Objective To determine whether frailty is a risk factor for hospitalization and mortality in older adults enrolled in the "Chronic Heart Failure Program" at a hospital in Lima, Peru, between 2018–2021.Metho...Objective To determine whether frailty is a risk factor for hospitalization and mortality in older adults enrolled in the "Chronic Heart Failure Program" at a hospital in Lima, Peru, between 2018–2021.Methods This was an ambispective cohort study. A total of 85 older adults participating in the Chronic Heart Failure Program at Guillermo Almenara National Hospital were included. Each had an initial frailty assessment, forming two cohorts: frail and non-frail older adults. Medical records were reviewed, and patients were followed for one year to track events of interest(hospitalization and mortality). Overall survival and risk factors for hospitalization and death were determined.Results During follow-up, 15.3% of the older adults died, and frailty was identified in 58.8% of the patients. Overall survival using the Kaplan-Meier method was 96.5% at 3 months after entering the Chronic Heart Failure Program;92.9% at 6 months;and85.9% at one year. Multivariate analysis using Poisson regression found that frailty was not a risk factor for hospitalization(a RR =0.92;95% CI: 0.42–2.03). Survival analysis using the Cox proportional hazards model showed that frailty was also not a risk factor for mortality after one year of follow-up(a HR = 1.32;95% CI: 0.27–6.53).Conclusions Our research does not confirm frailty as a risk factor for hospitalization or mortality in older adults enrolled in the“Chronic Heart Failure Program” after one year of follow-up.展开更多
Studies of lithology, sedimentary facies and the distribution regularity of SiO2 and Al2O3 contents and Al2O3/SiO2 ratio allow us to divide the Upper Pleistocene-Holocene Series represented by the MUanggouwan section ...Studies of lithology, sedimentary facies and the distribution regularity of SiO2 and Al2O3 contents and Al2O3/SiO2 ratio allow us to divide the Upper Pleistocene-Holocene Series represented by the MUanggouwan section in China＇s Salawnsu River valley into six segments： MGS1, MGS2, MGS3, MGS4, MGS5 and MGS6. The boundary ages for MGS1 （the Dishaogouwan and Dagouwan Formations）, MGS2 （the upper Chengchuan Formation）, MGS3 （the middle Chengchuan Formation）, MGS4 （the lower Chengchuan Formation）, MGS5 （most strata of the Salawusu Formation） and MGS6 （the bottom of the Salawusu Formation and the top of the Lishi Formation） correspond to those of MIS1, MIS2, MIS3, MIS4, MISS and MIS6, respectively, from deep sea sediments or continental glaciers. MGS5 can be subdivided into five subsegments （MGS5a, MGS5b, MGS5c, MGS5d and MGS5e） and the boundary ages of these subsegments correspond to those of MISSa, MISSb, MIS5c, MIS5d and MIS5e, respectively. Based on the paleoenvironment and paleoecology indicated by the primary chemical elements, fossil vertebrates, mollusks and pollen grains, we hypothesize that MGS1, MGS2, MGS3, MGS4, MGS5 and MGS6 and the subsegments of MGS5 match the corresponding stages for oxygen isotopes in the deep sea sediments and continental glaciers, and the substages of MIS5 in terms of climatic characters, further explaining the phenomena that determined the formation of the late Quaternary strata and the paleontology of the Salawusu River valley. These phenomena relate to fluctuations in the global climate （and particularly in the East Asian monsoon） during the glacial and interglacial periods.展开更多
Objective:To observe three species of Kalicephalus found in three species of snake(Ophkphagus hannah,Ptyas mucosus,and Naja Sputatrix) during research on Capture Snake for Trading in Java and Snake Biodiversity in Kal...Objective:To observe three species of Kalicephalus found in three species of snake(Ophkphagus hannah,Ptyas mucosus,and Naja Sputatrix) during research on Capture Snake for Trading in Java and Snake Biodiversity in Kalimantan Islands.Methods:Specimens for light microscopy examination were fixed with warm 70%alcohol,cleared and mounted in lactophenol for wet mounting.Drawings were made with the aid of a drawing tube attached to a Nikon compound microscope.Measurements were given in micrometers(μ) as the average of findings,followed by the range in parentheses,unless otherwise stated.Results:Kalkephalus(Costatus) indicus was found from 7 Ptyas mucosus,Kalicephalus bungari from 2 Naja sputatrix and 1 Kalicephalus(Costatus) indicus and Kalicephalus assimilis found from 1 Ophiophagus hannah.The morphology and measurement of three species of Kalicephalus found in this study were close to those described before.Conclusions:New finding of host of Kalicephalus(Costalus) indicus and Kalicephalus bungari was a snake species of Naja sputatrix.New records of locality were Kalimantan island as the new locality of Kalicephalus assimilis,and Java island was new locality of Kalicephalus(Costatus) indicus.展开更多
The stenopodaine genus Oncocephalus Klug, 1850 and two species of this genus, O. breviscutum Reuter, 1882 and O. pudicus Hsiao, are recorded from Cambodia for the first time.
