A Receiver Operating Characteristic(ROC)analysis of a power is important and useful in clinical trials.A Classical Conditional Power(CCP)is a probability of a classical rejection region given values of true treatment ...A Receiver Operating Characteristic(ROC)analysis of a power is important and useful in clinical trials.A Classical Conditional Power(CCP)is a probability of a classical rejection region given values of true treatment effect and interim result.For hypotheses and reversed hypotheses under normal models,we obtain analytical expressions of the ROC curves of the CCP,find optimal ROC curves of the CCP,investigate the superiority of the ROC curves of the CCP,calculate critical values of the False Positive Rate(FPR),True Positive Rate(TPR),and cutoff of the optimal CCP,and give go/no go decisions at the interim of the optimal CCP.In addition,extensive numerical experiments are carried out to exemplify our theoretical results.Finally,a real data example is performed to illustrate the go/no go decisions of the optimal CCP.展开更多
Objective The lack of clarity regarding the application performance of a hybrid operating room(HOR)and the uncertainty of surgical scheduling often lead to its inefficient application.This study aimed to review the cl...Objective The lack of clarity regarding the application performance of a hybrid operating room(HOR)and the uncertainty of surgical scheduling often lead to its inefficient application.This study aimed to review the clinical application of our neurosurgical HOR and propose a scale to score cases clearly.Methods We reviewed the operating procedures and duration of stay in 1865 HOR cases.The actual procedures of each case were summarized into 5 application types,and numerical assignment was used to distinguish the dependence of each type on our HOR:surgical procedures combined with interventional procedures(4 points,the highest dependence),surgical procedures combined with imaging procedures(3 points),interventional procedures(2 points),imaging procedures(1 point),and surgical procedures(0 points,the lowest dependence).Results A novel scale that could score 1865 cases into those 5 grades was developed.The percentages by grade were as follows:4 points,4.24%;3 points,4.88%;2 points,20.75%;1 point,69.38%;and 0 points,0.75%.The cumulative usage time was 4241.9 h,the duration of which was as follows:4 points,16.17%;3 points,15.50%;2 points,31.32%;1 point,35.62%;and 0 points,1.39%.Conclusions The HOR serves as a multifunctional room to treat neurosurgical diseases.The scale helps to quickly prioritize cases that rely more on HOR,providing guidelines for surgical scheduling.Although our HOR is unsuitable for emergency cases,it clearly shows the application performance of our HOR to provide a reference for promoting its efficient application.展开更多
The Stirling engine,as a closed-cycle power machine,exhibits excellent emission characteristics and broad energy adaptability.Second-order analysis methods are extensively used during the foundational design and therm...The Stirling engine,as a closed-cycle power machine,exhibits excellent emission characteristics and broad energy adaptability.Second-order analysis methods are extensively used during the foundational design and thermodynamic examination of Stirling engines,owing to their commendable model precision and remarkable efficiency.To scrutinize the effect of Stirling engine design parameters on the cyclical work output and efficiency,this study formulates a series of differential equations for the Stirling cycle by employing second-order analysis methods,subsequently augmenting the predictive accuracy by integrating considerations of loss mechanisms.In addition,an iterative method for the convergence of the average pressure was introduced.The predictive capability of the established model was validated using GPU-3 and RE-1000 experimental data.According to the model,parameters such as the operational fluid,porosity of the regenerator,and diameter of the wire mesh and their influence on the resulting work output and cyclic efficiency of the Stirling engine were analyzed,thereby facilitating a broader understanding of the engine's functional characteristics.These findings suggest that hydrogen,owing to its lower dynamic viscosity coefficient,can provide superior output power.The loss due to flow resistance tends to increase with the rotational speed.Additionally,under conditions of elevated rotational speed,the loss from flow resistance declines in cases of increased porosity,and the enhancement of the porosity to diminish flow resistance losses can boost both the output work and the cyclic efficiency of the engine.As the porosity increased further,the hydraulic diameter and dead volume in the regenerator continued to expand,causing the pressure drop within the engine to become the dominant factor in the gradual reduction of output power.Furthermore,extending the length of the regenerator results in a decrease in the output work,although the thermal cycle efficiency initially increases before eventually decreasing.Based on these insights,this study pursues the optimal designs for Stirling engines.展开更多
Objective:To explore the application effect of the path for improving humanistic literacy of operating room nursing students based on the ORTCC model,in order to make up for the deficiency of systematic humanistic edu...Objective:To explore the application effect of the path for improving humanistic literacy of operating room nursing students based on the ORTCC model,in order to make up for the deficiency of systematic humanistic education in the traditional teaching model.Methods:120 nursing students who practiced in the operating room from June 2023 to June 2024 were randomly divided into the experimental group and the control group,with 60 students in each group.The control group received routine teaching,while the experimental group applied the ORTCC model on the basis of routine and intervened through setting humanistic literacy goals,formulating behavioral norms,conducting diversified training,implementing two-way assessment,and creating departmental culture.The effect of the intervention was evaluated using the Nurse Humanistic Quality Scale,the Clinical Communication Ability Assessment Scale for Operating Room Nursing Students,and a self-made nursing satisfaction questionnaire.Results:After the intervention,the total score of humanistic literacy in the experimental group(4 weeks of intervention:161.43±10.06 points,12 weeks of intervention:165.71±9.45 points)was significantly higher than that in the control group(139.38±10.95 points,143.31±10.52 points)(all p<0.001);The total score of clinical communication ability in the experimental group(109.69±8.05 points for 4 weeks of intervention,116.90±7.21 points for 12 weeks of intervention)was also significantly better than that in the control group(99.14±9.23 points,103.03±8.78 points)(all p<0.001);The total score of patient care satisfaction in the experimental group(94.2±4.3)was significantly higher than that in the control group(82.6±5.7)(p<0.001).Conclusion:The ORTCC model can systematically enhance the humanistic literacy,clinical communication skills and patient satisfaction of operating room nursing students,providing an effective approach for optimizing clinical teaching in the operating room.展开更多
This paper focuses on the key role and practical paths of operating room nurses in infection control,and studies the difficult problems in the prevention and control of surgical site infections.Analyze the infection r...This paper focuses on the key role and practical paths of operating room nurses in infection control,and studies the difficult problems in the prevention and control of surgical site infections.Analyze the infection risk links in the operating room and the core responsibilities of nurses,reveal the multiple role mechanisms of nurses in infection control,design practical strategies from dimensions such as process optimization,skill improvement,and monitoring feedback,and construct an infection control system involving all staff.Research shows that operating room nurses can effectively reduce the risk of infection,improve medical quality,provide core guarantees for patient safety,and promote the transformation of operating room infection control towards refined management through practical actions such as standardized operation execution,real-time risk monitoring,and team collaboration supervision.展开更多
