An opportunistic maintenance model is presented for a continuously deteriorating series system with economical de-pendence. The system consists of two kinds of units, which are respectively subjected to the deteriorat...An opportunistic maintenance model is presented for a continuously deteriorating series system with economical de-pendence. The system consists of two kinds of units, which are respectively subjected to the deterioration failure described by Gamma process and the random failure described by Poisson process. A two-level opportunistic policy defined by three decision parameters is proposed to coordinate the different maintenance actions and minimize the long-run maintenance cost rate of the system. A computable expression of the average cost rate is established by using the renewal property of the stochastic process of the maintained system state. The optimal values of three deci- sion parameters are derived by an iteration approach based on the characteristic of Gamma process. The behavior of the proposed policy is illustrated through a numerical experiment. Comparative study with the widely used corrective maintenance policy demonstrates the advantage of the proposed opportunistic maintenance method in significantly reducing the maintenance cost. Simultane- ously, the applicable area of this opportunistic model is discussed by the sensitivity analysis of the set-up cost and random failure rate.展开更多
Modular unit systems provide an eco-friendly advanced construction method that improves productivity and reduces carbon emissions and construction waste. In these systems, the prefabrication ratio of the modules shoul...Modular unit systems provide an eco-friendly advanced construction method that improves productivity and reduces carbon emissions and construction waste. In these systems, the prefabrication ratio of the modules should be high in order to support these eco-friendly features. The purpose of this study was to verify the functionality and driving safety of fixing a modular unit with a high prefabrication ratio to a vehicle for transportation to the site using two novel adapter blocks specially developed for this purpose. When asked to evaluate their performance for this study, the truck drivers selected adaptor block type B as providing the highest convenience and functionality. In real-world driving experiments, maximum loads of 15 kN and 25 kN were measured on adapter block types A and B, respectively. Future improvements in the adapter blocks that take the safety ratio and the improved convenience of use into account are confidently expected to contribute to the eco-friendliness and the improved productivity of modular unit systems.展开更多
The increasing penetration of renewable energy sources(RES)imposes stringent flexibility requirements on thermal power units(TPUs).Integrating molten salt thermal storage systems(MSTS)and thermal-electric coupling tec...The increasing penetration of renewable energy sources(RES)imposes stringent flexibility requirements on thermal power units(TPUs).Integrating molten salt thermal storage systems(MSTS)and thermal-electric coupling technologies into TPUs has the potential to improve their operational flexibility and regulation capability.However,existing research seldom investigates the combined effects of MSTS retrofitting and thermal-electric output coupling on short-term dispatchability,especially under rapid load variation conditions.This study proposes a comprehensive modeling and multi-timescale optimization framework for MSTS-retrofitted TPUs with rapid load variation capability,enabling coordinated thermal and electrical dispatch in both day-ahead and real-time stages.The TPU model incorporates steam heating,electric heating,MSTS charge and discharge characteristics,and ladder typer ramping constraints,enabling detailed representation of thermal-electric coupling interactions.The proposed scheduling framework consists of a day-ahead economic dispatch model and a minute-level intraday rolling optimization.In the day-ahead stage,the model maximizes operational revenue while considering flexibility reserve requirements,multi-period peak shaving,reserve allocation,and thermal-electric coupling strategies that coordinate steam and electric heating with MSTS charging and discharging.In the intraday rolling stage,real-time RES fluctuations and load variations are incorporated to update dispatch decisions,ensuring continuous power–heat balance and efficient use of stored thermal energy.Simulation results verify that thermal-electric coupling enhances the system’s capability to maintain real-time power balance,while MSTS operation effectively mitigates output fluctuations and supports stable,economical operation for addressing RES variation.展开更多
The new energy power generation is becoming increasingly important in the power system.Such as photovoltaic power generation has become a research hotspot,however,due to the characteristics of light radiation changes,...The new energy power generation is becoming increasingly important in the power system.Such as photovoltaic power generation has become a research hotspot,however,due to the characteristics of light radiation changes,photovoltaic power generation is unstable and random,resulting in a low utilization rate and directly affecting the stability of the power grid.To solve this problem,this paper proposes a coordinated control strategy for a newenergy power generation system with a hybrid energy storage unit based on the lithium iron phosphate-supercapacitor hybrid energy storage unit.Firstly,the variational mode decomposition algorithm is used to separate the high and low frequencies of the power signal,which is conducive to the rapid and accurate suppression of the power fluctuation of the energy storage system.Secondly,the fuzzy control algorithm is introduced to balance the power between energy storage.In this paper,the actual data is used for simulation,and the simulation results show that the strategy realizes the effective suppression of the bus voltage fluctuation and the accurate control of the internal state of the energy storage unit,effectively avoiding problems such as overshoot and over-discharge,and can significantly improve the stability of the photovoltaic power generation systemand the stability of the Direct Current bus.It is of great significance to promote the development of collaborative control technology for photovoltaic hybrid energy storage units.展开更多
Large-scale new energy grid connection leads to the weakening of the system frequency regulation capability,and the system frequency stability is facing unprecedented challenges.In order to solve rapid frequency fluct...Large-scale new energy grid connection leads to the weakening of the system frequency regulation capability,and the system frequency stability is facing unprecedented challenges.In order to solve rapid frequency fluctuation caused by new energy units,this paper proposes a new energy power system frequency regulation strategy with multiple units including the doubly-fed pumped storage unit(DFPSU).Firstly,based on the model predictive control(MPC)theory,the state space equations are established by considering the operating characteristics of the units and the dynamic behavior of the system;secondly,the proportional-differential control link is introduced to minimize the frequency deviation to further optimize the frequency modulation(FM)output of the DFPSU and inhibit the rapid fluctuation of the frequency;lastly,it is verified on theMatlab/Simulink simulation platform,and the results show that the model predictive control with proportional-differential control link can further release the FM potential of the DFPSU,increase the depth of its FM,effectively reduce the frequency deviation of the system and its rate of change,realize the optimization of the active output of the DFPSU and that of other units,and improve the frequency response capability of the system.展开更多
