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Magnetic stagnation of two counterstreaming plasma jets induced by intense laser
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作者 R.S.Zemskov S.E.Perevalov +16 位作者 A.V.Kotov A.A.Murzanev A.I.Korytin K.F.Burdonov V.N.Ginzburg A.A.Kochetkov S.E.Stukachev I.V.Yakovlev I.A.Shaikin A.A.Kuzmin E.V.Derishev A.V.Korzhimanov A.A.Soloviev A.A.Shaykin A.N.Stepanov M.V.Starodubtsev E.A.Khazanov 《Matter and Radiation at Extremes》 2026年第1期46-57,共12页
Experiments with interacting high-velocity flows in a laser plasma can help answer fundamental questions in plasma physics and improve understanding of the mechanisms behind some astrophysical phenomena,such as the fo... Experiments with interacting high-velocity flows in a laser plasma can help answer fundamental questions in plasma physics and improve understanding of the mechanisms behind some astrophysical phenomena,such as the formation of collisionless shock waves,deceleration of accretion flows,and evolution of solar and stellar flares.This work presents the first direct experimental observations of stagnation and redirection of counterstreaming flows(jets)of laser plasma induced by intense laser pulses with intensity I~2×10^(18) W/cm^(2).Hybrid particlein-cell-fluid modeling,which takes into account the kinetic effects of ion motion and the evolution of the pressure tensor for electrons,demonstrates the compression of counterdirected toroidal self-generated magnetic fields embedded in counterstreaming plasma flows.The enhancement of the toroidal magnetic field in the interaction region results in plasma flow stagnation and redirection of the jets across the line of their initial propagation. 展开更多
关键词 improve understanding mechanisms redirection counterstreaming evolution solar stellar flaresthis laser plasma intense laser pulses astrophysical phenomenasuch collisionless shock wavesdeceleration accretion flowsand answer fundamental questions plasma physics
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Flyrock distance prediction using a hybrid LightGBM ensemble learning and two nature-based metaheuristic algorithms
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作者 Qiang Wang Jianwei Xiang +4 位作者 Pengfei Yue Shihua Zhang Yijun Lu Runhua Zhang Jiandong Huang 《Journal of Rock Mechanics and Geotechnical Engineering》 2026年第1期129-150,共22页
Traditional mining in open pit mines often uses explosives,leading to environmental hazards,with flyrock being a critical issue.In detail,excess flying rock beyond the designated explosion area was identified as the p... Traditional mining in open pit mines often uses explosives,leading to environmental hazards,with flyrock being a critical issue.In detail,excess flying rock beyond the designated explosion area was identified as the primary cause of fatal and non-fatal blasting hazards in open pit mining.Therefore,the accurate and reliable prediction of flyrock becomes crucial for effectively managing and mitigating associated problems.This study used the Light Gradient Boosting Machine(LightGBM)model to predict flyrock in a lead-zinc mine,with promising results.To improve its accuracy,multi-verse optimizer(MVO)and ant lion optimizer(ALO)metaheuristic algorithms were introduced.Results showed MVO-LightGBM outperformed conventional LightGBM.Additionally,decision tree(DT),support vector machine(SVM),and classification and regression tree(CART)models were trained and compared with MVO-LightGBM.The MVO-LightGBM model excelled over DT,SVM,and CART.This study highlights MVO-LightGBM's effectiveness and potential for broader applications.Furthermore,a multiple parametric sensitivity analysis(MPSA)algorithm was employed to specify the sensitivity of parameters.MPSA results indicated that the highest and lowest sensitivities are relevant to blasted rock per hole and spacing with theγ=1752.12 andγ=49.52,respectively. 展开更多
关键词 Flyrock distance BLASTING Ensemble learning Light gradient boosting machine(LightGBM) Ant lion optimizer Multi-verse optimizer
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AI ethics in geoscience:Toward trustworthy and responsible innovation
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作者 Jinran Wu Xin Tian +8 位作者 You-Gan Wang Tong Li Qingyang Liu Yayong Li Lizhen Cui Zhuangcai Tian Jing Xu Xianzhou Lyu Yuming Mo 《Geography and Sustainability》 2026年第1期249-252,共4页
1.Introduction Artificial intelligence(AI)is rapidly reshaping geoscience,from Earth observation interpretation and hazard forecasting to subsurface characterisation and Earth system modelling(Kochupillai et al.,2022;... 1.Introduction Artificial intelligence(AI)is rapidly reshaping geoscience,from Earth observation interpretation and hazard forecasting to subsurface characterisation and Earth system modelling(Kochupillai et al.,2022;Sun et al.,2024).These capabilities emerge at a time when geoscientific evidence is increasingly informing high-stakes decisions about climate adaptation,resource development,and disaster risk reduction(McGovern et al.,2022). 展开更多
