The treatment of hepatitis C has undergone a significant boom since the advent of direct acting antivirals (DAA). Indeed, the interferon-ribavirin combination that has been used to treat hepatitis C has a virological ...The treatment of hepatitis C has undergone a significant boom since the advent of direct acting antivirals (DAA). Indeed, the interferon-ribavirin combination that has been used to treat hepatitis C has a virological response in only 45% of cases with significant side effects. The advent of direct-acting antivirals has changed the prognosis of cirrhotic patients with hepatitis C. DAAs have ensured a sustained viral response in the majority of patients. Our work aims to see the evolution of hepatitis C patients at the cirrhosis stage under DAA. We conducted a retrospective study over 15 years (January 2009, January 2024) including all patients with post-viral cirrhosis C, whom we divided into two groups: group A, cirrhotic patients who received ribavirin and interferon, and group B, patients on DAA. From January 2009 to January 2024, we conducted a study of 182 patients with viral hepatitis C, including 102 cirrhotic patients. The mean age was 55 years. 66% of patients were initially treated with the ribavirin interferon combination, while 34% received direct-acting antivirals (DAAs). Since the introduction of DAAs, the most commonly used regimens have been sofosbuvir/daclatasvir with or without ribavirin and sofosbuvir/ledipasvir with or without ribavirin. Group A achieved sustained virological response (SVR) in 60% of cases, with notable side effects. In Group B, SVR was 98.18%, with improved tolerability and fewer side effects than previous treatments. Fifteen patients developed hepatocellular carcinoma (HCC), with a significantly lower mortality rate in those treated with DAAs compared with pegylated dual therapy (p: 0.001).展开更多
Background: Termination of pregnancy (TOP) in Zambia is guided by the Termination of Pregnancy (TOP) Act of 1972 and as amended in 1994 of the laws of Zambia. However, despite provision of Comprehensive abortion care ...Background: Termination of pregnancy (TOP) in Zambia is guided by the Termination of Pregnancy (TOP) Act of 1972 and as amended in 1994 of the laws of Zambia. However, despite provision of Comprehensive abortion care services with the liberal law, statistics at Kanyama First Level Hospital in relation to unsafe illegal abortions are alarming. This study sought to understand the Awareness on the TOP Act of the laws of Zambia among women of reproductive age 15 - 49 years at Kanyama First Level Hospital in Lusaka District. Purpose of the Study: To assess awareness on the TOP Act among women of reproductive age at Kanyama First Level Hospital in Lusaka, Zambia. Methodology: A convergent parallel mixed method design was conducted using both survey and in-depth interviews among women of reproductive age at Kanyama First Level Hospital in Lusaka District. The study surveyed 370 randomly sampled women aged 15 to 49 years old while the in-depth interviews included eight women purposively sampled from the survey population. Survey data was analyzed using descriptive and inferential statistics while qualitative data thematic analysis was used. Results: The study found that 37% of the participants were aware of the TOP Act while 63.8% viewed legalization of abortion for any reason as wrong. The study results also showed that widowed women were 8 times more likely to be aware of the TOP Act compared to single women (AOR: 8.262;95% CI: 1.105, 61.778). Women in business were significantly more likely to be aware of the TOP Act compared to those who reported having no occupation. (AOR: 2.61;95% CI: 1.246, 5.499). Limited access to information, the social stigma attached to abortion, health care providers’ attitudes, cultural norms, values and religious beliefs, restrictive legal requirements, and absence of a supportive network were some of the barriers affecting awareness and utilization of available safe abortion care services. Conclusions: The research findings concluded that a significant lack of awareness among women of reproductive age regarding the Termination of Pregnancy (TOP) Act. The majority of respondents held the view that abortion should only be legalized for medical reasons. Furthermore, there was a notable gap in knowledge concerning the penal code’s provisions on abortion.展开更多
Face and politeness are very important parts in people’s daily communication.But people will violate the principle of politeness for protecting their own face.Therefore,they usually choose to use more humorous words ...Face and politeness are very important parts in people’s daily communication.But people will violate the principle of politeness for protecting their own face.Therefore,they usually choose to use more humorous words or jocular words to communicate in order to avoid direct contradictions.Starting from the face-threatening acts in the face theory and politeness principle,this paper briefly analyzes the face-threatening acts and its humorous usage in the TucaodahuiⅢ.展开更多
Background: Long-acting and reversible contraceptive methods hold great potential as solutions to address the unmet need for contraception and the significant discontinuation rates, especially in sub-Saharan Africa. A...Background: Long-acting and reversible contraceptive methods hold great potential as solutions to address the unmet need for contraception and the significant discontinuation rates, especially in sub-Saharan Africa. Among these methods, the Implant has gained popularity in sub-Saharan Africa, whereas the utilization of Intrauterine Devices (IUDs) has remained comparatively low, particularly in Burkina Faso. This study aims to evaluate the shifts in IUD and Implant usage from 2010 to 2020 and to pinpoint the factors influencing the choice of IUDs among LARCs users in Burkina Faso. Data and Methods: We conducted an analysis using data from Burkina Faso, drawn from the 2010 Demographic and Health Survey (DHS) and the 2020 PMA Phase 1 data. The 2010 DHS garnered responses from 17,087 women aged 15 - 49, achieving a response rate of 98.4%. The 2020 PMA data collected responses from 6590 women aged 15 - 49, with a response rate of 95.8%. The final sample of Long-Acting Reversible Contraceptives (LARCs) users consisted of 1502 women, including 576 women from the 2010 survey and 926 women from the 2020 survey. Results: The study demonstrates an expansion of IUD usage to include socioeconomically disadvantaged segments among LARC users. However, higher levels of education, older age, and decisions influenced by healthcare providers are correlated with the preference for IUDs over Implants. The choice of IUDs is also connected to a comprehensive understanding of contraceptive methods, suggesting potential biases in the counseling process. Conclusion: Facilitating the broader adoption of IUDs among disadvantaged groups could be achieved by improving the accessibility of IUD products and services in rural areas. Nevertheless, there should be focused initiatives to enhance access to removal services, as this factor could dissuade specific users. Further efforts are required to train healthcare providers, aiming to mitigate biases in delivering Long-Acting Reversible Contraceptives (LARCs). Providers should provide impartial counseling, irrespective of the selected type of LARC.展开更多
Objective: The aim of the current study was to assess the impact of operative interventions for misplaced device among women who opted for PPIIUCD and the evaluation of reasons for PPIUCD removal within the follow up ...Objective: The aim of the current study was to assess the impact of operative interventions for misplaced device among women who opted for PPIIUCD and the evaluation of reasons for PPIUCD removal within the follow up period of two years. Design: A descriptive exploratory study was conducted over three months among fourteen PPIUCD acceptors at a tertiary care health facility in Delhi, India. Face-to-face & telephonic in-depth interviews were conducted with a selected sample of PPIUCD acceptors who had later opted for its removal. Results: Participants (n = 14) aged 24 – 40 exhibited generally positive attitudes towards PPIUCDs indicating an indicate an understanding of the importance of PPIUCD in preventing unintended pregnancies. Menstrual disturbance and misplaced IUCD were major reasons for removal. despite their own experience necessitating the removal of IUCD, positive experience by other family members (mothers in law) in this study helped to keep the confidence on the contraceptive. Themes included (a) general experience of PPIUCD use (b) Health Facility accessed for removal of IUCD (c) Would she recommend it to others? (d) preferred contraceptive after removal of IUCD. Conclusion: Misplaced IUCD, missing thread, menstrual irregularities, and pain are all associated with PPIUCD and are important reasons for dissatisfaction. Appropriate, timely and supportive individualized care that address knowledge gaps, societal perceptions, and healthcare system challenges would certainly help in reducing dissatisfaction due to PPIUCD and thereby the removal rates.展开更多
