Overview Heats stroke(HS)is severe sunstroke caused by a rapid increase in one’s core temperature in excess of 40°C from exposure to a hot and humid environment.HS is accompanied by serious clinical syndromes th...Overview Heats stroke(HS)is severe sunstroke caused by a rapid increase in one’s core temperature in excess of 40°C from exposure to a hot and humid environment.HS is accompanied by serious clinical syndromes that damage multiple organ systems.h ese syndromes include burning skin and impaired awareness,such as delir ium,conv ul sions,and loss of consciousness.Exertional heat stroke(EHS)is caused by a rapid increase in one’s core temperature in excess of 40°C from high intensity展开更多
Objectives To validate the reliability of the Chinese version of the Consultation and Relational Empathy(CARE)in physician-standardized patient(SP)encounter.We also tried to examine the agreement between video-based r...Objectives To validate the reliability of the Chinese version of the Consultation and Relational Empathy(CARE)in physician-standardized patient(SP)encounter.We also tried to examine the agreement between video-based ratings and in-room ratings,as well as the agreement between the faculty ratings and SP ratings.Methods The CARE was translated into Chinese.Forty-eight anesthesia residents were recruited to make preoperative interview in SP-counter.Performance of each resident was graded by in-room raters,video raters and SP raters.Consistency between different raters was examined.Results The Chinese-CARE measure demonstrated high scale reliability with a Cronbach's alpha value of 0.95 and high consistency in the in-room ratings in intraclass correlation(coefficient=0.888,P<0.001).Despite a good consistency in intraclass correlation,video ratings were significantly higher than in-room ratings(39.6±7.1 vs.24.0±10.0,P<0.001),and Wilcoxon signed-rank test indicated that the pass/fail rate was significantly higher based on video ratings than based on in-room ratings(45/48 vs.22/48,P<0.001).SP ratings had a moderate consistency with in-room faculty ratings(coefficient=0..568,P<0.001),and there was no significant difference between the pass/fail rates based on the in-room ratings and SP ratings(22/48vs.28/48,P=0.12).Conclusions The Chinese-CARE measure is reliable in the assessment of empathy during preoperative anesthesia interview.In-room and video ratings are not equivalent,while SP may provide a feasible alternative for the faculty rater in the assessment of communication skills with an appropriate measure.展开更多
Forest biomass resources are available in enormous quantities in China. The development of forest biomass briquetting densification fuel, which has a high calorific value, can ease the energy shortage in China. But th...Forest biomass resources are available in enormous quantities in China. The development of forest biomass briquetting densification fuel, which has a high calorific value, can ease the energy shortage in China. But the molding technology is still at the primary stage with many questions unresolved, such as unequal distribution of resources, imperfect technology and an inadequate mechanism of market supply and demand. There are no consistent production and quality standards to refer to, which seriously hinder the industrialization of biomass molding technology. Hence, it is imperative to speed up the formulation of production standards of biomass briquetting densification fuel which not only conform to international standards, but are in accordance with national condi- tions in China. Drawing on the standards of biomass briquetting densification fuel in Europe, a standard system should be concerned with raw material collection, transport and storage of the end products, terminology, denomination and classification of molding equipment, as well as with technical conditions, testing methods, safety and environmental protection. The establishment of a stan- dard system is useful for the development of a healthy, orderly and sustainable biomass fuel industry.展开更多
Objective The purpose of the present study is to provide scientific evidence for the implementation of standardized management of the loaner instruments by examining the process of receiving through issuing steps and ...Objective The purpose of the present study is to provide scientific evidence for the implementation of standardized management of the loaner instruments by examining the process of receiving through issuing steps and analyzing challenges encountered by the CSSD of our hospital. Methods The loaner instruments were collected and categorized into the control group( 2 639 pieces during the period of January 2013 to December 2014) and the observation group( 2 418 pieces during the period of January 2015 to December 2016). The possible causes of the challenges were carefully investigated and analyzed. Results After the implementation of standardized management procedures,the efficiency and qualified care of the loaner instruments was significantly improved by measuring qualified rate. The difference in the qualified rate between control and observation groups was statistically significant( P < 0. 01). Conclusion The implementation of the standardized management procedures is important for central sterilization supply departments in guarantee of safe supplies of the loaner instruments,reducing operation risks,and ultimately ensuring patient safety.展开更多
