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The Mechanism Behind Urban Population Growth and Shrinkage from the Perspective of Urban Network Externalities
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作者 ZHOU Ying ZHENG Wensheng +2 位作者 WANG Xiaofang XIONG Yajun WANG Xuzheng 《Chinese Geographical Science》 SCIE CSCD 2023年第2期189-204,共16页
Urban shrinkage is a global phenomenon,and it will coexist with urban growth for many years.At the same time,the network connection between cities continuously improved due to the construction of the transportation an... Urban shrinkage is a global phenomenon,and it will coexist with urban growth for many years.At the same time,the network connection between cities continuously improved due to the construction of the transportation and information networks.However,the relationship between urban network externalities and urban population growth/shrinkage remains unclear.Therefore,based on high-speed railway(HSR)flow data,a spatial econometric model is used to explore the mechanism behind urban population growth and shrinkage from the perspective of network externalities in China.The results indicate that:1)the urban network experiences a certain clubbing effect.Growing cities that are strongly connected are concentrated along China’s main railway lines and the southeastern coastal areas,while shrinking cities that are weakly connected are distributed at the periphery of the network.2)Moreover,the network externality disregards spatial distance and together with the agglomeration externality influences the growth and shrinking of cities.3)Urban economic development still promotes the development of Chinese cities.However,the improvement of the urban economy has a negative cross-regional spillover effect on neighboring cities due to urban competition.4)Lastly,Local spillovers of urban network externalities are positive,while cross-regional ones are negative.Consequently,the government needs to promote the construction of multi-dimensional network connections between cities to promote cities’sustainable development.This study reveals the relationship between urban network externalities and urban development,enriches the theories of network externalities and urban growth/shrinkage,and provides a reference for regional coordinated development. 展开更多
关键词 urban growth/shrinkage urban networks network externality high-speed railway(HSR) China
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Assessing the externalities of a ski resort in Tzoumerka:willingness to pay in order to promote or to prevent its construction 被引量:1
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作者 PAPPA Dimitra KALIAMPAKOS Dimitris 《Journal of Mountain Science》 SCIE CSCD 2022年第8期2420-2434,共15页
The present study aims to assess the externalities of a ski resort,that is planned to be built at Tzoumerka mountains,in Greece.The research relies on the Contingent Valuation method,which indirectly estimates the eco... The present study aims to assess the externalities of a ski resort,that is planned to be built at Tzoumerka mountains,in Greece.The research relies on the Contingent Valuation method,which indirectly estimates the economic value of environmental and other nonmarket assets,based on the expressed preferences of members of a social group.The investigation was based on primary data.The core idea of questionnaire’s design,is subject to the use of a double WTP(willingness to pay)question,aiming at the monetary assessment of the attitude of the residents,regarding the upcoming infrastructure project,taking into account both its positive and its negative externalities.Depending on the attitude of the survey respondents,they were asked to decide if they wish to offer an amount of money either to promote or to prevent the construction of the ski resort.Parametric and non-parametric models were then applied in order to calculate in economic terms the expressed opinion of the respondents.The primary question to be answered is whether the willingness to build the ski resort holds a higher economic value than the desire to prevent it.According to the results of the survey,the vast majority of residents(92.4%)supported the idea of building the ski resort,projecting their apparent desire for the tourist and economic development of the area.The reinforcement of the construction idea of the project was estimated on average at €378,200.The very low proportion of the participants who disagreed with the project(5%),did not allow the economic assessment of its prevention,leaving room for further research into the application of Contingent Valuation method and its contribution in cost-benefit analysis and decision making,regarding upcoming projects. 展开更多
关键词 Ski resort Contingent Valuation Method Willingness to pay Tzoumerka Mountain resources Assessing externalities
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Study on Ecological Compensation for Coal Mining Activities Based on Economic Externalities 被引量:2
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作者 Sijing Feng Daohan Wang Xinlian Zhang 《Journal of Geoscience and Environment Protection》 2014年第2期151-156,共6页
