In this paper the author has used the normalized Routh equations[1]to .solve the dynamic problems and establish the general method for. finding out the constraint forces and the variations of the state of motion for t...In this paper the author has used the normalized Routh equations[1]to .solve the dynamic problems and establish the general method for. finding out the constraint forces and the variations of the state of motion for the complicated system.展开更多
<span style="font-family:Verdana;">T</span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">his research ...<span style="font-family:Verdana;">T</span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">his research develops and elaborates studies done for a contribution to the 2019 PIC International Conference 2019 in Malta, about the decision-making process. Decision-making is the act of choosing between two or more courses of action. In the wider process of problem-solving, decision-making involves choosing between possible solutions to a problem, and these decisions can be made through either an intuitive or reasoned process, or a combination of the two. The study of decision-making processes, to be understood as the role of human factors, becomes particularly interesting in complex organizations. This research aims to analyze how an effective team, within organizations, can develop a more correct and effective decision-making, in order to get an optimal solution, overcoming the typical uncertainty. The paper describes the point of departure of decision in complex, time-pressured, uncertain, ambiguous and changing environments. The use of a leading case (the Tenerife air accident, 1977), will lead us to the desired results, </span><i><span style="font-family:Verdana;">i</span></i><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;">e</span></i><span style="font-family:Verdana;">. to demonstrate how an effective decisional process, including team dynamics, can be useful to reduce the risk, present in all decisions, and reduce errors. The case of Tenerife air disaster, confirm our research. In that case, in fact, the group dynamics prove not to have worked. Thus, we can state that if a team approach had been followed instead of a more individual one, the results would probably have been different. The central belief of the research, is that classic decision theory could benefit from a team approach, which reduces the risk that a decision may lead to undesirable consequences. As demonstrated with the case study, within organizations, the decision-making is not a solitary action. Decisions, in fact, are made within a team and in order to be able to function effectively in a group, and manage group situations, there are essential skills. The team can then become a resource for the decisional process and problem solving, but it is necessary </span></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">to </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">understand the dynamics.</span></span></span>展开更多
BACKGROUND Patients undergoing rectal cancer surgery frequently encounter challenges in their self-care abilities,disease knowledge,and emotional well-being postoperatively.Effective nursing interventions are critical...BACKGROUND Patients undergoing rectal cancer surgery frequently encounter challenges in their self-care abilities,disease knowledge,and emotional well-being postoperatively.Effective nursing interventions are critical for improving the quality of life and minimizing complications.This study explored the clinical implications of integrating health education guided by problem management with positive incentive nursing to address these challenges.AIM To evaluate the effect of this combined nursing model on postoperative self-care ability,disease knowledge,mood state,and complication rates in patients undergoing rectal cancer surgery.METHODS Eighty patients who underwent rectal cancer surgery between October 2021 and August 2024 were allocated into reference(routine care)and experimental(problem management-guided health education combined with positive incentive nursing)groups.The outcomes included exercise of self-care agency scale,disease knowledge(hospital-specific questionnaire),mood state(profile of mood states),and complication rates.RESULTS The experimental group demonstrated significant improvements in self-care ability(P<0.05),with higher scores for health knowledge,self-concept,self-care skills,and self-care responsibility than the reference group.Disease knowledge scores also improved markedly in the experimental group(P<0.05).Mood state scores showed a significant decrease in the negative dimensions(e.g.,anxiety and depression)and an increase in energy vitality(P<0.05).Additionally,the experimental group exhibited a lower complication rate than the reference group(7.5%vs 27.5%,P<0.05).CONCLUSION The integration of problem management-guided health education with positive incentive nursing significantly enhanced postoperative self-care abilities,disease knowledge,and emotional well-being while reducing complication rates.This model demonstrated potential for widespread adoption in clinical practice by offering a structured approach to improve patient outcomes and quality of life.展开更多
Objective: To report complications related to flap around implants after cochlear implantation, possible causes of such complications and treatments. Methods and material:We performed a retrospective analysis of child...Objective: To report complications related to flap around implants after cochlear implantation, possible causes of such complications and treatments. Methods and material:We performed a retrospective analysis of children in whom complications related to flap around implants occurred after undergoing cochlear implantation in our department from 2005 to 2016. Results:Complications among 1500 cochlear implantation (CI) recipients by the same surgeon included hematoma (n ? 20) and seroma around implants (n ? 15), of which most (n ? 10) recovered in 2 weeks after effective drainage, utility of antibiotics and pressure dressing, but 5 developed flap necrosis and had to undergo contralateral re-implantation. Four patients developed abscess around implants, of whom 2 recovered after 2 weeks of drainage, gentamicin irrigation and use of antibiotics, but 2 patients ended up with flap necrosis and had to receive contralateral reimplantation. Conclusions: Immediate drainage, pressure dressing and antibiotics can be used to effectively control seroma around implants. For seroma lasting for more than two weeks without improvement, surgical drainage may be need.展开更多
This paper presents a heuristic polarity decision-making algorithm for solving Boolean satisfiability （SAT）. The algorithm inherits many features of the current state-of-the-art SAT solvers, such as fast BCP, clause...This paper presents a heuristic polarity decision-making algorithm for solving Boolean satisfiability （SAT）. The algorithm inherits many features of the current state-of-the-art SAT solvers, such as fast BCP, clause recording, restarts, etc. In addition, a preconditioning step that calculates the polarities of variables according to the cover distribution of Karnaugh map is introduced into DPLL procedure, which greatly reduces the number of conflicts in the search process. The proposed approach is implemented as a SAT solver named DiffSat. Experiments show that DiffSat can solve many ＂real-life＂ instances in a reasonable time while the best existing SAT solvers, such as Zchaff and MiniSat, cannot. In particular, DiffSat can solve every instance of Bart benchmark suite in less than 0.03 s while Zchaff and MiniSat fail under a 900 s time limit. Furthermore, DiffSat even outperforms the outstanding incomplete algorithm DLM in some instances.展开更多
文摘In this paper the author has used the normalized Routh equations[1]to .solve the dynamic problems and establish the general method for. finding out the constraint forces and the variations of the state of motion for the complicated system.
