This article we mainly analyse the source codes of the linux,we can modify the proper file that related to the architect,wealso use the cross-compile tools arm-linux-gcc and we eventually port to the processor. S3C241...This article we mainly analyse the source codes of the linux,we can modify the proper file that related to the architect,wealso use the cross-compile tools arm-linux-gcc and we eventually port to the processor. S3C2410,this article’s method is easy and it is suitable for practical applications.展开更多
Machine-learning is a robust technique for understanding pollution characteristics of surface ozone,which are at high levels in urban China.This study introduced an innovative approach combining trend decomposition wi...Machine-learning is a robust technique for understanding pollution characteristics of surface ozone,which are at high levels in urban China.This study introduced an innovative approach combining trend decomposition with Random Forest algorithm to investigate ozone dynamics and formation regimes in a coastal area of China.During the period of 2017–2022,significant inter-annual fluctuations emerged,with peaks in mid-2017 attributed to volatile organic compounds(VOCs),and in late-2019 influenced by air temperature.Multifaceted periodicities(daily,weekly,holiday,and yearly)in ozone were revealed,elucidating substantial influences of daily and yearly components on ozone periodicity.A VOC-sensitive ozone formation regime was identified,characterized by lower VOCs/NO_(x) ratios(average=0.88)and significant positive correlations between ozone and VOCs.This interplay manifested in elevated ozone duringweekends,holidays,and pandemic lockdowns.Key variables influencing ozone across diverse timescaleswere uncovered,with solar radiation and temperature driving daily and yearly ozone variations,respectively.Precursor substances,particularly VOCs,significantly shaped weekly/holiday patterns and long-term trends of ozone.Specifically,acetone,ethane,hexanal,and toluene had a notable impact on the multi-year ozone trend,emphasizing the urgency of VOC regulation.Furthermore,our observations indicated that NO_(x) primarily drived the stochastic variations in ozone,a distinguishing characteristic of regions with heavy traffic.This research provides novel insights into ozone dynamics in coastal urban areas and highlights the importance of integrating statistical and machinelearning methods in atmospheric pollution studies,with implications for targeted mitigation strategies beyond this specific region and pollutant.展开更多
Ports,the core hub of global supply chains,serve as vital links in the economic and trade exchanges among countries.Efficient,safe,green and smart ports are essential for the smooth operation of global trade.Recently,...Ports,the core hub of global supply chains,serve as vital links in the economic and trade exchanges among countries.Efficient,safe,green and smart ports are essential for the smooth operation of global trade.Recently,ISO established ISO/TC 8/SC 27,Ports and terminals,the secretariat of which is held by China.This is a big breakthrough of China’s participation in the international standardization activities in the area of transportation.展开更多
With the commissioning of Phase$,the port of Kribi is emerging as an important maritime transport hub in Central Africa With a 715-metre quay and a draught of 16 metres,the Autonomous Port of Kribi(APK)stands as one o...With the commissioning of Phase$,the port of Kribi is emerging as an important maritime transport hub in Central Africa With a 715-metre quay and a draught of 16 metres,the Autonomous Port of Kribi(APK)stands as one of Africa’s most strategically significant deep-water ports.Situated on Cameroon’s Atlantic coast,it o!ers direct access to international shipping lanes and is designed to handle large-capacity vessels that many regional ports cannot accommodate.展开更多
Ghana’s Tema Port marked a historic milestone on 16 January 2024 with the arrival of Maersk Edirne,a 13,676-TEU container vessel-one of the largest of its kind globally-as part of Maersk’s newly launched Far East-We...Ghana’s Tema Port marked a historic milestone on 16 January 2024 with the arrival of Maersk Edirne,a 13,676-TEU container vessel-one of the largest of its kind globally-as part of Maersk’s newly launched Far East-West Africa express service.展开更多
The efficient transportation of goods is vital for the economic growth of communities,making developing and maintaining seaport infrastructure an essential component of the marine transportation system.Given their geo...The efficient transportation of goods is vital for the economic growth of communities,making developing and maintaining seaport infrastructure an essential component of the marine transportation system.Given their geographic locations,ports are consistently at risk from natural hazards,making the resilience of port infrastructure an essential goal.Despite considerable progress in resilience research,there remains a gap in methods tailored explicitly to assessing port resilience,particularly under extreme wind events.Current approaches often do not capture the full complexity of port systems,as they tend to focus on isolated aspects,such as structural resilience.This paper introduces the PORT Resilience Framework,addressing these gaps by evaluating resilience through a comprehensive list of indicators gathered from various legitimate sources.The indicators are then organized under four comprehensive resilience dimensions:Physical Infrastructure,ICT(i.e.,Information and Communication Technology)and Equipment;Organization and Business Management;Resources and Economic Development;and Territory,Environment,and Stakeholders.This classification is summarized under the acronym"PORT."This paper also introduces a method for aggregating resilience indicators by considering their performance before and after a specific hazard,transforming the data into a quantifiable Loss of Resilience index.The approach is applied to a case study,assessing the resilience of a real Terminal against wind action using real data sourced from the port management.The case study analysis revealed that human resources and quay operations were the most critical factors affecting recovery,with insufficient staffing leading to prolonged recovery periods.The study further demonstrated that post-disruption activity surges,captured by different serviceability function methodologies,often created operational bottlenecks,challenging the port's overall recovery.展开更多
