Extension of Chemoprevention of Seasonal Malaria to Five Cycles and to Children from the Age of 6 to 9 Years in Africa: Analysis of Its Acceptability, Feasibility, Cost and Impact A Systematic Review

Introduction: Seasonal Malaria Chemoprevention (SMC) aims at preventing malaria in children during the high transmission season. It has been recommended by the WHO since 2013 for children from the age of 3-59 months. However, despite the impact of this intervention, a peak in the prevalence and incidence of malaria is observed in children from the age of 5-9 years. The aim of this study is to determine from the current literature the feasibility, impact and cost-effectiveness of extending SMC to five cycles and to older children. Methods: A litterature search of PubMed/Medline, NCBI and Google scholar identified 1333 articles. After reading the titles and abstracts by two authors, 24 articles were selected and submitted for full reading. Random control studies on the extension of SMC, malaria, feasibility of SMC, impact of SMC and cost-effectiveness of SMC were selected. A total of 16 articles were included for the qualitative synthesis after excluding 8 studies. Results: Following the summary of the evidence, we conclude that the extension is feasible but will be confronted with the unavailability of older children. The intervention period coincides with field work. SMC is effective in reducing the prevalence and incidence of malaria and the parasite density in children. The financial cost of administering SMC is lower than that of treating a child suffering from malaria. Conclusion: After analysing the information, it was found that the majority of the African population supports the extension of the SMC to the number of cycles and the age group in order to alleviate the high mortality and morbidity rates among children due to malaria.

Safety and feasibility of enhanced recovery after surgery-based management model for ambulatory pediatric surgical procedures

BACKGROUND There is still some room for optimizing ambulatory pediatric surgical procedures,and the preoperative and postoperative management quality for pediatric patients needs to be improved.AIM To discuss the safety and feasibility of the enhanced recovery after surgery(ERAS)-based management model for ambulatory pediatric surgical procedures.METHODS We selected 320 pediatric patients undergoing ambulatory surgery from June 2023 to January 2024 at The First People’s Hospital of Liangshan Yi Autonomous Prefecture.Of these,220 received ERAS-based management(research group)and 100 received routine management(control group).General information,postoperative ambulation activities,surgical outcomes(operation time,postoperative gastro-intestinal ventilation time,and hospital stay),postoperative pain visual analogue scale,postoperative complications(incision infection,abdominal distension,fever,nausea,and vomiting),and family satisfaction were compared.RESULTS The general information of the research group(sex,age,disease type,single parent,family history,etc.)was comparable to that of the control group(P>0.05),but the rate of postoperative(2 h,4 h,and 6 h after surgery)ambulation activities was statistically higher(P<0.01),and operation time,postoperative gastrointestinal ventilation time,and hospital stay were markedly shorter(P<0.05).The research group had lower visual analogue scale scores(P<0.01)at 12 h and 24 h after surgery and a lower incidence of total postoperative complications than the control group(P=0.001).The research group had higher family satisfaction than the control group(P=0.007).CONCLUSION The ERAS-based management model was safe and feasible in ambulatory pediatric surgical procedures and worthy of clinical promotion.

Potential applications of 7 Tesla magnetic resonance imaging in paediatric neuroimaging:Feasibility and challenges

The integration of 7 Tesla magnetic resonance imaging(7 T MRI)in adult patients has marked a revolutionary stride in radiology.In this article we explore the feasibility of 7 T MRI in paediatric practice,emphasizing its feasibility,applications,challenges,and safety considerations.The heightened resolution and tissue contrast of 7 T MRI offer unprecedented diagnostic accuracy,particularly in neuroimaging.Applications range from neuro-oncology to neonatal brain imaging,showcasing its efficacy in detecting subtle structural abnormalities and providing enhanced insights into neurological conditions.Despite the promise,challenges such as high cost,discomfort,and safety concerns necessitate careful consideration.Research suggests that,with precautions,7 T MRI is feasible in paediatrics,yet ongoing studies and safety assessments are imperative.

