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Posting of Graphical Bills: An Analytical Perception of Environmental Pollutions in Nigerian Cities
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作者 Emmanuel Bankole Oladumiye B. A. Ogunlade F. Kayode Omole 《Journal of Environmental Protection》 2017年第10期1100-1118,共19页
More than ever before, environmental preservation has been a critical issue for the survival of the world’s habitat. An attempt to explore global trends in environmental monitoring using numerous ways based on differ... More than ever before, environmental preservation has been a critical issue for the survival of the world’s habitat. An attempt to explore global trends in environmental monitoring using numerous ways based on different techniques is an exercise in the right direction. This is expedient, given the recent overwhelming growing rate of environmental pollution of advertisement graphical bills worldwide. Posting of advertisement graphical bills constitutes one of the biggest threats to man and his environment as it now appears and as we live in an age of growing sensitivity to environmental cleanliness. Pollution of the Nigerian cities through advertisement bills assumes the general term of outdoor advertising ranging from hand-printed signs, posters, painted bulletins and spectaculars. However this paper discusses the trends of posting graphic advertisement bills in Nigerian cities. Its impact on aesthetics, as well as the pollution problems associated with the urban development. The study areas are Abuja, Akure, Ibadan and Lagos. In order to ensure that each unit of the population is represented, random sampling technique was used to get the necessary information from the samples. The findings emphasize the importance of strict control and market regulations in posting of advertisement bill in built environment and eradication of pollution of the environment. 展开更多
关键词 GRAPHICAL bills POLLUTION Environmental POSTING PERCEPTION
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Dillings自然避孕法的推广使用 被引量:3
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作者 侯庆昌 肖绍迎 +2 位作者 曹小明 高亚杰 王美怡 《中国计划生育学杂志》 1997年第6期342-343,共2页
观察300对育龄夫妇4516个妇女月连续使用Billings自然避孕法的避孕效果。用生命表法统计12个月和18个月时净累积停用率分别为14.57/百妇女和21.21/百妇女,续用率分别为85.43/百妇女和78.79/百妇女。因方法学本身引起的意外妊娠停用率较... 观察300对育龄夫妇4516个妇女月连续使用Billings自然避孕法的避孕效果。用生命表法统计12个月和18个月时净累积停用率分别为14.57/百妇女和21.21/百妇女,续用率分别为85.43/百妇女和78.79/百妇女。因方法学本身引起的意外妊娠停用率较低,分别为1.02/百妇女和1.37/百妇女。本文认为除方法学意外妊娠外,其它原因引起的妊娠与使用者有关。只要进一步改进培训方法,调动受试者主观能动性和强调丈夫的合作,定能降低使用者引起的停用率,提高续用率。Billings自然避孕法效果可靠,无任何副作用,可进一步推广使用。 展开更多
关键词 避孕 自然避孕法 Billings法 方法技术
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Customer Requirements Mapping Method Based on Association Rule Mining for Mass Customization 被引量:2
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作者 夏世升 王丽亚 《Journal of Shanghai Jiaotong university(Science)》 EI 2008年第3期291-296,共6页
