Malpractice or masterful practice?Navigating vicarious liability in healthcare

In the intricate landscape of healthcare,vicarious liability looms large,shaping the responsibilities and actions of healthcare practitioners and administrators alike.Illustrated by a poignant scenario of a medication error,this article navigates the complexities of vicarious liability in healthcare.It explains the legal basis and ramifications of this theory,emphasizing its importance in fostering responsibility,protecting patient welfare,and easing access to justice.The paper explores the practical effects of vicarious responsibility on day-to-day operations,leadership practices,and decision-making processes via the eyes of senior consultants,junior doctors,and hospital administrators.Through comprehensive insights and real-world examples,it underscores the imperative of fostering a culture of accountability,communication,and quality care to navigate the intricate web of liabilities inherent in modern healthcare.

A Global Reliability Assessment Method on Aging Offshore Platforms with Corrosion and Cracks

Corrosion and fatigue cracks are major threats to the structural integrity of aging offshore platforms. For the rational estimation of the safety levels of aging platforms, a global reliability assessment approach for aging offshore platforms with corrosion and fatigue cracks is presented in this paper. The base shear capacity is taken as the global ultimate strength of the offshore platforms. It is modeled as a random process that decreases with time in the presence of corrosion and fatigue crack propagation. And the corrosion and fatigue crack growth rates in the main members and key joints are modeled as random variables. A simulation method of the extreme wave loads which are applied to the structures of offshore platforms is proposed too. Furthermore, the statistics of global base shear capacity and extreme wave loads are obtained by Monte Carlo simulation method. On the basis of the limit state equation of global failure mode, the instantaneous reliability and time dependent reliability assessment methods are both presented in this paper. Finally the instantaneous reliability index and time dependent failure probability of a jacket platform are estimated with different ages in the demonstration example.

Efficient Approximate Method of Global Reliability Analysis for Offshore Platforms in the Ice Zone

Ice load is the dominative load in the design of offshore platforms in the ice zone, and the extreme ice load is the key factor that affects the safety of platforms. The present paper studies the statistical properties of the global resistance and the extreme responses of the jacket platforms in Bahai Bay, considering the randomness of ice load, dead load, steel elastic modulus, yield strength and structural member dimensions. Then, based on the above results, an efficient approximate method of the global reliability analysis for the offshore platforms is proposed, which converts the implicit nonlinear performance function in the conventional reliability analysis to linear explicit one. Finally, numerical examples of JZ20-2 MSW, JZ20-2NW and JZ20-2 MUQ offshore jacket platforms in the Bahai Bay demonstrate the satisfying efficiency, accuracy and applicability of the proposed method.

Multi-Objective Fuzzy Optimum Design Based on Reliability for Offshore Jacket Platforms

In consideration of the fuzzy constraint boundary and through analysis of structural reliability, a model of structural fuzzy optimum design is established based on reliability for offshore jacket platforms. According to the characteristics of offshore jacket platforms, the tolerance coefficient of the constraint boundary is determined with the fuzzy optimization method. The optimum level cut set lambda*, which is the intersection of the fuzzy constraint set and fuzzy objective set, is determined with the bound search method, and then the fuzzy optimum solution to the fuzzy optimization problem is obtained. The central offshore platform SZ36-1 is designed with the fuzzy optimum model based on reliability; the results are compared with those from deterministic optimum design and fuzzy optimum design. The tendency of design variables in the above three methods and its reasons are analyzed. The results of an example show that the fuzzy optimum design based on reliability is stable and reliable.

Reliability-Based Load and Resistance Factors Design for Offshore Jacket Platforms in the Bohai Bay:Calibration on Target Reliability Index

The target reliability index has been effectively used as the best solution to deal with the relationship between the structural safety and the optimal economy in any structural design. However, the target reliability index for offshore jacket platforms based on different sea areas in China has never been calibrated. This paper presents an approach for its calibration, and suggests many kinds of associated load cases. The uncertainties of loads and structural resistance are mainly in- vestigated. The target reliability index for structural components, tubular joints and piles of offshore jacket plaffortns are discussed respectively in detail. Finally, through the calibrated results from the offshore jacket platforms of QK18-1, JZ20-2, SZ36-1 and BZ28-1 in the Bohai Bay, it is proposed to adopt 2.8 as the target reliability index of offshore jacket platforms in the Bohai Bay for a 25-year design period. The results provide significant reference for the design of offshore jacket platforms.

