In the scenario of a steam generator tube rupture accident in a lead-cooled fast reactor,secondary circuit subcooled water under high pressure is injected into an ordinary-pressure primary vessel,where a molten lead-b...In the scenario of a steam generator tube rupture accident in a lead-cooled fast reactor,secondary circuit subcooled water under high pressure is injected into an ordinary-pressure primary vessel,where a molten lead-based alloy(typically pure lead or lead-bismuth eutectic(LBE))is used as the coolant.To clarify the pressure build-up characteristics under water-jet injection,this study conducted several experiments by injecting pressurized water into a molten LBE pool at Sun Yat-sen University.To obtain a further understanding,several new experimental parameters were adopted,including the melt temperature,water subcooling,injection pressure,injection duration,and nozzle diameter.Through detailed analyses,it was found that the pressure and temperature during the water-melt interaction exhibited a consistent variation trend with our previous water-droplet injection mode LBE experiment.Similarly,the existence of a steam explosion was confirmed,which typically results in a much stronger pressure build-up.For the non-explosion cases,increasing the injection pressure,melt-pool temperature,nozzle diameter,and water subcooling promoted pressure build-up in the melt pool.However,a limited enhancement effect was observed when increasing the injection duration,which may be owing to the continually rising pressure in the interaction vessel or the isolation effect of the generated steam cavity.Regardless of whether a steam explosion occurred,the calculated mechanical and kinetic energy conversion efficiencies of the melt were relatively small(not exceeding 4.1%and 0.7%,respectively).Moreover,the range of the conversion efficiency was similar to that of previous water-droplet experiments,although the upper limit of the jet mode was slightly lower.展开更多
Estimate of the Deterministic Neutron RBE for Radiation-induced Pseudo-Pelger Huët Cell Formation R.E.Goans1,2,C.J.Iddins1,R.E.Goans,Jr.3(1.Radiation Emergency Assistance Center/Training Site,Oak Ridge,TN;2.MJW C...Estimate of the Deterministic Neutron RBE for Radiation-induced Pseudo-Pelger Huët Cell Formation R.E.Goans1,2,C.J.Iddins1,R.E.Goans,Jr.3(1.Radiation Emergency Assistance Center/Training Site,Oak Ridge,TN;2.MJW Corporation,Amherst,NY;3.LMU Debusk School of Medicine,Harrogate,TN)Abstract:Using archival peripheral blood slides from radiation accident patients,we have recently described the pseudo-Pelger Huët anomaly(PPHA)in neutrophils as a new radiation-induced biomarker,useful for dosimetry not only immediately after a radiation incident but also potentially helpful as a tool in retrospective dosimetry.展开更多
Purpose–This study aims to enhance the accuracy of key entity extraction from railway accident report texts and address challenges such as complex domain-specific semantics,data sparsity and strong inter-sentence sem...Purpose–This study aims to enhance the accuracy of key entity extraction from railway accident report texts and address challenges such as complex domain-specific semantics,data sparsity and strong inter-sentence semantic dependencies.A robust entity extraction method tailored for accident texts is proposed.Design/methodology/approach–This method is implemented through a dual-branch multi-task mutual learning model named R-MLP,which jointly performs entity recognition and accident phase classification.The model leverages a shared BERT encoder to extract contextual features and incorporates a sentence span indexing module to align feature granularity.A cross-task mutual learning mechanism is also introduced to strengthen semantic representation.Findings–R-MLP effectively mitigates the impact of semantic complexity and data sparsity in domain entities and enhances the model’s ability to capture inter-sentence semantic dependencies.Experimental results show that R-MLP achieves a maximum F1-score of 0.736 in extracting six types of key railway accident entities,significantly outperforming baseline models such as RoBERTa and MacBERT.Originality/value–This demonstrates the proposed method’s superior generalization and accuracy in domainspecific entity extraction tasks,confirming its effectiveness and practical value.展开更多
A literature review on AI applications in the field of railway safety shows that the implemented approaches mainly concern the operational,maintenance,and feedback phases following railway incidents or accidents.These...A literature review on AI applications in the field of railway safety shows that the implemented approaches mainly concern the operational,maintenance,and feedback phases following railway incidents or accidents.These approaches exploit railway safety data once the transport system has received authorization for commissioning.However,railway standards and regulations require the development of a safety management system(SMS)from the specification and design phases of the railway system.This article proposes a new AI approach for analyzing and assessing safety from the specification and design phases of the railway system with a view to improving the development of the SMS.Unlike some learning methods,the proposed approach,which is dedicated in particular to safety assessment bodies,is based on semi-supervised learning carried out in close collaboration with safety experts who contributed to the development of a database of potential accident scenarios(learning example database)relating to the risk of rail collision.The proposed decision support is based on the use of an expert system whose knowledge base is automatically generated by inductive learning in the form of an association rule(rule base)and whose main objective is to suggest to the safety expert possible hazards not considered during the development of the SMS to complete the initial hazard register.展开更多
1 Martin Hibbert was a survivor of a serious accident.During the incident,Martin's spine(脊柱)was seriously hurt but he was fortunate to be alive.Despite this spinal cord injury(SCI),Martin was determined to turn ...1 Martin Hibbert was a survivor of a serious accident.During the incident,Martin's spine(脊柱)was seriously hurt but he was fortunate to be alive.Despite this spinal cord injury(SCI),Martin was determined to turn tragedy into something good.展开更多
As lithium-ion batteries(LIBs)continue to evolve toward lower costs and higher energy densities,their potential safety risks have become increasingly apparent.Incidents such as explosions at energy storage facilities,...As lithium-ion batteries(LIBs)continue to evolve toward lower costs and higher energy densities,their potential safety risks have become increasingly apparent.Incidents such as explosions at energy storage facilities,fires in electric vehicles,and building fires ignited by charging two-wheeled vehicles have been occurring with alarming frequency,often resulting in significant casualties and injuries.Conducting indepth investigations into thermal runaway(TR)incidents in LIBs can significantly reduce the risk of future occurrences.However,current investigations into LIB fire and explosion incidents face challenges due to the difficulty of conducting in-depth analyses and the lack of a robust theoretical framework to guide these investigations.To enhance the effectiveness of in-depth investigations into battery fire and explosion incidents and to address the lack of theoretical guidance,this paper is the first to systematically examine the conservation and flow patterns of elements during the TR process of LIBs.The analysis reveals that during TR,the gas products generated include approximately 1.5 g of H_(2),23.6 g of CO,88.4 g of CO_(2),8.9 g of C_(2)H_(4),7.3 g of CH_(4),3.7 g of C_(2)H_(6),and 82 g of electrolyte vapor.After TR,the solid compounds formed consist of approximately 2.5 g of LiF,29–92.2 g of elemental Ni/Co/Mn,11.4 g of Li_(2)CO_(3),200.6 g of graphite,1.4 g of NiO,29.6 g of MnO,30.1 g of CoO,67 g of elemental Cu,0.03 g of LiNiO_(2),and 4.3 g of LiAlO_(2).Importantly,the energy released from reactions forming solid compounds during TR surpasses that from gas-forming reactions.This investigation represents the first application of Hess’s law to verify the conservation of elements during the TR process of lithium-ion batteries.The proposed methodology is also applicable to other types of energy storage batteries,effectively advancing techniques for comprehensively investigating lithium battery fire and explosion incidents.展开更多
