Objective To describe the long-term antithrombotic management patterns(AMPs)and clinical outcomes of Chinese patients with acute coronary syndrome(ACS).Methods This was an observational,multicenter,longitudinal cohort...Objective To describe the long-term antithrombotic management patterns(AMPs)and clinical outcomes of Chinese patients with acute coronary syndrome(ACS).Methods This was an observational,multicenter,longitudinal cohort extension study of Chinese patients who had completed the EPICOR Asia 2-year follow-up study post-hospitalization for an ACS event.Changes in AMP and clinical outcomes for up to 5 years post-ACS event were evaluated.Results Overall,2334 patients with ACS were enrolled at 49 sites.The mean age was 61.6 years and 76.3%were men.By study end,2093 patients completed the 3-year follow-up.At baseline(2 years post-ACS event),72.4%of patents received one antiplatelet(AP)medication,with aspirin being the preferred one.A small proportion of patients(21.5%)was treated with two or more APs(2+AP),and even fewer patients(6.1%)did not receive any AP medication at baseline.Upon study completion,the proportion of patients without AP therapy increased to 13.6%,while the percentage of patients on one AP and 2+AP decreased to 69.3%and 17.1%,respectively.Numerically,a higher incidence of clinical events(composite of all-cause mortality,myocardial infarction,stroke)was observed for the 2+AP(13.2%)subgroup than for the no AP(10.5%)and one AP(8.6%)subgroups.Furthermore,the 2+AP subgroup exhibited the greatest number of bleeding events,outpatient visits,and hospitalization rates.Unlike myocardial infarction or stroke,bleeding events prompted an adjustment in AMP.Conclusion Most patients in China received at least one AP medication up to 5 years after an ACS event.展开更多
Background:There is scarce research on large cohorts with tetralogy of Fallot(TOF)from China.The database in Fuwai Hospital was reviewed to ascertain current trends in the management of TOF and to determine the preval...Background:There is scarce research on large cohorts with tetralogy of Fallot(TOF)from China.The database in Fuwai Hospital was reviewed to ascertain current trends in the management of TOF and to determine the prevalence of various surgical techniques and the optimal early outcome.Methods:This cross-sectional study included 1861 patients who underwent surgery between 2012 and 2017 and were aged 0-18 years old with a primary diagnosis of TOF.A total of 1760 eligible patients were included in the analyses.Results:A total of 1683 patients underwent repair of TOF as a one-stage operation(primary repair).Sixty-one patients underwent repair of TOF after prior palliation.Of patients who underwent one-stage repair(n=1683):858 were 6 months to 1 year old,421 were 1 to 2 years old,251 were 2-18 years old,and 145 were 3 to 6 months old.Of patients who underwent repair following prior palliation(n=61),58(95.1%)were older than 1 year of age.Of 1744 complete repairs,986(56.0%)had annulus-sparing(AS)repair.Total in-hospital mortality was 15 of 1744(0.9%)for complete repair(including one-stage and staged repairs).The total incidence of the optimal early outcome was 78.2%in terms of a composite of the absence of death in the first year,significant right ventricular outflow tract obstruction,significant pulmonary valve insufficiency,or catheter or surgical reintervention.Conclusions:Surgical correction in patients with TOF can achieve an acceptable outcome in terms of death and reintervention.Primary repair at 6 months to 1 year of age is the most prevalent strategy in our centre.However,the relatively high incidence of early undesirable surgical adequacy of the pulmonary valve(PV)represents a wake-up call.展开更多
In this paper, we conduct research on the effectively building patterns of talent incentive and cultural atmosphere for modern enterprise management. Targeted incentive direction refers to the motivation, namely, to w...In this paper, we conduct research on the effectively building patterns of talent incentive and cultural atmosphere for modern enterprise management. Targeted incentive direction refers to the motivation, namely, to what kind of content to implement incentive. It has signifi cant effect on incentive effect. According to American psychologist Maslow’s hierarchy of needs theory, people’s behavior motives originated in fi ve kinds of need, namely: the physiological needs, security needs, belonging needs, respect for the needs and the self-actualization needs. People need not set in stone, which is a developing process from low to high, but the process is not a cascade of discontinuous jumping, but a continuous, the evolution of wave. Under this general basis, we propose the cultural atmosphere for modern enterprise management that is novel and innovative.展开更多
The traffic activity offifth generation(5G)networks demand for new energy management techniques that is dynamic deep and longer duration of sleep as compared to the fourth generation(4G)network technologies that deman...The traffic activity offifth generation(5G)networks demand for new energy management techniques that is dynamic deep and longer duration of sleep as compared to the fourth generation(4G)network technologies that demand always for varied control and data signalling based on control base station(CBS)and data base station(DBS).Hence,this paper discusses the energy management in wireless cellular networks using wide range of control for twice the reduction in energy conservation in non-standalone deployment of 5G network.As the new radio(NR)based 5G network is configured to transmit signal blocks for every 20 ms,the proposed algorithm implements withstanding capacity of on or off based energy switching,which in-turn operates in wide range control by carrying out reduced computational complexity.The proposed Wide range of control for base station in green cellular network using sleep mode for switch(WGCNS)algorithm toon and off the base station will work in heavy load with neighbouring base station.For reducing the overhead duration in air,heuristic versions of the algorithm are proposed at the base station.The algorithm operates based on the specification with suggested protocol-level to give best amount of energy savings.The proposed algorithm reduces 40%to 83%of residual energy based on the traffic pattern of the urban scenario.展开更多
