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Reliable transmission of consultative committee for space data systems file delivery protocol in deep space communication 被引量:7
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作者 Hui Li Hao Luo Faxin Yu Zheming Lu 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2010年第3期349-354,共6页
In consultative committee for space data systems(CCSDS) file delivery protocol(CFDP) recommendation of reliable transmission,there are no detail transmission procedure and delay calculation of prompted negative ac... In consultative committee for space data systems(CCSDS) file delivery protocol(CFDP) recommendation of reliable transmission,there are no detail transmission procedure and delay calculation of prompted negative acknowledge and asynchronous negative acknowledge models.CFDP is designed to provide data and storage management,story and forward,custody transfer and reliable end-to-end delivery over deep space characterized by huge latency,intermittent link,asymmetric bandwidth and big bit error rate(BER).Four reliable transmission models are analyzed and an expected file-delivery time is calculated with different trans-mission rates,numbers and sizes of packet data units,BERs and frequencies of external events,etc.By comparison of four CFDP models,the requirement of BER for typical missions in deep space is obtained and rules of choosing CFDP models under different uplink state informations are given,which provides references for protocol models selection,utilization and modification. 展开更多
关键词 deep space communication consultative committee for space data systems (CCSDS) CCSDS file delivery protocol (CFDP) RELIABLE delay.
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Research on the Realization Path of Consultative Governance of River Basin Water Environment in China
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作者 Fang CAO Chunlin ZHANG 《Meteorological and Environmental Research》 CAS 2021年第2期6-10,16,共6页
As a new way of governance,deliberative democracy has an inherent compatibility with river basin water environment governance.Consultative governance of river basin water environment is an important way to build an ec... As a new way of governance,deliberative democracy has an inherent compatibility with river basin water environment governance.Consultative governance of river basin water environment is an important way to build an ecological civilization in the river basin.It involves three different levels of government-level democratic coordination,government-enterprise-society consultation and cooperation,and independent consultation between citizens and their governance mechanisms.To realize the consultative governance of river basin water environment,the concept and system construction of consultative governance should be incorporated into the system and mechanism construction of river basin water environment administration. 展开更多
关键词 River basin water environment consultative governance Modernization of governance
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Testative Discussion on how to be an Eligible Interpreter--Based on the People’s Republic of China of the National People’s Congress and Committee of the People’s Political Consultative Conference from 2012 to 2014
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作者 Lili Hu 《Journal of Contemporary Educational Research》 2018年第6期33-35,共3页
In recent years,with the rapid development of the Chinese economy,the“two sessions”in March of every year which sponsored by the ministry of foreign affairs attract more and more journalists from all over the world.... In recent years,with the rapid development of the Chinese economy,the“two sessions”in March of every year which sponsored by the ministry of foreign affairs attract more and more journalists from all over the world.The press conference in the“two sessions”likes an important window to show China’s policies and claims to the world.Meanwhile,the premier who answers questions in the press conference,respectively,shows the world the eloquence and polite manners of China’s premier,such as Premier Wen Jiabao and Premier Li Keqiang.Their astute response,excellent,and emotional expression makes a deep impression on audiences.Moreover,as a bridge between the speaker and the listeners,the interpretation once is incorrect will cause some mistakes even conflicts.Therefore,the interpreter plays a most important role in the press conference.How to improve the interpretation level in the press conference is a significant topic.The thesis mainly introduces the content of press conference interpreting from 2012 to 2014.At present,the practical study of press conference interpretation is far from enough.The last part gives the summary of the study and points out the main findings for the further study. 展开更多
