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
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
The effects of adjusting technological conditions on the phosphorous enrichment of adjusted converter slag were investigated. The results showed that the phosphorus could he effectively enriched to 2CaO · SiO2 an...The effects of adjusting technological conditions on the phosphorous enrichment of adjusted converter slag were investigated. The results showed that the phosphorus could he effectively enriched to 2CaO · SiO2 and 2CaO · SiO2-3CaO· P2O5 solid solution （SS, namely phosphorus-rich phase） to be formed with the decreasing of basicity and cooling rate. Moreover, the morphology of the phosphorus-rich phase changed from granular for the original converter slag with higher basicity to the coexistence of granular shape and rod-like for the adjusted slag with lower basicity. P2 05 content in phosphorus-rich phase exceeded 30° while the hasicity was 1.3 at the cooling rate of 1.0 ℃/min.展开更多
This study explored a new model of Prostate Imaging Reporting and Data System(PIRADS)and adjusted prostate-specific antigen density of peripheral zone(aPSADPZ)for predicting the occurrence of prostate cancer(PCa)and c...This study explored a new model of Prostate Imaging Reporting and Data System(PIRADS)and adjusted prostate-specific antigen density of peripheral zone(aPSADPZ)for predicting the occurrence of prostate cancer(PCa)and clinically significant prostate cancer(csPCa).The demographic and clinical characteristics of 853 patients were recorded.Prostate-specific antigen(PSA),PSA density(PSAD),PSAD of peripheral zone(PSADPZ),aPSADPZ,and peripheral zone volume ratio(PZ-ratio)were calculated and subjected to receiver operating characteristic(ROC)curve analysis.The calibration and discrimination abilities of new nomograms were verified with the calibration curve and area under the ROC curve(AUC).The clinical benefits of these models were evaluated by decision curve analysis and clinical impact curves.The AUCs of PSA,PSAD,PSADPZ,aPSADPZ,and PZ-ratio were 0.669,0.762,0.659,0.812,and 0.748 for PCa diagnosis,while 0.713,0.788,0.694,0.828,and 0.735 for csPCa diagnosis,respectively.All nomograms displayed higher net benefit and better overall calibration than the scenarios for predicting the occurrence of PCa or csPCa.The new model significantly improved the diagnostic accuracy of PCa(0.945 vs 0.830,P<0.01)and csPCa(0.937 vs 0.845,P<0.01)compared with the base model.In addition,the number of patients with PCa and csPCa predicted by the new model was in good agreement with the actual number of patients with PCa and csPCa in high-risk threshold.This study demonstrates that aPSADPZ has a higher predictive accuracy for PCa diagnosis than the conventional indicators.Combining aPSADPZ with PIRADS can improve PCa diagnosis and avoid unnecessary biopsies.展开更多
AIM： To determine the correlation of Adjusted Blood Requirement Index （ABRI） with the 7th day outcome in patients presenting with acute variceal bleeding.METHODS： All patients presenting with acute variceal hemorr...AIM： To determine the correlation of Adjusted Blood Requirement Index （ABRI） with the 7th day outcome in patients presenting with acute variceal bleeding.METHODS： All patients presenting with acute variceal hemorrhage （AVH） were included. Patients with previous band ligation, sclerotherapy, gastrointestinal or hepatic malignancies were excluded. Patients were managed as per standard protocol for AVH with terlipressin and band ligation. ABRI scores were calculated using the formula outcome of alive or expired up to the 7th day after treatment. The correlation between ABRI and mortality was estimated and a receiver operative characteristic （ROC） curve was plotted.RESULTS： A total of 113 patients （76 male; 37 female） were included. On assessment, 18 were in Child＇s Pugh Class A, 82 in Class B and 13 were in Class C. The median number of blood units transfused ± inter-quartile range was 3.0 ± 2.0. The median ± inter-quartile range for ABRI was 1.3 ± 1.1. The ROC curve of ABRI for expiry showed a significantly large area of 0.848 （P 〈 0.0001; 95% CI： 0.75-0.95）. A significant correlation of log transformation of ABRI with an outcome of mortality was present （P 〈 0.0001）.展开更多
Aiming at a comprehensive assessment of energy-saving retrofitting effect on existing buildings,a calculation method is developed to adjust energy-saving quantity in standard condition for comparison under the same co...Aiming at a comprehensive assessment of energy-saving retrofitting effect on existing buildings,a calculation method is developed to adjust energy-saving quantity in standard condition for comparison under the same conditions. A mathematical model,method theory and calculation steps are given. Error analysis results show that this method can be applied accurately to practical engineering projects. In a case study of energy-saving quantity assessment before and after retrofitting on a certain hospital in Shanghai,with energy simulation software TRNSYS,detailed application of this method is introduced and analyzed. The method is applied to the case of energy-saving quantity assessment to a hospital in Shanghai before and after retrofitting with the energy simulation software TRNSYS.展开更多
