Refined management,as a management concept and method that pursues efficiency,quality,and low consumption,has been applied in various industries.Due to its particularity,the construction industry needs to strengthen m...Refined management,as a management concept and method that pursues efficiency,quality,and low consumption,has been applied in various industries.Due to its particularity,the construction industry needs to strengthen management and refined management has become the primary choice for the industry,which is of great significance for its stable development.The article elaborates on the definition of refined management,analyzes the necessity of refined management in the construction industry,and explores the application measures of refined management in construction industry management,aiming to provide reference for improving the management level of the construction industry.展开更多
Improving website security to prevent malicious online activities is crucial,and CAPTCHA(Completely Automated Public Turing test to tell Computers and Humans Apart)has emerged as a key strategy for distinguishing huma...Improving website security to prevent malicious online activities is crucial,and CAPTCHA(Completely Automated Public Turing test to tell Computers and Humans Apart)has emerged as a key strategy for distinguishing human users from automated bots.Text-based CAPTCHAs,designed to be easily decipherable by humans yet challenging for machines,are a common form of this verification.However,advancements in deep learning have facilitated the creation of models adept at recognizing these text-based CAPTCHAs with surprising efficiency.In our comprehensive investigation into CAPTCHA recognition,we have tailored the renowned UpDown image captioning model specifically for this purpose.Our approach innovatively combines an encoder to extract both global and local features,significantly boosting the model’s capability to identify complex details within CAPTCHA images.For the decoding phase,we have adopted a refined attention mechanism,integrating enhanced visual attention with dual layers of Long Short-Term Memory(LSTM)networks to elevate CAPTCHA recognition accuracy.Our rigorous testing across four varied datasets,including those from Weibo,BoC,Gregwar,and Captcha 0.3,demonstrates the versatility and effectiveness of our method.The results not only highlight the efficiency of our approach but also offer profound insights into its applicability across different CAPTCHA types,contributing to a deeper understanding of CAPTCHA recognition technology.展开更多
The spatial distribution of discontinuities and the size of rock blocks are the key indicators for rock mass quality evaluation and rockfall risk assessment.Traditional manual measurement is often dangerous or unreach...The spatial distribution of discontinuities and the size of rock blocks are the key indicators for rock mass quality evaluation and rockfall risk assessment.Traditional manual measurement is often dangerous or unreachable at some high-steep rock slopes.In contrast,unmanned aerial vehicle(UAV)photogrammetry is not limited by terrain conditions,and can efficiently collect high-precision three-dimensional(3D)point clouds of rock masses through all-round and multiangle photography for rock mass characterization.In this paper,a new method based on a 3D point cloud is proposed for discontinuity identification and refined rock block modeling.The method is based on four steps:(1)Establish a point cloud spatial topology,and calculate the point cloud normal vector and average point spacing based on several machine learning algorithms;(2)Extract discontinuities using the density-based spatial clustering of applications with noise(DBSCAN)algorithm and fit the discontinuity plane by combining principal component analysis(PCA)with the natural breaks(NB)method;(3)Propose a method of inserting points in the line segment to generate an embedded discontinuity point cloud;and(4)Adopt a Poisson reconstruction method for refined rock block modeling.The proposed method was applied to an outcrop of an ultrahigh steep rock slope and compared with the results of previous studies and manual surveys.The results show that the method can eliminate the influence of discontinuity undulations on the orientation measurement and describe the local concave-convex characteristics on the modeling of rock blocks.The calculation results are accurate and reliable,which can meet the practical requirements of engineering.展开更多
High-end club decoration projects require the integration of multifunctional spaces,high-precision craftsmanship,and eco-friendly material applications.Their complexity necessitates the construction of a closed-loop m...High-end club decoration projects require the integration of multifunctional spaces,high-precision craftsmanship,and eco-friendly material applications.Their complexity necessitates the construction of a closed-loop management system across the entire process,utilizing BIM technology for design optimization,blockchain for material traceability,and Monte Carlo simulations for risk quantification.AI visual inspection and dynamic risk assessment models enable precise identification of process defects and safety hazards,while standardized craftsmanship,intelligent monitoring,and optimized emergency plans ensure engineering quality and safety.The integration of low-carbon material innovation and intelligent technologies drives the industry toward efficient,green,and sustainable development,offering systematic solutions for high-end decoration projects.展开更多
This study aimed to explore the application method and effect of a refined management model in orthopedic nursing management.A total of 190 patients treated at our hospital were enrolled and divided into two groups.Ni...This study aimed to explore the application method and effect of a refined management model in orthopedic nursing management.A total of 190 patients treated at our hospital were enrolled and divided into two groups.Ninety-five patients treated from January to May 2023 served as the control group,receiving conventional orthopedic nursing management,while another 95 patients treated from June to December 2023 formed the observation group,in which a refined management model was implemented.The nursing management outcomes of the two groups were compared.The results showed that patients in the observation group had a shorter hospital stay,a lower incidence of postoperative complications and nursing risk events,and higher nursing satisfaction compared to the control group(P<0.05).These findings indicate that the refined management model can effectively improve nursing quality,reduce orthopedic nursing risk events,and enhance patient satisfaction,demonstrating significant clinical value.展开更多
