After the integration of large-scale DistributedGeneration(DG)into the distribution network,the randomness and volatility of its output result in a reduction of spatiotemporal alignment between power generation and de...After the integration of large-scale DistributedGeneration(DG)into the distribution network,the randomness and volatility of its output result in a reduction of spatiotemporal alignment between power generation and demand in the distribution network,exacerbating the phenomenon of wind and solar power wastage.As a novel power system model,the fundamental concept of Regional Autonomous Power Grids(RAPGs)is to achieve localized management and energy autonomy,thereby facilitating the effective consumption of DGs.Therefore,this paper proposes a distributed resource planning strategy that enhances the autonomy capabilities of regional power grids by considering multiple evaluation indexes for autonomy.First,a regional Energy Storage(ES)configuration strategy is proposed.This strategy can select a suitable reference value for the upper limit of ES configuration based on the regional load andDGoutput to maximize the elimination of source load deviations in the region as the upper limit constraint of ES capacity.Then,a control strategy for regional ES is proposed,the charging and discharging reference line of ES is set,and multiple autonomy and economic indexes are used as objective functions to select different proportions of ES to control the distributed resources of the regional power grid and establish evaluation indexes of the internal regional generation and load power ratio,the proportion of power supply matching hours,new energy consumption rate and tie line power imbalance outside the region to evaluate changes in the regional autonomy capabilities.The final simulation results showthat in the real regional grid example,the planning method in the planning year in the region of the overall power supply matching hour ratio and new energy consumption rate increased by 3.9%and 4.8%on average,and the power imbalance of the tie line decreased by 7.8%on average.The proposed planning approach enables the maximization of regional autonomy while effectively smoothing the fluctuation of power exchange between the regional grid and the higher-level grid.This presents a rational and effective planning solution for the regional grid,facilitating the coordinated development between the region and the distribution network.展开更多
The accelerated growth of the vehicular fleet, the modernization of large urban centers, and the few adjustments to the road network in Fortaleza have intensified the problems of traffic and emissions of atmospheric p...The accelerated growth of the vehicular fleet, the modernization of large urban centers, and the few adjustments to the road network in Fortaleza have intensified the problems of traffic and emissions of atmospheric pollutants, highlighting the necessity for strategic urban planning initiatives to address the escalating issues of traffic and pollution. With the objective of analyzing the indices of concentrations of atmospheric pollutants and estimating how these levels can affect human health, this work consists of a study of the analysis of air quality in the intense trade region of Fortaleza. For this, the analysis zone was divided into three perimeters (Major - Medium - Minor), where each perimeter was analyzed at 7 am, 12 noon and 5 pm. Concentrations of the type of O<sub>3</sub>, particulate matter (PM<sub>2.5</sub> and PM<sub>10</sub>), CO<sub>2</sub> and HCHO were collected. Our results demonstrate that most of the analyses are within the limits of current legislation;however, at certain times and perimeters, the analyses of CO<sub>2</sub> and HCHO exceeded the established limits. In view of the above, we conclude that public policies to control air quality are necessary to reduce the damage to human health and the environment caused by pollutants.展开更多
This study was a brief review of issues related to health planning in the metropolitan area of Syracuse, New York. It suggested that population demographics and health care utilization can have an impact on the use of...This study was a brief review of issues related to health planning in the metropolitan area of Syracuse, New York. It suggested that population demographics and health care utilization can have an impact on the use of services at the community level. The study suggested that the utilization of services can be associated with patient demographics. In this study, younger populations were associated with lower use of hospital inpatient care. The data have also suggested that larger numbers of younger populations are not necessarily related to opportunities for expanding local health care providers. Younger populations can be associated with lower per capita use of services. The data demonstrated that there were substantial reductions in hospital discharges for adult medicine. Total discharges declined by 3999 patients between the seven months in 2019 and 2023. The data also demonstrated that there were notable reductions in hospital discharges for adult surgery.展开更多
Aim: This paper aims to evaluate disparities of type 2 diabetes structured health education programmes that is utilised within the communities. Design: systematic review, (a type of secondary research design) aiming t...Aim: This paper aims to evaluate disparities of type 2 diabetes structured health education programmes that is utilised within the communities. Design: systematic review, (a type of secondary research design) aiming to summarize the results of prior primary research studies on available evidence Community type 2 diabetes structured education (CT2DSHE). Methods: Research question: Type 2 diabetic structured health education within a community how effective is it? Qualitative Systematic review, defined as a way to get reliable and objective picture of current available evidence on the specific topic—(CT2DSHE), (Denscombe, 2021) through reflexivity synthesis of available data as an example. This is valuable in time constraints such as project assignments that must be met within specific time and also to bring together available evidence together [1]. Results: This review has shown that CT2DSHE is effective with seven out of the eleven authors supporting, three authors against and one was neutral, further showed that knowledge and skills acquired can last longer with patient activation improved among T2DM patients ideal for sustaining their self-management of T2DM. Conclusion: This research provides suggestive answers to the research question: “Type 2 diabetic structured health education within a community how effective is it?”, This has demonstrated CT2DSHE effectiveness in knowledge acquisition and improving T2DM awareness among T2DM patients, whilst evidencing long effects beyond the study times of 3 - 9 months period in relation to patient activation. Also Identified diabetes education self-management on newly diagnosed (DESMOND) patient as CT2DSHE program for recommendation. Patient or Public Contribution: This work aspires to contribute to CT2DSHE in these areas;Influencing policy decision-making for community diabetes care within the UK and world at large., Contributing to already vast knowledge on diabetes self-management and reasons why?, Influencing educators on how CT2DSHEP are designed, delivered by putting the patient at the Centre and bringing different perspectives on CT2DSHEP in one place that is serving users time of having to consult several resources especially busy clinicians [2] [3].展开更多
