The cooperation of multiple Unmanned Aerial Vehicles(UAVs) has become a promising scenario in Space-Air-Ground Integrated Networks(SAGINs) recently due to their widespread applications,where wireless communication is ...The cooperation of multiple Unmanned Aerial Vehicles(UAVs) has become a promising scenario in Space-Air-Ground Integrated Networks(SAGINs) recently due to their widespread applications,where wireless communication is a basic necessity and is normally categorized into control and nonpayload communication(CNPC) as well as payload communication. In this paper, we attempt to tackle two challenges of UAV communication respectively on establishing reliable CNPC links against the high mobility of UAVs as well as changeable communication conditions, and on offering dynamic resource optimization for Quality-of-Service(QoS) guaranteed payload communication with variable link connectivity. Firstly, we propose the concept of air controlling center(ACC), a virtual application equipped on the infrastructure in SAGINs, which can collect global information for estimating UAV trajectory and communication channels. We then introduce the knapsack problem for modelling resource optimization of UAV communication in order to provide optimal access points for both CNPC and payload communication. Meanwhile, using the air controlling information, predictive decision algorithm and handover strategy are introduced for the reliable connection with multiple access points. Simulation results demonstrate that our proposal ensures an approximate always-on reliable accessing of communication links and outperforms the existing methods against high mobility,sparse distribution, and physical obstacles.展开更多
MORPAS is a special GIS (geographic information system) software system, based on the MAPGIS platform whose aim is to prospect and evaluate mineral resources quantificationally by synthesizing geological, geophysical,...MORPAS is a special GIS (geographic information system) software system, based on the MAPGIS platform whose aim is to prospect and evaluate mineral resources quantificationally by synthesizing geological, geophysical, geochemical and remote sensing data. It overlays geological database management, geological background and geological abnormality analysis, image processing of remote sensing and comprehensive abnormality analysis, etc.. It puts forward an integrative solution for the application of GIS in basic-level units and the construction of information engineering in the geological field. As the popularization of computer networks and the request of data sharing, it is necessary to extend its functions in data management so that all its data files can be accessed in the network server. This paper utilizes some MAPGIS functions for the second development and ADO (access data object) technique to access multi-source geological data in SQL Server databases. Then remote visiting and congruous management will be realized in the MORPAS system.展开更多
Alzheimer＇s disease（AD）：AD,a neurodegenerative disorder and a significant cause of dementia throughout the world mostly affects the older adults but sometimes also seen in young age（early state AD）（Agrawal et a...Alzheimer＇s disease（AD）：AD,a neurodegenerative disorder and a significant cause of dementia throughout the world mostly affects the older adults but sometimes also seen in young age（early state AD）（Agrawal et al.,2017）.展开更多
Objective: Effective confirmation of pregnancy is a basic component of reproductive health services. It is a determinant for accessing antenatal care (ANC) if the pregnancy is wanted and abortion services if the pregn...Objective: Effective confirmation of pregnancy is a basic component of reproductive health services. It is a determinant for accessing antenatal care (ANC) if the pregnancy is wanted and abortion services if the pregnancy is unwanted. This study examined the effect of urine pregnancy testing in the timing of presentation for pregnancy care. Method: A cross-sectional study was conducted among 320 women presenting for antenatal care and 300 women presenting for abortion at private sector clinics in Western Nigeria. Results: The median age at first presentation was 20 weeks for ANC clients and 8 weeks for abortion clients. Obtaining urine pregnancy test of one’s accord was associated with a decrease in the gestational age at presentation of 3.7 weeks and 1.5 weeks for antenatal and abortion clients, respectively, independent of all other factors. Conclusion: Bearing in mind that the clinical benefit and public health impact of early presentation for antenatal and abortion services are unequivocal, strategies aimed at decreasing gestational age at presentation for pregnancy care should be given priority. “Fast-track” urine pregnancy testing services should be promoted in the private and public clinics in Nigeria.展开更多
To describe the characteristics of callers accessing the first national smoking quitline in China's Mainland. The national quitline provides residents in China's Mainland with free telephone smoking cessation ...To describe the characteristics of callers accessing the first national smoking quitline in China's Mainland. The national quitline provides residents in China's Mainland with free telephone smoking cessation services. Of 8260 callers from December 1, 2009 to May 31, 2012, the study included 1049 callers to the non-automated service who gave basic information during the call. Of the 1049 live-access callers.展开更多
