Affinity propagation(AP)is a widely used exemplar-based clustering approach with superior efficiency and clustering quality.Nevertheless,a common issue with AP clustering is the presence of excessive exemplars,which l...Affinity propagation(AP)is a widely used exemplar-based clustering approach with superior efficiency and clustering quality.Nevertheless,a common issue with AP clustering is the presence of excessive exemplars,which limits its ability to perform effective aggregation.This research aims to enable AP to automatically aggregate to produce fewer and more compact clusters,without changing the similarity matrix or customizing preference parameters,as done in existing enhanced approaches.An automatic aggregation enhanced affinity propagation(AAEAP)clustering algorithm is proposed,which combines a dependable partitioning clustering approach with AP to achieve this purpose.The partitioning clustering approach generates an additional set of findings with an equivalent number of clusters whenever the clustering stabilizes and the exemplars emerge.Based on these findings,mutually exclusive exemplar detection was conducted on the current AP exemplars,and a pair of unsuitable exemplars for coexistence is recommended.The recommendation is then mapped as a novel constraint,designated mutual exclusion and aggregation.To address this limitation,a modified AP clustering model is derived and the clustering is restarted,which can result in exemplar number reduction,exemplar selection adjustment,and other data point redistribution.The clustering is ultimately completed and a smaller number of clusters are obtained by repeatedly performing automatic detection and clustering until no mutually exclusive exemplars are detected.Some standard classification data sets are adopted for experiments on AAEAP and other clustering algorithms for comparison,and many internal and external clustering evaluation indexes are used to measure the clustering performance.The findings demonstrate that the AAEAP clustering algorithm demonstrates a substantial automatic aggregation impact while maintaining good clustering quality.展开更多
Introduction: Management of open leg bones fractures is a challenging health issue for the surgeon, particularly true in resource-limited settings. In this study, we evaluate exclusive fibular osteosynthesis in the tr...Introduction: Management of open leg bones fractures is a challenging health issue for the surgeon, particularly true in resource-limited settings. In this study, we evaluate exclusive fibular osteosynthesis in the treatment of open fractures of the distal half of the leg bones as a therapeutic option in our context. Methods: This is a prospective, experimental, multicenter study of 30 open fractures of the distal half of the leg bones treated with exclusive fibula osteosynthesis, conducted in 3 hospitals in the DRC from January 1, 2013 to September 30, 2016. Results: The age range of 20 to 40 years grouped 22 (73.4%) patients, the sex ratio was 1:1 and the unemployed were the most involved with 16 (53.3%) cases. The Gustilo II, I, III B and III A types represented 40%, 33.3%, 20% and 6.7%, respectively. The fractures were located in the distal third in 12 (40%) cases, in the middle third in 11 (36.7%) cases, and in both malleoli in 7 cases (23.3%). Osteosynthesis of the fibula by screw plate was applied in 22 (73.3%) patients and pinning in 8 (26.7%). Satisfactory reduction of the tibial fracture site was achieved in 29 (96.7%) cases and 100% bone healing was achieved within an average of 10 weeks. Four (13.3%) loss of alignment, 1 (3.3%) infection, 1 (3.3%) skin necrosis and 2 (6.7%) ankle stiffness complicated our fractures. Conclusion: Exclusive osteosynthesis of the fibula as a common technique for fractures of the distal half of the leg bones allowed us to reduce, immobilize and consolidate the tibial fracture in the required time and to preserve the mobility of the ankle.展开更多
Exclusive enteral nutrition(EEN)is well-established as a first line therapy instead of corticosteroid(CS)therapy to treat active Crohn’s disease(CD)in children.It also has been shown to have benefits over and above i...Exclusive enteral nutrition(EEN)is well-established as a first line therapy instead of corticosteroid(CS)therapy to treat active Crohn’s disease(CD)in children.It also has been shown to have benefits over and above induction of disease remission in paediatric populations.However,other than in Japanese populations,this intervention is not routinely utilised in adults.To investigate potential reasons for variation in response between adult studies of EEN and CS therapy.The Ovid database was searched over a 6-mo period.Articles directly comparing EEN and CS therapy in adults were included.Eleven articles were identified.EEN therapy remission rates varied considerably.Poor compliance with EEN therapy due to unpalatable formula was an issue in half of the studies.Remission rates of studies that only included patients with previously untreated/new CD were higher than studies including patients with both existing and new disease.There was limited evidence to determine if disease location,duration of disease or age of diagnosis affected EEN therapy outcomes.There is some evidence to support the use of EEN as a treatment option for a select group of adults,namely those motivated to adhere to an EEN regimen and possibly those newly diagnosed with CD.In addition,the use of more palatable formulas could improve treatment compliance.展开更多
Exclusive enteral nutrition involves the use of acomplete liquid diet, with the exclusion of normaldietary components for a defined period of time,as a therapeutic measure to induce remission inactive Crohn＇s disease...Exclusive enteral nutrition involves the use of acomplete liquid diet, with the exclusion of normaldietary components for a defined period of time,as a therapeutic measure to induce remission inactive Crohn＇s disease （CD）. This very efficaciousapproach leads to high rates of remission, especiallyin children and adolescents newly diagnosed withCD. This intervention also results in mucosal healing,AbstractExclusive enteral nutrition involves the use of acomplete liquid diet, with the exclusion of normaldietary components for a defined period of time,as a therapeutic measure to induce remission inactive Crohn＇s disease （CD）. This very efficaciousapproach leads to high rates of remission, especiallyin children and adolescents newly diagnosed withCD. This intervention also results in mucosal healing,展开更多
