再评估

The quality of interior environment in nursing home residents will become one of the attention-getting subjects due to the gradual increase of aging populations This paper directs at the research of nursing home's interior environment factors in Tainan We use the standard of international practice to analyze the intrinsical data of environmental monitoring and establish the characteristics which from environmental physical reaction of nursing home The research items are air environments (PM10 CO CO2 formaldehyde TVOC) temperate environments and light environment (illumination average brightness daylight factor) etc There are the inductive conclusions of this research: 1 In basic medicine the clinical diagnosis means the theory and technique about physical examination with patients The definition of clinical diagnosis in architecture should be the diagnosis of building preserve and improve the feasible way to extend building's service life and assure the residents of the healthy quality of interior environment The object of clinical diagnosis in architecture is not only to ensure the use of structure and environment quality but also keep the structure and environment quality in sustainable; therefore creating an efficient system of preserving plan is needed 2 It is an accurate and technical circumstance which about improving remedying and reconstructing the problems of structure space This circumstance includes finding questions ensuring causation ascertaining ultimate strength evaluating environment quality estimating the necessary of restoration and implementing on a suitable way Furthermore when reconstructing and ameliorating the appearance of structure space it should be respected and the memories of it should be preserved 3 In clinical diagnosis of environment quality of space the question of physical environment and the deficiencies of structure must be separated The structure space of construction and the high quality of space should be inspected strictly then observed the crucial reason that can find out any invisible and hidden causes The diagnosis of construction is to observe the reason of destroyed structure The environmental diagnosis of indoor and outdoor is to find out the crucial reason that influences health 4 In order to decrease the iterant problems the construction and environment of space should be diagnosed However the destruction by natural strength and artificial using by human are important causes that can affect the service life of construction Searching the cause of disease just like curing the patient which includes inspection diagnosis cure and prevention We tested the thermal conductivity of siding material in this research and then found out the roof east vertical face and west vertical face have most radiant heat especially the construction of RC The characteristics of opaquely outer casing have relations with the thermal conductivity of wall to wiz the ability of heat insulation Therefore increasing the efficiency of heat insulation and decreasing the endoergic factor of insolation are very important to temperate environments

而随著国内老年人人口逐渐增加，逐渐迈向高龄化之同时，对於高龄者使用空间之室内环境品质相关议题之探讨，亦成为未来我们需加以关注之议题之一。主要为针对台南某安养中心室内环境因子进行检测调查工作，利用现场室内环境测定以取得有效的实测数据；再藉由汇整相关国际评估基准，并进行实测数据比对分析，建立老人安养中心对物理环境反应之特性。并以前期相关研究文献回顾与老人安养中心实测案例现场的实验，来了解不同空间物理环境特性之影响，并将结果回馈实际建筑及室内设计之用。调查工作项目包含：空气环境之PM10、CO、CO2、甲醛、TVOC；温热环境之室内温度、相对湿度、人体PMV、PPD；光环境之照度、均齐度、昼光率等因子调查。本研究结果可归纳以下几点结论： 1 所谓临床诊断医学乃相对於基础医学而言，是指实际与病人接触的医疗及护理行为中牵涉到的理论和技术；而建筑的临床诊断的定义应为建筑本体与室内外诊断、维护及改善所有可行的方式来延长建筑物的寿命，并确保人与室内环境空间品质的健康。建筑临床诊断目的为确保结构体与环境品质能继续使用，而能维持所需要的效能及承受能力。一个有效的维护计画体系是必须建立的 2 在建筑空间之问题改善、治疗与修复执行中，是一个精确与技术性的事项，其中包含找出问题、确定原因、评估结构应力强度、评估环境品质、评估修复与改善必要性、选择及执行一个适当的过程。其改善与修复也必须尊重建筑空间原有色彩与形貌，并保留原有记忆及文化。 3 在临床诊断中空间环境品质中，物理性环境问题与结构构件缺陷必须分别判断，诊断建筑空间之结构与空间舒适品质必须详细观察其症结性问题，才能发现任何隐藏及有潜伏性缺陷的原因。建筑本体诊断是观察出建筑本体之破坏原因，而是内外空间环境诊断目的在於的找出影响健康因素之症结性问题。 4 建筑本体与空间环境之预防评估目的为降低与抑制问题的再发生。然而，自然力的破坏与人为使用因素皆是影响建筑生命期之主要因素，找出病源问题就如同医生对病人的处理，包含了侦查、诊断、治疗以及预防。 5 本研究以外墙材料热传导率测试结果发现，屋面与东西向立面是承受辐射热最多的地方，尤以 RC 的建筑更甚，不透明部分的外壳能特性主要与壁体的热传透率即隔热能力有关，但是承受来自日射的吸热影响，因此增加隔热性能与降低日射吸热因子是对温热环境是非常重要的。

I have finished the ratio calculation of mw materials used to produce cementclinker, relative environmental impact importance assessment of emissions andenvironmental synthetic index under different conditions.the result means that we can selectthe optimal procession parameter and optimal procession ,considering environmentalactor ,mechanic erect kiln is the best one among the different kilns.the procession of closed-loop recyclable concrete is introduced in detail ,we found it is possible to make full use ofwasted concrete illimitedly by proper design ,though the recyclable concrete physicalfunction decreased a little comparing with virgin concrete, it's environmental property ismuch better than usual concrete.we also found that it is possible to use wasted concrete asthe coarse aggregate or fine aggregate.we probe the possiblity that fuzzy mathematics isused to judge whether a product is green product or not.

