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气象观测场在汽车试验场中的应用研究
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作者 陈海建 《时代汽车》 2024年第14期172-174,178,共4页
汽车试验场作为汽车开展道路测试的重要场所,用于验证汽车产品的品质以及可靠性。除了场地道路外,气象条件作为汽车道路测试的重要一环,在《GB/T12534-1990汽车道路试验方法通则》中也有明确要求,如:试验时应是无雨无雾天气,相对湿度小... 汽车试验场作为汽车开展道路测试的重要场所,用于验证汽车产品的品质以及可靠性。除了场地道路外,气象条件作为汽车道路测试的重要一环,在《GB/T12534-1990汽车道路试验方法通则》中也有明确要求,如:试验时应是无雨无雾天气,相对湿度小于95%,气温0-40℃,风速不大于3m/s。同时气象条件也作为试验场道路管控的重要依据,实时风速、雨量、能见度等信息为场地管理者发布限速、限行、封场等通知提供必要参考依据,直接影响道路测试安全管控的及时性。因此,文章从气象观测场的建设、气象服务、异常天气道路管控等方面开展气象观测场在汽车试验场中的应用研究。 展开更多
关键词 products. In addition to the SITE roads METEOROLOGICAL conditions are an important part of AUTOMOTIVE ROAD testing and there are also clear requirements in the GB/T12534-1990 General Rules for AUTOMOTIVE ROAD Test Methods. For example the test should be conducted in rain and fog free weather with a relative humidity of less than 95% a temperature of 0-40 and a wind SPEED of no more than 3m/s. At the same time METEOROLOGICAL conditions also serve as an important basis for ROAD control in the test site. Real time information such as wind SPEED rainfall and visibility provides necessary reference for SITE managers to issue notices on SPEED limits SITE closures and trac restrictions directly aecting the timeliness of ROAD testing safety control. Therefore this article conducts research on the application of METEOROLOGICAL observation SITES in AUTOMOTIVE testing SITES from the construction of METEOROLOGICAL observation SITES METEOROLOGICAL services and abnormal weather ROAD control.
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The coordinated evolution of ecological environment,public service,and tourism economy along the Silk Road Economic Belt,using the Dual-Carbon Targets
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作者 Shuo Yang Wei Guo +1 位作者 Tianjun Xu Tongtong Liu 《Chinese Journal of Population,Resources and Environment》 2024年第1期34-47,共14页
Carbon peak and carbon neutrality(dual-carbon)are important targets for the international response to climate change.The Silk Road Economic Belt is a strategic resource region and is important for future ecological en... Carbon peak and carbon neutrality(dual-carbon)are important targets for the international response to climate change.The Silk Road Economic Belt is a strategic resource region and is important for future ecological environment and tourism development.Based on the“dual-carbon”targets,the Single index quantification,Multiple index synthesis,and Poly-criteria integration evaluation model were used in this study to measure the coordinated development index of the ecological environment,public service,and tourism economy along the Silk Road Economic Belt and to analyze its spatial and temporal evolution.Further,it explores the dynamic evolution and development trend of the three systems using the Kernel Density and Grey Markov Prediction Model.The results show that the coordinated development index along this region needs to be improved during the study period.Furthermore,the coordinated development index of the Southwest region is relatively higher than that of the Northwest region.From the development trend of the three systems,all of them develop in a stable manner;however,the tourism economy system is easily affected by external disturbances.The coordinated development index of the three systems changes dynamically and tends to be in a good state of coordination.There is a certain spatial and temporal heterogeneity.The gravity center of the coordinated development index has been in the Southwest region.During the forecast period,the coordinated development index along this region will improve significantly,while insufficient and unbalanced development will continue. 展开更多
关键词 Dual-carbon Ecological environment public services Tourist economy Silk Road Economic Belt
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Mapping Climate Services for Disaster Risk Management: A Systematic Review and Research Gaps from a Policy Process Perspective
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作者 Aboubacar Issaka Ousman Gaoh Wolfram Laube +1 位作者 Georges Abbevi Abbey Moussa Waongo 《American Journal of Climate Change》 2024年第2期314-360,共47页
Climate services (CS) are crucial for mitigating and managing the impacts and risks associated with climate-induced disasters. While evidence over the past decade underscores their effectiveness across various domains... Climate services (CS) are crucial for mitigating and managing the impacts and risks associated with climate-induced disasters. While evidence over the past decade underscores their effectiveness across various domains, particularly agriculture, to maximize their potential, it is crucial to identify emerging priority areas and existing research gaps for future research agendas. As a contribution to this effort, this paper employs the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology to review the state-of-the-art in the field of climate services for disaster risk management. A comprehensive search across five literature databases combined with a snowball search method using ResearchRabbit was conducted and yielded 242 peer-reviewed articles, book sections, and reports over 2013-2023 after the screening process. The analysis revealed flood, drought, and food insecurity as major climate-related disasters addressed in the reviewed literature. Major climate services