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The energy flexibility potential of short-term HVAC system management in office buildings under both typical and extreme weather conditions in China during the cooling season 被引量:1
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作者 HUANG Bingjie LIU Meng LI Ziqiao 《土木与环境工程学报(中英文)》 北大核心 2025年第4期157-171,共15页
To meet the challenge of mismatches between power supply and demand,modern buildings must schedule flexible energy loads in order to improve the efficiency of power grids.Furthermore,it is essential to understand the ... To meet the challenge of mismatches between power supply and demand,modern buildings must schedule flexible energy loads in order to improve the efficiency of power grids.Furthermore,it is essential to understand the effectiveness of flexibility management strategies under different climate conditions and extreme weather events.Using both typical and extreme weather data from cities in five major climate zones of China,this study investigates the energy flexibility potential of an office building under three short-term HVAC management strategies in the context of different climates.The results show that the peak load flexibility and overall energy performance of the three short-term strategies were affected by the surrounding climate conditions.The peak load reduction rate of the pre-cooling and zone temperature reset strategies declined linearly as outdoor temperature increased.Under extreme climate conditions,the daily peak-load time was found to be over two hours earlier than under typical conditions,and the intensive solar radiation found in the extreme conditions can weaken the correlation between peak load reduction and outdoor temperature,risking the ability of a building’s HVAC system to maintain a comfortable indoor environment. 展开更多
关键词 energy flexibility demand-side management extreme weather HVAC systems thermal requirements
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Effects of straw incorporation on biological nitrogen fixation under continuous and intermittent flooding irrigation in a rice cropping system 被引量:2
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作者 Yanhui ZHANG Jing WANG +7 位作者 Qi LIU Haihou WANG Tianlong HU Hui WANG Zhe CHEN Liangzuo SHU Elrys S.AHMED Zubin XIE 《Pedosphere》 2025年第2期364-372,共9页
Both straw incorporation and irrigation practices affect biological nitrogen(N)fixation(BNF),but it is still unclear how straw incorporation impacts BNF under continuous(CFI)or intermittent(IFI)flooding irrigation in ... Both straw incorporation and irrigation practices affect biological nitrogen(N)fixation(BNF),but it is still unclear how straw incorporation impacts BNF under continuous(CFI)or intermittent(IFI)flooding irrigation in a rice cropping system.A15N2-labeling chamber system was placed in a rice field to evaluate BNF with straw incorporation under CFI or IFI for 90 d.The nif H(gene encoding the nitrogenase reductase subunit)DNA and c DNA in soil were amplified using real-time quantitative polymerase chain reaction,and high-throughput sequencing was applied to the nif H gene.The total fixed N in the straw incorporation treatment was 14.3 kg ha^(-1)under CFI,being 116%higher than that under IFI(6.62 kg ha^(-1)).Straw incorporation and CFI showed significant interactive effects on the total fixed N and abundances of nif H DNA and c DNA.The increase in BNF was mainly due to the increase in the abundances of heterotrophic diazotrophs such as Desulfovibrio,Azonexus,and Azotobacter.These results indicated that straw incorporation stimulated BNF under CFI relative to IFI,which might ultimately lead to a rapid enhancement of soil fertility. 展开更多
关键词 heterotrophic diazotrophs irrigation practices 15N2-labeling experiment nifH cDNA nifH DNA soil fertility water management
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Bioinspired smart dual-layer hydrogels system with synchronous solar and thermal radiation modulation for energy-saving all-season temperature regulation 被引量:1
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作者 Meng-Chen Huang Chao-Hua Xue +8 位作者 Zhongxue Bai Jun Cheng Yong-Gang Wu Chao-Qun Ma Li Wan Long Xie Hui-Di Wang Bing-Ying Liu Xiao-Jing Guo 《Journal of Energy Chemistry》 2025年第2期175-190,I0005,共17页
All-season thermal management with zero energy consumption and emissions is more crucial to global decarbonization over traditional energy-intensive cooling/heating systems.However,the static single thermal management... All-season thermal management with zero energy consumption and emissions is more crucial to global decarbonization over traditional energy-intensive cooling/heating systems.However,the static single thermal management for cooling or heating fails to self-regulate the temperature in dynamic seasonal temperature condition.Herein,inspired by the dual-temperature regulation function of the fur color changes on the backs and abdomens of penguins,a smart thermal management composite hydrogel(PNA@H-PM Gel)system was subtly created though an"on-demand"dual-layer structure design strategy.The PNA@H-PM Gel system features synchronous solar and thermal radiation modulation as well as tunable phase transition temperatures to meet the variable seasonal thermal requirements and energy-saving demands via self-adaptive radiative cooling and solar heating regulation.Furthermore,this system demonstrates superb modulations of both the solar reflectance(ΔR=0.74)and thermal emissivity(ΔE=0.52)in response to ambient temperature changes,highlighting efficient temperature regulation with average radiative cooling and solar heating effects of 9.6℃in summer and 6.1℃in winter,respectively.Moreover,compared to standard building baselines,the PNA@H-PM Gel presents a more substantial energy-saving cooling/heating potentials for energy-efficient buildings across various regions and climates.This novel solution,inspired by penguins in the real world,will offer a fresh approach for producing intelligent,energy-saving thermal management materials,and serve for temperature regulation under dynamic climate conditions and even throughout all seasons. 展开更多
