框架结构被广泛地应用于钢结构建筑,但因为侧移刚度小,地震作用下易产生较大侧向位移.通过在结构体系内的部分框架柱之间布置一定数量的支撑形成钢框架支撑体系,可显著提高结构侧向刚度并降低用钢量.本文首先总结了国内外钢结构、钢框架结构以及钢框架支撑结构体系的研究现状,分别阐述优点和缺点,然后总结本文在研究分析时所借用和参考的抗震设计理论和计算方法,结合分析软件佳构STRAT V7.0给出抗震设防指标,最后以钢结构框架—支撑体系的工程实例为研究对象,运用反应谱法和时程分析法对该体系处于多遇地震(小震)作用时的层间转角位移、剪重比等相关参数指标进行了计算分析,检验了该钢框架高层结构的抗震性能,为钢框架高层建筑的抗震研究提供参考.

本设计旨在为人们提供可长时间供应绿色果蔬的环境控制系统,能够自动检测植物生长环境的温度、湿度、光照强度等参数,且可以输入各参数设定值,各执行机构根据单片机的处理结果对植物的生长环境进行调整.

旅游是很多国家和地区的支柱性产业,而文化则是旅游的核心内涵.因此,如何翻译旅游文化的外宣材料就成为了摆在译者面前的一个重要课题.一方面,译者必须要将本国的旅游文化推介出去,以便达成文化输出的战略方针;另一方面,译者还必须确保读者能够接受外来的异质文化.也就是说,必须要在避免文化冲突的前提下最大限度地将本民族的旅游文化推广开来.要做到这一点,译者在译前必须先明确自己的翻译目的,以有针对性地选择科学的翻译策略.

采用磁控溅射方法在石英衬底上制备ZnO薄膜,研究溅射气体流量比对薄膜性能的影响,利用XRD对薄膜结构进行表征,SEM表征薄膜的表面形貌,讨论了溅射气体流量比对薄膜电学性质的影响.结果表明,当Ar/O2为1/0.05时,得到p型ZnO:P,其电阻率为59.80Ωcm,迁移率为0.49 cm2/Vs,空穴载流子浓度为2.33×1017 cm-3.

The traditional method and neural network method have the shortcomings in the aspect of electric power quality evaluation,a new electric power quality evaluation method based on support vector regression is proposed. The electric power quality evaluation indicator system was established according to the electric power quality standards and relevant literatures. The grade interval of the electric power quality evaluation indicator is given. On the basis of the principle of support vector regression and electric power quality evaluation indicator,the electric power quality evaluation model based on support vector regression was established. The simulation results of the application examples show that the established evaluation model has strong generalization ability,and the obtained evaluation result is more reasonable and reliable than that of other evaluation methods.

目的:分析有效的沟通与不合格标本率的关系.方法:回顾性分析2013年1月至2014年12月本院住院患者不合格血液标本,其中2013年340份,2014年259份,以构成比描述不合格标本情况,采用Pearson x 2检验比较2013和2014年不合格标本率下降情况及不同类型不合格标本率下降情况.结果:血液标本不合格类型主要是抽血量不准确、抗凝血凝固、真空管选择错误,这三种类型在2013年占85.88％,2014年占89.19％,;2013年血液标本不合格发生率0.46％;2014年血液标本不合格发生率0.34％,2014年血液标本不合格率显著低于2013年.结论:有效沟通能降低血液标本不合格发生率.

介绍了移动医疗技术的概念和定义,论述了移动医疗技术在院前的健康监测与健康管理,院中的移动医疗服务和安全、效率管理以及院后的健康促进、健康教育、慢病管理和健康调查等方面的应用,探讨了移动医疗技术未来发展趋势,以期为研究人员开发移动医疗技术产品提供参考.

目的:通过基于社区的糖尿病监护系统对糖尿病生活方式的干预,改变糖尿病患者的不良生活方式,延缓糖尿病并发症的发生和发展,提高患者的生活质量.方法:建立患者电子档案,采用互联网和移动医疗技术构建医院指导、社区干预、患者自我管理相结合的个体化慢病照护体系,通过智能手机实现对患者饮食、运动、用药进行监测和提醒,并对患者进行糖尿病基础知识、预防并发症方面进行指导教育.结果:通过基于社区的糖尿病监护系统监测和干预,患者的用药习惯和生活方式有显著改变.结论:监护系统从用药、生活习惯、健康教育等多方面对患者干预和指导,有效地控制了糖尿病并发症的发生和发展,提高了患者生活质量.

