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ON THE CLASSIFICATION OF SPEECH ACT REFUSALS IN CHINESE:EVIDENCE AND MOTIVATING FACTORS 被引量:1
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作者 韩大伟 《Chinese Journal of Applied Linguistics》 2006年第3期64-71,128,共9页
This paper examines the phenomenon of sociocultural transfer and its motivating factors within the realization patterns of speech act refusal by Chinese EFL learners. EFL refusal data were collected using a written da... This paper examines the phenomenon of sociocultural transfer and its motivating factors within the realization patterns of speech act refusal by Chinese EFL learners. EFL refusal data were collected using a written data collection test (DCT), which was designed and then followed by semi-structured interviews. Using semantic formulas as units of analysis, EFL refusal responses were compared with similar data elicited from native speakers of English. The results show two areas in which sociocultural transfer is existent in EFL learners' speech: options of selecting semantic formulas and content of semantic formulas. Each was found to reflect cultural values transferred from Chinese to English. Furthermore, based on the interview data, it was found that learners' social system and political factors, traditional socio-psychological ideology and economy possibly motivate sociocultural transfer. 展开更多
关键词 REFUSAL speech act behavior sociocultural transfer motivating factors
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The Effects of Explicit and Implicit Instruction in English Refusals
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作者 段玲 Anchalee WANNARUK 《Chinese Journal of Applied Linguistics》 2010年第3期93-109,127,共18页
本研究是英语拒绝策略的明示和暗示教学的对比研究。62名两个整班学生参加了本实验。33名为明示教学组,29名为暗示教学组。教学目标是四种英语拒绝类型:拒绝邀请、建议、提供和请求,情景设计是在高、平等、低三种身份和熟人之间。本研... 本研究是英语拒绝策略的明示和暗示教学的对比研究。62名两个整班学生参加了本实验。33名为明示教学组,29名为暗示教学组。教学目标是四种英语拒绝类型:拒绝邀请、建议、提供和请求,情景设计是在高、平等、低三种身份和熟人之间。本研究实施了前测和后测,话语补全任务是测量工具。t检验和效果量的计算为定量数据的统计方法。定性分析对话语补全任务的内容进行归类。定量数据表明明示教学组的表现好于暗示组。定性分析显示在拒绝邀请和请求方面,明示组优于暗示组;在拒绝提供和建议方面,两种教学组没有明显差别,但是拒绝提供的表现有明显提高,拒绝建议的表现没有明显提高。在恰当性方面,信息量、策略选择和正式程度三个方面的表现明示教学组好于暗示教学组。 展开更多
关键词 explicit instruction implicit instruction English refusals
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Impacts of Import Refusals on Agricultural Exports duri ng Pan demies: Implicatio ns for China 被引量:1
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作者 Rui Mao Ziyi Jia Kevin Chen 《China & World Economy》 2021年第4期113-141,共29页
Pandemic outbreaks disrupt agricultural trade.The possible strengthening of import barriers to products from countries at the epicenter of a pandemic by their trade partners could aggravate this situation.This paper e... Pandemic outbreaks disrupt agricultural trade.The possible strengthening of import barriers to products from countries at the epicenter of a pandemic by their trade partners could aggravate this situation.This paper examines the responses of the US Food and Drug Administration(FDA),import refusals,and subsequent trade impacts on the agricultural exports from the developing countries that were the epicenters of four pandemics in the past two decades.Using monthly data for the period 2002-2020,we find increased import refusals and amplified trade-impeding impacts on agricultural exports during pandemic outbreaks.Increased import refusals and the amplification of the trade-impeding effect of import refusals were especially large when China was the epicenter.We further examine possible differences in these results across products and FDA inspection methods,and the main conclusions remain robust.This paper offers a better understanding of the economic outcomes of pandemic outbreaks and provides policy suggestions for China. 展开更多
关键词 agricultural export developing countries FDA import refusal pandemic outbreak
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Research on the navigation method of high speed differential rotation guided ammunition with ballistic assistance prediction under GNSS denial
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作者 Ning Liu Kejun Hu +5 位作者 Bin Hu Haorui Li Kai Shen Wenhao Qi Junfang Fan Zhong Su 《Defence Technology(防务技术)》 2025年第7期275-289,共15页
