The incidence of Crohn’s disease(CD)has increased in recent years,with most patients requiring intestinal resection.Complications after intestinal resection for CD can lead to poor prognosis and recurrence,among whic...The incidence of Crohn’s disease(CD)has increased in recent years,with most patients requiring intestinal resection.Complications after intestinal resection for CD can lead to poor prognosis and recurrence,among which infectious complic-ations are the most common.This study aimed to investigate the common risk factors,including medications,preoperative nutritional status,surgery-related factors,microorganisms,lesion location and type,and so forth,causing infectious complications after intestinal resection for CD,and to propose corresponding preventive measures.The findings provided guidance for identifying suscept-ibility factors and the early intervention and prevention of infectious complic-ations after intestinal resection for CD in clinical practice.展开更多
In the process of green and smart mine construction under the context of carbon neutrality,China's coal safety situation has been continuously improved in recent years.In order to recognize the development of coal...In the process of green and smart mine construction under the context of carbon neutrality,China's coal safety situation has been continuously improved in recent years.In order to recognize the development of coal production in China and prepare for future monitoring and prevention of safety incidents,this study mainly elaborated on the basic situation of coal resources and national mining accidents over the past five years(2017-2021),from four dimensions(accident level,type,region,and time),and then proposed the preventive measures based on accident statistical laws.The results show that the storage of coal resources has obvious geographic characteristics,mainly concentrated in the Midwest,with coal resources in Shanxi and Shaanxi accounting for about 49.4%.The proportion of coal consumption has dropped from 70.2%to 56%between 2011 and 2021,but still accounts for more than half of the all.Meanwhile,the accident-prone areas are positively correlated with the amount of coal production.Among different levels of coal mine accidents,general accidents had the highest number of accidents and deaths,with 692 accidents and 783 deaths,accounting for 87.6%and 54.64%respectively.The frequency of roof,gas,and transportation accidents is relatively high,and the number of single fatalities caused by gas accidents is the largest,about 4.18.In terms of geographical distribution of accidents,the safety situation in Shanxi Province is the most severe.From the time distribution of coal mine accidents,the accidents mainly occurred in July and August,and rarely occurred in February and December.Finally,the"4+4"safety management model is proposed,combining the statistical results with coal production in China.Based on the existing health and safety management systems,the manage-ments are divided into four sub-categories,and more specific measures are suggested.展开更多
Individuals’ preventive measures,as an effective way to suppress epidemic transmission and to protect themselves from infection,have attracted much academic concern,especially during the COVID-19 pandemic.In this pap...Individuals’ preventive measures,as an effective way to suppress epidemic transmission and to protect themselves from infection,have attracted much academic concern,especially during the COVID-19 pandemic.In this paper,a reinforcement learning-based model is proposed to explore individuals’ effective preventive measures against epidemics.Through extensive simulations,we find that the cost of preventive measures influences the epidemic transmission process significantly.The infection scale increases as the cost of preventive measures grows,which means that the government needs to provide preventive measures with low cost to suppress the epidemic transmission.In addition,the effective preventive measures vary from individual to individual according to the social contacts.Individuals who contact with others frequently in daily life are highly recommended to take strict preventive measures to protect themselves from infection,while those who have little social contacts do not need to take any measures considering the inevitable cost.Our research contributes to exploring the effective measures for individuals,which can provide the government and individuals useful suggestions in response to epidemics.展开更多
Objective:To study the knowledge,attitude,and practice of pregnant women regarding transmission and preventive measures of COVID-19 from mother to child and to determine the reasons for vaccine hesitancy.Methods:This ...Objective:To study the knowledge,attitude,and practice of pregnant women regarding transmission and preventive measures of COVID-19 from mother to child and to determine the reasons for vaccine hesitancy.Methods:This observational cross-sectional knowledge,attitude,and practice study was conducted among pregnant women of any trimester,attending the antenatal care out-patient department of a tertiary care hospital in Lucknow from October 2020 to March 2021.All the participants were interviewed using a pretested semi-structured questionnaire for desired information.Reasons for vaccine hesitancy were also asked to assess their unwillingness to get vaccinated.Results:Totally 652 pregnant women were included and 91.3%were aware that COVID-19 spread through contact with an infected person and 85.3%knew that COVID-19 spread by respiratory droplets.Of pregnant women,95.7%perceived that social distancing and wearing a proper mask were effective ways to prevent SARS-CoV-2 infection and 96.8%of the pregnant women wore masks regularly when going out.Of pregnant women,79.0%were hesitant to get vaccinated.The most common reason was that COVID-19 vaccine can harm the developing fetus(77.5%)and was not very safe in pregnancy(75.0%).Conclusions:Of the pregnant women,22.92%have unsatisfactory knowledge regarding COVID-19,35.63%have negative attitude and 19.93%have poor practices,indicating that there are still gaps in awareness,and majority of them are unwilling to get vaccinated.Good awareness will help prevent the occurrence of future COVID-19 waves in India.展开更多
