identified factors and extended to glaucoma patients in more hospitals. 展开更多
关键词 GLAUCOMA patient satisfaction follow-up adherence case management
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Role of gastrointestinal health in managing children with autism spectrum disorder 被引量:1
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作者 Mohammed Al-Beltagi Nermin Kamal Saeed +2 位作者 Adel Salah Bediwy Reem Elbeltagi Rawan Alhawamdeh 《World Journal of Clinical Pediatrics》 2023年第4期171-196,共26页
Children with autism spectrum disorders(ASD)or autism are more prone to gastrointestinal(GI)disorders than the general population.These disorders can significantly affect their health,learning,and development due to v... Children with autism spectrum disorders(ASD)or autism are more prone to gastrointestinal(GI)disorders than the general population.These disorders can significantly affect their health,learning,and development due to various factors such as genetics,environment,and behavior.The causes of GI disorders in children with ASD can include gut dysbiosis,immune dysfunction,food sensitivities,digestive enzyme deficiencies,and sensory processing differences.Many studies suggest that numerous children with ASD experience GI problems,and effective management is crucial.Diagnosing autism is typically done through genetic,neurological,functional,and behavioral assessments and observations,while GI tests are not consistently reliable.Some GI tests may increase the risk of developing ASD or exacerbating symptoms.Addressing GI issues in individuals with ASD can improve their overall well-being,leading to better behavior,cognitive function,and educational abilities.Proper management can improve digestion,nutrient absorption,and appetite by relieving physical discomfort and pain.Alleviating GI symptoms can improve sleep patterns,increase energy levels,and contribute to a general sense of well-being,ultimately leading to a better quality of life for the individual and improved family dynamics.The primary goal of GI interventions is to improve nutritional status,reduce symptom severity,promote a balanced mood,and increase patient independence. 展开更多
关键词 Gastrointestinal disorders Autism spectrum disorders Children Gut microbiota Ketogenic diet Gluten-free casein-free diet Dietary management
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Personal Thermal Management by Radiative Cooling and Heating 被引量:1
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作者 Shidong Xue Guanghan Huang +3 位作者 Qing Chen Xungai Wang Jintu Fan Dahua Shou 《Nano-Micro Letters》 SCIE EI CAS CSCD 2024年第8期225-267,共43页
Maintaining thermal comfort within the human body is crucial for optimal health and overall well-being.By merely broadening the setpoint of indoor temperatures,we could significantly slash energy usage in building hea... Maintaining thermal comfort within the human body is crucial for optimal health and overall well-being.By merely broadening the setpoint of indoor temperatures,we could significantly slash energy usage in building heating,ventilation,and air-conditioning systems.In recent years,there has been a surge in advancements in personal thermal management(PTM),aiming to regulate heat and moisture transfer within our immediate surroundings,clothing,and skin.The advent of PTM is driven by the rapid development in nano/micro-materials and energy science and engineering.An emerging research area in PTM is personal radiative thermal management(PRTM),which demonstrates immense potential with its high radiative heat transfer efficiency and ease of regulation.However,it is less taken into account in traditional textiles,and there currently lies a gap in our knowledge and understanding of PRTM.In this review,we aim to present a thorough analysis of advanced textile materials and technologies for PRTM.Specifically,we will introduce and discuss the underlying radiation heat transfer mechanisms,fabrication methods of textiles,and various indoor/outdoor applications in light of their different regulation functionalities,including radiative cooling,radiative heating,and dual-mode thermoregulation.Furthermore,we will shine a light on the current hurdles,propose potential strategies,and delve into future technology trends for PRTM with an emphasis on functionalities and applications. 展开更多
关键词 Personal thermal management Radiative cooling and heating Thermal comfort Dynamic thermoregulation
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Overview of the immunological mechanisms in hepatitis B virus reactivation:Implications for disease progression and management strategies 被引量:1
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作者 Hui Ma Qing-Zhu Yan +2 位作者 Jing-Ru Ma Dong-Fu Li Jun-Ling Yang 《World Journal of Gastroenterology》 SCIE CAS 2024年第10期1295-1312,共18页
