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Non-governmental organizations'influence on tackling black carbon in the shipping industry
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作者 HAN Jialin 《Advances in Polar Science》 2016年第3期154-158,共5页
This paper reviews the achievements of some typical non-governmental organizations (NGOs) in reducing black carbon emissions from shipping which enjoy the consultative status offered by the International Maritime Or... This paper reviews the achievements of some typical non-governmental organizations (NGOs) in reducing black carbon emissions from shipping which enjoy the consultative status offered by the International Maritime Organization. It discusses the roles of the specific NGOs in dealing with black carbon in the Arctic region from the perspective of global governance to gain insights to guide our involvements in the Arctic affairs and shipping in the region by taking the advantages of NGOs' influence on the proceedings of international negotiations, our national policy development, the improvement of industrial practices and public perceptions. 展开更多
关键词 non-government organization black carbon Arctic governance INVOLVEMENT
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The Non-government Environmental Protection Organizations in China
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《China Today》 2001年第4期6-10,共5页
关键词 The non-government Environmental Protection organizations in China NATURE
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The Planning, Organization and Management of Post-disaster Reconstruction of the Lushan Earthquake Based on the Local as the Main Body 被引量:3
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作者 Zeng Fan Qiu Jian Han Xiao 《Earthquake Research in China》 CSCD 2016年第1期131-144,共14页
A new organization and management mechanism with the local government as the main body was created during the post-disaster reconstruction of the "4. 20 " Lushan earthquake,in which the experiences and lesso... A new organization and management mechanism with the local government as the main body was created during the post-disaster reconstruction of the "4. 20 " Lushan earthquake,in which the experiences and lessons were drawn from the "5. 12"Wenchuan earthquake. Correspondingly, the local government conducted an exploration of the organization and management mode in the field of planning and construction. The effective experiences have been accumulated, including working out a full coverage planning,taking the leading part in the urban-rural planning,and exercising whole space control over the disaster area. An innovation management mode named as "Five Generals Pattern"was implemented in the construction projects. In view that the rural housing reconstruction was a weak link, a new approach to improving the construction management was investigated,by means of strengthening on-site supervision,establishing a technical platform,and bolstering public participation. 展开更多
关键词 PLANNING organization and management Lushan earthquake Wenchuanearthquake Post-disaster reconstruction The local as the main body FiveGenerals Pattern
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Zakat, Local Social Organization, and Social Capital in Rural Economic Development
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《Sociology Study》 2012年第3期189-197,共9页
Zakat as a source of development funding encourages well functioning of local organizations and social capital formation. Zakat management conducted by an organization with a set of norms promotes the development of l... Zakat as a source of development funding encourages well functioning of local organizations and social capital formation. Zakat management conducted by an organization with a set of norms promotes the development of local community organizations' function for the rural economic development activities. A case study was conducted in the Village of Patila, South Sulawesi Province. The community in this village successfully managed the selfsupporting development of social and agriculture infrastructures. Data collected were the activities of local organization of the board members of the mosque and educational development foundations, farmer group, and collective stall group. The results showed that a community truth on the mosque and educational development foundations was formed by the social infrastructure development of mosque and schools through the effectiveness of the zakat payment by rules (norms). Both development foundations could function well through the network with villagers who migrate to other island as a potential zakat payer. Strengthening the social development organization supported the development of collective stall and pump farming system. The process of social and economic development in the Village of Patila as well as social capital formation encouraged people to carry out selfsupport development activities. 展开更多
关键词 ZAKAT local organization social capital rural economic development
