LANXESS AG has appointed Natalie Chen asGeneral Manager of LANXESS Specialty ChemicalsCompany Limited, Jinshan, Shanghai.The company is a legal entity newly establishedin September 2008 following the successfulacquisi...LANXESS AG has appointed Natalie Chen asGeneral Manager of LANXESS Specialty ChemicalsCompany Limited, Jinshan, Shanghai.The company is a legal entity newly establishedin September 2008 following the successfulacquisition of the plant in Jinshan-the largestand most modem plant for yellow iron oxide pigmentsin China. It is a 100% subsidiary ofLANXESS Shanghai Pigments CompanyLimited.展开更多
CNOOC Ltd.announces it has appointed Mr.Yang Hua as its new Chief Executive Officer andnew Vice Chairman of the Board, effective September16th, 2010.Mr.Yang will resign fromthe role of President and Chief Financial Of...CNOOC Ltd.announces it has appointed Mr.Yang Hua as its new Chief Executive Officer andnew Vice Chairman of the Board, effective September16th, 2010.Mr.Yang will resign fromthe role of President and Chief Financial Officerof the company.Also, CNOOC Ltd.appointsMr.Li Fanrong as new President.展开更多
Ubiquitous contamination of the soil environment with volatile organic compounds(VOCs)has raised considerable concerns.However,there is still limited comprehensive surveying of soil VOCs on a national scale.Herein,65 ...Ubiquitous contamination of the soil environment with volatile organic compounds(VOCs)has raised considerable concerns.However,there is still limited comprehensive surveying of soil VOCs on a national scale.Herein,65 species of VOCswere simultaneously determined in surface soil samples collected from 63 chemical industrial parks(CIPs)across China.The results showed that the total VOC concentrations ranged from 7.15 to 1842 ng/g with a mean concentration of 326 ng/g(median:179 ng/g).Benzene homologs and halogenated hydrocarbons were identified as the dominant contaminant groups.Positive correlations between many VOC species indicated that these compounds probably originated from similar sources.Spatially,the hotspots of VOC pollution were located in eastern and southern China.Soils with higher clay content and a higher fraction of total organic carbon(TOC)content were significantly associated with higher soil VOC concentrations.Precipitation reduces the levels of highly water-soluble substances in surface soils.Both positive matrix factorization(PMF)and principal component analysis-multiple linear regression(PCA-MLR)identified a high proportion of industrial sources(PMF:59.2%and PCA-MLR:66.5%)and traffic emission sources(PMF:32.3%and PCA-MLR:33.5%).PMF,which had a higher R^(2) value(0.7892)than PCA-MLR(0.7683),was the preferred model for quantitative source analysis of soil VOCs.The health risk assessment indicated that the non-carcinogenic and carcinogenic risks of VOCs were at acceptable levels.Overall,this study provides valuable data on the occurrence of VOCs in soil from Chinese CIPs,which is essential for a comprehensive understanding of their environmental behavior.展开更多
Background:Telehealth has emerged as a powerful tool for managing chronic diseases and mental health conditions,offering increased access to care and improved patient outcomes.However,inequities in digital connectivit...Background:Telehealth has emerged as a powerful tool for managing chronic diseases and mental health conditions,offering increased access to care and improved patient outcomes.However,inequities in digital connectivity and technological resources have created significant disparities in access to these potentially life-changing services,disproportionately impacting marginalized and minoritized communities across the globe.Methods:Data on 473,716 telehealth encounters occurring between January 1,2022,and June 30,2023 were retrieved from the electronic health records(EHR)system used by University Hospitals.These encounters were classified into three groups:attended,canceled,and no-show.Relative risk was calculated based on age,sex,and race,and a multivariate linear regression was performed with age,sex,and race as inputs,to determine their effect on the encounter outcome.Results:Our analysis identified significant differences in relative risk between demographic groups.Patients 20-39 years of age had a high relative risk of cancellation and no-show,and Black patients demonstrated the highest relative risk for cancellation and no-show.The regression analysis illustrated a statistically significant link between no-shows and patients with a cellular plan with no other internet subscription(p<0.001),smartphone ownership(p<0.001),and not having a computer(p<0.05).Conclusions:This study highlights the clinical repercussions of the digital divide,as patients relying on a mobile phone and data plan to attend telehealth visits were more likely to no-show.Current disparities in digital connectivity for historically marginalized populations heightens the risk of creating a digital underclass.There is evidence this study may be applicable in multiple countries across the world.Further research on the causes of the observed no-shows is necessary to ensure equitable delivery of digital healthcare services.展开更多
