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运用Milestones评价体系评估肾内科住院医师为主的临床小讲课的分层效果分析
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作者 吴雷云 董星彤 +2 位作者 付文静 贾林沛 张爱华 《医学研究杂志》 2024年第1期193-197,共5页
目的运用Milestones评价体系探讨住院医师为主的临床小讲课在肾内科住院医师规范化培训(以下简称住陪)中的分层应用效果。方法选择2020年9月~2021年8月在肾内科进行为期2个月住陪轮转的住院医师45人作为对照组,采用传统临床小讲课模式;... 目的运用Milestones评价体系探讨住院医师为主的临床小讲课在肾内科住院医师规范化培训(以下简称住陪)中的分层应用效果。方法选择2020年9月~2021年8月在肾内科进行为期2个月住陪轮转的住院医师45人作为对照组,采用传统临床小讲课模式;选择2021年9月~2022年8月在肾内科进行为期2个月住陪轮转的住院医师36人作为研究组,采用住院医师为主的临床小讲课模式。对第1~3年住院医师(resident one-three,R1~3)轮转前后Milestones评价体系得分进行住院医师自评与主治医师评分,比较两组R1~3轮转前后Milestones得分变化,另外采用理论考核、实践技能考核及对住培满意度问卷调查评价两组R1~3的教学效果。结果轮转前两组Milestones评分比较,差异无统计学意义(P>0.05),两组主治医师评分均低于住院医师自评(P<0.05);研究组R1~3轮转后Milestones评分均高于轮转前(P<0.05),对照组R1~3轮转前后Milestones评分比较,差异无统计学意义(P>0.05);研究组R1~3理论考核成绩高于对照组,差异有统计学意义(P<0.05),研究组与对照组R1~3之间实践技能考核成绩比较,差异无统计学意义(P>0.05),研究组对住培满意度得分高于对照组(P<0.05)。结论住院医师为主的临床小讲课可以提高住院医师的患者照护能力、理论知识水平及从工作中学习与进步的能力,能改善住院医师住陪满意度。 展开更多
关键词 milestones评价体系 临床小讲课 住院医师规范化培训
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美国骨科住院医师胜任力评价系统Milestones2.0的解读与思考 被引量:1
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作者 刘珅 陈云丰 +2 位作者 杨庆诚 王洪 邹剑 《中国毕业后医学教育》 2023年第1期107-112,共6页
评估骨科住院医师核心胜任力对促进骨科住院医师规范化培训至关重要。骨科住院医师胜任力评价系统Milestones2.0是由美国毕业后医学教育认证委员会发布,针对骨科住院医师胜任力进行评价的系统,该系统的核心目的是评估参加ACGME培训项目... 评估骨科住院医师核心胜任力对促进骨科住院医师规范化培训至关重要。骨科住院医师胜任力评价系统Milestones2.0是由美国毕业后医学教育认证委员会发布,针对骨科住院医师胜任力进行评价的系统,该系统的核心目的是评估参加ACGME培训项目骨科医师的核心胜任力。本文谨以该系统为例,围绕ACGME提出的六项胜任力,即患者照护、医学知识、基于系统的实践、基于实践的学习、职业素养和人际沟通技巧,介绍分阶段目标胜任力评价系统的主要内容、评价表主要结构及使用方法,以期为借鉴骨科住院医师核心胜任力的评估手段,起到促进作用。 展开更多
关键词 住院医师 分阶段目标 骨科 胜任力评价 美国
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美国放射科住院医师胜任力评价系统解读与思考(四):腹部放射学Milestone 被引量:2
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作者 杨飘 黄强 +2 位作者 刘锦鹏 陈峰 张景峰 《放射学实践》 北大核心 2018年第4期341-343,共3页
腹部放射学分阶段目标胜任力评价系统(The Abdominal Radiology Milestone Project),是由美国毕业后医学教育认证委员会(The Accreditation Council for Graduate Medical Education,ACGME)与美国放射学会(The American Board of Radiol... 腹部放射学分阶段目标胜任力评价系统(The Abdominal Radiology Milestone Project),是由美国毕业后医学教育认证委员会(The Accreditation Council for Graduate Medical Education,ACGME)与美国放射学会(The American Board of Radiology,ABR)联合倡议发起的用于评价放射学专科医师培训考核系统的一部分,该考核评价体系考核并记录腹部放射学专科医师在培训过程中所须具备六项胜任力,包括病患关切(Patient Care,PC),医学知识(Medical Knowledge,MK),基于系统的实践(Systems-based Practice,SBP),基于实践的学习(Practice-based Learning,PBL)、职业素养(Professionalism,PROF),人际关系和沟通技巧(Interpersonal and Communication Skills,ICS)。另外,评价系统指出了多种放射亚专业评估工具,对于完善国内培训机构考核方式与内容,有着积极的指导价值。 展开更多
关键词 腹部放射学 专科医师 分阶段目标 胜任力
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美国放射科住院医师岗位胜任力评价系统:介入放射学Milestones 2.0解读与启示 被引量:5
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作者 黄强 史玉书 +3 位作者 刘锦鹏 陈峰 肖文波 张景峰 《中国毕业后医学教育》 2021年第5期477-480,共4页
美国放射科介入放射学新版住院医师胜任力评价系统Milestones 2.0发布于2019年12月,相对于第一版,新版以更广的考核视角,评估与记录放射介入方向住院医师的成长,其六大岗位胜任力包括医患照护、医学知识、基于医疗体系的实践、基于医疗... 美国放射科介入放射学新版住院医师胜任力评价系统Milestones 2.0发布于2019年12月,相对于第一版,新版以更广的考核视角,评估与记录放射介入方向住院医师的成长,其六大岗位胜任力包括医患照护、医学知识、基于医疗体系的实践、基于医疗实践的学习与提升、职业素养、人际沟通能力。介入放射学Milestones 2.0分为两个评价系统:融合版与独立版,分别对应放射学分支专业与放射学亚专业,分别涵盖31项、24项胜任力细则。其考核细则中的不少内容在国内放射科住培考核中尚未涉及,对于未来我国进一步完善放射科住院医师规范化培训(简称住培)内容,有重要的启示与指引作用。 展开更多