This paper proposed a new systematic approach-functional evidential reasoning model(FERM) for exploring hazardous chemical operational accidents under uncertainty. First, FERM was introduced to identify various causal...This paper proposed a new systematic approach-functional evidential reasoning model(FERM) for exploring hazardous chemical operational accidents under uncertainty. First, FERM was introduced to identify various causal factors and their performance changes in hazardous chemical operational accidents, along with determining the functional failure link relationships. Subsequently, FERM was employed to elucidate both qualitative and quantitative operational accident information within a unified framework, which could be regarded as the input of information fusion to obtain the fuzzy belief distribution of each cause factor. Finally, the derived risk values of the causal factors were ranked while constructing multi-level accident causation chains to unveil the weak links in system functionality and the primary roots of operational accidents. Using the specific case of the “1·15” major explosion and fire accident at Liaoning Panjin Haoye Chemical Co., Ltd., seven causal factors and their corresponding performance changes were identified. Additionally, five accident causation chains were uncovered based on the fuzzy joint distribution of the functional assessment level(FAL) and reliability distribution(RD),revealing an overall increase in risk along the accident evolution path. The research findings demonstrated that FERM enabled the effective characterization, rational quantification and accurate analysis of the inherent uncertainties in hazardous chemical operational accident risks from a systemic perspective.展开更多
As tunnel engineering progresses,the complexity of geological strata and the presence of water bodies beneath tunnels have exacerbated the risk of water inrush incidents.Mutation theory is utilized to elucidate the me...As tunnel engineering progresses,the complexity of geological strata and the presence of water bodies beneath tunnels have exacerbated the risk of water inrush incidents.Mutation theory is utilized to elucidate the mech-anisms underlying stratum collapse-induced water inrush,with the Shijingshan Tunnel’s water inrush pattern identified as stratum collapse-induced.Finite element method(FEM)numerical models were developed for four conditions:original tunnel,Grade III surrounding rock,advanced grouting reinforcement,and sectional exca-vation.The evolution of the plastic zone,deformation,and support forces in the surrounding rock was compared across these models.The study demonstrates that shear failure of the rock mass,induced by concentrated stress and water pressure during excavation,results in the formation of water inrush pathways.Advanced grouting and sectional excavation effectively reduced the plastic zone and vertical deformation.This mitigation lessened support damage and decreased the likelihood of stratum collapse.This paper offers technical support and case analysis for the prevention of stratum collapse-induced water inrush in underwater blasting operations.展开更多
Emergency resources play a vital role in the emergency rescue process.The adequate and timely supply of emergency resources can effectively control the development of accidents and reduce accident losses.However,the c...Emergency resources play a vital role in the emergency rescue process.The adequate and timely supply of emergency resources can effectively control the development of accidents and reduce accident losses.However,the current emergency resource allocation of chemical enterprises lacks scientific analysis of accident scenarios,and the individual allocation method of enterprises increases the cost of emergency resource allocation.Given the above problems,this paper proposes a regional collaborative allocation method of emergency resources for enterprises within the chemical industry park(CIP)based on the worst credible accident scenario(WCAS).Firstly,the concept and analysis method of the WCAS is proposed.Then,based on the characteristics and consequences of the accident,the mapping relationship between accident scenarios and emergency resources is established.Finally,an optimization model for regional collaborative allocation of emergency resources is constructed to determine the amount of emergency resource allocation for each enterprise.Through the case study,the emergency resource allocation method based on the WCAS analysis can better meet the demands of accident emergency rescue.Simultaneously,the regional collaborative allocation optimization model can strengthen the cooperation ability among enterprises,greatly reducing the cost of emergency resource allocation for each enterprise.展开更多
Accidents in engineered systems are usually generated by complex socio-technical factors.It is beneficial to investigate the increasing complexity and coupling of these factors from the perspective of system safety.Ba...Accidents in engineered systems are usually generated by complex socio-technical factors.It is beneficial to investigate the increasing complexity and coupling of these factors from the perspective of system safety.Based on system and control theories,System-Theoretic Accident Model and Processes(STAMP)is a widely recognized approach for accident analysis.In this paper,we propose a STAMP-Game model to analyze accidents in oil and gas storage and transportation systems.Stakeholders in accident analysis by STAMP can be regarded as players of a game.Game theory can,thus,be adopted in accident analysis to depict the competition and cooperation between stakeholders.Subsequently,we established a game model to study the strategies of both supervisory and supervised entities.The obtained results demonstrate that the proposed game model allows for identifying the effectiveness deficiency of the supervisory entity,and the safety and protection altitudes of the supervised entity.The STAMP-Game model can generate quantitative parameters for supporting the behavior and strategy selections of the supervisory and supervised entities.The quantitative data obtained can be used to guide the safety improvement,to reduce the costs of safety regulation violation and accident risk.展开更多
Railway accidents,particularly serious derailments,can lead to catastrophic consequences.Therefore,it is essential to prevent derailment escalation to reduce the likelihood of severe derailments.Train post-derailment ...Railway accidents,particularly serious derailments,can lead to catastrophic consequences.Therefore,it is essential to prevent derailment escalation to reduce the likelihood of severe derailments.Train post-derailment behaviours and containment methods play a critical role in preventing derailment escalation and providing passive safety protection and accident prevention in the event of a derailment.However,despite the increasing attention on this field from academia and industry in recent years,there is a lack of systematic exploration and summarization of emerging applications and containment methods in train post-derailment research.For this reason,this paper presents a comprehensive review of existing studies on train post-derailment behaviours,encompassing various topics such as post-derailment contact-impact models,dynamic modelling and simulation techniques,and the primary factors influencing post-derailment behaviours.Significantly,this review introduces and elucidates substitute guidance mechanisms(SGMs),which serve as railway-specific passive safety protection and accident prevention measures.The various types of SGMs are depicted,and their ongoing developments and applications are explored in depth.The review additionally points out several unresolved challenges including the adverse effects of SGMs,and proposes future research directions to advance the theoretical understanding and practical application of train post-derailment behaviours and containment methods.This review seeks to be a valuable reference for railway industry professionals in preventing catastrophic derailment consequences through post-derailment containment methods.展开更多