Hepatitis C virus(HCV) infection has been a global health problem for decades, due to the high number of infected people and to the lack of effective and welltolerated therapies. In the last 3 years, the approval of n...Hepatitis C virus(HCV) infection has been a global health problem for decades, due to the high number of infected people and to the lack of effective and welltolerated therapies. In the last 3 years, the approval of new direct acting antivirals characterized by high rates of virological clearance and excellent tolerability has dramatically improved HCV infection curability, especially for patients with advanced liver disease and for liver transplant recipients. Long-term data about the impact of the new direct acting antivirals on liver fibrosis and liver disease-related outcomes are not yet available, due to their recent introduction. However, previously published data deriving from the use of pegylatedinterferon and ribavirin lead to hypothesizing that we are going to observe, in the future, a reduction in mortality and in the incidence of hepatocellular carcinoma, as well as a regression of fibrosis for people previously affected by hepatitis C. In the liver transplant setting, clinical improvement has already been described after treatment with the new direct acting antivirals, which has often led to patients delisting. In the future, this may hopefully reduce the gap between liver organ request and availability, probably expanding liver transplant indications to other clinical conditions. Therefore, these new drugs are going to change the natural history of HCV-related liver disease and the epidemiology of HCV infection worldwide. However, the global consequences will depend on treatment accessibility and on the number of countries that could afford the use of the new direct acting antivirals.展开更多
BACKGROUND Schizophrenic patients are prone to violence,frequent recurrence,and difficult to predict.Emotional and behavioral abnormalities during the onset of the disease,resulting in active myocardial enzyme spectru...BACKGROUND Schizophrenic patients are prone to violence,frequent recurrence,and difficult to predict.Emotional and behavioral abnormalities during the onset of the disease,resulting in active myocardial enzyme spectrum.AIM To explored the expression level of myocardial enzymes in patients with schizo-phrenia and its predictive value in the occurrence of violence.METHODS A total of 288 patients with schizophrenia in our hospital from February 2023 to January 2024 were selected as the research object,and 100 healthy people were selected as the control group.Participants’information,clinical data,and labo-ratory examination data were collected.According to Modified Overt Aggression Scale score,patients were further divided into the violent(123 cases)and non-violent group(165 cases).RESULTS The comparative analysis revealed significant differences in serum myocardial enzyme levels between patients with schizophrenia and healthy individuals.In the schizophrenia group,the violent and non-violent groups also exhibited different levels of serum myocardial enzymes.The levels of myocardial enzymes in the non-violent group were lower than those in the violent group,and the patients in the latter also displayed aggressive behavior in the past.CONCLUSION Previous aggressive behavior and the level of myocardial enzymes are of great significance for the diagnosis and prognosis analysis of violent behavior in patients with schizophrenia.By detecting changes in these indicators,we can gain a more comprehensive understanding of a patient’s condition and treatment.展开更多
Numerous decision-makers in politics,science,and business worldwide have acknowledged that hydrogen H_(2) will become one of the most important energy sources of the 21st century if the desired energy transition to ca...Numerous decision-makers in politics,science,and business worldwide have acknowledged that hydrogen H_(2) will become one of the most important energy sources of the 21st century if the desired energy transition to carbon-free energy sources is to be taken seriously.Nevertheless,this transition in general and the introduction of H_(2) in particular is still progressing far too slowly.There are now countless projects worldwide,including several worth billions of US dollars,but we are still waiting for the breakthrough.There seem to be various reasons for this,not just one single or most important one.Purpose:In the overall context of global earth overheating(often downplayed as“climate change”),hydrogen H_(2) will undoubtedly play a decisive role as of now.The paper aims to identify the key challenges and propose solutions for establishing a sustainable value chain for market penetration of H_(2).Design/methodology/approach:This paper aims to shed light on the current situation using freely accessible publications from global management consultancies and the German government,as well as critical reporting.The problem of human behavior is also explained by the Novak Triangle.Findings:Most people have come to understand that anthropogenic global overheating can only be solved by new technologies(which cost money,time,and behavioral change)in production and application.Hydrogen H_(2) appears to be an essential part of the desired solution.Nevertheless,there are currently still numerous challenges and also concrete concerns worldwide,which partially cast the implementation in a questionable light.The findings suggest that establishing a demand and supply of H_(2) needs a comprehensive infrastructure,circular economy principles,and changes in consumer behavior and policy frameworks.The paper proposes solutions for addressing these challenges.Affected countries:The situation described here relates to Germany and the EU countries,but it is likely to be comparable,or at least similar,for many industrialized countries.The challenges and solutions proposed in this paper are relevant to countries worldwide that are transitioning to sustainable energy and transportation systems.Research/future/practical implications:As of 2024,it must be stated that the implementation of H_(2) is still progressing far too slowly,even in the“model country”Germany.There are still problems and stalling in many places.The biggest challenge seems to be the problem:without demand,there is no supply;without supply,there is no demand.This can then best be achieved with simple“out-of-the-box”solutions in mindset(see Novak triangle).The research implications of this paper include the need for further research on the challenges of establishing a sustainable value chain and the effectiveness of the proposed solutions.The future implications of this paper include the importance of establishing a sustainable value chain to mitigate climate change and reduce dependence on fossil fuels.The core point will become the collaboration across the entire value chain to establish a sustainable infrastructure for sustainable energy and transportation systems.Originality/value:Currently,there are virtually no scientific books that would present the overall context of the challenges.Therefore,only current surveys,market volumes,and challenges in environmental and working conditions can be described here.This paper contributes to the literature by analyzing the challenges of establishing a market model for hydrogen H_(2).The paper proposes solutions for addressing these challenges and shows difficulties.It provides valuable insights for policymakers,industry stakeholders,and researchers working towards a sustainable energy future.展开更多