BACKGROUND Prolonged immobility during intensive care unit(ICU)admission has been a cause of muscle atrophy and worsening functional outcomes with longer recovery times.Prior research has demonstrated that mobilizatio...BACKGROUND Prolonged immobility during intensive care unit(ICU)admission has been a cause of muscle atrophy and worsening functional outcomes with longer recovery times.Prior research has demonstrated that mobilization within a week of ICU admission potentially benefits physical function in critically ill patients.AIM To evaluate the effects of initiating mobilization within 72 hours of ICU admission in critically ill patients through an updated systematic review and meta-analysis.METHODS A systematic search was performed through MEDLINE,Scopus,and Cochrane Library from inception until September 2024 for randomized controlled trials(RCTs)comparing early mobilization(EM)with usual or conventional care in critically ill adult patients.Primary outcomes included length of ICU(days)and ventilation duration(days).Secondary outcomes included muscle strength,functional status,adverse events,all-cause mortality,and quality of life(QOL).A random effects meta-analysis was performed for pooled effect estimates and to derive risk ratios(RR)and corresponding 95%confidence intervals(CI).RESULTS Out of 3487 results,16 RCTs were included with a population of 2385 patients(1195 receiving EM and 1190 with usual care.)A significant reduction in the length of ICU stays[mean difference(MD)=-1.02,95%CI:-1.96 to-0.09;P=0.03;I2=60%]and ventilation duration(MD=-1.07,95%CI:-1.91 to-0.23,P=0.01;I2=57%)was observed in the EM group compared to usual care.EM significantly improved muscle strength[standard MD(SMD)=0.47,95%CI:0.18-0.75,P=0.001;I2=79%]and functional status(SMD=0.70,95%CI:0.40-1.00,P<0.00001;I2=81%)in ICU patients.No statistically significant difference was observed in adverse events(RR=1.72,95%CI:1.01-2.94,P=0.05;I2=31%),all-cause mortality(RR=1.10,95%CI:0.79-1.53,P=0.57;I2=30%),and QOL(SMD=0.04,95%CI:-0.07-0.15,P=0.50;I2=9%)between the two groups.CONCLUSION Initiating mobilization within 72 hours of ICU admission is associated with improved functional outcomes and reduced ICU length of stay and ventilation duration.These findings indicate that EM may be a safe option for ICU patients,contributing to lower recovery times and healthcare costs.Further extensive research is required to validate the long-term effects on survival and QOL.展开更多
Cultural rights are important human rights established by the Universal Declaration of Human Rights(UDHR)and the International Covenant on Economic,Social and Cultural Rights(ICESCR).However,they have not received due...Cultural rights are important human rights established by the Universal Declaration of Human Rights(UDHR)and the International Covenant on Economic,Social and Cultural Rights(ICESCR).However,they have not received due attention within the United Nations human rights system and related academic research.As a specialized agency within the United Nations system primarily responsible for cultural affairs,United Nations Educational,Scientific and Cultural Organization(UNESCO)has played a significant role in promoting the recognition and advocacy of cultural rights in the international community,mainly by expanding and deepening the normative connotations of cultural rights,strengthening the integration of culture and cultural rights with the United Nations’development agenda,and creating cultural heritage rights and other specific examples of protection practices.Under its leadership,the United Nations system is exploring a new agenda of collective actions to promote cultural rights,which shows a trend of emphasizing cross-sectoral collaboration between culture and science,as well as culture and education.Guided by Xi Jinping Thought on Culture,China should further leverage the advantages of UNESCO as a global cultural governance platform to share its concepts and experience in protecting and realizing cultural rights with the international community.Through the Global Civilization Initiative,China can lead and shape the emerging international agenda on cultural rights and promote the progress of international human rights and the building of a community with a shared future for mankind.展开更多
In this paper,a strength-constrained unit commitment(UC)model incorporating system strength constraints based on the weighted short-circuit ratio(WSCR)is proposed.This model facilitates the comprehensive assessment of...In this paper,a strength-constrained unit commitment(UC)model incorporating system strength constraints based on the weighted short-circuit ratio(WSCR)is proposed.This model facilitates the comprehensive assessment of area-wide system strength in power systems with high inverter-based resource(IBR)penetration,thereby contributing to the mitigation of weak grid issues.Unlike traditional models,this approach considers the interactions among multiple IBRs.The UC problem is initially formulated as a mixed-integer nonlinear programming(MINLP)model,reflecting WSCR and bus impedance matrix modification constraints.To enhance computational tractability,the model is transformed into a mixed-integer linear programming(MILP)form.The effectiveness of the proposed approach is validated through simulations on the IEEE 5-bus,IEEE 39-bus,and a modified Korean power system,demonstrating the ability of the proposed UC model enhancing system strength compared to the conventional methodologies.展开更多
BACKGROUND Systemic lupus erythematosus(SLE)patients are admitted to the intensive care unit(ICU)for disease flares and infections,both of which carry a high mortality risk.Studies characterizing the outcome predictor...BACKGROUND Systemic lupus erythematosus(SLE)patients are admitted to the intensive care unit(ICU)for disease flares and infections,both of which carry a high mortality risk.Studies characterizing the outcome predictors of SLE are few in the Asian continent.This study characterized the clinical profile,treatment,and outcome predictors of ICU admissions with SLE.AIM To ascertain the reasons for ICU admission among SLE patients and to explore outcome predictors in these patients.The primary outcome was ICU mortality.Secondary outcomes included need for ventilation,inotropes,renal replacement therapy,and length of ICU and hospital stay.METHODS A retrospective study of 77 SLE patients was conducted in the medical ICU of a tertiary care teaching hospital in India.Clinical features,treatment,and outcomes of patients admitted between January 2018 and December 2022 were recorded.Factors associated with mortality were explored using bivariate and multivariate logistic regression analysis and reported as adjusted odds ratios with 95%confidence intervals.RESULTS The mean(SD)age was 31.1(10.3)years;83.1%were female.The median(interquartile)duration of SLE before admission was 12(1-60)months;SLE was newly diagnosed in the current admission in 23.4%.The median Acute Physiology and Chronic Health Evaluation II score was 16.3(14.5-18.2)and similar among survivors and nonsurvivors;32 had evidence of disease flare,44 had an infection,and one patient had an intracranial bleed.ICU admission was for respiratory failure(46.7%),hemodynamic instability(32.5%),and status epilepticus(14.3%).Twenty-nine patients(37.7%)had autoimmune hemolytic anemia,and 11(14.3%)had diffuse alveolar hemorrhage.Immunomodulation included corticosteroids(96.1%),cyclophosphamide(33.8%),mycophenolate(23.4%),plasma exchange(13%),and immunoglobulins(11.7%).All patients received broad-spectrum antibiotics.Respiratory support,inotropes,and renal replacement therapy were required in 93.5%,51.7%,and 32.5%,respectively.ICU mortality was 50.7%(95%confidence interval:39%-62%).The mean±SD hospital length of stay was 18.9±14.3 days.On multivariate analysis,only shock(P=0.004)was independently associated with mortality.CONCLUSION Intercurrent infection and disease flare are common reasons for ICU admission in SLE patients.Despite multimodal therapy,mortality is high.Shock was independently associated with mortality.展开更多
