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Examining Reasons for Using Non‐Primary Care Providers as Usual Source of Health Care:Insights From the All of Us Study
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作者 Abbey Gregg Hui Wang +2 位作者 Brankeciara Ard Marcelo Takejame Galafassi Maryam Bidgoli 《Health Care Science》 2025年第3期195-205,共11页
Introduction:Having a primary care usual source of care(USC)is associated with better population health outcomes.However,the percent of adults in the United States(US)with a usual primary care provider is declining.We... Introduction:Having a primary care usual source of care(USC)is associated with better population health outcomes.However,the percent of adults in the United States(US)with a usual primary care provider is declining.We sought to identify factors associated with establishing a USC at an urgent care clinic or emergency department as opposed to primary care.Methods:We analyzed data from 57,152 participants in the All of Us study who reported having a USC.We used the Andersen Behavioral Model of Health Services Use framework and multivariable logistic regression to examine associations among predisposing,enabling,and need factors,according to the source of usual care.Results:An urgent care clinic,minute clinic,or emergency department was the source of usual care for 6.3%of our sample.The odds of seeking care at this type of facility increased with younger age,lower educational attainment,and better health status.Black and Hispanic individuals,as well as those who reported experiencing discrimination in medical settings or that their provider was of a different race and ethnicity,were also less likely to have a primary care USC.Financial concerns,being anxious about seeing a provider,and the inability to take time off from work also increased the likelihood of having a non‐primary care USC.Conclusions:Improving the rates of having a primary care USC among younger and healthy adults may be achievable through policies that can improve access to convenient,affordable primary care.Efforts to improve diversity among primary care providers and reduce discrimination experienced by patients may also improve the USC rates for racial and ethnic minority groups. 展开更多
关键词 AIl of Us Andersen Behavioral Model of Health Service Use primary care usual source of care
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Association of Red Meat Usual Intake with Serum Ferritin and the Risk of Metabolic Syndrome in Chinese Adults: A Longitudinal Study from the China Health and Nutrition Survey 被引量:5
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作者 HUANG Li Na WANG Hui Jun +4 位作者 WANG Zhi Hong ZHANG Ji Guo JIA Xiao Fang ZHANG Bing DING Gang Qiang 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2020年第1期19-29,共11页
Objective The present study aimed to investigate the association of red meat usual intake with metabolic syndrome(Met S),and explore the contribution of red meat usual intake to serum ferritin.Methods Based on the dat... Objective The present study aimed to investigate the association of red meat usual intake with metabolic syndrome(Met S),and explore the contribution of red meat usual intake to serum ferritin.Methods Based on the data from the longitudinal China Health and Nutrition Survey(CHNS),2,797 healthy adults aged 18–75 years without hypertension,diabetes,and Met S were selected in 2009 as subjects and follow-up studies were carried out till 2015.We used the National Cancer Institute(NCI)method to estimate the usual intake of foods.Multivariable logistic regressions were performed to evaluate the association between red meat usual intake and the risk of Met S.Quantile regression analysis was used to study the relationship between red meat consumption and serum ferritin levels.Results After adjusting for potential confounders,red meat,and fresh red meat were positively associated with the risk of Met S(RR=1.41,95%CI:1.05–1.90 and RR=1.37,95%CI:1.02–1.85,respectively).These relationships showed increasing trend(P<0.05).The level of serum ferritin increased significantly with the number of Met S components(P<0.05).The quantile regression analysis showed that red meat and fresh red meat usual intake had a significant positive association with serum ferritin levels across the entire conditional serum ferritin distribution(P<0.05).Processed red meat did not exhibit a similar association.Conclusion Higher red meat usual intake was associated with an increased risk of Met S and elevated serum ferritin levels. 展开更多
关键词 usual INTAKE Red MEAT METABOLIC syndrome SERUM FERRITIN
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Application of ArtificialNeural Network to Real-Time Condition Monitoring Control and Usual Trouble Diagnosis during Driling
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《Journal of Earth Science》 SCIE CAS CSCD 1997年第2期63-66,共4页
