A cluster analyzing algorithm based on grids is introduced in this paper,which is applied to data mining in the city emergency system. In the previous applications, data mining was based on the method of analyzing poi...A cluster analyzing algorithm based on grids is introduced in this paper,which is applied to data mining in the city emergency system. In the previous applications, data mining was based on the method of analyzing points and lines, which was not efficient enough in dealing with the geographic information in units of police areas. The proposed algorithm maps an event set stored as a point set to a grid unit set, utilizes the cluster algorithm based on grids to find out all the clusters, and shows the results in the method of visualization. The algorithm performs well when dealing with high dimensional data sets and immense data. It is suitable for the data mining based on geogra-(phic) information system and is supportive to decision-makings in the city emergency system.展开更多
This article first introduces the current research status of space optical communication,and gives a brief overview of the development and application prospects of space optical communication,explaining its important ...This article first introduces the current research status of space optical communication,and gives a brief overview of the development and application prospects of space optical communication,explaining its important research significance.Then,the working principle of ATP in space optical communication system is studied,the mathematical model of ATP control system is established according to the actual needs,and the ATP control system design of space optical communication is designed.By selecting appropriate motors and gyroscopes as the actuators and detection elements of the system,substituting the actual parameters for simulation analysis,and correcting and verifying the results,some useful results are obtained.The simulation results show the rationality and effectiveness of the ATP design scheme.展开更多
In order to cope with the disasters caused by the worst hurricane in Puerto Rico in 2017,it is necessary to build an emergency system to reduce the losses.An emergency system should include the location of ISO standar...In order to cope with the disasters caused by the worst hurricane in Puerto Rico in 2017,it is necessary to build an emergency system to reduce the losses.An emergency system should include the location of ISO standard dry cargo containers and the distribution of emergency medical packages.This paper discusses the distribution of emergency medical package.Based on the above location results of ISO standard dry cargo container,taking the demand of disaster areas not exceed its supply into consideration and considering the timeliness and weak economy,a multi-objective mixed integer programming model is constructed on the premise of minimum transportation time and cost.It is determined that the drone fleet consists of four B,one C and one F drones.Through the optimization model,the distribution plan of emergency medical packages is formulated.展开更多
The rapid evolution of Fifth-Generation(5G)networks and the strategic development of Sixth-Generation(6G)technologies have significantly advanced the implementation of air-ground integrated networks with seamless cove...The rapid evolution of Fifth-Generation(5G)networks and the strategic development of Sixth-Generation(6G)technologies have significantly advanced the implementation of air-ground integrated networks with seamless coverage.Unmanned Aerial Vehicles(UAVs),serving as high-mobility aerial platforms,are extensively utilized to enhance coverage in long-distance emergency communication scenarios.The resource-constrained communication environments in emergencies by classifying UAVs into swarm UAVs and relay UAVs as aerial communication nodes is inversitgated.A horizontal deployment strategy for swarm UAVs is formulated through K-means clustering algorithm optimization,while a vertical deployment scheme is established using convex optimization methods.The minimum-path trajectory planning for relay UAVs is optimized via the Particle Swarm Optimization(PSO)algorithm,enhancing communication reliability between UAV swarms and terrestrial base stations.A three-dimensional heterogeneous network architecture is realized by modeling spatial multi-hop relay links.Experimental results demonstrate that the proposed joint UAV relay optimization framework outperforms conventional algorithms in both coverage performance and relay capability during video stream transmission,achieving significant improvements in coverage enhancement and relay efficiency.This work provides technical foundations for constructing high-reliability air-ground cooperative systems in emergency communications.展开更多
Pediatric emergency care(PEC)encompasses the specialized medical care delivered to infants,children,and adolescents facing urgent medical situations,addressing critical conditions such as infections,allergic responses...Pediatric emergency care(PEC)encompasses the specialized medical care delivered to infants,children,and adolescents facing urgent medical situations,addressing critical conditions such as infections,allergic responses,seizures,respiratory distress,and trauma.PEC calls for prompt,focused interventions to address each child's developmental and physiological needs.The literature was searched using Google Scholar,PubMed,and the Cochrane Library to retrieve studies assessing quality indicators and outcomes in pediatric emergencies.The search was limited to papers published in peer-reviewed journals between 01 Jan 2000 and 15 Dec 2024.This review evaluates current PEC standards such as patient safety,diagnostic precision,timeliness,and patient and family satisfaction.Patient safety is vital because children are particularly vulnerable to medical errors,such as inappropriate doses of medication.The provision of high-quality PEC is hampered by systemic issues such as inadequate training,a lack of re-sources,and restricted access to treatment.Telemedicine,pediatric transport units,artificial intelligence applications for diagnostics,and simulation-based training are suggested approaches to overcome these challenges.Research net-works and quality improvement initiatives are important steps to improve PEC care.展开更多
