Chinese Premier Li Keqiang delivered a comprehensive,balanced,and forwardlooking work report at the opening of the Fifth Session of China’s 12th National People’s Congress(NPC).From a global perspective,China’s rol...Chinese Premier Li Keqiang delivered a comprehensive,balanced,and forwardlooking work report at the opening of the Fifth Session of China’s 12th National People’s Congress(NPC).From a global perspective,China’s role in the international community is rising.The nation accounts for a third of global economic growth and plays an increasingly展开更多
Unraveling the precise mineralization age is vital to understand the geodynamic setting and ore-forming mechanism of the sediment-hosted Pb-Zn deposit;this has long been a challenge.The Sichuan-Yunnan-Guizhou(SYG)tria...Unraveling the precise mineralization age is vital to understand the geodynamic setting and ore-forming mechanism of the sediment-hosted Pb-Zn deposit;this has long been a challenge.The Sichuan-Yunnan-Guizhou(SYG)triangle in the southwestern margin of the Yangtze Block is a globally recognized carbonate-hosted Pb-Zn metallogenic province and also an essential part of the South China low-temperature metallogenic domain.This region has>30 million tons(Mt)Zn and Pb resources and shows the enrichment of dispersed metals,such as Ga,Ge,Cd,Se,and Tl.During the past 2 decades,abundant data on mineralization ages of Pb-Zn deposits within the SYG triangle have been documented based on various radioisotopic dating methods,resulting in significant progress in understanding the geodynamic background and ore formation of Pb-Zn deposits hosted in sedimentary rocks at SYG triangle.This paper provides a comprehensive summary of the geochronological results and Pb-Sr isotopic data regarding Pb-Zn deposits in the SYG triangle,which identified two distinct Pb-Zn mineralization periods influencing the dynamic processes associated with the expansion and closure of the Paleo-Tethys Ocean in the western margin of the Yangtze Block.The predominant phase of Pb-Zn mineralization at SYG triangle spanned from the Middle Triassic to Early Jurassic(226-191 Ma),which was intensely correlated with the large-scale basin fluid transport triggered by the closure of the Paleo-Tethys Ocean and Indosinian orogeny.The secondary Pb-Zn mineralization phase occurred during the Late Devonian to Late Carboniferous and was controlled by extensional structures associated with the expansion of the Paleo-Tethys Ocean.Further investigation is necessary to clarify the occurrence and potential factors involved in the Pb-Zn mineralization events during the Late Devonian to Late Carboniferous.展开更多
The Longshan orogenic belt is located in the southwestern margin of Ordos Basin at the junction zone between the Western Qinling and Northern Qilian orogenic belt.Voluminous Early Paleozoic magmatism in this area is o...The Longshan orogenic belt is located in the southwestern margin of Ordos Basin at the junction zone between the Western Qinling and Northern Qilian orogenic belt.Voluminous Early Paleozoic magmatism in this area is of key significance for determining the Early Paleozoic tectonic evolution and deep crust-mantle structure.Previous studies mainly focused on the Paleozoic granites;the coeval mafic rocks in this area are still poorly understood.A set of Late Silurian intraplate tholeiitic basalts has been discovered in Longshan area,providing key evidence for the mantle source and deep geodynamic background in this area.The Late Silurian Angou basalt has similar geochemical features as intraplate tholeiitic basalt,with high Na_(2)O/K_(2)O ratios(5.22-8.25),enriched in large ion lithophile elements and LREE.In combination with their relatively evolved Sr-Nd isotopic composition[^(87)Sr/^(86)Sr(i)=0.7128-0.7140;ε_(Nd)(t)=-5.55 to-3.40],it is suggested that it originated from decompression melting of metasomatized enriched mantle in extensional setting.These results indicate that the mantle source in the junction zone of the West Qinling-North Qilian orogenic belt evolved from depleted to enriched with the continuation of Proto-Tethys subduction from the Cambrian to the Silurian.These results are of great significance to understanding the genesis of contemporaneous granite and the crust-mantle interaction in the junction zone between the Western Qinling and Northern Qilian orogenic belt.展开更多
Hepatitis E virus(HEV)represents a significant global cause of acute viral hepatitis.Annually,it is estimated to cause approximately 20.1 million infections worldwide,3.3 million of which result in symptomatic illness...Hepatitis E virus(HEV)represents a significant global cause of acute viral hepatitis.Annually,it is estimated to cause approximately 20.1 million infections worldwide,3.3 million of which result in symptomatic illness.In developing regions,genotypes HEV-1 and HEV-2 are the primary strains responsible for widespread outbreaks and epidemics of acute jaundice(icteric hepatitis),transmitted predominantly through the fecal-oral route via contaminated water and food(Devarbhavi et al.,2023).展开更多
The earthquake-hit Yushu shifts its focus from rescuing survivors to post-quake reconstruction The first phase of earthquake relief, in which rescuing lives was the priority, finished 12 days after a 7.1-magnitude ear...The earthquake-hit Yushu shifts its focus from rescuing survivors to post-quake reconstruction The first phase of earthquake relief, in which rescuing lives was the priority, finished 12 days after a 7.1-magnitude earthquake struck the Tibetan Autonomous Prefecture of Yushu in northwest China’s Qinghai Province on April 14, and reconstruction of the area is now ready to begin.展开更多
The most important agenda of this year’s session of the National People Congress (NPC), China’s top legislature, held March 5-14, was deliberation and approval of the draft blueprint of China’s economic and social ...The most important agenda of this year’s session of the National People Congress (NPC), China’s top legislature, held March 5-14, was deliberation and approval of the draft blueprint of China’s economic and social development for the next five years, the 12th Five-Year Plan (2011-15). When delivering the government work report at the Fourth Session of the 11th NPC on March 5, Premier Wen Jiabao also summarized the main targets and tasks for the 12th Five-Year Plan period. Excerpts follow:展开更多
With the economic globalization and the demand of the situation, many higher universities set up business English major. However, since business English is still a new major and research field in higher education, lot...With the economic globalization and the demand of the situation, many higher universities set up business English major. However, since business English is still a new major and research field in higher education, lots of problems exist in the major construction, in which the issue of course settings is a heated one. The author believes that as for the course setting of business English that is an important branch of English for Specific Purposes (ESP), it should be based on the demand toward business English talents from the market and the characteristics of business English.This thesis will, based on the point view of student, further discuss the issue of business English. Based on the analysis, it is concluded that the course setting of business English in China is not mature enough, which has problems involved in the content and the time arrangement. The significance of this thesis is to put forward reasonable proposals in the hope of solving the problem in the course setting of business English so that the business English graduates will be fit for the needs of the society.展开更多
