Objective To investigate the unreasonable antibiotic prescriptions in Inpatient Department of The First Affiliated Hospital of Hebei North University from 2013 to 2014, in order to provide a basis for promoting the clinical rational use of antibiotics. Methods By extracting 20000 inpatient antibiotic prescriptions in The First Affiliated Hospital of Hebei North University from 2013 to 2014, the conditions of unreasonable use of antibiotics were recorded and investigated. Results There were 1623 unreasonable antibiotic prescriptions which accounted for 8.12% of the samples. The main types of unreasonable medicine were improper choice of solvent, improper solvent amount, unreasonable dosage and frequency of drug administration, too long or short treatment, and unclear combination therapy indications. And the more the number of combined drugs, the higher the rate of unreasonable antibiotic prescriptions was. Cephalosporins and penicillins were used more often, but unreasonable prescription rates were 7.50% and 6.19%. while the unreasonable prescription rates of using carbapenem, cephamycin and antifungal antibiotics were relatively higher, which were 19.16%, 18.36%, and 19.17%, respectively. Conclusion The using of antibiotics in The First Affiliated Hospital of Hebei North University is basically rational, but there are still some problems, which need strengthening the training for clinicians to reasonable use of antibiotics, and strengthening prescription comment.


Efficient image transfer in the Internet of Things (IoT) Era, has many requirements that need to be satisfied based on the nature of each underlying application. Internet of Things is a research paradigm that empowers data, data fusion and encompasses embedded images, which need to be transmitted to numerous interconnected devices. The risks of contravention of owner's rights are increasing, while data transfer creates new demands for securing the Internet of Things. In this respect, watermarking schemes can be used to save those rights from illegal usage and copying of digital image data. For IoT applications digital watermarking can be used to guarantee that the data used is protected and the rights of the owner are secured (i.e. both user and machine generated). This work proposes a novel watermarking scheme based on the biorthogonal family, (biorthogonal 2.2, biorthogonal 3.5 and biorthogonal 5.5) wavelet transform, while it uses a convolution for symlets wavelet transform and coiflets wavelet transform. These wavelet family approaches are highly robust against various types of attacks (both passive and active), for the prevention of the piracy and authentication of the data over IoT ecosystems. The proposed framework is thoroughly evaluated showing great robustness against attacks and allowing a higher level of protection compared to other available frameworks and schemes.


A BSTRACT Eruptive vellus hair cyst is a rare and benign dermatological condition in the development of vellus-type hair follicles. It affects mainly children and young adults, and is characterized by multiple asymptomatic papules, especially on the trunk. We report the case of a 33-year-old white man who presented multi- ple erythematous papules and pustules located on the trunk for about five years, refractory to topical treatments for acne. Dermoscopy revealed oval lesions with eccentric exulceration and rare protruding filiform structures. We established the diagnosis of eruptive vellus hair cyst based on the findings of der- moscopy and histopathological examination.


The acquisition of resistance to amoxicillin, tetracycline, and enrofloxacin by Escherichia coli MG 1655 was examined by exposing growing cells to constant or stepwise increasing concentrations of these compounds. The minimal inhibitory concentration (MIC) of E. coli for amoxicillin increased from 4–8 to 32 m g/ml after growth in the presence of 1.25 or 2.5 m g/ml. By stepwise increasing the exposure, an MIC of 512 m g/ml was reached. This high MIC was maintained after removal of the antibiotics, whereas the lesser increase after exposure to low levels was reversed, indicating that the high MIC was due to a genetic change, but the lower one to phenotypic adaptation only. The MIC for tetracycline increased from 2 m g/ml to maximally 32 m g/ml. The MIC decreased to control levels in the absence of tetracycline, so no genetic changes seem to have occurred. The MIC for enro-floxacin increased from 0.25 m g/ml to maximally 512 m g/ml depending on the concentration during growth. These data mostly support the ''radical-based'' theory that bactericidal antibiotics induce a common mechanism that contributes to cell killing. Our findings indicate that exposure to low levels of antibiotics causes an increase in MIC above the concentration that the cells were exposed to. The implication is that exposure to low levels of antibiotics should be prevented as much as possible, because this causes resistance far more than high concentrations that inhibit growth or kill the cell and thus prevent acquisition of resistance.


To mitigate the severe inter-tier interference and enhance the limited cooperative gains resulting from the constrained and non-ideal transmissions between adjacent base stations in HetNets, H-CRANs are proposed as cost-efficient potential solutions through incorporating cloud computing into HetNets. In this article, state-of-the-art research achievements and challenges of H-CRANs are surveyed. In particular, we discuss issues of system architectures, spectral and energy efficiency performance, and promising key techniques. A great emphasis is given toward promising key techniques in HCRANs to improve both spectral and energy efficiencies, including cloud-computing-based coordinated multipoint transmission and reception, large-scale cooperative multiple antenna, cloud-computing-based cooperative radio resource management, and cloud-computing based self-organizing networks in cloud converging scenarios. The major challenges and open issues in terms of theoretical performance with stochastic geometry, fronthaul-constrained resource allocation, and standard development that may block the promotion of H-CRANs are discussed as well.


Nowadays in Vietnam English is a compulsory subject for all students at tertiary level. Students are required to be able to use the language well after graduation. However, it is not really easy for all of them to meet the requirements and expectations of both institutions and society. Although most of them may be motivated in learning English, many factors may affect their learning. The major aim of this study was to investigate the factors that demotivate the students in learning English as a foreign language (EFL) at a private university in Da LatCity-Vietnam (Henceforth called PUD). It also attempted to explore what strategies might be adopted to overcome demotivating factors in the English classroom.200 non-English majored students of PUD participated in the study. Both qualitative and quantitative data was collected for the study. The research instruments employed for collecting data were the questionnaire and interview. For analyzing the collected data, content analysis, factor analysis and descriptive statistics were used. The findings of the study revealed that among teacher-related, classroom-related, and student-related factors, the student-related factors affected the students the most. Furthermore, the findings of this study explored the students' perspectives of several strategies which might be used in classto help both students and teachers reduce demotivating factors in EFL learning. Keywords— tertiary level, demotivating factors, English learning, strategies.


Despite the significant influence of cause-related marketing (CM) as a proactive or reactive communication strategy for corporate crisis management, the effect of CM on managing corporate crises is still controversial without considering the heterogeneous effect of bad news. Therefore, we classify a firm's negative events into product-related, product-unrelated, and CM-related bad news, and examine whether CM is effective in managing consumers' responses to corporate crises. In doing so, we investigate consumers' behavioral and neural responses for the firms' real-life negative events. Consequently, we found that, for proactive CM, which voluntarily promotes a firm's social reputation before any negative event, product-unrelated CM is the most effective in managing product-related bad news, while for reactive CM, which moderates the impact of unfavorable publicity, product-related CM is the most effective. However, when product-unrelated bad news occurs for a firm, any type of reactive CM does not effectively recover purchase intention, while corporate image is restored by both product-related and -unrelated reactive CMs. Neuroimaging investigation of fMRI confirms our behavioral findings and suggests that corporate bad news induces neural activation in brain regions associated with disgust and social pain and deactivates reward-related brain and social cognition areas. These findings suggest that we need a customized CM in order to respond to corporate negative events effectively.


Objective:To explore the optimal transfection conditions in which the concentrated virus supernatant transfer the foreign mdr-1 gene into hematopoietic cells of rabbit bone marrow,and test the expression and function of the mdr-1 gene in cells.Methods:An amphotropic virus producer cell line,PA317-HaMDR1/A1 which contains a full-length cDNA of human mdr-1 gene,was screened with colchicine(90ng/ml),and the supernatant was collected and concentrated.The bone marrow cells of the New Zealand rabbits were gathered and the mononuclear cells which contain many hematopoietic cells were enriched.The hematopoietic cells were cocultivated with concentrated virus supernatant and interleukins.The transfection rate was determined by SP immunohistochemical methods;the integration of mdr-1 gene in rabbit mononuclear cells was tested by PCR method ,and the physiological function of mdr-1 gene was tested by DNR extrusion test.Results:After screening by colchicine,the expression of P-glycoprotein(P-gp) of PA317-HaMDR1/A1 was enhanced.The foreign mdr-1 gene was transferred into hematopoietic cells of rabbit bone marrow successfully,and the transduction rate of 2 days,4days and 6 days were 22%,37%,and 39% respectively.However,the state of the 4 days was the best.The transferred mdr-1 gene had its physiological function.Conclusion:The foreign mdr-1 gene can be transferred into hematopoietic cells of rabbit bone marrow successfully by concentrated virus supernatant transfection method,and the transferring gene can be expressed stably and effectively.The study has provided a basis for the further research on chemoprotection experiment of the mdr-1 gene transferred into the bone marrow cells.


STEM CELL POLITICSPatient advocates, venture capitalists, and research leaders have launched a campaign to persuade California voters to pass an unprecedented ballot proposal, called Proposition 71, that would allocate $3 billion for human embryonic stem cell research over the next 10 years.


With the consideration of pressure difference,interface heat resistance,superheated film in capillary tube,detailed analysis and governing equations were given for the equilibrium film region,the transition film region and the macro-region,respectively,based on the classical assumptions of Nusselt′s laminar flow film condensation. And the characteristics of film thickness,heat transfer coefficient of film steady evaporation in vertical capillary tubes were investigated. According to the profile and characteristic of liquid film,the simplification and assumptions of dynamic liquid films in oscillating heat pipe (OHPs) model were presented,including how to determine film thickness and length,and phase change heat transfer coefficient.


U.S. Tele Atlas Recreation Areas represents point locations within United States for common recreation landmarks including golf courses, zoos, resorts, museums, and other recreational facilities.