This study explores the aerodynamic performance and flow field characteristics of supercritical carbon dioxide(sCO_(2))centrifugal compressors under varying operating conditions.In particular,the Sandia main compresso...This study explores the aerodynamic performance and flow field characteristics of supercritical carbon dioxide(sCO_(2))centrifugal compressors under varying operating conditions.In particular,the Sandia main compressor impeller model is used as a reference system.Through three-dimensional numerical simulations,we examine the Mach number distribution,temperature field,blade pressure pulsation spectra,and velocity field evolution,and identify accordingly the operating boundaries ensuring stability and the mechanisms responsible for performance degradation.Findings indicate a stable operating range for mass flow rate between 0.74 and 3.74 kg/s.At the lower limit(0.74 kg/s),the maximum Mach number within the compressor decreases by 28%,while the temperature gradient sharpens,entropy rises notably,and fluid density varies significantly.The maximum pressure near the blades increases by 6%,yet flow velocity near the blades and outlet declines,with a 19%reduction in peak speed.Consequently,isentropic efficiency falls by 13%.Conversely,at 3.74 kg/s,the maximum Mach number increases by 23.7%,with diminished temperature gradients and minor fluid density variations.However,insufficient enthalpy gain and intensified pressure pulsations near the blades result in a 12%pressure drop.Peak velocity within the impeller channel surges by 23%,amplifying velocity gradients,inducing flow separation,and ultimately reducing the pressure ratio from 1.47 to 1.34.展开更多
Rare earths,as a strategic mineral resource,play a vital role in high-tech industries such as aerospace,national defense and military,electronic information,and new energy.With the accelerated evolution of the new rou...Rare earths,as a strategic mineral resource,play a vital role in high-tech industries such as aerospace,national defense and military,electronic information,and new energy.With the accelerated evolution of the new round of technological revolution and industrial transformation,global supply chain security risks have become more prominent.The focus of major countries'resource security assurance has also shifted from bulk minerals to critical minerals.展开更多
Objective:To explore the application of moderate and hypothermia control in patients undergoing cerebral hemangioma surgery.By adjusting the precise body temperature of the patients and controlling the changes,the int...Objective:To explore the application of moderate and hypothermia control in patients undergoing cerebral hemangioma surgery.By adjusting the precise body temperature of the patients and controlling the changes,the intraoperative and postoperative risks can be reduced,thereby better promoting postoperative recovery.Methods:Thirty patients undergoing cerebral hemangioma surgery were randomly selected as the subjects.All the patients were inpatients in the neurology department between May 2023 and May 2024.The control group received traditional routine nursing management.For the patients in the experimental group,in addition to traditional nursing management,there was also moderate and hypothermia intervention.The body temperature was monitored at three points:the tympanic membrane,esophagus,and rectum.The body temperature was effectively monitored to make it fluctuate within a relatively ideal range.The postoperative recovery was paid attention to and monitored.Key monitoring will be conducted on the intraoperative body temperature changes,hemodynamic indicators of the patients,as well as the postoperative awakening time and neurological function recovery indicators of the patients.Results:Compared with the control group,the patients in the experimental group with moderate to low body temperature had relatively gentle body temperature curves and little fluctuation in body temperature.In terms of hemodynamics,patients in the experimental group were more stable than those in the control group.Meanwhile,they recovered faster after the operation,the time required for patients to regain consciousness was shortened,and the incidence of postoperative complications was lower,especially infection,cerebral edema,and electrolyte abnormalities were more prominent.The comfort level and satisfaction of patients were relatively higher compared with those in the control group.Therefore,it can play a very good promoting role for the patient in the postoperative recovery.Conclusion:The application of moderate and low body temperature in cerebral hemangioma surgery can better stabilize the patient’s condition,reduce the occurrence of complications,and is conducive to the recovery of the patient’s neurological function.This method has changed the deficiency of body temperature management in traditional nursing and created a more ideal surgical environment for patients.展开更多
In recent years,research on nursing interruptions has been conducted at various levels in emergency departments,intensive care units,hemodialysis centers,operating rooms,and sterilization and supply centers.Nursing in...In recent years,research on nursing interruptions has been conducted at various levels in emergency departments,intensive care units,hemodialysis centers,operating rooms,and sterilization and supply centers.Nursing interruptions are closely related to adverse nursing events,and interruptions in operating room nursing can significantly impact the success of a patient’s surgery.However,there is a lack of in-depth theoretical research on safety risk assessment and response decision-making by operating room nurses when faced with nursing interruptions.This article reviews the concept,current status,and impact of nursing interruptions in the operating room,analyzes the cognitive level,coping strategies,and negative emotions of operating room nurses,and elaborates on management strategies to provide references for research and management of nursing interruptions in the operating room.展开更多
In order to accurately forecast the main engine fuel consumption and reduce the Energy Efficiency Operational Indicator(EEOI)of merchant ships in polar ice areas,the energy transfer relationship between ship-machine-p...In order to accurately forecast the main engine fuel consumption and reduce the Energy Efficiency Operational Indicator(EEOI)of merchant ships in polar ice areas,the energy transfer relationship between ship-machine-propeller is studied by analyzing the complex force situation during ship navigation and building a MATLAB/Simulink simulation platform based on multi-environmental resistance,propeller efficiency,main engine power,fuel consumption,fuel consumption rate and EEOI calculation module.Considering the environmental factors of wind,wave and ice,the route is divided into sections,the calculation of main engine power,main engine fuel consumption and EEOI for each section is completed,and the speed design is optimized based on the simulation model for each section.Under the requirements of the voyage plan,the optimization results show that the energy efficiency operation index of the whole route is reduced by 3.114%and the fuel consumption is reduced by 9.17 t.展开更多
