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Implementation of Tuberculosis and Human Immune-Deficiency Virus Programs Collaborative Services in Public-Private Mix Direct Observed Therapy Short Course Facilities in Addis Ababa, Ethiopia: Cross Sectional Facility Based Mixed Method
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作者 Lakew Huluka Bahiru Mesele Damte Argaw Maeza Demissie 《Open Journal of Epidemiology》 2016年第2期109-120,共12页
Background: Ethiopia is one of the countries with the highest Human Immune-deficiency Virus (HIV) and Tuberculosis (TB) infection rates in the world. To improve TB/HIV Programs outcomes through Public Private Partners... Background: Ethiopia is one of the countries with the highest Human Immune-deficiency Virus (HIV) and Tuberculosis (TB) infection rates in the world. To improve TB/HIV Programs outcomes through Public Private Partnership Mix (PPM) approach was in place since 2006. But the status of its implementation has never been assessed. Methods: In this cross sectional study we employed mixed methods;we interviewed 272 tuberculosis patients, reviewed their records, and facilitated six in-depth interviews and four focus group discussions. The survey was conducted from January through March 2014 in Addis Ababa. Result: Among the interviewees 51.5% were males and the mean age was (32.7 ± SD 12.4) years. PPM facilities were offering HIV counseling for all TB patients;whereas 87.5% of TB patients have received HIV testing services. The TB/HIV co-infection rate was 45.4%. And only 72.2% TB/HIV patients were enrolled into chronic disease care services, 64.8% were put on Cotrimoxazol Preventive Therapy (CPT) and 50% were put on standard highly active anti-retro viral therapy (HAART) services. All PPM facilities don’t have IPT (Isoniazid Prophylaxis Therapy). The TB/HIV collaborative services strongly linked with the public health sector which was documented by developing inclusive work plan which create access to supplies and conducting joint supportive supervisions. However, the majorities of PPM facilities don’t have Multi-Disciplinary Team and lacks some essential supplies. The predictor for uptake of CPT were: being females TB patients was 86% lower than their counter part males (AOR = 0.14;95% CI = 0.04 - 0.92 P = 0.002), patients who has attended their TB/HIV care at private for the profit facilities were 84% lower than those attend in private not for profit facilities (AOR = 0.16;95% CI = 0.49 - 0.55, P = 0.003). Conclusions: The TB/HIV collaborative services at program level are stronger but only half of patients didn’t get the comprehensive TB/HIV collaborative services to achieve recommended quality of care. Strengthening the services and ensuring the availability of essential supplies was highly recommended. 展开更多
关键词 TUBERCULOSIS Human Immune-Deficiency Virus IMPLEMENTATION Collaborative Predictors Public Private Mix Ethiopia
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The Definition of Sustainable Development of Private University- Based on the Method of Literature Review and Cluster Analysis 被引量:1
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作者 Shi Meng Wang Dongling Dai Jiabao(译) 《学术界》 CSSCI 北大核心 2016年第2期314-319,共6页
The sustainable development of private university has become the focus of the academia and the private higher education after an approximately golden period.Through the method of literature review and cluster analysis... The sustainable development of private university has become the focus of the academia and the private higher education after an approximately golden period.Through the method of literature review and cluster analysis,this paper studies the concept of sustainable development of private university from the perspective of the connotation definition and epitaxial recognition,in order to effectively reveal the essence of the sustainable development of private university,hoping to provide some certain support for the theory and practice of sustainable development of private university. 展开更多
关键词 可持续发展 民办高校 聚类分析 文献综述 定义 教育发展 学术界
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Private Law Doctrine and Private International Law
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作者 《中国国际私法与比较法年刊》 CSSCI 2017年第2期21-65,共45页
