本月榜单的前两名分别是《Heed First Design Pattern》和《Agile Web Development with Reils》。《Code Complete 2》本月位居第四，比上个月攀升4个位次。这几本经典的开发类图书以连续在榜单前列停留半年之久，看来还是会继续受到...本月榜单的前两名分别是《Heed First Design Pattern》和《Agile Web Development with Reils》。《Code Complete 2》本月位居第四，比上个月攀升4个位次。这几本经典的开发类图书以连续在榜单前列停留半年之久，看来还是会继续受到读者的欢迎。展开更多
BACKGROUND The adoption of telehealth services surged after the coronavirus disease 2019 pandemic,revolutionizing traditional healthcare delivery models.Amazon Clinic's recent nationwide launch marks a significant...BACKGROUND The adoption of telehealth services surged after the coronavirus disease 2019 pandemic,revolutionizing traditional healthcare delivery models.Amazon Clinic's recent nationwide launch marks a significant milestone in this trend.This study aims to offer a strengths,weaknesses,opportunities,and threats(SWOT)analysis of Amazon Clinic and compare its features with leading virtual healthcare platforms.AIM To evaluate Amazon Clinic's telehealth services through a SWOT analysis and compare its features with other leading virtual healthcare platforms.METHODS The initial search terms included were,amazon clinic odds ratio(OR)amwell OR Teladoc OR Walmart virtual health service OR CVS minute clinic OR CirrusMD OR brightside health,from 2000 to 2023.This search yielded 111 articles,from which duplicates were removed,and unrelated titles were filtered out.Eight articles were retained for a final review,including comparative studies,usability research,retrospective analyses,observational studies,and review articles.The data was organized and analyzed using Rayyan software and summarized in a table and PRISMA flowcharts.RESULTS The review included eight articles focusing on various aspects of telehealth.Comparative studies highlighted differences between Teladoc and traditional physician offices,noting lower diagnostic imaging orders and antibiotic prescriptions for Teladoc.User demographics for Teladoc showed younger,less engaged patients.Usability studies emphasized the importance of website design for telemedicine adoption.Tele-mental health platforms like Brightside showed superior outcomes in treating depression compared to traditional methods.Telemedicine for specialized fields like skin reconstruction demonstrated cost efficiency and reduced waiting times.The SWOT analysis identified Amazon Clinic's strengths,such as its vast consumer base and transparent pricing,and weaknesses like the lack of pediatric care.Opportunities included potential partnerships and service expansions,while threats involved competition and regulatory challenges.CONCLUSION Amazon Clinic's entry into the telehealth sector represents a significant development with various strengths and opportunities.However,it faces challenges from established healthcare providers and regulatory landscapes.The future success of Amazon Clinic will depend on strategic collaborations,addressing service gaps,and navigating competition and regulations.Telemedicine's impact will hinge on its ability to effectively leverage these opportunities and overcome inherent challenges in the ever-evolving healthcare landscape.展开更多
Fish constitutes the main protein source for the Amazonian population.However,the impact of different anthropogenic activities on trace element and metal accumulation in fish and their risks for human health at a regi...Fish constitutes the main protein source for the Amazonian population.However,the impact of different anthropogenic activities on trace element and metal accumulation in fish and their risks for human health at a regional scale remain largely unexplored.Here we assessed exposure levels of 10 trace elements andmetals(Cr,Mn,Fe,Ni,Cu,Zn,As,Cd,Pb,and Hg)in 56 samples belonging to 11 different species of fish from the Brazilian Amazon.We studied the relationship between exposure levels,fish origin,and fish feeding habits,and assessed toxicological and carcinogenic risks for the Amazonian population.No significant correlation was found between sampling site and exposure levels to the studied elements,but a significant difference was found between the accumulation of some metals and the position of the fish species in the food chain.The concentrations of Cr and Hg in fish flesh were found to exceed the Brazilian limits for human consumption.This study shows that current fish consumption patterns can lead to estimated daily intakes of Hg,As and Cr that exceed the oral reference dose,thus posing a toxicological concern.Furthermore,carcinogenic risks may be expected due to the continued exposure to Cr and As.The results of this study show that the consumption of wild caught fish in the Amazon region should be controlled.Moreover,continued monitoring of trace element and metal contamination in fish and on the health of the Amazonian population is recommended,particularly for riverine and indigenous communities.展开更多