BACKGROUND Parental presence in neonatal units(NUs)is essential for infant development and family well-being.A deeper understanding of the factors influencing parental presence is vital and will contribute to the deve...BACKGROUND Parental presence in neonatal units(NUs)is essential for infant development and family well-being.A deeper understanding of the factors influencing parental presence is vital and will contribute to the development of targeted interventions and policies that enhance parental engagement in neonatal care,thereby improving outcomes for infants and their families.AIM To identify and analyze primary factors influencing parental involvement in their child’s care in a neonatal intensive care unit(NICU).METHODS A literature search was conducted using the PubMed,MEDLINE,and Cochrane Library for systematic reviews databases,with the following search terms:“parental presence neonatology”,“couplet care”,“zero separation neonatal care”,“family integrated care”,“couplet care intervention”,“mother-child separation”,“parents newborn togetherness”,“mother-baby care”,“closeness and separation NICU”,“mother-infant interaction NICU”,“kangaroo care”,“dyad mother-infant”,and“newborn integrated care”.The database search for this literature review began on December 10,2024,with the final search conducted on April 10,2025.RESULTS The literature search yielded 281 articles,out of which 23 were selected for a detailed review.The factors associated with parental presence in NUs were grouped into five main categories:Parents’socio-demographic and cultural traits;the physical layout and care model of the NUs;the quality of parents’relationships with the healthcare staff;their active involvement in neonatal care;and the newborn’s health status.CONCLUSION The identification of factors that affect parental presence in NUs is critical for developing effective strategies aimed at encouraging increased parental involvement and ultimately improving neonatal and family outcomes.展开更多
Apparel exports China:The decline in exports widened from January to September(-2.4%,compared to-0.2%in January-June).Exports to the EU increased(+5.9%),though the growth rate moderated.Exports to the US saw a larger ...Apparel exports China:The decline in exports widened from January to September(-2.4%,compared to-0.2%in January-June).Exports to the EU increased(+5.9%),though the growth rate moderated.Exports to the US saw a larger contraction(January-June:-1.6%,January-September:-8.2%).While exports to ASEAN countries still fell by over 10%(-17.7%),shipments to the Philippines(+6.9%),Indonesia(+19.0%),and Cambodia(+64.9%)demonstrated stronger growth performance within the year.Regarding tariffs,on October 30,China and the US agreed to lower the rates on goods subject to additional duties(effectively reducing the average tariff rate on Chinese imports to the US from about 57%to approximately 47%,though this remains significantly higher than the 19.5%overall average rate applied to other countries).展开更多
Purpose:This study examined potential differences in strength,muscle morphology,and motor unit(MU)behavior of the abductor digiti minimi(ADM)between normal-fat(NF)and over-fat(OF)males.Methods:Dual-energy X-ray absorp...Purpose:This study examined potential differences in strength,muscle morphology,and motor unit(MU)behavior of the abductor digiti minimi(ADM)between normal-fat(NF)and over-fat(OF)males.Methods:Dual-energy X-ray absorptiometry assessed percent body fat(%BF).Ultrasonography determined muscle cross-sectional area(CSA),echo intensity(EI),and subcutaneous fat(s FAT).MU behavior was assessed during isometric muscle actions at 50%of maximal voluntary contraction(MVC)by analyzing the y-intercepts and slopes for the MU action potential amplitude(MUAPAMP)vs.recruitment threshold(RT)relationships,the A and B terms for the mean firing rate(MFR)vs.RT relationships,and normalized electromyographic amplitude(N-EMGRMS).MU firing times and waveforms were validated with reconstruct-and-test and spike trigger average procedures.Results:%BF was greater for OF(25.70%±5.40%)than NF(16.50%±2.20%;p<0.001).MVC was greater for NF(27.13±7.16)N than OF([19.89±4.96]N;p=0.014).CSA was greater for NF(2.48±0.39)cm^(2)than OF([1.95±0.47]cm^(2);p=0.011).The y-intercepts for the MUAPAMPvs.RT relationships were greater for NF(0.283±0.254)m V than OF([-0.221±0.659]m V;p=0.004).The B terms for the MFR vs.RT relationships were greater for NF(-0.024±0.003)pps/%MVC than OF([-0.031±0.009]pps/%MVC;p=0.038).N-EMGRMSwas similar between groups(p=0.463).Conclusion:Maximal strength,muscle size,and MU recruitment and firing rate patterns for a non-weight bearing muscle differed between normal-fat and over-fat males.展开更多
As a public basic course and the core general course of undergraduate education,moral education(ME)in College English is imperative.It is necessary to design specific teaching programs flexibly and creatively on the b...As a public basic course and the core general course of undergraduate education,moral education(ME)in College English is imperative.It is necessary to design specific teaching programs flexibly and creatively on the basis of fully understanding the ideas,objectives and tasks,basic principles and implementation methods of ME.This paper tries integrating literature reading into unit topic teaching as a new approach to ME in College English.The specific pathways of integration include:expansion of literary reading content,diversified teaching of literary reading,diversified media of literary reading,and diversified assessment system of literary quality.The integration of literature reading and unit topic teaching is conducive to the realization of the teaching goal of cultivating students’language ability,humanistic quality,and correct values.展开更多
Slope units are divided according to the real topography and have clear geological characteristics,making them ideal units for evaluating the susceptibility to geological disasters.Based on the results of automaticall...Slope units are divided according to the real topography and have clear geological characteristics,making them ideal units for evaluating the susceptibility to geological disasters.Based on the results of automatically and manually corrected hydrological slope unit division,the Longhua District,Shenzhen City,Guangdong Province,was selected as the study area.A total of 15 influencing factors,namely Fluctuation,slope,slope aspect,curvature,topographic witness index(TWI),stream power index(SPI),topographic roughness index(TRI),annual average rainfall,distance to water system,engineering rock group,distance to fault,land use,normalized difference vegetation index(NDVI),nighttime light,and distance to road,were selected as evaluation indicators.The information volume model(IV)and random points were used to select non-geological disaster units,and then the random forest model(RF)was used to evaluate the susceptibility to geological disasters.The automatic slope unit and the hydrological slope unit were compared and analyzed in the random forest and information volume random forest models.The results show that the area under the curve(AUC)values of the automatic slope unit evaluation results are 0.931 for the IV-RF model and 0.716 for the RF model,which are 0.6%(IV-RF model)and 1.9%(RF model)higher than those for the hydrological slope unit.Based on a comparison of the evaluation methods based on the two types of slope units,the hydrological slope unit evaluation method based on manual correction is highly subjective,is complicated to operate,and has a low evaluation accuracy,whereas the evaluation method based on automatic slope unit division is efficient and accurate,is suitable for large-scale efficient geological disaster evaluation,and can better deal with the problem of geological disaster susceptibility evaluation.展开更多
