BACKGROUND Nutritional and inflammatory indicators are crucial in assessing the nutritional health and immune function of patients with cancer,which are factors closely associated with the diagnosis and treatment of c...BACKGROUND Nutritional and inflammatory indicators are crucial in assessing the nutritional health and immune function of patients with cancer,which are factors closely associated with the diagnosis and treatment of colorectal cancer(CRC).AIM To explore the relationship between nutritional and inflammatory indicators and microsatellite stability(MSS)status in CRC.METHODS The clinical data of 56 patients who underwent surgical treatment for CRC were collected.Furthermore,the expressions of nutritional(levels of serum albumin,triglycerides,serum cholesterol,and body mass index)and inflammatory response indicators(absolute neutrophil count,absolute lymphocyte count,absolute monocyte count,neutrophil-to-lymphocyte ratio,and lymphocyte-to-monocyte ratio)as well as their correlation with microsatellite instability(MSI)status were investigated in patients with CRC.RESULTS Compared to the patients with MSS tumors,those with MSI tumors demonstrated significantly lower levels of two nutritional indicators,namely serum albumin and body mass index(P<0.05).Moreover,patients in the MSI group demonstrated significantly lower absolute lymphocyte counts and higher neutrophil-to-lymphocyte ratio than those in the MSS group(P<0.05),indicating pronounced differences in inflammatory responses and immune states between the two groups.CONCLUSION Certain nutritional and inflammatory indicators exhibit significant differences among patients with MSI and MSS CRC,highlighting their potential role in the clinical treatment and health management of this specific population.展开更多
Damage indices are effective in quantifying structural seismic damage.Numerous response-based damage indices have been developed and validated through the hysteretic response of various experimental specimens.However,...Damage indices are effective in quantifying structural seismic damage.Numerous response-based damage indices have been developed and validated through the hysteretic response of various experimental specimens.However,the accuracy of these indices for evaluating damage of RC columns is challenged by fluctuating axial load and irregular horizontal loading paths from 3-D earthquake excitations.This study introduces D_(iem),a material-based damage model for RC columns under random bidirectional loads and variable axial forces.Section damage indices of the plastic hinge are calculated by integrating the damage indices of concrete and steel fiber elements,considering their distance to the centroid axis.The P-Δeffect index is defined,and the component failure index is calculated using a combination of these indices.A hysteretic simulation and D_(iem)damage analysis program for cantilever RC columns is developed using Fortran.Three RC columns tested under bidirectional hysteretic loading are simulated to calibrate the program.Parameter analysis of 1,638 RC columns is conducted to verify D_(iem)’s applicability.The results demonstrated that D_(iem)’s failure assessment aligns with the 80%residual criterion.D_(iem)analysis of a real seismic damaged RC column shows satisfactory agreement with post-earthquake damage assessment and illustrates significant damage differences between columns with and without axial load fluctuation.展开更多
Succinylcholine(SC)is a widely used depolarizing muscle relaxant,but improper use can lead to arrhythmias and,in severe cases,pose a life-threatening risk.Additionally,some criminals exploit SC for illicit activities....Succinylcholine(SC)is a widely used depolarizing muscle relaxant,but improper use can lead to arrhythmias and,in severe cases,pose a life-threatening risk.Additionally,some criminals exploit SC for illicit activities.Therefore,rapid SC detection is paramount for clinical practice and public safety.Currently,however,limited methods are available for the rapid detection of SC.A fluorescent indicator displacement assay sensor based on molecular recognition of an amide naphthotube was developed.This sensor enabled the rapid fluorescent detection of SC through competitive binding between SC and methylene blue with the amide naphthotube.The sensor exhibited exceptional sensitivity with a detection limit as low as 1.1μmol/L and a detection range of 1.1~60μmol/L,coupled with outstanding selectivity and robust stability.Furthermore,this sensor accurately determined SC levels in biological samples such as serum.In summary,this research provides a new solution for the rapid and accurate sensing of SC in complex matrices and offers new insights for the swift identification and detection of toxins.展开更多
In order to accurately forecast the main engine fuel consumption and reduce the Energy Efficiency Operational Indicator(EEOI)of merchant ships in polar ice areas,the energy transfer relationship between ship-machine-p...In order to accurately forecast the main engine fuel consumption and reduce the Energy Efficiency Operational Indicator(EEOI)of merchant ships in polar ice areas,the energy transfer relationship between ship-machine-propeller is studied by analyzing the complex force situation during ship navigation and building a MATLAB/Simulink simulation platform based on multi-environmental resistance,propeller efficiency,main engine power,fuel consumption,fuel consumption rate and EEOI calculation module.Considering the environmental factors of wind,wave and ice,the route is divided into sections,the calculation of main engine power,main engine fuel consumption and EEOI for each section is completed,and the speed design is optimized based on the simulation model for each section.Under the requirements of the voyage plan,the optimization results show that the energy efficiency operation index of the whole route is reduced by 3.114%and the fuel consumption is reduced by 9.17 t.展开更多
Background: The irrational use of medicines remains a key health problem in many developing countries. The overuse of antibiotics is a key driver of antimicrobial resistance (AMR). This study surveyed antibiotic use a...Background: The irrational use of medicines remains a key health problem in many developing countries. The overuse of antibiotics is a key driver of antimicrobial resistance (AMR). This study surveyed antibiotic use and adherence to the World Health Organization (WHO) prescribing indicators at the Request Muntanga Hospital in the Kalomo District of Southern Province, Zambia. Materials and Methods: This cross-sectional study was conducted from July 2023 to September 2023 at Request Muntanga Hospital in Zambia and reviewed 600 medical record prescriptions which were issued from July 1, 2022 to June 30, 2023 using the WHO prescribing indicators. The collected data were analyzed using Statistical Package for Social Sciences version 23.0. Results: From the 600 prescriptions sampled, 1246 medicines were prescribed, with antibiotics making up 86.7% of the encounters. Additionally, the average number of drugs prescribed per encounter was 2.1 and the prevalence of polypharmacy was 61.3%. Further, 17.8% of medicines were prescribed as injectables. Furthermore, 76.7% of the drugs were prescribed from the Zambia Essential Medicines List and 38.9% by generic names. Conclusions: This study found a high use of antibiotics and deviations from the WHO/International Network of Rational Use of Drugs (INRUD) core prescribing indicators at the Request Muntanga Hospital indicating non-adherence to the prescribing indicators. There is a need to promote adherence to the WHO/INRUD core prescribing indicators to promote the rational use of antibiotics and prevent the emergence and spread of AMR.展开更多