Hepatitis C virus (HCV) infection is associated with extrahepatic manifestations, among these there is an increased risk of atherosclerosis and cardiovascular disease as well as an increased cardiovascular mortality. ...Hepatitis C virus (HCV) infection is associated with extrahepatic manifestations, among these there is an increased risk of atherosclerosis and cardiovascular disease as well as an increased cardiovascular mortality. Several direct and indirect HCV pro-atherogenic mechanisms have been proposed. HCV lives and replicates within carotid plaques, promoting a local environment of pro-atherogenic factors. In addition, it causes conditions such as insulin resistance, diabetes, hepatic steatosis, cryoglobulinemia and endotoxinemia that are associated with the development of atherosclerosis and cardiovascular disease. Therapeutic regimens based on direct-acting antiviral agents (DAA) are currently available with high efficacy in HCV clearance and improvement of liver disease, but does HCV eradication also improve atherosclerosis and the risk of cardiovascular disease? Recently, a multi-center study has shown that elimination of HCV improves carotid atherosclerosis. Two studies have shown that DAA treatments significantly reduce the risk of cardiovascular events. Several studies have assessed the impact of HCV clearance on pro-atherosclerosis metabolic conditions showing improvement in cardiovascular risk biomarkers, disappearance or improvement of insulin resistance, reduction of risk of developing diabetes and improvement of glycemic control. There are also evidences that HCV clearance promotes the recovery of cytokines and inflammatory markers associated with atherosclerosis and the disappearance of cryoglobulinemia. Available data show that clearance of HCV by DAAs is associated with an improvement in atherosclerosis and metabolic and immunological conditions that promote the development of cardiovascular disease. However, the data are not sufficient to allow definitive conclusions and further studies will be needed to definitively clarify the impact of HCV clearance on atherosclerosis and cardiovascular disease.展开更多
Background: After a live birth, there is much unsatisfied interest in, and unmet family planning need for contraception. Waiting at least for 24 months before attempting the next pregnancy was recommended to reduce th...Background: After a live birth, there is much unsatisfied interest in, and unmet family planning need for contraception. Waiting at least for 24 months before attempting the next pregnancy was recommended to reduce the risk of adverse maternal, perinatal and infant outcomes. The purpose of this study was to assess the determinants of long acting reversible contraception method use among mothers in extended postpartum period in Durame Town, Southern Ethiopia. Methods: A community based cross sectional study was conducted in Durame Town, Southern Ethiopia in December, 2014. Systematic random sampling technique was employed to recruit a total 460 study participants. Structured and pretested questioner was used to collect the data. Descriptive statistics was employed to characterize the study population using frequencies and proportions. Bivariate logistic regression analysis was conducted to identify all possible factors affecting utilization of LARC method. Multivariable logistic regression model was developed to control the confounding variables. Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) was computed in identifying the real factors associated with use of LARC methods. Results: In this study we found that the prevalence of LARC method use among mothers during their extended postpartum period was 36.7% (95%CI: 32.2, 41.0). The unmet family planning need of mothers in the extended postpartum period was 123 (27.9%). The odds of using LARC by literate mother were four fold higher than their counterpart illiterate mothers (AOR 4.09 95%CI: 1.68, 9.58, P value < 0.001). The odds of mother who had pervious experiences of using LARC were up to eight folds higher than mother never used LARC methods (AOR 7.84 95% CI: 3.78, 16.23, P value< 0.001). Mother who received counseling service on LARC methods during delivery was up to three times more likely to utilize the services than not counseled (AOR 3.29 95% CI: 1.53, 7.03, P value < 0.001). And odds of mothers who received counseling service on LARC during immediate postpartum period were up to five fold more likely to opt method than never got the counseling service (AOR 4.55 95 % CI: 1.94, 10.66, P value < 0.001). Conclusions: In the study area, about one third of mothers utilized LARC methods during their extended postpartum period. Another one third of mother had unmet need for family planning. Participant’s education, previous history of using LARC methods, receiving counseling services on LARC during delivery and immediate postpartum periods were found major determinant for LARC use. Educating women, providing counseling service on LARC methods during antenatal, delivery and postnatal were recommended.展开更多
This research is showing the effect of increasing an Fe extracting from the compression strength, tension and bending moment. The variations in this experiment are the increasing of Fe extracting 0.5%, 1% and 1.5% of ...This research is showing the effect of increasing an Fe extracting from the compression strength, tension and bending moment. The variations in this experiment are the increasing of Fe extracting 0.5%, 1% and 1.5% of concrete volume. Water Cement Ratio (WCR) variation of 0.48, 0.56 and 0.60. The result of increasing 1.5% Fe extracting causes the increasing of tension strength 44.028 kN/cm2, the increasing of slit tension strength 2.226 kN/cm2, the increasing of bending moment 14.81 kN/cm2 from normal concrete. 0.48 WCR produces tension strength, slit tension strength and bending moment more than 0.56 and 0.60 WCR. The increasing of Fe extracting with the distribution variation area and the spread concrete in the tension concrete area produce 3.705 kN/cm2 bending moment higher than the spread fiber in all of concrete area. The 4 cm fiber length produces the higher bending moment than the 2 cm fiber length. The difference is equally 5.185 kN/cm2. The combination result of the examined acting varieties by continuation statistic test gives the result to get the maximum tension and split tensile. It is a concrete combination of increasing 1.5% fiber percentage, 0.48 WCR, full spreading area and the 4 cm fiber length. The maximum bending moment is the increasing of 0.5% fiber percentage, 0.48 WCR, full spreading area and the 4 cm fiber length.展开更多
Previous work from this laboratory has demonstrated that the induction of c-fos by angiotensin (Ang) Ⅱ in vascular smooth muscle cells (VSMC) is mediated by at least two enhancer elements, the serum response element ...Previous work from this laboratory has demonstrated that the induction of c-fos by angiotensin (Ang) Ⅱ in vascular smooth muscle cells (VSMC) is mediated by at least two enhancer elements, the serum response element (SRE) and the cyclic AMP response element (CRE). These two elements appear to act independently and equally. The current study is aimed at identifying the trans-acting proteins that interact with these enhancer ele-.ments to mediate this response. Rat aortic smooth muscle (RASM) cells were grown in culture and made quiescent by placing them in a defined serum-free media for 48 hours.Aug Ⅱor vehicle was then added, the cells harvested 30 minutes later and nuclear extracts isolated. Gel mobility shift assay were then performed.gel shifts done with wild type SRE oligonucleotide demonstrated that two specific proteins bound to this element.Mutations in central CArG box of the SRE inhibited binding but mutations in the ets binding site in the SRE had no effect. Extracts from Aug Ⅱor vehicle treated cells demonstrated an identical pattern of binding. Similar experiments performed with CRE noligonucleotide identified three proteins which bound to CRE. Again,no differences were observed between vehicle and AugⅡtreated extracts. An antibody to serum response factor(SRF),which binds to the SRE, supershifted the proteins that bound to the SRE. When gel shifts with RASM cells extracts were compared to gel shifts from either NIH 3T3 fibroblast cell extraes of HeLa cell extracts,a different pattern of protein binding was observed using the SRE oligonucleotide.In contrast to the studies with the SRF antibody,an antibody to CRE binding protein (CREB)-43, the most common CREB protein, failed to recognize protein from RASM extract in a supershift assay. When the gel shift pattern with the CRE oligonucleotide between RASM, 3T3 and HeLa cell extracts was compared,no similarity was seen. Taken together,'these data suggest that stimulation of c-for in VSMC's occurs via activation of a unique set of proteins. Activation of these proteins is not due to new protein synthesis. Further work will be aimed at identifying these proteins and studying their mechanism of activation in VSMC's.展开更多
