Usefulness of semi-automatic tools for airborne minefield detection
有些东西看似没用挡在关键时刻非常重要英语作文

有些东西看似没用挡在关键时刻非常重要英语作文全文共3篇示例,供读者参考篇1Sometimes in life, we learn things that seem pointless and useless at the time. As students, we've all had those classes or lessons that made us think "When am I ever going to need to know this?" Whether it was obscure mathematical formulas, random historical dates, or the intricacies of proper grammar usage, it all felt like a waste of time that could have been better spent on more practical skills.However, the older I get, the more I realize that even the most useless-seeming knowledge can end up being invaluable in unexpected situations. It's often those random facts and skills that save the day when we least expect it.Take my friend Marcus for example. Back in high school, he despised our French classes with a passion. He could never see himself traveling to a French-speaking country, so constantly conjugating verbs and memorizing vocabulary felt like torture. Marcus dreaded French and did the bare minimum to pass.Fast forward ten years, and Marcus is working for an international non-profit doing relief work in remote areas. On one trip to a rural part of Haiti, his team encountered a group of towns-people who only spoke French and the one local translator was sick. With no way to communicate, the mission was at a standstill.That's when Marcus' high school French unexpectedly kicked in. Even though it had been years since he practiced, enough of those vocabulary words and grammar rules came flooding back that he could roughly converse with the villagers. Hismuch-maligned French skills ended up allowing the relief mission to proceed and provide aid. Something he once thought entirely useless turned out to be utterly essential.Then there was my buddy Ted who used to groan about having to take a finance class for his economics degree. He figured he'd never need to analyze financial statements or project income valuations in his intended career path. Ted slogged through that class resentfully, feeling like it was a waste of his tuition money.A decade later, Ted's working at a creative marketing agency doing brand consulting. During a competitive pitch for a major new client, the client's CFO starts peppering him with questionsabout financial forecasting and income valuations. If Ted froze up or proved clueless about those concepts, the client would surely take their business elsewhere.Luckily, the financial acumen from that dreaded university class came back to Ted just in time. He was able to engage the CFO fluently about those topics, explain his analysis, and project profitability that exceeded the client's expectations. The partnership was secured thanks to knowledge Ted once thought he'd never need. That finance background allowed him to stand out and win the pitch despite it not being a core part of hisday-to-day work.My own personal example of unexpected usefulness stems from a journalism class I took mainly because I needed an easy elective to fill my schedule one semester. We had to produce a video news reporting project, which required learning certain videography skills like operating a camera, recording audio, and editing footage.It was a hassle to shoot and put together these video pieces, especially for someone like me pursuing a business degree. I remember wondering "When am I ever going to need this in the real world?" Little did I know that over a decade later, those skills would come in handy.These days, creating video content has become a major part of my company's marketing and communications strategy. Instead of having to hire an expensive videography crew, I'm able to handle most of our video needs myself thanks to what I learned in that class so long ago. It's saved us tons of money and allowed us to be more agile with our content creation.Just last month, we were facing a looming deadline to create a promotional video and our usual videographer was booked up. Rather than postpone the project, I was able to jump in and shoot the footage myself by dusting off my old camera and editing skills. We hit our deadline and launched a high-quality video on time.Those are just a few examples, but I could rattle off many more instances where skills or information that once seemed extraneous ended up being monumentally useful in key situations years later.The sad truth is, when we're young students, it's hard to see the bigger picture and potential value in what we're being taught. We're focused on very narrow academic or career goals, so anything outside of our perceived path feels like a distraction or waste of time. We want the most expedient road to our destination and have little patience for any potential detours.However, life is a winding journey full of unexpected twists and turns that we could never predict when we're just starting out. That's why we can't discredit or neglect any knowledge or skill set, no matter how useless it may seem in the moment. The thing you shrug off as irrelevant could hold the key to solving a future challenge. What you learn today may not pay off until decades down the road in an unforeseeable scenario.Looking back, I wish I had applied myself more diligently in some of those classes and topics I once regarded as pointless. In retrospect I see their hidden value and real-world applicability, even if it wasn't obvious at the time. While painful in the moment, the aggregate knowledge and skills we acquire through education builds a vast mental toolbox that we can draw from when the need arises, regardless of how obscure those tools once seemed.So to any students reading this frustrated with having to take classes you deem irrelevant to your goals, keep an open mind. What you're begrudgingly learning now may prove to be indispensable when circumstances abruptly change later. One day, that niche skill or random fact could mean the difference between floundering and flourishing in a pivotal situation.As the saying goes, "Knowledge is never wasted." Whether it's immediately apparent or not, everything we learn gets compiled into the mental library that we can reference and pull from at any time. Some of the most useless-seeming things turn out to be the most valuable resources when we're faced with challenges we never could have planned for. Stay curious, remain open to learning, and always strive to expand your capabilities. The most powerful tools are the ones you don't realize you need until your back is against the wall.篇2Some Things That Seem Useless Can Be Super Important When You Really Need ThemHave you ever learned something or had to study a topic that seemed completely pointless and irrelevant at the time? Maybe it was those weird biology facts you had to memorize about the lifecycle of a sea sponge. Or all those grammar rules in English class about when to use a comma or semicolon. We've all been there - stuck learning dry, boring material that we couldn't imagine ever actually using in real life.Well, let me tell you - some of that seemingly useless stuff can end up being incredibly valuable, especially in unexpectedsituations when you really need it. It's happened to me more times than I can count during my high school years so far. Allow me to share a few examples that proved how important it is to learn topics thoroughly, even if they seem pointless initially.The Punchline That Saved My LifeLet's start with a pretty crazy story from 10th grade. Our biology teacher, Mr. Hendricks, spent what felt like an eternity lecturing us about the anatomy and behavior of sponges. Talk about a snoozefest! We had to memorize endless facts like the two main groups of sponges (calcareous and siliceous), their weird modes of reproduction involving lashing cells called spongin, and on and on. I'll admit, I nodded off more than once during those classes.Fast forward to a few months later. Our class went on a snorkeling trip to the Florida Keys. On the last day, I got stung by a jellyfish and had a severe allergic reaction - my throat started closing up and I could barely breathe. The teacher and paramedics were baffled and didn't know how to treat it. Then, in a moment of panic and delirium, I remembered some of those ridiculous sponge facts from Mr. Hendricks' lessons.I was able to gasp out that venomous sponges use protein-based toxins that cause allergic inflammation, just likewhat was happening to me. One of the paramedics realized I was right - I was having a reaction to the venom, not just getting stung. They were then able to give me the proper anti-venom treatment. If I hadn't paid attention during those excruciatingly boring biology classes, I might not be here today! Those sponge facts literally saved my life on that terrifying day.Math Meets The Real WorldHere's another example, this time from my junior year. Our pre-calculus teacher, Ms. Wilson, drilled us endlessly on concepts like linear and quadratic functions, solving radical equations, and working with rational expressions with multiple variables. I'll be honest - I struggled a lot with keeping all those formulas and rules straight. Most of my classmates and I questioned when we'd ever use any of it outside of a math classroom.Then a strange opportunity came up for me to workpart-time after school at a structural