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西藏交通警察道路执法工作的风险与防范
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作者 尼桑拉 《时代汽车》 2024年第12期184-186,共3页
西藏自治区自然、地理与气候环境复杂且特殊,道路交通环境相对恶劣,这导致当地交通警察道路执法工作面临诸多风险,包括警员人身安全和执法效能等风险。对此,文章对西藏交通警察道路执法工作风险进行了调查分析,从地区环境、警员安全意... 西藏自治区自然、地理与气候环境复杂且特殊,道路交通环境相对恶劣,这导致当地交通警察道路执法工作面临诸多风险,包括警员人身安全和执法效能等风险。对此,文章对西藏交通警察道路执法工作风险进行了调查分析,从地区环境、警员安全意识与技能、执法装备、社会宣传和教育等角度探讨了相关风险的成因,针对性相关风险成因,提出从优化警力配置与道路信息推送、加强警员培训、完善警务装备、加强法治化宣传教育等工作来消除相关风险,以期保障警员安全并改善西藏交通环境。 展开更多
关键词 西 harsh which leads to the local trac POLICE road LAW ENFORCEMENT work to face a lot of RISKS including the personal SAFETY of the POLICE ocers and LAW ENFORCEMENT eectiveness and other risks. In this regard this paper investigates and analyzes the RISKS of road LAW ENFORCEMENT work of the Xi Zang trac POLICE discusses the causes of the RISKS from the perspectives of regional environment POLICE SAFETY awareness and skills LAW ENFORCEMENT equipment social publicity and education and proposes to eliminate the RISKS by optimizing the allocation of POLICE force and road information delivery strengthening POLICE training improving POLICE equipment and strengthening the rule of LAW publicity and education etc. so as to guarantee the SAFETY of POLICE ocers and improve the eectiveness of LAW ENFORCEMENT so as to ensure the SAFETY of POLICE ocers and improve the trac environment in Xi Zang.
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Regional Brand and High-quality Development of Fruits in Ethnic Areas of the Yangtze River Economic Belt under the Greater Food Approach
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作者 Li GAO Jianjun ZHANG +2 位作者 Yuanpeng SUN Zhiyang LIU Zhiguo SUN 《Asian Agricultural Research》 2024年第3期1-7,共7页
Establishing the Greater Food Approach and promoting the Yangtze River Economic Belt s national major regional development strategy can better support and serve the agricultural power and Chinese-style modernization.T... Establishing the Greater Food Approach and promoting the Yangtze River Economic Belt s national major regional development strategy can better support and serve the agricultural power and Chinese-style modernization.This paper introduces the characteristics of fruit industry in 16 autonomous prefectures and 47 autonomous counties under the jurisdiction of the Yangtze River Economic Belt.It studies the intellectual property resources of brand marks from the aspects of geographical indications,collective trademarks,certification trademarks,well-known trademarks in China and national design patents,and analyzes the main problems of brand and high-quality development of fruit industry in these ethnic autonomous areas.Finally,it puts forward some strategies,such as improving the protection of intellectual property rights of geographical indications,using intellectual property rights of brand signs,building modern seed industry upgrading project,drawing lessons from the experience of thousand villages demonstration project,ensuring that large-scale poverty does not occur,and building a diversified food supply system. 展开更多
关键词 GREATER FOOD APPROACH Fruit industry regional brand The Yangtze River Economic Belt ETHNIC areas
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Regional anesthesia for orthopedic procedures:What orthopedic surgeons need to know 被引量:1
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作者 Ihab Kamel Muhammad F Ahmed Anish Sethi 《World Journal of Orthopedics》 2022年第1期11-35,共25页
Regional anesthesia is an integral component of successful orthopedic surgery.Neuraxial anesthesia is commonly used for surgical anesthesia while peripheral nerve blocks are often used for postoperative analgesia.Pati... Regional anesthesia is an integral component of successful orthopedic surgery.Neuraxial anesthesia is commonly used for surgical anesthesia while peripheral nerve blocks are often used for postoperative analgesia.Patient evaluation for regional anesthesia should include neurological,pulmonary,cardiovascular,and hematological assessments.Neuraxial blocks include spinal,epidural,and combined spinal epidural.Upper extremity peripheral nerve blocks include interscalene,supraclavicular,infraclavicular,and axillary.Lower extremity peripheral nerve blocks include femoral nerve block,saphenous nerve block,sciatic nerve block,iPACK block,ankle block and lumbar plexus block.The choice of regional anesthesia is a unanimous decision made by the surgeon,the anesthesiologist,and the patient based on a risk-benefit assessment.The choice of the regional block depends on patient cooperation,patient positing,operative structures,operative manipulation,tourniquet use and the impact of postoperative motor blockade on initiation of physical therapy.Regional anesthesia is safe but has an inherent risk of failure and a relatively low incidence of complications such as local anesthetic systemic toxicity(LAST),nerve injury,falls,hematoma,infection and allergic reactions.Ultrasound should be used for regional anesthesia procedures to improve the efficacy and minimize complications.LAST treatment guidelines and rescue medications(intralipid)should be readily available during the regional anesthesia administration. 展开更多
