Dear Editor,I am writing in response to the article“Assessment of nurses’workplace silence behavior motives:A cross-sectional study”by Alhojairi et al.published in the September 2024 issue of the International Jour...Dear Editor,I am writing in response to the article“Assessment of nurses’workplace silence behavior motives:A cross-sectional study”by Alhojairi et al.published in the September 2024 issue of the International Journal of Nursing Sciences[1].This is a letter written by a nurse with 10 years of clinical work experience and a personal interest in team dynamics.I appreciate the authors'recommendations on mitigating workplace silence among nurses to enhance clinical work development,and I believe their proposals could be expanded further.展开更多
Rapid population aging has led to an increased focus on age-related conditions such as sarcopenia.causing loss of muscle mass and strength^([1,2]). Sarcopenia is associated with adverse outcomes,including falls, funct...Rapid population aging has led to an increased focus on age-related conditions such as sarcopenia.causing loss of muscle mass and strength^([1,2]). Sarcopenia is associated with adverse outcomes,including falls, functional decline, frailty, and mortality, which can lower the quality of life and shorten lifespan^([1,2]).展开更多
BACKGROUND Transition is a critical period for adolescents as they begin to assume responsibility for their own health.Similarly,the shift from pediatric to adult healthcare represents a vulnerable phase,marked by uni...BACKGROUND Transition is a critical period for adolescents as they begin to assume responsibility for their own health.Similarly,the shift from pediatric to adult healthcare represents a vulnerable phase,marked by unique challenges in adolescent health care.Despite its importance,only a few studies have explored healthcare transition among adolescents in Uganda.AIM To identify factors associated with the transition to adult human immunodeficiency virus(HIV)-centered care among adolescents attending HIV/AIDS clinics in Uganda.METHODS A cross-sectional mixed-methods study was conducted among 265 adolescents,randomly selected from three antiretroviral therapy(ART)clinics,using a structured questionnaire.Focus group discussions and key informant interviews were conducted.Individuals aged 10-20 years who were actively enrolled in the ART program between January 4,2022 and January 30,2023 were recruited.The primary outcome of interest was the transition to adult care.Bivariate and multivariate analyses were performed for quantitative data,while content analysis was used to analyze qualitative data.RESULTS The prevalence of transition to adult care was 40.6%.Most participants were male(53.6%)and fell within the 13-15 age group(35.6%).Multivariate logistic regression analysis identified several factors significantly associated with transition to adult care:Age group 10-12 years[prevalence ratio(PR)=2.525,95%CI:2.121-2.944,P=0.002],Age group 13-15 years(PR=1.900,95%CI:1.196-3.416,P=0.001),successful viral load suppression(PR=1.534,95%CI:1.173-1.648,P=0.016),disclosure of HIV status to relatives(PR=5.001,95%CI:3.411-3.611,P=0.000),being prepared for transitioning(PR=5.417,95%CI:3.468-7.135,P=0.041)and having skilled pediatric caregivers(PR=3.724,95%CI:2.084-4.105,P=0.005).CONCLUSION Transition to adult care among adolescents was low.Improving transition outcomes may require strengthening individual support within the family context and integrating transition-focused care into existing specialized clinical settings to enhance the delivery of adolescent-friendly services.展开更多
Radar cross section(RCS)plays a critical role in modeling target scattering characteristics and enhancing the precision of target detection and localization in integrated sensing and communication(ISAC)systems.This pa...Radar cross section(RCS)plays a critical role in modeling target scattering characteristics and enhancing the precision of target detection and localization in integrated sensing and communication(ISAC)systems.This paper investigates the human body RCS at 26 GHz via multiangle channel measurements under different clothing conditions.Based on calibrated electromagnetic(EM)parameters,the RCS characteristics of the human body in far-field conditions are analyzed using ray-tracing(RT)simulations.Some suggestions for the design of ISAC systems are also discussed.The results provide a solid theoretical foundation and practical reference for the modeling of target scattering characteristics for ISAC channels.展开更多
The neutron capture cross section for^(165)Ho was measured at the backstreaming white neutron beam line(Back-n)of the China Spallation Neutron Source(CSNS)using total energy detection systems,composed of a set of four...The neutron capture cross section for^(165)Ho was measured at the backstreaming white neutron beam line(Back-n)of the China Spallation Neutron Source(CSNS)using total energy detection systems,composed of a set of four C_(6)D_(6)scintillator detectors coupled with pulse height weighting techniques.The resonance parameters were extracted using the multilevel multichannel R-matrix code SAMMY to fit the measured capture yields of the^(165)Ho(n,γ)reaction in the neutron energy range below100 eV.Subsequently,the resonance region’s capture cross sections were reconstructed based on the obtained parameters.Furthermore,the unresolved resonance average cross section of the^(165)Ho(n,γ)reaction was determined relative to that of the standard sample^(197)Au within the neutron energy range of 2 keV to 1 MeV.The experimental data were compared with the recommended nuclear data from the ENDF/B-VIII.0 library,as well as with results of calculations performed using the TALYS-1.9 code.The comparison revealed agreement between the measured^(165)Ho(n,γ)cross sections and these data.The present results are crucial for evaluating the^(165)Ho neutron capture cross section and thus enhance the quality of evaluated nuclear data libraries.They provide valuable guidance for nuclear theoretical models and nuclear astrophysical studies.展开更多
The direct and dissociative ionizations of oxygen molecule are investigated experimen-tally by electron collision with energies from 350 eV to 8000 eV.The absolute ionization cross sections for the product ions(O_(2)^...The direct and dissociative ionizations of oxygen molecule are investigated experimen-tally by electron collision with energies from 350 eV to 8000 eV.The absolute ionization cross sections for the product ions(O_(2)^(2+),O_(2)^(2+)O^(+),O^(2+),and their total)and two Coulomb explosion channels(O^(+)+O^(+)and O^(2+)+O^(+))are obtained by putting the data of O^(2+)on the scale of Ar+from O_(2)and Ar gases mixed with a fixed relative flow ratio of 1:1.The experimental errors are assessed by taking uncertainties of various factors into account.The present absolute cross sections are well consistent with the previous data in the overlapped energy range below 1000 eV.展开更多
