Temporal-spatial Distribution of Various Types of Crime in the Special Wards of Tokyo

Based on the official criminal data released by the Tokyo Metropolitan Police Department in 2019,this paper discusses the temporal-spatial distribution of various types of crimes in the special wards of Tokyo.The results show that:(1)The times of high and low incidence of different types of crime differ significantly.Although vicious crime and violent crime present no obvious monthly distribution,property crime clearly differs between the first and second half of a calendar year.(2)The month before the new year sees a surge in most types of crime.(3)Vicious crime peaks in the hours between night and early morning.Violent crime and property crime correlate positively with the frequency of human interaction and peak in the morning and evening commuting hours.(4)The spatial distribution of crime resembles the concentric circles of the three rings of the special wards of Tokyo,with a central high-incidence area,a center-peripheral low-incidence area,and a marginal high-incidence area.In addition,the center sees more personal crime than the periphery,whereas property crimes show the opposite trend.(5)A spatial autocorrelation analysis shows that the special wards of Tokyo may be grouped into the“high-high”and“low-low”agglomeration modes of different types of crime,with marked differences between the various types of crime.The crime can be divided into three types:central agglomeration,double central agglomeration,and decentralized agglomeration.

Caring Behaviour of Nurses in Orthopaedic Wards of Selected Health Institutions as Perceived by Patients

Nurses are trained to provide hands-on care to patients in a variety of settings, which include physical care which can range from total care to helping a patient prevent illness. The health of a patient can significantly improve when they (patients) perceive caring nursing behaviours and are satisfied with the quality of care been received from their care giver. The aim of this study was to determine the caring behaviour of nurses as perceived by patients admitted to orthopaedic ward in some selected hospitals in Osogbo, Osun state, Nigeria. A descriptive comparative design was used. Convenient sample technique was used to select 616 respondents consisting of male and female patients admitted to orthopaedic wards of selected hospitals. The questionnaire on Caring Behaviour Assessment scale was adapted from CBI. The most highly ranked perceived nurses’ behaviour by patients rated “satisfactory” was the general perception of the patients and rendering of basic needs. The findings also revealed that patients rated nurses behaviour (care-giving) with respect to human needs assistance, the provision of safe environment, assisting in psychological care and giving physical comfort as average. Lastly, findings also revealed that patients rated perceived nurses behaviour (care-giving) as “not satisfactory” with regards to meeting their communication needs, nutritional needs and individualized care. In conclusion, care giving is an important branch of nursing and it depicts the quality of care received by a patient which in turn is capable of aiding speedy recovery.

Economic efficiency of radiology wards using data envelopment analysis: Case study of Iran

Background: In evaluating the activities and performance of radiology units, the main aim of applying feasible scientific methods is to use technological and human resources optimally. One of the suitable scientific methods in this field is determining the technical, economic, and allocative efficacy of these centers. We aimed to assess the economic efficiency of radiology units of hospitals affiliated to Shiraz University of Medical Sciences, southern Iran. Methods: In this descriptive-analytical cross-sectional study, the technical, economical, and allocative efficiency of 27 radiology units of public hospitals was assessed using data envelopment analysis. The input oriented envelopment form with the assumption of the varied outputs with respect to the scale was used. Related forms were filled using the existing information in the archives of radiology centers. Input variables in this study were the number of radiology devices, the number of expert personnel, the number of technicians, equipment maintenance and depreciation costs, and the salaries of the experts and technician. Output variables included the number of admitted patients and the number of photographic film. Then, data were analyzed using the DEAP software for calculating the various forms of efficiency. Results: The mean scores of economic, technical, and allocative efficiencies of radiology units were 0.749, 0.880, and 0.852, respectively. The final score of economical efficiency was lower than the technical and allocative efficiency scores. Only 15% of radiology units were economically efficient. Conclusion: Economical efficiency can be attained when resources are used in the best possible way and not wasted. Therefore, a combination of inputs that comprise the lowest costs should be selected.