Purpose: Malaria continues to be a public health threat, especially in sub-Saharan Africa, including Uganda. While Batwa Indigenous People (IPs) face a higher burden of malaria, there is limited understanding of their...Purpose: Malaria continues to be a public health threat, especially in sub-Saharan Africa, including Uganda. While Batwa Indigenous People (IPs) face a higher burden of malaria, there is limited understanding of their malaria-lived experiences. We assessed and characterized malaria illness and accessing healthcare lived experiences of the Batwa in Kanungu district to inform contextually and culturally appropriate public health interventions. Methods: An exploratory qualitative study was conducted in 5 Batwa settlements where 5 Focus Group Discussions (n = 36) and 13 Key Informant Interviews (n = 13) were held. Data were collected using printed guides and voice recorders in April 2018. Transcripts from the data that captured the lived experiences of the symptoms, prevention, treatment and barriers to accessing formal healthcare services were applied to Atlas.ti a qualitative data analysis software and condensed into codes, categories, and themes. Results: Many Batwa have experienced malaria in their households, and they know its causes and risk factors, like not sleeping under insecticide-treated mosquito nets (ITNs), living near water bodies, prevention measures like the use of ITNs, and vector management. The lived experiences demonstrate malaria management by an Indigenous population in a rural setting and comprised detecting malaria symptoms, use of herbs as first line of treatment, buying medicines from drug shops, and village health teams (VHTs) treatment. For many Batwa accessing formal healthcare is normally a second option. Barriers for malaria treatment included: long distances to health facilities, geographically difficult terrain, economic constraints, irregular health outreaches, and stockouts of malaria medicines at health facilities. Conclusion: This study characterized Batwa’s malaria illness lived experiences and access to healthcare in rural remote settings. These experiences are essential in appreciating the ways in which Indigenous populations understand and manage common illnesses and how appropriate policies and interventions can be developed.展开更多
This report presents the results of a study on Reproductive Health done in North Kivu in September 2009. It was conducted by HEAL Africa, in partnership with the Provisional Division of Health, and financed by the Uni...This report presents the results of a study on Reproductive Health done in North Kivu in September 2009. It was conducted by HEAL Africa, in partnership with the Provisional Division of Health, and financed by the University of Ottawa, Canada/CRDI with technical assistance from Western Cape University of South Africa. The study was conducted in the health zones of Birambizo and Kayna within the framework of the central office. The focus of the report is on one aspect of Reproductive Health—Low Risk Maternity. This study was conducted in rural areas given that Reproductive Health indicators are much weaker when compared with urban areas, according to EDS RDC, 2007 [1]. This study emphasizes the following points: General characteristics of the participants in the study, and the utilization and accessibility of maternity services in rural areas in conflict situations. The formula SPSS 12.0.1 was used to facilitate data analysis in the study. This study comes at a point in time when its relevance to HEAL Africa’s work will assist HEAL and its partners in determining the focus of interventions done in health zones in order to improve maternal and neonatal health. HEAL Africa firstly stepped into a Safe Motherhood pilot project in June 2006 for 9 months in the Masisi zone, then in 2007 in the Birambizo and Kayna health zones. In November 2007, HEAL expanded into Walikale and in October 2008, into Kirotshe, Binza, and Lubero. The intervention kit consists of reinforcing the capacity of existing health facilities, training traditional midwives who serve as a link between the community and the health structures, the provision of sanitary equipment, medical essentials and community mobilization was done through local leaders about health and reproduction, and organizing women of reproductive age in solidarity groups (SG) to generate maternity insurance. The community approach “Solidarity Groups for Maternity Insurance” constitutes the spine of HEAL Africa within the support it provides in Reproductive Health. The principal idea is to educate and train communities on how to use the MMR services that are available in their community, and to remove financial barriers to accessing health services. The 4 pillars that comprise the Safe Motherhood program are: family planning, prenatal care, safe assisted delivery and essential obstetric care. These four strategic measures are integral in assuring primary health care and equality for women. This study evaluates this approach, keeping in mind local strategies and their effects on improving the utilization and accessibility of reproductive health services.展开更多
Background: Unsafe abortions are one of the leading causes of maternal mortality, especially in developing countries. In Cameroon, the maternal mortality rate remains high, and the scarcity of data on abortions leads ...Background: Unsafe abortions are one of the leading causes of maternal mortality, especially in developing countries. In Cameroon, the maternal mortality rate remains high, and the scarcity of data on abortions leads to a lack of solid evidence to advocate on the extent of the abortions related complications. Our objective was to evaluate the unsafe abortions related complications, and to assess the difficulties of accessing safe abortions in our setting. Methods: We carried out a meta-analytic and systematic review in the biomedical databases MEDLINE (Pubmed), Google Scholar and African Journal Online concerning unsafe abortions and/or difficulties in accessing safe abortions in Cameroon. The