肥胖患病率已经达到流行病的程度,肥胖是多种癌症发生的重要危险因素,例如大肠癌、乳腺癌、子宫内膜癌、前列腺癌、甲状腺癌等.体质量指数作为最常用的肥胖替代指标,可较好地反映肥胖癌症患者的临床特征、治疗疗效及预后.历年研究显示,对于肥胖与癌症关系的各临床研究得到的结论并不完全趋于一致.肥胖作为大多数常见癌症的一个重要危险因素,其作用机制的研究结果尚不明晰,从肥胖到癌症的发生、发展过程中干扰因素非常多,临床研究应根据需要适当选用,通过更有力的证据找出两者的关系,以期减少癌症的发生、发展,提高癌症患者预后的生活质量.

国务院于2009年3月17日提出<关于深化医药卫生体制改革的意见>,文中指出:"2020年前基本医疗保险制度全面覆盖城乡居民",实现全民享有健康的目标.解放军总部也适时提出"军队医院要积极参与地方社会医疗制度改革"的要求.医疗是军队密切军民关系的重要手段之一,我军医院从组建第一天起,始终把为地方群众医治疾病当作自己义不容辞的责任.而新医改政策的全面落实对军队医院的发展既是机遇也是考验,面临着诸多客观问题:譬如如何借势新医改促进军队医院的发展以提高军队医院服务保障水平,如何创建研究型现代战区总医院以实现军队医院的转型.本研究通过探讨军队医院目前面临的形势以及存在的不足,提出医疗市场营销在创建研究型现代战区医院中发挥的作用.

目的 编制符合我国卫生行业标准的健康风险评估问卷,为健康管理提供标准风险评估工具.方法 参考国际公认健康测量量表建立健康风险评估问卷条目池,采用自定的筛选条目标准和我国卫生行业数据标准对问卷及选项进行筛选和标准化,形成健康风险评估问卷.结果 构建了包含298个条目的健康风险评估问卷条目池;按照条目筛选原则,并咨询健康管理领域专家,最终筛选60个条目作为健康风险评估问卷的正式条目,包含10个维度:性别、年龄、婚姻状况等个人一般情况,身高、体重、腰围、胸围、臀围等体格测量情况,饮酒、吸烟、运动等生活方式情况,荤食、素食、嗜盐、嗜糖等饮食习惯情况,家族健康史及个人患病史情况,社会家庭支持,精神心理压力,自我健康意识,自评健康和工作情况.采用我国卫生行业数据标准对问卷及选项进行筛选和标准化后,形成符合我国卫生行业标准的健康风险评估问卷.结论 编制的健康风险评估问卷既包括了健康风险评估所需个体信息,又符合国家卫生行业数据标准,在健康管理及相关软件系统研发领域具有较好的应用前景.

我国地域辽阔，医疗资源分布严重不均衡。本文围绕如何将三级甲等医院的优质医疗资源通过网络技术手段，实现对基层医疗卫生机构的帮带，通过点对多点的服务模式［1］，提高上级医院帮带下级基层医疗机构的效率，在为基层患者诊断的同时，实现对基层专科医生的培训和教学，从而解决基层医疗卫生机构缺少专家、诊断水平较低、看专家难的问题，实现“优质医疗资源下沉”［2-3］。

Objective To develop a inter-hospital cooperative system for health management based on standardized individual health database,in order to realize data equipment sharing,standard unifying,two-way referral and remote technical guidance.Methods With BIS configuration,Python as the development tool,Linux operation system as the server platform and ADSL network for data sharing,the system was characterized by standardized flow for health management,network sharing for individual health database,as well as suggestion,evaluation and prescription for individual health.Results The trial was performed with General Hospital of Chengdu Military Area Command as the large-scale hospital,three municipal hospitals from Sichuan Province as the central hospitals,and five community healthcare centers or county hospitals as the primary ones.Three-level regional health management was realized,which could be used for data sharing,standard unifying,two-directional referral and remote education instruction.Conclusion The cooperative system for regional health management contributes a lot to the standardized data interface and flow,and also to the epidemiological analysis of the physical examination data.

