BACKGROUND Gastrointestinal(GI)tumors are among the most prevalent malignancies,and surgical intervention remains a primary treatment modality.However,the complexity of GI surgery often leads to prolonged recovery and...BACKGROUND Gastrointestinal(GI)tumors are among the most prevalent malignancies,and surgical intervention remains a primary treatment modality.However,the complexity of GI surgery often leads to prolonged recovery and high postoperative complication rates,which threaten patient safety and functional outcomes.Enhanced recovery after surgery(ERAS)principles have been shown to improve perioperative outcomes through evidence-based,multidisciplinary care pathways.Despite its widespread adoption,there is a paucity of research focusing specifically on optimizing ERAS-guided nursing processes in the post-anesthesia care unit(PACU)and evaluating its impact on perioperative safety in patients undergoing GI tumor surgery.This study aimed to investigate whether an ERASbased PACU nursing protocol could enhance recovery,reduce complications,and improve patient safety in this surgical population.AIM To explore the impact of optimizing the recovery room nursing process based on ERAS on the perioperative safety of patients with GI tumors.METHODS A total of 260 patients with GI tumors who underwent elective surgeries under general anesthesia in our hospital from August 2023 to August 2025 and were then observed in the recovery unit(PACU)were selected.They were randomly divided into the observation group(the PACU nursing process was optimized based on ERAS)and the control group(the conventional PACU nursing process was adopted)by the random number grouping method,with 130 cases in each group.The time of gastric tube removal,urinary catheter removal,defecation time,hospital stay,time of leaving the room after tube removal,retention time in the recovery room,occurrence of complications,satisfaction and readmission rate were compared between the two groups after entering the room.Compare the occurrence of adverse events in the PACU nursing process between the two groups.RESULTS The time of gastric tube removal,urinary catheter removal,defecation time,hospital stay,retention time in the recovery room,total incidence of complications and readmission rate in the observation group were significantly lower than those in the control group,and the satisfaction rate was higher than that in the control group(P<0.05).The occurrence of adverse events in the PACU nursing process in the observation group was lower than that in the control group(P<0.05).CONCLUSION Optimizing the PACU nursing process based on ERAS can effectively accelerate the recovery process of patients undergoing GI tumor surgery,reduce adverse events,improve nursing satisfaction,and at the same time,lower the incidence of adverse events in the PACU nursing process,providing a more refined management basis for clinical practice.展开更多
Laser beam welding was used to join a near-β titanium alloy(Ti-3Al-6Mo-2Fe-2Zr),followed by aging treatments.The relations among aging temperature,microstructure,and tensile properties of joints were revealed.For as-...Laser beam welding was used to join a near-β titanium alloy(Ti-3Al-6Mo-2Fe-2Zr),followed by aging treatments.The relations among aging temperature,microstructure,and tensile properties of joints were revealed.For as-welded joints,the fusion zone features primarily single β phase.It is attributed to the high Mo equivalency of this alloy and the fast cooling rate in laser beam welding.After aging treatments,many α precipitates form in the fusion zone and heat affected zone.The rising aging temperature coarsens α precipitates and reduces the volume fraction of α precipitates.Compared with the as-welded joints,the aging treated joints'tensile strength and elongation are improved.The increasing aging temperature weakens the strengthening effect because of the decreasing volume fraction of α precipitates.After the aging treatment at 500℃ for 8 h,the joints obtain the optimal match between strength and plasticity.The fracture mode of joints changes from quasi-cleavage fracture in as-welded condition to microvoid coalescence fracture after heat treatments.展开更多
一、完形填空阅读短文,掌握其大意,从A、B、C三个选项中选择最佳答案填空。A It's Sunday afternoon.Mike's family are at home.When Mike and his 4 year-old brother Bruce are__1__in their room,Dad is cleaning the livin...一、完形填空阅读短文,掌握其大意,从A、B、C三个选项中选择最佳答案填空。A It's Sunday afternoon.Mike's family are at home.When Mike and his 4 year-old brother Bruce are__1__in their room,Dad is cleaning the living room with the cleaner(吸尘器).展开更多
Perhaps the greatest compliment that an attending surgeon can bestow on a resident in training,is to comment,“He/she has good hands.”However,what defines good hands?What parameters are used to make that judgment?As ...Perhaps the greatest compliment that an attending surgeon can bestow on a resident in training,is to comment,“He/she has good hands.”However,what defines good hands?What parameters are used to make that judgment?As an academic urologist,I had the opportunity to observe urology and general surgery residents in the operating room over several decades.展开更多
Bismuth-doped antimony tungstate(Bi-doped Sb_(2)WO_(6))microspheres were synthesized via a novel hydrothermal synthesis approach.These microspheres were then used as active layers in gas sensors for the detection of c...Bismuth-doped antimony tungstate(Bi-doped Sb_(2)WO_(6))microspheres were synthesized via a novel hydrothermal synthesis approach.These microspheres were then used as active layers in gas sensors for the detection of carbon dioxide(CO_(2)),a significant greenhouse gas and a critical parameter for evaluating air quality.The incorporation of bismuth significantly enhances the gas-sensing performance of the Sb_(2)WO_(6)microspheres,with the 4%Bidoped sensing active layer achieving a remarkable response value of 15 when exposed to 200 ppm of CO_(2),outperforming the undoped Sb_(2)WO_(6).Furthermore,the selectivity of the 4%Bi-Sb_(2)WO_(6)sensor toward CO_(2)gas was enhanced relative to the Sb_(2)WO_(6)sensor.The fundamental mechanisms of gas sensing and the factors contributing to the improved CO_(2)response of 4%Bi-Sb_(2)WO_(6)micro spheres were investigated using density functional theory.Bi-doped Sb_(2)WO_(6)materials exhibit significant advantages in gas-sensing applications,including improved conductivity,enhanced gas adsorption capacity,increased reaction rates,good chemical stability,excellent selectivity,and the ability to adjust electron density.These characteristics enable Bi-doped Sb_(2)WO_(6)to demonstrate higher sensitivity and rapid response capabilities in gas sensors,making it suitable for practical applications.展开更多