Extracting typical operational scenarios is essential for making flexible decisions in the dispatch of a new power system.A novel deep time series aggregation scheme(DTSAs)is proposed to generate typical operational s...Extracting typical operational scenarios is essential for making flexible decisions in the dispatch of a new power system.A novel deep time series aggregation scheme(DTSAs)is proposed to generate typical operational scenarios,considering the large amount of historical operational snapshot data.Specifically,DTSAs analyse the intrinsic mechanisms of different scheduling operational scenario switching to mathematically represent typical operational scenarios.A Gramian angular summation field-based operational scenario image encoder was designed to convert operational scenario sequences into highdimensional spaces.This enables DTSAs to fully capture the spatiotemporal characteristics of new power systems using deep feature iterative aggregation models.The encoder also facilitates the generation of typical operational scenarios that conform to historical data distributions while ensuring the integrity of grid operational snapshots.Case studies demonstrate that the proposed method extracted new fine-grained power system dispatch schemes and outperformed the latest high-dimensional feature-screening methods.In addition,experiments with different new energy access ratios were conducted to verify the robustness of the proposed method.DTSAs enable dispatchers to master the operation experience of the power system in advance,and actively respond to the dynamic changes of the operation scenarios under the high access rate of new energy.展开更多
This work proposes an optimization method for gas storage operation parameters under multi-factor coupled constraints to improve the peak-shaving capacity of gas storage reservoirs while ensuring operational safety.Pr...This work proposes an optimization method for gas storage operation parameters under multi-factor coupled constraints to improve the peak-shaving capacity of gas storage reservoirs while ensuring operational safety.Previous research primarily focused on integrating reservoir,wellbore,and surface facility constraints,often resulting in broad constraint ranges and slow model convergence.To solve this problem,the present study introduces additional constraints on maximum withdrawal rates by combining binomial deliverability equations with material balance equations for closed gas reservoirs,while considering extreme peak-shaving demands.This approach effectively narrows the constraint range.Subsequently,a collaborative optimization model with maximum gas production as the objective function is established,and the model employs a joint solution strategy combining genetic algorithms and numerical simulation techniques.Finally,this methodology was applied to optimize operational parameters for Gas Storage T.The results demonstrate:(1)The convergence of the model was achieved after 6 iterations,which significantly improved the convergence speed of the model;(2)The maximum working gas volume reached 11.605×10^(8) m^(3),which increased by 13.78%compared with the traditional optimization method;(3)This method greatly improves the operation safety and the ultimate peak load balancing capability.The research provides important technical support for the intelligent decision of injection and production parameters of gas storage and improving peak load balancing ability.展开更多
Objective:According to the World Federation of Medical Education,critical thinking should be part of the training of medical and paramedical students.Professionals can improve the quality of care of patients after sur...Objective:According to the World Federation of Medical Education,critical thinking should be part of the training of medical and paramedical students.Professionals can improve the quality of care of patients after surgery by having or acquiring this skill in health care.Also,Emotional intelligence is introduced as an impor tant and effective factor on the professional performance and mental health of healthcare professionals.Thus,the present study was designed and implemented to determine the relationship between emotional intelligence and critical thinking among operating room nursing students of medical sciences universities in Iran.Methods:This cross-sectional study was done on 420 operating room students in 10 top medical sciences universities of Iran in 2022.The sampling method in this research was multistage sampling.The data collection instruments included demographic characteristics,Rickett's critical thinking,and Bradberry-Greaves'emotional intelligence questionnaires.After receiving the ethics code,data collection was done for 2 months.For data analysis,descriptive and inferential analyses including independent t-tests,analysis of variance,and Pearson correlation were used.The collected data were analyzed by SPSS 18(IBM Corporation,Armonk,New York,United States).P-value<0.05 was considered significant.Results:The mean age of the students participating in this study was 23.02±3.70 years,with women constituting 67.4%of them.The results of data analysis indicated that the mean total score of critical thinking and emotional intelligence was 124.10±37.52 and 114.12±43.63,respectively.A direct significant correlation between critical thinking and emotional intelligence(r=0.459,P-value<0.001)and a significant relationship between gender and emotional intelligence(P-value=0.028)were found.Conclusions:Based on the present study results,educational managers in the Ministry of Health are suggested to consider suitable educational programs for improving critical thinking and emotional intelligence to enhance the quality of care provided by students in operating rooms.展开更多
Objective:To evaluate and compare the effect of semi-rigid ureterorenoscopy on post-procedural sexual function with three different operating room settings.Methods:In this prospective randomized study,consecutive sexu...Objective:To evaluate and compare the effect of semi-rigid ureterorenoscopy on post-procedural sexual function with three different operating room settings.Methods:In this prospective randomized study,consecutive sexually active patients with normal pre-operative sexual function undergoing uncomplicated semi-rigid ureterorenoscopy for distal ureteric stones were randomized into three groups,with three different operating room settings.Procedure-related anxiety and sexual function were assessed pre-operatively using Amsterdam Preoperative Anxiety and Information Scale and Brief Sexual Function Inventory(in males)and Female Sexual Function Index-6(in females),respectively.All the participants were stented following the procedure,and the stent was removed after 3 weeks.Post-procedural sexual function and general discomfort were assessed and compared between three groups at 1 week,3 weeks,and 12 weeks.The effect of surgery-related anxiety,preoperative sexual function,age,and general discomfort(including stent-related discomfort)on post-procedural sexual function were analyzed using multiple regression analysis.A p-value of less than 0.05 was considered statistically significant.Results:Totally,327 eligible patients were randomized into three groups.The group of patients who underwent the procedural with a screen separating the operating area from the patient vision,while the patient could watch the endoscopy through a separate monitor,had better post-procedural sexual function compared to those who had total vision of the operating area as well as to those whose eyes were blocked.This difference was statistically significant.This post-procedural reduction in sexual function could not be attributed to in situ stent alone.Conclusions:Our study showed that semi-rigid ureterorenoscopy can have significant negative effect on sexual function,which can be reduced with proper preoperative counseling and an ideal operating room settings.展开更多