Mass transport is crucial to the performance of proton exchange membrane fuel cells,especially at high current densities.Generally,the oxygen and the generated water share same transmission medium but move towards opp...Mass transport is crucial to the performance of proton exchange membrane fuel cells,especially at high current densities.Generally,the oxygen and the generated water share same transmission medium but move towards opposite direction,which leads to serious mass transfer problems.Herein,a series of patterned catalyst layer were prepared with a simple one-step impressing method using nylon sieves as templates.With grooves 100μm in width and 8μm in depth on the surface of cathode catalyst layer,the maximum power density of fuel cell increases by 10%without any additional durability loss while maintaining a similar electrochemical surface area.The concentration contours calculated by finite element analysis reveal that the grooves built on the surface of catalyst layer serve to accumulate the water nearby while oxygen tends to transfer through relatively convex region,which results from capillary pressure difference caused by the pore structure difference between the two regions.The separation of oxidant gas and generated water avoids mass confliction thus boosts mass transport efficiency.展开更多
Purpose: To evaluate the management practice and process of a cataract surgery day ward. Methods:From January to December in 2012,a portion of the cataract patients were evaluated for the pattern of day ward managemen...Purpose: To evaluate the management practice and process of a cataract surgery day ward. Methods:From January to December in 2012,a portion of the cataract patients were evaluated for the pattern of day ward management.Methods were as follows:1).Establish the cataract day ward. 2) Enroll the patients who met the following criteria: voluntary, local residents or outsiders who stayed in a hotel near the hospital, accompanied by family, and who had simple senile cataract without any systemic major diseases. 3) Establish the hospitalization process. 4) Analyze the nursing process. After cataract day surgery, the patients were followed for 2 hours and completed a questionnaire about their needs and sentiments. Results: A total of 3971 cases were observed in this study; 49 cases were switched to a normal pattern of hospitalization because of operative complications, 1 case had a strong desire to switch to a normal pattern of hospitalization because of ocular discomfort,8 cases went back to the hospital for treatment because of ocular pain,and 52 cases called on the phone to seek help. Overall, 3820 cases (96.2%) returned on time the next day to visit the doctor.No patients showed severe postoperative complications and 98% expressed great satisfaction with the day ward process.Only 200 cases expressed great concern about not knowing how to deal with postoperative pain,the changes in condition outside the hospital, the therapeutic effects,and the problem of expense reimbursement. Conclusion: Day ward cataract surgery is an efficient and safe mode, and has the potential to relieve the demand for inpatient beds and to ensure timely treatment of the patients. In addition,it helps the patients enjoy health care at public expense,reserving reimbursement for those who need to be hospitalized.Nurses should pay more attention to systemic evaluation of the patients, health education, and psychological guidance,and keep in close communication with doctors, which is the key to ensure the safety of day ward practice.展开更多
A field experiment was conducted to study the combined effect of nutrient and pest managements on soil biomass phospholipid contents, functional biodiversity and substrate utilization patterns of soil microbial popula...A field experiment was conducted to study the combined effect of nutrient and pest managements on soil biomass phospholipid contents, functional biodiversity and substrate utilization patterns of soil microbial populations in hybrid rice cropping system. The mineral N, P and K fertilizers (as urea, calcium superphosphate and KCl respectively) were incorporated at 100, 25, and 100 kg ha-1, respectively, and the various pesticides were applied at the recommended rates. The results of the experiment demonstrated a decline in the microbial abundance and soil microbial biomass phospholipid contents with the advancement of crop growth, and significant changes in substrate utilization pattern of soil microbial population studied were observed with different management practices and at different growth stages. The principal component analysis (PGA) using all 95-carbon sources (BIOLOG plates) gave good differentiation among the treatments, indicating that they have different patterns of carbon utilization under different habitats. The data showed that diversity in microbial community continuously changed with the progression in crop stage, particularly at physiological maturity (PM) stage that was evident from the utilization of different carbon sources at various crop stages.展开更多
The agricultural development in the less developed districts is a big challenge as they are resource poor regions and crops are grown under more risky agro-ecological conditions. In this paper, we conduct research on ...The agricultural development in the less developed districts is a big challenge as they are resource poor regions and crops are grown under more risky agro-ecological conditions. In this paper, we conduct research on novel pattern of agricultural economy based on accurate information management system. Agricultural information is the agriculture prenatal, during and aider the information process, mainly to solve the problems in the development of agricultural production. Rural information includes rural economic information, rural management and related information, rural information culture and the rural social service information. Our system modifies the efficiency of managing materials which will largely enhance the economical result for the agricultural activities.展开更多
