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Trusted Certified Auditor Using Cryptography for Secure Data Outsourcing and Privacy Preservation in Fog-Enabled VANETs
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作者 Nagaraju Pacharla K.Srinivasa Reddy 《Computers, Materials & Continua》 SCIE EI 2024年第5期3089-3110,共22页
With the recent technological developments,massive vehicular ad hoc networks(VANETs)have been established,enabling numerous vehicles and their respective Road Side Unit(RSU)components to communicate with oneanother.Th... With the recent technological developments,massive vehicular ad hoc networks(VANETs)have been established,enabling numerous vehicles and their respective Road Side Unit(RSU)components to communicate with oneanother.The best way to enhance traffic flow for vehicles and traffic management departments is to share thedata they receive.There needs to be more protection for the VANET systems.An effective and safe methodof outsourcing is suggested,which reduces computation costs by achieving data security using a homomorphicmapping based on the conjugate operation of matrices.This research proposes a VANET-based data outsourcingsystem to fix the issues.To keep data outsourcing secure,the suggested model takes cryptography models intoaccount.Fog will keep the generated keys for the purpose of vehicle authentication.For controlling and overseeingthe outsourced data while preserving privacy,the suggested approach considers the Trusted Certified Auditor(TCA).Using the secret key,TCA can identify the genuine identity of VANETs when harmful messages aredetected.The proposed model develops a TCA-based unique static vehicle labeling system using cryptography(TCA-USVLC)for secure data outsourcing and privacy preservation in VANETs.The proposed model calculatesthe trust of vehicles in 16 ms for an average of 180 vehicles and achieves 98.6%accuracy for data encryption toprovide security.The proposedmodel achieved 98.5%accuracy in data outsourcing and 98.6%accuracy in privacypreservation in fog-enabled VANETs.Elliptical curve cryptography models can be applied in the future for betterencryption and decryption rates with lightweight cryptography operations. 展开更多
关键词 Vehicular ad-hoc networks data outsourcing privacy preservation CRYPTOGRAPHY keys trusted certified auditors data security
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Certifying assembly programs with trails
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作者 Wei WANG 《Frontiers of Computer Science》 SCIE EI CSCD 2011年第4期472-485,共14页
In this paper, we introduce a new way of certifying assembly programs. Unlike previous program logics, we extract the control-flow information from the code and generate an intermediate trail between the specification... In this paper, we introduce a new way of certifying assembly programs. Unlike previous program logics, we extract the control-flow information from the code and generate an intermediate trail between the specification and the real code. Trails are auxiliary specifications and treated as modules in the certification process. We define a simple modular program logic called trail-based certified assembly programming (TCAP) to certify and link different parts of a program using the corresponding trails. Because the control flow information in trails is explicit, the rules are easier to design. We show that our logic is powerful enough to prove partial correctness of assembly programs with features including stack-based abstractions and self-modifying code. We also provide a semantics for TCAP and prove that the logic is sound with respect to the semantics. 展开更多
关键词 certifying assembly code control flow partial correcmess
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The Influence of forest certification on forest product trade 被引量:2
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作者 郑仰南 蒋敏元 《Journal of Forestry Research》 SCIE CAS CSCD 2002年第4期316-318,338,共3页
