Chronic obstructive pulmonary disease(COPD)is a common chronic respiratory disease that severely affects patients’quality of life.Current clinical treatments primarily rely on medication,with limited rehabilitation o...Chronic obstructive pulmonary disease(COPD)is a common chronic respiratory disease that severely affects patients’quality of life.Current clinical treatments primarily rely on medication,with limited rehabilitation options and uncertain efficacy.Home-based exercise rehabilitation,as a non-pharmacological therapy,can promote the improvement of respiratory muscle function and cardiopulmonary endurance,exerting a positive preventive effect on COPD.However,due to factors such as the home environment and lack of health knowledge,COPD patients face numerous difficulties in accepting home-based exercise rehabilitation.This article reviews domestic and international research on the feasibility and effectiveness of home-based exercise rehabilitation for COPD,aiming to provide references for medical workers to better implement home-based exercise rehabilitation for COPD,assist patients in performing rehabilitation exercises at home,improve their quality of life,reduce hospitalization rates,and lower medical costs.展开更多
Around the world,there has been a notable shift toward the use of renewable energy technology due to the growing demand for energy and the ongoing depletion of conventional resources,such as fossil fuels.Following thi...Around the world,there has been a notable shift toward the use of renewable energy technology due to the growing demand for energy and the ongoing depletion of conventional resources,such as fossil fuels.Following this worldwide trend,Brunei’s government has initiated several strategic programs aimed at encouraging the establishment of energy from renewable sources in the nation’s energy mix.These initiatives are designed not only to support environmental sustainability but also to make energy from renewable sources increasingly competitive in comparison to more conventional energy sources like gas and oil,which have historically dominated Brunei’s energy market.The optimization of a hybrid energy system that combines diesel generators,solar photovoltaic(PV)panels,and the national power grid is the focus of this study.The objective is to identify the most cost-effective and environmentally sustainable configuration that can reliably meet local energy demands.During optimization,several configuration was tried and tested,including only grid,PV and Grid and PV-generator.HOMER(Hybrid Optimization of Multiple Energy Resources)software,a popular simulation tool that makes it possible to simulate and analyze hybrid energy systems,is utilized in the optimization process.Inside the HOMER Pro optimization,various system configuration is taken into account for the optimization.While simulating,it takes into account different combinations of components such as solar panels,wind turbines and batteries.Later on,it is being ranked by different factors such as net present cost(NPC),Cost of Energy(COE),etc.A comprehensive techno-economic research is carried out to evaluate various system configurations,considering key performance indicators such as total energy generation cost,operational expenditure,and greenhouse gas emissions.The results provide valuable insights into how renewable-based hybrid systems can reduce environmental impact while maintaining economic viability,supporting Brunei’s broader goals of energy diversification and sustainability.The study also emphasizes how such hybrid systems could be scaled for off-grid and rural populations in Brunei,where a dependable electricity supply is still a problem.Furthermore,sensitivity analyses were performed to evaluate the effects of variations in solar irradiation,load demand,and fuel prices on the overall system performance.Policymakers and energy planners can use these insights to help them make data-driven decisions about future investments in infrastructure for renewable energy.展开更多
BACKGROUND Urolithiasisposes challenges in patients with chronic kidney disease(CKD),necessitating careful consideration of surgical interventions due to potential complications.AIM To assess the safety,feasibility,an...BACKGROUND Urolithiasisposes challenges in patients with chronic kidney disease(CKD),necessitating careful consideration of surgical interventions due to potential complications.AIM To assess the safety,feasibility,and efficacy of surgical interventions for urolithiasis in CKD patients.METHODS Systematic review adhering to PRISMA guidelines.Comprehensive searches of PubMed,Scopus,Cochrane Library,Web of Science,and Embase were conducted for studies published from January 2014 to June 2024.Studies involving adult patients(≥18 years)with CKD undergoing surgical interventions for urolithiasis,including randomized controlled trials,cohort studies,case-control studies,and observational studies.Studies involving pediatric patients,those not specifically addressing CKD patients,review articles,commentaries,and editorials.Despite an extensive search,only six studies met the strict inclusion criteria,reflecting the limited available data on this topic.This limitation has been acknowledged and discussed.RESULTS A total of 6 studies met the inclusion criteria,encompassing a diverse range of surgical interventions such as percutaneous nephrolithotomy(PCNL),ureteroscopy(URS),and extracorporeal shock wave lithotripsy(ESWL).Perioperative and postoperative complications varied across studies,with bleeding,infection,and acute kidney injury being the most common.The risk of complications was higher in patients with advanced CKD.Technical success rates were generally high,but feasibility was influenced by patientspecific factors such as CKD stage and comorbidities.Modifications to standard surgical techniques were often necessary.Stone-free rates and recurrence rates varied,with PCNL generally achieving higher stone-free rates compared to URS and ESWL.Long-term outcomes on renal function were inconsistent,highlighting the need for individualized treatment plans.CONCLUSION Surgical interventions for urolithiasis in CKD patients are associated with significant risks but can be effective in achieving stone clearance and symptom relief.The safety,feasibility,and efficacy of these interventions depend on patient-specific factors,necessitating a tailored approach.Further high-quality studies are needed to develop standardized guidelines and improve clinical outcomes in this complex patient population.展开更多