Customer requirements analysis is the key step for product variety design of mass customiza-tion(MC). Quality function deployment (QFD) is a widely used management technique for understanding the voice of the customer... Customer requirements analysis is the key step for product variety design of mass customiza-tion(MC). Quality function deployment (QFD) is a widely used management technique for understanding the voice of the customer (VOC), however, QFD depends heavily on human subject judgment during extracting customer requirements and determination of the importance weights of customer requirements. QFD pro-cess and related problems are so complicated that it is not easily used. In this paper, based on a general data structure of product family, generic bill of material (GBOM), association rules analysis was introduced to construct the classification mechanism between customer requirements and product architecture. The new method can map customer requirements to the items of product family architecture respectively, accomplish the mapping process from customer domain to physical domain directly, and decrease mutual process between customer and designer, improve the product design quality, and thus furthest satisfy customer needs. Finally, an example of customer requirements mapping of the elevator cabin was used to illustrate the proposed method. 展开更多
关键词 association rules analysis requirements mapping classification mechanism generic bills of material (GBOM) mass customization
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女性下生殖道自窥检查法临床意义的研究 被引量:1
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作者 刘晓雁 郝天羽 《中国性科学》 2013年第9期57-61,共5页
目的:本研究通过自主研发的阴道自窥器应用到女性人群,旨在使妇女能够自主地观察到自身下生殖道的宫颈管及黏液,以及阴道黏膜、白带性状、宫颈上皮等内容,以期为生育调节(避孕与助孕)、生殖道感染防治、宫颈癌防治等多个领域提供一种新... 目的:本研究通过自主研发的阴道自窥器应用到女性人群,旨在使妇女能够自主地观察到自身下生殖道的宫颈管及黏液,以及阴道黏膜、白带性状、宫颈上皮等内容,以期为生育调节(避孕与助孕)、生殖道感染防治、宫颈癌防治等多个领域提供一种新的有效途径。方法:选取100名生育期妇女为受试对象,分别对其进行方法学指导,使其分别应用Billings法和阴道自窥检查法观察宫颈黏液变化3个周期,并同时行阴道超声检查监测卵泡发育,以此为标准对两组所测得的易受孕期的开始日、极期日及其长度进行比较。结果:研究产生了211个周期的有效数据,其中200个(94.79%)周期有"阴道自窥检查"极期,165个(78.20%)周期有"Billings法"极期,所测得的易受孕期的开始日、极期日及其长度,"Billings法"组分别为9.9d、16.3d和10.9d,"阴道自窥检查法"组分别为11.8d,16.5d和6.7d。结论:阴道自窥检查法比Billings法更能精确地确定易受孕期的开始日、极期日及易受孕期的长度,更能有效的指导人们进行助孕或避孕。 展开更多
关键词 阴道自窥器 阴道自窥检查 宫颈黏液 Billings自然避孕法 易受孕期 生育调节
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Billings生育调节法应用于哺乳期妇女的临床实验研究
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作者 金碧华 姜国珠 +3 位作者 潘琢如 颜洁敏 彭守静 陆仁康 《生殖与避孕》 CAS CSCD 北大核心 1999年第4期239-241,共3页
近年来,我国响应世界卫生组织和联合国儿童基金会的号召,为实现产后4~6个月内完全母乳喂养率达80%的总目标而努力。文献报道完全母乳喂养并处于闭经阶段4~6个月内,采用生育调控法,其避孕效果可达98%[1]。我院在19... 近年来,我国响应世界卫生组织和联合国儿童基金会的号召,为实现产后4~6个月内完全母乳喂养率达80%的总目标而努力。文献报道完全母乳喂养并处于闭经阶段4~6个月内,采用生育调控法,其避孕效果可达98%[1]。我院在1995年建立了爱婴医院,为了保护婴儿... 展开更多
关键词 哺乳期 BILLINGS 生育调节法 实验研究 避孕
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阴道自窥器临床应用效果观察
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作者 刘晓雁 郝天羽 +1 位作者 刘海萍 靳兴 《山东医药》 CAS 2013年第20期60-62,共3页
