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The Experiences With Nurses Trainings Concerning Prevention of Violence in the Czech Republic in Years 2010-2013
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《Psychology Research》 2014年第11期922-927,共6页
The aim of this paper is to analyze the results from the implemented projects and trainings which were aimed to minimize violence in health care area in CR (the Czech Republic) in years 2010-2013. The paper describe... The aim of this paper is to analyze the results from the implemented projects and trainings which were aimed to minimize violence in health care area in CR (the Czech Republic) in years 2010-2013. The paper describes the results and experience from the communication trainings which were gained within the projects: CR lacks the support of government agencies so as employers and research on the issue, medical staff are not professional enough in communication, there are more requirements for the quality of lecturers; there is no existing general system of monitoring of violent incidents; there is no relevant education at schools. The article contains also new general ways about how to resolve mentioned problems. These results include the special mini project where educated 550 staff members in the health care area in a short time period and taught them key skills for how to approach the aggressive patients-50.6% respondents used successfully the gained skills in their practice (negotiation with patients, aggressive related); 42.7% respondents also used successfully the gained skills in their private life. It was found out that with the used skills the courage by conflict resolution was created. 展开更多
关键词 violence research CR (the Czech Republic) communication training PREVENTION
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The Management System Innovation, Organizational Reform and Organizational Culture of Colleges and Universities' Adult Trainings
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作者 Xiaoyan Jia 《Journal of Educational Theory and Management》 2017年第1期162-165,共4页
The idea of lifelong education has aroused great concern of domestic researchers for adult non-academic training. Colleges and universities, as the main venue for adult training, provide the basic guarantee for the tr... The idea of lifelong education has aroused great concern of domestic researchers for adult non-academic training. Colleges and universities, as the main venue for adult training, provide the basic guarantee for the training of talents in our country. This also makes the social service function of colleges and universities become increasingly prominent under the current social background. However, in the aspects of the management system and organizational reform, the college adult training shall be differentiated from normal talent cultivation and construct an organizational structure with features such as networking and diversification. Only that would lay a good foundation for the development of colleges' adult training industry. Based on this, this study analyzes the management system innovation, organizational change and organizational culture and characteristics of adult training in colleges and hopes to improve the management of adult training in colleges and universities. 展开更多
关键词 UNIVERSITY ADULT TRAINING MANAGEMENT system ORGANIZATIONAL REFORM
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What are desirable biosecurity trainings for veterinary practitioners and farmers?
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作者 Anna Maria Iatrou Blerta Mehmedi Kastrati +13 位作者 Rreze M.Gecaj Georgios Batikas Jarkko K.Niemi Claude Saegerman Alberto Oscar Allepuz Wiebke Jansen Nancy De Briyne Daniele De Meneghi Murat Yılmaz Evelien Biebaut Ramazan Yildiz Marco De Nardi Carla Correia-Gomes Tarmo Niine 《Journal of Biosafety and Biosecurity》 2025年第2期91-106,共16页
Effective biosecurity training is essential for disease prevention in livestock systems;however,substan-tial gaps persist.We combined an online survey(74 fully completed questionnaires;267 views)with two World Caf... Effective biosecurity training is essential for disease prevention in livestock systems;however,substan-tial gaps persist.We combined an online survey(74 fully completed questionnaires;267 views)with two World Caféworkshops(∼60 participants)to map the current provision,competence levels,and training needs across Europe.Key findings:(i)self-rated biosecurity knowledge differed markedly between stake-holder groups and veterinarians and other stakeholders reported median scores close to 80/100;(ii)more than three-quarters of cattle(77%)and 70%of swine veterinarians perceived a major gap in their ability to demonstrate the economic benefits of biosecurity to clients;(iii)39–44%of cattle and small-ruminant veterinarians reported inadequate mixed(theory+practice)training formats,and up to 50%of poultry veterinarians identified deficits in communication and behavior-change skills;(iv)across all discussions,participants favored modular,blended delivery that couples concise e-learning with on-farm coaching,supported by externally audited certification and greater farmer co-design.Therefore,rec-ommendations focus on developing species-specific,flexible modules that embed communication and cost-benefit elements,provide micro-learning units for time-constrained farmers,and operate within a tiered certification framework linked to continuing professional development.Implementing these mea-sures will narrow competence gaps,strengthen veterinarian–farmer engagement,and enhance disease preparedness throughout European livestock production. 展开更多
