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Valorization of Camellia oleifera oil processing byproducts to value-added chemicals and biobased materials: A critical review 被引量:1
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作者 Xudong Liu Yiying Wu +11 位作者 Yang Gao Zhicheng Jiang Zicheng Zhao Wenquan Zeng Mingyu Xie Sisi Liu Rukuan Liu Yan Chao Suli Nie Aihua Zhang Changzhu Li Zhihong Xiao 《Green Energy & Environment》 SCIE EI CAS CSCD 2024年第1期28-53,共26页
The C.oleifera oil processing industry generates large amounts of solid wastes,including C.oleifera shell(COS)and C.oleifera cake(COC).Distinct from generally acknowledged lignocellulosic biomass(corn stover,bamboo,bi... The C.oleifera oil processing industry generates large amounts of solid wastes,including C.oleifera shell(COS)and C.oleifera cake(COC).Distinct from generally acknowledged lignocellulosic biomass(corn stover,bamboo,birch,etc.),Camellia wastes contain diverse bioactive substances in addition to the abundant lignocellulosic components,and thus,the biorefinery utilization of C.oleifera processing byproducts involves complicated processing technologies.This reviewfirst summarizes various technologies for extracting and converting the main components in C.oleifera oil processing byproducts into value-added chemicals and biobased materials,as well as their potential applications.Microwave,ultrasound,and Soxhlet extractions are compared for the extraction of functional bioactive components(tannin,flavonoid,saponin,etc.),while solvothermal conversion and pyrolysis are discussed for the conversion of lignocellulosic components into value-added chemicals.The application areas of these chemicals according to their properties are introduced in detail,including utilizing antioxidant and anti-in-flammatory properties of the bioactive substances for the specific application,as well as drop-in chemicals for the substitution of unrenewable fossil fuel-derived products.In addition to chemical production,biochar fabricated from COS and its applications in thefields of adsorption,supercapacitor,soil remediation and wood composites are comprehensively reviewed and discussed.Finally,based on the compositions and structural characteristics of C.oleifera byproducts,the development of full-component valorization strategies and the expansion of the appli-cationfields are proposed. 展开更多
关键词 Camellia oleifera shell Camellia oleifera cake value-added chemicals Bioactive components Biobased materials
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Upcycling plastic wastes into value-added products via electrocatalysis and photoelectrocatalysis
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作者 Sungsoon Kim Dongjae Kong +1 位作者 Xiaolin Zheng Jong Hyeok Park 《Journal of Energy Chemistry》 SCIE EI CAS CSCD 2024年第4期522-541,共20页
Plastic,renowned for its versatility,durability,and cost-effectiveness,is indispensable in modern society.Nevertheless,the annual production of nearly 400 million tons of plastic,coupled with a recycling rate of only ... Plastic,renowned for its versatility,durability,and cost-effectiveness,is indispensable in modern society.Nevertheless,the annual production of nearly 400 million tons of plastic,coupled with a recycling rate of only 9%,has led to a monumental environmental crisis.Plastic recycling has emerged as a vital response to this crisis,offering sustainable solutions to mitigate its environmental impact.Among these recycling efforts,plastic upcycling has garnered attention,which elevates discarded plastics into higher-value products.Here,electrocatalytic and photoelectrocatalytic treatments stand at the forefront of advanced plastic upcycling.Electrocatalytic or photoelectrocatalytic treatments involve chemical reactions that facilitate electron transfer through the electrode/electrolyte interface,driven by electrical or solar energy,respectively.These methods enable precise control of chemical reactions,harnessing potential,current density,or light to yield valuable chemical products.This review explores recent progress in plastic upcycling through electrocatalytic and photoelectrocatalytic pathways,offering promising solutions to the plastic waste crisis and advancing sustainability in the plastics industry. 展开更多
