Working with tactile massage--a grounded theory about the energy controlling system

The purpose of this study was to acquire a theoretical understanding of what it is like to work as a tactile massage therapist (TMT). There is insufficient knowledge in this area—despite increasing demand and implementation of tactile massage; so 26 female TMTs were interviewed (6 interview groups in Stockholm County). Grounded theory was used to analyse the data. The analysis resulted in a theoretical model that explains how TMTs individually underwent a transformation in which they learned about the energy-controlling system (energy takers, energy returners, and energy controllers) and managed to implement this demanding treatment, while maintaining health and inner balance in order to have total presence during treatment sessions. Results showed that total presence was crucial for implementing high-quality treatment, and inability to control energy may pose a risk to inner balance and health among TMTs.     

冷牙胶侧方加压和高温热塑充填技术根尖封闭性体外实验研究

目的：比较冷牙胶侧加压充填技术与高温热塑充填技术根尖封闭效果。方法：选取离体颌牙40颗,随机分为A组（16颗牙）、B组（16颗牙）、实验阳性组（4颗牙）、实验阴性组（4颗牙）,A组采用冷牙胶侧加压充填技术,B组采用高温热塑充填技术,比较分析不同组剐渗漏现象、顺应性、封闭性能。结果：高温热塑充填技术组渗入长度[（1．01±0．16）mm]明显少于冷牙胶侧方加压充填组;1．5、3．5mm横截面封闭能力、顺应性（0．9448±0．0221、0．9543±0．0200;0．9558±0．0164、0．9722±0．0142）、1．5、3．5mm横截面100～250封闭能力（0．9496±0．0168、0．95884-0．0176）、≥250封闭能力（0．9421±0．0165、0．9516±0．0214）明显高于冷牙胶侧方充填技术（P均〈0．05）。结论：高温热塑充填技术可以增强填充材料的顺应性,减少渗漏现象,提高封闲效果。     

多院区网真视频网络的QoS设计

介绍网真技术的特点,医院网真系统的设计架构和QoS的相关技术,讨论了在多院区环境下如何设计园区网络QoS,给出了配置参考方案,保障网真视频系统端到端的IP网络服务质量,充分发挥网真系统的先进性。     

集成数据校正的乙烯装置进料数据采集

乙烯装置的模拟需要有准确的裂解炉进料信息,而通过对进料系统的模拟计算可以从较易测得的原料信息得到所需的裂解炉进料信息。通过对某石化企业乙烯装置进料系统进行模拟,根据体系特点集成数据校正以解决流量测量数据的不平衡和不完整的问题,利用数据的空间冗余提高了模拟计算所用数据的准确性和可靠性,并针对体系的特殊性提出了数据校正过程中出现几类负值的处理方法,最后模拟得到所需的裂解炉进料性质数据。     

移动医疗系统实施与应用

医院信息系统现有模式存在的问题是信息化在病房最终20米环节断裂导致信息的准确性难以保证,容易发生医疗行为偏差。通过对医院原来 HIS 系统功能进行加减法操作,实施移动医疗系统,引进全流程医疗数据“闭环”管理模式,能够有效优化操作流程、降低病房最终20米环节出现的医疗差错,提升患者服务水平。     