The development and exploration mode of coal resource activities in China result in tremendous waste of resources and ecological environment pollution problems. This article analyzed the use of economic theory of exte... The development and exploration mode of coal resource activities in China result in tremendous waste of resources and ecological environment pollution problems. This article analyzed the use of economic theory of externalities of coal mining activities from the point of environmental economics principles, proposed the ecological compensation connotation of coal mining activities, and analyzed the feasibility of the implementation of ecological compensation from economic viewpoint. 展开更多
关键词 ECOLOGICAL COMPENSATION ECONOMIC externalities COAL Mining ACTIVITIES
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Behavior Analysis of Bank into E-Commerce under Network Externalities
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作者 崔吉胜 庄雷 《Journal of Donghua University(English Edition)》 EI CAS 2017年第2期174-177,共4页
With the advent of Internet financial innovation,many commercial banks quietly have started to enter into the Ecommercial in order to prevent oligarchs from eroding financial market.From the perspective of industrial ... With the advent of Internet financial innovation,many commercial banks quietly have started to enter into the Ecommercial in order to prevent oligarchs from eroding financial market.From the perspective of industrial division,this paper reveals the nature of a phenomenon that E-commercial enterprises and banks have stepped into each other's field,which E-commerce of banks can give full play to network effects.Then it uses game theory to analyze the motions of banks to involve into E-commerce and the short-term competitive equilibrium of large incumbent Ecommercial enterprises as well.For individual rationality,the dominant strategy of banks and E-commercial enterprises is(enter,counterattack).Considering network externalities,it constructs a competing model on banks and incumbent E-commercial enterprises and simulates competitive trends and balanced results of their behaviors,which illustrates that banks can obtain network effect after choosing E-commerce strategy. 展开更多
关键词 network externalities Internet finance bank into Ecommerce game theory
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Using Spatial Econometrics to Measure Ozone Pollution Externalities
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作者 C.-Y. Cynthia Lin 《Journal of Environmental Protection》 2012年第9期1117-1123,共7页
This paper summarizes my previous work in Lin (2010), in which I use spatial econometrics to analyze air pollution externalities. In Lin (2010), state-by-state source-receptor transfer coefficients that can be used as... This paper summarizes my previous work in Lin (2010), in which I use spatial econometrics to analyze air pollution externalities. In Lin (2010), state-by-state source-receptor transfer coefficients that can be used as a basis for a location- differentiated permit system are estimated. Results affirm the importance of regional transport in determining local ozone air quality, although owing to non-monotonicities in ozone production the externality is not always negative. Because the origin of emissions matters, results also reject a non-spatially differentiated NOx cap and trade program as an appropriate mechanism for reducing ozone smog. 展开更多
关键词 AIR POLLUTION externalities SPATIAL ECONOMETRICS
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Externalities as Compensatory Criteria of Compulsory Expropriation Actions
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作者 Odysseas N.Kopsidas Stephanos D.V.Giakoumatos Athanasios E.P.Raptis 《Journal of Environmental Science and Engineering(A)》 2022年第4期138-147,共10页
Ownership/private property and property inheritance are concepts well-established and constitutionally protected in our modern societies.Nevertheless,numerous provisions in the national legal framework enable the stat... Ownership/private property and property inheritance are concepts well-established and constitutionally protected in our modern societies.Nevertheless,numerous provisions in the national legal framework enable the states to expropriate individual private goods under certain severe circumstances through compensation prerequisites.The present manuscript presents a short comparative study of the constitutional articles of many countries,regarding expropriation actions,examines the compensation techniques employed,and interrelates expropriation implementation with economic analysis methods and experimental economics.Furthermore,this paper states that the current Greek expropriate methods consist of an economic disturbance and externality in economic terms. 展开更多
关键词 Compulsory/forced expropriation externalities compensation constitutional law experimental economics OWNERSHIP POSSESSION economic analysis method
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Optimal Separation of Twin Convex Sets under Externalities
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作者 Indrajit Mallick 《Advances in Pure Mathematics》 2014年第8期381-390,共10页
