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Multi-subject and multi-objective integrated optimization system and implementation strategy for energy-saving renovation of the existing residential buildings
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作者 GUO Han-ding JIN Zhen-xing +1 位作者 QIAO Wan-zhen ZHANG Yin-xian 《Ecological Economy》 2023年第2期149-162,共14页
The core of the healthy and orderly operation of the existing residential building energy-saving renovation market lies in the exploration of the implementation mechanism of multi-subject and multi-objective integrate... The core of the healthy and orderly operation of the existing residential building energy-saving renovation market lies in the exploration of the implementation mechanism of multi-subject and multi-objective integrated optimization.The multi-agent and multi-objective integrated optimization system framework is a powerful tool to guide the scientific decision-making of the market core structural entities in the future market practice. This paper analyzes the practical dilemma of energy-saving renovation of theexisting residential buildings in China, summarizes the practical experience of multi-subject and multi-objective integrated optimization of energy-saving renovation of the existing residential buildings in foreign countries, and puts forward beneficial practical enlightenment on the basis of comparison at home and abroad;The design principles of the target integrated optimization system have established a multi-subject and multi-objective integrated optimization system framework for the energy-saving renovation of the existing residential buildings, from six aspects: government guidance, trust consensus, value co-creation, risk sharing, revenue sharing, and social responsibility sharing. This paper proposes a multi-subject and multi-objective integrated practice strategy, in order to promote the efficient and orderly development of China's existing residential building energy-saving renovation market. 展开更多
关键词 the existing residential buildings energy-saving renovation win-win cooperation multi-objective integration hierarchical optimization
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Ophthalmic exam and ophthalmology residents’ subspecialty preference
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作者 Ari Leshno Daf Shalev Daphna Landau Prat 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2024年第2期359-364,共6页
AIM:To evaluate residents’perceptions and attitudes toward the various aspects of a comprehensive ophthalmic examination,and to determine if these factors correlate with their choices for fellowship and future career... AIM:To evaluate residents’perceptions and attitudes toward the various aspects of a comprehensive ophthalmic examination,and to determine if these factors correlate with their choices for fellowship and future career plans.METHODS:This is a cross-sectional study.A questionnaire on the perception of the ophthalmic exam was sent via SurveyMonkey to ophthalmology residents throughout Israel.Eighty of them(one-half of all ophthalmology residents in 2019)completed it.The first part related to how they perceived each component of the ophthalmic evaluation.The second part related to their future fellowship plans.The Chi-squared test was used to compare categorical variables and Student’s t-test and One-way ANOVA were used to compare continuous variables.Multivariate logistic regression analysis was applied as needed to detect interactions between variables and to exclude confounder effects.RESULTS:Slit-lamp examination of the anterior and posterior segments ranked as the most likeable aspects,whereas gonioscopy,ocular motility examination and visual acuity assessment were least likeable.Anterior segment and retina subspecialties were the ones most sought after.Forty-nine respondents(61.3%)noted a direct correlation between their preferred parts of comprehensive ophthalmic evaluations and their choice of subspecialty.Perceptions of selected components of those evaluations were significantly associated with responders’intentions to pursue anterior segment,retina,or oculoplastic fellowships(P<0.05).CONCLUSION:Perspectives of residents toward the ophthalmic examination,and most specifically its individual components,play an important role in their choice of subspecialty training. 展开更多
关键词 residENCY SUBSPECIALTY ophthalmic examination career choice OPHTHALMOLOGY
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Energy-Saving Distributed Flexible Job Shop Scheduling Optimization with Dual Resource Constraints Based on Integrated Q-Learning Multi-Objective Grey Wolf Optimizer
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作者 Hongliang Zhang Yi Chen +1 位作者 Yuteng Zhang Gongjie Xu 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第8期1459-1483,共25页