Deforestation is the purpose of converting forest into land and reforestation compared to deforestation is very low.That’s why closely and accurately deforestation monitoring using Sentinel-1 and Sentinel-2 satellite...Deforestation is the purpose of converting forest into land and reforestation compared to deforestation is very low.That’s why closely and accurately deforestation monitoring using Sentinel-1 and Sentinel-2 satellite images for better vision is required.This paper proposes an effective image fusion technique that combines S-1/2 data to improve the deforested areas.Based on review,Optical and SAR image fusion produces high-resolution images for better de-forestation monitoring.To enhance the S-1/2 images,preprocessing is needed as per requirements and then,collocation between the two different types of images to mitigate the image registration problem,and after that,apply an image fu-sion machine learning approach,PCA-Wavelet.As per analysis,PCA helps to maintain spatial resolution,and Wavelet helps to preserve spectral resolution,gives better-fused images compared to other techniques.As per results,2019 S-2 pre-22 processed collocated image enhances 42.2508 km deforested area,S-1 preprocessed collocated image enhances 23.7918 km^(2) deforested area,and after fusion of the 2019 S-1/2 images,it enhances 16.5335 km deforested area.Similarly,the 20232 S-2 preprocessed collocated image enhances 49.2216 km deforested area,S-1 preprocessed collocated image enhances 2223.8459 km deforested area after fusion of the 2023 S-1/2 images,enhancing 35.9185 km deforested area.These im-provements show that combining data sources gives a clearer and more reliable picture of forest loss over time.The overall paper objective is to apply effective techniques for image fusion of Brazil’s Amazon Forest and analyze the difference between collocated image pixels and fused image pixels for accurate analysis of deforested area.展开更多
Despite significant Brazilian social programs to expand energy access,approximately one million people in rural Amazonia still lack electricity.Moreover,the existing rural electricity grid in the region is inadequate ...Despite significant Brazilian social programs to expand energy access,approximately one million people in rural Amazonia still lack electricity.Moreover,the existing rural electricity grid in the region is inadequate for supporting efficient small-scale production systems due to both the poor quality and high cost of supplied energy.In parallel,traditional wooden bridges in the Amazon have been progressively replaced by more durable concrete structures in recent years.In this context,this study explores the application of very low-head hydropower installations in the Amazon,focusing on integrating axial-flow turbines beneath small concrete bridges.The methodology involves analyzing flow duration curves and key hydraulic parameters upstream and downstream to design a micro-hydropower system comprising two or more units,thereby maximizing annual energy generation.Additionally,the study assesses the applicability of the minimum pressure coefficient criterion to improve the efficiency of very low-head turbines.This design criterion is first validated against an existing experimental study featuring a propeller turbine with a simple curved plate blade.The proposed methodology is then applied to a case study involving a small dam-bridge with a head variation from 1.4 to 2.4 m and a flow rate ranging from 0.23 to 0.92 m^(3)/s.The optimal configuration achieves an energy output of 26.2 MWh/year with an efficiency of up to 86%.展开更多
The Amazon basin plays a crucial role in biodiversity and carbon storage,but its local rainfall is anticipated to decrease under globalwarming.Carbon dioxide removal(CDR)is being considered as a method to mitigate the...The Amazon basin plays a crucial role in biodiversity and carbon storage,but its local rainfall is anticipated to decrease under globalwarming.Carbon dioxide removal(CDR)is being considered as a method to mitigate the impact of global warming.However,the specific effects of CDR on Amazon rainfall have not been well understood.Here,an idealized CDR experiment reveals that the reduced rainfall over the Amazon basin does not recover.Significantly weaker rainfall is found during the ramp-down period compared to the ramp-up period at the same CO_(2)concentration.This response is associated with the enhanced El Niño-like warming in the tropical Pacific Ocean during the CDR period.This warming pattern has dual effects:weakening the zonal circulation and causing anomalous descent directly over the Amazon basin,while also triggering a stationary Rossby wave train that propagated downstream and generated anomalous ascent over the Sargasso Sea.This anomalous ascent induces anomalous descent and weakens moisture transport over the Amazon basin by the local meridional circulation.Consequently,precipitation is reduced over the Amazon basin in response to the weakened zonal and meridional circulation.Our findings indicate that even if the atmospheric CO_(2)concentration is lowered,the Amazon basin will remain susceptible to drought.Effective local climate adaptation strategies are urgently needed to address the vulnerability of this critical ecosystem.展开更多
