China’s commitment to high-standard opening-up during its 15th Five-Year Plan period offers Europe an alternative approach to economic resilience.IN medical practice,a wise doctor does not treat a fever by plunging t...China’s commitment to high-standard opening-up during its 15th Five-Year Plan period offers Europe an alternative approach to economic resilience.IN medical practice,a wise doctor does not treat a fever by plunging the patient into an ice bath.The sudden shock may lower the temperature,but it risks systemic collapse.Instead,the proper treatment should support the body’s own resilience,combat the infection.展开更多
Hainan Province in south China is the country’s second-largest island and the largest free trade port by area.It has entered a historic phase in China’s drive to promote high-level institutional opening up.On 18 Dec...Hainan Province in south China is the country’s second-largest island and the largest free trade port by area.It has entered a historic phase in China’s drive to promote high-level institutional opening up.On 18 December 2025,Hainan officially launched island-wide special customs operations,commonly referred to as“customs closure.”From that date,goods entering or leaving the island,except those traded with the Chinese mainland,are subject to simplified customs procedures and potentially reduced or zero tariffs.展开更多
在5G与数字生态融合背景下,GSMA Open Gateway通过标准化API与统一接入框架,实现应用在全球运营商网络的可移植与规模化部署,降低开发与适配成本,推动运营商能力开放。然而,跨运营商能力调用仍是关键瓶颈。因此,梳理了CAMARA 4类应用程...在5G与数字生态融合背景下,GSMA Open Gateway通过标准化API与统一接入框架,实现应用在全球运营商网络的可移植与规模化部署,降低开发与适配成本,推动运营商能力开放。然而,跨运营商能力调用仍是关键瓶颈。因此,梳理了CAMARA 4类应用程序编程接口(API)分发模式,对比分析了国内外实践差异。其中,国内运营商针对国内5G网络按需质量保障(QoD)3网互通中聚合平台(Aggregator)面临的痛点,提出了以软件开发工具包(SDK)为核心的解决方案。这一方案通过了统一认证和中国香港商用案例的可行性验证。此外,我国还提出了“SDK+Open Gateway”全球推广与模型上下文协议(MCP)模式演进路径,为全球运营商跨网协同提供中国经验,推动生态从技术框架迈向规模商用,助力数字经济高质量发展。展开更多
Metok,located in Nyingchi,the Xizang Autonomous Region,is known as the last county in China to be connected by road.Poor transportation and limited access to petroleum were two obstacles to its development.As soon as ...Metok,located in Nyingchi,the Xizang Autonomous Region,is known as the last county in China to be connected by road.Poor transportation and limited access to petroleum were two obstacles to its development.As soon as the highway connecting Metok and the outside world was completed in 2014,China National Petroleum Corporation’s(CNPC)first gas station in the county was put into operation,providing the momentum for this"secret land of Lotus"and helping it embark on a journey toward openness and prosperity.展开更多
Local residents,artists,and entrepreneurs who converge on Haikou’s historical Qilou Street are contributing to a new chapter in the story of Hainan’s opening-up.MORE than 100 years ago,the area alongQilou(Sotto Port...Local residents,artists,and entrepreneurs who converge on Haikou’s historical Qilou Street are contributing to a new chapter in the story of Hainan’s opening-up.MORE than 100 years ago,the area alongQilou(Sotto Portico)Street in Haikou,capital of Hainan Province,served asthe embarkation point for Hainanesesetting out on their maritime voyages to seek greener pastures.展开更多
AIM:To evaluate the clinical characteristics and risk factors associated with visual prognosis in patients with open globe injuries(OGIs)treated at Vietnam National Eye Hospital.METHODS:A prospective observational stu...AIM:To evaluate the clinical characteristics and risk factors associated with visual prognosis in patients with open globe injuries(OGIs)treated at Vietnam National Eye Hospital.METHODS:A prospective observational study included patients with OGIs treated between June 2023 and June 2024.Data on demographics,injury features,and clinical findings were extracted from medical records.Poor visual outcome was defined as final best-corrected visual acuity(BCVA)worse than 20/400 or no light perception.Multivariable logistic regression was performed to identify independent risk factors.RESULTS:Among 509 patients(636 eyes),the mean age was 35.13y(range 20–51y),and 67.6%were male.After treatment,the proportion of eyes achieving≥20/40 increased