Aim:In this study,we would like to determine associations between β2-Adrenergic Receptor(β2AR)polymorphisms at codon 16 and 27 and the response to short acting β2-agonist during asthmatic exacerbation.Methods:This ...Aim:In this study,we would like to determine associations between β2-Adrenergic Receptor(β2AR)polymorphisms at codon 16 and 27 and the response to short acting β2-agonist during asthmatic exacerbation.Methods:This was a prospective cross-sectional study of one year duration.One hundred and thirty two asthmatic patients were recruited.Five mls of venous blood was taken for DNA extraction and then genotyped for the β2AR polymorphisms using multiplex PCR.Patient's clinical responses to β2-agonist nebulization were then compared to their genotype to determine the association.Results:We found that there was no association between β2AR polymorphisms at both codon 16 and 27 with response towards short acting β2-agonist,P=0.315 and P=0.706 respectively.Conclusion:We suggested that β2AR polymorphisms at both codon 16 and 27 had no influent on the response to short acting β2-agonist.展开更多
The objective of this study is analysis of heat-up process of wet woody particles on a backward acting grate including dynamics motion investigation by implementing XDEM (extended discrete element method) as a novel...The objective of this study is analysis of heat-up process of wet woody particles on a backward acting grate including dynamics motion investigation by implementing XDEM (extended discrete element method) as a novel approach. In this method, the particles are resolved as the discrete phase (individual elements) coupled via heat, mass and momentum transfer to the continuous gas phase. The temperature of particulates along the backward acting grate is investigated by evaluating effects of operating parameters such as bar amplitude and period. Furthermore, the bar motion has effects largely on the heat-up process of the packed bed on the backward acting grate which is considered here as well. In other words, motion of particles caused by bar motion influences the heat transfer of particles and totally the packed bed. In fact, the particles' heat-up is performed by a radiative heat flux facing the packed bed surface so that heat transfer of particles as radiation and conduction with surrounding particles is taken into account in addition to convection heat transfer between particles and surrounding gas phase.展开更多
On August 16<sup>th</sup>, 2022, Public Law 117-169, The Inflation Reduction Act of 2022, was signed into law by the President of the United States, Joseph R. Biden Jr. The Inflation Reduction Act of 2022 ...On August 16<sup>th</sup>, 2022, Public Law 117-169, The Inflation Reduction Act of 2022, was signed into law by the President of the United States, Joseph R. Biden Jr. The Inflation Reduction Act of 2022 provides the Native Hawaiian community an opportunity to engage in activities of climate resilience and adaptation through making funds available to support such actions. This article provides a preliminary policy analysis of the Inflation Reduction Act of 2022 to identify the opportunities presented by this legislation that can provide ecological and cultural benefit to the Native Hawaiian community. Findings suggest policy language included in this Act is broad which emphasizes the need for the Senior Program Director of the Office of Native Hawaiian Relations, who is tasked with fund distribution, to rely upon the knowledge of the Native Hawaiian community and ecological experts to direct funds in a manner that best benefits the Native Hawaiian community.展开更多
BACKGROUND Patients with chronic hepatitis C virus(HCV)infection have increased serum omentin-1.Omentin-1 is an anti-inflammatory adipokine,and higher levels may be a direct effect of HCV infection.Successful eliminat...BACKGROUND Patients with chronic hepatitis C virus(HCV)infection have increased serum omentin-1.Omentin-1 is an anti-inflammatory adipokine,and higher levels may be a direct effect of HCV infection.Successful elimination of HCV by direct acting antivirals almost normalized circulating levels of various molecules with a role in inflammation.AIM To evaluate the effect of HCV infection on serum omentin-1,serum omentin-1 levels of HCV patients were measured before therapy and at 12 wk after therapy end.Associations of serum omentin-1 with parameters of inflammation and liver function were explored at both time points.Serum omentin-1 levels of patients with and without liver cirrhosis,which was defined by ultrasound or the fibrosis-4(FIB-4)score,were compared.METHODS Serum omentin-1 levels were measured by enzyme-linked immunosorbent assay in 84 chronic HCV patients before therapy and at 12 wk after therapy end where sustained virological response 12(SVR12)was achieved in all patients.Serum omentin-1 of 14 non-infected controls was measured in parallel.RESULTS In patients with chronic HCV,serum omentin-1 levels were not related to viral load or viral genotype.HCV patients with liver steatosis and HCV patients with diabetes had serum omentin-1 levels comparable to patients not suffering from these conditions.Serum omentin-1 levels at SVR12 were similar in comparison to pretreatment levels.In addition,serum levels did not differ between HCV-infected patients and non-infected controls.Serum omentin-1 levels did not correlate with leukocyte count or C-reactive protein.Positive correlations of serum omentin-1 with bilirubin and the model for end-stage liver disease score(MELD)were detected before therapy and at SVR12 in the whole cohort.Bilirubin and the MELD score also positively correlated with serum omentin-1 levels in the subgroup of patients with ultrasound diagnosed liver cirrhosis before therapy.At SVR12,serum omentin-1 levels of patients with liver cirrhosis negatively correlated with albumin.Before therapy start,patients with high FIB-4 scores had increased serum omentin-1 in comparison to patients with a low score.Serum omentin-1 levels of patients with liver cirrhosis defined by ultrasound were increased at baseline and at SVR12.CONCLUSION Present study showed that liver cirrhosis,but not HCV infection per se,is related to elevated serum omentin-1 levels.展开更多
Contrary to the approach in judicial practice,Paragraph 1,Article 153,of the Civil Code of the People’s Republic of China,as a rule of invalidity for violating mandatory provisions,does not adopt a dichotomy towards ...Contrary to the approach in judicial practice,Paragraph 1,Article 153,of the Civil Code of the People’s Republic of China,as a rule of invalidity for violating mandatory provisions,does not adopt a dichotomy towards mandatory provisions with effectiveness and administrative characteristics,yet it maintains the legislative philosophy of differentiation.It leaves unspecified whether mandatory provisions that do not explicitly render a juristic act invalid impact the act’s validity,entrusting this determination to the discretion of judges on a case-by-case basis.When judges,under the authority of Paragraph 1,Article 153 of the Civil Code,explore the normative intent of mandatory provisions to assess their effect on the validity of juristic acts,they should engage in legal policy analysis centered on consequence-based argumentation to overcome the limitations of norm typological analysis.This analysis employs a reasoning model predicated on the normative purpose,utilizing a consequencefocused interpretative approach for formulating and arguing propositions of rules applicable to pending cases,thereby arriving at case-specific conclusions.Since the invalidation of juristic acts serves as an auxiliary regulatory tool for the state economy and society,a consequence-oriented interpretation needs to be based on the idea of mutual instrumentalization of public and private laws.This entails predicting the outcomes of negating the validity of a juristic act in industrial regulatory scenarios and assessing these outcomes within the framework of public and private regulatory instruments.展开更多
Poverty alleviation is a grand project involving the whole society,and is related to the development direction of socialism and the process of national modernization.It is the basic national policy and major strategic...Poverty alleviation is a grand project involving the whole society,and is related to the development direction of socialism and the process of national modernization.It is the basic national policy and major strategic deployment of China to eliminate poverty and improve people s livelihood under the new historical conditions.Therefore,in order to win the final victory of poverty alleviation and difficulties tackling,it is not enough to have only a policy system and an institutional system.It is also necessary to establish an effective legal system to regulate and restrain various poverty alleviation behaviors,which is the basic condition for ensuring the sustainable development of poverty alleviation.展开更多
