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Prioritizing Strategies for Building the Resilience of Public Health Systems to Disasters Across Multiple Communities and Countries

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International journal of Disaster Risk Science 2024年第1期15卷 1-17页

作者： Benjamin j.Ryan Mayumi kako Shelby Garner Rok fink Ismail Tayfur jonathan Abrahams Sanjaya Bhatia Adriana Campelo Matthew Fendt Alicia Fontenot Nahuel Arenas Garcia Tim Hatch Ryoma kayano LaShonda Malrey‑Horne Makiko MacDermot Md Moshiur Rahman Chaverle Noel Shuhei Nomura jeremy P.Novak Maria Opazo kendell Oliver Luciana Peters Sohel Rahman PerihanŞimşek Andrew Stricklin Raymond Swienton Bryan W.Brooks Frist College of Medicine Belmont UniversityNashvilleTN 37212USA Department of Environmental Science Environmental Health Science ProgramCollege of Arts and SciencesBaylor UniversityWacoTX 76798USA Division of Nursing Science School of Biomedical and Health SciencesHiroshima UniversityHiroshima 734-8553Japan Gordon E.Inman College of Health Sciences and Nursing Belmont UniversityNashvilleTN 37212USA Faculty of Health Sciences University of Ljubljana1000 LjubljanaSlovenia Department of Emergency Medicine University of Health Sciences34668 IstanbulTurkey Monash University Accident Research Center MelbourneVIC 3800Australia Global Education and Training Institute United Nations Ofce for Disaster Risk ReductionIncheon 22004Republic of Korea Regional Ofce for the Americas and Caribbean United Nations Ofce for Disaster Risk ReductionPanama City 0843-03441Panama Engineering and Computer Science Baylor UniversityWacoTX 76798USA Department of Public Health Robbins College of Health and Human SciencesBaylor UniversityWacoTX 76798USA Alabama Department of Public Health MontgomeryAL 36092USA World Health Organization Centre for Health Development(WHO kobe Centre) Kobe 651-0073Japan Waco-McLennan County Public Health District WacoTX 76707USA Department of Health Policy and Management School of MedicineKeio UniversityTokyo 160-8582Japan Department of Global Health Policy Graduate School of MedicineThe University of TokyoTokyo 113-0033Japan Tokyo Foundation for Policy Research Tokyo 106-6234Japan Global Development College BrisbaneQLD 4000Australia Municipality of Pudahuel 13124 PudahuelChile City Hall of Porto Alegre Porto Alegre 90010-170Brazil Ministry of Health and Family Welfare Government of the People’s Republic of BangladeshDhaka 1000Bangladesh Department of Emergency Aid and Disaster Management Trabzon University61335 TrabzonTurkey Department of Emergency Medicine UT SouthwesternDallasTX 75390USA

The COVID-19 pandemic highlighted the urgent need to strengthen public health *** response,the United Nations Disaster Risk Reduction(UNDRR) Public Health System Resilience Scorecard(Scorecard) was applied in workshops across multiple *** aim of our research was to explore the workshop findings to develop priority strategies for strengthening public health system *** conducted a workshop from 14 to 16 March 2023,at the UNDRR Global Education and Training Institute in Incheon,Republic of korea.A sequential modified Delphi method was utilized to develop a set of prioritized resilience *** were drawn from 70 strategies identified from 13 distinct workshops in eight *** two surveys,23 strategies were *** received ratings of "High" or Very High" from89% of *** related to the inclusion of public health risks in emergency plans,integrating multidisciplinary teams into public health,enabling local transport mechanisms,and improving the ability to manage an influx of *** Scorecard provides an adaptable framework to identify and prioritize strategies for strengthening public health system *** leveraging this methodology,our study demonstrated how resilience strategies could inform disaster risk reduction funding,policies,and actions.