关键词 Thermochromic hydrogel Self-adaptive thermal management Radiative cooling Spectral modulation ENERGY-SAVING
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A hierarchical blockchain-enabled distributed federated learning system with model contribution based rewarding 被引量:1
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作者 Haibo Wang Hongwei Gao +2 位作者 Teng Ma Chong Li Tao Jing 《Digital Communications and Networks》 2025年第1期35-42,共8页
Distributed Federated Learning(DFL)technology enables participants to cooperatively train a shared model while preserving the privacy of their local datasets,making it a desirable solution for decentralized and privac... Distributed Federated Learning(DFL)technology enables participants to cooperatively train a shared model while preserving the privacy of their local datasets,making it a desirable solution for decentralized and privacy-preserving Web3 scenarios.However,DFL faces incentive and security challenges in the decentralized framework.To address these issues,this paper presents a Hierarchical Blockchain-enabled DFL(HBDFL)system,which provides a generic solution framework for the DFL-related applications.The proposed system consists of four major components,including a model contribution-based reward mechanism,a Proof of Elapsed Time and Accuracy(PoETA)consensus algorithm,a Distributed Reputation-based Verification Mechanism(DRTM)and an Accuracy-Dependent Throughput Management(ADTM)mechanism.The model contribution-based rewarding mechanism incentivizes network nodes to train models with their local datasets,while the PoETA consensus algorithm optimizes the tradeoff between the shared model accuracy and system throughput.The DRTM improves the system efficiency in consensus,and the ADTM mechanism guarantees that the throughput performance remains within a predefined range while improving the shared model accuracy.The performance of the proposed HBDFL system is evaluated by numerical simulations,with the results showing that the system improves the accuracy of the shared model while maintaining high throughput and ensuring security. 展开更多
关键词 Blockchain Federated learning Consensus scheme Accuracy dependent throughput management
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Coupled Urban Risks:A Complex Systems Perspective with a People-Centric Focus 被引量:1
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作者 Min Ouyang Zekai Cheng +2 位作者 Jiaxin Ma Hongwei Wang Stergios Aristoteles Mitoulis 《Engineering》 2025年第1期44-50,共7页
The complexity of coupled risks,which refer to the compounded effects of interacting uncertainties across multiple interdependent objectives,is inherent to cities functioning as dynamic,interdependent systems.A disrup... The complexity of coupled risks,which refer to the compounded effects of interacting uncertainties across multiple interdependent objectives,is inherent to cities functioning as dynamic,interdependent systems.A disruption in one domain ripples across various urban systems,often with unforeseen consequences.Central to this complexity are people,whose behaviors,needs,and vulnerabilities shape risk evolution and response effectiveness.Realizing cities as complex systems centered on human needs and behaviors is essential to understanding the complexities of coupled urban risks.This paper adopts a complex systems perspective to examine the intricacies of coupled urban risks,emphasizing the critical role of human decisions and behavior in shaping these dynamics.We focus on two key dimensions:cascading hazards in urban environments and cascading failures across interdependent exposed systems in cities.Existing risk assessment models often fail to capture the complexity of these processes,particularly when factoring in human decision-making.To tackle these challenges,we advocate for a standardized taxonomy of cascading hazards,urban components,and their interactions.At its core is a people-centric perspective,emphasizing the bidirectional interactions between people and the systems that serve them.Building on this foundation,we argue the need for an integrated,people-centric risk assessment framework that evaluates event impacts in relation to the hierarchical needs of people and incorporates their preparedness and response capacities.By leveraging real-time data,advanced simulations,and innovative validation methods,this framework aims to enhance the accuracy of coupled urban risk modeling.To effectively manage coupled urban risks,cities can draw from proven strategies in real complex systems.However,given the escalating uncertainties and complexities associated with climate change,prioritizing people-centric strategies is crucial.This approach will empower cities to build resilience not only against known hazards but also against evolving and unforeseen challenges in an increasingly uncertain world. 展开更多
关键词 Coupled urban risks People-centric Risk management