This study provides a systematic investigation into the influence of feature selection methods on cryptocurrency price forecasting models employing technical indicators.In this work,over 130 technical indicators—cove...This study provides a systematic investigation into the influence of feature selection methods on cryptocurrency price forecasting models employing technical indicators.In this work,over 130 technical indicators—covering momentum,volatility,volume,and trend-related technical indicators—are subjected to three distinct feature selection approaches.Specifically,mutual information(MI),recursive feature elimination(RFE),and random forest importance(RFI).By extracting an optimal set of 20 predictors,the proposed framework aims to mitigate redundancy and overfitting while enhancing interpretability.These feature subsets are integrated into support vector regression(SVR),Huber regressors,and k-nearest neighbors(KNN)models to forecast the prices of three leading cryptocurrencies—Bitcoin(BTC/USDT),Ethereum(ETH/USDT),and Binance Coin(BNB/USDT)—across horizons ranging from 1 to 20 days.Model evaluation employs the coefficient of determination(R2)and the root mean squared logarithmic error(RMSLE),alongside a walk-forward validation scheme to approximate real-world trading contexts.Empirical results indicate that incorporating momentum and volatility measures substantially improves predictive accuracy,with particularly pronounced effects observed at longer forecast windows.Moreover,indicators related to volume and trend provide incremental benefits in select market conditions.Notably,an 80%–85% reduction in the original feature set frequently maintains or enhances model performance relative to the complete indicator set.These findings highlight the critical role of targeted feature selection in addressing high-dimensional financial data challenges while preserving model robustness.This research advances the field of cryptocurrency forecasting by offering a rigorous comparison of feature selection methods and their effects on multiple digital assets and prediction horizons.The outcomes highlight the importance of dimension-reduction strategies in developing more efficient and resilient forecasting algorithms.Future efforts should incorporate high-frequency data and explore alternative selection techniques to further refine predictive accuracy in this highly volatile domain.展开更多
Morpho-physiological evaluation of a crop’s genetic resources is necessary to find possible genotypes to include in breeding initiatives.The objective of this study was to identify heat-tolerant wheat genotypes among...Morpho-physiological evaluation of a crop’s genetic resources is necessary to find possible genotypes to include in breeding initiatives.The objective of this study was to identify heat-tolerant wheat genotypes among 36 mutant lines using morpho-physiological indices.Seedlings of mutant lines and check varieties were grown under both normal(control)and heat-stress conditions in growth chambers.Data were recorded on root-shoot parameters(length,fresh weight,dry weight,and ratio),relative water content(RWC),stability of cell membrane,pigment content,and chlorophyll fluorescence.Two-way analysis of variance showed significant(p<0.01,p<0.001)variation among 15 morpho-physiological features in both growing conditions.Correlation studies showed that pigment-specific indices(total chl,chl a,chl b,carotenoid,Fv/Fm—chlorophyll fluorescence)had significant positive correlations with rootshoot fresh weight(RFW,SFW)and root-shoot dry weight(RDW,SDW),and negative association with relative water content,stability of cell membrane at both conditions.Hierarchical cluster analysis revealed three primary clusters where cluster III(18 genotypes)showed minimal changes in studied characters than cluster I(11 genotypes)and cluster II(13 genotypes).Results obtained from this study revealed that the identified heat-sensitive(30-2 SSH)and heat-tolerant genotypes(27-2(4),29-2(2),and 30-2 SSH)of wheat might provide useful breeding materials for enhancing wheat yield even more in this period of uncertain climate change.展开更多
The utilization of palynological data for plant diversity reconstructions offers notable advantages in addressing the discontinuity of plant fossils in the stratigraphic record. However, additional studies of modern p...The utilization of palynological data for plant diversity reconstructions offers notable advantages in addressing the discontinuity of plant fossils in the stratigraphic record. However, additional studies of modern processes are required to validate or refine the accuracy of diversity results obtained from palynological data. In this study, we used a modern pollen dataset of China to compare the accuracy of plant diversity reconstructions using five different palynological diversity indices(i.e., the pollen species number, Berger-Parker index, Simpson diversity index, Hill index, and Shannon-Wiener index) over a large spatial scale. We then identified climate factors that are most strongly correlated with these patterns of plant diversity. We found that the index that most accurately reflects plant diversity is the Shannon-Wiener index. Our analyses indicated that the most effective indices at reflecting plant diversity are the Shannon-Wiener index and Berger-Parker index. Numerical analysis revealed that palynological diversity(measured using the Shannon-Wiener index) was strongly correlated with climatic parameters, in particular average temperature in the coldest month and annual precipitation,suggesting these factors may be primary determinants of plant diversity distribution. We also found that a threshold value of the normalized Shannon-Wiener index(NH = 0.4) approximately aligns with the contour line specifying 400 mm annual precipitation, serving as a rudimentary indicator for assessing plant diversity in arid versus humid climates. This study suggests that pollen diversity indices have remarkable potential for quantitatively reconstructing paleoclimatic parameters.展开更多
Platelet indices(PIs)including high mean platelet volume(MPV),plateletcrit(PLC),and platelet distribution width(PLDW)are associated with poor glycemic control.In addition,they can indicate prothrombotic and procoagula...Platelet indices(PIs)including high mean platelet volume(MPV),plateletcrit(PLC),and platelet distribution width(PLDW)are associated with poor glycemic control.In addition,they can indicate prothrombotic and procoagulation risk among patients with diabetes.PI measurement is cheap,quick and fits healthcare system needs in remote outreaching areas in low-income countries.However,a broader insight into their clinical implications in diabetes is lacking.To achieve a wider understanding,we reviewed PubMed/MEDLINE,Google Scholar and Cochrane Library for relevant articles investigating the role of PIs in diabetes mellitus.No limitation to the publication date was applied,which included all articles published up to August 17,2024.The terms used were MPV,PLC,PLDW,platelet large cell ratio,glycated hemoglobin(HbA1c),PIs,platelet activity and diabetes mellitus.Out of the 790 articles retrieved,187 full texts were reviewed,and 44 were included.PIs,when measurements are done promptly and within 2 h,could be short-term pointers to glycemic control in the life span of the platelets(2 wk).PIs are easy to perform,cheap and useful in remote outreaching areas with limited facilities where measurement of HbA1c is not available or cost-effective.However,PIs are not specific and are affected by demographic factors,such as pregnancy,renal failure,medications,hemoglobin and duration of diabetes.PIs could be implemented with daily blood glucose to inform doctors in low-income countries about their patients'glycemic control and cardiovascular risk.An important application might be when blood glucose control is needed quickly(before elective surgery).展开更多
Objective Blood culture remains the gold standard for diagnosing bloodstream infections.Clinical laboratories must ensure the quality of blood culture processes from receipt to obtaining definitive results.We examined...Objective Blood culture remains the gold standard for diagnosing bloodstream infections.Clinical laboratories must ensure the quality of blood culture processes from receipt to obtaining definitive results.We examined laboratory analytical indicators associated with positive blood culture results.Methods Blood cultures collected from Peking Union Medical College Hospital between January 1,2020,and December 31,2022,were retrospectively analyzed.The mode of transportation(piping logistics delivery vs.staff),source of blood cultures(outpatient/emergency department vs.inpatient department),rotation of personnel,and time of reception(8:00–19:59 vs.20:00–07:59)were compared between blood culture-positive and-negative results.Results Between 2020 and 2022,the total positive rate of blood culture was 8.07%.The positive rate of blood cultures in the outpatient/emergency department was significantly higher than that in the inpatient department(12.46%vs.5.83%;P<0.0001).The time-to-detection of blood cultures was significantly affected by the delivery mode and personnel rotation.The blood culture positive rate of the total pre-analytical time within 1 h was significantly higher than that within 1–2 h or>2 h(P<0.0170).Conclusion Laboratory analytical indicators such as patient source,transportation mode,and personnel rotation significantly impacted the positive detection rate or time of blood culture.展开更多