目的观察阴道自窥器的临床应用效果。方法对100例生育期女性患者进行方法学指导,分别应用Billings法和阴道自窥检查法观察宫颈黏液变化3个周期,并同时行阴道超声检查监测卵泡发育,以此为标准对两种方法所测得的易受孕期的开始日、极期... 目的观察阴道自窥器的临床应用效果。方法对100例生育期女性患者进行方法学指导,分别应用Billings法和阴道自窥检查法观察宫颈黏液变化3个周期,并同时行阴道超声检查监测卵泡发育,以此为标准对两种方法所测得的易受孕期的开始日、极期日及其长度进行比较。结果本组12例先后停用或未有效监测,共产生211个周期的有效数据。其中200个周期(94.79%)有阴道自窥检查极期,165个周期(78.20%)有Billings法极期,两者比较,P<0.01。阴道超声监测排卵确定排卵日为第(17.1±3.5)天,阴道自窥检查所确定的易受孕期的极期日在第(16.5±3.6)天,Billings法在第(16.3±3.7)天,均位于标准排卵日(第17.1天)的前1天;两者相比较,P均>0.05。阴道超声监测排卵确定易受孕期开始日为第(12.1±3.5)天,阴道自窥检查为第(11.8±3.4)天(P>0.05),Billings法为第(9.9±3.0)天(P<0.05)。阴道自窥检查所确定的易受孕期的时间长度是(6.7±3.1)d,接近研究所证实的6 d的易受孕期,Billings法是(10.9±3.7)d;两者相比较,P<0.05。结论应用阴道自窥器观察宫颈黏液变化能更精确地确定易受孕期的开始日、极期日及易受孕期的长度,可有效指导人们进行助孕或避孕。 展开更多
关键词 生育调节 宫颈黏液 阴道自窥器 Billings自然避孕法 易受孕期
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Simulation of District Cooling Plant and Efficient Energy Air Cooled Condensers (Part I) 被引量:1
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作者 Mousa M. Mohamed Mohammed Hueesin Almarshadi 《Journal of Electronics Cooling and Thermal Control》 2017年第3期45-62,共18页
In hot arid countries with severe weather, the summer air conditioning systems consume much electrical power at peak period. Shifting the loads peak to off-peak period with thermal storage is recommended. Model A of r... In hot arid countries with severe weather, the summer air conditioning systems consume much electrical power at peak period. Shifting the loads peak to off-peak period with thermal storage is recommended. Model A of residential buildings and Model B of schools and hospitals were used to estimate the daily cooling load profile in Makkah, Saudi Arabia at latitude of 21.42&deg;N and longitude of 39.83&deg;E. Model A was constructed from common materials, but Model B as Model A with 5 - 8 cm thermal insulation and double layers glass windows. The average data of Makkah weather through 2010, 2011 and 2012 were used to calculate the cooling load profile and performance of air conditioning systems. The maximum cooling load was calculated at 15:00 o’clock for a main floor building to a 40-floor of residential building and to 5 floors of schools. A district cooling plant of 180,000 Refrigeration Ton was suggested to serve the Gabal Al Sharashf area in the central zone of Makkah. A thermal storage system to store the excess cooling capacity was used. Air cooled condensers were used in the analysis of chiller refrigeration cycle. The operating cost was mainly a function of electrical energy consumption. Fixed electricity tariff was 0.04 $/kWh for electromechanical counter, and 0.027, 0.04, 0.069 $/kWh for shifting loads peak for the smart digital counter. The results showed that the daily savings in consumed power are 8.27% in spring, 6.86% in summer, 8.81% in autumn, and 14.55% in winter. Also, the daily savings in electricity bills are 12.26% in spring, 16.66% in summer, 12.84% in autumn, and 14.55% in winter. The obtained maximum saving in consumed power is 14.5% and the daily saving in electricity bills is 43% in summer when the loads peak is completely shifted to off-peak period. 展开更多
关键词 DISTRICT COOLING Thermal Storage System COOLING Load Profile REFRIGERATION Capacity SHIFTING Loadspeak SAVING in ELECTRICITY bills SAVING Power Efficient Energy
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A Preliminary Analysis of British New England With Her Mother Country Debates About the Currency Issue
