It is given in Weil and Rosenlicht ([1], p. 15) that (resp. 2) for all non-negative integers m and n with m≠n if c is any even (resp. odd) integer. In the present paper we generalize this. Our purpose is to give othe...It is given in Weil and Rosenlicht ([1], p. 15) that (resp. 2) for all non-negative integers m and n with m≠n if c is any even (resp. odd) integer. In the present paper we generalize this. Our purpose is to give other integral sequences such that G.C.D.(ym,yn)=1 for all positive integers m and n with m≠n. Roughly speaking we show the following 1) and 2). 1) There are infinitely many polynomial sequences such that G.C.D.(fm(a),fn(a))=1 for all positive integers m and n with with m≠n and infinitely many rational?integers a. 2) There are polynomial sequences such that G.C.D.(gm(a,b),gn(a,b))=1 for all positive integers m and n with m≠n and arbitrary (rational or odd) integers a and b with G.C.D.(a,b)=1. Main results of the present paper are Theorems 1 and 2, and Corollaries 3, 4 and 5.展开更多
Fracture energy in strain softening regime was investigated analytically by considering microstructures interaction and interplay.Based on gradient-dependent plasticity, the thickness of localized band was determined ...Fracture energy in strain softening regime was investigated analytically by considering microstructures interaction and interplay.Based on gradient-dependent plasticity, the thickness of localized band was determined completely and strictly by characteristic length in relation to average grain diameter.After obtaining the plastic shear displacement of the band,the formula on axial response of concrete was proposed and the analytical post-peak fracture energy was deduced.A comparison between present theoretical results and earlier experimental results was carried out and the analytical result is reasonable and has a plausible foundation as considering the localized failure theoretically.Decreasing the relative stress leads to increasing the fracture energy non-linearly.The larger the shear elastic modulus and shear softening modulus,the lower the post-peak fracture energy.A larger fracture energy is caused by a larger thickness of shear band or a larger characteristic length of concrete material.If the inclination angle of the shear band and the compressive strength are not concerned with structural size of specimen,the post-peak fracture energy is size independent.展开更多
We analyzed the relationship between internode number and intemode length for one of the largest bamboo, Phyllostachys pubescens Mazel ex Houz. For 50 sample culms with various sizes felled in a pure stand of P. pubes...We analyzed the relationship between internode number and intemode length for one of the largest bamboo, Phyllostachys pubescens Mazel ex Houz. For 50 sample culms with various sizes felled in a pure stand of P. pubescens, the intemode number was assigned from base to tip and the length for each internode was directly measured. The result indicated that the intemode length should be cumulated from base to tip, and then the cumulated internode length should be relativized by the total culm length. It was inappropriate to relativize the internode length by the maximum intenode length. In addition, the relationship between the relative internode number （the intemode number relativized by the total number of intemodes） and the relative cumulated internode length should be described not by a power function but by a sigmoid function such as the third-order function. The determined function enabled us to estimate the actual internode length, with the root mean squared error being 4 cm. In conclusion, the mathematical expression presented here, i.e., the relativization of the cumulated internode length by the total culm length and the application of the sigmoid function, will be useful in describing the relationship between internode number and internode length for P. pubescens.展开更多
<strong>Background: </strong><span style="font-family:""><span style="font-family:Verdana;">One of the main objectives of hospital managements is to control the length ...<strong>Background: </strong><span style="font-family:""><span style="font-family:Verdana;">One of the main objectives of hospital managements is to control the length of stay (LOS). Successful control of LOS of inpatients will result in reduction in the cost of care, decrease in nosocomial infections, medication side effects, and better management of the limited number of available patients’ beds. The length of stay (LOS) is an important indicator of the efficiency of hospital management by improving the quality of treatment, and increased hospital profit with more efficient bed management. The purpose of this study was to model the distribution of LOS as a function of patient’s age, and the Diagnosis Related Groups (DRG), based on electronic medical records of a large tertiary care hospital. </span><b><span style="font-family:Verdana;">Materials and Methods: </span></b><span style="font-family:Verdana;">Information related to the research subjects were retrieved from a database of patients admitted to King Faisal Specialist Hospital and Research Center hospital in Riyadh, Saudi Arabia between January 2014 and December 2016. Subjects’ confidential information was masked from the investigators. The data analyses were reported visually, descriptively, and analytically using Cox proportional hazard regression model to predict the risk of long-stay when patients’ age and the DRG are considered as antecedent risk factors. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">Predicting the risk of long stay depends significantly on the age at admission, and the DRG to which a patient belongs to. We demonstrated the validity of the Cox regression model for the available data as the proportionality assumption is shown to be satisfied. Two examples were presented to demonstrate the utility of the Cox model in this regard.</span></span>展开更多