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A 2.69 ppm/℃ bandgap reference with 42 ppm/V line sensitivity for battery management system 被引量:1
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作者 Jing Wang Feixiang Zhang +2 位作者 Zhiyuan He Hui Zhang Lin Cheng 《Journal of Semiconductors》 2025年第6期31-42,共12页
This paper introduces a high-precision bandgap reference(BGR)designed for battery management systems(BMS),fea-turing an ultra-low temperature coefficient(TC)and line sensitivity(LS).The BGR employs a current-mode sche... This paper introduces a high-precision bandgap reference(BGR)designed for battery management systems(BMS),fea-turing an ultra-low temperature coefficient(TC)and line sensitivity(LS).The BGR employs a current-mode scheme with chopped op-amps and internal clock generators to eliminate op-amp offset.A low dropout regulator(LDO)and a pre-regula-tor enhance output driving and LS,respectively.Curvature compensation enhances the TC by addressing higher-order nonlinear-ity.These approaches,effective near room temperature,employs trimming at both 20 and 60°C.When combined with fixed cur-vature correction currents,it achieves an ultra-low TC for each chip.Implemented in a CMOS 180 nm process,the BGR occu-pies 0.548 mm²and operates at 2.5 V with 84μA current draw from a 5 V supply.An average TC of 2.69 ppm/℃ with two-point trimming and 0.81 ppm/℃ with multi-point trimming are achieved over the temperature range of-40 to 125℃.It accommo-dates a load current of 1 mA and an LS of 42 ppm/V,making it suitable for precise BMS applications. 展开更多
关键词 bandgap reference high precision low temperature coefficient small line sensitivity battery management system BMS
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Optimization method of heat transfer architecture for aircraft fuel thermal management systems 被引量:1
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作者 Jiangtao XU Haotian TAN +3 位作者 Jitao WU Jiayi HAN Sirong SU Hongqing LYU 《Chinese Journal of Aeronautics》 2025年第8期300-312,共13页
Modern aircraft tend to use fuel thermal management systems to cool onboard heat sources.However,the design of heat transfer architectures for fuel thermal management systems relies on the experience of the engineers ... Modern aircraft tend to use fuel thermal management systems to cool onboard heat sources.However,the design of heat transfer architectures for fuel thermal management systems relies on the experience of the engineers and lacks theoretical guidance.This paper proposes a concise graph representation method based on graph theory for fuel thermal management systems,which can represent all possible connections between subsystems.A generalized optimization algorithm is proposed for fuel thermal management system architecture to minimize the heat sink.This algorithm can autonomously arrange subsystems with heat production differences and efficiently utilize the architecture of the fuel heat sink.At the same time,two evaluation indices are proposed from the perspective of subsystems.These indices intuitively and clearly show that the reason for the high efficiency of heat sink utilization is the balanced and moderate cooling of each subsystem and verify the rationality of the architecture optimization method.A set of simulations are also conducted,which demonstrate that the fuel tank temperature has no effect on the performance of the architecture.This paper provides a reference for the architectural design of aircraft fuel thermal management systems.The metrics used in this paper can also be utilized to evaluate the existing architecture. 展开更多
关键词 Fuel thermal management systems Architecture optimization Graph theory Fuel heat sink Fuel distribution
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Diabetic peripheral neuropathy and neuromodulation techniques:a systematic review of progress and prospects
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作者 Rahul Mittal Keelin McKenna +4 位作者 Grant Keith Evan McKenna Joana R.N.Lemos Jeenu Mittal Khemraj Hirani 《Neural Regeneration Research》 SCIE CAS 2025年第8期2218-2230,共13页
Neuromodulation for diabetic peripheral neuropathy represents a significant area of interest in the management of chronic pain associated with this condition.Diabetic peripheral neuropathy,a common complication of dia... Neuromodulation for diabetic peripheral neuropathy represents a significant area of interest in the management of chronic pain associated with this condition.Diabetic peripheral neuropathy,a common complication of diabetes,is characterized by nerve damage due to high blood sugar levels that lead to symptoms,such as pain,tingling,and numbness,primarily in the hands and feet.The aim of this systematic review was to evaluate the efficacy of neuromodulatory techniques as potential therapeutic interventions for patients with diabetic peripheral neuropathy,while also examining recent developments in this domain.The investigation encompassed an array of neuromodulation methods,including frequency rhythmic electrical modulated systems,dorsal root ganglion stimulation,and spinal cord stimulation.This systematic review suggests that neuromodulatory techniques may be useful in the treatment of diabetic peripheral neuropathy.Understanding the advantages of these treatments will enable physicians and other healthcare providers to offer additional options for patients with symptoms refractory to standard pharmacologic treatments.Through these efforts,we may improve quality of life and increase functional capacity in patients suffering from complications related to diabetic neuropathy. 展开更多