In complex environments such as high dynamics and weak signals,a satellite signal compensation method based on prefabricated trajectory assistance and an improved adaptive Kalman filter is proposed for a 155 mm differ... In complex environments such as high dynamics and weak signals,a satellite signal compensation method based on prefabricated trajectory assistance and an improved adaptive Kalman filter is proposed for a 155 mm differential rotating rear-body control-guided projectile to address the situation of satellite signal flickering and loss in projectile navigation systems due to environmental limitations.First,establish the system state and measurement equation when receiving satellite signals normally.Second,a seven-degree-of-freedom external ballistic model is constructed,and the ideal trajectory output from the ballistic model is used to provide the virtual motion state of the projectile,which is input into a filter as a substitute observation when satellite signals are lost.Finally,an adaptive Kalman filter(AKF)is designed,the proposed adaptive Kalman filter can accurately adjust the estimation error covariance matrix and Kalman gain in real-time based on information covariance mismatch.The simulation results show that compared to the classical Kalman filter,it can reduce the average positioning error by more than 38.21%in the case of short-term and full-range loss of satellite signals,providing a new idea for the integrated navigation of projectiles with incomplete information under the condition of satellite signal loss. 展开更多
关键词 GNSS refusal Ballistic assistance Guided ammunition Adaptive kalman filter Covariance of innovation sequence
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Speech Act of Refusal-A Proposal from an Interlanguage Pragmatic Perspective
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作者 邓东元 《海外英语》 2011年第13期338-340,共3页
This paper is to present a typology of refusal strategies which may be employed in the analysis of refusal performance from a discourse approach.Some previous research carried out is reviewed in order to classify non-... This paper is to present a typology of refusal strategies which may be employed in the analysis of refusal performance from a discourse approach.Some previous research carried out is reviewed in order to classify non-native speakers' production of this speech act.Then,the suggested taxonomy will be described in a systematized way from an interlanguage pragmatic perspective and within a conversational analysis framework.Finally,it is emphasized that effective communicative competence plays an important role in the production of this face-threatening speech act of refusing. 展开更多
关键词 refusals speech ACTS INTERLANGUAGE PRAGMATICS
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Numerical simulation on the fluidized bed gasification and CaO dechlorination of refuse derived fuel 被引量:2
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作者 王婷 金保昇 +2 位作者 牛淼淼 王晓佳 张勇 《Journal of Southeast University(English Edition)》 EI CAS 2016年第3期317-321,共5页
A three-dimensional numerical model verified by previous experimental data is developed to simulate the fluidized bed gasification of refuse derived fuel (RDF). The CaO dechlorination model obtained by the thermal g... A three-dimensional numerical model verified by previous experimental data is developed to simulate the fluidized bed gasification of refuse derived fuel (RDF). The CaO dechlorination model obtained by the thermal gravity analysis (TGA) is coupled to investigate the process of CaO dechlorination. An Eulerian-Eulerian method is adopted to simulate the gas-solid flow and self-developed chemical reaction modules are used to simulate chemical reactions. Flow patterns, gasification results and dechlorination efficiency are obtained by numerical simulation. Meanwhile, simulations are performed to evaluate the effects of Ca/Cl molar ratio and temperature on dechlorination efficiency. The simulation results show that the presence of bubbles in the gasifier lowers the CaO dechlorination efficiency. Increasing the Ca/Cl molar ratio can enhance the dechlorination efficiency. However, with the temperature increasing, the dechlorination efficiency increases initially and then decreases. The optimal Ca/Cl molar ratio is in the range of 3. 0 to 3. 5 and the optimal temperature is 923K. 展开更多