This study presents an emergency control method for sub-synchronous oscillations in wind power gridconnected systems based on transfer learning,addressing the issue of insufficient generalization ability of traditiona...This study presents an emergency control method for sub-synchronous oscillations in wind power gridconnected systems based on transfer learning,addressing the issue of insufficient generalization ability of traditional methods in complex real-world scenarios.By combining deep reinforcement learning with a transfer learning framework,cross-scenario knowledge transfer is achieved,significantly enhancing the adaptability of the control strategy.First,a sub-synchronous oscillation emergency control model for the wind power grid integration system is constructed under fixed scenarios based on deep reinforcement learning.A reward evaluation system based on the active power oscillation pattern of the system is proposed,introducing penalty functions for the number of machine-shedding rounds and the number of machines shed.This avoids the economic losses and grid security risks caused by the excessive one-time shedding of wind turbines.Furthermore,transfer learning is introduced into model training to enhance the model’s generalization capability in dealing with complex scenarios of actual wind power grid integration systems.By introducing the Maximum Mean Discrepancy(MMD)algorithm to calculate the distribution differences between source data and target data,the online decision-making reliability of the emergency control model is improved.Finally,the effectiveness of the proposed emergency control method for multi-scenario sub-synchronous oscillation in wind power grid integration systems based on transfer learning is analyzed using the New England 39-bus system.展开更多
Published proof test coverage(PTC)estimates for emergency shutdown valves(ESDVs)show only moderate agreement and are predominantly opinion-based.A Failure Modes,Effects,and Diagnostics Analysis(FMEDA)was undertaken us...Published proof test coverage(PTC)estimates for emergency shutdown valves(ESDVs)show only moderate agreement and are predominantly opinion-based.A Failure Modes,Effects,and Diagnostics Analysis(FMEDA)was undertaken using component failure rate data to predict PTC for a full stroke test and a partial stroke test.Given the subjective and uncertain aspects of the FMEDA approach,specifically the selection of component failure rates and the determination of the probability of detecting failure modes,a Fuzzy Inference System(FIS)was proposed to manage the data,addressing the inherent uncertainties.Fuzzy inference systems have been used previously for various FMEA type assessments,but this is the first time an FIS has been employed for use with FMEDA.ESDV PTC values were generated from both the standard FMEDA and the fuzzy-FMEDA approaches using data provided by FMEDA experts.This work demonstrates that fuzzy inference systems can address the subjectivity inherent in FMEDA data,enabling reliable estimates of ESDV proof test coverage for both full and partial stroke tests.This facilitates optimized maintenance planning while ensuring safety is not compromised.展开更多
Frequent extreme disasters have led to frequent large-scale power outages in recent years.To quickly restore power,it is necessary to understand the damage information of the distribution network accurately.However,th...Frequent extreme disasters have led to frequent large-scale power outages in recent years.To quickly restore power,it is necessary to understand the damage information of the distribution network accurately.However,the public network communication system is easily damaged after disasters,causing the operation center to lose control of the distribution network.In this paper,we considered using satellites to transmit the distribution network data and focus on the resource scheduling problem of the satellite emergency communication system for the distribution network.Specifically,this paper first formulates the satellite beam-pointing problem and the accesschannel joint resource allocation problem.Then,this paper proposes the Priority-based Beam-pointing and Access-Channel joint optimization algorithm(PBAC),which uses convex optimization theory to solve the satellite beam pointing problem,and adopts the block coordinate descent method,Lagrangian dual method,and a greedy algorithm to solve the access-channel joint resource allocation problem,thereby obtaining the optimal resource scheduling scheme for the satellite network.Finally,this paper conducts comparative experiments with existing methods to verify the effec-tiveness of the proposed methods.The results show that the total weighted transmitted data of the proposed algorithm is increased by about 19.29∼26.29%compared with other algorithms.展开更多
The building construction industry,recognized as one of the eight high-risk sectors,also serves as a crucial pillar of the national economy and a key source of employment.Major project advancements typically concentra...The building construction industry,recognized as one of the eight high-risk sectors,also serves as a crucial pillar of the national economy and a key source of employment.Major project advancements typically concentrate between April to June and September to November each year.However,construction progress tends to slow down during July and August due to increased rainfall associated with the flood season.The impact of the flood season on construction projects is primarily reflected in areas such as civil works,machinery and equipment,and temporary power supply.By establishing a dual-control emergency management system for the flood season,construction enterprises can enhance their emergency response capabilities,effectively reduce management challenges,and improve the overall efficiency of emergency handling.展开更多
The quality of care and treatment can be impacted by a number of factors, including the rate of missed care. The present study was conducted with the aim to evaluate missed nursing care (MNC) and its association with ...The quality of care and treatment can be impacted by a number of factors, including the rate of missed care. The present study was conducted with the aim to evaluate missed nursing care (MNC) and its association with patient safety culture in the emergency department (ED). Until September 2024, the international databases MEDLINE (PubMed and Ovid), Embase and Cochrane, Scopus, Wiley Online Library, Web of Science, Cochrane Central Register of Controlled Trials, EBSCO, ISI, Elsevier, and Google Scholar were searched using the search terms including patient safety culture and MNC. A total of eight articles were reviewed. In the fixed-effect model with low heterogeneity (I^(2) = 0%, P = 1), the mean score of overall MNC was 2.07 (ES, 2.97;95% confidence interval: −2.21-6.35). According to meta-regression analyses, MNC significantly inversely correlated with patient safety culture, age, and work experience (P < 0.01). By improving the working conditions of ED nurses and providing training related to patient safety, the amount of lost nursing care will decrease.展开更多