In the context of the Diagnosis Related Groups(DRGs)system,the orthopedic hospital implemented refined drug control to provide a pharmacological reference for promoting rational clinical drug use.A statistical analysi...In the context of the Diagnosis Related Groups(DRGs)system,the orthopedic hospital implemented refined drug control to provide a pharmacological reference for promoting rational clinical drug use.A statistical analysis was conducted on the hospital’s data from January to December 2021(prior to the implementation of control),focusing on the types of unreasonable prescriptions.A multi-dimensional analysis was also conducted to identify the underlying causes of inappropriate medication practices.Following this,refined drug control measures were introduced,and data from January to December 2022(post-control)were compared,examining factors such as the average drug cost,drug expenses for the IC29 diagnosis group,and the drug cost ratio.An interrupted time-series analysis was employed to evaluate the effects of these interventions.The results showed that after the implementation of refined drug control in the orthopedic department,significant reductions were observed in the average cost per patient,average drug cost per patient,drug cost ratio,cost consumption index,average length of hospital stay,and allocation ratio(P<0.05).In particular,the first month of control(January 2022)saw a marked decrease in average drug costs per patient by 1272.90 yuan(P<0.01),a reduction in the drug cost ratio by 0.98%,and a decline in drug costs for the IC29 diagnosis group by 616.79 yuan(P>0.05).Moreover,the rate of unreasonable inappropriate prescribing dropped dramatically from 40.48%in 2021 to 3.57%by December 2022.The refined control of drug use within the orthopedic hospital significantly improved the rationality of clinical prescribing practices,reduced the occurrence of adverse drug reactions,and enhanced patient adherence to prescribed treatments.These findings demonstrated considerable clinical value in promoting efficient and safe drug use.展开更多
Let S be a nonempty, proper subset of all possible refined inertias of real matrices of order n. The set S is a critical set of refined inertias for irreducible sign patterns of order n,if for each n × n irreduci...Let S be a nonempty, proper subset of all possible refined inertias of real matrices of order n. The set S is a critical set of refined inertias for irreducible sign patterns of order n,if for each n × n irreducible sign pattern A, the condition S ? ri(A) is sufficient for A to be refined inertially arbitrary. If no proper subset of S is a critical set of refined inertias, then S is a minimal critical set of refined inertias for irreducible sign patterns of order n.All minimal critical sets of refined inertias for full sign patterns of order 3 have been identified in [Wei GAO, Zhongshan LI, Lihua ZHANG, The minimal critical sets of refined inertias for 3×3 full sign patterns, Linear Algebra Appl. 458(2014), 183–196]. In this paper, the minimal critical sets of refined inertias for irreducible sign patterns of order 3 are identified.展开更多
The two kinds of rigid polyurethane （PU） foams were prepared with respectively adding the refined alkali lignin and alkali lignin modified by 3-chloro-1,2-epoxypropane to be instead of 15% of the polyether glycol in...The two kinds of rigid polyurethane （PU） foams were prepared with respectively adding the refined alkali lignin and alkali lignin modified by 3-chloro-1,2-epoxypropane to be instead of 15% of the polyether glycol in weight. The indexes of mechanical performance, apparent density, thermal stability and aging resistance were separately tested for the prepared PU foams. The results show that the mechanical property, thermal insulation and thermal stability for PU foam with modified alkali lignin are excellent among two kinds of PU foams and control samples. The additions of the refined alkali lignin and modified alkali lignin to PU foam have little effect on the natural aging or heat aging resistance except for decreasing hot alkali resistance apparently. Additionally, the thermal conductivity of modified alkali lignin PU foam is lowest among two kinds of PU foams and control samples. The alkali lignin PU foam modified by 3-chloro-1,2-epoxypropane could be applied in the heat preservation field.展开更多
Based upon a generalized variational principle, which relaxed the inter element continuity requirements, a novel refined hybrid Mindlin plate element is developed, its non linear element stiffness matrices are decom...Based upon a generalized variational principle, which relaxed the inter element continuity requirements, a novel refined hybrid Mindlin plate element is developed, its non linear element stiffness matrices are decomposed into a series of matrices with respect to the assumed strain modes. The formulation presented in this paper is different from any other non linear mixed/hybrid element formulation all successful experience of linear hybrid formulation is absorbed into the formulation(adding non conforming modes and realizing orthogonalization) Numerical results show that the present approach is more effective than any other non linear hybrid element formulation over the accuracy and computational efficiency. In addition, non conforming modes can also overcome the shear locking effect.展开更多
Rats of both sexes were fed on a basal feed containing 1% refined konjac meal (RKM) for 18 months and the effects of RKM on the cell aging were observed. A comparable group fed on the basic feed was used as the contro...Rats of both sexes were fed on a basal feed containing 1% refined konjac meal (RKM) for 18 months and the effects of RKM on the cell aging were observed. A comparable group fed on the basic feed was used as the control. Results obtained demonstrate that the long-term feeding of RKM to rats can delay the course of cell aging of the gliocyte, cadiomyocyte, and the endothelial cell of the large and medium arteriases, hence it is likely to delay the occurrence of arteriosclerosis and improve the functions of the brain, heart and vascular system.展开更多
Effects of refined konjac meal (RKM) on the calcium and phosphorus metabolism and bone parameters were observed in rats of both sexes fed with food containing 1% of RKM for 18 months. A comparable group of rats fed on...Effects of refined konjac meal (RKM) on the calcium and phosphorus metabolism and bone parameters were observed in rats of both sexes fed with food containing 1% of RKM for 18 months. A comparable group of rats fed on basic diet only was used as a control.Results obtained indicate that all the measured parameters (serum calcium and phosphorus level, femur weight and its calcium and phesphorus content, and the osteometry of the tibia) showed no significant difference between the experimental and the control groups.Thus there is no adverse effect either on the calcium and phosphorus metabolism or on the bone after a long-term intake at a moderate dosage.展开更多
