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The Jamaica Handheld Ultrasound Project:a novel longitudinal point-of-care ultrasound curriculum in a resource-limited setting
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作者 Maxime Montour Pranali Sheth +16 位作者 Steve Foo Simone French Tawanda Jones Giselle Watt Brian Kohen Aamir Bandagi Ariella Gartenberg Michael Halperin Trudy-Ann Johnson-Hylton Jason Ifill Alyssia McEwan Jonathan Maik Michelle Montenegro Rie Seu Nicole Leonard-shiu Hugh Wong Trevor Dixon 《World Journal of Emergency Medicine》 2025年第3期262-265,共4页
Point-of-care ultrasound(POCUS) is recognized as a valuable diagnostic tool,especially in resourcelimited settings(RLS).POCUS provides rapid diagnostic information that enables health professionals to make critical de... Point-of-care ultrasound(POCUS) is recognized as a valuable diagnostic tool,especially in resourcelimited settings(RLS).POCUS provides rapid diagnostic information that enables health professionals to make critical decisions at the bedside.^([1]) Despite the welldocumented benefits of POCUS,access to longitudinal,comprehensive training programs and a lack of trainee feedback are barriers to the widespread use of this technology in such settings.^([2]) 展开更多
关键词 health professionals point care ultrasound curriculum technology training feedback Jamaica handheld ultrasound resource limited settings longitudinal
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The effectiveness of two doses of Hecolin vaccine in response to outbreaks in resource-limited settings
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作者 Fan Zhang Jianbo Xia Ling Wang 《Virologica Sinica》 2025年第6期1058-1060,共3页
Hepatitis E virus(HEV)represents a significant global cause of acute viral hepatitis.Annually,it is estimated to cause approximately 20.1 million infections worldwide,3.3 million of which result in symptomatic illness... Hepatitis E virus(HEV)represents a significant global cause of acute viral hepatitis.Annually,it is estimated to cause approximately 20.1 million infections worldwide,3.3 million of which result in symptomatic illness.In developing regions,genotypes HEV-1 and HEV-2 are the primary strains responsible for widespread outbreaks and epidemics of acute jaundice(icteric hepatitis),transmitted predominantly through the fecal-oral route via contaminated water and food(Devarbhavi et al.,2023). 展开更多
关键词 hecolin hepatitis e virus hev represents doses hepatitis E virus HEV VACCINE resource limited settings acute jaundice icteric
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Access to novel anti-diabetic agents in resource limited settings:A brief commentary
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作者 Poobalan Naidoo Kiolan Naidoo +1 位作者 Sumanth Karamchand Rory F Leisegang 《World Journal of Diabetes》 SCIE 2023年第7期939-941,共3页
The prevalence of diabetes mellitus is increasing in resource limited settings.Simultaneously,there has been an increase in the number of novel therapies for the management of diabetes mellitus.However,use of novel an... The prevalence of diabetes mellitus is increasing in resource limited settings.Simultaneously,there has been an increase in the number of novel therapies for the management of diabetes mellitus.However,use of novel antidiabetic therapies is limited because of major market access challenges in resource limited settings.Niching products to those patients with the highest absolute risk for major adverse cardiovascular outcomes,and thus most likely to benefit from the therapy,are less likely to have negative budget impact for funders.To improve access,and reduce morbidity and mortality,requires alignment amongst key stakeholders including patient advocacy groups,health care professional councils,national departments of health,the pharmaceutical industry,treasury and finance departments. 展开更多
关键词 Type 2 diabetes mellitus Novel anti-diabetic agents Resource limited settings ACCESS
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Exclusive Fibula Osteosynthesis for Treating Open Fractures Gustillo I-III B of the Distal Half of the Leg Bones in a Resources-Limited Setting