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作者 WANG Wei-hong 《International Relations and Diplomacy》 2016年第5期353-361,共9页
Currency is one of indispensable mechanism for the commercial economy development. As the complexity of the British New England commercial economy growing, the urgent need for a stable value currency as a means of pay... Currency is one of indispensable mechanism for the commercial economy development. As the complexity of the British New England commercial economy growing, the urgent need for a stable value currency as a means of payment of daily trading. But the currency was always a problem restricting the development of commercial economy of New England, which was not only related to the economic management function of colonial government itself, but also a political game between colonies and her mother country government. 展开更多
关键词 CURRENCY alternative currency liberty of coinage bills credit
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Billings排卵法在避孕与受孕的应用研究 被引量:3
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作者 王德启 艾晓清 +7 位作者 赵国华 王蕾 李家良 于静申 陈艳秋 张玉荣 夏英兰 柴洁 《生殖医学杂志》 CAS 1995年第2期104-106,共3页
为了探讨Billings排卵法的可应用性,对175例妇女应用Billings排卵法调节生育进行了观察。其中避孕(A组)155例,受孕(B组)20例,共观察1133个月经周期。结果表明:A组与方法有关的妊娠率为0.1%... 为了探讨Billings排卵法的可应用性,对175例妇女应用Billings排卵法调节生育进行了观察。其中避孕(A组)155例,受孕(B组)20例,共观察1133个月经周期。结果表明:A组与方法有关的妊娠率为0.1%,避孕有效率为98,8%妇女年;B组受孕成功率为90.O%。本方法不受文化、职业限制。3个月经周期内学会使用者为86.3%,认为使用方便者94.9%,坚持应用者93,7%。认为Billings排卵法是一种方便、易学、安全、可靠的人类生殖调节技术。 展开更多
关键词 Billings排卵法 避孕 受孕
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上海市688对育龄夫妇连续使用Billings自然避孕法的临床效果观察及实验研究 被引量:8
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作者 徐晋勋 严隽鸿 +8 位作者 范德珍 周瑞珍 华丽云 朱月华 陈志蘅 卢树华 刘永欣 王大增 张德玮 《生殖与避孕》 CAS CSCD 北大核心 1993年第3期194-199,共6页
本研究在1988,6~1990,5的两年间,对688对育龄夫妇进行了连续使用Billings 法的避孕效果与续用情况的观察,共10,275个妇女月;其中,550对夫妇连续使用12个月以上。用生命表统计分析,18个月和12个月时净累积停用率分别为34.58%和19.85%,... 本研究在1988,6~1990,5的两年间,对688对育龄夫妇进行了连续使用Billings 法的避孕效果与续用情况的观察,共10,275个妇女月;其中,550对夫妇连续使用12个月以上。用生命表统计分析,18个月和12个月时净累积停用率分别为34.58%和19.85%,续用率分别为65.42%和80.15%(因方法学意外妊娠分别为1.18%和1.02%,因方法学停用分别为2.84%和1.61%)。在观察临床效果的同时,对67例使用该法的志愿者进行阴道脱落细胞学检查,10例血、尿LH 和35例尿雌、孕激素测定。本文还对两年来临床观察和实验研究的多个方面进行了讨论,并认为该法值得进一步研究,可有组织、有计划地逐步扩大应用。 展开更多
关键词 自然避孕法 Billings法 临床 避孕
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Billings自然避孕法作为计划生育措施的临床初试 被引量:9
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作者 徐晋勋 严隽鸿 +1 位作者 范德珍 张德玮 《生殖与避孕》 CAS CSCD 北大核心 1990年第2期53-56,共4页
113名育龄妇女根据不同要求用Billings自然避孕法作为计划生育措施,共428个周期;其中要求避孕及延缓受孕76名,避孕成功率为92.59%(妇女年)。本法安全、有效、简便、经济,对自愿暂缓生育的新婚夫妇及不适应现有避孕方法的夫妇更为适用,... 113名育龄妇女根据不同要求用Billings自然避孕法作为计划生育措施,共428个周期;其中要求避孕及延缓受孕76名,避孕成功率为92.59%(妇女年)。本法安全、有效、简便、经济,对自愿暂缓生育的新婚夫妇及不适应现有避孕方法的夫妇更为适用,也能为不同文化程度的人所接受,是一种值得进一步研究、逐步推广应用的计划生育措施。 展开更多
关键词 自然避孕法 Billings法 排卵法
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Blockchain and MEC-Assisted Reliable Billing Data Transmission over Electric Vehicular Network:An Actor–Critic RL Approach 被引量:4
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作者 Xinyu Ye Meng Li +3 位作者 Pengbo Si Ruizhe Yang Enchang Sun Yanhua Zhang 《China Communications》 SCIE CSCD 2021年第8期279-296,共18页