Natural environment and historical humanities are the two elements constituting regional features.The construction of urban park should search design language from regional features.The author,taking Dongshan Park in ...Natural environment and historical humanities are the two elements constituting regional features.The construction of urban park should search design language from regional features.The author,taking Dongshan Park in Qianxi County,Hebei Province as an example,discussed how to search local natural environment features,reasonably exploit cultural resources and integrate regional features from the establishment of planning theme to the expression of designing details.展开更多
After analysis of location feature of the south of lower reaches of Yangtze River and its construction of urban and rural integration,the paper pointed out harmonious combination between natural and artificial factors...After analysis of location feature of the south of lower reaches of Yangtze River and its construction of urban and rural integration,the paper pointed out harmonious combination between natural and artificial factors had been neglected in planning and design of farmers' residential area at the south of lower reaches of Yangtze River,"regional characteristic" losing,residential area in the form of "city community" and buildings in European style.In view of these problems,relevant planning and design thoughts and methods had been proposed as to how to create "regional characteristic" from the perspective of planning,architecture and landscape design.It discussed with emphasis the importance of construction base type and combination of environment with residential area construction;inspirations and design methods obtained from traditional architectures;and the content of landscape overall planning and specific design.It was hoped to enlighten designers to shoulder social and historical responsibility,make exploration unremittingly,and construct beautiful homelands for people.展开更多
This paper firstly investigated the land-use and land-cover change (LUCC) in the Hun-Taizi River water- shed, Northeast China from 1988 to 2004 based on remotely sensed images and geographic information systems (GI...This paper firstly investigated the land-use and land-cover change (LUCC) in the Hun-Taizi River water- shed, Northeast China from 1988 to 2004 based on remotely sensed images and geographic information systems (GIS) technology. Then, using the famous land-use change model of Conversion of Land Use and its Effects at Small re- gional extent (CLUE-S), this paper simulated the land use changes under historical trend (HT), urban planning (UP) and ecological protection (EP) scenarios considering urban planning and ecological protection over the next 20 years. The simulated results under UP scenario in 2020 were compared with the planning map to assess the feasibility of us- ing land-use change model to guide regional planning. Results show that forest land, dry farmland, paddy, and shrub land were the main land-use categories. Paddy and dry farmland being converted to urban area and rural settlement characterized the land-use change from 1988 to 2004. The main land-use categories changed over time. Landscape-pattem fragmentation will be worse under HT and UP scenarios, but better in EP scenario. The comparing results of simulated map with planning map in 2020 show that land-use change model is powerful tool to guide regional planning. Land-use scenarios can support regional planning and policy-making through analyzing future consequences scientifically.展开更多
This paper, taking Beiwenquan Town of Beibei, Chongqing as an example, assessed the impacts of land use on ecological health by comprehensive index method, and discussed methodological system of sustainable land use p...This paper, taking Beiwenquan Town of Beibei, Chongqing as an example, assessed the impacts of land use on ecological health by comprehensive index method, and discussed methodological system of sustainable land use planning based on ecological health. Results indicated that: 1) From 1992 to 2002, land use changes focused on 12 patterns with the total conversion area of 92.11%, which were related to cultivated land, residential and industrial-mining area, and orchard land. Urbanization and economic reconstruction were the leading driving forces. 2) There was obvious difference of the areas of ecotypes driven by land use change in wide valley and mild slope between 1992 and 2002, while there were little or no difference in steep slope and very steep slope. 3) Both of the conditions of ecological health in 1992 and 2002 were sound, and the ecotypes focused on the types of health and sub-health. But, health ecosystem in 1992, with an area of 764.64ha, accounting for 38.51% of the total evaluation area, was better than that in 2002, with an area of 636.10ha, accounting for 34.19% of the total evaluation area. 4) The ecotypes involved into different ranges have already degenerated, due to humankind’s disturbance, while the conditions of ecological health in the same ranges in 1992, regardless of stability and reconstruction, were better than that in 2002. 5) The planning scenario based on ecological health was accorded with the practice condition of Beiwenquan Town: 388.29ha of cultivated land could meet the Beiwenquan demand of food and byproduct; 1045.26ha of forest land area, the Beiwenquan demand of ecological health; and 1004.73ha of the residential and industrial-mining area, the Beiwenquan building demand. 6) Sustainable land use planning based on ecological health had higher useful value, because it not only stood to ecological theory, but also satisfied the developmental demand of society and economy.展开更多
