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Does the ratio of the carpal tunnel inlet and outlet cross-sectional areas in the median nerve reflect carpal tunnel syndrome severity? 被引量:6
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作者 Li Zhang Aierken Rehemutula +3 位作者 Feng Peng Cong Yu Tian-bin Wang Lin Chen 《Neural Regeneration Research》 SCIE CAS CSCD 2015年第7期1172-1176,共5页
Although ultrasound measurements have been used in previous studies on carpal tunnel syndrome to visualize injury to the median nerve, whether such ultrasound data can indicate the severity of carpal tunnel syndrome r... Although ultrasound measurements have been used in previous studies on carpal tunnel syndrome to visualize injury to the median nerve, whether such ultrasound data can indicate the severity of carpal tunnel syndrome remains controversial. The cross-sectional areas of the median nerve at the tunnel inlet and outlet can show swelling and compression of the nerve at the carpal. We hypothesized that the ratio of the cross-sectional areas of the median nerve at the carpal tunnel inlet to outlet accurately reflects the severity of carpal tunnel syndrome. To test this, high-resolution ultrasound with a linear array transducer at 5–17 MHz was used to assess 77 patients with carpal tunnel syndrome. The results showed that the cut-off point for the inlet-to-outlet ratio was 1.14. Significant differences in the inlet-to-outlet ratio were found among patients with mild, moderate, and severe carpal tunnel syndrome. The cut-off point in the ratio of cross-sectional areas of the median nerve was 1.29 between mild and more severe(moderate and severe) carpal tunnel syndrome patients with 64.7% sensitivity and 72.7% specificity. The cut-off point in the ratio of cross-sectional areas of the median nerve was 1.52 between the moderate and severe carpal tunnel syndrome patients with 80.0% sensitivity and 64.7% specificity. These results suggest that the inlet-to-outlet ratio reflected the severity of carpal tunnel syndrome. 展开更多
关键词 nerve regeneration peripheral nerve injury ultrasonography carpal tunnel syndrome diagnosis cross-sectional area classification clinical laboratory technique electrodiagnosis median nerve 973 Program neural regeneration
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Cross-sectional study on AIDS knowledge and condom use in rural areas
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作者 黄娜 程怡民 +3 位作者 李颖 郭欣 武俊青 汝小美 《生殖医学杂志》 CAS 2005年第B10期54-59,共6页
Objective:To understand AIDS knowledge and condom use in rural areas,and to analyze theinfluencing factors of condom use.Methods:This is a cross-sectional study using the cluster-sampling method.4,800 subjects,randoml... Objective:To understand AIDS knowledge and condom use in rural areas,and to analyze theinfluencing factors of condom use.Methods:This is a cross-sectional study using the cluster-sampling method.4,800 subjects,randomly selected from six counties in China,were questioned using an anonymous survey.Results:36% of the subjects knew that tooth extraction could transmit AIDS.38.4% of thesubjects knew that the use of public razors could transmit AIDS.27.1% of the subjects had useda condom in the last year.The influencing factors of condom use were:sex(OR=1.325),age(OR=1.419),AIDS counseling(OR=2.181),educational level(OR=0.622),location of regis-tered permanent residence(OR=0.732),AIDS knowledge score(OR=0.736),and resident ofhigh AIDS prevalent province(OR=0.354).Conclusion:AIDS knowledge in rural areas is still lacking.The rate of condom use was verylow.The main influencing factors of low condom use were being female,elderly,and no AIDScounseling.Higher educational level,registered permanent resident in town,high AIDS knowl-edge score,and resident of high AIDS prevalent provinces were the propitious factors for condomuse. 展开更多
关键词 HIV/AIDS Condom use Rural areas
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Optimization Design of the Multi-Layer Cross-Sectional Layout of An Umbilical Based on the GA-GLM 被引量:1
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作者 YANG Zhi-xun YIN Xu +5 位作者 FAN Zhi-rui YAN Jun LU Yu-cheng SU Qi MAO Yandong WANG Hua-lin 《China Ocean Engineering》 SCIE EI CSCD 2024年第2期247-254,共8页
Marine umbilical is one of the key equipment for subsea oil and gas exploitation,which is usually integrated by a great number of different functional components with multi-layers.The layout of these components direct... Marine umbilical is one of the key equipment for subsea oil and gas exploitation,which is usually integrated by a great number of different functional components with multi-layers.The layout of these components directly affects manufacturing,operation and storage performances of the umbilical.For the multi-layer cross-sectional layout design of the umbilical,a quantifiable multi-objective optimization model is established according to the operation and storage requirements.Considering the manufacturing factors,the multi-layering strategy based on contact point identification is introduced for a great number of functional components.Then,the GA-GLM global optimization algorithm is proposed combining the genetic algorithm and the generalized multiplier method,and the selection operator of the genetic algorithm is improved based on the steepest descent method.Genetic algorithm is used to find the optimal solution in the global space,which can converge from any initial layout to the feasible layout solution.The feasible layout solution is taken as the initial value of the generalized multiplier method for fast and accurate solution.Finally,taking umbilicals with a great number of components as examples,the results show that the cross-sectional performance of the umbilical obtained by optimization algorithm is better and the solution efficiency is higher.Meanwhile,the multi-layering strategy is effective and feasible.The design method proposed in this paper can quickly obtain the optimal multi-layer cross-sectional layout,which replaces the manual design,and provides useful reference and guidance for the umbilical industry. 展开更多