Recently,electric vehicles(EVs)have been widely used under the call of green travel and environmental protection,and diverse requirements for charging are also increasing gradually.In order to ensure the authenticity ... Recently,electric vehicles(EVs)have been widely used under the call of green travel and environmental protection,and diverse requirements for charging are also increasing gradually.In order to ensure the authenticity and privacy of charging information interaction,blockchain technology is proposed and applied in charging station billing systems.However,there are some issues in blockchain itself,including lower computing efficiency of the nodes and higher energy consumption in the consensus process.To handle the above issues,in this paper,combining blockchain and mobile edge computing(MEC),we develop a reliable billing data transmission scheme to improve the computing capacity of nodes and reduce the energy consumption of the consensus process.By jointly optimizing the primary and replica nodes offloading decisions,block size and block interval,the transaction throughput of the blockchain system is maximized,as well as the latency and energy consumption of the system are minimized.Moreover,we formulate the joint optimization problem as a Markov decision process(MDP).To tackle the dynamic and continuity of the system state,the reinforcement learning(RL)is introduced to solve the MDP problem.Finally,simulation results demonstrate that the performance improvement of the proposed scheme through comparison with other existing schemes. 展开更多
关键词 electric vehicles billing data interaction blockchain mobile edge computing reinforcement learning
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运营支撑系统
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作者 孔维良 孙忠诚 周义 《中国数据通信》 2003年第5期101-103,共3页
1前言 如何建立一个统一的规划、建设、经营、管理的平台,运营管理Cable Modem、DVB等系统,更好地发挥广电网络的宽带、三网合一、广播式优势确实是有线电视运营商面临的一个急需解决的问题.
关键词 运营支撑系统 PowerBMS—Billing系统 有线电视网络 客户管理
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Determination of Energy Interchanged on the Tie Lines- Some Practical Issues 被引量:1
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作者 Zeljko Modric Zoran Kovac Kresimir Fekete 《Journal of Energy and Power Engineering》 2014年第5期948-956,共9页
The quality of methods for determining energy transits on the tie lines (lines that connect two neighboring power system) can have significant impact on business activity of the TSOs (transmission system operators... The quality of methods for determining energy transits on the tie lines (lines that connect two neighboring power system) can have significant impact on business activity of the TSOs (transmission system operators). Existing law regulation is not enough precise regarding definition of methods for metering energy transits (energy interchanged between neighboring TSOs). This paper analyses disadvantages of method for line losses metering with electric meters and suggests introduction of the measured value corrections. 展开更多
关键词 Billing point metering set metering point metering error energy transit.