addressed included early warning systems, (sub)seasonal forecasts and impact-based warnings. Grounded in the policy processes’ theoretical perspective, the main focus identified and discussed three prevailing policy-oriented priority areas: 1) development of climate services, 2) use-adoption-uptake, and 3) evaluation of climate services. In response to the limitations of the prevalent supply-driven and top-down approach to climate services promotion, co-production emerges as a cross-cutting critical aspect of the identified priority areas. Despite the extensive research in the field, more attention is needed, particularly pronounced in the science-policy interface perspective, which in practice bridges scientific knowledge and policy decisions for effective policy processes. This perspective offers a valuable analytical lens as an entry point for further investigation. Hence, future research agendas would generate insightful evidence by scrutinizing this critical aspect given its importance to institutions and climate services capacity, to better understand intricate facets of the development and the integration of climate services into disaster risk management. 展开更多
关键词 Climate services Disaster Risk management Policy Process Science-Policy Interface Institutional Analysis
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The Role of Library and Information Science Education in the Development of Community Health Information Services for People Living with HIV/AIDS: Perspectives of Directors and Managers of Public Libraries 被引量:2
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作者 Bharat Mehra Adrienne Dessel 《World Journal of AIDS》 2011年第3期78-87,共10页
This article identifies the role of library and information science (LIS) education in the development of community health information services for people living with HIV/AIDS (PLWHA). Preliminary findings are present... This article identifies the role of library and information science (LIS) education in the development of community health information services for people living with HIV/AIDS (PLWHA). Preliminary findings are presented from semi- structured qualitative interviews that were conducted with eleven directors and managers of local branches in the Knox County Public Library (KCPL) System that is located in the East Tennessee region in the United States. Select feedback reported by research participants is summarized in the article about strategies in LIS education that can help local public librarians and others in their efforts to become more responsive information providers to PLWHA. Research findings help better understand the issues and concerns regarding the development of digital and non-digital health information services for PLWHA in local public library institutions. 展开更多
关键词 People LIVING with HIV/AIDS PLWHA public LIBRARY Directors and MANAGERS Community Health Information services
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Recommendations for Construction and Management of Ecological Public Welfare Forest in Hainan Province
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作者 Yang XUE Renhui HONG +3 位作者 Dunxi LI Zhipan LIN Xiaoyan WANG Shaofeng SU 《Asian Agricultural Research》 2016年第2期58-60,63,共4页
This paper firstly evaluated ecological service functions of ecological public welfare forest in Hainan Province. Then,it introduced value structure and existing problems of ecological service functions. Focusing on o... This paper firstly evaluated ecological service functions of ecological public welfare forest in Hainan Province. Then,it introduced value structure and existing problems of ecological service functions. Focusing on optimization and adjustment of scale and distribution of ecological public welfare forest,it came up with recommendations for construction and management of ecological public welfare forest in Hainan Province. 展开更多
关键词 HAINAN Province ECOLOGICAL public WELFARE forest Evaluation of ECOLOGICAL service functions CONSTRUCTION and management RECOMMENDATIONS
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The Way for the Integrated Establishment of Public Service Platform in Grassroots Community and Guarantee Measures——Case Study of Dongguan
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作者 Zhao Shushan 《International Journal of Technology Management》 2016年第5期64-66,共3页
This paper takes the public services in the grassroots community of Dongguan as the object of study and studies the integrated construction of the public service platform in grassroots communities with the thinking pr... This paper takes the public services in the grassroots community of Dongguan as the object of study and studies the integrated construction of the public service platform in grassroots communities with the thinking principle of resources integration so as to set up a service platform integrating electronization, informatization and networking, ensure the convenience of public services and provide high-quality community public services for the community residents. 展开更多
关键词 public service Platform in GRASSROOTS COMMUNITY Integration Full HandLING of Agent System Dongguan
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Accelerating Quantum Computing Readiness: Risk Management and Strategies for Sectors
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作者 Abdullah Ibrahim Salman Alsalman 《Journal of Quantum Information Science》 2023年第2期33-44,共12页
