AIM: To explore(1) intergroup differences in comfortable interpersonal distances(CIDs) and the use of coping strategies;(2) the association of these parameters with individual symptomatology; and(3) the interplay betw...AIM: To explore(1) intergroup differences in comfortable interpersonal distances(CIDs) and the use of coping strategies;(2) the association of these parameters with individual symptomatology; and(3) the interplay between CIDs and coping styles in patients with depression and schizophrenia. METHODS: The parameters of interest were assessed by means of standardized questionnaires: CID and Coping Inventory for Stressful Situations. Psychopathology was evaluated with the Beck Depression Inventory and Positive and Negative Syndromes Scale. ANOVA, Pearson's correlations and multiple regression analyses were used to examine relationships among the variables.RESULTS: Compared with controls, depressed patients were more distanced from family members, significant others and self-images, whereas patients with schizophrenia were less distanced from neutral and threatrelated stimuli. Distancing from self-images was mostly associated with depression severity in depressed patients, whereas distancing from hostile and threat-related stimuli with the severity of psychotic and affective symptoms in patients with schizophrenia. Both patient groups used more emotion-oriented than task-oriented and avoidance-oriented coping strategies. Self-distancing among patients with schizophrenia was positively associated with the use of the social diversion coping, implying social support seeking. CONCLUSION: Patients with depression and schizophrenia use different maladaptive emotion- regulation strategies to cope with their symptoms and related distress. Training in stress management might provide these patients with skills for more effective emotion regulation.展开更多
Achieving effective interaction can the students get good learning results,and enhance the quality of distance learning.The paper firstly analyzes the research on distance learning support services and the problems of...Achieving effective interaction can the students get good learning results,and enhance the quality of distance learning.The paper firstly analyzes the research on distance learning support services and the problems of distance learning interaction in order to clarify the significance of implementing effective interaction.Then it puts forward the learning support services strategies based on effective interaction,which means to promote distance learning interaction and enhance the students'self-learning ability.展开更多
The paper firstly analyzes the problems of distance learning interaction in order to clarify the significance of implementing effective interaction.Then it puts forward the learning support services strategies based o...The paper firstly analyzes the problems of distance learning interaction in order to clarify the significance of implementing effective interaction.Then it puts forward the learning support services strategies based on effective interaction,which means to design strategies from the perspective of effective interaction to improve the effect of distance learning.展开更多
AIM In order to understand the coverage, immunization strategy and cost of hepatitis B (HB) vaccination of China in recent years. METHODS A two stage household random sampling method was used in the survey. RESUL...AIM In order to understand the coverage, immunization strategy and cost of hepatitis B (HB) vaccination of China in recent years. METHODS A two stage household random sampling method was used in the survey. RESULTS The survey carried out at 112 Disease Surveillance Points (DSPs) of 25 provinces, autonomous regions and municipalities of China in 1996, showed that the coverage rates of HB vaccination among neonates were 96 9% in the urban DSPs and 50 8% in the rural DSPs in 1993-1994, while in students aged 7-9 years, they were 85 8% and 31 5% in 1994, respectively. Up to 1994, 97 5% of the urban DSPs and 73 9% of the rural DSPs on a neonate vaccination against HB program were included in EPI. About 93% of the urban DSPs and 44% of the rural DSPs did HBsAg and HBeAg screening for all or part of pregnant women. The neonates received the regimen of high dose HB vaccine in combination with hepatitis B immune globin (HBIG) if their mothers were HBsAg and/or HBeAg positive in pregnancy, otherwise they received the low dose vaccine (10μg×3). Part of DSPs had a lower neonate coverage due to unreasonable allocation of the vaccines (used for adults not at risk) or higher cost or insufficient supply of the vaccines. It is necessary to evaluate the quality of serological lab test to HBVMs in the maternal prescreening. CONCLUSION Remarkable achievements have been made according to the national planning and policy of HB immunization in China.展开更多