Hi, everyone! I'd like to tell you something about my dream home. It is in a quiet place far away from the city.It's a big house with two floors. On the ground floor, there is a bright kitchen and a dining roo...Hi, everyone! I'd like to tell you something about my dream home. It is in a quiet place far away from the city.It's a big house with two floors. On the ground floor, there is a bright kitchen and a dining room. We usually have nice meal(1) there. On the first floor, there are three bedrooms and a study. It's really nice to have a bedroom of my own.展开更多
This study reports the development of a novel amino‐functionalized ionic liquid catalyst,namely 1‐butyl‐3‐methylimidazolium amino triazole([EMIM]ATZ),for the efficient and sustainable synthesis of ethyl methyl car...This study reports the development of a novel amino‐functionalized ionic liquid catalyst,namely 1‐butyl‐3‐methylimidazolium amino triazole([EMIM]ATZ),for the efficient and sustainable synthesis of ethyl methyl carbonate(EMC)via transesterification of dimethyl carbonate(DMC)and ethanol(C_(2)H_(5)OH)at room temperature.Addressing the limitations of conventional catalytic systems that require elevated temperatures(>75℃),[EMIM]ATZ achieves 62%DMC conversion and 56%EMC yield within 8 h under room temperature(25℃),while conventional ionic liquids([EMIM]Cl,[EMIM]BF_(4),[EMIM]PF_(6) etc.)showed almost no activity at room temperature.The catalyst's superior activity stems from its strong basicity(pH≈9.2)and enhanced CO_(2) absorption capacity(200 mg·g^(−)1),which synergistically activate C2H5OH and stabilize reaction intermediates.Structural characterization via FTIR and thermogravimetric analysis(TGA)confirmed the catalyst's thermal stability and recyclability,with no significant degradation observed over five reuse cycles(89%activity retention).In addition,the ionic liquid was also able to catalyze the synthesis of methyl propyl carbonate(PMC)and methyl butyl carbonate(BMC)at room temperature.展开更多
The development of efficient,cost-effective electrocatalysts for oxygen evolution reaction(OER)is crucial for advancing sustainable energy.In this study,we investigated the influence of the solvent type on the morphol...The development of efficient,cost-effective electrocatalysts for oxygen evolution reaction(OER)is crucial for advancing sustainable energy.In this study,we investigated the influence of the solvent type on the morphological evolution and electrocatalytic performance of cobalt-based ZIF-67 metal-organic frameworks(MOFs).Particularly,we demonstrated the significant effect of solvent-mediated morphological control on the OER performance using methanol(MeOH),N,N-dimethylformamide(DMF),and deionized(DI)water.The ZIF-L(W),synthesized in DI water,exhibited a unique 2D leaf-like structure,and achieved remarkably low overpotentials of 360,398,and 460 mV at current densities of 50,100,and 200 mA cm^(−2),respectively.This performance significantly surpasses those of the polyhedral ZIF-67(D)and ZIF-67(M)structures synthesized in DMF and MeOH,respectively.The superior OER activity of ZIF-L(W)was attributed to its larger pore size,enhanced electron transfer properties,and the formation of unsaturated coordination sites.These results present a scalable,low-temperature route for designing high-performance MOF-based electrocatalysts with potential applications in sustainable energy systems.展开更多
Objective:To explore the application effect of the path for improving humanistic literacy of operating room nursing students based on the ORTCC model,in order to make up for the deficiency of systematic humanistic edu...Objective:To explore the application effect of the path for improving humanistic literacy of operating room nursing students based on the ORTCC model,in order to make up for the deficiency of systematic humanistic education in the traditional teaching model.Methods:120 nursing students who practiced in the operating room from June 2023 to June 2024 were randomly divided into the experimental group and the control group,with 60 students in each group.The control group received routine teaching,while the experimental group applied the ORTCC model on the basis of routine and intervened through setting humanistic literacy goals,formulating behavioral norms,conducting diversified training,implementing two-way assessment,and creating departmental culture.The effect of the intervention was evaluated using the Nurse Humanistic Quality Scale,the Clinical Communication Ability Assessment Scale for Operating Room Nursing Students,and a self-made nursing satisfaction questionnaire.Results:After the intervention,the total score of humanistic literacy in the experimental group(4 weeks of intervention:161.43±10.06 points,12 weeks of intervention:165.71±9.45 points)was significantly higher than that in the control group(139.38±10.95 points,143.31±10.52 points)(all p<0.001);The total score of clinical communication ability in the experimental group(109.69±8.05 points for 4 weeks of intervention,116.90±7.21 points for 12 weeks of intervention)was also significantly better than that in the control group(99.14±9.23 points,103.03±8.78 points)(all p<0.001);The total score of patient care satisfaction in the experimental group(94.2±4.3)was significantly higher than that in the control group(82.6±5.7)(p<0.001).Conclusion:The ORTCC model can systematically enhance the humanistic literacy,clinical communication skills and patient satisfaction of operating room nursing students,providing an effective approach for optimizing clinical teaching in the operating room.展开更多
Thermocatalytic biofuel production via(trans)esterification can be highly enabled by solid alkali catalysts,while often suffering from serious saponification and unsatisfactory catalyst reusability when the bases are ...Thermocatalytic biofuel production via(trans)esterification can be highly enabled by solid alkali catalysts,while often suffering from serious saponification and unsatisfactory catalyst reusability when the bases are directly used for high-acid-value oils.Herein,room temperature single-step upgrading of various non-edible oils(acid values:66-21.5 mgKOHg^(-1))to biodiesel(>97%yields)after 37 min with satisfactory fuel properties was achieved under solar irradiation over a renewable heterogeneous Lewis base catalyst(Cs/GL-4),which was composed of adjacent Cs single atoms(ACs SA)anchored on graphene-like(GL)biomaterial.Infrared thermal imaging showed that Cs/GL-4 had good photothermal performance,while quantum calculations and COMSOL multiphysics disclosed that ACs S A exhibited the prominent pyroelectric effect which was closely correlated with super-alkalinity and good acid resistance,both contributing to rapidly producing biodiesel of high efficiency under ambient conditions(25℃).Moreover,the pronounced activity and reusability of Cs/GL-4 were verified by reaction kinetics and recycling studies.The life cycle assessment indicated significant advantages in terms of energy savings(68.86 MJ kg^(-1))and negative carbon emission(-2.42 kg_(CO_(2eq))kg^(-1))associated with the photothermaldriven protocol for renewable diesel production,suggesting its relatively positive overall environmental impact.The electronic structure of adjacent atomic sites further enhanced by the photothermal effect provides an alternative reference for the one-step and mild upgrading of raw biomass.展开更多