engineering firm. On one of my first days, they had me helping with calculations to determine the structural load limits for a new office building design. All those nasty rational and radical equations that gave me so much grief? Suddenly they made perfect sense and were invaluable tools.If I hadn't powered through all that painful practice inpre-calc, I would have been completely lost trying to perform the required structural analysis. I shudder to think how badly I could have messed up the computations, which could have compromised the structural integrity and safety of the entire building design. Thanks to Ms. Wilson's tenacity in teaching what I once thought was useless content, I developed skills that were absolutely critical on the job.The 5 Word That Scored 5000My last example is a quick but valuable one from English class. Our teacher, Mr. Palmer, had a philosophy that we should build an impressive vocabulary to make our writing more scholarly and sophisticated. We couldn't go more than a few classes without him pounding new words into our heads through flashcards, practice sentences, you name it. I'll never forget when he spent over a week obsessing about the meaning and use cases for the strange word "eschew."Fast forward a couple years to my senior year. I entered an elite scholarship competition with a hefty 5000 prize. For the final round, we had to write a persuasive essay without any research materials or notes. The topic ended up being about avoiding overindulgence and embracing minimalism. As I waswriting, that purposefully pretentious 5 word "eschew" came shooting out from my brain's vocabulary reserves like a diamond glistening in my mind. I wrote a line explaining that we should "eschew excessive consumption of material goods."The judges loved the line, and complimented my precise and mature language during the feedback. In a tight competition decided by just a few judges' scoring marks, I'm confidentthatächewing" that fancy vocabulary wo rd is what propelled me to the win over other talented writers. Who would have thought Force-feeding us a weird word like "eschew" in 10th grade would lead to a legitimately useful application and 5000 scholarship years later?The Moral of the StorySo what's the lesson here? I could keep rattling off more examples of seemingly useless academic concepts becoming absolutely pivotal in unexpected real-world situations. But I think you get the point.Learning is an investment, and you never know when a random topic or skill might become crucial down the road. What seems like a throwaway fact or pointless formula now could miraculously provide the key solution when you face a future challenge or opportunity. If you check out and ignore subjectsjust because they don't appear relevant to your current reality, you're selling yourself short.Approach every subject with diligence, curiosity, and an open mind. You just might be amazed at how valuable it becomes when you least expect it. As I've experienced more than once, taking classes seriously - even the painfully tedious ones - can literally be a life-saver, career-booster, or windfall-creator someday. Keeping working hard, paying attention, and never assuming something is useless until you truly understand it. You'll thank yourself later when you can use your knowledge to save the day.篇3Some Things That Seem Useless Can Be Crucial at Critical MomentsHave you ever learned something that seemed entirely pointless at the time, but ended up being immensely valuable later on? I certainly have, and let me tell you, those moments when the "useless" knowledge kicks in are absolutegame-changers. It's like having a secret superpower that nobody saw coming, and it can turn the tide in the most unexpected situations.Take, for instance, the time I had to give an impromptu presentation in my English class. Now, if you'd asked me a week before, I would have sworn up and down that all those grammar lessons on the proper use of commas were a colossal waste of time. I mean, who really cares about a tiny little punctuation mark, right? Well, let me tell you, the teacher sure did.As I stood there, trying desperately to string a coherent sentence together, it hit me like a bolt of lightning – the comma rules I'd learned practically by osmosis. Suddenly, I was like a comma ninja, slicing and dicing my way through even the most convoluted phrases with surgical precision. The teacher's eyebrows shot up in surprise, and I could see the respect in her eyes. That little bit of "useless" knowledge had just saved my bacon.But it's not just about impressing teachers or acing presentations. Sometimes, the things we learn that seem irrelevant can have far-reaching consequences in the real world. Take my friend Jake, for example. He's the kind of guy who can recite entire baseball stats from memory, right down to the most obscure players' batting averages from decades ago.Now, you might think that's a pretty useless talent, but let me tell you, it came in handy when we were stranded in themiddle of nowhere with a broken-down car. As we sat there, trying to figure out our next move, Jake started rattling off baseball stats from the 1970s. At first, I thought he'd completely lost it, but then I realized he was using those seemingly random numbers as a coded message to signal for help.Sure enough, a passing truck driver picked up on the pattern and stopped to lend a hand. If it hadn't been for Jake's vast knowledge of useless baseball trivia, who knows how long we might have been stuck there?But it's not just about practical applications or survival situations. Sometimes, the things we learn that seem useless can enrich our lives in unexpected ways. Take my friend Sarah, for instance. She's a walking encyclopedia of obscure historical facts, the kind of stuff that would make most people's eyes glaze over.One day, we were wandering through an art museum, and Sarah started pointing out all these little details in the paintings that the rest of us had completely missed. Suddenly, the works took on a whole new depth and meaning, and we were able to appreciate them on a whole different level. Sarah's "useless" knowledge had just elevated our entire museum experience.Now, I'm not saying that we should all start memorizing baseball stats or obscure historical facts just for the heck of it.That would be a little excessive, even for a knowledge junkie like me. But what I am saying is that we shouldn't be so quick to dismiss the things we learn as useless or irrelevant.You never know when that random bit of trivia or that seemingly pointless skill is going to come in handy. It might be the key to acing a test, impressing a potential employer, or even saving someone's life. And even if it never serves a practical purpose, it might just enrich your life in ways you never could have imagined.So, the next time you find yourself rolling your eyes at yet another "useless" lesson or fact, think again. That little nugget of knowledge could be the thing that turns you into a real-life superhero one day. And even if it doesn't, at least you'll have something interesting to talk about at parties.Because let's face it, in a world where we're constantly bombarded with information, a little bit of "useless" knowledge can be a refreshing change of pace. It's like a mental palate cleanser, a break from the constant barrage of "useful" facts and figures.And who knows? Maybe one day, that random factoid you learned about the mating habits of the three-toed sloth will come in handy. You never know when you might find yourselfstranded in the rainforest, surrounded by sloths, and in desperate need of a way to communicate with them.Okay, maybe that's a bit of a stretch. But you get my point. The things we learn that seem useless can be surprisingly valuable, whether it's in a practical sense or just for the sheer joy of knowing something interesting and unexpected.So, the next time someone tries to tell you that you're wasting your time learning about ancient Greek pottery or the migratory patterns of the Arctic tern, just smile and nod. Because you never know when that "useless" knowledge is going to come in clutch.And who knows? Maybe one day, you'll be the one saving the day with your vast knowledge of comma placement or your uncanny ability to recite the entire roster of the 1986 New York Mets. Stranger things have happened, my friends.So, embrace the "useless" knowledge. Revel in it. Let it become a part of you. Because in this crazy, unpredictable world, you never know when that seemingly irrelevant bit of trivia is going to be the thing that saves the day.。
手部防护安全培训

Burns
灼伤
Lacerations
破口
Sprains and Strains
Dermatits
扭伤和挫伤 Fractures
皮炎 骨折
Your hands are your most valuable tools. Nothing has ever been invented that can match them for usefulness and adaptability. That’s why it’s so important to learn how to protect your hands, both at work and at home.
想想你的拇指,尽管他们看起来又短又粗,但他们比你想象的要重要得多。 试试不用拇指把鞋带系上,把门打开,启动车子。拇指是不可或缺的工具 – 且一不小心,就可能会失去他们。因此,要选用适合作业的工具,确保工具 完好,并按正确的操作方法使用。
重的箱子或其它材料都要轻拿轻放
事先检查一下门是否足够宽,过门时是否会伤到手
搬运重物过门或其它狭窄区域时,尽可能将手放在物体的 底部或上面,不要抱着两边
放桶或气瓶时千万小心,必要时要找人帮忙;
应用牵引线控制好所有重物。 牵引线不要缠在手上 或身上
Pinch points and crushing hazards are everywhere.
other skin disorders. Get prompt medical attention when required.
