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Improving the Quality of Public Space in Old Residential Areas Based on Superposition and Intervention:A Case Study of Baihuazhou District of Nanchang City
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作者 LI Shengnan 《Journal of Landscape Research》 2024年第4期13-16,20,共5页
With the development of cities,China has entered an era of stock planning.The functions of old residential areas in urban development can no longer meet the needs of residents in the new era for a better life,and new ... With the development of cities,China has entered an era of stock planning.The functions of old residential areas in urban development can no longer meet the needs of residents in the new era for a better life,and new standards have been put forward for the quality of public spaces for living.This paper analyzes and sorts out the characteristics and problems of the public space in the old residential areas of Baihuazhou district.Combining superposition and intervention techniques,the spatial,historical,cultural and other characteristic elements of the residential areas are preserved to the greatest extent.The public space in the old residential areas of Baihuazhou District is updated and reconstructed in order to achieve the goal of improving the quality of its public space. 展开更多
关键词 Superposition and intervention old residential area Public space Quality improvement Baihuazhou District
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Renewal Needs and Solutions for Urban Old Communities under the Guidance of Resilient Security
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作者 ZHOU Xu LIU Zihan +1 位作者 SUN Ziin YANG Peizhe 《Journal of Landscape Research》 2024年第5期15-18,26,共5页
The renewal strategy guided by resilient security aims to enhance the community’s resistance and resilience to natural disasters and other emergency situations,ensuring that the community can quickly restore normal f... The renewal strategy guided by resilient security aims to enhance the community’s resistance and resilience to natural disasters and other emergency situations,ensuring that the community can quickly restore normal functions in the face of shocks.By enhancing the resilience of the community,residents’sense of security and satisfaction can be improved,while promoting the long-term stability and prosperity of the city.Using methods such as literature review,case analysis,and demand investigation,this paper investigates the needs and strategies for the renewal of urban old communities,and explores the demand analysis and solutions for the renewal of urban old communities under the guidance of resilient security.This paper aims to address the lack of resilience in old communities caused by outdated construction,aging infrastructure,and insufficient public services,as well as how to improve the adaptability,resilience,and transformation ability of communities through renovation and transformation. 展开更多
关键词 Resilient security old community Community renewal Demand analysis Implementation path
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Research on the Index System of Old Neighborhood Renovation Based on Green Building Evaluation Standard
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作者 Yufei Que 《Journal of Architectural Research and Development》 2024年第3期140-146,共7页