Spectral reflection images are used for supervised or unsupervised classification.Because of the phenomena of "the same kinds of targets with different spectral or the different kinds of targets with the same spectral",the classification accuracy is low.Vegetation Index and surface temperature are two Biophysical parameters that represent the condition of the land cover,and have successfully applied into the large scale land use/cover,but it is seldom reported that they have applied into regional land use/cover.Based on the advantage of TM multi-spectrum data,this paper extract four classification features including Vegetation Index NDVI,land surface temperature Ts,Temperature-Vegetation Angel TVA and Temperature-Vegetation Distance TVD for supervised classification.Compared seven image processing routines(incorporation of vegetation index,surface temperature,vegetation index and surface temperature,temperature-vegetation angel,temperature-vegetation distance,temperature-vegetation angel and temperature-vegetation distance),the results indicate that the proportion of training samples and test samples influences the overall classification accuracy.It hasa higher classification accuracy using NDVI,Ts,NDVI and Ts,TVD,whereas,TVA 、TVA and TVD almost have no effect on the classification accuracy improvement.


In this paper we present new combinatorial bounds on the bit error rate (BER) for families of (0,1)-matrix codes applied in hybrid wavelength/code-division multiple-access (WDMA/CDMA) systems. Such systems combine the advantages of WDMA and pure incoherent CDMA, ensuring nearly orthogonal transmission and large numbers of subscribers. A new family of time spreading/wavelength hopping codes is introduced and a comparison of the derived combinatorial BER bounds with numerical results for systems without and with hard-limiter is given.


From the whole development of wireless energy transfer,resonant coupling technology breaks the limitations of transmission distance.Thus,it can be widely researched.In this paper,a low power wireless energy transfer system was designed from analyzing basic principle of resonant coupling.Its main topology in this system was analyzed also.Lastly,a system simulation of this design was realized which certificated the correctness and feasibility of this system.


Multirotor vehicles propulsion systems are based on the assembly of a (usually fixed pitch) propeller with an electric motor, powered by a battery pack. Resulting endurance and range performance of the vehicle are thus heavily constrained by the capacity of the battery pack. This study aims at providing a set of accurate measurements of propeller performance, together with a reliable estimate of power consumption in different operating conditions. A test bench was developed to measure propeller thrust and torque and all relevant electrical parameters. The results obtained from the measurements are then used to validate elementary models of the propeller, providing the premises for estimating propeller aerodynamic parameters, fundamental for physically consistent vehicle sizing at a preliminary design phase.


The invention relates to a steering shaft for a vehicle PREFERABLY FORMING PART OF AN ADDRESS SAFETY DEVICE OR occupant safety. To minimize the risk of injury to vehicle occupants, the invention proposes to include deformation elements (12, 13) enclose between them an intermediate section of the steering shaft (17) having stable. Preferably a steering shaft OF THIS TYPE (1, 1, 1) may also be combined with a steering wheel (3, 3) which is articulated an airbag cover (32) can be moved to an open position BY CUSHION GAS (14) so that during the opening movement does not protrude CONTOUR WHEEL (13).


Until recently, all attention in forest plantation development in Uganda had been given to exotic industrial species, mainly pines and Eucalypts. Indigenous tree species which are very important for human life have been accorded low priority in forestry development in the country. Much is known in selecting, breeding and management of exotic tree species but there has been less research in the field of indigenous species. Many of the indigenous tree species are gradually being lost through deforestation and over-harvesting and certain trees and shrubs known to be of high value are being wantonly harvested without replacement and are now threatened with extinction. It is thus important to promote sustainable management and use of Uganda's indigenous tree species or else they will disappear completely. The paper presents results of a survey of traditional uses of indigenous tree species which was carried out in Nakasongola, Mbale, Sironko and Kapchorwa districts and the potential impact of traditional uses on commonly used indigenous tree species on their sustainability. Results indicate that the main uses of indigenous tree species, in Nakasongola district in order of importance are firewood, medicine, poles, charcoal, craft material, food (fruit/honey), thatch, fodder and timber respectively. Acacia senegal, A. seyal and Commiphora abyssinica are the most commonly used indigenous species in Nakasongola district. The majority 95%) of the products from indigenous tree species are used for domestic purposes. The products are randomly harvested by picking, cutting, digging, stripping and tapping. Except for picking, the rest of the methods used during harvesting are destructive to the entire plant. Findings in the districts of Mbale, Sironko and Kapchorwa indicate that the main uses of indigenous tree species, in order of importance are Timber, Firewood, Medicine, Food (fruit/honey/bamboo shoots), Poles, Craft material, Fodder, Thatch, and Charcoal respectively. Arundinaria alpina, Cordia millenii, Ficus spp, Markhamia lutea and Albizia spp are the most commonly used indigenous species in the three districts. The majority (60%) of the products from indigenous tree species are used for domestic purposes while 40% of the products serve commercial purposes. The products are randomly harvested by picking, cutting, digging, stripping and tapping. Except for picking, the rest of the methods used during harvesting are destructive to the entire plant.


For several years, CEA-LIST and partners have been developing ultrasonic simulation tools with the aim of modelling non-destructive evaluation. The existing ultrasonic modules allow us to simulate fully real ultrasonic inspection scenarios in a range of applications which requires the computation of the propagated beam, as well as its interaction with flaws. To fulfil requirements of an intensive use (for parametric studies), the choice has been made to adopt mainly analytical approximate or exact methods to model the scattering of ultrasound by flaws. The applied analytical theories (Kirchhoff and Born approximations, GTD, SOV...) were already described in previous GDR communication. Over the years, this "semi-analytical" approach has been enriched by adaptations and improvements of the existing models or by new models, in order to extend the applicability of the simulation tools. This paper is devoted to the following recent advances performed in the framework of this approach: The SOV method based on the exact analytical model for the scattering from a cylindrical cavity has been extended in 3D to account for field variations along the cylinder. This new 3D model leads to an improvement in simulation of small side-drilled holes. Concerning the geometrical theories of diffraction (GTD), subroutines for calculation of the 2D wedge diffraction coefficients (for bulk or Rayleigh incident waves) have been developed by the Waves and Fields Group and uniform corrections (UAT and UTD) are under investigation. Modelling of the contribution of the head wave and creeping wave to the echoes arising from a wedge. The SOV method based on the exact analytical model for the scattering from a cylindrical cavity has been extended in 3D to account for field variations along the cylinder. This new 3D model leads to an improvement in simulation of small side-drilled holes. Concerning the geometrical theories of diffraction (GTD), subroutines for calculation of the 2D wedge diffraction coefficients (for bulk or Rayleigh incident waves) have been developed by the Waves and Fields Group and uniform corrections (UAT and UTD) are under investigation. Modelling of the contribution of the head wave and creeping wave to the echoes arising from a wedge. Numerous experimental validations of the developed models are provided. New possibilities offered by these new developments are emphasized.


In our design concept for a sports complex with a competition arena for 2000 spectators and an additional training hall, we stacked one hall on the other for urban planning purposes. The training hall sits on the roof of the competition arena at an angle (Figure 1). The two sidewalls of the training hall serve as large upstand beams for the span of the arena below. This becomes structurally tangible above all in the supporting direction of the ceiling beams of the competition arena: due to the upstand beams, they do not span transversely to the direction of the hall, which would be normal, but longitudinally to it. The two halls are in a dialectic relationship to each other not only from a structural point of view but also spatially and with regard to lighting. The training hall is open to the surrounding area on three sides thanks to strip windows and, together with the overlying high perimeter walls, has a "room cap," the volume of which is activated by sunlights. The competition arena developed in an inverse ratio. While in this case strip windows on three sides also open up the building from the access area to the stands toward the surrounding area, the playing field is embedded in the terrain. The main stand runs in a grand gesture from the access area to the stands down to the sunken playing field. In this way, the section course from the terrain level of the outdoor sports facilities through the stands, down to the hollow of the hall floor and back up to the level of the forecourt is staged with a large interior sectional figure. 2 | STRUCTURAL CONCEPT


This study was carried out to examine the effect of bisphosphonates (BPs) on the nanotubular titanium surface in vitro and vivo. Samples were divided into three groups: (1) machine-turned (MT), (2) anodized and heat-treated (AH), and (3) anodized, heat- and ibandronate-treated (AHI). Compared to MT group, the ALP activity was 100.17±1.74% in AH group and 109.25±4.52% in AHI group, with statistical significant differences between AHI and other two groups ( P<0.05). Also, AHI group (17.9±2.5) showed the highest removal torque (N·cm) at 4 weeks, followed in order by AH group (14.5±1.8), and MT group (5.8±0.8), with statistical significant differences between MT and the other two groups. Within the limits of this experiment, these results provide new evidence that immobilized BPs have positive effects on osseointegration of nanotubular titanium implant.


Does the Cambridge equation, in which the rate of profits in a steady state is equal to the quotient of the rate of growth and the savings rate out of profits, hold in an economy with widespread non-competitive markets? This article presents a multiple-good model of markup pricing in an attempt to answer this question. A balance equation is derived. Given competitive conditions, this model can be used to derive the Cambridge equation. The Cambridge equation also holds in a special case of markup pricing, with one capital good and many consumption goods being produced. No definite conclusions are reached in the general case.


The oxi-nitrocarburizing have well been known one of the well-established thermochemical surface treatments used to improve wear and corrosion resistance as well as fatigue endurance of steel parts. The thicknesses of the compound and oxidation layers formed by oxi-nitrocarburizing are one the key factors in evaluating the quality in the heat treatment process. The thickness closely depends on uniformity of temperature and gas concentration in the furnace. With the use of the commercial computational fluid dynamics code (CFD, FLUENT v.16.1), the present study carried out numerical simulations for the in-service furnace to examine the temperature distributions and gas flow characteristics varied with the fan speed effect. In addition, the Kn factor, which is defined as the ratio of the partial pressure of ammonia and hydrogen, were calculated on the basis of numerical results. It was found that the uniformity of gas temperature in furnace were gradually improved as the fan speed increased. This is because that high turbulent intensity increased heat transfer on the region of high temperature deviation. Moreover, the Kn factor would be affected by the ammonia dissociation rate and flow rate of ammonia gas.


