BACKGROUND Pedicle screw instrumentation is a critical technique in spinal surgery,offering effective stabilization for various spinal conditions.However,the impact of intraoperative imaging quality—specifically the ...BACKGROUND Pedicle screw instrumentation is a critical technique in spinal surgery,offering effective stabilization for various spinal conditions.However,the impact of intraoperative imaging quality—specifically the use of both anteroposterior(AP)and lateral views—on surgical outcomes remains insufficiently studied.Evaluating whether the adequacy of these imaging modalities affects the risk of unplanned returns to theatre(URTT)within 90 days due to screw malplacement is essential for refining surgical practices and improving patient care.AIM To evaluate how intraoperative imaging adequacy influences unplanned returnto-theatre rates,focusing on AP and lateral fluoroscopic views.METHODS This retrospective cohort study analyzed 1335 patients who underwent thoracolumbar and sacral pedicle screw instrumentation between January 2013 and December 2022.Data on intraoperative imaging adequacy,screw placement,and URTT events were collected and statistically analyzed using IBM SPSS v23.Imaging adequacy was assessed based on the presence of both AP and lateral views,and outcomes were compared between imaging groups.RESULTS A total of 9016 pedicle screws were inserted,with 82 screws identified as malplaced in 52 patients.Of these,46 patients required URTT due to screw malplacement,with 37 returning within 90 days(URTT90).Patients with both AP and lateral imaging saved intraoperatively had significantly lower URTT90 rates compared to those with only lateral imaging saved,demonstrating the critical role of imaging adequacy in improving surgical outcomes.CONCLUSION This study underscores that comprehensive intraoperative imaging with both AP and lateral views reduces unplanned returns,improves outcomes,enhances precision,and offers a cost-effective approach for better spinal surgery results.展开更多
Background:Postcesarean mothers often experience delayed lactogenesis II due to surgical stress and reduced oxytocin levels.Almond oil breast massage is a nonpharmacological intervention thought to enhance prolactin r...Background:Postcesarean mothers often experience delayed lactogenesis II due to surgical stress and reduced oxytocin levels.Almond oil breast massage is a nonpharmacological intervention thought to enhance prolactin release and improve milk production.Objective:The objective of the study was to evaluate the effectiveness of almond oil massage on breast milk adequacy among primigravida lower segment cesarean section(LSCS)mothers.Materials and Methods:A randomized pretest-posttest control group design was conducted among 60 primigravida mothers post-LSCS,randomly assigned to experimental(n=30)and control(n=30)groups.The experimental group received three daily almond oil breast massages(5-10 mL;5 min/breast)for 3 days;controls received routine care.Breast milk adequacy was measured using a validated 16-item rating scale at baseline and day 4 post-intervention.Results:The mean breast milk adequacy scores increased from 29.30±1.915 to 39.80±1.690 in the experimental group(t=22.15,P<0.001).Control group change(29.93±2.132-30.27±2.116)was non-significant(t=0.776,P>0.05).Posttest scores between the two groups differed significantly between groups(t=19.282,P<0.001).Conclusion:Almond oil breast massage significantly enhances breast milk adequacy in post-LSCS mothers and can be integrated into routine postnatal nursing care.展开更多
This paper studies the software scenario testing, which is commonly used in black-box testing at present. In the paper, the workflow model based on task-driven, which is very common in scenario testing, is analyzed. A...This paper studies the software scenario testing, which is commonly used in black-box testing at present. In the paper, the workflow model based on task-driven, which is very common in scenario testing, is analyzed. According to test adequacy criteria in scenario testing, the model is designed to correspond test cases in the light of logic block(LB). The final test cases that conform to the test adequacy criteria can be obtained through test case combination and test case reduction. In the last part of the paper, example of actual workflow is to design the efficient test case. Therefore the method is proved to be effective.展开更多
Malnutrition remains a public health challenge in Nigeria, partly due to poor diversity of diets. Pre-school children are among the vulnerable groups who are mostly affected in communities, as their nutritional status...Malnutrition remains a public health challenge in Nigeria, partly due to poor diversity of diets. Pre-school children are among the vulnerable groups who are mostly affected in communities, as their nutritional status is largely influenced by the quality of diets they consume. Most studies aimed at malnutrition among under-five children have been focused on meeting protein-energy needs without much consideration for micronutrients needs. Dietary diversity has been advocated as a means of meeting nutritional requirements of children. This study was designed to assess the dietary diversity in relation to nutrient adequacy and nutritional status of pre-school children in Ibadan. The descriptive cross-sectional study was carried out among 552 pre-schoolers aged 3-5 years in Egbeda, Ona-Ara and Ido Three Local Government Areas (LGAs) of Ibadan metropolis. A structured questionnaire was used to obtain information on socio-demographic characteristics of mother and child. Nutritional status was determined using anthropometric indices. Food frequency questionnaire of 9 food groups was used to obtain dietary diversity scores (DDS) classified as low (< 4 food groups), average (4 to 6 food groups), and high (≥ 7 food groups);and 24-hour dietary recall was used to obtain nutrient adequacy of diet. Data were analysed using descriptive statistics, Pearson’s correlation coefficient, and level of significance set at p < 0.05. Malnutrition among pre-schoolers was more prevalent among males (22.0%) than females (18.4%). Stunting was the most prevalent form of malnutrition (26.8%). The DDS of pre-schoolers was low (3.2 ± 1.9). The most consumed food group was cereals, roots and tubers (83.9%) while fruit was least consumed (6.5%). Nutrient adequacy ratio for carbohydrate was highest (1.2 ± 0.2) and least in fibre (0.2 ± 0.2), while mean adequacy ratio for food consumed was (0.72 ± 0.13). There was weak relationship between DDS and nutritional status—wasting (r =-0.067), stunting (r =-0.002) and underweight (r =-0.056). Low dietary diversity and malnutrition existed among pre-school children in the three LGAs. Nutrition education and enlightenment programmes are required by the parents/guardians of pre-school children on importance of dietary diversity in these areas.展开更多