Gastric cancer(GC),the fifth most common malignancy worldwide,poses a substantial challenge in clinical oncology,particularly in its advanced stages.Despite advancements in immunotherapy,patient prognosis remains poor...Gastric cancer(GC),the fifth most common malignancy worldwide,poses a substantial challenge in clinical oncology,particularly in its advanced stages.Despite advancements in immunotherapy,patient prognosis remains poor,underscoring the need for reliable prognostic tools to refine treatment strategies.A study by Yao et al explores the role of the triglyceride-glucose(TyG)index as a prognostic marker for advanced GC patients receiving immunotherapy combined with chemotherapy.The results of the study demonstrate that the TyG index correlates with improved survival outcomes,including better progression-free survival and overall survival.This editorial critically evaluates the significance of these findings,discusses their implications for future research,and highlights innovative directions that could drive further breakthroughs in the application of the TyG index to cancer therapy.This editorial also highlights the potential of TyG in advancing precision oncology and advocates for global validation and mechanistic investigations to further solidify its clinical utility.Future research should focus on validating the TyG index across various malignancies,exploring its potential to influence immunotherapy through metabolic interventions,and developing multi-biomarker models that integrate TyG with immune and genomic profiles.展开更多
Accurate and timely estimation of above-ground biomass is crucial for understanding crop growth dynamics,optimizing agricultural input management,and assessing productivity in sustainable farming practices.However,con...Accurate and timely estimation of above-ground biomass is crucial for understanding crop growth dynamics,optimizing agricultural input management,and assessing productivity in sustainable farming practices.However,conventional biomass assessments are destructive and resource-intensive.In contrast,remote sensing techniques,particularly those utilizing low-altitude unmanned aerial vehicles,provide a non-destructive approach to collect imagery data on plant canopy features,including spectral reflectance and structural details at any stage of the crop life cycle.This study explores the potential visible-light-derived vegetative indices to improve biomass prediction during the flowering period of buckwheat(Fagopyrum tataricum).Red,green,and blue(RGB)images of buckwheat were acquired during peak flowering,using a DJI P4 multispectral Drone.From the analysis of those images,four vegetative indices were calculated.Aboveground fresh biomass was harvested and measured on 14 September 2024.The results showed negative correlations between the green-band based excess green(ExG),excess green minus excess red(ExGR),and green leaf index(GLI)indices and the fresh above-ground biomass of buckwheat,while the red band-based excess red(ExR)index showed an insignificant positive correlation at p<0.10.An investigation into greenband-based vegetation indices(VIs)for estimating fresh biomass revealed significant negative correlations during the experimental period.This unexpected inverse relationship is attributed to spectral interference from abundant white flowers during the flowering stage,where the high reflectance of white petals masked the green vegetation signal.Consequently,these green-band VIs demonstrated limited predictive power for biomass under such conditions,indicating that their utility is compromised when floral reflectance is dominant.Therefore,we suggest that further experiments are required to validate this relationship and improve the estimation of fresh above-ground biomass in white-flowered buckwheat plants.展开更多
BACKGROUND Some non-insulin-based insulin resistance(IR)indices have been found to be associated with metabolic syndrome(MetS);however,few cohort studies have compared the capacities of these indices for predicting in...BACKGROUND Some non-insulin-based insulin resistance(IR)indices have been found to be associated with metabolic syndrome(MetS);however,few cohort studies have compared the capacities of these indices for predicting incident MetS in young adults.AIM To investigate the associations of various non-insulin-based IR(NI-IR)indices with new-onset MetS in young military personnel.METHODS A total of 2890 armed forces personnel in Taiwan who were aged 18-39 years and did not have MetS at baseline were followed to monitor the incidence of new-onset MetS from 2014 to the end of 2020.Six NI-IR indices,including the metabolic score for IR(METS-IR),triglyceride(TG)-to-high-density lipoprotein cholesterol(HDL-C)ratio,TG glucose(TyG)index,Zhejiang University(ZJU)index,total cholesterol(TC)-to-HDL-C ratio,and alanine transaminase(ALT)-to-aspartate transaminase(AST)ratio,were defined according to specific criteria.Incident MetS was identified on the basis of each annual health examination using the International Diabetes Federation criteria.Multiple Cox regression analyses were conducted,adjusting for age,sex,waist circumference,smoking status,alcohol consumption status,and physical activity,to assess the associations of the NI-IR indices with incident MetS.The area under the receiver operating characteristic curve(AUROC)was used to compare the capacities of these NI-IR indices for predicting new-onset MetS.RESULTS During a median follow-up of 5.8 years,there were 673 patients with new-onset MetS(23%).All six of the NI-IR indices were significantly and positively associated with incident MetS.In the entire cohort,the greatest AUROC was found for the METS-IR[0.782;95%confidence interval(CI):0.762-0.801;all P values compared to the other NIIR indices<0.05],followed by the TG/HDL-C ratio(0.752;95%CI:0.731-0.772),ZJU index(0.743;95%CI:0.722-0.764),TyG index(0.734;95%CI:0.713-0.756),TC/HDL-C ratio(0.731;95%CI:0.709-0.752),and then the ALT/AST ratio(0.734;95%CI:0.713-0.756).CONCLUSION This study suggests that almost all the NI-IR indices are associated with the development of MetS in military young adults.The METS-IR is the strongest predictor of new-onset MetS before midlife.展开更多
BACKGROUND Globally,it’s estimated that at least 1 billion people have a near and/or distance vision impairment that could have been prevented or is yet to be addressed.The burden of unaddressed vision impairment and...BACKGROUND Globally,it’s estimated that at least 1 billion people have a near and/or distance vision impairment that could have been prevented or is yet to be addressed.The burden of unaddressed vision impairment and blindness is estimated to be four times higher in low and intermediate-resource settings than in high-income settings.[1]展开更多
BACKGROUND The primary complication associated with gestational diabetes mellitus(GDM)is delivery of an infant that is large for gestational age(LGA).Epidemiological findings have demonstrated that irregular lipid met...BACKGROUND The primary complication associated with gestational diabetes mellitus(GDM)is delivery of an infant that is large for gestational age(LGA).Epidemiological findings have demonstrated that irregular lipid metabolism significantly con-tributes to insulin resistance,a key pathophysiological mechanism in GDM.However,the correlation between various lipid indices and the probability of delivering LGA infants remains inconsistent.AIM To explore the relationships between lipid indices and the possibility of having LGA infants among GDM-affected pregnant females.METHODS Binary logistic regression methods were employed to evaluate the odds ratios and corresponding 95%confidence intervals for LGA according to five lipid indices.Restricted cubic spline models were applied to investigate dose-response relationships.The association between lipid indices and the risk of delivering LGA infants was further investigated among different subgroups.Receiver operating characteristic curves were utilized to assess the diagnostic performance of lipid indices.RESULTS Across crude and adjusted models,females with lipid indices in the upper two tertiles presented a markedly elevated risk of delivering LGA infants compared with the lowest tertile category.Conversely,high-density lipoprotein cholesterol levels demonstrated the contrary trend.Restricted cubic spline analyses revealed linear associations between the five lipid indices,except triglyceride levels,and the prevalence of LGA.The subgroup analysis highlighted that the correlation between lipid indices and the probability of LGA was inconsistent.The five lipid indices presented significant diagnostic efficacy,as indicated by receiver operating characteristic curve areas.CONCLUSION Our research demonstrated that lipid indices were effective predictors of the incidence of LGA infants in GDM-affected pregnancies irrespective of potential confounding factors.展开更多