The distributed flexible job shop scheduling problem(DFJSP)has attracted great attention with the growth of the global manufacturing industry.General DFJSP research only considers machine constraints and ignores worke... The distributed flexible job shop scheduling problem(DFJSP)has attracted great attention with the growth of the global manufacturing industry.General DFJSP research only considers machine constraints and ignores worker constraints.As one critical factor of production,effective utilization of worker resources can increase productivity.Meanwhile,energy consumption is a growing concern due to the increasingly serious environmental issues.Therefore,the distributed flexible job shop scheduling problem with dual resource constraints(DFJSP-DRC)for minimizing makespan and total energy consumption is studied in this paper.To solve the problem,we present a multi-objective mathematical model for DFJSP-DRC and propose a Q-learning-based multi-objective grey wolf optimizer(Q-MOGWO).In Q-MOGWO,high-quality initial solutions are generated by a hybrid initialization strategy,and an improved active decoding strategy is designed to obtain the scheduling schemes.To further enhance the local search capability and expand the solution space,two wolf predation strategies and three critical factory neighborhood structures based on Q-learning are proposed.These strategies and structures enable Q-MOGWO to explore the solution space more efficiently and thus find better Pareto solutions.The effectiveness of Q-MOGWO in addressing DFJSP-DRC is verified through comparison with four algorithms using 45 instances.The results reveal that Q-MOGWO outperforms comparison algorithms in terms of solution quality. 展开更多
关键词 Distributed flexible job shop scheduling problem dual resource constraints energy-saving scheduling multi-objective grey wolf optimizer Q-LEARNING
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Energy-saving Architectural Designs for Relocation Residential Districts in North Jiangsu Province of China
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作者 黄婷 陈燕 《Journal of Landscape Research》 2011年第8期9-12,17,共5页
By investigating present relocation residential districts for peasants whose houses are removed for the unified planning of rural areas in north Jiangsu Province, as well as residents' feelings about the environme... By investigating present relocation residential districts for peasants whose houses are removed for the unified planning of rural areas in north Jiangsu Province, as well as residents' feelings about the environment of residential district, main architectural structures and energy consumption conditions, the indoor thermal environment, use of main heating and cooling facilities, residents' satisfaction on the acoustical and luminous environment, major space-enclosing structures and calculation of energy-saving designs are analyzed, and suggestions are given for the architectural design of relocation residential districts in the study area. It is stressed that the relationship between energy conservation and architectural layout, orientation, lighting, ventilation, selection of enclosing-structure materials, facade, color and style should be properly handled in the planning, and the focus is to control building orientation and shape coefficient, on the basis of which energy-saving designs of windows, exterior walls and roofs can be done. Energy consumption of present residential buildings is calculated and analyzed to bring forth new ideas to the energy-saving designs for relocation residential districts in north Jiangsu Province, and establish an architectural energy-saving system suitable for climatic and natural conditions of north Jiangsu to instruct the energy-saving designs of relocation residential districts in the study area. 展开更多
关键词 NORTH Jiangsu PROVINCE RELOCATION residentIAL district energy-saving buildings Strategies
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Analysis of Influencing Factors on Fruit Consumption of Urban and Rural Residents in Beijing
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作者 Zihao WANG Rao CHEN Weimin YANG 《Asian Agricultural Research》 2024年第6期1-4,10,共5页
In light of the rapid expansion of China s economy,there has been a notable shift in the consumption patterns of urban and rural residents.This is evident in the increased consumption of agricultural products,with fru... In light of the rapid expansion of China s economy,there has been a notable shift in the consumption patterns of urban and rural residents.This is evident in the increased consumption of agricultural products,with fruit consumption representing a particularly pronounced trend.The 2023 Beijing Consumption Statistics indicate that demand for fruit is increasing,accompanied by heightened competition for quality and brands.The paper is based on research that examines the current situation of fruit consumption among urban and rural residents in Beijing.The results indicate that when urban and rural residents in Beijing purchase fruits,price is the most significant factor influencing fruit consumption.Taste,appearance,and variety are also considered to be important influencing factors,while the influence of factors such as fruit type,consumption pattern,and fruit brand is relatively minor. 展开更多
关键词 URBAN and RURAL residentS of BEIJING FRUIT CONSUMPTION Influencing factor CONSUMPTION behavior
