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A Time Series Short-Term Prediction Method Based on Multi-Granularity Event Matching and Alignment
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作者 Haibo Li Yongbo Yu +1 位作者 Zhenbo Zhao Xiaokang Tang 《Computers, Materials & Continua》 SCIE EI 2024年第1期653-676,共24页
Accurate forecasting of time series is crucial across various domains.Many prediction tasks rely on effectively segmenting,matching,and time series data alignment.For instance,regardless of time series with the same g... Accurate forecasting of time series is crucial across various domains.Many prediction tasks rely on effectively segmenting,matching,and time series data alignment.For instance,regardless of time series with the same granularity,segmenting them into different granularity events can effectively mitigate the impact of varying time scales on prediction accuracy.However,these events of varying granularity frequently intersect with each other,which may possess unequal durations.Even minor differences can result in significant errors when matching time series with future trends.Besides,directly using matched events but unaligned events as state vectors in machine learning-based prediction models can lead to insufficient prediction accuracy.Therefore,this paper proposes a short-term forecasting method for time series based on a multi-granularity event,MGE-SP(multi-granularity event-based short-termprediction).First,amethodological framework for MGE-SP established guides the implementation steps.The framework consists of three key steps,including multi-granularity event matching based on the LTF(latest time first)strategy,multi-granularity event alignment using a piecewise aggregate approximation based on the compression ratio,and a short-term prediction model based on XGBoost.The data from a nationwide online car-hailing service in China ensures the method’s reliability.The average RMSE(root mean square error)and MAE(mean absolute error)of the proposed method are 3.204 and 2.360,lower than the respective values of 4.056 and 3.101 obtained using theARIMA(autoregressive integratedmoving average)method,as well as the values of 4.278 and 2.994 obtained using k-means-SVR(support vector regression)method.The other experiment is conducted on stock data froma public data set.The proposed method achieved an average RMSE and MAE of 0.836 and 0.696,lower than the respective values of 1.019 and 0.844 obtained using the ARIMA method,as well as the values of 1.350 and 1.172 obtained using the k-means-SVR method. 展开更多
关键词 Time series short-term prediction multi-granularity event ALIGNMENT event matching
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Adverse events in critical care: Search and active detection through the Trigger Tool 被引量:1
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作者 Francisco J Molina Paula T Rivera +4 位作者 Alejandro Cardona Diana C Restrepo Oralia Monroy Daniel Rodas Juan G Barrientos 《World Journal of Critical Care Medicine》 2018年第1期9-15,共7页