This paper studies the outcomes of independent and interdependent pair-wise contests between economic agents subject to an optimal external decision problem for each pair. The external decision maker like the governme... This paper studies the outcomes of independent and interdependent pair-wise contests between economic agents subject to an optimal external decision problem for each pair. The external decision maker like the government or regulator is faced with the problem of how to devise rules and regulations regarding contests. In this paper, a decision problem is faced under negative and positive externalities. A pair of entities is represented by disjoint convex sets in a small area in a neighborhood. I assume that each entity imposes an equal externality on the other (and the other only) and thus they can be considered to be twins. Among the group of twins in any neighborhood, there is a set of twin pairs such that, for each pair in the set, each twin can impose a strictly negative externality on the other (and the other only), and this is a potential welfare loss which concerns the decision maker. A separating hyper-plane can block the negative externalities between any pair of twins given convexity. However, this can be costly if positive externality from the neighborhood is also blocked by the separation technology. Thus, this paper compares the pair-wise utility from separation to that of non-separation. A simple representation of the decision problem is developed with respect to a single and isolated neighborhood. A complete characterization of the decision problem is obtained with a large number of pair-wise intersecting neighborhoods. 展开更多
关键词 CONVEX SET SEPARATION EXTERNALITY
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A decade of Bt cotton in Chinese fields: Assessing the direct effects and indirect externalities of Bt cotton adoption in China 被引量:13
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作者 Scott ROZELLE Carl PRAY 《Science China(Life Sciences)》 SCIE CAS 2010年第8期981-991,共11页
The objective of this study is to examine whether or not the gains from reduced spraying for bollworms are being sustained more than one decade after the initial adoption in 2007. Based on farm-level data collected by... The objective of this study is to examine whether or not the gains from reduced spraying for bollworms are being sustained more than one decade after the initial adoption in 2007. Based on farm-level data collected by the authors in 1999–2007 in 16 villages from 4 provinces, this study shows that insecticides applied for controlling bollworms have declined. This analysis supports Chinese policy makers’ decision to not require refuges of non-Bt cotton fields. It also suggests that past studies may have underestimated the benefits from adopting Bt technology. 展开更多
关键词 BIOTECHNOLOGY Bt COTTON INSECTICIDE SUSTAINABILITY externalities China
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A Dynamic Bargaining Game with Externalities 被引量:3
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作者 WANG Xianjia LIU Jia 《Journal of Systems Science & Complexity》 SCIE EI CSCD 2018年第6期1591-1602,共12页
Negotiation and bargaining are the common means of solving economic and political prob-lems.In these problems,players often form coalitions for activities.In the environment with externalities,the worth of a coalition... Negotiation and bargaining are the common means of solving economic and political prob-lems.In these problems,players often form coalitions for activities.In the environment with externalities,the worth of a coalition depends not only on itself,but also on the coalition structure of other players.This paper studies dynamic bargaining games with externalities and analyzes the effect of externality on the payoffs of players.Based on the Rubinstein's two-person alternating-offer bargaining game,the authors study a two-person dynamic game with externalities and extend it to the case of n players.The research shows that externality affects the results of this bargaining game,and coalition structures affect the payoffs of players.Players in this bargaining game can always form grand coali- tion if an allocation is effective,but some coalition structures may not be formed under some certain conditions. 展开更多
关键词 DYNAMIC BARGAINING externalities GAME THEORY
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Mechanical Performance of Bio-inspired Bidirectional Corrugated Sandwich Pressure Shell Under External Hydrostatic Pressure
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作者 ZHANG Yi CHEN Yue +1 位作者 YUN Lai LIANG Xu 《China Ocean Engineering》 SCIE EI CSCD 2024年第2期297-312,共16页
