Purpose-Interface management is the process of managing communications,responsibilities and coordination of project parties,phases or physical entities which are dependent on one another.Interface management is a cruc...Purpose-Interface management is the process of managing communications,responsibilities and coordination of project parties,phases or physical entities which are dependent on one another.Interface management is a crucial part of managing any construction project-but particularly important for high-speed railway projects that often have several contractual parties and stakeholders,very long project timelines and huge upfront cost overlays.This paper discusses how various project interfaces were managed during the design and construction of the civil engineering infrastructure for the High Speed Two(HS2)project in the United Kingdom.Design/methodology/approach-The paper uses the case study methodology.Key interfaces on the HS2 project are grouped into various categories and the paper discusses how they were managed within the Area North Integrated Project Team(IPT)of the HS2 project made up of contractor Balfour Beatty VINCI(BBV),the Mott MacDonald SYSTRA Design Joint Venture(DJV)and client HS2 Ltd.3 different case studies drawn from across the IPT are used,each of them highlighting different interfaces and how these interfaces were managed.Findings-The paper shows how innovative technical designs and modern methods of construction were used to address some of the unique and peculiar challenges of designing a brand-new railway in the United Kingdom.Addressing the contrasting and often competing requirements of different stakeholders,coupled with challenging physical constraints of the very limited land available for the project and the use of a rarely used Act of Parliament in the delivery of the project required different approach to interface management.Collaboration and proactive stakeholder engagement are necessary for successful interface management on megaprojects.The authors posit that adopting an integrated approach to engineering and construction management is an essential ingredient for the successful delivery of high-speed railway projects.Originality/value-With many high-speed railway projects around the world coming up in the next few years,understanding the context and challenges for each country will help engineering and design managers adopt appropriate approaches for their projects.The lessons learned on the HS2 project are also transferable to other mega infrastructure projects with complex project interfaces.展开更多
Colonoscopy represents a safe procedure that is widely used in medical practice either to diagnose or treat various gastrointestinal diseases.During the last few years,the incidence rate of perforations in colonoscopi...Colonoscopy represents a safe procedure that is widely used in medical practice either to diagnose or treat various gastrointestinal diseases.During the last few years,the incidence rate of perforations in colonoscopic procedures has increased,especially in therapeutic colonoscopies.The recent advancements in endoscopic techniques and gastrointestinal tumoral resection procedures such as endoscopic mucosal resection,endoscopic full-thickness resection,and endoscopic submucosal dissection(ESD)could be a risk factor for this increased risk.The incidence rate of mortality of serious colonoscopic perforations is 7.1%.The management plan for these perforations starts with conservative treatment in mild cases,endoscopic closure,and surgical management in severe cases.Recently,endoluminal vacuum therapy was found to be effective in the management of colorectal perforations and this has been reported in multiple case reports.This editorial provides an overview of the current guidelines for the management of iatrogenic colorectal perforations.These insights are from the perspectives of endoscopists and gastroenterologists.We also present a management algorithm based on the guidelines of the European Society of Gastrointestinal Endoscopy,the American Gastroenterological Association,and the World Society of Emergency Surgery.We also discussed in brief the use of endoluminal vacuum therapy in colorectal perforations.展开更多
Machine picking in cotton is an emerging practice in India,to solve the problems of labour shortages and production costs increasing.Cotton production has been declining in recent years;however,the high density planti...Machine picking in cotton is an emerging practice in India,to solve the problems of labour shortages and production costs increasing.Cotton production has been declining in recent years;however,the high density planting system(HDPS)offers a viable method to enhance productivity by increasing plant populations per unit area,optimizing resource utilization,and facilitating machine picking.Cotton is an indeterminate plant that produce excessive vegeta-tive growth in favorable soil fertility and moisture conditions,which posing challenges for efficient machine picking.To address this issue,the application of plant growth retardants(PGRs)is essential for controlling canopy architecture.PGRs reduce internode elongation,promote regulated branching,and increase plant compactness,making cotton plants better suited for machine picking.PGRs application also optimizes photosynthates distribution between veg-etative and reproductive growth,resulting in higher yields and improved fibre quality.The integration of HDPS and PGRs applications results in an optimal plant architecture for improving machine picking efficiency.However,the success of this integration is determined by some factors,including cotton variety,environmental conditions,and geographical variations.These approaches not only address yield stagnation and labour shortages but also help to establish more effective and sustainable cotton farming practices,resulting in higher cotton productivity.展开更多
“Multidimensional international world”refers to understanding the world through multiple dimensions beyond traditional economic or political measures,fostering cross-cultural collaboration,and creating systems that ...“Multidimensional international world”refers to understanding the world through multiple dimensions beyond traditional economic or political measures,fostering cross-cultural collaboration,and creating systems that balance global integration with local needs.This also includes management of global business operations across diverse cultures in a multipolar international landscape.The paper briefs the developed and already tested in numerous applications high-level Spatial Grasp Model and Technology(SGT),which can help investigate and manage complex systems with a holistic spatial approach effectively covering various physical and virtual dimensions,their interrelations,and integration as a whole.Different areas will be investigated with examples of practical solutions in them and their combinations in a high-level Spatial Grasp Language(SGL),the key element of SGT.This allows for the creation and distributed management of very large spatial networks with different orientation which can be self-spreading,self-analyzing,self-modifying,and self-recovering in complex terrestrial and celestial environments,and also organize dynamic multi-networking solutions supporting global evolution and integrity.展开更多
Hi,everyone!I started loving economics and money when I was only seven.When I was nine,I tried managing money for the fi rst time.I learned a lot from itmaybe even more than I learn in school!It all began after I read...Hi,everyone!I started loving economics and money when I was only seven.When I was nine,I tried managing money for the fi rst time.I learned a lot from itmaybe even more than I learn in school!It all began after I read a book about how kids can succeed with money.I felt excited and asked my mom for some money to start.She gave me 5,000 yuan.I spent a lot of time learning online about investing and saving.One day,I found something called online financial management,and I wanted to try it.展开更多
