Identification Process Research Articles

Different facets of age perception in people with developmental prosopagnosia and “super-recognisers”

AbstractThe interplay between facial age and facial identity is evident from several scenarios experienced in daily life, such as when recognising a face several decades after the last exposure. However, the link between age and identity processing, and how age perception abilities might diverge in individuals with different face processing abilities, has scarcely been considered. Furthermore, the approach used to test age perception ability may also influence outcome, but the effect of different paradigms on performance is not yet known. Across three studies, we compare super-recognisers (SRs), people with developmental prosopagnosia (DPs), and a group of neurotypical controls, on three age perception paradigms. There were no differences on the numeric age estimation task (i.e. providing precise age estimates for a series of faces; Study 1), and numeric age estimation task with added noise-distortion to stimuli (Study 2). However, SRs were more accurate when instructed to classify ambient faces as either over- or under- the age of 18 compared to both DPs and controls (Study 3). Thus, there may be nuanced differences in age processing which can be tapped into using separate paradigms; however, given that the difference is only with SRs it remains unclear to what extent these are linked to facial identity processing.

Study protocol of the ALMA-CKD trial; an electronic triggering decision-support system to improve the detection, recognition, and management of patients with chronic kidney disease in primary care

Abstract Background Chronic kidney disease (CKD) is a global health problem affected by under-recognition and under-treatment in primary care settings. Electronic clinical decision support (CDS) triggering systems have the potential to improve detection and management of people with CKD by assisting clinicians in adhering to guideline recommendations. We aimed to test whether an electronic CDS triggering system would improve the detection, recognition, and management of patients with CKD in primary care. Method/Design This is a pragmatic cluster-randomized controlled trial where 66 primary healthcare centers from the Stockholm Region, Sweden were randomized 1:1 to receive either a new expanded CDS-triggering system offering kidney-specific advice or to continue with their current CDS-triggering system. The expanded CDS system reminds and provides practical facilitators of the processes of CKD screening, recognition with a diagnosis, management and referral to specialist care. The trial duration is 24 months and it is embedded into the Stockholm CREAtinine measurements (SCREAM) project, a repository of healthcare data from the region, which minimizes disturbances with healthcare praxis due to the trial and makes it fully pragmatic. The primary outcomes are the number of eligible patients screened for creatinine and albuminuria once annually and the re-testing of these labs within 6 months in patients with abnormal eGFR or albuminuria. Secondary outcomes are the proportions of issued clinical diagnoses among those fulfilling criteria, proportions of patients with significant albuminuria receiving prescribed nephroprotective medications, proportions of accepted referrals to nephrologist care among those fulfilling criteria and proportion of referrals for ultrasound of the kidneys. Discussion Prior pragmatic trials of CDS-systems in CKD has shown an improvement in quality indicators primarily in patients already diagnosed with CKD. This study expands this evidence by focusing on the process of screening, identification, monitoring and diagnostic work-up. Conclusion This pragmatic trial will assess the value of CDS for improved adherence to CKD guidelines in primary care. Clinicaltrials.gov registration: NCT06386172, submitted 2024-04-23.

Abstract IA025: A DNA methylation atlas of normal human cell types

Abstract DNA methylation is a fundamental epigenetic mark that governs gene expression and chromatin organization, thus providing a window into cellular identity and developmental processes. Current datasets typically include only a fraction of methylation sites and are often based either on cell lines that underwent massive changes in culture or on tissues containing unspecified mixtures of cells. Here we describe a human methylome atlas, based on deep whole-genome bisulfite sequencing, allowing fragment-level analysis across thousands of unique markers for 39 cell types sorted from 205 healthy tissue samples. Replicates of the same cell type are more than 99.5% identical, demonstrating the robustness of cell identity programmes to environmental perturbation. Unsupervised clustering of the atlas recapitulates key elements of tissue ontogeny and identifies methylation patterns retained since embryonic development. Loci uniquely unmethylated in an individual cell type often reside in transcriptional enhancers and contain DNA binding sites for tissue-specific transcriptional regulators. Uniquely hypermethylated loci are rare and are enriched for CpG islands, Polycomb targets and CTCF binding sites, suggesting a new role in shaping cell-type-specific chromatin looping. The atlas provides an essential resource for study of gene regulation and disease-associated genetic variants, and a wealth of potential tissue-specific biomarkers for use in liquid biopsies. Citation Format: Tommy Kaplan. A DNA methylation atlas of normal human cell types [abstract]. In: Proceedings of the AACR Special Conference: Liquid Biopsy: From Discovery to Clinical Implementation; 2024 Nov 13-16; San Diego, CA. Philadelphia (PA): AACR; Clin Cancer Res 2024;30(21_Suppl):Abstract nr IA025.

