基于Room的持久存储的设计与优化

Room库作为一种强大的数据库轻量级持久化框架,广泛应用于Android应用的持久存储设计。文章介绍了Room库的核心架构和组件,提出了Room性能优化的策略,以提高数据库操作的效率和响应性,对构建高质量、高性能的Android应用程序有一定的指导意义。

Escape room游戏宣教对阴道分娩初产妇分娩恐惧及产程进展的影响

目的探究Escape room游戏宣教对阴道分娩初产妇分娩恐惧及产程进展的影响。方法采用便利抽样法,选取本院2021年1月—2022年6月收治的140例阴道分娩初产妇为研究对象,按随机数字表法将其分为对照组和观察组,每组各70例。对照组采取常规教育模式,观察组在常规护理基础上应用Escape room游戏宣教,比较两组初产妇分娩恐惧水平、产程进展。结果观察组分娩恐惧中高水平初产妇占比为57.14%小于对照组的80.00%,差异有统计学意义(P<0.05);观察组初产妇第一产程时间、第二产程时间均短于对照组,差异有统计学意义(P<0.05),两组第三产程时间比较差异无统计学意义(P>0.05)。结论Escape room游戏宣教在阴道分娩初产妇中的应用,能缓解产妇分娩恐惧情绪,可一定程度上加快产程进展。

Epidemiological Aspects of Stillbirth and Neonatal Deaths in the Delivery Room at the Libreville Mother-Child University Hospital from 2019 to 2022

Introduction: Stillbirths are estimated at 2 million each year, of which more than 40% occur during labour. Our objective was to study the epidemiological aspects of stillbirth and neonatal deaths in the delivery room in our health facility. Patients and methods: Prospective, descriptive and analytical study, conducted at the Jeanne Ebori Foundation Mother-Child University Hospital over 4 years (January 2019-December 2022). All neonatal deaths in the delivery room or foetal death in utero, were included. Results: Among the 18,346 deliveries performed, 512 newborns were declared dead in the delivery room (27.9‰ live births), divided into in utero foetal death (19.0‰) and immediate neonatal death (8.9‰). The mean age was 34.3 weeks of amenorrhea. The rate of preterm birth was 60.4%. The sex ratio was 1.1. The average weight was 2186.6. The main causes were vascular (46.1%), foetal (20.2%), adnexal (17.1%) and asphyxia per partum (16.6%). Foetal causes were more likely to result in IUFD than other causes (OR = 6.4 [2.4 - 15.7], p < 0.001). After birth, partum asphyxia was more likely to lead to death before 15 minutes of life than other causes (OR = 11 [6.1 - 18.9], p Conclusion: The causes of stillbirth and early neonatal mortality are dominated by maternal vascular pathologies. However, the proportion of childbirth-related causes remains worrying. Better monitoring of pregnancy and labour will minimize this prevalence in our hospital.

Enhancing Patient Safety in the Operating Room: A Comprehensive Guide from a Nurse’s Perspective

Ensuring patient safety within the operating room is a paramount concern in contemporary healthcare, and this guide aims to provide an in-depth exploration of this crucial aspect from the perspective of nurses. Nurses play a pivotal role in supporting surgeons and maintaining a safe environment for patients undergoing various medical procedures.

Prospective randomized study to evaluate and compare the post-procedural sexual function in patients undergoing semi-rigid ureterorenoscopy for distal ureteric stones in three different operating room settings