To explore the influence of emergency evacuation signs on passenger behavior during subway fires and improve evacuation efficiency in emergencies,this paper proposes a dynamic emergency evacuation sign system.A simula...To explore the influence of emergency evacuation signs on passenger behavior during subway fires and improve evacuation efficiency in emergencies,this paper proposes a dynamic emergency evacuation sign system.A simulation platform integrating building information modeling(BIM)and virtual reality(VR)technologies was em-ployed to create subway fire evacuation scenarios using both the current and proposed dynamic emergency evacuation signage systems.Through simulation experiments,fine-grained microscopic data on passenger behavior was collected.Seven indicators were selected to assess evacuation efficiency and wayfinding difficulty.The analysis explored the influence of evacuation signs on passenger behavior in both overall and decision-making areas,thereby validating the effectiveness of the new emergency evacuation signage system.The results show that the dynamic evacuation signage system significantly improves overall passenger evacuation efficiency and reduces decision-making errors.It also improves wayfinding efficiency in critical decision areas by reducing the need for direction identification,minimizing stopping times,and lowering the frequency of decision errors.The method for evaluating the effects of emergency evacuation signs on passenger evacuation behavior proposed in this study provides a robust theoretical basis for the design and optimization of emergency-oriented signs.展开更多
BACKGROUND Appropriate care for individuals who attempt suicide and are admitted to the emergency department(ED)can prevent future suicidal behavior.It is vital to understand their sociodemographic characteristics and...BACKGROUND Appropriate care for individuals who attempt suicide and are admitted to the emergency department(ED)can prevent future suicidal behavior.It is vital to understand their sociodemographic characteristics and the effects of targeted psychological care.AIM To analyze sociodemographic characteristics of suicide attempters treated in the ED and evaluate the efficacy of psychological care.METHODS Data from 239 suicide attempters treated in the ED of the Central Hospital of Enshi Tujia and Miao Autonomous Prefecture(Hubei Province,China)between January 2021 and February 2025 were divided into 2:Control(n=108)and psychological care(n=131).The demographic characteristics and effects of the psychological care were analyzed.RESULTS The mean(±SD)age of the 239 patients[114 male(47.7%),125 female(52.3%)]was 26.25±9.3 years,of whom 122(45.2%)were single,117(48.9%)were married,and 106(44.4%)had secondary education.Thirty-eight(15.9%)patients had suicidal intent,with a mean of 1.26±0.59 suicide attempts each.Twenty-two(9.21%)patients had a family history of suicide,while 8(3.34%)had a family history of suicide attempt(s).Before intervention,mean Suicidal Intent Scale scores in the psychological nursing and control groups were 21.57±5.28 and 19.86±5.92,respectively(P>0.05).After 1 month of nursing intervention,the respective scores were 10.09±1.11 and 16.48±0.87(P<0.001);and the re-suicide rates were 11.45%(15/131)and 24.07%(26/108)(P<0.001).CONCLUSION Psychological care significantly reduces suicide risk;EDs should provide comprehensive mental health care.展开更多
An intelligent emergency service（ IES） system is designed for indoor environments based on a wireless sensor and actuator network（ WSAN） composed of a gateway, sensor nodes, and a multi-robot system（ MRS）. If th...An intelligent emergency service（ IES） system is designed for indoor environments based on a wireless sensor and actuator network（ WSAN） composed of a gateway, sensor nodes, and a multi-robot system（ MRS）. If the MRS receives accident alarm information, the group of robots will navigate to the accident sites and provide corresponding emergency services.According to the characteristics of the MRS, a distributed consensus formation protocol is designed, which can assure that the multiple robots arrive at the accident site in a specified formation. The prototype emergency service system was designed and implemented, and some relevant simulations and experiments were carried out. The results showthat the MRS can successfully provide emergency lighting and failure node replacement services when accidents happen. The effectiveness of the algorithm and the feasibility of the system are verified.展开更多
Along with the deepening of reform and opening up, the impact of diversified culture, changing educational environment, emergencies occur ~equently in university, which seriously affected the normal teaching and manag...Along with the deepening of reform and opening up, the impact of diversified culture, changing educational environment, emergencies occur ~equently in university, which seriously affected the normal teaching and management order in university. This article analyzesthe concept, characteristics, causes and linkage system of university emergencies.展开更多
There are many watercraft and production accidents in the Three Gorges Reservoir Area （TGRA） of the Yangtze River in China every year. Accidents threaten the water quality of the 1085 km 2 surface area of the TGRA a...There are many watercraft and production accidents in the Three Gorges Reservoir Area （TGRA） of the Yangtze River in China every year. Accidents threaten the water quality of the 1085 km 2 surface area of the TGRA and millions of local people if oil and chemical leakage were to occur. A water pollution management system for emergency response （WPMS ER） was therefore designed for the management of pollution in this area. An integrated geographic information system （GIS）-based water pollution management information system for the TGRA, called WPMS ER TGRA, was developed in this study. ArcGIS engine was used as the system development platform, and Visual Basic as the programming language. The models for hydraulic and water quality simulation and the generation of body-fitted coordinates were developed and programmed as a dynamically linked library file using Visual Basic, and they can be launched by other computer programs. Subsequently, the GIS-based information system was applied to the emergency water pollution management of a shipwreck releasing 10 tons of phenol into the Yangtze River during two hours. The results showed that WPMS ER TGRA can assist with emergency water pollution management and simulate the transfer and diffusion of accidental pollutants in the river. Furthermore, it can quickly identify the affected area and how it will change over time within a few minutes of an accident occurring.展开更多
