Objective:To evaluate the efficacy and user satisfaction of the MAIA^(TM)telemedicine platform for postoperative telemonitoring and telerehabilitation in patients undergoing robot-assisted radical prostatectomy(RARP)....Objective:To evaluate the efficacy and user satisfaction of the MAIA^(TM)telemedicine platform for postoperative telemonitoring and telerehabilitation in patients undergoing robot-assisted radical prostatectomy(RARP).Methods:Patients undergoing RARP(from April 2022 to January 2023)were divided into Group A,following the standard rehabilitation protocol,and Group B using the MAIA^(TM)platform for the first 30-day post-intervention period.Perioperative,pathological,and functional variables(continence and potency rates,assessed via validated questionnaires)were collected and telerehabilitation protocol’s adherence was monitored.The telerehabilitation system included an online platform for medical providers and a patient application,facilitating data acquisition,management,treatment planning,and monitoring.Patient and provider satisfactionwere evaluated using the visual analogue scale score and validated telemedicine satisfaction questionnaire.Results:Totally,227 patients were enrolled.No differences in perioperative or pathological variables were found.Group B had higher potency recovery rates than Group A(p=0.031);the potency recovery rates at 1 month and 3 months for Group B were 45%and 57%,respectively,and in Group A were 34%and 48%,respectively.At the multivariate analysis,MAIA^(TM)use and the nerve-sparing(NS)were independent predictors of erectile function at both 1 month(MAIA^(TM)use:odd ratio[OR]2.03,95%confidence interval[CI]1.13-3.63,p=0.018;NS:OR 2.08,95%CI 1.06-4.12,p=0.034)and 3 months(MAIA^(TM)use:OR 1.89,95%CI 1.07-3.34,p=0.028;NS:OR 1.90;95%CI 1.02-3.54,p=0.044).Adherencemonitoring revealed 4.6%of patients in Group B reported exercise issues due to pelvic pain onset and 10%did not take oral phosphodiesterase 5-inhibitors due to myalgia.All those patients restarted the rehabilitation program after televisit to address the causing problem,allowing restarting of a rehabilitation program.Patients reported high satisfaction with the MAIA^(TM)platform use(mean visual analogue scale score:88.7).Conclusion:The MAIA^(TM)telemedicine platform seems to have a role in optimizing early potency recovery after RARP.Patient and provider satisfaction levels were high,emphasizing the user-friendliness of the platform.展开更多
1 Three hundred years ago,merchants from Shanxi Province exported tea to foreign countries on the Eurasian continent,and in turn they brought back the secrets of glassware manufacturing.Luo Qinqin,a 40‑year‑old native...1 Three hundred years ago,merchants from Shanxi Province exported tea to foreign countries on the Eurasian continent,and in turn they brought back the secrets of glassware manufacturing.Luo Qinqin,a 40‑year‑old native of Qixian county in Shanxi,is a skilled glass worker in Shanxi.She is one of the few female artisans who have mastered the craft of glass pulling.展开更多
It’s that time of the year again when we find ourselves reflecting on the year that was and the year ahead.On the African continent,many countries are still recovering from the aftershocks of the COVID-19 pandemic an...It’s that time of the year again when we find ourselves reflecting on the year that was and the year ahead.On the African continent,many countries are still recovering from the aftershocks of the COVID-19 pandemic and are doing so amid a fraught geopolitical environment.These tensions have,to some extent,created hurdles in the path of Africa’s recovery.The African Development Bank has attributed the economic slowdown on the continent toastronomical inflation caused by soaring food andenergy prices. These issues have been aggravatedby the current geopolitical chaos and climatechange. Nevertheless, the continent is projectedto grow at a steady rate of 4.3 percent in 2025.This means that Africa will retain its positionas the fastest-growing region after Asia. This isdriven by several positive factors.展开更多
