Plasma-based processes,particularly in carbon capture and utilization,hold great potential for addressing environmental challenges and advancing a circular carbon economy.While significant progress has been made in un...Plasma-based processes,particularly in carbon capture and utilization,hold great potential for addressing environmental challenges and advancing a circular carbon economy.While significant progress has been made in understanding plasma-induced reactions,plasma-catalyst interactions,and reactor development to enhance energy efficiency and conversion,there remains a notable gap in research concerning overall process development.This review emphasizes the critical need for considerations at the process level,including integration and intensification,to facilitate the industrialization of plasma technology for chemical production.Discussions centered on the development of plasma-based processes are made with a primary focus on CO_(2) conversion,offering insights to guide future work for the transition of the technology from laboratory scale to industrial applications.Identification of current research gaps,especially in upscaling and integrating plasma reactors with other process units,is the key to addressing critical issues.The review further delves into relevant research in process evaluation and assessment,providing methodological insights and highlighting key factors for comprehensive economic and sustainability analyses.Additionally,recent advancements in novel plasma systems are reviewed,presenting unique advantages and innovative concepts that could reshape the future of process development.This review provides essential information for navigating the path forward,ensuring a comprehensive understanding of challenges and opportunities in the development of plasma-based CCU process.展开更多
BACKGROUND Patients with acute pancreatitis(AP)frequently experience hospital readmissions,posing a significant burden to healthcare systems.Acute peripancreatic fluid collection(APFC)may negatively impact the clinica...BACKGROUND Patients with acute pancreatitis(AP)frequently experience hospital readmissions,posing a significant burden to healthcare systems.Acute peripancreatic fluid collection(APFC)may negatively impact the clinical course of AP.It could worsen symptoms and potentially lead to additional complications.However,clinical evidence regarding the specific association between APFC and early readmission in AP remains scarce.Understanding the link between APFC and readmission may help improve clinical care for AP patients and reduce healthcare costs.AIM To evaluate the association between APFC and 30-day readmission in patients with AP.METHODS This retrospective cohort study is based on the Nationwide Readmission Database for 2016-2019.Patients with a primary diagnosis of AP were identified.Participants were categorized into those with and without APFC.A 1:1 propensity score matching for age,gender,and Elixhauser comorbidities was performed.The primary outcome was early readmission rates.Secondary outcomes included the incidence of inpatient complications and healthcare utilization.Unadjusted analyses used Mann-Whitney U andχ2 tests,while Cox regression models assessed 30-day readmission risks and reported them as adjusted hazard ratios(aHR).Kaplan-Meier curves and log-rank tests verified readmission risks.RESULTS A total of 673059 patients with the principal diagnosis of AP were included.Of these,5.1%had APFC on initial admission.After propensity score matching,each cohort consisted of 33914 patients.Those with APFC showed a higher incidence of inpatient complications,including septic shock(3.1%vs 1.3%,P<0.001),portal venous thrombosis(4.4%vs 0.8%,P<0.001),and mechanical ventilation(1.8%vs 0.9%,P<0.001).The length of stay(LOS)was longer for APFC patients[4(3-7)vs 3(2-5)days,P<0.001],as were hospital charges($29451 vs$24418,P<0.001).For 30-day readmissions,APFC patients had a higher rate(15.7%vs 6.5%,P<0.001)and a longer median readmission LOS(4 vs 3 days,P<0.001).The APFC group also had higher readmission charges($28282 vs$22865,P<0.001).The presence of APFC increased the risk of readmission twofold(aHR 2.52,95%confidence interval:2.40-2.65,P<0.001).The independent risk factors for 30-day readmission included female gender,Elixhauser Comorbidity Index≥3,chronic pulmonary diseases,chronic renal disease,protein-calorie malnutrition,substance use disorder,depression,portal and splenic venous thrombosis,and certain endoscopic procedures.CONCLUSION Developing APFC during index hospitalization for AP is linked to higher readmission rates,more inpatient complications,longer LOS,and increased healthcare costs.Knowing predictors of readmission can help target high-risk patients,reducing healthcare burdens.展开更多
Large quantities of blast furnace(BF) slag and CO_2 are discharged annually from iron and steel industries, along with a large amount of waste heat.The mineral carbonation of BF slag can not only reduce emissions of s...Large quantities of blast furnace(BF) slag and CO_2 are discharged annually from iron and steel industries, along with a large amount of waste heat.The mineral carbonation of BF slag can not only reduce emissions of solid waste but also realize the in-situ fixation of CO_2 with low energy consumption if integrated with the waste heat utilization.In this study, based on our previous works, Aspen Plus was employed to simulate and optimize the carbonation process and integrate the process energy.The effects of gehlenite extraction, MgSO_4 carbonation,and aluminum ammonium sulfate crystallization were studied systematically.The simulation results demonstrate that 2.57 kg of BF slag can sequester 1 kg of CO_2, requiring 5.34 MJ of energy(3.3 MJ heat and 2.04 MJ electricity), and this energy includes the capture of CO_2 from industrial flue gases.Approximately 60 kg net CO_2 emission reduction could be achieved for the disposal of one ton of BF slag.In addition, the by-product,aluminum ammonium sulfate, is a high value-added product.Preliminary economic analysis indicates that the profit for the whole process is 1127 CNY per ton of BF slag processed.展开更多
Tourism resources are important foundation for the development of tourism industry.Grassland is not only a kind of important resource but also a great attraction to visitors.Therefore,the integrated development and su...Tourism resources are important foundation for the development of tourism industry.Grassland is not only a kind of important resource but also a great attraction to visitors.Therefore,the integrated development and sustainable utilization of grassland tourism resources are of great significance.This paper,based on the analysis of literatures and the current problems existing in grassland tourism,summarizes the speciality of grassland tourism development,deals nation as example and carries out empirical research.Based on the status quo of grassland tourism resources in Inner Mongolia,this study analyzes the characteristics of grassland tourism resources,the necessity and feasibility of integrated development,then proposes the following suggestions: idea for development,mode of development,regional cooperation,tourism products development,especially the three modes of development based on the resources conditions - the mode of relying on market,the mode of combination aggregation and the mode of relying on quality.展开更多
