<strong>Objective: </strong>The purpose is to formulate treatment strategies of batches of the wounded and partial first-aid procedures, and further improve the emergency rescue capability of hospitals. &l...<strong>Objective: </strong>The purpose is to formulate treatment strategies of batches of the wounded and partial first-aid procedures, and further improve the emergency rescue capability of hospitals. <strong>Methods: </strong>This study analyzed the emergency treatment case that we participated in. In this case, we used various means to start the emergency plan, run the emergency procedures, optimize diagnosis, treatment, and rescue procedures, mobilize medical rescue resources, provide a reference for emergency command decisions, formulate a set of coping strategies of tertiary general hospitals on public emergencies. <strong>Results:</strong> Through the scientific and effective management of our hospital, 20 wounded have been discharged from the hospital and achieved the ideal effect of zero deaths in the hospital. <strong>Conclusions:</strong> The new mode of first-aid and health emergency management on the scene of modern disaster needs to find ways to minimize the loss of life and property brought by public emergencies, integrate the various sections of modern disaster medicine, integrate a large number of international and domestic basic and clinical research achievements of disaster first-aid, and upgrade to information, digital system.展开更多
Up to now,at least 806 carbon allotropes have been proposed theoretically.Three interesting carbon allotropes(named Pbam-32,P6/mmm,and I43d)were recently uncovered based on a random sampling strategy combined with spa...Up to now,at least 806 carbon allotropes have been proposed theoretically.Three interesting carbon allotropes(named Pbam-32,P6/mmm,and I43d)were recently uncovered based on a random sampling strategy combined with space group and graph theory.The calculation results show that they are superhard and remarkably stable compared with previously proposed metastable phases.This indicates that they are likely to be synthesized in experiment.We use the factor group analysis method to analyze theirΓ-point vibrational modes.Owing to their large number of atoms in primitive unit cells(32 atoms in Pbam-32,36 atoms in P6/mmm,and 94 atoms in I43d),they have many Raman-and infrared-active modes.There are 48 Raman-active modes and 37 infrared-active modes in Pbam-32,24 Raman-active modes and 14 infrared-active modes in P6/mmm,and 34 Raman-active modes and 35 Raman-and infrared-active modes in I43d.Their calculated Raman spectra can be divided into middle frequency range from 600 cm-1 to 1150 cm-1 and high frequency range above 1150 cm-1.Their largest infrared intensities are 0.82,0.77,and 0.70(D/Å)2/amu for Pbam,P6/mmm,and I43d,respectively.Our calculated results provide an insight into the lattice vibrational spectra of these sp3 carbon allotropes and suggest that the middle frequency Raman shift and infrared spectrum may play a key role in identifying newly proposed carbon allotropes.展开更多
Na-ion diffusion kinetics is a key factor that decided the charge/discharge rate of the electrode materials in Na-ion batteries.In this work,two extreme concentrations of NaMnO_(2) and Na_(2/3)Li_(1/6)Mn_(5/6)O_(2) ar...Na-ion diffusion kinetics is a key factor that decided the charge/discharge rate of the electrode materials in Na-ion batteries.In this work,two extreme concentrations of NaMnO_(2) and Na_(2/3)Li_(1/6)Mn_(5/6)O_(2) are considered,namely,the vacancy migration of Na ions in the fully intercalated and the migration of Na ions in the fully de-intercalated.The Na-vacancy and Na^(+)distribution in NaMnO_(2) migrated along oxygen dumbbell hop(ODH)and tetrahedral site hop(TSH),and the migration energy barriers were 0.374 and 0.296 eV,respectively.In NaLi_(1/6)Mn_(5/6)O_(2),the inhomogeneity of Li doping leads to the narrowing of the interlayer spacing by 0.9%and the increase of the energy barrier by 53.8%.On the other hand,due to the alleviation of Jahn-Teller effect of neighboring Mn,the bonding strength of Mn-O was enhanced,so that the energy barrier of path 2-3 in Mn-L1 and Mn-L2 was the lowest,which was 0.234 and 0.424 eV,respectively.In Na_(1/6)Li_(1/6)Mn_(5/6)O_(2),the migration energy barriers of Na-L2 and Na-L3 are 1.233 and 0.779 eV,respectively,because Li+migrates from the transition(TM)layer to the alkali metal(AM)layer with Na^(+)migration,which requires additional energy.展开更多
