This opinion review considers the prevailing question of whether to screen or notto screen for adolescent idiopathic scoliosis. New and improved standards ofpeople-oriented care and person-centredness, as well as impr...This opinion review considers the prevailing question of whether to screen or notto screen for adolescent idiopathic scoliosis. New and improved standards ofpeople-oriented care and person-centredness, as well as improved principles ofpreventive screening and guideline development, have been postulated andimplemented in health care systems and cultures. Recommendations addressingscreening for scoliosis differ substantially, in terms of their content, standards ofdevelopment and screening principles. Some countries have discontinued issuingrecommendations. In the last decade, a number of updated and newrecommendations and statements have been released. Systematically developedguidelines and recommendations are confronted by consensus and opinion-basedstatements. The dilemmas and discrepancies prevail. The arguments concentrateon the issues of the need for early detection through screening in terms of theeffectiveness of early treatment, on costs and cost-effectiveness issues, scientificand epidemiologic value of screenings, and the credibility of the sources ofevidence. The problem matter is of global scale and applies to millions of people.It regards clinical and methodological dilemmas, but also the matter of vulnerableand fragile time of adolescence and, more generally, children’s rights. Thedecisions need to integrate people’s values and preferences – screening tests needto be acceptable to the population, and treatments need to be acceptable forpatients. Therefore we present one more crucial, but underrepresented in thediscussion, issue of understanding and implementation of the contemporaryprinciples of person-centred care, standards of preventive screening, andguideline development, in the context of screening for scoliosis.展开更多
The preparation, characterization, and test of the first wall materials designed to be used in the fusion reactor have remained challenging problems in the material science. This work uses the firstprinciples method a...The preparation, characterization, and test of the first wall materials designed to be used in the fusion reactor have remained challenging problems in the material science. This work uses the firstprinciples method as implemented in the CASTEP package to study the influ ences of the doped titanium carbide on the structural sta bility of the WTiC material. The calculated total energy and enthalpy have been used as criteria to judge the structural models built with consideration of symmetry. Our simulation indicates that the doped TiC tends to form its own domain up to the investigated nanoscale, which implies a possible phase separation. This result reveals the intrinsic reason for the composite nature of the WTiC material and provides an explanation for the experimen tally observed phase separation at the nanoscale. Our approach also sheds a light on explaining the enhancing effects of doped components on the durability, reliability, corrosion resistance, etc., in many special steels.展开更多
First principles plane wave pseudopotential method was executed to calculate the mechanical properties with respect to the uranium-0.95 mass fraction of titanium （U-0.95 mass fraction of Ti） alloy for quenching and ...First principles plane wave pseudopotential method was executed to calculate the mechanical properties with respect to the uranium-0.95 mass fraction of titanium （U-0.95 mass fraction of Ti） alloy for quenching and aging, including the elastic modulus, the value of shear modulus to bulk modulus （G/B） and the ideal tensile strength. The further research has also been done about the crack mechanism through Griffith rupture energy. These results show that the elastic moduli are 195.1 GPa for quenching orthorhombic ~ phase and 201.8 GPa for aging formed Guinier-Preston （G.P） zones, while G/B values are 0.67 and 0.56, respectively. With the phase change of uranium-titanium （U-Ti） alloy via the quenching treatment, the ideal tensile strength is diverse and distinct with dif- ferent crystal orientations of the anisotropic ~ phase. Comparison of quenching and short time aging treatment, both of the strength and toughness trend to improve slightly. Further analysis about electronic density of states （DOS） in the electronic scale indicates that the strength increases continuously while toughness decreases with the aging proceeding. The equilibrium structure appears in overaging process, as a result of decomposition of metastable quenching 7 phase. Thereby the strength and toughness trend to decrease slightly. Finally, the ideal fracture energies of G.P zones and overaging structure are obtained within the framework of Griffith fracture theory, which are 4.67 J/m2 and 3.83 J/m2, respectively. These results theoretically demonstrate strengthening effect of quenching and aging heat treatment on U-Ti alloy.展开更多
基金We wish to deeply thank and,at the same time,dedicate this work to our Dear colleague and co-author,Professor Ejgil Jespersen,who sadly fell seriously ill.He has always been an advocate for the humanistic and personal way of treating every person,even when he or she happens to be in a role of a patient.We are grateful for his expertise,inspiration,and friendship.