The potential impact of quantum computing on various industries such as finance, healthcare, cryptography, and transportation is significant;therefore, sectors face challenges in understanding where to start because o... The potential impact of quantum computing on various industries such as finance, healthcare, cryptography, and transportation is significant;therefore, sectors face challenges in understanding where to start because of the complex nature of this technology. Starting early to explore what is supposed to be done is crucial for providing sectors with the necessary knowledge, tools, and processes to keep pace with rapid advancements in quantum computing. This article emphasizes the importance of consultancy and governance solutions that aid sectors in preparing for the quantum computing revolution. The article begins by discussing the reasons why sectors need to be prepared for quantum computing and emphasizes the importance of proactive preparation. It illustrates this point by providing a real-world example of a partnership. Subsequently, the article mentioned the benefits of quantum computing readiness, including increased competitiveness, improved security, and structured data. In addition, this article discusses the steps that various sectors can take to achieve quantum readiness, considering the potential risks and opportunities in industries. The proposed solutions for achieving quantum computing readiness include establishing a quantum computing office, contracting with major quantum computing companies, and learning from quantum computing organizations. This article provides the detailed advantages and disadvantages of each of these steps and emphasizes the need to carefully evaluate their potential drawbacks to ensure that they align with the sector’s unique needs, goals, and available resources. Finally, this article proposes various solutions and recommendations for sectors to achieve quantum-computing readiness. 展开更多
关键词 Quantum Computing CONSULTANCY Governance Solutions Quantum Readiness Benefits of Quantum Readiness Increased Competitiveness Improved Security Structured Data Quantum Algorithms Quantum service Provider CYBERSECURITY Data management
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The Management of Mental Health, and Service Networks in Italy
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作者 Silvia Carbone 《International Journal of Mental Health Promotion》 2023年第8期927-935,共9页
Madness has attracted and frightened for centuries,and talking about this means discussing how this diversity was built and managed in different social contexts and historical periods.Not all societies have had,and st... Madness has attracted and frightened for centuries,and talking about this means discussing how this diversity was built and managed in different social contexts and historical periods.Not all societies have had,and still have,the same relationship with madness.It is only with the affirmation of the Modern State,and of Capitalism,that the idea of“normality”indispensable to be able to conceive diversity as something dangerously distant and different from the norm takes over.In our post-modern society,people with mental illness in Italy can resort to specialists and social-health services.But the heterogeneous answers given after the approval of law 180 appear to be increasingly diversified.In this research,much attention will be paid to how the social and health services,located in different areas of Italy(Messina,Rome,Trento)face the current growing risk of social,housing and economic isolation of these fragile subjects.The aim of the research is to explore the possibility of a new relationship between the social-health service and the local community.On the one hand,research investigates what the contribution of the services could be.On the other what the spaces of protagonism and participation of the community could be in inclusion process account.In order to better understand the differences between these two dimensions,a qualitative research approach was chosen through the conduct of in-depth interviews.In this way it was possible to investigate:(1)the partial representations characteristic of the single individual,family members,operators and stackholders in general;(2)the services around the topic dealt with is articulated.From the first results of the research it emerges that the territory can no longer be considered as an abstract entity,but becomes the social space within which the construction of a new community welfare can and must take place. 展开更多
关键词 management of mental health service networks SOCIOLOGY CARE qualitative research community welfare TERRITORY
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Enhanced Women Safety and Well-Suited Public Bus Management System in Bangladesh Using IoT
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作者 Ahsan Ullah Mohammad Anwar Hossain +2 位作者 Nusrat Zaman Mampy Dey Tanwy Kundu 《Advances in Internet of Things》 2019年第4期72-84,共13页