Operating Room is an important place for surgical diagnosis and treatment and rescue of patients. With the rapid development of medical technology, high, precision, sharp continuous development, operating room safety ...Operating Room is an important place for surgical diagnosis and treatment and rescue of patients. With the rapid development of medical technology, high, precision, sharp continuous development, operating room safety management is particularly important. The error of the counting of the surgical articles causes the foreign body left in the patient’s body, which will cause irreversible damage to the patient and even cause the medical dispute and touch the legal problem. Operation items inventory system is an important working system in the operating room. Scientific and standardized methods and systems for counting surgical instruments and dressings during operation can prevent foreign bodies from being left in the body, prevent errors and accidents in the operating room, and are very important for ensuring the safety of the operation of patients. In order to ensure the safety of patients, it is necessary to ensure the correct inventory of surgical items. The factors affecting the accuracy of item counting in the operating room and the preventive measures are summarized as follows.展开更多
Taking the common sports injuries and preventive measures of Yushan County middle school track and field athletes as the research object,the sports injuries of Yushan County middle school track and field athletes were...Taking the common sports injuries and preventive measures of Yushan County middle school track and field athletes as the research object,the sports injuries of Yushan County middle school track and field athletes were investigated and analyzed from the angle,type,location and nature of sports injury.Research on sports injury problems,trying to find the causes of sports injuries in daily training of track and field athletes,and proposed targeted preventive measures based on the specific situation of Yushan County Middle School.The results show that 77.70%of track and field athletes have suffered sports injury and periostitis and ligament/muscle strains are the most common forms of injury,and lower limbs are more prone to sports injuries than upper limbs.展开更多
Objective To study the current situation and the root cause of drug shortage in China, and put forward countermeasures and suggestions accordingly for relevant national policy decisions. Methods Based on literature re...Objective To study the current situation and the root cause of drug shortage in China, and put forward countermeasures and suggestions accordingly for relevant national policy decisions. Methods Based on literature research, questionnaire survey and expert consultation, the causes of drug shortage in China were comprehensively investigated, and fishbone diagram was used to further analyze the logical relationship among the causes. Results and Conclusion The main reasons for the shortage of drugs are the low profit of production enterprises and insufficient active pharmaceutical ingredients (APIs). The other reasons include uncertain demand, standard problem and few exclusive manufacturers. Besides, the monopoly of circulation enterprises also leads to the shortage of drugs to a certain extent. It is suggested that we should increase the punishment of monopoly, optimize the market environment, and establish a reasonable drug price mechanism. In addition, enterprises should participate in the information communication platform of medical institutions to solve the asymmetry between supply and demand. The research on clinical drugs to substitute drugs in need should be strengthened, and the reporting system of drug discontinuation should be improved.展开更多
Time-dependent characteristics(TDCs)have been neglected in most previous studies investigating the deviation mechanisms of bridge pile foundations and evaluating the effectiveness of preventive measures.In this study,...Time-dependent characteristics(TDCs)have been neglected in most previous studies investigating the deviation mechanisms of bridge pile foundations and evaluating the effectiveness of preventive measures.In this study,the stress-strain-time characteristics of soft soils were illustrated by consolidation-creep tests based on a typical engineering case.An extended Koppejan model was developed and then embedded in a finite element(FE)model via a user-material subroutine(UMAT).Based on the validated FE model,the time-dependent deformation mechanism of the pile foundation was revealed,and the preventive effect of applying micropiles and stress-release holes to control the deviation was investigated.The results show that the calculated maximum lateral displacement of the cap differs from the measured one by 6.5%,indicating that the derived extended Koppejan model reproduced the deviation process of the bridge cap-pile foundation with time.The additional load acting on the pile side caused by soil lateral deformation was mainly concentrated within the soft soil layer and increased with the increase in load duration.Compared with t=3 d(where t is surcharge time),the maximum lateral additional pressure acting on Pile 2#increased by approximately 47.0%at t=224 d.For bridge pile foundation deviation in deep soft soils,stress-release holes can provide better prevention compared to micropiles and are therefore recommended.展开更多
Firedamp and coal dust explosion constitute a lion’s share in mine accidents in a global mining scenario.This paper reports a list of mine explosion disasters since last two decades,a critical review of the different...Firedamp and coal dust explosion constitute a lion’s share in mine accidents in a global mining scenario.This paper reports a list of mine explosion disasters since last two decades,a critical review of the different prevention and constructive measures,and its recent development to avoid firedamp and coal dust explosion.Preventive legislation in core coal-producing countries,viz.China,USA,Australia,South Africa,and India related to firedamp and coal dust explosion are critically analysed.Accidents occurred due to explosion after Nationalisation of Coal Mines(1973)in India are listed.Prevention and constructive measures adopted in India are critically analysed with respect to the global mining scenario.Measures like methane credit concept,classification of mines/seams with respect to explosion risk zone,deflagration index;installation of automatic fire warning devices,canopy air curtain technology,explosion-prevention measures,such as fire-retardant materials,inhibitors,extinguishing agent,dust suppressor,and active explosion barrier are discussed in detail to avoid explosion and thereby adhering to zero accident policy due to coal mine explosion.展开更多