Relation between Family Functioning and Quality of Life among Family Caregivers of Patients with Terminal Cancer Hospitalized in General Wards

Caring for a patient with terminal cancer poses difficulties for family caregivers. Although families of patients with cancer have been classified by type, little is known about the relation between family functioning and quality of life (QOL) in family caregivers. This study aimed to develop a typology of family functioning in family caregivers of patients with terminal cancer and then examine the relation between the family functioning and QOL of family caregivers. From December 2013 to August 2014, fifty-one family caregivers of patients with terminal cancer were recruited at three hospitals in Tokyo, Japan. Perceptions of family functioning were assessed with the Family Relationship Index, and its three subscores were classified into three groups by cluster analysis. Caregivers’ QOL was measured with the Caregiver Quality of Life Index-Cancer. The average total FRI score among 51 caregivers was 8.5 (SD = 2.8). Family functioning was categorized into three clusters: supportive (n = 12), communicative (n = 30), or conflictive (n = 8). Their QOL was categorized into two groups: the communicative group, with relatively high confliction, showed high QOL comparable to the supportive group. Family functioning in the families of patients with terminal cancer hospitalized in general wards was not good. For improving the QOL of family caregivers, it may be important for the family members to express their feelings and distress if they have conflicts.

What Contributes to Satisfaction with Care for Family Caregivers of Terminal Cancer Patients Admitted to General Wards? A Qualitative Study

Satisfaction with care is an important indicator for family caregivers of patients with terminal cancer and is linked to the quality of life. Despite this, few studies have examined the aspects of satisfaction with care of family caregivers of inpatients with cancer in general wards. This qualitative study aimed to elucidate the elements of satisfaction with the care that inpatients with terminal cancer in general wards and their family caregivers receive from medical staff, as perceived by the family caregivers. Semi-structured interviews were conducted with 10 family caregivers of inpatients with terminal cancer. Participants were asked about the care received until then from medical staff, the features of satisfactory care, and the aspects of care they felt were unsatisfactory or could become satisfactory with improvement. The data were analyzed with the content analysis method and the six categories were extracted. For family caregivers of inpatients with terminal cancer in general wards, along with the care identified as important in palliative care, the methods of alleviating symptoms and explaining the patient’s condition were also important. The results highlight the importance of determining a patient-oriented approach and explanations together with each patient and family caregiver, based on an understanding of the long treatment process.

Criteria for Determining the Need for Admission of People with Dementia to Dementia Nursing Wards of Psychiatric Hospitals in Japan

Purpose: This study aims to establish criteria to determine the need for admission of people with dementia to dementia nursing wards of psychiatric hospitals—based on the experience of nurses working in dementia nursing wards. Methods: Semi-structured interviews were conducted with nurses who had worked in dementia nursing wards of psychiatric hospitals for more than 3 years, to collect data related to the “condition at the time of admission and the process of hospitalization of dementia patients”. Data were analyzed using the content analysis approach. Focusing on “What is the condition of patients with dementia admitted to the dementia nursing ward?”, we created codes according to similarities in the meaning, and classified these into categories where they were evaluated to fully fit in. Results and Discussion: The analysis yielded 4 categories, and 44 codes. The four categories are as follows: [Appearance of a state where self-control is difficult] which expresses a state where behavioral and psychological symptoms of dementia (BPSD) have appeared, and the remaining three categories [Insufficient support provided], [Appearance of symptoms that make living difficult], and [Appearance of physical symptoms that require treatment] express the states that may trigger the appearance of BPSD. These show that the appearance of BPSD is a criterion for determining hospitalization. By providing support to prevent the states described in the 44 codes, nurses may help people with dementia avoid being hospitalized in dementia nursing wards in psychiatric hospitals.