关键词 住院医师培训 胜任力 美国 里程碑 介入放射学
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基于Milestones的不同阶段医学人才岗位胜任力培养目标探讨 被引量:13
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作者 周庆 桑爱民 +1 位作者 高建林 史亚琴 《中国毕业后医学教育》 2018年第5期371-373,共3页
根据医学教育培养和医学人才成长规律的渐进性和连续性特征,以及我国《本科医学教育标准-临床医学专业(试行)》《住院医师规范化培训内容与标准(试行)》《关于印发临床医学、口腔医学和中医硕士专业学位研究生指导性培养方案的通知》等... 根据医学教育培养和医学人才成长规律的渐进性和连续性特征,以及我国《本科医学教育标准-临床医学专业(试行)》《住院医师规范化培训内容与标准(试行)》《关于印发临床医学、口腔医学和中医硕士专业学位研究生指导性培养方案的通知》等医学人才培养标准和目标,结合中国医师岗位胜任力8大核心要素,梳理并合理界定医学院校教育、毕业后医学教育和继续医学教育等不同培养阶段医学人才岗位胜任力培养内容和目标,以利于培养机构科学地制订、设计和实施不同培养阶段医学人才岗位胜任力培养方案,并通过基于Milestones(里程碑)评估系统的评价和促进作用确保和提高医学人才岗位胜任力培养质量。 展开更多
关键词 里程碑 医学人才 院校教育 住院医师规范化培训 岗位胜任力 培养 评价
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适用于客户机/服务器系统的MILESTONE开发方法
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作者 孙义 《计算机研究与发展》 EI CSCD 北大核心 1997年第11期828-832,共5页
传统的软件开发生存周期把软件开发过程划分成4个主要阶段.这种方法特别适合于单一的独立系统,但不适合客户机/服务器系统的开发.客户机/服务器系统由许多软部件组成,而且集成多个部门自己开发的软件,这些软部件特别适合采用并... 传统的软件开发生存周期把软件开发过程划分成4个主要阶段.这种方法特别适合于单一的独立系统,但不适合客户机/服务器系统的开发.客户机/服务器系统由许多软部件组成,而且集成多个部门自己开发的软件,这些软部件特别适合采用并行且交互的实现方法.根据客户机/服务器系统开发的特点,文中介绍了一种基于MILESTONE的过程开发模型. 展开更多
关键词 客户机/服务器 milestone 软件开发
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美国传染病专科住院医师Milestones评价系统介绍与思考 被引量:6
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作者 曹颖 王琦 +1 位作者 王艳斌 谢雯 《中国临床医生杂志》 2020年第4期503-504,共2页
20世纪90年代,我国就开始了住院医师规范化培训制度的探索,2014年原国家卫生与计划生育委员会发布的《住院医师规范化培训管理办法(试行)》正式全面启动实施,2015年底再次发布了《关于建立专科医师规范化培训制度试点的指导意见》,从制... 20世纪90年代,我国就开始了住院医师规范化培训制度的探索,2014年原国家卫生与计划生育委员会发布的《住院医师规范化培训管理办法(试行)》正式全面启动实施,2015年底再次发布了《关于建立专科医师规范化培训制度试点的指导意见》,从制度上规范并完善了我国医学毕业后继续教育体系。传染病学专科医师培训是对参加内科住院医师规范化培训的医师或传染病学专业的临床型研究生开展传染病学专科阶段的培养,使其成长为能够独立、规范地从事传染性疾病专科诊疗工作的临床医师,以满足人民群众对高质量医疗卫生服务的需求。我国住院医师规范化培训制度尚在发展完善阶段,全程跟踪监管的科学的医师培养评价与反馈体系亟待完善。 展开更多
关键词 传染科 专科医师 milestones系统 分阶段目标 胜任力
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美国眼科学住院医师Milestones评价系统解读与思考 被引量:2
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作者 吴金梅 王健 陈放 《中国继续医学教育》 2022年第14期180-184,共5页
美国眼科学住院医师Milestones评价系统是由美国毕业后教育认证委员会(the accreditation council for graduate medical education,ACGME)和美国眼科委员会(the American board of ophthalmology,ABO)根据毕业后医生的核心能力评价教... 美国眼科学住院医师Milestones评价系统是由美国毕业后教育认证委员会(the accreditation council for graduate medical education,ACGME)和美国眼科委员会(the American board of ophthalmology,ABO)根据毕业后医生的核心能力评价教育质量所提出用于眼科学住院医师评价的评价系统,考核的六大核心竞争力包括患者照护、医学知识、职业素养、人际沟通、基于系统的实践和基于实践的学习,最终形成“以胜任力为基础的医学教育”。如何能够将基于培养临床胜任力的培训模式合理运用于我国眼科住院医师规范化培训体系中,并建立对眼科住院医师临床胜任力的评价与考核体系,需要进一步思考和实践。 展开更多
关键词 眼科学 医学教育 岗位胜任力 住院医师 规范化培训 milestones评价系统
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美国放射科住院医师胜任力评价系统:肌骨放射学milestone解读与思考 被引量:5
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作者 贺文广 杨积昌 +1 位作者 彭娴婧 张景峰 《中国毕业后医学教育》 2020年第3期283-288,共6页