from 12.6%to 42.1%,while no light perception decreased from 29.1%to 9.4%.Independent predictors of poor visual outcomes included delayed admission[>4h,odds ratio(OR)=3.33,95%confidence intervals(CI):1.76–6.33,P<0.001],Zone III injury(OR=5.90,95%CI:2.85–12.24,P<0.001),wound length>10 mm(OR=2.59,95%CI:1.60–4.18,P<0.001),relative afferent pupillary defect(RAPD,OR=1.65,95%CI:1.03–2.64,P=0.039),endophthalmitis(OR=1.75,95%CI:1.01–3.03,P=0.047),retinal detachment(OR=3.32,95%CI:2.02–5.45,P<0.001),and eyelid lacerations(OR=1.94,95%CI:1.13–3.33,P=0.016)associated with OGIs.Vitreous hemorrhage(OR=0.44,95%CI:0.22–0.89,P=0.023)was associated with better outcomes,and female gender appeared protective.CONCLUSION:Poor visual outcomes remain common after OGIs,despite improve visual acuity in many cases.Several clinical and injury-related factors are strongly associated with prognosis.Early recognition of these predictors can support risk stratification and improve trauma care in similar settings.展开更多
China’s commitment to high-standard opening-upduring its 15th Five-Year Plan period offers Europe analternative approach to economic resilience.AT a time when much of the Westernworld is retreating behind tariff wall...China’s commitment to high-standard opening-upduring its 15th Five-Year Plan period offers Europe analternative approach to economic resilience.AT a time when much of the Westernworld is retreating behind tariff wallsand industrial policy rhetoric framedaround“unfair competition,”China ismoving steadfastly in the opposite direction.展开更多
At present, enhancing the digital literacy of village cadres faces practical constraints such as governance capability gaps induced by the second-level digital divide, the absence of a systematic cultivation system, i...At present, enhancing the digital literacy of village cadres faces practical constraints such as governance capability gaps induced by the second-level digital divide, the absence of a systematic cultivation system, incomplete last-kilometer implementation for translating skills into practice, and inadequate incentive mechanisms. As a novel educational form deeply integrating digital information technology with teaching and learning, distance open education provides multi-directional empowerment for enhancing village cadres digital literacy. This is achieved through open learning methods, the application of modern digital technologies, tailored learning programs, and the establishment of "overpass bridges" for translating learning outcomes into practice. Based on this, it is essential to further streamline the pathways for educating and cultivating village cadres, vigorously promote the digitalization of teaching, practice, and support services, develop systematic and localized digital education resources, and actively explore and establish a complementary credit bank system for their digital literacy cultivation.展开更多
Objective:Robotic-assisted living donor nephrectomy(RALDN)has been shown to be a safe and feasible option,offering enhanced visualization and improved surgical dexterity,allowing for a potential increase in the living...Objective:Robotic-assisted living donor nephrectomy(RALDN)has been shown to be a safe and feasible option,offering enhanced visualization and improved surgical dexterity,allowing for a potential increase in the living donor pool to perform pediatric and adult kidney transplants,even in cases of grafts with anatomical variants.We report our recent experience in using RALDN for open kidney transplantation(OKT).Methods:Between August 2021 and July 2025,122 kidney transplant recipients underwent OKT using RALDN grafts obtained at the Miami Transplant Institute.Clinical outcomes,during the first12 months post-transplant,including the incidence of delayed graft function(DGF),surgical complications,estimated glomerular filtrationrate(eGFR),and graft loss,were evaluated.Results:Sixteen pediatric and 106 adult recipients were included.The median recipient and donor ages were 42.2 yr and 39.5 yr,respectively.Male recipients comprised 63.1%(77/122);female donors comprised 56.6%(69/122).Among the donors,no