Forest certification is considered to be complementary to forest management policies and takes a significant effect on forest product trade. In recent decade, it has been followed with interest and approved by governm... Forest certification is considered to be complementary to forest management policies and takes a significant effect on forest product trade. In recent decade, it has been followed with interest and approved by governments and forestry de-partments in the world. This paper analyzes the influence of forest certification on forest product trade in the world, including the interest in certification in exporting countries and importing countries, trade flow and business competition, and the demands for Certified Forest Products (CFPs) and also discusses the influence of forest certification on forest product trade in China. 展开更多
关键词 Forest Certification Certified Forest Products Forest Product Trade
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国外糖尿病教育对我国糖尿病专科护理发展的启示 被引量:7
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作者 赵芳 莫永珍 《中日友好医院学报》 2017年第3期176-178,共3页
据国际糖尿病联盟(intemational diabetes federation,IDF)估计,2014年全球糖尿病患者(20~75岁)约3.87亿;至2035年将高达5.92亿。糖尿病教育是糖尿病综合治疗("五驾马车")的核心内容。
关键词 糖尿病教育 糖尿病专科 糖尿病护理 certified 临床护理专家 专科护士 继续教育活动 认证考试 认证委员会 日本护理协会
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美国高级实践护士护理硕士教育现况 被引量:11
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作者 王秀英 肖琨婷 李湘萍 《护理实践与研究》 2015年第9期22-24,共3页
高级实践护士(advanced practice nurse,APN)是一名注册护士,拥有专业知识基础、综合的决策能力及扩展实践的临床工作能力,其特征受到他/她被授权进行实践的环境和/或国家的影响。目前美国主要有5种类型的APN,包括临床护理专家(clini... 高级实践护士(advanced practice nurse,APN)是一名注册护士,拥有专业知识基础、综合的决策能力及扩展实践的临床工作能力,其特征受到他/她被授权进行实践的环境和/或国家的影响。目前美国主要有5种类型的APN,包括临床护理专家(clinical nurse specialist,CNS)、开业护士(nurse practitioners,NP)、助产士(certified nurse midwives,CNS)、麻醉护士(certified nurse anesthesia,CNS)和个案管理护士(advanced practice nurse case manager,APNCM)。 展开更多
关键词 高级实践护士 硕士教育 开业护士 临床护理专家 注册护士 临床工作能力 专业知识基础 nurse certified 决策能力
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全球多媒体国际认证新标准——多媒体与网页创作传播国际认证指标融入多媒体课程教学之研析 被引量:1
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作者 戴建耘 陈子纬 陈钰佳 《计算机教育》 2010年第3期6-11,共6页
本研究运用全球化多媒体网页设计与数字内容传播应用能力的指标,提出融入多媒体课程教学的方式与建议,并讨论学校与企业的能力融合,试图建立一套学习与认证一贯课程的学习形态,协助企业准确搜寻需求之人力资源,学校也可以藉由多媒体网... 本研究运用全球化多媒体网页设计与数字内容传播应用能力的指标,提出融入多媒体课程教学的方式与建议,并讨论学校与企业的能力融合,试图建立一套学习与认证一贯课程的学习形态,协助企业准确搜寻需求之人力资源,学校也可以藉由多媒体网页设计与数字内容传播应用能力指标培养学生的专业多媒体能力,建构符合全球认证的课程,协助学习者达成学习与认证一贯的学习形态。 展开更多
关键词 ACA(Adobe Certified Associate) 多媒体网页设计 融入教学 能力指标
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为药物筛选选取固相提取固定相——一项基于Bond—Elut Certify及Bond—Elut CertifyⅡ混合型提取柱的研究
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作者 黄增萍 Jaap Wijsbeek +2 位作者 Jan-Piet Franke R A de Zeeuw 《福建分析测试》 CAS 1996年第4期592-593,共2页
在临床和法庭毒物学领域,广泛范围药物筛选是一项非常重要而又常被忽视的工作。这项工作的侧重点是所有毒物学相关的物质,无论其结构或极性如何,都能被分离、检测和鉴定。近几年来,我们已尝试建立一个系统的固相提取方法,能够有效地从... 在临床和法庭毒物学领域,广泛范围药物筛选是一项非常重要而又常被忽视的工作。这项工作的侧重点是所有毒物学相关的物质,无论其结构或极性如何,都能被分离、检测和鉴定。近几年来,我们已尝试建立一个系统的固相提取方法,能够有效地从生物检材中分离出药物,并已经建立了利用单根Bond—Elut Certify固相柱提取的步骤。 展开更多
关键词 药物筛选 固相提取 Bond-Elut Certify
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A New Proxy Signature Scheme with Message Recovery Using Self-Certified Public Key 被引量:3
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作者 LIJi-guo ZHANGYi-chen ZHUYue-long 《Wuhan University Journal of Natural Sciences》 CAS 2005年第1期219-222,共4页
A proxy signature scheme with message recovery using self-certified public key is proposed, which withstands public key substitution attacks, active attacks, and forgery attacks. The proposed scheme accomplishes the t... A proxy signature scheme with message recovery using self-certified public key is proposed, which withstands public key substitution attacks, active attacks, and forgery attacks. The proposed scheme accomplishes the tasks of public key verification, proxy signature verification, and message recovery in a logically single step. In addition, the proposed scheme satisfies all properties of strong proxy signature and does not use secure channel in the communication between the original signer and the proxy signature signer. 展开更多