关键词 eligible INTERPRETER language INTERPRETER People’s Republic of China of the NATIONAL People's CONGRESS and COMMITTEE of the People’s POLITICAL consultative CONFERENCE
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Research on the Contribution of the Chinese People’s Political Consultative Conference in Promoting the Construction of the Chengdu- Chongqing Economic Circle
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作者 Wu Xiang Duan Tiantian 《Contemporary Social Sciences》 2021年第5期29-41,共13页
The influence applied by the Chinese People’s Political Consultative Conference(CPPCC)in promoting the construction of the Chengdu-Chongqing economic circle cannot be ignored.At present,the Sichuan Committee of CPPCC... The influence applied by the Chinese People’s Political Consultative Conference(CPPCC)in promoting the construction of the Chengdu-Chongqing economic circle cannot be ignored.At present,the Sichuan Committee of CPPCC and Chongqing Committee of CPPCC are actively participating in the construction of the Chengdu-Chongqing economic circle by building collaborative platforms,conducting joint consultations,and holding consultations on special issues.From three aspects,namely the unique advantages of the CPPCC,the fact that full consultation between CPPCCs in different regions is conducive to coordinating the interests of local governments of the same level,and that fact that it is also conducive to promoting inter-governmental cooperation,this article elaborates on the necessity of the contribution of the CPPCC in promoting the construction of the Chengdu-Chongqing economic circle and discusses four paths for the CPPCC’s promotion of the construction of the Chengdu-Chongqing economic circle:Strengthening the Communist Party of China’s leadership over the political consultation work of the CPPCC,using the CPPCC to consolidate the consensus of“a Sichuan-Chongqing close family,”innovating the form,content,and objects of democratic supervision,and building the information exchange mechanisms between the CPPCCs of Sichuan and Chongqing. 展开更多
关键词 Chinese People’s Political consultative Conference Chengdu-Chongqing economic circle the necessity the paths
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CONSULTATIVE RECOMMENDATIONS ON SUSTAINABLE DEVELOPMENT IN KARST AND ROCK-NAKED MOUNTAIN AREAS OF SOUTHWEST CHINA
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作者 Academic Division of Geoscience and Division of Biology , the CAS 《Bulletin of the Chinese Academy of Sciences》 1995年第2期169-172,共4页
The serious degradation of the ecological environment and the rapid expansion of stone desert have had a serious effect on the economic development of karst and rock-naked mountain areas in Southwest China. Moreover, ... The serious degradation of the ecological environment and the rapid expansion of stone desert have had a serious effect on the economic development of karst and rock-naked mountain areas in Southwest China. Moreover, these areas are still at the initial stage of industrialization, characterized by a greater significance of agriculture to the economy, face sharp contradictions among the population, the arable land and resources, and are suffering because of a shortage of investment. On the basis of this current situation, three recommendations are made in this article: "coordinating the relations among grain, ecology, population and economic development", "increasing the input of science and technology", and "adopting policies consistent with social equity in areas of poverty". 展开更多
关键词 consultative RECOMMENDATIONS ON SUSTAINABLE DEVELOPMENT IN KARST AND ROCK-NAKED MOUNTAIN AREAS OF SOUTHWEST CHINA ROCK ROCK
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Global Dryland Ecosystem Programme(G-DEP):Africa consultative meeting report
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作者 PENG Yu FU Bojie +6 位作者 ZHANG Linxiu YU Xiubo FU Chao Salif DIOP Hubert HIRWA Aliou GUISSE LI Fadong 《Journal of Arid Land》 SCIE CSCD 2020年第3期538-544,共7页