AIM To investigate the incidence of disadvantageous events by using the Global Trigger Tool in an intensive care unit(ICU).METHODS A retrospective descriptive study was performed in a 12-bed university ICU in the city... AIM To investigate the incidence of disadvantageous events by using the Global Trigger Tool in an intensive care unit(ICU).METHODS A retrospective descriptive study was performed in a 12-bed university ICU in the city of Medellin, Colombia. Clinical charts of hospitalized patients were reviewed, between January 1 and December 31, 2016, with the following inclusion criteria: subjects aged over 18 years, with at least 24 h of hospitalization and who had a complete medical history that could be accessed. Interventions: Trained reviewers conducted a retros pective examination of medical charts searching for clue events that elicit investigation, in order to detect an unfavorable event. Measurements: Information was processed through SPSS softwareversion 21; for numerical variables, the mean was reported with standard deviation(SD). Percentages were calculated for qualitative variables. RESULTS Two hundred and forty-four triggers occurred, with 82.4% of subjects having presented with at least one and an average of 3.37 (SD 3.47). A total of 178 adverse events (AEs) took place in 48 individuals, with an incidence of 52.1%. On average, four events per patient were recorded, and for each unfortunate event, 1.98 triggers were presented. The most frequent displeasing issues were: pressure ulcers(17.6%), followed by complications or reactions to medical devices(4.3%), and lacerations or skin defects(3.7%); the least frequent was delayed diagnosis or treatment (0.56%). Thirty-eight point four percent of mishap events caused temporary damage that required intervention, and 48.9% of AEs were preventable. Comparison between AEs and admission diagnoses found that hypertension and sepsis were the only diagnoses that had statistical significance (P = 0.042 and 0.022, respectively).CONCLUSION Almost half of the unfavorable issues were classified as avoidable, which leaves a very wide field of work in terms of preventative activities. 展开更多
关键词 ADVERSE eventS critical CARE TRIGGER TOOL COMPLICATIONS Security
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Evaluation of the Impact of Driver Behavior on Back of Queues Events in Work Zones Using the SHRP2 Naturalistic Driving Study Data
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作者 Shauna Hallmark Guillermo Basulto-Elias +1 位作者 Nicole Oneyear Omar Smadi 《Journal of Transportation Technologies》 2024年第2期179-194,共16页
The SHRP2 Naturalistic Driving Study was used to evaluate the impact of various work zone and driver characteristics on back of queue safety critical events (crash, near-crash, or conflicts) The model included 43 SCE ... The SHRP2 Naturalistic Driving Study was used to evaluate the impact of various work zone and driver characteristics on back of queue safety critical events (crash, near-crash, or conflicts) The model included 43 SCE and 209 “normal” events which were used as controls. The traces included representing 209 unique drivers. A Mixed-Effects Logistic Regression model was developed with probability of a SCE as the response variable and driver and work zone characteristics as predictor variables. The final model indicated glances over 1 second away from the driving task and following closely increased risk of an SCE by 3.8 times and 2.9 times, respectively. Average speed was negatively correlated to crash risk. This is counterintuitive since in most cases, it is expected that higher speeds are related to back of queue crashes. However, most queues form under congested conditions. As a result, vehicles encountering a back of queue would be more likely to be traveling at lower speeds. 展开更多