关键词 Key words cryptography proxy signature SELF certified public key non REPUDIATION
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Determination of Hf–Sr–Nd isotopic ratios by MC-ICP-MS using rapid acid digestion after flux-free fusion in geological materials 被引量:4
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作者 Zhian Bao Chunlei Zong +3 位作者 Linru Fang Honglin Yuan Kaiyun Chen Mengning Dai 《Acta Geochimica》 EI CAS CSCD 2018年第2期244-256,共13页
In this study, we established a rapid acid digestion for determining Hf-Sr-Nd isotopic ratios of geological samples by using MC-ICP-MS. Conditions of 1600 ℃ for 1 min and 1400 ℃ for 1 min were adopted for fusing int... In this study, we established a rapid acid digestion for determining Hf-Sr-Nd isotopic ratios of geological samples by using MC-ICP-MS. Conditions of 1600 ℃ for 1 min and 1400 ℃ for 1 min were adopted for fusing intrusive rocks and extrusive rocks, respectively. The rapid acid digestion technique is superior in digestion time compared with high-pressure PTFE bomb method. The procedural blanks of the method were also lower than that flux fusion. Replicate analyses of international certified reference materials (CRMs) indicate that isotopic ratios of ^176Hf/^177Hf, ^87Sr/^86Sr and 143Nd/144Nd agree well with previously published data. The external reproducibility (2SD, n = 5) of ten CRMs are ±0.000030 for ^87Sr/^86Sr, ± 0.000030 for ^143Nd/^144Nd, and ±0.000018 for ^176Hf/^177Hf. 展开更多
关键词 Certified reference material Flux-free fusion Hf-Sr-Nd isotopic ratio Procedural blank Rapid acid digestion
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Voluntary emission reduction market in China: development, management status and future supply 被引量:2
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作者 Yi Zhou Alun Gu Maozhi Deng 《Chinese Journal of Population,Resources and Environment》 2019年第1期1-11,共11页
The voluntary emission reduction (VER) trading mechanism has played an important role in China’s seven pilot carbon markets. From a comprehensive review of the VER trading and offsetting mechanisms since 2013, this s... The voluntary emission reduction (VER) trading mechanism has played an important role in China’s seven pilot carbon markets. From a comprehensive review of the VER trading and offsetting mechanisms since 2013, this study analyses the quality management of the Chinese Certified Emission Reduction (CCER) in the pilot carbon markets, conducts a comparative analysis of the geographical and field distributions of proposed and registered projects and emission reductions and provides the CCER supply outlook for 2020 in the aspects of on record, project registration, emission reduction registration and emission reduction issuance. Results show that the potential number of CCER projects by 2020 will be 2,864, 1,047, 818, and 286 with the corresponding emission reductions amounting to 493, 212, 133, and 49 million tCO2e, respectively. Although considerable progress has been made, China remains confronted with many challenges in developing the VER trading system. Accordingly, policy stability and continuity and guarding against market risks should be maintained to enable the system to play a substantial role in promoting ecological progress and green low-carbon development in China. 展开更多
关键词 CHINESE Certified EMISSION REDUCTION (CCER) management STATUS FUTURE supply China
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Preparation and Certification of a New Salvianolic Acid A Reference Material for Food and Drug Research 被引量:1
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作者 Dezhi Yang Bin Su +5 位作者 Yancai Bi Li Zhang Baoxi Zhang Junke Song Yang Lu Guanhua Du 《Natural Products and Bioprospecting》 CAS 2020年第2期67-75,共9页