Objective:To evaluate and compare the effect of semi-rigid ureterorenoscopy on post-procedural sexual function with three different operating room settings.Methods:In this prospective randomized study,consecutive sexually active patients with normal pre-operative sexual function undergoing uncomplicated semi-rigid ureterorenoscopy for distal ureteric stones were randomized into three groups,with three different operating room settings.Procedure-related anxiety and sexual function were assessed pre-operatively using Amsterdam Preoperative Anxiety and Information Scale and Brief Sexual Function Inventory(in males)and Female Sexual Function Index-6(in females),respectively.All the participants were stented following the procedure,and the stent was removed after 3 weeks.Post-procedural sexual function and general discomfort were assessed and compared between three groups at 1 week,3 weeks,and 12 weeks.The effect of surgery-related anxiety,preoperative sexual function,age,and general discomfort(including stent-related discomfort)on post-procedural sexual function were analyzed using multiple regression analysis.A p-value of less than 0.05 was considered statistically significant.Results:Totally,327 eligible patients were randomized into three groups.The group of patients who underwent the procedural with a screen separating the operating area from the patient vision,while the patient could watch the endoscopy through a separate monitor,had better post-procedural sexual function compared to those who had total vision of the operating area as well as to those whose eyes were blocked.This difference was statistically significant.This post-procedural reduction in sexual function could not be attributed to in situ stent alone.Conclusions:Our study showed that semi-rigid ureterorenoscopy can have significant negative effect on sexual function,which can be reduced with proper preoperative counseling and an ideal operating room settings.

The Impact of Optimizing Details in the Operating Room on the Level of Knowledge, Attitude, and Practice of Hospital Infection Prevention and Control by Surgeons, as Well as the Effectiveness of Infection Control

Objective: This paper aims to explore the impact of optimizing details in the operating room on the level of knowledge, attitude, and practice of hospital infection prevention and control by surgeons, as well as the effectiveness of infection control. Methods: From January 2022 to June 2023, a total of 120 patients were screened and randomly divided into a control group (routine care and hospital infection management) and a study group (optimizing details in the operating room). Results: Significant differences were found between the two groups in the data of surgeons’ level of knowledge, attitude, and practice in hospital infection prevention and control, infection rates, and nursing satisfaction, with the study group showing better results (P Conclusion: The use of optimizing details in the operating room among surgeons can effectively improve surgeons’ level of knowledge, attitude, and practice in hospital infection prevention and control, reduce infection occurrence, and is worth promoting.

Correlation between critical thinking and emotional intelligence:a national crosssectional study on operating room nursing students in Iran

Objective:According to the World Federation of Medical Education,critical thinking should be part of the training of medical and paramedical students.Professionals can improve the quality of care of patients after surgery by having or acquiring this skill in health care.Also,Emotional intelligence is introduced as an impor tant and effective factor on the professional performance and mental health of healthcare professionals.Thus,the present study was designed and implemented to determine the relationship between emotional intelligence and critical thinking among operating room nursing students of medical sciences universities in Iran.Methods:This cross-sectional study was done on 420 operating room students in 10 top medical sciences universities of Iran in 2022.The sampling method in this research was multistage sampling.The data collection instruments included demographic characteristics,Rickett's critical thinking,and Bradberry-Greaves'emotional intelligence questionnaires.After receiving the ethics code,data collection was done for 2 months.For data analysis,descriptive and inferential analyses including independent t-tests,analysis of variance,and Pearson correlation were used.The collected data were analyzed by SPSS 18(IBM Corporation,Armonk,New York,United States).P-value<0.05 was considered significant.Results:The mean age of the students participating in this study was 23.02±3.70 years,with women constituting 67.4%of them.The results of data analysis indicated that the mean total score of critical thinking and emotional intelligence was 124.10±37.52 and 114.12±43.63,respectively.A direct significant correlation between critical thinking and emotional intelligence(r=0.459,P-value<0.001)and a significant relationship between gender and emotional intelligence(P-value=0.028)were found.Conclusions:Based on the present study results,educational managers in the Ministry of Health are suggested to consider suitable educational programs for improving critical thinking and emotional intelligence to enhance the quality of care provided by students in operating rooms.