文摘<span style="font-family:Verdana;">T</span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">his research develops and elaborates studies done for a contribution to the 2019 PIC International Conference 2019 in Malta, about the decision-making process. Decision-making is the act of choosing between two or more courses of action. In the wider process of problem-solving, decision-making involves choosing between possible solutions to a problem, and these decisions can be made through either an intuitive or reasoned process, or a combination of the two. The study of decision-making processes, to be understood as the role of human factors, becomes particularly interesting in complex organizations. This research aims to analyze how an effective team, within organizations, can develop a more correct and effective decision-making, in order to get an optimal solution, overcoming the typical uncertainty. The paper describes the point of departure of decision in complex, time-pressured, uncertain, ambiguous and changing environments. The use of a leading case (the Tenerife air accident, 1977), will lead us to the desired results, </span><i><span style="font-family:Verdana;">i</span></i><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;">e</span></i><span style="font-family:Verdana;">. to demonstrate how an effective decisional process, including team dynamics, can be useful to reduce the risk, present in all decisions, and reduce errors. The case of Tenerife air disaster, confirm our research. In that case, in fact, the group dynamics prove not to have worked. Thus, we can state that if a team approach had been followed instead of a more individual one, the results would probably have been different. The central belief of the research, is that classic decision theory could benefit from a team approach, which reduces the risk that a decision may lead to undesirable consequences. As demonstrated with the case study, within organizations, the decision-making is not a solitary action. Decisions, in fact, are made within a team and in order to be able to function effectively in a group, and manage group situations, there are essential skills. The team can then become a resource for the decisional process and problem solving, but it is necessary </span></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">to </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">understand the dynamics.</span></span></span>
文摘BACKGROUND Patients undergoing rectal cancer surgery frequently encounter challenges in their self-care abilities,disease knowledge,and emotional well-being postoperatively.Effective nursing interventions are critical for improving the quality of life and minimizing complications.This study explored the clinical implications of integrating health education guided by problem management with positive incentive nursing to address these challenges.AIM To evaluate the effect of this combined nursing model on postoperative self-care ability,disease knowledge,mood state,and complication rates in patients undergoing rectal cancer surgery.METHODS Eighty patients who underwent rectal cancer surgery between October 2021 and August 2024 were allocated into reference(routine care)and experimental(problem management-guided health education combined with positive incentive nursing)groups.The outcomes included exercise of self-care agency scale,disease knowledge(hospital-specific questionnaire),mood state(profile of mood states),and complication rates.RESULTS The experimental group demonstrated significant improvements in self-care ability(P<0.05),with higher scores for health knowledge,self-concept,self-care skills,and self-care responsibility than the reference group.Disease knowledge scores also improved markedly in the experimental group(P<0.05).Mood state scores showed a significant decrease in the negative dimensions(e.g.,anxiety and depression)and an increase in energy vitality(P<0.05).Additionally,the experimental group exhibited a lower complication rate than the reference group(7.5%vs 27.5%,P<0.05).CONCLUSION The integration of problem management-guided health education with positive incentive nursing significantly enhanced postoperative self-care abilities,disease knowledge,and emotional well-being while reducing complication rates.This model demonstrated potential for widespread adoption in clinical practice by offering a structured approach to improve patient outcomes and quality of life.
文摘Objective: To report complications related to flap around implants after cochlear implantation, possible causes of such complications and treatments. Methods and material:We performed a retrospective analysis of children in whom complications related to flap around implants occurred after undergoing cochlear implantation in our department from 2005 to 2016. Results:Complications among 1500 cochlear implantation (CI) recipients by the same surgeon included hematoma (n ? 20) and seroma around implants (n ? 15), of which most (n ? 10) recovered in 2 weeks after effective drainage, utility of antibiotics and pressure dressing, but 5 developed flap necrosis and had to undergo contralateral re-implantation. Four patients developed abscess around implants, of whom 2 recovered after 2 weeks of drainage, gentamicin irrigation and use of antibiotics, but 2 patients ended up with flap necrosis and had to receive contralateral reimplantation. Conclusions: Immediate drainage, pressure dressing and antibiotics can be used to effectively control seroma around implants. For seroma lasting for more than two weeks without improvement, surgical drainage may be need.
基金the National Natural Science Foundation of China (Grant Nos. 90207002, 90307017, 60773125 and 60676018)National Science Foundation (Grant Nos. CCR-0306298)+1 种基金China Postdoctoral Science Foundation (Grant No. KLH1202005)the Natural Science Foundation of Shanghai City (Grant No. 06ZR14016)
文摘This paper presents a heuristic polarity decision-making algorithm for solving Boolean satisfiability （SAT）. The algorithm inherits many features of the current state-of-the-art SAT solvers, such as fast BCP, clause recording, restarts, etc. In addition, a preconditioning step that calculates the polarities of variables according to the cover distribution of Karnaugh map is introduced into DPLL procedure, which greatly reduces the number of conflicts in the search process. The proposed approach is implemented as a SAT solver named DiffSat. Experiments show that DiffSat can solve many ＂real-life＂ instances in a reasonable time while the best existing SAT solvers, such as Zchaff and MiniSat, cannot. In particular, DiffSat can solve every instance of Bart benchmark suite in less than 0.03 s while Zchaff and MiniSat fail under a 900 s time limit. Furthermore, DiffSat even outperforms the outstanding incomplete algorithm DLM in some instances.