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A realistic model for complex networks with local interaction, self-organization and order
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作者 陈飞 陈增强 袁著祉 《Chinese Physics B》 SCIE EI CAS CSCD 2007年第2期287-291,共5页
In this paper, a new mechanism for the emergence of scale-free distribution is proposed. It is more realistic than the existing mechanism. Based on our mechanism, a model responsible for the scale-free distribution wi... In this paper, a new mechanism for the emergence of scale-free distribution is proposed. It is more realistic than the existing mechanism. Based on our mechanism, a model responsible for the scale-free distribution with an exponent in a range of 3-to-5 is given. Moreover, this model could also reproduce the exponential distribution that is discovered in some real networks. Finally, the analytical result of the model is given and the simulation shows the validity of our result, 展开更多
关键词 local interaction SELF-organization order complex network
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A LOCAL DYNAMIC CLUSTER SELF-ORGANIZATION ALGORITHM IN WIRELESS SENSOR NETWORKS FOR RAINFALL MONITORING
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作者 Wang Huibin Xu Lizhong +2 位作者 Xiao Xianjian Fan Tanghuai Xu Feng 《Journal of Electronics(China)》 2010年第2期279-288,共10页
Wireless Sensor Networks for Rainfall Monitoring (RM-WSNs) is a sensor network for the large-scale regional and moving rainfall monitoring,which could be controlled deployment. Delivery delay and cross-cluster calcula... Wireless Sensor Networks for Rainfall Monitoring (RM-WSNs) is a sensor network for the large-scale regional and moving rainfall monitoring,which could be controlled deployment. Delivery delay and cross-cluster calculation leads to information inaccuracy by the existing dynamic collabo-rative self-organization algorithm in WSNs. In this letter,a Local Dynamic Cluster Self-organization algorithm (LDCS) is proposed for the large-scale regional and moving target monitoring in RM-WSNs. The algorithm utilizes the resource-rich node in WSNs as the cluster head,which processes target information obtained by sensor nodes in cluster. The cluster head shifts with the target moving in chance and re-groups a new cluster. The target information acquisition is limited in the dynamic cluster,which can reduce information across-clusters transfer delay and improve the real-time of information acquisition. The simulation results show that,LDCS can not only relieve the problem of "too frequent leader switches" in IDSQ,also make full use of the history monitoring information of target and con-tinuous monitoring of sensor nodes that failed in DCS. 展开更多
关键词 Wireless Sensor Networks (WSNs) Rainfall Monitoring (RM) SELF-organization local dynamic cluster
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Decision-Making in a Governmental Healthcare Organization by Analytic Hierarchy Process 被引量:1
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作者 Fumihiko Isada 《Journal of Modern Accounting and Auditing》 2012年第3期322-329,共8页
This paper contains research on strategic decision-making in a local government. In a profit-oriented organization, the option that maximizes profits tends involve reaching an agreement between stakeholders. However, ... This paper contains research on strategic decision-making in a local government. In a profit-oriented organization, the option that maximizes profits tends involve reaching an agreement between stakeholders. However, there is tendency for stakeholders to differ in their beliefs as to what is desirable particularly in a non-profit organization. In a local government, it is especially difficult for the interests of a stakeholder group to be completely in agreement. This research considers the use of the analytical hierarchy process (Saaty, 1971) as a solution for one of the difficulties of decision-making in a local government. This research is a case study to explore the strategy of a local Japanese healthcare management organization. The conclusion was drawn to decide which strategic option should be taken by using the analytical hierarchy process. Also, it was found what to work on a countermeasure that prevents the negative effects that are generated by selecting the strategic option. 展开更多
关键词 DECISION-MAKING local governmental organization non-profit organization analytic hierarchy process
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Localized Corrosion in Copper Tubes by Volatile Organic Substance
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作者 Takenori Notoya(Laboratory of Corrosion Engineering, Graduate School of Engineering, Hokkaido University, Sapporo, Japan) 《International Journal of Minerals,Metallurgy and Materials》 SCIE EI CAS CSCD 1999年第2期129-132,共4页
An unusual form of localized corrsion in copper tubes was detected early in service and in leakage tests after manufacturing.The morphology of this corrosion is similar to that of an ant's nest when viewed in cros... An unusual form of localized corrsion in copper tubes was detected early in service and in leakage tests after manufacturing.The morphology of this corrosion is similar to that of an ant's nest when viewed in cross section. The corrosion mechanisms, cases ofant's nest corrosion, and preventive measures are presented. 展开更多