In this paper, a four-dimensional coordinated path planning algorithm for multiple UAVs is proposed, in which time variable is taken into account for each UAV as well as collision free and obstacle avoidance. A Spatia...In this paper, a four-dimensional coordinated path planning algorithm for multiple UAVs is proposed, in which time variable is taken into account for each UAV as well as collision free and obstacle avoidance. A Spatial Refined Voting Mechanism(SRVM) is designed for standard Particle Swarm Optimization(PSO) to overcome the defects of local optimal and slow convergence.For each generation candidate particle positions are recorded and an adaptive cube is formed with own adaptive side length to indicate occupied regions. Then space voting begins and is sorted based on voting results, whose centers with bigger voting counts are seen as sub-optimal positions. The average of all particles of corresponding dimensions are calculated as the refined solutions. A time coordination method is developed by generating specified candidate paths for every UAV, making them arrive the same destination with the same time consumption. A spatial-temporal collision avoidance technique is introduced to make collision free. Distance to destination is constructed to improve the searching accuracy and velocity of particles. In addition, the objective function is redesigned by considering the obstacle and threat avoidance, Estimated Time of Arrival(ETA), separation maintenance and UAV self-constraints. Experimental results prove the effectiveness and efficiency of the algorithm.展开更多
Combining refined composite multiscale fuzzy entropy(RCMFE)and support vector machine(SVM)with particle swarm optimization(PSO)for diagnosing roller bearing faults is proposed in this paper.Compared with refined compo...Combining refined composite multiscale fuzzy entropy(RCMFE)and support vector machine(SVM)with particle swarm optimization(PSO)for diagnosing roller bearing faults is proposed in this paper.Compared with refined composite multiscale sample entropy(RCMSE)and multiscale fuzzy entropy(MFE),the smoothness of RCMFE is superior to that of those models.The corresponding comparison of smoothness and analysis of validity through decomposition accuracy are considered in the numerical experiments by considering the white and 1/f noise signals.Then RCMFE,RCMSE and MFE are developed to affect extraction by using different roller bearing vibration signals.Then the extracted RCMFE,RCMSE and MFE eigenvectors are regarded as the input of the PSO-SVM to diagnose the roller bearing fault.Finally,the results show that the smoothness of RCMFE is superior to that of RCMSE and MFE.Meanwhile,the fault classification accuracy is higher than that of RCMSE and MFE.展开更多
In this paper, a new displacement based high-order shear deformation theory is introduced for the static response of functionally graded sandwich plate. Unlike any other theory, the number of unknown functions involve...In this paper, a new displacement based high-order shear deformation theory is introduced for the static response of functionally graded sandwich plate. Unlike any other theory, the number of unknown functions involved is only four, as against five in case of other shear deformation theories. The theory presented is variationally consistent, has strong similarity with classical plate theory in many aspects, does not require shear correction factor, and gives rise to transverse shear stress variation such that the transverse shear stresses vary parabolically across the thickness satisfying shear stress free surface conditions. Two common types of functionally graded sandwich plates, namely, the sandwich with fimctionally graded facesheet and homogeneous core and the sandwich with homogeneous facesheet and functionally graded core, are considered. Governing equations are derived from the principle of virtual displacements. The closed-form solution of a simply supported rectangular plate subjected to sinu- soidal loading has been obtained by using the Navier method. The validity of the present theory is investigated by comparing some of the present results with those of the classical, the first-order and the other higher-order theories. It can be concluded that the proposed theory is accurate and simple in solving the static bending behavior of functionally graded sandwich plates.展开更多
BACKGROUND Under physiological conditions,sputum produced during acute exacerbation of chronic obstructive pulmonary disease(AECOPD)can move passively with the cilia in the airway;the sputum is gradually excreted from...BACKGROUND Under physiological conditions,sputum produced during acute exacerbation of chronic obstructive pulmonary disease(AECOPD)can move passively with the cilia in the airway;the sputum is gradually excreted from the depth of the airways through the stimulation of the coughing reflex on the sensory nerve on the surface of the airway.However,when the sputum is thick,the cough is weak,or the tracheal cilia are abnormal,sputum accumulation may occur and affect the exchange of oxygen and carbon dioxide in the lung.Furthermore,the presence of pathogenic microorganisms in sputum may cause or aggravate the symptoms of pulmonary infection in patients,which is the main factor leading to AECOPD.Therefore,promoting effective drainage of sputum and maintaining airway opening are key points requiring clinical attention.AIM To explore the effect of refined nursing strategies in patients with AECOPD and dysphagia.METHODS We selected 126 patients with AECOPD and difficulty of expectoration at our hospital,and divided them into a refined care group and a routine care group,with 63 cases each,using a random number table.The two groups of patients were treated with expectorant,anti-infection,oxygen inhalation,and other basic treatment measures;patients in the refined care group were given refined nursing intervention during hospitalization,and the routine care group received conventional nursing intervention.The differences in sputum expectoration,negative pressure suction rate,blood gas parameters,dyspnea score measured through the tool developed by the Medical Research Council(MRC),and quality of life were compared between the two groups.RESULTS After 7 d of intervention,the sputum expectoration effect of the refined care group was 62.30%,the effective rate was 31.15%,and the inefficiency rate was 6.56%.The sputum expectoration effect of the routine care group was 44.07%,the effective rate was 42.37%,and the inefficiency rate was 13.56%.The refined care group had better sputum expectoration than the routine care group(P<0.05).The negative pressure suction rate in the refined care group was significantly lower than that of the routine care group during the treatment(22.95%vs 44.07%,P<0.05).Before the intervention,the arterial