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Reevaluating health metrics:Unraveling the limitations of disabilityadjusted life years as an indicator in disease burden assessment
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作者 Ariel Beresniak Dominique Bremond-Gignac +1 位作者 Danielle Dupont Gerard Duru 《World Journal of Methodology》 2025年第1期14-19,共6页
In 1993,the World Bank released a global report on the efficacy of health promotion,introducing the disability-adjusted life years(DALY)as a novel indicator.The DALY,a composite metric incorporating temporal and quali... In 1993,the World Bank released a global report on the efficacy of health promotion,introducing the disability-adjusted life years(DALY)as a novel indicator.The DALY,a composite metric incorporating temporal and qualitative data,is grounded in preferences regarding disability status.This review delineates the algorithm used to calculate the value of the proposed DALY synthetic indicator and elucidates key methodological challenges associated with its application.In contrast to the quality-adjusted life years approach,derived from multi-attribute utility theory,the DALY stands as an independent synthetic indicator that adopts the assumptions of the Time Trade Off utility technique to define Disability Weights.Claiming to rely on no mathematical or economic theory,DALY users appear to have exempted themselves from verifying whether this indicator meets the classical properties required of all indicators,notably content validity,reliability,specificity,and sensitivity.The DALY concept emerged primarily to facilitate comparisons of the health impacts of various diseases globally within the framework of the Global Burden of Disease initiative,leading to numerous publications in international literature.Despite widespread adoption,the DALY synthetic indicator has prompted significant methodological concerns since its inception,manifesting in inconsistent and non-reproducible results.Given the substantial diffusion of the DALY indicator and its critical role in health impact assessments,a reassessment is warranted.This reconsideration is imperative for enhancing the robustness and reliability of public health decisionmaking processes. 展开更多
关键词 Disability adjusted life years Cost-utility analyses Outcome research Public health Burden of disease
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Interpersonal adjustment and depression in college students: The mediating effect of core self-evaluation and moderating effect of gender
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作者 Siqi Ma Pei Zhang 《Journal of Psychology in Africa》 2025年第1期135-141,共7页
This study aimed to explore how core self-evaluations and gender influence interpersonal adjustment and depression risk.Participants were 1748 college students(female=59.73%,male=40.27%,mean age=18.71 years,SD=0.78 yea... This study aimed to explore how core self-evaluations and gender influence interpersonal adjustment and depression risk.Participants were 1748 college students(female=59.73%,male=40.27%,mean age=18.71 years,SD=0.78 years).The students completed the Interpersonal Adjustment Scale for College Students,Center for Epidemiological Studies Depression Scale,and Core Self-evaluation Scale.The results of Linear regression and mediated moderated effects modeling revealed that college students with higher interpersonal adjustment and core self-evaluation scores were at lower risk for depression.Core self-evaluation mediated the relationship between interpersonal adjustment and depression in college students for lower risk for depression.Gender moderated the relationship between interpersonal adjustment and core self-evaluation in college students for higher risk for depression in female students.From thesefindings,we conclude that interpersonal adjustment and core self-evaluation are significant for screening depression risk college students.Moreover,female students may benefit from targeted interventions aimed at their interpersonal adjustment for reducing their risk of depression. 展开更多
关键词 college students DEPRESSION interpersonal adjustment core self-evaluation GENDER
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Continuously adjustable mechanical metamaterial based on planetary gear trains and external meshing gears
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作者 Shuai MO Xu TANG +2 位作者 Keren CHEN H.HOUJOH Wei ZHANG 《Applied Mathematics and Mechanics(English Edition)》 2025年第2期233-252,共20页