Developing an accurate finite element model for brake disc in contact with the pad using experimental modal analysis

The brake system is a critical safety component in cars, and its performance is essential for the safety of both the driver and passengers. The stability of the brake disc and understanding the contact area between the disc and the brake pads are crucial aspects of brake system design and performance. This paper aims to create an accurate model of the brake system, especially the contact area between the disc and the pads. This model can be used to investigate the effects of increasing braking pressure and changing the contact surface. Moreover, this model can calculate the dynamic responses of the system when an angular velocity is applied to the disc. First, a braking system was tested experimentally several times. Then a finite element model of the structure was created in ANSYS commercial software with defining suitable elements for the contact area between the disc and the pads. In the following, by an identification process a distribution of contact parameters at different braking pressures was obtained. The results shows that when the braking pressure increases, the dynamic responses of the structure increase, as well as the contact stiffness. A further increase in braking pressure does not have much effect on the contact stiffness and the contact area becomes like a new support.

Transformation processes of professional identity against the background of media convergence

The purpose of the work is to study the transformation processes of constructing professional identity under the influence of new information technologies and to consider the evolution of views on the processes of scientific and practical understanding of new media resources in the context of the development of convergent journalism as a phenomenon of the modern information society. It was established based on the conducted research that the values and beliefs of journalists, reflecting the process of professional self-identification, are forming in the process of choosing certain options among a variety of alternatives and transforming further under the current conditions of the information and communication environment. In the process of the study, the article identifies the features, content, and main trends in the transformational processes of professional identity and professional culture of journalists in the context of technological changes in the media industry. The dynamics of the development of media convergence are shown from the point of view of the mutual influence of traditional and new media and the tendency of improving their technological and dialogue features and capabilities in content creation and broadcasting. An assessment is made of the degree of adaptation of regional media to modern conditions of the information and communication environment in the context of organizational, professional, and communicative convergence.

Abstract 4138246: Differences in Major Adverse Cardiovascular and Lower Limb Events and Guideline-Directed Medical Therapy Among Males and Females Within an Integrated Healthcare System

Background: Health disparities based on gender have been recognized as having a detrimental impact on care delivery and early identification of disease processes. Peripheral arterial disease (PAD) is the third leading cause of atherosclerotic disease mortality. It is unclear what role, if any, gender plays in the diagnosis, treatment, and outcomes of PAD. Hypotheses: Females are less likely to have guideline-directed medical therapy (GDMT) and more likely to have major adverse cardiovascular events (MACE) and major adverse lower limb events (MALE) than males. Methods: The Intermountain Health electronic database was queried for patients meeting the following criteria: ≥18-years of age, PAD diagnosis between Jan 2006 to Dec 2021, seen at least once within the 18-months following initial PAD diagnosis, and had a symptom of PAD (see table). Follow-up GDMT, based on the 2016 AHA/ACC PAD guidelines, was determined by medication and procedures. Time to outcomes of MACE (all-cause death, MI, stroke, or unstable angina hospitalization) and MALE (limb ischemia, limb revascularization, or limb amputation) were examined using Cox-proportional hazard adjusted for GDMT, age, and prior CAD. Results: A total of 7522 patients had a symptomatic PAD diagnosis, with 38% female and 62% male. Females tended to be older (70.1±13.0 vs 68.6±11.7), more likely to be obese (25% v 21%), and less likely to have Afib (21% v. 24%), CAD (30% v 41%), MI (11% v 16%), renal failure (19% v 22%) but more likely to have a bleeding history (30% v 26%) (all p<0.01). Females were slightly less likely to have all the GDMT and yet had similar rates of referrals to specialists but higher rates to primary care providers (Table). After adjustment, females were less likely to have MACE (HR=0.94; 95% CI: 0.88, 0.99) and MALE (HR=0.85; 95% CI: 0.80, 0.92). Conclusion: Females had lower rates of MALE, driven by lower limb revascularization or amputation rates, and slightly lower rates, after adjustment, for MACE. This was observed despite the high rates of GDMT for both females and males (~80% in any category), with females having slightly less GDMT.

