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This article describes the development of a generic loss assessment methodology, which is applicable to earthquake and windstorm perils worldwide. The latest information regarding hazard estimation is first integrated with the parameters that best describe the intensity of the action of both windstorms and earthquakes on building structures, for events with defined average return periods or recurrence intervals. The subsequent evaluation of building vulnerability (damageability) under the action of both earthquake and windstorm loadings utilizes information on damage and loss from past events, along with an assessment of the key building properties (including age and quality of design and construction), to assess information about the ability of buildings to withstand such loadings and hence to assign a building type to the particular risk or portfolio of risks. This predicted damage information is then translated into risk-specific mathematical vulnerability functions, which enable numerical evaluation of the probability of building damage arising at various defined levels. By assigning cost factors to the defined damage levels, the associated computation of total loss at a given level of hazard may be achieved. This developed methodology is universal in the sense that it may be applied successfully to buildings situated in a variety of earthquake and windstorm environments, ranging from very low to extreme levels of hazard. As a loss prediction tool, it enables accurate estimation of losses from potential scenario events linked to defined return periods and, hence, can greatly assist risk assessment and planning.  相似文献   
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Bayesian optimal designs have received increasing attention in recent years, especially in biomedical and clinical trials. Bayesian design procedures can utilize the available prior information of the unknown parameters so that a better design can be achieved. With this in mind, this article considers the Bayesian A- and D-optimal designs of the two- and three-parameter Gamma regression model. In this regard, we first obtain the Fisher information matrix of the proposed model and then calculate the Bayesian A- and D-optimal designs assuming various prior distributions such as normal, half-normal, gamma, and uniform distribution for the unknown parameters. All of the numerical calculations are handled in R software. The results of this article are useful in medical and industrial researches.  相似文献   
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The aim of the present study was to evaluate the long-term effect of back extensor strengthening exercises on health-related quality of life (QOL) in women with osteoporosis. In this randomized clinical trial, 183 women with osteoporosis were treated with pharmacotherapy and weight-bearing and balance-training exercises. The case group additionally performed back extensor exercises at home. Patients filled out the Persian version of the Short Form (SF-36) QOL questionnaire at baseline and 6 months post treatment. At the end, all physical and mental parameters of the SF-36 questionnaire improved significantly in the case group, except for one subscale of mental health, compared to the control group. In the control group, only some physical health dimensions (bodily pain, role limitation, physical function, vitality), and mental health status as a mental health subscale improved. In conclusion, considering a major impact of back extensor exercises on improving QOL in women with osteoporosis over the long term, these exercises should be prescribed in routine management of these patients.  相似文献   
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While children have the least influence on their physical environment they are deeply affected by it. Play areas for children have been increasingly limited in third‐world cities. In many developing countries population growth has encroached on play areas as low‐density housing and open space are transformed into high‐rise apartment complexes; the availability of urban open space for children is being constricted. While adults design the urban to meet their requirements, they tend to give too little thought to the needs of children. This essay reports on a visual study of urban open spaces for children in Tabriz, a city in northwestern Iran. Children between 6 and 12 years of age were asked to paint pictures of their ideal play spaces. The children's imaginary spaces are contrasted with photographs of actual playgrounds and open spaces in Tabriz. The goal is to understand why children's active use of existing urban playgrounds and open space is on the decline.  相似文献   
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ABSTRACT