关键词 diabetes mellitus diabetic peripheral neuropathy NEUROMODULATION neurostimulation therapy non-pharmacological treatment pain management
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A Latency-Aware and Fault-Tolerant Framework for Resource Scheduling and Data Management in Fog-Enabled Smart City Transportation Systems
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作者 Ibrar Afzal Noor ul Amin +1 位作者 Zulfiqar Ahmad Abdulmohsen Algarni 《Computers, Materials & Continua》 SCIE EI 2025年第1期1377-1399,共23页
Thedeployment of the Internet of Things(IoT)with smart sensors has facilitated the emergence of fog computing as an important technology for delivering services to smart environments such as campuses,smart cities,and ... Thedeployment of the Internet of Things(IoT)with smart sensors has facilitated the emergence of fog computing as an important technology for delivering services to smart environments such as campuses,smart cities,and smart transportation systems.Fog computing tackles a range of challenges,including processing,storage,bandwidth,latency,and reliability,by locally distributing secure information through end nodes.Consisting of endpoints,fog nodes,and back-end cloud infrastructure,it provides advanced capabilities beyond traditional cloud computing.In smart environments,particularly within smart city transportation systems,the abundance of devices and nodes poses significant challenges related to power consumption and system reliability.To address the challenges of latency,energy consumption,and fault tolerance in these environments,this paper proposes a latency-aware,faulttolerant framework for resource scheduling and data management,referred to as the FORD framework,for smart cities in fog environments.This framework is designed to meet the demands of time-sensitive applications,such as those in smart transportation systems.The FORD framework incorporates latency-aware resource scheduling to optimize task execution in smart city environments,leveraging resources from both fog and cloud environments.Through simulation-based executions,tasks are allocated to the nearest available nodes with minimum latency.In the event of execution failure,a fault-tolerantmechanism is employed to ensure the successful completion of tasks.Upon successful execution,data is efficiently stored in the cloud data center,ensuring data integrity and reliability within the smart city ecosystem. 展开更多
关键词 Fog computing smart cities smart transportation data management fault tolerance resource scheduling
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Human Effects on Tabounsou’s Coastal Ecosystem and the Matoto-Conakry Case Study of Sustainable Management Practices
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作者 Daouda Konate Ahmed Guisse +2 位作者 Yamoussa Bangoura Ousmane II Camara Sekou Ahmed Bangoura 《Journal of Environmental Science and Engineering(A)》 CAS 2025年第1期43-52,共10页
Humans have always engaged with their surroundings and the ecology in which they live.However,during the industrial age,this contact has been more intense and has had a substantial impact on environment and ecosystems... Humans have always engaged with their surroundings and the ecology in which they live.However,during the industrial age,this contact has been more intense and has had a substantial impact on environment and ecosystems.For example,overexploitation of natural resources,mining,pollution,and deforestation are all elements that negatively affect biodiversity and natural resources.Few studies have been conducted to evaluate the damage caused,despite the significant uncontrolled pressure from human activity.However,maintaining its environment is essential to the survival of coastal fishing.Goal:This study’s goal was to evaluate how human activity affected Tabounsou’s coastal ecology in order to suggest remedial actions for sustainable management.The following was the methodological approach used:executive consultation and archival analysis;stakeholder survey(locals,farmers,salt producers,fishers,and loggers);inventory of species;anthropogenic activity inventory;evaluation of how human activity affects aquatic life in the research region;suggestion and action for sustainable management;Outcome:Executive consultation indicated that the main issues are:construction projects that reduce the estuary’s surface area;agricultural practices such as woodcutting and salt farming;the rise in resource exploitation;noncompliance with fisheries laws;and the catching of young fish.Eighty-three percent of fisherman ditch their nets on the coast after using them,but only seventeen percent burn them.With a 75%frequency rate,the same survey indicates that most fisherman fish around the coast.In the Tabounsou area,according to loggers’survey,68%of the wood cut is Rhizophora,24%is Avicennia,and 8%is Laguncularia.Three fish stocks,representing nine families and nine species,were identified by the species inventory.At 18%and 15%,respectively,the actors most frequently capture the species Pseudotolithus elongatus and Arius parkii.According to a poll of 30 farmers,90%of them apply fertilizer to their soil,while only 10%do not.During the dry season,salt is grown.According to two actors,Bougna Toro Toro produces 100 kg of salt per day,followed by Khoumawadé,which produces 80 kg,and Toumbibougni,which produces 70 kg. 展开更多
关键词 Coastal environment mitigation measures sustainable management.
