As agricultural mechanization is becoming more and more popular, soil compaction, on basis of agricultural machinery, has become a serious problem that can not be ignored. Soil compaction, which is caused by frequent ...As agricultural mechanization is becoming more and more popular, soil compaction, on basis of agricultural machinery, has become a serious problem that can not be ignored. Soil compaction, which is caused by frequent til age and large load in the field, may have different effects on various properties of soil. Soil com-paction may result in different conditions, such as increased soil density and the mechanical resistance, and decreased soil ventilation and the capacity of water holding and storage, but uptaking capacity of chemical elements is restricted. There-fore, soil compaction has some negative impacts on soil properties, physical y, chemical y, or biological y, as wel as plant growth. This research analyzed the cause and the harm of soil compaction in recent years, and some effective mea-sures were proposed to improve soil compaction, in order to reduce the extent of soil compaction caused by agricultural machinery.展开更多
Increasing production capacity and operating rate, reducing fuel rates and costs of hot metal (HM) are the urgent tasks for the COREX process. In this study ,the various factors on the fuel consumption of COREX are ...Increasing production capacity and operating rate, reducing fuel rates and costs of hot metal (HM) are the urgent tasks for the COREX process. In this study ,the various factors on the fuel consumption of COREX are researched from the theoretical analysis based on the calculations of material balances and heat balances. Combined with the production performances and practices of COREX-2000 ( Saldanha, India) and COREX-3000 ( Baosteel ), the technical measures of reducing the fuel rate are analyzed and the way forward of technical innovation is addressed and discussed with the standpoint of the COREX process improvement.展开更多
The data of cultivated land quality monitoring sites,and the current situations and evolution trend of soil organic matter in cultivated land in Northeast China were analyzed.Then,the causes for low organic matter con...The data of cultivated land quality monitoring sites,and the current situations and evolution trend of soil organic matter in cultivated land in Northeast China were analyzed.Then,the causes for low organic matter content were discussed.Finally,it came up with pertinent soil improvement recommendations,including actively promoting the quality protection technology model of cultivated land such as straw returning in accordance with local conditions,expanding organic fertilizer sources and increasing application of organic fertilizers,implementing reasonable crop rotation,planting green manure crops such as legumes,and realizing the combination of land use and land cultivation,establishing a reasonable fertilization system,combining organic and inorganic fertilizers with scientific fertilization,increasing fertilizer efficiency and reducing the application of chemical fertilizers,increasing financial investment and promoting the integration of funds related to cultivated land protection.展开更多
In order to improve the quality of cultivated land in Liaoning Province in the light of local conditions, medium- and low-yielding farmland in Liaoning Province are divided into various zones according to characterist...In order to improve the quality of cultivated land in Liaoning Province in the light of local conditions, medium- and low-yielding farmland in Liaoning Province are divided into various zones according to characteristics of the terrain, and the practical and feasible improvement measures are put forward based on the current situation and main existing problems in the medium- and low-yielding farmland in different areas,展开更多
The delivery of targeted family education guidance services is essential for establishing a three-in-one education model that encompasses families,schools,and communities.It is also the key to creating a favorable edu...The delivery of targeted family education guidance services is essential for establishing a three-in-one education model that encompasses families,schools,and communities.It is also the key to creating a favorable educational environment that promotes the comprehensive and healthy development of individual students.To gain a comprehensive understanding of family education characteristics and trends in Chinese counties,accurately tap into the educational needs of parents,and effectively identify strengths and weaknesses in family education guidance services,this paper employed a quantitative research method based on a questionnaire survey and interview data from J district of C city after years of continuous monitoring of the quality of family education in the area,aiming to explore these issues and put forward several suggestions for improvement.The results indicate that the family learning environment and atmosphere in the district are generally favorable,while parental educational competence requires further improvement.Parents express a strong desire for interactive,systematic,and fragmented family education guidance from schools.Most parents acknowledge the significance of receiving guidance on family education,yet they are disinclined to actively engage in learning-related activities.While the operational mechanisms of county-level family education guidance services have been continuously improved,there is a need for greater overall coordination.Furthermore,the potential of school-led family education guidance services has yet to be fully tapped,and the scientific and professional standards of such guidance need to be further enhanced.Based on the aforementioned findings,we propose recommendations for improvement.Using J district’s effective improvement practices in management,curriculum,and teams as an example,we intend to explore practical ways to promote county-level family education guidance services and provide a valuable reference for the establishment of a comprehensive and effective system to improve such services.展开更多
