The mineral composition of the sinter affects the quality of cold-bonded briquettes(CBB),which are prepared from returned sinter fines and serve as a cleaner blast furnace charge.Pulverization rate,compressive strengt...The mineral composition of the sinter affects the quality of cold-bonded briquettes(CBB),which are prepared from returned sinter fines and serve as a cleaner blast furnace charge.Pulverization rate,compressive strength,reduction disintegration index(RDI)and compressive strength after reduction experiment were tested to analyze the experimental parameters of CBB under the influence of different basicities and sintering time.The results show that when the basicity of CBB is increased from 0.5 to 1.5,the pulverization rate increases,and performance indexes such as compressive strength,RDI,and compressive strength exhibit a decreasing trend.When the basicity is increased from 1.5 to 3.0,all the aforementioned performance indexes are improved.When the sintering time is extended from 0 to 8 h,the properties mentioned above are improved.The results of X-ray diffraction,microstructure,and thermodynamic calculations confirm that the hematite in the mineral composition of CBB tends to convert into calcium ferrite,which leads to the increased compressive strength of CBB.The reasonable basicity and sintering time during sinter preparation not only form the desired mineral composition but also improve the properties of the CBB.展开更多
The exploration of asteroids has received increasing attention since the 1990s because of the unique information these objects contain about the history of the early solar system.Quasi-satellites are a population of a...The exploration of asteroids has received increasing attention since the 1990s because of the unique information these objects contain about the history of the early solar system.Quasi-satellites are a population of asteroids that co-orbit closely with,but are outside the gravitational control of,the planet.So far,only five Earth quasi-satellites have been recognized,among which(469219)Kamo’oalewa(provisionally designated as 2016 HO3)is currently considered the most stable and the closest of these.However,little is known about this particular asteroid or this class of near-Earth asteroids because of the difficulties of observing them.China has announced that Tianwen-2,the asteroid sample-return mission to Kamo’oalewa,will be launched in 2025.Here,we review the current knowledge of Kamo’oalewa in terms of its physical characteristics,dynamic evolution,surface environment,and origin,and we propose possible breakthroughs that the samples could bring concerning the asteroid Kamo’oalewa as an Earth quasi-satellite.Confirming the origin of Kamo’oalewa,from its prevailing provenance as debris of the Moon,could be a promising start to inferring the evolutionary history of the Moon.This history would probably include a more comprehensive view of the lunar farside and the origin of the asymmetry between the two sides of the Moon.Comparing the samples from the Moon and Kamo’oalewa would also provide new insights into the Earth wind.展开更多
In Conan Doyle’s detective stories mainly including“The Resident Patient,”“The Gloria Scott,”“The Adventure of Blanched Soldier,”and“The Crooked Man,”featuring the master sleuth character Sherlock Holmes,he d...In Conan Doyle’s detective stories mainly including“The Resident Patient,”“The Gloria Scott,”“The Adventure of Blanched Soldier,”and“The Crooked Man,”featuring the master sleuth character Sherlock Holmes,he depicts the return of the colonials from British colonies,mostly India,with physically deformed or ravaged body and traumatic past that haunt and trouble his characters’present life.Doyle allegorically uses returned colonials or poor whites who turn into figures of retributive ghosts that function as pathetic memories and inner fears from British colonies.The seeing of ghostly figures and haunting past events delineated in these stories cause characters’sense of uncanny horror and remind them of their past trauma.These monstrous returned colonials or poor whites often create a fear and a social menace that must be appropriately dealt with when the master sleuth is commissioned to pin down the truth of client’s cases.Why are these bodies of ghostly figures so“irregular”and ravaged?What do these deformities signify?How can returned colonial’s or poor white’s traumatic past be related to retributive ghost?This paper attempts to probe into these issues in order to find out possible answers.展开更多
With the 19th anniversary of the handover of Hong Kong back to China,the fresh produce supplied to Hong Kong also returned to domestic market.Since the focus of e-commerce competition has shifted towards business mode...With the 19th anniversary of the handover of Hong Kong back to China,the fresh produce supplied to Hong Kong also returned to domestic market.Since the focus of e-commerce competition has shifted towards business model and capital input,some people have been exploring new regional markets for fresh produce and seeking improvement in produce quality,standards and展开更多