美国毕业后医学教育认证委员会(ACGME)联合美国放射学会(ABR)倡议发布了针对放射科住院医师或专科医师的milestone胜任力评价系统,其主要目的是评估参加ACGME认可的放射科医师培训项目,为放射科住院医师或某个亚专业的专科医师核心胜任... 美国毕业后医学教育认证委员会(ACGME)联合美国放射学会(ABR)倡议发布了针对放射科住院医师或专科医师的milestone胜任力评价系统,其主要目的是评估参加ACGME认可的放射科医师培训项目,为放射科住院医师或某个亚专业的专科医师核心胜任力的发展提供了一个评估框架。在此仅以肌骨放射学milestone为例,围绕ACGME提出的六项胜任力,即患者照护、医学知识、基于系统的实践、基于实践的学习、职业素养和人际沟通技巧,介绍分阶段目标胜任力评价系统的主要内容、评价表主要结构及使用方法。 展开更多
关键词 住院医师 专科医师 分阶段目标 肌骨放射学 胜任力评价
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Subtle skills: Using objective structured clinical examinations to assess gastroenterology fellow performance in system based practice milestones 被引量:1
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作者 Marianna Papademetriou Gabriel Perrault +4 位作者 Max Pitman Colleen Gillespie Sondra Zabar Elizabeth Weinshel Renee Williams 《World Journal of Gastroenterology》 SCIE CAS 2020年第11期1221-1230,共10页
BACKGROUND System based practice(SBP) milestones require trainees to effectively navigate the larger health care system for optimal patient care. In gastroenterology training programs, the assessment of SBP is difficu... BACKGROUND System based practice(SBP) milestones require trainees to effectively navigate the larger health care system for optimal patient care. In gastroenterology training programs, the assessment of SBP is difficult due to high volume, high acuity inpatient care, as well as inconsistent direct supervision. Nevertheless,structured assessment is required for training programs. We hypothesized that objective structured clinical examination(OSCE) would be an effective tool for assessment of SBP.AIM To develop a novel method for SBP milestone assessment of gastroenterology fellows using the OSCE.METHODS For this observational study, we created 4 OSCE stations: Counseling an impaired colleague, handoff after overnight call, a feeding tube placement discussion, and giving feedback to a medical student on a progress note. Twentysix first year fellows from 7 programs participated. All fellows encountered identical case presentations. Checklists were completed by trained standardized patients who interacted with each fellow participant. A report with individual and composite scores was generated and forwarded to program directors to utilize in formative assessment. Fellows also received immediate feedback from a faculty observer and completed a post-session program evaluation survey.RESULTS Survey response rate was 100%. The average composite score across SBP milestones for all cases were 6.22(SBP1), 4.34(SBP2), 3.35(SBP3), and 6.42(SBP4)out of 9. The lowest composite score was in SBP 3, which asks fellows to advocate for cost effective care. This highest score was in patient care 2, which asks fellows to develop comprehensive management plans. Discrepancies were identified between the fellows’ perceived performance in their self-assessments and Standardized Patient checklist evaluations for each case. Eighty-seven percent of fellows agreed that OSCEs are an important component of their clinical