To effectively deal with fuzzy and uncertain information in public engineering emergencies,an emergency decision-making method based on multi-granularity language information is proposed.Firstly,decision makers select...To effectively deal with fuzzy and uncertain information in public engineering emergencies,an emergency decision-making method based on multi-granularity language information is proposed.Firstly,decision makers select the appropriate language phrase set according to their own situation,give the preference information of the weight of each key indicator,and then transform the multi-granularity language information through consistency.On this basis,the sequential optimization technology of the approximately ideal scheme is introduced to obtain the weight coefficient of each key indicator.Subsequently,the weighted average operator is used to aggregate the preference information of each alternative scheme with the relative importance of decision-makers and the weight of key indicators in sequence,and the comprehensive evaluation value of each scheme is obtained to determine the optimal scheme.Lastly,the effectiveness and practicability of the method are verified by taking the earthwork collapse accident in the construction of a reservoir as an example.展开更多
Single-phase 25 kV traction networks of electrified alternating current(AC)railways create electromagnetic fields(EMFs)with significant levels of intensity.The most intense magnetic fields occur when short circuits ex...Single-phase 25 kV traction networks of electrified alternating current(AC)railways create electromagnetic fields(EMFs)with significant levels of intensity.The most intense magnetic fields occur when short circuits exist between the contact wire and rails or ground.Despite the short duration of exposure,they can adversely affect electronic devices and induce significant voltages in adjacent power lines,which is dangerous for operating personnel.Although numerous investigations have focused on modeling the EMF of traction networks and power lines,the challenge of determining the three-dimensional electromagnetic fields near metal supports during the flow of a short-circuit current through them is yet to be resolved.In this case,the field has a complex spatial structure that significantly complicates the calculations of intensities.This study proposes a methodology,algorithms,software,and digital models for determining the EMF in the described emergency scenarios.During the modeling process,the objects being studied were represented by segments of thin wires to analyze the distribution of the electric charge and calculate the intensities of the electric and magnetic fields.This approach was implemented in the Fazonord software,and the modeling results show a substantial increase in EMF levels close to the support,with a noticeable decrease in the levels as the distance from it increases.The procedure implemented in the commercial software Fazonord is universal and can be used to determine electromagnetic fields at any electrical power facility that includes live parts of limited length.Based on the proposed procedure,the EMF near the supports of overhead power lines and traction networks of various designs could be determined,the EMF levels at substations can be calculated,and the influence of metal structures located near traction networks,such as pedestrian crossings at railway stations,can be considered.展开更多
Fluorescence-based imaging has found application in several fields of elective surgery,but there is still a lack of evidence in the literature about its use in the emergency setting.Clinical trials have consistently s...Fluorescence-based imaging has found application in several fields of elective surgery,but there is still a lack of evidence in the literature about its use in the emergency setting.Clinical trials have consistently shown that indocyanine green(ICG)-guided surgery can dramatically reduce the risk of postoperative complic-ations,length of in-hospital stay and total healthcare costs in the elective setting.It is well-known that emergency surgery has a higher complication rate than its elective counterpart,therefore an impelling need for research studies to explore,validate and develop this issue has been highlighted.The present editorial aims to provide a critical overview of currently available applications and pitfalls of ICG fluorescence in abdominal emergencies.Furthermore,we evidenced how the experience of ICG-fluorescence in elective surgery might be of great help in implementing its use in acute situations.In the first paragraph we analyzed the tips and tricks of ICG-guided cancer surgery that might be exploited in acute cases.We then deepened the two most described topics in ICG-guided emergency surgery:Acute cholecystitis and intestinal ischemia,focusing on both the advantages and limitations of green-fluorescence application in these two fields.In emergency situations,ICG fluorescence demonstrates a promising role in preventing undue intestinal resections or their entity,facilitating the detection of intestinal ischemic zones,identifying biliary tree anatomy,reducing post-operative complications,and mitigating high mortality rates.The need to improve its application still exists,therefore we strongly believe that the elective and routinary use of the dye is the best way to acquire the necessary skills for emer-gency procedures.展开更多
This paper studies the Least Square Method to define high-speed railway(HSR) earthquake risk and solve the problem of its emergency response mechanism. Based on the construction of a monitoring system for HSR earthqua...This paper studies the Least Square Method to define high-speed railway(HSR) earthquake risk and solve the problem of its emergency response mechanism. Based on the construction of a monitoring system for HSR earthquake emergency response, the technical operational procedures for HSR seismic emergency response are proposed. The quantity, scale, and location of HSR earthquake emergency response mechanism are defined, and the corresponding emergency response system is built. In particular, the earthquake emergency response system can conduct real-time continuous dynamic monitoring of seismic activity along the railway. When earthquake occurs, the intensity of the ground motion is detected by the system. When the earthquake monitoring value reaches the earthquake alarm threshold, it will send an alarm signal to the dispatch center, and the emergency power supply will be forced to cut off. The earthquake emergency response system will continue to monitor the follow-up ground motion acceleration. The system provides the operation scheduling center with a basis for train operation control to resume operation after stopping. The monitoring result of the system reduces the disaster, and the secondary disaster is caused by the earthquake. This paper improves the HSR response mechanism in detecting earthquake disasters. The result improves the ability of HSR to deal with earthquake disasters, and reduces casualties and economic and property loss caused by earthquake disasters.展开更多