conversion to open surgery was needed,and no postoperative complications attributed to the RALDN procedure were observed.Thirty-one kidney grafts required back table reconstruction.The median cold and warm ischemia times were 55.5 min and 27.0 min,respectively.One case(0.8%)of DGF was observed.One recipient(0.8%)developed a postoperative vascular complication;five(4.1%)developed a urologic complication.The median eGFRs at 1 mo,3 mo,6 mo,and 12 mo post-transplant were 71.9,77.1,75.1,and 72.1 mL/min/1.73 m2,respectively.No cases of graft failure during the first12 months post-transplant were observed,and one patient died with a functioning graft.Conclusion:RALDN is a safe and effective technique that provides favorable outcomes among both donors and recipients.This minimally invasive approach should be offered as a safe alternative to living donor patients.展开更多
AIM:To study the relationships between amplitude of low-frequency fluctuations(ALFF)changes and clinical ophthalmic parameters in patients with primary open angle glaucoma(POAG)and analyze the diagnostic value of ALFF...AIM:To study the relationships between amplitude of low-frequency fluctuations(ALFF)changes and clinical ophthalmic parameters in patients with primary open angle glaucoma(POAG)and analyze the diagnostic value of ALFF.METHODS:Twenty-four POAG patients and 24 healthy controls(HCs)underwent resting-state functional magnetic resonance imaging(rs-fMRI).Nonparametric rank-sum tests were used to compare the ALFF values in the slow-4 and slow-5 bands,and Spearman or Pearson correlation analysis was used to assess the correlation between ALFF changes and clinical ophthalmic parameters in POAG patients.Receiver operating characteristic(ROC)curves were used to evaluate the diagnostic performance of the ALFF.RESULTS:There were 16 males in POAG patients(median age 48y)and 12 males in HCs(median age 39y).Compared with HCs,POAG patients presented increased or decreased ALFF values in different brain regions,and similar changes were observed in mild POAG patients.The ALFF values were correlated with retinal nerve fiber layer(RNFL)thickness,inner limiting membrane-retinal pigment epithelium thickness changes and the degree of visual field defects.Analysis of the diagnostic value of the ALFF via ROC curves revealed that the right medial frontal gyrus[area under the curve(AUC)=0.9063]and superior frontal gyrus(AUC=0.9097)had better diagnostic value than did the optic disc area(AUC=0.8019),visual field index(VFI%,AUC=0.8988)and macular parameters.CONCLUSION:POAG patients present altered cortical function that is significantly correlated with the optic nerve and retinal thickness and had good diagnostic value,which may reflect the underlying neuropathological mechanism of POAG.展开更多
Hainan FTP will boost alignment with international rules in China’s opening up The Hainan Free Trade Port(FTP)represents a significant step forward in China’s pursuit of high-standard opening up and greater engageme...Hainan FTP will boost alignment with international rules in China’s opening up The Hainan Free Trade Port(FTP)represents a significant step forward in China’s pursuit of high-standard opening up and greater engagement in economic globalisation.Following years of exploration,the policy framework for the Hainan FTP has come into being,and the recent launch of island-wide special customs operations marks an important transition-from institutional design to full implementation.展开更多
The Hainan Free Trade Port’s implementation of special customs operations marks a significant stride in China’s institutional opening-up,spurring global trade and investment flows.THE Hainan Free Trade Port(FTP)repr...The Hainan Free Trade Port’s implementation of special customs operations marks a significant stride in China’s institutional opening-up,spurring global trade and investment flows.THE Hainan Free Trade Port(FTP)represents a significant step forward in China’s pursuit of high-standard opening-up and greater engagement in economic globalization.展开更多
