This article describes an Internet based laboratory (NETLAB) developed at Zhejiang University for electrical engi- neering education. A key feature of the project is the use of real experimental systems rather than si...This article describes an Internet based laboratory (NETLAB) developed at Zhejiang University for electrical engi- neering education. A key feature of the project is the use of real experimental systems rather than simulation or virtual reality. NELTAB provides remote access to a wide variety of experiments, including not only basic electrical and electronic experiments but also many innovative control experiments. Students can effectively use the laboratory at any time and from anywhere. NETLAB has been in operation since July 2003.展开更多
Liquid-based microbiology (LBM) is the future for the technological development of microbiology laboratories. In particular, the Eswab system (by Copan) simplifies and streamlines specimen collection and represents th...Liquid-based microbiology (LBM) is the future for the technological development of microbiology laboratories. In particular, the Eswab system (by Copan) simplifies and streamlines specimen collection and represents the only liquid system supporting the recovery of all types of bacteria (aerobic, anaerobic, and fastidious bacteria). In addition, LBM offers advantages in the efficiency of microorganism recovery and ease of sampling, transport, and storage. LBM also allows the introduction of true automation in the laboratory: either by using Copan ? (Walk-Away Specimen Processor) or any other commercially available specimen processor that utilizes LBM. In this paper, we illustrate how LBM can positively change laboratory workflow by illustrating several years of our experience with LBM. LBM allows clinical specimen optimization and has several important advantages: cost reduction (due to the smaller number of different devices used), time savings for medical or nursing staff (less confusion in collection device selection and fewer samples being collected), time savings for laboratory staff (fewer samples to access and handle for individual investigations), and patient comfort improvement (multiple sample collection can be avoided). A unique collection device for several investigations also guarantees quality due to the uniformity of the sample and standardization of procedures.展开更多
The overuse of clinical laboratory services has been documented for many years. This overuse use does not contribute to the quality of medical care, does not shorten hospital stay, nor reduce mortality. The utilizatio...The overuse of clinical laboratory services has been documented for many years. This overuse use does not contribute to the quality of medical care, does not shorten hospital stay, nor reduce mortality. The utilization of diagnostic laboratories has increased over the last decade around the world. This increased laboratory use is appropriate if it allows accurate diagnoses to be made, ideal treatment to be identified and monitored, accurate prognoses to be established, and patients’ hospital stays to be shortened. Thus, improving the appropriateness of testing behavior and reducing the number of laboratory tests have been recognized as essential parts of quality improvement program. In this study, the effectiveness of a computer-based system in improving the laboratory test-ordering in a general hospital was investigated. The study was conducted through four stages, the preparation stage, the pre-intervention stage, the post-intervention 1) stage and post-intervention 2) stage. Guideline and computer system were developed during preparation stage. Medical records were reviewed against guideline recommendations before any intervention during the pre-intervention stage, after guideline dissemination through educational workshops during the post intervention 1) stage, and after implementation of the computer system with the new requesting form during the post intervention 2) stage. The study revealed that the computer-based system achieved a statistically significant increase in the percentage of appropriate use from 44.6% in the post-intervention 1) stage to 55.6%, and a statistically significant increase in the compliance with guideline by prescriber as well as increased in guideline conformity rate from 16.7% in the post-intervention 1) stage to 32.5% in the post-intervention 2) stage, and decreased in the percentage of prescribers whose level was unsatisfactory from 85.4% the post-intervention 1) stage to 66.7% in the post-intervention 2) stage.展开更多