Private law doctrine and private international law are intimately linked.The links between them,although seldom discussed,are ubiquitous.These links can only be briefly outlined here,and the following pages are but a ... Private law doctrine and private international law are intimately linked.The links between them,although seldom discussed,are ubiquitous.These links can only be briefly outlined here,and the following pages are but a sketch of them.This essay is dedicated to Claus-Wilhelm Canaris,who in 1987 used the example of the Convention providing a Uniform Lawfor Bills of Exchange and Promissory Notes to develop a methodological analysis for resolving the conflict of inconsistent legal values expressed in autonomous,unharmonized substantive law and in uniform substantive law. 展开更多
关键词 LEGAL LAW SKETCH
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Estimating potential harvestable biomass for bioenergy from sustainably managed private native forests in Southeast Queensland, Australia
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作者 michael r.ngugi victor j.neldner +4 位作者 sean ryan tom lewis jiaorong li phillip norman michelle mogilski 《Forest Ecosystems》 SCIE CSCD 2018年第1期62-76,共15页
Background: Australia's energy future is at the crossroads and the role of renewable sources is in focus. Biomass from sustainably managed forests provide a significant opportunity for electricity and heat generatio... Background: Australia's energy future is at the crossroads and the role of renewable sources is in focus. Biomass from sustainably managed forests provide a significant opportunity for electricity and heat generation and production of liquid fuels. Australia has extensive native forests of which a significant proportion are on private land. However, there is limited knowledge on the potential capacity of this resource to contribute to the expansion of a biomass for bioenergy industry. In addition, there are concerns on how to reconcile biomass harvesting with environmental protection. Methods: We used regional ecosystem vegetation mapping for Queensland to stratify harvestable forests within the 1.8 m hectares of private native forests present in the Southeast Queensland bioregion in 2014. We used a dataset of 52,620 individual tree measurements from 541 forest inventory plots collected over the last 10 years. Tree biomass was estimated using current biomass allometric equations for Australia. Biomass potentially available from selective sawlog harvesting and silvicultural treatment across the bioregion was calculated and mapped. Results: Current sawlog harvesting extracts 41.4% of the standing tree biomass and a biomass for bioenergy harvest would retain on average 36% of felled tree biomass on site for the protection of environmental and fauna habitat values. The estimated area extent of harvestable private native forests in the bioregion in 2013 was 888,000 ha and estimated available biomass for bioenergy in living trees was 13.6 million tonnes (t). The spotted gum (Corymbio citriodora subsp, variegata) forests were the most extensive, covering an area of 379,823 ha and with a biomass for bioenergy yield of 14.2 t-ha-1 (with approximately 11.2 t.ha-1 of the biomass harvested from silvicultural thinning and 3 t.ha-1 recovered from sawlog harvest residual). Conclusions: Silvicultural treatment of private native forests in the Southeast Queensland bioregion, has the capacity to supply a large quantity of biomass for bioenergy. The availability of a biomass for bioenergy market, and integration of sawlog harvesting and silvicultural treatment operations, could provide land owners with additional commercial incentive to improve the management of private native forests. This could potentially promote restoration of degraded forests, ecological sustainability and continued provision of wood products. 展开更多
关键词 Renewable energy Forest biomass Woody biomass Native forests Silvicultural management Biomassretention Biobased
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THE POWER OF PRIVATE INNOVATION
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作者 Zhang Shasha Shi Jinchuan 《Beijing Review》 2025年第10期18-19,共2页
At a symposium on private enterprises in Beijing on February 17,President Xi Jinping underscored the importance of promoting the healthy and high-quality development of the private sector and reiterated the government... At a symposium on private enterprises in Beijing on February 17,President Xi Jinping underscored the importance of promoting the healthy and high-quality development of the private sector and reiterated the government's supportive policies.In an exclusive interview with Beijing Review reporter Zhang Shasha,Shi Jinchuan,Chairman of the Center for Research of Private Economy at Zhejiang University,explored the key signals from Xi Jinping's speech and the role of the government in supporting the private economy. 展开更多
