This year’s WSD draws attention to par tnerships for the SDGs.Therefore,China Association for Standardization(CAS)held the inauguration ceremony of the professional committee on smart elderly care facilities on Octob...This year’s WSD draws attention to par tnerships for the SDGs.Therefore,China Association for Standardization(CAS)held the inauguration ceremony of the professional committee on smart elderly care facilities on October 11 in Shenzhen.展开更多
With the advancement of agricultural modernization, agricultural machinery service organizations, as an important part of the rural operating entities, show an increasing trend year by year, and need new facilities la...With the advancement of agricultural modernization, agricultural machinery service organizations, as an important part of the rural operating entities, show an increasing trend year by year, and need new facilities land in the process of development and growth. Based on the written survey of 597 agricultural machinery service organizations in Guizhou Province, the demand and demand gap of various facilities land use in agricultural machinery service organizations were analyzed and compared. In addition, based on the field survey and policy background, the main practices and experiences of agricultural machinery service organizations in Guizhou Province in the approval and use of facility land were sorted out, and the problems and causes of large gap in facility agricultural land, lack of standards and difficulty in policy implementation were analyzed. Finally, it recommended that the site selection of agricultural machinery service organization facilities needs to be standardized, the land demand needs to be coordinated, the land scale needs to be scientifically demonstrated, and financial support should be sought to promote Guizhou agricultural machinery service organization to become bigger, better and stronger.展开更多
The accessibility and fairness of public service facilities are important manifestations of the convenience and equality of urban public service resource allocation.Optimizing the layout of urban public service facili...The accessibility and fairness of public service facilities are important manifestations of the convenience and equality of urban public service resource allocation.Optimizing the layout of urban public service facilities is an inevitable requirement for promoting the construction of people centered cities.This paper takes the old urban area of Guangzhou as the research area,measures the accessibility of multiple types of public service facilities based on an improved two-step floating catchment method,and combines Palma Ratio and location quotient methods to explore the fairness of urban public service facilities from two dimensions:social equity and spatial equity,with supply and demand relationship analysis as the main line.Research has shown that:①there is a significant spatial difference in the accessibility of public service facilities in the old urban areas of Guangzhou,and the comprehensive accessibility is generally higher in the central and southeastern regions of the old urban areas with fewer residential populations;②from the perspective of social equity,the resource allocation of public service facilities in the old urban areas of Guangzhou is in a seriously unfair state(with a fairness index of 2.99),and there are also varying degrees of unfairness within the streets;③from the perspective of spatial equity,the location quotient of public service facilities in the old urban areas of Guangzhou shows a pattern of multil center circles decreasing,indicating a significant spatial mismatch between the accessibility supply side of public service facilities and the demand side of the residential population.The research conclusion will provide scientific basis for optimizing the allocation of urban public service facilities and ensuring the equalization of public services.展开更多
BACKGROUND Liver transplantation(LT)is a life-saving procedure for patients with end-stage liver disease and has become the standard and most effective treatment method for these patients.There are many indications fo...BACKGROUND Liver transplantation(LT)is a life-saving procedure for patients with end-stage liver disease and has become the standard and most effective treatment method for these patients.There are many indications for LT that vary between countries and settings.The outcome of LT depends on the available facilities and surgical expertise,as well as the types of liver graft donors available.AIM To assess the clinical characteristics of patients from Bahrain who underwent LT overseas,and analyze factors affecting their survival.METHODS In this retrospective cohort study,we reviewed the medical records and overseas committee registry information of all pediatric and adult patients who were sent overseas to undergo LT by the Pediatric and Medical Departments of Salmaniya Medical Complex and Bahrain Defence Force Hospital via the Overseas Treatment Office,Ministry of Health,Kingdom of Bahrain,between 1997 and 2023.Demographic data,LT indication,donor-recipient relationship,overseas LT center,graft type,post-LT medications,and LT complications,were collected.Outcomes measured included the overall and 5-year LT survival rate.Fisher’s exact,Pearsonχ2,and Mann-Whitney U tests were used to compare the pediatric and the adults’group in terms of clinical characteristics,donor-recipient relationship,medication,complications,and outcome.Survival analysis was estimated via the Kaplan-Meier’s method.Univariate and multivariate analyses were used to detect predictors of survival.RESULTS Of the 208 eligible patients,170(81.7%)were sent overseas to undergo LT while 38(18.3%)remained on the waiting list.Of the 170 patients,167(80.3%)underwent LT and were included in the study.The majority of the patients were Bahraini(91.0%),and most were males(57.5%).One-hundred-and-twenty(71.8%)were adults and 47(28.3%)were children.The median age at transplant was 50.0[interquartile range(IQR):14.9–58.4]years.The main indication for pediatric LT was biliary atresia(31.9%),while that of adult LT was hepatitis C-related cirrhosis(35.0%).Six(3.6%)patients required re-transplantation.Most patients received a living-related liver graft(82%).Pediatric patients received more living and related grafts than adults(P=0.038 and P=0.041,respectively),while adult patients received more cadaveric and unrelated grafts.Most patients required long-term immunosuppressive therapy after LT(94.7%),of which tacrolimus was the most prescribed(84.0%),followed by prednisolone(50.7%),which was prescribed more frequently for pediatric patients(P=0.001).Most patients developed complications(62.4%)with infectious episodes being the most common(38.9%),followed by biliary stricture(19.5%).Tonsilitis and sepsis(n=12,8.1%for each)were the most frequent infections.Pediatric patients experienced higher rates of infection,rejection,and early poor graft function than adult patients(P<0.001,P=0.003,and P=0.025,respectively).The median follow-up time was 6.5(IQR:2.6–10.6)years.The overall survival rate was 84.4%,the 5-year survival rate,86.2%,and the mortality rate,15.6%.Younger patients had significantly better odds of survival(P=0.019)and patients who survived had significantly longer follow-up periods(P<0.001).CONCLUSION Patients with end-stage liver disease in Bahrain shared characteristics with those from other countries.Since LT facilities are not available,an overseas LT has offered them great hope.展开更多
