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FURTHER OPENING- UP IS KEY FOR CHINA’S HIGH-QUALITY DEVELOPMENT
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作者 Tom Fowdy 《China Report ASEAN》 2024年第1期64-64,共1页
The Central Economic Work Conference was held in Beijing from December 11 to 12.The conference discussed the plans,prospects and challenges for China’s economy heading into 2024,as well as evaluating the events of th... The Central Economic Work Conference was held in Beijing from December 11 to 12.The conference discussed the plans,prospects and challenges for China’s economy heading into 2024,as well as evaluating the events of this year.It goes without saying that 2023 has been a challenging year for countries around the world as the global context has been unsatisfactory.Various geopolitical tensions have created a rise in uncertainties which have led to reduced growth worldwide and sent many economies into stagnation.In light of the critical factors affecting the stability of the global economy,China’s primary economic goal corresponds with the promotion and sustaining of free trade. 展开更多
关键词 PROMOTION HEADING open
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National Image Construction from the Perspective of Multimodal Metaphor-A Case Study of the Opening Ceremony of the Beijing Winter Olympics
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作者 LUO Yi ZHOU Jing 《Journal of Literature and Art Studies》 2024年第4期290-294,共5页
The national image is a comprehensive concept with a distinct political feature,including the international image presented to the outside world,and also encompassing the national identity of the people.With the devel... The national image is a comprehensive concept with a distinct political feature,including the international image presented to the outside world,and also encompassing the national identity of the people.With the development of globalization,international cultural communication has become a crucial part of shaping the national image,and the opening ceremony of the Beijing Winter Olympics has become an important opportunity for China to showcase its national image to the world in the post-pandemic era.Based on Forceville’s multimodal metaphor theory,this paper examines the metaphorical phenomena contained in the performance and their functions,effects,and purposes in the construction of the national image.It is found that there are many scenes,images,and narratives in the opening ceremony,including war metaphor,competition metaphor,personification metaphor,and other conceptual metaphors.The focus of this paper is on multimodal metaphor in a broad sense,mainly encompassing auditory and visual modes.Through the use of these multimodal metaphors,the opening ceremony of the Winter Olympics builds an image of a vibrant,peace-loving,and responsible country,which not only demonstrates China’s cultural self-confidence,but also expresses the Chinese people’s beautiful vision for the early reunification of the motherland. 展开更多
关键词 multimodal metaphor national image Olympic Winter Games opening Ceremony
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A Model of China’s Opening-up and Development
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《China Today》 2023年第12期34-39,共6页
Over the past decade,China’s free trade zones have progressively formed a high-level innovation pattern of reform and opening-up in areas that extend from coastal regions to border provinces.They have become a leadin... Over the past decade,China’s free trade zones have progressively formed a high-level innovation pattern of reform and opening-up in areas that extend from coastal regions to border provinces.They have become a leading force of high-level opening-up,a pioneer of in-depth reform,and a major platform that serves the national strategy.As pilot platforms for comprehensive reform and opening-up,they are now taking on a more arduous mission. 展开更多
关键词 opening COASTAL COMPREHENSIVE
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RIDING ON OPENING-UP
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《China Today》 2023年第12期22-23,共2页