Introduction: Motorcyclists bear a disproportionate burden of morbidity and mortality from road accidents. In addition, the consequences of these accidents affect the ability of victims to return to work. This study a...Introduction: Motorcyclists bear a disproportionate burden of morbidity and mortality from road accidents. In addition, the consequences of these accidents affect the ability of victims to return to work. This study aimed to determine the prevalence and factors associated with non-return to work among surviving motorcyclists involved in road accidents 12 months after the event. Materials and Methods: It was a cross-sectional study conducted using data from a cohort of motorcyclists involved in accidents and recruited in five hospitals in Benin from July 2019 to January 2020. The dependent variable was non-return to work 12 months after the accident (yes vs no). The independent variables were categorized into two groups: baseline and 12-month follow-up variables. Logistic regression was used to determine the factors associated with non-return to work at 12 months among the participants. Results: Among the 362 participants, 55 (15.19%, 95% CI = 11.84 - 19.29) had not returned to work 12 months after the accident. Risk factors for non-return to work identified were: smoking (aOR = 4.41, 95% CI = 1.44 - 13.56, p = 0.010), hospitalization (aOR = 2.87, 95% CI = 1.14 - 7.24, p Conclusion: The prevalence of non-return to work at 12 months was high among surviving motorcyclists involved in road accidents in Benin. Integrated support for patients based on identified risk factors should effectively improve their return to work.展开更多
Airplanes are a social necessity for movement of humans,goods,and other.They are generally safe modes of transportation;however,incidents and accidents occasionally occur.To prevent aviation accidents,it is necessary ...Airplanes are a social necessity for movement of humans,goods,and other.They are generally safe modes of transportation;however,incidents and accidents occasionally occur.To prevent aviation accidents,it is necessary to develop a machine-learning model to detect and predict commercial flights using automatic dependent surveillance–broadcast data.This study combined data-quality detection,anomaly detection,and abnormality-classification-model development.The research methodology involved the following stages:problem statement,data selection and labeling,prediction-model development,deployment,and testing.The data labeling process was based on the rules framed by the international civil aviation organization for commercial,jet-engine flights and validated by expert commercial pilots.The results showed that the best prediction model,the quadratic-discriminant-analysis,was 93%accurate,indicating a“good fit”.Moreover,the model’s area-under-the-curve results for abnormal and normal detection were 0.97 and 0.96,respectively,thus confirming its“good fit”.展开更多
The phenomenology involved in severe accidents in nuclear reactors is highly complex.Currently,integrated analysis programs used for severe accident analysis heavily rely on custom empirical parameters,which introduce...The phenomenology involved in severe accidents in nuclear reactors is highly complex.Currently,integrated analysis programs used for severe accident analysis heavily rely on custom empirical parameters,which introduce considerable uncertainty.Therefore,in recent years,the field of severe accidents has shifted its focus toward applying uncertainty analysis methods to quantify uncertainty in safety assessment programs,known as“best estimate plus uncertainty(BEPU).”This approach aids in enhancing our comprehension of these programs and their further development and improvement.This study concentrates on a third-generation pressurized water reactor equipped with advanced active and passive mitigation strategies.Through an Integrated Severe Accident Analysis Program(ISAA),numerical modeling and uncertainty analysis were conducted on severe accidents resulting from large break loss of coolant accidents.Seventeen uncertainty parameters of the ISAA program were meticulously screened.Using Wilks'formula,the developed uncertainty program code,SAUP,was employed to carry out Latin hypercube sampling,while ISAA was employed to execute batch calculations.Statistical analysis was then conducted on two figures of merit,namely hydrogen generation and the release of fission products within the pressure vessel.Uncertainty calculations revealed that hydrogen production and the fraction of fission product released exhibited a normal distribution,ranging from 182.784 to 330.664 kg and from 15.6 to 84.3%,respectively.The ratio of hydrogen production to reactor thermal power fell within the range of 0.0578–0.105.A sensitivity analysis was performed for uncertain input parameters,revealing significant correlations between the failure temperature of the cladding oxide layer,maximum melt flow rate,size of the particulate debris,and porosity of the debris with both hydrogen generation and the release of fission products.展开更多
The heavy water-moderated molten salt reactor(HWMSR)is a newly proposed reactor concept,in which heavy water is adopted as the moderator and molten salt dissolved with fissile and fertile elements is used as the fuel....The heavy water-moderated molten salt reactor(HWMSR)is a newly proposed reactor concept,in which heavy water is adopted as the moderator and molten salt dissolved with fissile and fertile elements is used as the fuel.Issues arising from graphite in traditional molten salt reactors,including the positive temperature coefficient and management of highly radio-active spent graphite waste,can be addressed using the HWMSR.Until now,research on the HWMSR has been centered on the core design and nuclear fuel cycle to explore the viability of the HWMSR and its advantages in fuel utilization.However,the core safety of the HWMSR has not been extensively studied.Therefore,we evaluate typical accidents in a small modular HWMSR,including fuel salt inlet temperature overcooling and overheating accidents,fuel salt inlet flow rate decrease,heavy water inlet temperature overcooling accidents,and heavy water inlet mass flow rate decrease accidents,based on a neutronics and thermal-hydraulics coupled code.The results demonstrated that the core maintained safety during the investigated accidents.展开更多
To solve the problem of risk identification and quantitative assessment for human-computer interaction(HCI)in complex avionics systems,an HCI safety analysis framework based on system-theoretical process analysis(STPA...To solve the problem of risk identification and quantitative assessment for human-computer interaction(HCI)in complex avionics systems,an HCI safety analysis framework based on system-theoretical process analysis(STPA)and cognitive reliability and error analysis method(CREAM)is proposed.STPACREAM can identify unsafe control actions and find the causal path during the interaction of avionics systems and pilot with the help of formal verification tools automatically.The common performance conditions(CPC)of avionics systems in the aviation environment is established and a quantitative analysis of human failure is carried out.Taking the head-up display(HUD)system interaction process as an example,a case analysis is carried out,the layered safety control structure and formal model of the HUD interaction process are established.For the interactive behavior“Pilots approaching with HUD”,four unsafe control actions and35 causal scenarios are identified and the impact of common performance conditions at different levels on the pilot decision model are analyzed.The results show that HUD's HCI level gradually improves as the scores of CPC increase,and the quality of crew member cooperation and time sufficiency of the task is the key to its HCI.Through case analysis,it is shown that STPACREAM can quantitatively assess the hazards in HCI and identify the key factors that impact safety.展开更多