关键词 climate adaptationresource developmentand subsurface characterisation earth system modelling kochupillai hazard forecasting earth observation interpretation disaster risk reduction mcgovern artificial intelligence ai geoscientific evidence
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Robot-assisted vs hand-assisted laparoscopic donor nephrectomy in the United Kingdom:Equivalent outcomes in the first national series
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作者 Chrysanthos D Christou Savvas Antoniadis +10 位作者 Avishek Majumder Rhana Zakri Jonathon Olsburgh Chris Callaghan Georgios Papadakis Kiran Sran Martin Drage Karel Decaestecker Ben Challacombe Nicos Kessaris Ioannis Loukopoulos 《World Journal of Transplantation》 2026年第1期193-202,共10页
BACKGROUND Living donor kidney transplantation is the optimal method of long-term renal replacement therapy.Minimally invasive donor nephrectomy techniques,such as robot-assisted(RALDN)and hand-assisted(HALDN)laparosc... BACKGROUND Living donor kidney transplantation is the optimal method of long-term renal replacement therapy.Minimally invasive donor nephrectomy techniques,such as robot-assisted(RALDN)and hand-assisted(HALDN)laparoscopic procedures,are well-established in high-income countries and are being increasingly adopted worldwide.Nevertheless,no studies have reported surgical outcomes of RALDN donor nephrectomy from a United Kingdom center to date.AIM To compare surgical outcomes between RALDN and HALDN laparoscopic donor nephrectomy in a United Kingdom high-volume living kidney donor transplant program.METHODS A case-control matching analysis was performed based on the following parameters:Sex,age,body mass index,procedure laterality,number of renal arteries,and previous abdominal surgeries.Key surgical outcomes,including primary warm ischemia time,operative duration,and post-operative recovery,were evaluated.RESULTS In this cohort of 140 living donors(70 RALDN vs 70 HALDN),donor and recipient outcomes were equivalent across key metrics:Pain scores,overall complication rates,readmissions,reoperations,and creatinine levels at 30 days and 1 year.Recipient long-term renal function did not differ between groups.Operative time for RALDN decreased significantly over the study period,indicating progressive improvement along the learning curve.Although RALDN was associated with a modestly longer mean warm ischaemia time(3.53 minutes vs 2.76 minutes,P<0.001)and extended hospital stay(4.21 days vs 3.17 days,P<0.001),these did not translate into any disadvantage in clinical outcomes.CONCLUSION In this first United Kingdom comparative cohort,RALDN demonstrated excellent safety and efficacy,even in the early phase of our programme,matching the outcomes of the well-established,gold-standard HALDN approach.Moreover,the pronounced learning-curve trajectory suggests considerable potential for further improvements in robotic surgical outcomes as the programme matures. 展开更多
关键词 Robot-assisted donor nephrectomy Hand-assisted donor nephrectomy Living kidney donation Surgical outcomes Learning curve Minimally invasive surgery United Kingdom experience
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Feasibility of water vapor thermal therapy for treating lower urinary tract symptoms in men with localized prostate cancer on active surveillance:a case series
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作者 Mustufa Babar Farooz Babar +2 位作者 Noah Hawks-Ladds Justin Loloi Michael Ciatto 《The Canadian Journal of Urology》 2026年第1期193-199,共7页
Background:Prostate cancer is a common malignancy,with many men on active surveillance for localized,low-risk disease also experiencing lower urinary tract symptoms(LUTS)from benign prostatic hyperplasia(BPH).Water Va... Background:Prostate cancer is a common malignancy,with many men on active surveillance for localized,low-risk disease also experiencing lower urinary tract symptoms(LUTS)from benign prostatic hyperplasia(BPH).Water Vapor Thermal Therapy(WVTT)is a minimally invasive BPH treatment,but its safety and efficacy in this setting are unclear.Case Description:We report three men with localized PCa on active surveillance who underwent WVTT for LUTS.Conclusions:WVTT appears safe and potentially effective in treating LUTS,especially in those with lower-risk disease and smaller prostate volumes.Further research is needed to confirm safety,efficacy,and optimal patient selection. 展开更多
关键词 lower urinary tract symptoms benign prostatic hyperplasia prostatic neoplasms active surveillance case report
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Foreground Extinction to Extended Celestial Objects.I.New Extinction Maps