关键词 UMBILICAL cross-sectional layout MULTI-LAYERS GA-GLM optimization
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Ultrasonographic measurement of median nerve cross-sectional area reference values in a healthy Han population from Guiyang,China 被引量:3
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作者 Jun Chen Shan Wu Jun Ren 《Neural Regeneration Research》 SCIE CAS CSCD 2011年第24期1883-1887,共5页
High-resolution ultrasonography was used to analyze the nerve cross-sectional area (CSA) of the median nerve at 7 sites: the wrist crease, pisiform bone, hamate bone, 6 cm proximal to the tip of the wrist crease, p... High-resolution ultrasonography was used to analyze the nerve cross-sectional area (CSA) of the median nerve at 7 sites: the wrist crease, pisiform bone, hamate bone, 6 cm proximal to the tip of the wrist crease, proximal forearm (where the nerve enters the pronator teres muscle), 4 cm proximal to the tip of the medial epicondyle, and mid-humerus (mid-point between elbow crease and axilla) in 200 healthy volunteers from Guiyang, China. Results showed similar CSA values between the left and right sides, but the CSA 6 cm proximal to the tip of the wrist crease, proximal forearm, 4 cm proximal to tip of the medial epicondyle, and mid-humerus in males was greater than that of females. Moreover, CSA values at the wrist crease, pisiform bone, and hamate bone were greater in the middle-aged and old groups when compared to the young group, and correlated with body mass and height. Thus, reference values of median nerve CSA of the upper limbs can facilitate the analysis of abnormal nerve conditions. 展开更多
关键词 ULTRASONOGRAPHY median nerve cross-sectional area Guiyang Han nationality
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Ecological-Based Mining:A Coal-Water-Thermal Collaborative Paradigm in Ecologically Fragile Areas in Western China 被引量:3
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作者 Xiaoxiu Liu Yifan Zeng +3 位作者 Qiang Wu Shihao Meng Jiyue Liang Zhuping Hou 《Engineering》 SCIE EI CAS CSCD 2024年第7期209-222,共14页
A substantial reduction in groundwater level,exacerbated by coal mining activities,is intensifying water scarcity in western China’s ecologically fragile coal mining areas.China’s national strategic goal of achievin... A substantial reduction in groundwater level,exacerbated by coal mining activities,is intensifying water scarcity in western China’s ecologically fragile coal mining areas.China’s national strategic goal of achieving a carbon peak and carbon neutrality has made eco-friendly mining that prioritizes the protection and efficient use of water resources essential.Based on the resource characteristics of mine water and heat hazards,an intensive coal-water-thermal collaborative co-mining paradigm for the duration of the mining process is proposed.An integrated system for the production,supply,and storage of mining companion resources is achieved through technologies such as roof water inrush prevention and control,hydrothermal quality improvement,and deep-injection geological storage.An active preventive and control system achieved by adjusting the mining technology and a passive system centered on multiobjective drainage and grouting treatment are suggested,in accordance with the original geological characteristics and dynamic process of water inrush.By implementing advanced multi-objective drainage,specifically designed to address the“skylight-type”water inrush mode in the Yulin mining area of Shaanxi Province,a substantial reduction of 50%in water drillings and inflow was achieved,leading to stabilized water conditions that effectively ensure subsequent safe coal mining.An integrated-energy complementary model that incorporates the clean production concept of heat utilization is also proposed.The findings indicate a potential saving of 8419 t of standard coal by using water and air heat as an alternative heating source for the Xiaojihan coalmine,resulting in an impressive energy conservation of 50.2%and a notable 24.2%reduction in carbon emissions.The ultra-deep sustained water injection of 100 m^(3)·h^(-1)in a single well would not rupture the formation or cause water leakage,and 7.87×10^(5)t of mine water could be effectively stored in the Liujiagou Formation,presenting a viable method for mine-water management in the Ordos Basin and providing insights for green and low-carbon mining. 展开更多
关键词 Dual carbon targets Coal-water-thermal co-mining Ecologically fragile areas Mine-water control Resource utilization
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Relationship between sonographically measured median nerve cross-sectional area and presence of peripheral neuropathy in diabetic subjects 被引量:8
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作者 Fredrick ANDrew Attah Christianah Mopelola Asaleye +3 位作者 Adeleye Dorcas Omisore Babatope Ayodeji Kolawole Adeniyi Sunday Aderibigbe Mathew Alo 《World Journal of Diabetes》 SCIE CAS 2019年第1期47-56,共10页