The reactor coolant pump(RCP)rotor seizure accident is defined as a short-time seizure of the RCP rotor.This event typically leads to an abrupt flow decrease in the corresponding loop and an ensuing reactor and turbin...The reactor coolant pump(RCP)rotor seizure accident is defined as a short-time seizure of the RCP rotor.This event typically leads to an abrupt flow decrease in the corresponding loop and an ensuing reactor and turbine trip.The significant reduction of core coolant flow while the reactor is being operated at full load can have very negative consequences.This potentially dangerous event is typically characterized by a complex transient behavior in terms of flow conditions and energy transformation,which need to be analyzed and understood.This study constructed transient flow and rotational speed mathematical models under various degrees of rotor seizure using the test data collected from a dedicated transient rotor seizure test system.Then,bidirectional fluid-solid coupling simulations were conducted to investigate the flow evolution mechanism.It is found that the influence of the impeller structure size and transient braking acceleration on the unsteady head(Hu)is dominant in rotor seizure accident events.Moreover,the present results also show that the rotational acceleration additional head(Hu1)is much higher than the instantaneous head(Hu2).展开更多
Most of existing methods for the safety assessment of the primary cooling loop of nuclear reactors in conditions of reactor coolant pump(RCP)failure(rotor seizure accident)essentially rely on the combination of one-di...Most of existing methods for the safety assessment of the primary cooling loop of nuclear reactors in conditions of reactor coolant pump(RCP)failure(rotor seizure accident)essentially rely on the combination of one-dimensional theory and experience.This study introduces a novel three-dimensional model of the‘Hualong-1’(HPR1000)primary loop and uses the method of matching the resistance characteristics of the tube to ensure that the main pump operates at the rated operating condition.In particular,the three-dimensional unsteady numerical calculation of the RCP behavior in the rotor-seizure accident condition is carried out in the framework of the RNG k-εturbulence model.The related transient pressure surge law and hydraulic load response are obtained accordingly.展开更多
[Background]The previous studies suggest that radioactive elements like Cs and Sr may adversely affect marine ecosystems and the fishing industry.Traditional treatment systems for radioactive wastewater like the Advan...[Background]The previous studies suggest that radioactive elements like Cs and Sr may adversely affect marine ecosystems and the fishing industry.Traditional treatment systems for radioactive wastewater like the Advanced Liquid Processing System(ALPS)and Kurion have faced challenges in limiting concentration and achieving safety criteria.Studies suggest potential long-term impacts on benthic organisms and seafood networks due to radioactive elements like Cs and Sr from the discharged radioactive wastewater,which may hinder post-disaster recovery and provoke economic losses in the fishing industry both domestically and internationally.A series of studies indicate that there are issues of Cs and Sr pollution migration in soil and water conservation in Fukushima.[Methods]To provide feasible solutions,the main article includes five nuclear wastewater treatment technologies,and soil and water conservation measures for different media(water and soil)were evaluated through reviewing the previous fifteen years'articles.To provide feasible solutions,the main articles,the phytoextraction technologies in Cs and Sr treatment within different land use areas were wildly analyzed(Camellia japonica,Arabidopsis halleri and other local species).[Results]1)A 99.9%removal rate for Cs^(+)and 99.5%for Sr^(2+)was achieved by the KFe[Fe(CN)_(6)]and BaSO_(4)co-precipitation method.2)For membrane filtration,Sr^(2+)and Cs^(+)were removed using metal-organic framework(MOF/graphene oxide)and ion exchange techniques using inorganic materials like titanosilicates.The absorption efficiency of membrane filtration for Sr^(2+)and Cs^(+)was at least 92%and 94%,respectively.The study analyzed soil and water conservation technologies in different land uses,river basins and catchments.3)The underground water treatment mainly were completed via the membrance technologies like reverse osmosis and Permeable Reactive Barriers(PRB)technologies.The ^(90) Sr concentration decreased 77%-91%compared to the initial concentration by PRB technology.These diverse methods offered effective strategies for radioactive wastewater treatment,especially the co-precipitation method may be feasible remediation measures to ensure ecological safety surrounding nuclear power utilizing areas.Soil and water conservation measures for soil pollution treatment mainly focused on the use of stabilizers to hinder the migration of Cs and Sr in the soil and the effects of wind erosion such as interpolyelectrolyte complexes.[Conclusions]We evaluated the pollution of Cs and Sr in the Fukushima nuclear radiation soil and water to provide solutions for the treatment of nuclear wastewater and to prevent radionuclide pollutants from migrating into the soil and water.展开更多
BACKGROUND Patients with stroke frequently experience pulmonary dysfunction.AIM To explore the effects of information-motivation-behavioral(IMB)skills modelbased nursing care on pulmonary function,blood gas indices,co...BACKGROUND Patients with stroke frequently experience pulmonary dysfunction.AIM To explore the effects of information-motivation-behavioral(IMB)skills modelbased nursing care on pulmonary function,blood gas indices,complication rates,and quality of life(QoL)in stroke patients with pulmonary dysfunction.METHODS We conducted a controlled study involving 120 stroke patients with pulmonary dysfunction.The control group received routine care,whereas the intervention group received IMB-model-based nursing care.Various parameters including pulmonary function,blood gas indices,complication rates,and QoL were assessed before and after the intervention.RESULTS Baseline data of the control and intervention groups were comparable.Post-intervention,the IMB model-based care group showed significant improvements in pulmonary function indicators,forced expiratory volume in 1 sec,forced vital capacity,and peak expiratory flow compared with the control group.Blood gas indices,such as arterial oxygen pressure and arterial oxygen saturation,increased significantly,and arterial carbon dioxide partial.pressure decreased significantly in the IMB model-based care group compared with the control group.The intervention group also had a lower complication rate(6.67%vs 23.33%)and higher QoL scores across all domains than the control group.CONCLUSION IMB model-based nursing care significantly enhanced pulmonary function,improved blood gas indices,reduced complication rates,and improved the QoL of stroke patients with pulmonary dysfunction.Further research is needed to validate these results and to assess the long-term efficacy and broader applicability of the model.展开更多
基金supported by Basic and Applied Basic research foundation of Guangdong province(Nos.2021A1515010343 and 2022A1515011582)the Science and Technology Program of Guangdong Province(Nos.2021A0505030026 and 2022A0505050029).
