In the era of big data,the number of images transmitted over the public channel increases exponentially.As a result,it is crucial to devise the efficient and highly secure encryption method to safeguard the sensitive ...In the era of big data,the number of images transmitted over the public channel increases exponentially.As a result,it is crucial to devise the efficient and highly secure encryption method to safeguard the sensitive image.In this paper,an improved sine map(ISM)possessing a larger chaotic region,more complex chaotic behavior and greater unpredictability is proposed and extensively tested.Drawing upon the strengths of ISM,we introduce a lightweight symmetric image encryption cryptosystem in wavelet domain(WDLIC).The WDLIC employs selective encryption to strike a satisfactory balance between security and speed.Initially,only the low-frequency-low-frequency component is chosen to encrypt utilizing classic permutation and diffusion.Then leveraging the statistical properties in wavelet domain,Gaussianization operation which opens the minds of encrypting image information in wavelet domain is first proposed and employed to all sub-bands.Simulations and theoretical analysis demonstrate the high speed and the remarkable effectiveness of WDLIC.展开更多
Objective:To evaluate and compare the effect of semi-rigid ureterorenoscopy on post-procedural sexual function with three different operating room settings.Methods:In this prospective randomized study,consecutive sexu...Objective:To evaluate and compare the effect of semi-rigid ureterorenoscopy on post-procedural sexual function with three different operating room settings.Methods:In this prospective randomized study,consecutive sexually active patients with normal pre-operative sexual function undergoing uncomplicated semi-rigid ureterorenoscopy for distal ureteric stones were randomized into three groups,with three different operating room settings.Procedure-related anxiety and sexual function were assessed pre-operatively using Amsterdam Preoperative Anxiety and Information Scale and Brief Sexual Function Inventory(in males)and Female Sexual Function Index-6(in females),respectively.All the participants were stented following the procedure,and the stent was removed after 3 weeks.Post-procedural sexual function and general discomfort were assessed and compared between three groups at 1 week,3 weeks,and 12 weeks.The effect of surgery-related anxiety,preoperative sexual function,age,and general discomfort(including stent-related discomfort)on post-procedural sexual function were analyzed using multiple regression analysis.A p-value of less than 0.05 was considered statistically significant.Results:Totally,327 eligible patients were randomized into three groups.The group of patients who underwent the procedural with a screen separating the operating area from the patient vision,while the patient could watch the endoscopy through a separate monitor,had better post-procedural sexual function compared to those who had total vision of the operating area as well as to those whose eyes were blocked.This difference was statistically significant.This post-procedural reduction in sexual function could not be attributed to in situ stent alone.Conclusions:Our study showed that semi-rigid ureterorenoscopy can have significant negative effect on sexual function,which can be reduced with proper preoperative counseling and an ideal operating room settings.展开更多
With the rapid development of digital information technology,images are increasingly used in various fields.To ensure the security of image data,prevent unauthorized tampering and leakage,maintain personal privacy,and...With the rapid development of digital information technology,images are increasingly used in various fields.To ensure the security of image data,prevent unauthorized tampering and leakage,maintain personal privacy,and protect intellectual property rights,this study proposes an innovative color image encryption algorithm.Initially,the Mersenne Twister algorithm is utilized to generate high-quality pseudo-random numbers,establishing a robust basis for subsequent operations.Subsequently,two distinct chaotic systems,the autonomous non-Hamiltonian chaotic system and the tentlogistic-cosine chaotic mapping,are employed to produce chaotic random sequences.These chaotic sequences are used to control the encoding and decoding process of the DNA,effectively scrambling the image pixels.Furthermore,the complexity of the encryption process is enhanced through improved Joseph block scrambling.Thorough experimental verification,research,and analysis,the average value of the information entropy test data reaches as high as 7.999.Additionally,the average value of the number of pixels change rate(NPCR)test data is 99.6101%,which closely approaches the ideal value of 99.6094%.This algorithm not only guarantees image quality but also substantially raises the difficulty of decryption.展开更多
Objective: This paper aims to explore the impact of optimizing details in the operating room on the level of knowledge, attitude, and practice of hospital infection prevention and control by surgeons, as well as the e...Objective: This paper aims to explore the impact of optimizing details in the operating room on the level of knowledge, attitude, and practice of hospital infection prevention and control by surgeons, as well as the effectiveness of infection control. Methods: From January 2022 to June 2023, a total of 120 patients were screened and randomly divided into a control group (routine care and hospital infection management) and a study group (optimizing details in the operating room). Results: Significant differences were found between the two groups in the data of surgeons’ level of knowledge, attitude, and practice in hospital infection prevention and control, infection rates, and nursing satisfaction, with the study group showing better results (P Conclusion: The use of optimizing details in the operating room among surgeons can effectively improve surgeons’ level of knowledge, attitude, and practice in hospital infection prevention and control, reduce infection occurrence, and is worth promoting.展开更多
This paper constructs a coupled aero-hydro-elastic-servo simulation framework for a monopile offshore wind turbine(OWT).In this framework,a detailed multi-body dynamics model of the monopile OWT including the gearbox,...This paper constructs a coupled aero-hydro-elastic-servo simulation framework for a monopile offshore wind turbine(OWT).In this framework,a detailed multi-body dynamics model of the monopile OWT including the gearbox,blades,tower and other components(nacelle,hub,bedplate,etc.)has been explicitly established.The effects of pile−soil interaction,controller and operational conditions on the turbine dynamic responses are studied systematically in time domain and frequency domain.The results show that(1)a comprehensive drivetrain model has the capability to provide a more precise representation of the complex dynamic characteristics exhibited by drivetrain components,which can be used as the basis for further study on the dynamic characteristics of the drivetrain.(2)The pile−soil interaction can influence the wind turbine dynamic responses,particularly under the parked condition.(3)The effect of the pile−soil interaction on tower responses is more significant than that on blade responses.(4)The use of the controller can substantially affect the rotor characteristics,which in turn influences the turbine dynamic responses.(5)The tower and blade displacements under the operational condition are much larger than those under the parked condition.The model and methodology presented in this study demonstrate potential for examining complex dynamic behaviors of the monopile OWTs.To ensure accuracy and precision,it is imperative to construct a detailed model of the wind turbine system,while also taking into account simulation efficiency.展开更多
