The present investigation has as a study variable Administrative management. Its general objective was to determine the level of effectiveness in the Municipal Administrative Management of Puente Piedra, according to the perception of the workers of the Public Investment Management, Lima-2018. The research carried out was of a quantitative approach, basic type of descriptive level, non-experimental cross-sectional design. The population was made up of 50 employees, who were interviewed as a census. The data collection was carried out with the survey technique and the instrument was a questionnaire, information was collected on the variable under study, the data collection instrument was validated by experts with a result of applicability, the reliability was determined by the Alpha Crombach coefficient whose value was 0.891 for the variable In accordance with the results obtained from the survey of the 50 workers of the Management of Public Inversions of the District Municipality of Puente Piedra it was observed that 94.00% of the respondents consider that the municipal administrative management of Puente Piedra is effective while 6.00% of respondents I see it as very effective.


History, clinical examination and audiogramme record of a patient suffering from bilateral neurisensorial noise induced deafness arising from this occupation is presented


Objective
To explore the effect of multifaceted interventions on musculoskeletal disorders(MSDs) in nurses which consists of participatory ergonomics, physical training and cognitive behavioral training.

Methods
Totally 420 nurses were investigated about their situation of MSDs in June 2014 by Nordic self-rating MSDs scale. Nurses were assigned to the control group (n=191) and the intervention group (n=229) according to the survey. In the intervention group, the number of nurses with MSDs was 141, and the number of nurses without MSDs was 88; in the control group, the number of nurses with MSDs was 102, and the number of nurses without MSDs was 89. Nurses in the intervention group received multifaceted intervention, while nurses in the control group received no intervention. The changes on duration, intensity and related expenses of MSDs were compared between two groups after 6 months.

Results
For nurses with MSDs, there was no significance among the duration, intensity and related expenses between two groups before intervention (P>0.05). After intervention, the duration, intensity and related expenses of nurses with MSDs in the intervention group were (8.1±4.3)d, (3.5±2.6) points and (648.7±128.0) yuan, and they were lower than that of nurses with MSDs in the control group [(12.7±7.2) d, (3.4±2.2) points, (950.8±103.6) yuan](t=-6.211, -3.896, -19.631; P<0.01). Before intervention, there were no records of the duration, intensity and related expenses of nurses without MSDs; after intervention, the duration, intensity and related expenses of nurses without MSDs were (7.6±4.7) d, (3.4±2.2) points and (525.3±140.6) yuan, which were lower than that of the control group [(9.2±3.5) d, (4.5±3.3) points, (820.4±120.5) yuan] (t=-2.571, -2.606, -14.998; P<0.05).

Conclusions
Multifaceted interventions consisting of participatory ergonomics, physical training and cognitive behavioral training can reduce the duration, intensity and related expenses of nurses with MSDs, and they also have a preventive effect for nurses without MSDs.

Key words:
Musculoskeletal disorders; Multifaceted intervention; Participatory ergonomics; Physical training; Cognitive behavior


The reason of causing zero point drift is described. The relationship between zero speed relay and PLC, zero point drift and given signal and its influence on the equipment are also elaborated. How we overcome it and how we use it reasonably are introduced so as to decrease its harm to the equipment and ensure normal production.


This dissertation reported a specific quantitative analysis method for D-cyphenothrin and propoxur 10% EC by GC. The sample was separated in a column packed with 5% OV-101 using di-n-amyl-o-phthalate as internal standard and detected by flame ionization detector. The reults showed that the standard deviation for D-cyphenothrin and propoxur were 0.054 and 0.078, the coefficient of variation were 0.98 and 1.46%, the recoveries were between 99.12-100.72% and 99.06-101.25%.


For the dynamic output feedback control problem over networks, delay quantization and augmented plant vector method is applied and a discrete time Markov jump system model is established, the stabilization controller design method is presented, the simulation on a cart and inverted pendulum is made.Since the delay quantization method is applied in the system, the model and the design method are also fit for solving dynamic output feedback control problem with known distribution stochastic delays.


During the past period, the Conferences have expanded their work by involving practical city physicians seconded to the Institute for advanced medical training, and professors and lecturers of both the University and the Institute. Of the greatest interest are the works of the Conference on the study of tuberculosis vaccination according to Calmette'y and Langer'y, as well as a number of questions of the clinic of tbc and its control.


ABSTRACT THE ability of users to communicate with the computer has greatly im-proved because of problem oriented languages. These languages, which approach the language of the user, have greatly extended the ability of engineers to design and simulate the real world systems with a minimum of program-ming skill. Advantages and disadvan-tages of POL's are discussed.


The characteristic spectra of the photoconductivit y, a bsorption and radiative recombination due to "60°-dislocations" in Ge are discussed. A two-level model of the "60"-dislocation " in Ge is inferred. The upper, stress induced, A-level is located about 0.1 eV below the conduction band edge. The lower one, I-level, located about 0.1 eV above the valence band edge may be attributed to dangling dislocation bonds. It is shown that the densities of A and I states differ for different regions of dislocations. 1: Introduction. - The photoconductivit y represents one of the most sensitive experimental methods of investi- gation of the electronic states introduced by plastic deformation. Especial 1 y useful for the analysis of the spectrum of such states are the studies of the spectral response of the extrinsic photoconductivit y. Over the past t en years a g reat number of such spec- tra have been reported for Ge with i ntentionally in- toduced "60°-dislocation s" /I-9/. Nearly all obser- ved photoconductivit y spectra reveal the same charac- teristic structure, both dith respect to the amp1 i- tude of the signal as well as with respect to the spectral response of the relaxation time.


With the aging population increasing, understanding this emerging user group is a current important topic. Past research has indicated that personas are beneficial for young designers to make inferences about the elder group, and can evoke creativity. Therefore, this research has adjusted the existing personas for better results in both aspects. This research has added the identity category to the existing personas, expecting that it would guide young designers to be aware of the identities of the video characters other than the elders, thus considering more potential needs and be able to understand the characters by their words instead of the group they belong to 17 students with design background were recruited in this research. They watch the interviews of the elders and write different versions of personas, followed by scoring through empathic accuracy process and creativity evaluation process. The results of the research indicated that, adding the identity category to the personas did enable to find more potential needs, however, it did not have any effect on empathic accuracy. Compared to the current design process that emphasizes on improving the empathy of designers in order to recognize a wider range of needs, this research suggests that improving the ability to identify needs does not necessarily require "reading minds" of the users, that is, having to fully understand the thoughts and feelings of users does not necessarily lead to creativity; by letting designers be aware of the identity categories of the group, the potential of recognizing needs can be expanded, thus bringing more possibilities to design.


A wetland simulated experiment was employed to investigate the accumulation of Cadmium (Cd) in Arundo donax L., and the effects of Cd addition on its growth and photosynthesis characteristics. Results showed that the morphological characteristics, the leaves and roots biomass didn't show statistically significant differences. The order of Cd accumulation is stem < roots < leaves. There were no differences on relative chlorophyll content, quantum yield of PSII electron transport (Yield) and maximum quantum efficiency of photosystem II (Fv/Fm) (except 0.125 mg/L), photosynthetic rate (Pn), while significant differences on initial chlorophyll fluorescence (Fv/Fo). The activity of superoxide dismutase (SOD) was stimulated by Cd treatments. Although the activities of peroxidase (POD) and catalase (CAT) were decreased at 2.5 mg/L, and at 0.05 and 0.125 mg/L, respectively, the activity of CAT was increased at 2.5 mg/L and POD increased at 0.05 and 0.125 mg/L, indicating the decrease in CAT and POD was compensated by the induction of POD and CAT activity, respectively. The results suggested that the oxidative stress may involve in the mechanism of Cd toxicity and A. donax showed a strong tolerance to the increased Cd pollution, which may have a potential use for phytoremediation purposes in wetland environment.


The authors investigate annihilation of nucleons in the chiral soliton model by the path-integral method. A soliton-antisoliton pair is shown to decay into mesons at a range of about 1 fm, defined by the S[bar S] potential. The contribution of the annihilation channel to the elastic scattering is discussed. 14 refs., 1 fig.


The thickness if a graph is the minimum number k such that G is the union of k planar graphs. Determining the thickness of a given graph is known too NP-complete problem (1, 2, 3), in this article we show relation between thickness and K-PCB model model and an open problem for this model.


- Vicharchika is one of the most common skin disease. In AyurvedaVicharchika has been described under KshudraKusthas. It is having the involvement of Tridosha, with Kapha predominant. Kandu, Pidika, ShyavaVarna, and Srava are the characteristic symptoms of Vicharchika. It included under RaktapradoshajaVikaras. It affects psychological and social status of person. due to its appearance, severe itching, disturb the daily routine life. It is correlated with eczema in modern dermatology, based on the clinical presentations. The term Eczema means to" Boil out" ( ec = out, zema = boil) that the skin is boiling out or oozing out. Eczema is an inflammatory reaction pattern of the skin. Characterized by variable intensity of itching and soreness, crusting, dryness, erythema, excoriation, exudation, fissuring, hyper pigmentation, lichenification, oozing, scaling & vasculation. The most common type of eczema is known as atopic dermatitis or atopic eczema. No satisfactory treatment is available for eczema in modern medicine, some antihistamines & topical steroids are used for treatment of eczema. The


In the past, spin‐echo (SE) echo planar imaging(EPI)‐based diffusion tensor imaging (DTI) has been widely used to study the fiber structure of skeletal muscles in vivo. However, this sequence has several shortcomings when measuring restricted diffusion in small animals, such as its sensitivity to susceptibility‐related distortions and a relatively short applicable diffusion time. To address these limitations, in the current work, a stimulated echo acquisition mode (STEAM) MRI technique, in combination with fast low‐angle shot (FLASH) readout (turbo‐STEAM MRI), was implemented and adjusted for DTI in skeletal muscles. Signal preparation using stimulated echoes enables longer effective diffusion times, and thus the detection of restricted diffusion within muscular tissue with intracellular distances up to 100 µm. Furthermore, it has a reduced penalty for fast T2 muscle signal decay, but at the expense of 50% signal loss compared with a SE preparation. Turbo‐STEAM MRI facilitates high‐resolution DTI of skeletal muscle without introducing susceptibility‐related distortions. To demonstrate its applicability, we carried out rabbit in vivo measurements on a human whole‐body 3 T scanner. DTI parameters of the shank muscles were extracted, including the apparent diffusion coefficient, fractional anisotropy, eigenvalues and eigenvectors. Eigenvectors were used to calculate maps of structural parameters, such as the planar index and the polar coordinates θ and ϕ of the largest eigenvector. These parameters were compared between three muscles. θ and ϕ showed clear differences between the three muscles, reflecting different pennation angles of the underlying fiber structures. Fiber tractography was performed to visualize and analyze the architecture of skeletal pennate muscles. Optimization of tracking parameters and utilization of T2‐weighted images for improved muscle boundary detection enabled the determination of additional parameters, such as the mean fiber length. The presented results support the applicability of turbo‐STEAM MRI as a promising method for quantitative DTI analysis and fiber tractography in skeletal muscles. Copyright © 2013 John Wiley & Sons, Ltd.