Artificial intelligence(AI)is transforming gastroenterology by enhancing diagnostic accuracy,enabling personalized treatment,and improving disease management efficiency.This review explored the evolution and applicati...Artificial intelligence(AI)is transforming gastroenterology by enhancing diagnostic accuracy,enabling personalized treatment,and improving disease management efficiency.This review explored the evolution and application of core AI technologies,including machine learning,deep learning,and neural networks,that underpin modern computational advancements in the field.These tools have demonstrated significant success in detecting premalignant and malignant lesions and in managing gastrointestinal bleeding,colorectal cancer,and Helicobacter pylori infection.AI also supports the diagnosis and treatment of liver and pancreatic diseases.Its use is expanding in functional gastrointestinal disorders such as irritable bowel syndrome with emerging applications in pediatric gastroenterology.In addition AI enables advanced risk stratification and addresses persistent challenges in conventional diagnostic and therapeutic approaches,including interobserver variability and inefficiencies in care delivery.However,integration into routine clinical practice faces several barriers,including data privacy concerns,algorithmic bias,limited model interpretability,regulatory gaps,and interoperability issues with existing healthcare infrastructure.Future directions include real-time procedural guidance,multi-omic prediction models,minimally invasive surgical automation,and drug discovery.Achieving the full potential of AI will require ethical governance,regulatory clarity,and sustained interdisciplinary collaboration.展开更多
In this editorial,we discuss the article by Singh et al published in World Journal of Nephrology,stating the need for timely adjustments in inflammatory bowel disease(IBD)patients'long-term management plans.IBD is...In this editorial,we discuss the article by Singh et al published in World Journal of Nephrology,stating the need for timely adjustments in inflammatory bowel disease(IBD)patients'long-term management plans.IBD is chronic and lifelong,with recurrence and remission cycles,including ulcerative colitis and Crohn's disease.It's exact etiology is unknown but likely multifactorial.Related to gut flora and immune issues.Besides intestinal symptoms,IBD can also affect various extrain-testinal manifestations such as those involving the skin,joints,eyes and urinary system.The anatomical proximity of urinary system waste disposal to that of the alimentary canal makes early detection and the differentiation of such symptoms very difficult.Various studies show that IBD and it's first-line drugs have nephro-toxicity,impacting the patients'life quality.Existing guidelines give very few references for kidney lesion monitoring.Singh et al's plan aims to improve treatment management for IBD patients with glomerular filtration rate decline,specifically those at risk.Most of IBD patients are young and they need lifelong therapy.So early therapy cessation,taking into account drug side effects,can be helpful.Artificial intelligence-driven diagnosis and treatment has a big potential for management improvements in IBD and other chronic diseases.展开更多
BACKGROUND Children with autism spectrum disorder(ASD)face unique challenges in maintaining oral health due to sensory sensitivities,communication difficulties,and behavioral barriers.These factors,along with limited ...BACKGROUND Children with autism spectrum disorder(ASD)face unique challenges in maintaining oral health due to sensory sensitivities,communication difficulties,and behavioral barriers.These factors,along with limited access to ASD-trained dental professionals,increase their risk of dental caries,periodontal disease,bruxism,and other oral health issues.Despite growing awareness of these challenges,a comprehensive synthesis of evidence-based solutions remains lacking.AIM To review synthesizes existing research on dental problems in ASD,barriers to care,management strategies,and future directions for improved oral health outcomes.METHODS A systematic search of PubMed,Cochrane Library,and Scopus was conducted using predefined search terms.Related to ASD,dental health,and management strategies.Inclusion criteria encompassed studies focusing on children with ASD,dental health issues,and interventions.Data extraction included study design,participant characteristics,key findings,and intervention outcomes.The quality of studies was assessed using appropriate tools such as the Cochrane Risk of Bias Tool and the Newcastle-Ottawa Scale.A narrative synthesis approach,incorporating thematic analysis,was utilized to evaluate the findings.RESULTS A total of 165 studies met the inclusion criteria.Children with ASD exhibited a higher prevalence of dental caries,gingivitis,bruxism,and malocclusion compared to neurotypical peers.Barriers to dental care included sensory sensitivities,communication difficulties,financial constraints,and a shortage of ASD-trained dental professionals.Effective interventions included desensitization programs,behavioral therapy,digital applications,and interdiscip-linary collaboration.Parental education and professional training were crucial for improving oral health outcomes.CONCLUSION Tailored dental care strategies,including sensory adaptations,behavioral interventions,and interdisciplinary collaboration,are essential for children with ASD.Standardized guidelines and long-term studies are needed to refine evidence-based protocols.Future research should explore digital interventions and probiotic applications in ASD dental care.展开更多
BACKGROUND Non-alcoholic fatty liver disease(NAFLD)management requires sustainable lifestyle modifications.This study aimed to evaluate the effectiveness of the RESET care plan,a comprehensive program that is an integ...BACKGROUND Non-alcoholic fatty liver disease(NAFLD)management requires sustainable lifestyle modifications.This study aimed to evaluate the effectiveness of the RESET care plan,a comprehensive program that is an integrated personalized diet,exercise,and cognitive behavior therapy,delivered via MyTatva’s digital health application enabled through a body composition analyzer(BCA)and smartwatch.AIM To evaluates the effectiveness of the comprehensive program delivered via My-Tatva’s digital health app enabled through internet of thing devices.METHODS This retrospective observational study analyzed deidentified data from 22 par-ticipants enrolled in the MyTatva RESET care program.Participants were divided into three groups:Group A,diet plan;Group B,diet+exercise plan;and Group C,diet+exercise+cognitive behavioral therapy plan.Participants were provided with a BCA and smartwatch for continuous monitoring of anthropometric para-meters.Statistical analysis,including one-way ANOVA and post-hoc Tukey’s Honest Significant Difference test,was conducted to compare mean changes in anthropometric parameters across the groups.INTRODUCTION Non-alcoholic fatty liver disease(NAFLD)has emerged as a global health burden,affecting approximately 1 in 4 in-dividuals worldwide.NAFLD ranges from simple steatosis(fat accumulation)to non-alcoholic steatohepatitis(NASH),and its global prevalence in the general population is estimated between 6.3%and 33%,with NASH affecting 3-5%[1,2].Obesity is a major risk factor of NAFLD,with studies showing that the likelihood of developing NAFLD increases 5-fold at a body mass index(BMI)of 30-32.5 kg/m²and up to 14-fold at BMI of 37.5-40 kg/m²compared to a BMI of 20-22.5 kg/m²[3,4].Effective NAFLD management requires both dietary and physical activity modifications.Healthy weight loss with sustained muscle mass plays a pivotal role,with a reduction of 3%-5%decreasing hepatic steatosis,5%-7%improving NASH conditions,and 10%or more needed to reverse hepatic fibrosis[5].Management also normalizes elevated liver enzymes(aspartate aminotransferase and alanine aminotransferase),enhances insulin sensitivity,and thereby reduces cardiovascular risk by improving endothelial function and increasing cardiorespiratory fitness[6].However,diet or exercise alone is often not as effective as a combined approach.Integrating both balanced dietary changes and increased physical activity yields more sustainable improvements in NAFLD and overall metabolic health[1,7].Traditional intervention methods usually involve in-person consultations,which often lack real-time and continuous patient monitoring.The recommendation of drastic changes in diet and exercise can also be overwhelming for patients,leading to low adherence rates.Many patients struggle to maintain these changes in the long-term due to a lack of con-tinuous motivational support[8,9].In recent years,the health ecosystem has witnessed a significant shift toward digital health platforms,which complement pharmacological treatments in chronic disease management,and increase scala-bility.These platforms provide continuous monitoring and personalized support,helping to bridge the gap between health care setups and patients[10].Recent digital advances enable internet of things(IoT)devices to be integrated into such management plans to track health metrics,to address the limitations of traditional methods[11,12].The MyTatva digital health application offers the RESET plan,a novel comprehensive approach for NAFLD mana-gement by integrating personalized support from nutrition,physiotherapy,and cognitive behavioral therapy(CBT)coaches.We aimed to evaluate the effectiveness of the RESET plan by analyzing the reduction in anthropometric para-meters across three different digital intervention groups.展开更多