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A Platform for Safe Operations of Unmanned Aircraft Systems in Critical Areas
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作者 Valerio De Luca Claudio Pascarelli +3 位作者 Mattia Colucci Paolo Afrune Angelo Corallo Giulio Avanzini 《Engineering》 2025年第6期314-331,共18页
The use of unmanned aerial system(UAS)in congested airspace and/or in the proximity of critical infrastructure poses several challenges as far as safe and secure operations are concerned.The paper provides a detailed ... The use of unmanned aerial system(UAS)in congested airspace and/or in the proximity of critical infrastructure poses several challenges as far as safe and secure operations are concerned.The paper provides a detailed description of the architecture and workflow of a platform for UAS traffic management(UTM),designed to pave the way for increased,improved and safer UAS operations in the civil airspace.In particular,access to low-altitude airspace for UAS operations is managed,while facilitating the implementation of beyond visual line-of-sight(BVLOS)operations,and ensuring a safe and efficient integration of UAS into both controlled and uncontrolled airspace.Detection and management of unidentified or uncooperative UAS’s is also taken care of.To this end,an architecture based on three interacting layers is proposed,with the air traffic control at the highest level,the UAS operator(s)at the bottom,and a UAS service supplier acting as an interface.The platform,with its physical and digital elements,guarantees the effective and efficient interaction among these three layers,including management of contingency scenarios,which require a variation of admissible flight volumes for UAS operations and/or fast trajectory re-planning.The platform,developed within a research project which involved several partners,was tested in a relevant operational scenario at the Grottaglie-Taranto airport in Italy.The operators involved in the tests provided positive feedback on the services provided by the platform and the usability of the interfaces,while also making suggestions for adding new features in future developments. 展开更多
关键词 Unmanned aerial system Situational awareness Contingency management Augmented reality UAS traffic management
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Design and Implementation of a CRM System Based on Email Services
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作者 Mingyuan Zhu 《Journal of Computer and Communications》 2025年第2期1-15,共15页
To address the current situation where many small enterprises lack efficient management of customer data, this paper proposes a design and implementation plan of a customer relationship management (CRM) system based o... To address the current situation where many small enterprises lack efficient management of customer data, this paper proposes a design and implementation plan of a customer relationship management (CRM) system based on email service. It aims to solve the problems of data dispersion, untimely update and information redundancy in customer management of small and medium-sized enterprises. The system includes four core functional modules: historical email analysis, lead pool management, customer management and email archiving. Through email mining and web crawler technology, the system can extract potential customer information from historical emails and enrich lead data;the lead pool management module supports lead information maintenance, status tracking and conversion of high-value leads;the customer management module realizes the maintenance and dynamic tracking of customer information;the email management module provides the archiving of emails and attachments and the structured storage of basic email information. The system provides automated and intelligent customer information management, improves the work efficiency of sales staff, and provides an efficient customer relationship management solution for enterprises. 展开更多
关键词 Email Mining Customer Relationship Management Lead Management Customer Dynamics Email Archiving
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Effectiveness of Logistics Management Information System (LMIS) in Improving the Availability of Essential Medicines and Medical Supplies in Public Hospitals in Zambia: A Cross-Sectional Study
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作者 Aubrey Kanyika Steward Mudenda +4 位作者 Victor Daka Nayuda Kaonga Chitundu Mbao Diana K. Mwaba Scott Kaba Matafwali 《Pharmacology & Pharmacy》 2025年第2期61-72,共12页
Background: The availability of essential medicines and medical supplies is crucial for effectively delivering healthcare services. In Zambia, the Logistics Management Information System (LMIS) is a key tool for manag... Background: The availability of essential medicines and medical supplies is crucial for effectively delivering healthcare services. In Zambia, the Logistics Management Information System (LMIS) is a key tool for managing the supply chain of these commodities. This study aimed to evaluate the effectiveness of LMIS in ensuring the availability of essential medicines and medical supplies in public hospitals in the Copperbelt Province of Zambia. Materials and Methods: From February to April 2022, a cross-sectional study was conducted in 12 public hospitals across the Copperbelt Province. Data were collected using structured questionnaires, checklists, and stock control cards. The study assessed LMIS availability, training, and knowledge among pharmacy personnel, as well as data accuracy, product availability, and order fill rates. Descriptive statistics