oxygen saturation(PaO2)and arterial carbon dioxide saturation(PaCO2)values were not significantly different between the two groups(P>0.05);the PaO2 and PaCO2 values in the refined care group were comparable to those in the routine care group after 7 d of intervention(P>0.05).Before the intervention,there was no significant difference in the MRC score between the two groups(P>0.05);the MRC score of the refined care group was lower than that of the routine care group after 7 d of intervention,but the difference was not statistically significant(P>0.05).Before intervention,there was no significant difference in the symptoms,activities,disease impact,or St.George’s Respiratory questionnaire(SGRQ)total scores between the two groups(P>0.05).After 7 days of intervention,the symptoms,activities,and total score of SGRQ of the refined care group were higher than those of the routine care group,but the difference was not statistically significant(P>0.05).CONCLUSION AECOPD with thick sputum,weak coughing reflex,and abnormal tracheal cilia function will lead to sputum accumulation and affect the exchange of oxygen and carbon dioxide in the lung.Patients with AECOPD who have difficulty expectorating sputum may undergo refined nursing strategies that will promote expectoration,alleviate clinical symptoms,and improve the quality of life.展开更多
Instead of establishing mathematical hydraulic system models from physical laws usually done with the problems of complex modelling processes, low reliability and practicality caused by large uncertainties, a novel mo...Instead of establishing mathematical hydraulic system models from physical laws usually done with the problems of complex modelling processes, low reliability and practicality caused by large uncertainties, a novel modelling method for a highly nonlinear system of a hydraulic excavator is presented. Based on the data collected in the excavator＇s arms driving experiments, a data-based excavator dynamic model using Simplified Refined Instrumental Variable （SRIV） identification and estimation algorithms is established. The validity of the proposed data-based model is indirectly demonstrated by the performance of computer simulation and the.real machine motion control exoeriments.展开更多
China experienced a decline of water use intensity in the 11th Five Year Plan,but the water use intensity actually increased in 2009.To the best of our knowledge,the index decomposition analysis method was rarely used...China experienced a decline of water use intensity in the 11th Five Year Plan,but the water use intensity actually increased in 2009.To the best of our knowledge,the index decomposition analysis method was rarely used to analyze changes in water use,and no decomposition analysis has investigated the role of regional economy in the decline of water use intensity.In this paper,we use logarithmic mean Divisia index(LMDI)techniques to decompose the change of water use intensity in the period 2006-2010.We find that the change of industrial water use intensity is confirmed as the dominant contributor to the decline in the overall water use intensity;the regional structure effect and the industrial structure effect is positive to the decline of overall water use intensity;the decline of China's water use intensity is mainly attributed to the effect of developed eastern provinces;meanwhile,the effect of central and undeveloped western is also positive to the decline of overall water use intensity;at least one out of three effects is positive to the decline of water use intensity in the different provinces;the intensity effect is positive and the industrial structure effect is positive to the declines of China's water use intensity based on chaining approach except the period 2008-2009,individually;and the deviation of regional structure effect and industrial structure effect between with regional economy and without regional economy in LMDI is 0.9 and2.3 m^3/10~4 RMB,respectively.展开更多
This paper investigates the stability of time-delay systems via a multiple integral approach. Based on the refined Jensen-based inequality, a novel multiple integral inequality is proposed. Applying the multiple integ...This paper investigates the stability of time-delay systems via a multiple integral approach. Based on the refined Jensen-based inequality, a novel multiple integral inequality is proposed. Applying the multiple integral inequality to estimate the derivative of Lyapunov-Krasovskii functional(LKF) with multiple integral terms, a novel stability condition is formulated for the linear time-delay systems. Two numerical examples are employed to demonstrate the improvements of our results.展开更多
The effects of RKM in comparison with pectin, algin and agar on lipid levels in serum and liver and on liver histopathology in rats were studied. In addition, the effects of all the tested materials on the composition...The effects of RKM in comparison with pectin, algin and agar on lipid levels in serum and liver and on liver histopathology in rats were studied. In addition, the effects of all the tested materials on the composition and output of fecal bile acid were observed. All four kinds of dietary fiber were given at a level of 5% of diet to young male rats of Wistar strain fed on a lipid-rich diet contalning 5 % lard, 1% cholesteral and 0. 25 % cholate. All the dietary fibers tested have similar effects on serum lipid composition. In all groups, these substances prevent ed increases in total cholesterol in fasting serum, but the level of triglyceride was tmchangd.The concentrations of totaI cholesterol and triglyceride in the liver were lower in the RKM group than in the control group and the other three groups. Hepatic histopathological exami nation also showed the most significant lipotropic effect in the RKM group. The daily output of fecal bile acids (CDCA+GDCA) was significantly increased in the four experimental groups than in the normal group and the control group. The increase of CDCA was more significant than GDCA, suggesting that the increase of fecal bile acids, especially CDCA, may be one of the mechanisms by which RKM and the other three dietary fibers exerts a hypocholesterolemic effect展开更多
文摘Refined management,as a management concept and method that pursues efficiency,quality,and low consumption,has been applied in various industries.Due to its particularity,the construction industry needs to strengthen management and refined management has become the primary choice for the industry,which is of great significance for its stable development.The article elaborates on the definition of refined management,analyzes the necessity of refined management in the construction industry,and explores the application measures of refined management in construction industry management,aiming to provide reference for improving the management level of the construction industry.