The Madden-Julian Oscillation(MJO)is a key atmospheric component connecting global weather and climate.It func-tions as a primary source for subseasonal forecasts.Previous studies have highlighted the vital impact of ...The Madden-Julian Oscillation(MJO)is a key atmospheric component connecting global weather and climate.It func-tions as a primary source for subseasonal forecasts.Previous studies have highlighted the vital impact of oceanic processes on MJO propagation.However,few existing MJO prediction approaches adequately consider these factors.This study determines the critical region for the oceanic processes affecting MJO propagation by utilizing 22-year Climate Forecast System Reanalysis data.By intro-ducing surface and subsurface oceanic temperature within this critical region into a lagged multiple linear regression model,the MJO forecasting skill is considerably optimized.This optimization leads to a 12 h enhancement in the forecasting skill of the first principal component and efficiently decreases prediction errors for the total predictions.Further analysis suggests that,during the years in which MJO events propagate across the Maritime Continent over a more southerly path,the optimized statistical forecasting model obtains better improvements in MJO prediction.展开更多
Fragments of Proto-Tethyan oceanic lithosphere are well-preserved along the southern belt of the North Qilian suture,and the origin and emplacement of these ophiolites have become subjects of intense debate.In this st...Fragments of Proto-Tethyan oceanic lithosphere are well-preserved along the southern belt of the North Qilian suture,and the origin and emplacement of these ophiolites have become subjects of intense debate.In this study,we integrate field observations,mineralogical and geochemical analyses,zircon U-Pb dating,and isotopic data to investigate the Yanglong ophiolite.The Yanglong ophiolitic rocks are found as tectonic slices resting on the Neoproterozoic sedimentary and volcanic rocks.These rocks are composed of Cambrian serpentinized peridotite,gabbro,dolerite,and rodingite.The spinels in the serpentinized peridotites have variable Cr^(#)values(21,38-46,and 59-61)and display affinity to those in abyssal and forearc peridotites.The dolerites show slight enrichment in Th and have elevated(La/Sm)_(N) ratios(1.19-2.01),indicating a subduction-related geochemical affinity.The Yanglong ophiolitic rocks have positive zirconεHf(t)values(+10.3 to+18.4)and whole-rockεNd(t)values(+5.3 to+6.7)indicating derivation from partial melting of a depleted mantle source.These results,together with the regional geology,collectively suggest that the Yanglong ophiolite was generated in a forearc setting during the Early Cambrian northward intra-oceanic subduction.It was emplaced onto the Central Qilian Block during the subsequent arc-continent collision,no later than the Early Ordovician.展开更多
Since the end of the Cold War,the core goal of U.S.policy toward Africa has been to build its influence on the continent through development assistance and trade preferences attached with political conditionalities,de...Since the end of the Cold War,the core goal of U.S.policy toward Africa has been to build its influence on the continent through development assistance and trade preferences attached with political conditionalities,defined as“assistance for concessions”.After the September 11 attacks,counterterrorism became a priority in U.S.national security strategy,being one of the three pillars of U.S.policy toward Africa alongside assistance and trade.展开更多
The Central Asian region serves as a strategic hub of the Eurasian continent and stands as one of the key areas for China’s promotion of the Belt and Road Initiative(BRI)and for building a community with a shared fut...The Central Asian region serves as a strategic hub of the Eurasian continent and stands as one of the key areas for China’s promotion of the Belt and Road Initiative(BRI)and for building a community with a shared future with neighboring countries.At the first China-Central Asia Summit in 2023,President Xi Jinping underscored the importance of adhering to the“four principles”in advancing the China-Central Asia community with a shared future.展开更多
