general

摘要： Background: Advancing the science of nursing education through technology into teaching and learning is essential to prepare nurses for the changing healthcare environment. Objective: To synthesise evidence in nursing students’ competency in the clinical setting immediately after completion of training with simulation compared with lectures. Methods: Databases were sourced electronically from CINAHL and PubMed using keywords Simulation, lecture, clinical competency and new graduates. Study Eligibility Criteria, Participants and Interventions: Published articles addressing the research objectives, written in English, spaning between September 2010 and March 2019 directly answer the PSCOT question with results applicable to the population specific-nursing students, simulation was utilized. Study Appraisal and Synthesis Methods: Extracted data from sorted studies were analysed and assessed for quality using the John Hopkins Evidence-Based Appraisal Tools. Results: The two-database yielded 520 articles, 10 met the eligibility criteria. Findings documented three important themes: 1) Clinical competence among nurses;2) Medical residents’ clinical competence and 3) Was about the competence of anaesthesiology residents. Limitations: The identified studies used small sample sizes ranging from 20 to 98 participants in the single research studies. Conclusions: The review of the literature found that the active teaching strategy of simulation was more effective in promoting clinical competency in nursing students compared with the lecture method. The evidence-based teaching project proposes the use of simulation as the primary teaching method to improve the clinical competency abilities of registered general nursing (RGN) diploma students.

摘要： For the public having a better understanding of solar activities,the Educational Adaptive-optics Solar Telescope(EAST)was built in July 2021 and is located at the Shanghai Astronomy Museum.The EAST consists of a 65 cm aperture solar telescope with a 177-element adaptive optics system and two-channel high resolution imaging system at the Hαand TiO bands,in addition to three full disk solar telescopes at CaK,Hαand TiO bands equipped on the tube of the main telescope.In this paper,the configuration of the EAST is described.Its performance and on-sky observational results are presented.The EAST,to our knowledge,is the most advanced solar telescope for the popularization of science in the world.Due to its excellent performance,the data acquired by the EAST can also be used for research on solar physics and space weather prediction.

摘要： Martian caves have revived interest in the field of subsurface exploration because they are the potential destinations for future human habitats and astrobiological research.There are many pits on Mars,but some of them look like collapsed cave roofs.These special pits are formed by the collapse of surface materials into the subsurface void spaces.The signature of life is probable in a subsurface cave on Mars as the subsurface environment can protect life from the harsh and dangerous radiation environment of the surface.In a cave,there may be an abundance of minerals,fluids,and other key resources.Therefore,locating the access point of the subsurface cave is essential and crucial for formulating plans for robotic/human explorations of the Red Planet,Mars.We have used remote sensing data from Mars Reconnaissance Orbiter(MRO;NASA),Mars Global Surveyor(MGS;NASA),and Mars Odyssey(NASA)for identifying,mapping,and classifying selected special pit candidates on the flank of Elysium Mons,Mars.A total of 32 special pit candidates has been identified and classified based upon morphology and geological context.Out of these,26 are newly discovered ones.The thermal behavior of 23 special pit candidates confirms that the special pits are radiating heat energy at nighttime,similar to potential caves.Also,cave entrances have been detected in nine candidates using data from the Hi RISE camera onboard MRO.These sites could be important destinations for future robotic/human exploration and the search for life on Mars.

摘要： Lift force of an asymmetric capacitor in arbitrary shape still cannot be precisely calculated. For an irregular surface of a general asymmetric capacitor of which electric charge is nonuniformly distributed, we dedicate effort to filling the gap of lift force calculation problem. Through theoretical derivation, a general formula result is achieved. By applying theoretical formula combining with experimental method based on similarity principle of dimensional analysis, we can almost figure out all types of lift force of asymmetric capacitor. It is really an exciting method which can universally solve the hard thrust force calculation problem completely.