BACKGROUND Neuropathy is a common complication of diabetes mellitus resulting from direct damage by hyperglycemia to the nerves and/or ischemia by microvascular injury to the endoneurial vessels which supply the nerve... BACKGROUND Neuropathy is a common complication of diabetes mellitus resulting from direct damage by hyperglycemia to the nerves and/or ischemia by microvascular injury to the endoneurial vessels which supply the nerves. Median nerve is one of the peripheral nerves commonly affected in diabetic neuropathy. The median nerve size has been studied in non-Nigerian diabetic populations. In attempt to contribute to existing literature, a study in a Nigerian population is needed.AIM To evaluate the cross-sectional area(CSA) of the median nerve using B-mode ultrasonography(USS) and the presence of peripheral neuropathy(PN) in a cohort of adult diabetic Nigerians.METHODS Demographic and anthropometric data of 85 adult diabetes mellitus(DM) and 85 age-and sex-matched apparently healthy control(HC) subjects were taken. A complete physical examination was performed on all study subjects to determine the presence of PN and modified Michigan Neuropathy Screening Instrument(MNSI) was used to grade its severity. Venous blood was taken from the study subjects for fasting lipid profile(FLP), fasting blood glucose(FBG) and glycated haemoglobin(HbA1 c) while their MN CSA was evaluated at a point 5 cm proximal to(5 cmCATL) and at the carpal tunnel(CATL) by high-resolution Bmode USS. Data was analysed using SPSS version 22.RESULTS The mean MN CSA was significantly thicker in DM subjects compared to the HC at 5 cmCATL(P < 0.01) and at the CATL(P < 0.01) on both sides. The presence of diabetic peripheral neuropathy(DPN) further increased the MN CSA at the CATL(P < 0.05) but not at 5 cmCATL(P > 0.05). However, the severity of DPN had no additional effect on MN CSA 5 cm proximal to and at the CATL. There was no significant association between MN CSA and duration of DM and glycemic control.CONCLUSION Thickening of the MN CSA at 5 cmCATL and CATL is seen in DM. Presence of DPN is associated with worse thickening of the MN CSA at the CATL but not at5 cmCATL. Severity of DPN, duration of DM, and glycemic control had no additional effect on the MN CSA. 展开更多
关键词 MEDIAN nerve cross-sectional area SONOGRAPHY DIABETICS Peripheral NEUROPATHY
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Association between triglyceride-glucose index and colorectal polyps:A retrospective cross-sectional study 被引量:1
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作者 Ya-Jie Teng Ying-Xue Yang +5 位作者 Jing-Jing Yang Qiu-Yan Lu Jia-Yi Shi Jian-Hao Xu Jie Bao Qing-Hua Wang 《World Journal of Gastrointestinal Endoscopy》 2024年第2期55-63,共9页
BACKGROUND Colorectal polyps(CPs)are frequently occurring abnormal growths in the colorectum,and are a primary precursor of colorectal cancer(CRC).The triglyceride-glucose(TyG)index is a novel marker that assesses met... BACKGROUND Colorectal polyps(CPs)are frequently occurring abnormal growths in the colorectum,and are a primary precursor of colorectal cancer(CRC).The triglyceride-glucose(TyG)index is a novel marker that assesses metabolic health and insulin resistance,and has been linked to gastrointestinal cancers.AIM To investigate the potential association between the TyG index and CPs,as the relation between them has not been documented.METHODS A total of 2537 persons undergoing a routine health physical examination and colonoscopy at The First People's Hospital of Kunshan,Jiangsu Province,China,between January 2020 and December 2022 were included in this retrospective cross-sectional study.After excluding individuals who did not meet the eligibility criteria,descriptive statistics were used to compare characteristics between patients with and without CPs.Logistic regression analyses were conducted to determine the associations between the TyG index and the prevalence of CPs.The TyG index was calculated using the following formula:Ln[triglyceride(mg/dL)×glucose(mg/dL)/2].The presence and types of CPs was determined based on data from colonoscopy reports and pathology reports.RESULTS A nonlinear relation between the TyG index and the prevalence of CPs was identified,and exhibited a curvilinear pattern with a cut-off point of 2.31.A significant association was observed before the turning point,with an odds ratio(95% confidence interval)of 1.70(1.40,2.06),P<0.0001.However,the association between the TyG index and CPs was not significant after the cut-off point,with an odds ratio(95% confidence interval)of 0.57(0.27,1.23),P=0.1521.CONCLUSION Our study revealed a curvilinear association between the TyG index and CPs in Chinese individuals,suggesting its potential utility in developing colonoscopy screening strategies for preventing CRC. 展开更多
关键词 Triglyceride-glucose index Colorectal polyps Colorectal cancer Insulin resistance cross-sectional study
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Mental health and insomnia problems in healthcare workers after the COVID-19 pandemic:A multicenter cross-sectional study 被引量:1
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作者 Wei Ding Min-Zhong Wang +8 位作者 Xian-Wei Zeng Zhen-Hua Liu Yao Meng Hui-Ting Hu Yuan Zhang Yu-Guang Guan Fan-Gang Meng Jian-Guo Zhang Shu Wang 《World Journal of Psychiatry》 SCIE 2024年第5期704-714,共11页
BACKGROUND Healthcare workers(HCWs)are at increased risk of contracting coronavirus disease 2019(COVID-19)as well as worsening mental health problems and insomnia.These problems can persist for a long period,even afte... BACKGROUND Healthcare workers(HCWs)are at increased risk of contracting coronavirus disease 2019(COVID-19)as well as worsening mental health problems and insomnia.These problems can persist for a long period,even after the pandemic.However,less is known about this topic.AIM To analyze mental health,insomnia problems,and their influencing factors in HCWs after the COVID-19 pandemic.METHODS This multicenter cross-sectional,hospital-based study was conducted from June 1,2023 to June 30,2023,which was a half-year after the end of the COVID-19 emergency.Region-stratified population-based cluster sampling was applied at the provincial level for Chinese HCWs.Symptoms such as anxiety,depression,and insomnia were evaluated by the Generalized Anxiety Disorder-7,Patient Health Questionnaire-9,and Insomnia Severity Index.Factors influencing the symptoms were identified by multivariable logistic regression.RESULTS A total of 2000 participants were invited,for a response rate of 70.6%.A total of 1412 HCWs[618(43.8%)doctors,583(41.3%)nurses and 211(14.9%)nonfrontline],254(18.0%),231(16.4%),and 289(20.5%)had symptoms of anxiety,depression,and insomnia,respectively;severe symptoms were found in 58(4.1%),49(3.5%),and 111(7.9%)of the participants.Nurses,female sex,and hospitalization for COVID-19 were risk factors for anxiety,depression,and insomnia symptoms;moreover,death from family or friends was a risk factor for insomnia symptoms.During the COVID-19 outbreak,most[1086(76.9%)]of the participating HCWs received psychological interventions,while nearly all[994(70.4%)]of them had received public psychological education.Only 102(7.2%)of the HCWs received individual counseling from COVID-19.CONCLUSION Although the mental health and sleep problems of HCWs were relieved after the COVID-19 pandemic,they still faced challenges and greater risks than did the general population.Identifying risk factors would help in providing targeted interventions.In addition,although a major proportion of HCWs have received public psychological education,individual interventions are still insufficient. 展开更多