There are many earth-structure sites in the arid areas of Northwest China, some of them are world cultural eritages. But it is regretful that they were eroded and deflated under the specific climate in the areas and damaged are very seriously. It is fairly necessary to study reinforcement of the earth-structure sites. Potassium silicate is an inorganic cementing-reinforcing material of aqueous solution. In this paper, a reinforcing technique for ancient earth-structure sites is described in detail and the mechanism for the reinforcement is preliminarily discussed. On the bassis of our practice, we conside that the potassium silicate is an effective material for reinforcement of earth-structure sites in the arid Northwest China and has an ideal effectiveness. It should be put into practice in the future.


This invention relates to a user identification module service to character group users and an applied method, which first of all sets a character group applied server system containing a subsystem, which stores service and applied data of character groups and records the function ID, group names and user hierarchical information and applied services, application and catalogs corresponding to the information, users select and download service or application of the character groups to send service requests to said system in short messages, which presents them to the subsystem to verify if the short message is legal and sends down related character group service, application or catalog data to said user identification module in the mode of OTA in terms of the request, the module receives all the data and displays the successful download.


The prevalence of diabetes mellitus in adults 18 and older increased 3-fold in the United States from 1980 through 2010.1 It is estimated that 25.6 million (11.3%) individuals ≥20 years of age have diabetes, and approximately 10.9 million (26.9%) people ≥65 years have diabetes (Fig. 1). The prevalence of diabetes in non-Hispanic whites ≥20 years of age was 15.7 million (10.2%) and in non-Hispanic blacks was 4.9 million (18.7%). It is interesting that from 1998 through 2010 the rate in men increased 163%, but in women it increased only 103%.1 The estimate is that 12.6 million (10.8%) of all women ≥20 years of age have diabetes.

Fig. 1 Age-specific percentages of civilian, noninstitutionalized population with diagnosed diabetes, by age, race, and sex, United States, 2010.1

The incidence of cardiovascular disease is affected by diabetes and other factors. The incidence of myocardial infarction in non-Hispanic whites is about 14/1,000 person-years, but it is 9 to 10/1,000 person-years in blacks, Hispanics, and Asians.2 However, blacks have more strokes (12/1,000 person-years) and more heart failure (10/1,000 person-years) than do non-Hispanic whites (10 and 9/1,000 person-years), Hispanics (8 and 6/1,000 person-years), or Asians (8 and 6/1,000 person-years). Having diabetes at age 40 reduces life expectancy by 12 years in men and by 14 years in women.3 Vascular disease is the cause of death in more than 60% of women who have diabetes. Diabetes increases the vascular mortality relative risk from 1.7 to 2.7 in women (Table I).4

TABLE I. Diabetes and Cause-Specific Mortality in a Prospective Cohort of One Million U.S. Adults.

The impact of intensive glucose control on microvascular and macrovascular disease has been evaluated in large trials.5 Better glucose control clearly reduces the incidence of microvascular disease (affecting eyes, kidneys, and peripheral nerves) in patients with either type 1 or type 2 diabetes, but it has not altered macrovascular disease (affecting heart and brain) during the 6 to 8 years of the trials. However, longer follow-up in these trials of the intensively-treated patients with both type 1 and newly diagnosed type 2 diabetes have noted fewer cardiovascular events.6 Therefore, there might be long-term benefits of better glucose control, even after intensive treatment has stopped.

Reports of several important trials were announced in 2012. The Look AHEAD study involved 5,145 adults with type 2 diabetes and a body mass index (BMI) >25 kg/m2.7 Subjects were randomized to intensive lifestyle intervention or to education alone. Medications were managed by patients' primary physicians. The Intervention Group had a 5% reduction in body weight from baseline after 11 years of follow-up and improved treadmill fitness levels, hemoglobin A1c (HbA1c) levels, systolic and diastolic blood pressure, high-density lipoprotein cholesterol levels, and triglyceride levels. However, there was no difference between groups in the rate of nonfatal myocardial infarction, nonfatal stroke, death, or hospitalization for angina.

The ORIGIN Trial enrolled 12,537 subjects with impaired fasting glucose levels, impaired glucose tolerance, and newly diagnosed type 2 diabetes.8 They were randomized to standard care or to standard care plus an evening injection of insulin glargine in a dose that would achieve fasting glucose levels of ≥95 mg/dL. The median follow-up period was 6.2 years. Multiple outcomes were evaluated, but only a reduction in unstable angina was achieved by glargine treatment. Overall, there was no difference in cardiovascular events or overall mortality rates. There was more hypoglycemia in the glargine group.

The American Diabetes Association and the European Association for the Study of Diabetes issued a position statement9 urging practitioners to use a patient-centered approach for the management of patients with diabetes. More intensive glucose control is recommended for younger patients and those with no or fewer complications, longer life expectancy, and excellent self-care capabilities. In contrast, less stringent control is recommended for older patients and those with long-standing disease and complications associated with diabetes. One should begin with lifestyle changes. If the HbA1c target is not achieved after 3 months, metformin monotherapy is added, barring a contraindication. If HbA1c levels remain above target, one should add a sulfonylurea, thiazolidinedione, dipeptidyl peptidase-4 inhibitor, glucagon-like peptide-1 (GLP-1) receptor agonist, or basal insulin. The choice is dependent upon patient and drug attributes. The goal is to improve glycemic control and to minimize side effects. Basal insulin should be considered as a 3rd-line therapy when HbA1c is ≥9%.

The DURATION-4 Trial was reported in 2012.10 This was a 26-week trial that compared the efficacy and safety of exenatide once weekly with metformin, pioglitazone, and sitagliptin as monotherapy in drug-naive patients with type 2 diabetes. Weekly exenatide achieved HbA1c levels that were similar to those achieved with metformin and pioglitazone, and better than those achieved with sitagliptin. Patients treated with metformin or weekly exenatide lost about 2 kg, and those treated with sitagliptin lost 0.8 kg, whereas those treated with pioglitazone gained 1.5 kg.

We know that lifestyle changes are very important for achieving good glucose control, and we have multiple oral agents, as well as a variety of insulin analogues, that can be used to control glucose levels. Although the percentage of non-Hispanic white patients with HbA1c levels 7%.

It is well known that obesity has been largely responsible for increasing the prevalence of diabetes in the past 30 years. Pharmaceutical companies and funding agencies are committed to developing better pharmaceutical treatments for obesity, but the available agents are only modestly beneficial. The Food and Drug Administration approved 2 anti-obesity drugs in 2012. Qsymia® (VIVUS, Inc.; Mountain View, Calif) is a combination of 2 older drugs, phentermine and topirimate. Belviq® (Arena Pharmaceuticals, Inc.; San Diego, Calif) is lorcaserin hydrochloride, a seritonergic drug. The GLP-1 agonists cause a 5% to 10% reduction in weight in 1- and 2-year trials. However, greater weight loss is needed to combat this problem. Bariatric surgery has been approved for morbidly obese individuals and obese diabetic individuals with complications. Clinicians in Brazil used Roux-en-Y gastric bypass to treat 66 patients with type 2 diabetes and mild obesity (BMI, 30–35).12 Total body weight decreased about 35% at 2 years, and the weight loss was maintained for the duration of the study. Mean HbA1c levels decreased from 9.7% ± 1.7% to 5.9% ± 0.1%. Although patients were on diabetic medicines at baseline, 88% of them discontinued all diabetes medications after 6 months of follow-up, and 11% had improvement in glucose control with less medication. Hypertension and dyslipidemia also were improved, which resulted in >50% reductions in the 10-year risk of fatal and nonfatal coronary heart disease and stroke. One hopes that better pharmacologic treatments for obesity in the future will achieve outcomes that are similar to these surgical results.

In conclusion, diabetes is associated with increased risk of micro- and macrovascular disease in women and men. Aggressive glucose control can reduce the risk of microvascular disease, but it does not confer benefit at near-term cardiovascular endpoints. Intensive lifestyle changes in patients with type 2 diabetes mellitus for several years did not decrease cardiovascular events, although it improved several cardiovascular risk factors. Intensive glucose control in patients with impaired fasting glucose levels, impaired glucose tolerance, or newly diagnosed type 2 diabetes mellitus did not decrease cardiovascular events in the short term. The American Diabetes Association advocates achieving HbA1c levels of <7% in younger and newly diagnosed patients who do not have significant cardiovascular complications. Careful control of blood pressure and lipids is imperative in patients with diabetes, because effective management of these disorders has been shown to reduce cardiovascular events and improve survival rates.


After Twenty-five years of substantial economic reform, reflective of Australia's attempt to benefit from the international economy, the subject of politics remains largely debated at the public intellectual level between two sets of supporters: those on the Left who dominate the social sciences at Australia's universities and offer much criticism (and hardly anything else), and those on the supposed Right who are generally committed to policies that they perceive as being necessary to uphold the national interest through a greater promotion of freer trade and the private sector than in the past.


The incorporation of DNA into plant genomes followed by regeneration of non-chimeric stable plants (transformation) remains a major challenge for most plant species. Forest trees are particularly difficult as a result of their biochemistry, aging, desire for clonal fidelity, delayed reproduction, and high diversity. We review two complementary approaches to transformation that appear to hold promise for forest trees.