Purpose: The purpose of this study was to examine the association between almond consumption, the most widely consumed tree nut in the US, and nutrient intake, nutrient adequacy, diet quality, and weight/adiposity in ...Purpose: The purpose of this study was to examine the association between almond consumption, the most widely consumed tree nut in the US, and nutrient intake, nutrient adequacy, diet quality, and weight/adiposity in adults. Methods: Data from adults (N=24,808), 19+ years, participating in the NHANES 2001-2010 were used. The NCI method was used to estimate the usual intake of almonds and selected nutrients. Almond consumers were defined as those consuming any amount of almonds/almond butter. Percentages of the consumers/non-consumers below the Estimated Average Requirement (EAR) or above the Adequate Intake (AI) for select nutrients were determined. To assess significant differences for the percentage of almond consumers vs. non-consumers with intakes less than the EAR or above the AI, a Z-statistic for differences in population proportions was used. Covariate-controlled linear regression was used to determine differences in diet quality, measured by the Healthy Eating Index-2010 (HEI-2010), between the consumer groups. Body mass indices and waist circumference were assessed. P was set at p < 0.01. Results: Almond consumers were more likely to be non-Hispanic white, older, of higher income, more physically active, and were less likely to be a current smoker than non-consumers. Usual intake of almonds among consumers was 29.5 ± 1.5 g/day. Usual intake of protein;dietary fiber;vitamins A, D, E, and C;thiamin;niacin;riboflavin;folate, calcium, copper, magnesium, iron, phosphorus, selenium, zinc, and potassium was higher in almond consumers. Almond consumers were less likely to be below the EAR for protein, vitamins A, D, E, B12, and C;riboflavin;calcium;copper;magnesium;iron;phosphorus;and zinc. They were also more likely to be above the AI for dietary fiber and potassium. Total HEI-2010 scores were approximately 15 points higher in almond consumers. Body mass indices and waist circumference measures were lower in almond consumers. Conclusions: Moderate consumption of almonds should be encouraged as part of a healthy diet.展开更多
The proliferation of multi-family residential building in Anambra State of Nigeria due to increasing demand without recourse to performance has broughtconcerns about the adequacy and sustainability of this housing typ...The proliferation of multi-family residential building in Anambra State of Nigeria due to increasing demand without recourse to performance has broughtconcerns about the adequacy and sustainability of this housing type.This study therefore,assessed the adequacy and sustainability performance of multi-family residential buildings in urban areas of Anambra State.The study sampled the opinions of 384 households living in multi-family residential buildings through a questionnaire survey.We conducted data analysis based on 214 responses that were useful for analysis.The study found that internal and building component variables and supporting neigh-borhood variables were adequate,but the surrounding environment variables were inadequate based on Mean Score Index.However,based on Sustainability Performance Index,the occupant sperceived social sustainability performance of the buildings as satisfactory,while environmental and economic sustainability performance were perceived as fairly satisfactory.The Pearson correlation coefficient result further established that adequacy of internal and building component variables was significantly and positively related to the residents'perceived social sustainability performance.Adequacy of the surrounding environmental variables was also found to be positively and significantly related to the residents'perceived environmental sustainability performance,whereas adequacy of supporting neighborhood facilities was found to be negatively and significantly related to the residents’perceived economic sustainability performance.This sug-gested that investors and owners of multi-family residential buildings should direct more efforts towards improving the surrounding environment to supplements other facilities and increase the economic benefit of the renters or occupiers with increasing economic sustainability performance in terms of value for money.展开更多
AIM:To assess the sampling quality of four different forceps(three large capacity and one jumbo) in patients with Barrett's esophagus.METHODS:This was a prospective,single-blind study.A total of 37 patients with B...AIM:To assess the sampling quality of four different forceps(three large capacity and one jumbo) in patients with Barrett's esophagus.METHODS:This was a prospective,single-blind study.A total of 37 patients with Barrett's esophagus were enrolled.Targeted or random biopsies with all four forceps were obtained from each patient using a diagnostic endoscope during a single endoscopy.The following forceps were tested:A:FB-220 K disposable large capacity;B:BI01-D3-23 reusable large capacity;C:GBF-02-23-180 disposable large capacity;and jumbo:disposable Radial Jaw 4 jumbo.The primary outcome measurement was specimen adequacy,defined as a well-oriented biopsy sample 2 mm or greater with the presence of muscularis mucosa.RESULTS:A total of 436 biopsy samples were analyzed.We found a significantly higher proportion of adequate biopsy samples with jumbo forceps(71%)(P < 0.001 vs forceps A:26%,forceps B:17%,and forceps C:18%).Biopsies with jumbo forceps had the largest diameter(median 2.4 mm)(P < 0.001 vs forceps A:2 mm,forceps B:1.6 mm,and forceps C:2mm).There was a trend for higher diagnostic yield per biopsy with jumbo forceps(forceps A:0.20,forceps B:0.22,forceps C:0.27,and jumbo:0.28).No complications related to specimen sampling were observed with any of the four tested forceps.CONCLUSION:Jumbo biopsy forceps,when used with a diagnostic endoscope,provide more adequate specimens as compared to large-capacity forceps in patients with Barrett's esophagus.展开更多