It is of great significance to improve the efficiency of railway production and operation by realizing the fault knowledge association through the efficient data mining algorithm.However,high utility quantitative freq...It is of great significance to improve the efficiency of railway production and operation by realizing the fault knowledge association through the efficient data mining algorithm.However,high utility quantitative frequent pattern mining algorithms in the field of data mining still suffer from the problems of low time-memory performance and are not easy to scale up.In the context of such needs,we propose a related degree-based frequent pattern mining algorithm,named Related High Utility Quantitative Item set Mining(RHUQI-Miner),to enable the effective mining of railway fault data.The algorithm constructs the item-related degree structure of fault data and gives a pruning optimization strategy to find frequent patterns with higher related degrees,reducing redundancy and invalid frequent patterns.Subsequently,it uses the fixed pattern length strategy to modify the utility information of the item in the mining process so that the algorithm can control the length of the output frequent pattern according to the actual data situation and further improve the performance and practicability of the algorithm.The experimental results on the real fault dataset show that RHUQI-Miner can effectively reduce the time and memory consumption in the mining process,thus providing data support for differentiated and precise maintenance strategies.展开更多
BACKGROUND Breast cancer is one of the most common malignant tumors in women worldwide and poses a severe threat to their health.Therefore,this study examined patients who underwent breast cancer surgery,analyzed hosp...BACKGROUND Breast cancer is one of the most common malignant tumors in women worldwide and poses a severe threat to their health.Therefore,this study examined patients who underwent breast cancer surgery,analyzed hospitalization costs and structure,and explored the impact of China Healthcare Security Diagnosis Related Groups(CHS-DRG)management on patient costs.It aimed to provide medical institutions with ways to reduce costs,optimize cost structures,reduce patient burden,and improve service efficiency.AIM To study the CHS-DRG payment system’s impact on breast cancer surgery costs.METHODS Using the CHS-DRG(version 1.1)grouping criteria,4073 patients,who underwent the radical resection of breast malignant tumors from January to December 2023,were included in the JA29 group;1028 patients were part of the CHS-DRG payment system,unlike the rest.Through an independent sample t-test,the length of hospital stay as well as total hospitalization,medicine and consumables,medical,nursing,medical technology,and management expenses were compared.Pearson’s correlation coefficient was used to test the cost correlation.RESULTS In terms of hospitalization expenses,patients in the CHS-DRG payment group had lower medical,nursing,and management expenses than those in the diagnosis-related group(DRG)non-payment group.For patients in the DRG payment group,the factors affecting the total hospitalization cost,in descending order of relevance,were medicine and consumable costs,consumable costs,medicine costs,medical costs,medical technology costs,management costs,nursing costs,and length of hospital stay.For patients in the DRG nonpayment group,the factors affecting the total hospitalization expenses in descending order of relevance were medicines and consumable expenses,consumable expenses,medical technology expenses,the cost of medicines,medical expenses,nursing expenses,length of hospital stay,and management expenses.CONCLUSION The CHS-DRG system can help control and reduce unnecessary medical expenses by controlling medicine costs,medical consumable costs,and the length of hospital stay while ensuring medical safety.展开更多
Background: In-hospital mortality is a key indicator of the quality of care. Studies so far have demonstrated the influence of patient and hospital-related factors on in-hospital mortality. Currently, new variables, s...Background: In-hospital mortality is a key indicator of the quality of care. Studies so far have demonstrated the influence of patient and hospital-related factors on in-hospital mortality. Currently, new variables, such as components of metabolic syndrome as comorbid conditions, are being incorporated as independent risk factors. We aimed to identify which individual, clinical and hospital characteristics are related to hospital mortality. Objectives: Demonstrate that the Cox proportional hazard model is not appropriate for the analysis of hospital mortality data when diagnostic-related groups are incorporated in the covariate structure. Methods: A retrospective single-center observational study design was used. Sampling was conducted between January 2016 and December 2018. Patients over 10 years, admitted to the emergency department with a precited stay of at least 1 hour were included. Multivariate Cox regression for survival data analyses was employed to analyze the data. Results: The sample consisted of 5897 patients. The mean age of all patients was 32.21 ± 0.29 years old, and the mean length of stay (LOS) was 9.47 ± 0.16 hours. We also categorized patients according to five Diagnosis Related Groups (DGR). Among the patients,1308 suffered from acute leukemia, 1127 had endocrine diseases, 1173 with kidney diseases, and 1016 had respiratory problems. At least one component of metabolic syndrome was present in 27.5% of the patients. During the observation period, 2299 (39%) died in hospital, and 3598 (61%) were discharged alive. We used the multivariate Cox regression non-proportional hazard model to evaluate the joint effect of these factors on the “Length of Stay” or LOS (the dependent variable of Cox regression). Age at admission, the presence of metabolic syndrome, and the DRG were significantly associated with the LOS.展开更多