In this editorial,we discuss the recent article by Regassa et al,published in the World Journal of Diabetes,which highlights the potential role of platelet indices(PI)in predicting poor glucoregulation in patients wit...In this editorial,we discuss the recent article by Regassa et al,published in the World Journal of Diabetes,which highlights the potential role of platelet indices(PI)in predicting poor glucoregulation in patients with type 2 diabetes mellitus(T2DM).Given the high morbidity and mortality associated with T2DM,there is a constant need to find new and accessible methods for predicting and treating individuals with this condition.The pathophysiology of T2DM involves systemic inflammation,metabolic dysfunction,and an increased risk of vascular injury,which are commonly associated with the development of microvascular and macrovascular complications,such as cardiovascular diseases and neuropathies.The link between these complications and T2DM requires further elucidation but may be explained by prolonged exposure to high glycemic levels and increased advanced glycation end products.PI might play an important role in determining whether some individuals are prone to poor glucoregulation.Recent evidence encourages the scientific efforts to demonstrate the consistency of this role and its applicability in monitoring glucoregulation,underscoring the importance of the study by Regassa et al.展开更多
The attenuation of the acoustic activity in marble specimens under uniaxial compressive loadingunloading loops is quantified in juxtaposition to that of the electric activity.In parallel,the existence of"pre-fail...The attenuation of the acoustic activity in marble specimens under uniaxial compressive loadingunloading loops is quantified in juxtaposition to that of the electric activity.In parallel,the existence of"pre-failure indiceso"warning about entrance into a critical stage,that of impending fracture,is explored.The acoustic activity is quantified in terms of the normalized number of acoustic hits,their average rate of production and their cumulative energy,and,the cumulative counts and their average rate of change.The electric activity is studied in terms of the pressure stimulated currents and the electric charge released.The analysis revealed that the acoustic and electric activities are linearly correlated to each other,suggesting that they are different manifestations of the same damage mechanisms.In addition,Kaiser's effect,governing the acoustic activity,is found to govern,also,the electric activity.Moreover,it is concluded that entrance into the critical stage is safely predicted by means of a simple criterion,based on the evolution of the average rate of change of the normalized cumulative counts in the natural time domain.These predictions are almost identical with those of the criterion based on the "varianceo" and the "entropies" of the time series of acoustic events in this domain.展开更多
This paper focuses on the procurement of construction projects in universities,conducting research on the influencing factors of procurement risks in such projects.By combining questionnaire surveys with expert interv...This paper focuses on the procurement of construction projects in universities,conducting research on the influencing factors of procurement risks in such projects.By combining questionnaire surveys with expert interviews,numerous factors affecting procurement are analyzed.Subsequently,these factors are refined and summarized to construct a procurement risk evaluation index system for construction projects,which includes three first-level indicators,such as process management risk and ethical/legal risk,and is further subdivided into 13 second-level indicators.展开更多
As the world grapples with increasing environmental challenges,innovative technologies are essential for promoting sustainability and accountability.This study examined the impact of environmental performance indices(...As the world grapples with increasing environmental challenges,innovative technologies are essential for promoting sustainability and accountability.This study examined the impact of environmental performance indices(EPIs)on the growth and investment trends of blockchain-based sustainability-focused companies in 15 countries(Belgium,Czechia,Denmark,Estonia,Finland,France,Germany,Italy,Norway,Poland,Sweden,Spain,Switzerland,the United Kingdom,and the United States)from Europe and America during 2010-2022.This study used the negative binomial regression model to assess the relationship between EPIs and blockchain-based sustainability-focused companies based on the data from the CrunchBase and EarthData.Results indicated that in ecosystem vitality,national terrestrial biome protection efforts were negatively correlated the formation of blockchain-based sustainability-focused companies,while global terrestrial biome protection efforts and marine protected areas had a positive impact on the formation of these companies and the number of funding rounds.In environmental health,PM2.5 exposure had a positive impact on the number of funding rounds.Conversely,pollutants such as sulfur dioxide(SO_(2))and ocean plastics deterred the formation of blockchain-based sustainability-focused companies and reduced the number of funding rounds.In climate change performance,adjusted emission growth rate for carbon dioxide(CO_(2)),adjusted emission growth rate for F-gases,and adjusted emission growth rate for black carbon had a significantly positive impact on the formation of blockchain-based sustainability-focused companies.Conversely,adjusted emission growth rate for Nitrous Oxide(N_(2)O)and projected greenhouse gas emissions in 2050 negatively affected the formation of these companies.These findings highlight the dual role of EPIs as driving factors and barriers in the development and investment of blockchain-based sustainability-focused companies in countries from Europe and America.展开更多
Objective: To analyze the effectiveness of blood test indicators in the differential diagnosis of anemia. Methods: Sixty patients diagnosed with anemia (disease group) from June 2021 to June 2024 were selected. Based ...Objective: To analyze the effectiveness of blood test indicators in the differential diagnosis of anemia. Methods: Sixty patients diagnosed with anemia (disease group) from June 2021 to June 2024 were selected. Based on the type of disease, the group was subdivided into iron deficiency anemia (IDA) with 31 cases, hemolytic anemia (HA) with 11 cases, and aplastic anemia (AA) with 18 cases. Based on the severity of the disease, the group was divided into mild anemia (30 cases), moderate anemia (19 cases), and severe anemia (11 cases). Sixty healthy individuals (control group) were also included, and all underwent blood tests. Comparisons were made between the red blood cell (RBC) indicators of the disease group and the control group, the blood test indicators of different types of anemia, and the serum iron levels of varying severity of anemia. Results: Except for red cell distribution width (RDW), the RBC indicators in the disease group were lower than those in the control group (P < 0.05). Comparisons of RBC indicators among different types of anemia showed significant differences (P < 0.05). Serum iron levels varied significantly among different degrees of anemia severity (P < 0.05). Conclusion: Blood tests can detect anemia, distinguish types of anemia, and assess anemia severity, offering high diagnostic value.展开更多
基金Supported by Grants of the Suzhou Medical Key Discipline,No.SZXK202109Suzhou Clinical Key Disease Project,No.LCZX202111Suzhou Promoting Health through Science and Education Research Project,No.KJXW2021028.