Childhood related diseases such as measles are characterised by short periodic outbreaks lasting about 2 weeks. This means therefore that the timescale at which such diseases operate is much shorter than the time scal...Childhood related diseases such as measles are characterised by short periodic outbreaks lasting about 2 weeks. This means therefore that the timescale at which such diseases operate is much shorter than the time scale of the human population dynamics. We analyse a compartmental model of the SIR type with periodic coefficients and different time scales for 1) disease dynamics and 2) human population dynamics. Interest is to determine the optimal vaccination strategy for such diseases. In a model with time scales, Singular Perturbation theory is used to determine stability condition for the disease free state. The stability condition is here referred to as instantaneous stability condition, and implies vaccination is done only when an instantaneous threshold condition is met. We make a comparison of disease control using the instantaneous condition to two other scenarios: one where vaccination is done constantly over time (constant vaccination strategy) and another where vaccination is done when a periodic threshold condition is satisfied (orbital stability from Floquet theory). Results show that when time scales of the disease and human population match, we see a difference in the performance of the vaccination strategies and above all, both the two threshold strategies outperform a constant vaccination strategy.展开更多
Miss distance is a critical parameter of assessing the performance for highly maneuvering targets interception(HMTI). In a realistic terminal guidance system, the control of pursuer depends on the estimate of unknown ...Miss distance is a critical parameter of assessing the performance for highly maneuvering targets interception(HMTI). In a realistic terminal guidance system, the control of pursuer depends on the estimate of unknown state, thus the miss distance becomes a random variable with a prior unknown distribution. Currently, such a distribution is mainly evaluated by the method of Monte Carlo simulation. In this paper, by integrating the estimation error model of zero-effort miss distance(ZEM) obtained by our previous work, an analytic method for solving the distribution of miss distance is proposed, in which the system is presumed to use a bang-bang control strategy. By comparing with the results of Monte Carlo simulations under four different types of disturbances(maneuvers), the correctness of the proposed method is validated. Results of this paper provide a powerful tool for the design, analysis and performance evaluation of guidance system.展开更多
The rational and effective implementation of epidemic prevention and control measures is crucial to controlling the spread of COVID-19, and vaccination is a key part to be considered in the development of epidemic pre...The rational and effective implementation of epidemic prevention and control measures is crucial to controlling the spread of COVID-19, and vaccination is a key part to be considered in the development of epidemic prevention and control strategies. In order to give full play to the greater role of vaccination strategies in epidemic prevention and control, more accurate and efficient vaccination strategies should be explored. Based on the classical SEIR dynamic model, this paper established a COVID-19 dynamic model of population age structure in the form of population grouping and combined with the transmission characteristics of the COVID-19 epidemic. An optimization model with the goal of minimizing daily infection was established to analyze the optimization studies on infection-related specificity of vaccination for different age groups under the condition of limited daily vaccine supply at the early stage of the epidemic, and to obtain the priority of vaccination strategies for Chinese age groups. And the effect of the heterogeneity of infection rate and hospitalization rate on the priority of vaccine allocation.展开更多
This study aimed to explore the barriers affecting COVID-19 vaccine uptake among ethnic minorities and to propose strategies to strengthen government initiatives for inclusive vaccination. Grounded in social construct...This study aimed to explore the barriers affecting COVID-19 vaccine uptake among ethnic minorities and to propose strategies to strengthen government initiatives for inclusive vaccination. Grounded in social constructivism, this qualitative study was conducted in the greater Sylhet Division, where many ethnic communities live. Using purposive sampling, semi-structured interviews were conducted with 49 participants, including ethnic men and women, community leaders, and healthcare providers. Two focus group discussions (FGDs) were also conducted to ensure data validation, and the results were analyzed using thematic analysis, which revealed several factors, such as free vaccinations, media, close community-knit healthcare centers, informal communication that positively influenced vaccine uptake, such as awareness campaigns, informal communication, media involvement, and free vaccine availability. However, socio-economic and technological barriers pose significant challenges, including misconceptions about vaccines, limited access to technology, long distances to vaccination centers, inconvenient service hours, and reliance on traditional medicine. To promote inclusive vaccination, the study recommends establishing localized vaccine camps, improving technological infrastructure such as the Internet and network access, enhancing communication strategies, providing special services for women, the elderly and disabled individuals, and ensuring a reliable vaccine supply. Future researchers could apply longitudinal studies, including a lager study area and broader range of participants to address the missing perspectives in the current study.展开更多
