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Improvement in Pa.ient Mobility Following Short-Term reha.ilita.ion in Skilled Nursing Fa.ilities

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Open Journa. of Thera.y a.d reha.ilita.ion 2024年第1期12卷 52-60页

作者： Sea. r. Silver Ja.en a. Silver Sa.ueli School of Engineering University of California Los Angeles USA

ba.kground: Mobility in older a.ults ca. be impa.red a.ter a.ute illness or hospita.iza.ion, a.d the level of severity ca. be used a. a.predictor of one’s a.ility to return to independent living. Pa.ients a.e often referred to skilled nursing fa.ilities in hopes of improving their mobility. We wa.ted to prove tha. reha.ilita.ive services a. Skilled Nursing Fa.ilities improve overa.l outcomes. Methods: We conducted a.retrospective a.a.ysis of da.a.from 4612 pa.ients a.mitted for short-term reha.ilita.ion in a.la.ge nursing home cha.n in Ca.ifornia. Our a.m wa. to determine whether pa.ients’ mobility scores, a. mea.ured by reha.ilita.ive sta.f, significa.tly improved by time of discha.ge compa.ed to their scores a. a.mission. Mobility scores were ra.ed from 1 to 6, with 1 being the most dependent on a.d a.d 6 being the most independent, over a.va.iety of ta.ks a. a.mission a.d compa.ed to scores a. discha.ge. Pea.son’s correla.ions were performed to determine if there were significa.t rela.ionships in the da.a. the Pea.son’s correla.ion coefficient wa. used to describe the rela.ionships between pa.ient a.mission to a.skilled nursing fa.ility a.d medica. improvement upon discha.ge. results: The study demonstra.ed a.sta.istica.ly significa.t improvement in pa.ients’ mobility scores upon discha.ge, with Medica.e insured pa.ients showing on a.era.e 57% improvement a.d Ma.a.ed Ca.e insured pa.ients showing on a.era.e 59% improvement. a.ditiona.ly, a.mission scores a.pea.ed to be predictive of the pa.ient’s outcome a. discha.ge. Conclusions: The va.ues a.d consistency of improvement support the use of a.ute reha.ilita.ive services in skilled nursing fa.ilities. a. equa.ion ca. be formula.ed tha. eva.ua.es pa.ients’ estima.ed mobility sta.uses upon discha.ge from fa.ilities ba.ed on their conditions on their a.riva.s. With this, new interventions ca. be studied a.d compa.ed to the current sta.da.d of ca.e by using these mea.urements. They ca. determine if further improvement

关键词： Mobility Skilled Nursing Fa.ility reha.ilita.ive Services Independent Living Hea.thca.e

Improvement of a.tivities of Da.ly Living (a.L) for Pa.ients Trea.ed in Skilled Nursing Fa.ilities (SNFs)

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Open Journa. of Thera.y a.d reha.ilita.ion 2024年第1期12卷 61-69页

作者： Ja.en a. Silver Sea. r. Silver Sa.ueli School of Engineering University of California Los Angeles USA

ba.kground: Self-ca.e ta.ks or a.tivities of da.ly living (a.L)’s performa.ce a.e often disrupted a.ter a. older a.ult susta.ns a. injury or illness, which ca. be a.determining fa.tor for discha.ge pla.ement a.ter hospita.iza.ion, or it ca. determine the level of a.sista.ce required a.ter discha.ge from a.skilled nursing fa.ility (SNF). We believe tha. comprehensive reha.ilita.ion ca. improve a.pa.ient’s overa.l functioning during their short term sta. in SNFs. The purpose of this study is to determine if a. individua.’s level of independence improved a.ter a.mission to a.skilled nursing fa.ility a.d procurement of reha.ilita.ion services. Methods: This study retrospectively reviewed 4612 nursing home pa.ients in Ca.ifornia.who underwent reha.ilita.ive services a. skilled nursing fa.ilities to determine how the pa.ients responded to their environments, thera.y interventions, a.d a.y other a.ditiona. supportive mea.ures. The records of pa.ients who were a.mitted for short-term reha.ilita.ion were reviewed in a.blinded fa.hion, looking specifica.ly a. Section GG of the Minimum Da.a.Set (MDS). Self-Ca.e Section GG scores recorded by reha.ilita.ive sta.f provide objective da.a.a.d mea.ure pa.ients’ levels of a.sista.ce tha. were required. Ea.h a.tivity is scored from 1, being completely dependent, to 6, being entirely independent, with va.ying levels of a.sista.ce with scores in between. The a.mission scores versus the discha.ge scores ca. be compa.ed to determine if a.pa.ient improved their level of functioning upon discha.ge. results: Utilizing the Pea.son’s correla.ion coefficient, a.strong correla.ion of improvement in a.L performa.ce on Section GG between the a.mission a.d discha.ge scores wa. identified, implying significa.t improvement in functiona. independence upon discha.ge. The a.era.e percent improvement for Ma.a.ed Ca.e pa.ients wa. ~35.4% a.d ~39.4% for Medica.e pa.ients. Conclusions: The results support the benefits of reha.ilita.ion services in skilled n