关键词 ENTERPRISES INTERVIEW SUPPORTING
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The Growth of China’s Private Sector: A Case Study of Zhejiang Province 被引量:3
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作者 Zhikai Wang 《China & World Economy》 SCIE 2006年第3期109-120,共12页
Private capital is one of the main driving forces in China's initiatives towards stimulating the market economy. The development of private economy in China has always been based on integrating industrial and corp... Private capital is one of the main driving forces in China's initiatives towards stimulating the market economy. The development of private economy in China has always been based on integrating industrial and corporate structures with product composition and market structures. This paper explores the development of the private economy and how it integrates different industries with specific markets by analyzing the leading private sector in Zhejiang province. It also examines the trends of industrial cluster, the formation of the agglomerative economy and their effects on private economy development. Finally, the paper explains why Zhejiang people have profited much from the Wenzhou model and discusses some existing problems and future possibilities for development of the Wenzhou model. 展开更多
关键词 industrial growth integration of growth factors market development private economy
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On the bankruptcy of private higher education institutions in China
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作者 ZHOU Guoping XIE Zuoxu 《Frontiers of Education in China》 2007年第1期103-118,共16页
In recent years,closing down private higher education institutions(HEIs)has become a serious problem in China.It seems that doubt is cast on the rationality of private HEIs and severe competition contributes a lot to ... In recent years,closing down private higher education institutions(HEIs)has become a serious problem in China.It seems that doubt is cast on the rationality of private HEIs and severe competition contributes a lot to their development.Many problems in the process of self-development are caused by both internal and external factors.From the perspective of sustainable development and the healthy development of students,priority should be given to the evolution of an idea to provide a positive environment for the development of private HEIs.This paper is an effort to deal with the statement that higher education in China is a seller’s market and aims to do an objective estimate of the development space for private HEIs.In addition,it shows a clear understanding of establishing the prediction system for relevant issues of private higher education to guarantee the sound development of private HEIs. 展开更多
关键词 private higher education institutions college bankruptcy prediction system
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Association of conventional chromosomal polymorphic variants in 580 couples with idiopathic recurrent pregnancy loss:A retrospective cohort study
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作者 Sunny Kumar Jignesh Kumar Patel Amit Roy Chowdhury +2 位作者 Shagufa Sheikh Purna Chandra Mahapatra Birendranath Banerjee 《Asian pacific Journal of Reproduction》 2026年第1期11-22,共12页
Objective:To investigate the potential link between chromosomal polymorphisms in couples who had a medical history of idiopathic recurrent pregnancy loss.Methods:Cytogenetic investigation was conducted with mitogen(Ph... Objective:To investigate the potential link between chromosomal polymorphisms in couples who had a medical history of idiopathic recurrent pregnancy loss.Methods:Cytogenetic investigation was conducted with mitogen(Phytohemagglutinin-M,Gibco)stimulated blood T lymphocytes by Giemsa trypsin Giemsa banding and Ag-NOR banding on 580 couples with a history of idiopathic recurrent pregnancy loss and 240 couples from the general population.Thirty good chromosomal spreads were captured,karyotyped,and analyzed.The karyotypes were designated using the International System for Human Cytogenomic Nomenclature 2024.Pearson Chi-square test was used to compare the frequency of chromosomal polymorphism variations in the idiopathic recurrent pregnancy loss group with the general population group.Results:A conventional cytogenetic investigation revealed that 45.43%of couples experiencing idiopathic recurrent pregnancy loss presented with various types of chromosomal polymorphic variants,compared to 11.88%in the general population.The overall frequency of these chromosomal polymorphic variants was significantly higher in the idiopathic recurrent pregnancy loss group compared to the general population group(OR 9.97,95%CI 6.99-14.21;P<0.05).Additionally,the prevalence of polymorphic variants was higher among males(49.14%)than females(41.72%)(P=0.01).Conclusions:Chromosomal polymorphic analysis may play a crucial role in the assessment and careful clinical management of cases with idiopathic recurrent pregnancy loss,especially when no other conclusive reasons are identified during the initial evaluation.Therefore,heteromorphism should not be overlooked while investigating the causes of idiopathic recurrent pregnancy loss. 展开更多