This work investigates a combined cooling,heating,and power(CCHP)generation system utilizing waste energy.A cascade-CCHP system is developed,consisting of a 23.65-kWe organic Rankine cycle(ORC),a 4.00-kW adsorption ch...This work investigates a combined cooling,heating,and power(CCHP)generation system utilizing waste energy.A cascade-CCHP system is developed,consisting of a 23.65-kWe organic Rankine cycle(ORC),a 4.00-kW adsorption chiller,a 4.11-kW absorption chiller,a 15.99-kW drying room,and an incinerator of 150 kg/h.A net energy production of 36.08 kWh is achieved from a CCHP energy efficiency of 9.98%.The levelized cost for producing a total energy output of 2,020,592 kWh over a lifespan of 20 years is approximately 0.106 USD/kWh.The life cycle assessment(LCA)yields a single score of approximately 0.000151 Pt,mainly attributed to raw materials used in the construction process of 87.16%.In addition,the combustion ash is processed into concrete blocks measuring 39 cm×19 cm×7 cm,in accordance with the Industrial Product Standard(TIS)58-2533,with a water absorption value below 5%and a compressive strength exceeding 25 kg/cm2.The CCHP system demonstrates a novel method of waste-to-energy(WtE),and the construction material from waste combustion ash can also support a new concept of waste-to-zero(WtZ).展开更多
In Austin,Texas,the workday at Myosin Marketing starts in an unusual way.Instead of diving straight into tasks,employees gather in the meeting room for a deep‑breathing exercise led by the company's head,Sean Clay...In Austin,Texas,the workday at Myosin Marketing starts in an unusual way.Instead of diving straight into tasks,employees gather in the meeting room for a deep‑breathing exercise led by the company's head,Sean Clayton.This simple practice helps them loosen up and makes them more willing to take inventive risks.展开更多
Stimulus-responsive organic room temperature phosphorescent(RTP)materials have received significant attention in bioimaging,sensing,and data storage because of their controllable dynamic variability and rapid response...Stimulus-responsive organic room temperature phosphorescent(RTP)materials have received significant attention in bioimaging,sensing,and data storage because of their controllable dynamic variability and rapid response.Organic cocrystals,with tailor-designed optical properties through manipulation of their aggregate structures,have proven to be very effective in elucidating the structureproperty relationship of organic RTP materials at the molecular level.Therefore,enhancing RTP through rigid frameworks that promote intersystem crossing is a valid approach.Notably,the realization of organic RTP co-crystal performance by altering the components or adjusting the crystal lattices is highly appealing;however,this has not been fully addressed.In this study,an organic RTP cocrystal,4,40-bipyridine(44BD),was employed as the host,and 1,4-diiodotetrafluorobenzene(DITF)and 4-bromo-2,3,5,6-tetrafluorobenzoic acid(TFBA)were employed as vips.The 44BD-DITF co-crystal exhibited an orange RTP,whereas 44BD-TFBA displayed a bright yellow RTP.Crystal analysis and theoretical calculations revealed that dense molecular packing and abundant intermolecular interactions within these co-crystals are crucial for the emergence of RTP.Notably,both co-crystals show a reversible acid/base stimulus response,that is,exposure to hydrochloric acid(HCl)fumes results in quenching of their RTP,which can be subsequently restored by triethylamine(TEA)fumigation.This study presents an effective approach towards reversible RTP switching in organic co-crystals,thus offering opportunities for the development of acid/base stimulus-responsive materials for next-generation applications.展开更多
Traditional resistive semiconductor gas sensors suffer from high operating temperatures and poor selectivity.Thus,to address these issues,a highly selective nitrogen dioxide(NO_(2))sensor based on lead sulfide(PbS)qua...Traditional resistive semiconductor gas sensors suffer from high operating temperatures and poor selectivity.Thus,to address these issues,a highly selective nitrogen dioxide(NO_(2))sensor based on lead sulfide(PbS)quantum dots(QDs)–lead molybdate(PbMoO_(4))–molybdenum disulfide(MoS_(2))ternary nanocomposites operating at room temperature was fabricated herein.The ternary nanocomposites were synthesized using an in situ method,yielding Pb S QDs with an average size of~10 nm and PbMoO_(4)nanoparticles in the 10-to 20-nm range,uniformly distributed on ultrathin MoS_(2)nanosheets with an average thickness of~7 nm.The optimized sensor demonstrated a significant improvement in response to 1 ppm NO_(2)at 25℃,achieving a response of 44.5%,which was approximately five times higher than that of the pure MoS_(2)-based sensor(8.5%).The sensor also achieved relatively short response/recovery times and full recovery properties.Notably,the optimal sensor displayed extraordinary selectivity toward NO_(2),showing negligible responses to different interfering gases.Density functional theory(DFT)calculations were conducted to elucidate the underlying sensing mechanism,which was attributed to the enhanced specific surface area,the receptor function of both PbS QDs and PbMoO_(4)nanoparticles,and the transducer function of MoS_(2) nanosheets.展开更多
In Sichuan’s vast interior,far from the urgency of its major cities,rural life is shifting in ways both gentle and profound.The province’s ambitions for rural revitalization are often articulated in policy documents...In Sichuan’s vast interior,far from the urgency of its major cities,rural life is shifting in ways both gentle and profound.The province’s ambitions for rural revitalization are often articulated in policy documents and planning rooms,but their real meaning can only be understood on the ground-in the places where people live,farm,build,and hope.展开更多