Three species of Lumbrineridae, Helmutnerisflabellicola （Fage, 1936）, Lurnbrinerides dayi Perkins, 1979, and Ninoe japonica Imajima ＆ Higuchi, 1975, are reported from the material collected between 1959 and 1994 fr...Three species of Lumbrineridae, Helmutnerisflabellicola （Fage, 1936）, Lurnbrinerides dayi Perkins, 1979, and Ninoe japonica Imajima ＆ Higuchi, 1975, are reported from the material collected between 1959 and 1994 from the Yellow Sea, East China Sea, and South China Sea. These species are not previously recorded from Chinese waters. Systematic descriptions and morphological illustrations of the species are provided in this paper.展开更多
Columbia(Nuna)is a Paleo-Mesoproterozoic supercontinent that was assembled during global 2.0–1.8Ga collisional events,underwent long-lived,subductionrelated accretion at key continental margins in the period
Background:Electronic Health Record(EHR)systems are used as an efficient and effective technique for sharing patient’s health records among different hospitals and various other key stakeholders of the healthcare ind...Background:Electronic Health Record(EHR)systems are used as an efficient and effective technique for sharing patient’s health records among different hospitals and various other key stakeholders of the healthcare industry to achieve better diagnosis and treatment of patients globally.However,the existing EHR systems mostly lack in providing appropriate security,entrusted access control and handling privacy and secrecy issues and challenges in current hospital infrastructures.Objective:To solve this delicate problem,we propose a Blockchain-enabled Hyperledger Fabric Architecture for different EHR systems.Methodology:In our EHR blockchain system,Peer nodes from various organizations(stakeholders)create a ledger network,where channels are created to enable secure and private communication between different stakeholders on the ledger network.Individual patients and other stakeholders are identified and registered on the network by unique digital certificates issued by membership service provider(MSP)component of the fabric architecture.Results:We created and implemented different Chaincodes to handle the business logic for executing separate EHR transactions on the network.The proposed fabric architecture provides a secure,transparent and immutable mechanism to store,share and exchange EHRs in a peer-to-peer network of different healthcare stakeholders.It ensures interoperability,scalability and availability in adapting the existing EHRs for strengthening and providing an effective and secure method to integrate and manage patient records among medical institutions in the healthcare ecosystem.展开更多
European firearms entered China from the sixteenth century and played a significant role in the warfare of the Ming and Qing dynasties.Some Chinese military books,which include contents on European firearms,appeared i...European firearms entered China from the sixteenth century and played a significant role in the warfare of the Ming and Qing dynasties.Some Chinese military books,which include contents on European firearms,appeared in the early seventeenth century and helped to expand the weapons’influence.Certain parts in these books concerning European artilleries are highly similar,indicating that they might have been extracted from a mutual source.Bing lu兵錄(Records of military art)is a typical example of such Chinese military treatises.Its illustrations and data demonstrate that Pratica manuale di arteglieria written by Luys Collado in 1586 is an important source of the Western knowledge in certain chapters of Bing lu.展开更多
For the reduction of atmospheric effects,observed gravity has initially been corrected by using the computed barometric admittance k of the in situ measured pressure,expressed in nms-2/hPa units and estimated by least...For the reduction of atmospheric effects,observed gravity has initially been corrected by using the computed barometric admittance k of the in situ measured pressure,expressed in nms-2/hPa units and estimated by least squares method.However,the local pressure changes alone cannot account for the atmospheric mass attraction and loading when the coherent pressure field exceeds a specific size,i.e.,with increasing periodicities.To overcome this difficulty,it is necessary to compute the total atmospheric effect at each station using the global pressure field.However,the direct subtraction of the total gravity effect,provided by the models of pressure correction,is not yet satisfactory for S2 and other tidal components,such as K2 and P1,which include solar heating pressure tides.This paper identifies the origin of the problem and presents strategies to obtain a satisfactory solution.First,we set up a