Objective: To investigate the short-term efficacy of laparoscopic radical resection of right-sided colon cancer with two different surgeon positions and trocar placements. Methods: The data of 78 patients who underwen...Objective: To investigate the short-term efficacy of laparoscopic radical resection of right-sided colon cancer with two different surgeon positions and trocar placements. Methods: The data of 78 patients who underwent laparoscopic radical resection of right-sided colon cancer between January 2018 and August 2019 were retrospectively analysed. The surgical method was selected by the patients. The patients were divided into two groups according to the surgeons’ positioning habits and trocar placements. The group with the lead surgeon standing between the patient’s legs had 35 patients, and the group with the lead surgeon standing at the left side of the patient had 43 patients. The operation time, intraoperative blood loss, postoperative anal gas evacuation time, postoperative urinary catheter indwelling time, postoperative hospital stay, C-reactive protein (CRP) level on the first day after surgery, and postoperative pathological data and complications were compared between the two groups. Results: All patients underwent the laparoscopic radical resection of right-sided colon cancer, none converting to laparotomy. No significant difference (P > 0.05) in intraoperative blood loss (57.6 ± 21.3 ml vs 60.2 ± 35.3 ml), postoperative anal gas evacuation time (3.5 ± 1.1 d vs 3.8 ± 1.3 d), postoperative urinary catheter indwelling time (2.6 ± 1.3 d vs 2.4 ± 1.2 d), postoperative hospital stay (7.1 ± 1.8 d vs 7.5 ± 2.1 d), or CRP level on the first day after surgery (54.7 ± 9.6 mg/L vs 53.9 ± 8.2 mg/L) was detected between the two groups. The operation time was shorter in the group with the lead surgeon standing between the patient’s legs (185.2 ± 25.6 min vs 196.2 ±19.7 min) (P < 0.05). The two groups did not differ significantly in the tumour length (4.2 ± 1.3 cm vs 3.9 ± 1.5 cm), number of dissected lymph nodes (27.5 ± 11.6 vs 25.1 ± 15.4), pathological type, or postoperative pathological tumour-node-metastasis stage (P > 0.05). No patients died or had anastomotic fistula during their postoperativ展开更多
This study performs a novel control effi ciency assessment approach that compares performance of optimal control algorithms regarding vibration of tensegrity structures. Due to complex loading conditions and the inher...This study performs a novel control effi ciency assessment approach that compares performance of optimal control algorithms regarding vibration of tensegrity structures. Due to complex loading conditions and the inherent characteristics of tensegrities, e.g. geometrical nonlinearity, the quantization of control effi ciency in active control of tensegrity constitutes a challenging task especially for diff erent control algorithms. As a fi rst step, an actuator energy input, comprising the strain energy of tensegrity elements and their internal forces work, is set to constant levels for the linearquadratic regulator (LQR). Afterwards, the actuator energy of the linear-quadratic Gaussian (LQG) is iterated with identical actuator energy input in LQR. A double layer tensegrity grid is employed to compare the control effi ciencies between LQR and LQG with fi ve diff erent control scenarios. The results demonstrate the effi ciency and robustness in reducing the dynamic response of tensegrity structures, and a theoretical guideline is provided to search optimal control options in controlling actual tensegrities.展开更多
The diversity in the phone placements of different mobile users＇ dailylife increases the difficulty of recognizing human activities by using mobile phone accelerometer data. To solve this problem, a compressed sensin...The diversity in the phone placements of different mobile users＇ dailylife increases the difficulty of recognizing human activities by using mobile phone accelerometer data. To solve this problem, a compressed sensing method to recognize human activities that is based on compressed sensing theory and utilizes both raw mobile phone accelerometer data and phone placement information is proposed. First, an over-complete dictionary matrix is constructed using sufficient raw tri-axis acceleration data labeled with phone placement information. Then, the sparse coefficient is evaluated for the samples that need to be tested by resolving L1 minimization. Finally, residual values are calculated and the minimum value is selected as the indicator to obtain the recognition results. Experimental results show that this method can achieve a recognition accuracy reaching 89.86%, which is higher than that of a recognition method that does not adopt the phone placement information for the recognition process. The recognition accuracy of the proposed method is effective and satisfactory.展开更多
Background: Clinical placements should provide nursing students with a positive environment for learning in which they develop a framework for future practice. The literature articulates that this is not always the ca...Background: Clinical placements should provide nursing students with a positive environment for learning in which they develop a framework for future practice. The literature articulates that this is not always the case. The objective of this research was to develop, implement and evaluate a new education seminar for nursing staff—The Art of Clinical Supervision (ACS), designed for nurses to provide a toolbox of strategies to better support students whilst on clinical placement. The ACS was presented in Western Australia, in both metropolitan and regional health services, in both the public and private health sector. This sample consisted of 199 registered nurses working in areas that actively placed nursing students. A mixed method approach incorporated surveys, online reflections and interviews. This article will outline the qualitative phase of this mixed method research. Analysis of the qualitative data determined that participants perceived the seminar as a helpful strategy for improving nursing practice in relation to student supervision. In particular, the concept of belongingness was viewed as an important component to improving attitudes and placement learning, the focus of this article. The implications of belongingness and how this can be promoted is an important concept that nursing leaders, education providers and clinical supervisors need to consider.展开更多
