Background and Objective The development of modern palliative care in China began in the 1980s and is currently in an accelerating phase.However,inconsistencies in terminology and concepts have hindered policy-making,...Background and Objective The development of modern palliative care in China began in the 1980s and is currently in an accelerating phase.However,inconsistencies in terminology and concepts have hindered policy-making,clinical practice,and academic research.The Terminology of Clinical Medicine(2023 edition)has determined huan-he-yi-liao(缓和医疗)and an-ning-liao-hu(安宁疗护)as the formal terms of"palliative care"and"hospice care",respectively.To align with these terms,this study aims to establish expert consensus definitions tailored to the Chinese context.Methods We systematically retrieved and collected domestic and international literature and policy documents related to the definition of palliative care,then deconstructed and analyzed the relevant conceptual elements of these definitions.Core expert panel built the initial recommended definition upon the conceptual elements and consensus definition of palliative care by the International Association for Hospice and Palliative Care(IAHPC)through two rounds of online discussions.After nomination and selection,61 professionals in the field of palliative care in China were invited to participate in the consensus expert group.Two rounds of Delphi consultation were conducted among the consensus experts,who were asked to score their agreement using Likert scale to the items in the initial recommended definition and the definition statements of palliative care and hospice care.Agreement rate of over 80%was considered as reaching consensus for each items.The core expert panel revised the items and the statements of recommended definitions based on the results from Delphi surveys.The final recommended definitions were formulated after feedback from patient and public involvement(PPI)group members.Results The response rates for the first and second round of Delphi surveys were 83.6%and 100.0%,respectively.The agreement rates of the items and statements of the recommended definitions exceeded 90%.Accordingly,the definitions based on Chinese expert consensus are recommended.Palliative care is an active holistic approach aimed at patients of all ages suffering from life-threatening illness and their families and caregivers.It seeks to improve their quality of life by preventing,assessing,and relieving physical,psychological,social,and spiritual suffering.Hospice care is an integral part of palliative care,focusing on holistic care for patients at the end of life and their families and caregivers.Its goal is to help patients to maintain dignity and achieve a good death by alleviating physical,psychological,social,and spiritual distress without intentionally hastening or postponing death,meanwhile improve the quality of life for families and caregivers.Conclusions This study has established the Chinese expert consensus definitions of palliative care and hospice care in China,as well as the relationship between the two.The definitions highlight the holistic nature of palliative care,providing a foundation for discipline development,clinical practice,and public communication.展开更多
Numerous clustering algorithms are valuable in pattern recognition in forest vegetation,with new ones continually being proposed.While some are well-known,others are underutilized in vegetation science.This study comp...Numerous clustering algorithms are valuable in pattern recognition in forest vegetation,with new ones continually being proposed.While some are well-known,others are underutilized in vegetation science.This study compares the performance of practical iterative reallocation algorithms with model-based clustering algorithms.The data is from forest vegetation in Virginia(United States),the Hyrcanian Forest(Asia),and European beech forests.Practical iterative reallocation algorithms were applied as non-hierarchical methods and Finite Gaussian mixture modeling was used as a model-based clustering method.Due to limitations on dimensionality in model-based clustering,principal coordinates analysis was employed to reduce the dataset’s dimensions.A log transformation was applied to achieve a normal distribution for the pseudo-species data before calculating the Bray-Curtis dissimilarity.The findings indicate that the reallocation of misclassified objects based on silhouette width(OPTSIL)with Flexible-β(-0.25)had the highest mean among the tested clustering algorithms with Silhouette width 1(REMOS1)with Flexible-β(-0.25)second.However,model-based clustering performed poorly.Based on these results,it is recommended using OPTSIL with Flexible-β(-0.25)and REMOS1 with Flexible-β(-0.25)for forest vegetation classification instead of model-based clustering particularly for heterogeneous datasets common in forest vegetation community data.展开更多
BACKGROUND Fever of unknown origin(FUO)remains a diagnostic challenge and was originally defined in 1961.Its classic criteria include fever≥38.3°C(≥101°F)on multiple occasions,fever lasting three weeks or ...BACKGROUND Fever of unknown origin(FUO)remains a diagnostic challenge and was originally defined in 1961.Its classic criteria include fever≥38.3°C(≥101°F)on multiple occasions,fever lasting three weeks or longer,and a diagnosis after one week of inpatient evaluation.However,these criteria may not fully encompass the varied clinical presentations seen in resource-limited settings such as India.The adaptation of FUO definitions to local healthcare contexts is crucial for enhancing diagnostic accuracy and optimizing patient outcomes.AIM To investigate the applicability of revised FUO criteria in a tertiary care setting in India.METHODS This longitudinal-exploratory study at All India Institute of Medical Sciences