Large-scale crop monocultures facilitate the proliferation and increasing prevalence of diseases and pest insects.Many studies highlight the impacts of plant diversification upon pathogens,and the population dynamics ...Large-scale crop monocultures facilitate the proliferation and increasing prevalence of diseases and pest insects.Many studies highlight the impacts of plant diversification upon pathogens,and the population dynamics of insects and beneficial organism in agricultural ecosystems.These studies provide evidence that habitat manipulation techniques such as intercropping,relay,and rotation can significantly improve disease and pest management.This review introduces the concept of crop diversity,considers recent insights and mechanisms underlying crop diversity,and discusses its potential for improving sustainable agricultural practices.Recently,the phytobiomes resulting from increased crop diversity are increasingly recognized for their contribution to disease and pest control.Further,understanding the interactions between pathogens or pests with their host phytobiome may lead to novel options for the prevention of pests.Recent advances in the agricultural systems include:(i)a better understanding of the mechanisms of interactions between crop species and genotypes;(ii)ecological progress including a better understanding of the context-dependency of those interactions;and(iii)the role of microtopographic variation in agricultural systems for priming basal resistance to multiple pests and pathogens by intercropped crops.We also highlight recent progress in China and the potential options for habitat management and design that enhance the ecological role of biodiversity in agroecosystems.展开更多
On-site stormwater detention (OSD) is a conventional component of urban drainage systems, designed with the intention of mitigating the increase to peak discharge of stormwater runoff that inevitably results from urba...On-site stormwater detention (OSD) is a conventional component of urban drainage systems, designed with the intention of mitigating the increase to peak discharge of stormwater runoff that inevitably results from urbanization. In Australia, singular temporal patterns for design storms have governed the inputs of hydrograph generation and in turn the design process of OSD for the last three decades. This paper raises the concern that many existing OSD systems designed using the singular temporal pattern for design storms may not be achieving their stated objectives when they are assessed against a variety of alternative temporal patterns. The performance of twenty real OSD systems was investigated using two methods:(1) ensembles of design temporal patterns prescribed in the latest version of Australian Rainfall and Runoff, and (2) real recorded rainfall data taken from pluviograph stations modeled with continuous simulation. It is shown conclusively that the use of singular temporal patterns is ineffective in providing assurance that an OSD will mitigate the increase to peak discharge for all possible storm events. Ensemble analysis is shown to provide improved results. However, it also falls short of providing any guarantee in the face of naturally occurring rainfall.展开更多
Hong Kong is a hyper-dense city with 7×106 people living in an area of 1100km2. One way to improve the livability of compacted and congested cities like Hong Kong is through the provision of urban parks, an aspec...Hong Kong is a hyper-dense city with 7×106 people living in an area of 1100km2. One way to improve the livability of compacted and congested cities like Hong Kong is through the provision of urban parks, an aspect that has largely been under-researched. This study focuses on how users perceive and utilize various facilities in the Kowloon Park. The findings revealed that the Kowloon Park is one of the most preferred parks in Hong Kong for both local residents and tourists. Users were quite satisfied with the park′s facilities. Notably, the most important component of an urban park is its greenery. This is followed by water elements, seating places, and facilities for various recreational activities. The improvements users would like to see in urban parks include good design and management, meeting users′ needs, overcoming barriers to use, and providing a high quality and varied experience for different groups in the community. The findings of this study provide a good basis to address park management issues from the users′ perspective. In particular, parks should provide easy access, encourage optimum usage and enable complimentary improvements to the environment.展开更多
Classification management is one of nature reserves management system in China. But state nature reserves and local administration nature reserves under the regulations are only the approval system and embody the conc...Classification management is one of nature reserves management system in China. But state nature reserves and local administration nature reserves under the regulations are only the approval system and embody the concept of protection. Management pattern of nature reserves can be divided into nine types. There are big differences in the nine patterns in management foundation and coordination ability of management because different management pattern occupies different resources of administration,personnel,financial and law enforcement. By analyzing management pattern,thirty-eight indexes in thirteen categories were selected to evaluate the management effectiveness of national nature reserves subordinate to the State Forestry Administration (SFA) . Results show that the management effectiveness of national nature reserves is good as a whole,and the management effectiveness is direct proportional to administration level. Provincial administration has the higher efficiency than municipal and county administration. Direct administration by governments at all levels has the higher efficiency than departments' administration at the same level.展开更多