关键词 Plastic upcycling Electrocatalytic reaction Photoelectrocatalytic reaction value-added product
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安心卡引导的尊严照护干预联合SHARE模式在肿瘤患者安宁疗护中的应用
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作者 申青 《黑龙江医学》 2024年第13期1633-1636,共4页
目的:探讨和分析安心卡引导的尊严照护干预联合SHARE模式在肿瘤患者安宁疗护中的应用,为临床提供参考。方法:选取2022年1—12月郑州市第三人民医院收治的68例肿瘤患者作为研究对象。对照组(34例)采取传统的照护方法和告知模式,试验组(34... 目的:探讨和分析安心卡引导的尊严照护干预联合SHARE模式在肿瘤患者安宁疗护中的应用,为临床提供参考。方法:选取2022年1—12月郑州市第三人民医院收治的68例肿瘤患者作为研究对象。对照组(34例)采取传统的照护方法和告知模式,试验组(34例)采取安心卡引导的尊严照护方法和SHARE告知模式,比较两组患者的自尊水平、死亡态度、焦虑情绪、睡眠质量状况。结果:干预后,两组患者的自尊水平测定分数均增高,试验组的自尊水平测定分数显著高于对照组,差异有统计学意义(t=4.218,P<0.05);干预后,试验组的害怕、回避死亡态度得分显著低于对照组,自然接受、接近接受死亡态度得分显著高于对照组,差异有统计学意义(t=10.119、3.222、17.142、6.278,P<0.05);干预后,两组患者的焦虑情绪得分均降低,试验组焦虑情绪得分显著低于对照组,差异有统计学意义(t=18.739,P<0.05);干预后,两组患者的睡眠质量得分均降低,试验组睡眠质量得分显著低于对照组,差异有统计学意义(t=10.746,P<0.05);干预后,两组患者的疼痛程度得分均降低,干预后试验组疼痛程度得分显著低于对照组,差异有统计学意义(t=9.685,P<0.05)。结论:安心卡引导的尊严照护干预联合SHARE模式在肿瘤患者安宁疗护中,有利于肿瘤患者疾病治疗和身心健康发展,可供临床参考。 展开更多
关键词 安心卡 尊严照护 share模式 癌症告知 安宁疗护
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长三角城市群经济韧性测度与分析——基于Shift-Share的经济韧性分解
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作者 王欢芳 陈素月 《兰州财经大学学报》 2024年第2期48-61,共14页
以长三角城市群27个城市为研究对象,测度2008—2010年抵抗期和2010—2019年恢复期城市群经济韧性水平,并进一步运用Shift-Share分解方法探索长三角城市群经济韧性内在影响机制。研究显示:抵抗期和恢复期中长三角城市群经济韧性均值分别... 以长三角城市群27个城市为研究对象,测度2008—2010年抵抗期和2010—2019年恢复期城市群经济韧性水平,并进一步运用Shift-Share分解方法探索长三角城市群经济韧性内在影响机制。研究显示:抵抗期和恢复期中长三角城市群经济韧性均值分别为0.309和0.301,均强于全国层面经济韧性水平;Shift-Share分解后发现竞争力分量对各城市经济韧性水平提升起到决定性作用,抵抗期阶段主要由第二、三产业共同作用影响经济韧性水平;恢复期阶段则以第二产业竞争力为主导力量,同时以第三产业竞争力作为辅助力量。通过实证探究长三角城市群经济一体化发展的规律和特点,为增强中国经济韧性提出相关建议,助力中国经济高质量发展。 展开更多
关键词 长三角城市群 经济韧性 Shift-share分解 产业结构 竞争力
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Reactive ball-milling synthesis of Co-Fe bimetallic catalyst for efficient hydrogenation of carbon dioxide to value-added hydrocarbons
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作者 Haipeng Chen Chenwei Wang +5 位作者 Mengyang Zheng Chenlei Liu Wenqiang Li Qingfeng Yang Shixue Zhou Xun Feng 《Journal of Energy Chemistry》 SCIE EI CAS CSCD 2023年第9期210-218,共9页
Catalytic hydrogenation of CO_(2) using renewable hydrogen not only reduces greenhouse gas emissions,but also provides industrial chemicals.Herein,a Co-Fe bimetallic catalyst was developed by a facile reactive ball-mi... Catalytic hydrogenation of CO_(2) using renewable hydrogen not only reduces greenhouse gas emissions,but also provides industrial chemicals.Herein,a Co-Fe bimetallic catalyst was developed by a facile reactive ball-milling method for highly active and selective hydrogenation of CO_(2) to value-added hydrocarbons.When reacted at 320℃,1.0 MPa and 9600 mL h^(-1) g_(cat)^(-1),the selectivity to light olefin(C_(2)^(=)-C_(4)^(=)) and C_(5)+ species achieves 57.3% and 22.3%,respectively,at a CO_(2) co nversion of 31.4%,which is superior to previous Fe-based catalysts.The CO_(2) activation can be promoted by the CoFe phase formed by reactive ball milling of the Fe-Co_(3)O_(4) mixture,and the in-situ Co_(2)C and Fe_(5)C_(2) formed during hydrogenation are beneficial for the C-C coupling reaction.The initial C-C coupling is related to the combination of CO species with the surface carbon of Fe/Co carbides,and the sustained C-C coupling is maintained by self-recovery of defective carbides.This new strategy contributes to the development of efficient catalysts for the hydrogenation of CO_(2) to value-added hydrocarbons. 展开更多
关键词 Reactive ball milling Co-Fe bimetallic catalyst Carbon dioxide value-added hydrocarbon C–C coupling reaction
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A Shared Natural Neighbors Based-Hierarchical Clustering Algorithm for Discovering Arbitrary-Shaped Clusters
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作者 Zhongshang Chen Ji Feng +1 位作者 Fapeng Cai Degang Yang 《Computers, Materials & Continua》 SCIE EI 2024年第8期2031-2048,共18页