training,and 83% stated that the cases were similar to actual clinical encounters. All participating fellows stated that the immediate feedback was "very useful." One hundred percent of the fellows stated they would incorporate OSCE learning into their clinical practice.CONCLUSION OSCEs may be used for standardized evaluation of SBP milestones. Trainees scored lower on SBP milestones than other more concrete milestones. Training programs should consider OSCEs for assessment of SBP. 展开更多
关键词 Objective structured clinical exams MEDICAL education MEDICAL error SYSTEM BASED PRACTICE milestoneS GASTROENTEROLOGY
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基于岗位胜任力的美国放射科住院医师Milestone评价系统:诊断放射学最新版解读与比较 被引量:8
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作者 江茂情 郑建军 +3 位作者 章维 闫昆 刘日 张景峰 《中国毕业后医学教育》 2021年第4期377-383,共7页
基于岗位胜任力的诊断放射学分阶段目标胜任力评价系统(the diagnostic radiology milestone project,DRMP)是由美国毕业后医学教育认证委员会和美国放射学委员会联合发布的,旨在为评估放射科住院医师或专科医师在培训过程中的核心胜任... 基于岗位胜任力的诊断放射学分阶段目标胜任力评价系统(the diagnostic radiology milestone project,DRMP)是由美国毕业后医学教育认证委员会和美国放射学委员会联合发布的,旨在为评估放射科住院医师或专科医师在培训过程中的核心胜任力发展历程提供一个框架。首版DRMP自2015年发布以来,在全球范围内备受青睐,形成了以过程控制和结果评价、自我评估和他人评估相结合的,以形成性、发展性为目的而设计的评价体系,同时支持个人学习者、教育项目和专业的持续质量改进。2019年12月颁布了新版DRMP,在六大核心胜任力等方面均进行了不同程度的修订和增减,同时还附带补充了指南。该文将对2019版的DRMP详细解读,并在核心胜任力方面与2015版DRMP进行比较,以期为我国新时期的放射科住院医师规范化培训工作提供借鉴和参考。 展开更多
关键词 诊断放射学 住院医师规范化培训 分阶段目标 核心胜任力 评价
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A Comparative Study of Milestones for Featuring GUI Prototyping Tools
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作者 Thiago Rocha Silva Jean-Luc Hak +1 位作者 Marco Winckler Olivier Nicolas 《Journal of Software Engineering and Applications》 2017年第6期564-589,共26页
Prototyping is one of the core activities of User-Centered Design (UCD) processes and an integral component of Human-Computer Interaction (HCI) research. For many years, prototyping was synonym of paper-based mockups ... Prototyping is one of the core activities of User-Centered Design (UCD) processes and an integral component of Human-Computer Interaction (HCI) research. For many years, prototyping was synonym of paper-based mockups and only more recently we can say that dedicated tools for supporting prototyping activities really reach the market. In this paper, we propose to analyze the evolution of prototyping tools for supporting the development process of interactive systems. For that, this paper presents a review of the literature. We analyze the tools proposed by academic community as a proof of concepts and/or support to research activities. Moreover, we also analyze prototyping tools that are available in the market. We report our observation in terms of features that appear over time and constitute milestones for understating the evolution of concerns related to the development and use of prototyping tools. This survey covers publications published since 1988 in some of the main HCI conferences and 118 commercial tools available on the web. The results enable a brief comparison of characteristics present in both academic and commercial tools, how they have evolved, and what are the gaps that can provide insights for future research and development. 展开更多