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作者 Georges Kuyigwa Toha Paul Munguakonkwa Budema +2 位作者 Ona Longombe Ahuka Akinja Bitum Uwonda Jean Marie Vianney Kabangu Tshimbila 《Open Journal of Orthopedics》 2023年第3期108-121,共22页
Introduction: Management of open leg bones fractures is a challenging health issue for the surgeon, particularly true in resource-limited settings. In this study, we evaluate exclusive fibular osteosynthesis in the tr... Introduction: Management of open leg bones fractures is a challenging health issue for the surgeon, particularly true in resource-limited settings. In this study, we evaluate exclusive fibular osteosynthesis in the treatment of open fractures of the distal half of the leg bones as a therapeutic option in our context. Methods: This is a prospective, experimental, multicenter study of 30 open fractures of the distal half of the leg bones treated with exclusive fibula osteosynthesis, conducted in 3 hospitals in the DRC from January 1, 2013 to September 30, 2016. Results: The age range of 20 to 40 years grouped 22 (73.4%) patients, the sex ratio was 1:1 and the unemployed were the most involved with 16 (53.3%) cases. The Gustilo II, I, III B and III A types represented 40%, 33.3%, 20% and 6.7%, respectively. The fractures were located in the distal third in 12 (40%) cases, in the middle third in 11 (36.7%) cases, and in both malleoli in 7 cases (23.3%). Osteosynthesis of the fibula by screw plate was applied in 22 (73.3%) patients and pinning in 8 (26.7%). Satisfactory reduction of the tibial fracture site was achieved in 29 (96.7%) cases and 100% bone healing was achieved within an average of 10 weeks. Four (13.3%) loss of alignment, 1 (3.3%) infection, 1 (3.3%) skin necrosis and 2 (6.7%) ankle stiffness complicated our fractures. Conclusion: Exclusive osteosynthesis of the fibula as a common technique for fractures of the distal half of the leg bones allowed us to reduce, immobilize and consolidate the tibial fracture in the required time and to preserve the mobility of the ankle. 展开更多
关键词 Fibular Exclusive Osteosynthesis Open Tibial Fractures Resources limited settings Tibial Fracture Consolidation
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Generalized Energy-Based Fragmentation DLPNO-CCSD(T)Approach at Complete Basis Set Limit and Its Application to Benzene Clusters
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作者 Yan Sun Benkun Hong +1 位作者 Wei Li Shuhua Li 《Chinese Journal of Chemical Physics》 2025年第3期347-355,I0061-I0105,I0109,共55页
Accurate description of noncova-lent interactions in large systems is challenging due to the require-ment of high-level electron corre-lation methods.The generalized energy-based fragmentation(GEBF)approach,in conjunc... Accurate description of noncova-lent interactions in large systems is challenging due to the require-ment of high-level electron corre-lation methods.The generalized energy-based fragmentation(GEBF)approach,in conjunc-tion with the domain-based local pair natural orbital(DLPNO)method,has been applied to assess the average binding energies(ABEs)of large benzene clus-ters,specifically(C6H6)13,at the coupled cluster singles and doubles with perturbative triples correction[CCSD(T)]level and the complete basis set(CBS)limit.Utilizing GEBF-DLPNO-CCSD(T)/CBS ABEs as benchmarks,various DFT functionals were evaluated.It was found that several functionals with empirical dispersion correction,including M06-2X-D3,B3LYP-D3(BJ),and PBE-D3(BJ),provide accurate descriptions of the ABEs for(C6H6)13 clusters.Additionally,the M06-2X-D3 functional was used to calculate the ABEs and relative stabili-ties of(C6H6)n clusters for n=11,12,13,14,and 15 revealing that the(C6H6)13 cluster ex-hibits the highest relative stability.These findings align with experimental evidence suggest-ing that n=13 is one of the magic numbers for benzene clusters(C6H6)n,with n≤30. 展开更多
关键词 Generalized energy-based fragmentation approach Coupled cluster Complete basis set limit Benzene cluster Dispersion interactions
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Likely Limit Sets of a Class of p-order Feigenbaum's Maps 被引量:1
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作者 WANG WEI LIAO LI 《Communications in Mathematical Research》 CSCD 2012年第2期137-145,共9页