Rates of exclusive breastfeeding in Malawi remain low despite the acknowledged benefits of exclusive breastfeeding for the infant’s wellbeing and the prevention of mother-to-child transmission of HIV. Creating an env...Rates of exclusive breastfeeding in Malawi remain low despite the acknowledged benefits of exclusive breastfeeding for the infant’s wellbeing and the prevention of mother-to-child transmission of HIV. Creating an environment supportive of exclusive breastfeeding is critical to increase the rate of exclusive breastfeeding among HIV-positive mothers. However, little is known on factors that influence the environment within which HIV-positive mothers in Malawi practise exclusive breastfeeding. Therefore, the exploratory qualitative study on which this article is based was conducted at the Chatinkha maternity unit of Queen Elizabeth Central Hospital in Malawi from April 16, 2009 to May 8, 2009 to explore perceived practice environment related barriers to exclusive breastfeeding among HIV-positive mothers. Data were obtained through indepth interviews with 16 purposively selected breastfeeding HIV-positive mothers between 18 and 35 years old and two focus group discussions with women of unknown HIV status. Semi-structured interview and focus group guides were utilised. Content analysis of data was done. Five main themes emerged regarding factors that may influence the environment within which exclusive breastfeeding was practised: 1) availability of resources;2) societal norms and cultural practices;3) mother-baby proximity;4) health workers’ attitudes and 5) disclosure of the mothers’ HIV status. A multi-sectoral approach to promote exclusive breastfeeding is suggested. This?should include community involvement because it is in the community where breastfeeding norms and cultural practices associated with breast-feeding are propagated.展开更多
Background: The recommendation of the WHO and UNICEF is that all infants should be exclusively breastfed up to 6 months of age. Identifying associated factors to exclusively breastfeeding is crucial to improve this ke...Background: The recommendation of the WHO and UNICEF is that all infants should be exclusively breastfed up to 6 months of age. Identifying associated factors to exclusively breastfeeding is crucial to improve this key public health intervention. The objectives of the study were to investigate rates of exclusive breastfeeding and to identify potential associated factors. Methods: A Community based cross-sectional study design was conducted in three health districts. Cluster sampling was used. For the community based cross-sectional study, a total of 1832 infants was included. Exclusive breastfeeding have been investigated among the 563 under 6 month’s infants. The associations between exclusive breastfeeding and independent variables were tested using the Chi-square test. Crude Odds ratios with 95 % confidence intervals were used to investigate the factors independently associated with exclusively breastfeeding. Results: Proportion of infant 0 - 5.9 months of age who are fed exclusively with breastmilk was 40.0%. Ear of age for mother was found to be more likely to practice exclusive breastfeeding, COR [95CI%] = 2.11 [1.24 - 3.60] for 15 - 20 years of age and 2.0 [1.22 - 3.26]. Receiving advices, on exclusive breastfeeding was found to be more likely to practice exclusive breastfeeding, COR: 2.07, 95% CI: [1.44 - 2.98]. Mothers who have practice early initiation to breastfeeding were found to be more likely to practice exclusive breastfeeding COR: 1.62, 95% CI: [1.15 - 2.27]. Skilled delivery was found to be more likely to practice exclusive breastfeeding than non-skilled deliveries, COR: 1.66, 95% CI: [1.16 - 2.35]. Low numbers of living children by mother, young children, were found to be more likely to practice exclusive breastfeeding. Conclusions: Exclusive breastfeeding continues to be low in rural areas of Burkina Faso. As Exclusive breastfeeding is associated to lower morbidity and mortality risk, improving the skills of health providers to give adequate feeding support to the mothers is critical for promoting exclusively breastfeeding.展开更多
A simulation network model was established using VISSIM software and verified by the T- test. The model took into consideration the road conditions, pedestrian crossing, traffic composi- tion, bus stops and traffic si...A simulation network model was established using VISSIM software and verified by the T- test. The model took into consideration the road conditions, pedestrian crossing, traffic composi- tion, bus stops and traffic signal. The operating characteristics of buses and cars under different flow conditions were studied using the simulation model, and the speed-flow models of buses and cars were established based on the simulation results. Finally, the threshold values of traffic flow for the provision of exclusive bus lanes was determined with the target of optimal travel benefits （per capi- ta） , which would provide a basis for the planning and design of exclusive bus lanes on urban roads.展开更多
One problem with the existing dynamic exclusive bus lane strategies is that bus signal priority strategies with multi-phase priority request at intersections are not adequately considered.The principle of bus signal p...One problem with the existing dynamic exclusive bus lane strategies is that bus signal priority strategies with multi-phase priority request at intersections are not adequately considered.The principle of bus signal priority level was designed based on the isolated multi-phase structure principle consideration of the bus signal priority,and a new priority approach for the dynamic exclusive bus lane was proposed.Two types of priority strategies,green extension and red truncation,were proposed for current phase and next phase buses,respectively.The control parameters including minimum green time,green extension time,maximum green time and bus arrival time are calculated.The case studies for this paper were carried out using four consecutive intersections of Huaide Middle Road in Changzhou City.The signal control scheme was designed using the conventional,exclusive bus lane method,the dynamic exclusive bus lane without signal priority method,and the proposed approach,respectively.The authors used the VISSIM simulation platform to evaluate the efficiency of each approach.Results showed that the method of approach can significantly decrease delays caused by social and conventional buses and make up for the negative impact social buses have on the bus rapid transit(BRT)operation,which allows the method to complement the dynamic,exclusive bus lane design.展开更多