BACKGROUND Arm-implanted totally implantable venous access devices(peripherally inserted central catheter port)have become an important vascular access for colorectal cancer chemotherapy,but traditional anatomical lan...BACKGROUND Arm-implanted totally implantable venous access devices(peripherally inserted central catheter port)have become an important vascular access for colorectal cancer chemotherapy,but traditional anatomical landmark positioning techniques have issues with inaccurate positioning and high complication rates.AIM To evaluate the clinical value of image pre-measurement combined with intracavitary electrocardiogram(IC-ECG)positioning technology in arm port implantation for colorectal cancer patients.METHODS A retrospective analysis was conducted on 216 colorectal cancer patients who received arm port implantation in our hospital from January 2024 to December 2024.Patients were divided into an experimental group(image pre-measurement combined with IC-ECG positioning technology,n=103)and a control group(traditional anatomical landmark positioning technique,n=113).Technical success rate,operation time,catheter tip position accuracy,number of intraoperative catheter adjustments,X-ray exposure time,and postoperative complication rates were compared between the two groups.RESULTS The experimental group demonstrated superior outcomes compared to the control group across all key measures.Technical success rate was higher(98.4%vs 92.7%,P<0.05)with significantly reduced operation time(23.6±5.2 minutes vs 31.5±7.8 minutes,P<0.01).Catheter tip positioning accuracy improved substantially(97.6%vs 85.4%,P=0.002)while X-ray exposure time decreased by 71.8%(5.3±2.1 seconds vs 18.7±4.5 seconds,P<0.001).Threemonth complication rates were markedly lower in the experimental group(4.1%vs 14.6%,P=0.008),including significant reductions in catheter-related thrombosis(0.8%vs 4.9%),displacement(1.6%vs 5.7%),and occlusion(1.6%vs 4.1%).Multivariate analysis identified traditional technique as the strongest risk factor(odds ratio=4.27,P<0.001),while the combined IC-ECG approach was protective(odds ratio=0.34 for displacement,P=0.018).Long-term outcomes favored the experimental group with higher chemotherapy completion rates(97.1%vs 88.5%,P=0.014)and longer catheter dwelling time(189.5±45.3 days vs 162.7±53.8 days,P<0.001).CONCLUSION Image pre-measurement combined with intracavitary electrocardiogram positioning technology in arm port implantation for colorectal cancer patients can significantly improve catheter tip positioning accuracy,reduce operation time and X-ray exposure.展开更多
Pre-Authentication and Post-Connection(PAPC)plays a crucial role in realizing the Zero Trust security model by ensuring that access to network resources is granted only after successful authentication.While earlier ap...Pre-Authentication and Post-Connection(PAPC)plays a crucial role in realizing the Zero Trust security model by ensuring that access to network resources is granted only after successful authentication.While earlier approaches such as Port Knocking(PK)and Single Packet Authorization(SPA)introduced pre-authentication concepts,they suffer from limitations including plaintext communication,protocol dependency,reliance on dedicated clients,and inefficiency under modern network conditions.These constraints hinder their applicability in emerging distributed and resource-constrained environments such as AIoT and browser-based systems.To address these challenges,this study proposes a novel port-sequence-based PAPC scheme structured as a modular model comprising a client,server,and ephemeral Key Management System(KMS).The system employs the Advanced Encryption Standard(AES-128)to protect message confidentiality and uses a Hash-Based Message Authentication Code(HMAC-SHA256)to ensure integrity.Authentication messages are securely fragmented and mapped to destination port numbers using a signature-based avoidance algorithm,which prevents collisions with unsafe or reserved port ranges.The server observes incoming port sequences,retrieves the necessary keys from the KMS,reconstructs and verifies the encrypted data,and conditionally updates firewall policies.Unlike SPA,which requires decrypting all incoming payloads and imposes server-side overhead,the proposed system verifies only port-derived fragments,significantly reducing computational burden.Furthermore,it eliminates the need for raw socket access or custom clients,supporting browser-based operation and enabling protocol-independent deployment.Through a functional web-based prototype and emulated testing,the system achieved an F1-score exceeding 95%in detecting unauthorized access while maintaining low resource overhead.Although port sequence generation introduces some client-side cost,it remains lightweight and scalable.By tightly integrating lightweight cryptographic algorithms with a transport-layer communication model,this work presents a conceptually validated architecture that contributes a novel direction for interoperable and scalable Zero Trust enforcement in future network ecosystems.展开更多
BACKGROUND This case report examines the challenges associated with removing a totally implantable venous access port(TIVAP)used for long-term chemotherapy in a patient with breast cancer.Prolonged use of TIVAPs can r...BACKGROUND This case report examines the challenges associated with removing a totally implantable venous access port(TIVAP)used for long-term chemotherapy in a patient with breast cancer.Prolonged use of TIVAPs can result in complications such as catheter kinking,thrombosis,and adhesions between the catheter and surrounding tissues,potentially complicating their removal.CASE SUMMARY A breast cancer patient with bone metastasis presented with difficulty aspirating blood from a TIVAP that had been placed in the right internal jugular vein for 3 years.Initial removal attempts at the Department of Venous Access Center were unsuccessful,likely due to adhesions,necessitating a subsequent successful catheter extraction in a hybrid operating room.Imaging revealed no abnor-malities,and the catheter was removed using a mosquito clamp to detach it from surrounding tissues.CONCLUSION This case highlights the challenges of removing TIVAPs inserted via the internal jugular vein,particularly when the catheter traverses the sternocleidomastoid muscle.Repeated neck movements might lead to significant adhesions around the catheter,complicating its removal.Careful consideration should be given during catheter placement to avoid muscle-related adhesions and facilitate smoother extraction in long-term use.展开更多