Operating Room Nurses’ Role in Multidisciplinary Surgical Coordination for a Patient with a Large Abdominal Tumor and Multiple Pelvic Fractures

In this study,we have summarized the coordination of operating room nurses participating in the multidisciplinary team in diagnosing and treating a patient with a large abdominal tumor and multiple pelvic fractures.To perform surgical treatment on patients with various conditions,it is crucial to consider the patients from a holistic perspective.Thus,the existing medical model has shifted from a“disease-centered”approach focusing on single-disciplinary diagnosis and treatment,to a“patient-centered”approach that involves multiple disciplines in diagnosis and therapy.Operating room nurses,as crucial collaborators of surgeons,should make necessary adjustments to enhance their comprehension of patients,improving the overall quality of surgical coordination.

Application of Nursing Cooperation Path in Operating Room and Analysis of Complication Rate During Laparoscopic Hysterectomy

Objective:To explore the clinical benefits achieved by implementing the operating room nursing cooperation path for patients undergoing laparoscopic hysterectomy.Methods:64 laparoscopic hysterectomy cases were divided into groups according to the order of admission.The control group received routine perioperative care.The observation group implemented the nursing cooperation path in the operating room on the same basis as the control group.The two groups’physiological responses,stimulus indicators,anxiety,and complication rates were compared.Results:The heart rate,blood pressure 0.5 hours after surgery,anxiety scores 1 day before and 3 days after surgery,and the total number of complications in the observation group were all lower than those in the control group(P<0.05).Conclusion:The development of a nursing cooperation path in the operating room can help patients undergoing laparoscopic hysterectomy reduce heart rate,blood pressure,stress responses,and the risk of complications,and is worthy of promotion.

The Impact of Patient Education on the Nursing Care of Perioperative Patients in the Interventional Catheterization Room

Objective:To explore and analyze the effect of implementing a precise education model on the nursing care of perioperative patients in the interventional catheterization room.Methods:We selected 70 patients who were going to undergo surgical intervention in our hospital from August 2020 to December 2022 as the subjects for this study through random sampling.The patients were divided into a control group and an observation group,with 35 cases in each group.The control group underwent basic nursing intervention,and the observation group was given precise patient education.The nursing effects of both groups were observed.Results:After the intervention,all compliance indicators of the observation group were better than those of the control group(P<0.05).Besides,the incidence of complications in the observation group(2.86%)was lower than that of the control group(17.14%)with P<0.05.Furthermore,the patient satisfaction of the observation group(97.14%)was higher than that of the control group(82.86%),with P<0.05.Conclusion:A precise propaganda and education model facilitates the nursing of perioperative patients in the interventional catheterization room.Therefore,this practice should be popularized.

The Preventive Effect of Comprehensive Nursing Intervention on Arteriovenous Fistula Failure in Patients in the Hemodialysis Room

Objective:To explore the preventive effect of comprehensive nursing intervention on arteriovenous fistula failure in patients in the hemodialysis room.Methods:82 patients with arteriovenous fistula in the hemodialysis chamber treated in our hospital from July 2022 to October 2023 were selected as the research subjects.The random number table method divided them into a control group and an experimental group of 41 cases each.The control group received general nursing intervention measures,while the experimental group underwent comprehensive nursing intervention.The incidence of complications(internal fistula failure,bleeding,thrombosis,infection),psychological emotions(SAS scale,SDS scale),quality of life(physical pain,physiological function,emotional function,social function),and nursing satisfaction(very satisfied,basically satisfied,satisfied,dissatisfied)were compared between the two groups of patients.Results:The incidence of complications in the experimental group(4,9.76%)was significantly lower than that in the control group(29,70.73%);the SAS scores and SDS scores of the patients in the experimental group after intervention were both lower than those in the control group;the quality of life score(physical pain,physiological function,emotional function,and social function)was all higher than those of the control group;the post-intervention nursing satisfaction of the experimental group(40,97.57%)was also significantly higher than that of the control group(29,73.17%);and the listed differences were statistically significant(P<0.01).Conclusion:For patients with hemodialysis ventricular arteriovenous fistula failure,comprehensive nursing intervention can reduce the incidence of complications,relieve anxiety and stress,improve quality of life and nursing satisfaction,and achieve better preventive effects.