In a deeply aging society,the appointed guardianship system,as an important arrangement for the protection of the rights and interests of the elderly,still faces many practical difficulties.Typical examples include:du...In a deeply aging society,the appointed guardianship system,as an important arrangement for the protection of the rights and interests of the elderly,still faces many practical difficulties.Typical examples include:during the decision-making stage of whether to choose appointed guardianship,the lack of professionalism and availability of appointed guardians can easily hinder the elderly from choosing to apply it;during the establishment stage of appointed guardianship,the limited rules related to the appointed guardianship agreement can easily lead to the frustration of the elderly’s subjective will;during the operation stage of appointed guardianship,the insufficient accountability mechanisms for appointed guardians can easily lead to the infringement of the personal or property rights of the elderly.By reflecting on its jurisprudential causes,it can be found that the current law largely ignores the orientation of appointed guardianship as a welfare for the elderly in social law,the concept of substantive equality in the appointed guardianship agreement,and the theoretical attributes of the appointed guardianship as a fiduciary relationship.Therefore,the appointed guardianship system in China should be systematically improved to fully release its institutional potential in the protection of the rights and interests of the elderly based on these jurisprudential principles.In particular,it is possible to consider actively promoting the“trust+appointed guardianship”model and cultivating a team of appointed guardians by the state based on the concept of elderly welfare;strengthening the protection of notarization procedures and the reasonable design of the appointed guardianship agreement based on the concept of substantive equality;and refining the fiduciary standards of appointed guardians and strengthening guardianship supervision based on the nature of fiduciary relationship.展开更多
The COVID-19 pandemic has raised awareness about various environmental issues,includ-ing PM_(2.5) pollution.Here,PM_(2.5) pollution during the COVID-19 lockdown was traced and an-alyzed to clarify the sources and fact...The COVID-19 pandemic has raised awareness about various environmental issues,includ-ing PM_(2.5) pollution.Here,PM_(2.5) pollution during the COVID-19 lockdown was traced and an-alyzed to clarify the sources and factors influencing PM_(2.5) in Guangzhou,with an emphasis on heavy pollution.The lockdown led to large reductions in industrial and traffic emissions,which significantly reduced PM_(2.5) concentrations in Guangzhou.Interestingly,the trend of PM_(2.5) concentrations was not consistent with traffic and industrial emissions,as minimum concentrations were observed in the fourth period(3/01-3/31,22.45 μg/m^(3))of the lockdown.However,the concentrations of other gaseous pollutants,e.g.,SO_(2),NO_(2) and CO,were corre-lated with industrial and traffic emissions,and the lowest values were noticed in the sec-ond period(1/24-2/0_(3))of the lockdown.Meteorological correlation analysis revealed that the decreased PM_(2.5) concentrations during COVID-19 can be mainly attributed to decreased in-dustrial and traffic emissions rather than meteorological conditions.When meteorological factors were included in the PM_(2.5) composition and backward trajectory analyses,we found that long-distance transportation and secondary pollution offset the reduction of primary emissions in the second and third stages of the pandemic.Notably,industrial PM_(2.5) emis-sions from western,southern and southeastern Guangzhou play an important role in the formation of heavy pollution events.Our results not only verify the importance of control-ling traffic and industrial emissions,but also provide targets for further improvements in PM_(2.5) pollution.展开更多
To gain a comprehensive understanding of sources and health risks of trace elements in an area of China with high population densities and low PM_(2.5)concentrations,15 trace elements(Al,K,Ca,Ti,V,Cr,Mn,Fe,Ni,Cu,Zn,As...To gain a comprehensive understanding of sources and health risks of trace elements in an area of China with high population densities and low PM_(2.5)concentrations,15 trace elements(Al,K,Ca,Ti,V,Cr,Mn,Fe,Ni,Cu,Zn,As,Sn,Ba,Pb)in PM_(2.5)were monitored from December 2020 to November 2021 in a representative city,Xiamen.The concentrations of trace elements in Xiamen displayed an obvious seasonal variation and were dominated by K,Fe,Al,Ca and Zn.Based on Positive Matrix Factorization analysis,source appointment revealed that the major sources of trace elements in Xiamen were traffic,dust,biomass and firework combustion,industrial manufacture and shipping emission.According to health risk assessment combined with the source appointment results,it indicated that the average noncarcinogenic risk was below the threshold and cancer risk of four hazardous metals(Cr,Ni,As,Pb)exceeded the threshold(10^(-6)).Traffic-related source had almost half amount of contribution to the health risk induced by PM_(2.5)-bound trace elements.During the dust transport period or Spring Festival period,the health risks exceeded an acceptable threshold even an order of magnitude higher,suggesting that the serious health risks still existed in low PM_(2.5)environment at certain times.Health risk assessment reminded that the health risk reduction in PM_(2.5)at southeastern China should prioritize traffic-related hazardous trace elements and highlighted the importance of controlling vehicles emissions in the future.展开更多
An appointment scheduling problem is studied with the consideration of customer impatience.On the assumption that both the time of leaving queue and the time of service are exponentially distributed,in order to minimi...An appointment scheduling problem is studied with the consideration of customer impatience.On the assumption that both the time of leaving queue and the time of service are exponentially distributed,in order to minimize the joint cost,the optimal appointment schedule of the fixed number of customers is studied.The joint cost function is composed of customers expected delay time and service availability time.The expected delay time of each customer in the queue is recursively computed in terms of customer interarrival time.Furthermore,the effect of impatience on the optimal schedule as well as the total operating cost is studied.The results show that as the impatience rate increases,the optimal interarrival time becomes shorter and the interarrival time of the last few customers gradually approaches that of the customers in the middle.In addition,impatient behaviors can increase the joint cost.展开更多