关键词 BIOSECURITY LIVESTOCK Training gaps World Cafe Online Survey
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Multi-target neural circuit reconstruction and enhancement in spinal cord injury 被引量:1
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作者 Lingyun Cao Siyun Chen +2 位作者 Shuping Wang Ya Zheng Dongsheng Xu 《Neural Regeneration Research》 2026年第3期957-971,共15页
After spinal cord injury,impairment of the sensorimotor circuit can lead to dysfunction in the motor,sensory,proprioceptive,and autonomic nervous systems.Functional recovery is often hindered by constraints on the tim... After spinal cord injury,impairment of the sensorimotor circuit can lead to dysfunction in the motor,sensory,proprioceptive,and autonomic nervous systems.Functional recovery is often hindered by constraints on the timing of interventions,combined with the limitations of current methods.To address these challenges,various techniques have been developed to aid in the repair and reconstruction of neural circuits at different stages of injury.Notably,neuromodulation has garnered considerable attention for its potential to enhance nerve regeneration,provide neuroprotection,restore neurons,and regulate the neural reorganization of circuits within the cerebral cortex and corticospinal tract.To improve the effectiveness of these interventions,the implementation of multitarget early interventional neuromodulation strategies,such as electrical and magnetic stimulation,is recommended to enhance functional recovery across different phases of nerve injury.This review concisely outlines the challenges encountered following spinal cord injury,synthesizes existing neurostimulation techniques while emphasizing neuroprotection,repair,and regeneration of impaired connections,and advocates for multi-targeted,task-oriented,and timely interventions. 展开更多
关键词 multi-targets nerve root magnetic stimulation neural circuit NEUROMODULATION peripheral nerve stimulation RECONSTRUCTION spinal cord injury task-oriented training TIMING transcranial magnetic stimulation
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Early intelligent active assistance in walking for hemiplegic patients under suspension protection: a randomized controlled trial
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作者 Ma Shanxin Zheng Jianling +5 位作者 Cheng Jian Lin Xi Li Qiuyuan Wang Li Zeng Yangkang Song Luping 《中国组织工程研究》 北大核心 2026年第12期3075-3082,共8页
BACKGROUND:Hemiplegia,a prevalent stroke-related condition,is often studied for motor dysfunction;however,spasticity remains under-researched.Abnormal muscle tone significantly hinders hemiplegic patients’walking rec... BACKGROUND:Hemiplegia,a prevalent stroke-related condition,is often studied for motor dysfunction;however,spasticity remains under-researched.Abnormal muscle tone significantly hinders hemiplegic patients’walking recovery.OBJECTIVE:To determine whether early suspension-protected training with a personal assistant machine for stroke patients enhances walking ability and prevents muscle spasms.METHODS:Thirty-two early-stage stroke patients from Shenzhen University General Hospital and the China Rehabilitation Research Center were randomly assigned to the experimental group(n=16)and the control group(n=16).Both groups underwent 4 weeks of gait training under the suspension protection system for 30 minutes daily,5 days a week.The experimental group used the personal assistant machine during training.Three-dimensional gait analysis(using the Cortex motion capture system),Brunnstrom staging,Fugl-Meyer Assessment for lower limb motor function,Fugl-Meyer balance function,and the modified Ashworth Scale were evaluated within 1 week before the intervention and after 4 weeks of intervention.RESULTS AND CONCLUSION:After the 4-week intervention,all outcome measures showed significant changes in each group.The experimental group had a small but significant increase in the modified Ashworth Scale score(P<0.05,d=|0.15|),while the control group had a large significant increase(P<0.05,d=|1.48|).The experimental group demonstrated greater improvements in walking speed(16.5 to 38.44 cm/s,P<0.05,d=|4.01|),step frequency(46.44 to 64.94 steps/min,P<0.05,d=|2.32|),stride length(15.50 to 29.81 cm,P<0.05,d=|3.44|),and peak hip and knee flexion(d=|1.82|to|2.17|).After treatment,the experimental group showed significantly greater improvements than the control group in walking speed(38.44 vs.26.63 cm/s,P<0.05,d=|2.75|),stride length,peak hip and knee flexion(d=|1.31|to|1.45|),step frequency(64.94 vs.59.38 steps/min,P<0.05,d=|0.85|),and a reduced support phase(bilateral:24.31%vs.28.38%,P<0.05,d=|0.88|;non-paretic:66.19%vs.70.13%,P<0.05,d=|0.94|).For early hemiplegia,personal assistant machine-assisted gait training under the suspension protection system helps establish a correct gait pattern,prevents muscle spasms,and improves motor function. 展开更多
关键词 hemiplegia stroke suspension protection system personal assistant machine intelligent walking aid early rehabilitation active training walking function NEUROPLASTICITY gait analysis motor function recovery rehabilitation training balance ability