Background High-mobility group AT-hook1 (HMGA1) protein plays an important role in various diseases. However, the contribution of HMGA1 in breast cancer remains to be tapped. Methods The expression of HMGA1 was analyzed in The Cancer Genome Atlas (TCGA) and TIMER database, and immunohistochemistry was performed in 39 breast cancer (BC) patients. The correlation between HMGA1 expression and prognosis was evaluated using Kaplan–Meier plotter (KM plotter) in patients with breast cancer. Then, cBioPortal and bc-GenExMiner were requisitioned to analyze the contribution of HMGA1 expression to clinical features. In order to reveal the function of HMGA1 in breast cancer cells, enrichment analysis was performed using the clusterProfiler R software package. Moreover, CCK8 assay, EdU assay, and Cell Cycle Assay were performed to assess the proliferation, and transwell assay was used to evaluate cell migration and invasion. Flow cytometry was used to explore the role of HMGA1 on cell apoptosis. After that, the effect of HMGA1 on signaling pathways in BC cells was detected by western blot. Results HMGA1 was highly expressed in a variety of tumors tissues, including BC. High HMGA1 expression was correlated with poor prognosis in BC patients. Meanwhile, HMGA1 expression was increased in molecular phenotypes with poor prognosis (ER-, PR-, and HER2+) and associated with high-grade group, lymph node metastasis, and NPI (Nottingham Prognostic Index). Further, function analysis revealed HMGA1 was enriched in DNA replication and cell cycle pathways in breast cancer. Moreover, knockdown of HMGA1 caused apoptosis, inhibited proliferation, migration, and invasion of MCF-7 and MDA-MB-231 cells, in which the oncogenic signaling pathway of PI3K/AKT/MMP9 played a critical role. Conclusions HMGA1 was important for breast cancer progression and was a critical prognostic indicator, prompting a potential therapeutic target of breast cancer.


ABSTRACT The objective of this article was to evaluate the effect of announcements of financial regulation on risk and return in the Vietnamese equity market. The techniques used for the purpose of analysing risk and return include event study and non-parametric tests, as well as asset pricing models supplemented with interaction variables and a variety of ARCH-like specifications such as GARCH, TARCH, EGARCH and PARCH. We find evidence for the wealth effect, the presence of delayed response and a risk shifting behaviour in the form of diamond risk structure. Our results show that abnormal returns are present around the announcements of operating rules and other stock market regulations. Abnormal returns can also be obtained after considering legal documents such as circulars and decisions.


Objective To assess the relationship of pulse-wave velocity(ba-PWV),ankle-brachial index(ABI),intima-media(IMT) and the stenosis degree of coronary arteries.Methods 167 patients who were diagnosed or suspected as coronary heart disease were collected.Compared with the result of coronary angiography,the correlation between stenosis degree of the coronary arteries and ba-PWV,ABI,IMT were analyzed.Results When three indicators of the ABI,IMT,ba-PWV were applied singly,the coronary artery single-vessel disease group and non-CHD group showed no significant difference.Compared with non-CAD group,two-branch and multi-vessel disease group were significantly different(P0.01).However,the single-vessel disease group still had statistical difference compared with the non-coronary heart disease group when all the three aforementioned indicators or any two indicators were abnormal. Conclusion The atherosclerosis indicators(ba-PWV,ABI and IMT) have positive correlation to stenosis degree of the coronary arteries.Combined detection of ba-PWV,ABI and IMT can be used to evaluate coronary artery diseaseseverity.


Gastrointestinal (GI) toxicity associated with non-steroidal anti-inflammatory drugs (NSAIDs) is still an important medical and socio-economic problem – despite recent pharmaceutical advances. Furthermore, no monotherapy has been able to eradicate Helicobacter pylori bacteria which have been reported to be the major cause of peptic ulcer disease. In recent time, a lot of attention has been focused in developing new treatment and preventive options for peptic ulcer disease. This review also illustrates the current status of the available techniques in endoscopy with a focus on screening for peptic ulcer disease. There is the need for the review of these recent approaches and breakthroughs hence, this literature review.


Any law is the reflection of a thinking before it is the expression of a will. The law can have beneficial or negative effects at the time of its application, and it can be validated or rejected by social practise depending on the quality of this thought, how the legislative solutions are expressed in words, and how they are structured. Therefore, in normative construction, drafting is an extremely important stage and should start from the fact that the law intervenes to respond to a social need. The scientific knowledge of this reality and the choice of a language appropriate to the norm's recipients become necessary prerequisites for the normative act's intended outcome. With reference to the standards established by the norms of Romanian legislative technique in the area of language, this article discusses the rules that a lawmaker must follow in the development and structure of the content of the normative act starting from these considerations.


A novel titanium–sapphire high‐pressure NMR cell equipped with a pressure sensor is presented. It enables the accurate and continuous in situ determination of the pressure in samples under pressure of gases and in supercritical CO2 . The homogeneity over the cell in commercial probes is excellent. The usefulness of this NMR cell is demonstrated in several 17O and 14N experiments in supercritical CO2. Furthermore, 1H NMR with concomitant monitoring of the hydrogen gas consumption during a hydrogenation reaction in solution is treated. Important characteristics are the accuracy combined with simplicity and flexibility of operation. © 1999 John Wiley & Sons, Ltd.


Experimental activities are pointed out as an important tool to assist in the construction of scientific knowledge during student education. However, often for lack of adequate reagents and equipment, such activities are little explored in schools. In view of this, this article reports the production of a lowcost potentiostat carried out by students of the Integrated Mechatronics Technical course of the Federal Institute of Santa Catarina (IFSC Câmpus Criciúma). The potentiostat is a device that can be used in the qualitative and quantitative determination of different chemical species through the application of potential/current. Cyclic voltammetry measurements were performed to test the performance of the developed prototype. The results obtained indicated that the proposed potentiostat can be satisfactorily used in experimental classes of Electrochemistry. The final cost of the prototype was approximately R$ 230.00, a value much lower than a commercialized equipment.


In the context of the current COVID-19 pandemic, what are the lessons clinical pharmacology could learn to improve our teaching practice and involvement in research and ethics committees to make sure we are better prepared for the next emergency. Is there something in the light of the hydroxychloroquine hype that we as clinical pharmacologists or our professional societies could have done better? We propose updating the way we teach about drug development, rules and ethics of off-label prescribing and critical appraisal of primary sources when guidelines and top-level evidence are not available. Clinical pharmacology should play a leading role in the future re-definition of processes and guidelines for emergencies such as the one we faced in 2020.


Aryl iodides (ArI) couple with aryl aldehydes (Ar'CHO) in the presence of Ni(dppe)Br(2) and Zn to give the corresponding biaryl ketones (ArCOAr'). The use of a bidentate phosphine complex is critical to the success of this catalytic reaction. The reaction provides a new procedure for the synthesis of various functionalized biaryl ketones.


This article concerns reliability assessment of an electricity distribution substation surge protection system, composed of surge arresters. For this purpose a reliability analysis is performed and also a surge protection system reliability mathematical model is suggested. Based on it mathematical formulae are worked out intended for practical calculation of proper reliability indices values. The basic dependences derived are graphically presented.


Objective
To assess the clinical effects of Ipratropium bromide combined with atomization inhalation of budesonide via a ventilator with a Y-shaped connector on acute exacerbation of chronic obstructive pulmonary disease (AECOPD).

Methods
A total of 62 AECOPD patients treated at our hospital from June 2013 to September 2014 were randomly divided into the experimental group (n=31, treated with ipratropium bromide combined with atomization inhalation of budesonide) and the control group (n=31, treated with the same amount of saline).

Results
The airway pressure of mechanical ventilation, the time of mechanical ventilation and the time of staying in the intensive care unit all showed significant differences between the experimental and control groups 〔(25.4±5.2) cmH2O vs. (38.1±3.4) cmH2O, (6.5±1.3) d vs. (6.8±1.4) d, (8.9±2.1) d vs. (9.5±1.5) d, t=10.934, 0.960, 1.108, respectively, P<0.05 for all〕. The rate of tracheotomy was lower in the experimental group than in the control group (17/31 or 54.8% vs. 20/31 or 64.5%, χ2=0.603, P<0.05).

Conclusions
Ipratropium bromide combined with budesonide inhalation under mechanical ventilation via a Y-shaped connector has favorable clinical effects on AECOPD.