Nanoparticles are significant for veterinary vaccine development because they are safer and more effective than conventional formulations.One promising area of research involves self-assembled protein nanoparticles(SA...Nanoparticles are significant for veterinary vaccine development because they are safer and more effective than conventional formulations.One promising area of research involves self-assembled protein nanoparticles(SAPNs),which have shown potential for enhancing antigen-presenting cell uptake,B-cell activation,and lymph node trafficking.Numerous nanovaccines have been utilized in veterinary medicine,including natural self-assembled protein nanoparticles,rationally designed self-assembled protein nanoparticles,animal virus-derived nanoparticles,bacteriophagederived nanoparticles,and plant-derived nanoparticles,which will be discussed in this review.SAPN vaccines can produce robust cellular and humoral immune responses and have been shown to protect against various animal infectious diseases.This article attempts to summarize these diverse nanovaccine types and their recent research progress in the field of veterinary medicine.Furthermore,this paper highlights their disadvantages and methods for improving their immunogenicity.展开更多
Solid organ transplant recipients face unique challenges in managing their im-munosuppressed status,making vaccination a critical consideration.This review aimed to comprehensively analyze current recommendations,eval...Solid organ transplant recipients face unique challenges in managing their im-munosuppressed status,making vaccination a critical consideration.This review aimed to comprehensively analyze current recommendations,evaluate the effi-cacy of vaccinations in this population,and assess safety concerns.We explored the latest evidence on vaccine types,timing,and potential benefits for transplant patients,highlighting the importance of individualized approaches for routinely used vaccines as well as coronavirus disease 2019 vaccines.By synthesizing avai-lable data,this review underscored the pressing need to optimize vaccination strategies,ensuring that transplant recipients can obtain the full protection against many pathogens while minimizing risks associated with their post-transplant immunosuppression.展开更多
INTRODUCTION At present hepatitis B vaccine immunization is an unique effective measure for controlling hepatitis B.It is important o determine optimal immunization
In recent years,therapies for follicular lymphoma (FL) have steadily improved.A series of phase Ⅲ trials comparing the effect of rituximab with chemotherapy vs chemotherapy alone in treating FL have indicated signifi...In recent years,therapies for follicular lymphoma (FL) have steadily improved.A series of phase Ⅲ trials comparing the effect of rituximab with chemotherapy vs chemotherapy alone in treating FL have indicated significant improvements in progression-free survival (PFS) and overall survival.Recent studies have found that prolonged response durations and PFS were obtained with maintenance therapy using rituximab or interferon after completion of first line therapy.For patients with relapsed or refractory FL,phase Ⅱ studies have assessed the effectiveness of combination therapies using a Toll-like receptor-9 agonist (1018ISS),oblimersen sodium (a Bcl-2 antisense oligonucleotide),bendamustine,and rituximab,as well as veltuzumab,a new humanized anti-CD20 antibody,and epratuzumab.In addition,the effectiveness of yttrium-90 ibritumomab tiuxetan and iodine-131 tositumomab as radioimmunotherapies has been reported.Furthermore,three phase Ⅲ studies on an idiotype vaccine are near completion.Unfortunately,these vaccines,which appeared highly effective in phase Ⅰ and Ⅱ trials,do not appear to result in prolonged PFS.This report will summarize the current knowledge on therapies for treatment of FL,and will conclude with a brief discussion of feasiblefuture options for effective treatments.Lastly,we added descriptions of the management of gastrointestinal FL,which is considered to be controversial because it is rare.展开更多
To design the terminal maneuver strategy of an anti-ship missile,first,the analytical solution of miss distance when an anti-ship missile has planar weaving maneuver and three-dimension spiral maneuver is presented,in...To design the terminal maneuver strategy of an anti-ship missile,first,the analytical solution of miss distance when an anti-ship missile has planar weaving maneuver and three-dimension spiral maneuver is presented,in which not only the amplitude and frequency are considered but also the initial phase is taken into account.Next,based on the analytical solution of miss distance,the effects on the miss distance of the amplitude,frequency,initial phase of the anti-ship missile's maneuver acceleration and the order of flight control system of the air-ship missile are analyzed.Finally,the optimum weaving maneuver and spiral maneuver which make the miss distance be the largest under some conditions are designed,which is of important meaning for increasing the survival probability of the anti-ship missile.展开更多