关键词 COVID-19 Mental health Psychological symptoms INSOMNIA Sleep disorders cross-sectional study Epidemiological study
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Seismic response of a mid-story isolated structure considering SSI in mountainous areas under long-period earthquakes 被引量:1
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作者 Wan Feng Qin Shengwu +7 位作者 Liu Dewen Zhao Tiange Zheng Yanping Shan Hang Li Zhiang Peng Fusong Xu Jingran Lei Min 《Earthquake Engineering and Engineering Vibration》 SCIE EI CSCD 2024年第1期151-161,共11页
At present,there is not much research on mid-story isolated structures in mountainous areas.In this study,a model of a mid-story isolated structure considering soil-structure interaction(SSI)in mountainous areas is es... At present,there is not much research on mid-story isolated structures in mountainous areas.In this study,a model of a mid-story isolated structure considering soil-structure interaction(SSI)in mountainous areas is established along with a model that does not consider SSI.Eight long-period earthquake waves and two ordinary earthquake waves are selected as inputs for the dynamic time history analysis of the structure.The results show that the seismic response of a mid-story isolated structure considering SSI in mountainous areas can be amplified when compared with a structure that does not consider SSI.The structure response under long-period earthquakes is larger than that of ordinary earthquakes.The structure response under far-field harmonic-like earthquakes is larger than that of near-fault pulse-type earthquakes.The structure response under near-fault pulse-type earthquakes is larger than that of far-field non-harmonic earthquakes.When subjected to long-period earthquakes,the displacement of the isolated bearings exceeded the limit value,which led to instability and overturning of the structure.The structure with dampers in the isolated story could adequately control the nonlinear response of the structure,effectively reduce the displacement of the isolated bearings,and provide a convenient,efficient and economic method not only for new construction but also to retrofit existing structures. 展开更多
关键词 SSI in mountainous areas long-period earthquakes mid-story isolated structure structural dynamic analysis
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Aerodynamic effects on a railway tunnel with partially changed cross-sectional area 被引量:4
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作者 LI Wen-hui LIU Tang-hong +3 位作者 MARTINEZ-VAZQUEZ Pedro XIA Yu-tao CHEN Zheng-wei GUO Zi-jian 《Journal of Central South University》 SCIE EI CAS CSCD 2022年第8期2589-2604,共16页
The present study numerically explored the aerodynamic performance of a novel railway tunnel with a partially reduced cross-section.The impact of the reduction rate of the tunnel cross-section on wave transmissions wa... The present study numerically explored the aerodynamic performance of a novel railway tunnel with a partially reduced cross-section.The impact of the reduction rate of the tunnel cross-section on wave transmissions was analyzed based on the three-dimensional,unsteady,compressible,and RNG k-εturbulence model.The results highlight that the reduction rate(S)most affects pressure configurations at the middle tunnel segment,followed by the enlarged segments near access,and finally the exit.The strength of the newly generated compression wave at the tunnel junction where the cross-section abruptly changes increases exponentially with the decrease of the cross-sectional area.The maximum peak-to-peak pressureΔP on the tunnel and train surface for non-uniform tunnels is reduced by 10.7%and 13.8%,respectively,compared with those of equivalent uniform tunnels.Overall,the economic analysis suggests that the aerodynamic performance of the developed tunnel prototype surpasses those conventional tunnels based on the same excavated volume. 展开更多
关键词 high-speed train railway tunnel cross-sectION transient pressure blockage ratio
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Association between Residential Greenness and Cardiometabolic Risk Factors among Adults in Rural Xinjiang Uygur Autonomous Region,China:A Cross-Sectional Study
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作者 Leyao Jian Bo Yang +10 位作者 Rulin Ma Shuxia Guo Jia He Yu Li Yusong Ding Dongsheng Rui Yidan Mao Xin He Xueying Sun Shengyu Liao Heng Guo 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2024年第10期1184-1194,共11页