文摘BACKGROUND Nutritional and inflammatory indicators are crucial in assessing the nutritional health and immune function of patients with cancer,which are factors closely associated with the diagnosis and treatment of colorectal cancer(CRC).AIM To explore the relationship between nutritional and inflammatory indicators and microsatellite stability(MSS)status in CRC.METHODS The clinical data of 56 patients who underwent surgical treatment for CRC were collected.Furthermore,the expressions of nutritional(levels of serum albumin,triglycerides,serum cholesterol,and body mass index)and inflammatory response indicators(absolute neutrophil count,absolute lymphocyte count,absolute monocyte count,neutrophil-to-lymphocyte ratio,and lymphocyte-to-monocyte ratio)as well as their correlation with microsatellite instability(MSI)status were investigated in patients with CRC.RESULTS Compared to the patients with MSS tumors,those with MSI tumors demonstrated significantly lower levels of two nutritional indicators,namely serum albumin and body mass index(P<0.05).Moreover,patients in the MSI group demonstrated significantly lower absolute lymphocyte counts and higher neutrophil-to-lymphocyte ratio than those in the MSS group(P<0.05),indicating pronounced differences in inflammatory responses and immune states between the two groups.CONCLUSION Certain nutritional and inflammatory indicators exhibit significant differences among patients with MSI and MSS CRC,highlighting their potential role in the clinical treatment and health management of this specific population.
基金Scientific Research Fund of Institute of Engineering Mechanics,China Earthquake Administration under Grant No.2019B12National Natural Science Foundation of China Youth Fund under Grant No.51108433National Natural Science Foundation of China under Grant No.51778186。
文摘Damage indices are effective in quantifying structural seismic damage.Numerous response-based damage indices have been developed and validated through the hysteretic response of various experimental specimens.However,the accuracy of these indices for evaluating damage of RC columns is challenged by fluctuating axial load and irregular horizontal loading paths from 3-D earthquake excitations.This study introduces D_(iem),a material-based damage model for RC columns under random bidirectional loads and variable axial forces.Section damage indices of the plastic hinge are calculated by integrating the damage indices of concrete and steel fiber elements,considering their distance to the centroid axis.The P-Δeffect index is defined,and the component failure index is calculated using a combination of these indices.A hysteretic simulation and D_(iem)damage analysis program for cantilever RC columns is developed using Fortran.Three RC columns tested under bidirectional hysteretic loading are simulated to calibrate the program.Parameter analysis of 1,638 RC columns is conducted to verify D_(iem)’s applicability.The results demonstrated that D_(iem)’s failure assessment aligns with the 80%residual criterion.D_(iem)analysis of a real seismic damaged RC column shows satisfactory agreement with post-earthquake damage assessment and illustrates significant damage differences between columns with and without axial load fluctuation.
文摘Succinylcholine(SC)is a widely used depolarizing muscle relaxant,but improper use can lead to arrhythmias and,in severe cases,pose a life-threatening risk.Additionally,some criminals exploit SC for illicit activities.Therefore,rapid SC detection is paramount for clinical practice and public safety.Currently,however,limited methods are available for the rapid detection of SC.A fluorescent indicator displacement assay sensor based on molecular recognition of an amide naphthotube was developed.This sensor enabled the rapid fluorescent detection of SC through competitive binding between SC and methylene blue with the amide naphthotube.The sensor exhibited exceptional sensitivity with a detection limit as low as 1.1μmol/L and a detection range of 1.1~60μmol/L,coupled with outstanding selectivity and robust stability.Furthermore,this sensor accurately determined SC levels in biological samples such as serum.In summary,this research provides a new solution for the rapid and accurate sensing of SC in complex matrices and offers new insights for the swift identification and detection of toxins.
文摘In order to accurately forecast the main engine fuel consumption and reduce the Energy Efficiency Operational Indicator(EEOI)of merchant ships in polar ice areas,the energy transfer relationship between ship-machine-propeller is studied by analyzing the complex force situation during ship navigation and building a MATLAB/Simulink simulation platform based on multi-environmental resistance,propeller efficiency,main engine power,fuel consumption,fuel consumption rate and EEOI calculation module.Considering the environmental factors of wind,wave and ice,the route is divided into sections,the calculation of main engine power,main engine fuel consumption and EEOI for each section is completed,and the speed design is optimized based on the simulation model for each section.Under the requirements of the voyage plan,the optimization results show that the energy efficiency operation index of the whole route is reduced by 3.114%and the fuel consumption is reduced by 9.17 t.
文摘Background: The irrational use of medicines remains a key health problem in many developing countries. The overuse of antibiotics is a key driver of antimicrobial resistance (AMR). This study surveyed antibiotic use and adherence to the World Health Organization (WHO) prescribing indicators at the Request Muntanga Hospital in the Kalomo District of Southern Province, Zambia. Materials and Methods: This cross-sectional study was conducted from July 2023 to September 2023 at Request Muntanga Hospital in Zambia and reviewed 600 medical record prescriptions which were issued from July 1, 2022 to June 30, 2023 using the WHO prescribing indicators. The collected data were analyzed using Statistical Package for Social Sciences version 23.0. Results: From the 600 prescriptions sampled, 1246 medicines were prescribed, with antibiotics making up 86.7% of the encounters. Additionally, the average number of drugs prescribed per encounter was 2.1 and the prevalence of polypharmacy was 61.3%. Further, 17.8% of medicines were prescribed as injectables. Furthermore, 76.7% of the drugs were prescribed from the Zambia Essential Medicines List and 38.9% by generic names. Conclusions: This study found a high use of antibiotics and deviations from the WHO/International Network of Rational Use of Drugs (INRUD) core prescribing indicators at the Request Muntanga Hospital indicating non-adherence to the prescribing indicators. There is a need to promote adherence to the WHO/INRUD core prescribing indicators to promote the rational use of antibiotics and prevent the emergence and spread of AMR.