Hepatitis B virus(HBV)reactivation is a clinically significant challenge in disease management.This review explores the immunological mechanisms underlying HBV reactivation,emphasizing disease progression and manageme... Hepatitis B virus(HBV)reactivation is a clinically significant challenge in disease management.This review explores the immunological mechanisms underlying HBV reactivation,emphasizing disease progression and management.It delves into host immune responses and reactivation’s delicate balance,spanning innate and adaptive immunity.Viral factors’disruption of this balance,as are interac-tions between viral antigens,immune cells,cytokine networks,and immune checkpoint pathways,are examined.Notably,the roles of T cells,natural killer cells,and antigen-presenting cells are discussed,highlighting their influence on disease progression.HBV reactivation’s impact on disease severity,hepatic flares,liver fibrosis progression,and hepatocellular carcinoma is detailed.Management strategies,including anti-viral and immunomodulatory approaches,are critically analyzed.The role of prophylactic anti-viral therapy during immunosuppressive treatments is explored alongside novel immunotherapeutic interventions to restore immune control and prevent reactivation.In conclusion,this compre-hensive review furnishes a holistic view of the immunological mechanisms that propel HBV reactivation.With a dedicated focus on understanding its implic-ations for disease progression and the prospects of efficient management stra-tegies,this article contributes significantly to the knowledge base.The more profound insights into the intricate interactions between viral elements and the immune system will inform evidence-based approaches,ultimately enhancing disease management and elevating patient outcomes.The dynamic landscape of management strategies is critically scrutinized,spanning anti-viral and immunomodulatory approaches.The role of prophylactic anti-viral therapy in preventing reactivation during immunosuppressive treatments and the potential of innovative immunotherapeutic interventions to restore immune control and proactively deter reactivation. 展开更多
关键词 Hepatitis B virus reactivation Immunological mechanisms Disease progression management strategies Immune response
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Potential impact of music interventions in managing diabetic conditions
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作者 Chiedu Eseadi Amos Nnaemeka Amedu 《World Journal of Clinical Cases》 SCIE 2023年第13期2916-2924,共9页
Diabetes is one of the most prevalent diseases,characterized by an insufficiency in insulin secretion as well as chronic hyperglycemia and disturbances in carbohydrate,lipid,and protein metabolism.The major aim of thi... Diabetes is one of the most prevalent diseases,characterized by an insufficiency in insulin secretion as well as chronic hyperglycemia and disturbances in carbohydrate,lipid,and protein metabolism.The major aim of this study was to conduct a literature review on the impact of music intervention on the management of diabetic conditions among patients.Available studies on the impact of music interventions on the management of diabetic conditions were reviewed and analysed using descriptive literature review approach.This review showed that music intervention plays a dual role in managing patients'diabetic conditions.First,music intervention is impactful in managing the health condition of diabetic patients through enhancing the patient’s compliance with exercise,improving lower limb blood circulation,and enhancing health parameters that increase autonomous balance among diabetic patients.Second,music therapy is impactful in the management of diabetic conditions through lowering blood sugar,heart rate,glucose levels,and stress among patients.However,with the number of empirical studies available in this regard,the impact of music intervention is still growing,and longer-term studies and randomised controlled trials with robust sample size are recommended to reach a more valid conclusion. 展开更多
关键词 DIABETES management of diabetes Music intervention Music therapy
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Heat transfer enhanced inorganic phase change material compositing carbon nanotubes for battery thermal management and thermal runaway propagation mitigation 被引量:1
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作者 Xinyi Dai Ping Ping +4 位作者 Depeng Kong Xinzeng Gao Yue Zhang Gongquan Wang Rongqi Peng 《Journal of Energy Chemistry》 SCIE EI CAS CSCD 2024年第2期226-238,I0006,共14页