Inelastic collisions are the dominant cause of energy loss in radiotherapy.In the energy range around the Bragg peak,single ionization(SI)and single-electron capture(SC)are the primary inelastic collisions that lead t...Inelastic collisions are the dominant cause of energy loss in radiotherapy.In the energy range around the Bragg peak,single ionization(SI)and single-electron capture(SC)are the primary inelastic collisions that lead to energy loss.This study employs the classical trajectory Monte Carlo method to study the SI and SC processes of H_(2)O molecules using He^(2+) and C^(6+) projectiles in the energy range of 10 keV/u to 10 MeV/u.The total cross sections,single differential cross sections,impact parameter dependence of SI and SC,and fragmentation cross sections were investigated.Results illustrate that the cross section for SI is the highest when the projectile energy is close to the Bragg peak energy.When the projectile energy is below the Bragg peak energy,the ionized electrons in the forward direction dominate,and the removal of electrons can be associated with large impact parameters.As the projectile energy increases,the emission angle of the electrons gradually transitions from small angles(60°~120°)to large angles(60°~120°),and the removal of electrons is associated with small impact parameters.The energy distributions of the ionized electron are similar when the projectile energy is equal to,below or above the Bragg peak energy.The fragmentation cross sections after SI and SC in the energy range around the Bragg peak were also estimated.展开更多
The radioisotope actinium-225(^(225)Ac)has been successfully used for targeted alpha therapy in preclinical and clinical applications because of its excellent nuclear characteristics.Medium-and high-energy proton-spal...The radioisotope actinium-225(^(225)Ac)has been successfully used for targeted alpha therapy in preclinical and clinical applications because of its excellent nuclear characteristics.Medium-and high-energy proton-spallation reactions on thorium are the most important methods for producing^(225)Ac.This study examines the possibility of producing^(225)Ac by irradiating thorium oxide with medium-energy protons.Thorium-oxide sheets were irradiated with 40-,50-,60-,70-,and 80-Me V protons on the Associated Proton-beam Experiment Platform(APEP)of the China Spallation Neutron Source(CSNS).The cross sections for the formation of^(225)Ac were measured using the activation method and offline gamma-ray spectrometric technique.The experimental results were compared with the existing data from EXFOR as well as the theoretical data from the TALYS-based evaluated nuclear-data library.Based on the experimental cross section and theoretical calculations,the production yield of^(225)Ac in the irradiated thorium targets was examined.The results showed that APEP can produce sufficient quantities of^(225)Ac for purification and clinical therapy.This work is the first measurement of proton-induced nuclearreaction cross sections at the CSNS APEP.展开更多
Objective To determine the factors influencing insomnia and construct early insomnia warning tools for rescuers to informbest practices for early screening and intervention.Methods Cluster sampling was used to conduct...Objective To determine the factors influencing insomnia and construct early insomnia warning tools for rescuers to informbest practices for early screening and intervention.Methods Cluster sampling was used to conduct a cross-sectional survey of 1,133 rescuers from one unit in Beijing,China.Logistic regression modeling and R software were used to analyze insomniarelated factors and construct a PRISM model,respectively.Results The positive rate of insomnia among rescuers was 2.74%.Accounting for participants’age,education,systolic pressure,smoking,per capita family monthly income,psychological resilience,and cognitive emotion regulation,logistic regression analysis revealed that,compared with families with an average monthly income less than 3,000 yuan,the odds ratio(OR)values and the[95%confidence interval(CI)]for participants of the following categories were as follows:average monthly family income greater than 5,000 yuan:2.998(1.307–6.879),smoking:4.124(1.954–8.706),and psychological resilience:0.960(0.933–0.988).The ROC curve area of the PRISM model(AUC)=0.7650,specificity=0.7169,and sensitivity=0.7419.Conclusion Insomnia was related to the participants’per capita family monthly income,smoking habits,and psychological resilience on rescue workers.The PRISM model’s good diagnostic value advises its use to screen rescuer early sleep quality.Further,advisable interventions to optimize sleep quality and battle effectiveness include psychological resilience training and smoking cessation.展开更多
The neutron-induced total cross sections of natural lead have been measured in a wide energy range(0.3 eV-20 MeV)on the back-streaming white neutron beamline(Back-n)at the China Spallation Neutron Source.Neutron energ...The neutron-induced total cross sections of natural lead have been measured in a wide energy range(0.3 eV-20 MeV)on the back-streaming white neutron beamline(Back-n)at the China Spallation Neutron Source.Neutron energy was determined by the neutron total cross-section spectrometer using the time-of-flight technique.A fast multi-cell fission chamber was used as the neutron detector,and a 10-mm-thick high-purity natural lead sample was employed for the neutron transmission measurements.The on-beam background was determined using Co,In,Ag,and Cd filters.The excitation function of ^(nat)Pb(n,tot)reaction below 20 MeV was calculated using the TALYS-1.96 nuclear-reaction modeling program.The present results were compared with previous results,the evaluated data available in the five major evaluated nuclear data libraries(i.e.,ENDF/B-VIII.0,JEFF-3.3,JENDL-5,CENDL-3.2,and BROND-3.1),and the theoretical calculation curve.Good agreement was found between the new results and those of previous experiments and with the theoretical curves in the corresponding region.This measurement obtained the neutron total cross section of natural lead with good accuracy over a wide energy range and added experimental data in the resonance energy range.This provides more reliable experimental data for nuclear engineering design and nuclear data evaluation of lead.展开更多
