The cooperation of multiple Unmanned Aerial Vehicles(UAVs) has become a promising scenario in Space-Air-Ground Integrated Networks(SAGINs) recently due to their widespread applications,where wireless communication is ...The cooperation of multiple Unmanned Aerial Vehicles(UAVs) has become a promising scenario in Space-Air-Ground Integrated Networks(SAGINs) recently due to their widespread applications,where wireless communication is a basic necessity and is normally categorized into control and nonpayload communication(CNPC) as well as payload communication. In this paper, we attempt to tackle two challenges of UAV communication respectively on establishing reliable CNPC links against the high mobility of UAVs as well as changeable communication conditions, and on offering dynamic resource optimization for Quality-of-Service(QoS) guaranteed payload communication with variable link connectivity. Firstly, we propose the concept of air controlling center(ACC), a virtual application equipped on the infrastructure in SAGINs, which can collect global information for estimating UAV trajectory and communication channels. We then introduce the knapsack problem for modelling resource optimization of UAV communication in order to provide optimal access points for both CNPC and payload communication. Meanwhile, using the air controlling information, predictive decision algorithm and handover strategy are introduced for the reliable connection with multiple access points. Simulation results demonstrate that our proposal ensures an approximate always-on reliable accessing of communication links and outperforms the existing methods against high mobility,sparse distribution, and physical obstacles.展开更多
MORPAS is a special GIS (geographic information system) software system, based on the MAPGIS platform whose aim is to prospect and evaluate mineral resources quantificationally by synthesizing geological, geophysical,...MORPAS is a special GIS (geographic information system) software system, based on the MAPGIS platform whose aim is to prospect and evaluate mineral resources quantificationally by synthesizing geological, geophysical, geochemical and remote sensing data. It overlays geological database management, geological background and geological abnormality analysis, image processing of remote sensing and comprehensive abnormality analysis, etc.. It puts forward an integrative solution for the application of GIS in basic-level units and the construction of information engineering in the geological field. As the popularization of computer networks and the request of data sharing, it is necessary to extend its functions in data management so that all its data files can be accessed in the network server. This paper utilizes some MAPGIS functions for the second development and ADO (access data object) technique to access multi-source geological data in SQL Server databases. Then remote visiting and congruous management will be realized in the MORPAS system.展开更多
Alzheimer＇s disease（AD）：AD,a neurodegenerative disorder and a significant cause of dementia throughout the world mostly affects the older adults but sometimes also seen in young age（early state AD）（Agrawal et a...Alzheimer＇s disease（AD）：AD,a neurodegenerative disorder and a significant cause of dementia throughout the world mostly affects the older adults but sometimes also seen in young age（early state AD）（Agrawal et al.,2017）.展开更多
Objective: Effective confirmation of pregnancy is a basic component of reproductive health services. It is a determinant for accessing antenatal care (ANC) if the pregnancy is wanted and abortion services if the pregn...Objective: Effective confirmation of pregnancy is a basic component of reproductive health services. It is a determinant for accessing antenatal care (ANC) if the pregnancy is wanted and abortion services if the pregnancy is unwanted. This study examined the effect of urine pregnancy testing in the timing of presentation for pregnancy care. Method: A cross-sectional study was conducted among 320 women presenting for antenatal care and 300 women presenting for abortion at private sector clinics in Western Nigeria. Results: The median age at first presentation was 20 weeks for ANC clients and 8 weeks for abortion clients. Obtaining urine pregnancy test of one’s accord was associated with a decrease in the gestational age at presentation of 3.7 weeks and 1.5 weeks for antenatal and abortion clients, respectively, independent of all other factors. Conclusion: Bearing in mind that the clinical benefit and public health impact of early presentation for antenatal and abortion services are unequivocal, strategies aimed at decreasing gestational age at presentation for pregnancy care should be given priority. “Fast-track” urine pregnancy testing services should be promoted in the private and public clinics in Nigeria.展开更多
To describe the characteristics of callers accessing the first national smoking quitline in China's Mainland. The national quitline provides residents in China's Mainland with free telephone smoking cessation ...To describe the characteristics of callers accessing the first national smoking quitline in China's Mainland. The national quitline provides residents in China's Mainland with free telephone smoking cessation services. Of 8260 callers from December 1, 2009 to May 31, 2012, the study included 1049 callers to the non-automated service who gave basic information during the call. Of the 1049 live-access callers.展开更多