Bangladesh has achieved notable progress in expanding electricity access nationwide.Nonetheless,remote and topographically challenging regions such as the Chittagong Hill Tracts(CHT)continue to face coverage gaps due ...Bangladesh has achieved notable progress in expanding electricity access nationwide.Nonetheless,remote and topographically challenging regions such as the Chittagong Hill Tracts(CHT)continue to face coverage gaps due to grid extension difficulties.This research investigates the technical feasibility of micro-hydro power(MHP)systems as viable off-grid solutions for rural electrification in CHT.Field surveys conducted across various sites assessed available head and flow rates using GPS-based elevation measurements and portable flowmeters.Seasonal fluctuations were factored into the analysis to ensure year-round operational viability.The study involved estimating power output,selecting appropriate turbine types based on head-flow data,and proposing preliminary plant configurations.Results identify multiple locations with adequate head(2.5 to 10.4 m)and flow rates(0.10 to 0.35 m3/s),capable of generating between 1.5 and 16.5 kW,sufficient for essential rural applications.Based on site-specific head and discharge characteristics,Kaplan and Francis turbines were identified as the most suitable configurations,offering high efficiency for the medium-flow,low-to-medium head environments typical of the studied regions.Despite inherent technical potential,challenges such as seasonal variability,infrastructure complexities,and policy deficiencies remain.This investigation addresses a critical knowledge gap in local renewable energy planning.It offers a data-driven foundation for pilot projects and community-scale electrification initiatives in Bangladesh’s remote mountainous areas.展开更多
With the extending scale of agricultural production,the treatment and utilization of waste have become increasingly serious environmental problem.Taking city garden and Zhongnan pasture in Pujiang Town of Minhang Dist...With the extending scale of agricultural production,the treatment and utilization of waste have become increasingly serious environmental problem.Taking city garden and Zhongnan pasture in Pujiang Town of Minhang District in Shanghai for example,according to the analysis on discharge characteristic of waste and balance of resources and energy utilization,mixed anaerobic digestion was chosen to dispose waste based on government guidance and feasibility analysis of project,and the combining disposal and resource utilization of waste were realized in two enterprises,providing reference for close cases.展开更多
Aiming to resolve the problem that conventional sewage source heat pump systems cannot satisfy heat peak loads of buildings,a new idea that the freezing latent heat is exacted as the auxiliary heat source at the peak ...Aiming to resolve the problem that conventional sewage source heat pump systems cannot satisfy heat peak loads of buildings,a new idea that the freezing latent heat is exacted as the auxiliary heat source at the peak heat load is proposed.First,on the basis of sewage characteristics,a freezing latent heat exchanger is developed to safely eliminate ice,continuously extract heat and remove sewage soft-dirt.A reasonable form of the urban sewage source heat pump system with freezing latent heat collection is presented.Then,the feasibility of the system is theoretically analyzed.The calculation results under typical operating conditions show that the heating ability of the new system is higher than that of the conventional one and the ratio of these two highest heating rates is between 4.5 and 8.7,which proves that the new system has great application potential in cold regions.展开更多
The functional bamboos are defined as the ones artificially selected, cultivated and produced in the special functions. Based on the principles to broaden market and maximize benefits, the directional cultivation of t...The functional bamboos are defined as the ones artificially selected, cultivated and produced in the special functions. Based on the principles to broaden market and maximize benefits, the directional cultivation of the functional bamboos has effectively been used bio-techniques and directionally to breed and cultivate bamboo cultivars to meet human＇s needs. The functional bamboos should feature stability, excellent quality and convenient production as well as easy duplication. The functional bamboo cultivars should also enhance the scientization, standardization industrialization and mass production. Given no negative environmental impact, ou purpose is to select, cultivate and develop one or more functional bamboos cultivars to meet the consumers＇ material and spiritual needs and bring more economic ben efits for the producers. The authors believe that directionally breeding functiona bamboo cultivars is not only feasible in techniques, resources and policies, but also in economy and market development. This implicates great significance for the green economic development given the features of China＇s natural resources.展开更多
From the protection of Chinese white dolphin and living environment,and considering the industrial development in coastal areas,we put forward adjustment program for Jiangmen Chinese White Dolphin Provincial Nature Re...From the protection of Chinese white dolphin and living environment,and considering the industrial development in coastal areas,we put forward adjustment program for Jiangmen Chinese White Dolphin Provincial Nature Reserve. Meanwhile we analyzed the feasibility of this program by systematically focusing the effect of adjusted functional regions on Chinese white dolphin.展开更多
Since the increasing demand for arable land and low efficient and disordered use of rural residential land,land consolidation for rural settlement has become a hot issue in China.Many Chinese scientists studied the to...Since the increasing demand for arable land and low efficient and disordered use of rural residential land,land consolidation for rural settlement has become a hot issue in China.Many Chinese scientists studied the topic from different angles.However,there is no reference systematically summarizing and discussing feasibility of consolidating rural residential land into arable land.The authors listed and analyzed the calculation methods of consolidating rural residential land into arable land,and discussed the feasibility and reasonability of those methods.Moreover,this paper put forward the study orientation in this regard for providing references for relevant researches.展开更多
It has been proved that traditional public English teaching can‘t meet the society requirements for the high skilled talent-ed,while Career English teaching can help students connect English learning with their futur...It has been proved that traditional public English teaching can‘t meet the society requirements for the high skilled talent-ed,while Career English teaching can help students connect English learning with their future career,which better reflects occupa-tional and practical characteristics of higher vocational education.The paper puts forwards three feasibilities in Career Englishteaching reform in order to promote teaching quality of public English teaching in higher vocational colleges further.展开更多
