The three surgical patient safety events, wrong site surgery, retained surgical items (RSI) and surgical fires are rare occurrences and thus their effects on the complex modern operating room (OR) are difficult to stu...The three surgical patient safety events, wrong site surgery, retained surgical items (RSI) and surgical fires are rare occurrences and thus their effects on the complex modern operating room (OR) are difficult to study. The likelihood of occurrence and the magnitude of risk for each of these surgical safety events are undefined. Many providers may never have a personal experience with one of these events and training and education on these topics are sparse. These circumstances lead to faulty thinking that a provider won't ever have an event or if one does occur the provider will intuitively know what to do. Surgeons are not preoccupied with failure and tend to usually consider good outcomes, which leads them to ignore or diminish the importance of implementing and following simple safety practices. These circumstances contribute to the persistent low level occurrence of these three events and to the difficulty in generating sufficient interest to resource solutions. Individual facilities rarely have the time or talent to understand these events and develop lasting solutions. More often than not, even the most well meaning internal review results in a new line to a policy and some rigorous enforcement mandate. This approach routinely fails and is another reason why these problems are so persistent. Vigilance actions alone havebeen unsuccessful so hospitals now have to take a systematic approach to implementing safer processes and providing the resources for surgeons and other stake-holders to optimize the OR environment. This article discusses standardized processes of care for mitigation of injury or outright prevention of wrong site surgery, RSI and surgical fires in an action-oriented framework illustrating the strategic elements important in each event and focusing on the responsibilities for each of the three major OR agents-anesthesiologists, surgeons and nurses. A Surgical Patient Safety Checklist is discussed that incorporates the necessary elements to bring these team members together and influence the 展开更多
Nest site selection is a vital component of bird reproduction success,and an adaptive behavior conducted to decrease nest predation risk with avoiding external disturbances.Understanding patterns of nest site selectio...Nest site selection is a vital component of bird reproduction success,and an adaptive behavior conducted to decrease nest predation risk with avoiding external disturbances.Understanding patterns of nest site selection can provide insights into how species adapt to changes in their habitat and has important conservation implications.In this study,we used microhabitat variables and multi-scale data with a field survey of nest occurrence to determine nest site selection patterns and adaptive strategies of the breeding Oriental Storks(Ciconia boyciana)in different nest areas.Results demonstrate that the nest site microhabitat characteristics of the breeding Oriental Storks significantly differed among the three nesting areas,and nest height was higher in the middle and lower Yangtze River floodplain than in the Northeast China and Bohai Bay nest areas.The food resources and intensity of human disturbance had the greatest effects on the nest site selection of the breeding Oriental Storks.The intensity of human disturbance was positively correlated with the nest height of the breeding Oriental Storks in Bohai Bay and the middle and lower Yangtze River floodplain;however,nest height decreased with the abundance of food resources in the Northeast China nest area.Our findings indicate that the nest site selection patterns of Oriental Storks showed flexible adaptive strategies.In safer environments,nests were lower and closer to food resources,which allows parent storks to invest more in the nestlings.However,in areas where human activity was intense,nests were higher to ensure the safety of their offspring.Some measures that could be taken to improve the breeding habitat of Oriental Storks include increasing the percentage of wetland areas in nesting areas to enhance food resources availability and setting artificial nests at suitable heights in potential nesting grounds to encourage nesting.Finally,the establishment of soft barriers around the nesting areas could increase the safety of nests.展开更多
This article examines the effects of climate change on archaeological sites, using as a case study the archaeological site of Ancient Messene in Greece, and proposes an integrated adaptation strategy. In order to dete...This article examines the effects of climate change on archaeological sites, using as a case study the archaeological site of Ancient Messene in Greece, and proposes an integrated adaptation strategy. In order to determine the site’s most significant risks, a climate data analysis was conducted, taking into account three different climate emission scenarios (Representative Concentration Pathways) and two future periods (2031-2060, 2071-2100). The Intergovernmental Panel on Climate Change (IPCC) vulnerability assessment methodology was adopted to assess the vulnerability of the archaeological site to the effects of climate change. This is the first time such a methodology has been followed in Greece. The analysis revealed that the site’s critical hazards are fire, desertification, and flooding. The geographical location of the site in an intensely dry microclimate and the lack of safe and functional electromechanical and road infrastructure increase its vulnerability. The materials of the monuments are indirectly and directly impacted by climate change, whereas the vegetation is negatively impacted by the frequency of extreme events, especially wildfires. Based on the analysis results, a five-axis adaptation strategy was developed.展开更多
Accurate measurements of solar radiation are required to ensure that power and energy systems continue to function effectively and securely.On the other hand,estimating it is extremely challenging due to the non-stati...Accurate measurements of solar radiation are required to ensure that power and energy systems continue to function effectively and securely.On the other hand,estimating it is extremely challenging due to the non-stationary behaviour and randomness of its components.In this research,a novel hybrid forecasting model,namely complete ensemble empirical mode decomposition with adaptive noise-Gaussian process regression(CEEMDAN-GPR),has been developed for daily global solar radiation prediction.The non-stationary global solar radiation series is transformed by CEEMDAN into regular subsets.After that,the GPR model uses these subsets as inputs to perform its prediction.According to the results of this research,the performance of the developed hybrid model is superior to two widely used hybrid models for solar radiation forecasting,namely wavelet-GPR and wavelet packet-GPR,in terms of mean square error,root mean square error,coefficient of determination and relative root mean square error values,which reached 3.23 MJ/m^(2)/day,1.80 MJ/m^(2)/day,95.56%,and 8.80%,respectively(for one-step forward forecasting).The proposed hybrid model can be used to ensure the safe and reliable operation of the electricity system.展开更多