The metamaterial based on external meshing gears(MEG)is designed based on the principle of external meshing gear transmission.Based on the meshing transmission principle of external meshing gears and planetary gear tr... The metamaterial based on external meshing gears(MEG)is designed based on the principle of external meshing gear transmission.Based on the meshing transmission principle of external meshing gears and planetary gear trains,the internal and external gear rings are designed.Based on the internal and external gear rings,the metamaterial based on inner and outer planetary gear trains(MIP)is designed to study the shear modulus,Young's modulus,and amplitude-frequency characteristics of the metamaterial based on gears at different angles.The effects of the number of planetary gears on the physical characteristics of the MIP are studied.The results show that the MEG can be continuously adjusted by adjusting the shear modulus and Young's modulus due to its meshing characteristics.With the same number of gears,the adjustment range of the MIP is larger than the adjustment range of the MEG.When the number of planetary gears increases,the adjustment range of the MIP decreases.Moreover,when the metamaterial based on gears rotates,the harmonic response changes with the change of the angle. 展开更多
关键词 METAMATERIAL adjustABLE EXTERNAL inner and outer planetary gear train
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Adjustment of thalweg longitudinal profiles in response to sediment silting in cascade reservoirs:A case study of the lower Jinsha River
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作者 WANG Suiji 《Journal of Geographical Sciences》 2025年第7期1497-1515,共19页
How the strong segmentation of cascade reservoir dams and the spatiotemporal changes of sediment retention volume affect the river morphology adjustment in the reservoir area is a scientific issue worthy of exploratio... How the strong segmentation of cascade reservoir dams and the spatiotemporal changes of sediment retention volume affect the river morphology adjustment in the reservoir area is a scientific issue worthy of exploration.This study aims to reveal the adjustment mechanism of the thalweg longitudinal profile of cascade reservoirs.This study focuses on the Xiangjiaba and Xiluodu reservoirs located in the lower reaches of the Jinsha River.Utilizing multi-period observational data of thalweg elevation in reservoir reaches both before and after dam construction,the research employs statistical,geomorphological,and sedimentological methodologies to analyze variation characteristics in the measured curves,trend curves,and theoretical fitting curves of the thalweg longitudinal profile.The investigation ultimately reveals two distinct adjustment patterns in the longitudinal profiles of these cascade reservoirs:the concave curve type and the convex curve type.The former is characterized by weak riverbed scouring and silting changed to rapid aggradation in the upstream section of the reservoir area after dam closure,then changed to slow aggradation in the whole reservoir area,which is the common feature of reservoirs that were built earlier and are relatively located in the downstream(such as the Xiangjiaba Reservoir).The latter is characterized by a straight line or concave curve type with weak riverbed scouring and silting before the dam closure changed to a convex curve type with strong siltation after dam closure,which is the characteristic of reservoirs that were built later and are relatively located in the upstream(such as the Xiluodu Reservoir).The adjustment of the cascade reservoir longitudinal profile is controlled by the spatiotemporal changes of the sediment deposition volume and sedimentation rate in the reservoir area,and the alternating changes of the hydrodynamic gradient and regulation mode affect the spatial heterogeneity of the sedimentation rate.The research results are helpful for understanding the adjustment mechanism of the cascade reservoir longitudinal profile in similar areas and have a guiding role in predicting the adjustment trend of the cascade reservoir longitudinal profile without observation data. 展开更多
关键词 cascade reservoirs longitudinal profile adjustment pattern sediment silting lower Jinsha River
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Parental autonomy support effects on children’s school adjustment:The longitudinal mediating effect of executive function
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作者 Xia Hu Zhu Li +1 位作者 Yawen Shi Xiaopei Xing 《Journal of Psychology in Africa》 2025年第4期471-480,共10页
This longitudinal study examined the association between parental autonomy support and school-aged children’s adjustment across four major domains of school functioning,as well as the mediating role of children’s ex... This longitudinal study examined the association between parental autonomy support and school-aged children’s adjustment across four major domains of school functioning,as well as the mediating role of children’s executive function.Participants were 476 school-aged children(girl:49.2%,M_(age)=10.49 years,SD=1.32 years),who completed the Psychological Autonomy Support Scale,the Behavior Rating Inventory of Executive Function–2,and the Primary School Students’Psychological Suzhi Scale at baseline and at two subsequent follow-up assessments.Results from unconditional latent growth curve models and structural equation modeling indicated that paternal autonomy support was a significant predictor of children’s adjustment across all four school domains.In contrast,maternal autonomy support was significantly associated only with interpersonal adjustment.Both the intercept(initial level)and slope(rate of change)of children’s executive function significantly predicted their adjustment in all four domains.Notably,the initial level of executive function fully mediated the association between paternal autonomy support and school adjustment,whereas the rate of change in executive function did not serve as a significant mediator.Thesefindings underscore the importance of promoting parental autonomy-supportive behaviors-particularly among fathers-as a means to enhance children’s executive functioning and,consequently,their school adjustment. 展开更多