Background: Improving Water, Sanitation and Hygiene in health care settings is a critical prerequisite for achieving national health goals and Sustainable Development Goals (SDGs). The World Health Organization (WHO) ...Background: Improving Water, Sanitation and Hygiene in health care settings is a critical prerequisite for achieving national health goals and Sustainable Development Goals (SDGs). The World Health Organization (WHO) has set a target for each United Nations member state to reach by 2030. Each member state is required to reach by 2022, 2025 and 2030 at least 60%, 80% and 100%, respectively of basic level of service of the five elements which are water, sanitation, hygiene, waste management and environmental cleaning. Methods: This study aimed to evaluate and document the current state of basic water, sanitation, and hygiene services in all lower-level health care facilities in the Dar es Salaam region of Tanzania as of July 2022. A cross-sectional study was conducted in 99 public dispensaries in the Dar es Salaam region’s five councils: Ubungo, Kigamboni, Kinondoni and Temeke Municipalities, and Ilala City. The interviewee form and observational checklists were both digitalized using the Kobo tool software. The respondents were health care facility in-charges or nurse in-charges. Data were downloaded, validated, and imported to Stata version 15 for analysis. Results: The basic WASH level per JMP is far below the target in 2022. Each member state by 2022 is required to reach at least 60% of the basic level of service of each element. We found a low coverage of basic WASH in the 99 dispensaries included in this study. The basic WASH coverage was met in only 10 (10.1%) of the dispensaries, while the remaining 89 (89.9%) dispensaries fall on limited WASH services. Conclusion: This study revealed lower coverage of basic WASH services in dispensaries. An urgent need is required to improve the status of WASH in all the dispensaries and facilitate the provision of quality health care services, patient safety and reduce health care associated infections.展开更多
The multi-level modeling technology of Building Information Modeling(BIM),combined with Three-dimensional Geographic Information System(3DGIS)macro-scene visualization technology and location information,can realize t...The multi-level modeling technology of Building Information Modeling(BIM),combined with Three-dimensional Geographic Information System(3DGIS)macro-scene visualization technology and location information,can realize the transmission of decentralized information from various disciplines to multi-disciplinary collaborative information sharing services.It can be applied independently for the whole life cycle,which plays a positive role in reducing the cost and improving the efficiency of engineering planning,design,construction,operation,and maintenance.In this paper,the data integration and function integration methods of 3DGIS and BIM are designed.In order to avoid the breaking problems caused by attribute information loss and excessive simplification in the process of BIM data integration,the attribute mapping between 3DGIS and BIM based on Industry Foundation Classes(IFC)and City Geography Markup Language(CityGML)and the data simplification method considering the geometric characteristics of BIM are designed.By setting the relevant preconditions and thresholds of patch merging,on the premise of maintaining the structural characteristics of BIM data surface,reduce the amount of model data to improve the efficiency of BIM data loading,rendering and display effect in 3D geospatial scene.Through the data and function integration of 3DGIS and BIM,we can effectively manage the data of large-scale model,and calculate and obtain the geospatial location and direction of key parts of buildings through the coordinate transformation of BIM,which can effectively assist the rapid and accurate positioning of BIM in virtual 3D scene and expand the visualization ability of 3DGIS.By effectively integrating 3DGIS and BIM,this paper gives full play to the spatial management advantages of 3DGIS and the component management advantages of BIM.The rationality and operability of the method are verified by its application in the operation and maintenance management project of concealed facilities in actual buildings.展开更多
The demand for monitoring activities has been more evident recently in oil and gas“O&G”activities such as exploration,drilling,production,logistics,or shipping.Consequently,these offshore infrastructures require...The demand for monitoring activities has been more evident recently in oil and gas“O&G”activities such as exploration,drilling,production,logistics,or shipping.Consequently,these offshore infrastructures require asset management(or facilities management).This study seeks to understand the research pattern of publications within the domain of asset management in offshore infrastructures with the aim of determining the present state of the field’s research.The paper conducts a scientometric analysis of publications that focus on offshore infrastructures’asset management published between 1992 and 2022.The employed search query yielded a total of 346 journal articles from the Scopus database and 43 from the Web of Science(WoS)database,respectively.The data analysis of the scientometric investigation explored research authorship,co-occurrence of keywords,number of publications,network mapping,country geographical breakdown,and literature coupling.The paper shows rising interest in monitoring and asset management in the oil and gas industry.It was concluded that the management of these infrastructures requires frequent review with the application of sustainable asset management strategies.展开更多
The development of the national economy is closely tied to infrastructure construction.In recent years,China has seen a significant increase in the number and scale of road construction projects,aimed at facilitating ...The development of the national economy is closely tied to infrastructure construction.In recent years,China has seen a significant increase in the number and scale of road construction projects,aimed at facilitating the flow of goods and enabling convenient travel for the masses.However,this surge in road construction also raises concerns about road traffic safety.Road traffic safety facilities play a crucial role in warning and protecting against traffic accidents.To ensure their effective implementation,this paper analyzes the essence of road traffic facilities and their impact on traffic safety.By identifying challenges in the application of traffic safety facilities and adhering to safety facility application principles,suggestions are proposed to enhance traffic safety management.展开更多
Background: Self-care tasks or activities of daily living (ADL)’s performance are often disrupted after an older adult sustains an injury or illness, which can be a determining factor for discharge placement after ho...Background: Self-care tasks or activities of daily living (ADL)’s performance are often disrupted after an older adult sustains an injury or illness, which can be a determining factor for discharge placement after hospitalization, or it can determine the level of assistance required after discharge from a skilled nursing facility (SNF). We believe that comprehensive rehabilitation can improve a patient’s overall functioning during their short term stay in SNFs. The purpose of this study is to determine if an individual’s level of independence improved after admission to a skilled nursing facility and procurement of rehabilitation services. Methods: This study retrospectively reviewed 4612 nursing home patients in California who underwent rehabilitative services at skilled nursing facilities to determine how the patients responded to their environments, therapy interventions, and any other additional supportive measures. The records of patients who were admitted for short-term rehabilitation were reviewed in a blinded fashion, looking specifically at Section GG of the Minimum Data Set (MDS). Self-Care Section GG scores recorded by rehabilitative staff provide objective data and measure patients’ levels of assistance that were required. Each activity is scored from 1, being completely dependent, to 6, being entirely independent, with varying levels of assistance with scores in between. The admission scores versus the discharge scores can be compared to determine if a patient improved their level of functioning upon discharge. Results: Utilizing the Pearson’s correlation coefficient, a strong correlation of improvement in ADL performance on Section GG between the admission and discharge scores was identified, implying significant improvement in functional independence upon discharge. The average percent improvement for Managed Care patients was ~35.4% and ~39.4% for Medicare patients. Conclusions: The results support the benefits of rehabilitation services in skilled nursing facilities, and the data suggests that admission scores can be used as a predictive tool for functional outcomes.展开更多