Understanding community perspective on the heritage of locality: memory map methodology

PurposeCommunity involvement in heritage preservation requires appropriate approaches. Sanciai (in Lithuanian: Šanciai) historic district in Kaunas (Lithuania) has long-lasting military and industrial heritage, valuable urban structure and connections to the natural frame of the city. Sanciai residents’ willingness to participate in heritage preservation and urban planning prompted the aim of this research – to develop, test and present the mapping methodology, that would be applicable in the process of community involvement into heritage identification, preservation, interpretation and creation process.Design/methodology/approachThe methods of research included analysis of literature and theoretical research, development and testing of the methodology for the community involvement in heritage identification, preservation, interpretation and creation process. The workshop methodology and interactive online map are presented in this research. The memory map methodology developed and presented in this research includes the elements of mental mapping, design thinking and citizen science.FindingsThe methodology was tested in spring of 2021 in two-day online workshops with the students of pro-gymnasium located in Sanciai. Workshop participants together with workshop coordinator and moderators created different layers of the mental map, collected stories from the members of community and gathered the data for online interactive Sanciai memory map. The evaluation of the methodology and workshop results allowed concluding that memory map methodology is a functioning participant, community and research-oriented approach that can be applied in diverse heritage and community related circumstances.Originality/valueThe originality of the research is determined by the synergistic nature of developed memory map methodology which complements traditional mental mapping with creative hands-on techniques, empathy-oriented tasks and interactive online tool. Moreover, the research reveals the importance of local-global connections in urban studies as active local community became the stimulus for memory map methodology. The two-fold aim of the methodology – community cohesion and empowerment as well as research data collection – contributes to the originality of the research as well.

Intelligent-based approach for parameters identification and control of fractional order systems

The optimization algorithms for identification and control processes take more and more place in the industrial domain. However, determining a control law for fractional systems remains challenging for researchers today. This paper presents a simple method for using a fractional PID (FOPID) corrector to regulate a class of fractional systems that show a stable step response. The procedure is based on an algorithmic identification to assimilate the fractional system into a simple model. Optimization methods were used. Using techniques like Particle Swarm Optimization (PSO), Genetic Algorithm (GA), Artificial Bee Colony (ABC), and Ant Colony Optimization (ACO) to ascertain the parameters of the basic model, a first-order system with delay. Then, the FOPID controller will be calculated using Ziegler–Nichols methods and optimization algorithms to stabilize the real process. Better performance Overshoot and Settling time as well as minimal Energy control effort are benefits of the proposed design. To confirm that the fractional regulator is robust which is optimized by the best-chosen method (PSO), the parameters of the chosen process will be randomly varied. Through two numerical simulations, the efficiency of the suggested method has been confirmed.

Parameter Identification of Solid Oxide Fuel Cell Using Elman Neural Network and Dynamic Fitness Distance Balance-Manta Ray Foraging Optimization Algorithm

An accurate solid oxide fuel cell model is a prerequisite for optimizing the operation and state estimation of subsequent cell systems. Hence, this work aimed to utilize a vigoroso algorithmic tool, i.e., Elman neural network, for data prediction to enrich cell measurement data and employ the trained network model for noise reduction of voltage–current data. Furthermore, to obtain reliable cell parameters, a novel parameter identification model based on the dynamic fitness distance balance-manta ray foraging optimization (dFDB-MRFO) algorithm is proposed. Two datasets were applied to extract the electrochemical model and simple electrochemical model parameters of the solid oxide fuel cell model. To verify adequately the superiority of this method, which is compared with another seven conventional heuristic algorithms, four performance indicators were selected as evaluation criteria. Comprehensive case studies demonstrated that through data processing, the precision and robustness of identification could be effectively heightened. In general, the model fitting data obtained via parameter identification using dFDB-MRFO have excellent fitting precision contrast with the measured voltage–current data. Notably, the fitting degree obtained by dFDB-MRFO in the simple electrochemical model reached 99.95% and 99.91% under the two datasets, respectively.

The Anthropological Process of Identifying Missing Persons as a Teaching Method for Increasing Awareness in Legal and Forensic Dentistry in the Republic of Cyprus

Forensic Odontology is a critical field within forensic science, with significant importance in legal contexts and the identification of victims in mass disasters or cases of abuse. This article focuses on the efforts made by the European University Cyprus (EUC) School of Dentistry to raise awareness among dental students regarding legal and forensic dentistry practices. Through voluntary visits to the Anthropological Laboratory of the Committee on Missing Persons (CMP) in Cyprus, students gain firsthand experience and insights into anthropological analysis for identifying missing individuals. These visits provide students with practical application opportunities, emphasizing record-keeping practices, oral tissue morphology analysis, and unique aspects of restorative work during identification processes. Feedback from participating students highlights the value of experiential learning in increasing awareness about forensic odontology’s importance and relevance in real-world scenarios. The initiatives undertaken by the EUC School of Dentistry contribute to enhancing legal and forensic dentistry awareness among future dental professionals in Cyprus.