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A new method of electric energy metering considering harmonic responsibility
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作者 ZHU Si-wei TIAN Ming-xing +1 位作者 LI Jun GAO Yun-bo 《Journal of Measurement Science and Instrumentation》 CAS CSCD 2020年第3期244-250,共7页
Aiming at the shortcomings of the existing electric energy metering method,combining with the harmonic responsibility analysis model based on the reference impedance method and the idea of apparent power decomposition... Aiming at the shortcomings of the existing electric energy metering method,combining with the harmonic responsibility analysis model based on the reference impedance method and the idea of apparent power decomposition in IEEE Std 1459-2010 standard,two new metering indicators—billing active power and billing power factor are defined.A new electric energy metering method is proposed and its specific implementation steps are given.The simulation model is built in Matlab/Simulink,and three different examples are set up.Using the simulation data,the various metering indicators need to be examined by the existing electric energy metering method and the new electric energy metering method are calculated.The calculation results show that the new electric energy metering method not only overcomes the shortcomings of the existing electric energy metering method,but also is very easy to be popularized and applied. 展开更多
关键词 electric energy metering harmonic responsibility billing active power billing power factor
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CWoT-Share: Context-Based Web of Things Resource Sharing in Blockchain Environment
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作者 Yangqun Li Jin Qi +3 位作者 Lijuan Min Hongzhi Yang Chenyang Zhou Bonan Jin 《Computers, Materials & Continua》 SCIE EI 2022年第9期5079-5098,共20页
Web of Things(WoT)resources are not only numerous,but also have a wide range of applications and deployments.The centralized WoT resource sharing mechanism lacks flexibility and scalability,and hence cannot satisfy re... Web of Things(WoT)resources are not only numerous,but also have a wide range of applications and deployments.The centralized WoT resource sharing mechanism lacks flexibility and scalability,and hence cannot satisfy requirement of distributed resource sharing in large-scale environment.In response to this problem,a trusted and secure mechanism for WoT resources sharing based on context and blockchain(CWoT-Share)was proposed.Firstly,the mechanism can respond quickly to the changes of the application environment by dynamically determining resource access control rules according to the context.Then,the flexible resource charging strategies,which reduced the fees paid by the users who shared more resources and increased the fees paid by users who frequently used resources maliciously,were used to fulfill efficient sharing of WoT resources.Meanwhile,the charging strategies also achieve load balancing by dynamic selection of WoT resources.Finally,the open source blockchain platform Ethereum was used for the simulation and the simulation results show that CWoT-Share can flexibly adapt to the application environment and dynamically adjust strategies of resource access control and resource charging. 展开更多
关键词 Web of things resource sharing smart contract CONTEXT billing strategy
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The Application of Billings for Fertility RegulationMethod during the Period of Breastfeeding
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作者 金碧华 姜国珠 +3 位作者 潘琢如 颜洁敏 彭守静 陆仁康 《Journal of Reproduction and Contraception》 CAS 1999年第3期163-169,共7页
In order to adopt Billings Method for fertility regulation during the period of breast feeding, cervical mucus was observed and monitored in 61 breast feeding mothers.Urine estrogen and /or pregnanediol ... In order to adopt Billings Method for fertility regulation during the period of breast feeding, cervical mucus was observed and monitored in 61 breast feeding mothers.Urine estrogen and /or pregnanediol were/was measured in 15 breast feeding mothers. Observations on cervical mucus during 244 months were collected. The type of dry or no mucus was observed in 75.27% fully breast feeding mothers. Constant unchanging mucus was observed in 69.39% partially breast feeding mothers. Developmental changing mucus was observed in 79.25% of mothers bottle feeding their infants. According to the record on cervical mucus within 6 months postpartum, 97.14% of the cervical mucus was consistent with normal menstrual cycles. Urine estrogen and /or pregnanediol were/was measured in 15 breast feeding mothers. The level of estrogen in urine averaged 0.08 μmol/24 h in fully breast feeding mothers and 0.14 μmol/24 h in partially breast feeding mothers.The peak level averaged 0.21 μmol/24 h in bottle feeding mothers.The pregnanediol level was determined to confirm ovulation in bottle feeding mothers. The average levels of cut off and the period of ovulation in 6 bottle feeding mother were 7 μmol/24 h and 9 μmol/24 h respectively.Measurement of urine estrogen and pregnanediol level all matched with cervical mucus appearances. Conclusion: Billings Method is a simple, scientific method for contraception without side effects during breast feeding period. 展开更多