Purpose–This study aims to improve the rules and regulations system of high-speed rail emergency disposal.Design/methodology/approach–Based on the analysis of the demands,rules and regulations of China concerning on...Purpose–This study aims to improve the rules and regulations system of high-speed rail emergency disposal.Design/methodology/approach–Based on the analysis of the demands,rules and regulations of China concerning on-site high-speed rail emergency disposal,basic principles for revising the regulations on railway technical management(RRTM)are proposed and suggestions and evaluation methods according to the main clauses are put forward.Findings–Basic principles for revising the RRTM are proposed,namely“to meet the actual needs of on-site high-speed railway emergency disposal,standardize the emergency disposal process,improve the efficiency of emergency disposal and keep the consistency between provisions of emergency disposal”.Existing provisions related to emergency disposal efficiency,scenarios,safety and service quality are made up for the deficiencies.To make up for the deficiencies of the existing provisions related to emergency disposal efficiency,improvement of emergency disposal scenarios and guarantee of emergency disposal safety and quality,this paper puts forward suggestions on revising 15 emergency disposal provisions of the RRTM with regard to earthquake monitoring and warning,in-station foreign body invasion warning,air conditioning failure of EMU trains and forced parking of trains in sections.A fuzzy comprehensive evaluation model based on the analytic hierarchy process(AHP)is constructed to evaluate the proposed revision scheme and suggestions,which has been highly recognized by experts.Originality/value–This study implements the goal of high-quality railway development.展开更多
Information is a key factor in emergency management, which helps decision makers to make effective decisions. In this paper, aiming at clarifying the information aggregation laws, and according to the characteristic o...Information is a key factor in emergency management, which helps decision makers to make effective decisions. In this paper, aiming at clarifying the information aggregation laws, and according to the characteristic of emergency information, information relative entropy is applied in the information aggregation to establish the information aggregation model of emergency group decision-making. The analysis shows that support and credibility of decision rule are the two factors in information aggregation. The results of four emergency decision-making groups in case study support the analysis in the paper.展开更多
Aim: This study aims to elucidate decision-making characteristics based on interviews with family members with experience in having to select treatments for older adult patients who have been hospitalized following em...Aim: This study aims to elucidate decision-making characteristics based on interviews with family members with experience in having to select treatments for older adult patients who have been hospitalized following emergency transport to the hospital. Design: Semi-structured interviews were conducted with 10 individuals with experience in surrogate decision-making for an older adult family member. Methods: The recorded interview data were transcribed verbatim, divided into minimum semantic units, and coded. Next, categories and subcategories were abstracted. A comparison was made with the conceptual constructs of a previous study that examined decision-making by families in a life-threatening crisis. Results: Four categories were extracted from 489 antecedents, 370 attributes, and 388 consequences. One new category was abstracted for each of: 1) antecedents: observing abnormalities and responding, while being worried about death;2) attributes: deliberating on the patient prognosis, the relationship with the patient, and what they believe the patient would want;and 3) consequences: continuing support during convalescence. It is desirable to provide support based on the characteristics of families of older adults, including considering the psychological burden on the families who make surrogate decisions, and also the burden of subsequent caregiving because it is not and in the present environment has not been common for patients to express their wishes beforehand.展开更多
Loss assessment and decision-making are essential for earthquake emergency rescues,and for scientific prediction of seismic damage and determination of rescue objectives.In practice,however,there exist some problems,s...Loss assessment and decision-making are essential for earthquake emergency rescues,and for scientific prediction of seismic damage and determination of rescue objectives.In practice,however,there exist some problems,such as basic data not being precise and rich enough and decision making not having systematic and complete criteria.This paper tries to solve these problems using the method of data indexation by constructing an index system for earthquake emergency loss assessment and decision-making.展开更多
BACKGROUND:Shared decision-making(SDM)has broad application in emergencies.Most published studies have focused on SDM for a certain disease or expert opinions on future research gaps without revealing the full picture...BACKGROUND:Shared decision-making(SDM)has broad application in emergencies.Most published studies have focused on SDM for a certain disease or expert opinions on future research gaps without revealing the full picture or detailed guidance for clinical practice.This study is to investigate the optimal application of SDM to guide life-sustaining treatment(LST)in emergencies.METHODS:This study was a prospective two-round Delphi consensus-seeking survey among multiple stakeholders at the China Consortium of Elite Teaching Hospitals for Residency Education.Participants were identified based on their expertise in medicine,law,administration,medical education,or patient advocacy.All individual items and questions in the questionnaire were scored using a 5-point Likert scale,with responses ranging from"very unimportant"(a score of 1)to"extremely important"(a score of 5).The percentages of the responses that had scores of 4-5on the 5-point Likert scale were calculated.A Kendall’s W coefficient was calculated to evaluate the consensus of experts.RESULTS:A two-level framework consisting of 4 domains and 22 items as well as a ready-touse checklist for the informed consent process for LST was established.An acceptable Kendall’s W coefficient was achieved.CONCLUSION:A consensus-based framework supporting SDM during LST in an emergency department can inform the implementation of guidelines for clinical interventions,research studies,medical education,and policy initiatives.展开更多
The present paper shows the development of a strategy for the calculation of the air brake forces of European freight trains. The model is built to upgrade the existing Politecnico di Torino longitudinal train dynamic...The present paper shows the development of a strategy for the calculation of the air brake forces of European freight trains. The model is built to upgrade the existing Politecnico di Torino longitudinal train dynamics(LTD) code LTDPoliTo, which was originally unable to account for air brake forces. The proposed model uses an empirical exponential function to calculate the air brake forces during the simulation, while the maximum normal force on the brake friction elements is calculated according to the indication of the vehicle braked weight percentage.Hence, the model does not require to simulate in detail the fluid dynamics in the brake pipe nor to precisely know the main parameters of the braking system mounted on each vehicle. The model parameters are tuned to minimize the difference between the braking distance computed by the LTDPoliTo code and the value prescribed by the UIC544-1 leaflet in emergency braking operations. Simulations are run for different configurations of freight train compositions including a variable number of Shimmns wagons trailed by an E402B locomotive at the head of the train, as suggested in a reference literature paper. The results of the proposed method are in good agreement with the target braking distances calculated according to the international rules.展开更多