To fully leverage the advantages of mechanization and informatization in tunnel boring machine(TBM)operations,the authors aim to promote the advancement of tunnel construction technology toward intelligent development...To fully leverage the advantages of mechanization and informatization in tunnel boring machine(TBM)operations,the authors aim to promote the advancement of tunnel construction technology toward intelligent development.This involved exploring the deep integration of next-generation artificial intelligence technologies,such as sensing technology,automatic control technology,big data technology,deep learning,and machine vision,with key operational processes,including TBM excavation,direction adjustment,step changes,inverted arch block assembly,material transportation,and operation status assurance.The results of this integration are summarized as follows.(1)TBM key excavation parameter prediction algorithm was developed with an accuracy rate exceeding 90%.The TBM intelligent step-change control algorithm,based on machine vision,achieved an image segmentation accuracy rate of 95%and gripper shoe positioning error of±5 mm.(2)An automatic positioning system for inverted arch blocks was developed,enabling real-time perception of the spatial position and deviation during the assembly process.The system maintains an elevation positioning deviation within±3 mm and a horizontal positioning deviation within±10 mm,reducing the number of surveyors in each work team.(3)A TBM intelligent rail transportation system that achieves real-time human-machine positioning,automatic switch opening and closing,automatic obstacle avoidance,intelligent transportation planning,and integrated scheduling and command was designed.Each locomotive formation reduces one shunter and improves comprehensive transportation efficiency by more than 20%.(4)Intelligent analysis and prediction algorithms were developed to monitor and predict the trends of the hydraulic and gear oil parameters in real time,enhancing the proactive maintenance and system reliability.展开更多
文摘China’s commitment to high-standard opening-up during its 15th Five-Year Plan period offers Europe an alternative approach to economic resilience.IN medical practice,a wise doctor does not treat a fever by plunging the patient into an ice bath.The sudden shock may lower the temperature,but it risks systemic collapse.Instead,the proper treatment should support the body’s own resilience,combat the infection.
文摘Hainan Province in south China is the country’s second-largest island and the largest free trade port by area.It has entered a historic phase in China’s drive to promote high-level institutional opening up.On 18 December 2025,Hainan officially launched island-wide special customs operations,commonly referred to as“customs closure.”From that date,goods entering or leaving the island,except those traded with the Chinese mainland,are subject to simplified customs procedures and potentially reduced or zero tariffs.
文摘在5G与数字生态融合背景下,GSMA Open Gateway通过标准化API与统一接入框架,实现应用在全球运营商网络的可移植与规模化部署,降低开发与适配成本,推动运营商能力开放。然而,跨运营商能力调用仍是关键瓶颈。因此,梳理了CAMARA 4类应用程序编程接口(API)分发模式,对比分析了国内外实践差异。其中,国内运营商针对国内5G网络按需质量保障(QoD)3网互通中聚合平台(Aggregator)面临的痛点,提出了以软件开发工具包(SDK)为核心的解决方案。这一方案通过了统一认证和中国香港商用案例的可行性验证。此外,我国还提出了“SDK+Open Gateway”全球推广与模型上下文协议(MCP)模式演进路径,为全球运营商跨网协同提供中国经验,推动生态从技术框架迈向规模商用,助力数字经济高质量发展。
文摘Metok,located in Nyingchi,the Xizang Autonomous Region,is known as the last county in China to be connected by road.Poor transportation and limited access to petroleum were two obstacles to its development.As soon as the highway connecting Metok and the outside world was completed in 2014,China National Petroleum Corporation’s(CNPC)first gas station in the county was put into operation,providing the momentum for this"secret land of Lotus"and helping it embark on a journey toward openness and prosperity.
文摘Local residents,artists,and entrepreneurs who converge on Haikou’s historical Qilou Street are contributing to a new chapter in the story of Hainan’s opening-up.MORE than 100 years ago,the area alongQilou(Sotto Portico)Street in Haikou,capital of Hainan Province,served asthe embarkation point for Hainanesesetting out on their maritime voyages to seek greener pastures.