Objective:To assess the feasibility of coronary angiography by transradial approach with 4F catheter.Methods:The procedural details,picture quality,local complication were recorded for coronary by transradial approach...Objective:To assess the feasibility of coronary angiography by transradial approach with 4F catheter.Methods:The procedural details,picture quality,local complication were recorded for coronary by transradial approach with 4F catheter in 138 patients.Results:The success rate of angiography was 97.7%;fluoroscopy time was(5.05±3.23)minutes,total procedural time was(20.51±3.37)minutes;the incidence of dislodgement,excessive engagement of either coronary artery was 7.8%,9.4%,repectively;the angiographic scores for left anterior descending,circumflex and right coronary arteries were(2.87±0.40),(2.88±0.39),(2.90±0.35),respectively.The spasm complication occurred 4.3% in radial artery and 1.5% in coronary artery.There were no occlusion of radial artery during follow up.Conclusion:4F catheter could be the first chosen in some selecting patients for its nice maneuverability,fine images and fewer vascular complications.展开更多
Every year, around the world, between 250,000 and 500,000 people suffer a spinal cord injury(SCI). SCI is a devastating medical condition that arises from trauma or disease-induced damage to the spinal cord, disruptin...Every year, around the world, between 250,000 and 500,000 people suffer a spinal cord injury(SCI). SCI is a devastating medical condition that arises from trauma or disease-induced damage to the spinal cord, disrupting the neural connections that allow communication between the brain and the rest of the body, which results in varying degrees of motor and sensory impairment. Disconnection in the spinal tracts is an irreversible condition owing to the poor capacity for spontaneous axonal regeneration in the affected neurons.展开更多
The implementation of general education is the only way to train higher vocational complex talents.Through analysis ofthe feasibility of developing general education in public English courses of higher vocational coll...The implementation of general education is the only way to train higher vocational complex talents.Through analysis ofthe feasibility of developing general education in public English courses of higher vocational colleges,it is hoped that the reform ofpublic English will be promoted effectively.展开更多
This essay discuses the feasibility of adopting strong bilingual education in some international schools in China. It will ex-plain the theory, pedagogical principles,benefits and assessment of CLIL pedagogy.
Background: Single-incision laparoscopic surgery has emerged as an alternative to conventional laparoscopic cholecystectomy(LC) in the clinical setting. Limited information is available on the possibility of performin...Background: Single-incision laparoscopic surgery has emerged as an alternative to conventional laparoscopic cholecystectomy(LC) in the clinical setting. Limited information is available on the possibility of performing single-incision laparoscopic surgery as an ambulatory procedure. This study aimed to determine the feasibility and safety of single-incision laparoscopic cholecystectomy(SILC) versus conventional LC in an ambulatory setting. Methods: Ninety-one patients were randomized to SILC( n = 49) or LC( n = 42). The success rate, operative duration, blood loss, hospital stay, gallbladder perforation, drainage, delayed discharge, readmission, total cost, complications, pain score, vomiting, and cosmetic satisfaction of the two groups were then compared. Results: There were significant differences in the operative time(46.89 ± 10.03 min in SILC vs. 37.24 ± 10.23 min in LC;P < 0.001). As compared with LC, SILC was associated with lower total costs(8012.28 ± 752.67 RMB vs. 10258.91 ± 1087.63 RMB;P < 0.001) and better cosmetic satisfaction(4.94 ±0.24 vs. 4.74 ± 0.54;P = 0.031). There were no significant differences between-group in terms of general data, success rate, blood loss, hospital stay, gallbladder perforation, drainage, delayed discharge, readmission, complications, pain score, and vomiting( P > 0.05). Conclusions: Ambulatory SILC is safe and feasible for selected patients. The advantages of SILC as compared with LC are improved cosmetic satisfaction and lower total costs.展开更多
AIM: To investigate the feasibility of a 6-wk progressive strength-training programme commenced shortly after hip fracture surgery in community-dwelling patients.METHODS: This prospective, single-blinded cohort study ...AIM: To investigate the feasibility of a 6-wk progressive strength-training programme commenced shortly after hip fracture surgery in community-dwelling patients.METHODS: This prospective, single-blinded cohort study evaluated 31 community-dwelling patients from four outpatient geriatric health centres aged 60 years or older, who started a 6-wk programme at a mean of 17.5 ± 5.7 d after hip fracture surgery. The intervention consisted primarily of progressive fractured kneeextension and bilateral leg press strength training(twice weekly), with relative loads commencing at 15 and increasing to 10 repetitions maximum(RM), with three sets in each session. The main measurements included progression in weight loads, hip fracture-related pain during training, maximal isometric knee-extension strength, new mobility score, the timed up and go test, the 6-min walk test and the 10-meter fast speed walk test, assessed before and after the programme.RESULTS: Weight loads in kilograms in the fractured limb knee-extension strength training increased from 3.3 ± 1.5 to 5.7 ± 1.7 and from 6.8 ± 2.4 to 7.7 ± 2.6, respectively, in the first and last 2 wk(P < 0.001). Correspondingly, the weight loads increased from 50.3 ± 1.9 to 90.8 ± 40 kg and from 108.9 ± 47.7 to 121.9 ± 54 kg in the bilateral leg press exercise(P < 0.001). Hip fracture-related pain was reduced, and large improvements were observed in the functional outcome measurements, e.g., the 6-min walk test improved from 200.6 ± 79.5 to 322.8 ± 68.5 m(P < 0.001). The fractured limb knee-extension strength deficit was reduced from 40% to 17%, compared with the non-fractured limb. Ten patients reported knee pain as a minor restricting factor during the last 10 RM knee-extension strength-training sessions, but with no significant influences on performance. CONCLUSION: Progressive strength training, initiated shortly after hip fracture surgery, seems feasible and does not increase hip fracture-related pain. Progressive strength training resulted in improvement, although a strength deficit of 17% persisted in the fractured limb compared with the non-fractured limb.展开更多