Objective:To investigate the application effect of intelligent empowerment standardized airway management process in patients receiving mechanical ventilation.Methods:A retrospective analysis was conducted on the clin...Objective:To investigate the application effect of intelligent empowerment standardized airway management process in patients receiving mechanical ventilation.Methods:A retrospective analysis was conducted on the clinical data of 79 EICU inpatients who underwent tracheal intubation and mechanical ventilation treatment at our hospital from January 2023 to May 2025.The patients were divided into a control group(conventional airway management process,n=40)and a study group(intelligent empowerment standardized airway management process,n=39)based on the intervention protocols they received.Oral health scores,dental plaque index,oral odor,serum inflammatory markers[C-reactive protein(CRP),procalcitonin(PCT)],clinical pulmonary infection score(CPIS),as well as the incidence of ventilator-associated pneumonia(VAP),duration of mechanical ventilation,and length of stay in the EICU were assessed before and after treatment.Results:The baseline values of all indicators were consistent between the two groups before intervention(p>0.05).After corresponding interventions,both groups showed significant improvements in Beck oral health scores,dental plaque index,and oral odor,with more pronounced improvements observed in the study group(p<0.05).After the intervention,the research group showed a significant decrease in serum CRP and PCT levels,as well as CPIS scores(p<0.05).In contrast,the control group experienced an increase in these three indicators to a certain extent(p<0.05).Moreover,the incidence of ventilator-associated pneumonia(VAP),duration of mechanical ventilation,and length of stay in the EICU were all lower in the research group compared to the control group,while the nurse’s compliance rate with the protocol was higher in the research group(p<0.05).Conclusion:The standardized airway management protocol empowered by intelligent technology can significantly improve nursing compliance,benefit oral health status,reduce the risk of pulmonary infection and systemic inflammation levels,and promote rapid patient recovery,demonstrating considerable potential for widespread adoption.展开更多
The proton exchange membrane fuel cell(PEMFC)and the hydrogen hybrid power system are studied by the fuzzy-PID(FPID)controlmethod and the fuzzy-PID controlmethod by Artificial Bee Colony algorithm(ABCFPID),respectivel...The proton exchange membrane fuel cell(PEMFC)and the hydrogen hybrid power system are studied by the fuzzy-PID(FPID)controlmethod and the fuzzy-PID controlmethod by Artificial Bee Colony algorithm(ABCFPID),respectively.The results reveal that compared with the FPID control method,the temperature overshoot of the PEMFC stack under the ABC-FPID control method is decreased by 0.6%.Moreover,the circulating water flow rate within the full operating envelope(about 3 min)is reduced by 19.46 L,which means the ABC-FPID control method is more effective in regulating the stack temperature.Then,the ABC-FPID control method is proposed to study the hydrogen hybrid power system,and the system output power matching,operating characteristic curve of the fuel cell,state of charge(SOC)of the lithium battery,system efficiency and hydrogen demand are obtained.The results indicate that the maximum system efficiency reaches 46.3%,the average system efficiency is 33.8%,and the average hydrogen demand is 0.192 kg/s.Overall,the ABC-FPID control method can efficiently ensure the stability of the fuel cell’s output power,and actively prompt the lithium battery to fulfill the function of“peak shaving and valley filling”under variable load power conditions.展开更多
Understanding the complex interactions between human activities and ecosystem functions is a prerequisite for achieving sustainable development.Since the implementation of the“Grain for Green”Project in 1999,ecosyst...Understanding the complex interactions between human activities and ecosystem functions is a prerequisite for achieving sustainable development.Since the implementation of the“Grain for Green”Project in 1999,ecosystem functions in China’s Loess Plateau have significantly improved.However,intensified human activities have also exacerbated the pressures on the region’s fragile ecological environment.This study investigates the spatiotemporal variations in the human activity intensity index(HAI)and net ecosystem benefits(NEB)from 2000 to 2020,using expert-based assessments and an enhanced cost-benefit evaluation framework.Results indicate that HAI increased by 16.7% and 16.6% at the grid and county levels,respectively.NEB exhibited pronounced spatial heterogeneity,with a total increase of USD 36.2 trillion at the grid scale.At the county level,the average NEB rose by 75%.The degree of trade-off was higher at the grid scale than at the county scale,while the synergistic areas initially expanded and then declined at both scales.Key areas for improvement and regions of lagging development were identified as priority zones for ecological management and spatial planning at both spatial resolutions.This study offers scientific insights and practical guidance for harmonizing ecological conservation with high-quality development in ecologically vulnerable regions.展开更多
With the intensification of population aging in China,the problem of cognitive impairment in the elderly has become increasingly prominent,attracting widespread attention from all sectors of society.Geriatric cognitiv...With the intensification of population aging in China,the problem of cognitive impairment in the elderly has become increasingly prominent,attracting widespread attention from all sectors of society.Geriatric cognitive impairment is characterized by chronicity,which not only seriously threatens the health of the elderly and reduces their quality of life,but also imposes a heavy burden on families and society due to its long course.Attaching importance to and strengthening the chronic disease management of elderly cognitive impairment has profound significance for delaying disease progression,improving patients’quality of life,and reducing the burden of family care.Therefore,this paper first comprehensively understands elderly cognitive impairment by briefly elaborating on its definition and characteristics;on this basis,it focuses on exploring effective strategies for the chronic disease management of elderly cognitive impairment,hoping to provide new ideas and methods for the management of this condition and offer useful references for relevant clinical research and practice.展开更多