In order to enhance and restore the ecosystems of natural capital in African arid regions,the Global Dryland Ecosystem Programme(G-DEP)consultative meeting was hosted in Dakar,Senegal,from 23 to 25 September 2019.This... In order to enhance and restore the ecosystems of natural capital in African arid regions,the Global Dryland Ecosystem Programme(G-DEP)consultative meeting was hosted in Dakar,Senegal,from 23 to 25 September 2019.This paper details the first African meeting of the G-DEP.Consultative meeting reviewed preceding dryland ecosystems case studies,identified vulnerable arid and semi-arid regions,and proposed sustainable solutions to problems.It also identified the successes and failures of previous attempts to improve vulnerable ecosystems and ultimately formed an action plan to improve these attempts.Climate,ecosystems,and livelihoods for Sustainable Development Goals(SDGs),Great Green Wall Initiative(GGWI)for Sahara and Sahel,and China-Africa cooperation on science,technology,and innovation are three extra main sections concerned of the meeting.Separately,more specific topics as the complicated relationship between these natural processes and human activity,including pastoralism,soil restoration,and vegetation regenerate techniques,were fully discussed.Consultative meeting also identified the positive effects international collaboration can have on dryland regions,specifically in the capacity of sharing information,technology,and innovation on purpose to develop a joint proposal for long-term research programs in African arid and semi-arid areas.Moreover,meetings that review the progress made on ecosystem management for the sustainable livelihoods in Africa,identification of priority areas,and the development and implementation of ecosystem programs for proper research and collaboration in African arid and semi-arid zones,have been proposed as strategic recommendations to enhance the global partnership for sustainable development.Furthermore,as the outcomes of the workshop,there are three steps proposed to handle African dryland climate changes,several aspects suggested to solve current dilemmas of the GGWI,and a series of actions recommended for G-DEP related activities in Africa. 展开更多
关键词 AFRICA Global Dryland Ecosystem Programme(G-DEP) DRYLAND ecosystem consultation Sustainable Development Goals Great Green Wall Initiative(GGWI)
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The Role of Consultative Democracy in a Constitutional System and the Rule of Law in China
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作者 马一德 Chen Si 《Social Sciences in China》 2015年第4期5-23,共19页
The rule of law in China should be advanced under a systems framework. The systems framework on which the Chinese rule of law relies is shaped by the socialist democratic system. Socialist consultative democracy, whic... The rule of law in China should be advanced under a systems framework. The systems framework on which the Chinese rule of law relies is shaped by the socialist democratic system. Socialist consultative democracy, which responds to the core themes of the determinant of socialism, Party leadership, the democratic tradition of New China and native resources for constructing the rule of law, is an important resource for constructing the rule of law in China. In a constitutional system of"ruling Party--political power--the people" that takes the sovereignty of the people as the logic of its starting point, consultative democracy plays the role of functional coupling. Popular sovereignty gains political legitimacy on the basis of multi- party cooperation and political consultation under the leadership of the CPC, thus translating the will of the ruling Party into the will of the state. Consultative democracy constitutes an essential process in national decision-making, affording a basis for the construction of the inherent logical sequence of "ruling Party--Consultative Conference--People's Congress." The democratic supervision exercised by the Consultative Conference is an extension of political consultation; from it unfolds the systems framework of the rule of law in China. 展开更多
关键词 consultative democracy constitutional system construction of the rule of law in China People's Congress system People's Political consultative Conference system
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基于Consultant Climate导向与斯维尔验证的烟台某售楼处节能改造研究
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作者 郑徐魁 张巍 +1 位作者 李鑫儿 胡雅琦 《节能》 2024年第4期14-16,共3页
以烟台某售楼处节能改造项目为例,通过Consultant Climate分析帮助设计者快速找到主要能耗矛盾并进行节能改造,再利用斯维尔进行改造后的评价。结果显示:Consultant Climate能够快速找到地区气候缺陷并提出量化策略,斯维尔能够准确合理... 以烟台某售楼处节能改造项目为例,通过Consultant Climate分析帮助设计者快速找到主要能耗矛盾并进行节能改造,再利用斯维尔进行改造后的评价。结果显示:Consultant Climate能够快速找到地区气候缺陷并提出量化策略,斯维尔能够准确合理给出节能率。结合两者可以帮助设计者快速准确地找到适应气候的设计策略,提高工作效率,避免因气候调节能力不佳导致重新改造所带来的资源浪费。 展开更多