摘要： BACKGROUND Postoperative delirium(POD)is one of the most common complications in older adult patients undergoing elective surgery.Few studies have compared,within the same institution,the type of surgery,risk factors and type of anesthesia and analgesia associated with the development of POD.AIM To investigate the following three questions:(1)What is the incidence of POD after non-ambulatory orthopedic surgery at a high-volume orthopedic specialty hospital?(2)Does surgical procedure influence incidence of POD after nonambulatory orthopedic surgery?And(3)For POD after non-ambulatory orthopedic surgery,what are modifiable risk factors?METHODS A retrospective cohort study was conducted of all non-ambulatory orthopedic surgeries at a single orthopedic specialty hospital between 2009 and 2014.Patients under 18 years were excluded from the cohort.Patient characteristics and medical history were obtained from electronic medical records.Patients with POD were identified using International Classification of Diseases,9^th Revision(ICD-9)codes that were not present on admission.For incidence analyses,the cohort was grouped into total hip arthroplasty(THA),bilateral THA,total knee arthroplasty(TKA),bilateral TKA,spine fusion,other spine procedures,femur/pelvic fracture,and other procedures using ICD-9 codes.For descriptive and regression analyses,the cohort was grouped,using ICD-9 codes,into THA,TKA,spinal fusions,and all procedures.RESULTS Of 78492 surgical inpatient surgeries,the incidence from 2009 to 2014 was 1.2%with 959 diagnosed with POD.The incidence of POD was higher in patients undergoing spinal fusions(3.3%)than for patients undergoing THA(0.8%);THA patients had the lowest incidence.Also,urgent and/or emergent procedures,defined by femoral and pelvic fractures,had the highest incidence of POD(7.2%)than all other procedures.General anesthesia was not seen as a significant risk factor for POD for any procedure type;however,IV patient-controlled analgesia was a significant risk factor for patients undergoing THA[Odds ratio(OR)=1.98,95%confidence interval(CI):1.19 to 3.28,P=0.008].Significant risk factors for POD included advanced age(for THA,OR=4.9,95%CI:3.0-7.9,P<0.001;for TKA,OR=2.16,95%CI:1.58-2.94,P<0.001),American Society of Anesthesiologists score of 3 or higher(for THA,OR=2.01,95%CI:1.33-3.05,P<0.001),multiple medical comorbidities,hyponatremia(for THA,OR=2.36,95%CI:1.54 to 3.64,P<0.001),parenteral diazepam(for THA,OR=5.05,95%CI:1.5-16.97,P=0.009;for TKA,OR=4.40,95%CI:1.52-12.75,P=0.007;for spine fusion,OR=2.17,95%CI:1.19-3.97,P=0.01),chronic opioid dependence(for THA,OR=7.11,95%CI:3.26-15.51,P<0.001;for TKA,OR=2.98,95%CI:1.38-6.41,P=0.005)and alcohol dependence(for THA,OR=5.05,95%CI:2.72-9.37,P<0.001;for TKA,OR=6.40,95%CI:4.00-10.26,P<0.001;for spine fusion,OR=6.64,95%CI:3.72-11.85,P<0.001).CONCLUSION POD is lower(1.2%)than previously reported;likely due to the use of multimodal regional anesthesia and early ambulation.Both fixed and modifiable factors are identified.

摘要： This paper deals with some parabolic equations,where the reaction and the boundary flux are taken of some general forms.We study the explicit blow-up time estimates according to the different coupled relationship,including the lower and upper bounds of blow-up time for every dimension of space domains.As examples,the results could be used to so many completely coupled models.