This paper attempts to unfold certain socio-economic characteristics of Albanian undocumented or ＂irregular＂ migrants returning from EU member states. The idea emerged from an IOM research followed by a study conduc...This paper attempts to unfold certain socio-economic characteristics of Albanian undocumented or ＂irregular＂ migrants returning from EU member states. The idea emerged from an IOM research followed by a study conducted two years ago （2007-2008） on this particular Albanian migratory development. The paper aims to contribute to the early chapters of a future potential empirical research, thus stimulating theoretical discourses towards defining the socio-economic profile of Albanian returned migrants. The research among Albanian undocumented migrants returned from Greece, the UK, etc., indicates that many of the above migrants were found to be recidivists, crossing borders frequently and undocumented. Greece being the main destination and simultaneously （deporting） country, leads to the assumption that it is the main destination country for undocumented migrants. The number of Albanian returnees from Greece reaches its peak, notably in April and September, with the start of seasonal works. The number of returned Albanian minors invoke problematics that demand for appropriate attention and assistance during the procedures of readmission （return, handover by the returning authorities, readmission by Albanian authorities etc.）. With regard to causes of undocumented migration, one might identify a slight tendency among undocumented young migrants, to qualify poverty as the main reason rather than lack of working opportunities as Albanian middle age migrants would argue.展开更多
According to statistics from Ministry of Education,from the Reform and Opening up to the end o2013,the number of various kinds o overseas students had reached 3.0586million.The number in 2013 was413 900.
LIGHT struggles to break through the early morning fog that hangs over still water. It＇s 50 shades of grey. Even breathing disturbs the silence. A small cluster of trees break the water＇s surface, spindly branches f...LIGHT struggles to break through the early morning fog that hangs over still water. It＇s 50 shades of grey. Even breathing disturbs the silence. A small cluster of trees break the water＇s surface, spindly branches forlorn in their empty surroundings. It＇s a tranquil setting depicted in thousands of Chinese ink paintings.展开更多
EDITOR’S NOTE: They returned With an upset mind. Once they set foot on the soil where they were born and brought up, they found themselves enveloped in familylike warmth. All these help ease their suspective mind.
The author was born in December 1943 in the Qamdo Prefecture and died of illness in 2000. She was a writer and a member of the Tibet Branch of the Chinese Association of Writers. She used to be head of Nagqu Prefectur...The author was born in December 1943 in the Qamdo Prefecture and died of illness in 2000. She was a writer and a member of the Tibet Branch of the Chinese Association of Writers. She used to be head of Nagqu Prefecture, Deputy Director of the Nagqu Prefectural Bureau of Animal Husbandry, Vice-Chairman of the Tibet Association of Literary and Art Circles, Chairman of the Tibet Association of Folk Literature Writers, President of the Tibet Society of Folk Culture and Chief Editor of Tibet Folklore. Her works include Changtang Grasslands and I. Here is a story she once wrote.展开更多
The effects of amount of green manure returned to field on yield and quality of flue-cured tobacco were studied by field experiment. The results showed that significant positive correlation existed between tobacco lea...The effects of amount of green manure returned to field on yield and quality of flue-cured tobacco were studied by field experiment. The results showed that significant positive correlation existed between tobacco leaf yield and small or moderate amount of green manure returned to field. Path analysis showed that moderate amount of green manure returned to field affected yield and quality of tobacco leaves, small green manure returned to field mainly affected leaf yield, while large amount of green manure returned to field mainly affected leaf quality. Therefore, the effect of moderate amount of green manure returned to field on yield and quality of tobacco leaves was best, and moderate amount of green manure returned to field was recommended in production of flue-cured tobacco.展开更多
Ancestral return-return by the descendants of migrants to their ancestors＇ origin has been one of the most significant forms of population mobility since 1991 in the Republic of Kazakhstan. The state policy determine...Ancestral return-return by the descendants of migrants to their ancestors＇ origin has been one of the most significant forms of population mobility since 1991 in the Republic of Kazakhstan. The state policy determines the scales of ethnic migration to and within the country. The government adopted a complex program on Kazakh Diaspora repatriation. Under the program, oralmans （ethnic repatriates to the country） are provided with considerable aid program for adaptation to the recipient society. Although the returnees may initially be welcomed back, their homecomings often prove to be ambivalent or negative experiences. Despite their ethnic affinity to the host populace, they are frequently excluded as cultural foreigners and relegated to low-status jobs shunned by the host society＇s populace. Ethnic return migrants and their hosts become frustrated with each other. They find jobs but not expected social welcome. Ethnic return migrant＇s orientations usually are shaped by the terms of the policies that give them the access to the destination country＇s labor markets and citizenship. The report studies the problem of similarity and differences among Ethnic Return Migrants and mother ethnic group. What underlies the misunderstanding between them？ Whether it is a competition for the working places, access to the social benefits or deep cultural differences？ To examine on-the-ground dynamics between natives and ethnic migrants, and in particular their mutual acceptance in a range of contexts, we turn to a qualitative account that draws on observations and interviews, less formal interviews carried out among Mongolian-Kazakh, Chinese-Kazakh and Karakalpak- Kazakh return Migrants in Almaty city and its suburbs during the fieldwork. Characteristics that differentiate returned Diaspora individuals from Kazakhstani Kazakhs are rooted not in ethnic sphere, but in the cultural context of the country they come from. This paper reveals how the socio-cultural characteristics and national origins of the migrants influence their levels of marginalization in their ethnic homelands, forcing many of them to redefine the meanings of home and homeland.展开更多
The Double Take column looks at a single topic from an African and Chinese perspective.This month,we discuss how to understand the growing emphasis on emotional returns among young people.Emotional value has emerged a...The Double Take column looks at a single topic from an African and Chinese perspective.This month,we discuss how to understand the growing emphasis on emotional returns among young people.Emotional value has emerged as a central force shaping youth decision-making across work,consumption,relationships and lifestyle choices.Unlike traditional economic rationality that prioritises income and material security,emotional value focuses on how choices make individuals feel and how they align with personal meaning.This shift is particularly evident in rapidly transforming societies such as China and Ghana,where economic restructuring,globalisation and social change have reshaped pathways to adulthood.展开更多
BACKGROUND There has been an increasing focus in recent years on health-care disparities.Studies investigating return to work(RTW)or sports are often performed in large,urban areas.Relatively few studies have investig...BACKGROUND There has been an increasing focus in recent years on health-care disparities.Studies investigating return to work(RTW)or sports are often performed in large,urban areas.Relatively few studies have investigated rates of return to farming or other heavy labor that is of interest to patients in rural areas.AIM To evaluate the literature regarding RTW in farming or heavy labor after orthopedic hip,knee,or shoulder surgery.METHODS A search was performed in the PubMed and EMBASE databases using Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines.Studies were included if they reported patients employed in farming or heavy labor,RTW rates after orthopedic surgery of the hip,knee,or shoulder,and had a minimum 6-month follow-up.A meta-analysis of proportions using a random-effects model was performed on three single-arm observational studies to estimate the pooled RTW rate following arthroscopic shoulder surgery.RESULTS Ten studies were included,and 101 farmers were identified among 440 total patients.One study involved hip surgery,two studies involved knee surgery,and seven studies involved shoulder surgery.RTW rates across studies varied by type of surgery and follow-up interval,ranging from 24%to 100%.The RTW rate was only 53.6%at 1 year following total hip arthroplasty.No studies investigated RTW in farmers following total knee arthroplasty.Among non-comparative studies,meta-analysis revealed a pooled RTW rate of 89%following arthroscopic shoulder surgery,with low heterogeneity(I^(2)=30.1%).Among comparative studies,one study reported significantly higher RTW odds for patients undergoing anatomic total shoulder arthroplasty compared to reverse shoulder arthroplasty(odds ratio=5.45).Overall,surgical intervention for shoulder pathology was associated with a high likelihood of RTW across multiple techniques,with particularly favorable outcomes for anatomic total shoulder arthroplasty.CONCLUSION This systematic review highlights the high rates of RTW in farmers and heavy laborers after shoulder surgery.However,our findings also underscore the need for more rural-specific research to guide patient counseling,rehabilitation expectations,and shared decision-making in this underserved population,particularly for orthopedic surgery of the hip and knee.展开更多