关键词： Health system resilience Public policy Resilience scorecard Workshops

HSV gene transfer in the treatment of chronic pain

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生理学报 2008年第5期60卷 610-616页

作者： David j. fink Marina Mata University of Michigan and VA Ann Arbor Healthcare System Ann Arbor Michigan 48109 USA

It has proven difficult to use systemic administration of small molecules to selectively modulate *** the past decade,we and others have developed non-replicating herpes simplex virus(HSV)-based vectors to treat chronic *** inoculation of an HSV vector effectively transduces sensory neurons in the dorsal root ganglion;release of transgene-coded inhibitory neurotransmitters or anti-inflammatory peptides reduces pain-related behaviors in rodent models of chronic inflammatory and neuropathic pain.A phase 1 trial of this therapy in patients is set to begin soon.

关键词： HSV 基因慢性疼痛临床分析病症

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就这900句玩转口语 1版

丛书名：振宇英语

2011年

作者： (美)艾瑞克(Eric Wayne fink)[等]

本书以kevin为人物主角, 再现美国人生活、工作、学习的各个场景, 分为15大主题, 129个话题。

ISBN: (数字)9787511004321

ISBN: (纸本)9787511004321

本书以kevin为人物主角, 再现美国人生活、工作、学习的各个场景, 分为15大主题, 129个话题。

关键词：英语口语

来源：畅想之星图书光盘版（南... 评论

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加速碳中和的能源载体和动力总成技术

同济大学学报（自然科学版） 2021年第S1期49卷 202-210页

作者： EL NAkSCHABANDI Mohamad Said INCI Ferhat fink Anja WIEDEMANN Bernd SENS Marc BRAUER Maximilian VON ESSEN Carsten YUAN Yixi GOTTSCHALk Habil Wolfram kUNSTMANN jürgen Institute of Land and Sea Transport Technical University Berlin德国柏林10587 Powertrain Systems Development IAV GmbH德国柏林10587 Ice Field Dry Ice Engineering GmbH 德国法兰克福65926

由于“巴黎协定”和中国碳中和的气候保护目标及对能源独立的追求,需要加速对节能减排和二氧化碳中和的技术研究与开发。目前,在汽车动力系统的节能减排与碳中和方面,主要有3种发展概念:电池驱动;燃料电池驱动;基于二氧化碳中和的内燃... 详细信息

由于“巴黎协定”和中国碳中和的气候保护目标及对能源独立的追求,需要加速对节能减排和二氧化碳中和的技术研究与开发。目前,在汽车动力系统的节能减排与碳中和方面,主要有3种发展概念:电池驱动;燃料电池驱动;基于二氧化碳中和的内燃机可持续合成燃料驱动。根据能源使用的生命周期,将效率因素简化归纳为决策因素,在时间上无法反映出减少二氧化碳排放及减少化石能源的需求。与必要的能源供应相比,可再生能源的区域可用性有限,因此须以成本效益优势的方式来解决化石能源大规模替代的技术与基础建设问题。除了直接使用可再生电力外,绿色氢气和衍生的合成燃料可以大大加快化石能源的替代。短期内,合成燃料可以实施到全球的现有车辆上(约12亿辆),并持续增加混合汽油、柴油或天然气的混合比例,直到化石能源完全被绿色的氢气、合成燃料或电力所取代。介绍了氢气动力系统(H2内燃机和燃料电池动力系统)与合成燃料相关的技术解决方案。

关键词：内燃机合成燃料甲醇氢气动力系统

Clinical outcomes of patients with two small hepatocellular carcinomas

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World journal of Hepatology 2021年第10期13卷 1439-1449页

作者： Anh Duy Pham karl Vaz Zaid S Ardalan Marie Sinclair Ross Apostolov Sarah Gardner Ammar Majeed Gauri Mishra Ning Mao kam kurvi Patwala Numan kutaiba Niranjan Arachchi Sally Bell Anouk T Dev john S Lubel Amanda j Nicoll Siddharth Sood William kemp Stuart k Roberts Michael fink Adam G Testro Peter W Angus Paul j Gow The Victorian Liver Transplant Unit Austin HealthHeidelberg 3084VictoriaAustralia Department of Gastroenterology Alfred HealthMelbourne 3000VictoriaAustralia The Melbourne Liver Group Melbourne 3000VictoriaAustralia The University of Melbourne Parkville 3010VictoriaAustralia Central Clinical School Monash UniversityMelbourne 3004VictoriaAustralia Department of Gastroenterology and Hepatology Monash HealthClayton 3168VictoriaAustralia Department of Radiology Austin HealthHeidelberg 3084VictoriaAustralia Department of Radiology Eastern HealthBox Hill 3128VictoriaAustralia Department of Gastroenterology Western HealthFootscray 3011VictoriaAustralia Department of Gastroenterology Eastern HealthBox Hill 3128VictoriaAustralia Department of Gastroenterology Royal Melbourne HospitalParkville 3050VictoriaAustralia