关键词 DECHLORINATION numerical simulation bubbling fluidized bed GASIFICATION refuse derived fuel
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基于通信顺序进程的并发DEDS的规范和证实 被引量:1
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作者 徐林 吴智铭 +1 位作者 杨根科 孟凡英 《上海交通大学学报》 EI CAS CSCD 北大核心 2002年第8期1177-1180,共4页
在实时通信顺序进程 ( TCSP)的基础上对离散事件动态系统 ( DEDS)进行建模、规范和证实 .介绍了 TCSP中与 DEDS相关的一些研究成果 ,根据离散事件的特点作了符号语义上的改进 ,就两个具体的例子——自动导引小车 ( AGV)和火车道口系统... 在实时通信顺序进程 ( TCSP)的基础上对离散事件动态系统 ( DEDS)进行建模、规范和证实 .介绍了 TCSP中与 DEDS相关的一些研究成果 ,根据离散事件的特点作了符号语义上的改进 ,就两个具体的例子——自动导引小车 ( AGV)和火车道口系统建立了 TCSP模型 ,给出了它们需要满足的特性 。 展开更多
关键词 并发DEDS 实时通信顺序进程 refusal模型 离散事件动态系统 自动导引小车 火车道口系统
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High-context and Low-context communication: A Case Study of A Chinese Refusal 被引量:1
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作者 吴建晓 钱敏 《海外英语》 2013年第21期305-306,309,共3页
Edward Hall offers us an effective means of examining cultural similarities and differences,that is the classification of high-context and low-context culture.The paper attempts to analyze a case of a Chinese refusal ... Edward Hall offers us an effective means of examining cultural similarities and differences,that is the classification of high-context and low-context culture.The paper attempts to analyze a case of a Chinese refusal from the perspective of highcontext and low-context communication and explores the differences between the two types of communication. 展开更多
关键词 high-context LOW-CONTEXT REFUSAL
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Decliners of provider-initiated HIV testing and counselling: Characteristics of participants who refused HIV testing in a population survey in Zambia
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作者 Pascalina Chanda-Kapata William Ngosa +2 位作者 Albertina Ngomah Moraes Nicole Maddox Nathan Kapata 《Asian Pacific Journal of Tropical Biomedicine》 SCIE CAS 2015年第8期669-672,共4页
Objective: To assess the prevalence of HIV infection, to highlight HIV-testing refusal rates among participants in a population-based tuberculosis survey and to assess the implication for programme implementation.Meth... Objective: To assess the prevalence of HIV infection, to highlight HIV-testing refusal rates among participants in a population-based tuberculosis survey and to assess the implication for programme implementation.Methods: This cross-sectional study on the characteristics of participants who refused HIV testing was conducted in a national survey in Zambia. All eligible participants were aged above 15 years and included in the analysis.Results: Out of the 44 791 tuberculosis survey participants, 14 164(31.6%) refused to participate in HIV testing. The unemployed, rural dwellers, married, and those aged 15-24 years were associated with higher refusal rates.Conclusions: Strategies to improve HIV testing acceptance are necessary. Qualitative research is recommended to understand the reasons for testing refusals so that remedial interventions can be implemented. 展开更多
关键词 HIV/AIDS Zambia Testing refusals POPULATION survey
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On One Model of Complex Technical Queuing System with Unreliable Devices and with Time Redundancy
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作者 Ramaz R. Shamugia 《International Journal of Communications, Network and System Sciences》 2014年第8期257-264,共8页
The given article deals with the development of analytical model of request service process by multichannel technical system with unreliable, repaired and reconfigured service facilities. It is assumed that the system... The given article deals with the development of analytical model of request service process by multichannel technical system with unreliable, repaired and reconfigured service facilities. It is assumed that the system is functioning in service mode of random length random request flows. The system considers the existence of time redundancy for afterservice of calls, the service of which is interrupted with refusal, non-depreciating the performed part of the task. Special probability functions are introduced which on the basis of probability reasoning allow to make the systems of integral equations describing the dynamics of request service process. 展开更多