文摘This study provides a systematic investigation into the influence of feature selection methods on cryptocurrency price forecasting models employing technical indicators.In this work,over 130 technical indicators—covering momentum,volatility,volume,and trend-related technical indicators—are subjected to three distinct feature selection approaches.Specifically,mutual information(MI),recursive feature elimination(RFE),and random forest importance(RFI).By extracting an optimal set of 20 predictors,the proposed framework aims to mitigate redundancy and overfitting while enhancing interpretability.These feature subsets are integrated into support vector regression(SVR),Huber regressors,and k-nearest neighbors(KNN)models to forecast the prices of three leading cryptocurrencies—Bitcoin(BTC/USDT),Ethereum(ETH/USDT),and Binance Coin(BNB/USDT)—across horizons ranging from 1 to 20 days.Model evaluation employs the coefficient of determination(R2)and the root mean squared logarithmic error(RMSLE),alongside a walk-forward validation scheme to approximate real-world trading contexts.Empirical results indicate that incorporating momentum and volatility measures substantially improves predictive accuracy,with particularly pronounced effects observed at longer forecast windows.Moreover,indicators related to volume and trend provide incremental benefits in select market conditions.Notably,an 80%–85% reduction in the original feature set frequently maintains or enhances model performance relative to the complete indicator set.These findings highlight the critical role of targeted feature selection in addressing high-dimensional financial data challenges while preserving model robustness.This research advances the field of cryptocurrency forecasting by offering a rigorous comparison of feature selection methods and their effects on multiple digital assets and prediction horizons.The outcomes highlight the importance of dimension-reduction strategies in developing more efficient and resilient forecasting algorithms.Future efforts should incorporate high-frequency data and explore alternative selection techniques to further refine predictive accuracy in this highly volatile domain.
文摘Morpho-physiological evaluation of a crop’s genetic resources is necessary to find possible genotypes to include in breeding initiatives.The objective of this study was to identify heat-tolerant wheat genotypes among 36 mutant lines using morpho-physiological indices.Seedlings of mutant lines and check varieties were grown under both normal(control)and heat-stress conditions in growth chambers.Data were recorded on root-shoot parameters(length,fresh weight,dry weight,and ratio),relative water content(RWC),stability of cell membrane,pigment content,and chlorophyll fluorescence.Two-way analysis of variance showed significant(p<0.01,p<0.001)variation among 15 morpho-physiological features in both growing conditions.Correlation studies showed that pigment-specific indices(total chl,chl a,chl b,carotenoid,Fv/Fm—chlorophyll fluorescence)had significant positive correlations with rootshoot fresh weight(RFW,SFW)and root-shoot dry weight(RDW,SDW),and negative association with relative water content,stability of cell membrane at both conditions.Hierarchical cluster analysis revealed three primary clusters where cluster III(18 genotypes)showed minimal changes in studied characters than cluster I(11 genotypes)and cluster II(13 genotypes).Results obtained from this study revealed that the identified heat-sensitive(30-2 SSH)and heat-tolerant genotypes(27-2(4),29-2(2),and 30-2 SSH)of wheat might provide useful breeding materials for enhancing wheat yield even more in this period of uncertain climate change.
基金co-supported by the National Key Research and Development Program of China(2022YFF0800800)the National Natural Science Foundation of China(41988101-01,42130205)the Second Tibetan Plateau Scientific Expedition and Research Program(2019QZKK0707)。
文摘The utilization of palynological data for plant diversity reconstructions offers notable advantages in addressing the discontinuity of plant fossils in the stratigraphic record. However, additional studies of modern processes are required to validate or refine the accuracy of diversity results obtained from palynological data. In this study, we used a modern pollen dataset of China to compare the accuracy of plant diversity reconstructions using five different palynological diversity indices(i.e., the pollen species number, Berger-Parker index, Simpson diversity index, Hill index, and Shannon-Wiener index) over a large spatial scale. We then identified climate factors that are most strongly correlated with these patterns of plant diversity. We found that the index that most accurately reflects plant diversity is the Shannon-Wiener index. Our analyses indicated that the most effective indices at reflecting plant diversity are the Shannon-Wiener index and Berger-Parker index. Numerical analysis revealed that palynological diversity(measured using the Shannon-Wiener index) was strongly correlated with climatic parameters, in particular average temperature in the coldest month and annual precipitation,suggesting these factors may be primary determinants of plant diversity distribution. We also found that a threshold value of the normalized Shannon-Wiener index(NH = 0.4) approximately aligns with the contour line specifying 400 mm annual precipitation, serving as a rudimentary indicator for assessing plant diversity in arid versus humid climates. This study suggests that pollen diversity indices have remarkable potential for quantitatively reconstructing paleoclimatic parameters.
文摘Platelet indices(PIs)including high mean platelet volume(MPV),plateletcrit(PLC),and platelet distribution width(PLDW)are associated with poor glycemic control.In addition,they can indicate prothrombotic and procoagulation risk among patients with diabetes.PI measurement is cheap,quick and fits healthcare system needs in remote outreaching areas in low-income countries.However,a broader insight into their clinical implications in diabetes is lacking.To achieve a wider understanding,we reviewed PubMed/MEDLINE,Google Scholar and Cochrane Library for relevant articles investigating the role of PIs in diabetes mellitus.No limitation to the publication date was applied,which included all articles published up to August 17,2024.The terms used were MPV,PLC,PLDW,platelet large cell ratio,glycated hemoglobin(HbA1c),PIs,platelet activity and diabetes mellitus.Out of the 790 articles retrieved,187 full texts were reviewed,and 44 were included.PIs,when measurements are done promptly and within 2 h,could be short-term pointers to glycemic control in the life span of the platelets(2 wk).PIs are easy to perform,cheap and useful in remote outreaching areas with limited facilities where measurement of HbA1c is not available or cost-effective.However,PIs are not specific and are affected by demographic factors,such as pregnancy,renal failure,medications,hemoglobin and duration of diabetes.PIs could be implemented with daily blood glucose to inform doctors in low-income countries about their patients'glycemic control and cardiovascular risk.An important application might be when blood glucose control is needed quickly(before elective surgery).
基金supported by grants from the National High Level Hospital Clinical Research Funding(2022-PUMCH-B-074)Peking Union Medical College Hospital Research Funding for Postdoc(kyfyjj202320).