Developing technologies that can be applied simultaneously in battery thermal management(BTM)and thermal runaway(TR)mitigation is significant to improving the safety of lithium-ion battery systems.Inorganic phase chan... Developing technologies that can be applied simultaneously in battery thermal management(BTM)and thermal runaway(TR)mitigation is significant to improving the safety of lithium-ion battery systems.Inorganic phase change material(PCM)with nonflammability has the potential to achieve this dual function.This study proposed an encapsulated inorganic phase change material(EPCM)with a heat transfer enhancement for battery systems,where Na_(2)HPO_(4)·12H_(2)O was used as the core PCM encapsulated by silica and the additive of carbon nanotube(CNT)was applied to enhance the thermal conductivity.The microstructure and thermal properties of the EPCM/CNT were analyzed by a series of characterization tests.Two different incorporating methods of CNT were compared and the proper CNT adding amount was also studied.After preparation,the battery thermal management performance and TR propagation mitigation effects of EPCM/CNT were further investigated on the battery modules.The experimental results of thermal management tests showed that EPCM/CNT not only slowed down the temperature rising of the module but also improved the temperature uniformity during normal operation.The peak battery temperature decreased from 76℃to 61.2℃at 2 C discharge rate and the temperature difference was controlled below 3℃.Moreover,the results of TR propagation tests demonstrated that nonflammable EPCM/CNT with good heat absorption could work as a TR barrier,which exhibited effective mitigation on TR and TR propagation.The trigger time of three cells was successfully delayed by 129,474 and 551 s,respectively and the propagation intervals were greatly extended as well. 展开更多
关键词 Inorganic phase change material Carbon nanotube Battery thermal management Thermal runaway propagation Fire resistance ENCAPSULATION
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Whole-process case management effects on mental state and selfcare ability in patients with liver cancer 被引量:1
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作者 Man-Di Ju Qin Qin Meng Li 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第3期833-841,共9页
BACKGROUND Regarding the incidence of malignant tumors in China,the incidence of liver cancer ranks fourth,second only to lung,gastric,and esophageal cancers.The case fatality rate ranks third after lung and cervical ... BACKGROUND Regarding the incidence of malignant tumors in China,the incidence of liver cancer ranks fourth,second only to lung,gastric,and esophageal cancers.The case fatality rate ranks third after lung and cervical cancer.In a previous study,the whole-process management model was applied to patients with breast cancer,which effectively reduced their negative emotions and improved treatment adherence and nursing satisfaction.METHODS In this single-center,randomized,controlled study,60 randomly selected patients with liver cancer who had been admitted to our hospital from January 2021 to January 2022 were randomly divided into an observation group(n=30),who received whole-process case management on the basis of routine nursing mea-sures,and a control group(n=30),who were given routine nursing measures.We compared differences between the two groups in terms of anxiety,depression,the level of hope,self-care ability,symptom distress,sleep quality,and quality of life.RESULTS Post-intervention,Hamilton anxiety scale,Hamilton depression scale,memory symptom assessment scale,and Pittsburgh sleep quality index scores in both groups were lower than those pre-intervention,and the observation group had lower scores than the control group(P<0.05).Herth hope index,self-care ability assessment scale-revision in Chinese,and quality of life measurement scale for patients with liver cancer scores in both groups were higher than those pre-intervention,with higher scores in the observation group compared with the control group(P<0.05).CONCLUSION Whole-process case management can effectively reduce anxiety and depression in patients with liver cancer,alleviate symptoms and problems,and improve the level of hope,self-care ability,sleep quality,and quality of life,as well as provide feasible nursing alternatives for patients with liver cancer. 展开更多
关键词 Liver cancer Mental state Self-care ability Whole-process case management Life quality NURSING
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Systematic review of risk factors,prognosis,and management of colorectal signet-ring cell carcinoma 被引量:1
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作者 Frederiek Nuytens Vincent Drubay +2 位作者 Clarisse Eveno Florence Renaud Guillaume Piessen 《World Journal of Gastrointestinal Oncology》 SCIE 2024年第5期2141-2158,共18页
