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作者： HU Zhiwu WANG Shengzheng LV Xinxin Merchant Marine College Shanghai Maritime University

In order to break through the limitations of traditional methods of on-site patrolling supervision and regional supervision,the off-site maritime supervision concept and modeling,which is suitable for Chinese maritime circumstance,is presented in this *** integration of existing maritime monitoring information（such as VTS,AIS and CCTV） via electronic technique featuring on major dynamic ship surveillance and evidence collection of off-site illegitimate behavior is a way to realize the off-site maritime supervision all over China’s territorial *** is a typical practice for the project of China’s "Wisdom Maritime Administration" and has been applied successfully in some of the regional Maritime Safety Administrations（MSAs） of China.

关键词： off-site maritime supervision management information system marine law enforcement model

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Risks of modular integrated construction: A review and future research directions

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Frontiers of Engineering Management 2020年第1期7卷 63-80页

作者： Ibrahim Yahaya WUNI Geoffrey Qiping SHEN Bon-Gang HWANG Department of Building and Real Estate The Hong Kong Polytechnic UniversityHong KongChina Department of Building National University of SingaporeSingapore 117566Singapore

Stakeholders remain skeptical in adopting modular integrated construction(MiC)because of the associated risks and uncertainties,although its benefits have been extensively *** unique business model of MiC nurtures several risks and uncertainties different from those of the conventional construction *** the growing attention on MiC with its market expansion,no systematic evaluation is in place to monitor its risks research ***,this research reviewed published literature addressing the risks associated with MiC from 1992 to *** reveals that the research publications on risks of MiC witnessed a steady growth,with considerable progress occurring in the last *** implies that the risk of MiC has gained extra attention in the construction engineering and management domain in recent *** empirical studies have focused heavily on perceived implementation risks,supply chain risks,schedule risks,investment risks,structural risks,ergonomic risks,and MiC risk management strategies,which indicate that MiC is associated with a host of risk *** research further identified the critical risk events(CREs)in the application of MiC based on frequency of *** identified CREs contributes to the checklists of risk events in the implementation of offsite construction(OSC).The latter may be useful in risk planning,especially where the MiC is less developed,and fewer or no bespoke risk assessment *** gaps in existing studies are highlighted in this research,and areas for further studies are then ***,it makes a useful contribution to the scholarly literature on the risk of OSC and may prove useful to offsite construction researchers,industry practitioners,and project managers.

关键词： modular integrated construction off-site construction risk events review

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Emergency Surgical Intervention by Mobile Surgical Team in the NICU

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Open Journal of Pediatrics 2014年第2期4卷 162-168页

作者： R.-B. Trobs A. Stein U. Felderhoff L. Hanssler Department of Pediatric Surgery Catholic Foundation Marienhospital Herne Ruhr-University of Bochum Herne Widumer Germany Department of Pediatrics I University Hospital Essen Hufelandstr Essen Germany

The objective of this study was to describe our NICU’s (neonatal intensive care unit) experience with mobile surgical team and to demonstrate its effectiveness. Method: We analyzed the data of 17 consecutive very low birth weight and extremely low birth weight infants over 3 years who underwent 22 procedures (19 emergency and 3 elective). The gestational age at birth was a median of 25 weeks (range 24 - 39), and the median birth weight was 613 g (range from 340 g to 1100 g). The infants received their operations during their first 2 weeks of life (median 7 days, range from 1 to 14). Results: The spectrum of primary surgical diagnoses included spontaneous intestinal perforations (n = 8), gastric perforations (n = 3), necrotizing enterocolitis (n = 2), meconium ileus (n = 2), and miscellaneous (n = 2). An emergency laparotomy with either a bowel or a gastric procedure was performed in 16 cases. Postoperatively, all infants required mechanical ventilation from 1 to 43 days (median 6.5 days). Complications included a metachronous small bowel perforation, an ileostomy retraction, a prolapsed stoma, and impaired wound healing;we had one postoperative death. Two infants died later in the NICU (mortality 3 of 16;19%). Conclusion: off-site surgery for preterm infants in the NICU is feasible. This approach prevents the risks of transportation, and parents and neonatologists alike feel comfortable with this regimen. However, biases may exist regarding the surgeon’s decision to operate, the choice of procedure, and the follow-up.

关键词： off-site Surgery NICU Extremely Low Birth Weight Infants Necrotizing Enterocolitis Spontaneous Bowel Perforation Gastric Perforation

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