Objective: This paper aims to explore the impact of optimizing details in the operating room on the level of knowledge, attitude, and practice of hospital infection prevention and control by surgeons, as well as the e...Objective: This paper aims to explore the impact of optimizing details in the operating room on the level of knowledge, attitude, and practice of hospital infection prevention and control by surgeons, as well as the effectiveness of infection control. Methods: From January 2022 to June 2023, a total of 120 patients were screened and randomly divided into a control group (routine care and hospital infection management) and a study group (optimizing details in the operating room). Results: Significant differences were found between the two groups in the data of surgeons’ level of knowledge, attitude, and practice in hospital infection prevention and control, infection rates, and nursing satisfaction, with the study group showing better results (P Conclusion: The use of optimizing details in the operating room among surgeons can effectively improve surgeons’ level of knowledge, attitude, and practice in hospital infection prevention and control, reduce infection occurrence, and is worth promoting.展开更多
Battery pack capacity estimation under real-world operating conditions is important for battery performance optimization and health management,contributing to the reliability and longevity of batterypowered systems.Ho...Battery pack capacity estimation under real-world operating conditions is important for battery performance optimization and health management,contributing to the reliability and longevity of batterypowered systems.However,complex operating conditions,coupling cell-to-cell inconsistency,and limited labeled data pose great challenges to accurate and robust battery pack capacity estimation.To address these issues,this paper proposes a hierarchical data-driven framework aimed at enhancing the training of machine learning models with fewer labeled data.Unlike traditional data-driven methods that lack interpretability,the hierarchical data-driven framework unveils the“mechanism”of the black box inside the data-driven framework by splitting the final estimation target into cell-level and pack-level intermediate targets.A generalized feature matrix is devised without requiring all cell voltages,significantly reducing the computational cost and memory resources.The generated intermediate target labels and the corresponding features are hierarchically employed to enhance the training of two machine learning models,effectively alleviating the difficulty of learning the relationship from all features due to fewer labeled data and addressing the dilemma of requiring extensive labeled data for accurate estimation.Using only 10%of degradation data,the proposed framework outperforms the state-of-the-art battery pack capacity estimation methods,achieving mean absolute percentage errors of 0.608%,0.601%,and 1.128%for three battery packs whose degradation load profiles represent real-world operating conditions.Its high accuracy,adaptability,and robustness indicate the potential in different application scenarios,which is promising for reducing laborious and expensive aging experiments at the pack level and facilitating the development of battery technology.展开更多
This paper constructs a coupled aero-hydro-elastic-servo simulation framework for a monopile offshore wind turbine(OWT).In this framework,a detailed multi-body dynamics model of the monopile OWT including the gearbox,...This paper constructs a coupled aero-hydro-elastic-servo simulation framework for a monopile offshore wind turbine(OWT).In this framework,a detailed multi-body dynamics model of the monopile OWT including the gearbox,blades,tower and other components(nacelle,hub,bedplate,etc.)has been explicitly established.The effects of pile−soil interaction,controller and operational conditions on the turbine dynamic responses are studied systematically in time domain and frequency domain.The results show that(1)a comprehensive drivetrain model has the capability to provide a more precise representation of the complex dynamic characteristics exhibited by drivetrain components,which can be used as the basis for further study on the dynamic characteristics of the drivetrain.(2)The pile−soil interaction can influence the wind turbine dynamic responses,particularly under the parked condition.(3)The effect of the pile−soil interaction on tower responses is more significant than that on blade responses.(4)The use of the controller can substantially affect the rotor characteristics,which in turn influences the turbine dynamic responses.(5)The tower and blade displacements under the operational condition are much larger than those under the parked condition.The model and methodology presented in this study demonstrate potential for examining complex dynamic behaviors of the monopile OWTs.To ensure accuracy and precision,it is imperative to construct a detailed model of the wind turbine system,while also taking into account simulation efficiency.展开更多
Chinese Medicine Enema is one of the external therapies in Traditional Chinese Medicine(TCM),which has been widely used clinically.The"International Standard of Traditional Chinese Medicine Techniques:The Operati...Chinese Medicine Enema is one of the external therapies in Traditional Chinese Medicine(TCM),which has been widely used clinically.The"International Standard of Traditional Chinese Medicine Techniques:The Operating Specifications for Chinese Medicine Enema is drawn up by the Beijing Hospital of Traditional Chinese Medicine affiliated to Capital Medical University and Beijing University of Chinese Medicine Xiamen Hospital in collaboration with domestic TCM universities and hospitals.The specification includes definition,operating process,points for attention and contraindications.It is targeted to provide reference for TCM providers at home and abroad with TCM background in clinical decision-making.展开更多
Chinese medicated bath is one of the external therapies in Traditional Chinese Medicine(TCM),which has been widely used clinically.The“International Standard of Traditional Chinese Medicine Techniques:The Operating S...Chinese medicated bath is one of the external therapies in Traditional Chinese Medicine(TCM),which has been widely used clinically.The“International Standard of Traditional Chinese Medicine Techniques:The Operating Specifications for Chinese Medicated Bath”is drawn up by the Beijing University of Chinese Medicine Third Affiliated Hospital and Beijing University of Chinese Medicine Xiamen Hospital in collaboration with domestic TCM universities and hospitals.The specification includes definition,operating process,points for attention and contraindications.It is targeted to provide reference for TCM providers at home and abroad with TCM background in clinical decision-making.展开更多
FeS_(2) shows significant potential as cathode material for all-solid-state lithium batteries(ASSLBs)due to its high theoretical specific capacity,low cost,and environmental friendliness.However,the poor ion/electron ...FeS_(2) shows significant potential as cathode material for all-solid-state lithium batteries(ASSLBs)due to its high theoretical specific capacity,low cost,and environmental friendliness.However,the poor ion/electron conductivity and large volume variation effect of FeS_(2) inhibit its practical applications.Here,the influence of particle size of FeS_(2) on the corresponding sulfide-based solid-state batteries is carefully investigated by tuning FeS_(2) size.Moreover,low operating temperature is chosen to mitigate the large volume changes during cycling in the battery.S-FeS_(2) with smaller particle sizes delivers superior electrochemical performances than that of the larger L-FeS_(2) in Li_(5.5)PS_(4.5)Cl_(1.5)-based ASSLBs under different operating temperatures.S-FeS_(2) shows stable discharge capacities during 50 cycles with a current density of 0.1 m A/cm^(2)under -20℃.When the current density rises to 1.0 m A/cm^(2),it delivers an initial discharge capacity of 146.9 m Ah/g and maintains 63% of the capacity after 100 cycles.This work contributes to constructing ASSLBs enables excellent electrochemical performances under extreme operating temperatures.展开更多
基金supported by the National Social Science Fund of China(Grand No.21XTJ001).