Energy storage batteries can smooth the volatility of renewable energy sources.The operating conditions during power grid integration of renewable energy can affect the performance and failure risk of battery energy s...Energy storage batteries can smooth the volatility of renewable energy sources.The operating conditions during power grid integration of renewable energy can affect the performance and failure risk of battery energy storage system(BESS).However,the current modeling of grid-connected BESS is overly simplistic,typically only considering state of charge(SOC)and power constraints.Detailed lithium(Li)-ion battery cell models are computationally intensive and impractical for real-time applications and may not be suitable for power grid operating conditions.Additionally,there is a lack of real-time batteries risk assessment frameworks.To address these issues,in this study,we establish a thermal-electric-performance(TEP)coupling model based on a multitime scale BESS model,incorporating the electrical and thermal characteristics of Li-ion batteries along with their performance degradation to achieve detailed simulation of grid-connected BESS.Additionally,considering the operating characteristics of energy storage batteries and electrical and thermal abuse factors,we developed a battery pack operational riskmodel,which takes into account SOCand charge-discharge rate(Cr),using amodified failure rate to represent the BESS risk.By integrating detailed simulation of energy storage with predictive failure risk analysis,we obtained a detailed model for BESS risk analysis.This model offers a multi-time scale integrated simulation that spans month-level energy storage simulation times,day-level performance degradation,minutescale failure rate,and second-level BESS characteristics.It offers a critical tool for the study of BESS.Finally,the performance and risk of energy storage batteries under three scenarios—microgrid energy storage,wind power smoothing,and power grid failure response—are simulated,achieving a real-time state-dependent operational risk analysis of the BESS.展开更多
Purpose-The aim of this work is to research and design an expert diagnosis system for rail vehicle driven by data mechanism models.Design/methodology/approach-The expert diagnosis system utilizes statistical and deep ...Purpose-The aim of this work is to research and design an expert diagnosis system for rail vehicle driven by data mechanism models.Design/methodology/approach-The expert diagnosis system utilizes statistical and deep learning methods to model the real-time status and historical data features of rail vehicle.Based on data mechanism models,it predicts the lifespan of key components,evaluates the health status of the vehicle and achieves intelligent monitoring and diagnosis of rail vehicle.Findings-The actual operation effect of this system shows that it has improved the intelligent level of the rail vehicle monitoring system,which helps operators to monitor the operation of vehicle online,predict potential risks and faults of vehicle and ensure the smooth and safe operation of vehicle.Originality/value-This system improves the efficiency of rail vehicle operation,scheduling and maintenance through intelligent monitoring and diagnosis of rail vehicle.展开更多
This paper presents a description and analysis of the most important models to predict each of the Road User Costs components (Vehicle Operating Costs, Accident Costs and Value of Time) and proposes a model for esti...This paper presents a description and analysis of the most important models to predict each of the Road User Costs components (Vehicle Operating Costs, Accident Costs and Value of Time) and proposes a model for estimating RUC components suitable for the Portuguese road network. These results are part of a research which aimed to obtain a Road User Cost Model to be used as a tool in road management systems. This model is different from other models by the fact that it includes a simple formulation that allows calibration and calculation of cost parameters, for any year, in a simple and fast way, providing trustworthy results. The required data is already available in Portuguese institutions, allowing periodic revision of cost parameters to insure accuracy.展开更多
BACKGROUND Pediatric appendicitis is a common cause of abdominal pain in children and is recognized as a significant surgical emergency.A prompt and accurate diagnosis is essential to prevent complications such as per...BACKGROUND Pediatric appendicitis is a common cause of abdominal pain in children and is recognized as a significant surgical emergency.A prompt and accurate diagnosis is essential to prevent complications such as perforation and peritonitis.AIM To investigate the predictive value of the systemic immune-inflammation index(SII)combined with the pediatric appendicitis score(PAS)for the assessment of disease severity and surgical outcomes in children aged 5 years and older with appendicitis.METHODS Clinical data of 104 children diagnosed with acute appendicitis were analyzed.The participants were categorized into the acute appendicitis group and chronic appendicitis group based on disease presentation and further stratified into the good prognosis group and poor prognosis group based on prognosis.The SII and PAS were measured,and a joint model using the combined SII and PAS was constructed to predict disease severity and surgical outcomes.RESULTS Significant differences were observed in the SII and PAS parameters between the acute appendicitis group and chronic appendicitis group.Correlation analysis showed associations among the SII,PAS,and disease severity,with the combined SII and PAS model demonstrating significant predictive value for assessing disease severity[aera under the curve(AUC)=0.914]and predicting surgical outcomes(AUC=0.857)in children aged 5 years and older with appendicitis.CONCLUSION The study findings support the potential of integrating the SII with the PAS for assessing disease severity and predicting surgical outcomes in pediatric appendicitis,indicating the clinical utility of the combined SII and PAS model in guiding clinical decision-making and optimizing surgical management strategies for pediatric patients with appendicitis.展开更多