Objectives: While the value of glycemic control to minimize adverse health outcomes among patients with diabetes is clear, achieving hemoglobin A1c (A1c) goals remain a challenge. We evaluated the use of financial inc...Objectives: While the value of glycemic control to minimize adverse health outcomes among patients with diabetes is clear, achieving hemoglobin A1c (A1c) goals remain a challenge. We evaluated the use of financial incentives to increase enrollment and improve glycemic control among patients invited to participate in a monthly diabetes group appointment (DGA) as part of their enrollment in DaVita HealthCare Partners, a large southern California managed care organization. Methods: Adult diabetes patients (≥18 years) with a currently uncontrolled hemoglobin A1c level (>8.0% if 9.0% if ≥ 65 years) were randomized to 1) no DGA, 2) DGA with no financial incentives (non-incentive DGA) or 3) DGA with financial incentives (incentive DGA). Results: Nine sites among four regions of the greater Los Angeles area participated. Each site offered one non-incentive DGA and one incentive DGA. Over 1500 patients were identified for recruitment and at the peak of enrollment, 299 patients were enrolled in 18 DGAs. On average, hemoglobin A1c values dropped more for patients participating in the incentive DGA (9.9% to 8.7%, -1.2%) versus non-incentive DGA (9.7% to 9.0%, -0.7%) versus no DGA group (9.1% to 8.7%, -0.4%). Several unexpected implementation challenges arose which complicated evaluation but provide important learning lessons. Conclusions: Management of chronic diseases like diabetes is challenging for patients and the primary care system alike. Continuing to implement and evaluate programs under “real-world” conditions can provide further insight into how best to support patients with diabetes and their primary care teams in order to achieve glycemic control and avoid preventable complications.展开更多
大多数形容词,具有三种主要用法:作前置定语、后置定语和表语。一般来说,作前置定语的形容词表示限制意义,作后置定语或表语的形容词表示描绘意义,有时同一个形容词在不同的位置上具有不同的词义。本文试结合一些常见的形容词来说明其...大多数形容词,具有三种主要用法:作前置定语、后置定语和表语。一般来说,作前置定语的形容词表示限制意义,作后置定语或表语的形容词表示描绘意义,有时同一个形容词在不同的位置上具有不同的词义。本文试结合一些常见的形容词来说明其位置对意义的影响。 1.alive (1)作前置定语时作“active,fuul of life”展开更多
Artificial intelligence (AI) is revolutionizing the healthcare sector worldwide. In Morocco, several AI applications are being deployed in public and private healthcare establishments, improving appointment management...Artificial intelligence (AI) is revolutionizing the healthcare sector worldwide. In Morocco, several AI applications are being deployed in public and private healthcare establishments, improving appointment management, surgical operations, diagnostics, patient record tracking, biology and radiology, and OR organization. This article explores the main AI applications used in the Moroccan healthcare sector, their frequency of use, the types of establishments adopting them, as well as the main functionalities of each application and its contribution to the sector. The aim of this study is to analyze the impact of the main AI applications on quality of care and process efficiency in Moroccan healthcare facilities. This research focuses on several fundamental questions: Which AI applications are most frequently used? What types of establishments are adopting these technologies, and for which specific functionalities? What are the benefits and challenges of integrating AI into the Moroccan healthcare system, particularly in terms of territorial distribution and accessibility? The methodology is based on a quantitative analysis of data collected from selected healthcare establishments, combined with studies of reports from public health authorities and a sweep of their websites. The results show that 45% of hospitals use AI systems for appointment scheduling and 30% for medical diagnosis. The use of surgical robots, such as the Da Vinci system, increased by 30% between 2020 and 2024. Comparisons with other emerging countries highlight Morocco’s acceptable advances, while underlining the challenges, particularly in terms of the territorial distribution of these technological infrastructures generally centralized in the country’s major cities.展开更多
Prof.James M.Tiedje,University Distinguished Professor and Director of the Center for Microbial Ecology at Michigan State University,Academician of the American Academy of Sciences,has been appointed as an Honorary Ed...Prof.James M.Tiedje,University Distinguished Professor and Director of the Center for Microbial Ecology at Michigan State University,Academician of the American Academy of Sciences,has been appointed as an Honorary Editor-in-Chief of Pedosphere.Prof.展开更多
With the development of information and communication technologies,all public tertiary hospitals in China began to use online outpatient appointment systems.However,the phenomenon of patient no-shows in online outpati...With the development of information and communication technologies,all public tertiary hospitals in China began to use online outpatient appointment systems.However,the phenomenon of patient no-shows in online outpatient appointments is becoming more serious.The objective of this study is to design a prediction model for patient no-shows,thereby assisting hospitals in making relevant decisions,and reducing the probability of patient no-show behavior.We used 382,004 original online outpatient appointment records,and divided the data set into a training set(N_(1)=286,503),and a validation set(N_(2)=95,501).We used machine learning algorithms such as logistic regression,k-nearest neighbor(KNN),boosting,decision tree(DT),random forest(RF)and bagging to design prediction models for patient no-show in online outpatient appointments.The patient no-show rate of online outpatient appointment was 11.1%(N=42,224).From the validation set,bagging had the highest area under the ROC curve and AUC value,which was 0.990,followed by random forest and boosting models,which were 0.987 and 0.976,respectively.In contrast,compared with the previous prediction models,the area under ROC and AUC values of the logistic regression,decision tree,and k-nearest neighbors were lower at 0.597,0.499 and 0.843,respectively.This study demonstrates the possibility of using data from multiple sources to predict patient no-shows.The prediction model results can provide decision basis for hospitals to reduce medical resource waste,develop effective outpatient appointment policies,and optimize operations.展开更多