基金supported by the National Natural Science Foundation of China(Nos.U22A2034,62177047)High Caliber Foreign Experts Introduction Plan funded by MOST,and Central South University Research Programme of Advanced Interdisciplinary Studies(No.2023QYJC020).
文摘Improving website security to prevent malicious online activities is crucial,and CAPTCHA(Completely Automated Public Turing test to tell Computers and Humans Apart)has emerged as a key strategy for distinguishing human users from automated bots.Text-based CAPTCHAs,designed to be easily decipherable by humans yet challenging for machines,are a common form of this verification.However,advancements in deep learning have facilitated the creation of models adept at recognizing these text-based CAPTCHAs with surprising efficiency.In our comprehensive investigation into CAPTCHA recognition,we have tailored the renowned UpDown image captioning model specifically for this purpose.Our approach innovatively combines an encoder to extract both global and local features,significantly boosting the model’s capability to identify complex details within CAPTCHA images.For the decoding phase,we have adopted a refined attention mechanism,integrating enhanced visual attention with dual layers of Long Short-Term Memory(LSTM)networks to elevate CAPTCHA recognition accuracy.Our rigorous testing across four varied datasets,including those from Weibo,BoC,Gregwar,and Captcha 0.3,demonstrates the versatility and effectiveness of our method.The results not only highlight the efficiency of our approach but also offer profound insights into its applicability across different CAPTCHA types,contributing to a deeper understanding of CAPTCHA recognition technology.
基金supported by the National Natural Science Foundation of China(Grant Nos.41941017 and 42177139)Graduate Innovation Fund of Jilin University(Grant No.2024CX099)。
文摘The spatial distribution of discontinuities and the size of rock blocks are the key indicators for rock mass quality evaluation and rockfall risk assessment.Traditional manual measurement is often dangerous or unreachable at some high-steep rock slopes.In contrast,unmanned aerial vehicle(UAV)photogrammetry is not limited by terrain conditions,and can efficiently collect high-precision three-dimensional(3D)point clouds of rock masses through all-round and multiangle photography for rock mass characterization.In this paper,a new method based on a 3D point cloud is proposed for discontinuity identification and refined rock block modeling.The method is based on four steps:(1)Establish a point cloud spatial topology,and calculate the point cloud normal vector and average point spacing based on several machine learning algorithms;(2)Extract discontinuities using the density-based spatial clustering of applications with noise(DBSCAN)algorithm and fit the discontinuity plane by combining principal component analysis(PCA)with the natural breaks(NB)method;(3)Propose a method of inserting points in the line segment to generate an embedded discontinuity point cloud;and(4)Adopt a Poisson reconstruction method for refined rock block modeling.The proposed method was applied to an outcrop of an ultrahigh steep rock slope and compared with the results of previous studies and manual surveys.The results show that the method can eliminate the influence of discontinuity undulations on the orientation measurement and describe the local concave-convex characteristics on the modeling of rock blocks.The calculation results are accurate and reliable,which can meet the practical requirements of engineering.
文摘High-end club decoration projects require the integration of multifunctional spaces,high-precision craftsmanship,and eco-friendly material applications.Their complexity necessitates the construction of a closed-loop management system across the entire process,utilizing BIM technology for design optimization,blockchain for material traceability,and Monte Carlo simulations for risk quantification.AI visual inspection and dynamic risk assessment models enable precise identification of process defects and safety hazards,while standardized craftsmanship,intelligent monitoring,and optimized emergency plans ensure engineering quality and safety.The integration of low-carbon material innovation and intelligent technologies drives the industry toward efficient,green,and sustainable development,offering systematic solutions for high-end decoration projects.