The large-scale integration of power electronic interface-based renewable energy with intermittency and uncertainty poses severe challenges for power system secure operation,especially frequency security.Determining t...The large-scale integration of power electronic interface-based renewable energy with intermittency and uncertainty poses severe challenges for power system secure operation,especially frequency security.Determining the system frequency regulation ability under contingency is an open problem.To bridge this gap,a unit commitment(UC)to concentrate solar power considering operational risk and frequency dynamic constraints(RFUC-CSP)is proposed in this paper.A concentrating solar power(CSP)plant with renewable energy characteristics and synchronous units is employed to improve renewable energy utilization and provide frequency support.Firstly,an analytical operational risk model is established to quantify the operational risk under renewable energy integration.Then,the frequency dynamic response characteristic of the system is considered to construct frequency security constraints.A novel RFUC-CSP framework is formulated by incorporating operational risk and frequency security constraints into the UC model,which can allocate operational flexibility of power systems by optimizing the admissible uncertainty level to reduce operational risk.The effectiveness of the proposed RFUC-CSP model is demonstrated by case studies on the modified IEEE 30-bus and IEEE RTS-79 system,and the cost-effectiveness of the CSP plant is quantified.展开更多
《义务教育英语课程标准(2022年版)》(以下简称“新课标”)指出,英语课程要培育学生文化意识,就要引导学生“了解不同国家的优秀文明成果,比较中外文化的异同,提高跨文化沟通与交流的能力,形成健康向上的审美情趣和正确的价值观;加深对...《义务教育英语课程标准(2022年版)》(以下简称“新课标”)指出,英语课程要培育学生文化意识,就要引导学生“了解不同国家的优秀文明成果,比较中外文化的异同,提高跨文化沟通与交流的能力,形成健康向上的审美情趣和正确的价值观;加深对中华文化的理解和认同,树立国际视野,坚定文化自信”。中华优秀传统文化是中华民族的文化精髓与精神命脉,将其有机融入英语教学,不仅是提升学生跨文化沟通能力的有力举措,更是筑牢文化自信根基的必然要求。本文以PEP教材Unit 1 What's he like?教学为例,系统探索将中国传统文化融入小学英语阅读教学的实践策略。展开更多
Advanced technologies like Cyber-Physical Systems(CPS)and the Internet of Things(IoT)have supported modernizing and automating the transportation region through the introduction of Intelligent Transportation Systems(I...Advanced technologies like Cyber-Physical Systems(CPS)and the Internet of Things(IoT)have supported modernizing and automating the transportation region through the introduction of Intelligent Transportation Systems(ITS).Integrating CPS-ITS and IoT provides real-time Vehicle-to-Infrastructure(V2I)communication,supporting better traffic management,safety,and efficiency.These technological innovations generate complex problems that need to be addressed,uniquely about data routing and Task Scheduling(TS)in ITS.Attempts to solve those problems were primarily based on traditional and experimental methods,and the solutions were not so successful due to the dynamic nature of ITS.This is where the scope of Machine learning(ML)and Swarm Intelligence(SI)has significantly impacted dealing with these challenges;in this line,this research paper presents a novel method for TS and data routing in the CPS-ITS.This paper proposes using a cutting-edge ML algorithm for data transmission from CPS-ITS.This ML has Gated Linear Unit-approximated Reinforcement Learning(GLRL).Greedy Iterative-Particle Swarm Optimization(GI-PSO)has been recommended to develop the Particle Swarm Optimization(PSO)for TS.The primary objective of this study is to enhance the security and effectiveness of ITS systems that utilize CPS-ITS.This study trained and validated the models using a network simulation dataset of 50 nodes from numerous ITS environments.The experiments demonstrate that the proposed GLRL reduces End-toEnd Delay(EED)by 12%,enhances data size use from 83.6%to 88.6%,and achieves higher bandwidth allocation,particularly in high-demand scenarios such as multimedia data streams where adherence improved to 98.15%.Furthermore,the GLRL reduced Network Congestion(NC)by 5.5%,demonstrating its efficiency in managing complex traffic conditions across several environments.The model passed simulation tests in three different environments:urban(UE),suburban(SE),and rural(RE).It met the high bandwidth requirements,made task scheduling more efficient,and increased network throughput(NT).This proved that it was robust and flexible enough for scalable ITS applications.These innovations provide robust,scalable solutions for real-time traffic management,ultimately improving safety,reducing NC,and increasing overall NT.This study can affect ITS by developing it to be more responsive,safe,and effective and by creating a perfect method to set up UE,SE,and RE.展开更多
1.Background The United Nations(UN)2030 Agenda for Sustainable Development,adopted in 2015,established the Sustainable Development Goals(SDGs)as a comprehensive framework to address global challenges through interconn...1.Background The United Nations(UN)2030 Agenda for Sustainable Development,adopted in 2015,established the Sustainable Development Goals(SDGs)as a comprehensive framework to address global challenges through interconnected social,economic,and environmental targets.展开更多
Objectives This study aimed to design and evaluate a detection system for the accidental dislodgement of head-and-neck medical supplies through hand position recognition and tracking in Intensive Care Unit(ICU)patient...Objectives This study aimed to design and evaluate a detection system for the accidental dislodgement of head-and-neck medical supplies through hand position recognition and tracking in Intensive Care Unit(ICU)patients.Methods We conducted a single-center,prospective,parallel-group feasibility randomized controlled trial.We recruited 80 participants using convenience sampling from the ICU of a hospital in Ningbo City,Zhejiang Province,between March 2025 and June 2025,and they were randomly assigned to either the control group(routine care)or the intervention group(routine care plus image recognition-based detection system).The system continuously tracked patients’hand positions via bedside cameras and generated real-time alarms when hands entered predefined risk zones,notifying on-duty nurses to enable early intervention.System stability was assessed by continuous system uptime;system performance and clinical feasibility were evaluated by the frequencies of risk actions and accidental dislodgement of medical supplies(ADMS).Results All 80 participants completed the intervention,with 40 patients in each group.The baseline characteristics and median observation time of the two groups were balanced(intervention group:48 h/patient vs.control group:49 h/patient).Compared with the control group,the intervention group showed fewer ADMS(2/40 vs.9/40)and detected more risk actions per 100 h(36 vs.25);all system-detected events had corroborating images with complete concordance on manual review,and all nurse-recorded hand-contact events were accurately captured.Conclusions The study demonstrated that the image recognition-based detection system can function stably in clinical settings,providing accurate and continuous surveillance while supporting the early detection of risk actions.By reducing the observation burden and offering real-time cognitive support,the system complements routine nursing care and serves as an additional safety measure in ICU practice.With further optimization and larger multicenter validation,this approach could have the potential to make a significant contribution to the development of smart ICUs and the broader digital transformation of nursing care.展开更多
