The establishment of the territorial spatial plan system is an important space reform act to meet the new era in China.The reform of territorial spatial plans according to classification is in line with the characteri...The establishment of the territorial spatial plan system is an important space reform act to meet the new era in China.The reform of territorial spatial plans according to classification is in line with the characteristics of China’s current territorial spatial administration and urban development.At present,China’s provincial and municipal territorial spatial plans have been publicized,and county-level territorial spatial plans are being approved one after another,while the compilation of township-level territorial spatial plans is being carried out in an orderly manner.In this paper,based on the historical background of the establishment of territorial spatial plan system integrating“multiple plans”,the background of territorial spatial plans and the important role of county-level territorial spatial plans were first elaborated,and then the progress of the compilation of county-level territorial spatial plans in Jiangxi Province was sorted out.Finally,the problems existing in the compilation were discussed,and corresponding suggestions were put forward to provide a certain reference for the construction of a scientific and reasonable territorial spatial plan system.展开更多
Introduction: Radiation therapy after breast surgery is an integral part of the treatment of early breast cancer. The goal of radiation therapy is to achieve the best possible coverage of the planning target volume (P...Introduction: Radiation therapy after breast surgery is an integral part of the treatment of early breast cancer. The goal of radiation therapy is to achieve the best possible coverage of the planning target volume (PTV), while reducing the dose to organs at risk (OARs) which are normal tissues whose sensitivity to irradiation could cause damage that can lead to modification of the treatment plan. In the last decade, radiation oncologist started to use the Intensity Modulated Radiotherapy (IMRT) and Volumetric Modulated Arc Therapy (VMAT) for irradiating the breast, in order to achieve better dose distribution and target dose to the PTV and OAR. The aim of this study is to compare 2 external radiotherapy techniques (VMAT vs 3D) for patients with node-positive left breast cancer. Patients and Methods: We randomly selected 10 cases of postoperative radiotherapy for breast cancer in our hospital. The patients are all female, the average age was 45.4 years old, and the primary lesions are left breast. The ANOVA test was used to compare the mean difference between subgroups, and the p value Results: Dose volume histogram (DVH) was used to analyze each evaluation dose of clinical target volume (CTV) and organs at risk (OARs). Compared to 3DCRT plans, VMAT provided more uniform coverage to the breast and regional lymph nodes. The max point dose for tVMAT was lower on average (106.4% for VMAT versus 109% for 3DCRT). OAR sparing was improved with tVMAT, with a lower average V17Gy for the left lung (27.91% for VMAT versus 30.04% for 3DCRT, p and lower for V28Gy (13.75% for VMAT versus 22.34% for 3DCRT, p = 0.01). We also found a lower V35Gy for the heart on VMAT plan (p = 0.02). On the contrary, dose of contralateral breast was lower in 3DCRT than VMAT (0.59 Gy vs 3.65 Gy, p = 0.00). Conclusion: The both types of plans can meet the clinical dosimetry demands of postoperative radiotherapy for left breast cancer. The VMAT plan has a better conformity, but 3CDRT can provide a lower dose to the contralateral organs (breast and lung) to avoid the risk of secondary cancers.展开更多
A workshop on National Plans of Action for Nutrition: Constraints, Key Elements for Success, and Future Plans was convened and organized by the WHO Regional Office for the Western Pacific in collaboration with the In...A workshop on National Plans of Action for Nutrition: Constraints, Key Elements for Success, and Future Plans was convened and organized by the WHO Regional Office for the Western Pacific in collaboration with the Institute for Medical Research Malaysia and co sponsored with FAO and UNICEF from 25—29 October 1999. It was attended by representatives of 25 countries in the region and resource persons, representatives from WHO and other international agencies. The objectives of the workshop were to review the progress of countries in developing, implementing and monitoring national plans of action for nutrition (NPANs) in the Western Pacific Region and to identify constraints and key elements of success in these efforts. Most of the countries have NPANs, either approved and implemented or awaiting official endorsement. The Plan formulation is usually multisectoral, involving several government ministries, non governmental organizations, and international agencies. Often official adoption or endorsement of the Plan comes from the head of state and cabinet or the minister of health, one to six years from the start of its formulation. The NPAN has stimulated support for the development and implementation of nutrition projects and activities, with comparatively greater involvement of and more support from government ministries, UN agencies and non-governmental agencies compared to local communities, bilateral and private sectors and research and academic institutions. Monitoring and evaluation are important components of NPANs. They are, however, not given high priority and often not built into the plan. The role of an intersectoral coordinating body is considered crucial to a country's nutrition program. Most countries have an intersectoral structure or coordinating body to ensure the proper implementation, monitoring and evaluation of their NPANs. The workshop identified the constraints and key elements of success in each of the four