AIM: To investigate the feasibility of treatment for upper gastrointestinal fistula and leakage with personal stage nutrition support. METHODS: Forty-three patients with upper gastrointestinal fistula and leakage were...AIM: To investigate the feasibility of treatment for upper gastrointestinal fistula and leakage with personal stage nutrition support. METHODS: Forty-three patients with upper gastrointestinal fistula and leakage were randomly divided into two groups. Patients in group A were treated with personal stage nutrition support and patients in group B were treated with total parental nutrition (TPN) in combination with operation. Nutritional states of the candidates were evaluated by detecting albumin (Alb) and pre-Alb. The balance between nutrition and hepatic function was evaluated by measurement of aspartate aminotransferase (AST), alanine aminotransferase (ALT) and total bilirubin (Tbill) before and after operation. At the same time their complications and hospitalized time were surveyed. RESULTS: Personal stage nutrition support improved upper gastrointestinal fistula and leakage. The nutrition state and hepatic function were better in patients who received personal stage nutrition support than in those who did not receive TPN. There was no significant difference in the complication and hospitalized time in the two groups of patients. CONCLUSION: Upper gastrointestinal fistula and leakage can be treated with personal stage nutrition support which is more beneficial for the post-operation recovery and more economic than surgical operation.展开更多
<strong>Aim: </strong>We devised a self-care supporting program targeting patients with early stages of secondary lower-limb lymphedema. The program incorporates “Simple exercises to replace lymphatic dra...<strong>Aim: </strong>We devised a self-care supporting program targeting patients with early stages of secondary lower-limb lymphedema. The program incorporates “Simple exercises to replace lymphatic drainage” based on lymphatic flow. The purpose of this study was to consider the feasibility of continuing this program. <strong>Methods:</strong> The participants were patients in the early stages of secondary lower-limb lymphedema after gynecological cancer surgery and lymphedema therapists with more than five years of experience. Patients continued self-care at home after being briefed on the program, and they were analyzed on their self-care continuity status one month later based on a self-administered questionnaire survey and self-care notes. We interviewed the lymphedema therapists about this program to discuss the feasibility of continuing it and obtain feedback. <strong>Results:</strong> The patients who participated in the study were six women who underwent surgery with lymph node dissection for gynecological cancer. The therapists were five nurses and one occupational therapist. The patient understood the importance of all items in the self-care. “Observation,” “Touching,” and “Skin care” were relatively easy to continue. “Lymph drainage” and “Exercise” were continued with “Simple exercises to replace lymphatic drainage”. “Other exercises” were able to continue by adding distance and time to daily activities. Furthermore, “Measurement” and “Recording” became a burden and were difficult to continue. Nonetheless, this program was generally approved by the lymphedema therapists. They also pointed out the content and format of the self-care notes as improvements. <strong>Conclusions: </strong>We found that the self-care supporting program that incorporated “Simple exercises to replace lymphatic drainage” might be feasible to continue self-care for patients with early stages of secondary lower-limb lymphedema. Furthermore, we found that we needed to improve the “Measurement” and “Recording” sections of this program.展开更多
