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
Against the backdrop of continuous social development and growing public health demands,the efficiency and scientific nature of the emergency care system are of paramount importance.This paper focuses on researching t...Against the backdrop of continuous social development and growing public health demands,the efficiency and scientific nature of the emergency care system are of paramount importance.This paper focuses on researching the construction of an emergency care system based on the concept of“linkage”,delving into its theoretical foundations,exploring innovative construction models,and analyzing practical cases.The study indicates that an emergency care system under the“linkage”concept can effectively integrate resources and enhance efficiency,providing new insights for improving the construction of the emergency care system.It aims to promote the development of the emergency care system towards a more scientific,efficient,and collaborative direction.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
We proposes an AI-assisted framework for integrated natural disaster prevention and emergency response,leveraging the DeepSeek large language model(LLM)to advance intelligent decision-making in geohazard management.We...We proposes an AI-assisted framework for integrated natural disaster prevention and emergency response,leveraging the DeepSeek large language model(LLM)to advance intelligent decision-making in geohazard management.We systematically analyze the technical pathways for deploying LLMs in disaster scenarios,emphasizing three breakthrough directions:(1)knowledge graph-driven dynamic risk modeling,(2)reinforcement learning-optimized emergency decision systems,and(3)secure local deployment architectures.The DeepSeek model demonstrates unique advantages through its hybrid reasoning mechanism combining semantic analysis with geospatial pattern recognition,enabling cost-effective processing of multi-source data spanning historical disaster records,real-time IoT sensor feeds,and socio-environmental parameters.A modular system architecture is designed to achieve three critical objectives:(a)automated construction of domain-specific knowledge graphs through unsupervised learning of disaster physics relationships,(b)scenario-adaptive resource allocation using risk simulations,and(c)preserving emergency coordination via federated learning across distributed response nodes.The proposed local deployment paradigm addresses critical data security concerns in cross-border disaster management while complying with the FAIR principles(Findable,Accessible,Interoperable,Reusable)for geoscientific data governance.This work establishes a methodological foundation for next-generation AI-earth science convergence in disaster mitigation.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
Physician well-being is vital to delivering high-quality emergency care.A supported and healthy emergency medicine workforce leads to better patient outcomes,fewer medical errors,and greater job satisfaction and staff...Physician well-being is vital to delivering high-quality emergency care.A supported and healthy emergency medicine workforce leads to better patient outcomes,fewer medical errors,and greater job satisfaction and staff retention.[1,2]Emergency physicians(EPs)face unique pressures,including shift work,high patient volumes and acuities,overcrowding,and systemic inefficiencies that escalate their risk of burnout.As a result,EPs have reported the highest rates of burnout among physician specialties.展开更多
BACKGROUND:This study aims to develop and validate a machine learning-based in-hospital mortality predictive model for acute aortic syndrome(AAS)in the emergency department(ED)and to derive a simplifi ed version suita...BACKGROUND:This study aims to develop and validate a machine learning-based in-hospital mortality predictive model for acute aortic syndrome(AAS)in the emergency department(ED)and to derive a simplifi ed version suitable for rapid clinical application.METHODS:In this multi-center retrospective cohort study,AAS patient data from three hospitals were analyzed.The modeling cohort included data from the First Affiliated Hospital of Zhengzhou University and the People’s Hospital of Xinjiang Uygur Autonomous Region,with Peking University Third Hospital data serving as the external test set.Four machine learning algorithms—logistic regression(LR),multilayer perceptron(MLP),Gaussian naive Bayes(GNB),and random forest(RF)—were used to develop predictive models based on 34 early-accessible clinical variables.A simplifi ed model was then derived based on fi ve key variables(Stanford type,pericardial eff usion,asymmetric peripheral arterial pulsation,decreased bowel sounds,and dyspnea)via Least Absolute Shrinkage and Selection Operator(LASSO)regression to improve ED applicability.RESULTS:A total of 929 patients were included in the modeling cohort,and 210 were included in the external test set.Four machine learning models based on 34 clinical variables were developed,achieving internal and external validation AUCs of 0.85-0.90 and 0.73-0.85,respectively.The simplifi ed model incorporating fi ve key variables demonstrated internal and external validation AUCs of 0.71-0.86 and 0.75-0.78,respectively.Both models showed robust calibration and predictive stability across datasets.CONCLUSION:Both kinds of models were built based on machine learning tools,and proved to have certain prediction performance and extrapolation.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