Aluminum is the primary structural material in nuclear engineering,and its cross section induced by 14-MeV neutrons is of great significance.To address the issue of insufficient accuracy for the^(27)Al(n,2n)^(26)Al re...Aluminum is the primary structural material in nuclear engineering,and its cross section induced by 14-MeV neutrons is of great significance.To address the issue of insufficient accuracy for the^(27)Al(n,2n)^(26)Al reaction cross section,the activation method and accelerator mass spectrometry(AMS)technique were used to determine the^(27)Al(n,2n)^(26)Al cross section,which could be used as a D-T plasma ion temperature monitor in fusion reactors.At the China Academy of Engineering Physics,neutron activation was performed using a K-400 neutron generator produced by the T(d,n)4He reaction.The^(26)Al∕^(27)Al isotope ratios were measured using the newly installed GYIG 1 MV AMS at the Institute of Geochemistry,Chinese Academy of Sciences.The neutron flux was monitored by measuring the activity of 92mNb produced by the 93Nb(n,2n)92mNb reaction.The measured results were compared with available data in the experimental nuclear reaction database,and the measured values showed a reasonable degree of consistency with partially available literature data.The newly acquired cross-sectional data at 12 neutron energy points through systematic measurements clarified the divergence,which has two different growth trends from the existing experimental values.The obtained results are also compared with the corresponding evaluated database,and the newly calculated excitation functions with TALYS−1.95 and EMPIRE−3.2 codes,the agreement with CENDL−3.2,TENDL-2021 and EMPIRE−3.2 results are generally acceptable.A substantial improvement in the knowledge of the^(27)Al(n,2n)^(26)Al reaction excitation function was obtained in the present work,which will lay the foundation for the diagnosis of the fusion ion temperature,testing of the nuclear physics model,evaluation of nuclear data,etc.展开更多
The state-selective cross section data are useful for understanding and modeling the x-ray emission in celestial observations.In the present work,using the cold target recoil ion momentum spectroscopy,for the first ti...The state-selective cross section data are useful for understanding and modeling the x-ray emission in celestial observations.In the present work,using the cold target recoil ion momentum spectroscopy,for the first time we investigated the state-selective single electron capture processes for S^(q+)–He and H_(2)(q=11–15)collision systems at an impact energy of q×20 keV and obtained the relative state-selective cross sections.The results indicate that only a few principal quantum states of the projectile energy level are populated in a single electron capture process.In particular,the increase of the projectile charge state leads to the population of the states with higher principal quantum numbers.It is also shown that the experimental averaged n-shell populations are reproduced well by the over-barrier model.The database is openly available in Science Data Bank at 10.57760/sciencedb.j00113.00091.展开更多
The absolute partial and total cross sections for electron impact ionization of carbon monoxide are reported for electron energies from 350 eV to 8000 eV.The product ions(CO^(+),C^(+),O^(+),CO^(2+),C^(2+),and O^(2+))a...The absolute partial and total cross sections for electron impact ionization of carbon monoxide are reported for electron energies from 350 eV to 8000 eV.The product ions(CO^(+),C^(+),O^(+),CO^(2+),C^(2+),and O^(2+))are measured by employing an ion imaging mass spectrometer and two ion-pair dissociation channels(C^(+)+O^(+)and C^(2+)+O^(+))are identified.The absolute cross sections for producing individual ions and their total,as well as for the ion-pair dissociation channels are obtained by normalizing the data of CO^(+)to that of Ar^(+)from CO-Ar mixture target with a fixed 1:1 ratio.The overall errors are evaluated by considering various kinds of uncertainties.A comprehensive comparison is made with the available data,which shows a good agreement with each other over the energy ranges that are overlapped.This work presents new cross-section data with electron energies above 1000 eV.展开更多
The dynamics of a solid spherical body in an oscillating liquid flow in a vertical axisymmetric channel of variable cross section is experimentally studied.It is shown that the oscillating liquid leads to the generati...The dynamics of a solid spherical body in an oscillating liquid flow in a vertical axisymmetric channel of variable cross section is experimentally studied.It is shown that the oscillating liquid leads to the generation of intense averaged flows in each of the channel segments.The intensity and direction of these flows depend on the dimensionless oscillating frequency.In the region of studied frequencies,the dynamics of the considered body is examined when the primary vortices emerging in the flow occupy the whole region in each segment.For a fixed frequency,an increase in the oscillation amplitude leads to a phase-inclusion holding effect,i.e.,the body occupies a quasi-stationary position in one of the cells of the vertical channel,while oscillating around its average position.It is also shown that the oscillating motion of a liquid column generates an averaged force acting on the body,the magnitude of which depends on the properties of the body and its position in the channel.The quasi-stationary position is determined by the relative density and size of the body,as well as the dimensionless frequency.The behavior of the body as a function of the amplitude and frequency of fluid oscillation and relative size is discussed in detail.Such findings may be used in the future to control the position of a phase inclusion and/or to strengthen mass transfer effects in a channel of variable cross section by means of fluid oscillations.展开更多
The relativistic binary-encounter-Bethe model with Wannier-type threshold law is employed to obtain the inner-shell ionization cross sections of multi-electron atoms(Ni,Cu,Y,Ag,Au,Yb,Ta,and Pb)for positron impact ener...The relativistic binary-encounter-Bethe model with Wannier-type threshold law is employed to obtain the inner-shell ionization cross sections of multi-electron atoms(Ni,Cu,Y,Ag,Au,Yb,Ta,and Pb)for positron impact energies from the thresholds up to 105ke V.There is good agreement between the present calculations and the experimental data.The constant in the acceleration term derived from the Wannier law is determined to be 0.2 and 0.5 for the K-and L-shells,respectively.展开更多
The thermal-hydraulic performance of plain tubes with and without wire coils in turbulent regimes is investigated experimentally and numerically.The effects of wire coil distribution(circular cross section)within the ...The thermal-hydraulic performance of plain tubes with and without wire coils in turbulent regimes is investigated experimentally and numerically.The effects of wire coil distribution(circular cross section)within the tube were explored experimentally,and water was employed as the working fluid.The numerical simulation was carried out using software programmer ANSYS Fluent 2019 R3 using the finite-volume approach.In the turbulent regime,six cross-sectionedwire coilswere analyzed,including:circular,rectangular,hexagonal,square,star shape,and triangle.The utilization of a tube with a wire coil has been shown to increase heat transfer rate and pump consumption.The results indicate a high level of concurrence,as the deviations are all below 8%.Compared with plain tube,the wire coils,according to the arrangement(TWD),gave the best PEC.The heat transfer enhancement ability of different cross sections follows the following order:StCS>RCS>HCS>SqCS>CCS>TCS.Also,the sequence of pump consumption for each cross section is as follows:RCS>StCS>SqCS>HCS>CCS>TCS.展开更多