Objective This study aimed to explore the relationships between residential greenness and cardiometabolic risk factors among rural adults in Xinjiang Uygur Autonomous Region(Xinjiang)and thus provide a theoretical bas... Objective This study aimed to explore the relationships between residential greenness and cardiometabolic risk factors among rural adults in Xinjiang Uygur Autonomous Region(Xinjiang)and thus provide a theoretical basis and data support for improving the health of residents in this region.Methods We recruited 9,723 adult rural residents from the 51st Regiment of the Third Division of the Xinjiang Production and Construction Corps in September 2016.The normalized difference vegetation index(NDVI)was used to estimate residential greenness.The generalized linear mixed model(GLMM)was used to examine the association between residential greenness and cardiometabolic risk factors.Results Higher residential greenness was associated with lower cardiometabolic risk factor prevalence.After adjustments were made for age,sex,education,and marital status,for each interquartile range(IQR)increase of NDVI500-m,the risk of hypertension was reduced by 10.3%(OR=0.897,95%CI=0.836-0.962),the risk of obesity by 20.5%(OR=0.795,95%CI=0.695-0.910),the risk of type 2 diabetes by 15.1%(OR=0.849,95%CI=0.740-0.974),and the risk of dyslipidemia by 10.5%(OR=0.895,95%CI=0.825-0.971).Risk factor aggregation was reduced by 20.4%(OR=0.796,95%CI=0.716-0.885)for the same.Stratified analysis showed that NDVI500-m was associated more strongly with hypertension,dyslipidemia,and risk factor aggregation among male participants.The association of NDVI500-m with type 2 diabetes was stronger among participants with a higher education level.PM10 and physical activity mediated 1.9%-9.2%of the associations between NDVI500-m and obesity,dyslipidemia,and risk factor aggregation.Conclusion Higher residential greenness has a protective effect against cardiometabolic risk factors among rural residents in Xinjiang.Increasing the area of green space around residences is an effective measure to reduce the burden of cardiometabolic-related diseases among rural residents in Xinjiang. 展开更多
关键词 Green space Cardiometabolic risk factors cross-sectional study Rural adults
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The environmental analysis and site selection of mussel and large yellow croaker aquaculture areas based on high resolution remote sensing
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作者 Lina Cai Jie Yin +3 位作者 Xiaojun Yan Yongdong Zhou Rong Tang Menghan Yu 《Acta Oceanologica Sinica》 SCIE CAS CSCD 2024年第3期66-86,共21页
Mussel aquaculture and large yellow croaker aquaculture areas and their environmental characteristics in Zhoushan were analyzed using satellite data and in-situ surveys.A new two-step remote sensing method was propose... Mussel aquaculture and large yellow croaker aquaculture areas and their environmental characteristics in Zhoushan were analyzed using satellite data and in-situ surveys.A new two-step remote sensing method was proposed and applied to determine the basic environmental characteristics of the best mussel and large yellow croaker aquaculture areas.This methodology includes the first step of extraction of the location distribution and the second step of the extraction of internal environmental factors.The fishery ranching index(FRI1,FRI2)was established to extract the mussel and the large yellow croaker aquaculture area in Zhoushan,using Gaofen-1(GF-1)and Gaofen-6(GF-6)satellite data with a special resolution of 2 m.In the second step,the environmental factors such as sea surface temperature(SST),chlorophyll a(Chl-a)concentration,current and tide,suspended sediment concentration(SSC)in mussel aquaculture area and large yellow croaker aquaculture area were extracted and analyzed in detail.The results show the following three points.(1)For the extraction of the mussel aquaculture area,FRI1 and FRI2 are complementary,and the combination of FRI1 and FRI2 is suitable to extract the mussel aquaculture area.As for the large yellow croaker aquaculture area extraction,FRI2 is suitable.(2)Mussel aquaculture and the large yellow croaker aquaculture area in Zhoushan are mainly located on the side near the islands that are away from the eastern open waters.The water environment factor template suitable for mussel and large yellow croaker aquaculture was determined.(3)This two-step remote sensing method can be used for the preliminary screening of potential site selection for the mussels and large yellow croaker aquaculture area in the future.the fishery ranching index(FRI1,FRI2)in this paper can be applied to extract the mussel and large yellow croaker aquaculture areas in coastal waters around the world. 展开更多
关键词 mussel aquaculture area large yellow croaker aquaculture area high resolution satellite site selection environmental analysis
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Prevalence of Malnutrition and Anaemia in Children ≤ 5 Years of Age in Some Conflict Hit Areas of Meme Division of the South West Region of Cameroon
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作者 Asoba Gillian Nkeudem Ebong Fidelis Sameh +3 位作者 Samuel Metuge Teh Rene Ning Ngede Laura Senge Sumbele Irene Ngole 《Food and Nutrition Sciences》 CAS 2024年第4期235-244,共10页
Malnutrition refers to the deficiency, imbalances, or excesses in a person’s intake of energy or nutrients [1]. Khan defines anaemia as below level of Haemoglobin in red blood shown by a lower number of functioning r... Malnutrition refers to the deficiency, imbalances, or excesses in a person’s intake of energy or nutrients [1]. Khan defines anaemia as below level of Haemoglobin in red blood shown by a lower number of functioning red blood cells [2]. The crisis in the North West and South West Regions of Cameroon has led to several negative effects on children’s living conditions. There has been an increase in malnutrition and anaemia in the South West Region and Kumba in particular. The main objective of this study was “to examine the prevalence of malnutrition and anaemia in children ≤ 5 years of age in some conflict-hit areas of Meme Division”. A descriptive cross-sectional study was conducted in 2023 from March to June. We recruited 200 children ≤ 5 years into the study from three hospitals. The regional hospital annex in Kumba, Presbyterian General Hospital Kumba and the Ntam Hospital in Kumba. Socio-demographic factors were assessed using questionnaire, nutritional status was assessed by the use anthropometric measurements and an auto haematology analyser was used to determine anaemia. The overall prevalence of malnutrition in the study area was 40.5%. The prevalence of malnutrition varied significantly (P < 0.001) with the study sites. The overall prevalence of anaemia in the study area was 70.5%. The prevalence of anaemia was not significantly associated with the study sites. The prevalence of Malnutrition and Anaemia in children ≤ 5 years of age is very high in the Kumba municipalities. This could be attributed to the ongoing crisis which has caused a lot of social migrations from rural areas to Urban areas which are safer. 展开更多