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The Impact of the Digital Economy on Rural Residents’Working Hours:Mechanisms and Empirical Evidence
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作者 Peng Su Li Jing Wang Jue 《Contemporary Social Sciences》 2024年第2期34-51,共18页
The rapid development of the digital economy has provided a new impetus for rural residents to extend their working hours.Based on the data collected by the China Labor-force Dynamics Survey(CLDS)in 2014,2016,and 2018... The rapid development of the digital economy has provided a new impetus for rural residents to extend their working hours.Based on the data collected by the China Labor-force Dynamics Survey(CLDS)in 2014,2016,and 2018,this paper measured the development level of the digital economy in China from the perspectives of internet development and digital financial inclusion,and tested the mechanisms of how the digital economy affected rural residents’working hours.The results showed that the digital economy extended rural residents’working hours by expanding information channels and enhancing human capital,and this mechanism was affected by heterogeneity in rural residents’educational background,age,and social capital.Building on these findings,this paper holds that to increase rural residents’income by extending their working hours and achieving common prosperity for all,it is necessary to expand the opportunities for rural residents to participate in skills training and promote their accumulation of human capital. 展开更多
关键词 digital economy rural residents’working hours information channels human capital
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Assessment of Online Transgender Healthcare Teaching Modules for Internal Medicine Residents and Fellows
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作者 Elizabeth M. Lamos Rana Malek 《Open Journal of Internal Medicine》 2024年第2期259-268,共10页
Background: Transgender healthcare is not a formal learning requirement in Internal Medicine residency or fellowship. The National LGBTQ Task Force appealed to urgently train clinicians on the effective care of transg... Background: Transgender healthcare is not a formal learning requirement in Internal Medicine residency or fellowship. The National LGBTQ Task Force appealed to urgently train clinicians on the effective care of transgender patients. Few studies address the successful implementation of transgender healthcare teaching and education in graduate medical education. Purpose: The purpose was to design an online asynchronous curriculum to address the need for improved transgender healthcare education in graduate medical education and assess change in knowledge and comfort in transgender healthcare for residents and fellow learners. Methods: A 6-module curriculum was developed using established guidelines and ACGME competencies as a framework for content. To assess curriculum effectiveness, participants received anonymous pre- and post-curriculum surveys which included a multiple-choice knowledge assessment, Likert scale comfort questions focusing on healthcare skills, and open-ended feedback questions. Results: Twenty-six internal medicine residents and fellows participated in the curriculum (2022-2023). There was a 69% post-survey response rate. Participants improved their gender-affirming knowledge after completing the curriculum (p Conclusion: This online curriculum was successful in increasing knowledge and comfort in transgender care for IM residents and fellows. It provides a promising framework to address this gap in curricular content. 展开更多
关键词 EDUCATION Fellow resident TRANSGENDER
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The Prediction for the Consumer Price Index of Residents in Perspective of Time Series Method in Case of Chongqing
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作者 Chunhuan Xiang 《Journal of Applied Mathematics and Physics》 2024年第1期226-233,共8页
The consumer price index (CPI) measures the relative number of changes in the price level of consumer goods and services over time, reflecting the trend and degree of changes in the price level of goods and services p... The consumer price index (CPI) measures the relative number of changes in the price level of consumer goods and services over time, reflecting the trend and degree of changes in the price level of goods and services purchased by residents. This article uses the ARMA model to analyze the fluctuation trend of the CPI (taking Chongqing as an example) and make short-term predictions. To test the predictive performance of the model, the observation values from January to December 2023 were retained as the reference object for evaluating the predictive accuracy of the model. Finally, through trial predictions of the data from May to August 2023, it was found that the constructed model had good fitting performance. 展开更多
关键词 Consumer Price Index of residents PREDICTION ARMA Model
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Energy-Saving Construction Technologies for Buildings
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作者 Jingjing Sun 《Journal of World Architecture》 2024年第3期43-48,共6页