This resolution 5 (25−1 factorial) study aimed to ascertain an understanding of the interactions between different geometries on the resulting Radar Cross Section (RCS) of a target. The results of the study are in lin...This resolution 5 (25−1 factorial) study aimed to ascertain an understanding of the interactions between different geometries on the resulting Radar Cross Section (RCS) of a target. The results of the study are in line with the general understanding of the impact different geometries have on RCS but show that geometries can also influence the variance of measured RCS, and typical attributes that reduce RCS increase the variance of the measured RCS. Notably, an increased angle between the front face of a plate and the direction of the radar signal decreased RCS but increased the variance of the RCS measured.展开更多
Objective The scope of practice(SOP)of primary care physicians(PCPs)has been narrowing,with declining comprehensiveness leading to fragmented care.Identifying SOP-associated factors can help improve comprehensiveness....Objective The scope of practice(SOP)of primary care physicians(PCPs)has been narrowing,with declining comprehensiveness leading to fragmented care.Identifying SOP-associated factors can help improve comprehensiveness.This study aimed to describe the SOP of PCPs working in clinics and to identify SOP-associated factors.Design A cross-sectional study using a self-administered questionnaire.Setting Shizuoka,Japan.Participants PCPs working in clinics offering internal medicine.Main outcome measures The total number of services provided,covering 109 items,was categorised into 8 clinical areas,78 clinical activities and 23 procedures.Results Questionnaires were mailed to 1191 clinics,and 389 valid responses were included in the analysis.Of the 389 physicians,254(65.3%)were internal medicine specialists,and 382(98.2%)worked in their own private clinics.The mean number of services provided was 60.4±17.4.Clinical activities were provided less frequently in the areas of paediatric and adolescent care,women’s health,home healthcare,palliative care and mental health.Physician-related factors were more significantly associated with SOP than practice or environmental factors.Preference for broad practice was the strongest factor associated with a broader SOP,followed by completion of the Japan Medical Association(JMA)primary care training programme and rotational training experience.Additionally,younger physician age,rural practice experience,surgical specialisation,a larger number of physicians in the clinic,higher patient volume and a more rural setting were associated with broader SOP.Conclusion Physician preference regarding SOP,completion of the JMA primary care training programme and rotational training are key factors influencing SOP.These findings suggest that postgraduate clinical training with a broad scope not limited to internal medicine and continuing medical education after establishing a private clinic,particularly for physicians who prefer broad practice,may be important in expanding the SOP of PCPs.展开更多
This paper describes a new method for simulation of the cross section shape of log. The self-developed MQK3102 log shape recognizing machine was used to acquire the finite discrete sampling points on the cross section...This paper describes a new method for simulation of the cross section shape of log. The self-developed MQK3102 log shape recognizing machine was used to acquire the finite discrete sampling points on the cross section of log and those points were fitted with the quadratic B-spline parametric curve. This method can clearly stimulate the real shape of the log cross section and is characterized by limited sampling points and high speed computing. The computed result of the previous curve does not affect the next one, which may avoid the graphic distortion caused by the accumulative error. The method can be used to simulate the whole body shape of log approximately by sampling the cross sections along the length direction of log, thus providing a reference model for optimum saw cutting of log.展开更多
There is an urgent need for the application of broadband Microwave Absorption(MA)structures on the leading edges of aircraft wings,which requires the MA structures to possess both the broadband MA performance and grea...There is an urgent need for the application of broadband Microwave Absorption(MA)structures on the leading edges of aircraft wings,which requires the MA structures to possess both the broadband MA performance and great surface conformability.To meet these requirements,we designed and fabricated a flexible bioinspired meta-structure with ultra-broadband MA,thin thickness and excellent surface conformality.The carbonyl iron powder-carbon nanotubes-polydimethylsiloxane composite was synthesized by physical blending method for fabricating the MA meta-structure.Through geometry-electromagnetic optimal design by heuristic optimization algorithm,the meta-structure mimicking to the nipple photonic nanostructures on the eyes of moth can achieve ultra-broadband MA performance of 35.14 GHz MA bandwidth(reflection loss≤–10 dB),covering 4.86–40.00 GHz,with thickness of only 4.3 mm.Through simple fabrication processes,the meta-structure has been successfully fabricated and bonded on wings’leading edges,exhibiting excellent surface conformability.Furthermore,the designed flexible MA meta-structure possesses significant Radar Cross-Section(RCS)reduction capability,as demonstrated by the RCS analysis of an unmanned aerial vehicle.This flexible ultra-broadband MA meta-structure provides an outstanding candidate to meet the radar stealth requirement of variable curvature structures on aircraft.展开更多
文摘Dear Editor,I am writing in response to the article“Assessment of nurses’workplace silence behavior motives:A cross-sectional study”by Alhojairi et al.published in the September 2024 issue of the International Journal of Nursing Sciences[1].This is a letter written by a nurse with 10 years of clinical work experience and a personal interest in team dynamics.I appreciate the authors'recommendations on mitigating workplace silence among nurses to enhance clinical work development,and I believe their proposals could be expanded further.
