In western China, the terrain and meteorological conditions are so complex that it is not suitable to construct new radar stations. Automatic dependent surveillance-broadcast （ADS-B） is a totally new surveillance me...In western China, the terrain and meteorological conditions are so complex that it is not suitable to construct new radar stations. Automatic dependent surveillance-broadcast （ADS-B） is a totally new surveillance method, so before practically applied and operated in China, abundant tests and evaluations are necessary to validate the performance of ADS-B and guarantee the operational security. During the flight tests, we collect the data of radar, ADS-B and high accuracy position and compare the performance of ADS-B with radar based on high accuracy position. To solve the asynchronous problem among radar data, ADS-B data and real-time kinematic （RTK） data caused by different update rates, this artic.le proposes the technique of synchronizing multi-surveil- lance data by extrapolating from the data of low update rate to high update rate according to velocity and heading. Meanwhile, because radar data, ADS-B data and RTK data are expressed in different coordinates and cannot be compared each other, this article provides a method to unifying the coordinates of multi-surveillance data. By the analysis and evaluation, we can conclude that the performance of ADS-B is better than radar.展开更多
BACKGROUND Patient-ready duodenoscopes were designed with an assumed contamination rate of less than 0.4%;however,it has been reported that 5.4%of clinically used duodenoscopes remain contaminated with viable high-con...BACKGROUND Patient-ready duodenoscopes were designed with an assumed contamination rate of less than 0.4%;however,it has been reported that 5.4%of clinically used duodenoscopes remain contaminated with viable high-concern organisms despite following the manufacturer’s instructions.Visual inspection of working channels has been proposed as a quality control measure for endoscope reprocessing.There are few studies related to this issue.AIM To investigate the types,severity rate,and locations of abnormal visual inspection findings inside patient-ready duodenoscopes and their microbiological significance.METHODS Visual inspections of channels were performed in 19 patient-ready duodenoscopes using the SpyGlass visualization system in two endoscopy units of tertiary care teaching hospitals(Tri-Service General Hospital and National Taiwan University Hospital)in Taiwan.Inspections were recorded and reviewed to evaluate the presence of channel scratches,buckling,stains,debris,and fluids.These findings were used to analyze the relevance of microbiological surveillance.RESULTS Seventy-two abnormal visual inspection findings in the 19 duodenoscopes were found,including scratches(n=10,52.6%),buckling(n=15,78.9%),stains(n=14,73.7%),debris(n=14,73.7%),and fluids(n=6,31.6%).Duodenoscopes>12 mo old had a significantly higher number of abnormal visual inspection findings than those≤12 mo old(46 findings vs 26 findings,P<0.001).Multivariable regression analyses demonstrated that the bending section had a significantly higher risk of being scratched,buckled,and stained,and accumulating debris than the insertion tube.Debris and fluids showed a significant positive correlation with microbiological contamination(P<0.05).There was no significant positive Spearman’s correlation coefficient between negative bacterial cultures and debris,between that and fluids,and the concomitance of debris and fluids.This result demonstrated that the presence of fluid and debris was associated with positive cultures,but not negative cultures.Furthe展开更多
文摘In western China, the terrain and meteorological conditions are so complex that it is not suitable to construct new radar stations. Automatic dependent surveillance-broadcast （ADS-B） is a totally new surveillance method, so before practically applied and operated in China, abundant tests and evaluations are necessary to validate the performance of ADS-B and guarantee the operational security. During the flight tests, we collect the data of radar, ADS-B and high accuracy position and compare the performance of ADS-B with radar based on high accuracy position. To solve the asynchronous problem among radar data, ADS-B data and real-time kinematic （RTK） data caused by different update rates, this artic.le proposes the technique of synchronizing multi-surveil- lance data by extrapolating from the data of low update rate to high update rate according to velocity and heading. Meanwhile, because radar data, ADS-B data and RTK data are expressed in different coordinates and cannot be compared each other, this article provides a method to unifying the coordinates of multi-surveillance data. By the analysis and evaluation, we can conclude that the performance of ADS-B is better than radar.
基金Ministry of Defense-Medical Affairs Bureau,Tri-Service General Hospital,No.TSGH-D-109182.
文摘BACKGROUND Patient-ready duodenoscopes were designed with an assumed contamination rate of less than 0.4%;however,it has been reported that 5.4%of clinically used duodenoscopes remain contaminated with viable high-concern organisms despite following the manufacturer’s instructions.Visual inspection of working channels has been proposed as a quality control measure for endoscope reprocessing.There are few studies related to this issue.AIM To investigate the types,severity rate,and locations of abnormal visual inspection findings inside patient-ready duodenoscopes and their microbiological significance.METHODS Visual inspections of channels were performed in 19 patient-ready duodenoscopes using the SpyGlass visualization system in two endoscopy units of tertiary care teaching hospitals(Tri-Service General Hospital and National Taiwan University Hospital)in Taiwan.Inspections were recorded and reviewed to evaluate the presence of channel scratches,buckling,stains,debris,and fluids.These findings were used to analyze the relevance of microbiological surveillance.RESULTS Seventy-two abnormal visual inspection findings in the 19 duodenoscopes were found,including scratches(n=10,52.6%),buckling(n=15,78.9%),stains(n=14,73.7%),debris(n=14,73.7%),and fluids(n=6,31.6%).Duodenoscopes>12 mo old had a significantly higher number of abnormal visual inspection findings than those≤12 mo old(46 findings vs 26 findings,P<0.001).Multivariable regression analyses demonstrated that the bending section had a significantly higher risk of being scratched,buckled,and stained,and accumulating debris than the insertion tube.Debris and fluids showed a significant positive correlation with microbiological contamination(P<0.05).There was no significant positive Spearman’s correlation coefficient between negative bacterial cultures and debris,between that and fluids,and the concomitance of debris and fluids.This result demonstrated that the presence of fluid and debris was associated with positive cultures,but not negative cultures.Furthe