ApplicationofArtificialNeuralNetworktoReal┐TimeConditionMonitoringControlandUsualTroubleDiagnosisduringDrili... ApplicationofArtificialNeuralNetworktoReal┐TimeConditionMonitoringControlandUsualTroubleDiagnosisduringDriling*ShiYushengDepa... 展开更多
关键词 NETWORK to CONTROL MONITORING TROUBLE usual APPLICATION ArtificialNeural
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Unusual Evolution Characteristics in Black Hole Disk-Accretion
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作者 WANG Ding-Xiong 《Chinese Physics Letters》 SCIE CAS CSCD 2000年第6期463-465,共3页
It is shown that evolution characteristics of black hole(BH)parameters in the pure disk-accretion are determined uniquely by BH spin parameter aa_(*).Some unusual evolution characteristics of the parameters of BH accr... It is shown that evolution characteristics of black hole(BH)parameters in the pure disk-accretion are determined uniquely by BH spin parameter aa_(*).Some unusual evolution characteristics of the parameters of BH accretion disks,such as angular velocity,temperature and event horizon radius,are investigated in both thin and thick disk-accretion.And the corresponding turning points,a_(*)^(c),are derived.In addition,two characteristic functions describing the evolution of BH parameters are derived for thin and thick disks,respectively. 展开更多
关键词 uniquely RADIUS usual
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Unusual Destruction and Enhancement of Superfluidity of Atomic Fermi Gases by Population Imbalance in a One-Dimensional Optical Lattice
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作者 Qijin Chen Jibiao Wang +1 位作者 Lin Sun Yi Yu 《Chinese Physics Letters》 SCIE CAS CSCD 2020年第5期42-46,共5页
We study the superfluid behavior of a population imbalanced ultracold atomic Fermi gases with a short range attractive interaction in a one-dimensional(1D)optical lattice,using a pairing fluctuation theory.We show tha... We study the superfluid behavior of a population imbalanced ultracold atomic Fermi gases with a short range attractive interaction in a one-dimensional(1D)optical lattice,using a pairing fluctuation theory.We show that,besides widespread pseudogap phenomena and intermediate temperature superfluidity,the superfluid phase is readily destroyed except in a limited region of the parameter space.We find a new mechanism for pair hopping,assisted by the excessive majority fermions,in the presence of continuum-lattice mixing,which leads to an unusual constant Bose-Einstein condensate(BEC)asymptote for Tc that is independent of pairing strength.In result,on the BEC side of unitarity,superfluidity,when it exists,may be strongly enhanced by population imbalance. 展开更多
关键词 theory. FERMI usual
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Fermion System with Quantum Group Symmetry and Usual Fermion Realizations of S1_(q)(2)
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作者 SUN Changpu LI Jianming 《Chinese Physics Letters》 SCIE CAS CSCD 1992年第12期633-636,共4页
The usual fermion realizations of quantum algebra S1_(q)(2) defining higher-dimensional representations are built in this letter.Using them,we construct a usual fermion system with quantum group symmetry of S1_(q)(2) ... The usual fermion realizations of quantum algebra S1_(q)(2) defining higher-dimensional representations are built in this letter.Using them,we construct a usual fermion system with quantum group symmetry of S1_(q)(2) as a q-deformation of the pairing correlation model in many-body problems.Its energy spectra are exactly solved out from the representation theory of S1_(q)(2). 展开更多
关键词 FERMI QUANTUM usual
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Unusual Anomalous Hall Effect in a Co2MnSi/MnGa/Pt Trilayer
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作者 Shan Li Jun Lu +4 位作者 Lian-Jun Wen Dong Pan Hai-Long Wang Da-Hai Wei Jian-Hua Zhao 《Chinese Physics Letters》 SCIE CAS CSCD 2020年第7期96-99,共4页
An ultra-thin Co2MnSi(0.5 nm)/Mn Ga(1.5 nm) bilayer capped with Pt(5 nm) has been successfully grown by molecular-beam epitaxy.It is a potential candidate of synthetic antiferromagnets due to antiferromagnetic couplin... An ultra-thin Co2MnSi(0.5 nm)/Mn Ga(1.5 nm) bilayer capped with Pt(5 nm) has been successfully grown by molecular-beam epitaxy.It is a potential candidate of synthetic antiferromagnets due to antiferromagnetic coupling between Co2MnSi and MnGa,which is a promising skyrmion-racetrack-memory medium without skyrmion Hall effect after capping with a Pt layer.Unusual humps in transverse Hall resistance loops are clearly observed in the temperature range from 260 to 400 K.This anomaly is generally attributed to topological Hall effect,but other than that,we prove that non-uniform rotation of magnetic moments in the bilayer with magnetic field sweeping is also a possible mechanism contributed to the unusual hump. 展开更多
关键词 layer. usual MnGa