This paper explores the application of blockchain in Hainan’s supply chain finance,analyzing its impact on enhancing market transparency,optimizing processes,and addressing challenges like information asymmetry and i...This paper explores the application of blockchain in Hainan’s supply chain finance,analyzing its impact on enhancing market transparency,optimizing processes,and addressing challenges like information asymmetry and inefficient credit transmission.It examines technical and security issues such as scalability and cross-chain interoperability,proposing solutions like layered architectures and privacy computing.The study highlights blockchain’s role in empowering cross-border trade,tropical agriculture,and SME financing,aiming to provide a reference for Hainan Free Trade Port’s financial digital transformation.展开更多
As an important strategic fulcrum for China’s new round of opening-up,the Hainan Free Trade Port provides broad space for achieving high-quality development with its unique policy advantages and financial resources.I...As an important strategic fulcrum for China’s new round of opening-up,the Hainan Free Trade Port provides broad space for achieving high-quality development with its unique policy advantages and financial resources.In this context,integrating blockchain technology into the construction of the free trade port can not only help enhance the innovation and competitiveness of the talent cultivation system but also promote the coordinated development of the real economy and the industrial system.Based on the core characteristics of blockchain technology,such as“decentralization,traceability,and high credibility”,this paper focuses on the common problems in the cultivation of composite talents in current vocational colleges,including an imperfect school-enterprise cooperation guarantee mechanism,a lack of teaching resources,weak teaching staff,and insufficient practical conditions.It proposes a new idea of introducing blockchain technology into the vocational education system.Through the research on the cultivation model of composite-skilled talents in vocational colleges in the context of“blockchain+”,this paper aims to promote the in-depth integration of vocational education in vertical and horizontal aspects,and further promote the systematic,standardized,and high-quality development of composite talent cultivation.展开更多
BACKGROUND Cancer patients with an implanted venous access port(IVAP)often manage their care at home during chemotherapy intervals,including maintaining the device,monitoring complications,and following medication ins...BACKGROUND Cancer patients with an implanted venous access port(IVAP)often manage their care at home during chemotherapy intervals,including maintaining the device,monitoring complications,and following medication instructions.Home care ensures continued support after discharge.However,due to factors such as age,gender,culture,psychological status,and family support,the quality of home care varies significantly.Understanding these factors can help provide targeted guidance to improve the care of cancer patients.AIM To explore IVAP chemotherapy on home care quality and its association with mental health and family support for cancer patients.METHODS This investigative study was based on a medical records system.It investigated the relationship between psychological status,family support,and home care quality in 180 patients with cancer undergoing IVAP chemotherapy.Psychological status was assessed using the State Anxiety Inventory(S-AI);family support was assessed using the Perceived Social Support Scale(PSSS),and home care quality was evaluated using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire(EORTC QLQ-C30).Pearson’s correlation and Structural Equation Modeling were used to analyze the interplay between these factors.RESULTS The average S-AI score was 47.52±14.47,PSSS was 52.48±12.64,and EORTC QLQ-C30 was 70.09±17.32.A substantial inverse relationship was observed between the EORTC QLQ-C30 and S-AI scores(r=-0.712).A significant positive correlation was found between the EORTC QLQ-C30 and the PSSS,with a correlation coefficient of(r=0.744).The multiple linear regression analysis indicated that family social support,psychological status,and average monthly family income were the main factors influencing the variation in the quality of home care,explaining 71.9%of the variation.The Structural Equation Modeling results indicated that psychological status acted as a partial mediator in the association between family social support and home care quality of life,explaining 32.78%of the mediation effect.CONCLUSION Psychological status and family social support positively impacted cancer patients’home care quality,with psychology partially mediating this effect.展开更多
With the development of global economic integration,building a world-class facilitating business environment has become an urgent need for Hainan Free Trade Port.To solve the existing problems in financial policies,le...With the development of global economic integration,building a world-class facilitating business environment has become an urgent need for Hainan Free Trade Port.To solve the existing problems in financial policies,legal supervision,and other aspects,this paper takes Hainan Free Trade Port as an example to analyze and study its institutional integration strategy for creating a world-class facilitating business environment.The specific integration strategies are summarized to promote the internationalization and facilitation of the business environment of Hainan Free Trade Port and promote the high development of the local economy.展开更多