窃电行为不仅会扰乱正常用电秩序,更会影响电网的供电质量和安全运行。针对窃电检测工作中所面临的用户正常用电行为与窃电行为多样化问题,该文提出一种基于多阶段递推数据分析的低压台区窃电检测方法。该方法第1阶段对嫌疑窃电台区进...窃电行为不仅会扰乱正常用电秩序,更会影响电网的供电质量和安全运行。针对窃电检测工作中所面临的用户正常用电行为与窃电行为多样化问题,该文提出一种基于多阶段递推数据分析的低压台区窃电检测方法。该方法第1阶段对嫌疑窃电台区进行判定,针对当日线损不是明显激增的情况,提出基于台区线损综合波动率、总分表电流差异率、线损和电流曲线的突变点时间重合度的三步分析法,为窃电嫌疑用户的检测提供了良好的条件;第2阶段提出基于最优特征集的时间序列相似性度量方法,基于欧氏距离度量曲线间数值特征,同时基于动态时间规整(dynamic time warping,DTW)算法度量曲线间的形态特征,实现窃电嫌疑用户的初步筛选;第3阶段提出基于核函数和惩罚参数优化的支持向量机二次深度检测模型(optimize kernel-function and penalty-parameters support vector machine,OKPSVM),其中惩罚参数采用综合改进的粒子群(improved particle swarm optimization,IPSO)算法。通过算例仿真和实际工程应用,整体优化后的支持向量机模型(IPSO-OKPSVM)能够提高深度窃电检测的精准性和适用性。展开更多
目的系统评价终末期患者营养支持决策过程中患者、家属和医护人员的感受,为改善患者及家属决策体验提供新思路。方法计算机检索Cochrane图书馆、PubMed、Web of Science、Embase、中国知网、万方数据库、维普数据库中有关终末期患者营...目的系统评价终末期患者营养支持决策过程中患者、家属和医护人员的感受,为改善患者及家属决策体验提供新思路。方法计算机检索Cochrane图书馆、PubMed、Web of Science、Embase、中国知网、万方数据库、维普数据库中有关终末期患者营养支持决策过程、体验的质性研究或混合研究。检索时限为建库至2023年8月。基于JBI循证卫生保健中心推荐的PICoS模型确定文献,采用MAXDQA2022软件对纳入文献进行归类整合。结果共纳入10篇文献,提炼38个主题,归纳9个类别,最终形成4个整合结果:决策者的多维度思考得出结果;决策者迫切需要专业支持;决策者认知影响决策结果;决策者同样需要心理干预。结论终末期患者营养支持决策需要经过多方协商、沟通,关注决策者心理体验,必要时给予专业支持,改善患者及家属体验。展开更多
Second lining stability, which is the last protection in tunnel engineering, is critically important. The rheological properties of the surrounding rock heavily affect second lining stability. In this work, we used la...Second lining stability, which is the last protection in tunnel engineering, is critically important. The rheological properties of the surrounding rock heavily affect second lining stability. In this work, we used laboratory triaxial compressive rheological limestone tests to study nonlinear creep damage characteristics of surrounding rock mass in construction projects. We established a nonlinear creep damage constitutive model for the rock mass, as well as a constitutive model numerical implementation made by programming. Second, we introduced a new foam concrete with higher compression performance and good ductility and studied its mechanical properties through uniaxial and triaxial tests. This concrete was used as the filling material for the reserved deformation layer between the primary support and second lining. Finally, we proposed a high efficiency and accuracy staged optimization method. The minimum reserved deformation layer thickness was established as the optimization goal, and the presence of plastic strain in the second lining after 100 years of surrounding rock creep was used as an evaluation index. Reserved deformation layer thickness optimization analysis reveals no plastic strain in the second lining when the reserved deformation minimum thickness layer is 28.50 cm. The results show that the new foam concrete used as a reserved deformation layer filling material can absorb creep deformation of surrounding rock mass, reduce second lining deformation that leads to plastic strain, and ensure long-term second lining stability.展开更多
文摘AIM: To investigate the feasibility of treatment for upper gastrointestinal fistula and leakage with personal stage nutrition support. METHODS: Forty-three patients with upper gastrointestinal fistula and leakage were randomly divided into two groups. Patients in group A were treated with personal stage nutrition support and patients in group B were treated with total parental nutrition (TPN) in combination with operation. Nutritional states of the candidates were evaluated by detecting albumin (Alb) and pre-Alb. The balance between nutrition and hepatic function was evaluated by measurement of aspartate aminotransferase (AST), alanine aminotransferase (ALT) and total bilirubin (Tbill) before and after operation. At the same time their complications and hospitalized time were surveyed. RESULTS: Personal stage nutrition support improved upper gastrointestinal fistula and leakage. The nutrition state and hepatic function were better in patients who received personal stage nutrition support than in those who did not receive TPN. There was no significant difference in the complication and hospitalized time in the two groups of patients. CONCLUSION: Upper gastrointestinal fistula and leakage can be treated with personal stage nutrition support which is more beneficial for the post-operation recovery and more economic than surgical operation.