This study proposes a batch rapid quantitative analysis method for multiple elements by combining the advantages of standard curve(SC)and calibration-free laser-induced breakdown spectroscopy(CF-LIBS)technology to ach...This study proposes a batch rapid quantitative analysis method for multiple elements by combining the advantages of standard curve(SC)and calibration-free laser-induced breakdown spectroscopy(CF-LIBS)technology to achieve synchronous,rapid,and accurate measurement of elements in a large number of samples,namely,SC-assisted CF-LIBS.Al alloy standard samples,divided into calibration and test samples,were applied to validate the proposed method.SC was built based on the characteristic line of Pb and Cr in the calibration sample,and the contents of Pb and Cr in the test sample were calculated with relative errors of 6%and 4%,respectively.SC built using Cr with multiple characteristic lines yielded better calculation results.The relative contents of ten elements in the test sample were calculated using CF-LIBS.Subsequently,the SC-assisted CF-LIBS was executed,with the majority of the calculation relative errors falling within the range of 2%-5%.Finally,the Al and Na contents of the Al alloy were predicted.The results demonstrate that it effectively enables the rapid and accurate quantitative analysis of multiple elements after a single-element SC analysis of the tested samples.Furthermore,this quantitative analysis method was successfully applied to soil and Astragalus samples,realizing an accurate calculation of the contents of multiple elements.Thus,it is important to advance the LIBS quantitative analysis and its related applications.展开更多
Rapid online analysis of liquid slag is essential for optimizing the quality and energy efficiency of steel production. To investigate the key factors that affect the online measurement of refined slag using laser-ind...Rapid online analysis of liquid slag is essential for optimizing the quality and energy efficiency of steel production. To investigate the key factors that affect the online measurement of refined slag using laser-induced breakdown spectroscopy(LIBS), this study examined the effects of slag composition and temperature on the intensity and stability of the LIBS spectra. The experimental temperature was controlled at three levels: 1350℃, 1400℃, and 1450℃. The results showed that slag composition and temperature significantly affected the intensity and stability of the LIBS spectra. Increasing the Fe content and temperature in the slag reduces its viscosity, resulting in an enhanced intensity and stability of the LIBS spectra. Additionally, 42 refined slag samples were quantitatively analyzed for Fe, Si, Ca, Mg, Al, and Mn at 1350℃, 1400℃, and 1450℃.The normalized full spectrum combined with partial least squares(PLS) quantification modeling was used, using the Ca Ⅱ 317.91 nm spectral line as an internal standard. The results show that using the internal standard normalization method can significantly reduce the influence of spectral fluctuations. Meanwhile, a temperature of 1450℃ has been found to yield superior results compared to both 1350℃ and 1400℃, and it is advantageous to conduct a quantitative analysis of the slag when it is in a “water-like” state with low viscosity.展开更多
Let X=Σ_(i=1)^(n)a_(i)ξ_(i)be a Rademacher sum with Var(X)=1 and Z be a standard normal random variable.This paper concerns the upper bound of|P(X≤x)−P(Z≤x)|for any x∈R.Using the symmetric properties and R softwa...Let X=Σ_(i=1)^(n)a_(i)ξ_(i)be a Rademacher sum with Var(X)=1 and Z be a standard normal random variable.This paper concerns the upper bound of|P(X≤x)−P(Z≤x)|for any x∈R.Using the symmetric properties and R software,this paper gets the following improved Berry-Esseen type bound under some conditions,|P(X≤x)−P(Z≤x)|≤P(Z∈(0,a1)),∀x∈R,which is one of the modified conjecture proposed by Nathan K.and Ohad K.展开更多
To extend the traditional generalized grey incidence model, a novel grey incidence model based on inter- val grey numbers is constructed. Considering the numerical information of indexes cannot be accurately obtained ...To extend the traditional generalized grey incidence model, a novel grey incidence model based on inter- val grey numbers is constructed. Considering the numerical information of indexes cannot be accurately obtained and can be defined as interval grey numbers, the interval grey numbers are defined as standard interval grey num- bers which are split in white part and grey part. The absolute degree of incidence and relative degree of incidence based on the interval grey numbers are constructed and their arithmetic are given. Finally, an example about commercial aircraft index selection illuminates the effectiveness of the model. The results show that the model can sort indexes better and can extend the grey incidence models significantly.展开更多