were used to analyse the data. Results: All surveyed hospitals had LMIS implemented and were using eLMIS as the primary LMIS. Only 47% and 48% of pharmacy personnel received training in eLMIS and Essential Medicines Logistics Improvement Program (EMLIP), respectively. Most personnel demonstrated good knowledge of LMIS, with 77.7% able to log in to eLMIS Facility Edition, 76.6% able to locate stock control cards in the system, and 78.7% able to perform transactions. However, data accuracy from physical and electronic records varied from 0% to 60%, and product availability ranged from 50% to 80%. Order fill rates from Zambia Medicines and Medical Supplies Agency (ZAMMSA) were consistently below 30%. Discrepancies were observed between physical stock counts and eLMIS records. Conclusion: This study found that most hospitals in the Copperbelt Province of Zambia have implemented LMIS use. While LMIS implementation is high in the Copperbelt Province of Zambia, challenges such as low training levels, data inaccuracies, low product availability, and order fill rates persist. Addressing these issues requires a comprehensive approach, including capacity building, data quality improvement, supply chain coordination, and investment in infrastructure and human resources. Strengthening LMIS effectiveness is crucial for improving healthcare delivery and patient outcomes in Zambia. 展开更多
关键词 Logistics Management Information system Essential Medicines Medical Supplies Supply Chain Management Zambia
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Diagnostic algorithm for clozapine-induced myocarditis:A systematic review
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作者 Yassir Mahgoub Rawan Alhau +6 位作者 Yumna Magzoub Aya Ali Eptihal Nour Mustafa E E Saeed Sameera G M Mohamed Ahmed O S Hassan Omaima Ali 《World Journal of Psychiatry》 2025年第9期313-327,共15页
BACKGROUND Clozapine,the gold standard for resistant schizophrenia,is underused due to risks like clozapine-induced myocarditis(CIM).Non-specific biomarkers and inconsistent imaging,and the significant overlap with cl... BACKGROUND Clozapine,the gold standard for resistant schizophrenia,is underused due to risks like clozapine-induced myocarditis(CIM).Non-specific biomarkers and inconsistent imaging,and the significant overlap with clozapine-induced pneumonia(CIP)lead to misdiagnosis and premature discontinuation.AIM To develop a diagnostic algorithm for CIM to enhance accuracy,differentiate from CIP,and guide safe clozapine rechallenge.METHODS A systematic review of 119 PubMed studies(published between 1990 and April 2025)was conducted in accordance with PRISMA guidelines.The review analyzed CIM diagnosis and rechallenge outcomes,with a focus on biomarkers,imaging,and collaboration with cardiology.RESULTS CIM diagnosis relies on troponin and C-reactive protein;electrocardiography and echocardiography are inconsistently applied,and cardiac magnetic resonance imaging(CMR)is underused.Rechallenge was successful in 64.7%to 68.9%of 136 cases,with 2.9%resulting in fatal outcomes.Up to 65%of presumed CIM cases lack confirmation.A proposed protocol integrates chest computed tomography to exclude pneumonia and CMR for CIM confirmation,with echocardiography as an alternative.CONCLUSION A protocol involving multidisciplinary collaboration among computed tomography,CMR,and cardiology improves CIM diagnosis.Slow titration prevents CIM;adjust the dose for CIP and discontinue for confirmed CIM. 展开更多
关键词 CLOZAPINE MYOCARDITIS PNEUMONIA RECHALLENGE PROTOCOL Multidisciplinary management
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Management of anticoagulation in patients with atrial fibrillation and renal dysfunction:A systematic review
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作者 Anish Kumar Chander Kumar +12 位作者 Ajay Kumar Simran Kumari Aneela Rahul Rai Aman Kumar Kapeel Kumar Gyaneshwari Hina Aslam Inshal Jawed Farah Alam Syed Ali Farhan Abbas Rizvi Muhammad Umair Agha MW Mirza 《World Journal of Experimental Medicine》 2025年第3期274-284,共11页
BACKGROUND Atrial fibrillation(AF)is a prevalent cardiac arrhythmia associated with significant morbidity and mortality,particularly in patients with concomitant renal dysfunction.Anticoagulation therapy reduces the r... BACKGROUND Atrial fibrillation(AF)is a prevalent cardiac arrhythmia associated with significant morbidity and mortality,particularly in patients with concomitant renal dysfunction.Anticoagulation therapy reduces the risk of thromboembolic complications in AF but presents challenges in patients with renal impairment due to altered pharmacokinetics and increased bleeding risk.AIM To support clinicians in navigating the complexities of anticoagulation in this high-risk population,ensuring optimal outcomes.METHODS The present review followed PRISMA guidelines.Data extraction was conducted using a standardized template that captured key study characteristics:Population demographics,renal function metrics,anticoagulant dosing strategies,and primary and secondary outcomes.For quality assessment,we employed the Cochrane Risk of Bias 2.0 tool for randomized controlled trials.Observational studies were appraised using the Newcastle-Ottawa Scale.RESULTS We analyze data from 16 studies to provide recommendations on optimal anticoagulation strategies,balancing thrombotic and bleeding risks.Current evidence supports the preferential use of apixaban in moderate chronic kidney disease and cautiously in end-stage renal disease,emphasizing the importance of individualized therapy.CONCLUSION The management of anticoagulation in AF patients with renal dysfunction is challenging but critical for reducing stroke risk. 展开更多