Study of the effect of humanistic nursing care model wards in Children Caring Ward School on the nurses'caring ability

Objective： To understand the effect of humanistic nursing care model wards in Children Caring Ward School （CCWS） on the nurses＇ caring ability. Methods： Questionnaire 25 nurses of humanistic nursing care model wards in CCWS using the Nkongho Caring Ability Inventory （CAI） before and after implement the humanistic nursing care model, including reform the systems of nursing care, introduce humanistic care model, implement the humanistic care, to measure the nurses＇ caring ability. Results： The nurses＇ caring ability had significantly developed on total, cognition dimension, courage dimension and patience dimension after all measures considered （p 〈 0.05）. Conclusions： The humanistic nursing care model wards in CCWS has a positive effect on the nurses＇ caring ability, not only to help build great relationships between nurses and patients but also to enhance the patients＇ satisfaction.

Development of a Scale to Evaluate the Depressive State among Elderly Patients in General Wards

This study aims to develop a scale to evaluate depressive states among elderly patients in general wards, and verify the reliability and validity of the scale. Based on the results of interviews with nurses, we developed a draft of a scale comprised of 48 questions (NDE48). The Geriatric Depression Scale short version (GDS15), and the Zung Self-rating Depression Scale (SDS) were administered to 54 elderly patients. Two groups of nurses completed the NDE48 on different days. After performing an explanatory factor analysis, the NDE48 was simplified to a 16 question item scale (NDE16), comprising three factors. The correlation coefficient between GDS15 and NDE16 was 0.41 (p = 0.00191), and between SDS and NDE16 was 0.30 (p = 0.02633). Alpha coefficient of the total score of NDE16 was 0.88. For inter-rater reliability, the correlation coefficient was 0.57 (p = 0.00005). The findings suggest that the NDE16 will be highly useful when nurses evaluate depressive states among elderly inpatients.

Potential drug–drug interactions in pediatric wards of Gondar University Hospital,Ethiopia:A cross sectional study

Objective: To determine the prevalence, level of severity of potential drug–drug interactions(PDDIs) and the associated factors for PDDIs in hospitalized pediatric patients of Gondar University Hospital.Methods: A retrospective cross-sectional study was conducted for a period of 3 months from March to May 2014 in pediatric wards of Gondar University Hospital. Systematic random sampling technique was used to select charts from all pediatric patients' charts with every 7th interval to get sample size of 384. Univariate and multivariate analysis were performed to compute crude odds ratio and adjusted odds ratio respectively. Statistical significance was set at P value < 0.05.Results: A total of 176(45.8%) patients had at least one PDDI. A total of 393 PDDIs,which were comprised of 283 types of interacting combinations, were identified. Of the total of 393 PDDIs, most were of moderate severity [201(51%)] followed by minor [152(39%)] and major severity [40(10%)]. The most common interacting pairs of major severity were gentamicin + furosemide(6), cotrimoxazole + methotrexate(4) and phenytoin + artemether(4). The occurrence of PDDIs was significantly associated with age and polypharmacy.Conclusions: The study showed that most of the interactions had moderate severity followed by minor severity. Age and polypharmacy were found to show statistically significant association with the occurrence of PDDIs. Due to sensitive nature of pediatrics population, close monitoring is recommended for the detection and management of PDDIs to prevent its negative consequences.

Outcome of In-Hospital Cardiac Arrest in Adult General Wards

Objective: Few studies have focused on factors influencing outcomes of patients with in-hospital cardiac arrest (IHCA) in general wards. The goal of this study was to report the outcomes of adult patients with IHCA in the general wards and identified the prognostic factors. Methods: Adult patients with IHCA having received cardiopulmonary resuscitation in general wards from January 2008 to December 2011 were retrospectively reviewed from our registry system. The primary outcome was survival to hospital discharge, while the secondary outcome was sustained return of spontaneous circulation (ROSC). Results: A total of 544 general ward patients were analyzed for event variables and resuscitation results. The rate of establishing a ROSC was 40.1% and the rate of survival to discharge was 5.1%. Ventricular tachycardia/ventricular fibrillation (VT/VF) was the initial rhythm in 3.9% of patients. Pre-arrest factors including a high Charlson comorbidity index (CCI) ≥ 9 (OR 0.251, 95% CI 0.098 - 0.646), cardiac comorbidity (OR 0.612, 95% CI 0.401 - 0.933), and arrest time on the midnight shift (OR 0.403, 95% CI 0.252 - 0.642) were independently associated with a low possibility of ROSC. The initial VT/VF presenting rhythms (OR 0.135, 95% CI 0.030 - 0.601) were independently associated with a high survival rate, whereas patients with deteriorated disease course were independently associated with a decreased hospital survival (OR 3.902, 95% CI 1.619 - 9.403). Conclusions: We demonstrated that pre-arrest factors can predict patient outcome after IHCA in general wards, including the association of a CCI ≥ 9 and cardiac comorbidity with poor ROSC, and deteriorated disease course as an independent predictor of a low survival rate.