Feasibility and Path Analysis of Integrating Innovation and Entrepreneurship Education into“One-Stop”Student Communities

The“one-stop”student community provides new support for innovation and entrepreneurship education in universities.Integrating innovation and entrepreneurship education into the“one-stop”student community work enriches course materials,integrates teacher resources,improves students’participation in innovation and entrepreneurship,and solves problems such as low student participation,lack of course resources,insufficient teacher resources,and single evaluation methods in traditional classrooms.Through various means such as exploring course resources,innovating management models,and strengthening team construction,the role of“one-stop”student communities in innovation and entrepreneurship education has been fully utilized,promoting the development of innovation and entrepreneurship education.

Research on the feasibility of storage and estimation model of storage capacity of CO_(2)in fissures of coal mine old goaf

The concept of the carbon cycle in the old goaf of a coal mine based on CO_(2)utilization and storage was put forward adhering to the principle of low-carbon development,utilization of space resources in old goafs,and associated gas resources development.Firstly,the evolution characteristics of overburden fissures in the goaf of the case was studied using a two-dimensional physical similarity simulation test,the sealing performance of the caprocks after stabilization was analyzed,and the fissures were counted and classi-fied.Then,the process of gaseous CO_(2)injection in the connected fissure was simulated by Ansys Fluent software,and the migration law and distribution characteristics of CO_(2)under the condition of gaseous CO_(2)injection were analyzed.Finally,the estimation models of free CO_(2)storage capacity in the old goaf were constructed considering the proportion of connected fissure and the effectiveness of CO_(2)injection.The CO_(2)storage capacity in the old goaf of the case coal mine was estimated.The results showed that a caprock group of“hard-thickness low-permeability hard-thickness”was formed after the caprock-fissures system in the goaf of the case tended to be stable vertically.The connected fissure,occlude cracks,and micro-fractures in the goaf accounted for 85.5%,8.5%,and 6%of the total fissures,respectively.Gaseous CO_(2)first migrated to the bottom of the connected fissure after CO_(2)was injected into the goaf,then spread horizontally along the bottom of the connected fissure after reaching the bottom,and finally spread longitudinally after filling the bottom of the entire connected fissure.The theoretical and effective storage capacities of free CO_(2)at normal temperature and pressure in the old goaf of the case were 9757 and 7477 t,respectively.The effective storage capacity of free CO_(2)at normal temperature and pressure in the old goaf after all minefield mined was 193404 t.The research can provide some reference for the coal mining industry to help the goal of“carbon peaking and carbon neutrality”.

New hybrid inertial CQ projection algorithms with line-search process for the split feasibility problem

In this paper, we propose two hybrid inertial CQ projection algorithms with linesearch process for the split feasibility problem. Based on the hybrid CQ projection algorithm, we firstly add the inertial term into the iteration to accelerate the convergence of the algorithm, and adopt flexible rules for selecting the stepsize and the shrinking projection region, which makes an optimal stepsize available at each iteration. The shrinking projection region is the intersection of three sets, which are the set C and two hyperplanes. Furthermore, we modify the Armijo-type line-search step in the presented algorithm to get a new algorithm.The algorithms are shown to be convergent under certain mild assumptions. Besides, numerical examples are given to show that the proposed algorithms have better performance than the general CQ algorithm.

Operational feasibility study of stagnation pressure reaction control for a mid-caliber non-spinning projectile

Controlled,guided munitions can reduce dispersion in the shot,while providing the capability of engaging both stationary and maneuvering targets.The Netherlands Organisation for Applied Scientific Research has developed a fin-less control technology called Stagnation Pressure Reaction Control(SPRC)that takes stagnation pressure air and directs it sideways to control non-spinning projectiles.In a previous study,this technology was demonstrated at Mach 2 wind-tunnel conditions to achieve up to 1.5°controllable angle of incidence for a non-spinning,aerodynamically unstable projectile-like test object.In an operational scenario,the decelerating projectile will experience a decline in control force while the simultaneous forward shift of the center of pressure increases the need for control force.Furthermore,angles of incidence exceeding 1.5°will be experienced under realistic flight conditions,especially against maneuvering targets.This work addresses these challenges and presents an operational feasibility study for a practical application of SPRC in a non-spinning mid-caliber gun-launched projectile,using experiment data on control latency and force of the earlier study.It illustrates the combined effect of the control-and stability dynamics and underlines the potential of an SPRC projectile as a precisionoperation ammunition.This research revealed that SPRC technology can stabilize and control the hypothesized projectile in a direct fire scenario against stationary and maneuvering targets.