BACKGROUND Colorectal signet-ring cell carcinoma(CSRCC)is a rare clinical entity which accounts for approximately 1%of all colorectal cancers.Although multiple studies concerning this specific topic have been publishe... BACKGROUND Colorectal signet-ring cell carcinoma(CSRCC)is a rare clinical entity which accounts for approximately 1%of all colorectal cancers.Although multiple studies concerning this specific topic have been published in the past decades,the pathogenesis,associated risk factors,and potential implications on treatment are still poorly understood.Besides the low incidence,historically confusing histological criteria have resulted in confusing data.Nevertheless,the rising incidence of CSRCC along with relatively young age at presentation and associated dismal prognosis,highlight the actual interest to synthesize the known literature regarding CSRCC.AIM To provide an updated overview of risk factors,prognosis,and management of CSRCC.METHODS A literature search in the MEDLINE/PubMed database was conducted with the following search terms used:‘Signet ring cell carcinoma’and‘colorectal’.Studies in English language,published after January 1980,were included.Studies included in the qualitative synthesis were evaluated for content concerning epidemiology,risk factors,and clinical,diagnostic,histological,and molecular features,as well as metastatic pattern and therapeutic management.If possible,presented data was extracted in order to present a more detailed overview of the literature.RESULTS In total,67 articles were included for qualitative analysis,of which 54 were eligible for detailed data extraction.CSRCC has a reported incidence between 0.1%-2.4%and frequently presents with advanced disease stage at the time of diagnosis.CSRCC is associated with an impaired overall survival(5-year OS:0%-46%)and a worse stagecorrected outcome compared to mucinous and not otherwise specified adenocarcinoma.The systematic use of exploratory laparoscopy to determine the presence of peritoneal metastases has been advised.Surgery is the mainstay of treatment,although the rates of curative resection in CSRCC(21%-82%)are lower compared to those in other histological types.In case of peritoneal metastasis,cytoreductive surgery with hyperthermic intraperitoneal chemotherapy should only be proposed in selected patients.CONCLUSION CSRCC is a rare clinical entity most often characterized by young age and advanced disease at presentation.As such,diagnostic modalities and therapeutic approach should be tailored accordingly. 展开更多
关键词 Colorectal cancer Signet-ring cell histology Poorly cohesive cells Systematic review Risk factors PROGNOSIS Therapeutic management
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Fuzzy Logic Inference System for Managing Intensive Care Unit Resources Based on Knowledge Graph
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作者 Ahmad F Subahi Areej Athama 《Computers, Materials & Continua》 SCIE EI 2023年第12期3801-3816,共16页
With the rapid growth in the availability of digital health-related data,there is a great demand for the utilization of intelligent information systems within the healthcare sector.These systems can manage and manipul... With the rapid growth in the availability of digital health-related data,there is a great demand for the utilization of intelligent information systems within the healthcare sector.These systems can manage and manipulate this massive amount of health-related data and encourage different decision-making tasks.They can also provide various sustainable health services such as medical error reduction,diagnosis acceleration,and clinical services quality improvement.The intensive care unit(ICU)is one of the most important hospital units.However,there are limited rooms and resources in most hospitals.During times of seasonal diseases and pandemics,ICUs face high admission demand.In line with this increasing number of admissions,determining health risk levels has become an essential and imperative task.It creates a heightened demand for the implementation of an expert decision support system,enabling doctors to accurately and swiftly determine the risk level of patients.Therefore,this study proposes a fuzzy logic inference system built on domain-specific knowledge graphs,as a proof-of-concept,for tackling this healthcare-related issue.The system employs a combination of two sets of fuzzy input parameters to classify health risk levels of new admissions to hospitals.The proposed system implemented utilizes MATLAB Fuzzy Logic Toolbox via several experiments showing the validity of the proposed system. 展开更多
关键词 Fuzzy logic role-based expert system decision-support system knowledge graph Internet of Things ICU resource management Neo4J graph database
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Application of Specialized Group Management in the Quality Control of Perioperative Nursing 被引量:2
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作者 Cong Fu Xuefei Li +4 位作者 Li Wang Yuanyuan Jiang Xinrong Qi Chen Ding Shanshan Tang 《Journal of Clinical and Nursing Research》 2024年第2期70-75,共6页