Objective:Radical prostatectomy(RP)is considered the gold standard treatment for patients with localized prostate cancer(PCa).All patients undergoing RP,either open,laparoscopic,or robotic,are at risk of developing ur...Objective:Radical prostatectomy(RP)is considered the gold standard treatment for patients with localized prostate cancer(PCa).All patients undergoing RP,either open,laparoscopic,or robotic,are at risk of developing urinary incontinence after RP.Our study aimed to analyze possible predictors of early postoperative(within 3 months)urinary continence(UC)outcomes following extraperitoneal single-site robot-assisted RP(ss-RARP)for localized PCa.Methods:We retrospectively reviewed data from 113 patients with localized PCa who were operated on by a highly experienced surgeon between September 2022 and December 2023.Patient characteristics(age,body mass index,prostate volume,prostate dimensions,preoperative and postoperative membranous urethral length,and percentage of membranous urethra removed)were analyzed using logistic regression to determine the independent factors contributing to short-term UC recovery after extraperitoneal ss-RARP.From the time of urinary catheter removal after surgery,the recovery of UC was followed up every month,and UC was defined as using≤1 safety pad daily,known as social continence.Results:The proportions of continent patients immediately after urinary catheter removal,1 month,and 3 months after extraperitoneal ss-RARP were 22%,49%,and 82%,respectively.The multivariate logistic regression analysis showed that the percentage of membranous urethra removed(p=0.016)and prostate volume(p=0.049)were associated with social UC recovery immediately after urinary catheter removal,and craniocaudal dimension of the prostate(p=0.042)and age(p=0.014)were associated with social UC recovery 1 month and 3 months after extraperitoneal ss-RARP,respectively.Conclusion:The percentage of membranous urethra removed,prostate volume,craniocaudal dimension of the prostate,and age are independent risk factors for social UC early after extraperitoneal ss-RARP.展开更多
The size deviation and the evenness of raw silk are the two maior inherentquality Indexes of raw silk.At present the grading of raw silk in our country ismostly done in the light of the second degree change of evennes...The size deviation and the evenness of raw silk are the two maior inherentquality Indexes of raw silk.At present the grading of raw silk in our country ismostly done in the light of the second degree change of evenness High qualityraw silk is reeled on multi-end reeling machine.So a break through in controllingthe size deviation and evenness is of vital importance to enable auto-reelingmachine to reelhigh quality raw silk and thus win its popularization This paperStarts with theoretical analysis,go with brief on the experiments done formore than a year,on shortening the time of miss feeding to obtainsatisfactory results,and in the end gives a picture of the measures taken forimproving the qulity of auto-reeled raw silk.展开更多
The CALPHAD thermodynamic databases are very useful to analyze the complex chemical reactions happening in high temperature material process.The FactSage thermodynamic database can be used to calculate complex phase d...The CALPHAD thermodynamic databases are very useful to analyze the complex chemical reactions happening in high temperature material process.The FactSage thermodynamic database can be used to calculate complex phase diagrams and equilibrium phases involving refractories in industrial process.In this study,the FactSage thermodynamic database relevant to ZrO_(2)-based refractories was reviewed and the application of the database to understanding the corrosion of continuous casting nozzle refractories in steelmaking was presented.展开更多
Three-year investigation was conducted to demonstrate the mechanism of reduction of soybean yield aroused by continuous and every second year cropping. Compared to normal cropping, there are many unfavorable changes i...Three-year investigation was conducted to demonstrate the mechanism of reduction of soybean yield aroused by continuous and every second year cropping. Compared to normal cropping, there are many unfavorable changes in some major elements of soybean plant and soil environment. Chloropyll content was lower. Phosphorous content of soybean plant was decreased seriously. Potassium content was lower while calcium content was higher. Magnesium content was wot affected and decreased in susceptive varieties. Some deseases and insects of soybean under continuous and wery second year cropping conditions became serious as continuous years prolonged. Organic matter content tended to go down from normal rotation to continuous cropping. Amount of bacteria and antinomyces decreased while amount of fungi increased. The development of symbiotic nitrogen fixation system wsa deteriorated.展开更多