关键词 节能改造 围护结构 节能率 Consultant Climate 斯维尔
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Accidental placement of venous return catheter in the superior vena cava during venovenous extracorporeal membrane oxygenation for severe pneumonia: A case report
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作者 Xiao-Qin Song Yun-Long Jiang +3 位作者 Xian-Bao Zou Shi-Chao Chen Ai-Jun Qu Ling-Ling Guo 《World Journal of Clinical Cases》 SCIE 2024年第4期782-786,共5页
BACKGROUND Venovenous extracorporeal membrane oxygenation(V-V ECMO)has become an important treatment for severe pneumonia,but there are various complications during the treatment.This article describes a case with sev... BACKGROUND Venovenous extracorporeal membrane oxygenation(V-V ECMO)has become an important treatment for severe pneumonia,but there are various complications during the treatment.This article describes a case with severe pneumonia success-fully treated by V-V ECMO,but during treatment,the retrovenous catheter,which was supposed to be in the right internal vein,entered the superior vena cava directly in the mediastinum.The ECMO was safely withdrawn after multidiscip-linary consultation.Our experience with this case is expected to provide a reference for colleagues who will encounter similar situations.CASE SUMMARY A 64-year-old man had severe pulmonary infection and respiratory failure.He was admitted to our hospital and was given ventilation support(fraction of inspired oxygen 100%).The respiratory failure was not improved and he was treated by V-V ECMO,during which the venous return catheter,which was supposed to be in the right internal vein,entered the superior vena cava directly in the mediastinum.There was a risk of massive mediastinal bleeding if the catheter was removed directly when the ECMO was withdrawn.Finally,the patient underwent vena cava angiography+balloon attachment+ECMO with-drawal in the operating room(prepared for conversion to thoracotomy for vascular exploration and repair at any time during surgery)after multidiscip-linary consultation.ECMO was safely withdrawn,and the patient recovered and was discharged.CONCLUSION Patients may have different vascular conditions.Multidisciplinary cooperation can ensure patient safety.Our experience will provide a reference for similar cases. 展开更多
关键词 Severe pneumonia Extracorporeal membrane oxygenation Complications Superior vena cava Multidisciplinary consultation Case report
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Assessment of Cardiovascular Risk Factors During Pregnancy: A Multicenter Study in West Africa, Dakar, Senegal
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作者 Aliou Alassane Ngaïdé Ngoné Diaba Gaye +4 位作者 Joseph Salvador Mingou Zineb Zinia Mouhamadou Bamba Ndiaye Alassane Diouf Abdoul Kane 《World Journal of Cardiovascular Diseases》 CAS 2024年第10期644-655,共12页
Context: Non-communicable diseases, including hypertension, are major causes of complications during pregnancy, posing significant risks to maternal and fetal health. Pregnancy increases cardiovascular risks, particul... Context: Non-communicable diseases, including hypertension, are major causes of complications during pregnancy, posing significant risks to maternal and fetal health. Pregnancy increases cardiovascular risks, particularly through the development of gestational hypertension and preeclampsia, requiring early screening and close monitoring to prevent adverse outcomes. Objectives: This study aimed to evaluate the frequency of cardiovascular risk factors in pregnant women in Senegal and identify associated socio-behavioral and economic determinants. Methodology: A descriptive, analytical cross-sectional study with prospective data collection was conducted over three months (April 10 to July 10, 2023). The study included pregnant women aged 15 and older from three public hospital maternity wards in Senegal. We studied sociodemographic aspects, cardiovascular risk factors, and collected information on previous and current pregnancies, including the number of pregnancies, parity, miscarriages, the number of prenatal consultations, and the number of fetuses. Written consent was obtained. A p-value ≤ 0.05 was considered statistically significant. Results: A total of 222 pregnant women were enrolled, representing 28% of prenatal consultations. The average age was 29.18 years (range 15 - 47). Most participants (90%) lived in Dakar suburbs, 74.20% had no medical coverage, 84% worked in the informal sector (p = 0.043), and 18% had no education. Among them, 30.63% were in their first pregnancy, 34% were nulliparous, and 3.15% were grand multiparous. The average number of prenatal visits was 3.5, with about 40% having more than four visits. Risk factors included hypertension (17%), more prevalent in women over 30 (p = 0.043), diabetes (4%), and smoking (2%). Conclusion: The study highlights critical prenatal health needs and socio-economic challenges faced by pregnant women, emphasizing the need for targeted strategies to improve healthcare access and health education. 展开更多