文摘A Receiver Operating Characteristic(ROC)analysis of a power is important and useful in clinical trials.A Classical Conditional Power(CCP)is a probability of a classical rejection region given values of true treatment effect and interim result.For hypotheses and reversed hypotheses under normal models,we obtain analytical expressions of the ROC curves of the CCP,find optimal ROC curves of the CCP,investigate the superiority of the ROC curves of the CCP,calculate critical values of the False Positive Rate(FPR),True Positive Rate(TPR),and cutoff of the optimal CCP,and give go/no go decisions at the interim of the optimal CCP.In addition,extensive numerical experiments are carried out to exemplify our theoretical results.Finally,a real data example is performed to illustrate the go/no go decisions of the optimal CCP.
基金supported by the Technology Innovation Special Major Project of Hubei Province(grant number 2022BCA003).
文摘Objective The lack of clarity regarding the application performance of a hybrid operating room(HOR)and the uncertainty of surgical scheduling often lead to its inefficient application.This study aimed to review the clinical application of our neurosurgical HOR and propose a scale to score cases clearly.Methods We reviewed the operating procedures and duration of stay in 1865 HOR cases.The actual procedures of each case were summarized into 5 application types,and numerical assignment was used to distinguish the dependence of each type on our HOR:surgical procedures combined with interventional procedures(4 points,the highest dependence),surgical procedures combined with imaging procedures(3 points),interventional procedures(2 points),imaging procedures(1 point),and surgical procedures(0 points,the lowest dependence).Results A novel scale that could score 1865 cases into those 5 grades was developed.The percentages by grade were as follows:4 points,4.24%;3 points,4.88%;2 points,20.75%;1 point,69.38%;and 0 points,0.75%.The cumulative usage time was 4241.9 h,the duration of which was as follows:4 points,16.17%;3 points,15.50%;2 points,31.32%;1 point,35.62%;and 0 points,1.39%.Conclusions The HOR serves as a multifunctional room to treat neurosurgical diseases.The scale helps to quickly prioritize cases that rely more on HOR,providing guidelines for surgical scheduling.Although our HOR is unsuitable for emergency cases,it clearly shows the application performance of our HOR to provide a reference for promoting its efficient application.
基金supported by Sichuan Science and Technology Program(No.24NSFSC4579)National Natural Science Foundation of China(No.12305193)+2 种基金Sichuan Science and Technology Program(No.23NSFSC6149)National Natural Science Foundation of China(No.12305194)Technology on Reactor System Design Technology Laboratory Stable support Funding(No.2023_JCJQ_LB_003).
文摘The Stirling engine,as a closed-cycle power machine,exhibits excellent emission characteristics and broad energy adaptability.Second-order analysis methods are extensively used during the foundational design and thermodynamic examination of Stirling engines,owing to their commendable model precision and remarkable efficiency.To scrutinize the effect of Stirling engine design parameters on the cyclical work output and efficiency,this study formulates a series of differential equations for the Stirling cycle by employing second-order analysis methods,subsequently augmenting the predictive accuracy by integrating considerations of loss mechanisms.In addition,an iterative method for the convergence of the average pressure was introduced.The predictive capability of the established model was validated using GPU-3 and RE-1000 experimental data.According to the model,parameters such as the operational fluid,porosity of the regenerator,and diameter of the wire mesh and their influence on the resulting work output and cyclic efficiency of the Stirling engine were analyzed,thereby facilitating a broader understanding of the engine's functional characteristics.These findings suggest that hydrogen,owing to its lower dynamic viscosity coefficient,can provide superior output power.The loss due to flow resistance tends to increase with the rotational speed.Additionally,under conditions of elevated rotational speed,the loss from flow resistance declines in cases of increased porosity,and the enhancement of the porosity to diminish flow resistance losses can boost both the output work and the cyclic efficiency of the engine.As the porosity increased further,the hydraulic diameter and dead volume in the regenerator continued to expand,causing the pressure drop within the engine to become the dominant factor in the gradual reduction of output power.Furthermore,extending the length of the regenerator results in a decrease in the output work,although the thermal cycle efficiency initially increases before eventually decreasing.Based on these insights,this study pursues the optimal designs for Stirling engines.
文摘Objective:To explore the application effect of the path for improving humanistic literacy of operating room nursing students based on the ORTCC model,in order to make up for the deficiency of systematic humanistic education in the traditional teaching model.Methods:120 nursing students who practiced in the operating room from June 2023 to June 2024 were randomly divided into the experimental group and the control group,with 60 students in each group.The control group received routine teaching,while the experimental group applied the ORTCC model on the basis of routine and intervened through setting humanistic literacy goals,formulating behavioral norms,conducting diversified training,implementing two-way assessment,and creating departmental culture.The effect of the intervention was evaluated using the Nurse Humanistic Quality Scale,the Clinical Communication Ability Assessment Scale for Operating Room Nursing Students,and a self-made nursing satisfaction questionnaire.Results:After the intervention,the total score of humanistic literacy in the experimental group(4 weeks of intervention:161.43±10.06 points,12 weeks of intervention:165.71±9.45 points)was significantly higher than that in the control group(139.38±10.95 points,143.31±10.52 points)(all p<0.001);The total score of clinical communication ability in the experimental group(109.69±8.05 points for 4 weeks of intervention,116.90±7.21 points for 12 weeks of intervention)was also significantly better than that in the control group(99.14±9.23 points,103.03±8.78 points)(all p<0.001);The total score of patient care satisfaction in the experimental group(94.2±4.3)was significantly higher than that in the control group(82.6±5.7)(p<0.001).Conclusion:The ORTCC model can systematically enhance the humanistic literacy,clinical communication skills and patient satisfaction of operating room nursing students,providing an effective approach for optimizing clinical teaching in the operating room.