Regional development planning is one of the 'hot spots' in the field of human geography in China Based on brief retrospection and reviewing of its development since the 1980s, this paper discusses the basic th...Regional development planning is one of the 'hot spots' in the field of human geography in China Based on brief retrospection and reviewing of its development since the 1980s, this paper discusses the basic thoughts of regional development planning under the socialit market economy, i.e.,to work out planning of flexibility, sustainability, multi-objective coordination and high effective practicability. In line with these thoughts, the paper puts forwards boo countermeasure in the practice of working out a high effective regional developmed planning. These countermeasures are to strengthen research on market factors, to take the coordinated development between the economy,society and PRED as the main line of regional development to correctly deal with the relationship between qualitative analysis and quantitative research and to emphasize on researches of regional policies.展开更多
In this study, accessibility and location-allocation models have been integrated into GIS to improve spatial planning and environmental sustainability of health services in Al-Madinah Al-Munawwarah. This integration p...In this study, accessibility and location-allocation models have been integrated into GIS to improve spatial planning and environmental sustainability of health services in Al-Madinah Al-Munawwarah. This integration provides a planning framework in order to check the efficiency of the spatial allocation of health services and to generate alternatives either by proposing an active service or to improve an existing one. To achieve these objectives, the accessibility to the service area was analyzed within the analysis of health services networks, which are divided into eight types: public hospitals, specialized hospitals, health units, healthcare centers, infirmaries, clinic complexes, the Red Crescent Center, and ambulance facilities, with time intervals of (5 minutes - 10 minutes - 15 minutes) to access coverage ranges, and the location-allocation model was used based on the maximum coverage model within a response time not exceeding 15 minutes, The results of the study revealed the poor distribution of health services Al-Madinah Al-Munawwarah suffers from weak accessibility to health services coverage areas and is unable to meet the needs of its population at present. The current need for health services reached twenty-four locations, including two public hospitals, three specialized hospitals, two health centers, three ambulance facilities, four infirmaries, three clinic complexes, four health units, and three Red Crescent centers.展开更多
The Grand Canal is the cultural source of Yangzhou's historical development. The heritage and development of the canal culture are conducive to enhancing the image of Yangzhou, building cultural brands, and enhanc...The Grand Canal is the cultural source of Yangzhou's historical development. The heritage and development of the canal culture are conducive to enhancing the image of Yangzhou, building cultural brands, and enhancing core competitiveness. Taking the canal in the Gaomin Temple section of Yangzhou for example, this study was based on the regional canal culture and the humanistic characteristics of Gaomin Temple, and explored the unique cultural communication mode of the important landscape node of the canal. Through the analysis of the status and development of the landscape of the section, this study concluded corresponding cultural orientation content and direction, and analyzed the integration and communication ideas of regional culture in landscape planning and design, in order to provide a reference for the promotion of cultural brands in the canal city of Yangzhou.展开更多
<strong>Background:</strong> Despite having one of the most successful health systems in the world, annual medical expenditures in Japan have been increasing year to year. We sought to clarify regional dif...<strong>Background:</strong> Despite having one of the most successful health systems in the world, annual medical expenditures in Japan have been increasing year to year. We sought to clarify regional differences in medical expenditures by analyzing the relationship between the specific health examination coverage and medical care expenditure by prefecture of Japan. <strong>Methods:</strong> We used data from the National Database of Health Insurance Claims and Specific Health Checkups (NDB) Open Data Japan (2015) and Overview of 2015 National Medical Expenses to compare medical care expenditure per capita and proportions of persons receiving specific health examination between Japan nationally and individual prefectures. <strong>Results: </strong>National medical expenditures were 42.3 trillion Japanese yen (JPY) (3851 hundred million dollars), with a national per capita rate of JPY347,219 (USD3156). Per capita medical expenditure rates by prefecture ranged from JPY290,900 (USD2645) in Saitama Prefecture to JPY 444,000 (USD4036) in Kochi Prefecture. The proportion of persons receiving specific health examinations was 49.0% for Japan overall and ranged from 39.3% in Hokkaido Prefecture to 63.4% in Tokyo Prefecture. We observed a significant negative correlation between per capita medical expenditures and the proportion of persons receiving specific health examinations (R = 0.553, p < 0.001).<strong> Conclusion: </strong>We found a significant negative correlation between per capita medical expenditures and the proportion of persons receiving health examinations: prefectures with lower expenditures tended to have higher rates of medical examinations. Interventions to increase the proportion of persons receiving specific health examinations by prefecture could reduce per capita medical expenditures and reduce prefectural disparities in expenditures.展开更多
Since the reform and opening-up policy was implemented in China, the development of China' s medical and health undertakings has been very significant along with the rapid development of economy, and the people' s h...Since the reform and opening-up policy was implemented in China, the development of China' s medical and health undertakings has been very significant along with the rapid development of economy, and the people' s health level is steadily improved and the life expectancy is on the top list in the developing world. However, there are remarkable health differences among urban and rural areas, different regions, and small, medium-sized and large cities. In this paper, on the basis of the healthy social economic decision theory, the characteristics and causes of the regional difference between China' s residents in the health level are systematically analyzed, and then the strategies for the harmonious regional development of the Chinese population health are deeply discussed.展开更多