Solid-state batteries(SSBs)with thermal stable solid-state electrolytes(SSEs)show intrinsic capacity and great potential in energy density improvement.SSEs play critical role,however,their low ionic conductivity at ro...Solid-state batteries(SSBs)with thermal stable solid-state electrolytes(SSEs)show intrinsic capacity and great potential in energy density improvement.SSEs play critical role,however,their low ionic conductivity at room temperature and high brittleness hinder their further development.In this paper,polypropylene(PP)-polyvinylidene fluoride(PVDF)-Li_(1.3)Al_(0.3)Ti_(1.7)(PO_(4))_(3)(LATP)-Lithium bis(trifluoromethane sulphonyl)imide(LiTFSI)multi-layered composite solid electrolyte(CSE)is prepared by a simple separator coating strategy.The incorporation of LATP nanoparticle fillers and high concentration LiTFSI not only reduces the crystallinity of PVDF,but also forms a solvation structure,which contributes to high ionic conductivity in a wide temperature.In addition,using a PP separator as the supporting film,the mechanical strength of the electrolyte was improved and the growth of lithium dendrites are effectively inhibited.The results show that the CSE prepared in this paper has a high ionic conductivity of 6.38×10^(-4)S/cm at room temperature and significantly improves the mechanical properties,the tensile strength reaches 11.02 MPa.The cycle time of Li/Li symmetric cell assembled by CSE at room temperature can exceed 800 h.The Li/LFP full cell can cycle over 800 cycles and the specific capacity of Li/LFP full cell can still reach 120 m Ah/g after 800 cycles at 2 C.This CSE has good cycle stability and excellent mechanical strength at room temperature,which provides an effective method to improve the performance of solid electrolytes under moderate condition.展开更多
Objective The lack of clarity regarding the application performance of a hybrid operating room(HOR)and the uncertainty of surgical scheduling often lead to its inefficient application.This study aimed to review the cl...Objective The lack of clarity regarding the application performance of a hybrid operating room(HOR)and the uncertainty of surgical scheduling often lead to its inefficient application.This study aimed to review the clinical application of our neurosurgical HOR and propose a scale to score cases clearly.Methods We reviewed the operating procedures and duration of stay in 1865 HOR cases.The actual procedures of each case were summarized into 5 application types,and numerical assignment was used to distinguish the dependence of each type on our HOR:surgical procedures combined with interventional procedures(4 points,the highest dependence),surgical procedures combined with imaging procedures(3 points),interventional procedures(2 points),imaging procedures(1 point),and surgical procedures(0 points,the lowest dependence).Results A novel scale that could score 1865 cases into those 5 grades was developed.The percentages by grade were as follows:4 points,4.24%;3 points,4.88%;2 points,20.75%;1 point,69.38%;and 0 points,0.75%.The cumulative usage time was 4241.9 h,the duration of which was as follows:4 points,16.17%;3 points,15.50%;2 points,31.32%;1 point,35.62%;and 0 points,1.39%.Conclusions The HOR serves as a multifunctional room to treat neurosurgical diseases.The scale helps to quickly prioritize cases that rely more on HOR,providing guidelines for surgical scheduling.Although our HOR is unsuitable for emergency cases,it clearly shows the application performance of our HOR to provide a reference for promoting its efficient application.展开更多
The Healthcare Failure Mode and Effect Analysis(HFMEA)model,as a proactive risk assessment tool,systematically identifies potential infection risk points during surgical procedures and evaluates the failure modes and ...The Healthcare Failure Mode and Effect Analysis(HFMEA)model,as a proactive risk assessment tool,systematically identifies potential infection risk points during surgical procedures and evaluates the failure modes and their effects that may result from these risks.Evidence-based medicine,on the other hand,emphasizes making medical decisions based on the best available evidence.Combining these two approaches can provide more scientific and effective strategies for preventing infection in operating rooms.This paper delves into the application of the HFMEA model and evidence-based medicine in the field of infection prevention in operating rooms,aiming to offer new perspectives and methods for this critical aspect of healthcare.展开更多
In recent years,research on nursing interruptions has been conducted at various levels in emergency departments,intensive care units,hemodialysis centers,operating rooms,and sterilization and supply centers.Nursing in...In recent years,research on nursing interruptions has been conducted at various levels in emergency departments,intensive care units,hemodialysis centers,operating rooms,and sterilization and supply centers.Nursing interruptions are closely related to adverse nursing events,and interruptions in operating room nursing can significantly impact the success of a patient’s surgery.However,there is a lack of in-depth theoretical research on safety risk assessment and response decision-making by operating room nurses when faced with nursing interruptions.This article reviews the concept,current status,and impact of nursing interruptions in the operating room,analyzes the cognitive level,coping strategies,and negative emotions of operating room nurses,and elaborates on management strategies to provide references for research and management of nursing interruptions in the operating room.展开更多
Refractory high-entropy alloys(RHEAs),composed of multiple refractory elements,such as Nb,Mo,Ta,W,Ti,Zr,Hf,in nearor non-equiatomic ratios,have recently emerged as promising structural materials for extreme environmen...Refractory high-entropy alloys(RHEAs),composed of multiple refractory elements,such as Nb,Mo,Ta,W,Ti,Zr,Hf,in nearor non-equiatomic ratios,have recently emerged as promising structural materials for extreme environments due to their high melting points,excellent high-temperature mechanical properties,and superior micro structural stability.Compared to conventional HEAs based on elements like Ni,Fe,or Cr,RHEAs offer enhanced elevated-temperature performance but face challenges including segregation during solidification,relatively poor room-temperature ductility,and,most important,high-temperature oxidation.展开更多
基金Supported by 2025 Henan Medical Education Research Project,No.WJLX2025038.