Bioleaching of chalcopyrite often encountered the formation of passivation layer, which inhibited the leaching process and resulted in a low leaching rate. This inhibitory effect can be eliminated by thermophilic biol...Bioleaching of chalcopyrite often encountered the formation of passivation layer, which inhibited the leaching process and resulted in a low leaching rate. This inhibitory effect can be eliminated by thermophilic biole- aching. The industrial test of BioCOP technology based on thermophiles was successfully completed, which confirmed the feasibility of chalcopyrite bioleaching. However, industrial leaching rate of chalcopyrite heap bioleaching is lower. This paper described the development status and industrial test of chalcopyrite heap bioleaching technology. The reasons for the lower efficiency of chalcopyrite heap bioleaching were analyzed. The strategies for successful chalcopyrite heap bioleaching were proposed.展开更多
AIM:To discuss the feasibility of single session endoscopic ultrasonography(EUS) to discuss and endoscopic retrograde cholangiopancreatography(ERCP) execution.METHODS:Retrospective endoscopic and anesthetic outcome co...AIM:To discuss the feasibility of single session endoscopic ultrasonography(EUS) to discuss and endoscopic retrograde cholangiopancreatography(ERCP) execution.METHODS:Retrospective endoscopic and anesthetic outcome comparison of performing both EUS and ERCP in a single endoscopic session(Group Ⅰ) versus performing each procedure in two different sessions(Group Ⅱ) was made.The following variables were evaluated:epidemiological variables,American Society of Anesthesiologists Physical Status Classification(ASA) level,procedural time,propofol dose,anesthetic complications,endoscopic complications and diagnostic yield,and therapeutic procedures on both groups.T-student,ChiSquare and Fisher test were used for comparison.RESULTS:We included 39 patients in Group Ⅰ(mean age:69.85 ± 9.25;27 men) and 46 in Group Ⅱ(mean age:67.46 ± 12.57;25 men).Procedural time did not differ significantly between both groups(Group Ⅰvs Group Ⅱ:93 ± 32.78 vs 98.98 ± 38.17;P >0.05) but the dose of propofol differed(Group Ⅰ vs Group Ⅱ:322.28 ± 250.54 mg vs 516.96 ± 289.06 mg;P = 0.001).Three patients had normal findings on both explorations.Three anesthetic complications [O2 desaturation(2),broncoaspiration(1)] and 9 endoscopic complications [pancreatitis(6),bleeding(1),perforation(1),cholangitis(1)] occurred without significant differences between both groups(P > 0.05).We did not find any significant difference regarding age,sex,ASA scale level,diagnostic yield or therapeutic maneuvers between both groups.CONCLUSION:The performance of EUS and ERCP in a single session offers a similar diagnostic and therapeutic yield,does not entail a higher complication risk and requires a significantly smaller dose of propofol for sedation compared with performing each exploration in a different session.展开更多
This paper deals with a bi-extrapolated subgradient projection algorithm by intro- ducing two extrapolated factors in the iterative step to solve the multiple-sets split feasibility problem. The strategy is intend to ...This paper deals with a bi-extrapolated subgradient projection algorithm by intro- ducing two extrapolated factors in the iterative step to solve the multiple-sets split feasibility problem. The strategy is intend to improve the convergence. And its convergence is proved un- der some suitable conditions. Numerical results illustrate that the bi-extrapolated subgradient projection algorithm converges more quickly than the existing algorithms.展开更多
AIM To investigate the feasibility of initial endoscopic common bile duct(CBD) stone removal in patients with acute cholangitis(AC).METHODS A single-center,retrospective study was conducted between April 2013 and Dece...AIM To investigate the feasibility of initial endoscopic common bile duct(CBD) stone removal in patients with acute cholangitis(AC).METHODS A single-center,retrospective study was conducted between April 2013 and December 2014 and was approved by the Medical Ethics Committee at our institution.Written informed consent was obtained from each patient prior to the procedure.The cohort comprised 31 AC patients with CBD stones who underwent endoscopic biliary drainage(EBD) for na?ve papilla within 48 h after AC onset.We retrospectively divided the participants into two groups: 19 patients with initial endoscopic CBD stone removal(initial group) and 12 patients with delayed endoscopic CBD stone removal(delayed group).We evaluated the feasibility of initial endoscopic CBD stone removal in patients with AC.RESULTS We observed no significant differences between the groups regarding patient characteristics.According to the assessments based on the Tokyo Guidelines,the AC severity of patients with initial endoscopic CBD stone removal was mild to moderate.The use of antithrombotic agents before EBD was less frequent in the initial group than in the delayed group(11% vs 58%,respectively; P = 0.004).All the patients underwent successful endoscopic CBD stone removaland adverse events did not differ significantly between the groups.The number of endoscopic retrograde cholangiopancreatography procedures was significantly lower in the initial group than in the delayed group [median(interquartile range) 1(1-1) vs 2(2-2),respectively; P < 0.001].The length of hospital stay was significantly shorter for the initial group than for the delayed group [10(9-15) vs 17(14-20),respectively; P = 0.010].CONCLUSION Initial endoscopic CBD stone removal in patients with AC may be feasible when AC severity and the use of antithrombotic agents are carefully considered.展开更多
文摘Chronic obstructive pulmonary disease(COPD)is a common chronic respiratory disease that severely affects patients’quality of life.Current clinical treatments primarily rely on medication,with limited rehabilitation options and uncertain efficacy.Home-based exercise rehabilitation,as a non-pharmacological therapy,can promote the improvement of respiratory muscle function and cardiopulmonary endurance,exerting a positive preventive effect on COPD.However,due to factors such as the home environment and lack of health knowledge,COPD patients face numerous difficulties in accepting home-based exercise rehabilitation.This article reviews domestic and international research on the feasibility and effectiveness of home-based exercise rehabilitation for COPD,aiming to provide references for medical workers to better implement home-based exercise rehabilitation for COPD,assist patients in performing rehabilitation exercises at home,improve their quality of life,reduce hospitalization rates,and lower medical costs.