High-quality zircon U-Pb ages acquired from Meso- and Neoproterozoic strata in North China in recent years has provided a high-resolution chronostratigraphic framework for dating. A basis of this high-level chronostra...High-quality zircon U-Pb ages acquired from Meso- and Neoproterozoic strata in North China in recent years has provided a high-resolution chronostratigraphic framework for dating. A basis of this high-level chronostratigraphic system provides the foundation for a global Precambrian study and stratigraphic correlation and so recent geological studies have focused attention on systemic SHRIMP zircon dating. A chronology of Meso- and Neoproterozoic strata and the time of origin of the overlying Changcheng System is given on the basis of new SHRIMP zircon dating from the Qianxi Complex and diabase of the Chuanlinggou Formation. A new tectonostratigraphy for a Neoproterozoic chronostratigraphic framework in the southeastern margin of the North China continent is underpinned by the new SHRIMP zircon dating of a Neoproterozoic mafic magma diabase in the Jiao-Liao-Xu-Huai Sub-Province.展开更多
文摘Objective:To evaluate the efficacy and user satisfaction of the MAIA^(TM)telemedicine platform for postoperative telemonitoring and telerehabilitation in patients undergoing robot-assisted radical prostatectomy(RARP).Methods:Patients undergoing RARP(from April 2022 to January 2023)were divided into Group A,following the standard rehabilitation protocol,and Group B using the MAIA^(TM)platform for the first 30-day post-intervention period.Perioperative,pathological,and functional variables(continence and potency rates,assessed via validated questionnaires)were collected and telerehabilitation protocol’s adherence was monitored.The telerehabilitation system included an online platform for medical providers and a patient application,facilitating data acquisition,management,treatment planning,and monitoring.Patient and provider satisfactionwere evaluated using the visual analogue scale score and validated telemedicine satisfaction questionnaire.Results:Totally,227 patients were enrolled.No differences in perioperative or pathological variables were found.Group B had higher potency recovery rates than Group A(p=0.031);the potency recovery rates at 1 month and 3 months for Group B were 45%and 57%,respectively,and in Group A were 34%and 48%,respectively.At the multivariate analysis,MAIA^(TM)use and the nerve-sparing(NS)were independent predictors of erectile function at both 1 month(MAIA^(TM)use:odd ratio[OR]2.03,95%confidence interval[CI]1.13-3.63,p=0.018;NS:OR 2.08,95%CI 1.06-4.12,p=0.034)and 3 months(MAIA^(TM)use:OR 1.89,95%CI 1.07-3.34,p=0.028;NS:OR 1.90;95%CI 1.02-3.54,p=0.044).Adherencemonitoring revealed 4.6%of patients in Group B reported exercise issues due to pelvic pain onset and 10%did not take oral phosphodiesterase 5-inhibitors due to myalgia.All those patients restarted the rehabilitation program after televisit to address the causing problem,allowing restarting of a rehabilitation program.Patients reported high satisfaction with the MAIA^(TM)platform use(mean visual analogue scale score:88.7).Conclusion:The MAIA^(TM)telemedicine platform seems to have a role in optimizing early potency recovery after RARP.Patient and provider satisfaction levels were high,emphasizing the user-friendliness of the platform.
文摘1 Three hundred years ago,merchants from Shanxi Province exported tea to foreign countries on the Eurasian continent,and in turn they brought back the secrets of glassware manufacturing.Luo Qinqin,a 40‑year‑old native of Qixian county in Shanxi,is a skilled glass worker in Shanxi.She is one of the few female artisans who have mastered the craft of glass pulling.
文摘It’s that time of the year again when we find ourselves reflecting on the year that was and the year ahead.On the African continent,many countries are still recovering from the aftershocks of the COVID-19 pandemic and are doing so amid a fraught geopolitical environment.These tensions have,to some extent,created hurdles in the path of Africa’s recovery.The African Development Bank has attributed the economic slowdown on the continent toastronomical inflation caused by soaring food andenergy prices. These issues have been aggravatedby the current geopolitical chaos and climatechange. Nevertheless, the continent is projectedto grow at a steady rate of 4.3 percent in 2025.This means that Africa will retain its positionas the fastest-growing region after Asia. This isdriven by several positive factors.