Unmanned aerial vehicles(UAVs),commonly known as drones,have drawn significant consideration thanks to their agility,mobility,and flexibility features.They play a crucial role in modern reconnaissance,inspection,intel...Unmanned aerial vehicles(UAVs),commonly known as drones,have drawn significant consideration thanks to their agility,mobility,and flexibility features.They play a crucial role in modern reconnaissance,inspection,intelligence,and surveillance missions.Coverage path planning(CPP)which is one of the crucial aspects that determines an intelligent system’s quality seeks an optimal trajectory to fully cover the region of interest(ROI).However,the flight time of the UAV is limited due to a battery limitation and may not cover the whole region,especially in large region.Therefore,energy consumption is one of the most challenging issues that need to be optimized.In this paper,we propose an energy-efficient coverage path planning algorithm to solve the CPP problem.The objective is to generate a collision-free coverage path that minimizes the overall energy consumption and guarantees covering the whole region.To do so,the flight path is optimized and the number of turns is reduced to minimize the energy consumption.The proposed approach first decomposes the ROI into a set of cells depending on a UAV camera footprint.Then,the coverage path planning problem is formulated,where the exact solution is determined using the CPLEX solver.For small-scale problems,the CPLEX shows a better solution in a reasonable time.However,the CPLEX solver fails to generate the solution within a reasonable time for large-scale problems.Thus,to solve the model for large-scale problems,simulated annealing forCPP is developed.The results show that heuristic approaches yield a better solution for large-scale problems within amuch shorter execution time than the CPLEX solver.Finally,we compare the simulated annealing against the greedy algorithm.The results show that simulated annealing outperforms the greedy algorithm in generating better solution quality.展开更多
Objective To make a theoretical exploration of the function of family-based health promotion in family planning development. Methods Given the notion of reproductive health and the Junction of family in society, the a...Objective To make a theoretical exploration of the function of family-based health promotion in family planning development. Methods Given the notion of reproductive health and the Junction of family in society, the author bring Jorward a new mode of family planning service, that was "healthy, happy household promotion " based on the principle of health education and health promotion. Results The mode of "healthy,, happy household promotion " reflected the new KP. service mode, and was the direction of family planning service. It might benefit both service provider and clients to make the family as the entrance point of quality care of reproductive health in communities, to develop health education and health promotion, and promote fiunily health and fanily happiness. Conclusion Family health and family happiness should be the final goal of family planning.展开更多
Landscape ecology is a new science and there are few cases about applying landscape pattern analysis in optimizing regional planning.By taking the planning of the special planning area for Boao Forum for Asia as the s...Landscape ecology is a new science and there are few cases about applying landscape pattern analysis in optimizing regional planning.By taking the planning of the special planning area for Boao Forum for Asia as the study object,several important landscape indexes have been selected for static analysis of landscape structural feature and landscape structural stability.By using ArcGIS,landscape structural stability map has been overlaid with land use planning map,and then optimization suggestions have been proposed for unreasonable plots.Landscape type and landscape pattern diversity have been selected for dynamic analysis and then suggestions for landscape security pattern been put forward.Through case studies,it has provided a reference for landscape pattern analysis as a means to optimize regional planning.展开更多
Much of the sexual and reproductive health services and service delivery including family planning target women of child bearing ages (15 - 49 years) and sometimes men. Hardly are there programmes/interventions that s...Much of the sexual and reproductive health services and service delivery including family planning target women of child bearing ages (15 - 49 years) and sometimes men. Hardly are there programmes/interventions that specifically target the needs of the elderly women (50 years and above), yet this group has serious sexual and reproductive health needs as many of them are still sexually active. This cross-sectional study obtained the views of a stratified random sample of 169 healthcare providers (doctors, nurses and pharmacists) from four selected sites, Gaborone, Selibe Phikwe, Barolong and Kweneng East health districts in Botswana on how the healthcare system in the selected sites is meeting the SRH/FP needs of the elderly women. The study found out that while overwhelming majority of the healthcare providers feltthat the healthcare system has no programme that specifically target the SRH/FP needs of this significant others and their SRH/FP needs are not being met ,less than 15% indicated that Pap smear screening as well as screening of cervical cancer were on-going. Although there are SRH/FP services available in the healthcare system, the elderly women are minimally accessing these services. Only condom, combined oral contraceptives, progestogen-only pills, treatment of STIs, screening for HIV/AIDS and screening for cervical cancer are accessed and information is also limited to these services. Reasons given by the healthcare providers for the non-accessibility of these services were cultural diversity (80%), people's sexual behavior and perceptions about sex (79%), lack of knowledge about the desired SRH/FP services (76%), religion (73%) and gender issues (62%). The study, advocates as part of policy options to mitigate the obstacles to accessing SRH/FP services, the expansion of counseling programmes, screening and treatment for breast cancer, public awareness campaigns, production and circulation of appropriate educational materials, effective training of healthcare providers and the establishment of separate clinic days for the elderly women' SRH/FP services.展开更多
The overall regional development planning pattern has been considered to be a new and effective pattern as for development of provincial economy.The article analyzed the current conditions of the west of Shandong Prov...The overall regional development planning pattern has been considered to be a new and effective pattern as for development of provincial economy.The article analyzed the current conditions of the west of Shandong Province and tried to find the generation mechanisms of current non-balanced economic development of Shandong Province.And then approaches to regional development were put forward according to the theory of regional development pattern as a whole.展开更多
基金supported by the State Grid Henan Economic Research Institute Science and Technology Project“Calculation and Demonstration of Distributed Photovoltaic Open Capacity Based on Multi-Source Heterogeneous Data”(5217L0230013).