关键词 Safety critical events SPEED Following Closely Glance Behavior
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NON-LINEAR CRITICAL LAYER IN EL NINO AND LA NINA YEARS AND FORMATION, MAINTENTENANCE AND OSCILLATION OF THE SUBTROPICAL HIGH
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作者 陶丽 陆维松 《Journal of Tropical Meteorology》 SCIE 1999年第2期113-122,共10页
Monthly mean zonal wind data from the European Center for Medium-range Weather Forecasting(ECMWF) t'or December 1982, April 1983, October 1984 and ApriI 1985 are used in numerical integration as thebasic flow in a... Monthly mean zonal wind data from the European Center for Medium-range Weather Forecasting(ECMWF) t'or December 1982, April 1983, October 1984 and ApriI 1985 are used in numerical integration as thebasic flow in a non-linear critical-layer model. The subtropical high is extensive and limited in number if simulated with the basic now in December 1982 and April 1983. It consists of 2 to 3 cells that move westward at alloscillatory periods of 1~ 2 months. The subtropical high, simulated with the basic flow in October 1984 and April1 985. is weak and small in coverage, or distributed in strips that contain up to 4 cells. The high. merged or spillover a short time. is moving westward. The years 1982 ~ 1983 are a process of EI Nino while the years 1984- 1985one of La Nina. lt is known from the chart of energy flux that it oscillates by a much larger amplitude and longerperiod in the El Nino year than in the La Nina year. All the results above have indicated that the basic now' in theEl Nino year is enhancing the subtropical high lagging by about 4 months and that in the La Nina year is decay'ing it. It is consiStent with the well-known observational fact that the SSTA in the equatorial eastern Pacitlc ispositively correlated with the extent and intensity of the subtropical high in west Pacific lagging by 1 ~2 seasons.The result is also important for further study of the formation, maintenance and oscillation of the subtropicalhigh. 展开更多
关键词 NON-LINEAR critical LAYER SUBTROPICAL high El Nino event basic flow
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Critical Incident Reported in an Obstetric Unit of a Tertiary Care Hospital of a Developing Country, over a Period of Two Years
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作者 Shemila Abbasi 《Open Journal of Obstetrics and Gynecology》 2017年第12期1228-1238,共11页
Introduction: A lot of literature is available on critical incidents and near misses but specialty based critical incidents are very scanty. Aim: In this audit, we aimed to report critical incident and near misses dur... Introduction: A lot of literature is available on critical incidents and near misses but specialty based critical incidents are very scanty. Aim: In this audit, we aimed to report critical incident and near misses during conduct of obstetric anesthesia over a period of two years. Methodology: Critical incident forms were collected, entered, analyzed and categorized on the basis of American Standards Association (ASA), phase of incidents, system involved, and type of errors, outcome and action taken. Human error was further