Objective To investigate the ability,makings,level of business that a head nurse should have,and formulate a quantifiable assessment system to evaluate the head nurses. Method Delphi technique was used in this research. Firstly the consultative questionnaire was designed,and then the experts' inclusion criteria were confirmed. Three times consultation was carried out. Results A quantifiable assessment system including three dimensions and forty items was developed. The Three dimensions were personal qualities,professional abilities and management capability. Conclusions It was convenient to use quantifiable indexes for assessing head nurses' abilities.


Objective To explore the status of quality of life in patients with Systemic Lupus Erythematous(SLE) and its relationship with social supports.Methods Sixty-eight SLE patients who were followed-up in out-patient department from April 2008 to October 2009 were recruited,and the Social Support Rating Scale(SSRS) and The World Health Organization Quality of Life(WHOQOL-BREF) were applied to do the investigation.Results The results showed that social support was relatively lower,the scores of objective support,subjective support,utilization of support and social support scores were lower than Chinese norm(P0.01).And SLE patients had lower quality of life,the scores in four dimensions which included physical,psychological,social relationships and environment were lower than Chinese norm(P0.01).The scores of quality of life had positive correlation with social supports.The main influencing factors of SLE patients' quality of life were disease history,age,payment,objective support.Conclusion SLE patients have a poor quality of life and social support,nurses can provide an effective nursing interventions to get the family and social supports so as to improve the quality of life.


This study evaluated and forecasted the impact of FDI in the agricultural sector from 1980-2007, specifically its impact on agricultural output and labor in a Vector Auto Regression (VAR) environment. Data used in this study were sourced from Central Bank of Nigeria (CBN) statistical bulletin (2009). Results from the analysis revealed that FDI in the period under review had no significant impact on agricultural output. In addition, results of the forecast estimates showed that the current volume of FDI would not significantly affect agricultural output but will have significant positive impact on labor (employment generation). This study recommended for increase in the volume of FDI and advised government and other stakeholders to seek FDI that will improve existing or introduce new technology in the agricultural sector and enhance domestic capacity or domestic investment, even if the opportunity cost of a reduction in labor may have to be paid.


This small-city art museum has dedicated itself to education and to the well-being of its community, a commitment it has carried out for more than half a century with a wide array of programs that grow and change in response to new needs—ethnic, social, and economic. How this "community art center" employs its collection and its programs for the educational benefit of its various audiences is the subject of this report. It is a story that may help, inspire, and sometimes—but not always—comfort other art museums in similar circumstances anywhere in the United States.


Top of Form Indonesia is very risky to ood hazards that seems to be an annual agenda which must not be missed. Jakarta is the most frequently aected by oods due to lack of maximum performance as a means of water storage reservoirs. The oodgates are now driven manual is very alarming because we do not know when the ood wa- ter will come. Automatic oodgates are expected to address the ooding problem is due to mobilization can automati- cally control the volume of water. In scienti c writing, will be discussed on a series of automatic sluice with water sen- sor. There is also the microcontroller used is ATMega 8535. Motor will work as a driver of an automatic door sensor ac- cording to use. The sensor is attached is used to detect the presence or absence of water in it and to detect whether a container of water will meet or not. Led will serve as a conduit of high water mark and the Buzzer will serve as a warning sound. Bottom of Form Penamaan File: 20108223


The reviewed monograph is a study on the foreign policy of the Law and Justice party in the period of 2015–2019. The book has a broader scope than the title suggests. It is rather a study on the state and management of foreign policy of a contemporary modern state. There are valuable references to the political thinking of the Law and Justice party, which ruled in Poland from 2005 to 2007 and after 2015.


Five world-class biomedical scientists are this year's Gairdner International recipients. The winners, which were announced on Apr. 18, will each receive $30 000, a certificate and a La Couer statue in Toronto on Oct. 25.

Founded in 1959 by Toronto businessman James Gairdner, the awards recognize


The purpose of the study is to determine whether the presence of a citizen group court monitoring program within a jurisdiction influences the disposition of driving while intoxicated cases. Initial research identified a number of citizens group court monitoring programs and selected a stratified random sample of these. Programs in the sample were contacted for information on their purpose and structure and perceived results of court monitoring. Two programs were selected as study sites: (1) Remove Intoxicated Drivers chapter, Oak Ridge, TN; and (2) Mothers Aganist Drunk Drivers chapter, Douglas County, NB. A pretest, posttest control group design was employed to test the effectiveness of the court monitoring programs at changing various aspects of DWI offender treatment. The study clearly demonstrated that a well organized court monitoring program implemented by an organized citizens' group can be effective at changing the handling of DWI offenders.


It is known that content based on mythological structure can appeal to the common sense of taste of the reader and the audience. Joseph Campbell explains this situation through the Hero's Journey paradigm; explains the mythic fiction through the stages of departure, initiation and return. He explains that the narratives we read, watch or encounter are always "the same" story, within the framework of the concept of journey he proposes. This journey can be the physical transformation of the hero, as well as an initiation metaphor, which usually has psychological foundations. The movie Yol Ayrımı, written and directed by Yavuz Turgul, is a movie where we can see the initiation of the hero Campbell mentioned. In this study, the movie Yol Ayrımı will be read through the Hero's Journey paradigm, and the aspects that fit and depart from the cycle will be evaluated through the transformation of the leading role Mazhar Bey (Şener Şen) in the movie. In the research, which will be carried out using the qualitative analysis technique, the content analysis of the relevant movie will be carried out by using the content analysis method.


In this research work, we have developed and analyzed a deterministic epidemiological model with a system of nonlinear differential equations for controlling the spread of Ebola virus disease (EVD) in a population with vital dynamics (where birth and death rates are not equal). The model examines the disease transmission dynamics with isolation from exposed and infected human class and effect of vaccination in susceptible human population through stability analysis and bifurcation analysis. The model exhibits two steady state equilibria, namely, disease-free and endemic equilibrium. Next generation matrix method is used to find the expression for [Formula: see text] (the basic reproduction number). Local and global stability of diseases-free equilibrium are shown using nonsingular M-matrix technique and Lyapunov's theorem, respectively. The existence and local stability of endemic equilibrium are explored under certain conditions. All numerical data entries are supported by various authentic sources. The simulation study is done using MATLAB code 45 which uses Runge–Kutta method of fourth order and we plot the time series and bifurcation diagrams which support our analytical findings. Stability analysis of the model shows that the disease-free equilibrium is locally as well as globally asymptotically stable if [Formula: see text] and endemic equilibrium is locally asymptotically stable in absence of vaccination if [Formula: see text]. Using central manifold theorem, the presence of transcritical bifurcation for a threshold value of the transmission rate parameter [Formula: see text] when [Formula: see text] passes through unity and backward bifurcation (i.e. transcritical bifurcation in opposite direction) for some higher value of [Formula: see text] are established. Our simulation study shows that isolation of exposed and infected individuals can be used as a more effective tool to control the spreading of EVD than only vaccination.


The scalar and Einstein field equations are considered in the general symmetric comoving system. The self-gravitational interaction of the scalar field is expressed by identifying the energy momentum tensor with the one canonically associated to the scalar field. It is shown that the scalar field can depend only on the radial and time variables and that the energy momentum tensor is implicitly conserved. Two classes of solutions are then studied. A first class, that contains the static case previously considered and the complete time-dependent case, is determined by a priori assuming the unknown functions to depend on one only variable. This class is meaningful essentially for massless field. A second class of solutions refers to the a priori assumption that the scalar field alone depends on r or on t. In both cases some comments are developed for the massive scalar field and for a large class of massless fields we are able to determine the solutions.


Atopic Dermatitus or Infantile Eczema is one of the most common relapsing skin disorders of childhood and one of the most difficult to treat. Despite an ever increasing incidence, the exact aetiology and diagnostic features of Atopic Dermatitis remain unclear. The dry hyper-irritable skin and the misery associated with this condition, disrupts the life of both the affected child and this or her family, Treatment is aimed at controlling the symptoms until natural resolution occurs.


EFFECTS OF HIGH HEELS ON CENTRE OF PRESSURE PROGRESSION DURING WALKING IN YOUNG WOMEN ABSTRACT. The purpose of this study was to discuss the differences in centre of pressure (COP) spatio-temporal progression during walking between barefoot condition and wearing high heels condition. The data were collected from 35 young women by a combined Footscan® system. The mean COP path, the displacement and phase of COP, the relationship of the peak medial-lateral displacement with time and the plantar pressure of five plantar regions were calculated in both barefoot and wearing high heels condition. The mean COP path from 160 mm to the end in the y-axis direction turned to the lateral again when walking in high heels, but the mean COP path kept shifting to the medial of the foot with an increasing speed when walking barefoot. Compared to walking barefoot, the percentage time of the initial contact phase and the foot flat phase significantly increased in wearing high heels condition. The maximum medial-lateral displacement of the COP and the maximum medial-lateral displacement of the forefoot COP were significantly greater in barefoot condition than wearing high heels, but the maximum anterior-posterior displacement of the COP showed a contrary consequence (p = 0.000; 0.000; 0.000, respectively). An eccentric second lateral shift occurred in forefoot push-off phase indicated a lateral deformation of hallux during walking in high heels. An increased plantar pressure under heel region suggested that the impact from ground reaction force was associated with heel types.


A method for estimating the parameters of unknown frequency-hopping(FH) signal is proposed based on Wavelet transform.Considering Wavelet transform's perfect localizing characteristic in time-frequency domain and effectiveness in detecting local singularity in signals,the method can estimate the parameters of FH signals such as hop timing,hopping frequencies and hop duration without knowing any a priori knowledge.This paper introduces the basic principle of analyzing FH signals using Wavelet transform,gives the parameter estimating algorithms,analyzes the computer simulating results,and obtains more exact estimating results.