Rishikesh(January 2018–December 2022)analyzed 228 adult patients with fever≥99.1°F lasting over three days.Patients diagnosed within three days of admission were excluded.Data were collected retrospectively and prospectively using predefined FUO definitions based on durations of nondiagnosis(3-21 days,>21 days),temperature ranges(99.1°F-100.9°F,≥101°F),and hospitalization durations(3-7 days,>7 days).Descriptive statistics and comparative tests(Fisher's exact test,χ2 test)evaluated outcomes across definitions.RESULTS Among the proposed FUO definitions,Definition B(fever lasting 3-21 days,temperatures between 99.1°F-100.9°F,hospitalization>7 days)predominated(40.8%),while only 2.2%met the classical criteria.Notably,36.5%of Definition B patients remained undiagnosed after 7-10 days,despite 94%undergoing diagnostic workups within 21 days.Infection emerged as the leading etiology across definitions,without significant variation in outcomes or mortality during hospitalization(χ2=27.937,P=0.142).CONCLUSION Adapting FUO criteria to local contexts improves diagnostic accuracy and treatment.Definition B(40.8%prevalence)showed practical utility,with higher mortality in patients discharged on empirical'Anti-tuberculosis therapy'.展开更多
Unlike traditional propeller-driven underwater vehicles,blended-wing-body underwater gliders(BWBUGs)achieve zigzag gliding through periodic adjustments of their net buoyancy,enhancing their cruising capabilities while...Unlike traditional propeller-driven underwater vehicles,blended-wing-body underwater gliders(BWBUGs)achieve zigzag gliding through periodic adjustments of their net buoyancy,enhancing their cruising capabilities while mini-mizing energy consumption.However,enhancing gliding performance is challenging due to the complex system design and limited design experience.To address this challenge,this paper introduces a model-based,multidisciplinary system design optimization method for BWBUGs at the conceptual design stage.First,a model-based,multidisciplinary co-simulation design framework is established to evaluate both system-level and disciplinary indices of BWBUG performance.A data-driven,many-objective multidisciplinary optimization is subsequently employed to explore the design space,yielding 32 Pareto optimal solutions.Finally,a model-based physical system simulation,which represents the design with the largest hyper-volume contribution among the 32 final designs,is established.Its gliding perfor-mance,validated by component behavior,lays the groundwork for constructing the entire system’s digital prototype.In conclusion,this model-based,multidisciplinary design optimization method effectively generates design schemes for innovative underwater vehicles,facilitating the development of digital prototypes.展开更多
Accurate drought assessment demands thoughtful consideration of drought definition first of all.Drought is commonly defined as a prolonged period of below-average precipitation leading to water shortages that impact e...Accurate drought assessment demands thoughtful consideration of drought definition first of all.Drought is commonly defined as a prolonged period of below-average precipitation leading to water shortages that impact ecosystems,agriculture,and human societies.However,meteorologists,hydrologists,and agronomists often use different criteria to define drought,depending on their specific focus areas.For example,hydrologists define drought according to water deficits in some components of the hydrological cycle(such as precipitation,soil moisture,river flow,and groundwater)or its impacts on the level of services provided to public water supply,irrigation,or hydropower demands(Tate and Gustard,2000).Differences in drought definitions may result in great uncertainties in drought assessment(Satoh et al.,2021).We cannot expect the existence of any workable generalized objective definition of drought(Lloyd-Hughes,2014).展开更多
Remote sensing(RS)facilitates forest inventory across a wide range of variables required by the UNFCCC as well as by other agreements and processes.The Conventional model-based(CMB)estimator supports wall-to-wall RS d...Remote sensing(RS)facilitates forest inventory across a wide range of variables required by the UNFCCC as well as by other agreements and processes.The Conventional model-based(CMB)estimator supports wall-to-wall RS data,while Hybrid estimators support surveys where RS data are available as a sample.However,the connection between these two types of monitoring procedures has been unclear,hindering the reconciliation of wall-to-wall and non-wall-to-wall use of RS data in practical applications and thus potentially impeding cost-efficient deployment of high-end sensing instruments for large area monitoring.Consequently,our objectives are to(1)shed further light on the connections between different types of Hybrid estimators,and between CMB and Hybrid estimators,through mathematical analyses and Monte Carlo simulations;and(2)compare the effects and explore the tradeoffs related to the RS sampling design,coverage rate,and cluster size on estimation precision.Primary findings are threefold:(1)the CMB estimator represents a special case of Hybrid estimators,signifying that wallto-wall RS data is a particular instance of sample-based RS data;(2)the precision of estimators in forest inventory can be greater for stratified non-wall-to-wall RS data compared to wall-to-wall RS data;(3)otherwise costprohibitive sensing,such as LiDAR and UAV,can support large scale monitoring through collecting RS data as a sample.These conclusions may reconcile different perspectives regarding choice of RS instruments,data acquisition,and cost for continuous observations,particularly in the context of surveys aiming at providing data for mitigating climate change.展开更多