Affected by the compressive stress from the South-Central （Indo-China） Peninsula, the Indosinian orogenesis, characterized by collision, thrust and uplifting, took place inside the South China Plate during 250-230 M...Affected by the compressive stress from the South-Central （Indo-China） Peninsula, the Indosinian orogenesis, characterized by collision, thrust and uplifting, took place inside the South China Plate during 250-230 Ma. The ages of the Indosinian granitoids in the Nanling Range and vicinity areas are mostly 240-205 Ma, indicating that they were emplaced in both late collision and post-collision geodynamic environments. No important granite-related metallogenesis occurred in this duration. A post-orogenic setting started at the beginning of the Yanshanian Period, which controlled large-scale granitic magmatism and related metallogenesis. This paper makes the first attempt to divide the Yanshanian Period into three sub-periods, i.e. the early, middle and late Yanshanian Periods, based mainly on the features of magmatism, especially granitoids and related metallogenesis and their geodynamic environments. The magmatic association of the Early Yanshanian （about 185-170 Ma） comprises four categories of magmatism, i.e. basalt, bimodal volcanics, A-type granite and intraplate high-K calc-alkaline （HKCA） magmatism, which indicates an extension-thinning of lithosphere and upwelling of mantle material to a relative small and local extent. Pb-Zn, Cu and Au mineralizations associated with HKCA magmatism represents the first high tide of Mesozoic metallogenesis in the Nanling Range area. During the middle Yanshanian, the lithosphere was subjected to more extensive and intensive extending and thinning, and hence mantle upwelling and basaltic magma underplating caused a great amount of crust remelting granitoids. This period can be further divided into two stages. The first stage （170-150 Ma） is represented by large-scale emplacement of crust remelting granites with local tungsten mineralization at its end. The second stage （150-140 Ma） is the most important time of large-scale mineralizations of non-ferrous and rare metals, e.g. W, Sn, Nb-Ta, Bi, Mo, Be, in the Nanling Range area. The late Yanshanian （140-65 Ma） was generally characterized by full extension and breakup of the lithosphere of South China. However, owing to the influence of the Pacific Plate movement, the eastern part of South China was predominated by subduction-related compression, which resulted in magmatism of calc-alkaline and shoshonite series and related metallogeneses of Au, Ag, Pb-Zn, Cu and （Mo, Sn）, followed by extension in its late stage. In the Nanling Range area, the late Yanshanian magmatism was represented by granitic volcanic-intrusive complexes and mafic dikes, which are genetically related to volcanic-type uranium and porphyry tin deposits, and the mobilization-mineralization of uranium from pre-existing Indosinian granites.展开更多
Tertiary sandstones collected from southwest Sarawak, Malaysia, were analyzed to decipher their provenance, weathering, and tectonic setting. The studied sandstones have a sublitharenite composition and are dominantly...Tertiary sandstones collected from southwest Sarawak, Malaysia, were analyzed to decipher their provenance, weathering, and tectonic setting. The studied sandstones have a sublitharenite composition and are dominantly composed quartz with little mica and feldspar, and a small amount of volcanic fragments. These sand- stones were generally derived from quartz-rich recycled orogenic sources. They have relatively high SiO2 content with low Na20, CaO, MnO, and MgO contents. Values of Chemical Index of Alteration （CIA） of these rock samples vary from 71 to 93, with an average of 81, implying intense chemical alteration during weathering. A felsic igneous source is suggested by a low concentration of TiO2 com- pared to CIA, enrichment of Light Rare Earth Elements, depletion of Heavy Rare Earth Elements, and negative Eu anomalies. A felsic origin is further supported by a Eu/Eu＊ range of 0.65-0.85 and high Th/Sc, La/Sc, La/Co, and Th/ Co ratios. This work presents the first reported geochemical data of Tertiary sandstones of the Sarawak Basin. These data led us to conclude that the sandstones were dislodged from recycled orogenic sources and deposited in a slowly subsiding rifted basin in a passive continental tectonic setting.展开更多
CHU (University Hospital Center) Point G: The department of surgery B is a surgical department of CHU Point G. The department is par excellence a reference department for cases of visceral surgery, cancer surgery, car...CHU (University Hospital Center) Point G: The department of surgery B is a surgical department of CHU Point G. The department is par excellence a reference department for cases of visceral surgery, cancer surgery, cardiovascular surgery, plastic and endocrinology surgery. As a reminder, the CHU Point G is the largest 3rd level referral hospital in Mali. <b><span style="font-family:Verdana;">Aim:</span></b><span style="font-family:Verdana;"> To study the environmental risk factors of stomach cancer in the B surgery department of the Point G University Hospital in Bamako. </span><b><span style="font-family:Verdana;">Patients and Methods:</span></b><span style="font-family:Verdana;"> We performed a cross-sectional study with retrospective collection from January 2008 to June 2018 (126 months). </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">We have identified 380 cases of digestive cancer, including 193 cases of stomach cancer </span><span style="font-family:Verdana;">o</span><span style="font-family:;" "=""><span style="font-family:Verdana;">r 50.79% of digestive cancers. The mean age of the patients was 57.21 ± 13 years. Male sex represented 55% (n = 106). Eating habits were dominated by the consumption of t<span style="font-family:Verdana, Helvetica, Arial;white-space:normal;background-color:#FFFFFF;">ô</span> with potash (cereal paste) with 64.76% (n = 185). The main methods of preserving meat and fish were curing and smoking with 57.51% (n = 111). Chronic smoking was found in 24.35% (n = 47), alcohol + tobacco consumption in 2.59% (n = 5). The low socio-economic class represented 126 cases or 65.38%. Housewives and cultivators were respectively 37.82% (n = 73) and 227.97% (n = 54). 20.20% (n = 39) had a history of epigastric pain. Epigastralgia was the most common functional sign with 84.5% of cases (n = 169). An epigastric mass was found in 72 patients or 37.3%. Adenocarcinoma represented 97.4% (n = 188). Palliative surgery concerned the majority of our patients with 64.8% of patients (n = 79). The postoperative consequences were simple in 28.57% of cases (n = 28), the postoperative morbidity and mortality were respectively 33.61% (n = 41), and 23.77% (n = 29). The overall survival rate after surgery was 10.81% at 2 years and 2.94% at 5 years. This rate was 58.83% at 2 years and 28.50% at 5 years after curative surgery. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> The risk factors for stomach cancer are many and varied. Some are particularly present in Africa. Delay in diagnosis due to a belief in traditional healers is common in our community.</span></span>展开更多