With the advancement of the transformation,the contradiction between the residents’demand for a better living environment and the convenience of living in the settlements comes to the fore.Effective identification,or... With the advancement of the transformation,the contradiction between the residents’demand for a better living environment and the convenience of living in the settlements comes to the fore.Effective identification,organic integration,timely adoption,and correct decision-making for the transformation of old neighborhoods are pressing issues in the transformation of old neighborhoods.Therefore,this paper takes the green building evaluation standards of various countries as the research basis and support for the construction of the transformation strategy of old neighborhoods.Through the collection and comparative analysis of the indicators of green building evaluation standards,the index system of transformation is formed,and it also provides a certain foundation for the subsequent related research. 展开更多
关键词 old neighborhoods Green building evaluation standards RENOVATION CRITERIA
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Analysis of Safety Assessment and Testing of Heavy Traffic Vehicles on Old Bridges Without Data
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作者 Qing Yang Jiang Feng 《Journal of World Architecture》 2024年第1期35-39,共5页
This article presents a real-life project that aimed to evaluate the safety of traffic vehicles on old bridges without any prior data.The project involved various safety inspections,including conventional,static,and d... This article presents a real-life project that aimed to evaluate the safety of traffic vehicles on old bridges without any prior data.The project involved various safety inspections,including conventional,static,and dynamic load inspections and safety assessments.After conducting these tests,it was concluded that the structure of the old bridge is relatively safe,with only a few bumps.The bridge could function normally following appropriate treatment.The analysis provides valuable insights into the assessment of the quality and safety of such bridges to ensure the safe driving of heavy vehicles. 展开更多
关键词 old bridge Absence of data Heavy vehicles Safety inspection Safety assessment
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Research on the feasibility of storage and estimation model of storage capacity of CO_(2)in fissures of coal mine old goaf 被引量:4
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作者 Yang Ding Shugang Li +4 位作者 Bing Zhu Haifei Lin Jingfei Zhang Junhong Tan Wenbin Chen 《International Journal of Mining Science and Technology》 SCIE EI CAS CSCD 2023年第6期675-686,共12页
The concept of the carbon cycle in the old goaf of a coal mine based on CO_(2)utilization and storage was put forward adhering to the principle of low-carbon development,utilization of space resources in old goafs,and... The concept of the carbon cycle in the old goaf of a coal mine based on CO_(2)utilization and storage was put forward adhering to the principle of low-carbon development,utilization of space resources in old goafs,and associated gas resources development.Firstly,the evolution characteristics of overburden fissures in the goaf of the case was studied using a two-dimensional physical similarity simulation test,the sealing performance of the caprocks after stabilization was analyzed,and the fissures were counted and classi-fied.Then,the process of gaseous CO_(2)injection in the connected fissure was simulated by Ansys Fluent software,and the migration law and distribution characteristics of CO_(2)under the condition of gaseous CO_(2)injection were analyzed.Finally,the estimation models of free CO_(2)storage capacity in the old goaf were constructed considering the proportion of connected fissure and the effectiveness of CO_(2)injection.The CO_(2)storage capacity in the old goaf of the case coal mine was estimated.The results showed that a caprock group of“hard-thickness low-permeability hard-thickness”was formed after the caprock-fissures system in the goaf of the case tended to be stable vertically.The connected fissure,occlude cracks,and micro-fractures in the goaf accounted