stages of the NPAN process: development, operationalization, implementation, and monitoring and evaluation. Constraints to the NPAN process relate to the political and socioeconomic environment, resource scarcity, control and management processes, and factors related to sustainability. The group's review of NPAN identified successful NPANs as those based on recent, adequate and good quality information on the nutritional situation of the country, and on the selection of strategies, priorities and interventions that are relevant to the country and backed up by adequate resources. Continued high level political commitment, a multisectoral approach, and adequate participation of local communities are other key elements for success. The participants agreed on future actions and support needed from various sources for the further development, implementation, monitoring and evaluation of their NPANs. The recommendations for future actions were categorized into actions pertaining to countries with working NPAN, actions for countries without working NPAN and actions relevant to all countries. There was also a set of suggested actions at the regional level, such as holding of regular regional NPAN evaluation meetings, inclusion of NPAN on the agenda of regional fora by the regional organizations, and strengthening of regional nutrition networks.展开更多
Objective: Conventional external beam irradiation techniques for nasopharyngeal carcinoma have limitations, and improving external beam irradiation techniques is needed to enhance the curative rate. This study was de...Objective: Conventional external beam irradiation techniques for nasopharyngeal carcinoma have limitations, and improving external beam irradiation techniques is needed to enhance the curative rate. This study was designed to cvaluate the difference in dose distribution of three dimensional conformal radiotherapy (3D CRT) and conventional treatment plan in early untreated nasopharyngeal carcinoma using a three dimensional treatment planning system. Methods: Twenty-two patients with early untreated nasopharyngeal carcinoma were selected. Conventional and 3D CRT plans were made for each of them and compared with respect to target volume coverage (V95),normal tissue sparing (D50, D33 and D5, etc), normal tissue complication probability (NTCP). Results: The average volumetric dose comparison indicated that the V95 of PTVnx70 were 98.22% and 99.99% (P=0.06), and PTVnd60, 98.41% and 99.63% (P=1.00), PTV,x60, 98.44% and 99.98% (P=0.03), PTVnx50, 98.85% and 99.63% (P=0.02) in conventional and 3DCRT treatment plans respectively. With respect to normal tissue sparing, the average D50 of unilateral parotid glands were 51.91 Gy and 64.30 Gy (P=0.00) respectively, and the unilateral temporomandibular joints, 49.98 Gy and 64.47 Gy (P=0.00), the Dlcc of spinal cords, 44.98 Gy and 48.09 Gy (P=0.00) in 3D CRT and conventional plans. Conclusion: Though only a little bit better dose coverage of target volume in subclinical lesion region was reached in 3D CRT plans, it spared more normal tissues e.g. parotid glands and temporomandibular joints etc and decreased their NTCP while it got the similar dose distribution in target volumes as conventional plans did for these early nasopharyngeal carcinoma cases.展开更多
We introduce a new two-parameter model related to the inverted Topp–Leone distribution called the power inverted Topp–Leone(PITL)distribution.Major properties of the PITL distribution are stated;including;quantile m...We introduce a new two-parameter model related to the inverted Topp–Leone distribution called the power inverted Topp–Leone(PITL)distribution.Major properties of the PITL distribution are stated;including;quantile measures,moments,moment generating function,probability weighted moments,Bonferroni and Lorenz curve,stochastic ordering,incomplete moments,residual life function,and entropy measure.Acceptance sampling plans are developed for the PITL distribution,when the life test is truncated at a pre-specified time.The truncation time is assumed to be the median lifetime of the PITL distribution with pre-specified factors.The minimum sample size necessary to ensure the specified life test is obtained under a given consumer’s risk.Numerical results for given consumer’s risk,parameters of the PITL distribution and the truncation time are obtained.The estimation of the model parameters is argued using maximum likelihood,least squares,weighted least squares,maximum product of spacing and Bayesian methods.A simulation study is confirmed to evaluate and compare the behavior of different estimates.Two real data applications are afforded in order to examine the flexibility of the proposed model compared with some others distributions.The results show that the power inverted Topp–Leone distribution is the best according to the model selection criteria than other competitive models.展开更多
The air quality directive (2008/50/EC (of the European Parliament and of the Council of 21 May 2008)) requires European Member States to design appropriate AQPs (air quality plans) for zones and agglomerations w...The air quality directive (2008/50/EC (of the European Parliament and of the Council of 21 May 2008)) requires European Member States to design appropriate AQPs (air quality plans) for zones and agglomerations where the air quality does not comply with the limit values and to assess possible emission reduction measures to decrease concentration levels. The Portuguese agglomeration of Porto Litoral is one of the several European Union urban areas that had to develop and implement AQPs to reduce particulate matter (PM10). The AQPs were initially designed based on a scenario approach and using an air quality model, which was applied over the study region for the reference situation with the current PM10 emissions, and for a reduction scenario with PM10 emissions re-estimated considering the implementation of abatement measures. Aiming to cost-efficiently optimize Porto Litoral PM10 abatement measures, the assessment procedure was repeated using an optimization approach based on the RIAT + (regional integrated assessment tool +). Porto Litoral urban area's technical and non-technical measures were characterized (including associated costs) and, through the application of the air quality model to 20 emissions abatement scenarios, S-R (source-receptor) relationships were created. This paper comparatively describes the air quality plans designed to improve PM10 levels in the Porto Litoral agglomeration based on both the scenario analysis and the optimization approach.展开更多