We conducted a simultaneous field study of PM_(2.5)-bound particulate polycyclic aromatic hydrocarbons(PAHs)and aromatic acids(AAs)in a polluted city Zhengzhou to explore the concentration,sources and potential conver...We conducted a simultaneous field study of PM_(2.5)-bound particulate polycyclic aromatic hydrocarbons(PAHs)and aromatic acids(AAs)in a polluted city Zhengzhou to explore the concentration,sources and potential conversion pathways between PAHs and AAs in different seasons.The average concentrations of PM_(2.5),28PAHs and 8AAs during the sampling period were 77μg/m^(3),75 ng/m^(3),and 283 ng/m^(3),respectively.The concentration of both28PAHs and 8AAs were highest in winter and lowest in summer with ratios of 6.3 and 2.3,respectively.PAHs with 5-7 rings were the main components of PAHs(52%),followed by 4rings PAHs(30%)and 2-3 rings PAHs(18%).According to the source appointment results obtained by positive matrix factorization,the main sources of PAHs were combustion and vehicle emissions,which account for 37%and 34%,respectively.8AAs were divided into three groups,including four benzene dicarboxylic acids(B2CAs),three benzene tricarboxylic acids(B3CAs)and one benzene tetracarboxylic acid(B4CA).And interspecies correlation analysis with PM_(2.5)source markers were used to investigate potential sources.Phthalic acid(o-Ph)was the most abundant specie of 8AAs(157 ng/m^(3),55%of 8AAs),which was well correlated with sulfate.Meanwhile,B3CAs and B4CA were highly correlated with sulfate and weakly correlated with levoglucosan,suggesting that secondary formation was their main source.As logical oxidation products of PAHs,o-Ph and B3CAs showed good correlations with a number of PAHs,indicating possible photochemical oxidation pathway by PAHs.In addition,O_(3),NO_(2),temperature and relative humidity have positive effects on the secondary formation of B3CAs.展开更多
On August 19, Acting Soviet President Gennady Yanayev ordered a state of emergency in Moscow. Yansyev declared a six-month state of emergency in the Soviet Union. Minutes laten, the State Committee for the State of Em...On August 19, Acting Soviet President Gennady Yanayev ordered a state of emergency in Moscow. Yansyev declared a six-month state of emergency in the Soviet Union. Minutes laten, the State Committee for the State of Emergency was announcea to have been set up to govern the whole country. On August 22, Soviet President Mikhail Gorbachev appointed some new ministers after he was back in full control of the situation in the country. Criminal suits have been brought against all the members of展开更多
We are very pleased to announce that we have invited Dr. Xue-Long JIANG to serve as the Associate Editor-in-Chief for Zoological Research （ZR）, effective from 1 March, 2016. Dr. JIANG, Professor and principle invest...We are very pleased to announce that we have invited Dr. Xue-Long JIANG to serve as the Associate Editor-in-Chief for Zoological Research （ZR）, effective from 1 March, 2016. Dr. JIANG, Professor and principle investigator from the Laboratory of Mammal Ecology and Evolution, Kunming Institute of Zoology, Chinese Academy of Sciences, has worked with ZR since 2006 as a member of the editorial board and has played an active and important role in maintaining ZR as a respected academic publishing platform. Currently, he also works as the Associate Editor-in-Chief of Acta Thefiologica Sinica, Mammal Research and as a senior editorial board member of Biodiversity Science.展开更多
This paper addresses a geometric control algorithm for the attitude tracking problem of the rigid spacecraft modeled on SO(3).Considering the topological and geometric properties of SO(3),we introduced a smooth positi...This paper addresses a geometric control algorithm for the attitude tracking problem of the rigid spacecraft modeled on SO(3).Considering the topological and geometric properties of SO(3),we introduced a smooth positive attitude error function to convert the attitude tracking issue on SO(3)into the stabilization counterpart on its Lie algebra.The error transformation technique was further utilized to ensure the assigned transient and steady state performance of the attitude tracking error with the aid of a well⁃designed assigned⁃time performance function.Then,using the actor⁃critic(AC)neural architecture,an adaptive reinforcement learning approximator was constructed,in which the actor neural network(NN)was utilized to approximate the unknown nonlinearity online.A critic function was introduced to tune the next phase of the actor neural network operation for performance improvement via supervising the system performance.A rigorous stability analysis was presented to show that the assigned system performance can be achieved.Finally,the effectiveness and feasibility of the constructed control strategy was verified by the numerical simulation.展开更多
文摘LANXESS AG has appointed Natalie Chen asGeneral Manager of LANXESS Specialty ChemicalsCompany Limited, Jinshan, Shanghai.The company is a legal entity newly establishedin September 2008 following the successfulacquisition of the plant in Jinshan-the largestand most modem plant for yellow iron oxide pigmentsin China. It is a 100% subsidiary ofLANXESS Shanghai Pigments CompanyLimited.