Forty-five years on,China’s opening-up drive has raked in an accumulated foreign investment of US$2.9 trillion with more than 1 million foreign-funded firms established in the country.A raft of policies and measures ... Forty-five years on,China’s opening-up drive has raked in an accumulated foreign investment of US$2.9 trillion with more than 1 million foreign-funded firms established in the country.A raft of policies and measures have been rolled out for greater integration in globalization.China’s first pilot free trade zone(FTZ)in Shanghai’s Pudong New Area,established to undertake transformative reforms on a trial basis that could later be applied across the country,is also celebrating its 10th year.From that single pioneer,China today has 22 FTZs,and the Hainan Free Trade Port,which are all testbeds for advancing reform and opening-up. 展开更多
关键词 funded INVESTMENT open
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New Blueprint for China’s Opening-up The country seeks a broader agenda of opening-up across more areas and in greater depth
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作者 Zhang Mingsi 《China Report ASEAN》 2023年第4期28-31,共4页
The first session of the 14th National People’s Congress(NPC)of China held a press conference on March 13,wherein Chinese Premier Li Qiang met Chinese and foreign reporters and answered their questions.When asked abo... The first session of the 14th National People’s Congress(NPC)of China held a press conference on March 13,wherein Chinese Premier Li Qiang met Chinese and foreign reporters and answered their questions.When asked about the priorities of the new government,Premier Li stressed that reform and opening-up has been a crucial move that transformed China into what it is today.He also said that China would promote highlevel opening-up and inject stronger vitality into national development by deepening reform. 展开更多
关键词 DEEPENING opening transformed
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电液3-UPS/S并联稳定平台参数振动特性分析
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作者 袁晓明 王维锜 +1 位作者 庞浩东 张立杰 《振动与冲击》 EI CSCD 北大核心 2024年第5期52-61,共10页
针对电液3-UPS/S并联稳定平台驱动液压缸的压力脉动所产生的参数振动,建立了稳定平台的参数振动方程并利用多尺度法求解了主共振响应与组合共振响应的一次近似解;分析了主共振与组合共振响应特性以及振动幅值在初始工作空间内的变化规律... 针对电液3-UPS/S并联稳定平台驱动液压缸的压力脉动所产生的参数振动,建立了稳定平台的参数振动方程并利用多尺度法求解了主共振响应与组合共振响应的一次近似解;分析了主共振与组合共振响应特性以及振动幅值在初始工作空间内的变化规律,最后采用四阶龙格库塔法与模态试验对参数振动模型进行验证。结果表明:数值解与理论解之间的最大误差为4.20%,固有频率理论值与试验值之间的最大误差为4.66%,可验证参数振动模型的正确性。 展开更多
关键词 电液3-upS/S并联稳定平台 压力脉动 参数振动 多尺度法 振动特性
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Long-term complications of the transmeatal approach (Open Transcanal) in cochlear implants: A follow-up study 被引量:1
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作者 Hesham Saleh Almofada Nasser KAlmutairi Michael Steven Timms 《Journal of Otology》 CSCD 2023年第1期33-37,共5页
Objective: Multiple alternative approaches of cochlear implant surgery have been described, such as the suprameatal approach, transcanal approach, transmeatal approach and middle cranial fossa approach.Transmeatal(ope... Objective: Multiple alternative approaches of cochlear implant surgery have been described, such as the suprameatal approach, transcanal approach, transmeatal approach and middle cranial fossa approach.Transmeatal(open trnascanal) approach has not been adapted since first described in the clinical field.we aimed to assess the long-term complications of the transmeatal approach in a series of 131 patients at our center between 2004 and 2008.Methods: This study was a retrospective case series of all patients who underwent cochlear implants with the transmeatal(open transcanal) approach from May 2004 to December 2008 at King Faisal Specialist and Research Hospital(Riyadh, Saudi Arabia), which were conducted by the same surgeon.Results: Complications were observed often with various combinations-recurrent otitis externa, posterior tympanic membrane perforation, electrode extrusion, cholesteatoma, and chronic mastoiditis. The overall long-term complication rate was 16%(21/131). The gap between the implantation and the diagnosis