A Method for Analyzing System Reliability of Existing Jacket Platforms

Owing to the ageing of the existing structures worldwide and the lack of codes for the continued safely management of structures during their lifetime, it is very necessary to develop a tool to evaluate their system reliability over a time interval. In this paper, a method is proposed to analyze system reliability of existing jacket platforms. The influences of dint, crack and corrosion are considered. The mechanics characteristics of the existing jacket platforms to extreme loads are analyzed by use of the nonlinear mechanical analysis. The nonlinear interaction of pile-soil-structure is taken into consideration in the analysis. By use of FEM method and Monte Carlo simulation, the system reliability of the existing jacket platforul can be obtained. The method has been illustrated through application to BZ28-1 three jacket platforms which have operated for sixteen years. Advantages of the proposed method for analyzing the system reliability of the existing jacket platform is also highlighted.

Compulsory Liability Insurance for Marine Drilling Platforms Pollution under Chinese Law

Compulsory liability insurance has widely existed in the field of marine insurance. However, marine drilling platforms have always been excluded from this system in China. In view of the special legal nature of oil pollution compulsory liability insurance for marine drilling platforms, this paper analyzes a number of issues related to oil pollution compulsory liability insurance, elaborates on the necessity for China to implement the system and makes some suggestions about the implementation of that.

Reliability-Based Load and Resistance Factors Design for Offshore Jacket Platforms in the Bohai Bay:Calibration on Design Factors

For the fulfillment of the probability-based structural design for the offshore jacket platforms in the Bohai Bay, the design factors of loads, resistance and load combinations are much necessary to be calibrated according to the proposed target reliability index. Firstly, the limit states function for the offshore jacket platforms is introduced. Then, four approaches to calibrate the factors of load and resistance are presented and compared. Afterwards, the methods to calibrate the load combination factors are developed. Finally, the factors of load, resistance and load combination for the offshore jacket platforms in the Bohai Bay are calibrated and the corresponding design formulae are recommended. The results are proved to be rational in practice, and also illustrate that the proposed target reliability index for offshore jacket platforms in the Bohai Bay is also appropriate.

Application of GNSS-PPP on Dynamic Deformation Monitoring of Offshore Platforms

The real-time dynamic deformation monitoring of offshore platforms under environmental excitation is crucial to their safe operation.Although Global Navigation Satellite System-Precise Point Positioning(GNSS-PPP)has been considered for this purpose,its monitoring accuracy is relatively low.Moreover,the influence of background noise on the dynamic monitoring accuracy of GNSS-PPP remains unclear.Hence,it is imperative to further validate the feasibility of GNSS-PPP for deformation monitoring of offshore platforms.To address these concerns,vibration table tests with different amplitudes and frequencies are conducted.The results demonstrate that GNSS-PPP can effectively monitor horizontal vibration displacement as low as±30 mm,which is consistent with GNSS-RTK.Furthermore,the spectral characteristic of background noise in GNSS-PPP is similar to that of GNSS-RTK(Real Time Kinematic).Building on this observation,an improved Complete Ensemble Empirical Mode Decomposition with Adaptive Noise(CEEMDAN)has been proposed to de-noise the data and enhance the dynamic monitoring accuracy of GNSS-PPP.Field monitoring application research is also undertaken,successfully extracting and analyzing the dynamic deformation of an offshore platform structure under environmental excitation using GNSS-PPP monitoring in conjunction with improved CEEMDAN de-noising.By comparing the de-noised dynamic deformation trajectories of the offshore platform during different periods,it is observed that the platform exhibits reversible alternating vibration responses under environmental excitation,with more pronounced displacement deformation in the direction of load action.The research results confirm the feasibility and potential of GNSS-PPP for dynamic deformation monitoring of offshore platforms.