文摘BACKGROUND Gastrointestinal(GI)tumors are among the most prevalent malignancies,and surgical intervention remains a primary treatment modality.However,the complexity of GI surgery often leads to prolonged recovery and high postoperative complication rates,which threaten patient safety and functional outcomes.Enhanced recovery after surgery(ERAS)principles have been shown to improve perioperative outcomes through evidence-based,multidisciplinary care pathways.Despite its widespread adoption,there is a paucity of research focusing specifically on optimizing ERAS-guided nursing processes in the post-anesthesia care unit(PACU)and evaluating its impact on perioperative safety in patients undergoing GI tumor surgery.This study aimed to investigate whether an ERASbased PACU nursing protocol could enhance recovery,reduce complications,and improve patient safety in this surgical population.AIM To explore the impact of optimizing the recovery room nursing process based on ERAS on the perioperative safety of patients with GI tumors.METHODS A total of 260 patients with GI tumors who underwent elective surgeries under general anesthesia in our hospital from August 2023 to August 2025 and were then observed in the recovery unit(PACU)were selected.They were randomly divided into the observation group(the PACU nursing process was optimized based on ERAS)and the control group(the conventional PACU nursing process was adopted)by the random number grouping method,with 130 cases in each group.The time of gastric tube removal,urinary catheter removal,defecation time,hospital stay,time of leaving the room after tube removal,retention time in the recovery room,occurrence of complications,satisfaction and readmission rate were compared between the two groups after entering the room.Compare the occurrence of adverse events in the PACU nursing process between the two groups.RESULTS The time of gastric tube removal,urinary catheter removal,defecation time,hospital stay,retention time in the recovery room,total incidence of complications and readmission rate in the observation group were significantly lower than those in the control group,and the satisfaction rate was higher than that in the control group(P<0.05).The occurrence of adverse events in the PACU nursing process in the observation group was lower than that in the control group(P<0.05).CONCLUSION Optimizing the PACU nursing process based on ERAS can effectively accelerate the recovery process of patients undergoing GI tumor surgery,reduce adverse events,improve nursing satisfaction,and at the same time,lower the incidence of adverse events in the PACU nursing process,providing a more refined management basis for clinical practice.
基金National Natural Science Foundation of China(51804097)Fundamental Research Funds for the Central Universities of China(B220202026)Changzhou Sci&Tech Program(CJ20220074)。
文摘Laser beam welding was used to join a near-β titanium alloy(Ti-3Al-6Mo-2Fe-2Zr),followed by aging treatments.The relations among aging temperature,microstructure,and tensile properties of joints were revealed.For as-welded joints,the fusion zone features primarily single β phase.It is attributed to the high Mo equivalency of this alloy and the fast cooling rate in laser beam welding.After aging treatments,many α precipitates form in the fusion zone and heat affected zone.The rising aging temperature coarsens α precipitates and reduces the volume fraction of α precipitates.Compared with the as-welded joints,the aging treated joints'tensile strength and elongation are improved.The increasing aging temperature weakens the strengthening effect because of the decreasing volume fraction of α precipitates.After the aging treatment at 500℃ for 8 h,the joints obtain the optimal match between strength and plasticity.The fracture mode of joints changes from quasi-cleavage fracture in as-welded condition to microvoid coalescence fracture after heat treatments.
文摘一、完形填空阅读短文,掌握其大意,从A、B、C三个选项中选择最佳答案填空。A It's Sunday afternoon.Mike's family are at home.When Mike and his 4 year-old brother Bruce are__1__in their room,Dad is cleaning the living room with the cleaner(吸尘器).
文摘Perhaps the greatest compliment that an attending surgeon can bestow on a resident in training,is to comment,“He/she has good hands.”However,what defines good hands?What parameters are used to make that judgment?As an academic urologist,I had the opportunity to observe urology and general surgery residents in the operating room over several decades.
基金financially supported by the Outstanding Youth Foundation of Jiangsu Province of China(No.BK20211548)Yangzhou Science and Technology Plan Project(No.YZ2023246)+1 种基金China Scholarship Council(No.202308320445)the Postgraduate Research and Practice Innovation Program of Jiangsu Province of China(No.KYCX23_3551)
文摘Bismuth-doped antimony tungstate(Bi-doped Sb_(2)WO_(6))microspheres were synthesized via a novel hydrothermal synthesis approach.These microspheres were then used as active layers in gas sensors for the detection of carbon dioxide(CO_(2)),a significant greenhouse gas and a critical parameter for evaluating air quality.The incorporation of bismuth significantly enhances the gas-sensing performance of the Sb_(2)WO_(6)microspheres,with the 4%Bidoped sensing active layer achieving a remarkable response value of 15 when exposed to 200 ppm of CO_(2),outperforming the undoped Sb_(2)WO_(6).Furthermore,the selectivity of the 4%Bi-Sb_(2)WO_(6)sensor toward CO_(2)gas was enhanced relative to the Sb_(2)WO_(6)sensor.The fundamental mechanisms of gas sensing and the factors contributing to the improved CO_(2)response of 4%Bi-Sb_(2)WO_(6)micro spheres were investigated using density functional theory.Bi-doped Sb_(2)WO_(6)materials exhibit significant advantages in gas-sensing applications,including improved conductivity,enhanced gas adsorption capacity,increased reaction rates,good chemical stability,excellent selectivity,and the ability to adjust electron density.These characteristics enable Bi-doped Sb_(2)WO_(6)to demonstrate higher sensitivity and rapid response capabilities in gas sensors,making it suitable for practical applications.