The integration of building with solar collector was studied. The theoretical model of integration of building envelopes and flat plate solar collectors was set up and the thermal performance of integration was studie...The integration of building with solar collector was studied. The theoretical model of integration of building envelopes and flat plate solar collectors was set up and the thermal performance of integration was studied in winter and summer,and compared to envelopes without solar collectors. The results show that the solar collection efficiency is raised in the integration of building envelopes and solar collectors with the air layer doors closed. This is true whether in winter or summer. The increment is higher as the inlet water temperature increases or the ambient temperature is low. In winter,the heat loss is significantly reduced through integration of the building envelopes and solar collectors with the closed air layer doors. The integration with the open air layer door is worse than that without collectors. In summer,the heat gains of the integration of envelopes and solar collectors are more obviously reduced than envelopes without collectors,the integration with the open air layer door is a little better than the closed one,but the difference is very small.展开更多
Damp-heat karst mountainous areas are unique areas in terms of socialeconomic development, resource endowment and eco-environment in China, where natural resources are abundant,unique and diverse. However, fragile eco...Damp-heat karst mountainous areas are unique areas in terms of socialeconomic development, resource endowment and eco-environment in China, where natural resources are abundant,unique and diverse. However, fragile eco-environment, undeveloped economy and culture, and conflict of human and environment should not be ignored. In the research, a framework of integration of resource-development and environment-protection in damp-heat karst was designed on basis of resource and environment integration, which was applied to Daxin County in Guangxi Province. Furthermore, some integration models were proposed, including integration of development of characteristic agricultural resources and protection of eco-environment, integration of development of manganese ore resources and protection of eco-environment, integration of development of tourism resources and protection of ecoenvironment and integration of development of clean energy and protection of eco-environment.展开更多
The concept of core collection(CC) provides a new way of management and utilization of plant germplasm resources. In this study, an integrated applied core collection(IACC) of soybean was developed based on evaluation...The concept of core collection(CC) provides a new way of management and utilization of plant germplasm resources. In this study, an integrated applied core collection(IACC) of soybean was developed based on evaluation data for desirable agronomic and nutritional traits of available soybean germplasm resources including accessions with cold tolerance, drought tolerance, salt tolerance, soybean cyst nematode resistance, soybean mosaic virus resistance, high protein content, and high fat content. The newly formed collection encompasses accessions with high genetic diversity and desirable agronomic traits. The genetic diversity of the newly formed IACC was compared with that of the established mini core collection(MCC) of soybean with the aid of simple sequence repeat(SSR) markers and phenotypic traits. The results showed that at the molecular level, soybean IACC harbored a similar level of genetic diversity as the established MCC, and that at the phenotypic level the IACC encompasses more accessions with desirable traits than does the established MCC. The development of soybean IACC lays a foundation for breeding projects to meet different objectives in different eco-regions.展开更多
The development of a core collection could enhance the utilization of germplasm collections in crop improvement programs and simplify their management. Selection of an appropriate sampling strategy is an important pre...The development of a core collection could enhance the utilization of germplasm collections in crop improvement programs and simplify their management. Selection of an appropriate sampling strategy is an important prerequisite to construct a core collection with appropriate size in order to adequately represent the genetic spectrum and maximally capture the genetic diversity in available crop collections. The present study was initiated to construct nested core collections to determine the appropriate sample size to represent the genetic diversity of rice landrace collection based on 15 quantitative traits and 34 qualitative traits of 2 262 rice accessions. The results showed that 50-225 nested core collections, whose sampling rate was 2.2%-9.9%, were sufficient to maintain the maximum genetic diversity of the initial collections. Of these, 150 accessions (6.6%) could capture the maximal genetic diversity of the initial collection. Three data types, i.e. qualitative traits (QT1), quantitative traits (QT2) and integrated qualitative and quantitative traits (QTT), were compared for their efficiency in constructing core collections based on the weighted pair-group average method combined with stepwise clustering and preferred sampling on adjusted Euclidean distances. Every combining scheme constructed eight rice core collections (225, 200, 175, 150, 125, 100, 75 and 50). The results showed that the QTT data was the best in constructing a core collection as indicated by the genetic diversity of core collections. A core collection constructed only on the information of QT1 could not represent the initial collection effectively. QTT should be used together to construct a productive core collection.展开更多
In the realities of the modern world, when the natural habitat is rapidly disappearing and the number of imperiled plants is constantly growing, ex situ conservation is gaining importance. To meet this challenge, bota...In the realities of the modern world, when the natural habitat is rapidly disappearing and the number of imperiled plants is constantly growing, ex situ conservation is gaining importance. To meet this challenge, botanic gardens need to revise both their strategic goals and their methodologies to achieve the new goals. This paper proposes a strategy for the management of threatened plants in living collections,which includes setting regional conservation priorities for the species, creation of genetically representative collections for the high priority species, and usage of these collections in in situ actions. In this strategy, the value of existing and future species living collections for conservation is determined by the species' conservation status and how well the accessions represent their natural genetic variation.展开更多
The Beijing-Tianjin-Hebei region boasts rich geothermal resources and new achievements have been made in the exploration and development of geothermal resources in this region based on previous regional investigation....The Beijing-Tianjin-Hebei region boasts rich geothermal resources and new achievements have been made in the exploration and development of geothermal resources in this region based on previous regional investigation.In detail,geothermal reservoirs of Gaoyuzhuang Formation of Jixian System and Changcheng System in Xiongan New Area have been recently discovered,opening up the second space of geothermal resources;the calculation method of the recoverable resources of geothermal fluid with reinjection being considered has been improved in Beijing-Tianjin-Hebei region,and uniform comprehensive assessment of shallow geothermal energy,hydrothermal geothermal resources,and hot dry rocks(HDR)geothermal resources in the whole Beijing-Tianjin-Shijiazhuang region has been completed.The scientific research base for cascade development and utilization of geothermal resources in Beijing-Tianjin-Hebei region has applied hydraulic fracturing technology to the geothermal reservoirs in Gaoyuzhuang Formation.As a result,the production capacity doubled and two-stage cascade utilization composed of geothermal power generation and geothermal heating were realized,with the first-phase installed capacity of 280 kW and the geothermal heating is 30000 m2.In this way,a model of the exploration,development,and utilization of geothermal resources formed.Large-scale utilization has become the future trend of geothermal resource development in Beijing-Tianjin-Hebei region,and great efforts shall be made to achieve breakthroughs in reinjection technology,geothermal reservoir reconstruction technology,thermoelectric technology and underground heat exchange technology.展开更多