Reliability-Based Design for Jacket Platform Under Extreme Loads

In this paper, reliability analysis for the offshore jacket platform with the interaction of structure- pile- soil under extreme environmental loads is carried out. The inherent uncertainties of the environmental load, foundation soil, platform itself, and calculating models are evaluated. The action of extreme loads on the offshore platform is modeled as a function of extreme wave height. The system capacity of the whole platform is determined by nonlinear pushover analysis, and the relevant probability property is obtained by the simulation method. The reliability model for the whole jacket platform is described as the relationship between the load and resistance based on the offshore design codes. The reliability of whole platform is calculated by the analytical method and the importance sampling method on the basis of a case study for a tripod jacket platform.

Aseismic Reliability Analysis Approach for Offshore Jacket Platform Structures

By means of nonlinear pushover collapse analysis approach, the aseismic reliability analyses of two offshore jacket platforms in the Bohai Gulf in China are studied according to their ocean location and environmental loadings there. On the basis of those analyses, an aseismic reliability analysis approach is presented. The results show that the aseismic reliability of those platforms is high. Also it is proved that this aseismic reliability analysis approach is simple, practical and reliable.

System Reliability Analysis of an Offshore Jacket Platform

This study investigates strategies for solving the system reliability of large three-dimensional jacket structures.These structural systems normally fail as a result of a series of different components failures.The failure characteristics are investigated under various environmental conditions and direction combinations.Theβ-unzipping technique is adopted to determine critical failure components,and the entire system is simplified as a series-parallel system to approximately evaluate the structural system reliability.However,this approach needs excessive computational effort for searching failure components and failure paths.Based on a trained artificial neural network(ANN),which can be used to approximate the implicit limit-state function of a complicated structure,a new alternative procedure is proposed to improve the efficiency of the system reliability analysis method.The failure probability is calculated through Monte Carlo simulation(MCS)with Latin hypercube sampling(LHS).The features and applicability of the above procedure are discussed and compared using an example jacket platform located in Chengdao Oilfield,Bohai Sea,China.This study provides a reference for the evaluation of the system reliability of jacket structures.

Sedimentary build-ups of pre-salt isolated carbonate platforms and formation of deep-water giant oil fields in Santos Basin,Brazil

In response to the problems of unclear distribution of deep-water pre-salt carbonate reservoirs and formation conditions of large oil fields in the Santos passive continental margin basin,based on comprehensive utilization of geological,seismic,and core data,and reconstruction of Early Cretaceous prototype basin and lithofacies paleogeography,it is proposed for the first time that the construction of pre-salt carbonate build-ups was controlled by two types of isolated platforms:inter-depression fault-uplift and intra-depression fault-high.The inter-depression fault-uplift isolated platforms are distributed on the present-day pre-salt uplifted zones between depressions,and are built on half-and fault-horst blocks that were inherited and developed in the early intra-continental and inter-continental rift stages.The late intra-continental rift coquinas of the ITP Formation and the early inter-continental rift microbial limestones of the BVE Formation are continuously constructed;intra-depression fault-high isolated platforms are distributed in the current pre-salt depression zones,built on the uplifted zones formed by volcanic rock build-ups in the early prototype stage of intra-continental rifts,and only the BVE microbial limestones are developed.Both types of limestones formed into mound-shoal bodies,that have the characteristics of large reservoir thickness and good physical properties.Based on the dissection of large pre-salt oil fields discovered in the Santos Basin,it has been found that both types of platforms could form large-scale combined structural-stratigraphic traps,surrounded by high-quality lacustrine and lagoon source rocks at the periphery,and efficiently sealed by thick high-quality evaporite rocks above,forming the optimal combination of source,reservoir and cap in the form of“lower generation,middle storage,and upper cap”,with a high degree of oil and gas enrichment.It has been found that the large oil fields are all bottom water massive oil fields with a unified pressure system,and they are all filled to the spill-point.The future exploration is recommended to focus on the inter-depression fault-uplift isolated platforms in the western uplift zone and the southern section of eastern uplift zones,as well as intra-depression fault-high isolated platforms in the central depression zone.The result not only provides an important basis for the advanced selection of potential play fairways,bidding of new blocks,and deployment of awarded exploration blocks in the Santos Basin,but also provides a reference for the global selection of deep-water exploration blocks in passive continental margin basins.