This study evaluates the effects of digital transformation on facilities management (FM) projects in Saudi Arabia, focusing on the key technologies used, their benefits, challenges, and the opportunities they present....This study evaluates the effects of digital transformation on facilities management (FM) projects in Saudi Arabia, focusing on the key technologies used, their benefits, challenges, and the opportunities they present. The research employs a mixed-methods approach, combining quantitative data from surveys with qualitative insights from expert interviews and case studies. The survey, involving 313 respondents from various FM sectors, highlights the widespread adoption of technologies like CMMS, BIM, IoT, AI, smart applications, and interactive dashboards. Key findings indicate that these technologies significantly enhance operational efficiency, cost savings, maintenance optimization, and decision-making. However, challenges such as high implementation costs, resistance to change, cybersecurity concerns, and integration issues persist. The study’s case studies, drawn from diverse industries including universities, underscore the practical benefits and hurdles faced during digital transformation. Recommendations include investing in comprehensive training programs, securing financial support, enhancing cybersecurity measures, developing clear strategic plans, fostering a culture of innovation, leveraging data analytics, encouraging collaboration, and advocating for supportive government policies. These recommendations aim to guide stakeholders in effectively navigating the digital landscape, aligning with Saudi Arabia’s Vision 2030 objectives to achieve operational excellence and sustainable growth in FM projects.展开更多
The limitation of traditional layout system and the continuous contraction of villages and towns have brought challenges to the layout of public service facilities.It is an imperative task against this background to i...The limitation of traditional layout system and the continuous contraction of villages and towns have brought challenges to the layout of public service facilities.It is an imperative task against this background to integrate space resources and allocate public service facilities scientifically and reasonably.This paper took the system and method of rural public service facility allocation from the perspective of smart contraction as the theoretic support,and Zixi County in Jiangxi Province for example,built the four-level life circle of“county-fundamental-basic-routine”based on the influence factors of facility allocation,village and town contraction strength,rural comprehensive assessment results,residents’trip willingness and demands on public service facilities,finally proposed the suggestions for optimizing the allocation of village and town public service facilities.展开更多
Based on the analysis on the current situation of marine fishery resources and development in Ningde City,this paper plans a spatial pattern for the integration of marine fishery and tourism of the“one belt,three zon...Based on the analysis on the current situation of marine fishery resources and development in Ningde City,this paper plans a spatial pattern for the integration of marine fishery and tourism of the“one belt,three zones,and multiple points”,designs key projects,analyzes the existing problems in the integrated development of fishery and tourism,and proposes relevant countermeasures and suggestions.展开更多
According to the operational characteristics of the logistics networks for the third party logistics supplier （3PLS）, the forward and reverse logistics networks together for 3PLS under the uncertain environment are ...According to the operational characteristics of the logistics networks for the third party logistics supplier （3PLS）, the forward and reverse logistics networks together for 3PLS under the uncertain environment are designed. First, a fuzzy model is proposed by taking multiple customers, multiple commodities, capacitated facility location and integrated logistics facility layout into account. In the model, the fuzzy customer demands and transportation rates are illustrated by triangular fuzzy numbers. Secondly, the fuzzy model is converted into a crisp model by applying fuzzy chance constrained theory and possibility theory, and one hybrid genetic algorithm is designed for the crisp model. Finally, two different examples are designed to illustrate that the model and solution discussed are valid.展开更多
Background: Mobility in older adults can be impaired after acute illness or hospitalization, and the level of severity can be used as a predictor of one’s ability to return to independent living. Patients are often r...Background: Mobility in older adults can be impaired after acute illness or hospitalization, and the level of severity can be used as a predictor of one’s ability to return to independent living. Patients are often referred to skilled nursing facilities in hopes of improving their mobility. We wanted to prove that rehabilitative services at Skilled Nursing Facilities improve overall outcomes. Methods: We conducted a retrospective analysis of data from 4612 patients admitted for short-term rehabilitation in a large nursing home chain in California. Our aim was to determine whether patients’ mobility scores, as measured by rehabilitative staff, significantly improved by time of discharge compared to their scores at admission. Mobility scores were rated from 1 to 6, with 1 being the most dependent on aid and 6 being the most independent, over a variety of tasks at admission and compared to scores at discharge. Pearson’s correlations were performed to determine if there were significant relationships in the data: the Pearson’s correlation coefficient was used to describe the relationships between patient admission to a skilled nursing facility and medical improvement upon discharge. Results: The study demonstrated a statistically significant improvement in patients’ mobility scores upon discharge, with Medicare insured patients showing on average 57% improvement and Managed Care insured patients showing on average 59% improvement. Additionally, admission scores appeared to be predictive of the patient’s outcome at discharge. Conclusions: The values and consistency of improvement support the use of acute rehabilitative services in skilled nursing facilities. An equation can be formulated that evaluates patients’ estimated mobility statuses upon discharge from facilities based on their conditions on their arrivals. With this, new interventions can be studied and compared to the current standard of care by using these measurements. They can determine if further improvements can be made to increase patient outcomes.展开更多
Objective: To determine the indications and immediate maternal and fetal outcomes of caesarean section performed at primary health facilities in 2020. Design: Discriptive cross-sectional study. Setting: Lushoto Distri...Objective: To determine the indications and immediate maternal and fetal outcomes of caesarean section performed at primary health facilities in 2020. Design: Discriptive cross-sectional study. Setting: Lushoto District Council is located in the northeastern in Tanga region, Tanzania. Participants: All women who underwent caesarean section at primary health facilities from January to December 2020, 782 included in this study and 72 files were missing. Main outcome Measures: Indications and immediate maternal and fetal outcomes of caesarean section at primary health facilities. The difference in indications and outcomes of caesarean section between district hospital and upgraded health centres. Results: The commonest indications were obstructed labor 29.0%, previous scar(s) 19.9% and fetal distress 17.0%. Obstructed labour indication was more at the upgraded health centres. Most, 89% of women had no post-operative complications. The common maternal complications were hemorrhage 5.7%, transfusion 5.2%, prolonged stay 1.7%. Most babies were alive 95%, term 90% with Apgar score > 7 at 5 minutes 96% and 94% had birth weight ≥ 2500 g. There were no statistically significant differences in immediate maternal and fetal outcomes between health centres and district hospital. Conclusions: Obstructed labour was the commonest indication for caesarean section. The immediate maternal and fetal outcomes at the upgraded health centers were comparable to the district hospital level. Clinical audits of indications for caesarean section and prospective studies for late maternal and fetal outcomes of caesarean section performed at primary health facilities to be conducted.展开更多