文摘CNOOC Ltd.announces it has appointed Mr.Yang Hua as its new Chief Executive Officer andnew Vice Chairman of the Board, effective September16th, 2010.Mr.Yang will resign fromthe role of President and Chief Financial Officerof the company.Also, CNOOC Ltd.appointsMr.Li Fanrong as new President.
基金supported by the Medical and Health Projects in Zhejiang Province(No.2022PY049)the Basic Scientific Research Project of Hangzhou Medical College(No.YS2021006)Key Discipline of Zhejiang Province in Public Health and Preventive Medicine(First Class,Category A),Hangzhou Medical College.
文摘Ubiquitous contamination of the soil environment with volatile organic compounds(VOCs)has raised considerable concerns.However,there is still limited comprehensive surveying of soil VOCs on a national scale.Herein,65 species of VOCswere simultaneously determined in surface soil samples collected from 63 chemical industrial parks(CIPs)across China.The results showed that the total VOC concentrations ranged from 7.15 to 1842 ng/g with a mean concentration of 326 ng/g(median:179 ng/g).Benzene homologs and halogenated hydrocarbons were identified as the dominant contaminant groups.Positive correlations between many VOC species indicated that these compounds probably originated from similar sources.Spatially,the hotspots of VOC pollution were located in eastern and southern China.Soils with higher clay content and a higher fraction of total organic carbon(TOC)content were significantly associated with higher soil VOC concentrations.Precipitation reduces the levels of highly water-soluble substances in surface soils.Both positive matrix factorization(PMF)and principal component analysis-multiple linear regression(PCA-MLR)identified a high proportion of industrial sources(PMF:59.2%and PCA-MLR:66.5%)and traffic emission sources(PMF:32.3%and PCA-MLR:33.5%).PMF,which had a higher R^(2) value(0.7892)than PCA-MLR(0.7683),was the preferred model for quantitative source analysis of soil VOCs.The health risk assessment indicated that the non-carcinogenic and carcinogenic risks of VOCs were at acceptable levels.Overall,this study provides valuable data on the occurrence of VOCs in soil from Chinese CIPs,which is essential for a comprehensive understanding of their environmental behavior.
文摘Background:Telehealth has emerged as a powerful tool for managing chronic diseases and mental health conditions,offering increased access to care and improved patient outcomes.However,inequities in digital connectivity and technological resources have created significant disparities in access to these potentially life-changing services,disproportionately impacting marginalized and minoritized communities across the globe.Methods:Data on 473,716 telehealth encounters occurring between January 1,2022,and June 30,2023 were retrieved from the electronic health records(EHR)system used by University Hospitals.These encounters were classified into three groups:attended,canceled,and no-show.Relative risk was calculated based on age,sex,and race,and a multivariate linear regression was performed with age,sex,and race as inputs,to determine their effect on the encounter outcome.Results:Our analysis identified significant differences in relative risk between demographic groups.Patients 20-39 years of age had a high relative risk of cancellation and no-show,and Black patients demonstrated the highest relative risk for cancellation and no-show.The regression analysis illustrated a statistically significant link between no-shows and patients with a cellular plan with no other internet subscription(p<0.001),smartphone ownership(p<0.001),and not having a computer(p<0.05).Conclusions:This study highlights the clinical repercussions of the digital divide,as patients relying on a mobile phone and data plan to attend telehealth visits were more likely to no-show.Current disparities in digital connectivity for historically marginalized populations heightens the risk of creating a digital underclass.There is evidence this study may be applicable in multiple countries across the world.Further research on the causes of the observed no-shows is necessary to ensure equitable delivery of digital healthcare services.
基金the National Social Science Fund of China Youth Project“Research on the Application Dilemma and Solutions of the Appointed Guardianship Clauses in the Civil Code”(Project Approval Number 20CFX075).