The papers in this special topic of Sino-India Monitor on NDCs,authored by a select group of researchers from both China and India,provide a perspective on areas of common interest for societies in both countries as w...The papers in this special topic of Sino-India Monitor on NDCs,authored by a select group of researchers from both China and India,provide a perspective on areas of common interest for societies in both countries as well as a focus on common objectives defining global action.展开更多
This paper studied the adequacy of the World and China lithium resources, consid- ering the most promising uses in the future, involving nuclear fusion and electric-vehicles. The lithium recycle model for D-T fusion p...This paper studied the adequacy of the World and China lithium resources, consid- ering the most promising uses in the future, involving nuclear fusion and electric-vehicles. The lithium recycle model for D-T fusion power plant and electric-vehicles, and the logistic growth prediction model of the primary energy for the World and China were constructed. Based on these models, preliminary evaluation of lithium resources adequacy of the World and China for D-T fusion reactors was presented under certain assumptions. Results show that： a. The world terrestrial reserves of lithium seems too limited to support a significant D-T power program, but the lithium reserves of China are relatively abundant, compared with the world case. b. The lithium resources contained in the oceans can be called the ＂permanent＂ energy, c. The change in 6Li enrichment has no obvious effect on the availability period of the lithium resources using FDS- II （Liquid Pb-17Li breeder blanket） type of reactors, but it has a stronger effect when PPCS-B （Solid Li4 SiO4 ceramics breeder blanket） is used.展开更多
This study presents the results of a research into the developing a methodology for assessing the adequacy of advanced electric power systems characterized by the integration of various innovative technologies,which c...This study presents the results of a research into the developing a methodology for assessing the adequacy of advanced electric power systems characterized by the integration of various innovative technologies,which complicates their analysis.The methodology development is aimed at solving two main problems:(1)increase the adequacy of modeling the processes that occur in the electric power system and (2)enhance the computational efficiency of the adequacy assessment methodology.This study proposes a new mathematical model to minimize the power shortage and enhance the adequacy of modeling the processes.The model considers quadratic power transmission losses and network coefficients.The computational efficiency of the adequacy assessment methodology is enhanced using efficient random-number generators to form the calculated states of electric power systems and machine learning methods to assess power shortages and other reliability characteristics in the calculated states.展开更多
With the paradigm of holistic thinking and multiple per-spectives,an overall new understanding of logic is ob-tained for reasoning in collective intelligent systems(CIS).Based on the hypothesis of multiple resolutions...With the paradigm of holistic thinking and multiple per-spectives,an overall new understanding of logic is ob-tained for reasoning in collective intelligent systems(CIS).Based on the hypothesis of multiple resolutions ofreasoning in CIS,the logical state of a proposition isgeneralized into an n-dimensional vector whose elementis either 1 or 0.In contrast with classical logic with bina-ry truth-values,a propositional vector logic system isconstructed by introducing new connectives,new axi-oms,and new rules.Adequate sets of connectives areprovided.The soundness theorem and the adequacy the-orem for the vector logic system are shown.展开更多
Considering sharp increase of central integration scale of intermittent energy generation, power system couldn’t rely on the determined model based operation schedule to assure its reliable load supply. Then, this ar...Considering sharp increase of central integration scale of intermittent energy generation, power system couldn’t rely on the determined model based operation schedule to assure its reliable load supply. Then, this article presents a new load supply adequacy evaluation method, which based on continuous security constrained generation optimization, and provides the functional architecture design of online multi-level short term load supply adequacy evaluation system.展开更多
Electricity industry restructuring should not sacrifice supply security to pursue economic efficiency. Till now there is no academic consensus on which electricity market design provides the least distorting investmen...Electricity industry restructuring should not sacrifice supply security to pursue economic efficiency. Till now there is no academic consensus on which electricity market design provides the least distorting investment incentives. Alternative approaches that have been adopted around the world for ensuring the appropriate level of investment in electric generation capacity are discussed, and much attention is devoted on the evaluation of capacity payment systems. The finding is that on one hand, capacity payment systems have good effect on reducing spot market price volatility and increasing the volume of generating capacity at the costs of relatively high total electricity prices; on the other hand, however, they are not robust against either the abuse of market power in the energy market or being manipulated.展开更多