We calculate the exclusive charmonium photo-production in the framework of color glass condensate.To obtain a good description of the vector meson production experimental data at HERA,we introduce a vector meson mass ...We calculate the exclusive charmonium photo-production in the framework of color glass condensate.To obtain a good description of the vector meson production experimental data at HERA,we introduce a vector meson mass dependent skewness factor into the skewness effect.Then we extend the skewness improved model to the LHC energies.The numerical results of our model are in good agreement with theΨ/Ψ and Ψ（2S）data in ultraperipheral proton-proton collisions at LHC,which show the significance of the vector meson mass-dependent skewness factor.A prediction of the exclusive charmonium photo-production in ultra-peripheral nucleus-nucleus collisions is performed since it can provide a good way to test the effectiveness of the color glass condensate.展开更多
Background: Breastfeeding is a natural and critical act that provides nutrients and energy for the infant and young child;and through a public health intervention such as exclusive breastfeeding, it improves the survi...Background: Breastfeeding is a natural and critical act that provides nutrients and energy for the infant and young child;and through a public health intervention such as exclusive breastfeeding, it improves the survival rates of the infant. Objective: To determine the breastfeeding practices and the sociodemographic determinants of exclusive breastfeeding amongst nursing mothers present at the Imo state university teaching hospital Orlu. Methods: A cross sectional analytical study design was used that included all nursing mothers present within a 4 week study period. Data was collected using a structured questionnaire. Descriptive analyses were done with frequencies and summary statistics. Chi square statistics were computed to determine significant associations and binary logistic regression was used to determine sociodemographic predictors of exclusive breastfeeding practice. P value was set at 0.05 significant level. Results: While most of the respondents were aware of exclusive breastfeeding (92.5%), only 24% of the respondents were practicing exclusive breastfeeding. Work and school activities, and the feeling that breast milk was insufficient for the needs of the baby were the reasons for not practicing exclusive breastfeeding for a majority of the respondents (56.6%). Furthermore, 61% of those that were practicing non-exclusive breast feeding gave a cereal or infant formula in addition to the breast milk for 3 to 6 months. It was further revealed that there were statistically significant relationships between breastfeeding practice and maternal age (p = 0.003), level of maternal education (p = 0.005) and maternal occupation (p = 0.006). Conclusion: Understanding and taking into cognizance the sociodemographic characteristics will enable the design, and adequate delivery of appropriate and effective strategies that improve exclusive breastfeeding practice.展开更多
BNU Law School is one of the youngest and most dynamic faculties at Beijing Normal University.Its precursor was the Law major established by the Department of Philosophy in 1995,the Department of Law established in 20...BNU Law School is one of the youngest and most dynamic faculties at Beijing Normal University.Its precursor was the Law major established by the Department of Philosophy in 1995,the Department of Law established in 2002,and the Criminal Law Science Research Institute was established in 2005.It culminated in the formal establishment of BNU Law School in 2006.Although BNU Law School was established in recent time,it has made outstanding achievements in various fields.展开更多
As the Chinese proverb goes,a man of his thirties should be independent.For a person,it s time to shoulder the responsibility he or she longs for.For a major and a School,it s time to root deep,to take responsibility ...As the Chinese proverb goes,a man of his thirties should be independent.For a person,it s time to shoulder the responsibility he or she longs for.For a major and a School,it s time to root deep,to take responsibility and to fulfill its dream of 'a School stands for a hundred years as a tree for a thousand years'.As the Advertising School of Communication University of China embraces its 30th 'birthday',Zhao Xinli,the Associate Dean of the School,was exclusively interviewed by China’s Foreign Trade.展开更多
'Acompany shall have its commitment to build a century-old business if it hopes to continue operation for a long time.'John Soo is the third generation of Chinese immigrants in Malaysia and CEO of Ally Biz Int...'Acompany shall have its commitment to build a century-old business if it hopes to continue operation for a long time.'John Soo is the third generation of Chinese immigrants in Malaysia and CEO of Ally Biz International Group. His forefathers were engaged in traditional plantation business. As a new-generation Malaysian Chinese who have received higher education and worked in many international companies as accountant or CEO, John Soo found that the business opportunities in traditional plantation industry has becoming slim. The challenge is to seek a better business project for new breakthroughs.展开更多
Relations between China and Malaysia have been developing steadily.Recently,See Chee Kong Leonard,Business Minister of Embassy of Malaysia in PRC,accepted an interview with Chinas Foreign Tradey and talked about the 4...Relations between China and Malaysia have been developing steadily.Recently,See Chee Kong Leonard,Business Minister of Embassy of Malaysia in PRC,accepted an interview with Chinas Foreign Tradey and talked about the 45 years of economic and trade cooperation and achievements of the two countries.展开更多
Although it was frigid outside mid-winter, classrooms in the Business School of Beijing International Studies University are still as warm as spring,because of the passionate teachers and students. Professors were con...Although it was frigid outside mid-winter, classrooms in the Business School of Beijing International Studies University are still as warm as spring,because of the passionate teachers and students. Professors were conducting lectures in English, as the students listen carefully and occasionally answered the questions posed in fluent English.If hearing their voices only, audiences might easily mistake that they were in a university in an English-speaking country.'展开更多