IoT can aid alliance of communication, monitor and information processing across various transportation systems. The authors have developed a real time public bus management system based on IoT and android application... IoT can aid alliance of communication, monitor and information processing across various transportation systems. The authors have developed a real time public bus management system based on IoT and android application. The authors have used GPS (Global Positioning System) to track the nearest location of the bus and police station;IR sensor is used for checking seat availability. The authors also use a Panic Alert Button on every seat of the bus to reduce women harassment. With the press of the panic alert button, the notification sends to the owner and the nearest police station with the current location of the bus. 展开更多
关键词 IOT Mobile Application public BUS management BUS Location SEAT Availability Reducing WOMEN HARASSMENT
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Building a Business and Strategic Intelligence Policy as a Strategy for Promoting Congolese Business Progress and Healthy Economic Development in Eastern DRC
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作者 Innocent Bora Uzima 《Intelligent Information Management》 2024年第2期77-103,共27页
The aim of this study was to verify the existence of business and strategic intelligence policies at the level of Congolese companies and at the state level, likely to foster progress and healthy development in the ea... The aim of this study was to verify the existence of business and strategic intelligence policies at the level of Congolese companies and at the state level, likely to foster progress and healthy development in the east of the DRC. The study was based on a mixed perspective consisting of objective analysis of quantitative data and interpretative analysis of qualitative data. The results showed that business and strategic intelligence policies have not been established at either company or state level, as this is an area of activity that is not known to the players in companies and public departments, and there are no units or offices in their organizational structures responsible for managing strategic information for competitiveness on the international market. In addition, there is a real need to establish strategic information management units within companies, upstream, and to set up a national strategic information management department or agency to help local companies compete in the marketplace, downstream. This reflects the importance and timeliness of building business and strategic intelligence policies to ensure economic progress and development in the eastern DRC. Business and strategic intelligence provides companies with an appropriate tool for researching, collecting, processing and disseminating information useful for decision-making among stakeholders, in order to cope with a crisis or competitive situation. The study suggests a number of key recommendations based on its findings. To the government, it is recommended to establish the national policy of business and strategic intelligence by setting up a national agency of strategic intelligence in favor of local companies;and to companies to establish business intelligence units in their organizational structures in favor of stakeholders to foster advantageous decision-making in the competitive market and achieve progress. Finally, the study suggests that studies be carried out to fully understand the opportunities and impact of business and strategic intelligence in African countries, particularly in the DRC. 展开更多
关键词 Business and Strategic Intelligence Strategic Information Congolese Companies public Departments Decision-Making Information management Business and Strategic Intelligence Policies PROGRESS Healthy Development Mining and Agriculture Sectors International Market Eastern DRC
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Public Relations and Image Management Strategies of Nigeria Security&Civil Defence Corps After the Infamous “Oga at the Top” Incident
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作者 Reginald Koko Nnamdi Tobechukwu Ekeanyanwu Ibituru I.Pepple 《Journalism and Mass Communication》 2019年第2期84-99,共16页
This paper evaluates the place of public relations in the image management strategies of the Nigeria Security and Civil Defence Corps (NSCDC) particularly after the infamous “Oga at the Top” interview by the Lagos S... This paper evaluates the place of public relations in the image management strategies of the Nigeria Security and Civil Defence Corps (NSCDC) particularly after the infamous “Oga at the Top” interview by the Lagos State Commandant of the Corps. The paper uses questionnaire and the interview schedule as instruments to gather data from members of the public who are familiar with the “Oga at the Top” incident and the public relations officers (PROs) of the NSCDC respectively. From the data gathered, we conclude that the NSCDC adopted different image management strategies to salvage the corporate image of the Corps;that the image management strategies have engendered a cordial relationship between the media and the Corps;and that the infamous “Oga at the Top” incident brought some fame to the Corps as free advertisement as well as questioned the capacity of its officials to discharge their duties effectively. As a fallout of this evaluation, it is recommended that NSCDC management should endeavour to engage only professionals in the field of public relations who would understand and implement public relations objectives and functions in the organisation and that all ranking officers of the NSCDC should endeavour to involve the public relations unit in all their engagement with the external publics to avoid a repeat of the “Oga at the Top” incident that affected the Corps’ image negatively. 展开更多