Background: Fournier's gangrene is a rapidly spreading necrotizing gangrene affecting the perineum, Perianal and genital regions but remarkably sparing the testicles, bladder and rectum due to their separate blood...Background: Fournier's gangrene is a rapidly spreading necrotizing gangrene affecting the perineum, Perianal and genital regions but remarkably sparing the testicles, bladder and rectum due to their separate blood supply which is directly from the aorta. The aim of this study is to share our experience with the management of 46 cases. Patients and method: We retrospectively analysed the medical records of 46 patients admitted with Fournier's gangrene between April 2005 and December 2011 in the urology unit of Aminu Kano Teaching Hospital. Data extracted from these include age, sex, hospital stay, premorbid diseases, mobility, mortality, laboratory investigations and treatments carried out. Results: Fourty six patients were admitted and managed for Fournier's gangrene during the study period. All the patients were male and mean age was 50 years (range 20 - 80 years). Five patients died (10.90%) mortality, 41 (89.10%) patients survived. The shortest hospital stay was 13 days and longest was 120 days. 45.7% of the patients had urethral stricture with watering can perineum as predisposing factor, 16 (34.80%) had diabetes mellitus, 7 (15.2%) had perineal injuries as the predisposing factors while 5 (10.90%) patients had uraemia and one patient (2.20%) each had bladder tumour and scrotal abscess as their predisposing factors, in 3 patients (6.50%) it was idiopathic. Only 34 (73.90%) patients had wound swab microscopy culture and sensitivity on admission. The culture grew Klebsiella spp. in 9 (26.50%), Staph aureus and E. coli in 5 (10.90%) of cases each, while Gram positive rod and Gram negative Cocci with 4 (11.80%) and 6 (17.60%) respectively. Conclusion: Fournier's gangrene which is a rapidly progressive, fulminant polymicrobial synergistic infection of the perineum and genitals, is now changing pattern. Extensive surgical debridement and broad spectrum intravenous antibiotics remain the mainstay of treatment.展开更多
Three-tier knowledge management system based on .NET architecture is designed according to requirement specification, characteristics of and relationship between enterprise electronic archives and knowledge management...Three-tier knowledge management system based on .NET architecture is designed according to requirement specification, characteristics of and relationship between enterprise electronic archives and knowledge management. This system using three-tier design based on factory pattern has good encapsulation and portability, with clearer and more concise structure. It degrades the costs of system development and maintenance and upgrades system’s high reusability and development efficiency.展开更多
This paper explores the development of the human resource management theory from the perspective of social productive forces,deeply analyzing the development of the current social productive forces and the characteris...This paper explores the development of the human resource management theory from the perspective of social productive forces,deeply analyzing the development of the current social productive forces and the characteristics of the socio-economic development.It can be concluded that the development of the human resource management theory is closely related to the socio-economic development pattern.The twenty first century is a knowledge-driven era,and"eco-friendly"and"low-carbon"are the basic characteristics of the socio-economic development of the era of the knowledge-driven economy,which has great influence on the subject,aim and content of human resource management.Green human resource management conforms to the trend of the transformation of the socio-economic development.Based on the management of"human",it creates an eco-friendly,low-carbon and sustainable environment for enterprises,which promotes the transformation from extensive growth to intensive growth of the macro management of enterprises.展开更多
A new organization and management mechanism with the local government as the main body was created during the post-disaster reconstruction of the "4. 20 " Lushan earthquake,in which the experiences and lesso...A new organization and management mechanism with the local government as the main body was created during the post-disaster reconstruction of the "4. 20 " Lushan earthquake,in which the experiences and lessons were drawn from the "5. 12"Wenchuan earthquake. Correspondingly, the local government conducted an exploration of the organization and management mode in the field of planning and construction. The effective experiences have been accumulated, including working out a full coverage planning,taking the leading part in the urban-rural planning,and exercising whole space control over the disaster area. An innovation management mode named as "Five Generals Pattern"was implemented in the construction projects. In view that the rural housing reconstruction was a weak link, a new approach to improving the construction management was investigated,by means of strengthening on-site supervision,establishing a technical platform,and bolstering public participation.展开更多
With the continuous improvement of urbanization level,the construction of municipal roads has received more attention.The rational application of dynamic management mode to the survey and design management of municipa...With the continuous improvement of urbanization level,the construction of municipal roads has received more attention.The rational application of dynamic management mode to the survey and design management of municipal roads is conducive to improve the survey and design management level of municipal roads and further realizing the optimization of the construction effect of municipal roads.In this paper,the various factors which are affecting the management of municipal road survey and design as well the principles of municipal road design were discussed.Further,the recommendation of the application strategy of dynamic management mode in municipal road survey and design management was proposed in this paper.展开更多