Panzhihua city （26°O5＇-27°21＇N, 101°OS＇- 102°15＇E）, located in a mountainous area, is one of the large cities in Sichuan province, China. A landslide occurred in the filling body of the easte...Panzhihua city （26°O5＇-27°21＇N, 101°OS＇- 102°15＇E）, located in a mountainous area, is one of the large cities in Sichuan province, China. A landslide occurred in the filling body of the eastern part of the Panzhihua airport on October 3, 2009 （hereafter called the lo.3 landslide）. We conducted field survey on the landslide and adopted emergency monitoring and warning models based on the Internet of Things （loT） to estimate the losses from the disaster and to prevent a secondary disaster from occurring. The results showed that four major features of the airport site had contributed to the landslide, i.e, high altitude, huge amount of filling rocks, deep backfilling and great difficulty of backfilling. The deformation process of the landslide had six stages and the unstable geological structure of high fillings and an earthquake were the main causes of the landslide. We adopted relative displacement sensing technology and Global System for Mobile Communications （GSM） technology to achieve remote, real-time and unattended monitoring of ground cracks in the landslide. The monitoring system, including five extensometers with measuring ranges of 200, 450 and 7oo mm, was continuously working for 17 months and released 7 warning signals with an average warning time of about 26 hours. At 10 am on 6 December 2009, the system issued a warning and on-site workers were evacuated and equipment protected immediately. At 2：20 medium-scale collapse monitoring site, which proved the reliability pm on 7 December, a occurred at the No. 5 justified the alarm and and efficiency of the monitoring system.展开更多
Aiming at dealing with the difficulty for traditional emergency rescue vehicle(ECV)to enter into limited rescue scenes,the electro-hydraulic steer-by-wire(SBW)system is introduced to achieve the multi-mode steering of...Aiming at dealing with the difficulty for traditional emergency rescue vehicle(ECV)to enter into limited rescue scenes,the electro-hydraulic steer-by-wire(SBW)system is introduced to achieve the multi-mode steering of the ECV.The overall structure and mathematical model of the SBW system are described at length.The fractional order proportional-integral-derivative(FOPID)controller based on fractional calculus theory is designed to control the steering cylinder’s movement in SBW system.The anti-windup problem is considered in the FOPID controller design to reduce the bad influence of saturation.Five parameters of the FOPID controller are optimized using the genetic algorithm by maximizing the fitness function which involves integral of time by absolute value error(ITAE),peak overshoot,as well as settling time.The time-domain simulations are implemented to identify the performance of the raised FOPID controller.The simulation results indicate the presented FOPID controller possesses more effective control properties than classical proportional-integral-derivative(PID)controller on the part of transient response,tracking capability and robustness.展开更多
In recent years,the impact of new major infectious diseases on people’s normal life is becoming more and more frequent,which has brought great impact on people’s life safety and social economy,especially the corona ...In recent years,the impact of new major infectious diseases on people’s normal life is becoming more and more frequent,which has brought great impact on people’s life safety and social economy,especially the corona virus disease 2019,which has been sweeping the globe.Public health and disease prevention and control systems in different countries have different performances in response to the pandemic,but they all have exposed many shortcomings.Countries around the world urgently need to improve the monitoring,early warning and emergency response systems for new major infectious diseases.As the outpost and main part of medical rescue,the hospital urgently needs to establish a set of scientifically advanced emergency response mechanism that is suitable for the business process of the medical system and unified standards in order to improve the response efficiency and quality of emergency treatment.展开更多
In many service delivery systems,the quantity of available resources is often a decisive factor of service quality.Resources can be personnel,offices,devices,supplies,and so on,depending on the nature of the services ...In many service delivery systems,the quantity of available resources is often a decisive factor of service quality.Resources can be personnel,offices,devices,supplies,and so on,depending on the nature of the services a system provides.Although service computing has been an active research topic for decades,general approaches that assess the impact of resource provisioning on service quality matrices in a rigorous way remain to be seen.Petri nets have been a popular formalism for modeling systems exhibiting behaviors of competition and concurrency for almost a half century.Stochastic timed Petri nets(STPN),an extension to regular Petri nets,are a powerful tool for system performance evaluation.However,we did not find any single existing STPN software tool that supports all timed transition firing policies and server types,not to mention resource provisioning and requirement analysis.This paper presents a generic and resource oriented STPN simulation engine that provides all critical features necessary for the analysis of service delivery system quality vs.resource provisioning.The power of the simulation system is illustrated by an application to emergency health care systems.展开更多
