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51.
Definition of the problem:
Being satisfied with one’s work depends on professional autonomy, which is attributed to the medical profession to a high degree, combined with specialized knowledge and moral authority for vital questions. That is why physicians enjoy a high reputation. At the beginning of a person's medical career, moral competence is developed nearly completely, but specialized knowledge must be learned. Hospitals, in which further medical education regularly takes place, are still traditionally hierarchically organized today. Unfortunately, feudalistic or military structures hinder autonomous moral decisions and cause structural irresponsibility.Arguments:
Obstructions and pressure by superiors, financial restrictions, arrogance and trying to make one's mark are shown in typical conflict situations. Stress, discontent, moral conflicts and illness, even including burn out are possible. Commitment and creativity by employees are prevented and mistakes cannot be constructively managed. Thus, patients may suffer unreasonably or be hurt.Conclusion:
There is a risk to subordinate moral principles under other interests, not only with subordinates but also with superiors. Ways to create a culture that promotes autonomy among physicians and between different professions are discussed. Therefore it is necessary to institutionalize communication based on a reciprocal high regard in a team with people treated as equal partners, who are then able to discuss moral questions in a discourse. 相似文献52.
The finite element formulation for predicting strain distributions and weld line movements in the forming processes of tailored
sheet metals is developed. The material properties of the welding zone such as strength coefficient, work-hardening exponent,
and plastic anisotropic parameter are analytically obtained from those of base metals based on the tensile tests. The welding
zone is modelled with the several, narrow finite elements called by weld elements. To verify the finite element formulation
for tailored blanks, the forming processes of autobody door inner panel section and hemispherical dome are simulated. FEM
predictions are compared and showed good agreements with experimental measurements. 相似文献
53.
Jong Hyun Suh To Hoon Kim Byung Kil Yu Kyoung Don Lee 《Metals and Materials International》1998,4(2):157-163
Research was conducted on tailored blank welding between mild steel sheet and Zn-coated steel sheet using CO2 laser beam. The materials used in this study were low carbon steel sheets with a thickness of 1.2 mm and Zn-coated steel
sheet with the same thickness and 6.3 μm Zn coating. Experiments were conducted by applying the Taguchi method to obtain optimum
conditions for the application of this tailored blank laser welding method in practical manufacturing processes. Optical microscopy,
XRD, SEM and TEM analysis were performed to observe the microstructures and to determine the structures of welded zone. In
addition, mechanical properties were measured by the microhardness test, tensile test and Erichsen test to evaluate the formability
of the welded specimen. There was no trapped Zn in the fusion zone, and the phases of this region consisted of polygonal ferrite,
quasi-polygonal ferrite, banitic ferrite and martensite. The elongation value of welded specimen was more than 80% of the
value in substrate metal, and the LDH value was more than 90% of the value in substrate metal. 相似文献
54.
Banding formation and eutectic lamellar growth in a directionally solidified Ni50Al20Fe30 alloy were investigated. It was found that the banding area consists of two layers. The first layer is a γ layer, while the
subsequent one is a γ layer. The composition of various phases around the banding area changes with the solidification process.
The banding is formed by two steps process and caused by factors such as the fractions during the sample growth process. It
was found that the band was found at relatively low growth rate. Therefore. this study indicates that increasing the growth
rate is an effective method to eliminate the band formation. Eutectic lamellae nucleate and grow again after the banding formation.
During the initial transition lamellar growth, the relationship between the square lamellar spacing, γ2, and the distance from, the banding, d, can be described by the following equation: γ2 = K [1-exp(A.d)] where K and A are constant. 相似文献
55.
基于性能的抗震设计于20世纪90年代兴起以来,目前在土木建筑方面的文献较多,但是关于桥梁的研究成果较少。采用五级钢筋混凝土桥墩结构性能水平,以钢筋混凝土桥墩墩顶位移角为量化指标,建立了钢筋混凝土桥墩性能水平与钢筋混凝土桥墩位移角限值之间一一对应的关系。将地震危险性分析与最优设防烈度结合起来,建立基于投资-效益准则的RC桥墩全寿命总造价计算的通用框架。 相似文献
56.
本研究旨在探讨工作记忆广度和语言水平差异在中国英语学习者对隐喻句这一特定句型理解的影响。通过英语工作记忆广
度、英语语言水平及英语隐喻理解的研究测试发现,中国英语学习者的英语工作记忆广度、英语语言水平与其隐喻理解能力高度
相关,工作记忆和语言水平高低两组t 检验结果均呈显著性差异。工作记忆广度及语言水平是影响中国英语学习者隐喻理解的两
大因素,故英语学习者可以通过知识面拓展及工作记忆训练来提高自己的隐喻理解能力。 相似文献
57.
58.
59.
为促进渐进结构优化(Evolutionary Structure Optimization,ESO)法在桥梁找型方面的应用,阐述基于主应力删除准则ESO法的基本原理,研究不同M值对优化结果的影响,并建议在应用该法进行拓扑优化时取M≥10.应用基于拉应力占优删除准则的ESO法分析高跨比对缆索支承桥形式的影响,结果表明:当高跨比大于等于1/7时缆索支承桥的最优形式为斜拉桥;当高跨比低于1/7时最优形式为悬索桥. 相似文献
60.
本文给出了具有四值自相关特性的二元序列的一种构造方法.对于任意给定的素数p和正整数m、n,当m|n时,我们利用周期为pm-1的具有三值自相关特性的二元序列构造了周期为pn-1的具有四值自相关特性的二元序列,给出了新的二元序列的自相关取值及其分布,同时还讨论了这些序列的陪集不变性和线性复杂度等性质. 相似文献