就诊等待服务APP适老化设计研究

目的 将数字化服务融入老年患者就诊流程，建立适老化就诊等待服务系统，在APP开发设计研究中实现软件流程优化。方法 依据ERG理论对老年患者在就诊等待过程中的需求点进行分类整理和层次划分。调研目标用户将分析结果融入服务设计理论，为指导软件开发所涉及的医院就诊流程、用户需求痛点，提出系统性的解决策略。基于交互设计原则展开APP界面设计。结论 构建了以老年患者为中心的就诊等待服务系统，帮助提升其等待过程中的自我效能。完善了基于产品使用方式层级的适老化就诊等待服务APP设计策略，为适老化、数字化产品研发提供了新思路;最终产出APP设计实例，提高了老年群体社会参与度，鼓励老年患者自主就诊，帮助其更加轻松地享受信息化时代带来的红利。     

成型温度对PBX装药内部质量及性能的影响

针对压制成型的PBX炸药装药，选择CT无损检测、巴西实验和扫描电镜检测等技术，对比研究了室温和加热两种温度下压制成型的炸药装药内部质量、静态力学性能和细观破坏形式。结果表明，加热压制有利于改善炸药装药的内部质量，可避免产生初始损伤，且提高了装药的力学性能。细观尺度上，室温压制成型的装药主要发生界面脱黏破坏，加热压制成型装药的主要破坏形式是穿晶断裂。     

基准平面垂直断面法在爆破漏斗试验中的应用

系统阐述了基准平面垂直断面法在爆破漏斗试验中测量爆破漏斗体积的基本原理,并将隧道激光断面仪应用于金厂河矿1 750 m水平15^#采场底部切割巷道爆破漏斗试验爆破漏斗体积测量中。通过与传统体重法等计算法所得漏斗体积分析比较,结果表明基于隧道激光断面仪与3D Mine软件分析的基准平面垂直断面法实用性强、操作方便、结果直观可靠,达到试验预期目的。     

An analytical model for gas leakage through contact interface in proton exchange membrane fuel cells

Sealing performance between two contacting surfaces is of significant importance to stable operation of proton exchange membrane (PEM) fuel cells. In this work, an analytical micro-scale approach is first established to predict the gas leakage in fuel cells. Gas pressure and uneven pressure distribution at the interface are also included in the model. At first, the micro tortuous leakage path at the interface is constructed by introducing contact modelling and fractal porous structure theory. In order to obtain the leakage at the entire surface, contact pressure distribution is predicted based on bonded elastic layer model. The gas leakage through the discontinuous interface can be obtained with consideration of convection and diffusion. Then, experiments are conducted to validate the numerical model, and good agreement is obtained between them. Finally, influences of surface topology, gasket compression and gasket width on leakage are studied based on the model. The results show that gas leakage would be greatly amplified when the asperity standard deviation of surface roughness exceeds 1.0 μm. Gaskets with larger width and smaller thickness are beneficial to sealing performance. The model is helpful to understand the gas leakage behavior at the interface and guide the gasket design of fuel cells.     

Dynamic simulation of hydrogen-based off-grid zero energy buildings with hydrogen storage considering Fanger model thermal comfort

In this study, some locations with different climates, off-grid zero energy buildings with hydrogen energy storage systems are designed, and transient analysis is conducted. These considered buildings supply their electricity consumption without using the electrical grid and PV panels or wind turbines. Also, they supply thermal comfort to occupants by using a vapor compression chiller and humidifier. Domestic hot water of occupants is supplied using solar collectors. For analyzing building's performance and objectives achievement, TRNSYS software is used. Also, for evaluating occupant thermal comfort, the Fanger model is used. The considered building is a one-story building with a 150 m² area. Four occupants are considered. Both of them are seated at rest, and another is seated with light working such as typing. Using the Fanger model equation and MATLAB software, the thermal comfort of occupants is determined. For domestic hot water consumption, verified profiles that vary during 24 h of the day are considered. Achieved results show that for humid and cold cities, PV panels with an area of 73 and 76 m² can be supplied the required electricity of considered building with four occupants and battery state of charge is higher than 50% and 10%, respectively. Moreover, with a suitable air conditioner system, the predicted percentage of dissatisfied (PPD) can be lower than 12% and 8% for humid and cold cities. Therefore, the building can be converted to a zero-energy building using its rooftop area.     

A numerical study on nonlinear DPL model for analyzing heat transfer in tissue during thermal therapy

In the present paper, therapeutic treatment of infected tumorous cells has been studied through mathematical modeling and simulation of heat transfer in tissues by using a nonlinear dual-phase lag bioheat transfer model with Dirichlet boundary condition. The components of volumetric heat source in this model such as blood perfusion and metabolism are assumed experimentally validated temperature-dependent function, which gives more accurate temperature distribution in tissues through this model. We have used the finite difference and RK (4, 5) techniques of numerical methods to solve the proposed problem and obtained the exact solution in a particular case. After comparison, we got a good agreement between them. We have used dimensionless quantities throughout this paper. The effect of relaxation and thermalization time with respect to dimensionless temperature distribution has been analyzed in the treatment process.     