categorized on the basis of their contributing factor marked in form. Results: During the reporting period, 5511 anaesthetics were administered and 55 reports were received out of which 53 reports were included in analysis. Fifty three reports were divided into 33 critical incidents and 20 near misses. Out of 33 critical incidents, 54.5% involved CVS system and musculoskeletal system, followed by neuromuscular (n = 5), drug related (n = 4), airway/respiratory system (n = 2), central nervous system (n = 2) and renal system (n = 1). Forty five incidents possess no untoward effect while 7 led to minor and only one to severe physiological disturbance. Human errors were (n = 30) 57% reports and failure to check was the main contributory factor. Conclusion: Critical incidents reporting needs to be introduced in sub-specialties at departmental, national and international level. Checking of equipment, medication and anesthesia machine must be part of regular checks in elective and emergency cases. 展开更多
关键词 OBSTETRIC ANESTHESIA critical INCIDENT Quality Improvement ADVERSE events OUTCOMES
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Water Resources and Water Services Infrastructure and Its Vulnerability to Extreme Events—The Case of Jordan
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作者 Elias Salameh 《Journal of Geoscience and Environment Protection》 2023年第2期30-45,共16页
This study discussed the water sector as a critical infrastructural element in Jordan where the sector is exposed to the extreme events. The exposure of the country to extreme events has initiated this study. Such eve... This study discussed the water sector as a critical infrastructural element in Jordan where the sector is exposed to the extreme events. The exposure of the country to extreme events has initiated this study. Such events are Pollution accidents, flooding, draughts, overexploitation, failure in electricity supply, climate changes, earthquakes, landslides, failure of dams, failure of wastewater treatment plants, failure of desalination plants, sabotage, fire, water theft, migration and demographic changes (immigration and urban migration), relations to neighboring countries, epidemics, and others. These extreme events are discussed in this article and the results show that failures in the water infrastructure and water supply, in Jordan, with its water sector situation have rigorous percussions on the country’s health, food supply, economy, societal stability, the built environment, and on other water-related issues. The study concludes that developing national programs to protect the water infrastructure in the water-fragile country has become very crucial to reach a robust and resilient water sector which not only means providing the inhabitants with quantitatively sufficient and qualitatively healthy water but also aims to incorporate guaranteeing social, economic and political stability. 展开更多
关键词 JORDAN critical Infrastructure Extreme events Cascading Effects Robustness Needs
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危险货物运输驾驶人风险倾向分类及识别模型研究
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作者 沈小燕 韩小强 +3 位作者 羊家豪 郭丹 陈煜 董相勇 《安全与环境学报》 CAS CSCD 北大核心 2024年第4期1531-1538,共8页