The nursing shortage is a global issue that because there is a growing consensus that identifying flaws and opportunities for improving the working environment in hospital is vital to maintain positive patient outcome...The nursing shortage is a global issue that because there is a growing consensus that identifying flaws and opportunities for improving the working environment in hospital is vital to maintain positive patient outcomes, adequate staffing, high-quality care, nurses’ job satisfaction and hence their retention. The aim of this study was to explore the staffing and resource adequacy in NPE and the association with POs (adverse events). A descriptive correlational study was conducted and participated 395 staff nurses (94.3%) from three university hospitals in Malaysia over two months, from January to February 2011. In this paper, the results showed that 344 (87.1%) staff nurses rated that was unfavorable (展开更多
The global financial crisis （GFC） has placed the creditworthiness of banks under intense scrutiny. In particular, capital adequacy has been called into question. Current capital requirements make no allowance for ca...The global financial crisis （GFC） has placed the creditworthiness of banks under intense scrutiny. In particular, capital adequacy has been called into question. Current capital requirements make no allowance for capital erosion caused by movements in the market value of assets. This paper examines default probabilities of Swiss banks under extreme conditions using structural modeling techniques. Conditional Value at Risk （CVaR） and Conditional Probability of Default （CPD） techniques are used to measure capital erosion. Significant increase in Probability of Default （PD） is found during the GFC period. The market asset value based approach indicates a much higher PD than external ratings indicate. Capital adequacy recommendations are formulated which distinguish between real and nominal capital based on asset fluctuations.展开更多
<strong>Introduction:</strong> Hemodialysis is the most common end-stage renal disease treatment worldwide. Several factors may influence treatment outcomes. Adequacy (dose) of hemodialysis remains controv...<strong>Introduction:</strong> Hemodialysis is the most common end-stage renal disease treatment worldwide. Several factors may influence treatment outcomes. Adequacy (dose) of hemodialysis remains controversial;however, investigations on the effectiveness rate (Kt/V ≥ 1.2), which could reflect morbimortality, are preferred. <strong>Objective:</strong> This study aimed to describe the level of adequacy of hemodialysis among patients undergoing treatment in the city of Rio Grande (RS), Brazil. <strong>Method:</strong> In this prospective cohort study, 156 patients undergoing hemodialysis treatment between July 2016 and June 2017 in the two hemodialysis centers in the city of Rio Grande (RS), Brazil, were included. Frequency distribution as per Kt/V stratification was analyzed. Chi-square test was used to compare proportions. <strong>Results:</strong> Adequate hemodialysis (Kt/V ≥ 1.2) was observed in 105 patients (67%), 88% were from the municipality (mean age, 59 years), and 43% had visited the hospital before knowing about their kidney disease. Most of them were referred to a nephrologist (70%). Of the 156 patients, 114 patients (73%) remained in dialysis treatment, 10 (6%) underwent transplantation, 9 (6%) were transferred, and 23 (15%) died at the end of 12 months. <strong>Conclusion:</strong> Primary care should be expanded for early diagnosis of chronic kidney disease, improved venous access preparation, and increased number of patients with hemodialysis adequacy. Hemodialysis adequacy in patients undergoing treatment in the city of Rio Grande (RS), Brazil, needs to be improved.展开更多
Since our Department for Dialysis performs the Peritoneal Equilibration Test （PET） to monitor peritoneal dialysis adequacy, our Laboratory has been asked to collaborate on calculating clearances and transport charac...Since our Department for Dialysis performs the Peritoneal Equilibration Test （PET） to monitor peritoneal dialysis adequacy, our Laboratory has been asked to collaborate on calculating clearances and transport characteristics of patients. This collaboration is ongoing since 2003, despite the Baxter-PD Adequest software having appeared. Our aim is to emphasize the importance of the laboratory in the selection of formulas and specifically in solving the problem of determining creatinine concentration in PETs, and to recommend the cooperation between the laboratory and the dialysis department. Since creatinine determination is encumbered by recommendations for correcting elevated creatinine levels because of the influence of glucose in PETs, we compared results of dialysates determined as serum and as urine. Until now we had 86 patients on continuous ambulatory peritoneal dialysis （CAPD）. Method for determining patients＇ creatinine remains Jaffe kinetic uncompesated although the analyzers and the corresponding reagenses were changed in the laboratory. We have achieved the complete cooperation and confidence in the result, and with the PET test performed strictly according to the protocol, increasingly better results for clearences, Kt/V and transport characteristics. All this helps with treatment planning and analyzing patients＇ quality of life.展开更多
The study examines the effect of director’s ownership on capital adequacy and risk taking of private commercial banks in Bangladesh within the Basel capital adequacy framework.The secondary panel data were obtained f...The study examines the effect of director’s ownership on capital adequacy and risk taking of private commercial banks in Bangladesh within the Basel capital adequacy framework.The secondary panel data were obtained from annual report of quoted 20 private commercial Banks in Bangladesh as compiled in the Dhaka Stock Exchange for the period 2015 to 2019.The study finds the director’s ownership concentration plays an important role in capital formation that contributes to reducing excess risk taking.However,the presence of director’s ownership in capital adequacy influences risk-taking practices of banking industries.These results support the research on capital formation and risk taking.The study adds a new dimension to the capital mechanism research that could be a valuable source of knowledge for policy makers and regulators of financial industries.As this study covers the role of director’s ownership on capital adequacy and risk taking,it could be useful for capital formation,regulation,and policy making.展开更多