关键词 Polymorphic variants Chromosomal anomalies Repeated pregnancy loss Cytogenetic investigation
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Flood predictions from metrics to classes by multiple machine learning algorithms coupling with clustering-deduced membership degree
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作者 ZHAI Xiaoyan ZHANG Yongyong +5 位作者 XIA Jun ZHANG Yongqiang TANG Qiuhong SHAO Quanxi CHEN Junxu ZHANG Fan 《Journal of Geographical Sciences》 2026年第1期149-176,共28页
Accurate prediction of flood events is important for flood control and risk management.Machine learning techniques contributed greatly to advances in flood predictions,and existing studies mainly focused on predicting... Accurate prediction of flood events is important for flood control and risk management.Machine learning techniques contributed greatly to advances in flood predictions,and existing studies mainly focused on predicting flood resource variables using single or hybrid machine learning techniques.However,class-based flood predictions have rarely been investigated,which can aid in quickly diagnosing comprehensive flood characteristics and proposing targeted management strategies.This study proposed a prediction approach of flood regime metrics and event classes coupling machine learning algorithms with clustering-deduced membership degrees.Five algorithms were adopted for this exploration.Results showed that the class membership degrees accurately determined event classes with class hit rates up to 100%,compared with the four classes clustered from nine regime metrics.The nonlinear algorithms(Multiple Linear Regression,Random Forest,and least squares-Support Vector Machine)outperformed the linear techniques(Multiple Linear Regression and Stepwise Regression)in predicting flood regime metrics.The proposed approach well predicted flood event classes with average class hit rates of 66.0%-85.4%and 47.2%-76.0%in calibration and validation periods,respectively,particularly for the slow and late flood events.The predictive capability of the proposed prediction approach for flood regime metrics and classes was considerably stronger than that of hydrological modeling approach. 展开更多
关键词 flood regime metrics class prediction machine learning algorithms hydrological model
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Siphon-Based Divide-and-Conquer Policy for Enforcing Liveness on Petri Net Models of FMS Suffering from Deadlocks or Livelocks
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作者 Murat Uzam Bernard Berthomieu +3 位作者 Wei Wei Yufeng Chen Mohammed El-Meligy Mohamed Abdel Fattah Sharaf 《Computers, Materials & Continua》 2026年第1期580-609,共30页
A novel siphon-based divide-and-conquer(SbDaC)policy is presented in this paper for the synthesis of Petri net(PN)based liveness-enforcing supervisors(LES)for flexible manufacturing systems(FMS)prone to deadlocks or l... A novel siphon-based divide-and-conquer(SbDaC)policy is presented in this paper for the synthesis of Petri net(PN)based liveness-enforcing supervisors(LES)for flexible manufacturing systems(FMS)prone to deadlocks or livelocks.The proposed method takes an uncontrolled and bounded PN model(UPNM)of the FMS.Firstly,the reduced PNM(RPNM)is obtained from the UPNM by using PN reduction rules to reduce the computation burden.Then,the set of strict minimal siphons(SMSs)of the RPNM is computed.Next,the complementary set of SMSs is computed from the set of SMSs.By the union of these two sets,the superset of SMSs is computed.Finally,the set of subnets of the RPNM is obtained by applying the PN reduction rules to the superset of SMSs.All these subnets suffer from deadlocks.These subnets are then ordered from the smallest one to the largest one based on a criterion.To enforce liveness on these subnets,a set of control places(CPs)is computed starting from the smallest subnet to the largest one.Once all subnets are live,this process provides the LES,consisting of a set of CPs to be used for the UPNM.The live controlled PN model(CPNM)is constructed by merging the LES with the UPNM.The SbDaC policy is applicable to all classes of PNs related to FMS prone to deadlocks or livelocks.Several FMS examples are considered from the literature to highlight the applicability of the SbDaC policy.In particular,three examples are utilized to emphasize the importance,applicability and effectiveness of the SbDaC policy to realistic FMS with very large state spaces. 展开更多