Key words:
Pulmonary disease, chronic obstructive; Ipratropium; Budesonide; Ventilators, negative-pressure


A water-based paint stripper used to remove the tinplate surface underpainting,metal printing ink and finish varnish films,is prepared.The results show that the paint stripper is most efficient when the composition is as follows(mass fraction):35% of benzyl alcohol,6% of propanediol carbonate,10% of formic acid,2% of cetyl trimethyl ammonium bromide(CTMAB) and 47% of distilled water.The paint stripper contains a certain amount of water,so its volatile is small and not easy to burn.Scanning electron microscopy(SEM) test shows that the paint stripper has smaller corrosivity on tinplates.


Harry B. Gray, who is the Arnold O. Beckman Professor of Chemistry at California Institute of Technology, has been named the 1991 recipient of the Priestley Medal for his numerous contributions to chemistry. The Priestley Medal is the American Chemical Society's highest honor. Gray, who is also director of Caltech's new Beckman Institute, is one of the most dynamic chemists in the U.S. today. His research in inorganic photochemistry is helping to point the way toward artificial photosynthetic systems. And his pioneering bioinorganic studies, which focus on longrange electron transfer in proteins, are elucidating the details of some of the most important reactions in biology. Gray also is a dedicated educator who continues to teach courses at all levels at Caltech. He is the author or coauthor of 14 books, many of which have become standard texts. He has, as one colleague notes, "contributed greatly to the ...


Author(s): Nithya Ramanathan; Kevin Chang; Rahul Kapur; Lewis Girod; Eddie Kohler; Deborah Estrin | Abstract: Being embedded in the physical world, sensor networks present a wide range of bugs and misbehavior qualitatively different than those in most distributed systems. Unfortunately, due to resource constraints, programmers must investigate these bugs with only limited visibility into application behavior. We need a new approach. This paper presents the design and evaluation of Sympathy, a tool for detecting and debugging failures in pre- and post-deployment sensor networks. Sympathy consists of mechanisms for reporting generic system and application metrics; mechanisms for identifying conditions based on these metrics; a simple debugging algorithm to detect failures based on the conditions; and a system for logging metrics and events in their spatiotemporal context. We describe Sympathy and evaluate its performance through fault injection, and by debugging an active application, ESS, in simulation, emulation, and deployment. We show that Sympathy"s analysis and choice of metrics help programmers detect failures and correlate events into the root causes of bugs.


Investigation of selected genomic deletions and duplications in a cohort of 338 patients presenting with syndromic obesity by multiplex ligation-dependent probe amplification using synthetic probes Abstract Background: Certain rare syndromes with developmental delay or intellectual disability caused by genomic copy number variants (CNVs), either deletions or duplications, are associated with higher rates of obesity. Current strategies to diagnose these syndromes typically rely on phenotype-driven investigation. However, the strong phenotypic overlap between syndromic forms of obesity poses challenges to accurate diagnosis, and many different individual cytogenetic and molecular approaches may be required. Multiplex ligation-dependent probe amplification (MLPA) enables the simultaneous analysis of multiple targeted loci in a single test, and serves as an important screening tool for large cohorts of patients in whom deletions and duplications involving specific loci are suspected. Our aim was to design a synthetic probe set for MLPA analysis to investigate in a cohort of 338 patients with syndromic obesity deletions and duplications in genomic regions that can cause this phenotype. Results: We identified 18 patients harboring copy number imbalances; 18 deletions and 5 duplications. The alterations in ten patients were delineated by chromosomal microarrays, and in the remaining cases by additional MLPA probes incorporated into commercial kits. Nine patients showed deletions in regions of known microdeletion syndromes with obesity as a clinical feature: in 2q37 (4 cases), 9q34 (1 case) and 17p11.2 (4 cases). Four patients harbored CNVs in the DiGeorge syndrome locus at 22q11.2. Two other patients had deletions within the 22q11.2 'distal' locus associated with a variable clinical phenotype and obesity in some individuals. The other three patients had a recurrent CNV of one of three susceptibility loci: at 1q21.1 'distal', 16p11.2 'distal', and 16p11.2 'proximal'.


In the modern learning of Machine has to be emerged in the gather with large data technology and with respective Large to performance computing to indicate. Classing cluster is a grouping of information and its objects that are identical to one another and different to the information objects in another clusters property are added in new opportunities that things for data science for recommendation in recognized the multi-disciplinary or large descriptive way such many Agri-technologies and domain. This paper comprehensive review marginal shows that research to applications and more than of machines and its application learning in agricultural production systems is forward to conduction. Data mining is a specific field of computer and information science with substantial point of view of knowledge discovery from expansive database or dataset. Resulted formation works carried out forming were categorized top to bottom in form crop indication and result Segregation, including used on yield prediction filed, forming disease Mestagestic, detection crop and weed management and quality, and livestock management, species recognition Devises, along with applications on animal welfare and live detection and stock production soil management and water management. Rest of K-means algorithm for examination of fertility of soil Ratio are objective and Resolve the Continuity amount estimating implementation and algorithm's high time complexity. In crop method filtering results obtain classification of various crops the presented paper demonstrates forming how farming will improved with the help machine learning methods are used. In the case of resection K-means algorithm is utilize to cluster and Marathwada town soil nutrient information for Six successive year clustering outcomes show that the precision rate raised ratio is year by year The Remote location applying machine such as GIS and GPS learning to sensor information, field management systems are more accurate to developing into real-time AI authorize plans and sentimental values that supports rich suggestion and awareness for farmer choice action and support. The Resultant of this paper are compared and modern the performance of commonly used classical and analytical k-means clustering procedures as well as parallel k-means clustering to realize formation the advantage of the parallelism of algorithm on agricultural data. The present investigation has been taken up to achieve the above-mentioned goal.


A prospective six-year study of all diabetic patients in a single practice was conducted to investigate the benefits to patients which resulted from the introduction of a nurse-run diabetic review service. The opportunity of the audit was also used to determine the capital and running costs of such a service. After initial expenditure of around £200–;300, GPs can expect to devote a total of 10-15 minutes of their own time and 20-30 minutes of their nurse's time to providing an annual check to each of their diabetic patients. Using our assumptions, this amounts to a cost to the practice of £4 per nurse review. Further costs beyond this minimum level are calculable for individual practices based on the data presented. Benefits to patients were evident for individual patients whose retinopathy or foot lesions were detected early and in the increasing numbers of examinations performed. It is possible for general practice teams to coordinate a comprehensive review service for their diabetic patients.


A comprehensive wheel testing method is being described which permits reliable service life estimation. Stress analysis is done on a new type slow-rolling tests bench under simulated service loads. The fatigue strength of the material is determined by fatigue tests applying simulated service load programs on specially developed test specimens. When comparing the stress analysis data with the fatigue properties of the material a so-called "stress efficiency factor" is introduced. /GMRL/


Audio description (AD), an additional narration track that conveys essential visual information in a media work, is imperative for improving video accessibility for people who identify as blind or low vision (BLV). The AD creation process includes three primary steps: writing the script, recording the voiceover, and mixing the narration track with existing video audio. Despite being the primary beneficiaries of AD, BLV individuals are limited in how they can contribute to the AD writing process due to technology inaccessibility and societal biases. The BLV community and sighted allies advocate for including BLV individuals in the AD creation pipeline, as their expert end-user perspectives lead to high quality descriptions. In this thesis, I (1) design, prototype, and test AccessibleAD, a system to make writing audio description more accessible, (2) surface qualitative insights on audio description accessibility from interviews with AD audiences and writers, and (3) analyze what visual context and features are desired or necessary for BLV writers when writing AD. From user studies with six members of the BLV community, I uncover accessibility challenges with current AD writing systems and find that BLV AD writers seek to have a detailed objective understanding of character identities, background settings, and actions while crafting engaging AD. This thesis expands on existing literature regarding co-designing systems with BLV end users and builds a foundation for understanding how to expand BLV engagement with audio description writing.


Although Psychological Reactance Theory (PRT) emerged as an important theoretical framework more than four decades ago, only recently has PRT been applied to the health context. Despite numerous studies testing the principles put forth by PRT, presently no scale exists to measure reactance restoration. The present investigation sets out to address this gap by developing and evaluating the Reactance Restoration Scale (RRS). We performed a confirmatory factor analysis to test the psychometric properties of the 12-item scale. Additionally, we locate the RRS in a nomological network containing both state and trait reactance to examine its construct validity. The scale emanates from Brehm's conceptualization of direct and indirect restoration. Results indicate three unique subscales: boomerang, related boomerang, and vicarious boomerang. Furthermore, the construct validity of the RRS was established given its positive association with state and trait reactance.


[Purpose] To examine the relationship between the maximum gait speed and gait independence. [Subjects and Methods] A total of 262 elderly inpatients aged 65 or over were divided into 2 groups (independent/ non-independent) based on the ability to walk inside the hospital independently to compare the maximum gait speed. Subsequently, they were classified into 6 sub-groups based on the gait speed to calculate the gait independence rate in each group. Furthermore, the optimal cutoff maximum gait speed to predict gait independence was determined. [Results] The maximum gait speed was significantly higher in the independent group. The gait independence rate was reduced among those showing lower maximum gait speeds . The optimal cutoff value to predict gait independence was 1.038 m/sec. Using this, it was possible to accurately predict such independence. [Conclusion] The maximum gait speed may be a predictor of gait independence. When the speed is lower than a certain level, it may be more difficult to achieve it.


The concept of finis plays an important role in Antiquity and designates the very last aim that human beings must seek in this life and according to which they must shape their life. The thought of Augustine of Hippo inherits this tradition which is enriched by the Christian dogma, which regards the resurrection of the body and the beatific vision as aims of the human life. This concept - underlying in the whole works of the bishop of Hippo - plays a very important place in the Book XXII of The City of God. The concept of finis may accept two definitions. Finis clearly means in context some moral and doctrinal values (for instance the resurrection of the body and the beatific vision), but it may also be understood as a methodological concept that questions our way of reading Augustine's works.