Objective We aimed to determine the ef ects of low- and high-energy intensity-modulated radiation therapy (IMRT) photon beams on the target volume planning and on the critical organs in the case of prostate can-cer....Objective We aimed to determine the ef ects of low- and high-energy intensity-modulated radiation therapy (IMRT) photon beams on the target volume planning and on the critical organs in the case of prostate can-cer. Methods Thirty plans were generated by using either 6 MV or 15 MV beams separately, and a combination of both 6 and 15 MV beams. Al plans were generated by using suitable planning objectives and dose con-straints, which were identical across the plans, except the beam energy. The plans were analyzed in terms of their target coverage, conformity, and homogeneity, regardless of the beam energy. Results The mean percentage values of V70 Gy for the rectal wal for the plans with 6 MV, 15 MV, and mixed-energy beams were 16.9%, 17.8%, and 16.4%, respectively, while the mean percentage values of V40 Gy were 53.6%, 52.3%, and 50.4%. The mean dose values to the femoral heads for the 6 MV, 15 MV, and mixed-en-ergy plans were 30.1 Gy, 25.5 Gy, and 25.4 Gy, respectively. The mean integral dose for the 6 MV plans was 10% larger than those for the 15 MV and mixed-energy plans.Conclusion These preliminary results suggest that mixed-energy IMRT plans may be advantageous with respect to the dosimetric characteristics of low- and high-energy beams. Although the reduction of dose to the organs at risk may not be clinical y relevant, in this study, IMRT plans using mixed-energy beams exhibited better OAR sparing and overal higher plan quality for deep-seated tumors.展开更多
The purpose of our study was to clarify variables associated with suicide ideation and plans in a Japanese population. We conducted a random-sampling survey on mental health and suicide using a self-administered quest...The purpose of our study was to clarify variables associated with suicide ideation and plans in a Japanese population. We conducted a random-sampling survey on mental health and suicide using a self-administered questionnaire for Hamamatsu City residents aged 15-79 yrs between May and June, 2008. This included questions about gender, age, outpatient treatment, alcohol problems, depression, living ar-rangements, marital status, annual family income, industry types as well as suicide ideation and plans. The correlation between these variables and suicide ideation or plans was then analyzed with multiple logistic regression analysis by gender. A total of 1051 responded to this questionnaire (response rate, 53.9%). Variables statistically associated with suicide ideation in males included alcohol problems, depression, lower annual family income, and ac-commodations/eating/drinking services, while in females, the variables were younger age, outpatient treatment, depression, living alone, being single, being separated, lower annual family income, accommodations/eating/drinking services and unemployment. On the other hand, variables statistically associated with suicide plans in males were younger age, alcohol problems, depression, and lower annual family income, while in females they were younger age, alcohol problems, depression, being separated, lower annual family income, manufacturing, and accommodations/eating/drinking services. Ex-cept for industry types, variables associated with suicide ideation or plans were consistent with previous studies. The reason why workers engaging in manufacturing, or accommoda-tions/eating/drinking services were more likely to have suicide ideation or plans may be attributed to the structures and/or stresses unique to those industries.展开更多
Functional behavior assessment(FBA)and behavioral intervention plans(BIPs)can be effective for students with attention deficit hyperactivity disorder(ADHD);however,teachers may face difficulties when implementing FBA pr...Functional behavior assessment(FBA)and behavioral intervention plans(BIPs)can be effective for students with attention deficit hyperactivity disorder(ADHD);however,teachers may face difficulties when implementing FBA procedures and,in turn,BIPs because of lack of time,insufficient training,and multiplicity of beliefs.Thus,it is important to identify the difficulties teachers may face and the obstacles that can deter them from implementing intervention plans.This is a worthwhile endeavor because nearly all classrooms will have students with behavioral problems who will benefit from specifically designed educational interventions.This study aimed to identify the difficulties in applying FBA and the barriers in implementing BIPs among Saudi teachers in specialized ADHD programs.Using the descriptive-analytical approach,a questionnaire targeting difficulties and barriers was admi-nistered to 209 public school teachers from specialized ADHD programs in Saudi Arabia.The results revealed that the difficulty level of applying FBA in ADHD programs was high.The level of barriers in implementing BIPs was moderate.Finally,the study indicated that barriers in implementing BIPs could be predicted by the difficulties of applying FBA.The results suggest the importance offinding better practices,restructuring the provision of ADHD programs,training teachers,improving assessment tool availability,and ensuring cooperation between school administrators and teachers.展开更多