BACKGROUND: As the field of Emergency Medicine grows worldwide, the importance of an Emergency Department Crash Cart(EDCC) has long been recognized. Yet, there is paucity of relevant peer-reviewed literature specifica...BACKGROUND: As the field of Emergency Medicine grows worldwide, the importance of an Emergency Department Crash Cart(EDCC) has long been recognized. Yet, there is paucity of relevant peer-reviewed literature specifically discussing EDCCs or proposing detailed features for an EDCC suitable for both adult and pediatric patients. METHODS: The authors performed a systematic review of EDCC-specific literature indexed in Pubmed and Embase on December 20, 2016. In addition, the authors reviewed the 2015 American Heart Association(AHA) guidelines for cardiopulmonary resuscitation and emergency cardiovascular care, the 2015 European Resuscitation Council(ERC) guidelines for resuscitation, and the 2013 American College of Surgeons(ACS) Advanced Trauma Life Support(ATLS) 9 th edition.RESULTS: There were a total of 277 results, with 192 unique results and 85 duplicates. After careful review by two independent reviewers, all but four references were excluded. None of the four included articles described comprehensive contents of equipment and medications for both the adult and pediatric populations. This article describes in detail the final four articles specific to EDCC, and proposes a set of suggested contents for the EDCC. CONCLUSION: Our systematic review shows the striking paucity of such a high impact indispensable item in the ED. We hope that our EDCC content suggestions help enhance the level of response of EDs in the resuscitation of adult and pediatric populations, and encourage the implementation of and adherence to the latest evidence-based resuscitation guidelines.展开更多
文摘A cluster analyzing algorithm based on grids is introduced in this paper,which is applied to data mining in the city emergency system. In the previous applications, data mining was based on the method of analyzing points and lines, which was not efficient enough in dealing with the geographic information in units of police areas. The proposed algorithm maps an event set stored as a point set to a grid unit set, utilizes the cluster algorithm based on grids to find out all the clusters, and shows the results in the method of visualization. The algorithm performs well when dealing with high dimensional data sets and immense data. It is suitable for the data mining based on geogra-(phic) information system and is supportive to decision-makings in the city emergency system.
文摘This article first introduces the current research status of space optical communication,and gives a brief overview of the development and application prospects of space optical communication,explaining its important research significance.Then,the working principle of ATP in space optical communication system is studied,the mathematical model of ATP control system is established according to the actual needs,and the ATP control system design of space optical communication is designed.By selecting appropriate motors and gyroscopes as the actuators and detection elements of the system,substituting the actual parameters for simulation analysis,and correcting and verifying the results,some useful results are obtained.The simulation results show the rationality and effectiveness of the ATP design scheme.
文摘In order to cope with the disasters caused by the worst hurricane in Puerto Rico in 2017,it is necessary to build an emergency system to reduce the losses.An emergency system should include the location of ISO standard dry cargo containers and the distribution of emergency medical packages.This paper discusses the distribution of emergency medical package.Based on the above location results of ISO standard dry cargo container,taking the demand of disaster areas not exceed its supply into consideration and considering the timeliness and weak economy,a multi-objective mixed integer programming model is constructed on the premise of minimum transportation time and cost.It is determined that the drone fleet consists of four B,one C and one F drones.Through the optimization model,the distribution plan of emergency medical packages is formulated.
文摘The rapid evolution of Fifth-Generation(5G)networks and the strategic development of Sixth-Generation(6G)technologies have significantly advanced the implementation of air-ground integrated networks with seamless coverage.Unmanned Aerial Vehicles(UAVs),serving as high-mobility aerial platforms,are extensively utilized to enhance coverage in long-distance emergency communication scenarios.The resource-constrained communication environments in emergencies by classifying UAVs into swarm UAVs and relay UAVs as aerial communication nodes is inversitgated.A horizontal deployment strategy for swarm UAVs is formulated through K-means clustering algorithm optimization,while a vertical deployment scheme is established using convex optimization methods.The minimum-path trajectory planning for relay UAVs is optimized via the Particle Swarm Optimization(PSO)algorithm,enhancing communication reliability between UAV swarms and terrestrial base stations.A three-dimensional heterogeneous network architecture is realized by modeling spatial multi-hop relay links.Experimental results demonstrate that the proposed joint UAV relay optimization framework outperforms conventional algorithms in both coverage performance and relay capability during video stream transmission,achieving significant improvements in coverage enhancement and relay efficiency.This work provides technical foundations for constructing high-reliability air-ground cooperative systems in emergency communications.
文摘Pediatric emergency care(PEC)encompasses the specialized medical care delivered to infants,children,and adolescents facing urgent medical situations,addressing critical conditions such as infections,allergic responses,seizures,respiratory distress,and trauma.PEC calls for prompt,focused interventions to address each child's developmental and physiological needs.The literature was searched using Google Scholar,PubMed,and the Cochrane Library to retrieve studies assessing quality indicators and outcomes in pediatric emergencies.The search was limited to papers published in peer-reviewed journals between 01 Jan 2000 and 15 Dec 2024.This review evaluates current PEC standards such as patient safety,diagnostic precision,timeliness,and patient and family satisfaction.Patient safety is vital because children are particularly vulnerable to medical errors,such as inappropriate doses of medication.The provision of high-quality PEC is hampered by systemic issues such as inadequate training,a lack of re-sources,and restricted access to treatment.Telemedicine,pediatric transport units,artificial intelligence applications for diagnostics,and simulation-based training are suggested approaches to overcome these challenges.Research net-works and quality improvement initiatives are important steps to improve PEC care.
基金funded by Sponsorship of Science and Technology Project of State Grid Xinjiang Electric Power Co.,Ltd.,grant number SGXJ0000TKJS2400168.
