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Specialization or Diversification:Which is More Conducive to Foreign Trade Resilience?Evidence from China-Russia Border Regions in Northeast China
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作者 LI Yuxin ZHANG Pingyu +1 位作者 YANG Qifeng CHU Nanchen 《Chinese Geographical Science》 SCIE CSCD 2024年第6期1144-1157,共14页
Under the background of complex international situation,how to build the special geo-economic space of China-Russia bor-der lies in strengthening their foreign trade resilience against external shocks.Based on empiric... Under the background of complex international situation,how to build the special geo-economic space of China-Russia bor-der lies in strengthening their foreign trade resilience against external shocks.Based on empirical evidence from ten prefecture-level China-Russia border regions in Northeast China,this paper analyzed the spatiotemporal evolution of foreign trade resilience under dif-ferent shocks.Furthermore,through the Panel Regression model,the mechanism of the industrial structure on the foreign trade resili-ence in contraction period and expansion period was discussed.The results showed that:1)from 2004 to 2021,foreign trade in China-Russia border regions experienced five phases.The overall foreign trade resilience was higher than expected,showing a rising volatility trend,but there was significant spatial heterogeneity in the ability of cities to cope with shocks.2)Highly specialized clusters were mainly concentrated in Yichun,Heihe and Da Hinggan Ling Prefecture,while Mudanjiang and Yanbian performed better in related and unrelated diversification.3)In different stages of economic system evolution,the response mode,degree and result of border foreign trade resilience to regional industrial structure showed obvious stage characteristics.During the contraction period,related diversifica-tion was more conducive to improving the resistance through risk spillovers.During the expansion period,specialization played a more significant role in improving regional resilience through self-reinforcing effect.These results are beneficial for expanding the resilience theory,ensuring border economic security and optimizing border industrial investment layout. 展开更多
关键词 foreign trade resilience industrial structure specialization Panel Regression model China-Russia border regions North-east China
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Effects of pooling,specialization,and discretionary task completion on queueing performance
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作者 JIANG Houyuan 《运筹学学报(中英文)》 CSCD 北大核心 2024年第3期81-96,共16页
Pooling,unpooling/specialization,and discretionary task completion are typical operational strategies in queueing systems that arise in healthcare,call centers,and online sales.These strategies may have advantages and... Pooling,unpooling/specialization,and discretionary task completion are typical operational strategies in queueing systems that arise in healthcare,call centers,and online sales.These strategies may have advantages and disadvantages in different operational environments.This paper uses the M/M/1 and M/M/2 queues to study the impact of pooling,specialization,and discretionary task completion on the average queue length.Closed-form solutions for the average M/M/2 queue length are derived.Computational examples illustrate how the average queue length changes with the strength of pooling,specialization,and discretionary task completion.Finally,several conjectures are made in the paper. 展开更多
关键词 queuing systems pooling specialization discretionary task completion average queue length
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Nondestructive and active interrogation system for special nuclear material:proof of principle and initial results
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作者 Mahmoud Bakr Kai Masuda +3 位作者 Yoshiyuki Takahashi Tsuyoshi Misawa Norio Yamakawa Tomas Scott 《Nuclear Science and Techniques》 SCIE EI CAS CSCD 2024年第5期216-225,共10页
Herein,we employ the threshold energy neutron analysis(TENA)technique to introduce the world's first active interrogation system to detect special nuclear materials(SNMs),including U-235 and Pu-239.The system util... Herein,we employ the threshold energy neutron analysis(TENA)technique to introduce the world's first active interrogation system to detect special nuclear materials(SNMs),including U-235 and Pu-239.The system utilizes a DD neutron generator based on inertial electrostatic confinement(IEC)to interrogate suspicious objects.To detect secondary neutrons produced during fission reactions induced in SNMs,a tensioned metastable fluid detector(TMFD)is employed.The current status of the system's development is reported in this paper,accompanied by the results from experiments conducted to detect 10 g of highly enriched uranium(HEU).Notably,the experimental findings demonstrate a distinct difference in the count rates of measurements with and without HEU.This difference in count rates surpasses two times the standard deviation,indicating a confidence level of more than 96% for identifying the presence of HEU.The paper presents and extensively discusses the proof-of-principle experimental results,along with the system's planned trajectory. 展开更多