1. 不要把手放在可能夹到或压到的地方。处理材料,工具和设备前,一定要先
检查一下是否 有毛刺、飞边,材料表面是否粗糙、光滑。
NRS2002原文

Clinical Nutrition(2003)22(4):415–421r2003Elsevier Ltd.All rights reserved.doi:10.1016/S0261-5614(03)00098-0SPECIAL ARTICLEESPEN Guidelines for Nutrition Screening2002J.KONDRUP,n S.P.ALLISON,y M.ELIA,z B.VELLAS,z M.PLAUTH yn Rigshospitalet University Hospital Copenhagen,Denmark,y Queen’s Medical Centre,Nottingham,UK,z University of Southampton, Southampton,UK,z University Hospital Centre,T oulouse,France,y Community Hospital Dessau,Germany(Correspondence to:JK, Nutrition Unit^5711,Rigshospitalet University,9Blegdamsvej,2100Copenhagen,Denmark)AbstractöAim:T o provide guidelines for nutrition risk screening applicable to di¡erent settings(community,hospital, elderly)based on published and validated evidence available until June2002.Note:These guidelines deliberately make reference to the year2002in their title to indicate that this version is based on the evidence available until2002and that they need to be updated and adapted to current state of knowledge in the future. In order to reach this goal the Education and Clinical Practice Committee invites and welcomes all criticism and sugges-tions(button for mail to ECPC chairman).r2003Elsevier Ltd.All rights reserved.Key words:Nutritional Assessment;malnutrition;hos-pital;communityBackgroundAbout30%of all patients in hospital are under-nourished.A large part of these patients are under-nourished when admitted to hospital and in the majority of these,undernutrition develops further while in hospital(1).This can be prevented if special attention is paid to their nutritional care.Other features of the patient’s primary disease are screened routinely and treated(e.g.dehydration,blood pressure,fever),and it is unacceptable that nutritional problems causing significant clinical risk are not identified.Neglect is also beginning to have medico-legal consequences,since an increasing number of cases of nutritional neglect are being brought to the courts.There is every reason, therefore,for hospitals and healthcare organizations to adopt a minimum set of standards in this area. However,the lack of a widely accepted screening system which will detect patients who might benefit clinically from nutritional support is commonly seen as a major limiting factor to improvement.It is the purpose of this document to give simple guidelines as to how undernutrition,or risk for develop-ment of undernutrition,can be detected,by proposing a set of standards which are practicable for general use in patients and clients within present healthcare resources. Purpose of screeningThe purpose of nutritional screening is to predict the probability of a better or worse outcome due to nutritional factors,and whether nutritional treatmentis likely to influence this.Outcome from treatment may be assessed in a number of ways:1.Improvement or at least prevention of deteriorationin mental and physical function2.Reduced number or severity of complications ofdisease or its treatment.3.Accelerated recovery from disease and shortenedconvalescence.4.Reduced consumption of resources, e.g.length ofhospital stay and other prescriptions.The nutritional impairment identified by screening should therefore be relevant to these aims and outcomes and may vary according to circumstances,e.g.age or type of illness.In the community,undernutrition,with or without chronic disease,may be the primary factor determining the mental or physical function of an individual,whereas in hospital or in a nursing home, disease factors assume a greater importance with disease-associated undernutrition assuming an important albeit secondary role.Screening in the community can therefore be focused primarily on nutritional variables based on the results of semi-starvation studies such as those of Ancel Keys and his colleagues in1950(2).In hospitals,other aspects of disease need to be considered in combination with purely nutritional measurements in order to deter-mine whether nutritional support is likely to be beneficial.Randomized controlled trials of nutritional support in particular disease groups may therefore provide important evidence on which to base our criteria of nutritional risk.Methodological considerationsThe usefulness of screening tools can be evaluated by a number of methods.The predictive validity is of major importance,i.e.that the individual identified to beat 415risk by the method is likely to obtain a health benefit from the intervention arising from the results of the screening.This can be obtained in various ways,as described for the individual screening tools below.The screening tool must also have a high degree of content validity,i.e.considered to include all relevant components of the problem it is meant to solve.This is usually achieved by involving representatives of those who are going to use it in the process of designing the tool.It must additionally have a high reliability,i.e little inter-observer variation.It must also be practical, i.e.those who are going to use the tool mustfind it rapid,simple and intuitively purposeful.It should not contain redundant information,rmation about vomiting or dysphagia is unnecessary when dietary intake is part of the screening.The etiology of reduced dietary intake belongs to asssessment(see below)or is incorporated into the nutrition care plan.Several other aspects of evaluating screening tools are described in an analysis of44nutritional screening tools(3). Finally,a screening tool should be linked to specified protocols for action, e.g.referral of those screened at risk to an expert for more detailed assessment and care plans.Screening leads to nutritional careHospital and healthcare organizations should have a policy and a specific set of protocols for identifying patients at nutritional risk,leading to appropriate nutritional care plans:an estimate of energy and protein requirements including posssible allowance for weight gain,followed by prescription of food,oral supple-ments,tube feeding or parenteral nutrition,or a combination of these.It is suggested that the following course of action be adopted.1.Screening This is a rapid and simple processconducted by admitting staff or community health-care teams.All patients should be screened on admission to hospital or other institutions.The outcome of screening must be linked to defined courses of action:a.The patient is not at risk,but may need to bere-screened at specified intervals,e.g.weeklyduring hospital stay.b.The patient is at risk and a nutrition plan isworked out by the staff.c.The patient is at risk,but metabolic orfunctional problems prevent a standard planbeing carried out.d.There is doubt as whether the patient is at risk.In the two latter cases,referral should be made to an expert for more detailed assessment.2.Assessment.This is a detailed examination ofmetabolic,nutritional or functional variables by an expert clinician,dietitian or nutrition nurse.It isa longer process than screening which leads to anappropriate care plan considering indications, possible side-effects,and,in some cases,special feeding techniques.It is based,like all diagnosis, upon a full history,examination and,where appropriate,laboratory investigations.It will in-clude the evaluation or measurement of the func-tional consequences of undernutrition,such as muscle weakness,fatigue and depression.It involves consideration of drugs that the patient is taking and which may be contributing to the symptoms,and of personal habits such as eating patterns and alcohol intake.It includes gastrointestinal assessment, including dentition,swallowing,bowel function, etc.It necessitates an understanding of the inter-pretation of laboratory tests,e.g.plasma albumin which is more likely to be a measure of disease severity than of malnutrition per se.Calcium, magnesium and zinc levels may be important,and in some cases laboratory measurement of micro-nutrient levels may be appropriate.3.Monitoring and outcome.A process of monitoringand defining outcome should be in place.The effectiveness of the care plan should be monitored by defined measurements and observations,such as recording of dietary intake,body weight and function,and a schedule for detecting possible side-effects.This may lead to alterations in treatment during the natural history of the patient’s condition.munication.Results of screening,assessmentand nutrition care plans should be communicated to other healthcare professionals when the patient is transferred,either back into the community or to another institution.When patients are transferred from the community to hospital or vice versa,it is important that the nutritional data and future care plans be communicated.5.Audit.If this process is carried out in a systematicway,it will allow audit of outcomes which may inform future policy decisions.Although this document will focus mainly on the process of screening,this cannot be considered in isolation and must be linked to the pathway of care described above.Components of nutritional screeningScreening tools are designed to detect protein and energy undernutrition,and/or to predict whether under-nutrition is likely to develop/worsen under the present and future conditions of the patient/client.Therefore, screening tools embody the following four main principles:1.What is the condition now?Height and weight allowcalculation of body mass index(BMI).Normal range 20–25,obesity430,borderline underweight18.5–20, undernutrition o18.5.In cases where it is not possible416ESPENGUIDELIN ESto obtain height and weight,e.g.in severely ill patients,a useful surrogate may be mid-arm circumference,measured with a tape around the upper arm midway between the acromion and the olecranon.This can be related to centiles of tables for that particular population,age and sex.1BMI may be less useful in growing children and adolescents,and in the very elderly.Nevertheless,the BMI provides the best generally accepted measure of weight for height.2.Is the condition stable?Recent weight