This article focuses on the planning and design of the Haikou Qilou Old Street,a distinctive cultural street landscape,in the context of a free trade port.By thoroughly analyzing the historical and cultural value of t...This article focuses on the planning and design of the Haikou Qilou Old Street,a distinctive cultural street landscape,in the context of a free trade port.By thoroughly analyzing the historical and cultural value of the Qilou Old Street and its current issues,and considering the opportunities and challenges presented by the free trade port development,the article proposes targeted planning and design strategies in areas such as functional layout,traffic organization,cultural heritage and innovation,and landscape element design.The aim is to create a unique and high-quality cultural street landscape that serves as a shining card for Haikou’s urban culture,promoting the coordinated development of regional economy and culture,and providing a reference for the renewal and development of similar historical and cultural districts.展开更多
BACKGROUND Central venous access is essential for administering chemotherapy in patients with gastrointestinal cancer.Peripherally inserted central catheters(PICC)and totally implantable venous access ports(TIVAP)are ...BACKGROUND Central venous access is essential for administering chemotherapy in patients with gastrointestinal cancer.Peripherally inserted central catheters(PICC)and totally implantable venous access ports(TIVAP)are widely used,but comparative data regarding their impact on catheter-related complications and quality of life(QoL)remain limited.AIM To evaluate the impact of TIVAPs compared with PICC on catheter-related complications and QoL in patients with gastrointestinal cancer undergoing chemotherapy.METHODS This retrospective study included adults with gastrointestinal cancer who underwent central venous access device insertion for chemotherapy at our institution between December 2021 and December 2024.Inclusion criteria encompassed indications for intermittent intravenous chemotherapy,anticipated treatment duration of≥12 weeks,an adequate preoperative hematologic profile,accessible upper body veins,and complete medical records.Patients were excluded if they had an anticipated survival of less than three months,active systemic infection,severe thrombosis or coagulopathy,communication barriers,or an urgent need for dialysis access.Patients were assigned to either the PICC or TIVAP group based on device type.Data collected included demographic variables,cancer characteristics,insertion procedure details,complications,and QoL,assessed via the EuroQol 5-Dimensions-3 levels,visual analogue scale,and the European Organization for Research and Treatment of Cancer QoL Questionnaire-Core 30.RESULTS A total of 346 patients were analyzed.Baseline demographic,clinical,and cancer characteristics were similar between groups.The TIVAP group demonstrated a significantly lower incidence of catheter-related complications than the PICC group,with no pneumothorax occurring in either group.QoL assessments at baseline were comparable.At one month,the TIVAP group exhibited significantly higher EuroQoL Five Dimensions health state scores and QLQ-C30 global health status scores.Multivariate analysis identified TIVAP use,catheter tip placement in the distal superior vena cava/right atrium,prophylactic antibiotic administration,and antimicrobial dressing application as independent protective factors associated with reduced complications and improved QoL.CONCLUSION In patients with gastrointestinal cancer undergoing chemotherapy,TIVAPs are associated with a lower incidence of catheter-related complications and improved QoL than PICCs.Optimal device selection,precise catheter tip positioning,and effective perioperative management are critical for minimizing complications and enhancing patient-reported outcomes during treatment.展开更多
The concept of a community with a shared future for humanity is the core idea of Xi Jinping thought on diplomacy.Since its introduction,this concept has been steadily advanced across various levels and sectors,yieldin...The concept of a community with a shared future for humanity is the core idea of Xi Jinping thought on diplomacy.Since its introduction,this concept has been steadily advanced across various levels and sectors,yielding tangible and meaningful results.Within Chinese academia,the idea of a community with a shared future for humanity,along with the important idea of a maritime community with a shared future,has been integrated into research on South China Sea issues.Scholars have explored China’s approach to establishing regional order in the South China Sea from multiple perspectives,including territorial dispute resolution,maritime rights and interests’protection,environmental conservation,and port cooperation.展开更多
Modified potential ecological risk index （MRI） was proposed based on the potential ecological risk index （RI） and risk assessment code （RAC） by modifying an index. The modified index was relevant to the chemical...Modified potential ecological risk index （MRI） was proposed based on the potential ecological risk index （RI） and risk assessment code （RAC） by modifying an index. The modified index was relevant to the chemical speciation of heavy metals. Xiawan Port, a typical region contaminated by industrial production, was selected as a case study area. The total concentrations and chemical speciation of heavy metals in sediments of Xiawan Port were analyzed. The experimental data indicate that Xiawan Port is seriously polluted by heavy metals, especially by Cd. The risks of heavy metals are evaluated by RI, RAC and MRI, respectively. The resluts of MRI show that the risks of heavy metals are in the decreasing order of Cd〉Pb〉Cu〉Zn. Comparison of results by different methods reveals that MRI integrates the characters of RI and RAC. MRI is recognized to be useful for risk managemnt of heavy metals in sediments.展开更多
文摘This article we mainly analyse the source codes of the linux,we can modify the proper file that related to the architect,wealso use the cross-compile tools arm-linux-gcc and we eventually port to the processor. S3C2410,this article’s method is easy and it is suitable for practical applications.