Background and Objectives:Consuming a diet that ensures adequate nutrient intake is essential to address all forms of malnutrition.In Japan,a meal combining staple food,main dish,and side dish is considered a balanced...Background and Objectives:Consuming a diet that ensures adequate nutrient intake is essential to address all forms of malnutrition.In Japan,a meal combining staple food,main dish,and side dish is considered a balanced diet.This study was conducted to investigate the frequency of meals combining staple food,main dish,and side dish associated with nutrient adequacy.Methods and Study Design:This cross-sectional study included 6,264 adults.All data were obtained from the 2015 Health and Nutrition Survey in Shiga prefecture.Staple food,main dish,and side dish were each defined as a dish with primary ingredients of≥50 g.Regarding the frequency,participants were divided into≥2 and<2 times/d groups.The nutrient adequacy evaluated using the Dietary Reference Intakes for Japanese 2020(DRIs-J)score is based on the reference values provided in the DRIs-J.The t-test was used to evaluate nutrient adequacy between the 2 groups.Results:Of the total participants,only 1,423(22.7%)were classified into the≥2 times/d group,and they had significantly higher DRIs-J scores than participants in the<2 times/d group(p<0.001).The adequacy percentage of all nutrients except saturated fatty acid,particularly dietary fiber and most micronutrients,was>1.5-fold higher in the≥2 times/d group than in the<2 times/d group(p<0.001).Conclusions:This study provides important information that meals combining staple food,main dish,and side dish at least twice a day is effective in maintaining a diet with high nutrient adequacy.展开更多
文摘BACKGROUND Pedicle screw instrumentation is a critical technique in spinal surgery,offering effective stabilization for various spinal conditions.However,the impact of intraoperative imaging quality—specifically the use of both anteroposterior(AP)and lateral views—on surgical outcomes remains insufficiently studied.Evaluating whether the adequacy of these imaging modalities affects the risk of unplanned returns to theatre(URTT)within 90 days due to screw malplacement is essential for refining surgical practices and improving patient care.AIM To evaluate how intraoperative imaging adequacy influences unplanned returnto-theatre rates,focusing on AP and lateral fluoroscopic views.METHODS This retrospective cohort study analyzed 1335 patients who underwent thoracolumbar and sacral pedicle screw instrumentation between January 2013 and December 2022.Data on intraoperative imaging adequacy,screw placement,and URTT events were collected and statistically analyzed using IBM SPSS v23.Imaging adequacy was assessed based on the presence of both AP and lateral views,and outcomes were compared between imaging groups.RESULTS A total of 9016 pedicle screws were inserted,with 82 screws identified as malplaced in 52 patients.Of these,46 patients required URTT due to screw malplacement,with 37 returning within 90 days(URTT90).Patients with both AP and lateral imaging saved intraoperatively had significantly lower URTT90 rates compared to those with only lateral imaging saved,demonstrating the critical role of imaging adequacy in improving surgical outcomes.CONCLUSION This study underscores that comprehensive intraoperative imaging with both AP and lateral views reduces unplanned returns,improves outcomes,enhances precision,and offers a cost-effective approach for better spinal surgery results.
基金funded by the Sum Nursing College,SOA University,Bhubaneswar,Odisha.
文摘Background:Postcesarean mothers often experience delayed lactogenesis II due to surgical stress and reduced oxytocin levels.Almond oil breast massage is a nonpharmacological intervention thought to enhance prolactin release and improve milk production.Objective:The objective of the study was to evaluate the effectiveness of almond oil massage on breast milk adequacy among primigravida lower segment cesarean section(LSCS)mothers.Materials and Methods:A randomized pretest-posttest control group design was conducted among 60 primigravida mothers post-LSCS,randomly assigned to experimental(n=30)and control(n=30)groups.The experimental group received three daily almond oil breast massages(5-10 mL;5 min/breast)for 3 days;controls received routine care.Breast milk adequacy was measured using a validated 16-item rating scale at baseline and day 4 post-intervention.Results:The mean breast milk adequacy scores increased from 29.30±1.915 to 39.80±1.690 in the experimental group(t=22.15,P<0.001).Control group change(29.93±2.132-30.27±2.116)was non-significant(t=0.776,P>0.05).Posttest scores between the two groups differed significantly between groups(t=19.282,P<0.001).Conclusion:Almond oil breast massage significantly enhances breast milk adequacy in post-LSCS mothers and can be integrated into routine postnatal nursing care.
基金National Torch Project, China ( No. 2009GH510068 )National High-Tech R & D Program of China ( 863 ) ( No.2007AA010401)
文摘This paper studies the software scenario testing, which is commonly used in black-box testing at present. In the paper, the workflow model based on task-driven, which is very common in scenario testing, is analyzed. According to test adequacy criteria in scenario testing, the model is designed to correspond test cases in the light of logic block(LB). The final test cases that conform to the test adequacy criteria can be obtained through test case combination and test case reduction. In the last part of the paper, example of actual workflow is to design the efficient test case. Therefore the method is proved to be effective.
