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Three Shifts That Will Redefine Health Systems
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作者 You Wu Haibo Wang Zongjiu Zhang 《Health Care Science》 2026年第1期1-3,共3页
Academic journals,consulting firms,and mainstream media have often published“predictions”about the future develop-ment of medical and health care.These publications often emphasize the potential of cutting-edge scie... Academic journals,consulting firms,and mainstream media have often published“predictions”about the future develop-ment of medical and health care.These publications often emphasize the potential of cutting-edge scientific or technical breakthroughs.Health Care Science looks at the problem from another perspective.We focus on how these changes enter the health system,how they operate in the real world,and how they reshape the organization and governance of medical services.At the beginning of 2026,we envision the following three major shifts that will reshape healthcare. 展开更多
关键词 academic journals health systems health care science mainstream media shifts cutting edge scientific technical breakthroughs consulting firms
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Predicting the impacts of climate change on the distribution of rare Meconopsis species in China:Habitat shifts and conservation implications
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作者 Siteng Jiang Renwu Wu +4 位作者 Min Wu Jiachen Liu Hai Yan Wenbin Nie Zhiyi Bao 《Ecological Frontiers》 2026年第1期82-107,共26页
As global climate change intensifies,alpine plants are facing dual pressures of habitat loss and rapid environmental degradation.As one of the world's most biodiverse countries,China's potential shifts in alpi... As global climate change intensifies,alpine plants are facing dual pressures of habitat loss and rapid environmental degradation.As one of the world's most biodiverse countries,China's potential shifts in alpine plant distribution and their profound impact on fragile ecosystems have become a focus of ecological research and conservation efforts,with increasing urgency.Meconopsis,a typical representative of Chinese alpine plants,exhibits diverse adaptability,making it an ideal model for studying how alpine species respond to extreme environmental changes.A lack of comprehensive genus-level analyses may hinder the development of long-term conservation and management strategies.Given the genus's ecological importance,vulnerability,and the risk of trait homogenization in genus-level modeling,there is an urgent need to assess its future distribution patterns,migration trends,and adaptive mechanisms based on habitat classification.In this study,we employed the Maxent model,integrating multidimensional environmental variables,to develop genus-level models and representative habitat-based models(forest,meadows,and periglacial).Results indicate a northwestward expansion and southeastward contraction of suitable habitats under future climate scenarios,with migration patterns in latitude and elevation showing stage-specific characteristics.Key environmental factors varied across models but were mostly associated with seasonal growth traits and microhabitat conditions,highlighting both the universal ecological requirements and niche differentiation within Meconopsis.Based on these findings,we propose a dynamic conservation strategy framework informed by stage-specific responses and habitat differences.Future efforts should focus on incorporating alpine-specific environmental variables and optimizing specimen collection strategies to enhance model performance and support landscape planning and biodiversity conservation. 展开更多
关键词 Alpine plants Climate change Habitat shift Meconopsis Species distribution
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Towards a universal ansatz for heat-induced emission peak shifts:insights from M_(2)SiO_(4):Eu^(2+)(M=Sr,Ba,Ca)phosphors
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作者 Shijie Chen Zul Qarnain +4 位作者 Xiyue Cheng Zhian Li Guoliang Liu Zhuoling Jiang Shuiquan Deng 《Materials Futures》 2026年第2期194-208,共15页