Based on analysis of the present hydraulic impactor, a new hydraulic impactor with pressure feedback control was developed, whose structure and operation principle were introduced. The results show that the pressure o...Based on analysis of the present hydraulic impactor, a new hydraulic impactor with pressure feedback control was developed, whose structure and operation principle were introduced. The results show that the pressure of the impact system can be adjusted steplessly to change the impact energy of the impactor steplessly. By adjusting the oil flow of supply pump steplessly, the impact frequency will also be changed steplessly. So the impact energy and frequency of the new impactor can be adjusted independently and steplessly. In order to decrease the energy loss, a new kind of sleeve valve has been designed, which has features of little leakage, little pressure loss and low energy cost. The new type hydraulic impactor can be operated under various conditions with decreased energy consumption and improved operation efficiency.展开更多
The General Customs Administration issued a circular statingthat,based upon a decision of the State Council,in 1997 someimport and export tariff rates would be adjusted.The major con-tents of the circular are the adju...The General Customs Administration issued a circular statingthat,based upon a decision of the State Council,in 1997 someimport and export tariff rates would be adjusted.The major con-tents of the circular are the adjustment of the import tariff rates of 4tariff lines of commodities and items under 124 tariff lines;theelimination of the export tariffs for 14 tariff lines of commodities,addition of export tariff rates for 2 kinds of precious metals andimposition of provisional export tariff rates for 4 kinds of corn-展开更多
The increasing penetration of wind power presents many technical challenges to power system operations. An important challenge is the need of voltage control to maintain the terminal voltage of a wind plant to make it...The increasing penetration of wind power presents many technical challenges to power system operations. An important challenge is the need of voltage control to maintain the terminal voltage of a wind plant to make it a PV bus like conventional generators with excitation control. In the previous work for controlling wind plant, especially the Doubly Fed Induction Generator (DFIG) system, the proportional-integral (PI) controllers are popularly applied. These approaches usually need to tune the PI controllers to obtain control gains as a tradeoff or compromise among various operating conditions. In this paper, a new voltage control approach based on a different philosophy is presented. In the proposed approach, the PI control gains for the DFIG system are dynamically adjusted based on the dynamic, continuous sensitivity which essentially indicates the dynamic relationship between the change of control gains and the desired output voltage. Hence, this control approach does not require any good estimation of fixed control gains because it has the self-learning mechanism via the dynamic sensitivity. This also gives the plug-and-play feature of DFIG controllers to make it promising in utility practices. Simulation results verify that the proposed approach performs as expected under various operating conditions.展开更多
The pavement strength is very important for the evaluation of backlog maintenance. The current trend in many developing countries used pavement conditions index-PCI in estimating maintenance costs. The PCI can only ju...The pavement strength is very important for the evaluation of backlog maintenance. The current trend in many developing countries used pavement conditions index-PCI in estimating maintenance costs. The PCI can only justify periodic and routine recurrent maintenance. The condition strength is rarely determined in a flexible pavement creating an opportunity for back long maintenance. This paper reports the study conducted to develop and improve the algorithm for estimating the adjusted structure number to estimate the remaining thickness of the flexible pavement. The analysis of eight ways of computing structure numbers from FWD data ware analyzed and found that the improvement of the HDM 3 - 4 models can influence the usefulness of data collected from road asset management in Tanzania. The algorithm for estimating structural numbers from CBR was improved to compute adjusted structural numbers finally used to estimate the remaining life of the flexible pavement. The analysis of the network of about 6900 km including ST and AM was found that 64.72% were very good, 12% were Good, 10% were fair and 7.84% were poor and 5.4% were very poor.展开更多