Objective:According to the World Federation of Medical Education,critical thinking should be part of the training of medical and paramedical students.Professionals can improve the quality of care of patients after sur...Objective:According to the World Federation of Medical Education,critical thinking should be part of the training of medical and paramedical students.Professionals can improve the quality of care of patients after surgery by having or acquiring this skill in health care.Also,Emotional intelligence is introduced as an impor tant and effective factor on the professional performance and mental health of healthcare professionals.Thus,the present study was designed and implemented to determine the relationship between emotional intelligence and critical thinking among operating room nursing students of medical sciences universities in Iran.Methods:This cross-sectional study was done on 420 operating room students in 10 top medical sciences universities of Iran in 2022.The sampling method in this research was multistage sampling.The data collection instruments included demographic characteristics,Rickett's critical thinking,and Bradberry-Greaves'emotional intelligence questionnaires.After receiving the ethics code,data collection was done for 2 months.For data analysis,descriptive and inferential analyses including independent t-tests,analysis of variance,and Pearson correlation were used.The collected data were analyzed by SPSS 18(IBM Corporation,Armonk,New York,United States).P-value<0.05 was considered significant.Results:The mean age of the students participating in this study was 23.02±3.70 years,with women constituting 67.4%of them.The results of data analysis indicated that the mean total score of critical thinking and emotional intelligence was 124.10±37.52 and 114.12±43.63,respectively.A direct significant correlation between critical thinking and emotional intelligence(r=0.459,P-value<0.001)and a significant relationship between gender and emotional intelligence(P-value=0.028)were found.Conclusions:Based on the present study results,educational managers in the Ministry of Health are suggested to consider suitable educational programs for improving critical thinking and emotional intelligence to enhance the quality of care provided by students in operating rooms.展开更多
Objective:Circulating tumor DNA(ctDNA)is increasingly being used as a potential prognostic biomarker in cancer patients.We aimed to assess the prognostic value of ctDNA in different subtypes of breast cancer patients ...Objective:Circulating tumor DNA(ctDNA)is increasingly being used as a potential prognostic biomarker in cancer patients.We aimed to assess the prognostic value of ctDNA in different subtypes of breast cancer patients throughout the whole treatment cycle.Materials and methods:PubMed,Web of Science,Embase,Cochrane Library,Scopus,and clinical trials.gov databases were searched from January 2016 to May 2022.The following search terms were used:ctDNA OR circulating tumor DNA AND breast cancer OR breast carcinoma.Only studies written in English were included.The following pre-specified criteria should be met for inclusion:(i)original articles,conference abstracts,etc.;(ii)patients with breast cancer;(iii)ctDNA measurement;and(iv)clinical outcome data such as recurrence-free survival(RFS)and overall survival(OS).The random-effects model was preferred considering the potential het-erogeneity across studies.The main outcomes are ctDNA detection rate and postoperative long-term outcomes(RFS and OS).Results:A total of 24 studies were screened.At every measurement time,the ctDNA detection rate of the HR+subgroup was similar to that of the HR-subgroup(P=0.075;P=0.458;P=0.744;and P=0.578),and the ctDNA detection rate of the HER2+subgroup was similar to that of the HER2-subgroup(P=0.805;P=0.271;P=0.807;and P=0.703).In the HR+subgroup,RFS and OS of ctDNA positive patients were similar to those of ctDNA negative patients(P=0.589 and P=0.110),while RFS and OS of the ctDNA positive group was significantly shorter than those of the ctDNA negative patients in the HR-subgroup(HR=4.03,P<0.001;HR=3.21,P<0.001).According to HER grouping,the results were the same as above.In the triple negative breast cancer(TNBC)subgroup,the RFS and OS of ctDNA-positive patients was significantly shorter than of the ctDNA negative patients before and after surgery.Conclusions:ctDNA was more predictive of recurrence-free survival and overall survival in the HR-subgroup than in the HR+subgroup,and the same result was showed in the HER2-subgroup vs.HER2+subgroup.The prognosis of the TNBC subtype is closely related to ctDNA before and after surgery.展开更多
Distributed Operating System Formalization Generating System(DOSFGS)consists of agrammar subsystem DOSFSG and a semantics subsystem DOSFSS.DOSFSG is a kind ofContext-free grammar.DOSFSS is a semantics system with an o...Distributed Operating System Formalization Generating System(DOSFGS)consists of agrammar subsystem DOSFSG and a semantics subsystem DOSFSS.DOSFSG is a kind ofContext-free grammar.DOSFSS is a semantics system with an operating set.DOSFGS gen-erates a distributed operating system automatically according to the process of abstraction,description,and refinement.This paper discusses data structures,operating set and defini-tion of DOSFSS.展开更多
A new methodology was created to measure the energy consumption and related green house gas (GHG) emissions of a computer operating system (OS) across different device platforms. The methodology involved the direc...A new methodology was created to measure the energy consumption and related green house gas (GHG) emissions of a computer operating system (OS) across different device platforms. The methodology involved the direct power measurement of devices under different activity states. In order to include all aspects of an OS, the methodology included measurements in various OS modes, whilst uniquely, also incorporating measurements when running an array of defined software activities, so as to include OS application management features. The methodology was demonstrated on a laptop and phone that could each run multiple OSs, results confirmed that OS can significantly impact the energy consumption of devices. In particular, the new versions of the Microsoft Windows OS were tested and highlighted significant differences between the OS versions on the same hardware. The developed methodology could enable a greater awareness of energy consumption, during both the software development and software marketing processes.展开更多
Objective:To explore the clinical benefits achieved by implementing the operating room nursing cooperation path for patients undergoing laparoscopic hysterectomy.Methods:64 laparoscopic hysterectomy cases were divided...Objective:To explore the clinical benefits achieved by implementing the operating room nursing cooperation path for patients undergoing laparoscopic hysterectomy.Methods:64 laparoscopic hysterectomy cases were divided into groups according to the order of admission.The control group received routine perioperative care.The observation group implemented the nursing cooperation path in the operating room on the same basis as the control group.The two groups’physiological responses,stimulus indicators,anxiety,and complication rates were compared.Results:The heart rate,blood pressure 0.5 hours after surgery,anxiety scores 1 day before and 3 days after surgery,and the total number of complications in the observation group were all lower than those in the control group(P<0.05).Conclusion:The development of a nursing cooperation path in the operating room can help patients undergoing laparoscopic hysterectomy reduce heart rate,blood pressure,stress responses,and the risk of complications,and is worthy of promotion.展开更多