关键词 Special nuclear materials Uranium detection Inertial electrostatic confinement fusion TENA HEU CTMFD
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Rural Development Transformation and Social Governance from the Perspective of Specialization:A Case Study of Ruiling Village in Guangzhou City,China 被引量:3
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作者 LIN Yuancheng YANG Ren LI Simeng 《Chinese Geographical Science》 SCIE CSCD 2023年第5期796-812,共17页
The reorganization of the global production network and the increased mobility of urban-rural elements have accelerated the differentiation of rural spaces,resulting in a trend towards specialization in rural areas.Th... The reorganization of the global production network and the increased mobility of urban-rural elements have accelerated the differentiation of rural spaces,resulting in a trend towards specialization in rural areas.This paper focuses on the concept of specialization,and takes a renowned bonsai specialized village in Guangzhou City,China as a typical case to explore its transformation and development process,action logic and coupling mechanism with the social governance.The results show that:1)the development of rural specialization in Ruiling Village is shaped by several key actors,such as local governments,grassroots organizations,villagers,social organizations,policies,markets and infrastructure.The transfer of these key actors and the reconstruction of actor-networks in different stages have an important influence on the transformation and realization of rural development goals.2)Through subjects-driven,organization management and resource connection,social governance supports the specialization of rural industrial organization,operation,technology and mode.The governance structure shifts from decentralization to networking,refinement and integration.A coupling community of social governance and specialization is created by the social governance system of‘local government-grassroots organizationseconomic cooperatives-villagers’,which links industries,industrial chains and cooperatives.3)Social governance integrates into the value chain extension process of rural specialized development with a central,multi-level organizational structure.It promotes the construction of the whole value chain through organizational planning,resource integration and image shaping,thus realizing the value,branding and organization of the industry,as well as the integration of rural sustainable development and governance mechanism.Social governance has a profound impact on the development of rural specialization in terms of subject,structure and mode,and participates in the construction of the whole value chain of rural areas.This paper provides a new perspective for understanding the coupling effect of social governance in the rural development transformation,and promotes the rural sustainable development and governance. 展开更多
关键词 rural specialization rural development transformation social governance rural differentiation actor-network theory(ANT) Ruiling Village
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The Hesitance of Nurses to Apply for Midwifery Specialization: Explorative Qualitative Study
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作者 Fahima Al Harthy Mudhar Al Adawi +5 位作者 Khalid Al Busaidi Aisha Al Mamari Asma Al Zaabi Zubaida Suliman Al Balushi Shakila Al Habsi Kamila Al-Alawi 《Open Journal of Nursing》 2023年第8期512-527,共16页
Background: Many countries across the world are facing an ongoing shortage of midwife practitioners due to several reasons such as increased workload, working overtime, poor-quality midwifery care, low staff morale, s... Background: Many countries across the world are facing an ongoing shortage of midwife practitioners due to several reasons such as increased workload, working overtime, poor-quality midwifery care, low staff morale, stress and burnout, lack of opportunity for training, lack of management support, financial issues and lack of recognition and compromised autonomy. Purpose: To explore the reasons behind nurses’ hesitance to apply for midwifery specialization. The objectives of this study were to understand the challenges that lie in front of Omani nurses and the motivational