关键词 ANTICOAGULATION Atrial fibrillation Renal dysfunction MANAGEMENT REVIEW
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The Effect of Nurse-Led Educational Intervention on the Use of Inhalers in COPD Patients - Multisystem Review and Semi-quantitative Analysis
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作者 Mingfu Hou Zhiyu Wang +1 位作者 Yanqing Zhu Weinan Sun 《Journal of Clinical and Nursing Research》 2025年第8期95-107,共13页
Purpose:The aim was to synthesize quantitative and qualitative research that identified the most effective educational strategies for nurse-led inhaler technique(IT)education in Chronic Obstructive Pulmonary Disease(C... Purpose:The aim was to synthesize quantitative and qualitative research that identified the most effective educational strategies for nurse-led inhaler technique(IT)education in Chronic Obstructive Pulmonary Disease(COPD)patients,as perceived by patients,healthcare providers,and nurses.Methods:A systematic literature search in Embase,PubMed,Cochrane Library,Web of Science,and CINAHL from 2018 to 30 June 2024 was conducted.In total,327 articles were identified.The results of 14 studies that met the inclusion criteria were synthesized.Data were analyzed with des-criptive and semi-quantitative methods to yield summarizing findings on the effectiveness of different educational strate-gies.All investigations had assessed patient adherence to IT.Results:Data indicated that nurse-led IT teaching strategies are effective in promoting IT adherence and correctness in COPD patients utilizing the personalized Teach-Back method.However,studies in disease control and comparison of patient IT satisfaction and self-efficacy need further investigation.Conclusion:The results of this study may contribute to the understanding of the most effective educational strategies in nurse-led IT education for COPD patients.The synthesized findings can be used for the development of new educational interventions and assessment instruments for IT adherence. 展开更多
关键词 COPD Inhaler use EDUCATIONAL Management GOLD guidelines
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Efficacy of adjunctive systemic or local antibiotic therapy in peri-implantitis:a systematic review and meta-analysis of randomized controlled clinical trials
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作者 Yifan LU Siqi BAO +2 位作者 Hongke LUO Qianming CHEN Misi SI 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 2025年第2期145-157,共13页
This systematic review and meta-analysis considered the results of randomized controlled clinical trials(RCTs)to evaluate the efficacy of systemic or local antibiotic therapy in peri-implantitis.Two independent author... This systematic review and meta-analysis considered the results of randomized controlled clinical trials(RCTs)to evaluate the efficacy of systemic or local antibiotic therapy in peri-implantitis.Two independent authors screened publications from three electronic databases to include RCTs meeting all the inclusion and exclusion criteria.A meta-analysis was performed to evaluate the weighted mean differences in survival rate(SR)and changes in pocket probing depth(PPD),bone level(BL),and clinical attachment level(CAL).The study cohorts were defined as antibiotic and control groups with subgroups for analysis.Seven studies including 309 patients(390 implants)were considered.Within the limitations of this review,patients in the antibiotic groups exhibited significant improvements in PPD.Subgroup analysis indicated that the administration of systemic antibiotics or the use of antibiotics in non-surgical treatments did not result in a significant alteration in BL.It was established that the addition of antibiotics can ameliorate PPD and SR in the treatment of peri-implantitis,whether through surgical or non-surgical approaches,and also shows moderate performance regarding BL and CAL.Considering the lack of application of new technologies in the control group and the hardship of assessing the potential risks of antibiotics,careful clinical judgment is still necessary. 展开更多
关键词 PERI-IMPLANTITIS Dental implant Oral medicine MICROBIOLOGY Disease management META-ANALYSIS
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HR Systems and HPWS:Future Direction for SHRM
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作者 Gürhan Uysal 《Journal of Modern Accounting and Auditing》 2025年第1期1-9,共9页
Aim of this study is to discuss science-practice gap in strategic human resource management(SHRM).According to HR scholars,there is science-practice gap in the field of SHRM,because firms do not apply HR systems(human... Aim of this study is to discuss science-practice gap in strategic human resource management(SHRM).According to HR scholars,there is science-practice gap in the field of SHRM,because firms do not apply HR systems(human resources).Proposal of this study is that HR systems are applied by HR managers in organizations.Thus,HR managers are to understand interrelationship among HRM practices,i.e.,HR managers get to know HR bundles.Further,high performance work systems(HPWSs)may be applied by elements in HRM practices.Thus,HR managers are to realize elements in HRM practices.For example,most important elements in compensation system are benefits,merits,incentives,and performance-based pay.Those elements increase employee satisfaction.High involvement work practices(HIWSs)may be applied by firms through board membership of managers.For example,through board membership,HR managers affect HR-related decisions at top level.Assumption is that if firms adopt HR systems,HPWS,and HIWS,SHRM may be in practice.This study puts HR managers into core center of HRM.Because to apply HR systems,HPWS and HIWS depends on HR managers’ability to understand interrelationships,elements and board membership. 展开更多