of a complication ranged from <1 year to 11 years. Major complications were as follows:cholesteatoma in 5(3.8%) patients, extrusion of the electrode in 5(3.8%) patients, and tympanic membrane perforation or deep retractions in 5(3.8%) patients. Minor complications were as follows: recurrent mastoiditis with/without concomitant temporary facial nerve palsy in 4(3%) patients, recurrent otitis externa infections in 7(5%) patients, and weakness of the posterior canal wall in 1 patient.Conclusion: The transmeatal approach posed an high rate of complications on long-term follow-up such as cholestetoma formation, extrusion of electrode or perielectrode reaction formation to tympanic membrane and external auditory canal. 展开更多
关键词 Cochlear implant Transmeatal approach open transcanal approach Surgical complication
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我国高质量教育资源供给机制创新与路径研究——来自美国“#GoOpen”计划的启示
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作者 刘和海 屈昊 《中国电化教育》 北大核心 2024年第2期69-78,99,共11页
数字化是当下教育改革的重点,也是未来教育发展的趋势。无论是作为“十四五”规划中的战略举措,还是党的二十大中提出的必然要求,构建数字化教育资源为主体的高质量教育资源体系在当下具有必要性与迫切性。美国#GoOpen计划自实施以来,... 数字化是当下教育改革的重点,也是未来教育发展的趋势。无论是作为“十四五”规划中的战略举措,还是党的二十大中提出的必然要求,构建数字化教育资源为主体的高质量教育资源体系在当下具有必要性与迫切性。美国#GoOpen计划自实施以来,在教育资源数字化、个性化、均等化三个方面均取得了一定成果。通过对该计划官方文件与政策进行解读,对其内涵与特点进行分析,我国在进行高质量教育资源建设及其供给路径探究过程中应当重视统筹规划,循序渐进,同时完善多重考核与评估机制,结合社会多方力量,保证每个学习者的享有权利,最终走向教育公平,共同发展。 展开更多
关键词 #Goopen 开放教育资源 高质量教育资源 供给路径
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Effect of fence opening configurations on dune development
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作者 Qingqian Ning Bailiang Li +2 位作者 Changmao Zhou Yanyu He Jianhui Liu 《Acta Oceanologica Sinica》 SCIE CAS CSCD 2023年第7期185-193,共9页
Fences have been widely used in coastal protection engineering for their low cost,simple deployment,and easy integration with ecosystems.The effects of fence porosity and height on dune development have been investiga... Fences have been widely used in coastal protection engineering for their low cost,simple deployment,and easy integration with ecosystems.The effects of fence porosity and height on dune development have been investigated while not much attention has been paid to the effects of fence opening configurations,such as opening size and geometry,and porosity distributions.In this study,we deployed eight fences with same height and similar porosity,but different opening configurations on a sandy beach in Pingtan,Fujian Province.Results indicate that there is a similar two-dune-one-trough pattern for all fences at the beginning of dune development,and opening size,orientation,and geometry,and porosity distribution control the leeward dune peak locations.Fences with small openings and non-uniform porosity have high trapping efficiency,and upper denser porosity may be the optimal design as these fences have the highest trapping efficiency and capacity.The conclusions from this study can provide guidance on practical fence design. 展开更多
关键词 fence porosity dune development fence opening size fence opening geometry
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Postdoctoral Openings in Wenzhou University(China)for Chemistry,Chemical Engineering and Materials Science
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《Carbon Energy》 SCIE CSCD 2023年第6期I0003-I0003,共1页
About us:The Clige of Cemistry and Materials Engineering(CME)in Wenzhou University(Zhejing Province,China)is looking for postdoctoral candidates(up to 25) specialized in Chemistry Chemical Engineering and Materials Se... About us:The Clige of Cemistry and Materials Engineering(CME)in Wenzhou University(Zhejing Province,China)is looking for postdoctoral candidates(up to 25) specialized in Chemistry Chemical Engineering and Materials Secence. The college has is Chemistry program ranking ESI Top 6‰ worldwide. 展开更多
关键词 opening DOCTOR China
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MdDGK3-like as a negative regulator participates in ALA-induced PP2AC to promote stomatal opening in apple leaves
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作者 Zheng Chen Yingrui Lou Liangju Wang 《Horticultural Plant Journal》 SCIE CAS CSCD 2023年第5期898-908,共11页