Changes in tree mortality due to severe drought can alter forest structure,composition,dynamics,ecosystem services,carbon fl uxes,and energy interactions between the atmosphere and land surfaces.We utilized long-term(...Changes in tree mortality due to severe drought can alter forest structure,composition,dynamics,ecosystem services,carbon fl uxes,and energy interactions between the atmosphere and land surfaces.We utilized long-term(2000‒2017,3 full inventory cycles)Forest Inventory and Analysis(FIA)data to examine tree mortality and biomass loss in drought-aff ected forests for East Texas,USA.Plots that experienced six or more years of droughts during those censuses were selected based on 12-month moderate drought severity[Standardized Precipitation Evaporation Index(SPEI)-1.0].Plots that experienced other disturbances and inconsistent records were excluded from the analysis.In total,222 plots were retained from nearly 4000 plots.Generalized nonlinear mixed models(GNMMs)were used to examine the changes in tree mortality and recruitment rates for selected plots.The results showed that tree mortality rates and biomass loss to mortality increased overall,and across tree sizes,dominant genera,height classes,and ecoregions.An average mortality rate of 5.89%year−1 during the study period could be incited by water stress created by the regional prolonged and episodic drought events.The overall plot and species-group level recruitment rates decreased during the study period.Forest mortality showed mixed results regarding basal area and forest density using all plots together and when analyzed the plots by stand origin and ecoregion.Higher mortality rates of smaller trees were detected and were likely compounded by densitydependent factors.Comparative analysis of drought-induced tree mortality using hydro-meteorological data along with drought severity and length gradient is suggested to better understand the eff ects of drought on tree mortality and biomass loss around and beyond East Texas in the southeastern United States.展开更多
介绍了海洋工程装备的腐蚀环境,阐述了海洋工程装备在海洋大气区、潮差浪溅区、海水浸没区、海泥区等不同部位的腐蚀特点及重防腐涂料的选用及性能评价标准,分析了目前国际上通用的海洋工程防腐设计标准结合实际案例,研发并构建了适应...介绍了海洋工程装备的腐蚀环境,阐述了海洋工程装备在海洋大气区、潮差浪溅区、海水浸没区、海泥区等不同部位的腐蚀特点及重防腐涂料的选用及性能评价标准,分析了目前国际上通用的海洋工程防腐设计标准结合实际案例,研发并构建了适应苛刻海洋环境中的海洋工程钢结构防腐涂层体系。研究表明:构建的海洋工程钢结构防腐涂层体系性能卓越,满足NORSOK Standard M-501标准认证,可保障海洋工程装备在湿、高盐、干湿交替、浸没等强腐蚀海洋环境下的安全稳定运行。展开更多
In recent years there has been an increasing interest in developing spatial statistical models for data sets that are seemingly spatially independent.This lack of spatial structure makes it difficult,if not impossible...In recent years there has been an increasing interest in developing spatial statistical models for data sets that are seemingly spatially independent.This lack of spatial structure makes it difficult,if not impossible to use optimal predictors such as ordinary kriging for modeling the spatial variability in the data.In many instances,the data still contain a wealth of information that could be used to gain flexibility and precision in estimation.In this paper we propose using a combination of regression analysis to describe the large-scale spatial variability in a set of survey data and a tree-based stratification design to enhance the estimation process of the small-scale spatial variability.With this approach,sample units（i.e.,pixel of a satellite image） are classified with respect to predictions of error attributes into homogeneous classes,and the classes are then used as strata in the stratified analysis.Independent variables used as a basis of stratification included terrain data and satellite imagery.A decision rule was used to identify a tree size that minimized the error in estimating the variance of the mean response and prediction uncertainties at new spatial locations.This approach was applied to a set of n=937 forested plots from a state-wide inventory conducted in 2006 in the Mexican State of Jalisco.The final models accounted for 62% to 82% of the variability observed in canopy closure（%）,basal area（m2·ha-1）,cubic volumes（m3·ha-1） and biomass（t·ha-1） on the sample plots.The spatial models provided unbiased estimates and when averaged over all sample units in the population,estimates of forest structure were very close to those obtained using classical estimates based on the sampling strategy used in the state-wide inventory.The spatial models also provided unbiased estimates of model variances leading to confidence and prediction coverage rates close to the 0.95 nominal rate.展开更多
文摘Overview Heats stroke(HS)is severe sunstroke caused by a rapid increase in one’s core temperature in excess of 40°C from exposure to a hot and humid environment.HS is accompanied by serious clinical syndromes that damage multiple organ systems.h ese syndromes include burning skin and impaired awareness,such as delir ium,conv ul sions,and loss of consciousness.Exertional heat stroke(EHS)is caused by a rapid increase in one’s core temperature in excess of 40°C from high intensity
基金the Undergraduate Teaching Reform Project from Peking Union Medical College(Grant number:2017zlgc0102).