关键词 IMAGE management strategies Oga at the Top publicS CORPORATE IMAGE NSCDC public relations
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Urban Water Supply Industry Marketization of China in View of Public Water Service and Water Resource Management
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作者 Wang Yining 1,2 1.Institute of Geographic Science and Natural Resources Research,CAS,Beijing 100101,China 2.Graduate School of the Chinese Academy of Sciences,Beijing 100049,China 《Chinese Journal of Population,Resources and Environment》 2010年第2期55-60,共6页
Started with the discussions on the value orientation of urban water supply industry marketization,the article points out that the current urban water supply industry marketization reform is inconsistent with the goal... Started with the discussions on the value orientation of urban water supply industry marketization,the article points out that the current urban water supply industry marketization reform is inconsistent with the goal of public water service equalization to some extent.The article also analyzes the problems emerged in urban water supply industry marketization reform and various rea-sons in view of efficiency and fairness.An efficiency and fairness oriented management model is built in this article to illustrate how the government should conciliate interests of various communities involved in the process of marketization reform of the urban water supply industry so as to actualize the coordination of efficiency and fairness.At the end,an assumption on urban water price is put forward to help achieve the public water service equalization. 展开更多
关键词
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Exploring the Commuters’ Willingness-to-Pay and Its Influencing Factors for an Improved Public Bus Service in Dhaka City
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作者 Ayesha Umme Kojima Aya Kubota Hisashi 《Journal of Transportation Technologies》 2023年第2期139-157,共19页
Improved transportation services are a crucial component of urban growth, particularly in emerging cities like Dhaka. Ensuring an improved public bus service quality is a challenge for the city’s transport planners a... Improved transportation services are a crucial component of urban growth, particularly in emerging cities like Dhaka. Ensuring an improved public bus service quality is a challenge for the city’s transport planners and policy makers. Nevertheless, this challenge can’t be met without the support of the residents of this city. This study intends to evaluate the commuters’ willingness to pay (WTP) for an improved and better public bus service quality in Dhaka city. It also attempts to explore the factors affecting the commuters’ WTP amounts. In order to accomplish the study’s goals, a stated preference survey was designed to enquire into the whys and wherefores of female passengers’ harassment on public buses and also to prefer some influential service quality features. WTP values of respondents were calibrated using binary and ordinal logistic models, and these models were developed using SPSS version 26. The results indicate that the majority of respondents were willing to pay more for better service facilities, and they point to security as the most important factor in determining how much extra fare commuters are willing to pay. The results also demonstrate that commuters’ WTP amounts are highly influenced by the respondents’ monthly income. Results from this study have important policy implications, such as protecting women’s safety on public transportation and taking commuters’ socio-demographic characteristics into account before enacting any legislation or increasing fares. 展开更多
关键词 WTP public Bus HARASSMENT Improved service Quality Security Socio-Demographic Features
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The History, Trend, Types, and Mitigation of Distributed Denial of Service Attacks
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作者 Richard Kabanda Bertrand Byera +1 位作者 Henrietta Emeka Khaja Taiyab Mohiuddin 《Journal of Information Security》 2023年第4期464-471,共8页
Over time, the world has transformed digitally and there is total dependence on the internet. Many more gadgets are continuously interconnected in the internet ecosystem. This fact has made the Internet a global infor... Over time, the world has transformed digitally and there is total dependence on the internet. Many more gadgets are continuously interconnected in the internet ecosystem. This fact has made the Internet a global information source for every being. Despite all this, attacker knowledge by cybercriminals has advanced and resulted in different attack methodologies on the internet and its data stores. This paper will discuss the origin and significance of Denial of Service (DoS) and Distributed Denial of Service (DDoS). These kinds of attacks remain the most effective methods used by the bad guys to cause substantial damage in terms of operational, reputational, and financial damage to organizations globally. These kinds of attacks have hindered network performance and availability. The victim’s network is flooded with massive illegal traffic hence, denying genuine traffic from passing through for authorized users. The paper will explore detection mechanisms, and mitigation techniques for this network threat. 展开更多