5-Aminolevulinic acid(ALA)can inhibit abscisic acid(ABA)-induced stomatal closure.However,the molecular mechanism is unclear.In this study,we found that ALA upregulated the MdPP2AC expression and PP2A activity in the ... 5-Aminolevulinic acid(ALA)can inhibit abscisic acid(ABA)-induced stomatal closure.However,the molecular mechanism is unclear.In this study,we found that ALA upregulated the MdPP2AC expression and PP2A activity in the apple(Malus domestica Borkh.cv.‘Fuji’)leaves.With the promoter of MdPP2AC as bait,a diacylglycerol kinase MdDGK3-like was selected by the Yeast One Hybrid(Y1H)from the cDNA library of the epidermis of apple leaves treated by exogenous ALA.Additional to binding the promoter of MdPP2AC,MdDGK3-like was found to inhibit the transcription activity of MdPP2AC promoter,while ALA significantly eliminated the role of MdDGK3-like.In tobacco leaves,MdDGK3-like was localized in the nucleus of stomatal guard cells.Therefore,MdDGK3-like might act as a transcription factor negatively regulating MdPP2AC expression and causing stomatal closure.To further identify MdDGK3-like functions,several transiently transgenic apple leaves(including overexpression and interference)were established.The results revealed that overexpression of MdDGK3-like promoted stomatal closure by increasing Ca^(2+)and H_(2)O_(2)and decreasing flavonol levels in the guard cells.Conversely,MdDGK3-like(i)led the stomatal opening with lower levels of Ca^(2+)and H_(2)O_(2)but higher flavonols.Based on these,we proposed a new hypothesis that ALA up-regulated MdPP2AC expression via negatively regulating the expression of MdDGK3-like to up-regulate PP2A expression and the enzyme activity,which improved the stomatal aperture.Since it was the first time that MdDGK3-like was showed to act as a transcription factor,the proposed model provided a new insight onto the mechanisms of ALA-induced stomatal opening. 展开更多
关键词 ALA APPLE MdDGK3-like MdPP2AC Stomatal opening Transcription factor
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CsIPT1b and CsUGT85A2 delay female corolla opening in cucumber by regulating the content of cytokinins
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作者 Xiaoli Li Haonan Cui +5 位作者 Xiaofei Song Chengzhen Sun Zhuo Ding Xueyun Zhu Xiaofeng Liu Liying Yan 《Horticultural Plant Journal》 SCIE CAS CSCD 2023年第4期754-762,共9页
Corolla opening is essential for the propagation of unisexual flowering plants,meanwhile commodity fruits with opening corolla have higher commodity value in cucumber fresh food market.Until now,there is little resear... Corolla opening is essential for the propagation of unisexual flowering plants,meanwhile commodity fruits with opening corolla have higher commodity value in cucumber fresh food market.Until now,there is little research on the mechanism of corolla opening in cucumber.In a previous paper,we identified a unique cucumber(Cucumis sativus)line(‘6457’)that possesses super ovaries and shows delayed corolla opening when nutrient supplies are abundant.We also previously showed that the expression of CsIPT1b(isopentenyl transferase)and CsUGT85A2(cytokinin glycosyltransferase)is correlated with the delayed opening of the female corolla.Here,we investigated the mechanism of delayed female corolla opening in cucumber by conducting transgenic experiments,hormone assays,and yeast one-hybrid assays.CsIPT1b and CsUGT85A2 positively and negatively regulated delayed female corolla opening,respectively.In CsIPT1b-overexpressing plants and CsUGT85A2 knockout plants,the content of the trans-zeatin riboside,trans-zeatin,and N6-isopentenyladenosine was increased.Overall,our findings indicate that CsIPT1b and CsUGT85A2 were important regulators of the timing of female corolla opening.These genes could thus be targets to cucumber molecular breeding of fruit with flowers remaining on the tip. 展开更多
关键词 Cucumis sativus CsIPT1b CsUGT85A2 Corolla opening
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Has China-ASEAN Trade opening increased China’ s carbon emissions?