基金supported by Ningbo Natural Science Foundation(No.2023J059)Ningbo Commonweal Programme Key Project(No.2023S038)Guangxi Key Research and Development Programme(No.GuikeAB21220063).
文摘Machine-learning is a robust technique for understanding pollution characteristics of surface ozone,which are at high levels in urban China.This study introduced an innovative approach combining trend decomposition with Random Forest algorithm to investigate ozone dynamics and formation regimes in a coastal area of China.During the period of 2017–2022,significant inter-annual fluctuations emerged,with peaks in mid-2017 attributed to volatile organic compounds(VOCs),and in late-2019 influenced by air temperature.Multifaceted periodicities(daily,weekly,holiday,and yearly)in ozone were revealed,elucidating substantial influences of daily and yearly components on ozone periodicity.A VOC-sensitive ozone formation regime was identified,characterized by lower VOCs/NO_(x) ratios(average=0.88)and significant positive correlations between ozone and VOCs.This interplay manifested in elevated ozone duringweekends,holidays,and pandemic lockdowns.Key variables influencing ozone across diverse timescaleswere uncovered,with solar radiation and temperature driving daily and yearly ozone variations,respectively.Precursor substances,particularly VOCs,significantly shaped weekly/holiday patterns and long-term trends of ozone.Specifically,acetone,ethane,hexanal,and toluene had a notable impact on the multi-year ozone trend,emphasizing the urgency of VOC regulation.Furthermore,our observations indicated that NO_(x) primarily drived the stochastic variations in ozone,a distinguishing characteristic of regions with heavy traffic.This research provides novel insights into ozone dynamics in coastal urban areas and highlights the importance of integrating statistical and machinelearning methods in atmospheric pollution studies,with implications for targeted mitigation strategies beyond this specific region and pollutant.
文摘Ports,the core hub of global supply chains,serve as vital links in the economic and trade exchanges among countries.Efficient,safe,green and smart ports are essential for the smooth operation of global trade.Recently,ISO established ISO/TC 8/SC 27,Ports and terminals,the secretariat of which is held by China.This is a big breakthrough of China’s participation in the international standardization activities in the area of transportation.
文摘With the commissioning of Phase$,the port of Kribi is emerging as an important maritime transport hub in Central Africa With a 715-metre quay and a draught of 16 metres,the Autonomous Port of Kribi(APK)stands as one of Africa’s most strategically significant deep-water ports.Situated on Cameroon’s Atlantic coast,it o!ers direct access to international shipping lanes and is designed to handle large-capacity vessels that many regional ports cannot accommodate.
文摘Ghana’s Tema Port marked a historic milestone on 16 January 2024 with the arrival of Maersk Edirne,a 13,676-TEU container vessel-one of the largest of its kind globally-as part of Maersk’s newly launched Far East-West Africa express service.
文摘The efficient transportation of goods is vital for the economic growth of communities,making developing and maintaining seaport infrastructure an essential component of the marine transportation system.Given their geographic locations,ports are consistently at risk from natural hazards,making the resilience of port infrastructure an essential goal.Despite considerable progress in resilience research,there remains a gap in methods tailored explicitly to assessing port resilience,particularly under extreme wind events.Current approaches often do not capture the full complexity of port systems,as they tend to focus on isolated aspects,such as structural resilience.This paper introduces the PORT Resilience Framework,addressing these gaps by evaluating resilience through a comprehensive list of indicators gathered from various legitimate sources.The indicators are then organized under four comprehensive resilience dimensions:Physical Infrastructure,ICT(i.e.,Information and Communication Technology)and Equipment;Organization and Business Management;Resources and Economic Development;and Territory,Environment,and Stakeholders.This classification is summarized under the acronym"PORT."This paper also introduces a method for aggregating resilience indicators by considering their performance before and after a specific hazard,transforming the data into a quantifiable Loss of Resilience index.The approach is applied to a case study,assessing the resilience of a real Terminal against wind action using real data sourced from the port management.The case study analysis revealed that human resources and quay operations were the most critical factors affecting recovery,with insufficient staffing leading to prolonged recovery periods.The study further demonstrated that post-disruption activity surges,captured by different serviceability function methodologies,often created operational bottlenecks,challenging the port's overall recovery.
基金Supported by the Affiliated Hospital of Xuzhou Medical University,No.2024ZH04Xuzhou Municipal Science and Technology Bureau,No.KC23282.