关键词 copper tubes localized corrosion volatile organic substance heat-transfer units
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General Elements of the ICAO-International Civil Aviation Organization Activities
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作者 Filip Turcinovic Aleksandar Kovacevic 《Chinese Business Review》 2018年第7期342-350,共9页
The International Civil Aviation Organization (ICAO) is a specialized agency of the United Nations. Functionally, it has emerged as the organizational necessity of both the universal complex structure and the import... The International Civil Aviation Organization (ICAO) is a specialized agency of the United Nations. Functionally, it has emerged as the organizational necessity of both the universal complex structure and the importance of its overall activity. It was created on the basis of Article 57 of the United Nations Charter, stipulating that the specialized UN agencies are autonomous international organizations. They enjoy their autonomy on the basis of the contract they were established by, being engaged in activities within the United Nations system. On the territories the organization member states comprise, they enjoy privileges and immunities, having the international legal capacity to carry out their activities in accordance to the Statute. The 1944 Multilateral Convention was to establish both protection and efficient development of international civil aviation. In accordance to that rights and obligations of member states were established. It is of a special importance to emphasize obligation of parties to take their parts in both co-operation and programs aimed at improvement of international transport, navigational equipment, and installations. In the globalized world of today, air traffic is an irreplaceable part of the system of communication. It enables fast and timely business contacts between the people from various continents, as well as transport of goods. 展开更多
关键词 civil aviation air navigation air traffic AVIATION specialized agency non-government international organizations security
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Study on the Organization Model of Wagon Flows in Railway Terminal
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作者 严余松 朱松年 《Journal of Modern Transportation》 2000年第1期33-39,共7页
Railway terminal is an important part of railway network. Transport organization of railway terminal is the key of the railway transport organization. Moreover, the organization of transport work is based on the organ... Railway terminal is an important part of railway network. Transport organization of railway terminal is the key of the railway transport organization. Moreover, the organization of transport work is based on the organization of wagon flows in the railway terminal. Because of the great amounts of equipment and a large number of train operations, the study on railway terminal transport organization is mostly focused on a marshalling station in railway terminal or a part of it. Systematic study taking railway terminal as a whole is very few. In this paper, the organization of wagon flows in a railway terminal is analyzed and a wagon flow model in a railway terminal is established. The main principles of organization of local trains are also presented. 展开更多
关键词 railway terminal organization of wagon flows transit wagon flows local wagon flows local train
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The Impact of Variation in Bladder Volume on the Doses of Target and Organ-at-Risk in Intensity-Modulated Radiation Therapy for Localized Prostate Cancer
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作者 Shogo Hatanaka Yoshito Kawada +9 位作者 Kana Washizu Nobuko Utsumi Takafumi Yamano Keiichiro Nishimura Tetsuya Watanabe Katsuhito Hosaka Keisuke Todoroki Go Nakajima Munefumi Shimbo Takeo Takahashi 《Journal of Cancer Therapy》 2016年第10期741-751,共11页
Intensity-modulated radiation therapy (IMRT) has become the mainstay of treatment for localized prostate cancer. In IMRT, minimizing differences between the conditions used during planning CT and daily treatment is im... Intensity-modulated radiation therapy (IMRT) has become the mainstay of treatment for localized prostate cancer. In IMRT, minimizing differences between the conditions used during planning CT and daily treatment is important to prevent adverse events in normal tissues. In the present study, we evaluated the impact of variation in bladder volume on the doses to various organs. A total of 35 patients underwent definitive radiotherapy at Saitama Medical Center. A Light Speed RT16 (GE Healthcare) was used for planning and to obtain examination CT images. Such images were acquired after 4 - 6 days of planning CT image acquisition. The IMRT plans were optimized using the