关键词 parental autonomy support executive function school adjustment longitudinal mediation
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Dynamic interpretation of stress adjustment types in high geostress hard rock tunnels based on microseismic monitoring
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作者 Weihao Xu Chunchi Ma +4 位作者 Tianbin Li Shoudong Shi Feng Peng Ziquan Chen Hang Zhang 《International Journal of Mining Science and Technology》 2025年第5期801-816,共16页
Dynamic stress adjustment in deep-buried high geostress hard rock tunnels frequently triggers catastrophic failures such as rockbursts and collapses.While a comprehensive understanding of this process is critical for ... Dynamic stress adjustment in deep-buried high geostress hard rock tunnels frequently triggers catastrophic failures such as rockbursts and collapses.While a comprehensive understanding of this process is critical for evaluating surrounding rock stability,its dynamic evolution are often overlooked in engineering practice.This study systematically summarizes a novel classification framework for stress adjustment types—stabilizing(two-zoned),shallow failure(three-zoned),and deep failure(four-zoned)—characterized by distinct stress adjustment stages.A dynamic interpretation technology system is developed based on microseismic monitoring,integrating key microseismic parameters(energy index EI,apparent stressσa,microseismic activity S),seismic source parameter space clustering,and microseismic paths.This approach enables precise identification of evolutionary stages,stress adjustment types,and failure precursors,thereby elucidating the intrinsic linkage between geomechanical processes(stress redistribution)and failure risks.The study establishes criteria and procedures for identifying stress adjustment types and their associated failure risks,which were successfully applied in the Grand Canyon Tunnel of the E-han Highway to detect 50 instances of disaster risks.The findings offer invaluable insights into understanding the evolution process of stress adjustment and pinpointing the disaster risks linked to hard rock in comparable high geostress tunnels. 展开更多
关键词 High geostress tunnels Stress adjustment types Microseismic monitoring Dynamic interpretation Risk identification
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Adjustable random linear network coding(ARLNC): A solution for data transmission in dynamic IoT computational environments
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作者 Raffi Dilanchian Ali Bohlooli Kamal Jamshidi 《Digital Communications and Networks》 2025年第2期574-586,共13页
In mobile computing environments, most IoT devices connected to networks experience variable error rates and possess limited bandwidth. The conventional method of retransmitting lost information during transmission, c... In mobile computing environments, most IoT devices connected to networks experience variable error rates and possess limited bandwidth. The conventional method of retransmitting lost information during transmission, commonly used in data transmission protocols, increases transmission delay and consumes excessive bandwidth. To overcome this issue, forward error correction techniques, e.g., Random Linear Network Coding(RLNC) can be used in data transmission. The primary challenge in RLNC-based methodologies is sustaining a consistent coding ratio during data transmission, leading to notable bandwidth usage and transmission delay in dynamic network conditions. Therefore, this study proposes a new block-based RLNC strategy known as Adjustable RLNC(ARLNC), which dynamically adjusts the coding ratio and transmission window during runtime based on the estimated network error rate calculated via receiver feedback. The calculations in this approach are performed using a Galois field with the order of 256. Furthermore, we assessed ARLNC's performance by subjecting it to various error models such as Gilbert Elliott, exponential, and constant rates and compared it with the standard RLNC. The results show that dynamically adjusting the coding ratio and transmission window size based on network conditions significantly enhances network throughput and reduces total transmission delay in most scenarios. In contrast to the conventional RLNC method employing a fixed coding ratio, the presented approach has demonstrated significant enhancements, resulting in a 73% decrease in transmission delay and a 4 times augmentation in throughput. However, in dynamic computational environments, ARLNC generally incurs higher computational costs than the standard RLNC but excels in high-performance networks. 展开更多