The development of the construction industry is shifting towards low-carbon construction,so it is necessary to improve and optimize related construction concepts,methods,and processes.By improving resource and energy ... The development of the construction industry is shifting towards low-carbon construction,so it is necessary to improve and optimize related construction concepts,methods,and processes.By improving resource and energy control efficiency in building projects,minimizing construction waste,and reducing environmental impact,a foundation for the sustainable development of the industry can be established.This paper mainly analyzes the significance of low-carbon energy-saving construction technology and the control factors of construction,summarizes the status quo of the development of building energy-saving construction,and puts forward strategies for applying building energy-saving construction technology.These strategies serve to achieve low-carbon and energy-saving goals to promote the healthy development of energy-saving construction. 展开更多
关键词 Low-carbon energy-saving concept CONSTRUCTION energy-saving construction Thermal insulation technology Intelligent technology
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Spatial Morphology Evolution Characteristics Analysis of the Resident Population Distribution in Henan, China
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作者 Kaiguang Zhang Hongling Meng +1 位作者 Mingting Ba Danhuan Wen 《Journal of Geoscience and Environment Protection》 2024年第3期163-180,共18页
The population spatial distribution pattern and its evolving pattern play an important role in regional allocation of social resources and production factors, formulation of regional development plans, construction of... The population spatial distribution pattern and its evolving pattern play an important role in regional allocation of social resources and production factors, formulation of regional development plans, construction of a better life society, and promotion of regional economic development. Based on the resident population statistics data of Henan province from 2006 to 2021, with county as the basic study unit, the paper studies the spatial morphology characteristics and its evolution patterns of resident population distribution, by using spatial analysis methods such as population distribution center, standard deviation ellipse, and spatial auto correlation analysis. The results show that: the resident population spatial distribution shows unbalanced state, the population agglomeration areas mainly distribute in the northeast part and north part, where the resident population growth rate is significantly higher than other regions, over time, this trend is gradually becoming significant. The resident population distribution has a trend of centripetal concentration, with the degree and trend of centripetal gradually strengthening. The resident population distribution has obvious directional characteristics, but the significance is not high, the weighted resident population average center is approximately located at (4.13740˚N, 113.8935˚E), and the azimuth of the distribution axis is approximately 11.19˚. The population distribution has obvious agglomeration characteristics, with the built-up areas of Zhengzhou and Luoyang as their centers, where have a significant siphon effect on the surrounding population. The southern and southwestern regions in the province form a relatively stable belt area of Low-Low agglomeration areas. 展开更多
关键词 resident Population Spatial Distribution Spatial Morphology Temporal and Spatial Evolution Center Migration Standard Deviation Ellipse Spatial Autocorrelation
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Application of Energy-Saving Materials in Architectural Design
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作者 Yajuan Liu 《Journal of World Architecture》 2024年第3期72-77,共6页
The conventional process of building construction is associated with issues such as the waste of construction materials and environmental pollution.Sustainable development highlights the importance of energy conservat... The conventional process of building construction is associated with issues such as the waste of construction materials and environmental pollution.Sustainable development highlights the importance of energy conservation and eco-friendly practices.It is essential to use energy-efficient and green materials in building designs to ensure the healthy growth of construction companies.This article discusses the advantages and principles of incorporating energy-saving materials in architectural design.It examines the strategies and critical control points for using energy-saving materials in architectural design,offering guidance for the sustainable development of the construction industry. 展开更多
关键词 energy-saving materials Architectural design Advantages Control strategy
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Exploration of Energy-Saving Technologies in Building Electrical System Design
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作者 Yong Zhang 《Journal of Electronic Research and Application》 2024年第4期28-33,共6页