In clustering algorithms,the selection of neighbors significantly affects the quality of the final clustering results.While various neighbor relationships exist,such as K-nearest neighbors,natural neighbors,and shared... In clustering algorithms,the selection of neighbors significantly affects the quality of the final clustering results.While various neighbor relationships exist,such as K-nearest neighbors,natural neighbors,and shared neighbors,most neighbor relationships can only handle single structural relationships,and the identification accuracy is low for datasets with multiple structures.In life,people’s first instinct for complex things is to divide them into multiple parts to complete.Partitioning the dataset into more sub-graphs is a good idea approach to identifying complex structures.Taking inspiration from this,we propose a novel neighbor method:Shared Natural Neighbors(SNaN).To demonstrate the superiority of this neighbor method,we propose a shared natural neighbors-based hierarchical clustering algorithm for discovering arbitrary-shaped clusters(HC-SNaN).Our algorithm excels in identifying both spherical clusters and manifold clusters.Tested on synthetic datasets and real-world datasets,HC-SNaN demonstrates significant advantages over existing clustering algorithms,particularly when dealing with datasets containing arbitrary shapes. 展开更多
关键词 Cluster analysis shared natural neighbor hierarchical clustering
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A study on the influencing factors of rural tourism promoting households'shared prosperity in Yinan County of Shandong Province
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作者 YU Feng XIE Ai-liang 《Ecological Economy》 2024年第1期72-84,共13页
This study examines the influencing factors of rural tourism in promoting shared prosperity among households,using the case study of Yinan County in Shandong province,China.The research aims to provide insights into t... This study examines the influencing factors of rural tourism in promoting shared prosperity among households,using the case study of Yinan County in Shandong province,China.The research aims to provide insights into the economic benefits experienced by low-income households in the context of rural tourism development.Based on field research conducted from April 8,2023,to May 17,2023,including interviews and site visits,the study constructs an evaluation index system to assess the influencing factors.Through expert scoring and the application of a weighted set-valued mathematical statistical model,the importance and quantification of each factor are determined.The results indicate that the current stage of promoting shared prosperity through rural tourism in Yinan County is primarily influenced by the scale of tourist consumption of external visitors.This factor outweighs others such as the participation capacity and willingness of low-income households,the capacity of investment enterprises,and the policies and financial allocation of the local government.The findings emphasize the significance of external visitor spending and highlight the need to address the obstacles faced by low-income households in accessing economic benefits.The evaluation index system and measurement model presented in this study offer a scientific basis for assessing and improving the income situation of low-income households in rural tourism development initiatives.However,it is crucial to note that the importance of these influencing factors may evolve with the lifecycle of the tourism destination.Future research should include long-term tracking and consider a broader range of indicators to deepen our understanding of their mechanisms and significance.Furthermore,alternative approaches and theories may provide valuable perspectives for further exploration in this field. 展开更多
关键词 rural tourism households shared prosperity influencing factors economic benefits
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Youth Exchange“Harmony for Shared Prosperity”
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《Contemporary World》 2024年第3期F0003-F0003,共1页
Contemporary World Magazine,which is affiliated to the International Department of the CPC Central Committee(IDCPC),held an exchange act ivi ty themed on“Harmony for Shared Prosperity”in Beijing on May 7,2024.