The environmental wind tunnel of high-speed railway trains serves as a crucial experimental facility for the research and development of high-speed railway technology.The refrigeration system within the wind tunnel is...The environmental wind tunnel of high-speed railway trains serves as a crucial experimental facility for the research and development of high-speed railway technology.The refrigeration system within the wind tunnel is an important subsystem.However,the design of the wind tunnel refrigeration system management program presents significant scientific challenges and limitations.Traditional management approaches in wind tunnel refrigeration systems suffer from prolonged decision-making times and reliance on experiential knowledge,necessitating the need for intelligent transformation.This paper aims to address these issues by exploring existing intelligent management methodologies and defining the concept of a wind tunnel intelligent laboratory along with its primary modules.Furthermore,we propose a water cooler failure prediction model based on the existing equipment model of the wind tunnel's refrigeration system.This model effectively predicts the Remaining Useful Life(RUL) of the water cooler in the case of fouling failure,contributing to enhanced efficiency,cost reduction,and safety improvements in laboratories.展开更多
Purpose-This study explores how managerial leadership and organizational innovation interact to enhance resilience and risk management in railway supply chains and how these capabilities contribute to sustained compet...Purpose-This study explores how managerial leadership and organizational innovation interact to enhance resilience and risk management in railway supply chains and how these capabilities contribute to sustained competitive advantage.It emphasizes the strategic importance of resilience in railway systems that face operational complexity,regulatory pressures and increasing exposure to systemic risks.Design/methodology/approach-A mixed-methods design was employed,integrating survey data from 186 railway organizations with six case studies involving railway operators,rolling stock manufacturers and supply chain partners across multiple regions.Constructs were measured using validated scales and hypothesized relationships were tested using Structural Equation Modeling(SEM).Case study interviews were analyzed thematically to provide contextual understanding of leadership practices and innovation strategies.Findings-The results confirm that transformational managerial leadership significantly predicts innovation adoption,which in turn strengthens resilience and risk management capabilities.Resilience emerged as a powerful driver of competitive advantage,reinforcing its role as a strategic capability rather than a reactive response to disruptions.Furthermore,innovation was shown to partially mediate the relationship between leadership and resilience,highlighting its function as the operational channel through which vision translates into capability.Originality/value-This study contributes to the literature by integrating the Resource-Based View(RBV)and Dynamic Capabilities(DC)framework into the context of railway supply chains.It is among the first to empirically validate the mediating role of innovation between leadership and resilience,offering both theoretical advancements and actionable strategies for building resilient and competitive railway systems.展开更多
Objective:To systematically sort out the application forms and effects of digital health intervention technologies in oral health management,and provide references for the digital development of stomatology.Methods:By...Objective:To systematically sort out the application forms and effects of digital health intervention technologies in oral health management,and provide references for the digital development of stomatology.Methods:By reviewing relevant domestic and foreign studies and clinical practices,this paper summarizes and analyzes the main application forms of digital health interventions,including digital health education,intelligent detection equipment,telemedicine platforms,oral health big data platforms,and school-hospital collaborative screening robots.Results:Studies have shown that digital health interventions can effectively improve the public’s oral health knowledge level,optimize personal health behaviors,enhance clinical diagnosis efficiency,reduce overall medical costs,and promote the innovation and upgrading of oral health management models.Conclusion:Digital health intervention represents an inevitable trend in the future development of stomatology.In the future,it is still necessary to improve data security and privacy protection,technology adaptability and popularity,as well as relevant policies and norms,to give full play to its potential value.展开更多
BACKGROUND:Airway management is a core competence in emergency medicine.International registries have described indications,techniques,and outcomes of endotracheal intubation,yet contemporary data from German emergenc...BACKGROUND:Airway management is a core competence in emergency medicine.International registries have described indications,techniques,and outcomes of endotracheal intubation,yet contemporary data from German emergency departments(EDs) are scarce.We conducted a multicenter prospective registry study in Thuringia,to characterize indications,techniques,success rates,and complications of ED intubations.METHODS:From February 2023 to January 2024,six Thuringian EDs participated in a prospective observational registry(www.airwayregistry.eu).All consecutive intubations were documented anonymously using a standardized digital form.Demographics,indications,methods,equipment,operator characteristics,first pass success(FPS),overall success,and complications were captured.Descriptive statistics were used.RESULTS:We analyzed 117 intubations(63.2% male;mean age 68.4 years,range 2–98 years).FPS was 88.9%(104/117),second pass success was 4.3% and third pass success was 6.8%;overall success was 100%.Rapid sequence intubation(RSI) was used in 77.8% of intubations and delayed sequence intubation(DSI) in 21.4%;10.3% were performed without medication.Direct laryngoscopy(DL) was used in 65.0% and videolaryngoscopy(VL) in 34.2%.FPS was higher with VL than DL(92.5% vs.88.2%).The most common indications were cardiopulmonary resuscitation(14.5%) and stroke/ischemia(13.7%);intracranial hemorrhage accounted for 13.7%.Complications occurred in 39% of cases,most frequently hypotension(23.9%) and catecholamine requirement(12.0%).A difficult airway was anticipated in 30.8%.CONCLUSION:In this multicenter snapshot from German EDs,overall intubation success was high but complications—especially peri-intubation hypotension—were common.VL yielded higher FPS yet was used less frequently than DL.Standardized protocols,hemodynamic optimization,and broader VL adoption may improve safety and performance.展开更多
Cellulose frameworks have emerged as promising materials for light management due to their exceptional light-scattering capabilities and sustainable nature.Conventional biomass-derived cellulose frameworks face a fund...Cellulose frameworks have emerged as promising materials for light management due to their exceptional light-scattering capabilities and sustainable nature.Conventional biomass-derived cellulose frameworks face a fundamental trade-off between haze and transparency,coupled with impractical thicknesses(≥1 mm).Inspired by squid’s skin-peeling mechanism,this work develops a peroxyformic acid(HCOOOH)-enabled precision peeling strategy to isolate intact 10-μm-thick bamboo green(BG)frameworks—100×thinner than wood-based counterparts while achieving an unprecedented optical performance(88%haze with 80%transparency).This performance surpasses delignified biomass(transparency<40%at 1 mm)and matches engineered cellulose composites,yet requires no energy-intensive nanofibrillation.The preserved native cellulose I crystalline structure(64.76%crystallinity)and wax-coated uniaxial fibril alignment(Hermans factor:0.23)contribute to high mechanical strength(903 MPa modulus)and broadband light scattering.As a light-management layer in polycrystalline silicon solar cells,the BG framework boosts photoelectric conversion efficiency by 0.41%absolute(18.74%→19.15%),outperforming synthetic anti-reflective coatings.The work establishes a scalable,waste-to-wealth route for optical-grade cellulose materials in next-generation optoelectronics.展开更多