In this study, the ground potential rise(GPR) phenomenon caused by a lightning current injected into a field-shaped artificial grounding grid, as well as the potential difference between two different nodes at the edg...In this study, the ground potential rise(GPR) phenomenon caused by a lightning current injected into a field-shaped artificial grounding grid, as well as the potential difference between two different nodes at the edge of the grounding grid, was observed and analyzed under artificially triggered lightning conditions. Based on circuit theory and measured current data, a π-equivalent circuit was established to simulate the transient response of the grounding grid.Nineteen return strokes from three artificially triggered lightning events were analyzed. The peak currents of the 19 return strokes range from -6.7 to -25.1 kA, and the mean value was -14.3 kA. The GPR decreased rapidly and formed a subpeak after reaching the initial peak, with the mean value of the initial peak being -148.65 kV and the mean value of the subpeak being -92.87 kV. The GPR induced by the triggered lightning currents exhibited a subpeak phenomenon. Simulation results indicate that the subpeak phenomenon is related to localized corrosion of the vertical grounding electrode. The potential difference at the grounding grid edge exhibited a multi-pulse waveform with alternating polarity, dominated by positive pulses. The peak values of both the positive and negative polarity pulses gradually decreased, with the first positive pulse displaying a significantly higher intensity than that of subsequent pulses.展开更多
Some patients with systemic lupus erythematosus experience neuropsychiatric symptoms.Although magnetic resonance imaging can detect abnormal signals in the white matter of the brain,conventional methods often struggle...Some patients with systemic lupus erythematosus experience neuropsychiatric symptoms.Although magnetic resonance imaging can detect abnormal signals in the white matter of the brain,conventional methods often struggle to accurately capture microstructural changes.Various diffusion models have been used to study white matter in systemic lupus erythematosus;however,comparative analyses of their sensitivity and specificity for detecting microstructural changes remain insufficient.To address this,our team designed a diagnostic trial that used multimodal diffusion imaging techniques to observe white matter microstructural changes in patients with systemic lupus erythematosus who had neuropsychiatric symptoms,with an aim to identify key diagnostic biomarkers for these patients.Patients with active lupus who received treatment at the Department of Rheumatology and Immunology,The First Affiliated Hospital of China Medical University,from September 2023 to March 2024 were recruited.According to the standards of the American College of Rheumatology,patients with systemic lupus erythematosus who had neuropsychiatric symptoms were assigned to the systemic lupus erythematosus group,whereas those without neuropsychiatric symptoms were assigned to the non-systemic lupus erythematosus group.Additionally,healthy volunteers matched by region,sex,and age were recruited as controls.All three groups underwent the same diffusion magnetic resonance imaging examination protocol to compare differences in diffusion parameters.Advanced diffusion imaging models were able to sensitively detect microstructural changes in the white matter fibers of patients with systemic lupus erythematosus who had neuropsychiatric symptoms,with specific diffusion parameters showing significant abnormalities in key brain regions.In the left superior longitudinal fasciculus subregion and the right thalamic radiations of patients with systemic lupus erythematosus who had neuropsychiatric symptoms,we also identified abnormal diffusion characteristics that were clearly correlated with disease activity,suggesting that microstructural changes in these areas may reflect the dynamic process of neuroinflammatory damage.The present study addresses critical challenges in the diagnosis of systemic lupus erythematosus by identifying specific white matter imaging biomarkers and elucidating the association between microstructural damage and clinical manifestations.The main contributions of our study include:1)establishing axial regression probability parameters from mean apparent propagator magnetic resonance imaging as sensitive biomarkers for systemic lupus erythematosus,particularly in the third subregion of the left superior longitudinal fasciculus;2)demonstrating that multimodal diffusion imaging may be superior to conventional diffusion tensor imaging for detecting white matter microstructural abnormalities in patients with systemic lupus erythematosus;and 3)integrating tract-based spatial statistics with clinically relevant analyses to link imaging findings to pathological mechanisms.展开更多
基金supported by Distinguished Professor(Tracking Plan)of Oriental Scholars of Shanghai Universities(Grant No.GZ2020013)National 111 Project(The Program of Introducing Talents of Discipline to University)(Grant No.Dl7002)+1 种基金Independent Research Project of State Key Laboratory of Advanced Special Steel Shanghai Key Laboratory of Advanced Ferrometallurgy and Shanghai University(Grant No.SKLASS 2022-Z011)Additionally,the authors are appreciative of the funding from the Academy of Finland with Grant No.349833.
