This paper examines the challenges in the technical briefing process for construction projects,including a three-level system and issues related to formalization.An optimization approaches was introduced based on the ...This paper examines the challenges in the technical briefing process for construction projects,including a three-level system and issues related to formalization.An optimization approaches was introduced based on the PDCA cycle,alongside the application of BIM and AR technologies.The key preparatory measures were outlined in this study and the functions of the management system was mentioned.Through case comparisons,this paper demonstrated that these optimizations can significantly improve efficiency and quality,support the development of an evaluation system to verify results,and highlight the critical role of organizational support.展开更多
Objective:To evaluate and compare the quality of life(QoL)in patients with multidrug-resistant(MDR-TB)and drug-sensitive(DS-TB)as well as to investigate factors associated with QoL among MDR-TB patients in real-world ...Objective:To evaluate and compare the quality of life(QoL)in patients with multidrug-resistant(MDR-TB)and drug-sensitive(DS-TB)as well as to investigate factors associated with QoL among MDR-TB patients in real-world scenarios at the Haji Hospital,Surabaya.Methods:We conducted a case-control study from June to December 2024.MDR-TB and DS-TB patients were classified into case and control groups,respectively.We used the World Health Organization’s Quality of Life Brief(WHOQOL-BREF)instrument and Patient Health Questionnaire-9(PHQ-9)to assess QoL and depression levels,respectively.Multivariate analysis was used to analyze factors associated with QoL of patients with MDR-TB.Results:Forty-one patients with MDR-TB and 43 with DS-TB were enrolled in the study.A mean score for all domains(physical,psychological,social relationship,environmental)and total mean score of WHOQOL-BREF was significantly lower in MDR-TB than those with DS-TB(P<0.05).The prevalence of depression and the mean score of PHQ-9 were significantly higher in MDR-TB than in DS-TB(P<0.05).PHQ-9 negatively correlates with the WHOQOL-BREF score(r=-0.502,P<0.05)among MDR-TB patients.MDR-TB patients with depression were significantly associated with low QoL in the physical(OR 3.611;95%CI 2.393-6.951;P=0.029),psychological(OR 1.672;95%CI 1.179-5.941;P=0.021),social relationship(OR 2.586;95%CI 1.611-2.909;P=0.014),and environmental domains(OR 1.926;95%CI 1.047-2.147;P=0.048).Conclusions:MDR-TB patients had worse QoL than DS-TB.Those with depression were associated with low QoL.Strategies that identify and tackle alterations in the QoL for MDR-TB patients are necessary during TB treatment.展开更多
The Celebrated Jumping Frog of Calaveras County is a novel first published in 1865.It tells us a story taking place in the ancient mining camp of Angel's.By using analysis,the implication hidden behind the novel i...The Celebrated Jumping Frog of Calaveras County is a novel first published in 1865.It tells us a story taking place in the ancient mining camp of Angel's.By using analysis,the implication hidden behind the novel is explored here.That is,the abnormal social phenomena exist in the reality,the intrigue among people to gain profits and also the immoral measures people took for panning gold at the Gold Rush Era.展开更多
It is widely acknowledged that sociolinguistics is the study of language in certain context concerned with our society.Sociolinguistics and linguistics are intrinsically related to each other,but there has been differ...It is widely acknowledged that sociolinguistics is the study of language in certain context concerned with our society.Sociolinguistics and linguistics are intrinsically related to each other,but there has been difference as well.Linguistics research deals with language system itself,which belongs to the micro level on the one hand;many phenomena reflect discrimination in language classroom,these discrimination are caused by social factors to a certain degree.This paper makes a brief analysis of discrimination in language classroom from the perspective of sociolinguistics,which deals with many issues such as depiction of language discrimination、analysis of phenomenon and accordinglysolved measures.展开更多
Wilson disease (WD) is an uncommon recessive genetic disorder affecti叩 copper metabolism. Cardiac, neurological, hepatic and renal manifestations are well defined, nevertheless approximately 30% of patients debut wit...Wilson disease (WD) is an uncommon recessive genetic disorder affecti叩 copper metabolism. Cardiac, neurological, hepatic and renal manifestations are well defined, nevertheless approximately 30% of patients debut with neuropsychiatric symptoms. These psychiatric alterations resulting from the accumulation of this heavy metal in the basal ganglia are some how less specific. We present a short review of psychiatric symptoms of WD and describe a case of a 37-year-old woman diagnosed with WD who presented neuropsychiatric symptoms and had a consequent delay in diagnosis and causal treatment. Patients who develop WD starti叩 with a predominance of neuropsychiatric symptoms tend to manifest hepatic symptoms later, therefore have a longer delay of diagnosis and a poorer outcome than patients with hepatic symptoms. An early diagnosis ofWD can avoid irreversible neurological damage.展开更多
Concept, type and function of greenway was introduced as well as its development history and current status in China and abroad. Useful experience for greenway construction in China was proposed from the perspectives ...Concept, type and function of greenway was introduced as well as its development history and current status in China and abroad. Useful experience for greenway construction in China was proposed from the perspectives of construction, planning and design.展开更多
The Chinese Optics and Applied Optics Abstracts , sponsored by the Documentation andInformation Center of the Chinese Academy of Sciences, the Optical Information Networkof the Chinese Academy of Sciences and the Chan...The Chinese Optics and Applied Optics Abstracts , sponsored by the Documentation andInformation Center of the Chinese Academy of Sciences, the Optical Information Networkof the Chinese Academy of Sciences and the Changchun Institute of Optics, Fine Mechanicsand Physics of the Chinese Academy of Sciences, is one of the series of science andtechnology indexing periodicals published by the Chinese Academy of Sciences.The Chinese Optics and Applied Optics Abstracts started a quarterly publication in 1985,with the name of Chinese Science and Technology Document Catalogues: Optics andApplied Optics. It changed into a bimonthly publication with the name of Chinese Opticsand Applied Optics Abstracts in 1987. In combination with the Chinese Optics Documen-展开更多
Machine learning(ML)techniques have been widely used to address mental health questions.We discuss two main aspects of ML in psychiatry in this paper,that is,supervised learning and unsupervised learning.Examples are ...Machine learning(ML)techniques have been widely used to address mental health questions.We discuss two main aspects of ML in psychiatry in this paper,that is,supervised learning and unsupervised learning.Examples are used to illustrate how ML has been implemented in recent mental health research.展开更多
文摘This paper examines the challenges in the technical briefing process for construction projects,including a three-level system and issues related to formalization.An optimization approaches was introduced based on the PDCA cycle,alongside the application of BIM and AR technologies.The key preparatory measures were outlined in this study and the functions of the management system was mentioned.Through case comparisons,this paper demonstrated that these optimizations can significantly improve efficiency and quality,support the development of an evaluation system to verify results,and highlight the critical role of organizational support.