文摘BACKGROUND Arm-implanted totally implantable venous access devices(peripherally inserted central catheter port)have become an important vascular access for colorectal cancer chemotherapy,but traditional anatomical landmark positioning techniques have issues with inaccurate positioning and high complication rates.AIM To evaluate the clinical value of image pre-measurement combined with intracavitary electrocardiogram(IC-ECG)positioning technology in arm port implantation for colorectal cancer patients.METHODS A retrospective analysis was conducted on 216 colorectal cancer patients who received arm port implantation in our hospital from January 2024 to December 2024.Patients were divided into an experimental group(image pre-measurement combined with IC-ECG positioning technology,n=103)and a control group(traditional anatomical landmark positioning technique,n=113).Technical success rate,operation time,catheter tip position accuracy,number of intraoperative catheter adjustments,X-ray exposure time,and postoperative complication rates were compared between the two groups.RESULTS The experimental group demonstrated superior outcomes compared to the control group across all key measures.Technical success rate was higher(98.4%vs 92.7%,P<0.05)with significantly reduced operation time(23.6±5.2 minutes vs 31.5±7.8 minutes,P<0.01).Catheter tip positioning accuracy improved substantially(97.6%vs 85.4%,P=0.002)while X-ray exposure time decreased by 71.8%(5.3±2.1 seconds vs 18.7±4.5 seconds,P<0.001).Threemonth complication rates were markedly lower in the experimental group(4.1%vs 14.6%,P=0.008),including significant reductions in catheter-related thrombosis(0.8%vs 4.9%),displacement(1.6%vs 5.7%),and occlusion(1.6%vs 4.1%).Multivariate analysis identified traditional technique as the strongest risk factor(odds ratio=4.27,P<0.001),while the combined IC-ECG approach was protective(odds ratio=0.34 for displacement,P=0.018).Long-term outcomes favored the experimental group with higher chemotherapy completion rates(97.1%vs 88.5%,P=0.014)and longer catheter dwelling time(189.5±45.3 days vs 162.7±53.8 days,P<0.001).CONCLUSION Image pre-measurement combined with intracavitary electrocardiogram positioning technology in arm port implantation for colorectal cancer patients can significantly improve catheter tip positioning accuracy,reduce operation time and X-ray exposure.
基金supported by Institute for Information&Communications Technology Planning&Evaluation(IITP)grant funded by the Korea government(MSIT)(No.RS-2022-II221200)Convergence Security Core Talent Training Business(Chungnam National University).
文摘Pre-Authentication and Post-Connection(PAPC)plays a crucial role in realizing the Zero Trust security model by ensuring that access to network resources is granted only after successful authentication.While earlier approaches such as Port Knocking(PK)and Single Packet Authorization(SPA)introduced pre-authentication concepts,they suffer from limitations including plaintext communication,protocol dependency,reliance on dedicated clients,and inefficiency under modern network conditions.These constraints hinder their applicability in emerging distributed and resource-constrained environments such as AIoT and browser-based systems.To address these challenges,this study proposes a novel port-sequence-based PAPC scheme structured as a modular model comprising a client,server,and ephemeral Key Management System(KMS).The system employs the Advanced Encryption Standard(AES-128)to protect message confidentiality and uses a Hash-Based Message Authentication Code(HMAC-SHA256)to ensure integrity.Authentication messages are securely fragmented and mapped to destination port numbers using a signature-based avoidance algorithm,which prevents collisions with unsafe or reserved port ranges.The server observes incoming port sequences,retrieves the necessary keys from the KMS,reconstructs and verifies the encrypted data,and conditionally updates firewall policies.Unlike SPA,which requires decrypting all incoming payloads and imposes server-side overhead,the proposed system verifies only port-derived fragments,significantly reducing computational burden.Furthermore,it eliminates the need for raw socket access or custom clients,supporting browser-based operation and enabling protocol-independent deployment.Through a functional web-based prototype and emulated testing,the system achieved an F1-score exceeding 95%in detecting unauthorized access while maintaining low resource overhead.Although port sequence generation introduces some client-side cost,it remains lightweight and scalable.By tightly integrating lightweight cryptographic algorithms with a transport-layer communication model,this work presents a conceptually validated architecture that contributes a novel direction for interoperable and scalable Zero Trust enforcement in future network ecosystems.
基金Supported by the Science and Technology Research Project of Jiangxi Provincial Education Department,No.GJJ2208202Science and Technology Program Project of Health Commission of Jiangxi Province,No.202510069+1 种基金Jiangxi Cancer Hospital Doctoral Start-up Fund,No.BSQDJ202309Jiangxi Province Gan Po Talent Support Program,No.20232BCJ23035.
