We have analyzed the development of “Broad-Scale Seabed Habitat Maps” (BSHM) and their potential use in a European context with regard to the EU Marine Strategy Framework Directive (MSFD) implementation, MPA designa...We have analyzed the development of “Broad-Scale Seabed Habitat Maps” (BSHM) and their potential use in a European context with regard to the EU Marine Strategy Framework Directive (MSFD) implementation, MPA designation and network assessment as well as other applications of BSHMs. The analyses are anchored in BSHMs developed by a series of interlinked EU projects (e.g. UKSeaMap, BALANCE, MESH, Mesh Atlantic, EUSeaMap 2012, and EUSeaMap 2016) and all maps are based on environmental data. Some EU Member States have used BSHMs as part of their MSFD Initial Assessments published in 2012. However, we conclude that BSHMs are a prerequisite for another key MSFD activity, i.e. mapping of potentially cumulative effects of multiple human stressors. Further, BSHMs seem to play a growing role with regard to evidence-based assessments of MPAs. With the upcoming second round of MSFD Initial Assessments due in 2018, including assessment of potentially cumulative pressures, there seems to be an increasing need for more BSHMs nationally, regionally and on a European scale.展开更多
Introduction:Interrelated social and ecological challenges demand an understanding of how environmental change and management decisions affect human well-being.This paper out-lines a framework for measuring human well...Introduction:Interrelated social and ecological challenges demand an understanding of how environmental change and management decisions affect human well-being.This paper out-lines a framework for measuring human well-being for ecosystem-based management(EBM).We present a prototype that can be adapted and developed for various scales and contexts.Scientists and managers use indicators to assess status and trends in integrated ecosystem assessments(IEAs).To improve the social science rigor and success of EBM,we developed a systematic and transparent approach for evaluating indicators of human well-being for an IEA.Methods:Our process is based on a comprehensive conceptualization of human well-being,a scalable analysis of management priorities,and a set of indicator screening criteria tailored to the needs of EBM.We tested our approach by evaluating more than 2000 existing social indicators related to ocean and coastal management of the US West Coast.We focused on two foundational attributes of human well-being:resource access and self-determination.Outcomes and Discussion:Our results suggest that existing indicators and data are limited in their ability to reflect linkages between environmental change and human well-being,and extremely limited in their ability to assess social equity and justice.We reveal a critical need for new social indicators tailored to answer environmental questions and new data that are disaggregated by social variables to measure equity.In both,we stress the importance of collaborating with the people whose well-being is to be assessed.Conclusion:Our framework is designed to encourage governments and communities to carefully assess the complex tradeoffs inherent in environmental decision-making.展开更多
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
Journal Introduction″International Journal of Plant Engineering and Management″is in the charge of Ministry of Industry and Information Technology of the People′s Republic of China,and organized by Northwestern Pol...Journal Introduction″International Journal of Plant Engineering and Management″is in the charge of Ministry of Industry and Information Technology of the People′s Republic of China,and organized by Northwestern Polytechnical University.It is a kind of English aca-demic quarterly publication publicly issued at home and abroad.Plant engineering and management is a comprehensive interdisciplinary subject mainly reporting academic research on the application technology of equipment and industry management.It is of the characteristics of reporting both engineering and management while giving more priority to engineering as well as mechanics and electrics while giving priority to mechanics.Its contents involves technology,economy,management etc.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
To address the severe challenges of PM_(2.5) and ozone co-control during the"14^(th) Five-Year Plan"period and to enhance the precision and intelligence level of air environment governance,it is imperative t...To address the severe challenges of PM_(2.5) and ozone co-control during the"14^(th) Five-Year Plan"period and to enhance the precision and intelligence level of air environment governance,it is imperative to build an efficient comprehensive management platform for regional air quality.In this paper,the specific practice in Zibo City,Shandong Province is as an example to systematically analyze the top-level design,technical implementation,and innovative application of a comprehensive management platform for regional air quality integrating"perception monitoring,data fusion,research judgment of early warnings,analysis of sources,collaborative dispatching,and evaluation assessment".Through the construction of an"sky-air-ground"integrated three-dimensional monitoring network,the platform integrates multi-source heterogeneous environmental data,and employs big data,cloud computing,artificial intelligence,CALPUFF/CMAQ,and other numerical model technologies to achieve comprehensive perception,precise prediction,intelligent source tracing,and closed-loop management of air pollution.The platform innovatively establishes a full-process closed-loop management mechanism of"data-early warning-disposition-evaluation",and achieves a fundamental transformation from passive response to active anticipation and from experience-based judgment to data driving in environmental supervision.The application results show that this platform significantly improves the scientific decision-making ability and collaborative execution efficiency of air pollution governance in Zibo City,providing a replicable and scalable comprehensive solution for similar industrial cities to achieve the continuous improvement of air quality.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