factors to apply for a midwifery programme. Method: Exploratory qualitative study was conducted at the largest tertiary hospital in Oman. Purposive sampling was applied for participant recruitment. Face-to-face interviews and focus group discussions were used as data collection methods. The study included general nurses, nurses in charge working in the maternity unit as well as nurses whose applications were accepted for midwifery education. Qualified midwives were excluded. The data collection process yielded twenty-five nurses. The interview protocol highlighted the impact and perception of the midwifery specialization on nurses’ careers. Thematic analysis was employed for data analysis. Results: Three over-arching major themes were identified. These are 1) nurses’ perceptions about the nature of work in maternity wards, the nurses have positive perception toward working in maternity wards and labor room because of working exclusively with female patients and their babies 2) factors influencing the decision to study midwifery specialization, work overload, stress, lack of support from administration were the most common reason behind the nurses not to apply for midwifery specialization and 3) support and recommendations required for midwives, the nurses mentioned that their identity, promotions and support from the administration will encourage them to apply for midwifery specialization. Conclusion: One of the main reasons that hindered nurses from applying to midwifery specialization is the false belief that midwives cannot work outside the delivery suite (DS). The second reason was the stress that midwives encounter at DS, and this was perceived by general nurses who did not work at DS. These challenges could be mitigated by leadership support, midwifery profession identity, as well as financial recognition for the midwives. 展开更多
关键词 Midwifery specialization Hesitancy CHALLENGES
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Psychological Emotion Analysis System for Special Needs Children Based on Neural Network
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作者 Zhixian Piao 《Journal of Electronic Research and Application》 2023年第2期12-19,共8页
With the development of modern society and the improvement of living standards,care for special needs children has been increasingly highlighted,and numerous corresponding measures such as welfare homes,special educat... With the development of modern society and the improvement of living standards,care for special needs children has been increasingly highlighted,and numerous corresponding measures such as welfare homes,special education schools,and youth care centers have emerged.Due to the lack of systematic emotional companionship,the mental health of special needs children are bound to be affected.Nowadays,emotional education,analysis,and evaluation are mostly done by psychologists and emotional analysts,and these measures are unpopular.Therefore,many researchers at home and abroad have focused on the solution of psychological issues and the psychological assessment and emotional analysis of such children in their daily lives.In this paper,a special children’s psychological emotional analysis based on neural network is proposed,where the system sends the voice information to a cloud platform through intelligent wearable devices.To ensure that the data collected are valid,a series of pretreatments such as Chinese word segmentation,de-emphasis,and so on are put into the neural network model.The model is based on the further research of transfer learning and Bi-GRU model,which can meet the needs of Chinese text sentiment analysis.The completion rate of the final model test has reached 97%,which means that it is ready for use.Finally,a web page is designed,which can evaluate and detect abnormal psychological state,and at the same time,a personal emotion database can also be established. 展开更多
关键词 Deep learning Special needs children Psychological emotion Analysis system
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Relationship between the unique microstructures and behaviors of high-entropy alloys 被引量:2
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作者 Yaqi Wu Peter KLiaw +5 位作者 Ruixuan Li Weiran Zhang Guihong Geng Xuehui Yan Guiqun Liu Yong Zhang 《International Journal of Minerals,Metallurgy and Materials》 SCIE EI CAS CSCD 2024年第6期1350-1363,共14页