关键词 Cardiovascular Risk Factors PREGNANCY Prenatal Consultation
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The Role of Consultative Democracy under the Constitutional Framework and the Associated Rule of Law
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作者 Ma Yide 《Social Sciences in China》 2017年第2期21-38,共18页
The logical sequence of China's state governance is "governing party--consultative conferences--people's congresses--the people." The "governing party--consultative conferences" link in the chain involves politi... The logical sequence of China's state governance is "governing party--consultative conferences--people's congresses--the people." The "governing party--consultative conferences" link in the chain involves political consultation through people's consultative conferences. The "governing party--consultative conferences--people's congresses" link involves a process of obtaining legitimacy for the Party's views based on political consultations which are then translated into the national will by the system of people's congresses. The "people's congresses--the people" link involves the two-pronged logic of elections and governing the country according to law. The "governing party--the people" link is an illustration of the party's mass line, which essentially involves social consultation. Consultative democracy usually includes the political consultation in the "governing party---consultative conferences" link and the social consultation in the "governing party-- the people" link in the chain, both of which are connected through the system of people's congresses. This logically determines the inner relations between the Party's leadership, consultative democracy and the people's congress form of representative democracy and shapes the institutionalization of consultative democracy. That is, in the process of democratic decision-making, a circular system consisting of "political consultation-- legislative consultation--social consultation" is created to guide development of the actual system. 展开更多
关键词 the Constitution rule of law state governance consultative democracy system of people's congresses
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The Chinese Logic of Consultative Governance
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作者 Wang Yan Wei Chonghui 《Social Sciences in China》 2017年第3期5-24,共20页
Contemporary China needs to change from a Western to a Chinese-style governance discourse so as to form and explore a consultative governance discourse with Chinese characteristics. This is profoundly evident in the f... Contemporary China needs to change from a Western to a Chinese-style governance discourse so as to form and explore a consultative governance discourse with Chinese characteristics. This is profoundly evident in the following: the Marxist philosophy of the state is the theoretical premise of contemporary China's consultative governance; traditional Chinese thought on governance and practice are the soil in which contemporary Chinese consultative govemance grows; socialism with Chinese characteristics is the realm in which contemporary Chinese consultative governance exists; the masses under the leadership of the CPC are the necessary subjects of contemporary Chinese consultative governance; and the target of contemporary Chinese consultative governance is a multi-layered and diverse existence. Realization of national governance through consultative democracy is the basic form of contemporary Chinese consultative governance; the balanced development ofpublic, collective and individual interests is the basic objective of contemporary Chinese consultative governance; the basic principles of contemporary Chinese consultative governance are equality, inclusiveness and peace; and the criteria for assessing contemporary Chinese consultative governance are authority, consensus, institutions and the rule of law. Guided by the Marxist view of the state, rooted in the tradition of China's fine political culture, and founded on the theoretical and practical claims of socialism with Chinese characteristics, socialist consultative governance with Chinese characteristics constitutes the Chinese form of contemporary governance theory. 展开更多