This study aims to propose a decision-making method based on artificial potential fields(APFs)and finite state machines(FSMs)in emergency conditions.This study presents a decision-making method based on APFs and FSMs ...This study aims to propose a decision-making method based on artificial potential fields(APFs)and finite state machines(FSMs)in emergency conditions.This study presents a decision-making method based on APFs and FSMs for emergency conditions.By modeling the longitudinal and lateral potential energy fields of the vehicle,the driving state is identified,and the trigger conditions are provided for path planning during lane changing.In addition,this study also designed the state transition rules based on the longitudinal and lateral virtual forces.It established the vehicle decision-making model based on the finite state machine to ensure driving safety in emergency situations.To illustrate the performance of the decision-making model by considering APFs and finite state machines.The version of the model in the co-simulation platform of MATLAB and CarSim shows that the developed decision model in this study accurately generates driving behaviors of the vehicle at different time intervals.The contributions of this study are two-fold.A hierarchical vehicle state machine decision model is proposed to enhance driving safety in emergency scenarios.Mathematical models for determining the transition thresholds of lateral and longitudinal vehicle states are established based on the vehicle potential field model,leading to the formulation of transition rules between different states of autonomous vehicles(AVs).展开更多
Purpose–The purpose of this study is to introduce the top-level design ideas and the overall architecture of earthquake early-warning system for high speed railways in China,which is based on P-wave earthquake early-...Purpose–The purpose of this study is to introduce the top-level design ideas and the overall architecture of earthquake early-warning system for high speed railways in China,which is based on P-wave earthquake early-warning and multiple ways of rapid treatment.Design/methodology/approach–The paper describes the key technologies that are involved in the development of the system,such as P-wave identification and earthquake early-warning,multi-source seismic information fusion and earthquake emergency treatment technologies.The paper also presents the test results of the system,which show that it has complete functions and its major performance indicators meet the design requirements.Findings–The study demonstrates that the high speed railways earthquake early-warning system serves as an important technical tool for high speed railways to cope with the threat of earthquake to the operation safety.The key technical indicators of the system have excellent performance:The first report time of the P-wave is less than three seconds.From the first arrival of P-wave to the beginning of train braking,the total delay of onboard emergency treatment is 3.63 seconds under 95%probability.The average total delay for power failures triggered by substations is 3.3 seconds.Originality/value–The paper provides a valuable reference for the research and development of earthquake early-warning system for high speed railways in other countries and regions.It also contributes to the earthquake prevention and disaster reduction efforts.展开更多
A simulation study on occupant evacuation in high-speed railway stations (HSRSs) was presented in China. Pathfinder was employed as the simulation platform and a typical HSRS in a medinm-sized city in China was sele...A simulation study on occupant evacuation in high-speed railway stations (HSRSs) was presented in China. Pathfinder was employed as the simulation platform and a typical HSRS in a medinm-sized city in China was selected for model development. The model was carefully calibrated and validated by comparing simulation results with field data. Evacuation efficiency could be improved with the increased door width while such effect decreased when the door width reached a marginal value. And the marginal value varied under different occupant densities. An exponential function between evacuation lime and occupant density was fitted, indicating that occupant density significantly affected evacuation efficiency. A set of different evacuation strategies were compared, in terms of their evacuation performances. It was found that a balanced door usage would result in more efficient evacuations in HSRSs. Thus occupant flows were suggested to be managed considering door capacity. To avoid potential safety issues caused by such strategy ( e. g. , more occupants could be evacuated from a smaller area designed with higher door capacity ), occupants needed to enhance their awareness of following evacuation guidance instead of panic escape in emergencies. Moreover, such safety issues could also be avoided during the design phase that the evacuation capacity was designed to be proportional to the room capacity for each floor. The results of this study provide valuable information for HSRS design and flow management in China.展开更多
BACKGROUND: Costs of care are increasingly important in healthcare policy and, more recently, in clinical care in the emergency department(ED). We compare ED resident and patient perspectives surrounding costs in emer...BACKGROUND: Costs of care are increasingly important in healthcare policy and, more recently, in clinical care in the emergency department(ED). We compare ED resident and patient perspectives surrounding costs in emergency care.METHODS: We conducted a mixed methods study using surveys and qualitative interviews at a single, academic ED in the United States. The two study populations were a convenience sample of adult ED patients(>17 years of age) and ED residents training at the same institution. Participants answered open- and closed-ended questions on costs, medical decision making, cost-related compliance, and communication about costs. Closed-ended data were tabulated and described using standard statistics while open-ended responses were analyzed using grounded theory.RESULTS: Thirty ED patients and 24 ED residents participated in the study. Both patients and residents generally did not have knowledge of medical costs. Patients were comfortable discussing costs while residents were less comfortable. Residents agreed that doctors should consider costs when making medical decisions whereas patients somewhat disagreed. Additionally, residents generally took costs into consideration during clinical decision-making, yet nearly all residents agreed that they had too little education on costs.CONCLUSION: There were several notable differences in ED patient and resident perspectives on costs in this U.S. sample. While patients somewhat disagree that cost should factor into decision making, generally they are comfortable discussing costs yet report having insuf? cient knowledge of what care costs. Conversely, ED residents view costs as important and agree that cost should factor into decision making but lack education on what emergency care costs.展开更多
The application of main methodologies for clinical decision-making by residents in emergency medical practice was assessed,and issues in this area were investigated.The treatments provided to 2611 critical patients by...The application of main methodologies for clinical decision-making by residents in emergency medical practice was assessed,and issues in this area were investigated.The treatments provided to 2611 critical patients by the Emergency Department of Peking Union Medical College Hospital were analyzed by independent investigators who evaluated the main clinical decision-making processes applied by the hospital residents.The application of decision-making strategies by PG1 and PG3 groups,which means the residents in first year and the third year,were compared.The patients were treated according to pattern recognition(43.0%),hypotheticodeductive reasoning(23.4%),event-driven models(19.3%),and rule-using algorithms(5.9%).A significant difference was found between PG1 and PG3 groups(χ^(2)=498.01,P<0.001).Pattern recognition and hypotheticdeductive methods were the most common techniques applied by emergency physicians in evaluating critically ill patients.The decision-making processes applied by junior and senior residents were significantly different,although neither group adequately applied rule-using algorithms.Inclusion of clinical decision-making in medical curricula is needed to improve decision-making in critical care.展开更多