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作者 Yanchun Yi Yixin Geng Mingxin Yang 《Chinese Journal of Population,Resources and Environment》 2023年第2期52-59,共8页
This study uses carbon emission data at the provincial level in China between 1998-2018 and the proportion of the total import and export trade between provinces and the Association of Southeast Asian Nations(ASEAN)in... This study uses carbon emission data at the provincial level in China between 1998-2018 and the proportion of the total import and export trade between provinces and the Association of Southeast Asian Nations(ASEAN)in GDP to measure the level of China-ASEAN trade openness.It examines the impact of China ASEAN trade openness on carbon emissions and its transmission mechanism,and selects the RMB/USD exchange rate as an instrumental variable to address the endogeneity of China-ASEAN trade openness variables.The impact of China-ASEAN trade openness on China’s environment is estimated within a two-stage least squares framework.The results show that trade openness between China and ASEAN positively impacts China’s environment and can facilitate carbon emission reduction.The scale,structural,and technology effects brought by China-ASEAN trade liberalization jointly promote China’s carbon dioxide emission reduction.An inverted“U”relationship is found between economic growth and environmental quality in China,and some provinces and municipalities have now crossed the inflection point of the curve,in which carbon emi ssions decrease with an increase in per capita wealth. 展开更多
关键词 China-ASEAN trade opening Carbon emissions Instrumental variables Environmental Kuznets curve(EKC) Environment
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OPENING TO THE CHALLENGE --An economy thrives in openness and withers in seclusion
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作者 Qiu Hui 《China Report ASEAN》 2023年第12期22-23,共2页
pening-up has always been a hot topic at the China International Import Expo(CIIE),the world's first import expo held at the national level.During the sixth CIIE,the Hongqiao International Economic Forum held on N... pening-up has always been a hot topic at the China International Import Expo(CIIE),the world's first import expo held at the national level.During the sixth CIIE,the Hongqiao International Economic Forum held on November 6 attracted many participants from government departments,academia,and the business sector to conduct in-depth discussions on global trade and the challenges it faces.Participants agreed that multi-party dialogue is key to the issue. 展开更多
关键词 discussions open agreed
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Showcasing Chengdu to the World 2023 Opening Ceremony of Culture City of East Asia: Year of Chengdu Events in China
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作者 Chen Yongbin 《China & The World Cultural Exchange》 2023年第7期13-15,共3页
On June 29,2023 Opening Ceremony of Culture City of East Asia:Year of Chengdu Events in China,took place in Chengdu,which was co-sponsored by the Sichuan Provincial Department of Culture and Tourism and the Chengdu Mu... On June 29,2023 Opening Ceremony of Culture City of East Asia:Year of Chengdu Events in China,took place in Chengdu,which was co-sponsored by the Sichuan Provincial Department of Culture and Tourism and the Chengdu Municipal People's Government. 展开更多
关键词 opening Chengdu GOVERNMENT
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Application of Opening and Closing Morphology in Deep Learning-Based Brain Image Registration
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作者 Yue Yang Shiyu Liu +4 位作者 Shunbo Hu Lintao Zhang Jitao Li Meng Li Fuchun Zhang 《Journal of Beijing Institute of Technology》 EI CAS 2023年第5期609-618,共10页
In order to improve the registration accuracy of brain magnetic resonance images(MRI),some deep learning registration methods use segmentation images for training model.How-ever,the segmentation values are constant fo... In order to improve the registration accuracy of brain magnetic resonance images(MRI),some deep learning registration methods use segmentation images for training model.How-ever,the segmentation values are constant for each label,which leads to the gradient variation con-centrating on the boundary.Thus,the dense deformation field(DDF)is gathered on the boundary and there even appears folding phenomenon.In order to fully leverage the label information,the morphological opening and closing information maps are introduced to enlarge the non-zero gradi-ent regions and improve the accuracy of DDF estimation.The opening information maps supervise the registration model to focus on smaller,narrow brain regions.The closing information maps supervise the registration model to pay more attention to the complex boundary region.Then,opening and closing morphology networks(OC_Net)are designed to automatically generate open-ing and closing information maps to realize the end-to-end training process.Finally,a new registra-tion architecture,VM_(seg+oc),is proposed by combining OC_Net and VoxelMorph.Experimental results show that the registration accuracy of VM_(seg+oc) is significantly improved on LPBA40 and OASIS1 datasets.Especially,VM_(seg+oc) can well improve registration accuracy in smaller brain regions and narrow regions. 展开更多