planning CT data to satisfy the dose constraints set by our in-house protocols for the PTV and the OARs. The dose distributions were then re-calculated using the same IMRT beams, and checked on examination CT images. It was clear that bladder volume affected the doses to certain organs. We focused on the prostate, bladder, rectum, small bowel, and large bowel. Regression coefficients were calculated for variables that correlated strongly with bladder volume (p < 0.05). We found that variation in bladder volume [cm<sup>3</sup>] predicted deviations in the bladder V<sub>70Gy</sub>, V<sub>50Gy</sub>, and V<sub>30Gy</sub> [%];the maximum dose to the small bowel [cGy];and the maximum dose to the large bowel [cGy]. The regression coefficients were -0.065, -0.125, -0.180, -10.22, and -9.831, respectively. We evaluated the impacts of such variation on organ doses. These may be helpful when checking a patient’s bladder volume before daily IMRT for localized prostate cancer. 展开更多
关键词 Bladder Volume localized Prostate Cancer Intensity-Modulated Radiation Therapy Dose to organs at Risk Computed Tomography
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Local Knowledge of Farmer Communities in the Use of Organic Fertilizers to Increase Cashew Production in Buton Utara Regency, Southeast Sulawesi Province, Indonesia
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作者 Syahrun La Niampe +4 位作者 Rahmat Sewa Suraya La Ode Topo Jers Laxmi Alias La Aso 《Sociology Study》 2023年第4期188-195,共8页
Local knowledge has an important role in agricultural practices.This study aims to describe the local knowledge of farming communities about the use of organic fertilizers as a strategy to increase cashew production i... Local knowledge has an important role in agricultural practices.This study aims to describe the local knowledge of farming communities about the use of organic fertilizers as a strategy to increase cashew production in Buton Utara Regency,Southeast Celebes,Indonesia.The research method used is a qualitative approach with data collection techniques using in-depth interviews and observation.The research results showed that the farming community in this area has in-depth local knowledge of how to make and apply effective organic fertilizers sourced from the surrounding natural environment.However,there are challenges in access to the organic materials needed and constraints in the widespread implementation of organic fertilizers.This study recommends strengthening education and training programs to increase farmers’awareness and skills in using organic fertilizers. 展开更多
关键词 local knowledge FARMERS organic fertilizers CASHEW
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An Efficient Grid Service Discovery Mechanism Based on the Locality Principle 被引量:2
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作者 KOU Yue YU Ge SHEN De-rong NIE Tie-zheng LIU Jian CAO Yu 《Wuhan University Journal of Natural Sciences》 EI CAS 2006年第1期83-87,共5页
With the explosion of services in grid environment, it's necessary to develop a mechanism which has the ability of discovering suitable grid services efficiently. This paper attempts to establish a layered resource m... With the explosion of services in grid environment, it's necessary to develop a mechanism which has the ability of discovering suitable grid services efficiently. This paper attempts to establish a layered resource management model based on the locality principle which classifies services into different domains and virtual organizations (VOs) according to their shared purposes. We propose an ontologybased search method applying the ontology theory for characterizing semantic information. In addition, we extend the UD- D1 in querying, storing, and so on. Simulation experiments have shown that our mechanism achieves higher performance in precision, recall and query response time. 展开更多
关键词 grid service discovery locality principle virtual organization ontology semantic information UDDI(universal description discovery and integration)
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Formulation of Organic Fertilizer Standard in Jiaxing City Based on NY525-2012 被引量:2
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作者 Jinfa HUANG Xiongwei NI +1 位作者 Jianping XIE Yanping SHI 《Asian Agricultural Research》 2013年第4期124-125,132,共3页
On the basis of research, analysis and argumentation, we conduct analysis and research on the current situation of quality of commercial organic fertilizer in Jiaxing City, and carry out the inspection and testing of ... On the basis of research, analysis and argumentation, we conduct analysis and research on the current situation of quality of commercial organic fertilizer in Jiaxing City, and carry out the inspection and testing of organic matter indicators using the laboratory. Based on the standard of NY525-2012 Organic Fertilizer by the Ministry of Agriculture, this paper formulates the quality level indicators of local commercial organic fertilizer and adding specifications of raw materials. 展开更多