关键词 Orthopedic surgery regional anesthesia Spinal Epidural Combined spinal epidural Peripheral nerve blocks Neuraxial blocks Upper extremity Lower extremity INTERSCALENE SUPRACLAVICULAR Infraclavicular AXILLARY Femoral Fascia iliaca POPLITEAL SCIATIC Saphenous Adductor canal Lumbar plexus Brachial plexus Ankle iPACK Complication Local anesthetic systemic toxicity Nerve injury Block failure Continuous nerve block catheters
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Regional patterns of atrophy on MRI in Alzheimer’s disease: Neuropsychological features and progression rates in the ADNI cohort
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作者 Ranjan Duara David A. Loewenstein +5 位作者 Qian Shen Warren Barker Maria T. Greig Daniel Varon Melissa E. Murray Dennis W. Dickson 《Advances in Alzheimer's Disease》 2013年第4期135-147,共13页
Background: Discrete clinical and pathological subtypes of Alzheimer’s disease (AD) with variable presentations and rates of progression are well known. These subtypes may have specific patterns of regional brain atr... Background: Discrete clinical and pathological subtypes of Alzheimer’s disease (AD) with variable presentations and rates of progression are well known. These subtypes may have specific patterns of regional brain atrophy, which are identifiable on MRI scans. Methods: To examine distinct regions which had distinct underlying patterns of cortical atrophy, factor analytic techniques applied to structural MRI volumetric data from cognitively normal (CN) (n = 202), amnestic mild cognitive impairment (aMCI) (n = 333) or mild AD (n = 146) subjects, in the Alzheimer’s Disease Neuroimaging Initiative (ADNI) database was applied. This revealed the existence of two neocortical (NeoC-1 and NeoC-2), and a limbic cluster of atrophic brain regions. The frequency and clinical correlates of these regional patterns of atrophy were evaluated among the three diagnostic groups, and the rates of progression from aMCI to AD, over 24 months were evaluated. Results: Discernable patterns of regional atrophy were observed in about 29% of CN, 55% of aMCI and 83% of AD subjects. Heterogeneity in clinical presentation and APOE ε4 frequency were associated with regional patterns of atrophy on MRI scans. The most rapid progression rates to dementia among aMCI subjects (n = 224), over a 24-month period, were in those with NeoC-1 regional impairment (68.2%), followed by the Limbic regional impairment (48.8%). The same pattern of results was observed when only aMCI amyloid positive subjects were examined. Conclusions: The neuroimaging results closely parallel findings described recently among AD patients with the hippocampal sparing and limbic subtypes of AD neuropathology at autopsy. We conclude that NeoC-1, Limbic and other patterns of MRI atrophy may be useful markers for predicting the rate of progression of aMCI to AD and could have utility selecting individuals at higher risk for progression in clinical trials. 展开更多
关键词 Subtypes Mild Cognitive Impairment MCI preMCI Amnestic MCI Alzheimers Disease Dementia MRI Hippocampal Volume Algorithmic DIAGNOSIS Clinical DIAGNOSIS NEUROPSYCHOLOGICAL Tests Longitudinal Analysis regional ATROPHY
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Regional dynamic cerebral autoregulation across anterior and posterior circulatory territories:A detailed exploration and its clinical implications
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作者 Bahadar S Srichawla Maria A Garcia-Dominguez 《World Journal of Critical Care Medicine》 2024年第4期25-34,共10页
Cerebral autoregulation(CA)is the mechanism that maintains stable cerebral blood flow(CBF)despite fluctuations in systemic blood pressure,crucial for brain homeostasis.Recent evidence highlights distinct regional vari... Cerebral autoregulation(CA)is the mechanism that maintains stable cerebral blood flow(CBF)despite fluctuations in systemic blood pressure,crucial for brain homeostasis.Recent evidence highlights distinct regional variations in CA between the anterior(carotid)and posterior(vertebrobasilar)circulations.Noninvasive neuromonitoring techniques,such as transcranial Doppler,transfer function analysis,and near-infrared spectroscopy,facilitate the dynamic assessment of CBF and autoregulation.Studies indicate a robust autoregulatory capacity in the anterior circulation,characterized by rapid adjustments in vascular resistance.On the contrary,the posterior circulation,mainly supplied by the vertebral arteries,may have a lower autoregulatory capacity.in acute brain injuries such as intracerebral and subarachnoid hemorrhage,and traumatic brain injuries,dynamic CA can be significantly altered in the posterior circulation.Proposed physiological mechanisms of impaired CA in the posterior circulation include:(1)Decreased sympathetic innervation of the vasculature impairing compensatory vasoreactivity;(2)Endothelial dysfunction;(3)Increased cerebral metabolic rate of oxygen consumption within the visual cortex causing CBFmetabolism(i.e.,neurovascular)uncoupling;and(4)Impaired blood-brain barrier integrity leading to impaired astrocytic mediated release of vasoactive substances(e.g.nitric oxide,potassium,and calcium ions).Furthermore,more research is needed on the effects of collateral circulation,as well as the circle of Willis variants,such as the fetal-type posterior cerebral artery,on dynamic CA.Improving our understanding of these mechanisms is crucial to improving the diagnosis,prognosis,and management of various cerebrovascular disorders. 展开更多
