BACKGROUND The need for an emergency upgrade of a hospitalized trauma patient from the floor to the trauma intensive care unit(ICU)is an unanticipated event with possible life-threatening consequences.Unplanned ICU ad...BACKGROUND The need for an emergency upgrade of a hospitalized trauma patient from the floor to the trauma intensive care unit(ICU)is an unanticipated event with possible life-threatening consequences.Unplanned ICU admissions are associated with increased morbidity and mortality and are an indicator of trauma service quality.Two different types of unplanned ICU admissions include upgrades(patients admitted to the floor then moved to the ICU)and bounce backs(patients admitted to the ICU,discharged to the floor,and then readmitted to the ICU).Previous studies have shown that geriatric trauma patients are at higher risk for unfavorable outcomes.AIM To analyze the characteristics,management and outcomes of trauma patients who had an unplanned ICU admission during their hospitalization.METHODS This institutional review board approved,retrospective cohort study examined 203 adult trauma patients with unplanned ICU admission at an urban level 1 trauma center over a six-year period(2017-2023).This included 134 upgrades and 69 bounce backs.Analyzed variables included:(1)Age;(2)Sex;(3)Comorbidities;(4)Mechanism of injury(MOI);(5)Injury severity score(ISS);(6)Glasgow Coma Scale(GCS);(7)Type of injury;(8)Transfusions;(9)Consultations;(10)Timing and reason for unplanned admission;(11)Intubations;(12)Surgical interventions;(13)ICU and hospital lengths of stay;and(14)Mortality.RESULTS Unplanned ICU admissions comprised 4.2%of total ICU admissions.Main MOI was falls.Mean age was 70.7 years,ISS was 12.8 and GCS was 13.9.Main injuries were traumatic brain injury(37.4%)and thoracic injury(21.7%),and main reason for unplanned ICU admission was respiratory complication(39.4%).The 47.3%underwent a surgical procedure and 46.8%were intubated.Average timing for unplanned ICU admission was 2.9 days.Bounce backs occurred half as often as upgrades,however had higher rates of transfusions(63.8%vs 40.3%,P=0.002),consultations(4.8 vs 3.0,P<0.001),intubations(63.8%vs 38.1%%,P=0.001),longer ICU lengths of stay(13.2 days vs 6.4 days,P<0.001)and hospital lengths of stay(26.7 days vs 13.0 days,P<0.001).Mortality was 25.6%among unplanned ICU admissions,31.9%among geriatric unplanned ICU admissions and 11.9%among all trauma ICU patients.CONCLUSION Unplanned ICU admissions constituted 4.2%of total ICU admissions.Respiratory complications were the main cause of unplanned ICU admissions.Bounce backs occurred half as often as upgrades,but were associated with worse outcomes.展开更多
Exerting the leading role of standards is very important for achieving the high-quality development. In recent years, China has unceasingly improved the mandatory national standards for energy efficiency and safety of...Exerting the leading role of standards is very important for achieving the high-quality development. In recent years, China has unceasingly improved the mandatory national standards for energy efficiency and safety of products, expedited the development and revision of standards in the areas of digital, intelligent, green and low-carbon development, and led the continuous technological upgrading of industrial and consumer goods.展开更多
webPDM Version 6.1 demonstrates Gerber Technology’s commitmentto enhance,support and maintain its Product Data Management(PDM) application Tolland,Connecticut,USA-Gerber Technology announces the
The recent steel boom was characterized by a steep increase in world wide hot-rolling capacity.Still new hot-rolling mills are scheduled to start production during the coming years.Existing plants,which may be in oper...The recent steel boom was characterized by a steep increase in world wide hot-rolling capacity.Still new hot-rolling mills are scheduled to start production during the coming years.Existing plants,which may be in operation since decades,have to compete with brand-new equipment and technology in terms of product quality and production efficiency.SMS Siemag have developed and successfully applied overall modernization concepts for hot-rolling mills as well as well-defined upgrade packages dedicated particularly to the improvement of product quality and the enlargement of product range.This paper describes the general methods of how SMS Siemag approaches hot-rolling mill modernization projects for maximum customer benefit and describes examples for overall modernization concepts as well as for powerful upgrade packages which have been put into operation during the recent years.展开更多
The City of Calgary’s Nose Creek Sanitary Sewer Trunk Phase B project has been constructed over several years to accommodate future population growth and open more developable lands in northern Calgary.The project wa...The City of Calgary’s Nose Creek Sanitary Sewer Trunk Phase B project has been constructed over several years to accommodate future population growth and open more developable lands in northern Calgary.The project was divided into three phases,Phase A,B,and C,with each phase delivered by a separate consultant.Phase A was the downstream section of this project and was undertaken by Stantec Consulting.Phase B was the upstream section designed by CH2MHILL(now Jacobs)and further divided into different contracts(1 through 5).Phase C was a separate sewer called the Saddleridge Trunk sewer and this was designed by Associated Engineering.This paper covers Phase B,Contract 4,which had several unique challenges and included many innovative design and procurement solutions.One procurement strategy included a two-phase qualification package,with the initial phase to select a tunnelling contractor with the experience to deliver technical installations under rail and creeks,and the second phase,a RFP(request for proposal),to select a general contractor,with broader experience in open-cut and stormwater drainage,which were other aspects included within the project.This approach ensured that The City had the most qualified team available to complete the project.Technical challenges discussed in this paper include an oblique CPKC(Canadian Pacific Kansas City)rail and Nose Creek crossing that required independent review,and CFD(computational fluid dynamics)and hydrogen sulfide modelling to confirm conditions within the trunk sewer.展开更多