In this paper,an emergency decision-making method,based on case-based reasoning and cloud model,is proposed to solve the risk decision-making problem in emergency response.Casebased reasoning,by allowing the decision-...In this paper,an emergency decision-making method,based on case-based reasoning and cloud model,is proposed to solve the risk decision-making problem in emergency response.Casebased reasoning,by allowing the decision-maker to referring to past decisions,introduces a short-cut to formulate feasible emergency alternatives.Cloud model is used to evaluate and optimise the emergency response alternatives.To evaluate emergency response alternatives,the decision criterion must be determined according to the aim and characteristics of emergency rescue in disasters or accidents.Then,the weight cloud and evaluation cloud of the decision criterion are determined by the Delphi method combined with backward cloud generator,and the synthesised cloud of each alternative is calculated through arithmetic rules of cloud.Finally,a ranking of all response alternatives can be determined,and the best alternative is selected.Case study shows that the method makes the conversion between qualitative description and quantitative indication more effective.展开更多
Safety is one of the most critical themes in any large-scale railway construction project.Recognizing the importance of safety in railway engineering,practitioners and researchers have proposed various standards and p...Safety is one of the most critical themes in any large-scale railway construction project.Recognizing the importance of safety in railway engineering,practitioners and researchers have proposed various standards and procedures to ensure safety in construction activities.In this study,we first review four critical research areas of risk warning technologies and emergency response mechanisms in railway construction,namely,(i)risk identification methods of large-scale railway construction projects,(ii)risk management of large-scale railway construction,(iii)emergency response planning and management,and(iv)emergency response and rescue mechanisms.After reviewing the existing studies,we present four corresponding research areas and recommendations on the Sichuan-Tibet Railway construction.This study aims to inject new significant theoretical elements into the decision-making process and construction of this railway project in China.展开更多
During power grid cascading failure,the operating point changes frequently,resulting in a mismatch or inaccuracy of online pre-decision making emergency control strategy.To solve this problem,an online power system st...During power grid cascading failure,the operating point changes frequently,resulting in a mismatch or inaccuracy of online pre-decision making emergency control strategy.To solve this problem,an online power system stability decisionmaking and control method based on super-real-time simulation is presented in this paper.A decision-making and control system is developed in which the three main operation modes,offline pre-decision-making,online pre-decision-making,and real-time control,are all coordinated.To verify the method,ADPSS(advanced digital power system simulator)is used to simulate a digital power grid with about 20,000 buses.The closed-loop operation of the digital power grid and the online decisionmaking and control system are implemented.Test results show that when online pre-decision making control strategies are mismatched,aided real-time control works well and can prevent power grid stability loss.展开更多
Purpose-The aim of this study as to find out an approach for emergency program selection.Design/methodology/approach-The authors have generated six aggregation operators(AOs),namely picture fuzzy Yager weighted averag...Purpose-The aim of this study as to find out an approach for emergency program selection.Design/methodology/approach-The authors have generated six aggregation operators(AOs),namely picture fuzzy Yager weighted average(PFYWA),picture fuzzy Yager ordered weighted average,picture fuzzy Yager hybrid weighted average,picture fuzzy Yager weighted geometric(PFYWG),picture fuzzy Yager ordered weighted geometric and picture fuzzy Yager hybrid weighted geometric aggregations operators.Findings-First of all,the authors defined the score and accuracy function for picture fuzzy set(FS),and some fundamental operational laws for picture FS using the Yager aggregation operation.After that,using the developed operational laws,developed some AOs,namely PFYWA,picture fuzzy Yager ordered weighted average,picture fuzzy Yager hybrid weighted average,PFYWG,picture fuzzy Yager ordered weighted geometric and picture fuzzy Yager hybrid weighted geometric aggregations operators,have been proposed along with their desirable properties.A decision-making(DM)approach based on these operators has also been presented.An illustrative example has been given for demonstrating the approach.Finally,discussed the comparison of the proposed method with the other existing methods and write the conclusion of the article.Originality/value-To find the best alternative for emergency program selection.展开更多
Usually,the response after a disastrous event requires decision-makers in emergency operative rooms to quickly outline and understand the current post-event situation,for planning and defining strategies for a context...Usually,the response after a disastrous event requires decision-makers in emergency operative rooms to quickly outline and understand the current post-event situation,for planning and defining strategies for a contextualized response.Moreover,in many cases,disastrous events affect cross-border territories and/or involve multiple orga-nizations in responding to the demand generated by the event.These cases require a harmonized and coordinated response by all the institutions/subjects involved in emergency management.To address this challenge,this pa-per proposes the e-Atlas(emergency atlas)tool for showing and sharing information that embraces a response management perspective to explicitly support decision-makers in managing the criticalities of a post-earthquake situation.The e-Atlas has been designed and tested to:i)acquire sensible information for allowing decision-makers to understand in almost real-time the post-earthquake situational picture,and ii)share the representation of the situational picture among different users,allowing each of them to use it according to its specific require-ments.Applications of the tool are illustrated,to show how it is used in a transborder context in the North-East area of Italy.展开更多
文摘To effectively deal with fuzzy and uncertain information in public engineering emergencies,an emergency decision-making method based on multi-granularity language information is proposed.Firstly,decision makers select the appropriate language phrase set according to their own situation,give the preference information of the weight of each key indicator,and then transform the multi-granularity language information through consistency.On this basis,the sequential optimization technology of the approximately ideal scheme is introduced to obtain the weight coefficient of each key indicator.Subsequently,the weighted average operator is used to aggregate the preference information of each alternative scheme with the relative importance of decision-makers and the weight of key indicators in sequence,and the comprehensive evaluation value of each scheme is obtained to determine the optimal scheme.Lastly,the effectiveness and practicability of the method are verified by taking the earthwork collapse accident in the construction of a reservoir as an example.