Purpose: Malaria continues to be a public health threat, especially in sub-Saharan Africa, including Uganda. While Batwa Indigenous People (IPs) face a higher burden of malaria, there is limited understanding of their...Purpose: Malaria continues to be a public health threat, especially in sub-Saharan Africa, including Uganda. While Batwa Indigenous People (IPs) face a higher burden of malaria, there is limited understanding of their malaria-lived experiences. We assessed and characterized malaria illness and accessing healthcare lived experiences of the Batwa in Kanungu district to inform contextually and culturally appropriate public health interventions. Methods: An exploratory qualitative study was conducted in 5 Batwa settlements where 5 Focus Group Discussions (n = 36) and 13 Key Informant Interviews (n = 13) were held. Data were collected using printed guides and voice recorders in April 2018. Transcripts from the data that captured the lived experiences of the symptoms, prevention, treatment and barriers to accessing formal healthcare services were applied to Atlas.ti a qualitative data analysis software and condensed into codes, categories, and themes. Results: Many Batwa have experienced malaria in their households, and they know its causes and risk factors, like not sleeping under insecticide-treated mosquito nets (ITNs), living near water bodies, prevention measures like the use of ITNs, and vector management. The lived experiences demonstrate malaria management by an Indigenous population in a rural setting and comprised detecting malaria symptoms, use of herbs as first line of treatment, buying medicines from drug shops, and village health teams (VHTs) treatment. For many Batwa accessing formal healthcare is normally a second option. Barriers for malaria treatment included: long distances to health facilities, geographically difficult terrain, economic constraints, irregular health outreaches, and stockouts of malaria medicines at health facilities. Conclusion: This study characterized Batwa’s malaria illness lived experiences and access to healthcare in rural remote settings. These experiences are essential in appreciating the ways in which Indigenous populations understand and manage common illnesses and how appropriate policies and interventions can be developed.展开更多
This report presents the results of a study on Reproductive Health done in North Kivu in September 2009. It was conducted by HEAL Africa, in partnership with the Provisional Division of Health, and financed by the Uni...This report presents the results of a study on Reproductive Health done in North Kivu in September 2009. It was conducted by HEAL Africa, in partnership with the Provisional Division of Health, and financed by the University of Ottawa, Canada/CRDI with technical assistance from Western Cape University of South Africa. The study was conducted in the health zones of Birambizo and Kayna within the framework of the central office. The focus of the report is on one aspect of Reproductive Health—Low Risk Maternity. This study was conducted in rural areas given that Reproductive Health indicators are much weaker when compared with urban areas, according to EDS RDC, 2007 [1]. This study emphasizes the following points: General characteristics of the participants in the study, and the utilization and accessibility of maternity services in rural areas in conflict situations. The formula SPSS 12.0.1 was used to facilitate data analysis in the study. This study comes at a point in time when its relevance to HEAL Africa’s work will assist HEAL and its partners in determining the focus of interventions done in health zones in order to improve maternal and neonatal health. HEAL Africa firstly stepped into a Safe Motherhood pilot project in June 2006 for 9 months in the Masisi zone, then in 2007 in the Birambizo and Kayna health zones. In November 2007, HEAL expanded into Walikale and in October 2008, into Kirotshe, Binza, and Lubero. The intervention kit consists of reinforcing the capacity of existing health facilities, training traditional midwives who serve as a link between the community and the health structures, the provision of sanitary equipment, medical essentials and community mobilization was done through local leaders about health and reproduction, and organizing women of reproductive age in solidarity groups (SG) to generate maternity insurance. The community approach “Solidarity Groups for Maternity Insurance” constitutes the spine of HEAL Africa within the support it provides in Reproductive Health. The principal idea is to educate and train communities on how to use the MMR services that are available in their community, and to remove financial barriers to accessing health services. The 4 pillars that comprise the Safe Motherhood program are: family planning, prenatal care, safe assisted delivery and essential obstetric care. These four strategic measures are integral in assuring primary health care and equality for women. This study evaluates this approach, keeping in mind local strategies and their effects on improving the utilization and accessibility of reproductive health services.展开更多