In order to understand the anomalous elastic behavior of silica glass at high temperature and high pressure, ultrasonic wave velocities have been measured up to 3.8 GPa and at a temperature of 180±4 °C, using a uniaxial split‐sphere type high‐pressure apparatus. The longitudinal and shear wave velocities are found to have their minima at 2.9±0.2 GPa and 3.3±0.2 GPa respectively. These pressure are higher than the minimum pressures at room temperature. The elastic moduli at 180±4 °C and atmospheric pressure, and their pressure derivatives are obtained as follows; Ko=37.7 GPa, dKo/dP=−3.21, Go=30.5 GPa, dGo/dP=−2.71, Eo=72.1 GPa, dEo/dP=−6.32.


In any discipline, it is desirable to have a clear sense of what the goal is. What are we trying to achieve, and how will we know when we have succeeded? Music theory has hardly shirked these "meta-issues." Discussions of the goals of theory and analysis can readily be found; recent debates have centered on the means of confirming or testing a music theory, the relevance of historical and cultural context to analysis, and the relevance of the composer's intentions. 1 Exploration of these issues is to be welcomed, and disagreements need not alarm us when the positions taken are clear and coherent. I will argue here, however, that a serious confusion has been lurking beneath much of this discussion. Many statements regarding the purpose of music theory may seem unproblematic, if somewhat vague. Probably few would take issue with Claude Palisca's definition in the New Grove, which characterizes music theory as "the study of the structure of music" (198018:741). Perhaps general agreement would be found as well over the relationship between theory and analysis. An analysis is an investigation of the structure of a single piece; a theory is a more general account of some aspect of musical structure, which guides analyses and is also motivated and informed by them. As Ian Bent has pointed out, however, the problem is where exactly the "structure" of music is to be found (1987: 5). Is musical structure something in the mind of the listener, in which case its elucidation involves the description of (perhaps unconscious) psychological processes and representations? Or is it something that resides in the musical object itselfperhaps, in large part, not normally part of the listener's hearing and experience, but revealed by the analyst with the aim of enhancing that experience? Joseph Kerman, after embracing Palisca's definition of music theory as the study of musical structure, elaborates it as follows:


This study was conducted to estimate the impact of contact and fumigation toxicity of garlic ( Allium sativum L.) and mandarin ( Citrus reticulata L.) essential oils against two of stored product insects Tribolium castaneum (Herbst) and Rhyzopertha dominica (F.) for 1, 2 and 3 days after exposure under laboratory conditions. Results showed that garlic was more effective than mandarin, where contact LC 50 after 3d was 0.336 mg/mL compared to 5.49 mg/mL for mandarin on T. castaneum (Herbst) and 0.343 mg/mL, 4.130 mg/mL on R. dominica (F.) at the same investigation period. The same trend was observed for fumigation where LC 50 of garlic were 0.789, 0.386 µL /L air against T. castaneum (Herbst) and R. dominica (F.) respectively and 7.778, 6.305 µL/L air of mandarin against T. castaneum (Herbst) and R. dominica (F.) after 3days respectively. Gas chromatography-mass spectrometry (GC-MS) analysis showed that the major compounds of garlic essential oil were diallyl sulfide (9.5%), diallyl disulfide (27.9%),dimethyl tetrasulfide (2.9%), allyl methyl trisulfide (17.7%), and diallyl trisulfide (16.8%). In mandarin the main components were tricarbonyl [methyl 6-vinylidenehepta 2,4-dien-1-oate]iron (52.8 %), dimethyl hexane ( 15.28%), p-cymene (5.45 %), limonene (3.88 %) and Ɣ terpinene (9.47 %). The results elucidated that, essential oils may be a promising safe alternatives to synthetic chemical insecticides for control stored product insects either by contact or fumigation treatment and compatible with integrated pest management.


This chapter is written for practising teachers, and examines the institutional and individual factors that inhibit the implementation of information and communication technology (ICT) as a tool for teaching and learning. The affordances of ICT are identified, together with their contribution to attainment, creativity, and learning. The author argues that many of the obstacles to meaningful uses of ICT are embedded in the assumptions inherent in many institutional frameworks that are predicated on an outmoded industrial model that drives many school timetables, which process learners through the school machine. Individual change is easier to effect than institutional: the author provides some suggestions to liberate creative teachers from constraints of the system. 701 E. Chocolate Avenue, Suite 200, Hershey PA 17033, USA Tel: 717/533-8845; Fax 717/533-8661; URL-http://www.idea-group.com ITB12508 INFORMATION SCIENCE PUBLISHING This chapter appears in the book, Enhancing Learning Through Technology edited by Elsebeth Korsgaard Sorensen and Daithi O Murchu © 2006, Idea Group Inc.


The use of simulator systems for surgical planning and training is growing as the systems become more advanced. One important feature of these systems is the possibility to work on real patient dat ...


University of Minnesota Ph.D. dissertation. July 2011. Major: Educational Policy and Administration. Advisors: Joan G. DeJaeghere, David W. Chapman. 1 computer file (PDF); ix, 151 pages, appendices A-C.


In order to improve the ability of neighborhood search of differential evolutionary (DE) algorithm, we propose a new variant of DE with linear neighborhood search, called LiNDE, for global optimization problems (GOPs). LiNDE employs a linear combination of triple vectors taken randomly from evolutionary population. The main characteristics of LiNDE are less parameters and powerful neighborhood search ability. Experimental studies are carried out on a benchmark set, and the results show that LiNDE significantly improved the performance of DE.


Teaching staff efficiency is the driving force in building well-developed nations. The purpose of the research is thus to improve the efficiency of teaching staffs at Mandalay Technological University (MTU) by carefully analyzing the student's evaluation forms which are always collected in the end of every semester, as well as taking the action plan to improve. Firstly, the survey forms are delivered to the students. The collected survey forms are examined to make sure the students' satisfaction. If the satisfaction level is below threshold, the action plans are considered to improve the teaching efficiency. When the evaluations are measured again in subsequent semester to ascertain the improvements, the significant teaching efficiency improvement can be encountered.


Oil spills have immediate adverse effects on marine ecological functions. Accurate assessment of the damage caused by the oil spill is of great significance for the protection of marine ecosystems. In this study the observation data of Chaetoceros and shellfish before and after the Penglai 19-3 oil spill in the Bohai Sea were analyzed by the least-squares fitting method and radial basis function (RBF) interpolation. Besides, an oil transport model is provided which considers both the hydrodynamic mechanism and monitoring data to accurately simulate the spatial and temporal distribution of total petroleum hydrocarbons (TPH) in the Bohai Sea. It was found that the abundance of Chaetoceros and shellfish exposed to the oil spill decreased rapidly. The biomass loss of Chaetoceros and shellfish are 7.25×1014~7.28×1014 ind and 2.30×1012~2.51×1012 ind in the area with TPH over 50 mg/m3 during the observation period, respectively. This study highlights the evaluation of ecological resource loss caused by the oil spill, which is useful for the protection and restoration of the biological resources following the oil spill.


By using the questionnaire survey,this paper makes the research on the psychological pressure of enterprise's 238 white-collar employees in Shanghai Area,and through the exploratory factor analysis,this paper determines the main sources of enterprise's white-collar employees at present,which provides the effective foundations for the pressure management of the employees of this kind.


The concrete roadside structures in Xinjiang, China, such as roadside barriers, bridge rails, and drainage holes, are severely damaged by the coupled effect of seasonal freeze-thaw cycles and deicer salts. To solve the corrosion problems of roadside structures, polymer-modified concrete was recommended for the future construction of roadside structures and polymer-modified cementitious coating was suggested for the protection of the current corroded ones. In this study, air-entraining agent and carboxylated styrene-butadiene latex were added for concrete modification and the corresponding performance tests were conducted. In addition, the performances of six types of readily available coating materials, including the acrylic latex modified cementitious coating designed in this study, were tested in freeze-thaw condition with the presence of chloride ions. The results show that 0.013% of the air-entraining agent and 10% of the carboxylated styrene-butadiene latex were appropriate dosage rates for the modification of Portland cement concrete, in terms of the improvement of the freeze-thaw resistance, compressive strength, and chloride impermeability. For the protection of the current corroded roadside structures, the acrylic-modified cementitious coating material demonstrated a good performance and the field monitoring confirmed that the coating is suitable for the protection of the roadside structures in Xinjiang.


Expressions for the rate and volume of flow depletion of semipervious streams due to pumping are presented in computationally simple forms. Analytical expressions have been proposed to take into account both partial penetration and semipervious bed and banks of the stream. Graphs suitable for engineering applications are presented for siting wells, and the effect of an intermittent pumping cycle on the rate and volume of stream flow depletion has also been discussed. The exclusive volume of flow depletion during a cycle is shown to vary with the selection of the end of the cycle.


How could he be so sure? It emerged that this was specified in a contractual condition between Apple and the book publishers, a form of Most Favored Nation (MFN) clause requiring that the publishers price their e-Books no higher on Apple's iBook platform than they were priced on other online platforms. These clauses form a key component of the U.S. Department of Justice's action against Apple and several publishers, which has recently been successful on appeal to the Second Circuit.2 In commitments signed with the


The clean development mechanism(CDM) is one of the three flexible mechanisms established in the Kyoto Protocol,with as the development of CDM,more legal issues emerge,this dissertation focus on the subjects of CDM Trading which is of vital importance to China,having a deep understanding of CDM in terms of law.


Provided is a device comprising a first acquisition device used for acquiring a first quantization step size of for controlling the granularity of inverse quantization, wherein the first quantization step size is allocated to a decoded adjacent image block; a second acquisition device used for acquiring a second quantization step size for controlling the granularity of inverse quantization, wherein the second quantization step size is allocated to a former decoded image block; a selecting device used for selecting the first quantization step size or the second quantization step size ; and a calculating device used for calculating the quantization step size based on the selected quantization step size.


