简介:【摘要】群楼工程建设对于大部分工程人应该不陌生,面对49栋楼这样的大体量群楼工程建设时,相信很多人想到的时分地块、分区域管理,或者多家参建分地块管理,但是往往在分区域管理时会遇到如下问题:多地块、多参与方管理时各方水平不一,计划编制工具不统一,如何统一管理、策划阶段总计划编制至哪个维度、月计划、周计划与总计划如何联动管理。每周进度例会时的PDCA循环管理,单项目和多项目分别管理到哪个维度,如何联动、各地块需要应付的各级单位多:总包、甲方、公司、分包,不同单位不同需求,计划人员疲惫、意见大等。
简介:在海地.只要提起汉森·普劳舍.几乎人人皆知。他是20世纪初的一名长跑健将。作为运动天才。普劳舍16岁便在体坛崭露头角。并曾一举打破田径类所有项目的纪录。赛场上的他,宛若一匹横空出世的黑马。
简介:BACKGROUND:Asaginginelderlypeople,theirbraintissuehasdegenerationandbrainatrophyofdifferentseverity,andthevolumeofcranialcavityisrelativelyenlarged,ithasgreatercompensatoryabilitytothespaceoccupyinglesion,anditisdifficulttodetectthemeningiomabecauseitgrowstoexpandslowly,thetumorlocatesinnon-functionalregion,andthereareatypicalsymptomsanddeficiencyoflocalizationsigns.OBJECTIVE:Toinvestigatetheclinicopathologicfeaturesofsenilemeningiomas.DESIGN:Aretrospectiveanalysis.SETTING:AffiliatedHospitalofHebeiUniversity.PARTICIPANTS:Forty-nineelderlypatientswithmeningiomawereselectedfromtheDepartmentofNeurosurgery,AffiliatedHospitalofHebeiUniversityfromMay1999toMarch2005,including15malesand34females,60-74yearsofage,andtheywerealldiagnosedbyCTandMRI.METHODS:ThesitesoftumorswereidentifiedbyCTandMRIexaminationsinallthepatients.Thetumorswerepartiallyortotallyresectedaccordingtotheirownconditions.Thetypesoftheresectedtumorwerepathologicallyobserved.Theconditionsofpostoperativerecoverywereobservedafter1,3and6months,andwithoutnewneurologicaldysfunctionorcomplicationwasconsideredasgoodoutcome.MAINOUTCOMEMEASURES:①Sitesandpathologicaltypesofthetumor;②Postoperativeoutcomesandcomplications.RESULTS:Allthe49patientswereinvolvedintheanalysisofresults.①Thetumorshadwidedistributionswithamainlocationinbrainconvexity.Amongthe49casesofmeningioma,therewere25casesoffibrocystictype,12casesofmeningothelialtype,6casesofpsammomatoustype,4casesofangiomatoustypeand2casesofmicrocystictype.②Amongthe49patients,35hadgoodoutcome,8hadself-careability,4requiredcarebyothers,2(4.1%)diedpostoperatively.Nolong-termcomplicationrelatedtotheoperationwasobservedduringthefollow-uppostoperatively.CONCLUSION:Meningiomahasamainlocationinbrainconvexity,andits
简介:低血糖昏迷病因复杂,患者急性发病,临床症状多样性,常被误诊。因不能早期诊断,患者常错过最佳治疗时间窗口期而危及生命。我们对本院自2001年5月-2009年1月收住院的49例低血糖昏迷患者进行了回顾性分析,报告如下。