New Approach to Find Initial Basic Feasible Solution (IBFS) for Optimal Solution in Transportation Problem

Minimizing transportation time and getting optimal solutions are always considered as important factors while solving transportation problem. This paper shows a new approach for finding initial basic solution for transportation problem which reduces cost of transportation more than any transportation method such as LCM, northwest, Vogel’s approximation and so on. This method has been illustrated by taking an example;afterwards, it compares basic initial feasible solution with other methods IBF and optimal dictate solutions such as MODI and Steppingstone method.

A SUPERLINEARLY CONVERGENT SPLITTING FEASIBLE SEQUENTIAL QUADRATIC OPTIMIZATION METHOD FOR TWO-BLOCK LARGE-SCALE SMOOTH OPTIMIZATION

This paper discusses the two-block large-scale nonconvex optimization problem with general linear constraints.Based on the ideas of splitting and sequential quadratic optimization(SQO),a new feasible descent method for the discussed problem is proposed.First,we consider the problem of quadratic optimal(QO)approximation associated with the current feasible iteration point,and we split the QO into two small-scale QOs which can be solved in parallel.Second,a feasible descent direction for the problem is obtained and a new SQO-type method is proposed,namely,splitting feasible SQO(SF-SQO)method.Moreover,under suitable conditions,we analyse the global convergence,strong convergence and rate of superlinear convergence of the SF-SQO method.Finally,preliminary numerical experiments regarding the economic dispatch of a power system are carried out,and these show that the SF-SQO method is promising.

A Feasibility Study of Using Geothermal Energy to Enhance Natural Gas Production from Offshore Gas Hydrate Reservoirs by CO_(2) Swapping

The energy industry faces a significant challenge in extracting natural gas from offshore natural gas hydrate(NGH)reservoirs,primarily due to the low productivity of wells and the high operational costs involved.The present study offers an assessment of the feasibility of utilizing geothermal energy to augment the production of natural gas from offshore gas hydrate reservoirs through the implementation of the methane-CO_(2)swapping technique.The present study expands the research scope of the authors beyond their previous publication,which exclusively examined the generation of methane from marine gas hydrates.Specifically,the current investigation explores the feasibility of utilizing the void spaces created by the extracted methane in the hydrate reservoir for carbon dioxide storage.Analytical models were employed to forecast the heat transfer from a geothermal zone to an NGH reservoir.A study was conducted utilizing data obtained from a reservoir situated in the Shenhu region of the Northern South China Sea.The findings of the model indicate that the implementation of geothermal heating can lead to a substantial enhancement in the productivity of wells located in heated reservoirs during CO_(2)swapping procedures.The non-linear relationship between the temperature of the heated reservoir and the rate of fold increase has been observed.It is anticipated that the fold of increase will surpass 5 when the gas hydrate reservoir undergoes a temperature rise from 6℃ to 16℃.The mathematical models utilized in this study did not incorporate the impact of heat convection resulting from CO_(2)flow into the gas reservoir.This factor has the potential to enhance well productivity.The mathematical models’deviation assumptions may cause over-prediction of well productivity in geothermal-stimulated reservoirs.Additional research is required to examine the impacts of temperature drawdown,heat convection resulting from depressurization,heat-induced gas pressure increment,and the presence of free gas in the formation containing hydrates.The process of CH4-CO_(2)swapping,which has been investigated,involves the utilization of geothermal stimulation.This method is highly encouraging as it enables the efficient injection of CO_(2)into gas hydrate reservoirs,resulting in the permanent sequestration of CO_(2)in a solid state.Additional research is warranted to examine the rate of mass transfer of CO_(2)within reservoirs of gas hydrates.

