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第二产程自发用力的临床应用现况与展望
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作者 戎惠娟 陈春宁 姚家思 《医学研究与教育》 CAS 2024年第5期48-54,共7页
提高产妇分娩体验是提高生育意愿、扭转人口负增长的重要策略之一。助产服务模式认为分娩是自然的生理过程,第二产程自发用力能够改善产妇分娩体验,已在多个国家和地区得到应用。对第二产程自发用力的内容、特点、应用现况及其对母婴结... 提高产妇分娩体验是提高生育意愿、扭转人口负增长的重要策略之一。助产服务模式认为分娩是自然的生理过程,第二产程自发用力能够改善产妇分娩体验,已在多个国家和地区得到应用。对第二产程自发用力的内容、特点、应用现况及其对母婴结局的影响进行综述,旨在为第二产程用力管理提供参考。 展开更多
关键词 第二产程 分娩 自发
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低危初产妇经产道头位分娩第二产程自发性用力有效降低会阴侧切率的临床应用 被引量:3
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作者 李菁 《中外女性健康研究》 2016年第16期3-4,共2页
目的:探讨第二产程自发性用力对降低低危初产妇经产道头位分娩会阴侧切率的临床应用效果。方法:将93例经产道头位自然分娩的低危初产妇随机分为研究组和对照组,研究组51例,对照组42例。对照组在第二产程助产士对产妇用力进行指导,研究... 目的:探讨第二产程自发性用力对降低低危初产妇经产道头位分娩会阴侧切率的临床应用效果。方法:将93例经产道头位自然分娩的低危初产妇随机分为研究组和对照组,研究组51例,对照组42例。对照组在第二产程助产士对产妇用力进行指导,研究组在第二产程助产士观察下产妇采取自发性用力方式,比较两组分娩并发症、会阴侧切、第二产程及满意度情况。结果:研究组产后无会阴裂伤及新生儿窒息发生,行会阴侧切6例。对照组产后发生不同程度会阴裂伤共6例,新生儿发生窒息情况2例,产妇施会阴侧切12例。两组会阴裂伤、会阴侧切率及满意度比较差异有统计学意义(P<0.05)。两组第二产程时间及新生儿窒息发生情况比较差异无统计学意义(P>0.05)。结论:第二产程自发性用力对能有效降低低危初产妇经产道头位分娩并发症及会阴侧切率,有效保障母婴安全。 展开更多
关键词 低危初产妇 头位分娩 第二产程 自发
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侧卧位自发用力对硬膜外分娩镇痛初产妇第二产程与分娩结局的影响 被引量:7
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作者 柯莹 黄仁英 肖文萍 《中国当代医药》 2020年第25期118-120,共3页
目的研究侧卧位自发用力对硬膜外分娩镇痛初产妇第二产程与分娩结局的影响。方法选取2019年2月~2020年2月我院收治的200例初产妇作为研究对象,应用随机数字表法将其分为对照组和观察组,每组各100例。对照组采用平卧位指导屏气延长用力,... 目的研究侧卧位自发用力对硬膜外分娩镇痛初产妇第二产程与分娩结局的影响。方法选取2019年2月~2020年2月我院收治的200例初产妇作为研究对象,应用随机数字表法将其分为对照组和观察组,每组各100例。对照组采用平卧位指导屏气延长用力,观察组采用侧卧位自发用力,比较两组的第二产程、用力时间、产后出血量、分娩结局及第二产程镇痛满意度。结果观察组的第二产程、用力时间短于对照组,观察组产后出血量少于对照组,差异均有统计学意义(P<0.05);观察组的分娩方式优于对照组,差异有统计学意义(P<0.05)。观察组的第二产程镇痛满意度为98.0%,高于对照组的87.0%,差异有统计学意义(P<0.05)。结论初产妇在硬膜外分娩镇痛期应用侧卧位自发用力方式,可缩短第二产程、用力时间,减少产后出血量,提高自然分娩率与第二产程镇痛满意度,效果优良。 展开更多
关键词 侧卧位自发 硬膜外分娩镇痛 初产妇 第二产程 影响
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自由体位分娩配合自发性用力对初产妇分娩结局的影响 被引量:11
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作者 白艳瑞 樊少磊 崔红霞 《全科护理》 2018年第13期1586-1588,共3页
[目的]探讨自由体位分娩配合自发性用力对初产妇分娩结局的影响。[方法]采用便利抽样法,选择郑州大学第三附属医院产房宫口开全的初产妇90例,随机分为对照组和观察组各45例,对照组实施仰卧截石位分娩和指导性用力,观察组实施自由体位分... [目的]探讨自由体位分娩配合自发性用力对初产妇分娩结局的影响。[方法]采用便利抽样法,选择郑州大学第三附属医院产房宫口开全的初产妇90例,随机分为对照组和观察组各45例,对照组实施仰卧截石位分娩和指导性用力,观察组实施自由体位分娩和自发性用力。比较两组分娩方式、第二产程、会阴侧切、会阴裂伤、产后出血、新生儿窒息情况。[结果]观察组第二产程时间短于对照组(P<0.05)。观察组剖宫产率、会阴侧切率、会阴裂伤率、产后出血率、新生儿窒息率均低于对照组(P<0.05)。[结论]自由体位分娩配合自发性用力能够缩短第二产程,改善母婴结局。 展开更多
关键词 初产妇 自由体位分娩 自发性用 分娩结局
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自发社会力:走向经济全球化的共同价值观
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作者 胡艳辉 《财经理论与实践》 CSSCI 北大核心 2004年第3期11-14,共4页
世界经济全球化的大潮使得国内外学者纷纷著书立说 ,发表自己的见解。其中出身哈佛的政治学博士弗兰西斯·福山 (Francisfuknyama)从独特的人文视角 ,检视了较宽广的民族文化问题 ,认为具有自发社会力的高信任度社会才能创造稳定的... 世界经济全球化的大潮使得国内外学者纷纷著书立说 ,发表自己的见解。其中出身哈佛的政治学博士弗兰西斯·福山 (Francisfuknyama)从独特的人文视角 ,检视了较宽广的民族文化问题 ,认为具有自发社会力的高信任度社会才能创造稳定的社会和大规模的企业组织 ,以便在新的全球经济中更具竞争力。福山的观点对于我国经济的现代转型 ,尤其在建立以诚信为准则的市场经济制度建设中 ,具有重要的理论指导和现实意义。 展开更多
关键词 自发社会 经济全球化 共同价值观 企业组织 民族文化 宗教伦理 公民社会 经济增长
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初产妇第二产程最佳用力时机探讨 被引量:20
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作者 黄丽华 肖震萍 《现代妇产科进展》 CSCD 2012年第8期662-663,共2页
第二产程(second stage of labor)是指宫口开全到胎儿娩出的过程,初产妇约需1-2h,经产妇一般数分钟即可完成。屏气用力是第二产程中重要的处理方法,传统的屏气用力时机是在宫口开全后即开始指导产妇用力(指导下用力,directed pushing... 第二产程(second stage of labor)是指宫口开全到胎儿娩出的过程,初产妇约需1-2h,经产妇一般数分钟即可完成。屏气用力是第二产程中重要的处理方法,传统的屏气用力时机是在宫口开全后即开始指导产妇用力(指导下用力,directed pushing),通过母亲向下用力增加腹压,配合子宫收缩的力量娩出胎儿。 展开更多
关键词 第二产程 自发性屏气用 指导下用 初产妇
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分阶段体位管理联合自主屏气用力对初产妇第二产程和分娩结局的影响 被引量:32