Since October 2008,China's social consumption of electricity had,for the first time,grown negatively compared to the same period of the previous year,and in November the negative growth range further expanded. The...Since October 2008,China's social consumption of electricity had,for the first time,grown negatively compared to the same period of the previous year,and in November the negative growth range further expanded. The major pressure faced by the electricity industry has now turned from the contradiction between coal and electricity to electricity quantity. This is undoubtedly a true and new test to electricity enterprises which get used to high growth but are now suffering great losses. The reform of electricity system has already been in great difficulties and now is getting into a more serious situation. In order to help readers improve their knowledge and understanding of the current tough situation faced by the electricity industry and discuss how to alleviate and get through the difficulty resulted from the economic crisis "encountered once every one hundred years" by joint efforts of all parties concerned,a Seminar on Crisis and Countermeasures for Electricity Industry was held on November 20,2008. Here are some extracts from the speeches of four experts.展开更多
The tentative tariff rate for partial import and export products was adjusted since November 1^(st) of 2006.Total 58 imported commodities will be imposed lower tentative
The conventional Ensemble Kalman filter(EnKF),which is now widely used to calibrate emission inventories and to improve air quality simulations,is susceptible to simulation errors of meteorological inputs,making accur...The conventional Ensemble Kalman filter(EnKF),which is now widely used to calibrate emission inventories and to improve air quality simulations,is susceptible to simulation errors of meteorological inputs,making accurate updates of high temporal-resolution emission inventories challenging.In this study,we developed a novel meteorologically adjusted inversion method(MAEInv)based on the EnKF to improve daily emission estimations.The new method combines sensitivity analysis and bias correction to alleviate the inversion biases caused by errors of meteorological inputs.For demonstration,we used the MAEInv to inverse daily carbon monoxide(CO)emissions in the Pearl River Delta(PRD)region,China.In the case study,60%of the total CO simulation biases were associated with sensitive meteorological inputs,which would lead to the overestimation of daily variations of posterior emissions.Using the new inversion method,daily variations of emissions shrank dramatically,with the percentage change decreased by 30%.Also,the total amount of posterior CO emissions estimated by the MAEInv decreased by 14%,indicating that posterior CO emissions might be overestimated using the conventional EnKF.Model evaluations using independent observations revealed that daily CO emissions estimated by MAEInv better reproduce the magnitude and temporal patterns of ambient CO concentration,with a higher correlation coefficient(R,+37.0%)and lower normalized mean bias(NMB,-17.9%).Since errors of meteorological inputs are major sources of simulation biases for both low-reactive and reactive pollutants,the MAEInv is also applicable to improve the daily emission inversions of reactive pollutants.展开更多
This paper reports the sensitive effect of photoluminescence peak intensity and transmittance affected by B, Al, and N dopants in fluorescent 4H-SiC single crystals. The crystalline type, doping concentration, photolu...This paper reports the sensitive effect of photoluminescence peak intensity and transmittance affected by B, Al, and N dopants in fluorescent 4H-SiC single crystals. The crystalline type, doping concentration, photoluminescence spectra,and transmission spectra were characterized at room temperature. It is found that the doped 4H-SiC single crystal emits a warm white light covering a wide range from 460 nm to 720 nm, and the transmittance increases from ~10% to ~60%with the fluctuation of B, Al, and N ternary dopants. With a parameter of C_(D-A), defined by B, Al, and N concentration, the photoluminescence and transmittance properties can be adjusted by optimal doping regulation.展开更多