The present research work attempted to delineate and characterize the reservoir facies from the Dawson Canyon Formation in the Penobscot field,Scotian Basin.An integrated study of instantaneous frequency,P-impedance,v...The present research work attempted to delineate and characterize the reservoir facies from the Dawson Canyon Formation in the Penobscot field,Scotian Basin.An integrated study of instantaneous frequency,P-impedance,volume of clay and neutron-porosity attributes,and structural framework was done to unravel the Late Cretaceous depositional system and reservoir facies distribution patterns within the study area.Fault strikes were found in the EW and NEE-SWW directions indicating the dominant course of tectonic activities during the Late Cretaceous period in the region.P-impedance was estimated using model-based seismic inversion.Petrophysical properties such as the neutron porosity(NPHI)and volume of clay(VCL)were estimated using the multilayer perceptron neural network with high accuracy.Comparatively,a combination of low instantaneous frequency(15-30 Hz),moderate to high impedance(7000-9500 gm/cc*m/s),low neutron porosity(27%-40%)and low volume of clay(40%-60%),suggests fair-to-good sandstone development in the Dawson Canyon Formation.After calibration with the welllog data,it is found that further lowering in these attribute responses signifies the clean sandstone facies possibly containing hydrocarbons.The present study suggests that the shale lithofacies dominates the Late Cretaceous deposition(Dawson Canyon Formation)in the Penobscot field,Scotian Basin.Major faults and overlying shale facies provide structural and stratigraphic seals and act as a suitable hydrocarbon entrapment mechanism in the Dawson Canyon Formation's reservoirs.The present research advocates the integrated analysis of multi-attributes estimated using different methods to minimize the risk involved in hydrocarbon exploration.展开更多
The Global Stratotype Section and Point(GSSP)of the base-Wuchiapingian Stage was formally ratified at the Penglaitan section in South China in 2005.However,the riverside GSSP section at Penglaitan and its auxiliary se...The Global Stratotype Section and Point(GSSP)of the base-Wuchiapingian Stage was formally ratified at the Penglaitan section in South China in 2005.However,the riverside GSSP section at Penglaitan and its auxiliary section at Tieqiao have been permanently flooded since 2020.We herein designate an excavated section at Penglaitan as the new GSSP and the Fengshan section as a new Standard Auxiliary Boundary Stratotype(SABS).In addition,we revised the original definition based on a detailed restudy of the conodont succession from the two sections.We define the GSSP of the base-Wuchiapingian by the First Appearance Datum(FAD)of Clarkina postbitteri within the lineage Jinogondolella granti→Clarkina postbitteri→C.dukouensis.It represents a major evolutionary turnover in conodonts from Jinogondolella to Clarkina and marks the end-Guadalupian extinction event.The U-Pb date of 259.51±0.21 Ma from the uppermost part of the Emeishan basalt is adopted for the GLB age.δ13Ccarb chemostratigraphy at the SABS exhibits several excursions between 3‰and 5‰across the GLB interval.Carbonate 87Sr/86Sr ratio is 0.707244 at the GLB.Remarkably,the SABS contains six normal and six reverse geomagnetic polarity zones in the uppermost Capitanian and three in the lowest Wuchiapingian.展开更多
The challenge of transitioning from temporary humanitarian settlements to more sustainable human settlements is due to a significant increase in the number of forcibly displaced people over recent decades, difficultie...The challenge of transitioning from temporary humanitarian settlements to more sustainable human settlements is due to a significant increase in the number of forcibly displaced people over recent decades, difficulties in providing social services that meet the required standards, and the prolongation of emergencies. Despite this challenging context, short-term considerations continue to guide their planning and management rather than more integrated, longer-term perspectives, thus preventing viable, sustainable development. Over the years, the design of humanitarian settlements has not been adapted to local contexts and perspectives, nor to the dynamics of urbanization and population growth and data. In addition, the current approach to temporary settlement harms the environment and can strain limited resources. Inefficient land use and ad hoc development models have compounded difficulties and generated new challenges. As a result, living conditions in settlements have deteriorated over the last few decades and continue to pose new challenges. The stakes are such that major shortcomings have emerged along the way, leading to disruption, budget overruns in a context marked by a steady decline in funding. However, some attempts have been made to shift towards more sustainable approaches, but these have mainly focused on vague, sector-oriented themes, failing to consider systematic and integration views. This study is a contribution in addressing these shortcomings by designing a model-driving solution, emphasizing an integrated system conceptualized as a system of systems. This paper proposes a new methodology for designing an integrated and sustainable human settlement model, based on Model-Based Systems Engineering and a Systems Modeling Language to provide valuable insights toward sustainable solutions for displaced populations aligning with the United Nations 2030 agenda for sustainable development.展开更多