为合理评估危险货物运输驾驶人驾驶过程中的风险倾向,建立危险货物运输驾驶人风险倾向聚类及辨识体系,以动态监控系统中记录的驾驶人实时违规预警数据为基础,选取可能引发交通冲突的安全关键事件为特征参数,利用探索性因子分析方法实现... 为合理评估危险货物运输驾驶人驾驶过程中的风险倾向,建立危险货物运输驾驶人风险倾向聚类及辨识体系,以动态监控系统中记录的驾驶人实时违规预警数据为基础,选取可能引发交通冲突的安全关键事件为特征参数,利用探索性因子分析方法实现指标降维,提取驾驶人风险倾向主因子,并通过K means算法聚类不同风险倾向的驾驶人,最后基于聚类结果监督训练随机森林模型,辨识未知驾驶人的风险倾向。结果表明,利用选取的8类安全关键事件特征参数,可以将驾驶人风险倾向划分为攻击驾驶倾向、鲁莽驾驶倾向、驾驶分神倾向和驾驶疲劳倾向,且可以识别风险较低的驾驶人,基于随机森林模型的驾驶人风险倾向识别准确率为88.68%,可以较好地实现危险货物运输驾驶人风险倾向辨识。研究结果为危险货物运输驾驶人风险倾向分类及识别提供了方法依据。 展开更多
关键词 安全工程 危险货物运输 驾驶人 风险倾向 安全关键事件(SCEs) 探索性因子分析 随机森林(RF)
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急诊科危重症患者院内转运不良事件的风险预测模型构建 被引量:1
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作者 姚小云 李玉肖 +3 位作者 陈亚玲 傅保国 丁娟 郑艳 《军事护理》 CSCD 北大核心 2024年第2期51-55,共5页
目的分析急诊科危重症患者院内转运不良事件风险因素,构建风险预测模型。方法采用方便抽样法选取2021年10月至2023年2月某院急诊科进行院内转运的870例危重症患者的临床资料,采用单因素和多因素Logistic回归分析建立风险预测模型,以受... 目的分析急诊科危重症患者院内转运不良事件风险因素,构建风险预测模型。方法采用方便抽样法选取2021年10月至2023年2月某院急诊科进行院内转运的870例危重症患者的临床资料,采用单因素和多因素Logistic回归分析建立风险预测模型,以受试者工作特征(receiver operating characteristic,ROC)曲线下面积(area under curve,AUC)评价模型预测效果。结果英国国家早期预警评分(national early warning score,NEWS)、血氧饱和度、急诊B超、血管活性药物、机械通气是急诊科危重症患者发生病情不良事件的独立风险因素;血氧饱和度、携氧装置、Ⅲ类管路、护工参与转运是技术不良事件的独立风险因素(均P<0.05)。AUC分别为0.813,0.756。结论构建的急诊科危重症患者院内转运不良事件风险预测模型具有一定的参考价值。 展开更多
关键词 急诊科 危重症患者 院内转运 不良事件 预测模型
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认知评价理论视阈下高校课程思政有效教学的现实意义与实施路径 被引量:2
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作者 宋丽娜 金丽馥 《高校教育管理》 北大核心 2024年第3期73-81,共9页
文章基于认知评价理论,通过分析大学生课堂体验的课程思政“关键育人事件”发现,课程思政有效教学能够满足大学生对自主学习、教学能力和师生关联的心理需求,具有促进育人本质“回归”、教师素养“守正”和师生关系“重塑”的现实意义... 文章基于认知评价理论,通过分析大学生课堂体验的课程思政“关键育人事件”发现,课程思政有效教学能够满足大学生对自主学习、教学能力和师生关联的心理需求,具有促进育人本质“回归”、教师素养“守正”和师生关系“重塑”的现实意义。高校课程思政课堂是一个多种微观权力、多方行为主体和利益关系相互作用的教学场域,高校可通过优秀文化融入、权力协同共治和师生互动共进构建课程思政教学场域,助推课程思政有效教学的实施。 展开更多
关键词 高校 课程思政 有效教学 认知评价理论 关键事件 教学改革
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北疆冬季持续性极端低温事件延伸期的环流异常特征
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作者 马丽云 陈平 +2 位作者 胡景高 姚俊强 毛炜峄 《大气科学》 CSCD 北大核心 2024年第2期585-601,共17页
本文利用1951~2019年国家气象信息中心逐日站点数据和NCEP/NCAR再分析资料,分析了冬季北疆(新疆北部)持续性极端低温事件(PECE)频次的时空分布特征,并探讨了平流层与对流层在事件发生发展过程中的作用。分析表明:年代际尺度上,北疆PECE... 本文利用1951~2019年国家气象信息中心逐日站点数据和NCEP/NCAR再分析资料,分析了冬季北疆(新疆北部)持续性极端低温事件(PECE)频次的时空分布特征,并探讨了平流层与对流层在事件发生发展过程中的作用。分析表明:年代际尺度上,北疆PECE在20世纪60年代发生频次最多,此后逐渐减少,表明北疆区域发生该事件的概率在降低。空间分布上,无论是极端低温频次还是冷空气强度,极值中心皆在额尔齐斯河流域一线。北疆PECE发展过程中,平流层和对流层环流皆发生了阶段性的调整。延伸期阶段,距事件爆发前25日时,平流层I区(30°E~120°E)极涡首先开始了由强到弱的转变(欧亚弱极涡型)。行星波向下游频散,东南支波列携带能量影响北疆。至事件爆发前20日,对流层极涡也表现出强度减弱,冷空气分裂南下。此后进入短期阶段,来自北冰洋的冷空气在乌拉尔山高压脊前堆积,使得高压脊加强维持至事件爆发前3日,西伯利亚高压携带冷空气向东南方向扩展,随后对流层大型横槽斜脊引导冷空气南下,地面西伯利亚高压发展强盛向南爆发,3日后冷空气影响北疆地区。 展开更多
关键词 新疆北部 持续性极端低温事件 关键影响系统 平流层—对流层过程
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改良版急诊危重患儿院内转运分级核查清单在儿科急危重症患儿院内转运中的应用 被引量:1
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作者 沈娟娟 《妇儿健康导刊》 2024年第2期165-168,共4页
目的探讨改良版急诊危重患儿院内转运分级核查清单在儿科急危重症患儿院内转运中的应用。方法选取2021年1月至2022年12月苏州大学附属儿童医院儿科急诊收治的2500例急危重症患儿,根据不同的急诊危重患儿院内转运分级核查清单分为对照组... 目的探讨改良版急诊危重患儿院内转运分级核查清单在儿科急危重症患儿院内转运中的应用。方法选取2021年1月至2022年12月苏州大学附属儿童医院儿科急诊收治的2500例急危重症患儿,根据不同的急诊危重患儿院内转运分级核查清单分为对照组和观察组,每组各1250例。对照组采用传统急诊危重患儿院内转运分级核查清单,观察组采用改良版急诊危重患儿院内转运分级核查清单。比较两组院内安全转运总合格率、转运时间、到达时间及不良事件总发生率。结果观察组院内安全转运总合格率高于对照组(P<0.05)。观察组转运时间及到达时间均短于对照组(P<0.05)。观察组不良事件总发生率低于对照组(P<0.05)。结论改良版急诊危重患儿院内转运分级核查清单在儿科急危重症患儿院内转运中的应用,可有效提高院内安全转运总合格率,缩短转运时间及到达时间,减少不良事件的发生。 展开更多
关键词 儿科 急危重症 改良版急诊危重患儿院内转运分级核查清单 院内转运 不良事件
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急危重症患者院内转运不良事件风险预测模型的构建