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Definition of Business as Usual and Its Impacts on Assessment of Mitigation Efforts
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作者 TENG Fei XU Shuang-Qing 《Advances in Climate Change Research》 SCIE 2012年第4期212-219,共8页
Business as Usual (BaU) scenario in developing countries has been a debated issue in climate change negotiations. This paper analyzes different definitions of BaU and points out that the major difference among these... Business as Usual (BaU) scenario in developing countries has been a debated issue in climate change negotiations. This paper analyzes different definitions of BaU and points out that the major difference among these definitions is how to set the starting point of BaU projections, that is the so called base year. Some international institutions use current policy scenarios to project a BaU trajectory of developing countries. Such definition will lead to an underestimation of BaU emissions of developing countries and thus an underestimation of mitigation efforts. This paper concludes with a suggestion to use a without policy scenario with a clear base year as definition of BaU. Such a definition will set an objective benchmark to assess mitigation efforts of develonin countries. 展开更多
关键词 Business as usual baseline scenario assessment of mitigation efforts
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Alternative Distributions to Estimate Usual Intake of Nutrients for Groups
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作者 Jose Eduardo Corrente Juliana M. Morimoto +1 位作者 Dirce Maria Lobo Marchioni Regina Mara Fisberg 《Journal of Life Sciences》 2011年第7期569-574,共6页
When assessing food intake patterns in groups of individuals, a major problem is finding usual intake distribution. This study aimed at searching for a probability distribution to estimate the usual intake of nutrient... When assessing food intake patterns in groups of individuals, a major problem is finding usual intake distribution. This study aimed at searching for a probability distribution to estimate the usual intake of nutrients using data from a cross-sectional investigation on nutrition students from a public university in Sao Paulo state, Brazil. Data on 119 women aged 19 to 30 years old were used. All women answered a questionnaire about their lifestyle, diet and demographics. Food intake was evaluated from a non-consecutive three-day 24-hour food record. Different probability distributions were tested for vitamins C and E, panthotenic acid, folate, zinc, copper and calcium where data normalization was not possible. Empirical comparisons were performed, and inadequacy prevalence was calculated by comparing with the NRC method. It was concluded that if a more realistic distribution for usual intake is found, results can be more accurate as compared to those achieved by other methods. 展开更多
关键词 DIET NUTRIENTS adequate intake measurement error models usual intake distribution.
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Comparison of Amiodarone Compliance Monitoring: Usual Care, Electronic Prescribing Template and Pharmacist-Managed Clinic
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作者 Jeannie L. Poon Allison C. Brenner Michael J. Brenner 《Journal of Pharmacy and Pharmacology》 2014年第10期621-626,共6页
Objective: To assess whether adherence to amiodarone monitoring differed pre- and post-amiodarone restriction template and implementation of the pharmacist-managed clinic. Design: This was a retrospective chart revi... Objective: To assess whether adherence to amiodarone monitoring differed pre- and post-amiodarone restriction template and implementation of the pharmacist-managed clinic. Design: This was a retrospective chart review study. Setting: A large, academically-affiliated Veteran Affairs Healthcare System providing primary and tertiary care. Patients: 580 patients were identified as having an active prescription for amiodarone for at least 60 days from January l, 2009 to August 31, 2013 and receiving primary care at the VAAHS (Veterans Affairs Ann Arbor Healthcare System). Results: Nearly all patients had TSH and LFTs at baseline regardless of study group. Significant associations between baseline rates for CXR, ECG, PFT, and opbthalmologic exams were found, with higher rates in the clinic and template arms compared to usual care. Similar patterns for all monitoring outcome rates were also found for both the 6- and 12-month measures. Conclusions: Patients on amiodarone who are followed by a pharmacist-managed clinic or where a restricted ordering template was used had increased compliance with amiodarone monitoring guidelines compared to usual care. Use of a restricted template may be a reasonable option in place of a pharmacist-managed service. 展开更多
关键词 AMIODARONE pharmacist-managed MONITORING Veterans Affairs usual care electronic template.