Objective:To explore the role of specialized group management in the quality control of perioperative nursing.Methods:45 surgical nurses from our hospital were selected as the research subjects.Traditional operating r... Objective:To explore the role of specialized group management in the quality control of perioperative nursing.Methods:45 surgical nurses from our hospital were selected as the research subjects.Traditional operating room management was adopted from July 2019 to June 2020,and specialized group management was adopted from July 2020 to June 2021.The surgeon’s satisfaction,surgical nurses’core professional competence,and surgical patients’satisfaction were obtained through surveys and the results were analyzed.Results:Surgeon satisfaction before the implementation of specialized group management was significantly lower than after its implementation(P<0.05).Besides,surgical nurses’core professional competency scores before the implementation of specialized group management were significantly lower than after its implementation(P<0.05).Lastly,surgical patients’satisfaction before the implementation of specialized group management was significantly lower than after its implementation(P<0.05).Conclusion:Specialized group management helps to improve the quality of perioperative care and should be applied in clinical practice. 展开更多
关键词 Specialized group management Operating room Quality of care CONTROL
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The Chinese guideline for management of snakebites
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作者 Rongde Lai Shijiao Yan +19 位作者 Shijun Wang Shuqing Yang Zhangren Yan Pin Lan Yonggao Wang Qi Li Jinlong Wang Wei Wang Yuefeng Ma Zijing Liang Jianfeng Zhang Ning Zhou Xiaotong Han Xinchao Zhang Mao Zhang Xiaodong Zhao Guoqiang Zhang Huadong Zhu Xuezhong Yu Chuanzhu Lyu 《World Journal of Emergency Medicine》 SCIE CAS CSCD 2024年第5期333-355,共23页
In 2009,the World Health Organization included snakebite on the list of neglected tropical diseases,acknowledging it as a common occupational hazard for farmers,plantation workers,and others,causing tens of thousands ... In 2009,the World Health Organization included snakebite on the list of neglected tropical diseases,acknowledging it as a common occupational hazard for farmers,plantation workers,and others,causing tens of thousands of deaths and chronic physical disabilities every year.This guideline aims to provide practical information to help clinical professionals evaluate and treat snakebite victims.These recommendations are based on clinical experience and clinical research evidence.This guideline focuses on the following topics:snake venom,clinical manifestations,auxiliary examination,diagnosis,treatments,and prevention. 展开更多
关键词 SNAKEBITE ENVENOMATION managEMENT PREVENTION
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Estimation of the Direct Cost of Management of Venous Thromboembolism in Three Reference Hospitals in the City of Yaoundé: A Retrospective Study over a Three-Year Period
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作者 Hamadou Ba Nganou-Ngnindjio Chris Nadège +5 位作者 Tatchim Samuel Aimé Kamdem Félicité Tchoukoua Serge Honoré Ahmadou Jingi Danwe Dieudonne Kingue Samuel 《World Journal of Cardiovascular Diseases》 CAS 2024年第2期99-114,共16页
Background: Venous thromboembolism (VTE) is a major public health problem due to its increasing frequency, mortality and management cost. This cost may require major financial efforts from patients, especially in deve... Background: Venous thromboembolism (VTE) is a major public health problem due to its increasing frequency, mortality and management cost. This cost may require major financial efforts from patients, especially in developing countries like ours where less than 7% of the population has health insurance. This study aimed to estimate the direct cost of managing VTE in three reference hospitals in Yaoundé. Methods: This was a cross-sectional retrospective study over a three-year period (from January 1st 2018 to December 31 2020) carried out in the Cardiology departments of the Central and General Hospitals, and the Emergency Centre of the city of Yaoundé. All patients managed during the study period for deep vein thrombosis and pulmonary embolism confirmed by venous ultrasound coupled with Doppler and computed tomography pulmonary angiography respectively were included. For each patient, we collected sociodemographic and clinical data as well as data on the cost of consultation, hospital stay, workups and medications. These data were analysed using SPSS version 23.0. Results: A total of 92 patient’s records were analysed. The median age was 60 years [48 - 68] with a sex ratio of 0.53. The median direct cost of management of venous thromboembolism was 766,375 CFAF [536,455 - 1,029,745] or $1415 USD. Management of pulmonary embolism associated with deep vein thrombosis was more costly than isolated pulmonary embolism or deep vein thrombosis. Factors influencing the direct cost of management of venous thromboembolism were: hospital structure (p = 0.015), health insurance (p 0.001), type of pulmonary embolism (p = 0.021), and length of hospital stay (p = 0.001). Conclusion: Management of VTE is a major financial burden for our patients and this burden is influenced by the hospital structure, health insurance, type of pulmonary embolism and length of hospital stay. 展开更多
关键词 COST managEMENT Venous Thromboembolism Yaoundé
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Current state and influencing factors in airbag management among emergency department nurses:A multicenter study