Understanding of how combinations of agronomic options can be used to improve the grain yield and nitrogen use efficiency(NUE) of winter wheat is limited. A three-year experiment involving four integrated management...Understanding of how combinations of agronomic options can be used to improve the grain yield and nitrogen use efficiency(NUE) of winter wheat is limited. A three-year experiment involving four integrated management strategies was conducted from 2013 to 2015 in Tai'an, Shandong Province, China, to evaluate changes in grain yield and NUE. The integrated management treatments were as follows: current practice(T1); improvement of current practice(T2); high-yield management(T3), which aimed to maximize grain yield regardless of the cost of resource inputs; and integrated soil and crop system management(T4) with a higher seeding rate, delayed sowing date, and optimized nutrient management. Seeding rates increased by 75 seeds m^-2 with each treatment from T1(225 seeds m^-2) to T4(450 seeds m^-2). The sowing dates were delayed from T1(5 th Oct.) to T2 and T3(8 th Oct.), and to T4 treatment(12 th Oct.). T1, T2, T3, and T4 received 315, 210, 315, and 240 kg N ha^-1, 120, 90, 210 and 120 kg P2O5 ha^-1, 30, 75, 90, and 45 kg K2O ha^-1, respectively. The ratio of basal application to topdressing for T1, T2, T3, and T4 was 6:4, 5:5, 4:6, and 4:6, respectively, with the N topdressing applied at regreening for T1 and at jointing stage for T2, T3, and T4. The P fertilizers in all treatments were applied as basal fertilizer. The K fertilizer for T1 and T2 was applied as basal fertilizer while the ratio of basal application to topdressing(at jointing stage) of K fertilizer for both T3 and T4 was 6:4. T1, T2, T3, and T4 were irrigated five, four, four and three times, respectively. Treatment T3 produced the highest grain yield among all treatments over three years and the average yield was 9 277.96 kg ha^-1. Grain yield averaged across three years with the T4 treatment(8 892.93 kg ha^-1) was 95.85% of that with T3 and was 21.72 and 6.10% higher than that with T1(7 305.95 kg ha^-1) and T2(8 381.41 kg ha^-1), respectively. Treatment T2 produced the highest NUE of all the integrated treatments. The NUE with T4 was 95.36% of that with T2 and was 51.91 and 25.62% higher than that with T1 and T3, respectively. The N uptake efficiency(UPE) averaged across three years with T4 was 50.75 and 16.62% higher than that with T1and T3, respectively. The N utilization efficiency(UTE) averaged across three years with T4 was 7.74% higher than that with T3. The increased UPE with T4 compared with T3 could be attributed mostly to the lower available N in T4, while the increased UTE with T4 was mainly due to the highest N harvest index and low grain N concentration, which consequently led to improved NUE. The net profit for T4 was the highest among four treatments and was 174.94, 22.27, and 28.10% higher than that for T1, T2, and T3, respectively. Therefore, the T4 treatment should be a recommendable management strategy to obtain high grain yield, high NUE, and high economic benefits in the target region, although further improvements of NUE are required.展开更多
Four rainwater diversion patterns including undisturbed soil ditch (T1), slope compaction (T2), asbestos sheet covering after compac- tion (T3) and plastic film covering after compaction (T4) were set in cornf...Four rainwater diversion patterns including undisturbed soil ditch (T1), slope compaction (T2), asbestos sheet covering after compac- tion (T3) and plastic film covering after compaction (T4) were set in cornfield in arid areas of Yunnan Province, and effects of various patterns on rainwater collection efficiency, water utilization efficiency and corn yield were studied. The results shows that rainwater collection efficiency, water utilization efficiency and corn yield of the four diversion patterns presented the same trend, namely T4 〉T3 〉T2 〉T1. Overall, rainwater collection efficiencies of the four diversion patterns ranged from 41.7% to 58.7% ; compared with T1, water utilization efficiencies of T2 ,T3 and T4 increased by 34.9%, 53.5% and 92.5%, and maize yields of them improved by 1 767.0, 1 981.5 and 2 385.0 kg/hm2.展开更多
Shortages in water resources and the fragile ecosystem by coal-mine water affect the Yulin coal-mine base in northwest China, so taking coal-mine water into account is an important issue for the sustainable management...Shortages in water resources and the fragile ecosystem by coal-mine water affect the Yulin coal-mine base in northwest China, so taking coal-mine water into account is an important issue for the sustainable management of water resources. This paper aims to explore how the Yulin coal-mine base can improve its conjunctive utilization of water resources. Integrated utilization is proposed by establishing a multi-objective, multi-water-source, optimal-allocation model;setting up an integrated information platform;and giving very useful measures and policy suggestions to the local government. Finally, this research can also serve as an example of integrated water utilization for other energy bases.展开更多
This paper explores the integrated utilization of low-grade thermal energy in hot coal mines, based on analysis of original heating, refrigerating, mine draining, bath draining and air exhaust systems, and in combinat...This paper explores the integrated utilization of low-grade thermal energy in hot coal mines, based on analysis of original heating, refrigerating, mine draining, bath draining and air exhaust systems, and in combination with the actual conditions of Tangkou Coal Mine in Shandong Province. It presents a set of comprehensive and integrated utilization schemes for the various different kinds of low quality heat energy. With heat pumps, the recycling of the low quality heat energy from the drainage, bathing water and the exhaust air can occur in winter, and in summer, there exists condensed heat of the refrigerating system. When in conjunction with solar collectors, the thermal utilization of solar power can be realized for the whole year. The system achieves mine drainage and bathing water purification and recycling, as well as purifying exhaust air by water spraying. It also satisfies the demands of a whole year's bathing heat for the coal mine, with refrigeration in summer, and heating for the ground house and shaft house in winter. It is able to integrate different kinds of low quality heat energy and low emission drainage and dust, and can replace the traditional boiler heating system. Finally, the system reduces conventional energy consumption and the amount of mine water drainage.展开更多
Due to their simple hardware,sensor nodes in IoT are vulnerable to attack,leading to data routing blockages or malicious tampering,which significantly disrupts secure data collection.An Intelligent Active Probing and ...Due to their simple hardware,sensor nodes in IoT are vulnerable to attack,leading to data routing blockages or malicious tampering,which significantly disrupts secure data collection.An Intelligent Active Probing and Trace-back Scheme for IoT Anomaly Detection(APTAD)is proposed to collect integrated IoT data by recruiting Mobile Edge Users(MEUs).(a)An intelligent unsupervised learning approach is used to identify anomalous data from the collected data by MEUs and help to identify anomalous nodes.(b)Recruit MEUs to trace back and propose a series of trust calculation methods to determine the trust of nodes.(c)The last,the number of active detection packets and detection paths are designed,so as to accurately identify the trust of nodes in IoT at the minimum cost of the network.A large number of experimental results show that the recruiting cost and average anomaly detection time are reduced by 6.5 times and 34.33%respectively,while the accuracy of trust identification is improved by 20%.展开更多
