This paper explores and proposes a design solution of an integrated skip cycle mode （SCM） control circuit with a simple structure. The design is simulated and implemented with XD10H-1.0μm modular DIMOS 650 V proces...This paper explores and proposes a design solution of an integrated skip cycle mode （SCM） control circuit with a simple structure. The design is simulated and implemented with XD10H-1.0μm modular DIMOS 650 V process. In order to meet the requirement of a wide temperature range and high yields of products, the schematic extracted from the layout is simulated with five process corners at 27℃ and 90℃. Simulation results demonstrate that the proposed integrated circuit is immune to noise and achieves skipping cycle control when switching mode power supply （SMPS） works with low load or without load.展开更多
Based on the one-dimensional and unsteady-state Krogh model, this paper investigates mass transfer of artificial kidney under three blood cycle modes during the course of hemodialysis. The variations of the permeable ...Based on the one-dimensional and unsteady-state Krogh model, this paper investigates mass transfer of artificial kidney under three blood cycle modes during the course of hemodialysis. The variations of the permeable solute clearance with increasing time and the dialysis time with increasing blood flux are simulated in detail,and then one optimal blood cycle mode is acquired. The results are very important to improve the clinical dialysis efficiency of artificial kidney.展开更多
The high cycle fatigue（HCF） tests of modified 9 Cr-1 Mo dissimilarly welded joint were carried out at different elevated temperatures and the fracture mechanism was systematically revealed. The fatigue strength at 1...The high cycle fatigue（HCF） tests of modified 9 Cr-1 Mo dissimilarly welded joint were carried out at different elevated temperatures and the fracture mechanism was systematically revealed. The fatigue strength at 108 cycles based on S-N curve can be estimated as a half of weld joint＇s yield strength for all conducted temperatures, which can be a reliable criterion in predicting the fatigue life. The results show that the inter-critical heat affected zones（IC-HAZs） of both sides are the weak zones due to their low hardness and inferior fatigue resistance property. HAZ of COST-FB2（BM2） is the weakest zone at room temperature due to the existence of numerously distributed defects and the initiation of cracks, either in the surface or interior zone, impacting a crucial effect on the fatigue life of the joint. While at elevated temperatures, fatigue life was controlled mostly by the intrusion-extrusion mechanism at the specimen surface under high stress level and subsurface non-defect fatigue crack origin（SNDFCO） from the interior material under low stress amplitude. With increasing temperature, more and more fatigue failures began to occur at the HAZ of COST-E（BM1） due to its higher susceptibility of temperature. Besides, it is found that the-ferrite in the BM1 has no harm to the HCF behavior of the joint at the conducted temperatures.展开更多
Objective: to explore and analyze the role of PDCA circulation management mode in clinical skill training of regular nurses. Methods: from May 2017 to May 2022, 500 regular nurses who received clinical skills training...Objective: to explore and analyze the role of PDCA circulation management mode in clinical skill training of regular nurses. Methods: from May 2017 to May 2022, 500 regular nurses who received clinical skills training in our hospital were selected as the research objects. According to the two-color ball method, regular nurses were divided into two groups (reference group and research group) with 250 cases in each group. The reference group received routine training management while the research group received PDCA circular management mode. Observe the effects of different management modes on clinical skills training. Results: comparing the scores of theoretical knowledge assessment between the two groups after training, the research group is better than the reference group (P < 0.05);comparing the scores of clinical nursing skills assessment between the two groups after training, the study group is better than the reference group (P < 0.05);comparing the two groups satisfaction with training methods, the research group is higher than the reference group (P < 0.05). Conclusion: the application of PDCA circulation management mode in the training of clinical skills of regular nurses has a very ideal effect which can effectively improve their clinical practice skills, make them master theoretical knowledge more solidly and improve their professional quality, so that they can better adapt to post work. At the same time, nurses have a higher acceptance of this management mode which can better accept cooperation, stimulate their enthusiasm for learning and make them more recognized for teaching methods.展开更多
BACKGROUND with the widespread application of computer network systems in the medical field,the plan-do-check-action(PDCA)and the international classification of diseases tenth edition(ICD-10)coding system have also a...BACKGROUND with the widespread application of computer network systems in the medical field,the plan-do-check-action(PDCA)and the international classification of diseases tenth edition(ICD-10)coding system have also achieved favorable results in clinical medical record management.However,research on their combined application is relatively lacking.Objective:it was to explore the impact of network systems and PDCA management mode on ICD-10 encoding.Material and Method:a retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted.They were divided into a control group(n=232)and an observation group(n=536)based on whether the PDCA management mode was implemented.The two sets of coding accuracy,time spent,case completion rate,satisfaction,and other indicators were compared.AIM To study the adoption of network and PDCA in the ICD-10.METHODS A retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted.They were divided into a control group(n=232)and an observation group(n=536)based on whether the PDCA management mode was implemented.The two sets of coding accuracy,time spent,case completion rate,satisfaction,and other indicators were compared.RESULTS In the 3,6,12,18,and 24 months of PDCA cycle management mode,the coding accuracy and medical record completion rate were higher,and the coding time was lower in the observation group as against the controls(P<0.05).The satisfaction of coders(80.22%vs 53.45%)and patients(84.89%vs 51.72%)in the observation group was markedly higher as against the controls(P<0.05).CONCLUSION The combination of computer networks and PDCA can improve the accuracy,efficiency,completion rate,and satisfaction of ICD-10 coding.展开更多
文摘This paper explores and proposes a design solution of an integrated skip cycle mode （SCM） control circuit with a simple structure. The design is simulated and implemented with XD10H-1.0μm modular DIMOS 650 V process. In order to meet the requirement of a wide temperature range and high yields of products, the schematic extracted from the layout is simulated with five process corners at 27℃ and 90℃. Simulation results demonstrate that the proposed integrated circuit is immune to noise and achieves skipping cycle control when switching mode power supply （SMPS） works with low load or without load.
