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Characteristics of Decision-Making by Family Members When Older Adults Are Hospitalized in Emergency Cases with Life-Threatening Conditions
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作者 Chiyoko Kimura Ruriko Kidachi +2 位作者 Tetsuko Takaoka Motoya Yamada Yosuke Kamata 《Open Journal of Nursing》 2022年第12期854-873,共20页
Aim: This study aims to elucidate decision-making characteristics based on interviews with family members with experience in having to select treatments for older adult patients who have been hospitalized following em... Aim: This study aims to elucidate decision-making characteristics based on interviews with family members with experience in having to select treatments for older adult patients who have been hospitalized following emergency transport to the hospital. Design: Semi-structured interviews were conducted with 10 individuals with experience in surrogate decision-making for an older adult family member. Methods: The recorded interview data were transcribed verbatim, divided into minimum semantic units, and coded. Next, categories and subcategories were abstracted. A comparison was made with the conceptual constructs of a previous study that examined decision-making by families in a life-threatening crisis. Results: Four categories were extracted from 489 antecedents, 370 attributes, and 388 consequences. One new category was abstracted for each of: 1) antecedents: observing abnormalities and responding, while being worried about death;2) attributes: deliberating on the patient prognosis, the relationship with the patient, and what they believe the patient would want;and 3) consequences: continuing support during convalescence. It is desirable to provide support based on the characteristics of families of older adults, including considering the psychological burden on the families who make surrogate decisions, and also the burden of subsequent caregiving because it is not and in the present environment has not been common for patients to express their wishes beforehand. 展开更多
关键词 Older Adults Surrogate Decision-Making Life Crisis emergency Transport
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Giant Anomalous Nernst Angle Induced by Berry Curvature in Layered Itinerant Ferromagnets
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作者 Yu-Ting Qian Jiu-Yun Zhang +7 位作者 Xiang-Yu Bi Peng Chen Hong-Zi Cao Wei-Feng Xu Zhong-Yuan Liu Kun Zhai Hong-Tao Yuan Jun-Wei Huang 《Chinese Physics Letters》 2025年第9期268-304,共37页
Berry curvature describes the intrinsic geometric property of electronic band structure,crucial for governing emergent transport phenomena.As a typical Berry-curvature-related property,the anomalous Nernst effect prob... Berry curvature describes the intrinsic geometric property of electronic band structure,crucial for governing emergent transport phenomena.As a typical Berry-curvature-related property,the anomalous Nernst effect probes local Berry curvature near the Fermi surface,whereas the anomalous Hall effect integrates contributions across all occupied states.Thus,the anomalous Nernst effect is a superior probe for detecting subtle evolution of Berry curvature near the Fermi level;however,their relation remains elusive.Here,we demonstrate giant anomalous Nernst angles induced by Berry curvature in layered itinerant ferromagnets Fe_(3)GaTe_(2)and Fe_(5)GeTe_(2).Their maximum values(≈0.33 for Fe_(3)GaTe_(2)and≈0.41 for Fe_(5)GeTe_(2))are one order of magnitude larger than those of traditional ferromagnets(θ_(AN)^(max)<0.02).Scaling analysis of anomalous Hall effect in these two systems further suggests these giant angles originate from intrinsic Berry curvature.These findings indicate Berrycurvature-dominated regimes,and establish these materials for high-performance spin-caloritronic devices. 展开更多
关键词 anomalous hall effect giant anomalous nernst effect emergent transport phenomenaas detecting subtle evolution berry curvature anomalous nernst effect layered itinerant ferromagnets electronic band structurecrucial berry curvature
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Analysis on the characteristics and spatial distribution patterns of highway damage caused by the 2022 M_(S)6.8 Luding earthquake
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作者 Fei Zhao Jie Li +4 位作者 Ming Zhu Yifei Xu Guoqing Chen Jianhui Dong Jianjun Zhao 《Earthquake Science》 2025年第3期201-217,共17页
On September 5,2022,an M_(S)6.8 earthquake struck Luding County,Kardze Prefecture,Sichuan Province—an area that is particularly vulnerable to geological changes.The earthquake caused considerable damage along the hig... On September 5,2022,an M_(S)6.8 earthquake struck Luding County,Kardze Prefecture,Sichuan Province—an area that is particularly vulnerable to geological changes.The earthquake caused considerable damage along the highway,leading to road disruptions and blockages,further isolating earthquake-stricken areas.Accordingly,a rapid survey of the main highways in this area was conducted,and 507 damage points were identified.Roadbed damage accounted for more than 70%of the total damages.Co-seismic disasters were primarily distributed along the highways on both sides of the Dadu River in the reservoir area of the Dagangshan Hydropower Station,Caoke Township,and Detuo Township.Further,six factors under three categories of the spatial distribution of highway damage in the earthquake-stricken areas were analyzed.The rate of highway damage was positively correlated with the seismic intensity but negatively correlated with the fault and river distances.The earthquake intensity had the most significant impact:37.5%of road disruptions were found in areas with an intensity of IX;this percentage was 1.6 and 5.8 times greater than those found in areas with intensities of VIII and VII,respectively.The roads with the most significant damage were in regions with intensities above VIII,faults within 5 km,slopes within 30°–70°,rivers within 100 m,and the presence of granite.This indicated that these factors aggravated highway disruption,resulting in more than 90% of damaged highways in strongly shaken regions.Our findings may provide guidance for efficient highway recovery following earthquakes. 展开更多