Background:The masseter vestibular evoked myogenic potential(mVEMP) is a novel test that has been explored in various brainstem lesions. However, it has not yet been studied in individuals with definite Meniere's ...Background:The masseter vestibular evoked myogenic potential(mVEMP) is a novel test that has been explored in various brainstem lesions. However, it has not yet been studied in individuals with definite Meniere's disease. Therefore, the current study aimed to investigate m VEMP responses in individuals with definite Meniere's disease and compare them with those of a reference group.Method:The present study investigated narrowband Claus Elberling chirp-evoked m VEMP responses in 22 ears diagnosed with definite Meniere's disease and 22 ears with hearing sensitivity ≤ 15 dB HL across three stimulation frequencies.Results:m VEMP responses in participants with definite Meniere's disease varied from normal to reduced or absent across three octave frequencies. These individuals exhibited significantly reduced P11-N21 peak-to-peak amplitudes compared to those in the reference group. Although a frequency tuning shift toward 1000 Hz was observed, the inter-frequency amplitude ratio of m VEMP was not found to be a sensitive parameter for detecting individuals with definite Meniere's disease. Additionally, no association was found between the degree of hearing loss or the duration of the disease and m VEMP responses. Conclusion: Participants with definite Meniere's disease exhibited reduced P11-N21 amplitude and a tuning shift toward 1000 Hz. These findings suggest the involvement of the vestibulo-trigeminal reflex pathway in this condition.展开更多
The purpose of the research in the NJIKI’s fundamental THEOREM-DEFINITION on fractions in the mathematical set ℚand by extension in ℝand ℂand in order to construct some algebraic structures is about the proved EXISTE...The purpose of the research in the NJIKI’s fundamental THEOREM-DEFINITION on fractions in the mathematical set ℚand by extension in ℝand ℂand in order to construct some algebraic structures is about the proved EXISTENCE and the DEFINITION by NJIKI of two INNOVATIVE, IMPORTANT and TEACHABLE operations of addition or additive operations, in ℚ, marked ⊕and +α,β, and taken as VECTORIAL, TRIANGULAR, of THREE or PROPORTIONAL operations and in order to make THEM not be different from the RATIONAL ONE, +, but to bring much more and new information on fractions, and, by extension in ℝand ℂ. And the very NJIKI’s fundamental THEOREM-DEFINITION having many APPLICATIONS in the everyday life of the HUMAN BEINGS and without talking about computer sciences, henceforth being supplied with very interesting new ALGORITHMS. And as for the work done in the research, it will be waiting for its extension to be done after publication and along with the research results concerned.展开更多
This paper puts forword 11 cartographic generalization operator models and introduces their mathematical definitions,and thus a precise mathematical form and quantitative description has been given to these formerly l...This paper puts forword 11 cartographic generalization operator models and introduces their mathematical definitions,and thus a precise mathematical form and quantitative description has been given to these formerly limited qualitative concepts.The meaning of mathematical definition of operators for cartographic generalization and the application prospect in computer_aided cartography (CAC) is stated.ract The Jurassic strata in Jingyan of Sichuan containing the Mamenchinsaurus fauna are dealt with and divided in this paper. The Mamenchisaurus fossils contained there are compared in morphological features and stratigraphically with other types of the genus on by one. The comprehensive analysis show that the Mamenchisaurus fauna of Jingyan appeared in the early Late Jurassic and is primitive in morphology. The results of the morphological identification and stratigraphical study agree with each other. Their evolutionary processes in different apoches of the Late Jurassic also made clear. Key words Jingyan, Sichuan, Mamenchisaurus Fauna, stratigraphy, evolution展开更多
The adaptability of features definition to applications is an essential condition for implementing feature based design. This paper makes attempt to present a hierarchical definition structure of features. The propos...The adaptability of features definition to applications is an essential condition for implementing feature based design. This paper makes attempt to present a hierarchical definition structure of features. The proposed scheme divides feature definition into application level, form level and geometric level, and provides links between different levels with feature semantics interpretation and enhanced geometric face adjacent graph. respectively. The results not only enable feature definition to abate from the specific dependence and become more extensive, but also provide a theoretical foundation for establishing the concurrent feature based design process model.展开更多
Benefiting from advances in feature technology for design and manufacture can not be expected before a formal methodology is established. This paper makes attempt to establish a definition formalism of machining featu...Benefiting from advances in feature technology for design and manufacture can not be expected before a formal methodology is established. This paper makes attempt to establish a definition formalism of machining features in design for manufacturability from two aspects: formal definition and manufacturability analysis. Some definitions for machining feature based upon the selection and sequencing of material removal operations for component in accordance with the design geometry are presented and a framework of feature based design for manufacturability is outlined correspondingly. The proposed scheme contributes to several aspects of feature based CAD/CAM integration, especially to encourage potentially a more generic approach to the automation of design.展开更多