This work examines a mathematical model of COVID-19 among two subgroups:low-risk and high-risk populations with two preventive measures;non-pharmaceutical interventions including wearing masks,maintaining social dista...This work examines a mathematical model of COVID-19 among two subgroups:low-risk and high-risk populations with two preventive measures;non-pharmaceutical interventions including wearing masks,maintaining social distance,and washing hands regularly by the low-risk group.In addition to the interventions mentioned above,highrisk individuals must take extra precaution measures,including telework,avoiding social gathering or public places,etc.to reduce the transmission.Those with underlying chronic diseases and the elderly(ages 60 and above)were classified as high-risk individuals and the rest as low-risk individuals.The parameter values used in this study were estimated using the available data from the Johns Hopkins University on COVID-19 for Brazil and South Africa.We evaluated the effective reproduction number for the two countries and observed how the various parameters affected the effective reproduction number.We also performed numerical simulations and analysis of the model.Susceptible and infectious populations for both low-risk and high-risk individuals were studied in detail.Results were displayed in both graphical and table forms to show the dynamics of each country being studied.We observed that non-pharmaceutical interventions by highrisk individuals significantly reduce infections among only high-risk individuals.In contrast,non-pharmaceutical interventions by low-risk individuals have a significant reduction in infections in both subgroups.Therefore,low-risk individuals’preventive actions have a considerable effect on reducing infections,even among high-risk individuals.展开更多
Using the data at standard ground observation field of Lingyuan Meteorological Bureau and comparative and parallel observation data during growth period of surrounding Prunus sibirica var suavosperma, and combining so...Using the data at standard ground observation field of Lingyuan Meteorological Bureau and comparative and parallel observation data during growth period of surrounding Prunus sibirica var suavosperma, and combining social investigation data about low-temperature cold injury loss of P. sibirica in recent years, it is found that low-temperature cold injury and abrupt change of temperature in spring are also important factors affecting P. sibirica yield and economic benefit. According to temperature indexes, meteorological department timely issues warning and forecast, and relevant departments and foresters take corresponding preventive measures, and strengthen cultivation technology and management of P. sibinca park. It avoids economic loss of P. sibirica caused by low-temperature cold injury, and obtains high and stable yield.展开更多
Based on structural distribution and fault characteristics of the Luzhou block,southern Sichuan Basin,as well as microseismic,well logging and in-situ stress data,the casing deformation behaviors of deep shale gas wel...Based on structural distribution and fault characteristics of the Luzhou block,southern Sichuan Basin,as well as microseismic,well logging and in-situ stress data,the casing deformation behaviors of deep shale gas wells are summarized,and the casing deformation mechanism and influencing factors are identified.Then,the risk assessment chart of casing deformation is plotted,and the measures for preventing and controlling casing deformation are proposed.Fracturing-activated fault slip is a main factor causing the casing deformation in deep shale gas wells in the Luzhou block.In the working area,the approximate fracture angle is primarily 10°-50°,accounting for 65.34%,and the critical pore pressure increment for fault-activation is 6.05-9.71 MPa.The casing deformation caused by geological factors can be prevented/controlled by avoiding the faults at risk and deploying wells in areas with low value of stress factor.The casing deformation caused by engineering factors can be prevented/controlled by:(1)keeping wells avoid faults with risks of activation and slippage,or deploying wells in areas far from the faulting center if such avoidance is impossible;(2)optimizing the wellbore parameters,for example,adjusting the wellbore orientation to reduce the shear force on casing to a certain extent and thus mitigate the casing deformation;(3)optimizing the casing program to ensure that the curvature radius of the curved section of horizontal well is greater than 200 m while the drilling rate of high-quality reservoirs is not impaired;(4)optimizing the fracturing parameters,for example,increasing the evasive distance,lowering the single-operation pressure,and increasing the stage length,which can help effectively reduce the risk of casing deformation.展开更多
Deep foundation pit excavation is a basic and key step involved in modern building construction.In order to ensure the construction quality and safety of deep foundation pits,this paper takes a project as an example t...Deep foundation pit excavation is a basic and key step involved in modern building construction.In order to ensure the construction quality and safety of deep foundation pits,this paper takes a project as an example to analyze deep foundation pit excavation technology,including the nature of this construction project,the main technical measures in the construction of deep foundation pit,and the analysis of the safety risk prevention and control measures.The purpose of this analysis is to provide scientific reference for the construction quality and safety of deep foundation pits.展开更多
Based on practical work experience,this paper analyzed the occurrence characteristics and control measures of Spodoptera frugiperda in maize.The measures including forecasting and early warning,regional prevention and...Based on practical work experience,this paper analyzed the occurrence characteristics and control measures of Spodoptera frugiperda in maize.The measures including forecasting and early warning,regional prevention and control,agricultural prevention and control,physical prevention and control,chemical prevention and control,and biological prevention and control can effectively control the damage of S.frugiperda and guarantee the safety of food production.The results will provide some reference for the prevention and control of S.frugiperda.展开更多