确定了不同窑型的最佳的工艺操作参数；比较了不同窑型的环境性能，得出结论：预分解窑是最佳的工艺选择。本软件具有专家系统的功能，本软件的最大特点是动态性和灵活性，这是为人为的因素，地方的因素变化性而设计的。允许输入不同的边界条件，即可得到不同的结果，这为水泥-混凝土的环境化设计提供了有力的帮助。本人也努力设计一个适用于水泥厂的数据库的框架，来实现水泥厂的在线评估。本文探讨了实现环境化设计的可再循环的混凝土的设计，得出结论：通过合理设计的混凝土的无限循环是可能的，虽然再循环的混凝土的性能与原混凝土相比有所下降，但其环境性能是普通混凝土无法比拟的，本文还探讨了废混凝土的利用的可能性及评估，废混凝土用作混凝土的粗集料是合适的，虽也可作细集料，但不值得提倡。

objective to evaluate efficacy of extracorporeal shock wave lithotripsyfor treating ureteral stones in situ,investigate the cause of higher re-treatment rate.methods total of 687 patients with ureteral stone were received eswl between january 2000 and december 2004,included 455 male(66.2%) and 232 female(33.8%) patients,6 cases have bilateral ureteral calculi,12 cases have unilateral multiple calculi.hence,together 709 ureteral calculi were treated.patients upper ureteral calculi were treated in the supine position,for lower ureteral calculi patients were turned prone.to reduce eswl-induced renal trauma and pain,using lower energy source,adjusted power setting from 9.8 to 13.2kv,limited 1500 shock wavs per one session.no auxiliary procedure were used before eswl.the stone size was measured as the surface area of stone length by stone width on x-ray film.the interval between two treatment sessions was two weeks.results of 709 ureteral calculi,the overall stone free rate was 97.3%(690 calculi),re-treatment rate was 34.1%(292 calculi).according to the performed treatment sessions,one session 467 calculi,the mean stone size 37.27mm2,stone free rate 65.4%(464 calculi).two sessions 138 calculi,the mean stone size 62.48mm2,stone free rate 18.4%(131calculi).three sessions 52 calculi,the mean stone size 79.60mm2,stone free rate 7.1%(50calculi).four sessions 19 calculi,the mean stone size 101.63mm2,stone free rate 2.4%(17calculi).fivesessions 33 calculi,the mean stone size 119.33mm2,stone free rate 3.9%(28 calculi).overall 19 cases(2.7%)turned to other treatment modalities.of 335 upper ureteral calculi,303 achieved stone free (95.8%),re-treatment rate was 38.5%(129 calculi).of 374 lower ureteral calculi,369 achieved stone free(98.7%),re-treatment rate was 30.2%(113 calculi).the re-treatment rate of upper ureteral calculi was higher than lower ureteral calculi(p＜0.05,χ2=5.40).the difference of stone-free rate between upper and lower ureteral calculi was no significant(p＞0.05,χ2=0.15).conclusion eswl should be considered first line therapy for ureteral stone still.stone burden are the main variable of higher re-treatment rate,upper ureteral stone may moving with respiring during eswl.so efficinet shock wave was decreared,re-treatment rate become higher.

