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Ported wall extension hydraulics
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作者 Fei-dong Zheng Ping-yi Wang +1 位作者 Jian-feng An Yun Li 《Water Science and Engineering》 EI CAS CSCD 2021年第1期65-71,共7页
Ported wall extensions are important hydraulic structures used to reduce crosscurrents in upper approaches to locks.The effect of such extensions located upstream of a solid guard wall on flow characteristics depends ... Ported wall extensions are important hydraulic structures used to reduce crosscurrents in upper approaches to locks.The effect of such extensions located upstream of a solid guard wall on flow characteristics depends on many factors,including geometric and hydraulic parameters.In this study,the hydraulic performance of ported wall extensions was experimentally investigated in terms of the permeability coefficient,expanding angle,extension length,and flow depth.The results demonstrate that the dimensionless maximum transverse velocity is closely related to the permeability coefficient,expanding angle,and flow depth.By contrast,the dimensionless eddy length mainly depends on the permeability coefficient,expanding angle,and extension length.Furthermore,the optimum permeability coefficient increases with the expanding angle or flow depth,and it is approximately constant for different extension lengths.These results have the potential to provide direct guidance for the design of effective ported wall extensions in upper approaches to locks. 展开更多
关键词 ported wall extension Permeability coefficient Transverse velocity Eddy length Navigation safety
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PREPARATION,CHARACTERIZATION AND HYDROGENATION PROPERTY OF POLYMER-SUPPORTED Pd-Fe_2O_3 COMPOSITE CATALYSTS
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作者 ZHANG Shengmin HU Weibing ZHANG Manzheng Wuhan University of Technology Hubei Research Institute of Chemistry 《Journal of Wuhan University of Technology(Materials Science)》 SCIE EI CAS 1999年第4期48-52,共5页
A series of polymer- supported Pd -Fe2O3 composite catalysts were prepared and their hydrogenation property mas investigated. It was found that the above catalysts have good catalytic hydrogenation activity for carbon... A series of polymer- supported Pd -Fe2O3 composite catalysts were prepared and their hydrogenation property mas investigated. It was found that the above catalysts have good catalytic hydrogenation activity for carbon - carbon double bonds systems and reusability. Furthermore, XPS and IR spectra shouted that active component in the composite catalysts is atomic Pd(0). An addition of a small amount of Fe2O3 has a promotive action upon hydrogenation activity of the catalysts, which indicated that there are some strong interactions (electron transfer) between Pd(0) and Fe(Ⅲ) species. Based on these results, a possible catalytic hydrogenation mechanism was also suggested. 展开更多
关键词 functional material polymet-sup- ported catalyst composite Pd - F2O3/polystyrene HYDROGENATION mechanism
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A Technique of Bilateral Inguinal Hernia Repair Using 10 mm Single Port Access and Bioresorbable Composite Mesh Fixed with Endoclose Sutures: Three Cases Reported
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作者 Wuttichai Thanapongsathorn 《Surgical Science》 2011年第7期388-392,共5页
Purpose: To report a novel technique of laparoscopic 10 mm Single Port Access IntraPeritoneal Onlay Mesh (SPA-IPOM) using bioresorbable composite mesh fixed with Endoclose suture (percutaneous subcutaneous suture) in ... Purpose: To report a novel technique of laparoscopic 10 mm Single Port Access IntraPeritoneal Onlay Mesh (SPA-IPOM) using bioresorbable composite mesh fixed with Endoclose suture (percutaneous subcutaneous suture) in 3 cases of bilateral inguinal hernia. Methods: Laparoscopic SPA-IPOM is done through a 10 mm trocar with one 10 mm instrument that has 5 mm optical lens and 5 mm channel for grasper. After inserting 10 mm trocar at umbilicus using semi-open technique, intraperitoneal anatomical landmark of inguinal her-nia is identified. A 10 × 15 cm pre-tied bioresorbable composite mesh is then placed to cover hernia defect and all three potential area of indirect, direct and femoral hernia. Using Endoclose? needle, each pair of pre-tied sutures is retrieved percutaneously through a needle wound and extracorporeal tied with knot in subcutaneous space. After the upper half of mesh is sutured to the posterior surface of abdominal wall, the lower half of mesh is fixed by hernia tacker to Symphysis Pubis, Cooper Ligament and Iliopubic tract. Re-sults: Three men, average 48 year olds were operated by laparoscopic 10 mm SPA-IPOM for bilateral in-guinal hernia repair using bioresorbable composite mesh. Average operative time was 36 minutes. No imme-diate complication. All patients were discharge on the 2nd post-operative day and average 6 months follow up has no recurrence. Conclusions: Laparoscopic SPA-IPOM is an optional operation and is much easier to be performed. Benefits include operative time saving, cosmesis, early discharge and early return to work. Bio-resorbable composite mesh prevents bowel adhesion, however, is much more expensive. Long term follow up study for complications and recurrence is needed. 展开更多