关键词 Cerebral autoregulation Anterior circulation Posterior circulation Posterior cerebral artery regional cerebral autoregulation Transcranial doppler Near-infrared spectroscopy Transfer function analysis Cerebral energetics
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Analyzing Population Density Disparity in China with GIS-automated Regionalization: The Hu Line Revisited 被引量:5
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作者 WANG Fahui LIU Cuiling XU Yaping 《Chinese Geographical Science》 SCIE CSCD 2019年第4期541-552,共12页
The famous ’Hu Line’, proposed by Hu Huanyong in 1935, divided China into two regions(southeast and northwest) of comparable area size but drastically different in population. However, the classic Hu Line was derive... The famous ’Hu Line’, proposed by Hu Huanyong in 1935, divided China into two regions(southeast and northwest) of comparable area size but drastically different in population. However, the classic Hu Line was derived manually in absence of reliable census data and computational technologies of modern days. It has been subject to criticism of lack of scientific rigor and accuracy. This research uses a GIS-automated regionalization method, termed REDCAP(Regionalization with Dynamically Constrained Agglomerative Clustering and Partitioning), to reconstruct the demarcation line based on the 2010 county-level census data in China. The results show that the logarithmic transformation of population density is a better measure of attributive homogeneity in derived regions than density itself, and produces two regions of nearly identical area size and greater contrast in population. Specifically, the revised Hu Line by Hu Huanyong in 1990 had the southeast region with 94.4% of total population and 42.9% of total land, and our delineation line yields a southeast region with 97.4% population and 50.8% land. Therefore, the population density ratio of the two regions is 27.1 by our line, much higher than the ratio of 22.4 by the Hu Line, and thus outperforms the Hu Line in deriving regions of maximum density contrast with comparable area size. Furthermore, more regions are delineated to further advance our understanding of population distribution disparity in China. 展开更多
关键词 HU LINE regional population density DISPARITY GIS-automated regionalIZATION REDCAP (regionalization with Dynamically Constrained Agglomerative Clustering and Partitioning) China
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Does digitalization mitigate regional inequalities?Evidence from China 被引量:1
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作者 Haimeng Liu Xinyang Wang +1 位作者 Zheye Wang Yu Cheng 《Geography and Sustainability》 CSCD 2024年第1期52-63,共12页
Regional inequality significantly influences sustainable development and human well-being.In China,there exists pronounced regional disparities in economic and digital advancements;however,scant research delves into t... Regional inequality significantly influences sustainable development and human well-being.In China,there exists pronounced regional disparities in economic and digital advancements;however,scant research delves into the interplay between them.By analyzing the economic development and digitalization gaps at regional and city levels in China,extending the original Cobb-Douglas production function,this study aims to evaluate the impact of digitalization on China's regional inequality using seemingly unrelated regression.The results indicate a greater emphasis on digital inequality compared to economic disparity,with variable coefficients of 0.59 for GDP per capita and 0.92 for the digitalization index over the past four years.However,GDP per capita demonstrates higher spatial concentration than digitalization.Notably,both disparities have shown a gradual reduction in recent years.The southeastern region of the Hu Huanyong Line exhibits superior levels and rates of economic and digital advancement in contrast to the northwestern region.While digitalization propels economic growth,it yields a nuanced impact on achieving balanced regional development,encompassing both positive and negative facets.Our study highlights that the marginal utility of advancing digitalization is more pronounced in less developed regions,but only if the government invests in the digital infrastructure and education in these areas.This study's methodology can be utilized for subsequent research,and our findings hold the potential to the government's regional investment and policy-making. 展开更多
关键词 regional inequality regional disparities Digital divide DIGITALIZATION Sustainable development Economic growth Seemingly unrelated regression
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Analysis of Regional Difference of Agricultural Land Productivity in Heilongjiang Province
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作者 Linlin CAO Jinrong YANG Shiqin YANG 《Asian Agricultural Research》 2024年第8期9-13,16,共6页