Development of a Scale to Evaluate Depressive States among Elderly Patients in General Wards —Verification of the Contents to Improve the Accuracy of the Scale

Purpose: This study aims to verify the validity of the contents of the Nurse Administered Depression Scale for Elderly Inpatients16 (NDE16) using the Delphi approach in order to further improve the accuracy of the NDE16, a scale for rating potential depressive states in elderly inpatients through the observations reported by nurses. Methods: Participants were nurses working in general wards for longer than 3 years and who expressed consent to the study participation. Data were collected using the Delphi method (3 times). Responses are scored from 1 to 5 (3 - 5 points as positive) using the Likert method. The standard criteria for inclusion in the further evaluation are “mean ≥ 3.0”, “standard deviation < 1.0”, “median ≥ 3.0”, and “IQR ≤ 1.0”. Items that meet all the criteria at the third survey are employed as question items in the final questionnaire. Results: The respondents were 139 females, 10 males, and 1 unknown, aged 25 to 65. The collection rates of the three surveys were 75% to 82%. Based on the results of the first survey, wordings of 9 questions were modified. Since Question 13 “Queries are not really responded to.” did not meet the criteria (IQR = 2) at the third survey, we excluded this question and named the revised scale NDE15. Discussion: The reason why Question 13 did not meet the criteria could be due to the difficulty in distinguishing “Expressing thought suppression” from the state of cognitive decline in dementia. Further studies are needed to determine cutoff points.

Nursing Care Management Strategies in Isolation Wards during the COVID-19 Outbreak

Coronavirus disease 2019 (COVID-19) is highly infectious and has spread worldwide. Medical staff may be exposed to the infection under circumstances of medical supply shortages and improper protection. How to better protect medical staff has become the focus of all walks of life. Therefore, during the COVID-19 outbreak, timely adjustments and optimization of nursing management strategies in isolation wards are important for improving care quality and reducing the infection of medical staff. Based on a literature review and clinical nursing management practices, this article summarizes the nursing management strategies in isolation wards during the COVID-19 outbreak, aiming to provide references for clinical nursing managers.

颜值控——2020 WARDS十佳内饰

2020年6月25日,美国《Wards Auto》杂志公布了2020年十佳内饰榜单(2020 Wards 10 Best Interiors)。十佳内饰奖已进入第10个年头,8名评委用了两个多月时间对入选的32款车型从设计美学、用料、人体工程学、安全性、舒适性、价值、工艺以及信息娱乐系统用户体验性和创新性等方面进行了综合考量,最终10款车脱颖而出,入选2020年十佳内饰榜单。这些获奖车型的内饰个个都是精品,具有一流的颜值。下面就让我们一起来看看,究竟有哪些车型入选该名单。