文摘Malnutrition remains a public health challenge in Nigeria, partly due to poor diversity of diets. Pre-school children are among the vulnerable groups who are mostly affected in communities, as their nutritional status is largely influenced by the quality of diets they consume. Most studies aimed at malnutrition among under-five children have been focused on meeting protein-energy needs without much consideration for micronutrients needs. Dietary diversity has been advocated as a means of meeting nutritional requirements of children. This study was designed to assess the dietary diversity in relation to nutrient adequacy and nutritional status of pre-school children in Ibadan. The descriptive cross-sectional study was carried out among 552 pre-schoolers aged 3-5 years in Egbeda, Ona-Ara and Ido Three Local Government Areas (LGAs) of Ibadan metropolis. A structured questionnaire was used to obtain information on socio-demographic characteristics of mother and child. Nutritional status was determined using anthropometric indices. Food frequency questionnaire of 9 food groups was used to obtain dietary diversity scores (DDS) classified as low (< 4 food groups), average (4 to 6 food groups), and high (≥ 7 food groups);and 24-hour dietary recall was used to obtain nutrient adequacy of diet. Data were analysed using descriptive statistics, Pearson’s correlation coefficient, and level of significance set at p < 0.05. Malnutrition among pre-schoolers was more prevalent among males (22.0%) than females (18.4%). Stunting was the most prevalent form of malnutrition (26.8%). The DDS of pre-schoolers was low (3.2 ± 1.9). The most consumed food group was cereals, roots and tubers (83.9%) while fruit was least consumed (6.5%). Nutrient adequacy ratio for carbohydrate was highest (1.2 ± 0.2) and least in fibre (0.2 ± 0.2), while mean adequacy ratio for food consumed was (0.72 ± 0.13). There was weak relationship between DDS and nutritional status—wasting (r =-0.067), stunting (r =-0.002) and underweight (r =-0.056). Low dietary diversity and malnutrition existed among pre-school children in the three LGAs. Nutrition education and enlightenment programmes are required by the parents/guardians of pre-school children on importance of dietary diversity in these areas.
文摘Purpose: The purpose of this study was to examine the association between almond consumption, the most widely consumed tree nut in the US, and nutrient intake, nutrient adequacy, diet quality, and weight/adiposity in adults. Methods: Data from adults (N=24,808), 19+ years, participating in the NHANES 2001-2010 were used. The NCI method was used to estimate the usual intake of almonds and selected nutrients. Almond consumers were defined as those consuming any amount of almonds/almond butter. Percentages of the consumers/non-consumers below the Estimated Average Requirement (EAR) or above the Adequate Intake (AI) for select nutrients were determined. To assess significant differences for the percentage of almond consumers vs. non-consumers with intakes less than the EAR or above the AI, a Z-statistic for differences in population proportions was used. Covariate-controlled linear regression was used to determine differences in diet quality, measured by the Healthy Eating Index-2010 (HEI-2010), between the consumer groups. Body mass indices and waist circumference were assessed. P was set at p < 0.01. Results: Almond consumers were more likely to be non-Hispanic white, older, of higher income, more physically active, and were less likely to be a current smoker than non-consumers. Usual intake of almonds among consumers was 29.5 ± 1.5 g/day. Usual intake of protein;dietary fiber;vitamins A, D, E, and C;thiamin;niacin;riboflavin;folate, calcium, copper, magnesium, iron, phosphorus, selenium, zinc, and potassium was higher in almond consumers. Almond consumers were less likely to be below the EAR for protein, vitamins A, D, E, B12, and C;riboflavin;calcium;copper;magnesium;iron;phosphorus;and zinc. They were also more likely to be above the AI for dietary fiber and potassium. Total HEI-2010 scores were approximately 15 points higher in almond consumers. Body mass indices and waist circumference measures were lower in almond consumers. Conclusions: Moderate consumption of almonds should be encouraged as part of a healthy diet.
文摘The proliferation of multi-family residential building in Anambra State of Nigeria due to increasing demand without recourse to performance has broughtconcerns about the adequacy and sustainability of this housing type.This study therefore,assessed the adequacy and sustainability performance of multi-family residential buildings in urban areas of Anambra State.The study sampled the opinions of 384 households living in multi-family residential buildings through a questionnaire survey.We conducted data analysis based on 214 responses that were useful for analysis.The study found that internal and building component variables and supporting neigh-borhood variables were adequate,but the surrounding environment variables were inadequate based on Mean Score Index.However,based on Sustainability Performance Index,the occupant sperceived social sustainability performance of the buildings as satisfactory,while environmental and economic sustainability performance were perceived as fairly satisfactory.The Pearson correlation coefficient result further established that adequacy of internal and building component variables was significantly and positively related to the residents'perceived social sustainability performance.Adequacy of the surrounding environmental variables was also found to be positively and significantly related to the residents'perceived environmental sustainability performance,whereas adequacy of supporting neighborhood facilities was found to be negatively and significantly related to the residents’perceived economic sustainability performance.This sug-gested that investors and owners of multi-family residential buildings should direct more efforts towards improving the surrounding environment to supplements other facilities and increase the economic benefit of the renters or occupiers with increasing economic sustainability performance in terms of value for money.
