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关键词： 建筑立面   色彩设计   色彩美学   色彩视觉   视觉美感   文化气韵   设计中的应用  

摘要： 色彩设计是建筑立面设计的重要组成,色彩美学是研究色彩视觉表现与文化关系的艺术系统,应用色彩美学对其展开设计,有助于提升建筑立面的视觉美感与文化气韵,打造具有良好视觉与文化效应的创意建筑。

摘要： Purpose/Objective(s) Past studies have shown mixed results of postoperative radiation (PORT) for pN2 NSCLC patients and the recent LungART trial has shown no disease free survival or overall survival (OS) benefits with PORT for pN2 NSCLC patients. High lymph node ratio (LNR = number of positive lymph nodes in the resected specimen/number of total lymph nodes resected) has been shown to correlate with worse outcomes. We hypothesize that PORT can improve survival outcomes in pN2 NSCLC patients with high LNR. Materials/Methods The National Cancer Database was queried for cases of NSCLC from 2004-2016. Patients without neoadjuvant treatment, with at least a lobectomy with resection of at least 10 lymph nodes, with pN2 disease, with histology of squamous cell carcinoma, adenocarcinoma, adenosquamous carcinoma and large cell carcinoma were included. Exclusion criteria were neoadjuvant therapy, lack of pathological confirmation or lack of information about chemotherapy and metastatic disease. For patients with PORT, RT was directed to thorax with dose≥30Gy. Log-rank test and Cox proportional hazards models were used to compare survival adjusted for age, sex, CCI, pT, grade, chemotherapy, LNR, and PORT. Predictors for overall survival (OS) were identified. Results Among 10272 patients, 6266 (61%) did not have PORT, and 4006 (39%) had PORT. Median follow up was over 5 years. PORT was given to 51.3% and 37.7% patients with non-R0 and R0 resection, respectively (P < 0.001). PORT was given to 48.4% and 9.91% of patients with and without adjuvant chemotherapy, respectively (P < 0.001). The average LNR for patients with and without PORT were 0.33 and 0.29 (P < 0.001), respectively. In multivariate analysis (MVA) of patients with R0 resection, predictors of OS were listed in Table 1. PORT was not associated with better OS (HR, 1.04, P  = 0.63) for patients with LNR of 1-15%. However, PORT was associated with better survival in patients with higher LNRs (HR, 0.90, P  = 0.23 for LNR

摘要： Purpose/Objective(s) The outcomes of second primary head and neck malignancies in survivors of HPV associated OPSCC treated with radiation have not been well documented. The purpose of this study was to review the rate, management, and outcomes of non-metastatic second head and neck malignancies in patients with a history of HPV positive OPSCC treated with definitive or postoperative radiation (RT). Materials/Methods This is a single institution IRB approved retrospective study of patients with HPV positive OPSCC treated from 2001-2017 with definitive radiation and at least 3 years of follow up. Diagnoses were considered to be a second head and neck malignancy if they were distinct from index OPSCC with the exclusion of a primary or regional recurrence, primary site > 2 cm from the index OPSCC, and occurred at least 2 years from prior RT. Patients with second malignancies involving the thyroid were excluded. Actuarial analysis was used to calculate overall survival and disease control rates. Results There were a total of 418 patients who met inclusion criteria with a median follow up of 88.5 months (50.9-150.9 months). A total of 11 patients (2.6%) developed a second primary malignancy in the head and neck (2 larynx, 1 nasal cavity, 6 oral cavity and 2 oropharynx) and all were treated with definitive surgery. Median time between first and second cancers was 73 months (25-123 months). Median follow up for these patients was 25.4 months (7.7-69 months) and the median age at second malignancy was 65 years (range 54-73 years). 64% of patients were former smokers (quit > 3 months) and 36% were never smokers. Pathological tumor stage of the second cancer was T1 in 36%, T2 in 27%, T4a in 36%. The histology was squamous cell carcinoma in 9 patients, spindle cell squamous carcinoma in 1 patient, and adenosquamous carcinoma 1 patient. HPV status was negative in 45.5%, positive in 18.2% and unknown in 36.4%. Post-operative re-irradiation was given in 55%, of which 50% received