Farmers' preferences for adopting on-farm concentration of raw milk: Results from a discrete choice experiment in Germany

Milk concentrates are used in the manufacturing of dairy products such as yogurt and cheese or are processed into milk powder. Processes for the nonthermal separation of water and valuable milk ingredients are becoming increasingly widespread at farm level. The technical barriers to using farm-manufactured milk concentrate in dairies are minimal, hence the suspicion that the practice of on-farm raw milk concentration is still fairly uncommon for economic reasons. This study, therefore, set out to investigate farmers' potential willingness to adopt a raw milk concentration plant. The empirical analysis was based on discrete choice experiments with 75 German dairy farmers to identify preferences and the possible adoption of on-farm raw milk concentration. The results showed that, in particular, farmers who deemed the current milk price to be insufficient viewed on-farm concentration using membrane technology as an option for diversifying their milk sales. We found no indication that adoption would be impeded by a lack of trustworthy information on milk processing technologies or capital.     

Reproductive tract disease in Irish grazing dairy cows: Retrospective observational study examining its association with reproductive performance and accuracy of 2 diagnostic tests

The detection of reproductive tract disease (RTD) 3 wk postpartum is important because of its effect on subsequent reproductive outcomes. Numerous methods for the diagnosis of RTD are described, some of which are more practical and instantaneous in terms of diagnosis. Two of these methods involve identification of purulent vaginal discharge (PVD) and evidence of ultrasonographic uterine changes indicative of endometritis (UE). The objectives of our retrospective observational study were (1) to assess the association of PVD or UE score at the prebreeding examination (PBE) with the hazard of pregnancy within the subsequent breeding season; (2) to determine the test sensitivity (Se) and specificity (Sp) at the point of sampling of both tests using a Bayesian latent class model; and (3) to determine the effect of varying positivity thresholds on test accuracy. To achieve these objectives, we analyzed an initial data set of 5,049 PBE from 2,460 spring-calved cows in 8 herds between 2014 and 2018. Each PBE was conducted once between 25 and 86 d in milk. At each PBE, vaginal discharge was obtained with a Metricheck device (Simcro) whereas uterine contents were assessed using transrectal ultrasonography. Purulent vaginal discharge was scored on a scale of 0 to 3 depending on discharge character, and UE was scored on a scale of 0 to 4 depending on the presence and consistency of intraluminal fluid. Cows with scores of ≥2 in either test had received treatment. Fertility data were available from 4,756 PBE after data exclusion. The association between PVD or UE score at the PBE and subsequent hazard of pregnancy was analyzed using a Cox proportional hazards model. Cows with a PVD score of 2 or 3 were less likely to conceive than cows with a PVD score 0 [score 2 hazard ratio (HR) = 0.74; 95% confidence interval (CI): 0.59–0.94; score 3 HR = 0.65; 95% CI: 0.51–0.84]. Cows with a UE score of 1, 2, 3, or 4 were less likely to conceive than cows with a UE score of 0 (score 1 HR = 0.82; 95% CI: 0.73–0.93; score 2 HR = 0.79; 95% CI: 0.62–1.00; score 3 HR = 0.43; 95% CI: 0.43–0.90; score 4 HR = 0.39; 95% CI: 0.26–0.58). To determine the Se and Sp of PVD or UE score for diagnosis of RTD at the time of PBE, a Bayesian latent class model was fitted on 2,460 individual cow PBE. Flat priors were used for the Se and Sp of UE, whereas informative priors were used for PVD Se (mode = 65%, 5th percentile = 45%) and Sp (mode = 90%, 5th percentile = 80%) and RTD prevalence (mode = 20%, 5th percentile = 10%). Posterior estimates (median and 95% Bayesian probability intervals; BPI) were obtained using ‘rjags' (R Studio). The optimal test thresholds (PVD and UE score ≥1) were selected by assessing the effect of different thresholds on test estimates and using a misclassification cost analysis. Based on these, median (95% BPI) Se for PVD and UE score ≥1 were 44% (29–60%) and 67% (33–100%), respectively. Median Sp for PVD and UE score ≥1 were 90% (86–93%) and 91% (86–93%), respectively. Higher scores in both tests were associated with impaired fertility, and UE scoring with a threshold of ≥1 had the highest test Se and Sp estimates although test Se was conditional on days in milk when the PBE occurred.     

Constitutive model for gas hydrate-bearing soils considering different types of hydrate morphology and prediction of strength-band

The present study proposes a new elasto-plastic constitutive model that considers different types of hydrates in pore spaces. Many triaxial compression tests on both methane hydrate-bearing soils and carbon dioxide hydrate-bearing soils have been carried out over the last few decades. It has been revealed that methane hydrate-bearing soils and carbon dioxide hydrate-bearing soils have different strength and dilatancy properties even though they have the same hydrate contents. The reason for this might be due to the different types of hydrate morphology. In this study, therefore, the effect of the hydrate morphology on the mechanical response of gas-hydrate-bearing sediments is investigated through a model analysis by taking into account the different hardening rules corresponding to each type of hydrate morphology. In order to evaluate the capability of the proposed model, it is applied to the results of past triaxial compression tests on both methane hydrate-containing and carbon dioxide hydrate-containing sand specimens. The model is found to successfully reproduce the different stress–strain relations and dilatancy behaviors, by only giving consideration to the different morphology distributions and not changing the fitting parameters. The model is then used to predict a possible range in which the maximum deviator stress can move for various hydrate morphology ratios; the range is defined as the strength-band. The predicted curve of the maximum deviator stress obtained by the constitutive model matches the empirical equations obtained from past experiments. It supports the fact that the hydrate morphology ratio changes with the total hydrate saturation. These findings will contribute to a better understanding of the relation between the microscopic structures and macro-mechanical behaviors of gas-hydrate-bearing sediments.