关键词 Random linear network coding adjust redundancy Galois field Internet of Things Data transfer
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The Valvular Heart Disease-specific Age-adjusted Comorbidity Index(VHD-ACI)score in patients with moderate or severe valvular heart disease
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作者 Mu-Rong XIE Bin ZHANG +14 位作者 Yun-Qing YE Zhe LI Qing-Rong LIU Zhen-Yan ZHAO Jun-Xing LV De-Jing FENG Qing-Hao ZHAO Hai-Tong ZHANG Zhen-Ya DUAN Bin-Cheng WANG Shuai GUO Yan-Yan ZHAO Run-Lin GAO Hai-Yan XU Yong-Jian WU 《Journal of Geriatric Cardiology》 2025年第9期759-774,共16页
Background Based on the China-VHD database,this study sought to develop and validate a Valvular Heart Disease-specific Age-adjusted Comorbidity Index(VHD-ACI)for predicting mortality risk in patients with VHD.Methods&... Background Based on the China-VHD database,this study sought to develop and validate a Valvular Heart Disease-specific Age-adjusted Comorbidity Index(VHD-ACI)for predicting mortality risk in patients with VHD.Methods&Results The China-VHD study was a nationwide,multi-centre multi-centre cohort study enrolling 13,917 patients with moderate or severe VHD across 46 medical centres in China between April-June 2018.After excluding cases with missing key variables,11,459 patients were retained for final analysis.The primary endpoint was 2-year all-cause mortality,with 941 deaths(10.0%)observed during follow-up.The VHD-ACI was derived after identifying 13 independent mortality predictors:cardiomyopathy,myocardial infarction,chronic obstructive pulmonary disease,pulmonary artery hypertension,low body weight,anaemia,hypoalbuminaemia,renal insufficiency,moderate/severe hepatic dysfunction,heart failure,cancer,NYHA functional class and age.The index exhibited good discrimination(AUC,0.79)and calibration(Brier score,0.062)in the total cohort,outperforming both EuroSCORE II and ACCI(P<0.001 for comparison).Internal validation through 100 bootstrap iterations yielded a C statistic of 0.694(95%CI:0.665−0.723)for 2-year mortality prediction.VHD-ACI scores,as a continuous variable(VHD-ACI score:adjusted HR(95%CI):1.263(1.245-1.282),P<0.001)or categorized using thresholds determined by the Yoden index(VHDACI≥9 vs.<9,adjusted HR(95%CI):6.216(5.378-7.184),P<0.001),were independently associated with mortality.The prognostic performance remained consistent across all VHD subtypes(aortic stenosis,aortic regurgitation,mitral stenosis,mitral regurgitation,tricuspid valve disease,mixed aortic/mitral valve disease and multiple VHD),and clinical subgroups stratified by therapeutic strategy,LVEF status(preserved vs.reduced),disease severity and etiology.Conclusion The VHD-ACI is a simple 13-comorbidity algorithm for the prediction of mortality in VHD patients and providing a simple and rapid tool for risk stratification. 展开更多
关键词 Valvular heart disease Age adjusted comorbidity index Mortality prediction Risk stratification China VHD database Prognostic performance
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Risk adjustable optimal operation for electricity-hydrogen integrated energy system based on chance constrained goal programming
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作者 ZHOU Xiao-jun HU Jia-ming +1 位作者 LI Chao-jie YANG Chun-hua 《Journal of Central South University》 2025年第6期2224-2238,共15页
The electricity-hydrogen integrated energy system(EH-IES)enables synergistic operation of electricity,heat,and hydrogen subsystems,supporting renewable energy integration and efficient multi-energy utilization in futu... The electricity-hydrogen integrated energy system(EH-IES)enables synergistic operation of electricity,heat,and hydrogen subsystems,supporting renewable energy integration and efficient multi-energy utilization in future low carbon societies.However,uncertainties from renewable energy and load variability threaten system safety and economy.Conventional chance-constrained programming(CCP)ensures reliable operation by limiting risk.However,increasing source-load uncertainties that can render CCP models infeasible and exacerbate operational risks.To address this,this paper proposes a risk-adjustable chance-constrained goal programming(RACCGP)model,integrating CCP and goal programming to balance risk and cost based on system risk assessment.An intelligent nonlinear goal programming method based on the state transition algorithm(STA)is developed,along with an improved discretized step transformation,to handle model nonlinearity and enhance computational efficiency.Experimental results show that the proposed model reduces costs while controlling risk compared to traditional CCP,and the solution method outperforms average sample sampling in efficiency and solution quality. 展开更多
关键词 electricity-hydrogen integrated energy system chance constrained goal programming risk adjustment state transition algorithm
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Photovoltaic Power Prediction Cosidering Mode Switching and Parallel Weight Adjustment
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作者 Penghui Liu Tianyu Yang +1 位作者 Peng Zhang Peiyuan Zou 《Energy Engineering》 2025年第4期1387-1402,共16页