difference vector between the tidal factors of M2 and S2 after correction of the pressure and ocean tides effects.This vector,hereafter denoted as RES,presents the advantage of being practically insensitive to calibration errors.The minimum discrepancy between the tidal parameters of M2 and S2 corresponds to the minimum of the RES vector norm d.Secondly we adopt the hybrid pressure correction method,separating the local and the global pressure contribution of the models and replacing the local contribution by the pressure measured at the station multiplied by an admittance kATM.We tested this procedure on 8 stations from the IGETS superconducting gravimeters network(former GGP network).For stations at an altitude lower than 1000 m,the value of dopt is always smaller than0.0005.The discrepancy between the tidal parameters of the M2 and S2 waves is always lower than0.05% on the amplitude factors and 0.025° on the phases.For these stations,a correlation exists between the altitude and the value kopt.The results at the three Central European stations Conrad,Pecny and Vienna are in excellent agreement(0.05%) with the DDW99NH model for all the main tidal waves.展开更多
A neritid species Vittina pennata （von Born, 1778） is reported for the first time from the South China Sea. This is also the first report of this genus from Chinese waters. The specimen was collected from the Sanya ...A neritid species Vittina pennata （von Born, 1778） is reported for the first time from the South China Sea. This is also the first report of this genus from Chinese waters. The specimen was collected from the Sanya Harbor, Hainan Province, China and deposited in Marine Biological Museum, Chinese Academy of Sciences. Detailed descriptions of its shell feature are presented. Differences between this species, Vittina coromandeliana and Neritina pulligera are compared and discussed.展开更多
The Nansha Islands, China, have extremely high marine biodiversity and hundreds of mollusks have been reported there. Benthos resources investigations of the intertidal and subtidal zone around the Nansha Islands have...The Nansha Islands, China, have extremely high marine biodiversity and hundreds of mollusks have been reported there. Benthos resources investigations of the intertidal and subtidal zone around the Nansha Islands have been continuously performed for decades, and recently, dozens of new species and new records of mollusks have been reported from this area. This paper dealt with three new record species of the Gastropoda from Chinese waters: Cerithium salebrosum Sowerby II, 1855, Vexillum militare(Reeve, 1845) and Vexillum bizonale(Dautzenberg et Bouge, 1923), respectively belonging to three families: Cerithiidae Fleming, 1822, and Costellariidae Mac Donald, 1860. All specimens were collected from the Nansha Islands during the benthos resources investigations on the intertidal zone of islands and reefs in the South China Sea in recent years. Diagnosis and geographic descriptions of both genus and species, illustrations of each species were given in this contribution, and discussion of taxonomy, identification features and faunal characteristics were presented. All examined specimens were deposited in the Marine Biodiversity Collections of South China Sea, Chinese Academy of Sciences.展开更多
文摘Objective To determine whether frailty is a risk factor for hospitalization and mortality in older adults enrolled in the "Chronic Heart Failure Program" at a hospital in Lima, Peru, between 2018–2021.Methods This was an ambispective cohort study. A total of 85 older adults participating in the Chronic Heart Failure Program at Guillermo Almenara National Hospital were included. Each had an initial frailty assessment, forming two cohorts: frail and non-frail older adults. Medical records were reviewed, and patients were followed for one year to track events of interest(hospitalization and mortality). Overall survival and risk factors for hospitalization and death were determined.Results During follow-up, 15.3% of the older adults died, and frailty was identified in 58.8% of the patients. Overall survival using the Kaplan-Meier method was 96.5% at 3 months after entering the Chronic Heart Failure Program;92.9% at 6 months;and85.9% at one year. Multivariate analysis using Poisson regression found that frailty was not a risk factor for hospitalization(a RR =0.92;95% CI: 0.42–2.03). Survival analysis using the Cox proportional hazards model showed that frailty was also not a risk factor for mortality after one year of follow-up(a HR = 1.32;95% CI: 0.27–6.53).Conclusions Our research does not confirm frailty as a risk factor for hospitalization or mortality in older adults enrolled in the“Chronic Heart Failure Program” after one year of follow-up.