A tablet consisting of direct-acting antiviral agents,ledipasvir（a NS5 A protein inhibitor） and sofosbuvir（a NS5 B polymerase inhibitor）,is the first fixed-dose preparation used in the antiviral therapy of hepatit...A tablet consisting of direct-acting antiviral agents,ledipasvir（a NS5 A protein inhibitor） and sofosbuvir（a NS5 B polymerase inhibitor）,is the first fixed-dose preparation used in the antiviral therapy of hepatitis C.A model-based meta-analysis of ledipasvir and GS331007,the primary metabolite of sofosbuvir,enabled the integration of pharmacokinetic（PK） information from separate clinical trials and the quantitative characterization of the population pharmacokinetics of these two drugs.A systematic publication search was conducted for the clinical studies of ledipasvir and sofosbuvir.A total of 401 arm-level aggregate concentrations of GS331007 and 188 concentrations of ledipasvir were used for PK modeling.A two-compartment disposition model was used for both ledipasvir and GS331007.Zero-order absorption was applied for ledipasvir PK modeling,and a combined zero- and first-order absorption was used for the modeling of GS331007.Absorption lag was observed in concentration-time profiles of both ledipasvir and GS331007.To aid the development of direct-acting antiviral drugs,our established PK models provided a basis for the further PK-viral kinetic studies of ledipasvir and sofosbuvir.展开更多
文摘Background and Objective The development of modern palliative care in China began in the 1980s and is currently in an accelerating phase.However,inconsistencies in terminology and concepts have hindered policy-making,clinical practice,and academic research.The Terminology of Clinical Medicine(2023 edition)has determined huan-he-yi-liao(缓和医疗)and an-ning-liao-hu(安宁疗护)as the formal terms of"palliative care"and"hospice care",respectively.To align with these terms,this study aims to establish expert consensus definitions tailored to the Chinese context.Methods We systematically retrieved and collected domestic and international literature and policy documents related to the definition of palliative care,then deconstructed and analyzed the relevant conceptual elements of these definitions.Core expert panel built the initial recommended definition upon the conceptual elements and consensus definition of palliative care by the International Association for Hospice and Palliative Care(IAHPC)through two rounds of online discussions.After nomination and selection,61 professionals in the field of palliative care in China were invited to participate in the consensus expert group.Two rounds of Delphi consultation were conducted among the consensus experts,who were asked to score their agreement using Likert scale to the items in the initial recommended definition and the definition statements of palliative care and hospice care.Agreement rate of over 80%was considered as reaching consensus for each items.The core expert panel revised the items and the statements of recommended definitions based on the results from Delphi surveys.The final recommended definitions were formulated after feedback from patient and public involvement(PPI)group members.Results The response rates for the first and second round of Delphi surveys were 83.6%and 100.0%,respectively.The agreement rates of the items and statements of the recommended definitions exceeded 90%.Accordingly,the definitions based on Chinese expert consensus are recommended.Palliative care is an active holistic approach aimed at patients of all ages suffering from life-threatening illness and their families and caregivers.It seeks to improve their quality of life by preventing,assessing,and relieving physical,psychological,social,and spiritual suffering.Hospice care is an integral part of palliative care,focusing on holistic care for patients at the end of life and their families and caregivers.Its goal is to help patients to maintain dignity and achieve a good death by alleviating physical,psychological,social,and spiritual distress without intentionally hastening or postponing death,meanwhile improve the quality of life for families and caregivers.Conclusions This study has established the Chinese expert consensus definitions of palliative care and hospice care in China,as well as the relationship between the two.The definitions highlight the holistic nature of palliative care,providing a foundation for discipline development,clinical practice,and public communication.
基金financially supported by the vice chancellor for research and technology of Urmia University
文摘Numerous clustering algorithms are valuable in pattern recognition in forest vegetation,with new ones continually being proposed.While some are well-known,others are underutilized in vegetation science.This study compares the performance of practical iterative reallocation algorithms with model-based clustering algorithms.The data is from forest vegetation in Virginia(United States),the Hyrcanian Forest(Asia),and European beech forests.Practical iterative reallocation algorithms were applied as non-hierarchical methods and Finite Gaussian mixture modeling was used as a model-based clustering method.Due to limitations on dimensionality in model-based clustering,principal coordinates analysis was employed to reduce the dataset’s dimensions.A log transformation was applied to achieve a normal distribution for the pseudo-species data before calculating the Bray-Curtis dissimilarity.The findings indicate that the reallocation of misclassified objects based on silhouette width(OPTSIL)with Flexible-β(-0.25)had the highest mean among the tested clustering algorithms with Silhouette width 1(REMOS1)with Flexible-β(-0.25)second.However,model-based clustering performed poorly.Based on these results,it is recommended using OPTSIL with Flexible-β(-0.25)and REMOS1 with Flexible-β(-0.25)for forest vegetation classification instead of model-based clustering particularly for heterogeneous datasets common in forest vegetation community data.