The authors propose a new neural structure with parallel and serial output via functional CPBUM neural network. Specifically, we combine the advantages in series to series and parallel to parallel to develop a parallel and serial output learning structure. Hence, the proposed model can reduce the computational complexity via the similarity analysis and sensitivity analysis. It is shown that the similarity analysis can be employed to determine the knowledge base of the controller. Furthermore, it is also shown that the sensitivity analysis can provide valuable information between input-output training pairs.


Water wave optimization (WWO) is a novel metaheuristic method that is based on shallow water wave theory, which has simple structure, easy realization, and good performance even with a small population. To improve the convergence speed and calculation precision even further, this paper on elite opposition-based strategy water wave optimization (EOBWWO) is proposed, and it has been applied for function optimization and structure engineering design problems. There are three major optimization strategies in the improvement: elite opposition-based (EOB) learning strategy enhances the diversity of population, local neighborhood search strategy is introduced to enhance local search in breaking operation, and improved propagation operator provides the improved algorithm with a better balance between exploration and exploitation. EOBWWO algorithm is verified by using 20 benchmark functions and two structure engineering design problems and the performance of EOBWWO is compared against those of the state-of-the-art algorithms. Experimental results show that the proposed algorithm has faster convergence speed, higher calculation precision, with the exact solution being even obtained on some benchmark functions, and a higher degree of stability than other comparative algorithms.


High diversity and endemism in the California Floristic Province (CFP) are an alleged response to the late Cenozoic advent of Mediterranean-type climate in this region. Ceanothus comprises two divergent subgenera with centers of diversity in the CFP. We reconstruct the evolution of Ceanothus by using DNA sequence data from the nuclear gene nitrate reductase. We find that the timing of diversification events is related to geological and climatic history. In both subgenera, diversification is characterized by recent divergence of extant taxa and geographically structured phylogenetic relationships. A strong north-south divergence of subgenus Cerastes across the Transverse Ranges indicates that phylogenetic relationships may be structured by climatically divergent regions of the CFP. Divergence-time estimation suggests that the age of extant diversification in both subgenera is ∼6 Ma. This agrees with the fossil record but predates the hypothesized Quaternary (2-Ma) origin of Mediterranean-type climate in the region.


Realistic calculations of the peak cladding temperature during a hypothetical loss-of-coolant accident (LOCA) have been found to produce temperatures much lower than the limit required by Appendix K and the value usually calculated with current licensing models. Recently, an assessment was made of COBRA/TRAC code, against several loss-of-fluid test (LOFT) experiments. This assessment indicated generally good agreement with a variety of thermal and hydraulic parameters. It was found that the fuel gas size, which determined the initial fuel stored energy, was an important parameter determining the peak cladding temperature. A sensitivity study was performed to assess the effect of variations in initial fuel temperature on calculated results. The computed peak cladding temperature was then compared with the test data of L2-3 and L2-5 tests.


Given the importance of network status, this study aims to develop a richer understanding of how industry network characteristics, specifically network density and structural differentiation, influence status of the organizations entering the industry network. I develop a model including the direct and moderating effects of the industry's network on newcomer's status and test proposed relationships on a panel data of 410 U.S. venture capital firms (3,616 observations). The findings suggest that newcomers' status is positively imprinted when the organization enters the industry network at a time when the network is not as dense or structurally differentiated. For newcomers who enter a structurally differentiated network, finding prominent partners in the year of entry may offset the negative effects of "social newness" imposed by structurally differentiated industry networks.


Background:
 We present a case of a young female with no pre-existent conditions, who presented to the hospital one month after a mild COVID-19 infection with severe myocarditis complicated by cardiogenic shock.

 Case:
 A 40-year-old female with no prior medical history and a regular, vigorous exercise program developed a mild COVID-19 infection with symptoms of mild fatigue, myalgias, chills, fever, and loss of taste, which resolved within a week. A month later, she presented to the hospital with exertional dyspnea, weakness, chest pressure, abdominal pain, and fatigue. A transthoracic echocardiogram revealed a left ventricular ejection fraction of 15% with a severely dilated left ventricle, global hypokinesis and severe mitral regurgitation. Right heart catheterization demonstrated cardiogenic shock with a cardiac index of 1.4 liters per minute by Fick equation, and she was admitted to the cardiac intensive care unit. Cardiac magnetic resonance revealed subepicardial delayed enhancement along the lateral and inferolateral walls and elevated T1 mapping consistent with myocarditis. A right ventricle biopsy revealed myocyte hypertrophy and patchy interstitial fibrosis without evidence of inflammatory tissue. She was diuresed, supported with inotropic therapy, and empirically treated with high doses of glucocorticoids. She clinically improved with weaning of inotropes and was discharged in stable condition on goal-directed medical therapy after 2.5 weeks.

 Conclusion:
 This patient represents a case of severe cardiogenic shock, after initial infection and in the absence of previously identified risk factors for development of COVID myocarditis. The absence of inflammatory tissue on pathology raises questions regarding the centrality of inflammatory processes in COVID-19-related myocardial injury leading to "long COVID" syndrome. These findings indicate the need for ongoing investigation of the long-term cardiovascular consequences of COVID-19.


One approach to image segmentation is to apply a data clustering method such as fuzzy c-means (FCM) to the pixels of the image. FCM and its variations all require an appropriately predefined number of clusters for a given set of data in order to obtain a correct clustering result However, an optimal number of clusters is usually unknown. Mok et al. proposed a robust adaptive clustering analysis method to identify the desired number of clusters and produce a reliable clustering solution at the same time based on a judgment matrix which represents the clustering relationship between any two data points. When applying the Mok's method to image segmentation, the method becomes very impractical because the judgment matrix is too huge to be handled efficiently. In this paper, a more efficient clustering analysis method is proposed for segmenting images with noise. The efficiency comes from the size of the judgment matrix which is only 256 by 256. Experimental results show that our method is better than Mok's method for segmenting both synthetic and real images with noise.


A review of experimental techniques used in the study of materials under applied pressure by neutron scattering is given along with a discussion of the amount of information that can be obtained from various pressure conditions. Some experimental results are presented to illustrate both the feasibility and the interest of elastic and inelastic neutron scattering measurements of materials under pressure.


We present a theoretical treatment of the economics of variable rate technology and its interplay with information. The framework facilitates description of on-farm empirical profitability studies of variable rate nitrogen application on Illinois cornfields. We estimate site-specific ex ante economically optimal nitrogen application rates, and the value of site-specific information in the management of variable rate technology. We find that with site-specific information provided free, variable rate nitrogen application would have been profitable in six of eight fields. Because private markets are unlikely to provide such information sufficiently, more public funding of long-term, multiregion, multiyear experimentation is appropriate. Copyright 2009, Oxford University Press.


In this article, we discuss the vertical characteristics of oil-gas oxygenation level and its preservation condition in petroleum basin. The exploration data indicate that oil-gas oxygenation level in Lunpola Basin, Tibet is about 1 300m. The main provement of the existence of oil-gas oxygenation level in this basin is the physical and chemical characteristics and chemical type of crude oil, as well as the largest depth of where the oxidized asphalt exists. According to the physical and chemical characteristics of crude oil, oil-gas distribution and the changes of seal characteristics in accordance with its depth, we divide the oil-gas preservation condition in Lunpola Basin into three belts vertically: the oxygenation zone less than (1 000)m, the intermediate zone from 1 000m to 1 300m, and the preservation zone more than 1 300m.


SiC fibres provide very high tensile strength and fatigue resistance up to high temperatures. Composites consisting of high temperature titanium alloy matrix reinforced with continuous SiC fibres are supposed to save considerable weight in jet engines. Fields of use will be redesigned shafts and discs of the compressor section of the engines. The not fully understood fatigue damage mechanisms are a major obstacle preventing the application for safety-relevant components.


"In the article under consideration are the ways of symphony genre transformation in the early works of Valentin Silvestrov (Ukraine). For the first time, the First, Second, Third, and Fourth symphonies by the genius composers of the 20th century are analyzed as a certain stylistic system. These compositions are endowed with the features of avant-garde poetics, and as a subject of musicological reflection, they are associated with a rethinking of the semantic paradigm of the genre. V. Silvestrov's early symphonies stand out from the classical practice of European symphonies. Scientific awareness of their phenomenal nature necessitated a methodological choice aimed at the most accurate identification of the philosophical concept of the new sound universum of V. Silvestrov's music. Deep correlation of the image of a human being as a factor of the symphony poetics (the influence of philosophical concepts of human ontology in the 20th century with the transformation of the genre canon) is considered. This refers to the nonmusical dimension of the genre semantics. The study of V. Silvestrov's early symphonies reveal a new philosophy of music through gradual movement – modulation: from the neo-baroque First Symphony and ""cosmic pastorals"" Musica Mundana of the Second Symphony through the history anthropologisation in the Third Symphony ""Eschatology"" to the monodrama Musica Humana in the Fourth Symphony. The dichotomy of Musica Mundana – Musica Humana is not accidental: in V. Silvestrov's creative method, remains relevant, which is confirmed by the dramaturgy of his latest work – the Ninth symphony (2019).

Keywords: V. Silvestrov's early symphonies, evolution of style, worldview, Musica Mundana, monodrama.
"


WARNINGS Depression and Suicide Betaseron (Interferon beta-1b) should be used with caution in patients with depression, a condition that is common in people with multiple sclerosis. Depression and suicide have been reported to occur with increased frequency in patients receiving interferon compounds, including Betaseron. Patients treated with Betaseron should be advised to report immediately any symptoms of depression and/or suicidal ideation to their prescribing physicians. If a patient develops depression, cessation of Betaseron therapy should be considered. In the four randomized controlled studies there were three suicides and eight suicide attempts among the 1532 patients in the Betaseron treated groups compared to one suicide and four suicide attempts among the 965 patients in the placebo groups.