文摘Objectives To validate the reliability of the Chinese version of the Consultation and Relational Empathy(CARE)in physician-standardized patient(SP)encounter.We also tried to examine the agreement between video-based ratings and in-room ratings,as well as the agreement between the faculty ratings and SP ratings.Methods The CARE was translated into Chinese.Forty-eight anesthesia residents were recruited to make preoperative interview in SP-counter.Performance of each resident was graded by in-room raters,video raters and SP raters.Consistency between different raters was examined.Results The Chinese-CARE measure demonstrated high scale reliability with a Cronbach's alpha value of 0.95 and high consistency in the in-room ratings in intraclass correlation(coefficient=0.888,P<0.001).Despite a good consistency in intraclass correlation,video ratings were significantly higher than in-room ratings(39.6±7.1 vs.24.0±10.0,P<0.001),and Wilcoxon signed-rank test indicated that the pass/fail rate was significantly higher based on video ratings than based on in-room ratings(45/48 vs.22/48,P<0.001).SP ratings had a moderate consistency with in-room faculty ratings(coefficient=0..568,P<0.001),and there was no significant difference between the pass/fail rates based on the in-room ratings and SP ratings(22/48vs.28/48,P=0.12).Conclusions The Chinese-CARE measure is reliable in the assessment of empathy during preoperative anesthesia interview.In-room and video ratings are not equivalent,while SP may provide a feasible alternative for the faculty rater in the assessment of communication skills with an appropriate measure.
基金supported by the Forestry Industrial Standard:Forest Biomass Briquetting Densification Fuel(No.2010-LY-125)the General Technical Specification of Forest Biomass Briquetting Densification Fuel Stove(No.2010-LY-124)the National Featured Major Construction Project(No.TS10040)
文摘Forest biomass resources are available in enormous quantities in China. The development of forest biomass briquetting densification fuel, which has a high calorific value, can ease the energy shortage in China. But the molding technology is still at the primary stage with many questions unresolved, such as unequal distribution of resources, imperfect technology and an inadequate mechanism of market supply and demand. There are no consistent production and quality standards to refer to, which seriously hinder the industrialization of biomass molding technology. Hence, it is imperative to speed up the formulation of production standards of biomass briquetting densification fuel which not only conform to international standards, but are in accordance with national condi- tions in China. Drawing on the standards of biomass briquetting densification fuel in Europe, a standard system should be concerned with raw material collection, transport and storage of the end products, terminology, denomination and classification of molding equipment, as well as with technical conditions, testing methods, safety and environmental protection. The establishment of a stan- dard system is useful for the development of a healthy, orderly and sustainable biomass fuel industry.
基金Special Fund of Academic Competence Improvement Project in Nursing of Integrated Traditional Chinese and Western M edicine(TG20180002g)
文摘Objective The purpose of the present study is to provide scientific evidence for the implementation of standardized management of the loaner instruments by examining the process of receiving through issuing steps and analyzing challenges encountered by the CSSD of our hospital. Methods The loaner instruments were collected and categorized into the control group( 2 639 pieces during the period of January 2013 to December 2014) and the observation group( 2 418 pieces during the period of January 2015 to December 2016). The possible causes of the challenges were carefully investigated and analyzed. Results After the implementation of standardized management procedures,the efficiency and qualified care of the loaner instruments was significantly improved by measuring qualified rate. The difference in the qualified rate between control and observation groups was statistically significant( P < 0. 01). Conclusion The implementation of the standardized management procedures is important for central sterilization supply departments in guarantee of safe supplies of the loaner instruments,reducing operation risks,and ultimately ensuring patient safety.