Address terms are an important resource for conveying relationships.In daily interactions,the use of address terms is unavoidable.Therefore,the choose of address terms is particularly critical to make communicate smoo...Address terms are an important resource for conveying relationships.In daily interactions,the use of address terms is unavoidable.Therefore,the choose of address terms is particularly critical to make communicate smoothly with people.Previous scholars have studied address terms from a wide range of perspectives.But there is not much research on Chinese address terms based on speech act theory,which is put forward by John Langshaw Austin.By observing communicative conversations,several findings have been emerged from the analysis.They are professional title,affectionate address terms,and common address terms.These findings express the existential significance of address terms,which are the premise for people to maximize their illocutionary act when communicating.Correct understanding and grasp of the use of address terms is conductive to unfolding the communicative dialogue more smoothly.展开更多
This article described the current regulatory requirements of cosmetics in the United States,listed the major changes and adjustments of the Modernization of Cosmetics Regulation Act of 2022,such as the mandatory syst...This article described the current regulatory requirements of cosmetics in the United States,listed the major changes and adjustments of the Modernization of Cosmetics Regulation Act of 2022,such as the mandatory system of adverse event reporting and the registration of voluntary changes to mandatory,and analyzed the new regulatory requirements in depth,and put forward some suggestions for enterprises to cope with the strategy,so as to help enterprises adapt to the new policy more smoothly when exporting cosmetics.展开更多
文摘The treatment of hepatitis C has undergone a significant boom since the advent of direct acting antivirals (DAA). Indeed, the interferon-ribavirin combination that has been used to treat hepatitis C has a virological response in only 45% of cases with significant side effects. The advent of direct-acting antivirals has changed the prognosis of cirrhotic patients with hepatitis C. DAAs have ensured a sustained viral response in the majority of patients. Our work aims to see the evolution of hepatitis C patients at the cirrhosis stage under DAA. We conducted a retrospective study over 15 years (January 2009, January 2024) including all patients with post-viral cirrhosis C, whom we divided into two groups: group A, cirrhotic patients who received ribavirin and interferon, and group B, patients on DAA. From January 2009 to January 2024, we conducted a study of 182 patients with viral hepatitis C, including 102 cirrhotic patients. The mean age was 55 years. 66% of patients were initially treated with the ribavirin interferon combination, while 34% received direct-acting antivirals (DAAs). Since the introduction of DAAs, the most commonly used regimens have been sofosbuvir/daclatasvir with or without ribavirin and sofosbuvir/ledipasvir with or without ribavirin. Group A achieved sustained virological response (SVR) in 60% of cases, with notable side effects. In Group B, SVR was 98.18%, with improved tolerability and fewer side effects than previous treatments. Fifteen patients developed hepatocellular carcinoma (HCC), with a significantly lower mortality rate in those treated with DAAs compared with pegylated dual therapy (p: 0.001).
文摘Background: Termination of pregnancy (TOP) in Zambia is guided by the Termination of Pregnancy (TOP) Act of 1972 and as amended in 1994 of the laws of Zambia. However, despite provision of Comprehensive abortion care services with the liberal law, statistics at Kanyama First Level Hospital in relation to unsafe illegal abortions are alarming. This study sought to understand the Awareness on the TOP Act of the laws of Zambia among women of reproductive age 15 - 49 years at Kanyama First Level Hospital in Lusaka District. Purpose of the Study: To assess awareness on the TOP Act among women of reproductive age at Kanyama First Level Hospital in Lusaka, Zambia. Methodology: A convergent parallel mixed method design was conducted using both survey and in-depth interviews among women of reproductive age at Kanyama First Level Hospital in Lusaka District. The study surveyed 370 randomly sampled women aged 15 to 49 years old while the in-depth interviews included eight women purposively sampled from the survey population. Survey data was analyzed using descriptive and inferential statistics while qualitative data thematic analysis was used. Results: The study found that 37% of the participants were aware of the TOP Act while 63.8% viewed legalization of abortion for any reason as wrong. The study results also showed that widowed women were 8 times more likely to be aware of the TOP Act compared to single women (AOR: 8.262;95% CI: 1.105, 61.778). Women in business were significantly more likely to be aware of the TOP Act compared to those who reported having no occupation. (AOR: 2.61;95% CI: 1.246, 5.499). Limited access to information, the social stigma attached to abortion, health care providers’ attitudes, cultural norms, values and religious beliefs, restrictive legal requirements, and absence of a supportive network were some of the barriers affecting awareness and utilization of available safe abortion care services. Conclusions: The research findings concluded that a significant lack of awareness among women of reproductive age regarding the Termination of Pregnancy (TOP) Act. The majority of respondents held the view that abortion should only be legalized for medical reasons. Furthermore, there was a notable gap in knowledge concerning the penal code’s provisions on abortion.
文摘Face and politeness are very important parts in people’s daily communication.But people will violate the principle of politeness for protecting their own face.Therefore,they usually choose to use more humorous words or jocular words to communicate in order to avoid direct contradictions.Starting from the face-threatening acts in the face theory and politeness principle,this paper briefly analyzes the face-threatening acts and its humorous usage in the TucaodahuiⅢ.
文摘Background: Long-acting and reversible contraceptive methods hold great potential as solutions to address the unmet need for contraception and the significant discontinuation rates, especially in sub-Saharan Africa. Among these methods, the Implant has gained popularity in sub-Saharan Africa, whereas the utilization of Intrauterine Devices (IUDs) has remained comparatively low, particularly in Burkina Faso. This study aims to evaluate the shifts in IUD and Implant usage from 2010 to 2020 and to pinpoint the factors influencing the choice of IUDs among LARCs users in Burkina Faso. Data and Methods: We conducted an analysis using data from Burkina Faso, drawn from the 2010 Demographic and Health Survey (DHS) and the 2020 PMA Phase 1 data. The 2010 DHS garnered responses from 17,087 women aged 15 - 49, achieving a response rate of 98.4%. The 2020 PMA data collected responses from 6590 women aged 15 - 49, with a response rate of 95.8%. The final sample of Long-Acting Reversible Contraceptives (LARCs) users consisted of 1502 women, including 576 women from the 2010 survey and 926 women from the 2020 survey. Results: The study demonstrates an expansion of IUD usage to include socioeconomically disadvantaged segments among LARC users. However, higher levels of education, older age, and decisions influenced by healthcare providers are correlated with the preference for IUDs over Implants. The choice of IUDs is also connected to a comprehensive understanding of contraceptive methods, suggesting potential biases in the counseling process. Conclusion: Facilitating the broader adoption of IUDs among disadvantaged groups could be achieved by improving the accessibility of IUD products and services in rural areas. Nevertheless, there should be focused initiatives to enhance access to removal services, as this factor could dissuade specific users. Further efforts are required to train healthcare providers, aiming to mitigate biases in delivering Long-Acting Reversible Contraceptives (LARCs). Providers should provide impartial counseling, irrespective of the selected type of LARC.