文摘This study aimed to explore the application method and effect of a refined management model in orthopedic nursing management.A total of 190 patients treated at our hospital were enrolled and divided into two groups.Ninety-five patients treated from January to May 2023 served as the control group,receiving conventional orthopedic nursing management,while another 95 patients treated from June to December 2023 formed the observation group,in which a refined management model was implemented.The nursing management outcomes of the two groups were compared.The results showed that patients in the observation group had a shorter hospital stay,a lower incidence of postoperative complications and nursing risk events,and higher nursing satisfaction compared to the control group(P<0.05).These findings indicate that the refined management model can effectively improve nursing quality,reduce orthopedic nursing risk events,and enhance patient satisfaction,demonstrating significant clinical value.
基金Jiangxi Provincial Hospital Pharmacy Special Research Fund Project(Grant No.2024-ZXYJ02).
文摘In the context of the Diagnosis Related Groups(DRGs)system,the orthopedic hospital implemented refined drug control to provide a pharmacological reference for promoting rational clinical drug use.A statistical analysis was conducted on the hospital’s data from January to December 2021(prior to the implementation of control),focusing on the types of unreasonable prescriptions.A multi-dimensional analysis was also conducted to identify the underlying causes of inappropriate medication practices.Following this,refined drug control measures were introduced,and data from January to December 2022(post-control)were compared,examining factors such as the average drug cost,drug expenses for the IC29 diagnosis group,and the drug cost ratio.An interrupted time-series analysis was employed to evaluate the effects of these interventions.The results showed that after the implementation of refined drug control in the orthopedic department,significant reductions were observed in the average cost per patient,average drug cost per patient,drug cost ratio,cost consumption index,average length of hospital stay,and allocation ratio(P<0.05).In particular,the first month of control(January 2022)saw a marked decrease in average drug costs per patient by 1272.90 yuan(P<0.01),a reduction in the drug cost ratio by 0.98%,and a decline in drug costs for the IC29 diagnosis group by 616.79 yuan(P>0.05).Moreover,the rate of unreasonable inappropriate prescribing dropped dramatically from 40.48%in 2021 to 3.57%by December 2022.The refined control of drug use within the orthopedic hospital significantly improved the rationality of clinical prescribing practices,reduced the occurrence of adverse drug reactions,and enhanced patient adherence to prescribed treatments.These findings demonstrated considerable clinical value in promoting efficient and safe drug use.
基金Supported by Shanxi Province Science Foundation for Youths(Grant No.201901D211227).
文摘Let S be a nonempty, proper subset of all possible refined inertias of real matrices of order n. The set S is a critical set of refined inertias for irreducible sign patterns of order n,if for each n × n irreducible sign pattern A, the condition S ? ri(A) is sufficient for A to be refined inertially arbitrary. If no proper subset of S is a critical set of refined inertias, then S is a minimal critical set of refined inertias for irreducible sign patterns of order n.All minimal critical sets of refined inertias for full sign patterns of order 3 have been identified in [Wei GAO, Zhongshan LI, Lihua ZHANG, The minimal critical sets of refined inertias for 3×3 full sign patterns, Linear Algebra Appl. 458(2014), 183–196]. In this paper, the minimal critical sets of refined inertias for irreducible sign patterns of order 3 are identified.
文摘The two kinds of rigid polyurethane （PU） foams were prepared with respectively adding the refined alkali lignin and alkali lignin modified by 3-chloro-1,2-epoxypropane to be instead of 15% of the polyether glycol in weight. The indexes of mechanical performance, apparent density, thermal stability and aging resistance were separately tested for the prepared PU foams. The results show that the mechanical property, thermal insulation and thermal stability for PU foam with modified alkali lignin are excellent among two kinds of PU foams and control samples. The additions of the refined alkali lignin and modified alkali lignin to PU foam have little effect on the natural aging or heat aging resistance except for decreasing hot alkali resistance apparently. Additionally, the thermal conductivity of modified alkali lignin PU foam is lowest among two kinds of PU foams and control samples. The alkali lignin PU foam modified by 3-chloro-1,2-epoxypropane could be applied in the heat preservation field.
文摘Based upon a generalized variational principle, which relaxed the inter element continuity requirements, a novel refined hybrid Mindlin plate element is developed, its non linear element stiffness matrices are decomposed into a series of matrices with respect to the assumed strain modes. The formulation presented in this paper is different from any other non linear mixed/hybrid element formulation all successful experience of linear hybrid formulation is absorbed into the formulation(adding non conforming modes and realizing orthogonalization) Numerical results show that the present approach is more effective than any other non linear hybrid element formulation over the accuracy and computational efficiency. In addition, non conforming modes can also overcome the shear locking effect.
文摘Rats of both sexes were fed on a basal feed containing 1% refined konjac meal (RKM) for 18 months and the effects of RKM on the cell aging were observed. A comparable group fed on the basic feed was used as the control. Results obtained demonstrate that the long-term feeding of RKM to rats can delay the course of cell aging of the gliocyte, cadiomyocyte, and the endothelial cell of the large and medium arteriases, hence it is likely to delay the occurrence of arteriosclerosis and improve the functions of the brain, heart and vascular system.