Background:Horizontal violence has negatively affected the students’active learning,interpersonal relationship,and occupational belonging.However,little attention has been paid to the relationship between horizontal ...Background:Horizontal violence has negatively affected the students’active learning,interpersonal relationship,and occupational belonging.However,little attention has been paid to the relationship between horizontal violence and occupational belonging among nursing students.Objective:The objective of this study was to explore the frequency,types,perpetrators,effects,and responses of horizontal violence experienced by nursing students and the relationship between occupational belonging and horizontal violence.Materials and Methods:The present study used a descriptive,cross-sectional survey design.The data were collected from the 277 undergraduate nursing students selected by convenience sampling method using personal characteristics form,horizontal violence survey,and occupational belonging subscale at nursing faculty in Istanbul.Results:The first three horizontal violence behaviors experienced by nursing students were found,respectively:being forced to do trivial and unimportant work which are not the students’responsibility(84.1%),being exposed to sarcastic remarks by nurses(80.9%)and unwillingness of the nurse to help and lack of support(80.9%)and being ignored by nurses(77.3%).Nearly half of the students(48.4%)considered leaving nursing profession as a result of horizontal violence.There was a negative relation between horizontal violence and occupational belonging(P<0.05).As horizontal violence scores increased,occupational belonging scores decreased.Conclusions:Findings from this study shown that horizontal violence decreasing occupational belonging,and so nursing students consider leaving nursing profession or education.Further studies are needed to better demonstrate addressing the horizontal violence bilaterally and the effective preventive interventions.展开更多
We present a deterministic algorithm for large-scale VLSI module placement. Following the less flexibility first （LFF） principle,we simulate a manual packing process in which the concept of placement by stages is in...We present a deterministic algorithm for large-scale VLSI module placement. Following the less flexibility first （LFF） principle,we simulate a manual packing process in which the concept of placement by stages is introduced to reduce the overall evaluation complexity. The complexity of the proposed algorithm is （N1 ＋ N2 ） × O（ n^2 ） ＋ N3× O（n^4lgn） ,where N1, N2 ,and N3 denote the number of modules in each stage, N1 ＋ N2 ＋ N3 = n, and N3〈〈 n. This complexity is much less than the original time complexity of O（n^5lgn）. Experimental results indicate that this approach is quite promising.展开更多
文摘Objective: To investigate the short-term efficacy of laparoscopic radical resection of right-sided colon cancer with two different surgeon positions and trocar placements. Methods: The data of 78 patients who underwent laparoscopic radical resection of right-sided colon cancer between January 2018 and August 2019 were retrospectively analysed. The surgical method was selected by the patients. The patients were divided into two groups according to the surgeons’ positioning habits and trocar placements. The group with the lead surgeon standing between the patient’s legs had 35 patients, and the group with the lead surgeon standing at the left side of the patient had 43 patients. The operation time, intraoperative blood loss, postoperative anal gas evacuation time, postoperative urinary catheter indwelling time, postoperative hospital stay, C-reactive protein (CRP) level on the first day after surgery, and postoperative pathological data and complications were compared between the two groups. Results: All patients underwent the laparoscopic radical resection of right-sided colon cancer, none converting to laparotomy. No significant difference (P > 0.05) in intraoperative blood loss (57.6 ± 21.3 ml vs 60.2 ± 35.3 ml), postoperative anal gas evacuation time (3.5 ± 1.1 d vs 3.8 ± 1.3 d), postoperative urinary catheter indwelling time (2.6 ± 1.3 d vs 2.4 ± 1.2 d), postoperative hospital stay (7.1 ± 1.8 d vs 7.5 ± 2.1 d), or CRP level on the first day after surgery (54.7 ± 9.6 mg/L vs 53.9 ± 8.2 mg/L) was detected between the two groups. The operation time was shorter in the group with the lead surgeon standing between the patient’s legs (185.2 ± 25.6 min vs 196.2 ±19.7 min) (P < 0.05). The two groups did not differ significantly in the tumour length (4.2 ± 1.3 cm vs 3.9 ± 1.5 cm), number of dissected lymph nodes (27.5 ± 11.6 vs 25.1 ± 15.4), pathological type, or postoperative pathological tumour-node-metastasis stage (P > 0.05). No patients died or had anastomotic fistula during their postoperativ
基金Natural Science Foundation of Zhejiang Province under Grant No.LQ19E080013the International Scientific and Technological Cooperation Projects of Shaoxing University under Grant No.2019LGGH1005
文摘This study performs a novel control effi ciency assessment approach that compares performance of optimal control algorithms regarding vibration of tensegrity structures. Due to complex loading conditions and the inherent characteristics of tensegrities, e.g. geometrical nonlinearity, the quantization of control effi ciency in active control of tensegrity constitutes a challenging task especially for diff erent control algorithms. As a fi rst step, an actuator energy input, comprising the strain energy of tensegrity elements and their internal forces work, is set to constant levels for the linearquadratic regulator (LQR). Afterwards, the actuator energy of the linear-quadratic Gaussian (LQG) is iterated with identical actuator energy input in LQR. A double layer tensegrity grid is employed to compare the control effi ciencies between LQR and LQG with fi ve diff erent control scenarios. The results demonstrate the effi ciency and robustness in reducing the dynamic response of tensegrity structures, and a theoretical guideline is provided to search optimal control options in controlling actual tensegrities.