基金supported by the Ministry of Education Chunhui Program Collaborative Scientific Research Projects(Grant No.:HZKY20220286)Henan Province Foreign Experts Introduction Program(Grant No.:HNGD2022021)+1 种基金Natural Science Foundation of Henan Province(Grant No.:23230042151)the Foundation of the National Key Program of Research and Development of China(Grant No.:2016YFC0900803)。
文摘Rapid population aging has led to an increased focus on age-related conditions such as sarcopenia.causing loss of muscle mass and strength^([1,2]). Sarcopenia is associated with adverse outcomes,including falls, functional decline, frailty, and mortality, which can lower the quality of life and shorten lifespan^([1,2]).
文摘BACKGROUND Transition is a critical period for adolescents as they begin to assume responsibility for their own health.Similarly,the shift from pediatric to adult healthcare represents a vulnerable phase,marked by unique challenges in adolescent health care.Despite its importance,only a few studies have explored healthcare transition among adolescents in Uganda.AIM To identify factors associated with the transition to adult human immunodeficiency virus(HIV)-centered care among adolescents attending HIV/AIDS clinics in Uganda.METHODS A cross-sectional mixed-methods study was conducted among 265 adolescents,randomly selected from three antiretroviral therapy(ART)clinics,using a structured questionnaire.Focus group discussions and key informant interviews were conducted.Individuals aged 10-20 years who were actively enrolled in the ART program between January 4,2022 and January 30,2023 were recruited.The primary outcome of interest was the transition to adult care.Bivariate and multivariate analyses were performed for quantitative data,while content analysis was used to analyze qualitative data.RESULTS The prevalence of transition to adult care was 40.6%.Most participants were male(53.6%)and fell within the 13-15 age group(35.6%).Multivariate logistic regression analysis identified several factors significantly associated with transition to adult care:Age group 10-12 years[prevalence ratio(PR)=2.525,95%CI:2.121-2.944,P=0.002],Age group 13-15 years(PR=1.900,95%CI:1.196-3.416,P=0.001),successful viral load suppression(PR=1.534,95%CI:1.173-1.648,P=0.016),disclosure of HIV status to relatives(PR=5.001,95%CI:3.411-3.611,P=0.000),being prepared for transitioning(PR=5.417,95%CI:3.468-7.135,P=0.041)and having skilled pediatric caregivers(PR=3.724,95%CI:2.084-4.105,P=0.005).CONCLUSION Transition to adult care among adolescents was low.Improving transition outcomes may require strengthening individual support within the family context and integrating transition-focused care into existing specialized clinical settings to enhance the delivery of adolescent-friendly services.
基金supported by the National Natural Science Foundation of China under Grant No.62271043Ministry of Education of China under Grant No.8091B032123Beijing Natural Science Foundation under Grant No.L212029。
文摘Radar cross section(RCS)plays a critical role in modeling target scattering characteristics and enhancing the precision of target detection and localization in integrated sensing and communication(ISAC)systems.This paper investigates the human body RCS at 26 GHz via multiangle channel measurements under different clothing conditions.Based on calibrated electromagnetic(EM)parameters,the RCS characteristics of the human body in far-field conditions are analyzed using ray-tracing(RT)simulations.Some suggestions for the design of ISAC systems are also discussed.The results provide a solid theoretical foundation and practical reference for the modeling of target scattering characteristics for ISAC channels.
基金supported by the National Natural Science Foundation of China(Nos.12465024,12365018,U2032146)Inner Mongolia National Science Foundation(Nos.2024ZD23,2024FX30,2023MS01005)+1 种基金Program for Innovative Research Team in Universities of Inner Mongolia Autonomous Region(NMGIRT2217)Program for Young Talents of Science and Technology in Universities of Inner Mongolia Autonomous Region(NJYT23109)。
文摘The neutron capture cross section for^(165)Ho was measured at the backstreaming white neutron beam line(Back-n)of the China Spallation Neutron Source(CSNS)using total energy detection systems,composed of a set of four C_(6)D_(6)scintillator detectors coupled with pulse height weighting techniques.The resonance parameters were extracted using the multilevel multichannel R-matrix code SAMMY to fit the measured capture yields of the^(165)Ho(n,γ)reaction in the neutron energy range below100 eV.Subsequently,the resonance region’s capture cross sections were reconstructed based on the obtained parameters.Furthermore,the unresolved resonance average cross section of the^(165)Ho(n,γ)reaction was determined relative to that of the standard sample^(197)Au within the neutron energy range of 2 keV to 1 MeV.The experimental data were compared with the recommended nuclear data from the ENDF/B-VIII.0 library,as well as with results of calculations performed using the TALYS-1.9 code.The comparison revealed agreement between the measured^(165)Ho(n,γ)cross sections and these data.The present results are crucial for evaluating the^(165)Ho neutron capture cross section and thus enhance the quality of evaluated nuclear data libraries.They provide valuable guidance for nuclear theoretical models and nuclear astrophysical studies.
基金supported by the National Key Research and Development Program of China(No.2022YFA1602502)the National Natural Science Foundation of China(No.12127804).