文摘Objective Blood culture remains the gold standard for diagnosing bloodstream infections.Clinical laboratories must ensure the quality of blood culture processes from receipt to obtaining definitive results.We examined laboratory analytical indicators associated with positive blood culture results.Methods Blood cultures collected from Peking Union Medical College Hospital between January 1,2020,and December 31,2022,were retrospectively analyzed.The mode of transportation(piping logistics delivery vs.staff),source of blood cultures(outpatient/emergency department vs.inpatient department),rotation of personnel,and time of reception(8:00–19:59 vs.20:00–07:59)were compared between blood culture-positive and-negative results.Results Between 2020 and 2022,the total positive rate of blood culture was 8.07%.The positive rate of blood cultures in the outpatient/emergency department was significantly higher than that in the inpatient department(12.46%vs.5.83%;P<0.0001).The time-to-detection of blood cultures was significantly affected by the delivery mode and personnel rotation.The blood culture positive rate of the total pre-analytical time within 1 h was significantly higher than that within 1–2 h or>2 h(P<0.0170).Conclusion Laboratory analytical indicators such as patient source,transportation mode,and personnel rotation significantly impacted the positive detection rate or time of blood culture.
基金Supported by the Natural Science Foundation of Fujian Province,No.2023J01160Scientific Research Project of Putian University,No.2022059Special Project for Outstanding Young Talents of Putian University,No.2024072.
文摘Gastric cancer(GC),the fifth most common malignancy worldwide,poses a substantial challenge in clinical oncology,particularly in its advanced stages.Despite advancements in immunotherapy,patient prognosis remains poor,underscoring the need for reliable prognostic tools to refine treatment strategies.A study by Yao et al explores the role of the triglyceride-glucose(TyG)index as a prognostic marker for advanced GC patients receiving immunotherapy combined with chemotherapy.The results of the study demonstrate that the TyG index correlates with improved survival outcomes,including better progression-free survival and overall survival.This editorial critically evaluates the significance of these findings,discusses their implications for future research,and highlights innovative directions that could drive further breakthroughs in the application of the TyG index to cancer therapy.This editorial also highlights the potential of TyG in advancing precision oncology and advocates for global validation and mechanistic investigations to further solidify its clinical utility.Future research should focus on validating the TyG index across various malignancies,exploring its potential to influence immunotherapy through metabolic interventions,and developing multi-biomarker models that integrate TyG with immune and genomic profiles.
基金supported by the 2025 scientific promotion program funded by Jeju National University.
文摘Accurate and timely estimation of above-ground biomass is crucial for understanding crop growth dynamics,optimizing agricultural input management,and assessing productivity in sustainable farming practices.However,conventional biomass assessments are destructive and resource-intensive.In contrast,remote sensing techniques,particularly those utilizing low-altitude unmanned aerial vehicles,provide a non-destructive approach to collect imagery data on plant canopy features,including spectral reflectance and structural details at any stage of the crop life cycle.This study explores the potential visible-light-derived vegetative indices to improve biomass prediction during the flowering period of buckwheat(Fagopyrum tataricum).Red,green,and blue(RGB)images of buckwheat were acquired during peak flowering,using a DJI P4 multispectral Drone.From the analysis of those images,four vegetative indices were calculated.Aboveground fresh biomass was harvested and measured on 14 September 2024.The results showed negative correlations between the green-band based excess green(ExG),excess green minus excess red(ExGR),and green leaf index(GLI)indices and the fresh above-ground biomass of buckwheat,while the red band-based excess red(ExR)index showed an insignificant positive correlation at p<0.10.An investigation into greenband-based vegetation indices(VIs)for estimating fresh biomass revealed significant negative correlations during the experimental period.This unexpected inverse relationship is attributed to spectral interference from abundant white flowers during the flowering stage,where the high reflectance of white petals masked the green vegetation signal.Consequently,these green-band VIs demonstrated limited predictive power for biomass under such conditions,indicating that their utility is compromised when floral reflectance is dominant.Therefore,we suggest that further experiments are required to validate this relationship and improve the estimation of fresh above-ground biomass in white-flowered buckwheat plants.
基金Supported by Medical Affairs Bureau Ministry of National Defense,No.MND-MAB-D-114222Hualien Armed Forces General Hospital,No.HAFGH-D-114008.
文摘BACKGROUND Some non-insulin-based insulin resistance(IR)indices have been found to be associated with metabolic syndrome(MetS);however,few cohort studies have compared the capacities of these indices for predicting incident MetS in young adults.AIM To investigate the associations of various non-insulin-based IR(NI-IR)indices with new-onset MetS in young military personnel.METHODS A total of 2890 armed forces personnel in Taiwan who were aged 18-39 years and did not have MetS at baseline were followed to monitor the incidence of new-onset MetS from 2014 to the end of 2020.Six NI-IR indices,including the metabolic score for IR(METS-IR),triglyceride(TG)-to-high-density lipoprotein cholesterol(HDL-C)ratio,TG glucose(TyG)index,Zhejiang University(ZJU)index,total cholesterol(TC)-to-HDL-C ratio,and alanine transaminase(ALT)-to-aspartate transaminase(AST)ratio,were defined according to specific criteria.Incident MetS was identified on the basis of each annual health examination using the International Diabetes Federation criteria.Multiple Cox regression analyses were conducted,adjusting for age,sex,waist circumference,smoking status,alcohol consumption status,and physical activity,to assess the associations of the NI-IR indices with incident MetS.The area under the receiver operating characteristic curve(AUROC)was used to compare the capacities of these NI-IR indices for predicting new-onset MetS.RESULTS During a median follow-up of 5.8 years,there were 673 patients with new-onset MetS(23%).All six of the NI-IR indices were significantly and positively associated with incident MetS.In the entire cohort,the greatest AUROC was found for the METS-IR[0.782;95%confidence interval(CI):0.762-0.801;all P values compared to the other NIIR indices<0.05],followed by the TG/HDL-C ratio(0.752;95%CI:0.731-0.772),ZJU index(0.743;95%CI:0.722-0.764),TyG index(0.734;95%CI:0.713-0.756),TC/HDL-C ratio(0.731;95%CI:0.709-0.752),and then the ALT/AST ratio(0.734;95%CI:0.713-0.756).CONCLUSION This study suggests that almost all the NI-IR indices are associated with the development of MetS in military young adults.The METS-IR is the strongest predictor of new-onset MetS before midlife.
文摘BACKGROUND Globally,it’s estimated that at least 1 billion people have a near and/or distance vision impairment that could have been prevented or is yet to be addressed.The burden of unaddressed vision impairment and blindness is estimated to be four times higher in low and intermediate-resource settings than in high-income settings.[1]
基金Supported by Nanjing Medical Science and Technique Development Foundation,No.YKK23151the Opening Foundation of Key Laboratory,No.JSHD202313+3 种基金Yingke Xinchuang Research Foundation of Jiangsu Blood Transfusion Association,No.JSYK2024006the Jiangsu Province Capability Improvement Project through Science,Technology and Education,No.ZDXYS202210Open Project of the State Key Laboratory of Reproductive Medicine of Nanjing Medical University,No.SKLRM-K202107the Jiangsu Provincial Maternal and Child Health Research Program,No.F202040.