文摘Single-phase 25 kV traction networks of electrified alternating current(AC)railways create electromagnetic fields(EMFs)with significant levels of intensity.The most intense magnetic fields occur when short circuits exist between the contact wire and rails or ground.Despite the short duration of exposure,they can adversely affect electronic devices and induce significant voltages in adjacent power lines,which is dangerous for operating personnel.Although numerous investigations have focused on modeling the EMF of traction networks and power lines,the challenge of determining the three-dimensional electromagnetic fields near metal supports during the flow of a short-circuit current through them is yet to be resolved.In this case,the field has a complex spatial structure that significantly complicates the calculations of intensities.This study proposes a methodology,algorithms,software,and digital models for determining the EMF in the described emergency scenarios.During the modeling process,the objects being studied were represented by segments of thin wires to analyze the distribution of the electric charge and calculate the intensities of the electric and magnetic fields.This approach was implemented in the Fazonord software,and the modeling results show a substantial increase in EMF levels close to the support,with a noticeable decrease in the levels as the distance from it increases.The procedure implemented in the commercial software Fazonord is universal and can be used to determine electromagnetic fields at any electrical power facility that includes live parts of limited length.Based on the proposed procedure,the EMF near the supports of overhead power lines and traction networks of various designs could be determined,the EMF levels at substations can be calculated,and the influence of metal structures located near traction networks,such as pedestrian crossings at railway stations,can be considered.
文摘Fluorescence-based imaging has found application in several fields of elective surgery,but there is still a lack of evidence in the literature about its use in the emergency setting.Clinical trials have consistently shown that indocyanine green(ICG)-guided surgery can dramatically reduce the risk of postoperative complic-ations,length of in-hospital stay and total healthcare costs in the elective setting.It is well-known that emergency surgery has a higher complication rate than its elective counterpart,therefore an impelling need for research studies to explore,validate and develop this issue has been highlighted.The present editorial aims to provide a critical overview of currently available applications and pitfalls of ICG fluorescence in abdominal emergencies.Furthermore,we evidenced how the experience of ICG-fluorescence in elective surgery might be of great help in implementing its use in acute situations.In the first paragraph we analyzed the tips and tricks of ICG-guided cancer surgery that might be exploited in acute cases.We then deepened the two most described topics in ICG-guided emergency surgery:Acute cholecystitis and intestinal ischemia,focusing on both the advantages and limitations of green-fluorescence application in these two fields.In emergency situations,ICG fluorescence demonstrates a promising role in preventing undue intestinal resections or their entity,facilitating the detection of intestinal ischemic zones,identifying biliary tree anatomy,reducing post-operative complications,and mitigating high mortality rates.The need to improve its application still exists,therefore we strongly believe that the elective and routinary use of the dye is the best way to acquire the necessary skills for emer-gency procedures.
基金Sponsored by the National Natural Science Foundation of China (Grant No.51178157)the High-Level Project of the Top Six Talents of Jiangsu Province (Grant No.JXQC-021)the Key Science and Technology Program of Henan Province (Grant No.182102310004)。
文摘This paper studies the Least Square Method to define high-speed railway(HSR) earthquake risk and solve the problem of its emergency response mechanism. Based on the construction of a monitoring system for HSR earthquake emergency response, the technical operational procedures for HSR seismic emergency response are proposed. The quantity, scale, and location of HSR earthquake emergency response mechanism are defined, and the corresponding emergency response system is built. In particular, the earthquake emergency response system can conduct real-time continuous dynamic monitoring of seismic activity along the railway. When earthquake occurs, the intensity of the ground motion is detected by the system. When the earthquake monitoring value reaches the earthquake alarm threshold, it will send an alarm signal to the dispatch center, and the emergency power supply will be forced to cut off. The earthquake emergency response system will continue to monitor the follow-up ground motion acceleration. The system provides the operation scheduling center with a basis for train operation control to resume operation after stopping. The monitoring result of the system reduces the disaster, and the secondary disaster is caused by the earthquake. This paper improves the HSR response mechanism in detecting earthquake disasters. The result improves the ability of HSR to deal with earthquake disasters, and reduces casualties and economic and property loss caused by earthquake disasters.
基金funded by Foundation of China Academy of Railway Sciences(No:AYF22Y143).