November 28, 2014--Reeently, MIIT issued the "Opinions On Open Access To Broadband Market (Draft)", which regulates that private enterprises should be enc:ouraged to participate in the construction and operation ...November 28, 2014--Reeently, MIIT issued the "Opinions On Open Access To Broadband Market (Draft)", which regulates that private enterprises should be enc:ouraged to participate in the construction and operation of broadband access network infrastructure; encourage the private enterprises to participate in the relevant investment and carry out cooperation with infrastructure companies anti provide broadband resale services etc. The mainthree telecom operators shall not sign exclusive agreements with private enterprises and dynamic adjustment mechanism of prices should be estahlished.展开更多
Athens International Airport "Eleftherios Venizelos" (AIA) is considered a pioneer international Public-Private Partnership, being the first major int. airport constructed with the participation of the private sec...Athens International Airport "Eleftherios Venizelos" (AIA) is considered a pioneer international Public-Private Partnership, being the first major int. airport constructed with the participation of the private sector with the BOOT method (Build, Own, Operate, and Transfer). AIA's 1st day of operation was in March 2001 and the aircraft traffic on 2006 reached 191.000 movements & 15.1 million passengers. According to the European Directive 49/2002 and the Joint Ministerial Decision 13586/724-28/3/06, Athens International Airport (AIA) is included in the category of"large airports" and it consequently comes under the authority of the above mentioned legislation on the evaluation and management of environmental noise. A complete Study on Aircraft Noise [1], according to the European Directive 49/2002 [2] and Joint Ministerial Decision 13586/724-28/3/06 was undertaken under the auspices of the Ministry of Environment, Energy & Climate Change, the Hellenic Civil Aviation Authority, and AIA S.A. In this article the following results are presented: (1) The 2006 Strategic Noise Map (SNM) of both indicators Lden and Lnight based on the ECAC.CEAC Doc 29 methodology "Report on Standard Method of Computing Noise Contours around Civil Airports", 1997 [3], (2) A statistical analysis of predicted vs measured noise levels based on the existing Noise Monitoring System, (3) Effects from the removal of marginally accepted chapter 3 aircraft, (4) A complete evaluation of results regarding calculation of area/land uses and number of individuals living in residences inside blocks exposed in various levels of noise, and (5) A full evaluation of Noise Action Plans (NAP) regrouping existing and foreseen actions FOR 2006 & 2011 scenarios, especially regarding among others, noise abatement procedures, a comprehensive noise insulation legal framework.展开更多
This work is an experimental approach based on the method of experimental plans to determine a specific formulation of a resin concrete. In this study, an unsaturated polyester resin (thermosetting resin) was used w...This work is an experimental approach based on the method of experimental plans to determine a specific formulation of a resin concrete. In this study, an unsaturated polyester resin (thermosetting resin) was used with two types of mineral fillers (dune sand and crushed sand), and with the addition of a marble powder to ensure the continuity of the particle size mixing granular. The lack of the methods for developing this kind of composite materials, had led us to perform an initial experimental approach to define the experimental field, that is to say determine the mass proportions of the various compounds of mixture of our study. In the second approach, we have established and implemented fully experimental plans with three factors namely: factor (1): sand, factor (2): resin, factor (3): marble powder. Test results being the density of polymer concrete and the mechanical resistances. Finally, multi-parameters regression allowed us to determine predictive mathematical models for the different responses of the study. Tests results showed that at three days we got a tensile strength of about 16 MPa with a resin concrete density of 1.9 g/cm3. This shows the advantages of this material.展开更多
The paper presents the possibilities of implementing micro-simulation traffic tools in order to develop the evacuation plans. Well elaborated evacuation plans are the basis for alleviating the consequences resulting f...The paper presents the possibilities of implementing micro-simulation traffic tools in order to develop the evacuation plans. Well elaborated evacuation plans are the basis for alleviating the consequences resulting from emergencies. The simulation tools allow the design and verification of various evacuation planning scenarios with minimisation of costs and time. The paper provides detailed presentation of the basic characteristics of microscopic simulation of traffic flows, as well as examples of their implementation worldwide. The characteristics of the software tools are described through an overview of the basic settings ofPTV VISSIM (Planung Transport Verkehrin Stadten--Simulations model) program as one of the most significant representatives of these tools. The necessity of implementing the traffic tools in evacuation results from the crucial role of traffic in reducing the consequences of emergencies. These tools allow also a detailed analysis of the output data in order to select a suitable solution. The concluding part of the paper presents an example of evacuation of the population through the Jankomir node as part of the European project "preparedness for evacuation in case of a nuclear accident". The evacuation was performed through three scenarios in circumstances of higher or lower transport demand.展开更多