keywords used for the search are seen in table I. Selection of studies was simultaneously done by two authors. Data were extracted through a form designed on Google Form. We used a random-effect model for proportion estimation, and The I<sup>2</sup> and Q statistics to assess the extent of heterogeneity. Results: A total of 430 studies were identified, from which 28 were included and analysed. About 5% (95% CI: 3 - 7) of unsafe abortions leads to death. The contribution of unsafe abortions in maternal deaths was 23% (95% CI: 20 - 27). The rate of severe bleeding and/or anemia were 40% (95% CI: 18 - 63) and the rate of infection was 17% (95% CI: 7 - 28), dominated by pelvic infections, pelviperitonitis, severe sepsis, and septic shock. Case reports described uterine perforations, uterine rupture during the following pregnancy. Abortion was performed in the practitioner’s or patient’s home in 41.4% of cases, in a health center in 35.1% of cases, in a private clinic in 21.2% of cases, drugs selling places and in traditional healer clinics. The restriction of abortion laws, the stigma surrounding abortion and its consequences at any level of the society, lead to the underreporting of unsafe abortions and a deep reluctance to advocate for safe abortion services. Conclusion: The strengthening of awareness campaigns for provider behavior change communication, family planning, the de-stigmatization of abortions, the training of health personnel in post-abortion care, a multidisciplinary and multicentric action would contribute to the reduction in morbidity and mortality due to abortions.展开更多
Unsafe abortions constitute a public health problem. It is one of the causes of maternal mortality in the world and particularly in developing countries. Despite the progress made, maternal mortality remains high in C...Unsafe abortions constitute a public health problem. It is one of the causes of maternal mortality in the world and particularly in developing countries. Despite the progress made, maternal mortality remains high in Cameroon. The scarcity and disparity of data on abortions lead to a lack of strong evidence to advocate to decision-makers on the extent of the problems associated with abortions in Cameroon. Our objective is to estimate the rates of mortalities and complications related to unsafe abortions, as well as the difficulties of accessing safe abortions in Cameroon. We will carry out a systematic and meta-analytical review in the biomedical databases MEDLINE (Pubmed), Google Scholar and African Journal Online (AJOL) concerning unsafe abortions and/or difficulties in accessing safe abortions in Cameroon, without date or language restriction. Gray literature will be also consulted. Two authors will simultaneously select the studies and data extraction will be done using a Google Form. Proportions will be estimated on a random-effect model. The I<sup>2</sup> and Q statistics will be used to assess the extent of heterogeneity across the studies. The outcome of both the quantitative and qualitative parts of the study will be commented. Death and morbidity due to abortions can be prevented. A concerted multidisciplinary and multicentric action would be essential.展开更多
Agricultural Products Processing and Storage(ISSN 3059-4510,Owner:Hunan Academy of Agricultural Sciences,China.Production and hosting:Springer Nature)is an international,peer-reviewed open access journal with the aim ...Agricultural Products Processing and Storage(ISSN 3059-4510,Owner:Hunan Academy of Agricultural Sciences,China.Production and hosting:Springer Nature)is an international,peer-reviewed open access journal with the aim to offer a platform for the rapid dissemination of signifi cant,novel,and high-impact research in the fi elds of agricultural product processing science,technology,engineering,and nutrition.Additionally,supplemental issues are curated and published to facilitate in-depth discussions on special topics.展开更多
Journal of Future Foods(ISSN 2772-5669.Owner:Beijing Academy of Food Sciences.Production and Hosting:Elsevier B.V.on behalf of KeAi Communications Co.,Ltd.)is an international,peer-reviewed open access journal belongi...Journal of Future Foods(ISSN 2772-5669.Owner:Beijing Academy of Food Sciences.Production and Hosting:Elsevier B.V.on behalf of KeAi Communications Co.,Ltd.)is an international,peer-reviewed open access journal belonging to the discipline of food science and technology.The aim of the journal is to report latest research results of high-tech in food science.We welcome submissions that drive the field of food science towards whole food nutrition,intelligence and high technology.展开更多
GENERAL INFORMATION International Journal of Ophthalmology—IJO,published continuously since 2008,a global ophthalmological scientific publication and a peer-reviewed,open access periodical published in print and onli...GENERAL INFORMATION International Journal of Ophthalmology—IJO,published continuously since 2008,a global ophthalmological scientific publication and a peer-reviewed,open access periodical published in print and online monthly(ISSN:2222-3959 print,ISSN:2227-4898 online).IJO is sponsored by the Chinese Medical Association Xi’an Branch,China and obtains guidance.It is indexed in SCI,PubMed,PubMed Central,Chemical Abstract,Scopus,EMBASE etc.The latest JCR IF is 1.8,Five-year Impact Factor is 1.8,CiteScore in 2024 is 2.8.展开更多
Central nervous system(CNS) axons fail to regenerate following brain or spinal cord injury(SCI),which typically leads to permanent neurological deficits.Peripheral nervous system axons,howeve r,can regenerate followin...Central nervous system(CNS) axons fail to regenerate following brain or spinal cord injury(SCI),which typically leads to permanent neurological deficits.Peripheral nervous system axons,howeve r,can regenerate following injury.Understanding the mechanisms that underlie this difference is key to developing treatments for CNS neurological diseases and injuries characterized by axonal damage.To initiate repair after peripheral nerve injury,dorsal root ganglion(DRG) neurons mobilize a pro-regenerative gene expression program,which facilitates axon outgrowth.展开更多