The sustenance of humanity is contingent upon the production of food.The foundation of this production is agriculture,which in turn is dependent upon the cultivation of the land.As a fundamental element of agricultura... The sustenance of humanity is contingent upon the production of food.The foundation of this production is agriculture,which in turn is dependent upon the cultivation of the land.As a fundamental element of agricultural advancement,the rational development and utilization of land play a pivotal role in the process of rural revitalization.Agricultural land productivity serves as a principal indicator of the efficacy of land utilization and the extent of agricultural advancement.Nevertheless,there is a paucity of research examining the productivity of agricultural land,particularly a lack of specialized research on large agricultural provinces.In light of the aforementioned considerations,this paper presents a comprehensive examination of agricultural land productivity and its regional variations in Heilongjiang Province in 2022,with the aid of pertinent statistical data.The findings of the analysis indicate that among the prefecture-level cities,Daqing and Suihua exhibit the highest levels of agricultural land productivity.Additionally,Zhaodong City,Zhaozhou,Qinggang,Wangkui,and Lanxi counties exhibit high levels of agricultural land productivity within their respective prefecture-level cities.There are notable disparities in agricultural land productivity across various regions,including Yichun,Heihe,Harbin,Daqing,Hegang,and Suihua.In contrast,other regions demonstrate a more balanced spatial distribution.In order to facilitate the prosperous development of the agricultural industry in Heilongjiang Province,it is essential to optimize the spatial planning of the land,to investigate the potential for agricultural development in each region,to establish effective collaboration between resources and industries,and to create a development synergy that will collectively advance rural revitalization. 展开更多
关键词 AGRICULTURAL LAND PRODUCTIVITY regional DIFFERENCE Heilongjiang PROVINCE
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Effectiveness and safety of rocuronium or nitroglycerin plus ropivacaine on pain during intravenous regional anesthesia:A double-blind randomized controlled trial
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作者 Shiva Alikhani Hesameddin Modir +2 位作者 Esmail Moshiri Alireza Kamali Seyed Yosef Shahtaheri 《Journal of Acute Disease》 2024年第4期142-149,共8页
Objective:To compare the effects of adding rocuronium and nitroglycerin to ropivacaine in intravenous regional anesthesia(IVRA)on pain and hemodynamic parameters.Methods:This randomized controlled trial was done in 20... Objective:To compare the effects of adding rocuronium and nitroglycerin to ropivacaine in intravenous regional anesthesia(IVRA)on pain and hemodynamic parameters.Methods:This randomized controlled trial was done in 2023.Participants were 177 candidates for forearm operation surgery under IVRA selected from Valiasr Hospital,Arak,Iran.They were allocated by block randomization to three different groups,namely nitroglycerin group,rocuronium group and control group.Hemodynamic parameters were recorded before tourniquet application up to postoperative recovery time.Sensory block and motor block onset and duration and pain were also evaluated.The data analysis was carried out by IMB SPSS software 20.0.Results:177 Eligible patients were included in study,with 59 in each group.Time to sensory and motor block onset in the nitroglycerin group was significantly less than the other groups and the time of motor block in the rocuronium group was statistically higher than the control and the nitroglycerin groups(P<0.001).Seven participants in the nitroglycerin group experienced headache and three from the rocuronium group experienced dizziness.The side effects occurrence in the nitroglycerin group was more prevalent than in the control and rocuronium groups(P=0.009).Conclusions:Nitroglycerin significantly reduces the time to sensory and motor block onset,while rocuronium is more effective in prolonging the time of motor block.Although there is no difference between nitroglycerin and rocuronium respecting the pain score and opioid need administration,nitroglycerin is associated with a higher prevalence of medication side effects.Therefore,both nitroglycerin and rocuronium can be used as adjuvant for IVRA.The final choice relies on patients’conditions and anesthesiologists’judgment. 展开更多
关键词 ROCURONIUM NITROGLYCERIN ROPIVACAINE PAIN HEMODYNAMIC regional anesthesia Intravenous anesthesia
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Creation of "Regional Characteristic" in Planning and Design of Farmers' Residential Area at the South of Lower Reaches of the Yangtze River 被引量:1
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作者 洪杰 《Journal of Landscape Research》 2011年第4期25-28,共4页
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
关键词 The south of lower reaches of YANGTZE River Farmers RESIDENTIAL area regional CHARACTERISTIC Planning and design
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Regional Block Anesthesia in Breast Surgery: What Do We Know So Far?