To reconstruct the paleoenvironment,the petrography and geochemical compositions of the upper Permian Dalong Formation(Fm)(P_(3)d)sandstones in the Central Uplift,South Yellow Sea Basin,was investigated,after which th...To reconstruct the paleoenvironment,the petrography and geochemical compositions of the upper Permian Dalong Formation(Fm)(P_(3)d)sandstones in the Central Uplift,South Yellow Sea Basin,was investigated,after which the provenance,tectonic setting,weathering conditions,and diagenetic history were determined.The Dalong Fm is mainly composed of sandstones with a few mudstones and limestones.The petrographic analysis showed that the P_(3)d sandstones are in low maturity and could be classified into feldspar sandstone and lithic sandstone on average framework composition of Q_(63)F_(16)L_(21).The major and trace element results show that Dalong Fm sandstones are enriched in Rb and depleted in Cr and Ni compared with the upper continental crust(UCC).The chemical weathering intensity is weak to low moderate in the source area as indicated by the chemical index of alteration(CIA)and other results from a variety of methods.The diagenetic process included three main stages:eodiagenesis,mesodiagenesis,and telodiagenesis.Tectonic discrimination plots show that the source areas were an active continental margin(ACM)and a passive continental margin(PCM),which may have been related to the northward movement of the Lower Yangtze Plate(LYP)and the collision between the LYP and the North China Plate(NCP).展开更多
Using photo-thermo sensitive genie male rice (PTGMS) Pei' ai 64S, W7415S, W6154S, N26S, Annong S, Nongken 58S, 7001S and 5088S as female parents and conventional indica lines 8258 and U89 as male parents, the fact...Using photo-thermo sensitive genie male rice (PTGMS) Pei' ai 64S, W7415S, W6154S, N26S, Annong S, Nongken 58S, 7001S and 5088S as female parents and conventional indica lines 8258 and U89 as male parents, the factors affecting outcrossed seed-setting were analyzed. The PTGMS had obstacles in outcrossed seed setting influenced by inheritance and environment at varying degrees. Environmental temperature was regarded as the main factor that resulted in the outcrossed seed-setting obstacles. The sensitive stage was at the early stage of grain filling for outcrossed seed setting. There existed remarkable differences at the sensitivity stage, the duration of sensitive period, the sensitive level and the effective level of outcrossed seed-setting obstacles caused by environmental temperature among different PTGMS lines. Therefore, attention should be paid to outcrossed seed-setting obstacles in selection and utilization of PTGMS lines.展开更多
The studied area is located in the south to east of the Qorveh city(Kurdistan Province)in the Sanandaj-Sirjan zone.Based on field observations,the dykes are mafic to dioritic in composition,and followed by granitic dykes
The plenum chamber of a heat setting machine is a key structure for distributing hot air to different air channels.Its outlet velocity uniformity directly determines the heating uniformity of textiles,significantly af...The plenum chamber of a heat setting machine is a key structure for distributing hot air to different air channels.Its outlet velocity uniformity directly determines the heating uniformity of textiles,significantly affecting the heat setting performance.In a traditional heat setting machine,the outlet airflow maldistribution of the plenum chamber still exists.In this study,a novel plenum chamber with an airfoil baffle was established to improve the uniformity of the velocity distribution at the outlet in a heat setting machine.The structural influence of the plenum chamber on the velocity distribution was investigated using a computational fluid dynamics program.It was found that a chamber with a smaller outlet partition thickness had a better outlet velocity uniformity.The structural optimization of the plenum chamber was conducted using the particle swarm optimization algorithm.The outlet partition thickness,the transverse distance and the longitudinal distance of the optimized plenum chamber were 20,686.2 and 274.6 mm,respectively.Experiments were carried out.The experimental and simulated results showed that the optimized plenum chamber with an airfoil baffle could improve the outlet velocity uniformity.The air outlet velocity uniformity index of the optimized plenum chamber with an airfoil baffle was 4.75%higher than that of the plenum chamber without an airfoil baffle and 5.98%higher than that of the conventional chamber with a square baffle in a commercial heat setting machine.展开更多
The Phlaythong large iron deposit in Shampasak of southern Laos,is located in the Kon Tum microblock （Fig.1A）,central-southern part of the Indo-China block,and the geographic coordinate of the central mining area is...The Phlaythong large iron deposit in Shampasak of southern Laos,is located in the Kon Tum microblock （Fig.1A）,central-southern part of the Indo-China block,and the geographic coordinate of the central mining area is 14°43′04″ N and 106°07′02″ E.展开更多
Introduction: The Democratic Republic of Congo (DRC) is one of the high-burden TB countries in the world. The most affected provinces were North and South Kivu where displacements of the population favor transmission ...Introduction: The Democratic Republic of Congo (DRC) is one of the high-burden TB countries in the world. The most affected provinces were North and South Kivu where displacements of the population favor transmission of infections. Delays in diagnosis are often causes for excessive mortality among TB patients. Aim of the Study: The study aimed to test an intervention designed to increase detection of TB cases in internally displaced persons and their host communities in South Kivu province. Methods: The project used a quasi-experimental method, with prospective data collection every six months. Two peri-urban districts were selected and designated as intervention and control districts respectively. Twenty peer educators were selected among prospective TB suspects who sought care in health facilities. The peer educators were trained and encouraged to actively influence, identify and refer potential TB suspects to health centers. The data on new TB suspects seen and cases diagnosed in both districts were collected and compared over two and a half years period. Results: This pilot study has demonstrated that the intervention has had some positive effects on both the number of persons suspected with TB who were diagnosed using either microscopy or clinical assessment. Even in terms of case detection, the study demonstrated that the number of cases detected in the intervention district was at least twice the number of cases detected in the control district. Conclusion: Nonprofessional educators can influence TB case detection even in unstable settings, but their effectiveness is dependent on the security situation. National TB control programs need to adapt community mobilization strategies to local developments even in unsafe settings.展开更多