Objective:Clinical education plays a key role in preparing students for patient care.Laparoscopy is one of the most important minimally invasive surgeries(MISs)wherein surgical technologists are responsible for camera...Objective:Clinical education plays a key role in preparing students for patient care.Laparoscopy is one of the most important minimally invasive surgeries(MISs)wherein surgical technologists are responsible for camera navigation and assistant surgeons are responsible for peg transfer.Therefore,it is necessary to improve the attitude of the operating room students toward these skills during their study period.The present study was conducted to determine the effect of simulating training in the fundamentals of laparoscopic surgery(FLS)on the attitude of the operating room students.Methods:This interventional study was conducted on 28 operating room students of Iran University of Medical Sciences in 2019.The census sampling method was used.The data-collection tool included the“Intrinsic motivation inventory(IMI)questionnaire.”The educational intervention was carried out in theoretical(booklet design)and practical(simulation)sections.Data analysis was carried out using descriptive and inferential analyses including the paired t-test,Mann–Whitney U test,and independent t-test.The collected data were analyzed using R and SPSS software.P-value<0.05 was considered as the significant level.Results:The mean±SD of the participants'age was 22.93±2.14 years,and the majority of them were women(67.9%).There was a significant difference in the mean scores of students'attitudes toward the FLS before and after the educational intervention(P<0.001)in all dimensions(interest,perceived competence,perceived choice,and tension).There was also a significant correlation between gender and interest dimension(P=0.005).Conclusions:The results of the present study showed that simulating the training FLS curriculum positively affects students'attitudes.Therefore,the researchers suggest that for creating a positive attitude,increasing students'interest in laparoscopic surgery,and ensuring a more effective presence in the operating room,this training should be considered in the operating room curriculum.展开更多
Very often it so happens that the cost of operating an Intrusion Detection System (IDS) exceeds the cost of purchasing the IDS itself. In such cases, regular operation and maintenance of the system becomes expensive. ...Very often it so happens that the cost of operating an Intrusion Detection System (IDS) exceeds the cost of purchasing the IDS itself. In such cases, regular operation and maintenance of the system becomes expensive. Thus, it becomes essential to reduce the operating cost of the IDS without compromising on the performance and reliability of the IDS. Apart from the initial cost of procuring the IDS, other costs include cost of accessories required and cost of administration etc. In this paper we calculate the cost benefit tradeoffs of an IDS. We propose a method to determine the optimum operating point of the IDS. In an effort to solve the problems of the previously proposed metrics, we propose a decision tree based approach to calculate the cost of operating an IDS in a mobile ad hoc network. Mathematically and programmatically we deduce the minimum operating point of operation of an IDS and generate the receiver operating characteristic curve of the IDS. To further ascertain this, we use available network packet capture data and calculate the minimum operating cost of an IDS. The main motive behind this paper is to show that the cost of operating an IDS in a MANET can be minimized and hence the effectiveness and performance of the IDS can be maximized.展开更多
Currently, Infrastructure as a Service(IaaS) and Platform as a Service(PaaS) platforms play a role as a cloud operating system(COS).They are separated from each other in resource management,which may cause inconsisten...Currently, Infrastructure as a Service(IaaS) and Platform as a Service(PaaS) platforms play a role as a cloud operating system(COS).They are separated from each other in resource management,which may cause inconsistent resource status and result in the decrease of performance. Moreover, heterogeneous resources are not managed well in existing cloud computing platforms. Referring to the theory of operating system, we propose a unified architecture model of cloud operating system, which has six layers corresponding to the layered architecture of legacy operating system. Based on this architecture, a new cloud operating system called Hua-Cloud Computing System(HCOS) is realized. In HCOS, the hybrid resources are managed in a unified way. This method improves the unified scheduling capability of heterogeneous resources and eliminates the problem of resource status inconsistency.The main characteristics of HCOS are introduced and two typical applications are illustrated in this paper.展开更多
The article design a vehicle monitoring terminal system based on μ C/OS and introduces the hardware system design of STM32F407 as the control core. On the basis of transplant μ C/OS operating system, the system soft...The article design a vehicle monitoring terminal system based on μ C/OS and introduces the hardware system design of STM32F407 as the control core. On the basis of transplant μ C/OS operating system, the system software architecture, application-layer multi- task and the priority has been designed, focuses on the use GPRS tasks, preparation methods GPS tasks. After experimental tests, the system is stable and reliable, the realization of real-time vehicle monitoring. System design methodology for embedded system application development has a certain rcfcrence value.展开更多
The particularity and practicality of harmony operations of close-coupling multiple helicopters indicate that the researches on it are urgent and necessary, Using the model that describes two hovering helicopters carr...The particularity and practicality of harmony operations of close-coupling multiple helicopters indicate that the researches on it are urgent and necessary, Using the model that describes two hovering helicopters carrying one heavy load, an inertia coordinate system and body coordinate systems of each sub-system are established. A nonlinear force model is established too. The equilibrium computation results can be regarded as the reference control inputs of the flight control system under hovering or low-speed flight condition. After the establishment of a translation kinematics model and a posture kinematics model, a coupling dynamics model of the multiple helicopter system is set up. The results can also be regarded as the base to analyze stabilization and design a controller for a close-coupling multiple helicopters harmony operation system.展开更多
基金Project supported by the Key Area Research and Development Program of Guangdong Province,China(Grant No.2022B0701180001)the National Natural Science Foundation of China(Grant No.61801127)+1 种基金the Science Technology Planning Project of Guangdong Province,China(Grant Nos.2019B010140002 and 2020B111110002)the Guangdong–Hong Kong–Macao Joint Innovation Field Project(Grant No.2021A0505080006).