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作者 G.A.Gontcharov A.A.Marchuk +5 位作者 S.S.Savchenko A.V.Mosenkov V.B.Il' in D.M.Poliakov A.A.Smirnov H.Krayani 《Research in Astronomy and Astrophysics》 2025年第12期204-226,共23页
We present a new two-dimensional(2D)map of total Galactic extinction,Av,across the entire dust half-layer from the Sun to extragalactic space for Galactic latitudes|b|>13°,as well as a three-dimensional(3D)map... We present a new two-dimensional(2D)map of total Galactic extinction,Av,across the entire dust half-layer from the Sun to extragalactic space for Galactic latitudes|b|>13°,as well as a three-dimensional(3D)map of Av within 2 kpc of the Sun.These maps are based on A_(V)and distance estimates derived from a data set,which utilizes Gaia Data Release 3 parallaxes and multi-band photometry for nearly 100 million dwarf stars.We apply our own corrections to account for significant systematics in this data set.Our 2D map achieves an angular resolution of6'.1,while the 3D map offers a transverse resolution of 3.56 pc—corresponding to variable angular resolution depending on distance—and a radial resolution of 50 pc.In constructing these maps,we pay particular attention to the solar neighborhood(within 200 pc)and to high Galactic latitudes.The 3D map predicts Av from the Sun to any extended object within the Galactic dust layer with an accuracy ofσ(A_(V))=0.1 mag.The 2D map provides Av estimates for the entire dust half-layer up to extragalactic distances with an accuracy ofσ(A_(V))=0.07 mag.We provide A_(V)estimates from our maps for various classes of extended celestial objects with angular size primarily in the range of 2′-40′,including 19,809 galaxies and quasars,170 Galactic globular clusters,458 open clusters,and several hundred molecular clouds from two lists.We also present extinction values for 8293 TypeⅠa supernovae.Comparison of our extinction estimates with those from previous maps and literature sources reveals systematic differences,indicating large-scale spatial variations in the extinction law and suggesting that earlier 2D reddening maps based on infrared dust emission tend to underestimate low extinction values. 展开更多
关键词 (ISM:)dust EXTINCTION (Galaxy:)local interstellar matter (Galaxy:)solar neighborhood (Galaxy:)globular clusters:general (Galaxy:)open clusters and associations:general galaxies:general (stars:)supernovae:general ISM:clouds
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Optimization of Truss Structures Using Nature-Inspired Algorithms with Frequency and Stress Constraints
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作者 Sanjog Chhetri Sapkota Liborio Cavaleri +3 位作者 Ajaya Khatri Siddhi Pandey Satish Paudel Panagiotis G.Asteris 《Computer Modeling in Engineering & Sciences》 2026年第1期436-464,共29页
Optimization is the key to obtaining efficient utilization of resources in structural design.Due to the complex nature of truss systems,this study presents a method based on metaheuristic modelling that minimises stru... Optimization is the key to obtaining efficient utilization of resources in structural design.Due to the complex nature of truss systems,this study presents a method based on metaheuristic modelling that minimises structural weight under stress and frequency constraints.Two new algorithms,the Red Kite Optimization Algorithm(ROA)and Secretary Bird Optimization Algorithm(SBOA),are utilized on five benchmark trusses with 10,18,37,72,and 200-bar trusses.Both algorithms are evaluated against benchmarks in the literature.The results indicate that SBOA always reaches a lighter optimal.Designs with reducing structural weight ranging from 0.02%to 0.15%compared to ROA,and up to 6%–8%as compared to conventional algorithms.In addition,SBOA can achieve 15%–20%faster convergence speed and 10%–18%reduction in computational time with a smaller standard deviation over independent runs,which demonstrates its robustness and reliability.It is indicated that the adaptive exploration mechanism of SBOA,especially its Levy flight–based search strategy,can obviously improve optimization performance for low-and high-dimensional trusses.The research has implications in the context of promoting bio-inspired optimization techniques by demonstrating the viability of SBOA,a reliable model for large-scale structural design that provides significant enhancements in performance and convergence behavior. 展开更多
关键词 OPTIMIZATION truss structures nature-inspired algorithms meta-heuristic algorithms red kite opti-mization algorithm secretary bird optimization algorithm
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Role of calcium homeostasis in retinal ganglion cell degeneration
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作者 Sean McCracken Philip R.Williams 《Neural Regeneration Research》 2026年第5期2009-2010,共2页