To tackle with the problem of prevailing farmland abandonment in winter,5 treatments includes Chinese milk vetch-double cropping rice(CRR),rape-double cropping rice(RRR),garlic-double cropping rice(GRR),winter crop mu...To tackle with the problem of prevailing farmland abandonment in winter,5 treatments includes Chinese milk vetch-double cropping rice(CRR),rape-double cropping rice(RRR),garlic-double cropping rice(GRR),winter crop multiple cropping rotation(ROT),winter fallow control(WRR)were set up.By measuring soil total organic carbon,active organic carbon and its components and calculating the soil carbon pool management index in 0~15 cm and 15~30 cm soil layers in the early and late rice ripening stage.The effects of different winter planting patterns on the changes of soil organic carbon and carbon pool management index were discussed.In order to provide theoretical basis for the optimization and adjustment of winter planting pattern of double cropping rice field in the middle reaches of Yangtze River.The results showed that soil total organic carbon,active organic carbon and its components in different winter cropping patterns were increased,and ROT and CRR treatments were more beneficial to the accumulation of soil total organic carbon,active organic carbon and its components as well as the improvement of soil carbon pool management index,which should be preferred in the adjustment of cropping patterns.展开更多
基金provided by Isuru Wijesoma from MediTech Media(Singapore),which was funded by AstraZeneca in accordance with Good Publication Practice(GPP3)guidelines。
文摘Objective To describe the long-term antithrombotic management patterns(AMPs)and clinical outcomes of Chinese patients with acute coronary syndrome(ACS).Methods This was an observational,multicenter,longitudinal cohort extension study of Chinese patients who had completed the EPICOR Asia 2-year follow-up study post-hospitalization for an ACS event.Changes in AMP and clinical outcomes for up to 5 years post-ACS event were evaluated.Results Overall,2334 patients with ACS were enrolled at 49 sites.The mean age was 61.6 years and 76.3%were men.By study end,2093 patients completed the 3-year follow-up.At baseline(2 years post-ACS event),72.4%of patents received one antiplatelet(AP)medication,with aspirin being the preferred one.A small proportion of patients(21.5%)was treated with two or more APs(2+AP),and even fewer patients(6.1%)did not receive any AP medication at baseline.Upon study completion,the proportion of patients without AP therapy increased to 13.6%,while the percentage of patients on one AP and 2+AP decreased to 69.3%and 17.1%,respectively.Numerically,a higher incidence of clinical events(composite of all-cause mortality,myocardial infarction,stroke)was observed for the 2+AP(13.2%)subgroup than for the no AP(10.5%)and one AP(8.6%)subgroups.Furthermore,the 2+AP subgroup exhibited the greatest number of bleeding events,outpatient visits,and hospitalization rates.Unlike myocardial infarction or stroke,bleeding events prompted an adjustment in AMP.Conclusion Most patients in China received at least one AP medication up to 5 years after an ACS event.
基金The study was supported by the National Key R&D Program of China(2017YFC1308100)Central Public-interest Scientific Institution Basal Research Fund(2019XK320050).
文摘Background:There is scarce research on large cohorts with tetralogy of Fallot(TOF)from China.The database in Fuwai Hospital was reviewed to ascertain current trends in the management of TOF and to determine the prevalence of various surgical techniques and the optimal early outcome.Methods:This cross-sectional study included 1861 patients who underwent surgery between 2012 and 2017 and were aged 0-18 years old with a primary diagnosis of TOF.A total of 1760 eligible patients were included in the analyses.Results:A total of 1683 patients underwent repair of TOF as a one-stage operation(primary repair).Sixty-one patients underwent repair of TOF after prior palliation.Of patients who underwent one-stage repair(n=1683):858 were 6 months to 1 year old,421 were 1 to 2 years old,251 were 2-18 years old,and 145 were 3 to 6 months old.Of patients who underwent repair following prior palliation(n=61),58(95.1%)were older than 1 year of age.Of 1744 complete repairs,986(56.0%)had annulus-sparing(AS)repair.Total in-hospital mortality was 15 of 1744(0.9%)for complete repair(including one-stage and staged repairs).The total incidence of the optimal early outcome was 78.2%in terms of a composite of the absence of death in the first year,significant right ventricular outflow tract obstruction,significant pulmonary valve insufficiency,or catheter or surgical reintervention.Conclusions:Surgical correction in patients with TOF can achieve an acceptable outcome in terms of death and reintervention.Primary repair at 6 months to 1 year of age is the most prevalent strategy in our centre.However,the relatively high incidence of early undesirable surgical adequacy of the pulmonary valve(PV)represents a wake-up call.
文摘In this paper, we conduct research on the effectively building patterns of talent incentive and cultural atmosphere for modern enterprise management. Targeted incentive direction refers to the motivation, namely, to what kind of content to implement incentive. It has signifi cant effect on incentive effect. According to American psychologist Maslow’s hierarchy of needs theory, people’s behavior motives originated in fi ve kinds of need, namely: the physiological needs, security needs, belonging needs, respect for the needs and the self-actualization needs. People need not set in stone, which is a developing process from low to high, but the process is not a cascade of discontinuous jumping, but a continuous, the evolution of wave. Under this general basis, we propose the cultural atmosphere for modern enterprise management that is novel and innovative.