文摘After the integration of large-scale DistributedGeneration(DG)into the distribution network,the randomness and volatility of its output result in a reduction of spatiotemporal alignment between power generation and demand in the distribution network,exacerbating the phenomenon of wind and solar power wastage.As a novel power system model,the fundamental concept of Regional Autonomous Power Grids(RAPGs)is to achieve localized management and energy autonomy,thereby facilitating the effective consumption of DGs.Therefore,this paper proposes a distributed resource planning strategy that enhances the autonomy capabilities of regional power grids by considering multiple evaluation indexes for autonomy.First,a regional Energy Storage(ES)configuration strategy is proposed.This strategy can select a suitable reference value for the upper limit of ES configuration based on the regional load andDGoutput to maximize the elimination of source load deviations in the region as the upper limit constraint of ES capacity.Then,a control strategy for regional ES is proposed,the charging and discharging reference line of ES is set,and multiple autonomy and economic indexes are used as objective functions to select different proportions of ES to control the distributed resources of the regional power grid and establish evaluation indexes of the internal regional generation and load power ratio,the proportion of power supply matching hours,new energy consumption rate and tie line power imbalance outside the region to evaluate changes in the regional autonomy capabilities.The final simulation results showthat in the real regional grid example,the planning method in the planning year in the region of the overall power supply matching hour ratio and new energy consumption rate increased by 3.9%and 4.8%on average,and the power imbalance of the tie line decreased by 7.8%on average.The proposed planning approach enables the maximization of regional autonomy while effectively smoothing the fluctuation of power exchange between the regional grid and the higher-level grid.This presents a rational and effective planning solution for the regional grid,facilitating the coordinated development between the region and the distribution network.
文摘The accelerated growth of the vehicular fleet, the modernization of large urban centers, and the few adjustments to the road network in Fortaleza have intensified the problems of traffic and emissions of atmospheric pollutants, highlighting the necessity for strategic urban planning initiatives to address the escalating issues of traffic and pollution. With the objective of analyzing the indices of concentrations of atmospheric pollutants and estimating how these levels can affect human health, this work consists of a study of the analysis of air quality in the intense trade region of Fortaleza. For this, the analysis zone was divided into three perimeters (Major - Medium - Minor), where each perimeter was analyzed at 7 am, 12 noon and 5 pm. Concentrations of the type of O<sub>3</sub>, particulate matter (PM<sub>2.5</sub> and PM<sub>10</sub>), CO<sub>2</sub> and HCHO were collected. Our results demonstrate that most of the analyses are within the limits of current legislation;however, at certain times and perimeters, the analyses of CO<sub>2</sub> and HCHO exceeded the established limits. In view of the above, we conclude that public policies to control air quality are necessary to reduce the damage to human health and the environment caused by pollutants.
文摘This study was a brief review of issues related to health planning in the metropolitan area of Syracuse, New York. It suggested that population demographics and health care utilization can have an impact on the use of services at the community level. The study suggested that the utilization of services can be associated with patient demographics. In this study, younger populations were associated with lower use of hospital inpatient care. The data have also suggested that larger numbers of younger populations are not necessarily related to opportunities for expanding local health care providers. Younger populations can be associated with lower per capita use of services. The data demonstrated that there were substantial reductions in hospital discharges for adult medicine. Total discharges declined by 3999 patients between the seven months in 2019 and 2023. The data also demonstrated that there were notable reductions in hospital discharges for adult surgery.