This paper aims to enhance the compression capacity of underwater cylindrical shells by adopting the corrugated sandwich structure of cuttlebone.The cuttlebone suffers uniaxial external compression,while underwater cy... This paper aims to enhance the compression capacity of underwater cylindrical shells by adopting the corrugated sandwich structure of cuttlebone.The cuttlebone suffers uniaxial external compression,while underwater cylindrical shells are in a biaxial compressive stress state.To suit the biaxial compressive stress state,a novel bidirectional corrugated sandwich structure is proposed to improve the bearing capacity of cylindrical shells.The static and buckling analysis for the sandwich shell and the unstiffened cylindrical shell with the same volume-weight ratio are studied by numerical simulation.It is indicated that the proposed sandwich shell can effectively reduce the ratio between circumferential and axial stress from 2 to 1.25 and improve the critical buckling load by about 1.63 times.Numerical simulation shows that optimizing and adjusting the structural parameters could significantly improve the advantage of the sandwich shell.Then,the hydrostatic pressure tests for shell models fabricated by 3D printing are carried out.According to the experimental results,the overall failure position of the sandwich shell is at the center part of the sandwich shell.It has been found the average critical load of the proposed sandwich shell models exceeds two times that of the unstiffened shell models.Hence,the proposed bio-inspired bidirectional corrugated sandwich structure can significantly enhance the pressure resistance capability of cylindrical shells. 展开更多
关键词 bio-inspiration bidirectional corrugation sandwich shell external pressure BUCKLING
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Discovery of the Significant Impacts of Swell Propagation on Global Wave Climate Change
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作者 ZHENG Chongwei 《Journal of Ocean University of China》 SCIE CAS CSCD 2024年第3期594-604,共11页
This study compared the differences in the wave climate in the South China Sea and North Indian Ocean under these two datasets:ERA-40 wave reanalysis and Mei’s hindcast wave data.In the numerical calculation of regio... This study compared the differences in the wave climate in the South China Sea and North Indian Ocean under these two datasets:ERA-40 wave reanalysis and Mei’s hindcast wave data.In the numerical calculation of regional ocean waves,the wave climate characteristics exhibited significant bias if the influence of external swells(swells from afar)was not fully considered,which may provide an incorrect basis for global climate change analysis.1)The trends of the significant wave height(SWH)obtained from the two datasets showed significant differences,such as those of the Bay of Bengal and the Java Sea in June-July-August.For the past 45 years,SWH from ERA-40(SWH-ERA)exhibited a significant annual increase in low-latitude waters of the North Indian Ocean(0.2-0.6 cm yr^(-1))and South China Sea(0.2-0.8 cm yr^(-1)).2)In the Bay of Bengal,the SWH-ERA in each month was generally 0.5 m higher than the SWH from Mei’s hindcast wave data(SWH-Mei)and can reach 1.0 m higher in some months.3)In the Bay of Bengal,SWH-ERA and SWH-Mei increased significantly at annual rates of 0.13 and 0.27 cm yr^(-1),respectively.This increasing trend was mainly reflected after 1978.SWH-ERA showed a trough in 1975(1.33 m)and a crest in 1992(1.83 m),which were not reflected in SWH-Mei. 展开更多
关键词 wave climate climatic trend monthly variation annual variation external swell
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Effect of external magnetic field on the instability of THz plasma waves in nanoscale graphene field-effect transistors
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作者 张丽萍 孙宗耀 +1 位作者 李佳妮 苏俊燕 《Chinese Physics B》 SCIE EI CAS CSCD 2024年第4期683-689,共7页
The instability of plasma waves in the channel of field-effect transistors will cause the electromagnetic waves with THz frequency.Based on a self-consistent quantum hydrodynamic model,the instability of THz plasmas w... The instability of plasma waves in the channel of field-effect transistors will cause the electromagnetic waves with THz frequency.Based on a self-consistent quantum hydrodynamic model,the instability of THz plasmas waves in the channel of graphene field-effect transistors has been investigated with external magnetic field and quantum effects.We analyzed the influence of weak magnetic fields,quantum effects,device size,and temperature on the instability of plasma waves under asymmetric boundary conditions numerically.The results show that the magnetic fields,quantum effects,and the thickness of the dielectric layer between the gate and the channel can increase the radiation frequency.Additionally,we observed that increase in temperature leads to a decrease in both oscillation frequency and instability increment.The numerical results and accompanying images obtained from our simulations provide support for the above conclusions. 展开更多
关键词 graphene field-effect transistors external magnetic field radiation frequency instability increment
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Experimental Analysis of Radial Centrifugal Pump Shutdown
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作者 Xiao Sun Jiangbo Tong +4 位作者 Yuliang Zhang Haibing Cai Wen Zhou Xiaoqi Jia Litao Ou 《Fluid Dynamics & Materials Processing》 EI 2024年第4期725-737,共13页