A smart city provides a new idea and model for urban construction, management, and development. This article proposes the concepts and methodology for top-level design of smart cities based on the " Integration of Fo...A smart city provides a new idea and model for urban construction, management, and development. This article proposes the concepts and methodology for top-level design of smart cities based on the " Integration of Four Plans ", and the planning process and systems for implementing the top-level design of smart cities. This article discusses, from the perspective of a city, how to optimize resource allocation, coordinate the development of urban economy, society, resources, environment, and people's livelihood, and map out the blueprints for healthy and sustainable development of a smart city.展开更多
THE 19th National Congress of the Communist Party of China (CPC), which wrapped up in Oc- tober, has not only sparked a domestic craze to study the report delivered by Xi Jinping at the congress, but also triggered ...THE 19th National Congress of the Communist Party of China (CPC), which wrapped up in Oc- tober, has not only sparked a domestic craze to study the report delivered by Xi Jinping at the congress, but also triggered heated global discussion about China's future development blueprint in a new era mapped out in the report, On November 16, themed as "The 19th CPC National Congress: Implications for China and the World:' an international think tank sym- posium was held in Beijing, with participants from 31 countries and regions.展开更多
China will take a series of measures to improve the environment in the Three Gorges area, where the world’s largest water-control project is being undertaken. Tackling ecological and environmental problems there will...China will take a series of measures to improve the environment in the Three Gorges area, where the world’s largest water-control project is being undertaken. Tackling ecological and environmental problems there will have a direct bearing on the resettlement of the local people and the construction of the Three Gorges Project. The Three Gorges area, located in Sichuan and Hubei provinces in the upper Yangtze River, covers 59,900 km^2. After the project’s reservoir is full of water, 21 cities and counties will be affected. The area has complicated geological conditions, with landslides, mud-rock flows and soil erosion in some places. Meanwhile,展开更多
文摘The establishment of the territorial spatial plan system is an important space reform act to meet the new era in China.The reform of territorial spatial plans according to classification is in line with the characteristics of China’s current territorial spatial administration and urban development.At present,China’s provincial and municipal territorial spatial plans have been publicized,and county-level territorial spatial plans are being approved one after another,while the compilation of township-level territorial spatial plans is being carried out in an orderly manner.In this paper,based on the historical background of the establishment of territorial spatial plan system integrating“multiple plans”,the background of territorial spatial plans and the important role of county-level territorial spatial plans were first elaborated,and then the progress of the compilation of county-level territorial spatial plans in Jiangxi Province was sorted out.Finally,the problems existing in the compilation were discussed,and corresponding suggestions were put forward to provide a certain reference for the construction of a scientific and reasonable territorial spatial plan system.
文摘Introduction: Radiation therapy after breast surgery is an integral part of the treatment of early breast cancer. The goal of radiation therapy is to achieve the best possible coverage of the planning target volume (PTV), while reducing the dose to organs at risk (OARs) which are normal tissues whose sensitivity to irradiation could cause damage that can lead to modification of the treatment plan. In the last decade, radiation oncologist started to use the Intensity Modulated Radiotherapy (IMRT) and Volumetric Modulated Arc Therapy (VMAT) for irradiating the breast, in order to achieve better dose distribution and target dose to the PTV and OAR. The aim of this study is to compare 2 external radiotherapy techniques (VMAT vs 3D) for patients with node-positive left breast cancer. Patients and Methods: We randomly selected 10 cases of postoperative radiotherapy for breast cancer in our hospital. The patients are all female, the average age was 45.4 years old, and the primary lesions are left breast. The ANOVA test was used to compare the mean difference between subgroups, and the p value Results: Dose volume histogram (DVH) was used to analyze each evaluation dose of clinical target volume (CTV) and organs at risk (OARs). Compared to 3DCRT plans, VMAT provided more uniform coverage to the breast and regional lymph nodes. The max point dose for tVMAT was lower on average (106.4% for VMAT versus 109% for 3DCRT). OAR sparing was improved with tVMAT, with a lower average V17Gy for the left lung (27.91% for VMAT versus 30.04% for 3DCRT, p and lower for V28Gy (13.75% for VMAT versus 22.34% for 3DCRT, p = 0.01). We also found a lower V35Gy for the heart on VMAT plan (p = 0.02). On the contrary, dose of contralateral breast was lower in 3DCRT than VMAT (0.59 Gy vs 3.65 Gy, p = 0.00). Conclusion: The both types of plans can meet the clinical dosimetry demands of postoperative radiotherapy for left breast cancer. The VMAT plan has a better conformity, but 3CDRT can provide a lower dose to the contralateral organs (breast and lung) to avoid the risk of secondary cancers.