关键词 10 MM Single Port Access IntraPeritoneal Onlay MESH Percutaneous Subcutaneous Suture BIORESORBABLE Composite MESH BILATERAL INGUINAL Hernia Repair
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Development of an analytical model to evaluate the effect of the ported shroud on centrifugal compressors
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作者 Carlo Cravero Philippe Joe Leutcha Davide Marsano 《Green Energy and Intelligent Transportation》 2025年第2期93-106,共14页
Extending the operational range of centrifugal compressors is strategically vital for turbocharging internal combustion engines,particularly in enhancing efficiency and expanding operational capabilities.This extensio... Extending the operational range of centrifugal compressors is strategically vital for turbocharging internal combustion engines,particularly in enhancing efficiency and expanding operational capabilities.This extension is crucial for reducing environmental impact by enabling engines to perform more efficiently under a wider range of conditions.In the transition from conventional thermal reciprocating engines,fuel cells,especially proton exchange membrane fuel cells(PEMFCs),are emerging as strong alternatives.In automotive applications,PEMFCs often require turbocharging to supply compressed air to the cathode system of the fuel cell stack.This integration is essential for utilizing the heat from the fuel cell's waste products,thereby improving overall system efficiency.Ongoing research and development in radial turbomachinery are critical for optimizing the performance of these propulsion systems.Specifically,adapting turbocharger designs to meet the unique requirements of fuel cell systems and extending their operational range are essential tasks.Using a simplified CFD model,the impact of a ported shroud on compressor performance and range extension has been investigated.Flow structure analysis identified that the primary role of the ported shroud is to modify the relative flow angle on the rotor at the highest span channel.Additionally,a simplified analytical model was developed to quantify the effectiveness of different ported shroud geometries on the compressor by examining changes in tangential velocity after mixing with the flow from the cavity. 展开更多
关键词 Centrifugal compressors CFD Operating range extension ported shroud Analytical model
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Coastal ozone dynamics and formation regime in Eastern China:Integrating trend decomposition and machine learning techniques 被引量:1
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作者 Lei Tong Zhuoliang Gu +8 位作者 Xuchu Zhu Cenyan Huang Baoye Hu Yasheng Shi Yang Meng Jie Zheng Mengmeng He Jun He Hang Xiao 《Journal of Environmental Sciences》 2025年第9期597-612,共16页
Machine-learning is a robust technique for understanding pollution characteristics of surface ozone,which are at high levels in urban China.This study introduced an innovative approach combining trend decomposition wi... Machine-learning is a robust technique for understanding pollution characteristics of surface ozone,which are at high levels in urban China.This study introduced an innovative approach combining trend decomposition with Random Forest algorithm to investigate ozone dynamics and formation regimes in a coastal area of China.During the period of 2017–2022,significant inter-annual fluctuations emerged,with peaks in mid-2017 attributed to volatile organic compounds(VOCs),and in late-2019 influenced by air temperature.Multifaceted periodicities(daily,weekly,holiday,and yearly)in ozone were revealed,elucidating substantial influences of daily and yearly components on ozone periodicity.A VOC-sensitive ozone formation regime was identified,characterized by lower VOCs/NO_(x) ratios(average=0.88)and significant positive correlations between ozone and VOCs.This interplay manifested in elevated ozone duringweekends,holidays,and pandemic lockdowns.Key variables influencing ozone across diverse timescaleswere uncovered,with solar radiation and temperature driving daily and yearly ozone variations,respectively.Precursor substances,particularly VOCs,significantly shaped weekly/holiday patterns and long-term trends of ozone.Specifically,acetone,ethane,hexanal,and toluene had a notable impact on the multi-year ozone trend,emphasizing the urgency of VOC regulation.Furthermore,our observations indicated that NO_(x) primarily drived the stochastic variations in ozone,a distinguishing characteristic of regions with heavy traffic.This research provides novel insights into ozone dynamics in coastal urban areas and highlights the importance of integrating statistical and machinelearning methods in atmospheric pollution studies,with implications for targeted mitigation strategies beyond this specific region and pollutant. 展开更多