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Evaluation of Fire Service Command Unit Trainings 被引量:2
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作者 Meinald T.Thielsch Dzenita Hadzihalilovic 《International Journal of Disaster Risk Science》 SCIE CSCD 2020年第3期300-315,共16页
The lack of routine and training of command units and emergency managers is among the main causes of suboptimal decisions and could lead to serious consequences.To ensure optimal standards of emergency management trai... The lack of routine and training of command units and emergency managers is among the main causes of suboptimal decisions and could lead to serious consequences.To ensure optimal standards of emergency management training,specific and valid evaluation tools are needed—but are lacking.Thus,the present study’s purpose is to validate instruments for the evaluation of tactical and strategic leader trainings,in particular command unit trainings,based on survey data of n=288 German Command Unit members.Resulting questionnaires were named"FIRE-CU"(Feedback Instrument for Rescue forces Education–Command Unit)and"FIRE-CPX"(Feedback Instrument for Rescue forces Education-Command Post e Xercise scale).Results of confirmatory factor analyses show a good fit for the postulated four-dimensional structure of process scales in the FIRE-CU(trainer’s behavior,structure,overextension,group),for the two-dimensional structure of outcome scales in the FIRE-CU(self-rated competence,transfer),and for the one-dimensional structure of the FIRE-CPX.Further,strong evidence is found for reliability as well as for convergent,divergent,and concurrent validity of both the FIRE-CU and FIRE-CPX.Implications for research and practical application are also discussed to enable broad applicability in various educational programs for public security and crisis management. 展开更多
关键词 Command post exercise Command staff Crisis management Emergency management Rescue forces Vocational training evaluation
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商业银行基于Group Training技术的小样本学习应用研究
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作者 吴永飞 寿弘宇 +3 位作者 王彦博 魏文术 徐奇 张月 《金融科技时代》 2025年第3期16-22,共7页
人工智能是推动社会进步和经济发展的关键力量。商业银行已经在诸多业务领域广泛使用人工智能技术,如精准营销、智能风控、智慧运营等业务领域。然而,有些业务场景在“冷启动”阶段面临样本量不足,并且坏样本量极少的小样本学习问题,这... 人工智能是推动社会进步和经济发展的关键力量。商业银行已经在诸多业务领域广泛使用人工智能技术,如精准营销、智能风控、智慧运营等业务领域。然而,有些业务场景在“冷启动”阶段面临样本量不足,并且坏样本量极少的小样本学习问题,这导致现有的人工智能技术可能失效。基于此,文章创新提出了一种Group Training(群组训练)建模思路,可以有效解决小样本学习问题。实证结果表明,Group Training建模方案在多个金融数据集上效果均明显优于传统的建模方案,这为商业银行小样本学习提供了新的研究思路和解决方案。 展开更多
关键词 人工智能 小样本学习 Group Learning Group Training
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Passive activity enhances residual control ability in patients with complete spinal cord injury 被引量:2
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作者 Yanqing Xiao Mingming Gao +6 位作者 Zejia He Jia Zheng Hongming Bai Jia-Sheng Rao Guiyun Song Wei Song Xiaoguang Li 《Neural Regeneration Research》 SCIE CAS 2025年第8期2337-2347,共11页
Patients with complete spinal cord injury retain the potential for volitional muscle activity in muscles located below the spinal injury level.However,because of prolonged inactivity,initial attempts to activate these... Patients with complete spinal cord injury retain the potential for volitional muscle activity in muscles located below the spinal injury level.However,because of prolonged inactivity,initial attempts to activate these muscles may not effectively engage any of the remaining neurons in the descending pathway.A previous study unexpectedly found that a brief clinical round of passive activity significantly increased volitional muscle activation,as measured by surface electromyography.In this study,we further explored the effect of passive activity on surface electromyographic signals during volitional control tasks among individuals with complete spinal cord injury.Eleven patients with chronic complete thoracic spinal cord injury were recruited.Surface electromyography data from eight major leg muscles were acquired and compared before and after the passive activity protocol.The results indicated that the passive activity led to an increased number of activated volitional muscles and an increased frequency of activation.Although the cumulative root mean square of surface electromyography amplitude for volitional control of movement showed a slight increase after passive activity,the difference was not statistically significant.These findings suggest that brief passive activity may enhance the ability to initiate volitional muscle activity during surface electromyography tasks and underscore the potential of passive activity for improving residual motor control among patients with motor complete spinal cord injury. 展开更多
关键词 complete spinal cord injury cycle training epidural electrical stimulation motor training passive activity physiological state spinal cord circuit surface electromyography volitional control task
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DEEP NEURAL NETWORKS COMBINING MULTI-TASK LEARNING FOR SOLVING DELAY INTEGRO-DIFFERENTIAL EQUATIONS 被引量:1
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作者 WANG Chen-yao SHI Feng 《数学杂志》 2025年第1期13-38,共26页