Using Cost-Effectiveness Analysis to Address Health Equity Concerns

This articles serves as a guide to using cost-effectiveness analysis (CEA) to address health equity concerns. We first introduce the "equity impact plane," a tool for considering trade-offs between improving total health—the objective underpinning conventional CEA—and equity objectives, such as reducing social inequality in health or prioritizing the severely ill. Improving total health may clash with reducing social inequality in health, for example, when effective delivery of services to disadvantaged communities requires additional costs. Who gains and who loses from a cost-increasing health program depends on differences among people in terms of health risks, uptake, quality, adherence, capacity to benefit, and—crucially—who bears the opportunity costs of diverting scarce resources from other uses. We describe two main ways of using CEA to address health equity concerns: 1) equity impact analysis, which quantifies the distribution of costs and effects by equity-relevant variables, such as socioeconomic status, location, ethnicity, sex, and severity of illness; and 2) equity trade-off analysis, which quantifies trade-offs between improving total health and other equity objectives. One way to analyze equity trade-offs is to count the cost of fairer but less cost-effective options in terms of health forgone. Another method is to explore how much concern for equity is required to choose fairer but less cost-effective options using equity weights or parameters. We hope this article will help the health technology assessment community navigate the practical options now available for conducting equity-informative CEA that gives policymakers a better understanding of equity impacts and trade-offs.     

环境侵权投诉中健康损害判定程序研究

提出环境污染健康损害判定工作程序及步骤,给出已知污染物或未知污染物造成健康损害判定工作框图,并提出健康损害判定:①必须经环境保护主管部门进行资质认定的环境污染健康损害判定机构承担;②具有健康损害判定资质的机构应建立相应专家组;③健康损害判定专家组按相关标准根据医学诊断、环境证据及因果关系进行健康损害判定。     

Tribocorrosion and Abrasive Wear Test of 22MnCrB5 Hot-Formed Steel

The article presents the results of research on abrasive and tribocorrosion wear of boron steel. This type of steel is used in the automotive and agricultural industries for the production of tools working in soil. The main goal of the article is the evaluation of tribocorrosion and abrasive wear for hot-formed 22MnCrB5 steel and a comparison of the obtained results with test results for steel in a cold-formed state. The spinning bowl method to determine the wear of samples working in the abrasive mass was used. Furthermore, a stand developed based on the ball-on-plate system allows to determine the wear during the interaction of friction and corrosion. After the hot-forming process, 22MnCrB5 steel was three times more resistant for the abrasive wear than steel without this treatment. The average wear intensity for 22MnCrB5 untreated steel was 0.00046 g per km, while for 22MnCrB5 hot-formed steel it was 0.00014 g per km. The tribocorrosion tests show that the wear trace of hot-formed 22MnCrB5 steel was about 7.03 µm, and for cold-formed 22MnCrB5 steel a 12.11 µm trace was noticed. The hot-forming method allows to obtain the desired shape of the machine element and improves the anti-wear and anti-corrosion properties for boron steel.     

Ultrasonic-Aided Co-Precipitation of Tannins and Chitosan Ammonium Salt on Cotton Fabric for Antimicrobial and Ultraviolet-Shielding Properties: An Efficient,Colourless, and Eco-Finishing Strategy

Sustainable fabrication of protective cotton, using bio-extracts, is becoming increasingly attractive. However, many shortcomings—including the introduction of potentially hazardous mordants or modifiers to cotton, annoying colour changes after finishing, and low processing efficiency—require further melioration. Therefore, an efficient ultrasonic-assisted colourless finishing process was developed in this study, to fabricate ultraviolet-proof and antimicrobial cotton. A pair of oppositely charged bio-based substances, i.e., tannin acid (TA) and hydroxypropyltrimethyl ammonium chloride chitosan (HACC) were introduced during the ultrasonic process. The results reveal that cationic HACC significantly promotes the adsorption of TA to cotton. The apparent colour of the cotton remained almost unchanged after finishing. Based on Pesudo first-/second-order kinetic models, chemisorption was verified as the dominant mechanism. Efficiency under ultrasound was enhanced by 5.3% (70 °C) and 27% (90 °C), respectively. A mathematical modelling study established the factors to be in the following order of significance: concentration > pH > temperature. Under optimal conditions, a theoretical maximum UPF of 380.8 was achieved. TA (8 g/L)-treated cotton deactivated up to 98% of Escherichia coli, and also provided excellent UV-shielding performance. In general, the ultrasonic-assisted eco-dyeing and finishing process for cotton was explored in depth from practical and theoretical perspectives, which should push forward the development of the sustainable textile industry.