基金supported by the National Key Program for Developing Basic Science(Nos.2022YFF0801702 and 2022YFE0106600)the National Natural Science Foundation of China(Nos.42175060 and 42175021)the Jiangsu Province Science Foundation(No.BK20250200302).
文摘The Madden-Julian Oscillation(MJO)is a key atmospheric component connecting global weather and climate.It func-tions as a primary source for subseasonal forecasts.Previous studies have highlighted the vital impact of oceanic processes on MJO propagation.However,few existing MJO prediction approaches adequately consider these factors.This study determines the critical region for the oceanic processes affecting MJO propagation by utilizing 22-year Climate Forecast System Reanalysis data.By intro-ducing surface and subsurface oceanic temperature within this critical region into a lagged multiple linear regression model,the MJO forecasting skill is considerably optimized.This optimization leads to a 12 h enhancement in the forecasting skill of the first principal component and efficiently decreases prediction errors for the total predictions.Further analysis suggests that,during the years in which MJO events propagate across the Maritime Continent over a more southerly path,the optimized statistical forecasting model obtains better improvements in MJO prediction.
基金the National Natural Science Foundation of China(Grant Nos.42230308,42072266,42102032,42362006)Bureau of Geological Exploration and Development of Qinghai Province(Grant Nos.[2023]33,[2022]32)China Geological Survey(Grant Nos.DD20221649,DD20242935,12120114079701).
文摘Fragments of Proto-Tethyan oceanic lithosphere are well-preserved along the southern belt of the North Qilian suture,and the origin and emplacement of these ophiolites have become subjects of intense debate.In this study,we integrate field observations,mineralogical and geochemical analyses,zircon U-Pb dating,and isotopic data to investigate the Yanglong ophiolite.The Yanglong ophiolitic rocks are found as tectonic slices resting on the Neoproterozoic sedimentary and volcanic rocks.These rocks are composed of Cambrian serpentinized peridotite,gabbro,dolerite,and rodingite.The spinels in the serpentinized peridotites have variable Cr^(#)values(21,38-46,and 59-61)and display affinity to those in abyssal and forearc peridotites.The dolerites show slight enrichment in Th and have elevated(La/Sm)_(N) ratios(1.19-2.01),indicating a subduction-related geochemical affinity.The Yanglong ophiolitic rocks have positive zirconεHf(t)values(+10.3 to+18.4)and whole-rockεNd(t)values(+5.3 to+6.7)indicating derivation from partial melting of a depleted mantle source.These results,together with the regional geology,collectively suggest that the Yanglong ophiolite was generated in a forearc setting during the Early Cambrian northward intra-oceanic subduction.It was emplaced onto the Central Qilian Block during the subsequent arc-continent collision,no later than the Early Ordovician.
文摘Since the end of the Cold War,the core goal of U.S.policy toward Africa has been to build its influence on the continent through development assistance and trade preferences attached with political conditionalities,defined as“assistance for concessions”.After the September 11 attacks,counterterrorism became a priority in U.S.national security strategy,being one of the three pillars of U.S.policy toward Africa alongside assistance and trade.
文摘The Central Asian region serves as a strategic hub of the Eurasian continent and stands as one of the key areas for China’s promotion of the Belt and Road Initiative(BRI)and for building a community with a shared future with neighboring countries.At the first China-Central Asia Summit in 2023,President Xi Jinping underscored the importance of adhering to the“four principles”in advancing the China-Central Asia community with a shared future.