文摘The traffic activity offifth generation(5G)networks demand for new energy management techniques that is dynamic deep and longer duration of sleep as compared to the fourth generation(4G)network technologies that demand always for varied control and data signalling based on control base station(CBS)and data base station(DBS).Hence,this paper discusses the energy management in wireless cellular networks using wide range of control for twice the reduction in energy conservation in non-standalone deployment of 5G network.As the new radio(NR)based 5G network is configured to transmit signal blocks for every 20 ms,the proposed algorithm implements withstanding capacity of on or off based energy switching,which in-turn operates in wide range control by carrying out reduced computational complexity.The proposed Wide range of control for base station in green cellular network using sleep mode for switch(WGCNS)algorithm toon and off the base station will work in heavy load with neighbouring base station.For reducing the overhead duration in air,heuristic versions of the algorithm are proposed at the base station.The algorithm operates based on the specification with suggested protocol-level to give best amount of energy savings.The proposed algorithm reduces 40%to 83%of residual energy based on the traffic pattern of the urban scenario.
基金supported by the National Natural Science Foundation of China(21838003,91834301)the Shanghai Scientific and Technological Innovation Project(18JC1410600,19JC1410400)+2 种基金the Social Development Program of Shanghai(17DZ1200900)the Innovation Program of Shanghai Municipal Education Commissionthe Fundamental Research Funds for the Central Universities(222201718002)。
文摘Mass transport is crucial to the performance of proton exchange membrane fuel cells,especially at high current densities.Generally,the oxygen and the generated water share same transmission medium but move towards opposite direction,which leads to serious mass transfer problems.Herein,a series of patterned catalyst layer were prepared with a simple one-step impressing method using nylon sieves as templates.With grooves 100μm in width and 8μm in depth on the surface of cathode catalyst layer,the maximum power density of fuel cell increases by 10%without any additional durability loss while maintaining a similar electrochemical surface area.The concentration contours calculated by finite element analysis reveal that the grooves built on the surface of catalyst layer serve to accumulate the water nearby while oxygen tends to transfer through relatively convex region,which results from capillary pressure difference caused by the pore structure difference between the two regions.The separation of oxidant gas and generated water avoids mass confliction thus boosts mass transport efficiency.
文摘Purpose: To evaluate the management practice and process of a cataract surgery day ward. Methods:From January to December in 2012,a portion of the cataract patients were evaluated for the pattern of day ward management.Methods were as follows:1).Establish the cataract day ward. 2) Enroll the patients who met the following criteria: voluntary, local residents or outsiders who stayed in a hotel near the hospital, accompanied by family, and who had simple senile cataract without any systemic major diseases. 3) Establish the hospitalization process. 4) Analyze the nursing process. After cataract day surgery, the patients were followed for 2 hours and completed a questionnaire about their needs and sentiments. Results: A total of 3971 cases were observed in this study; 49 cases were switched to a normal pattern of hospitalization because of operative complications, 1 case had a strong desire to switch to a normal pattern of hospitalization because of ocular discomfort,8 cases went back to the hospital for treatment because of ocular pain,and 52 cases called on the phone to seek help. Overall, 3820 cases (96.2%) returned on time the next day to visit the doctor.No patients showed severe postoperative complications and 98% expressed great satisfaction with the day ward process.Only 200 cases expressed great concern about not knowing how to deal with postoperative pain,the changes in condition outside the hospital, the therapeutic effects,and the problem of expense reimbursement. Conclusion: Day ward cataract surgery is an efficient and safe mode, and has the potential to relieve the demand for inpatient beds and to ensure timely treatment of the patients. In addition,it helps the patients enjoy health care at public expense,reserving reimbursement for those who need to be hospitalized.Nurses should pay more attention to systemic evaluation of the patients, health education, and psychological guidance,and keep in close communication with doctors, which is the key to ensure the safety of day ward practice.
基金the National Natural Science Foundation of China.
文摘A field experiment was conducted to study the combined effect of nutrient and pest managements on soil biomass phospholipid contents, functional biodiversity and substrate utilization patterns of soil microbial populations in hybrid rice cropping system. The mineral N, P and K fertilizers (as urea, calcium superphosphate and KCl respectively) were incorporated at 100, 25, and 100 kg ha-1, respectively, and the various pesticides were applied at the recommended rates. The results of the experiment demonstrated a decline in the microbial abundance and soil microbial biomass phospholipid contents with the advancement of crop growth, and significant changes in substrate utilization pattern of soil microbial population studied were observed with different management practices and at different growth stages. The principal component analysis (PGA) using all 95-carbon sources (BIOLOG plates) gave good differentiation among the treatments, indicating that they have different patterns of carbon utilization under different habitats. The data showed that diversity in microbial community continuously changed with the progression in crop stage, particularly at physiological maturity (PM) stage that was evident from the utilization of different carbon sources at various crop stages.
文摘The agricultural development in the less developed districts is a big challenge as they are resource poor regions and crops are grown under more risky agro-ecological conditions. In this paper, we conduct research on novel pattern of agricultural economy based on accurate information management system. Agricultural information is the agriculture prenatal, during and aider the information process, mainly to solve the problems in the development of agricultural production. Rural information includes rural economic information, rural management and related information, rural information culture and the rural social service information. Our system modifies the efficiency of managing materials which will largely enhance the economical result for the agricultural activities.