Heat-induced emission peak shift(HIEPS),encompassing both redshift and blueshift,remains mechanistically unresolved in phosphor materials.Using state-of-the-art first-principles calculations of M_(2)SiO_(4):Eu^(2+)(M=... Heat-induced emission peak shift(HIEPS),encompassing both redshift and blueshift,remains mechanistically unresolved in phosphor materials.Using state-of-the-art first-principles calculations of M_(2)SiO_(4):Eu^(2+)(M=Sr,Ba,Ca),we reveal that conventional thermal expansion theory cannot adequately explain these phenomena.Instead,our frozen phonon analysis identifies local electron-phonon coupling as the dominant mechanism,where anisotropic thermal vibrations selectively distort the asymmetric Eu-5d potential well that arises from the dopant’s coordination environment.This distortion manifests through the temperature-sensitiveΔ_(f−d) parameter governing the 5d→4f transition energy,directly controlling spectral shifts.Our findings establish a universal framework for HIEPS in rare-earth phosphors and enable a Δ_(f−d)-guided strategy for designing thermally stable phosphors. 展开更多
关键词 electron-phonon coupling PHOSPHORS first-principles calculations frozen phonon heat-induced emission peak shift
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Chinese provincial-level new records for 96 resident bird species reveal poleward range shifts
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作者 Shengxi Chen Zhehao Chen +3 位作者 Hongtao Lin Haoting Duan Jiehua Yu Jiekun He 《Avian Research》 2025年第4期610-617,共8页
Anthropogenic climate change is altering species distributions globally.While species distributions are expected to shift to higher latitudes and elevations under global warming,empirical evidence on distribution shif... Anthropogenic climate change is altering species distributions globally.While species distributions are expected to shift to higher latitudes and elevations under global warming,empirical evidence on distribution shifts is mixed,and factors mediating the direction and magnitude of range shifts remain unclear.Using a dataset of 132new provincial records for 96 resident bird species from 2000 to 2023,we measured geographic distance,latitudinal shift,and temperature shift from each new record to the historical range for each species to test for poleward shifts.We assessed taxonomic variation in the magnitude of range shifts and used phylogenetic generalized linear mixed models to quantify relationships between species traits and the extent of range shifts.Our results revealed that new records occurred at a mean geographic distance of 420 km from historical ranges,with mean latitudinal shifts of+1.68°(poleward)and temperature shifts of-1.33℃(toward colder climates).The magnitude of geographic range shifts was strongly constrained by phylogenetic relatedness.Habitat breadth,habitat openness,and centroid latitude of historical ranges emerged as significant predictors of range shifts.Our results suggest that resident bird species'geographic ranges in China are shifting poleward,but the magnitude of these shifts is non-random across lineages.Species with broader habitat preferences and those from warmer climates are more likely to shift farther from their historical ranges and toward higher latitudes.This study emphasizes taxonomic variation in species range shifts and highlights the need for species-and site-specific conservation strategies under global warming. 展开更多
关键词 China Climate change Geographic distribution New records Phylogenetic analysis Range shifts
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Recent Vegetation Shifts on the Tibetan Plateau Exceed the Range of Variations Seen over Past Millennia in Pollen Record
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作者 Kai Yi Xianyong Cao 《Journal of Earth Science》 2025年第3期1348-1350,共3页
The Tibetan Plateau(TP),known as the“Third Pole of Earth”,and its ecosystem is quite sensitive to climate change(Yao et al.,2012;Qiu,2008).In recent decades,the main TP has experienced warming and humidification(alt... The Tibetan Plateau(TP),known as the“Third Pole of Earth”,and its ecosystem is quite sensitive to climate change(Yao et al.,2012;Qiu,2008).In recent decades,the main TP has experienced warming and humidification(although there has been a drying trend in the southern region),and researchers anticipate that this change will continue in the future(Jiang et al.,2023;Sun et al.,2020;Chen et al.,2015). 展开更多
关键词 ecosystem sensitivity warming humidification Tibetan Plateau warming climate change yao vegetation shifts climate change tibetan plateau tp known
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Precision calculation of^(4,6,8)He isotope shifts