In the past few years,Chinese astronomical community is actively testing astronomical sites for several new optical/infrared ground-based telescopes.These site testing campaigns conducted were mainly focused on fundam...In the past few years,Chinese astronomical community is actively testing astronomical sites for several new optical/infrared ground-based telescopes.These site testing campaigns conducted were mainly focused on fundamental performances of the sites,such as cloud coverage,seeing,temperature,etc.With increasing interests in sodium laser guide star adaptive optics for these new telescopes in the Chinese astronomical community,it is interesting to investigate the performance of the laser guide star at these sites,especially considering that the sodium laser guide star’s on-sky performance is significantly influenced by sites’local performances,such as geomagnetic field,sodium layer dynamics,density of air molecule,etc.In this paper,we studied sodium laser guide star’s performance of a 20 W class Quasi Continuous Wave(QCW)pulsed laser developed by TIPC with numerical simulation for five selected sites in China.展开更多
A key tenet of sustainable urban development is adaptive reuse, which is the practice of reusing existing infrastructure for a purpose other than for what it was built. Communities have much to gain from the adaptive ...A key tenet of sustainable urban development is adaptive reuse, which is the practice of reusing existing infrastructure for a purpose other than for what it was built. Communities have much to gain from the adaptive reuse and transformative renewal of the older built fabric of the city. Retaining older buildings has environmental benefits as it bypasses complete demolition and reconstruction, and conserves the considerable embodied energy stored within the structure. Adaptive reuse is a key environmental factor in land conservation and the reduction of urban sprawl, as it promotes the reuse and revitalization of downtown and inner city sites. Existing buildings highlight the social character and identity of a community through the retention of the irreplaceable historic fabric. Existing buildings promote a strong and vibrant sense of place, leading to increased citizen engagement. Economic benefits can follow as the adaptive reuse and revitalization creates renewal, new uses, and captures the value of the existing building stock, creating a spur to the local economy. For these reasons, the adaptive reuse of existing and historic buildings is an essential component of sustainable urban development. This article will review a case study of the new downtown campus for the University of Windsor and the use of three existing historic buildings as a relevant adaptive reuse strategy toward inner city regeneration and revitalization. The overall strategy for urban sustainability will be reviewed, as well as specific issues and opportunities for each of the three projects.展开更多
文摘The three surgical patient safety events, wrong site surgery, retained surgical items (RSI) and surgical fires are rare occurrences and thus their effects on the complex modern operating room (OR) are difficult to study. The likelihood of occurrence and the magnitude of risk for each of these surgical safety events are undefined. Many providers may never have a personal experience with one of these events and training and education on these topics are sparse. These circumstances lead to faulty thinking that a provider won't ever have an event or if one does occur the provider will intuitively know what to do. Surgeons are not preoccupied with failure and tend to usually consider good outcomes, which leads them to ignore or diminish the importance of implementing and following simple safety practices. These circumstances contribute to the persistent low level occurrence of these three events and to the difficulty in generating sufficient interest to resource solutions. Individual facilities rarely have the time or talent to understand these events and develop lasting solutions. More often than not, even the most well meaning internal review results in a new line to a policy and some rigorous enforcement mandate. This approach routinely fails and is another reason why these problems are so persistent. Vigilance actions alone havebeen unsuccessful so hospitals now have to take a systematic approach to implementing safer processes and providing the resources for surgeons and other stake-holders to optimize the OR environment. This article discusses standardized processes of care for mitigation of injury or outright prevention of wrong site surgery, RSI and surgical fires in an action-oriented framework illustrating the strategic elements important in each event and focusing on the responsibilities for each of the three major OR agents-anesthesiologists, surgeons and nurses. A Surgical Patient Safety Checklist is discussed that incorporates the necessary elements to bring these team members together and influence the
基金supported by the National Natural Science Foundation of China(Grant No.32171530 and 31472020)。
文摘Nest site selection is a vital component of bird reproduction success,and an adaptive behavior conducted to decrease nest predation risk with avoiding external disturbances.Understanding patterns of nest site selection can provide insights into how species adapt to changes in their habitat and has important conservation implications.In this study,we used microhabitat variables and multi-scale data with a field survey of nest occurrence to determine nest site selection patterns and adaptive strategies of the breeding Oriental Storks(Ciconia boyciana)in different nest areas.Results demonstrate that the nest site microhabitat characteristics of the breeding Oriental Storks significantly differed among the three nesting areas,and nest height was higher in the middle and lower Yangtze River floodplain than in the Northeast China and Bohai Bay nest areas.The food resources and intensity of human disturbance had the greatest effects on the nest site selection of the breeding Oriental Storks.The intensity of human disturbance was positively correlated with the nest height of the breeding Oriental Storks in Bohai Bay and the middle and lower Yangtze River floodplain;however,nest height decreased with the abundance of food resources in the Northeast China nest area.Our findings indicate that the nest site selection patterns of Oriental Storks showed flexible adaptive strategies.In safer environments,nests were lower and closer to food resources,which allows parent storks to invest more in the nestlings.However,in areas where human activity was intense,nests were higher to ensure the safety of their offspring.Some measures that could be taken to improve the breeding habitat of Oriental Storks include increasing the percentage of wetland areas in nesting areas to enhance food resources availability and setting artificial nests at suitable heights in potential nesting grounds to encourage nesting.Finally,the establishment of soft barriers around the nesting areas could increase the safety of nests.