Deep neural networks(DNNs)are effective in solving both forward and inverse problems for nonlinear partial differential equations(PDEs).However,conventional DNNs are not effective in handling problems such as delay di... Deep neural networks(DNNs)are effective in solving both forward and inverse problems for nonlinear partial differential equations(PDEs).However,conventional DNNs are not effective in handling problems such as delay differential equations(DDEs)and delay integrodifferential equations(DIDEs)with constant delays,primarily due to their low regularity at delayinduced breaking points.In this paper,a DNN method that combines multi-task learning(MTL)which is proposed to solve both the forward and inverse problems of DIDEs.The core idea of this approach is to divide the original equation into multiple tasks based on the delay,using auxiliary outputs to represent the integral terms,followed by the use of MTL to seamlessly incorporate the properties at the breaking points into the loss function.Furthermore,given the increased training dificulty associated with multiple tasks and outputs,we employ a sequential training scheme to reduce training complexity and provide reference solutions for subsequent tasks.This approach significantly enhances the approximation accuracy of solving DIDEs with DNNs,as demonstrated by comparisons with traditional DNN methods.We validate the effectiveness of this method through several numerical experiments,test various parameter sharing structures in MTL and compare the testing results of these structures.Finally,this method is implemented to solve the inverse problem of nonlinear DIDE and the results show that the unknown parameters of DIDE can be discovered with sparse or noisy data. 展开更多
关键词 Delay integro-differential equation Multi-task learning parameter sharing structure deep neural network sequential training scheme
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Effects of exercise-cognitive dual-task training on elderly patients with cognitive frailty and depression 被引量:2
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作者 Ying Zhou Xiao-Ming Miao +4 位作者 Kai-Lian Zhou Cheng-Ji Yu Ping Lu Yin Lu Juan Zhao 《World Journal of Psychiatry》 2025年第4期149-159,共11页
BACKGROUND Cognitive frailty and depression are prevalent among the elderly,significantly impairing physical and cognitive functions,psychological well-being,and quality of life.Effective interventions are essential t... BACKGROUND Cognitive frailty and depression are prevalent among the elderly,significantly impairing physical and cognitive functions,psychological well-being,and quality of life.Effective interventions are essential to mitigate these adverse effects and enhance overall health outcomes in this population.AIM To evaluate the effects of exercise-cognitive dual-task training on frailty,cognitive function,psychological status,and quality of life in elderly patients with cognitive frailty and depression.METHODS A retrospective study was conducted on 130 patients with cognitive frailty and depression admitted between December 2021 and December 2023.Patients were divided into a control group receiving routine intervention and an observation group undergoing exercise-cognitive dual-task training in addition to routine care.Frailty,cognitive function,balance and gait,psychological status,and quality of life were assessed before and after the intervention.RESULTS After the intervention,the frailty score of the observation group was(5.32±0.69),lower than that of the control group(5.71±0.55).The Montreal cognitive assessment basic scale score in the observation group was(24.06±0.99),higher than the control group(23.43±1.40).The performance oriented mobility assessment score in the observation group was(21.81±1.24),higher than the control group(21.15±1.26).The self-efficacy in the observation group was(28.27±2.66),higher than the control group(30.05±2.66).The anxiety score in the hospital anxiety and depression scale(HADS)for the observation group was(5.86±0.68),lower than the control group(6.21±0.64).The depression score in the HADS for the observation group was(5.67±0.75),lower than the control group(6.27±0.92).Additionally,the scores for each dimension of the 36-item short form survey in the observation group were higher than those in the control group,with statistically significant differences(P<0.05).CONCLUSION Exercise-cognitive dual-task training is beneficial for improving frailty,enhancing cognitive function,and improving psychological status and quality of life in elderly patients with cognitive frailty and depression. 展开更多
关键词 Exercise-cognitive dual-task training Elderly patients Cognitive frailty Depression patients Frailty score Cognitive function
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Research on optimization and evaluation method of heavy-haul train cyclic braking manipulation 被引量:1
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作者 Wen He Chongyi Chang +1 位作者 Lan Li Yupan Song 《Railway Sciences》 2025年第2期231-248,共18页