文摘Objective:To evaluate and compare the quality of life(QoL)in patients with multidrug-resistant(MDR-TB)and drug-sensitive(DS-TB)as well as to investigate factors associated with QoL among MDR-TB patients in real-world scenarios at the Haji Hospital,Surabaya.Methods:We conducted a case-control study from June to December 2024.MDR-TB and DS-TB patients were classified into case and control groups,respectively.We used the World Health Organization’s Quality of Life Brief(WHOQOL-BREF)instrument and Patient Health Questionnaire-9(PHQ-9)to assess QoL and depression levels,respectively.Multivariate analysis was used to analyze factors associated with QoL of patients with MDR-TB.Results:Forty-one patients with MDR-TB and 43 with DS-TB were enrolled in the study.A mean score for all domains(physical,psychological,social relationship,environmental)and total mean score of WHOQOL-BREF was significantly lower in MDR-TB than those with DS-TB(P<0.05).The prevalence of depression and the mean score of PHQ-9 were significantly higher in MDR-TB than in DS-TB(P<0.05).PHQ-9 negatively correlates with the WHOQOL-BREF score(r=-0.502,P<0.05)among MDR-TB patients.MDR-TB patients with depression were significantly associated with low QoL in the physical(OR 3.611;95%CI 2.393-6.951;P=0.029),psychological(OR 1.672;95%CI 1.179-5.941;P=0.021),social relationship(OR 2.586;95%CI 1.611-2.909;P=0.014),and environmental domains(OR 1.926;95%CI 1.047-2.147;P=0.048).Conclusions:MDR-TB patients had worse QoL than DS-TB.Those with depression were associated with low QoL.Strategies that identify and tackle alterations in the QoL for MDR-TB patients are necessary during TB treatment.
文摘The Celebrated Jumping Frog of Calaveras County is a novel first published in 1865.It tells us a story taking place in the ancient mining camp of Angel's.By using analysis,the implication hidden behind the novel is explored here.That is,the abnormal social phenomena exist in the reality,the intrigue among people to gain profits and also the immoral measures people took for panning gold at the Gold Rush Era.
文摘It is widely acknowledged that sociolinguistics is the study of language in certain context concerned with our society.Sociolinguistics and linguistics are intrinsically related to each other,but there has been difference as well.Linguistics research deals with language system itself,which belongs to the micro level on the one hand;many phenomena reflect discrimination in language classroom,these discrimination are caused by social factors to a certain degree.This paper makes a brief analysis of discrimination in language classroom from the perspective of sociolinguistics,which deals with many issues such as depiction of language discrimination、analysis of phenomenon and accordinglysolved measures.
文摘Wilson disease (WD) is an uncommon recessive genetic disorder affecti叩 copper metabolism. Cardiac, neurological, hepatic and renal manifestations are well defined, nevertheless approximately 30% of patients debut with neuropsychiatric symptoms. These psychiatric alterations resulting from the accumulation of this heavy metal in the basal ganglia are some how less specific. We present a short review of psychiatric symptoms of WD and describe a case of a 37-year-old woman diagnosed with WD who presented neuropsychiatric symptoms and had a consequent delay in diagnosis and causal treatment. Patients who develop WD starti叩 with a predominance of neuropsychiatric symptoms tend to manifest hepatic symptoms later, therefore have a longer delay of diagnosis and a poorer outcome than patients with hepatic symptoms. An early diagnosis ofWD can avoid irreversible neurological damage.
文摘Concept, type and function of greenway was introduced as well as its development history and current status in China and abroad. Useful experience for greenway construction in China was proposed from the perspectives of construction, planning and design.
文摘The Chinese Optics and Applied Optics Abstracts , sponsored by the Documentation andInformation Center of the Chinese Academy of Sciences, the Optical Information Networkof the Chinese Academy of Sciences and the Changchun Institute of Optics, Fine Mechanicsand Physics of the Chinese Academy of Sciences, is one of the series of science andtechnology indexing periodicals published by the Chinese Academy of Sciences.The Chinese Optics and Applied Optics Abstracts started a quarterly publication in 1985,with the name of Chinese Science and Technology Document Catalogues: Optics andApplied Optics. It changed into a bimonthly publication with the name of Chinese Opticsand Applied Optics Abstracts in 1987. In combination with the Chinese Optics Documen-
文摘Machine learning(ML)techniques have been widely used to address mental health questions.We discuss two main aspects of ML in psychiatry in this paper,that is,supervised learning and unsupervised learning.Examples are used to illustrate how ML has been implemented in recent mental health research.