文摘BACKGROUND Fever of unknown origin(FUO)remains a diagnostic challenge and was originally defined in 1961.Its classic criteria include fever≥38.3°C(≥101°F)on multiple occasions,fever lasting three weeks or longer,and a diagnosis after one week of inpatient evaluation.However,these criteria may not fully encompass the varied clinical presentations seen in resource-limited settings such as India.The adaptation of FUO definitions to local healthcare contexts is crucial for enhancing diagnostic accuracy and optimizing patient outcomes.AIM To investigate the applicability of revised FUO criteria in a tertiary care setting in India.METHODS This longitudinal-exploratory study at All India Institute of Medical Sciences Rishikesh(January 2018–December 2022)analyzed 228 adult patients with fever≥99.1°F lasting over three days.Patients diagnosed within three days of admission were excluded.Data were collected retrospectively and prospectively using predefined FUO definitions based on durations of nondiagnosis(3-21 days,>21 days),temperature ranges(99.1°F-100.9°F,≥101°F),and hospitalization durations(3-7 days,>7 days).Descriptive statistics and comparative tests(Fisher's exact test,χ2 test)evaluated outcomes across definitions.RESULTS Among the proposed FUO definitions,Definition B(fever lasting 3-21 days,temperatures between 99.1°F-100.9°F,hospitalization>7 days)predominated(40.8%),while only 2.2%met the classical criteria.Notably,36.5%of Definition B patients remained undiagnosed after 7-10 days,despite 94%undergoing diagnostic workups within 21 days.Infection emerged as the leading etiology across definitions,without significant variation in outcomes or mortality during hospitalization(χ2=27.937,P=0.142).CONCLUSION Adapting FUO criteria to local contexts improves diagnostic accuracy and treatment.Definition B(40.8%prevalence)showed practical utility,with higher mortality in patients discharged on empirical'Anti-tuberculosis therapy'.
基金supported by the Postdoctoral Fellowship Program of CPSF(Grant No.GZC20242194)the National Natural Science Foundation of China(Grant Nos.52175251 and 52205268)+1 种基金the Industry Key Technology Research Fund Project of Northwestern Polytechnical University(Grant No.HYGJXM202318)the National Basic Scientific Research Program(Grant No.JCKY2021206B005).
文摘Unlike traditional propeller-driven underwater vehicles,blended-wing-body underwater gliders(BWBUGs)achieve zigzag gliding through periodic adjustments of their net buoyancy,enhancing their cruising capabilities while mini-mizing energy consumption.However,enhancing gliding performance is challenging due to the complex system design and limited design experience.To address this challenge,this paper introduces a model-based,multidisciplinary system design optimization method for BWBUGs at the conceptual design stage.First,a model-based,multidisciplinary co-simulation design framework is established to evaluate both system-level and disciplinary indices of BWBUG performance.A data-driven,many-objective multidisciplinary optimization is subsequently employed to explore the design space,yielding 32 Pareto optimal solutions.Finally,a model-based physical system simulation,which represents the design with the largest hyper-volume contribution among the 32 final designs,is established.Its gliding perfor-mance,validated by component behavior,lays the groundwork for constructing the entire system’s digital prototype.In conclusion,this model-based,multidisciplinary design optimization method effectively generates design schemes for innovative underwater vehicles,facilitating the development of digital prototypes.
基金supported by the National Natural Science Foundation of China(Grant No.42471027).
文摘Accurate drought assessment demands thoughtful consideration of drought definition first of all.Drought is commonly defined as a prolonged period of below-average precipitation leading to water shortages that impact ecosystems,agriculture,and human societies.However,meteorologists,hydrologists,and agronomists often use different criteria to define drought,depending on their specific focus areas.For example,hydrologists define drought according to water deficits in some components of the hydrological cycle(such as precipitation,soil moisture,river flow,and groundwater)or its impacts on the level of services provided to public water supply,irrigation,or hydropower demands(Tate and Gustard,2000).Differences in drought definitions may result in great uncertainties in drought assessment(Satoh et al.,2021).We cannot expect the existence of any workable generalized objective definition of drought(Lloyd-Hughes,2014).
基金supported by the National Social Science Fund of China(No.22BTJ005)the Key Project of National Key Research and Development Plan(No.2023YFF1304002-05)+1 种基金supported by the National Natural Science Foundation of China(No.32001252)the International Center for Bamboo and Rattan(Nos.1632022024,1632020029,1632021024).
文摘Remote sensing(RS)facilitates forest inventory across a wide range of variables required by the UNFCCC as well as by other agreements and processes.The Conventional model-based(CMB)estimator supports wall-to-wall RS data,while Hybrid estimators support surveys where RS data are available as a sample.However,the connection between these two types of monitoring procedures has been unclear,hindering the reconciliation of wall-to-wall and non-wall-to-wall use of RS data in practical applications and thus potentially impeding cost-efficient deployment of high-end sensing instruments for large area monitoring.Consequently,our objectives are to(1)shed further light on the connections between different types of Hybrid estimators,and between CMB and Hybrid estimators,through mathematical analyses and Monte Carlo simulations;and(2)compare the effects and explore the tradeoffs related to the RS sampling design,coverage rate,and cluster size on estimation precision.Primary findings are threefold:(1)the CMB estimator represents a special case of Hybrid estimators,signifying that wallto-wall RS data is a particular instance of sample-based RS data;(2)the precision of estimators in forest inventory can be greater for stratified non-wall-to-wall RS data compared to wall-to-wall RS data;(3)otherwise costprohibitive sensing,such as LiDAR and UAV,can support large scale monitoring through collecting RS data as a sample.These conclusions may reconcile different perspectives regarding choice of RS instruments,data acquisition,and cost for continuous observations,particularly in the context of surveys aiming at providing data for mitigating climate change.