摘要： Objectives: Osteoarticular pathology has benefited greatly from MRI. This modality was only recently introduced in our country and its implantation is still rare. The objective of this study was to evaluate the practice of MRI of osteoarticular system in Douala General Hospital. Method: It was a cross-sectional descriptive study during a five-month period from May to September 2017 involving all patients referred to the Imaging Department of the Douala General Hospital for osteoarticular MRI. All the patients were scanned using an open-sided mid-field MRI APERTO LUCENT (0.4 T) using axial, sagittal and coronal slices in T1-weighted, T2-weighted proton density. T1 gadolinium or water-fat saturation (WFS) slices were obtained after injection of a contrast agent (Dotarem). Collected data were analyzed using SPSS v20 and Microsoft Excel 2010 softwares. Results: 34 patients were enrolled in this study;osteoarticular MRI accounted for 12% of the activity behind MRI of the spine (40.4%) and the brain (42.5%). The mean age of patients was 37.6 ± 13.1 years with extremes between 6 and 61 years. There was male predominance with a sex ratio of 1.83. Trauma (44.2%) and pain (42.1%) were the most common indications. MRI of the lower limb (85.3%) and more particularly of the knee (68.9%) was more frequently performed than that of the upper limb (14.7%). Orthopedic surgeons (38.2%) and rheumatologists (26.5%) were the main referral physician. 73.5% of request’s forms did not conform to the eight compliance criteria according to the recommendations of French National Agency for Accreditation and Health Evaluation. Most of the examinations (94.1%) were performed without the injection of contrast agent (Dotarem). 97% of MRI was pathological. Traumatic pathologies (39.4%) were most frequent and concerned the knee (27.3%) and the ankle/feet (12.1%), followed by the degenerative pathologies (21.2%) which concerned the knee (18.2%) and hip joints (3%), inflammatory pathologies (12.1%) reaching the shoulder (9.1%) and wrist/hand (3%) while tumoral pathologies (6%) were reaching the knee (3%) and the leg (3%). Conclusion: The MRI of the osteoarticular system is quite common, ranking third after the MRI of the spine and the brain. This study showed that MRI has a significative impact on diagnosis of osteoarticular diseases whit a concordance of 97% with clinic.

摘要： In 1916, F.S. Macaulay developed specific localization techniques for dealing with “unmixed polynomial ideals” in commutative algebra, transforming them into what he called “inverse systems” of partial differential equations. In 1970, D.C. Spencer and coworkers studied the formal theory of such systems, using methods of homological algebra that were giving rise to “differential homological algebra”, replacing unmixed polynomial ideals by “pure differential modules”. The use of “differential extension modules” and “differential double duality” is essential for such a purpose. In particular, 0-pure differential modules are torsion-free and admit an “absolute parametrization” by means of arbitrary potential like functions. In 2012, we have been able to extend this result to arbitrary pure differential modules, introducing a “relative parametrization” where the potentials should satisfy compatible “differential constraints”. We recently noticed that General Relativity is just a way to parametrize the Cauchy stress equations by means of the formal adjoint of the Ricci operator in order to obtain a “minimum parametrization” by adding sufficiently many compatible differential constraints, exactly like the Lorenz condition in electromagnetism. In order to make this difficult paper rather self-contained, these unusual purely mathematical results are illustrated by many explicit examples, two of them dealing with contact transformations, and even strengthening the comments we recently provided on the mathematical foundations of General Relativity and Gauge Theory. They also bring additional doubts on the origin and existence of gravitational waves.

摘要： The paper is concerned with the formulation of the static problem of general relativity. As known, this problem is reduced to ten equations for the compo-nents of the Einstein tensor and the solution of these equations is associated with two principal problems. First, since the components of the Einstein tensor identically satisfy four conservation equations, only six of these equations are mutually independent. So, the set of the Einstein equations actually contains six independent equations for ten components of the metric tensor and should be supplemented with four additional equations which are missing in the original theory. Second, for a deformable solid the Einstein tensor is associated with the energy tensor which is expressed in terms of six stresses induced by gravitation. These stresses are not known and the relativity theory does not propose any equations for them. Thus, the static problem of general relativity cannot be properly formulated because the set of governing equations is not complete. In the paper, the problem of completeness of the general relativity governing set of equations is analyzed in application to the spherically symmetric static problem and the proposed approach is further described for the general case. As an example, linearized axisymmetric problem is considered.