Stations are often regarded as change engines--places where passengers have to change as quickly and efficiently as possible from one mode of transport to another. Underpinned by research, NS (Netherlands Railways) ...Stations are often regarded as change engines--places where passengers have to change as quickly and efficiently as possible from one mode of transport to another. Underpinned by research, NS (Netherlands Railways) currently takes the view that stations should be transformed into dynamic urban portals that not only facilitate a speedy transfer but also make the stay at the station more enjoyable. To discover which aspects the customer perceives as important, NS developed a research method that is based on enviromnental psychology and with which the impact of passengers' waiting and station experience can be measured. This article addresses the measures taken, the method of measurement and the measurement results. Examples of such measures are: experimenting with colour, light, music, infotainment and increasing and repositioning the shopping facilities. Our studies not only showed an increase in the score for the general evaluation of a test station (Leiden Central Station) with one full point but also significant positive effects on various aspects of waiting and experience.展开更多
The retarding effect of protein retarder on phosphorus building gypsum(PBG)and desulfurization building gypsum(DBG)was investigated,and the results show that protein retarder for DBG can effectively prolong the settin...The retarding effect of protein retarder on phosphorus building gypsum(PBG)and desulfurization building gypsum(DBG)was investigated,and the results show that protein retarder for DBG can effectively prolong the setting time and displays a better retarding effect,but for PBG shows a poor retarding effect.Furthermore,the deterioration reason of the retarding effect of protein retarder on PBG was investigated by measuring the pH value and the retarder concentration of the liquid phase from vacuum filtration of PBG slurry at different hydration time,and the measure to improve the retarding effect of protein retarding on PBG was suggested.The pH value of PBG slurry(<5.0)is lower than that of DBG slurry(7.8-8.5).After hydration for 5 min,the concentration of retarder in liquid phase of DBG slurry gradually decreases,but in liquid phase of PBG slurry continually increases,which results in the worse retarding effect of protein retarder on PBG.The liquid phase pH value of PBG slurry can be adjusted higher by sodium silicate,which is beneficial to improvement in the retarding effect of the retarder.By adding 1.0%of sodium silicate,the initial setting time of PBG was efficiently prolonged from 17 to 210 min,but little effect on the absolute dry flexural strength was observed.展开更多
With the rapid development and wide application of the network,many universities conform to the development of thetimes and actively carry out online English teaching.Online teaching is an important choice for higher ...With the rapid development and wide application of the network,many universities conform to the development of thetimes and actively carry out online English teaching.Online teaching is an important choice for higher education in modern times.It takes the Internet as the transmission system and uses the characteristics and resources of the network to create a meaningfullearning environment different from traditional teaching,which is beneficial to students’learning.After decades of development,ithas become a good teaching mode in addition to the traditional classroom teaching model.However,because its development inChina is still in its infancy,there are inevitably some shortcomings.This article discusses the advantages and disadvantages of on-line English teaching and puts forward some improvement measures.展开更多
The development of buffalo milk industry in China encounters the problems of small high yield populations and insufficient excellent provenance. There- fore, it is necessary to carry out dairy herd improvement (DHI)...The development of buffalo milk industry in China encounters the problems of small high yield populations and insufficient excellent provenance. There- fore, it is necessary to carry out dairy herd improvement (DHI) to increase dairy buffalo herd productivity. This paper reviewed the situation and problems of DHI in dairy buffalo, and the corresponding opinions and suggestions were put forward.展开更多
The improvement of urbanization level in China and long-term development of economy in vast rural areas commonly impel rapid development of urbanization in China by " stronghold type" of small town and "...The improvement of urbanization level in China and long-term development of economy in vast rural areas commonly impel rapid development of urbanization in China by " stronghold type" of small town and " radiation type" of big town. Urbanization road with Chinese characteristics impels urbanization and industrialization development,which needs relying on the development of small town. Due to the impact of town,space environment of " village in town" changes,and rural memory weakens. The state of " non city and non township" deeply affects rural development. Meanwhile,due to limited by urban-rural dualism,top-down planning of " village in town" is obviously unworkable. In this paper,analysis and interpretation on the problems of " village in town" are conducted,the cause is found,and effective channel of solving problem is obtained.展开更多
BACKGROUND Intravenous infusion is a common method of drug administration in clinical practice.Errors in any aspect of the infusion process,from the verification of medical orders,preparation of the drug solution,to i...BACKGROUND Intravenous infusion is a common method of drug administration in clinical practice.Errors in any aspect of the infusion process,from the verification of medical orders,preparation of the drug solution,to infusion by nursing staff,may cause adverse infusion events.AIM To analyzed the value of improving nursing measures and enhancing nursing management to reduce the occurrence of adverse events in pediatric infusion.METHODS The clinical data of 130 children who received an infusion in the pediatric department of our hospital from May 2020 to May 2021 were analyzed and divided into two groups according to the differences in nursing measures and nursing management:65 patients in the control group received conventional nursing and nursing management interventions,while 65 patients in the observation group received improved nursing measure interventions and enhanced nursing management.The occurrence of adverse events,compliance of children,satisfaction of children’s families,and complaints regarding the transfusion treatment were recorded in both groups.RESULTS The incidence of fluid extravasation and infusion set dislodgement in the observation group were 3.08%and 1.54%,respectively,which were significantly lower than 12.31%and 13.85%in the control group(P<0.05),while