文摘The present research work attempted to delineate and characterize the reservoir facies from the Dawson Canyon Formation in the Penobscot field,Scotian Basin.An integrated study of instantaneous frequency,P-impedance,volume of clay and neutron-porosity attributes,and structural framework was done to unravel the Late Cretaceous depositional system and reservoir facies distribution patterns within the study area.Fault strikes were found in the EW and NEE-SWW directions indicating the dominant course of tectonic activities during the Late Cretaceous period in the region.P-impedance was estimated using model-based seismic inversion.Petrophysical properties such as the neutron porosity(NPHI)and volume of clay(VCL)were estimated using the multilayer perceptron neural network with high accuracy.Comparatively,a combination of low instantaneous frequency(15-30 Hz),moderate to high impedance(7000-9500 gm/cc*m/s),low neutron porosity(27%-40%)and low volume of clay(40%-60%),suggests fair-to-good sandstone development in the Dawson Canyon Formation.After calibration with the welllog data,it is found that further lowering in these attribute responses signifies the clean sandstone facies possibly containing hydrocarbons.The present study suggests that the shale lithofacies dominates the Late Cretaceous deposition(Dawson Canyon Formation)in the Penobscot field,Scotian Basin.Major faults and overlying shale facies provide structural and stratigraphic seals and act as a suitable hydrocarbon entrapment mechanism in the Dawson Canyon Formation's reservoirs.The present research advocates the integrated analysis of multi-attributes estimated using different methods to minimize the risk involved in hydrocarbon exploration.
基金supported by the National Natural Science Foundation of China(42293280,42272031,42250104,42261144668)Strategic Priority Research Program(B)of the Chinese Academy of Sciences(XDB26000000).
文摘The Global Stratotype Section and Point(GSSP)of the base-Wuchiapingian Stage was formally ratified at the Penglaitan section in South China in 2005.However,the riverside GSSP section at Penglaitan and its auxiliary section at Tieqiao have been permanently flooded since 2020.We herein designate an excavated section at Penglaitan as the new GSSP and the Fengshan section as a new Standard Auxiliary Boundary Stratotype(SABS).In addition,we revised the original definition based on a detailed restudy of the conodont succession from the two sections.We define the GSSP of the base-Wuchiapingian by the First Appearance Datum(FAD)of Clarkina postbitteri within the lineage Jinogondolella granti→Clarkina postbitteri→C.dukouensis.It represents a major evolutionary turnover in conodonts from Jinogondolella to Clarkina and marks the end-Guadalupian extinction event.The U-Pb date of 259.51±0.21 Ma from the uppermost part of the Emeishan basalt is adopted for the GLB age.δ13Ccarb chemostratigraphy at the SABS exhibits several excursions between 3‰and 5‰across the GLB interval.Carbonate 87Sr/86Sr ratio is 0.707244 at the GLB.Remarkably,the SABS contains six normal and six reverse geomagnetic polarity zones in the uppermost Capitanian and three in the lowest Wuchiapingian.
文摘The challenge of transitioning from temporary humanitarian settlements to more sustainable human settlements is due to a significant increase in the number of forcibly displaced people over recent decades, difficulties in providing social services that meet the required standards, and the prolongation of emergencies. Despite this challenging context, short-term considerations continue to guide their planning and management rather than more integrated, longer-term perspectives, thus preventing viable, sustainable development. Over the years, the design of humanitarian settlements has not been adapted to local contexts and perspectives, nor to the dynamics of urbanization and population growth and data. In addition, the current approach to temporary settlement harms the environment and can strain limited resources. Inefficient land use and ad hoc development models have compounded difficulties and generated new challenges. As a result, living conditions in settlements have deteriorated over the last few decades and continue to pose new challenges. The stakes are such that major shortcomings have emerged along the way, leading to disruption, budget overruns in a context marked by a steady decline in funding. However, some attempts have been made to shift towards more sustainable approaches, but these have mainly focused on vague, sector-oriented themes, failing to consider systematic and integration views. This study is a contribution in addressing these shortcomings by designing a model-driving solution, emphasizing an integrated system conceptualized as a system of systems. This paper proposes a new methodology for designing an integrated and sustainable human settlement model, based on Model-Based Systems Engineering and a Systems Modeling Language to provide valuable insights toward sustainable solutions for displaced populations aligning with the United Nations 2030 agenda for sustainable development.