The Internet of Everything(IoE)based cloud computing is one of the most prominent areas in the digital big data world.This approach allows efficient infrastructure to store and access big real-time data and smart IoE ...The Internet of Everything(IoE)based cloud computing is one of the most prominent areas in the digital big data world.This approach allows efficient infrastructure to store and access big real-time data and smart IoE services from the cloud.The IoE-based cloud computing services are located at remote locations without the control of the data owner.The data owners mostly depend on the untrusted Cloud Service Provider(CSP)and do not know the implemented security capabilities.The lack of knowledge about security capabilities and control over data raises several security issues.Deoxyribonucleic Acid(DNA)computing is a biological concept that can improve the security of IoE big data.The IoE big data security scheme consists of the Station-to-Station Key Agreement Protocol(StS KAP)and Feistel cipher algorithms.This paper proposed a DNA-based cryptographic scheme and access control model(DNACDS)to solve IoE big data security and access issues.The experimental results illustrated that DNACDS performs better than other DNA-based security schemes.The theoretical security analysis of the DNACDS shows better resistance capabilities.展开更多
Background Children with rare diseases experience challenges at home and school and frequently require multi-disciplinary healthcare.We aimed to determine health service utilization by Australian children with rare di...Background Children with rare diseases experience challenges at home and school and frequently require multi-disciplinary healthcare.We aimed to determine health service utilization by Australian children with rare diseases and barriers to access-ing healthcare.Methods Parents completed an online survey on health professional and emergency department(ED)presentations,hospi-talization,and barriers to accessing services.Potential barriers to service access included residential location(city,regional,remote)and child health-related functioning,determined using a validated,parent-completed measure-of-function tool.Results Parents of 462 children with over 240 rare diseases completed the survey.Compared with the general population,these children were more likely to be hospitalized[odds ratio(OR)=17.25,95%confidence interval(CI)=15.50-19.20]and present to the ED(OR=4.15,95%CI=3.68-4.68)or a family physician(OR=4.14,95%CI=3.72-4.60).Child functional impairment was nil/mild(31%),moderate(48%)or severe(22%).Compared to children with nil/mild impair-ment,those with severe impairment were more likely to be hospitalized(OR=13.39,95%CI=7.65-23.44)and present to the ED(OR=11.16,95%CI=6.46-19.27).Most children(75%)lived in major cities,but children from regional(OR=2.78,95%CI=1.72-4.55)and remote areas(OR=9.09,95%CI=3.03-25.00)experienced significantly more barriers to healthcare access than children from major cities.Barriers included distance to travel,out-of-pocket costs,and lack of specialist medical and other health services.Conclusions Children with rare diseases,especially those with severe functional impairment have an enormous impact on health services,and better integrated multidisciplinary services with patient-centered care are needed.Access must be improved for children living in rural and remote settings.展开更多
Different efforts have been undertaken to customizing a security and privacy concern in clouddata access. Therefore, the security measures are reliable and the data access was verified as themajor problem in the cloud...Different efforts have been undertaken to customizing a security and privacy concern in clouddata access. Therefore, the security measures are reliable and the data access was verified as themajor problem in the cloud environment. To overcome this problem, we proposed an efficientdata access control using optimized homomorphic encryption (HE). Because users outsourcetheir sensitive information to cloud providers, data security and access control is one of themost difficult ongoing cloud computing research projects. Existing solutions that rely on cryptographictechnologies to address these security issues result in significant complexity for bothdata and cloud service providers. The experimental results show that the key generation is 7.6%decreased by HE and 14.14% less than the proposed method. The encryption time is 11.34% lessthan the optimized HE and 23.28% decreased by ECC. The decryption time is 13.18% and 24.07%when compared with HE and ECC respectively.展开更多
Summary What is already known on this topic?The public was at elevated risk of mental health illnesses during the coronavirus disease 2019(COVID-19)pandemic,so accessibility to psychological knowledge and intervention...Summary What is already known on this topic?The public was at elevated risk of mental health illnesses during the coronavirus disease 2019(COVID-19)pandemic,so accessibility to psychological knowledge and interventions is vital to promptly respond to mental health crises.What is added by this report?During the pandemic period,40,724(71.9%)participants reportedly had access to psychological knowledge,and 36,546(64.5%)participants had accessed information on psychological interventions.Participants who were male,unmarried,living alone,divorced or widowed,or infected with COVID-19 were less likely to access psychological knowledge and intervention.展开更多