关键词： a.tivities of Da.ly Living Skilled Nursing Fa.ilities reha.ilita.ion Independent Living

Spa.ia. a.a.ysis of Dengue through the reproduction numbers rela.ing to socioeconomic fea.ures:Ca.e studies on two bra.ilia. urba. centers

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Infectious Disea.e Modelling 2024年第1期9卷 142-157页

作者： a.a.T.C.Silva.reja.e C.Dorn Lívia.r.Tomás Leona.do b.L.Sa.tos La.ita.M.Ska.inski Sua.i T.r.Pinho Depa.ta.ento de Física Universidade Estadual de Feira de SantanaAv.Transnordestinas/n.Novo HorizonteFeira de Santana44036-900BABrazil Instituto de Física Universidade Federal da BahiaRua Barão de Jeremoabo s/nCampus Universitário de OndinaSalvador40170-115BABrazil Centro Na.iona. de Monitora.ento e a.erta. de Desa.tres Na.ura.s(CEMa.EN) Estrada Dr.Altino Bondensan500São Josédos Campos12247-016SPBrazil Universida.e Esta.ua. de Sa.ta.Cruz Campus Soane Nazaréde AndradeRodovia Jorge AmadoKm 16SalobrinhoIlhéus45662-900BABrazil Instituto de Sa.de Coletiva Universidade Federal da BahiaR.Basílio da Gamas/n-CanelaSalvador40110-140BABrazil Instituto Na.iona. de Ciência.e Tecnologia.Sistema. Complexos Virtual InstitutionBrazil

The study of the propa.a.ion of infectious disea.es in urba. centers finds a.close connection with their popula.ion's socia. cha.a.teristics a.d *** work performs a.spa.ia. a.a.ysis of dengue ca.es in urba. centers ba.ed on the ba.ic reproduction numbers,r0,a.d incidence by pla.ning a.ea.(Pa.),a. well a. their correla.ions with the Huma. Development Index(HDI)a.d the number of *** a.a.yzed dengue epidemics in 2002 a. two bra.ilia. urba. centers,belo Horizonte(bH)a.d rio de Ja.eiro(rJ),using Pa. a. spa.ia. *** results revea. heterogeneous spa.ia. scena.ios for both cities,with very wea. correla.ions between r0 a.d both the number of trips a.d the HDI;in bH,the va.ues of r0 show a.less spa.ia. heterogeneous pa.tern tha. in *** bH,there a.e modera.e correla.ions between incidence a.d both the number of trips a.d the HDI;mea.while,they wea.ly correla.e for ***,the a.sence of strong correla.ions between the considered mea.ures indica.es tha. the tra.smission process should be trea.ed considering the city a. a.whole.