文摘A workshop on National Plans of Action for Nutrition: Constraints, Key Elements for Success, and Future Plans was convened and organized by the WHO Regional Office for the Western Pacific in collaboration with the Institute for Medical Research Malaysia and co sponsored with FAO and UNICEF from 25—29 October 1999. It was attended by representatives of 25 countries in the region and resource persons, representatives from WHO and other international agencies. The objectives of the workshop were to review the progress of countries in developing, implementing and monitoring national plans of action for nutrition (NPANs) in the Western Pacific Region and to identify constraints and key elements of success in these efforts. Most of the countries have NPANs, either approved and implemented or awaiting official endorsement. The Plan formulation is usually multisectoral, involving several government ministries, non governmental organizations, and international agencies. Often official adoption or endorsement of the Plan comes from the head of state and cabinet or the minister of health, one to six years from the start of its formulation. The NPAN has stimulated support for the development and implementation of nutrition projects and activities, with comparatively greater involvement of and more support from government ministries, UN agencies and non-governmental agencies compared to local communities, bilateral and private sectors and research and academic institutions. Monitoring and evaluation are important components of NPANs. They are, however, not given high priority and often not built into the plan. The role of an intersectoral coordinating body is considered crucial to a country's nutrition program. Most countries have an intersectoral structure or coordinating body to ensure the proper implementation, monitoring and evaluation of their NPANs. The workshop identified the constraints and key elements of success in each of the four stages of the NPAN process: development, operationalization, implementation, and monitoring and evaluation. Constraints to the NPAN process relate to the political and socioeconomic environment, resource scarcity, control and management processes, and factors related to sustainability. The group's review of NPAN identified successful NPANs as those based on recent, adequate and good quality information on the nutritional situation of the country, and on the selection of strategies, priorities and interventions that are relevant to the country and backed up by adequate resources. Continued high level political commitment, a multisectoral approach, and adequate participation of local communities are other key elements for success. The participants agreed on future actions and support needed from various sources for the further development, implementation, monitoring and evaluation of their NPANs. The recommendations for future actions were categorized into actions pertaining to countries with working NPAN, actions for countries without working NPAN and actions relevant to all countries. There was also a set of suggested actions at the regional level, such as holding of regular regional NPAN evaluation meetings, inclusion of NPAN on the agenda of regional fora by the regional organizations, and strengthening of regional nutrition networks.
基金This project was supported by a grant from Guangdong Medical Research Foundation (No.Al999214).
文摘Objective: Conventional external beam irradiation techniques for nasopharyngeal carcinoma have limitations, and improving external beam irradiation techniques is needed to enhance the curative rate. This study was designed to cvaluate the difference in dose distribution of three dimensional conformal radiotherapy (3D CRT) and conventional treatment plan in early untreated nasopharyngeal carcinoma using a three dimensional treatment planning system. Methods: Twenty-two patients with early untreated nasopharyngeal carcinoma were selected. Conventional and 3D CRT plans were made for each of them and compared with respect to target volume coverage (V95),normal tissue sparing (D50, D33 and D5, etc), normal tissue complication probability (NTCP). Results: The average volumetric dose comparison indicated that the V95 of PTVnx70 were 98.22% and 99.99% (P=0.06), and PTVnd60, 98.41% and 99.63% (P=1.00), PTV,x60, 98.44% and 99.98% (P=0.03), PTVnx50, 98.85% and 99.63% (P=0.02) in conventional and 3DCRT treatment plans respectively. With respect to normal tissue sparing, the average D50 of unilateral parotid glands were 51.91 Gy and 64.30 Gy (P=0.00) respectively, and the unilateral temporomandibular joints, 49.98 Gy and 64.47 Gy (P=0.00), the Dlcc of spinal cords, 44.98 Gy and 48.09 Gy (P=0.00) in 3D CRT and conventional plans. Conclusion: Though only a little bit better dose coverage of target volume in subclinical lesion region was reached in 3D CRT plans, it spared more normal tissues e.g. parotid glands and temporomandibular joints etc and decreased their NTCP while it got the similar dose distribution in target volumes as conventional plans did for these early nasopharyngeal carcinoma cases.
文摘We introduce a new two-parameter model related to the inverted Topp–Leone distribution called the power inverted Topp–Leone(PITL)distribution.Major properties of the PITL distribution are stated;including;quantile measures,moments,moment generating function,probability weighted moments,Bonferroni and Lorenz curve,stochastic ordering,incomplete moments,residual life function,and entropy measure.Acceptance sampling plans are developed for the PITL distribution,when the life test is truncated at a pre-specified time.The truncation time is assumed to be the median lifetime of the PITL distribution with pre-specified factors.The minimum sample size necessary to ensure the specified life test is obtained under a given consumer’s risk.Numerical results for given consumer’s risk,parameters of the PITL distribution and the truncation time are obtained.The estimation of the model parameters is argued using maximum likelihood,least squares,weighted least squares,maximum product of spacing and Bayesian methods.A simulation study is confirmed to evaluate and compare the behavior of different estimates.Two real data applications are afforded in order to examine the flexibility of the proposed model compared with some others distributions.The results show that the power inverted Topp–Leone distribution is the best according to the model selection criteria than other competitive models.
文摘The air quality directive (2008/50/EC (of the European Parliament and of the Council of 21 May 2008)) requires European Member States to design appropriate AQPs (air quality plans) for zones and agglomerations where the air quality does not comply with the limit values and to assess possible emission reduction measures to decrease concentration levels. The Portuguese agglomeration of Porto Litoral is one of the several European Union urban areas that had to develop and implement AQPs to reduce particulate matter (PM10). The AQPs were initially designed based on a scenario approach and using an air quality model, which was applied over the study region for the reference situation with the current PM10 emissions, and for a reduction scenario with PM10 emissions re-estimated considering the implementation of abatement measures. Aiming to cost-efficiently optimize Porto Litoral PM10 abatement measures, the assessment procedure was repeated using an optimization approach based on the RIAT + (regional integrated assessment tool +). Porto Litoral urban area's technical and non-technical measures were characterized (including associated costs) and, through the application of the air quality model to 20 emissions abatement scenarios, S-R (source-receptor) relationships were created. This paper comparatively describes the air quality plans designed to improve PM10 levels in the Porto Litoral agglomeration based on both the scenario analysis and the optimization approach.