High-entropy alloys(HEAs),which were introduced as a pioneering concept in 2004,have captured the keen interest of nu-merous researchers.Entropy,in this context,can be perceived as representing disorder and randomness... High-entropy alloys(HEAs),which were introduced as a pioneering concept in 2004,have captured the keen interest of nu-merous researchers.Entropy,in this context,can be perceived as representing disorder and randomness.By contrast,elemental composi-tions within alloy systems occupy specific structural sites in space,a concept referred to as structure.In accordance with Shannon entropy,structure is analogous to information.Generally,the arrangement of atoms within a material,termed its structure,plays a pivotal role in dictating its properties.In addition to expanding the array of options for alloy composites,HEAs afford ample opportunities for diverse structural designs.The profound influence of distinct structural features on the exceptional behaviors of alloys is underscored by numer-ous examples.These features include remarkably high fracture strength with excellent ductility,antiballistic capability,exceptional radi-ation resistance,and corrosion resistance.In this paper,we delve into various unique material structures and properties while elucidating the intricate relationship between structure and performance. 展开更多
关键词 high-entropy alloys unique microstructure special properties alloy design
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Intraclonal Resource Sharing and Functional Specialization of Ramets in Response to Resource Heterogeneity in Three Stoloniferous Herbs 被引量:8
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作者 于飞海 董鸣 张称意 《Acta Botanica Sinica》 CSCD 2002年第4期468-473,共6页
Environments with reciprocal patchiness of resources, in which the availability of two resources such as light and soil nutrients are patchily distributed in horizontal space and negatively correlated in each patch, a... Environments with reciprocal patchiness of resources, in which the availability of two resources such as light and soil nutrients are patchily distributed in horizontal space and negatively correlated in each patch, are common in many ecosystems. The strategies by which clonal plants adapt to this type of heterogeneous environment were examined in three stoloniferous herbs,Potentilla reptans L. var. sericophylla Franch., P. anserina L. and Halerpestes ruthenica (Jacq.) Qvcz., commonly inhabiting forest understories, grasslands and low saline meadows, respectively. As pairs of connected ramets were subjected to reciprocal patchiness of light and nutrients, stolon connection between the two ramets significantly enhanced biomass of both ramet growing in low light intensity but high soil nutrient condition (LH ramet) and ramet growing in high light intensity but low soil nutrient condition (HL ramet) as well as whole ramet pairs (consisting of LH ramets and HL ramets). Additionally, stolon connection greatly increased root/shoot ratio of LH ramet while significantly decreased that of HL ramet. The results indicate that a reciprocal transportation of resources between interconnected ramets and a functional specialization of ramets in uptake of abundant resources occurred. By resource sharing and functional specialization, clonal plants can efficiently acquire locally abundant resources and buffer the stress caused by reciprocal patchiness of resources. 展开更多
关键词 Halerpestes ruthenica Potentilla anserina P. reptans var. sericophylla functional specialization light intensity nutrient content reciprocal patchiness of resources resource sharing
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DEVELOPMENT AND PRELIMINARY APPLICATION OF OBJECTIFYING SYSTEM FOR TCM COLOR INSPECTION 被引量:2
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作者 郑冬梅 戴振东 王鸿谟 《Transactions of Nanjing University of Aeronautics and Astronautics》 EI 2012年第4期395-403,共9页
An objectifying system for color inspections of traditional Chinese medicine (CITCM) is developed. The entire system includes two parts : The hardware and the software. The hardware is an image acquiring device und... An objectifying system for color inspections of traditional Chinese medicine (CITCM) is developed. The entire system includes two parts : The hardware and the software. The hardware is an image acquiring device under a standard lighting condition, and it mainly includes a xenon lamp with color temperature of 5 500 K as light source, an integrating sphere used for diffusing light and a high resolution CCD camera. The software is used for digital image processing, and the procedure is divided into three steps. Firstly the skin/non-skin classifi- cation is performed by utilizing the threshold in chrominance channels of the RGB color space. Secondly, the fa- cial features are localized by using the image segmentation and coordinates sorting. Finally, the facial special re- gion(SR) corresponding to five internal organs is achieved by utilizing masks designed to take advantage of mor- phology. Subsequently, the chromaticity is calculated. The system is tested by taking 83 samples of 30 young and 53 elderly people. The experiment shows that there is significant difference of all SRs between the young and the elderly, and the system has better performance for objectifying research of CITCM. 展开更多