文摘Objective: The aim of the current study was to assess the impact of operative interventions for misplaced device among women who opted for PPIIUCD and the evaluation of reasons for PPIUCD removal within the follow up period of two years. Design: A descriptive exploratory study was conducted over three months among fourteen PPIUCD acceptors at a tertiary care health facility in Delhi, India. Face-to-face & telephonic in-depth interviews were conducted with a selected sample of PPIUCD acceptors who had later opted for its removal. Results: Participants (n = 14) aged 24 – 40 exhibited generally positive attitudes towards PPIUCDs indicating an indicate an understanding of the importance of PPIUCD in preventing unintended pregnancies. Menstrual disturbance and misplaced IUCD were major reasons for removal. despite their own experience necessitating the removal of IUCD, positive experience by other family members (mothers in law) in this study helped to keep the confidence on the contraceptive. Themes included (a) general experience of PPIUCD use (b) Health Facility accessed for removal of IUCD (c) Would she recommend it to others? (d) preferred contraceptive after removal of IUCD. Conclusion: Misplaced IUCD, missing thread, menstrual irregularities, and pain are all associated with PPIUCD and are important reasons for dissatisfaction. Appropriate, timely and supportive individualized care that address knowledge gaps, societal perceptions, and healthcare system challenges would certainly help in reducing dissatisfaction due to PPIUCD and thereby the removal rates.
文摘Hepatitis C virus(HCV) infection has been a global health problem for decades, due to the high number of infected people and to the lack of effective and welltolerated therapies. In the last 3 years, the approval of new direct acting antivirals characterized by high rates of virological clearance and excellent tolerability has dramatically improved HCV infection curability, especially for patients with advanced liver disease and for liver transplant recipients. Long-term data about the impact of the new direct acting antivirals on liver fibrosis and liver disease-related outcomes are not yet available, due to their recent introduction. However, previously published data deriving from the use of pegylatedinterferon and ribavirin lead to hypothesizing that we are going to observe, in the future, a reduction in mortality and in the incidence of hepatocellular carcinoma, as well as a regression of fibrosis for people previously affected by hepatitis C. In the liver transplant setting, clinical improvement has already been described after treatment with the new direct acting antivirals, which has often led to patients delisting. In the future, this may hopefully reduce the gap between liver organ request and availability, probably expanding liver transplant indications to other clinical conditions. Therefore, these new drugs are going to change the natural history of HCV-related liver disease and the epidemiology of HCV infection worldwide. However, the global consequences will depend on treatment accessibility and on the number of countries that could afford the use of the new direct acting antivirals.
基金The Shaoxing Science and Technology Plan Project Plan,No.2022A14002.
文摘BACKGROUND Schizophrenic patients are prone to violence,frequent recurrence,and difficult to predict.Emotional and behavioral abnormalities during the onset of the disease,resulting in active myocardial enzyme spectrum.AIM To explored the expression level of myocardial enzymes in patients with schizo-phrenia and its predictive value in the occurrence of violence.METHODS A total of 288 patients with schizophrenia in our hospital from February 2023 to January 2024 were selected as the research object,and 100 healthy people were selected as the control group.Participants’information,clinical data,and labo-ratory examination data were collected.According to Modified Overt Aggression Scale score,patients were further divided into the violent(123 cases)and non-violent group(165 cases).RESULTS The comparative analysis revealed significant differences in serum myocardial enzyme levels between patients with schizophrenia and healthy individuals.In the schizophrenia group,the violent and non-violent groups also exhibited different levels of serum myocardial enzymes.The levels of myocardial enzymes in the non-violent group were lower than those in the violent group,and the patients in the latter also displayed aggressive behavior in the past.CONCLUSION Previous aggressive behavior and the level of myocardial enzymes are of great significance for the diagnosis and prognosis analysis of violent behavior in patients with schizophrenia.By detecting changes in these indicators,we can gain a more comprehensive understanding of a patient’s condition and treatment.
文摘Numerous decision-makers in politics,science,and business worldwide have acknowledged that hydrogen H_(2) will become one of the most important energy sources of the 21st century if the desired energy transition to carbon-free energy sources is to be taken seriously.Nevertheless,this transition in general and the introduction of H_(2) in particular is still progressing far too slowly.There are now countless projects worldwide,including several worth billions of US dollars,but we are still waiting for the breakthrough.There seem to be various reasons for this,not just one single or most important one.Purpose:In the overall context of global earth overheating(often downplayed as“climate change”),hydrogen H_(2) will undoubtedly play a decisive role as of now.The paper aims to identify the key challenges and propose solutions for establishing a sustainable value chain for market penetration of H_(2).Design/methodology/approach:This paper aims to shed light on the current situation using freely accessible publications from global management consultancies and the German government,as well as critical reporting.The problem of human behavior is also explained by the Novak Triangle.Findings:Most people have come to understand that anthropogenic global overheating can only be solved by new technologies(which cost money,time,and behavioral change)in production and application.Hydrogen H_(2) appears to be an essential part of the desired solution.Nevertheless,there are currently still numerous challenges and also concrete concerns worldwide,which partially cast the implementation in a questionable light.The findings suggest that establishing a demand and supply of H_(2) needs a comprehensive infrastructure,circular economy principles,and changes in consumer behavior and policy frameworks.The paper proposes solutions for addressing these challenges.Affected countries:The situation described here relates to Germany and the EU countries,but it is likely to be comparable,or at least similar,for many industrialized countries.The challenges and solutions proposed in this paper are relevant to countries worldwide that are transitioning to sustainable energy and transportation systems.Research/future/practical implications:As of 2024,it must be stated that the implementation of H_(2) is still progressing far too slowly,even in the“model country”Germany.There are still problems and stalling in many places.The biggest challenge seems to be the problem:without demand,there is no supply;without supply,there is no demand.This can then best be achieved with simple“out-of-the-box”solutions in mindset(see Novak triangle).The research implications of this paper include the need for further research on the challenges of establishing a sustainable value chain and the effectiveness of the proposed solutions.The future implications of this paper include the importance of establishing a sustainable value chain to mitigate climate change and reduce dependence on fossil fuels.The core point will become the collaboration across the entire value chain to establish a sustainable infrastructure for sustainable energy and transportation systems.Originality/value:Currently,there are virtually no scientific books that would present the overall context of the challenges.Therefore,only current surveys,market volumes,and challenges in environmental and working conditions can be described here.This paper contributes to the literature by analyzing the challenges of establishing a market model for hydrogen H_(2).The paper proposes solutions for addressing these challenges and shows difficulties.It provides valuable insights for policymakers,industry stakeholders,and researchers working towards a sustainable energy future.