文摘Hi, everyone! I'd like to tell you something about my dream home. It is in a quiet place far away from the city.It's a big house with two floors. On the ground floor, there is a bright kitchen and a dining room. We usually have nice meal(1) there. On the first floor, there are three bedrooms and a study. It's really nice to have a bedroom of my own.
基金supported by Shandong Energy Institute(SEI U202321)Gansu Province Young Talents(Team Project)(2025QNTD41)+2 种基金Natural Science Foundation of Shandong(ZR2024QB172)The Major Project of Gansu Province(21ZD4WA021,23JRRA603)Natural Science Foundation of Gansu(24JRRA060).
文摘This study reports the development of a novel amino‐functionalized ionic liquid catalyst,namely 1‐butyl‐3‐methylimidazolium amino triazole([EMIM]ATZ),for the efficient and sustainable synthesis of ethyl methyl carbonate(EMC)via transesterification of dimethyl carbonate(DMC)and ethanol(C_(2)H_(5)OH)at room temperature.Addressing the limitations of conventional catalytic systems that require elevated temperatures(>75℃),[EMIM]ATZ achieves 62%DMC conversion and 56%EMC yield within 8 h under room temperature(25℃),while conventional ionic liquids([EMIM]Cl,[EMIM]BF_(4),[EMIM]PF_(6) etc.)showed almost no activity at room temperature.The catalyst's superior activity stems from its strong basicity(pH≈9.2)and enhanced CO_(2) absorption capacity(200 mg·g^(−)1),which synergistically activate C2H5OH and stabilize reaction intermediates.Structural characterization via FTIR and thermogravimetric analysis(TGA)confirmed the catalyst's thermal stability and recyclability,with no significant degradation observed over five reuse cycles(89%activity retention).In addition,the ionic liquid was also able to catalyze the synthesis of methyl propyl carbonate(PMC)and methyl butyl carbonate(BMC)at room temperature.
基金financially supported by the National Research Foundation of Korea(NRF)grant funded by the Korean government(MSIT)(No.2020R1A5A1019131)supported by the Korea Planning&Evaluation Institute of Industrial Technology(KEIT)and the Ministry of Trade,Industry&Energy(MOTIE)of the Republic of Korea(No.RS-2024-00433671).
文摘The development of efficient,cost-effective electrocatalysts for oxygen evolution reaction(OER)is crucial for advancing sustainable energy.In this study,we investigated the influence of the solvent type on the morphological evolution and electrocatalytic performance of cobalt-based ZIF-67 metal-organic frameworks(MOFs).Particularly,we demonstrated the significant effect of solvent-mediated morphological control on the OER performance using methanol(MeOH),N,N-dimethylformamide(DMF),and deionized(DI)water.The ZIF-L(W),synthesized in DI water,exhibited a unique 2D leaf-like structure,and achieved remarkably low overpotentials of 360,398,and 460 mV at current densities of 50,100,and 200 mA cm^(−2),respectively.This performance significantly surpasses those of the polyhedral ZIF-67(D)and ZIF-67(M)structures synthesized in DMF and MeOH,respectively.The superior OER activity of ZIF-L(W)was attributed to its larger pore size,enhanced electron transfer properties,and the formation of unsaturated coordination sites.These results present a scalable,low-temperature route for designing high-performance MOF-based electrocatalysts with potential applications in sustainable energy systems.
文摘Objective:To explore the application effect of the path for improving humanistic literacy of operating room nursing students based on the ORTCC model,in order to make up for the deficiency of systematic humanistic education in the traditional teaching model.Methods:120 nursing students who practiced in the operating room from June 2023 to June 2024 were randomly divided into the experimental group and the control group,with 60 students in each group.The control group received routine teaching,while the experimental group applied the ORTCC model on the basis of routine and intervened through setting humanistic literacy goals,formulating behavioral norms,conducting diversified training,implementing two-way assessment,and creating departmental culture.The effect of the intervention was evaluated using the Nurse Humanistic Quality Scale,the Clinical Communication Ability Assessment Scale for Operating Room Nursing Students,and a self-made nursing satisfaction questionnaire.Results:After the intervention,the total score of humanistic literacy in the experimental group(4 weeks of intervention:161.43±10.06 points,12 weeks of intervention:165.71±9.45 points)was significantly higher than that in the control group(139.38±10.95 points,143.31±10.52 points)(all p<0.001);The total score of clinical communication ability in the experimental group(109.69±8.05 points for 4 weeks of intervention,116.90±7.21 points for 12 weeks of intervention)was also significantly better than that in the control group(99.14±9.23 points,103.03±8.78 points)(all p<0.001);The total score of patient care satisfaction in the experimental group(94.2±4.3)was significantly higher than that in the control group(82.6±5.7)(p<0.001).Conclusion:The ORTCC model can systematically enhance the humanistic literacy,clinical communication skills and patient satisfaction of operating room nursing students,providing an effective approach for optimizing clinical teaching in the operating room.