Laboratory pull-out tests were conducted on the following rock bolts and cable bolts:steel rebars,smooth steel bars,fiberglass reinforced polymer threaded bolts,flexible cable bolts,IR5/IN special cable bolts and Mini...Laboratory pull-out tests were conducted on the following rock bolts and cable bolts:steel rebars,smooth steel bars,fiberglass reinforced polymer threaded bolts,flexible cable bolts,IR5/IN special cable bolts and Mini-cage cable bolts.The diameter of the tested bolts was between 16 mm and 26 mm.The bolts were grouted in a sandstone sample using resin or cement grouts.The tests were conducted under either constant radial stiffness or constant confining pressure boundary conditions applied on the outer surface of the rock sample.In most tests,the rate of displacement was about 0.02 mm/s.The tests were performed using a pull-out bench that allows testing a wide range of parameters.This paper provides an extensive database of laboratory pull-out test results and confirms the influence of the confining pressure and the embedment length on the pull-out response(rock bolts and cable bolts).It also highlights the sensitivity of the results to the operating conditions and to the behavior of the sample as a whole,which cannot be neglected when the test results are used to assess the bolt-grout or the grouterock interface.展开更多
Several studies have demonstrated an association between physical activity and telomere length; however, the association remains inconsistent. A cross-sectional study consisting of 588 participants （375 females, medi...Several studies have demonstrated an association between physical activity and telomere length; however, the association remains inconsistent. A cross-sectional study consisting of 588 participants （375 females, median age of 33.8 years） was carried out to investigate the association between telomere length and physical activity in a general population from North China. The results show that relative telomere length is not significantly different in participants in the northern Chinese population with different levels of physical activity, either in the model only adjusted for age （F = 2.127, P = 0.120） or in the model adjusted for demographics and lifestyle （F = 1.227, P = 0.294）. The gender-stratified analysis also produced insignificant results. Our study confirmed a non-significant association between physical activity and telomere length in the northern Chinese population, which adds to the inconsistent association between physical activity and telomere length across different ethnic populations.展开更多
User-transformer relations are significant to electric power marketing,power supply safety,and line loss calculations.To get accurate user-transformer relations,this paper proposes an identification method for user-tr...User-transformer relations are significant to electric power marketing,power supply safety,and line loss calculations.To get accurate user-transformer relations,this paper proposes an identification method for user-transformer relations based on improved quantum particle swarm optimization(QPSO)and Fuzzy C-Means Clustering.The main idea is:as energymeters at different transformer areas exhibit different zero-crossing shift features,we classify the zero-crossing shift data from energy meters through Fuzzy C-Means Clustering and compare it with that at the transformer end to identify user-transformer relations.The proposed method contributes in three main ways.First,based on the fuzzy C-means clustering algorithm(FCM),the quantum particle swarm optimization(PSO)is introduced to optimize the FCM clustering center and kernel parameters.The optimized FCM algorithm can improve clustering accuracy and efficiency.Since easily falls into a local optimum,an improved PSO optimization algorithm(IQPSO)is proposed.Secondly,considering that traditional FCM cannot solve the linear inseparability problem,this article uses a FCM(KFCM)that introduces kernel functions.Combinedwith the IQPSOoptimization algorithm used in the previous step,the IQPSO-KFCM algorithm is proposed.Simulation experiments verify the superiority of the proposed method.Finally,the proposed method is applied to transformer detection.The proposed method determines the class members of transformers and meters in the actual transformer area,and obtains results consistent with actual user-transformer relations.This fully shows that the proposed method has practical application value.展开更多