Thirty years of Internet development has opened doors to new jobs On April 20,1994,the Chinese Academy of Sciences Institute of High Energy Physics in Beijing achieved China's first fully functional connection to ...Thirty years of Internet development has opened doors to new jobs On April 20,1994,the Chinese Academy of Sciences Institute of High Energy Physics in Beijing achieved China's first fully functional connection to the Internet.This pilot network was designed to support education and scientific research,making China the 77th member country of the global Internet community.展开更多
基金supported by the the National Key Research and Development Program of China under No. 2019YFB1803200National Natural Science Foundation of China under Grants 61620106001。
文摘The cooperation of multiple Unmanned Aerial Vehicles(UAVs) has become a promising scenario in Space-Air-Ground Integrated Networks(SAGINs) recently due to their widespread applications,where wireless communication is a basic necessity and is normally categorized into control and nonpayload communication(CNPC) as well as payload communication. In this paper, we attempt to tackle two challenges of UAV communication respectively on establishing reliable CNPC links against the high mobility of UAVs as well as changeable communication conditions, and on offering dynamic resource optimization for Quality-of-Service(QoS) guaranteed payload communication with variable link connectivity. Firstly, we propose the concept of air controlling center(ACC), a virtual application equipped on the infrastructure in SAGINs, which can collect global information for estimating UAV trajectory and communication channels. We then introduce the knapsack problem for modelling resource optimization of UAV communication in order to provide optimal access points for both CNPC and payload communication. Meanwhile, using the air controlling information, predictive decision algorithm and handover strategy are introduced for the reliable connection with multiple access points. Simulation results demonstrate that our proposal ensures an approximate always-on reliable accessing of communication links and outperforms the existing methods against high mobility,sparse distribution, and physical obstacles.
文摘MORPAS is a special GIS (geographic information system) software system, based on the MAPGIS platform whose aim is to prospect and evaluate mineral resources quantificationally by synthesizing geological, geophysical, geochemical and remote sensing data. It overlays geological database management, geological background and geological abnormality analysis, image processing of remote sensing and comprehensive abnormality analysis, etc.. It puts forward an integrative solution for the application of GIS in basic-level units and the construction of information engineering in the geological field. As the popularization of computer networks and the request of data sharing, it is necessary to extend its functions in data management so that all its data files can be accessed in the network server. This paper utilizes some MAPGIS functions for the second development and ADO (access data object) technique to access multi-source geological data in SQL Server databases. Then remote visiting and congruous management will be realized in the MORPAS system.
文摘Alzheimer＇s disease（AD）：AD,a neurodegenerative disorder and a significant cause of dementia throughout the world mostly affects the older adults but sometimes also seen in young age（early state AD）（Agrawal et al.,2017）.
文摘Objective: Effective confirmation of pregnancy is a basic component of reproductive health services. It is a determinant for accessing antenatal care (ANC) if the pregnancy is wanted and abortion services if the pregnancy is unwanted. This study examined the effect of urine pregnancy testing in the timing of presentation for pregnancy care. Method: A cross-sectional study was conducted among 320 women presenting for antenatal care and 300 women presenting for abortion at private sector clinics in Western Nigeria. Results: The median age at first presentation was 20 weeks for ANC clients and 8 weeks for abortion clients. Obtaining urine pregnancy test of one’s accord was associated with a decrease in the gestational age at presentation of 3.7 weeks and 1.5 weeks for antenatal and abortion clients, respectively, independent of all other factors. Conclusion: Bearing in mind that the clinical benefit and public health impact of early presentation for antenatal and abortion services are unequivocal, strategies aimed at decreasing gestational age at presentation for pregnancy care should be given priority. “Fast-track” urine pregnancy testing services should be promoted in the private and public clinics in Nigeria.
基金Supported by Ministry of Health of the People’s Republic of China funded project on Clinical Cessation Interventions speaking tour, establishing and running National Quitline 4008885531developing the new version of clinical smoking cessation guideline (2009)+1 种基金WHO funded projects on Support for Building up Smoke free Health Care Facilities, the Dissemination and Application of Chinese Clinical Smoking Cessation Guidelines, CHN/10/TFI/001131Pilot Project on Capacity Building for Pediatricians and other Child Health Staff,CHN-11-TFI-002716
文摘To describe the characteristics of callers accessing the first national smoking quitline in China's Mainland. The national quitline provides residents in China's Mainland with free telephone smoking cessation services. Of 8260 callers from December 1, 2009 to May 31, 2012, the study included 1049 callers to the non-automated service who gave basic information during the call. Of the 1049 live-access callers.