SI:Agentic AI for 6G Networks.Introduction.6G networks are poised to provide full coverage across air,land,and sea,deliver terabit-per-second data rates,and achieve microsecond-level latency.They promise comprehensive...SI:Agentic AI for 6G Networks.Introduction.6G networks are poised to provide full coverage across air,land,and sea,deliver terabit-per-second data rates,and achieve microsecond-level latency.They promise comprehensive upgrades across industries through embedded intelligence,ushering in an era of intelligent interconnection of all things.However,managing real-time interactions among devices,infrastructure,and services in 6G networks is much more complex than in previous generations.Massive data streams from terrestrial nodes(e.g.,edge devices,sensors,distributed computing)and non-terrestrial nodes(LEO/MEO/GEO satellites)demand more intelligent and efficient processing.展开更多
JD Ceramics has been specializing in the field of air interlacing jets,air texturizing jets,and water jets over 29 years.With several years of technical accumulation and continuous equipments upgrades,we have been con...JD Ceramics has been specializing in the field of air interlacing jets,air texturizing jets,and water jets over 29 years.With several years of technical accumulation and continuous equipments upgrades,we have been consistently delivering high-precision,highquality,cost-effective ceramic nozzle solutions to the market.展开更多
BACKGROUND The discrepancy between endoscopic biopsy pathology and the overall pathology of gastric low-grade intraepithelial neoplasia(LGIN)presents challenges in developing diagnostic and treatment protocols.AIM To ...BACKGROUND The discrepancy between endoscopic biopsy pathology and the overall pathology of gastric low-grade intraepithelial neoplasia(LGIN)presents challenges in developing diagnostic and treatment protocols.AIM To develop a risk prediction model for the pathological upgrading of gastric LGIN to aid clinical diagnosis and treatment.METHODS We retrospectively analyzed data from patients newly diagnosed with gastric LGIN who underwent complete endoscopic resection within 6 months at the First Medical Center of Chinese People’s Liberation Army General Hospital between January 2008 and December 2023.A risk prediction model for the pathological progression of gastric LGIN was constructed and evaluated for accuracy and clinical applicability.RESULTS A total of 171 patients were included in this study:93 patients with high-grade intraepithelial neoplasia or early gastric cancer and 78 with LGIN.The logistic stepwise regression model demonstrated a sensitivity and specificity of 0.868 and 0.800,respectively,while the least absolute shrinkage and selection operator(LASSO)regression model showed sensitivity and specificity values of 0.842 and 0.840,respectively.The area under the curve(AUC)for the logistic model was 0.896,slightly lower than the AUC of 0.904 for the LASSO model.Internal validation with 30%of the data yielded AUC scores of 0.908 for the logistic model and 0.905 for the LASSO model.The LASSO model provided greater utility in clinical decision-making.CONCLUSION A risk prediction model for the pathological upgrading of gastric LGIN based on white-light and magnifying endoscopic features can accurately and effectively guide clinical diagnosis and treatment.展开更多
The next generation of synchrotron radiation light sources features extremely low emittance,enabling the generation of synchrotron radiation with significantly higher brilliance,which facilitates the exploration of ma...The next generation of synchrotron radiation light sources features extremely low emittance,enabling the generation of synchrotron radiation with significantly higher brilliance,which facilitates the exploration of matter at smaller scales.However,the extremely low emittance results in stronger sextupole magnet strengths,leading to high natural chromaticity.This necessitates the use of sextupole magnets to correct the natural chromaticity.For the Shanghai Synchrotron Radiation Facility Upgrade(SSRF-U),a lattice was designed for the storage ring that can achieve an ultra-low natural emittance of 72.2 pm·rad at the beam energy of 3.5 GeV.However,the significant detuning effects,driven by high second-order resonant driving terms due to strong sextupoles,will degrade the performance of the facility.To resolve this issue,installation of octupoles in the SSRF-U storage ring has been planned.This paper presents the study results on configuration selection and optimization method for the octupoles.An optimal solution for the SSRF-U storage ring was obtained to effectively mitigate the amplitude-dependent tune shift and the second-order chromaticity,consequently leading to an increased dynamic aperture(DA),momentum acceptance(MA),and reduced sensitivity to magnetic field errors.展开更多
Since the beginning of this year,the international environment has been complex and volatile,the international economic and trade order has suffered severe setbacks,and instability and uncertainty have increased signi...Since the beginning of this year,the international environment has been complex and volatile,the international economic and trade order has suffered severe setbacks,and instability and uncertainty have increased significantly.Faced with this complex situation,China's textile industry has adhered to the general principle of seeking progress while maintaining stability,steadily advancing the optimization and adjustment of its industrial structure,and deepening the transformation and upgrading of foreign trade.Supported by the country's more proactive and effective macroeconomic policies,the economy remained generally stable in the first half of the year,with exports maintaining growth despite significant pressure,and its resilience being consolidated and unleashed.Looking ahead to the second half of 2025,the textile industry will continue to face numerous challenges while consolidating its stable and positive development foundation.展开更多
On May 21st,the launch ceremony of the 2025 Textile and Clothing"Optimization of Supply and Upgrade"event was held in Gaoyang,Hebei Province.The theme of the event is to promote the coordinated development a...On May 21st,the launch ceremony of the 2025 Textile and Clothing"Optimization of Supply and Upgrade"event was held in Gaoyang,Hebei Province.The theme of the event is to promote the coordinated development and supply-demand docking of the textile and clothing industry in the Beijing–Tianjin–Hebei Region.Representatives from the textile and clothing industries gathered in Gaoyang to discuss the coordinated development of regional industries.The Ministry of Industry and Information Technology,Industry Associations,and leaders of the three local governments jointly announced the official launch of the national industrial upgrading action.展开更多