文摘本月榜单的前两名分别是《Heed First Design Pattern》和《Agile Web Development with Reils》。《Code Complete 2》本月位居第四，比上个月攀升4个位次。这几本经典的开发类图书以连续在榜单前列停留半年之久，看来还是会继续受到读者的欢迎。
文摘本月榜首图书是《Heed First Design Patterns》，《Agile Web Development with Rail》和《Programming Ruby》紧随其后，分列第二和第三。这两本Ruby技术图书也已都被引进到国内，它们是否会像Ajax一样掀起一阵热潮，很快就很见分晓。
文摘BACKGROUND The adoption of telehealth services surged after the coronavirus disease 2019 pandemic,revolutionizing traditional healthcare delivery models.Amazon Clinic's recent nationwide launch marks a significant milestone in this trend.This study aims to offer a strengths,weaknesses,opportunities,and threats(SWOT)analysis of Amazon Clinic and compare its features with leading virtual healthcare platforms.AIM To evaluate Amazon Clinic's telehealth services through a SWOT analysis and compare its features with other leading virtual healthcare platforms.METHODS The initial search terms included were,amazon clinic odds ratio(OR)amwell OR Teladoc OR Walmart virtual health service OR CVS minute clinic OR CirrusMD OR brightside health,from 2000 to 2023.This search yielded 111 articles,from which duplicates were removed,and unrelated titles were filtered out.Eight articles were retained for a final review,including comparative studies,usability research,retrospective analyses,observational studies,and review articles.The data was organized and analyzed using Rayyan software and summarized in a table and PRISMA flowcharts.RESULTS The review included eight articles focusing on various aspects of telehealth.Comparative studies highlighted differences between Teladoc and traditional physician offices,noting lower diagnostic imaging orders and antibiotic prescriptions for Teladoc.User demographics for Teladoc showed younger,less engaged patients.Usability studies emphasized the importance of website design for telemedicine adoption.Tele-mental health platforms like Brightside showed superior outcomes in treating depression compared to traditional methods.Telemedicine for specialized fields like skin reconstruction demonstrated cost efficiency and reduced waiting times.The SWOT analysis identified Amazon Clinic's strengths,such as its vast consumer base and transparent pricing,and weaknesses like the lack of pediatric care.Opportunities included potential partnerships and service expansions,while threats involved competition and regulatory challenges.CONCLUSION Amazon Clinic's entry into the telehealth sector represents a significant development with various strengths and opportunities.However,it faces challenges from established healthcare providers and regulatory landscapes.The future success of Amazon Clinic will depend on strategic collaborations,addressing service gaps,and navigating competition and regulations.Telemedicine's impact will hinge on its ability to effectively leverage these opportunities and overcome inherent challenges in the ever-evolving healthcare landscape.
基金supported by the National Geographic Society through an early career grant to A.Rico (EC-59809C-19)Support Programme-PlanGenT (CIDEGENT/2020/043)of the Generalitat ValencianaR.Oliveira acknowledges"Fundacao de Amparo a Pesquisa do Estado de Sao Paulo"-FAPESP (Project 2018/03108-0).
文摘Fish constitutes the main protein source for the Amazonian population.However,the impact of different anthropogenic activities on trace element and metal accumulation in fish and their risks for human health at a regional scale remain largely unexplored.Here we assessed exposure levels of 10 trace elements andmetals(Cr,Mn,Fe,Ni,Cu,Zn,As,Cd,Pb,and Hg)in 56 samples belonging to 11 different species of fish from the Brazilian Amazon.We studied the relationship between exposure levels,fish origin,and fish feeding habits,and assessed toxicological and carcinogenic risks for the Amazonian population.No significant correlation was found between sampling site and exposure levels to the studied elements,but a significant difference was found between the accumulation of some metals and the position of the fish species in the food chain.The concentrations of Cr and Hg in fish flesh were found to exceed the Brazilian limits for human consumption.This study shows that current fish consumption patterns can lead to estimated daily intakes of Hg,As and Cr that exceed the oral reference dose,thus posing a toxicological concern.Furthermore,carcinogenic risks may be expected due to the continued exposure to Cr and As.The results of this study show that the consumption of wild caught fish in the Amazon region should be controlled.Moreover,continued monitoring of trace element and metal contamination in fish and on the health of the Amazonian population is recommended,particularly for riverine and indigenous communities.