Objective: To examine whether differences in treatment patterns and health care costs exist among chronic lymphocytic leukemia (CLL) and non-Hodgkin’s lymphoma (NHL) patients receiving rituximab in a hospital outpati...Objective: To examine whether differences in treatment patterns and health care costs exist among chronic lymphocytic leukemia (CLL) and non-Hodgkin’s lymphoma (NHL) patients receiving rituximab in a hospital outpatient setting versus those receiving rituximab in a physician office/community clinic setting. Methods: This retrospective database study used medical and pharmacy claims (1/2007-7/2012) from a large US health plan. Patients ≥18 years with ≥2 rituximab claims and ≥2 claims for either NHL or CLL were identified. The date of the first rituximab claim were set as the index date, and differences in treatment patterns and health care costs were examined during the period following the index date. Costs were adjusted for patient characteristics using a multivariate regression model. Results: A total of 4441 patients were identified;3167 received rituximab in the office/clinic setting, and 1274 in the hospital outpatient setting. From 2007 to 2012, the percentage of patients receiving rituximab in the hospital outpatient setting increased from 22% to 39%. Patients treated in the hospital outpatient setting vs. the office/clinic setting had fewer average counts of rituximab infusions (5.60 vs. 7.49, p 0.001), higher total health care costs (cost ratio = 1.325, p 0.001), higher infusion day drug and administration costs (cost ratio = 1.509, p 0.001), and higher rates of ER visits and inpatient stays (both p 0.001). Conclusions: These findings suggest that site of care may impact treatment patterns and costs of patients receiving rituximab, and additional research is needed to better understand the reason(s) for these differences by site of service.展开更多
<strong>Introduction:</strong> Nursing-Sensitive Indicators (NSIs) is a critical concept for the advancement of the nursing profession. However, different managerial positions may have a different perspect...<strong>Introduction:</strong> Nursing-Sensitive Indicators (NSIs) is a critical concept for the advancement of the nursing profession. However, different managerial positions may have a different perspective on the appropriate NSIs that should be used in hospitals for the monitoring of nursing care quality. This study aims to find if there is a difference between three groups of nursing managerial positions on the appropriateness of NSIs for the monitoring of nursing care quality. <strong>Methods:</strong> Descriptive cross-sectional approach was employed to evaluate if there is a difference among the three managerial groups in their evaluation for the appropriateness of using a cluster of NSIs in acute care settings. The study was conducted in Jordan between February and March 2020. <strong>Result:</strong> The study participants were 60 nurses from different managerial positions. The mean scores of the participants were: directors of nursing (200.6), nursing supervisors (199.1), and nursing quality specialists (198.62). The findings revealed no statistical difference between the three groups of their evaluation of the appropriateness of the NSIs. <strong>Conclusion:</strong> Standardizing the nursing mangers perspectives of NSIs may advance utilization of the NSIs for the monitoring and reporting of nursing care quality. <strong>Implications for Nursing Management:</strong> Consistent understanding of the measures that can be used to monitor quality of nursing care can establish the foundation for quality measurement and quality improvement in acute care settings.展开更多
Introduction: Hypertension, a non-communicable disease, is a major public health threat worldwide, accounting for a high level of morbidity and mortality. Although it has been extensively published among the general p...Introduction: Hypertension, a non-communicable disease, is a major public health threat worldwide, accounting for a high level of morbidity and mortality. Although it has been extensively published among the general population, further research is needed to understand the reality of hypertension within the custodial setting. This study aimed to investigate the factors associated with arterial hypertension in custodial settings in southern Benin in 2023. Methods: This was a cross-sectional, descriptive, analytical study held in prisons in southern Benin from March to April 2023, involving inmates selected by two-stage random sampling. In the first stage, four prisons out of the six in the southern region of Benin were selected by simple random sampling. In the second stage, the prisoners were selected by systematic random sampling, with the sampling frame being the numbered list of eligible prisoners in each prison selected. Data collected by observation and questionnaire survey were analyzed using Stata 11 software. Hypertension was defined as systolic blood pressure ≥ 140 mmHg and diastolic blood pressure ≥ 90 mmHg. Overweight was defined by a body mass index (weight/height<sup>2</sup> (kg/m<sup>2</sup>) ≥ 25. Factors associated with hypertension were identified by multiple logistic regression, at a 5% threshold of significance. Results: Altogether 336 inmates aged 37.55 ± 1.72 years were surveyed. The prevalence of hypertension in custodial settings in southern Benin in 2023 was 31.32% (95% CI [17.06;52.57]). Associated factors were inmate age (ORa = 3.36 95% CI: [1.94;5.85]) and abnormal waist circumference (ORa = 2.61 95% CI [1.27;5.40]). Conclusion: The prevalence of arterial hypertension in prisons of southern Benin (31.32%) is high when compared with the national average (25.9% (22.5-29.3)). The ministries of the Interior and Health need to collaborate to involve inmates in preventive strategies for non-communicable diseases, including hypertension.展开更多
Introduction: Standard procedures for surgical fixation of proximal femoral fractures (PFF) require an image intensifier which in developing countries remains a luxury. We hypothesized that, with a well-codified techn...Introduction: Standard procedures for surgical fixation of proximal femoral fractures (PFF) require an image intensifier which in developing countries remains a luxury. We hypothesized that, with a well-codified technique, the Watson Jones approach (WJA) without image intensifier nor traction table, can allow open reduction and internal fixation (ORIF) of PFF using Dynamic hip screw (DHS), with satisfactory outcome. Patients and methods: Forty one consecutive patients (mean age 59.5 ± 21.6 years, 61% males) who were followed in a Teaching Hospital for PFF treated by ORIF using the WJA and DHS from January 2016 to December 2020 were reassessed. The outcome measures were the quality of the reduction, the positioning of the implants, the tip-apex distance (TAD), the rate and delay of consolidation, the functional results using Postel Merle d’Aubigné (PMA) score, the rate of surgical site infection (SSI) and the overall mortality. Logistic regression was used to determine factors associated with mechanical failure. Results: The mean follow-up period was 33.8 ± 15.0 months. Fracture reduction was good in 31 (75.6%) cases and acceptable in 8(19.5%) cases. Implant position was fair to good in 37 (90.2%) patients. The mean TAD was 26.1 ± 3.9 mm. Three patients developed SSI. Consolidation was achieved in 38 (92.6%) patients. The functional results were good to excellent in 80.5% of patients. The overall mortality rate was 7.3%. There were an association between mechanical failure and osteoporosis (p = 0.04), fracture reduction (p = 0.003), and TAD (p = 0.025). In multivariate logistic regression, no independent factors were predictive of mechanical failure. Conclusion: This study shows that ORIF using DHS for PFF via the Watson-Jones approach without an image intensifier can give satisfactory anatomical and functional outcomes in low-resource settings. It provides and validates a reliable and reproducible technique that deserves to be diffused to surgeons in austere areas over the world.展开更多