基金This study was supported by the National Basic Research Program of China （No. 2004CB720206） the National Natural Science Foundation of China （No. 49971009）the RGC （HKU 7243/04H） Grant of the HKSAR and the Chinese Academy of Sciences （No. KZCX2-SW-118）
文摘Studies of lithology, sedimentary facies and the distribution regularity of SiO2 and Al2O3 contents and Al2O3/SiO2 ratio allow us to divide the Upper Pleistocene-Holocene Series represented by the MUanggouwan section in China＇s Salawnsu River valley into six segments： MGS1, MGS2, MGS3, MGS4, MGS5 and MGS6. The boundary ages for MGS1 （the Dishaogouwan and Dagouwan Formations）, MGS2 （the upper Chengchuan Formation）, MGS3 （the middle Chengchuan Formation）, MGS4 （the lower Chengchuan Formation）, MGS5 （most strata of the Salawusu Formation） and MGS6 （the bottom of the Salawusu Formation and the top of the Lishi Formation） correspond to those of MIS1, MIS2, MIS3, MIS4, MISS and MIS6, respectively, from deep sea sediments or continental glaciers. MGS5 can be subdivided into five subsegments （MGS5a, MGS5b, MGS5c, MGS5d and MGS5e） and the boundary ages of these subsegments correspond to those of MISSa, MISSb, MIS5c, MIS5d and MIS5e, respectively. Based on the paleoenvironment and paleoecology indicated by the primary chemical elements, fossil vertebrates, mollusks and pollen grains, we hypothesize that MGS1, MGS2, MGS3, MGS4, MGS5 and MGS6 and the subsegments of MGS5 match the corresponding stages for oxygen isotopes in the deep sea sediments and continental glaciers, and the substages of MIS5 in terms of climatic characters, further explaining the phenomena that determined the formation of the late Quaternary strata and the paleontology of the Salawusu River valley. These phenomena relate to fluctuations in the global climate （and particularly in the East Asian monsoon） during the glacial and interglacial periods.
文摘Objective:To observe three species of Kalicephalus found in three species of snake(Ophkphagus hannah,Ptyas mucosus,and Naja Sputatrix) during research on Capture Snake for Trading in Java and Snake Biodiversity in Kalimantan Islands.Methods:Specimens for light microscopy examination were fixed with warm 70%alcohol,cleared and mounted in lactophenol for wet mounting.Drawings were made with the aid of a drawing tube attached to a Nikon compound microscope.Measurements were given in micrometers(μ) as the average of findings,followed by the range in parentheses,unless otherwise stated.Results:Kalkephalus(Costatus) indicus was found from 7 Ptyas mucosus,Kalicephalus bungari from 2 Naja sputatrix and 1 Kalicephalus(Costatus) indicus and Kalicephalus assimilis found from 1 Ophiophagus hannah.The morphology and measurement of three species of Kalicephalus found in this study were close to those described before.Conclusions:New finding of host of Kalicephalus(Costalus) indicus and Kalicephalus bungari was a snake species of Naja sputatrix.New records of locality were Kalimantan island as the new locality of Kalicephalus assimilis,and Java island was new locality of Kalicephalus(Costatus) indicus.
基金supported by grants from the National Natural Science Foundation of China (No.30825006)the Doctoral Program of Higher Education of China (No. 200800190015)
文摘The stenopodaine genus Oncocephalus Klug, 1850 and two species of this genus, O. breviscutum Reuter, 1882 and O. pudicus Hsiao, are recorded from Cambodia for the first time.
基金Supported by the Knowledge Innovation Program of the Chinese Academy of Sciences(No.O72715)
文摘Three species of Lumbrineridae, Helmutnerisflabellicola （Fage, 1936）, Lurnbrinerides dayi Perkins, 1979, and Ninoe japonica Imajima ＆ Higuchi, 1975, are reported from the material collected between 1959 and 1994 from the Yellow Sea, East China Sea, and South China Sea. These species are not previously recorded from Chinese waters. Systematic descriptions and morphological illustrations of the species are provided in this paper.
文摘Columbia(Nuna)is a Paleo-Mesoproterozoic supercontinent that was assembled during global 2.0–1.8Ga collisional events,underwent long-lived,subductionrelated accretion at key continental margins in the period
基金funded by the Deanship of Scientific Research at Princess Nourah bint Abdulrahman University through the Fast-track Research Funding Program.
文摘Background:Electronic Health Record(EHR)systems are used as an efficient and effective technique for sharing patient’s health records among different hospitals and various other key stakeholders of the healthcare industry to achieve better diagnosis and treatment of patients globally.However,the existing EHR systems mostly lack in providing appropriate security,entrusted access control and handling privacy and secrecy issues and challenges in current hospital infrastructures.Objective:To solve this delicate problem,we propose a Blockchain-enabled Hyperledger Fabric Architecture for different EHR systems.Methodology:In our EHR blockchain system,Peer nodes from various organizations(stakeholders)create a ledger network,where channels are created to enable secure and private communication between different stakeholders on the ledger network.Individual patients and other stakeholders are identified and registered on the network by unique digital certificates issued by membership service provider(MSP)component of the fabric architecture.Results:We created and implemented different Chaincodes to handle the business logic for executing separate EHR transactions on the network.The proposed fabric architecture provides a secure,transparent and immutable mechanism to store,share and exchange EHRs in a peer-to-peer network of different healthcare stakeholders.It ensures interoperability,scalability and availability in adapting the existing EHRs for strengthening and providing an effective and secure method to integrate and manage patient records among medical institutions in the healthcare ecosystem.