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作者 陶珍珍 王志伟 +3 位作者 祁进芳 李振刚 董正惠 刘玉姣 《护理管理杂志》 CSCD 2024年第7期614-618,624,共6页
目的探讨急危重症患者院内转运不良事件的危险因素,并构建风险预测模型。方法采用目的抽样法,选取2023年1月至6月乌鲁木齐市某三级甲等医院急诊科收治的342例急危重症患者为研究对象,根据是否发生院内转运不良事件分为发生组和未发生组... 目的探讨急危重症患者院内转运不良事件的危险因素,并构建风险预测模型。方法采用目的抽样法,选取2023年1月至6月乌鲁木齐市某三级甲等医院急诊科收治的342例急危重症患者为研究对象,根据是否发生院内转运不良事件分为发生组和未发生组。采用Logistic回归模型分析相关影响因素,构建预测模型,绘制可视化列线图。使用ROC曲线下面积及校准曲线验证模型的预测效能。结果建模组239例急危重症患者中有75例发生院内转运不良事件,发生率为31.38%。Logistic回归分析显示,收缩压、改良早期预警评分、供氧装置、监护仪、转运班次、转运总时长为急危重症患者院内转运不良事件发生的独立危险因素(P<0.05)。结果显示,建模组ROC曲线下面积为0.943,灵敏度为0.968,特异度为0.875;验证组ROC曲线下面积为0.922,灵敏度为0.903,特异度为0.875。Hosmer-Lemeshow检验显示χ2=7.348,P=0.403,校正曲线显示该列线图模型的预测概率和实际概率具有较好的一致性。结论急危重症患者院内转运不良事件发生率较高,收缩压、改良早期预警评分、供氧装置、监护仪、转运班次、转运总时长是其发生院内转运不良事件的影响因素,基于以上影响因素构建的风险预测模型具有良好风险识别能力,列线图模型具有较好的区分度和校准度。 展开更多
关键词 急危重症患者 安全转运 不良事件 预测模型 列线图
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针对性护理在神经外科危重患者人工气道管理中的应用效果
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作者 匡蕾蕾 龙然 丘焕宜 《中外医学研究》 2024年第18期93-97,共5页
目的:探讨针对性护理在神经外科危重患者人工气道管理中的应用效果。方法:选取2021年6月—2023年6月广东三九脑科医院收治的94例神经外科危重患者,根据随机数表法将其分为研究组和对照组,各47例。对照组给予常规人工气道护理,研究组给... 目的:探讨针对性护理在神经外科危重患者人工气道管理中的应用效果。方法:选取2021年6月—2023年6月广东三九脑科医院收治的94例神经外科危重患者,根据随机数表法将其分为研究组和对照组,各47例。对照组给予常规人工气道护理,研究组给予针对性护理。比较两组不良事件,护理前后生活质量、心理状态,住院情况,护理满意度。结果:研究组不良事件发生率低于对照组,差异有统计学意义(P<0.05)。护理后,研究组健康调查简表(SF-36)评分均高于对照组,差异有统计学意义(P<0.05)。研究组ICU入住时间、机械通气时间及住院时间均短于对照组,差异有统计学意义(P<0.05)。研究组护理总满意度高于对照组,差异有统计学意义(P<0.05)。护理后,研究组焦虑自评量表(SAS)与抑郁自评量表(SDS)评分均低于对照组,差异有统计学意义(P<0.05)。结论:在人工气道管理中实施针对性护理可以减少不良事件发生,改善心理状态。 展开更多
关键词 针对性护理 神经外科 危重 人工气道 不良事件 生活质量
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《金瓶梅》中的“戏事”叙述及其“拟剧”通解
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作者 李桂奎 《烟台大学学报(哲学社会科学版)》 2024年第1期109-119,128,共12页
《金瓶梅》热衷于通过作戏、调戏、情戏等人间男女“戏事”叙述,以达成人情小说创作之“戏趣”。这种“戏事”叙述既是对明代风行的“人生如戏”观念的投射,又是作者乐于传达世人逢场作戏生活态度的自觉,其内在的戏谑性、戏弄感引人玩... 《金瓶梅》热衷于通过作戏、调戏、情戏等人间男女“戏事”叙述,以达成人情小说创作之“戏趣”。这种“戏事”叙述既是对明代风行的“人生如戏”观念的投射,又是作者乐于传达世人逢场作戏生活态度的自觉,其内在的戏谑性、戏弄感引人玩味。在具体运作中,作者既戏拟并反讽了传统诗歌与戏剧中的“调戏”叙事母题,又采取“窥探”视角展现了各种隐秘的“情戏”。《金瓶梅》中的这种“戏事”叙述既迎合了世人猎奇心理,满足了读者的偷窥欲,又传达出“如戏”人生况味、“机趣”审美兴味,给人以“活剧”感。 展开更多
关键词 戏事 以剧为稗 戏拟 拟剧批评 审美机趣 《金瓶梅》
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危重新生儿中心导管相关不良事件的临床分析
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作者 黄上明 李月凤 +2 位作者 彭桂英 陈素香 郑海霞 《中国现代药物应用》 2024年第17期60-64,共5页
目的 了解危重新生儿中心导管相关不良事件(AEs)的发生率、类型和危险因素,为临床早期干预措施提供依据。方法 回顾性分析新生儿重症监护病房(NICU)、需要中心导管的217例危重新生儿的临床资料,分析不同中心导管相关AEs发生情况,不同中... 目的 了解危重新生儿中心导管相关不良事件(AEs)的发生率、类型和危险因素,为临床早期干预措施提供依据。方法 回顾性分析新生儿重症监护病房(NICU)、需要中心导管的217例危重新生儿的临床资料,分析不同中心导管相关AEs发生情况,不同中心导管AEs类型、危险因素,不同中心导管异常拔管原因。结果 217例危重患儿中心导管置管324例次,其中脐动脉导管(UAC)53例次,脐静脉导管(UVC)169例次,经外周静脉置入中心静脉导管(PICC)102例次;中心导管相关AEs 81例次(25.0%),不同中心导管AEs发生率由高到低依次为UVC(34.9%)、UAC(15.1%)和PICC(13.7%)。UAC总置管时间287 d,每1000导管日AEs发生率为27.9‰。UVC总置管时间1617 d,每1000导管日AEs发生率为36.5‰。PICC总置管时间2245 d,每1000导管日AEs发生率为6.2‰。UAC-AEs类型和危险因素:UAC-AEs置管失败4例次(7.5%)、导管尖端位置异常2例次(3.8%)和血流感染(BSI)2例次(3.8%)。UAC-AEs主要发生在置管时,置管失败与导管尖端位置异常有关,每1000导管日BSI发生率为7.0‰(2/287)。UVC-AEs类型和危险因素:UVC-AEs为导管尖端位置异常52例次(30.8%),BSI 3例次(1.8%)、心包积液3例次(1.8%)和胸腔积液1例次(0.6%);心包积液和胸腔积液多发生在置管后2~3 d,考虑与置管时血管壁损伤和导管尖端高位有关,每1000导管日BSI发生率为1.9‰(3/1617)。进一步UVC-BSI高危因素分析显示,UVC-BSI患儿的胎龄和出生体重明显低于UVC非BSI患儿,导管留置时间长于UVC非BSI患儿,胎龄<30周占比及胸腔积液发生率高于UVC非BSI患儿(P<0.05)。PICC-AEs类型和危险因素:置管时AEs 4例次(3.9%),包括置管失败1例次(1.0%),导管尖端位置异常3例次(2.9%);置管期间AEs 10例次(9.8%),包括液体外渗5例次(4.9%)、导管移位2例次(2.0%),胸腔积液1例次(1.0%)、心包积液1例次(1.0%)和BSI 1例次(1.0%),每1000导管日BSI发生率为0.4‰(1/2245);导管移位是心包积液和胸腔积液的主要原因。324例次中心导管置管中,异常拔管21例次(6.5%),其中UAC 2例次(3.8%)、UVC 15例次(8.9%)和PICC 4例次(3.9%)。UVC或UAC异常拔管多发生在置管时,与导管尖端位置异常有关;置管期间的严重AEs,如BSI、心包积液和感染指标增高是UVC异常拔管的原因,而液体外渗和导管移位所致的心包积液/胸腔积液是PICC异常拔管的主要原因。结论 脐导管(UC)相关AEs发生率高,导管尖端位置异常、液体外渗、导管移位是心包积液、胸腔积液的危险因素,结合即时超声引导下导管尖端位置的评估是临床降低UC-AEs的重要措施。 展开更多