文摘In a deeply aging society,the appointed guardianship system,as an important arrangement for the protection of the rights and interests of the elderly,still faces many practical difficulties.Typical examples include:during the decision-making stage of whether to choose appointed guardianship,the lack of professionalism and availability of appointed guardians can easily hinder the elderly from choosing to apply it;during the establishment stage of appointed guardianship,the limited rules related to the appointed guardianship agreement can easily lead to the frustration of the elderly’s subjective will;during the operation stage of appointed guardianship,the insufficient accountability mechanisms for appointed guardians can easily lead to the infringement of the personal or property rights of the elderly.By reflecting on its jurisprudential causes,it can be found that the current law largely ignores the orientation of appointed guardianship as a welfare for the elderly in social law,the concept of substantive equality in the appointed guardianship agreement,and the theoretical attributes of the appointed guardianship as a fiduciary relationship.Therefore,the appointed guardianship system in China should be systematically improved to fully release its institutional potential in the protection of the rights and interests of the elderly based on these jurisprudential principles.In particular,it is possible to consider actively promoting the“trust+appointed guardianship”model and cultivating a team of appointed guardians by the state based on the concept of elderly welfare;strengthening the protection of notarization procedures and the reasonable design of the appointed guardianship agreement based on the concept of substantive equality;and refining the fiduciary standards of appointed guardians and strengthening guardianship supervision based on the nature of fiduciary relationship.
基金This work was supported by the National Natural Science Foundation of China(Nos.21806025 and 91843301)the Natural Science Foundation of Guangdong Province(No.2019A1515011294)+1 种基金the Science and Technology Planning Project of Guangdong Province(No.2020B1212030008)the National Key Research and Development Project(No.2019YFC1804604).
文摘The COVID-19 pandemic has raised awareness about various environmental issues,includ-ing PM_(2.5) pollution.Here,PM_(2.5) pollution during the COVID-19 lockdown was traced and an-alyzed to clarify the sources and factors influencing PM_(2.5) in Guangzhou,with an emphasis on heavy pollution.The lockdown led to large reductions in industrial and traffic emissions,which significantly reduced PM_(2.5) concentrations in Guangzhou.Interestingly,the trend of PM_(2.5) concentrations was not consistent with traffic and industrial emissions,as minimum concentrations were observed in the fourth period(3/01-3/31,22.45 μg/m^(3))of the lockdown.However,the concentrations of other gaseous pollutants,e.g.,SO_(2),NO_(2) and CO,were corre-lated with industrial and traffic emissions,and the lowest values were noticed in the sec-ond period(1/24-2/0_(3))of the lockdown.Meteorological correlation analysis revealed that the decreased PM_(2.5) concentrations during COVID-19 can be mainly attributed to decreased in-dustrial and traffic emissions rather than meteorological conditions.When meteorological factors were included in the PM_(2.5) composition and backward trajectory analyses,we found that long-distance transportation and secondary pollution offset the reduction of primary emissions in the second and third stages of the pandemic.Notably,industrial PM_(2.5) emis-sions from western,southern and southeastern Guangzhou play an important role in the formation of heavy pollution events.Our results not only verify the importance of control-ling traffic and industrial emissions,but also provide targets for further improvements in PM_(2.5) pollution.
基金supported by the National Natural Science Foundation of China(No.U22A20578)the Science and Technology Department of Fujian Province(No.2022L3025)+3 种基金the Center for Excellence in Regional Atmospheric Environment Project(No.E0L1B20201)the Chaozhou Science and Technology Plan Project(No.2018GY03)Xiamen Atmospheric Environment Observation and Research Station of Fujian ProvinceFujian Key Laboratory of Atmospheric Ozone Pollution Prevention(Institute of Urban Environment,Chinese Academy of Sciences)。
文摘To gain a comprehensive understanding of sources and health risks of trace elements in an area of China with high population densities and low PM_(2.5)concentrations,15 trace elements(Al,K,Ca,Ti,V,Cr,Mn,Fe,Ni,Cu,Zn,As,Sn,Ba,Pb)in PM_(2.5)were monitored from December 2020 to November 2021 in a representative city,Xiamen.The concentrations of trace elements in Xiamen displayed an obvious seasonal variation and were dominated by K,Fe,Al,Ca and Zn.Based on Positive Matrix Factorization analysis,source appointment revealed that the major sources of trace elements in Xiamen were traffic,dust,biomass and firework combustion,industrial manufacture and shipping emission.According to health risk assessment combined with the source appointment results,it indicated that the average noncarcinogenic risk was below the threshold and cancer risk of four hazardous metals(Cr,Ni,As,Pb)exceeded the threshold(10^(-6)).Traffic-related source had almost half amount of contribution to the health risk induced by PM_(2.5)-bound trace elements.During the dust transport period or Spring Festival period,the health risks exceeded an acceptable threshold even an order of magnitude higher,suggesting that the serious health risks still existed in low PM_(2.5)environment at certain times.Health risk assessment reminded that the health risk reduction in PM_(2.5)at southeastern China should prioritize traffic-related hazardous trace elements and highlighted the importance of controlling vehicles emissions in the future.