关键词 Breast feeding Billings Method CLINIC Experiment
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Establishment and Application of A Mathematical Model for Rectangular Billet Continuos Casting
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作者 IJU Qing TIAN Nianyuan +5 位作者 WANG Yingqun WU Xiaodong HOU Wenyi XU Mingxin XIANYU Jintang ZHANG Xiumu(Shanghai Pudong Iron & Steel Co. Ltd.)(Metallurgy Engineering School, USTB, Beijiing 100083, China) 《International Journal of Minerals,Metallurgy and Materials》 SCIE EI CAS CSCD 1997年第4期10-14,共5页
A two dimension unsteady heat transfer model is established for rectangular billet casting. Solidification process of liquid steel in secondary cooling zone was analyzed using direct difference method. The influence o... A two dimension unsteady heat transfer model is established for rectangular billet casting. Solidification process of liquid steel in secondary cooling zone was analyzed using direct difference method. The influence of operation parameters including casting speed and temperature of liquid steel was investigated. Experimental results have been used for increasing the casting speed. 展开更多
关键词 continuous casting rectangular billed direct difference method mathematical model
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A policy-based billing management architecture for the next generation IP-based network
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作者 成璐 Qiu Xuesong Meng Luoming 《High Technology Letters》 EI CAS 2006年第3期300-303,共4页
IP billing is not only a basic functionality to operate IP sen'ices, but also it is fundamental to offer customers with a stable and QoS-enabled network environment. As IP-based network has been widely agreed to be t... IP billing is not only a basic functionality to operate IP sen'ices, but also it is fundamental to offer customers with a stable and QoS-enabled network environment. As IP-based network has been widely agreed to be the core network of NGN, and existing IP billing system is too simple to fulfill the emerging requirements, the next generation IP billing has become an interesting topic in recent years. Policy-based management brings flexibility and scalability to systems by describing management logic and functions through policies, and thus reduces the complexity of the management of large-scale systems. Working on existing efforts, this paper proposed an improved IETF policy framework based upon which a policy-based billing management architecture for the next generation IP-based network was presented. Then a prototype with some basic functionalities was developed. The results of the experiment validated the expected improvements specified in this paper. 展开更多
关键词 Policy-based Architecture IP billing Operation system
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The Clinical and Experimental Research on Billings Ovulation Method During Breastfeeding
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作者 金碧华 姜国珠 +5 位作者 吴靖川 申屠敏 朱志宾 郑玲珍 张逸 颜洁敏 《Journal of Reproduction and Contraception》 CAS 2002年第2期90-97,共8页
Objective The effectiveness and acceptability of Billings Ovulation Method (BOM) during breastfeeding were studied. At the same time, the monitoring indexes of fertility return were studied.Methods It was a clinical c... Objective The effectiveness and acceptability of Billings Ovulation Method (BOM) during breastfeeding were studied. At the same time, the monitoring indexes of fertility return were studied.Methods It was a clinical comparative study of BOM and IUD containing copper (200mm 2). The annual rate of pregnancy, discontinuation rate and continuation rate in the two groups was determined. The serum prolactin and estradiol in 90 breastfeeding mothers and urine estrogen and pregnanediol in different feeding mothers were measured.Results There were 219 subjects in the BOM group and 200 in the IUD group. The pregnancy rate in this two groups was 1. 43% and 1. 54% respectively. The rates of discontinuation and continuation in the IUD group were:8. 87% and 91. 35% as well as in the BOM group were 8. 53% and 90. 17% respectively. Neither result was statistically significant (P>0. 05). The experimtal research showed that menses return was well estimated by 0. 35 ratio of serum prolactin vs. estrodiol. Sensitivity and specificity was 94. 61% and 84. 61% respectively. It also indicated that (1) the levels of urine hormone were closely related to the patterns of cervical mucus and (2) the incidence of ovulating before the second return of menses in partially breastfeeding mothers was much lower than that of bottle-feeding mothers (47. 05% vs. 94. 20%). Conclusion BOM is a simple, reliable and well accepted contraceptive method of during breastfeeding. If it can be combined with the measurement of serum prolactin/ estradiol, the date of menses return will be determined more easily. Encouraging mothers to breast-feed will be beneficial to the health of both babies and mothers and delay the fertility return of mothers. 展开更多
关键词 BREASTFEEDING Billings ovulation method (BOM) contraceptive method
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