In the present paper, cost control existing in stages of decision making, drawing design, construction bidding, construction, completion settlement, product sales of real estate development are analyzed and solutions ...In the present paper, cost control existing in stages of decision making, drawing design, construction bidding, construction, completion settlement, product sales of real estate development are analyzed and solutions for cost control in each stage are provided.展开更多
Based on the consideration of operation environment and structural property, an optimum design model of offshore jacket platform is developed in this paper, namely, the reliability-based full-life cycle optimum design...Based on the consideration of operation environment and structural property, an optimum design model of offshore jacket platform is developed in this paper, namely, the reliability-based full-life cycle optimum design model. In this model, the time-dependent reliability assessment method for structural members is established by combination of the decrease of sectional size and performance deterioration of material. The initial investment, maintenance cost and failure loss cost are assembled into the model. The total cost of the platform structure system in its full service period is chosen as the objective function, and the initial reliabilities of the layer elements partitioned in advance are taken as the design variables. Different models are obtained, depending on whether the system reliability constraint is considered or not. This optimum design model can result in the lowest full-life cost and the optimal initial layer reliability of an offshore jacket platform in the design of marine structures. The feasibility of this model is illustrated with an actual jacket platform in the Liaodong Gulf as an example.展开更多
BACKGROUND The fundus of the stomach is regarded as a difficult area for endoscopic resection of small tumors originating from the muscularis propria(MP tumors).Three endoscopic resection techniques have been develope...BACKGROUND The fundus of the stomach is regarded as a difficult area for endoscopic resection of small tumors originating from the muscularis propria(MP tumors).Three endoscopic resection techniques have been developed to treat these tumors,including ligation-assisted endoscopic full-thickness resection(L-EFTR),snareassisted EFTR(S-EFTR),and endoscopic submucosal dissection-assisted EFTR(EEFTR).To date,no studies have compared these techniques.AIM We aimed to evaluate and compare S-EFTR with L-EFTR and E-EFTR for treating small MP tumors in the gastric fundus.METHODS We retrospectively reviewed patients with primary small MP tumors in the gastric fundus and treated by these three techniques between January 2016 and December 2018 at Shengjing Hospital,China.Standard demographic and clinicopathologic data,including sex,age,tumor size,surgeon details,and pathological results,were collected.Data regarding operation duration,cost,enbloc resection,and severe complications were also extracted and compared.RESULTS A total of 36 patients(27 women)with a mean age of 55.8±10.20 years were included in this study.The mean tumor size was 9.0±3.98 mm.All the methods showed a 100%en-bloc resection rate and 0%severe complication rate.There was no statistically significant difference among the three groups in the operation duration(P=0.148).The cost comparison for the whole procedure was as follows:E-EFTR>L-EFTR>S-EFTR(5837.5±7212.96 CNY,5970.7±3465.27 CNY,5852.0±6438.25 CNY,respectively,P<0.001).CONCLUSION S-EFTR,L-EFT,and E-EFTR are all effective for resection of small MP tumors in the gastric fundus.S-EFTR is superior in terms of cost-effectiveness.展开更多
文摘In the present paper, cost control existing in stages of decision making, drawing design, construction bidding, construction, completion settlement, product sales of real estate development are analyzed and solutions for cost control in each stage are provided.
文摘Based on the consideration of operation environment and structural property, an optimum design model of offshore jacket platform is developed in this paper, namely, the reliability-based full-life cycle optimum design model. In this model, the time-dependent reliability assessment method for structural members is established by combination of the decrease of sectional size and performance deterioration of material. The initial investment, maintenance cost and failure loss cost are assembled into the model. The total cost of the platform structure system in its full service period is chosen as the objective function, and the initial reliabilities of the layer elements partitioned in advance are taken as the design variables. Different models are obtained, depending on whether the system reliability constraint is considered or not. This optimum design model can result in the lowest full-life cost and the optimal initial layer reliability of an offshore jacket platform in the design of marine structures. The feasibility of this model is illustrated with an actual jacket platform in the Liaodong Gulf as an example.
文摘BACKGROUND The fundus of the stomach is regarded as a difficult area for endoscopic resection of small tumors originating from the muscularis propria(MP tumors).Three endoscopic resection techniques have been developed to treat these tumors,including ligation-assisted endoscopic full-thickness resection(L-EFTR),snareassisted EFTR(S-EFTR),and endoscopic submucosal dissection-assisted EFTR(EEFTR).To date,no studies have compared these techniques.AIM We aimed to evaluate and compare S-EFTR with L-EFTR and E-EFTR for treating small MP tumors in the gastric fundus.METHODS We retrospectively reviewed patients with primary small MP tumors in the gastric fundus and treated by these three techniques between January 2016 and December 2018 at Shengjing Hospital,China.Standard demographic and clinicopathologic data,including sex,age,tumor size,surgeon details,and pathological results,were collected.Data regarding operation duration,cost,enbloc resection,and severe complications were also extracted and compared.RESULTS A total of 36 patients(27 women)with a mean age of 55.8±10.20 years were included in this study.The mean tumor size was 9.0±3.98 mm.All the methods showed a 100%en-bloc resection rate and 0%severe complication rate.There was no statistically significant difference among the three groups in the operation duration(P=0.148).The cost comparison for the whole procedure was as follows:E-EFTR>L-EFTR>S-EFTR(5837.5±7212.96 CNY,5970.7±3465.27 CNY,5852.0±6438.25 CNY,respectively,P<0.001).CONCLUSION S-EFTR,L-EFT,and E-EFTR are all effective for resection of small MP tumors in the gastric fundus.S-EFTR is superior in terms of cost-effectiveness.