关键词 PROTOTYPING TOOLS Survey milestoneS GRAPHICAL USER Interface (GUI)
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Hepatitis C: Milestones from discovery to clinical cure
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作者 Wei Hu Chao Zhang +2 位作者 Ji-Jing Shi Ji-Yuan Zhang Fu-Sheng Wang 《Military Medical Research》 SCIE CSCD 2021年第3期444-446,共3页
On October 5th, 2020, Drs. Harvey J. Alter, Michael Houghton and Charles M. Rice were rewarded with Nobel Prize in Physiology or Medicine for "the discovery of hepatitis C virus(HCV)". During the past 50 yea... On October 5th, 2020, Drs. Harvey J. Alter, Michael Houghton and Charles M. Rice were rewarded with Nobel Prize in Physiology or Medicine for "the discovery of hepatitis C virus(HCV)". During the past 50 years, remarkable achievements have been made in treatment of HCV infection: it has changed from being a life-threatening chronic disease to being curable. In this commentary, we briefly summarized the milestone events in the "scientific journey" from the first report of non-A, non-B hepatitis and discovery of the pathogen(HCV) to final identification of efficacious direct-acting antivirals. Further, we address the challenges and unmet issues in this field. 展开更多
关键词 Hepatitis C Nobel prize 2020 TREATMENT milestone event
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Milestones in Chinese Economy
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《China Population Today》 2002年第4期2-5,9,共5页
关键词 milestones in Chinese Economy GDP THAN
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National Human Rights Action Plan as a Milestone 被引量:1
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作者 SUN PINGHUA is a vice professor of the China University of Political Science and Law 《The Journal of Human Rights》 2012年第5期17-23,共7页
Since "the state respects and protects human rights" was written into the Constitution in 2004, the Chinese government has issued many white papers during a short period of a few years and has included "respect and... Since "the state respects and protects human rights" was written into the Constitution in 2004, the Chinese government has issued many white papers during a short period of a few years and has included "respect and protect human rights" in the 11 th Five Year Plan of National Economic and Social Development. 展开更多
关键词 National Human Rights Action Plan as a milestone
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Milestones of the Past Five Years
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作者 OUYANG HAIYAN 《China Today》 2011年第2期44-45,共2页
The 11th Five-year Plan met its goals, paving the way to new heights for China’s economic, social and environmental development.FROM 2006 to 2010 China implemented its 11th Five-year Plan.