基金supported by the Major Science and TechnologyTechnol-ogy Projects in Gansu Province(No.22ZD6FA021-5)Industrial Support Project of Gansu Province(Nos.2023CYZC-19 and 2021CYZC-22)+1 种基金Science and Technol-ogy Project of Gansu Province(Nos.23YFFA0074,22JR5RA137,and 22JR5RA151)Central Leading Local Science and Technology Development Fund Projects(No.23ZYQA293).
文摘This study proposes a batch rapid quantitative analysis method for multiple elements by combining the advantages of standard curve(SC)and calibration-free laser-induced breakdown spectroscopy(CF-LIBS)technology to achieve synchronous,rapid,and accurate measurement of elements in a large number of samples,namely,SC-assisted CF-LIBS.Al alloy standard samples,divided into calibration and test samples,were applied to validate the proposed method.SC was built based on the characteristic line of Pb and Cr in the calibration sample,and the contents of Pb and Cr in the test sample were calculated with relative errors of 6%and 4%,respectively.SC built using Cr with multiple characteristic lines yielded better calculation results.The relative contents of ten elements in the test sample were calculated using CF-LIBS.Subsequently,the SC-assisted CF-LIBS was executed,with the majority of the calculation relative errors falling within the range of 2%-5%.Finally,the Al and Na contents of the Al alloy were predicted.The results demonstrate that it effectively enables the rapid and accurate quantitative analysis of multiple elements after a single-element SC analysis of the tested samples.Furthermore,this quantitative analysis method was successfully applied to soil and Astragalus samples,realizing an accurate calculation of the contents of multiple elements.Thus,it is important to advance the LIBS quantitative analysis and its related applications.
基金financially supported by the National Key R&D Program Projects of China (No.2021YFB3202402)National Natural Science Foundation of China (No.62173321)。
文摘Rapid online analysis of liquid slag is essential for optimizing the quality and energy efficiency of steel production. To investigate the key factors that affect the online measurement of refined slag using laser-induced breakdown spectroscopy(LIBS), this study examined the effects of slag composition and temperature on the intensity and stability of the LIBS spectra. The experimental temperature was controlled at three levels: 1350℃, 1400℃, and 1450℃. The results showed that slag composition and temperature significantly affected the intensity and stability of the LIBS spectra. Increasing the Fe content and temperature in the slag reduces its viscosity, resulting in an enhanced intensity and stability of the LIBS spectra. Additionally, 42 refined slag samples were quantitatively analyzed for Fe, Si, Ca, Mg, Al, and Mn at 1350℃, 1400℃, and 1450℃.The normalized full spectrum combined with partial least squares(PLS) quantification modeling was used, using the Ca Ⅱ 317.91 nm spectral line as an internal standard. The results show that using the internal standard normalization method can significantly reduce the influence of spectral fluctuations. Meanwhile, a temperature of 1450℃ has been found to yield superior results compared to both 1350℃ and 1400℃, and it is advantageous to conduct a quantitative analysis of the slag when it is in a “water-like” state with low viscosity.
基金supported by the National Natural Science Foundation of China(Grant No.11861029)the Hainan Provincial Natural Science Foundation of China(Grants Nos.122MS056,124MS056).
文摘Let X=Σ_(i=1)^(n)a_(i)ξ_(i)be a Rademacher sum with Var(X)=1 and Z be a standard normal random variable.This paper concerns the upper bound of|P(X≤x)−P(Z≤x)|for any x∈R.Using the symmetric properties and R software,this paper gets the following improved Berry-Esseen type bound under some conditions,|P(X≤x)−P(Z≤x)|≤P(Z∈(0,a1)),∀x∈R,which is one of the modified conjecture proposed by Nathan K.and Ohad K.