关键词 QS—Queuing System with TIME BACKUP TECHNICAL QUEUING System with Non-Depreciating refusals Multichannel QS with TIME BACKUP QS with Non-Depreciating refusals QS with Recovered DEVICES QS Networks
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A Longitudinal Study on the Development of Pre-request Practices by a Four Years Old Girl
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作者 LI Shujun HAN Geling 《Sino-US English Teaching》 2022年第9期318-325,共8页
Requests and requesting language have been a popular topic for researchers from a wide range of fields including linguistic philosophy,pragmatics,social-pragmatics,and discourse analysis since 1960s.Requesting is a dy... Requests and requesting language have been a popular topic for researchers from a wide range of fields including linguistic philosophy,pragmatics,social-pragmatics,and discourse analysis since 1960s.Requesting is a dynamic process which is the combination of requests and pre-requests,as well as request negotiations.By now,studies mostly focused on the study of how request was initiated and what were the factors lying behind specific choice of one request form over others,and how request-makers pursued their demands when grants were not given as expected.However,limited studies have been published about the development of the strategies children took to avoid predictable refusals.This paper aims to make a contribution to this topic by conducting a longitudinal study lasting for approximately one year with a four-year-old Chinese girl as the subject.By contrasting and comparing the subject’s natural linguistic performance,the author tried to reveal the developmental procedure,and profound cognitive and cultural factors. 展开更多
关键词 REQUESTS pre-requests request negotiations predictable refusals natural linguistic performance
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A Genre——based Analysis of English Refusal Letters
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作者 费伟 《海外英语》 2014年第12X期228-229,共2页
The present study analyzes ten English refusal letters of two subcategories based on Swales' genre analysis model and finds that difference exists in the generic features of the two subcategorized types. Teachers ... The present study analyzes ten English refusal letters of two subcategories based on Swales' genre analysis model and finds that difference exists in the generic features of the two subcategorized types. Teachers should reveal the underlying rationale behind linguistic features of a specific genre so that students can not only identify genre but also apply it appropriately. 展开更多
关键词 GENRE ANALYSIS REFUSAL LETTERS TEACHING
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The Erasure of Signifiers and Refusal of Signification in Philip Larkin's Poem“High Window”
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作者 刁俊春 《海外英语》 2013年第6X期195-197,共3页
This paper tries to analyze Philip Larkin's poem"High Window"from a deconstructive perspective. It is to show that in the poem the key words/signifiers are always under erasure, and thus the chain of sig... This paper tries to analyze Philip Larkin's poem"High Window"from a deconstructive perspective. It is to show that in the poem the key words/signifiers are always under erasure, and thus the chain of signification is endless since the poem is self-deconstructing. Then, the paper argues that the linguistic features of the poem paradoxically meaningful in the sense that it reflects the poet's skepticism and anxiety. 展开更多
关键词 "High Window" ERASURE REFUSAL SKEPTICISM ANXIETY
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Autophagy and inflammation in ischemic stroke 被引量:125
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作者 Yun Mo Yin-Yi Sun Kang-Yong Liu 《Neural Regeneration Research》 SCIE CAS CSCD 2020年第8期1388-1396,共9页