基金financially supported by the National Natural Science Foundation of China(Nos.22368014,and 22478087)Guizhou Provincial S&T Project(Nos.GCC[2023]011,and ZK[2022]011)+1 种基金Graduate Research Foundation of Guizhou Province(No.YJSKYJJ[2024]058)Guizhou Provincial Higher Education Institution Program(No.Qianjiaoji[2023]082)
文摘Thermocatalytic biofuel production via(trans)esterification can be highly enabled by solid alkali catalysts,while often suffering from serious saponification and unsatisfactory catalyst reusability when the bases are directly used for high-acid-value oils.Herein,room temperature single-step upgrading of various non-edible oils(acid values:66-21.5 mgKOHg^(-1))to biodiesel(>97%yields)after 37 min with satisfactory fuel properties was achieved under solar irradiation over a renewable heterogeneous Lewis base catalyst(Cs/GL-4),which was composed of adjacent Cs single atoms(ACs SA)anchored on graphene-like(GL)biomaterial.Infrared thermal imaging showed that Cs/GL-4 had good photothermal performance,while quantum calculations and COMSOL multiphysics disclosed that ACs S A exhibited the prominent pyroelectric effect which was closely correlated with super-alkalinity and good acid resistance,both contributing to rapidly producing biodiesel of high efficiency under ambient conditions(25℃).Moreover,the pronounced activity and reusability of Cs/GL-4 were verified by reaction kinetics and recycling studies.The life cycle assessment indicated significant advantages in terms of energy savings(68.86 MJ kg^(-1))and negative carbon emission(-2.42 kg_(CO_(2eq))kg^(-1))associated with the photothermaldriven protocol for renewable diesel production,suggesting its relatively positive overall environmental impact.The electronic structure of adjacent atomic sites further enhanced by the photothermal effect provides an alternative reference for the one-step and mild upgrading of raw biomass.
基金National Research Council of Thailand(NRCT)and the School of Renewable Energy and Maejo University for the project to produce and develop graduates in renewable energy for ASEAN countries for graduate students(2021).
文摘This work investigates a combined cooling,heating,and power(CCHP)generation system utilizing waste energy.A cascade-CCHP system is developed,consisting of a 23.65-kWe organic Rankine cycle(ORC),a 4.00-kW adsorption chiller,a 4.11-kW absorption chiller,a 15.99-kW drying room,and an incinerator of 150 kg/h.A net energy production of 36.08 kWh is achieved from a CCHP energy efficiency of 9.98%.The levelized cost for producing a total energy output of 2,020,592 kWh over a lifespan of 20 years is approximately 0.106 USD/kWh.The life cycle assessment(LCA)yields a single score of approximately 0.000151 Pt,mainly attributed to raw materials used in the construction process of 87.16%.In addition,the combustion ash is processed into concrete blocks measuring 39 cm×19 cm×7 cm,in accordance with the Industrial Product Standard(TIS)58-2533,with a water absorption value below 5%and a compressive strength exceeding 25 kg/cm2.The CCHP system demonstrates a novel method of waste-to-energy(WtE),and the construction material from waste combustion ash can also support a new concept of waste-to-zero(WtZ).
文摘In Austin,Texas,the workday at Myosin Marketing starts in an unusual way.Instead of diving straight into tasks,employees gather in the meeting room for a deep‑breathing exercise led by the company's head,Sean Clayton.This simple practice helps them loosen up and makes them more willing to take inventive risks.
基金supported by the Natural Science Foundation of Jilin Province(20240101003JC)the Department of Science and Technology of Jilin Province(20230508176RC and 20240602063RC)+1 种基金the China Postdoctoral Science Foundation(2024M751080 and 2024T170337)the National Natural Science Foundation of China(52073116,22275065,22302073).
文摘Stimulus-responsive organic room temperature phosphorescent(RTP)materials have received significant attention in bioimaging,sensing,and data storage because of their controllable dynamic variability and rapid response.Organic cocrystals,with tailor-designed optical properties through manipulation of their aggregate structures,have proven to be very effective in elucidating the structureproperty relationship of organic RTP materials at the molecular level.Therefore,enhancing RTP through rigid frameworks that promote intersystem crossing is a valid approach.Notably,the realization of organic RTP co-crystal performance by altering the components or adjusting the crystal lattices is highly appealing;however,this has not been fully addressed.In this study,an organic RTP cocrystal,4,40-bipyridine(44BD),was employed as the host,and 1,4-diiodotetrafluorobenzene(DITF)and 4-bromo-2,3,5,6-tetrafluorobenzoic acid(TFBA)were employed as vips.The 44BD-DITF co-crystal exhibited an orange RTP,whereas 44BD-TFBA displayed a bright yellow RTP.Crystal analysis and theoretical calculations revealed that dense molecular packing and abundant intermolecular interactions within these co-crystals are crucial for the emergence of RTP.Notably,both co-crystals show a reversible acid/base stimulus response,that is,exposure to hydrochloric acid(HCl)fumes results in quenching of their RTP,which can be subsequently restored by triethylamine(TEA)fumigation.This study presents an effective approach towards reversible RTP switching in organic co-crystals,thus offering opportunities for the development of acid/base stimulus-responsive materials for next-generation applications.
基金supported by the National Natural Science Foundation of China(No.52274255)Fundamental Research Funds for the Central Universities,China(Nos.N2401003,N2301003,N2201008,N2201004,and N2301025)+3 种基金Liaoning Revitalization Talents Program,China(No.XLYC2202028)Postdoctoral Foundation of Northeastern University,ChinaYoung Elite Scientists Sponsorship Program by CAST(No.2022QNRC001)China Postdoctoral Science Foundation(No.2022M720025)。
文摘Traditional resistive semiconductor gas sensors suffer from high operating temperatures and poor selectivity.Thus,to address these issues,a highly selective nitrogen dioxide(NO_(2))sensor based on lead sulfide(PbS)quantum dots(QDs)–lead molybdate(PbMoO_(4))–molybdenum disulfide(MoS_(2))ternary nanocomposites operating at room temperature was fabricated herein.The ternary nanocomposites were synthesized using an in situ method,yielding Pb S QDs with an average size of~10 nm and PbMoO_(4)nanoparticles in the 10-to 20-nm range,uniformly distributed on ultrathin MoS_(2)nanosheets with an average thickness of~7 nm.The optimized sensor demonstrated a significant improvement in response to 1 ppm NO_(2)at 25℃,achieving a response of 44.5%,which was approximately five times higher than that of the pure MoS_(2)-based sensor(8.5%).The sensor also achieved relatively short response/recovery times and full recovery properties.Notably,the optimal sensor displayed extraordinary selectivity toward NO_(2),showing negligible responses to different interfering gases.Density functional theory(DFT)calculations were conducted to elucidate the underlying sensing mechanism,which was attributed to the enhanced specific surface area,the receptor function of both PbS QDs and PbMoO_(4)nanoparticles,and the transducer function of MoS_(2) nanosheets.