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作者 Hao Wang Sharat Chopra Prit Anand Singh 《Open Journal of Anesthesiology》 2024年第9期185-195,共11页
Breast cancer is the most prevalent cancer in women worldwide, and pain following mastectomy is a major post-surgical complication. This paper highlights the risk factors for chronic pain in breast surgery and evaluat... Breast cancer is the most prevalent cancer in women worldwide, and pain following mastectomy is a major post-surgical complication. This paper highlights the risk factors for chronic pain in breast surgery and evaluates various regional block techniques used to reduce post-operative pain, and minimize hospital stays in high-risk patients. Further research is needed to evaluate the effectiveness of novel regional anaesthesia techniques in an enhanced recovery context, and to assess their role in preventing or reducing chronic pain. 展开更多
关键词 Chronic Pain Breast Surgery MASTECTOMY regional Anesthesia Nerve Blocks ULTRASOUND-GUIDED
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Regional Geochemical Characteristics and Influence Factors of Soil Elements in the Pearl River Delta Economic Zone, China 被引量:2
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作者 Lei Dou Tingting Li 《International Journal of Geosciences》 2015年第6期593-604,共12页
Soil heavy metal pollution is one of the main environmental problems in Pearl River Delta Economic?Zone of China. Based on multi-purpose regional geochemical survey, regional eco-geochemical assessment, local eco-geoc... Soil heavy metal pollution is one of the main environmental problems in Pearl River Delta Economic?Zone of China. Based on multi-purpose regional geochemical survey, regional eco-geochemical assessment, local eco-geochemical assessment and comprehensive appraisal, the eco-geochemical survey and assessment in Pearl River Delta Economic Zone of 41,698 km2?were completed. Samples from soils were collected in accordance with the two-layer grid method. Totally 54 elements and indicators for soils were determined. Compared to deep soils, the sampled surface soils are enriched in OrgC, N, P, Cd, S,Hg, Ag, B, Au, S and poor with As, Ni, I, Co, Cr, V, MgO, Sc, Al2O3, Fe2O3?etc. The characteristics of geochemical reference value of element in soil that inherited soil parent material and regional elements combined features reflected that the elements enriched in the soil was interrelated with acid rock, sandstone and shale. The spatial distribution characteristics of element regional geochemistry were conditional by regional environmental geological conditions,and effected by human activities. The Pearl River Delta plain is a typical geochemical landscape area with regional anomaly of multiple-elements. The north, western and eastern parts of the Pearl River Delta Economic Zone are quite different in geochemical features due to regional geological background, soil parent materials, geomorphic characteristics and human activities. Environment quality evaluation results show that the grade I and grade II soil accounted for 19.9% and 57.3% of the total area. Many samples that widely distributed in the economic developed of Pearl River Delta Plain area reached the third-grade of national soil environment standard. The soil enriched in Cd, Hg, As, and the area ratio accounting for 22.8% of the total area. It is mainly controlled by the geochemical background, the Pearl River Delta formation evolution process, especially the marine transgression process lead to Cd, Cu, Zn and Pb enrichment in Pearl River Delta plain. At the same time, under the influence of higher pressure of human activities, all kinds of exogenous input material carrying heavy metal pollutants on soil environmental quality also could not to ignore. 展开更多
关键词 regional GEOCHEMICAL Characteristic Soil ELEMENTS Source of ANOMALOUS ELEMENTS Influence Factors PEARL River Delta Economic Zone China
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Coupling coordinated development among digital economy,regional innovation,and talent employment:A case study in the Hangzhou Metropolitan Circle,China
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作者 QIU Luyi Sharina OSMAN HUA Yidi 《Regional Sustainability》 2024年第1期93-106,共14页
Coordinative development across various systems,particularly the economic,social,cultural,and human resources subsystems,is a key aspect of urban sustainability and has a direct impact on the quality of urbanization.T... Coordinative development across various systems,particularly the economic,social,cultural,and human resources subsystems,is a key aspect of urban sustainability and has a direct impact on the quality of urbanization.The Hangzhou Metropolitan Circle,comprising Hangzhou City,Huzhou City,Jiaxing City,and Shaoxing City,was the first metropolitan circle approved by the National Development and Reform Commission(NDRC)as a demonstration of economic transformation in China.To evaluate the coupling coordination degree of the four cities and analyze the coordinative development in three systems(including digital economy,regional innovation,and talent employment),we collected panel data during 2015–2022 from these four cities.The development level of the three systems was evaluated by the standard deviation method and comprehensive development index.The results are as follows:(1)the level of coupling coordinated development of the three systems in the Hangzhou Metropolitan Circle was relatively low;(2)the coupling coordination degree of the four cities in the Hangzhou Metropolitan Circle showed significant regional differences,among which Hangzhou City was in the leading position,and Huzhou,Jiaxing,and Shaoxing cities made steady but slow progress in the coupling development of the three systems;and(3)the development of digital economy and talent employment needs to be strengthened.This study contributes to the coordinative development of Hangzhou Metropolitan Circle by innovatively focusing on the coupling coordination relationship among digital economy,regional innovation,and talent employment,which also meets the industrial layout of Hangzhou Metropolitan Circle.In this way,the optimal allocation and sustainable development of digital economy,regional innovation,and talent employment in the Hangzhou Metropolitan Circle can be achieved. 展开更多