The Cheng index distinguishes indica andjaponica rice based on six taxonomic traits.This index has been widely used for classifi- cation of indica and japonica varieties in China.In this study,a double haploid(DH)popu...The Cheng index distinguishes indica andjaponica rice based on six taxonomic traits.This index has been widely used for classifi- cation of indica and japonica varieties in China.In this study,a double haploid(DH)popula-tion derived from anther culture of ZYQ8/JX17 F,a typical inter-subspecies hybrid,was used to investigate the six taxonomictraits,i.e.leaf hairiness(LH),color of hullwhen heading(CHH),hairiness of hull(HH),length of the first and second panicle internode(LPI),length/width of grain(L/W),andphenol reaction(PH).The morphological in- dex(MI)was also calculated.Based on themolecular linkage map constructed from this展开更多
Factors affecting rice quality and their impacts on market price were investigated in this study. On-farm survey and market survey was undertaken in three selected sites namely Kunming, Dali, and Xishuangbanna in Yunn...Factors affecting rice quality and their impacts on market price were investigated in this study. On-farm survey and market survey was undertaken in three selected sites namely Kunming, Dali, and Xishuangbanna in Yunnan Province, China. Market sampling was conducted to determine important rice quality characteristics. Sixty milled rice samples were collected from domestic markets of the three sites during a period of Mar to Apr in 1994. The grain physicochemical properties of the milled rice samples were analyzed on the basis of Chinese Agricultural Ministry Standard for testing rice quality. A hedonic price model (implicit price model) was further employed to quantify relationships between quality characteristics and market prices of rice. The model can be expressed mathematically as the following function (1) This function shows that the average price paid by consumer for different grades of rice with attribute Xj. Using the ordinary least square (OLS) regression of observed market prices on measures展开更多
AIM:To present the 1-year results of a prospective cohort study investigating the efficacy,potential mechanism,and safety of orthokeratology(ortho-k)with different back optic zone diameters(BOZD)for myopia control in ...AIM:To present the 1-year results of a prospective cohort study investigating the efficacy,potential mechanism,and safety of orthokeratology(ortho-k)with different back optic zone diameters(BOZD)for myopia control in children.METHODS:This randomized clinical study was performed between Dec.2020 and Dec.2021.Participants were randomly assigned to three groups wearing ortho-k:5 mm BOZD(5-MM group),5.5 mm BOZD(5.5-MM group),and 6 mm BOZD(6-MM group).The 1-year data were recorded,including axial length,relative peripheral refraction(RPR,measured by multispectral refractive topography,MRT),and visual quality.The contrast sensitivity(CS)was evaluated by CSV-1000 instrument with spatial frequencies of 3,6,12,and 18 cycles/degree(c/d);the corneal higher-order aberrations(HOAs)were measured by iTrace aberration analyzer.The one-way ANOVA was performed to assess the differences between the three groups.The correlation between the change in AL and RPR was calculated by Pearson’s correlation coefficient.RESULTS:The 1-year results of 20,21,and 21 subjects in the 5-MM,5.5-MM,and 6-MM groups,respectively,were presented.There were no statistical differences in baseline age,sex,or ocular parameters between the three groups(all P>0.05).At the 1-year visit,the 5-MM group had lower axial elongation than the 6-MM group(0.07±0.09 vs 0.18±0.11 mm,P=0.001).The 5-MM group had more myopic total RPR(TRPR,P=0.014),with RPR in the 15°–30°(RPR 15–30,P=0.015),30°–45°(RPR 30–45,P=0.011),temporal(RPR-T,P=0.008),and nasal area(RPR-N,P<0.001)than the 6-MM group.RPR 15–30 in the 5.5-MM group was more myopic than that in the 6-MM group(P=0.002),and RPR-N in the 5-MM group was more myopic than that in the 5.5-MM group(P<0.001).There were positive correlations between the axial elongation and the change in TRPR(r=0.756,P<0.001),RPR 15–30(r=0.364,P=0.004),RPR 30–45(r=0.306,P=0.016),and RPR-N(r=0.253,P=0.047).The CS decreased at 3 c/d(P<0.001),and the corneal HOAs increased in the 5-MM group(P=0.030).CONCLUSION:Ortho-k with 5 mm BOZD can control myopia progression more effectively.The mechanism may be associated with greater myopic shifts in RPR.展开更多
Background： DNA hypomethylation of long interspersed nuclear elements- 1 （LINEs- 1 ） occurs during carcinogenesis, whereas intbmaation addressing LINE-1 methylation in Wilms tumor （WT） is limited. The main purpos...Background： DNA hypomethylation of long interspersed nuclear elements- 1 （LINEs- 1 ） occurs during carcinogenesis, whereas intbmaation addressing LINE-1 methylation in Wilms tumor （WT） is limited. The main purpose of our study was to quantity, LINE-1 methylation levels and evaluate their relationship with relative telomere length （TL） in WT. Methods： We investigated LINE-1 methylation and relative TL using bisulfite-polymerase chain reaction （PCR） pyrosequencing and quantitative PCR, respectively, in 20 WT tissues, 10 normal kidney tissues and a WT cell line. Significant changes were analyzed by t-tests. Results： LINE-1 methylation levels were significantly lower （P 〈 0.05） and relative TLs were sigmificantly shorter （P 〈 0.05） in WT compared with normal kidney. There was a significant positive relationship between LINE- 1 methylation and relative TL in WT （r = 0.671, P = 0.001 ）. LINE- 1 Methylation levels were significantly associated with global DNA methylation （r = 0.332, P 〈 0.01 ）. In addition, relative TL was shortened and LINE- 1 methylation was decreased in a WT cell line treated with the hypomethylating agent 5-aza-2＇-deoxycytidine compared with untreated WT cell line. Conclusion： These results suggest that LINE-1 hypomethylation is common and may be linked to telomere shortening in WT.展开更多