The coronavirus disease 2019(COVID-19)pandemic profoundly affected the management and treatment of patients with malignancies.Based on the progress reported in the literature,we reviewed the recommendations for treatm...The coronavirus disease 2019(COVID-19)pandemic profoundly affected the management and treatment of patients with malignancies.Based on the progress reported in the literature,we reviewed the recommendations for treatment and vaccination in patients with gastrointestinal stromal tumor(GIST)during COVID-19.We focus on whether there is a risk and what could be the possible effects of vaccinating patients with GIST/cancer.Since the situation is quickly changing,and the health services have been severely disrupted,the diagnosis,treatment and recommendations for vaccination of these patients against COVID-19 are still not updated.The approval of vaccines in the pandemic gave hope that we would soon be able to return to a more normal life.However,the oncology community needs to adapt and provide the most effective treatment and care models for patients with rare cancer,such as GIST.Collecting data on the impact of vaccination in patients with GIST/cancer also will be beneficial in expanding knowledge about the future planning of treatment strategies and optimizing care in the event of a subsequent pandemic.展开更多
基金Supported by The Ministry of Immigrant Absorption to Professor Ponizovsky AM
文摘AIM: To explore(1) intergroup differences in comfortable interpersonal distances(CIDs) and the use of coping strategies;(2) the association of these parameters with individual symptomatology; and(3) the interplay between CIDs and coping styles in patients with depression and schizophrenia. METHODS: The parameters of interest were assessed by means of standardized questionnaires: CID and Coping Inventory for Stressful Situations. Psychopathology was evaluated with the Beck Depression Inventory and Positive and Negative Syndromes Scale. ANOVA, Pearson's correlations and multiple regression analyses were used to examine relationships among the variables.RESULTS: Compared with controls, depressed patients were more distanced from family members, significant others and self-images, whereas patients with schizophrenia were less distanced from neutral and threatrelated stimuli. Distancing from self-images was mostly associated with depression severity in depressed patients, whereas distancing from hostile and threat-related stimuli with the severity of psychotic and affective symptoms in patients with schizophrenia. Both patient groups used more emotion-oriented than task-oriented and avoidance-oriented coping strategies. Self-distancing among patients with schizophrenia was positively associated with the use of the social diversion coping, implying social support seeking. CONCLUSION: Patients with depression and schizophrenia use different maladaptive emotion- regulation strategies to cope with their symptoms and related distress. Training in stress management might provide these patients with skills for more effective emotion regulation.
文摘Achieving effective interaction can the students get good learning results,and enhance the quality of distance learning.The paper firstly analyzes the research on distance learning support services and the problems of distance learning interaction in order to clarify the significance of implementing effective interaction.Then it puts forward the learning support services strategies based on effective interaction,which means to promote distance learning interaction and enhance the students'self-learning ability.
文摘The paper firstly analyzes the problems of distance learning interaction in order to clarify the significance of implementing effective interaction.Then it puts forward the learning support services strategies based on effective interaction,which means to design strategies from the perspective of effective interaction to improve the effect of distance learning.
文摘AIM In order to understand the coverage, immunization strategy and cost of hepatitis B (HB) vaccination of China in recent years. METHODS A two stage household random sampling method was used in the survey. RESULTS The survey carried out at 112 Disease Surveillance Points (DSPs) of 25 provinces, autonomous regions and municipalities of China in 1996, showed that the coverage rates of HB vaccination among neonates were 96 9% in the urban DSPs and 50 8% in the rural DSPs in 1993-1994, while in students aged 7-9 years, they were 85 8% and 31 5% in 1994, respectively. Up to 1994, 97 5% of the urban DSPs and 73 9% of the rural DSPs on a neonate vaccination against HB program were included in EPI. About 93% of the urban DSPs and 44% of the rural DSPs did HBsAg and HBeAg screening for all or part of pregnant women. The neonates received the regimen of high dose HB vaccine in combination with hepatitis B immune globin (HBIG) if their mothers were HBsAg and/or HBeAg positive in pregnancy, otherwise they received the low dose vaccine (10μg×3). Part of DSPs had a lower neonate coverage due to unreasonable allocation of the vaccines (used for adults not at risk) or higher cost or insufficient supply of the vaccines. It is necessary to evaluate the quality of serological lab test to HBVMs in the maternal prescreening. CONCLUSION Remarkable achievements have been made according to the national planning and policy of HB immunization in China.