基金supported by the National Natural Science Foundation of China(6090400271201166)
文摘An opportunistic maintenance model is presented for a continuously deteriorating series system with economical de-pendence. The system consists of two kinds of units, which are respectively subjected to the deterioration failure described by Gamma process and the random failure described by Poisson process. A two-level opportunistic policy defined by three decision parameters is proposed to coordinate the different maintenance actions and minimize the long-run maintenance cost rate of the system. A computable expression of the average cost rate is established by using the renewal property of the stochastic process of the maintained system state. The optimal values of three deci- sion parameters are derived by an iteration approach based on the characteristic of Gamma process. The behavior of the proposed policy is illustrated through a numerical experiment. Comparative study with the widely used corrective maintenance policy demonstrates the advantage of the proposed opportunistic maintenance method in significantly reducing the maintenance cost. Simultane- ously, the applicable area of this opportunistic model is discussed by the sensitivity analysis of the set-up cost and random failure rate.
文摘Modular unit systems provide an eco-friendly advanced construction method that improves productivity and reduces carbon emissions and construction waste. In these systems, the prefabrication ratio of the modules should be high in order to support these eco-friendly features. The purpose of this study was to verify the functionality and driving safety of fixing a modular unit with a high prefabrication ratio to a vehicle for transportation to the site using two novel adapter blocks specially developed for this purpose. When asked to evaluate their performance for this study, the truck drivers selected adaptor block type B as providing the highest convenience and functionality. In real-world driving experiments, maximum loads of 15 kN and 25 kN were measured on adapter block types A and B, respectively. Future improvements in the adapter blocks that take the safety ratio and the improved convenience of use into account are confidently expected to contribute to the eco-friendliness and the improved productivity of modular unit systems.
基金funded by State Grid Jiangsu Electric Power Co.,Ltd.Science and Technology Project,grant number J2023118.
文摘The increasing penetration of renewable energy sources(RES)imposes stringent flexibility requirements on thermal power units(TPUs).Integrating molten salt thermal storage systems(MSTS)and thermal-electric coupling technologies into TPUs has the potential to improve their operational flexibility and regulation capability.However,existing research seldom investigates the combined effects of MSTS retrofitting and thermal-electric output coupling on short-term dispatchability,especially under rapid load variation conditions.This study proposes a comprehensive modeling and multi-timescale optimization framework for MSTS-retrofitted TPUs with rapid load variation capability,enabling coordinated thermal and electrical dispatch in both day-ahead and real-time stages.The TPU model incorporates steam heating,electric heating,MSTS charge and discharge characteristics,and ladder typer ramping constraints,enabling detailed representation of thermal-electric coupling interactions.The proposed scheduling framework consists of a day-ahead economic dispatch model and a minute-level intraday rolling optimization.In the day-ahead stage,the model maximizes operational revenue while considering flexibility reserve requirements,multi-period peak shaving,reserve allocation,and thermal-electric coupling strategies that coordinate steam and electric heating with MSTS charging and discharging.In the intraday rolling stage,real-time RES fluctuations and load variations are incorporated to update dispatch decisions,ensuring continuous power–heat balance and efficient use of stored thermal energy.Simulation results verify that thermal-electric coupling enhances the system’s capability to maintain real-time power balance,while MSTS operation effectively mitigates output fluctuations and supports stable,economical operation for addressing RES variation.
基金supported by the State Grid Corporation of China Science and Technology Project,grant number 52270723000900K.
文摘The new energy power generation is becoming increasingly important in the power system.Such as photovoltaic power generation has become a research hotspot,however,due to the characteristics of light radiation changes,photovoltaic power generation is unstable and random,resulting in a low utilization rate and directly affecting the stability of the power grid.To solve this problem,this paper proposes a coordinated control strategy for a newenergy power generation system with a hybrid energy storage unit based on the lithium iron phosphate-supercapacitor hybrid energy storage unit.Firstly,the variational mode decomposition algorithm is used to separate the high and low frequencies of the power signal,which is conducive to the rapid and accurate suppression of the power fluctuation of the energy storage system.Secondly,the fuzzy control algorithm is introduced to balance the power between energy storage.In this paper,the actual data is used for simulation,and the simulation results show that the strategy realizes the effective suppression of the bus voltage fluctuation and the accurate control of the internal state of the energy storage unit,effectively avoiding problems such as overshoot and over-discharge,and can significantly improve the stability of the photovoltaic power generation systemand the stability of the Direct Current bus.It is of great significance to promote the development of collaborative control technology for photovoltaic hybrid energy storage units.
基金supported by the National Natural Science Foundation of China(Project No.52377082)the Scientific Research Program of Jilin Provincial Department of Education(Project No.JJKH20230123KJ).
文摘Large-scale new energy grid connection leads to the weakening of the system frequency regulation capability,and the system frequency stability is facing unprecedented challenges.In order to solve rapid frequency fluctuation caused by new energy units,this paper proposes a new energy power system frequency regulation strategy with multiple units including the doubly-fed pumped storage unit(DFPSU).Firstly,based on the model predictive control(MPC)theory,the state space equations are established by considering the operating characteristics of the units and the dynamic behavior of the system;secondly,the proportional-differential control link is introduced to minimize the frequency deviation to further optimize the frequency modulation(FM)output of the DFPSU and inhibit the rapid fluctuation of the frequency;lastly,it is verified on theMatlab/Simulink simulation platform,and the results show that the model predictive control with proportional-differential control link can further release the FM potential of the DFPSU,increase the depth of its FM,effectively reduce the frequency deviation of the system and its rate of change,realize the optimization of the active output of the DFPSU and that of other units,and improve the frequency response capability of the system.