A uniform experimental design(UED)is an extremely used powerful and efficient methodology for designing experiments with high-dimensional inputs,limited resources and unknown underlying models.A UED enjoys the followi...A uniform experimental design(UED)is an extremely used powerful and efficient methodology for designing experiments with high-dimensional inputs,limited resources and unknown underlying models.A UED enjoys the following two significant advantages:(i)It is a robust design,since it does not require to specify a model before experimenters conduct their experiments;and(ii)it provides uniformly scatter design points in the experimental domain,thus it gives a good representation of this domain with fewer experimental trials(runs).Many real-life experiments involve hundreds or thousands of active factors and thus large UEDs are needed.Constructing large UEDs using the existing techniques is an NP-hard problem,an extremely time-consuming heuristic search process and a satisfactory result is not guaranteed.This paper presents a new effective and easy technique,adjusted Gray map technique(AGMT),for constructing(nearly)UEDs with large numbers of four-level factors and runs by converting designs with s two-level factors and n runs to(nearly)UEDs with 2^(t−1)s four-level factors and 2tn runs for any t≥0 using two simple transformation functions.Theoretical justifications for the uniformity of the resulting four-level designs are given,which provide some necessary and/or sufficient conditions for obtaining(nearly)uniform four-level designs.The results show that the AGMT is much easier and better than the existing widely used techniques and it can be effectively used to simply generate new recommended large(nearly)UEDs with four-level factors.展开更多
Conformational flexibility is essential to the stimuli-responsive property of organic materials,but achieving the reversible molecular transformation is still challenging in functional materials for the high energy ba...Conformational flexibility is essential to the stimuli-responsive property of organic materials,but achieving the reversible molecular transformation is still challenging in functional materials for the high energy barriers and restriction by intermolecular interactions.Herein,through the incorporation of various steric hindrances into phenothiazine derivatives with different positions and quantities to tune the molecular conformations by adjustable repulsive forces,the folded angles gradually changed from 180°to 90°in 17 compounds.When the angle located at 112°with moderated steric effect,dynamic and reversible transformation of conformations under mechanical force has been achieved for the low energy barriers and mutually regulated molecular motions,resulting in both selfrecoverable and stimuli-responsive phosphorescence properties for the first time.It opened up a new way to realize the self-recovery property of organic materials,which can facilitate the multi-functional property of smart materials with the opened avenue for other fields with inspiration.展开更多
Stroke is the third-leading cause of disabilityadjusted life years(DALYs)and poses a significant public health challenge worldwide~([1]).Developing countries,including China,continue to face a substantial burden from ...Stroke is the third-leading cause of disabilityadjusted life years(DALYs)and poses a significant public health challenge worldwide~([1]).Developing countries,including China,continue to face a substantial burden from stroke.Since 1990,China has reported the highest global stroke burden,with 2.19 million deaths and 45.9 million DALYs recorded in 2019~([2]).展开更多
文摘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.
基金supported by the Chinese Academy of Medical Sciences Innovation Fund for Medical Sciences(No.2017-12M-3-002)the National Key R&D Program of China(No.2020YFC2008100).
文摘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.
基金Item Sponsored by National Natural Science Foundation of China/Joint Fund for Iron and Steel Research (50874130)National Natural Science Foundation of China (50974034)
文摘The effects of adjusting technological conditions on the phosphorous enrichment of adjusted converter slag were investigated. The results showed that the phosphorus could he effectively enriched to 2CaO · SiO2 and 2CaO · SiO2-3CaO· P2O5 solid solution （SS, namely phosphorus-rich phase） to be formed with the decreasing of basicity and cooling rate. Moreover, the morphology of the phosphorus-rich phase changed from granular for the original converter slag with higher basicity to the coexistence of granular shape and rod-like for the adjusted slag with lower basicity. P2 05 content in phosphorus-rich phase exceeded 30° while the hasicity was 1.3 at the cooling rate of 1.0 ℃/min.
基金supported by two grants from the Key Research and Development Program of jiangsu Province (No.BE2020654 and No.BE2020655)a grant from the General Program of Jiangsu Health Commission (No.H2019040)a grant from National Key R&D Program of China (No.2017YFC0114303).