文摘This paper focuses on the key role and practical paths of operating room nurses in infection control,and studies the difficult problems in the prevention and control of surgical site infections.Analyze the infection risk links in the operating room and the core responsibilities of nurses,reveal the multiple role mechanisms of nurses in infection control,design practical strategies from dimensions such as process optimization,skill improvement,and monitoring feedback,and construct an infection control system involving all staff.Research shows that operating room nurses can effectively reduce the risk of infection,improve medical quality,provide core guarantees for patient safety,and promote the transformation of operating room infection control towards refined management through practical actions such as standardized operation execution,real-time risk monitoring,and team collaboration supervision.
基金National Science Foundation of China(grant numbers 52366009 and 52130607)Doble First-Class Key Programof Gansu Provincial Department of Education(grant number GCJ2022-38)+1 种基金2022 Gansu Provincial University Industry Support Plan Project(grant number 2022CYZC-21)KeyR&DProgramofGansu Province of China(grant number 22YF7GA163).
文摘This study explores the aerodynamic performance and flow field characteristics of supercritical carbon dioxide(sCO_(2))centrifugal compressors under varying operating conditions.In particular,the Sandia main compressor impeller model is used as a reference system.Through three-dimensional numerical simulations,we examine the Mach number distribution,temperature field,blade pressure pulsation spectra,and velocity field evolution,and identify accordingly the operating boundaries ensuring stability and the mechanisms responsible for performance degradation.Findings indicate a stable operating range for mass flow rate between 0.74 and 3.74 kg/s.At the lower limit(0.74 kg/s),the maximum Mach number within the compressor decreases by 28%,while the temperature gradient sharpens,entropy rises notably,and fluid density varies significantly.The maximum pressure near the blades increases by 6%,yet flow velocity near the blades and outlet declines,with a 19%reduction in peak speed.Consequently,isentropic efficiency falls by 13%.Conversely,at 3.74 kg/s,the maximum Mach number increases by 23.7%,with diminished temperature gradients and minor fluid density variations.However,insufficient enthalpy gain and intensified pressure pulsations near the blades result in a 12%pressure drop.Peak velocity within the impeller channel surges by 23%,amplifying velocity gradients,inducing flow separation,and ultimately reducing the pressure ratio from 1.47 to 1.34.
文摘Rare earths,as a strategic mineral resource,play a vital role in high-tech industries such as aerospace,national defense and military,electronic information,and new energy.With the accelerated evolution of the new round of technological revolution and industrial transformation,global supply chain security risks have become more prominent.The focus of major countries'resource security assurance has also shifted from bulk minerals to critical minerals.
文摘Objective:To explore the application of moderate and hypothermia control in patients undergoing cerebral hemangioma surgery.By adjusting the precise body temperature of the patients and controlling the changes,the intraoperative and postoperative risks can be reduced,thereby better promoting postoperative recovery.Methods:Thirty patients undergoing cerebral hemangioma surgery were randomly selected as the subjects.All the patients were inpatients in the neurology department between May 2023 and May 2024.The control group received traditional routine nursing management.For the patients in the experimental group,in addition to traditional nursing management,there was also moderate and hypothermia intervention.The body temperature was monitored at three points:the tympanic membrane,esophagus,and rectum.The body temperature was effectively monitored to make it fluctuate within a relatively ideal range.The postoperative recovery was paid attention to and monitored.Key monitoring will be conducted on the intraoperative body temperature changes,hemodynamic indicators of the patients,as well as the postoperative awakening time and neurological function recovery indicators of the patients.Results:Compared with the control group,the patients in the experimental group with moderate to low body temperature had relatively gentle body temperature curves and little fluctuation in body temperature.In terms of hemodynamics,patients in the experimental group were more stable than those in the control group.Meanwhile,they recovered faster after the operation,the time required for patients to regain consciousness was shortened,and the incidence of postoperative complications was lower,especially infection,cerebral edema,and electrolyte abnormalities were more prominent.The comfort level and satisfaction of patients were relatively higher compared with those in the control group.Therefore,it can play a very good promoting role for the patient in the postoperative recovery.Conclusion:The application of moderate and low body temperature in cerebral hemangioma surgery can better stabilize the patient’s condition,reduce the occurrence of complications,and is conducive to the recovery of the patient’s neurological function.This method has changed the deficiency of body temperature management in traditional nursing and created a more ideal surgical environment for patients.
基金Analysis of Lung Compliance Measurement and its Guided Therapeutic Effects in Patients with ARDS Secondary to Severe Multiple Trauma(Project No.:XSD-2023-002)。
文摘In recent years,research on nursing interruptions has been conducted at various levels in emergency departments,intensive care units,hemodialysis centers,operating rooms,and sterilization and supply centers.Nursing interruptions are closely related to adverse nursing events,and interruptions in operating room nursing can significantly impact the success of a patient’s surgery.However,there is a lack of in-depth theoretical research on safety risk assessment and response decision-making by operating room nurses when faced with nursing interruptions.This article reviews the concept,current status,and impact of nursing interruptions in the operating room,analyzes the cognitive level,coping strategies,and negative emotions of operating room nurses,and elaborates on management strategies to provide references for research and management of nursing interruptions in the operating room.
文摘In order to accurately forecast the main engine fuel consumption and reduce the Energy Efficiency Operational Indicator(EEOI)of merchant ships in polar ice areas,the energy transfer relationship between ship-machine-propeller is studied by analyzing the complex force situation during ship navigation and building a MATLAB/Simulink simulation platform based on multi-environmental resistance,propeller efficiency,main engine power,fuel consumption,fuel consumption rate and EEOI calculation module.Considering the environmental factors of wind,wave and ice,the route is divided into sections,the calculation of main engine power,main engine fuel consumption and EEOI for each section is completed,and the speed design is optimized based on the simulation model for each section.Under the requirements of the voyage plan,the optimization results show that the energy efficiency operation index of the whole route is reduced by 3.114%and the fuel consumption is reduced by 9.17 t.