关键词 Prosper HARMONY shareD
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Joint Management of Shared Resources, Issues and Conflicts of the Nso and Oku Tribes in the Ngongbaa Montane Forest Area, NWR of Cameroon
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作者 Jean-Louis Tatah Elvis Kah 《Natural Resources》 2024年第6期149-172,共24页
Wherever people live together in or near homelands that harbour joint natural resources such as forest, water, minerals, oil etc., they must collaborate, co-exist and share these resources irrespective of their geneti... Wherever people live together in or near homelands that harbour joint natural resources such as forest, water, minerals, oil etc., they must collaborate, co-exist and share these resources irrespective of their genetic, social, cultural, and political peculiarities. This is not always the case when self-interest, ethnic divisions, elitist politics, economic interest and power tussle set in. The Nso and Oku people who reside in the Ngongbaa Forest area constitute an example of joint management of resources where at one period, their relationship over the management of the Oku Mountain Forest was cordial and at another, the relationship became conflictive. This study was designed to study the influence of the KIFP forest management policies on the Nso indigenous forest Management system in Ngongbaa Forest, and its implications. The data collected for the study was secured through the administration of a questionnaire to residents of 10 villages adjacent to the Ngongbaa Forest, and forest users who carried out livelihood activities there between 1963 and 2015. These forest user groups include beekeepers, rat trappers, grazers, mushroom gatherers, ground honey/tree honey harvesters, carvers, etc. The investigation also extended to the traditional leaders of Nso and Oku who are in charge of the land tenure systems. The findings show that the Oku Mountain Forest is jointly owned by the Nso and Oku people. The Nso own the eastern half of the forest known as Ngongbaa Forest while the Oku own the western half, known as the Kilum Forest. The cordial relationship that existed between these people ensured the conservation of the forest. But the conflicts that later set in, especially due to the creation of the Kilum Mountain Forest Project in 1987 later changed to the Kilum Ijim Forest Project (KIFP) in 1992 sidelined the local communities which was contrary to the dispositions of the new Cameroon forest law enacted in 1994. Thus, the indigenous conservation practices became ignored which the local population never digested well. This seriously jeopardized the wellbeing of the forest in general. 展开更多
关键词 CONFLICT Joint Management shared Resources Ngongbaa Kilum CONSERVATION
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An Exploration of the Three Dimensions and Epochal Strengths of Building a Human Community With a Shared Future
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作者 Jiang Ruibing Liu Zongling 《Contemporary Social Sciences》 2024年第3期120-138,共19页
The idea of a human community with a shared future was proposed by the Communist Party of China(CPC)Central Committee with Comrade Xi Jinping at its core for the future development of human beings to face up to the mo... The idea of a human community with a shared future was proposed by the Communist Party of China(CPC)Central Committee with Comrade Xi Jinping at its core for the future development of human beings to face up to the most important question in today's world:“What is happening to the world and what should we do?”It profoundly answers the question of the world,history,and the times.The theory of a human community with a shared future is an innovative theory with a multidimensional formation logic that guides humanity toward continually seeking common interests and values.This paper dives into the profound motivations behind building a human