Antibiotic beads found with a skeletal example of complications from a hip replacement

AbstractDuring maceration, a string of beads was found near the surgically modified right os coxa and femur of the remains of a 55‐year‐old woman donated to the Forensic Investigation Research Station at Colorado Mesa University. The remains were initially used in the study of decomposition of human remains, and then macerated to clean the skeleton. Documentation on this decedent noted three separate “hip replacement” surgeries, but no other details. The surgical modifications include significant alterations to the right os coxa and femur consistent with a Girdlestone procedure, generally used to treat an infected hip replacement unresponsive to other treatment. In this procedure, the surgeon removes the femoral head, and in this case, also the portion of the replacement in the os coxa. In this individual, a portion of the proximal femur was reflected, possibly to reduce contact with the os coxa. The beads are consistent with antibiotic beads, used to treat the infection that likely necessitated the Girdlestone procedure. Both the operation and the inclusion of the antibiotic beads are unusual and are potentially useful in the identification process.

Encounter, Critique, and Postcritique: A Play in Two Acts

What’s at stake in debates over critique and postcritique in International Relations (IR)? To subvert that question, this article is written in the format of a theatre play that stages a repeated encounter between scholars who are invested, or not, in that debate. At the centre of the conversations that take place are questions linked to academic responsibility, the nature of reflexivity, and the possibility of different political futures. The play and its characters are fictions, though they are hoped to reflect the ‘narcissism of small differences’ that often pervades academia. In doing so, we seek to (1) foreground how small changes in context (here, from an academic to a practitioner conference) force radical changes on how intellectual controversies are debated, (2) emphasize that the true stakes of debates such as those between critique and postcritique are often obscured by the combative nature of academic discourse, and (3) advocate for a refusal of, or active withdrawal from, the arbitrary classification of scholars into particular intellectual camps or positions. This process of fixing identities, the false idea that we are simply our academic personas, very rarely reflects either our personal-political realities nor the complex, polyphonic, and sometimes happily contradictory qualities of our evolving intellectual lives.

Drug-related problems among pediatric intensive care units: prevalence, risk factors, and clinical pharmacists’ interventions

BackgroundDrug-related problems (DRPs) are frequently observed in intensive care units, resulting in a higher occurrence of drug side effects and increased treatment expenses. This study aimed to assess the prevalence of DRPs in pediatric patients admitted to the most prominent surgical and medical pediatric intensive care units (PICUs) in southern Iran, given the susceptibility of children to the effects of DRPs.MethodThis cross-sectional study was conducted at Namazi Hospital, which is affiliated with Shiraz University of Medical Sciences in Shiraz, Iran, from June 2022 to March 2023. The research focused on identifying and detecting drug-related problems (DRPs) among pediatric patients during their hospital stays across three medical wards, two pediatric intensive care units, and a surgical intensive care unit. The identification process occurred concurrently with patient treatment and utilized the Pharmaceutical Care Network of Europe’s data collection form for DRPs version 8.01. Before any documentation, all cases were thoroughly reviewed and validated by a professional focus group. The data gathered were then statistically analyzed using SPSS to evaluate the study’s outcomes.ResultDuring the study, 323 pediatric patients were involved, of whom 57% experienced at least one DRP. The primary issues identified during the study were suboptimal drug treatment, accounting for 41.13% of cases, followed by concerns related to treatment safety, which constituted 38.53% of cases. Drug-drug interactions were found to be the leading cause of DRPs, accounting for 36.26% of cases. Two significant factors associated with DRP occurrence were the number of prescribed drugs and the number of prescribed anticonvulsants. Out of all clinical pharmacist interventions, 97% were accepted.ConclusionPatients admitted to the PICUs experience a high occurrence of DRPs. It is essential to consider optimal dosage adjustment, particularly for pediatric patients with impaired kidney function.