Centrifugal pumps are widely used in the metallurgy,coal,and building sectors.In order to study the hydraulic characteristics of a closed impeller centrifugal pump during its shutdown in the so-called power frequency ... Centrifugal pumps are widely used in the metallurgy,coal,and building sectors.In order to study the hydraulic characteristics of a closed impeller centrifugal pump during its shutdown in the so-called power frequency and frequency conversion modes,experiments were carried to determine the characteristic evolution of parameters such as speed,inlet and outlet pressure,head,flow rate and shaft power.A quasi-steady-state method was also used to further investigate these transient behaviors.The results show that,compared to the power frequency input,the performance parameter curves for the frequency conversion input are less volatile and smoother.The characteristic time is longer and the response to shutdown is slower.The quasi-steady-state theoretical head-flow curves match the experimental head-flow curves more closely at low flow rates when the frequency conversion input is considered.Moreover,in this case,the similarity law predicts the hydraulic performance more accurately. 展开更多
关键词 Centrifugal pump power frequency frequency conversion SHUTDOWN external characteristic experimental study
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Effect of slow shot speed on externally solidified crystal,porosity and tensile property in a newly developed high-pressure die-cast Al-Si alloy
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作者 Wen-ning Liu Wei Zhang +6 位作者 Peng-yue Wang Yi-xian Liu Xiang-yi Jiao Ao-xiang Wan Cheng-gang Wang Guo-dong Tong Shou-mei Xiong 《China Foundry》 SCIE EI CAS CSCD 2024年第1期11-19,共9页
The effect of slow shot speed on externally solidified crystal(ESC),porosity and tensile property in a newly developed high-pressure die-cast Al-Si alloy was investigated by optical microscopy(OM),scanning electron mi... The effect of slow shot speed on externally solidified crystal(ESC),porosity and tensile property in a newly developed high-pressure die-cast Al-Si alloy was investigated by optical microscopy(OM),scanning electron microscopy(SEM)and laboratory computed tomography(CT).Results showed that the newly developed AlSi9MnMoV alloy exhibited improved mechanical properties when compared to the AlSi10MnMg alloy.The AlSi9MnMoV alloy,which was designed with trace multicomponent additions,displays a notable grain refining effect in comparison to the AlSi10MnMg alloy.Refining elements Ti,Zr,V,Nb,B promote heterogeneous nucleation and reduce the grain size of primaryα-Al.At a lower slow shot speed,the large ESCs are easier to form and gather,developing into the dendrite net and net-shrinkage.With an increase in slow shot speed,the size and number of ESCs and porosities significantly reduce.In addition,the distribution of ESCs is more dispersed and the net-shrinkage disappears.The tensile property is greatly improved by adopting a higher slow shot speed.The ultimate tensile strength is enhanced from 260.31 MPa to 290.31 MPa(increased by 11.52%),and the elongation is enhanced from 3.72%to 6.34%(increased by 70.52%). 展开更多
关键词 hypoeutectic Al-Si alloy high pressure die casting POROSITY externally solidified crystal tensile property
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Effects of vacancy and external electric field on the electronic properties of the MoSi_(2)N_(4)/graphene heterostructure
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作者 梁前 罗祥燕 +3 位作者 钱国林 王远帆 梁永超 谢泉 《Chinese Physics B》 SCIE EI CAS CSCD 2024年第3期542-550,共9页
Recently,the newly synthesized septuple-atomic layer two-dimensional(2D)material MoSi_(2)N_(4)(MSN)has attracted attention worldwide.Our work delves into the effect of vacancies and external electric fields on the ele... Recently,the newly synthesized septuple-atomic layer two-dimensional(2D)material MoSi_(2)N_(4)(MSN)has attracted attention worldwide.Our work delves into the effect of vacancies and external electric fields on the electronic properties of the MSN/graphene(Gr)heterostructure using first-principles calculation.We find that four types of defective structures,N-in,N-out,Si and Mo vacancy defects of monolayer MSN and MSN/Gr heterostructure are stable in air.Moreover,vacancy defects can effectively modulate the charge transfer at the interface of the MSN/Gr heterostructure as well as the work function of the pristine monolayer MSN and MSN/Gr heterostructure.Finally,the application of an external electric field enables the dynamic switching between n-type and p-type Schottky contacts.Our work may offer the possibility of exceeding the capabilities of conventional Schottky diodes based on MSN/Gr heterostructures. 展开更多
关键词 MoSi_(2)N_(4) vacancy defects external electric field Schottky contacts
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Smoothed-Particle Hydrodynamics Simulation of Ship Motion and Tank Sloshing under the Effect of Regular Waves
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作者 Mingming Zhao Jialong Jiao 《Fluid Dynamics & Materials Processing》 EI 2024年第5期1045-1061,共17页