The photovoltaic(PV)output process is inherently complex,often disrupted by a multitude of meteoro-logical factors,while conventional detection methods at PV power stations prove inadequate,compromising prediction acc... The photovoltaic(PV)output process is inherently complex,often disrupted by a multitude of meteoro-logical factors,while conventional detection methods at PV power stations prove inadequate,compromising prediction accuracy.To address this challenge,this paper introduces a power prediction method that leverages modal switching(MS),weight factor adjustment(WFA),and parallel long short-term memory(PALSTM).Initially,historical PV power station data is categorized into distinct modes based on global horizontal irradiance and converted solar angles.Correlation analysis is then employed to evaluate the impact of various meteorological factors on PV power,selecting those with strong correlations for each specific mode.Subsequently,the weights of meteorological parameters are optimized and adjusted,and a PALSTM neural network is constructed,with its parallel modal parameters refined through training.Depending on the prediction time and input data mode characteristics,the appropriate mode channel is selected to forecast PV power station generation.Ultimately,the feasibility of this method is validated through an illustrative analysis of measured data from an Australian PV power station.Comparative test results underscore the method’s advantages,particularly in scenarios where existing detection methods are lacking and meteorological factors frequently fluctuate,demonstrating its superior prediction accuracy and stability. 展开更多
关键词 Ultra short-term power prediction mode switching weight factor adjustment parallel neural network
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Design and Application of Quantitative Adjustable Liquid Injection Device for Maize Stalk Center Borehole
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作者 Yan YE 《Asian Agricultural Research》 2025年第2期41-44,共4页
In view of the problems that the drilling depth can not be adjusted and the amount of liquid injection can not be accurately modulated in the local test device of maize variety breeding and disease resistance,combinin... In view of the problems that the drilling depth can not be adjusted and the amount of liquid injection can not be accurately modulated in the local test device of maize variety breeding and disease resistance,combining the test technical requirements of drilling,liquid injection and sealing of the penultimate radial pitch of maize straw from the ground,a quantitative adjustable liquid injection device for maize stalk center borehole was designed.Its structure,working principle,key technical parameters and practical application effect were elaborated in detail.The field experiment demonstrated that the quantitative adjustable liquid injection device for maize stalk center borehole could meet the requirements of the local test of maize stalk rot. 展开更多
关键词 Maize stalk Center borehole Quantitative adjustable liquid injection
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Enhanced C_(2)H_(2)/CO_(2) separation in tetranuclear Cu(Ⅱ)cluster-based metal-organic frameworks by adjusting divider length of pore space partition
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作者 Fahui Xiang Lu Li +9 位作者 Zhen Yuan Wuji Wei Xiaoqing Zheng Shimin Chen Yisi Yang Liangji Chen Zizhu Yao Jianwei Fu Zhangjing Zhang Shengchang Xiang 《Chinese Chemical Letters》 2025年第3期550-554,共5页
Achieving efficient adsorption and separation of C_(2)H_(2)/CO_(2)mixtures is a goal that people have always pursued to improve the situation of high energy consumption brought by traditional separation technologies i... Achieving efficient adsorption and separation of C_(2)H_(2)/CO_(2)mixtures is a goal that people have always pursued to improve the situation of high energy consumption brought by traditional separation technologies in industry today.High-nuclearity metal cluster-based MOFs with different functionalities are promising for this separation,but it is a complicated and difficult task to precisely control their structures.The strategy of pore-space partition(PSP)is a powerful way to construct this type MOFs,which has the characteristic of isostructural relationship,and can be resulted in a similar performance for them.Therefore,it is an interesting work to explore the effect of MOFs property by adjusting the size of PSP dividers.Herein,three tetranuclear Cu(Ⅱ)cluster-based MOFs(FJU-112/113/114)with dual functionalities has been successfully obtained by PSP strategy with various lengths of divider units.With the highest microporosity and unique functional site,FJU-114 realized a good improvement in the adsorption and separation performance of C_(2)H_(2)/CO_(2).The gas adsorption and lab-scale C_(2)H_(2)/CO_(2)breakthrough experiments demonstrated that FJU-114 exhibits the highest adsorption uptake of 77 cm^(3)/g for C_(2)H_(2),and shows the best separation factor of 4.2 among three MOFs.The GCMC simulation reveals that a stronger adsorption binding site of C_(2)H_(2)in FJU-114a located in the cage II near the unchanged tetranuclear copper node,combined with its high microporosity to achieve the effect of dual functionalities for the improvement performance of C_(2)H_(2)adsorption and separation. 展开更多