repeated punctures and medication addition errors in the observation group were 3.08%and 0.00%,respectively,which were lower than 9.23%and 3.08%in the control group,but there was no significant difference(P>0.05).The compliance rate of children in the observation group was 98.46%(64/65),which was significantly higher than 87.69%(57/65)in the control group,and the satisfaction rate of children’s families was 96.92%(63/65),which was significantly higher than 86.15%(56/65)in the control group(P<0.05).The observation group did not receive any complaints from the child’s family,whereas the control group received four complaints,two of which were due to the crying of the child caused by repeated punctures,one due to the poor attitude of the nurse,and one due to medication addition errors,with a cumulative complaint rate of 6.15%.The cumulative complaint rate of the observation group was significantly lower than that of the control group(P<0.05).CONCLUSION Improving nursing measures and enhancing nursing management can reduce the incidence of fluid extravasation and infusion set dislodgement in pediatric patients,improve children’s compliance and satisfaction of their families,and reduce family complaints.展开更多
Crop improvement is crucial for addressing the global challenges of food security and sustainable agriculture.Recent advancements in high-throughput phenotyping(HTP)technologies and artificial intelligence(AI)have rev...Crop improvement is crucial for addressing the global challenges of food security and sustainable agriculture.Recent advancements in high-throughput phenotyping(HTP)technologies and artificial intelligence(AI)have revolutionized the field,enabling rapid and accurate assessment of crop traits on a large scale.The integration of AI and machine learning algorithms with HTP data has unlocked new opportunities for crop improvement.AI algorithms can analyze and interpret large datasets,and extract meaningful patterns and correlations between phenotypic traits and genetic factors.These technologies have the potential to revolutionize plant breeding programs by providing breeders with efficient and accurate tools for trait selection,thereby reducing the time and cost required for variety development.However,further research and collaboration are needed to overcome the existing challenges and fully unlock the power of HTP and AI in crop improvement.By leveraging AI algorithms,researchers can efficiently analyze phenotypic data,uncover complex patterns,and establish predictive models that enable precise trait selection and crop breeding.The aim of this review is to explore the transformative potential of integrating HTP and AI in crop improvement.This review will encompass an in-depth analysis of recent advances and applications,highlighting the numerous benefits and challenges associated with HTP and AI.展开更多
Objective To analyze the factors that impact the environment quality of cleaning operating room and to discuss improvement measurement. Methods Environment bacteria testing results and prevalence of surgical incision ...Objective To analyze the factors that impact the environment quality of cleaning operating room and to discuss improvement measurement. Methods Environment bacteria testing results and prevalence of surgical incision infection in cleaning operating room were retro-展开更多
Digitization of education is an important component of Digital China Strategy. China is deeply implementing the digitalization of education strategy, promoting educational reform and innovation, and accelerating the c...Digitization of education is an important component of Digital China Strategy. China is deeply implementing the digitalization of education strategy, promoting educational reform and innovation, and accelerating the construction of a learning society and a learning country where everyone can learn, learn everywhere, and learn at all times [1]. As the cradle and gathering place of talent cultivation, universities should be at the forefront of educational informatization construction. As a comprehensive energy university in the northeastern region of Sichuan, the Nanchong Campus of Southwest Petroleum University plays an irreplaceable role in the local economic development. This article summarizes the current situation of educational informatization construction on this campus and proposes suggestions for its improvement path, providing constructive reference opinions for the development of similar universities.展开更多
BACKGROUND The minimal clinically important difference(MCID)is defined as the smallest meaningful change in a health domain that a patient would identify as important.Thus,an improvement that exceeds the MCID can be u...BACKGROUND The minimal clinically important difference(MCID)is defined as the smallest meaningful change in a health domain that a patient would identify as important.Thus,an improvement that exceeds the MCID can be used to define a successful treatment for the individual patient.AIM To quantify the rate of clinical improvement following anatomical total shoulder arthroplasty for glenohumeral osteoarthritis.METHODS Patients were treated with the Global Unite total shoulder platform arthroplasty between March 2017 and February 2019 at Herlev and Gentofte Hospital,Denmark.The patients were evaluated preoperatively and 3 months,6 months,12 months,and 24 months postoperatively using the Western Ontario Osteoarthritis of the Shoulder index(WOOS),Oxford Shoulder Score(OSS)and Constant-Murley Score(CMS).The rate of clinically relevant improvement was defined as the proportion of patients who had an improvement 24 months postoperatively that exceeded the MCID.Based on previous literature,MCID for WOOS,OSS,and CMS were defined as 12.3,4.3,and 12.8 respectively.RESULTS Forty-nine patients with a Global Unite total shoulder platform arthroplasty were included for the final analysis.Mean age at the time of surgery was 66 years(range 49.0-79.0,SD:8.3)and 65%were women.One patient was revised within the two years follow-up.The mean improvement from the preoperative assessment to the two-year follow-up was 46.1 points[95%confidence interval(95%CI):39.7-53.3,P<0.005]for WOOS,18.2 points(95%CI:15.5-21.0,P<0.005)for OSS and 37.8 points(95%CI:31.5-44.0,P<0.005)for CMS.Two years postoperatively,41 patients(87%)had an improvement in WOOS that exceeded the MCID,45 patients(94%)had an improvement in OSS that exceeded the MCID,and 42 patients(88%)had an improvement in CMS that exceeded the MCID.CONCLUSION Based on three shoulder-specific outcome measures we find that approximately 90%of patients has a clinically relevant improvement.This is a clear message when informing patients about their prognosis.展开更多