文摘This study explored a new model of Prostate Imaging Reporting and Data System(PIRADS)and adjusted prostate-specific antigen density of peripheral zone(aPSADPZ)for predicting the occurrence of prostate cancer(PCa)and clinically significant prostate cancer(csPCa).The demographic and clinical characteristics of 853 patients were recorded.Prostate-specific antigen(PSA),PSA density(PSAD),PSAD of peripheral zone(PSADPZ),aPSADPZ,and peripheral zone volume ratio(PZ-ratio)were calculated and subjected to receiver operating characteristic(ROC)curve analysis.The calibration and discrimination abilities of new nomograms were verified with the calibration curve and area under the ROC curve(AUC).The clinical benefits of these models were evaluated by decision curve analysis and clinical impact curves.The AUCs of PSA,PSAD,PSADPZ,aPSADPZ,and PZ-ratio were 0.669,0.762,0.659,0.812,and 0.748 for PCa diagnosis,while 0.713,0.788,0.694,0.828,and 0.735 for csPCa diagnosis,respectively.All nomograms displayed higher net benefit and better overall calibration than the scenarios for predicting the occurrence of PCa or csPCa.The new model significantly improved the diagnostic accuracy of PCa(0.945 vs 0.830,P<0.01)and csPCa(0.937 vs 0.845,P<0.01)compared with the base model.In addition,the number of patients with PCa and csPCa predicted by the new model was in good agreement with the actual number of patients with PCa and csPCa in high-risk threshold.This study demonstrates that aPSADPZ has a higher predictive accuracy for PCa diagnosis than the conventional indicators.Combining aPSADPZ with PIRADS can improve PCa diagnosis and avoid unnecessary biopsies.
文摘AIM： To determine the correlation of Adjusted Blood Requirement Index （ABRI） with the 7th day outcome in patients presenting with acute variceal bleeding.METHODS： All patients presenting with acute variceal hemorrhage （AVH） were included. Patients with previous band ligation, sclerotherapy, gastrointestinal or hepatic malignancies were excluded. Patients were managed as per standard protocol for AVH with terlipressin and band ligation. ABRI scores were calculated using the formula outcome of alive or expired up to the 7th day after treatment. The correlation between ABRI and mortality was estimated and a receiver operative characteristic （ROC） curve was plotted.RESULTS： A total of 113 patients （76 male; 37 female） were included. On assessment, 18 were in Child＇s Pugh Class A, 82 in Class B and 13 were in Class C. The median number of blood units transfused ± inter-quartile range was 3.0 ± 2.0. The median ± inter-quartile range for ABRI was 1.3 ± 1.1. The ROC curve of ABRI for expiry showed a significantly large area of 0.848 （P 〈 0.0001; 95% CI： 0.75-0.95）. A significant correlation of log transformation of ABRI with an outcome of mortality was present （P 〈 0.0001）.
基金Project(2006BAJ03A10) supported by the National Key Technologies R & D Program of China
文摘Aiming at a comprehensive assessment of energy-saving retrofitting effect on existing buildings,a calculation method is developed to adjust energy-saving quantity in standard condition for comparison under the same conditions. A mathematical model,method theory and calculation steps are given. Error analysis results show that this method can be applied accurately to practical engineering projects. In a case study of energy-saving quantity assessment before and after retrofitting on a certain hospital in Shanghai,with energy simulation software TRNSYS,detailed application of this method is introduced and analyzed. The method is applied to the case of energy-saving quantity assessment to a hospital in Shanghai before and after retrofitting with the energy simulation software TRNSYS.
文摘Based on analysis of the present hydraulic impactor, a new hydraulic impactor with pressure feedback control was developed, whose structure and operation principle were introduced. The results show that the pressure of the impact system can be adjusted steplessly to change the impact energy of the impactor steplessly. By adjusting the oil flow of supply pump steplessly, the impact frequency will also be changed steplessly. So the impact energy and frequency of the new impactor can be adjusted independently and steplessly. In order to decrease the energy loss, a new kind of sleeve valve has been designed, which has features of little leakage, little pressure loss and low energy cost. The new type hydraulic impactor can be operated under various conditions with decreased energy consumption and improved operation efficiency.