文摘The direct and dissociative ionizations of oxygen molecule are investigated experimen-tally by electron collision with energies from 350 eV to 8000 eV.The absolute ionization cross sections for the product ions(O_(2)^(2+),O_(2)^(2+)O^(+),O^(2+),and their total)and two Coulomb explosion channels(O^(+)+O^(+)and O^(2+)+O^(+))are obtained by putting the data of O^(2+)on the scale of Ar+from O_(2)and Ar gases mixed with a fixed relative flow ratio of 1:1.The experimental errors are assessed by taking uncertainties of various factors into account.The present absolute cross sections are well consistent with the previous data in the overlapped energy range below 1000 eV.
基金supported in part by the National Natural Science Foundation of China(Nos.12105327 and 11775108)the Hunan Provincial Innovation Foundation For Postgraduate(No.QL20220210)the Advanced Energy Science and Technology Guangdong Laboratory.
文摘Inelastic collisions are the dominant cause of energy loss in radiotherapy.In the energy range around the Bragg peak,single ionization(SI)and single-electron capture(SC)are the primary inelastic collisions that lead to energy loss.This study employs the classical trajectory Monte Carlo method to study the SI and SC processes of H_(2)O molecules using He^(2+) and C^(6+) projectiles in the energy range of 10 keV/u to 10 MeV/u.The total cross sections,single differential cross sections,impact parameter dependence of SI and SC,and fragmentation cross sections were investigated.Results illustrate that the cross section for SI is the highest when the projectile energy is close to the Bragg peak energy.When the projectile energy is below the Bragg peak energy,the ionized electrons in the forward direction dominate,and the removal of electrons can be associated with large impact parameters.As the projectile energy increases,the emission angle of the electrons gradually transitions from small angles(60°~120°)to large angles(60°~120°),and the removal of electrons is associated with small impact parameters.The energy distributions of the ionized electron are similar when the projectile energy is equal to,below or above the Bragg peak energy.The fragmentation cross sections after SI and SC in the energy range around the Bragg peak were also estimated.
基金supported by the National Natural Science Foundation of China(No.12075135)the National Natural Science Foundation of China(No.12375127)。
文摘The radioisotope actinium-225(^(225)Ac)has been successfully used for targeted alpha therapy in preclinical and clinical applications because of its excellent nuclear characteristics.Medium-and high-energy proton-spallation reactions on thorium are the most important methods for producing^(225)Ac.This study examines the possibility of producing^(225)Ac by irradiating thorium oxide with medium-energy protons.Thorium-oxide sheets were irradiated with 40-,50-,60-,70-,and 80-Me V protons on the Associated Proton-beam Experiment Platform(APEP)of the China Spallation Neutron Source(CSNS).The cross sections for the formation of^(225)Ac were measured using the activation method and offline gamma-ray spectrometric technique.The experimental results were compared with the existing data from EXFOR as well as the theoretical data from the TALYS-based evaluated nuclear-data library.Based on the experimental cross section and theoretical calculations,the production yield of^(225)Ac in the irradiated thorium targets was examined.The results showed that APEP can produce sufficient quantities of^(225)Ac for purification and clinical therapy.This work is the first measurement of proton-induced nuclearreaction cross sections at the CSNS APEP.
基金Beijing Science and Technology"Capital Characteristics"Project[Z181100001718007]Translational Medicine Project of PLA General Hospital[2017TM-023]+1 种基金Expansion of Military Medical and Health Achievements[17WKS25]National Science and Technology Support Program[No.2013BAI08B01]。
文摘Objective To determine the factors influencing insomnia and construct early insomnia warning tools for rescuers to informbest practices for early screening and intervention.Methods Cluster sampling was used to conduct a cross-sectional survey of 1,133 rescuers from one unit in Beijing,China.Logistic regression modeling and R software were used to analyze insomniarelated factors and construct a PRISM model,respectively.Results The positive rate of insomnia among rescuers was 2.74%.Accounting for participants’age,education,systolic pressure,smoking,per capita family monthly income,psychological resilience,and cognitive emotion regulation,logistic regression analysis revealed that,compared with families with an average monthly income less than 3,000 yuan,the odds ratio(OR)values and the[95%confidence interval(CI)]for participants of the following categories were as follows:average monthly family income greater than 5,000 yuan:2.998(1.307–6.879),smoking:4.124(1.954–8.706),and psychological resilience:0.960(0.933–0.988).The ROC curve area of the PRISM model(AUC)=0.7650,specificity=0.7169,and sensitivity=0.7419.Conclusion Insomnia was related to the participants’per capita family monthly income,smoking habits,and psychological resilience on rescue workers.The PRISM model’s good diagnostic value advises its use to screen rescuer early sleep quality.Further,advisable interventions to optimize sleep quality and battle effectiveness include psychological resilience training and smoking cessation.
基金This work is supported by the National Natural Science Foundation of China(No.12375296)the Key Laboratory of Nuclear Data Foundation(No.JCKY2022201C153)+2 种基金the Natural Science Foundation of Hunan Province of China(Nos.2021JJ40444,2020RC3054)the Youth Innovation Promotion Association CAS(No.2023014)the National Key Research and Development Plan(No.2022YFA1603303).