BACKGROUND The neonatal intensive care unit(NICU)is vital for preterm infants but is often plagued by harmful noise levels.Excessive noise,ranging from medical equipment to conversations,poses significant health risks...BACKGROUND The neonatal intensive care unit(NICU)is vital for preterm infants but is often plagued by harmful noise levels.Excessive noise,ranging from medical equipment to conversations,poses significant health risks,including hearing impairment and neurodevelopmental issues.The American Academy of Pediatrics recommends strict sound limits to safeguard neonatal well-being.Strategies such as education,environmental modifications,and quiet hours have shown to reduce noise levels.However,up to 60%of the noises remain avoidable.High noise exposure exacerbates physiological disturbances,impacting vital functions and long-term neurological outcomes.Effective noise reduction in the NICU is crucial for promoting optimal neonatal development.AIM To measure the sound levels in a NICU and reduce ambient sound levels by at least 10%from baseline.METHODS A quasi-experimental quality improvement project was conducted over 4 mo in a 20-bed level 3 NICU in a tertiary care medical college.Baseline noise levels were recorded continuously using a sound level meter.The interventions included targeted education,environmental modifications,and organizational changes,and were implemented through three rapid Plan-Do-Study-Act(PDSA)cycles.Weekly feedback and monitoring were conducted,and statistical process control charts were used for analysis.The mean noise values were compared using the paired t-test.RESULTS The baseline mean ambient noise level in the NICU was 67.8 dB,which decreased to 50.5 dB after the first cycle,and further decreased to 47.4 dB and 51.2 dB after subsequent cycles.The reduction in noise levels was 21%during the day and 28%PDSA cycle(mean difference of−17.3 dB,P<0.01).Peak noise levels decreased from 110 dB to 88.24 dB after the intervention.CONCLUSION A multifaceted intervention strategy reduced noise in the NICU by 25%over 4 months.The success of this initiative emphasizes the significance of comprehensive interventions for noise reduction.展开更多
Boron is an ambitious fuel in energetic materials since its high heat release values,but its application is prohibited by low combustion efficiency and oxidization during storage.The polydopamine(PDA)was introduced in...Boron is an ambitious fuel in energetic materials since its high heat release values,but its application is prohibited by low combustion efficiency and oxidization during storage.The polydopamine(PDA)was introduced into boron particles,investigating the impact of PDA content on the energetic behavior of boron.The results indicated that the PDA coating formed a fishing net structure on the surface of boron particles.The heat release results showed that the combustion calorific value of B@PDA was higher than that of the raw boron.Specifically,the actual combustion heat of boron powder in B@10%PDA increased by 38.08%.Meanwhile,the DSC peak temperature decreased by 100.65℃under similar oxidation rate compared to raw boron.Simultaneously,the B@PDA@AP and B@AP composites were prepared,and their combustion properties were evaluated.It was demonstrated that B@10%PDA@AP exhibited superior performance in terms of peak pressure and burning time,respectively.The peak pressure is 12.43 kPa more than B@AP and burning time is 2.22 times higher than B@AP.Therefore,the coating of PDA effectively inhibits the oxidization of boron during storage and enhances the energetic behavior of boron and corresponding composites.展开更多
Background: Nigeria, a nation grappling with rapid population growth, economic intricacies, and complex healthcare challenges, particularly in Lagos State, the economic hub and most populous state, faces the challenge...Background: Nigeria, a nation grappling with rapid population growth, economic intricacies, and complex healthcare challenges, particularly in Lagos State, the economic hub and most populous state, faces the challenge of ensuring quality healthcare access. The overview of the effect of quality improvement initiatives in this paper focuses on private healthcare providers in Lagos State, Nigeria. The study assesses the impact of donor-funded quality improvement projects on these private healthcare facilities. It explores the level of participation, perceived support, and tangible effects of the initiatives on healthcare delivery within private healthcare facilities. It also examines how these initiatives influence patient inflow and facility ratings, and bring about additional benefits and improvements, provides insights into the challenges faced by private healthcare providers in implementing quality improvement projects and elicits recommendations for improving the effectiveness of such initiatives. Methods: Qualitative research design was employed for in-depth exploration, utilizing semi-structured interviews. Private healthcare providers in Lagos involved in the SP4FP Quality Improvement Project were purposively sampled for diversity. Face-to-face interviews elicited insights into participation, perceived support, and project effects. Questions covered participation levels, support perception, changes observed, challenges faced, and recommendations. Thematic analysis identified recurring themes from interview transcripts. Adherence to ethical guidelines ensured participant confidentiality and informed consent. Results: Respondents affirmed active involvement in the SP4FP Quality Improvement Project, echoing literature emphasizing private-sector collaboration with the public sector. While acknowledging positive influences on facility ratings, respondents highlighted challenges within the broader Nigerian healthcare landscape affecting patient numbers. Respondents cited tangible improvements, particularly in staff management and patient care processes, validating the positive influence of quality improvement projects. Financial constraints emerged as a significant challenge, aligning with existing literature emphasizing the pragmatic difficulties faced by private healthcare providers. Conclusions: This study illuminates the complex landscape of private healthcare provision in Lagos State, emphasizing the positive impact of donor-funded quality improvement projects. The findings provide nuanced insights, guiding policymakers, healthcare managers, and practitioners toward collaborative, sustainable improvements. As Nigeria progresses, these lessons will be crucial in shaping healthcare policies prioritizing population well-being.展开更多