关键词 consultative governance governance theory applicability in China the Marxistphilosophy of the state
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Evaluating the Effectiveness of Consultants’ Roles in Improving Value for Money in Public Infrastructure Projects in Ghana
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作者 Sheitu Abu Nongiba Alkanam Kheni Adams Abudi 《Journal of Building Construction and Planning Research》 2024年第3期69-85,共17页
Ghanaian construction projects encounter a number of challenges, including low health, safety, and environmental requirements, poor performance, and time and cost overruns. To provide value for money (VFM) on governme... Ghanaian construction projects encounter a number of challenges, including low health, safety, and environmental requirements, poor performance, and time and cost overruns. To provide value for money (VFM) on government infrastructure projects in Ghana, this research assesses the roles of project consultants, specifically architects and quantity surveyors, and highlights important obstacles. A cross-sectional survey design involving architects and quantity surveyors yielded a 96% response rate after 100 questionnaires were distributed. Consultants’ responsibilities also include monitoring standards compliance, providing advice on delays, controlling budgets, and advising on project completion dates. Difficulties encompass a lack of promptness in decision-making, unethical conduct, political pressure, and inadequate focus on contract administration and construction audits. Project urgency, longevity, political clout, timely decision-making, and team experience are important variables that impact VFM. Policy makers and construction management practitioners should take note of the implications for Ghana’s public infrastructure projects. 展开更多
关键词 Consultants Value for Money Physical Infrastructure Ghana
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基于Climate Consultant的现代民居被动式优化策略分析——以豫北地区为例
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作者 夏宗俊 卢玫珺 《绿色科技》 2024年第2期216-222,260,共8页
为改善豫北地区现代民居室内热环境状况,提高民居气候适应能力。采用Climate Consultant软件分析豫北地区的气候数据,得出了适用于该地区的被动式建筑策略组合及各策略有效时间比。结合冬夏两季现代民居室内外的热环境实测数据,针对夏... 为改善豫北地区现代民居室内热环境状况,提高民居气候适应能力。采用Climate Consultant软件分析豫北地区的气候数据,得出了适用于该地区的被动式建筑策略组合及各策略有效时间比。结合冬夏两季现代民居室内外的热环境实测数据,针对夏季炎热和冬季寒冷问题分别提出了被动式优化策略:民居功能分区设计采用“向心性”的空间布局、冬季在一层檐廊处增设阳光间、改善围护结构保温隔热设计;夏季疏通建筑自然通风的路径、增设遮阳设施、改善庭院绿化。通过以上适宜性被动式优化策略,提高现代民居室内热舒适性,为豫北地区现代民居的建设和改造提供了重要的理论依据和有价值的参考。 展开更多
关键词 Climate Consultant软件 现代民居 热环境实测 被动式优化策略
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傣族传统民居建筑原型对气候设计策略的回应与补充研究 被引量:1
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作者 张涛 张宇轩 《西部人居环境学刊》 CSCD 2023年第5期153-157,共5页
随着美丽乡村的建设与乡村振兴步伐的驱动,一些不当思潮与建设的侵袭,传统民居被大量模仿现代城市建筑的新建民居取代,简单实现了功能空间多样化的需求,却成为生态脆弱、品质较差、文化缺失的代表,民居发展面临种种困境。为了科学有效... 随着美丽乡村的建设与乡村振兴步伐的驱动,一些不当思潮与建设的侵袭,传统民居被大量模仿现代城市建筑的新建民居取代,简单实现了功能空间多样化的需求,却成为生态脆弱、品质较差、文化缺失的代表,民居发展面临种种困境。为了科学有效地助力传统民居传承及美丽乡村建设,如何深入挖掘潜藏于传统民居建筑原型中的绿色属性与生态经验,成为在理论研究方面人们关注的热点问题。选择云南省勐腊地区的水傣干栏式傣家竹楼传统民居为研究对象,基于被动式气候设计理论,针对傣家竹楼建筑原型,提炼民居应对湿热气候的被动式设计原型策略,比对Climate Consultant软件分析所得的被动式设计标准策略,探讨民居建筑原型的原型策略对标准策略的回应率。研究结果表明:傣家竹楼建筑原型在遮阳、防热、防雨、防潮、保温与节能等方面对标准策略的最低、最高回应率分别为67%与100%,平均回应率84.8%。受材料及技术条件的限制,部分策略的回应不足,但是通过其他的方法及措施可以得到很好的补充。傣族传统民居建筑原型的绿色特性及生态智慧,揭示了地域性传统建筑以地域自然、社会环境为约束,以建筑综合性能为核心的生态设计理论控制的科学原理。本研究的结果对湿热地区民居的设计建造及现代传承提供理论依据。 展开更多
关键词 傣家竹楼 传统民居 建筑原型 气候设计策略 Climate Consultant
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基于Climate Consultant的天水传统民居气候适应性分析
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作者 王霞丽 王天鹏 《甘肃科学学报》 2023年第2期31-38,共8页
天水传统民居建筑由于受到自然环境以及建筑文化的影响导致施工过程中存在较大的盲目性和自主性,缺乏相应的理论支持,同时建筑设计缺乏气候数据的量化设计。采用Climate Consultant分析软件将大量气候数据转化成便于理解的图示,同时得... 天水传统民居建筑由于受到自然环境以及建筑文化的影响导致施工过程中存在较大的盲目性和自主性,缺乏相应的理论支持,同时建筑设计缺乏气候数据的量化设计。采用Climate Consultant分析软件将大量气候数据转化成便于理解的图示,同时得到改善天水传统民居舒适度的被动优化策略,并结合现阶段传统民居建筑特点,对实际气候环境进行检测分析,从而针对天水地区冬季寒冷、夏季炎热的问题分别提出相对应的设计优化策略:冬季增设附加阳光间、加强外墙保温设计、优化门窗节能设计;夏季增设自然通风设计、遮阳措施设计、庭院绿化设计。通过改进传统民居的适宜性技术与设计措施,从而提高民居的热舒适性,为天水地区乃至整个西北地区传统民居的建设和更新提供了相应的理论依据和参考价值。 展开更多
关键词 天水传统民居 气候适应性 Climate Consultant分析软件 被动优化策略
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Medical consultation in ulcerative colitis:Key elements for improvement