This paper presents the technical parameters and features of 1 MWth test facilities for circulating fluidized bed combustion (CFBC) at Thermal Power Research Institute (TPRI) of State Power Corporation (SP), introduce...This paper presents the technical parameters and features of 1 MWth test facilities for circulating fluidized bed combustion (CFBC) at Thermal Power Research Institute (TPRI) of State Power Corporation (SP), introduces the test items that can be proceeded and trial combustion projects completed. The development status of CFBC technologies abroad and the level of China in this field are also introduced in the paper.展开更多
After analyzing the concept of urban social psychology and environmental psychology, the paper considers that the city is an object shared by thousands of people from different classes, nationalities and characters, a...After analyzing the concept of urban social psychology and environmental psychology, the paper considers that the city is an object shared by thousands of people from different classes, nationalities and characters, and streets and roads are the skeleton and venation of the city, serving for transport and as spaces. Then, it has proposed principles for road landscape design. Based on environmental facilities on streets, urban environmental psychology has been put forward because transport function has been highlighted while space function has been neglected in urban construction, so that facilities' design and construction can be considered from the perspective of human. Finally, some suggestions have been raised in view of problems in mechanism and management during the design and construction of domestic street facilities.展开更多
Using Tongxian No.2 as material, the effects of different film-covering time, different sowing time and different planting density on the occurrence of freeze injury and yield of fresh broad beans were investigated. T...Using Tongxian No.2 as material, the effects of different film-covering time, different sowing time and different planting density on the occurrence of freeze injury and yield of fresh broad beans were investigated. The randomized block design was adopted. The results showed that with the delayed film covering, the incidence of mild freeze injury and number of headless seedlings were increased correspondingly, but the yield was increased; with the delayed sowing, the branch number per plant, effective branch number per plant, incidence of mild freeze injury and number of headless seedlings were all reduced, and the broad beans, sowed on September 30 th, obtained the highest yield; planting density showed on effect on the occurrence of freeze injury, and the yield was increased with the increase of planting density. Under the same film-covering time, the incidence of freeze injury was reduced with the delayed sowing time and it showed no changes when planting density was changed, but the yield was increased with the increase of planting density and it was highest when broad bean seeds were sowed on September 30th;under the same sowing time, the incidence of freeze injury was increased with the delayed film-covering time and it showed no changes when planting density was changed, and the yield was increased with the delayed film-covering time and increased planting density; under the same planting density, the incidence of freeze injury was increased with the delayed film-covering time but was reduced with the delayed sowing time, and the yield was increased with the delayed film-covering time and it was highest when the broad bean seeds were sowed on September30 th. Under same film-covering time and sowing time, the total branch number per plant and effective branch number per plant were reduced, but the yield was increased with the increase of planting density; under same film-covering time and planting density, the incidence of freeze injury was reduced with the delayed sowing time, and the yield was highest when broad bean seeds were sowed on September30th; under same sowing time and planting density, the incidence of freeze injury and the yield were all increased with the delayed film-covering time.展开更多
Objectives:This study aimed to explore the dignity and related factors among older adults in long-term care facilities.Methods:Cross-sectional data were obtained from a sample of 253 Chinese older adults dwelling in l...Objectives:This study aimed to explore the dignity and related factors among older adults in long-term care facilities.Methods:Cross-sectional data were obtained from a sample of 253 Chinese older adults dwelling in long-term care facilities.Dignity among older adults was measured using the Dignity Scale,and its potential correlates were explored using multiple linear regressions.Results:Results showed that the total score of the Dignity Scale is 151.95±11.75.From high to low,the different factors of dignity among older adults in long-term care facilities were as follows:caring factors(4.83±0.33),social factors(4.73±0.41),psychological factors(4.66±0.71),value factors(4.56±0.53),autonomous factors(4.50±0.57),and physical factors(4.38±0.55).A higher score of the Dignity Scale was associated with higher economic status,fewer chronic diseases,less medication,better daily living ability and long-time lived in cities.Conclusion:Older adults with low economic status,more chronic diseases,and poor daily living ability,taking more medications,or the previous residence in rural areas seem to be most at low-level dignity in long-term care facilities and thus require more attention than their peers.展开更多
Much attention has been given to address public health policy in Saudi Arabia,particularly for the management,quality,and coverage issues.However,assessment of spatial patterns,distribution,and provision of public hea...Much attention has been given to address public health policy in Saudi Arabia,particularly for the management,quality,and coverage issues.However,assessment of spatial patterns,distribution,and provision of public health services has been neglected.This paper analyzes the availability and accessibility of public health facilities across Riyadh Governorate,Saudi Arabia at the subnational level.Spatial and attribute data of public health facilities potentially have been analyzed using GIS to produce accurate measure of accessibility.The spatial pattern of service distribution was examined using average nearest neighbor.Distances from demand points(populations)to providers(facilities)were calculated for each district using near analysis.In addition,the ratios of public health facility to population were calculated to identify underserved and overserved areas.The findings clearly indicate that the spatial pattern of the distribution of public health facilities was significantly clustered(p value<0.001)with Z-score of–10.9.Several districts within the central parts of the governorate were identified as having a higher density of facilities,while most of districts that are located in the marginal parts exhibit very low density of health facilities.Overall,there was a considerable variation in the average distance from district centroids to health facilities.Substantially,less than half of the population(45.4%)living in 61 districts has access to public health facility within less than 1-km distance.In contrast,the greatest increase in distances was observed for 6%of population living in 38 districts.People that live in such districts need to travel long distances for public health care.The output of this analysis can assist policy-makers and authorities of Riyadh Governorate in planning public health delivery.展开更多
文摘This year’s WSD draws attention to par tnerships for the SDGs.Therefore,China Association for Standardization(CAS)held the inauguration ceremony of the professional committee on smart elderly care facilities on October 11 in Shenzhen.