文摘European firearms entered China from the sixteenth century and played a significant role in the warfare of the Ming and Qing dynasties.Some Chinese military books,which include contents on European firearms,appeared in the early seventeenth century and helped to expand the weapons’influence.Certain parts in these books concerning European artilleries are highly similar,indicating that they might have been extracted from a mutual source.Bing lu兵錄(Records of military art)is a typical example of such Chinese military treatises.Its illustrations and data demonstrate that Pratica manuale di arteglieria written by Luys Collado in 1586 is an important source of the Western knowledge in certain chapters of Bing lu.
基金supported by Major Program of the National Natural Science Foundation of China (42192535)。
文摘For the reduction of atmospheric effects,observed gravity has initially been corrected by using the computed barometric admittance k of the in situ measured pressure,expressed in nms-2/hPa units and estimated by least squares method.However,the local pressure changes alone cannot account for the atmospheric mass attraction and loading when the coherent pressure field exceeds a specific size,i.e.,with increasing periodicities.To overcome this difficulty,it is necessary to compute the total atmospheric effect at each station using the global pressure field.However,the direct subtraction of the total gravity effect,provided by the models of pressure correction,is not yet satisfactory for S2 and other tidal components,such as K2 and P1,which include solar heating pressure tides.This paper identifies the origin of the problem and presents strategies to obtain a satisfactory solution.First,we set up a difference vector between the tidal factors of M2 and S2 after correction of the pressure and ocean tides effects.This vector,hereafter denoted as RES,presents the advantage of being practically insensitive to calibration errors.The minimum discrepancy between the tidal parameters of M2 and S2 corresponds to the minimum of the RES vector norm d.Secondly we adopt the hybrid pressure correction method,separating the local and the global pressure contribution of the models and replacing the local contribution by the pressure measured at the station multiplied by an admittance kATM.We tested this procedure on 8 stations from the IGETS superconducting gravimeters network(former GGP network).For stations at an altitude lower than 1000 m,the value of dopt is always smaller than0.0005.The discrepancy between the tidal parameters of the M2 and S2 waves is always lower than0.05% on the amplitude factors and 0.025° on the phases.For these stations,a correlation exists between the altitude and the value kopt.The results at the three Central European stations Conrad,Pecny and Vienna are in excellent agreement(0.05%) with the DDW99NH model for all the main tidal waves.
基金The National Natural Science Foundation of China under contract No.41406185the Special Funds for the Young Scholars of Taxonomy of the Chinese Academy of Sciences under contract No.ZSBR-010the Special Program for Basic Research of the Ministry of Science and Technology,China under contract No.2013FY111200
文摘A neritid species Vittina pennata （von Born, 1778） is reported for the first time from the South China Sea. This is also the first report of this genus from Chinese waters. The specimen was collected from the Sanya Harbor, Hainan Province, China and deposited in Marine Biological Museum, Chinese Academy of Sciences. Detailed descriptions of its shell feature are presented. Differences between this species, Vittina coromandeliana and Neritina pulligera are compared and discussed.
基金supported by the National Natural Science Foundation of China (No.41406185)the Special Funds for the Young Scholars of Taxonomy of the Chinese Academy of Sciences (No.ZSBR-010)the Special Program for Basic Research of the Ministry of Science and Technology,China (No.2012FY112400,No.2013FY111200)
文摘The Nansha Islands, China, have extremely high marine biodiversity and hundreds of mollusks have been reported there. Benthos resources investigations of the intertidal and subtidal zone around the Nansha Islands have been continuously performed for decades, and recently, dozens of new species and new records of mollusks have been reported from this area. This paper dealt with three new record species of the Gastropoda from Chinese waters: Cerithium salebrosum Sowerby II, 1855, Vexillum militare(Reeve, 1845) and Vexillum bizonale(Dautzenberg et Bouge, 1923), respectively belonging to three families: Cerithiidae Fleming, 1822, and Costellariidae Mac Donald, 1860. All specimens were collected from the Nansha Islands during the benthos resources investigations on the intertidal zone of islands and reefs in the South China Sea in recent years. Diagnosis and geographic descriptions of both genus and species, illustrations of each species were given in this contribution, and discussion of taxonomy, identification features and faunal characteristics were presented. All examined specimens were deposited in the Marine Biodiversity Collections of South China Sea, Chinese Academy of Sciences.