Calcium (Ca^(2+)) is a key intracellular messenger involved in a variety of cellular functions.Intracellular Ca^(2+)dysregulation drives neuron cell death in multiple degenerative diseases and traumatic conditions.Ret... Calcium (Ca^(2+)) is a key intracellular messenger involved in a variety of cellular functions.Intracellular Ca^(2+)dysregulation drives neuron cell death in multiple degenerative diseases and traumatic conditions.Retinal ganglion cell(RGC) degeneration occurs in blinding diseases such as glaucoma and other optic neuropathies. 展开更多
关键词 retinal ganglion cell degeneration intracellular calcium dysregulation optic neuropathies glaucoma calcium homeostasis intracellular messenger neuron cell death blinding diseases
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In situ synthesis and stabilization of perovskite quantum dots in electrospinned fibers
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作者 Alexey Serdobintsev Vladimir Neplokh +7 位作者 Alexander Koryakin Ilia Kozhevnikov Anastasiya Yakubova Demid Kirilenko Mariia Saveleva Sergey Makarov Ivan Mukhin Polina Demina 《Journal of Semiconductors》 2026年第2期120-127,共8页
Flexible materials with perovskite quantum dots(PQDs)are widely used in the field of photonics and opto-electronics due to their unique properties.Development of new materials based on these nanoparticles,incorporated... Flexible materials with perovskite quantum dots(PQDs)are widely used in the field of photonics and opto-electronics due to their unique properties.Development of new materials based on these nanoparticles,incorporated into flexible and lightweight nonwoven fabrics,demonstrated high photoconductivity and efficient light energy conversion.In this work,we propose a method for creating a stable luminescent nonwoven material using electrospinning,in which inorganic salt precursors are used without the need for additional stabilizers.Equimolar solutions of cesium and lead(Ⅱ)bromide were mixed with a fluoroplast,resulting in a series of samples.Luminescent materials were obtained containing PQDs with a composition of CsPbBr_(3),with emission peaks ranging from 507 to 517 nm under 365-nm excitation.We have experimentally established and theoretically confirmed that the peak position is related to the size of the particles formed in the fiber during electrospinning and depends on processing time.Developed materials exhibited stable luminescent properties for up to 2.5 years,making them a promising candidate for the development of new flexible optoelectronic devices based on PQDs. 展开更多
关键词 PEROVSKITE quantum dots fluoroplast ELECTROSPINNING
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Shifting focus to preclinical stages:Locus coeruleus tau pathology as a driver and therapeutic target in Alzheimer’s disease
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作者 Qi Yuan Tamunotonye Omoluabi Brandon F.Hannam 《Neural Regeneration Research》 2026年第6期2335-2336,共2页
Alzheimer’s disease(AD)remains an incurable neurodegenerative disorder with devastating societal and personal impacts.Despite decades of intensive research,therapeutic efforts targeting the clinical stages of AD have... Alzheimer’s disease(AD)remains an incurable neurodegenerative disorder with devastating societal and personal impacts.Despite decades of intensive research,therapeutic efforts targeting the clinical stages of AD have largely failed to halt or reverse disease progression.This has prompted a critical shift in focus toward the earlier,preclinical stages of AD,where interventions may hold greater promise for altering the disease trajectory. 展开更多
关键词 alzheimer s disease ad remains therapeutic target Alzheimers disease neurodegenerative disorder preclinical stages locus coeruleus tau pathology
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Curtain Wall Systems as Climate-Adaptive Energy Infrastructures:A Critical Review of Their Role in Sustainable Building Performance
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作者 Samira Rastbod Mehdi Jahangiri +1 位作者 Behrang Moradi Haleh Nazari 《Energy Engineering》 2026年第1期27-55,共29页
Curtain wall systems have evolved from aesthetic facade elements into multifunctional building envelopes that actively contribute to energy efficiency and climate responsiveness.This reviewpresents a comprehensive exa... Curtain wall systems have evolved from aesthetic facade elements into multifunctional building envelopes that actively contribute to energy efficiency and climate responsiveness.This reviewpresents a comprehensive examination of curtain walls from an energy-engineering perspective,highlighting their structural typologies(Stick and Unitized),material configurations,and integration with smart technologies such as electrochromic glazing,parametric design algorithms,and Building Management Systems(BMS).Thestudy explores the thermal,acoustic,and solar performance of curtain walls across various climatic zones,supported by comparative analyses and iconic case studies including Apple Park,Burj Khalifa,and Milad Tower.Key challenges—including