一市场化改革塑造了i-SITE的服务理念 近些年,到新西兰自由行的外国游客,一般都会接触到一个名为＂i-SITE New Zealand＂（以下简称i-SITE）的旅游信息咨询平台,并且体验到该平台所提供的高质量的咨询、预定服务。新西兰旅游局公布的官...一市场化改革塑造了i-SITE的服务理念 近些年,到新西兰自由行的外国游客,一般都会接触到一个名为＂i-SITE New Zealand＂（以下简称i-SITE）的旅游信息咨询平台,并且体验到该平台所提供的高质量的咨询、预定服务。新西兰旅游局公布的官方数据显示：2011年新西兰全境的80多个i-SITE游客中心,总共接待了大约110万国际游客,这个数字占到了游客总量的41%。展开更多
目的基于健康服务领域研究成果应用的整合性行动促进框架(integrated-promoting action on research implement action in health services framework,i-PARIHS)模式构建创伤骨科患者手术部位感染(surgical site infection,SSI)防控的...目的基于健康服务领域研究成果应用的整合性行动促进框架(integrated-promoting action on research implement action in health services framework,i-PARIHS)模式构建创伤骨科患者手术部位感染(surgical site infection,SSI)防控的审查指标,分析临床实践障碍因素并提出改进策略。方法成立循证团队、文献检索、总结最佳证据、制定审查指标,于2024年7—8月开展基线调查,调查创伤骨科医护、麻醉手术中心医护执行率及患者知晓率,从“变革、接受者、组织环境”3个要素识别障碍因素,拟定变革策略。结果根据最佳证据评估并裁剪审查指标共23项,涵盖评估与监测、内外环境优化、术中关注重点、跟踪与随访和环境因素控制5个方面,涉及创伤骨科医生的14个指标平均执行率为72.14%,涉及病房护士的14个指标平均执行率为74.11%,涉及麻醉医生的5个指标平均执行率为60.50%,涉及手术室护士的10个指标平均执行率为61.75%,涉及患者知晓的5个直接指标平均知晓率为44.54%;障碍因素分析后拟定相应促进因素8条,拟定变革策略17条。结论临床实践与循证证据存在差距,基于i-PARIHS模式构建的审查指标与障碍分析为SSI防控提供了系统化改进框架,但需进一步验证策略的临床效果。展开更多
Terrestrial laser scanning(TLS) is a useful technology for rock mass characterization. A laser scanner produces a massive point cloud of a scanned area, such as an exposed rock surface in an underground tunnel,with mi...Terrestrial laser scanning(TLS) is a useful technology for rock mass characterization. A laser scanner produces a massive point cloud of a scanned area, such as an exposed rock surface in an underground tunnel,with millimeter precision. The density of the point cloud depends on several parameters from both the TLS operational conditions and the specifications of the project, such as the resolution and the quality of the laser scan, the section of the tunnel, the distance between scanning stations, and the purpose of the scans. One purpose of the scan can be to characterize the rock mass and statistically analyze the discontinuities that compose it for further discontinuous modeling. In these instances, additional data processing and a detailed analysis should be performed on the point cloud to extract the parameters to define a discrete fracture network(DFN) for each discontinuity set. I-site studio is a point cloud processing software that allows users to edit and process laser scans. This software contains a set of geotechnical analysis tools that assist engineers during the structural mapping process, allowing for greater and more representative data regarding the structural information of the rock mass, which may be used for generating DFNs. This paper presents the procedures used during a laser scan for characterizing discontinuities in an underground limestone mine and the results of the scan as applied to the generation of DFNs for further discontinuous modeling.展开更多
文摘一市场化改革塑造了i-SITE的服务理念 近些年,到新西兰自由行的外国游客,一般都会接触到一个名为＂i-SITE New Zealand＂（以下简称i-SITE）的旅游信息咨询平台,并且体验到该平台所提供的高质量的咨询、预定服务。新西兰旅游局公布的官方数据显示：2011年新西兰全境的80多个i-SITE游客中心,总共接待了大约110万国际游客,这个数字占到了游客总量的41%。
文摘目的基于健康服务领域研究成果应用的整合性行动促进框架(integrated-promoting action on research implement action in health services framework,i-PARIHS)模式构建创伤骨科患者手术部位感染(surgical site infection,SSI)防控的审查指标,分析临床实践障碍因素并提出改进策略。方法成立循证团队、文献检索、总结最佳证据、制定审查指标,于2024年7—8月开展基线调查,调查创伤骨科医护、麻醉手术中心医护执行率及患者知晓率,从“变革、接受者、组织环境”3个要素识别障碍因素,拟定变革策略。结果根据最佳证据评估并裁剪审查指标共23项,涵盖评估与监测、内外环境优化、术中关注重点、跟踪与随访和环境因素控制5个方面,涉及创伤骨科医生的14个指标平均执行率为72.14%,涉及病房护士的14个指标平均执行率为74.11%,涉及麻醉医生的5个指标平均执行率为60.50%,涉及手术室护士的10个指标平均执行率为61.75%,涉及患者知晓的5个直接指标平均知晓率为44.54%;障碍因素分析后拟定相应促进因素8条,拟定变革策略17条。结论临床实践与循证证据存在差距,基于i-PARIHS模式构建的审查指标与障碍分析为SSI防控提供了系统化改进框架,但需进一步验证策略的临床效果。
基金funded by the NIOSH Mining Program under Contract No. 200-2016-91300
文摘Terrestrial laser scanning(TLS) is a useful technology for rock mass characterization. A laser scanner produces a massive point cloud of a scanned area, such as an exposed rock surface in an underground tunnel,with millimeter precision. The density of the point cloud depends on several parameters from both the TLS operational conditions and the specifications of the project, such as the resolution and the quality of the laser scan, the section of the tunnel, the distance between scanning stations, and the purpose of the scans. One purpose of the scan can be to characterize the rock mass and statistically analyze the discontinuities that compose it for further discontinuous modeling. In these instances, additional data processing and a detailed analysis should be performed on the point cloud to extract the parameters to define a discrete fracture network(DFN) for each discontinuity set. I-site studio is a point cloud processing software that allows users to edit and process laser scans. This software contains a set of geotechnical analysis tools that assist engineers during the structural mapping process, allowing for greater and more representative data regarding the structural information of the rock mass, which may be used for generating DFNs. This paper presents the procedures used during a laser scan for characterizing discontinuities in an underground limestone mine and the results of the scan as applied to the generation of DFNs for further discontinuous modeling.