Objective:Nurse-led virtual outpatient clinics are now a familiar component of healthcare delivery across many disciplines,including cancer care,or thopedics,rheumatology,and gastroenterology.However,establishing a nu...Objective:Nurse-led virtual outpatient clinics are now a familiar component of healthcare delivery across many disciplines,including cancer care,or thopedics,rheumatology,and gastroenterology.However,establishing a nurse-led vir tual clinic is challenging for nursing management,par ticularly regarding resources.We aimed to investigate nursing practices and processes and patient experiences in relation to vir tual outpatient clinics.Methods:This was a cross-sectional,descriptive study using mixed data collection methods.Patients(n=324)from 4 specialist clinics completed the Virtual Clinics Patient Satisfaction Questionnaire(VCSQ)survey.Five Nurse Specialists participated in a focus group interview.Results:Most participants(86.3%)reported being satisfied/very satisfied with the virtual clinics,particularly those that were nurse-led.Nurse specialists identified electronic health records(EHRs)and additional IT and administrative support as important for efficiency and effectiveness of the clinics.Conclusions:Nurse-led virtual clinics can be an effective and efficient way to provide care to patients.Nurse managers need to ensure supportive structures are in place,for example,dedicated administrators,IT support and infrastructure,education/training,and relevant policies/procedures.The success of nurse-led virtual services requires key infrastructure to support nursing staff and sustain this service.展开更多
文摘Purpose-Interface management is the process of managing communications,responsibilities and coordination of project parties,phases or physical entities which are dependent on one another.Interface management is a crucial part of managing any construction project-but particularly important for high-speed railway projects that often have several contractual parties and stakeholders,very long project timelines and huge upfront cost overlays.This paper discusses how various project interfaces were managed during the design and construction of the civil engineering infrastructure for the High Speed Two(HS2)project in the United Kingdom.Design/methodology/approach-The paper uses the case study methodology.Key interfaces on the HS2 project are grouped into various categories and the paper discusses how they were managed within the Area North Integrated Project Team(IPT)of the HS2 project made up of contractor Balfour Beatty VINCI(BBV),the Mott MacDonald SYSTRA Design Joint Venture(DJV)and client HS2 Ltd.3 different case studies drawn from across the IPT are used,each of them highlighting different interfaces and how these interfaces were managed.Findings-The paper shows how innovative technical designs and modern methods of construction were used to address some of the unique and peculiar challenges of designing a brand-new railway in the United Kingdom.Addressing the contrasting and often competing requirements of different stakeholders,coupled with challenging physical constraints of the very limited land available for the project and the use of a rarely used Act of Parliament in the delivery of the project required different approach to interface management.Collaboration and proactive stakeholder engagement are necessary for successful interface management on megaprojects.The authors posit that adopting an integrated approach to engineering and construction management is an essential ingredient for the successful delivery of high-speed railway projects.Originality/value-With many high-speed railway projects around the world coming up in the next few years,understanding the context and challenges for each country will help engineering and design managers adopt appropriate approaches for their projects.The lessons learned on the HS2 project are also transferable to other mega infrastructure projects with complex project interfaces.
文摘Colonoscopy represents a safe procedure that is widely used in medical practice either to diagnose or treat various gastrointestinal diseases.During the last few years,the incidence rate of perforations in colonoscopic procedures has increased,especially in therapeutic colonoscopies.The recent advancements in endoscopic techniques and gastrointestinal tumoral resection procedures such as endoscopic mucosal resection,endoscopic full-thickness resection,and endoscopic submucosal dissection(ESD)could be a risk factor for this increased risk.The incidence rate of mortality of serious colonoscopic perforations is 7.1%.The management plan for these perforations starts with conservative treatment in mild cases,endoscopic closure,and surgical management in severe cases.Recently,endoluminal vacuum therapy was found to be effective in the management of colorectal perforations and this has been reported in multiple case reports.This editorial provides an overview of the current guidelines for the management of iatrogenic colorectal perforations.These insights are from the perspectives of endoscopists and gastroenterologists.We also present a management algorithm based on the guidelines of the European Society of Gastrointestinal Endoscopy,the American Gastroenterological Association,and the World Society of Emergency Surgery.We also discussed in brief the use of endoluminal vacuum therapy in colorectal perforations.
文摘Machine picking in cotton is an emerging practice in India,to solve the problems of labour shortages and production costs increasing.Cotton production has been declining in recent years;however,the high density planting system(HDPS)offers a viable method to enhance productivity by increasing plant populations per unit area,optimizing resource utilization,and facilitating machine picking.Cotton is an indeterminate plant that produce excessive vegeta-tive growth in favorable soil fertility and moisture conditions,which posing challenges for efficient machine picking.To address this issue,the application of plant growth retardants(PGRs)is essential for controlling canopy architecture.PGRs reduce internode elongation,promote regulated branching,and increase plant compactness,making cotton plants better suited for machine picking.PGRs application also optimizes photosynthates distribution between veg-etative and reproductive growth,resulting in higher yields and improved fibre quality.The integration of HDPS and PGRs applications results in an optimal plant architecture for improving machine picking efficiency.However,the success of this integration is determined by some factors,including cotton variety,environmental conditions,and geographical variations.These approaches not only address yield stagnation and labour shortages but also help to establish more effective and sustainable cotton farming practices,resulting in higher cotton productivity.
文摘“Multidimensional international world”refers to understanding the world through multiple dimensions beyond traditional economic or political measures,fostering cross-cultural collaboration,and creating systems that balance global integration with local needs.This also includes management of global business operations across diverse cultures in a multipolar international landscape.The paper briefs the developed and already tested in numerous applications high-level Spatial Grasp Model and Technology(SGT),which can help investigate and manage complex systems with a holistic spatial approach effectively covering various physical and virtual dimensions,their interrelations,and integration as a whole.Different areas will be investigated with examples of practical solutions in them and their combinations in a high-level Spatial Grasp Language(SGL),the key element of SGT.This allows for the creation and distributed management of very large spatial networks with different orientation which can be self-spreading,self-analyzing,self-modifying,and self-recovering in complex terrestrial and celestial environments,and also organize dynamic multi-networking solutions supporting global evolution and integrity.
文摘Hi,everyone!I started loving economics and money when I was only seven.When I was nine,I tried managing money for the fi rst time.I learned a lot from itmaybe even more than I learn in school!It all began after I read a book about how kids can succeed with money.I felt excited and asked my mom for some money to start.She gave me 5,000 yuan.I spent a lot of time learning online about investing and saving.One day,I found something called online financial management,and I wanted to try it.