关键词 Digital economy regional innovation Talent employment Coupling coordination degree Hangzhou Metropolitan Circle
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Regional anesthesia for acute pain management in elderly patients
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作者 Jinlei Li Thomas M Halaszynski 《World Journal of Anesthesiology》 2014年第1期82-95,共14页
Normal aging is a process that involves loss of functional reserve of most organ systems of the human body, most significantly: cardiovascular, pulmonary, renal and nervous systems. Advancements in both surgery and an... Normal aging is a process that involves loss of functional reserve of most organ systems of the human body, most significantly: cardiovascular, pulmonary, renal and nervous systems. Advancements in both surgery and anesthesia have made it possible to operate more safely on the elderly population and those older patients with multiple severe co-morbidities that were not routinely possible in the recent past. Regional anesthesiologist have proven to be instrumental in this regard as regional anesthetic/analgesic techniques may now permit surgeons to operate on the elderly who were not ideal surgical candidates or unable to tolerate general anesthesia. In addition, regional techniques provide alternatives that may optimize acute pain control and reduce the incidence of devastating side effects during the perioperative period such as: myocardial infarction, pulmonary embolism, pneumonia, and also increases the opportunity to allow for early ambulation and shorter hospital stays. These anesthetic options now provide the elderly patient with better medical care alternatives, but also can show a significant financial impact on health care system resources. Further understanding on aging molecular biology, physiology and pathophysiology, together with technical improvements of regional anesthetic techniques will continue to make it safer and more efficacious to operate on the elderly population with evidence of reduced morbidity and mortality. Although there is only anecdotal evidence that regional anesthesia(RA) improves survival, there is little doubt that RA plays an important role in perioperative optimization of pain control and decreases pain management complications as well as a reduction in healthcare costs. Beyond traditional operating rooms, elderly patients may increasingly benefit from RA and acute pain management in Emergency Rooms, medical clinics and even within a patient's home. Therefore, the focus of this review is directed toward geriatric patients and beneficial effects of RA on outcomes in the elderly. 展开更多
关键词 regional anesthesia Elderly patients Pain management Local ANESTHETICS OPIOID ANALGESICS Multi-modal Cognitive IMPAIRMENT ORGAN systems Procedure-and PATIENT-SPECIFIC
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Addressing inclusion,innovation,and sustainability challenges through the lens of economic geography:Introducing the hierarchical regional innovation system
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作者 Iván Tartaruga Fernanda Sperotto Luís Carvalho 《Geography and Sustainability》 CSCD 2024年第1期1-12,共12页
The world is facing dramatic challenges related to environmental sustainability at an accelerating pace.In this context,the field of economic geography(EG)has been playing an important role in understanding both the s... The world is facing dramatic challenges related to environmental sustainability at an accelerating pace.In this context,the field of economic geography(EG)has been playing an important role in understanding both the socioeconomic and technological dimensions of these challenges,as it deals with a variety of complementary notions and perspectives.Departing from this lens,our aim is to explore a conceptual framework that can help us to understand environmental changes relating to multi-dimensional territorial development,notably in eco-nomic contexts where inequality is high,and stratification based on hierarchies regulate social and economic life.Based on the territory concept,we propose the original notion of a hierarchical regional innovation system(HRIS)that emphasises the pervasive role of hierarchies(powers)in regional innovation systems and illustrate its value with evidence and case studies from extant literature on sustainability transitions.The HRIS can help us understand and promote development paths considering the contribution of inclusive eco-innovations(another original conceptual amalgam).Through some empirical cases from other studies in low-carbon transitions,we show the application of the HRIS(and inclusive eco-innovation)framework.In conclusion,we provide incen-tives to explore new regional innovation systems,alongside the HRIS,adapted to different regions worldwide and centred on the inclusiveness of people and places. 展开更多
关键词 Inclusive eco-innovation Inclusive innovation Hierarchical regional innovation system(HRIS) Territorial development Sustainable development Sustainability transitions
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Characteristics of transfer zones under the influence of preexisting faults and regional stress transformation:Wenchang A subsag,Zhujiang River Mouth Basin,northern South China Sea