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巧记often,usually的位置
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作者 李国彬 王喜 《中学语数外(初中版)》 2004年第1期35-36,共2页
同学们在学习英语的过程中,时常把often,usually等副词的位置放错。下面教你一招保你记得又快又准确。
关键词 often usually 英语 副词 初中
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Prescribing medications to patients living with a visual impairment:a qualitative study of physicians to explore their usual clinical practices
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作者 Théodora Merenda Zélie Sibilles +2 位作者 Jennifer Denis Jean-Pierre Sabot Stéphanie Patris 《Family Medicine and Community Health》 2025年第2期4-15,共12页
Objectives Visual impairment is a disability affecting a large number of people worldwide,who are more likely to experience difficulties in their daily lives,impacting on their quality of life,independence,mobility an... Objectives Visual impairment is a disability affecting a large number of people worldwide,who are more likely to experience difficulties in their daily lives,impacting on their quality of life,independence,mobility and state of health.However,there is a lack of progress in the field of healthcare for individuals living with a visual impairment.The objectives of this study were(1)to illustrate the usual clinical practices of physicians to support the care of individuals with a visual impairment and(2)to identify the components considered to reduce risks resulting from the prescription of medications to these individuals.Methods and analysis Semi-structured interviews were conducted with French-speaking physicians via videoconference in Belgium.Participants were recruited voluntarily and using the snowball method.An interview guide was developed to meet the objectives of the study.Interviews were carried out until theoretical data saturation,recorded,transcribed verbatim and analysed in a double-blind fashion using thematic analysis.Data were organised using NVivo V.14 software.Results Three themes were addressed in the 24 interviews:consultation with patients with a visual impairment,prescribing medications to patients with a visual impairment and medication risk management for patients with a visual impairment.Most participants reported that they had not received specific education in visual impairment.Some physicians reported that they did not differentiate between patients living with a visual impairment and other patients,while others reported taking some additional measures.Conclusions This qualitative study highlighted a lack of knowledge and awareness among physicians regarding visual impairment and at-risk medications in these patients.The development of recommendations and tools is a solution to improve the quality of care for patients living with a visual impairment. 展开更多
关键词 visual impairmentthe medication prescription theoretical data saturation illustrate usual clinical practices physician practices visual impairment qualitative study thematic analysis
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形成性评价在学习效果评价中的应用研究——以药理学课程为例
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作者 张晓双 史永恒 +1 位作者 刘继平 卫昊 《中国中医药现代远程教育》 2026年第2期18-21,共4页
形成性评价是对学生日常学习全过程的评价,其中药理学形成性评价是由11个要素构成的封闭实施过程。其实施应遵循激励性、经常性、双向性、清晰性、符合学习心理学的五大原则;其设计应着重考虑班级规模、教授知识类型、学生特点、教师教... 形成性评价是对学生日常学习全过程的评价,其中药理学形成性评价是由11个要素构成的封闭实施过程。其实施应遵循激励性、经常性、双向性、清晰性、符合学习心理学的五大原则;其设计应着重考虑班级规模、教授知识类型、学生特点、教师教学能力、教学条件的实际因素。平时成绩不等同于形成性评价,它仅是形成性评价的结果之一。平时成绩不反馈、不用于改进教与学,就不能称为形成性评价。科学分析学生学情,合理设计、制订形成性评价措施,激发学生的学习热情和积极性,推动教学改革,最终提高药理学学习成绩。 展开更多
关键词 药理学 形成性评价 平时成绩 反馈 教学改革
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基层医疗卫生机构慢性病患者感知参与和常规卫生服务来源的关系研究
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作者 张莉 王保凯 +2 位作者 吴函 吕晴晴 许琪 《中国卫生事业管理》 北大核心 2026年第2期157-161,229,共6页
目的:探索基层医疗卫生机构慢性病患者感知参与行为的潜在类别,并分析其与患者常规卫生服务来源的关系,为合理引导慢性病患者就医行为提供理论依据。方法:采用多阶段分层抽样的方法,对山东省920名慢性病患者进行横断面调查,应用潜在类... 目的:探索基层医疗卫生机构慢性病患者感知参与行为的潜在类别,并分析其与患者常规卫生服务来源的关系,为合理引导慢性病患者就医行为提供理论依据。方法:采用多阶段分层抽样的方法,对山东省920名慢性病患者进行横断面调查,应用潜在类别分析法对患者感知参与进行分类,利用二元logistic回归分析患者感知参与潜在类别与常规卫生服务来源的关系。结果:慢性病患者感知参与行为分为低感知参与(15.00%),中感知参与(39.67%)和高感知参与(45.33%)三个类别。其中,60岁及以上患者纳入低感知参与组的概率(16.79%)显著高于60岁以下患者(13.52%)(P<0.05);离婚或丧偶患者属于低感知参与组的概率(26.57%)显著要高于已婚患者(11.95%)(P<0.05);失业患者的低感知参与(18.20%)明显高于在职患者(10.87%)(P<0.05)。低感知参与患者将基层医疗卫生机构作为常规卫生服务来源的可能性显著低于中感知参与患者(OR=3.303,P<0.001)和高感知参与患者(OR=4.610,P<0.001)。结论:慢性病患者在基层医疗卫生机构就诊过程中的积极参与行为可以提高其将基层医疗卫生机构作为常规卫生服务来源的可能性。基层医疗卫生机构需强化慢性病患者在就诊过程中的参与行为,进而提高其对基层医疗卫生服务的利用。 展开更多