文摘Artificial intelligence(AI)is transforming gastroenterology by enhancing diagnostic accuracy,enabling personalized treatment,and improving disease management efficiency.This review explored the evolution and application of core AI technologies,including machine learning,deep learning,and neural networks,that underpin modern computational advancements in the field.These tools have demonstrated significant success in detecting premalignant and malignant lesions and in managing gastrointestinal bleeding,colorectal cancer,and Helicobacter pylori infection.AI also supports the diagnosis and treatment of liver and pancreatic diseases.Its use is expanding in functional gastrointestinal disorders such as irritable bowel syndrome with emerging applications in pediatric gastroenterology.In addition AI enables advanced risk stratification and addresses persistent challenges in conventional diagnostic and therapeutic approaches,including interobserver variability and inefficiencies in care delivery.However,integration into routine clinical practice faces several barriers,including data privacy concerns,algorithmic bias,limited model interpretability,regulatory gaps,and interoperability issues with existing healthcare infrastructure.Future directions include real-time procedural guidance,multi-omic prediction models,minimally invasive surgical automation,and drug discovery.Achieving the full potential of AI will require ethical governance,regulatory clarity,and sustained interdisciplinary collaboration.
文摘In this editorial,we discuss the article by Singh et al published in World Journal of Nephrology,stating the need for timely adjustments in inflammatory bowel disease(IBD)patients'long-term management plans.IBD is chronic and lifelong,with recurrence and remission cycles,including ulcerative colitis and Crohn's disease.It's exact etiology is unknown but likely multifactorial.Related to gut flora and immune issues.Besides intestinal symptoms,IBD can also affect various extrain-testinal manifestations such as those involving the skin,joints,eyes and urinary system.The anatomical proximity of urinary system waste disposal to that of the alimentary canal makes early detection and the differentiation of such symptoms very difficult.Various studies show that IBD and it's first-line drugs have nephro-toxicity,impacting the patients'life quality.Existing guidelines give very few references for kidney lesion monitoring.Singh et al's plan aims to improve treatment management for IBD patients with glomerular filtration rate decline,specifically those at risk.Most of IBD patients are young and they need lifelong therapy.So early therapy cessation,taking into account drug side effects,can be helpful.Artificial intelligence-driven diagnosis and treatment has a big potential for management improvements in IBD and other chronic diseases.
文摘BACKGROUND Children with autism spectrum disorder(ASD)face unique challenges in maintaining oral health due to sensory sensitivities,communication difficulties,and behavioral barriers.These factors,along with limited access to ASD-trained dental professionals,increase their risk of dental caries,periodontal disease,bruxism,and other oral health issues.Despite growing awareness of these challenges,a comprehensive synthesis of evidence-based solutions remains lacking.AIM To review synthesizes existing research on dental problems in ASD,barriers to care,management strategies,and future directions for improved oral health outcomes.METHODS A systematic search of PubMed,Cochrane Library,and Scopus was conducted using predefined search terms.Related to ASD,dental health,and management strategies.Inclusion criteria encompassed studies focusing on children with ASD,dental health issues,and interventions.Data extraction included study design,participant characteristics,key findings,and intervention outcomes.The quality of studies was assessed using appropriate tools such as the Cochrane Risk of Bias Tool and the Newcastle-Ottawa Scale.A narrative synthesis approach,incorporating thematic analysis,was utilized to evaluate the findings.RESULTS A total of 165 studies met the inclusion criteria.Children with ASD exhibited a higher prevalence of dental caries,gingivitis,bruxism,and malocclusion compared to neurotypical peers.Barriers to dental care included sensory sensitivities,communication difficulties,financial constraints,and a shortage of ASD-trained dental professionals.Effective interventions included desensitization programs,behavioral therapy,digital applications,and interdiscip-linary collaboration.Parental education and professional training were crucial for improving oral health outcomes.CONCLUSION Tailored dental care strategies,including sensory adaptations,behavioral interventions,and interdisciplinary collaboration,are essential for children with ASD.Standardized guidelines and long-term studies are needed to refine evidence-based protocols.Future research should explore digital interventions and probiotic applications in ASD dental care.
文摘BACKGROUND Non-alcoholic fatty liver disease(NAFLD)management requires sustainable lifestyle modifications.This study aimed to evaluate the effectiveness of the RESET care plan,a comprehensive program that is an integrated personalized diet,exercise,and cognitive behavior therapy,delivered via MyTatva’s digital health application enabled through a body composition analyzer(BCA)and smartwatch.AIM To evaluates the effectiveness of the comprehensive program delivered via My-Tatva’s digital health app enabled through internet of thing devices.METHODS This retrospective observational study analyzed deidentified data from 22 par-ticipants enrolled in the MyTatva RESET care program.Participants were divided into three groups:Group A,diet plan;Group B,diet+exercise plan;and Group C,diet+exercise+cognitive behavioral therapy plan.Participants were provided with a BCA and smartwatch for continuous monitoring of anthropometric para-meters.Statistical analysis,including one-way ANOVA and post-hoc Tukey’s Honest Significant Difference test,was conducted to compare mean changes in anthropometric parameters across the groups.INTRODUCTION Non-alcoholic fatty liver disease(NAFLD)has emerged as a global health burden,affecting approximately 1 in 4 in-dividuals worldwide.NAFLD ranges from simple steatosis(fat accumulation)to non-alcoholic steatohepatitis(NASH),and its global prevalence in the general population is estimated between 6.3%and 33%,with NASH affecting 3-5%[1,2].Obesity is a major risk factor of NAFLD,with studies showing that the likelihood of developing NAFLD increases 5-fold at a body mass index(BMI)of 30-32.5 kg/m²and up to 14-fold at BMI of 37.5-40 kg/m²compared to a BMI of 20-22.5 kg/m²[3,4].Effective NAFLD management requires both dietary and physical activity modifications.Healthy weight loss with sustained muscle mass plays a pivotal role,with a reduction of 3%-5%decreasing hepatic steatosis,5%-7%improving NASH conditions,and 10%or more needed to reverse hepatic fibrosis[5].Management also normalizes elevated liver enzymes(aspartate aminotransferase and alanine aminotransferase),enhances insulin sensitivity,and thereby reduces cardiovascular risk by improving endothelial function and increasing cardiorespiratory fitness[6].However,diet or exercise alone is often not as effective as a combined approach.Integrating both balanced dietary changes and increased physical activity yields more sustainable improvements in NAFLD and overall metabolic health[1,7].Traditional intervention methods usually involve in-person consultations,which often lack real-time and continuous patient monitoring.The recommendation of drastic changes in diet and exercise can also be overwhelming for patients,leading to low adherence rates.Many patients struggle to maintain these changes in the long-term due to a lack of con-tinuous motivational support[8,9].In recent years,the health ecosystem has witnessed a significant shift toward digital health platforms,which complement pharmacological treatments in chronic disease management,and increase scala-bility.These platforms provide continuous monitoring and personalized support,helping to bridge the gap between health care setups and patients[10].Recent digital advances enable internet of things(IoT)devices to be integrated into such management plans to track health metrics,to address the limitations of traditional methods[11,12].The MyTatva digital health application offers the RESET plan,a novel comprehensive approach for NAFLD mana-gement by integrating personalized support from nutrition,physiotherapy,and cognitive behavioral therapy(CBT)coaches.We aimed to evaluate the effectiveness of the RESET plan by analyzing the reduction in anthropometric para-meters across three different digital intervention groups.