Green energy conservation is the mainstream trend in the current development of the construction industry.The application of energy-saving technology in building electrical system design can effectively reduce energy ... Green energy conservation is the mainstream trend in the current development of the construction industry.The application of energy-saving technology in building electrical system design can effectively reduce energy consumption,avoid unnecessary energy consumption,and truly achieve energy conservation and environmental protection.Based on this,the article elaborates on the principles of energy-saving design in building electrical systems,and actively explores the application of energy-saving technologies from different perspectives such as optimizing power supply and distribution system design,adopting high-efficiency energy-saving lighting equipment,applying renewable energy,promoting smart home technology,and improving the efficiency of building electrical equipment. 展开更多
关键词 Building electrical system design energy-saving technology
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Application of BOPPPS + Mind Maps to Improve Clinical Competence of General Practitioner Residents: Taking Cough as an Example
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作者 Yue Wang 《Journal of Clinical and Nursing Research》 2024年第6期295-299,共5页
Objective:To analyze the importance of general practitioner residents using the combined teaching method(BOPPPS+mind maps).Methods:From September 2023 to August 2024,a study was conducted with 6 control group particip... Objective:To analyze the importance of general practitioner residents using the combined teaching method(BOPPPS+mind maps).Methods:From September 2023 to August 2024,a study was conducted with 6 control group participants receiving traditional teaching and 6 observation group participants receiving the combined teaching method(BOPPPS+mind maps).The study analyzed various indicators between the two groups(including mind map scores and assessment results).Results:Compared with the control group,the assessment scores of the observation group were significantly higher(P<0.05).Conclusion:The application of the combined teaching method(BOPPPS+mind maps)by general practitioner residents can significantly improve their comprehensive abilities. 展开更多
关键词 General practitioner residents Combined teaching BOPPPS Mind maps
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Study on the Impacts of Tourism Development in Letong Ancient Town:A Resident Perception-Based Approach
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作者 Junxi Gao Congcong Hui Junru Liu 《Proceedings of Business and Economic Studies》 2024年第3期16-21,共6页
Residents constitute the principal elements of regional tourism deveopment,and their behavioral cognition will play a certain role in promoting local tourism development.In recent years,although tourism along the Sich... Residents constitute the principal elements of regional tourism deveopment,and their behavioral cognition will play a certain role in promoting local tourism development.In recent years,although tourism along the Sichuan-Tibet Line(318 and 317 routes)has made some progress,there are some problems,such as homogenization of products,a single local culture,and inconspicuous brand characteristics.At the same time,due to the remote geographical location,living conditions,health conditions,and other imperfections,resulting in greater constraints on tourism development.This article employs Letong Ancient Town as a representative case study,and discusses the impact of tourism development on the local economy,environment,society,and culture from the perspective of residents’perception through field research and data analysis,thereby providing a reference for regional tourism development. 展开更多
关键词 Letong Ancient Town Tourism supply residents’perception
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Exploration of the Integration of Curriculum Ideology and Politics into the Educational Pathway of Standardized Training for General Practice Residents
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作者 Zhuan Huang Yaodong Li +4 位作者 Lina Ma Rui Xu Fang Yang Yingpeng Shi Junlin Liu 《Journal of Contemporary Educational Research》 2024年第5期91-96,共6页
In recent years,the national higher education reform has proposed the concept of curriculum ideological and political education as a major element.This integration into the standardized training of general practice re... In recent years,the national higher education reform has proposed the concept of curriculum ideological and political education as a major element.This integration into the standardized training of general practice residents(commonly referred to as general resident training)is an unavoidable trend in the teaching field.Based on the actual situation of our unit at The First Affiliated Hospital of Xi’an Medical University,this paper emphasizes the necessity of incorporating ideological and political education into the general resident training curriculum,despite the absence of pertinent practical experience in how to effectively incorporate such courses into comprehensive