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作者 赵磊 孙桂君 刘小丽 《护理学报》 2014年第13期33-35,共3页
目的探讨分阶段体位管理联合自主屏气用力对初产妇第二产程和分娩结局的影响。方法将380例初产妇按随机数字表分为观察组和对照组各190例,观察组产妇进入第二产程后,采用分阶段体位管理,第二产程潜伏期采用舒适的自由体位和第二产程活... 目的探讨分阶段体位管理联合自主屏气用力对初产妇第二产程和分娩结局的影响。方法将380例初产妇按随机数字表分为观察组和对照组各190例,观察组产妇进入第二产程后,采用分阶段体位管理,第二产程潜伏期采用舒适的自由体位和第二产程活跃初期采用的坐位或半坐位,第二产程活跃期即将分娩时采用夸张截石位,第二产程活跃期时将产妇送入分娩室,根据孕妇意愿自发性屏气用力。对照组宫口开全后,将产妇送入分娩室,取传统仰卧膀胱截石位,宫缩时指导产妇最大程度的屏气并向下用力。结果观察组产妇第二产程时间、产妇屏气用力时间较短,自然分娩率和分娩满意度较高,新生儿窒息率较低,产时出血量较少,两组比较差异均有统计学意义。观察组会阴完整率较高,侧切助娩率较低,差异有统计学意义。结论初产妇进入第二产程后给予分阶段体位管理联合自主屏气用力,操作方法简单,安全有效,提高了初产妇自然分娩率,无需增加任何设备和费用,适用于各级医院,值得提倡和推广。 展开更多
关键词 第二产程 分阶段体位管理 自发性屏气用 母婴结局 分娩满意度
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Properties of Self-recoverable Mechanoluminescence Phosphor Ca_(5)Ga_(6)O_(14)∶Eu^(3+) and Its Information Encryption Application
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作者 ZHANG Ting WANG Zhijun +3 位作者 WANG Dawei ZHAO Jinxin YANG Zhiping LI Panlai 《发光学报》 EI CAS CSCD 北大核心 2024年第9期1445-1455,共11页
A novel self-recoverable mechanoluminescent phosphor Ca_(5)Ga_(6)O_(14)∶Eu^(3+) was developed by the high-tem-perature solid-state reaction method,and its luminescence properties were investigated.Ca_(5)Ga_(6)O_(14)... A novel self-recoverable mechanoluminescent phosphor Ca_(5)Ga_(6)O_(14)∶Eu^(3+) was developed by the high-tem-perature solid-state reaction method,and its luminescence properties were investigated.Ca_(5)Ga_(6)O_(14)∶Eu^(3+)can produce red mechanoluminescence,and importantly,it shows good repeatability.The mechanoluminescence of Ca_(5)Ga_(6)O_(14)∶Eu^(3+) results from the piezoelectric field generated inside the material under stress,rather than the charge carriers stored in the traps,which can be confirmed by the multiple cycles of mechanoluminescence tests and heat treatment tests.The mechanoluminescence color can be turned from red to green by co-doping varied concentrations of Tb^(3+),which may be meaningful for encrypted letter writing.The encryption scheme for secure communication was devised by harnessing mechanoluminescence patterns in diverse shapes and ASCII codes,which shows good encryption performance.The results suggest that the mechanoluminescence phosphor Ca_(5)Ga_(6)O_(14)∶Eu^(3+),Tb^(3+)may be applied to the optical information encryption. 展开更多
关键词 PHOSPHOR MECHANOLUMINESCENCE self-recoverable information encryption
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福山对新古典经济学的批判 被引量:1
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作者 董才生 《内蒙古民族大学学报(社会科学版)》 2003年第2期58-61,共4页
新古典经济学从其崛起之日起就受到了来自社会学方面的批判。尤其是当它实行“帝国主义”扩张时 ,更是遭到了众多社会学者的顽强抵抗与激烈批判。在当代 ,福山对新古典经济学进行了最为系统、深刻而彻底的批判 ,从而为经济社会学在当代... 新古典经济学从其崛起之日起就受到了来自社会学方面的批判。尤其是当它实行“帝国主义”扩张时 ,更是遭到了众多社会学者的顽强抵抗与激烈批判。在当代 ,福山对新古典经济学进行了最为系统、深刻而彻底的批判 ,从而为经济社会学在当代的研究与发展扫清了障碍、开阔了视野。福山对新古典经济学的批判以及所取得的成果对于我国正在进行的社会主义市场经济建设将提供有益的启示和借鉴作用。 展开更多
关键词 经济人 文化 信任 自发社交 社会资本
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Model of gas exchange dynamics for modified-atmosphere packages containing fresh produce
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作者 刘颖 李云飞 +1 位作者 王如竹 田平海 《Journal of Southeast University(English Edition)》 EI CAS 2005年第3期314-318,共5页
