“Are you still driving?” Metasynthesis of patient preferences for communication with health care providers

Aim: The aim of this study was to synthesize published qualitative studies to identify older adults' preferences for communication about driving with health care providers.

Background: Health care providers play a key role in addressing driving safety and driving retirement with older adults, but conversations about driving can be difficult. Guides exist for family members and providers, but to date less is known about the types of communication and messages older drivers want from their health care providers.

Design: A qualitative metasynthesis of studies published on or before October 10, 2014, in databases (PubMed, CINAHL, PsycINFO, and Web of Science) and grey literature was performed.

Review Methods: Twenty-two published studies representing 518 older adult drivers met the following inclusion criteria: the study (1) was about driving; (2) involved older drivers; (3) was qualitative (rather than quantitative or mixed methods); and (4) contained information on older drivers' perspectives about communication with health care providers.

Results: We identified 5 major themes regarding older adults' communication preferences: (1) driving discussions are emotionally charged; (2) context matters; (3) providers are trusted and viewed as authority figures; (4) communication should occur over a period of time rather than suddenly; and (5) older adults desire agency in the decision to stop driving.

Conclusion: Various stakeholders involved in older driver safety should consider older drivers' perspectives regarding discussions about driving. Health care providers can respect and empower older drivers—and support their family members—through tactful communication about driving safety and mobility transitions during the life course.     

冷凝膜油气回收技术在轻质油汽车装车中的应用

介绍了油气回收技术的基本原理,着重介绍了冷凝膜回收工艺技术的特点,及冷凝膜回收装置在中国石化青岛石油化工有限责任公司轻质油汽车装车的应用情况,分析了存在的问题及改进建议。     

Assessing the strength of climate and land-use influences on montane epiphyte communities

Epiphytes, air plants that are structurally dependent on trees, are a keystone group in tropical forests; they support the food and habitat needs of animals and influence water and nutrient cycles. They reach peak diversity in humid montane forests. Climate predictions for Central American mountains include increased temperatures, altered precipitation seasonality, and increased cloud base heights, all of which may challenge epiphytes. Although remaining montane forests are highly fragmented, many tropical agricultural systems include trees that host epiphytes, allowing epiphyte communities to persist even in landscapes with lower forest connectivity. I used structural equations models to test the relative effects of climate, land use, tree characteristics, and biotic interactions on vascular epiphyte diversity with data from 31 shade coffee farms and 2 protected forests in northern Nicaragua. I also tested substrate preferences of common species with randomization tests. Tree size, tree diversity, and climate all affected epiphyte richness, but the effect of climate was almost entirely mediated by bryophyte cover. Bryophytes showed strong sensitivity to mean annual temperature and insolation. Many ferns and some orchids were positively associated with bryophyte mats, whereas bromeliads tended to establish among lichen or on bare bark. The tight relationships between bryophytes and climate and between bryophytes and vascular epiphytes indicated that relatively small climate changes could result in rapid, cascading losses of montane epiphyte communities. Currently, shade coffee farms can support high bryophyte cover and diverse vascular epiphyte assemblages when larger, older trees are present. Agroforests serve as valuable reservoirs for epiphyte biodiversity and may be important early-warning systems as the climate changes.     

井下运输安全性的灰色综合评判

以平顶山煤业（集团）公司一矿（简称平一矿）为例,运用灰色系统理论,对井下运输系统的安全性进行了灰色综合评判,指出了影响运输安全的人、机、环境各因素中存在的问题,并提出了相应的提高安全性的措施。     

江心洲型船闸通航安全问题及改善措施研究

船闸布置在江心洲上后,由于相邻建筑物的动水作用及两汊水流在洲尾的交汇,将会影响船闸的通航安全.为研究江心洲型船闸下游的船舶航行问题,探讨有效的改善措施,结合澧水艳洲枢纽、沅水桃源枢纽布置的共同特点,在物理模型基础上利用船舶模型试验分析船闸下游影响航行安全的因素,研究采取针对性措施后航行条件的改善效果.结果表明:布置隔流堤、导流墩等辅助建筑物只能解决下游靠近引航道出口部分航段的通航问题;综合采用拓宽航槽、优化航线、合理调度、优化船闸布置等措施,可有效减小船体漂移,优化航行环境,保障船舶通航安全.     