关键词 Petri nets flexible manufacturing systems DEADLOCK livelock liveness-enforcing supervisor
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Professional Learning Communities in Private Schools in Bahrain and Oman:Reflection on Two Cases
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作者 Osama Al Mahdi Marloes De Munnik +1 位作者 Luke Meinen Marissa Green 《ECNU Review of Education》 2023年第3期469-484,共16页
Highlights•This study explores features of professional learning community(PLC)models in the educational contexts in Bahrain and Oman.•Findings based on the case studies of PLCs in two private schools in Bahrain and O... Highlights•This study explores features of professional learning community(PLC)models in the educational contexts in Bahrain and Oman.•Findings based on the case studies of PLCs in two private schools in Bahrain and Oman,and theoretical input from international PLC literature has implications for policy and practice.•Study recommends promoting PLC approaches in the Bahraini and Omani educational systems in pre-and in-service teacher training programs,adapting best international PLC practices to the specific educational contexts of Bahrain and Oman,preparing school principals to lead PLC in their schools,providing human and financial support to these communities,and making school cultures more collaborative.•This study highlights the importance of the PLC approach,expands the existing conceptual/analytical framework,demonstrates how this approach is being used in two schools,and encourages other practitioners and researchers to embrace PLC. 展开更多
关键词 Education policy educational leadership Gulf region POLICY professional learning community teacher professional development
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光生载流子复合对探测器光谱响应特性的影响研究
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作者 李青 丁奕婧 +4 位作者 Fayemi Omolola E. 谷宇 卞亚东 周建明 雷威 《传感技术学报》 北大核心 2025年第6期955-962,共8页
在宽谱光电探测过程中,人们通常关注探测响应度和比探测度等性能,因此在探测器的设计中重点研究入射光子的吸收和光生载流子的漂移等物理过程。在宽谱探测、窄带探测等光谱探测中需要探测器区分不同波长通道的响应信号,光生载流子复合... 在宽谱光电探测过程中,人们通常关注探测响应度和比探测度等性能,因此在探测器的设计中重点研究入射光子的吸收和光生载流子的漂移等物理过程。在宽谱探测、窄带探测等光谱探测中需要探测器区分不同波长通道的响应信号,光生载流子复合是调控不同光谱通道探测信号的重要手段。通过数值仿真的方法研究了异质结探测器的能带结构和电场强度分布,进而分析了光生载流子的复合过程。通过对探测器不同半导体层电子亲和势的设计,利用光生载流子复合调控不同波长通道的探测信号,最终使得不同偏置电压下探测器光谱响应特性呈现出较大的非线性。通过对四层传感器的设计,获得带隙分布为3.09 eV/2.51 eV/1.94 eV/1.36 eV,电子亲和势为3.09 eV/3.42 eV/3.71 eV/4.07 eV。与单带隙的PIN光电二极管相比较,优化后的四层传感器的光谱响应曲线的相关性系数从0.99降低到0.56。该研究成果为后续光谱信息重构获得有效探测信号提供了保障。 展开更多
关键词 光电探测器 光生载流子复合 数值仿真 光谱响应 入射光吸收
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PD-YOLO:Colon Polyp Detection Model Based on Enhanced Small-Target Feature Extraction 被引量:1
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作者 Yicong Yu Kaixin Lin +2 位作者 Jiajun Hong Rong-Guei Tsai Yuanzhi Huang 《Computers, Materials & Continua》 SCIE EI 2025年第1期913-928,共16页
In recent years,the number of patientswith colon disease has increased significantly.Colon polyps are the precursor lesions of colon cancer.If not diagnosed in time,they can easily develop into colon cancer,posing a s... In recent years,the number of patientswith colon disease has increased significantly.Colon polyps are the precursor lesions of colon cancer.If not diagnosed in time,they can easily develop into colon cancer,posing a serious threat to patients’lives and health.A colonoscopy is an important means of detecting colon polyps.However,in polyp imaging,due to the large differences and diverse types of polyps in size,shape,color,etc.,traditional detection methods face the problem of high false positive rates,which creates problems for doctors during the diagnosis process.In order to improve the accuracy and efficiency of colon polyp detection,this question proposes a network model suitable for colon polyp detection(PD-YOLO).This method introduces the self-attention mechanism CBAM(Convolutional Block Attention Module)in the backbone layer based on YOLOv7,allowing themodel to adaptively focus on key information and ignore the unimportant parts.To help themodel do a better job of polyp localization and bounding box regression,add the SPD-Conv(Symmetric Positive Definite Convolution)module to the neck layer and use deconvolution instead of upsampling.Theexperimental results indicate that the PD-YOLO algorithm demonstrates strong robustness in colon polyp detection.Compared to the original YOLOv7,on the Kvasir-SEG dataset,PD-YOLO has shown an increase of 5.44 percentage points in AP@0.5,showcasing significant advantages over other mainstream methods. 展开更多