关键词： Dengue Ma.hema.ica. mode lba.ic reproduction number Urba. mobility Urba. indices

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Jumping droplets

Droplet 2024年第2期3卷 3-33页

作者： Jona.ha. b.boreyko Depa.tment of Mecha.ica. Engineering Virginia TechBlacksburgVirginiaUSA

When microdroplets with qua.i-spherica. conta.t a.gles coa.esce together on a.low-a.hesion substra.e,the ca.illa.y-inertia. expa.sion of the liquid bridge induces a.dra.a.ic out-of-pla.e jumping event due to symmetry *** the onset of merging,droplet jumping initia.es a.ter a.ca.illa.y-inertia. time sca.e of tci∼1–100μs with cha.a.teristic jumping speeds of order vj∼0.1m/*** coa.escenceinduced jumping-droplet effect is most commonly observed a.ong a.popula.ion of growing dew droplets on a.superhydrophobic condenser,but ca. a.so occur by colliding deposited droplets together or during droplet sliding on fog *** this review,we cover the historica. development of ca.illa.y-inertia. jumping droplets,summa.ize the deca.e-long effort to ra.iona.ize the ultra.low energy conversion efficiency a.d critica. droplet size of the phenomenon,a.d then present 15 va.ia.ions on a.theme of ***-inertia. jumping droplets a.e not only a.viscera. illustra.ion of the surprising power of surfa.e tension a. the microsca.e but they a.so ha.e the potentia. to enha.ce pha.e-cha.ge hea. tra.sfer,ena.le selfclea.ing surfa.es,comba. frost forma.ion,ha.vest energy,a.d govern the ra.e of disea.e sprea. for whea. crops.

关键词： ca.illa.y illustra.ion ra.iona.

On the Fea.ures of Therma. Convection in a.Compressible Ga.

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Fluid Dyna.ics & Ma.eria.s Processing 2024年第5期20卷 957-974页

作者： Igor b.Pa.ymskiy Physics Depa.tment Siberian State University of Telecommunications and Information SciencesNovosibirsk City630102Russia Physics Depa.tment Siberian State University of Geosystems and TechnologiesNovosibirsk City630108Russia

The fully nonlinea. equa.ions of ga. dyna.ics a.e solved in the fra.ework of a.numerica. a.proa.h in order to study the sta.ility of the stea.y mode of ra.leigh-béna.d convection in compressible,viscous a.d hea.-conducting ga.es enca.sula.ed in conta.ners with no-slip bounda.ies a.d isotherma. top a.d bottom *** initia. linea. tempera.ure profile is a.sumed.a.ma. of the possible convective modes is presented a.suming the height of the region a.d the va.ue of the tempera.ure gra.ient a. influentia. *** a.rela.ively sma.l height,isoba.ic convection is found to ta.e pla.e,which is ta.en over by a. a.ia.a.ic mode when the height exceeds the critica. va.ue,or by a.super-a.ia.a.ic mode in ca.e of a.rela.ively high tempera.ure *** the a.ia.a.ic mode,convective flow develops due to a.ia.a.ic processes given a.sta.le initia. *** a.a.ytic formula.for the critica. height of the region is derived ta.ing into a.count a.d neglecting the dependence of the ga. viscosity on the ***,a. a.a.ytic formula.is obta.ned for the upper bounda.y of the region of a.plica.ility of the boussinesq a.proxima.ion for incompressible *** models for compressible ga.es a.e releva.t to pra.tica. situa.ions such a. the study of convective flows in spa.ia.ly extended ga. mixtures when dea.ing with sa.ety issues rela.ed to hydroca.bons stored in ga. sta.ions.a.da.gerous situa.ion a.ises when the ta.k is a.most empty but some hydroca.bon is left a. the bottom of the *** the presence of convective flows,the va.orized fuel is mixed with the oxidizer(a.r)forming a.ga.-va.or ***,if the volumetric concentra.ion of fuel va.or(hydroca.bon)is in the interva. between the lower a.d upper concentra.ion limits of ignition,then the ga.-va.or mixture becomes explosive a.d a.y a.cidenta. spa.k is sufficient to ca.se a. emergency.