文摘Background:The masseter vestibular evoked myogenic potential(mVEMP) is a novel test that has been explored in various brainstem lesions. However, it has not yet been studied in individuals with definite Meniere's disease. Therefore, the current study aimed to investigate m VEMP responses in individuals with definite Meniere's disease and compare them with those of a reference group.Method:The present study investigated narrowband Claus Elberling chirp-evoked m VEMP responses in 22 ears diagnosed with definite Meniere's disease and 22 ears with hearing sensitivity ≤ 15 dB HL across three stimulation frequencies.Results:m VEMP responses in participants with definite Meniere's disease varied from normal to reduced or absent across three octave frequencies. These individuals exhibited significantly reduced P11-N21 peak-to-peak amplitudes compared to those in the reference group. Although a frequency tuning shift toward 1000 Hz was observed, the inter-frequency amplitude ratio of m VEMP was not found to be a sensitive parameter for detecting individuals with definite Meniere's disease. Additionally, no association was found between the degree of hearing loss or the duration of the disease and m VEMP responses. Conclusion: Participants with definite Meniere's disease exhibited reduced P11-N21 amplitude and a tuning shift toward 1000 Hz. These findings suggest the involvement of the vestibulo-trigeminal reflex pathway in this condition.
文摘The purpose of the research in the NJIKI’s fundamental THEOREM-DEFINITION on fractions in the mathematical set ℚand by extension in ℝand ℂand in order to construct some algebraic structures is about the proved EXISTENCE and the DEFINITION by NJIKI of two INNOVATIVE, IMPORTANT and TEACHABLE operations of addition or additive operations, in ℚ, marked ⊕and +α,β, and taken as VECTORIAL, TRIANGULAR, of THREE or PROPORTIONAL operations and in order to make THEM not be different from the RATIONAL ONE, +, but to bring much more and new information on fractions, and, by extension in ℝand ℂ. And the very NJIKI’s fundamental THEOREM-DEFINITION having many APPLICATIONS in the everyday life of the HUMAN BEINGS and without talking about computer sciences, henceforth being supplied with very interesting new ALGORITHMS. And as for the work done in the research, it will be waiting for its extension to be done after publication and along with the research results concerned.
文摘This paper puts forword 11 cartographic generalization operator models and introduces their mathematical definitions,and thus a precise mathematical form and quantitative description has been given to these formerly limited qualitative concepts.The meaning of mathematical definition of operators for cartographic generalization and the application prospect in computer_aided cartography (CAC) is stated.ract The Jurassic strata in Jingyan of Sichuan containing the Mamenchinsaurus fauna are dealt with and divided in this paper. The Mamenchisaurus fossils contained there are compared in morphological features and stratigraphically with other types of the genus on by one. The comprehensive analysis show that the Mamenchisaurus fauna of Jingyan appeared in the early Late Jurassic and is primitive in morphology. The results of the morphological identification and stratigraphical study agree with each other. Their evolutionary processes in different apoches of the Late Jurassic also made clear. Key words Jingyan, Sichuan, Mamenchisaurus Fauna, stratigraphy, evolution
文摘The adaptability of features definition to applications is an essential condition for implementing feature based design. This paper makes attempt to present a hierarchical definition structure of features. The proposed scheme divides feature definition into application level, form level and geometric level, and provides links between different levels with feature semantics interpretation and enhanced geometric face adjacent graph. respectively. The results not only enable feature definition to abate from the specific dependence and become more extensive, but also provide a theoretical foundation for establishing the concurrent feature based design process model.
文摘Benefiting from advances in feature technology for design and manufacture can not be expected before a formal methodology is established. This paper makes attempt to establish a definition formalism of machining features in design for manufacturability from two aspects: formal definition and manufacturability analysis. Some definitions for machining feature based upon the selection and sequencing of material removal operations for component in accordance with the design geometry are presented and a framework of feature based design for manufacturability is outlined correspondingly. The proposed scheme contributes to several aspects of feature based CAD/CAM integration, especially to encourage potentially a more generic approach to the automation of design.
基金Janssen Research & DevelopmentChina，Pfizer Scholarship for Pharmacometrics during this project
文摘A tablet consisting of direct-acting antiviral agents,ledipasvir（a NS5 A protein inhibitor） and sofosbuvir（a NS5 B polymerase inhibitor）,is the first fixed-dose preparation used in the antiviral therapy of hepatitis C.A model-based meta-analysis of ledipasvir and GS331007,the primary metabolite of sofosbuvir,enabled the integration of pharmacokinetic（PK） information from separate clinical trials and the quantitative characterization of the population pharmacokinetics of these two drugs.A systematic publication search was conducted for the clinical studies of ledipasvir and sofosbuvir.A total of 401 arm-level aggregate concentrations of GS331007 and 188 concentrations of ledipasvir were used for PK modeling.A two-compartment disposition model was used for both ledipasvir and GS331007.Zero-order absorption was applied for ledipasvir PK modeling,and a combined zero- and first-order absorption was used for the modeling of GS331007.Absorption lag was observed in concentration-time profiles of both ledipasvir and GS331007.To aid the development of direct-acting antiviral drugs,our established PK models provided a basis for the further PK-viral kinetic studies of ledipasvir and sofosbuvir.