关键词 milestones of the Past Five Years
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MILESTONE OF ABOLISHING THE FEUDAL SERFDOM——EXHIBITION FOR THE 60TH ANNIVERSARY OF DEMOCRATIC REFORM IN TIBET HELD IN BEIJING
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作者 Linglan 《China's Tibet》 2019年第3期2-2,共1页
To commemorate the 60th anniversary of democratic reform in Tibet, the photo exhibition named'Milestone of Abolishing the Feudal Serfdom-Exhibition for the 60th Anniversary of Democratic Reform in Tibet'was op... To commemorate the 60th anniversary of democratic reform in Tibet, the photo exhibition named'Milestone of Abolishing the Feudal Serfdom-Exhibition for the 60th Anniversary of Democratic Reform in Tibet'was opened on March 29th, 2019at the Tibet Cultural Museum in Beijing.By nearly 400 pictures. 展开更多
关键词 EXHIBITION FOR THE 60TH ANNIVERSARY OF DEMOCRATIC REFORM IN TIBET HELD IN BEIJING milestone OF ABOLISHING THE FEUDAL SERFDOM
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Draft Sequence of the Rice Genome: A Milestone Publication
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《Bulletin of the Chinese Academy of Sciences》 2002年第2期65-65,共1页
  Following China's announcement of its completion of the draft genome sequence of the rice indica subspecies on October 12,2001 (page 126, Bulletin of the Chinese Academy of Sciences Vol. 15 No.3), Chinese scie...   Following China's announcement of its completion of the draft genome sequence of the rice indica subspecies on October 12,2001 (page 126, Bulletin of the Chinese Academy of Sciences Vol. 15 No.3), Chinese scientists published their findings in the April 5 issue of Science, the journal of the American Association for the Advancement of Science (AAAS). In the same issue, a team of scientists with the Switzerland-based Syngenta company reported a similar achievement for another major rice subspecies,japonica.…… 展开更多
关键词 A milestone Publication Draft Sequence of the Rice Genome CAS
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昆腾携手Milestone为现代监控环境提供全面增强的归档功能
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作者 何钰洁 《计算机与网络》 2016年第7期79-79,共1页
昆腾公司近日宣布由昆腾Stor Next 5分层存储平台与Milestone的XProtect IP视频管理软件(VMS)相整合的存储解决方案,提供新的长期数据保留选项,作为视频监控基础架构的无缝组成部分。由Milestone定制开发团队开发的基于文件的插件提... 昆腾公司近日宣布由昆腾Stor Next 5分层存储平台与Milestone的XProtect IP视频管理软件(VMS)相整合的存储解决方案,提供新的长期数据保留选项,作为视频监控基础架构的无缝组成部分。由Milestone定制开发团队开发的基于文件的插件提供经济实惠的存储选项,克服了从模拟转向数字网络摄像头,以及更高的IP摄像头分辨率带来的存储挑战。这也有助于将监控视频的使用扩展到安全应用之外。 展开更多
关键词 存储解决方案 监控视频 存储平台 定制开发 监控环境 团队开发 milestone 数据保留 存储系统 数据存储
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China's Lunar Exploration Program——The Third Milestone for China's Space Industry
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作者 Luan Enjie 《工程科学(英文版)》 2006年第4期19-27,共9页
To explore the moon demonstrating the wisdom and capability of mankind. China’s Lunar Exploration Program is the third milestone for China’s space industry. We have formed China’s lunar exploration program that fea... To explore the moon demonstrating the wisdom and capability of mankind. China’s Lunar Exploration Program is the third milestone for China’s space industry. We have formed China’s lunar exploration program that features three milestones, i.e. “orbiting", “landing" and “returning". As a developing country, China conducts definite deep space activities under limited conditions, reflecting China’s strong national strength and symbolizing ability of China’s space industry. 展开更多
关键词 中国 月球 空间工业 空间开发 航天工业
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