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作者 Xiao-Qiu Qi Xing-Han Dong +4 位作者 Fang-Fei Wu Zong-Chao Yan Li-Yan Tang Zhen-Xiang Zhong Ting-Yun Shi 《Chinese Physics B》 2025年第11期162-168,共7页
Standard perturbation theory is employed to calculate the mass shifts of the 2^(1)S_(0)-^(3)S_(1)and 2^(3)S_(1)-2^(3)P_(J)transitions for^(4,6,8)He.High-precision results are obtained for the mass shifts in the isotop... Standard perturbation theory is employed to calculate the mass shifts of the 2^(1)S_(0)-^(3)S_(1)and 2^(3)S_(1)-2^(3)P_(J)transitions for^(4,6,8)He.High-precision results are obtained for the mass shifts in the isotope pairs 6He-4He and 8He-4He,with uncertainties below 1 part per million(ppm).Our analysis provides a complete set of isotope-shift results and systematically examines their sensitivity to nuclear charge-radius differences.Once experimental measurements reach a precision comparable to that of the calculated mass shifts,the squared differences of nuclear charge radii can be determined with an accuracy of approximately 0.4%-0.6%,representing an order-of-magnitude improvement over current values. 展开更多
关键词 isotope shifts nuclear charge radius atomic spectroscopy quantum electrodynamic
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Substituent Effects on 13C NMR and 1H NMR Chemical Shifts of CH=N in Multi-substituted Benzylideneanilines
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作者 曹朝暾 王琳艳 曹晨忠 《Chinese Journal of Chemical Physics》 SCIE CAS CSCD 2018年第1期45-51,I0001,共8页
Fifty-three samples of multi-substituted benzylideneanilines XArCH=NArYs (abbreviated XBAYs) were synthesized and their NMR spectra were determined. An extensional study of substituent effects on the 1H NMR chemical... Fifty-three samples of multi-substituted benzylideneanilines XArCH=NArYs (abbreviated XBAYs) were synthesized and their NMR spectra were determined. An extensional study of substituent effects on the 1H NMR chemical shifts (δH(CH=N)) and 13C NMR chemical shifts (δc(CH=N)) of the CH=N bridging group from di-substituted to multi-substituted XBAYs was made based on a total of 182 samples of XBAYs, together with the NMR data of other 129 samples of di-substituted XBAYs quoted from literatures. The results show thatthe substituent specific cross-interaction effect parameter (△(∑σ)2) plays an important role in quantifying the δc(CH=N) values of XBAYs, but it is negligible for quantifying the δH (CH=N) values; the other substituent parameters also present different influences on the δc (CH=N) and (δH (CH=N). On the whole, the contributions of X and Y to the δc (CH=N) of XBAYs are balanced, but the δH(CH=N) values of XBAYs mainly rely on the contributions of X. 展开更多
关键词 Multi-substituted benzylideneanilines Substituent effects 1H NMR chemicalshifts 13C NMR chemical shifts Substituent specific cross-interaction effect
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Isotope Shifts of Nitrogen around 800 nm 被引量:1
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作者 白皎 汪海玲 +1 位作者 倪雪 邓伦华 《Chinese Journal of Chemical Physics》 SCIE CAS CSCD 2016年第5期527-532,I0001,共7页
The Doppler-limited absorption spectra of ^14N and ^15N atoms were measured around 800 nm using concentration modulation spectroscopy to study their isotope shifts. The nitrogen atoms were generated by discharging mol... The Doppler-limited absorption spectra of ^14N and ^15N atoms were measured around 800 nm using concentration modulation spectroscopy to study their isotope shifts. The nitrogen atoms were generated by discharging molecular nitrogen buffered with helium in a homemade discharge tube. The isotope shifts of four multiplets (3s^4PJ→3p^4D^oJ, 3s^4PJ→3p^4P^oJ, 3s^2DJ→5s^2P^oJ, and 3p^2P^oJ→5s^2D^oJ) were measured and their J-dependent specific mass shifts were observed and discussed. 展开更多
关键词 Doppler-limited absorption spectra Isotope shifts Specific mass shifts J-dependence
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Isotope shifts due to the 1s^(2)2s^(2)S_(1/2)→1s^(2)2p^(2)P_(1/2,3/2)transitions of Li-like Th^(87)+ions
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作者 Huqiang Lu Bingbing Li +8 位作者 Mingye Yang Lin Dong Yanmin Wang Maijuan Li Lei Wu Jiguang Li Jun Jiang Chenzhong Dong Denghong Zhang 《Chinese Physics B》 2025年第7期290-295,共6页