A model for modified-atmosphere packaging (MAP) systems containing fruits and vegetables was developed.The computer simulation was performed to predict the gas mass concentrations inside the packages and was success... A model for modified-atmosphere packaging (MAP) systems containing fruits and vegetables was developed.The computer simulation was performed to predict the gas mass concentrations inside the packages and was successfully verified by experiments with yellow peaches at 5,15 and 25 ℃ using two types of packaging films.A Michaelis-Menten type respiration model with noncompetitive inhibition mechanism due to CO2 was adopted while the respiration rates were measured with an improved permeable system method suitable for either steady or unsteady state.The applicability of the model in the design of MAP systems was demonstrated with a calculation to evaluate film specification and equilibrium concentrations of O2 and CO2 in the package containing yellow peaches. 展开更多
关键词 gas exchange dynamics modified-atmosphere package respiration rate yellow peach
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论“开放搞活”与“宏观调控”的哲学底蕴
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作者 鲁品越 《求索》 CSSCI 北大核心 1996年第4期48-53,共6页
论“开放搞活”与“宏观调控”的哲学底蕴鲁品越社会主义市场经济建设过程,从总体上说,是从微观搞活到宏观调控的逻辑发展过程。那么,这一发展过程的哲学底蕴是什么?其历史意义何在?这是时代交给哲学工作者的重大课题。对这个哲学... 论“开放搞活”与“宏观调控”的哲学底蕴鲁品越社会主义市场经济建设过程,从总体上说,是从微观搞活到宏观调控的逻辑发展过程。那么,这一发展过程的哲学底蕴是什么?其历史意义何在?这是时代交给哲学工作者的重大课题。对这个哲学课题的探索,将帮助我们更深刻地理解... 展开更多
关键词 宏观调控 人的主体性 价值冲突 自发力 主体潜能 开放搞活 社会主义市场经济 集体主体性 负价值 微观层次
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从文化下乡到刺激消费
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作者 于杰 《战略与管理》 CSSCI 1999年第2期113-114,122,共3页
关键词 文化下乡 大城市 农村文化市场 中国经济 农村消费市场 小城市 经济增长点 大学毕业生 马太效应 自发力
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秘宗实战连手
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作者 赵越 张继春 贺春林 《中华武术》 1998年第11期20-23,共4页
关键词 手臂 自发力 左手 三手 外截 技法训练 左脚蹬 外敷 分解动作 要点
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非营利组织:一种新的职业共同体
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作者 梁艳霞 《中国商界》 2009年第8期324-325,共2页
我国自改革开放以来,在政府推动以及民间自发力量的催化下,有别于传统的政府机关、企业事业单位,人民团体的新型组织体蓬勃发展,它们遍布全国城乡,涉及社会生活各个领域,初步形成了门类齐全、层次不同、覆盖广泛的组织体系,在推动我国... 我国自改革开放以来,在政府推动以及民间自发力量的催化下,有别于传统的政府机关、企业事业单位,人民团体的新型组织体蓬勃发展,它们遍布全国城乡,涉及社会生活各个领域,初步形成了门类齐全、层次不同、覆盖广泛的组织体系,在推动我国市场经济机制的发育成熟、承载政府赋予的职能、服务社区建设、推动公益事业中体出出不可忽视甚至是举足轻重的作用. 展开更多
关键词 非营利组织 组织体系 政府推动 市场经济机制 企业事业单位 改革开放以来 政府机关 社区建设 社会生活 人民团体 公益事业 发育成熟 初步形成 自发力 职能 民间 门类 覆盖 服务 催化
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Super Performance InGaP/GaAs HBT with Novel Structure 被引量:6
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作者 白大夫 刘训春 +2 位作者 王润梅 袁志鹏 孙海锋 《Journal of Semiconductors》 EI CAS CSCD 北大核心 2004年第7期756-761,共6页
A kind of super performance InGaP/GaAs HBT with f T=108GHz and f max =140GHz is demonstrated.The excellent frequency performance results from the novel structure of the U shaped emitter,together with sel... A kind of super performance InGaP/GaAs HBT with f T=108GHz and f max =140GHz is demonstrated.The excellent frequency performance results from the novel structure of the U shaped emitter,together with self aligned emitter and LEU(lateral etched undercut) technologies.The HBT with the novel structure shows a distinguished performance with BV CEO up to 25V.And excellent performance of low V offset of 105mV and V knee of 0 50V is great favor of low power applications.The differences due to the different structure are also compared. 展开更多
关键词 heterojunction bipolar transistor U shaped emitter self aligned emitter thermal handling capacity
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Selective Atom-Cavity Interaction Scheme for Quantum Controlled-NOT Gate Using Four-Level Atoms in Cavity QED System 被引量:1
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作者 TANG Shi-Qing ZHANG Deng-Yu +2 位作者 XIE Li-Jun ZHAN Xiao-Gui GAO Feng 《Communications in Theoretical Physics》 SCIE CAS CSCD 2009年第2期247-251,共5页