关键词 Metal-organic frameworks Dual functionalities Pore space partition C_(2)H_(2)/CO_(2) separation Divider length adjustment
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Cross-Cultural Adjustment and Coping:U.S.Students in Taiwan region of China Higher Education
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作者 Wen-Ling Lou 《Sino-US English Teaching》 2024年第1期26-42,共17页
The aim of this study was to investigate the adjustment problems of students from the United States enrolled in universities in the East,specifically in Taiwan,China,their problems related to cultural adaptation,and t... The aim of this study was to investigate the adjustment problems of students from the United States enrolled in universities in the East,specifically in Taiwan,China,their problems related to cultural adaptation,and the process of adjustment to student life in Taiwan,China.Under investigation were cultural adjustment and coping skills as these students transitioned from West to East.Qualitative data were collected from interviews with participants and faculty members as well as participant observations.Results indicated that U.S.students found their own ways to acclimate to their new academic setting as well as to social relations,cross-cultural issues,and the linguistic environment in Taiwan,China to achieve effective adaptation.They made changes in themselves to cope with all situations they encountered.This study provides suggestions for international students abroad in Taiwan,China,for the Taiwan region of China authority,and for universities or colleges in terms of what they should offer to current and future international students. 展开更多
关键词 adjustment cultural adjustment cross-cultural adaptation COPING U.S.students
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A porous Eu-PTA/Tb-SSA/ZrO_(2)/ZnZrO_(3) light color adjustable phosphor:Luminescent property and application of warm white LED 被引量:2
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作者 Yunxiao Ma Chao Linghu +3 位作者 Ming Yang Hui Yu Xiangting Dong Long Xia 《Journal of Rare Earths》 SCIE EI CAS CSCD 2024年第8期1421-1428,I0001,共9页
Light emitting diode(LED) is the fourth generation lighting source,but it has some shortcomings such as complex chip packaging process and the unbalanced light color of phosphor in long-time application.In this study,... Light emitting diode(LED) is the fourth generation lighting source,but it has some shortcomings such as complex chip packaging process and the unbalanced light color of phosphor in long-time application.In this study,a kind of Eu-terephthalic acid/Tb-sulfosalicylate/ZrO_(2)/ZnZrO_(3)(Eu-PTA/Tb-SSA/ZrO_(2)/ZnZrO_(3))phosphor with warm white light emission properties was prepared,and the warm white light LED(wWLEDs) was successfully prepared by encapsulating Eu-PTA/Tb-SSA/ZrO_(2)/ZnZrO_(3) phosphors together with 270 nm UV-chip.The ZrO_(2)/ZnZrO_(3),Tb-SSA/ZrO_(2)/ZnZrO_(3) and Eu-PTA/ZrO_(2)/ZnZrO_(3) samples show blue emission,green emission and red emission under deep ultraviolet(UV,270 nm) excitation,respectively.The Tb-SSA and Eu-PTA are co-doped into ZrO_(2)/ZnZrO_(3) matrix with blue emission to achieve the warm white light emission,and the light color can be adjusted by controlling the doping amount of Eu^(3+)-and Tb^(3+).Through the excitation method of single-component phosphor by the single chip,the complex chip packaging process of w-LED can be solved.By doping rare earth organic complexes into porous ZrO_(2)/ZnZrO_(3) matrix,the problems of the light color unbalanced of phosphor and the low luminescence intensity of rare earth doped metal oxides composites can be solved. 展开更多
关键词 Eu-PTA/Tb-SSA/ZrO_(2)/ZnZrO_(3) Luminescence material Light color adjustable phosphor Warm white emission W-WLEDs Rare earths
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Rigidloop Adjustable可调袢钢板治疗踝关节骨折并下胫腓联合损伤 被引量:2
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作者 李宏亮 黄涛 +3 位作者 卞峰 方红育 周少怀 范明宇 《生物骨科材料与临床研究》 CAS 2024年第3期49-52,共4页
目的比较Rigidloop Adjustable(RLA)可调袢钢板与螺钉治疗踝关节骨折合并下胫腓联合损伤的临床效果。方法回顾性分析2019年9月至2022年5月武汉市第三医院收治的44例踝关节骨折合并下胫腓联合损伤的患者。踝关节骨折行切开复位内固定后,... 目的比较Rigidloop Adjustable(RLA)可调袢钢板与螺钉治疗踝关节骨折合并下胫腓联合损伤的临床效果。方法回顾性分析2019年9月至2022年5月武汉市第三医院收治的44例踝关节骨折合并下胫腓联合损伤的患者。踝关节骨折行切开复位内固定后,下胫腓联合采用RLA可调袢钢板固定22例,2枚皮质骨螺钉三皮质骨固定22例。应用AOFAS踝与后足功能评分、术侧与健侧踝关节活动度平均差值及术前、术后随访时正位X线片下胫腓间隙(tibiofibular bottom clear space,TBCS)、下胫腓重叠距离(tibiofibular bottom overlap,TBOL)比较两组临床效果。结果患者均获得随访,随访时间12~18个月,平均(16.41±1.66)个月。患者踝关节功能满意,无伤口感染、皮肤激惹等并发症。术后3、6、12个月时,RLA可调袢钢板组双侧踝关节活动度差值均显著小于螺钉组,差异有统计学意义(P<0.05);术后3、6、12个月时,两组的AOFAS评分比较,差异无统计学意义(P>0.05);TBCS、TBOL术前、术后即刻、术后3个月及末次随访时,差异无统计学意义(P>0.05)。结论RLA可调袢钢板和螺钉均可有效固定下胫腓联合,与螺钉固定相比,RLA可调袢钢板组可早期功能锻炼,获得更好的踝关节活动度。 展开更多
关键词 踝关节骨折 下胫腓联合损伤 弹性固定 Rigidloop adjustable(RLA)可调袢钢板 皮质骨螺钉
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Bioinspired 4D Printing Shape-Memory Polyurethane Rhinoplasty Prosthesis for Dynamic Aesthetic Adjustment 被引量:1