for 85.5%,8.5%,and 6%of the total fissures,respectively.Gaseous CO_(2)first migrated to the bottom of the connected fissure after CO_(2)was injected into the goaf,then spread horizontally along the bottom of the connected fissure after reaching the bottom,and finally spread longitudinally after filling the bottom of the entire connected fissure.The theoretical and effective storage capacities of free CO_(2)at normal temperature and pressure in the old goaf of the case were 9757 and 7477 t,respectively.The effective storage capacity of free CO_(2)at normal temperature and pressure in the old goaf after all minefield mined was 193404 t.The research can provide some reference for the coal mining industry to help the goal of“carbon peaking and carbon neutrality”. 展开更多
关键词 Carbon cycle old goaf FISSURE CO_(2)storage FEASIBILITY Storage capacity
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Structural Damage Identification System Suitable for Old Arch Bridge in Rural Regions: Random Forest Approach 被引量:1
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作者 Yu Zhang Zhihua Xiong +2 位作者 Zhuoxi Liang Jiachen She Chicheng Ma 《Computer Modeling in Engineering & Sciences》 SCIE EI 2023年第7期447-469,共23页
A huge number of old arch bridges located in rural regions are at the peak of maintenance.The health monitoring technology of the long-span bridge is hardly applicable to the small-span bridge,owing to the absence of ... A huge number of old arch bridges located in rural regions are at the peak of maintenance.The health monitoring technology of the long-span bridge is hardly applicable to the small-span bridge,owing to the absence of technical resources and sufficient funds in rural regions.There is an urgent need for an economical,fast,and accurate damage identification solution.The authors proposed a damage identification system of an old arch bridge implemented with amachine learning algorithm,which took the vehicle-induced response as the excitation.A damage index was defined based on wavelet packet theory,and a machine learning sample database collecting the denoised response was constructed.Through comparing three machine learning algorithms:Back-Propagation Neural Network(BPNN),Support Vector Machine(SVM),and Random Forest(R.F.),the R.F.damage identification model were found to have a better recognition ability.Finally,the Particle Swarm Optimization(PSO)algorithm was used to optimize the number of subtrees and split features of the R.F.model.The PSO optimized R.F.model was capable of the identification of different damage levels of old arch bridges with sensitive damage index.The proposed framework is practical and promising for the old bridge’s structural damage identification in rural regions. 展开更多
关键词 old arch bridge damage identification machine learning random forest particle swarm optimization
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An Extended Fuzzy-DEMATEL System for Factor Analyses on Social Capital Selection in the Renovation of Old Residential Communities
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作者 Guoshuai Sun Xiuru Tang +1 位作者 Shuping Wan Jiao Feng 《Computer Modeling in Engineering & Sciences》 SCIE EI 2023年第2期1041-1067,共27页
China has been promoting the renovation of old residential communities vigorously.Due to the financial pressure of the government and the sustainability of the renovation of old residential communities,public-private ... China has been promoting the renovation of old residential communities vigorously.Due to the financial pressure of the government and the sustainability of the renovation of old residential communities,public-private partnerships(PPP)have already gained attention.The selection of social capital is key to improving the efficiency of the PPP model in renovating