文摘The General Customs Administration issued a circular statingthat,based upon a decision of the State Council,in 1997 someimport and export tariff rates would be adjusted.The major con-tents of the circular are the adjustment of the import tariff rates of 4tariff lines of commodities and items under 124 tariff lines;theelimination of the export tariffs for 14 tariff lines of commodities,addition of export tariff rates for 2 kinds of precious metals andimposition of provisional export tariff rates for 4 kinds of corn-
文摘The increasing penetration of wind power presents many technical challenges to power system operations. An important challenge is the need of voltage control to maintain the terminal voltage of a wind plant to make it a PV bus like conventional generators with excitation control. In the previous work for controlling wind plant, especially the Doubly Fed Induction Generator (DFIG) system, the proportional-integral (PI) controllers are popularly applied. These approaches usually need to tune the PI controllers to obtain control gains as a tradeoff or compromise among various operating conditions. In this paper, a new voltage control approach based on a different philosophy is presented. In the proposed approach, the PI control gains for the DFIG system are dynamically adjusted based on the dynamic, continuous sensitivity which essentially indicates the dynamic relationship between the change of control gains and the desired output voltage. Hence, this control approach does not require any good estimation of fixed control gains because it has the self-learning mechanism via the dynamic sensitivity. This also gives the plug-and-play feature of DFIG controllers to make it promising in utility practices. Simulation results verify that the proposed approach performs as expected under various operating conditions.
文摘The pavement strength is very important for the evaluation of backlog maintenance. The current trend in many developing countries used pavement conditions index-PCI in estimating maintenance costs. The PCI can only justify periodic and routine recurrent maintenance. The condition strength is rarely determined in a flexible pavement creating an opportunity for back long maintenance. This paper reports the study conducted to develop and improve the algorithm for estimating the adjusted structure number to estimate the remaining thickness of the flexible pavement. The analysis of eight ways of computing structure numbers from FWD data ware analyzed and found that the improvement of the HDM 3 - 4 models can influence the usefulness of data collected from road asset management in Tanzania. The algorithm for estimating structural numbers from CBR was improved to compute adjusted structural numbers finally used to estimate the remaining life of the flexible pavement. The analysis of the network of about 6900 km including ST and AM was found that 64.72% were very good, 12% were Good, 10% were fair and 7.84% were poor and 5.4% were very poor.
文摘Since October 2008,China's social consumption of electricity had,for the first time,grown negatively compared to the same period of the previous year,and in November the negative growth range further expanded. The major pressure faced by the electricity industry has now turned from the contradiction between coal and electricity to electricity quantity. This is undoubtedly a true and new test to electricity enterprises which get used to high growth but are now suffering great losses. The reform of electricity system has already been in great difficulties and now is getting into a more serious situation. In order to help readers improve their knowledge and understanding of the current tough situation faced by the electricity industry and discuss how to alleviate and get through the difficulty resulted from the economic crisis "encountered once every one hundred years" by joint efforts of all parties concerned,a Seminar on Crisis and Countermeasures for Electricity Industry was held on November 20,2008. Here are some extracts from the speeches of four experts.
文摘The tentative tariff rate for partial import and export products was adjusted since November 1^(st) of 2006.Total 58 imported commodities will be imposed lower tentative
基金supported by the National Key Research and Development Program of China(No.2018YFC0213905)National Natural Science Foundation of China(Nos.91744310and 41805068)Natural Science Foundation of Guangdong Province(No.2018A030310654)
文摘The conventional Ensemble Kalman filter(EnKF),which is now widely used to calibrate emission inventories and to improve air quality simulations,is susceptible to simulation errors of meteorological inputs,making accurate updates of high temporal-resolution emission inventories challenging.In this study,we developed a novel meteorologically adjusted inversion method(MAEInv)based on the EnKF to improve daily emission estimations.The new method combines sensitivity analysis and bias correction to alleviate the inversion biases caused by errors of meteorological inputs.For demonstration,we used the MAEInv to inverse daily carbon monoxide(CO)emissions in the Pearl River Delta(PRD)region,China.In the case study,60%of the total CO simulation biases were associated with sensitive meteorological inputs,which would lead to the overestimation of daily variations of posterior emissions.Using the new inversion method,daily variations of emissions shrank dramatically,with the percentage change decreased by 30%.Also,the total amount of posterior CO emissions estimated by the MAEInv decreased by 14%,indicating that posterior CO emissions might be overestimated using the conventional EnKF.Model evaluations using independent observations revealed that daily CO emissions estimated by MAEInv better reproduce the magnitude and temporal patterns of ambient CO concentration,with a higher correlation coefficient(R,+37.0%)and lower normalized mean bias(NMB,-17.9%).Since errors of meteorological inputs are major sources of simulation biases for both low-reactive and reactive pollutants,the MAEInv is also applicable to improve the daily emission inversions of reactive pollutants.