Background: Unsafe abortions are one of the leading causes of maternal mortality, especially in developing countries. In Cameroon, the maternal mortality rate remains high, and the scarcity of data on abortions leads ...Background: Unsafe abortions are one of the leading causes of maternal mortality, especially in developing countries. In Cameroon, the maternal mortality rate remains high, and the scarcity of data on abortions leads to a lack of solid evidence to advocate on the extent of the abortions related complications. Our objective was to evaluate the unsafe abortions related complications, and to assess the difficulties of accessing safe abortions in our setting. Methods: We carried out a meta-analytic and systematic review in the biomedical databases MEDLINE (Pubmed), Google Scholar and African Journal Online concerning unsafe abortions and/or difficulties in accessing safe abortions in Cameroon. The keywords used for the search are seen in table I. Selection of studies was simultaneously done by two authors. Data were extracted through a form designed on Google Form. We used a random-effect model for proportion estimation, and The I<sup>2</sup> and Q statistics to assess the extent of heterogeneity. Results: A total of 430 studies were identified, from which 28 were included and analysed. About 5% (95% CI: 3 - 7) of unsafe abortions leads to death. The contribution of unsafe abortions in maternal deaths was 23% (95% CI: 20 - 27). The rate of severe bleeding and/or anemia were 40% (95% CI: 18 - 63) and the rate of infection was 17% (95% CI: 7 - 28), dominated by pelvic infections, pelviperitonitis, severe sepsis, and septic shock. Case reports described uterine perforations, uterine rupture during the following pregnancy. Abortion was performed in the practitioner’s or patient’s home in 41.4% of cases, in a health center in 35.1% of cases, in a private clinic in 21.2% of cases, drugs selling places and in traditional healer clinics. The restriction of abortion laws, the stigma surrounding abortion and its consequences at any level of the society, lead to the underreporting of unsafe abortions and a deep reluctance to advocate for safe abortion services. Conclusion: The strengthening of awareness campaigns for provider behavior change communication, family planning, the de-stigmatization of abortions, the training of health personnel in post-abortion care, a multidisciplinary and multicentric action would contribute to the reduction in morbidity and mortality due to abortions.展开更多
Unsafe abortions constitute a public health problem. It is one of the causes of maternal mortality in the world and particularly in developing countries. Despite the progress made, maternal mortality remains high in C...Unsafe abortions constitute a public health problem. It is one of the causes of maternal mortality in the world and particularly in developing countries. Despite the progress made, maternal mortality remains high in Cameroon. The scarcity and disparity of data on abortions lead to a lack of strong evidence to advocate to decision-makers on the extent of the problems associated with abortions in Cameroon. Our objective is to estimate the rates of mortalities and complications related to unsafe abortions, as well as the difficulties of accessing safe abortions in Cameroon. We will carry out a systematic and meta-analytical review in the biomedical databases MEDLINE (Pubmed), Google Scholar and African Journal Online (AJOL) concerning unsafe abortions and/or difficulties in accessing safe abortions in Cameroon, without date or language restriction. Gray literature will be also consulted. Two authors will simultaneously select the studies and data extraction will be done using a Google Form. Proportions will be estimated on a random-effect model. The I<sup>2</sup> and Q statistics will be used to assess the extent of heterogeneity across the studies. The outcome of both the quantitative and qualitative parts of the study will be commented. Death and morbidity due to abortions can be prevented. A concerted multidisciplinary and multicentric action would be essential.展开更多
The Internet of Everything(IoE)based cloud computing is one of the most prominent areas in the digital big data world.This approach allows efficient infrastructure to store and access big real-time data and smart IoE ...The Internet of Everything(IoE)based cloud computing is one of the most prominent areas in the digital big data world.This approach allows efficient infrastructure to store and access big real-time data and smart IoE services from the cloud.The IoE-based cloud computing services are located at remote locations without the control of the data owner.The data owners mostly depend on the untrusted Cloud Service Provider(CSP)and do not know the implemented security capabilities.The lack of knowledge about security capabilities and control over data raises several security issues.Deoxyribonucleic Acid(DNA)computing is a biological concept that can improve the security of IoE big data.The IoE big data security scheme consists of the Station-to-Station Key Agreement Protocol(StS KAP)and Feistel cipher algorithms.This paper proposed a DNA-based cryptographic scheme and access control model(DNACDS)to solve IoE big data security and access issues.The experimental results illustrated that DNACDS performs better than other DNA-based security schemes.The theoretical security analysis of the DNACDS shows better resistance capabilities.展开更多