关键词 Time series decomposition Random forest VOC-sensitive Long-term trend Port area
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CONCEPT OF GENERALIZED SIMPLY-SUPPORTED BOUNDARY IN THEORY OF THICK PLATES
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作者 程昌钧 段大呜 《Chinese Science Bulletin》 SCIE EI CAS 1988年第6期472-477,共6页
Ⅰ. INTRODUCTION The classical Kirchhoff’s theory of thin plates without taking the effect of transverse shear deformation into account can give exact enough results when the thickness h of a plate is small in compar... Ⅰ. INTRODUCTION The classical Kirchhoff’s theory of thin plates without taking the effect of transverse shear deformation into account can give exact enough results when the thickness h of a plate is small in comparison with the other characteristic sizes. How- 展开更多
关键词 KIRCHHOFF EXACT ENOUGH SIZES thick bending TRANSVERSE ported simply DEFLECTION
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China contributes to the establishment of ISO/TC 8/SC 27 for global coordinated port development
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作者 Fang Luofan 《China Standardization》 2025年第4期50-55,共6页
Ports,the core hub of global supply chains,serve as vital links in the economic and trade exchanges among countries.Efficient,safe,green and smart ports are essential for the smooth operation of global trade.Recently,... Ports,the core hub of global supply chains,serve as vital links in the economic and trade exchanges among countries.Efficient,safe,green and smart ports are essential for the smooth operation of global trade.Recently,ISO established ISO/TC 8/SC 27,Ports and terminals,the secretariat of which is held by China.This is a big breakthrough of China’s participation in the international standardization activities in the area of transportation. 展开更多
关键词 economic trade exchanges global supply chainsserve China safe ports ISO TC SC efficient ports global supply chains global coordinated port development
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A Giant Shore
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作者 FRANÇOIS ESSOMBA 《ChinAfrica》 2025年第8期42-43,共2页
With the commissioning of Phase$,the port of Kribi is emerging as an important maritime transport hub in Central Africa With a 715-metre quay and a draught of 16 metres,the Autonomous Port of Kribi(APK)stands as one o... With the commissioning of Phase$,the port of Kribi is emerging as an important maritime transport hub in Central Africa With a 715-metre quay and a draught of 16 metres,the Autonomous Port of Kribi(APK)stands as one of Africa’s most strategically significant deep-water ports.Situated on Cameroon’s Atlantic coast,it o!ers direct access to international shipping lanes and is designed to handle large-capacity vessels that many regional ports cannot accommodate. 展开更多
关键词 maritime transport hub giant shore DRAUGHT metre quay autonomous port port kribi metres central africa
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Port of Prosperity--Ghana’s port expansion key to realising the country’s vision to establish an export-driven economic model
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作者 LI YIN 《ChinAfrica》 2025年第6期22-23,共2页
Ghana’s Tema Port marked a historic milestone on 16 January 2024 with the arrival of Maersk Edirne,a 13,676-TEU container vessel-one of the largest of its kind globally-as part of Maersk’s newly launched Far East-We... Ghana’s Tema Port marked a historic milestone on 16 January 2024 with the arrival of Maersk Edirne,a 13,676-TEU container vessel-one of the largest of its kind globally-as part of Maersk’s newly launched Far East-West Africa express service. 展开更多
关键词 Maersk Edirne port expansion Tema Port Far East West Africa Express Service Ghana container vessel maersk edirnea export driven economy
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静脉输液:PICC、CVC、PORT及中长导管有何区别
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作者 覃春园 覃东淑 《家庭医药(快乐养生)》 2025年第10期85-85,共1页