old residential communities.In order to determine the influencing factors of social capital selection in the renovation of old residential communities,this paper aims to find an effective approach and analyze these factors.In this paper,a fuzzy decision-making and trial evaluation laboratory(fuzzy-DEMATEL)technique is extended and amore suitable systemis developed for the selection of social capital using the existing group decisionmaking theory.In the first stage,grounded theory is used to extract the unabridged key influencing factors for social capital selection in the renovation of old residential communities.Secondly,by considering the impact of expert weights,the key influencing factors are identified.The interactions within these influencing factors are discussed and the credibility of the results is verified by sensitivity analysis.Finally,these key influencing factors are sorted by importance.Based on the results,the government should focus on a technical level,organizationalmanagement abilities,corporate reputation,credit status,etc.This study provides the government with a theoretical basis and a methodology for evaluating social capital selection. 展开更多
关键词 Social capital selection fuzzy-DEMATEL influencing factors renovation of old residential communities grounded theory
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Chemical and physical studies of metallic alloy-based old Indian coins with LIBS coupled with multivariate analysis
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作者 Vikas GUPTA Abhishekh Kumar RAI +3 位作者 Tejmani KUMAR Rajendhar JUNJURI G Manoj KUMAR A K RAI 《Plasma Science and Technology》 SCIE EI CAS CSCD 2023年第9期91-103,共13页
The present work aims to demonstrate the capabilities of Laser-induced Breakdown Spectroscopy(LIBS)coupled with a multivariate technique for rapid quantification and classification of old Indian coins made of various ... The present work aims to demonstrate the capabilities of Laser-induced Breakdown Spectroscopy(LIBS)coupled with a multivariate technique for rapid quantification and classification of old Indian coins made of various alloys.Thirteen old Indian coins in different years of circulation,(1922–1986)were selected for the study.The concentrations were determined by Calibration free LIBS(CF-LIBS)method.The concentration of cuprum(Cu)is negligible,and aluminum(Al)is maximum in the first five coins,and vice-versa in the remaining eight coins.Two different multivariate methods,Principal Component Analysis(PCA)and Soft Independent Modelling of Class Analogy(SIMCA)have been used to classify and identify the coins.PCA classified all thirteen samples into four main alloy categories.The discernment of unknown samples to their probable class membership of alloy was performed using SIMCA.The surface hardness(Brinell hardness number)is linearly correlated with the plasma temperature and LIBS intensity ratios.The sample surface of the first and fifth coin belongs to Al-alloy,having the least surface hardness,and it became harder for Cu–Ni alloy,Ni-brass alloy,and bronze alloy.The hardness of the surface is more for bronze sample twelve.It is also observed that the plasma temperature increases monotonically with the Brinell hardness number.This analysis provides valuable information on fabrication methodology and explains large diversification in the elementary composition of old coins. 展开更多
关键词 LIBS metallic alloy stoichiometric ablation PCA SIMCA old indian coins surface hardness
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Improving the Use of Insecticide-Treated Nets among Children under Five Years Old in Benin, West Africa
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作者 Emmanuel Houessou Tatchémè Filémon Tokponnon 《Advances in Infectious Diseases》 2023年第2期137-158,共22页