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作者 Xiao-Hui Wei Li-Jin Zhou +5 位作者 Rui Li Xin-Yuan Li Ye Zhang Hai-Yue Zhang Si-Meng Wang Jia Zhang 《World Journal of Clinical Cases》 SCIE 2024年第18期3417-3427,共11页
BACKGROUND The emergency department(ED)plays a critical role in establishing artificial airways and implementing mechanical ventilation.Managing airbags in the ED presents a prime opportunity to mitigate the risk of v... BACKGROUND The emergency department(ED)plays a critical role in establishing artificial airways and implementing mechanical ventilation.Managing airbags in the ED presents a prime opportunity to mitigate the risk of ventilator-associated pneumonia.Nonetheless,existing research has largely overlooked the understanding,beliefs,and practical dimensions of airway airbag management among ED nurses,with a predominant focus on intensive care unit nurses.AIM To investigate the current status of ED nurses'knowledge,beliefs,and practical behaviors in airway airbag management and their influencing factors.METHODS A survey was conducted from July 10th to August 10th,2023,using convenience sampling on 520 ED nurses from 15 tertiary hospitals and 5 sary hospitals in Shanghai.Pathway analysis was utilized to analyze the influencing factors.RESULTS The scores for ED nurses'airway airbag management knowledge were 60.26±23.00,belief was 88.65±13.36,and behavior was 75.10±19.84.The main influencing factors of airbag management knowledge included participation in specialized nurse or mechanical ventilation training,department,and work experience in the department.Influencing factors of airbag management belief comprised knowledge,department,and participation in specialized nurse or mechanical ventilation training.Primary influencing factors of airbag management behavior included knowledge,belief,department,participation in specialized nurse or mechanical ventilation training,and professional title.The belief in airbag management among ED nurses acted as a partial mediator between knowledge and behavior,with a total effect value of 0.513,and an indirect effect of 0.085,constituting 16.6%of the total effect.CONCLUSION ED nurses exhibit a positive attitude toward airbag management with relatively standardized practices,yet there remains room for improvement in their knowledge levels.Nursing managers should implement interventions tailored to the characteristics of ED nurses'airbag management knowledge,beliefs,and practices to enhance their airbag management proficiency. 展开更多
关键词 Artificial airway management Health knowledge ATTITUDES PRACTICE Airbag management Pathway analysis Nurses
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Blockchain-Assisted Unsupervised Learning Method for Crowdsourcing Reputation Management
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作者 Tianyu Wang Kongyang Chen 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第9期2297-2314,共18页
Crowdsourcing holds broad applications in information acquisition and dissemination,yet encounters challenges pertaining to data quality assessment and user reputation management.Reputation mechanisms stand as crucial... Crowdsourcing holds broad applications in information acquisition and dissemination,yet encounters challenges pertaining to data quality assessment and user reputation management.Reputation mechanisms stand as crucial solutions for appraising and updating participant reputation scores,thereby elevating the quality and dependability of crowdsourced data.However,these mechanisms face several challenges in traditional crowdsourcing systems:1)platform security lacks robust guarantees and may be susceptible to attacks;2)there exists a potential for large-scale privacy breaches;and 3)incentive mechanisms relying on reputation scores may encounter issues as reputation updates hinge on task demander evaluations,occasionally lacking a dedicated reputation update module.This paper introduces a reputation update scheme tailored for crowdsourcing,with a focus on proficiently overseeing participant reputations and alleviating the impact of malicious activities on the sensing system.Here,the reputation update scheme is determined by an Empirical Cumulative distribution-based Outlier Detection method(ECOD).Our scheme embraces a blockchain-based crowdsourcing framework utilizing a homomorphic encryption method to ensure data transparency and tamper-resistance.Computation of user reputation scores relies on their behavioral history,actively discouraging undesirable conduct.Additionally,we introduce a dynamic weight incentive mechanism that mirrors alterations in participant reputation,enabling the system to allocate incentives based on user behavior and reputation.Our scheme undergoes evaluation on 11 datasets,revealing substantial enhancements in data credibility for crowdsourcing systems and a reduction in the influence of malicious behavior.This research not only presents a practical solution for crowdsourcing reputation management but also offers valuable insights for future research and applications,holding promise for fostering more reliable and high-quality data collection in crowdsourcing across diverse domains. 展开更多