文摘AIM:To evaluate the clinical characteristics and risk factors associated with visual prognosis in patients with open globe injuries(OGIs)treated at Vietnam National Eye Hospital.METHODS:A prospective observational study included patients with OGIs treated between June 2023 and June 2024.Data on demographics,injury features,and clinical findings were extracted from medical records.Poor visual outcome was defined as final best-corrected visual acuity(BCVA)worse than 20/400 or no light perception.Multivariable logistic regression was performed to identify independent risk factors.RESULTS:Among 509 patients(636 eyes),the mean age was 35.13y(range 20–51y),and 67.6%were male.After treatment,the proportion of eyes achieving≥20/40 increased from 12.6%to 42.1%,while no light perception decreased from 29.1%to 9.4%.Independent predictors of poor visual outcomes included delayed admission[>4h,odds ratio(OR)=3.33,95%confidence intervals(CI):1.76–6.33,P<0.001],Zone III injury(OR=5.90,95%CI:2.85–12.24,P<0.001),wound length>10 mm(OR=2.59,95%CI:1.60–4.18,P<0.001),relative afferent pupillary defect(RAPD,OR=1.65,95%CI:1.03–2.64,P=0.039),endophthalmitis(OR=1.75,95%CI:1.01–3.03,P=0.047),retinal detachment(OR=3.32,95%CI:2.02–5.45,P<0.001),and eyelid lacerations(OR=1.94,95%CI:1.13–3.33,P=0.016)associated with OGIs.Vitreous hemorrhage(OR=0.44,95%CI:0.22–0.89,P=0.023)was associated with better outcomes,and female gender appeared protective.CONCLUSION:Poor visual outcomes remain common after OGIs,despite improve visual acuity in many cases.Several clinical and injury-related factors are strongly associated with prognosis.Early recognition of these predictors can support risk stratification and improve trauma care in similar settings.
文摘China’s commitment to high-standard opening-upduring its 15th Five-Year Plan period offers Europe analternative approach to economic resilience.AT a time when much of the Westernworld is retreating behind tariff wallsand industrial policy rhetoric framedaround“unfair competition,”China ismoving steadfastly in the opposite direction.
基金Supported by Science Research Fund Project of Yunnan Provincial Department of Education-Research on the Pathways for Distance Open Education to Empower the Enhancement of Digital Literacy and Skills of Rural"Leading Geese"in Ethnic Areas(2023J0792)The Ideological and Political Education Reform Project of Yunnan Province in 2022-Exploration and Practice of Integrating Ideological and Political Education into the Training Mode of"Leading Goose"Talents for Rural Revitalization in the Course of Agricultural and Forestry Economics and Management in Open Education.
文摘At present, enhancing the digital literacy of village cadres faces practical constraints such as governance capability gaps induced by the second-level digital divide, the absence of a systematic cultivation system, incomplete last-kilometer implementation for translating skills into practice, and inadequate incentive mechanisms. As a novel educational form deeply integrating digital information technology with teaching and learning, distance open education provides multi-directional empowerment for enhancing village cadres digital literacy. This is achieved through open learning methods, the application of modern digital technologies, tailored learning programs, and the establishment of "overpass bridges" for translating learning outcomes into practice. Based on this, it is essential to further streamline the pathways for educating and cultivating village cadres, vigorously promote the digitalization of teaching, practice, and support services, develop systematic and localized digital education resources, and actively explore and establish a complementary credit bank system for their digital literacy cultivation.
文摘Objective:Robotic-assisted living donor nephrectomy(RALDN)has been shown to be a safe and feasible option,offering enhanced visualization and improved surgical dexterity,allowing for a potential increase in the living donor pool to perform pediatric and adult kidney transplants,even in cases of grafts with anatomical variants.We report our recent experience in using RALDN for open kidney transplantation(OKT).Methods:Between August 2021 and July 2025,122 kidney transplant recipients underwent OKT using RALDN grafts obtained at the Miami Transplant Institute.Clinical outcomes,during the first12 months post-transplant,including the incidence of delayed graft function(DGF),surgical complications,estimated glomerular filtrationrate(eGFR),and graft loss,were evaluated.Results:Sixteen pediatric and 106 adult recipients were included.The median recipient and donor ages were 42.2 yr and 39.5 yr,respectively.Male recipients comprised 63.1%(77/122);female donors comprised 56.6%(69/122).Among the donors,no conversion to open surgery was needed,and no postoperative complications attributed to the RALDN procedure were observed.Thirty-one kidney grafts required back table reconstruction.The median cold and warm ischemia times were 55.5 min and 27.0 min,respectively.One case(0.8%)of DGF was observed.One recipient(0.8%)developed a postoperative vascular complication;five(4.1%)developed a urologic complication.The median eGFRs at 1 mo,3 mo,6 mo,and 12 mo post-transplant were 71.9,77.1,75.1,and 72.1 mL/min/1.73 m2,respectively.No cases of graft failure during the first12 months post-transplant were observed,and one patient died with a functioning graft.Conclusion:RALDN is a safe and effective technique that provides favorable outcomes among both donors and recipients.This minimally invasive approach should be offered as a safe alternative to living donor patients.