Abstract In The God Delusion, Richard Dawkins gives, but runs together, two criticisms of the argument from design. One is evolutionary and scientific; the other is a philosophical infinite regress argument. Disentangling them makes Dawkins' views clearer. The regress relies on the premiss that a designer must be more complex than the thing designed. I offer two comments about theists who might accept the regress, citing God's infinity. These comments defend Dawkins: but only by making him, when using his regress argument, an atheist who knows (if his "complexity" premiss holds) that God cannot exist.


We construct a variant of Karoubi's relative Chern character for smooth varieties over C and prove a comparison result with Beilinson's regulator with values in Deligne-Beilinson cohomology. As a corollary we obtain a new proof of Burgos' Theorem that for number fields Borel's regulator is twice Beilinson's regulator.


Although critical thinking has been on the agenda for the past few decades, there is a serious gap in the field of foreign language teaching especially for quantitative research carried out regarding the teaching of this process as a skill. When the case is the teaching of critical thinking in EFL courses more specifically, teaching critical reading skills shares the same problem as one of its sub-skills. Yet, it is of utmost necessity to proliferate this kind of research to reach beyond epistemological deductions to delineate the borders of such a significant skill. Thus, the current study is designed as quantitative research that aims to contribute to foreign language teaching literature utilizing the procedures of both descriptive and inferential statistics. In this sense, a specifically developed critical reading scale was chosen and distributed to the third-year EFL students of a state university in Turkey to obtain the required clear data to detect any probable connection between their age and attitudes and to assess their evaluation concerning the easiest and hardest sides of the critical reading process. The results indicated beneficial findings for the interests of EFL literature.


In this paper, we propose a fast and robust feature correspondence verification method based on local consensus. We encode the locality invariance into a continuous probability density function and formulate the problem to be a two posteriori estimation of Bayesian models without accurate transformation estimation. The model can be used without iteration for super-efficiency, and iteratively for SOTA performance. The non-iterative version can directly output the correctness confidence of each match with linearithmic time and linear space complexities. The iterative version requires only 5-10 iterations to update parameters, which can produce SOTA precision or recall. Besides, our model provides remarkable geometry robustness, and is robust to the quality of neighbors even when the simplest spatial knn is used. Numerous experimental results demonstrate the superiority of our method.


Abstract : Recent experiences in the Global War on Terrorism in both Iraq and Afghanistan clearly demonstrate that there is a large role to be played by the interagency process. In all phases of operations there is much to be gained by interagency cooperation, which is defined as the coordination that occurs among elements of the Department of Defense (DoD) and engaged U.S. Government (USG) agencies, nongovernmental organizations (NGOs), and regional international organizations (IOs) for the purpose of accomplishing an objective. Senior leaders can either foster or impede strong interagency cooperation and can therefore either have a positive or negative effect on achieving U.S. Government objectives. This essay examines the role of Senior Leaders in fostering interagency cooperation, and discusses how they can maximize the potential for achieving USG objectives.


This article highlights mission challenges presented by the intensified movement of people in South Africa with a view to identify opportunities for Christian mission and challenge demagoguing in the context of growing intolerance. Migration is identified as an opportunity for mission and discussed as one of the untapped resources not just for mission, but also for economic development and social transformation. Compassion fatigue and complex challenges presented by COVID-19 have eroded traditional roles that ensured hospitality to strangers and despite an increase in scholarly interest in human mobility, policy makers, politicians and economists have not taken migration flows within the South African context seriously. This has serious missional implications and requires restoration of ubuntu as a biblical imperative.


Magnetic memory signal of Q345 Bsteel specimens with and without hole defects are analyzed under tensile loads.The experiential results show that the normal magnetic field intensity can be used to locate hazardous area of specimens,magnetic memory curve is approximately a diagonal line in the elastic stage,and it turns to be nonlinear in the plastic stage.The gradient curve has a maximum value in the region of stress concentration,and there is an obvious exponential relationship between the peak value of gradient curves and the stress of specimens.The maximum gradient can be used to reflect the stress of members.


The present invention is a mobile communication terminal and power supply terminal using a LAN (Local Area Network), Bluetooth (Bluetooth) the non-powered element (Parasitic element) for forming the, in particular, the conductor pattern and the electromagnetic coupling relates to a chip antenna used in the relates to a chip antenna having a parasitic element such that the double and multiple resonance occurs between the conductive pattern and the passive element are connected, The invention if the top and bottom surfaces opposite to each other, and the phase, if made of a side surface between the base block is formed, including any one of the dielectric and magnetic material; A first conductive pattern of the inversed F type formed on a part of the base block; And is formed on another portion of said base block, a second conductor pattern of the inverted L is connected in parallel to the first conductive pattern; To the first conductor pattern and the second conductor pattern a base that includes a non-powered element formed at predetermined intervals from each other, and forming the first and second conductive patterns and the electromagnetic coupling, and, according to the invention , small bandwidth, yet it is possible to more improve the broadband (bandwidth), can also remove the peak (paak) is formed by a structural resonant around the frequency band used.


For bone connector devices is able to support against the bone 2 and the upper surface (3), and the bone for the screw (20) is formed to accommodate the bushing 10, which can adjust the angle to the multi-axis and when the said top (3) is constituted by a through hole (4) communicating with the (2) comprises a ppyeopan (1) at least one bar. The through hole (4) has a central axis (5). And a bushing (10) having an outer surface 17 formed in contact with the bore 11 and the through hole 4 having a longitudinal axis 12, the bone connector apparatus is formed to receive a bone screw (20) It is configured to include. The bushing 10 is radially compressible, and are radially formed to be tensile. Section (6) of the through-hole (4) on board that is orthogonally extends to the central shaft 5 is formed in the shape of non-circular. Section 16 of the bushing 10 of the alignment of the vertical axis perpendicular to the (12) extends is formed in a shape corresponding to a shape essentially in the cross-section (6) of the through hole 4 of the ppyeopan 1 is. The bushing 10 is formed in the through-hole 4 is time is presented entirely stable in accordance with the longitudinal axis (12) of the bushing (10). Also, as the position of the bushing 10, according to the ppyeopan (1) are present can be adjusted to the through-hole (4).


In the oilfield water flooding process,reservoir properties,micro-pore structure and heterogeneity of dynamic changes will occur.Through the integrated use of multi-disciplinary theoretical approach,the use of computer tools to build a geological model to study the different parameters of the reservoir development environment changes and patterns,to predict the distribution of remaining oil reservoir,to improve the effects of oil development has a very important geological significance.Artificial neural network technology is highly adaptive and self-learning ability,through its strong nonlinear mapping,can precisely establish reservoir parameters and the nonlinear model between logging response.In the geological model,in the history of reservoir data,based on neural network technology,a large number of macro-reservoir data analysis,learning and training,selection of representative reservoir parameters,expressed the well point with reservoir parameters time evolution,and thus predict the distribution of remaining oil.


This paper presents a novel low-power digital baseband for UHF RFID tag. The design is complied with a modified ISO 18000-6C protocol. In order to reduce the peak power, module-reuse and other advanced low power techniques are applied. And a novel baseband architecture is discussed, which fulfills the protocol functions and reduces power consumption. The whole tag chip, including digital baseband, RF/analog frontend and memory, has been taped out using TSMC 0.18um CMOS process. The chip area is 89234 um2 excluding test pads. Its power consumption is 11.63uw under 1.1v power supply.


I was filming on an island where it was summer in January. The tourists had returned to their countries, and the stands that sold to them were closed. We were the only strangers on the island. It was odd being there so long. We filmed eight weeks, and all that time we got no news. There weren't any papers. The director had a portable radio, but it received nothing we could understand. Once the BBC came in faintly and we heard there was a war over the Suez. A month later we heard a second broadcast. The war was not mentioned.


This article examines use of the Internet by the religious authorities of the
holy city of Qom in Iran. Based on a series of interviews and an analysis of
the content of several websites, the author shows that the Shiite clergy
connected to the Islamic Republic regime have recognized the Internet as a
communication tool that it can use to disseminate its religious interpretations
and political positions. This active engagement in on-line communication is
analysed as a strategy through which the clerics try to preserve their
influence over religious discourse even in cyberspace. The article questions
the validity of thinking which presents the introduction of the Internet in the
Middle East simply as a challenge to religious and political authorities.


The present article has been conducted entitled: "effect of doing activities of outside the classroom on learning math concepts" in the academic year of 2015-2016 and that's main aim, is evaluating effect of doing activities of outside the classroom on learning math concepts. Researcher has used from various sources of research by using scientific methods (study and interview) in order to obtain the necessary data, such as: books, magazines, internet, and coworkers and after providing comments of the intelligentsia about the games and mathematical entertainments that it is one of the activities outside the mathematical classroom, he/she has pointed to a few examples of these types of games and entertainment, such as: 1. Forming association of mathematician children for creating students' creativity 2. Converting mathematical class to the scientific workshop for creating ability of understanding mathematical content and performing activities such as: making educational assistance tools by the students, doing functional and practical activities based on individual differences, needs and their interests, evaluating activities in the form of layer and providing appropriate feedback, playing games and purposive   entertainments 3.setting televisual channel for children for training creative and free minds . In the end, he/she concluded that: using diverse games and activities, and according to aim of each lesson, pay attention to the individual differences, needs and interests of students pay attention to the strengthening visual and auditory memory and contemplate the growing accuracy and attention of learners, also providing diverse and attractive activities, in addition to the increasing interest of the students to the mathematical lesson, their learning become deeper.


integrated to the small scale lodges and service provides. The chapters have also briely described and questioned the roles of a number of recent features of and employment possibilities associated with the tourism industry, especially those linked to the drive for sustainability and new forms of tourism in the third world. Chapter 8 deines what is implied by the term host population and examines the importance of local participation in the activity of tourism. One of book's key themes is central to a consideration of the role of local communities in tourism. The authors of the book have marked the notion of transculturation, the process by which local communities adapt themselves to the cultural mores and habits of those with whom they interact, is used to demonstrate that this interaction is not purely a case of the imposition of one set of cultural values upon another, as it is often represented in tourism analysis.