Purpose–The study aims to build a high-precision longitudinal dynamics model for heavy-haul trains and validate it with line test data,present an optimization method for multi-stage cyclic brakes based on the model a... Purpose–The study aims to build a high-precision longitudinal dynamics model for heavy-haul trains and validate it with line test data,present an optimization method for multi-stage cyclic brakes based on the model and conduct a multi-objective detailed evaluation of the driver’s manipulation during cyclic braking.Design/methodology/approach–The high-precision longitudinal train dynamics model was established and verified by the cyclic braking test data of the 20,000 t heavy-haul combination train on the long and steep downgrade.Then the genetic algorithm is employed for optimization subsequent to decoupling multiple cyclic braking procedures,with due consideration of driver operation rules.For evaluation,key manipulation assessments in the scenario are prioritized,supplemented by multi-objective evaluation requirements,and the computational model is employed for detailed evaluation analysis.Findings–Based on the model,experimental data reveal that the probability of longitudinal force error being less than 64.6 kN is approximately 68%,95%for less than 129.2 kN and 99.7%for less than 193.8 kN.Upon optimizing manipulations during the cyclic braking,the maximum reduction in coupler force spans from 21%∼23.9%.Andtheevaluation scoresimply that a proper elevationof the releasingspeed favorssafety.A high electric braking force,although beneficial to some extent for energy-saving,is detrimental to reducing coupler force.Originality/value–The results will provide a theoretical basis and practical guidance for further ensuring the safety and energy-efficient operation of heavy haul trains on long downhill sections and improving the operational quality of heavy-haul trains. 展开更多
关键词 Heavy-haul trains Longitudinal train dynamics Cyclic brake Manipulation optimization Detailed manipulation evaluation
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Anti-obesity drugs alone or combined with exercise training in the management of obesity:a systematic review with meta-analysis 被引量:1
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作者 Bruna Marmett Igor da Silva +1 位作者 Fabio Lira Gilson Dorneles 《Translational Exercise Biomedicine》 2025年第1期51-62,共12页
Here we compare the efficacy of anti-obesity drugs alone or combined with exercise training on body weight and exercise capacity of obese patients.Randomized clinical trials that assessed the impact of any anti-obesit... Here we compare the efficacy of anti-obesity drugs alone or combined with exercise training on body weight and exercise capacity of obese patients.Randomized clinical trials that assessed the impact of any anti-obesity drug alone or combined with exercise training on body weight,body fat,fat-free mass and cardiorespiratory fitness in obese patients were retrieved from Pubmed and EMBASE up to May 2024.Risk of bias assessment was performed with RoB 2.0,and the GRADE approach assessed the certainty of evidence(CoE)of each main outcome.We included four publications summing up 202 patients.Two publications used orlistat as an anti-obesity drug treatment,while the other two adopted GLP-1 receptor agonist(liraglutide or tirzepatide)as a pharmacotherapy for weight management.Orlistat combined with exercise was superior to change body weight(mean difference(MD):−2.27 kg;95%CI:−2.86 to−1.69;CoE:very low),fat mass(MD:−2.89;95%CI:−3.87 to−1.91;CoE:very low),fat-free mass(MD:0.56;95%CI:0.40–0.72;CoE:very low),and VO_(2)Peak(MD:2.64;95%CI:2.52–2.76;CoE:very low).GLP-1 receptor agonist drugs combined with exercise had a great effect on body weight(MD:−3.96 kg;95%CI:−5.07 to−2.85;CoE:low),fat mass(MD:−1.76;95%CI:−2.24 to−1.27;CoE:low),fat-free mass(MD:0.50;95%CI:−0.98 to 1.98;CoE:very low)and VO_(2)Peak(MD:2.47;95%CI:1.31–3.63;CoE:very low).The results reported here suggest that exercise training remains an important approach in weight management when combined with pharmacological treatment. 展开更多
关键词 body weight PHARMACOTHERAPY physical training OBESITY
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A Surrogate-assisted Multi-objective Grey Wolf Optimizer for Empty-heavy Train Allocation Considering Coordinated Line Utilization Balance 被引量:1
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作者 Zhigang Du Shaoquan Ni +1 位作者 Jeng-Shyang Pan Shuchuan Chu 《Journal of Bionic Engineering》 2025年第1期383-397,共15页
This paper introduces the Surrogate-assisted Multi-objective Grey Wolf Optimizer(SMOGWO)as a novel methodology for addressing the complex problem of empty-heavy train allocation,with a focus on line utilization balanc... This paper introduces the Surrogate-assisted Multi-objective Grey Wolf Optimizer(SMOGWO)as a novel methodology for addressing the complex problem of empty-heavy train allocation,with a focus on line utilization balance.By integrating surrogate models to approximate the objective functions,SMOGWO significantly improves the efficiency and accuracy of the optimization process.The effectiveness of this approach is evaluated using the CEC2009 multi-objective test function suite,where SMOGWO achieves a superiority rate of 76.67%compared to other leading multi-objective algorithms.Furthermore,the practical applicability of SMOGWO is demonstrated through a case study on empty and heavy train allocation,which validates its ability to balance line capacity,minimize transportation costs,and optimize the technical combination of heavy trains.The research highlights SMOGWO's potential as a robust solution for optimization challenges in railway transportation,offering valuable contributions toward enhancing operational efficiency and promoting sustainable development in the sector. 展开更多
