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Abstract Accurate in-hospital length of stay prediction is a vital quality metric for hospital leaders and health policy decision-makers. It assists with decision-making and informs hospital operations involving factors such as patient flow, elective cases, and human resources allocation, while also informing quality of care and risk considerations. The aim of the research reported in this paper is to use survival analysis to model General Internal Medicine (GIM) length of stay, and to use Shapley value to support interpretation of the resulting model. Survival analysis aims to predict the time until a specific event occurs. In our study, we predict the duration from patient admission to discharge to home, i.e., in-hospital length of stay. In addition to discussing the modeling results, we also talk about how survival analysis of hospital length of stay can be used to guide improvements in the efficiency of hospital operations and support the development of quality metrics. 

Abstract Skin‐like robust materials with prominent sensing performance have potential applications in flexible bioelectronics. However, it remains challenging to achieve mutually exclusive properties simultaneously including low interfacial impedance, high stretchability, sensitivity, and electrical resilience. Herein, a material and structure design concept of mixed ion‐electron conduction and mechanical interlocking structure is adopted to fabricate high‐performance mechanical‐bioelectrical dual‐modal composites with large stretchability, excellent mechanoelectrical stability, low interfacial impedance, and good biocompatibility. Flower‐like conductive metal‐organic frameworks (cMOFs) with enhanced conductivity through the overlapped level of metal‐ligand orbital are assembled, which bridge carbon nanotubes (denoted as cMOFs‐b‐CNTs). Then, precursor of poly(styrene‐block‐butadiene‐block‐styrene)/ionic liquid penetrates the pores and cavities in cMOFs‐b‐CNTs‐based network fabricated via filtration process, creating a semi‐embedded structure via mechanical interlocking. Thus, the mixed ion‐electron conduction and semi‐embedded structure endow the as‐prepared composites with a low interfacial impedance (51.60/28.90 kΩ at 10/100 Hz), wide sensing range (473%), high sensitivity (2195.29), rapid response/recovery time (60/85 ms), low limit of detection (0.05%), and excellent durability (>5000 cycles to 50% strain). Demonstrations of multifunctional mechanical‐bioelectrical dual‐modal sensors for in vivo/vitro monitoring physiological motions, electrophysiological activities, and urinary bladder activities validate the possibility for practical uses in biomedical research areas. This concept creates opportunities for the construction of durable skin‐like sensing materials. 

This study investigates dynamic behaviors of hypoid gear rotor systems under variable tidal current energy harvesting conditions through numerical simulations and experimental validation. The study examines dynamic responses of a hypoid gear rotor system induced by cyclical tidal current variations, which generate fluctuating loads and bidirectional rotational speeds in tidal energy conversion systems. Two hypoid gear pairs, modified through precise manufacturing parameters, are evaluated to optimize tooth contact patterns for bidirectional tidal loading conditions. A coupled torsional vibration model is developed, incorporating variable transmission error and mesh stiffness. Experimental validation of dynamic performances of hypoid gear pairs was conducted on a bevel gear testing rig, which can measure both torsional and translational vibrations across diverse tidal speed profiles. The experimental results demonstrate that second-order primary resonances exhibit heightened vibration intensity during flow-reversal phases. This phenomenon has significant implications for system power efficiency and acoustic emissions. The findings extend the current understanding of hypoid gear optimization for tidal energy-harvesting applications. 

The manipulation of ions in complex oxide materials can be used to mimic brain-like plasticity through changes to the resistivity of a neuromorphic device. Advances in the design of more energy efficient devices require improved understanding of how ions migrate within a material and across its interface. We investigate the exchange of oxygen and hydrogen in a model SrCoOx epitaxial film—a material that transitions between a ferromagnetic metal and antiferromagnetic insulator depending on the oxygen concentration. Changes to the film during ionic liquid gating were measured by in situ synchrotron x-ray techniques as a function of time and gate voltage, examining the reversibility of the oxide over one complete gating cycle. We find that the out-of-plane lattice constant and oxygen vacancy concentration of SrCoOx are largely reversible although changes were observed in the ordered vacancy structure. Our results provide much needed insight into electrolyte-gated phase behavior in the transition metal oxides.