文摘In the scenario of a steam generator tube rupture accident in a lead-cooled fast reactor,secondary circuit subcooled water under high pressure is injected into an ordinary-pressure primary vessel,where a molten lead-based alloy(typically pure lead or lead-bismuth eutectic(LBE))is used as the coolant.To clarify the pressure build-up characteristics under water-jet injection,this study conducted several experiments by injecting pressurized water into a molten LBE pool at Sun Yat-sen University.To obtain a further understanding,several new experimental parameters were adopted,including the melt temperature,water subcooling,injection pressure,injection duration,and nozzle diameter.Through detailed analyses,it was found that the pressure and temperature during the water-melt interaction exhibited a consistent variation trend with our previous water-droplet injection mode LBE experiment.Similarly,the existence of a steam explosion was confirmed,which typically results in a much stronger pressure build-up.For the non-explosion cases,increasing the injection pressure,melt-pool temperature,nozzle diameter,and water subcooling promoted pressure build-up in the melt pool.However,a limited enhancement effect was observed when increasing the injection duration,which may be owing to the continually rising pressure in the interaction vessel or the isolation effect of the generated steam cavity.Regardless of whether a steam explosion occurred,the calculated mechanical and kinetic energy conversion efficiencies of the melt were relatively small(not exceeding 4.1%and 0.7%,respectively).Moreover,the range of the conversion efficiency was similar to that of previous water-droplet experiments,although the upper limit of the jet mode was slightly lower.
文摘Estimate of the Deterministic Neutron RBE for Radiation-induced Pseudo-Pelger Huët Cell Formation R.E.Goans1,2,C.J.Iddins1,R.E.Goans,Jr.3(1.Radiation Emergency Assistance Center/Training Site,Oak Ridge,TN;2.MJW Corporation,Amherst,NY;3.LMU Debusk School of Medicine,Harrogate,TN)Abstract:Using archival peripheral blood slides from radiation accident patients,we have recently described the pseudo-Pelger Huët anomaly(PPHA)in neutrophils as a new radiation-induced biomarker,useful for dosimetry not only immediately after a radiation incident but also potentially helpful as a tool in retrospective dosimetry.
基金funded by the Technology Research and Development Plan Program of China State Railway Group Co.,Ltd.(No.Q2024T001)the Foundation of China Academy of Railway Sciences Co.,Ltd.(No:2024YJ259).
文摘Purpose–This study aims to enhance the accuracy of key entity extraction from railway accident report texts and address challenges such as complex domain-specific semantics,data sparsity and strong inter-sentence semantic dependencies.A robust entity extraction method tailored for accident texts is proposed.Design/methodology/approach–This method is implemented through a dual-branch multi-task mutual learning model named R-MLP,which jointly performs entity recognition and accident phase classification.The model leverages a shared BERT encoder to extract contextual features and incorporates a sentence span indexing module to align feature granularity.A cross-task mutual learning mechanism is also introduced to strengthen semantic representation.Findings–R-MLP effectively mitigates the impact of semantic complexity and data sparsity in domain entities and enhances the model’s ability to capture inter-sentence semantic dependencies.Experimental results show that R-MLP achieves a maximum F1-score of 0.736 in extracting six types of key railway accident entities,significantly outperforming baseline models such as RoBERTa and MacBERT.Originality/value–This demonstrates the proposed method’s superior generalization and accuracy in domainspecific entity extraction tasks,confirming its effectiveness and practical value.
文摘A literature review on AI applications in the field of railway safety shows that the implemented approaches mainly concern the operational,maintenance,and feedback phases following railway incidents or accidents.These approaches exploit railway safety data once the transport system has received authorization for commissioning.However,railway standards and regulations require the development of a safety management system(SMS)from the specification and design phases of the railway system.This article proposes a new AI approach for analyzing and assessing safety from the specification and design phases of the railway system with a view to improving the development of the SMS.Unlike some learning methods,the proposed approach,which is dedicated in particular to safety assessment bodies,is based on semi-supervised learning carried out in close collaboration with safety experts who contributed to the development of a database of potential accident scenarios(learning example database)relating to the risk of rail collision.The proposed decision support is based on the use of an expert system whose knowledge base is automatically generated by inductive learning in the form of an association rule(rule base)and whose main objective is to suggest to the safety expert possible hazards not considered during the development of the SMS to complete the initial hazard register.
文摘1 Martin Hibbert was a survivor of a serious accident.During the incident,Martin's spine(脊柱)was seriously hurt but he was fortunate to be alive.Despite this spinal cord injury(SCI),Martin was determined to turn tragedy into something good.
基金supported by the National Natural Science Foundation of China(52106284,52422609)the Natural Science Foundation of Hebei Province(B2021507001)Key Research Special Project of CPPU(ZDZX202501)。
文摘As lithium-ion batteries(LIBs)continue to evolve toward lower costs and higher energy densities,their potential safety risks have become increasingly apparent.Incidents such as explosions at energy storage facilities,fires in electric vehicles,and building fires ignited by charging two-wheeled vehicles have been occurring with alarming frequency,often resulting in significant casualties and injuries.Conducting indepth investigations into thermal runaway(TR)incidents in LIBs can significantly reduce the risk of future occurrences.However,current investigations into LIB fire and explosion incidents face challenges due to the difficulty of conducting in-depth analyses and the lack of a robust theoretical framework to guide these investigations.To enhance the effectiveness of in-depth investigations into battery fire and explosion incidents and to address the lack of theoretical guidance,this paper is the first to systematically examine the conservation and flow patterns of elements during the TR process of LIBs.The analysis reveals that during TR,the gas products generated include approximately 1.5 g of H_(2),23.6 g of CO,88.4 g of CO_(2),8.9 g of C_(2)H_(4),7.3 g of CH_(4),3.7 g of C_(2)H_(6),and 82 g of electrolyte vapor.After TR,the solid compounds formed consist of approximately 2.5 g of LiF,29–92.2 g of elemental Ni/Co/Mn,11.4 g of Li_(2)CO_(3),200.6 g of graphite,1.4 g of NiO,29.6 g of MnO,30.1 g of CoO,67 g of elemental Cu,0.03 g of LiNiO_(2),and 4.3 g of LiAlO_(2).Importantly,the energy released from reactions forming solid compounds during TR surpasses that from gas-forming reactions.This investigation represents the first application of Hess’s law to verify the conservation of elements during the TR process of lithium-ion batteries.The proposed methodology is also applicable to other types of energy storage batteries,effectively advancing techniques for comprehensively investigating lithium battery fire and explosion incidents.