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作者 Yago González-Lama Elena Ricart +3 位作者 Ana Cábez Pilar Fortes Susana Gómez Francesc Casellas 《World Journal of Gastroenterology》 SCIE CAS 2023年第6期917-925,共9页
Ulcerative colitis(UC)is a chronic inflammatory disease with a high impact.In order to improve patient outcomes,the clinician-patient relationship in daily practice is critical.Clinical guidelines provide a framework ... Ulcerative colitis(UC)is a chronic inflammatory disease with a high impact.In order to improve patient outcomes,the clinician-patient relationship in daily practice is critical.Clinical guidelines provide a framework for UC diagnosis and treatment.However,standard procedures and the medical content focused upon medical consultations in UC patients has not yet been defined.Moreover,UC is a complex disease,given that patient characteristics and patient needs have been proven to vary during clinical consultation since establishing the diagnosis and upon the course of the disease.In this article,we have discussed the key elements and specific objectives to consider in medical consultation,such as diagnosis,first visits,follow-up visits,active disease patients,patients on topical therapies,new treatment initiation,refractory patients,extra-intestinal manifestations,as well as challenging situations.The key elements have been mentioned to comprise effective communication techniques,motivational interviewing(MI),as well as information and educational aspects,or organizational issues.The key elements to be implemented in daily practice were reported to comprise several general principles like duly prepared consultations,in addition to honesty and empathy with patients,as well as effective communication techniques,MI,information and educational points,or organizational issues.The role of other healthcare professionals such as specialized nurses,psychologists,or the use of checklists was also discussed and commented on. 展开更多
关键词 Ulcerative colitis Patient experience Shared decision making Medical consultation Motivational interviewing Patient education
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Two surgical pathways for isolated hip fractures:A comparative study
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作者 Alexander A Fokin Joanna Wycech Knight +3 位作者 Maral Darya Ryan Stalder Ivan Puente Russell D Weisz 《World Journal of Orthopedics》 2023年第6期399-410,共12页
BACKGROUND Hip fractures(HF)are common among the aging population,and surgery within 48 h is recommended.Patients can be hospitalized for surgery through different pathways,either trauma or medicine admitting services... BACKGROUND Hip fractures(HF)are common among the aging population,and surgery within 48 h is recommended.Patients can be hospitalized for surgery through different pathways,either trauma or medicine admitting services.AIM To compare management and outcomes among patients admitted through the trauma pathway(TP)vs medical pathway(MP).METHODS This Institutional Review Board-approved retrospective study included 2094 patients with proximal femur fractures(AO/Orthopedic Trauma Association Type 31)who underwent surgery at a level 1 trauma center between 2016-2021.There were 69 patients admitted through the TP and 2025 admitted through the MP.To ensure comparability between groups,66 of the 2025 MP patients were propensity matched to 66 TP patients by age,sex,HF type,HF surgery,and American Society of Anesthesiology score.The statistical analyses included multivariable analysis,group characteristics,and bivariate correlation comparisons with theχ^(2)test and t-test.RESULTS After propensity matching,the mean age in both groups was 75-years-old,62%of both groups were females,the main HF type was intertrochanteric(TP 52%vs MP 62%),open reduction internal fixation was the most common surgery(TP 68%vs MP 71%),and the mean American Society of Anesthesiology score was 2.8 for TP and 2.7 for MP.The majority of patients in TP and MP(71%vs 74%)were geriatric(≥65-years-old).Falls were the main mechanism of injury in both groups(77%vs 97%,P=0.001).There were no significant differences in pre-surgery anticoagulation use(49%vs 41%),admission day of the week,or insurance status.The incidence of comorbidities was equal(94%for both)with cardiac comorbidities being dominant in both groups(71%vs 73%).The number of preoperative consultations was similar for TP and MP,with the most common consultation being cardiology in both(44%and 36%).HF displacement occurred more among TP patients(76%vs 39%,P=0.000).Time to surgery was not statistically different(23 h in both),but length of surgery was significantly longer for TP(59 min vs 41 min,P=0.000).Intensive care unit and hospital length of stay were not statistically different(5 d vs 8 d and 6 d for both).There were no statistical differences in discharge disposition and mortality(3%vs 0%).CONCLUSION There were no differences in outcomes of surgeries between admission through TP vs MP.The focus should be on the patient’s health condition and on prompt surgical intervention. 展开更多