loss is obtainedfrom the patient’s history,or,even better,from previous measurements in medical records.More than5%involuntary weight loss over3months,is usually regarded as significant.This may reveal undernutrition which was not discovered by1.,e.g.weight loss in obesity,and may also predict further nutritional deterioration depending on3and4.3.Will the condition get worse?This question may beanswered by asking whether food intake has been decreased up to the time of screening,and if so by approximately how much and for how long.Con-firmatory measurements can be made of the patient’s food intake in hospital or by food diary.If these are found to be less than the patient’s requirements with normal intake,then further weight loss is likely.4.Will the disease process accelerate nutritional deteriora-tion?In addition to decreasing appetite,the disease process may increase nutritional requirements due to the stress metabolism associated with severe disease(e.g.major surgery,sepsis,multitrauma),causingnutritional status to worsen more rapidly,or to develop rapidly from fairly normal states of(1–3)above. Variables1–3should be included in all screening tools,while4is relevant mainly to hospitals.In screening tools,each variable should be given a score, thereby quantifying the degree of risk and allowing a direct link to a defined course of action.Screening tools recommended by ESPENThe community:MUST for adults(see appendix)The purpose of the MUST system is to detect under-nutrition on the basis of knowledge about the associa-tion between impaired nutritional status and impaired function(5).It was primarily developed for use in the community,where serious confounders of the effect of undernutrition are relatively rare.Evaluation.The predictive validity of MUST in the community is based on previous and new studies of the effect of semi-starvation/starvation on mental and physical function in healthy volunteers concurrent validity with other tools,and utilisation of health care resources.The new series of studies describe the impair-ment of function as a results of various extents of weight loss,with various rates of weight loss,from various initial nutritional statures(low or high BMI)(6).It has been documented to have a high degree of relia-bility(low inter-observer variation)with a k=0.88À1.00. Its content validity has been assured by involving a multidisciplinary working group in its preparation.Its practicability has been documented in a number of studies in different community regions in the UK(5)(Table1). The tool has recently been extended to other health care settings,including hospitals,where again it has been found to have excellent inter-rater reliability,concurrent validity with other tools,and predictive validity(length of hospital stay,mortality in elderly wards,and discharge destination in orthopaedic patients).The hospital:NRS-2002(see appendix)The purpose of the NRS-2002system is to detect the presence of undernutrition and the risk of developing undernutrition in the hospital setting(4).It contains the nutritional components of MUST,and in addition,a grading of severity of disease as a reflection of increased nutritional requirements.It includes four questions as a pre-screening for departments with few at risk patients. With the prototypes for severity of disease given,it is meant to cover all possible patient categories in a hospital.A patient with a particular diagnosis does not always belong to the same category.A patient with cirrhosis,for example,who is admitted to intensive care because of a severe infection,should be given a score of 3,rather than1.It also includes old age as a risk factor, based on RCTs in elderly patients(4)(Table2). Evaluation.Its predictive validity has been documented by applying it to a retrospective analysis of128RCTs of nutritional support which showed that RCTs with patients fullfilling the risk criteria had a higher likelihood of a positive clinical outcome from nutritional support than RCTs of patients who did not fulfill these criteria (4).In addition,it has been applied prospectively in a controlled trial with212hospitalized patients selected according to this screening method,which showed a reduced length of stay among patients with complications in the intervention group(when adjusted for occurrence of operation and death).2Its content validity was maximized by involving an ESPENad hoc working group under the auspices of the ESPENEducational and Clinical Practice Committee in the literature based validation.It has also been used by nurses and dietitians in a2years’implementation study in three hospitals (local,regional and university hospital)in Denmark(7),1Data on simultaneous measurements of BMI and mid-arm circum-ference have not been published in a form that allows comparison of cut-off points for these measurements.An analysis of RCTs,in whichmean values BMI were given together with mean values of mid-arm circumference,suggested that a mid-arm circumference o25cm corresponds to a BMI o20.5(4).The data did not allow for distinguishing between lower cut-off points for BMI.2The trial was completed in April2002and a manuscript is in preparation by N.Johansen et al.A copy is available upon request (kondrup@rh.dk)CLINICAL NUTRITION417which indicated that staff and investigators seldomly disagreed about a patient’s risk status.Its reliability was validated by inter-observer variation between a nurse,a dietitian and a physician with a k=0.67.Its practicability was shown by thefinding that99%of750newly admitted patients could be screened.The incidence of at-risk patients was about20%(7).The elderly:MNAThe purpose of MNA is to detect the presence of undernutrition and the risk of developing undernutrition among the elderly in home-care programmes,nursing homes and hospitals.The prevalence of undernutrition among the elderly may reach significant levels(15–60%) under these circumstances(8).The screening methods mentioned above will detect undernutrition among many elderly patients,but for the frail elderly the MNA screening is more likely to identify risk of developing undernutrition,and undernutrition at an early stage, since it also includes physical and mental aspects that frequently affect the nutritional status of the elderly,as well as a dietary questionnaire.It is in fact a combination of a screening and an assessment tool,since the last part of the form(not reproduced here)is a more detailed exploration of the items in thefirst part of the form. Evalution.The predictive validity of MNA has been evaluated by demonstrating its association with adverse health outcome(9),social functioning(10),mortality (11,12)and a higher rate of visits to the general practitioner(13).In a randomized trial of elderly at risk according to MNA,those given oral supplements increased body weight,but not grip strength(14),and in another similar(but small)randomized trial of elderly in a nursing home,the intervention group increased dietary intake but no functional or clinical outcome data were reported(15).The content validity has not been reported.The reliability(inter-observer variation)was estimated,with a k=0.51(8).The MNA takes o10min to complete and its practicability has been shown by its use in a large number of studies,see(8).ChildrenA universally accepted screening tool for children is not yet available(although guidelines are in preparation under the Chairmanship of Professor Bert Koletzko, Munich).It is already standard practice among paedia-tricians to maintain height and weight charts,allowing calculation of growth velocity which is high-sensitive to nutritional status.Pubertal development is also im-paired during undernutrition.Other screening systemsIn their recent guidelines,the ASPENboard of directors stated that no screening system has been validated with respect to clinical outcome(16).They also suggested that,in the absence of an outcomes validated approach,a combination of clinical and biochemical parameters should be used to assess the presence of malnutrition. They suggest using the subjective global assessment,SGA (17),which classifies patients subjectively on the basis of data obtained from history and physical examination, since this system has been validated in several ways other than with respect to clinical outcome,e.g.inter-observer variation.However,the lack of a direct connection between the observations and the classification of patients leaves the tool more complex and less focused than desired for rapid screening purposes.An analysis of a total of44screening tools for use in hospital and the community(3)indicated that tools were published with insufficient details regarding their intended use and method of derivation,and with an inadequate assessment of their effectiveness.No one tool satisfied a set of criteria regarding scientific merit. The present recommendations by ESPENmay share some of these short-comings,but in view of the massive neglect of nutritional problems in health institutions, and the explicit lack of generally accepted screening tools,the predictive validity given above is considered sufficient to provide a practical and reasonable ap-proach in the light of present knowledge.These recommendations may need to be modified in the light of future experience.Predictive validity vs meta-analyses of treatmentThe predictive validity reported here needs to be commented upon in relation to recent meta-analyses, or systematic reviews.Such analyses suggest that nutritional support by the enteral or oral route improves functional capacity and clinical outcome,and reduces length of stay and mortality,e.g.