community with a shared future from historical,cultural,and practical dimensions and analyzes its epochal value from both domestic and international perspectives.This not only helps exert China's role in the international community,contributing Chinese strength to the construction of a peaceful,stable,and prosperous human society,but also enhances the influence of the idea of a human community with a shared future in the international community,accelerating the building of a human community with a shared future that considers the legitimate concerns of all countries,and aiding in solving the crises facing the world. 展开更多
关键词 a human community with a shared future historical dimension cultural dimension practical dimension epochal strength
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基于改进Theil指数和Shift-Share模型的2012—2021年中国产业偏离分析
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作者 高孝伟 张颖昆 +1 位作者 李华 王苏梦 《资源与产业》 2024年第1期15-24,共10页
文章首先通过对现有文献的梳理和分析,发现针对产业偏离的测算,传统的产业偏离度E系数、Theil指数及Shift-Share模型均存在一定的缺陷,E系数和Theil指数的缺陷主要体现在计算原理方面,而Shift-Share模型的缺陷主要表现在参照系选择的合... 文章首先通过对现有文献的梳理和分析,发现针对产业偏离的测算,传统的产业偏离度E系数、Theil指数及Shift-Share模型均存在一定的缺陷,E系数和Theil指数的缺陷主要体现在计算原理方面,而Shift-Share模型的缺陷主要表现在参照系选择的合理性和数据采集的可行性方面。然后,基于现有模型的基本原理,提出了更为合理和更具可操作性的产业偏离测算方法,再采用实证研究的方法,根据2012—2021年的数据,对中国的产业偏离情况进行具体分析,得出尽管中国存在产业偏离,但产业偏离度在逐渐减小。最后,基于修正模型的计算结果,并结合当前的国际国内环境,提出如下政策建议:1)第一产业要依靠创新和科技引领,促进农村劳动力在城乡间有序转移,实现农业生产的规模化和现代化;2)第二产业要加快产业的升级换代,建立和保持独立、自主、完整的工业体系,加大在基础研究方面的投入,尽早突破美西方的技术封锁;3)第三产业的发展重点应该在金融和科教两个方面,要进一步提升香港地区、上海和北京等城市的世界金融中心地位,依靠金融创新来规避现行国际金融体系的不利约束和影响,同时要将科教兴国战略落到实处,努力探索适合中国国情的从小学到大学各阶段的教育模式。 展开更多
关键词 三次产业 偏离度 THEIL系数 Shift-share模型 产业结构优化
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基于改进的think-pair-share混合式教学在药学专业英语教学中的应用研究
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作者 王虹 葛燕青 张宏志 《中国高等医学教育》 2024年第3期119-121,共3页
该研究以2018级药学专业本科2个班为研究对象,试验组采取改进的think-pair-share混合式教学,对照组采用传统教学模式。通过对两组学生考试成绩、单元测验成绩、SRSSDL评分,探索改进的think-pair-share混合式教学在医学相关专业教学中的... 该研究以2018级药学专业本科2个班为研究对象,试验组采取改进的think-pair-share混合式教学,对照组采用传统教学模式。通过对两组学生考试成绩、单元测验成绩、SRSSDL评分,探索改进的think-pair-share混合式教学在医学相关专业教学中的应用效果。结果显示,试验组学生期末考试成绩、单元测验成绩、SRSSDL量表评分均明显高于对照组(P<0.05,P<0.01)。改进的think-pair-share混合式教学能显著提升学生的主动学习和自我效能,有望在医药相关专业教学中推广应用。 展开更多
关键词 改进 think-pair-share 混合式 药学专业英语
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Artificial photosynthesis for high-value-added chemicals:Old material,new opportunity 被引量:6
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作者 Sungsoon Kim Kwang Hee Kim +2 位作者 Cheoulwoo Oh Kan Zhang Jong Hyeok Park 《Carbon Energy》 SCIE CAS 2022年第1期21-44,共24页
Solar energy utilization has drawn attention due to ever-increasing environmental and energy issues.Photoelectrochemical(PEC)and photocatalytic(PC)water splitting for hydrogen production,which is the most popular and ... Solar energy utilization has drawn attention due to ever-increasing environmental and energy issues.Photoelectrochemical(PEC)and photocatalytic(PC)water splitting for hydrogen production,which is the most popular and well-established solar-to-chemical conversion process,has been studied thoroughly to date but is now facing limitations related to low conversion efficiency.To resolve this issue,research in PEC cells or photocatalysts has recently aimed to produce alternative value-added chemicals by modifying their redox reactions,which potentially enables high economic reward to compensate for the low efficiency.Here,various kinds of redox reactions that decouple classic water splitting reactions to produce value-added chemicals via PEC and PC processes are introduced.Successful coupling of CO_(2) reduction,O_(2) reduction and organic synthesis with either water oxidation or water reduction is comprehensively discussed from the perspective of basic fundamental and product selectivity in terms of the band structure of materials,cocatalyst design,and thermodynamics and kinetics of the reactions.Throughout the review,future challenges and opportunities are suggested with respect to the redesigned artificial synthesis,which might be an alternative development for the commercialization of PEC or PC value-added chemical production technologies in the near future. 展开更多