文摘Chinese Premier Li Keqiang delivered a comprehensive,balanced,and forwardlooking work report at the opening of the Fifth Session of China’s 12th National People’s Congress(NPC).From a global perspective,China’s role in the international community is rising.The nation accounts for a third of global economic growth and plays an increasingly
基金supported by the National Natural Science Foundation of China(92162218,42302101,42202099)the Guizhou Provincial Natural Science Foundation(ZK[2023]477)。
文摘Unraveling the precise mineralization age is vital to understand the geodynamic setting and ore-forming mechanism of the sediment-hosted Pb-Zn deposit;this has long been a challenge.The Sichuan-Yunnan-Guizhou(SYG)triangle in the southwestern margin of the Yangtze Block is a globally recognized carbonate-hosted Pb-Zn metallogenic province and also an essential part of the South China low-temperature metallogenic domain.This region has>30 million tons(Mt)Zn and Pb resources and shows the enrichment of dispersed metals,such as Ga,Ge,Cd,Se,and Tl.During the past 2 decades,abundant data on mineralization ages of Pb-Zn deposits within the SYG triangle have been documented based on various radioisotopic dating methods,resulting in significant progress in understanding the geodynamic background and ore formation of Pb-Zn deposits hosted in sedimentary rocks at SYG triangle.This paper provides a comprehensive summary of the geochronological results and Pb-Sr isotopic data regarding Pb-Zn deposits in the SYG triangle,which identified two distinct Pb-Zn mineralization periods influencing the dynamic processes associated with the expansion and closure of the Paleo-Tethys Ocean in the western margin of the Yangtze Block.The predominant phase of Pb-Zn mineralization at SYG triangle spanned from the Middle Triassic to Early Jurassic(226-191 Ma),which was intensely correlated with the large-scale basin fluid transport triggered by the closure of the Paleo-Tethys Ocean and Indosinian orogeny.The secondary Pb-Zn mineralization phase occurred during the Late Devonian to Late Carboniferous and was controlled by extensional structures associated with the expansion of the Paleo-Tethys Ocean.Further investigation is necessary to clarify the occurrence and potential factors involved in the Pb-Zn mineralization events during the Late Devonian to Late Carboniferous.
基金supported by the National Natural Science Foundation of China(42172010,42372071,41102037)。
文摘The Longshan orogenic belt is located in the southwestern margin of Ordos Basin at the junction zone between the Western Qinling and Northern Qilian orogenic belt.Voluminous Early Paleozoic magmatism in this area is of key significance for determining the Early Paleozoic tectonic evolution and deep crust-mantle structure.Previous studies mainly focused on the Paleozoic granites;the coeval mafic rocks in this area are still poorly understood.A set of Late Silurian intraplate tholeiitic basalts has been discovered in Longshan area,providing key evidence for the mantle source and deep geodynamic background in this area.The Late Silurian Angou basalt has similar geochemical features as intraplate tholeiitic basalt,with high Na_(2)O/K_(2)O ratios(5.22-8.25),enriched in large ion lithophile elements and LREE.In combination with their relatively evolved Sr-Nd isotopic composition[^(87)Sr/^(86)Sr(i)=0.7128-0.7140;ε_(Nd)(t)=-5.55 to-3.40],it is suggested that it originated from decompression melting of metasomatized enriched mantle in extensional setting.These results indicate that the mantle source in the junction zone of the West Qinling-North Qilian orogenic belt evolved from depleted to enriched with the continuation of Proto-Tethys subduction from the Cambrian to the Silurian.These results are of great significance to understanding the genesis of contemporaneous granite and the crust-mantle interaction in the junction zone between the Western Qinling and Northern Qilian orogenic belt.
文摘Hepatitis E virus(HEV)represents a significant global cause of acute viral hepatitis.Annually,it is estimated to cause approximately 20.1 million infections worldwide,3.3 million of which result in symptomatic illness.In developing regions,genotypes HEV-1 and HEV-2 are the primary strains responsible for widespread outbreaks and epidemics of acute jaundice(icteric hepatitis),transmitted predominantly through the fecal-oral route via contaminated water and food(Devarbhavi et al.,2023).
文摘The earthquake-hit Yushu shifts its focus from rescuing survivors to post-quake reconstruction The first phase of earthquake relief, in which rescuing lives was the priority, finished 12 days after a 7.1-magnitude earthquake struck the Tibetan Autonomous Prefecture of Yushu in northwest China’s Qinghai Province on April 14, and reconstruction of the area is now ready to begin.
文摘The most important agenda of this year’s session of the National People Congress (NPC), China’s top legislature, held March 5-14, was deliberation and approval of the draft blueprint of China’s economic and social development for the next five years, the 12th Five-Year Plan (2011-15). When delivering the government work report at the Fourth Session of the 11th NPC on March 5, Premier Wen Jiabao also summarized the main targets and tasks for the 12th Five-Year Plan period. Excerpts follow:
文摘With the economic globalization and the demand of the situation, many higher universities set up business English major. However, since business English is still a new major and research field in higher education, lots of problems exist in the major construction, in which the issue of course settings is a heated one. The author believes that as for the course setting of business English that is an important branch of English for Specific Purposes (ESP), it should be based on the demand toward business English talents from the market and the characteristics of business English.This thesis will, based on the point view of student, further discuss the issue of business English. Based on the analysis, it is concluded that the course setting of business English in China is not mature enough, which has problems involved in the content and the time arrangement. The significance of this thesis is to put forward reasonable proposals in the hope of solving the problem in the course setting of business English so that the business English graduates will be fit for the needs of the society.