文摘BACKGROUND Prolonged immobility during intensive care unit(ICU)admission has been a cause of muscle atrophy and worsening functional outcomes with longer recovery times.Prior research has demonstrated that mobilization within a week of ICU admission potentially benefits physical function in critically ill patients.AIM To evaluate the effects of initiating mobilization within 72 hours of ICU admission in critically ill patients through an updated systematic review and meta-analysis.METHODS A systematic search was performed through MEDLINE,Scopus,and Cochrane Library from inception until September 2024 for randomized controlled trials(RCTs)comparing early mobilization(EM)with usual or conventional care in critically ill adult patients.Primary outcomes included length of ICU(days)and ventilation duration(days).Secondary outcomes included muscle strength,functional status,adverse events,all-cause mortality,and quality of life(QOL).A random effects meta-analysis was performed for pooled effect estimates and to derive risk ratios(RR)and corresponding 95%confidence intervals(CI).RESULTS Out of 3487 results,16 RCTs were included with a population of 2385 patients(1195 receiving EM and 1190 with usual care.)A significant reduction in the length of ICU stays[mean difference(MD)=-1.02,95%CI:-1.96 to-0.09;P=0.03;I2=60%]and ventilation duration(MD=-1.07,95%CI:-1.91 to-0.23,P=0.01;I2=57%)was observed in the EM group compared to usual care.EM significantly improved muscle strength[standard MD(SMD)=0.47,95%CI:0.18-0.75,P=0.001;I2=79%]and functional status(SMD=0.70,95%CI:0.40-1.00,P<0.00001;I2=81%)in ICU patients.No statistically significant difference was observed in adverse events(RR=1.72,95%CI:1.01-2.94,P=0.05;I2=31%),all-cause mortality(RR=1.10,95%CI:0.79-1.53,P=0.57;I2=30%),and QOL(SMD=0.04,95%CI:-0.07-0.15,P=0.50;I2=9%)between the two groups.CONCLUSION Initiating mobilization within 72 hours of ICU admission is associated with improved functional outcomes and reduced ICU length of stay and ventilation duration.These findings indicate that EM may be a safe option for ICU patients,contributing to lower recovery times and healthcare costs.Further extensive research is required to validate the long-term effects on survival and QOL.
文摘Cultural rights are important human rights established by the Universal Declaration of Human Rights(UDHR)and the International Covenant on Economic,Social and Cultural Rights(ICESCR).However,they have not received due attention within the United Nations human rights system and related academic research.As a specialized agency within the United Nations system primarily responsible for cultural affairs,United Nations Educational,Scientific and Cultural Organization(UNESCO)has played a significant role in promoting the recognition and advocacy of cultural rights in the international community,mainly by expanding and deepening the normative connotations of cultural rights,strengthening the integration of culture and cultural rights with the United Nations’development agenda,and creating cultural heritage rights and other specific examples of protection practices.Under its leadership,the United Nations system is exploring a new agenda of collective actions to promote cultural rights,which shows a trend of emphasizing cross-sectoral collaboration between culture and science,as well as culture and education.Guided by Xi Jinping Thought on Culture,China should further leverage the advantages of UNESCO as a global cultural governance platform to share its concepts and experience in protecting and realizing cultural rights with the international community.Through the Global Civilization Initiative,China can lead and shape the emerging international agenda on cultural rights and promote the progress of international human rights and the building of a community with a shared future for mankind.
基金partially supported by Korea Electrotechnology Research Institute(KERI)Primary research program through the National Research Council of Science&Technology(NST)funded by the Ministry of Science and ICT(MSIT)(No.25A01038)partially supported by the National Research Foundation of Korea(NRF)grant funded by the Korea government(MSIT)(No.RS-2024-00218377).
文摘In this paper,a strength-constrained unit commitment(UC)model incorporating system strength constraints based on the weighted short-circuit ratio(WSCR)is proposed.This model facilitates the comprehensive assessment of area-wide system strength in power systems with high inverter-based resource(IBR)penetration,thereby contributing to the mitigation of weak grid issues.Unlike traditional models,this approach considers the interactions among multiple IBRs.The UC problem is initially formulated as a mixed-integer nonlinear programming(MINLP)model,reflecting WSCR and bus impedance matrix modification constraints.To enhance computational tractability,the model is transformed into a mixed-integer linear programming(MILP)form.The effectiveness of the proposed approach is validated through simulations on the IEEE 5-bus,IEEE 39-bus,and a modified Korean power system,demonstrating the ability of the proposed UC model enhancing system strength compared to the conventional methodologies.
文摘BACKGROUND Systemic lupus erythematosus(SLE)patients are admitted to the intensive care unit(ICU)for disease flares and infections,both of which carry a high mortality risk.Studies characterizing the outcome predictors of SLE are few in the Asian continent.This study characterized the clinical profile,treatment,and outcome predictors of ICU admissions with SLE.AIM To ascertain the reasons for ICU admission among SLE patients and to explore outcome predictors in these patients.The primary outcome was ICU mortality.Secondary outcomes included need for ventilation,inotropes,renal replacement therapy,and length of ICU and hospital stay.METHODS A retrospective study of 77 SLE patients was conducted in the medical ICU of a tertiary care teaching hospital in India.Clinical features,treatment,and outcomes of patients admitted between January 2018 and December 2022 were recorded.Factors associated with mortality were explored using bivariate and multivariate logistic regression analysis and reported as adjusted odds ratios with 95%confidence intervals.RESULTS The mean(SD)age was 31.1(10.3)years;83.1%were female.The median(interquartile)duration of SLE before admission was 12(1-60)months;SLE was newly diagnosed in the current admission in 23.4%.The median Acute Physiology and Chronic Health Evaluation II score was 16.3(14.5-18.2)and similar among survivors and nonsurvivors;32 had evidence of disease flare,44 had an infection,and one patient had an intracranial bleed.ICU admission was for respiratory failure(46.7%),hemodynamic instability(32.5%),and status epilepticus(14.3%).Twenty-nine patients(37.7%)had autoimmune hemolytic anemia,and 11(14.3%)had diffuse alveolar hemorrhage.Immunomodulation included corticosteroids(96.1%),cyclophosphamide(33.8%),mycophenolate(23.4%),plasma exchange(13%),and immunoglobulins(11.7%).All patients received broad-spectrum antibiotics.Respiratory support,inotropes,and renal replacement therapy were required in 93.5%,51.7%,and 32.5%,respectively.ICU mortality was 50.7%(95%confidence interval:39%-62%).The mean±SD hospital length of stay was 18.9±14.3 days.On multivariate analysis,only shock(P=0.004)was independently associated with mortality.CONCLUSION Intercurrent infection and disease flare are common reasons for ICU admission in SLE patients.Despite multimodal therapy,mortality is high.Shock was independently associated with mortality.