文摘The mineral composition of the sinter affects the quality of cold-bonded briquettes(CBB),which are prepared from returned sinter fines and serve as a cleaner blast furnace charge.Pulverization rate,compressive strength,reduction disintegration index(RDI)and compressive strength after reduction experiment were tested to analyze the experimental parameters of CBB under the influence of different basicities and sintering time.The results show that when the basicity of CBB is increased from 0.5 to 1.5,the pulverization rate increases,and performance indexes such as compressive strength,RDI,and compressive strength exhibit a decreasing trend.When the basicity is increased from 1.5 to 3.0,all the aforementioned performance indexes are improved.When the sintering time is extended from 0 to 8 h,the properties mentioned above are improved.The results of X-ray diffraction,microstructure,and thermodynamic calculations confirm that the hematite in the mineral composition of CBB tends to convert into calcium ferrite,which leads to the increased compressive strength of CBB.The reasonable basicity and sintering time during sinter preparation not only form the desired mineral composition but also improve the properties of the CBB.
基金supported by the National Natural Science Foundation of China(Grant Nos.42241106 and 42388101).
文摘The exploration of asteroids has received increasing attention since the 1990s because of the unique information these objects contain about the history of the early solar system.Quasi-satellites are a population of asteroids that co-orbit closely with,but are outside the gravitational control of,the planet.So far,only five Earth quasi-satellites have been recognized,among which(469219)Kamo’oalewa(provisionally designated as 2016 HO3)is currently considered the most stable and the closest of these.However,little is known about this particular asteroid or this class of near-Earth asteroids because of the difficulties of observing them.China has announced that Tianwen-2,the asteroid sample-return mission to Kamo’oalewa,will be launched in 2025.Here,we review the current knowledge of Kamo’oalewa in terms of its physical characteristics,dynamic evolution,surface environment,and origin,and we propose possible breakthroughs that the samples could bring concerning the asteroid Kamo’oalewa as an Earth quasi-satellite.Confirming the origin of Kamo’oalewa,from its prevailing provenance as debris of the Moon,could be a promising start to inferring the evolutionary history of the Moon.This history would probably include a more comprehensive view of the lunar farside and the origin of the asymmetry between the two sides of the Moon.Comparing the samples from the Moon and Kamo’oalewa would also provide new insights into the Earth wind.
文摘In Conan Doyle’s detective stories mainly including“The Resident Patient,”“The Gloria Scott,”“The Adventure of Blanched Soldier,”and“The Crooked Man,”featuring the master sleuth character Sherlock Holmes,he depicts the return of the colonials from British colonies,mostly India,with physically deformed or ravaged body and traumatic past that haunt and trouble his characters’present life.Doyle allegorically uses returned colonials or poor whites who turn into figures of retributive ghosts that function as pathetic memories and inner fears from British colonies.The seeing of ghostly figures and haunting past events delineated in these stories cause characters’sense of uncanny horror and remind them of their past trauma.These monstrous returned colonials or poor whites often create a fear and a social menace that must be appropriately dealt with when the master sleuth is commissioned to pin down the truth of client’s cases.Why are these bodies of ghostly figures so“irregular”and ravaged?What do these deformities signify?How can returned colonial’s or poor white’s traumatic past be related to retributive ghost?This paper attempts to probe into these issues in order to find out possible answers.