基金The National Natural Science Foundation of China(No.71671036)the Scientific Innovation Research of Graduate Students in Jiangsu Province(No.KYLX_0211)
文摘An appointment scheduling problem is studied with the consideration of customer impatience.On the assumption that both the time of leaving queue and the time of service are exponentially distributed,in order to minimize the joint cost,the optimal appointment schedule of the fixed number of customers is studied.The joint cost function is composed of customers expected delay time and service availability time.The expected delay time of each customer in the queue is recursively computed in terms of customer interarrival time.Furthermore,the effect of impatience on the optimal schedule as well as the total operating cost is studied.The results show that as the impatience rate increases,the optimal interarrival time becomes shorter and the interarrival time of the last few customers gradually approaches that of the customers in the middle.In addition,impatient behaviors can increase the joint cost.
文摘Objectives: While the value of glycemic control to minimize adverse health outcomes among patients with diabetes is clear, achieving hemoglobin A1c (A1c) goals remain a challenge. We evaluated the use of financial incentives to increase enrollment and improve glycemic control among patients invited to participate in a monthly diabetes group appointment (DGA) as part of their enrollment in DaVita HealthCare Partners, a large southern California managed care organization. Methods: Adult diabetes patients (≥18 years) with a currently uncontrolled hemoglobin A1c level (>8.0% if 9.0% if ≥ 65 years) were randomized to 1) no DGA, 2) DGA with no financial incentives (non-incentive DGA) or 3) DGA with financial incentives (incentive DGA). Results: Nine sites among four regions of the greater Los Angeles area participated. Each site offered one non-incentive DGA and one incentive DGA. Over 1500 patients were identified for recruitment and at the peak of enrollment, 299 patients were enrolled in 18 DGAs. On average, hemoglobin A1c values dropped more for patients participating in the incentive DGA (9.9% to 8.7%, -1.2%) versus non-incentive DGA (9.7% to 9.0%, -0.7%) versus no DGA group (9.1% to 8.7%, -0.4%). Several unexpected implementation challenges arose which complicated evaluation but provide important learning lessons. Conclusions: Management of chronic diseases like diabetes is challenging for patients and the primary care system alike. Continuing to implement and evaluate programs under “real-world” conditions can provide further insight into how best to support patients with diabetes and their primary care teams in order to achieve glycemic control and avoid preventable complications.
文摘大多数形容词,具有三种主要用法:作前置定语、后置定语和表语。一般来说,作前置定语的形容词表示限制意义,作后置定语或表语的形容词表示描绘意义,有时同一个形容词在不同的位置上具有不同的词义。本文试结合一些常见的形容词来说明其位置对意义的影响。 1.alive (1)作前置定语时作“active,fuul of life”
文摘Artificial intelligence (AI) is revolutionizing the healthcare sector worldwide. In Morocco, several AI applications are being deployed in public and private healthcare establishments, improving appointment management, surgical operations, diagnostics, patient record tracking, biology and radiology, and OR organization. This article explores the main AI applications used in the Moroccan healthcare sector, their frequency of use, the types of establishments adopting them, as well as the main functionalities of each application and its contribution to the sector. The aim of this study is to analyze the impact of the main AI applications on quality of care and process efficiency in Moroccan healthcare facilities. This research focuses on several fundamental questions: Which AI applications are most frequently used? What types of establishments are adopting these technologies, and for which specific functionalities? What are the benefits and challenges of integrating AI into the Moroccan healthcare system, particularly in terms of territorial distribution and accessibility? The methodology is based on a quantitative analysis of data collected from selected healthcare establishments, combined with studies of reports from public health authorities and a sweep of their websites. The results show that 45% of hospitals use AI systems for appointment scheduling and 30% for medical diagnosis. The use of surgical robots, such as the Da Vinci system, increased by 30% between 2020 and 2024. Comparisons with other emerging countries highlight Morocco’s acceptable advances, while underlining the challenges, particularly in terms of the territorial distribution of these technological infrastructures generally centralized in the country’s major cities.
文摘Prof.James M.Tiedje,University Distinguished Professor and Director of the Center for Microbial Ecology at Michigan State University,Academician of the American Academy of Sciences,has been appointed as an Honorary Editor-in-Chief of Pedosphere.Prof.
基金National Natural Science Foundation Program of China[No.71971092],[No.71671073]and[71810107003].