文摘It is given in Weil and Rosenlicht ([1], p. 15) that (resp. 2) for all non-negative integers m and n with m≠n if c is any even (resp. odd) integer. In the present paper we generalize this. Our purpose is to give other integral sequences such that G.C.D.(ym,yn)=1 for all positive integers m and n with m≠n. Roughly speaking we show the following 1) and 2). 1) There are infinitely many polynomial sequences such that G.C.D.(fm(a),fn(a))=1 for all positive integers m and n with with m≠n and infinitely many rational?integers a. 2) There are polynomial sequences such that G.C.D.(gm(a,b),gn(a,b))=1 for all positive integers m and n with m≠n and arbitrary (rational or odd) integers a and b with G.C.D.(a,b)=1. Main results of the present paper are Theorems 1 and 2, and Corollaries 3, 4 and 5.
文摘Fracture energy in strain softening regime was investigated analytically by considering microstructures interaction and interplay.Based on gradient-dependent plasticity, the thickness of localized band was determined completely and strictly by characteristic length in relation to average grain diameter.After obtaining the plastic shear displacement of the band,the formula on axial response of concrete was proposed and the analytical post-peak fracture energy was deduced.A comparison between present theoretical results and earlier experimental results was carried out and the analytical result is reasonable and has a plausible foundation as considering the localized failure theoretically.Decreasing the relative stress leads to increasing the fracture energy non-linearly.The larger the shear elastic modulus and shear softening modulus,the lower the post-peak fracture energy.A larger fracture energy is caused by a larger thickness of shear band or a larger characteristic length of concrete material.If the inclination angle of the shear band and the compressive strength are not concerned with structural size of specimen,the post-peak fracture energy is size independent.
基金supported in part by the fiscal 2010 special grant from the president of the Prefectural University of Kumamoto
文摘We analyzed the relationship between internode number and intemode length for one of the largest bamboo, Phyllostachys pubescens Mazel ex Houz. For 50 sample culms with various sizes felled in a pure stand of P. pubescens, the intemode number was assigned from base to tip and the length for each internode was directly measured. The result indicated that the intemode length should be cumulated from base to tip, and then the cumulated internode length should be relativized by the total culm length. It was inappropriate to relativize the internode length by the maximum intenode length. In addition, the relationship between the relative internode number （the intemode number relativized by the total number of intemodes） and the relative cumulated internode length should be described not by a power function but by a sigmoid function such as the third-order function. The determined function enabled us to estimate the actual internode length, with the root mean squared error being 4 cm. In conclusion, the mathematical expression presented here, i.e., the relativization of the cumulated internode length by the total culm length and the application of the sigmoid function, will be useful in describing the relationship between internode number and internode length for P. pubescens.
文摘<strong>Background: </strong><span style="font-family:""><span style="font-family:Verdana;">One of the main objectives of hospital managements is to control the length of stay (LOS). Successful control of LOS of inpatients will result in reduction in the cost of care, decrease in nosocomial infections, medication side effects, and better management of the limited number of available patients’ beds. The length of stay (LOS) is an important indicator of the efficiency of hospital management by improving the quality of treatment, and increased hospital profit with more efficient bed management. The purpose of this study was to model the distribution of LOS as a function of patient’s age, and the Diagnosis Related Groups (DRG), based on electronic medical records of a large tertiary care hospital. </span><b><span style="font-family:Verdana;">Materials and Methods: </span></b><span style="font-family:Verdana;">Information related to the research subjects were retrieved from a database of patients admitted to King Faisal Specialist Hospital and Research Center hospital in Riyadh, Saudi Arabia between January 2014 and December 2016. Subjects’ confidential information was masked from the investigators. The data analyses were reported visually, descriptively, and analytically using Cox proportional hazard regression model to predict the risk of long-stay when patients’ age and the DRG are considered as antecedent risk factors. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">Predicting the risk of long stay depends significantly on the age at admission, and the DRG to which a patient belongs to. We demonstrated the validity of the Cox regression model for the available data as the proportionality assumption is shown to be satisfied. Two examples were presented to demonstrate the utility of the Cox model in this regard.</span></span>
基金supported by the Research on Key Technologies and Typical Applications of Big Data in Railway Production and Operation(P2023S006)the Fundamental Research Funds for the Central Universities(2022JBZY023).