Chronic pain represents a significant global health challenge,and the limitations of conventional analgesics have urged a search for alternative therapeutic strategies.Cannabinoids derived from Cannabis sativa have em...Chronic pain represents a significant global health challenge,and the limitations of conventional analgesics have urged a search for alternative therapeutic strategies.Cannabinoids derived from Cannabis sativa have emerged as prominent candidates.While psychotropic cannabinoids are known for their analgesic effects,their psychoactive properties often limit their clinical utility.Consequently,interest has shifted towards non-psychotropic cannabinoids that offer potential pain relief without inducing cognitive or euphoric effects.This comprehensive review investigates the pain-modulating mechanisms of cannabinoids,encompassing interactions with the endocannabinoid system and other non-traditional pathways,and summarizes the existing preclinical and clinical evidence supporting their use in various pain states.Furthermore,it discusses the therapeutic potential,clinical considerations,significant challenges,and the need for product standardization.This review also aims to evaluate the role and prospects of non-psychotropic cannabinoids as a therapeutic option for pain management.展开更多
Water leaks in aqueducts generate a significant economic and environmental impact,because the drinking water industry is extremely energy intensive.The paper outlines the scale of the problem.It then illustrates the g...Water leaks in aqueducts generate a significant economic and environmental impact,because the drinking water industry is extremely energy intensive.The paper outlines the scale of the problem.It then illustrates the guidelines defined by the IWA(International Water Association)for leak reduction.One of the approaches suggested by IWA is to implement efficient Active Leakage Control Systems,which allow for the daily monitoring of a district-level network,i.e.,a network divided into Areas,which are in turn divided into Districts.Systems of this type require leak estimation algorithms,typically based on the district’s MNF(minimum nighttime flow).However,the algorithms traditionally used for this estimation present several critical issues.For this purpose,an alternative algorithm(HP-Leakage Detector)was developed.By operating solely based on measurements of the flow rates entering and exiting the district,this algorithm eliminates any subjectivity in the estimate and automatically adapts to the district’s constantly evolving characteristics.The paper further highlights the importance of monitoring not only leaks in the Distribution network,but also those in the Transmission network.Finally,a case study is presented that shows the significant benefits achievable through infrastructure management and pressure control,two other pillars of the IWA leak reduction strategy.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
Water resources health diagnosis is increasingly recognized as a critical tool.It should not only guide the preservation of water volume,quality,and ecological integrity but also assess the viability of carbon-neutral...Water resources health diagnosis is increasingly recognized as a critical tool.It should not only guide the preservation of water volume,quality,and ecological integrity but also assess the viability of carbon-neutral development pathways.But current research tends to consider water health assessment and carbon-neutrality planning as separate endeavors,which results in imprecise boundaries,disjointed metrics,and a weak linkage between diagnostic outcomes and testable management actions.This review brings together indicator systems,diagnostic systems,and environmental management systems architectures that make it possible to have integrated water-carbon governance.We define fundamental concepts and delimiting decisions followed by the examination of indicator designs across the hydrological regime,water quality,ecological integrity,service performance,resilience,and carbon-related measures,including intensity of energy/emissions,emissions caused by the watershed process of wastewater treatment,as well as the potential sink of the watershed.We compare diagnostic methods,such as composite indices and multi-criteria decision analysis,data-driven early-warning models,process-based and integrated simulations,as well as uncertainty-aware robustness models.Here,based on this synthesis,we suggest an environmental management systems(EMS)-based pathway,which connects the setting of the baseline,the diagnosis,the design of the intervention portfolio,and the measurement-reporting-verification into the closed-loop adaptive cycle.Digital enablement,comprising Internet of Things(IoT)monitoring,remote sensing,data fusion,optimization,and digital twins,is considered a viable way of scaling implementation,subject to interoperability,validation,and model governance.Among the major gaps,there are causal attribution to outcomes,cross-scale coupling of facility emissions and basin health,propagation of uncertainty in a coupled model,and credible Measurement,Reporting,and Verification(MRV)of non-CO_(2) gases and nature-based removals.The review gives a roadmap to normalize core metrics and fast-deployable systems to protect the health of the water resources and give verifiable progress towards carbon neutrality.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