文摘In the era of big data,the number of images transmitted over the public channel increases exponentially.As a result,it is crucial to devise the efficient and highly secure encryption method to safeguard the sensitive image.In this paper,an improved sine map(ISM)possessing a larger chaotic region,more complex chaotic behavior and greater unpredictability is proposed and extensively tested.Drawing upon the strengths of ISM,we introduce a lightweight symmetric image encryption cryptosystem in wavelet domain(WDLIC).The WDLIC employs selective encryption to strike a satisfactory balance between security and speed.Initially,only the low-frequency-low-frequency component is chosen to encrypt utilizing classic permutation and diffusion.Then leveraging the statistical properties in wavelet domain,Gaussianization operation which opens the minds of encrypting image information in wavelet domain is first proposed and employed to all sub-bands.Simulations and theoretical analysis demonstrate the high speed and the remarkable effectiveness of WDLIC.
文摘Objective:To evaluate and compare the effect of semi-rigid ureterorenoscopy on post-procedural sexual function with three different operating room settings.Methods:In this prospective randomized study,consecutive sexually active patients with normal pre-operative sexual function undergoing uncomplicated semi-rigid ureterorenoscopy for distal ureteric stones were randomized into three groups,with three different operating room settings.Procedure-related anxiety and sexual function were assessed pre-operatively using Amsterdam Preoperative Anxiety and Information Scale and Brief Sexual Function Inventory(in males)and Female Sexual Function Index-6(in females),respectively.All the participants were stented following the procedure,and the stent was removed after 3 weeks.Post-procedural sexual function and general discomfort were assessed and compared between three groups at 1 week,3 weeks,and 12 weeks.The effect of surgery-related anxiety,preoperative sexual function,age,and general discomfort(including stent-related discomfort)on post-procedural sexual function were analyzed using multiple regression analysis.A p-value of less than 0.05 was considered statistically significant.Results:Totally,327 eligible patients were randomized into three groups.The group of patients who underwent the procedural with a screen separating the operating area from the patient vision,while the patient could watch the endoscopy through a separate monitor,had better post-procedural sexual function compared to those who had total vision of the operating area as well as to those whose eyes were blocked.This difference was statistically significant.This post-procedural reduction in sexual function could not be attributed to in situ stent alone.Conclusions:Our study showed that semi-rigid ureterorenoscopy can have significant negative effect on sexual function,which can be reduced with proper preoperative counseling and an ideal operating room settings.
基金supported by the Open Fund of Advanced Cryptography and System Security Key Laboratory of Sichuan Province(Grant No.SKLACSS-202208)the Natural Science Foundation of Chongqing(Grant No.CSTB2023NSCQLZX0139)the National Natural Science Foundation of China(Grant No.61772295).
文摘With the rapid development of digital information technology,images are increasingly used in various fields.To ensure the security of image data,prevent unauthorized tampering and leakage,maintain personal privacy,and protect intellectual property rights,this study proposes an innovative color image encryption algorithm.Initially,the Mersenne Twister algorithm is utilized to generate high-quality pseudo-random numbers,establishing a robust basis for subsequent operations.Subsequently,two distinct chaotic systems,the autonomous non-Hamiltonian chaotic system and the tentlogistic-cosine chaotic mapping,are employed to produce chaotic random sequences.These chaotic sequences are used to control the encoding and decoding process of the DNA,effectively scrambling the image pixels.Furthermore,the complexity of the encryption process is enhanced through improved Joseph block scrambling.Thorough experimental verification,research,and analysis,the average value of the information entropy test data reaches as high as 7.999.Additionally,the average value of the number of pixels change rate(NPCR)test data is 99.6101%,which closely approaches the ideal value of 99.6094%.This algorithm not only guarantees image quality but also substantially raises the difficulty of decryption.
文摘Objective: This paper aims to explore the impact of optimizing details in the operating room on the level of knowledge, attitude, and practice of hospital infection prevention and control by surgeons, as well as the effectiveness of infection control. Methods: From January 2022 to June 2023, a total of 120 patients were screened and randomly divided into a control group (routine care and hospital infection management) and a study group (optimizing details in the operating room). Results: Significant differences were found between the two groups in the data of surgeons’ level of knowledge, attitude, and practice in hospital infection prevention and control, infection rates, and nursing satisfaction, with the study group showing better results (P Conclusion: The use of optimizing details in the operating room among surgeons can effectively improve surgeons’ level of knowledge, attitude, and practice in hospital infection prevention and control, reduce infection occurrence, and is worth promoting.