文摘It is of great significance to improve the efficiency of railway production and operation by realizing the fault knowledge association through the efficient data mining algorithm.However,high utility quantitative frequent pattern mining algorithms in the field of data mining still suffer from the problems of low time-memory performance and are not easy to scale up.In the context of such needs,we propose a related degree-based frequent pattern mining algorithm,named Related High Utility Quantitative Item set Mining(RHUQI-Miner),to enable the effective mining of railway fault data.The algorithm constructs the item-related degree structure of fault data and gives a pruning optimization strategy to find frequent patterns with higher related degrees,reducing redundancy and invalid frequent patterns.Subsequently,it uses the fixed pattern length strategy to modify the utility information of the item in the mining process so that the algorithm can control the length of the output frequent pattern according to the actual data situation and further improve the performance and practicability of the algorithm.The experimental results on the real fault dataset show that RHUQI-Miner can effectively reduce the time and memory consumption in the mining process,thus providing data support for differentiated and precise maintenance strategies.
基金Research Center for Capital Health Management and Policy,No.2024JD09.
文摘BACKGROUND Breast cancer is one of the most common malignant tumors in women worldwide and poses a severe threat to their health.Therefore,this study examined patients who underwent breast cancer surgery,analyzed hospitalization costs and structure,and explored the impact of China Healthcare Security Diagnosis Related Groups(CHS-DRG)management on patient costs.It aimed to provide medical institutions with ways to reduce costs,optimize cost structures,reduce patient burden,and improve service efficiency.AIM To study the CHS-DRG payment system’s impact on breast cancer surgery costs.METHODS Using the CHS-DRG(version 1.1)grouping criteria,4073 patients,who underwent the radical resection of breast malignant tumors from January to December 2023,were included in the JA29 group;1028 patients were part of the CHS-DRG payment system,unlike the rest.Through an independent sample t-test,the length of hospital stay as well as total hospitalization,medicine and consumables,medical,nursing,medical technology,and management expenses were compared.Pearson’s correlation coefficient was used to test the cost correlation.RESULTS In terms of hospitalization expenses,patients in the CHS-DRG payment group had lower medical,nursing,and management expenses than those in the diagnosis-related group(DRG)non-payment group.For patients in the DRG payment group,the factors affecting the total hospitalization cost,in descending order of relevance,were medicine and consumable costs,consumable costs,medicine costs,medical costs,medical technology costs,management costs,nursing costs,and length of hospital stay.For patients in the DRG nonpayment group,the factors affecting the total hospitalization expenses in descending order of relevance were medicines and consumable expenses,consumable expenses,medical technology expenses,the cost of medicines,medical expenses,nursing expenses,length of hospital stay,and management expenses.CONCLUSION The CHS-DRG system can help control and reduce unnecessary medical expenses by controlling medicine costs,medical consumable costs,and the length of hospital stay while ensuring medical safety.
文摘Background: In-hospital mortality is a key indicator of the quality of care. Studies so far have demonstrated the influence of patient and hospital-related factors on in-hospital mortality. Currently, new variables, such as components of metabolic syndrome as comorbid conditions, are being incorporated as independent risk factors. We aimed to identify which individual, clinical and hospital characteristics are related to hospital mortality. Objectives: Demonstrate that the Cox proportional hazard model is not appropriate for the analysis of hospital mortality data when diagnostic-related groups are incorporated in the covariate structure. Methods: A retrospective single-center observational study design was used. Sampling was conducted between January 2016 and December 2018. Patients over 10 years, admitted to the emergency department with a precited stay of at least 1 hour were included. Multivariate Cox regression for survival data analyses was employed to analyze the data. Results: The sample consisted of 5897 patients. The mean age of all patients was 32.21 ± 0.29 years old, and the mean length of stay (LOS) was 9.47 ± 0.16 hours. We also categorized patients according to five Diagnosis Related Groups (DGR). Among the patients,1308 suffered from acute leukemia, 1127 had endocrine diseases, 1173 with kidney diseases, and 1016 had respiratory problems. At least one component of metabolic syndrome was present in 27.5% of the patients. During the observation period, 2299 (39%) died in hospital, and 3598 (61%) were discharged alive. We used the multivariate Cox regression non-proportional hazard model to evaluate the joint effect of these factors on the “Length of Stay” or LOS (the dependent variable of Cox regression). Age at admission, the presence of metabolic syndrome, and the DRG were significantly associated with the LOS.