Abstract Background: Anti-Mullerian Hormone (AMH), a proposed indicator of ovarian follicle reserve in adults, has not been characterized in pediatric and adolescent females by race and/or ethnicity. Objectives: To describe AMH levels in healthy American girls and determine the influence of age and race/ethnicity on AMH. Subjects: Subjects aged 10–21 years were recruited from primary care settings and emergency departments. Race/ethnicity was characterized as White, Black or Hispanic. Methods: Serum for AMH levels (ng/mL) was measured using an enzyme-linked immunosorbent assay. Results: Thirty-one White, 60 Black and 24 Hispanic subjects were recruited. Mean AMH levels were 3.19 ng/mL (22.8 pmol/L) (SD 2.12) for Whites, 3.25 ng/mL (23.2 pmol/L) (SD 2.23) for Blacks and 2.97 ng/mL (21.2 pmol/L) (SD 1.75) for Hispanics. ANCOVA showed no difference in AMH levels among race/ethnicities, controlling for age (p=0.91). Age was significantly associated with AMH (p<0.001, R2=0.12). Conclusion: AMH levels do not vary by race/ethnicity, and AMH levels increase with age.


In this paper, the least squares approximation via a piecewise linear function approach is applied to solve the approximation problem of a sum of lognormal random variables. A number of linear basis functions are applied and the corresponding coefficients are specified to form a piecewise linear approximation to the sum lognormal cumulative distribution function. By using the proposed approach, arbitrary precision of the approximation can be achieved by increasing the number of basis functions. The computation complexity shows no significant increase with the increase of the number of basis functions. Simulation results exhibit a desirable performance by using the proposed approximation method through piecewise linear basis functions.


In recent years, there have been several high-profile thunderstorms in Belgium, in particular the Pukkelpop thunderstorm of 2011, resulting in five casualties, and the Pentecost storms of 2014, leading to hundreds of million euros of damage. These cases highlighted again the importance of having a good forecast and warning system for severe weather. Probabilistic guidance from ensemble forecasts should be an important forecast tool for these events, since predicting their exact timing, location and intensity is generally very difficult, if not impossible.
With improved prediction of severe weather in mind, most European countries have started with the development of convection-permitting EPS in the last few years. At the Royal Meteorological Institute of Belgium (RMI), an experimental high-resolution (2.5km) ensemble with 11 ALARO members and 11 AROME members is currently being tested. This is meant to be a prototype for a future operational convection-permitting EPS over Belgium. In this article, we describe the current set-up of the system and discuss some forecast results for several thunderstorm episodes in August 2015. The performance of the ALARO and AROME members, and the usefulness of combining them in an ensemble is investigated. Additionally, a comparison is made with the global EPS of ECMWF and the pan-European mesoscale GLAMEPS. We conclude with our future plans toward an operational convection-permitting RMI-EPS.


One takes the form of saying, "Don't construct ideal political theories, seek out the amelioration that is immediately feasible in the present circumstances." The other dismisses many radical proposals as a nostalgic hankering for the social and economic life and conditions of a bygone era. Consider the sneering dismissal of indigenous outlooks on climate issues that take all the tinkering solutions to these issues that are in the air—from geoengineering to cap-and-trade—as manifestly insufficient, and would instead have us return to a conception of "nature" that refuses to equate it with "natural resources."


It is difficult to determine a proper neurons number of the mid-layer when using the BP neural network for water demand forecasting. Aiming at the problem, the BP neural network is presented in this paper for water demand forecasting. A suitable neurons number in the mid-layer is calculated based on the empirical formula method and trial and error method. A certain basin in China is taken as a case study. The results indicate that the mean relative error is 2.42%. The water consumption is 42.8 billion m3 in 2015 and 43.6 billion m3 in 2030 in the study area. The results are useful for water resources planning and management.


In order to meet the requirements of development of advanced manufacturing,taking virtual manufacturing technology as dissertation that dealt with the virtual manufacturing technique by means of metal cutting theory etc.Emphases mainly focused on the modeling of milling force,the pressure and friction action on the rake face were considered to constitute the milling force,giving out the three dimensions units milling force modeling that is suitable in the cylindrical helical end milling cutter.The work in this dissertation will lay a solid foundation for improving the virtual manufacturing theory and for developing the practical physical simulation system of milling process.


Application of the directed self-assembly (DSA) of block copolymer (PS-b-PMMA) to the hole shrink process has gained large attention because of the low cost and the potential for sub-lithographic patterning of contact, via and cut masks (Ref. [1-2] and references therein). In order to realize the DSA hole shrink process for manufacturing, however, one still has to resolve a few critical issues such as morphological defects and placement errors [3]. The morphological defect here indicates the PS residual layer lying between the vertical PMMA cylinder and the substrate, which prevents the PMMA cylinder from touching to the bottom surface. Such underlying defects cannot be observed by conventional approach with the top-down SEM images. In this study, we have utilized a simplified model, so-called the Ohta- Kawasaki (OK) model [4-5] to optimize the DSA hole shrink process. The advantages of the OK model are considerably low computational expense and reasonable accuracy. First, we demonstrated that the OK model could indeed predict complicated, three-dimensional morphologies of the diblock copolymer in the pre-patterned hole. All the results were computed within one minute, and they were reasonably comparable to those obtained from the self-consistent field theory (SCFT) [6]. Then, we calibrated the model parameters with the cross-sectional TEM images, minimizing the errors between the simulated thickness of PS residual layer and the experimental data. The calibrated model was used for the optimization of the guide hole shape and for the exploration of the multi-cylinder case.


In a recent paper (1), Jones extended the definition of the convolution of two distributions to cover certain pairs of distributions which could not be convolved in the sense of the previous definition. The convolution ω1 * ω2 of two distributions ω1 and ω2 was defined as the limit of the sequence ω1n * ω2n, provided the limit ω exists in the sense that for all fine functions φ in the terminology of Jones (2) where and τ is an infinitely differentiate function satisfying the following conditions:


Abstract The material culture of slave life has been an increasingly important topic for the past few years. Many studies have been done on several aspects of slave life, but research on dress is relatively scarce considering how much we now know about things such as diet, housing, and religious practices. By combining written, visual, and material sources, this project brings dress studies into this recent trend and increases our knowledge of the relationships slaves had to the clothing they made and wore.


The vapor pressure as a function of temperature is given for elements that might be used as working fluids in Rankine-cycle space-power systems. Pb, Bi, Mg, Li, Zn, K, Na, Cs, Rb, S, and Hg are considered; and a region of practical operating pressures (5 to 500 psia) and temperatures (1200 to 2500 deg R) is superimposed on the plotted values. (D.C.W.)


With the turn of the century we have seen a string of political and cultural changes that have had a deep impact on economy and technology. The "global culture" phenomenon is nowadays a common concept spread through the mass media, namely television, films and the internet. However, cultural differences persist despite globalization. As English language teachers, we are aware that language and culture are two indivisible entities, that is to say, the cultural aspects are part of foreign language learning. The main problem the learner faces is the present day development of global culture, since this seemingly international behavior makes it difficult to identify the values that lay within a society's internal culture. Given the complexity of this concept, we firmly believe that we must help our students identify more subjective cultural nuances that remain unnoticed or in the background, so we can break away from stereotypes. Television is a window into the values of a society. It is also an effective and powerful tool for language learning, both from the linguistic and cultural angle. Bearing all this in mind, we propose a pedagogical approach to carry out a  cultural awareness exercise that enable the students understand the values of the American society as portrayed in the situation comedy Friends .


Indra Saputra Wibowo, 2015: The Influence Interest Rate, Debt to Equity Ratio,
and Size of Company toward Yield To Maturity of Corporate Bond Listed in
Indonesia Stock Exchange. Thesis. Department of Accounting Faculty of
Economic, State University of Jakarta.

This study aims to determine influence of Interest Rate, Debt to Equity Ratio, and
Size of Company toward Yield To Maturity of Corporate Bond Listed in Indonesia
Stock Exchange. Past research has shown different results. Therefore, research is
necessary to re- examine the effect of these three variables on corporate bond
yields. The population in this study were all non- financial corporate bonds are
listed and traded on the Indonesia Stock Exchange in the period 2012 to 2014,
which amounted to 22 bonds. Based on purposive sampling criteria obtained 17
samples bonds. The research hypotheses were tested using multiple linear
regression (multiple regression) . This study concluded that the debt to equity
ratio positifely affect yield corporate bonds with a significance value of 0.010 and
2,681 tcount greater than 2,007 ttable . While the Interest Rate and Size of
Company has no effect on corporate bond yield to maturity.

Keywords : Interest Rate, Debt to Equity Ratio, Size of Company and Yield To
Maturity.


The morphological reconstruction undergone by collateral arteries during their development was studied by histological techniques. The changes were mainly localized to the narrowest part of the collateral pathway and consisted of hypertrophy of the media, fragmentation of the internal elastic membrane and the appearance of longitudinally arranged smooth muscle cells in the intima. In the adventitia the elastic and collagenous fibres increased in number. During the development of the collateral vessels there was progressively increased positive staining of neutral and acid mucopolysaccharides in the collagen-rich ground substance in the intima. Vacuole formations appeared at an early stage in the intima and media, and the importance of these is discussed. The sequence of changes observed in the collateral arteries during their development probably reflects the reaction of the arteries to increased pressure and/or flow.