Salvianolic acid A(Sal A),a water-soluble ingredient in Danshen,has various biological activities.Sal A and its impurities have similar physical and chemical properties,as well as strong reducibility;therefore,they ar... Salvianolic acid A(Sal A),a water-soluble ingredient in Danshen,has various biological activities.Sal A and its impurities have similar physical and chemical properties,as well as strong reducibility;therefore,they are difficult to prepare and purify.In this study,high-purity Sal A was obtained by purification of sephadex chromatography and preparative chromatography.Furthermore,HPLC-DAD tandem ECD and HPLC-DAD tandem MS methods were used for non-volatile organic impurity analysis,ICP-MS method was used for non-volatile inorganic impurities and mass balance method and quantitative nuclear magnetic resonance were employed to certify the product.The structures of Sal A and its relative impurities were validated by nuclear magnetic resonance spectroscopy and mass spectrometry,and their contents were quantified as well.Following the principles of ISO Guides 34:2009 and 35:2005,a Sal A reference material was certified,covering homogeneity studies,stability studies,characterization,and uncertainty estimations. 展开更多
关键词 Certified reference material Salvianolic acid A Mass balance method qNMR High resolution mass spectrum
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Certification and uncertainty evaluation of flavonoids certified reference materials 被引量:1
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作者 Can Quan Huanfang Yao Caixia Hou 《Agricultural Sciences》 2013年第9期89-96,共8页
Flavonoids are the most widely used in the field of the food, medicine, and cosmetic due to their pharmacological functions and biological activities, such as anti-tumor, anti-inflammatory and antioxidation. This work... Flavonoids are the most widely used in the field of the food, medicine, and cosmetic due to their pharmacological functions and biological activities, such as anti-tumor, anti-inflammatory and antioxidation. This work described the assignment of purity values to 3 flavonoids certified reference materials (CRMs) including baicalein, 5,7-dihydoxy flavones and naringenine which?were developed in this study according to the ISO Guides 34 and 35. The qualitative analysis was performed by liquid chromatography-mass spectrometry (LC-MS) and infrared spectroscopy (IR). The CRMs’ purity values were assigned based on the weighted average of quantitative nuclear magnetic resonance method and mass balance approach with high resolution liquid chromatography-VWD. All the three CRMs with following value mass fractions: baicalein at a certified purity P ± U (k = 2) of 98.8% ± 0.8%;5,7-dihydoxy flavones of 99.1% ± 0.7% and naringenine of 99.5% ± 1.0% respectively. The homogeneity of the CRMs was determined by an in-house validated liquid chromatographic method. Potential degradation during storage was also investigated and a shelf-life based on this value was established. 展开更多
关键词 FLAVONOIDS Certified Reference Material (CRM) QUANTITATIVE NUCLEAR Magnetic RESONANCE (QNMR) Mass BALANCE approach Uncertainty
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新形势下注册会计师面临的机遇与挑战
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作者 王敏 《科技广场》 2008年第6期181-183,共3页
2001年11月10日我国加入WTO以来,各行各业都面临着与过去不同的市场变革。注册会计师作为取得注册会计师证书并在会计师事务所执业的人员,同样面临着巨大的挑战。这几年笔者通过针对CPA行业的调查研究,将阐述新形势下注册会计师所面临... 2001年11月10日我国加入WTO以来,各行各业都面临着与过去不同的市场变革。注册会计师作为取得注册会计师证书并在会计师事务所执业的人员,同样面临着巨大的挑战。这几年笔者通过针对CPA行业的调查研究,将阐述新形势下注册会计师所面临的机遇与挑战,并提出一些对策。 展开更多
关键词 注册会计师Certified PUBLIC Accouuntant(CPA) 机遇 挑战 对策 WTO
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Incentive-Driven Approach for Misbehavior Avoidance in Vehicular Networks
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作者 Shahid Sultan Qaisar Javaid +3 位作者 Eid Rehman Ahmad Aziz Alahmadi Nasim Ullah Wakeel Khan 《Computers, Materials & Continua》 SCIE EI 2022年第3期6089-6106,共18页