Image resolution is always a key feature for all kinds of images. With ever increasing sizes of the displays need for super resolution images has also been increased. First image enhancement is done by DWT. The input satellite image is decomposed it into four sub-bands by DWT, then the high frequency sub bands and the input low resolution satellite image have been interpolated to obtain four interpolated images which are later combined after minor alterations to the interpolated input image using IDWT. The Resolution is defined as the smallest number of discriminable detail in an image. There are two types of resolution, grey level resolution and spatial resolution. Gray level resolution enhances the smallest discriminable details in an image, i.e. we can discriminate change in grey level. Images are being processed in order to obtain more enhanced resolution. Second resolution enhancement technique based on high frequency sub-band images obtained by discrete wavelet transform (DWT) of the input image. Input image is interpolated by bicubic interpolation, then DWT is performed on the interpolated input image to obtain HF sub-bands. The high frequency sub-band's edges are enhanced using stationary wavelet (SWT).Brightness is increased by SVD (singular value decomposition). Compression is also done by SVD. This second technique has got better PSNR and RMSE values compared to first enhancement technique. Keywords-Discrete wavelet transform, Inverse discrete wavelet transform, Stationary wavelet transform, singular value decomposition.


This is a very heterogenous book with many different kinds of approaches, all of whose writers are found solidly within existing Anglo-American art historical, anthropological and archaeological institutions. There is no writer from a nonEuramerican institution, and the two writers of Asian background – Stanley Abe and Wu Hung are already well-emplaced in the US' academic world. The publishers state on their web-site blurb for this book that,


In the paper is described the reserves,production,price and present applications of Indium is described.And its future development prospect is predicted.


The BM@N (Baryonic Matter at Nuclotron) is the fixed target experiment at the Nuclotron (JINR, Dubna, Russia) accelerator complex. The main goal of the BM@N experiment is studying properties of dense nuclear matter produced in the ion-ion collisions at beam energies up to 4.5 AGeV. First experiments were done for carbon, argon and krypton ions beams with C, Al, Cu and Pb targets. The methods of central events selection on event-by-event base with ZDC (Zero Degree Calorimeter) for these reactions are presented. The new Forward Hadron Calorimeter (FHCal) with transverse and longitudinal segmentation will be used to measure the collision centrality in heavy ion experiments after the BM@N upgrade. The FHCal has the beam hole in the center due to expected high beam intensities. New forward quartz hodoscope is been developed to be placed in the beam hole to measure the charge of fragments. New methods of centrality determination with the FHCal and forward quartz hodoscope are discussed.


Third-party organization (TPO) endorsement ads have grown increasingly popular in recent years. This study examines conditions under which TPO endorsements in advertising function as signals of quality within the framework of signaling theory. Specifically, the study addresses questions such as: Do consumers perceive TPO endorsements in advertising as signals of quality? Can low-quality firms contain TPO endorsements in advertising to signal high quality? One experiment is conducted with a student sample within the context of automobile ads. The results show TPO endorsements in advertising are signals of high quality in a separating equilibrium condition where the TPO is perceived as honest and endorses few high quality products. On the other hand, TPO endorsements in advertising are not signals of quality in a pooling equilibrium condition, where the TPO is perceived as dishonest and endorses many low quality as well as high quality products. Therefore, the results of this study are consistent with the predictions of signaling theory.


The impacts of aquatic vegetation on bed load transport rate and bedform characteristics were quantified using flume measurements with model emergent vegetation. First, a model for predicting the turbulent kinetic energy, kt, in vegetated channels from channel average velocity U and vegetation volume fraction ϕ was validated for mobile sediment beds. Second, using data from several studies, the predicted kt was shown to be a good predictor of bed load transport rate, Qs, allowing Qs to be predicted from U and ϕ for vegetated channels. The control of Qs by kt was explained by statistics of individual grain motion recorded by a camera, which showed that the number of sediment grains in motion per bed area was correlated with kt. Third, ripples were observed and characterized in channels with and without model vegetation. For low vegetation solid volume fraction (ϕ ≤ 0.012), the ripple wavelength was constrained by stem spacing. However, at higher vegetation solid volume fraction (ϕ=0.025), distinct ripples were not observed, suggesting a transition to sheet flow, which is sediment transport over a plane bed without the formation of bedforms. The fraction of the bed load flux carried by migrating ripples decreased with increasing ϕ, again suggesting that vegetation facilitated the formation of sheet flow.


Background: Mycoplasma contamination in cell cultures is considered as a major eco-nomic, research and production problem. In this study, mycoplasma-infected Vero cell lines were treated by various dilutions of ciprofloxacin and enrofloxacin in a timely manner. Removal of mycoplasma contamination from infected cell cultures was evalu-ated and demonstrated by polymerase chain reaction (PCR) method. Methods: This study was done from October 2013 to May 2014, in Human Rabies Vaccine Laboratory, Pasteur Institute Production and Research Complex, Tehran, Iran. Different dilutions of ciprofloxacin and enrofloxacin were used in sequential passages for treatment of infected Vero cell line. Based on lowest passages of the cell line, antibiotic treatment with ciprofloxacin and enrofloxacin was done. Amelioration of the infection and removal of mycoplasma contamination was confirmed in each step by PCR method. The technique for order of preference by similarity to ideal solution, TOPSIS method, was used to suggest the most efficient concentration of ciprofloxacin and enrofloxacin. Results: Proposed concentration of ciprofloxacin is 20 μg/ml, and in the second order is 200 μg/ml. For enrofloxacin the best proposed concentrations are 30, 300 and 3 μg/ml respectively. Ciprofloxacin and enrofloxacin and ability of them for removal of mycoplasma and also the time of treatment were verified by evaluation of the recurrence of infection through consecutive subcultures of the treated cell line. Conclusion: Our results showed that 20 μg/ml of ciprofloxacin was the dilution of choice for mycoplasma elimination followed by 200 μg/ml of ciprofloxacin. Concentrations of 3, 30 and 300 of enrofloxacin, respectively, are appropriate for mycoplasma removal. More detailed works would be needed to verify the authenticity of the proposed simple and affordable way of mycoplasma elimination. Abstract . a


The optimal control problem for multiple beds is formulated and a distributed maximum principle derived. Gradient methods are then used to synthesize the optimal control policies for some examples in three-bed isothermal and adiabatic reactors. Finally, examples are worked to illustrate the computational algorithm in adiabatic beds when optimal catalyst loading is to be determined, and when it is desired to distribute the feed in an optimal fashion between the beds. Reasonably good convergence was obtained in all the examples, so that the method appears quite feasible for determining optimal control policies in multiple reactors subject to catalyst decay.


Purpose
This paper aims to study the encounter issues of the Tethered-Space Net Robot System (TSNRS) with non-target objects on orbit during the maneuver, including the collision issues with small space debris and the obstacle avoidance from large obstacles.

Design/methodology/approach
For the collision of TSNRS with small debris, the available collision model of the tethered net and its limitation is discussed, and the collision detection method is improved. Then the dynamic response of TSNRS is studied and a closed-loop controller is designed. For the obstacle avoidance, the variable enveloping circle of the TSNRS has coupled with the artificial potential field (APF) method. In addition, the APF is improved with a local trajectory correction method to avoid the overbending segment of the trajectory.

Findings
The collision model coupled with the improved collision detection method solves the detection failure and speeds up calculation efficiency by 12 times. Collisions of TSNRS with small debris make the local thread stretch and deforms finally making the net a mess. The boundary of the disturbance is obtained by a series of collision tests, and the designed controller not only achieved the tracking control of the TSNRS but also suppressed the disturbance of the net.

Practical implications
This paper fills the gap in the research on the collision of the tethered net with small debris and makes the collision model more general and efficient by improving the collision detection method. And the coupled obstacle avoidance method makes the process of obstacle avoidance safer and smoother.

Originality/value
The work in this paper provides a reference for the on-orbit application of TSNRS in the active space debris removal mission.


Hypoxic‐ischemic brain damage (HIBD) which is a common cause of acute mortality and neurological dysfunction in neonates still lacks effective therapeutic methods. Long non‐coding RNAs (lncRNAs) were demonstrated to play a crucial role in many diseases. To give a foundation for subsequent functional studies of lncRNAs in HIBD, we investigated the profiling of lncRNAs and messenger RNAs (mRNAs) using neonatal HIBD rat model. Six neonatal rats were divided into sham‐operated group (n = 3) and HIBD group (n = 3) randomly. Deep RNA sequencing was implemented to find out the meaningful lncRNAs and mRNAs. Quantitative real‐time PCR was used to validate expressions of lncRNAs and mRNAs. The Gene Ontology (GO) and kyoto encyclopedia of genes a genomes (KEGG) database were used to predict functions of lncRNAs. A total of 328 differentially expressed lncRNAs (177 down‐regulated vs 151 up‐regulated) and 7157 differentially expressed mRNAs (2552 down‐regulated vs 4605 up‐regulated) were identified. The Quantitative real‐time PCR results showed significant differential expressions of five lncRNAs and five mRNAs which were consistent with the RNA‐Seq data. Gene ontology and KEGG analysis showed these lncRNAs and their expression‐correlated mRNAs were closely related to the Janus tyrosine kinase‐signal transducer and activator of transcription (JAK‐STAT) signaling pathway, NF‐kappa B signaling pathway, Toll‐like receptor signaling pathway, calcium signaling pathway, Notch signaling pathway, mitogen activated protein kinase signaling pathway, neuroactive ligand‐receptor interaction pathway and more. The results of our study identified the characterization and expression profiles of lncRNAs in neonatal HIBD and may be a basis for further therapeutic research.


This paper presents a proposed design of a leg rehabilitation system. The system will be implemented on a reconfigurable wheelchair prototype in order to provide additional two rotational degrees of freedom (DOF) for serving more rehabilitation purposes. Lagrangian dynamic formulation is used to derive the system dynamics. Joints frictions based on Coulomb friction model are considered in the leg rehabilitation system. The system equations of motion are linearized since the model is dealt with in state space representation. LQR control approach is considered and derived for stabilization of the system. Simulation Results validating the model and the control approach are presented and discussed.