文摘In Sichuan’s vast interior,far from the urgency of its major cities,rural life is shifting in ways both gentle and profound.The province’s ambitions for rural revitalization are often articulated in policy documents and planning rooms,but their real meaning can only be understood on the ground-in the places where people live,farm,build,and hope.
基金supported by National Natural Science Foundation of China(No.22209075)。
文摘Solid-state batteries(SSBs)with thermal stable solid-state electrolytes(SSEs)show intrinsic capacity and great potential in energy density improvement.SSEs play critical role,however,their low ionic conductivity at room temperature and high brittleness hinder their further development.In this paper,polypropylene(PP)-polyvinylidene fluoride(PVDF)-Li_(1.3)Al_(0.3)Ti_(1.7)(PO_(4))_(3)(LATP)-Lithium bis(trifluoromethane sulphonyl)imide(LiTFSI)multi-layered composite solid electrolyte(CSE)is prepared by a simple separator coating strategy.The incorporation of LATP nanoparticle fillers and high concentration LiTFSI not only reduces the crystallinity of PVDF,but also forms a solvation structure,which contributes to high ionic conductivity in a wide temperature.In addition,using a PP separator as the supporting film,the mechanical strength of the electrolyte was improved and the growth of lithium dendrites are effectively inhibited.The results show that the CSE prepared in this paper has a high ionic conductivity of 6.38×10^(-4)S/cm at room temperature and significantly improves the mechanical properties,the tensile strength reaches 11.02 MPa.The cycle time of Li/Li symmetric cell assembled by CSE at room temperature can exceed 800 h.The Li/LFP full cell can cycle over 800 cycles and the specific capacity of Li/LFP full cell can still reach 120 m Ah/g after 800 cycles at 2 C.This CSE has good cycle stability and excellent mechanical strength at room temperature,which provides an effective method to improve the performance of solid electrolytes under moderate condition.
基金supported by the Technology Innovation Special Major Project of Hubei Province(grant number 2022BCA003).
文摘Objective The lack of clarity regarding the application performance of a hybrid operating room(HOR)and the uncertainty of surgical scheduling often lead to its inefficient application.This study aimed to review the clinical application of our neurosurgical HOR and propose a scale to score cases clearly.Methods We reviewed the operating procedures and duration of stay in 1865 HOR cases.The actual procedures of each case were summarized into 5 application types,and numerical assignment was used to distinguish the dependence of each type on our HOR:surgical procedures combined with interventional procedures(4 points,the highest dependence),surgical procedures combined with imaging procedures(3 points),interventional procedures(2 points),imaging procedures(1 point),and surgical procedures(0 points,the lowest dependence).Results A novel scale that could score 1865 cases into those 5 grades was developed.The percentages by grade were as follows:4 points,4.24%;3 points,4.88%;2 points,20.75%;1 point,69.38%;and 0 points,0.75%.The cumulative usage time was 4241.9 h,the duration of which was as follows:4 points,16.17%;3 points,15.50%;2 points,31.32%;1 point,35.62%;and 0 points,1.39%.Conclusions The HOR serves as a multifunctional room to treat neurosurgical diseases.The scale helps to quickly prioritize cases that rely more on HOR,providing guidelines for surgical scheduling.Although our HOR is unsuitable for emergency cases,it clearly shows the application performance of our HOR to provide a reference for promoting its efficient application.
文摘The Healthcare Failure Mode and Effect Analysis(HFMEA)model,as a proactive risk assessment tool,systematically identifies potential infection risk points during surgical procedures and evaluates the failure modes and their effects that may result from these risks.Evidence-based medicine,on the other hand,emphasizes making medical decisions based on the best available evidence.Combining these two approaches can provide more scientific and effective strategies for preventing infection in operating rooms.This paper delves into the application of the HFMEA model and evidence-based medicine in the field of infection prevention in operating rooms,aiming to offer new perspectives and methods for this critical aspect of healthcare.
基金Analysis of Lung Compliance Measurement and its Guided Therapeutic Effects in Patients with ARDS Secondary to Severe Multiple Trauma(Project No.:XSD-2023-002)。
文摘In recent years,research on nursing interruptions has been conducted at various levels in emergency departments,intensive care units,hemodialysis centers,operating rooms,and sterilization and supply centers.Nursing interruptions are closely related to adverse nursing events,and interruptions in operating room nursing can significantly impact the success of a patient’s surgery.However,there is a lack of in-depth theoretical research on safety risk assessment and response decision-making by operating room nurses when faced with nursing interruptions.This article reviews the concept,current status,and impact of nursing interruptions in the operating room,analyzes the cognitive level,coping strategies,and negative emotions of operating room nurses,and elaborates on management strategies to provide references for research and management of nursing interruptions in the operating room.
文摘Refractory high-entropy alloys(RHEAs),composed of multiple refractory elements,such as Nb,Mo,Ta,W,Ti,Zr,Hf,in nearor non-equiatomic ratios,have recently emerged as promising structural materials for extreme environments due to their high melting points,excellent high-temperature mechanical properties,and superior micro structural stability.Compared to conventional HEAs based on elements like Ni,Fe,or Cr,RHEAs offer enhanced elevated-temperature performance but face challenges including segregation during solidification,relatively poor room-temperature ductility,and,most important,high-temperature oxidation.