For efficient and robust information exchange in the vehicular adhoc network,a secure and trusted incentive reward is needed to avoid and reduce the intensity of misbehaving nodes and congestion especially in the case... For efficient and robust information exchange in the vehicular adhoc network,a secure and trusted incentive reward is needed to avoid and reduce the intensity of misbehaving nodes and congestion especially in the case where the periodic beacons exploit the channel.In addition,we cannot be sure that all vehicular nodes eagerly share their communication assets to the system for message dissemination without any rewards.Unfortunately,there may be some misbehaving nodes and due to their selfish and greedy approach,these nodes may not help others on the network.To deal with this challenge,trust-based misbehavior avoidance schemes are generally reflected as the capable resolution.In this paper,we employed a fair incentive mechanism for cooperation aware vehicular communication systems.In order to deploy a comprehensive credit based rewarding scheme,the proposed rewardbased scheme fully depends on secure and reliable cryptographic procedures.In order to achieve the security goals,we used the cryptographic scheme to generate a certified public key for the authenticity of every message exchange over the network.We evaluated the friction of misbehaving vehicles and the effect of rewarding schemes in context with honest messages dissemination over the network. 展开更多
关键词 VANET misbehavior REPUTATION rewards congestion avoidance certified public key
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Theoretical and experimental assessment of a novel method to establish the complete measurement range of the calorimeter and its limit of detection and quantification
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作者 Vesna Krstic 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2022年第4期466-473,共8页
For determining the accuracy of a calorimeter over the instrument’s entire measuring range,a novel method has been established.For this new approach,(a)benzoic acid(C_(6)H_(5)CO_(2)H) as a certified reference materia... For determining the accuracy of a calorimeter over the instrument’s entire measuring range,a novel method has been established.For this new approach,(a)benzoic acid(C_(6)H_(5)CO_(2)H) as a certified reference material(CRM),(b)SiO_(2) and(c)a mixture of CRM benzoic acid and SiO_(2) have been used.To illustrate the essential difference between 1)the novel analytical method for control of the entire measurement range and 2)the calorimeter calibration,both applications of benzoic acid(BA)have been demonstrated.An experimental result showed that BA was successfully used to check the whole calorimeter measurement range.The results also showed that the same new method was successfully applied to determine the limit of detection and quantification.A new instrument testing process and a new measurement technique have thus been established.In this way,the cost of using CRM to control the accuracy of measuring the entire measuring range of the calorimeter,as shown in this paper,is minimized.The requirements of the ISO/IEC 17025:2017 standard are satisfied.ISO/IEC 17025:2017,together with ISO 9001:2015(quality management systems),ISO 14001:2015(relate to environmental protection)and ISO45001:2018(occupational safety),constitute an integrated quality system by which a testing laboratory may also accredit. 展开更多
关键词 Benzoic acid Certified reference material The limit of detection/quantification Measurement range Quality control CALORIMETER Environmental protection
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Erratum to: TfRl Extensively Regulates the Expression of Genes Associated with Ion Transport and Immunity
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作者 Nan HUANG Lei-lei ZHAN +4 位作者 Yi CHENG Xiao-long WANG Ya-xun WEI Qi WANG Wen-jing LI 《Current Medical Science》 SCIE CAS 2020年第5期998-998,共1页
It is hereby certified that there is no shared co-first authorship in this paper.Dr.Nan HUANG is the only first author of this article.