文摘With the 19th anniversary of the handover of Hong Kong back to China,the fresh produce supplied to Hong Kong also returned to domestic market.Since the focus of e-commerce competition has shifted towards business model and capital input,some people have been exploring new regional markets for fresh produce and seeking improvement in produce quality,standards and
文摘This paper attempts to unfold certain socio-economic characteristics of Albanian undocumented or ＂irregular＂ migrants returning from EU member states. The idea emerged from an IOM research followed by a study conducted two years ago （2007-2008） on this particular Albanian migratory development. The paper aims to contribute to the early chapters of a future potential empirical research, thus stimulating theoretical discourses towards defining the socio-economic profile of Albanian returned migrants. The research among Albanian undocumented migrants returned from Greece, the UK, etc., indicates that many of the above migrants were found to be recidivists, crossing borders frequently and undocumented. Greece being the main destination and simultaneously （deporting） country, leads to the assumption that it is the main destination country for undocumented migrants. The number of Albanian returnees from Greece reaches its peak, notably in April and September, with the start of seasonal works. The number of returned Albanian minors invoke problematics that demand for appropriate attention and assistance during the procedures of readmission （return, handover by the returning authorities, readmission by Albanian authorities etc.）. With regard to causes of undocumented migration, one might identify a slight tendency among undocumented young migrants, to qualify poverty as the main reason rather than lack of working opportunities as Albanian middle age migrants would argue.
文摘According to statistics from Ministry of Education,from the Reform and Opening up to the end o2013,the number of various kinds o overseas students had reached 3.0586million.The number in 2013 was413 900.
文摘LIGHT struggles to break through the early morning fog that hangs over still water. It＇s 50 shades of grey. Even breathing disturbs the silence. A small cluster of trees break the water＇s surface, spindly branches forlorn in their empty surroundings. It＇s a tranquil setting depicted in thousands of Chinese ink paintings.
文摘EDITOR’S NOTE: They returned With an upset mind. Once they set foot on the soil where they were born and brought up, they found themselves enveloped in familylike warmth. All these help ease their suspective mind.
文摘The author was born in December 1943 in the Qamdo Prefecture and died of illness in 2000. She was a writer and a member of the Tibet Branch of the Chinese Association of Writers. She used to be head of Nagqu Prefecture, Deputy Director of the Nagqu Prefectural Bureau of Animal Husbandry, Vice-Chairman of the Tibet Association of Literary and Art Circles, Chairman of the Tibet Association of Folk Literature Writers, President of the Tibet Society of Folk Culture and Chief Editor of Tibet Folklore. Her works include Changtang Grasslands and I. Here is a story she once wrote.
基金Supported by Project of Hunan Tobacco Monopoly Bureau
文摘The effects of amount of green manure returned to field on yield and quality of flue-cured tobacco were studied by field experiment. The results showed that significant positive correlation existed between tobacco leaf yield and small or moderate amount of green manure returned to field. Path analysis showed that moderate amount of green manure returned to field affected yield and quality of tobacco leaves, small green manure returned to field mainly affected leaf yield, while large amount of green manure returned to field mainly affected leaf quality. Therefore, the effect of moderate amount of green manure returned to field on yield and quality of tobacco leaves was best, and moderate amount of green manure returned to field was recommended in production of flue-cured tobacco.