BACkGROUND Management of single small hepatocellular carcinoma(HCC)is straightforward with curative outcomes achieved by locoregional therapy or *** transplantation is often considered for multiple small or single large *** of two small HCC whether presenting synchronously or sequentially is less *** To define the outcomes of patients presenting with two small *** Retrospective review of HCC databases from multiple institutions of patients with either two synchronous or sequential HCC≤3 cm between january 2000 and March *** outcomes were overall survival(OS)and transplant-free survival(TFS).RESULTS 104 patients were identified(male n=89).Median age was 63 years(interquartile range 58-67.75)and the most common aetiology of liver disease was hepatitis C(40.4%).59(56.7%)had synchronous HCC and 45(43.3%)had sequential.36 patients died(34.6%)and 25 were transplanted(24.0%).1,3 and 5-year OS was 93.0%,66.1% and 62.3% and 5-year post-transplant survival was 95.8%.1,3 and 5-year TFS was 82.1%,45.85% and 37.8%.When synchronous and sequential groups were compared,OS(1,3 and 5 year synchronous 91.3%,63.8%,61.1%,sequential 95.3%,69.5%,64.6%,P=0.41)was similar but TFS was higher in the sequential group(1,3 and 5 year synchronous 68.5%,37.3% and 29.7%,sequential 93.2%,56.6%,48.5%,P=0.02)though this difference did not remain during multivariate *** TFS in patients presenting with two HCC≤3 cm is poor regardless of the timing of the second *** patients presenting with two small HCC should be considered for transplantation.

关键词： Hepatocellular carcinoma Liver cancer Prognosis Transplantation Transplant-free survival

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Ni单晶与外延生长In膜界面化合物的形成

北京师范大学学报（自然科学版） 1992年第3期28卷 310-315页

作者：丁训良 Platzer R Whrmann U fink R krausch G Luckscheiter B Voigt j Schatz G 北京师范大学低能核物理研究所北京新外大街100875 Fakultt

用扰动γγ角关联方法研究了低指数Ni单晶衬底与外延生长In膜界面的互扩散和界面化合物的形成。与Ni/In薄膜系统的结果进行了比较.除观察到相图中已知的全部Ni/In化合物外,发现了一个新的Ni/In化合物.相出现的次序都是从富In相到富Ni相... 详细信息

用扰动γγ角关联方法研究了低指数Ni单晶衬底与外延生长In膜界面的互扩散和界面化合物的形成。与Ni/In薄膜系统的结果进行了比较.除观察到相图中已知的全部Ni/In化合物外,发现了一个新的Ni/In化合物.相出现的次序都是从富In相到富Ni相.单晶衬底情况下,相形成与In膜厚度及衬底取向有关.

关键词：镍/铟化合物镍单晶外延生长

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关于k系数和γ测井的计算

国外铀矿地质 1984年第3期 62-65页

作者： j.B.fink 王德梅

在用于放射性物质的γ测井中,测井系统的响应取决于系统本身和外界的影响,如物质的种类、平衡破坏、源的几何形状、测井方法和系统的部件。最重要的是系统的响应值(cps)与不同品位物质的关系为一比例常数。Broding,Rummerfield(1955)和S... 详细信息