Background: In Benin, malaria represents the first cause of consultation and hospitalization (48% for children under 5 years old) in health units. It also accounts for 23.1% of deaths recorded in health facilities (Mo... Background: In Benin, malaria represents the first cause of consultation and hospitalization (48% for children under 5 years old) in health units. It also accounts for 23.1% of deaths recorded in health facilities (MoH, 2019). Between the two main components of vector control adopted by Benin government, the mass distribution campaigns of Insecticide-Treated Nets (ITNs) remained the only proven cost-effective way to rapidly achieve high and equitable coverage (WHO, 2017). After the fourth mass distribution campaign conducted in 2017, the Demographic and Health Survey (DHS) data indicated that the percentage of children who slept under an ITN has increased from 20% in 2006 to 70% in 2011-2012 and to 76% in 2017-2018 while the incidence of malaria (tested positive) is increasing rapidly among children under 5 years old, growing from 36.5% in 2009 to 28.8% in 2012 and then to 51.4% in 2019. This study aims to understand this contrast by identifying the origin of the increase in ITN use over time among children under five years old and the factors which determine this use. Methods: Data from the Demographic and Health Survey (DHS) conducted in Benin respectively in 2006 and in 20018 were used during the analysis, which covered 13,445 children under five years old from 2006 DHS and 12,255 children from 2017-2018 DHS. Firstly, the data were analyzed using decomposition method to highlight the origin of the increase of ITN use over time among children under five years old. Secondly, the chi-square test analysis estimated the association between ITN use and some characteristics (wealth index, maternal or caregiver education level and child age). Finally, the logistic regression model was used to identify the main factors, which influence the net use over the study period. Results: This study shows that the improvement of basic conditions is the main origin of behavior change in the use of ITNs among children under five years old. This improvement of the basic conditions consists of making ITNs available in households and informing household members about the benefits of ITN use. So, the free ITN distribution campaigns, routine distribution, awareness campaigns about the benefits of ITN use are the strategies, which increase the household capacities and knowledge, allowing household members to make their children sleep under net. The analysis also shows that region of residence, wealth index of household, household size, religion, and child age continue to determine the ITN use among children under age 5 years old and MNCP will integrate the factors in malaria prevention strategies in order to achieve universal use of ITNs. Conclusions: Although, sleeping under ITN behavior has indeed spread among children under 5 years old, policymakers and other stakeholders should design strategies to maintain and improve the current level of ITN use to reach the collective protection threshold (80% according to WHO). Therefore, to address the challenges of universal use of ITN, the study recommends expanding the routine distribution system to private sector health centers;discussing issues related to health service utilization (particularly ITN use) within a consultation framework at the communal level. In addition, collecting qualitative and quantitative data in the Oueme region will allow better understanding of all aspects of the ITN use gap among children under 5 years. 展开更多
关键词 MALARIA Long-Lasting Insecticidal Net (LLIN) Child under 5 Years old Health Policy BENIN