文摘Ancestral return-return by the descendants of migrants to their ancestors＇ origin has been one of the most significant forms of population mobility since 1991 in the Republic of Kazakhstan. The state policy determines the scales of ethnic migration to and within the country. The government adopted a complex program on Kazakh Diaspora repatriation. Under the program, oralmans （ethnic repatriates to the country） are provided with considerable aid program for adaptation to the recipient society. Although the returnees may initially be welcomed back, their homecomings often prove to be ambivalent or negative experiences. Despite their ethnic affinity to the host populace, they are frequently excluded as cultural foreigners and relegated to low-status jobs shunned by the host society＇s populace. Ethnic return migrants and their hosts become frustrated with each other. They find jobs but not expected social welcome. Ethnic return migrant＇s orientations usually are shaped by the terms of the policies that give them the access to the destination country＇s labor markets and citizenship. The report studies the problem of similarity and differences among Ethnic Return Migrants and mother ethnic group. What underlies the misunderstanding between them？ Whether it is a competition for the working places, access to the social benefits or deep cultural differences？ To examine on-the-ground dynamics between natives and ethnic migrants, and in particular their mutual acceptance in a range of contexts, we turn to a qualitative account that draws on observations and interviews, less formal interviews carried out among Mongolian-Kazakh, Chinese-Kazakh and Karakalpak- Kazakh return Migrants in Almaty city and its suburbs during the fieldwork. Characteristics that differentiate returned Diaspora individuals from Kazakhstani Kazakhs are rooted not in ethnic sphere, but in the cultural context of the country they come from. This paper reveals how the socio-cultural characteristics and national origins of the migrants influence their levels of marginalization in their ethnic homelands, forcing many of them to redefine the meanings of home and homeland.
文摘The Double Take column looks at a single topic from an African and Chinese perspective.This month,we discuss how to understand the growing emphasis on emotional returns among young people.Emotional value has emerged as a central force shaping youth decision-making across work,consumption,relationships and lifestyle choices.Unlike traditional economic rationality that prioritises income and material security,emotional value focuses on how choices make individuals feel and how they align with personal meaning.This shift is particularly evident in rapidly transforming societies such as China and Ghana,where economic restructuring,globalisation and social change have reshaped pathways to adulthood.
文摘BACKGROUND There has been an increasing focus in recent years on health-care disparities.Studies investigating return to work(RTW)or sports are often performed in large,urban areas.Relatively few studies have investigated rates of return to farming or other heavy labor that is of interest to patients in rural areas.AIM To evaluate the literature regarding RTW in farming or heavy labor after orthopedic hip,knee,or shoulder surgery.METHODS A search was performed in the PubMed and EMBASE databases using Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines.Studies were included if they reported patients employed in farming or heavy labor,RTW rates after orthopedic surgery of the hip,knee,or shoulder,and had a minimum 6-month follow-up.A meta-analysis of proportions using a random-effects model was performed on three single-arm observational studies to estimate the pooled RTW rate following arthroscopic shoulder surgery.RESULTS Ten studies were included,and 101 farmers were identified among 440 total patients.One study involved hip surgery,two studies involved knee surgery,and seven studies involved shoulder surgery.RTW rates across studies varied by type of surgery and follow-up interval,ranging from 24%to 100%.The RTW rate was only 53.6%at 1 year following total hip arthroplasty.No studies investigated RTW in farmers following total knee arthroplasty.Among non-comparative studies,meta-analysis revealed a pooled RTW rate of 89%following arthroscopic shoulder surgery,with low heterogeneity(I^(2)=30.1%).Among comparative studies,one study reported significantly higher RTW odds for patients undergoing anatomic total shoulder arthroplasty compared to reverse shoulder arthroplasty(odds ratio=5.45).Overall,surgical intervention for shoulder pathology was associated with a high likelihood of RTW across multiple techniques,with particularly favorable outcomes for anatomic total shoulder arthroplasty.CONCLUSION This systematic review highlights the high rates of RTW in farmers and heavy laborers after shoulder surgery.However,our findings also underscore the need for more rural-specific research to guide patient counseling,rehabilitation expectations,and shared decision-making in this underserved population,particularly for orthopedic surgery of the hip and knee.