A Study of The Identity Process of Novice Teachers and Their Professional Adaptation

The aim of this study is to explore the identity process of novice teachers at the beginning of their careers and their professional adaptation, and to analyse the challenges they face and their strategies for solving them. The study begins by reviewing the theoretical foundations of identity and highlights the complexity of novice teachers' identity processes in the early stages of their careers. Then, it examined the major challenges faced by novice teachers in their professional adaptation, including teaching management, workload and emotional adjustment, and explored the interaction between identity and professional adaptability. It was found that teacher education and practice, social support, and personal factors had significant effects on novice teachers' career adjustment and identity. Specifically, high-quality teacher training and practice, effective campus support systems, and positive personal reflection and career development planning can significantly enhance novice teachers' career adjustment and identity. The study concludes with strategies for optimising teacher training and continuing education, building campus support systems and promoting novice teachers' self-reflection, and points to directions for future research, including an in-depth exploration of novice teachers' adaptability in different educational settings, the effectiveness of support mechanisms and the impact of technology on teaching and learning. The findings provide useful guidance for educational practice and lay the foundation for further research.

Wavelet-based vibration denoising for structural health monitoring

In the context of civil engineering applications, vibration responses are complex, exhibiting variations in time and space and often containing nonlinearity and uncertainties not considered during data collection. These responses can also be contaminated by various sources, impacting damage identification processes. A significant challenge is how to effectively remove noise from these data to obtain reliable damage indicators that are unresponsive to noise and environmental factors.This study proposes a new denoising algorithm based on discrete wavelet transform (DWT) that addresses this issue. The suggested method offers a strategy for denoising using distinct thresholds for positive and negative coefficient values at each band and applying denoising process to both detail and trend components. The results prove the effectiveness of the technique and show that Bayes thresholding performs better than the other techniques in terms of the evaluated metrics. This suggests that Bayes thresholding is a more accurate and robust technique for thresholding compared to other common techniques.

The Use and Development of Artificial Intelligence in Architectural Design Processes

Artificial intelligence is widely used as an interactive technology in various professional disciplines. The widespread use of these technologies, which we benefit from in most areas of our lives, in the education sector will provide important developments in the field of education. The main purpose of this study is based on analysing the existing studies in which the use of artificial intelligence helps in architectural design processes. In the study, identification, screening, eligibility, inclusion and data analysis processes were carried out in three search engines such as Web of Science, ScienceDirect and ULAKBIM. While reporting the research, ‘Systematic Literature Review’ and ‘Preferred Reporting Items for Meta-Analysis’ protocols were followed and a total of 35 relevant articles were identified. In the research, three popular Artificial Intelligence applications used in architectural design processes were identified as Generative Adversarial Networks (GAN), Machine Learning and Data Mining. In addition, Systematic Literature Review (SLR) outputs show that most researchers are supported by artificial intelligence applications in architectural design processes. As a result of the research, it was determined that artificial intelligence is widely used in architectural design processes, however, it has positive effects in 3D and animation parts.

Genomic DNA extraction methods and phylogenetic analysis of Beauveria bassiana from Central Java, Indonesia, and its toxicity against the fall armyworm, Spodoptera frugiperda J.E. Smith (Lepidoptera: Noctuidae)

BackgroundControl techniques using biological control agents such as Beauveria bassiana (Balsamo) Vuillemin have the advantage of not showing any negative impacts on environmental health and safety issues. This study used isolates from B. bassiana collection from Laboratory of Pest Monitoring belonging to Indonesian Ministry of Agriculture (LPHP) in Central Java which showed potential in controlling target pest. The problems that still occur are the lack of facilities and infrastructure and the lack of quality testing of collection isolates in LPHP, so that the isolate identification process is still carried out in simple method, and bioassay testing on the fall armyworm (FAW), Spodoptera frugiperda J.E. Smith (Lepidoptera: Noctuidae) as a target pest, is not commonly conducted. The results of bioassay testing can be used to determine the potential of a biological agent to control target pest.ResultThe two DNA extraction methods showed different results regarding DNA concentration and purity values, but both methods were good and could be used to amplify DNA using PCR. The DNA band was amplified at 500–600 bp using primers ITS 1 and ITS 4. The results of molecular analysis showed that the four isolates of B. bassiana from Central Java were found in the same clade as B. bassiana from South Sumatra, Dhaka, and Oromia, where these isolates showed similar similarities descended from a common ancestor. Genetically, B. bassiana isolates from Central Java show more genetic similarities to B. bassiana isolates from South Sumatra, Indonesia. Quality testing was carried out by calculating the density and germination ability values for LPHP isolates from Sukoharjo (Sukoharjo isolate), Temanggung (Purworejo isolate), and Banyumas (Banyumas and Cilacap isolate), which showed varying results. The bioassay test used three isolates, namely B. bassiana from Sukoharjo, Banyumas, and Cilacap, which were selected based on density values, germination ability, and molecular analysis. The ability to cause death of the three isolates against S. frugiperda showed different results where the isolate from Sukoharjo, Banyumas, and Cilacap caused mortality of 60, 40, and 60%, and the LC50 value of each isolate was 3.3 × 106, 1.3 × 107, and 3.5 × 107 conidia ml−1, respectively.ConclusionMorphological identification by macroscopic, microscopic, and molecular analysis showed that the isolate from the LPHP collection in Central Java, Indonesia, was B. bassiana. Genetically, the four isolates showed similar characteristics to isolates from South Sumatra, Indonesia. B. bassiana isolates from collections from Central Java showed potentials as a biological control agent against S. frugiperda.