Appropriate autophagy has protective effects on ischemic nerve tissue,while excessive autophagy may cause cell death.The inflammatory response plays an important role in the survival of nerve cells and the recovery of... Appropriate autophagy has protective effects on ischemic nerve tissue,while excessive autophagy may cause cell death.The inflammatory response plays an important role in the survival of nerve cells and the recovery of neural tissue after ischemia.Many studies have found an interaction between autophagy and inflammation in the pathogenesis of ischemic stroke.This study outlines recent advances regarding the role of autophagy in the post-stroke inflammatory response as follows.(1)Autophagy inhibits inflammatory responses caused by ischemic stimulation through mTOR,the AMPK pathway,and inhibition of inflammasome activation.(2)Activation of inflammation triggers the formation of autophagosomes,and the upregulation of autophagy levels is marked by a significant increase in the autophagy-forming markers LC3-II and Beclin-1.Lipopolysaccharide stimulates microglia and inhibits ULK1 activity by direct phosphorylation of p38 MAPK,reducing the flux and autophagy level,thereby inducing inflammatory activity.(3)By blocking the activation of autophagy,the activation of inflammasomes can alleviate cerebral ischemic injury.Autophagy can also regulate the phenotypic alternation of microglia through the nuclear factor-κB pathway,which is beneficial to the recovery of neural tissue after ischemia.Studies have shown that some drugs such as resveratrol can exert neuroprotective effects by regulating the autophagy-inflammatory pathway.These studies suggest that the autophagy-inflammatory pathway may provide a new direction for the treatment of ischemic stroke. 展开更多
关键词 AUTOPHAGY cerebral ischemia function INFLAMMASOME INFLAMMATION ischemia/refusion ischemic stroke MACROAUTOPHAGY neuroinflammation oxygen glucose deprivation
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Excavation and characterization of refuse in closed landfill 被引量:17
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作者 ZHAO You cai (The State Key Laboratory of Pollution Control and Resource Reuse, School of Environmental Science and Engineering, Tongji University, Shanghai 200092, China. ) 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2002年第3期303-308,共6页
Refuse in landfills becomes stabilized as organic matter in refuse degrades and soluble inorganic substances dissolve during their long term stabilization process. In this paper, this process is also referred to as m... Refuse in landfills becomes stabilized as organic matter in refuse degrades and soluble inorganic substances dissolve during their long term stabilization process. In this paper, this process is also referred to as mineralization process and the resultant stabilized refuse referred to as aged refuse. Aged refuse contains a wide spectrum and huge quantity of microorganisms with strong decomposition capability for refractory organic matter present in some wastewater such as leachate. In this study, aged refuse excavated from 2 to 10 years old closed landfill compartments in Shanghai Refuse Landfill is characterized in terms of particulate distribution by screening, total nitrogen, total phosphorus, biodegradable matter. The approaches for redevelopment of both land and aged refuse in the stabilized landfills are proposed. 展开更多
关键词 LANDFILL REFUSE MINERALIZATION
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Three-stage aged refuse biofilter for the treatment of landfill leachate 被引量:11
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作者 LI Hongjiang ZHAO Youcai +1 位作者 SHI Lei GU Yingying 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2009年第1期70-75,共6页
A field-scale aged refuse (AR) biofilter constructed in Shanghai Refuse Landfill, containing about 7000 m^3 aged refuse inside, was evaluated for its performance in the treatment of landfill leachate. This AR biofil... A field-scale aged refuse (AR) biofilter constructed in Shanghai Refuse Landfill, containing about 7000 m^3 aged refuse inside, was evaluated for its performance in the treatment of landfill leachate. This AR biofilter can be divided into three stages and can manage 50 m^3 landfill leachate per day. The physical, chemical, and biological characteristics of AR were analyzed for evaluating the AR biofilter as leachate treatment host. The results revealed that over 87.8%-96.2% of COD and 96.9%-99.4% of ammonia nitrogen were removed by the three-stage AR biofilter when the infiuent leachate COD and ammonia nitrogen concentration were in the range 5478-10842 mg/L and 811-1582 mg/L, respectively. The final effluent was inodorous and pale yellow with COD and ammonia nitrogen below 267-1020 mg/L and 6-45 mg/L, respectively. The three-stage AR biofilter had efficient nitrification but relative poor denitrification capacity with a total nitrogen (TN) removal of 58%-73%. The external temperature of AR biofilter did not influence the total ammonia nitrogen removal significantly. It was concluded that the scale-up AR biofilter can work very well and can be a promising technology for the treatment of landfill leachate. 展开更多