THE CAPACITY of the rat for continued work of the gastrocnemius muscle can be used as an index of the functional adequacy of adrenal tissue and of the adequacy of replacement therapy in adrenalectomized animals. Ingle, Hales and Haslerud (1) have shown that the capacity to work may remain below normal when large amounts of adrenal cortical tissue are removed even after time is allowed for the regeneration and hyperplasia of the remaining tissue. Ingle (2, 3) has observed that much larger amounts of cortin are required for the maintenance of a normal capacity to work in adrenalectomised rats than are required for the maintenance of life and a state of apparent good health under optimal conditions. Horvath, Hitchcock and Hartman (4) have demonstrated that the unilaterally adrenalectomised rat is incapable of maintaining a normal resistance to cold. Hales, Haslerud and Ingle (5) reported that the work capacity of the unilaterally adrenalectomized rat was normal.


The paper sought to investigate challenges facing Festus Aghagbo Nwako Library and the librarians in ICT training. Data was collected through observation and interview methods. The population of the study is made up of all the librarians in the library. The major challenges discovered were insufficient fund, inadequate number of professional librarians, inadequate facilities, lack of written policy on training and non-sustenance of training programmes


The random forced Navier-Stokes equation can be obtained as a variational problem of a proper action. In virtue of incompressibility, the integration over transverse components of the fields allows to cast the action in the form of a large deviation functional. Since the hydrodynamic operator is nonlinear, the functional integral yielding the statistics of fluctuations can be practically computed by linearizing around a physical solution of the hydrodynamic equation. We show that this procedure yields the dimensional scaling predicted by K41 theory at the lowest perturbative order, where the perturbation parameter is the inverse Reynolds number. This result is valid over a finite spatio-temporal domain, where the physical solution can be considered as stationary.


Incorporation of vitamin E (α‐tocopherol) was measured in total membranes of pulmonary artery endothelial cells (PAEC) following treatment with eight synthetic phosphatidylethanolamines (PE) (Palmitoyloleoyl, 16:0–18:1 PE1; distearoyl, 18:0–18:0 PE2; dioleoyl, 18:1–18:1 PE3; stearoyl‐ linoleoyl, 18:0–18:2 PE4; dilinoleoyl, 18:2–18:2 PE5; stearoyl‐arachiod‐nyl, 18:0–20:4 PE6; diarachidonyl, 20:4–20:4 PE7; and stearoyl‐docosahexenoyl, 18:0–22:6 PE8). Endogenous PE content of native membranes was 0.88 ± 0.01 nmol/mg protein. Incorporation of PE irrespective of fatty acid content significantly (P < 0.02) increased the PE content of total membranes. Vitamin E incorporation in control membranes was 63 ± 9 nmol/mg protein. Incorporations of vitamin E in PE1‐ to PE7‐treated cells were significantly (P < 0.05) increased compared to controls and were comparable to each other. Vitamin E incorporation into PE8‐treated cells was threefold greater (P < 0.001) thatn controls and twofold greater (P < 0.001) than PE1‐ to PE7‐treated cells. Increased PE content results in increased vitamin E incorporation into PAEC membranes irrespective of the fatty acids present on the acyl chain, and maximal incorporation of vitamin E in PE8‐treated cells may relate to the increased carbon chain length rather than to the degree of unsaturation at the sn2 position. © 1993 Wiley‐Liss, Inc.


Genetic algorithm is a global optimization algorithm, which has been applied to optimal reactive power calculation of power system. Since the power flow computation needs a large number of storage space and calculating time, it leads too long the search time to meet the need of real time reactive power dispatch optimization of large scale power system. Some improvement measures of Fast Decoupled Load Flow were presented to cut the computation time of reactive power optimization about 65% off.


Background Safe operation of pipelines is largely ensured by scientifically reasoned technical solutions at the design stage and based on the assessment of pipeline stress-strain state, with account for specific conditions of the pipeline construction and loading. Where intense longitudinal compressive forces act on the pipeline, the curved sections are characterized by the highest mechanical stresses. Provision of acceptable level of reserve strength for these sections ensures pipeline safety at the normal mode of pipeline operation. Aims and Objectives Assess the stress-strain state and reserve strength of the underground pipeline curved sections of various designs under the action of the intense longitudinal compressive forces. Methods Theoretical study of stress-strain state of underground pipelines under the impact of positive temperature difference and internal pressure. Results The relationship of the maximum equivalent stresses and reserve strength to the operating loads and technical solutions adopted in designing the pipeline. The analysis of these relationships has been conducted.


A Clinical study of TB patients at Paktho hospital, Ratchaburi. 170 Pulmonary TB patients were registered during October 1992-September 1997. Most of them were male (68.2%), aged more than 65 years (22.4%) and between 25-34 years (18.2%). 10% of case & had no history of close contact with TB patients. 90% of Chief complaint were typical TB sign and symptom. 72.9% of sputum examination of new patients was positive. Abnormality on chest radiographs were demonstrated as pulmonary infiltration 80.8%, as hilar node enlargement 6.8%, pleural effuison 3.7%, pulmonary infiltration with pleural effusion 3.1%, pulmonary infiltration with atelectasis 3.1% and miliary 2.5%. 8 cases were treated with short course regimen I-2HRZ/4HR ; cure rate was 62.5%, the treatment completion rate was 37.5%, no one defaulter treatment, failure treatment or relapsed on treatment. 162 cases were treated with short course regimen ll-2HRZE/4HR ; cure rate was 62.3%, the treatment completion rate was 8.6%, the defaulter rate was 23.5%, failure treatment rate was 2.5% transfer out rate was 3.1%, come back to follow-up after treatment rate was 2.5%, relapsed rate were 1.9%.


This book attempts to interpret the thought of Marx as a continuation of the metaphysical notions about human alienation contained in the manuscripts Marx wrote in 1844 as a young man of twenty-five. It shows a commendable familiarity with the writings of Marx, both published and posthumous, and an awareness of the difficulties which a revolutionary reinterpretation of accepted views must face. One may pay tribute to the author's intellectual courage; nonetheless it is hard for this reviewer to avoid the conclusion that the effort is wrong-headed from beginning to end.


We present here the search for Bs0 flavour oscillations using semileptonic Bs0 → Ds−l+v and fully reconstructed hadronic Bs0 → Ds−π+ decays recorded with the CDF detector. Analysis is based on data collected in run II of the Fermilab Tevatron collider, corresponding to an integrated luminosity of 355 pb−1. The Ds meson is reconstructed in three decay modes: Ds− → φπ−, Ds− → K0*K− and Ds− → π+π−π−. Opposite side lepton and jet charge tags provide information about the Bs0 production flavour. Time dependent flavour asymmetry on these events is then probed with the amplitude scan method. We obtain a 95% confidence level limit on the oscillation frequency Δms > 7.9ps−1 and a sensitivity of 8.4ps−1 combining the two data samples.


The invention discloses a video ordering system, comprising at least one content source subsystem for segmenting a multimedia document, generating the description data of the segmented multimedia document and downloading the segmented multimedia document and the description data into a districted media subsystem, at least one districted media subsystem for storing the segmented multimedia document and the description data and playing the segmented multimedia document. Via the invention, the service of a content distribution network is controllable, manageable and reliable, and the low price and better expandability of the P2P network are confirmed, thereby providing substrate for the application of P2P media service.


This paper presents an approach for model-driven mechatronic system development. The approach starts with the definition of a suitable domain-specific modeling language and its semantic foundation in a domain ontology. Models created in this language are used to generate application-specific artefacts. We illustrate our approach with the example of the development of Electric Vehicle Testbeds (EVTs), i.e. systems for testing high-voltage electric vehicle components. Companies in the electric vehicle industry (automobile, aircraft and rail vehicle manufacturers) mainly use such systems. Like many other mechatronic systems, EVTs are typically tailor-made solutions. Our approach automates manual development steps and can thus contribute to quality improvement, development time reduction and finally cost reduction.


The coexistence of otosclerosis and Meniere's disease is well documented; however, otosclerosis may not be recognized in patients presenting mainly with Meniere's symptoms and, therefore, treatment may not be effective.


The EBR-II environmental instrumented subassembly (EISA), or Test XX07, was designed, fabricated, and irradiated to provide in-core measurements of irradiation conditions. This subassembly contained 57 elements with uranium metal-5 wt.% fissium fuel and four non-fueled elements. It was instrumented with two permanent-magnet flowmeters, 13 coolant thermocouples at various axial and radial locations, 10fuel-centerline thermocouples, and two self-powered detectors. The subassembly was irradiated in EBR-II for about 11,600 MWd (-186 days), reaching a peak burnup of about 2.9 at.% During its residence in the reactor, XX07 provided in-core measurements of flow, temperature and flux levels under both steady-state and dynamic conditions.


This paper deals with the factors affecting occupational safety in construction projects. Previous literature has been explored and a field study to explore the opinions, proposals and directions of the relevant experts in the field of safety in construction projects. Questionnaire forms of 25 questions have been distributed among 60 experts. The SPSS program has been used to analyze the questionnaire forms to test the hypotheses of the research. Statistical methods that fit with nature and methodology of this study have been used. Kendall's W Test has been used to assess the agreement between experts. Mean rank has been used to prioritize the importance of safety factors. It has been found out that the first aid should be provided for the project, maintenance of safety equipment, follow-up of its use, assignment of employment according to their experience, safety management programs, training of workers and the inclusion of safety requirements in contracts for construction projects are the important factors respectively. Kruskal-Wallis test has been carried out to check the concordance between the experts according to their academic standing and experience. Copyright © 2020 Praise Worthy Prize - All rights reserved.