目的探讨增强自我效能干预对肺结核患者自尊及社会功能的影响。方法 112例肺结核患者随机分组为实验组和对照组,分别实施常规健康教育与增强自我效能干预,采用社会功能缺陷筛选量表(SDSS)、自尊量表(SES)和一般自我效能感量表(GSES)对患者进行评定。结果实验组经干预治疗后SES、GSES评分明显高于对照组,SDSS评分明显低于对照组(P<0.01)。结论通过增强自我效能干预,可以提高肺结核患者的自我效能,进而提高其自尊及社会的适应能力。

Objective To construct the health risk model of fatty liver, and to evaluate the model reliability, and to provide tool to fatty liver health management and health education. Methods The data were collected using Chinese Health Risk Appraisal Questionnaire(CHRAQ). The health risk model of fatty liver was constructed with reference to the relevant literature. The reliability was evaluated using Cronbach's alpha coefficient, Spearman-Brown coefficient, test-retest reliability. Results The health risk model of fatty liver was constructed using 17 items selected from CHRAQ. The model scores followed the normal distribution(Z=1.126, P = 0.158). The Cronbach's alpha coefficient, Spearman-Brown coefficient, test-retest reliability were 0.679,0.819,0.883(P<0.001). Conclusion According to the mainstream scoring method of health risk model and the classical reliability evaluation methods, the health risk model of fatty liver was constructed. The reliability of the constructed model were good, and the model has a certain application prospects in the field of health management and health education.

[Objective] To construct the health risk model of mammary hyperplasia ,and to evaluate the convergent validity and reliability of the model .[Methods] The data were collected by using Chinese Health Risk Appraisal Questionnaire(CHRAQ) .The health risk model of mammary hyperplasia was constructed with reference to the relevant literature .The model validity was evaluated by using convergent validity ,and the re-liability was evaluated by using Cronbach's alpha coefficient ,Spearman-Brown coefficient and test-retest relia-bility .[Results] The health risk model of mammary hyperplasia was constructed through choosing 15 items of CHRAQ .The model scores followed the normal distribution .The correlation coefficient between the positive rate of ultrasonic examination of mammary hyperplasia and the model scores was 0 .524( P < 0 .001) .The Cronbach's alpha coefficient ,Spearman-Brown coefficient and test-retest reliability were 0 .791 ,0 .868 and 0 .824 ,respectively( P <0 .001) .[Conclusion] According to the mainstream scoring method of health risk model and the classical validity and reliability evaluation methods ,the health risk model of mammary hyperpla-sia is constructed .The validity and reliability of the constructed model are good ,and the model has a certain application prospects in the field of health management ,education and promotion .

According to development history of medical engineering,this article expounded the domestic and international development direction on development and research,management,maintenance and quality control of medical equipment.It also discussed the action and role of biomedical engineering in the hospital construction and development,including equipment management,maintenance,quality guarantee and computation.It provide thinking and help for the graduate on biomedical engineering to exert their function during the hospital construction.

<正>卫生部《健康中国2020战略研究报告》中指出未来七大医疗体系重大专项,基于网络体系的全民电子健康系统建设位居其一。针对医疗信息化,将推出611亿元预算的全民电子健康系统工程,包括区域性

和平时期,"姓军为兵,服务人民"是军队医院一向秉承的办院宗旨,军队医院对社会开放,其病患主要来源为地方群众.军队医院通过大量收治地方病患,在提升自身医疗技术的同时,也进一步提升了为部队伤病员服务保障的质量;在缓解群众"看病难"的同时,也缓解了部队官兵"看病贵"的矛盾.

<正>军队医院是医院集团中的特殊群体,肩负着双重任务。一是保障军队干部战士的健康,二是服务驻地百姓健康。概括起来就是:"姓军为兵,服务人民","平时保健康,战时保打赢"〔1〕。但是,医学是一门经验性很强的学科,其进步离