文摘BACKGROUND This case report examines the challenges associated with removing a totally implantable venous access port(TIVAP)used for long-term chemotherapy in a patient with breast cancer.Prolonged use of TIVAPs can result in complications such as catheter kinking,thrombosis,and adhesions between the catheter and surrounding tissues,potentially complicating their removal.CASE SUMMARY A breast cancer patient with bone metastasis presented with difficulty aspirating blood from a TIVAP that had been placed in the right internal jugular vein for 3 years.Initial removal attempts at the Department of Venous Access Center were unsuccessful,likely due to adhesions,necessitating a subsequent successful catheter extraction in a hybrid operating room.Imaging revealed no abnor-malities,and the catheter was removed using a mosquito clamp to detach it from surrounding tissues.CONCLUSION This case highlights the challenges of removing TIVAPs inserted via the internal jugular vein,particularly when the catheter traverses the sternocleidomastoid muscle.Repeated neck movements might lead to significant adhesions around the catheter,complicating its removal.Careful consideration should be given during catheter placement to avoid muscle-related adhesions and facilitate smoother extraction in long-term use.
基金2024 Hainan Provincial Higher Education Institutions Scientific Research Self-Funded Project“Research on‘Blockchain+Supply Chain Finance’and Financing of Small and Medium-sized Enterprises in Hainan Free Trade Harbor”(Hnky2024ZC-23)。
文摘This paper explores the application of blockchain in Hainan’s supply chain finance,analyzing its impact on enhancing market transparency,optimizing processes,and addressing challenges like information asymmetry and inefficient credit transmission.It examines technical and security issues such as scalability and cross-chain interoperability,proposing solutions like layered architectures and privacy computing.The study highlights blockchain’s role in empowering cross-border trade,tropical agriculture,and SME financing,aiming to provide a reference for Hainan Free Trade Port’s financial digital transformation.
基金Exploration and Practice of the Application of Blockchain Technology in the Cultivation of Composite Talents in the Context of the Free Trade Port(Project No.:HKJG2023-18)。
文摘As an important strategic fulcrum for China’s new round of opening-up,the Hainan Free Trade Port provides broad space for achieving high-quality development with its unique policy advantages and financial resources.In this context,integrating blockchain technology into the construction of the free trade port can not only help enhance the innovation and competitiveness of the talent cultivation system but also promote the coordinated development of the real economy and the industrial system.Based on the core characteristics of blockchain technology,such as“decentralization,traceability,and high credibility”,this paper focuses on the common problems in the cultivation of composite talents in current vocational colleges,including an imperfect school-enterprise cooperation guarantee mechanism,a lack of teaching resources,weak teaching staff,and insufficient practical conditions.It proposes a new idea of introducing blockchain technology into the vocational education system.Through the research on the cultivation model of composite-skilled talents in vocational colleges in the context of“blockchain+”,this paper aims to promote the in-depth integration of vocational education in vertical and horizontal aspects,and further promote the systematic,standardized,and high-quality development of composite talent cultivation.
文摘BACKGROUND Cancer patients with an implanted venous access port(IVAP)often manage their care at home during chemotherapy intervals,including maintaining the device,monitoring complications,and following medication instructions.Home care ensures continued support after discharge.However,due to factors such as age,gender,culture,psychological status,and family support,the quality of home care varies significantly.Understanding these factors can help provide targeted guidance to improve the care of cancer patients.AIM To explore IVAP chemotherapy on home care quality and its association with mental health and family support for cancer patients.METHODS This investigative study was based on a medical records system.It investigated the relationship between psychological status,family support,and home care quality in 180 patients with cancer undergoing IVAP chemotherapy.Psychological status was assessed using the State Anxiety Inventory(S-AI);family support was assessed using the Perceived Social Support Scale(PSSS),and home care quality was evaluated using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire(EORTC QLQ-C30).Pearson’s correlation and Structural Equation Modeling were used to analyze the interplay between these factors.RESULTS The average S-AI score was 47.52±14.47,PSSS was 52.48±12.64,and EORTC QLQ-C30 was 70.09±17.32.A substantial inverse relationship was observed between the EORTC QLQ-C30 and S-AI scores(r=-0.712).A significant positive correlation was found between the EORTC QLQ-C30 and the PSSS,with a correlation coefficient of(r=0.744).The multiple linear regression analysis indicated that family social support,psychological status,and average monthly family income were the main factors influencing the variation in the quality of home care,explaining 71.9%of the variation.The Structural Equation Modeling results indicated that psychological status acted as a partial mediator in the association between family social support and home care quality of life,explaining 32.78%of the mediation effect.CONCLUSION Psychological status and family social support positively impacted cancer patients’home care quality,with psychology partially mediating this effect.
基金General Scientific Research Project of Hainan Vocational University of Science and Technology-—Exploration of the Impact of Financial Reform on Enterprises in Hainan Free Trade Port(HKKY2024-13)。
文摘With the development of global economic integration,building a world-class facilitating business environment has become an urgent need for Hainan Free Trade Port.To solve the existing problems in financial policies,legal supervision,and other aspects,this paper takes Hainan Free Trade Port as an example to analyze and study its institutional integration strategy for creating a world-class facilitating business environment.The specific integration strategies are summarized to promote the internationalization and facilitation of the business environment of Hainan Free Trade Port and promote the high development of the local economy.