关键词 color inspection special region integrating sphere image processing CHROMATICITY significant dif- ference
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Application of Specialized Group Management in the Quality Control of Perioperative Nursing 被引量:2
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作者 Cong Fu Xuefei Li +4 位作者 Li Wang Yuanyuan Jiang Xinrong Qi Chen Ding Shanshan Tang 《Journal of Clinical and Nursing Research》 2024年第2期70-75,共6页
Objective:To explore the role of specialized group management in the quality control of perioperative nursing.Methods:45 surgical nurses from our hospital were selected as the research subjects.Traditional operating r... Objective:To explore the role of specialized group management in the quality control of perioperative nursing.Methods:45 surgical nurses from our hospital were selected as the research subjects.Traditional operating room management was adopted from July 2019 to June 2020,and specialized group management was adopted from July 2020 to June 2021.The surgeon’s satisfaction,surgical nurses’core professional competence,and surgical patients’satisfaction were obtained through surveys and the results were analyzed.Results:Surgeon satisfaction before the implementation of specialized group management was significantly lower than after its implementation(P<0.05).Besides,surgical nurses’core professional competency scores before the implementation of specialized group management were significantly lower than after its implementation(P<0.05).Lastly,surgical patients’satisfaction before the implementation of specialized group management was significantly lower than after its implementation(P<0.05).Conclusion:Specialized group management helps to improve the quality of perioperative care and should be applied in clinical practice. 展开更多
关键词 Specialized group management Operating room Quality of care CONTROL
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Pro-resolving lipid mediator reduces amyloid-β42–induced gene expression in human monocyte–derived microglia
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作者 Ying Wang Xiang Zhang +6 位作者 Henrik Biverstål Nicolas GBazan Shuai Tan Nailin Li Makiko Ohshima Marianne Schultzberg Xiaofei Li 《Neural Regeneration Research》 SCIE CAS 2025年第3期873-886,共14页
Specialized pro-resolving lipid mediators including maresin 1 mediate resolution but the levels of these are reduced in Alzheimer's disease brain, suggesting that they constitute a novel target for the treatment o... Specialized pro-resolving lipid mediators including maresin 1 mediate resolution but the levels of these are reduced in Alzheimer's disease brain, suggesting that they constitute a novel target for the treatment of Alzheimer's disease to prevent/stop inflammation and combat disease pathology. Therefore, it is important to clarify whether they counteract the expression of genes and proteins induced by amyloid-β. With this objective, we analyzed the relevance of human monocyte–derived microglia for in vitro modeling of neuroinflammation and its resolution in the context of Alzheimer's disease and investigated the pro-resolving bioactivity of maresin 1 on amyloid-β42–induced Alzheimer's disease–like inflammation. Analysis of RNA-sequencing data and secreted proteins in supernatants from the monocyte-derived microglia showed that the monocyte-derived microglia resembled Alzheimer's disease–like neuroinflammation in human brain microglia after incubation with amyloid-β42. Maresin 1 restored homeostasis by down-regulating inflammatory pathway related gene expression induced by amyloid-β42 in monocyte-derived microglia, protection of maresin 1 against the effects of amyloid-β42 is mediated by a re-balancing of inflammatory transcriptional networks in which modulation of gene transcription in the nuclear factor-kappa B pathway plays a major part. We pinpointed molecular targets that are associated with both neuroinflammation in Alzheimer's disease and therapeutic targets by maresin 1. In conclusion, monocyte-derived microglia represent a relevant in vitro microglial model for studies on Alzheimer's disease-like inflammation and drug response for individual patients. Maresin 1 ameliorates amyloid-β42–induced changes in several genes of importance in Alzheimer's disease, highlighting its potential as a therapeutic target for Alzheimer's disease. 展开更多
关键词 Alzheimer's disease amyloid-β maresin MICROGLIA MONOCYTE NEUROINFLAMMATION resolution RNA-sequencing specialized pro-resolving lipid mediator
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Does astrocytic L-lactate enhance cognition through myelination?