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Transformation Design of Old Parks Based on Behavior Psychology: A Case Study of Hefei Xiaoyaojin Park
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作者 GE Juan CAO Menghan +3 位作者 CHEN Jiaxin HU Yueyue LI Quanjun LI Yinan 《Journal of Landscape Research》 2023年第5期35-40,共6页
City park undertakes the function of urban core green island. Hefei Xiaoyaojin Park providesa leisure and entertainment place for Hefei citizens. Although it has been continuously transformed andupgraded, there are st... City park undertakes the function of urban core green island. Hefei Xiaoyaojin Park providesa leisure and entertainment place for Hefei citizens. Although it has been continuously transformed andupgraded, there are still many places to be improved. Through behavior observation and questionnaire,the usage and satisfaction evaluation of tourists in Xiaoyaojin Park were obtained, and the transformationdesign of Xiaoyaojin Park was analyzed from the perspective of behavior psychology by analyzing thebehavior of tourists in different zones of Xiaoyaojin. Based on the premise of exploring the behaviorof tourists in different spaces, a city park environment that meets the needs of tourists can be created bypromoting the cultural context of the Three Kingdoms, improving the plant landscape and infrastructureof the site, optimizing the spatial function, and exploring the park design and transformation strategy that ismore in line with the needs of people, in order to provide new ideas for the future landscape transformationof Xiaoyaojin park, and offer reference suggestions for the future transformation design of old city parks. 展开更多
关键词 Behavior psychology old park City park Environmental optimization
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Landscape Upgrading and Transformation of Old Urban Parks from the Perspective of Place Attachment:A Case Study of Nanchang Bayi Park
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作者 Baoyong LI Yuanqing WEN +1 位作者 Bo PENG Huimin TAN 《Meteorological and Environmental Research》 CAS 2023年第2期28-34,41,共8页
On the basis of combing the relevant theories of place attachment, the planning framework of upgrading and reconstruction of old parks based on place attachment was put forward. Taking Nanchang Bayi Park as an example... On the basis of combing the relevant theories of place attachment, the planning framework of upgrading and reconstruction of old parks based on place attachment was put forward. Taking Nanchang Bayi Park as an example, the methods and key points of landscape improvement and transformation of old urban parks based on place attachment were explained to provide new ways and references for the renewal of old urban parks. 展开更多
关键词 Landscape upgrading and transformation old urban parks Place attachment
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Application of the Concept of“Endowing the Old with the New”in Urban Renewal
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作者 JI Yuan 《Journal of Landscape Research》 2023年第2期21-26,共6页
The renewal of ancient cities is an important part of the urban renewal work in China.However,there are few studies on the general historical ancient cities at the county level in China,and there is no guidance on the... The renewal of ancient cities is an important part of the urban renewal work in China.However,there are few studies on the general historical ancient cities at the county level in China,and there is no guidance on the renewal path.Through the practice of the renewal design project of Suining County,Xuzhou City,it makes an exploratory study on the renewal concept and mode.It first interprets the connotation and implementation path of the renewal concept of“endowing the old with the new”.Based on the texture analysis of the ancient city of Suining,it finally determines the design theme that tracing the historical context of the ancient city.Using the renewal techniques such as“extraction-transformationactivation”,through the renewal strategies such as“building new space,shaping new landscape,inheriting new culture and pregnant with new environment”,it realizes the regeneration of urban historical context and meets the needs of residents'modern life,so as to provide reference and guidance for the renovation of general historical ancient cities at the county level in China. 展开更多