Altered blood chemistry, acid-base and electrolyte are suggested determinants of sleep disturbance, with frequent arousal at high altitude even in well and long-trained altitude marathon runners. In this sample of exp...Altered blood chemistry, acid-base and electrolyte are suggested determinants of sleep disturbance, with frequent arousal at high altitude even in well and long-trained altitude marathon runners. In this sample of experienced altitude marathon runners with maximal aerobic power at sea level of 61.4 ± 2.7 ml/kg-1·min-1 we found that pO2 and percent of oxygen saturation (%SO2) were lower at2050 mand3480 mthan at sea level;pO2 was higher after 38 - 41 hours than after 30 - 31 hours of acclimatization at3480 m(P 2 decreased (P 2 and (P 2 at a sleeping altitude of3480 mwas lower (P Simple regression analysis disclosed a significant correlation between the changes in TST and the percent of REM sleep and the changes in %SpaO2 recorded during sleep (P 2 at higher altitude and the percent of W and of TST (P 2, tCO2 and [HCO3-] correlated negatively and significantly with the percent of REM sleep changes at high altitude (P 2 and pH and correlated negatively with the changes in %SO2, pCO2, tCO2, and [HCO3-] (P ++] and [BE] and negatively with the changes in buffered bases [BB] and [BEeffective] (P 2 and significantly and negatively with the changes in [K+] (P 2, tCO2, [HCO3-] and [K+]展开更多
针对智能航电系统在非线性耦合运行场景下产生的预期功能安全(safety of the intended functionality,SOTIF)问题,提出一种将系统理论过程分析(systematic theory process analysis,STPA)与决策试验与评价实验法(decision-making trial ...针对智能航电系统在非线性耦合运行场景下产生的预期功能安全(safety of the intended functionality,SOTIF)问题,提出一种将系统理论过程分析(systematic theory process analysis,STPA)与决策试验与评价实验法(decision-making trial and evaluation laboratory,DEMATEL)相结合的致因分析框架。首先,在定义系统级危险的基础上构建安全控制结构,识别其不安全控制行为并提取与智能化缺陷相关的STPA致因要素。接下来,引入毕达哥拉斯模糊加权平均算子和闵可夫斯基距离对传统DEMATEL方法进行优化,专家根据控制反馈回路对致因要素进行评价并计算其中心度与原因度。最后,分析STPA致因要素与SOTIF致因属性之间的映射关系,给出关键致因要素的风险减缓措施。以单一飞行员驾驶(single-pilot operation,SPO)模式下的虚拟驾驶员助理系统为例说明了所提方法的可行性与有效性。研究结果表明,改进的STPA-DEMATEL方法可以有效识别关键致因要素,且能够克服专家评价的模糊性与不确定性,为智能航电系统的安全性设计提供了参考依据。展开更多
基金Project supported by the Promising Project Foundation of Zheji-ang University, China
文摘This article describes an Internet based laboratory (NETLAB) developed at Zhejiang University for electrical engi- neering education. A key feature of the project is the use of real experimental systems rather than simulation or virtual reality. NELTAB provides remote access to a wide variety of experiments, including not only basic electrical and electronic experiments but also many innovative control experiments. Students can effectively use the laboratory at any time and from anywhere. NETLAB has been in operation since July 2003.
文摘Liquid-based microbiology (LBM) is the future for the technological development of microbiology laboratories. In particular, the Eswab system (by Copan) simplifies and streamlines specimen collection and represents the only liquid system supporting the recovery of all types of bacteria (aerobic, anaerobic, and fastidious bacteria). In addition, LBM offers advantages in the efficiency of microorganism recovery and ease of sampling, transport, and storage. LBM also allows the introduction of true automation in the laboratory: either by using Copan ? (Walk-Away Specimen Processor) or any other commercially available specimen processor that utilizes LBM. In this paper, we illustrate how LBM can positively change laboratory workflow by illustrating several years of our experience with LBM. LBM allows clinical specimen optimization and has several important advantages: cost reduction (due to the smaller number of different devices used), time savings for medical or nursing staff (less confusion in collection device selection and fewer samples being collected), time savings for laboratory staff (fewer samples to access and handle for individual investigations), and patient comfort improvement (multiple sample collection can be avoided). A unique collection device for several investigations also guarantees quality due to the uniformity of the sample and standardization of procedures.