We propose a scheme for realization a quantum Controlled-NOT gate operation using two four-level atoms through a selective atom cavity interaction in cavity quantum electrodynamics system. In our protocol, the quantum... We propose a scheme for realization a quantum Controlled-NOT gate operation using two four-level atoms through a selective atom cavity interaction in cavity quantum electrodynamics system. In our protocol, the quantum information is encoded on the stable ground states of the two atoms. During the interaction between atoms and single-mode vacuum cavity-field, the atomic spontaneous emission is negligible as the large atom-cavity detuning effectively suppresses the spontaneous decay of the atoms. The influences of the dissipation and the deviation of interaction time on fidelity and corresponding success probability of the quantum Controlled-NOT gate and the experimental feasibility of our proposal are also discussed. 展开更多
关键词 controlled-NOT gate four-level atom cavity QED FIDELITY
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Side population cells isolated from KATO Ⅲ human gastric cancer cell line have cancer stem cell-like characteristics 被引量:20
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作者 Jun-Jun She Peng-Ge Zhang Xuan Wang Xiang-Ming Che Zi-Ming Wang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第33期4610-4617,共8页
AIM: To investigate whether the side population (SP) cells possess cancer stem cell-like characteristics in vitro and the role of SP cells in tumorigenic process in gastric cancer. METHODS: We analyzed the presence of... AIM: To investigate whether the side population (SP) cells possess cancer stem cell-like characteristics in vitro and the role of SP cells in tumorigenic process in gastric cancer. METHODS: We analyzed the presence of SP cells indifferent human gastric carcinoma cell lines, and then isolated and identified the SP cells from the KATO Ⅲ human gastric cancer cell line by flow cytometry. The clonogenic ability and self-renewal were evaluated by clone and sphere formation assays. The related genes were determined by reverse transcription polymerase chain reaction. To compare tumorigenic ability, SP and non-side population (NSP) cells from the KATO Ⅲ human gastric cancer cell line were subcutaneously injected into nude mice. RESULTS: SP cells from the total population accounted for 0.57% in KATO Ⅲ, 1.04% in Hs-746T, and 0.02% in AGS (CRL-1739). SP cells could grow clonally and have self-renewal capability in conditioned media. The expression of ABCG2, MDRI, Bmi-1 and Oct-4 was different between SP and NSP cells. However, there was no apparent difference between SP and NSP cells when they were injected into nude mice. CONCLUSION: SP cells have some cancer stem celllike characteristics in vitro and can be used for studying the tumorigenic process in gastric cancer. 展开更多
关键词 Side population Cancer stem cells Selfrenewal Gastric cancer KATO
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Research on Wind Farm Participation in Power Grid AGC Control
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作者 Han XuShan Chen Fei 《Electricity》 2011年第3期27-29,共3页