residential training.In our hospital,we must assess the ideological and political education in the curriculum of general resident training,proposing a scientific,reasonable ideological and political education concept system for general practice courses,integrating ideological and political education with general practice resident training,and strengthening the team of ideological and political education physicians to teach them to carry out such education,this would foster enthusiasm and initiative.Strengthening admission education and training for general practice resident training,as well as regularly hosting symposiums to share ideas and understand the mission of doctors can provide effective experience for ideological and political education in general resident training courses. 展开更多
关键词 Curriculum ideological and political education General practice General practice residents Standardized training Education path EXPLORATION
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Design of Low Carbon and Energy-saving New Rural Residential Buildings in Western Parts of Heilongjiang Province
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作者 陈雨祥 刘剑虹 《Agricultural Science & Technology》 CAS 2015年第11期2560-2562,共3页
It is researched that rural residential buildings in Heilongjieng consume high energy and the living environment is poor. The research aimed at designing low-carbon and energy-saving buildings in order to reduce energ... It is researched that rural residential buildings in Heilongjieng consume high energy and the living environment is poor. The research aimed at designing low-carbon and energy-saving buildings in order to reduce energy consumption by applying energy storage. Besides, the research used composite solar panel, waste- based inorganic foam materials, and polystyrene board as construction materials and integrated energy collection, living environment and farming by energy storage system. It is notable that the research would reduce pollution on environment caused by residential buildings, which coincides with national economy development and en- ergy strategy, promoting construction material industry development, with high social and economic benefits. 展开更多
关键词 Low-carbon and energy-saving New residential buildings Energy storage systern
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Energy-saving Planning and Design of Urban Residential Buildings in Hanzhong Area
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作者 LI Xueping 《Journal of Landscape Research》 2017年第2期47-48,54,共3页
Energy-saving design of residential building is an important part of energy-saving architectural design. Planning and design of residential buildings in Hanzhong area should pay more attention to the building orientat... Energy-saving design of residential building is an important part of energy-saving architectural design. Planning and design of residential buildings in Hanzhong area should pay more attention to the building orientation, sunshine, summer ventilation and wind resistance in winter and so on, so as to create favorable conditions for energy-saving design of single buildings. The geographical location, climatic characteristics, residents living habits and indoor and outdoor thermal environment situation were analyzed in this paper, and combined with the existing problems of energy conservation in the planning and layout of residential buildings in Hanzhong area. Based on the investigation, this paper drew some conclusions to provide references for the energy-saving planning and design of urban residential buildings in the local area. 展开更多
关键词 Hanzhong area TOWN residential building energy-saving planning and design
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Research on Modem Passive Integrated Energy-saving Technology of the Residential Buildings under Green Building Background
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作者 Xiao Lai 《International Journal of Technology Management》 2017年第4期25-27,共3页
This paper proposes the modem passive integrated energy-saving technology of the residential buildings under green building background. The essence of green building is to build a healthy and general environmentally f... This paper proposes the modem passive integrated energy-saving technology of the residential buildings under green building background. The essence of green building is to build a healthy and general environmentally friendly living environment under the premise of reducing the consumption of resources and improving the efficiency of resource utilization in the whole life cycle of construction activities. Green building bearing function is further diversified, integrated, and has a self-initiative. The development of the green building, local isolated from the original single building greening, greening, landscaping site platform, gradually developed for construction area and the surrounding green ecological system of comprehensive, three-dimensional stratified construction and network connection. Its model gradually shows the micro area of the construction of the ecological system and architectural space integration. This paper integrates the passive integrated energysaving technology to construct the novel construction paradigm. 展开更多