Reliability Analysis for Offshore Platform Structural Systems

A system reliability estimation method for spatial jacket platforms is developed in this paper. The jacket platform is modeled into three-dimensional assembly of spatial beam and plate elements in Finite Element Method (FEM). The limit failure states correspond to collapse of a series of structural members which are identified by engineering design criteria. In this paper the following aspects are taken into account: the punching shear and buckling failures in member failure modes for the tubular joints and tubular columns respectively; incremental loading approach for establishment of the safety margin equations of system failure; the algorithm of enumerating significant failure modes for the structural systems and other concepts, such as the false failure mode and the virtual limit state. The final work is devoted to the reliability analysis for a practical jacket platform presently put into operation on the Bohai Sea. The computed results shows that method suggested in this paper is feasible and effective for the evaluation of the system reliability of offshore platforms.

A Coordinate-Free Approach to the Design of Generalized Griffis-Duffy Platforms

Architectural singularity belongs to the Type II singularity,in which a parallel manipulator(PM)gains one or more degrees of freedom and becomes uncontrollable.PMs remaining permanently in a singularity are beneficial for linearto-rotary motion conversion.Griffis-Duffy(GD)platform is a mobile structure admitting a Bricard motion.In this paper,we present a coordinate-free approach to the design of generalized GD platforms,which consists in determining the shape and attachment of both the moving platform and the fixed base.The generalized GD platform is treated as a combination of six coaxial single-loop mechanisms under the same constraints.Owing to the inversion,hidden in the geometric structure of these single-loop mechanisms,the mapping from a line to a circle establishes the geometric transformation between the fixed base and the moving platform based on the center of inversion,and describes the shape and attachment of the generalized GD platform.Moreover,the center of inversion not only identifies the location of rotation axis,but also affects the shape of the platform mechanism.A graphical construction of generalized GD platforms using inversion,proposed in the paper,provides geometrically feasible solutions of the manipulator design for the requirement of the location of rotation axis.

Research on the Legal Framework of Content Regulations for Network Platforms

In the era of the Internet,various network platforms have evolved into new hubs for information dissemination.Currently,China has established a platform-centered content regulation framework,wherein platforms proactively enforce content regulations in accordance with legal censorship obligations.Additionally,platform policies and user agreements augment their authority in content regulation.The platforms can achieve cost-effective and highly efficient content regulation by leveraging their strategic advantages enabled by their own technical capabilities and extensive coverage.The platform self-regulation model,however,still faces challenges.First,accurately evaluating content remains a formidable task;second,ensuring effective platform publicity through self-regulation poses difficulties;third,users may potentially face disadvantages due to the platform’s right of self-regulation;and fourth,digital copyright owners face challenges when defending digital copyright disputes under the safe harbor rule.Therefore,it is imperative to establish,review,and revise the legal framework for content regulation of network platforms in order to enhance the efficiency of their governance systems.The formulation of the legal framework for content regulation of network platforms may encompass the following aspects:rationalizing obligations pertaining to platform content regulations,enhancing supervision over platform self-regulation,and establishing a dual-track responsibility system for digital copyright content regulation.This will ensure a harmonious balance among public interests,users’personal rights and interests,and commercial benefits through regulating the content on network platforms.