基金supported by the National Key Research&Development Program of China(2021YFB3301100)the National Natural Science Foundation of China(52004014)the Fundamental Research Funds for the Central Universities(ZY2406).
文摘This paper proposed a new systematic approach-functional evidential reasoning model(FERM) for exploring hazardous chemical operational accidents under uncertainty. First, FERM was introduced to identify various causal factors and their performance changes in hazardous chemical operational accidents, along with determining the functional failure link relationships. Subsequently, FERM was employed to elucidate both qualitative and quantitative operational accident information within a unified framework, which could be regarded as the input of information fusion to obtain the fuzzy belief distribution of each cause factor. Finally, the derived risk values of the causal factors were ranked while constructing multi-level accident causation chains to unveil the weak links in system functionality and the primary roots of operational accidents. Using the specific case of the “1·15” major explosion and fire accident at Liaoning Panjin Haoye Chemical Co., Ltd., seven causal factors and their corresponding performance changes were identified. Additionally, five accident causation chains were uncovered based on the fuzzy joint distribution of the functional assessment level(FAL) and reliability distribution(RD),revealing an overall increase in risk along the accident evolution path. The research findings demonstrated that FERM enabled the effective characterization, rational quantification and accurate analysis of the inherent uncertainties in hazardous chemical operational accident risks from a systemic perspective.
基金supported by Fundamental Research Funds for the Central Universities(No.2023JBRC005)Natu-ral Science Foundation Committee Program of China(Grant No.52308388)+1 种基金fund of State Key Laboratory of Geohazard Pre-vention and Geoenvironment Protection(Chengdu University of Tech-nology)(No.SKLGP2024K008)open project of State Key Laboratory of Performance Monitoring and Protecting of Rail Transit Infrastructure,East China Jiaotong University(No.HIGZ2023101).
文摘As tunnel engineering progresses,the complexity of geological strata and the presence of water bodies beneath tunnels have exacerbated the risk of water inrush incidents.Mutation theory is utilized to elucidate the mech-anisms underlying stratum collapse-induced water inrush,with the Shijingshan Tunnel’s water inrush pattern identified as stratum collapse-induced.Finite element method(FEM)numerical models were developed for four conditions:original tunnel,Grade III surrounding rock,advanced grouting reinforcement,and sectional exca-vation.The evolution of the plastic zone,deformation,and support forces in the surrounding rock was compared across these models.The study demonstrates that shear failure of the rock mass,induced by concentrated stress and water pressure during excavation,results in the formation of water inrush pathways.Advanced grouting and sectional excavation effectively reduced the plastic zone and vertical deformation.This mitigation lessened support damage and decreased the likelihood of stratum collapse.This paper offers technical support and case analysis for the prevention of stratum collapse-induced water inrush in underwater blasting operations.
基金support provided by the Qingdao Science and Technology Benefits People Demonstration and Guidance Project(21-1-4-sf-4-nsh).
文摘Emergency resources play a vital role in the emergency rescue process.The adequate and timely supply of emergency resources can effectively control the development of accidents and reduce accident losses.However,the current emergency resource allocation of chemical enterprises lacks scientific analysis of accident scenarios,and the individual allocation method of enterprises increases the cost of emergency resource allocation.Given the above problems,this paper proposes a regional collaborative allocation method of emergency resources for enterprises within the chemical industry park(CIP)based on the worst credible accident scenario(WCAS).Firstly,the concept and analysis method of the WCAS is proposed.Then,based on the characteristics and consequences of the accident,the mapping relationship between accident scenarios and emergency resources is established.Finally,an optimization model for regional collaborative allocation of emergency resources is constructed to determine the amount of emergency resource allocation for each enterprise.Through the case study,the emergency resource allocation method based on the WCAS analysis can better meet the demands of accident emergency rescue.Simultaneously,the regional collaborative allocation optimization model can strengthen the cooperation ability among enterprises,greatly reducing the cost of emergency resource allocation for each enterprise.
基金supported by the National Natural Science Foundation of China(Grant No.52004030)the R&D Program of Beijing Municipal Education Commission(Grant No.KM202310016003)the Exchange Program of High-end Foreign Experts of Ministry of Science and Technology,China(Grant No.G2022178013L)。
文摘Accidents in engineered systems are usually generated by complex socio-technical factors.It is beneficial to investigate the increasing complexity and coupling of these factors from the perspective of system safety.Based on system and control theories,System-Theoretic Accident Model and Processes(STAMP)is a widely recognized approach for accident analysis.In this paper,we propose a STAMP-Game model to analyze accidents in oil and gas storage and transportation systems.Stakeholders in accident analysis by STAMP can be regarded as players of a game.Game theory can,thus,be adopted in accident analysis to depict the competition and cooperation between stakeholders.Subsequently,we established a game model to study the strategies of both supervisory and supervised entities.The obtained results demonstrate that the proposed game model allows for identifying the effectiveness deficiency of the supervisory entity,and the safety and protection altitudes of the supervised entity.The STAMP-Game model can generate quantitative parameters for supporting the behavior and strategy selections of the supervisory and supervised entities.The quantitative data obtained can be used to guide the safety improvement,to reduce the costs of safety regulation violation and accident risk.
基金support from the National Natural Science Foundation of China (No.52172407 and No.U19A20110)the Natural Science Foundation of Sichuan Province (No.2022NSFSC0415).