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作者 Jiaqi Liu Guiwei Li +5 位作者 He Liu Jincheng Wang Hui Wang Xue Gao Qingping Liu Chenyu Wang 《Journal of Bionic Engineering》 SCIE EI CSCD 2024年第3期1397-1411,共15页
The disparity between the postoperative outcomes of rhinoplasty and the expected results frequently necessitates secondary or multiple surgeries as a compensatory measure,greatly diminishing patient satisfaction.Howev... The disparity between the postoperative outcomes of rhinoplasty and the expected results frequently necessitates secondary or multiple surgeries as a compensatory measure,greatly diminishing patient satisfaction.However,there is renewed optimism for addressing these challenges through the innovative realm of Four-Dimensional(4D)printing.This groundbreaking technology enables three-dimensional objects with shape-memory properties to undergo predictable transformations under specific external stimuli.Consequently,implants crafted using 4D printing offer significant potential for dynamic adjustments.Inspired by worms in our research,we harnessed 4D printing to fabricate a Shape-Memory Polyurethane(SMPU)for use as a nasal augmentation prosthesis.The choice of SMPU was guided by its Glass Transition Temperature(Tg),which falls within the acceptable temperature range for the human body.This attribute allowed for temperature-responsive intraoperative self-deformation and postoperative remodeling.Our chosen animal model for experimentation was rabbits.Taking into account the anatomical structure of the rabbit nose,we designed and produced nasal augmentation prostheses with superior biocompatibility.These prostheses were then surgically implanted in a minimally invasive manner into the rabbit noses.Remarkably,they exhibited successful temperature-controlled in-surgery self-deformation according to the predetermined shape and non-invasive remodeling within a mere 9 days post-surgery.Subsequent histological evaluations confirmed the practical viability of these prostheses in a living organism.Our research findings posit that worm-inspired 4D-printed SMPU nasal prostheses hold significant promise for achieving dynamic aesthetic adjustments. 展开更多
关键词 4D printing Shape memory polyurethane RHINOPLASTY Self-deformation Dynamic aesthetic adjustment
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Impact of an official accountability audit on industrial structure adjustment:a case study of environmental regulation in China 被引量:1
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作者 Yu Xia 《Chinese Journal of Population,Resources and Environment》 2024年第2期167-175,共9页
As a unique environmental regulation in China,the official accountability audit was piloted in 2014.With a focus on prioritizing the ecological environment,officials in pilot districts have implemented economic constr... As a unique environmental regulation in China,the official accountability audit was piloted in 2014.With a focus on prioritizing the ecological environment,officials in pilot districts have implemented economic construction,adjusted industrial structures,and promoted coordinated development between the economy and environment.The effects of implementation have garnered widespread attention from society.However,there is limited research on the impact of an accountability audit on industrial structure adjustments.Using the“Accountability Audit of Officials for Natural Resource Assets(Trial)”released in 2015 as a quasi-natural experiment,this study collected panel data from 279 cities between 2013 and 2017.It then empirically analyzed the impact mechanism and effects of the accountability audit on industrial structure adjustment using the Propensity Score Matching and Difference-in-Differences model.The research findings indicate that the accountability audit directly impacted industrial structure adjustment,promoting the upgrading of the primary industry to the secondary industry and restricting the development of the tertiary industry.In addition,the audit is beneficial for enterprise entry,but not conducive to technological innovation,and has no significant impact on foreign direct investment.This conclusion fills a gap in the existing research and provides valuable insights for policymakers. 展开更多
关键词 Accountability audit Difference-in-differences model Environmental regulation Industrial structure adjustment Quasi-natural experiment
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Research on Demand Response Potential of Adjustable Loads in Demand Response Scenarios 被引量:1
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作者 Zhishuo Zhang Xinhui Du +3 位作者 Yaoke Shang Jingshu Zhang Wei Zhao Jia Su 《Energy Engineering》 EI 2024年第6期1577-1605,共29页