In recent years, introduction of alternative energy sources such as solar energy is expected. Solar heat energy utilization systems are rapidly gaining acceptance as one of the best solutions to be an alternative ener...In recent years, introduction of alternative energy sources such as solar energy is expected. Solar heat energy utilization systems are rapidly gaining acceptance as one of the best solutions to be an alternative energy source. However, thermal energy collection is influenced by solar radiation and weather conditions. In order to control a solar heat energy utilization system as accurate as possible, it requires method of solar radiation estimation. This paper proposes the forecast technique of a thermal energy collection of solar heat energy utilization system based on solar radiation forecasting at one-day-ahead 24-hour thermal energy collection by using three different NN models. The proposed technique with application of NN is trained by weather data based on tree-based model, and tested according to forecast day. Since tree-based-model classifies a meteorological data exactly, NN will train a solar radiation with smoothly. The validity of the proposed technique is confirmed by computer simulations by use of actual meteorological data.展开更多
Cervical cancer is the second most common cancer among women and the leading cause of deaths among women worldwide. In Kenya, uptake of screening services is at 3.2% below the targeted of 70%. Therefore, there is need...Cervical cancer is the second most common cancer among women and the leading cause of deaths among women worldwide. In Kenya, uptake of screening services is at 3.2% below the targeted of 70%. Therefore, there is need to study the factors that lead to low uptake of the screening services. One way of increasing the uptake of the screening services is its integration with other routine services, thus leading to a reduction in morbidity and mortality rates associated with the disease. The objective of this study was to review and examine the importance of integrating cervical cancer screening services in the routine examinations offered in the Kenyan health facilities. A retrospective study design was adopted by this study. The review of articles, journals, strategic plans was done from the year 2012 to 2017. Data sources included Medline, PMC, Library, Pubmed, Google scholar, cancer prevention plans and strategies. About 28 data sources were reviewed with 78.5% indicating that increased knowledge and creation of awareness on cervical cancer would greatly improve the utilization of the screening services. More than 87% of the information collected among published work in Kenya demonstrated that knowledge on importance cervical cancer screening is inadequate. The primary results of this study suggest that all women of reproductive age (WRA) should undergo cervical cancer screening as a routine service. An integration approach should be adopted, to enhance knowledge on cervical cancer and the importance of screening, causes, preventive and treatment options. The study recommends that, the Government of Kenya through the Ministry of health should include cervical cancer screening as a routine procedure for all WRA.展开更多
A total of 8193 accessions,including 6822 Gossypium hirsutum,350 G.hirsutum race(sub-species),385 of G.barbadense,378 of G.arboreum,17 of G.herbaceum and 41 wild species,of
Based on the background of "big-data-blowout", this thesis is about research on college English network teaching resources integration and utilization confronted with the chance of "data value, the data assets and ...Based on the background of "big-data-blowout", this thesis is about research on college English network teaching resources integration and utilization confronted with the chance of "data value, the data assets and data say", analyzing the inevitable challenge of "competition, digital divide and data privacy", discussing that the researchers should hold big data thinking of "peaks of road & dances with wolves & be interdependent", emphasizing the improvement from college English teacher's modem education technical information literacy[1] and putting forward to resource integration and utilization strategy in the era of big data.展开更多
Traditional Chinese medicine(TCM)and Western medicine are two medical systems formed in different cultural backgrounds.The differences between them are that TCM focuses on the study of the invisible state while Wester...Traditional Chinese medicine(TCM)and Western medicine are two medical systems formed in different cultural backgrounds.The differences between them are that TCM focuses on the study of the invisible state while Western medicine focuses more on the study of the visible state of the human body;TCM pays attention to systematicity and integrity,while Western medicine pays attention to local evidence;TCM attaches importance to dialectical thinking,while Western medicine attaches importance to materialistic thinking.For the development of TCM.it is necessary to take the initiative to learm from and absorb all the advanced scientific and technological achievements in the world today.To innovate TCM,it is necessary to need to adhere to(1)the integration of"research on TCM with the thought of TCM"and"research on TCM based on the thought of Western medicine";(2)the integration of scientization of TCM and scientization for TCM;(3)the integration of mobilization therapy and allopathic therapy;(4)the integration of treating patients and treating diseases;(5)the integration of preventive treatment and existent disease treatment;(6)the integration of individuality and commonality;and(7)the integration of the macro and the micro.展开更多
文摘Plasma-based processes,particularly in carbon capture and utilization,hold great potential for addressing environmental challenges and advancing a circular carbon economy.While significant progress has been made in understanding plasma-induced reactions,plasma-catalyst interactions,and reactor development to enhance energy efficiency and conversion,there remains a notable gap in research concerning overall process development.This review emphasizes the critical need for considerations at the process level,including integration and intensification,to facilitate the industrialization of plasma technology for chemical production.Discussions centered on the development of plasma-based processes are made with a primary focus on CO_(2) conversion,offering insights to guide future work for the transition of the technology from laboratory scale to industrial applications.Identification of current research gaps,especially in upscaling and integrating plasma reactors with other process units,is the key to addressing critical issues.The review further delves into relevant research in process evaluation and assessment,providing methodological insights and highlighting key factors for comprehensive economic and sustainability analyses.Additionally,recent advancements in novel plasma systems are reviewed,presenting unique advantages and innovative concepts that could reshape the future of process development.This review provides essential information for navigating the path forward,ensuring a comprehensive understanding of challenges and opportunities in the development of plasma-based CCU process.