关键词 organIC FERTILIZER Jiaxing local STANDARD
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Effective absorption enhancement in small molecule organic solar cells using trapezoid gratings 被引量:1
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作者 相春平 金玉 +5 位作者 刘杰涛 许斌宗 汪卫敏 韦欣 宋国峰 徐云 《Chinese Physics B》 SCIE EI CAS CSCD 2014年第3期673-677,共5页
We demonstrate that the optical absorption is enhanced in small molecule organic solar cells by using a trapezoid grating structure. The enhanced absorption is mainly attributed to both waveguide modes and surface pla... We demonstrate that the optical absorption is enhanced in small molecule organic solar cells by using a trapezoid grating structure. The enhanced absorption is mainly attributed to both waveguide modes and surface plasmon modes, which is simulated by using finite-difference time-domain method. The simulated results show that the surface plasmon along the semitransparent metallic Ag anode is excited by introducing the periodical trapezoid gratings, which induce the increase of high intensity field in the donor layer. Meanwhile, the waveguide modes result in a high intensity field in acceptor layer. The increase of field improves the absorption of organic solar cells significantly, which is demonstrated by simulating the electrical properties. The simulated results also show that the short-circuit current is increased by 31% in an optimized device, which is supported by the experimental measurement. Experimental result shows that the power conversion efficiency of the grating sample is increased by 7.7%. 展开更多
关键词 organic solar cells localized surface plasmon WAVEGUIDE
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In Situ Formed Tribofilms as Efficient Organic/Inorganic Hybrid Interlayers for Stabilizing Lithium Metal Anodes 被引量:2
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作者 Shaozhen Huang Kecheng Long +6 位作者 Yuejiao Chen Tuoya Naren Piao Qing Xiaobo Ji Weifeng Wei Zhibin Wu Libao Chen 《Nano-Micro Letters》 SCIE EI CAS CSCD 2023年第12期320-333,共14页
The practical application of Li metal anodes(LMAs)is limited by uncontrolled dendrite growth and side reactions.Herein,we propose a new friction-induced strategy to produce high-performance thin Li anode(Li@CFO).By vi... The practical application of Li metal anodes(LMAs)is limited by uncontrolled dendrite growth and side reactions.Herein,we propose a new friction-induced strategy to produce high-performance thin Li anode(Li@CFO).By virtue of the in situ friction reaction between fluoropolymer grease and Li strips during rolling,a robust organic/inorganic hybrid interlayer(lithiophilic LiF/LiC_(6)framework hybridized-CF_(2)-O-CF_(2)-chains)was formed atop Li metal.The derived interface contributes to reversible Li plating/stripping behaviors by mitigating side reactions and decreasing the solvation degree at the interface.The Li@CFO||Li@CFO symmetrical cell exhibits a remarkable lifespan for 5,600 h(1.0 mA cm^(-2)and 1.0 mAh cm^(-2))and 1,350 cycles even at a harsh condition(18.0 mA cm^(-2)and 3.0 mAh cm^(-2)).When paired with high-loading LiFePO4 cathodes,the full cell lasts over 450 cycles at 1C with a high-capacity retention of 99.9%.This work provides a new friction-induced strategy for producing high-performance thin LMAs. 展开更多
关键词 Lithium metal anode organic/inorganic hybrid interlayers High current density Fluoropolymer grease local desolvation environment
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Outcomes of preoperative chemoradiotherapy followed by surgery in patients with unresectable locally advanced sigmoid colon cancer 被引量:14
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作者 Bo Qiu Pei-Rong Ding +10 位作者 Ling Cai Wei-Wei Xiao Zhi-Fan Zeng Gong Chen Zhen-Hai Lu Li-Ren Li Xiao-Jun Wu Rene-Olivier Mirimanoff Zhi-Zhong Pan Rui-Hua Xu Yuan-Hong Gao 《Chinese Journal of Cancer》 SCIE CAS CSCD 2016年第10期535-545,共11页
Background: Complete resection of locally advanced sigmoid colon cancer(LASCC) is sometimes difficult. Patients with LASCC have a dismal prognosis and poor quality of life, which has encouraged the evaluation of alter... Background: Complete resection of locally advanced sigmoid colon cancer(LASCC) is sometimes difficult. Patients with LASCC have a dismal prognosis and poor quality of life, which has encouraged the evaluation of alternative multimodality treatments. This prospective study aimed to assess the feasibility and efficacy of neoadjuvant chemora?diotherapy(neo CRT) followed by surgery as treatment of selected patients with unresectable LASCC.Methods: We studied the patients with unresectable LASCC who received neo CRT followed by surgery between October 2010 and December 2012. The neoadjuvant regimen consisted of external?beam radiotherapy to 50 Gy and capecitabine?based chemotherapy every 3 weeks. Surgery was scheduled 6–8 weeks after radiotherapy.Results: Twenty?one patients were included in this study. The median follow?up was 42 months(range, 17–57 months). All patients completed neo CRT and surgery. Resection with microscopically negative margins(R0 