installation complexity,high maintenance costs,and climate sensitivity—are critically assessed alongside proposed solutions.A central innovation of this work lies in framing curtain walls not only as passive architectural elements but as dynamic interfaces that modulate energy flows,reduce HVAC loads,and enhance occupant comfort.The reviewed data indicate that optimized curtain wall configurations—especially those integrating electrochromic glazing and BIPV modules—can achieve annual energy consumption reductions ranging fromapproximately 5%to 27%,depending on climate,control strategy,and facade typology.The findings offer a valuable reference for architects,energy engineers,and decision-makers seeking to integrate high-performance facades into future-ready building designs. 展开更多
关键词 Curtain wall systems energy efficiency climate-responsive design smart facades electrochromic glass parametric architecture building envelope technologies
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The Role of Exosomes as a Key Factor of Cytostatic Resistance in Cancer:Mechanisms of Action,Potential Biomarkers,and Possible Exosome-Based Therapies
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作者 Sandra Kałużna Monika Świerczewska +3 位作者 Sylwia Ciesiółka Małgorzata Partyka Michał Nowicki Karolina Wojtowicz 《Oncology Research》 2026年第1期23-56,共34页
The last research focuses on the role of exosomes in cancer treatment.Exosomes are extracellular vesicles.They can be secreted by cancer cells,and they can modulate chemotherapy sensitivity.Determining exosomal conten... The last research focuses on the role of exosomes in cancer treatment.Exosomes are extracellular vesicles.They can be secreted by cancer cells,and they can modulate chemotherapy sensitivity.Determining exosomal content opens the possibility for guiding treatment strategies for cancer diseases.Exosomal microRNA are considered one of the prime candidates for exosomal biomarkers.Exosomal circular RNAs represent excellent biomarkers for liquid biopsy because of their stability in many types of cancer.Exosomal proteins remain reliable biomarkers also.Exosomes have emerged as promising therapeutic candidates.Their biological properties render them ideal vectors for drug delivery.Genetic modification of exosomes is an effective way to deliver material capable of modulating cellular pathways involved in drug resistance.Furthermore,exosomes have been explored as carriers for metal-chelating agents.Integrating exosome-based therapies with traditional anticancer agents aims to exploit the natural targeting abilities of exosomes to enhance drug delivery.Despite the dynamic development of this field,many mechanisms of exosome action remain incompletely understood.Therefore,it is necessary to conduct further studies that will allow for a better understanding of their role in the process of resistance and will enable the development of effective therapeutic strategies. 展开更多
关键词 EXOSOMES drug resistance CANCER
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Challenges of modeling pristaneinduced lupus in nonhuman primates
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作者 Elena Vladimirovna Vinogradova Maria Alexandrovna Varavko +3 位作者 Yakov Yuryevich Ustyugov Alexey Alexandrovich Aleksandrov Dmitry Alexandrovich Khochenkov Yulia Nikolaevna Linkova 《Animal Models and Experimental Medicine》 2026年第2期399-406,共8页
A lupuslike condition induced by intraperitoneal administration of pristane(2,6,10,14 tetramethylpentadecane)in mice is widely used as a model of systemic lupus erythematosus(SLE).Due to their phylogenetic distance fr... A lupuslike condition induced by intraperitoneal administration of pristane(2,6,10,14 tetramethylpentadecane)in mice is widely used as a model of systemic lupus erythematosus(SLE).Due to their phylogenetic distance from humans,murine models are not always suitable tool for studying the specific activity of therapeutic agents and the pathogenesis of SLE.In order to overcome speciesspecific limitations of murine models,this approach was tested in nonhuman primates-cynomolgus monkeys(Macaca fascicularis).Two intraperitoneal injections at a dose of 3.5 mL/kg,administered at weeks 1 and 23,recapitulated SLE features,including:production of antinuclear autoantibodies(ANA),membranoproliferative glomerulonephritis with immune complex(IC)deposition in the glomeruli.However,from week 27 five of eight pristanetreated monkeys developed progressive respiratory failure.Two of these died at week 28 and the remaining were euthanized at week 32.The histology of the monkey lungs suggested exogenous lipoid pneumonia.Thus,while pristane induced serological autoimmunity and characteristic renal manifestations in Macaca fascicularis,the consequent lipoid pneumonia limited the observation period and prevented comprehensive evaluation of SLE manifestations beyond 32 weeks. 展开更多