Taking Zhejiang Province as an example,this paper explores the mechanisms and implementation pathways through which the low-altitude economy drives the transformation and upgrading of the tourism industry.It finds tha...Taking Zhejiang Province as an example,this paper explores the mechanisms and implementation pathways through which the low-altitude economy drives the transformation and upgrading of the tourism industry.It finds that the low-altitude economy can effectively promote the development of high-end and diversified tourism in Zhejiang by innovating tourism formats,optimizing resource allocation,and enhancing tourist experiences.Besides,it analyzes the current development status of the low-altitude economy in Zhejiang and its potential for integration with tourism,revealing specific enabling pathways for tourism transformation,including low-altitude sightseeing,aviation tourism,and low-altitude sports.Finally,it proposes policy recommendations such as strengthening policy support,enhancing infrastructure development,and cultivating market entities.The findings aim to provide theoretical references and practical guidance for the high-quality development of tourism in Zhejiang Province.展开更多
Electrocatalysis offers efficient and targeted conversion of monomers derived from waste polyester plastics to chemical products under ambient temperature and pressure conditions.This review provides analysis of resea...Electrocatalysis offers efficient and targeted conversion of monomers derived from waste polyester plastics to chemical products under ambient temperature and pressure conditions.This review provides analysis of research on electrochemical upgrading of monomers derived from waste polyester plastics published from2021 to present.Factors for assessing upgrading of waste polyester plastics include alkaline hydrolysis pretreatment,indices of electrochemical reaction process(activity,stability,and techno-economic a nalysis),separation,and product recovery.Types of depolymerization monomers and their value-added products are summarized along with electrocatalytic mechanisms and reaction pathways.Notably,cathode coupled reactions offer significant value for anodic waste plastic oxidation during electrolysis processes.Development of bifunctional electrocatalysts can reduce the cost of coupled systems and complexity of the electrolyzer.Upgrading and recycling of waste plastic monomers using electrocatalytic technology should undergo downstream processing to form high-value products containing C-N and C-S derived functional groups obtained from depolymerized monomers,Electrochemical conversion and upgrading of monomers derived from waste polyester plastics can contribute to industrialization and global economies and help to realize environmental sustainability.展开更多
Integrating electrochemical upgrading of glycerol and water electrolysis is regarded as a promising and energy-saving approach for the co-production of chemicals and hydrogen.However,developing efficient electrocataly...Integrating electrochemical upgrading of glycerol and water electrolysis is regarded as a promising and energy-saving approach for the co-production of chemicals and hydrogen.However,developing efficient electrocatalyst towards this technology remains challenging.Herein,a metallic cobalt mediated molybdenum nitride heterostructural material has been exploited on nickel foam(Co@Mo_(2)N/NF)for the glycerol oxidation reaction(GOR)and hydrogen evolution reaction(HER).Remarkably,the obtained Co@Mo_(2)N/NF realizes eminent performance with low overpotential of 49 mV at 50 mA/cm^(2)for HER and high Faradaic efficiency of formate of 95.03%at 1.35 V vs.RHE for GOR,respectively.The systematic in-situ experiments reveal that the Co@Mo_(2)N heterostructure promotes the cleavage of C-C bond in glycerol by active CoOOH species and boosts the conversion of glycerol to aldehyde intermediates to formate product.Moreover,the density functional theory(DFT)calculations confirm the strong interaction at Co@Mo_(2)N interface,which contributes to the optimized water dissociation and the transformation of H^(*)to H^(2).Benefiting from those advantages,the built HER||GOR electrolyzer delivers a low voltage of 1.61 V at 50 mA/cm^(2),high Faradaic efficiency,and robust stability over 120 h for sustained and stable electrolysis.展开更多
RDV■(dynamic vasoactive reactor)chemical technology represents a disruptive innovation operating under both surface and downhole conditions,producing irreversible and in situ adaptable effects.It has demonstrated tra...RDV■(dynamic vasoactive reactor)chemical technology represents a disruptive innovation operating under both surface and downhole conditions,producing irreversible and in situ adaptable effects.It has demonstrated transformative capacity across crude oils of various API gravities,with notable impact on extra-heavy crudes and bitumens,through a mechanism based on targeted proton donation that induces selective protonation of polar structures,generating transient carbocations that catalyze molecular fragmentation.This work presents a comprehensive analysis of the effects of RDV-DMG001■treatment(currently named RDV-01L■)on bitumen samples from the Primrose field,Alberta,Canada,using capillary chromatography,SARA analysis,and rheological evaluation,complemented with comparative data on prior applications of RDV-01L■in extra-heavy crudes from Venezuela(Boscán and El Salto).Results for Primrose bitumen show an 85%reduction in viscosity(from 500,000 to 75,000 cP),an increase in API gravity from 8.5 to 15.0(+76.4%),and molecular redistribution toward medium-chain hydrocarbons(C_(13)-C_(16)),with increases in molar and mass fractions up to 39.1%and 62.3%,respectively.SARA analysis confirmed fragmentation of asphaltenes(2.0%mass reduction)and a 5.8%increase in resins,improving colloidal stability and lowering precipitation risk.These changes align with RDV■’s mechanism of action based on carbocation generation.Notably,in field conditions-which are more dynamic and energetically favorable-RDV■treatment efficacy tends to exceed laboratory results,due to synergy among temperature,pressure,and fluid flow gradients which accelerate and enhance protonation and molecular fragmentation.Validated in contexts of advanced chemical transformation(Venezuela,Canada),the technology enables substantial improvements in fluidity,transport,processing,and recovery,with significant potential for annual cost savings in extraction and processing.This study positions RDV■as a disruptive,irreversible,and in situ adaptable chemical solution superior to conventional technologies such as surfactants,nanocatalysts,or aquathermolysis.RDV■is a quantum-impact chemical technology operating via molecular protonation reactions and controlled carbocation formation.The term“quantum”is used here as a conceptual analogy to describe the magnitude and specificity of the molecular reconfiguration induced by RDV■,without asserting direct experimental evidence of quantum reactivity.展开更多