关键词 artificial photosynthesis PHOTOCATALYSTS photoelectrochemical cells redox reactions value-added chemical production
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Food processing wastewater purification by microalgae cultivation associated with high value-added compounds production——A review 被引量:2
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作者 Shuhong Li Shuang Zhao +4 位作者 Siliang Yan Yiting Qiu Chunfeng Song Yang Li Yutaka Kitamura 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2019年第12期2845-2856,共12页
Microalgae have been considered as an efficient microorganism for wastewater treatment with simultaneously bioenergy and high value-added compounds production.However,the high energy cost associated with complicated b... Microalgae have been considered as an efficient microorganism for wastewater treatment with simultaneously bioenergy and high value-added compounds production.However,the high energy cost associated with complicated biorefinery(e.g.microalgae cultivation,harvesting,drying,extraction,conversion,and purification)is a critical challenge that inhibits its large-scale application.Among different nutrition(e.g.carbon,nitrogen and phosphorous)sources,food processing wastewater is a relative safe and suitable one for microalgae cultivation due to its high organic content and low toxicity.In this review,the characteristic of different food wastewater is summarized and compared.The potential routes of value-added products(i.e.biofuel,pigment,polysaccharide,and amino acid)production along with wastewater purification are introduced.The existing challenges(e.g.biorefinery cost,efficiency and mechanism)of microalgal-based wastewater treatment are also discussed.The prospective of microalgae-based food processing wastewater treatment strategies(such as microalgae-bacteria consortium,poly-generation of bioenergy and value-added products)is forecasted.It can be observed that food wastewater treatment by microalgae could be a promising strategy to commercially realize waste source reduce,conversion and reutilization. 展开更多
关键词 Food wastewater MICROALGAE value-added PRODUCE BIOFUEL POLYSACCHARIDE Protein
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Influence of Pt/Ru anodic ratio on the valorization of ethanol by PEM electrocatalytic reforming towards value-added products 被引量:2
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作者 Alberto Rodriguez-Gomez Fernando Dorado +1 位作者 Antonio de Lucas-Consuegra Ana Raquel de la Osa 《Journal of Energy Chemistry》 SCIE EI CAS CSCD 2021年第5期264-275,共12页
The ethanol electro-reforming process was studied over PtRu/C catalysts synthesized by the modified polyol method with different compositions.In particular,this work reports the influence of anodic Pt:Ru ratio(5:1,2:1... The ethanol electro-reforming process was studied over PtRu/C catalysts synthesized by the modified polyol method with different compositions.In particular,this work reports the influence of anodic Pt:Ru ratio(5:1,2:1 and 1:2)on the organic product distribution(acetaldehyde,acetic acid and ethyl acetate)and pure hydrogen generation at different current densities operation levels.Physicochemical characterization of the catalysts was made by X-ray diffraction(XRD),temperature-programmed reduction(TPR)and N_(2) adsorption-desorption measurements.XRD patterns showed that Ru is introduced into the Pt structure,forming an alloy between both metals.Also,the degree of alloy was higher by increasing the Ru amounts.From TPR profiles Pt was found to be properly reduced while Ru was both in metallic state and forming RuO2.The electrochemical behaviour of each catalyst