The transition energies of the 1s^(2)2s^(2)S_(1/2)→1s^(2)2p^(2)p_(1/2,3/2)transitions in Li-like Th87+ions were calculated by combining the multi-configuration Dirac-Hartree-Fock(MCDHF)method with the model-quantum e... The transition energies of the 1s^(2)2s^(2)S_(1/2)→1s^(2)2p^(2)p_(1/2,3/2)transitions in Li-like Th87+ions were calculated by combining the multi-configuration Dirac-Hartree-Fock(MCDHF)method with the model-quantum electrodynamics(modelQED)approach.The effects of electron correlation,Breit interaction,and QED effects were analyzed in detail.The isotope shifts,including the mass shifts and field shifts,due to the 2s2S_(1/2)→2p^(2)P_(1/2,3/2)transitions were then calculated using two different methods,namely,the MCDHF method and the finite-field method.The results show that these two methods are in excellent agreement. 展开更多
关键词 isotope shift MCDHF method finite-field method QED effect
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The Blue Pivot China’s marine economy shifts from quantity to quality
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作者 Wang Yan 《China Report ASEAN》 2025年第11期18-21,共4页
According to the 2024 China Marine Economy Statistical Bulletin(hereinafter“the Bulletin”),China’s marine economy surpassed the 10 trillion yuan(US$1.38 trillion)mark for the first time in 2024,0.9 percentage point... According to the 2024 China Marine Economy Statistical Bulletin(hereinafter“the Bulletin”),China’s marine economy surpassed the 10 trillion yuan(US$1.38 trillion)mark for the first time in 2024,0.9 percentage points higher than the growth rate of the national GDP. 展开更多
关键词 growth rate marine economy national GDP trillion yuan quality shift
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Frequency shifts of high-order harmonics from ZnO crystals by chirped laser pulses
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作者 Yu Zhao Xiao-Jin Liu +3 位作者 Shuang Wang Xiao-Xin Huo Yun-He Xing Jun Zhang 《Chinese Physics B》 2025年第3期340-346,共7页
We investigate theoretically the effects of chirped laser pulses on high-order harmonic generation(HHG)from solids.We find that the harmonic spectra display redshifts for the driving laser pulses with negative chirp a... We investigate theoretically the effects of chirped laser pulses on high-order harmonic generation(HHG)from solids.We find that the harmonic spectra display redshifts for the driving laser pulses with negative chirp and blueshifts for those with positive chirp,which is due to the change in the instantaneous frequency of the driving laser for different chirped pulses.The analysis of crystal-momentum-resolved(k-resolved)HHG reveals that the frequency shifts are equal for the harmonics generated by different crystal momentum channels.The frequency shifts in the cutoff region are larger than those in the plateau region.With the increase of the absolute value of the chirp parameters,the frequency shifts of HHG become more significant,leading to the shifts from odd-to even-order harmonics.We also demonstrate that the frequency shifts of harmonic spectra are related to the duration of the chirped laser field,but are insensitive to the laser intensity and dephasing time. 展开更多
关键词 high-order harmonic generation ZnO crystal chirped laser pulse spectral shift
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Giant-tunable bidirectional Goos–H?nchen shifts via phase change material-based metasurfaces with quasi-bound states in continuum
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作者 Jiaqing Liu Yue Zheng +7 位作者 Xiao Li Jingwen Li Guohao Zhang Daxing Dong Dongmei Liu Yuwen Jia Yangyang Fu Youwen Liu 《Chinese Physics B》 2025年第7期365-370,共6页
We propose a novel approach for investigating the tunable Goos–H?nchen(GH)shift via an all-dielectric metasurface that incorporates phase change materials(PCMs).By introducing material asymmetry through the reconfigu... We propose a novel approach for investigating the tunable Goos–H?nchen(GH)shift via an all-dielectric metasurface that incorporates phase change materials(PCMs).By introducing material asymmetry through the reconfigurable characteristic of PCMs while maintaining fixed geometric parameters,we can achieve tunable dual quasi-bound states in the continuum with ultrahigh quality factors(Q factors).Enabled by such tunable dual modes with significant phase changes,the PCM-based metasurface exhibits giant-tunable bidirectional GH shifts compared to conventional metasurfaces.Notably,the GH shift exhibits multidimensional tunability,including PCM-driven switching(amorphous to crystalline),incident-angle dependence(θ),and wavelength selectivity(λ).The maximum observed shift reaches approximately 104 wavelengths,accompanied by a corresponding Q factor of 107.Our work demonstrates its potential for applications in ultrahigh-precision multifunctional devices,from biosensing to reconfigurable nanophotonic switches. 展开更多