Background: Breastfeeding is cost effective means towards the realization of some key United Nations Sustainable Development Goals by the year 2030 particularly in resource limited settings. The objectives of the stud...Background: Breastfeeding is cost effective means towards the realization of some key United Nations Sustainable Development Goals by the year 2030 particularly in resource limited settings. The objectives of the study were to evaluate the predictors of exclusive breastfeeding duration among mother and child pairs utilizing a tertiary immunization clinic facility. Methods: This was a cross-sectional descriptive study. Respondents were mother-and-child pairs who were recruited consecutively. Relevant maternal and child characteristics were collected using a semi-structured questionnaire. Data were analyzed using Statistical Package for Social Sciences version 20.0 (p Results: Four hundred and twenty seven mother-child pairs were studied. Majority of the mothers have at least secondary education, 383 (80.7%). 407 (95.3%) of the mothers fully understood the actual meaning of EBF. 189 (42.7%) reported practicing EBF in their index child for six months. Maternal perception of insufficient milk production, 52/99 (52.5%) was the most common reason for practicing EBF for Maternal education and occupation and gender of the child were significantly associated with completion of EBF for 6 months among respondents. Conclusion: EBF duration in the current study is low and is significantly associated with maternal education, maternal occupation and gender of the child. Improving girl child education, complementing baby friendly hospital initiative with baby friendly community initiative should be adopted to improve EBF duration in our setting.展开更多
Studies showed that exclusive breast feeding reduced infant morbidity and mortality. In low income countries such as Ethiopia where under-five mortality is very high, the role of exclusively breastfeeding could be eve...Studies showed that exclusive breast feeding reduced infant morbidity and mortality. In low income countries such as Ethiopia where under-five mortality is very high, the role of exclusively breastfeeding could be even more critical. However, studies assessing the place of exclusive breast freeing in the prevention of childhood illnesses in our area are scarce. The aim of the study was to identify determinant factors of childhood pneumonia and diarrhoea. An institution based case control study was conducted in Achefer District in July, 2012. The cases were 122 children of 7 - 24 months old who had repeated attack of diarrhoea or pneumonia over three months prior to the survey while controls were 122 children who visited well baby clinic for vaccination. Data were collected by using pre-tested and structured questionnaire, and analysed using SPSS version 16 for windows. Logistic regression was performed, and strength of associations was estimated using odds ratio and 95% confidence interval. About 83% of the controls and only 12.3% of the cases were exclusively breast fed. Children who were exclusively breast fed were 83 times less likely to develop pneumonia or diarrhea than those who were not exclusively fed. Marital status, monthly income, prelacteal feeding, and late initiation of breast feeding were found to have statistically significant association with childhood diarrhea and pneumonia. This study brought local evidence that exclusive breast feeding had a protective effect against common childhood infectious diseases—pneumonia and diarrhoea—in the study area. Therefore, culture sensitive and plausible health education is recommended to strengthen exclusive breast feeding practices in order to decrease mortality and morbidity of infants and children from pneumonia and diarrhoea.展开更多
Background: The practice of exclusive breastfeeding (EB) in Morocco has witnessed a worrying decline in recent decades, contrary to the recommendations of the World Health Organization (WHO) which advocates it during ...Background: The practice of exclusive breastfeeding (EB) in Morocco has witnessed a worrying decline in recent decades, contrary to the recommendations of the World Health Organization (WHO) which advocates it during the first six months as a significant public health tool. The present study aims to assess the impact of educational materials on mothers’ behaviour with regard to keeping up EB as long as six months, at least. Methods: This is a cohort study with a prospective collection of data over a period of one year, through a questionnaire-based survey of 500 women who delivered at the Souissi Maternity Hospital in Rabat. The subjects were divided into an intervention group sensitized, during the medical visit, by means of information delivered orally about breastfeeding and a booklet containing instructions on breastfeeding management and the benefits of EB, especially when extended for the first six months;and a control group attending the same operation with no awareness-rising through educational materials. To assess EB rates, the subjects had been followed for six months through telephone. Results: 372 women who delivered were followed, 194 from the intervention group and 178 from the control group. The remaining 128 women not followed were lost sight of. A higher percentage of mothers in the intervention group exclusively breastfed their babies up to the age of six months compared to the control group, 55.2% against 38.8% (p = 0.002). The main reason produced by most mothers who ceased to exclusively breastfeed their babies is milk insufficiency. Conclusion: The postnatal nutritional education strategy based on the distribution of educational materials has considerably raised the number of women who exclusively breastfed their babies until the age of six months.展开更多
We still remember the S hanghai World Expo in 2010,which impressed the whole world.After a blink,another World Expo is here soon.Milan in Italy will be the host next year,and the China Council for the Promotion of Int...We still remember the S hanghai World Expo in 2010,which impressed the whole world.After a blink,another World Expo is here soon.Milan in Italy will be the host next year,and the China Council for the Promotion of International Trade(CCPIT)will host the China pavilion there.To know more about the Milan World Expo2015,China’s Foreign Trade magazine had an exclusive interview with Italian Ambassador to China,H.E.Mr.Alberto Bradanini.展开更多
The largest accidental marine oil spill (4.9 million barrels) in the Gulf of Mexico (GoM) seabed (1600 m) caused by the sinking of the Deepwater Horizon oil rig in 2010, put to the test once again the resilient capaci...The largest accidental marine oil spill (4.9 million barrels) in the Gulf of Mexico (GoM) seabed (1600 m) caused by the sinking of the Deepwater Horizon oil rig in 2010, put to the test once again the resilient capacity of the pelagic and benthic realms of this Large Marine Ecosystem. Many are the ecological services provided by its waters (fisheries, tourism, aquaculture and fossil fuel reserves) to neighboring countries (US, Mexico and Cuba). However, the unprecedented volumes of hydrocarbons, gas and chemical dispersants (Corexit) introduced in the system, represent ecological stressors whose deleterious effects are still the subject of civil claims and scientific controversy. Presumably, the short scale effects were confined to the Gulf’s northeastern shallow waters, and the combined actions of weathering, biodegradation, and oil recovery left the system almost