关键词 MALNUTRITION ANAEMIA PREVALENCE Conflict Hit areas
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Exploring well-being disparities between urban and rural areas:A case study in the Stavropol Territory,Russia
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作者 Anastasia CHAPLITSKAYA Wim HEIJMAN Johan van OPHEM 《Regional Sustainability》 2024年第1期80-92,共13页
Rural areas are crucial for a country’s sustainable economy.New strategies are needed to develop rural areas to improve the well-being of rural population and generate new job opportunities.This is especially importa... Rural areas are crucial for a country’s sustainable economy.New strategies are needed to develop rural areas to improve the well-being of rural population and generate new job opportunities.This is especially important in countries where agricultural production accounts for a significant share of the gross product,such as Russia.In this study,we identified the key indicators of satisfaction and differences between rural and urban citizens based on their social,economic,and environmental backgrounds,and determined whether there are well-being disparities between rural and urban areas in the Stavropol Territory,Russia.We collected primary data through a survey based on the European Social Survey framework to investigate the potential differences between rural and urban areas.By computing the regional well-being index using principal component analysis,we found that there was no statistically significant difference in well-being between rural and urban areas.Results of key indicators showed that rural residents felt psychologically more comfortable and safer,assessed their family relationships better,and adhered more to traditions and customs.However,urban residents showed better economic and social conditions(e.g.,infrastructures,medical care,education,and Internet access).The results of this study imply that we can better understand the local needs,advantages,and unique qualities,thereby gaining insight into the effectiveness of government programs.Policy-makers and local authorities can consider targeted interventions based on the findings of this study and strive to enhance the well-being of both urban and rural residents. 展开更多
关键词 WELL-BEING Sustainable development Rural areas Urban areas Principal component analysis(PCA) RUSSIA
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Dyslipidemia in Adults with Type 2 Diabetes in a Rural Community in Ganadougou, Mali: A Cross-Sectional Study
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作者 Abdoulaye Diawara Djibril Mamadou Coulibaly +22 位作者 Drissa Kone Mama A. Traore Drissa Konaté Dicko S. Bazi Oumar Kassogue Djeneba Sylla Fatoumata Gniné Fofana Oudou Diabaté Mariam Traore Ibrahim Antoine Nieantao Kaly Keїta Mamadou Diarra Olivia Smith Jian Li Cheickna Cisse Talib Yusuf Abbas Crystal Zheng Segun Fatumo Kassim Traore Mamadou Wele Mahamadou Diakité Seydou O. Doumbia Jeffrey G. Shaffer 《Journal of Diabetes Mellitus》 CAS 2024年第2期133-152,共20页
Dyslipidemia is a disorder where abnormally lipid concentrations circulate in the bloodstream. The disorder is common in type 2 diabetics (T2D) and is linked with T2D comorbidities, particularly cardiovascular disease... Dyslipidemia is a disorder where abnormally lipid concentrations circulate in the bloodstream. The disorder is common in type 2 diabetics (T2D) and is linked with T2D comorbidities, particularly cardiovascular disease. Dyslipidemia in T2D is typically characterized by elevated plasma triglyceride and low high-density lipoprotein cholesterol (HDL-C) levels. There is a significant gap in the literature regarding dyslipidemia in rural parts of Africa, where lipid profiles may not be captured through routine surveillance. This study aimed to characterize the prevalence and demo-graphic profile of dyslipidemia in T2D in the rural community of Ganadougou, Mali. We performed a cross-sectional study of 104 subjects with T2D in Ganadougou between November 2021 and March 2022. Demographic and lipid profiles were collected through cross-sectional surveys and serological analyses. The overall prevalence of dyslipidemia in T2D patients was 87.5% (91/104), which did not differ by sex (P = .368). High low-density lipoprotein cholesterol (LDL-C) was the most common lipid abnormality (78.9%, [82/104]). Dyslipidemia was associated with age and hypertension status (P = .013 and.036, respectively). High total and high LDL-C parameters were significantly associated with hypertension (P = .029 and .006, respectively). In low-resource settings such as rural Mali, there is a critical need to improve infrastructure for routine dyslipidemia screening to guide its prevention and intervention approaches. The high rates of dyslipidemia observed in Gandadougou, consistent with concomitant increases in cardiovascular diseases in Africa suggest that lipid profile assessments should be incorporated into routine medical care for T2D patients in African rural settings. 展开更多
关键词 CHOLESTEROL cross-sectional Study DYSLIPIDEMIA LIPIDS MALI Type 2 Diabetes
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Metropolitan Housing Development in Urban Fringe Areas-A Case Study of Three Metropolitan Cities of South Africa: Johannesburg, Ekurhuleni and Tshwane 被引量:1
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作者 Aurobindo Ogra 《Journal of Civil Engineering and Architecture》 2024年第5期244-253,共10页