关键词 SHRM science-practice gap HR managers HR systems HPWS HIWS
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Systematic Review of Machine Learning Applications in Sustainable Agriculture:Insights on Soil Health and Crop Improvement
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作者 Vicky Anand Priyadarshani Rajput +4 位作者 Tatiana Minkina Saglara Mandzhieva Santosh Kumar Avnish Chauhan Vishnu D.Rajput 《Phyton-International Journal of Experimental Botany》 2025年第5期1339-1365,共27页
The digital revolution in agriculture has introduced data-driven decision-making,where artificial intelligence,especially machine learning(ML),helps analyze large and varied data sources to improve soil quality and cr... The digital revolution in agriculture has introduced data-driven decision-making,where artificial intelligence,especially machine learning(ML),helps analyze large and varied data sources to improve soil quality and crop growth indices.Thus,a thorough evaluation of scientific publications from 2007 to 2024 was conducted via the Scopus and Web of Science databases with the PRISMA guidelines to determine the realistic role of ML in soil health and crop improvement under the SDGs.In addition,the present review focused to identify and analyze the trends,challenges,and opportunities associated with the successful implementation of ML in agriculture.The assessment of various databases clearly revealed that ML implementation depends on crop management,while its limited potential in terms of soil health was explored.ML models,such as random forest and XGBoost,have demonstrated high accuracies of up to 99%in crop yield prediction and disease detection.Advanced ML frameworks,including the SHIDS-ADLT and EfficientNetB3,have improved soil health monitoring and plant disease classification.Irrigation management using ML has achieved over 50%water savings and irrigation efficiency by 10%-35%.These findings highlight the potential of ML to improve sustainable agricultural practices and soil health.A significant improvement discussed in this review is AutoML,which simplifies ML model implementation by automating feature selection,model selection,and hyperparameter tuning,reducing dependency on ML expertise.The integration of ML with remote sensing,Internet of Things(IoT),and big data analytics is expected to further transform the precision agriculture and real-time decisionmaking approaches to optimize resource utilization.Conclusively,the present review offers a quantitative perspective on the evolution of ML in agriculture,soil health management,crop yield prediction,and resource optimization. 展开更多
关键词 CROPS IRRIGATION plant nutrients scientometric analysis soil health management SUSTAINABILITY
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Effectiveness of oral vs intravenous acetaminophen on pain management following total joint arthroplasty: A systematic review and meta-analysis
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作者 Bin Lu Ai-Xian Tian +4 位作者 Zheng-Rui Fan Xing-Wen Zhao Hong-Zhen Jin Jian-Xiong Ma Xin-Long Ma 《World Journal of Orthopedics》 2025年第4期69-77,共9页
BACKGROUND In the management of postoperative pain following total joint arthroplasty(TJA),the use of nonsteroidal anti-inflammatory drugs,including acetaminophen,plays a key role in alleviating pain.However,the compa... BACKGROUND In the management of postoperative pain following total joint arthroplasty(TJA),the use of nonsteroidal anti-inflammatory drugs,including acetaminophen,plays a key role in alleviating pain.However,the comparison between intravenous and oral acetaminophen administration in patients undergoing full joint replacement surgery remains controversial.AIM To assess the effectiveness of intravenous and oral acetaminophen in alleviating pain and supporting rehabilitation following TJA.METHODS PubMed,Embase and the Cochrane Library were comprehensively searched to identify cohort studies.The effects of intravenous and oral acetaminophen for managing pain and supporting rehabilitation following TJA were analysed using randomized controlled trials.PRISMA guidelines were followed.The effectiveness of the administration routes was compared based on visual analogue scale(VAS)scores at 24 and 48 h,total morphine usage within 24 h,and total duration of hospital stay.RESULTS The meta-analysis included seven studies comparing intravenous acetaminophen groups and oral acetaminophen groups.The results demonstrated that oral acetaminophen was comparable to intravenous acetaminophen with regard to VAS scores at 24 h and 48 h(P=0.76 and 0.08,respectively).The difference in total morphine use between the two groups was not significant(P=0.22).However,the total hospital stay duration of the intravenous acetaminophen groups was significantly reduced compared to the oral acetaminophen groups(P=0.0005),showing significant advantages in optimizing postoperative recovery and shortening hospitalisation time.CONCLUSION After TJA surgery,intravenous injection of acetaminophen can shorten hospitalisation time and is suitable for rapid analgesia,Oral administration has become the preferred choice for mild cases due to its convenience and economy,providing a basis for clinical drug selection. 展开更多
关键词 Joint arthroplasty Pain management META-ANALYSIS ACETAMINOPHEN Nonsteroidal anti-inflammatory drugs
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