对于需长期或中短期接受输液治疗的患者而言,频繁穿刺不仅会带来更多痛苦,还会对血管造成损伤。医生通常会依据治疗周期、药物性质以及患者自身需求,来推荐适宜的静脉通路工具。在临床中,除PICC(经外周静脉置入的中心静脉导管)、CVC(中... 对于需长期或中短期接受输液治疗的患者而言,频繁穿刺不仅会带来更多痛苦,还会对血管造成损伤。医生通常会依据治疗周期、药物性质以及患者自身需求,来推荐适宜的静脉通路工具。在临床中,除PICC(经外周静脉置入的中心静脉导管)、CVC(中心静脉导管)、PORT(植入式静脉输液端口),中长导管(Midline Catheter)也是常用选择。本文将对这四种静脉通路工具的区别进行详细解析,以帮助患者及其家属做出合理决策。 展开更多
关键词 中长导管 输液治疗 CVC 血管损伤 PORT 静脉输液 PICC
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输液港使用期间常见8种并发症
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作者 付思佳 马妮妮 《漫科学(新健康)》 2025年第4期62-63,共2页
在现代医疗技术中,输液港(PORT)作为一种先进的体内静脉输液装置,为长期需要输液治疗的患者提供了极大的便利。然而,任何医疗装置都有其潜在的风险和并发症,输液港也不例外。因此,了解输液港使用期间可能出现的并发症及对应症状,并及时... 在现代医疗技术中,输液港(PORT)作为一种先进的体内静脉输液装置,为长期需要输液治疗的患者提供了极大的便利。然而,任何医疗装置都有其潜在的风险和并发症,输液港也不例外。因此,了解输液港使用期间可能出现的并发症及对应症状,并及时就医,对于保障患者的健康至关重要。 展开更多
关键词 医疗装置 输液港 患者 PORT 并发症 长期输液
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Port-Based Pre-Authentication Message Transmission Scheme
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作者 Sunghyun Yu Yoojae Won 《Computer Modeling in Engineering & Sciences》 2025年第6期3943-3980,共38页
Pre-Authentication and Post-Connection(PAPC)plays a crucial role in realizing the Zero Trust security model by ensuring that access to network resources is granted only after successful authentication.While earlier ap... Pre-Authentication and Post-Connection(PAPC)plays a crucial role in realizing the Zero Trust security model by ensuring that access to network resources is granted only after successful authentication.While earlier approaches such as Port Knocking(PK)and Single Packet Authorization(SPA)introduced pre-authentication concepts,they suffer from limitations including plaintext communication,protocol dependency,reliance on dedicated clients,and inefficiency under modern network conditions.These constraints hinder their applicability in emerging distributed and resource-constrained environments such as AIoT and browser-based systems.To address these challenges,this study proposes a novel port-sequence-based PAPC scheme structured as a modular model comprising a client,server,and ephemeral Key Management System(KMS).The system employs the Advanced Encryption Standard(AES-128)to protect message confidentiality and uses a Hash-Based Message Authentication Code(HMAC-SHA256)to ensure integrity.Authentication messages are securely fragmented and mapped to destination port numbers using a signature-based avoidance algorithm,which prevents collisions with unsafe or reserved port ranges.The server observes incoming port sequences,retrieves the necessary keys from the KMS,reconstructs and verifies the encrypted data,and conditionally updates firewall policies.Unlike SPA,which requires decrypting all incoming payloads and imposes server-side overhead,the proposed system verifies only port-derived fragments,significantly reducing computational burden.Furthermore,it eliminates the need for raw socket access or custom clients,supporting browser-based operation and enabling protocol-independent deployment.Through a functional web-based prototype and emulated testing,the system achieved an F1-score exceeding 95%in detecting unauthorized access while maintaining low resource overhead.Although port sequence generation introduces some client-side cost,it remains lightweight and scalable.By tightly integrating lightweight cryptographic algorithms with a transport-layer communication model,this work presents a conceptually validated architecture that contributes a novel direction for interoperable and scalable Zero Trust enforcement in future network ecosystems. 展开更多
关键词 Port knocking single packet authorization pre-authentication zero trust network security HMAC AUTHENTICATION AIoT security
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Difficulty removing a totally implantable venous access port:A case report
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作者 Jing Chen Mu Tang +4 位作者 Qin-Yuan Han Lei Tang Teng-Hua Yu Yan-Ping Zhao Chong-Wu He 《World Journal of Clinical Cases》 2025年第13期41-46,共6页
BACKGROUND This case report examines the challenges associated with removing a totally implantable venous access port(TIVAP)used for long-term chemotherapy in a patient with breast cancer.Prolonged use of TIVAPs can r... BACKGROUND This case report examines the challenges associated with removing a totally implantable venous access port(TIVAP)used for long-term chemotherapy in a patient with breast cancer.Prolonged use of TIVAPs can result in complications such as catheter kinking,thrombosis,and adhesions between the catheter and surrounding tissues,potentially complicating their removal.CASE SUMMARY A breast cancer patient with bone metastasis presented with difficulty aspirating blood from a TIVAP that had been placed in the right internal jugular vein for 3 years.Initial removal attempts at the Department of Venous Access Center were unsuccessful,likely due to adhesions,necessitating a subsequent successful catheter extraction in a hybrid operating room.Imaging revealed no abnor-malities,and the catheter was removed using a mosquito clamp to detach it from surrounding tissues.CONCLUSION This case highlights the challenges of removing TIVAPs inserted via the internal jugular vein,particularly when the catheter traverses the sternocleidomastoid muscle.Repeated neck movements might lead to significant adhesions around the catheter,complicating its removal.Careful consideration should be given during catheter placement to avoid muscle-related adhesions and facilitate smoother extraction in long-term use. 展开更多