Purpose:The metropolitan cities of Johannesburg,Ekurhuleni and Tshwane play an important role in the economy of the Gauteng province in South Africa.The region constitutes to 22.4 percent of the total population of So... Purpose:The metropolitan cities of Johannesburg,Ekurhuleni and Tshwane play an important role in the economy of the Gauteng province in South Africa.The region constitutes to 22.4 percent of the total population of South Africa and has a strong presence and contributes in areas of manufacturing sector,financial and business services,retail and wholesale trade,etc.The rapid urban population,increase in the informal settlements and socio-economic opportunities has resulted in considerable urban sprawl in and around the urban fringe areas of these metropolitan cities.The urban fringe areas of these metros often come under the influence of rapid urbanization process and pressures.Coupled with the economical and potential land dynamics and lack of priority of spatial development guidelines,these areas attract rapid and haphazard development from communities and developers.Research Design/Methodology:This research is based on a qualitative approach through a comprehensive literature review that included content analysis of key documents on housing sector such as IDPs(Integrated Development Plans),Municipal Annual Reports,Growth Development Strategies,and among other sectoral documents on housing sector.Some of the key priority issues considered in the housing sector included:eradication of housing backlogs,spatial restructuring of housing,provision of choice in terms of location,tenure and housing typology.Findings:The current paper discusses the approaches of metropolitan housing development processes in three metropolitan cities of South Africa from Gauteng region,namely:Johannesburg,Ekurhuleni and Tshwane.The paper discusses the existing housing sectoral scenario along with the fringe areas in three cities with focus on:formal and informal settlements,housing segregation and the backlogs,current institutional arrangements,role of public private participation,and scope for alternate mechanisms.The paper concludes in discussion on sustainable development options for housing development in urban fringe areas. 展开更多
关键词 Metropolitan housing development urban fringe areas housing backlog informal settlements urban poor land dynamics housing infrastructure PPP(public private partnership)
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Correlation between current and cross-sectional area of parallel fixed-movable dual electrodes in ESC
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作者 Li-ting Zhao Yun-long Xiong +2 位作者 Rui Chen Zeng-rui Wang An-guo Wang 《China Foundry》 SCIE 2020年第3期245-249,共5页
Electroslag casting with parallel fixed-movable dual electrodes is a new method for achieving better quality of castings in complex mold cavities.In this work,a mathematical model,y=kx^2+(k+1)x,was established to desc... Electroslag casting with parallel fixed-movable dual electrodes is a new method for achieving better quality of castings in complex mold cavities.In this work,a mathematical model,y=kx^2+(k+1)x,was established to describe the ideal correlation between the current ratio(y)and the cross-sectional area ratio(x)of the dual electrodes,where k is the filling ratio.Investigation was conducted on the electroslag casting process with dual electrodes of various cross-sectional areas,but at a constant k value.The experimental results indicated that the ideal correlation was obtained at the stable casting stage,and the fitting results were consistent with the experimental results at certain k values.The experimental findings show that better castings can be obtained when the current ratio is greater than 1.536 and the cross-sectional area ratio is greater than 0.5. 展开更多
关键词 electroslag casting fixed-movable dual electrode current ratio cross-sectional area ratio
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Mapping ecosystem services in urban and peri-urban areas.A systematic review
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作者 Paulo Pereira Miguel Inácio +3 位作者 Luis Pinto Marius Kalinauskas Katarzyna Bogdzevic Wenwu Zhao 《Geography and Sustainability》 CSCD 2024年第3期491-509,共19页
Urban and peri-urban ecosystems are subjected to an intense impact.The demand for ecosystem services(ES)is higher in these areas.Nevertheless,despite the anthropogenic pressures,urban and peri-urban ecosystems supply ... Urban and peri-urban ecosystems are subjected to an intense impact.The demand for ecosystem services(ES)is higher in these areas.Nevertheless,despite the anthropogenic pressures,urban and peri-urban ecosystems supply important ES.Mapping is a crucial exercise to understand ES dynamics in these environments better.This work aims to systematically review mapping ES in urban and peri-urban areas studies,following the Preferred Reporting Items for Systematic Reviews and Meta-alpha Methods.A total of 207 studies were selected.The results show increased work between 2011 and 2023,mainly conducted in Europe and China.Most work were developed in urban areas and did not follow an established ES classification.Most studies focused on the ES supply dimension,the regulation and maintenance section.Regarding provisioning ES,most studies focused on Cultivating terrestrial plants for nutrition,regulating and maintainin g Atmospheric composition and conditions,and for cultural ES on Physical and experiential interactions with the natural environment.Quantitative methods were mostly applied following Indicator-based(secondary data:biophysical,socio-economic)models.Very few work validated the outputs.Several studies forecasted ES,primarily based on land use changes using CA-Markov approaches.This study provides an overview of the most mapped urban and peri-urban ES globally,the areas where more studies need to be conducted,and the methods developed. 展开更多