文摘The neutron-induced total cross sections of natural lead have been measured in a wide energy range(0.3 eV-20 MeV)on the back-streaming white neutron beamline(Back-n)at the China Spallation Neutron Source.Neutron energy was determined by the neutron total cross-section spectrometer using the time-of-flight technique.A fast multi-cell fission chamber was used as the neutron detector,and a 10-mm-thick high-purity natural lead sample was employed for the neutron transmission measurements.The on-beam background was determined using Co,In,Ag,and Cd filters.The excitation function of ^(nat)Pb(n,tot)reaction below 20 MeV was calculated using the TALYS-1.96 nuclear-reaction modeling program.The present results were compared with previous results,the evaluated data available in the five major evaluated nuclear data libraries(i.e.,ENDF/B-VIII.0,JEFF-3.3,JENDL-5,CENDL-3.2,and BROND-3.1),and the theoretical calculation curve.Good agreement was found between the new results and those of previous experiments and with the theoretical curves in the corresponding region.This measurement obtained the neutron total cross section of natural lead with good accuracy over a wide energy range and added experimental data in the resonance energy range.This provides more reliable experimental data for nuclear engineering design and nuclear data evaluation of lead.
基金the Open Project of Guangxi Key Laboratory of Nuclear Physics and Nuclear Technology(NLK 2022-04)the Central Government Guidance Funds for Local Scientific and Technological Development,China(No.Guike,ZY22096024)+1 种基金the National Natural Science Foundation of China(12065003)Guangxi Key R&D Project(2023AB07029).
文摘Aluminum is the primary structural material in nuclear engineering,and its cross section induced by 14-MeV neutrons is of great significance.To address the issue of insufficient accuracy for the^(27)Al(n,2n)^(26)Al reaction cross section,the activation method and accelerator mass spectrometry(AMS)technique were used to determine the^(27)Al(n,2n)^(26)Al cross section,which could be used as a D-T plasma ion temperature monitor in fusion reactors.At the China Academy of Engineering Physics,neutron activation was performed using a K-400 neutron generator produced by the T(d,n)4He reaction.The^(26)Al∕^(27)Al isotope ratios were measured using the newly installed GYIG 1 MV AMS at the Institute of Geochemistry,Chinese Academy of Sciences.The neutron flux was monitored by measuring the activity of 92mNb produced by the 93Nb(n,2n)92mNb reaction.The measured results were compared with available data in the experimental nuclear reaction database,and the measured values showed a reasonable degree of consistency with partially available literature data.The newly acquired cross-sectional data at 12 neutron energy points through systematic measurements clarified the divergence,which has two different growth trends from the existing experimental values.The obtained results are also compared with the corresponding evaluated database,and the newly calculated excitation functions with TALYS−1.95 and EMPIRE−3.2 codes,the agreement with CENDL−3.2,TENDL-2021 and EMPIRE−3.2 results are generally acceptable.A substantial improvement in the knowledge of the^(27)Al(n,2n)^(26)Al reaction excitation function was obtained in the present work,which will lay the foundation for the diagnosis of the fusion ion temperature,testing of the nuclear physics model,evaluation of nuclear data,etc.
基金Project supported by the National Key Research and Development Program of China(Grant No.2017YFA0402400)the National Natural Science Foundation of China(Grant Nos.11974358 and 11934004)+1 种基金the Strategic Priority Research Program of the Chinese Academy of Sciences(Grant No.XDB34020000)the Heavy Ion Research Facility in Lanzhou(HIRFL).
文摘The state-selective cross section data are useful for understanding and modeling the x-ray emission in celestial observations.In the present work,using the cold target recoil ion momentum spectroscopy,for the first time we investigated the state-selective single electron capture processes for S^(q+)–He and H_(2)(q=11–15)collision systems at an impact energy of q×20 keV and obtained the relative state-selective cross sections.The results indicate that only a few principal quantum states of the projectile energy level are populated in a single electron capture process.In particular,the increase of the projectile charge state leads to the population of the states with higher principal quantum numbers.It is also shown that the experimental averaged n-shell populations are reproduced well by the over-barrier model.The database is openly available in Science Data Bank at 10.57760/sciencedb.j00113.00091.
基金Project supported by the National Key Research and Development Program of China (Grant No.2022YFA1602502)the National Natural Science Foundation of China (Grant No.12127804)the Strategic Priority Research Program of the Chinese Academy of Sciences (Grant Nos.XDB34000000)。
文摘The absolute partial and total cross sections for electron impact ionization of carbon monoxide are reported for electron energies from 350 eV to 8000 eV.The product ions(CO^(+),C^(+),O^(+),CO^(2+),C^(2+),and O^(2+))are measured by employing an ion imaging mass spectrometer and two ion-pair dissociation channels(C^(+)+O^(+)and C^(2+)+O^(+))are identified.The absolute cross sections for producing individual ions and their total,as well as for the ion-pair dissociation channels are obtained by normalizing the data of CO^(+)to that of Ar^(+)from CO-Ar mixture target with a fixed 1:1 ratio.The overall errors are evaluated by considering various kinds of uncertainties.A comprehensive comparison is made with the available data,which shows a good agreement with each other over the energy ranges that are overlapped.This work presents new cross-section data with electron energies above 1000 eV.
文摘The dynamics of a solid spherical body in an oscillating liquid flow in a vertical axisymmetric channel of variable cross section is experimentally studied.It is shown that the oscillating liquid leads to the generation of intense averaged flows in each of the channel segments.The intensity and direction of these flows depend on the dimensionless oscillating frequency.In the region of studied frequencies,the dynamics of the considered body is examined when the primary vortices emerging in the flow occupy the whole region in each segment.For a fixed frequency,an increase in the oscillation amplitude leads to a phase-inclusion holding effect,i.e.,the body occupies a quasi-stationary position in one of the cells of the vertical channel,while oscillating around its average position.It is also shown that the oscillating motion of a liquid column generates an averaged force acting on the body,the magnitude of which depends on the properties of the body and its position in the channel.The quasi-stationary position is determined by the relative density and size of the body,as well as the dimensionless frequency.The behavior of the body as a function of the amplitude and frequency of fluid oscillation and relative size is discussed in detail.Such findings may be used in the future to control the position of a phase inclusion and/or to strengthen mass transfer effects in a channel of variable cross section by means of fluid oscillations.