Co_(3)O_(4)possesses both direct and indirect oxidation effects and is considered as a promising catalyst for the oxidation of 5-hydroxymethylfurfural(HMF).However,the enrichment and activation effects of Co_(3)O_(4)o...Co_(3)O_(4)possesses both direct and indirect oxidation effects and is considered as a promising catalyst for the oxidation of 5-hydroxymethylfurfural(HMF).However,the enrichment and activation effects of Co_(3)O_(4)on OH-and HMF are weak,which limits its further application.Metal defect engineering can regulate the electronic structure,optimize the adsorption of intermediates,and improve the catalytic activity by breaking the symmetry of the material,which is rarely involved in the upgrading of biomass.In this work,we prepare Co_(3)O_(4)with metal defects and load the precious metal platinum at the defect sites(PtVco).The results of in-situ characterizatio ns,electrochemical measurements,and theoretical calculations indicate that the reduction of Co-Co coordination number and the formation of Pt-Co bond induce the decrease of electron filling in the antibonding orbitals of Co element.The resulting upward shift of the d-band center of Co combined with the characteristic adsorption of Pt species synergically enhances the enrichment and activation of organic molecules and OH species,thus exhibiting excellent HMF oxidation activity(including a lower onset potential(1.14 V)and 19 times higher current density than pure Co_(3)O_(4)at 1.35 V).In summary,this work explores the adsorption enhancement mechanism of metal defect sites modified by precious metal in detail,provides a new option for improving the HMF oxidation activity of cobalt-based materials,broadens the application field of metal defect based materials,and gives an innovative guidance for the functional utilization of metal defect sites in biomass conversion.展开更多
Transition metal-based electrocatalysts are a promising alternative to noble metal catalysts for electrochemical upgrading of biomass-derived 5-hydroxymethylfurfural(HMF)into high-value 2,5-furandicarboxylic acid(FDCA...Transition metal-based electrocatalysts are a promising alternative to noble metal catalysts for electrochemical upgrading of biomass-derived 5-hydroxymethylfurfural(HMF)into high-value 2,5-furandicarboxylic acid(FDCA).However,the rational design of efficient electrocatalysts with precisely tailored structure-activity correlations remains a critical challenge.Herein,we report a hierarchically structured self-supporting electrode(Vo-NiCo(OH)_(2)-NF)synthesized through in situ electrochemical reconstruction of NiCo-Prussian blue analogue(NiCo-PBA)precursor,in which oxygen vacancy(Vo)-rich Co-doped Ni(OH)_(2)nanosheet arrays are vertically aligned on nickel foam(NF),creating an interconnected conductive network.When evaluated for the HMF oxidation reaction(HMFOR),Vo-NiCo(OH)_(2)-NF exhibits exceptional electrochemical performance,achieving near-complete HMF conversion(99%),ultrahigh FDCA Faradaic efficiency(97.5%),and remarkable product yield(96.2%)at 1.45 V,outperforming conventional Co-doped Ni(OH)_(2)(NiCo(OH)_(2)-NF)and pristine Ni(OH)_(2)(Ni(OH)_(2)-NF)electrodes.By combining in situ spectroscopic characterization and theoretical calculations,we elucidate that the synergistic effects of Co-doping and oxygen vacancy engineering effectively modulate the electronic structure of Ni active centers,favor the formation of high-valent Ni^(3+)species,and optimize HMF adsorption,thereby improving the HMFOR performance.This work provides valuable mechanistic insights for catalyst design and may inspire the development of advanced transition metal-based electrodes for efficient biomass conversion systems.展开更多
China possesses abundant heavy oil resources,yet faces challenges such as high viscosity,underdeveloped production technologies,and elevated development cost.Although the in-situ catalytic viscosity-reduction technolo...China possesses abundant heavy oil resources,yet faces challenges such as high viscosity,underdeveloped production technologies,and elevated development cost.Although the in-situ catalytic viscosity-reduction technology can address certain technical,environmental,and cost problems during the extraction process,the catalysts often suffer from poor stability and low catalytic efficiency.In this study,a green and simple room-temperature stirring method was employed to synthesize a class of highly efficient and stable 2D MOF catalysts,which possess the capability to conduct in-situ catalytic pyrolysis of heavy oil and reduce the viscosity.Under the condition of 160℃,a catalyst concentration of 0.5 wt%,and a hydrogen donor(tetralin)concentration of 2 wt%,the viscosity-reduction rate of Fe-MOF is as high as 89.09%,and it can decrease the asphaltene content by 8.42%.In addition,through the structural identification and analysis of crude oil asphaltenes,the causes for the high viscosity of heavy oil are explained at the molecular level.Through the analysis of catalytic products and molecular dynamics simulation,the catalytic mechanism is studied.It is discovered that Fe-MOF can interact with heavy oil macromolecules via coordination and pore-channel effects,facilitating their cracking and dispersal.Furthermore,synergistic interactions between Fe-MOF and the hydrogen donor facilitates hydrogenation reactions and enhances the viscosity-reducing effect.This study provides a novel strategy for boosting heavy oil recovery and underscores the potential of 2D MOFs in catalytic pyrolysis applications.展开更多
In the context of the accelerated global transition to green and low-carbon energy,China’s energy structure is undergoing profound changes.As of early 2025,the installed capacity of wind and photovoltaic power in Chi...In the context of the accelerated global transition to green and low-carbon energy,China’s energy structure is undergoing profound changes.As of early 2025,the installed capacity of wind and photovoltaic power in China has exceeded 1.4 billion kilowatts,accounting for 42.9%of the total installed power generation capacity,historically surpassing thermal power as the largest power source.However,the randomness,volatility,and intermittency of renewable energy generation pose unprecedented challenges to the power system’s regulatory capacity.In this context,pumped storage,as the most technically mature and economically advantageous large-scale energy storage method,is experiencing explosive growth,providing strategic opportunities for the transformation and upgrading of manufacturing enterprises.展开更多