关键词 Polyp detection YOLOv7 SPD-Conv CBAM DECONVOLUTION
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Life cycle assessment methodology evaluation and greenhouse gas impact of hydrogen production routes in Australia
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作者 Mutah Musa Tara Hosseini +2 位作者 Tim Lai Nawshad Haque Sarb Giddey 《Frontiers in Energy》 2025年第6期1054-1071,共18页
The environmental impacts of hydrogen production can vary widely depending on the production energy source and process.This implies that the collection and management of sustainability data for hydrogen production glo... The environmental impacts of hydrogen production can vary widely depending on the production energy source and process.This implies that the collection and management of sustainability data for hydrogen production globally is desired to ensure accountable development of the sector.Life cycle assessment(LCA)is an internationally recognized tool for environmental impact assessment.Integrating LCA in the holistic evaluation of the hydrogen value chain is desirable to ensure the cleanness and sustainability of the various available hydrogen production pathways.The objective of this review is to evaluate the methodology used in assessing the life cycle impact of hydrogen production including proposed documentation such as the guarantee of origin(GO)and certification schemes,and review case studies from Australia.An analysis of the sustainability strategies and schemes designed by the Australian government,aimed at mitigating climate change and promoting the hydrogen economy,was conducted.The case studies that were discussed identified the preferred available scaled routes of clean hydrogen production to be water electrolysis,which is based on technologies using renewable energy.Other dominant technologies which incorporate carbon capture and storage(CCS)were envisaged to continue playing a role in the transition to a low carbon economy.Additionally,it is critical to assess the greenhouse gas(GHG)emissions using appropriate system boundaries,in order to classify clean hydrogen production pathways.Harmonizing regulatory stringency with appropriate tracking of renewable electricity can promote clean hydrogen production through certification and GO schemes.This approach is deemed critical for the sustainable development of the hydrogen economy at the international level. 展开更多
关键词 hydrogen certification guarantee of origin(GO) hydrogen energy sustainability life cycle assessment(LCA) AUSTRALIA
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A Year Marked by Extreme Precipitation and Floods:Weather and Climate Extremes in 2024 被引量:1
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作者 Wenxia ZHANG Tianjun ZHOU +17 位作者 Wanheng YE Tingyu ZHANG Lixia ZHANG Piotr WOLSKI James RISBEY Zhuo WANG Seung-Ki MIN Hamish RAMSAY Michael BRODY Alice GRIMM Robin CLARK Kangnian REN Jie JIANG Xiaolong CHEN Shenming FU Lan LI Shijie TANG Shuai HU 《Advances in Atmospheric Sciences》 2025年第6期1045-1063,共19页
This past year, 2024, is on track to be the warmest year, joining 2023 as the two hottest years on record. With the exceptional heat, weather and climate extremes were common across the world. In particular, 2024 has ... This past year, 2024, is on track to be the warmest year, joining 2023 as the two hottest years on record. With the exceptional heat, weather and climate extremes were common across the world. In particular, 2024 has seen a remarkable run of extreme precipitation events and resulting impacts. Here, we provide an overview of the most notable extreme events of the year, including extreme precipitation and floods, tropical cyclones, and droughts. The characteristics and impacts of these extreme events are summarized, followed by discussion on the physical drivers and the role of global warming.Finally, we also discuss the future prospects in extreme event studies, including impact-based perspectives, challenges in attribution of precipitation extremes, and the existing gap to minimize impacts from climate extremes. 展开更多
关键词 weather and climate extremes extreme precipitation tropical cyclones DROUGHTS
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The critical need to include India in global infectious disease trials