关键词 DDoS (Distributed Denial of service Attacks) and DoS (Denial of service Attacks) DAC (DDoS Attack Coefficient) Flood SIEM (Security Information and Event management) CISA (Cybersecurity and Infrastructure Security Agency) NIST (National Institute of Standards and Technology) XDR (Extended Detection and Response) ACK-SYN (Synchronize Acknowledge Packet) ICMP (Internet Control Message Protocol) Cyberwarfare
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Business Process Analysis and Simulation: The Contact Center of a Public Health and Social Information Office
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作者 Antonio Di Leva Emilio Sulis Manuela Vinai 《Intelligent Information Management》 2017年第5期189-205,共17页
This article proposes a framework, called BP-M* which includes: 1) a methodology to analyze, engineer, restructure and implement business processes, and 2) a process model that extends the process diagram with the spe... This article proposes a framework, called BP-M* which includes: 1) a methodology to analyze, engineer, restructure and implement business processes, and 2) a process model that extends the process diagram with the specification of resources that execute the process activities, allocation policies, schedules, times of activities, management of queues in input to the activities and workloads so that the same model can be simulated by a discrete event simulator. The BP-M* framework has been applied to a real case study, a public Contact Center which provides different typologies of answers to users’ requests. The simulation allows to study different system operating scenarios (“What-If” analysis) providing useful information for analysts to evaluate restructuring actions. 展开更多
关键词 Business Process management public Health and SOCIAL services ADMINISTRATION CONTACT CENTER analysis Discrete EVENT Simulation
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Research on Sports Public Service Supply in the Chengdu-Chongqing Twin-City Economic Circle under the Background of Regional Economic Development
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作者 Yiming Yang Yun Liu Yu Huang 《Proceedings of Business and Economic Studies》 2024年第2期106-113,共8页
Using literature,questionnaires,interviews,and mathematical statistics to investigate the current situation of sports public services in the Chengdu-Chongqing Twin-city Economic Circle.The results show that there are ... Using literature,questionnaires,interviews,and mathematical statistics to investigate the current situation of sports public services in the Chengdu-Chongqing Twin-city Economic Circle.The results show that there are some problems in Chengdu-Chongqing sports public services,such as big difference in the development level of supply between urban and rural areas,low supply level,low efficiency,supply mechanism defect,lack of social sports instructors,an outstanding contradiction between the quality of sports public service and residents’demand.To address the problems,government departments should accelerate the transformation of government functions,improve the relevant regulations and systems,increase the investment in sports public services,improve the quality of supply,cultivate the backbone team,integrate resources,and combine the national characteristics with regional characteristics,take into account the personalized needs of the residents,combine the sports public services with intelligence,and build the service system of“Internet+Fitness.” 展开更多
关键词 Regional economy Chengdu-Chongqing Twin-city Economic Circle Sports demand Sports public service Current supply situation
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Effectiveness of Comprehensive Nursing Management in Enhancing Blood Donation Outcomes and Donor Experience: A Comparative Study
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作者 Yumiao Zhang 《Journal of Clinical and Nursing Research》 2024年第5期277-282,共6页
Objective:To assess the management effect of comprehensive nursing management on blood donation services in blood stations.Methods:Sixty-four individuals who donated blood at a blood station between September 2021 and... Objective:To assess the management effect of comprehensive nursing management on blood donation services in blood stations.Methods:Sixty-four individuals who donated blood at a blood station between September 2021 and September 2023 were selected and randomly assigned into two groups of 32 each.The first group received comprehensive nursing management,while the second group received routine nursing management.Blood donation indexes and observational indexes such as adverse reactions were compared between the groups.Results:The total blood donation volume and qualified blood donation volume were higher in the first group than in the second group.The amount of discarded blood and the rate of blood discards were lower in the first group compared to the second group(P<0.05).Additionally,the adverse reaction rate in the first group was lower,the blood donation comfort scores were higher,the psychological state scores were lower,and the quality of care scores were higher than those in the second group(P<0.05).Conclusion:Comprehensive nursing management can improve the efficiency of blood donation,reduce the rate of blood discards,decrease the incidence of adverse reactions,alleviate negative psychological states of blood donors,and enhance both the comfort level of blood donation and the quality of care provided. 展开更多