文摘Purpose–This study aims to improve the rules and regulations system of high-speed rail emergency disposal.Design/methodology/approach–Based on the analysis of the demands,rules and regulations of China concerning on-site high-speed rail emergency disposal,basic principles for revising the regulations on railway technical management(RRTM)are proposed and suggestions and evaluation methods according to the main clauses are put forward.Findings–Basic principles for revising the RRTM are proposed,namely“to meet the actual needs of on-site high-speed railway emergency disposal,standardize the emergency disposal process,improve the efficiency of emergency disposal and keep the consistency between provisions of emergency disposal”.Existing provisions related to emergency disposal efficiency,scenarios,safety and service quality are made up for the deficiencies.To make up for the deficiencies of the existing provisions related to emergency disposal efficiency,improvement of emergency disposal scenarios and guarantee of emergency disposal safety and quality,this paper puts forward suggestions on revising 15 emergency disposal provisions of the RRTM with regard to earthquake monitoring and warning,in-station foreign body invasion warning,air conditioning failure of EMU trains and forced parking of trains in sections.A fuzzy comprehensive evaluation model based on the analytic hierarchy process(AHP)is constructed to evaluate the proposed revision scheme and suggestions,which has been highly recognized by experts.Originality/value–This study implements the goal of high-quality railway development.
文摘Information is a key factor in emergency management, which helps decision makers to make effective decisions. In this paper, aiming at clarifying the information aggregation laws, and according to the characteristic of emergency information, information relative entropy is applied in the information aggregation to establish the information aggregation model of emergency group decision-making. The analysis shows that support and credibility of decision rule are the two factors in information aggregation. The results of four emergency decision-making groups in case study support the analysis in the paper.
文摘Aim: This study aims to elucidate decision-making characteristics based on interviews with family members with experience in having to select treatments for older adult patients who have been hospitalized following emergency transport to the hospital. Design: Semi-structured interviews were conducted with 10 individuals with experience in surrogate decision-making for an older adult family member. Methods: The recorded interview data were transcribed verbatim, divided into minimum semantic units, and coded. Next, categories and subcategories were abstracted. A comparison was made with the conceptual constructs of a previous study that examined decision-making by families in a life-threatening crisis. Results: Four categories were extracted from 489 antecedents, 370 attributes, and 388 consequences. One new category was abstracted for each of: 1) antecedents: observing abnormalities and responding, while being worried about death;2) attributes: deliberating on the patient prognosis, the relationship with the patient, and what they believe the patient would want;and 3) consequences: continuing support during convalescence. It is desirable to provide support based on the characteristics of families of older adults, including considering the psychological burden on the families who make surrogate decisions, and also the burden of subsequent caregiving because it is not and in the present environment has not been common for patients to express their wishes beforehand.
基金sponsored by the National Science & Technology Support Program (2012BAK15B06-01)the Special Fund for Basic Scientific Research Operations in Institute of Geology,CEA (IGCEA1109)the National Science and Techonology Support Program,China (2008BAK50B03-07)
文摘Loss assessment and decision-making are essential for earthquake emergency rescues,and for scientific prediction of seismic damage and determination of rescue objectives.In practice,however,there exist some problems,such as basic data not being precise and rich enough and decision making not having systematic and complete criteria.This paper tries to solve these problems using the method of data indexation by constructing an index system for earthquake emergency loss assessment and decision-making.
基金supported by the China Medical BoardOpen Competition Program(20-378)Peking University Third Hospital Fund for Returned Scholars(BYSYLXHG2020004)+1 种基金JX was supported by the Peking Union Medical College Fund for Informatization of Postgraduate Courses(2021YXX001)YLZ was supported by the Sichuan University Graduate Education Reform Project(GSSCU2021046)。
文摘BACKGROUND:Shared decision-making(SDM)has broad application in emergencies.Most published studies have focused on SDM for a certain disease or expert opinions on future research gaps without revealing the full picture or detailed guidance for clinical practice.This study is to investigate the optimal application of SDM to guide life-sustaining treatment(LST)in emergencies.METHODS:This study was a prospective two-round Delphi consensus-seeking survey among multiple stakeholders at the China Consortium of Elite Teaching Hospitals for Residency Education.Participants were identified based on their expertise in medicine,law,administration,medical education,or patient advocacy.All individual items and questions in the questionnaire were scored using a 5-point Likert scale,with responses ranging from"very unimportant"(a score of 1)to"extremely important"(a score of 5).The percentages of the responses that had scores of 4-5on the 5-point Likert scale were calculated.A Kendall’s W coefficient was calculated to evaluate the consensus of experts.RESULTS:A two-level framework consisting of 4 domains and 22 items as well as a ready-touse checklist for the informed consent process for LST was established.An acceptable Kendall’s W coefficient was achieved.CONCLUSION:A consensus-based framework supporting SDM during LST in an emergency department can inform the implementation of guidelines for clinical interventions,research studies,medical education,and policy initiatives.
文摘The present paper shows the development of a strategy for the calculation of the air brake forces of European freight trains. The model is built to upgrade the existing Politecnico di Torino longitudinal train dynamics(LTD) code LTDPoliTo, which was originally unable to account for air brake forces. The proposed model uses an empirical exponential function to calculate the air brake forces during the simulation, while the maximum normal force on the brake friction elements is calculated according to the indication of the vehicle braked weight percentage.Hence, the model does not require to simulate in detail the fluid dynamics in the brake pipe nor to precisely know the main parameters of the braking system mounted on each vehicle. The model parameters are tuned to minimize the difference between the braking distance computed by the LTDPoliTo code and the value prescribed by the UIC544-1 leaflet in emergency braking operations. Simulations are run for different configurations of freight train compositions including a variable number of Shimmns wagons trailed by an E402B locomotive at the head of the train, as suggested in a reference literature paper. The results of the proposed method are in good agreement with the target braking distances calculated according to the international rules.