文摘BACKGROUND Parental presence in neonatal units(NUs)is essential for infant development and family well-being.A deeper understanding of the factors influencing parental presence is vital and will contribute to the development of targeted interventions and policies that enhance parental engagement in neonatal care,thereby improving outcomes for infants and their families.AIM To identify and analyze primary factors influencing parental involvement in their child’s care in a neonatal intensive care unit(NICU).METHODS A literature search was conducted using the PubMed,MEDLINE,and Cochrane Library for systematic reviews databases,with the following search terms:“parental presence neonatology”,“couplet care”,“zero separation neonatal care”,“family integrated care”,“couplet care intervention”,“mother-child separation”,“parents newborn togetherness”,“mother-baby care”,“closeness and separation NICU”,“mother-infant interaction NICU”,“kangaroo care”,“dyad mother-infant”,and“newborn integrated care”.The database search for this literature review began on December 10,2024,with the final search conducted on April 10,2025.RESULTS The literature search yielded 281 articles,out of which 23 were selected for a detailed review.The factors associated with parental presence in NUs were grouped into five main categories:Parents’socio-demographic and cultural traits;the physical layout and care model of the NUs;the quality of parents’relationships with the healthcare staff;their active involvement in neonatal care;and the newborn’s health status.CONCLUSION The identification of factors that affect parental presence in NUs is critical for developing effective strategies aimed at encouraging increased parental involvement and ultimately improving neonatal and family outcomes.
文摘Apparel exports China:The decline in exports widened from January to September(-2.4%,compared to-0.2%in January-June).Exports to the EU increased(+5.9%),though the growth rate moderated.Exports to the US saw a larger contraction(January-June:-1.6%,January-September:-8.2%).While exports to ASEAN countries still fell by over 10%(-17.7%),shipments to the Philippines(+6.9%),Indonesia(+19.0%),and Cambodia(+64.9%)demonstrated stronger growth performance within the year.Regarding tariffs,on October 30,China and the US agreed to lower the rates on goods subject to additional duties(effectively reducing the average tariff rate on Chinese imports to the US from about 57%to approximately 47%,though this remains significantly higher than the 19.5%overall average rate applied to other countries).
文摘Purpose:This study examined potential differences in strength,muscle morphology,and motor unit(MU)behavior of the abductor digiti minimi(ADM)between normal-fat(NF)and over-fat(OF)males.Methods:Dual-energy X-ray absorptiometry assessed percent body fat(%BF).Ultrasonography determined muscle cross-sectional area(CSA),echo intensity(EI),and subcutaneous fat(s FAT).MU behavior was assessed during isometric muscle actions at 50%of maximal voluntary contraction(MVC)by analyzing the y-intercepts and slopes for the MU action potential amplitude(MUAPAMP)vs.recruitment threshold(RT)relationships,the A and B terms for the mean firing rate(MFR)vs.RT relationships,and normalized electromyographic amplitude(N-EMGRMS).MU firing times and waveforms were validated with reconstruct-and-test and spike trigger average procedures.Results:%BF was greater for OF(25.70%±5.40%)than NF(16.50%±2.20%;p<0.001).MVC was greater for NF(27.13±7.16)N than OF([19.89±4.96]N;p=0.014).CSA was greater for NF(2.48±0.39)cm^(2)than OF([1.95±0.47]cm^(2);p=0.011).The y-intercepts for the MUAPAMPvs.RT relationships were greater for NF(0.283±0.254)m V than OF([-0.221±0.659]m V;p=0.004).The B terms for the MFR vs.RT relationships were greater for NF(-0.024±0.003)pps/%MVC than OF([-0.031±0.009]pps/%MVC;p=0.038).N-EMGRMSwas similar between groups(p=0.463).Conclusion:Maximal strength,muscle size,and MU recruitment and firing rate patterns for a non-weight bearing muscle differed between normal-fat and over-fat males.
文摘As a public basic course and the core general course of undergraduate education,moral education(ME)in College English is imperative.It is necessary to design specific teaching programs flexibly and creatively on the basis of fully understanding the ideas,objectives and tasks,basic principles and implementation methods of ME.This paper tries integrating literature reading into unit topic teaching as a new approach to ME in College English.The specific pathways of integration include:expansion of literary reading content,diversified teaching of literary reading,diversified media of literary reading,and diversified assessment system of literary quality.The integration of literature reading and unit topic teaching is conducive to the realization of the teaching goal of cultivating students’language ability,humanistic quality,and correct values.
文摘Slope units are divided according to the real topography and have clear geological characteristics,making them ideal units for evaluating the susceptibility to geological disasters.Based on the results of automatically and manually corrected hydrological slope unit division,the Longhua District,Shenzhen City,Guangdong Province,was selected as the study area.A total of 15 influencing factors,namely Fluctuation,slope,slope aspect,curvature,topographic witness index(TWI),stream power index(SPI),topographic roughness index(TRI),annual average rainfall,distance to water system,engineering rock group,distance to fault,land use,normalized difference vegetation index(NDVI),nighttime light,and distance to road,were selected as evaluation indicators.The information volume model(IV)and random points were used to select non-geological disaster units,and then the random forest model(RF)was used to evaluate the susceptibility to geological disasters.The automatic slope unit and the hydrological slope unit were compared and analyzed in the random forest and information volume random forest models.The results show that the area under the curve(AUC)values of the automatic slope unit evaluation results are 0.931 for the IV-RF model and 0.716 for the RF model,which are 0.6%(IV-RF model)and 1.9%(RF model)higher than those for the hydrological slope unit.Based on a comparison of the evaluation methods based on the two types of slope units,the hydrological slope unit evaluation method based on manual correction is highly subjective,is complicated to operate,and has a low evaluation accuracy,whereas the evaluation method based on automatic slope unit division is efficient and accurate,is suitable for large-scale efficient geological disaster evaluation,and can better deal with the problem of geological disaster susceptibility evaluation.