关键词 aged refuse BIOFILTER landfill leachate COD ammonia nitrogen
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Characterization of Methylocystis strain JTA1 isolated from aged refuse and its tolerance to chloroform 被引量:7
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作者 Tiantao Zhao Lijie Zhang +2 位作者 Yunru Zhang Zhilin Xing Xuya Peng 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2013年第4期770-775,共6页
To accelerate the efficiency of methane biodegradation in landfills, a Gram-negative, rod-shaped, non-motile, non-spore-forming bacterium, JTA1, which can utilize methane as well as acetate, was isolated from the Laog... To accelerate the efficiency of methane biodegradation in landfills, a Gram-negative, rod-shaped, non-motile, non-spore-forming bacterium, JTA1, which can utilize methane as well as acetate, was isolated from the Laogang MSW landfills, Shanghai, China. Strain JTA1 was a member of genus Methylocystis on the basis of 16S rRNA and pmoA gene sequence similarity. The maximum specific cell growth rates (μmax= 0.042 hr-1, R2= 0.995) was derived through Boltzmann simulation, and the apparent half-saturation constants (Km(app) = 7.08 mmol/L, R2 = 0.982) was calculated according to Michaelis-Menton hyperbolic model, indicating that Methylocystis strain JTA1 had higher-affinity potential for methane oxidation than other reported methanotrophs. By way of adding the strain JTA1 culture, the methane consumption of aged refuse reached 115 mL, almost two times of control experiment. In addition, high tolerance of Methylocystis strain JTA1 to chloroform could facilitate the methane oxidation of aged refuse bio-covers. At the chloroform concentration of 50 mg/L, the methane-oxidation rate of bio-cover reached 0.114 mL/(day.g), much higher than the highest rate, 0.0135 mL/(day.g), of reported bio-covers. In conclusion, strain JTA1 opens up a new possibility for environmental biotechnology, such as soil or landfills bioremediation and wastewater decontamination. 展开更多
关键词 METHANE aged refuse Methylocystis facultative methanotrophs chloroform tolerance
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Leachate treatment using a demonstration aged refuse biofilter 被引量:7
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作者 Hongjiang Li Yingying Gu +1 位作者 Youcai Zhao Zhiping Wen 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2010年第7期1116-1122,共7页
Approximately 7000 m^3 of aged refuse (AR) with a placement of over eight years was excavated from Shanghai Refuse Landfill, the largest landfill in China, and used for the construction of a two-stage bioreactor (A... Approximately 7000 m^3 of aged refuse (AR) with a placement of over eight years was excavated from Shanghai Refuse Landfill, the largest landfill in China, and used for the construction of a two-stage bioreactor (AR biofilter) media for the biological treatment of 100 m3 of refuse landfill leachate. It was found that over 64% of COD, 96.9%-99.8% of NH4^+-N, and 95.8%-99.8% of BOD5 could be removed by the AR biofilter, when the leachate with initial COD, BOD5, and NH4^+-N concentrations were 986-4128 mg/L, 264--959 mg/L,m and 538-1583 mg/L, respectively. The corresponding concentrations in the effluent were reduced to below 30(000 mg/L, 2-12 mg/L, and 10-20 mg/L, respectively. The effluent was clear and pale yellow with suspended solid below 150 mg/L and color below 150 Pt/Co degree. Meanwhile, the total nitrogen removal was only 49%-63%, indicating a relative poor denitrification capacity of AR biofilter. The effluent pH was neutral and the population of Escherichia coli was less than 10^-1 CFU/mL. Hence, it was considered that the demonstration project can work well for the effective treatment of leachate. 展开更多
关键词 aged refuse LANDFILL leachate treatment COD AMMONIA