Thirty years of Internet development has opened doors to new jobs On April 20,1994,the Chinese Academy of Sciences Institute of High Energy Physics in Beijing achieved China's first fully functional connection to ...Thirty years of Internet development has opened doors to new jobs On April 20,1994,the Chinese Academy of Sciences Institute of High Energy Physics in Beijing achieved China's first fully functional connection to the Internet.This pilot network was designed to support education and scientific research,making China the 77th member country of the global Internet community.展开更多
The rapid expansion of railways,especially High-Speed Railways(HSRs),has drawn considerable interest from both academic and industrial sectors.To meet the future vision of smart rail communications,the rail transport ...The rapid expansion of railways,especially High-Speed Railways(HSRs),has drawn considerable interest from both academic and industrial sectors.To meet the future vision of smart rail communications,the rail transport industry must innovate in key technologies to ensure high-quality transmissions for passengers and railway operations.These systems must function effectively under high mobility conditions while prioritizing safety,ecofriendliness,comfort,transparency,predictability,and reliability.On the other hand,the proposal of 6 G wireless technology introduces new possibilities for innovation in communication technologies,which may truly realize the current vision of HSR.Therefore,this article gives a review of the current advanced 6 G wireless communication technologies for HSR,including random access and switching,channel estimation and beamforming,integrated sensing and communication,and edge computing.The main application scenarios of these technologies are reviewed,as well as their current research status and challenges,followed by an outlook on future development directions.展开更多
Purpose:For a set of 1,561 Open Access(OA)and non-OA journals in business and economics,this study evaluates the relationships between four citation metrics-five-year Impact Factor(5IF),CiteScore,Article Influence(AI)...Purpose:For a set of 1,561 Open Access(OA)and non-OA journals in business and economics,this study evaluates the relationships between four citation metrics-five-year Impact Factor(5IF),CiteScore,Article Influence(AI)score,and SCImago Journal Rank(SJR)-and the journal ratings assigned by expert reviewers.We expect that the OA journals will have especially high citation impact relative to their perceived quality(reputation).Design/methodology/approach:Regression is used to estimate the ratings assigned by expert reviewers for the 2021 CABS(Chartered Association of Business Schools)journal assessment exercise.The independent variables are the four citation metrics,evaluated separately,and a dummy variable representing the OA/non-OA status of each journal.Findings:Regardless of the citation metric used,OA journals in business and economics have especially high citation impact relative to their perceived quality(reputation).That is,they have especially low perceived quality(reputation)relative to their citation impact.Research limitations:These results are specific to the CABS journal ratings and the four citation metrics.However,there is strong evidence that CABS is closely related to several other expert ratings,and that 5IF,CiteScore,AI,and SJR are representative of the other citation metrics that might have been chosen.Practical implications:There are at least two possible explanations for these results:(1)expert evaluators are biased against OA journals,and(2)OA journals have especially high citation impact due to their increased accessibility.Although this study does not allow us to determine which of these explanations are supported,the results suggest that authors should consider publishing in OA journals whenever overall readership and citation impact are more important than journal reputation within a particular field.Moreover,the OA coefficients provide a useful indicator of the extent to which anti-OA bias(or the citation advantage of OA journals)is diminishing over time.Originality/value:This is apparently the first study to investigate the impact of OA status on the relationships between expert journal ratings and journal citation metrics.展开更多