基金The present study is supported by the State Key Fundamental Research Project(Grant No.G1999043209)National Natural Science Foundation of China(Grant No.40132010).
文摘Affected by the compressive stress from the South-Central （Indo-China） Peninsula, the Indosinian orogenesis, characterized by collision, thrust and uplifting, took place inside the South China Plate during 250-230 Ma. The ages of the Indosinian granitoids in the Nanling Range and vicinity areas are mostly 240-205 Ma, indicating that they were emplaced in both late collision and post-collision geodynamic environments. No important granite-related metallogenesis occurred in this duration. A post-orogenic setting started at the beginning of the Yanshanian Period, which controlled large-scale granitic magmatism and related metallogenesis. This paper makes the first attempt to divide the Yanshanian Period into three sub-periods, i.e. the early, middle and late Yanshanian Periods, based mainly on the features of magmatism, especially granitoids and related metallogenesis and their geodynamic environments. The magmatic association of the Early Yanshanian （about 185-170 Ma） comprises four categories of magmatism, i.e. basalt, bimodal volcanics, A-type granite and intraplate high-K calc-alkaline （HKCA） magmatism, which indicates an extension-thinning of lithosphere and upwelling of mantle material to a relative small and local extent. Pb-Zn, Cu and Au mineralizations associated with HKCA magmatism represents the first high tide of Mesozoic metallogenesis in the Nanling Range area. During the middle Yanshanian, the lithosphere was subjected to more extensive and intensive extending and thinning, and hence mantle upwelling and basaltic magma underplating caused a great amount of crust remelting granitoids. This period can be further divided into two stages. The first stage （170-150 Ma） is represented by large-scale emplacement of crust remelting granites with local tungsten mineralization at its end. The second stage （150-140 Ma） is the most important time of large-scale mineralizations of non-ferrous and rare metals, e.g. W, Sn, Nb-Ta, Bi, Mo, Be, in the Nanling Range area. The late Yanshanian （140-65 Ma） was generally characterized by full extension and breakup of the lithosphere of South China. However, owing to the influence of the Pacific Plate movement, the eastern part of South China was predominated by subduction-related compression, which resulted in magmatism of calc-alkaline and shoshonite series and related metallogeneses of Au, Ag, Pb-Zn, Cu and （Mo, Sn）, followed by extension in its late stage. In the Nanling Range area, the late Yanshanian magmatism was represented by granitic volcanic-intrusive complexes and mafic dikes, which are genetically related to volcanic-type uranium and porphyry tin deposits, and the mobilization-mineralization of uranium from pre-existing Indosinian granites.
基金the project (PPP) PG003-2013A of the University of Malaya, Kuala Lumpur, Malaysia in carrying out this research work is gratefully acknowledgedthe project RP002C-13AFR of the University of Malaya is also gratefully acknowledged
文摘Tertiary sandstones collected from southwest Sarawak, Malaysia, were analyzed to decipher their provenance, weathering, and tectonic setting. The studied sandstones have a sublitharenite composition and are dominantly composed quartz with little mica and feldspar, and a small amount of volcanic fragments. These sand- stones were generally derived from quartz-rich recycled orogenic sources. They have relatively high SiO2 content with low Na20, CaO, MnO, and MgO contents. Values of Chemical Index of Alteration （CIA） of these rock samples vary from 71 to 93, with an average of 81, implying intense chemical alteration during weathering. A felsic igneous source is suggested by a low concentration of TiO2 com- pared to CIA, enrichment of Light Rare Earth Elements, depletion of Heavy Rare Earth Elements, and negative Eu anomalies. A felsic origin is further supported by a Eu/Eu＊ range of 0.65-0.85 and high Th/Sc, La/Sc, La/Co, and Th/ Co ratios. This work presents the first reported geochemical data of Tertiary sandstones of the Sarawak Basin. These data led us to conclude that the sandstones were dislodged from recycled orogenic sources and deposited in a slowly subsiding rifted basin in a passive continental tectonic setting.