关键词： ra.leigh-béna.d convection ga. sta.le stra.ifica.ion unsta.le stra.ifica.ion tempera.ure gra.ient

Fuzzy relia.ility a.d a.a.la.ility of System under a.Ca.enda.-ba.ed Inspection Involving Multiple Fa.lures a.d Its a.plica.ion to Wind Turbine System

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Journa. of Systems Science a.d Systems Engineering 2024年第2期33卷 187-206页

作者： Mintu Kuma. Hima.i Pa.t S.b.Singh Depa.tment of Ma.hema.ics Sta.istics a.d Computer Science G.B.Pant University of AgricultureTechnologyPantnagarUttarakhandIndia

Uncerta.nty is a. importa.t fa.tor tha. needs to be considered while a.a.yzing the performa.ce of a.y engineering *** order to qua.tify uncerta.nty,fuzzy set theory is frequently used by most of resea.chers,including energy system *** to the cla.sica. relia.ility theory,component lifetimes ha.e crisp pa.a.eters,but due to uncerta.nty a.d ina.cura.y in da.a.it is sometimes very difficult to determine the exa.t va.ues of these pa.a.eters in rea.-world *** overcome this difficulty in the current resea.ch,fa.lure a.d repa.r ra.es were ta.en a. tria.gula. fuzzy numbers to determine the fuzzy a.a.la.ility of a.system undergoing ca.enda.-ba.ed periodic inspection subject to multiple fa.lure modes(FMs).It wa. a.sumed tha. ea.h component in the system ha. a. exponentia. fa.lure ra.e a.d repa.r ra.e with fuzzy *** FMs were explicitly ta.en into a.count when a.functiona. sta.e of the system wa. *** FM ha. a.ra.dom fa.lure *** the occurrence of a.y fa.lure,a.ra.dom time wa. selected for the releva.t corrective repa.r *** proposed resea.ch wa. studied for one of the ma.or sources of green energy,na.ely a.wind turbine system wherein a.l the derived propositions ha.e been implemented on it.

关键词： Fuzzy relia.ility fuzzy a.a.la.ility wind turbine system multiple fa.lure modes tria.gula. fuzzy number

Efficient guiding a.d focusing of intense la.er pulse using periodic thin slits

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Ma.ter a.d ra.ia.ion a. Extremes 2024年第4期9卷 29-39页

作者： L.Xu T.W.Hua.g K.Jia.g C.N.Wu H.Peng P.C.hen r.Li H.b.Zhuo C.T.Zhou Shenzhen Key La.ora.ory of Ultra.ntense La.er a.d a.va.ced Ma.eria. Technology Center for Intense Laser ApplicationTechnologyand College of Engineering PhysicsShenzhen Technology UniversityShenzhen 518118People’s Republic of China

Slits ha.e been widely used in la.er-pla.ma.intera.tions a. pla.ma.optica. components for genera.ing high-ha.monic light a.d controlling la.er-driven pa.ticle ***,we propose a.d demonstra.e tha. periodic thin slits ca. be rega.ded a. a.new breed of optica. elements for efficient focusing a.d guiding of intense la.er *** funda.enta. physics of intense la.er intera.tion with thin slits is studied,a.d it is revea.ed tha. rela.ivistic effects ca. lea. to enha.ced la.er focusing fa. beyond the pure diffra.tive focusing *** a.dition,the intera.tion of a. intense la.er pulse with periodic thin slits ma.es it fea.ible to a.hieve multifold enha.cement in both la.er intensity a.d energy tra.sfer efficiency compa.ed with conventiona. *** results provide a.novel method for ma.ipula.ing ultra.intense la.er pulses a.d should be of interest for ma.y la.er-ba.ed a.plica.ions.

关键词： la.er pulse intense

Compa.a.ive study of thulium fiber la.er versus holmium:yttrium-a.uminum-ga.net la.er for ureteric stone ma.a.ement with semi-rigid ureteroscopy: a.prospective, single-center study

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a.ia. Journa. of Urology 2024年第3期11卷 460-465页

作者： a.kit Gupta.a.vind P.Ga.pule a.kush Puri a.hishek G.Singh ra.indra.b.Sa.nis Ma.esh r.Desa. Muljibha. Pa.el Urologica. Hospita. NadiadGujaratIndia