(18,19).In a recent meta-analysis of studies employing parenteral nutrition (20),it was pointed out that there are inadequate data to assess the efficacy of parenteral nutrition in patients who are severely undernourished,who have highly catabolic disease processes,or who cannot be provided with enteral nutrition for several weeks.These are in fact the patients who most commonly receive supportive par-enteral nutrition now-a-days,and for ethical reasons, there will probably not be randomized trials available in the future either.The majority of studies available deal with the grey area of patients who are less under-nourished/not undernourished and/or are mildly–mod-erately catabolic.With these studies at hand,it was difficult to identify clinical conditions where parenteral nutrition would be clinically effective(20).However,the literature analysis mentioned above(4)suggests that parenteral nutrition is clinically effective in studies of patients who rather more than just fulfill the criteria for being nutritionally at risk.Furthermore,nutrients known to be essential for healthy humans are also essential for patients,and therefore the required documentation is not to confirm418ESPENGUIDELIN ESthe essentiality of nutrients among patients,but rather to define when a certain form of nutritional support is more beneficial than leaving the patient to develop nutritional deficiences.Therefore,meta-analyses and systematic reviews of nutritional support are too simplistic,if performed by analogy with treatment using a new drug.Finally,a nutritional care plan in most cases will involve food,oral supplements,tube feeding and parenteral nutrition,often used interchangeably in the same patient,whereas the majority of randomized trials,and meta-analyses,have dealt with studies of single modality treatments.The predictive validity of a screen-ing tool therefore cannot be directly based on meta-analyses available at present.References1.McWhirter J P,Pennington C R.Incidence and recognition of malnutrition in hospital.BMJ 1994;308:945–9482.Keys A,Brozek J,Henschel A et al.The Biology of Human Starvation.Minneapolis:University of Minnesota Press;1950:703–748&819and 9183.Jones J M.The methodology of nutritional screening and assess-ment tools.J Hum Nutr Diet 2002;15:59–714.Kondrup J,Rasmussen H H,Hamberg O et al.Nutritional Risk Screening (NRS 2002):a new method based on an analysis of controlled clinical trials.Clin Nutr 2003;22:321–3365.Malnutrition Advisory Group (MAG).MAG—guidelines for Detection and Management of Malnutrition.British Association for Parenteral and Enteral Nutrition,2000,Redditch,UK6.Elia M.Personal communication7.Kondrup J,Johansen N,Plum L M et al.Incidence of nutritional risk and causes of inadequate nutritional care in hospitals.Clin Nutr 2002;21:461–4688.Vellas B,Guigoz Y,Garry P J et al.The Mini NutritionalAssessment (MNA)and its use in grading the nutritional state of elderly patients.Nutrition 1999;15:116–1229.Beck A M,Ovesen L,Osler M.The ‘Mini Nutritional Assessment’(MNA)and the ‘Determine Your Nutritional Health’Checklist (NSI Checklist)as predictors of morbidity and mortality in an elderly Danish population.Br J Nutr 1999;81:31–3610.Griep M I,Mets T F,Collys K et al.Risk of malnutrition inretirement homes elderly persons measured by the ‘mini-nutritional assessment’.J Gerontol A Biol Sci Med Sci 2000;55:M57–pan B,di Castri A,Plaze J M et al.Epidemiological studyof malnutrition in elderly patients in acute,sub-acute and long-term care using the MNA.J Nutr Health Aging 1999;3:146–15112.Gazzotti C,Albert A,Pepinster A et al.Clinical usefulness of themini nutritional assessment (MNA)scale in geriatric medicine.J Nutr Health Aging 2000;4:176–8113.Beck A M,Ovesen L,Schroll M.A six months’prospective follow-up of 65+-y-old patients from general practice classified according to nutritional risk by the Mini Nutritional Assessment.Eur J Clin Nutr 2001;55:1028–1033uque S,Arnaud Battandier F,Mansourian R et al.Protein-energy oral supplementation in malnourished nursing-home residents.A controlled trial.Age Ageing 2000;29:51–5615.Beck A M,Ovesen L,Schroll M.Home-made oral supplement asnutritional support of old nursing home residents,who areundernourished or at risk of undernutrition based on the MNA.A pilot trial.Aging Clin Exp Res 2002;14:212–21516.ASPENBoard of directors.Guidelines for the use of parenteral,enteral nutrition in adult and pediatrc care.J Parenter Enteral Nutr 2002;26:9SA–12SA17.Detsky A S,McLaughlin J R,Baker J P et al.What is subjectiveglobal assessment of nutritional status?J Parenter Enteral Nutr 1987;11:8–1318.Potter J,Langhorne P,Roberts M.Routine protein energy supple-mentation in adults:systematic review.BMJ 1998;317:495–50119.Stratton R J,Green C J,Elia M E.Disease Related Malnutrition:An Evidence-based Approach to Treatment.CAB International,Oxford,UK,200320.Koretz R L,Lipman T O,Klein S.AGA technical review onparenteral nutrition.Gastroenterology 2001;121:970–1001Can be adapted for special circumstances (e.g.when weight and height cannot be measured or when there are fluid disturbances)using specified alternative measurements including subjective criteria.It also identifies obesity (BMI 430kg/m 2).AppendixMalnutrition Universal Screening Tool (MUST)for adultsCLINICAL NUTRITION 419420ESPENGUIDELIN ESNutritional Risk Screening(NRS2002)CLINICAL NUTRITION421 r。
托福强化课件6句子简化

Unfortunately, he refused to participate in the debate, reasoning that there was no need for him to debate somebody who, in his opinion, knew nothing about the issue.
找出and并列成分 地点状语从句
A father accepting responsibility for behavior problems is linked with positive outcomes.
A father is linked with positive outcomes.
A. The density of the Great Red spot is much higher than that the Earth.
B. If the diameter of the Great Red Spot were doubled, it would equal that of the Earth.
C. Because of the region’s present climatic conditions, water is being added each year to the aquifer.
Estimates indicate that the aquifer contains enough water to fill Lake Huron, but unfortunately, under the semiarid climatic conditions that presently exist in the region, rates of addition to the aquifer are minimal, amounting to about half a centimeter a year.
如何有效使用工具英语作文

如何有效使用工具英语作文Using tools effectively is a crucial skill that can make our lives easier and more efficient. Here are sometips to help you make the most of the tools you have at hand.First, it's important to understand the basics of the tool you're using. Read the instructions or watch atutorial to get a feel for how it works. Don't be afraid to ask for help if you're stuck – there's usually someone around who's willing to lend a hand.Next, think about how you can customize the tool to fit your needs. Many tools offer settings and options that can be adjusted to suit your preferences. Take the time to explore these and make the tool work for you, not against you.Remember to stay organized when using tools. Create a system for storing and retrieving information, and stick toit. This will help you find what you need quickly and avoid wasting time searching through piles of clutter.Don't be afraid to try new tools, either. Technology is constantly evolving, and there are always new and better tools coming out. Keep an eye out for new options and give them a try if they seem like they could be helpful.Finally, don't forget to take breaks when using tools. It's easy to get caught up in a project and forget to take a step back, but it'。
国际贸易实务chapter 2 Object of Transaction

5
Sample
“小轿车”(排量2.0,Saloon cars, of a cylinder capacity exceeding 1500cc but not exceeding 2500cc);
“T恤衫”( 棉制针织或钩编,T-shirts, knitted or crocheted);
15
Hale Waihona Puke Automatic Filling Line
16
Capping Machine
17
Offset Printer
18
Silk Screen Printing
19
(2)Describe by processing materials 以加工原料表示货物名称
★“羊绒衫”(cashmere sweater) ★“钢制螺钉”(steel screws) ★“菠萝罐头”(pineapples in airtight
containers)
20
(3)Describe by person’s name 以人物姓名表示货物名称
★ “李宁牌运动鞋”(Li-ning brand sports shoes) ★ “王致和腐乳”(Wang Zhi-he fermented been curd) ★ “王守义十三香调料”(Wang Shou-yi multi-flavored spices)
14
(1)Describe by its usefulness 以货物主要用途表示货物名称
★ Automatic Filling Line ★ Capping Machine ★ Offset Press ★ One set of universal semi-automatic silk
构词法
英语构词法全解1976年出版的《韦氏第三版新国际英语大辞典新词续编》收录了该大辞典1961年出版后出现的6000个新词。
这些新词中有一半是人们为了适应社会新的发展依据构词法造出来的:其中五分之二属“缀合”,五分之三为“合成”。
可见,英语构词法对英语的发展具有多么大的作用。
构词(word formation)的方法主要有4类:(1) 前缀法:在词根前加前缀,多数情况下词类不变。
如:pre-determine (预订)(2) 后缀法:在词根后加后缀,多数情况下词类改变。
如:friendless (没有朋友的)(3) 转化法:词类改变但词形不变。
如:We shall carpet the room.(名词→动词)我们将在房中铺地毯。
(4) 合成法:将一词加到另一词上,前一词修饰、限定后一词。
如:blackbird (画眉) armchair (扶手椅)(一)前缀法(prefixation)(1)表示否定a-, an- (缺乏,没有),多用以构成学术、科技方面的词。
如:amoral (非道德性的) asexual (无性别的) anarchy (无政府主义)dis- (不,反面),如:disobey (不服从) disuse (废止) disloyalty (不忠诚)in- (有变体:在[l]前为il-,在唇音[m, p, b]前为im-,在[r]前为ir-) (不,反面)和形容词结合。
如:incomplete (不完全的) illegal (非法的) impossible (不可能的) irresponsible (不负责任的)non- (不),和名词、形容词、副词结合,有时由连字符连接。
如:non-smoker (不吸烟者) non-perishable (不易腐败的) non-person (无关重要的人)un- (不,非),和形容词及分词结合,其构词力在表示否定的一类前缀中最强。
如:unfair (不公平的) unexpected (想不到的) unknown (未知的)(2)表示反向或反义de-①表示动作的反向,和动词或名词结合。
短信交流工具的介绍和特点英语作文