In China,electric vehicle(EV)fast-charging power has quadrupled in the past five years,progressing toward 10-minute ultrafast charging.This rapid increase raises concerns about the impact on the power grid including i...In China,electric vehicle(EV)fast-charging power has quadrupled in the past five years,progressing toward 10-minute ultrafast charging.This rapid increase raises concerns about the impact on the power grid including increased peak power demand and the need for substantial upgrades to power infrastruc-ture.Here,we introduce an integrated model to assess fast and ultrafast charging impacts for represen-tative charging stations in China,combining real-world charging patterns and detailed station optimization models.We find that larger stations with 12 or more chargers experience modest peak power increases of less than 30%when fast-charging power is doubled,primarily because shorter charg-ing sessions are less likely to overlap.For more typical stations(e.g.,8-9 chargers and 120 kW·charger^(−1)),upgrading chargers to 350-550 kW while allowing managed dynamic waiting strategies(of∼1 minute)can reduce overall charging times to∼9 minutes.At stations,deploying battery storage and/or expanding transformers can help manage future increases in station loads,yet the primary device cost of the former is∼4 times higher than that of the latter.Our results offer insights for charging infrastructure planning,EV-grid interactions,and associated policymaking.展开更多
文摘BACKGROUND The need for an emergency upgrade of a hospitalized trauma patient from the floor to the trauma intensive care unit(ICU)is an unanticipated event with possible life-threatening consequences.Unplanned ICU admissions are associated with increased morbidity and mortality and are an indicator of trauma service quality.Two different types of unplanned ICU admissions include upgrades(patients admitted to the floor then moved to the ICU)and bounce backs(patients admitted to the ICU,discharged to the floor,and then readmitted to the ICU).Previous studies have shown that geriatric trauma patients are at higher risk for unfavorable outcomes.AIM To analyze the characteristics,management and outcomes of trauma patients who had an unplanned ICU admission during their hospitalization.METHODS This institutional review board approved,retrospective cohort study examined 203 adult trauma patients with unplanned ICU admission at an urban level 1 trauma center over a six-year period(2017-2023).This included 134 upgrades and 69 bounce backs.Analyzed variables included:(1)Age;(2)Sex;(3)Comorbidities;(4)Mechanism of injury(MOI);(5)Injury severity score(ISS);(6)Glasgow Coma Scale(GCS);(7)Type of injury;(8)Transfusions;(9)Consultations;(10)Timing and reason for unplanned admission;(11)Intubations;(12)Surgical interventions;(13)ICU and hospital lengths of stay;and(14)Mortality.RESULTS Unplanned ICU admissions comprised 4.2%of total ICU admissions.Main MOI was falls.Mean age was 70.7 years,ISS was 12.8 and GCS was 13.9.Main injuries were traumatic brain injury(37.4%)and thoracic injury(21.7%),and main reason for unplanned ICU admission was respiratory complication(39.4%).The 47.3%underwent a surgical procedure and 46.8%were intubated.Average timing for unplanned ICU admission was 2.9 days.Bounce backs occurred half as often as upgrades,however had higher rates of transfusions(63.8%vs 40.3%,P=0.002),consultations(4.8 vs 3.0,P<0.001),intubations(63.8%vs 38.1%%,P=0.001),longer ICU lengths of stay(13.2 days vs 6.4 days,P<0.001)and hospital lengths of stay(26.7 days vs 13.0 days,P<0.001).Mortality was 25.6%among unplanned ICU admissions,31.9%among geriatric unplanned ICU admissions and 11.9%among all trauma ICU patients.CONCLUSION Unplanned ICU admissions constituted 4.2%of total ICU admissions.Respiratory complications were the main cause of unplanned ICU admissions.Bounce backs occurred half as often as upgrades,but were associated with worse outcomes.
文摘Exerting the leading role of standards is very important for achieving the high-quality development. In recent years, China has unceasingly improved the mandatory national standards for energy efficiency and safety of products, expedited the development and revision of standards in the areas of digital, intelligent, green and low-carbon development, and led the continuous technological upgrading of industrial and consumer goods.
文摘webPDM Version 6.1 demonstrates Gerber Technology’s commitmentto enhance,support and maintain its Product Data Management(PDM) application Tolland,Connecticut,USA-Gerber Technology announces the
文摘The recent steel boom was characterized by a steep increase in world wide hot-rolling capacity.Still new hot-rolling mills are scheduled to start production during the coming years.Existing plants,which may be in operation since decades,have to compete with brand-new equipment and technology in terms of product quality and production efficiency.SMS Siemag have developed and successfully applied overall modernization concepts for hot-rolling mills as well as well-defined upgrade packages dedicated particularly to the improvement of product quality and the enlargement of product range.This paper describes the general methods of how SMS Siemag approaches hot-rolling mill modernization projects for maximum customer benefit and describes examples for overall modernization concepts as well as for powerful upgrade packages which have been put into operation during the recent years.
文摘The City of Calgary’s Nose Creek Sanitary Sewer Trunk Phase B project has been constructed over several years to accommodate future population growth and open more developable lands in northern Calgary.The project was divided into three phases,Phase A,B,and C,with each phase delivered by a separate consultant.Phase A was the downstream section of this project and was undertaken by Stantec Consulting.Phase B was the upstream section designed by CH2MHILL(now Jacobs)and further divided into different contracts(1 through 5).Phase C was a separate sewer called the Saddleridge Trunk sewer and this was designed by Associated Engineering.This paper covers Phase B,Contract 4,which had several unique challenges and included many innovative design and procurement solutions.One procurement strategy included a two-phase qualification package,with the initial phase to select a tunnelling contractor with the experience to deliver technical installations under rail and creeks,and the second phase,a RFP(request for proposal),to select a general contractor,with broader experience in open-cut and stormwater drainage,which were other aspects included within the project.This approach ensured that The City had the most qualified team available to complete the project.Technical challenges discussed in this paper include an oblique CPKC(Canadian Pacific Kansas City)rail and Nose Creek crossing that required independent review,and CFD(computational fluid dynamics)and hydrogen sulfide modelling to confirm conditions within the trunk sewer.