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作者 Mastura Akter Ying Li 《Neural Regeneration Research》 SCIE CAS CSCD 2024年第6期1167-1168,共2页
Introduction:Astrocytes,the predominant glial cell in the brain,play a vital role in a plethora of central nervous system functions.They are the major storage site of glycogen in the central nervous system.They produc... Introduction:Astrocytes,the predominant glial cell in the brain,play a vital role in a plethora of central nervous system functions.They are the major storage site of glycogen in the central nervous system.They produce L-lactate by glycogenolysis and glycolysis which is then transported to neurons(Magistretti and Allaman,2018).Multiple evidence using diverse behavioral paradigms,such as fear conditioning,conditioned place avoidance,rat gambling task(RGT),and flavor-place paired associate(PA)learning suggest that L-lactate has a beneficial effect on various aspects of cognition(Wang et al.,2017;Akter et al.,2023b).While the molecular mechanisms underlying the cognitive benefits of L-lactate are still emerging,it is well-established that astrocytic L-lactate can be used as an energy substrate by neurons and can induce N-methyl-D-aspartate receptor-dependent plasticity-driven gene expression during cognition(Magistretti and Allaman,2018).Additionally,recent evidence has revealed more roles of L-lactate which include myelination,neuronal mitochondrial biogenesis,and antioxidant defense(Sanchez-Abarca et al.,2001;Ichihara et al.,2017;Akter et al.,2023a,b).Myelin in the central nervous system is a specialized lipid-rich membrane formed by oligodendrocytes. 展开更多
关键词 MYELIN specialized predominant
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Attributes of Specialized Households'Resilience and Its Impact on Rural Industrial Advancement:A Case Study of National Musical Instrument Production Specialized Households in Lankao County,Henan,China
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作者 WU Nalin WEI Yike +4 位作者 FAN Sizhe LI Li SUN Yufan ZHANG Yan SHU Yan 《Chinese Geographical Science》 SCIE CSCD 2024年第3期383-400,共18页
Specialized households serve as the primary units within specialized villages in China,and their capacity to withstand risks and external influences significantly shapes the future trajectory of specialized villages a... Specialized households serve as the primary units within specialized villages in China,and their capacity to withstand risks and external influences significantly shapes the future trajectory of specialized villages and the overall vitality of the rural economy.In this study,we established a measurement indicator system based on the definition of specialized households’resilience,elucidating the logical connection between specialized households’resilience and rural industrial development in China.The musical instrument industry in Lankao County,Henan Province of China,was employed as a case;survey data,the entropy method,and an obstacle diagnosis model were used to examine how instrument production specialized households responded to the challenges posed by Corona Virus Disease 2019(COVID-19)and the tightening of national environmental protection policies,yielding the following key findings:1)there exists substantial variation in the comprehensive resilience levels among different specialized households;2)the ability to learn and adapt is the most significant contributor to the overall resilience level of specialized households;3)technological proficiency and access to skilled talent emerge as pivotal factors influencing specialized households’resilience;4)the positioning of specialized households within the industrial supply chain and the stability of their income have a direct bearing on their resilience level.The influence of specialized households’resilience on industrial development primarily manifests in the following ways:stronger resilience correlates with increased stability in production and sales,fostering a more proactive approach to future actions.However,heightened exposure to the external macroeconomic environment can lead to a higher rate of export reduction.To enhance the development resilience of entities like specialized households and family farms,and to invigorate rural economic development,escalating investments in rural science and technology and prioritizing the training of technical talent become imperative. 展开更多
关键词 RESILIENCE specialized households rural industry Lankao County China
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AGGREGATE SPECIAL FUNCTIONS TO APPROXIMATE PERMUTING TRI-HOMOMORPHISMS AND PERMUTING TRI-DERIVATIONS ASSOCIATED WITH A TRI-ADDITIVEψ-FUNCTIONAL INEQUALITY IN BANACH ALGEBRAS
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作者 Safoura Rezaei ADERYANI Azam AHADI +1 位作者 Reza SAADATI Hari M.SRIVASTAVA 《Acta Mathematica Scientia》 SCIE CSCD 2024年第1期311-338,共28页
In this paper,we define a new class of control functions through aggregate special functions.These class of control functions help us to stabilize and approximate a tri-additiveψ-functional inequality to get a better... In this paper,we define a new class of control functions through aggregate special functions.These class of control functions help us to stabilize and approximate a tri-additiveψ-functional inequality to get a better estimation for permuting tri-homomorphisms and permuting tri-derivations in unital C*-algebras and Banach algebras by the vector-valued alternative fixed point theorem. 展开更多
