Objective:To investigate the effects of infrared lamp irradiation therapy on the risk of arteriovenous fistula thrombosis in patients undergoing heparin-free dialysis and those receiving appropriate reductions in hepa...Objective:To investigate the effects of infrared lamp irradiation therapy on the risk of arteriovenous fistula thrombosis in patients undergoing heparin-free dialysis and those receiving appropriate reductions in heparin anticoagulation dosage during dialysis.Methods:This study was conducted from January 1,2021,to December 31,2021,involving 19 patients who regularly underwent heparin-free dialysis for more than three months at our hospital,totaling 70 patient encounters.Each patient underwent heparin-free dialysis for more than two cycles during the experimental period.The study employed a self-control design.Prior to the experiment,an experienced medical team established an emergency management group and formulated relevant emergency measures,ensuring the long-term stability of patients’vital signs before enrollment.Patients requiring heparin-free dialysis as per medical advice underwent the procedure according to the treatment manual without additional interventions.During the second heparin-free dialysis session within the experimental period,patients received 40 minutes of infrared lamp irradiation as an adjunctive therapy during the dialysis process.The study observed coagulation in the dialyzer,blood biochemical indicators,the occurrence of adverse reactions,and patient satisfaction during treatment.Results:The use of heparin-free dialysis combined with infrared irradiation therapy resulted in better coagulation outcomes compared to heparin-free dialysis alone(p<0.05).There was no statistically significant difference in blood biochemical indicators between patients receiving heparin-free dialysis combined with infrared irradiation therapy and those receiving heparin-free dialysis alone(p>0.05).There was no statistically significant difference in the number of patients experiencing adverse clinical symptoms such as angina,dizziness,and lower limb cramps,leading to treatment interruption,between those receiving heparin-free dialysis combined with infrared therapy and those receiving heparin-free dialysis alone(p>0.05).Patient satisfaction was higher among those receiving heparin-free dialysis combined with infrared therapy compared to those receiving heparin-free dialysis alone(p<0.05).Conclusion:The use of infrared lamp irradiation therapy as an adjunct to heparin-free dialysis can reduce the risk of coagulation to a certain extent without affecting the stability of core blood biochemical indicators in patients.It also reduces the incidence of clinical adverse reactions caused by coagulation,demonstrating good safety and improving patient satisfaction.展开更多
The solar insecticidal lamp(SIL)is an innovative green control device.Nevertheless,a major challenge is often encountered when carrying out insecticidal work is low energy utilization efficiency.The substantial energy...The solar insecticidal lamp(SIL)is an innovative green control device.Nevertheless,a major challenge is often encountered when carrying out insecticidal work is low energy utilization efficiency.The substantial energy consumption required to turn on the SIL,coupled with the extension of insecticidal working time during the low pest activity periods,can result in low energy efficiency.Especially when the energy storage level is below 50%,the inefficient use of energy significantly reduces the effectiveness of pest control.Consequently,an ineffective on/off scheme for these lamps may lead to suboptimal energy utilization.In this paper,we present the solar insecticidal lamp intelligent energy management scheme(SIL-IEMS)to address the challenge of inefficient energy utilization in the solar insecticidal lamp internet of things(SIL-IoT).SIL-IEMS primarily utilizes genetic algorithm(GA)and greedy algorithms to optimize insecticidal working time by considering constraints such as residual energy and the number of trap pests.Comparing SIL-IEMS to the traditional remote switching method(TRSM)and the solar insecticidal lamp genetic algorithm(SILGA),our simulation results showcase its superior energy efficiency and pest control effectiveness.Particularly noteworthy is the SILIEMS's 17.6%increase in insecticidal efficiency compared to TRSM and 6%improvement over SILGA when the SIL begins with a remaining energy level of 15%.展开更多
基金2023 Hospital-Level Scientific Research and New Technology Project Initiation of Wuzhong People’s Hospital(Project No.:2023yjxjs05)。
文摘Objective:To investigate the effects of infrared lamp irradiation therapy on the risk of arteriovenous fistula thrombosis in patients undergoing heparin-free dialysis and those receiving appropriate reductions in heparin anticoagulation dosage during dialysis.Methods:This study was conducted from January 1,2021,to December 31,2021,involving 19 patients who regularly underwent heparin-free dialysis for more than three months at our hospital,totaling 70 patient encounters.Each patient underwent heparin-free dialysis for more than two cycles during the experimental period.The study employed a self-control design.Prior to the experiment,an experienced medical team established an emergency management group and formulated relevant emergency measures,ensuring the long-term stability of patients’vital signs before enrollment.Patients requiring heparin-free dialysis as per medical advice underwent the procedure according to the treatment manual without additional interventions.During the second heparin-free dialysis session within the experimental period,patients received 40 minutes of infrared lamp irradiation as an adjunctive therapy during the dialysis process.The study observed coagulation in the dialyzer,blood biochemical indicators,the occurrence of adverse reactions,and patient satisfaction during treatment.Results:The use of heparin-free dialysis combined with infrared irradiation therapy resulted in better coagulation outcomes compared to heparin-free dialysis alone(p<0.05).There was no statistically significant difference in blood biochemical indicators between patients receiving heparin-free dialysis combined with infrared irradiation therapy and those receiving heparin-free dialysis alone(p>0.05).There was no statistically significant difference in the number of patients experiencing adverse clinical symptoms such as angina,dizziness,and lower limb cramps,leading to treatment interruption,between those receiving heparin-free dialysis combined with infrared therapy and those receiving heparin-free dialysis alone(p>0.05).Patient satisfaction was higher among those receiving heparin-free dialysis combined with infrared therapy compared to those receiving heparin-free dialysis alone(p<0.05).Conclusion:The use of infrared lamp irradiation therapy as an adjunct to heparin-free dialysis can reduce the risk of coagulation to a certain extent without affecting the stability of core blood biochemical indicators in patients.It also reduces the incidence of clinical adverse reactions caused by coagulation,demonstrating good safety and improving patient satisfaction.
基金supported in part by the National Natural Science Foundation of China(62072248).
文摘The solar insecticidal lamp(SIL)is an innovative green control device.Nevertheless,a major challenge is often encountered when carrying out insecticidal work is low energy utilization efficiency.The substantial energy consumption required to turn on the SIL,coupled with the extension of insecticidal working time during the low pest activity periods,can result in low energy efficiency.Especially when the energy storage level is below 50%,the inefficient use of energy significantly reduces the effectiveness of pest control.Consequently,an ineffective on/off scheme for these lamps may lead to suboptimal energy utilization.In this paper,we present the solar insecticidal lamp intelligent energy management scheme(SIL-IEMS)to address the challenge of inefficient energy utilization in the solar insecticidal lamp internet of things(SIL-IoT).SIL-IEMS primarily utilizes genetic algorithm(GA)and greedy algorithms to optimize insecticidal working time by considering constraints such as residual energy and the number of trap pests.Comparing SIL-IEMS to the traditional remote switching method(TRSM)and the solar insecticidal lamp genetic algorithm(SILGA),our simulation results showcase its superior energy efficiency and pest control effectiveness.Particularly noteworthy is the SILIEMS's 17.6%increase in insecticidal efficiency compared to TRSM and 6%improvement over SILGA when the SIL begins with a remaining energy level of 15%.