文摘This study presents an emergency control method for sub-synchronous oscillations in wind power gridconnected systems based on transfer learning,addressing the issue of insufficient generalization ability of traditional methods in complex real-world scenarios.By combining deep reinforcement learning with a transfer learning framework,cross-scenario knowledge transfer is achieved,significantly enhancing the adaptability of the control strategy.First,a sub-synchronous oscillation emergency control model for the wind power grid integration system is constructed under fixed scenarios based on deep reinforcement learning.A reward evaluation system based on the active power oscillation pattern of the system is proposed,introducing penalty functions for the number of machine-shedding rounds and the number of machines shed.This avoids the economic losses and grid security risks caused by the excessive one-time shedding of wind turbines.Furthermore,transfer learning is introduced into model training to enhance the model’s generalization capability in dealing with complex scenarios of actual wind power grid integration systems.By introducing the Maximum Mean Discrepancy(MMD)algorithm to calculate the distribution differences between source data and target data,the online decision-making reliability of the emergency control model is improved.Finally,the effectiveness of the proposed emergency control method for multi-scenario sub-synchronous oscillation in wind power grid integration systems based on transfer learning is analyzed using the New England 39-bus system.
文摘Published proof test coverage(PTC)estimates for emergency shutdown valves(ESDVs)show only moderate agreement and are predominantly opinion-based.A Failure Modes,Effects,and Diagnostics Analysis(FMEDA)was undertaken using component failure rate data to predict PTC for a full stroke test and a partial stroke test.Given the subjective and uncertain aspects of the FMEDA approach,specifically the selection of component failure rates and the determination of the probability of detecting failure modes,a Fuzzy Inference System(FIS)was proposed to manage the data,addressing the inherent uncertainties.Fuzzy inference systems have been used previously for various FMEA type assessments,but this is the first time an FIS has been employed for use with FMEDA.ESDV PTC values were generated from both the standard FMEDA and the fuzzy-FMEDA approaches using data provided by FMEDA experts.This work demonstrates that fuzzy inference systems can address the subjectivity inherent in FMEDA data,enabling reliable estimates of ESDV proof test coverage for both full and partial stroke tests.This facilitates optimized maintenance planning while ensuring safety is not compromised.
基金supported by the Science and Technology Project of the State Grid Corporation of China(5400-202255158A-1-1-ZN).
文摘Frequent extreme disasters have led to frequent large-scale power outages in recent years.To quickly restore power,it is necessary to understand the damage information of the distribution network accurately.However,the public network communication system is easily damaged after disasters,causing the operation center to lose control of the distribution network.In this paper,we considered using satellites to transmit the distribution network data and focus on the resource scheduling problem of the satellite emergency communication system for the distribution network.Specifically,this paper first formulates the satellite beam-pointing problem and the accesschannel joint resource allocation problem.Then,this paper proposes the Priority-based Beam-pointing and Access-Channel joint optimization algorithm(PBAC),which uses convex optimization theory to solve the satellite beam pointing problem,and adopts the block coordinate descent method,Lagrangian dual method,and a greedy algorithm to solve the access-channel joint resource allocation problem,thereby obtaining the optimal resource scheduling scheme for the satellite network.Finally,this paper conducts comparative experiments with existing methods to verify the effec-tiveness of the proposed methods.The results show that the total weighted transmitted data of the proposed algorithm is increased by about 19.29∼26.29%compared with other algorithms.
文摘The building construction industry,recognized as one of the eight high-risk sectors,also serves as a crucial pillar of the national economy and a key source of employment.Major project advancements typically concentrate between April to June and September to November each year.However,construction progress tends to slow down during July and August due to increased rainfall associated with the flood season.The impact of the flood season on construction projects is primarily reflected in areas such as civil works,machinery and equipment,and temporary power supply.By establishing a dual-control emergency management system for the flood season,construction enterprises can enhance their emergency response capabilities,effectively reduce management challenges,and improve the overall efficiency of emergency handling.
文摘The quality of care and treatment can be impacted by a number of factors, including the rate of missed care. The present study was conducted with the aim to evaluate missed nursing care (MNC) and its association with patient safety culture in the emergency department (ED). Until September 2024, the international databases MEDLINE (PubMed and Ovid), Embase and Cochrane, Scopus, Wiley Online Library, Web of Science, Cochrane Central Register of Controlled Trials, EBSCO, ISI, Elsevier, and Google Scholar were searched using the search terms including patient safety culture and MNC. A total of eight articles were reviewed. In the fixed-effect model with low heterogeneity (I^(2) = 0%, P = 1), the mean score of overall MNC was 2.07 (ES, 2.97;95% confidence interval: −2.21-6.35). According to meta-regression analyses, MNC significantly inversely correlated with patient safety culture, age, and work experience (P < 0.01). By improving the working conditions of ED nurses and providing training related to patient safety, the amount of lost nursing care will decrease.
基金Beijing Natural Science Foundation-Fengtai Rail Transit Frontier Research Joint Foundation(No.L211024),the National Natural Science Foundation of China(No.52072012).