基金The Key R&D Project of Jilin Province,Grant/Award Number:20230201067GX。
文摘Extracting typical operational scenarios is essential for making flexible decisions in the dispatch of a new power system.A novel deep time series aggregation scheme(DTSAs)is proposed to generate typical operational scenarios,considering the large amount of historical operational snapshot data.Specifically,DTSAs analyse the intrinsic mechanisms of different scheduling operational scenario switching to mathematically represent typical operational scenarios.A Gramian angular summation field-based operational scenario image encoder was designed to convert operational scenario sequences into highdimensional spaces.This enables DTSAs to fully capture the spatiotemporal characteristics of new power systems using deep feature iterative aggregation models.The encoder also facilitates the generation of typical operational scenarios that conform to historical data distributions while ensuring the integrity of grid operational snapshots.Case studies demonstrate that the proposed method extracted new fine-grained power system dispatch schemes and outperformed the latest high-dimensional feature-screening methods.In addition,experiments with different new energy access ratios were conducted to verify the robustness of the proposed method.DTSAs enable dispatchers to master the operation experience of the power system in advance,and actively respond to the dynamic changes of the operation scenarios under the high access rate of new energy.
基金supported by the Science and Technology Research Program of Chongqing Municipal Education Commission(KJQN202401501,KJZD-M202401501).
文摘This work proposes an optimization method for gas storage operation parameters under multi-factor coupled constraints to improve the peak-shaving capacity of gas storage reservoirs while ensuring operational safety.Previous research primarily focused on integrating reservoir,wellbore,and surface facility constraints,often resulting in broad constraint ranges and slow model convergence.To solve this problem,the present study introduces additional constraints on maximum withdrawal rates by combining binomial deliverability equations with material balance equations for closed gas reservoirs,while considering extreme peak-shaving demands.This approach effectively narrows the constraint range.Subsequently,a collaborative optimization model with maximum gas production as the objective function is established,and the model employs a joint solution strategy combining genetic algorithms and numerical simulation techniques.Finally,this methodology was applied to optimize operational parameters for Gas Storage T.The results demonstrate:(1)The convergence of the model was achieved after 6 iterations,which significantly improved the convergence speed of the model;(2)The maximum working gas volume reached 11.605×10^(8) m^(3),which increased by 13.78%compared with the traditional optimization method;(3)This method greatly improves the operation safety and the ultimate peak load balancing capability.The research provides important technical support for the intelligent decision of injection and production parameters of gas storage and improving peak load balancing ability.
文摘Objective:According to the World Federation of Medical Education,critical thinking should be part of the training of medical and paramedical students.Professionals can improve the quality of care of patients after surgery by having or acquiring this skill in health care.Also,Emotional intelligence is introduced as an impor tant and effective factor on the professional performance and mental health of healthcare professionals.Thus,the present study was designed and implemented to determine the relationship between emotional intelligence and critical thinking among operating room nursing students of medical sciences universities in Iran.Methods:This cross-sectional study was done on 420 operating room students in 10 top medical sciences universities of Iran in 2022.The sampling method in this research was multistage sampling.The data collection instruments included demographic characteristics,Rickett's critical thinking,and Bradberry-Greaves'emotional intelligence questionnaires.After receiving the ethics code,data collection was done for 2 months.For data analysis,descriptive and inferential analyses including independent t-tests,analysis of variance,and Pearson correlation were used.The collected data were analyzed by SPSS 18(IBM Corporation,Armonk,New York,United States).P-value<0.05 was considered significant.Results:The mean age of the students participating in this study was 23.02±3.70 years,with women constituting 67.4%of them.The results of data analysis indicated that the mean total score of critical thinking and emotional intelligence was 124.10±37.52 and 114.12±43.63,respectively.A direct significant correlation between critical thinking and emotional intelligence(r=0.459,P-value<0.001)and a significant relationship between gender and emotional intelligence(P-value=0.028)were found.Conclusions:Based on the present study results,educational managers in the Ministry of Health are suggested to consider suitable educational programs for improving critical thinking and emotional intelligence to enhance the quality of care provided by students in operating rooms.
文摘Objective:To evaluate and compare the effect of semi-rigid ureterorenoscopy on post-procedural sexual function with three different operating room settings.Methods:In this prospective randomized study,consecutive sexually active patients with normal pre-operative sexual function undergoing uncomplicated semi-rigid ureterorenoscopy for distal ureteric stones were randomized into three groups,with three different operating room settings.Procedure-related anxiety and sexual function were assessed pre-operatively using Amsterdam Preoperative Anxiety and Information Scale and Brief Sexual Function Inventory(in males)and Female Sexual Function Index-6(in females),respectively.All the participants were stented following the procedure,and the stent was removed after 3 weeks.Post-procedural sexual function and general discomfort were assessed and compared between three groups at 1 week,3 weeks,and 12 weeks.The effect of surgery-related anxiety,preoperative sexual function,age,and general discomfort(including stent-related discomfort)on post-procedural sexual function were analyzed using multiple regression analysis.A p-value of less than 0.05 was considered statistically significant.Results:Totally,327 eligible patients were randomized into three groups.The group of patients who underwent the procedural with a screen separating the operating area from the patient vision,while the patient could watch the endoscopy through a separate monitor,had better post-procedural sexual function compared to those who had total vision of the operating area as well as to those whose eyes were blocked.This difference was statistically significant.This post-procedural reduction in sexual function could not be attributed to in situ stent alone.Conclusions:Our study showed that semi-rigid ureterorenoscopy can have significant negative effect on sexual function,which can be reduced with proper preoperative counseling and an ideal operating room settings.
文摘Objective: This paper aims to explore the impact of optimizing details in the operating room on the level of knowledge, attitude, and practice of hospital infection prevention and control by surgeons, as well as the effectiveness of infection control. Methods: From January 2022 to June 2023, a total of 120 patients were screened and randomly divided into a control group (routine care and hospital infection management) and a study group (optimizing details in the operating room). Results: Significant differences were found between the two groups in the data of surgeons’ level of knowledge, attitude, and practice in hospital infection prevention and control, infection rates, and nursing satisfaction, with the study group showing better results (P Conclusion: The use of optimizing details in the operating room among surgeons can effectively improve surgeons’ level of knowledge, attitude, and practice in hospital infection prevention and control, reduce infection occurrence, and is worth promoting.