文摘Hepatitis C virus (HCV) infection is associated with extrahepatic manifestations, among these there is an increased risk of atherosclerosis and cardiovascular disease as well as an increased cardiovascular mortality. Several direct and indirect HCV pro-atherogenic mechanisms have been proposed. HCV lives and replicates within carotid plaques, promoting a local environment of pro-atherogenic factors. In addition, it causes conditions such as insulin resistance, diabetes, hepatic steatosis, cryoglobulinemia and endotoxinemia that are associated with the development of atherosclerosis and cardiovascular disease. Therapeutic regimens based on direct-acting antiviral agents (DAA) are currently available with high efficacy in HCV clearance and improvement of liver disease, but does HCV eradication also improve atherosclerosis and the risk of cardiovascular disease? Recently, a multi-center study has shown that elimination of HCV improves carotid atherosclerosis. Two studies have shown that DAA treatments significantly reduce the risk of cardiovascular events. Several studies have assessed the impact of HCV clearance on pro-atherosclerosis metabolic conditions showing improvement in cardiovascular risk biomarkers, disappearance or improvement of insulin resistance, reduction of risk of developing diabetes and improvement of glycemic control. There are also evidences that HCV clearance promotes the recovery of cytokines and inflammatory markers associated with atherosclerosis and the disappearance of cryoglobulinemia. Available data show that clearance of HCV by DAAs is associated with an improvement in atherosclerosis and metabolic and immunological conditions that promote the development of cardiovascular disease. However, the data are not sufficient to allow definitive conclusions and further studies will be needed to definitively clarify the impact of HCV clearance on atherosclerosis and cardiovascular disease.
文摘Background: After a live birth, there is much unsatisfied interest in, and unmet family planning need for contraception. Waiting at least for 24 months before attempting the next pregnancy was recommended to reduce the risk of adverse maternal, perinatal and infant outcomes. The purpose of this study was to assess the determinants of long acting reversible contraception method use among mothers in extended postpartum period in Durame Town, Southern Ethiopia. Methods: A community based cross sectional study was conducted in Durame Town, Southern Ethiopia in December, 2014. Systematic random sampling technique was employed to recruit a total 460 study participants. Structured and pretested questioner was used to collect the data. Descriptive statistics was employed to characterize the study population using frequencies and proportions. Bivariate logistic regression analysis was conducted to identify all possible factors affecting utilization of LARC method. Multivariable logistic regression model was developed to control the confounding variables. Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) was computed in identifying the real factors associated with use of LARC methods. Results: In this study we found that the prevalence of LARC method use among mothers during their extended postpartum period was 36.7% (95%CI: 32.2, 41.0). The unmet family planning need of mothers in the extended postpartum period was 123 (27.9%). The odds of using LARC by literate mother were four fold higher than their counterpart illiterate mothers (AOR 4.09 95%CI: 1.68, 9.58, P value < 0.001). The odds of mother who had pervious experiences of using LARC were up to eight folds higher than mother never used LARC methods (AOR 7.84 95% CI: 3.78, 16.23, P value< 0.001). Mother who received counseling service on LARC methods during delivery was up to three times more likely to utilize the services than not counseled (AOR 3.29 95% CI: 1.53, 7.03, P value < 0.001). And odds of mothers who received counseling service on LARC during immediate postpartum period were up to five fold more likely to opt method than never got the counseling service (AOR 4.55 95 % CI: 1.94, 10.66, P value < 0.001). Conclusions: In the study area, about one third of mothers utilized LARC methods during their extended postpartum period. Another one third of mother had unmet need for family planning. Participant’s education, previous history of using LARC methods, receiving counseling services on LARC during delivery and immediate postpartum periods were found major determinant for LARC use. Educating women, providing counseling service on LARC methods during antenatal, delivery and postnatal were recommended.
文摘This research is showing the effect of increasing an Fe extracting from the compression strength, tension and bending moment. The variations in this experiment are the increasing of Fe extracting 0.5%, 1% and 1.5% of concrete volume. Water Cement Ratio (WCR) variation of 0.48, 0.56 and 0.60. The result of increasing 1.5% Fe extracting causes the increasing of tension strength 44.028 kN/cm2, the increasing of slit tension strength 2.226 kN/cm2, the increasing of bending moment 14.81 kN/cm2 from normal concrete. 0.48 WCR produces tension strength, slit tension strength and bending moment more than 0.56 and 0.60 WCR. The increasing of Fe extracting with the distribution variation area and the spread concrete in the tension concrete area produce 3.705 kN/cm2 bending moment higher than the spread fiber in all of concrete area. The 4 cm fiber length produces the higher bending moment than the 2 cm fiber length. The difference is equally 5.185 kN/cm2. The combination result of the examined acting varieties by continuation statistic test gives the result to get the maximum tension and split tensile. It is a concrete combination of increasing 1.5% fiber percentage, 0.48 WCR, full spreading area and the 4 cm fiber length. The maximum bending moment is the increasing of 0.5% fiber percentage, 0.48 WCR, full spreading area and the 4 cm fiber length.
文摘Previous work from this laboratory has demonstrated that the induction of c-fos by angiotensin (Ang) Ⅱ in vascular smooth muscle cells (VSMC) is mediated by at least two enhancer elements, the serum response element (SRE) and the cyclic AMP response element (CRE). These two elements appear to act independently and equally. The current study is aimed at identifying the trans-acting proteins that interact with these enhancer ele-.ments to mediate this response. Rat aortic smooth muscle (RASM) cells were grown in culture and made quiescent by placing them in a defined serum-free media for 48 hours.Aug Ⅱor vehicle was then added, the cells harvested 30 minutes later and nuclear extracts isolated. Gel mobility shift assay were then performed.gel shifts done with wild type SRE oligonucleotide demonstrated that two specific proteins bound to this element.Mutations in central CArG box of the SRE inhibited binding but mutations in the ets binding site in the SRE had no effect. Extracts from Aug Ⅱor vehicle treated cells demonstrated an identical pattern of binding. Similar experiments performed with CRE noligonucleotide identified three proteins which bound to CRE. Again,no differences were observed between vehicle and AugⅡtreated extracts. An antibody to serum response factor(SRF),which binds to the SRE, supershifted the proteins that bound to the SRE. When gel shifts with RASM cells extracts were compared to gel shifts from either NIH 3T3 fibroblast cell extraes of HeLa cell extracts,a different pattern of protein binding was observed using the SRE oligonucleotide.In contrast to the studies with the SRF antibody,an antibody to CRE binding protein (CREB)-43, the most common CREB protein, failed to recognize protein from RASM extract in a supershift assay. When the gel shift pattern with the CRE oligonucleotide between RASM, 3T3 and HeLa cell extracts was compared,no similarity was seen. Taken together,'these data suggest that stimulation of c-for in VSMC's occurs via activation of a unique set of proteins. Activation of these proteins is not due to new protein synthesis. Further work will be aimed at identifying these proteins and studying their mechanism of activation in VSMC's.