文摘BACKGROUND Patients with acute pancreatitis(AP)frequently experience hospital readmissions,posing a significant burden to healthcare systems.Acute peripancreatic fluid collection(APFC)may negatively impact the clinical course of AP.It could worsen symptoms and potentially lead to additional complications.However,clinical evidence regarding the specific association between APFC and early readmission in AP remains scarce.Understanding the link between APFC and readmission may help improve clinical care for AP patients and reduce healthcare costs.AIM To evaluate the association between APFC and 30-day readmission in patients with AP.METHODS This retrospective cohort study is based on the Nationwide Readmission Database for 2016-2019.Patients with a primary diagnosis of AP were identified.Participants were categorized into those with and without APFC.A 1:1 propensity score matching for age,gender,and Elixhauser comorbidities was performed.The primary outcome was early readmission rates.Secondary outcomes included the incidence of inpatient complications and healthcare utilization.Unadjusted analyses used Mann-Whitney U andχ2 tests,while Cox regression models assessed 30-day readmission risks and reported them as adjusted hazard ratios(aHR).Kaplan-Meier curves and log-rank tests verified readmission risks.RESULTS A total of 673059 patients with the principal diagnosis of AP were included.Of these,5.1%had APFC on initial admission.After propensity score matching,each cohort consisted of 33914 patients.Those with APFC showed a higher incidence of inpatient complications,including septic shock(3.1%vs 1.3%,P<0.001),portal venous thrombosis(4.4%vs 0.8%,P<0.001),and mechanical ventilation(1.8%vs 0.9%,P<0.001).The length of stay(LOS)was longer for APFC patients[4(3-7)vs 3(2-5)days,P<0.001],as were hospital charges($29451 vs$24418,P<0.001).For 30-day readmissions,APFC patients had a higher rate(15.7%vs 6.5%,P<0.001)and a longer median readmission LOS(4 vs 3 days,P<0.001).The APFC group also had higher readmission charges($28282 vs$22865,P<0.001).The presence of APFC increased the risk of readmission twofold(aHR 2.52,95%confidence interval:2.40-2.65,P<0.001).The independent risk factors for 30-day readmission included female gender,Elixhauser Comorbidity Index≥3,chronic pulmonary diseases,chronic renal disease,protein-calorie malnutrition,substance use disorder,depression,portal and splenic venous thrombosis,and certain endoscopic procedures.CONCLUSION Developing APFC during index hospitalization for AP is linked to higher readmission rates,more inpatient complications,longer LOS,and increased healthcare costs.Knowing predictors of readmission can help target high-risk patients,reducing healthcare burdens.
基金Supported by the National Key Projects for Fundamental Research and Development of China(2016YFB0600904)
文摘Large quantities of blast furnace(BF) slag and CO_2 are discharged annually from iron and steel industries, along with a large amount of waste heat.The mineral carbonation of BF slag can not only reduce emissions of solid waste but also realize the in-situ fixation of CO_2 with low energy consumption if integrated with the waste heat utilization.In this study, based on our previous works, Aspen Plus was employed to simulate and optimize the carbonation process and integrate the process energy.The effects of gehlenite extraction, MgSO_4 carbonation,and aluminum ammonium sulfate crystallization were studied systematically.The simulation results demonstrate that 2.57 kg of BF slag can sequester 1 kg of CO_2, requiring 5.34 MJ of energy(3.3 MJ heat and 2.04 MJ electricity), and this energy includes the capture of CO_2 from industrial flue gases.Approximately 60 kg net CO_2 emission reduction could be achieved for the disposal of one ton of BF slag.In addition, the by-product,aluminum ammonium sulfate, is a high value-added product.Preliminary economic analysis indicates that the profit for the whole process is 1127 CNY per ton of BF slag processed.
基金This work is supported by Chinese National Programs for Science and Technology Development (GrantNo.2005BA807B10); National Natural Science Foundation of China (Grant No. 40571059).
文摘Tourism resources are important foundation for the development of tourism industry.Grassland is not only a kind of important resource but also a great attraction to visitors.Therefore,the integrated development and sustainable utilization of grassland tourism resources are of great significance.This paper,based on the analysis of literatures and the current problems existing in grassland tourism,summarizes the speciality of grassland tourism development,deals nation as example and carries out empirical research.Based on the status quo of grassland tourism resources in Inner Mongolia,this study analyzes the characteristics of grassland tourism resources,the necessity and feasibility of integrated development,then proposes the following suggestions: idea for development,mode of development,regional cooperation,tourism products development,especially the three modes of development based on the resources conditions - the mode of relying on market,the mode of combination aggregation and the mode of relying on quality.