under pre-spill conditions. Unfortunately, surface and subsurface oil plumes were detected in the spill aftermath, and their dispersion trajectories threatened Mexico EEZ. Surface oil slicks were detected in the pristine waters of northern Yucatán, while subsurface oil plumes from the Macondo’s well blowout were dangerously advancing southwest towards key fishing grounds in the northwestern GoM. This disaster prompted the Mexican government to implement an ambitious ocean monitoring program adopting a bottom-up approach focused on building a base line for more than 42 physicochemical and biological variables for water, sediment and biota from the continental shelf-slope region of the NW GoM. Technological constraints have precluded systematic observations in the vast Mexican EEZ that could discriminate natural variability and oil seep emissions from antropic disturbances. Therefore, preliminary risk analyses relied on seasonal and historical records. Two years of field observations revealed subtle environmental changes in the studied area attributed to antropic disturbances. Waters maintained oligotrophic conditions and zooplankton and benthic infaunal biomass were also poor. Biomarkers in sediments and biota did not exceed EPA’s benchmarks, and sediment’s fingerprinting (δ13C) indicated marine carbon sources. Geomarkers revealed an active transport from the Mississippi towards the NW GoM of phyllosilicates bearing a weathered oil coating. Consequently, shelf and slope sediment toxicity begins to show an increasing trend in the region. The complexity of hydrocarbons bioaccumulation and biodegradation processes in deep waters of the GoM seems to indicate that meso-and large-scale observations may prove to be essential in understanding the capacity of the GoM to recover its ecological stability.展开更多
基金supported by Research Team Development Funds of L.Xue and Z.H.Ouyang,Electronic Countermeasure Institute,National University of Defense Technology。
文摘Affinity propagation(AP)is a widely used exemplar-based clustering approach with superior efficiency and clustering quality.Nevertheless,a common issue with AP clustering is the presence of excessive exemplars,which limits its ability to perform effective aggregation.This research aims to enable AP to automatically aggregate to produce fewer and more compact clusters,without changing the similarity matrix or customizing preference parameters,as done in existing enhanced approaches.An automatic aggregation enhanced affinity propagation(AAEAP)clustering algorithm is proposed,which combines a dependable partitioning clustering approach with AP to achieve this purpose.The partitioning clustering approach generates an additional set of findings with an equivalent number of clusters whenever the clustering stabilizes and the exemplars emerge.Based on these findings,mutually exclusive exemplar detection was conducted on the current AP exemplars,and a pair of unsuitable exemplars for coexistence is recommended.The recommendation is then mapped as a novel constraint,designated mutual exclusion and aggregation.To address this limitation,a modified AP clustering model is derived and the clustering is restarted,which can result in exemplar number reduction,exemplar selection adjustment,and other data point redistribution.The clustering is ultimately completed and a smaller number of clusters are obtained by repeatedly performing automatic detection and clustering until no mutually exclusive exemplars are detected.Some standard classification data sets are adopted for experiments on AAEAP and other clustering algorithms for comparison,and many internal and external clustering evaluation indexes are used to measure the clustering performance.The findings demonstrate that the AAEAP clustering algorithm demonstrates a substantial automatic aggregation impact while maintaining good clustering quality.
文摘Introduction: Management of open leg bones fractures is a challenging health issue for the surgeon, particularly true in resource-limited settings. In this study, we evaluate exclusive fibular osteosynthesis in the treatment of open fractures of the distal half of the leg bones as a therapeutic option in our context. Methods: This is a prospective, experimental, multicenter study of 30 open fractures of the distal half of the leg bones treated with exclusive fibula osteosynthesis, conducted in 3 hospitals in the DRC from January 1, 2013 to September 30, 2016. Results: The age range of 20 to 40 years grouped 22 (73.4%) patients, the sex ratio was 1:1 and the unemployed were the most involved with 16 (53.3%) cases. The Gustilo II, I, III B and III A types represented 40%, 33.3%, 20% and 6.7%, respectively. The fractures were located in the distal third in 12 (40%) cases, in the middle third in 11 (36.7%) cases, and in both malleoli in 7 cases (23.3%). Osteosynthesis of the fibula by screw plate was applied in 22 (73.3%) patients and pinning in 8 (26.7%). Satisfactory reduction of the tibial fracture site was achieved in 29 (96.7%) cases and 100% bone healing was achieved within an average of 10 weeks. Four (13.3%) loss of alignment, 1 (3.3%) infection, 1 (3.3%) skin necrosis and 2 (6.7%) ankle stiffness complicated our fractures. Conclusion: Exclusive osteosynthesis of the fibula as a common technique for fractures of the distal half of the leg bones allowed us to reduce, immobilize and consolidate the tibial fracture in the required time and to preserve the mobility of the ankle.
文摘Exclusive enteral nutrition(EEN)is well-established as a first line therapy instead of corticosteroid(CS)therapy to treat active Crohn’s disease(CD)in children.It also has been shown to have benefits over and above induction of disease remission in paediatric populations.However,other than in Japanese populations,this intervention is not routinely utilised in adults.To investigate potential reasons for variation in response between adult studies of EEN and CS therapy.The Ovid database was searched over a 6-mo period.Articles directly comparing EEN and CS therapy in adults were included.Eleven articles were identified.EEN therapy remission rates varied considerably.Poor compliance with EEN therapy due to unpalatable formula was an issue in half of the studies.Remission rates of studies that only included patients with previously untreated/new CD were higher than studies including patients with both existing and new disease.There was limited evidence to determine if disease location,duration of disease or age of diagnosis affected EEN therapy outcomes.There is some evidence to support the use of EEN as a treatment option for a select group of adults,namely those motivated to adhere to an EEN regimen and possibly those newly diagnosed with CD.In addition,the use of more palatable formulas could improve treatment compliance.