基金Project supported by the National Key Research and Development Program of China(Grant Nos.2017YFB0405700 and 2016YFB0400400)the Young Scientists Fund of the National Natural Science Foundation of China(Grant Nos.51602331 and 61404146)the Shanghai Science and Technology Innovation Action Plan Program,China(Grant No.17511106200)
文摘This paper reports the sensitive effect of photoluminescence peak intensity and transmittance affected by B, Al, and N dopants in fluorescent 4H-SiC single crystals. The crystalline type, doping concentration, photoluminescence spectra,and transmission spectra were characterized at room temperature. It is found that the doped 4H-SiC single crystal emits a warm white light covering a wide range from 460 nm to 720 nm, and the transmittance increases from ~10% to ~60%with the fluctuation of B, Al, and N ternary dopants. With a parameter of C_(D-A), defined by B, Al, and N concentration, the photoluminescence and transmittance properties can be adjusted by optimal doping regulation.
基金supported by the UIC Research Grants with No.of(R201912 and R202010)the Curriculum Development and Teaching Enhancement with No.of(UICR0400046-21CTL)+1 种基金the Guangdong Provincial Key Laboratory of Interdisciplinary Research and Application for Data Science,BNU-HKBU United International College with No.of(2022B1212010006)Guangdong Higher Education Upgrading Plan(2021-2025)with No.of(UICR0400001-22).
文摘A uniform experimental design(UED)is an extremely used powerful and efficient methodology for designing experiments with high-dimensional inputs,limited resources and unknown underlying models.A UED enjoys the following two significant advantages:(i)It is a robust design,since it does not require to specify a model before experimenters conduct their experiments;and(ii)it provides uniformly scatter design points in the experimental domain,thus it gives a good representation of this domain with fewer experimental trials(runs).Many real-life experiments involve hundreds or thousands of active factors and thus large UEDs are needed.Constructing large UEDs using the existing techniques is an NP-hard problem,an extremely time-consuming heuristic search process and a satisfactory result is not guaranteed.This paper presents a new effective and easy technique,adjusted Gray map technique(AGMT),for constructing(nearly)UEDs with large numbers of four-level factors and runs by converting designs with s two-level factors and n runs to(nearly)UEDs with 2^(t−1)s four-level factors and 2tn runs for any t≥0 using two simple transformation functions.Theoretical justifications for the uniformity of the resulting four-level designs are given,which provide some necessary and/or sufficient conditions for obtaining(nearly)uniform four-level designs.The results show that the AGMT is much easier and better than the existing widely used techniques and it can be effectively used to simply generate new recommended large(nearly)UEDs with four-level factors.
基金supported by the National Natural Science Foundation of China(22122504,22235006)Foundation of Hubei Scientific Committee(2022BAA015 and 2022EHB010).
文摘Conformational flexibility is essential to the stimuli-responsive property of organic materials,but achieving the reversible molecular transformation is still challenging in functional materials for the high energy barriers and restriction by intermolecular interactions.Herein,through the incorporation of various steric hindrances into phenothiazine derivatives with different positions and quantities to tune the molecular conformations by adjustable repulsive forces,the folded angles gradually changed from 180°to 90°in 17 compounds.When the angle located at 112°with moderated steric effect,dynamic and reversible transformation of conformations under mechanical force has been achieved for the low energy barriers and mutually regulated molecular motions,resulting in both selfrecoverable and stimuli-responsive phosphorescence properties for the first time.It opened up a new way to realize the self-recovery property of organic materials,which can facilitate the multi-functional property of smart materials with the opened avenue for other fields with inspiration.
基金Supported by Qingdao Key Medical and Health Discipline Project(2025060)Qingdao Municipal Science and Technology Special Program for the Public(23-2-8-smjk-18-nsh)+1 种基金Shandong Public Health Association Program(No.SGWXH202303)Qingdao Outstanding Health Professional Development(2020-2022.2022-2024)。
文摘Stroke is the third-leading cause of disabilityadjusted life years(DALYs)and poses a significant public health challenge worldwide~([1]).Developing countries,including China,continue to face a substantial burden from stroke.Since 1990,China has reported the highest global stroke burden,with 2.19 million deaths and 45.9 million DALYs recorded in 2019~([2]).