关键词 Surrogate-assisted model Grey wolf optimizer Multi-objective optimization Empty-heavy train allocation
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Results of endoscopic retrograde cholangiopancreatography procedures at surgical clinics:A multicenter observational study in Türkiye 被引量:1
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作者 Sezgin Yilmaz Esat Taylan Ugurlu +26 位作者 Alpen Yahya Gumusoglu Mahmut Said Degerli Kemal Dolay Emre Balli Yasin Kara Ali Kocataş EkremÇakar Bünyamin Gürbulak Sercan Yüksel Soykan Arikan Hasan Bektaş Yusuf Emre Aytin Doğan Albayrak Ali Fuat Kaan Gok Cemalettin Ertekin Alpaslan FedayiÇalta Serhat Oğuz MustafaÖrmeci Ali HaldunÖzcan BarışSevinç Ömer Karahan İhsan Tümkaya Osman Kones Mehlika Bilgi Kirmaci Mustafa Yavuz Emrah Akın Merve Yeşilsancak 《World Journal of Gastrointestinal Surgery》 2025年第5期249-256,共8页
BACKGROUND Endoscopic retrograde cholangiopancreatography(ERCP)is an invasive endoscopic procedure used mainly to treat hepato-pancreato-biliary(HPB)diseases.The need for ERCP has increased with the rising number of H... BACKGROUND Endoscopic retrograde cholangiopancreatography(ERCP)is an invasive endoscopic procedure used mainly to treat hepato-pancreato-biliary(HPB)diseases.The need for ERCP has increased with the rising number of HPB diseases over the past decade.Thus,due to increased demand,ERCP is performed at more centers.Currently,it is performed by general surgeons,gastroenterology and invasive radiology specialists in the United States and Europe as recommended by the British Society of Gastroenterology(BSG).AIM To present the results of ERCP procedures from fourteen surgical centers in Türkiye.METHODS Fourteen surgical centers performing ERCP were included in the present study.The age,gender,ERCP indication,success status,post-ERCP complications,ERCP reports and the files of 66993 patients who underwent ERCP were collected from the participating centers.The results are discussed according to the targets declared by the BSG,which are volume load per annum,proportion of successful cannulation(>85%),bile duct clearance rate(>75%),stenting rate for strictures(>80%)and complications(<6%).RESULTS A total of 66993 ERCP procedures were performed in the centers included in the study up to August 2024.29250(43.6%)of the procedures were performed urgently,especially for suppurative cholangitis,biliary tract injuries,etc.The remaining 37743(56.4%)cases were performed electively.50.2%of the patients were female and 49.8%were male.The average ages were 56.5 years for women and 55.9 years for men.General anesthesia was used in 84.1%of the patients while sedation was used in 15.9%.The indications were bile duct stone(78.7%),pancreatic tumor(3.9%),papillary tumor(3.3%),cholangiocarcinoma(2.6%),Oddi sphincter dysfunction(2.4%),bile leakage after cholecystectomy(2%),bile leakage after hydatid cyst surgery(1.9%),biliary stricture(1.7%),and other diseases(3.1%).Hyperamylasemia and post-ERCP pancreatitis were the most common complications as observed in 8.1%of the patients.They were usually self-limited and responded to supportive measures.The frequency of the other complications was also consistent with the literature.CONCLUSION There is a huge shortage of ERCP endoscopists worldwide due to insufficient ERCP training and centers especially in developing and underdeveloped countries.As patients requiring ERCP usually present to surgical practitioners,the incorporation of surgeons into this training program is an effective and reliable solution.The BSG recommends the incorporation of surgeons and radiologists in addition to gastroenterology specialists.This study is the first to present the results of ERCP procedures from fourteen surgical centers throughout Türkiye.The results suggest that the surgical centers included were able to achieve the targets set by the BSG.This study demonstrated that the surgical ERCP units in the present work have reached satisfactory results and provided a reliable and successful ERCP service.There are currently no issues regarding the validity and appropriateness of the surgeons performing ERCP.Therefore,ERCP training should be encouraged in surgeons and more surgical ERCP centers should be provided. 展开更多
关键词 Endoscopic retrograde cholangiopancreatography General surgeon Education Endoscopic retrograde cho-langiopancreatography training Surgical centers Endoscopic retrograde cholangiopancreatography endoscopist
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Aerodynamics and countermeasures of train-tail swaying inside single-line tunnels 被引量:1
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作者 Yadong SONG Yanpeng ZOU +2 位作者 Yuan YAO Ting QIN Longjiang SHEN 《Journal of Zhejiang University-Science A(Applied Physics & Engineering)》 2025年第5期438-455,共18页