关键词 Isolated hip fractures Admitting service Trauma center Time to surgery American Society of Anesthesiologists score Preoperative consultations
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Determinants of the Frequency of Prenatal Consultations among Women Giving Birth in the Maternity Wards of the Commune of Agbangnizoun (Zou), Benin
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作者 Klikpézo Roger Hounkponou Nouéssewa Fanny Maryline +8 位作者 Atadé Sèdjro Raoul Dangbemey Djima Patrice Flénon-Yévidé Aubierge Joelle Ahouingnan Yeyinou Salifou Badaryatou Enassouan Marius Joseph Flénon Ouendo Marius Salifou Kabibou 《Open Journal of Obstetrics and Gynecology》 2023年第7期1127-1132,共6页
Antenatal care is a safe way to prevent pregnancy-related health problems, difficult deliveries and even further to anticipate low birth weight [1]. But pregnant women, especially in Africa, do not attend antenatal cl... Antenatal care is a safe way to prevent pregnancy-related health problems, difficult deliveries and even further to anticipate low birth weight [1]. But pregnant women, especially in Africa, do not attend antenatal clinics as recommended by the WHO. The general objective of this study was to study the norm in terms of Antenatal Consultation (ANC) frequency as well as the determinants of the frequency among women who gave birth in the maternity hospitals of Agbangnizoun. Our research was a cross-sectional, descriptive, retrospective and quantitative type, which was carried out among 335 women in Agbangnizoun, Benin from 1 February to 3 April 2020 (3 months), in order to find out the general or specific characteristics of women that we associate with the frequency of prenatal consultation. At the end of the study, we found that 60%, 68% and 15% of the surveyed population had received ANC in the first, second and third trimesters, respectively. Ethnicity, income level of spouses over the three trimesters as well as the level of their knowledge and overall practice of ANC are determinants of the frequency of prenatal consultation. 展开更多
关键词 Determinants FREQUENCY Prenatal Consultation Agbangnizoun Zou BENIN
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Quality of Antenatal Care at the Referral Health Center of the Fourth Commune of Bamako District
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作者 Amaguiré Saye Dessé Diarra +13 位作者 Sirima Diarra Brahima Dembele Abdou Guire Souleymane Dembele Yéli Dianessi Moussa Samake Seydou Mariko Seydou Fomba Diakaridia Kone Abdoul Razakou Dicko Pierre Coulibaly Daouda Camara Hamidou Toure Mama Sy Konake 《Open Journal of Obstetrics and Gynecology》 2023年第3期609-624,共16页
Purpose: To contribute to the improvement of the quality of prenatal consultation at the reference health center of the commune IV of the district of Bamako. Patients Methods: This was a qualitative cross-sectional st... Purpose: To contribute to the improvement of the quality of prenatal consultation at the reference health center of the commune IV of the district of Bamako. Patients Methods: This was a qualitative cross-sectional study to assess the quality of prenatal consultation that took place from December 1, 2017 to January 31, 2018. It included 139 pregnant women whose consultations were monitored by the investigator and then the women were interviewed upon discharge from the facility to collect their opinions on the services they received. Results: The age group of 20 to 29 years was the most represented with 60.44%. In our study, 50% of our patients were managed by midwives. Among the antecedents constituting the risk factors sought in pregnant women, scar uterus was more frequent with 33.93% followed by arterial hypertension with 14.28% and multiparity with 7.14%. Conclusion: This study shows that the evaluation of the quality of services is an absolute necessity for the improvement of services in integrated reproductive health care centers. 展开更多
关键词 QUALITY Prenatal Consultation BAMAKO MALI
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