基金Project(2006BAJ01A12-10-03) supported by the National Natural Science Foundation of ChinaProject(J50502) supported by the Leading Discipline of Shanghai Education Commission,China
文摘The integration of building with solar collector was studied. The theoretical model of integration of building envelopes and flat plate solar collectors was set up and the thermal performance of integration was studied in winter and summer,and compared to envelopes without solar collectors. The results show that the solar collection efficiency is raised in the integration of building envelopes and solar collectors with the air layer doors closed. This is true whether in winter or summer. The increment is higher as the inlet water temperature increases or the ambient temperature is low. In winter,the heat loss is significantly reduced through integration of the building envelopes and solar collectors with the closed air layer doors. The integration with the open air layer door is worse than that without collectors. In summer,the heat gains of the integration of envelopes and solar collectors are more obviously reduced than envelopes without collectors,the integration with the open air layer door is a little better than the closed one,but the difference is very small.
基金Supported by National Natural Science Foundation of China(40961004,40761027)Guangxi Natural Science Foundation(2011jjA50016)+1 种基金Guangxi Philosophy and Social Science Research Project of 11th Five-Year Plan(06FJY023)Key Laboratory Funds of Ministry of Education(B3G1110)~~
文摘Damp-heat karst mountainous areas are unique areas in terms of socialeconomic development, resource endowment and eco-environment in China, where natural resources are abundant,unique and diverse. However, fragile eco-environment, undeveloped economy and culture, and conflict of human and environment should not be ignored. In the research, a framework of integration of resource-development and environment-protection in damp-heat karst was designed on basis of resource and environment integration, which was applied to Daxin County in Guangxi Province. Furthermore, some integration models were proposed, including integration of development of characteristic agricultural resources and protection of eco-environment, integration of development of manganese ore resources and protection of eco-environment, integration of development of tourism resources and protection of ecoenvironment and integration of development of clean energy and protection of eco-environment.
基金supported by the State Key Basic Research and Development Plan of China (973) (2010CB125900, 2009CB118400)the Fundamental Research Funds for Excellent Young Scientists of ICS-CAAS (Grant to Y. G.)+1 种基金the State High-tech Research and Development Program (863 Program) (No. 2012AA101106)the Crop Germplasm Conservation Program (NB2010-2130135-25-05)
文摘The concept of core collection(CC) provides a new way of management and utilization of plant germplasm resources. In this study, an integrated applied core collection(IACC) of soybean was developed based on evaluation data for desirable agronomic and nutritional traits of available soybean germplasm resources including accessions with cold tolerance, drought tolerance, salt tolerance, soybean cyst nematode resistance, soybean mosaic virus resistance, high protein content, and high fat content. The newly formed collection encompasses accessions with high genetic diversity and desirable agronomic traits. The genetic diversity of the newly formed IACC was compared with that of the established mini core collection(MCC) of soybean with the aid of simple sequence repeat(SSR) markers and phenotypic traits. The results showed that at the molecular level, soybean IACC harbored a similar level of genetic diversity as the established MCC, and that at the phenotypic level the IACC encompasses more accessions with desirable traits than does the established MCC. The development of soybean IACC lays a foundation for breeding projects to meet different objectives in different eco-regions.
基金supported by the National Natural Science Foundation of China (Grant No. 30700494)the Principal Fund of South China Agricultural University, China (Grant No. 2003K053)
文摘The development of a core collection could enhance the utilization of germplasm collections in crop improvement programs and simplify their management. Selection of an appropriate sampling strategy is an important prerequisite to construct a core collection with appropriate size in order to adequately represent the genetic spectrum and maximally capture the genetic diversity in available crop collections. The present study was initiated to construct nested core collections to determine the appropriate sample size to represent the genetic diversity of rice landrace collection based on 15 quantitative traits and 34 qualitative traits of 2 262 rice accessions. The results showed that 50-225 nested core collections, whose sampling rate was 2.2%-9.9%, were sufficient to maintain the maximum genetic diversity of the initial collections. Of these, 150 accessions (6.6%) could capture the maximal genetic diversity of the initial collection. Three data types, i.e. qualitative traits (QT1), quantitative traits (QT2) and integrated qualitative and quantitative traits (QTT), were compared for their efficiency in constructing core collections based on the weighted pair-group average method combined with stepwise clustering and preferred sampling on adjusted Euclidean distances. Every combining scheme constructed eight rice core collections (225, 200, 175, 150, 125, 100, 75 and 50). The results showed that the QTT data was the best in constructing a core collection as indicated by the genetic diversity of core collections. A core collection constructed only on the information of QT1 could not represent the initial collection effectively. QTT should be used together to construct a productive core collection.
文摘In the realities of the modern world, when the natural habitat is rapidly disappearing and the number of imperiled plants is constantly growing, ex situ conservation is gaining importance. To meet this challenge, botanic gardens need to revise both their strategic goals and their methodologies to achieve the new goals. This paper proposes a strategy for the management of threatened plants in living collections,which includes setting regional conservation priorities for the species, creation of genetically representative collections for the high priority species, and usage of these collections in in situ actions. In this strategy, the value of existing and future species living collections for conservation is determined by the species' conservation status and how well the accessions represent their natural genetic variation.
基金This work is financially supported by the Special Fund for National Key Research and Development Program of China(2018YFC0604306)China Geological Survey project Survey and Assessment of Geothermal Energy in Xiongan New Area(DD20189112)Technology Innovation Center of Geothermal and Hot Dry Rock Exploration and Development,Ministry of Natural Resources.