关键词 基层医疗卫生服务 感知参与 慢性病患者 常规卫生服务来源
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Acute exacerbation of idiopathic pulmonary fibrosis:usual interstitial pneumonitis vs.possible usual interstitial pneumonitis pattern
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作者 Meng-Shu Cao Jian Sheng +5 位作者 Tian-Zhen Wang Xiao-Hua Qiu Dong-Mei Wang Yang Wang Yong-Long Xiao Hou-Rong Cai 《Chinese Medical Journal》 SCIE CAS CSCD 2019年第18期2177-2184,共8页
Background:The prognosis of acute exacerbation of idiopathic pulmonary fibrosis(AE-IPF)is very poor with a high mortality.The aim of this study was to describe the clinical features and survival of patients with AE-IP... Background:The prognosis of acute exacerbation of idiopathic pulmonary fibrosis(AE-IPF)is very poor with a high mortality.The aim of this study was to describe the clinical features and survival of patients with AE-IPF with usual pulmonary fibrosis(UIP)and possible UIP(P-UIP)pattern on chest high resolution computed tomography(HRCT).Methods:This retrospective study included 107 patients with AE-IPF admitted to Nanjing Drum Tower Hospital from January 2010 to December 2016.The subjects were divided into UIP(n=86)and P-UIP group(n=21)based on chest HRCT.Continuous variables were analyzed using Student's t test or Mann-Whimey U test.Categorical variables were analyzed using x2 test.Log-rank test was used for the survival analysis.Cox proportional models evaluated the risk factors for AE occurrence and survival.Results:The male,older patients,previous N-acetylcysteine use,elevated white blood cell(WBC)counts,and microbiology infection were more common in the UIP group than the P-UIP group(X2=13.567,P<0.001;z=-2.936,P=0.003;X2=5.901,P=0.015;t=2.048,P=0.043;x2=10.297,P=0.036,respectively).The percentage of AE with UIP pattern in idiopathic interstitial pneumonia(ⅡP)was significantly higher than P-UIP pattern(X2=40.011,P<0.001).Smoking was the risk factor for AE within 6 months after IPF diagnosis in the UIP group.The cumulative proportion survival of 30-days was significantly higher in the UIP group compared with the P-UIP group(x2=5.489,P=0.019)despite of the similar overall survival in the two groups.Multivariate Cox regression analysis indicated WBC count,partial pressure of oxygen in artery(PaO2)/ffactional concentration of inspired oxygen(FiOz),and computed tomography(CT)score were the independent predictors for survival in the UIP group(hazard ratio[HR]:1.070,95%confidential interval[CI]:1.027-1.114,P=0.001;HR:0.992,95%CI:0.986-0.997,P=0.002;and HR:1.649,95%CI:1.253-2.171,P<0.001,respectively).Conclusions:AE occurrence of UIP patients in IIP was significantly more than P-UIP cases.The short-term survival was better in the UIP group despite of the similar overall survival in the two groups.WBC count,PaO2/FiO2,and CT score were the independent predictors for survival in UIP subjects. 展开更多
关键词 Idiopathic pulmonary fibrosis Acute exacerbation usual interstitial pneumonitis
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线上线下混合式教学的大学生平时成绩评价体系探索——以线性代数课程为例
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作者 刘建熙 黄豪杰 梁美丽 《大学数学》 2026年第1期50-58,共9页
线上线下混合式教学已成高等教育趋势,但平时成绩评定存在主观性强等问题.本研究基于某高校线性代数课程数据,通过多元统计分析发现:课前测验得分率、课后作业完成度及章节测验得分率均与期末成绩显著正相关,据此提出改进平时成绩量化... 线上线下混合式教学已成高等教育趋势,但平时成绩评定存在主观性强等问题.本研究基于某高校线性代数课程数据,通过多元统计分析发现:课前测验得分率、课后作业完成度及章节测验得分率均与期末成绩显著正相关,据此提出改进平时成绩量化方法的科学建议. 展开更多
关键词 线上线下混合式教学 平时成绩 多元线性回归分析
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Business as Usual
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作者 Clifford A.Kiracofe 《Beijing Review》 2017年第32期30-31,共2页
The delusional United States Congress has just approved sanctions legislation which destabilizes the internationalsystem and the U.S. constitutional order. Will it lead to war?