COVID-19-induced paraneoplastic polydermatomyositis seropositive for Brucella spp antibodies

Paraneoplastic syndromes, including paraneoplastic dermatoses, represent a pressing problem for dermatovenereologists, infectious disease specialists and therapists due to the necessity of having broad knowledge in related disciplines. Our article examines a clinical case of the onset of paraneorplastic polydermatomyositis against the background of a new coronavirus infection in a patient with exacerbation of paranoid schizophrenia. When paraneoplastic syndrome manifested itself in this clinical situation, a differential diagnostic search was carried out at the junction of several nosological units, such as the locomotor primary latent form of brucellosis, trichinosis, polydermatomyositis, and steroid myopathy. Taking into account the epidemiological history and the fact of the patient’s residing in a rural area, it was first necessary to exclude the infectious nature of these manifestations, as well as autoimmune pathology involving muscles and skin. A wide range of laboratory and instrumental examination methods were carried out, including false-positive IgM results for the causative agent of brucellosis, which can be explained within the framework of paraneoplastic syndrome and the tumor’s synthesis of biologically active substances. The results formed the basis for the entire clinical picture of the disease. Identification of the oncological process, which became possible with the appearance of pathognomonic clinical symptoms, made it possible to establish the histological picture of the disease and to launch treatment for this patient. In addition, the final clinical diagnosis was complicated by the presence of an underlying disease that required constant use of antipsychotics and the lack of control of the ongoing basic pharmacotherapy in the form of monitoring prolactin levels and assessing the general condition of the body systems.

“Can’t Remember What I Forgot:” Investigating Organizational Forgetting Within a Project-Based Organization

This article is based on the study of an engineering organization that is experiencing major difficulties on its first new project in 10 years. It contributes to the literature on organizational forgetting in project-based organizations, examining how this phenomenon can be perceived and assessed. The analysis of the data provides a better understanding of the conditions under which a situation of accidental forgetting can be (mis)identified. The case reveals that, due to five sources of ambiguity linked to the identification process—latency, novelty, multiplicity, complexity, and credibility—the forgetting phenomenon may be underestimated or the subject of contradictory assessments within the organization.

Study on the redistribution mechanism and secondary purge strategy of proton exchange membrane fuel cells

Effective control of membrane water content is essential for increasing the space for ice formation during the cold start stage and enhancing the success rate of start-up. Shutdown purge can effectively lower the membrane water content following fuel cell operation. However, during the cooling and standing process after purge, the rapid change in saturated vapor pressure can result in the redistribution of membrane dissolved water, leading to an increase in its content and a reduction in the success rate of cold start. Therefore, this study establishes a multidimensional, multiphase simulation model to comprehensively and thoroughly analyze the redistribution mechanism after purging and investigates the relationship between membrane water content and cold start. This is achieved by identifying the maximum membrane water content boundary during the cold start process and ultimately improving the success rate of cold start through a secondary purge strategy. The research results indicate that the membrane water content of the fuel cell increases from 2.31 to 8.31 after redistribution. During the cold start stage, the cold start success of the fuel cell under different environmental temperatures exhibits relatively specific boundary conditions, with the cold start process being closely related to the load current density and initial membrane water content. After implementing the secondary purging strategy, the membrane water content of the fuel cell decreases again, displaying favorable cold start characteristics in the cold start stage and successfully starting at −10 °C. This study can provide a reliable basis for the development of purging strategies during shutdown and offer a theoretical foundation for the boundary identification process of cold start.