towards ethanol electroreforming process was investigated through electrochemical techniques in a half cell and a single proton exchange membrane(PEM)cell systems.An intermediate Pt:Ru ratio was found to result in high current density and electrochemical surface area(ECSA)values along with lower amounts of adsorbed species.Also,Ru addition seems to diminish the degree of degradation of the catalyst.Based on characterization and in agreement with essays carried out in a PEM cell at mild conditions(80℃ and 1 atm),PtRu/C 2:1 anode provided the best electrocatalytic results in terms of current density(740 mA cm^(-2)),hydrogen production and selectivity toward acetic acid(up to 15%apart from acetaldehyde and ethyl acetate)while requiring the lowest energy consumption. 展开更多
关键词 Ethanol electro-reforming PEM cell Pt:Ru anodic ratio Hydrogen production value-added liquid product distribution
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SHARE交接班模型在术后患者转运中的应用及临床获益分析
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作者 丁晓兰 张晨霞 +1 位作者 王金兰 张玉娟 《中国研究型医院》 2023年第5期46-50,共5页
目的建立术后患者SHARE转运交接班模型,并评价其临床应用效果。方法选取2022年10月—2023年3月于我院住院的手术患者200例。随机分为观察组和对照组,每组100例。观察组采用SHARE转运交接班模型,对照组采用传统术后转运交接模型。比较两... 目的建立术后患者SHARE转运交接班模型,并评价其临床应用效果。方法选取2022年10月—2023年3月于我院住院的手术患者200例。随机分为观察组和对照组,每组100例。观察组采用SHARE转运交接班模型,对照组采用传统术后转运交接模型。比较两组患者采取不同的转运交接模型的不良事件发生率、转运时间、转运规范性和满意率。符合正态分布的计量资料以xˉ±s表示,组间比较采用t检验;计数资料以例数(%)表示,采用χ^(2)检验或Fisher确切概率法。结果观察组患者的引流管打折固定不规范、导尿管受压、留置针拔脱的发生率较对照组均明显下降,差异均有统计学意义(χ^(2)分别为4.613、6.157、5.158,P均<0.05)。观察组患者的手术室至复苏室所用时间为(3.48±0.38)min,从复苏室至病房所用时间为(5.94±0.24)min,均显著小于对照组的(3.85±0.39)min、(7.46±0.39)min,差异均有统计学意义(t值分别为-3.29、-16.77,P均<0.05)。观察组转运患者的规范性明显提高(χ^(2)=10.317,P<0.01)。观察组患者、医师及护士对于医疗过程的满意率均明显高于对照组,差异均有统计学意义(χ^(2)分别为12.374、4.500、7.791,P均<0.05)。结论SHARE转运交接班模型有利于降低术后患者不良事件发生率、节约转运时间、提高转运规范性及满意率。 展开更多
关键词 医院 手术后期间 护理管理研究 share交接班模型
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Artificial intelligence promotes shared decision-making through recommending tests to febrile pediatric outpatients 被引量:2
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作者 Wei-hua Li Bin Dong +9 位作者 Han-song Wang Jia-jun Yuan Han Qian Ling-ling Zheng Xu-lin Lin Zhao Wang Shi-jian Liu Bo-tao Ning Dan Tian Lie-bin Zhao 《World Journal of Emergency Medicine》 SCIE CAS CSCD 2023年第2期106-111,共6页
BACKGROUND:To promote the shared decision-making(SDM)between patients and doctors in pediatric outpatient departments,this study was designed to validate artificial intelligence(AI)-initiated medical tests for childre... BACKGROUND:To promote the shared decision-making(SDM)between patients and doctors in pediatric outpatient departments,this study was designed to validate artificial intelligence(AI)-initiated medical tests for children with fever.METHODS:We designed an AI model,named Xiaoyi,to suggest necessary tests for a febrile child before visiting a pediatric outpatient clinic.We calculated the sensitivity,specificity,and F1 score to evaluate the efficacy of Xiaoyi’s recommendations.The patients were divided into the rejection and acceptance groups.Then we analyzed the rejected examination items in order to obtain the corresponding reasons.RESULTS:We recruited a total of 11,867 children with fever who had used Xiaoyi in outpatient clinics.The recommended examinations given by Xiaoyi for 10,636(89.6%)patients were qualified.The average F1 score reached 0.94.A total of 58.4%of the patients accepted Xiaoyi’s suggestions(acceptance group),and 41.6%refused(rejection group).Imaging examinations were rejected by most patients(46.7%).The tests being time-consuming were rejected by 2,133 patients(43.2%),including rejecting pathogen studies in 1,347 patients(68.5%)and image studies in 732 patients(31.8%).The difficulty of sampling was the main reason for rejecting routine tests(41.9%).CONCLUSION:Our model has high accuracy and acceptability in recommending medical tests to febrile pediatric patients,and is worth promoting in facilitating SDM. 展开更多