文摘SI:Agentic AI for 6G Networks.Introduction.6G networks are poised to provide full coverage across air,land,and sea,deliver terabit-per-second data rates,and achieve microsecond-level latency.They promise comprehensive upgrades across industries through embedded intelligence,ushering in an era of intelligent interconnection of all things.However,managing real-time interactions among devices,infrastructure,and services in 6G networks is much more complex than in previous generations.Massive data streams from terrestrial nodes(e.g.,edge devices,sensors,distributed computing)and non-terrestrial nodes(LEO/MEO/GEO satellites)demand more intelligent and efficient processing.
文摘JD Ceramics has been specializing in the field of air interlacing jets,air texturizing jets,and water jets over 29 years.With several years of technical accumulation and continuous equipments upgrades,we have been consistently delivering high-precision,highquality,cost-effective ceramic nozzle solutions to the market.
基金Supported by the National Key Research and Development Program of China,No.2022YFC2503600。
文摘BACKGROUND The discrepancy between endoscopic biopsy pathology and the overall pathology of gastric low-grade intraepithelial neoplasia(LGIN)presents challenges in developing diagnostic and treatment protocols.AIM To develop a risk prediction model for the pathological upgrading of gastric LGIN to aid clinical diagnosis and treatment.METHODS We retrospectively analyzed data from patients newly diagnosed with gastric LGIN who underwent complete endoscopic resection within 6 months at the First Medical Center of Chinese People’s Liberation Army General Hospital between January 2008 and December 2023.A risk prediction model for the pathological progression of gastric LGIN was constructed and evaluated for accuracy and clinical applicability.RESULTS A total of 171 patients were included in this study:93 patients with high-grade intraepithelial neoplasia or early gastric cancer and 78 with LGIN.The logistic stepwise regression model demonstrated a sensitivity and specificity of 0.868 and 0.800,respectively,while the least absolute shrinkage and selection operator(LASSO)regression model showed sensitivity and specificity values of 0.842 and 0.840,respectively.The area under the curve(AUC)for the logistic model was 0.896,slightly lower than the AUC of 0.904 for the LASSO model.Internal validation with 30%of the data yielded AUC scores of 0.908 for the logistic model and 0.905 for the LASSO model.The LASSO model provided greater utility in clinical decision-making.CONCLUSION A risk prediction model for the pathological upgrading of gastric LGIN based on white-light and magnifying endoscopic features can accurately and effectively guide clinical diagnosis and treatment.
文摘The next generation of synchrotron radiation light sources features extremely low emittance,enabling the generation of synchrotron radiation with significantly higher brilliance,which facilitates the exploration of matter at smaller scales.However,the extremely low emittance results in stronger sextupole magnet strengths,leading to high natural chromaticity.This necessitates the use of sextupole magnets to correct the natural chromaticity.For the Shanghai Synchrotron Radiation Facility Upgrade(SSRF-U),a lattice was designed for the storage ring that can achieve an ultra-low natural emittance of 72.2 pm·rad at the beam energy of 3.5 GeV.However,the significant detuning effects,driven by high second-order resonant driving terms due to strong sextupoles,will degrade the performance of the facility.To resolve this issue,installation of octupoles in the SSRF-U storage ring has been planned.This paper presents the study results on configuration selection and optimization method for the octupoles.An optimal solution for the SSRF-U storage ring was obtained to effectively mitigate the amplitude-dependent tune shift and the second-order chromaticity,consequently leading to an increased dynamic aperture(DA),momentum acceptance(MA),and reduced sensitivity to magnetic field errors.
文摘Since the beginning of this year,the international environment has been complex and volatile,the international economic and trade order has suffered severe setbacks,and instability and uncertainty have increased significantly.Faced with this complex situation,China's textile industry has adhered to the general principle of seeking progress while maintaining stability,steadily advancing the optimization and adjustment of its industrial structure,and deepening the transformation and upgrading of foreign trade.Supported by the country's more proactive and effective macroeconomic policies,the economy remained generally stable in the first half of the year,with exports maintaining growth despite significant pressure,and its resilience being consolidated and unleashed.Looking ahead to the second half of 2025,the textile industry will continue to face numerous challenges while consolidating its stable and positive development foundation.
文摘On May 21st,the launch ceremony of the 2025 Textile and Clothing"Optimization of Supply and Upgrade"event was held in Gaoyang,Hebei Province.The theme of the event is to promote the coordinated development and supply-demand docking of the textile and clothing industry in the Beijing–Tianjin–Hebei Region.Representatives from the textile and clothing industries gathered in Gaoyang to discuss the coordinated development of regional industries.The Ministry of Industry and Information Technology,Industry Associations,and leaders of the three local governments jointly announced the official launch of the national industrial upgrading action.
文摘Taking Zhejiang Province as an example,this paper explores the mechanisms and implementation pathways through which the low-altitude economy drives the transformation and upgrading of the tourism industry.It finds that the low-altitude economy can effectively promote the development of high-end and diversified tourism in Zhejiang by innovating tourism formats,optimizing resource allocation,and enhancing tourist experiences.Besides,it analyzes the current development status of the low-altitude economy in Zhejiang and its potential for integration with tourism,revealing specific enabling pathways for tourism transformation,including low-altitude sightseeing,aviation tourism,and low-altitude sports.Finally,it proposes policy recommendations such as strengthening policy support,enhancing infrastructure development,and cultivating market entities.The findings aim to provide theoretical references and practical guidance for the high-quality development of tourism in Zhejiang Province.
基金financially supported by the National Natural Science Foundation of China(Nos.22178181)the Natural Science Fund of Tianjin(No.21JCZDJC00180)the Fundamental Research Funds for the Central Universities(Nankai University(No.63243129)).