关键词 Internal jugular vein REMOVE Totally implantable venous access port CATHETER Case report
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Research on the Application of Blockchain in Supply Chain Finance in Hainan
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作者 Tianhao Dong 《Proceedings of Business and Economic Studies》 2025年第5期210-218,共9页
This paper explores the application of blockchain in Hainan’s supply chain finance,analyzing its impact on enhancing market transparency,optimizing processes,and addressing challenges like information asymmetry and i... This paper explores the application of blockchain in Hainan’s supply chain finance,analyzing its impact on enhancing market transparency,optimizing processes,and addressing challenges like information asymmetry and inefficient credit transmission.It examines technical and security issues such as scalability and cross-chain interoperability,proposing solutions like layered architectures and privacy computing.The study highlights blockchain’s role in empowering cross-border trade,tropical agriculture,and SME financing,aiming to provide a reference for Hainan Free Trade Port’s financial digital transformation. 展开更多
关键词 Blockchain Hainan Free Trade Port Supply chain finance Cross-border trade
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Technology in the Cultivation of Composite Talents in the Context of the Free Trade Port
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作者 Yun Li Ting Liu Lili He 《Proceedings of Business and Economic Studies》 2025年第4期402-408,共7页
As an important strategic fulcrum for China’s new round of opening-up,the Hainan Free Trade Port provides broad space for achieving high-quality development with its unique policy advantages and financial resources.I... As an important strategic fulcrum for China’s new round of opening-up,the Hainan Free Trade Port provides broad space for achieving high-quality development with its unique policy advantages and financial resources.In this context,integrating blockchain technology into the construction of the free trade port can not only help enhance the innovation and competitiveness of the talent cultivation system but also promote the coordinated development of the real economy and the industrial system.Based on the core characteristics of blockchain technology,such as“decentralization,traceability,and high credibility”,this paper focuses on the common problems in the cultivation of composite talents in current vocational colleges,including an imperfect school-enterprise cooperation guarantee mechanism,a lack of teaching resources,weak teaching staff,and insufficient practical conditions.It proposes a new idea of introducing blockchain technology into the vocational education system.Through the research on the cultivation model of composite-skilled talents in vocational colleges in the context of“blockchain+”,this paper aims to promote the in-depth integration of vocational education in vertical and horizontal aspects,and further promote the systematic,standardized,and high-quality development of composite talent cultivation. 展开更多
关键词 Free trade port Blockchain Composite talents
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Correlation between psychological,family social support,and home nursing quality for an implanted venous access port
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作者 Heng-Ya Jia Li-Qun Yan +1 位作者 Xiao-Bei Liu Jie Cao 《World Journal of Psychiatry》 2025年第2期130-139,共10页