The resurgence of locally acquired malaria cases in the USA and the persistent global challenge of malaria transmission highlight the urgent need for research to prevent this disease. Despite significant eradication e...The resurgence of locally acquired malaria cases in the USA and the persistent global challenge of malaria transmission highlight the urgent need for research to prevent this disease. Despite significant eradication efforts, malaria remains a serious threat, particularly in regions like Africa. This study explores how integrating Gregor’s Type IV theory with Geographic Information Systems (GIS) improves our understanding of disease dynamics, especially Malaria transmission patterns in Uganda. By combining data-driven algorithms, artificial intelligence, and geospatial analysis, the research aims to determine the most reliable predictors of Malaria incident rates and assess the impact of different factors on transmission. Using diverse predictive modeling techniques including Linear Regression, K-Nearest Neighbor, Neural Network, and Random Forest, the study found that;Random Forest model outperformed the others, demonstrating superior predictive accuracy with an R<sup>2</sup> of approximately 0.88 and a Mean Squared Error (MSE) of 0.0534, Antimalarial treatment was identified as the most influential factor, with mosquito net access associated with a significant reduction in incident rates, while higher temperatures correlated with increased rates. Our study concluded that the Random Forest model was effective in predicting malaria incident rates in Uganda and highlighted the significance of climate factors and preventive measures such as mosquito nets and antimalarial drugs. We recommended that districts with malaria hotspots lacking Indoor Residual Spraying (IRS) coverage prioritize its implementation to mitigate incident rates, while those with high malaria rates in 2020 require immediate attention. By advocating for the use of appropriate predictive models, our research emphasized the importance of evidence-based decision-making in malaria control strategies, aiming to reduce transmission rates and save lives.展开更多
The 10kV distribution network is an essential component of the power system,and its stable operation is crucial for ensuring reliable power supply.However,various factors can lead to faults in the distribution network...The 10kV distribution network is an essential component of the power system,and its stable operation is crucial for ensuring reliable power supply.However,various factors can lead to faults in the distribution network.In order to enhance the safety and reliability of power distribution,this paper focuses on the analysis of faults in the 10kV distribution network caused by natural factors,operational factors,human factors,and equipment factors.It elucidates the various hazards resulting from distribution network faults and proposes corresponding preventive measures for different types of faults in the 10kV distribution network.The aim is to mitigate or reduce the impact of distribution network faults,ensuring the safe and stable operation of the distribution system.展开更多
From July 31 to August I in 2008, a strong thunderstorm process occurred in Neijiang of Sichuan Province, and a strange scattered light- ning strike phenomenon happened in office building of Dongxing Meteorological Bu...From July 31 to August I in 2008, a strong thunderstorm process occurred in Neijiang of Sichuan Province, and a strange scattered light- ning strike phenomenon happened in office building of Dongxing Meteorological Bureau in Neijiang. Through a series of investigations and analyses, we found occurrence reason of the scattered lightning strike and improved lightning protection measures.展开更多
Background:To analyze the epidemiological characteristics of varicella epidemics in Chongqing Municipality from 2014 to 2021,and to provide a scientific basis for the formulation of varicella prevention and control me...Background:To analyze the epidemiological characteristics of varicella epidemics in Chongqing Municipality from 2014 to 2021,and to provide a scientific basis for the formulation of varicella prevention and control measures.Methods:Data on the incidence of varicella outbreaks and vaccination data in Chongqing from 2014 to 2021 were collected through the China Disease Control and Prevention Information System and statistically analyzed using descriptive epidemiological methods.Results:From 2014 to 2021,213,715 cases of varicella were reported in Chongqing Municipality,with an average annual incidence rate of 86.26/100,000,with a statistically significant difference(χ^(2)=24,972.069,P<0.001);varicella incidence is seasonal,with peaks in May/June and October/December each year,presenting a“double-peak distribution”.The average annual incidence rate of varicella in municipal districts was 90.74/100,000,which was higher than that of counties 69.62/100,000 and autonomous counties 84.04/100,000;the average annual incidence rate of varicella in males was 89.37/100,000,and in females,82.22/100,000,with the difference not being statistically significant;the age of onset of the disease was mainly in the group of people under 15 years of age,with a total of 190,021 cases reported(88.9%),with 5-9 years old(35.7%)as the high incidence age group.The incidence occupation was dominated by students in 133,733 cases(62.6%).Conclusion:The overall varicella epidemic in Chongqing is on the rise,and has obvious seasonal,regional and population distribution characteristics.The prevention and control of varicella epidemic should be strengthened,the publicity of varicella vaccine should be increased,and it is recommended that varicella vaccine should be included in the national immunization program.展开更多
In view of the environmental and safety risks of hazardous chemical explosions in chemical enterprises,the fault tree analysis was used to establish a fault tree model of hazardous chemical explosions and comprehensiv...In view of the environmental and safety risks of hazardous chemical explosions in chemical enterprises,the fault tree analysis was used to establish a fault tree model of hazardous chemical explosions and comprehensively analyze the possibility of the explosions.The 34 basic events that caused hazardous chemical explosions were expounded,and the minimum cut and path sets were obtained.The structure importance of basic events were calculated.According to the minimum path sets,the basic events when the accident does not occur were determined,and combined with the sequence of structure importance,the preventive measures for hazardous chemical explosion accidents were proposed.The fault tree model intuitively clarified the correlation between the direct causes of hazardous chemical explosion accidents,and proposed directions for effectively reducing the probability of hazardous chemical explosion accidents in the chemical industry.展开更多
基金Supported by Scientific Research Foundation of Shanghai Municipal Health Commission of Changning District,No.20234Y038.