基金supported by the National Outstanding Youth Science Fund Project of National Natural Science Foundation of China[Grant No.52222708]the Natural Science Foundation of Beijing Municipality[Grant No.3212033]。
文摘Battery pack capacity estimation under real-world operating conditions is important for battery performance optimization and health management,contributing to the reliability and longevity of batterypowered systems.However,complex operating conditions,coupling cell-to-cell inconsistency,and limited labeled data pose great challenges to accurate and robust battery pack capacity estimation.To address these issues,this paper proposes a hierarchical data-driven framework aimed at enhancing the training of machine learning models with fewer labeled data.Unlike traditional data-driven methods that lack interpretability,the hierarchical data-driven framework unveils the“mechanism”of the black box inside the data-driven framework by splitting the final estimation target into cell-level and pack-level intermediate targets.A generalized feature matrix is devised without requiring all cell voltages,significantly reducing the computational cost and memory resources.The generated intermediate target labels and the corresponding features are hierarchically employed to enhance the training of two machine learning models,effectively alleviating the difficulty of learning the relationship from all features due to fewer labeled data and addressing the dilemma of requiring extensive labeled data for accurate estimation.Using only 10%of degradation data,the proposed framework outperforms the state-of-the-art battery pack capacity estimation methods,achieving mean absolute percentage errors of 0.608%,0.601%,and 1.128%for three battery packs whose degradation load profiles represent real-world operating conditions.Its high accuracy,adaptability,and robustness indicate the potential in different application scenarios,which is promising for reducing laborious and expensive aging experiments at the pack level and facilitating the development of battery technology.
基金supported by the Scientific and Technological Research Program of Chongqing Municipal Education Commission(Grant Nos.KJQN202101133 and KJQN202301105)Scientific Research Foundation of Chongqing University of Technology(Grant No.2020ZDZ023).
文摘This paper constructs a coupled aero-hydro-elastic-servo simulation framework for a monopile offshore wind turbine(OWT).In this framework,a detailed multi-body dynamics model of the monopile OWT including the gearbox,blades,tower and other components(nacelle,hub,bedplate,etc.)has been explicitly established.The effects of pile−soil interaction,controller and operational conditions on the turbine dynamic responses are studied systematically in time domain and frequency domain.The results show that(1)a comprehensive drivetrain model has the capability to provide a more precise representation of the complex dynamic characteristics exhibited by drivetrain components,which can be used as the basis for further study on the dynamic characteristics of the drivetrain.(2)The pile−soil interaction can influence the wind turbine dynamic responses,particularly under the parked condition.(3)The effect of the pile−soil interaction on tower responses is more significant than that on blade responses.(4)The use of the controller can substantially affect the rotor characteristics,which in turn influences the turbine dynamic responses.(5)The tower and blade displacements under the operational condition are much larger than those under the parked condition.The model and methodology presented in this study demonstrate potential for examining complex dynamic behaviors of the monopile OWTs.To ensure accuracy and precision,it is imperative to construct a detailed model of the wind turbine system,while also taking into account simulation efficiency.
基金National Key R&D Plan:Development of International Standards for Traditional Chinese Medicine Technology(No.2019YFC1712003)。
文摘Chinese Medicine Enema is one of the external therapies in Traditional Chinese Medicine(TCM),which has been widely used clinically.The"International Standard of Traditional Chinese Medicine Techniques:The Operating Specifications for Chinese Medicine Enema is drawn up by the Beijing Hospital of Traditional Chinese Medicine affiliated to Capital Medical University and Beijing University of Chinese Medicine Xiamen Hospital in collaboration with domestic TCM universities and hospitals.The specification includes definition,operating process,points for attention and contraindications.It is targeted to provide reference for TCM providers at home and abroad with TCM background in clinical decision-making.
基金National Key R&D Plan:Development of International Standards for Traditional Chinese Medicine Technology(No.2019YFC1712003)。
文摘Chinese medicated bath is one of the external therapies in Traditional Chinese Medicine(TCM),which has been widely used clinically.The“International Standard of Traditional Chinese Medicine Techniques:The Operating Specifications for Chinese Medicated Bath”is drawn up by the Beijing University of Chinese Medicine Third Affiliated Hospital and Beijing University of Chinese Medicine Xiamen Hospital in collaboration with domestic TCM universities and hospitals.The specification includes definition,operating process,points for attention and contraindications.It is targeted to provide reference for TCM providers at home and abroad with TCM background in clinical decision-making.
基金supported by the National Key Research and Development Program(No.2021YFB2400300)the National Natural Science Foundation of China(No.52177214)supported by China Fujian Energy Devices Science and Technology Innovation Laboratory Open Fund(No.21C-OP202211)。
文摘FeS_(2) shows significant potential as cathode material for all-solid-state lithium batteries(ASSLBs)due to its high theoretical specific capacity,low cost,and environmental friendliness.However,the poor ion/electron conductivity and large volume variation effect of FeS_(2) inhibit its practical applications.Here,the influence of particle size of FeS_(2) on the corresponding sulfide-based solid-state batteries is carefully investigated by tuning FeS_(2) size.Moreover,low operating temperature is chosen to mitigate the large volume changes during cycling in the battery.S-FeS_(2) with smaller particle sizes delivers superior electrochemical performances than that of the larger L-FeS_(2) in Li_(5.5)PS_(4.5)Cl_(1.5)-based ASSLBs under different operating temperatures.S-FeS_(2) shows stable discharge capacities during 50 cycles with a current density of 0.1 m A/cm^(2)under -20℃.When the current density rises to 1.0 m A/cm^(2),it delivers an initial discharge capacity of 146.9 m Ah/g and maintains 63% of the capacity after 100 cycles.This work contributes to constructing ASSLBs enables excellent electrochemical performances under extreme operating temperatures.