This study aims at predicting the hydrodynamic response of an offshore AHTS vessel in regular and irregular waves. The study focuses on predicting the six degrees of freedom responses for ship in the operation condition when ship speed is equal to zero, at various heading angles (0, 45, 90, 135, 180, 225, 270, and 315˚) and for several wave frequencies (0.02~2.0 rad/s). The numerical simulation is carried out using the 3D diffraction/radiation Hydrostar software that is based on potential theory to predict the wave-body interactions. All the hydrostatics, loading and sailing aspects are initially estimated, and then introduced as an input in the simulation process corresponding to the ship speed and heading directions. For the irregular sea simulations, the ITTC spectrum is used to describe the wave for a generic case study in the Black Sea in order to make the study feasible for offshore applications in operational conditions. Further investigations are made using the ISIS_CFD viscous flow solver of the FINETM/Marine software (only for regular waves) to compare the obtained results. The results are presented for the ship response with a considered accuracy based on the previous validations performed by the authors for similar ships.


Background: Patients with systolic heart failure have generally been excluded from statin trials. Acute coronary events are uncommon in this population, and statins have theoretical risks in these patients. Objective: To evaluate the impact of Rosuvastatin in patient of Systolic Heart Failure. Materials and methods: A randomized controlled clinical trial was conducted among 500 patients of at least 60 years of age with New York Heart Association class II, III, or IV ischemic, systolic heart failure. The patients were randomly allocated to accept 10 mg of rosuvastatin or placebo per day. The primary composite outcome was death from cardiovascular causes, nonfatal myocardial infarction, or nonfatal stroke. Epi-info was used for analysis. Results: As compared with the placebo group, patients in the rosuvastatin group had decreased levels of low-density lipoprotein cholesterol (P<0.001) and of high-sensitivity C-reactive (P<0.001). During a median follow-up of 30 months, the primary outcome occurred in 500 patients in the rosuvastatin group and 700 in the placebo group (hazard ratio, 0.92; 95% confidence interval (CI), 0.83 to 1.02; P = 0.12. There were no significant differences between the two groups in the coronary outcome or death from cardiovascular causes. No excessive episodes of muscle-related or other adverse events occurred in the rosuvastatin group. Conclusions: Rosuvastatin did not reduce the primary outcome or the number of deaths from any cause in older patients with systolic heart failure, although the drug did reduce the number of cardiovascular hospitalizations. Subrahmanya Prasad Pandiri, Grishma Jalemu. Impact of Rosuvastatin in Systolic Heart Failure among elderly patientsA randomized control clinical trial. IAIM, 2019; 6(7): 82-86.


Introduction: University students often eat at street food stalls, which can cause various digestive symptoms, although this has not been evidenced in studies carried out in this population. Objective: To establish whether food consumption in street food stalls is associated with symptoms of dyspepsia in Peruvian medical students. Materials and methods: A secondary data analysis of a multicenter study was conducted. Of 1 797 medical students surveyed in eight medical schools, a statistical power of 93% was calculated. Symptoms of dyspepsia were associated with a history of food consumption in street food stalls. Association statistics were obtained with bivariate and multivariate models. Results: The prevalence of functional dyspepsia varied between 9-28% and food consumption in street stalls between 1-5%. In the multivariate analysis, eating food in the street was a factor associated with a greater frequency of suffering from functional dyspepsia (aPR: 1.45; 95%CI: 1.09-1.94; p=0.010). In addition, other significant variables were the female sex (aPR: 1.40; 95%CI: 1.15-1.71 p=0.001) and people eating at similar times (aPR: 0.76; 95%CI: 0.61-0.94; p=0.012) adjusted for age, and academic term. Conclusions: Dyspepsia symptoms were more common in students who ate their food from street stalls. This should be monitored by health and university authorities, as it can have short- and long-term consequences.


495 In this Cutting Edge article, Drs. Sivabalan Vasudavan, Stephen Sullivan, and Andrew Sonis set the stage for the impending showdown between intraoral scanning and cone-beam imaging. As many have predicted, conven tional orthodontic impressions (whether alginate or poly vinyl silo xane) will soon be history. The question remains: Which digital format will prevail for taking occlusal records? Unfortunately, the new equipment, whether it's an intraoral scanner, a cone-beam scanner, or a stereolithographic machine, is signifi cantly more expensive than traditional impression materials and storage. Considering the advantages of such systems as listed by this month's authors, however, many orthodontists will accept the additional costs required to provide their patients with these ad vanced techniques. As acceptance grows, the ex pense will gradually decrease. It's yet another step in the digital evolution of the orthodontic profession.


Systems engineering has been developed as a convolution of organisation and individual engineering activity. Making a formal separation of concerns, it is argued that while systems engineering provides formal support and management of a platform, a position, a resource base for system engineering, system engineering is a composition of monitoring and modelling, defining and organising activities practised by individual engineers but with collective effect. These activities lead to the elaboration of systems and their support platforms with emergent properties meeting the requirements of customers which as projects become integrated into end-user environments. In the presentation, it is shown that system engineering is a response to business opportunity presented by differences in market demand and supply with the intention of reducing the so called quality-gap. The conclusion is that while system engineering is a profitless activity, profit can be associated, as an emergent property, with the systems engineering organisation. Such profit does not appear in financial terms, ostensibly, but as a reduction of outlay in the achievement of a given return, the delivery of the system to customers' satisfaction. Profit or loss making as a result of project management or engineering activity is argued to be a sign of poor system engineering. (4 pages)


The goal of this research work is the realization of devices based on silicon nanowires, realized using sidewall spacer formation technique. Nanowires are synthesized form a polycrystalline silicon layer deposited by LPCVD technique (Low Pressure Chemical Vapor Deposition). These nanowires are then integrated into electronic devices such as resistors and transistors made using two different configurations "bottom-gate" and "step-gate". The electrical characteristics of these two types of transistors have shown adequate electrical properties for their use as sensors. A simulation is made, to explain how additional electrical charges on the surface of the nanowires, affect the electron concentration inside the active layer. The devices are firstly used for the pH measurement, and have shown sensitivity higher than the Nernstian sensitivity detection. For a use as biosensor, nanowires are functionnalized to allow the binding of DNA probes. Electronic detection of hybridization complementary probe/target DNA strands is demonstrated with a low detection limit. Finally, in order to increase the exchange surface between the nanowires and charged species, resistors based on suspended nanowires were developed. Different tests were performed in the presence of ammonia and showed a linear response over a range of concentrations. Resistors based on suspended nanowires highlighted greater sensitivity than those based on unsuspended nanowires, bringing out the important effect of the surface of the nanowires. All these results demonstrate the feasibility of chemical and biological sensors based on silicon nanowires compatible with conventional microelectronics techniques using a low-cost process.


This past summer, the Bulgarian government was the host country for an International Year of the Child World Assembly for youngsters gifted in the areas of art, music, and creative writing. G/C/T Editor Gold was contacted by Dr. Dorothy Sisk, then Director of the Office of Gifted and Talented, to be one of five adult American representatives. Dr. Sisk also requested that an Alabama youngster be identified as one of ten American children to be selected to go. A competition supported by a grant from the M. W. Smith, Jr. Foundation of Mobile was scheduled. The grand prize winner, Cary Chappell, was awarded a round trip ticket from Mobile, Alabama, USA to Sofia, Bulgaria. Diary entries by Chappell and Gold form the text of this article. All photos are by Editor Gold.


Objective To study the clinical value of LPHP and bone graft treatment for the elderly comminuted proximal humeral.Methods A bone graft,LPHP the treatment of the elderly 16 cases of proximal humerus comminuted fracture and of its therapeutic effect for clinical analysis.Results All 16 cases of fracture healing,no cases of humeral head necrosis.Neer system in accordance with the assessment criteria percentile results: excellent 9 cases,good in 6 cases,example 1.Excellent rate was 93.75%.Conclusion A good solution bone comminuted fracture of the bone defect,increasing the strength of fixation to promote fracture healing.LPHP with less soft tissue dissection,fixed firmly reliable,can be an early postoperative functional exercise,fast fracture healing,good joint function recovery.LPHP combined with bone graft is an ideal way in the treatment of senile proximal humerus comminuted fracture.


Between 2005 and 2006, the Czech government imposed a forced administration on the General Health Insurance Fund (VZP) because of economic problems. This unprecedented step in Czech public policy resulted in a debate. The VZP is the largest insurance fund in the Czech Republic, and this case has been one of the most severe institutional crises in Czech health policy. Employing analysis of 38 television-hosted debates, we emphasise how the actors negotiated 'The more we verify it, the more truth there is': Producing the truth and exp... International Review of Public Policy, 3.3 | 2021 18


junior and senior high school teacher, counselor, and administrator. In sum, I would say that this is an excellent, extensive resource that looks at the multifaceted nature of death, dying, and grief from a multiplicity of perspectives. I would recommend it as an advanced undergraduate or graduate text in a thanatology course and would be very comfortable recommending it as a resource for colleagues working with and studying the bereaved. Reading it certainly has enriched my understanding of the field.


How to use every transportation vehicle sufficiently to transport emergency material is a difficult and complex question in emergency supplies. For the question, this paper established a mathematical model to describe it. Owing to advantages of genetic algorithm, such as good parallel search ability, great applicability in combinatorial optimization, the paper applied genetic algorithm to solve the problem. Through scientific and rapid calculation on the computer, a transportation scheme with minimum errors and high accuracy is attained.


We provide three-dimensional numerical simulations of mixing performance in a newly proposed micromixer with different structural parameters. The same amount of gaps and baffles are arranged along the curved channel within a certain distance. The effects of their structural parameters on mixing efficiency are presented, which include either the position and feature size of gaps and baffles, or the curvature radius of curved channel. The high efficiency mixing mechanism of the curved channel with gaps and baffles can attribute to the interaction of the increased contact area for premixed liquids, the jet and throttling effect over every unit of gap and baffle, the developing of the multidirectional vortices along the curved channel. The mixing index is sensitive to the width of the gaps and baffles for some Reynolds number ranges, but is not sensitive to the curvature radius of the curved channel. The characteristic of the pressure drop depending on Reynolds number is also investigated in order to keep an ...