关键词 Business as usual
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Engineer Works as Usual Despite Honors
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作者 MING BIAN MAN SUJIE 《Women of China》 1995年第5期12-13,共2页
HU Meijuan, 49, is a high-ranking engineer in charge of computer operations at the Qinshan Nuclear Power Station, the first nuclear power station built by China. Among more than 600 technicians, there are many women, ... HU Meijuan, 49, is a high-ranking engineer in charge of computer operations at the Qinshan Nuclear Power Station, the first nuclear power station built by China. Among more than 600 technicians, there are many women, but Hu is considered the most understanding of them. In 1987 the Qinshan Nuclear Power Station started operations in scenic Hangzhouwan. A large group of qualified personnel 展开更多
关键词 Engineer Works as usual Despite Honors
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高密度城区平急两用地下空间雨涝调蓄方法研究
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作者 刘迪 李俊奇 +5 位作者 毛坤 卢波 李小静 陈东东 汪辉 张鑫男 《给水排水》 北大核心 2025年第9期70-76,共7页
城市面临着日益严重的超标降雨带来的雨涝灾害,内涝防控成为一大挑战.特别是在高密度城区中,在极端降雨频发和城市调蓄空间不足的背景下,如何合理利用地下空间进行雨涝水应急调蓄具有重要意义.考虑所需地下空间容积、各汇水区应分担调蓄... 城市面临着日益严重的超标降雨带来的雨涝灾害,内涝防控成为一大挑战.特别是在高密度城区中,在极端降雨频发和城市调蓄空间不足的背景下,如何合理利用地下空间进行雨涝水应急调蓄具有重要意义.考虑所需地下空间容积、各汇水区应分担调蓄量,以及地下空间淹水脆弱性、耐受性等,从宏观规划角度提出了"水量平衡原则定需求,径流分担原则定布局,地下空间敏感度定类型"的地下空间雨涝调蓄方法框架,并在潍坊市开展案例研究.通过应用雨涝调蓄方法,可以科学合理地将城市地下空间配置为平急两用雨涝调蓄设施,在发生超标降雨时更有效地调蓄雨水,减少涝水积淹的风险,促进城市的可持续发展. 展开更多
关键词 高密度城区 平急两用 地下空间 雨涝调蓄
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补肺活血胶囊联合麦门冬汤治疗特发性肺纤维化的临床疗效
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作者 李仲普 谭光波 胡学军 《世界复合医学(中英文)》 2025年第7期11-15,共5页
目的评估补肺活血胶囊与麦门冬汤联合治疗轻度和中度普通型间质性肺炎(usual interstitial pneumonia,UIP)相关特发性肺纤维化的临床疗效。方法回顾性选取2021年1月至2023年1月湖南省中医药研究院附属医院收治的78例轻度和中度UIP相关... 目的评估补肺活血胶囊与麦门冬汤联合治疗轻度和中度普通型间质性肺炎(usual interstitial pneumonia,UIP)相关特发性肺纤维化的临床疗效。方法回顾性选取2021年1月至2023年1月湖南省中医药研究院附属医院收治的78例轻度和中度UIP相关特发性肺纤维化气阴两虚、瘀血内阻证患者,按治疗方法不同分为对照组和观察组,各39例。对照组采用乙酰半胱氨酸胶囊和醋酸泼尼松片治疗,观察组在对照组基础上加以补肺活血胶囊联合麦门冬汤治疗。比较两组不良反应发生情况、圣乔治呼吸问卷、六分钟步行试验(6-minute walking test,6MWT)、肺功能。结果观察组不良反应发生率为5.13%(2/39),低于对照组的20.51%(8/39),差异有统计学意义(χ^(2)=5.316,P<0.05)。治疗后,观察组症状部分、活动部分、影响部分评分均低于对照组,6MWT、用力肺活量、一氧化碳弥散量、肺总量均高于对照组,差异均有统计学意义(P均<0.05)。结论在轻度和中度UIP相关特发性肺纤维化气阴两虚、瘀血内阻证患者的临床治疗中,补肺活血胶囊联合麦门冬汤可有效改善患者生活质量及肺功能,且安全性较高。 展开更多
关键词 补肺活血胶囊 麦门冬汤 普通型间质性肺炎 特发性肺纤维化
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