煤基胶体特征及其在多孔介质中的运移行为

采集了长焰煤粉并提取其中的胶体,用激光粒度仪、红外光谱仪、扫描电镜和Zeta电位仪对煤基胶体的特征进行了定性和定量表征,研究了煤基胶体在石英砂的多孔介质柱中的运移特征及p H值、阳离子等环境因子的影响。结果表明,该方法提取煤基胶体的实测粒径与理论计算粒径基本吻合,煤基胶体表面具有丰富的褶皱和极其丰富的孔隙结构并呈片状,煤基胶体的化学组成以芳香烃为主,在试验范围内,煤基胶体的Zeta电位在-34.0~-21.2 e V,随p H值升高而下降。溶液p H=7时,煤基胶体在多孔介质中的运移能力最强,c/c0为0.664,增加p H值或降低p H值,运移能力下降。Ca离子对煤基在多孔介质中的运移具有明显的抑制作用,当离子强度IS(Ca Cl2)由0.001 mmol/L增加到0.1 mmol/L时,胶体悬液c/c0从0.569降至0.129。     

Extinguishment of hydrogen laminar diffusion flames by water vapor in a cup burner apparatus

Transient computations with full hydrogen chemistry were performed to reveal the flame structure and extinguishment process of co-flow, hydrogen diffusion flame suppressed by water vapor. As the concentration of water vapor was increased, the flame detached away from the burner brim and formed an edge flame at the flame base. Water vapor showed larger chemical inhibition effect than nitrogen when extinguishing hydrogen flame, which was attributed to its enhanced third body effect in the reaction H + O₂ + M = HO₂ + M. The minimum extinguishing concentration (MEC) of water vapor and nitrogen was predicted by Senecal formula and perfectly stirred reactor (PSR) model respectively. The MECs predicted by PSR model agree with the MECs calculated by Fluent, which shows that 1) the flame extinction is controlled by the flame base, and 2) radiation absorption is negligible. The measured MECs are in a reasonable agreement with the values calculated by Fluent, which demonstrates the accuracy of the CFD model. A simple model was used to investigate the relative importance of extinguishing mechanisms of water vapor. The results show that in a co-flow configuration the thermal cooling and chemical inhibition effect are the main extinguishing mechanisms in suppressing hydrogen diffusion cup burner flame.     

不同载荷下轮式车辆运输振动数据预测模型研究

目的为便于执行GJB 150A进行车辆运输振动试验,研究了不同载荷下运输振动数据预测模型。方法对模型的特点和适用范围进行了分析;运用该模型分析了不同载荷下运输振动试验的试验数据规律。结果随着载荷的增加,运输振动逐渐减小,能够反映轮式车辆不同载荷下的运输振动规律,给出了运用该模型对不同载荷下车辆运输振动数据的预测方法。结论该模型简单实用,在执行GJB 150A进行运输振动试验过程中,若直接引用标准中的数据,可以采用该模型对不同载荷下的运输振动试验数据进行预测。     

浅述汽车加油站油气回收系统监测研究

加油站油气回收系统是由卸油油气回收系统、汽油密闭储存、加油油气回收系统、在线监测系统和油气排放处理装置组成。该系统的作用是将加油站在卸油、储油和加油过程中产生的油气,通过密闭收集、储存和送入油罐汽车的罐内,运送到储油库集中回收变成汽油,以达到在汽车加油、油料储运过程中油汽不外泄,不污染周边环境的目的。根据中华人民共和国《加油站大气污染物排放标准》(GB 20952-2007)中第六条的规定,长三角地区的改造项目应在2010年1月1日进行,因此对加油站油气回收系统的监测显得十分紧迫。     

塔里木沙漠油田开发工程的环境影响评价

塔里木是一个内陆封闭盆地，是世界第二大流动沙漠，它具有丰富的油气资源，目前正在积极开发中。在油气田开发过程中必须做环境影响评价，文中介绍了沙漠环境及生态状况，在沙漠区域必须以水域和生态环境影响评价为重点，评价结果应提出固沙、防沙和保护自然生态等一系列防治措施和对策。