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Electrochemical oxidation of recalcitrant organic compounds in biologically treated municipal solid waste leachate in a flow reactor 被引量:8
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作者 Xuejun Quan Zhiliang Cheng +1 位作者 Bo Chen Xincai Zhu 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2013年第10期2023-2030,共8页
Biologically-treated municipal solid waste (MSW) leachate still contains many kinds of bit-recalcitrant organic matter. A new plate and frame electrochemical reactor was designed to treat these materials under flow ... Biologically-treated municipal solid waste (MSW) leachate still contains many kinds of bit-recalcitrant organic matter. A new plate and frame electrochemical reactor was designed to treat these materials under flow conditions. In the electrochemical oxidation process, NH3 and color could be easily removed by means of electro-generated chlorinefaypochlorite within 20 min. The effects of major process parameters on the removal of organic pollutants were investigated systematically. Under experimental conditions, the optimum operation parameters were current density of 65 mA/cm^2, flow velocity of 2.6 cm/sec in electrode gap, and initial chloride ion concentration of 5000 mg/L. The COD in the leachate could be reduced below 100 mg/L after 1 hr of treatment. The kinetics and mechanism of COD removal were investigated by simultaneously monitoring the COD change and chlorine/hypochlorite production. The kinetics of COD removal exhibited a two-stage kinetic model, and the decrease of electro-generated chlorine/hypochlorite production was the major mechanism for the slowing down of the COD removal rate in the second stage. The narrowing of the electrode gap is beneficial for COD removal and energy consumption. 展开更多
关键词 municipal solid waste leachate refuse incineration electrochemical oxidation electrochemical reactor
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PillCam Colon 2 capsule in patients unable or unwilling to undergo colonoscopy 被引量:7
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作者 Lucian Negreanu Ruxandra Babiuc +1 位作者 Andreea Bengus Roxana Sadagurschi 《World Journal of Gastrointestinal Endoscopy》 CAS 2013年第11期559-567,共9页
AIM: To assess the feasibility, accuracy and acceptability of PillCam Colon 2 in detection of significant lesions in colorectal cancer risk patients, unable or unwilling to perform colonoscopy. METHODS: This is a pros... AIM: To assess the feasibility, accuracy and acceptability of PillCam Colon 2 in detection of significant lesions in colorectal cancer risk patients, unable or unwilling to perform colonoscopy. METHODS: This is a prospective, single center study using the second generation of PillCam Colon capsule. In all patients the readers were instructed to review the entire colon capsule endoscopy(CCE) examination using Rapid 7 software and additionally to note significant extra-colonic findings. Colonic significant findings were described according to European Society of Gastrointestinal Endoscopy guidelines. CCE procedure completion rate, level of bowel preparation and rate of adverse events were assessed. RESULTS: A total of 70 patients at risk of colorectal cancer were enrolled in the study. In three patients the procedure failed because the capsule was not functioning when entered the colon. PillCam Colon 2 showed positive findings in 23(34%, 95%CI: 21.6%-44.1%) of the remaining 67 patients. Six patients were diagnosedwith tumors: 4 with colon cancers, 1 with gastric cancer and 1 with a small bowel cancer. The capsule findings were confirmed after surgery in all these patients. The capsule excretion rate in twelve hours was 77% with 54 patients having a complete examination. The rectum was not explored during CCE procedure, in 16 patients(23%, 95%CI: 13.7%-34.1%). Every patient accepted CCE as an alternative exploration tool and 65/70(93%) agreed to have another future control by CCE. No complications were reported during or after CCE examination. CONCLUSION: PillCam Colon 2 capsule was effective in detecting significant lesions and might be considered an adequate alternative diagnostic tool in patients unable or unwilling to undergo colonoscopy. 展开更多
关键词 COLON CANCER COLONOSCOPY FAILURE COLONOSCOPY REFUSE COLON CAPSULE Pillcam COLON 2
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