不同载荷条件下三种内固定方式治疗PauwelsⅢ型股骨颈骨折的有限元分析

背景:治疗PauwelsⅢ型股骨颈骨折的最佳内固定方式仍未达成共识,既往相关有限元分析大多采用单一简化载荷条件,对于常用内固定装置的生物力学特性还需进一步探究。目的:通过有限元方法分析空心加压螺钉、动力髋螺钉和股骨颈系统治疗PauwelsⅢ型股骨颈骨折在单腿站立载荷及侧方跌倒载荷条件下的生物力学特性。方法:通过CT扫描获取健康成人股骨DICOM数据,导入Mimics 15.0软件,得到骨组织的粗糙模型,再通过Geomagics软件对Mimics导出的数据进行优化处理,然后根据空心加压螺钉、动力髋螺钉和股骨颈系统的临床应用参数采用Pro/E软件建立3种内固定模型并与股骨模型组装,最后导入Ansys软件进行加载、计算,分析3种内固定模型在单腿站立载荷及侧方跌倒载荷的不同工况下股骨和内固定的应力分布和位移情况,以及股骨距和Ward三角区的应力特点。结果与结论:(1)单腿站立载荷及侧方跌倒载荷下,3种内固定模型的股骨近端应力均主要分布在股骨颈骨折端内上方,3种内固定模型的股骨近端、骨折端、Ward三角以及股骨距的应力峰值均为股骨颈系统内固定模型最小,空心加压螺钉内固定模型最大;(2)单腿站立载荷及侧方跌倒载荷下,3种内固定模型的股骨近端位移峰值均位于股骨头顶端,且位移峰值均为股骨颈系统内固定模型最小,空心加压螺钉内固定模型最大;(3)3种内固定模型在单腿站立及侧方跌倒载荷条件下内固定的位移峰值均位于内固定装置上方顶端,且位移峰值均为股骨颈系统内固定模型最小,空心加压螺钉内固定模型最大;(4)3种内固定模型在单腿站立及侧方跌倒载荷条件下内固定的应力均主要集中在内固定装置的骨折端附近区域,且内固定应力峰值均为股骨颈系统内固定模型最小,空心加压螺钉内固定模型最大;(5)结果表明,股骨颈系统的机械稳定性最佳,但是可能存在对于骨折端和股骨距应力遮挡的风险;股骨颈系统的内固定装置应力更为分散,内固定断裂风险更低。

Design framework for robotic surgery wards at hospitals:Computational implementation

Robotic surgery is one of the most recent technologies in healthcare building field.Due to the design complexity of Robotic surgery wards,computational implementations are being developed to either measure the effect of inserting advanced technologies as Electronic medical recorders and tele surgery,or evaluate design alternatives on healthcare building.This paper presents a design framework that responds to the need for coordinating design phases for Robotic Surgery Wards(RSWs)computationally.This proposed design framework for RSWs can generate functional RSW alternatives and more than one solution for each alternative.The framework has been structured based on the main architectural considerations of RSWs which are geom etric and topological,the economic considerations,specific developed pools for shape and corridor patterns,and the theory of,fShape Grammars"has been utilized to compute the framework to generate a vast number of design alternatives.Accordingly,a computational implementation has been established to assist designers in early design stages.Numerical validation for the applications of the developed framework and implementation has been conducted by using reference examples of RSWs.The main finding in this paper is providing healthcare building designers with a computational implementation that generates RSW alternative computationally based on specific shape and cost levels.

A New Interpretation in Urban Form of the Wards of Tang Chang'an

By comparing the gridiron plans of ancient western cities with that of Tang Chang'an in the same scale,the authors find that a residential ward of Tang Chang'an was about the same size as an ancient western city.Thus the paper puts forward a hypothesis that Tang Chang'an was not a single city,but a cluster of hundreds of small towns with rigid layout.This theory is then proved by comparing a ward of Tang Chang'an with a typical small town in China from the perspectives of town scale,spatial layout,residential density,and land-use.The authors further explain the main cause for this unique urban form of Tang Chang'an,which was the compulsory migration policy.

The Internal Layout of the Wards of Chang'an in the Tang Dynasty

The authors conduct a textual research on the internal layout of the wards of Chang'an in the Tang Dynasty and challenge the existing hypotheses and the conjectural model of the ward. Questions are raised from the aspects of spatial cognition, street hierarchy, and the regularity of urban fabric. The significant contrast of block dimensions between eastern and western cities is revealed, by comparing the layout pattern of the urban blocks of Tang Chang'an with that of Kahun of ancient Egypt, Olynthus of ancient Greece, Timgad of ancient Rome, and Mirande of the Middle Ages, as well as Old Herat of Afghanistan. It is concluded that a typical ward of Tang Chang'an had a dual structure of strict super-grid placed over residential quarters in an organic growth pattern. The socio-economic causes of this unique structure are also explored. Finally, the authors make a quantitative comparison between a ward in Tang Chang'an and Heijo-kyo of Japan respectively and illustrate the essential difference on concept and structure between the two models.