文摘This opinion review considers the prevailing question of whether to screen or notto screen for adolescent idiopathic scoliosis. New and improved standards ofpeople-oriented care and person-centredness, as well as improved principles ofpreventive screening and guideline development, have been postulated andimplemented in health care systems and cultures. Recommendations addressingscreening for scoliosis differ substantially, in terms of their content, standards ofdevelopment and screening principles. Some countries have discontinued issuingrecommendations. In the last decade, a number of updated and newrecommendations and statements have been released. Systematically developedguidelines and recommendations are confronted by consensus and opinion-basedstatements. The dilemmas and discrepancies prevail. The arguments concentrateon the issues of the need for early detection through screening in terms of theeffectiveness of early treatment, on costs and cost-effectiveness issues, scientificand epidemiologic value of screenings, and the credibility of the sources ofevidence. The problem matter is of global scale and applies to millions of people.It regards clinical and methodological dilemmas, but also the matter of vulnerableand fragile time of adolescence and, more generally, children’s rights. Thedecisions need to integrate people’s values and preferences – screening tests needto be acceptable to the population, and treatments need to be acceptable forpatients. Therefore we present one more crucial, but underrepresented in thediscussion, issue of understanding and implementation of the contemporaryprinciples of person-centred care, standards of preventive screening, andguideline development, in the context of screening for scoliosis.
基金finantially supported by the Science Foundation for International Cooperation of Sichuan Province (2014HH0016)the Fundamental Research Funds for the Central Universities (SWJTU2014: A0920502051113-10000)National Magnetic Confinement Fusion Science Program (2011GB112001)
文摘The preparation, characterization, and test of the first wall materials designed to be used in the fusion reactor have remained challenging problems in the material science. This work uses the firstprinciples method as implemented in the CASTEP package to study the influ ences of the doped titanium carbide on the structural sta bility of the WTiC material. The calculated total energy and enthalpy have been used as criteria to judge the structural models built with consideration of symmetry. Our simulation indicates that the doped TiC tends to form its own domain up to the investigated nanoscale, which implies a possible phase separation. This result reveals the intrinsic reason for the composite nature of the WTiC material and provides an explanation for the experimen tally observed phase separation at the nanoscale. Our approach also sheds a light on explaining the enhancing effects of doped components on the durability, reliability, corrosion resistance, etc., in many special steels.
基金supported by Shanghai Supercomputer Center and High Performance Computing Center,Shanghai Universitysupported by the National Natural Science Foundation of China(Grant Nos.51074103 and 51104098)Shanghai Scientific Selection and Cultivation for outstanding young teachers in special fund and Innovation Program of Shanghai University(Grant No.SDCX2012011)
文摘First principles plane wave pseudopotential method was executed to calculate the mechanical properties with respect to the uranium-0.95 mass fraction of titanium （U-0.95 mass fraction of Ti） alloy for quenching and aging, including the elastic modulus, the value of shear modulus to bulk modulus （G/B） and the ideal tensile strength. The further research has also been done about the crack mechanism through Griffith rupture energy. These results show that the elastic moduli are 195.1 GPa for quenching orthorhombic ~ phase and 201.8 GPa for aging formed Guinier-Preston （G.P） zones, while G/B values are 0.67 and 0.56, respectively. With the phase change of uranium-titanium （U-Ti） alloy via the quenching treatment, the ideal tensile strength is diverse and distinct with dif- ferent crystal orientations of the anisotropic ~ phase. Comparison of quenching and short time aging treatment, both of the strength and toughness trend to improve slightly. Further analysis about electronic density of states （DOS） in the electronic scale indicates that the strength increases continuously while toughness decreases with the aging proceeding. The equilibrium structure appears in overaging process, as a result of decomposition of metastable quenching 7 phase. Thereby the strength and toughness trend to decrease slightly. Finally, the ideal fracture energies of G.P zones and overaging structure are obtained within the framework of Griffith fracture theory, which are 4.67 J/m2 and 3.83 J/m2, respectively. These results theoretically demonstrate strengthening effect of quenching and aging heat treatment on U-Ti alloy.