关键词 危重新生儿 中心导管 脐导管 经外周静脉置入中心静脉导管 危险因素 不良事件
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10S精细化管理在急危重症中的应用
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作者 吴小艳 杨太亚 胡丽 《中国医学创新》 CAS 2024年第15期81-85,共5页
目的:探讨10S精细化管理在急危重症中的应用。方法:选取2020年1月—2021年1月遵义医科大学附属医院收治的急危重症患者100例进行研究。随机分为对照组(50例)和观察组(50例)。对照组采用常规护理管理模式,观察组在对照组基础上给予10S精... 目的:探讨10S精细化管理在急危重症中的应用。方法:选取2020年1月—2021年1月遵义医科大学附属医院收治的急危重症患者100例进行研究。随机分为对照组(50例)和观察组(50例)。对照组采用常规护理管理模式,观察组在对照组基础上给予10S精细化管理,对比两组临床指标、护理质量评分、生活质量、护理满意度及不良事件发生率。结果:观察组住院时间、抢救时间皆短于对照组,住院费用少于对照组(P<0.05);观察组护理质量评分均高于对照组(P<0.05);干预后,观察组生活质量评分均优于对照组(P<0.05);观察组护理总满意度(90.00%)高于对照组(72.00%)(P<0.05);观察组不良事件总发生率(18.00%)低于对照组(40.00%)(P<0.05)。结论:对急危重症患者实施10S精细化管理效果显著,不仅提高护理质量,还能有效提高患者的满意度,降低不良事件发生率,安全性较高,值得推广。 展开更多
关键词 10S精细化管理 急危重症患者 护理质量 护理满意度 生活质量 不良事件发生率
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Flood cascading on critical infrastructure with climate change:A spatial analysis of the extreme weather event in Xinxiang,China
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作者 Xiao-Ling QIN Shi-Fu WANG Meng MENGa 《Advances in Climate Change Research》 SCIE CSCD 2023年第3期458-468,共11页
Floods caused by extreme weather events and climate change have increased in occurrence and severity all over the world,resulting in devastation and disruption of activities.Researchers and policy practitioners have i... Floods caused by extreme weather events and climate change have increased in occurrence and severity all over the world,resulting in devastation and disruption of activities.Researchers and policy practitioners have increasingly paid attention to the role of critical infrastructure(CI)in disaster risk reduction,flood resilience and climate change adaptation in terms of its backbone functions in maintaining societal services in hazard attacks.The analysed city in this study,Xinxiang(Henan province,China),was affected by an extreme flood event that occurred on 17–23 July 2021,which caused great socio-economic losses.However,few studies have focused on medium-sized cities and the flood cascading effects on CI during this event.Therefore,this study explores the damages caused by this flooding event with links to CI,such as health services,energy supply stations,shelters and transport facilities(HEST infrastructure).To achieve this,the study first combines RGB(red,green blue)composition and supervised classification for flood detection to monitor and map flood inundation areas.Second,it manages a multiscenario simulation and evaluates the cascading effects on HEST infrastructure.Diverse open-source data are employed,including Sentinel-1 synthetic aperture radar(SAR)data and Landsat-8 OIL data,point-of-interest(POI)and OpenStreetMap(OSM)data.The study reveals that this extreme flood event has profoundly affected croplands and villagers.Due to the revisiting period of Sentinel-1 SAR data,four scenarios are simulated to portray the retreated but‘omitted’floodwater:Scenario 0 is the flood inundation area on 27 July,and