文摘Effects of refined konjac meal (RKM) on the calcium and phosphorus metabolism and bone parameters were observed in rats of both sexes fed with food containing 1% of RKM for 18 months. A comparable group of rats fed on basic diet only was used as a control.Results obtained indicate that all the measured parameters (serum calcium and phosphorus level, femur weight and its calcium and phesphorus content, and the osteometry of the tibia) showed no significant difference between the experimental and the control groups.Thus there is no adverse effect either on the calcium and phosphorus metabolism or on the bone after a long-term intake at a moderate dosage.
基金co-supported by China Scholarship Council (No. 201604000003)the National Natural Science Foundation of China (Nos. U1433203, U1533119 and L142200032)the Foundation for Innovative Research Groups of the National Natural Science Foundation of China (No. 61221061)
文摘In this paper, a four-dimensional coordinated path planning algorithm for multiple UAVs is proposed, in which time variable is taken into account for each UAV as well as collision free and obstacle avoidance. A Spatial Refined Voting Mechanism(SRVM) is designed for standard Particle Swarm Optimization(PSO) to overcome the defects of local optimal and slow convergence.For each generation candidate particle positions are recorded and an adaptive cube is formed with own adaptive side length to indicate occupied regions. Then space voting begins and is sorted based on voting results, whose centers with bigger voting counts are seen as sub-optimal positions. The average of all particles of corresponding dimensions are calculated as the refined solutions. A time coordination method is developed by generating specified candidate paths for every UAV, making them arrive the same destination with the same time consumption. A spatial-temporal collision avoidance technique is introduced to make collision free. Distance to destination is constructed to improve the searching accuracy and velocity of particles. In addition, the objective function is redesigned by considering the obstacle and threat avoidance, Estimated Time of Arrival(ETA), separation maintenance and UAV self-constraints. Experimental results prove the effectiveness and efficiency of the algorithm.
基金Projects(City U 11201315,T32-101/15-R)supported by the Research Grants Council of the Hong Kong Special Administrative Region,China
文摘Combining refined composite multiscale fuzzy entropy(RCMFE)and support vector machine(SVM)with particle swarm optimization(PSO)for diagnosing roller bearing faults is proposed in this paper.Compared with refined composite multiscale sample entropy(RCMSE)and multiscale fuzzy entropy(MFE),the smoothness of RCMFE is superior to that of those models.The corresponding comparison of smoothness and analysis of validity through decomposition accuracy are considered in the numerical experiments by considering the white and 1/f noise signals.Then RCMFE,RCMSE and MFE are developed to affect extraction by using different roller bearing vibration signals.Then the extracted RCMFE,RCMSE and MFE eigenvectors are regarded as the input of the PSO-SVM to diagnose the roller bearing fault.Finally,the results show that the smoothness of RCMFE is superior to that of RCMSE and MFE.Meanwhile,the fault classification accuracy is higher than that of RCMSE and MFE.
文摘In this paper, a new displacement based high-order shear deformation theory is introduced for the static response of functionally graded sandwich plate. Unlike any other theory, the number of unknown functions involved is only four, as against five in case of other shear deformation theories. The theory presented is variationally consistent, has strong similarity with classical plate theory in many aspects, does not require shear correction factor, and gives rise to transverse shear stress variation such that the transverse shear stresses vary parabolically across the thickness satisfying shear stress free surface conditions. Two common types of functionally graded sandwich plates, namely, the sandwich with fimctionally graded facesheet and homogeneous core and the sandwich with homogeneous facesheet and functionally graded core, are considered. Governing equations are derived from the principle of virtual displacements. The closed-form solution of a simply supported rectangular plate subjected to sinu- soidal loading has been obtained by using the Navier method. The validity of the present theory is investigated by comparing some of the present results with those of the classical, the first-order and the other higher-order theories. It can be concluded that the proposed theory is accurate and simple in solving the static bending behavior of functionally graded sandwich plates.