文摘With the advancement of agricultural modernization, agricultural machinery service organizations, as an important part of the rural operating entities, show an increasing trend year by year, and need new facilities land in the process of development and growth. Based on the written survey of 597 agricultural machinery service organizations in Guizhou Province, the demand and demand gap of various facilities land use in agricultural machinery service organizations were analyzed and compared. In addition, based on the field survey and policy background, the main practices and experiences of agricultural machinery service organizations in Guizhou Province in the approval and use of facility land were sorted out, and the problems and causes of large gap in facility agricultural land, lack of standards and difficulty in policy implementation were analyzed. Finally, it recommended that the site selection of agricultural machinery service organization facilities needs to be standardized, the land demand needs to be coordinated, the land scale needs to be scientifically demonstrated, and financial support should be sought to promote Guizhou agricultural machinery service organization to become bigger, better and stronger.
文摘The accessibility and fairness of public service facilities are important manifestations of the convenience and equality of urban public service resource allocation.Optimizing the layout of urban public service facilities is an inevitable requirement for promoting the construction of people centered cities.This paper takes the old urban area of Guangzhou as the research area,measures the accessibility of multiple types of public service facilities based on an improved two-step floating catchment method,and combines Palma Ratio and location quotient methods to explore the fairness of urban public service facilities from two dimensions:social equity and spatial equity,with supply and demand relationship analysis as the main line.Research has shown that:①there is a significant spatial difference in the accessibility of public service facilities in the old urban areas of Guangzhou,and the comprehensive accessibility is generally higher in the central and southeastern regions of the old urban areas with fewer residential populations;②from the perspective of social equity,the resource allocation of public service facilities in the old urban areas of Guangzhou is in a seriously unfair state(with a fairness index of 2.99),and there are also varying degrees of unfairness within the streets;③from the perspective of spatial equity,the location quotient of public service facilities in the old urban areas of Guangzhou shows a pattern of multil center circles decreasing,indicating a significant spatial mismatch between the accessibility supply side of public service facilities and the demand side of the residential population.The research conclusion will provide scientific basis for optimizing the allocation of urban public service facilities and ensuring the equalization of public services.
文摘BACKGROUND Liver transplantation(LT)is a life-saving procedure for patients with end-stage liver disease and has become the standard and most effective treatment method for these patients.There are many indications for LT that vary between countries and settings.The outcome of LT depends on the available facilities and surgical expertise,as well as the types of liver graft donors available.AIM To assess the clinical characteristics of patients from Bahrain who underwent LT overseas,and analyze factors affecting their survival.METHODS In this retrospective cohort study,we reviewed the medical records and overseas committee registry information of all pediatric and adult patients who were sent overseas to undergo LT by the Pediatric and Medical Departments of Salmaniya Medical Complex and Bahrain Defence Force Hospital via the Overseas Treatment Office,Ministry of Health,Kingdom of Bahrain,between 1997 and 2023.Demographic data,LT indication,donor-recipient relationship,overseas LT center,graft type,post-LT medications,and LT complications,were collected.Outcomes measured included the overall and 5-year LT survival rate.Fisher’s exact,Pearsonχ2,and Mann-Whitney U tests were used to compare the pediatric and the adults’group in terms of clinical characteristics,donor-recipient relationship,medication,complications,and outcome.Survival analysis was estimated via the Kaplan-Meier’s method.Univariate and multivariate analyses were used to detect predictors of survival.RESULTS Of the 208 eligible patients,170(81.7%)were sent overseas to undergo LT while 38(18.3%)remained on the waiting list.Of the 170 patients,167(80.3%)underwent LT and were included in the study.The majority of the patients were Bahraini(91.0%),and most were males(57.5%).One-hundred-and-twenty(71.8%)were adults and 47(28.3%)were children.The median age at transplant was 50.0[interquartile range(IQR):14.9–58.4]years.The main indication for pediatric LT was biliary atresia(31.9%),while that of adult LT was hepatitis C-related cirrhosis(35.0%).Six(3.6%)patients required re-transplantation.Most patients received a living-related liver graft(82%).Pediatric patients received more living and related grafts than adults(P=0.038 and P=0.041,respectively),while adult patients received more cadaveric and unrelated grafts.Most patients required long-term immunosuppressive therapy after LT(94.7%),of which tacrolimus was the most prescribed(84.0%),followed by prednisolone(50.7%),which was prescribed more frequently for pediatric patients(P=0.001).Most patients developed complications(62.4%)with infectious episodes being the most common(38.9%),followed by biliary stricture(19.5%).Tonsilitis and sepsis(n=12,8.1%for each)were the most frequent infections.Pediatric patients experienced higher rates of infection,rejection,and early poor graft function than adult patients(P<0.001,P=0.003,and P=0.025,respectively).The median follow-up time was 6.5(IQR:2.6–10.6)years.The overall survival rate was 84.4%,the 5-year survival rate,86.2%,and the mortality rate,15.6%.Younger patients had significantly better odds of survival(P=0.019)and patients who survived had significantly longer follow-up periods(P<0.001).CONCLUSION Patients with end-stage liver disease in Bahrain shared characteristics with those from other countries.Since LT facilities are not available,an overseas LT has offered them great hope.