在用于放射性物质的γ测井中,测井系统的响应取决于系统本身和外界的影响,如物质的种类、平衡破坏、源的几何形状、测井方法和系统的部件。最重要的是系统的响应值(cps)与不同品位物质的关系为一比例常数。Broding,Rummerfield(1955)和Scott(1961)给该常数下了定义,通常称谓k系数。任何系统的k系数都不能根据系统的部件及总装置直接计算,因此必须在特定的条件下通过试验测定。为了满足生产对这一特定条件的需要,原子能委员会在科罗拉多的大江克欣建立了一套具有多个实验模型的标定站。该模型所含物质的品位和厚度是已知的,以便能测得适宜的系统响应值。这些模型已成为生产标准。当需要

关键词：英制传统法平均品位厚度英国单位制单位制测井曲线面积法

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铼在超耐热合金中的应用进展

世界有色金属 2011年第2期36卷 66-67页

作者：王顺昌 Paul j.fink

通用电子航空公司(GE Aviation,以下简称GE航空)研发出一种新的铼含量低的单晶镍基超耐热合金René N515。这种合金的性能可与第二代铼含量高的镍基超耐热合金René相媲美,铼含量却有大幅减少。该合金系采用神经网络模型开发出来的,已... 详细信息

通用电子航空公司(GE Aviation,以下简称GE航空)研发出一种新的铼含量低的单晶镍基超耐热合金René N515。这种合金的性能可与第二代铼含量高的镍基超耐热合金René相媲美,铼含量却有大幅减少。该合金系采用神经网络模型开发出来的,已经广泛试验,用于制作CFM56的喷气发动机的高压涡轮叶片。

关键词：镍基超耐热合金铼应用高压涡轮叶片航空公司喷气发动机模型开发神经网络

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玉米赤霉烯酮的类雌激素效应和生物学机制

饲料与畜牧（新饲料） 2010年第4期 34-39页

作者： j. fink-Gremmels H. Malekinejad 崔秀梅(译) 赵虎(译) 杨在宾(审校) 不详山东农业大学动物科技学院上海牧冠企业发展有限公司

玉米赤霉烯酮(ZEA)在全球范围内广泛存在于受污染的谷物中,例如玉米和豆粕等。尽管ZEA是非甾体化合物,但是能够活化雌激素受体而引起生殖器官功能性和形态学变化。自然界中的动物以猪最为敏感,临床表现包括卵巢萎缩、发情期间隔变长、... 详细信息

玉米赤霉烯酮(ZEA)在全球范围内广泛存在于受污染的谷物中,例如玉米和豆粕等。尽管ZEA是非甾体化合物,但是能够活化雌激素受体而引起生殖器官功能性和形态学变化。自然界中的动物以猪最为敏感,临床表现包括卵巢萎缩、发情期间隔变长、黄体持久、生殖力减弱和死胚。对比试验表明这些症状的强度取决于生殖系统状态,在动物性成熟之前症状更加显著。ZEA不仅交互作用于两种类型的雌激素受体,而且可以作用于羟基类固醇脱氢酶,这种酶可以将ZEA转化成两种异构体,即:α-玉米赤霉烯醇和β-玉米赤霉烯醇,并进一步还原产生α-玉米赤霉烯酮和β-玉米赤霉烯酮。ZEA被α-羟基化后,类雌激素作用显著提高,玉米赤霉烯酮在猪体内α-羟基化的比例较高,因此,猪成为对玉米赤霉烯酮最敏感的动物。另一个影响种类特征敏感性可能的因素是导致ZEA糖脂化而失活的能力。与其他动物相比,猪具有较低的糖脂化能力,因此对ZEA中毒反应更为敏感。体内和体外试验表明ZEA及其代谢产物是参与甾类代谢有关的各种酶的底物。因此,鉴于上述玉米赤霉烯酮对雌激素受体的交互作用和酶动力学的调节作用,ZEA被称作是内分泌干扰物。此分类证实,母体摄食ZEA会影响后代(F1代)的发育和生殖能力。生物学多样性似乎也可以解释不同日龄的猪产生不同的临床症状,同时也可表明日粮中的玉米赤霉烯酮所产生的危害不会产生显著的临床症状。

关键词：玉米赤霉烯酮 α-玉米赤霉烯醇 β-玉米赤霉烯醇羟基脱氢酶雌激素亢进内分泌紊乱类雌激素猪