基金supported by the Scientific and Technological Research Program of Chongqing Municipal Education Commission(Grant Nos.KJQN202101133 and KJQN202301105)Scientific Research Foundation of Chongqing University of Technology(Grant No.2020ZDZ023).
文摘This paper constructs a coupled aero-hydro-elastic-servo simulation framework for a monopile offshore wind turbine(OWT).In this framework,a detailed multi-body dynamics model of the monopile OWT including the gearbox,blades,tower and other components(nacelle,hub,bedplate,etc.)has been explicitly established.The effects of pile−soil interaction,controller and operational conditions on the turbine dynamic responses are studied systematically in time domain and frequency domain.The results show that(1)a comprehensive drivetrain model has the capability to provide a more precise representation of the complex dynamic characteristics exhibited by drivetrain components,which can be used as the basis for further study on the dynamic characteristics of the drivetrain.(2)The pile−soil interaction can influence the wind turbine dynamic responses,particularly under the parked condition.(3)The effect of the pile−soil interaction on tower responses is more significant than that on blade responses.(4)The use of the controller can substantially affect the rotor characteristics,which in turn influences the turbine dynamic responses.(5)The tower and blade displacements under the operational condition are much larger than those under the parked condition.The model and methodology presented in this study demonstrate potential for examining complex dynamic behaviors of the monopile OWTs.To ensure accuracy and precision,it is imperative to construct a detailed model of the wind turbine system,while also taking into account simulation efficiency.
基金Supported by Open Fund of National Key Laboratory of Power Grid Safety(No.XTB51202301386).
文摘Energy storage batteries can smooth the volatility of renewable energy sources.The operating conditions during power grid integration of renewable energy can affect the performance and failure risk of battery energy storage system(BESS).However,the current modeling of grid-connected BESS is overly simplistic,typically only considering state of charge(SOC)and power constraints.Detailed lithium(Li)-ion battery cell models are computationally intensive and impractical for real-time applications and may not be suitable for power grid operating conditions.Additionally,there is a lack of real-time batteries risk assessment frameworks.To address these issues,in this study,we establish a thermal-electric-performance(TEP)coupling model based on a multitime scale BESS model,incorporating the electrical and thermal characteristics of Li-ion batteries along with their performance degradation to achieve detailed simulation of grid-connected BESS.Additionally,considering the operating characteristics of energy storage batteries and electrical and thermal abuse factors,we developed a battery pack operational riskmodel,which takes into account SOCand charge-discharge rate(Cr),using amodified failure rate to represent the BESS risk.By integrating detailed simulation of energy storage with predictive failure risk analysis,we obtained a detailed model for BESS risk analysis.This model offers a multi-time scale integrated simulation that spans month-level energy storage simulation times,day-level performance degradation,minutescale failure rate,and second-level BESS characteristics.It offers a critical tool for the study of BESS.Finally,the performance and risk of energy storage batteries under three scenarios—microgrid energy storage,wind power smoothing,and power grid failure response—are simulated,achieving a real-time state-dependent operational risk analysis of the BESS.
基金supported by Hunan Province Enterprise Technology Innovation and Entrepreneurship Team Support Program Project,Hunan Province Science and Technology Innovation Leading Talent Project[2023RC1088]Hunan Province Science and Technology Talent Support Project[2023TJ-Z10].
文摘Purpose-The aim of this work is to research and design an expert diagnosis system for rail vehicle driven by data mechanism models.Design/methodology/approach-The expert diagnosis system utilizes statistical and deep learning methods to model the real-time status and historical data features of rail vehicle.Based on data mechanism models,it predicts the lifespan of key components,evaluates the health status of the vehicle and achieves intelligent monitoring and diagnosis of rail vehicle.Findings-The actual operation effect of this system shows that it has improved the intelligent level of the rail vehicle monitoring system,which helps operators to monitor the operation of vehicle online,predict potential risks and faults of vehicle and ensure the smooth and safe operation of vehicle.Originality/value-This system improves the efficiency of rail vehicle operation,scheduling and maintenance through intelligent monitoring and diagnosis of rail vehicle.
文摘This paper presents a description and analysis of the most important models to predict each of the Road User Costs components (Vehicle Operating Costs, Accident Costs and Value of Time) and proposes a model for estimating RUC components suitable for the Portuguese road network. These results are part of a research which aimed to obtain a Road User Cost Model to be used as a tool in road management systems. This model is different from other models by the fact that it includes a simple formulation that allows calibration and calculation of cost parameters, for any year, in a simple and fast way, providing trustworthy results. The required data is already available in Portuguese institutions, allowing periodic revision of cost parameters to insure accuracy.
文摘BACKGROUND Pediatric appendicitis is a common cause of abdominal pain in children and is recognized as a significant surgical emergency.A prompt and accurate diagnosis is essential to prevent complications such as perforation and peritonitis.AIM To investigate the predictive value of the systemic immune-inflammation index(SII)combined with the pediatric appendicitis score(PAS)for the assessment of disease severity and surgical outcomes in children aged 5 years and older with appendicitis.METHODS Clinical data of 104 children diagnosed with acute appendicitis were analyzed.The participants were categorized into the acute appendicitis group and chronic appendicitis group based on disease presentation and further stratified into the good prognosis group and poor prognosis group based on prognosis.The SII and PAS were measured,and a joint model using the combined SII and PAS was constructed to predict disease severity and surgical outcomes.RESULTS Significant differences were observed in the SII and PAS parameters between the acute appendicitis group and chronic appendicitis group.Correlation analysis showed associations among the SII,PAS,and disease severity,with the combined SII and PAS model demonstrating significant predictive value for assessing disease severity[aera under the curve(AUC)=0.914]and predicting surgical outcomes(AUC=0.857)in children aged 5 years and older with appendicitis.CONCLUSION The study findings support the potential of integrating the SII with the PAS for assessing disease severity and predicting surgical outcomes in pediatric appendicitis,indicating the clinical utility of the combined SII and PAS model in guiding clinical decision-making and optimizing surgical management strategies for pediatric patients with appendicitis.