The built environment and construction industry are another significant source of carbon emissions to the environment in the world,through the production of materials,construction activities,and the energy consumed du...The built environment and construction industry are another significant source of carbon emissions to the environment in the world,through the production of materials,construction activities,and the energy consumed during the lifecycle of an asset.These emissions are difficult to manage effectively because the data are not consolidated,the operating conditions are dynamic,and the traditional assessment tools are not able to support continuous and data-driven decisions.The new technologies,especially Digital Twins(DT)and artificial intelligence(AI),have some potential solutions,which will combine the lifecycle data and provide a predictive,adaptive carbon management in the building and urban systems.The given paper is a systematic review of the integration of DT and AI(DT–AI)into carbon management in operational construction and urban planning.Structured database searches and filters on the basis of DT-facilitated carbon monitoring,prediction,optimization,and operational control were used to identify peer-reviewed studies that were published within the last few years and filtered through to gather them.Three main functions of DT–AI systems are outlined in the review:predicting carbon emissions on the basis of data-driven models,optimizing low-carbon design and planning with multi-objective approaches,and providing intelligent control of the energy systems.Some of the major issues are data interoperability,model validation,and a lack of evidence of large-scale deployment.This study combines integrated DT–AI models and their contribution to lifecycle carbon management,unlike the previous reviews of either DT or AI alone.The paper ends with a conclusion and recommendations to create scalable,validated DT–AI solutions to accomplish carbon-neutral built environments.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:To explore the intervention effect of comprehensive perioperative blood glucose management on patients with diabetes complicated with cataract surgery.Method:A total of 68 patients in our hospital from July ...Objective:To explore the intervention effect of comprehensive perioperative blood glucose management on patients with diabetes complicated with cataract surgery.Method:A total of 68 patients in our hospital from July 2024 to July 2025 were selected and randomly divided into the experimental group and the control group,with 34 cases in each group.The control group received routine blood glucose management,while the experimental group,on this basis,implemented individualized intervention 3 days before the operation,real-time regulation during the operation,dynamic management 7 days after the operation,and self-management training.Result:The blood glucose control in the experimental group was more stable 7 days after the operation.The total incidence of complications(2.9%)was significantly lower than that in the control group(38.2%),and the average hospital stay(5.1±1.0 days)was shorter than that in the control group(7.3±1.4 days).One week after the operation,the proportions of uncorrected visual acuity and visual acuity≥0.6(67.6%)were both better than those of the control group(p<0.001).Conclusion:The whole-course management of perioperative blood glucose can enhance the stability of blood glucose control,reduce the risk of complications,shorten the length of hospital stay,promote visual recovery,and has high clinical promotion value.展开更多
文摘We have analyzed the development of “Broad-Scale Seabed Habitat Maps” (BSHM) and their potential use in a European context with regard to the EU Marine Strategy Framework Directive (MSFD) implementation, MPA designation and network assessment as well as other applications of BSHMs. The analyses are anchored in BSHMs developed by a series of interlinked EU projects (e.g. UKSeaMap, BALANCE, MESH, Mesh Atlantic, EUSeaMap 2012, and EUSeaMap 2016) and all maps are based on environmental data. Some EU Member States have used BSHMs as part of their MSFD Initial Assessments published in 2012. However, we conclude that BSHMs are a prerequisite for another key MSFD activity, i.e. mapping of potentially cumulative effects of multiple human stressors. Further, BSHMs seem to play a growing role with regard to evidence-based assessments of MPAs. With the upcoming second round of MSFD Initial Assessments due in 2018, including assessment of potentially cumulative pressures, there seems to be an increasing need for more BSHMs nationally, regionally and on a European scale.
基金This work was supported by the National Oceanic and Atmospheric Administration(NOAA),and Washington Sea Grant.NOAA initiated the work described in this paper to identify indicators of human well-being for the IEA of the California Current large marine ecosystem.