文摘Background: Improving Water, Sanitation and Hygiene in health care settings is a critical prerequisite for achieving national health goals and Sustainable Development Goals (SDGs). The World Health Organization (WHO) has set a target for each United Nations member state to reach by 2030. Each member state is required to reach by 2022, 2025 and 2030 at least 60%, 80% and 100%, respectively of basic level of service of the five elements which are water, sanitation, hygiene, waste management and environmental cleaning. Methods: This study aimed to evaluate and document the current state of basic water, sanitation, and hygiene services in all lower-level health care facilities in the Dar es Salaam region of Tanzania as of July 2022. A cross-sectional study was conducted in 99 public dispensaries in the Dar es Salaam region’s five councils: Ubungo, Kigamboni, Kinondoni and Temeke Municipalities, and Ilala City. The interviewee form and observational checklists were both digitalized using the Kobo tool software. The respondents were health care facility in-charges or nurse in-charges. Data were downloaded, validated, and imported to Stata version 15 for analysis. Results: The basic WASH level per JMP is far below the target in 2022. Each member state by 2022 is required to reach at least 60% of the basic level of service of each element. We found a low coverage of basic WASH in the 99 dispensaries included in this study. The basic WASH coverage was met in only 10 (10.1%) of the dispensaries, while the remaining 89 (89.9%) dispensaries fall on limited WASH services. Conclusion: This study revealed lower coverage of basic WASH services in dispensaries. An urgent need is required to improve the status of WASH in all the dispensaries and facilitate the provision of quality health care services, patient safety and reduce health care associated infections.
基金supported by the Open Fund of Key Laboratory of Urban Land Resources Monitoring and Simulation,Ministry of Land and Resources[grant number KF-2018-03-050]China Postdoctoral Science Foundation[grant number 2018M642800].
文摘The multi-level modeling technology of Building Information Modeling(BIM),combined with Three-dimensional Geographic Information System(3DGIS)macro-scene visualization technology and location information,can realize the transmission of decentralized information from various disciplines to multi-disciplinary collaborative information sharing services.It can be applied independently for the whole life cycle,which plays a positive role in reducing the cost and improving the efficiency of engineering planning,design,construction,operation,and maintenance.In this paper,the data integration and function integration methods of 3DGIS and BIM are designed.In order to avoid the breaking problems caused by attribute information loss and excessive simplification in the process of BIM data integration,the attribute mapping between 3DGIS and BIM based on Industry Foundation Classes(IFC)and City Geography Markup Language(CityGML)and the data simplification method considering the geometric characteristics of BIM are designed.By setting the relevant preconditions and thresholds of patch merging,on the premise of maintaining the structural characteristics of BIM data surface,reduce the amount of model data to improve the efficiency of BIM data loading,rendering and display effect in 3D geospatial scene.Through the data and function integration of 3DGIS and BIM,we can effectively manage the data of large-scale model,and calculate and obtain the geospatial location and direction of key parts of buildings through the coordinate transformation of BIM,which can effectively assist the rapid and accurate positioning of BIM in virtual 3D scene and expand the visualization ability of 3DGIS.By effectively integrating 3DGIS and BIM,this paper gives full play to the spatial management advantages of 3DGIS and the component management advantages of BIM.The rationality and operability of the method are verified by its application in the operation and maintenance management project of concealed facilities in actual buildings.
基金The School of Engineering,Lancaster University,UK and the Engineering and Physical Sciences Research Council(EPSRC)’s Doctoral Training Centre(DTC),UK are highly appreciatedMoreso,the Foreign Postgraduate Scholarship of Niger Delta Development Commission(NDDC)Nigeria are also valued for financial support as well as the BOLD25 Initiative of Universiti Tenaga Nasional(UNITEN),Malaysia.
文摘The demand for monitoring activities has been more evident recently in oil and gas“O&G”activities such as exploration,drilling,production,logistics,or shipping.Consequently,these offshore infrastructures require asset management(or facilities management).This study seeks to understand the research pattern of publications within the domain of asset management in offshore infrastructures with the aim of determining the present state of the field’s research.The paper conducts a scientometric analysis of publications that focus on offshore infrastructures’asset management published between 1992 and 2022.The employed search query yielded a total of 346 journal articles from the Scopus database and 43 from the Web of Science(WoS)database,respectively.The data analysis of the scientometric investigation explored research authorship,co-occurrence of keywords,number of publications,network mapping,country geographical breakdown,and literature coupling.The paper shows rising interest in monitoring and asset management in the oil and gas industry.It was concluded that the management of these infrastructures requires frequent review with the application of sustainable asset management strategies.
文摘The development of the national economy is closely tied to infrastructure construction.In recent years,China has seen a significant increase in the number and scale of road construction projects,aimed at facilitating the flow of goods and enabling convenient travel for the masses.However,this surge in road construction also raises concerns about road traffic safety.Road traffic safety facilities play a crucial role in warning and protecting against traffic accidents.To ensure their effective implementation,this paper analyzes the essence of road traffic facilities and their impact on traffic safety.By identifying challenges in the application of traffic safety facilities and adhering to safety facility application principles,suggestions are proposed to enhance traffic safety management.