文摘BACKGROUND Under physiological conditions,sputum produced during acute exacerbation of chronic obstructive pulmonary disease(AECOPD)can move passively with the cilia in the airway;the sputum is gradually excreted from the depth of the airways through the stimulation of the coughing reflex on the sensory nerve on the surface of the airway.However,when the sputum is thick,the cough is weak,or the tracheal cilia are abnormal,sputum accumulation may occur and affect the exchange of oxygen and carbon dioxide in the lung.Furthermore,the presence of pathogenic microorganisms in sputum may cause or aggravate the symptoms of pulmonary infection in patients,which is the main factor leading to AECOPD.Therefore,promoting effective drainage of sputum and maintaining airway opening are key points requiring clinical attention.AIM To explore the effect of refined nursing strategies in patients with AECOPD and dysphagia.METHODS We selected 126 patients with AECOPD and difficulty of expectoration at our hospital,and divided them into a refined care group and a routine care group,with 63 cases each,using a random number table.The two groups of patients were treated with expectorant,anti-infection,oxygen inhalation,and other basic treatment measures;patients in the refined care group were given refined nursing intervention during hospitalization,and the routine care group received conventional nursing intervention.The differences in sputum expectoration,negative pressure suction rate,blood gas parameters,dyspnea score measured through the tool developed by the Medical Research Council(MRC),and quality of life were compared between the two groups.RESULTS After 7 d of intervention,the sputum expectoration effect of the refined care group was 62.30%,the effective rate was 31.15%,and the inefficiency rate was 6.56%.The sputum expectoration effect of the routine care group was 44.07%,the effective rate was 42.37%,and the inefficiency rate was 13.56%.The refined care group had better sputum expectoration than the routine care group(P<0.05).The negative pressure suction rate in the refined care group was significantly lower than that of the routine care group during the treatment(22.95%vs 44.07%,P<0.05).Before the intervention,the arterial oxygen saturation(PaO2)and arterial carbon dioxide saturation(PaCO2)values were not significantly different between the two groups(P>0.05);the PaO2 and PaCO2 values in the refined care group were comparable to those in the routine care group after 7 d of intervention(P>0.05).Before the intervention,there was no significant difference in the MRC score between the two groups(P>0.05);the MRC score of the refined care group was lower than that of the routine care group after 7 d of intervention,but the difference was not statistically significant(P>0.05).Before intervention,there was no significant difference in the symptoms,activities,disease impact,or St.George’s Respiratory questionnaire(SGRQ)total scores between the two groups(P>0.05).After 7 days of intervention,the symptoms,activities,and total score of SGRQ of the refined care group were higher than those of the routine care group,but the difference was not statistically significant(P>0.05).CONCLUSION AECOPD with thick sputum,weak coughing reflex,and abnormal tracheal cilia function will lead to sputum accumulation and affect the exchange of oxygen and carbon dioxide in the lung.Patients with AECOPD who have difficulty expectorating sputum may undergo refined nursing strategies that will promote expectoration,alleviate clinical symptoms,and improve the quality of life.
文摘Instead of establishing mathematical hydraulic system models from physical laws usually done with the problems of complex modelling processes, low reliability and practicality caused by large uncertainties, a novel modelling method for a highly nonlinear system of a hydraulic excavator is presented. Based on the data collected in the excavator＇s arms driving experiments, a data-based excavator dynamic model using Simplified Refined Instrumental Variable （SRIV） identification and estimation algorithms is established. The validity of the proposed data-based model is indirectly demonstrated by the performance of computer simulation and the.real machine motion control exoeriments.
基金subsidized by the Central Project of Water Resource Fees[grant number 1261320212020]
文摘China experienced a decline of water use intensity in the 11th Five Year Plan,but the water use intensity actually increased in 2009.To the best of our knowledge,the index decomposition analysis method was rarely used to analyze changes in water use,and no decomposition analysis has investigated the role of regional economy in the decline of water use intensity.In this paper,we use logarithmic mean Divisia index(LMDI)techniques to decompose the change of water use intensity in the period 2006-2010.We find that the change of industrial water use intensity is confirmed as the dominant contributor to the decline in the overall water use intensity;the regional structure effect and the industrial structure effect is positive to the decline of overall water use intensity;the decline of China's water use intensity is mainly attributed to the effect of developed eastern provinces;meanwhile,the effect of central and undeveloped western is also positive to the decline of overall water use intensity;at least one out of three effects is positive to the decline of water use intensity in the different provinces;the intensity effect is positive and the industrial structure effect is positive to the declines of China's water use intensity based on chaining approach except the period 2008-2009,individually;and the deviation of regional structure effect and industrial structure effect between with regional economy and without regional economy in LMDI is 0.9 and2.3 m^3/10~4 RMB,respectively.
基金supported by the National Natural Science Foundation of China(61473070,61433004,61627809)SAPI Fundamental Research Funds(2013ZCX01,2013ZCX14)
文摘This paper investigates the stability of time-delay systems via a multiple integral approach. Based on the refined Jensen-based inequality, a novel multiple integral inequality is proposed. Applying the multiple integral inequality to estimate the derivative of Lyapunov-Krasovskii functional(LKF) with multiple integral terms, a novel stability condition is formulated for the linear time-delay systems. Two numerical examples are employed to demonstrate the improvements of our results.
文摘The effects of RKM in comparison with pectin, algin and agar on lipid levels in serum and liver and on liver histopathology in rats were studied. In addition, the effects of all the tested materials on the composition and output of fecal bile acid were observed. All four kinds of dietary fiber were given at a level of 5% of diet to young male rats of Wistar strain fed on a lipid-rich diet contalning 5 % lard, 1% cholesteral and 0. 25 % cholate. All the dietary fibers tested have similar effects on serum lipid composition. In all groups, these substances prevent ed increases in total cholesterol in fasting serum, but the level of triglyceride was tmchangd.The concentrations of totaI cholesterol and triglyceride in the liver were lower in the RKM group than in the control group and the other three groups. Hepatic histopathological exami nation also showed the most significant lipotropic effect in the RKM group. The daily output of fecal bile acids (CDCA+GDCA) was significantly increased in the four experimental groups than in the normal group and the control group. The increase of CDCA was more significant than GDCA, suggesting that the increase of fecal bile acids, especially CDCA, may be one of the mechanisms by which RKM and the other three dietary fibers exerts a hypocholesterolemic effect