基金funded through Deanship of Scientific Research at Northern Border University,Arar,Saudi Arabia—project number“NBU-FFR-2025-3623-06”.
文摘Around the world,there has been a notable shift toward the use of renewable energy technology due to the growing demand for energy and the ongoing depletion of conventional resources,such as fossil fuels.Following this worldwide trend,Brunei’s government has initiated several strategic programs aimed at encouraging the establishment of energy from renewable sources in the nation’s energy mix.These initiatives are designed not only to support environmental sustainability but also to make energy from renewable sources increasingly competitive in comparison to more conventional energy sources like gas and oil,which have historically dominated Brunei’s energy market.The optimization of a hybrid energy system that combines diesel generators,solar photovoltaic(PV)panels,and the national power grid is the focus of this study.The objective is to identify the most cost-effective and environmentally sustainable configuration that can reliably meet local energy demands.During optimization,several configuration was tried and tested,including only grid,PV and Grid and PV-generator.HOMER(Hybrid Optimization of Multiple Energy Resources)software,a popular simulation tool that makes it possible to simulate and analyze hybrid energy systems,is utilized in the optimization process.Inside the HOMER Pro optimization,various system configuration is taken into account for the optimization.While simulating,it takes into account different combinations of components such as solar panels,wind turbines and batteries.Later on,it is being ranked by different factors such as net present cost(NPC),Cost of Energy(COE),etc.A comprehensive techno-economic research is carried out to evaluate various system configurations,considering key performance indicators such as total energy generation cost,operational expenditure,and greenhouse gas emissions.The results provide valuable insights into how renewable-based hybrid systems can reduce environmental impact while maintaining economic viability,supporting Brunei’s broader goals of energy diversification and sustainability.The study also emphasizes how such hybrid systems could be scaled for off-grid and rural populations in Brunei,where a dependable electricity supply is still a problem.Furthermore,sensitivity analyses were performed to evaluate the effects of variations in solar irradiation,load demand,and fuel prices on the overall system performance.Policymakers and energy planners can use these insights to help them make data-driven decisions about future investments in infrastructure for renewable energy.
文摘BACKGROUND Urolithiasisposes challenges in patients with chronic kidney disease(CKD),necessitating careful consideration of surgical interventions due to potential complications.AIM To assess the safety,feasibility,and efficacy of surgical interventions for urolithiasis in CKD patients.METHODS Systematic review adhering to PRISMA guidelines.Comprehensive searches of PubMed,Scopus,Cochrane Library,Web of Science,and Embase were conducted for studies published from January 2014 to June 2024.Studies involving adult patients(≥18 years)with CKD undergoing surgical interventions for urolithiasis,including randomized controlled trials,cohort studies,case-control studies,and observational studies.Studies involving pediatric patients,those not specifically addressing CKD patients,review articles,commentaries,and editorials.Despite an extensive search,only six studies met the strict inclusion criteria,reflecting the limited available data on this topic.This limitation has been acknowledged and discussed.RESULTS A total of 6 studies met the inclusion criteria,encompassing a diverse range of surgical interventions such as percutaneous nephrolithotomy(PCNL),ureteroscopy(URS),and extracorporeal shock wave lithotripsy(ESWL).Perioperative and postoperative complications varied across studies,with bleeding,infection,and acute kidney injury being the most common.The risk of complications was higher in patients with advanced CKD.Technical success rates were generally high,but feasibility was influenced by patientspecific factors such as CKD stage and comorbidities.Modifications to standard surgical techniques were often necessary.Stone-free rates and recurrence rates varied,with PCNL generally achieving higher stone-free rates compared to URS and ESWL.Long-term outcomes on renal function were inconsistent,highlighting the need for individualized treatment plans.CONCLUSION Surgical interventions for urolithiasis in CKD patients are associated with significant risks but can be effective in achieving stone clearance and symptom relief.The safety,feasibility,and efficacy of these interventions depend on patient-specific factors,necessitating a tailored approach.Further high-quality studies are needed to develop standardized guidelines and improve clinical outcomes in this complex patient population.
