Multiple segmental fractures of the lower limbs, common in developing countries, are the prerogative of Road Traffic Accidents (RTA) involving two-wheeled vehicles. Their management is difficult, associated with compl...Multiple segmental fractures of the lower limbs, common in developing countries, are the prerogative of Road Traffic Accidents (RTA) involving two-wheeled vehicles. Their management is difficult, associated with complications, and is most often based on a two-stage strategy: Damage Control Orthopaedics, followed by delayed internal osteosynthesis. The aim is to allow early functional rehabilitation and rapid recovery of patients. We report the case of a 39-year-old man, bike rider, after his RTA, presented with segmental homolateral fractures of the femur and two bones of the left leg. Short-term evolution was marked by the appearance of significant lymphedema and bone infarctions of the lower left limb necessitating a transfemoral amputation. Through this observation, the authors highlight the problems related to the complexity of the management of multiple segmental fractures of the lower limb by emphasizing two post-traumatic complications rarely described but to be feared: chronic lymphedema and bone infarction.展开更多
Heating by electricity rather than coal is considered one effective way to reduce environmental problems. Thus, the electric heating load is growing rapidly, which may cause undesired problems in distribution grids be...Heating by electricity rather than coal is considered one effective way to reduce environmental problems. Thus, the electric heating load is growing rapidly, which may cause undesired problems in distribution grids because of the randomness and dispersed integration of the load. However, the electric heating load may also function as an energy storage system with optimal operational control. Therefore, the optimal modeling of electric heating load characteristics, considering its randomness, is important for grid planning and construction. In this study, the heating loads of distributed residential users in a certain area are modeled based on the Fanger thermal comfort equation and the predicted mean vote thermal comfort index calculation method. Different temperatures are considered while modeling the users' heating loads. The heat load demand curve is estimated according to the time-varying equation of interior temperature. A multi-objective optimization model for the electric heating load with heat energy storage is then studied considering the demand response(DR), which optimizes economy and the comfort index. A fuzzy decision method is proposed, considering the factors influencing DR behavior. Finally, the validity of the proposed model is verified by simulations. The results show that the proposed model performs better than the traditional method.展开更多
This paper takes an overview of the CKM and the performance of agricultural product innovation from contents of agricultural product innovation and customer knowledge management (CKM) ,the relation between CKM and agr...This paper takes an overview of the CKM and the performance of agricultural product innovation from contents of agricultural product innovation and customer knowledge management (CKM) ,the relation between CKM and agricultural product innovation. On the basis of the overview, it builds the theoretical framework of CKM and agricultural product innovation. It points out that enterprises can satisfy demands of customers through acquisition,share,utilization and innovation of customer knowledge,and improve performance of agricultural product innovation through speeding up agricultural product innovation.展开更多
文摘Multiple segmental fractures of the lower limbs, common in developing countries, are the prerogative of Road Traffic Accidents (RTA) involving two-wheeled vehicles. Their management is difficult, associated with complications, and is most often based on a two-stage strategy: Damage Control Orthopaedics, followed by delayed internal osteosynthesis. The aim is to allow early functional rehabilitation and rapid recovery of patients. We report the case of a 39-year-old man, bike rider, after his RTA, presented with segmental homolateral fractures of the femur and two bones of the left leg. Short-term evolution was marked by the appearance of significant lymphedema and bone infarctions of the lower left limb necessitating a transfemoral amputation. Through this observation, the authors highlight the problems related to the complexity of the management of multiple segmental fractures of the lower limb by emphasizing two post-traumatic complications rarely described but to be feared: chronic lymphedema and bone infarction.
基金supported by the State Grid Science and Technology Project(No.52020118000M)
文摘Heating by electricity rather than coal is considered one effective way to reduce environmental problems. Thus, the electric heating load is growing rapidly, which may cause undesired problems in distribution grids because of the randomness and dispersed integration of the load. However, the electric heating load may also function as an energy storage system with optimal operational control. Therefore, the optimal modeling of electric heating load characteristics, considering its randomness, is important for grid planning and construction. In this study, the heating loads of distributed residential users in a certain area are modeled based on the Fanger thermal comfort equation and the predicted mean vote thermal comfort index calculation method. Different temperatures are considered while modeling the users' heating loads. The heat load demand curve is estimated according to the time-varying equation of interior temperature. A multi-objective optimization model for the electric heating load with heat energy storage is then studied considering the demand response(DR), which optimizes economy and the comfort index. A fuzzy decision method is proposed, considering the factors influencing DR behavior. Finally, the validity of the proposed model is verified by simulations. The results show that the proposed model performs better than the traditional method.
文摘This paper takes an overview of the CKM and the performance of agricultural product innovation from contents of agricultural product innovation and customer knowledge management (CKM) ,the relation between CKM and agricultural product innovation. On the basis of the overview, it builds the theoretical framework of CKM and agricultural product innovation. It points out that enterprises can satisfy demands of customers through acquisition,share,utilization and innovation of customer knowledge,and improve performance of agricultural product innovation through speeding up agricultural product innovation.