BACKGROUND Coronavirus disease 2019(COVID-19)disrupted healthcare and led to increased telehealth use.We explored the impact of COVID-19 on liver transplant evaluation(LTE).AIM To understand the impact of telehealth o...BACKGROUND Coronavirus disease 2019(COVID-19)disrupted healthcare and led to increased telehealth use.We explored the impact of COVID-19 on liver transplant evaluation(LTE).AIM To understand the impact of telehealth on LTE during COVID-19 and to identify disparities in outcomes disaggregated by sociodemographic factors.METHODS This was a retrospective study of patients who initiated LTE at our center from 3/16/20-3/16/21(“COVID-19 era”)and the year prior(3/16/19-3/15/20,“pre-COVID-19 era”).We compared LTE duration times between eras and explored the effects of telehealth and inpatient evaluations on LTE duration,listing,and pretransplant mortality.RESULTS One hundred and seventy-eight patients were included in the pre-COVID-19 era cohort and one hundred and ninety-nine in the COVID-19 era cohort.Twentynine percent(58/199)of COVID-19 era initial LTE were telehealth,compared to 0%(0/178)pre-COVID-19.There were more inpatient evaluations during COVID-19 era(40%vs 28%,P<0.01).Among outpatient encounters,telehealth use for initial LTE during COVID-19 era did not impact likelihood of listing,pretransplant mortality,or time to LTE and listing.Median times to LTE and listing during COVID-19 were shorter than pre-COVID-19,driven by increased inpatient evaluations.Sociodemographic factors were not predictive of telehealth.CONCLUSION COVID-19 demonstrates a shift to telehealth and inpatient LTE.Telehealth does not impact LTE or listing duration,likelihood of listing,or mortality,suggesting telehealth may facilitate LTE without negative outcomes.展开更多
基金supported by the the National Key Research and Development Program of China under No. 2019YFB1803200National Natural Science Foundation of China under Grants 61620106001。
文摘The cooperation of multiple Unmanned Aerial Vehicles(UAVs) has become a promising scenario in Space-Air-Ground Integrated Networks(SAGINs) recently due to their widespread applications,where wireless communication is a basic necessity and is normally categorized into control and nonpayload communication(CNPC) as well as payload communication. In this paper, we attempt to tackle two challenges of UAV communication respectively on establishing reliable CNPC links against the high mobility of UAVs as well as changeable communication conditions, and on offering dynamic resource optimization for Quality-of-Service(QoS) guaranteed payload communication with variable link connectivity. Firstly, we propose the concept of air controlling center(ACC), a virtual application equipped on the infrastructure in SAGINs, which can collect global information for estimating UAV trajectory and communication channels. We then introduce the knapsack problem for modelling resource optimization of UAV communication in order to provide optimal access points for both CNPC and payload communication. Meanwhile, using the air controlling information, predictive decision algorithm and handover strategy are introduced for the reliable connection with multiple access points. Simulation results demonstrate that our proposal ensures an approximate always-on reliable accessing of communication links and outperforms the existing methods against high mobility,sparse distribution, and physical obstacles.
文摘MORPAS is a special GIS (geographic information system) software system, based on the MAPGIS platform whose aim is to prospect and evaluate mineral resources quantificationally by synthesizing geological, geophysical, geochemical and remote sensing data. It overlays geological database management, geological background and geological abnormality analysis, image processing of remote sensing and comprehensive abnormality analysis, etc.. It puts forward an integrative solution for the application of GIS in basic-level units and the construction of information engineering in the geological field. As the popularization of computer networks and the request of data sharing, it is necessary to extend its functions in data management so that all its data files can be accessed in the network server. This paper utilizes some MAPGIS functions for the second development and ADO (access data object) technique to access multi-source geological data in SQL Server databases. Then remote visiting and congruous management will be realized in the MORPAS system.
文摘Alzheimer＇s disease（AD）：AD,a neurodegenerative disorder and a significant cause of dementia throughout the world mostly affects the older adults but sometimes also seen in young age（early state AD）（Agrawal et al.,2017）.
文摘Objective: Effective confirmation of pregnancy is a basic component of reproductive health services. It is a determinant for accessing antenatal care (ANC) if the pregnancy is wanted and abortion services if the pregnancy is unwanted. This study examined the effect of urine pregnancy testing in the timing of presentation for pregnancy care. Method: A cross-sectional study was conducted among 320 women presenting for antenatal care and 300 women presenting for abortion at private sector clinics in Western Nigeria. Results: The median age at first presentation was 20 weeks for ANC clients and 8 weeks for abortion clients. Obtaining urine pregnancy test of one’s accord was associated with a decrease in the gestational age at presentation of 3.7 weeks and 1.5 weeks for antenatal and abortion clients, respectively, independent of all other factors. Conclusion: Bearing in mind that the clinical benefit and public health impact of early presentation for antenatal and abortion services are unequivocal, strategies aimed at decreasing gestational age at presentation for pregnancy care should be given priority. “Fast-track” urine pregnancy testing services should be promoted in the private and public clinics in Nigeria.