文摘AIM:To assess the sampling quality of four different forceps(three large capacity and one jumbo) in patients with Barrett's esophagus.METHODS:This was a prospective,single-blind study.A total of 37 patients with Barrett's esophagus were enrolled.Targeted or random biopsies with all four forceps were obtained from each patient using a diagnostic endoscope during a single endoscopy.The following forceps were tested:A:FB-220 K disposable large capacity;B:BI01-D3-23 reusable large capacity;C:GBF-02-23-180 disposable large capacity;and jumbo:disposable Radial Jaw 4 jumbo.The primary outcome measurement was specimen adequacy,defined as a well-oriented biopsy sample 2 mm or greater with the presence of muscularis mucosa.RESULTS:A total of 436 biopsy samples were analyzed.We found a significantly higher proportion of adequate biopsy samples with jumbo forceps(71%)(P < 0.001 vs forceps A:26%,forceps B:17%,and forceps C:18%).Biopsies with jumbo forceps had the largest diameter(median 2.4 mm)(P < 0.001 vs forceps A:2 mm,forceps B:1.6 mm,and forceps C:2mm).There was a trend for higher diagnostic yield per biopsy with jumbo forceps(forceps A:0.20,forceps B:0.22,forceps C:0.27,and jumbo:0.28).No complications related to specimen sampling were observed with any of the four tested forceps.CONCLUSION:Jumbo biopsy forceps,when used with a diagnostic endoscope,provide more adequate specimens as compared to large-capacity forceps in patients with Barrett's esophagus.
文摘The papers in this special topic of Sino-India Monitor on NDCs,authored by a select group of researchers from both China and India,provide a perspective on areas of common interest for societies in both countries as well as a focus on common objectives defining global action.
基金supported by the National Basic Research Program of China(Nos.2010GB111004,2009GB109000)the Knowledge Innovation Program of Chinese Academy of Sciences(No.KJCX2-YW-N35)
文摘This paper studied the adequacy of the World and China lithium resources, consid- ering the most promising uses in the future, involving nuclear fusion and electric-vehicles. The lithium recycle model for D-T fusion power plant and electric-vehicles, and the logistic growth prediction model of the primary energy for the World and China were constructed. Based on these models, preliminary evaluation of lithium resources adequacy of the World and China for D-T fusion reactors was presented under certain assumptions. Results show that： a. The world terrestrial reserves of lithium seems too limited to support a significant D-T power program, but the lithium reserves of China are relatively abundant, compared with the world case. b. The lithium resources contained in the oceans can be called the ＂permanent＂ energy, c. The change in 6Li enrichment has no obvious effect on the availability period of the lithium resources using FDS- II （Liquid Pb-17Li breeder blanket） type of reactors, but it has a stronger effect when PPCS-B （Solid Li4 SiO4 ceramics breeder blanket） is used.
基金the framework of the project under state assignment (No. FWEU-2021-0003) of the RF Basic Research Program for 2021-2030financial support from the Russian Foundation for Basic Research within the framework of the scientific project No 20-08-00550
文摘This study presents the results of a research into the developing a methodology for assessing the adequacy of advanced electric power systems characterized by the integration of various innovative technologies,which complicates their analysis.The methodology development is aimed at solving two main problems:(1)increase the adequacy of modeling the processes that occur in the electric power system and (2)enhance the computational efficiency of the adequacy assessment methodology.This study proposes a new mathematical model to minimize the power shortage and enhance the adequacy of modeling the processes.The model considers quadratic power transmission losses and network coefficients.The computational efficiency of the adequacy assessment methodology is enhanced using efficient random-number generators to form the calculated states of electric power systems and machine learning methods to assess power shortages and other reliability characteristics in the calculated states.
文摘With the paradigm of holistic thinking and multiple per-spectives,an overall new understanding of logic is ob-tained for reasoning in collective intelligent systems(CIS).Based on the hypothesis of multiple resolutions ofreasoning in CIS,the logical state of a proposition isgeneralized into an n-dimensional vector whose elementis either 1 or 0.In contrast with classical logic with bina-ry truth-values,a propositional vector logic system isconstructed by introducing new connectives,new axi-oms,and new rules.Adequate sets of connectives areprovided.The soundness theorem and the adequacy the-orem for the vector logic system are shown.
文摘Considering sharp increase of central integration scale of intermittent energy generation, power system couldn’t rely on the determined model based operation schedule to assure its reliable load supply. Then, this article presents a new load supply adequacy evaluation method, which based on continuous security constrained generation optimization, and provides the functional architecture design of online multi-level short term load supply adequacy evaluation system.
文摘Electricity industry restructuring should not sacrifice supply security to pursue economic efficiency. Till now there is no academic consensus on which electricity market design provides the least distorting investment incentives. Alternative approaches that have been adopted around the world for ensuring the appropriate level of investment in electric generation capacity are discussed, and much attention is devoted on the evaluation of capacity payment systems. The finding is that on one hand, capacity payment systems have good effect on reducing spot market price volatility and increasing the volume of generating capacity at the costs of relatively high total electricity prices; on the other hand, however, they are not robust against either the abuse of market power in the energy market or being manipulated.
文摘The nursing shortage is a global issue that because there is a growing consensus that identifying flaws and opportunities for improving the working environment in hospital is vital to maintain positive patient outcomes, adequate staffing, high-quality care, nurses’ job satisfaction and hence their retention. The aim of this study was to explore the staffing and resource adequacy in NPE and the association with POs (adverse events). A descriptive correlational study was conducted and participated 395 staff nurses (94.3%) from three university hospitals in Malaysia over two months, from January to February 2011. In this paper, the results showed that 344 (87.1%) staff nurses rated that was unfavorable (
文摘The global financial crisis （GFC） has placed the creditworthiness of banks under intense scrutiny. In particular, capital adequacy has been called into question. Current capital requirements make no allowance for capital erosion caused by movements in the market value of assets. This paper examines default probabilities of Swiss banks under extreme conditions using structural modeling techniques. Conditional Value at Risk （CVaR） and Conditional Probability of Default （CPD） techniques are used to measure capital erosion. Significant increase in Probability of Default （PD） is found during the GFC period. The market asset value based approach indicates a much higher PD than external ratings indicate. Capital adequacy recommendations are formulated which distinguish between real and nominal capital based on asset fluctuations.