文摘Electrocatalysis offers efficient and targeted conversion of monomers derived from waste polyester plastics to chemical products under ambient temperature and pressure conditions.This review provides analysis of research on electrochemical upgrading of monomers derived from waste polyester plastics published from2021 to present.Factors for assessing upgrading of waste polyester plastics include alkaline hydrolysis pretreatment,indices of electrochemical reaction process(activity,stability,and techno-economic a nalysis),separation,and product recovery.Types of depolymerization monomers and their value-added products are summarized along with electrocatalytic mechanisms and reaction pathways.Notably,cathode coupled reactions offer significant value for anodic waste plastic oxidation during electrolysis processes.Development of bifunctional electrocatalysts can reduce the cost of coupled systems and complexity of the electrolyzer.Upgrading and recycling of waste plastic monomers using electrocatalytic technology should undergo downstream processing to form high-value products containing C-N and C-S derived functional groups obtained from depolymerized monomers,Electrochemical conversion and upgrading of monomers derived from waste polyester plastics can contribute to industrialization and global economies and help to realize environmental sustainability.
基金financially supported by the National Natural Science Foundation of China(No.22205205)the Natural Science Foundation of Zhejiang Province(No.LQ24E040002)the Science Foundation of Zhejiang Sci-Tech University(ZSTU)(Nos.21062337Y,LW-YP2024076)。
文摘Integrating electrochemical upgrading of glycerol and water electrolysis is regarded as a promising and energy-saving approach for the co-production of chemicals and hydrogen.However,developing efficient electrocatalyst towards this technology remains challenging.Herein,a metallic cobalt mediated molybdenum nitride heterostructural material has been exploited on nickel foam(Co@Mo_(2)N/NF)for the glycerol oxidation reaction(GOR)and hydrogen evolution reaction(HER).Remarkably,the obtained Co@Mo_(2)N/NF realizes eminent performance with low overpotential of 49 mV at 50 mA/cm^(2)for HER and high Faradaic efficiency of formate of 95.03%at 1.35 V vs.RHE for GOR,respectively.The systematic in-situ experiments reveal that the Co@Mo_(2)N heterostructure promotes the cleavage of C-C bond in glycerol by active CoOOH species and boosts the conversion of glycerol to aldehyde intermediates to formate product.Moreover,the density functional theory(DFT)calculations confirm the strong interaction at Co@Mo_(2)N interface,which contributes to the optimized water dissociation and the transformation of H^(*)to H^(2).Benefiting from those advantages,the built HER||GOR electrolyzer delivers a low voltage of 1.61 V at 50 mA/cm^(2),high Faradaic efficiency,and robust stability over 120 h for sustained and stable electrolysis.
文摘RDV■(dynamic vasoactive reactor)chemical technology represents a disruptive innovation operating under both surface and downhole conditions,producing irreversible and in situ adaptable effects.It has demonstrated transformative capacity across crude oils of various API gravities,with notable impact on extra-heavy crudes and bitumens,through a mechanism based on targeted proton donation that induces selective protonation of polar structures,generating transient carbocations that catalyze molecular fragmentation.This work presents a comprehensive analysis of the effects of RDV-DMG001■treatment(currently named RDV-01L■)on bitumen samples from the Primrose field,Alberta,Canada,using capillary chromatography,SARA analysis,and rheological evaluation,complemented with comparative data on prior applications of RDV-01L■in extra-heavy crudes from Venezuela(Boscán and El Salto).Results for Primrose bitumen show an 85%reduction in viscosity(from 500,000 to 75,000 cP),an increase in API gravity from 8.5 to 15.0(+76.4%),and molecular redistribution toward medium-chain hydrocarbons(C_(13)-C_(16)),with increases in molar and mass fractions up to 39.1%and 62.3%,respectively.SARA analysis confirmed fragmentation of asphaltenes(2.0%mass reduction)and a 5.8%increase in resins,improving colloidal stability and lowering precipitation risk.These changes align with RDV■’s mechanism of action based on carbocation generation.Notably,in field conditions-which are more dynamic and energetically favorable-RDV■treatment efficacy tends to exceed laboratory results,due to synergy among temperature,pressure,and fluid flow gradients which accelerate and enhance protonation and molecular fragmentation.Validated in contexts of advanced chemical transformation(Venezuela,Canada),the technology enables substantial improvements in fluidity,transport,processing,and recovery,with significant potential for annual cost savings in extraction and processing.This study positions RDV■as a disruptive,irreversible,and in situ adaptable chemical solution superior to conventional technologies such as surfactants,nanocatalysts,or aquathermolysis.RDV■is a quantum-impact chemical technology operating via molecular protonation reactions and controlled carbocation formation.The term“quantum”is used here as a conceptual analogy to describe the magnitude and specificity of the molecular reconfiguration induced by RDV■,without asserting direct experimental evidence of quantum reactivity.
基金financially supported by the Natural Science Foundation of Shandong Province(ZR2023QB235,ZR202111240183,ZR2021QF120)the Postdoctoral Science Foundation of China(2022M711956)the Taishan Scholar Program of Shandong Province(tsqnz20231216).
文摘Co_(3)O_(4)possesses both direct and indirect oxidation effects and is considered as a promising catalyst for the oxidation of 5-hydroxymethylfurfural(HMF).However,the enrichment and activation effects of Co_(3)O_(4)on OH-and HMF are weak,which limits its further application.Metal defect engineering can regulate the electronic structure,optimize the adsorption of intermediates,and improve the catalytic activity by breaking the symmetry of the material,which is rarely involved in the upgrading of biomass.In this work,we prepare Co_(3)O_(4)with metal defects and load the precious metal platinum at the defect sites(PtVco).The results of in-situ characterizatio ns,electrochemical measurements,and theoretical calculations indicate that the reduction of Co-Co coordination number and the formation of Pt-Co bond induce the decrease of electron filling in the antibonding orbitals of Co element.The resulting upward shift of the d-band center of Co combined with the characteristic adsorption of Pt species synergically enhances the enrichment and activation of organic molecules and OH species,thus exhibiting excellent HMF oxidation activity(including a lower onset potential(1.14 V)and 19 times higher current density than pure Co_(3)O_(4)at 1.35 V).In summary,this work explores the adsorption enhancement mechanism of metal defect sites modified by precious metal in detail,provides a new option for improving the HMF oxidation activity of cobalt-based materials,broadens the application field of metal defect based materials,and gives an innovative guidance for the functional utilization of metal defect sites in biomass conversion.