关键词 Crowdsourcing reputation management blockchain
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Ultra Reliable Load-Aware Connection Management(LACM)Algorithm in WIA-FA Systems
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作者 Liu Gang Jiang Chunhao +3 位作者 Ren Xiaochun Fan Pingzhi Liang Chengchao Ma Zheng 《China Communications》 SCIE CSCD 2024年第8期142-161,共20页
The increasing demand for industrial automation and intelligence has put forward higher requirements for the reliability of industrial wireless communication technology.As an international standard based on 802.11,Wir... The increasing demand for industrial automation and intelligence has put forward higher requirements for the reliability of industrial wireless communication technology.As an international standard based on 802.11,Wireless networks for Industrial Automation-Factory Automation(WIA-FA)greatly improves the reliability in factory automation scenarios by Time Division Multiple Access(TDMA).However,in ultra-dense WIA-FA networks with mobile users,the basic connection management mechanism is inefficient.Most of the handover and resource management algorithms are all based on frequency division multiplexing,not suitable for the TDMA in the WIA-FA network.Therefore,we propose Load-aware Connection Management(LACM)algorithm to adjust the linkage and balance the load of access devices to avoid blocking and improve the reliability of the system.And then we simulate the algorithm to find the optimal settings of the parameters.After comparing with other existing algorithms,the result of the simulation proves that LACM is more efficient in reliability and maintains high reliability of more than 99.8%even in the ultra-dense moving scenario with 1500 field devices.Besides,this algorithm ensures that only a few signaling exchanges are required to ensure load bal-ancing,which is no more than 5 times,and less than half of the best state-of-the-art algorithm. 展开更多
关键词 connection management load-aware multi-connectivity reliability RETRANSMISSION WIAFA
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Strategies for Advancing Road Construction Slope Stability: Unveiling Innovative Techniques for Managing Unstable Terrain
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作者 Guy Oyéniran Adeoti Judicaël Koffi Agbelele +2 位作者 Crespin Prudence Yabi Rufin Nongnidé Kinhoun Éric Adéchina Alamou 《Open Journal of Civil Engineering》 2023年第4期572-616,共45页
This comprehensive review paper explores various aspects of geotechnical engineering, with a focus on the management of unstable terrains, numerical methods for solving complex soil and consolidation problems, rheolog... This comprehensive review paper explores various aspects of geotechnical engineering, with a focus on the management of unstable terrains, numerical methods for solving complex soil and consolidation problems, rheological analysis of suspensions and muddy soils, and stability analysis of slopes. It begins by examining the unique physicochemical properties of cohesive sediments, including cohesion and specific surface area. The temporal evolution of deposit concentration and average bed concentration in unstable terrains is discussed, along with settling behavior of isolated particles and hindered settling using empirical equations. Key sedimentation theories, such as Kynch’s theory, and geotechnical consolidation theories, including Terzaghi’s consolidation equation and Gibson’s theory, are presented. The investigation interrelates these theories and principles to offer a holistic view of managing unstable terrains. It also addresses the challenges associated with experimental determination of constitutive relationships and presents alternative simplification methods proposed by researchers. Additionally, it delves into numerical methods for solving nonlinear partial differential equations governing soil behavior, emphasizing the need for numerical frameworks and discussing various techniques and associated challenges. The rheological analysis section covers material flow behavior, rheological behavior models, and the rheological properties of water and cohesive sediment mixtures. Fundamental geotechnical calculations, constitutive laws, and failure criteria are explained, highlighting their relevance in geotechnical engineering applications. This paper provides a multidimensional perspective on geotechnical engineering, offering valuable insights into soil properties, consolidation processes, numerical methods, rheological analysis, and slope stability assessment for professionals in the field. 展开更多
关键词 Consolidation Processes managing Unstable Terrain Numerical Methods Safety Coefficient Slope Stability Assessment Soil Cohesion
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