基金Supported by Ministry of Health of the People’s Republic of China funded project on Clinical Cessation Interventions speaking tour, establishing and running National Quitline 4008885531developing the new version of clinical smoking cessation guideline (2009)+1 种基金WHO funded projects on Support for Building up Smoke free Health Care Facilities, the Dissemination and Application of Chinese Clinical Smoking Cessation Guidelines, CHN/10/TFI/001131Pilot Project on Capacity Building for Pediatricians and other Child Health Staff,CHN-11-TFI-002716
文摘To describe the characteristics of callers accessing the first national smoking quitline in China's Mainland. The national quitline provides residents in China's Mainland with free telephone smoking cessation services. Of 8260 callers from December 1, 2009 to May 31, 2012, the study included 1049 callers to the non-automated service who gave basic information during the call. Of the 1049 live-access callers.
文摘Purpose: Malaria continues to be a public health threat, especially in sub-Saharan Africa, including Uganda. While Batwa Indigenous People (IPs) face a higher burden of malaria, there is limited understanding of their malaria-lived experiences. We assessed and characterized malaria illness and accessing healthcare lived experiences of the Batwa in Kanungu district to inform contextually and culturally appropriate public health interventions. Methods: An exploratory qualitative study was conducted in 5 Batwa settlements where 5 Focus Group Discussions (n = 36) and 13 Key Informant Interviews (n = 13) were held. Data were collected using printed guides and voice recorders in April 2018. Transcripts from the data that captured the lived experiences of the symptoms, prevention, treatment and barriers to accessing formal healthcare services were applied to Atlas.ti a qualitative data analysis software and condensed into codes, categories, and themes. Results: Many Batwa have experienced malaria in their households, and they know its causes and risk factors, like not sleeping under insecticide-treated mosquito nets (ITNs), living near water bodies, prevention measures like the use of ITNs, and vector management. The lived experiences demonstrate malaria management by an Indigenous population in a rural setting and comprised detecting malaria symptoms, use of herbs as first line of treatment, buying medicines from drug shops, and village health teams (VHTs) treatment. For many Batwa accessing formal healthcare is normally a second option. Barriers for malaria treatment included: long distances to health facilities, geographically difficult terrain, economic constraints, irregular health outreaches, and stockouts of malaria medicines at health facilities. Conclusion: This study characterized Batwa’s malaria illness lived experiences and access to healthcare in rural remote settings. These experiences are essential in appreciating the ways in which Indigenous populations understand and manage common illnesses and how appropriate policies and interventions can be developed.
文摘This report presents the results of a study on Reproductive Health done in North Kivu in September 2009. It was conducted by HEAL Africa, in partnership with the Provisional Division of Health, and financed by the University of Ottawa, Canada/CRDI with technical assistance from Western Cape University of South Africa. The study was conducted in the health zones of Birambizo and Kayna within the framework of the central office. The focus of the report is on one aspect of Reproductive Health—Low Risk Maternity. This study was conducted in rural areas given that Reproductive Health indicators are much weaker when compared with urban areas, according to EDS RDC, 2007 [1]. This study emphasizes the following points: General characteristics of the participants in the study, and the utilization and accessibility of maternity services in rural areas in conflict situations. The formula SPSS 12.0.1 was used to facilitate data analysis in the study. This study comes at a point in time when its relevance to HEAL Africa’s work will assist HEAL and its partners in determining the focus of interventions done in health zones in order to improve maternal and neonatal health. HEAL Africa firstly stepped into a Safe Motherhood pilot project in June 2006 for 9 months in the Masisi zone, then in 2007 in the Birambizo and Kayna health zones. In November 2007, HEAL expanded into Walikale and in October 2008, into Kirotshe, Binza, and Lubero. The intervention kit consists of reinforcing the capacity of existing health facilities, training traditional midwives who serve as a link between the community and the health structures, the provision of sanitary equipment, medical essentials and community mobilization was done through local leaders about health and reproduction, and organizing women of reproductive age in solidarity groups (SG) to generate maternity insurance. The community approach “Solidarity Groups for Maternity Insurance” constitutes the spine of HEAL Africa within the support it provides in Reproductive Health. The principal idea is to educate and train communities on how to use the MMR services that are available in their community, and to remove financial barriers to accessing health services. The 4 pillars that comprise the Safe Motherhood program are: family planning, prenatal care, safe assisted delivery and essential obstetric care. These four strategic measures are integral in assuring primary health care and equality for women. This study evaluates this approach, keeping in mind local strategies and their effects on improving the utilization and accessibility of reproductive health services.