关键词 phase change materials Goos-H¨anchen shift quasi-bound states in the continuum tunable metasurfaces
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Spectral Characterization of Hyponormal Weighted Shifts
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作者 王公宝 《Chinese Quarterly Journal of Mathematics》 CSCD 2002年第2期65-70,共6页
The complete characterizations of the spectra and their various parts of hyponormal unilateral and bilateral weighted shifts are presented respectively in this paper. The results obtained here generalize the correspon... The complete characterizations of the spectra and their various parts of hyponormal unilateral and bilateral weighted shifts are presented respectively in this paper. The results obtained here generalize the corresponding work of the references. 展开更多
关键词 Hilbert space hyponormal operators weighted shifts SPECTRUM
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Theoretical Calculation on Isotope Shifts of N(I)
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作者 Yan Zhang Qing-ning Lin +2 位作者 Tao Yang Jian-ping Yin Hai-ling Wang 《Chinese Journal of Chemical Physics》 SCIE CAS CSCD 2020年第6期686-690,I0002,共6页
The special mass shift coefficient and field parameter factor of four multiples,3s^4P→3p4P°,3s^4P→3p^4D°,3s^2D→5p^2D°,and 3s^2P→3p^2P°,of ^14N and ^15N were studied using the multi-configuratio... The special mass shift coefficient and field parameter factor of four multiples,3s^4P→3p4P°,3s^4P→3p^4D°,3s^2D→5p^2D°,and 3s^2P→3p^2P°,of ^14N and ^15N were studied using the multi-configuration Dirac-Hartree-Fock method and the relativistic configuration interaction approach.The normal mass shifts,special mass shifts,field shifts,and isotope shifts of N(I)were derived from the theoretical calculated normal mass shift parameter,special mass shift parameter and field parameter factor,and compared with the reported experimental measurements and theoretical results. 展开更多
关键词 Multi-configuration Dirac-Hartree-Fock Relativistic configuration interaction Isotope shifts Specific mass shifts
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Holocene Abrupt Climate Shifts and Mid-Holocene Drought Intervals Recorded in Barkol Lake of Northern Xinjiang of China 被引量:3
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作者 XUE Jibin ZHONG Wei +1 位作者 ZHAO Yinjuan PENG Xiaoying 《Chinese Geographical Science》 SCIE CSCD 2008年第1期54-61,共8页
Study results in this paper have indicated that the Holocene climate in Xinjiang, Northwestem China has been alternating between wet and dry conditions, and was punctuated with a series of abrupt climate shifts. A sed... Study results in this paper have indicated that the Holocene climate in Xinjiang, Northwestem China has been alternating between wet and dry conditions, and was punctuated with a series of abrupt climate shifts. A sediment core taken from Barkol Lake in the northern Xinjiang of Northwest China was analyzed at 1 cm interval for grain-size distribution. Abrupt climate shifts revealed by the grain-size proxy occurred at ca 1.4, 3.0, 4.3, 5.6, 8.0 cal kyr B.E, which were well correlated to both the abrupt shifts recorded in the North Atlantic Ocean (NAO) and the Holocene sea surface temperature (SST) cooling events in the Arabian Ocean. The correlation indicated that the climatic changes in the extreme arid Northwest China were associated with the NAO, probably via the North Atlantic Oscillation-affected westerly winds. The strength and position of westerly winds probably modulated the Siberian-Mongolian high- pressure system (winter monsoon), and played an important role in climate change of Northwest China. Moreover, an evident drought interval during the middle Holocene was also revealed by grain-size proxy. 展开更多
关键词 abrupt climate shifts grain size HOLOCENE Barkol Lake Xinjiang
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ENTIRE FUNCTIONS SHARING ONE SMALL FUNCTION CM WITH THEIR SHIFTS AND DIFFERENCE OPERATORS 被引量:3
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作者 崔宁 陈宗煊 《Acta Mathematica Scientia》 SCIE CSCD 2017年第3期786-798,共13页