基金supported by the European Research Fund for Coal and Steel in the AMSSTED Programme RFCR-CT-2013-00001
文摘Laboratory pull-out tests were conducted on the following rock bolts and cable bolts:steel rebars,smooth steel bars,fiberglass reinforced polymer threaded bolts,flexible cable bolts,IR5/IN special cable bolts and Mini-cage cable bolts.The diameter of the tested bolts was between 16 mm and 26 mm.The bolts were grouted in a sandstone sample using resin or cement grouts.The tests were conducted under either constant radial stiffness or constant confining pressure boundary conditions applied on the outer surface of the rock sample.In most tests,the rate of displacement was about 0.02 mm/s.The tests were performed using a pull-out bench that allows testing a wide range of parameters.This paper provides an extensive database of laboratory pull-out test results and confirms the influence of the confining pressure and the embedment length on the pull-out response(rock bolts and cable bolts).It also highlights the sensitivity of the results to the operating conditions and to the behavior of the sample as a whole,which cannot be neglected when the test results are used to assess the bolt-grout or the grouterock interface.
基金supported partially by the National Natural Science Foundation of China[81673247]the National Natural Science Foundation of China[NHMRC APP1112767-NSFC 81561128020]the Joint Project of the Australian National Health and Medical Research Council
文摘Several studies have demonstrated an association between physical activity and telomere length; however, the association remains inconsistent. A cross-sectional study consisting of 588 participants （375 females, median age of 33.8 years） was carried out to investigate the association between telomere length and physical activity in a general population from North China. The results show that relative telomere length is not significantly different in participants in the northern Chinese population with different levels of physical activity, either in the model only adjusted for age （F = 2.127, P = 0.120） or in the model adjusted for demographics and lifestyle （F = 1.227, P = 0.294）. The gender-stratified analysis also produced insignificant results. Our study confirmed a non-significant association between physical activity and telomere length in the northern Chinese population, which adds to the inconsistent association between physical activity and telomere length across different ethnic populations.
基金supported by the National Natural Science Foundation of China(61671208).
文摘User-transformer relations are significant to electric power marketing,power supply safety,and line loss calculations.To get accurate user-transformer relations,this paper proposes an identification method for user-transformer relations based on improved quantum particle swarm optimization(QPSO)and Fuzzy C-Means Clustering.The main idea is:as energymeters at different transformer areas exhibit different zero-crossing shift features,we classify the zero-crossing shift data from energy meters through Fuzzy C-Means Clustering and compare it with that at the transformer end to identify user-transformer relations.The proposed method contributes in three main ways.First,based on the fuzzy C-means clustering algorithm(FCM),the quantum particle swarm optimization(PSO)is introduced to optimize the FCM clustering center and kernel parameters.The optimized FCM algorithm can improve clustering accuracy and efficiency.Since easily falls into a local optimum,an improved PSO optimization algorithm(IQPSO)is proposed.Secondly,considering that traditional FCM cannot solve the linear inseparability problem,this article uses a FCM(KFCM)that introduces kernel functions.Combinedwith the IQPSOoptimization algorithm used in the previous step,the IQPSO-KFCM algorithm is proposed.Simulation experiments verify the superiority of the proposed method.Finally,the proposed method is applied to transformer detection.The proposed method determines the class members of transformers and meters in the actual transformer area,and obtains results consistent with actual user-transformer relations.This fully shows that the proposed method has practical application value.