A continuous map from a closed interval into itself is called a p-order Feigenbaum's map if it is a solution of the Feigenbaum's equation fP(λx)=λf(x). In this paper, we estimate Hausdorff dimensions of likely... A continuous map from a closed interval into itself is called a p-order Feigenbaum's map if it is a solution of the Feigenbaum's equation fP(λx)=λf(x). In this paper, we estimate Hausdorff dimensions of likely limit sets of some p-order Feigenbaum's maps. As an application, it is proved that for any 0 〈 t 〈 1, there always exists a p-order Feigenbaum's map which has a likely limit set with Hausdorff dimension t. This generalizes some known results in the special case of p =2. 展开更多
关键词 Feigenbaum's equation Feigenbaum's map likely limit set Hausdorff dimension
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COMPLEXITY OF LIMIT LANGUAGE OF THE ELEMENTARY CELLULAR AUTOMATON OF RULE 22
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作者 Jiang Zhisong Wang Yi 《Applied Mathematics(A Journal of Chinese Universities)》 SCIE CSCD 2005年第3期268-276,共9页
In this paper, the limit set of the elementary cellular automaton of rule 22 is considered. The limit language is defined from limit set and its complexity is studied by using formal language theory. It is proved that... In this paper, the limit set of the elementary cellular automaton of rule 22 is considered. The limit language is defined from limit set and its complexity is studied by using formal language theory. It is proved that this language is not a regular language. This result shows that the dynamics of this cellular automaton is actually complicated. 展开更多
关键词 COMPLEXITY cellular automaton limit set limit language.
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Accurate equilibrium inversion barrier of ammonia by extrapolation to the one-electron basis set limit
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作者 李永庆 宋朋 马凤才 《Chinese Physics B》 SCIE EI CAS CSCD 2014年第2期211-215,共5页
A scheme based on treating uniform singlet-pair and triplet-pair interactions is suggested to extrapolate electron correlation energy of ammonia, calculated at two basis-set levels of ab initio theory in the infinite ... A scheme based on treating uniform singlet-pair and triplet-pair interactions is suggested to extrapolate electron correlation energy of ammonia, calculated at two basis-set levels of ab initio theory in the infinite one-electron basis-set limit. The dual-level method is tested on the extrapolation of the full correlation in coupled-cluster singles and doubles and in the case also a noniterative perturbative correction for connected triple energies for the C3v and D3h structures of ammonia, with correlation-consistent basis sets of the type cc-pVXZ (X = D, T, Q, 5, 6) and aug-cc-pVXZ (X = D, T, Q, 5). For testing and comparison purposes, the energies reported by Klopper [J. Comput. Chem. 22 1306 (2001)] have been taken. From a corresponding extrapolation of CCSD(T)/AVXZ energies for X = 4, 5, we obtain total inversion barriers of 1833.87 cm-1/1832.33 cm^-1 for the two/three-parameter extrapolation rules, which are in good agreement with other theoretical extrapolation and empirical values in the literature. 展开更多
关键词 inversion barrier AMMONIA complete basis set limit LOW-COST
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Improving manual cardiopulmonary resuscitation quality in resource-limited settings:an overlooked yet crucial challenge before advanced interventions
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作者 Longfei Pan Honghong Pei +14 位作者 Zhengliang Zhang Jie Liu Yu Shi Hai Wang Xin Hong Yang Zhou Changwei Ke Yang Zhao Junhua Lyu Junjie Liang Jinming Huang Xiaokun Xi Xiaodu Li Jingjing Zhang Kai Liu 《World Journal of Emergency Medicine》 2026年第2期184-186,共3页
The quality of cardiopulmonary resuscitation(CPR) significantly influences survival and neurological outcomes in patients with cardiac arrest(CA).Although mechanical chest compression devices and extracorporeal cardio... The quality of cardiopulmonary resuscitation(CPR) significantly influences survival and neurological outcomes in patients with cardiac arrest(CA).Although mechanical chest compression devices and extracorporeal cardiopulmonary resuscitation(ECPR) have demonstrated some benefits,high-quality manual CPR remained the essential first step,particularly in resource-limited settings.In this study,we examined whether opportunities existed to improve manual CPR performance using preliminary data from our recent survey conducted in a province in western China.We aim to emphasize the importance of improving manual CPR quality before implementing advanced interventions. 展开更多