文摘Purpose: Malaria continues to be a public health threat, especially in sub-Saharan Africa, including Uganda. While Batwa Indigenous People (IPs) face a higher burden of malaria, there is limited understanding of their malaria-lived experiences. We assessed and characterized malaria illness and accessing healthcare lived experiences of the Batwa in Kanungu district to inform contextually and culturally appropriate public health interventions. Methods: An exploratory qualitative study was conducted in 5 Batwa settlements where 5 Focus Group Discussions (n = 36) and 13 Key Informant Interviews (n = 13) were held. Data were collected using printed guides and voice recorders in April 2018. Transcripts from the data that captured the lived experiences of the symptoms, prevention, treatment and barriers to accessing formal healthcare services were applied to Atlas.ti a qualitative data analysis software and condensed into codes, categories, and themes. Results: Many Batwa have experienced malaria in their households, and they know its causes and risk factors, like not sleeping under insecticide-treated mosquito nets (ITNs), living near water bodies, prevention measures like the use of ITNs, and vector management. The lived experiences demonstrate malaria management by an Indigenous population in a rural setting and comprised detecting malaria symptoms, use of herbs as first line of treatment, buying medicines from drug shops, and village health teams (VHTs) treatment. For many Batwa accessing formal healthcare is normally a second option. Barriers for malaria treatment included: long distances to health facilities, geographically difficult terrain, economic constraints, irregular health outreaches, and stockouts of malaria medicines at health facilities. Conclusion: This study characterized Batwa’s malaria illness lived experiences and access to healthcare in rural remote settings. These experiences are essential in appreciating the ways in which Indigenous populations understand and manage common illnesses and how appropriate policies and interventions can be developed.
文摘This report presents the results of a study on Reproductive Health done in North Kivu in September 2009. It was conducted by HEAL Africa, in partnership with the Provisional Division of Health, and financed by the University of Ottawa, Canada/CRDI with technical assistance from Western Cape University of South Africa. The study was conducted in the health zones of Birambizo and Kayna within the framework of the central office. The focus of the report is on one aspect of Reproductive Health—Low Risk Maternity. This study was conducted in rural areas given that Reproductive Health indicators are much weaker when compared with urban areas, according to EDS RDC, 2007 [1]. This study emphasizes the following points: General characteristics of the participants in the study, and the utilization and accessibility of maternity services in rural areas in conflict situations. The formula SPSS 12.0.1 was used to facilitate data analysis in the study. This study comes at a point in time when its relevance to HEAL Africa’s work will assist HEAL and its partners in determining the focus of interventions done in health zones in order to improve maternal and neonatal health. HEAL Africa firstly stepped into a Safe Motherhood pilot project in June 2006 for 9 months in the Masisi zone, then in 2007 in the Birambizo and Kayna health zones. In November 2007, HEAL expanded into Walikale and in October 2008, into Kirotshe, Binza, and Lubero. The intervention kit consists of reinforcing the capacity of existing health facilities, training traditional midwives who serve as a link between the community and the health structures, the provision of sanitary equipment, medical essentials and community mobilization was done through local leaders about health and reproduction, and organizing women of reproductive age in solidarity groups (SG) to generate maternity insurance. The community approach “Solidarity Groups for Maternity Insurance” constitutes the spine of HEAL Africa within the support it provides in Reproductive Health. The principal idea is to educate and train communities on how to use the MMR services that are available in their community, and to remove financial barriers to accessing health services. The 4 pillars that comprise the Safe Motherhood program are: family planning, prenatal care, safe assisted delivery and essential obstetric care. These four strategic measures are integral in assuring primary health care and equality for women. This study evaluates this approach, keeping in mind local strategies and their effects on improving the utilization and accessibility of reproductive health services.
文摘Background: Unsafe abortions are one of the leading causes of maternal mortality, especially in developing countries. In Cameroon, the maternal mortality rate remains high, and the scarcity of data on abortions leads to a lack of solid evidence to advocate on the extent of the abortions related complications. Our objective was to evaluate the unsafe abortions related complications, and to assess the difficulties of accessing safe abortions in our setting. Methods: We carried out a meta-analytic and systematic review in the biomedical databases MEDLINE (Pubmed), Google Scholar and African Journal Online concerning unsafe abortions and/or difficulties in accessing safe abortions in Cameroon. The keywords used for the search are seen in table I. Selection of studies was simultaneously done by two authors. Data were extracted through a form designed on Google Form. We used a random-effect model for proportion estimation, and The I<sup>2</sup> and Q statistics to assess the extent of heterogeneity. Results: A total of 430 studies were identified, from which 28 were included and analysed. About 5% (95% CI: 3 - 7) of unsafe abortions leads to death. The contribution of unsafe abortions in maternal deaths was 23% (95% CI: 20 - 27). The rate of severe bleeding and/or anemia were 40% (95% CI: 18 - 63) and the rate of infection was 17% (95% CI: 7 - 28), dominated by pelvic infections, pelviperitonitis, severe sepsis, and septic shock. Case reports described uterine perforations, uterine rupture during the following pregnancy. Abortion was performed in the practitioner’s or patient’s home in 41.4% of cases, in a health center in 35.1% of cases, in a private clinic in 21.2% of cases, drugs selling places and in traditional healer clinics. The restriction of abortion laws, the stigma surrounding abortion and its consequences at any level of the society, lead to the underreporting of unsafe abortions and a deep reluctance to advocate for safe abortion services. Conclusion: The strengthening of awareness campaigns for provider behavior change communication, family planning, the de-stigmatization of abortions, the training of health personnel in post-abortion care, a multidisciplinary and multicentric action would contribute to the reduction in morbidity and mortality due to abortions.