文摘Exclusive enteral nutrition involves the use of acomplete liquid diet, with the exclusion of normaldietary components for a defined period of time,as a therapeutic measure to induce remission inactive Crohn＇s disease （CD）. This very efficaciousapproach leads to high rates of remission, especiallyin children and adolescents newly diagnosed withCD. This intervention also results in mucosal healing,AbstractExclusive enteral nutrition involves the use of acomplete liquid diet, with the exclusion of normaldietary components for a defined period of time,as a therapeutic measure to induce remission inactive Crohn＇s disease （CD）. This very efficaciousapproach leads to high rates of remission, especiallyin children and adolescents newly diagnosed withCD. This intervention also results in mucosal healing,
文摘Rates of exclusive breastfeeding in Malawi remain low despite the acknowledged benefits of exclusive breastfeeding for the infant’s wellbeing and the prevention of mother-to-child transmission of HIV. Creating an environment supportive of exclusive breastfeeding is critical to increase the rate of exclusive breastfeeding among HIV-positive mothers. However, little is known on factors that influence the environment within which HIV-positive mothers in Malawi practise exclusive breastfeeding. Therefore, the exploratory qualitative study on which this article is based was conducted at the Chatinkha maternity unit of Queen Elizabeth Central Hospital in Malawi from April 16, 2009 to May 8, 2009 to explore perceived practice environment related barriers to exclusive breastfeeding among HIV-positive mothers. Data were obtained through indepth interviews with 16 purposively selected breastfeeding HIV-positive mothers between 18 and 35 years old and two focus group discussions with women of unknown HIV status. Semi-structured interview and focus group guides were utilised. Content analysis of data was done. Five main themes emerged regarding factors that may influence the environment within which exclusive breastfeeding was practised: 1) availability of resources;2) societal norms and cultural practices;3) mother-baby proximity;4) health workers’ attitudes and 5) disclosure of the mothers’ HIV status. A multi-sectoral approach to promote exclusive breastfeeding is suggested. This?should include community involvement because it is in the community where breastfeeding norms and cultural practices associated with breast-feeding are propagated.
文摘Background: The recommendation of the WHO and UNICEF is that all infants should be exclusively breastfed up to 6 months of age. Identifying associated factors to exclusively breastfeeding is crucial to improve this key public health intervention. The objectives of the study were to investigate rates of exclusive breastfeeding and to identify potential associated factors. Methods: A Community based cross-sectional study design was conducted in three health districts. Cluster sampling was used. For the community based cross-sectional study, a total of 1832 infants was included. Exclusive breastfeeding have been investigated among the 563 under 6 month’s infants. The associations between exclusive breastfeeding and independent variables were tested using the Chi-square test. Crude Odds ratios with 95 % confidence intervals were used to investigate the factors independently associated with exclusively breastfeeding. Results: Proportion of infant 0 - 5.9 months of age who are fed exclusively with breastmilk was 40.0%. Ear of age for mother was found to be more likely to practice exclusive breastfeeding, COR [95CI%] = 2.11 [1.24 - 3.60] for 15 - 20 years of age and 2.0 [1.22 - 3.26]. Receiving advices, on exclusive breastfeeding was found to be more likely to practice exclusive breastfeeding, COR: 2.07, 95% CI: [1.44 - 2.98]. Mothers who have practice early initiation to breastfeeding were found to be more likely to practice exclusive breastfeeding COR: 1.62, 95% CI: [1.15 - 2.27]. Skilled delivery was found to be more likely to practice exclusive breastfeeding than non-skilled deliveries, COR: 1.66, 95% CI: [1.16 - 2.35]. Low numbers of living children by mother, young children, were found to be more likely to practice exclusive breastfeeding. Conclusions: Exclusive breastfeeding continues to be low in rural areas of Burkina Faso. As Exclusive breastfeeding is associated to lower morbidity and mortality risk, improving the skills of health providers to give adequate feeding support to the mothers is critical for promoting exclusively breastfeeding.
基金Supported by the National High Technology Research and Development Program of China("863"Program)(2011AA110304)
文摘A simulation network model was established using VISSIM software and verified by the T- test. The model took into consideration the road conditions, pedestrian crossing, traffic composi- tion, bus stops and traffic signal. The operating characteristics of buses and cars under different flow conditions were studied using the simulation model, and the speed-flow models of buses and cars were established based on the simulation results. Finally, the threshold values of traffic flow for the provision of exclusive bus lanes was determined with the target of optimal travel benefits （per capi- ta） , which would provide a basis for the planning and design of exclusive bus lanes on urban roads.
基金This research was funded by National Natural Science Foundation of China(NSFC),grant number 51678076Hunan Provincial Key Laboratory of Smart Roadway and Cooperative Vehicle-Infrastructure Systems,grant number 2017TP1016.
文摘One problem with the existing dynamic exclusive bus lane strategies is that bus signal priority strategies with multi-phase priority request at intersections are not adequately considered.The principle of bus signal priority level was designed based on the isolated multi-phase structure principle consideration of the bus signal priority,and a new priority approach for the dynamic exclusive bus lane was proposed.Two types of priority strategies,green extension and red truncation,were proposed for current phase and next phase buses,respectively.The control parameters including minimum green time,green extension time,maximum green time and bus arrival time are calculated.The case studies for this paper were carried out using four consecutive intersections of Huaide Middle Road in Changzhou City.The signal control scheme was designed using the conventional,exclusive bus lane method,the dynamic exclusive bus lane without signal priority method,and the proposed approach,respectively.The authors used the VISSIM simulation platform to evaluate the efficiency of each approach.Results showed that the method of approach can significantly decrease delays caused by social and conventional buses and make up for the negative impact social buses have on the bus rapid transit(BRT)operation,which allows the method to complement the dynamic,exclusive bus lane design.