文摘BACKGROUND The primary complication associated with gestational diabetes mellitus(GDM)is delivery of an infant that is large for gestational age(LGA).Epidemiological findings have demonstrated that irregular lipid metabolism significantly con-tributes to insulin resistance,a key pathophysiological mechanism in GDM.However,the correlation between various lipid indices and the probability of delivering LGA infants remains inconsistent.AIM To explore the relationships between lipid indices and the possibility of having LGA infants among GDM-affected pregnant females.METHODS Binary logistic regression methods were employed to evaluate the odds ratios and corresponding 95%confidence intervals for LGA according to five lipid indices.Restricted cubic spline models were applied to investigate dose-response relationships.The association between lipid indices and the risk of delivering LGA infants was further investigated among different subgroups.Receiver operating characteristic curves were utilized to assess the diagnostic performance of lipid indices.RESULTS Across crude and adjusted models,females with lipid indices in the upper two tertiles presented a markedly elevated risk of delivering LGA infants compared with the lowest tertile category.Conversely,high-density lipoprotein cholesterol levels demonstrated the contrary trend.Restricted cubic spline analyses revealed linear associations between the five lipid indices,except triglyceride levels,and the prevalence of LGA.The subgroup analysis highlighted that the correlation between lipid indices and the probability of LGA was inconsistent.The five lipid indices presented significant diagnostic efficacy,as indicated by receiver operating characteristic curve areas.CONCLUSION Our research demonstrated that lipid indices were effective predictors of the incidence of LGA infants in GDM-affected pregnancies irrespective of potential confounding factors.
文摘In this editorial,we discuss the recent article by Regassa et al,published in the World Journal of Diabetes,which highlights the potential role of platelet indices(PI)in predicting poor glucoregulation in patients with type 2 diabetes mellitus(T2DM).Given the high morbidity and mortality associated with T2DM,there is a constant need to find new and accessible methods for predicting and treating individuals with this condition.The pathophysiology of T2DM involves systemic inflammation,metabolic dysfunction,and an increased risk of vascular injury,which are commonly associated with the development of microvascular and macrovascular complications,such as cardiovascular diseases and neuropathies.The link between these complications and T2DM requires further elucidation but may be explained by prolonged exposure to high glycemic levels and increased advanced glycation end products.PI might play an important role in determining whether some individuals are prone to poor glucoregulation.Recent evidence encourages the scientific efforts to demonstrate the consistency of this role and its applicability in monitoring glucoregulation,underscoring the importance of the study by Regassa et al.
文摘The attenuation of the acoustic activity in marble specimens under uniaxial compressive loadingunloading loops is quantified in juxtaposition to that of the electric activity.In parallel,the existence of"pre-failure indiceso"warning about entrance into a critical stage,that of impending fracture,is explored.The acoustic activity is quantified in terms of the normalized number of acoustic hits,their average rate of production and their cumulative energy,and,the cumulative counts and their average rate of change.The electric activity is studied in terms of the pressure stimulated currents and the electric charge released.The analysis revealed that the acoustic and electric activities are linearly correlated to each other,suggesting that they are different manifestations of the same damage mechanisms.In addition,Kaiser's effect,governing the acoustic activity,is found to govern,also,the electric activity.Moreover,it is concluded that entrance into the critical stage is safely predicted by means of a simple criterion,based on the evolution of the average rate of change of the normalized cumulative counts in the natural time domain.These predictions are almost identical with those of the criterion based on the "varianceo" and the "entropies" of the time series of acoustic events in this domain.
文摘This paper focuses on the procurement of construction projects in universities,conducting research on the influencing factors of procurement risks in such projects.By combining questionnaire surveys with expert interviews,numerous factors affecting procurement are analyzed.Subsequently,these factors are refined and summarized to construct a procurement risk evaluation index system for construction projects,which includes three first-level indicators,such as process management risk and ethical/legal risk,and is further subdivided into 13 second-level indicators.
文摘As the world grapples with increasing environmental challenges,innovative technologies are essential for promoting sustainability and accountability.This study examined the impact of environmental performance indices(EPIs)on the growth and investment trends of blockchain-based sustainability-focused companies in 15 countries(Belgium,Czechia,Denmark,Estonia,Finland,France,Germany,Italy,Norway,Poland,Sweden,Spain,Switzerland,the United Kingdom,and the United States)from Europe and America during 2010-2022.This study used the negative binomial regression model to assess the relationship between EPIs and blockchain-based sustainability-focused companies based on the data from the CrunchBase and EarthData.Results indicated that in ecosystem vitality,national terrestrial biome protection efforts were negatively correlated the formation of blockchain-based sustainability-focused companies,while global terrestrial biome protection efforts and marine protected areas had a positive impact on the formation of these companies and the number of funding rounds.In environmental health,PM2.5 exposure had a positive impact on the number of funding rounds.Conversely,pollutants such as sulfur dioxide(SO_(2))and ocean plastics deterred the formation of blockchain-based sustainability-focused companies and reduced the number of funding rounds.In climate change performance,adjusted emission growth rate for carbon dioxide(CO_(2)),adjusted emission growth rate for F-gases,and adjusted emission growth rate for black carbon had a significantly positive impact on the formation of blockchain-based sustainability-focused companies.Conversely,adjusted emission growth rate for Nitrous Oxide(N_(2)O)and projected greenhouse gas emissions in 2050 negatively affected the formation of these companies.These findings highlight the dual role of EPIs as driving factors and barriers in the development and investment of blockchain-based sustainability-focused companies in countries from Europe and America.
文摘Objective: To analyze the effectiveness of blood test indicators in the differential diagnosis of anemia. Methods: Sixty patients diagnosed with anemia (disease group) from June 2021 to June 2024 were selected. Based on the type of disease, the group was subdivided into iron deficiency anemia (IDA) with 31 cases, hemolytic anemia (HA) with 11 cases, and aplastic anemia (AA) with 18 cases. Based on the severity of the disease, the group was divided into mild anemia (30 cases), moderate anemia (19 cases), and severe anemia (11 cases). Sixty healthy individuals (control group) were also included, and all underwent blood tests. Comparisons were made between the red blood cell (RBC) indicators of the disease group and the control group, the blood test indicators of different types of anemia, and the serum iron levels of varying severity of anemia. Results: Except for red cell distribution width (RDW), the RBC indicators in the disease group were lower than those in the control group (P < 0.05). Comparisons of RBC indicators among different types of anemia showed significant differences (P < 0.05). Serum iron levels varied significantly among different degrees of anemia severity (P < 0.05). Conclusion: Blood tests can detect anemia, distinguish types of anemia, and assess anemia severity, offering high diagnostic value.