During the late Qing dynasty(1840 A.D.-1912 A.D.),a large quantity of Western medicines entered China,which continuously impacted the traditional Chinese medicine(TCM)market and revealed the shortcomings of Chinese me...During the late Qing dynasty(1840 A.D.-1912 A.D.),a large quantity of Western medicines entered China,which continuously impacted the traditional Chinese medicine(TCM)market and revealed the shortcomings of Chinese medicines.Some personages in the TCM community followed the trend of learning from the West,and attempted to reform TCM,with the improvement on decoction becoming an important aspect of this effort.Through debates and trials,the improvement on decoction underwent three stages of conceptual evolution:“taking Chinese medicines as the foundation and referring to the dosage forms of Western medicines”,“introducing Western techniques to serve the preparation of decoctions”and“integrating the theories of TCM and Western medicine to improve decoctions”.The study highlights the effective complementarity between modern TCM and Western medicine in the field of pharmacy,and provides valuable experience and support for the reevaluation of the value of TCM in contemporary society.展开更多
文摘As agricultural mechanization is becoming more and more popular, soil compaction, on basis of agricultural machinery, has become a serious problem that can not be ignored. Soil compaction, which is caused by frequent til age and large load in the field, may have different effects on various properties of soil. Soil com-paction may result in different conditions, such as increased soil density and the mechanical resistance, and decreased soil ventilation and the capacity of water holding and storage, but uptaking capacity of chemical elements is restricted. There-fore, soil compaction has some negative impacts on soil properties, physical y, chemical y, or biological y, as wel as plant growth. This research analyzed the cause and the harm of soil compaction in recent years, and some effective mea-sures were proposed to improve soil compaction, in order to reduce the extent of soil compaction caused by agricultural machinery.
文摘Increasing production capacity and operating rate, reducing fuel rates and costs of hot metal (HM) are the urgent tasks for the COREX process. In this study ,the various factors on the fuel consumption of COREX are researched from the theoretical analysis based on the calculations of material balances and heat balances. Combined with the production performances and practices of COREX-2000 ( Saldanha, India) and COREX-3000 ( Baosteel ), the technical measures of reducing the fuel rate are analyzed and the way forward of technical innovation is addressed and discussed with the standpoint of the COREX process improvement.
文摘The data of cultivated land quality monitoring sites,and the current situations and evolution trend of soil organic matter in cultivated land in Northeast China were analyzed.Then,the causes for low organic matter content were discussed.Finally,it came up with pertinent soil improvement recommendations,including actively promoting the quality protection technology model of cultivated land such as straw returning in accordance with local conditions,expanding organic fertilizer sources and increasing application of organic fertilizers,implementing reasonable crop rotation,planting green manure crops such as legumes,and realizing the combination of land use and land cultivation,establishing a reasonable fertilization system,combining organic and inorganic fertilizers with scientific fertilization,increasing fertilizer efficiency and reducing the application of chemical fertilizers,increasing financial investment and promoting the integration of funds related to cultivated land protection.
文摘In order to improve the quality of cultivated land in Liaoning Province in the light of local conditions, medium- and low-yielding farmland in Liaoning Province are divided into various zones according to characteristics of the terrain, and the practical and feasible improvement measures are put forward based on the current situation and main existing problems in the medium- and low-yielding farmland in different areas,
基金the 2020 Chengdu Key Educational Research Project:“Research on School-led Curriculum Development and Implementation for Enhancing Parental Educational Competence”(CY2020ZE11).
文摘The delivery of targeted family education guidance services is essential for establishing a three-in-one education model that encompasses families,schools,and communities.It is also the key to creating a favorable educational environment that promotes the comprehensive and healthy development of individual students.To gain a comprehensive understanding of family education characteristics and trends in Chinese counties,accurately tap into the educational needs of parents,and effectively identify strengths and weaknesses in family education guidance services,this paper employed a quantitative research method based on a questionnaire survey and interview data from J district of C city after years of continuous monitoring of the quality of family education in the area,aiming to explore these issues and put forward several suggestions for improvement.The results indicate that the family learning environment and atmosphere in the district are generally favorable,while parental educational competence requires further improvement.Parents express a strong desire for interactive,systematic,and fragmented family education guidance from schools.Most parents acknowledge the significance of receiving guidance on family education,yet they are disinclined to actively engage in learning-related activities.While the operational mechanisms of county-level family education guidance services have been continuously improved,there is a need for greater overall coordination.Furthermore,the potential of school-led family education guidance services has yet to be fully tapped,and the scientific and professional standards of such guidance need to be further enhanced.Based on the aforementioned findings,we propose recommendations for improvement.Using J district’s effective improvement practices in management,curriculum,and teams as an example,we intend to explore practical ways to promote county-level family education guidance services and provide a valuable reference for the establishment of a comprehensive and effective system to improve such services.