BACKGROUND:Acute pain is a sudden experience secondary to injuries and varies in perception among individuals.In trauma patients,it can negatively aff ect respiratory function,immune response,and wound healing,making ...BACKGROUND:Acute pain is a sudden experience secondary to injuries and varies in perception among individuals.In trauma patients,it can negatively aff ect respiratory function,immune response,and wound healing,making it a signifi cant public health concern.This study is to determine the prevalence and factors associated with acute pain among emergency trauma patients.METHODS:A multicenter cross-sectional study was conducted.Data were collected via interviewer-administered questionnaires and patient chart review.The data were analyzed via the statistical package for social science version 25.Bivariable and multivariable logistic regression analyses were used.Variables with a P-value<0.05 were considered statistically signifi cant.RESULTS:A total of 397 patients were included in the study,for a response rate of 96.8%.The prevalence of pain during admission was 91.9%(95%confi dence intervals[95%CIs]:88.8%-94.4%).Blunt trauma(adjusted odds ratio[aOR]=2.82;95%CI:1.23-6.45),analgesia before admission to the emergency department(aOR=2.71;95%CI:1.16-6.36),documentation of pain severity in the chart(aOR=2.71;95%CI:1.16-6.36),analgesia provided within two hours after admission(aOR=7.60;95%CI:2.79-20.68),use of non-pharmacological pain management methods(aOR=3.09;95%CI:1.35-7.08)and availability of analgesia(aOR=3.95;95%CI:1.36-11.43)were associated with acute pain experience.CONCLUSION:The prevalence of acute pain among emergency trauma patients was high in the study area.Analgesia should be administered prior to admission,and non-pharmacological pain management should be implemented.Moreover,training on pain assessment and management should be provided for healthcare providers in the emergency department.展开更多
Aortic saddle embolism(ASE)is a rare but catastrophic vascular emergency characterized by acute occlusion of the aortic bifurcation,leading to bilateral lower limb ischemia and multiorgan dysfunction.Despite advances ...Aortic saddle embolism(ASE)is a rare but catastrophic vascular emergency characterized by acute occlusion of the aortic bifurcation,leading to bilateral lower limb ischemia and multiorgan dysfunction.Despite advances in imaging and surgical techniques,ASE has high morbidity and mortality rates,particularly when diagnosis or intervention is delayed.Here,we report two patients admitted to our center to increase awareness among emergency physicians.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
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Against the backdrop of continuous social development and growing public health demands,the efficiency and scientific nature of the emergency care system are of paramount importance.This paper focuses on researching the construction of an emergency care system based on the concept of“linkage”,delving into its theoretical foundations,exploring innovative construction models,and analyzing practical cases.The study indicates that an emergency care system under the“linkage”concept can effectively integrate resources and enhance efficiency,providing new insights for improving the construction of the emergency care system.It aims to promote the development of the emergency care system towards a more scientific,efficient,and collaborative direction.
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.
基金funded by the Chongqing Water Resources Bureau,China(Project No.CQS24C00836).
文摘We proposes an AI-assisted framework for integrated natural disaster prevention and emergency response,leveraging the DeepSeek large language model(LLM)to advance intelligent decision-making in geohazard management.We systematically analyze the technical pathways for deploying LLMs in disaster scenarios,emphasizing three breakthrough directions:(1)knowledge graph-driven dynamic risk modeling,(2)reinforcement learning-optimized emergency decision systems,and(3)secure local deployment architectures.The DeepSeek model demonstrates unique advantages through its hybrid reasoning mechanism combining semantic analysis with geospatial pattern recognition,enabling cost-effective processing of multi-source data spanning historical disaster records,real-time IoT sensor feeds,and socio-environmental parameters.A modular system architecture is designed to achieve three critical objectives:(a)automated construction of domain-specific knowledge graphs through unsupervised learning of disaster physics relationships,(b)scenario-adaptive resource allocation using risk simulations,and(c)preserving emergency coordination via federated learning across distributed response nodes.The proposed local deployment paradigm addresses critical data security concerns in cross-border disaster management while complying with the FAIR principles(Findable,Accessible,Interoperable,Reusable)for geoscientific data governance.This work establishes a methodological foundation for next-generation AI-earth science convergence in disaster mitigation.