文摘Background: Unsafe abortions are one of the leading causes of maternal mortality, especially in developing countries. In Cameroon, the maternal mortality rate remains high, and the scarcity of data on abortions leads to a lack of solid evidence to advocate on the extent of the abortions related complications. Our objective was to evaluate the unsafe abortions related complications, and to assess the difficulties of accessing safe abortions in our setting. Methods: We carried out a meta-analytic and systematic review in the biomedical databases MEDLINE (Pubmed), Google Scholar and African Journal Online concerning unsafe abortions and/or difficulties in accessing safe abortions in Cameroon. The keywords used for the search are seen in table I. Selection of studies was simultaneously done by two authors. Data were extracted through a form designed on Google Form. We used a random-effect model for proportion estimation, and The I<sup>2</sup> and Q statistics to assess the extent of heterogeneity. Results: A total of 430 studies were identified, from which 28 were included and analysed. About 5% (95% CI: 3 - 7) of unsafe abortions leads to death. The contribution of unsafe abortions in maternal deaths was 23% (95% CI: 20 - 27). The rate of severe bleeding and/or anemia were 40% (95% CI: 18 - 63) and the rate of infection was 17% (95% CI: 7 - 28), dominated by pelvic infections, pelviperitonitis, severe sepsis, and septic shock. Case reports described uterine perforations, uterine rupture during the following pregnancy. Abortion was performed in the practitioner’s or patient’s home in 41.4% of cases, in a health center in 35.1% of cases, in a private clinic in 21.2% of cases, drugs selling places and in traditional healer clinics. The restriction of abortion laws, the stigma surrounding abortion and its consequences at any level of the society, lead to the underreporting of unsafe abortions and a deep reluctance to advocate for safe abortion services. Conclusion: The strengthening of awareness campaigns for provider behavior change communication, family planning, the de-stigmatization of abortions, the training of health personnel in post-abortion care, a multidisciplinary and multicentric action would contribute to the reduction in morbidity and mortality due to abortions.
文摘Unsafe abortions constitute a public health problem. It is one of the causes of maternal mortality in the world and particularly in developing countries. Despite the progress made, maternal mortality remains high in Cameroon. The scarcity and disparity of data on abortions lead to a lack of strong evidence to advocate to decision-makers on the extent of the problems associated with abortions in Cameroon. Our objective is to estimate the rates of mortalities and complications related to unsafe abortions, as well as the difficulties of accessing safe abortions in Cameroon. We will carry out a systematic and meta-analytical review in the biomedical databases MEDLINE (Pubmed), Google Scholar and African Journal Online (AJOL) concerning unsafe abortions and/or difficulties in accessing safe abortions in Cameroon, without date or language restriction. Gray literature will be also consulted. Two authors will simultaneously select the studies and data extraction will be done using a Google Form. Proportions will be estimated on a random-effect model. The I<sup>2</sup> and Q statistics will be used to assess the extent of heterogeneity across the studies. The outcome of both the quantitative and qualitative parts of the study will be commented. Death and morbidity due to abortions can be prevented. A concerted multidisciplinary and multicentric action would be essential.
文摘The Internet of Everything(IoE)based cloud computing is one of the most prominent areas in the digital big data world.This approach allows efficient infrastructure to store and access big real-time data and smart IoE services from the cloud.The IoE-based cloud computing services are located at remote locations without the control of the data owner.The data owners mostly depend on the untrusted Cloud Service Provider(CSP)and do not know the implemented security capabilities.The lack of knowledge about security capabilities and control over data raises several security issues.Deoxyribonucleic Acid(DNA)computing is a biological concept that can improve the security of IoE big data.The IoE big data security scheme consists of the Station-to-Station Key Agreement Protocol(StS KAP)and Feistel cipher algorithms.This paper proposed a DNA-based cryptographic scheme and access control model(DNACDS)to solve IoE big data security and access issues.The experimental results illustrated that DNACDS performs better than other DNA-based security schemes.The theoretical security analysis of the DNACDS shows better resistance capabilities.