基金Supported by the National Natural Science Foundation of China(70901041,71171113)the Joint Research Project of National Natural Science Foundation of China and Royal Society of UK(71111130211)+3 种基金the Major Program of National Funds of Social Science of Chinathe Doctoral Fund of Ministry of Education of China(20093218120032,200802870020)the Qinglan Project for Excellent Youth Teacher in Jiangsu Province(China)the Research Funding of Nanjing University of Aeronautics and Astronautics(NR2011002,NJ2011009)~~
文摘To extend the traditional generalized grey incidence model, a novel grey incidence model based on inter- val grey numbers is constructed. Considering the numerical information of indexes cannot be accurately obtained and can be defined as interval grey numbers, the interval grey numbers are defined as standard interval grey num- bers which are split in white part and grey part. The absolute degree of incidence and relative degree of incidence based on the interval grey numbers are constructed and their arithmetic are given. Finally, an example about commercial aircraft index selection illuminates the effectiveness of the model. The results show that the model can sort indexes better and can extend the grey incidence models significantly.
文摘Changes in tree mortality due to severe drought can alter forest structure,composition,dynamics,ecosystem services,carbon fl uxes,and energy interactions between the atmosphere and land surfaces.We utilized long-term(2000‒2017,3 full inventory cycles)Forest Inventory and Analysis(FIA)data to examine tree mortality and biomass loss in drought-aff ected forests for East Texas,USA.Plots that experienced six or more years of droughts during those censuses were selected based on 12-month moderate drought severity[Standardized Precipitation Evaporation Index(SPEI)-1.0].Plots that experienced other disturbances and inconsistent records were excluded from the analysis.In total,222 plots were retained from nearly 4000 plots.Generalized nonlinear mixed models(GNMMs)were used to examine the changes in tree mortality and recruitment rates for selected plots.The results showed that tree mortality rates and biomass loss to mortality increased overall,and across tree sizes,dominant genera,height classes,and ecoregions.An average mortality rate of 5.89%year−1 during the study period could be incited by water stress created by the regional prolonged and episodic drought events.The overall plot and species-group level recruitment rates decreased during the study period.Forest mortality showed mixed results regarding basal area and forest density using all plots together and when analyzed the plots by stand origin and ecoregion.Higher mortality rates of smaller trees were detected and were likely compounded by densitydependent factors.Comparative analysis of drought-induced tree mortality using hydro-meteorological data along with drought severity and length gradient is suggested to better understand the eff ects of drought on tree mortality and biomass loss around and beyond East Texas in the southeastern United States.
文摘介绍了海洋工程装备的腐蚀环境,阐述了海洋工程装备在海洋大气区、潮差浪溅区、海水浸没区、海泥区等不同部位的腐蚀特点及重防腐涂料的选用及性能评价标准,分析了目前国际上通用的海洋工程防腐设计标准结合实际案例,研发并构建了适应苛刻海洋环境中的海洋工程钢结构防腐涂层体系。研究表明:构建的海洋工程钢结构防腐涂层体系性能卓越,满足NORSOK Standard M-501标准认证,可保障海洋工程装备在湿、高盐、干湿交替、浸没等强腐蚀海洋环境下的安全稳定运行。
文摘In recent years there has been an increasing interest in developing spatial statistical models for data sets that are seemingly spatially independent.This lack of spatial structure makes it difficult,if not impossible to use optimal predictors such as ordinary kriging for modeling the spatial variability in the data.In many instances,the data still contain a wealth of information that could be used to gain flexibility and precision in estimation.In this paper we propose using a combination of regression analysis to describe the large-scale spatial variability in a set of survey data and a tree-based stratification design to enhance the estimation process of the small-scale spatial variability.With this approach,sample units（i.e.,pixel of a satellite image） are classified with respect to predictions of error attributes into homogeneous classes,and the classes are then used as strata in the stratified analysis.Independent variables used as a basis of stratification included terrain data and satellite imagery.A decision rule was used to identify a tree size that minimized the error in estimating the variance of the mean response and prediction uncertainties at new spatial locations.This approach was applied to a set of n=937 forested plots from a state-wide inventory conducted in 2006 in the Mexican State of Jalisco.The final models accounted for 62% to 82% of the variability observed in canopy closure（%）,basal area（m2·ha-1）,cubic volumes（m3·ha-1） and biomass（t·ha-1） on the sample plots.The spatial models provided unbiased estimates and when averaged over all sample units in the population,estimates of forest structure were very close to those obtained using classical estimates based on the sampling strategy used in the state-wide inventory.The spatial models also provided unbiased estimates of model variances leading to confidence and prediction coverage rates close to the 0.95 nominal rate.