文摘Introduction:Interrelated social and ecological challenges demand an understanding of how environmental change and management decisions affect human well-being.This paper out-lines a framework for measuring human well-being for ecosystem-based management(EBM).We present a prototype that can be adapted and developed for various scales and contexts.Scientists and managers use indicators to assess status and trends in integrated ecosystem assessments(IEAs).To improve the social science rigor and success of EBM,we developed a systematic and transparent approach for evaluating indicators of human well-being for an IEA.Methods:Our process is based on a comprehensive conceptualization of human well-being,a scalable analysis of management priorities,and a set of indicator screening criteria tailored to the needs of EBM.We tested our approach by evaluating more than 2000 existing social indicators related to ocean and coastal management of the US West Coast.We focused on two foundational attributes of human well-being:resource access and self-determination.Outcomes and Discussion:Our results suggest that existing indicators and data are limited in their ability to reflect linkages between environmental change and human well-being,and extremely limited in their ability to assess social equity and justice.We reveal a critical need for new social indicators tailored to answer environmental questions and new data that are disaggregated by social variables to measure equity.In both,we stress the importance of collaborating with the people whose well-being is to be assessed.Conclusion:Our framework is designed to encourage governments and communities to carefully assess the complex tradeoffs inherent in environmental decision-making.
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Journal Introduction″International Journal of Plant Engineering and Management″is in the charge of Ministry of Industry and Information Technology of the People′s Republic of China,and organized by Northwestern Polytechnical University.It is a kind of English aca-demic quarterly publication publicly issued at home and abroad.Plant engineering and management is a comprehensive interdisciplinary subject mainly reporting academic research on the application technology of equipment and industry management.It is of the characteristics of reporting both engineering and management while giving more priority to engineering as well as mechanics and electrics while giving priority to mechanics.Its contents involves technology,economy,management etc.
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To address the severe challenges of PM_(2.5) and ozone co-control during the"14^(th) Five-Year Plan"period and to enhance the precision and intelligence level of air environment governance,it is imperative to build an efficient comprehensive management platform for regional air quality.In this paper,the specific practice in Zibo City,Shandong Province is as an example to systematically analyze the top-level design,technical implementation,and innovative application of a comprehensive management platform for regional air quality integrating"perception monitoring,data fusion,research judgment of early warnings,analysis of sources,collaborative dispatching,and evaluation assessment".Through the construction of an"sky-air-ground"integrated three-dimensional monitoring network,the platform integrates multi-source heterogeneous environmental data,and employs big data,cloud computing,artificial intelligence,CALPUFF/CMAQ,and other numerical model technologies to achieve comprehensive perception,precise prediction,intelligent source tracing,and closed-loop management of air pollution.The platform innovatively establishes a full-process closed-loop management mechanism of"data-early warning-disposition-evaluation",and achieves a fundamental transformation from passive response to active anticipation and from experience-based judgment to data driving in environmental supervision.The application results show that this platform significantly improves the scientific decision-making ability and collaborative execution efficiency of air pollution governance in Zibo City,providing a replicable and scalable comprehensive solution for similar industrial cities to achieve the continuous improvement of air quality.
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Chronic pain represents a significant global health challenge,and the limitations of conventional analgesics have urged a search for alternative therapeutic strategies.Cannabinoids derived from Cannabis sativa have emerged as prominent candidates.While psychotropic cannabinoids are known for their analgesic effects,their psychoactive properties often limit their clinical utility.Consequently,interest has shifted towards non-psychotropic cannabinoids that offer potential pain relief without inducing cognitive or euphoric effects.This comprehensive review investigates the pain-modulating mechanisms of cannabinoids,encompassing interactions with the endocannabinoid system and other non-traditional pathways,and summarizes the existing preclinical and clinical evidence supporting their use in various pain states.Furthermore,it discusses the therapeutic potential,clinical considerations,significant challenges,and the need for product standardization.This review also aims to evaluate the role and prospects of non-psychotropic cannabinoids as a therapeutic option for pain management.
文摘Water leaks in aqueducts generate a significant economic and environmental impact,because the drinking water industry is extremely energy intensive.The paper outlines the scale of the problem.It then illustrates the guidelines defined by the IWA(International Water Association)for leak reduction.One of the approaches suggested by IWA is to implement efficient Active Leakage Control Systems,which allow for the daily monitoring of a district-level network,i.e.,a network divided into Areas,which are in turn divided into Districts.Systems of this type require leak estimation algorithms,typically based on the district’s MNF(minimum nighttime flow).However,the algorithms traditionally used for this estimation present several critical issues.For this purpose,an alternative algorithm(HP-Leakage Detector)was developed.By operating solely based on measurements of the flow rates entering and exiting the district,this algorithm eliminates any subjectivity in the estimate and automatically adapts to the district’s constantly evolving characteristics.The paper further highlights the importance of monitoring not only leaks in the Distribution network,but also those in the Transmission network.Finally,a case study is presented that shows the significant benefits achievable through infrastructure management and pressure control,two other pillars of the IWA leak reduction strategy.