文摘Childhood related diseases such as measles are characterised by short periodic outbreaks lasting about 2 weeks. This means therefore that the timescale at which such diseases operate is much shorter than the time scale of the human population dynamics. We analyse a compartmental model of the SIR type with periodic coefficients and different time scales for 1) disease dynamics and 2) human population dynamics. Interest is to determine the optimal vaccination strategy for such diseases. In a model with time scales, Singular Perturbation theory is used to determine stability condition for the disease free state. The stability condition is here referred to as instantaneous stability condition, and implies vaccination is done only when an instantaneous threshold condition is met. We make a comparison of disease control using the instantaneous condition to two other scenarios: one where vaccination is done constantly over time (constant vaccination strategy) and another where vaccination is done when a periodic threshold condition is satisfied (orbital stability from Floquet theory). Results show that when time scales of the disease and human population match, we see a difference in the performance of the vaccination strategies and above all, both the two threshold strategies outperform a constant vaccination strategy.
文摘Miss distance is a critical parameter of assessing the performance for highly maneuvering targets interception(HMTI). In a realistic terminal guidance system, the control of pursuer depends on the estimate of unknown state, thus the miss distance becomes a random variable with a prior unknown distribution. Currently, such a distribution is mainly evaluated by the method of Monte Carlo simulation. In this paper, by integrating the estimation error model of zero-effort miss distance(ZEM) obtained by our previous work, an analytic method for solving the distribution of miss distance is proposed, in which the system is presumed to use a bang-bang control strategy. By comparing with the results of Monte Carlo simulations under four different types of disturbances(maneuvers), the correctness of the proposed method is validated. Results of this paper provide a powerful tool for the design, analysis and performance evaluation of guidance system.
文摘The rational and effective implementation of epidemic prevention and control measures is crucial to controlling the spread of COVID-19, and vaccination is a key part to be considered in the development of epidemic prevention and control strategies. In order to give full play to the greater role of vaccination strategies in epidemic prevention and control, more accurate and efficient vaccination strategies should be explored. Based on the classical SEIR dynamic model, this paper established a COVID-19 dynamic model of population age structure in the form of population grouping and combined with the transmission characteristics of the COVID-19 epidemic. An optimization model with the goal of minimizing daily infection was established to analyze the optimization studies on infection-related specificity of vaccination for different age groups under the condition of limited daily vaccine supply at the early stage of the epidemic, and to obtain the priority of vaccination strategies for Chinese age groups. And the effect of the heterogeneity of infection rate and hospitalization rate on the priority of vaccine allocation.
文摘This study aimed to explore the barriers affecting COVID-19 vaccine uptake among ethnic minorities and to propose strategies to strengthen government initiatives for inclusive vaccination. Grounded in social constructivism, this qualitative study was conducted in the greater Sylhet Division, where many ethnic communities live. Using purposive sampling, semi-structured interviews were conducted with 49 participants, including ethnic men and women, community leaders, and healthcare providers. Two focus group discussions (FGDs) were also conducted to ensure data validation, and the results were analyzed using thematic analysis, which revealed several factors, such as free vaccinations, media, close community-knit healthcare centers, informal communication that positively influenced vaccine uptake, such as awareness campaigns, informal communication, media involvement, and free vaccine availability. However, socio-economic and technological barriers pose significant challenges, including misconceptions about vaccines, limited access to technology, long distances to vaccination centers, inconvenient service hours, and reliance on traditional medicine. To promote inclusive vaccination, the study recommends establishing localized vaccine camps, improving technological infrastructure such as the Internet and network access, enhancing communication strategies, providing special services for women, the elderly and disabled individuals, and ensuring a reliable vaccine supply. Future researchers could apply longitudinal studies, including a lager study area and broader range of participants to address the missing perspectives in the current study.
文摘Nanoparticles are significant for veterinary vaccine development because they are safer and more effective than conventional formulations.One promising area of research involves self-assembled protein nanoparticles(SAPNs),which have shown potential for enhancing antigen-presenting cell uptake,B-cell activation,and lymph node trafficking.Numerous nanovaccines have been utilized in veterinary medicine,including natural self-assembled protein nanoparticles,rationally designed self-assembled protein nanoparticles,animal virus-derived nanoparticles,bacteriophagederived nanoparticles,and plant-derived nanoparticles,which will be discussed in this review.SAPN vaccines can produce robust cellular and humoral immune responses and have been shown to protect against various animal infectious diseases.This article attempts to summarize these diverse nanovaccine types and their recent research progress in the field of veterinary medicine.Furthermore,this paper highlights their disadvantages and methods for improving their immunogenicity.