基金supported by the National Natural Science Foundation of China(Grant No.12174147)the Chinese Scholarship Council(Grant Nos.202108210152 and 202006175016).
文摘The relativistic binary-encounter-Bethe model with Wannier-type threshold law is employed to obtain the inner-shell ionization cross sections of multi-electron atoms(Ni,Cu,Y,Ag,Au,Yb,Ta,and Pb)for positron impact energies from the thresholds up to 105ke V.There is good agreement between the present calculations and the experimental data.The constant in the acceleration term derived from the Wannier law is determined to be 0.2 and 0.5 for the K-and L-shells,respectively.
文摘The thermal-hydraulic performance of plain tubes with and without wire coils in turbulent regimes is investigated experimentally and numerically.The effects of wire coil distribution(circular cross section)within the tube were explored experimentally,and water was employed as the working fluid.The numerical simulation was carried out using software programmer ANSYS Fluent 2019 R3 using the finite-volume approach.In the turbulent regime,six cross-sectionedwire coilswere analyzed,including:circular,rectangular,hexagonal,square,star shape,and triangle.The utilization of a tube with a wire coil has been shown to increase heat transfer rate and pump consumption.The results indicate a high level of concurrence,as the deviations are all below 8%.Compared with plain tube,the wire coils,according to the arrangement(TWD),gave the best PEC.The heat transfer enhancement ability of different cross sections follows the following order:StCS>RCS>HCS>SqCS>CCS>TCS.Also,the sequence of pump consumption for each cross section is as follows:RCS>StCS>SqCS>HCS>CCS>TCS.
文摘This resolution 5 (25−1 factorial) study aimed to ascertain an understanding of the interactions between different geometries on the resulting Radar Cross Section (RCS) of a target. The results of the study are in line with the general understanding of the impact different geometries have on RCS but show that geometries can also influence the variance of measured RCS, and typical attributes that reduce RCS increase the variance of the measured RCS. Notably, an increased angle between the front face of a plate and the direction of the radar signal decreased RCS but increased the variance of the RCS measured.
文摘Objective The scope of practice(SOP)of primary care physicians(PCPs)has been narrowing,with declining comprehensiveness leading to fragmented care.Identifying SOP-associated factors can help improve comprehensiveness.This study aimed to describe the SOP of PCPs working in clinics and to identify SOP-associated factors.Design A cross-sectional study using a self-administered questionnaire.Setting Shizuoka,Japan.Participants PCPs working in clinics offering internal medicine.Main outcome measures The total number of services provided,covering 109 items,was categorised into 8 clinical areas,78 clinical activities and 23 procedures.Results Questionnaires were mailed to 1191 clinics,and 389 valid responses were included in the analysis.Of the 389 physicians,254(65.3%)were internal medicine specialists,and 382(98.2%)worked in their own private clinics.The mean number of services provided was 60.4±17.4.Clinical activities were provided less frequently in the areas of paediatric and adolescent care,women’s health,home healthcare,palliative care and mental health.Physician-related factors were more significantly associated with SOP than practice or environmental factors.Preference for broad practice was the strongest factor associated with a broader SOP,followed by completion of the Japan Medical Association(JMA)primary care training programme and rotational training experience.Additionally,younger physician age,rural practice experience,surgical specialisation,a larger number of physicians in the clinic,higher patient volume and a more rural setting were associated with broader SOP.Conclusion Physician preference regarding SOP,completion of the JMA primary care training programme and rotational training are key factors influencing SOP.These findings suggest that postgraduate clinical training with a broad scope not limited to internal medicine and continuing medical education after establishing a private clinic,particularly for physicians who prefer broad practice,may be important in expanding the SOP of PCPs.
基金The research is supported by Project of National Natural Science Foundation of China(30571455)and National "948" Project(2005-4-62)
文摘This paper describes a new method for simulation of the cross section shape of log. The self-developed MQK3102 log shape recognizing machine was used to acquire the finite discrete sampling points on the cross section of log and those points were fitted with the quadratic B-spline parametric curve. This method can clearly stimulate the real shape of the log cross section and is characterized by limited sampling points and high speed computing. The computed result of the previous curve does not affect the next one, which may avoid the graphic distortion caused by the accumulative error. The method can be used to simulate the whole body shape of log approximately by sampling the cross sections along the length direction of log, thus providing a reference model for optimum saw cutting of log.
基金supported by the Basic Research Development Program of China(No.JCKY2021607B036)the National Natural Science Foundation of China(No.52275512).
文摘There is an urgent need for the application of broadband Microwave Absorption(MA)structures on the leading edges of aircraft wings,which requires the MA structures to possess both the broadband MA performance and great surface conformability.To meet these requirements,we designed and fabricated a flexible bioinspired meta-structure with ultra-broadband MA,thin thickness and excellent surface conformality.The carbonyl iron powder-carbon nanotubes-polydimethylsiloxane composite was synthesized by physical blending method for fabricating the MA meta-structure.Through geometry-electromagnetic optimal design by heuristic optimization algorithm,the meta-structure mimicking to the nipple photonic nanostructures on the eyes of moth can achieve ultra-broadband MA performance of 35.14 GHz MA bandwidth(reflection loss≤–10 dB),covering 4.86–40.00 GHz,with thickness of only 4.3 mm.Through simple fabrication processes,the meta-structure has been successfully fabricated and bonded on wings’leading edges,exhibiting excellent surface conformability.Furthermore,the designed flexible MA meta-structure possesses significant Radar Cross-Section(RCS)reduction capability,as demonstrated by the RCS analysis of an unmanned aerial vehicle.This flexible ultra-broadband MA meta-structure provides an outstanding candidate to meet the radar stealth requirement of variable curvature structures on aircraft.