文摘Unsafe abortions constitute a public health problem. It is one of the causes of maternal mortality in the world and particularly in developing countries. Despite the progress made, maternal mortality remains high in Cameroon. The scarcity and disparity of data on abortions lead to a lack of strong evidence to advocate to decision-makers on the extent of the problems associated with abortions in Cameroon. Our objective is to estimate the rates of mortalities and complications related to unsafe abortions, as well as the difficulties of accessing safe abortions in Cameroon. We will carry out a systematic and meta-analytical review in the biomedical databases MEDLINE (Pubmed), Google Scholar and African Journal Online (AJOL) concerning unsafe abortions and/or difficulties in accessing safe abortions in Cameroon, without date or language restriction. Gray literature will be also consulted. Two authors will simultaneously select the studies and data extraction will be done using a Google Form. Proportions will be estimated on a random-effect model. The I<sup>2</sup> and Q statistics will be used to assess the extent of heterogeneity across the studies. The outcome of both the quantitative and qualitative parts of the study will be commented. Death and morbidity due to abortions can be prevented. A concerted multidisciplinary and multicentric action would be essential.
文摘Agricultural Products Processing and Storage(ISSN 3059-4510,Owner:Hunan Academy of Agricultural Sciences,China.Production and hosting:Springer Nature)is an international,peer-reviewed open access journal with the aim to offer a platform for the rapid dissemination of signifi cant,novel,and high-impact research in the fi elds of agricultural product processing science,technology,engineering,and nutrition.Additionally,supplemental issues are curated and published to facilitate in-depth discussions on special topics.
文摘Journal of Future Foods(ISSN 2772-5669.Owner:Beijing Academy of Food Sciences.Production and Hosting:Elsevier B.V.on behalf of KeAi Communications Co.,Ltd.)is an international,peer-reviewed open access journal belonging to the discipline of food science and technology.The aim of the journal is to report latest research results of high-tech in food science.We welcome submissions that drive the field of food science towards whole food nutrition,intelligence and high technology.
文摘GENERAL INFORMATION International Journal of Ophthalmology—IJO,published continuously since 2008,a global ophthalmological scientific publication and a peer-reviewed,open access periodical published in print and online monthly(ISSN:2222-3959 print,ISSN:2227-4898 online).IJO is sponsored by the Chinese Medical Association Xi’an Branch,China and obtains guidance.It is indexed in SCI,PubMed,PubMed Central,Chemical Abstract,Scopus,EMBASE etc.The latest JCR IF is 1.8,Five-year Impact Factor is 1.8,CiteScore in 2024 is 2.8.
基金supported by the Canada Foundation for Innovation (Project#44220)the Natural Sciences and Engineering Research Council of Canada (RGPIN-2024-03986)+3 种基金the Michael Smith Foundation for Health Research BCthe financial support of Health Canada,through the Canada Brain Research Fund,an innovative partnership between the Government of Canada (through Health Canada),Brain Canada Foundationthe Azrieli Foundationsupported by a Canadian Institutes of Health Research (CIHR) Canada Graduate Scholarship–Master’s Award。
文摘Central nervous system(CNS) axons fail to regenerate following brain or spinal cord injury(SCI),which typically leads to permanent neurological deficits.Peripheral nervous system axons,howeve r,can regenerate following injury.Understanding the mechanisms that underlie this difference is key to developing treatments for CNS neurological diseases and injuries characterized by axonal damage.To initiate repair after peripheral nerve injury,dorsal root ganglion(DRG) neurons mobilize a pro-regenerative gene expression program,which facilitates axon outgrowth.