摘要： In this article we modify our previous model for the mechanisms underlying the glitch phenomena in pulsars. Accordingly, pulsars are born with embryonic cores that are made of purely incompressible superconducting gluon-quark superfluid (henceforth SuSu-cores). As the ambient medium cools and spins down due to emission of magnetic dipole radiation, the mass and size of SuSu-cores must grow discretely with time, in accordance with the Onsager-Feynmann analysis of superfluidity. Here we argue that the spacetime embedding glitching pulsars is dynamical and of bimetric nature: inside SuSu-cores the spacetime must be flat, whereas the surrounding region, where the matter is compressible and dissipative, the spacetime is Schwarzschild. It is argued here that the topological change of spacetime is derived by the strong nuclear force, whose operating length scales are found to increase with time to reach O (1) cm at the end of the luminous lifetimes of pulsars. The here-presented model is in line with the recent radio- and gravitational wave observations of pulsars and merger of neutron stars.

摘要： 本发明涉及气垫船运动控制领域，具体涉及的是一种基于纵向速度规划的气垫船高速回转控制方法。本发明采用基于侧滑角约束的航速规划方法解决了气垫船采用传统非线性反馈控制在高速回转时的失速问题，能够保证气垫船在回转的同时实现精确的航速跟踪，提高了气垫船的机动性和作业能力，本发明在保证气垫船在高速回转过程中准确跟踪期望艏向的同时避免回转率过大导致的甩尾现象，提高了气垫船在高速回转时的可靠性和安全性。

摘要： 本发明适用于材料技术领域，提供了一种低光泽度聚氯乙烯材料及其制备方法、应用，其中，所述低光泽度聚氯乙烯材料包括以下重量份数的原料：聚氯乙烯树脂80～100份、稳定剂1～10份、增塑剂4～15份、加工助剂0.8～5份、改质剂4～15份、消光剂0～5.5份以及润滑剂0.5～5份。本发明通过稳定剂、增塑剂、加工助剂、改质剂、消光剂以及润滑剂各原料的合理配比，配合特定种类的聚氯乙烯树脂，所得到的低光泽度聚氯乙烯材料，不仅易于加工成型、且具有较为优异力学性能，且低光泽度，耐温以及成本低；另外，通过消光剂的加入可进一步降低材料光泽度的同时，进一步提高本发明聚氯乙烯材料机械力学性能，具有很好的经济效益。

摘要： 本发明涉及光纤耦合技术领域，尤其涉及一种高效率的叠阵型半导体激光器，包括激光源、光束整形组件、会聚透镜、鲍威尔棱镜组件和光纤；所述激光源发出的光束经过光束整形组件进行整形；整形后的光束经会聚透镜会聚，会聚后光束经过鲍威尔棱镜组件进行光束整形可以耦合进光纤的光束。本发明系统结构简单,便于操作,减少了操作步骤,光纤耦合效率达到84.3％。

摘要： 本申请公开了一种变频空调控制方法、装置、电子设备和介质。其中方法包括：获取空调的设置温度值，获取当前室内温度值；根据所述设置温度值、所述当前室内温度值和预设偏差阈值，确定所述变频空调的系统负荷率；获取当前室外温度值，获取所述变频空调的目标器件的信息；依据所述当前室外温度值、所述目标器件的信息以及所述系统负荷率，确认总传热温差；以达到所述总传热温差为目标，对所述变频空调的制冷系统进行控制，可以控制空调系统在不同负荷率下、不同室外温度值下运行在比较高的能效，实现空调系统节能运行。

摘要： 本发明涉及兽医生物技术领域，尤其涉及一种猪轮状病毒重组蛋白以及表达该蛋白的重组腺病毒和应用。所述所述重组蛋白由猪轮状病毒5型VP7蛋白和猪轮状病毒9型VP8蛋白连接组成，具体包括如SEQ ID NO:1所示的氨基酸序列。本发明将猪轮状病毒5型VP7蛋白和猪轮状病毒9型VP8蛋白的编码基因的基因序列构建至腺病毒表达载体中，并进行密码子优化，制备得到针对猪轮状病毒的重组腺病毒，该重组腺病毒表达的目的蛋白的结构和功能与天然状态完全一致，具有较高的安全性和免疫原性。