关键词 three dimensional(3D)medical image registration deep learning opening operation closing operation MORPHOLOGY
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Atomically Dispersed Ruthenium Catalysts with Open Hollow Structure for Lithium-Oxygen Batteries
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作者 Xin Chen Yu Zhang +5 位作者 Chang Chen Huinan Li Yuran Lin Ke Yu Caiyun Nan Chen Chen 《Nano-Micro Letters》 SCIE EI CAS CSCD 2024年第2期154-164,共11页
Lithium–oxygen battery with ultrahigh theoretical energy density is considered a highly competitive next-generation energy storage device,but its practical application is severely hindered by issues such as difficult... Lithium–oxygen battery with ultrahigh theoretical energy density is considered a highly competitive next-generation energy storage device,but its practical application is severely hindered by issues such as difficult decomposition of discharge products at present.Here,we have developed N-doped carbon anchored atomically dispersed Ru sites cathode catalyst with open hollow structure(h-RuNC)for Lithium–oxygen battery.On one hand,the abundance of atomically dispersed Ru sites can effectively catalyze the formation and decomposition of discharge products,thereby greatly enhancing the redox kinetics.On the other hand,the open hollow structure not only enhances the mass activity of atomically dispersed Ru sites but also improves the diffusion efficiency of catalytic molecules.Therefore,the excellent activity from atomically dispersed Ru sites and the enhanced diffusion from open hollow structure respectively improve the redox kinetics and cycling stability,ultimately achieving a high-performance lithium–oxygen battery. 展开更多
关键词 Atomically dispersed open hollow structure Discharge product LITHIUM Oxygen battery
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Diversity of Flower Opening Time and Duration in Rice (Oryza sativa ssp. indica) Landraces of South and Southeast Asia in Different Cultivation Seasons
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作者 Debal Deb Niranjan V Joshi +2 位作者 Debdulal Bhattacharya Mahendra Nauri Rakesh Ganguly 《Journal of Botanical Research》 2023年第3期36-48,共13页
Different cultivars of rice(Oryza sativa)open at different times of the day,and the overlap of anthesis time in rice between the neighbouring cultivars is of crucial importance to the degree of cross pollination in ri... Different cultivars of rice(Oryza sativa)open at different times of the day,and the overlap of anthesis time in rice between the neighbouring cultivars is of crucial importance to the degree of cross pollination in rice.Nevertheless,none of the past experiments with cross pollination between different rice cultivars ever reported the respective flower opening time(FOT)and flower exposure duration(FED)of the parent cultivars,until recently.The authors present here the first record of FOT and FED of 1114 indica rice landraces of South and Southeast Asia,growing during sum-mer and winter seasons in three consecutive years.The authors also present an analysis of the influences of the grow-ing season on the anthesis behaviour,and present the first records of the FOT and FED variability on sunny and cloudy days of a large number of landraces.The data show that rice florets tend to open later in the morning(that is,take longer time to anthesis after sunrise)on sunny days than on cloudy days,and also significantly later during long day seasons(spring and summer)than during short day season(winter);and that FED is inversely related to both FOT and the length of duration from sunrise to first flower opening.The wide ranges of FOT(8:50 a.m.to 12:40 p.m.)and FED(15 to 194 minutes)also suggest the ample time window for receiving pollen from neighbouring cultivars with differ-ent FOT,enhancing the chances of cross pollination between hundreds of rice landraces with FOT and FED overlaps. 展开更多
关键词 ANTHESIS Flower opening time Indica landraces POLLINATION RICE Season
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A comparative study on characteristics of retracted publications across different open access levels
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作者 Er-Te Zheng Hui-Zhen Fu 《Journal of Data and Information Science》 CSCD 2024年第2期22-40,共19页