文摘Aim: This paper aims to evaluate disparities of type 2 diabetes structured health education programmes that is utilised within the communities. Design: systematic review, (a type of secondary research design) aiming to summarize the results of prior primary research studies on available evidence Community type 2 diabetes structured education (CT2DSHE). Methods: Research question: Type 2 diabetic structured health education within a community how effective is it? Qualitative Systematic review, defined as a way to get reliable and objective picture of current available evidence on the specific topic—(CT2DSHE), (Denscombe, 2021) through reflexivity synthesis of available data as an example. This is valuable in time constraints such as project assignments that must be met within specific time and also to bring together available evidence together [1]. Results: This review has shown that CT2DSHE is effective with seven out of the eleven authors supporting, three authors against and one was neutral, further showed that knowledge and skills acquired can last longer with patient activation improved among T2DM patients ideal for sustaining their self-management of T2DM. Conclusion: This research provides suggestive answers to the research question: “Type 2 diabetic structured health education within a community how effective is it?”, This has demonstrated CT2DSHE effectiveness in knowledge acquisition and improving T2DM awareness among T2DM patients, whilst evidencing long effects beyond the study times of 3 - 9 months period in relation to patient activation. Also Identified diabetes education self-management on newly diagnosed (DESMOND) patient as CT2DSHE program for recommendation. Patient or Public Contribution: This work aspires to contribute to CT2DSHE in these areas;Influencing policy decision-making for community diabetes care within the UK and world at large., Contributing to already vast knowledge on diabetes self-management and reasons why?, Influencing educators on how CT2DSHEP are designed, delivered by putting the patient at the Centre and bringing different perspectives on CT2DSHEP in one place that is serving users time of having to consult several resources especially busy clinicians [2] [3].
文摘Natural environment and historical humanities are the two elements constituting regional features.The construction of urban park should search design language from regional features.The author,taking Dongshan Park in Qianxi County,Hebei Province as an example,discussed how to search local natural environment features,reasonably exploit cultural resources and integrate regional features from the establishment of planning theme to the expression of designing details.
文摘After analysis of location feature of the south of lower reaches of Yangtze River and its construction of urban and rural integration,the paper pointed out harmonious combination between natural and artificial factors had been neglected in planning and design of farmers' residential area at the south of lower reaches of Yangtze River,"regional characteristic" losing,residential area in the form of "city community" and buildings in European style.In view of these problems,relevant planning and design thoughts and methods had been proposed as to how to create "regional characteristic" from the perspective of planning,architecture and landscape design.It discussed with emphasis the importance of construction base type and combination of environment with residential area construction;inspirations and design methods obtained from traditional architectures;and the content of landscape overall planning and specific design.It was hoped to enlighten designers to shoulder social and historical responsibility,make exploration unremittingly,and construct beautiful homelands for people.
基金Under the auspices of National Natural Science Foundation of China(No.40801069)Special Research Program for Public-welfare Forestry of China(No.200804001)
文摘This paper firstly investigated the land-use and land-cover change (LUCC) in the Hun-Taizi River water- shed, Northeast China from 1988 to 2004 based on remotely sensed images and geographic information systems (GIS) technology. Then, using the famous land-use change model of Conversion of Land Use and its Effects at Small re- gional extent (CLUE-S), this paper simulated the land use changes under historical trend (HT), urban planning (UP) and ecological protection (EP) scenarios considering urban planning and ecological protection over the next 20 years. The simulated results under UP scenario in 2020 were compared with the planning map to assess the feasibility of us- ing land-use change model to guide regional planning. Results show that forest land, dry farmland, paddy, and shrub land were the main land-use categories. Paddy and dry farmland being converted to urban area and rural settlement characterized the land-use change from 1988 to 2004. The main land-use categories changed over time. Landscape-pattem fragmentation will be worse under HT and UP scenarios, but better in EP scenario. The comparing results of simulated map with planning map in 2020 show that land-use change model is powerful tool to guide regional planning. Land-use scenarios can support regional planning and policy-making through analyzing future consequences scientifically.
基金Under the auspices of the Key Project of Science and Technology oftheMinistryofEducation(No .03111) and In-cubationFund ProjectofScienceand Technology Committee ofChongqing (No .017079)
文摘This paper, taking Beiwenquan Town of Beibei, Chongqing as an example, assessed the impacts of land use on ecological health by comprehensive index method, and discussed methodological system of sustainable land use planning based on ecological health. Results indicated that: 1) From 1992 to 2002, land use changes focused on 12 patterns with the total conversion area of 92.11%, which were related to cultivated land, residential and industrial-mining area, and orchard land. Urbanization and economic reconstruction were the leading driving forces. 2) There was obvious difference of the areas of ecotypes driven by land use change in wide valley and mild slope between 1992 and 2002, while there were little or no difference in steep slope and very steep slope. 3) Both of the conditions of ecological health in 1992 and 2002 were sound, and the ecotypes focused on the types of health and sub-health. But, health ecosystem in 1992, with an area of 764.64ha, accounting for 38.51% of the total evaluation area, was better than that in 2002, with an area of 636.10ha, accounting for 34.19% of the total evaluation area. 4) The ecotypes involved into different ranges have already degenerated, due to humankind’s disturbance, while the conditions of ecological health in the same ranges in 1992, regardless of stability and reconstruction, were better than that in 2002. 5) The planning scenario based on ecological health was accorded with the practice condition of Beiwenquan Town: 388.29ha of cultivated land could meet the Beiwenquan demand of food and byproduct; 1045.26ha of forest land area, the Beiwenquan demand of ecological health; and 1004.73ha of the residential and industrial-mining area, the Beiwenquan building demand. 6) Sustainable land use planning based on ecological health had higher useful value, because it not only stood to ecological theory, but also satisfied the developmental demand of society and economy.
