From hospital to municipal cogeneration systems: an Italian case study

A mixed integer linear programming model combined with a more traditional design by scenarios is proposed to optimize facilities size and operation mode of a municipal energy system involving significant civil centres and a hospital. Moving from the need of a new heat and power station for the local hospital due to the construction of new pavilions, the opportunity of involving other centres in the neighbourhood in a distributed cogeneration system is analysed, increasing system complexity step by step. Smaller cogeneration units tailored to hospital needs are rewarding ventures with relatively low risks but, in a country whose traditional power generation systems heavily rely on fossil fuels and where energy policy and market conditions can make it profitable to sell surplus power, district heating systems foster the installation of larger cogenerators and lead thereby to higher profits and to better performance as for primary energy savings and greenhouse gases emission reduction. Copyright © 2006 John Wiley & Sons, Ltd.     

云存储与医院数字化建设

提出了云存储的概念,分析了云存储的结构模型及其优点,为医院数字化建设提供了新的存储系统架构模型。     

安徽"美丽乡镇"建设中的基本公共服务均等化研究

2016年安徽在全省推进美丽乡镇建设,乡镇基本公共服务均等化是推进工作中的一个短板,为搞清安徽乡镇现有基本公共服务均等化供给情况,找出短板,本课题着重分析了安徽乡镇基本公共服务均等化面临的六大主要挑战,并提出了加快安徽乡镇基本公共服务均等化的对策。     

关于HIS和PIVAS接口问题的探讨

该文主要通过嵌入式安装和非嵌入式安装两种方法解决HIS与PIVAS的接口问题。     

化解乡镇债务中的博弈问题研究

我国的乡镇债务数额巨大,已严重阻碍了我国农村社会经济的可持续发展,影响到乡镇政府的正常运行。以博弈论为分析工具,深入剖析化解乡镇债务的过程与症结。乡镇债务化解过程的实质是在基层行政体制领域内的一场制度变迁,确立上级政府、乡镇政府、相关债权群体多元互动的制度格局,在这一过程中存在着多重博弈关系,即政府内部还债来源的博弈、偿债责任的博弈以及乡镇政府与债权相关人之间的博弈。     

从模糊产权到管理层收购--政府放弃乡镇企业产权原因分析

20世纪90年代以后,乡镇企业的产权模式出现了巨大的变化,其中大量被管理层收购,对此理论界多从经济角度给予解释,但鉴于政府在市场经济中的特殊身份,我认为必须从经济与政治两个方面,才能对之做出合理说明.     

小城镇污水处理厂建设模式探讨

介绍了小城镇污水处理污水量少，水量水质日变化较大，资金来源缺乏，管理技术水平低等特点，提出了几种适用于小城镇污水处理的低建设费用，低运行费用，低操作管理要求及二次污染物排放少的新技术和可能的资金来源，通过工程经济分析，提出了以往收污水处理费来建设并维持小城镇污水处理厂日常运行、管理费用和支付银行贷款本息是可行的。     

JIT采购在医院药品供应中的应用

为了解决我国医院用药价格偏高问题 ,必须改变医院传统供应模式。分析了JIT采购模式和传统模式两种医院医药供应模式 ,对比了两种模式的不同 ,指出JIT采购模式的优点 ,并且提出具体实施JIT采购模式的措施     

A socio-ecological analysis of hospital resilience to extreme weather events

Hospitals play a critical role in helping communities respond effectively to extreme weather events (EWEs). Despite predictions of more EWEs, little is known about the process by which hospital infrastructure resilience to such events can be built. Using Gunderson and Holling’s Adaptive Cycle, a new theoretical perspective based on socio-ecological resilience theory is provided to understand this process. Data were collected using semi-structured interviews, observations of disaster drills and disaster planning meetings, as well as additional documentary analysis of past incident reports. The research findings were then refined and validated in a focus group meeting with respondents. The findings indicate that there are significant organizational barriers which prevent facilities managers improving the resilience of hospital facilities to future EWEs. It was found that the disaster planning process is ad hoc and non-inclusive, focused on man-made disasters and compliance driven, top-down approach, under-resourced and is driven by a general ignorance of the importance of resilient-built facilities to health care delivery during an EWE. It is concluded that to produce more resilient hospital infrastructure, there needs to be a more well-resourced, integrated and collaborative approach to disaster management planning which enables health facilities managers to play a more central role in disaster planning decisions. There also need to be better systems, technologies and training implemented to manage information about health infrastructure performance before, during and after EWEs.     

浅谈医院污水处理

概括并举例介绍了医院污水处理的必要性。结合某医院污水处理工程设计,浅述采用膜-生物反应器法对综合医院的医疗污水进行处理的优越性。