关键词 exogenous lipoid pneumonia experimental animal models Macaca fascicularis systemic lupus erythematosus
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Leveraging missing-data remote sensing for forest inventory
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作者 Qiling Wang Qing Xu +5 位作者 Liuyuan Huang Weisheng Zeng Bo Li Timo Tokola Ronald E.McRoberts Zhengyang Hou 《Forest Ecosystems》 2026年第1期95-108,共14页
Remote sensing plays a pivotal role in forest inventory by enabling efficient large-scale monitoring while minimizing fieldwork costs.However,missing values pose a critical challenge in remote sensing applications,as ... Remote sensing plays a pivotal role in forest inventory by enabling efficient large-scale monitoring while minimizing fieldwork costs.However,missing values pose a critical challenge in remote sensing applications,as ignoring or mishandling such data gaps can introduce systematic bias into the estimation of target variables for natural resource monitoring.This can lead to cascading errors that propagate through forest and ecosystem management decisions,ultimately hindering progress toward sustainable forest management,biodiversity conservation,and climate change mitigation strategies.This study aims to propose and demonstrate a procedure that employs hybrid estimators to address the limitations of missing remotely sensed data in forest inventory,using Landsat 7 ETM+SLC-off data as an archived source for forest resource monitoring as a case in point.We compared forest inventory estimates from the hybrid estimator with those from a conventional model-based(CMB)estimator using Sentinel-2 data without missing values.Monte Carlo simulations revealed three key findings:(1)The hybrid estimator,leveraging missing-data remote sensing represented by Landsat 7 ETM+SLCoff data,achieved a sampling precision of over 90%,meeting China's national standard for the National Forest Inventory(NFI);(2)The hybrid estimator demonstrated comparable efficiency to the CMB estimator;(3)The uncertainty associated with hybrid estimators was primarily dominated by model parameter estimation,which could be effectively mitigated by slightly increasing the training sample size or refining model specification.Overall,in forest inventory,the hybrid estimator can surmount the limitations posed by missing values in remotely sensed auxiliary data,effectively balancing cost-effectiveness and flexibility. 展开更多
关键词 Forest management Missing values Survey sampling Model-based inference Uncertainty assessment
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Implementation of evidence-based practice among clinical nurses practicing at an oncology hospital in Vietnam:a cross-sectional study
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作者 Pham Thiet Ke Luu Thi Thuy +1 位作者 Tran Thi Hoang Oanh Nguyen Thi Thanh Tra 《Frontiers of Nursing》 2026年第1期147-154,共8页
Objective:To describe the implementation of evidence-based practice(EBP)and identify the associated factors among clinical nurses working at an oncology hospital in Central Vietnam.Methods:A cross-sectional study was ... Objective:To describe the implementation of evidence-based practice(EBP)and identify the associated factors among clinical nurses working at an oncology hospital in Central Vietnam.Methods:A cross-sectional study was conducted with 190 clinical nurses recruited from an oncology hospital in Central Vietnam.The self-administered Evidence-Based Practice Questionnaire(EBPQ)was employed to assess the nurses'knowledge/skills,attitudes,and implementation of EBP.Data analysis utilized descriptive statistics,the Mann-Whitney test,the Kruskal-Wallis test,and Spearman's rho correlation.Results:The mean total score for EBP implementation among the nurses was 29.52(SD=7.14)out of 42 scores.The most frequently undertaken activity was sharing evidence with colleagues,whereas finding relevant evidence was the least performed.The level of EBP implementation significantly varied based on the nurses'role types and their participation in related courses(P<0.05).Moreover,a strong positive correlation was observed between EBP implementation and both knowledge/skills(r=0.703,P<0.001)and attitudes toward EBP(r=0.536,P<0.001).Conclusions:The implementation of EBP by oncology nurses is generally moderate and is significantly positively correlated with their knowledge/skills and attitudes toward EBP.These findings underscore the importance of enhancing educational programs and facilitating suppor tive institutional policies to fur ther encourage the adoption of EBP among nurses. 展开更多
关键词 clinical nurses evidence-based practice evidence-based practice questionnaire ONCOLOGY oncology nurses
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Vitrohouse.A Demountable House Built Entirely with Flat Glass.Technical,Bioclimatic,and Sustainable Analysis