文摘The Cheng index distinguishes indica andjaponica rice based on six taxonomic traits.This index has been widely used for classifi- cation of indica and japonica varieties in China.In this study,a double haploid(DH)popula-tion derived from anther culture of ZYQ8/JX17 F,a typical inter-subspecies hybrid,was used to investigate the six taxonomictraits,i.e.leaf hairiness(LH),color of hullwhen heading(CHH),hairiness of hull(HH),length of the first and second panicle internode(LPI),length/width of grain(L/W),andphenol reaction(PH).The morphological in- dex(MI)was also calculated.Based on themolecular linkage map constructed from this
文摘Factors affecting rice quality and their impacts on market price were investigated in this study. On-farm survey and market survey was undertaken in three selected sites namely Kunming, Dali, and Xishuangbanna in Yunnan Province, China. Market sampling was conducted to determine important rice quality characteristics. Sixty milled rice samples were collected from domestic markets of the three sites during a period of Mar to Apr in 1994. The grain physicochemical properties of the milled rice samples were analyzed on the basis of Chinese Agricultural Ministry Standard for testing rice quality. A hedonic price model (implicit price model) was further employed to quantify relationships between quality characteristics and market prices of rice. The model can be expressed mathematically as the following function (1) This function shows that the average price paid by consumer for different grades of rice with attribute Xj. Using the ordinary least square (OLS) regression of observed market prices on measures
基金Supported by Education Department Foundation of Sichuan Province(No.15ZA0262).
文摘AIM:To present the 1-year results of a prospective cohort study investigating the efficacy,potential mechanism,and safety of orthokeratology(ortho-k)with different back optic zone diameters(BOZD)for myopia control in children.METHODS:This randomized clinical study was performed between Dec.2020 and Dec.2021.Participants were randomly assigned to three groups wearing ortho-k:5 mm BOZD(5-MM group),5.5 mm BOZD(5.5-MM group),and 6 mm BOZD(6-MM group).The 1-year data were recorded,including axial length,relative peripheral refraction(RPR,measured by multispectral refractive topography,MRT),and visual quality.The contrast sensitivity(CS)was evaluated by CSV-1000 instrument with spatial frequencies of 3,6,12,and 18 cycles/degree(c/d);the corneal higher-order aberrations(HOAs)were measured by iTrace aberration analyzer.The one-way ANOVA was performed to assess the differences between the three groups.The correlation between the change in AL and RPR was calculated by Pearson’s correlation coefficient.RESULTS:The 1-year results of 20,21,and 21 subjects in the 5-MM,5.5-MM,and 6-MM groups,respectively,were presented.There were no statistical differences in baseline age,sex,or ocular parameters between the three groups(all P>0.05).At the 1-year visit,the 5-MM group had lower axial elongation than the 6-MM group(0.07±0.09 vs 0.18±0.11 mm,P=0.001).The 5-MM group had more myopic total RPR(TRPR,P=0.014),with RPR in the 15°–30°(RPR 15–30,P=0.015),30°–45°(RPR 30–45,P=0.011),temporal(RPR-T,P=0.008),and nasal area(RPR-N,P<0.001)than the 6-MM group.RPR 15–30 in the 5.5-MM group was more myopic than that in the 6-MM group(P=0.002),and RPR-N in the 5-MM group was more myopic than that in the 5.5-MM group(P<0.001).There were positive correlations between the axial elongation and the change in TRPR(r=0.756,P<0.001),RPR 15–30(r=0.364,P=0.004),RPR 30–45(r=0.306,P=0.016),and RPR-N(r=0.253,P=0.047).The CS decreased at 3 c/d(P<0.001),and the corneal HOAs increased in the 5-MM group(P=0.030).CONCLUSION:Ortho-k with 5 mm BOZD can control myopia progression more effectively.The mechanism may be associated with greater myopic shifts in RPR.
基金National Natural Science Foundation of China （No. 81301773）.
文摘Background： DNA hypomethylation of long interspersed nuclear elements- 1 （LINEs- 1 ） occurs during carcinogenesis, whereas intbmaation addressing LINE-1 methylation in Wilms tumor （WT） is limited. The main purpose of our study was to quantity, LINE-1 methylation levels and evaluate their relationship with relative telomere length （TL） in WT. Methods： We investigated LINE-1 methylation and relative TL using bisulfite-polymerase chain reaction （PCR） pyrosequencing and quantitative PCR, respectively, in 20 WT tissues, 10 normal kidney tissues and a WT cell line. Significant changes were analyzed by t-tests. Results： LINE-1 methylation levels were significantly lower （P 〈 0.05） and relative TLs were sigmificantly shorter （P 〈 0.05） in WT compared with normal kidney. There was a significant positive relationship between LINE- 1 methylation and relative TL in WT （r = 0.671, P = 0.001 ）. LINE- 1 Methylation levels were significantly associated with global DNA methylation （r = 0.332, P 〈 0.01 ）. In addition, relative TL was shortened and LINE- 1 methylation was decreased in a WT cell line treated with the hypomethylating agent 5-aza-2＇-deoxycytidine compared with untreated WT cell line. Conclusion： These results suggest that LINE-1 hypomethylation is common and may be linked to telomere shortening in WT.