文摘The Beijing-Tianjin-Hebei region boasts rich geothermal resources and new achievements have been made in the exploration and development of geothermal resources in this region based on previous regional investigation.In detail,geothermal reservoirs of Gaoyuzhuang Formation of Jixian System and Changcheng System in Xiongan New Area have been recently discovered,opening up the second space of geothermal resources;the calculation method of the recoverable resources of geothermal fluid with reinjection being considered has been improved in Beijing-Tianjin-Hebei region,and uniform comprehensive assessment of shallow geothermal energy,hydrothermal geothermal resources,and hot dry rocks(HDR)geothermal resources in the whole Beijing-Tianjin-Shijiazhuang region has been completed.The scientific research base for cascade development and utilization of geothermal resources in Beijing-Tianjin-Hebei region has applied hydraulic fracturing technology to the geothermal reservoirs in Gaoyuzhuang Formation.As a result,the production capacity doubled and two-stage cascade utilization composed of geothermal power generation and geothermal heating were realized,with the first-phase installed capacity of 280 kW and the geothermal heating is 30000 m2.In this way,a model of the exploration,development,and utilization of geothermal resources formed.Large-scale utilization has become the future trend of geothermal resource development in Beijing-Tianjin-Hebei region,and great efforts shall be made to achieve breakthroughs in reinjection technology,geothermal reservoir reconstruction technology,thermoelectric technology and underground heat exchange technology.
基金supported by the National Basic Research Program of China (2015CB150404)the Special Fund for Agro-scientific Research in the Public Interest, China (201203096)the Project of Shandong Province Higher Educational Science and Technology Program, China (J15LF07)
文摘Understanding of how combinations of agronomic options can be used to improve the grain yield and nitrogen use efficiency(NUE) of winter wheat is limited. A three-year experiment involving four integrated management strategies was conducted from 2013 to 2015 in Tai'an, Shandong Province, China, to evaluate changes in grain yield and NUE. The integrated management treatments were as follows: current practice(T1); improvement of current practice(T2); high-yield management(T3), which aimed to maximize grain yield regardless of the cost of resource inputs; and integrated soil and crop system management(T4) with a higher seeding rate, delayed sowing date, and optimized nutrient management. Seeding rates increased by 75 seeds m^-2 with each treatment from T1(225 seeds m^-2) to T4(450 seeds m^-2). The sowing dates were delayed from T1(5 th Oct.) to T2 and T3(8 th Oct.), and to T4 treatment(12 th Oct.). T1, T2, T3, and T4 received 315, 210, 315, and 240 kg N ha^-1, 120, 90, 210 and 120 kg P2O5 ha^-1, 30, 75, 90, and 45 kg K2O ha^-1, respectively. The ratio of basal application to topdressing for T1, T2, T3, and T4 was 6:4, 5:5, 4:6, and 4:6, respectively, with the N topdressing applied at regreening for T1 and at jointing stage for T2, T3, and T4. The P fertilizers in all treatments were applied as basal fertilizer. The K fertilizer for T1 and T2 was applied as basal fertilizer while the ratio of basal application to topdressing(at jointing stage) of K fertilizer for both T3 and T4 was 6:4. T1, T2, T3, and T4 were irrigated five, four, four and three times, respectively. Treatment T3 produced the highest grain yield among all treatments over three years and the average yield was 9 277.96 kg ha^-1. Grain yield averaged across three years with the T4 treatment(8 892.93 kg ha^-1) was 95.85% of that with T3 and was 21.72 and 6.10% higher than that with T1(7 305.95 kg ha^-1) and T2(8 381.41 kg ha^-1), respectively. Treatment T2 produced the highest NUE of all the integrated treatments. The NUE with T4 was 95.36% of that with T2 and was 51.91 and 25.62% higher than that with T1 and T3, respectively. The N uptake efficiency(UPE) averaged across three years with T4 was 50.75 and 16.62% higher than that with T1and T3, respectively. The N utilization efficiency(UTE) averaged across three years with T4 was 7.74% higher than that with T3. The increased UPE with T4 compared with T3 could be attributed mostly to the lower available N in T4, while the increased UTE with T4 was mainly due to the highest N harvest index and low grain N concentration, which consequently led to improved NUE. The net profit for T4 was the highest among four treatments and was 174.94, 22.27, and 28.10% higher than that for T1, T2, and T3, respectively. Therefore, the T4 treatment should be a recommendable management strategy to obtain high grain yield, high NUE, and high economic benefits in the target region, although further improvements of NUE are required.
基金Supported by the National Key Technology R&D Program(2012BAD40B02)
文摘Four rainwater diversion patterns including undisturbed soil ditch (T1), slope compaction (T2), asbestos sheet covering after compac- tion (T3) and plastic film covering after compaction (T4) were set in cornfield in arid areas of Yunnan Province, and effects of various patterns on rainwater collection efficiency, water utilization efficiency and corn yield were studied. The results shows that rainwater collection efficiency, water utilization efficiency and corn yield of the four diversion patterns presented the same trend, namely T4 〉T3 〉T2 〉T1. Overall, rainwater collection efficiencies of the four diversion patterns ranged from 41.7% to 58.7% ; compared with T1, water utilization efficiencies of T2 ,T3 and T4 increased by 34.9%, 53.5% and 92.5%, and maize yields of them improved by 1 767.0, 1 981.5 and 2 385.0 kg/hm2.
文摘Shortages in water resources and the fragile ecosystem by coal-mine water affect the Yulin coal-mine base in northwest China, so taking coal-mine water into account is an important issue for the sustainable management of water resources. This paper aims to explore how the Yulin coal-mine base can improve its conjunctive utilization of water resources. Integrated utilization is proposed by establishing a multi-objective, multi-water-source, optimal-allocation model;setting up an integrated information platform;and giving very useful measures and policy suggestions to the local government. Finally, this research can also serve as an example of integrated water utilization for other energy bases.