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作者 Wei LI Mingyue CAO +7 位作者 Meifang MENG Caiwei FAN Hui LI Jia LI Wanqiu WU Ruiqing QIN Xingan LI Yiming LIU 《Journal of Oceanology and Limnology》 SCIE CAS CSCD 2024年第3期744-759,共16页
A transfer zone in rift basins preserves important information on regional tectonic evolution and plays significant roles in hydrocarbon accumulation.Based on the systematic analysis of 3D seismic data and hydrocarbon... A transfer zone in rift basins preserves important information on regional tectonic evolution and plays significant roles in hydrocarbon accumulation.Based on the systematic analysis of 3D seismic data and hydrocarbon accumulation conditions,the geometry,kinematics,and reservoir control of a large synthetic overlapping transfer zone in the south of the Wenchang A subsag in the Zhujiang(Pearl)River Mouth basin were investigated.Results indicate that the development and evolution of the transfer zone was controlled by the interaction between pre-existing faults and regional stress transformation.The intense rifting of the main faults of the transfer zone controlled the development of source rocks and faultcontrolled slope break paleogeomorphology.The strike-slip overprint since the Oligocene is conducive to the formation of a large-scale fault-anticline trap,and the secondary faults in the transfer zone contribute to the hydrocarbon transportation.The conjugate intersection area of the NE-and NW-trending faults offers more opportunity for hydrocarbon migration and accumulation. 展开更多
关键词 transfer zone pre-existing fault regional stress transformation CENOZOIC Wenchang A Subsag Zhujiang(Pearl)River Mouth Basin
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Hydrochemical characteristics of surface water in Hengduan mountain region of Eastern Tibet and its response to human activities:A case study of Duoqu Basin,Jinsha River
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作者 Jing-jie Li Sheng Lian +2 位作者 Ming-guo Wang Huai-sheng Zhang Tao Yang 《China Geology》 CAS CSCD 2024年第4期630-641,共12页
The analysis of hydrochemical characteristics and influencing factors of surface river on plateau is helpful to study water hydrological cycle and environmental evolution,which can scientifically guide rational develo... The analysis of hydrochemical characteristics and influencing factors of surface river on plateau is helpful to study water hydrological cycle and environmental evolution,which can scientifically guide rational development and utilization of water resources and planning of ecological environment protection.With the expansion and diversification of human activities,the quality of surface rivers will be more directly affected.Therefore,it is of great significance to pay attention to the hydrochemical characteristics of plateau surface rivers and the influence of human activities on their circulation and evolution.In this study,surface water in the Duoqu basin of Jinsha River located in Hengduan mountain region of Eastern Tibet was selected as the representative case.Twenty-three groups of surface water samples were collected to analyze the hydrochemical characteristics and ion sources based on correlation analysis,piper trigram,gibbs model,hydrogen and oxygen isotopic techniques.The results suggest the following:(1)The pH showed slight alkalinity with the value ranged from 7.25 to 8.62.Ca^(2+),Mg^(2+)and HCO_(3)^(–)were the main cations and anions.HCO_(3)^(-)Ca and HCO_(3)^(-)Ca·Mg were the primary hydrochemical types for the surface water of Duoqu River.The correlation analysis showed that TDS had the most significant correlation with Ca^(2+),Mg^(2+)and HCO_(3)^(–).Analysis on hydrogen and oxygen isotopes indicated that the surface rivers were mainly recharged by atmospheric precipitation and glacial melt water in this study area.(2)The surface water had a certain reverse cation alternating adsorption,and surface water ions were mainly derived from rock weathering,mainly controlled by weathering and dissolution of carbonates,and secondly by silicates and sodium rocks.(3)The influence of human activities was weak,while the development of cinnabar minerals had a certain impact on the hydrochemistry characteristics,which was the main factor for causing the increase of SO_(4)^(2–).The densely populated county towns and temples with frequent incense burning activities may cause some anomalies of surface water quality.At present,the Duoqu River watershed had gone through a certain influence of mineral exploitation,so the hydrological cycle and river eco-environment at watershed scale will still bound to be change.The results could provide basic support for better understanding water balance evolution as well as the ecological protection of Duoqu River watershed. 展开更多
关键词 Hydrochemistry characteristics Weathering dissolution Ion source H-O isotopes Water cycle Environmental evolution Human activities Mineral exploitation Incense burning activity Hengduan mountain region Tibet
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Land Use Regionalization in Poor Counties in Mountainous Areas Based on Targeted Poverty Alleviation
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作者 Qiude LI Zisheng YANG 《Asian Agricultural Research》 2020年第1期32-36,43,共6页