Predicting the response of liquefied natural gas(LNG)contained in vessels subjected to external waves is extremely important to ensure the safety of the transportation process.In this study,the coupled behavior due to... Predicting the response of liquefied natural gas(LNG)contained in vessels subjected to external waves is extremely important to ensure the safety of the transportation process.In this study,the coupled behavior due to ship motion and liquid tank sloshing has been simulated by the Smoothed-Particle Hydrodynamics(SPH)method.Firstly,the sloshing flow in a rectangular tank was simulated and the related loads were analyzed to verify and validate the accuracy of the present SPH solver.Then,a three-dimensional simplified LNG carrier model,including two prismatic liquid tanks and a wave tank,was introduced.Different conditions were examined corresponding to different wave lengths,wave heights,wave heading angles,and tank loading rates.Finally,the effects of liquid tank loading rate on LNG ship motions and sloshing loading were analyzed,thereby showing that the SPH method can effectively provide useful indications for the design of liquid cargo ships. 展开更多
关键词 LNG carrier tank sloshing SEAKEEPING inner and external fluid coupling Smoothed Particle Hydrodynamics(SPH)
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Unraveling the efficacy network: A network meta-analysis of adjuvant external beam radiation therapy methods after hepatectomy
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作者 Gao-Yuan Yang Zhi-Wei He +7 位作者 Yong-Chang Tang Feng Yuan Ming-Bo Cao Yu-Peng Ren Yu-Xuan Li Xiao-Rui Su Zhi-Cheng Yao Mei-Hai Deng 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第1期205-214,共10页
BACKGROUND Primary liver cancer is a malignant tumor with a high recurrence rate that significantly affects patient prognosis.Postoperative adjuvant external radiation therapy(RT)has been shown to effectively prevent ... BACKGROUND Primary liver cancer is a malignant tumor with a high recurrence rate that significantly affects patient prognosis.Postoperative adjuvant external radiation therapy(RT)has been shown to effectively prevent recurrence after liver cancer resection.However,there are multiple RT techniques available,and the differ-ential effects of these techniques in preventing postoperative liver cancer re-currence require further investigation.AIM To assess the advantages and disadvantages of various adjuvant external RT methods after liver resection based on overall survival(OS)and disease-free survival(DFS)and to determine the optimal strategy.METHODS This study involved network meta-analyses and followed the PRISMA guidelines.The data of qualified studies published before July 10,2023,were collected from PubMed,Embase,the Web of Science,and the Cochrane Library.We included relevant studies on postoperative external beam RT after liver resection that had OS and DFS as the primary endpoints.The magnitudes of the effects were determined using risk ratios with 95%confidential intervals.The results were analyzed using R software and STATA software.RESULTS A total of 12 studies,including 1265 patients with hepatocellular carcinoma(HCC)after liver resection,were included in this study.There was no significant heterogeneity in the direct paired comparisons,and there were no significant differences in the inclusion or exclusion criteria,intervention measures,or outcome indicators,meeting the assumptions of heterogeneity and transitivity.OS analysis revealed that patients who underwent stereotactic body radiotherapy(SBRT)after resection had longer OS than those who underwent intensity modulated radiotherapy(IMRT)or 3-dimensional conformal RT(3D-CRT).DFS analysis revealed that patients who underwent 3D-CRT after resection had the longest DFS.Patients who underwent IMRT after resection had longer OS than those who underwent 3D-CRT and longer DFS than those who underwent SBRT.CONCLUSION HCC patients who undergo liver cancer resection must consider distinct advantages and disadvantages when choosing between SBRT and 3D-CRT.IMRT,a RT technique that is associated with longer OS than 3D-CRT and longer DFS than SBRT,may be a preferred option. 展开更多
关键词 Primary liver cancer Hepatocellular carcinoma Network meta-analysis External beam radiation therapy Stereotactic body radiotherapy Intensity modulated radiotherapy
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Pelvic fractures in blunt trauma patients:A comparative study
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作者 Alexander A Fokin Joanna Wycech Knight +5 位作者 Madison E Tharp Kyler C Brinton Phoebe K Gallagher Justin Fengyuan Xie Russell D Weisz Ivan Puente 《World Journal of Orthopedics》 2024年第5期418-434,共17页
BACKGROUND Pelvic fractures(PF)with concomitant injuries are on the rise due to an increase of high-energy trauma.Increase of the elderly population with age related comorbidities further complicates the management.Ab... BACKGROUND Pelvic fractures(PF)with concomitant injuries are on the rise due to an increase of high-energy trauma.Increase of the elderly population with age related comorbidities further complicates the management.Abdominal organ injuries are kindred with PF due to the proximity to pelvic bones.Presence of contrast blush(CB)on computed tomography in patients with PF is considered a sign of active bleeding,however,its clinical significance and association with outcomes is debatable.AIM To analyze polytrauma patients with PF with a focus on the geriatric population,co-injuries and the value of contrast