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Two studies were conducted to determine recommendations for placement of a microwave cooking appliance in residential kitchens. In the first study, 30 sub jects completed tasks using microwave ovens located at heights typically used in kitchens and evaluated the safety and convenience of the tasks on a five-point rating scale. The ratings at the varied microwave oven heights differed signifi cantly for both safety and convenience evaluations. In the second study, 24 par ticipants prepared a dinner meal. Data collected included the number, purpose, and sequence of trips between the work centers during the meal preparation. The utilization of a microwave oven did significantly change work-center rela tionships. Based on these studies, for safe use, the microwave oven should be located so that the interior food shelf or rack is no higher than the user's shoulder; for most convenient use, the interior shelf or rack should be located from between 2 in. (5 cm) below the elbow to 10 in. (25 cm) above the elbow. The microwave oven center should be placed so that it is close to the mix center. When the microwave oven and range are combined in one center, this center should also be convenient to the sink center.  相似文献   
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The purpose of this study was to determine the impact that the Minnesota lead policy had on affordable rental housing in Minneapolis and St. Paul. Questionnaires were sent to 487 owners of property in those cities who were issued lead orders in 1994 or 1995; 147 questionnaires were returned. There was a significant difference in the implementation of the state policy by the two cities. Lead orders written by the City of Minneapolis required more work, more complex work, and higher costs than did the lead orders written by the City of St. Paul. Orders issued by St. Paul were more in line with hazard reduction (lead‐safe) activities, whereas those issued by Minneapolis were more in line with abatement (lead‐free) activities. In Minneapolis, there was a significantly greater loss of affordable housing units through abandonment by the property owner, condemnation by the city, increased vacancy periods, and changes in the affordability level.  相似文献   
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Objectives:

Celecoxib for the treatment of pain resulting from osteoarthritis (OA) was reviewed by the Tandvårds- och läkemedelsförmånsverket–Dental and Pharmaceutical Benefits Board (TLV) in Sweden in late 2010. This study aimed to evaluate the incremental cost-effectiveness ratio (ICER) of celecoxib plus a proton pump inhibitor (PPI) compared to diclofenac plus a PPI in a Swedish setting.

Methods:

The National Institute for Health and Care Excellence (NICE) in the UK developed a health economic model as part of their 2008 assessment of treatments for OA. In this analysis, the model was reconstructed and adapted to a Swedish perspective. Drug costs were updated using the TLV database. Adverse event costs were calculated using the regional price list of Southern Sweden and the standard treatment guidelines from the county council of Stockholm. Costs for treating cardiovascular (CV) events were taken from the Swedish DRG codes and the literature.

Results:

Over a patient’s lifetime treatment with celecoxib plus a PPI was associated with a quality-adjusted life year (QALY) gain of 0.006 per patient when compared to diclofenac plus a PPI. There was an increase in discounted costs of 529kr per patient, which resulted in an incremental cost-effectiveness ratio (ICER) of 82,313kr ($12,141). Sensitivity analysis showed that treatment was more cost effective in patients with an increased risk of bleeding or gastrointestinal (GI) complications.

Conclusions:

The results suggest that celecoxib plus a PPI is a cost effective treatment for OA when compared to diclofenac plus a PPI. Treatment is shown to be more cost effective in Sweden for patients with a high risk of bleeding or GI complications. It was in this population that the TLV gave a positive recommendation. There are known limitations on efficacy in the original NICE model.  相似文献   

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Fuel use by households in a rural region of Leyte Province, the Philippines, was examined to determine types used and factors related to type and total quantity. A model was developed to identify predictors of household fuel use. Data were drawn from interviews with 150 female heads of households from 10 rural villages. Multiple regression was used in the analysis. The total quantity of energy used per week was negatively related to the number of cookstoves and nonelectric items of equipment owned and positively related to the distance traveled each week to obtain fuels.  相似文献   
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Reported research since 1975 on human behavior and energy consumption was reviewed to identify occupant predictors of household energy‐consumption behavior and energy‐consumption change. The results of this review were framed against a human ecosystem theory model. Occupant predictors of reduced energy‐consumption behavior and energy‐consumption change were classified as occupant characteristics, occupant attitudes, and occupant actions. Variables identified in studies that most frequently affected energy behavior and energy consumption were income, age, education, home ownership, desire for comfort, major weatherization, and incentives. These findings support the underlying premise of the human ecosystem theory: Variables from the natural, the social, and the designed environments and human organism variables interact to affect energy consumption.  相似文献   
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Michael Thompson's Rubbish Theory explains how the values of objects change and that to understand how we value objects we need to understand ‘rubbish’, that is, objects which hold no value. He explained that most objects lose value after they are created and eventually become rubbish. However, there are some objects that maintain their value, which he calls ‘durables’. His theory explains how some objects move from rubbish to having durable value. When this theory is adapted to illustrate the multiple values attributed to objects at heritage sites, it is possible to explain how heritage tourism can result in conflict at a destination and how durable objects can lose their value, which is not possible according to Thompson.  相似文献   
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This study was designed to examine how kitchen designers are addressing the special needs of mature clients and to assess designers' perceptions relative to the demand for kitchen features that facilitate aging in place. A questionnaire was mailed to a nationwide random sample of 600 Certified Kitchen Designers (CKDs). Respondents' recommendations for appliances, kitchen configuration, work surfaces and storage, features that compensate for reduced dexterity and low vision, and flooring generally followed literature recommendations. Although a vast majority of the designers indicated that kitchens are very important in determining whether an older person can remain independent, they infrequently incorporated “special” products or design features for mature clients. Conclusions about CKDs' effectiveness as change agents centered on their knowledge of specialized kitchen design; awareness of products that meet special needs; designs for individual special needs; age or disability-specific marketing; and increased activity in promoting kitchen designs that enable older people to age in place.  相似文献   
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The purpose of this study was to examine energy‐conserving practices and consumption from 1987 to 1997 using a human ecosystem framework. Research on energy consumption and practices at the household level has been minimal in recent years. Factors that influence household energy consumption were examined, including climate, demographic characteristics of the households, housing characteristics including weatherization features and appliances, and occupant behaviors. This study was a secondary analysis of data compiled by the Energy Information Administration from the 1987, 1990, 1993, and 1997 Residential Energy Consumption Surveys and included only owner‐occupied, single‐family detached residences. Based on multiple regression analyses, more than 30% of the household energy consumption was accounted for by the variables representing the environments of the human ecosystem.  相似文献   
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