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Evaluation of a rehabilitation support service after acute stroke: Feasibility and patient/carer benefit

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Health 2013年第7期5卷 1124-1131页

作者： j.anna j. McAdam Michael j. Leathley Margaret S. Crichton j.lie Dickens Cathy I. A. j.ck Caroline L. Watkins Belfast Health and Social Care Trust Belfast Northern Ireland Crossroads Care (Liverpool Sefton and Warrington) Liverpool UK School of Health University of Central Lancashire Preston UK Therapies Directorate The Royal Liverpool and Broadgreen University Hospitals NHS Trust Liverpool UK

Background: Stroke survivors returning home after discharge from hospital and their carers require support to meet their rehabilitation needs (independence in Activities of Daily Living, exercise, psychosocial support). Voluntary or charitable care providers may be able to address some of these needs. Obj.ctive: To explore the feasibility of delivering and evaluating enhanced support to stroke survivors and their carers, with a Rehabilitation Support Worker (RSW). Methods: 16 consecutive stroke survivors and their carers were included. All participants received usual hospital care. Seven of these patients and their carers were also allocated an RSW from a charitable care provider. The RSW accompanied therapy training sessions with the patient, carer and therapist in hospital. On discharge, the RSW visited the patient and carer at home over the initial 6 week post-discharge period to support them in practising rehabilitation skills. Patient function (Barthel Index) and patient/carer confidence were independently assessed at discharge (Week 0). The above assessments and patient/carer mood (GHQ-12) and Carer Giver Strain were also assessed at Weeks 1, 6 and 12. RSWs were interviewed for their views about the service. Results: Participants’ functional ability at Week 1 post-discharge was significantly higher in the RSW group. At 6 and 12 weeks post-discharge, functional ability was not significantly different between groups. Carers in the intervention group were less confident at all time points, however, this was not significant. There was no significant effect on carer strain or well-being. Interviews with RSWs highlighted areas of their training that could be enhanced and the need for greater clarity as to their role. Conclusions: The results showed that a definitive trial of rehabilitation support is feasible. A number of obstacles however would need to be overcome including: difficulty in identifying suitable patients, clarity of the RSW role, and appropriate train

关键词： Stroke Rehabilitation Activities of Daily Living Instrumental Activities of Daily Living

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论吐蕃时期蕃尼古道文化内涵

西藏大学学报(社会科学版) 2021年第1期36卷 50-61页

作者：边雄·达瓦琼达西藏自治区社会科学院民族研究所

古道研究由来已久,也至关重要。相对于唐蕃古道研究取得的丰硕成果,蕃尼古道研究仍然处于起步阶段。目前关注和研究蕃尼古道的学者日益增多,在古道的开通、发展、走向及其沿线历史遗迹发掘工作等方面,取得了较为丰硕的成果。因相关资料... 详细信息

古道研究由来已久,也至关重要。相对于唐蕃古道研究取得的丰硕成果,蕃尼古道研究仍然处于起步阶段。目前关注和研究蕃尼古道的学者日益增多,在古道的开通、发展、走向及其沿线历史遗迹发掘工作等方面,取得了较为丰硕的成果。因相关资料匮乏或者挖掘不够,专论蕃尼古道文化内涵之成果稀少,已有的成果又显得零散而不成系统。文章借鉴前人的研究成果,以古汉藏史料和尼泊尔古碑文等原始资料为主要依据,分析蕃尼古道之不同功能,以求复原其文化内涵。

关键词：吐蕃尼泊尔古道文化内涵

煤矿组织安全行为对个体不安全行为的作用机理研究

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中国安全生产科学技术 2015年第12期11卷 40-45页

作者：佟瑞鹏陈策中国矿业大学<北京>资源与安全工程学院北京100083

为了探究煤矿组织安全行为对个体不安全行为的作用机理,总结国内外相关研究成果,提出个体不安全行为包含心理、生理、技能3个影响因素,涵盖记忆、思维、情绪、意志、性格、气质、能力、态度、知识、专业操作技能10个方面。在此基础上,... 详细信息