文摘Railway accidents,particularly serious derailments,can lead to catastrophic consequences.Therefore,it is essential to prevent derailment escalation to reduce the likelihood of severe derailments.Train post-derailment behaviours and containment methods play a critical role in preventing derailment escalation and providing passive safety protection and accident prevention in the event of a derailment.However,despite the increasing attention on this field from academia and industry in recent years,there is a lack of systematic exploration and summarization of emerging applications and containment methods in train post-derailment research.For this reason,this paper presents a comprehensive review of existing studies on train post-derailment behaviours,encompassing various topics such as post-derailment contact-impact models,dynamic modelling and simulation techniques,and the primary factors influencing post-derailment behaviours.Significantly,this review introduces and elucidates substitute guidance mechanisms(SGMs),which serve as railway-specific passive safety protection and accident prevention measures.The various types of SGMs are depicted,and their ongoing developments and applications are explored in depth.The review additionally points out several unresolved challenges including the adverse effects of SGMs,and proposes future research directions to advance the theoretical understanding and practical application of train post-derailment behaviours and containment methods.This review seeks to be a valuable reference for railway industry professionals in preventing catastrophic derailment consequences through post-derailment containment methods.
文摘Introduction: Motorcyclists bear a disproportionate burden of morbidity and mortality from road accidents. In addition, the consequences of these accidents affect the ability of victims to return to work. This study aimed to determine the prevalence and factors associated with non-return to work among surviving motorcyclists involved in road accidents 12 months after the event. Materials and Methods: It was a cross-sectional study conducted using data from a cohort of motorcyclists involved in accidents and recruited in five hospitals in Benin from July 2019 to January 2020. The dependent variable was non-return to work 12 months after the accident (yes vs no). The independent variables were categorized into two groups: baseline and 12-month follow-up variables. Logistic regression was used to determine the factors associated with non-return to work at 12 months among the participants. Results: Among the 362 participants, 55 (15.19%, 95% CI = 11.84 - 19.29) had not returned to work 12 months after the accident. Risk factors for non-return to work identified were: smoking (aOR = 4.41, 95% CI = 1.44 - 13.56, p = 0.010), hospitalization (aOR = 2.87, 95% CI = 1.14 - 7.24, p Conclusion: The prevalence of non-return to work at 12 months was high among surviving motorcyclists involved in road accidents in Benin. Integrated support for patients based on identified risk factors should effectively improve their return to work.
文摘Airplanes are a social necessity for movement of humans,goods,and other.They are generally safe modes of transportation;however,incidents and accidents occasionally occur.To prevent aviation accidents,it is necessary to develop a machine-learning model to detect and predict commercial flights using automatic dependent surveillance–broadcast data.This study combined data-quality detection,anomaly detection,and abnormality-classification-model development.The research methodology involved the following stages:problem statement,data selection and labeling,prediction-model development,deployment,and testing.The data labeling process was based on the rules framed by the international civil aviation organization for commercial,jet-engine flights and validated by expert commercial pilots.The results showed that the best prediction model,the quadratic-discriminant-analysis,was 93%accurate,indicating a“good fit”.Moreover,the model’s area-under-the-curve results for abnormal and normal detection were 0.97 and 0.96,respectively,thus confirming its“good fit”.
基金This work was supported financially by the National Natural Science Foundation of China(No.12375176).
文摘The phenomenology involved in severe accidents in nuclear reactors is highly complex.Currently,integrated analysis programs used for severe accident analysis heavily rely on custom empirical parameters,which introduce considerable uncertainty.Therefore,in recent years,the field of severe accidents has shifted its focus toward applying uncertainty analysis methods to quantify uncertainty in safety assessment programs,known as“best estimate plus uncertainty(BEPU).”This approach aids in enhancing our comprehension of these programs and their further development and improvement.This study concentrates on a third-generation pressurized water reactor equipped with advanced active and passive mitigation strategies.Through an Integrated Severe Accident Analysis Program(ISAA),numerical modeling and uncertainty analysis were conducted on severe accidents resulting from large break loss of coolant accidents.Seventeen uncertainty parameters of the ISAA program were meticulously screened.Using Wilks'formula,the developed uncertainty program code,SAUP,was employed to carry out Latin hypercube sampling,while ISAA was employed to execute batch calculations.Statistical analysis was then conducted on two figures of merit,namely hydrogen generation and the release of fission products within the pressure vessel.Uncertainty calculations revealed that hydrogen production and the fraction of fission product released exhibited a normal distribution,ranging from 182.784 to 330.664 kg and from 15.6 to 84.3%,respectively.The ratio of hydrogen production to reactor thermal power fell within the range of 0.0578–0.105.A sensitivity analysis was performed for uncertain input parameters,revealing significant correlations between the failure temperature of the cladding oxide layer,maximum melt flow rate,size of the particulate debris,and porosity of the debris with both hydrogen generation and the release of fission products.
基金the National Natural Science Foundation of China(No.11905285)the Shanghai Natural Science Foundation(No.20ZR1468700)the Youth Innovation Promotion Association CAS(No.2022258).
文摘The heavy water-moderated molten salt reactor(HWMSR)is a newly proposed reactor concept,in which heavy water is adopted as the moderator and molten salt dissolved with fissile and fertile elements is used as the fuel.Issues arising from graphite in traditional molten salt reactors,including the positive temperature coefficient and management of highly radio-active spent graphite waste,can be addressed using the HWMSR.Until now,research on the HWMSR has been centered on the core design and nuclear fuel cycle to explore the viability of the HWMSR and its advantages in fuel utilization.However,the core safety of the HWMSR has not been extensively studied.Therefore,we evaluate typical accidents in a small modular HWMSR,including fuel salt inlet temperature overcooling and overheating accidents,fuel salt inlet flow rate decrease,heavy water inlet temperature overcooling accidents,and heavy water inlet mass flow rate decrease accidents,based on a neutronics and thermal-hydraulics coupled code.The results demonstrated that the core maintained safety during the investigated accidents.