目的 评估体外震波碎石治疗输尿管结石的疗效，探讨再治疗率高的原因及输尿管结石的治疗选择。方法回顾2000年1月～2004年12月间eswl治疗输尿管结石的临床资料687例，男455例（66.2%），女232例（33.8%），平均年龄46.6岁（15～83岁）。有双侧输尿管结石6例，单侧多发性输尿管结石12例（4颗1例，3颗2例，2颗9例），共计输尿管结石709颗（含透光结石13颗）。应用上海爱申公司生产的desunit6030型碎石机，c臂x线球管做结石定位。上段输尿管结石（肾盂输尿管交界处至骶髂关节上缘）取仰卧位，下段输尿管结石（骶髂关节上缘下至输尿管口）取俯卧位。为减少eswl引起的肾损伤和疼痛，应用较低的能量，震波发生器电压从9.8～13.2kv，震波频率1.5s。每次治疗设定为1500次震波。治疗后3天摄腹部平片或b超，以后每隔7日重复检查。假如结石未碎或有残留结石最长径＞3mm以上，再次eswl，两次治疗的间隔时间为两周。结石的大小用x线片上的表面积（mm2表示。结果 709颗输尿管结石总的治愈率为97.3%（690颗），再治疗率34.1%（242颗）。其中一次治疗467颗，平均结石大小37.27mm2，治愈464颗（65.4%），3颗改治疗；两次治疗138颗，平均结石大小62.48mm2，治愈131颗（18.5%），7颗改治疗；第1和第2次治疗治愈率（1个月治愈率）为83.8%。3次治疗52颗，平均结石大小79.60mm2，治愈50颗（7.1%），2颗改治疗；4次治疗19颗，平均结石大小101.63mm2，治愈17颗（2.4%），2颗改治疗；5次及5次以上治疗33颗，平均结石大小119.33mm2，治愈28颗（3.9%），5颗改治疗。总计19颗（2.7%）结石改变治疗方式。上段输尿管结石335颗，治愈321颗（95.8%），再治疗129颗（38.5%）。下段输尿管结石374颗，治愈369颗（98.7%），再治疗113颗（30.2%）。经χ2检验，上、下段输尿管结石的再治疗率差异有显著性（χ2=5.40，p＜0.05），治愈率差异无显著性（χ2=0.15，p＞0.05）。不良反应：血压升高13例（1.9%），震波区域疼痛26例（3.8%），震波进入处皮肤点状淤血33例（4.8%），肉眼血尿128例（18.6%），均于第2、3天自行消失。结论 eswl目前仍是输尿管结石的第一线治疗，结石的大小是再治疗率高的主要因素。结石的位置有影响，上段输尿管结石可随呼吸移动，有效震波次数减少，再治疗率比下段输尿管结石高。eswl前注重病例筛选可降低再治疗率。

In order to unsterdand the properties of rebound and recompression, this study carried out oedometer tests for six soft clays with three surcharge ratios to simulate surcharging. Properties analyzed in this thesis include: 1 post–surcharge secant secondary compression index; 2 amended post- surcharge secant secondary compression index in which the time starts from load application; 3 time at which secondary compression reappears; 4 post-surcharge secondary compression strain rate.

为探讨软弱粘土於超载移除后的回胀与再压缩性质，本研究利用传统单向度压密试验仪对六种土样分别进行三种超载比的超载单向度压密试验，并分析所得结果，分析方法包括：1评估后超载割线二次压缩指数；2评估修正后超载割线二次压缩指数，将后超载的时间原点改为由加载起始时起算；3评估二次压缩再现时间与超载比的关系；4评估后超载二次压缩应变速率之特性。

However, the impacts of the program on Taiwanese innovation system are understudied. The paper proposes an integrated evaluation approach to assess the national impacts as a whole. The paper illustrates the organization of evaluation that deploys four industrial panels and a following 2-wave Delphi questionnaire survey.

本文回顾研发国际化与科技评估等文献，提出了一个整合式的评估架构来评估该国家型研发计画对我国创新系统与产业研发的影响，透过四个产业专家小组的讨论，找出该计画的政策效用、冲击、过程改善与未来发展策略的重要评估议题，再经德尔菲法问卷来汇集专家对该研发计画的看法。

We'd like to solve the aggro issues first and then evaluate the spell.

首先我们要解决血虫乱引怪的问题，再评估这个技能。

Cashman would say only that he is not actively looking for more first basemen, but manager Joe Girardi said that Duncan had "some circulatory issues" and would be evaluated before Spring Training.

现金男只说他们现在并没有积极地去找其他的一垒手；但总教练Joe Girardi说邓肯的确有&循环方面的毛病&，在春训之前还要再评估。

This study is focused on a six-week group psychological guidance to 34 university students, together with a re-assessment of its effect after 9 months.

以团体心理辅导技术对 3 4名大学生进行为期 6周的团体心理辅导，并于 9个月后对辅导的效果进行再评估。

We reviewed the average requirement and the recommended intake of vitamin D in children, adults, elderly and pregnant and parturient women, and encouraged to increase the recommended intake of vitamin D; We also reviewed the risk of high-dose vitamin D intake and suggested to raise the maximum tolerable intake made by American CRN. Finally, we propose that Chinese Nutrition Society will consider to increase the UL of vitamin D from 20 μg to 50 μg.

本文综述儿童、成年人、老年人和孕产妇的平均需要量和推荐摄入量，鼓励增加维生素D的推荐摄入量；综述美国营养责任委员会对高剂量维生素D摄入风险的再评估，提高可耐受最高摄入量；最后建议能否考虑将中国维生素D的UL由20μg提高到50μg。

Patients were reevaluated 12 months after surgery. In all 16 patients, distinct splitting of the facial nerve was demonstrated.

在术后12月对患者进行再评估，在这16例患者中均被证实有明确的面神经分离。

Further more, the simplified analysis method on stressed-skin effect of corrugated steel sheet is also discussed in detail.

此外还比较详细地探讨了蒙皮效应的简化分析方法。

If I had known her telephone number,I would have called her.

要是我知道她的电话号码，我就打电话给她了。