基金Supported by the National Natural Science Foundation of China under Grant Nos 11765005,11305040,IRG11521064,11775097 and 11465021the Fund of Science and Technology Department of Guizhou Province under Grant No[2015]2114the Education Department of Guizhou Province under Grant No.KY[2017]004
文摘We calculate the exclusive charmonium photo-production in the framework of color glass condensate.To obtain a good description of the vector meson production experimental data at HERA,we introduce a vector meson mass dependent skewness factor into the skewness effect.Then we extend the skewness improved model to the LHC energies.The numerical results of our model are in good agreement with theΨ/Ψ and Ψ（2S）data in ultraperipheral proton-proton collisions at LHC,which show the significance of the vector meson mass-dependent skewness factor.A prediction of the exclusive charmonium photo-production in ultra-peripheral nucleus-nucleus collisions is performed since it can provide a good way to test the effectiveness of the color glass condensate.
文摘Background: Breastfeeding is a natural and critical act that provides nutrients and energy for the infant and young child;and through a public health intervention such as exclusive breastfeeding, it improves the survival rates of the infant. Objective: To determine the breastfeeding practices and the sociodemographic determinants of exclusive breastfeeding amongst nursing mothers present at the Imo state university teaching hospital Orlu. Methods: A cross sectional analytical study design was used that included all nursing mothers present within a 4 week study period. Data was collected using a structured questionnaire. Descriptive analyses were done with frequencies and summary statistics. Chi square statistics were computed to determine significant associations and binary logistic regression was used to determine sociodemographic predictors of exclusive breastfeeding practice. P value was set at 0.05 significant level. Results: While most of the respondents were aware of exclusive breastfeeding (92.5%), only 24% of the respondents were practicing exclusive breastfeeding. Work and school activities, and the feeling that breast milk was insufficient for the needs of the baby were the reasons for not practicing exclusive breastfeeding for a majority of the respondents (56.6%). Furthermore, 61% of those that were practicing non-exclusive breast feeding gave a cereal or infant formula in addition to the breast milk for 3 to 6 months. It was further revealed that there were statistically significant relationships between breastfeeding practice and maternal age (p = 0.003), level of maternal education (p = 0.005) and maternal occupation (p = 0.006). Conclusion: Understanding and taking into cognizance the sociodemographic characteristics will enable the design, and adequate delivery of appropriate and effective strategies that improve exclusive breastfeeding practice.
文摘BNU Law School is one of the youngest and most dynamic faculties at Beijing Normal University.Its precursor was the Law major established by the Department of Philosophy in 1995,the Department of Law established in 2002,and the Criminal Law Science Research Institute was established in 2005.It culminated in the formal establishment of BNU Law School in 2006.Although BNU Law School was established in recent time,it has made outstanding achievements in various fields.
文摘As the Chinese proverb goes,a man of his thirties should be independent.For a person,it s time to shoulder the responsibility he or she longs for.For a major and a School,it s time to root deep,to take responsibility and to fulfill its dream of 'a School stands for a hundred years as a tree for a thousand years'.As the Advertising School of Communication University of China embraces its 30th 'birthday',Zhao Xinli,the Associate Dean of the School,was exclusively interviewed by China’s Foreign Trade.
文摘'Acompany shall have its commitment to build a century-old business if it hopes to continue operation for a long time.'John Soo is the third generation of Chinese immigrants in Malaysia and CEO of Ally Biz International Group. His forefathers were engaged in traditional plantation business. As a new-generation Malaysian Chinese who have received higher education and worked in many international companies as accountant or CEO, John Soo found that the business opportunities in traditional plantation industry has becoming slim. The challenge is to seek a better business project for new breakthroughs.
文摘Relations between China and Malaysia have been developing steadily.Recently,See Chee Kong Leonard,Business Minister of Embassy of Malaysia in PRC,accepted an interview with Chinas Foreign Tradey and talked about the 45 years of economic and trade cooperation and achievements of the two countries.
文摘Although it was frigid outside mid-winter, classrooms in the Business School of Beijing International Studies University are still as warm as spring,because of the passionate teachers and students. Professors were conducting lectures in English, as the students listen carefully and occasionally answered the questions posed in fluent English.If hearing their voices only, audiences might easily mistake that they were in a university in an English-speaking country.'
文摘Background: Breastfeeding is cost effective means towards the realization of some key United Nations Sustainable Development Goals by the year 2030 particularly in resource limited settings. The objectives of the study were to evaluate the predictors of exclusive breastfeeding duration among mother and child pairs utilizing a tertiary immunization clinic facility. Methods: This was a cross-sectional descriptive study. Respondents were mother-and-child pairs who were recruited consecutively. Relevant maternal and child characteristics were collected using a semi-structured questionnaire. Data were analyzed using Statistical Package for Social Sciences version 20.0 (p Results: Four hundred and twenty seven mother-child pairs were studied. Majority of the mothers have at least secondary education, 383 (80.7%). 407 (95.3%) of the mothers fully understood the actual meaning of EBF. 189 (42.7%) reported practicing EBF in their index child for six months. Maternal perception of insufficient milk production, 52/99 (52.5%) was the most common reason for practicing EBF for Maternal education and occupation and gender of the child were significantly associated with completion of EBF for 6 months among respondents. Conclusion: EBF duration in the current study is low and is significantly associated with maternal education, maternal occupation and gender of the child. Improving girl child education, complementing baby friendly hospital initiative with baby friendly community initiative should be adopted to improve EBF duration in our setting.