Performance of composite foundations with different load transfer platforms and substratum stiffness over silty clay

The semi-rigid pile-supported composite foundation is widely used in highway projects due to its effectiveness in increasing the bearing capacity and stability of foundations.It is crucial to understand the stress distribution across the embankment width and the behaviour of unreinforced foundations.Thus,five centrifuge tests were conducted to examine the bearing and deformation behaviours of NPRS(Non-Connected Piled Raft Systems)and GRPS(GeosyntheticReinforced Pile-Supported systems)with varying substratum stiffness,then a comparative analysis was conducted on embankment settlement,pressures underneath the embankments,and axial forces along the piles.The results indicated that greater substratum stiffness correlates with reduced settlement and deformation at various depths.Deformation occurring 5 meters from the embankment toe includes settlement in NPRS and upward movement in GRPS.The potential sliding surface is primarily located within the embankment in NPRS,whereas it may extend through both the embankment and foundation in GRPS.The pile-soil stress ratio and efficiency in NPRS are higher than in GRPS across the embankment.The axial force borne by end-bearing piles is significantly greater than that by floating piles.As the buried depth increases,the axial force in GRPS initially rises then declines,whereas in NPRS,it remains relatively constant within a certain range before decreasing.This study aids in assessing the applicability of composite foundations in complex railway environments and provides a reference for procedural measures under similar conditions.

Reliability-Based Full-Life Cycle Optimum Design of Offshore Jacket Platform

Based on the consideration of operation environment and structural property, an optimum design model of offshore jacket platform is developed in this paper, namely, the reliability-based full-life cycle optimum design model. In this model, the time-dependent reliability assessment method for structural members is established by combination of the decrease of sectional size and performance deterioration of material. The initial investment, maintenance cost and failure loss cost are assembled into the model. The total cost of the platform structure system in its full service period is chosen as the objective function, and the initial reliabilities of the layer elements partitioned in advance are taken as the design variables. Different models are obtained, depending on whether the system reliability constraint is considered or not. This optimum design model can result in the lowest full-life cost and the optimal initial layer reliability of an offshore jacket platform in the design of marine structures. The feasibility of this model is illustrated with an actual jacket platform in the Liaodong Gulf as an example.

Robotic complete mesocolic excision for right colon cancer:Learning curve,training,techniques,approach,platforms,and future perspectives

Colon cancer has the fifth highest incidence worldwide and has the sixth highest mortality.Compared with rectal cancer,colon cancer currently has the worst 5-year overall survival for patients with stage Ⅱ and Ⅲ disease.Complete mesocolic excision has been developed as a standardized and optimized surgical technique for the excision of colon cancers.This technique has traditionally been performed through an open approach since laparoscopy is generally considered technically challenging.The robotic approach has been slowly implemented for colon cancer,but the newest robotic platforms allow for a safer and optimized approach for right colon cancer.Several robotic approaches have been developed and explored.The expansion of the current robotic platform ecosystem is gradually providing new outputs in the application of the robotic approach to complete mesocolic excision.This review gains an oversight of existing literature on robotic complete mesocolic excision for right colon cancer(learning curve,training,techniques,approach,platforms,and future perspectives).

Predicting Purchasing Behavior on E-Commerce Platforms: A Regression Model Approach for Understanding User Features that Lead to Purchasing

This research introduces a novel approach to improve and optimize the predictive capacity of consumer purchase behaviors on e-commerce platforms. This study presented an introduction to the fundamental concepts of the logistic regression algorithm. In addition, it analyzed user data obtained from an e-commerce platform. The original data were preprocessed, and a consumer purchase prediction model was developed for the e-commerce platform using the logistic regression method. The comparison study used the classic random forest approach, further enhanced by including the K-fold cross-validation method. Evaluation of the accuracy of the model’s classification was conducted using performance indicators that included the accuracy rate, the precision rate, the recall rate, and the F1 score. A visual examination determined the significance of the findings. The findings suggest that employing the logistic regression algorithm to forecast customer purchase behaviors on e-commerce platforms can improve the efficacy of the approach and yield more accurate predictions. This study serves as a valuable resource for improving the precision of forecasting customers’ purchase behaviors on e-commerce platforms. It has significant practical implications for optimizing the operational efficiency of e-commerce platforms.