文摘With the development of information and communication technologies,all public tertiary hospitals in China began to use online outpatient appointment systems.However,the phenomenon of patient no-shows in online outpatient appointments is becoming more serious.The objective of this study is to design a prediction model for patient no-shows,thereby assisting hospitals in making relevant decisions,and reducing the probability of patient no-show behavior.We used 382,004 original online outpatient appointment records,and divided the data set into a training set(N_(1)=286,503),and a validation set(N_(2)=95,501).We used machine learning algorithms such as logistic regression,k-nearest neighbor(KNN),boosting,decision tree(DT),random forest(RF)and bagging to design prediction models for patient no-show in online outpatient appointments.The patient no-show rate of online outpatient appointment was 11.1%(N=42,224).From the validation set,bagging had the highest area under the ROC curve and AUC value,which was 0.990,followed by random forest and boosting models,which were 0.987 and 0.976,respectively.In contrast,compared with the previous prediction models,the area under ROC and AUC values of the logistic regression,decision tree,and k-nearest neighbors were lower at 0.597,0.499 and 0.843,respectively.This study demonstrates the possibility of using data from multiple sources to predict patient no-shows.The prediction model results can provide decision basis for hospitals to reduce medical resource waste,develop effective outpatient appointment policies,and optimize operations.
基金supported by the Natural Science Foundation of Henan Province(No.232300421395)the National Key Research and Development Program of China(No.2017YFC0212400)。
文摘We conducted a simultaneous field study of PM_(2.5)-bound particulate polycyclic aromatic hydrocarbons(PAHs)and aromatic acids(AAs)in a polluted city Zhengzhou to explore the concentration,sources and potential conversion pathways between PAHs and AAs in different seasons.The average concentrations of PM_(2.5),28PAHs and 8AAs during the sampling period were 77μg/m^(3),75 ng/m^(3),and 283 ng/m^(3),respectively.The concentration of both28PAHs and 8AAs were highest in winter and lowest in summer with ratios of 6.3 and 2.3,respectively.PAHs with 5-7 rings were the main components of PAHs(52%),followed by 4rings PAHs(30%)and 2-3 rings PAHs(18%).According to the source appointment results obtained by positive matrix factorization,the main sources of PAHs were combustion and vehicle emissions,which account for 37%and 34%,respectively.8AAs were divided into three groups,including four benzene dicarboxylic acids(B2CAs),three benzene tricarboxylic acids(B3CAs)and one benzene tetracarboxylic acid(B4CA).And interspecies correlation analysis with PM_(2.5)source markers were used to investigate potential sources.Phthalic acid(o-Ph)was the most abundant specie of 8AAs(157 ng/m^(3),55%of 8AAs),which was well correlated with sulfate.Meanwhile,B3CAs and B4CA were highly correlated with sulfate and weakly correlated with levoglucosan,suggesting that secondary formation was their main source.As logical oxidation products of PAHs,o-Ph and B3CAs showed good correlations with a number of PAHs,indicating possible photochemical oxidation pathway by PAHs.In addition,O_(3),NO_(2),temperature and relative humidity have positive effects on the secondary formation of B3CAs.
文摘On August 19, Acting Soviet President Gennady Yanayev ordered a state of emergency in Moscow. Yansyev declared a six-month state of emergency in the Soviet Union. Minutes laten, the State Committee for the State of Emergency was announcea to have been set up to govern the whole country. On August 22, Soviet President Mikhail Gorbachev appointed some new ministers after he was back in full control of the situation in the country. Criminal suits have been brought against all the members of
文摘We are very pleased to announce that we have invited Dr. Xue-Long JIANG to serve as the Associate Editor-in-Chief for Zoological Research （ZR）, effective from 1 March, 2016. Dr. JIANG, Professor and principle investigator from the Laboratory of Mammal Ecology and Evolution, Kunming Institute of Zoology, Chinese Academy of Sciences, has worked with ZR since 2006 as a member of the editorial board and has played an active and important role in maintaining ZR as a respected academic publishing platform. Currently, he also works as the Associate Editor-in-Chief of Acta Thefiologica Sinica, Mammal Research and as a senior editorial board member of Biodiversity Science.
基金the National Natural Science Foundation of China(Grant Nos.62103171,61773142)the Natural Science Foundation of Fujian Province of China(Grant Nos.2020J05095,2020J05096)the Jiangsu Provincial Double⁃Innovation Doctor Program(Grant Nos.JSSCBS20210993,JSSCBS20211009)。
文摘This paper addresses a geometric control algorithm for the attitude tracking problem of the rigid spacecraft modeled on SO(3).Considering the topological and geometric properties of SO(3),we introduced a smooth positive attitude error function to convert the attitude tracking issue on SO(3)into the stabilization counterpart on its Lie algebra.The error transformation technique was further utilized to ensure the assigned transient and steady state performance of the attitude tracking error with the aid of a well⁃designed assigned⁃time performance function.Then,using the actor⁃critic(AC)neural architecture,an adaptive reinforcement learning approximator was constructed,in which the actor neural network(NN)was utilized to approximate the unknown nonlinearity online.A critic function was introduced to tune the next phase of the actor neural network operation for performance improvement via supervising the system performance.A rigorous stability analysis was presented to show that the assigned system performance can be achieved.Finally,the effectiveness and feasibility of the constructed control strategy was verified by the numerical simulation.