短信交流工具的介绍和特点英语作文英文回答:Text Messaging: A Modern Form of Communication.Text messaging, also known as SMS (Short Message Service), has revolutionized the way we communicate. This convenient and accessible technology allows users to send and receive short text messages over their mobile phones. With its widespread adoption, text messaging has become an integral part of our daily lives, connecting people across distances and facilitating various forms of communication.Characteristics of Text Messaging.1. Simplicity and Convenience: Text messaging is incredibly simple to use, with a user-friendly interface that makes it accessible to people of all ages and backgrounds. Messages can be composed and sent quickly, making it an efficient way to communicate.2. Immediate Delivery: Unlike traditional mail or email, text messages are delivered almost instantaneously to the recipient's phone. This speed makes it ideal for urgent communication or situations where immediate responses are required.3. Ubiquity: Text messaging is supported by virtuallyall mobile phones, regardless of their brand or model. This widespread availability ensures that messages can reach individuals anywhere with cellular coverage.4. Versatility: Text messages can convey a variety of information, from simple greetings and reminders to complex discussions and ideas. The brevity of the messages encourages users to be concise and efficient in their communication.5. Affordability: In many countries, text messaging is relatively inexpensive, making it an accessible communication option for a wide range of people. This affordability has contributed to its widespread adoption.Applications of Text Messaging.Text messaging has found applications in numerous areas, including:1. Personal Communication: Text messages are commonly used for casual communication between friends, family, and romantic partners. They facilitate informal conversations, sharing of updates, and coordination of plans.2. Business Communication: Text messaging can be usedfor business-related tasks such as scheduling appointments, sending reminders, and providing customer support. Itsspeed and convenience make it suitable for urgent mattersor situations where quick responses are essential.3. Emergency Communication: Text messaging can play a crucial role in emergency situations. It allows individuals to send distress messages, request assistance, and stay informed during times of crisis.4. Marketing and Promotion: Businesses use text messaging as a marketing channel to reach customers, promote products, and share exclusive offers. It provides a direct and targeted way to engage with potential customers.5. Social and Community Initiatives: Text messaging has been utilized for various social and community initiatives, such as health campaigns, disaster relief efforts, and community outreach programs. Its ability to reach a wide audience makes it an effective tool for promoting awareness and mobilizing support.In conclusion, text messaging is a versatile and widely accessible communication tool that has transformed the way we connect with others. Its simplicity, immediacy, ubiquity, and affordability make it an indispensable part of modern communication, facilitating both personal and professional interactions.中文回答:短信交流工具的介绍和特点。
如何使用好工具箱英语作文
如何使用好工具箱英语作文标题,How to Utilize a Toolbox Effectively。
In our daily lives, we often encounter situations where having the right tools can make tasks easier and more efficient. A toolbox is a valuable resource that contains various tools for different purposes. Knowing how to use a toolbox effectively can save time, effort, and even money.In this essay, we will explore the importance of a toolbox and provide practical tips on how to utilize it efficiently.Firstly, let us understand the significance of a toolbox. A toolbox is like a treasure chest for any handyman or DIY enthusiast. It houses a collection of tools ranging from screwdrivers and hammers to wrenches and pliers. Each tool serves a specific function and can be indispensable in various situations. Whether it's fixing a leaky faucet, assembling furniture, or performing routine maintenance tasks, a well-equipped toolbox is essential.Now, let's delve into the strategies for using a toolbox effectively:1. Organize Your Toolbox: The first step to utilizing a toolbox efficiently is to organize it properly. Arrange your tools in a way that makes them easy to locate when needed. You can use compartments, trays, or pouches to categorize different types of tools. This organization will save you valuable time that would otherwise be spent rummaging through a cluttered toolbox.2. Familiarize Yourself with the Tools: Take the time to familiarize yourself with each tool in your toolbox. Know its name, function, and how to use it safely. Some tools may have multiple attachments or settings, so understanding their versatility can be beneficial. Additionally, learn the proper maintenance procedures for your tools to ensure their longevity.3. Plan Ahead: Before starting any task, assess the tools you will need and gather them from your toolbox. Planning ahead prevents interruptions during the task andensures that you have all the necessary equipment at hand. It also allows you to anticipate any challenges and select the most appropriate tools for the job.4. Use the Right Tool for the Job: One of the golden rules of using a toolbox is to always use the right toolfor the job. Trying to improvise with the wrong tool can lead to frustration, damage to the tool or the objectyou're working on, and even personal injury. Take the time to select the appropriate tool for each task, even if it means taking an extra trip to your toolbox.5. Maintain and Repair Your Tools: A well-maintained tool is more effective and safer to use. Regularly inspect your tools for signs of wear or damage, and repair or replace them as needed. Keep your tools clean andlubricated to prevent rust and corrosion. Investing time in maintaining your tools will prolong their lifespan and ensure optimal performance.6. Safety First: Always prioritize safety when using tools from your toolbox. Wear appropriate protective gear,such as goggles, gloves, and ear protection, depending on the task at hand. Follow the manufacturer's instructionsfor each tool and be mindful of potential hazards. When working with power tools, ensure they are switched off and unplugged when not in use to prevent accidents.7. Keep Your Toolbox Updated: As your skills and projects evolve, so should your toolbox. Periodically assess your toolbox and add new tools or replace old ones to meet your changing needs. Stay informed about advancements in tool technology and consider investing in innovative tools that can enhance your productivity.In conclusion, a toolbox is an invaluable asset for anyone who enjoys DIY projects or performs maintenance tasks around the house. By organizing, familiarizing, planning, using the right tools, maintaining safety, and keeping your toolbox updated, you can make the most of this resource. A well-utilized toolbox not only simplifies tasks but also empowers you to tackle new challenges with confidence. So, next time you pick up a tool from yourtoolbox, remember these strategies and make your work more efficient and enjoyable.。
对我有用的发明英语作文
对我有用的发明英语作文英文回答:In the realm of technological advancements, numerous inventions have emerged that have indelibly transformed our lives, providing us with unprecedented capabilities and conveniences. While it is difficult to pinpoint a single invention as the most impactful on a personal level, there are several that have had a profound influence on my daily routine and overall well-being.Foremost among these is the smartphone, a ubiquitous device that has become an indispensable tool for communication, information access, and productivity. Its compact size and wireless connectivity allow me to stay connected with friends, family, and colleagues wherever I go. The plethora of applications available on smartphones enables me to accomplish a wide range of tasks, from checking emails and managing finances to staying updated on news and entertainment. Furthermore, the smartphone's GPScapabilities have revolutionized navigation, making it effortless to find my way around unfamiliar places.Another invention that has greatly enhanced my life is the personal computer, which has become an essential tool for both work and leisure. Its powerful processing capabilities and vast storage capacity allow me to handle complex tasks with ease, from creating presentations and spreadsheets to editing videos and designing graphics. Additionally, the personal computer provides access to a world of knowledge and entertainment through the internet, allowing me to pursue my interests, learn new skills, and stay informed about current events.In the realm of transportation, the invention of the automobile has had a transformative impact on my mobility and independence. The ability to own and operate a vehicle has granted me the freedom to travel at my own convenience, explore new destinations, and connect with distant friends and family. Furthermore, advancements in automotive technology, such as GPS navigation and adaptive cruise control, have made driving safer and more enjoyable.In the realm of healthcare, the invention ofantibiotics has revolutionized the treatment of bacterial infections, saving countless lives and improving thequality of life for millions. Antibiotics have enabled medical professionals to combat a wide range of infectious diseases, from pneumonia and sepsis to meningitis and tuberculosis. Their efficacy has reduced mortality rates, shortened hospital stays, and prevented long-term complications.The invention of the refrigerator has had a profound impact on my daily life by preserving food and preventing spoilage. Its ability to maintain a cool temperature allows me to store perishable items for extended periods, reducing food waste and saving me time and money. Additionally, the refrigerator has enabled me to enjoy a wider variety of fresh produce, as I can purchase items in bulk and store them for later consumption.中文回答:智能手机,小巧便捷,随时随地保持联系、获取信息、提高工作效率。