Background: Termination of pregnancy (TOP) in Zambia is guided by the Termination of Pregnancy (TOP) Act of 1972 and as amended in 1994 of the laws of Zambia. However, despite provision of Comprehensive abortion care ...Background: Termination of pregnancy (TOP) in Zambia is guided by the Termination of Pregnancy (TOP) Act of 1972 and as amended in 1994 of the laws of Zambia. However, despite provision of Comprehensive abortion care services with the liberal law, statistics at Kanyama First Level Hospital in relation to unsafe illegal abortions are alarming. This study sought to understand the Awareness on the TOP Act of the laws of Zambia among women of reproductive age 15 - 49 years at Kanyama First Level Hospital in Lusaka District. Purpose of the Study: To assess awareness on the TOP Act among women of reproductive age at Kanyama First Level Hospital in Lusaka, Zambia. Methodology: A convergent parallel mixed method design was conducted using both survey and in-depth interviews among women of reproductive age at Kanyama First Level Hospital in Lusaka District. The study surveyed 370 randomly sampled women aged 15 to 49 years old while the in-depth interviews included eight women purposively sampled from the survey population. Survey data was analyzed using descriptive and inferential statistics while qualitative data thematic analysis was used. Results: The study found that 37% of the participants were aware of the TOP Act while 63.8% viewed legalization of abortion for any reason as wrong. The study results also showed that widowed women were 8 times more likely to be aware of the TOP Act compared to single women (AOR: 8.262;95% CI: 1.105, 61.778). Women in business were significantly more likely to be aware of the TOP Act compared to those who reported having no occupation. (AOR: 2.61;95% CI: 1.246, 5.499). Limited access to information, the social stigma attached to abortion, health care providers’ attitudes, cultural norms, values and religious beliefs, restrictive legal requirements, and absence of a supportive network were some of the barriers affecting awareness and utilization of available safe abortion care services. Conclusions: The research findings concluded that a significant lack of awareness among women of reproductive age regarding the Termination of Pregnancy (TOP) Act. The majority of respondents held the view that abortion should only be legalized for medical reasons. Furthermore, there was a notable gap in knowledge concerning the penal code’s provisions on abortion.展开更多
采用证据图梳理近六年中医药治疗糖尿病肾脏病(DKD)的相关临床研究,系统评估该领域的证据现状,以期为现存问题及后续研究方向提供科学依据和决策参考。系统检索中国知网(CNKI)、万方(Wanfang)、维普(VIP)、中国生物医学文献服务系统(Sin...采用证据图梳理近六年中医药治疗糖尿病肾脏病(DKD)的相关临床研究,系统评估该领域的证据现状,以期为现存问题及后续研究方向提供科学依据和决策参考。系统检索中国知网(CNKI)、万方(Wanfang)、维普(VIP)、中国生物医学文献服务系统(SinoMed)、PubMed、EMbase、Web of Science、Cochrane Library等数据库中医药治疗DKD的文献,经过多次筛选,共纳入310篇文献,其中随机对照试验(RCTs)289篇,系统评价/Meta分析13篇,指南/专家共识8篇。整体发文量呈上升趋势,其中干预方式以口服为主,疗程多在2~3个月,样本量集中在50~100例。涉及30种中药汤剂、39种中成药,以参芪地黄汤、益肾化湿颗粒发文量最多。纳入中医证型以气阴两虚、脾肾两虚为主。结局指标纳入较多的有临床有效率、血糖相关、肾功能等指标,缺少对长期结局检测等问题。方法学质量评估方面,多数RCT在分配隐藏、盲法实施等存在严重缺陷,整体质量不高。系统评价/Meta分析的质量评估等级也均为“极低级”。指南/专家共识整体质量尚可,在严谨性和临床应用等方面待进一步完善。后续应重视以上问题,提升临床研究质量,发挥中医药优势,为中医药防治DKD的临床决策提供更可靠的循证依据。展开更多