文摘Bangladesh has achieved notable progress in expanding electricity access nationwide.Nonetheless,remote and topographically challenging regions such as the Chittagong Hill Tracts(CHT)continue to face coverage gaps due to grid extension difficulties.This research investigates the technical feasibility of micro-hydro power(MHP)systems as viable off-grid solutions for rural electrification in CHT.Field surveys conducted across various sites assessed available head and flow rates using GPS-based elevation measurements and portable flowmeters.Seasonal fluctuations were factored into the analysis to ensure year-round operational viability.The study involved estimating power output,selecting appropriate turbine types based on head-flow data,and proposing preliminary plant configurations.Results identify multiple locations with adequate head(2.5 to 10.4 m)and flow rates(0.10 to 0.35 m3/s),capable of generating between 1.5 and 16.5 kW,sufficient for essential rural applications.Based on site-specific head and discharge characteristics,Kaplan and Francis turbines were identified as the most suitable configurations,offering high efficiency for the medium-flow,low-to-medium head environments typical of the studied regions.Despite inherent technical potential,challenges such as seasonal variability,infrastructure complexities,and policy deficiencies remain.This investigation addresses a critical knowledge gap in local renewable energy planning.It offers a data-driven foundation for pilot projects and community-scale electrification initiatives in Bangladesh’s remote mountainous areas.
基金Supported by Science and Technology Planning Project of Science Committee Science Committee(08DZ1980902)~~
文摘With the extending scale of agricultural production,the treatment and utilization of waste have become increasingly serious environmental problem.Taking city garden and Zhongnan pasture in Pujiang Town of Minhang District in Shanghai for example,according to the analysis on discharge characteristic of waste and balance of resources and energy utilization,mixed anaerobic digestion was chosen to dispose waste based on government guidance and feasibility analysis of project,and the combining disposal and resource utilization of waste were realized in two enterprises,providing reference for close cases.
基金The National Key Technology R&D Program of Chinaduring the 11th Five-Year Plan Period(No.2008BAJ12B05-05)the Research Foundation of Education Bureau of Heilongjiang Province,China(No.11551114)the China Postdoctoral Science Foundation(No.20100471438).
文摘Aiming to resolve the problem that conventional sewage source heat pump systems cannot satisfy heat peak loads of buildings,a new idea that the freezing latent heat is exacted as the auxiliary heat source at the peak heat load is proposed.First,on the basis of sewage characteristics,a freezing latent heat exchanger is developed to safely eliminate ice,continuously extract heat and remove sewage soft-dirt.A reasonable form of the urban sewage source heat pump system with freezing latent heat collection is presented.Then,the feasibility of the system is theoretically analyzed.The calculation results under typical operating conditions show that the heating ability of the new system is higher than that of the conventional one and the ratio of these two highest heating rates is between 4.5 and 8.7,which proves that the new system has great application potential in cold regions.
基金Supported by Special International Bamboo Research Cooperation Program of Southwest Flower InstituteResearch Institute of Forestry Chinese Academy of Forestry(ICPB-2014-006)~~
文摘The functional bamboos are defined as the ones artificially selected, cultivated and produced in the special functions. Based on the principles to broaden market and maximize benefits, the directional cultivation of the functional bamboos has effectively been used bio-techniques and directionally to breed and cultivate bamboo cultivars to meet human＇s needs. The functional bamboos should feature stability, excellent quality and convenient production as well as easy duplication. The functional bamboo cultivars should also enhance the scientization, standardization industrialization and mass production. Given no negative environmental impact, ou purpose is to select, cultivate and develop one or more functional bamboos cultivars to meet the consumers＇ material and spiritual needs and bring more economic ben efits for the producers. The authors believe that directionally breeding functiona bamboo cultivars is not only feasible in techniques, resources and policies, but also in economy and market development. This implicates great significance for the green economic development given the features of China＇s natural resources.
基金Support by Key Project in Marine Science and Technology of Guangdong (No.A20099E01)Guangdong Provincial 908 Project ( No.GD908-02-05)~~
文摘From the protection of Chinese white dolphin and living environment,and considering the industrial development in coastal areas,we put forward adjustment program for Jiangmen Chinese White Dolphin Provincial Nature Reserve. Meanwhile we analyzed the feasibility of this program by systematically focusing the effect of adjusted functional regions on Chinese white dolphin.
基金Supported by the Foundation of Key Laboratory of Resources Remote Sensing and Digital Agriculture of Chinese Ministry of Agriculture (RDA0910)the Commonweal Foundation of China's National Academy(200990124)+1 种基金Major Program of National Natural Science Foundation of China(40930101)National Key Technologies R & D Program of China(2006BAC08B0404)~~
文摘Since the increasing demand for arable land and low efficient and disordered use of rural residential land,land consolidation for rural settlement has become a hot issue in China.Many Chinese scientists studied the topic from different angles.However,there is no reference systematically summarizing and discussing feasibility of consolidating rural residential land into arable land.The authors listed and analyzed the calculation methods of consolidating rural residential land into arable land,and discussed the feasibility and reasonability of those methods.Moreover,this paper put forward the study orientation in this regard for providing references for relevant researches.
文摘It has been proved that traditional public English teaching can‘t meet the society requirements for the high skilled talent-ed,while Career English teaching can help students connect English learning with their future career,which better reflects occupa-tional and practical characteristics of higher vocational education.The paper puts forwards three feasibilities in Career Englishteaching reform in order to promote teaching quality of public English teaching in higher vocational colleges further.