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Usefulness of semi-automatic tools for airborne minefield detectionP. Druyts, Y. Yvinec, M. AcheroySignal and Image Centre, Royal Military Academy, Belgiumhttp://www.sic.rma.ac.beAv. de la Renaissance, 301000 Brussels, BelgiumPascal.Druyts@elec.rma.ac.beYvinec@elec.rma.ac.beAcheroy@elec.rma.ac.beAbstract - Potentialities of airborne minefield detection are nowadays investigated. Such approaches are based on the detection of minefield indicators on mono or multi-sensor airborne images. Most of the indicators will have to be located in vast area using high-resolution imagery. This leads to a tremendous amount of data to be interpreted. Hence semi-automatic detection techniques must be used to pre-filter the input information flux or the user will be flooded by the incoming data. In this paper, we illustrate and evaluate such a semi-automatic technique for the detection of un-obscured anti-tank mines. The potentiality of semi-automatic tools for the detection of other mine indicators is also discussed.IntroductionLandmines are the cause of a huge and world-wide humanitarian disaster as about 110 million landmines are scattered in 64 countries around the globe. The currently used technology is not efficient. Therefore de-mining campaigns are slow and expensive. The major problems are linked to the high rate of false alarms and the poor localisation of mine polluted areas. Most often, the really polluted area is quite smaller than the suspected one and a lot of time is lost demining clear areas [2].Nowadays, this problem is receiving an increasing attention from the international community. Research projects are launched in several complementary directions such as:q Development of new sensors [8],q Adaptation and fusion of off-the-shelf sensors[1], [3],q Airborne detection of minefields [4], [10],q Mechanisation of scanning (vehicle or robot mounted) [5],q Mine destruction or neutralisation,q Mechanical clearing (roller, flail, etc.).A survey of current technology research can be found in [1].In this paper, we will discuss more in-depth the potentiality for airborne detection of minefields. More precisely, we will focus on the description of semi-automatic tools that are needed to support such detection.Need for airborne surveyThe delimitation of mine polluted areas has to be performed before the actual demining begins. This delimitation is performed during the mine surveys level 1 and level 2. In level 1 general survey, all locally available information such as hospital casualty reports are gathered to get a first idea of the location and extend of mine polluted areas. Then in level 2 technical survey, demining teams are sent to those suspected areas to reduce their size whenever possible and mark them.Currently, the minefield marking is quite imprecise. This is due to several reasons amongst which:q Imprecise, incomplete and sometimescontradictory information is gathered,q Difficulty to collect the locally available information (limited means of communicationsetc.),q Lack of efficient centralisation of all demining related information at the country or regionallevel,q Lack of precise maps.All this leads to a significant waste of time. Indeed, the suspected area is often far larger than the really mined area. Furthermore several independent organisations are often active simultaneously and it sometimes occurs that both demine the same region due to lack of communication, centralisation of the information or inaccurate maps.Obviously, airborne sensed information might be quite valuable in this context. Indeed, it is an independent and up to date source of information. It may help to obtain a more precise localisation of thepolluted areas. As a by-product, such data allows to update the existing old and inaccurate maps.It is unlikely that airborne survey might replace on-field detection in the near future. Indeed, even if some mines may be detected using airborne sensors, the probability of detection will most probably be far too small. However, airborne survey may be quite effective for minefield detection because it is not necessary to find all the mines and furthermore, other indirect minefield indicators may be used.Need for semi-automatic detection tools To demonstrate that airborne survey may efficiently be used for humanitarian demining support, one should show that:q Reliable mine indicators may be found in the used imageryq Those indicators may be found in a reasonable timeframe using reasonable resources.Nowadays, experienced human photo-interpreters clearly outperform any automatic system when one considers the interpretation of a reasonable amount of data especially when completeness of the analysis or the handling of exceptional cases is considered. Indeed, human operators can adapt very easily to a new situation or make the best use of any collateral information.However, the evolution in the imaging technologies leads to an increase of the resolution and the number of available spectral bands. All this leads to an exponential increase of the amount of available data on one hand but on the other hand, the number of trained image analysts remains fairly stable and will certainly not grow exponentially for economic reasons. Furthermore, human beings dislike routine work.Imagine that mines may be found on 1cm-resolution images and that an area of 10 km by 10 km has to be scanned. An operator would typically spend1 minute on each 1,000 x 1,000 sub-image. The total needed time may then be estimated to 695 days or 10 man-years.In practice, the needed time may be reduced by a hierarchical approach in which some regions may first be rejected on a coarser image using other criteria. However, the above figures clearly show that human interpreters may expect to be flooded by the amount of information to treat if they are not supported by efficient semi-automatic tools.Therefore, the most promising approach for problems where the new high-resolution imaging capabilities have to be used is a semi-automatic system in which the machine pre-filters the incoming flux of information presenting regions of interest to the user. We argue that this approach leads to the best synergy between the analyst and the machine by combining the huge computation power of modern computers with the outstanding interpretation capabilities of human beings.Commercial software packages, combining aerial image manipulation with the management of vector-style geographical information, do not include such tools. What these software packages excel in, however, is low-level image processing performed by their huge libraries: filtering the image in order to obtain a smoother noise-filtered image, making the image sharper, eliminating some unwanted blurring effect, detecting edges and so one. Although we agree that tools dedicated to pure image processing may be quite useful, we believe that more‘intelligent’ semi-automatic tools are also promising.ApplicationThe project ‘airborne minefield detection: pilot project’ led by ITC is an example of an application where semi-automatic tools can be useful. The aim is to study the possibility of detecting minefields by airborne surveys. The project is divided in two phases.In phase I, the sensors and the algorithms were tested in a simulated minefield in Leopoldsburg (Belgium). This minefield is composed of several smaller minefields. For one of them, named ‘minefield C’, everything about the mines laid, including their accurate positions and depths, is known. The sensors used were colour, colour infrared and thermal infrared cameras and X- and Y-band radar. The images where mines could be found are high-resolution (around 1cm) colour and colour infrared images. In what follows, only these two images will be considered. Phase I is now completed.In phase II, the most promising sensors will be used for airborne surveys of a mine-polluted country in Africa.Selected Mine indicatorsThe detectable indicators are function of the selected sensors (spectral band, resolution, etc.). Direct and indirect minefield indicators ranging from the mine itself to an old military camp may be considered.In the first phase of the project, the semi-automatic detection of un-obscured anti-tank mines was considered. Obviously, minefields composed of such mines we are amongst the easiest to detect and other indicators have to be investigated. For complex mineindicators, it will probably be necessary to make use of a search strategy and to feed the system with expert knowledge [9].The initial choice was motivated as follows:q Ideal choice for a semi-automatic approach: simple model and high resolution needed.q Promising mine indicators have to be defined by the photo-interpreters. This was only donerecently for a test minefield simulated inLeopoldsburg (Belgium). Furthermore, semi-automatic tools do not have the humancapability to adapt to new situations. It istherefore crucial to develop detectors that aredevoted to promising indicators for the targetedregion. Hence the selection of the mineindicators was deferred to the end of this yearwhen images of real minefields are available.Building a mine (indicator) modelAny tool dedicated to the detection of mine indicators encodes (either explicitly or implicitly) a model of the searched indicator. The used model should be selected with care. The expertise of photo-interpreters is very useful for this step especially when complex indicators are considered. Due to its simplicity, the model used here was developed without their help. Therefore, the available images were visually inspected to find mine characteristic features. Most of the images were geo-referenced, and put together in a virtual image. The positions of the known mines were encoded together with their attributes. All this allows for an easy navigation through regions of interest centred on the known mines. For a recorded mine of interest the user may request the available attributes (type, depth etc.) as well as the available image channels. It is then possible to go from an available channel to another or to display all channels simultaneously in a common projection.The used mine modelSome vegetation anomalies (e.g. missing vegetation) can be seen where mines are laid. Unfortunately, a huge amount of such regions exists and to reach a reasonable false alarm rate, complementary mine characteristics (specific patterns [7], signature in different spectral bands, etc.) have to be introduced in the model. Therefore, in a first approach the typical spectral response of an anti-tank mines lying on the ground was used. A typical example of such a mine may be found in Figure 1. The image represents the blue band of a colour infrared image.The mine is the white area at the centre of the image (the blue component on colour infrared image is actually the response of the object in the green partof the spectrum).Figure 1 Mine used to tune the algorithmsAlgorithms for mine detectionThe algorithm is based on a maximum detection followed by a region growing in