基金The project supported by the National Natural Science Foundation of China (5016016) and Natural Science Foundation of AnhuiProvince(03043717)
文摘Based on the one-dimensional and unsteady-state Krogh model, this paper investigates mass transfer of artificial kidney under three blood cycle modes during the course of hemodialysis. The variations of the permeable solute clearance with increasing time and the dialysis time with increasing blood flux are simulated in detail,and then one optimal blood cycle mode is acquired. The results are very important to improve the clinical dialysis efficiency of artificial kidney.
文摘The high cycle fatigue（HCF） tests of modified 9 Cr-1 Mo dissimilarly welded joint were carried out at different elevated temperatures and the fracture mechanism was systematically revealed. The fatigue strength at 108 cycles based on S-N curve can be estimated as a half of weld joint＇s yield strength for all conducted temperatures, which can be a reliable criterion in predicting the fatigue life. The results show that the inter-critical heat affected zones（IC-HAZs） of both sides are the weak zones due to their low hardness and inferior fatigue resistance property. HAZ of COST-FB2（BM2） is the weakest zone at room temperature due to the existence of numerously distributed defects and the initiation of cracks, either in the surface or interior zone, impacting a crucial effect on the fatigue life of the joint. While at elevated temperatures, fatigue life was controlled mostly by the intrusion-extrusion mechanism at the specimen surface under high stress level and subsurface non-defect fatigue crack origin（SNDFCO） from the interior material under low stress amplitude. With increasing temperature, more and more fatigue failures began to occur at the HAZ of COST-E（BM1） due to its higher susceptibility of temperature. Besides, it is found that the-ferrite in the BM1 has no harm to the HCF behavior of the joint at the conducted temperatures.
文摘Objective: to explore and analyze the role of PDCA circulation management mode in clinical skill training of regular nurses. Methods: from May 2017 to May 2022, 500 regular nurses who received clinical skills training in our hospital were selected as the research objects. According to the two-color ball method, regular nurses were divided into two groups (reference group and research group) with 250 cases in each group. The reference group received routine training management while the research group received PDCA circular management mode. Observe the effects of different management modes on clinical skills training. Results: comparing the scores of theoretical knowledge assessment between the two groups after training, the research group is better than the reference group (P < 0.05);comparing the scores of clinical nursing skills assessment between the two groups after training, the study group is better than the reference group (P < 0.05);comparing the two groups satisfaction with training methods, the research group is higher than the reference group (P < 0.05). Conclusion: the application of PDCA circulation management mode in the training of clinical skills of regular nurses has a very ideal effect which can effectively improve their clinical practice skills, make them master theoretical knowledge more solidly and improve their professional quality, so that they can better adapt to post work. At the same time, nurses have a higher acceptance of this management mode which can better accept cooperation, stimulate their enthusiasm for learning and make them more recognized for teaching methods.
文摘BACKGROUND with the widespread application of computer network systems in the medical field,the plan-do-check-action(PDCA)and the international classification of diseases tenth edition(ICD-10)coding system have also achieved favorable results in clinical medical record management.However,research on their combined application is relatively lacking.Objective:it was to explore the impact of network systems and PDCA management mode on ICD-10 encoding.Material and Method:a retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted.They were divided into a control group(n=232)and an observation group(n=536)based on whether the PDCA management mode was implemented.The two sets of coding accuracy,time spent,case completion rate,satisfaction,and other indicators were compared.AIM To study the adoption of network and PDCA in the ICD-10.METHODS A retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted.They were divided into a control group(n=232)and an observation group(n=536)based on whether the PDCA management mode was implemented.The two sets of coding accuracy,time spent,case completion rate,satisfaction,and other indicators were compared.RESULTS In the 3,6,12,18,and 24 months of PDCA cycle management mode,the coding accuracy and medical record completion rate were higher,and the coding time was lower in the observation group as against the controls(P<0.05).The satisfaction of coders(80.22%vs 53.45%)and patients(84.89%vs 51.72%)in the observation group was markedly higher as against the controls(P<0.05).CONCLUSION The combination of computer networks and PDCA can improve the accuracy,efficiency,completion rate,and satisfaction of ICD-10 coding.