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Physician well-being is vital to delivering high-quality emergency care.A supported and healthy emergency medicine workforce leads to better patient outcomes,fewer medical errors,and greater job satisfaction and staff retention.[1,2]Emergency physicians(EPs)face unique pressures,including shift work,high patient volumes and acuities,overcrowding,and systemic inefficiencies that escalate their risk of burnout.As a result,EPs have reported the highest rates of burnout among physician specialties.
基金supported by the special fund of the National Clinical Key Specialty Construction Program[(2022)301-2305].
文摘BACKGROUND:This study aims to develop and validate a machine learning-based in-hospital mortality predictive model for acute aortic syndrome(AAS)in the emergency department(ED)and to derive a simplifi ed version suitable for rapid clinical application.METHODS:In this multi-center retrospective cohort study,AAS patient data from three hospitals were analyzed.The modeling cohort included data from the First Affiliated Hospital of Zhengzhou University and the People’s Hospital of Xinjiang Uygur Autonomous Region,with Peking University Third Hospital data serving as the external test set.Four machine learning algorithms—logistic regression(LR),multilayer perceptron(MLP),Gaussian naive Bayes(GNB),and random forest(RF)—were used to develop predictive models based on 34 early-accessible clinical variables.A simplifi ed model was then derived based on fi ve key variables(Stanford type,pericardial eff usion,asymmetric peripheral arterial pulsation,decreased bowel sounds,and dyspnea)via Least Absolute Shrinkage and Selection Operator(LASSO)regression to improve ED applicability.RESULTS:A total of 929 patients were included in the modeling cohort,and 210 were included in the external test set.Four machine learning models based on 34 clinical variables were developed,achieving internal and external validation AUCs of 0.85-0.90 and 0.73-0.85,respectively.The simplifi ed model incorporating fi ve key variables demonstrated internal and external validation AUCs of 0.71-0.86 and 0.75-0.78,respectively.Both models showed robust calibration and predictive stability across datasets.CONCLUSION:Both kinds of models were built based on machine learning tools,and proved to have certain prediction performance and extrapolation.
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.
文摘BACKGROUND:Acute pain is a sudden experience secondary to injuries and varies in perception among individuals.In trauma patients,it can negatively aff ect respiratory function,immune response,and wound healing,making it a signifi cant public health concern.This study is to determine the prevalence and factors associated with acute pain among emergency trauma patients.METHODS:A multicenter cross-sectional study was conducted.Data were collected via interviewer-administered questionnaires and patient chart review.The data were analyzed via the statistical package for social science version 25.Bivariable and multivariable logistic regression analyses were used.Variables with a P-value<0.05 were considered statistically signifi cant.RESULTS:A total of 397 patients were included in the study,for a response rate of 96.8%.The prevalence of pain during admission was 91.9%(95%confi dence intervals[95%CIs]:88.8%-94.4%).Blunt trauma(adjusted odds ratio[aOR]=2.82;95%CI:1.23-6.45),analgesia before admission to the emergency department(aOR=2.71;95%CI:1.16-6.36),documentation of pain severity in the chart(aOR=2.71;95%CI:1.16-6.36),analgesia provided within two hours after admission(aOR=7.60;95%CI:2.79-20.68),use of non-pharmacological pain management methods(aOR=3.09;95%CI:1.35-7.08)and availability of analgesia(aOR=3.95;95%CI:1.36-11.43)were associated with acute pain experience.CONCLUSION:The prevalence of acute pain among emergency trauma patients was high in the study area.Analgesia should be administered prior to admission,and non-pharmacological pain management should be implemented.Moreover,training on pain assessment and management should be provided for healthcare providers in the emergency department.
文摘Aortic saddle embolism(ASE)is a rare but catastrophic vascular emergency characterized by acute occlusion of the aortic bifurcation,leading to bilateral lower limb ischemia and multiorgan dysfunction.Despite advances in imaging and surgical techniques,ASE has high morbidity and mortality rates,particularly when diagnosis or intervention is delayed.Here,we report two patients admitted to our center to increase awareness among emergency physicians.
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.