文摘Stations are often regarded as change engines--places where passengers have to change as quickly and efficiently as possible from one mode of transport to another. Underpinned by research, NS (Netherlands Railways) currently takes the view that stations should be transformed into dynamic urban portals that not only facilitate a speedy transfer but also make the stay at the station more enjoyable. To discover which aspects the customer perceives as important, NS developed a research method that is based on enviromnental psychology and with which the impact of passengers' waiting and station experience can be measured. This article addresses the measures taken, the method of measurement and the measurement results. Examples of such measures are: experimenting with colour, light, music, infotainment and increasing and repositioning the shopping facilities. Our studies not only showed an increase in the score for the general evaluation of a test station (Leiden Central Station) with one full point but also significant positive effects on various aspects of waiting and experience.
文摘The retarding effect of protein retarder on phosphorus building gypsum(PBG)and desulfurization building gypsum(DBG)was investigated,and the results show that protein retarder for DBG can effectively prolong the setting time and displays a better retarding effect,but for PBG shows a poor retarding effect.Furthermore,the deterioration reason of the retarding effect of protein retarder on PBG was investigated by measuring the pH value and the retarder concentration of the liquid phase from vacuum filtration of PBG slurry at different hydration time,and the measure to improve the retarding effect of protein retarding on PBG was suggested.The pH value of PBG slurry(<5.0)is lower than that of DBG slurry(7.8-8.5).After hydration for 5 min,the concentration of retarder in liquid phase of DBG slurry gradually decreases,but in liquid phase of PBG slurry continually increases,which results in the worse retarding effect of protein retarder on PBG.The liquid phase pH value of PBG slurry can be adjusted higher by sodium silicate,which is beneficial to improvement in the retarding effect of the retarder.By adding 1.0%of sodium silicate,the initial setting time of PBG was efficiently prolonged from 17 to 210 min,but little effect on the absolute dry flexural strength was observed.
文摘With the rapid development and wide application of the network,many universities conform to the development of thetimes and actively carry out online English teaching.Online teaching is an important choice for higher education in modern times.It takes the Internet as the transmission system and uses the characteristics and resources of the network to create a meaningfullearning environment different from traditional teaching,which is beneficial to students’learning.After decades of development,ithas become a good teaching mode in addition to the traditional classroom teaching model.However,because its development inChina is still in its infancy,there are inevitably some shortcomings.This article discusses the advantages and disadvantages of on-line English teaching and puts forward some improvement measures.
基金Supported by Scientific Innovation Program of Guangxi Aquatic,Animal Husbandry and Veterinary Bureau(1304519)
文摘The development of buffalo milk industry in China encounters the problems of small high yield populations and insufficient excellent provenance. There- fore, it is necessary to carry out dairy herd improvement (DHI) to increase dairy buffalo herd productivity. This paper reviewed the situation and problems of DHI in dairy buffalo, and the corresponding opinions and suggestions were put forward.
基金Supported by Jiangxi Art and Social Science Planning Project(YG2015036)
文摘The improvement of urbanization level in China and long-term development of economy in vast rural areas commonly impel rapid development of urbanization in China by " stronghold type" of small town and " radiation type" of big town. Urbanization road with Chinese characteristics impels urbanization and industrialization development,which needs relying on the development of small town. Due to the impact of town,space environment of " village in town" changes,and rural memory weakens. The state of " non city and non township" deeply affects rural development. Meanwhile,due to limited by urban-rural dualism,top-down planning of " village in town" is obviously unworkable. In this paper,analysis and interpretation on the problems of " village in town" are conducted,the cause is found,and effective channel of solving problem is obtained.
文摘BACKGROUND Intravenous infusion is a common method of drug administration in clinical practice.Errors in any aspect of the infusion process,from the verification of medical orders,preparation of the drug solution,to infusion by nursing staff,may cause adverse infusion events.AIM To analyzed the value of improving nursing measures and enhancing nursing management to reduce the occurrence of adverse events in pediatric infusion.METHODS The clinical data of 130 children who received an infusion in the pediatric department of our hospital from May 2020 to May 2021 were analyzed and divided into two groups according to the differences in nursing measures and nursing management:65 patients in the control group received conventional nursing and nursing management interventions,while 65 patients in the observation group received improved nursing measure interventions and enhanced nursing management.The occurrence of adverse events,compliance of children,satisfaction of children’s families,and complaints regarding the transfusion treatment were recorded in both groups.RESULTS The incidence of fluid extravasation and infusion set dislodgement in the observation group were 3.08%and 1.54%,respectively,which were significantly lower than 12.31%and 13.85%in the control group(P<0.05),while repeated punctures and medication addition errors in the observation group were 3.08%and 0.00%,respectively,which were lower than 9.23%and 3.08%in the control group,but there was no significant difference(P>0.05).The compliance rate of children in the observation group was 98.46%(64/65),which was significantly higher than 87.69%(57/65)in the control group,and the satisfaction rate of children’s families was 96.92%(63/65),which was significantly higher than 86.15%(56/65)in the control group(P<0.05).The observation group did not receive any complaints from the child’s family,whereas the control group received four complaints,two of which were due to the crying of the child caused by repeated punctures,one due to the poor attitude of the nurse,and one due to medication addition errors,with a cumulative complaint rate of 6.15%.The cumulative complaint rate of the observation group was significantly lower than that of the control group(P<0.05).CONCLUSION Improving nursing measures and enhancing nursing management can reduce the incidence of fluid extravasation and infusion set dislodgement in pediatric patients,improve children’s compliance and satisfaction of their families,and reduce family complaints.