关键词 Comprehensive nursing management Blood donation service at blood stations Adverse reactions COMFORT Quality of care
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Confluent CORE Web Services Monitoring and Management Platform
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《个人电脑》 2003年第11期96-97,共2页
关键词 Confluent CORE Web serviceS Monitoring and management Web
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Urban Public Toilets Management in Tanzania:Understanding Cost-effective Approaches 被引量:1
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作者 ArbogastiIsidori Kanuti Rehema Monko Samwel Alananga 《Macro Management & Public Policies》 2019年第2期6-17,共12页
Cost recovery and user satisfaction are among the core objectives of any public or quas-public good provision.Public toilet service provision has been the domain of local government until when liberalisation policies ... Cost recovery and user satisfaction are among the core objectives of any public or quas-public good provision.Public toilet service provision has been the domain of local government until when liberalisation policies struck the developing south.With stringent condition to reduce the fiscal burden,local government authorities have sought to offload some of its core functions including the management of public toilets to contracted firms.Based on regression and comparative quadrant analysis,this study evaluates cost recovery and user satisfaction in relation to public toilet condition based on a total of 729 user responses and 31 public toilet operators.The observations point to misguided decision to place public toilet management under contracted firms instead of placing then under Public Private Partnership(PPP).The decision to place public toilets management under private contract or individual contract is only secondary to PPP if the focus is to achieve both cost recovery and user satisfaction.However,if the focus was to achieve only cost recovery regardless of the need to protect users,then the decision would have been well founded but can be conspired inappropriate in as long as public toilets remain the domain of public good. 展开更多
关键词 public toilets COST recovery User SATISFACTION COST EFFECTIVENESS management Tanzania
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Effect of Airway Management and Impedance Threshold Device on Circulation, Survival and Neurological Outcome in Adult Out-Of-Hospital Cardiac Arrest
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作者 David Chase Angelo Salvucci +3 位作者 Rafael Marino Robin Shedlosky Nancy Merman Katy Hadduck 《Open Journal of Emergency Medicine》 2014年第1期12-18,共7页
Purpose: This study was designed to study the effect of early use of the King Airway (KA) and impedance threshold device (ITD) in out-of-hospital cardiac arrest on ETCO2 as a surrogate measure of circulation, survival... Purpose: This study was designed to study the effect of early use of the King Airway (KA) and impedance threshold device (ITD) in out-of-hospital cardiac arrest on ETCO2 as a surrogate measure of circulation, survival, and cerebral performance category (CPC) scores. After analysis of the first 9 month active period the KA was relegated to rescue airway status. Methods: This was a prospective pre-post study design. Patients >18 years with out-of-hospital cardiac caused arrest were included. Three periods were compared. In the first “non active” period conventional AHA 30/2 compression/ventilation ratio CPR was done with bag mask ventilation (BMV). No ITD was used. After advanced airway placement the compression/ventilation ratio was 10/1. In the second period continuous compressions were done. Primary airway management was a KA with an ITD. After placement of the KA the compression/ventilation ratio was 10/1. In the third period CPR reverted to 30/2 ratio with a two hand seal BMV with ITD. CPR ratio was 10/1 post endotracheal intubation (ETI) or KA. The KA was only recommended for failed BMV and ETI. Results: Survival to hospital discharge was similar in all three study periods. In Period 2 there was a strong trend to CPC scores >2. The study group hypothesized that the KA interfered with cerebral blood flow. For that reason the KA was abandoned as a primary airway. Comparing Period 1 to Period 3 there was a trend to improved survival in the bystander witnessed shockable rhythm (Utstein) subgroup, particularly if a metronome was used. ETCO2 was significantly increased in Period 2 and trended up in Period 3 when compared to Period 1. Advanced airway intervention had a highly significant negative association with survival. Conclusion: The introduction of an ITD into our system did not result in a statistically significant improvement in survival. The study groups were somewhat dissimilar. ETCO2 trended up. When comparing Period 1 to Period 3, the bundle of care was associated with a trend towards increased survival in the Utstein subgroup, particularly with a metronome set at 100. Multiple confounders make a definitive conclusion impossible. Advanced airways showed a significant association with poor survival outcomes. The KA was additionally associated with poor neurologic outcomes. 展开更多
关键词 Airway management OUT-OF-HOSPITAL Cardiac Arrest CARDIOPULMONARY Resuscitation ENDOTRACHEAL INTUBATION SUPRAGLOTTIC AIRWAYS Emergency Medical services
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