文摘The incidence of Crohn’s disease(CD)has increased in recent years,with most patients requiring intestinal resection.Complications after intestinal resection for CD can lead to poor prognosis and recurrence,among which infectious complic-ations are the most common.This study aimed to investigate the common risk factors,including medications,preoperative nutritional status,surgery-related factors,microorganisms,lesion location and type,and so forth,causing infectious complications after intestinal resection for CD,and to propose corresponding preventive measures.The findings provided guidance for identifying suscept-ibility factors and the early intervention and prevention of infectious complic-ations after intestinal resection for CD in clinical practice.
基金supported by the National Key R&D Program of China (2022YFC3004701)the National Natural Science Foundation of China (52274242,51904293)+1 种基金the Natural Science Foundation of Jiangsu Province (BK20190627)the China Postdoctoral Science Foundation (2019M661998).
文摘In the process of green and smart mine construction under the context of carbon neutrality,China's coal safety situation has been continuously improved in recent years.In order to recognize the development of coal production in China and prepare for future monitoring and prevention of safety incidents,this study mainly elaborated on the basic situation of coal resources and national mining accidents over the past five years(2017-2021),from four dimensions(accident level,type,region,and time),and then proposed the preventive measures based on accident statistical laws.The results show that the storage of coal resources has obvious geographic characteristics,mainly concentrated in the Midwest,with coal resources in Shanxi and Shaanxi accounting for about 49.4%.The proportion of coal consumption has dropped from 70.2%to 56%between 2011 and 2021,but still accounts for more than half of the all.Meanwhile,the accident-prone areas are positively correlated with the amount of coal production.Among different levels of coal mine accidents,general accidents had the highest number of accidents and deaths,with 692 accidents and 783 deaths,accounting for 87.6%and 54.64%respectively.The frequency of roof,gas,and transportation accidents is relatively high,and the number of single fatalities caused by gas accidents is the largest,about 4.18.In terms of geographical distribution of accidents,the safety situation in Shanxi Province is the most severe.From the time distribution of coal mine accidents,the accidents mainly occurred in July and August,and rarely occurred in February and December.Finally,the"4+4"safety management model is proposed,combining the statistical results with coal production in China.Based on the existing health and safety management systems,the manage-ments are divided into four sub-categories,and more specific measures are suggested.
基金Project supported by the National Key Technology Research and Development Program of China(Grant No.2018YFF0301000)the National Natural Science Foundation of China(Grant Nos.71673161 and 71790613)。
文摘Individuals’ preventive measures,as an effective way to suppress epidemic transmission and to protect themselves from infection,have attracted much academic concern,especially during the COVID-19 pandemic.In this paper,a reinforcement learning-based model is proposed to explore individuals’ effective preventive measures against epidemics.Through extensive simulations,we find that the cost of preventive measures influences the epidemic transmission process significantly.The infection scale increases as the cost of preventive measures grows,which means that the government needs to provide preventive measures with low cost to suppress the epidemic transmission.In addition,the effective preventive measures vary from individual to individual according to the social contacts.Individuals who contact with others frequently in daily life are highly recommended to take strict preventive measures to protect themselves from infection,while those who have little social contacts do not need to take any measures considering the inevitable cost.Our research contributes to exploring the effective measures for individuals,which can provide the government and individuals useful suggestions in response to epidemics.