基金supported by the National Natural Science Foundation of China(Grant No.52102454)the Postdoctoral Science Foundation of China(Grant No.2021M700169)+4 种基金in part by the Natural Science Foundation of Chongqing(Grant No.cstc2021jcyj-msxmX0395)the Special Funding for Postdoctoral Research Projects in Chongqing(Grant No.2021XM3069)the Youth Project of Science and Technology Research Program of Chongqing Education Commission of China(Grant Nos.KJQN202001302 and KJQN202203909)the Natural Science Foundation of Yongchuan District(Grant No.2023yc-jckx20089)the Opening Project of Intelligent Policing Key Laboratory of Sichuan Province(Grant No.ZNJW2023KFQN002).
文摘This study aims to propose a decision-making method based on artificial potential fields(APFs)and finite state machines(FSMs)in emergency conditions.This study presents a decision-making method based on APFs and FSMs for emergency conditions.By modeling the longitudinal and lateral potential energy fields of the vehicle,the driving state is identified,and the trigger conditions are provided for path planning during lane changing.In addition,this study also designed the state transition rules based on the longitudinal and lateral virtual forces.It established the vehicle decision-making model based on the finite state machine to ensure driving safety in emergency situations.To illustrate the performance of the decision-making model by considering APFs and finite state machines.The version of the model in the co-simulation platform of MATLAB and CarSim shows that the developed decision model in this study accurately generates driving behaviors of the vehicle at different time intervals.The contributions of this study are two-fold.A hierarchical vehicle state machine decision model is proposed to enhance driving safety in emergency scenarios.Mathematical models for determining the transition thresholds of lateral and longitudinal vehicle states are established based on the vehicle potential field model,leading to the formulation of transition rules between different states of autonomous vehicles(AVs).
基金This research is supported by the R&D Fund Project of China Academy of Railway Science Corporation Limited[Grant No.2022Y253].
文摘Purpose–The purpose of this study is to introduce the top-level design ideas and the overall architecture of earthquake early-warning system for high speed railways in China,which is based on P-wave earthquake early-warning and multiple ways of rapid treatment.Design/methodology/approach–The paper describes the key technologies that are involved in the development of the system,such as P-wave identification and earthquake early-warning,multi-source seismic information fusion and earthquake emergency treatment technologies.The paper also presents the test results of the system,which show that it has complete functions and its major performance indicators meet the design requirements.Findings–The study demonstrates that the high speed railways earthquake early-warning system serves as an important technical tool for high speed railways to cope with the threat of earthquake to the operation safety.The key technical indicators of the system have excellent performance:The first report time of the P-wave is less than three seconds.From the first arrival of P-wave to the beginning of train braking,the total delay of onboard emergency treatment is 3.63 seconds under 95%probability.The average total delay for power failures triggered by substations is 3.3 seconds.Originality/value–The paper provides a valuable reference for the research and development of earthquake early-warning system for high speed railways in other countries and regions.It also contributes to the earthquake prevention and disaster reduction efforts.
基金Study of Emergency Management Technology of Integrated Passenger Transportation Hub in Jiangsu Province,China(No.2012R06)National Natural Science Foundation of China(No.51608114)Shanghai Pujiang Program,China(No.15PJC093)
文摘A simulation study on occupant evacuation in high-speed railway stations (HSRSs) was presented in China. Pathfinder was employed as the simulation platform and a typical HSRS in a medinm-sized city in China was selected for model development. The model was carefully calibrated and validated by comparing simulation results with field data. Evacuation efficiency could be improved with the increased door width while such effect decreased when the door width reached a marginal value. And the marginal value varied under different occupant densities. An exponential function between evacuation lime and occupant density was fitted, indicating that occupant density significantly affected evacuation efficiency. A set of different evacuation strategies were compared, in terms of their evacuation performances. It was found that a balanced door usage would result in more efficient evacuations in HSRSs. Thus occupant flows were suggested to be managed considering door capacity. To avoid potential safety issues caused by such strategy ( e. g. , more occupants could be evacuated from a smaller area designed with higher door capacity ), occupants needed to enhance their awareness of following evacuation guidance instead of panic escape in emergencies. Moreover, such safety issues could also be avoided during the design phase that the evacuation capacity was designed to be proportional to the room capacity for each floor. The results of this study provide valuable information for HSRS design and flow management in China.
文摘BACKGROUND: Costs of care are increasingly important in healthcare policy and, more recently, in clinical care in the emergency department(ED). We compare ED resident and patient perspectives surrounding costs in emergency care.METHODS: We conducted a mixed methods study using surveys and qualitative interviews at a single, academic ED in the United States. The two study populations were a convenience sample of adult ED patients(>17 years of age) and ED residents training at the same institution. Participants answered open- and closed-ended questions on costs, medical decision making, cost-related compliance, and communication about costs. Closed-ended data were tabulated and described using standard statistics while open-ended responses were analyzed using grounded theory.RESULTS: Thirty ED patients and 24 ED residents participated in the study. Both patients and residents generally did not have knowledge of medical costs. Patients were comfortable discussing costs while residents were less comfortable. Residents agreed that doctors should consider costs when making medical decisions whereas patients somewhat disagreed. Additionally, residents generally took costs into consideration during clinical decision-making, yet nearly all residents agreed that they had too little education on costs.CONCLUSION: There were several notable differences in ED patient and resident perspectives on costs in this U.S. sample. While patients somewhat disagree that cost should factor into decision making, generally they are comfortable discussing costs yet report having insuf? cient knowledge of what care costs. Conversely, ED residents view costs as important and agree that cost should factor into decision making but lack education on what emergency care costs.