文摘Regional development planning is one of the 'hot spots' in the field of human geography in China Based on brief retrospection and reviewing of its development since the 1980s, this paper discusses the basic thoughts of regional development planning under the socialit market economy, i.e.,to work out planning of flexibility, sustainability, multi-objective coordination and high effective practicability. In line with these thoughts, the paper puts forwards boo countermeasure in the practice of working out a high effective regional developmed planning. These countermeasures are to strengthen research on market factors, to take the coordinated development between the economy,society and PRED as the main line of regional development to correctly deal with the relationship between qualitative analysis and quantitative research and to emphasize on researches of regional policies.
文摘In this study, accessibility and location-allocation models have been integrated into GIS to improve spatial planning and environmental sustainability of health services in Al-Madinah Al-Munawwarah. This integration provides a planning framework in order to check the efficiency of the spatial allocation of health services and to generate alternatives either by proposing an active service or to improve an existing one. To achieve these objectives, the accessibility to the service area was analyzed within the analysis of health services networks, which are divided into eight types: public hospitals, specialized hospitals, health units, healthcare centers, infirmaries, clinic complexes, the Red Crescent Center, and ambulance facilities, with time intervals of (5 minutes - 10 minutes - 15 minutes) to access coverage ranges, and the location-allocation model was used based on the maximum coverage model within a response time not exceeding 15 minutes, The results of the study revealed the poor distribution of health services Al-Madinah Al-Munawwarah suffers from weak accessibility to health services coverage areas and is unable to meet the needs of its population at present. The current need for health services reached twenty-four locations, including two public hospitals, three specialized hospitals, two health centers, three ambulance facilities, four infirmaries, three clinic complexes, four health units, and three Red Crescent centers.
基金Sponsored by 2018 Philosophy and Social Science Research Funded Project in Colleges and Universities of Jiangsu Provincial Department of Education(2018SJA1193)
文摘The Grand Canal is the cultural source of Yangzhou's historical development. The heritage and development of the canal culture are conducive to enhancing the image of Yangzhou, building cultural brands, and enhancing core competitiveness. Taking the canal in the Gaomin Temple section of Yangzhou for example, this study was based on the regional canal culture and the humanistic characteristics of Gaomin Temple, and explored the unique cultural communication mode of the important landscape node of the canal. Through the analysis of the status and development of the landscape of the section, this study concluded corresponding cultural orientation content and direction, and analyzed the integration and communication ideas of regional culture in landscape planning and design, in order to provide a reference for the promotion of cultural brands in the canal city of Yangzhou.
文摘<strong>Background:</strong> Despite having one of the most successful health systems in the world, annual medical expenditures in Japan have been increasing year to year. We sought to clarify regional differences in medical expenditures by analyzing the relationship between the specific health examination coverage and medical care expenditure by prefecture of Japan. <strong>Methods:</strong> We used data from the National Database of Health Insurance Claims and Specific Health Checkups (NDB) Open Data Japan (2015) and Overview of 2015 National Medical Expenses to compare medical care expenditure per capita and proportions of persons receiving specific health examination between Japan nationally and individual prefectures. <strong>Results: </strong>National medical expenditures were 42.3 trillion Japanese yen (JPY) (3851 hundred million dollars), with a national per capita rate of JPY347,219 (USD3156). Per capita medical expenditure rates by prefecture ranged from JPY290,900 (USD2645) in Saitama Prefecture to JPY 444,000 (USD4036) in Kochi Prefecture. The proportion of persons receiving specific health examinations was 49.0% for Japan overall and ranged from 39.3% in Hokkaido Prefecture to 63.4% in Tokyo Prefecture. We observed a significant negative correlation between per capita medical expenditures and the proportion of persons receiving specific health examinations (R = 0.553, p < 0.001).<strong> Conclusion: </strong>We found a significant negative correlation between per capita medical expenditures and the proportion of persons receiving health examinations: prefectures with lower expenditures tended to have higher rates of medical examinations. Interventions to increase the proportion of persons receiving specific health examinations by prefecture could reduce per capita medical expenditures and reduce prefectural disparities in expenditures.
文摘Since the reform and opening-up policy was implemented in China, the development of China' s medical and health undertakings has been very significant along with the rapid development of economy, and the people' s health level is steadily improved and the life expectancy is on the top list in the developing world. However, there are remarkable health differences among urban and rural areas, different regions, and small, medium-sized and large cities. In this paper, on the basis of the healthy social economic decision theory, the characteristics and causes of the regional difference between China' s residents in the health level are systematically analyzed, and then the strategies for the harmonious regional development of the Chinese population health are deeply discussed.