基金financial support of the National Natural Science Foundation of China(NSFC)(22372039 and 22305247)the Natural Science Foundation of Fujian Province of China(2021J06010)the Fuzhou University Testing Fund of Precious Apparatus(2025T022)。
文摘Transition metal-based electrocatalysts are a promising alternative to noble metal catalysts for electrochemical upgrading of biomass-derived 5-hydroxymethylfurfural(HMF)into high-value 2,5-furandicarboxylic acid(FDCA).However,the rational design of efficient electrocatalysts with precisely tailored structure-activity correlations remains a critical challenge.Herein,we report a hierarchically structured self-supporting electrode(Vo-NiCo(OH)_(2)-NF)synthesized through in situ electrochemical reconstruction of NiCo-Prussian blue analogue(NiCo-PBA)precursor,in which oxygen vacancy(Vo)-rich Co-doped Ni(OH)_(2)nanosheet arrays are vertically aligned on nickel foam(NF),creating an interconnected conductive network.When evaluated for the HMF oxidation reaction(HMFOR),Vo-NiCo(OH)_(2)-NF exhibits exceptional electrochemical performance,achieving near-complete HMF conversion(99%),ultrahigh FDCA Faradaic efficiency(97.5%),and remarkable product yield(96.2%)at 1.45 V,outperforming conventional Co-doped Ni(OH)_(2)(NiCo(OH)_(2)-NF)and pristine Ni(OH)_(2)(Ni(OH)_(2)-NF)electrodes.By combining in situ spectroscopic characterization and theoretical calculations,we elucidate that the synergistic effects of Co-doping and oxygen vacancy engineering effectively modulate the electronic structure of Ni active centers,favor the formation of high-valent Ni^(3+)species,and optimize HMF adsorption,thereby improving the HMFOR performance.This work provides valuable mechanistic insights for catalyst design and may inspire the development of advanced transition metal-based electrodes for efficient biomass conversion systems.
基金supported by the National Natural Science Foundation of China(52174047)Sinopec Project(No.P23138).
文摘China possesses abundant heavy oil resources,yet faces challenges such as high viscosity,underdeveloped production technologies,and elevated development cost.Although the in-situ catalytic viscosity-reduction technology can address certain technical,environmental,and cost problems during the extraction process,the catalysts often suffer from poor stability and low catalytic efficiency.In this study,a green and simple room-temperature stirring method was employed to synthesize a class of highly efficient and stable 2D MOF catalysts,which possess the capability to conduct in-situ catalytic pyrolysis of heavy oil and reduce the viscosity.Under the condition of 160℃,a catalyst concentration of 0.5 wt%,and a hydrogen donor(tetralin)concentration of 2 wt%,the viscosity-reduction rate of Fe-MOF is as high as 89.09%,and it can decrease the asphaltene content by 8.42%.In addition,through the structural identification and analysis of crude oil asphaltenes,the causes for the high viscosity of heavy oil are explained at the molecular level.Through the analysis of catalytic products and molecular dynamics simulation,the catalytic mechanism is studied.It is discovered that Fe-MOF can interact with heavy oil macromolecules via coordination and pore-channel effects,facilitating their cracking and dispersal.Furthermore,synergistic interactions between Fe-MOF and the hydrogen donor facilitates hydrogenation reactions and enhances the viscosity-reducing effect.This study provides a novel strategy for boosting heavy oil recovery and underscores the potential of 2D MOFs in catalytic pyrolysis applications.
文摘In the context of the accelerated global transition to green and low-carbon energy,China’s energy structure is undergoing profound changes.As of early 2025,the installed capacity of wind and photovoltaic power in China has exceeded 1.4 billion kilowatts,accounting for 42.9%of the total installed power generation capacity,historically surpassing thermal power as the largest power source.However,the randomness,volatility,and intermittency of renewable energy generation pose unprecedented challenges to the power system’s regulatory capacity.In this context,pumped storage,as the most technically mature and economically advantageous large-scale energy storage method,is experiencing explosive growth,providing strategic opportunities for the transformation and upgrading of manufacturing enterprises.
基金the support of the National Natural Science Foundation of China(72325006,72488101,and 72293601)the Sze Family Foundationthe Climate Imperative Foundation(#2024-001465)
文摘In China,electric vehicle(EV)fast-charging power has quadrupled in the past five years,progressing toward 10-minute ultrafast charging.This rapid increase raises concerns about the impact on the power grid including increased peak power demand and the need for substantial upgrades to power infrastruc-ture.Here,we introduce an integrated model to assess fast and ultrafast charging impacts for represen-tative charging stations in China,combining real-world charging patterns and detailed station optimization models.We find that larger stations with 12 or more chargers experience modest peak power increases of less than 30%when fast-charging power is doubled,primarily because shorter charg-ing sessions are less likely to overlap.For more typical stations(e.g.,8-9 chargers and 120 kW·charger^(−1)),upgrading chargers to 350-550 kW while allowing managed dynamic waiting strategies(of∼1 minute)can reduce overall charging times to∼9 minutes.At stations,deploying battery storage and/or expanding transformers can help manage future increases in station loads,yet the primary device cost of the former is∼4 times higher than that of the latter.Our results offer insights for charging infrastructure planning,EV-grid interactions,and associated policymaking.