Recent progress of the preparation and applications of superparamagnetic iron oxide(SPIO) clusters as magnetic resonance imaging(MRI) probes is reviewed with regard to their applications in labeling and tracking cells in vivo, in diagnosis of cardiovascular diseases and tumors, and in drug delivery systems. Magnetic nanoparticles(NPs), especially SPIO nanoparticles, have long been used as MRI contrast agents and as an advantageous nanoplatform for drug delivery,taking advantage of their unique magnetic properties and ability to function at the molecular and cellular levels. Due to advances in nanotechnology, various means to control SPIO NPs' size, composition, magnetization and relaxivity have been developed, as well as ways to usefully modify their surface. Recently, self-assembly of SPIO NP clusters in particulate carriers — such as polymeric micelles, vesicles, liposomes, and layer-by-layer(Lb L) capsules — have been widely studied for application as ultrasensitive MRI probes, owing to their remarkably high spin–spin(T2) relaxivity and convenience for further functionalization.


Three thousand years ago, there were many excellent skills of metal processing in China. We still get the benefits from the machinery and metal processing technology nowadays. Since most of the first groups of pioneers are from the technical experts, they do fewer researches in the analysis of management, and input fewer resources into the society not as well as the electronic industry. The main purpose of this research is trying to find the relationships among supervisor's leadership, motivation scheme, and retaining intention in Machinery and Metal Machining Business. This research is begun to set about from relevant references, then set up structure and hypotheses of this research according to its theoretical foundation, select proper scale for study tool, adopt convenience sampling, implement questionnaire investigation for the employees of the Machinery and Metal Machining Business in Taiwan. To effective 187 materials of sample retrieving, analyze the descriptive statistics, reliability analysis, factor analysis, t-test, one way ANOVA, correlation analysis and regression analysis. After the empirical research, the major findings as follows: (1) In supervisor's leadership behavior scope, "standard leadership" has positive impact on retaining intention. (2) In motivating scheme scope, "intrinsic motivation" and "working partner motivation" have positive impact on retaining intention. I hope that this research can offer some suggestions related to the leadership of managers, the system of motivation, the retaining intention for the supervisors of the machinery and metal processing business in order to help the system adjustment of the human resources in the future.


For us in SAIH it's not the daily fare that one of our policy papers becomes the centre of a huge public debate. That was the case in the summer and fall of 2018 when we adopted a resolution calling for decolonization of higher education, questioning the exceptionality of Western academia. Along with a seminar held at PRIO (the Peace Research Institute in Oslo), this sparked a debate with quite harsh criticism from parts of Norwegian academia (Lie, 2018). We called for more visibility of perspectives that are overlooked due to colonial structures still present in academia, and by many this was perceived as a threat to the status quo (Nilsen, 2018). We experienced being ascribed opinions that lay far from SAIH's work and policies ranging from populism, anti-science, political correctness, and being compared with anti-vaxxers (Solberg, 2018). One thing was the criticisms that were built on straw man arguments (Sæbø, 2018) or misinterpretations, but what also took us by surprise was the scepticism, and fear that decolonization would harm the quality of education and research (Saugstad et al., 2018). To us, this seemed like a paradox, as decolonial perspectives could in our opinion open up for a chance to critically revisit curricula and teaching practices, and by that strengthen academia as a consequence. Another argument brought forward in the debate was that decolonization is an imported trend, but that it is not relevant in Norway, and that SAIH and others were calling for decolonization to be fashionable. While it is true that decolonization of education in a Norwegian context was new for SAIH in 2018, many scholars and students had already been engaged in the topic for a long time and had been making tremendous efforts when the debate came up in 2018. As for SAIH, we


INTRODUCTION: Successful performance of the tennis forehand drive (FH) relies heavily on the player's technique. Unless the stroke mechanics that make up good forehand technique can be identified, it is impossible for the player, coach, or biomechanist to strive for stroke production that integrates appropriate stroke mechanics and individual flair. The purpose of this study is to profile the biomechanical characteristics of Chinese female tennis players. The data was compared with western elite players reported in the literature. In this study, where applicable, kinematics analyses of particular aspects of the stroke were compared with qualitative and quantitative descriptions.


Introduction: Gender differences in the incidence of ventricular arrhythmias have been reported and torsade de pointes associated with long‐QT syndrome (LQTS) is more common in women than men. Although auditory stimulation has been recognized as an important trigger of torsade de pointes in LQT2 patients, the normal response and gender differences in ventricular repolarization induced by auditory stimuli remained to be evaluated systematically.


Individual differences in phonological awareness, or speech-sound awareness, between children predict reading and spelling development across languages. Recent advances in our understanding of the neural basis of speech encoding suggest one possible sensory and neural basis for these individual differences. This article describes an oscillatory theoretical perspective based on sampling of the speech stream by networks of cells that vary in excitability at different temporal rates. These variations in neural excitability (oscillations) may align to similar energy variations (such as amplitude modulations, AMs) in speech, helping to encode the signal. Indeed, cell networks in auditory cortex form an oscillatory hierarchy, which mirrors an AM hierarchy found in rhythmic speech. Mappings between these hierarchies may support parsing of the speech signal into phonological units. Oscillations at approximately 2 Hz may help identify stressed syllables, used to convey meaning in all languages, while oscillations at approximately 5 Hz may help identify syllables. Behavioral research suggests that the rhythmic patterning of stressed syllables may provide an acoustic "skeleton" for phonological development across languages. As well as helping to explain individual differences, an oscillatory framework offers new targets for improving children's phonological development, for example, via multimodal rhythmic activities.


Objectives : To evaluate characteristics and results of treatment of scoliosis associated with Marfan syndrome Methods : The clinical data of 57 patients diagnosed as Marfan syndrome from January 1989 to June 1999 were reviewed. Thirty one patients had major curves more than 10 degrees by Cobb's method on whole spine standing film and their curve patterns and treatment methods were analyzed. Twelve cases of Marfan scoliosis who underwent posterior instrumented fusion were compared with randomly-sampled cases with idiopathic scoliosis about flexibility, correctability and correction loss of curves. Results : Scoliosis was identified in 31 of 57 patients (54.4%) and among them 15 patients had the curve more than 40 degrees. Twelve curves were double major, 10 were thoracic, and 8 were double thoracic. Seventy-five per cent of the 57 patients had congenital heart disease and 40% had lens dislocation. Twelve of 31 cases underwent posterior fusion with pedicle screw instrumentation. Marfan scoliosis (mean flexibility; 39% in thoracic, 52% in lumbar) were significantly less flexible than idiopathic scoliosis (60% in thoracic, 93% in lumbar) (P 0.05). Mean correction loss in Marfan syndrome was 3.2% at the mean 4.1 year follow-up in 9 cases. Conclusions : The prevalence of scoliosis in Marfan syndrome shows positive correlation with severity of the disease. As compared to idiopathic scoliosis, the curve associated with Marfan syndrome was larger and less flexible. After posterior fusion using pedicle screw instrumentation, the correctability of Marfan curve was poorer than that of idiopathic curve, which is, however, insignificant statistically. So it was considered to be a good method to treat Marfan scoliosis.


: Six new 1,3,4-thiadiazole Schiff base derivatives were synthesized and characterized by IR spectroscopy and 1 H NMR spectrometry, and their anti-corrosion properties and thermal stability were investigated via thermogravimetric analysis (TGA) and copper strip corrosion test. The tribological behavior of the said Schiff base derivatives was evaluated on an Optimol SRV ® 4 oscillating reciprocating friction and wear tester. The worn surfaces of the steel discs were investigated using a scanning electron microscope (SEM) and energy dispersive X-ray spectrometer (EDS). The test results indicated that these thiadiazole Schiff base derivatives possessed favourable thermal stability, corrosion inhibiting ability and the capability of improving the tribological characteristic of the base oil effectively. It is assumed that the adsorbed additives probably reacted with the steel surfaces during the friction process, resulting in the formation of a protective film composed of sulphates, sulphides and organic nitrogen compounds.


Experiments were conducted for the condensation and disappearance of vapor bubbles jetted from atmosphere through a single nozzle into subcooled water under medium pressure. The findings are as follows: (1) The life of vapor bubbles -- from their generation to disappearance -- is proportional to the initial diameter. (2) Since the initial diameter of bubbles and the life can be quantitatively determined with a high accuracy, the average heat transfer until bubble disappearance can be estimated. (3) The experimental formula obtained by Brucker et al. through experiments conducted under higher pressure than in this study is applicable to the results of the experiments reported here. (7 figs, 4 refs)


In this paper the author analyses Regulation (EU) 2015/848 in what concerns its consequences for insolvency proceedings of company groups members. The paper underlines some issues where it is obvious that much will depend on which attitudes insolvency practitioners and national courts choose to adopt. Special attention is given to the new Group Coordination Proceedings.


This paper describes the main unbalanced theories aboard and analyzes the effectiveness of applying in Yunnan province. We think that the development of Kunming Growing Pole effects more in the development of the whole province, meanwhile, it also has some problems in application, but the growing pole will act as important role in economic development in the beginning of this century, and it will also guide the development of Yunnan province.


The purpose of this study was to investigate the level of scholarly production and impact indicators of faculty members at some state Universities in Sudan. The study used a purposive sample which consisted of (191) faculty members from state Universities (El Imam El Mahdi, Bakhat El rrida, Kordofan, & West Kordofan University). To achieve the objectives of the study, the researcher used CVs and content analysis as well as the descriptive analytical method. The study showed that the level of indicators of production and scholarly impact of faculty members at those state Universities was low, as the mean was (6.524). The mean of scholarly impact was (7.952) at a level (0.05). There was also a difference in the scholarly production and impact indicators of faculty members at those state Universities in Sudan depending on the place of obtaining the doctorate degree, in favour of those who did their degrees abroad. Also, there was a difference in the scholarly production and impact indicators depending on the academic rank (assistant professor, associate professor, and professor), in favour of Professors. Based on the study results it was recommended that the university administrations and the ministry of higher Education should provide appropriate opportunities for researchers to publish their studies and to subscribe to international academic networks that are interested in the impact of research.
Keywords: H-Index, Scholarly production, Scholarly impact.