文摘Objective We aimed to determine the ef ects of low- and high-energy intensity-modulated radiation therapy (IMRT) photon beams on the target volume planning and on the critical organs in the case of prostate can-cer. Methods Thirty plans were generated by using either 6 MV or 15 MV beams separately, and a combination of both 6 and 15 MV beams. Al plans were generated by using suitable planning objectives and dose con-straints, which were identical across the plans, except the beam energy. The plans were analyzed in terms of their target coverage, conformity, and homogeneity, regardless of the beam energy. Results The mean percentage values of V70 Gy for the rectal wal for the plans with 6 MV, 15 MV, and mixed-energy beams were 16.9%, 17.8%, and 16.4%, respectively, while the mean percentage values of V40 Gy were 53.6%, 52.3%, and 50.4%. The mean dose values to the femoral heads for the 6 MV, 15 MV, and mixed-en-ergy plans were 30.1 Gy, 25.5 Gy, and 25.4 Gy, respectively. The mean integral dose for the 6 MV plans was 10% larger than those for the 15 MV and mixed-energy plans.Conclusion These preliminary results suggest that mixed-energy IMRT plans may be advantageous with respect to the dosimetric characteristics of low- and high-energy beams. Although the reduction of dose to the organs at risk may not be clinical y relevant, in this study, IMRT plans using mixed-energy beams exhibited better OAR sparing and overal higher plan quality for deep-seated tumors.
文摘The purpose of our study was to clarify variables associated with suicide ideation and plans in a Japanese population. We conducted a random-sampling survey on mental health and suicide using a self-administered questionnaire for Hamamatsu City residents aged 15-79 yrs between May and June, 2008. This included questions about gender, age, outpatient treatment, alcohol problems, depression, living ar-rangements, marital status, annual family income, industry types as well as suicide ideation and plans. The correlation between these variables and suicide ideation or plans was then analyzed with multiple logistic regression analysis by gender. A total of 1051 responded to this questionnaire (response rate, 53.9%). Variables statistically associated with suicide ideation in males included alcohol problems, depression, lower annual family income, and ac-commodations/eating/drinking services, while in females, the variables were younger age, outpatient treatment, depression, living alone, being single, being separated, lower annual family income, accommodations/eating/drinking services and unemployment. On the other hand, variables statistically associated with suicide plans in males were younger age, alcohol problems, depression, and lower annual family income, while in females they were younger age, alcohol problems, depression, being separated, lower annual family income, manufacturing, and accommodations/eating/drinking services. Ex-cept for industry types, variables associated with suicide ideation or plans were consistent with previous studies. The reason why workers engaging in manufacturing, or accommoda-tions/eating/drinking services were more likely to have suicide ideation or plans may be attributed to the structures and/or stresses unique to those industries.
基金The author extends his appreciation to the Deanship of Scientific Research at King Saud University for supporting this research work.
文摘Functional behavior assessment(FBA)and behavioral intervention plans(BIPs)can be effective for students with attention deficit hyperactivity disorder(ADHD);however,teachers may face difficulties when implementing FBA procedures and,in turn,BIPs because of lack of time,insufficient training,and multiplicity of beliefs.Thus,it is important to identify the difficulties teachers may face and the obstacles that can deter them from implementing intervention plans.This is a worthwhile endeavor because nearly all classrooms will have students with behavioral problems who will benefit from specifically designed educational interventions.This study aimed to identify the difficulties in applying FBA and the barriers in implementing BIPs among Saudi teachers in specialized ADHD programs.Using the descriptive-analytical approach,a questionnaire targeting difficulties and barriers was admi-nistered to 209 public school teachers from specialized ADHD programs in Saudi Arabia.The results revealed that the difficulty level of applying FBA in ADHD programs was high.The level of barriers in implementing BIPs was moderate.Finally,the study indicated that barriers in implementing BIPs could be predicted by the difficulties of applying FBA.The results suggest the importance offinding better practices,restructuring the provision of ADHD programs,training teachers,improving assessment tool availability,and ensuring cooperation between school administrators and teachers.
文摘November 28, 2014--Reeently, MIIT issued the "Opinions On Open Access To Broadband Market (Draft)", which regulates that private enterprises should be enc:ouraged to participate in the construction and operation of broadband access network infrastructure; encourage the private enterprises to participate in the relevant investment and carry out cooperation with infrastructure companies anti provide broadband resale services etc. The mainthree telecom operators shall not sign exclusive agreements with private enterprises and dynamic adjustment mechanism of prices should be estahlished.