Feasibility of Tiotropium Bromide Treatment in Patients with Asthma-COPD Overlap Syndrome and its Effect on Lung Function

Objective:To explore the feasibility of tiotropium bromide therapy and its effect on the lung function of patients with asthma-COPD overlap syndrome(ACOS).Method:The 58 subjects selected in this study were all ACOS patients admitted to our hospital(Hohhot First Hospital)from October 2020 to October 2022.They were grouped according to the random number table method and divided into a control group(29 cases)and an observation group(29 cases).The control group received routine treatment plus salmeterol-fluticasone powder inhalation treatment,and the observation group received tiotropium bromide treatment.The relevant indicators of the two groups were compared.Results:The total clinical effective rate of the observation group was significantly higher than that of the control group.Besides,the forced vital capacity(FVC),forced expiratory volume in 1 second(FEV1)levels,and ACT scores of the two groups increased after treatment,with the observation group having better results than the control group.The residual volume-total lung capacity ratio(RV/TLC),acute exacerbation frequency,and CAT scores all decreased,with the observation group showing smaller values than the control group.The difference between the results of both groups were significant(P<0.05)Conclusion:Tiotropium bromide has a significant clinical effect in the treatment of ACOS patients and can effectively improve the lung function of patients.

无机及分析化学自主设计实验的探究和实践——以“硫酸四氨合铜(II)的制备及组成分析”为例

从教学改革的角度出发,通过增加自主设计实验来促进学生的自主学习能力和实验设计思维能力的提升。自主设计实验要求学生自主查阅文献、设计实验方案、分析方案可行性、实验探究后进行综合讨论分析。进一步培养学生独立思考、融会贯通的能力,培养查阅文献、撰写实验方案的能力,为将来的科学研究工作打下坚实基础。

历史文化街区城市更新对策及实践——建筑及用地再利用评估

建筑和用地,是历史文化街区更新的重要对象和核心资源,其再利用是历史文化街区保护性更新实施的关键对策和重要途径,对历史文化街区文化保护、活化传承、协调发展都具有重要作用。但对于建筑和用地再利用的研究大量基于定性分析,定量评估研究较少,科学性不强,落地实施困难。因此要分析我国历史文化街区保护与城市更新的关系、街区更新突出问题、更新方法的特殊性,聚焦建筑再利用和用地功能置换两个要素的可行性定量评估和潜力识别,从方法论上探索街区品质提升的实施途径。

基于全纯嵌入法的配电网光伏接纳能力评估方法

针对大规模分布式光伏接入给配电网带来的电压越限风险,提出了一种基于改进全纯嵌入法的光伏接纳能力评估方法。首先,引入离散-聚合方法对时序数据进行处理,利用所生成极端场景集代替原序列进行接纳能力评估;其次,在传统全纯嵌入模型基础上构建了自定义方向模型,进一步推导了满足电压约束的可行域范围,并将节点Sigma轨迹与可行域边界相交作为单次运算下光伏最大接纳容量的判据;然后,利用蒙特卡罗模拟生成相互独立的光伏接入方案,使用所提判据确定各方案下极端场景集对应的接纳容量;最后,统计计算结果,获取光伏接纳容量的累计分布曲线,以此确定电压越限风险下系统的光伏接纳能力。在IEEE 33节点配电网系统上验证了所提方法的有效性和可行性。

可行能力视角下福利机构成年孤儿的社会安置研究

可行能力是促进人发展的重要且不可或缺的要素。公共政策是促进人的可行能力和实质自由的保障。接受院舍照顾(福利院照顾)长大的成年孤儿,他们的可行能力比不上正常家庭养育成年的孩子。提升成年孤儿的可行能力,是成功安置成年孤儿的关键。可行能力建设要点在于:一是激发成年孤儿的决策参与意识,完善成年孤儿的利益诉求机制,拓展他们的决策参与空间;二是确立政府在社会安置资金投入中的主体地位,拓展成年孤儿社会安置资金来源,改善他们的经济条件;三是推动社会基本公共服务均等化,拓宽信息获取渠道,促进就业,增加他们的社会机会;四是提高社会安置信息与监管的透明度,拓宽与成年孤儿相关的社会政策信息的获取渠道,加强他们的透明性保证;五是完善成年孤儿社会安置的法律法规,健全成年孤儿社会安置体系,完善他们的防护性保障。如此,才能最终实现成年孤儿的科学合理安置。