基金financially supported by the National Key Research & Development Program of China (2017YFD0200400)
文摘Large-scale crop monocultures facilitate the proliferation and increasing prevalence of diseases and pest insects.Many studies highlight the impacts of plant diversification upon pathogens,and the population dynamics of insects and beneficial organism in agricultural ecosystems.These studies provide evidence that habitat manipulation techniques such as intercropping,relay,and rotation can significantly improve disease and pest management.This review introduces the concept of crop diversity,considers recent insights and mechanisms underlying crop diversity,and discusses its potential for improving sustainable agricultural practices.Recently,the phytobiomes resulting from increased crop diversity are increasingly recognized for their contribution to disease and pest control.Further,understanding the interactions between pathogens or pests with their host phytobiome may lead to novel options for the prevention of pests.Recent advances in the agricultural systems include:(i)a better understanding of the mechanisms of interactions between crop species and genotypes;(ii)ecological progress including a better understanding of the context-dependency of those interactions;and(iii)the role of microtopographic variation in agricultural systems for priming basal resistance to multiple pests and pathogens by intercropped crops.We also highlight recent progress in China and the potential options for habitat management and design that enhance the ecological role of biodiversity in agroecosystems.
文摘On-site stormwater detention (OSD) is a conventional component of urban drainage systems, designed with the intention of mitigating the increase to peak discharge of stormwater runoff that inevitably results from urbanization. In Australia, singular temporal patterns for design storms have governed the inputs of hydrograph generation and in turn the design process of OSD for the last three decades. This paper raises the concern that many existing OSD systems designed using the singular temporal pattern for design storms may not be achieving their stated objectives when they are assessed against a variety of alternative temporal patterns. The performance of twenty real OSD systems was investigated using two methods:(1) ensembles of design temporal patterns prescribed in the latest version of Australian Rainfall and Runoff, and (2) real recorded rainfall data taken from pluviograph stations modeled with continuous simulation. It is shown conclusively that the use of singular temporal patterns is ineffective in providing assurance that an OSD will mitigate the increase to peak discharge for all possible storm events. Ensemble analysis is shown to provide improved results. However, it also falls short of providing any guarantee in the face of naturally occurring rainfall.
基金Under the auspices of the Germany-Hong Kong Joint Research Scheme (No.GER/99-00/01) and the Faculty Re-search Grant of the Hong Kong Baptist University (No.FRG/00-01/I-38)
文摘Hong Kong is a hyper-dense city with 7×106 people living in an area of 1100km2. One way to improve the livability of compacted and congested cities like Hong Kong is through the provision of urban parks, an aspect that has largely been under-researched. This study focuses on how users perceive and utilize various facilities in the Kowloon Park. The findings revealed that the Kowloon Park is one of the most preferred parks in Hong Kong for both local residents and tourists. Users were quite satisfied with the park′s facilities. Notably, the most important component of an urban park is its greenery. This is followed by water elements, seating places, and facilities for various recreational activities. The improvements users would like to see in urban parks include good design and management, meeting users′ needs, overcoming barriers to use, and providing a high quality and varied experience for different groups in the community. The findings of this study provide a good basis to address park management issues from the users′ perspective. In particular, parks should provide easy access, encourage optimum usage and enable complimentary improvements to the environment.
文摘Classification management is one of nature reserves management system in China. But state nature reserves and local administration nature reserves under the regulations are only the approval system and embody the concept of protection. Management pattern of nature reserves can be divided into nine types. There are big differences in the nine patterns in management foundation and coordination ability of management because different management pattern occupies different resources of administration,personnel,financial and law enforcement. By analyzing management pattern,thirty-eight indexes in thirteen categories were selected to evaluate the management effectiveness of national nature reserves subordinate to the State Forestry Administration (SFA) . Results show that the management effectiveness of national nature reserves is good as a whole,and the management effectiveness is direct proportional to administration level. Provincial administration has the higher efficiency than municipal and county administration. Direct administration by governments at all levels has the higher efficiency than departments' administration at the same level.
文摘Background: Fournier's gangrene is a rapidly spreading necrotizing gangrene affecting the perineum, Perianal and genital regions but remarkably sparing the testicles, bladder and rectum due to their separate blood supply which is directly from the aorta. The aim of this study is to share our experience with the management of 46 cases. Patients and method: We retrospectively analysed the medical records of 46 patients admitted with Fournier's gangrene between April 2005 and December 2011 in the urology unit of Aminu Kano Teaching Hospital. Data extracted from these include age, sex, hospital stay, premorbid diseases, mobility, mortality, laboratory investigations and treatments carried out. Results: Fourty six patients were admitted and managed for Fournier's gangrene during the study period. All the patients were male and mean age was 50 years (range 20 - 80 years). Five patients died (10.90%) mortality, 41 (89.10%) patients survived. The shortest hospital stay was 13 days and longest was 120 days. 45.7% of the patients had urethral stricture with watering can perineum as predisposing factor, 16 (34.80%) had diabetes mellitus, 7 (15.2%) had perineal injuries as the predisposing factors while 5 (10.90%) patients had uraemia and one patient (2.20%) each had bladder tumour and scrotal abscess as their predisposing factors, in 3 patients (6.50%) it was idiopathic. Only 34 (73.90%) patients had wound swab microscopy culture and sensitivity on admission. The culture grew Klebsiella spp. in 9 (26.50%), Staph aureus and E. coli in 5 (10.90%) of cases each, while Gram positive rod and Gram negative Cocci with 4 (11.80%) and 6 (17.60%) respectively. Conclusion: Fournier's gangrene which is a rapidly progressive, fulminant polymicrobial synergistic infection of the perineum and genitals, is now changing pattern. Extensive surgical debridement and broad spectrum intravenous antibiotics remain the mainstay of treatment.