关键词 HUANG certified ASSOCIATED
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A survey of moral distress in certified registered nurse anesthetists:A theoretical perspective for change in ethics education for advance practice nurses
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作者 Brenda A.Wands 《International Journal of Nursing Sciences》 2018年第2期121-125,共5页
Objective:The aim of this study was to examine the relationship between moral distress that may affect patient safety,and the clinical practice model,assessing ethical decision-making skills of certified registered nu... Objective:The aim of this study was to examine the relationship between moral distress that may affect patient safety,and the clinical practice model,assessing ethical decision-making skills of certified registered nurse anesthetists(CRNAs).Methods:A survey using the Ethical Stress Scale(ESS)and the Ethical Assessment Skills Survey(EASS)was conducted with 134 CRNAs.Results:Results indicated no significant effect of practice model on level of moral distress or perceived ethical assessment skill knowledge[Wilks's lambda=0.952,F(6,256)=1.068,P=0.382,n^(2)=0.02].A statistically significant positive correlation existed between importance and skill(r=0.275,P=0.001).CRNAs felt skilled to manage the actions or activities they deemed important.Conclusion:CRNAs who perceived a higher skill level in addressing ethical issues experienced lower levels of moral distress.Findings indicate content-specific curricula for the CRNAs need to be evaluated for ethical decision-making skill assessment content. 展开更多
关键词 Advance practice nurse Certified registered nurse anesthetist Moral distress
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Preference for Wood and Plastic-Based Ceiling Panels by Homeowners in Ghana: Implications for Tropical Forests Conservation and Prospects for the Local Wood Industry
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作者 Martin Amoah Peter Kessels Dadzie: 《Journal of Environmental Science and Engineering(A)》 2013年第10期637-650,共14页
This study investigated the preference for wood and plastic-based ceiling panels by homeowners in Ghana, the implications for the conservation of tropical forests and prospects for the local wood processing industry. ... This study investigated the preference for wood and plastic-based ceiling panels by homeowners in Ghana, the implications for the conservation of tropical forests and prospects for the local wood processing industry. Questionnaire was used to solicit information from 758 homeowners sampled from three cities in Ghana. The results showed that even though wood-based panels continue to enjoy strong patronage among home owners plastic-based panels appear to be the future material for ceiling. The findings suggest that, by 2030, homeowners in Ghana will use more plastic-based ceiling panels than wood-based panels, ceteris paribus. Attractiveness, durability and pleasantness are the key attributes of plastics that influence homeowners' decision to patronize the material. Additionally, the concern about the depletion of forest resources in Ghana has shaped homeowners decision to patronize plastic-based ceiling panels. While the shift to the use of plastic-based panels has the potential to moderate the consumption levels of timber and therefore could contribute to the conservation of tropical forests, it has a negative implication on the development of local wood processing industry. One area where manufacturers of wood products such as wood panels can explore in order to increase or maintain the market share of wood-based panel products is sourcing raw timber from certified forests. 展开更多
关键词 Construction and building materials greenhouse gases homeowners energy consumption certified forest.