文摘Deforestation is the purpose of converting forest into land and reforestation compared to deforestation is very low.That’s why closely and accurately deforestation monitoring using Sentinel-1 and Sentinel-2 satellite images for better vision is required.This paper proposes an effective image fusion technique that combines S-1/2 data to improve the deforested areas.Based on review,Optical and SAR image fusion produces high-resolution images for better de-forestation monitoring.To enhance the S-1/2 images,preprocessing is needed as per requirements and then,collocation between the two different types of images to mitigate the image registration problem,and after that,apply an image fu-sion machine learning approach,PCA-Wavelet.As per analysis,PCA helps to maintain spatial resolution,and Wavelet helps to preserve spectral resolution,gives better-fused images compared to other techniques.As per results,2019 S-2 pre-22 processed collocated image enhances 42.2508 km deforested area,S-1 preprocessed collocated image enhances 23.7918 km^(2) deforested area,and after fusion of the 2019 S-1/2 images,it enhances 16.5335 km deforested area.Similarly,the 20232 S-2 preprocessed collocated image enhances 49.2216 km deforested area,S-1 preprocessed collocated image enhances 2223.8459 km deforested area after fusion of the 2023 S-1/2 images,enhancing 35.9185 km deforested area.These im-provements show that combining data sources gives a clearer and more reliable picture of forest loss over time.The overall paper objective is to apply effective techniques for image fusion of Brazil’s Amazon Forest and analyze the difference between collocated image pixels and fused image pixels for accurate analysis of deforested area.
基金funded by the Conselho Nacional de Desenvolvimento Científico e Tecnológico(CNPq),project number 408034/2022−0.
文摘Despite significant Brazilian social programs to expand energy access,approximately one million people in rural Amazonia still lack electricity.Moreover,the existing rural electricity grid in the region is inadequate for supporting efficient small-scale production systems due to both the poor quality and high cost of supplied energy.In parallel,traditional wooden bridges in the Amazon have been progressively replaced by more durable concrete structures in recent years.In this context,this study explores the application of very low-head hydropower installations in the Amazon,focusing on integrating axial-flow turbines beneath small concrete bridges.The methodology involves analyzing flow duration curves and key hydraulic parameters upstream and downstream to design a micro-hydropower system comprising two or more units,thereby maximizing annual energy generation.Additionally,the study assesses the applicability of the minimum pressure coefficient criterion to improve the efficiency of very low-head turbines.This design criterion is first validated against an existing experimental study featuring a propeller turbine with a simple curved plate blade.The proposed methodology is then applied to a case study involving a small dam-bridge with a head variation from 1.4 to 2.4 m and a flow rate ranging from 0.23 to 0.92 m^(3)/s.The optimal configuration achieves an energy output of 26.2 MWh/year with an efficiency of up to 86%.
基金supported by the National Natural Science Foundation of China(Nos.42141019,42175055,and 42261144687)the second Tibetan Plateau Scientific Expedition and Research program(No.2019QZKK0102)。
文摘The Amazon basin plays a crucial role in biodiversity and carbon storage,but its local rainfall is anticipated to decrease under globalwarming.Carbon dioxide removal(CDR)is being considered as a method to mitigate the impact of global warming.However,the specific effects of CDR on Amazon rainfall have not been well understood.Here,an idealized CDR experiment reveals that the reduced rainfall over the Amazon basin does not recover.Significantly weaker rainfall is found during the ramp-down period compared to the ramp-up period at the same CO_(2)concentration.This response is associated with the enhanced El Niño-like warming in the tropical Pacific Ocean during the CDR period.This warming pattern has dual effects:weakening the zonal circulation and causing anomalous descent directly over the Amazon basin,while also triggering a stationary Rossby wave train that propagated downstream and generated anomalous ascent over the Sargasso Sea.This anomalous ascent induces anomalous descent and weakens moisture transport over the Amazon basin by the local meridional circulation.Consequently,precipitation is reduced over the Amazon basin in response to the weakened zonal and meridional circulation.Our findings indicate that even if the atmospheric CO_(2)concentration is lowered,the Amazon basin will remain susceptible to drought.Effective local climate adaptation strategies are urgently needed to address the vulnerability of this critical ecosystem.