文摘To explore the influence of emergency evacuation signs on passenger behavior during subway fires and improve evacuation efficiency in emergencies,this paper proposes a dynamic emergency evacuation sign system.A simulation platform integrating building information modeling(BIM)and virtual reality(VR)technologies was em-ployed to create subway fire evacuation scenarios using both the current and proposed dynamic emergency evacuation signage systems.Through simulation experiments,fine-grained microscopic data on passenger behavior was collected.Seven indicators were selected to assess evacuation efficiency and wayfinding difficulty.The analysis explored the influence of evacuation signs on passenger behavior in both overall and decision-making areas,thereby validating the effectiveness of the new emergency evacuation signage system.The results show that the dynamic evacuation signage system significantly improves overall passenger evacuation efficiency and reduces decision-making errors.It also improves wayfinding efficiency in critical decision areas by reducing the need for direction identification,minimizing stopping times,and lowering the frequency of decision errors.The method for evaluating the effects of emergency evacuation signs on passenger evacuation behavior proposed in this study provides a robust theoretical basis for the design and optimization of emergency-oriented signs.
文摘BACKGROUND Appropriate care for individuals who attempt suicide and are admitted to the emergency department(ED)can prevent future suicidal behavior.It is vital to understand their sociodemographic characteristics and the effects of targeted psychological care.AIM To analyze sociodemographic characteristics of suicide attempters treated in the ED and evaluate the efficacy of psychological care.METHODS Data from 239 suicide attempters treated in the ED of the Central Hospital of Enshi Tujia and Miao Autonomous Prefecture(Hubei Province,China)between January 2021 and February 2025 were divided into 2:Control(n=108)and psychological care(n=131).The demographic characteristics and effects of the psychological care were analyzed.RESULTS The mean(±SD)age of the 239 patients[114 male(47.7%),125 female(52.3%)]was 26.25±9.3 years,of whom 122(45.2%)were single,117(48.9%)were married,and 106(44.4%)had secondary education.Thirty-eight(15.9%)patients had suicidal intent,with a mean of 1.26±0.59 suicide attempts each.Twenty-two(9.21%)patients had a family history of suicide,while 8(3.34%)had a family history of suicide attempt(s).Before intervention,mean Suicidal Intent Scale scores in the psychological nursing and control groups were 21.57±5.28 and 19.86±5.92,respectively(P>0.05).After 1 month of nursing intervention,the respective scores were 10.09±1.11 and 16.48±0.87(P<0.001);and the re-suicide rates were 11.45%(15/131)and 24.07%(26/108)(P<0.001).CONCLUSION Psychological care significantly reduces suicide risk;EDs should provide comprehensive mental health care.
基金The National Natural Science Foundation of China(No.61375076)the Research&Innovation Program for Graduate Student in Universities of Jiangsu Province(No.KYLX_0108)+1 种基金the Scientific Research Foundation of Graduate School of Southeast University(No.YBJJ1423)Jiangsu Planned Projects for Postdoctoral Research Funds(No.1302064B)
文摘An intelligent emergency service（ IES） system is designed for indoor environments based on a wireless sensor and actuator network（ WSAN） composed of a gateway, sensor nodes, and a multi-robot system（ MRS）. If the MRS receives accident alarm information, the group of robots will navigate to the accident sites and provide corresponding emergency services.According to the characteristics of the MRS, a distributed consensus formation protocol is designed, which can assure that the multiple robots arrive at the accident site in a specified formation. The prototype emergency service system was designed and implemented, and some relevant simulations and experiments were carried out. The results showthat the MRS can successfully provide emergency lighting and failure node replacement services when accidents happen. The effectiveness of the algorithm and the feasibility of the system are verified.
文摘Along with the deepening of reform and opening up, the impact of diversified culture, changing educational environment, emergencies occur ~equently in university, which seriously affected the normal teaching and management order in university. This article analyzesthe concept, characteristics, causes and linkage system of university emergencies.
基金supported by the Chinese Ministry of Science and Technology for the"Special Water Project"(No.2008ZX07315)the National Natural Science Foundation of China(No.59978054)
文摘There are many watercraft and production accidents in the Three Gorges Reservoir Area （TGRA） of the Yangtze River in China every year. Accidents threaten the water quality of the 1085 km 2 surface area of the TGRA and millions of local people if oil and chemical leakage were to occur. A water pollution management system for emergency response （WPMS ER） was therefore designed for the management of pollution in this area. An integrated geographic information system （GIS）-based water pollution management information system for the TGRA, called WPMS ER TGRA, was developed in this study. ArcGIS engine was used as the system development platform, and Visual Basic as the programming language. The models for hydraulic and water quality simulation and the generation of body-fitted coordinates were developed and programmed as a dynamically linked library file using Visual Basic, and they can be launched by other computer programs. Subsequently, the GIS-based information system was applied to the emergency water pollution management of a shipwreck releasing 10 tons of phenol into the Yangtze River during two hours. The results showed that WPMS ER TGRA can assist with emergency water pollution management and simulate the transfer and diffusion of accidental pollutants in the river. Furthermore, it can quickly identify the affected area and how it will change over time within a few minutes of an accident occurring.