文摘Thirty years of Internet development has opened doors to new jobs On April 20,1994,the Chinese Academy of Sciences Institute of High Energy Physics in Beijing achieved China's first fully functional connection to the Internet.This pilot network was designed to support education and scientific research,making China the 77th member country of the global Internet community.
基金National Natural Science Foundation of China(U2468201,62122012,62221001).
文摘The rapid expansion of railways,especially High-Speed Railways(HSRs),has drawn considerable interest from both academic and industrial sectors.To meet the future vision of smart rail communications,the rail transport industry must innovate in key technologies to ensure high-quality transmissions for passengers and railway operations.These systems must function effectively under high mobility conditions while prioritizing safety,ecofriendliness,comfort,transparency,predictability,and reliability.On the other hand,the proposal of 6 G wireless technology introduces new possibilities for innovation in communication technologies,which may truly realize the current vision of HSR.Therefore,this article gives a review of the current advanced 6 G wireless communication technologies for HSR,including random access and switching,channel estimation and beamforming,integrated sensing and communication,and edge computing.The main application scenarios of these technologies are reviewed,as well as their current research status and challenges,followed by an outlook on future development directions.
文摘Purpose:For a set of 1,561 Open Access(OA)and non-OA journals in business and economics,this study evaluates the relationships between four citation metrics-five-year Impact Factor(5IF),CiteScore,Article Influence(AI)score,and SCImago Journal Rank(SJR)-and the journal ratings assigned by expert reviewers.We expect that the OA journals will have especially high citation impact relative to their perceived quality(reputation).Design/methodology/approach:Regression is used to estimate the ratings assigned by expert reviewers for the 2021 CABS(Chartered Association of Business Schools)journal assessment exercise.The independent variables are the four citation metrics,evaluated separately,and a dummy variable representing the OA/non-OA status of each journal.Findings:Regardless of the citation metric used,OA journals in business and economics have especially high citation impact relative to their perceived quality(reputation).That is,they have especially low perceived quality(reputation)relative to their citation impact.Research limitations:These results are specific to the CABS journal ratings and the four citation metrics.However,there is strong evidence that CABS is closely related to several other expert ratings,and that 5IF,CiteScore,AI,and SJR are representative of the other citation metrics that might have been chosen.Practical implications:There are at least two possible explanations for these results:(1)expert evaluators are biased against OA journals,and(2)OA journals have especially high citation impact due to their increased accessibility.Although this study does not allow us to determine which of these explanations are supported,the results suggest that authors should consider publishing in OA journals whenever overall readership and citation impact are more important than journal reputation within a particular field.Moreover,the OA coefficients provide a useful indicator of the extent to which anti-OA bias(or the citation advantage of OA journals)is diminishing over time.Originality/value:This is apparently the first study to investigate the impact of OA status on the relationships between expert journal ratings and journal citation metrics.
文摘BACKGROUND Coronavirus disease 2019(COVID-19)disrupted healthcare and led to increased telehealth use.We explored the impact of COVID-19 on liver transplant evaluation(LTE).AIM To understand the impact of telehealth on LTE during COVID-19 and to identify disparities in outcomes disaggregated by sociodemographic factors.METHODS This was a retrospective study of patients who initiated LTE at our center from 3/16/20-3/16/21(“COVID-19 era”)and the year prior(3/16/19-3/15/20,“pre-COVID-19 era”).We compared LTE duration times between eras and explored the effects of telehealth and inpatient evaluations on LTE duration,listing,and pretransplant mortality.RESULTS One hundred and seventy-eight patients were included in the pre-COVID-19 era cohort and one hundred and ninety-nine in the COVID-19 era cohort.Twentynine percent(58/199)of COVID-19 era initial LTE were telehealth,compared to 0%(0/178)pre-COVID-19.There were more inpatient evaluations during COVID-19 era(40%vs 28%,P<0.01).Among outpatient encounters,telehealth use for initial LTE during COVID-19 era did not impact likelihood of listing,pretransplant mortality,or time to LTE and listing.Median times to LTE and listing during COVID-19 were shorter than pre-COVID-19,driven by increased inpatient evaluations.Sociodemographic factors were not predictive of telehealth.CONCLUSION COVID-19 demonstrates a shift to telehealth and inpatient LTE.Telehealth does not impact LTE or listing duration,likelihood of listing,or mortality,suggesting telehealth may facilitate LTE without negative outcomes.