resection) was achieved in 20 patients(95.2%). Pathologic complete response was observed in 8 patients(38.1%). Multivisceral resection was necessary in only 7 patients(33.3%). Two patients(9.5%) experienced grade 2 postopera?tive complications. No patients died within 30 days after surgery. For 18 patients with pathologic M0(yp M0) disease, the cumulative probability of 3?year local recurrence?free survival, disease?free survival and overall survival was 100.0%, 88.9% and 100.0%, respectively. For all 21 patients, the cumulative probability of 3?year overall survival was 95.2% and bladder function was well preserved.Conclusion: For patients with unresectable LASCC, preoperative chemoradiotherapy and surgery can be performed safely and may result in an increased survival rate. 展开更多
关键词 手术切除 结肠癌 患者 化疗 晚期 前放 CRT 生存率
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Feature Extraction of Kernel Regress Reconstruction for Fault Diagnosis Based on Self-organizing Manifold Learning 被引量:3
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作者 CHEN Xiaoguang LIANG Lin +1 位作者 XU Guanghua LIU Dan 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2013年第5期1041-1049,共9页
The feature space extracted from vibration signals with various faults is often nonlinear and of high dimension.Currently,nonlinear dimensionality reduction methods are available for extracting low-dimensional embeddi... The feature space extracted from vibration signals with various faults is often nonlinear and of high dimension.Currently,nonlinear dimensionality reduction methods are available for extracting low-dimensional embeddings,such as manifold learning.However,these methods are all based on manual intervention,which have some shortages in stability,and suppressing the disturbance noise.To extract features automatically,a manifold learning method with self-organization mapping is introduced for the first time.Under the non-uniform sample distribution reconstructed by the phase space,the expectation maximization(EM) iteration algorithm is used to divide the local neighborhoods adaptively without manual intervention.After that,the local tangent space alignment(LTSA) algorithm is adopted to compress the high-dimensional phase space into a more truthful low-dimensional representation.Finally,the signal is reconstructed by the kernel regression.Several typical states include the Lorenz system,engine fault with piston pin defect,and bearing fault with outer-race defect are analyzed.Compared with the LTSA and continuous wavelet transform,the results show that the background noise can be fully restrained and the entire periodic repetition of impact components is well separated and identified.A new way to automatically and precisely extract the impulsive components from mechanical signals is proposed. 展开更多
关键词 feature extraction manifold learning self-organize mapping kernel regression local tangent space alignment
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Enhanced organic solar cell performance: Multiple surface plasmon resonance and incorporation of silver nanodisks into a grating‐structure electrode 被引量:1
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作者 Thitirat Putnin Chutiparn Lertvachirapaiboon +5 位作者 Ryousuke Ishikawa Kazunari Shinbo Keizo Kato Sanong Ekgasit Kontad Ounnunkad Akira Baba 《Opto-Electronic Advances》 2019年第7期7-20,共14页
In this study, plasmonic nanostructures were examined to enhance the light harvesting of organic thin-film solar cells (OSCs) by multiple surface plasmon resonance (SPR) phenomena originating from the grating-coupled ... In this study, plasmonic nanostructures were examined to enhance the light harvesting of organic thin-film solar cells (OSCs) by multiple surface plasmon resonance (SPR) phenomena originating from the grating-coupled configuration with a Blu-ray Disc recordable (BD-R)-imprinted aluminum (Al) grating structure and the incorporation of a series of silver nanodisks (Ag NDs). The devices with such a configuration maximize the light utilization inside OSCs via light absorption, light scattering, and trapping via multiple surface plasmon resonances. Different types and sizes of metallic nanoparticles (NPs), i.e., gold nanoparticles (Au NPs), Ag nanospheres (Ag NSs), and Ag NDs, were used, which were blended separately in a PEDOT:PSS hole transport layer (HTL). The device structure comprised of grating- imprinted-Al/P3HT:PCBM/Ag ND:PEDOT:PSS/ITO. Results obtained from the J–V curves revealed that the power conversion efficiency (PCE) of grating-structured Al/P3HT:PCBM/PEDOT:PSS/ITO is 3.16%;this value is ~6% higher than that of a flat substrate. On the other hand, devices with flat Al and incorporated Au NPs, Ag NSs, or Ag NDs in the HTL exhibited PCEs ranging from 3.15% to 3.37%. Furthermore, OSCs with an Al grating substrate were developed by the incorporation of the Ag ND series into the PEDOT:PSS layer. Compared with that of a reference device, the PCEs of the devices increased to 3.32%–3.59%(11%–20% improvement), indicating that the light absorption enhancement at the active layer corresponds to the grating-coupled surface plasmon resonance and localized surface plasmon resonance excitations with strong near-field distributions penetrating into the active layer leading to higher efficiencies and subsequent better current generation. 展开更多