基金supported by the National Key Research and Development Program of China(2021YFB1600601)the Joint Funds of the National Natural Science Foundation of China and the Civil Aviation Administration of China(U1933106)+2 种基金the Scientific Research Project of Tianjin Educational Committee(2019KJ134)the Natural Science Foundation of TianjinIntelligent Civil Aviation Program(21JCQNJ C00900)。
文摘To solve the problem of risk identification and quantitative assessment for human-computer interaction(HCI)in complex avionics systems,an HCI safety analysis framework based on system-theoretical process analysis(STPA)and cognitive reliability and error analysis method(CREAM)is proposed.STPACREAM can identify unsafe control actions and find the causal path during the interaction of avionics systems and pilot with the help of formal verification tools automatically.The common performance conditions(CPC)of avionics systems in the aviation environment is established and a quantitative analysis of human failure is carried out.Taking the head-up display(HUD)system interaction process as an example,a case analysis is carried out,the layered safety control structure and formal model of the HUD interaction process are established.For the interactive behavior“Pilots approaching with HUD”,four unsafe control actions and35 causal scenarios are identified and the impact of common performance conditions at different levels on the pilot decision model are analyzed.The results show that HUD's HCI level gradually improves as the scores of CPC increase,and the quality of crew member cooperation and time sufficiency of the task is the key to its HCI.Through case analysis,it is shown that STPACREAM can quantitatively assess the hazards in HCI and identify the key factors that impact safety.
基金National Natural Science Foundation Joint Fund Key Project(U20A20292)Task Book for Shandong Provincial Science and Technology Small and Medium-Sized Enterprise Innovation Capability Enhancement Engineering Project(2023TSGC0005).
文摘The reactor coolant pump(RCP)rotor seizure accident is defined as a short-time seizure of the RCP rotor.This event typically leads to an abrupt flow decrease in the corresponding loop and an ensuing reactor and turbine trip.The significant reduction of core coolant flow while the reactor is being operated at full load can have very negative consequences.This potentially dangerous event is typically characterized by a complex transient behavior in terms of flow conditions and energy transformation,which need to be analyzed and understood.This study constructed transient flow and rotational speed mathematical models under various degrees of rotor seizure using the test data collected from a dedicated transient rotor seizure test system.Then,bidirectional fluid-solid coupling simulations were conducted to investigate the flow evolution mechanism.It is found that the influence of the impeller structure size and transient braking acceleration on the unsteady head(Hu)is dominant in rotor seizure accident events.Moreover,the present results also show that the rotational acceleration additional head(Hu1)is much higher than the instantaneous head(Hu2).
文摘Most of existing methods for the safety assessment of the primary cooling loop of nuclear reactors in conditions of reactor coolant pump(RCP)failure(rotor seizure accident)essentially rely on the combination of one-dimensional theory and experience.This study introduces a novel three-dimensional model of the‘Hualong-1’(HPR1000)primary loop and uses the method of matching the resistance characteristics of the tube to ensure that the main pump operates at the rated operating condition.In particular,the three-dimensional unsteady numerical calculation of the RCP behavior in the rotor-seizure accident condition is carried out in the framework of the RNG k-εturbulence model.The related transient pressure surge law and hydraulic load response are obtained accordingly.
基金Xiong′an New Area Science and Technology Innovation Project(2022XACX1000)。
文摘[Background]The previous studies suggest that radioactive elements like Cs and Sr may adversely affect marine ecosystems and the fishing industry.Traditional treatment systems for radioactive wastewater like the Advanced Liquid Processing System(ALPS)and Kurion have faced challenges in limiting concentration and achieving safety criteria.Studies suggest potential long-term impacts on benthic organisms and seafood networks due to radioactive elements like Cs and Sr from the discharged radioactive wastewater,which may hinder post-disaster recovery and provoke economic losses in the fishing industry both domestically and internationally.A series of studies indicate that there are issues of Cs and Sr pollution migration in soil and water conservation in Fukushima.[Methods]To provide feasible solutions,the main article includes five nuclear wastewater treatment technologies,and soil and water conservation measures for different media(water and soil)were evaluated through reviewing the previous fifteen years'articles.To provide feasible solutions,the main articles,the phytoextraction technologies in Cs and Sr treatment within different land use areas were wildly analyzed(Camellia japonica,Arabidopsis halleri and other local species).[Results]1)A 99.9%removal rate for Cs^(+)and 99.5%for Sr^(2+)was achieved by the KFe[Fe(CN)_(6)]and BaSO_(4)co-precipitation method.2)For membrane filtration,Sr^(2+)and Cs^(+)were removed using metal-organic framework(MOF/graphene oxide)and ion exchange techniques using inorganic materials like titanosilicates.The absorption efficiency of membrane filtration for Sr^(2+)and Cs^(+)was at least 92%and 94%,respectively.The study analyzed soil and water conservation technologies in different land uses,river basins and catchments.3)The underground water treatment mainly were completed via the membrance technologies like reverse osmosis and Permeable Reactive Barriers(PRB)technologies.The ^(90) Sr concentration decreased 77%-91%compared to the initial concentration by PRB technology.These diverse methods offered effective strategies for radioactive wastewater treatment,especially the co-precipitation method may be feasible remediation measures to ensure ecological safety surrounding nuclear power utilizing areas.Soil and water conservation measures for soil pollution treatment mainly focused on the use of stabilizers to hinder the migration of Cs and Sr in the soil and the effects of wind erosion such as interpolyelectrolyte complexes.[Conclusions]We evaluated the pollution of Cs and Sr in the Fukushima nuclear radiation soil and water to provide solutions for the treatment of nuclear wastewater and to prevent radionuclide pollutants from migrating into the soil and water.
文摘BACKGROUND Patients with stroke frequently experience pulmonary dysfunction.AIM To explore the effects of information-motivation-behavioral(IMB)skills modelbased nursing care on pulmonary function,blood gas indices,complication rates,and quality of life(QoL)in stroke patients with pulmonary dysfunction.METHODS We conducted a controlled study involving 120 stroke patients with pulmonary dysfunction.The control group received routine care,whereas the intervention group received IMB-model-based nursing care.Various parameters including pulmonary function,blood gas indices,complication rates,and QoL were assessed before and after the intervention.RESULTS Baseline data of the control and intervention groups were comparable.Post-intervention,the IMB model-based care group showed significant improvements in pulmonary function indicators,forced expiratory volume in 1 sec,forced vital capacity,and peak expiratory flow compared with the control group.Blood gas indices,such as arterial oxygen pressure and arterial oxygen saturation,increased significantly,and arterial carbon dioxide partial.pressure decreased significantly in the IMB model-based care group compared with the control group.The intervention group also had a lower complication rate(6.67%vs 23.33%)and higher QoL scores across all domains than the control group.CONCLUSION IMB model-based nursing care significantly enhanced pulmonary function,improved blood gas indices,reduced complication rates,and improved the QoL of stroke patients with pulmonary dysfunction.Further research is needed to validate these results and to assess the long-term efficacy and broader applicability of the model.