关键词 permuting tri-homomorphism in Banach algebra permuting tri-derivation on C*-algebra fixed point theorem Ulam-Hyers-Rassias stability aggregate special functions tri-additiveψ-functional inequality
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A Brief Introduction to Sichuan Academy of Social Sciences
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《Contemporary Social Sciences》 2024年第5期F0003-F0003,共1页
Established in 1958,Sichuan Academy of Social Sciences(SASS)is a public institutionguided by the People’s Government of Sichuan Province.It is a comprehensive and specializedresearch institution in social sciences th... Established in 1958,Sichuan Academy of Social Sciences(SASS)is a public institutionguided by the People’s Government of Sichuan Province.It is a comprehensive and specializedresearch institution in social sciences that integrates research,education,editing,andconsulting services.It holds the registered trademark of“Tianfu Think Tank”and owns twocampuses:Baihuatan and Banzhuyuan. 展开更多
关键词 EDUCATION holds specialized
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Effect of special types of bread with select herbal components on postprandial glucose levels in diabetic patients
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作者 Drasko M Gostiljac Srdjan S Popovic +4 位作者 Vesna Dimitrijevic-Sreckovic Sasa M Ilic Jelena A Jevtovic Dragan M Nikolic Ivan A Soldatovic 《World Journal of Diabetes》 SCIE 2024年第4期664-674,共11页
BACKGROUND Nutrition recommendations in patients with type 2 diabetes mellitus(T2DM)are to consume rye or integral bread instead of white bread.A positive effect on glucoregulation has been achieved by enriching food ... BACKGROUND Nutrition recommendations in patients with type 2 diabetes mellitus(T2DM)are to consume rye or integral bread instead of white bread.A positive effect on glucoregulation has been achieved by enriching food with various biologically active substances of herbal origin,so we formulated an herbal mixture that can be used as a supplement for a special type of bread(STB)to achieve better effects on postprandial glucose and insulin levels in patients with T2DM.AIM To compare organoleptic characteristics and effects of two types of bread on postprandial glucose and insulin levels in T2DM patients.METHODS This trial included 97 patients with T2DM.A parallel group of 16 healthy subjects was also investigated.All participants were given 50 g of rye bread and the same amount of a STB with an herbal mixture on 2 consecutive days.Postprandial blood glucose and insulin levels were compared at the 30^(th),60^(th),90^(th) and 120th min.A questionnaire was used for subjective estimation of the organoleptic and satiety features of the two types of bread.RESULTS Compared to patients who consumed rye bread,significantly lower postprandial blood glucose and insulin concentrations were found in T2DM patients who consumed STB.No relevant differences were found among the healthy subjects.Subjectively estimated organoleptic and satiety characteristics are better for STB than for rye bread.CONCLUSION STB have better effects than rye bread on postprandial glucoregulation in T2DM patients.Subjectively estimated organoleptic and satiety characteristics are better for STB than for rye bread.Therefore,STB can be recommended for nutrition in T2DM patients. 展开更多
关键词 Special types of bread Postprandial glucoregulation INSULIN NUTRITION Type 2 diabetes mellitus
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Autoimmune hepatitis:Towards a personalized treatment
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作者 Alejandro Costaguta Guillermo Costaguta FernandoÁlvarez 《World Journal of Hepatology》 2024年第11期1225-1242,共18页
Autoimmune hepatitis is an uncommon condition that affects both adults and children and is characterized by chronic and recurrent inflammatory activity in the liver.This inflammation is accompanied by elevated IgG and... Autoimmune hepatitis is an uncommon condition that affects both adults and children and is characterized by chronic and recurrent inflammatory activity in the liver.This inflammation is accompanied by elevated IgG and autoantibody levels.Historically,treatment consists of steroids with the addition of azathioprine,which results in remission in approximately 80%of patients.Despite significant advancements in our understanding of the immune system over the past two decades,few modifications have been made to treatment algorithms,which have remained largely unchanged since they were first proposed more than 40 years ago.This review summarized the various treatment options currently available as well as our experiences using them.Although steroids are the standard treatment for induction therapy,other medications may be considered.Cyclosporin A,a calcineurin inhibitor that decreases T cell activation,has proven effective for induction of remission,but its long-term side effects limit its appeal for maintenance.Tacrolimus,a drug belonging to the same family,has been used in patients with refractory diseases with fewer side effects.Sirolimus and everolimus have interesting effects on regulatory T cell populations and may become viable options in the future.Mycophenolate mofetil is not effective for induction but is a valid alternative for patients who are intolerant to azathioprine.B celldepleting drugs,such as rituximab and belimumab,have been successfully used in refractory cases and are useful in both the short and long term.Other promising treatments include anti-tumor necrosis factors,Janus kinases inhibitors,and chimeric antigen receptor T cell therapy.This growing armamentarium allows us to imagine a more tailored approach to the treatment of autoimmune hepatitis in the near future. 展开更多