BACKGROUND Cancer patients with an implanted venous access port(IVAP)often manage their care at home during chemotherapy intervals,including maintaining the device,monitoring complications,and following medication ins... BACKGROUND Cancer patients with an implanted venous access port(IVAP)often manage their care at home during chemotherapy intervals,including maintaining the device,monitoring complications,and following medication instructions.Home care ensures continued support after discharge.However,due to factors such as age,gender,culture,psychological status,and family support,the quality of home care varies significantly.Understanding these factors can help provide targeted guidance to improve the care of cancer patients.AIM To explore IVAP chemotherapy on home care quality and its association with mental health and family support for cancer patients.METHODS This investigative study was based on a medical records system.It investigated the relationship between psychological status,family support,and home care quality in 180 patients with cancer undergoing IVAP chemotherapy.Psychological status was assessed using the State Anxiety Inventory(S-AI);family support was assessed using the Perceived Social Support Scale(PSSS),and home care quality was evaluated using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire(EORTC QLQ-C30).Pearson’s correlation and Structural Equation Modeling were used to analyze the interplay between these factors.RESULTS The average S-AI score was 47.52±14.47,PSSS was 52.48±12.64,and EORTC QLQ-C30 was 70.09±17.32.A substantial inverse relationship was observed between the EORTC QLQ-C30 and S-AI scores(r=-0.712).A significant positive correlation was found between the EORTC QLQ-C30 and the PSSS,with a correlation coefficient of(r=0.744).The multiple linear regression analysis indicated that family social support,psychological status,and average monthly family income were the main factors influencing the variation in the quality of home care,explaining 71.9%of the variation.The Structural Equation Modeling results indicated that psychological status acted as a partial mediator in the association between family social support and home care quality of life,explaining 32.78%of the mediation effect.CONCLUSION Psychological status and family social support positively impacted cancer patients’home care quality,with psychology partially mediating this effect. 展开更多
关键词 Implanted venous access port Cancer patient Home nursing life quality Family social support Psychological status
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Research on the Integration Strategy of Hainan Free Trade Port's International First-Class Convenient Business Environment System
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作者 Chaofu Qin 《Proceedings of Business and Economic Studies》 2025年第2期30-36,共7页
With the development of global economic integration,building a world-class facilitating business environment has become an urgent need for Hainan Free Trade Port.To solve the existing problems in financial policies,le... With the development of global economic integration,building a world-class facilitating business environment has become an urgent need for Hainan Free Trade Port.To solve the existing problems in financial policies,legal supervision,and other aspects,this paper takes Hainan Free Trade Port as an example to analyze and study its institutional integration strategy for creating a world-class facilitating business environment.The specific integration strategies are summarized to promote the internationalization and facilitation of the business environment of Hainan Free Trade Port and promote the high development of the local economy. 展开更多
关键词 Hainan Free Trade Port Business environment system Integration strategy
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Research on Planning and Design of Characteristic Cultural Street Landscape in Haikou Qilou Old Street Under the Background of Free Trade Port
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作者 Bo Yuan 《Journal of Architectural Research and Development》 2025年第4期143-153,共11页
This article focuses on the planning and design of the Haikou Qilou Old Street,a distinctive cultural street landscape,in the context of a free trade port.By thoroughly analyzing the historical and cultural value of t... This article focuses on the planning and design of the Haikou Qilou Old Street,a distinctive cultural street landscape,in the context of a free trade port.By thoroughly analyzing the historical and cultural value of the Qilou Old Street and its current issues,and considering the opportunities and challenges presented by the free trade port development,the article proposes targeted planning and design strategies in areas such as functional layout,traffic organization,cultural heritage and innovation,and landscape element design.The aim is to create a unique and high-quality cultural street landscape that serves as a shining card for Haikou’s urban culture,promoting the coordinated development of regional economy and culture,and providing a reference for the renewal and development of similar historical and cultural districts. 展开更多
关键词 Free trade port Haikou Qilou Old Street Characteristic cultural street Landscape planning and design
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Effects of totally implantable venous access ports on complications and quality of life in gastrointestinal cancer chemotherapy