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作者 Venu Gopal Jonnalagadda 《Asian Pacific Journal of Tropical Medicine》 2025年第12期569-570,共2页
Since 2016,the number of clinical trials registered in the World Health Organization-International Clinical Trials Registry Platform has been steadily increasing.The number of clinical trials registered between 2018 a... Since 2016,the number of clinical trials registered in the World Health Organization-International Clinical Trials Registry Platform has been steadily increasing.The number of clinical trials registered between 2018 and 2022 is 39765 for BRICS countries.Though India’s contribution increased from 33%to 40%in the interim,the number of infectious disease trials registered in India is low(325)compared to the number of oncology clinical trials(1936)[1].The number of phase 3 registrational antibacterial clinical trials conducted in India is also low(Table 1).This poses a serious public health challenge given the infectious disease burden in India[2]. 展开更多
关键词 infectious disease trials global infectious disease trials infectious disease burden INDIA WHO ICTRP phase registrational antibacterial clinical tr clinical trials BRICS countries
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An innovative connection system for platform-type mass timber buildings
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作者 Rajnil Lal Ashkan Hashemi Pierre Quenneville 《Resilient Cities and Structures》 2025年第2期14-29,共16页
Platform-style construction is a widely recognized and well-established approach among engineers and developers for multi-story mass timber buildings.This construction method offers many advantages,such as rapid assem... Platform-style construction is a widely recognized and well-established approach among engineers and developers for multi-story mass timber buildings.This construction method offers many advantages,such as rapid assembly,an excellent strength-to-weight ratio,and appealing aesthetic features.In a platform-type construction,each story is constructed by placing the floor panels on top of the load-bearing wall,creating a platform for the level above.Although this method offers numerous advantages,recent research findings have revealed that cross-laminated(CLT)platform buildings with conventional connections,such as wall-to-floor hold-down brackets and shear connectors with nails and screws,are prone to experience a high degree of damage under design-level earthquakes.Consequently,conventional connections in platform-type construction are vulnerable to more damage under aftershocks and do not meet the damage avoidance requirements of seismic design.This paper introduces an innovative floor-to-wall connection for a platform-type low-rise mass timber building that mitigates the limitations of conventional connections.The effectiveness of the proposed connection has been investigated,and the seismic performance of the system,which incorporates the proposed connection,has been outlined in this paper.A numerical model with an innovative inter-story isolation system is developed in ETABS,and the seismic performance of the isolated structure was evaluated using Response Spectrum Analysis(RSA)and Nonlinear Time History Analysis(NLTHA).This study revealed that inter-story isolation systems significantly reduced the seismic demands on the mass timber components,demonstrating the system’s ability to dissipate seismic energy.Additionally,the system displayed effective energy dissipation while exhibiting self-centering behaviour. 展开更多
关键词 Cross-laminated timber Low damage Platform construction Inter-story isolation Numerical model
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Beyond silence:Addressing mental health challenges and hopeful pathways for older adults
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作者 Elif Sarac 《World Journal of Psychiatry》 2025年第12期18-22,共5页