the blue band. The growing algorithm uses a rough model of the mine to compute a local contrast used to derive the growingstop criteria.Figure 2: Result of growing around a mine onCIR imageFigure 2 presents the results of the growingalgorithm. Figure 3 presents the blue band (on which the growing is performed) of the same area. As can be seen on the window displayed by clicking the mine location (see Figure 2), the type of the mine was encoded; it is an anti-tank mine lying on the ground. The mine is well detected but some other regions are also found. To reduce the false alarm rate, geometrical and radiometric attributes (using all available spectral bands) are computed for each mine candidate and a criterion based on those attributes is then used. Figure 4 presents the attributes used and the result after filtering. In the presented region all false alarms were rejected, keeping only the actual mine. Figure 5 presents the mine candidates found using the same approach on a part of the visibleimage.Figure 3: Blue band corresponding to Figure 2Figure 4: Attribute used and results after filteringFigure 5 Mine-like objects detected on visible imageDetection of partially occluded circlesAs explained above, the shape of the candidateregions may be used as discriminant feature. Mines lying on the ground often present circular shapes.However, the mine is often partially occluded and we developed an algorithm that is able to recognise circular shapes even if they are partially occluded.This algorithm is based on robust estimationmethods [6]. A measure of the circularity is returned together with an estimation of the radius. The radius provides a better estimation of the size of the object than the visible area (partial occlusion) and is thus more discriminating.The algorithm estimates a circle that goes through most of the pixels of a given list. This is useful when it is known that the pixels should lie along a part of a circle but some of them can be wrong and very far from the circle.Several triplets of pixels are selected in the list and the circles defined by these three pixels arecomputed. For each circle, the distances of all thepixels of the lists to this circle and the percentiles of these distances are computed. The circle selected is the one giving the smallest percentiles of errors. The number of triplets is computed to have at least one triplet without erroneous pixel, and thus a correct circle with a probability of 99 % taking into account the expected rate of erroneous pixels.Figure 6 shows a close-up of an anti-tank mine in colour infrared. Only a part of the mine is visible.The blue colour is due to the fact that the colourgreen is seen blue in colour infrared.Figure 6 Initial imageFigure 7 shows the contour of the mine detected.Because of the occluded part, the shape is notcircular.Figure 7 Contour of the mineFigure 8 shows the circle estimated from theprevious contour. It is a good approximation of the position and size of the mine. If an absolute co-ordinate system is available, it is possible to estimate the real size of the mine, which is an indication forthe type of mine.Figure 8 Circle around the mineEvaluationThe following images present the result of the automatic mine detection on the full visible and colour infrared images. Note that the size of thevisible image is about 400 MB and this image covers a region of about 500 square metres. The full image was processed in about 30 minutes on a Pentium Pro (200 MHz, 64 MB RAM) running under Linux. In Figure 9 and Figure 10, the position of known mines has been superimposed on both images (dots are known mines and crosses are mines proposed by the algorithm).On the visible image, a V-shaped minefield has been detected. Note that no mine of minefield C has been found. The anti-tank Mine 281 (lying on the ground and well visible) was first detected but rejected by the attribute based filter. Using a better filter criterion, it could be possible to keep that mine without increasing the false alarm rate but little effort was spent for this fine-tuning because we believe that an algorithm that learns from example should be used in practice. This could not be tested until now because the database contains too few examples of known and detected mines. In this context a learning scheme would probably lead to poor results (over-training).On the colour infrared image that presentsminefield C at a higher resolution but with only a small neighbouring region (the V-shaped minefield is not in the imaged region), three anti-tank mines,on and below the surface of minefield C, have been detected. Note that for the buried anti-tank mines, it is a stick lying near the mine that is detected. Even if the stick may be considered as a valid mine indicator, it was found ‘by chance’ since thealgorithm was not developed to find such objects. We concentrated our efforts on the detection of indicators that could be helpful in real situations. If it appears that such sticks are good indicators, a better detector will be developed.ConclusionA tool was developed to find anti-tank mine lying on the ground. Most of those mines were detected and the false alarm rate is reasonable. Even two buried mines were found because sticks left in the vicinity of the mines were detected. We believe that the false alarm rate could be reduced in the near future by some simple improvements. As an example many false alarms in the colour infrared are found in the trees. A tree detection algorithm could reduce the false alarm rate significantly.The human interpreters outperformed the semi-automatic system by their ability to integrate in their reasoning a great number of mine indicators: seven minefields out of nine were successfully detected with three false alarms. The most used and promising indicator was the alignment of soil perturbation.We admit that if image processing is only able to detect anti-tank lying on the ground, its usefulness in real situations would be quite limited. However, photo-interpreters are able to detect more minefields using other indicators. During phase II, the most promising indicators will be selected in collaboration with the photo-interpreters. Semi-automatic tools will then be developed to detect such indicators. Although limited, the results of the first evaluation presented in this paper have shown that significant process acceleration can be reached by means of image processing. By removing the false alarms found in the trees of the colour infrared image, the alarms found could be grouped in about 10 regions of interest. If the photo-interpreter takes 30 seconds to look at each region, 5 minutes would be needed to analyse the scene. When carrying out a full visual inspection at full resolution, the photo-interpreter would typically spend at least one minute for a region of 1,000 by 1,000 pixels. 150 such regions have to be analysed for a full coverage of the colour infrared image leading to about 2 hours of interpretation. A process acceleration of about 60 may thus be expected. Such a speed-up would be very useful in an operational context where the amount of data to be analysed would be tremendous. Without image processing and with the same assumptions as above, 650 man-hours would be needed for a complete visual inspection of a scene of 10 km by 10 km.AcknowledgementThis work has been performed in the scope of the‘airborne minefield detection: pilot project’ led by ITC and co-funded by the European Commission. More information about this project can be found at http://www.itc.nl/ags/projects/demining/.DOVO/SEDEE, the bomb disposal unit of the Belgian army, is in charge of the minefield in Leopoldsburg.Bibliography[1] C. Bruschini and B. Gros, ‘A Survey of Current Sensor Technology Research for the Detection of Landmines’, International Workshop on Sustainable Humanitarian Demining (SusDem'97),29 September-1 October 1997, Zagreb, Croatia [2] J. A. Craib. ‘Mine detection and demining from an operator’s perspective’. Workshop of anti-personnel mine detection and removal, Lausanne,30th June and 1st July 1995[3] Fritzsche, Martin ‘Detection of buried land mines using ground-penetrating radar’. Proc. SPIE Vol. 2496, p. 100-109, Detection Technologies for Mines and Minelike Targets, Abinash C. Dubey; Ivan Cindrich; James M. Ralston; Kelly A. Rigano; Eds, June 1995[4] J.L. van Genderen and B.H.P. Maathuis,‘Airborne Detection of Landmines: a Review of the Techniques and some practical Results’, DGP session, Disarmament and International Security, Regensburg Germany, 26th March 1998.[5] S. Havlík and P. Licko, ‘Humanitarian demining: the challenge for robotic research’, Journal of Humanitarian demining, Issue 2.2, June 1998[6] P.J. Huber, ‘Robust Statistics’, John Wiley & Sons, New York 1981.[7] D. E. Lake, B. Sadler and S. Casey: ‘Detecting regularity in minefields using collinearity and a modified Euclidean algorithm’ Proc. SPIE Vol. 3079, p. 500-507, Detection and Remediation Technologies for Mines and Mine like Targets II, Abinash C. Dubey; Robert L. Barnard; Eds. July 1997[8] McFee, John E.; Ripley, Herb T. ‘Detection of buried land mines using a CASI hyperspectral imager’. roc. SPIE Vol. 3079, p. 738-749, Detection and Remediation Technologies for Mines and Minelike Targets II, Abinash C. Dubey; Robert L. Barnard; Eds. July 1997[9] W. Mees, P. Druyts, D. Borghys, Y. Ouaghli, C.Miravet, J. Santamaria, H. Suess, C. Perneel, M.Acheroy, and J.-L. Valero. ‘Semi-automatic interpretation of airports using multi-sensorinformation ’. IEEE Transactions on Geoscience and Remote Sensing, submitted .[10] K. Scheerer: ‘Airborne multi-sensor system for the autonomous detection of landmines ’. Proc. SPIE Vol. 3079, p. 478-486, Detection and Remediation Technologies for Mines and Mine like Targets II,Abinash C. Dubey; Robert L. Barnard; Eds. July1997Figure 9: mines candidates (crosses) and actual mines (dots) on the visible imageFigure 10: mines candidates (crosses) and actual mines (dots) on the colour infrared image。