关键词 preliminary data cardiac arrest cardiopulmonary resuscitation cpr survival outcomes mechanical chest compression devices extracorporeal cardiopulmonary resuscitation ecpr cardiopulmonary resuscitation resource limited settings
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Fountain Set Limited Launched New Products of 2011 Autumn-Winter Collections:Eco-friendliness and Multi-category
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作者 LiuYi 《China Textile》 2010年第11期16-16,共1页
Fountain Set Limited announced that its branch brand'Fountain Set' was producing 2011 autumn-winter collections on the 2010 Intertextile Shanghai Apparel Fabrics Trade Fair,displaying new products
关键词 Eco Fountain Set limited Launched New Products of 2011 Autumn-Winter Collections
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Some Properties of Homogeneous Vector Fields
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作者 盛平兴 《Advances in Manufacturing》 SCIE CAS 1997年第3期191-195,共5页
For planar analytic homogcneous vector fields, the existence of periodic orbits and the noncxistence of limit sets arc verilied. It is concluded that spacial analytic homlogencous vector tleld of order in has no limit... For planar analytic homogcneous vector fields, the existence of periodic orbits and the noncxistence of limit sets arc verilied. It is concluded that spacial analytic homlogencous vector tleld of order in has no limit sets for any m>1. Similar results arc extended to highel-dimensional polynomial homogeneous vector fields under certain conditions. 展开更多
关键词 homogeneous vector field induced tangcnt vector held Hairy Ban theorem invariant cone qnalitative analysis closed orbits and limit sets.
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Stability Analysis of Nonsymmetric Cellular Neural Networks
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作者 李立平 陈芳跃 《Chinese Quarterly Journal of Mathematics》 CSCD 北大核心 2007年第2期195-202,共8页
This paper describes the problem of stability for one-dimensional Cellular Neural Networks(CNNs). A sufficient condition is presented to ensure complete stability for a class of special CNN's with nonsymmetric temp... This paper describes the problem of stability for one-dimensional Cellular Neural Networks(CNNs). A sufficient condition is presented to ensure complete stability for a class of special CNN's with nonsymmetric templates, where the parameter in the output function is greater than or equal to zero. The main method is analysising the property of the equilibrium point of the CNNs system. 展开更多
关键词 cellular neural networks STABILITY equilibrium point limit set
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Basis Set Extrapolation for the High Resolution Spectroscopy
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作者 Kiran Sankar Maiti Christoph Scheurer 《Journal of Chemistry and Chemical Engineering》 2013年第11期1100-1110,共11页
Valence and all electron correlation energies of a large set of atoms and molecules with structural motifs from amino acids and peptides at their equilibrium as well as non-equilibrium geometries are calculated at the... Valence and all electron correlation energies of a large set of atoms and molecules with structural motifs from amino acids and peptides at their equilibrium as well as non-equilibrium geometries are calculated at the levels of MP2, RI-MP2, and CCSD (T) with Dunnings sequential correlation consistent basis sets. A two point basis set extrapolation scheme for correlation energies to the complete basis set limit based on only DZ (double-zeta) and TZ (triple-zeta) results is presented and analyzed. We show that this basis set extrapolation scheme reduces the computational cost by two to three orders of magnitude to obtain the same accuracy as simpler extrapolations from higher order basis set computations. 展开更多
关键词 Basis set extrapolation complete basis set limit correlation energy.