文摘Objective:To study the knowledge,attitude,and practice of pregnant women regarding transmission and preventive measures of COVID-19 from mother to child and to determine the reasons for vaccine hesitancy.Methods:This observational cross-sectional knowledge,attitude,and practice study was conducted among pregnant women of any trimester,attending the antenatal care out-patient department of a tertiary care hospital in Lucknow from October 2020 to March 2021.All the participants were interviewed using a pretested semi-structured questionnaire for desired information.Reasons for vaccine hesitancy were also asked to assess their unwillingness to get vaccinated.Results:Totally 652 pregnant women were included and 91.3%were aware that COVID-19 spread through contact with an infected person and 85.3%knew that COVID-19 spread by respiratory droplets.Of pregnant women,95.7%perceived that social distancing and wearing a proper mask were effective ways to prevent SARS-CoV-2 infection and 96.8%of the pregnant women wore masks regularly when going out.Of pregnant women,79.0%were hesitant to get vaccinated.The most common reason was that COVID-19 vaccine can harm the developing fetus(77.5%)and was not very safe in pregnancy(75.0%).Conclusions:Of the pregnant women,22.92%have unsatisfactory knowledge regarding COVID-19,35.63%have negative attitude and 19.93%have poor practices,indicating that there are still gaps in awareness,and majority of them are unwilling to get vaccinated.Good awareness will help prevent the occurrence of future COVID-19 waves in India.
文摘Operating Room is an important place for surgical diagnosis and treatment and rescue of patients. With the rapid development of medical technology, high, precision, sharp continuous development, operating room safety management is particularly important. The error of the counting of the surgical articles causes the foreign body left in the patient’s body, which will cause irreversible damage to the patient and even cause the medical dispute and touch the legal problem. Operation items inventory system is an important working system in the operating room. Scientific and standardized methods and systems for counting surgical instruments and dressings during operation can prevent foreign bodies from being left in the body, prevent errors and accidents in the operating room, and are very important for ensuring the safety of the operation of patients. In order to ensure the safety of patients, it is necessary to ensure the correct inventory of surgical items. The factors affecting the accuracy of item counting in the operating room and the preventive measures are summarized as follows.
文摘Taking the common sports injuries and preventive measures of Yushan County middle school track and field athletes as the research object,the sports injuries of Yushan County middle school track and field athletes were investigated and analyzed from the angle,type,location and nature of sports injury.Research on sports injury problems,trying to find the causes of sports injuries in daily training of track and field athletes,and proposed targeted preventive measures based on the specific situation of Yushan County Middle School.The results show that 77.70%of track and field athletes have suffered sports injury and periostitis and ligament/muscle strains are the most common forms of injury,and lower limbs are more prone to sports injuries than upper limbs.
文摘Objective To study the current situation and the root cause of drug shortage in China, and put forward countermeasures and suggestions accordingly for relevant national policy decisions. Methods Based on literature research, questionnaire survey and expert consultation, the causes of drug shortage in China were comprehensively investigated, and fishbone diagram was used to further analyze the logical relationship among the causes. Results and Conclusion The main reasons for the shortage of drugs are the low profit of production enterprises and insufficient active pharmaceutical ingredients (APIs). The other reasons include uncertain demand, standard problem and few exclusive manufacturers. Besides, the monopoly of circulation enterprises also leads to the shortage of drugs to a certain extent. It is suggested that we should increase the punishment of monopoly, optimize the market environment, and establish a reasonable drug price mechanism. In addition, enterprises should participate in the information communication platform of medical institutions to solve the asymmetry between supply and demand. The research on clinical drugs to substitute drugs in need should be strengthened, and the reporting system of drug discontinuation should be improved.
基金supported by the Science and Technology Research Project of Jiangxi Education Department(Nos.GJJ2201509,GJJ2201501)the National Natural Science Foundation of China(Nos.51878671,51969018,52378344)+1 种基金the Natural Science Foundation of Jiangxi Province(No.20224BAB204076)the Young Scientific and Technological Talents Sponsorship Project in Ganpo Juncai Support Program(No.2023QT08).
文摘Time-dependent characteristics(TDCs)have been neglected in most previous studies investigating the deviation mechanisms of bridge pile foundations and evaluating the effectiveness of preventive measures.In this study,the stress-strain-time characteristics of soft soils were illustrated by consolidation-creep tests based on a typical engineering case.An extended Koppejan model was developed and then embedded in a finite element(FE)model via a user-material subroutine(UMAT).Based on the validated FE model,the time-dependent deformation mechanism of the pile foundation was revealed,and the preventive effect of applying micropiles and stress-release holes to control the deviation was investigated.The results show that the calculated maximum lateral displacement of the cap differs from the measured one by 6.5%,indicating that the derived extended Koppejan model reproduced the deviation process of the bridge cap-pile foundation with time.The additional load acting on the pile side caused by soil lateral deformation was mainly concentrated within the soft soil layer and increased with the increase in load duration.Compared with t=3 d(where t is surcharge time),the maximum lateral additional pressure acting on Pile 2#increased by approximately 47.0%at t=224 d.For bridge pile foundation deviation in deep soft soils,stress-release holes can provide better prevention compared to micropiles and are therefore recommended.