基金the European Union-Next Generation EU,through the National Recovery and Resilience Plan of the Republic of Bulgaria,No.BG-RRP-2.004-0008.
文摘Solid organ transplant recipients face unique challenges in managing their im-munosuppressed status,making vaccination a critical consideration.This review aimed to comprehensively analyze current recommendations,evaluate the effi-cacy of vaccinations in this population,and assess safety concerns.We explored the latest evidence on vaccine types,timing,and potential benefits for transplant patients,highlighting the importance of individualized approaches for routinely used vaccines as well as coronavirus disease 2019 vaccines.By synthesizing avai-lable data,this review underscored the pressing need to optimize vaccination strategies,ensuring that transplant recipients can obtain the full protection against many pathogens while minimizing risks associated with their post-transplant immunosuppression.
基金the China Medical Board of New York,Inc.,the United States,Grant No.93-582.
文摘INTRODUCTION At present hepatitis B vaccine immunization is an unique effective measure for controlling hepatitis B.It is important o determine optimal immunization
文摘In recent years,therapies for follicular lymphoma (FL) have steadily improved.A series of phase Ⅲ trials comparing the effect of rituximab with chemotherapy vs chemotherapy alone in treating FL have indicated significant improvements in progression-free survival (PFS) and overall survival.Recent studies have found that prolonged response durations and PFS were obtained with maintenance therapy using rituximab or interferon after completion of first line therapy.For patients with relapsed or refractory FL,phase Ⅱ studies have assessed the effectiveness of combination therapies using a Toll-like receptor-9 agonist (1018ISS),oblimersen sodium (a Bcl-2 antisense oligonucleotide),bendamustine,and rituximab,as well as veltuzumab,a new humanized anti-CD20 antibody,and epratuzumab.In addition,the effectiveness of yttrium-90 ibritumomab tiuxetan and iodine-131 tositumomab as radioimmunotherapies has been reported.Furthermore,three phase Ⅲ studies on an idiotype vaccine are near completion.Unfortunately,these vaccines,which appeared highly effective in phase Ⅰ and Ⅱ trials,do not appear to result in prolonged PFS.This report will summarize the current knowledge on therapies for treatment of FL,and will conclude with a brief discussion of feasiblefuture options for effective treatments.Lastly,we added descriptions of the management of gastrointestinal FL,which is considered to be controversial because it is rare.
基金Supported by the Ministerial Level Advanced Research Foundation(0528)
文摘To design the terminal maneuver strategy of an anti-ship missile,first,the analytical solution of miss distance when an anti-ship missile has planar weaving maneuver and three-dimension spiral maneuver is presented,in which not only the amplitude and frequency are considered but also the initial phase is taken into account.Next,based on the analytical solution of miss distance,the effects on the miss distance of the amplitude,frequency,initial phase of the anti-ship missile's maneuver acceleration and the order of flight control system of the air-ship missile are analyzed.Finally,the optimum weaving maneuver and spiral maneuver which make the miss distance be the largest under some conditions are designed,which is of important meaning for increasing the survival probability of the anti-ship missile.
文摘The coronavirus disease 2019(COVID-19)pandemic profoundly affected the management and treatment of patients with malignancies.Based on the progress reported in the literature,we reviewed the recommendations for treatment and vaccination in patients with gastrointestinal stromal tumor(GIST)during COVID-19.We focus on whether there is a risk and what could be the possible effects of vaccinating patients with GIST/cancer.Since the situation is quickly changing,and the health services have been severely disrupted,the diagnosis,treatment and recommendations for vaccination of these patients against COVID-19 are still not updated.The approval of vaccines in the pandemic gave hope that we would soon be able to return to a more normal life.However,the oncology community needs to adapt and provide the most effective treatment and care models for patients with rare cancer,such as GIST.Collecting data on the impact of vaccination in patients with GIST/cancer also will be beneficial in expanding knowledge about the future planning of treatment strategies and optimizing care in the event of a subsequent pandemic.