To address the issues of limited demand response data,low generalization of demand response potential evaluation,and poor demand response effect,the article proposes a demand response potential feature extraction and ... To address the issues of limited demand response data,low generalization of demand response potential evaluation,and poor demand response effect,the article proposes a demand response potential feature extraction and prediction model based on data mining and a demand response potential assessment model for adjustable loads in demand response scenarios based on subjective and objective weight analysis.Firstly,based on the demand response process and demand response behavior,obtain demand response characteristics that characterize the process and behavior.Secondly,establish a feature extraction and prediction model based on data mining,including similar day clustering,time series decomposition,redundancy processing,and data prediction.The predicted values of each demand response feature on the response day are obtained.Thirdly,the predicted data of various characteristics on the response day are used as demand response potential evaluation indicators to represent different demand response scenarios and adjustable loads,and a demand response potential evaluation model based on subjective and objective weight allocation is established to calculate the demand response potential of different adjustable loads in different demand response scenarios.Finally,the effectiveness of the method proposed in the article is verified through examples,providing a reference for load aggregators to formulate demand response schemes. 展开更多
关键词 Demand response potential demand response scenarios data mining adjustable load evaluation system subjective and objective weight allocation
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Ultrafast Response and Threshold Adjustable Intelligent Thermoelectric Systems for Next‑Generation Self‑Powered Remote IoT Fire Warning
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作者 Zhaofu Ding Gang Li +5 位作者 Yejun Wang Chunyu Du Zhenqiang Ye Lirong Liang Long‑Cheng Tang Guangming Chen 《Nano-Micro Letters》 SCIE EI CAS CSCD 2024年第11期413-428,共16页
Fire warning is vital to human life,economy and ecology.However,the development of effective warning systems faces great challenges of fast response,adjustable threshold and remote detecting.Here,we propose an intelli... Fire warning is vital to human life,economy and ecology.However,the development of effective warning systems faces great challenges of fast response,adjustable threshold and remote detecting.Here,we propose an intelligent self-powered remote IoT fire warning system,by employing single-walled carbon nanotube/titanium carbide thermoelectric composite films.The flexible films,prepared by a convenient solution mixing,display p-type characteristic with excellent high-temperature stability,flame retardancy and TE(power factor of 239.7±15.8μW m^(-1) K^(-2))performances.The comprehensive morphology and structural analyses shed light on the underlying mechanisms.And the assembled TE devices(TEDs)exhibit fast fire warning with adjustable warning threshold voltages(1–10 mV).Excitingly,an ultrafast fire warning response time of~0.1 s at 1 mV threshold voltage is achieved,rivaling many state-of-the-art systems.Furthermore,TE fire warning systems reveal outstanding stability after 50 repeated cycles and desired durability even undergoing 180 days of air exposure.Finally,a TED-based wireless intelligent fire warning system has been developed by coupling an amplifier,analogto-digital converter and Bluetooth module.By combining TE characteristics,high-temperature stability and flame retardancy with wireless IoT signal transmission,TE-based hybrid system developed here is promising for next-generation self-powered remote IoT fire warning applications. 展开更多
关键词 THERMOELECTRIC SELF-POWERED IoT fire warning Ultrafast response Threshold adjustable
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On calculating glacial isostatic adjustment
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作者 L.M.Cathles 《Geodesy and Geodynamics》 EI CSCD 2024年第5期441-452,共12页
Modeling the earth's fluid and elastic response to the melting of the glaciers of the last ice age is the most direct way to infer the earth's radial viscosity profile.Here,we compare two methods for calculati... Modeling the earth's fluid and elastic response to the melting of the glaciers of the last ice age is the most direct way to infer the earth's radial viscosity profile.Here,we compare two methods for calculating the viscoelastic response to surface loading.In one,the elastic equation of motion is converted to a viscoelastic equation using the Correspondence Principle.In the other,elastic deformation is added to the viscous flow as isostatic adjustment proceeds.The two modeling methods predict adjustment histories that are different enough to potentially impact the interpretation of the observed glacial isostatic adjustment(GIA).The differences arise from buoyancy and whether fluid displacements are subjected to hydrostatic pre-stress.The methods agree if they use the same equations and boundary conditions.The origin of the differences is determined by varying the boundary conditions and pre-stress application. 展开更多
关键词 Glacial isostatic adjustment Viscoelastic normal modes Hydrostatic pre-stress Elastic buoyancy Correspondence principle
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