Objective:To compa.e the effica.y a.d sa.ety of thulium fiber la.er(TFL)a.d holmium:yttrium-a.uminum-ga.net(Ho:Ya.)la.er for ureteric stone ma.a.ement with semi-rigid ***:In a.prospective study from Ja.ua.y 2020 to December 2021,we compa.ed 40 pa.ients in ea.h group who underwent semi-rigid ureteroscopic lithotripsy with TFL a.d tha. with Ho:Ya. *** volume,stone density,stone fra.menta.ion ra.es,tota. la.ing time,tota. opera.ive time,endoscopic vision,retropulsion a.d stone free ra.es were a.a.yzed in both groups a.d ***:Mea. stone volume wa. compa.a.le in the TFL group a.d the Ho:Ya. la.er group(282.45[sta.da.d devia.ion,SD 139.79]mm3 vs.279.49[SD 312.52]mm3;p=0.964).Mea. stone density wa. a.so compa.a.le in the TFL group a.d the Ho:Ya. la.er group(1135.30[SD 317.04]Hounsfield unit vs.1131.75[SD 283.03]Hounsfield unit;p=0.959).The mea. stone fra.menta.ion ra.es ca.cula.ed a. stone volume divided by la.ing time were 25.85(SD 10.61)mm3/min a.d 21.37(SD 14.13)mm3/min in the TFL group a.d the Ho:Ya. la.er group,respectively(p=0.113).The mea. tota. la.ing time(10.15[SD]4.69 min vs.11.43[SD 4.56]min;p=0.222),mea. opera.ive time(25.13[SD 9.51]min vs.25.54[SD 10.32]min;p=0.866),a.d mea. tota. hospita. sta.(2.62[SD 0.77]da.s vs.2.61[SD 0.84]da.s;p=0.893)were compa.a.le in the TFL group a.d in the Ho:Ya. *** vision wa. better a.d retropulsion wa. less in the TFL *** stone-free ra.e a. 1 month postopera.ively wa. slightly better in the TFL group(100%vs.90%;p=0.095).

关键词： La.er Stone Urolithia.is Thulium Holmium

Ion hea. tra.sport in electron cyclotron resona.ce hea.ed L-mode pla.ma.on the T-10 toka.a.

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Pla.ma.Science a.d Technology 2024年第4期26卷 52-60页

作者： V.a.KrUPIN M.r.NUrGa.IEV a.r.NEMETS I.a.ZEMTSOV S.D.SUNTSOV T.b.MYa.TON D.S.SErGEEV N.a.SOLOVEV D.V.Sa.YCHEV D.V.rYJa.OV S.N.TUGa.INOV N.N.Na.MENKO Na.iona. resea.ch Centre“Kurcha.ov Institute” Moscow 123182Russia ba.ma. Moscow Sta.e Technica. University Moscow 105005Russia Institution“Project Center ITEr” Moscow 123098Russia JSC“SOLa.” Minsk 220034Belarus

a.oma.ous ion hea. tra.sport is a.a.yzed in the T-10 toka.a. pla.ma.hea.ed with electron cyclotron resona.ce hea.ing(ECrH) in second-ha.monic extra.ordina.y mode. Predictive modeling with empirica. sca.ing for Ohmica. hea. conductivity shows tha. in ECrH pla.ma. the ca.cula.ed ion tempera.ure could be overestima.ed, so a. increa.e of a.oma.ous ion hea. tra.sport is required. To study this effect two sca.s a.e presented: over the EC resona.ce position a.d over the ECrH power. The EC resona.ce position va.ies from the high-field side to the low-field side by va.ia.ion of the toroida. ma.netic field. The sca. over the hea.ing power is presented with on-a.is a.d mixed ECrH regimes. Discha.ges with high a.oma.ous ion hea. tra.sport a.e obta.ned in a.l considered regimes. In these discha.ges the power ba.a.ce ion hea. conductivity exceeds the neocla.sica. level by up to 10 times. The high ion hea. tra.sport regimes a.e distinguished by three pa.a.eters: the ra.io Te/Ti, the norma.ized electron density gra.ient r/■, a.d the ion–ion collisiona.ity νii~*. The combina.ion of high Te/Ti, high νii~*, a.d r/■=6-10 results in va.ues of norma.ized a.oma.ous ion hea. fluxes up to 10 times higher tha. in the low tra.sport scena.io.

关键词： toka.a. L-mode electron cyclotron resona.ce hea.ing ion hea. tra.sport