文摘Background: Self-care tasks or activities of daily living (ADL)’s performance are often disrupted after an older adult sustains an injury or illness, which can be a determining factor for discharge placement after hospitalization, or it can determine the level of assistance required after discharge from a skilled nursing facility (SNF). We believe that comprehensive rehabilitation can improve a patient’s overall functioning during their short term stay in SNFs. The purpose of this study is to determine if an individual’s level of independence improved after admission to a skilled nursing facility and procurement of rehabilitation services. Methods: This study retrospectively reviewed 4612 nursing home patients in California who underwent rehabilitative services at skilled nursing facilities to determine how the patients responded to their environments, therapy interventions, and any other additional supportive measures. The records of patients who were admitted for short-term rehabilitation were reviewed in a blinded fashion, looking specifically at Section GG of the Minimum Data Set (MDS). Self-Care Section GG scores recorded by rehabilitative staff provide objective data and measure patients’ levels of assistance that were required. Each activity is scored from 1, being completely dependent, to 6, being entirely independent, with varying levels of assistance with scores in between. The admission scores versus the discharge scores can be compared to determine if a patient improved their level of functioning upon discharge. Results: Utilizing the Pearson’s correlation coefficient, a strong correlation of improvement in ADL performance on Section GG between the admission and discharge scores was identified, implying significant improvement in functional independence upon discharge. The average percent improvement for Managed Care patients was ~35.4% and ~39.4% for Medicare patients. Conclusions: The results support the benefits of rehabilitation services in skilled nursing facilities, and the data suggests that admission scores can be used as a predictive tool for functional outcomes.
文摘This study evaluates the effects of digital transformation on facilities management (FM) projects in Saudi Arabia, focusing on the key technologies used, their benefits, challenges, and the opportunities they present. The research employs a mixed-methods approach, combining quantitative data from surveys with qualitative insights from expert interviews and case studies. The survey, involving 313 respondents from various FM sectors, highlights the widespread adoption of technologies like CMMS, BIM, IoT, AI, smart applications, and interactive dashboards. Key findings indicate that these technologies significantly enhance operational efficiency, cost savings, maintenance optimization, and decision-making. However, challenges such as high implementation costs, resistance to change, cybersecurity concerns, and integration issues persist. The study’s case studies, drawn from diverse industries including universities, underscore the practical benefits and hurdles faced during digital transformation. Recommendations include investing in comprehensive training programs, securing financial support, enhancing cybersecurity measures, developing clear strategic plans, fostering a culture of innovation, leveraging data analytics, encouraging collaboration, and advocating for supportive government policies. These recommendations aim to guide stakeholders in effectively navigating the digital landscape, aligning with Saudi Arabia’s Vision 2030 objectives to achieve operational excellence and sustainable growth in FM projects.
文摘The limitation of traditional layout system and the continuous contraction of villages and towns have brought challenges to the layout of public service facilities.It is an imperative task against this background to integrate space resources and allocate public service facilities scientifically and reasonably.This paper took the system and method of rural public service facility allocation from the perspective of smart contraction as the theoretic support,and Zixi County in Jiangxi Province for example,built the four-level life circle of“county-fundamental-basic-routine”based on the influence factors of facility allocation,village and town contraction strength,rural comprehensive assessment results,residents’trip willingness and demands on public service facilities,finally proposed the suggestions for optimizing the allocation of village and town public service facilities.
基金Sponsored by Innovation Strategy Research Project of Fujian Provincial Department of Science and Technology(2023R0068)“East Fujian Tourism Poverty Alleviation Research Center”Project of Humanities and Social Sciences Research Base of Fujian Provincial Department of Education(Minjiaoke[2019]32)Survey and Research on the Construction Resources of Beautiful Countryside in East Fujian under the Guidance of“the Spirit of the 20th National Congress of the Communist Party of China”at Ningde Normal University(2022DZX08)。
文摘Based on the analysis on the current situation of marine fishery resources and development in Ningde City,this paper plans a spatial pattern for the integration of marine fishery and tourism of the“one belt,three zones,and multiple points”,designs key projects,analyzes the existing problems in the integrated development of fishery and tourism,and proposes relevant countermeasures and suggestions.
文摘According to the operational characteristics of the logistics networks for the third party logistics supplier （3PLS）, the forward and reverse logistics networks together for 3PLS under the uncertain environment are designed. First, a fuzzy model is proposed by taking multiple customers, multiple commodities, capacitated facility location and integrated logistics facility layout into account. In the model, the fuzzy customer demands and transportation rates are illustrated by triangular fuzzy numbers. Secondly, the fuzzy model is converted into a crisp model by applying fuzzy chance constrained theory and possibility theory, and one hybrid genetic algorithm is designed for the crisp model. Finally, two different examples are designed to illustrate that the model and solution discussed are valid.
文摘Background: Mobility in older adults can be impaired after acute illness or hospitalization, and the level of severity can be used as a predictor of one’s ability to return to independent living. Patients are often referred to skilled nursing facilities in hopes of improving their mobility. We wanted to prove that rehabilitative services at Skilled Nursing Facilities improve overall outcomes. Methods: We conducted a retrospective analysis of data from 4612 patients admitted for short-term rehabilitation in a large nursing home chain in California. Our aim was to determine whether patients’ mobility scores, as measured by rehabilitative staff, significantly improved by time of discharge compared to their scores at admission. Mobility scores were rated from 1 to 6, with 1 being the most dependent on aid and 6 being the most independent, over a variety of tasks at admission and compared to scores at discharge. Pearson’s correlations were performed to determine if there were significant relationships in the data: the Pearson’s correlation coefficient was used to describe the relationships between patient admission to a skilled nursing facility and medical improvement upon discharge. Results: The study demonstrated a statistically significant improvement in patients’ mobility scores upon discharge, with Medicare insured patients showing on average 57% improvement and Managed Care insured patients showing on average 59% improvement. Additionally, admission scores appeared to be predictive of the patient’s outcome at discharge. Conclusions: The values and consistency of improvement support the use of acute rehabilitative services in skilled nursing facilities. An equation can be formulated that evaluates patients’ estimated mobility statuses upon discharge from facilities based on their conditions on their arrivals. With this, new interventions can be studied and compared to the current standard of care by using these measurements. They can determine if further improvements can be made to increase patient outcomes.