基金supported by a grant from the Standardization and Integration of Resources Information for Seed-cluster in Hub-Spoke Material Bank Program,Rural Development Administration,Republic of Korea(PJ01587004).
文摘Crop improvement is crucial for addressing the global challenges of food security and sustainable agriculture.Recent advancements in high-throughput phenotyping(HTP)technologies and artificial intelligence(AI)have revolutionized the field,enabling rapid and accurate assessment of crop traits on a large scale.The integration of AI and machine learning algorithms with HTP data has unlocked new opportunities for crop improvement.AI algorithms can analyze and interpret large datasets,and extract meaningful patterns and correlations between phenotypic traits and genetic factors.These technologies have the potential to revolutionize plant breeding programs by providing breeders with efficient and accurate tools for trait selection,thereby reducing the time and cost required for variety development.However,further research and collaboration are needed to overcome the existing challenges and fully unlock the power of HTP and AI in crop improvement.By leveraging AI algorithms,researchers can efficiently analyze phenotypic data,uncover complex patterns,and establish predictive models that enable precise trait selection and crop breeding.The aim of this review is to explore the transformative potential of integrating HTP and AI in crop improvement.This review will encompass an in-depth analysis of recent advances and applications,highlighting the numerous benefits and challenges associated with HTP and AI.
文摘Objective To analyze the factors that impact the environment quality of cleaning operating room and to discuss improvement measurement. Methods Environment bacteria testing results and prevalence of surgical incision infection in cleaning operating room were retro-
文摘Digitization of education is an important component of Digital China Strategy. China is deeply implementing the digitalization of education strategy, promoting educational reform and innovation, and accelerating the construction of a learning society and a learning country where everyone can learn, learn everywhere, and learn at all times [1]. As the cradle and gathering place of talent cultivation, universities should be at the forefront of educational informatization construction. As a comprehensive energy university in the northeastern region of Sichuan, the Nanchong Campus of Southwest Petroleum University plays an irreplaceable role in the local economic development. This article summarizes the current situation of educational informatization construction on this campus and proposes suggestions for its improvement path, providing constructive reference opinions for the development of similar universities.
文摘BACKGROUND The minimal clinically important difference(MCID)is defined as the smallest meaningful change in a health domain that a patient would identify as important.Thus,an improvement that exceeds the MCID can be used to define a successful treatment for the individual patient.AIM To quantify the rate of clinical improvement following anatomical total shoulder arthroplasty for glenohumeral osteoarthritis.METHODS Patients were treated with the Global Unite total shoulder platform arthroplasty between March 2017 and February 2019 at Herlev and Gentofte Hospital,Denmark.The patients were evaluated preoperatively and 3 months,6 months,12 months,and 24 months postoperatively using the Western Ontario Osteoarthritis of the Shoulder index(WOOS),Oxford Shoulder Score(OSS)and Constant-Murley Score(CMS).The rate of clinically relevant improvement was defined as the proportion of patients who had an improvement 24 months postoperatively that exceeded the MCID.Based on previous literature,MCID for WOOS,OSS,and CMS were defined as 12.3,4.3,and 12.8 respectively.RESULTS Forty-nine patients with a Global Unite total shoulder platform arthroplasty were included for the final analysis.Mean age at the time of surgery was 66 years(range 49.0-79.0,SD:8.3)and 65%were women.One patient was revised within the two years follow-up.The mean improvement from the preoperative assessment to the two-year follow-up was 46.1 points[95%confidence interval(95%CI):39.7-53.3,P<0.005]for WOOS,18.2 points(95%CI:15.5-21.0,P<0.005)for OSS and 37.8 points(95%CI:31.5-44.0,P<0.005)for CMS.Two years postoperatively,41 patients(87%)had an improvement in WOOS that exceeded the MCID,45 patients(94%)had an improvement in OSS that exceeded the MCID,and 42 patients(88%)had an improvement in CMS that exceeded the MCID.CONCLUSION Based on three shoulder-specific outcome measures we find that approximately 90%of patients has a clinically relevant improvement.This is a clear message when informing patients about their prognosis.