Land use regionalization is a strategic measure for the rational use,management and protection of land resources based on local conditions.Based on the needs of targeted poverty alleviation and rural revitalization st... Land use regionalization is a strategic measure for the rational use,management and protection of land resources based on local conditions.Based on the needs of targeted poverty alleviation and rural revitalization strategy and the analysis on the natural and socioeconomic conditions,characteristics of land resources,and the current status of land use in Luquan County,corresponding regionalization indices were selected from four aspects:economic environment conditions,socioeconomic conditions,land resources and land use structure,and poverty alleviation and development level,a scientific and feasible index system for land use regionalization was constructed,and land use in Luquan County was regionalized by using systematic cluster analysis method.The results show that the 16 townships(towns)of Luquan County were divided into four land use regions,poverty alleviation region for development of new town and characteristic industries in the southwest(I),agricultural development and ecological poverty alleviation region in central mountainous area(II),poverty alleviation region for development of characteristic agriculture and tourism towns in eastern plateau mountainous area(III),and poverty alleviation region for development of characteristic industries and protection of land economy in the northern alpine valley area(IV).In addition,suggestions were put forward for the rational use of land in each region. 展开更多
关键词 Land use regionalIZATION TARGETED poverty alleviation POVERTY-STRICKEN COUNTY in mountainous area Luquan Yi and MIAO Autonomous COUNTY
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Construction and Application of a Regional Kilometer-Scale Carbon Source and Sink Assimilation Inversion System(CCMVS-R) 被引量:1
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作者 Lifeng Guo Xiaoye Zhang +8 位作者 Junting Zhong Deying Wang Changhong Miao Licheng Zhao Zijiang Zhou Jie Liao Bo Hu Lingyun Zhu Yan Chen 《Engineering》 SCIE EI CAS CSCD 2024年第2期263-275,共13页
CO_(2)is one of the most important greenhouse gases(GHGs)in the earth’s atmosphere.Since the industrial era,anthropogenic activities have emitted excessive quantities of GHGs into the atmosphere,resulting in climate ... CO_(2)is one of the most important greenhouse gases(GHGs)in the earth’s atmosphere.Since the industrial era,anthropogenic activities have emitted excessive quantities of GHGs into the atmosphere,resulting in climate warming since the 1950s and leading to an increased frequency of extreme weather and climate events.In 2020,China committed to striving for carbon neutrality by 2060.This commitment and China’s consequent actions will result in significant changes in global and regional anthropogenic carbon emissions and therefore require timely,comprehensive,and objective monitoring and verification support(MVS)systems.The MVS approach relies on the top-down assimilation and inversion of atmospheric CO_(2)concentrations,as recommended by the Intergovernmental Panel on Climate Change(IPCC)Inventory Guidelines in 2019.However,the regional high-resolution assimilation and inversion method is still in its initial stage of development.Here,we have constructed an inverse system for carbon sources and sinks at the kilometer level by coupling proper orthogonal decomposition(POD)with four-dimensional variational(4DVar)data assimilation based on the weather research and forecasting-greenhouse gas(WRF-GHG)model.Our China Carbon Monito ring and Verification Support at the Regional level(CCMVS-R)system can continuously assimilate information on atmospheric CO_(2)and other related information and realize the inversion of regional and local anthropogenic carbon emissions and natural terrestrial ecosystem carbon exchange.Atmospheric CO_(2)data were collected from six ground-based monito ring sites in Shanxi Province,China to verify the inversion effect of regio nal anthropogenic carbon emissions by setting ideal and real experiments using a two-layer nesting method(at 27 and 9 km).The uncertainty of the simulated atmospheric CO_(2)decreased significantly,with a root-mean-square error of CO_(2)concentration values between the ideal value and the simulated after assimilation was close to 0.The total anthropogenic carbon emissions in Shanxi Province in 2019 from the assimilated inversions were approximately 28.6%(17%-38%)higher than the mean of five emission inventories using the bottomup method,showing that the top-down CCMVS-R system can obtain more comprehensive information on anthropogenic carbon emissions. 展开更多
关键词 CCMVS-R regional carbon assimilation system Anthropogenic carbon emissions CO_(2) POD 4DVar
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Study on Relation Between Dynamic Pattern of Regional Vertical Strain Rate and Several Strong Earthquakes such as Lijiang(M_s7.0)and Menyuan(M_s6.4)Earthquakes
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作者 Wang Shuangxu Jiang Zaisen +1 位作者 Zhang Xi Chen Bing 《Earthquake Research in China》 2000年第3期30-41,共12页
Making use of the method of obtaining regional vertical strain rate from regional preciseleveling data and gaining dynamic pattern combining with deformation data on spanningfaults, the regional vertical strain dynami... Making use of the method of obtaining regional vertical strain rate from regional preciseleveling data and gaining dynamic pattern combining with deformation data on spanningfaults, the regional vertical strain dynamic evolution characteristics of several moderatelystrong earthquakes such as Lijiang (M_s 7.0) and Menyuan (M_s 6.4) earthquakes occurredin crustal deformation monitoring areas located in the western Yunnan and Qilianshan-Hexiregion. Based on the above-mentioned facts, by studying the time-space nonhomogeneity andstrain energy accumulation status, some criteria for judging the medium. and short-termstrong seismic risk regions according to the regional vertical strain rate dynamic informationare proposed. 展开更多
关键词 regional VERTICAL strain rate DYNAMIC PATTERN evolution characteristics Medium- and short-term prediction criterion of strong EARTHQUAKES
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