基金supported by the National Natural Science Foundation of China (61373116)
文摘The diversity in the phone placements of different mobile users＇ dailylife increases the difficulty of recognizing human activities by using mobile phone accelerometer data. To solve this problem, a compressed sensing method to recognize human activities that is based on compressed sensing theory and utilizes both raw mobile phone accelerometer data and phone placement information is proposed. First, an over-complete dictionary matrix is constructed using sufficient raw tri-axis acceleration data labeled with phone placement information. Then, the sparse coefficient is evaluated for the samples that need to be tested by resolving L1 minimization. Finally, residual values are calculated and the minimum value is selected as the indicator to obtain the recognition results. Experimental results show that this method can achieve a recognition accuracy reaching 89.86%, which is higher than that of a recognition method that does not adopt the phone placement information for the recognition process. The recognition accuracy of the proposed method is effective and satisfactory.
文摘Background: Clinical placements should provide nursing students with a positive environment for learning in which they develop a framework for future practice. The literature articulates that this is not always the case. The objective of this research was to develop, implement and evaluate a new education seminar for nursing staff—The Art of Clinical Supervision (ACS), designed for nurses to provide a toolbox of strategies to better support students whilst on clinical placement. The ACS was presented in Western Australia, in both metropolitan and regional health services, in both the public and private health sector. This sample consisted of 199 registered nurses working in areas that actively placed nursing students. A mixed method approach incorporated surveys, online reflections and interviews. This article will outline the qualitative phase of this mixed method research. Analysis of the qualitative data determined that participants perceived the seminar as a helpful strategy for improving nursing practice in relation to student supervision. In particular, the concept of belongingness was viewed as an important component to improving attitudes and placement learning, the focus of this article. The implications of belongingness and how this can be promoted is an important concept that nursing leaders, education providers and clinical supervisors need to consider.
文摘Background:Horizontal violence has negatively affected the students’active learning,interpersonal relationship,and occupational belonging.However,little attention has been paid to the relationship between horizontal violence and occupational belonging among nursing students.Objective:The objective of this study was to explore the frequency,types,perpetrators,effects,and responses of horizontal violence experienced by nursing students and the relationship between occupational belonging and horizontal violence.Materials and Methods:The present study used a descriptive,cross-sectional survey design.The data were collected from the 277 undergraduate nursing students selected by convenience sampling method using personal characteristics form,horizontal violence survey,and occupational belonging subscale at nursing faculty in Istanbul.Results:The first three horizontal violence behaviors experienced by nursing students were found,respectively:being forced to do trivial and unimportant work which are not the students’responsibility(84.1%),being exposed to sarcastic remarks by nurses(80.9%)and unwillingness of the nurse to help and lack of support(80.9%)and being ignored by nurses(77.3%).Nearly half of the students(48.4%)considered leaving nursing profession as a result of horizontal violence.There was a negative relation between horizontal violence and occupational belonging(P<0.05).As horizontal violence scores increased,occupational belonging scores decreased.Conclusions:Findings from this study shown that horizontal violence decreasing occupational belonging,and so nursing students consider leaving nursing profession or education.Further studies are needed to better demonstrate addressing the horizontal violence bilaterally and the effective preventive interventions.
文摘We present a deterministic algorithm for large-scale VLSI module placement. Following the less flexibility first （LFF） principle,we simulate a manual packing process in which the concept of placement by stages is introduced to reduce the overall evaluation complexity. The complexity of the proposed algorithm is （N1 ＋ N2 ） × O（ n^2 ） ＋ N3× O（n^4lgn） ,where N1, N2 ,and N3 denote the number of modules in each stage, N1 ＋ N2 ＋ N3 = n, and N3〈〈 n. This complexity is much less than the original time complexity of O（n^5lgn）. Experimental results indicate that this approach is quite promising.