文摘The Internet of Everything(IoE)based cloud computing is one of the most prominent areas in the digital big data world.This approach allows efficient infrastructure to store and access big real-time data and smart IoE services from the cloud.The IoE-based cloud computing services are located at remote locations without the control of the data owner.The data owners mostly depend on the untrusted Cloud Service Provider(CSP)and do not know the implemented security capabilities.The lack of knowledge about security capabilities and control over data raises several security issues.Deoxyribonucleic Acid(DNA)computing is a biological concept that can improve the security of IoE big data.The IoE big data security scheme consists of the Station-to-Station Key Agreement Protocol(StS KAP)and Feistel cipher algorithms.This paper proposed a DNA-based cryptographic scheme and access control model(DNACDS)to solve IoE big data security and access issues.The experimental results illustrated that DNACDS performs better than other DNA-based security schemes.The theoretical security analysis of the DNACDS shows better resistance capabilities.
基金an Australian Research Council Linkage Project grant scheme(No.LP110200277)The funding sources had no role in the study design+5 种基金in the collection,analysis and interpretation of datain the writing of the reportand in the decision to submit the paper for publication.During the period of the research,ZY held a Fellowship from the Sydney Medical School Foundation and LH was funded by a National Health and Medical Research Council of Australia Senior Research Fellowship(No.1117105)EJE was supported by a National Health and Medical Research Council of Australia Practitioner Fellowship(No.1021480)a Medical Research Futures Fund Next Generation Fellowship(No.1135959)CJ's Chair in Genomic Medicine is supported by The Royal Children's Hospital Foundation.
文摘Background Children with rare diseases experience challenges at home and school and frequently require multi-disciplinary healthcare.We aimed to determine health service utilization by Australian children with rare diseases and barriers to access-ing healthcare.Methods Parents completed an online survey on health professional and emergency department(ED)presentations,hospi-talization,and barriers to accessing services.Potential barriers to service access included residential location(city,regional,remote)and child health-related functioning,determined using a validated,parent-completed measure-of-function tool.Results Parents of 462 children with over 240 rare diseases completed the survey.Compared with the general population,these children were more likely to be hospitalized[odds ratio(OR)=17.25,95%confidence interval(CI)=15.50-19.20]and present to the ED(OR=4.15,95%CI=3.68-4.68)or a family physician(OR=4.14,95%CI=3.72-4.60).Child functional impairment was nil/mild(31%),moderate(48%)or severe(22%).Compared to children with nil/mild impair-ment,those with severe impairment were more likely to be hospitalized(OR=13.39,95%CI=7.65-23.44)and present to the ED(OR=11.16,95%CI=6.46-19.27).Most children(75%)lived in major cities,but children from regional(OR=2.78,95%CI=1.72-4.55)and remote areas(OR=9.09,95%CI=3.03-25.00)experienced significantly more barriers to healthcare access than children from major cities.Barriers included distance to travel,out-of-pocket costs,and lack of specialist medical and other health services.Conclusions Children with rare diseases,especially those with severe functional impairment have an enormous impact on health services,and better integrated multidisciplinary services with patient-centered care are needed.Access must be improved for children living in rural and remote settings.
文摘Different efforts have been undertaken to customizing a security and privacy concern in clouddata access. Therefore, the security measures are reliable and the data access was verified as themajor problem in the cloud environment. To overcome this problem, we proposed an efficientdata access control using optimized homomorphic encryption (HE). Because users outsourcetheir sensitive information to cloud providers, data security and access control is one of themost difficult ongoing cloud computing research projects. Existing solutions that rely on cryptographictechnologies to address these security issues result in significant complexity for bothdata and cloud service providers. The experimental results show that the key generation is 7.6%decreased by HE and 14.14% less than the proposed method. The encryption time is 11.34% lessthan the optimized HE and 23.28% decreased by ECC. The decryption time is 13.18% and 24.07%when compared with HE and ECC respectively.
基金by grant BMU2020HKYZX008 from the Special Research Fund of PKUHSC for Prevention and Control of COVID-19 and the Fundamental Research Funds for the Central Universities,grant 2019YFA0706200 and 2020YFC2003600 from the National Key Research and Development Program of China,and grant 81761128036 from the National Natural Science Foundation of China-Canadian Institutes of Health Research Joint Health Research Program.
文摘Summary What is already known on this topic?The public was at elevated risk of mental health illnesses during the coronavirus disease 2019(COVID-19)pandemic,so accessibility to psychological knowledge and interventions is vital to promptly respond to mental health crises.What is added by this report?During the pandemic period,40,724(71.9%)participants reportedly had access to psychological knowledge,and 36,546(64.5%)participants had accessed information on psychological interventions.Participants who were male,unmarried,living alone,divorced or widowed,or infected with COVID-19 were less likely to access psychological knowledge and intervention.
文摘Thirty years of Internet development has opened doors to new jobs On April 20,1994,the Chinese Academy of Sciences Institute of High Energy Physics in Beijing achieved China's first fully functional connection to the Internet.This pilot network was designed to support education and scientific research,making China the 77th member country of the global Internet community.