为了探究煤矿组织安全行为对个体不安全行为的作用机理,总结国内外相关研究成果,提出个体不安全行为包含心理、生理、技能3个影响因素,涵盖记忆、思维、情绪、意志、性格、气质、能力、态度、知识、专业操作技能10个方面。在此基础上,构建了组织安全行为对个体不安全行为的结构方程模型(SEM),运用统计分析方法(AMOS17.0)进行了验证分析。结果显示态度、情绪、意志、能力、专业操作技能容易受组织安全行为的影响,而性格、气质等因素由于是个体相对稳定的心理特征,受组织安全行为影响相对较小。深入研究煤矿组织安全行为对个体不安全行为的作用机理,有利于煤矿从组织安全行为入手有针对性的制定行为干预方案并控制个体不安全行为。

关键词：组织安全行为个体不安全行为作用机理 SEM 煤矿

双子季铵盐改善聚羧酸减水剂对黏土的敏感性能

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建筑材料学报 2019年第1期22卷 81-86页

作者：张光华王爽张策崔鸿跃陕西科技大学陕西省轻化工助剂重点实验室陕西西安710021 陕西科技大学陕西省轻化工助剂化学与技术协同创新中心陕西西安710021 山西省运城市泓翔建材有限公司山西运城044000

针对黏土对含聚羧酸系减水剂水泥浆体流变性能的负面影响,以三乙胺分别与1,4-二溴丁烷、1,5-二溴戊烷和对二溴苄反应合成了3种阳离子双子季铵盐(分别标记为KN1,KN2和KN3),并将其与聚羧酸盐减水剂RS-1复配.KN1,KN2和KN3的分子结构采用傅... 详细信息

针对黏土对含聚羧酸系减水剂水泥浆体流变性能的负面影响,以三乙胺分别与1,4-二溴丁烷、1,5-二溴戊烷和对二溴苄反应合成了3种阳离子双子季铵盐(分别标记为KN1,KN2和KN3),并将其与聚羧酸盐减水剂RS-1复配.KN1,KN2和KN3的分子结构采用傅里叶红外光谱(FTIR)和核磁共振氢谱(~1H NMR)测试和证实.双子季铵盐和减水剂复配体系的抗泥效果通过测定水泥净浆流动度进行评价.同时,综合运用X射线衍射(XRD)、水接触角和总有机碳(TOC)等表征手段,考察了双子季铵盐和减水剂复配体系对水泥分散、亲疏水性和吸附性能的影响.结果表明:当蒙脱土的含量为3%(质量分数)时,KN1,KN2和KN3均可显著提高水泥净浆的流动度,并能保持良好的稳定性,且KN3表现出更优异的抗泥性能.

关键词：双子季铵盐聚羧酸系减水剂蒙脱土抗泥

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新闻客观性:语境、进路与未来

暨南学报（哲学社会科学版） 2010年第6期32卷 149-155页

作者：陈映董天策暨南大学新闻与传播学院广东广州510632

新闻客观性是新闻学领域一个久具争议的核心概念。总结前人研究,可以将新闻客观性区分为四个层次:作为业务规范和叙事框架;作为策略仪式;作为专业信念;作为话语体制。自十九世纪二三十年代以来,新闻客观性非议不断。但在整个20世纪,新... 详细信息

新闻客观性是新闻学领域一个久具争议的核心概念。总结前人研究,可以将新闻客观性区分为四个层次:作为业务规范和叙事框架;作为策略仪式;作为专业信念;作为话语体制。自十九世纪二三十年代以来,新闻客观性非议不断。但在整个20世纪,新闻客观性无论是在专业讨论,还是在社会实践上,都经受住了考验。不过,在当今文化语境以及新闻市场、产制语境整体转向的新时期,新闻客观性正面临着来自"参与"法则和"透明"法则的前所未有的挑战。但媒体独立地位的确保是一个非常关键的问题。就目前而言,除了新闻客观性,我们还没有找到其它更合适的规则和方式。因此,新闻客观性作为一种方法,作为一种信念,其价值难以轻易否定。