Urinary incontinence (UI) is a common condition, especially in middle-aged and older women. UI is known to affect sexual function. Many women with UI do not consult a doctor about their condition. The aim of this study was to determine the relationship of sexual function and help seeking in postmenopausal women with urinary incontinence. This cross-sectional correlation study took place from March to May 2012. The subjects were selected by a clustered sampling method from various zones of Rasht (North of Iran). The data were collected using personal data forms, Questionnaire for Urinary Incontinence Diagnosis, Incontinence Severity Index, and Incontinence Quality of Life questionnaire. Data were analyzed by SPSS17 at the significant level of P < .05 and then were compared by parametric and nonparametric tests. A total of 313 menopausal women aged 45 to 60 years (mean 52.9) were recruited for the study. The mean sexual function score was 31.07 ± 7.52. Only 27.3% of subjects seek care for urinary incontinence. There was a significant correlation between sexual function and help seeking. The results of this study indicate that there is a significant correlation between sexual function and help seeking in postmenopausal women who participated in the present study. Health-care professionals should pay more attention to sexual symptoms of UI and make patients aware of available treatments.  相似文献   
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By 2015, there were more than two million Afghan immigrants, both legal and illegal, living in Iran. Although, over the recent years, there has been a growing interest among social scientists, policymakers and national and international institutes in investigation of the quality of life (QoL) of immigrants, research on the QoL of Afghan immigrants in Iran is still in its infancy. The present article aims to study the QoL of Afghan immigrants in Iran and identify its influential dimensions and factors. This study relies on a perception survey of 347 Afghan households in Tehran city. Based on the 5‐point Likert Scale, the mean of overall life satisfaction of the Afghan immigrants was found as 3.22, which shows satisfactory QoL of Afghan immigrants in Iran. The highest level of satisfaction, with a mean value of 3.96, is related to public transport access followed by satisfaction in social relations with friends, relatives and fellow immigrants living in Iran, and access to cultural centres such as the mosque, library, and cinema. The lowest level of satisfaction, with a mean value of 1.90, was seen at border services like entry and exit from Iran, followed by the Iranian government policy towards Afghan refugees, and saving abilities. In addition, the most important predictors of immigrants' QoL include indicators of health, security, work status, and income, which are closely interrelated with the main reasons for Afghans' immigration to Iran. After immigration to Iran, the QoL status of the immigrants has improved significantly, especially in the fields of security and education; nevertheless, their employment in jobs with low skill and income, along with the decrease in the economic growth of Iran over the recent years, have caused problems for the economic and financial status of the immigrants. The results and findings of this study will be useful for designing and implementing plans and policies necessary to improve QoL of Afghan immigrants in Iran.  相似文献   
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Problem

The steep increase and inappropriateness of caesarean birth represent a healthcare problem in Iran.

Aim

The purpose of study was to evaluate the effect of a campaign based on social marketing to promote normal childbirth.

Method

The study was designed as a prospective case control study. The social marketing campaign was implemented from March 2016 to January 2017. A demographic data questionnaire, obstetrical history questionnaire, maternal knowledge assessment questionnaire, and maternal health belief questionnaire comprised the instruments for this study. Only women planning a caesarean birth without any medical indications for the caesarean were enrolled in the study as a case. Those who met the same inclusion criteria and did not want to participate in the campaign were assigned to the control group.

Findings

In total, 350 first-time pregnant women who composed the campaign group (n = 194) and control group (n = 156) completed the study. The mean baseline level of knowledge and Health Belief Model component score did not differ between the two groups at baseline. However, after the campaign, knowledge scores, perceived severity, perceived susceptibility, self-efficacy, and cues to action scores differed significantly between the campaign and control groups. The follow-up of all participants in both groups showed that 35.6% (n = 69) of participants in the campaign group chose natural birth as their birth method, whereas only 13.5% (n = 21) in the control group delivered their newborn vaginally.

Conclusion

The B Butterfly social marketing campaign successfully targeted first-time pregnant women who chose to have unnecessary elective cesarean births.  相似文献   
9.
Rapid urban population growth and the lack of effective policies in order to desired population settlement, has encountered Iran’s major cities with multiple social, economic and environment problems. Physical expansion of cities in order to settlement the increasing population, causes the formation of new textures surrounding old urban textures. In the new textures, urban housing is formed with the modern approach and least logical connection with common practice in the old textures. Therefore, the main objective of this paper is to evaluate the housing quality and identify strengths and weaknesses in old and new urban textures to improve the quality of urban housing in Iran. Household survey were conducted to collect the needed data in the old and new textures in Khorramabad city. Results showed that the satisfaction level of housing quality in new texture is far more than old ones. The highest satisfaction level in both textures are related to housing basic facilities domain. However, satisfaction level of this domain in new texture is much greater compared to the old texture. The lowest level of satisfaction is related to the quality of neighborhood domain in old texture and to the access to public services domain in the new one. Results from the factor analysis to identify the dimensions of housing quality in old and new textures illustrated that housing quality is a multidimensional concept, studying of which requires considering all dimensions and aspects.  相似文献   
10.
The aim of this paper is to estimate parameters of generalized Pareto distribution based on generalized order statistics. Some non-Bayesian methods, such as MLE, bootstrap and unbiased estimators have been obtained to develop point and interval estimations. Bayesian estimations have also been derived under LSE and LINEX loss functions. To compare the performances of the employed methods, numerical results have been computed. To illustrate dependence and association properties of generalized order statistics, correlation coefficient and some informational measures in closed form have been obtained.  相似文献   
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