文摘CHU (University Hospital Center) Point G: The department of surgery B is a surgical department of CHU Point G. The department is par excellence a reference department for cases of visceral surgery, cancer surgery, cardiovascular surgery, plastic and endocrinology surgery. As a reminder, the CHU Point G is the largest 3rd level referral hospital in Mali. <b><span style="font-family:Verdana;">Aim:</span></b><span style="font-family:Verdana;"> To study the environmental risk factors of stomach cancer in the B surgery department of the Point G University Hospital in Bamako. </span><b><span style="font-family:Verdana;">Patients and Methods:</span></b><span style="font-family:Verdana;"> We performed a cross-sectional study with retrospective collection from January 2008 to June 2018 (126 months). </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">We have identified 380 cases of digestive cancer, including 193 cases of stomach cancer </span><span style="font-family:Verdana;">o</span><span style="font-family:;" "=""><span style="font-family:Verdana;">r 50.79% of digestive cancers. The mean age of the patients was 57.21 ± 13 years. Male sex represented 55% (n = 106). Eating habits were dominated by the consumption of t<span style="font-family:Verdana, Helvetica, Arial;white-space:normal;background-color:#FFFFFF;">ô</span> with potash (cereal paste) with 64.76% (n = 185). The main methods of preserving meat and fish were curing and smoking with 57.51% (n = 111). Chronic smoking was found in 24.35% (n = 47), alcohol + tobacco consumption in 2.59% (n = 5). The low socio-economic class represented 126 cases or 65.38%. Housewives and cultivators were respectively 37.82% (n = 73) and 227.97% (n = 54). 20.20% (n = 39) had a history of epigastric pain. Epigastralgia was the most common functional sign with 84.5% of cases (n = 169). An epigastric mass was found in 72 patients or 37.3%. Adenocarcinoma represented 97.4% (n = 188). Palliative surgery concerned the majority of our patients with 64.8% of patients (n = 79). The postoperative consequences were simple in 28.57% of cases (n = 28), the postoperative morbidity and mortality were respectively 33.61% (n = 41), and 23.77% (n = 29). The overall survival rate after surgery was 10.81% at 2 years and 2.94% at 5 years. This rate was 58.83% at 2 years and 28.50% at 5 years after curative surgery. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> The risk factors for stomach cancer are many and varied. Some are particularly present in Africa. Delay in diagnosis due to a belief in traditional healers is common in our community.</span></span>
基金Supported by the Shandong Provincial Natural Science Foundation,China(No.ZR2018BD026)the National Marine Geology Special Project(No.DD20190377)。
文摘To reconstruct the paleoenvironment,the petrography and geochemical compositions of the upper Permian Dalong Formation(Fm)(P_(3)d)sandstones in the Central Uplift,South Yellow Sea Basin,was investigated,after which the provenance,tectonic setting,weathering conditions,and diagenetic history were determined.The Dalong Fm is mainly composed of sandstones with a few mudstones and limestones.The petrographic analysis showed that the P_(3)d sandstones are in low maturity and could be classified into feldspar sandstone and lithic sandstone on average framework composition of Q_(63)F_(16)L_(21).The major and trace element results show that Dalong Fm sandstones are enriched in Rb and depleted in Cr and Ni compared with the upper continental crust(UCC).The chemical weathering intensity is weak to low moderate in the source area as indicated by the chemical index of alteration(CIA)and other results from a variety of methods.The diagenetic process included three main stages:eodiagenesis,mesodiagenesis,and telodiagenesis.Tectonic discrimination plots show that the source areas were an active continental margin(ACM)and a passive continental margin(PCM),which may have been related to the northward movement of the Lower Yangtze Plate(LYP)and the collision between the LYP and the North China Plate(NCP).
文摘Using photo-thermo sensitive genie male rice (PTGMS) Pei' ai 64S, W7415S, W6154S, N26S, Annong S, Nongken 58S, 7001S and 5088S as female parents and conventional indica lines 8258 and U89 as male parents, the factors affecting outcrossed seed-setting were analyzed. The PTGMS had obstacles in outcrossed seed setting influenced by inheritance and environment at varying degrees. Environmental temperature was regarded as the main factor that resulted in the outcrossed seed-setting obstacles. The sensitive stage was at the early stage of grain filling for outcrossed seed setting. There existed remarkable differences at the sensitivity stage, the duration of sensitive period, the sensitive level and the effective level of outcrossed seed-setting obstacles caused by environmental temperature among different PTGMS lines. Therefore, attention should be paid to outcrossed seed-setting obstacles in selection and utilization of PTGMS lines.
文摘The studied area is located in the south to east of the Qorveh city(Kurdistan Province)in the Sanandaj-Sirjan zone.Based on field observations,the dykes are mafic to dioritic in composition,and followed by granitic dykes
基金National Natural Science Foundation of China(No.62173307)the Key R&D Projects of Science and Technology Department of Zhejiang Province,China(Nos.2023C01158,2022C01065 and 2022C01188)the Fundamental Research Funds of Zhejiang Sci-Tech University,China(No.22242298-Y)。
文摘The plenum chamber of a heat setting machine is a key structure for distributing hot air to different air channels.Its outlet velocity uniformity directly determines the heating uniformity of textiles,significantly affecting the heat setting performance.In a traditional heat setting machine,the outlet airflow maldistribution of the plenum chamber still exists.In this study,a novel plenum chamber with an airfoil baffle was established to improve the uniformity of the velocity distribution at the outlet in a heat setting machine.The structural influence of the plenum chamber on the velocity distribution was investigated using a computational fluid dynamics program.It was found that a chamber with a smaller outlet partition thickness had a better outlet velocity uniformity.The structural optimization of the plenum chamber was conducted using the particle swarm optimization algorithm.The outlet partition thickness,the transverse distance and the longitudinal distance of the optimized plenum chamber were 20,686.2 and 274.6 mm,respectively.Experiments were carried out.The experimental and simulated results showed that the optimized plenum chamber with an airfoil baffle could improve the outlet velocity uniformity.The air outlet velocity uniformity index of the optimized plenum chamber with an airfoil baffle was 4.75%higher than that of the plenum chamber without an airfoil baffle and 5.98%higher than that of the conventional chamber with a square baffle in a commercial heat setting machine.
基金financially supported by the Special fund for Foreign Mineral Resources Risk Exploration (Grant No.Sichuan Financial Investment (2010)331)China Geological Survey (Grant No.12120114012501)
文摘The Phlaythong large iron deposit in Shampasak of southern Laos,is located in the Kon Tum microblock （Fig.1A）,central-southern part of the Indo-China block,and the geographic coordinate of the central mining area is 14°43′04″ N and 106°07′02″ E.
文摘Introduction: The Democratic Republic of Congo (DRC) is one of the high-burden TB countries in the world. The most affected provinces were North and South Kivu where displacements of the population favor transmission of infections. Delays in diagnosis are often causes for excessive mortality among TB patients. Aim of the Study: The study aimed to test an intervention designed to increase detection of TB cases in internally displaced persons and their host communities in South Kivu province. Methods: The project used a quasi-experimental method, with prospective data collection every six months. Two peri-urban districts were selected and designated as intervention and control districts respectively. Twenty peer educators were selected among prospective TB suspects who sought care in health facilities. The peer educators were trained and encouraged to actively influence, identify and refer potential TB suspects to health centers. The data on new TB suspects seen and cases diagnosed in both districts were collected and compared over two and a half years period. Results: This pilot study has demonstrated that the intervention has had some positive effects on both the number of persons suspected with TB who were diagnosed using either microscopy or clinical assessment. Even in terms of case detection, the study demonstrated that the number of cases detected in the intervention district was at least twice the number of cases detected in the control district. Conclusion: Nonprofessional educators can influence TB case detection even in unstable settings, but their effectiveness is dependent on the security situation. National TB control programs need to adapt community mobilization strategies to local developments even in unsafe settings.