适用于潮流分析的改进网络等值建模方法研究

Ward等值法作为一种重要的等值建模方法,在电力系统分析计算中得到广泛应用。实际应用Ward等值时会出现2个问题:一是求解等值方程时如何提取电网数据计算等值导纳矩阵和等值电源;二是等值误差问题,包括等值过程中产生的误差以及系统运行状态改变时产生的误差。为此提出一种适用于潮流分析的改进等值建模方法,针对等值方程求解中存在数据提取问题,提出一种基于PSCAD中的PSD-SCCP短路故障分析功能求解等值电源和导纳矩阵的方法,实现在PSCAD中对大电网建模;针对常规等值在系统工况发生变化时的误差问题,研究一种用电压源串联阻抗的形式建模修正误差的办法,使等值系统潮流发生变化时与完整系统的PV节点发生相同响应,通过算例验证了方法的有效性。

Explore the clinical nursing path of daytime laparoscopic cholecystectomy under the guidance of enhanced recovery after surgery

Objective:To explore the safety and effectiveness nursing of 12 h discharged daytime laparoscopic cholecystectomy guided by enhanced recovery after surgery(ERAS)concept.Methods:Included 180 cases from the 12 h discharged daytime laparoscopic cholecystectomy patients which assessmended and guided by ERAS,with the 180 case of routine cholecystectomy patients as control group at the same time.To quantitatively analyze the related indexes of perioperative period and ERAS concept,and evaluate the clinical safety,and effectiveness.Results:It displayed no significant differences in average age,gender distribution,duration of gallbladder related disease and distribution of clinical symptoms between the two groups(P>0.05).There were also no significant differences in preoperative smoking history,hypertension history,cardio-cerebrovascular history,abdominal operation history and disease composition ratio between the two groups(P>0.05).None of the patients had conversion to laparotomy.Compared with the conventional surgery group,there were no significant differences in the average amount of intraoperative blood loss,operation time and muscle strength before returning to the ward in patients with ERAS guided day surgery(P>0.05).When compared with the conventional surgery group,ERAS guided day surgery group had no significant difference in muscle strength between the two groups when going under the ground(t=1.64,P=0.082).Also,the level of peripheral white blood cells in patients with ERAS guided day surgery group was not significantly increased at 6 h after surgery.Meanwhile,liver function related indexes,transaminase,total bilirubin,indirect bilirubin were not significantly abnormal(P>0.05).Conclusion:12 h daytime laparoscopic cholecystectomy guided by ERAS concept can improve the clinical efficacy of patients with cholecystolithiasis,which is safe and feasible.

秦皇岛市男性不同区域骨密度相关影响因素的分析

目的了解健康成年男性不同区域骨密度随年龄增长的变化特点,分析不同区域骨密度的主要影响因素,为男性骨质健康、预防骨质疏松提供理论依据。方法应用双能X线骨密度仪测量记录186例年龄25~64岁健康男性的Wards三角、大粗隆、股骨颈、L1~L4区域的骨密度,分别计算比较各区域的骨密度值,并采用Pearson及多元线性回归分析统计各区域骨密度的主要影响因素。结果 Wards三角骨密度主要与年龄、腰围、总体脂肪质量和总体肌肉质量相关,大粗隆骨密度主要受BMI、腰围、总体肌肉质量、大腿脂肪质量影响,股骨颈骨密度主要受腰围、总体肌肉质量影响;L1、L2、L3骨密度主要受腰围、总体肌肉质量影响,而L4主要与腰围、总体肌肉质量和总体脂肪质量有关。结论不同区域骨密度值不同,不同区域骨密度主要受年龄、BMI、腰围、总体脂肪质量、总体肌肉质量、大腿脂肪质量的影响,但不同区域骨密度的主要影响因素不完全一致。