Scenarios 1,2 and 3 are built based on this information with a buffer of 50,100 and 150 m outwards,respectively.In the four scenarios,as the inundation areas expand,the affected HEST infrastructure becomes more clustered at the centre of the core study area,indicating that those located in the urban centre are more susceptible to flooding.Furthermore,the affected transport facilities assemble in the north and east of the core study area,implying that transport facilities located in the north and east of the core study area are more susceptible to flooding.The verification of the flood inundation maps and affected HEST infrastructure in the scenario simulation support the series method adopted in this study.The findings of this study can be used by flood managers,urban planners and other decision makers to better understand extreme historic weather events in China,improve flood resilience and decrease the negative impacts of such events on HEST infrastructure. 展开更多
关键词 Flood cascading effects critical infrastructure Extreme rainstorm event Flood scenarios
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基于多重对应分析与Logistic回归探究IABP支持下心血管危重患者院内转运不良事件的危险因素
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作者 孙卓铖 王宇 +3 位作者 魏松奇 樊方慧 马凌燕 杨巧芳 《临床医学研究与实践》 2024年第13期12-17,共6页
目的分析主动脉内球囊反搏(IABP)支持下心血管危重患者院内转运不良事件现状及危险因素。方法选取2022年11月至2023年6月郑州市某两所三甲医院进行院内转运的IABP支持的心血管危重患者为研究对象,根据是否发生院内转运不良事件进行分组... 目的分析主动脉内球囊反搏(IABP)支持下心血管危重患者院内转运不良事件现状及危险因素。方法选取2022年11月至2023年6月郑州市某两所三甲医院进行院内转运的IABP支持的心血管危重患者为研究对象,根据是否发生院内转运不良事件进行分组,通过单因素分析、二元Logistic回归分析筛选危险因素;采用多重对应分析探索不同类型不良事件与危险因素的关联程度。结果182例患者转运中有68例(37.36%)发生了不良事件,病情变化类不良事件发生率最高(43/23.63%),不良事件主要为血压波动(26/14.29%)、IABP氦气管路断开(16/8.79%)和血氧饱和度(SpO2)变化(10/5.49%)。使用儿茶酚胺类药物、转运目的地是IABP支持下心血管危重患者院内转运不良事件发生的危险因素(P<0.05)。多重对应分析显示病情变化不良事件与机械通气、镇痛镇静药物相关联。结论IABP支持下心血管危重患者院内转运不良事件发生率较高,临床医护人员应重视相关危险因素的识别,并采取综合措施提高患者院内转运的安全性。 展开更多
关键词 主动脉内球囊反搏 心血管危重患者 院内转运 不良事件 多重对应分析
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院前急救护理干预在妇产科急危重症患者急救护理中的应用价值体会
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作者 熊智英 孙谋 《实用妇科内分泌电子杂志》 2024年第12期140-143,共4页
目的探析妇产科急危重症患者采取院前急救护理的效果及实践价值。方法选取60例妇产科急危重症患者,按照入院单双号分为对照组与观察组,每组30例。对照组予以常规急救护理,观察组予以院前急救护理,比较两组急救指标、抢救成功率、满意度... 目的探析妇产科急危重症患者采取院前急救护理的效果及实践价值。方法选取60例妇产科急危重症患者,按照入院单双号分为对照组与观察组,每组30例。对照组予以常规急救护理,观察组予以院前急救护理,比较两组急救指标、抢救成功率、满意度及生活质量。结果观察组转运时间、病情评估时间、急救时间、住院时间均短于对照组,抢救成功率高于对照组(P<0.05)。观察组不良事件发生率3.33%较对照组的23.33%低(P<0.05)。观察组满意度、生活质量评分较对照组高(P<0.05)。结论妇产科急危重症患者采取院前急救护理效果显著,可缩短急救时间,提高抢救效率,规避不良事件,促进疾病转归,具有较高的运用价值。 展开更多
关键词 妇产科 急危重症 院前急救护理 不良事件 急救时间
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基于ISM—CRITIC法的通用航空可控飞行撞地影响因素分析 被引量:10
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作者 孙瑞山 占欣 《中国安全生产科学技术》 CAS CSCD 北大核心 2018年第1期129-135,共7页
为了研究通用航空可控飞行撞地的影响因素,提出针对性的预防措施,采用基元事件分析法对中国民航安全办公室不安全数据库中2006—2015年间发生的30起通用航空可控飞行撞地事件进行分析,建立通用航空可控飞行撞地影响因素体系;运用解释结... 为了研究通用航空可控飞行撞地的影响因素,提出针对性的预防措施,采用基元事件分析法对中国民航安全办公室不安全数据库中2006—2015年间发生的30起通用航空可控飞行撞地事件进行分析,建立通用航空可控飞行撞地影响因素体系;运用解释结构模型对影响因素进行两两对比分析,建立3层阶梯有向模型;运用CRITIC法计算各影响因素权重并排序。结果表明:影响通用航空可控飞行撞地事件的表层直接原因分别是注意力分配不当、违反标准运行程序、安全意识淡薄、应急能力弱、导航设备失效、发动机失效、其他天气意外、飞行保障不利和组织混乱;中层间接原因分别是驾驶技能不足、航前准备不足、机组资源管理欠缺、地形复杂、能见度和光线刺激;深层根本原因分别是疲劳驾驶、公司违规和违法组织飞行;影响通用航空可控飞行撞地事件发生的主要因素分别是飞行保障不利和组织混乱、航前准备不足、安全意识淡薄、驾驶技能不足和违反标准运行程序。 展开更多
关键词 通用航空 可控飞行撞地 基元事件分析法 解释结构模型 critic
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