Ventilation of air-conditioned residential buildings: A case study in Hong Kong

More and more studies reported that there were insufficient ventilation and excessive CO_2 concentration in air-conditioned residential buildings, but few solutions were provided. This study investigates the overnight evolution of CO_2 concentration in air-conditioned residential buildings and then focuses mainly on the evaluation of three ventilation strategies, including overnight natural ventilation, short-term mechanical ventilation and short-term natural ventilation. On-site measurements were conducted in a typical residential bedroom in Hong Kong in September. The indoor and outdoor CO_2 concentration, air temperature and relative humidity as well as the outdoor wind speed during the measurements were analysed. Ventilation rates were calculated based on the time series of CO_2 concentration. This study confirms that additional ventilation is usually needed in air-conditioned residential buildings. Overnight natural ventilation with even a small opening is associated with excessive energy consumption and deteriorated indoor thermal environment. Short-term natural ventilation strategies are inefficient and uncontrollable. Compared to the best short-term natural ventilation strategy, a reasonably designed short-term mechanical ventilation strategy requires only a 41% of ventilation period to complete one full replacement of indoor air and to reach a lower indoor CO_2 concentration. Nighttime case studies and a theoretical analysis suggest that a few several-minute mechanical ventilation periods could potentially maintain an acceptable indoor air quality for a normal sleeping period of 8 h.

Entropy Assessment on Environmental Influence of Condense Heat in Recovery System in Air-Conditioning Refrigerating Machine

This paper presented an entropy evaluation method for the influences of condense heat recovery system on the environment.Aiming at the damage of the condense heat to the environment,an entropy of resource loss and an emission entropy from the condense heat recovery system in the air conditioning refrigerating machine were introduced.For the evaluation of the entropies,we developed a new algorithm for the parameter identification,called the composite influence coefficient,based on the Least Squares Support Vector Machine method.By simulation,the numerical experiments shows that the Least Squares Support Vector Machine method is one of the powerful methods for the parameter identification to compute the damage entropy of the condense heat,with the largest training error being-0.025(the relative error being-3.56%),and the biggest test error being 0.015(the relative error being 2.5%).

Impact of summer office set air-conditioning temperature on energy consumption and thermal comfort

To explore the relationship between summer office set air-conditioning temperature and energy consumption related to air conditioning use to provide human thermal comfort,a comparison experiment was conducted in three similar offices at temperatures of 24,26 and 28 ℃ respectively. A thermal comfort questionnaire survey was conducted. It is demonstrated that air-conditioner energy consumption at the set temperature of 28 ℃ is 113% and 271% lower than at 26 ℃ and 24 ℃,respectively. A linear relationship exists between air-conditioner energy consumption and the indoor and outdoor temperature difference. When comfortably dressed,over 80% of research participants accept the set temperature of 28 ℃. The regression analysis leads to a neutral temperature of 26.2 ℃ and an acceptable temperature of 28.2 ℃ for over 80% of the research participants subjects,indicating that the current 26 ℃ set temperature for offices in summer,required by Chinese General Office of the State Council,can be increased to 28 ℃. Moreover,analysis of predicted mean vote(PMV) index shows that a set temperature of 27 ℃,not 26 ℃,is sufficiently comfortable for office staff wearing long-sleeve shirts,long pants and leather shoes.

Selection of Weather Parameters for Air-Conditioning System Design for Buildings with Long Thermal Lag

Two building factors-a longer thermal lag of more than one hour for building envelops and a lag of indoor radiation to convert into cooling load-have impact on the instantaneous heat input and instantaneous cooling load.So the two factors should be taken into account when selecting the weather parameters for air-conditioning system design.This paper developed a new statistic method for the rational selection of coincident solar irradiance,dry-bulb and wet-bulb temperatures.The method was applied to historic weather records of 25 years in Hong Kong to generate coincident design weather data.And the results show that traditional design solar irradiance,dry-bulb and wet-bulb temperatures may be significantly overestimated in many conditions,and the design weather data for the three different constructions is not kept constant.