In recent years,train-tail swaying of 160 km/h electric multiple units(EMUs)inside single-line tunnels has been heavily researched,because the issue needs to be solved urgently.In this paper,a co-simulation model of v... In recent years,train-tail swaying of 160 km/h electric multiple units(EMUs)inside single-line tunnels has been heavily researched,because the issue needs to be solved urgently.In this paper,a co-simulation model of vortex-induced vibration(VIV)of the tail car body is established,and the aerodynamics of train-tail swaying is studied.The simulation results were confirmed through a field test of operating EMUs.Furthermore,the influence mechanism of train-tail swaying on the wake flow field is studied in detail through a wind-tunnel experiment and a simulation of a reduced-scaled train model.The results demonstrate that the aerodynamic force frequency(i.e.,vortex-induced frequency)of the train tail increases linearly with train speed.When the train runs at 130 km/h,with a small amplitude of train-tail swaying(within 10 mm),the vortex-induced frequency is 1.7 Hz,which primarily depends on the nose shape of the train tail.After the tail car body nose is extended,the vortex-induced frequency is decreased.As the swaying amplitude of the train tail increases(exceeding 25 mm),the separation point of the high-intensity vortex in the train wake shifts downstream to the nose tip,and the vortex-induced frequency shifts from 1.7 Hz to the nearby car body hunting(i.e.,the primary hunting)frequency of 1.3 Hz,which leads to the frequency-locking phenomenon of VIV,and the resonance intensifies train-tail swaying.For the motor vehicle of the train tail,optimization of the yaw damper to improve its primary hunting stability can effectively alleviate train-tail swaying inside single-line tunnels.Optimization of the tail car body nose shape reduces the amplitude of the vortex-induced force,thereby weakening the aerodynamic effect and solving the problem of train-tail swaying inside the single-line tunnels. 展开更多
关键词 train tail swaying wind tunnel experiment field test single line tunnels AERODYNAMICS co simulation electric multiple units emus inside vortex induced vibration
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Optimization of an Artificial Intelligence Database and Camera Installation for Recognition of Risky Passenger Behavior in Railway Vehicles
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作者 Min-kyeong Kim Yeong Geol Lee +3 位作者 Won-Hee Park Su-hwan Yun Tae-Soon Kwon Duckhee Lee 《Computers, Materials & Continua》 SCIE EI 2025年第1期1277-1293,共17页
Urban railways are vital means of public transportation in Korea.More than 30%of metropolitan residents use the railways,and this proportion is expected to increase.To enhance safety,the government has mandated the in... Urban railways are vital means of public transportation in Korea.More than 30%of metropolitan residents use the railways,and this proportion is expected to increase.To enhance safety,the government has mandated the installation of closed-circuit televisions in all carriages by 2024.However,cameras still monitored humans.To address this limitation,we developed a dataset of risk factors and a smart detection system that enables an immediate response to any abnormal behavior and intensive monitoring thereof.We created an innovative learning dataset that takes into account seven unique risk factors specific to Korean railway passengers.Detailed data collection was conducted across the Shinbundang Line of the Incheon Transportation Corporation,and the Ui-Shinseol Line.We observed several behavioral characteristics and assigned unique annotations to them.We also considered carriage congestion.Recognition performance was evaluated by camera placement and number.Then the camera installation plan was optimized.The dataset will find immediate applications in domestic railway operations.The artificial intelligence algorithms will be verified shortly. 展开更多
关键词 AI railway vehicle risk factor smart detection AI training data
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Discovering the best railways
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作者 谌玲军 《疯狂英语(新读写)》 2025年第8期56-57,79,共3页
Activity 1 Think about the following questions and write down your answers before reading the text.1.How might the introduction of a flower⁃viewing⁃themed train impact local communities along the railway route?2.What ... Activity 1 Think about the following questions and write down your answers before reading the text.1.How might the introduction of a flower⁃viewing⁃themed train impact local communities along the railway route?2.What other types of themed trains could be developed to promote tourism in China?And what unique experiences could they offer? 展开更多
关键词 TOURISM promote tourism unique experiences flower viewing themed train thematic trains themed trains THINK
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Students’Preferences on Rotation Scheduling of Tuina Department for Professional Master’s Students:A Student Perspective Survey
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作者 Yinan Chen Jiayu Wang +3 位作者 Ruilu Liu Mingjie Yin Yong Liao Xueqiu Chen 《Journal of Contemporary Educational Research》 2025年第10期263-269,共7页