基金National Natural Science Foundation of China(42575091)Marine Meteorological Science and Data Center Program (2024B1212070014)。
文摘In this study, the ground potential rise(GPR) phenomenon caused by a lightning current injected into a field-shaped artificial grounding grid, as well as the potential difference between two different nodes at the edge of the grounding grid, was observed and analyzed under artificially triggered lightning conditions. Based on circuit theory and measured current data, a π-equivalent circuit was established to simulate the transient response of the grounding grid.Nineteen return strokes from three artificially triggered lightning events were analyzed. The peak currents of the 19 return strokes range from -6.7 to -25.1 kA, and the mean value was -14.3 kA. The GPR decreased rapidly and formed a subpeak after reaching the initial peak, with the mean value of the initial peak being -148.65 kV and the mean value of the subpeak being -92.87 kV. The GPR induced by the triggered lightning currents exhibited a subpeak phenomenon. Simulation results indicate that the subpeak phenomenon is related to localized corrosion of the vertical grounding electrode. The potential difference at the grounding grid edge exhibited a multi-pulse waveform with alternating polarity, dominated by positive pulses. The peak values of both the positive and negative polarity pulses gradually decreased, with the first positive pulse displaying a significantly higher intensity than that of subsequent pulses.
基金supported by the National Natural Science Foundation Joint Fund,No.U22A20309(to PY)the Natural Science Foundation of LiaoningProvince,No.2023-MS-07(to HuL)the Unveiling Key Scientific and Technological Projects of Liaoning Province,No.2021JH1/10400051(to HuL).
文摘Some patients with systemic lupus erythematosus experience neuropsychiatric symptoms.Although magnetic resonance imaging can detect abnormal signals in the white matter of the brain,conventional methods often struggle to accurately capture microstructural changes.Various diffusion models have been used to study white matter in systemic lupus erythematosus;however,comparative analyses of their sensitivity and specificity for detecting microstructural changes remain insufficient.To address this,our team designed a diagnostic trial that used multimodal diffusion imaging techniques to observe white matter microstructural changes in patients with systemic lupus erythematosus who had neuropsychiatric symptoms,with an aim to identify key diagnostic biomarkers for these patients.Patients with active lupus who received treatment at the Department of Rheumatology and Immunology,The First Affiliated Hospital of China Medical University,from September 2023 to March 2024 were recruited.According to the standards of the American College of Rheumatology,patients with systemic lupus erythematosus who had neuropsychiatric symptoms were assigned to the systemic lupus erythematosus group,whereas those without neuropsychiatric symptoms were assigned to the non-systemic lupus erythematosus group.Additionally,healthy volunteers matched by region,sex,and age were recruited as controls.All three groups underwent the same diffusion magnetic resonance imaging examination protocol to compare differences in diffusion parameters.Advanced diffusion imaging models were able to sensitively detect microstructural changes in the white matter fibers of patients with systemic lupus erythematosus who had neuropsychiatric symptoms,with specific diffusion parameters showing significant abnormalities in key brain regions.In the left superior longitudinal fasciculus subregion and the right thalamic radiations of patients with systemic lupus erythematosus who had neuropsychiatric symptoms,we also identified abnormal diffusion characteristics that were clearly correlated with disease activity,suggesting that microstructural changes in these areas may reflect the dynamic process of neuroinflammatory damage.The present study addresses critical challenges in the diagnosis of systemic lupus erythematosus by identifying specific white matter imaging biomarkers and elucidating the association between microstructural damage and clinical manifestations.The main contributions of our study include:1)establishing axial regression probability parameters from mean apparent propagator magnetic resonance imaging as sensitive biomarkers for systemic lupus erythematosus,particularly in the third subregion of the left superior longitudinal fasciculus;2)demonstrating that multimodal diffusion imaging may be superior to conventional diffusion tensor imaging for detecting white matter microstructural abnormalities in patients with systemic lupus erythematosus;and 3)integrating tract-based spatial statistics with clinically relevant analyses to link imaging findings to pathological mechanisms.