文摘This paper explores the integrated utilization of low-grade thermal energy in hot coal mines, based on analysis of original heating, refrigerating, mine draining, bath draining and air exhaust systems, and in combination with the actual conditions of Tangkou Coal Mine in Shandong Province. It presents a set of comprehensive and integrated utilization schemes for the various different kinds of low quality heat energy. With heat pumps, the recycling of the low quality heat energy from the drainage, bathing water and the exhaust air can occur in winter, and in summer, there exists condensed heat of the refrigerating system. When in conjunction with solar collectors, the thermal utilization of solar power can be realized for the whole year. The system achieves mine drainage and bathing water purification and recycling, as well as purifying exhaust air by water spraying. It also satisfies the demands of a whole year's bathing heat for the coal mine, with refrigeration in summer, and heating for the ground house and shaft house in winter. It is able to integrate different kinds of low quality heat energy and low emission drainage and dust, and can replace the traditional boiler heating system. Finally, the system reduces conventional energy consumption and the amount of mine water drainage.
基金supported by the National Natural Science Foundation of China(62072475)the Fundamental Research Funds for the Central Universities of Central South University(CX20230356)。
文摘Due to their simple hardware,sensor nodes in IoT are vulnerable to attack,leading to data routing blockages or malicious tampering,which significantly disrupts secure data collection.An Intelligent Active Probing and Trace-back Scheme for IoT Anomaly Detection(APTAD)is proposed to collect integrated IoT data by recruiting Mobile Edge Users(MEUs).(a)An intelligent unsupervised learning approach is used to identify anomalous data from the collected data by MEUs and help to identify anomalous nodes.(b)Recruit MEUs to trace back and propose a series of trust calculation methods to determine the trust of nodes.(c)The last,the number of active detection packets and detection paths are designed,so as to accurately identify the trust of nodes in IoT at the minimum cost of the network.A large number of experimental results show that the recruiting cost and average anomaly detection time are reduced by 6.5 times and 34.33%respectively,while the accuracy of trust identification is improved by 20%.
文摘In recent years, introduction of alternative energy sources such as solar energy is expected. Solar heat energy utilization systems are rapidly gaining acceptance as one of the best solutions to be an alternative energy source. However, thermal energy collection is influenced by solar radiation and weather conditions. In order to control a solar heat energy utilization system as accurate as possible, it requires method of solar radiation estimation. This paper proposes the forecast technique of a thermal energy collection of solar heat energy utilization system based on solar radiation forecasting at one-day-ahead 24-hour thermal energy collection by using three different NN models. The proposed technique with application of NN is trained by weather data based on tree-based model, and tested according to forecast day. Since tree-based-model classifies a meteorological data exactly, NN will train a solar radiation with smoothly. The validity of the proposed technique is confirmed by computer simulations by use of actual meteorological data.
文摘Cervical cancer is the second most common cancer among women and the leading cause of deaths among women worldwide. In Kenya, uptake of screening services is at 3.2% below the targeted of 70%. Therefore, there is need to study the factors that lead to low uptake of the screening services. One way of increasing the uptake of the screening services is its integration with other routine services, thus leading to a reduction in morbidity and mortality rates associated with the disease. The objective of this study was to review and examine the importance of integrating cervical cancer screening services in the routine examinations offered in the Kenyan health facilities. A retrospective study design was adopted by this study. The review of articles, journals, strategic plans was done from the year 2012 to 2017. Data sources included Medline, PMC, Library, Pubmed, Google scholar, cancer prevention plans and strategies. About 28 data sources were reviewed with 78.5% indicating that increased knowledge and creation of awareness on cervical cancer would greatly improve the utilization of the screening services. More than 87% of the information collected among published work in Kenya demonstrated that knowledge on importance cervical cancer screening is inadequate. The primary results of this study suggest that all women of reproductive age (WRA) should undergo cervical cancer screening as a routine service. An integration approach should be adopted, to enhance knowledge on cervical cancer and the importance of screening, causes, preventive and treatment options. The study recommends that, the Government of Kenya through the Ministry of health should include cervical cancer screening as a routine procedure for all WRA.
文摘A total of 8193 accessions,including 6822 Gossypium hirsutum,350 G.hirsutum race(sub-species),385 of G.barbadense,378 of G.arboreum,17 of G.herbaceum and 41 wild species,of
文摘Based on the background of "big-data-blowout", this thesis is about research on college English network teaching resources integration and utilization confronted with the chance of "data value, the data assets and data say", analyzing the inevitable challenge of "competition, digital divide and data privacy", discussing that the researchers should hold big data thinking of "peaks of road & dances with wolves & be interdependent", emphasizing the improvement from college English teacher's modem education technical information literacy[1] and putting forward to resource integration and utilization strategy in the era of big data.
基金supported by the National TCM Clinical Research Base Construction Project(Chinese medicine science and technology letter[2018]No.131)National Key R&D Project(2018YFC1704100,2018YFC1704102)and the Hebei Provincial Science and Technology Program(21377724d,21377740d)。
文摘Traditional Chinese medicine(TCM)and Western medicine are two medical systems formed in different cultural backgrounds.The differences between them are that TCM focuses on the study of the invisible state while Western medicine focuses more on the study of the visible state of the human body;TCM pays attention to systematicity and integrity,while Western medicine pays attention to local evidence;TCM attaches importance to dialectical thinking,while Western medicine attaches importance to materialistic thinking.For the development of TCM.it is necessary to take the initiative to learm from and absorb all the advanced scientific and technological achievements in the world today.To innovate TCM,it is necessary to need to adhere to(1)the integration of"research on TCM with the thought of TCM"and"research on TCM based on the thought of Western medicine";(2)the integration of scientization of TCM and scientization for TCM;(3)the integration of mobilization therapy and allopathic therapy;(4)the integration of treating patients and treating diseases;(5)the integration of preventive treatment and existent disease treatment;(6)the integration of individuality and commonality;and(7)the integration of the macro and the micro.