文摘Objective:According to the World Federation of Medical Education,critical thinking should be part of the training of medical and paramedical students.Professionals can improve the quality of care of patients after surgery by having or acquiring this skill in health care.Also,Emotional intelligence is introduced as an impor tant and effective factor on the professional performance and mental health of healthcare professionals.Thus,the present study was designed and implemented to determine the relationship between emotional intelligence and critical thinking among operating room nursing students of medical sciences universities in Iran.Methods:This cross-sectional study was done on 420 operating room students in 10 top medical sciences universities of Iran in 2022.The sampling method in this research was multistage sampling.The data collection instruments included demographic characteristics,Rickett's critical thinking,and Bradberry-Greaves'emotional intelligence questionnaires.After receiving the ethics code,data collection was done for 2 months.For data analysis,descriptive and inferential analyses including independent t-tests,analysis of variance,and Pearson correlation were used.The collected data were analyzed by SPSS 18(IBM Corporation,Armonk,New York,United States).P-value<0.05 was considered significant.Results:The mean age of the students participating in this study was 23.02±3.70 years,with women constituting 67.4%of them.The results of data analysis indicated that the mean total score of critical thinking and emotional intelligence was 124.10±37.52 and 114.12±43.63,respectively.A direct significant correlation between critical thinking and emotional intelligence(r=0.459,P-value<0.001)and a significant relationship between gender and emotional intelligence(P-value=0.028)were found.Conclusions:Based on the present study results,educational managers in the Ministry of Health are suggested to consider suitable educational programs for improving critical thinking and emotional intelligence to enhance the quality of care provided by students in operating rooms.
基金funded by the Capital’s Funds for Health Improve-ment and Research(grant number:2024-1G-4023)the Special Project for Director,China Center for Evidence Based Traditional Chinese Medicine(grant number:2020YJSZX-2)the National Natural Sci-ence Foundation of China(grant number:72074011)。
文摘Objective:Circulating tumor DNA(ctDNA)is increasingly being used as a potential prognostic biomarker in cancer patients.We aimed to assess the prognostic value of ctDNA in different subtypes of breast cancer patients throughout the whole treatment cycle.Materials and methods:PubMed,Web of Science,Embase,Cochrane Library,Scopus,and clinical trials.gov databases were searched from January 2016 to May 2022.The following search terms were used:ctDNA OR circulating tumor DNA AND breast cancer OR breast carcinoma.Only studies written in English were included.The following pre-specified criteria should be met for inclusion:(i)original articles,conference abstracts,etc.;(ii)patients with breast cancer;(iii)ctDNA measurement;and(iv)clinical outcome data such as recurrence-free survival(RFS)and overall survival(OS).The random-effects model was preferred considering the potential het-erogeneity across studies.The main outcomes are ctDNA detection rate and postoperative long-term outcomes(RFS and OS).Results:A total of 24 studies were screened.At every measurement time,the ctDNA detection rate of the HR+subgroup was similar to that of the HR-subgroup(P=0.075;P=0.458;P=0.744;and P=0.578),and the ctDNA detection rate of the HER2+subgroup was similar to that of the HER2-subgroup(P=0.805;P=0.271;P=0.807;and P=0.703).In the HR+subgroup,RFS and OS of ctDNA positive patients were similar to those of ctDNA negative patients(P=0.589 and P=0.110),while RFS and OS of the ctDNA positive group was significantly shorter than those of the ctDNA negative patients in the HR-subgroup(HR=4.03,P<0.001;HR=3.21,P<0.001).According to HER grouping,the results were the same as above.In the triple negative breast cancer(TNBC)subgroup,the RFS and OS of ctDNA-positive patients was significantly shorter than of the ctDNA negative patients before and after surgery.Conclusions:ctDNA was more predictive of recurrence-free survival and overall survival in the HR-subgroup than in the HR+subgroup,and the same result was showed in the HER2-subgroup vs.HER2+subgroup.The prognosis of the TNBC subtype is closely related to ctDNA before and after surgery.
基金Supported by the High Technology Research and Development Programme of China.
文摘Distributed Operating System Formalization Generating System(DOSFGS)consists of agrammar subsystem DOSFSG and a semantics subsystem DOSFSS.DOSFSG is a kind ofContext-free grammar.DOSFSS is a semantics system with an operating set.DOSFGS gen-erates a distributed operating system automatically according to the process of abstraction,description,and refinement.This paper discusses data structures,operating set and defini-tion of DOSFSS.
基金part supported by an Eng.D.studentship provided by the U.K.Engineering and Physical Sciences Research Council(EPSRC) and Microsoft(U.K.) Ltd
文摘A new methodology was created to measure the energy consumption and related green house gas (GHG) emissions of a computer operating system (OS) across different device platforms. The methodology involved the direct power measurement of devices under different activity states. In order to include all aspects of an OS, the methodology included measurements in various OS modes, whilst uniquely, also incorporating measurements when running an array of defined software activities, so as to include OS application management features. The methodology was demonstrated on a laptop and phone that could each run multiple OSs, results confirmed that OS can significantly impact the energy consumption of devices. In particular, the new versions of the Microsoft Windows OS were tested and highlighted significant differences between the OS versions on the same hardware. The developed methodology could enable a greater awareness of energy consumption, during both the software development and software marketing processes.