关键词 Passive Integrated energy-saving residential Buildings Green Building
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Green,Sustainable Architectural Bamboo with High Light Transmission and Excellent Electromagnetic Shielding as a Candidate for Energy-Saving Buildings 被引量:6
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作者 Jing Wang Xinyu Wu +5 位作者 Yajing Wang Weiying Zhao Yue Zhao Ming Zhou Yan Wu Guangbin Ji 《Nano-Micro Letters》 SCIE EI CAS CSCD 2023年第1期209-224,共16页
Currently,light-transmitting,energy-saving,and electromagnetic shielding materials are essential for reducing indoor energy consumption and improving the electromagnetic environment.Here,we developed a cellulose compo... Currently,light-transmitting,energy-saving,and electromagnetic shielding materials are essential for reducing indoor energy consumption and improving the electromagnetic environment.Here,we developed a cellulose composite with excellent optical transmittance that retained the natural shape and fiber structure of bamboo.The modified whole bamboo possessed an impressive optical transmittance of approximately 60%at 6.23 mm,illuminance of 1000 luminance(lux),water absorption stability(mass change rate less than 4%),longitudinal tensile strength(46.40 MPa),and surface properties(80.2 HD).These were attributed to not only the retention of the natural circular hollow structure of the bamboo rod on the macro,but also the complete bamboo fiber skeleton template impregnated with UV resin on the micro.Moreover,a multilayered device consisting of translucent whole bamboo,transparent bamboo sheets,and electromagnetic shielding film exhibited remarkable heat insulation and heat preservation performance as well as an electromagnetic shielding performance of 46.3 dB.The impressive optical transmittance,mechanical properties,thermal performance,and electromagnetic shielding abilities combined with the renewable and sustainable nature,as well as the fast and efficient manufacturing process,make this bamboo composite material suitable for effective application in transparent,energy-saving,and electromagnetic shielding buildings. 展开更多
关键词 Electromagnetic interference shielding Biomass material TRANSMITTANCE energy-saving BAMBOO
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Flipped classroom approach to global outreach:cross-cultural teaching of horizontal strabismus to Chinese ophthalmology residents 被引量:2
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作者 Randy Lu Ryan E Dodge Ⅲ +5 位作者 Jocelyn Lam Laura Enyedi Tammy Yanovitch Nandini Gandhi Leona Ding Michelle T Cabrera 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2023年第2期280-285,共6页
AIM:To evaluate the flipped classroom model for teaching horizontal strabismus didactics in an ophthalmology residency program in China as part of a visiting professorship from the United States.METHODS:Residents from... AIM:To evaluate the flipped classroom model for teaching horizontal strabismus didactics in an ophthalmology residency program in China as part of a visiting professorship from the United States.METHODS:Residents from an ophthalmology residency program in China were invited to participate in flipped classroom sessions taught by an experienced American ophthalmology faculty in 2018.Residents were instructed to watch a pre-class video lecture prior to the in-class-casebased activity.Content tests(5 Ophthalmic Knowledge Assessment Program style questions)and surveys were administered before and after the classroom sessions(100%response rate).These results were compared to that of an American cohort who were taught the same content.RESULTS:The Chinese cohort of 12 residents preferred the flipped classroom to the traditional classroom at higher rates than the American cohort of 40 residents(92%vs 55%,P=0.04)and felt that all ophthalmology topics would be appropriate for the flipped classroom teaching style(P-values between 0.008 and<0.001).In both Chinese and American cohorts,we found that the exotropia curriculum saw a small but significant improvement in performance following the flipped classroom session(P=0.025 for Chinese residents;P=0.001 for US residents),whereas scores in both groups for the esotropia course did not significantly improve.CONCLUSION:This is the first study to evaluate the flipped classroom model implemented by a visiting ophthalmology professor in a global outreach setting.The flipped classroom sessions are viewed favorably by the Chinese residents relative to the US cohort with a modest impact on knowledge.Decreased in-person interpreter requirement and increased student engagement make this model valuable in cross-cultural visiting professorship settings.Finally,the flipped classroom may lend itself well to a virtual format to prevent the transmission of COVID-19,although such a format requires further study. 展开更多
关键词 flipped classroom international ophthalmology residency graduate medical education China active learning medical education OPHTHALMOLOGY
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