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作者 Luis De Garrido 《Journal of Environmental Science and Engineering(B)》 2025年第5期225-254,共30页
This study shows a technical,bioclimatic,and sustainable analysis of the first demountable house built entirely from glass components,Vitrohouse.The technical analysis details the construction challenges overcome to c... This study shows a technical,bioclimatic,and sustainable analysis of the first demountable house built entirely from glass components,Vitrohouse.The technical analysis details the construction challenges overcome to create a demountable house using only flat glass for all components(foundations,slabs,supporting structure,beams,roof,envelope,furnishings,kitchen fixtures,appliances).Secondly,we analyze the thermal and bioclimatic behavior of this demountable all-glass house to evaluate its energy efficiency.We also assess the contribution of Vitrohouse’s bioclimatic design to its sustainability level,using 11 of the most internationally recognized GBRSs(Green Building Rating Systems),demonstrating that it achieves a higher degree of sustainability than a conventional,non-bioclimatic home of the same size.Thirdly,we analyze the contribution of Vitrohouse’s demountable nature,showing that it has a higher level of sustainability than a conventionally built house.Finally,the sustainable analysis of its demountability is quantified using 11 GBRSs.The results show that it is perfectly feasible to construct buildings solely from flat glass,achieving high energy efficiency and sustainability.Furthermore,the glass components can be easily disassembled and reused,or recycled to manufacture new components with minimal energy consumption. 展开更多
关键词 Flat glass construction house made with glass bioclimatic design sustainable assessment demountable construction Green Building Rating System.
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Quantification of the Contribution of High-Weight Demountable Construction to the Sustainability.Case Study:Sayab
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作者 Luis De Garrido 《Journal of Environmental Science and Engineering(B)》 2025年第5期201-224,共24页
This study quantifies for the first time the contribution of high-weight demountable construction to the sustainable level of a building using 11 of the most representative and internationally used GBRSs(Green Buildin... This study quantifies for the first time the contribution of high-weight demountable construction to the sustainable level of a building using 11 of the most representative and internationally used GBRSs(Green Building Rating Systems).The scores of a prefabricated,high-weight demountable building(Sayab)were compared with those of a non-demountable building(a baseline),in both cases using 11 of the most important GBRSs.All GBRSs have found that high-weight demountable construction provides a higher level of sustainability.However,the resulting scores varied widely(from an increase of 1.4%to an increase of 22.72%),and only three GBRSs clearly valued its obvious sustainable advantages(CEDES:22.72%,DNGB:14.79%,SBTools:12.4%)while the rest valued it very little,and four of them barely valued it.The results of this case study are generalizable,since the different existing GBRSs do not have the capacity to detect small changes in high-weight demountable construction systems.However similar studies should be carried out to confirm the results obtained and accurately quantify the contribution of demountable construction to the sustainable level of buildings. 展开更多
关键词 Prefabricated systems sustainable evaluation high-weight demountable construction Green Building Rating System
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Improving gastrointestinal scoring systems for predicting short-term mortality in critically ill patients
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作者 Shane Moore Noel E Donlon 《World Journal of Gastroenterology》 2025年第5期137-139,共3页
Shen et al’s retrospective study aims to compare the utility of two separate scoring systems for predicting mortality attributable to gastrointestinal(GI)injury in critically ill patients[the GI Dysfunction Score(GID... Shen et al’s retrospective study aims to compare the utility of two separate scoring systems for predicting mortality attributable to gastrointestinal(GI)injury in critically ill patients[the GI Dysfunction Score(GIDS)and the Acute Gastroin-testinal Injury(AGI)grade].The authors note that this study is the first proposal that suggests an equivalence between the ability of both scores to predict mor-tality at 28 days from intensive care unit(ICU)admission.Shen et al retrospec-tively analysed an ICU cohort of patients utilising two physicians administering both the AGI grade and GIDS score,using electronic healthcare records and ICU flowsheets.Where these physicians disagreed about the scores,the final decision as to the scores was made by an associate chief physician,or chief physician.We note that the primary reason for the development of GIDS was to create a clear score for GI dysfunction,with minimal subjectivity or inter-operator variability.The subjectivity inherent to the older AGI grading system is what ultimately led to the development of GIDS in 2021.By ensuring consensus between physicians administering the AGI,Shen et al have controlled for one of this grading systems biggest issues.We have concerns,however,that this does not represent the real-world challenges associated with applying the AGI compared to the newer GIDS,and wonder if this arbitration process had not been instituted,would the two scoring systems remain equivalent in terms of predicted mortality? 展开更多