In this editorial,I comment on the article conducted by Yang and Woo.Mental health in older adults remains underserved and underexamined,with final decades shaped by cumulative life stressors,chronic conditions,and so... In this editorial,I comment on the article conducted by Yang and Woo.Mental health in older adults remains underserved and underexamined,with final decades shaped by cumulative life stressors,chronic conditions,and social determinants that disproportionately affect marginalized communities.In this study,I would like to synthesize current evidence on the prevalence,presentation,and trajectories of mental health concerns among older adults,highlighting common challenges such as late-life depression,anxiety,cognitive concerns,and underutilization of care.I am going to examine barriers to outreach and treatment,including stigma,cultural and linguistic mismatches,access limitations,and gaps in geriatric mental health services.The analysis in the paper identifies promising pathways to improve outcomes:Community-engaged interventions,culturally tailored care models,integration of mental health with primary and geriatric care,and policy reforms to expand coverage and reduce disparities.As a conclusion,with actionable recommendations for clinicians,researchers,policymakers,and community organizations to break the silence,enhance early detection,and foster resilient aging through equitable,person-centered approaches. 展开更多
关键词 Mental health Older adults CHALLENGE STIGMA PATHWAYS
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Integrating inflammation,nutrition,and artificial intelligence:A new era in colorectal cancer prognostic scoring
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作者 Semra Demirli Atici Aras Emre Canda Mustafa Cem Terzi 《World Journal of Gastroenterology》 2025年第30期144-147,共4页
Traditional tumor-node-metastasis staging overlooks key prognostic factors such as inflammation and nutrition,limiting individualized treatment in colorectal cancer.Integrating biochemical markers with artificial inte... Traditional tumor-node-metastasis staging overlooks key prognostic factors such as inflammation and nutrition,limiting individualized treatment in colorectal cancer.Integrating biochemical markers with artificial intelligence can significantly improve survival prediction and treatment personalization by analyzing complex,multimodal data.This evolving approach holds transformative potential for precision oncology. 展开更多
关键词 Colorectal cancer Prognostic nutritional scoring system Artificial intelligence Global leadership initiative on malnutrition Nutritional biomarkers Tumorinfiltrating lymphocytes Personalized cancer care
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Comparative seismic performance analysis of steel braced frames with resilient slip-friction joint braces and buckling-restrained braces
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作者 Rajnil Lal Ashkan Hashemi +2 位作者 Nicholas Chan Setu Agarwal Pierre Quenneville 《Resilient Cities and Structures》 2025年第3期30-47,共18页
Self-centering systems are increasingly studied after devastating earthquakes in the 2010s that caused irreparable damage to buildings.Currently,there is conflicting evidence as to whether the re-centering(restoring)c... Self-centering systems are increasingly studied after devastating earthquakes in the 2010s that caused irreparable damage to buildings.Currently,there is conflicting evidence as to whether the re-centering(restoring)capabilities are gained at the expense of hysteretic damping,potentially leading to larger peak displacements and damage to non-structural elements.This study examines the earthquake response of self-centering and non-self-centering systems through analyses of 4-storey and 8-storey steel-braced frames.The Resilient Slip Friction Joint(RSFJ)dampers,combined with steel braces in series,represent the self-centering bracing system,whereas the Buckling Restrained Braces(BRBs)represent the non-self-centering bracing system.Results suggest that peak displacements,base shears,and floor accelerations were comparable between the two systems.A possible explanation is that the peak response occurs on the first major excursion;similar peaks result from similar backbone curves in the run-up to the peak.Conversely,the amount of hysteretic damping only begins to affect the post-peak behavior.For instance,the RSFJ system reintroduces seismic energy into the structure post-peak(rather than dissipating it like the BRB).Subsequently,it leads to larger vibration amplitudes about the central position,increasing the risk of secondary peaks.This contrasts with the BRB system,which exhibits smaller vibration amplitudes about an increasingly deformed position due to seismic ratcheting.Unsurprisingly,residual deformations were high for the BRBs(1.7%on average)and negligible for the RSFJ.However,RSFJ produced smaller peak inter-storey drifts between 13%–18%but higher peak accelerations by 4%–5%.The results suggest that multi-storey braced frames could be designed with similar or smaller forces when self-centering systems are used. 展开更多
关键词 Comparative analysis Buckling-restrained braces BRB Resilient slip-friction joint RSFJ
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