文摘Objective: To examine whether differences in treatment patterns and health care costs exist among chronic lymphocytic leukemia (CLL) and non-Hodgkin’s lymphoma (NHL) patients receiving rituximab in a hospital outpatient setting versus those receiving rituximab in a physician office/community clinic setting. Methods: This retrospective database study used medical and pharmacy claims (1/2007-7/2012) from a large US health plan. Patients ≥18 years with ≥2 rituximab claims and ≥2 claims for either NHL or CLL were identified. The date of the first rituximab claim were set as the index date, and differences in treatment patterns and health care costs were examined during the period following the index date. Costs were adjusted for patient characteristics using a multivariate regression model. Results: A total of 4441 patients were identified;3167 received rituximab in the office/clinic setting, and 1274 in the hospital outpatient setting. From 2007 to 2012, the percentage of patients receiving rituximab in the hospital outpatient setting increased from 22% to 39%. Patients treated in the hospital outpatient setting vs. the office/clinic setting had fewer average counts of rituximab infusions (5.60 vs. 7.49, p 0.001), higher total health care costs (cost ratio = 1.325, p 0.001), higher infusion day drug and administration costs (cost ratio = 1.509, p 0.001), and higher rates of ER visits and inpatient stays (both p 0.001). Conclusions: These findings suggest that site of care may impact treatment patterns and costs of patients receiving rituximab, and additional research is needed to better understand the reason(s) for these differences by site of service.
文摘<strong>Introduction:</strong> Nursing-Sensitive Indicators (NSIs) is a critical concept for the advancement of the nursing profession. However, different managerial positions may have a different perspective on the appropriate NSIs that should be used in hospitals for the monitoring of nursing care quality. This study aims to find if there is a difference between three groups of nursing managerial positions on the appropriateness of NSIs for the monitoring of nursing care quality. <strong>Methods:</strong> Descriptive cross-sectional approach was employed to evaluate if there is a difference among the three managerial groups in their evaluation for the appropriateness of using a cluster of NSIs in acute care settings. The study was conducted in Jordan between February and March 2020. <strong>Result:</strong> The study participants were 60 nurses from different managerial positions. The mean scores of the participants were: directors of nursing (200.6), nursing supervisors (199.1), and nursing quality specialists (198.62). The findings revealed no statistical difference between the three groups of their evaluation of the appropriateness of the NSIs. <strong>Conclusion:</strong> Standardizing the nursing mangers perspectives of NSIs may advance utilization of the NSIs for the monitoring and reporting of nursing care quality. <strong>Implications for Nursing Management:</strong> Consistent understanding of the measures that can be used to monitor quality of nursing care can establish the foundation for quality measurement and quality improvement in acute care settings.
文摘Introduction: Hypertension, a non-communicable disease, is a major public health threat worldwide, accounting for a high level of morbidity and mortality. Although it has been extensively published among the general population, further research is needed to understand the reality of hypertension within the custodial setting. This study aimed to investigate the factors associated with arterial hypertension in custodial settings in southern Benin in 2023. Methods: This was a cross-sectional, descriptive, analytical study held in prisons in southern Benin from March to April 2023, involving inmates selected by two-stage random sampling. In the first stage, four prisons out of the six in the southern region of Benin were selected by simple random sampling. In the second stage, the prisoners were selected by systematic random sampling, with the sampling frame being the numbered list of eligible prisoners in each prison selected. Data collected by observation and questionnaire survey were analyzed using Stata 11 software. Hypertension was defined as systolic blood pressure ≥ 140 mmHg and diastolic blood pressure ≥ 90 mmHg. Overweight was defined by a body mass index (weight/height<sup>2</sup> (kg/m<sup>2</sup>) ≥ 25. Factors associated with hypertension were identified by multiple logistic regression, at a 5% threshold of significance. Results: Altogether 336 inmates aged 37.55 ± 1.72 years were surveyed. The prevalence of hypertension in custodial settings in southern Benin in 2023 was 31.32% (95% CI [17.06;52.57]). Associated factors were inmate age (ORa = 3.36 95% CI: [1.94;5.85]) and abnormal waist circumference (ORa = 2.61 95% CI [1.27;5.40]). Conclusion: The prevalence of arterial hypertension in prisons of southern Benin (31.32%) is high when compared with the national average (25.9% (22.5-29.3)). The ministries of the Interior and Health need to collaborate to involve inmates in preventive strategies for non-communicable diseases, including hypertension.
文摘Introduction: Standard procedures for surgical fixation of proximal femoral fractures (PFF) require an image intensifier which in developing countries remains a luxury. We hypothesized that, with a well-codified technique, the Watson Jones approach (WJA) without image intensifier nor traction table, can allow open reduction and internal fixation (ORIF) of PFF using Dynamic hip screw (DHS), with satisfactory outcome. Patients and methods: Forty one consecutive patients (mean age 59.5 ± 21.6 years, 61% males) who were followed in a Teaching Hospital for PFF treated by ORIF using the WJA and DHS from January 2016 to December 2020 were reassessed. The outcome measures were the quality of the reduction, the positioning of the implants, the tip-apex distance (TAD), the rate and delay of consolidation, the functional results using Postel Merle d’Aubigné (PMA) score, the rate of surgical site infection (SSI) and the overall mortality. Logistic regression was used to determine factors associated with mechanical failure. Results: The mean follow-up period was 33.8 ± 15.0 months. Fracture reduction was good in 31 (75.6%) cases and acceptable in 8(19.5%) cases. Implant position was fair to good in 37 (90.2%) patients. The mean TAD was 26.1 ± 3.9 mm. Three patients developed SSI. Consolidation was achieved in 38 (92.6%) patients. The functional results were good to excellent in 80.5% of patients. The overall mortality rate was 7.3%. There were an association between mechanical failure and osteoporosis (p = 0.04), fracture reduction (p = 0.003), and TAD (p = 0.025). In multivariate logistic regression, no independent factors were predictive of mechanical failure. Conclusion: This study shows that ORIF using DHS for PFF via the Watson-Jones approach without an image intensifier can give satisfactory anatomical and functional outcomes in low-resource settings. It provides and validates a reliable and reproducible technique that deserves to be diffused to surgeons in austere areas over the world.