关键词：新闻客观性语境进路未来

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简氏飞机鉴赏指南

作者： Gunter Endres Michael j. Gething

来源：南通市图书馆图书评论

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多孔介质有效导热系数的实验与模拟

四川大学学报（工程科学版） 2011年第3期43卷 198-203页

作者：史玉凤刘红孙文策大连理工大学能源与动力学院辽宁大连116024

应用实验与数值模拟相结合的方法研究了多孔介质的有效导热系数。将分形理论与孔道网络模型相结合的分形孔道网络模型用于研究多孔介质的有效导热系数,为太阳池储热、地源热泵传热、食品干燥等方面打下了基础。模拟计算结果与实验结果... 详细信息

应用实验与数值模拟相结合的方法研究了多孔介质的有效导热系数。将分形理论与孔道网络模型相结合的分形孔道网络模型用于研究多孔介质的有效导热系数,为太阳池储热、地源热泵传热、食品干燥等方面打下了基础。模拟计算结果与实验结果吻合较好,证明了分形孔道网络模型适用于计算多孔介质的有效导热系数。研究了孔喉比、配位数、垂直热流方向喉道比例、喉道长度、孔隙率、固体骨架导热系数(Ks)及流体导热系数(Kf)等多方面对多孔介质有效导热系数的影响。结果表明,垂直热流方向喉道会增大多孔介质的热阻,降低多孔介质的有效导热系数。当Ks大于Kf时,随着孔喉比的增大以及喉道长度的减小,多孔介质的有效导热系数越大。当平行热流方向喉道数目相等时,多孔介质的有效导热系数随着配位数的减小而增大;当垂直热流方向喉道数目相等时,多孔介质的有效导热系数随着配位数的增大而增大。

关键词：多孔介质有效导热系数分形孔道网络模型

Myth and Momentum: A Critique of Environmental Impact Assessments

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j.urnal of Environmental Protection 2013年第8期4卷 72-77页

作者： Andrew j. Wright Sarah j. Dolman Michael j.sny E. C. M. Parsons Doris Schiedek Sharon B. Young 1Department of Bioscience Aarhus University Roskilde Denmark 2Department of Environmental Science and Policy George Mason University Fairfax USA Department of Bioscience Aarhus University Roskilde Denmark Department of Environmental Science and Policy George Mason University Fairfax USA Natural Resources Defense Council Vancouver Canada The Humane Society of the United States Washington USA. Whale and Dolphin Conservation Chippenham UK

Environmental Impact Assessments (EIAs) are designed to evaluate all reasonably foreseeable environmental consequences of human activities. Appropriate governmental scientists traditionally produced EIAs for management agencies in many countries. However, many EIAs are now contracted out, often to the lowest bidder without due consideration of expertise. Others suffer from limited agency resources. Consequently, many EIAs have become insufficiently researched documents that draw heavily from previous EIAs while being rushed to completion to meet legislative deadlines or avoid delaying proj.cts. Habitual treatment of topics often ignores recent scientific literature, perpetuating previous misconceptions and analytical flaws. Common problems in EIAs discussing wildlife include: a focus on lethal takes, with little consideration of non-lethal impacts or habitat degradation;a general dismissal of the possibility that non-significant (to the resource) impacts can, when combined, become significant;and the assumption that behavioral habituation in animals represents an end of impact. Incentive to break the cycle is somewhat lacking in this now often commercially competitive environment, where contracts are increasingly awarded by industry, generating potential conflict of interest. We believe investment in thorough, impartially written, scientifically-based and up-to-date EIAs is important for appropriately representing and managing ecosystems and their resources and avoiding potentially expensive litigation.

关键词： Policy Management Environmental Impact Assessment Errors Cumulative Impact Assessment

Vagal Nerve Stimulation May Be a Potentially Beneficial Treatment for Acute Myocardial Ischemia

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麻醉与监护论坛 2010年第5期17卷 332-334页

作者： j. Xiong F. S. Xue Y. j. Yuan Q. Wang S. Li j. H. Liu X. Liao Y. M. Zhang Department of Anesthesiology Plastic Surgery Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing 100144 China