文摘Objective:To assess the feasibility of coronary angiography by transradial approach with 4F catheter.Methods:The procedural details,picture quality,local complication were recorded for coronary by transradial approach with 4F catheter in 138 patients.Results:The success rate of angiography was 97.7%;fluoroscopy time was(5.05±3.23)minutes,total procedural time was(20.51±3.37)minutes;the incidence of dislodgement,excessive engagement of either coronary artery was 7.8%,9.4%,repectively;the angiographic scores for left anterior descending,circumflex and right coronary arteries were(2.87±0.40),(2.88±0.39),(2.90±0.35),respectively.The spasm complication occurred 4.3% in radial artery and 1.5% in coronary artery.There were no occlusion of radial artery during follow up.Conclusion:4F catheter could be the first chosen in some selecting patients for its nice maneuverability,fine images and fewer vascular complications.
基金financially supported by Ministerio de Ciencia e Innovación projects SAF2017-82736-C2-1-R to MTMFin Universidad Autónoma de Madrid and by Fundación Universidad Francisco de Vitoria to JS+2 种基金a predoctoral scholarship from Fundación Universidad Francisco de Vitoriafinancial support from a 6-month contract from Universidad Autónoma de Madrida 3-month contract from the School of Medicine of Universidad Francisco de Vitoria。
文摘Every year, around the world, between 250,000 and 500,000 people suffer a spinal cord injury(SCI). SCI is a devastating medical condition that arises from trauma or disease-induced damage to the spinal cord, disrupting the neural connections that allow communication between the brain and the rest of the body, which results in varying degrees of motor and sensory impairment. Disconnection in the spinal tracts is an irreversible condition owing to the poor capacity for spontaneous axonal regeneration in the affected neurons.
文摘The implementation of general education is the only way to train higher vocational complex talents.Through analysis ofthe feasibility of developing general education in public English courses of higher vocational colleges,it is hoped that the reform ofpublic English will be promoted effectively.
文摘This essay discuses the feasibility of adopting strong bilingual education in some international schools in China. It will ex-plain the theory, pedagogical principles,benefits and assessment of CLIL pedagogy.
基金supported by a grant from the Subject of Shanghai Municipal Commission of Health and Family Planning(20124355)
文摘Background: Single-incision laparoscopic surgery has emerged as an alternative to conventional laparoscopic cholecystectomy(LC) in the clinical setting. Limited information is available on the possibility of performing single-incision laparoscopic surgery as an ambulatory procedure. This study aimed to determine the feasibility and safety of single-incision laparoscopic cholecystectomy(SILC) versus conventional LC in an ambulatory setting. Methods: Ninety-one patients were randomized to SILC( n = 49) or LC( n = 42). The success rate, operative duration, blood loss, hospital stay, gallbladder perforation, drainage, delayed discharge, readmission, total cost, complications, pain score, vomiting, and cosmetic satisfaction of the two groups were then compared. Results: There were significant differences in the operative time(46.89 ± 10.03 min in SILC vs. 37.24 ± 10.23 min in LC;P < 0.001). As compared with LC, SILC was associated with lower total costs(8012.28 ± 752.67 RMB vs. 10258.91 ± 1087.63 RMB;P < 0.001) and better cosmetic satisfaction(4.94 ±0.24 vs. 4.74 ± 0.54;P = 0.031). There were no significant differences between-group in terms of general data, success rate, blood loss, hospital stay, gallbladder perforation, drainage, delayed discharge, readmission, complications, pain score, and vomiting( P > 0.05). Conclusions: Ambulatory SILC is safe and feasible for selected patients. The advantages of SILC as compared with LC are improved cosmetic satisfaction and lower total costs.
基金Supported by The Danish Physical Therapist’s Research Fund
文摘AIM: To investigate the feasibility of a 6-wk progressive strength-training programme commenced shortly after hip fracture surgery in community-dwelling patients.METHODS: This prospective, single-blinded cohort study evaluated 31 community-dwelling patients from four outpatient geriatric health centres aged 60 years or older, who started a 6-wk programme at a mean of 17.5 ± 5.7 d after hip fracture surgery. The intervention consisted primarily of progressive fractured kneeextension and bilateral leg press strength training(twice weekly), with relative loads commencing at 15 and increasing to 10 repetitions maximum(RM), with three sets in each session. The main measurements included progression in weight loads, hip fracture-related pain during training, maximal isometric knee-extension strength, new mobility score, the timed up and go test, the 6-min walk test and the 10-meter fast speed walk test, assessed before and after the programme.RESULTS: Weight loads in kilograms in the fractured limb knee-extension strength training increased from 3.3 ± 1.5 to 5.7 ± 1.7 and from 6.8 ± 2.4 to 7.7 ± 2.6, respectively, in the first and last 2 wk(P < 0.001). Correspondingly, the weight loads increased from 50.3 ± 1.9 to 90.8 ± 40 kg and from 108.9 ± 47.7 to 121.9 ± 54 kg in the bilateral leg press exercise(P < 0.001). Hip fracture-related pain was reduced, and large improvements were observed in the functional outcome measurements, e.g., the 6-min walk test improved from 200.6 ± 79.5 to 322.8 ± 68.5 m(P < 0.001). The fractured limb knee-extension strength deficit was reduced from 40% to 17%, compared with the non-fractured limb. Ten patients reported knee pain as a minor restricting factor during the last 10 RM knee-extension strength-training sessions, but with no significant influences on performance. CONCLUSION: Progressive strength training, initiated shortly after hip fracture surgery, seems feasible and does not increase hip fracture-related pain. Progressive strength training resulted in improvement, although a strength deficit of 17% persisted in the fractured limb compared with the non-fractured limb.