文摘This article examines the effects of climate change on archaeological sites, using as a case study the archaeological site of Ancient Messene in Greece, and proposes an integrated adaptation strategy. In order to determine the site’s most significant risks, a climate data analysis was conducted, taking into account three different climate emission scenarios (Representative Concentration Pathways) and two future periods (2031-2060, 2071-2100). The Intergovernmental Panel on Climate Change (IPCC) vulnerability assessment methodology was adopted to assess the vulnerability of the archaeological site to the effects of climate change. This is the first time such a methodology has been followed in Greece. The analysis revealed that the site’s critical hazards are fire, desertification, and flooding. The geographical location of the site in an intensely dry microclimate and the lack of safe and functional electromechanical and road infrastructure increase its vulnerability. The materials of the monuments are indirectly and directly impacted by climate change, whereas the vegetation is negatively impacted by the frequency of extreme events, especially wildfires. Based on the analysis results, a five-axis adaptation strategy was developed.
文摘Accurate measurements of solar radiation are required to ensure that power and energy systems continue to function effectively and securely.On the other hand,estimating it is extremely challenging due to the non-stationary behaviour and randomness of its components.In this research,a novel hybrid forecasting model,namely complete ensemble empirical mode decomposition with adaptive noise-Gaussian process regression(CEEMDAN-GPR),has been developed for daily global solar radiation prediction.The non-stationary global solar radiation series is transformed by CEEMDAN into regular subsets.After that,the GPR model uses these subsets as inputs to perform its prediction.According to the results of this research,the performance of the developed hybrid model is superior to two widely used hybrid models for solar radiation forecasting,namely wavelet-GPR and wavelet packet-GPR,in terms of mean square error,root mean square error,coefficient of determination and relative root mean square error values,which reached 3.23 MJ/m^(2)/day,1.80 MJ/m^(2)/day,95.56%,and 8.80%,respectively(for one-step forward forecasting).The proposed hybrid model can be used to ensure the safe and reliable operation of the electricity system.
基金supported by the Operation,Maintenance and Upgrading Fund for Astronomical Telescopes and Facility Instruments,budgeted from the Ministry of Finance of China(MOF)and administrated by the Chinese Academy of Sciences(CAS)。
文摘In the past few years,Chinese astronomical community is actively testing astronomical sites for several new optical/infrared ground-based telescopes.These site testing campaigns conducted were mainly focused on fundamental performances of the sites,such as cloud coverage,seeing,temperature,etc.With increasing interests in sodium laser guide star adaptive optics for these new telescopes in the Chinese astronomical community,it is interesting to investigate the performance of the laser guide star at these sites,especially considering that the sodium laser guide star’s on-sky performance is significantly influenced by sites’local performances,such as geomagnetic field,sodium layer dynamics,density of air molecule,etc.In this paper,we studied sodium laser guide star’s performance of a 20 W class Quasi Continuous Wave(QCW)pulsed laser developed by TIPC with numerical simulation for five selected sites in China.
文摘A key tenet of sustainable urban development is adaptive reuse, which is the practice of reusing existing infrastructure for a purpose other than for what it was built. Communities have much to gain from the adaptive reuse and transformative renewal of the older built fabric of the city. Retaining older buildings has environmental benefits as it bypasses complete demolition and reconstruction, and conserves the considerable embodied energy stored within the structure. Adaptive reuse is a key environmental factor in land conservation and the reduction of urban sprawl, as it promotes the reuse and revitalization of downtown and inner city sites. Existing buildings highlight the social character and identity of a community through the retention of the irreplaceable historic fabric. Existing buildings promote a strong and vibrant sense of place, leading to increased citizen engagement. Economic benefits can follow as the adaptive reuse and revitalization creates renewal, new uses, and captures the value of the existing building stock, creating a spur to the local economy. For these reasons, the adaptive reuse of existing and historic buildings is an essential component of sustainable urban development. This article will review a case study of the new downtown campus for the University of Windsor and the use of three existing historic buildings as a relevant adaptive reuse strategy toward inner city regeneration and revitalization. The overall strategy for urban sustainability will be reviewed, as well as specific issues and opportunities for each of the three projects.