文摘Objective:Radical prostatectomy(RP)is considered the gold standard treatment for patients with localized prostate cancer(PCa).All patients undergoing RP,either open,laparoscopic,or robotic,are at risk of developing urinary incontinence after RP.Our study aimed to analyze possible predictors of early postoperative(within 3 months)urinary continence(UC)outcomes following extraperitoneal single-site robot-assisted RP(ss-RARP)for localized PCa.Methods:We retrospectively reviewed data from 113 patients with localized PCa who were operated on by a highly experienced surgeon between September 2022 and December 2023.Patient characteristics(age,body mass index,prostate volume,prostate dimensions,preoperative and postoperative membranous urethral length,and percentage of membranous urethra removed)were analyzed using logistic regression to determine the independent factors contributing to short-term UC recovery after extraperitoneal ss-RARP.From the time of urinary catheter removal after surgery,the recovery of UC was followed up every month,and UC was defined as using≤1 safety pad daily,known as social continence.Results:The proportions of continent patients immediately after urinary catheter removal,1 month,and 3 months after extraperitoneal ss-RARP were 22%,49%,and 82%,respectively.The multivariate logistic regression analysis showed that the percentage of membranous urethra removed(p=0.016)and prostate volume(p=0.049)were associated with social UC recovery immediately after urinary catheter removal,and craniocaudal dimension of the prostate(p=0.042)and age(p=0.014)were associated with social UC recovery 1 month and 3 months after extraperitoneal ss-RARP,respectively.Conclusion:The percentage of membranous urethra removed,prostate volume,craniocaudal dimension of the prostate,and age are independent risk factors for social UC early after extraperitoneal ss-RARP.
文摘The size deviation and the evenness of raw silk are the two maior inherentquality Indexes of raw silk.At present the grading of raw silk in our country ismostly done in the light of the second degree change of evenness High qualityraw silk is reeled on multi-end reeling machine.So a break through in controllingthe size deviation and evenness is of vital importance to enable auto-reelingmachine to reelhigh quality raw silk and thus win its popularization This paperStarts with theoretical analysis,go with brief on the experiments done formore than a year,on shortening the time of miss feeding to obtainsatisfactory results,and in the end gives a picture of the measures taken forimproving the qulity of auto-reeled raw silk.
基金Tata Steel Netherlands,Posco,Hyundai Steel,Nucor Steel,RioTinto,Nippon Steel Corp.,JFE Steel,Voestalpine,RHi-Magnesita,Doosan Enerbility,Seah Besteel,Umicore,Vesuvius and Schott AG are gratefully acknowledged.
文摘The CALPHAD thermodynamic databases are very useful to analyze the complex chemical reactions happening in high temperature material process.The FactSage thermodynamic database can be used to calculate complex phase diagrams and equilibrium phases involving refractories in industrial process.In this study,the FactSage thermodynamic database relevant to ZrO_(2)-based refractories was reviewed and the application of the database to understanding the corrosion of continuous casting nozzle refractories in steelmaking was presented.
文摘Three-year investigation was conducted to demonstrate the mechanism of reduction of soybean yield aroused by continuous and every second year cropping. Compared to normal cropping, there are many unfavorable changes in some major elements of soybean plant and soil environment. Chloropyll content was lower. Phosphorous content of soybean plant was decreased seriously. Potassium content was lower while calcium content was higher. Magnesium content was wot affected and decreased in susceptive varieties. Some deseases and insects of soybean under continuous and wery second year cropping conditions became serious as continuous years prolonged. Organic matter content tended to go down from normal rotation to continuous cropping. Amount of bacteria and antinomyces decreased while amount of fungi increased. The development of symbiotic nitrogen fixation system wsa deteriorated.
文摘High-quality zircon U-Pb ages acquired from Meso- and Neoproterozoic strata in North China in recent years has provided a high-resolution chronostratigraphic framework for dating. A basis of this high-level chronostratigraphic system provides the foundation for a global Precambrian study and stratigraphic correlation and so recent geological studies have focused attention on systemic SHRIMP zircon dating. A chronology of Meso- and Neoproterozoic strata and the time of origin of the overlying Changcheng System is given on the basis of new SHRIMP zircon dating from the Qianxi Complex and diabase of the Chuanlinggou Formation. A new tectonostratigraphy for a Neoproterozoic chronostratigraphic framework in the southeastern margin of the North China continent is underpinned by the new SHRIMP zircon dating of a Neoproterozoic mafic magma diabase in the Jiao-Liao-Xu-Huai Sub-Province.
