Results 11 to 20 of about 11,136 (144)

冷成型桥梁用波形钢腹板制造工艺

open access: yesJianzhu Gangjiegou Jinzhan, 2014
山东鄄城黄河公路大桥是目前规模最大的波形钢腹板PC组合结构桥梁,也是国内首次大规模使用波形钢腹板的工程。在考察日本等国家波形钢腹板制造技术的基础上,分析了以往采用传统冷成型方法生产中厚钢波形钢腹板产生的各种缺陷及原因,在山东鄄城黄河公路大桥的波形钢腹板制作中,将传统工艺中多点同时受压改为仅在钢板的波峰或波谷的中央处用上模和底模将钢板夹紧,而从夹紧处用小半径辊轮向两侧碾压的方法,使钢板在非设计折角处不产生塑性变形,并且与传统加工方法相比在设计折角区域也仅产生很微小量的拉伸和压缩变形 ...
王赞芝   +3 more
doaj   +2 more sources

神经重症医疗质量控制指标 Quality Control Indicators in Neurocritical Care

open access: yesZhongguo cuzhong zazhi, 2023
神经重症是临床神经科学和重症医学的交叉学科,收治罹患神经系统疾病并存在或潜在器官功能障碍的患者。我国神经重症专业成立较晚,神经重症资源设置不均衡,从业人员背景较复杂,其救治理念和诊疗水平存在较大差异。国家神经系统疾病医疗质量控制中心神经重症疾病工作组根据我国神经重症现状,基于现有的循证医学证据,借鉴国内外质量控制指标,组织全国神经重症相关领域的专家,采用改良德尔菲法制定了“神经重症医疗质量控制指标”体系。该指标体系共23项指标,分别为过程性指标、重返类指标和重点病种患者相关指标 ...
国家神经系统疾病医疗质量控制中心神经重症疾病工作组
doaj   +1 more source

神经重症医疗质量控制2018—2023:从资源调查到质量控制指标 Neurocritical Care Quality Control 2018—2023: From Resource Investigation to Quality Control Indicators

open access: yesZhongguo cuzhong zazhi, 2023
国家神经系统疾病医疗质量控制中心神经重症疾病质控工作组于2018年成立,成立后开展了全国百家哨点医院抽查、神经重症资源普查等调研工作,查找我国神经重症医疗存在的问题,如医疗资源配置不均、专业人才缺乏等。基于调查结果,工作组通过德尔菲法制定了神经重症医疗质量控制指标体系,内容涵盖过程指标、重返指标和重点病种相关指标等。此外,神经重症疾病质控工作组还制定了神经重症医师核心知识和能力共识,发布了神经重症患者镇痛镇静治疗共识,并开展了“神盾行动”等一系列宣教活动,以推动神经重症医疗质量的持续改进。未来 ...
张琳琳1,周建新2
doaj   +1 more source

Expression levels of TTF-1 and CyclinD1 and their relationship with lymphangiogenesis in ovarian cancer [PDF]

open access: yes, 2023
Objective To investigate the expression levels of thyroid transcription factor-1 (TTF-1) and CyclinD1 in ovarian cancer and analyze their relationship with lymphangiogenesis.
Zhang Xin, Yan Qianwen, Wang Luyi
core   +1 more source

Maternal satisfaction with joint and sole child physical placement arrangements following separation in Wisconsin and Finland

open access: yesFamily Process, Volume 62, Issue 3, Page 1196-1216, September 2023., 2023
Abstract Families (and sometimes courts) make important decisions regarding child physical custody arrangements post‐separation, and shared parenting arrangements are increasingly common in most developed countries. Shared arrangements may be differentially associated with parental satisfaction, and these associations may vary across countries.
Quentin H. Riser   +6 more
wiley   +1 more source

Impact on glucometric variables and quality of life of the advanced hybrid closed‐loop system in pediatric and adolescent type 1 diabetes 高级混合闭环系统对儿童和青少年1型糖尿病患者血糖指标和生活质量的影响

open access: yesJournal of Diabetes, Volume 15, Issue 8, Page 699-708, August 2023., 2023
Highlights This study is the first to evaluate the efficacy of the closed‐loop system MiniMed 780G in children aged 6 to 17 years with type 1 diabetes previously receiving continuous subcutaneous insulin infusion and intermittent continuous glucose monitoring. This shows early results, with improvement in time in range and all hyperglycemia times, from
Alfonso Lendínez‐Jurado   +7 more
wiley   +1 more source

Opportunities and challenges for Common Agricultural Policy reform to support the European Green Deal

open access: yesConservation Biology, Volume 37, Issue 3, June 2023., 2023
Abstract The Common Agricultural Policy (CAP) is the European Union's main instrument for agricultural planning, with a new reform approved for 2023–2027. The CAP intends to align with the European Green Deal (EGD), a set of policy initiatives underpinning sustainable development and climate neutrality in the European Union (EU), but several flaws cast
Ivon Cuadros‐Casanova   +9 more
wiley   +1 more source

Effects of interactions between anthropogenic stressors and recurring perturbations on ecosystem resilience and collapse

open access: yesConservation Biology, Volume 37, Issue 1, February 2023., 2023
Abstract Insights into declines in ecosystem resilience and their causes and effects can inform preemptive action to avoid ecosystem collapse and loss of biodiversity, ecosystem services, and human well‐being. Empirical studies of ecosystem collapse are rare and hampered by ecosystem complexity, nonlinear and lagged responses, and interactions across ...
David A. Keith   +8 more
wiley   +1 more source

Discrepancies in glycemic metrics derived from different continuous glucose monitoring systems in adult patients with type 1 diabetes mellitus 成人1型糖尿病患者使用不同的连续血糖监测仪时血糖指标的差异

open access: yesJournal of Diabetes, Volume 14, Issue 7, Page 476-484, July 2022., 2022
Highlights The accordance between the paired dataset between FSL and iPro2 was acceptable but poorer in hypoglycemic range. Significant differences for glycemic metrics between iPro2 and FSL were observed in time in range 70–180 mg/dL, coefficient of variation, and hypoglycemia‐related parameters (including time below range 54 mg/dL and 70mg/dL).
Yongwen Zhou   +9 more
wiley   +1 more source

Standardization of multi disciplinary team treatment for breast cancer (2023 edition) [PDF]

open access: yes, 2023
Breast cancer has become the most common malignant tumor in the world since 2020. With the diagnosis and therapeutic regimens improvement in breast cancer, survival rate of Chinese patients has been significantly enhanced in recent years.
Energizing Specialty Construction-Multidisciplinary Expert Committee for Creating Healthy China, The Society of Breast Cancer China Anti-Cancer Association
core   +1 more source

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