关键词 Endowing the old with the new Ancient city renewal Update design Application research
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设施蔬菜产业发展(五) 我国老旧蔬菜设施现状、问题及改造提升对策建议 被引量:3
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作者 冷杨 孙周平 +5 位作者 魏晓明 别之龙 王克健 夏宏义 曹堃 周泽宇 《中国蔬菜》 北大核心 2024年第2期1-5,共5页
目前我国正在加快建设现代设施农业,推进老旧蔬菜设施改造升级,促进设施蔬菜产业的高质量发展。但是对老旧设施的现状和存在问题缺乏系统梳理,对如何破解改造工作面临的困难和提升改造对策缺乏系统研究。通过调研我国主要设施蔬菜产区,... 目前我国正在加快建设现代设施农业,推进老旧蔬菜设施改造升级,促进设施蔬菜产业的高质量发展。但是对老旧设施的现状和存在问题缺乏系统梳理,对如何破解改造工作面临的困难和提升改造对策缺乏系统研究。通过调研我国主要设施蔬菜产区,总结老旧设施现状及存在的主要问题,分析推进改造提升的主要制约因素,并提出明确工作重点、优化设施结构、完善工作机制、增强条件保障等方面的对策建议。 展开更多
关键词 老旧蔬菜设施 改造提升 对策
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Construction of Industrialization Development Model for"1+4+X"Community-Based Elderly Care in Gannan Old Revolutionary Base Area in the Context of Population Aging
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作者 Chenxin YANG Jun XIAO +2 位作者 Liyuan WANG Jiaxin LIU Yangkai LU 《Asian Agricultural Research》 2023年第5期8-10,16,共4页
In the context of controlling population development in a planned way,China entered an aging society in the early 21 st century.In this context,how to meet the needs of the elderly care and form an effective elderly c... In the context of controlling population development in a planned way,China entered an aging society in the early 21 st century.In this context,how to meet the needs of the elderly care and form an effective elderly care model has become a key problem to be solved urgently by local government departments.With the continuous advancement of the elderly care policy,the community-based elderly care has gradually become the mainstream and is in the stage of vigorous promotion.Taking the Gannan old revolutionary base area in Jiangxi Province as an example,this study puts forward"1+4+X"community-based elderly care model based on the policy system of community-based elderly care,the physical and mental health of the elderly,the material space and the construction of evaluation system,and explores how to promote the application of this community model efficiently in the form of industrialization,so as to drive the economic growth of the Gannan old revolutionary base area,promote the employment development and improve the community-based elderly care service. 展开更多
关键词 Community-based elderly care New elderly care model Gannan old revolutionary base area
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基本养老服务制度的政策逻辑与内涵特征 被引量:1
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作者 左菁 《重庆社会科学》 CSSCI 北大核心 2024年第2期82-100,共19页
现阶段建立基本养老服务制度是在新时期我国转变政府职能和提升政府民生治理能力的背景下,进一步划分政府、家庭、市场等养老主体在养老服务中的责任边界,强化政府“兜底线、保基本”的养老保障职责,增强老年人的普遍幸福感和获得感的... 现阶段建立基本养老服务制度是在新时期我国转变政府职能和提升政府民生治理能力的背景下,进一步划分政府、家庭、市场等养老主体在养老服务中的责任边界,强化政府“兜底线、保基本”的养老保障职责,增强老年人的普遍幸福感和获得感的制度探索。然而,当前基本养老服务政策内容较为薄弱,相关理论研究也较为匮乏,本文以系统梳理基本养老服务发展脉络为出发点,深入挖掘基本养老服务制度形成的政策逻辑,详细阐释基本养老服务制度的内涵与特征,为基本养老服务制度完善提供思路。 展开更多
关键词 养老服务 基本养老服务 公共服务 基本养老服务制度
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延迟退休对青年人就业的挤入效应研究 被引量:3
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作者 刘凤芹 王美甜 毕蕾 《财经问题研究》 CSSCI 北大核心 2024年第4期94-106,共13页