基金This project was carried out under the financial support of USM short-term grant(304/PPSP/6131324)
文摘Aim:In this study,we would like to determine associations between β2-Adrenergic Receptor(β2AR)polymorphisms at codon 16 and 27 and the response to short acting β2-agonist during asthmatic exacerbation.Methods:This was a prospective cross-sectional study of one year duration.One hundred and thirty two asthmatic patients were recruited.Five mls of venous blood was taken for DNA extraction and then genotyped for the β2AR polymorphisms using multiplex PCR.Patient's clinical responses to β2-agonist nebulization were then compared to their genotype to determine the association.Results:We found that there was no association between β2AR polymorphisms at both codon 16 and 27 with response towards short acting β2-agonist,P=0.315 and P=0.706 respectively.Conclusion:We suggested that β2AR polymorphisms at both codon 16 and 27 had no influent on the response to short acting β2-agonist.
文摘The objective of this study is analysis of heat-up process of wet woody particles on a backward acting grate including dynamics motion investigation by implementing XDEM (extended discrete element method) as a novel approach. In this method, the particles are resolved as the discrete phase (individual elements) coupled via heat, mass and momentum transfer to the continuous gas phase. The temperature of particulates along the backward acting grate is investigated by evaluating effects of operating parameters such as bar amplitude and period. Furthermore, the bar motion has effects largely on the heat-up process of the packed bed on the backward acting grate which is considered here as well. In other words, motion of particles caused by bar motion influences the heat transfer of particles and totally the packed bed. In fact, the particles' heat-up is performed by a radiative heat flux facing the packed bed surface so that heat transfer of particles as radiation and conduction with surrounding particles is taken into account in addition to convection heat transfer between particles and surrounding gas phase.
文摘On August 16<sup>th</sup>, 2022, Public Law 117-169, The Inflation Reduction Act of 2022, was signed into law by the President of the United States, Joseph R. Biden Jr. The Inflation Reduction Act of 2022 provides the Native Hawaiian community an opportunity to engage in activities of climate resilience and adaptation through making funds available to support such actions. This article provides a preliminary policy analysis of the Inflation Reduction Act of 2022 to identify the opportunities presented by this legislation that can provide ecological and cultural benefit to the Native Hawaiian community. Findings suggest policy language included in this Act is broad which emphasizes the need for the Senior Program Director of the Office of Native Hawaiian Relations, who is tasked with fund distribution, to rely upon the knowledge of the Native Hawaiian community and ecological experts to direct funds in a manner that best benefits the Native Hawaiian community.
文摘BACKGROUND Patients with chronic hepatitis C virus(HCV)infection have increased serum omentin-1.Omentin-1 is an anti-inflammatory adipokine,and higher levels may be a direct effect of HCV infection.Successful elimination of HCV by direct acting antivirals almost normalized circulating levels of various molecules with a role in inflammation.AIM To evaluate the effect of HCV infection on serum omentin-1,serum omentin-1 levels of HCV patients were measured before therapy and at 12 wk after therapy end.Associations of serum omentin-1 with parameters of inflammation and liver function were explored at both time points.Serum omentin-1 levels of patients with and without liver cirrhosis,which was defined by ultrasound or the fibrosis-4(FIB-4)score,were compared.METHODS Serum omentin-1 levels were measured by enzyme-linked immunosorbent assay in 84 chronic HCV patients before therapy and at 12 wk after therapy end where sustained virological response 12(SVR12)was achieved in all patients.Serum omentin-1 of 14 non-infected controls was measured in parallel.RESULTS In patients with chronic HCV,serum omentin-1 levels were not related to viral load or viral genotype.HCV patients with liver steatosis and HCV patients with diabetes had serum omentin-1 levels comparable to patients not suffering from these conditions.Serum omentin-1 levels at SVR12 were similar in comparison to pretreatment levels.In addition,serum levels did not differ between HCV-infected patients and non-infected controls.Serum omentin-1 levels did not correlate with leukocyte count or C-reactive protein.Positive correlations of serum omentin-1 with bilirubin and the model for end-stage liver disease score(MELD)were detected before therapy and at SVR12 in the whole cohort.Bilirubin and the MELD score also positively correlated with serum omentin-1 levels in the subgroup of patients with ultrasound diagnosed liver cirrhosis before therapy.At SVR12,serum omentin-1 levels of patients with liver cirrhosis negatively correlated with albumin.Before therapy start,patients with high FIB-4 scores had increased serum omentin-1 in comparison to patients with a low score.Serum omentin-1 levels of patients with liver cirrhosis defined by ultrasound were increased at baseline and at SVR12.CONCLUSION Present study showed that liver cirrhosis,but not HCV infection per se,is related to elevated serum omentin-1 levels.
文摘Contrary to the approach in judicial practice,Paragraph 1,Article 153,of the Civil Code of the People’s Republic of China,as a rule of invalidity for violating mandatory provisions,does not adopt a dichotomy towards mandatory provisions with effectiveness and administrative characteristics,yet it maintains the legislative philosophy of differentiation.It leaves unspecified whether mandatory provisions that do not explicitly render a juristic act invalid impact the act’s validity,entrusting this determination to the discretion of judges on a case-by-case basis.When judges,under the authority of Paragraph 1,Article 153 of the Civil Code,explore the normative intent of mandatory provisions to assess their effect on the validity of juristic acts,they should engage in legal policy analysis centered on consequence-based argumentation to overcome the limitations of norm typological analysis.This analysis employs a reasoning model predicated on the normative purpose,utilizing a consequencefocused interpretative approach for formulating and arguing propositions of rules applicable to pending cases,thereby arriving at case-specific conclusions.Since the invalidation of juristic acts serves as an auxiliary regulatory tool for the state economy and society,a consequence-oriented interpretation needs to be based on the idea of mutual instrumentalization of public and private laws.This entails predicting the outcomes of negating the validity of a juristic act in industrial regulatory scenarios and assessing these outcomes within the framework of public and private regulatory instruments.
文摘Poverty alleviation is a grand project involving the whole society,and is related to the development direction of socialism and the process of national modernization.It is the basic national policy and major strategic deployment of China to eliminate poverty and improve people s livelihood under the new historical conditions.Therefore,in order to win the final victory of poverty alleviation and difficulties tackling,it is not enough to have only a policy system and an institutional system.It is also necessary to establish an effective legal system to regulate and restrain various poverty alleviation behaviors,which is the basic condition for ensuring the sustainable development of poverty alleviation.
文摘Address terms are an important resource for conveying relationships.In daily interactions,the use of address terms is unavoidable.Therefore,the choose of address terms is particularly critical to make communicate smoothly with people.Previous scholars have studied address terms from a wide range of perspectives.But there is not much research on Chinese address terms based on speech act theory,which is put forward by John Langshaw Austin.By observing communicative conversations,several findings have been emerged from the analysis.They are professional title,affectionate address terms,and common address terms.These findings express the existential significance of address terms,which are the premise for people to maximize their illocutionary act when communicating.Correct understanding and grasp of the use of address terms is conductive to unfolding the communicative dialogue more smoothly.
文摘This article described the current regulatory requirements of cosmetics in the United States,listed the major changes and adjustments of the Modernization of Cosmetics Regulation Act of 2022,such as the mandatory system of adverse event reporting and the registration of voluntary changes to mandatory,and analyzed the new regulatory requirements in depth,and put forward some suggestions for enterprises to cope with the strategy,so as to help enterprises adapt to the new policy more smoothly when exporting cosmetics.