关键词 Artificial intelligence Pediatric outpatient Medical examinations shared decision-making
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SHARE数据库介绍与数据提取方法
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作者 李静 田国祥 +5 位作者 郭佳钰 陈冲 乔萌萌 程洪涛 吕军 李媛洁 《中国循证心血管医学杂志》 2023年第9期1036-1039,共4页
人口老龄化是人类社会成功的标志之一,同时全球医疗服务体系也面临着老龄化带来的巨大冲击和挑战。SHARE数据库是研究欧洲公民生命历程中健康、社会、经济和环境等因素对老龄化的影响的基础研究数据库,同时也是最大的欧洲社会科学小组研... 人口老龄化是人类社会成功的标志之一,同时全球医疗服务体系也面临着老龄化带来的巨大冲击和挑战。SHARE数据库是研究欧洲公民生命历程中健康、社会、经济和环境等因素对老龄化的影响的基础研究数据库,同时也是最大的欧洲社会科学小组研究,该数据库提供了国际可比的纵向微观数据,使人们能够了解欧洲个人的公共卫生和社会经济生活条件。本文将对SHARE数据库架构进行介绍,指引用户在官网上如何下载提取数据,旨在为医学科研者提供一个高质量的医学公共数据资源平台。 展开更多
关键词 share数据库 数据挖掘 纵向研究 老龄化
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SHARE模式在我国癌症患者不幸消息告知中的应用 被引量:3
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作者 王慧琳 白杨 +6 位作者 张永明 覃胜灵 邹宝华 王超 孙瑞 丛明华 杨敏 《中国医刊》 CAS 2023年第2期141-143,共3页
不幸消息告知(breaking bad news,BBN)是医务工作者必备且极具挑战的重要医患沟通技能,应用恰当的沟通模式进行BBN操作,可以有效提高癌症患者对病情的正确认知、治疗依从性和满意度,同时缓解不幸消息对患者情绪的不良影响等。国内外近... 不幸消息告知(breaking bad news,BBN)是医务工作者必备且极具挑战的重要医患沟通技能,应用恰当的沟通模式进行BBN操作,可以有效提高癌症患者对病情的正确认知、治疗依从性和满意度,同时缓解不幸消息对患者情绪的不良影响等。国内外近年来开展了大量BBN相关研究及实践,并形成了多种沟通模式,其中SHARE模式被认为相对更适用于我国医疗环境繁忙及家属参与决策的文化背景。为了更好地适应当前我国知情权和决定权逐渐回归患者自身的趋势,提高我国医务工作者的医患沟通能力,本研究概述了SHARE模式在我国癌症患者BBN中的应用,重点阐述了其在我国的沟通对象,以及BBN对癌症患者心理状态等方面的影响。 展开更多
关键词 不幸消息告知 share模式 癌症患者 医患沟通
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Evolution trends and structural decomposition of China's green value-added over 40 years of reform and opening-up
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作者 Jin Fan Wei Wan +1 位作者 Xiaohui Yuan Fatemeh Ranaei 《Chinese Journal of Population,Resources and Environment》 2020年第2期69-78,共10页
China's 40-year history of reform and opening-up includes rapid economic development as well as pollution and environmental governance.Using a four-stage division,this study explores the evolution trend and struct... China's 40-year history of reform and opening-up includes rapid economic development as well as pollution and environmental governance.Using a four-stage division,this study explores the evolution trend and structural decomposition of China's green value-added by constructing a non-competitive input-output table for environmental pollution from 1978 to 2017.The results indicate that pollution production coefficients increased continuously,and the green value-added index decreased.Additionally,the structural decomposition showed that investment and export were critical for economic growth during the period,though they were accompanied by serious pollution problems.The pollution generated by the raw material(represented by coal mining)and processing industries(represented by the textiles)were not controlled effectively.Pollution treatment for these industries should be strengthened in the future.The study has implications for government officials,policy makers,and academics.First,China should make green development a core concept for economic development,increase environmental pollution governance,develop a“green GDP,”incorporate the external costs of environmental pollution into the national economic accounting system.Second,it must change the investment and export structure as well as the traditional economic development pattern that exacerbates pollution.Specifically,the country should develop industries with low pollution and promote the export of industries producing high value-added products and increase green GDP per capita.Third,it should closely monitor the development of highly polluting industries.Upgrading technology to reduce pollution and strengthening pollution treatment will reduce the number of polluting industries and improve environmental governance efficiency. 展开更多
关键词 Green value-added Non-competitive input-output table Factor decomposition Environmental governance
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