基金supported by the National Science Fund for Distinguished Young Scholars of China (Grant No. 40125015)a Research Project of the State Key Laboratory of Geohazard Prevention and Geoenvironment Protection (Grant No. SKLGP2010Z002)+1 种基金the Science and Technique Plans for Sichuan Province, China (Grant No. 2011SZ0182 and NO. 2013SZ0168)the Fundamental Science on Nuclear Waste and Environmental Security Laboratory (Grant No. 12zxnp04)
文摘Panzhihua city （26°O5＇-27°21＇N, 101°OS＇- 102°15＇E）, located in a mountainous area, is one of the large cities in Sichuan province, China. A landslide occurred in the filling body of the eastern part of the Panzhihua airport on October 3, 2009 （hereafter called the lo.3 landslide）. We conducted field survey on the landslide and adopted emergency monitoring and warning models based on the Internet of Things （loT） to estimate the losses from the disaster and to prevent a secondary disaster from occurring. The results showed that four major features of the airport site had contributed to the landslide, i.e, high altitude, huge amount of filling rocks, deep backfilling and great difficulty of backfilling. The deformation process of the landslide had six stages and the unstable geological structure of high fillings and an earthquake were the main causes of the landslide. We adopted relative displacement sensing technology and Global System for Mobile Communications （GSM） technology to achieve remote, real-time and unattended monitoring of ground cracks in the landslide. The monitoring system, including five extensometers with measuring ranges of 200, 450 and 7oo mm, was continuously working for 17 months and released 7 warning signals with an average warning time of about 26 hours. At 10 am on 6 December 2009, the system issued a warning and on-site workers were evacuated and equipment protected immediately. At 2：20 medium-scale collapse monitoring site, which proved the reliability pm on 7 December, a occurred at the No. 5 justified the alarm and and efficiency of the monitoring system.
基金Project(2016YFC0802904)supported by the National Key Research and Development Program of China
文摘Aiming at dealing with the difficulty for traditional emergency rescue vehicle(ECV)to enter into limited rescue scenes,the electro-hydraulic steer-by-wire(SBW)system is introduced to achieve the multi-mode steering of the ECV.The overall structure and mathematical model of the SBW system are described at length.The fractional order proportional-integral-derivative(FOPID)controller based on fractional calculus theory is designed to control the steering cylinder’s movement in SBW system.The anti-windup problem is considered in the FOPID controller design to reduce the bad influence of saturation.Five parameters of the FOPID controller are optimized using the genetic algorithm by maximizing the fitness function which involves integral of time by absolute value error(ITAE),peak overshoot,as well as settling time.The time-domain simulations are implemented to identify the performance of the raised FOPID controller.The simulation results indicate the presented FOPID controller possesses more effective control properties than classical proportional-integral-derivative(PID)controller on the part of transient response,tracking capability and robustness.
文摘In recent years,the impact of new major infectious diseases on people’s normal life is becoming more and more frequent,which has brought great impact on people’s life safety and social economy,especially the corona virus disease 2019,which has been sweeping the globe.Public health and disease prevention and control systems in different countries have different performances in response to the pandemic,but they all have exposed many shortcomings.Countries around the world urgently need to improve the monitoring,early warning and emergency response systems for new major infectious diseases.As the outpost and main part of medical rescue,the hospital urgently needs to establish a set of scientifically advanced emergency response mechanism that is suitable for the business process of the medical system and unified standards in order to improve the response efficiency and quality of emergency treatment.
文摘In many service delivery systems,the quantity of available resources is often a decisive factor of service quality.Resources can be personnel,offices,devices,supplies,and so on,depending on the nature of the services a system provides.Although service computing has been an active research topic for decades,general approaches that assess the impact of resource provisioning on service quality matrices in a rigorous way remain to be seen.Petri nets have been a popular formalism for modeling systems exhibiting behaviors of competition and concurrency for almost a half century.Stochastic timed Petri nets(STPN),an extension to regular Petri nets,are a powerful tool for system performance evaluation.However,we did not find any single existing STPN software tool that supports all timed transition firing policies and server types,not to mention resource provisioning and requirement analysis.This paper presents a generic and resource oriented STPN simulation engine that provides all critical features necessary for the analysis of service delivery system quality vs.resource provisioning.The power of the simulation system is illustrated by an application to emergency health care systems.
文摘BACKGROUND: As the field of Emergency Medicine grows worldwide, the importance of an Emergency Department Crash Cart(EDCC) has long been recognized. Yet, there is paucity of relevant peer-reviewed literature specifically discussing EDCCs or proposing detailed features for an EDCC suitable for both adult and pediatric patients. METHODS: The authors performed a systematic review of EDCC-specific literature indexed in Pubmed and Embase on December 20, 2016. In addition, the authors reviewed the 2015 American Heart Association(AHA) guidelines for cardiopulmonary resuscitation and emergency cardiovascular care, the 2015 European Resuscitation Council(ERC) guidelines for resuscitation, and the 2013 American College of Surgeons(ACS) Advanced Trauma Life Support(ATLS) 9 th edition.RESULTS: There were a total of 277 results, with 192 unique results and 85 duplicates. After careful review by two independent reviewers, all but four references were excluded. None of the four included articles described comprehensive contents of equipment and medications for both the adult and pediatric populations. This article describes in detail the final four articles specific to EDCC, and proposes a set of suggested contents for the EDCC. CONCLUSION: Our systematic review shows the striking paucity of such a high impact indispensable item in the ED. We hope that our EDCC content suggestions help enhance the level of response of EDs in the resuscitation of adult and pediatric populations, and encourage the implementation of and adherence to the latest evidence-based resuscitation guidelines.