基金Research Project of Hainan Vocational University of Science and Technology in 2024“Research on the Planning and Design of Characteristic Cultural Street Landscape of Haikou Qilou Old Street under the Background of Free Trade Port”(Project No.:HKKY2024-45)。
文摘This article focuses on the planning and design of the Haikou Qilou Old Street,a distinctive cultural street landscape,in the context of a free trade port.By thoroughly analyzing the historical and cultural value of the Qilou Old Street and its current issues,and considering the opportunities and challenges presented by the free trade port development,the article proposes targeted planning and design strategies in areas such as functional layout,traffic organization,cultural heritage and innovation,and landscape element design.The aim is to create a unique and high-quality cultural street landscape that serves as a shining card for Haikou’s urban culture,promoting the coordinated development of regional economy and culture,and providing a reference for the renewal and development of similar historical and cultural districts.
文摘BACKGROUND Central venous access is essential for administering chemotherapy in patients with gastrointestinal cancer.Peripherally inserted central catheters(PICC)and totally implantable venous access ports(TIVAP)are widely used,but comparative data regarding their impact on catheter-related complications and quality of life(QoL)remain limited.AIM To evaluate the impact of TIVAPs compared with PICC on catheter-related complications and QoL in patients with gastrointestinal cancer undergoing chemotherapy.METHODS This retrospective study included adults with gastrointestinal cancer who underwent central venous access device insertion for chemotherapy at our institution between December 2021 and December 2024.Inclusion criteria encompassed indications for intermittent intravenous chemotherapy,anticipated treatment duration of≥12 weeks,an adequate preoperative hematologic profile,accessible upper body veins,and complete medical records.Patients were excluded if they had an anticipated survival of less than three months,active systemic infection,severe thrombosis or coagulopathy,communication barriers,or an urgent need for dialysis access.Patients were assigned to either the PICC or TIVAP group based on device type.Data collected included demographic variables,cancer characteristics,insertion procedure details,complications,and QoL,assessed via the EuroQol 5-Dimensions-3 levels,visual analogue scale,and the European Organization for Research and Treatment of Cancer QoL Questionnaire-Core 30.RESULTS A total of 346 patients were analyzed.Baseline demographic,clinical,and cancer characteristics were similar between groups.The TIVAP group demonstrated a significantly lower incidence of catheter-related complications than the PICC group,with no pneumothorax occurring in either group.QoL assessments at baseline were comparable.At one month,the TIVAP group exhibited significantly higher EuroQoL Five Dimensions health state scores and QLQ-C30 global health status scores.Multivariate analysis identified TIVAP use,catheter tip placement in the distal superior vena cava/right atrium,prophylactic antibiotic administration,and antimicrobial dressing application as independent protective factors associated with reduced complications and improved QoL.CONCLUSION In patients with gastrointestinal cancer undergoing chemotherapy,TIVAPs are associated with a lower incidence of catheter-related complications and improved QoL than PICCs.Optimal device selection,precise catheter tip positioning,and effective perioperative management are critical for minimizing complications and enhancing patient-reported outcomes during treatment.
文摘The concept of a community with a shared future for humanity is the core idea of Xi Jinping thought on diplomacy.Since its introduction,this concept has been steadily advanced across various levels and sectors,yielding tangible and meaningful results.Within Chinese academia,the idea of a community with a shared future for humanity,along with the important idea of a maritime community with a shared future,has been integrated into research on South China Sea issues.Scholars have explored China’s approach to establishing regional order in the South China Sea from multiple perspectives,including territorial dispute resolution,maritime rights and interests’protection,environmental conservation,and port cooperation.
基金Projects (51039001, 50978087, 51009063, 50808071) supported by the National Natural Science Foundation of ChinaProject (SX2010-026) supported by State Council Three Gorges Project Construction Committee Executive Office,China+2 种基金Project (2009ZX07212-001) supported by Ministry of Environmental Protection of ChinaProject (BYHGLC-2010-02) supported by Guangzhou Water Authority,ChinaProject (CX2010B157) supported by Hunan Provincial Innovation Foundation for Postgraduate,China
文摘Modified potential ecological risk index （MRI） was proposed based on the potential ecological risk index （RI） and risk assessment code （RAC） by modifying an index. The modified index was relevant to the chemical speciation of heavy metals. Xiawan Port, a typical region contaminated by industrial production, was selected as a case study area. The total concentrations and chemical speciation of heavy metals in sediments of Xiawan Port were analyzed. The experimental data indicate that Xiawan Port is seriously polluted by heavy metals, especially by Cd. The risks of heavy metals are evaluated by RI, RAC and MRI, respectively. The resluts of MRI show that the risks of heavy metals are in the decreasing order of Cd〉Pb〉Cu〉Zn. Comparison of results by different methods reveals that MRI integrates the characters of RI and RAC. MRI is recognized to be useful for risk managemnt of heavy metals in sediments.