文摘The application of main methodologies for clinical decision-making by residents in emergency medical practice was assessed,and issues in this area were investigated.The treatments provided to 2611 critical patients by the Emergency Department of Peking Union Medical College Hospital were analyzed by independent investigators who evaluated the main clinical decision-making processes applied by the hospital residents.The application of decision-making strategies by PG1 and PG3 groups,which means the residents in first year and the third year,were compared.The patients were treated according to pattern recognition(43.0%),hypotheticodeductive reasoning(23.4%),event-driven models(19.3%),and rule-using algorithms(5.9%).A significant difference was found between PG1 and PG3 groups(χ^(2)=498.01,P<0.001).Pattern recognition and hypotheticdeductive methods were the most common techniques applied by emergency physicians in evaluating critically ill patients.The decision-making processes applied by junior and senior residents were significantly different,although neither group adequately applied rule-using algorithms.Inclusion of clinical decision-making in medical curricula is needed to improve decision-making in critical care.
基金This work was supported by National Social Science Fund of China[grant number 18BGL232].
文摘In this paper,an emergency decision-making method,based on case-based reasoning and cloud model,is proposed to solve the risk decision-making problem in emergency response.Casebased reasoning,by allowing the decision-maker to referring to past decisions,introduces a short-cut to formulate feasible emergency alternatives.Cloud model is used to evaluate and optimise the emergency response alternatives.To evaluate emergency response alternatives,the decision criterion must be determined according to the aim and characteristics of emergency rescue in disasters or accidents.Then,the weight cloud and evaluation cloud of the decision criterion are determined by the Delphi method combined with backward cloud generator,and the synthesised cloud of each alternative is calculated through arithmetic rules of cloud.Finally,a ranking of all response alternatives can be determined,and the best alternative is selected.Case study shows that the method makes the conversion between qualitative description and quantitative indication more effective.
基金This study was supported by the National Natural Science Foundation of China(Grant No.71942006)the Fundamental Research Funds for the Central Universities(2019RC053).
文摘Safety is one of the most critical themes in any large-scale railway construction project.Recognizing the importance of safety in railway engineering,practitioners and researchers have proposed various standards and procedures to ensure safety in construction activities.In this study,we first review four critical research areas of risk warning technologies and emergency response mechanisms in railway construction,namely,(i)risk identification methods of large-scale railway construction projects,(ii)risk management of large-scale railway construction,(iii)emergency response planning and management,and(iv)emergency response and rescue mechanisms.After reviewing the existing studies,we present four corresponding research areas and recommendations on the Sichuan-Tibet Railway construction.This study aims to inject new significant theoretical elements into the decision-making process and construction of this railway project in China.
基金supported in part by State Grid Corporation of China(SGCC)under Grant EPRIXFKJ(2010)2897.
文摘During power grid cascading failure,the operating point changes frequently,resulting in a mismatch or inaccuracy of online pre-decision making emergency control strategy.To solve this problem,an online power system stability decisionmaking and control method based on super-real-time simulation is presented in this paper.A decision-making and control system is developed in which the three main operation modes,offline pre-decision-making,online pre-decision-making,and real-time control,are all coordinated.To verify the method,ADPSS(advanced digital power system simulator)is used to simulate a digital power grid with about 20,000 buses.The closed-loop operation of the digital power grid and the online decisionmaking and control system are implemented.Test results show that when online pre-decision making control strategies are mismatched,aided real-time control works well and can prevent power grid stability loss.
基金supported by Higher Education Commission(HEC)under National Research Program for University(NRPU),Project title,Fuzzy Mathematical Modelling for Decision Support Systems and Smart Grid Systems(No.10701/KPK/NRPU/R&D/HEC/2017).
文摘Purpose-The aim of this study as to find out an approach for emergency program selection.Design/methodology/approach-The authors have generated six aggregation operators(AOs),namely picture fuzzy Yager weighted average(PFYWA),picture fuzzy Yager ordered weighted average,picture fuzzy Yager hybrid weighted average,picture fuzzy Yager weighted geometric(PFYWG),picture fuzzy Yager ordered weighted geometric and picture fuzzy Yager hybrid weighted geometric aggregations operators.Findings-First of all,the authors defined the score and accuracy function for picture fuzzy set(FS),and some fundamental operational laws for picture FS using the Yager aggregation operation.After that,using the developed operational laws,developed some AOs,namely PFYWA,picture fuzzy Yager ordered weighted average,picture fuzzy Yager hybrid weighted average,PFYWG,picture fuzzy Yager ordered weighted geometric and picture fuzzy Yager hybrid weighted geometric aggregations operators,have been proposed along with their desirable properties.A decision-making(DM)approach based on these operators has also been presented.An illustrative example has been given for demonstrating the approach.Finally,discussed the comparison of the proposed method with the other existing methods and write the conclusion of the article.Originality/value-To find the best alternative for emergency program selection.
基金The ARMONIAtlas was developed during the Interreg V-A Italy-Austria 2014-2020 ARMONIA project(No.ITAT3016),financed by the European Regional Development Fund.
文摘Usually,the response after a disastrous event requires decision-makers in emergency operative rooms to quickly outline and understand the current post-event situation,for planning and defining strategies for a contextualized response.Moreover,in many cases,disastrous events affect cross-border territories and/or involve multiple orga-nizations in responding to the demand generated by the event.These cases require a harmonized and coordinated response by all the institutions/subjects involved in emergency management.To address this challenge,this pa-per proposes the e-Atlas(emergency atlas)tool for showing and sharing information that embraces a response management perspective to explicitly support decision-makers in managing the criticalities of a post-earthquake situation.The e-Atlas has been designed and tested to:i)acquire sensible information for allowing decision-makers to understand in almost real-time the post-earthquake situational picture,and ii)share the representation of the situational picture among different users,allowing each of them to use it according to its specific require-ments.Applications of the tool are illustrated,to show how it is used in a transborder context in the North-East area of Italy.