艾司氯胺酮用于患儿核磁共振成像检查的安全性及可行性

目的探讨艾司氯胺酮在患儿核磁共振成像检查(magnetic resonance imaging,MRI)中的应用价值。方法选择2022年1月—2023年5月烟台市烟台山医院和山东中医药大学附属医院收治的90例行MRI检查患儿为研究对象,随机分为Ⅰ组(采用丙泊酚)、Ⅱ组(采用右美托咪定)和Ⅲ组(采用艾司氯胺酮),各30例。比较3组镇静起效时间、MRI检查时间、苏醒时间及检查过程中发生的并发症。结果Ⅱ组镇静起效时间为(7.73±0.83)min,明显长于Ⅰ组(3.47±0.63)min和Ⅲ组(3.50±0.51)min(P<0.05)。Ⅲ组MRI检查时间明显短于Ⅰ组和Ⅱ组(P<0.05)。Ⅱ组苏醒时间明显长于Ⅰ组和Ⅲ组(P<0.05)。所有患儿均无严重并发症发生。结论艾司氯胺酮可安全用于患儿MRI,起效快、苏醒快,值得临床进一步研究。

生物质气流床气化可行性分析与减碳效应

气流床气化是生物质大规模高效转化利用的选择之一。本文首先对生物质气流床气化工艺涉及到的制粉、输送、气化等关键单元进行分析,论证了气流床技术应用于生物质气化的可行性;在此基础上,选用6种典型的农林生物质作为原料,借助Aspen Plus化工流程模拟软件开展生物质气流床气化模拟,研究了煤和生物质共气化及生物质单独气化特性,并对以生物质为原料的气化过程进行减碳效应分析。结果表明:生物质气流床气化具备操作可行性;在煤中掺混适量的生物质既能维持较好的气化性能,又能显著降低煤耗等指标,减碳效果明显;与传统的固定床和流化床相比,生物质气流床气化获得的合成气热值约为10 MJ/m^(3),优势明显,可用于替代天然气供暖,既有经济价值又能实现碳减排。

HL-2A装置低频漂移波模数据库与机器学习初步研究

本文探索建立了HL-2A/3装置实验漂移波模数据库,并以此作为样本数据库,通过机器学习方法,利用人工神经网络预测托卡马克放电中漂移波模不稳定性的发生及其强度,为实现HL-2A/3等离子体实时参数控制提供参考。首先基于电子/离子温度梯度(η)、俘获电子份额(ε)、局域安全因子q和磁剪切s等4个基本参数构成的参数数据组(η,ε,q,s)作为变量,其他参数取有效的常数值,利用HD7代码计算相应模特征值数据,构建了一个低频漂移波模基本数据库。然后,基于BP神经网络与支持向量机(SVM)模型,分别进行了机器学习建模与编程实验,验证了对HL-2A装置离子温度梯度(ITG)\俘获电子模(TEM)不稳定性进行智能预测的可行性。研究结果表明,通过将参数集与数据集进一步扩充成完备数据库、并加快BP神经网络训练速度、或采用深度学习等更复杂模型,可以最终实现前述漂移波模预测目标。

林果茶桑园与大豆间套作模式可行性分析

文章从园区小气候、营养利用、光合作用、病虫害、综合效益5个方面对林果茶桑园间套作大豆栽培模式下主栽作物与间作大豆之间的竞争关系和促进作用进行综合分析。结果表明,林果茶桑与大豆合理间套作可改善园区小气候、改良土壤养分状况、减少病虫害和杂草、提高光能利用效率,促进林果茶桑园综合效益显著提升。该间套作模式具有可行性,是一种比较理想的间套作模式。

固体氧化物电解槽辅助煤电机组深度调峰技术可行性研究

常规的煤电机组灵活性改造方案,难以消除频繁快速变负荷对热力系统造成的潜在寿命折损与设备安全风险。为提高煤电机组参与深度调峰的长期安全性与经济性,以某国产超超临界二次再热1000 MW燃煤机组为应用对象,提出了基于氢储能系统的煤电机组“健康调峰”技术路线,并论证了调峰煤电制氢的间接碳减排意义。在此基础上,分析比较了不同制氢工艺与煤电厂生产条件的匹配程度,认为固体氧化物电解槽(SOEC)制氢为综合最优方案,据此给出了SOEC耦合煤电调峰的原理性设计方案,最后以年度负荷曲线对新方案进行了财务分析。计算结果表明,示例机组自第6年起每年可获得1.07亿元/年的净利润,每年减少碳排放281.92 t,同时获得设备延寿、降耗减碳等其他收益。相关结论对于指导调峰煤电机组的健康安全运行具有参考意义。