摘要： 本发明公开了一种改性TPEE电缆料及其制备方法，所述改性TPEE电缆料，按重量份数计，其组分包含改性TPEE100份，阻燃剂50‑100份，阻燃协效剂2‑10份，润滑剂1‑5份，抗氧剂1‑5份，助剂5‑10份。本发明提供的改性TPEE电缆料通过对TPEE接枝功能化石墨烯，以及对阻燃剂氢氧化镁进行改性，使其兼具优异的阻燃性能，力学性能，热老化性能以及加工性能，并且可回收利用，环境友好。

摘要： 本发明公开了一种路线规划方法，包括：获取N个订单的物流信息，所述物流信息包括订单地址，所述订单地址包括第一地址以及第二地址，其中，所述第一地址为目的地在直送范围内的地址，所述第二地址为目的地在直送范围外的地址，N为正整数；筛选出所述订单地址为所述第一地址的M个订单，确定配送M个订单的第一初始路线，对所述第一初始路线进行优化，得到第一优化路线，M为小于等于N的正整数；筛选出所述订单地址为所述第二地址的N‑M个订单，确定配送所述N‑M个订单的第二初始路线，对所述第二初始路线进行优化，得到第二优化路线。

摘要： 本发明公开了一种芳砜纶/四氧化三铁磁性长丝的制备方法，包括如下步骤：四氧化三铁磁性纳米颗粒制备、芳砜纶/四氧化三铁共混纺丝液制备、湿法纺丝，得到具有不同截面形状的磁性长丝。本发明可以实现芳砜纶的连续化湿法纺丝，制备过程温和可控；本发明将四氧化三铁磁性颗粒结合到芳砜纶纤维中，可以实现芳砜纶纤维的功能化，使得芳砜纶纤维具备磁性；本发明采用蛋白模板调控法制备四氧化三铁磁性颗粒，实现四氧化三铁磁性颗粒形貌及尺寸调控，同时使得纳米颗粒在纺丝液中分散均匀性；本发明制备的芳砜纶/四氧化三铁磁性长丝可用于保健、过滤、智能纺织品等领域。

摘要： 本发明属于污水处理技术领域，尤其是涉及一种污水水质预处理快速检测装置，包括检测水箱，检测水箱内壁上固定连接有第一竖板和第二竖板，第一竖板和第二竖板将检测水箱分隔成处理腔室、检测腔室和储存腔室，处理腔室内底壁上固定连接有向下延伸的梯形凸起，且梯形凸起内形成沉淀腔室，梯形凸起的下端固定连接有两根竖直的排污管，检测水箱的侧壁上固定连接有与处理腔室连通的污水进水管。优点在于：本发明可以对不同分层的污水进行水质检测，且多层之间的检测过程均为独立过程，不会出现相互之间的影响，能够对污水进行实时的检测，有助于后续的数据统计，另外采用分级式的检测方式，能够有效的对污水进行全面的检测，提高检测的质量。

摘要： 本发明公开了一种软硬件联合验证系统及方法。该系统包括：驱动软件、基于systemc模拟的存储器和异构集群；驱动软件嵌入在systemc框架中；驱动软件根据预设验证需求向异构集群发送驱动指令；存储器加载并保存待验证数据；异构集群根据驱动指令从存储器中提取待验证数据，计算得到输出数据，发送至驱动软件；驱动软件根据输出数据进行软硬件的联合验证。通过systemc模拟异构集群，驱动软件嵌入systemc框架，为驱动软件提供与硬件功能相等的模型，实现驱动软件对硬件的控制流程，协助软件前期的开发与调试，为硬件提供标准数据。解决了现有技术中软件与硬件在大多数的系统开发中分开进行，导致开发周期长的技术问题。