In this article, we mainly devote to proving uniqueness results for entire functionssharing one small function CM with their shift and difference operator simultaneously. Letf(z) be a nonconstant entire function of ... In this article, we mainly devote to proving uniqueness results for entire functionssharing one small function CM with their shift and difference operator simultaneously. Letf(z) be a nonconstant entire function of finite order, c be a nonzero finite complex constant, and n be a positive integer. If f(z), f(z+c), and △n cf(z) share 0 CM, then f(z+c)≡Af(z), where A(≠0) is a complex constant. Moreover, let a(z), b(z)( O) ∈ S(f) be periodic entire functions with period c and if f(z) - a(z), f(z + c) - a(z), △cn f(z) - b(z) share 0 CM, then f(z + c) ≡ f(z). 展开更多
关键词 Entire function shifts difference operators shared values
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Discrete Phase Shifts Control and Beam Selection in RIS-Aided MISO System via Deep Reinforcement Learning 被引量:3
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作者 Dongting Lin Yuan Liu 《China Communications》 SCIE CSCD 2023年第8期198-208,共11页
Reconfigurable intelligent surface(RIS)for wireless networks have drawn lots of attention in both academic and industry communities.RIS can dynamically control the phases of the reflection elements to send the signal ... Reconfigurable intelligent surface(RIS)for wireless networks have drawn lots of attention in both academic and industry communities.RIS can dynamically control the phases of the reflection elements to send the signal in the desired direction,thus it provides supplementary links for wireless networks.Most of prior works on RIS-aided wireless communication systems consider continuous phase shifts,but phase shifts of RIS are discrete in practical hardware.Thus we focus on the actual discrete phase shifts on RIS in this paper.Using the advanced deep reinforcement learning(DRL),we jointly optimize the transmit beamforming matrix from the discrete Fourier transform(DFT)codebook at the base station(BS)and the discrete phase shifts at the RIS to maximize the received signal-to-interference plus noise ratio(SINR).Unlike the traditional schemes usually using alternate optimization methods to solve the transmit beamforming and phase shifts,the DRL algorithm proposed in the paper can jointly design the transmit beamforming and phase shifts as the output of the DRL neural network.Numerical results indicate that the DRL proposed can dispose the complicated optimization problem with low computational complexity. 展开更多
关键词 reconfigurable intelligent surface discrete phase shifts transmit beamforming deep reinforcement learning
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Ontogenetic shifts in perceptions of safety along structural complexity gradients in a territorial damselfish 被引量:1
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作者 Yinny CHAN Sara LO +1 位作者 Alyssa QUAN Daniel T. BLUMSTEIN 《Current Zoology》 SCIE CAS CSCD 2019年第2期183-188,共6页
Age and body size can influence predation risk and hence habitat use. Many species undergo ontogenetic shifts in habitat use as individuals grow larger and have different age-specific predation pressures. On coral ree... Age and body size can influence predation risk and hence habitat use. Many species undergo ontogenetic shifts in habitat use as individuals grow larger and have different age-specific predation pressures. On coral reefs, a number of fish species are more tolerant of threats in structurally complex habitats that contain more refuges than in less structurally complex habitats. However, we do not know how risk perception varies with age, and whether age interacts with habitat complexity. Adults and juveniles, because of their size, may face different risks in structurally simple versus complex habitats. We used flight initiation distanee as a metric to analyze perceptions of risk in a species of damselfish Stegastes nigricans. All else being equal, fish fleeing at greater distances are inferred to perceive higher risk. We targeted juvenile and adult damselfish to assess whether there are ontogenetic shifts in perceptions of safety in relation to structural complexity, inferred based on percent coral cover and rugosity. We found that adult damselfish tolerated closer approach in more complex habitats as measured by percent coral cover, but not rugosity, whereas juvenile fish always allowed closer approach than adult fish regardless of complexity. This ontogenetic shift in habitat use may result from juvenile fish taking bigger risks to maximize growth, whereas older animals, who are closer to their maximum body size, can afford to take fewer risks and protect their assets. 展开更多