关键词： 建筑符号学   传统建筑   宁夏地区   地域文化性  

摘要： 随着地域性和本土化建筑的兴起,将传统的建筑符号运用到现代建筑中的现象越来越广泛。以宁夏地区传统建筑为例,从建筑符号的基本概述、宁夏传统建筑特征、宁夏传统建筑文化与符号论以及反思传统建筑符号对现代建筑的影响等四方面进行探析,以期使中国传统建筑符号能够通过更加有效的手段传承下去,运用到今后更多的现代建筑当中。

关键词： 阳台   小狗   纸箱  

摘要： 第一次相见,是在一个烈日西沉的黄昏.我记得那天放学回到家,就听见阳台上传来一阵微弱的"嗯嗯"声.我立刻来到阳台,看见一个纸箱里有一只稚嫩的小狗,它蜷缩成一团,肚子随着急促的呼吸一起一伏,甚是可爱.听爸爸说,他开车到山里去,远远就看见路中间躺了只小狗,赶忙把车停了下来,把它捧到了路边,生怕它被车轧到.这时一个老婆婆走了过来,对他说:"家中的一只狗生下了好几只小崽子,你喜欢的话就把它带走吧!"就这样,我和它才有了见面的这一幕.

关键词： 职业能力   分级培养   课程体系构建   建筑室内设计  

摘要： 基于国内外高校专业课程体系构建现状,紧跟当代建筑室内设计行业的实际发展需求,分析课程体系构建问题及其原因,利用职业能力分级培养模式,不断优化并升级高校建筑室内设计专业学生的整体能力,为成功构建专业课程体系提供更多理论依据。

关键词： 高分辨率遥感影像   建筑类型分类   语义分割   建筑提取   阴影信息   建筑高度估计   形态学特征   多尺度分析  

摘要： 城市区域建筑类型信息在城市功能区识别、城市环境变量反演等应用领域具有重要作用。本文提出一种融合高分辨率遥感影像高度特征的多尺度城市建筑类型分类方法。首先利用语义分割模型识别高分辨影像中建筑和阴影对象;然后借助建筑对象及其阴影信息在卫星成像时的几何关系估算建筑高度;最后基于多尺度图像分析思想,提取一系列表征建筑对象的高度、空间结构、几何等多尺度特征,利用机器学习方法进行建筑类型分类,并进一步分析不同粒度的建筑类型分析单元对分类结果的影响。选取福州市主城区国产高分二号高分辨率影像进行实验验证。结果表明:(1)基于所提方法的建筑类型分类总体精度达到82.98%,kappa系数为0.77,分类精度优于本文中未加入高度信息的分类方法和单一尺度分类方法;(2)引入高度特征有效提高了中低层居民楼和高层商住两用建筑类型的分类精度,较未加入高度特征的分类结果,总体精度提高了11.28%;(3)融合多个尺度的图像特征可有效减少粘连建筑误分为密集型建筑的情况,较单一尺度分类方法,总体精度提高了2.77%。在精细的数字表面模型数据缺失下,利用高分辨影像阴影信息可为建筑物高度估计提供一种有效的策略,提高城市建筑类型分类精度。此外,融合多粒度图像特征可提升城市区域复杂建筑类型的表征能力,进而提高分类精度。

关键词： 专业认证   临床技能   实践教学   功能分区  

摘要： 规范化的临床技能培训中心建设是培养医学人才临床实践能力的重要保障和有效手段之一。本文以临床医学专业认证为契机,通过对临床技能培训中心进行阶梯式的系统功能分区,探索以递进式、回归式、形成性评价为核心的临床技能培训考核模式,加强实践技能教师团队建设等措施,满足从医学生到临床医生不同结构、不同层次和不同阶段的教学、培训和考核需求,搭建了多学科、全方位、深层次、系统化的综合性临床实践教学平台,为建设集院校教育、毕业后教育及继续医学教育培训为一体的临床技能培训中心提供了一种参考模式。

摘要： 随着城镇化不断发展、推进,绿地(农田、林地、湿地、山地等)不断减少,不断被高楼大厦、道路分割,集中式、大面积的公共绿地建设变得更加难得。屋顶花园则充分利用建筑、构筑物顶部空间,打造散落式、微型绿地,改善局部生态环境,提供更加便捷、多样的户外活动空间。未来,屋顶 花园将会是建筑的必要附属工程,为建筑增值。