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On algebraic convergence of Möbius groups
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作者 YANG Shi-hai CHEN Min 《苏州大学学报(自然科学版)》 CAS 2002年第4期5-8,共4页
Martin anhd Fang established an important convergence theorem for Möbius groups in all dimen-sions but added the restrictions that involved groups are either finitely generated or satisfy Condition A.In this pape... Martin anhd Fang established an important convergence theorem for Möbius groups in all dimen-sions but added the restrictions that involved groups are either finitely generated or satisfy Condition A.In this paper we find a new approach to show that these restrictions are not necessary. 展开更多
关键词 Key words algebraic convergence discrete groups limit set
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Game Tree Search-based Impulsive Orbital Pursuit–Evasion Game with Limited Actions 被引量:2
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作者 Wenyuan Xie Liran Zhao Zhaohui Dang 《Space(Science & Technology)》 2024年第1期631-643,共13页
This paper focuses on the impulsive orbital pursuit–evasion game(OPEG)with limited action sets for the pursuer and evader.Initially,a mathematical model is developed by combining game theory and orbital dynamics,form... This paper focuses on the impulsive orbital pursuit–evasion game(OPEG)with limited action sets for the pursuer and evader.Initially,a mathematical model is developed by combining game theory and orbital dynamics,forming a finite-round impulsive OPEG problem.The problem is then formulated as a bilateral optimization problem,employing a minimum-maximum optimization index based on terminal distance.To tackle this problem,an algorithm based on game tree search is designed,enabling the determination of the optimal pursuit–evasion strategy with limited action sets.Additionally,we explore the influence of the initial pursuing orientation on OPEG.The optimal initial pursuit orientation is analytically derived using relative motion dynamics under uncontrolled conditions.Furthermore,considering factors such as the initial status of the pursuit spacecraft,initial relative distance,transfer time,and maneuverability,the impulsive OPEG problem with limited action sets is numerically solved using game tree search.The findings of this study showcase the efficacy of game tree search in addressing impulsive OPEG problems with limited action sets.The study also demonstrates that the initial pursuing orientation selection at the start of the game plays a crucial role in increasing the success rate of pursuit.The research findings of this study have important implications for future practical engineering applications. 展开更多
关键词 limited action sets bilateral optimization problememploying combining game theory orbital dynamicsforming impulsive orbital pursuit evasion game opeg impulsive orbital pursuit evasion game mathematical model game tree search optimal pursuit evasion strategy
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Limit Set Problem of Multi-Agent Systems with Finite States: An Eigenvalue-Based Approach
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作者 WANG Lin WANG Xiaofan WANG Jinhuan 《Journal of Systems Science & Complexity》 SCIE EI CSCD 2015年第3期570-579,共10页
This paper studies the limit set of multi-agent system with finite states, in which the system is converted into a linear system through an expansion of space. Then, the structure properties of the system matrix are i... This paper studies the limit set of multi-agent system with finite states, in which the system is converted into a linear system through an expansion of space. Then, the structure properties of the system matrix are investigated, and the relationships between the eigenvalues and the limit set are developed. As an application, the nilpotent problem of elementary cellular automata(ECA) known as algorithmically undecidable is considered, and all the nilpotent ECA are found out which consists of rules 0, 8, 64, 239, 253, 255. 展开更多
关键词 Cellular automata EIGENVALUE finite states limit set multi-agent system nilpotent.
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On Limit Sets and Discreteness Criteria for Nonelementary Subgroups of M(~n)
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作者 Bin Lin DAI Ai Nong FANG 《Acta Mathematica Sinica,English Series》 SCIE CSCD 2005年第3期465-472,共8页
In this paper, we will study the nonelementary groups of MSbius transformations in R^n and some properties are obtained. Also in this paper we will prove several theorems about discreteness criteria and group converge... In this paper, we will study the nonelementary groups of MSbius transformations in R^n and some properties are obtained. Also in this paper we will prove several theorems about discreteness criteria and group convergence of nonelementary groups of M(R^n). 展开更多
关键词 limit set Nonelementary group Discrete group Isometry group
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Attractor, chain recurrent set and limit set of flow
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作者 郑作环 《Science China Mathematics》 SCIE 2000年第3期244-251,共8页
The properties of attractor, chain recurrent set and limit set of the flow on a compact metric space are studied.