Purpose:Recently,global science has shown an increasing open trend,however,the characteristics of research integrity of open access(OA)publications have rarely been studied.The aim of this study is to compare the char... Purpose:Recently,global science has shown an increasing open trend,however,the characteristics of research integrity of open access(OA)publications have rarely been studied.The aim of this study is to compare the characteristics of retracted articles across different OA levels and discover whether OA level influences the characteristics of retracted articles.Design/methodology/approach:The research conducted an analysis of 6,005 retracted publications between 2001 and 2020 from the Web of Science and Retraction Watch databases.These publications were categorized based on their OA levels,including Gold OA,Green OA,and non-OA.The study explored retraction rates,time lags and reasons within these categories.Findings:The findings of this research revealed distinct patterns in retraction rates among different OA levels.Publications with Gold OA demonstrated the highest retraction rate,followed by Green OA and non-OA.A comparison of retraction reasons between Gold OA and non-OA categories indicated similar proportions,while Green OA exhibited a higher proportion due to falsification and manipulation issues,along with a lower occurrence of plagiarism and authorship issues.The retraction time lag was shortest for Gold OA,followed by non-OA,and longest for Green OA.The prolonged retraction time for Green OA could be attributed to an atypical distribution of retraction reasons.A comparative study on characteristics of retracted publications across different open access levels Research limitations:There is no exploration of a wider range of OA levels,such as Hybrid OA and Bronze OA.Practical implications:The outcomes of this study suggest the need for increased attention to research integrity within the OA publications.The occurrences offalsification,manipulation,and ethical concerns within Green OA publications warrant attention from the scientific community.Originality/value:This study contributes to the understanding of research integrity in the realm of OA publications,shedding light on retraction patterns and reasons across different OA levels. 展开更多
关键词 open access Retracted publications Reasons for retraction Retraction time lag BIBLIOMETRICS
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The Effect of Uterine Artery Occlusion with Tourniquet on Ovarian Reserve during Open Myomectomy at a University Teaching Hospital in Southern Nigeria
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作者 William Amebeobari Mube Justina Omoikhefe Alegbeleye Ngozi Clare Orazulike 《Advances in Reproductive Sciences》 CAS 2024年第1期37-50,共14页
Background: The most common surgical treatment for symptomatic uterine fibroids, particularly in women with fertility concerns, is open myomectomy. Given the high vascularity of the uterus, haemorrhage during the proc... Background: The most common surgical treatment for symptomatic uterine fibroids, particularly in women with fertility concerns, is open myomectomy. Given the high vascularity of the uterus, haemorrhage during the procedure is a serious risk that is often mitigated with a uterine tourniquet. Aim and Objectives: To evaluate the effect of uterine artery occlusion with a tourniquet during open myomectomy on ovarian reserve using serial anti-Mullerian hormone (AMH) measurements. Materials and Methods: This was a prospective longitudinal study with a quasi-experimental design and a convenient sampling technique. The study enrolled 47 women who had abdominal myomectomy between September 1, 2021, and March 31, 2022, at the University of Port Harcourt Teaching Hospital. Blood samples were collected before anaesthesia was administered in theatre, on day two, and three months after open abdominal myomectomy for anti-Mullerian hormone assay. The data was collected using a semi-structured proforma, entered into an Excel spreadsheet, and analyzed using SPSS version 25.0 with a 95% confidence interval. Statistical significance level was set at 0.05. Results: The pre-surgery AMH mean value was 1.67 ± 1.44 ng/ml, while the values after using a uterine tourniquet at myomectomy on the second day and three months later were 1.22 ± 1.24 ng/ml and 1.59 ± 1.43 ng/ml, respectively. There was no statistically significant change in AMH levels, and there was no statistically significant relationship between blood loss and tourniquet time and AMH after open abdominal myomectomy. Conclusion: The use of a uterine tourniquet and blood loss during open myomectomy has no effect on ovarian reserve. 展开更多
关键词 Uterine Tourniquet open Abdominal Myomectomy Ovarian Reserve Anti-Mullerian Hormone NIGERIA
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