文摘BACKGROUND The neonatal intensive care unit(NICU)is vital for preterm infants but is often plagued by harmful noise levels.Excessive noise,ranging from medical equipment to conversations,poses significant health risks,including hearing impairment and neurodevelopmental issues.The American Academy of Pediatrics recommends strict sound limits to safeguard neonatal well-being.Strategies such as education,environmental modifications,and quiet hours have shown to reduce noise levels.However,up to 60%of the noises remain avoidable.High noise exposure exacerbates physiological disturbances,impacting vital functions and long-term neurological outcomes.Effective noise reduction in the NICU is crucial for promoting optimal neonatal development.AIM To measure the sound levels in a NICU and reduce ambient sound levels by at least 10%from baseline.METHODS A quasi-experimental quality improvement project was conducted over 4 mo in a 20-bed level 3 NICU in a tertiary care medical college.Baseline noise levels were recorded continuously using a sound level meter.The interventions included targeted education,environmental modifications,and organizational changes,and were implemented through three rapid Plan-Do-Study-Act(PDSA)cycles.Weekly feedback and monitoring were conducted,and statistical process control charts were used for analysis.The mean noise values were compared using the paired t-test.RESULTS The baseline mean ambient noise level in the NICU was 67.8 dB,which decreased to 50.5 dB after the first cycle,and further decreased to 47.4 dB and 51.2 dB after subsequent cycles.The reduction in noise levels was 21%during the day and 28%PDSA cycle(mean difference of−17.3 dB,P<0.01).Peak noise levels decreased from 110 dB to 88.24 dB after the intervention.CONCLUSION A multifaceted intervention strategy reduced noise in the NICU by 25%over 4 months.The success of this initiative emphasizes the significance of comprehensive interventions for noise reduction.
文摘Boron is an ambitious fuel in energetic materials since its high heat release values,but its application is prohibited by low combustion efficiency and oxidization during storage.The polydopamine(PDA)was introduced into boron particles,investigating the impact of PDA content on the energetic behavior of boron.The results indicated that the PDA coating formed a fishing net structure on the surface of boron particles.The heat release results showed that the combustion calorific value of B@PDA was higher than that of the raw boron.Specifically,the actual combustion heat of boron powder in B@10%PDA increased by 38.08%.Meanwhile,the DSC peak temperature decreased by 100.65℃under similar oxidation rate compared to raw boron.Simultaneously,the B@PDA@AP and B@AP composites were prepared,and their combustion properties were evaluated.It was demonstrated that B@10%PDA@AP exhibited superior performance in terms of peak pressure and burning time,respectively.The peak pressure is 12.43 kPa more than B@AP and burning time is 2.22 times higher than B@AP.Therefore,the coating of PDA effectively inhibits the oxidization of boron during storage and enhances the energetic behavior of boron and corresponding composites.
文摘Background: Nigeria, a nation grappling with rapid population growth, economic intricacies, and complex healthcare challenges, particularly in Lagos State, the economic hub and most populous state, faces the challenge of ensuring quality healthcare access. The overview of the effect of quality improvement initiatives in this paper focuses on private healthcare providers in Lagos State, Nigeria. The study assesses the impact of donor-funded quality improvement projects on these private healthcare facilities. It explores the level of participation, perceived support, and tangible effects of the initiatives on healthcare delivery within private healthcare facilities. It also examines how these initiatives influence patient inflow and facility ratings, and bring about additional benefits and improvements, provides insights into the challenges faced by private healthcare providers in implementing quality improvement projects and elicits recommendations for improving the effectiveness of such initiatives. Methods: Qualitative research design was employed for in-depth exploration, utilizing semi-structured interviews. Private healthcare providers in Lagos involved in the SP4FP Quality Improvement Project were purposively sampled for diversity. Face-to-face interviews elicited insights into participation, perceived support, and project effects. Questions covered participation levels, support perception, changes observed, challenges faced, and recommendations. Thematic analysis identified recurring themes from interview transcripts. Adherence to ethical guidelines ensured participant confidentiality and informed consent. Results: Respondents affirmed active involvement in the SP4FP Quality Improvement Project, echoing literature emphasizing private-sector collaboration with the public sector. While acknowledging positive influences on facility ratings, respondents highlighted challenges within the broader Nigerian healthcare landscape affecting patient numbers. Respondents cited tangible improvements, particularly in staff management and patient care processes, validating the positive influence of quality improvement projects. Financial constraints emerged as a significant challenge, aligning with existing literature emphasizing the pragmatic difficulties faced by private healthcare providers. Conclusions: This study illuminates the complex landscape of private healthcare provision in Lagos State, emphasizing the positive impact of donor-funded quality improvement projects. The findings provide nuanced insights, guiding policymakers, healthcare managers, and practitioners toward collaborative, sustainable improvements. As Nigeria progresses, these lessons will be crucial in shaping healthcare policies prioritizing population well-being.
基金This research is financed by the grant from National Social Science Fund(No.18ZDA175).
文摘During the late Qing dynasty(1840 A.D.-1912 A.D.),a large quantity of Western medicines entered China,which continuously impacted the traditional Chinese medicine(TCM)market and revealed the shortcomings of Chinese medicines.Some personages in the TCM community followed the trend of learning from the West,and attempted to reform TCM,with the improvement on decoction becoming an important aspect of this effort.Through debates and trials,the improvement on decoction underwent three stages of conceptual evolution:“taking Chinese medicines as the foundation and referring to the dosage forms of Western medicines”,“introducing Western techniques to serve the preparation of decoctions”and“integrating the theories of TCM and Western medicine to improve decoctions”.The study highlights the effective complementarity between modern TCM and Western medicine in the field of pharmacy,and provides valuable experience and support for the reevaluation of the value of TCM in contemporary society.