基金The authors are grateful to the Ministry of Coal,Government of India(No.CIL/R&D/01/60/2016)for financial support。
文摘Firedamp and coal dust explosion constitute a lion’s share in mine accidents in a global mining scenario.This paper reports a list of mine explosion disasters since last two decades,a critical review of the different prevention and constructive measures,and its recent development to avoid firedamp and coal dust explosion.Preventive legislation in core coal-producing countries,viz.China,USA,Australia,South Africa,and India related to firedamp and coal dust explosion are critically analysed.Accidents occurred due to explosion after Nationalisation of Coal Mines(1973)in India are listed.Prevention and constructive measures adopted in India are critically analysed with respect to the global mining scenario.Measures like methane credit concept,classification of mines/seams with respect to explosion risk zone,deflagration index;installation of automatic fire warning devices,canopy air curtain technology,explosion-prevention measures,such as fire-retardant materials,inhibitors,extinguishing agent,dust suppressor,and active explosion barrier are discussed in detail to avoid explosion and thereby adhering to zero accident policy due to coal mine explosion.
文摘This work examines a mathematical model of COVID-19 among two subgroups:low-risk and high-risk populations with two preventive measures;non-pharmaceutical interventions including wearing masks,maintaining social distance,and washing hands regularly by the low-risk group.In addition to the interventions mentioned above,highrisk individuals must take extra precaution measures,including telework,avoiding social gathering or public places,etc.to reduce the transmission.Those with underlying chronic diseases and the elderly(ages 60 and above)were classified as high-risk individuals and the rest as low-risk individuals.The parameter values used in this study were estimated using the available data from the Johns Hopkins University on COVID-19 for Brazil and South Africa.We evaluated the effective reproduction number for the two countries and observed how the various parameters affected the effective reproduction number.We also performed numerical simulations and analysis of the model.Susceptible and infectious populations for both low-risk and high-risk individuals were studied in detail.Results were displayed in both graphical and table forms to show the dynamics of each country being studied.We observed that non-pharmaceutical interventions by highrisk individuals significantly reduce infections among only high-risk individuals.In contrast,non-pharmaceutical interventions by low-risk individuals have a significant reduction in infections in both subgroups.Therefore,low-risk individuals’preventive actions have a considerable effect on reducing infections,even among high-risk individuals.
文摘Using the data at standard ground observation field of Lingyuan Meteorological Bureau and comparative and parallel observation data during growth period of surrounding Prunus sibirica var suavosperma, and combining social investigation data about low-temperature cold injury loss of P. sibirica in recent years, it is found that low-temperature cold injury and abrupt change of temperature in spring are also important factors affecting P. sibirica yield and economic benefit. According to temperature indexes, meteorological department timely issues warning and forecast, and relevant departments and foresters take corresponding preventive measures, and strengthen cultivation technology and management of P. sibinca park. It avoids economic loss of P. sibirica caused by low-temperature cold injury, and obtains high and stable yield.
基金Supported by the PetroChina Scientific Research and Technology Development Project (2022KT1205)。
文摘Based on structural distribution and fault characteristics of the Luzhou block,southern Sichuan Basin,as well as microseismic,well logging and in-situ stress data,the casing deformation behaviors of deep shale gas wells are summarized,and the casing deformation mechanism and influencing factors are identified.Then,the risk assessment chart of casing deformation is plotted,and the measures for preventing and controlling casing deformation are proposed.Fracturing-activated fault slip is a main factor causing the casing deformation in deep shale gas wells in the Luzhou block.In the working area,the approximate fracture angle is primarily 10°-50°,accounting for 65.34%,and the critical pore pressure increment for fault-activation is 6.05-9.71 MPa.The casing deformation caused by geological factors can be prevented/controlled by avoiding the faults at risk and deploying wells in areas with low value of stress factor.The casing deformation caused by engineering factors can be prevented/controlled by:(1)keeping wells avoid faults with risks of activation and slippage,or deploying wells in areas far from the faulting center if such avoidance is impossible;(2)optimizing the wellbore parameters,for example,adjusting the wellbore orientation to reduce the shear force on casing to a certain extent and thus mitigate the casing deformation;(3)optimizing the casing program to ensure that the curvature radius of the curved section of horizontal well is greater than 200 m while the drilling rate of high-quality reservoirs is not impaired;(4)optimizing the fracturing parameters,for example,increasing the evasive distance,lowering the single-operation pressure,and increasing the stage length,which can help effectively reduce the risk of casing deformation.
文摘Deep foundation pit excavation is a basic and key step involved in modern building construction.In order to ensure the construction quality and safety of deep foundation pits,this paper takes a project as an example to analyze deep foundation pit excavation technology,including the nature of this construction project,the main technical measures in the construction of deep foundation pit,and the analysis of the safety risk prevention and control measures.The purpose of this analysis is to provide scientific reference for the construction quality and safety of deep foundation pits.
文摘Based on practical work experience,this paper analyzed the occurrence characteristics and control measures of Spodoptera frugiperda in maize.The measures including forecasting and early warning,regional prevention and control,agricultural prevention and control,physical prevention and control,chemical prevention and control,and biological prevention and control can effectively control the damage of S.frugiperda and guarantee the safety of food production.The results will provide some reference for the prevention and control of S.frugiperda.