The CKM matrix elements Vub, Vcb and the heavy meson decay constants are of crutial importance in particle physics. They have been studied for a long time in the full QCD and in effective theories, but their values are far from being determined precisely. HQET is one of the most favorable effective theories in attacking heavy hadrons. In the usual HQET, one generally decouples the quark and antiquark fields and deals with only one of them independently. This only provides an approximate treatment for some cases though it has been widely applied to various processes. It has been noticed for a long time that the usual HQET does not always yield consistent and reliable results. The decay constants of heavy mesons receive unexpectedly large 1/mQ order corrections , which makes the calculation based on heavy quark expansion inconsistent, in some sense. For the lifetime ratios of Λb baryon and B meson, the theoretical estimate in HQET ( τ(Λb) τ(B0) ≥ 0.98 ) appears to be too large so that it conflicts with the world average of experimental measurements ( τ(Λb) τ(B0) = 0.79± 0.05 ). In the usual framework of HQET, 1/mQ order corrections to the inclusive decay rate are absent only when the rate is presented in terms of heavy quark mass mQ rather than the heavy hadron mass mH. This seems to be conflict with the case in the exclusive decays where the normalization of the transition matrix elements is given in terms of heavy hadron mass. Such an inconsistency


Water is used in dairy farming for producing feed, watering the animals, and cleaning and disinfecting barns and equipment. The objective of this study was to investigate the drinking and cleaning water use in a dairy cow barn. The water use was measured on a well-managed commercial dairy farm in North-East Germany. Thirty-eight water meters were installed in a barn with 176 cows and two milking systems (an automatic milking system and a herringbone parlour). Their counts were logged hourly over 806 days. On average, the cows in the automatic milking system used 91.1 (SD 14.3) L drinking water per cow per day, while those in the herringbone parlour used 54.4 (SD 5.3) L per cow per day. The cows drink most of the water during the hours of (natural and artificial) light in the barn. Previously published regression functions of drinking water intake of the cows were reviewed and a new regression function based on the ambient temperature and the milk yield was developed (drinking water intake (L per cow per day) = −27.937 + 0.49 × mean temperature + 3.15 × milk yield (R2 = 0.67)). The cleaning water demand had a mean of 28.6 (SD 14.8) L per cow per day in the automatic milking system, and a mean of 33.8 (SD 14.1) L per cow per day in the herringbone parlour. These findings show that the total technical water use in the barn makes only a minor contribution to water use in dairy farming compared with the water use for feed production.


the pharmaceutical industry is closely related to people's life and health, quality of life, related to the national economy and people's livelihood, is an important part of the national economy, with the continuous development of modern biotechnology, biomedicine has become a new economic growth point of the pharmaceutical industry. Hubei province keeps up with the development trend of The Times. After continuous development, the biomedicine industry of this province has a certain scale, but there are some problems in the fierce market competition: the industrial structure is complete, but the product innovation is insufficient; Industrial clusters are basically formed, but their overall competitiveness is limited. Chinese herbal medicine resources are rich, but brand awareness is not strong, lack of competitiveness. This paper intends to analyze the current situation of the biomedical industry in Hubei province, and propose countermeasures to the existing problems, so as to provide reference for the further development of the biomedical industry in Hubei province.


Oxygen isotope measurements were made on coexisting dolomite and calcite pairs both
from recent sedimentary deposits and from high temperature laboratory syntheses.
In the limited number of synthetic carbonate samples thus far available, it appears that
there is an oxygen isotope fractionation between dolomite and calcite, similar to that
found in naturally occurring hydrothermal calcite-dolomite pairs. There is a lack of
such fractionation between dolomite and calcite in young sedimentary deposits. It is
therefore concluded that dolomite is a secondary product resulting from addition of
magnesium to existing crystalline CaCO_3, which takes place without an isotopic change
in the oxygen of the precursor CaCO_3. It is also shown that the O^(18)/O^(16) ratio of dolomite
is less susceptible to diagenetic reequilibration with surrounding fluids than is that of
calcite.


Structures with orientational order were produced in a diacrylate-based polymer by exposing the diacrylate resin to a holographic irradiation created by means of two-beam interferometry. The holographic irradiation acted both as the driving force for the alignment of mesogenic groups and as the optical source that provided energy for generating free radicals for the crosslinking of the acrylate units. In the region exposed to the holographic irradiation, part of the diacrylate resin was aligned, and the alignment state was fixed upon the completion of the crosslink of the acrylic groups, which was initiated by a nonlinear optical process.


Statutory health care insurance is a centerpiece of the German welfare state that presents itself as a "social insurance state". At the same time, due to a large volume of interpersonal redistributions it is the most ambitious branch of the social insurance system. Therefore, the stability of the health scheme depends on a "culture of solidarity" to maintain the legitimacy of these redistributions. Recent changes in the legislative framework of health care insurance are analyzed. It is asked whether these changes aimed at to contain employers' non-wage labor costs and thereby making the insured pay a larger share of total health care spending are possibly weakening that moral infrastructure of the welfare state. To this end findings from qualitative interviews with insured persons are evaluated in view of legislative changes and proposal going beyond them. The focus of analysis is the question whether the two equity principles of this scheme, delivering health care according to medical need and financing it according to the "ability-to-pay" principle, are becoming endangered.


Nowadays, composites are used in different parts of industries and it is one of the most important subjects. The most widely used reinforcements in metal matrix composites are Al2O3 and SiC fibers and particles which may be used in cutting-edge functional and structural applications of aerospace, defense, and automobile industries. Depending on the type of powder used, composite materials are difficult to machine by conventional cutting tools and methods. The most appropriate way for machining of these composites is electro discharge. For the reason of improving the surface quality, tool wear rate and material removal rate and reducing the cracks on the surface, Al2O3 powder was used. In this study, the effect of input parameters of EDM such as voltage, pulse current, pulse on-time and pulse off-time on output parameters like material removal rate, tool wear rate and surface roughness in both conditions of the rotary tool with powder mixed dielectric EDM and the stationary tool excluding powder mixed dielectric were investigated. The critical parameters were identified by variance analysis, while the optimum machining parameter settings were achieved via Taguchi method. Results show that using of powder mixed dielectric and rotary tool reduce the tool wear rate, surface roughness and the cracks on the surface significantly. It is found also that using of powder mixed dielectric and rotary tool improve the material removal rate due to improved flushing action and sparking efficiency. The analysis of variance showed that the pulse current and pulse on-time affected highly the MRR, TWR, surface roughness and surface cracks.


Background: Peripartum cardiomyopathy (PPCM) is a potentially
life-threatening pregnancy-associated disease marked by left ventricular
dysfunction and heart failure (HF). Clinical findings of HF are often
masked by the normal physiological changes seen in pregnancy, making the
diagnosis challenging. Furthermore, postpartum hemorrhage followed by
massive blood transfusion may mask the diagnosis of PPCM or worsen the
decompensated HF.
 Case Description: We report a 35-year-old postpartum gemelli
woman with a history of massive postpartum hemorrhage due to atonia
uteri and Disseminated Intravascular Coagulation, complain of shortness
of breath and fever. The patient received a massive blood transfusion
for her massive postpartum hemorrhage. Physical examination revealed
tachypnea and bilateral rales at lung bases. Chest radiographs showed
cardiomegaly, right pleural effusion, and early lung edema. The
echocardiography showed a decrease in left ventricular systolic function
with ejection fraction of 41%, diastolic dysfunction, and global
hypokinetic. She was diagnosed with PPCM, acute lung edema, pleural
effusion, and pneumonia. Patient was treated with Furosemide continuous
pump, Spironolactone, Bisoprolol, Valsartan. Her dyspnea greatly
decrased with diuresis and antibiotic. She was discharged with HF
medication continued.
 Discussion: Women with PPCM typically present with symptoms of
HF and signs of congestion. History of massive blood transfusion at
first can mask the diagnosis of PPCM due to the possibility of
Transfusion Associated Circulatory Overload, which also has signs of
congestion. Massive blood transfusion can increase preload and may
worsen the decompensated HF.
 Conclusion: The presence of massive transfusion in a patient
with PPCM can be challenging in diagnosing PPCM itself and the
unpredictable course of decompensated HF in peripartum mothers. Due to
its high mortality rate without proper treatment, prompt investigation
is essential in improving maternal survival.


Recent experimental data has shown that a model of wet anisotropic etching of silicon must not be solely based on the crystal features presented to the etchant. The boundaries of under-etched facets, and step interaction at those boundaries, are also likely to play a role in determining etch rates. This work examines the behaviour of a particular configuration of steps, where both are composed of atoms having two dangling bonds, and where they intersect at an angle of 90/spl deg/, at a junction between two adjacent under etched facets.


With the information construction of enterprise,the information security is facing challenges of continual,reliable and stable operation,so the information security governance construction is an emergency to all the enterprises. This article overviewed the problems and confusions of information security governance,as well as summarized the focus areas and contents of realizing effective information security governance based on author's practical experience,which provided a basic framework of information security governance to enterprise.


Abstract:Student affairs professionals have become engaged in inclusive practices and student success efforts in relation to students' racial, ethnic, gender, and/or class identities. Yet, many educators struggle to connect these important insights to the multidimensional identities of students and their success in higher education. This study examined student affairs professionals' existing knowledge, values, and practices related to their students' discrete and intersectional identities. Implications for practice are discussed using a sense-making frame to consider increasing the capacity of the higher education community to apply current research and best practices to develop programming—for the success of all students.