基于沉浸式体验的VR社交平台设计研究——以REC ROOM为例

为探究VR社交平台的设计方法。文章将从沉浸式体验这一理论入手,以Rec Room平台为例,从技术、内容、交互三方面分析VR社交平台发展的时代背景与设计现状。总结了沉浸式VR社交平台的设计特点与模式。在技术的驱动下,以沉浸式体验为基础的VR社交平台拓展了人们的交流空间,形成了更高的自由度与互动性,以自然化、真实化的多感官交互方式,提升了用户的参与感、临场感、娱乐感与愉悦感。

The Experiment and Simulation of Solid Desiccant Dehumidification for Air-Conditioning System in a Tropical Humid Climate

The aim of this research was to study and design a solid desiccant dehumidification system suitable for tropical climate to reduce the latent load of air-conditioning system and improve the thermal comfort. Different dehumidifiers such as desiccant column and desiccant wheel were investigated. The ANSYS and TRASYS software were used to predict the results of dehumidifiers and the desiccant cooling systems, respectively. The desiccant bed contained approximately 15 kg of silica-gel, with 3 mm average diameter. Results indicated that the pressure drop and the adsorption rate of desiccant column are usually higher than those of the desiccant wheel. The feasible and practical adsorption rate of desiccant wheel was 0.102 kgw/h at air flow rate 1.0 kg/min, regenerated air temperature of 55?C and at a wheel speed of 2.5 rpm. The humidity ratio of conditioning space and cooling load of split-type air conditioner was decreased to 0.002 kgw/kgda (14%) and 0.71 kWth (19.26%), respectively. Consequently, the thermal comfort was improved from 0.5 PMV (10.12% PPD) to 0.3 PMV (7.04% PPD).

An Energy-Saving Control Strategy on Central Air-Conditioning System

An energy-saving control strategy based on predictive control for central air-conditioning systems is proposed in this paper. The cold load model is developed to describe the dynamic characteristics of temperature control systems, and then parameters in the cold load model and in the central air-conditioning system model are estimated. Generalized predictive control (GPC) is used to establish an optimization model to minimize the consumption of energy and the control error of temperature. The simulated annealing (SA) algorithm, combined with quadratic programming, is adopted to solve the optimal problem. Contrasted with the simulation of traditional PID control, the results prove the effectiveness of this proposed strategy.

Application of Fuzzy Comprehensive Evaluation to Air-conditioning Competitive Power Analysis

As the conceptual design of air-conditioning is done using the theory of Quality Function Deployment (QFD),cus- tomer requirements should be understood and the product competitive power be analyzed as exactly as possible for new product de- signing.Lots of information in the process of this research is fuzzy and uncertain,but traditional QFD can not deal with it well. Fuzzy theory can solve the problem.So a fuzzy model for analyzing product competitive power is formulated in this paper to im- prove traditional QFD,after that it is applied to analyze air-conditioning competitive power.When air-conditioning competitive power is analyzed using this model,firstly the importance weight of the customer requirements o fair-conditioning is determined us- ing the Analytic Hierarchy Process (AHP) weighting process,then air-conditloning competitive power is evaluated using fuzzy comprehensive evaluation.It is proved that the model is feasible and has good applicability.

Experimental Study of Energy-Saving Air-Conditioner with Hot Water

Energy-saving air-conditioner with hot water is an air source heat pump air-conditioner,which can also supply hot water.The hot water is heated by a double pipe condenser connected with an air-cooled condenser in series in the system.This experiment of the energy-saving air-conditioner was carried out in the enthalpy-difference air-conditioner laboratory.The hot water temperature and the compressor's discharge and suction pressure were recorded in the working condition,where the ambient temperature was at 43 ℃,35 ℃,21 ℃,7 ℃,and 2 ℃ separately.The results showed that the system operated stably and reliably.This system can supply 240 L hot water at 50 ℃ in the whole year,and its coefficience of performance(COP)is much higher than the conventional air source heat pump system.Its energy conservation was proved by comparing the thermal efficiency with other sourece water heaters.