文摘<strong>Objective: </strong>The purpose is to formulate treatment strategies of batches of the wounded and partial first-aid procedures, and further improve the emergency rescue capability of hospitals. <strong>Methods: </strong>This study analyzed the emergency treatment case that we participated in. In this case, we used various means to start the emergency plan, run the emergency procedures, optimize diagnosis, treatment, and rescue procedures, mobilize medical rescue resources, provide a reference for emergency command decisions, formulate a set of coping strategies of tertiary general hospitals on public emergencies. <strong>Results:</strong> Through the scientific and effective management of our hospital, 20 wounded have been discharged from the hospital and achieved the ideal effect of zero deaths in the hospital. <strong>Conclusions:</strong> The new mode of first-aid and health emergency management on the scene of modern disaster needs to find ways to minimize the loss of life and property brought by public emergencies, integrate the various sections of modern disaster medicine, integrate a large number of international and domestic basic and clinical research achievements of disaster first-aid, and upgrade to information, digital system.
基金Project supported by the National Natural Science Foundation of China(Grant Nos.U1404111,11504089,61874160,61675064,and 11404098)the Fund for Young Key Teacher of Henan Province,China(Grant No.2016GGJS-059)the Henan Provincial Major Scientific and Technological Projects,China(Grant No.182102210289).
文摘Up to now,at least 806 carbon allotropes have been proposed theoretically.Three interesting carbon allotropes(named Pbam-32,P6/mmm,and I43d)were recently uncovered based on a random sampling strategy combined with space group and graph theory.The calculation results show that they are superhard and remarkably stable compared with previously proposed metastable phases.This indicates that they are likely to be synthesized in experiment.We use the factor group analysis method to analyze theirΓ-point vibrational modes.Owing to their large number of atoms in primitive unit cells(32 atoms in Pbam-32,36 atoms in P6/mmm,and 94 atoms in I43d),they have many Raman-and infrared-active modes.There are 48 Raman-active modes and 37 infrared-active modes in Pbam-32,24 Raman-active modes and 14 infrared-active modes in P6/mmm,and 34 Raman-active modes and 35 Raman-and infrared-active modes in I43d.Their calculated Raman spectra can be divided into middle frequency range from 600 cm-1 to 1150 cm-1 and high frequency range above 1150 cm-1.Their largest infrared intensities are 0.82,0.77,and 0.70(D/Å)2/amu for Pbam,P6/mmm,and I43d,respectively.Our calculated results provide an insight into the lattice vibrational spectra of these sp3 carbon allotropes and suggest that the middle frequency Raman shift and infrared spectrum may play a key role in identifying newly proposed carbon allotropes.
基金Projects(51602352,51974373,51874358,51772333,61533020) supported by the National Natural Science Foundation of ChinaProject(2019JZZY020123) supported by the Major Scientific and Technological Innovation Projects of Shandong Province,China。
文摘Na-ion diffusion kinetics is a key factor that decided the charge/discharge rate of the electrode materials in Na-ion batteries.In this work,two extreme concentrations of NaMnO_(2) and Na_(2/3)Li_(1/6)Mn_(5/6)O_(2) are considered,namely,the vacancy migration of Na ions in the fully intercalated and the migration of Na ions in the fully de-intercalated.The Na-vacancy and Na^(+)distribution in NaMnO_(2) migrated along oxygen dumbbell hop(ODH)and tetrahedral site hop(TSH),and the migration energy barriers were 0.374 and 0.296 eV,respectively.In NaLi_(1/6)Mn_(5/6)O_(2),the inhomogeneity of Li doping leads to the narrowing of the interlayer spacing by 0.9%and the increase of the energy barrier by 53.8%.On the other hand,due to the alleviation of Jahn-Teller effect of neighboring Mn,the bonding strength of Mn-O was enhanced,so that the energy barrier of path 2-3 in Mn-L1 and Mn-L2 was the lowest,which was 0.234 and 0.424 eV,respectively.In Na_(1/6)Li_(1/6)Mn_(5/6)O_(2),the migration energy barriers of Na-L2 and Na-L3 are 1.233 and 0.779 eV,respectively,because Li+migrates from the transition(TM)layer to the alkali metal(AM)layer with Na^(+)migration,which requires additional energy.