文摘Objective: To determine the indications and immediate maternal and fetal outcomes of caesarean section performed at primary health facilities in 2020. Design: Discriptive cross-sectional study. Setting: Lushoto District Council is located in the northeastern in Tanga region, Tanzania. Participants: All women who underwent caesarean section at primary health facilities from January to December 2020, 782 included in this study and 72 files were missing. Main outcome Measures: Indications and immediate maternal and fetal outcomes of caesarean section at primary health facilities. The difference in indications and outcomes of caesarean section between district hospital and upgraded health centres. Results: The commonest indications were obstructed labor 29.0%, previous scar(s) 19.9% and fetal distress 17.0%. Obstructed labour indication was more at the upgraded health centres. Most, 89% of women had no post-operative complications. The common maternal complications were hemorrhage 5.7%, transfusion 5.2%, prolonged stay 1.7%. Most babies were alive 95%, term 90% with Apgar score > 7 at 5 minutes 96% and 94% had birth weight ≥ 2500 g. There were no statistically significant differences in immediate maternal and fetal outcomes between health centres and district hospital. Conclusions: Obstructed labour was the commonest indication for caesarean section. The immediate maternal and fetal outcomes at the upgraded health centers were comparable to the district hospital level. Clinical audits of indications for caesarean section and prospective studies for late maternal and fetal outcomes of caesarean section performed at primary health facilities to be conducted.
基金This paper is an introduction of a key laboratory of SP.
文摘This paper presents the technical parameters and features of 1 MWth test facilities for circulating fluidized bed combustion (CFBC) at Thermal Power Research Institute (TPRI) of State Power Corporation (SP), introduces the test items that can be proceeded and trial combustion projects completed. The development status of CFBC technologies abroad and the level of China in this field are also introduced in the paper.
文摘After analyzing the concept of urban social psychology and environmental psychology, the paper considers that the city is an object shared by thousands of people from different classes, nationalities and characters, and streets and roads are the skeleton and venation of the city, serving for transport and as spaces. Then, it has proposed principles for road landscape design. Based on environmental facilities on streets, urban environmental psychology has been put forward because transport function has been highlighted while space function has been neglected in urban construction, so that facilities' design and construction can be considered from the perspective of human. Finally, some suggestions have been raised in view of problems in mechanism and management during the design and construction of domestic street facilities.
基金Supported by Jiangsu Agricultural Science and Technology Innovation Fund[CX(12)3006]Jiangsu Province Science and Technology Support Program,China(BE2013352)Study on Saving the Cost Facility Cultivation Techniques of High-quality,Safe and Efficient in Fresh Faba Bean(HL2014029)~~
文摘Using Tongxian No.2 as material, the effects of different film-covering time, different sowing time and different planting density on the occurrence of freeze injury and yield of fresh broad beans were investigated. The randomized block design was adopted. The results showed that with the delayed film covering, the incidence of mild freeze injury and number of headless seedlings were increased correspondingly, but the yield was increased; with the delayed sowing, the branch number per plant, effective branch number per plant, incidence of mild freeze injury and number of headless seedlings were all reduced, and the broad beans, sowed on September 30 th, obtained the highest yield; planting density showed on effect on the occurrence of freeze injury, and the yield was increased with the increase of planting density. Under the same film-covering time, the incidence of freeze injury was reduced with the delayed sowing time and it showed no changes when planting density was changed, but the yield was increased with the increase of planting density and it was highest when broad bean seeds were sowed on September 30th;under the same sowing time, the incidence of freeze injury was increased with the delayed film-covering time and it showed no changes when planting density was changed, and the yield was increased with the delayed film-covering time and increased planting density; under the same planting density, the incidence of freeze injury was increased with the delayed film-covering time but was reduced with the delayed sowing time, and the yield was increased with the delayed film-covering time and it was highest when the broad bean seeds were sowed on September30 th. Under same film-covering time and sowing time, the total branch number per plant and effective branch number per plant were reduced, but the yield was increased with the increase of planting density; under same film-covering time and planting density, the incidence of freeze injury was reduced with the delayed sowing time, and the yield was highest when broad bean seeds were sowed on September30th; under same sowing time and planting density, the incidence of freeze injury and the yield were all increased with the delayed film-covering time.
基金This work was supported by the Health Commission of Zhejiang Province(Grant number 2018KY544,2018).
文摘Objectives:This study aimed to explore the dignity and related factors among older adults in long-term care facilities.Methods:Cross-sectional data were obtained from a sample of 253 Chinese older adults dwelling in long-term care facilities.Dignity among older adults was measured using the Dignity Scale,and its potential correlates were explored using multiple linear regressions.Results:Results showed that the total score of the Dignity Scale is 151.95±11.75.From high to low,the different factors of dignity among older adults in long-term care facilities were as follows:caring factors(4.83±0.33),social factors(4.73±0.41),psychological factors(4.66±0.71),value factors(4.56±0.53),autonomous factors(4.50±0.57),and physical factors(4.38±0.55).A higher score of the Dignity Scale was associated with higher economic status,fewer chronic diseases,less medication,better daily living ability and long-time lived in cities.Conclusion:Older adults with low economic status,more chronic diseases,and poor daily living ability,taking more medications,or the previous residence in rural areas seem to be most at low-level dignity in long-term care facilities and thus require more attention than their peers.
文摘Much attention has been given to address public health policy in Saudi Arabia,particularly for the management,quality,and coverage issues.However,assessment of spatial patterns,distribution,and provision of public health services has been neglected.This paper analyzes the availability and accessibility of public health facilities across Riyadh Governorate,Saudi Arabia at the subnational level.Spatial and attribute data of public health facilities potentially have been analyzed using GIS to produce accurate measure of accessibility.The spatial pattern of service distribution was examined using average nearest neighbor.Distances from demand points(populations)to providers(facilities)were calculated for each district using near analysis.In addition,the ratios of public health facility to population were calculated to identify underserved and overserved areas.The findings clearly indicate that the spatial pattern of the distribution of public health facilities was significantly clustered(p value<0.001)with Z-score of–10.9.Several districts within the central parts of the governorate were identified as having a higher density of facilities,while most of districts that are located in the marginal parts exhibit very low density of health facilities.Overall,there was a considerable variation in the average distance from district centroids to health facilities.Substantially,less than half of the population(45.4%)living in 61 districts has access to public health facility within less than 1-km distance.In contrast,the greatest increase in distances was observed for 6%of population living in 38 districts.People that live in such districts need to travel long distances for public health care.The output of this analysis can assist policy-makers and authorities of Riyadh Governorate in planning public health delivery.