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Yield and Profit from New and Old Wheat Varieties Using Certified and Farmer-Saved Seeds
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作者 Krishna Dev Joshi Attiq Ur Rehrnan +14 位作者 Ghulam Ullah Amanullah Baloch Makhdoom Hussain Javed Ahmad Mohammad Ishaq Gulzar Ahmad Nadeem Abroad Syed Haider Abbas Maqsood Qamar Mumtaz Abroad Abid Ilyas Dar Badar-uddin Khokhar Muhammad Sajid Akhlaq Hussain Muhammad Imtiaz 《Journal of Agricultural Science and Technology(B)》 2016年第3期141-150,共10页
Wheat is a strategic crop for food security in Pakistan with predominance of smallholder farmers. Farmer-saved seed (FSS) is used nearly by 75% of farmers for wheat production. Frequent variety or seed replacement i... Wheat is a strategic crop for food security in Pakistan with predominance of smallholder farmers. Farmer-saved seed (FSS) is used nearly by 75% of farmers for wheat production. Frequent variety or seed replacement is uncommon even among large-scale farmers, and certified seed (CS) is mostly bought to verify the value of new varieties. Replacing old and obsolete varieties by new high yielding disease resistant varieties is key to transferring new genetic gains to farmers. For the first time in Pakistan, on-farm factorial experiments involving seven new and five old wheat varieties and their corresponding CS and FSS were conducted. A total of 49 farmers representing major wheat cropping patterns throughout the country participated in these trials in the 2014 and 2015 wheat growing seasons. Analysis of variance revealed that there was highly significant difference between wheat varieties and between seed classes. New variety + CS gave 33.8% more grain yield as well as higher marginal return over farmers' variety + FSS. Grain yield and returns from new variety + FSS and farmers' variety + CS were at par. Scientific knowledge generated in this research demonstrated that use of CS &new wheat varieties is best option, while growing new varieties with FSS is a second choice for the advantages accruing from their built-in genetic traits of economic importance over growing CS of old and obsolete varieties. Having more flexible seed system will help accelerate the delivery of new genetic gains to farmers' fields. 展开更多
关键词 Certified seed farmer-saved seed variety and seed replacement smallholder farmers YIELD return varietal popularization.
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Procedural Sedation and Analgesia in Children in Emergency Department—Role of Adjunct Therapies
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作者 Nirupama Kannikeswaran Ahmad Farooqi +1 位作者 Cindy Chidi Deepak Kamat 《Open Journal of Anesthesiology》 2017年第11期371-380,共10页
Objective: To compare sedation efficacy and parent/consultant satisfaction between standard sedation, sedation with music listening, and sedation with Certified Child life Specialists (CCLS) in children undergoing pro... Objective: To compare sedation efficacy and parent/consultant satisfaction between standard sedation, sedation with music listening, and sedation with Certified Child life Specialists (CCLS) in children undergoing procedural sedation in the Pediatric Emergency Department (PED). Methods: Eligible children, aged 3 - 18 years, were randomly allocated to one of 3 groups: 1) standard sedation;2) sedation with music listening;3) sedation with CCLS intervention. All 3 groups received intravenous ketamine. The child life group received age appropriate comforting measures, while the music group listened to music of their choice during the procedure. The primary outcome was sedation efficacy, measured by Ramsay Sedation scale, FACES-P scale and need for re-dosing. The secondary outcome was parent/consultant satisfaction. Results: Fifty nine patients were analyzed (standard sedation: 20;sedation with music listening: 20;and sedation with CCLS: 19). There was no significant difference in mean initial ketamine dosing (1.58 ± 0.44 vs. 1.68 ± 0.36 vs. 1.42 ± 0.47, p = 0.26). There was no significant difference in median Ramsay Sedation scores [6(IQR:4,6) vs. 6 (IQR:4,6) vs. 6 (IQR:5,6)], FACES-R pain score [0 (IQR:0.0) vs. 0 (IQR:0.0) vs. 0 (IQR:0.0)] and need for re-dosing [9/20 (45%) vs. 4/20 (20%) vs. 8/19 (42.1%)] amongst the 3 groups. Parent and consultant satisfaction was high in all 3 groups. Conclusion: Our pilot study did not demonstrate a difference in sedation efficacy or parent/consultant satisfaction when adjunct therapies were used during PSA. Further studies with a large sample size are needed to define the role for such adjunct therapies during procedural sedation in PED. 展开更多
关键词 PROCEDURAL SEDATION Music Therapy Certified Child Life SPECIALISTS Emergency Department CHILDREN
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