Research bronchoscopies do not adversely affect HIV-infected individuals' future health-care decisions

STUDY OBJECTIVES: Asymptomatic HIV-infected individuals are increasingly recruited for studies involving invasive procedures such as bronchoscopy. We sought to determine the response to and outcome of a request for a research bronchoscopy in HIV-positive individuals with no respiratory disease, and whether this would adversely affect future decisions to have a medically indicated bronchoscopy. DESIGN AND SETTING: Prospective, semistructured, questionnaire-based study in a London teaching hospital HIV outpatient clinic. PARTICIPANTS: One hundred and seven consecutive HIV-infected eligible individuals. Thirty-one healthy volunteers served as a control group for the subjective response to bronchoscopy. MAIN OUTCOME MEASURES: Subjects' attitudes and responses to requests for bronchoscopy and subsequent behavior when they required medically indicated bronchoscopy. RESULTS: Seventy-five patients (70%) agreed to the procedure in principle, predominantly for altruistic reasons. Thirty-nine subjects underwent bronchoscopy. Five percent found it worse than expected; and 79% agreed to another research bronchoscopy (performed in 11 subjects approximately 2 years later). All patients said they would undergo bronchoscopy again for diagnostic purposes (required in seven during the study). When compared to a healthy volunteer population within the same study, postbronchoscopy symptoms were similar in frequency although somewhat different in nature. Subjects felt that a clear explanation of what was involved enhanced their participation in this research. CONCLUSIONS: Invasive research procedures such as bronchoscopy can be performed and are repeatable in a healthy HIV-infected population. Performance of procedures for research purposes does not appear to adversely affect future health-care decisions.     

基于区块链技术的装备采购诚信交易机制研究

为提高装备采购效率,分析装备采购过程中诚信问题产生的环节及形成的原因,搭建基于区块链技术装备采购诚信交易机制的基础架构,设计诚信交易机制流程,以实现装备采购活动中企业准入的公平选拨、承制商的自动选择、里程碑拨款的及时准确、信息及时上链促进共同监督等功能,并从智能合约优化、明晰联盟链权限、人才队伍建设3个方面提出需关注的问题.该机制可减少装备采购中不诚信的现象,提高装备采购信息化水平.     

Damage and deterioration mechanism and curing technique of concrete structure in main coal cleaning plants

Concrete structures in main coal cleaning plants have been rebuilt and reinforced in the coal mines of the Shanghai Da-tun Energy Sources Co. Ltd., the first colliery of the Pingdingshan Coal Co. Ltd. and the Sanhejian mine of the Xuzhou Mining Group Co. Ltd. In these projects, the operating environment and reliability of concrete structures in the main plants of the three companies were investigated and the safety of the structures inspected. Qualitative and quantitative analyses were made on the spe-cial natural, technological and mechanical environments around the structures. On the basis of these analyses, we discuss the long-term, combined actions of the harsh natural (corrosive gases, liquids and solids) and mechanical environments on concrete structures and further investigated the damage and deteriorating mechanisms and curing techniques of concrete structures in the main coal cleaning plants. Our study can provide a theoretical basis for ensuring the reliability of concrete structures in main coal cleaning plants.     

从女性主义角度浅析《傲慢与偏见》两译本

从女性主义的角度对简·奥斯丁的作品《傲慢与偏见》的两个中文译本——孙致礼和张玲、张扬的译本进行比较。分析女性主义意识对翻译过程以及最终译本的影响。     

不锈钢GTAW焊焊接中的氧化试验研究

对于不锈钢的焊接，在NDT检测中仅对夹渣、未熔合、未焊透、气孔等缺陷均有评定标准，而对菜花状缺陷、树瘤状氧化缺陷、蓝脆现象、氧化现象等却没有评定方法及标准。为此，以不锈钢管的焊接试验为主鲒合不锈钢板的焊接，针对不锈钢在GTAW焊焊接中氧化缺陷的防止方法、氧化评定及检测标准提出几点看法，供行业界借鉴与批评指证。     

Formation and thermal stability of amorphous Ni-Mo-P alloys

The experimental researches on the chemical deposition of Ni-Mo-P amorphous alloys were carried out by adding Na2 MoO4 into acidic solutions. The optimum technology conditions were obtained by orthogonal design experiments. The structures and the relationship between compositions and their thermal stability were studied by energy spectrum (EC), scanning electron micrograph and X-ray diffraction spectrum. Compared with Ni-P amorphous alloys, the Ni-Mo-P amorphous alloys have high crystallization temperature and thermal stability, and the hardness reaches its peak when the annealing temperature is 500 ℃. With the increase of the heat treatment temperature, the surface morphology of the alloys changes.     

浅谈基坑支护的有关技术问题

随着我国社会建设的持续推进,基坑工程数量急剧增加,基坑工程所处的地质条件、周边建筑物、通行道路及地下设施等外部环境越来越趋于复杂,明挖缓坡基坑趋于减少,基坑开挖后要保证周围建筑物、道路正常通行等要求的基坑工程数量趋于增多。基坑支护的安全性直接威胁到周边建筑物、道路、地下室及施工人员的安全,基坑一旦失稳,很可能会造成巨大的人员和财产损失,对社会安定造成重大影响。因此,基坑支护工程是基坑工程中的重中之重,需要设计、施工、监理及有关管理部门高度重视。     

非均质算法在油藏数值模拟中的应用与研究

三维地质模型网格数据量庞大,直接应用于油藏模拟多有不便。为减轻CPU工作负荷,方便油藏数值模拟,需要对大数据量的数值模型进行粗化处理,旨在减少三维网格体数据量的同时,尽量保持储层原有的地质信息。由此引发我们对精细油藏描述中非均质算法的研究,这一研究对油藏数值模拟有着重要意义。     

旅游文化品牌的视觉开发设计

西关文化作为岭南特有的地域文化,造就了广州荔湾区——荔枝湾涌地域旅游文化品牌的特色。文章探讨在荔枝湾涌旅游文化品牌的推广过程中,从视觉表现的角度,研究如何运用多元化的现代设计概念,去诠释地域文化特色与地域旅游文化品牌结合的形象设计创作方法。     

IPTV软终端功能设计方案研究

随着IPTV的大发展,用户已不满足于单一终端上享受IPTV带来的优质服务,为了让用户感受到更好的IPTV体验,IPTV软终端便是一个非常好的方式,让用户不再局限于家庭电视机单一的终端,逐步转型成为由电视机、电脑组成的多终端形式,用户不再拘泥于地点的束缚,只要网络和笔记本就能在任何地方享受IPTV高质量的服务,满足用户便携性需求。基于此,该文讨论了IPTV软终端的运行环境,分析了其主要功能模块,完成了IPTV软终端的基本架构。为实现IP TV服务终端的完美融合提供参考。