Despite surgical wound care guideline recommendations on aseptic technique compliance, patient education, wound assessment and documentation practices, there is a clear gap between recommended and observed wound care practice. This study highlights an area where clinical practice is not reflective of evidence-based recommendations, suggesting that to minimise SSI as an adverse event, practice should be evaluated and strategies incorporating evidence into practice are explored.
The rapid development of plug-in hybrid electric vehicles and renewable generation brings new challenges to the secure and economic operation of power systems. A reactive power optimization model based minimizing network loss is established, considering electric vehicle stochastic charging /discharging and uncertain outputs of wind turbines. To improve the accuracy and global searching capability, The modified membrane computing (MMC) based communication rule, cross transposition rule and mutation rewrite rule is proposed. Finally, the modified IEEE-33 nodes system is simulated through the proposed algorithm and general GA. The effectiveness and correctness of the proposed method and model are verified.
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