文摘The resurgence of locally acquired malaria cases in the USA and the persistent global challenge of malaria transmission highlight the urgent need for research to prevent this disease. Despite significant eradication efforts, malaria remains a serious threat, particularly in regions like Africa. This study explores how integrating Gregor’s Type IV theory with Geographic Information Systems (GIS) improves our understanding of disease dynamics, especially Malaria transmission patterns in Uganda. By combining data-driven algorithms, artificial intelligence, and geospatial analysis, the research aims to determine the most reliable predictors of Malaria incident rates and assess the impact of different factors on transmission. Using diverse predictive modeling techniques including Linear Regression, K-Nearest Neighbor, Neural Network, and Random Forest, the study found that;Random Forest model outperformed the others, demonstrating superior predictive accuracy with an R<sup>2</sup> of approximately 0.88 and a Mean Squared Error (MSE) of 0.0534, Antimalarial treatment was identified as the most influential factor, with mosquito net access associated with a significant reduction in incident rates, while higher temperatures correlated with increased rates. Our study concluded that the Random Forest model was effective in predicting malaria incident rates in Uganda and highlighted the significance of climate factors and preventive measures such as mosquito nets and antimalarial drugs. We recommended that districts with malaria hotspots lacking Indoor Residual Spraying (IRS) coverage prioritize its implementation to mitigate incident rates, while those with high malaria rates in 2020 require immediate attention. By advocating for the use of appropriate predictive models, our research emphasized the importance of evidence-based decision-making in malaria control strategies, aiming to reduce transmission rates and save lives.
基金Tibet Autonomous Region Natural Fund Key Project(XZ202201ZR0024G)。
文摘The 10kV distribution network is an essential component of the power system,and its stable operation is crucial for ensuring reliable power supply.However,various factors can lead to faults in the distribution network.In order to enhance the safety and reliability of power distribution,this paper focuses on the analysis of faults in the 10kV distribution network caused by natural factors,operational factors,human factors,and equipment factors.It elucidates the various hazards resulting from distribution network faults and proposes corresponding preventive measures for different types of faults in the 10kV distribution network.The aim is to mitigate or reduce the impact of distribution network faults,ensuring the safe and stable operation of the distribution system.
文摘From July 31 to August I in 2008, a strong thunderstorm process occurred in Neijiang of Sichuan Province, and a strange scattered light- ning strike phenomenon happened in office building of Dongxing Meteorological Bureau in Neijiang. Through a series of investigations and analyses, we found occurrence reason of the scattered lightning strike and improved lightning protection measures.
基金supported by the Center for Public Health Security Research 2022 Policy Research Project(ggwsaqyjzx202205).
文摘Background:To analyze the epidemiological characteristics of varicella epidemics in Chongqing Municipality from 2014 to 2021,and to provide a scientific basis for the formulation of varicella prevention and control measures.Methods:Data on the incidence of varicella outbreaks and vaccination data in Chongqing from 2014 to 2021 were collected through the China Disease Control and Prevention Information System and statistically analyzed using descriptive epidemiological methods.Results:From 2014 to 2021,213,715 cases of varicella were reported in Chongqing Municipality,with an average annual incidence rate of 86.26/100,000,with a statistically significant difference(χ^(2)=24,972.069,P<0.001);varicella incidence is seasonal,with peaks in May/June and October/December each year,presenting a“double-peak distribution”.The average annual incidence rate of varicella in municipal districts was 90.74/100,000,which was higher than that of counties 69.62/100,000 and autonomous counties 84.04/100,000;the average annual incidence rate of varicella in males was 89.37/100,000,and in females,82.22/100,000,with the difference not being statistically significant;the age of onset of the disease was mainly in the group of people under 15 years of age,with a total of 190,021 cases reported(88.9%),with 5-9 years old(35.7%)as the high incidence age group.The incidence occupation was dominated by students in 133,733 cases(62.6%).Conclusion:The overall varicella epidemic in Chongqing is on the rise,and has obvious seasonal,regional and population distribution characteristics.The prevention and control of varicella epidemic should be strengthened,the publicity of varicella vaccine should be increased,and it is recommended that varicella vaccine should be included in the national immunization program.
基金Supported by the Science and Technology Plan Project of Liaoning Province,China(2019JH8/10300102)。
文摘In view of the environmental and safety risks of hazardous chemical explosions in chemical enterprises,the fault tree analysis was used to establish a fault tree model of hazardous chemical explosions and comprehensively analyze the possibility of the explosions.The 34 basic events that caused hazardous chemical explosions were expounded,and the minimum cut and path sets were obtained.The structure importance of basic events were calculated.According to the minimum path sets,the basic events when the accident does not occur were determined,and combined with the sequence of structure importance,the preventive measures for hazardous chemical explosion accidents were proposed.The fault tree model intuitively clarified the correlation between the direct causes of hazardous chemical explosion accidents,and proposed directions for effectively reducing the probability of hazardous chemical explosion accidents in the chemical industry.