关键词 Novel therapies Immunosuppressors Treatment tailoring PERSONALIZATION Special populations
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A Brief Introduction to Sichuan Academy of Social Sciences
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《Contemporary Social Sciences》 2024年第4期F0003-F0003,共1页
Established in 1958,Sichuan Academy of Social Sciences(SASS)is a public institution guided by the People’s Government of Sichuan Province.It is a comprehensive and specialized research institution in social sciences ... Established in 1958,Sichuan Academy of Social Sciences(SASS)is a public institution guided by the People’s Government of Sichuan Province.It is a comprehensive and specialized research institution in social sciences that integrates research,education,editing,and consulting services.It holds the registered trademark of“Tianfu Think Tank”and owns two campuses:Baihuatan and Banzhuyuan. 展开更多
关键词 EDUCATION holds specialized
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A Brief Introduction to Sichuan Academy of Social Sciences
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《Contemporary Social Sciences》 2024年第3期F0003-F0003,共1页
Established in 1958, Sichuan Academy of Social Sciences (SASS) is a public institution guided by the People’s Government of Sichuan Province. It is a comprehensive and specialized research institution in social scien... Established in 1958, Sichuan Academy of Social Sciences (SASS) is a public institution guided by the People’s Government of Sichuan Province. It is a comprehensive and specialized research institution in social sciences that integrates research, education, editing, and consulting services. It holds the registered trademark of “Tianfu Think Tank” and owns two campuses:Baihuatan and Banzhuyuan. 展开更多
关键词 EDUCATION holds specialized
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Impact of specialized nursing outpatient case management on postcoronary artery bypass grafting patients
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作者 Tong Li Fang-Hui Lu Qing Zhao 《World Journal of Clinical Cases》 SCIE 2024年第17期3035-3044,共10页
BACKGROUND Some patients with coronary atherosclerotic heart disease experience major adverse cardiac events(MACE)and require readmission after Coronary Artery Bypass Grafting(CABG)surgery.This is often attributed to ... BACKGROUND Some patients with coronary atherosclerotic heart disease experience major adverse cardiac events(MACE)and require readmission after Coronary Artery Bypass Grafting(CABG)surgery.This is often attributed to patients'unhealthy lifestyles and dietary habits,inadequate understanding of the disease,and poor disease management compliance.Thus,searching for more targeted nursing intervention models that can enhance patients'self-management abilities and reduce the risk of readmission after CABG surgery is significant.AIM To observe the impact of specialized nursing outpatient case management on patients after CABG surgery.METHODS A total of 103 patients who underwent CABG surgery in our hospital between April 2021 and April 2022 comprised the study sample.The patients were divided into two groups using an odd-even number grouping method.The control group received routine nursing care,while the case management group received specialized nursing outpatient case management.The differences in psychological status,adherence to medical treatment,self-care ability,knowledge mastery,quality of life scores,and the occurrence rate of MACE were compared between the two groups.RESULTS After the intervention,the case management group had lower scores on the selfrating depression scale and self-rating anxiety scale and lower MACE rate,as well as higher scores for adherence to a healthy diet,medication adherence,good lifestyle habits,regular exercise,and timely follow-up,higher scores on the Coronary Heart Disease Self-Management Scale,higher scores for managing adverse habits,symptoms,emotional cognition,emergency response,disease knowledge,general lifestyle,and treatment adherence,higher scores for understanding coronary heart disease,recognizing the importance of medication adherence,understanding selfcare points after CABG surgery,and being aware of post-CABG precautions,higher scores for physical well-being,disease condition,general health,social-psychological well-being,and work-related aspects(P<0.05).CONCLUSION Specialized nursing outpatient case management can enhance patient adherence to medical treatment,knowledge mastery,psychological well-being,and overall quality of life in patients after CABG surgery. 展开更多
关键词 Specialized nursing Case management Coronary artery bypass grafting Adherence to medical treatment Knowledge mastery Psychological status
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