文摘Studies showed that exclusive breast feeding reduced infant morbidity and mortality. In low income countries such as Ethiopia where under-five mortality is very high, the role of exclusively breastfeeding could be even more critical. However, studies assessing the place of exclusive breast freeing in the prevention of childhood illnesses in our area are scarce. The aim of the study was to identify determinant factors of childhood pneumonia and diarrhoea. An institution based case control study was conducted in Achefer District in July, 2012. The cases were 122 children of 7 - 24 months old who had repeated attack of diarrhoea or pneumonia over three months prior to the survey while controls were 122 children who visited well baby clinic for vaccination. Data were collected by using pre-tested and structured questionnaire, and analysed using SPSS version 16 for windows. Logistic regression was performed, and strength of associations was estimated using odds ratio and 95% confidence interval. About 83% of the controls and only 12.3% of the cases were exclusively breast fed. Children who were exclusively breast fed were 83 times less likely to develop pneumonia or diarrhea than those who were not exclusively fed. Marital status, monthly income, prelacteal feeding, and late initiation of breast feeding were found to have statistically significant association with childhood diarrhea and pneumonia. This study brought local evidence that exclusive breast feeding had a protective effect against common childhood infectious diseases—pneumonia and diarrhoea—in the study area. Therefore, culture sensitive and plausible health education is recommended to strengthen exclusive breast feeding practices in order to decrease mortality and morbidity of infants and children from pneumonia and diarrhoea.
文摘Background: The practice of exclusive breastfeeding (EB) in Morocco has witnessed a worrying decline in recent decades, contrary to the recommendations of the World Health Organization (WHO) which advocates it during the first six months as a significant public health tool. The present study aims to assess the impact of educational materials on mothers’ behaviour with regard to keeping up EB as long as six months, at least. Methods: This is a cohort study with a prospective collection of data over a period of one year, through a questionnaire-based survey of 500 women who delivered at the Souissi Maternity Hospital in Rabat. The subjects were divided into an intervention group sensitized, during the medical visit, by means of information delivered orally about breastfeeding and a booklet containing instructions on breastfeeding management and the benefits of EB, especially when extended for the first six months;and a control group attending the same operation with no awareness-rising through educational materials. To assess EB rates, the subjects had been followed for six months through telephone. Results: 372 women who delivered were followed, 194 from the intervention group and 178 from the control group. The remaining 128 women not followed were lost sight of. A higher percentage of mothers in the intervention group exclusively breastfed their babies up to the age of six months compared to the control group, 55.2% against 38.8% (p = 0.002). The main reason produced by most mothers who ceased to exclusively breastfeed their babies is milk insufficiency. Conclusion: The postnatal nutritional education strategy based on the distribution of educational materials has considerably raised the number of women who exclusively breastfed their babies until the age of six months.
文摘We still remember the S hanghai World Expo in 2010,which impressed the whole world.After a blink,another World Expo is here soon.Milan in Italy will be the host next year,and the China Council for the Promotion of International Trade(CCPIT)will host the China pavilion there.To know more about the Milan World Expo2015,China’s Foreign Trade magazine had an exclusive interview with Italian Ambassador to China,H.E.Mr.Alberto Bradanini.
文摘The largest accidental marine oil spill (4.9 million barrels) in the Gulf of Mexico (GoM) seabed (1600 m) caused by the sinking of the Deepwater Horizon oil rig in 2010, put to the test once again the resilient capacity of the pelagic and benthic realms of this Large Marine Ecosystem. Many are the ecological services provided by its waters (fisheries, tourism, aquaculture and fossil fuel reserves) to neighboring countries (US, Mexico and Cuba). However, the unprecedented volumes of hydrocarbons, gas and chemical dispersants (Corexit) introduced in the system, represent ecological stressors whose deleterious effects are still the subject of civil claims and scientific controversy. Presumably, the short scale effects were confined to the Gulf’s northeastern shallow waters, and the combined actions of weathering, biodegradation, and oil recovery left the system almost under pre-spill conditions. Unfortunately, surface and subsurface oil plumes were detected in the spill aftermath, and their dispersion trajectories threatened Mexico EEZ. Surface oil slicks were detected in the pristine waters of northern Yucatán, while subsurface oil plumes from the Macondo’s well blowout were dangerously advancing southwest towards key fishing grounds in the northwestern GoM. This disaster prompted the Mexican government to implement an ambitious ocean monitoring program adopting a bottom-up approach focused on building a base line for more than 42 physicochemical and biological variables for water, sediment and biota from the continental shelf-slope region of the NW GoM. Technological constraints have precluded systematic observations in the vast Mexican EEZ that could discriminate natural variability and oil seep emissions from antropic disturbances. Therefore, preliminary risk analyses relied on seasonal and historical records. Two years of field observations revealed subtle environmental changes in the studied area attributed to antropic disturbances. Waters maintained oligotrophic conditions and zooplankton and benthic infaunal biomass were also poor. Biomarkers in sediments and biota did not exceed EPA’s benchmarks, and sediment’s fingerprinting (δ13C) indicated marine carbon sources. Geomarkers revealed an active transport from the Mississippi towards the NW GoM of phyllosilicates bearing a weathered oil coating. Consequently, shelf and slope sediment toxicity begins to show an increasing trend in the region. The complexity of hydrocarbons bioaccumulation and biodegradation processes in deep waters of the GoM seems to indicate that meso-and large-scale observations may prove to be essential in understanding the capacity of the GoM to recover its ecological stability.