关键词 highway engineering Luding earthquake co-seismic hazard emergent transport recovery highway damage rate
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基于5G+区块链的危重新生儿转运信息平台构建策略与效果评估 被引量:14
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作者 张晓波 冯瑞 +16 位作者 葛小玲 叶成杰 王蓓蓓 傅唯佳 曹云 周建国 黄国英 蒋龙泉 傅国慧 张帆 汤梁峰 顾莺 郑如意 张志峰 倪洪涛 沈兵 徐虹 《中国卫生资源》 北大核心 2022年第5期581-587,共7页
运用第五代移动通信技术(fifth generation,5G)的低延时、高速率特点和区块链技术的去中心化、不可纂改特点,构建危重新生儿转运信息系统,实现了医疗资源和医疗数据共享,保障转运间医疗服务连续性,加强转运途中的实时急救指导。复旦大... 运用第五代移动通信技术(fifth generation,5G)的低延时、高速率特点和区块链技术的去中心化、不可纂改特点,构建危重新生儿转运信息系统,实现了医疗资源和医疗数据共享,保障转运间医疗服务连续性,加强转运途中的实时急救指导。复旦大学附属儿科医院建设了5G+区块链的危重新生儿转运信息平台,设计融合5G数据传输功能的新生儿转诊舱,建立了转出医院、医疗急救中心、接诊医院三位一体的危重新生儿急救转诊网络体系。所有危重新生儿转运中照护前移,实现了“上车即入院”,提升了危重新生儿转运质量。 展开更多
关键词 危重新生儿critically ill neonates 新生儿转运系统newborn emergency transport system 5G技术fifth-generation 区块链blockchain
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Impact of Temperature in Summer on Emergency Transportation for Heat-Related Diseases in Japan 被引量:2
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作者 Yukie Ito Manabu Akahane Tomoaki Imamura 《Chinese Medical Journal》 SCIE CAS CSCD 2018年第5期574-582,共9页
Background: In Japan, the demand for emergency transportation for people with heat-related illness has recently increased. The purpose of this study was to investigate the relationship between incidents of heat-relate... Background: In Japan, the demand for emergency transportation for people with heat-related illness has recently increased. The purpose of this study was to investigate the relationship between incidents of heat-related illness and the daily maximum temperature. Methods: The daily maximum temperatures in Japan's 11 districts over the past 10 years were classified into four categories, with cutoff points at the 50th, 75th, 95th, and higher than 95th percentiles. We then conducted a logistic regression analysis of einergency transportation demand in each temperature category by age group, using the 50th percentile as tile reference category for each area. Results: There were 42,931 cases of emelgency transportation due to heat-related diseases during the study period. Classified by age. 12.5%, 43.4%, and 44.1% of cases involved children, adults, and elderly people, respectively. The analysis showed that the number of cases of emergency transportation for people with heat-related diseases (per 100,000 people; corresponding to a 1.0~C increase in the daily maximum temperature) was 0.016-0.106 among children (24.9-169.9 children required emergency transportation for heat-related diseases), from 0.013 to 0.059 among adults (19.8 98.2 adults required emergency transportation), and from 0.045 to 0.159 among elderly persons (30.0 145.4 elderly people required emergency transportation). The risk was highest for elderly persons, followed by children and finally adults. Cases of emergency transportation due to heat-related illness increased by 2.4-8.9 times when the daily maximum temperature was approximately 1.5℃ above the mean daily maximum temperature. In fact, the daily maximum temperature had a larger effect than the daily relative humidity level oil emergency transportation for people with heat-related diseases. Conclusion: Public health organizations and health-care services should support elderly people and children, two high-risk groups for heat-related diseases. 展开更多
关键词 emergency Transportation Heat-Related Diseases TEMPERATURE
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Future urban transport management 被引量:7
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作者 Ziyou GAO Hai-jun HUANG +2 位作者 Jifu GUO Lixing YANG Jianjun WU 《Frontiers of Engineering Management》 CSCD 2023年第3期534-539,共6页
The incorporation of disruptive innovations into the transportation industry will inevitably cause major upheavals in the transportation sector.However,existing research lacks systematic theories and methodologies to ... The incorporation of disruptive innovations into the transportation industry will inevitably cause major upheavals in the transportation sector.However,existing research lacks systematic theories and methodologies to represent the underlying characteristics of future urban transport systems.Furthermore,emerging modes in urban mobility have not been sufficiently studied.The National Natural Science Foundation of China(NSFC)officially approved the Basic Science Center project titled“Future Urban Transport Management”in 2022.The project members include leading scientists and engineers from Beijing Jiaotong University,Beihang University,and Beijing Transport Institute.Based on a wide range of previous projects by the consortium on urban mobility and sustainable cities,this project will encompass transdisciplinary and interdisciplinary research to explore critical issues affecting future urban traffic management.It aims to develop fundamental theories and methods based on social and technological developments in the near future and explores innovative solutions to implement alongside these emerging developments in urban mobility. 展开更多
关键词 future urban transport management travel behavior characteristics transportation operations transportation emergency management transportation decision intelligence
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vip Editorial: Special Issue on Internet of Things 被引量:2
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作者 Zhipeng Cai Anu Bourgeois Weitian Tong 《Tsinghua Science and Technology》 SCIE EI CAS CSCD 2017年第4期343-344,共2页
Internet of Things(IoT)is a new paradigm that the ubiquitous smart objects,such as devices,vehicles,buildings,etc.,interact and exchange data through emerging wireless technology with the intention of improving peo... Internet of Things(IoT)is a new paradigm that the ubiquitous smart objects,such as devices,vehicles,buildings,etc.,interact and exchange data through emerging wireless technology with the intention of improving people’s quality of lives in variety areas,such as transportation,manufacturing industry,health care industry,etc:Besides benefits, 展开更多
关键词 interact lives intention ubiquitous transportation paradigm benefits emerging unprecedented routing
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