文摘Objective:To explore the clinical benefits achieved by implementing the operating room nursing cooperation path for patients undergoing laparoscopic hysterectomy.Methods:64 laparoscopic hysterectomy cases were divided into groups according to the order of admission.The control group received routine perioperative care.The observation group implemented the nursing cooperation path in the operating room on the same basis as the control group.The two groups’physiological responses,stimulus indicators,anxiety,and complication rates were compared.Results:The heart rate,blood pressure 0.5 hours after surgery,anxiety scores 1 day before and 3 days after surgery,and the total number of complications in the observation group were all lower than those in the control group(P<0.05).Conclusion:The development of a nursing cooperation path in the operating room can help patients undergoing laparoscopic hysterectomy reduce heart rate,blood pressure,stress responses,and the risk of complications,and is worthy of promotion.
基金supported by the Iran University of Medical Science。
文摘Objective:Clinical education plays a key role in preparing students for patient care.Laparoscopy is one of the most important minimally invasive surgeries(MISs)wherein surgical technologists are responsible for camera navigation and assistant surgeons are responsible for peg transfer.Therefore,it is necessary to improve the attitude of the operating room students toward these skills during their study period.The present study was conducted to determine the effect of simulating training in the fundamentals of laparoscopic surgery(FLS)on the attitude of the operating room students.Methods:This interventional study was conducted on 28 operating room students of Iran University of Medical Sciences in 2019.The census sampling method was used.The data-collection tool included the“Intrinsic motivation inventory(IMI)questionnaire.”The educational intervention was carried out in theoretical(booklet design)and practical(simulation)sections.Data analysis was carried out using descriptive and inferential analyses including the paired t-test,Mann–Whitney U test,and independent t-test.The collected data were analyzed using R and SPSS software.P-value<0.05 was considered as the significant level.Results:The mean±SD of the participants'age was 22.93±2.14 years,and the majority of them were women(67.9%).There was a significant difference in the mean scores of students'attitudes toward the FLS before and after the educational intervention(P<0.001)in all dimensions(interest,perceived competence,perceived choice,and tension).There was also a significant correlation between gender and interest dimension(P=0.005).Conclusions:The results of the present study showed that simulating the training FLS curriculum positively affects students'attitudes.Therefore,the researchers suggest that for creating a positive attitude,increasing students'interest in laparoscopic surgery,and ensuring a more effective presence in the operating room,this training should be considered in the operating room curriculum.
文摘Very often it so happens that the cost of operating an Intrusion Detection System (IDS) exceeds the cost of purchasing the IDS itself. In such cases, regular operation and maintenance of the system becomes expensive. Thus, it becomes essential to reduce the operating cost of the IDS without compromising on the performance and reliability of the IDS. Apart from the initial cost of procuring the IDS, other costs include cost of accessories required and cost of administration etc. In this paper we calculate the cost benefit tradeoffs of an IDS. We propose a method to determine the optimum operating point of the IDS. In an effort to solve the problems of the previously proposed metrics, we propose a decision tree based approach to calculate the cost of operating an IDS in a mobile ad hoc network. Mathematically and programmatically we deduce the minimum operating point of operation of an IDS and generate the receiver operating characteristic curve of the IDS. To further ascertain this, we use available network packet capture data and calculate the minimum operating cost of an IDS. The main motive behind this paper is to show that the cost of operating an IDS in a MANET can be minimized and hence the effectiveness and performance of the IDS can be maximized.
基金supported in part by Sichuan Provincial Public Security Bureau of China under Grant No.2015TD0002Unicom Cloud Data Co.,Ltd of China under Grant No.2013JQ0005Science and Technology Department of Sichuan Province under Grant no.2017HH0075
文摘Currently, Infrastructure as a Service(IaaS) and Platform as a Service(PaaS) platforms play a role as a cloud operating system(COS).They are separated from each other in resource management,which may cause inconsistent resource status and result in the decrease of performance. Moreover, heterogeneous resources are not managed well in existing cloud computing platforms. Referring to the theory of operating system, we propose a unified architecture model of cloud operating system, which has six layers corresponding to the layered architecture of legacy operating system. Based on this architecture, a new cloud operating system called Hua-Cloud Computing System(HCOS) is realized. In HCOS, the hybrid resources are managed in a unified way. This method improves the unified scheduling capability of heterogeneous resources and eliminates the problem of resource status inconsistency.The main characteristics of HCOS are introduced and two typical applications are illustrated in this paper.
文摘The article design a vehicle monitoring terminal system based on μ C/OS and introduces the hardware system design of STM32F407 as the control core. On the basis of transplant μ C/OS operating system, the system software architecture, application-layer multi- task and the priority has been designed, focuses on the use GPRS tasks, preparation methods GPS tasks. After experimental tests, the system is stable and reliable, the realization of real-time vehicle monitoring. System design methodology for embedded system application development has a certain rcfcrence value.
基金National Natural Science Foundation of China(60475039)
文摘The particularity and practicality of harmony operations of close-coupling multiple helicopters indicate that the researches on it are urgent and necessary, Using the model that describes two hovering helicopters carrying one heavy load, an inertia coordinate system and body coordinate systems of each sub-system are established. A nonlinear force model is established too. The equilibrium computation results can be regarded as the reference control inputs of the flight control system under hovering or low-speed flight condition. After the establishment of a translation kinematics model and a posture kinematics model, a coupling dynamics model of the multiple helicopter system is set up. The results can also be regarded as the base to analyze stabilization and design a controller for a close-coupling multiple helicopters harmony operation system.