关键词 Gastrointestinal injury Critical care Patient mortality prediction Gastrointe-stinal Dysfunction Score Acute Gastrointestinal Injury grade Intensive care unit scoring systems
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Endoscopic management of intragastric balloon related gastric outlet obstruction:A case report and review of literature
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作者 Robert S O’Neill Li-Han Goh +2 位作者 Christina Lee Kevin Jia Robert Feller 《World Journal of Clinical Cases》 2025年第30期59-69,共11页
BACKGROUND Obesity remains a significant global health concern,and intragastric balloons(IGBs)offer a minimally invasive weight loss option for patients who fail lifestyle and pharmacotherapy interventions.IGBs can ca... BACKGROUND Obesity remains a significant global health concern,and intragastric balloons(IGBs)offer a minimally invasive weight loss option for patients who fail lifestyle and pharmacotherapy interventions.IGBs can cause complications ranging from mild symptoms to severe issues like gastric outlet obstruction(GOO).This report discusses a 39-year-old woman who presented with clinical and radiological features of GOO post Silimed IGB placement.CASE SUMMARY A 39-year-old woman presented to our institution with two-week history of abdominal pain,nausea and vomiting post prandially.This was in the context of a Silimed IGB placement two weeks prior to presentation for weight loss in the context of obesity.A computed tomography of the abdomen demonstrated the IGB device in the body and prepyloric region,with proximal dilatation of the body and fundus of the stomach which contained gastric contents.Due to concerns for GOO,the IGB was removed endoscopically with subsequent symptom alleviation.In addition to this,we performed a literature search of cases of IGB related GOO using the PubMed and Web of Science databases from inception date to the August 26,2024.A total of 27 articles were included in the analysis,identifying 29 cases of IGB-related GOO.These patients commonly presented with nausea,vomiting and abdominal pain,with symptom onset varying from 3 days to 18 months post IGB insertion.Abdominal computed tomography was the primary diagnostic tool and endoscopic removal was the standard treatment modality.CONCLUSION This is the first reported case of GOO caused by Silimed IGB.While effective for weight reduction,IGB-related GOO is a rare but serious complication,usually requiring endoscopic retrieval.Future research should aim to identify patient factors linked to this complication to enhance clinical-decision making and outcomes. 展开更多
关键词 GASTROENTEROLOGY OBSTRUCTION ENDOSCOPY Gastric outlet obstruction Intragastric balloon Case report
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Examining whether normal stress affects deformation twinning
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作者 R.H.Li Z.J.Zhang +9 位作者 J.X.Yan J.B.Yang Z.Qu R.Liu X.T.Li X.G.Wang Y.N.Zhang A.G.Sheinerman Z.F.Zhang T.G.Langdon 《Journal of Materials Science & Technology》 2025年第5期307-312,共6页
1.Introduction.Twinning is a fundamental mechanism for plastic deformation in many face-centered cubic(FCC)metals having low stacking fault energies(SFEs)[1,2].In particular,twinning-induced plasticity(TWIP)alloys hav... 1.Introduction.Twinning is a fundamental mechanism for plastic deformation in many face-centered cubic(FCC)metals having low stacking fault energies(SFEs)[1,2].In particular,twinning-induced plasticity(TWIP)alloys have excellent tensile properties as a result of the intensive twinning activity[3-5].The twin boundaries also have been proven to contribute to an improved strengthening-toughening effect,mechanical stability and even fatigue performance,relative to high-angle grain boundaries and low-angle grain boundaries[6-11].Therefore,it is of major interest to clarify the twinning mechanism and thereby improve the mechanical properties of metallic materials. 展开更多
关键词 low stacking fault energies sfes TWINNING tensile properties face centered cubic metals stacking fault energy plastic deformation twinning induced plasticity twin boundaries
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