文摘Athens International Airport "Eleftherios Venizelos" (AIA) is considered a pioneer international Public-Private Partnership, being the first major int. airport constructed with the participation of the private sector with the BOOT method (Build, Own, Operate, and Transfer). AIA's 1st day of operation was in March 2001 and the aircraft traffic on 2006 reached 191.000 movements & 15.1 million passengers. According to the European Directive 49/2002 and the Joint Ministerial Decision 13586/724-28/3/06, Athens International Airport (AIA) is included in the category of"large airports" and it consequently comes under the authority of the above mentioned legislation on the evaluation and management of environmental noise. A complete Study on Aircraft Noise [1], according to the European Directive 49/2002 [2] and Joint Ministerial Decision 13586/724-28/3/06 was undertaken under the auspices of the Ministry of Environment, Energy & Climate Change, the Hellenic Civil Aviation Authority, and AIA S.A. In this article the following results are presented: (1) The 2006 Strategic Noise Map (SNM) of both indicators Lden and Lnight based on the ECAC.CEAC Doc 29 methodology "Report on Standard Method of Computing Noise Contours around Civil Airports", 1997 [3], (2) A statistical analysis of predicted vs measured noise levels based on the existing Noise Monitoring System, (3) Effects from the removal of marginally accepted chapter 3 aircraft, (4) A complete evaluation of results regarding calculation of area/land uses and number of individuals living in residences inside blocks exposed in various levels of noise, and (5) A full evaluation of Noise Action Plans (NAP) regrouping existing and foreseen actions FOR 2006 & 2011 scenarios, especially regarding among others, noise abatement procedures, a comprehensive noise insulation legal framework.
文摘This work is an experimental approach based on the method of experimental plans to determine a specific formulation of a resin concrete. In this study, an unsaturated polyester resin (thermosetting resin) was used with two types of mineral fillers (dune sand and crushed sand), and with the addition of a marble powder to ensure the continuity of the particle size mixing granular. The lack of the methods for developing this kind of composite materials, had led us to perform an initial experimental approach to define the experimental field, that is to say determine the mass proportions of the various compounds of mixture of our study. In the second approach, we have established and implemented fully experimental plans with three factors namely: factor (1): sand, factor (2): resin, factor (3): marble powder. Test results being the density of polymer concrete and the mechanical resistances. Finally, multi-parameters regression allowed us to determine predictive mathematical models for the different responses of the study. Tests results showed that at three days we got a tensile strength of about 16 MPa with a resin concrete density of 1.9 g/cm3. This shows the advantages of this material.
文摘The paper presents the possibilities of implementing micro-simulation traffic tools in order to develop the evacuation plans. Well elaborated evacuation plans are the basis for alleviating the consequences resulting from emergencies. The simulation tools allow the design and verification of various evacuation planning scenarios with minimisation of costs and time. The paper provides detailed presentation of the basic characteristics of microscopic simulation of traffic flows, as well as examples of their implementation worldwide. The characteristics of the software tools are described through an overview of the basic settings ofPTV VISSIM (Planung Transport Verkehrin Stadten--Simulations model) program as one of the most significant representatives of these tools. The necessity of implementing the traffic tools in evacuation results from the crucial role of traffic in reducing the consequences of emergencies. These tools allow also a detailed analysis of the output data in order to select a suitable solution. The concluding part of the paper presents an example of evacuation of the population through the Jankomir node as part of the European project "preparedness for evacuation in case of a nuclear accident". The evacuation was performed through three scenarios in circumstances of higher or lower transport demand.
文摘A smart city provides a new idea and model for urban construction, management, and development. This article proposes the concepts and methodology for top-level design of smart cities based on the " Integration of Four Plans ", and the planning process and systems for implementing the top-level design of smart cities. This article discusses, from the perspective of a city, how to optimize resource allocation, coordinate the development of urban economy, society, resources, environment, and people's livelihood, and map out the blueprints for healthy and sustainable development of a smart city.
文摘THE 19th National Congress of the Communist Party of China (CPC), which wrapped up in Oc- tober, has not only sparked a domestic craze to study the report delivered by Xi Jinping at the congress, but also triggered heated global discussion about China's future development blueprint in a new era mapped out in the report, On November 16, themed as "The 19th CPC National Congress: Implications for China and the World:' an international think tank sym- posium was held in Beijing, with participants from 31 countries and regions.
文摘China will take a series of measures to improve the environment in the Three Gorges area, where the world’s largest water-control project is being undertaken. Tackling ecological and environmental problems there will have a direct bearing on the resettlement of the local people and the construction of the Three Gorges Project. The Three Gorges area, located in Sichuan and Hubei provinces in the upper Yangtze River, covers 59,900 km^2. After the project’s reservoir is full of water, 21 cities and counties will be affected. The area has complicated geological conditions, with landslides, mud-rock flows and soil erosion in some places. Meanwhile,