本文从理论上提出了延迟退休对青年人就业产生挤入效应的两条途径,并基于2005年1%人口抽样调查微观数据和2010年第六次全国人口普查微观数据,采用双向固定效应模型实证研究了延迟退休对青年人就业的影响及作用机制。研究结果显示:延迟... 本文从理论上提出了延迟退休对青年人就业产生挤入效应的两条途径,并基于2005年1%人口抽样调查微观数据和2010年第六次全国人口普查微观数据,采用双向固定效应模型实证研究了延迟退休对青年人就业的影响及作用机制。研究结果显示:延迟退休不仅不会挤出青年人就业,反而会对其产生挤入效应。异质性分析结果表明,相较于男性青年人,延迟退休对女性青年人就业的促进作用偏弱;高学历老年人延迟退休能够促进高学历青年人就业,低学历老年人延迟退休能够促进低学历青年人就业。机制分析结果表明,延迟退休通过降低实际老年抚养比促进青年人就业。调节效应分析结果表明,经济发展水平对延迟退休与青年人就业之间的关系存在正向调节效应。本文的研究结论支持政府为增加劳动力供给提出的延迟退休政策,建议推进渐进式、弹性式延迟退休政策。在实行延迟退休政策的同时,政府应适时调整其他相关政策。在三孩生育政策全面放开阶段,政府应重视年轻家庭对祖辈隔代照料的需求。此外,政府应鼓励老年劳动力提升自身人力资本水平。 展开更多
关键词 延迟退休 青年人就业 人口结构 实际老年抚养比
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近10年国内老年血液透析研究热点的可视化分析 被引量:1
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作者 王晶 李琳 +3 位作者 郝德 汪梦洁 张帆 张枭霄 《全科护理》 2024年第6期1046-1050,共5页
目的:分析我国老年血液透析患者的研究现状、热点及趋势。方法:检索中国知网(CNKI)、万方数据库、维普数据库、中国生物医学文献数据库近10年发表的老年血液透析相关文献,应用CiteSpace 6.2.R7对相关研究的作者、研究机构、关键词进行... 目的:分析我国老年血液透析患者的研究现状、热点及趋势。方法:检索中国知网(CNKI)、万方数据库、维普数据库、中国生物医学文献数据库近10年发表的老年血液透析相关文献,应用CiteSpace 6.2.R7对相关研究的作者、研究机构、关键词进行可视化分析。结果:检索出符合要求的文献1545篇,文献发文量保持平稳增长,2018年为发文高峰;发文期刊多为医疗类期刊,发文量最多的作者为罗洋、陈文和郭一丹,各6篇;发文量较多的地区集中在北京、上海、南京和四川。老年血液透析研究热点集中在治疗、用药、预后和并发症的管理。结论:老年血液透析研究内容较广泛、热点不突出;研究领域内作者及机构合作不紧密,未形成稳定的核心作者群;目前的研究水平发展较不均衡,护理研究内容和质量有待加强。 展开更多
关键词 血液透析 老年 CITESPACE 可视化分析
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罗斯曼指数对老年髋膝关节置换后非计划再入院和并发症的影响 被引量:1
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作者 周思睿 黄坤 +2 位作者 柏帆 刘利 周阳 《中国组织工程研究》 CAS 北大核心 2024年第18期2835-2839,共5页
背景:人工髋膝关节置换术在老年群体中有广泛应用,但临床中缺乏对患者非计划再次入院和术后并发症的准确预测方法。目的:探讨罗斯曼(Rothman)指数对老年髋膝关节置换患者术后非计划再入院和并发症的影响。方法:选择遵义市第一人民医院... 背景:人工髋膝关节置换术在老年群体中有广泛应用,但临床中缺乏对患者非计划再次入院和术后并发症的准确预测方法。目的:探讨罗斯曼(Rothman)指数对老年髋膝关节置换患者术后非计划再入院和并发症的影响。方法:选择遵义市第一人民医院骨科一病区2020年12月至2022年12月接受择期髋、膝关节手术患者153例为研究对象,根据出院后90 d内是否非计划再次入院分为再入院组(n=21)和非再入院组(n=132)。通过电子病历系统统计所有患者一般性资料,包括性别、年龄、体质量指数、合并糖尿病、合并高血压、手术关节类型等,参照文献评估Rothman指数,统计患者术后并发症。结果与结论:①再入院组和非再入院组患者性别、体质量指数、手术关节类型、住院时长比较差异无显著性意义(P>0.05),两组共病数量、年龄、Rothman得分比较差异有显著性意义(P<0.05);②多因素Logistics回归分析结果显示,共病数量、年龄和Rothman得分均是老年髋、膝关节疾病患者术后90 d再入院的独立影响因素(P<0.05);③受试者工作特征曲线分析结果表明,Rothman指数预测人工髋膝关节置换术后90 d再入院曲线下面积为0.824,敏感度为80.85%,特异度为78.85%,最大youden指数为0.597,最佳截断值为46分;④Rothman<46分的老年患者总并发症发生率高于Rothman≥46分的老年患者(P<0.05);⑤提示Rothman指数可较为准确地预测老年髋、膝关节疾病患者术后非计划再入院,同时Rothman指数低于46分者发生并发症总体风险较高,关节恢复较差,可用于临床中改善患者术后管理。 展开更多
关键词 Rothman指数 老年 人工关节置换术 非计划再入院 并发症
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二维超声联合剪切波弹性成像在老年肌少症诊断及疗效预测中的临床价值 被引量:1
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作者 刘伟 张建蕾 +2 位作者 刘宇 曹光明 景磊 《临床超声医学杂志》 CSCD 2024年第3期239-243,共5页
目的探讨二维超声联合剪切波弹性成像在老年肌少症诊断及疗效预测中的临床应用价值。方法选取我院收治的84例老年肌少症患者(观察组)和同期42例健康老年人(对照组),两组均行二维超声和剪切波弹性成像检查,比较两组肌肉厚度、羽状角、肌... 目的探讨二维超声联合剪切波弹性成像在老年肌少症诊断及疗效预测中的临床应用价值。方法选取我院收治的84例老年肌少症患者(观察组)和同期42例健康老年人(对照组),两组均行二维超声和剪切波弹性成像检查,比较两组肌肉厚度、羽状角、肌束长度及收缩状态下腓肠肌杨氏模量平均值(以下简称杨氏模量值)的差异。观察组患者行常规药物治疗和弹力带训练,记录其治疗后总有效率,比较入院时与干预1、3、6个月后握力、四肢骨骼肌指数(ASMI)、简易躯体能力测试表(SPPB)评分的差异。绘制受试者工作特征(ROC)曲线分析二维超声和剪切波弹性成像参数单独及联合应用对老年肌少症诊断和疗效预测的效能。结果观察组肌肉厚度、羽状角、肌束长度及杨氏模量值均低于对照组,差异均有统计学意义(均P<0.05)。观察组患者治疗后总有效率86.90%(73/84);干预1、3、6个月后握力、ASMI、SPPB评分均高于入院时,差异均有统计学意义(均P<0.001)。ROC曲线分析显示,肌肉厚度、羽状角、肌束长度、杨氏模量值诊断老年肌少症的曲线下面积(AUC)分别为0.775、0.716、0.621、0.749,各参数联合应用的AUC为0.911,高于其单独应用,差异均有统计学意义(均P<0.05);肌肉厚度、羽状角、肌束长度、杨氏模量值预测老年肌少症疗效的AUC分别为0.805、0.846、0.785、0.775,各参数联合应用的AUC为0.889,高于单独应用,差异均有统计学意义(均P<0.05)。结论二维超声联合剪切波弹性成像在老年肌少症诊断及疗效预测中均有较好的临床应用价值,可为临床评估提供参考。 展开更多
关键词 超声检查 二维 剪切波弹性成像 老年 肌少症 疗效预测
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全龄友好社区视角下老旧社区公共空间更新策略——以南昌市梨园西社区为例 被引量:2
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作者 李小云 张玉 陈长虹 《规划师》 CSSCI 北大核心 2024年第2期106-114,共9页
当前,老旧社区公共空间供需矛盾突出,基于全龄友好社区视角,从广场公园、街道、宅间等3个层面提出老旧社区公共空间全龄化更新策略,并以南昌市梨园西社区为例进行更新实践,通过环境品质提升,促进老旧社区公共空间代际互动与融合的实现,... 当前,老旧社区公共空间供需矛盾突出,基于全龄友好社区视角,从广场公园、街道、宅间等3个层面提出老旧社区公共空间全龄化更新策略,并以南昌市梨园西社区为例进行更新实践,通过环境品质提升,促进老旧社区公共空间代际互动与融合的实现,为类似社区公共空间更新提供参考。 展开更多
关键词 全龄友好社区 老旧社区 公共空间 更新策略
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