blush.METHODS This retrospective cohort study included 558 patients with PF admitted to level 1 trauma center(01/2017-01/2023).Analyzed variables included:Age,sex,mechanism of injury(MOI),injury severity score(ISS),Glasgow coma scale(GCS),abbreviated injury scale(AIS),co-injuries,transfusion requirements,pelvic angiography,embolization,laparotomy,orthopedic pelvic surgery,intensive care unit and hospital lengths of stay,discharge disposition and mortality.The study compared geriatric and non-geriatric patients,patients with and without CB and abdominal co-injuries.Propensity score matching was implemented in comparison groups.RESULTS PF comprised 4%of all trauma admissions.89 patients had CB.286(52%)patients had concomitant injuries including 93(17%)patients with abdominal co-injuries.Geriatric patients compared to non-geriatric had more falls as MOI,lower ISS and AIS pelvis,higher GCS,less abdominal co-injuries,similar CB and angio-embolization rates,less orthopedic pelvic surgeries,shorter lengths of stay and higher mortality.After propensity matching,orthopedic pelvic surgery rates remained lower(8%vs 19%,P<0.001),hospital length of stay shorter,and mortality higher(13%vs 4%,P<0.001)in geriatric patients.Out of 89 patients with CB,45(51%)were embolized.After propensity matching,patients with CB compared to without CB had more pelvic angiography(71%vs 12%,P<0.001),higher embolization rates(64%vs 22%,P=0.02)and comparable mortality.CONCLUSION Half of the patients with PF had concomitant co-injuries,including abdominal co-injuries in 17%.Similarly injured geriatric patients had higher mortality.Half of the patients with CB required an embolization. 展开更多
关键词 Pelvic fractures Geriatric trauma patients Abdominal co-injuries Contrast blush Contrast extravasation ANGIOEMBOLIZATION Polytrauma patients Surgical interventions Blunt trauma External and internal fixation for pelvic stabilization
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Simulated patient methodology as a“gold standard”in community pharmacy practice:Response to criticism
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作者 Christian Kunow Bernhard Langer 《World Journal of Methodology》 2024年第2期172-174,共3页
The simulated patient methodology(SPM)is considered the“gold standard”as covert participatory observation.SPM is attracting increasing interest for the investigation of community pharmacy practice;however,there is c... The simulated patient methodology(SPM)is considered the“gold standard”as covert participatory observation.SPM is attracting increasing interest for the investigation of community pharmacy practice;however,there is criticism that SPM can only show a small picture of everyday pharmacy practice and therefore has limited external validity.On the one hand,a certain design and application of the SPM goes hand in hand with an increase in external validity.Even if,on the other hand,this occurs at the expense of internal validity due to the trade-off situation,the justified criticism of the SPM for investigating community pharmacy practice can be countered. 展开更多
关键词 Simulated patient methodology Community pharmacy Gold standard Covert participatory observation Internal validity External validity
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Evidence for the Reliability and Validity of the Arabic Version of the Student Risk Screening Scale for Internalizing and Externalizing Behaviors (SRSS-IE)
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作者 Sumayah A. Alrubayie Keetam D. F. Alkahtani 《Journal of Behavioral and Brain Science》 2024年第1期32-45,共14页
School-based universal screening for behavioral/emotional risk is a necessary first step to providing services in an educational setting for students with emotional and behavioral disorders (EBDs). Psychometric proper... School-based universal screening for behavioral/emotional risk is a necessary first step to providing services in an educational setting for students with emotional and behavioral disorders (EBDs). Psychometric properties are critical to making decisions about choosing a screening instrument. The purpose of the present study was to examine the psychometric properties of the student risk screening scale for internalizing and externalizing behaviors (SRSS-IE). Participants included 3145 students and their teachers. Item-level analyses of the current sample supported the retention of all items. The internal consistency of the SRSS items ranged from 0.83 to 0.85. Convergent validity between the SRSS-IE and a well-established screening tool, the strength and difficulties questionnaire (SDQ), was found for the total score (r = 0.70). Additionally, the results of this study demonstrate strong social validity, suggesting the SRSS-IE to be a useful and functional screening tool. We conclude that the SRSS-IE is a valid and reliable instrument for assessing the level of emotional and behavioral difficulties among elementary students. 展开更多
关键词 The Student Risk Screening Scale for Internalizing and Externalizing Behaviors (SRSS-IE) Strength and Difficulties Questionnaire (SDQ) Emotional and Behavioral Difficulties Screening Tools Systematic Screening
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