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作者 Xiao-Hui Ye Rong-Hong Cui +2 位作者 Lei Xu Ling-Rong Ye Mei-Jun Wang 《World Journal of Gastrointestinal Surgery》 2025年第8期276-287,共12页
BACKGROUND Central venous access is essential for administering chemotherapy in patients with gastrointestinal cancer.Peripherally inserted central catheters(PICC)and totally implantable venous access ports(TIVAP)are ... BACKGROUND Central venous access is essential for administering chemotherapy in patients with gastrointestinal cancer.Peripherally inserted central catheters(PICC)and totally implantable venous access ports(TIVAP)are widely used,but comparative data regarding their impact on catheter-related complications and quality of life(QoL)remain limited.AIM To evaluate the impact of TIVAPs compared with PICC on catheter-related complications and QoL in patients with gastrointestinal cancer undergoing chemotherapy.METHODS This retrospective study included adults with gastrointestinal cancer who underwent central venous access device insertion for chemotherapy at our institution between December 2021 and December 2024.Inclusion criteria encompassed indications for intermittent intravenous chemotherapy,anticipated treatment duration of≥12 weeks,an adequate preoperative hematologic profile,accessible upper body veins,and complete medical records.Patients were excluded if they had an anticipated survival of less than three months,active systemic infection,severe thrombosis or coagulopathy,communication barriers,or an urgent need for dialysis access.Patients were assigned to either the PICC or TIVAP group based on device type.Data collected included demographic variables,cancer characteristics,insertion procedure details,complications,and QoL,assessed via the EuroQol 5-Dimensions-3 levels,visual analogue scale,and the European Organization for Research and Treatment of Cancer QoL Questionnaire-Core 30.RESULTS A total of 346 patients were analyzed.Baseline demographic,clinical,and cancer characteristics were similar between groups.The TIVAP group demonstrated a significantly lower incidence of catheter-related complications than the PICC group,with no pneumothorax occurring in either group.QoL assessments at baseline were comparable.At one month,the TIVAP group exhibited significantly higher EuroQoL Five Dimensions health state scores and QLQ-C30 global health status scores.Multivariate analysis identified TIVAP use,catheter tip placement in the distal superior vena cava/right atrium,prophylactic antibiotic administration,and antimicrobial dressing application as independent protective factors associated with reduced complications and improved QoL.CONCLUSION In patients with gastrointestinal cancer undergoing chemotherapy,TIVAPs are associated with a lower incidence of catheter-related complications and improved QoL than PICCs.Optimal device selection,precise catheter tip positioning,and effective perioperative management are critical for minimizing complications and enhancing patient-reported outcomes during treatment. 展开更多
关键词 Gastrointestinal cancer CHEMOTHERAPY Central venous access Peripherally inserted central catheter Totally implantable venous access port Quality of life
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Advancing the Vision of a Community with a Shared Future in the South China Sea:Current Foundation and Future Pathways
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作者 Zhang Jie 《China International Studies》 2025年第3期61-90,共30页
The concept of a community with a shared future for humanity is the core idea of Xi Jinping thought on diplomacy.Since its introduction,this concept has been steadily advanced across various levels and sectors,yieldin... The concept of a community with a shared future for humanity is the core idea of Xi Jinping thought on diplomacy.Since its introduction,this concept has been steadily advanced across various levels and sectors,yielding tangible and meaningful results.Within Chinese academia,the idea of a community with a shared future for humanity,along with the important idea of a maritime community with a shared future,has been integrated into research on South China Sea issues.Scholars have explored China’s approach to establishing regional order in the South China Sea from multiple perspectives,including territorial dispute resolution,maritime rights and interests’protection,environmental conservation,and port cooperation. 展开更多
关键词 territorial dispute resolution maritime community shared future environmental conservation port cooperation community shared future maritime rights interests community shared future humanity South China Sea
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