文摘Objective:To investigate the application effect of intelligent empowerment standardized airway management process in patients receiving mechanical ventilation.Methods:A retrospective analysis was conducted on the clinical data of 79 EICU inpatients who underwent tracheal intubation and mechanical ventilation treatment at our hospital from January 2023 to May 2025.The patients were divided into a control group(conventional airway management process,n=40)and a study group(intelligent empowerment standardized airway management process,n=39)based on the intervention protocols they received.Oral health scores,dental plaque index,oral odor,serum inflammatory markers[C-reactive protein(CRP),procalcitonin(PCT)],clinical pulmonary infection score(CPIS),as well as the incidence of ventilator-associated pneumonia(VAP),duration of mechanical ventilation,and length of stay in the EICU were assessed before and after treatment.Results:The baseline values of all indicators were consistent between the two groups before intervention(p>0.05).After corresponding interventions,both groups showed significant improvements in Beck oral health scores,dental plaque index,and oral odor,with more pronounced improvements observed in the study group(p<0.05).After the intervention,the research group showed a significant decrease in serum CRP and PCT levels,as well as CPIS scores(p<0.05).In contrast,the control group experienced an increase in these three indicators to a certain extent(p<0.05).Moreover,the incidence of ventilator-associated pneumonia(VAP),duration of mechanical ventilation,and length of stay in the EICU were all lower in the research group compared to the control group,while the nurse’s compliance rate with the protocol was higher in the research group(p<0.05).Conclusion:The standardized airway management protocol empowered by intelligent technology can significantly improve nursing compliance,benefit oral health status,reduce the risk of pulmonary infection and systemic inflammation levels,and promote rapid patient recovery,demonstrating considerable potential for widespread adoption.
基金supported by the Natural Science Foundation of Jiangsu Province(BK20231445)Aeronautical Science Foundation of China(20230028052001).
文摘The proton exchange membrane fuel cell(PEMFC)and the hydrogen hybrid power system are studied by the fuzzy-PID(FPID)controlmethod and the fuzzy-PID controlmethod by Artificial Bee Colony algorithm(ABCFPID),respectively.The results reveal that compared with the FPID control method,the temperature overshoot of the PEMFC stack under the ABC-FPID control method is decreased by 0.6%.Moreover,the circulating water flow rate within the full operating envelope(about 3 min)is reduced by 19.46 L,which means the ABC-FPID control method is more effective in regulating the stack temperature.Then,the ABC-FPID control method is proposed to study the hydrogen hybrid power system,and the system output power matching,operating characteristic curve of the fuel cell,state of charge(SOC)of the lithium battery,system efficiency and hydrogen demand are obtained.The results indicate that the maximum system efficiency reaches 46.3%,the average system efficiency is 33.8%,and the average hydrogen demand is 0.192 kg/s.Overall,the ABC-FPID control method can efficiently ensure the stability of the fuel cell’s output power,and actively prompt the lithium battery to fulfill the function of“peak shaving and valley filling”under variable load power conditions.
基金National Natural Science Foundation of China(Grant No.U2243225)the Strategic Priority Research Program of the Chinese Academy of Sciences(Grant No.XDB40000000)+2 种基金the Natural Science Basic Research Program of Shaanxi(Grant No.Z2024-ZYFS-0065)the Funding of Top Young talents of Ten Thousand talents Plan in China(2021)the Fundamental Research Funds for the Central Universities(Grants No.2452023071 and 2023HHZX002).
文摘Understanding the complex interactions between human activities and ecosystem functions is a prerequisite for achieving sustainable development.Since the implementation of the“Grain for Green”Project in 1999,ecosystem functions in China’s Loess Plateau have significantly improved.However,intensified human activities have also exacerbated the pressures on the region’s fragile ecological environment.This study investigates the spatiotemporal variations in the human activity intensity index(HAI)and net ecosystem benefits(NEB)from 2000 to 2020,using expert-based assessments and an enhanced cost-benefit evaluation framework.Results indicate that HAI increased by 16.7% and 16.6% at the grid and county levels,respectively.NEB exhibited pronounced spatial heterogeneity,with a total increase of USD 36.2 trillion at the grid scale.At the county level,the average NEB rose by 75%.The degree of trade-off was higher at the grid scale than at the county scale,while the synergistic areas initially expanded and then declined at both scales.Key areas for improvement and regions of lagging development were identified as priority zones for ecological management and spatial planning at both spatial resolutions.This study offers scientific insights and practical guidance for harmonizing ecological conservation with high-quality development in ecologically vulnerable regions.
文摘With the intensification of population aging in China,the problem of cognitive impairment in the elderly has become increasingly prominent,attracting widespread attention from all sectors of society.Geriatric cognitive impairment is characterized by chronicity,which not only seriously threatens the health of the elderly and reduces their quality of life,but also imposes a heavy burden on families and society due to its long course.Attaching importance to and strengthening the chronic disease management of elderly cognitive impairment has profound significance for delaying disease progression,improving patients’quality of life,and reducing the burden of family care.Therefore,this paper first comprehensively understands elderly cognitive impairment by briefly elaborating on its definition and characteristics;on this basis,it focuses on exploring effective strategies for the chronic disease management of elderly cognitive impairment,hoping to provide new ideas and methods for the management of this condition and offer useful references for relevant clinical research and practice.
文摘The environmental wind tunnel of high-speed railway trains serves as a crucial experimental facility for the research and development of high-speed railway technology.The refrigeration system within the wind tunnel is an important subsystem.However,the design of the wind tunnel refrigeration system management program presents significant scientific challenges and limitations.Traditional management approaches in wind tunnel refrigeration systems suffer from prolonged decision-making times and reliance on experiential knowledge,necessitating the need for intelligent transformation.This paper aims to address these issues by exploring existing intelligent management methodologies and defining the concept of a wind tunnel intelligent laboratory along with its primary modules.Furthermore,we propose a water cooler failure prediction model based on the existing equipment model of the wind tunnel's refrigeration system.This model effectively predicts the Remaining Useful Life(RUL) of the water cooler in the case of fouling failure,contributing to enhanced efficiency,cost reduction,and safety improvements in laboratories.