文摘Background: Termination of pregnancy (TOP) in Zambia is guided by the Termination of Pregnancy (TOP) Act of 1972 and as amended in 1994 of the laws of Zambia. However, despite provision of Comprehensive abortion care services with the liberal law, statistics at Kanyama First Level Hospital in relation to unsafe illegal abortions are alarming. This study sought to understand the Awareness on the TOP Act of the laws of Zambia among women of reproductive age 15 - 49 years at Kanyama First Level Hospital in Lusaka District. Purpose of the Study: To assess awareness on the TOP Act among women of reproductive age at Kanyama First Level Hospital in Lusaka, Zambia. Methodology: A convergent parallel mixed method design was conducted using both survey and in-depth interviews among women of reproductive age at Kanyama First Level Hospital in Lusaka District. The study surveyed 370 randomly sampled women aged 15 to 49 years old while the in-depth interviews included eight women purposively sampled from the survey population. Survey data was analyzed using descriptive and inferential statistics while qualitative data thematic analysis was used. Results: The study found that 37% of the participants were aware of the TOP Act while 63.8% viewed legalization of abortion for any reason as wrong. The study results also showed that widowed women were 8 times more likely to be aware of the TOP Act compared to single women (AOR: 8.262;95% CI: 1.105, 61.778). Women in business were significantly more likely to be aware of the TOP Act compared to those who reported having no occupation. (AOR: 2.61;95% CI: 1.246, 5.499). Limited access to information, the social stigma attached to abortion, health care providers’ attitudes, cultural norms, values and religious beliefs, restrictive legal requirements, and absence of a supportive network were some of the barriers affecting awareness and utilization of available safe abortion care services. Conclusions: The research findings concluded that a significant lack of awareness among women of reproductive age regarding the Termination of Pregnancy (TOP) Act. The majority of respondents held the view that abortion should only be legalized for medical reasons. Furthermore, there was a notable gap in knowledge concerning the penal code’s provisions on abortion.
文摘采用证据图梳理近六年中医药治疗糖尿病肾脏病(DKD)的相关临床研究,系统评估该领域的证据现状,以期为现存问题及后续研究方向提供科学依据和决策参考。系统检索中国知网(CNKI)、万方(Wanfang)、维普(VIP)、中国生物医学文献服务系统(SinoMed)、PubMed、EMbase、Web of Science、Cochrane Library等数据库中医药治疗DKD的文献,经过多次筛选,共纳入310篇文献,其中随机对照试验(RCTs)289篇,系统评价/Meta分析13篇,指南/专家共识8篇。整体发文量呈上升趋势,其中干预方式以口服为主,疗程多在2~3个月,样本量集中在50~100例。涉及30种中药汤剂、39种中成药,以参芪地黄汤、益肾化湿颗粒发文量最多。纳入中医证型以气阴两虚、脾肾两虚为主。结局指标纳入较多的有临床有效率、血糖相关、肾功能等指标,缺少对长期结局检测等问题。方法学质量评估方面,多数RCT在分配隐藏、盲法实施等存在严重缺陷,整体质量不高。系统评价/Meta分析的质量评估等级也均为“极低级”。指南/专家共识整体质量尚可,在严谨性和临床应用等方面待进一步完善。后续应重视以上问题,提升临床研究质量,发挥中医药优势,为中医药防治DKD的临床决策提供更可靠的循证依据。