Objective:To clarify the preferences and core demands of professional Master’s students in Tuina at Yunnan University of Chinese Medicine regarding“concentrated”versus“dispersed”rotation schedules in the Tuina de... Objective:To clarify the preferences and core demands of professional Master’s students in Tuina at Yunnan University of Chinese Medicine regarding“concentrated”versus“dispersed”rotation schedules in the Tuina department,as well as their preferred year for primary rotation,providing evidence for optimizing rotation programs and improving the quality of standardized training.Methods:Paper questionnaires,including two multiple-choice questions and one open-ended question,were distributed to 30 professional Tuina Master’s students,completed on site,and collected immediately.Descriptive statistics were used to analyze preference distributions.Results:A total of 30 questionnaires were distributed and 30 valid responses were collected,achieving a 100%response rate.Among them,23 students(76.7%)supported“concentrated training,”while seven students(23.3%)preferred“dispersed training.”Regarding rotation year preference,18 students(60.0%)selected the second year for concentrated Tuina rotations,eight students(26.7%)selected the third year,and four students(13.3%)selected the first year.The core demands supporting concentrated training were“skill continuity,deep involvement in diagnosis and treatment,and smooth mentorship transition,”whereas those supporting dispersed training were“integration of multi-department knowledge,coordination of research time,and avoidance of fatigue from a single department.”Conclusion:Most professional Tuina Master’s students prefer concentrated Tuina rotations in the second year.It is recommended that institutions adopt a“second-year core department concentrated+auxiliary department flexible dispersed”model and establish flexible coordination and feedback mechanisms to balance clinical skill development with individualized growth needs. 展开更多
关键词 TUINA Professional Master’s degree Standardized training Rotation schedule Concentrated training Dispersed training
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A review of artificial intelligence in train driving and control
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作者 Yunxiang Xie Huachang Yang 《Railway Sciences》 2025年第6期762-782,共21页
Purpose–In recent years,the rapid advancement of artificial intelligence(AI)has exerted profound impacts on and provided strong impetus to numerous fields in the industrial sector.Within the railway industry,AI has d... Purpose–In recent years,the rapid advancement of artificial intelligence(AI)has exerted profound impacts on and provided strong impetus to numerous fields in the industrial sector.Within the railway industry,AI has driven continuous upgrading and optimization of intelligent train control technology,thanks to its enhanced computational capabilities derived from advanced algorithms and models,as well as its role in improving safety performance.Integrating AI technology more extensively into train autonomous driving and control has thus become an inevitable trend in the global development of railways.Design/methodology/approach–This paper,therefore,conducts a comprehensive analysis of the development progress and current status of AI technology applications in the field of train driving and control on a global scale.It systematically sorts out and analyzes the advantages of various AI technologies and the positive impacts they bring to the upgrading of train control technology,elucidates the feasibility and future prospects of applying a range of emerging AI technologies from the perspective of technical theory and provides guidance for the intelligent development of this field from a practical perspective.Findings–The application of AI technology in the train driving and control field is still in its infancy.While a large number of AI technologies have been widely adopted,there remains significant room for further optimization and improvement of these technologies.Additionally,a variety of AI technologies that have been applied in other industrial sectors but not yet widely implemented in training autonomous driving and control have demonstrated tremendous development potential.Originality/value–The research findings provide references and guidance for advancing train control technology,promoting the digital transformation of railways,accelerating the overall optimization and upgrading of railway industry technologies,and facilitating the accelerated development of global railways. 展开更多
关键词 Autonomous train driving Artificial intelligence Train control Train safety Quantum computing
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漂浮在粉色水域的货运列车
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作者 李海静 《疯狂英语(新读写)》 2025年第4期52-53,77,共3页
Activity 1 Think about the following questions and write down your answers before reading the text.1.In your opinion,how might the presence of the freight trains passing by every day affect the local ecosystem around ... Activity 1 Think about the following questions and write down your answers before reading the text.1.In your opinion,how might the presence of the freight trains passing by every day affect the local ecosystem around Lake Burlinskoye?2.If you were a local tour guide near Lake Burlinskoye,what other unique activities could you design for tourists to fully experience the charm of the lake?Activity 2 Read the text,and try to fill in the blank.Seeing an old freight train seemingly floating on a pink lake in Western Siberia is quite a strange experience,_____. 展开更多
关键词 freight trains ECOSYSTEM TOURISM unique activities freight train pink lake Siberia
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