文摘The overuse of clinical laboratory services has been documented for many years. This overuse use does not contribute to the quality of medical care, does not shorten hospital stay, nor reduce mortality. The utilization of diagnostic laboratories has increased over the last decade around the world. This increased laboratory use is appropriate if it allows accurate diagnoses to be made, ideal treatment to be identified and monitored, accurate prognoses to be established, and patients’ hospital stays to be shortened. Thus, improving the appropriateness of testing behavior and reducing the number of laboratory tests have been recognized as essential parts of quality improvement program. In this study, the effectiveness of a computer-based system in improving the laboratory test-ordering in a general hospital was investigated. The study was conducted through four stages, the preparation stage, the pre-intervention stage, the post-intervention 1) stage and post-intervention 2) stage. Guideline and computer system were developed during preparation stage. Medical records were reviewed against guideline recommendations before any intervention during the pre-intervention stage, after guideline dissemination through educational workshops during the post intervention 1) stage, and after implementation of the computer system with the new requesting form during the post intervention 2) stage. The study revealed that the computer-based system achieved a statistically significant increase in the percentage of appropriate use from 44.6% in the post-intervention 1) stage to 55.6%, and a statistically significant increase in the compliance with guideline by prescriber as well as increased in guideline conformity rate from 16.7% in the post-intervention 1) stage to 32.5% in the post-intervention 2) stage, and decreased in the percentage of prescribers whose level was unsatisfactory from 85.4% the post-intervention 1) stage to 66.7% in the post-intervention 2) stage.
文摘Altered blood chemistry, acid-base and electrolyte are suggested determinants of sleep disturbance, with frequent arousal at high altitude even in well and long-trained altitude marathon runners. In this sample of experienced altitude marathon runners with maximal aerobic power at sea level of 61.4 ± 2.7 ml/kg-1·min-1 we found that pO2 and percent of oxygen saturation (%SO2) were lower at2050 mand3480 mthan at sea level;pO2 was higher after 38 - 41 hours than after 30 - 31 hours of acclimatization at3480 m(P 2 decreased (P 2 and (P 2 at a sleeping altitude of3480 mwas lower (P Simple regression analysis disclosed a significant correlation between the changes in TST and the percent of REM sleep and the changes in %SpaO2 recorded during sleep (P 2 at higher altitude and the percent of W and of TST (P 2, tCO2 and [HCO3-] correlated negatively and significantly with the percent of REM sleep changes at high altitude (P 2 and pH and correlated negatively with the changes in %SO2, pCO2, tCO2, and [HCO3-] (P ++] and [BE] and negatively with the changes in buffered bases [BB] and [BEeffective] (P 2 and significantly and negatively with the changes in [K+] (P 2, tCO2, [HCO3-] and [K+]
文摘针对智能航电系统在非线性耦合运行场景下产生的预期功能安全(safety of the intended functionality,SOTIF)问题,提出一种将系统理论过程分析(systematic theory process analysis,STPA)与决策试验与评价实验法(decision-making trial and evaluation laboratory,DEMATEL)相结合的致因分析框架。首先,在定义系统级危险的基础上构建安全控制结构,识别其不安全控制行为并提取与智能化缺陷相关的STPA致因要素。接下来,引入毕达哥拉斯模糊加权平均算子和闵可夫斯基距离对传统DEMATEL方法进行优化,专家根据控制反馈回路对致因要素进行评价并计算其中心度与原因度。最后,分析STPA致因要素与SOTIF致因属性之间的映射关系,给出关键致因要素的风险减缓措施。以单一飞行员驾驶(single-pilot operation,SPO)模式下的虚拟驾驶员助理系统为例说明了所提方法的可行性与有效性。研究结果表明,改进的STPA-DEMATEL方法可以有效识别关键致因要素,且能够克服专家评价的模糊性与不确定性,为智能航电系统的安全性设计提供了参考依据。