文摘Purpose-This study explores how managerial leadership and organizational innovation interact to enhance resilience and risk management in railway supply chains and how these capabilities contribute to sustained competitive advantage.It emphasizes the strategic importance of resilience in railway systems that face operational complexity,regulatory pressures and increasing exposure to systemic risks.Design/methodology/approach-A mixed-methods design was employed,integrating survey data from 186 railway organizations with six case studies involving railway operators,rolling stock manufacturers and supply chain partners across multiple regions.Constructs were measured using validated scales and hypothesized relationships were tested using Structural Equation Modeling(SEM).Case study interviews were analyzed thematically to provide contextual understanding of leadership practices and innovation strategies.Findings-The results confirm that transformational managerial leadership significantly predicts innovation adoption,which in turn strengthens resilience and risk management capabilities.Resilience emerged as a powerful driver of competitive advantage,reinforcing its role as a strategic capability rather than a reactive response to disruptions.Furthermore,innovation was shown to partially mediate the relationship between leadership and resilience,highlighting its function as the operational channel through which vision translates into capability.Originality/value-This study contributes to the literature by integrating the Resource-Based View(RBV)and Dynamic Capabilities(DC)framework into the context of railway supply chains.It is among the first to empirically validate the mediating role of innovation between leadership and resilience,offering both theoretical advancements and actionable strategies for building resilient and competitive railway systems.
文摘Objective:To systematically sort out the application forms and effects of digital health intervention technologies in oral health management,and provide references for the digital development of stomatology.Methods:By reviewing relevant domestic and foreign studies and clinical practices,this paper summarizes and analyzes the main application forms of digital health interventions,including digital health education,intelligent detection equipment,telemedicine platforms,oral health big data platforms,and school-hospital collaborative screening robots.Results:Studies have shown that digital health interventions can effectively improve the public’s oral health knowledge level,optimize personal health behaviors,enhance clinical diagnosis efficiency,reduce overall medical costs,and promote the innovation and upgrading of oral health management models.Conclusion:Digital health intervention represents an inevitable trend in the future development of stomatology.In the future,it is still necessary to improve data security and privacy protection,technology adaptability and popularity,as well as relevant policies and norms,to give full play to its potential value.
文摘BACKGROUND:Airway management is a core competence in emergency medicine.International registries have described indications,techniques,and outcomes of endotracheal intubation,yet contemporary data from German emergency departments(EDs) are scarce.We conducted a multicenter prospective registry study in Thuringia,to characterize indications,techniques,success rates,and complications of ED intubations.METHODS:From February 2023 to January 2024,six Thuringian EDs participated in a prospective observational registry(www.airwayregistry.eu).All consecutive intubations were documented anonymously using a standardized digital form.Demographics,indications,methods,equipment,operator characteristics,first pass success(FPS),overall success,and complications were captured.Descriptive statistics were used.RESULTS:We analyzed 117 intubations(63.2% male;mean age 68.4 years,range 2–98 years).FPS was 88.9%(104/117),second pass success was 4.3% and third pass success was 6.8%;overall success was 100%.Rapid sequence intubation(RSI) was used in 77.8% of intubations and delayed sequence intubation(DSI) in 21.4%;10.3% were performed without medication.Direct laryngoscopy(DL) was used in 65.0% and videolaryngoscopy(VL) in 34.2%.FPS was higher with VL than DL(92.5% vs.88.2%).The most common indications were cardiopulmonary resuscitation(14.5%) and stroke/ischemia(13.7%);intracranial hemorrhage accounted for 13.7%.Complications occurred in 39% of cases,most frequently hypotension(23.9%) and catecholamine requirement(12.0%).A difficult airway was anticipated in 30.8%.CONCLUSION:In this multicenter snapshot from German EDs,overall intubation success was high but complications—especially peri-intubation hypotension—were common.VL yielded higher FPS yet was used less frequently than DL.Standardized protocols,hemodynamic optimization,and broader VL adoption may improve safety and performance.
基金supported by National Natural Science Foundation of China(32494793).
文摘Cellulose frameworks have emerged as promising materials for light management due to their exceptional light-scattering capabilities and sustainable nature.Conventional biomass-derived cellulose frameworks face a fundamental trade-off between haze and transparency,coupled with impractical thicknesses(≥1 mm).Inspired by squid’s skin-peeling mechanism,this work develops a peroxyformic acid(HCOOOH)-enabled precision peeling strategy to isolate intact 10-μm-thick bamboo green(BG)frameworks—100×thinner than wood-based counterparts while achieving an unprecedented optical performance(88%haze with 80%transparency).This performance surpasses delignified biomass(transparency<40%at 1 mm)and matches engineered cellulose composites,yet requires no energy-intensive nanofibrillation.The preserved native cellulose I crystalline structure(64.76%crystallinity)and wax-coated uniaxial fibril alignment(Hermans factor:0.23)contribute to high mechanical strength(903 MPa modulus)and broadband light scattering.As a light-management layer in polycrystalline silicon solar cells,the BG framework boosts photoelectric conversion efficiency by 0.41%absolute(18.74%→19.15%),outperforming synthetic anti-reflective coatings.The work establishes a scalable,waste-to-wealth route for optical-grade cellulose materials in next-generation optoelectronics.
基金supported by Nursing and Midwifery Practice Development Unit(NMPDU),Dublin South,Kildare,and Wicklow,Nurses preparedness for end of life conversations(No.P210537)。
文摘Objective:Nurse-led virtual outpatient clinics are now a familiar component of healthcare delivery across many disciplines,including cancer care,or thopedics,rheumatology,and gastroenterology.However,establishing a nurse-led vir tual clinic is challenging for nursing management,par ticularly regarding resources.We aimed to investigate nursing practices and processes and patient experiences in relation to vir tual outpatient clinics.Methods:This was a cross-sectional,descriptive study using mixed data collection methods.Patients(n=324)from 4 specialist clinics completed the Virtual Clinics Patient Satisfaction Questionnaire(VCSQ)survey.Five Nurse Specialists participated in a focus group interview.Results:Most participants(86.3%)reported being satisfied/very satisfied with the virtual clinics,particularly those that were nurse-led.Nurse specialists identified electronic health records(EHRs)and additional IT and administrative support as important for efficiency and effectiveness of the clinics.Conclusions:Nurse-led virtual clinics can be an effective and efficient way to provide care to patients.Nurse managers need to ensure supportive structures are in place,for example,dedicated administrators,IT support and infrastructure,education/training,and relevant policies/procedures.The success of nurse-led virtual services requires key infrastructure to support nursing staff and sustain this service.