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Water resources health diagnosis is increasingly recognized as a critical tool.It should not only guide the preservation of water volume,quality,and ecological integrity but also assess the viability of carbon-neutral development pathways.But current research tends to consider water health assessment and carbon-neutrality planning as separate endeavors,which results in imprecise boundaries,disjointed metrics,and a weak linkage between diagnostic outcomes and testable management actions.This review brings together indicator systems,diagnostic systems,and environmental management systems architectures that make it possible to have integrated water-carbon governance.We define fundamental concepts and delimiting decisions followed by the examination of indicator designs across the hydrological regime,water quality,ecological integrity,service performance,resilience,and carbon-related measures,including intensity of energy/emissions,emissions caused by the watershed process of wastewater treatment,as well as the potential sink of the watershed.We compare diagnostic methods,such as composite indices and multi-criteria decision analysis,data-driven early-warning models,process-based and integrated simulations,as well as uncertainty-aware robustness models.Here,based on this synthesis,we suggest an environmental management systems(EMS)-based pathway,which connects the setting of the baseline,the diagnosis,the design of the intervention portfolio,and the measurement-reporting-verification into the closed-loop adaptive cycle.Digital enablement,comprising Internet of Things(IoT)monitoring,remote sensing,data fusion,optimization,and digital twins,is considered a viable way of scaling implementation,subject to interoperability,validation,and model governance.Among the major gaps,there are causal attribution to outcomes,cross-scale coupling of facility emissions and basin health,propagation of uncertainty in a coupled model,and credible Measurement,Reporting,and Verification(MRV)of non-CO_(2) gases and nature-based removals.The review gives a roadmap to normalize core metrics and fast-deployable systems to protect the health of the water resources and give verifiable progress towards carbon neutrality.
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The built environment and construction industry are another significant source of carbon emissions to the environment in the world,through the production of materials,construction activities,and the energy consumed during the lifecycle of an asset.These emissions are difficult to manage effectively because the data are not consolidated,the operating conditions are dynamic,and the traditional assessment tools are not able to support continuous and data-driven decisions.The new technologies,especially Digital Twins(DT)and artificial intelligence(AI),have some potential solutions,which will combine the lifecycle data and provide a predictive,adaptive carbon management in the building and urban systems.The given paper is a systematic review of the integration of DT and AI(DT–AI)into carbon management in operational construction and urban planning.Structured database searches and filters on the basis of DT-facilitated carbon monitoring,prediction,optimization,and operational control were used to identify peer-reviewed studies that were published within the last few years and filtered through to gather them.Three main functions of DT–AI systems are outlined in the review:predicting carbon emissions on the basis of data-driven models,optimizing low-carbon design and planning with multi-objective approaches,and providing intelligent control of the energy systems.Some of the major issues are data interoperability,model validation,and a lack of evidence of large-scale deployment.This study combines integrated DT–AI models and their contribution to lifecycle carbon management,unlike the previous reviews of either DT or AI alone.The paper ends with a conclusion and recommendations to create scalable,validated DT–AI solutions to accomplish carbon-neutral built environments.
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.
文摘Objective:To explore the intervention effect of comprehensive perioperative blood glucose management on patients with diabetes complicated with cataract surgery.Method:A total of 68 patients in our hospital from July 2024 to July 2025 were selected and randomly divided into the experimental group and the control group,with 34 cases in each group.The control group received routine blood glucose management,while the experimental group,on this basis,implemented individualized intervention 3 days before the operation,real-time regulation during the operation,dynamic management 7 days after the operation,and self-management training.Result:The blood glucose control in the experimental group was more stable 7 days after the operation.The total incidence of complications(2.9%)was significantly lower than that in the control group(38.2%),and the average hospital stay(5.1±1.0 days)was shorter than that in the control group(7.3±1.4 days).One week after the operation,the proportions of uncorrected visual acuity and visual acuity≥0.6(67.6%)were both better than those of the control group(p<0.001).Conclusion:The whole-course management of perioperative blood glucose can enhance the stability of blood glucose control,reduce the risk of complications,shorten the length of hospital stay,promote visual recovery,and has high clinical promotion value.