文摘<strong>Introduction:</strong> Hemodialysis is the most common end-stage renal disease treatment worldwide. Several factors may influence treatment outcomes. Adequacy (dose) of hemodialysis remains controversial;however, investigations on the effectiveness rate (Kt/V ≥ 1.2), which could reflect morbimortality, are preferred. <strong>Objective:</strong> This study aimed to describe the level of adequacy of hemodialysis among patients undergoing treatment in the city of Rio Grande (RS), Brazil. <strong>Method:</strong> In this prospective cohort study, 156 patients undergoing hemodialysis treatment between July 2016 and June 2017 in the two hemodialysis centers in the city of Rio Grande (RS), Brazil, were included. Frequency distribution as per Kt/V stratification was analyzed. Chi-square test was used to compare proportions. <strong>Results:</strong> Adequate hemodialysis (Kt/V ≥ 1.2) was observed in 105 patients (67%), 88% were from the municipality (mean age, 59 years), and 43% had visited the hospital before knowing about their kidney disease. Most of them were referred to a nephrologist (70%). Of the 156 patients, 114 patients (73%) remained in dialysis treatment, 10 (6%) underwent transplantation, 9 (6%) were transferred, and 23 (15%) died at the end of 12 months. <strong>Conclusion:</strong> Primary care should be expanded for early diagnosis of chronic kidney disease, improved venous access preparation, and increased number of patients with hemodialysis adequacy. Hemodialysis adequacy in patients undergoing treatment in the city of Rio Grande (RS), Brazil, needs to be improved.
文摘Since our Department for Dialysis performs the Peritoneal Equilibration Test （PET） to monitor peritoneal dialysis adequacy, our Laboratory has been asked to collaborate on calculating clearances and transport characteristics of patients. This collaboration is ongoing since 2003, despite the Baxter-PD Adequest software having appeared. Our aim is to emphasize the importance of the laboratory in the selection of formulas and specifically in solving the problem of determining creatinine concentration in PETs, and to recommend the cooperation between the laboratory and the dialysis department. Since creatinine determination is encumbered by recommendations for correcting elevated creatinine levels because of the influence of glucose in PETs, we compared results of dialysates determined as serum and as urine. Until now we had 86 patients on continuous ambulatory peritoneal dialysis （CAPD）. Method for determining patients＇ creatinine remains Jaffe kinetic uncompesated although the analyzers and the corresponding reagenses were changed in the laboratory. We have achieved the complete cooperation and confidence in the result, and with the PET test performed strictly according to the protocol, increasingly better results for clearences, Kt/V and transport characteristics. All this helps with treatment planning and analyzing patients＇ quality of life.
文摘The study examines the effect of director’s ownership on capital adequacy and risk taking of private commercial banks in Bangladesh within the Basel capital adequacy framework.The secondary panel data were obtained from annual report of quoted 20 private commercial Banks in Bangladesh as compiled in the Dhaka Stock Exchange for the period 2015 to 2019.The study finds the director’s ownership concentration plays an important role in capital formation that contributes to reducing excess risk taking.However,the presence of director’s ownership in capital adequacy influences risk-taking practices of banking industries.These results support the research on capital formation and risk taking.The study adds a new dimension to the capital mechanism research that could be a valuable source of knowledge for policy makers and regulators of financial industries.As this study covers the role of director’s ownership on capital adequacy and risk taking,it could be useful for capital formation,regulation,and policy making.
基金supported in part by the Grants-in-Aid for Young Scientists(B)from the Japan Society for the Promotion of Science(Eri Imai,grant number 17K12921).
文摘Background and Objectives:Consuming a diet that ensures adequate nutrient intake is essential to address all forms of malnutrition.In Japan,a meal combining staple food,main dish,and side dish is considered a balanced diet.This study was conducted to investigate the frequency of meals combining staple food,main dish,and side dish associated with nutrient adequacy.Methods and Study Design:This cross-sectional study included 6,264 adults.All data were obtained from the 2015 Health and Nutrition Survey in Shiga prefecture.Staple food,main dish,and side dish were each defined as a dish with primary ingredients of≥50 g.Regarding the frequency,participants were divided into≥2 and<2 times/d groups.The nutrient adequacy evaluated using the Dietary Reference Intakes for Japanese 2020(DRIs-J)score is based on the reference values provided in the DRIs-J.The t-test was used to evaluate nutrient adequacy between the 2 groups.Results:Of the total participants,only 1,423(22.7%)were classified into the≥2 times/d group,and they had significantly higher DRIs-J scores than participants in the<2 times/d group(p<0.001).The adequacy percentage of all nutrients except saturated fatty acid,particularly dietary fiber and most micronutrients,was>1.5-fold higher in the≥2 times/d group than in the<2 times/d group(p<0.001).Conclusions:This study provides important information that meals combining staple food,main dish,and side dish at least twice a day is effective in maintaining a diet with high nutrient adequacy.