Since wind power has the features of being intermittent and unpredictable, and usually needs transmission over long distances, grid integration of large-scale wind power will exert signif icant influence on power grid... Since wind power has the features of being intermittent and unpredictable, and usually needs transmission over long distances, grid integration of large-scale wind power will exert signif icant influence on power grid planning and construction, and will make a heavy impact on the safe and reliable operation of power systems. To deal with the diff iculties of large scale wind power dispatch, this paper presents a new automatic generation control (AGC) scheme that involves the participation of wind farms. The scheme is based on ultra-short-term wind power forecast. The author establishes a generation output distribution optimization mode for the power system with wind farms and verif ies the feasibility of the scheme by an example. 展开更多
关键词 wind farm automatic generation control (AGC) power prediction dispatch control
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Crystallization Kinetics of Batch Spontaneous Nucleation of Potassium Nitrate
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作者 伍川 黄培 +3 位作者 黄德春 杨红群 徐南平 时钧 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2005年第5期589-595,共7页
The batch cooling crystallization initiated from spontaneous nucleation for aqueous solution of potassium nitrate was studied. The concentration and transmittance data were acquired on line throughout the operation.Ba... The batch cooling crystallization initiated from spontaneous nucleation for aqueous solution of potassium nitrate was studied. The concentration and transmittance data were acquired on line throughout the operation.Based on solute mass transfer in both liquid and solid phases, a kinetic model was deduced by assuming that the late period of primary nucleation resembles the initial period of the secondary nucleation. Nucleation and crystal growth stages were identified. Kinetic parameters were estimated piecewise from online experimental data and compared with those in literature. The estimated kinetic parameters for stages without apparent primary nucleation agreed well with those in literature. Further, a simulated concentration curve was also drawn from the estimated kinetic parameters and it matched well with that in experiment. 展开更多
关键词 potassium nitrate batch spontaneous crystallization mathematical modeling parameter estimation NUCLEATION crystal growth
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Developing newly emerging high-end industries in the low-carbon economy 被引量:2
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作者 LU Bing 《Ecological Economy》 2010年第2期131-139,共9页
Global warming has exerted severe challenges on the sustainable development of economic society and the food security,resource security,energy security and ecological security of the world.Low-carbon economy has becom... Global warming has exerted severe challenges on the sustainable development of economic society and the food security,resource security,energy security and ecological security of the world.Low-carbon economy has become the current trend of the global economic development.Thus,the industrial development of China must seek the institutional innovation and technological innovation so as to improve the efficiency of energy.High-end industry has become the main factor of the future development of the economic society.Thus,to develop the high-end industry is an important approach to realize low-carbon economy.This paper explores the strategies of the development of newly emerging high-end industries against the background of low-carbon economy form such perspectives as effective use of resources,the improvement of independent innovative ability,and leading the high-end,high quality and high efficiency industries to the important region. 展开更多
关键词 Low-carbon economy High-end industry Sustainable development
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