关键词 Systematic review Urban and peri-urban areas Ecosystem services MAPPING METHODS
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Impact of typical environments in China’s western mountainous areas on the durability of railway concrete:a review
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作者 Jiahe Wang Yanbin Tan +3 位作者 Huajian Li Xinhua Zhong Jiaxuan Wang Yu Gao China 《Railway Sciences》 2024年第5期650-669,共20页
Purpose–This study aims to analyze the impact mechanism of typical environments in China’s western mountainous areas on the durability of railway concrete and propose measures to improve durability.Design/methodolog... Purpose–This study aims to analyze the impact mechanism of typical environments in China’s western mountainous areas on the durability of railway concrete and propose measures to improve durability.Design/methodology/approach–With the continuous promotion of infrastructure construction,the focus of China’s railway construction has gradually shifted to the western region.The four typical environments of large temperature differences,strong winds and dryness,high cold and low air pressure unique to the western mountainous areas of China have adverse effects on the durability of typical railway structure concrete(bridges,ballastless tracks and tunnels).This study identified the characteristics of four typical environments in the western mountainous areas of China through on-site research.The impact mechanism of the four typical environments on the durability of concrete in different structural parts of railways has been explored through theoretical analysis and experimental research;Finally,a strategy for improving the durability of railway concrete suitable for the western mountainous areas of China was proposed.Findings–The daily temperature difference in the western mountainous areas of China is more than twice that of the plain region,which will lead to significant temperature deformation and stress in the multi-layered structure of railway ballastless tracks.It will result in cracking.The wind speed in the western plateau region is about 2.5 to 3 times that of the plain region,and the average annual rainfall is only 1/5 of that in the plain region.The drying effect on the surface of casting concrete will significantly accelerate its cracking process,leading to serious durability problems.The environmental temperature in the western mountainous areas of China is generally low,and there are more freeze-thaw cycles,which will increase the risk of freeze-thaw damage to railway concrete.The environmental air pressure in the western plateau region is only 60%of that in the plain region.The moisture inside the concrete is more likely to diffuse into the surrounding environment under the pressure difference,resulting in greater water loss and shrinkage deformation of the concrete in the plateau region.The above four issues will collectively lead to the rapid deterioration of concrete durability in the western plateau region.The corresponding durability improvement suggestions from theoretical research,new technology development and standard system was proposed in this paper.Originality/value–The research can provide the mechanism of durability degradation of railway concrete in the western mountainous areas of China and corresponding improvement strategies. 展开更多
关键词 Western mountainous areas CONCRETE DURABILITY ENVIRONMENT
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Quantifying the impact of earthquakes and geological factors on spatial heterogeneity of debris-flow prone areas:A case study in the Hengduan Mountains
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作者 HU Xudong SHEN Yitong +6 位作者 HU Kaiheng XU Wennian LIU Daxiang HE Songtang GAO Jiazhen WEI Li LIU Shuang 《Journal of Mountain Science》 SCIE CSCD 2024年第5期1522-1533,共12页
Understanding the spatial heterogeneity of debris-flow-prone areas holds significant implications for regional risk management, particularly in seismically active regions with geological faults. Despite the significan... Understanding the spatial heterogeneity of debris-flow-prone areas holds significant implications for regional risk management, particularly in seismically active regions with geological faults. Despite the significance of this knowledge, a comprehensive quantification of the influence of regional topographical and geological factors on the spatial heterogeneity of debris-flow-prone areas has been lacking. This study selected the Hengduan Mountains, an earthquake-prone region characterized by diverse surface conditions and complex landforms, as a representative study area. An improved units zoning and objective factors identification methodology was employed in earthquake and fault analysis to assess the impact of seismic activity and geological factors on spatial heterogeneity of debrisflow prone areas. Results showed that the application of GIS technology with hydrodynamic intensity and geographical units analysis can effectively analyze debris-flow prone areas. Meanwhile, earthquake and fault zones obviously increase the density of debrisflow prone catchments and make them unevenly distributed. The number of debris-flow prone areas shows a nonlinear variation with the gradual increase of geomorphic factor value. Specifically, the area with 1000 m-2500 m elevation difference, 25°-30° average slope, and 0.13-0.15 land use index is the most favorable conditions for debris-flow occurrence;The average annual rainfall from 600 to 1150 mm and landslides gradient from 16° to 35° are the main causal factors to trigger debris flow. Our study sheds light on the quantification of spatial heterogeneity in debris flow-prone areas in earthquake-prone regions, which can offer crucial support for post-debris flow risk management strategies. 展开更多
关键词 debris-flow prone areas causal factors GIS-based method spatial heterogeneity Hengduan Mountains
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