基金Supported by National Natural Science Foundation of China(No.82260203).
文摘AIM:To study the relationships between amplitude of low-frequency fluctuations(ALFF)changes and clinical ophthalmic parameters in patients with primary open angle glaucoma(POAG)and analyze the diagnostic value of ALFF.METHODS:Twenty-four POAG patients and 24 healthy controls(HCs)underwent resting-state functional magnetic resonance imaging(rs-fMRI).Nonparametric rank-sum tests were used to compare the ALFF values in the slow-4 and slow-5 bands,and Spearman or Pearson correlation analysis was used to assess the correlation between ALFF changes and clinical ophthalmic parameters in POAG patients.Receiver operating characteristic(ROC)curves were used to evaluate the diagnostic performance of the ALFF.RESULTS:There were 16 males in POAG patients(median age 48y)and 12 males in HCs(median age 39y).Compared with HCs,POAG patients presented increased or decreased ALFF values in different brain regions,and similar changes were observed in mild POAG patients.The ALFF values were correlated with retinal nerve fiber layer(RNFL)thickness,inner limiting membrane-retinal pigment epithelium thickness changes and the degree of visual field defects.Analysis of the diagnostic value of the ALFF via ROC curves revealed that the right medial frontal gyrus[area under the curve(AUC)=0.9063]and superior frontal gyrus(AUC=0.9097)had better diagnostic value than did the optic disc area(AUC=0.8019),visual field index(VFI%,AUC=0.8988)and macular parameters.CONCLUSION:POAG patients present altered cortical function that is significantly correlated with the optic nerve and retinal thickness and had good diagnostic value,which may reflect the underlying neuropathological mechanism of POAG.
文摘Hainan FTP will boost alignment with international rules in China’s opening up The Hainan Free Trade Port(FTP)represents a significant step forward in China’s pursuit of high-standard opening up and greater engagement in economic globalisation.Following years of exploration,the policy framework for the Hainan FTP has come into being,and the recent launch of island-wide special customs operations marks an important transition-from institutional design to full implementation.
文摘The Hainan Free Trade Port’s implementation of special customs operations marks a significant stride in China’s institutional opening-up,spurring global trade and investment flows.THE Hainan Free Trade Port(FTP)represents a significant step forward in China’s pursuit of high-standard opening-up and greater engagement in economic globalization.
文摘To fully leverage the advantages of mechanization and informatization in tunnel boring machine(TBM)operations,the authors aim to promote the advancement of tunnel construction technology toward intelligent development.This involved exploring the deep integration of next-generation artificial intelligence technologies,such as sensing technology,automatic control technology,big data technology,deep learning,and machine vision,with key operational processes,including TBM excavation,direction adjustment,step changes,inverted arch block assembly,material transportation,and operation status assurance.The results of this integration are summarized as follows.(1)TBM key excavation parameter prediction algorithm was developed with an accuracy rate exceeding 90%.The TBM intelligent step-change control algorithm,based on machine vision,achieved an image segmentation accuracy rate of 95%and gripper shoe positioning error of±5 mm.(2)An automatic positioning system for inverted arch blocks was developed,enabling real-time perception of the spatial position and deviation during the assembly process.The system maintains an elevation positioning deviation within±3 mm and a horizontal positioning deviation within±10 mm,reducing the number of surveyors in each work team.(3)A TBM intelligent rail transportation system that achieves real-time human-machine positioning,automatic switch opening and closing,automatic obstacle avoidance,intelligent transportation planning,and integrated scheduling and command was designed.Each locomotive formation reduces one shunter and improves comprehensive transportation efficiency by more than 20%.(4)Intelligent analysis and prediction algorithms were developed to monitor and predict the trends of the hydraulic and gear oil parameters in real time,enhancing the proactive maintenance and system reliability.