基金funded by Project Number INML2104 under the Interdisci-Plinary Center of Smart Mobility and Logistics,KFUPM.
文摘Unmanned aerial vehicles(UAVs),commonly known as drones,have drawn significant consideration thanks to their agility,mobility,and flexibility features.They play a crucial role in modern reconnaissance,inspection,intelligence,and surveillance missions.Coverage path planning(CPP)which is one of the crucial aspects that determines an intelligent system’s quality seeks an optimal trajectory to fully cover the region of interest(ROI).However,the flight time of the UAV is limited due to a battery limitation and may not cover the whole region,especially in large region.Therefore,energy consumption is one of the most challenging issues that need to be optimized.In this paper,we propose an energy-efficient coverage path planning algorithm to solve the CPP problem.The objective is to generate a collision-free coverage path that minimizes the overall energy consumption and guarantees covering the whole region.To do so,the flight path is optimized and the number of turns is reduced to minimize the energy consumption.The proposed approach first decomposes the ROI into a set of cells depending on a UAV camera footprint.Then,the coverage path planning problem is formulated,where the exact solution is determined using the CPLEX solver.For small-scale problems,the CPLEX shows a better solution in a reasonable time.However,the CPLEX solver fails to generate the solution within a reasonable time for large-scale problems.Thus,to solve the model for large-scale problems,simulated annealing forCPP is developed.The results show that heuristic approaches yield a better solution for large-scale problems within amuch shorter execution time than the CPLEX solver.Finally,we compare the simulated annealing against the greedy algorithm.The results show that simulated annealing outperforms the greedy algorithm in generating better solution quality.
文摘Objective To make a theoretical exploration of the function of family-based health promotion in family planning development. Methods Given the notion of reproductive health and the Junction of family in society, the author bring Jorward a new mode of family planning service, that was "healthy, happy household promotion " based on the principle of health education and health promotion. Results The mode of "healthy,, happy household promotion " reflected the new KP. service mode, and was the direction of family planning service. It might benefit both service provider and clients to make the family as the entrance point of quality care of reproductive health in communities, to develop health education and health promotion, and promote fiunily health and fanily happiness. Conclusion Family health and family happiness should be the final goal of family planning.
基金Supported by Project of National High Technological Research Development Planning (2007AA06A404)Weihe River Special Fund (2009ZX07212-002)Key Scientific and Technological Project of Hainan Province of 2009(KJXM20090001)
文摘Landscape ecology is a new science and there are few cases about applying landscape pattern analysis in optimizing regional planning.By taking the planning of the special planning area for Boao Forum for Asia as the study object,several important landscape indexes have been selected for static analysis of landscape structural feature and landscape structural stability.By using ArcGIS,landscape structural stability map has been overlaid with land use planning map,and then optimization suggestions have been proposed for unreasonable plots.Landscape type and landscape pattern diversity have been selected for dynamic analysis and then suggestions for landscape security pattern been put forward.Through case studies,it has provided a reference for landscape pattern analysis as a means to optimize regional planning.
文摘Much of the sexual and reproductive health services and service delivery including family planning target women of child bearing ages (15 - 49 years) and sometimes men. Hardly are there programmes/interventions that specifically target the needs of the elderly women (50 years and above), yet this group has serious sexual and reproductive health needs as many of them are still sexually active. This cross-sectional study obtained the views of a stratified random sample of 169 healthcare providers (doctors, nurses and pharmacists) from four selected sites, Gaborone, Selibe Phikwe, Barolong and Kweneng East health districts in Botswana on how the healthcare system in the selected sites is meeting the SRH/FP needs of the elderly women. The study found out that while overwhelming majority of the healthcare providers feltthat the healthcare system has no programme that specifically target the SRH/FP needs of this significant others and their SRH/FP needs are not being met ,less than 15% indicated that Pap smear screening as well as screening of cervical cancer were on-going. Although there are SRH/FP services available in the healthcare system, the elderly women are minimally accessing these services. Only condom, combined oral contraceptives, progestogen-only pills, treatment of STIs, screening for HIV/AIDS and screening for cervical cancer are accessed and information is also limited to these services. Reasons given by the healthcare providers for the non-accessibility of these services were cultural diversity (80%), people's sexual behavior and perceptions about sex (79%), lack of knowledge about the desired SRH/FP services (76%), religion (73%) and gender issues (62%). The study, advocates as part of policy options to mitigate the obstacles to accessing SRH/FP services, the expansion of counseling programmes, screening and treatment for breast cancer, public awareness campaigns, production and circulation of appropriate educational materials, effective training of healthcare providers and the establishment of separate clinic days for the elderly women' SRH/FP services.
文摘The overall regional development planning pattern has been considered to be a new and effective pattern as for development of provincial economy.The article analyzed the current conditions of the west of Shandong Province and tried to find the generation mechanisms of current non-balanced economic development of Shandong Province.And then approaches to regional development were put forward according to the theory of regional development pattern as a whole.