文摘Three-tier knowledge management system based on .NET architecture is designed according to requirement specification, characteristics of and relationship between enterprise electronic archives and knowledge management. This system using three-tier design based on factory pattern has good encapsulation and portability, with clearer and more concise structure. It degrades the costs of system development and maintenance and upgrades system’s high reusability and development efficiency.
基金the Eleventh Five-Year Plan Project of philosophical and social sciences of Sichuan Province
文摘This paper explores the development of the human resource management theory from the perspective of social productive forces,deeply analyzing the development of the current social productive forces and the characteristics of the socio-economic development.It can be concluded that the development of the human resource management theory is closely related to the socio-economic development pattern.The twenty first century is a knowledge-driven era,and"eco-friendly"and"low-carbon"are the basic characteristics of the socio-economic development of the era of the knowledge-driven economy,which has great influence on the subject,aim and content of human resource management.Green human resource management conforms to the trend of the transformation of the socio-economic development.Based on the management of"human",it creates an eco-friendly,low-carbon and sustainable environment for enterprises,which promotes the transformation from extensive growth to intensive growth of the macro management of enterprises.
基金sponsored by the Science and Technology Support Project Funds of Sichuan Province ( Item No. 2013FZ0009 )Educational Reform Project Funds of Sichuan AgriculturalUniversity ( Item No. 2015064 )the National Natural Science Foundation of China ( Item No. 51278421)
文摘A new organization and management mechanism with the local government as the main body was created during the post-disaster reconstruction of the "4. 20 " Lushan earthquake,in which the experiences and lessons were drawn from the "5. 12"Wenchuan earthquake. Correspondingly, the local government conducted an exploration of the organization and management mode in the field of planning and construction. The effective experiences have been accumulated, including working out a full coverage planning,taking the leading part in the urban-rural planning,and exercising whole space control over the disaster area. An innovation management mode named as "Five Generals Pattern"was implemented in the construction projects. In view that the rural housing reconstruction was a weak link, a new approach to improving the construction management was investigated,by means of strengthening on-site supervision,establishing a technical platform,and bolstering public participation.
文摘With the continuous improvement of urbanization level,the construction of municipal roads has received more attention.The rational application of dynamic management mode to the survey and design management of municipal roads is conducive to improve the survey and design management level of municipal roads and further realizing the optimization of the construction effect of municipal roads.In this paper,the various factors which are affecting the management of municipal road survey and design as well the principles of municipal road design were discussed.Further,the recommendation of the application strategy of dynamic management mode in municipal road survey and design management was proposed in this paper.
基金funded by the National Key Research and Development Project,"Optimal allocation mechanism and efficient Planting mode of double cropping rice in the middle Reaches of Yangtze River",No.2016YFD0300208National Natural Science Foundation of China"Effects of nitrogen application on soil organic carbon and greenhouse gas emission under straw Returning condition"(41661070)+1 种基金Study on the Pattern and Key Technology of Paddy Field Cyclic Agriculture in Winter in Jiangxi Province(20161BBF60058)Effects of different winter cropping patterns on soil aggregate composition and distribution of organic carbon and organic nitrogen in double cropping rice field(YC2020-S260).
文摘To tackle with the problem of prevailing farmland abandonment in winter,5 treatments includes Chinese milk vetch-double cropping rice(CRR),rape-double cropping rice(RRR),garlic-double cropping rice(GRR),winter crop multiple cropping rotation(ROT),winter fallow control(WRR)were set up.By measuring soil total organic carbon,active organic carbon and its components and calculating the soil carbon pool management index in 0~15 cm and 15~30 cm soil layers in the early and late rice ripening stage.The effects of different winter planting patterns on the changes of soil organic carbon and carbon pool management index were discussed.In order to provide theoretical basis for the optimization and adjustment of winter planting pattern of double cropping rice field in the middle reaches of Yangtze River.The results showed that soil total organic carbon,active organic carbon and its components in different winter cropping patterns were increased,and ROT and CRR treatments were more beneficial to the accumulation of soil total organic carbon,active organic carbon and its components as well as the improvement of soil carbon pool management index,which should be preferred in the adjustment of cropping patterns.