关键词 FLOW ATTRACTOR chin recurrent set limit set
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Challenges in initiating antiretroviral therapy for all HIV-infected people regardless of CD4 cell count 被引量:4
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作者 Jean Joel R.Bigna Claudia S.Plottel Sinata Koulla-Shiro 《Infectious Diseases of Poverty》 SCIE 2016年第1期787-792,共6页
Introduction:Recently published large randomized controlled trials,START,TEMPRANO and HPTN 052 show the clinical benefit of early initiation of antiretroviral treatment(ART)in HIV-infected persons and in reducing HIV ... Introduction:Recently published large randomized controlled trials,START,TEMPRANO and HPTN 052 show the clinical benefit of early initiation of antiretroviral treatment(ART)in HIV-infected persons and in reducing HIV transmission.The trials influenced the World Health Organization(WHO)decision to issue updated recommendations to prescribe ART to all individuals living with HIV,irrespective of age and CD4 cell count.Discussion:It is clear that the new 2015 WHO recommendations if followed,will change the face of the HIV epidemic and probably curb its burden over time.Implementation however,requires that health systems,especially those in low and middle-income settings,be ready to face this challenge on a large scale.HIV prevention and treatment are easy in theory yet hard in practice.The new WHO guidelines for initiation of ART regardless of CD4 cell count will lead to upfront increases in the costs of healthcare delivery as the goal is to treat all those now newly eligible for ART.Around 22 million people living with HIV qualify and will therefore require ART.Related challenges immediately follow:firstly,that everyone must be tested for HIV;secondly,that anyone who has had an HIV test should know their result and understand its significance;and,thirdly,that every person identified as HIV-positive should receive and remain on ART.The emergence of HIV drug resistant strains when treatment is started at higher CD4 cell count thresholds is a further concern as persons on HIV treatment for longer periods of time are at increased risk of intermittent medication adherence.Conclusions:The new WHO recommendations for ART are welcome,but lacking as they fail to consider meaningful solutions to the challenges inherent to implementation.They fail to incorporate actual strategies on how to disseminate and adopt these far-reaching guidelines,especially in sub-Saharan Africa,an area with weak healthcare infrastructures.Well-designed,high-quality research is needed to assess the feasibility,safety,acceptability,impact,and cost of innovations such as the universal voluntary testing and immediate treatment approaches,and broad consultation must address community,human rights,ethical,and political concerns. 展开更多
关键词 CHALLENGES CD4 count Resource limited setting HIV WHO guidelines Early initiation Immediate initiation ANTIRETROVIRAL Universal access
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TRAJECTORY TRACKING THEORY OF QUANTUM SYSTEMS 被引量:3
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作者 CONG Shuang LIU Jianxiu 《Journal of Systems Science & Complexity》 SCIE EI CSCD 2014年第4期679-693,共15页
The orbit tracking problem of a free-evolutionary target system in closed quantum systems is solved by changing it into the state transferring problem with the help of unitary transformation.The control law designed b... The orbit tracking problem of a free-evolutionary target system in closed quantum systems is solved by changing it into the state transferring problem with the help of unitary transformation.The control law designed by the Lyapunov stability theorem employs a carefully constructed virtual mechanical quantity P to ensure the system convergence.The virtual mechanical quantity P is chosen by two approaches according to the forms of limit set,where P = —pf is suitable for regular limit set and a new different P is constructed for irregular one.The proposed tracking control theory is demonstrated on a four-level quantum system by means of numerical simulation experiments. 展开更多
关键词 CONVERGENCE limit set Lyapunov stability theorem orbit tracking.
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