文摘<strong>Aim: </strong>We devised a self-care supporting program targeting patients with early stages of secondary lower-limb lymphedema. The program incorporates “Simple exercises to replace lymphatic drainage” based on lymphatic flow. The purpose of this study was to consider the feasibility of continuing this program. <strong>Methods:</strong> The participants were patients in the early stages of secondary lower-limb lymphedema after gynecological cancer surgery and lymphedema therapists with more than five years of experience. Patients continued self-care at home after being briefed on the program, and they were analyzed on their self-care continuity status one month later based on a self-administered questionnaire survey and self-care notes. We interviewed the lymphedema therapists about this program to discuss the feasibility of continuing it and obtain feedback. <strong>Results:</strong> The patients who participated in the study were six women who underwent surgery with lymph node dissection for gynecological cancer. The therapists were five nurses and one occupational therapist. The patient understood the importance of all items in the self-care. “Observation,” “Touching,” and “Skin care” were relatively easy to continue. “Lymph drainage” and “Exercise” were continued with “Simple exercises to replace lymphatic drainage”. “Other exercises” were able to continue by adding distance and time to daily activities. Furthermore, “Measurement” and “Recording” became a burden and were difficult to continue. Nonetheless, this program was generally approved by the lymphedema therapists. They also pointed out the content and format of the self-care notes as improvements. <strong>Conclusions: </strong>We found that the self-care supporting program that incorporated “Simple exercises to replace lymphatic drainage” might be feasible to continue self-care for patients with early stages of secondary lower-limb lymphedema. Furthermore, we found that we needed to improve the “Measurement” and “Recording” sections of this program.
文摘窃电行为不仅会扰乱正常用电秩序,更会影响电网的供电质量和安全运行。针对窃电检测工作中所面临的用户正常用电行为与窃电行为多样化问题,该文提出一种基于多阶段递推数据分析的低压台区窃电检测方法。该方法第1阶段对嫌疑窃电台区进行判定,针对当日线损不是明显激增的情况,提出基于台区线损综合波动率、总分表电流差异率、线损和电流曲线的突变点时间重合度的三步分析法,为窃电嫌疑用户的检测提供了良好的条件;第2阶段提出基于最优特征集的时间序列相似性度量方法,基于欧氏距离度量曲线间数值特征,同时基于动态时间规整(dynamic time warping,DTW)算法度量曲线间的形态特征,实现窃电嫌疑用户的初步筛选;第3阶段提出基于核函数和惩罚参数优化的支持向量机二次深度检测模型(optimize kernel-function and penalty-parameters support vector machine,OKPSVM),其中惩罚参数采用综合改进的粒子群(improved particle swarm optimization,IPSO)算法。通过算例仿真和实际工程应用,整体优化后的支持向量机模型(IPSO-OKPSVM)能够提高深度窃电检测的精准性和适用性。
文摘目的系统评价终末期患者营养支持决策过程中患者、家属和医护人员的感受,为改善患者及家属决策体验提供新思路。方法计算机检索Cochrane图书馆、PubMed、Web of Science、Embase、中国知网、万方数据库、维普数据库中有关终末期患者营养支持决策过程、体验的质性研究或混合研究。检索时限为建库至2023年8月。基于JBI循证卫生保健中心推荐的PICoS模型确定文献,采用MAXDQA2022软件对纳入文献进行归类整合。结果共纳入10篇文献,提炼38个主题,归纳9个类别,最终形成4个整合结果:决策者的多维度思考得出结果;决策者迫切需要专业支持;决策者认知影响决策结果;决策者同样需要心理干预。结论终末期患者营养支持决策需要经过多方协商、沟通,关注决策者心理体验,必要时给予专业支持,改善患者及家属体验。
基金Projects(51409154,41372289)supported by the National Natural Science Foundation of ChinaProjects(2015JQJH106,2014TDJH103)supported by Research Fund of Shandong University of Science and Technology,China
文摘Second lining stability, which is the last protection in tunnel engineering, is critically important. The rheological properties of the surrounding rock heavily affect second lining stability. In this work, we used laboratory triaxial compressive rheological limestone tests to study nonlinear creep damage characteristics of surrounding rock mass in construction projects. We established a nonlinear creep damage constitutive model for the rock mass, as well as a constitutive model numerical implementation made by programming. Second, we introduced a new foam concrete with higher compression performance and good ductility and studied its mechanical properties through uniaxial and triaxial tests. This concrete was used as the filling material for the reserved deformation layer between the primary support and second lining. Finally, we proposed a high efficiency and accuracy staged optimization method. The minimum reserved deformation layer thickness was established as the optimization goal, and the presence of plastic strain in the second lining after 100 years of surrounding rock creep was used as an evaluation index. Reserved deformation layer thickness optimization analysis reveals no plastic strain in the second lining when the reserved deformation minimum thickness layer is 28.50 cm. The results show that the new foam concrete used as a reserved deformation layer filling material can absorb creep deformation of surrounding rock mass, reduce second lining deformation that leads to plastic strain, and ensure long-term second lining stability.