基金supported by the National High Technology Research and Development Program (Nos. 2012AA061501, 2012AA061502)the National Natural Science Foundation of China (No. 50934002)
文摘Bioleaching of chalcopyrite often encountered the formation of passivation layer, which inhibited the leaching process and resulted in a low leaching rate. This inhibitory effect can be eliminated by thermophilic biole- aching. The industrial test of BioCOP technology based on thermophiles was successfully completed, which confirmed the feasibility of chalcopyrite bioleaching. However, industrial leaching rate of chalcopyrite heap bioleaching is lower. This paper described the development status and industrial test of chalcopyrite heap bioleaching technology. The reasons for the lower efficiency of chalcopyrite heap bioleaching were analyzed. The strategies for successful chalcopyrite heap bioleaching were proposed.
文摘AIM:To discuss the feasibility of single session endoscopic ultrasonography(EUS) to discuss and endoscopic retrograde cholangiopancreatography(ERCP) execution.METHODS:Retrospective endoscopic and anesthetic outcome comparison of performing both EUS and ERCP in a single endoscopic session(Group Ⅰ) versus performing each procedure in two different sessions(Group Ⅱ) was made.The following variables were evaluated:epidemiological variables,American Society of Anesthesiologists Physical Status Classification(ASA) level,procedural time,propofol dose,anesthetic complications,endoscopic complications and diagnostic yield,and therapeutic procedures on both groups.T-student,ChiSquare and Fisher test were used for comparison.RESULTS:We included 39 patients in Group Ⅰ(mean age:69.85 ± 9.25;27 men) and 46 in Group Ⅱ(mean age:67.46 ± 12.57;25 men).Procedural time did not differ significantly between both groups(Group Ⅰvs Group Ⅱ:93 ± 32.78 vs 98.98 ± 38.17;P >0.05) but the dose of propofol differed(Group Ⅰ vs Group Ⅱ:322.28 ± 250.54 mg vs 516.96 ± 289.06 mg;P = 0.001).Three patients had normal findings on both explorations.Three anesthetic complications [O2 desaturation(2),broncoaspiration(1)] and 9 endoscopic complications [pancreatitis(6),bleeding(1),perforation(1),cholangitis(1)] occurred without significant differences between both groups(P > 0.05).We did not find any significant difference regarding age,sex,ASA scale level,diagnostic yield or therapeutic maneuvers between both groups.CONCLUSION:The performance of EUS and ERCP in a single session offers a similar diagnostic and therapeutic yield,does not entail a higher complication risk and requires a significantly smaller dose of propofol for sedation compared with performing each exploration in a different session.
基金Supported by Natural Science Foundation of Shanghai(14ZR1429200)National Science Foundation of China(11171221)+4 种基金Shanghai Leading Academic Discipline Project(XTKX2012)Innovation Program of Shanghai Municipal Education Commission(14YZ094)Doctoral Program Foundation of Institutions of Higher Educationof China(20123120110004)Doctoral Starting Projection of the University of Shanghai for Science and Technology(ID-10-303-002)Young Teacher Training Projection Program of Shanghai for Science and Technology
文摘This paper deals with a bi-extrapolated subgradient projection algorithm by intro- ducing two extrapolated factors in the iterative step to solve the multiple-sets split feasibility problem. The strategy is intend to improve the convergence. And its convergence is proved un- der some suitable conditions. Numerical results illustrate that the bi-extrapolated subgradient projection algorithm converges more quickly than the existing algorithms.
文摘AIM To investigate the feasibility of initial endoscopic common bile duct(CBD) stone removal in patients with acute cholangitis(AC).METHODS A single-center,retrospective study was conducted between April 2013 and December 2014 and was approved by the Medical Ethics Committee at our institution.Written informed consent was obtained from each patient prior to the procedure.The cohort comprised 31 AC patients with CBD stones who underwent endoscopic biliary drainage(EBD) for na?ve papilla within 48 h after AC onset.We retrospectively divided the participants into two groups: 19 patients with initial endoscopic CBD stone removal(initial group) and 12 patients with delayed endoscopic CBD stone removal(delayed group).We evaluated the feasibility of initial endoscopic CBD stone removal in patients with AC.RESULTS We observed no significant differences between the groups regarding patient characteristics.According to the assessments based on the Tokyo Guidelines,the AC severity of patients with initial endoscopic CBD stone removal was mild to moderate.The use of antithrombotic agents before EBD was less frequent in the initial group than in the delayed group(11% vs 58%,respectively; P = 0.004).All the patients underwent successful endoscopic CBD stone removaland adverse events did not differ significantly between the groups.The number of endoscopic retrograde cholangiopancreatography procedures was significantly lower in the initial group than in the delayed group [median(interquartile range) 1(1-1) vs 2(2-2),respectively; P < 0.001].The length of hospital stay was significantly shorter for the initial group than for the delayed group [10(9-15) vs 17(14-20),respectively; P = 0.010].CONCLUSION Initial endoscopic CBD stone removal in patients with AC may be feasible when AC severity and the use of antithrombotic agents are carefully considered.