关键词 Stegastes nigricans HABITAT complexity risk assessment ONTOGENETIC shifts ANTIPREDATOR behavior flight initiation distanee
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Prediction of the ^(13)C NMR Chemical Shifts of Fluorenone Analogues by the GIAO Method 被引量:2
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作者 李玉鹏 谢惠定 +2 位作者 黄燕 郭蕴苹 章小丽 《Chinese Journal of Structural Chemistry》 SCIE CAS CSCD 2010年第5期682-685,共4页
After the geometry optimization at B3LYP/6-31+G(d,p) level,the NMR calcula-tions of a series of fluorenone analogues have been carried out by GIAO method at HF/6-31+G(d) level and B3LYP/6-311G+(2d,p) level,re... After the geometry optimization at B3LYP/6-31+G(d,p) level,the NMR calcula-tions of a series of fluorenone analogues have been carried out by GIAO method at HF/6-31+G(d) level and B3LYP/6-311G+(2d,p) level,respectively.The 13C NMR chemical shifts calculated at HF/6-31+G(d) level show better agreement with the observed values.By a series of linear correction equations (δpred=a + bδcalc),accurate prediction of 13C chemical shifts was achieved for the new fluorenone compound.The linear correlation of δpred with δexptl is excellent,and the square of correlation coefficient,r2,is up to 0.994.The maximum absolute difference between δpred and δexptl,Δδ,is 4.6 ppm,and the root-mean-square error between δpred and δexptl is only 2.6 ppm. 展开更多
关键词 fluorenone analogues 13C NMR chemical shifts PREDICTION
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Unveiling the challenges encountered by newly graduated nurses during night shifts:A descriptive qualitative study 被引量:1
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作者 Naomi Kisanuki Miyuki Takase Masako Yamamoto 《International Journal of Nursing Sciences》 CSCD 2024年第4期447-456,共10页
Objectives:Newly graduated nurses commence night shifts during a phase of heightened vulnerability to reality shock,exacerbating the challenges faced by these graduates.Therefore,this study aimed to identify the chall... Objectives:Newly graduated nurses commence night shifts during a phase of heightened vulnerability to reality shock,exacerbating the challenges faced by these graduates.Therefore,this study aimed to identify the challenges experienced by newly graduated nurses when undertaking night shifts in order to help identify a strategy for supporting their adaptation to these shifts.Methods:Semi-structured personal interviews were used to collect data.Fifteen newly graduated nurses were selected to participate in the study by purposive sampling method from November 2021 to March 2022 in one of four general hospitals situated in the southwestern region of Japan.Semi-structured interviews were analyzed by using thematic analysis.Results:The analysis revealedfive central themes and nine subthemes:challenges in task efficiency(task organization challenges,challenges in time-constrained task performance),challenges in responding to patients’changing conditions(challenges in responding to patients’irregular conditions,challenges in responding to nighttime changes in patients’behaviors),challenges in independent practice(challenges in engaging in independent nursing practice,challenges in dealing with unexpected events),challenges in establishing collaborative relationships(challenges in working closely with other staff,challenges in establishing collaborative relationships during night shifts with limited resources),challenges in adapting to shift work(challenges in managing physical conditions for shift work).Conclusions:Newly graduated nurses often encounter challenges in performing their tasks during the transition period.When working night shifts,they face additional hurdles unique to nocturnal duties.Thefindings underscore the necessity for these graduates to develop night shift-specific readiness to effectively navigate the demands inherent in such work schedules. 展开更多
关键词 CHALLENGE Newly graduated nurses Patient care management Qualitative research Shift work schedule Night shifts
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