关键词 grating-coupled SURFACE PLASMON RESONANCE localIZED SURFACE PLASMON RESONANCE Ag NANODISKS organic solar cells imprinted GRATING
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Bloodless Outpatient Surgical Treatment of Rectocele and Cystocele under Local Anesthesia
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作者 Octacílio Figueirêdo Netto Priscila Garcia Figueirêdo +1 位作者 Eduardo Garcia Figueirêdo Wildecir Barros 《Open Journal of Obstetrics and Gynecology》 2021年第5期569-577,共9页
<strong>Background:</strong> <span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">Surgical treatment of r... <strong>Background:</strong> <span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">Surgical treatment of rectocele and cystocele is usually performed in a hospital setting under regional (spinal or epidural) or general anesthesia, and patients commonly have to stay in the hospital for at least one or two days. The possibility of performing the surgery under local anesthesia, as an outpatient procedure with minimal bleeding and pain, no surgical assistants, with immediate discharge and, most importantly, without compromising postoperative results, is appealing. To our knowledge, no studies ha</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">ve</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> evaluated whether performing rectocele and/or cystocele rectocele repair under local infiltration anesthesia and without separation of the vaginal mucosa from the underlying fascia achieves these goals.</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><b><span style="font-family:Verdana;">Objective:</span></b></span></span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;"> The aim of this study is to describe a new surgical technique for outpatient treatment of cystocele and rectocele under local anesthesia, and our initial results. </span><b><span style="font-family:Verdana;">Materials and Methods:</span></b><span style="font-family:Verdana;"> Forty women underwent outpatient surgical repair of rectocele and/or cystocele between April and September 2020 at the ambulatory procedure room of the authors’ clinics. The technique consists of a triangular-shaped CO</span><sub><span style="font-family:Verdana;">2</span></sub><span style="font-family:Verdana;"> laser vaporization</span><span style="color:red;"> </span><span style="font-family:Verdana;">or electrocauterization of the posterior and/or anterior vaginal epithelium, followed by plication of the edges of the triangle with 0 polygalactin suture. A perineorrhaphy was always performed concomitantly with rectocele repair, and a transobturator sling was performed in women presenting with concomitant stress urinary incontinence. Postoperative evaluation included POP-Q measurement for each patient six months after the procedure, and resolution of prolapse was considered when anterior and/or posterior vaginal wall presented as stage 0 or 1. Pre and postoperative POP-Q measurements were analyzed using Wilcoxon signed-rank test.</span></span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><b><span style="font-family:Verdana;">Results:</span></b></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> The mean operating time was 21 minutes (range: 14</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">-</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">38 minutes). All patients tolerated the procedure well and were discharged immediately afterwards. There were no intraoperative or postoperative complications, and all patients had satisfactory healing of the vaginal mucosa. Bleeding from the rectocele and/or cystocele repair was minimal, and nobody required extra-anesthesia or transfer to a hospital surgical theater. At six month follow-up, pre and postoperative POP-Q measurement</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">s</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> of points Ap, Bp, Aa and Ba were all statistical</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">l</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">y significant (Ap 1.6 ± 1.2 × -2.4 ± 0.9, Bp 2.6 ± 1.6 × -2.7 ± 1.4, Aa 1.4 ± 1.1 × -2.3 ± 0.8, and Ba 2.4 ± 1.5 × -2.5 ± 1.2) respectively, revealing satisfactory resolution of both rectocele and cystocele.</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><b><span style="font-family:Verdana;">Conclusion</span></b></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">: Our initial results suggest that rectocele and cystocele may be safely and effectively treated under local anesthesia in an outpatient setting using this new technique.</span></span></span> 展开更多
关键词 RECTOCELE CYSTOCELE Pelvic organ Prolapse Repair local Anesthesia
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