基金supported by the National Natural Science Foundation of China General Program(No.52277106)the Project funded by China Postdoctoral Science Foundation(No.2022M721773).
文摘The large-scale integration of power electronic interface-based renewable energy with intermittency and uncertainty poses severe challenges for power system secure operation,especially frequency security.Determining the system frequency regulation ability under contingency is an open problem.To bridge this gap,a unit commitment(UC)to concentrate solar power considering operational risk and frequency dynamic constraints(RFUC-CSP)is proposed in this paper.A concentrating solar power(CSP)plant with renewable energy characteristics and synchronous units is employed to improve renewable energy utilization and provide frequency support.Firstly,an analytical operational risk model is established to quantify the operational risk under renewable energy integration.Then,the frequency dynamic response characteristic of the system is considered to construct frequency security constraints.A novel RFUC-CSP framework is formulated by incorporating operational risk and frequency security constraints into the UC model,which can allocate operational flexibility of power systems by optimizing the admissible uncertainty level to reduce operational risk.The effectiveness of the proposed RFUC-CSP model is demonstrated by case studies on the modified IEEE 30-bus and IEEE RTS-79 system,and the cost-effectiveness of the CSP plant is quantified.
文摘《义务教育英语课程标准(2022年版)》(以下简称“新课标”)指出,英语课程要培育学生文化意识,就要引导学生“了解不同国家的优秀文明成果,比较中外文化的异同,提高跨文化沟通与交流的能力,形成健康向上的审美情趣和正确的价值观;加深对中华文化的理解和认同,树立国际视野,坚定文化自信”。中华优秀传统文化是中华民族的文化精髓与精神命脉,将其有机融入英语教学,不仅是提升学生跨文化沟通能力的有力举措,更是筑牢文化自信根基的必然要求。本文以PEP教材Unit 1 What's he like?教学为例,系统探索将中国传统文化融入小学英语阅读教学的实践策略。
基金funded by Taif University,Taif,Saudi Arabia,project number(TU-DSPP-2024-17)。
文摘Advanced technologies like Cyber-Physical Systems(CPS)and the Internet of Things(IoT)have supported modernizing and automating the transportation region through the introduction of Intelligent Transportation Systems(ITS).Integrating CPS-ITS and IoT provides real-time Vehicle-to-Infrastructure(V2I)communication,supporting better traffic management,safety,and efficiency.These technological innovations generate complex problems that need to be addressed,uniquely about data routing and Task Scheduling(TS)in ITS.Attempts to solve those problems were primarily based on traditional and experimental methods,and the solutions were not so successful due to the dynamic nature of ITS.This is where the scope of Machine learning(ML)and Swarm Intelligence(SI)has significantly impacted dealing with these challenges;in this line,this research paper presents a novel method for TS and data routing in the CPS-ITS.This paper proposes using a cutting-edge ML algorithm for data transmission from CPS-ITS.This ML has Gated Linear Unit-approximated Reinforcement Learning(GLRL).Greedy Iterative-Particle Swarm Optimization(GI-PSO)has been recommended to develop the Particle Swarm Optimization(PSO)for TS.The primary objective of this study is to enhance the security and effectiveness of ITS systems that utilize CPS-ITS.This study trained and validated the models using a network simulation dataset of 50 nodes from numerous ITS environments.The experiments demonstrate that the proposed GLRL reduces End-toEnd Delay(EED)by 12%,enhances data size use from 83.6%to 88.6%,and achieves higher bandwidth allocation,particularly in high-demand scenarios such as multimedia data streams where adherence improved to 98.15%.Furthermore,the GLRL reduced Network Congestion(NC)by 5.5%,demonstrating its efficiency in managing complex traffic conditions across several environments.The model passed simulation tests in three different environments:urban(UE),suburban(SE),and rural(RE).It met the high bandwidth requirements,made task scheduling more efficient,and increased network throughput(NT).This proved that it was robust and flexible enough for scalable ITS applications.These innovations provide robust,scalable solutions for real-time traffic management,ultimately improving safety,reducing NC,and increasing overall NT.This study can affect ITS by developing it to be more responsive,safe,and effective and by creating a perfect method to set up UE,SE,and RE.
文摘1.Background The United Nations(UN)2030 Agenda for Sustainable Development,adopted in 2015,established the Sustainable Development Goals(SDGs)as a comprehensive framework to address global challenges through interconnected social,economic,and environmental targets.
文摘Objectives This study aimed to design and evaluate a detection system for the accidental dislodgement of head-and-neck medical supplies through hand position recognition and tracking in Intensive Care Unit(ICU)patients.Methods We conducted a single-center,prospective,parallel-group feasibility randomized controlled trial.We recruited 80 participants using convenience sampling from the ICU of a hospital in Ningbo City,Zhejiang Province,between March 2025 and June 2025,and they were randomly assigned to either the control group(routine care)or the intervention group(routine care plus image recognition-based detection system).The system continuously tracked patients’hand positions via bedside cameras and generated real-time alarms when hands entered predefined risk zones,notifying on-duty nurses to enable early intervention.System stability was assessed by continuous system uptime;system performance and clinical feasibility were evaluated by the frequencies of risk actions and accidental dislodgement of medical supplies(ADMS).Results All 80 participants completed the intervention,with 40 patients in each group.The baseline characteristics and median observation time of the two groups were balanced(intervention group:48 h/patient vs.control group:49 h/patient).Compared with the control group,the intervention group showed fewer ADMS(2/40 vs.9/40)and detected more risk actions per 100 h(36 vs.25);all system-detected events had corroborating images with complete concordance on manual review,and all nurse-recorded hand-contact events were accurately captured.Conclusions The study demonstrated that the image recognition-based detection system can function stably in clinical settings,providing accurate and continuous surveillance while supporting the early detection of risk actions.By reducing the observation burden and offering real-time cognitive support,the system complements routine nursing care and serves as an additional safety measure in ICU practice.With further optimization and larger multicenter validation,this approach could have the potential to make a significant contribution to the development of smart ICUs and the broader digital transformation of nursing care.
